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H0159.................................................by HEALTH AND WELFARE
IDAHO COMMUNITY HEALTH CENTER GRANT PROGRAM - Adds to and amends existing
law to provide for the Idaho Community Health Center Grant Program; to
create the Community Health Center Grant Fund; to define terms; to provide
for scope of grant support; to set forth application requirements; to
provide a grant award schedule; to provide grant award criteria; to
prohibit fraudulent information on grant applications; to provide for
administrative appeals; to revise a definition; and to revise membership of
the Health Care Access Grant Review Board.
02/09 House intro - 1st rdg - to printing
02/12 Rpt prt - to Health/Wel
02/27 Rpt out - rec d/p - to 2nd rdg
02/28 2nd rdg - to 3rd rdg
03/01 3rd rdg - PASSED - 65-5-0
AYES -- Anderson, Andrus, Bayer, Bedke, Bell, Bilbao, Black, Block,
Bock, Boe, Bolz, Brackett, Bradford, Chadderdon, Chavez, Chew, Clark,
Collins, Crane, Durst, Edmunson, Eskridge, Hagedorn, Hart, Henbest,
Henderson, Jaquet, Killen, King, Kren, Labrador, Lake, LeFavour,
Loertscher, Luker, Marriott, Mathews, McGeachin, Mortimer, Nielsen,
Nonini, Pasley-Stuart, Patrick, Pence, Raybould, Ring, Ringo,
Roberts, Ruchti, Rusche, Sayler, Schaefer, Shepherd(2), Shepherd(8),
Shirley, Shively, Smith(30), Smith(24), Snodgrass, Stevenson, Thayn,
Trail, Wills, Wood(27), Mr. Speaker
NAYS -- Barrett, Harwood, Moyle, Vander Woude, Wood(35)
Absent and excused -- None
Floor Sponsor - Henbest
Title apvd - to Senate
03/02 Senate intro - 1st rdg - to Health/Wel
03/13 Rpt out - rec d/p - to 2nd rdg
03/14 2nd rdg - to 3rd rdg
03/19 3rd rdg - PASSED - 32-0-3
AYES -- Andreason, Bair, Bastian, Bilyeu, Broadsword, Burkett,
Cameron, Coiner, Corder, Darrington, Davis, Fulcher, Geddes, Goedde,
Hammond, Heinrich, Hill, Jorgenson, Kelly, Keough, Langhorst, Little,
Lodge, McGee, McKague, McKenzie, Pearce, Richardson, Schroeder,
Siddoway, Stegner, Werk
NAYS -- None
Absent and excused -- Gannon, Malepeai, Stennett
Floor Sponsor - Keough
Title apvd - to House
03/20 To enrol - Rpt enrol - Sp signed
03/21 Pres signed - To Governor
03/27 Governor signed
Session Law Chapter 199
Effective: 07/01/07
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-ninth Legislature First Regular Session - 2007
IN THE HOUSE OF REPRESENTATIVES
HOUSE BILL NO. 159
BY HEALTH AND WELFARE COMMITTEE
1 AN ACT
2 RELATING TO HEALTH CARE; AMENDING TITLE 39, IDAHO CODE, BY THE ADDITION OF A
3 NEW CHAPTER 32, TITLE 39, IDAHO CODE, TO PROVIDE A SHORT TITLE, TO CREATE
4 THE COMMUNITY HEALTH CENTER GRANT FUND, TO DEFINE TERMS, TO PROVIDE FOR
5 SCOPE OF GRANT SUPPORT, TO SET FORTH APPLICATION REQUIREMENTS, TO PROVIDE
6 A GRANT AWARD SCHEDULE, TO PROVIDE GRANT AWARD CRITERIA, TO PROHIBIT
7 FRAUDULENT INFORMATION ON GRANT APPLICATIONS AND TO PROVIDE FOR ADMINIS-
8 TRATIVE APPEALS; AMENDING SECTION 39-5903, IDAHO CODE, TO REVISE A DEFINI-
9 TION; AND AMENDING SECTION 39-5904, IDAHO CODE, TO REVISE TERMINOLOGY AND
10 TO REVISE MEMBERSHIP OF THE HEALTH CARE ACCESS GRANT REVIEW BOARD.
11 Be It Enacted by the Legislature of the State of Idaho:
12 SECTION 1. That Title 39, Idaho Code, be, and the same is hereby amended
13 by the addition thereto of a NEW CHAPTER, to be known and designated as Chap-
14 ter 32, Title 39, Idaho Code, and to read as follows:
15 CHAPTER 32
16 IDAHO COMMUNITY HEALTH CENTER GRANT PROGRAM
17 39-3201. SHORT TITLE. This chapter shall be known and may be cited as the
18 "Idaho Community Health Center Grant Program."
19 39-3202. COMMUNITY HEALTH CENTER GRANT FUND. There is hereby created in
20 the state treasury a fund known as the "Community Health Center Grant Fund."
21 Subject to appropriation by the legislature, moneys in the fund shall be used
22 exclusively for the purpose of grants for community health centers in order to
23 improve access to health care services for Idahoans and to provide for the
24 administration of grants pursuant to this chapter.
25 39-3203. DEFINITIONS. As used in this chapter:
26 (1) "Applicant" means an entity submitting documents required by the com-
27 munity health center grant program for the purpose of requesting a grant from
28 the community health center grant fund.
29 (2) "Application period" means the time period from July 1 to August 30
30 of the state fiscal year for which funding is requested.
31 (3) "Approval" means written notification that the application will be
32 awarded funding through the community health center grant fund.
33 (4) "Board" means the health care access grant review board, as estab-
34 lished in section 39-5904, Idaho Code.
35 (5) "Community health center" or "CHC" means a nonprofit organization or
36 county-based governmental entity that:
37 (a) Provides comprehensive primary and preventive medical services and
38 provides or makes referrals for dental and mental health services;
39 (b) Provides outpatient services to persons who are uninsured or have
40 medicaid coverage without regard to a person's ability to pay, provided
2
1 that a minimum of twenty-five percent (25%) of such persons served by the
2 organization or entity are uninsured;
3 (c) Charges for services using a sliding fee schedule based upon income
4 and family size; and
5 (d) Is governed by a community-based board.
6 (6) "Community health center grant" means a grant awarded pursuant to
7 this chapter.
8 (7) "Community health center grant program" means the program that admin-
9 isters the community health center grant fund.
10 (8) "Department" means the department of health and welfare.
11 (9) "Director" means the director of the department of health and wel-
12 fare.
13 (10) "Grant period" means the time period from July 1 through June 30
14 (state fiscal year) for which funding is granted.
15 39-3204. SCOPE OF GRANT SUPPORT. The board may award grants, in accor-
16 dance with the procedures and criteria in this chapter, to community health
17 centers for the purpose of improving access to health care services.
18 (1) Individual grant awards will be limited to a total of five hundred
19 thousand dollars ($500,000) for direct and indirect costs, per year.
20 (2) No project may be funded for more than a total of one (1) year.
21 (3) In addition to other uses as approved by the board, funds awarded
22 under a grant may be used for the purchase, construction, renovation or
23 improvement of real property or for projects which are solely or predominantly
24 designed for the purchase of equipment, including information technology and
25 electronic health records.
26 39-3205. APPLICATION REQUIRED. (1) A completed community health center
27 grant application must be submitted by the applicant for the purpose of
28 requesting a grant on or before the conclusion of the application period spec-
29 ified for the appropriate grant cycle.
30 (2) Each application shall include:
31 (a) Identification of geographical area to be served;
32 (b) Individual or entity requesting funds;
33 (c) Narrative description of the community health needs and the methods
34 to be used to address such needs and demonstrate the potential of the
35 project to improve patient health outcomes and access to health care ser-
36 vices in the community;
37 (d) Identification of measurable goals, objectives and patient health
38 outcomes to be used to reach the goals, and the resources necessary to
39 complete each activity;
40 (e) Estimation of how long it will take to accomplish the individual
41 activities of the project;
42 (f) Demonstrated community support for the project;
43 (g) Proposed project budget including:
44 (i) A line item budget with a brief description of each expense
45 category, including any anticipated operating expenses, capital and
46 equipment or contract expenses;
47 (ii) Documentation of one (1) or more vendor price quotes for all
48 proposed equipment purchases;
49 (iii) Contact person for verification of fiscal information; and
50 (h) Federal tax identification number.
51 (3) All applications must include the required information.
52 (4) The grant application and any attachments submitted by the applicant
53 shall be the primary source of information for awarding a grant.
3
1 39-3206. GRANT AWARD SCHEDULE. The board shall conduct the grant process
2 in accordance with the following schedule:
3 (1) The director shall develop an application form in conformance with
4 section 39-3205, Idaho Code, and make guidance available no later than July 1
5 which shall initiate the application period.
6 (2) The completed application shall be submitted no later than August 30
7 of the application period.
8 (3) The board shall issue notification to every applicant regarding the
9 disposition of their grant request by October 30 of the grant period.
10 (4) Funds for approved grants shall be disbursed during November of that
11 grant period or over the course of the current grant year as funds become
12 available.
13 39-3207. AWARD CRITERIA. The board shall award grants based on the fol-
14 lowing weighted criteria:
15 (1) Background of applicant organization. The applicant must show ade-
16 quate experience, knowledge, and qualifications to adequately perform the
17 scope of work: weight = 15%;
18 (2) Community support. The applicant must demonstrate community support
19 for the project: weight = 10%;
20 (3) Specificity and clarity of scope of project. The proposal will be
21 evaluated based upon demonstrated need and the extent to which the goals and
22 objectives are specific, measurable, and relevant to the purpose of the pro-
23 posal and the activities planned to accomplish those objectives are germane
24 and can be sustained beyond the grant time frame: weight = 30%;
25 (4) Monitoring and evaluation. The proposal will be evaluated based on
26 the extent to which the monitoring and evaluation system will document program
27 progress, or improved patient health outcomes if applicable, and measure
28 effectiveness: weight = 15%;
29 (5) Budget. The proposal will be evaluated based on the extent to which a
30 detailed itemized budget and justification are consistent with stated objec-
31 tives and planned program activities: weight = 20%;
32 (6) Geographical community health center equity. The board shall consider
33 the geographical distribution of past grant awards and shall endeavor to meet
34 community health centers' needs in an equitable manner statewide: weight =
35 10%.
36 39-3208. FRAUDULENT INFORMATION ON GRANT APPLICATION. Providing false
37 information on any application or document submitted under this chapter is a
38 misdemeanor and grounds for declaring the applicant ineligible. Any and all
39 funds determined to have been acquired on the basis of fraudulent information
40 must be returned to the community health center grant fund. This section shall
41 not limit other remedies which may be available for the filing of false or
42 fraudulent applications.
43 39-3209. ADMINISTRATIVE APPEALS. Applicants aggrieved by the award or
44 failure to award a grant pursuant to this chapter shall be afforded the reme-
45 dies provided in chapter 52, title 67, Idaho Code.
46 SECTION 2. That Section 39-5903, Idaho Code, be, and the same is hereby
47 amended to read as follows:
48 39-5903. DEFINITIONS. As used in this chapter:
49 (1) "Applicant" means an entity submitting documents required by the
50 rural health care access program for the purpose of requesting a grant from
4
1 the rural health care access fund.
2 (2) "Application period" means the time period from January 15 to April
3 15 prior to the state fiscal year for which funding is requested.
4 (3) "Approval" means written notification that the application will be
5 awarded funding through the rural health care access fund.
6 (4) "Board" means the rural health care access program review board.
7 (5) "Department" means the department of health and welfare.
8 (6) "Director" means the director of the department of health and wel-
9 fare.
10 (7) "Grant period" means the time immediately following the application
11 period from July 1 through June 30 (state fiscal year) for which funding is
12 granted.
13 (8) "Nurse practitioner" means a health care provider licensed pursuant
14 to chapter 14, title 54, Idaho Code.
15 (9) "Oral health care provider" means a dentist or dental hygienist
16 licensed pursuant to chapter 9, title 54, Idaho Code.
17 (10) "Physician assistant" means a health care provider licensed pursuant
18 to chapter 18, title 54, Idaho Code.
19 (11) "Primary care" means the provision of professional comprehensive
20 health services, including oral health care services, that includes health
21 education and disease prevention, initial assessment of health problems,
22 treatment of acute care and chronic health problems, and the overall manage-
23 ment of an individual's or family's health care services as provided by an
24 Idaho licensed internist, obstetrician, gynecologist, pediatrician, family
25 practitioner, general practitioner, dentist, dental hygienist, nurse practi-
26 tioner or physician assistant. It provides the initial contact for health ser-
27 vices and referral for secondary and tertiary care.
28 (12) "Primary care health professional shortage area" means a geographic
29 area or population group which the U.S. secretary of health and human services
30 has determined is underserved by primary care health professional(s).
31 (13) "Medically underserved area" means a geographic area which the U.S.
32 secretary of health and human services has determined is underserved by pri-
33 mary care health professional(s).
34 (14) "Rural health care access grant" means a grant awarded pursuant to
35 this chapter.
36 (15) "Rural health care access program" means the program that administers
37 the rural health care access fund.
38 SECTION 3. That Section 39-5904, Idaho Code, be, and the same is hereby
39 amended to read as follows:
40 39-5904. RURAL HEALTH CARE ACCESS GRANT REVIEW BOARD. (1) The director
41 shall appoint the members of a board to be known as the rural health care
42 access grant review board, who shall serve at the pleasure of the director.
43 Board members shall not be compensated, but shall be reimbursed for travel
44 expenses incurred for attendance at board meetings.
45 (2) The board shall meet at least annually, for the purposes described in
46 this chapter.
47 (3) The board shall be composed of the following: a representative from
48 the Idaho academy of family physicians, a representative from the nurse prac-
49 titioner conference group, a rural hospital administrator, a representative
50 from the physician assistant association, the health resources section super-
51 visor from the division of health, a faculty member from one (1) of the Idaho
52 family residency programs, an Idaho medical association representative, an
53 Idaho hospital association representative, and an Idaho primary care associa-
5
1 tion representative, and an Idaho association of counties representative.
2 (4) Appointments to the board shall be for three (3) years. Board members
3 may be reappointed at the end of each three (3) year period. Initial appoint-
4 ments shall be staggered in such a manner that approximately one-third (1/3)
5 are appointed for one (1) year, one-third (1/3) are appointed for two (2)
6 years, and one-third (1/3) are appointed for three (3) years.
7 (5) A majority of the board members constitutes a quorum for the transac-
8 tion of business. A majority vote is required by the quorum in finalizing
9 decisions.
STATEMENT OF PURPOSE
RS 16722C2
The purpose of this legislation is to create a Community Health
Center Grant Fund with the intent of improving access to health
care services to Idahoans through grants to qualified community
health centers in their communities. The legislation defines the
application requirements, the award criteria, an appeal process
and a review board.
FISCAL NOTE
Subject to appropriation of the Legislature.
Contact
Name: Rep. Henbest
Phone: 208 332 1131
Rep. Wood (27)
Sen. Keough
STATEMENT OF PURPOSE/FISCAL NOTE H 159