Senate File 156 - Introduced SENATE FILE BY HATCH, BEALL, HANCOCK, RIELLY, BOLKCOM, WOOD, CONNOLLY, STEWART, KREIMAN, RAGAN, DVORSKY, HORN, LUNDBY, DOTZLER, WARNSTADT, DANIELSON, and COURTNEY Passed Senate, Date Passed House, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act relating to health care by providing for increased health 2 care access, developing a lay health workers network, and 3 providing appropriations. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 1728XS 81 6 pf/pj/5 PAG LIN 1 1 Section 1. Section 135.11, Code 2005, is amended by adding 1 2 the following new subsection: 1 3 NEW SUBSECTION. 16A. Establish a lay health workers 1 4 network to supplement the work of the public health nursing 1 5 program. The network shall utilize individuals who live in 1 6 and reflect the ethnic, cultural, and socioeconomic 1 7 characteristics of the communities in which they serve to 1 8 provide home visits and case management with the oversight of 1 9 nurses and social workers. 1 10 Sec. 2. LAY HEALTH WORKERS NETWORK == APPROPRIATION. 1 11 There is appropriated from the general fund of the state to 1 12 the Iowa department of public health for the fiscal year 1 13 beginning July 1, 2005, and ending June 30, 2006, the 1 14 following amount, or so much thereof as is necessary, to 1 15 provide grant funding for the lay health workers network as 1 16 provided in section 135.11, subsection 16A, as enacted in this 1 17 Act: 1 18 .................................................. $ 1,000,000 1 19 The grant funding provided under this section shall not 1 20 require matching funding by the organization contracting to 1 21 deliver services. 1 22 Sec. 3. COMMUNITY HEALTH CENTERS == INCUBATION PROGRAM 1 23 FUNDING. 1 24 1. There is appropriated from the general fund of the 1 25 state for the indicated fiscal year of the fiscal period 1 26 beginning July 1, 2005, and ending June 30, 2010, the 1 27 following amounts, or so much thereof as is necessary, to 1 28 support the incubation grant program for community health 1 29 centers as defined in 42 U.S.C. } 254c: 1 30 FY 2005=2006 ..................................... $ 1,950,000 1 31 FY 2006=2007 ..................................... $ 2,700,000 1 32 FY 2007=2008 ..................................... $ 3,250,000 1 33 FY 2008=2009 ..................................... $ 3,250,000 1 34 FY 2009=2010 ..................................... $ 3,250,000 1 35 2. The moneys appropriated in this section shall be used 2 1 to fund incubation program grants to allow new community 2 2 health centers to begin operation in each year of the five= 2 3 year period. Communities that receive a total score greater 2 4 than eighty=five based upon the evaluation criteria of the 2 5 health resources and services administration, bureau of 2 6 primary health care of the United States department of health 2 7 and human services' new access point grants may be eligible 2 8 for grants under this section. 2 9 Sec. 4. COMMUNITY HEALTH CENTERS == DIRECT SERVICES 2 10 FUNDING. 2 11 1. There is appropriated from the general fund of the 2 12 state for the indicated fiscal year of the fiscal period 2 13 beginning July 1, 2005, and ending June 30, 2010, the 2 14 following amounts, or so much thereof as is necessary, to 2 15 support the direct services funds program for community health 2 16 centers as defined in 42 U.S.C. } 254c: 2 17 FY 2005=2006...................................... $ 650,000 2 18 FY 2006=2007...................................... $ 650,000 2 19 FY 2007=2008...................................... $ 650,000 2 20 FY 2008=2009...................................... $ 650,000 2 21 FY 2009=1010...................................... $ 650,000 2 22 2. The moneys appropriated in this section shall be used 2 23 to provide direct services funding for existing community 2 24 health centers throughout the state. 2 25 Sec. 5. RURAL HEALTH CLINICS == DIRECT SERVICES FUNDING. 2 26 There is appropriated from the general fund of the state for 2 27 the indicated fiscal year of the fiscal period beginning July 2 28 1, 2005, and ending June 30, 2010, the following amounts, or 2 29 so much thereof as is necessary, to support the direct 2 30 services funds program for rural health centers as defined 2 31 under the federal Rural Health Clinic Service Act of 1977, 2 32 Pub. L. No. 95=210: 2 33 FY 2005-2006...................................... $ 450,000 2 34 FY 2006=2007...................................... $ 450,000 2 35 FY 2007=2008...................................... $ 450,000 3 1 FY 2008=2009...................................... $ 450,000 3 2 FY 2009=2010...................................... $ 450,000 3 3 The moneys appropriated in this section shall be used to 3 4 provide direct services funding for existing rural health 3 5 clinics throughout the state. 3 6 Sec. 6. FREE CLINICS == DIRECT SERVICES FUNDING. There is 3 7 appropriated from the general fund of the state for the 3 8 indicated fiscal year of the fiscal period beginning July 1, 3 9 2005, and ending June 30, 2010, the following amounts, or so 3 10 much thereof as is necessary, to support the direct services 3 11 funds program for free clinics as defined in section 135.24, 3 12 subsection 6: 3 13 FY 2005=2006...................................... $ 500,000 3 14 FY 2006=2007...................................... $ 500,000 3 15 FY 2007=2008...................................... $ 500,000 3 16 FY 2008=2009...................................... $ 500,000 3 17 FY 2009=2010...................................... $ 500,000 3 18 The moneys appropriated in this section shall be used to 3 19 provide direct services funding for existing free clinics 3 20 throughout the state. 3 21 Sec. 7. RULES FOR ALLOCATION OF FUNDING == COMMUNITY 3 22 HEALTH CENTERS INCUBATION GRANT PROGRAM AND DIRECT SERVICES 3 23 FUNDS PROGRAMS FOR COMMUNITY HEALTH CENTERS, RURAL HEALTH 3 24 CLINICS, AND FREE CLINICS. The Iowa department of public 3 25 health, in consultation with the Iowa=Nebraska primary care 3 26 association regarding federally qualified health center look= 3 27 alikes and the Iowa hospital association regarding rural 3 28 health clinics, and the Iowa association of free clinics 3 29 regarding free clinics, shall adopt rules for the allocation 3 30 of the moneys appropriated for the community health centers 3 31 incubation grant program and the community health centers, 3 32 rural health clinics, and free clinics direct services funds 3 33 programs created under this Act. 3 34 EXPLANATION 3 35 This bill relates to health care access and the creation of 4 1 a lay health workers network. 4 2 The bill directs the Iowa department of public health to 4 3 establish a lay health workers network to utilize individuals 4 4 who live in and reflect the ethnic, cultural, and 4 5 socioeconomic characteristics of the communities in which they 4 6 serve to provide home visits and case management with the 4 7 oversight of nurses and social workers to supplement the work 4 8 of the public health nursing program. The bill also 4 9 appropriates $1 million for FY 2005=2006 for the purposes of 4 10 the network. The moneys are to be distributed by a grant 4 11 process. 4 12 The bill establishes an incubation grant program and a 4 13 direct services funds program for community health centers. 4 14 The bill also establishes a direct services funds program for 4 15 rural health clinics and free clinics. The bill appropriates 4 16 moneys annually, for the fiscal period beginning July 1, 2005, 4 17 and ending June 30, 2010, for the purposes of funding the 4 18 incubation program and providing direct services funds for 4 19 existing community health centers, rural health clinics, and 4 20 free clinics throughout the state. 4 21 LSB 1728XS 81 4 22 pf:rj/pj/5.2