I 

116TH CONGRESS 

1ST SESSION H. R. 2417 

To amend the Public Health Service Act to expand and improve health 

care services by health centers and the National Health Service Corps 

for individuals with a developmental disability, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 30, 2019 

Mr. MOULTON (for himself and Mr. FITZPATRICK) introduced the following 

bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To amend the Public Health Service Act to expand and 

improve health care services by health centers and the 

National Health Service Corps for individuals with a 

developmental disability, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Healthcare Extension 

5 and Accessibility for Developmentally disabled and Under6 served Population Act of 2019’’ or the ‘‘HEADs UP Act’’. 


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1 SEC. 2. HEALTH CARE SERVICES BY HEALTH CENTERS AND 

2 NATIONAL HEALTH SERVICE CORPS FOR IN3 DIVIDUALS WITH A DEVELOPMENTAL DIS4 ABILITY. 

5 (a) INCLUSION WITHIN SPECIAL MEDICALLY UN6 DERSERVED POPULATIONS FOR PURPOSES OF HEALTH

7 CENTER DEFINITION.—Section 330(a)(1) of the Public 

8 Health Service Act (42 U.S.C. 254b(a)(1)) is amended by 

9 striking ‘‘or a special medically underserved population 

10 comprised of migratory and seasonal agricultural workers, 

11 the homeless, and residents of public housing,’’ and insert12 ing ‘‘or a special medically underserved population com13 prised of migratory and seasonal agricultural workers, the 

14 homeless, residents of public housing, and individuals with 

15 a developmental disability’’. 

16 (b) DEFINITIONS.— 

17 (1) ADDITIONAL HEALTH SERVICES.—Section 

18 330(b)(2) of the Public Health Service Act (42 

19 U.S.C. 330(b)(2)) is amended— 

20 (A) in subparagraph (C), by striking 

21 ‘‘and’’ at the end; 

22 (B) in subparagraph (D), by striking the 

23 period at the end and inserting ‘‘; and’’; and 

24 (C) by adding at the end the following: 

25 ‘‘(E) in the case of health centers receiving 

26 grants under subsection (j), specially trained 


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1 dental care services for individuals with a devel2 opmental disability who require specialized 

3 care.’’. 

4 (2) INDIVIDUALS WITH A DEVELOPMENTAL DIS5 ABILITY.—Section 330(b) of the Public Health Serv6 ice Act (42 U.S.C. 254b(a)(1)) is amended by add7 ing at the end the following: 

8 ‘‘(4) INDIVIDUALS WITH A DEVELOPMENTAL

9 DISABILITY.—In this section, the term ‘individuals 

10 with a developmental disability’ means individuals 

11 with a developmental disability as defined in section 

12 102 of the Developmental Disabilities Assistance 

13 and Bill of Rights Act of 2000.’’. 

14 (c) GRANTS FOR SERVICES.— 

15 (1) AUTHORIZATION.—Section 330 of the Pub16 lic Health Service Act (42 U.S.C. 254b) is amend17 ed— 

18 (A) by redesignating subsections (j) 

19 through (r) as subsections (k) through (s), re20 spectively; and 

21 (B) by inserting after subsection (i) the 

22 following: 

23 ‘‘(j) INDIVIDUALS WITH A DEVELOPMENTAL DIS24 ABILITY.— 


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1 ‘‘(1) IN GENERAL.—The Secretary may award 

2 grants for the purposes described in subsections (c), 

3 (e), and (f) for the planning and delivery of services 

4 to a special medically underserved population com5 prised of individuals with a developmental disability, 

6 including grants for innovative programs that pro7 vide outreach and comprehensive primary health 

8 services, including dental care, to individuals with a 

9 developmental disability including such individuals 

10 who require specialized care. 

11 ‘‘(2) REQUIRED SERVICES.—In addition to re12 quired primary health services (as defined in sub13 section (b)(1)), an entity that receives a grant under 

14 this subsection shall be required to provide special15 ized treatment, as necessary, to individuals with a 

16 developmental disability as a condition of such 

17 grant. 

18 ‘‘(3) SUPPLEMENT NOT SUPPLANT REQUIRE19 MENT.—A grant awarded under this subsection shall 

20 be expended to supplement, and not supplant, the 

21 expenditures of the health center and the value of in 

22 kind contributions for the delivery of services to the 

23 population described in paragraph (1).’’. 

24 (2) CONFORMING CHANGE.—Section 330(a)(2) 

25 of the Public Health Service Act (42 U.S.C. 


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1 254b(a)(2)) is amended by striking ‘‘or (i)’’ and in2 serting ‘‘(i), or (j)’’. 

3 (d) FUNDING REPORT.—Section 330(r)(3)(A) of the 

4 Public Health Service Act (42 U.S.C. 254b(r)(3)(4)) is 

5 amended by striking ‘‘and migratory and seasonal agricul6 tural workers,’’ and inserting ‘‘migratory and seasonal ag7 ricultural workers, and individuals with a developmental 

8 disability,’’. 

9 (e) INCLUSION FOR PURPOSES OF HEALTH PROFES10 SIONAL SHORTAGE AREAS.—Section 332(a)(3) of the 

11 Public Health Service Act is amended by striking ‘‘and 

12 residents of public housing (as defined in section 3(b)(1) 

13 of the United States Housing Act of 1937 (42 U.S.C. 

14 1437a(b)(1)))’’ and inserting ‘‘residents of public housing 

15 (as defined in section 3(b)(1) of the United States Hous16 ing Act of 1937 (42 U.S.C. 1437a(b)(1))), and individuals 

17 with a developmental disability (as defined in section 

18 330(b))’’. 

19 SEC. 3. INCLUSION OF COMPREHENSIVE DENTAL TREAT20 MENT AS REQUIRED PRIMARY HEALTH SERV21 ICES. 

22 Subclause (I) of section 330(b)(1)(A)(i) of the Public 

23 Health Service Act (42 U.S.C. 330(b)(1)(A)(i)) is amend24 ed by inserting before the semicolon at the end the fol25 lowing: ‘‘and services related to dentistry that are furVerDate Sep 11 2014 00:43 May 03, 2019 Jkt 089200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H2417.IH H2417

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1 nished by dentists and where appropriate dental hygien2 ists’’. 

Æ 


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