I 
117TH CONGRESS 
1ST SESSION H. R. 5141 
To amend the Public Health Service Act to expand the allowable use criteria 
for new access points grants for community health centers. 
IN THE HOUSE OF REPRESENTATIVES 
AUGUST 31, 2021 
Mrs. LEE of Nevada (for herself, Mr. HUDSON, Mr. RUIZ, and Ms. HERRERA 
BEUTLER) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to expand the 
allowable use criteria for new access points grants for 
community health centers. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Maximizing Outcomes 
through Better Investments in Lifesaving Equipment for 
(MOBILE) Health Care Act’’. 
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SEC. 2. NEW ACCESS POINTS GRANTS. 
Section 330(e)(6)(A) of the Public Health Service 
Act (42 U.S.C. 254b(e)(6)(A)) is amended by adding at 
the end the following: 
‘‘(v) MOBILE UNITS.— 
‘‘(I) IN
GENERAL.—A mobile 
unit may qualify as a new delivery site 
under clause (i), regardless of whether 
the applicant additionally proposes to 
establish a permanent, full-time site. 
‘‘(II) DEFINITION
OF
MOBILE 
UNIT.—In this clause, the term ‘mo-
bile unit’— 
‘‘(aa) means a unit that is 
staffed by clinicians working for 
or on behalf of a health center to 
provide medical or oral health 
services at one or more loca-
tions— 
‘‘(AA) to a target popu-
lation specified in the appli-
cation for a grant under 
subparagraph (A) or (B) of 
paragraph (1); and 
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‘‘(BB) for a total of not 
less than 40 hours per week; 
and 
‘‘(bb) may include a geo-
graphic rotation so long as access 
to medical or oral health services 
through such unit for such target 
population is available not less 
than 2 times per month for each 
geographic location. 
‘‘(vi) COSTS
FOR
RENOVATION
AND 
NEW CONSTRUCTION.—The costs for which 
a grant described in clause (i) is made may 
include costs associated with— 
‘‘(I) acquiring, leasing, expand-
ing, or renovating an existing building 
for providing health services to medi-
cally underserved populations; 
‘‘(II) constructing a new building 
for such purposes; or 
‘‘(III) acquiring, leasing, expand-
ing, or renovating mobile medical 
equipment or vehicles to establish a 
new delivery site for such purposes. 
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‘‘(vii) REQUIREMENTS WITH RESPECT 
TO
REAL
PROPERTY, EQUIPMENT, AND 
OTHER CAPITAL ASSETS.— 
‘‘(I) REAL PROPERTY.—A recipi-
ent of a grant described in clause (i) 
shall use any real property con-
structed, purchased, or significantly 
improved with funds awarded through 
such grant for the purposes for which 
the property was so constructed, pur-
chased, or significantly improved for a 
period of 12 years. At the conclusion 
of such period, any Federal interest 
under this paragraph in such property 
shall expire. 
‘‘(II) EQUIPMENT
AND
OTHER 
CAPITAL
ASSETS.—A recipient of a 
grant described in clause (i) shall use 
any equipment or asset, other than 
real property, acquired with funds 
awarded through such grant for the 
purposes for which the equipment or 
asset was so acquired for a period 
that is the lesser of the remaining 
useful life of the equipment or asset 
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or 6 years. At the conclusion of such 
period, any Federal interest under 
this paragraph in such equipment or 
asset shall expire.’’. 
Æ 
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