HR 1343 RFS 
assistants, nurse practitioners, and nurse 
midwives; 
‘‘(ii) diagnostic laboratory services 
and radiologic services; 
‘‘(iii) preventive health services, in-
cluding prenatal and perinatal care; appro-
priate cancer screening; well-child services; 
immunizations against vaccine-preventable 
diseases; screenings for elevated blood lead 
levels, communicable diseases, and choles-
terol; pediatric eye, ear, and dental 
screenings to determine the need for vision 
and hearing correction and dental care; 
and voluntary family planning services; 
‘‘(iv) emergency medical services; and 
‘‘(v) pharmaceutical services, behav-
ioral, mental health, and substance abuse 
services, preventive dental services, and re-
cuperative care, as may be appropriate. 
‘‘(B) EXCEPTION.—In the case of an inte-
grated health system serving a targeted popu-
lation, the Secretary shall, upon a showing of 
good cause, waive the requirement that the in-
tegrated health system provide each required 
primary and preventive health and related serv-
VerDate Aug 31 2005 
02:36 Jun 06, 2008
Jkt 069200
PO 00000
Frm 00016
Fmt 6652
Sfmt 6201
E:\BILLS\H1343.RFS
H1343
erowe on PRODPC61 with BILLS
HR 1343 RFS 
ice under this paragraph if the Secretary deter-
mines one or more such services are inappro-
priate or unnecessary for such population. 
‘‘(5) INTEGRATIVE
HEALTH
SERVICES.—The 
term ‘integrative health services’ means services that 
are not included as required primary and preventive 
health and related services and are associated with 
achieving the greater integration of a health care de-
livery system to improve patient care coordination so 
that the system either directly provides or ensures 
the provision of a broad range of culturally com-
petent services. Integrative health services include 
but are not limited to the following: 
‘‘(A) Outreach activities. 
‘‘(B) Case management and patient navi-
gation services. 
‘‘(C) Chronic care management. 
‘‘(D) Transportation to health care facili-
ties. 
‘‘(E) Development of provider networks 
and other innovative models to engage local 
physicians and other providers to serve the 
medically underserved within a community. 
‘‘(F) Recruitment, training, and compensa-
tion of necessary personnel. 
VerDate Aug 31 2005 
02:36 Jun 06, 2008
Jkt 069200
PO 00000
Frm 00017
Fmt 6652
Sfmt 6201
E:\BILLS\H1343.RFS
H1343
erowe on PRODPC61 with BILLS
HR 1343 RFS 
‘‘(G) Acquisition of technology for the pur-
pose of coordinating care. 
‘‘(H) Improvements to provider commu-
nication, including implementation of shared in-
formation systems or shared clinical systems. 
‘‘(I) Determination of eligibility for Fed-
eral, State, and local programs that provide, or 
financially support the provision of, medical, so-
cial, housing, educational, or other related serv-
ices. 
‘‘(J) Development of prevention and dis-
ease management tools and processes. 
‘‘(K) Translation services. 
‘‘(L) Development and implementation of 
evaluation measures and processes to assess pa-
tient outcomes. 
‘‘(M) Integration of primary care and men-
tal health services. 
‘‘(N) Carrying out other activities that 
may be appropriate to a community and that 
would increase access by the uninsured to 
health care, such as access initiatives for which 
private entities provide non-Federal contribu-
tions to supplement the Federal funds provided 
through the grants for the initiatives. 
VerDate Aug 31 2005 
02:36 Jun 06, 2008
Jkt 069200
PO 00000
Frm 00018
Fmt 6652
Sfmt 6201
E:\BILLS\H1343.RFS
H1343
erowe on PRODPC61 with BILLS
HR 1343 RFS 
‘‘(6) SPECIALTY
CARE.—The term ‘specialty 
care’ means care that is provided through a referral 
and by a physician or nonphysician practitioner, 
such as surgical consultative services, radiology serv-
ices requiring the immediate presence of a physician, 
audiology, optometric services, cardiology services, 
magnetic resonance imagery (MRI) services, comput-
erized axial tomography (CAT) scans, nuclear medi-
cine studies, and ambulatory surgical services. 
‘‘(7) NURSE-MANAGED
HEALTH
CLINIC.—The 
term ‘nurse-managed health clinic’ means a nurse- 
practice arrangement, managed by advanced practice 
nurses, that provides care for underserved and vul-
nerable populations and is associated with a school, 
college, or department of nursing or an independent 
nonprofit health or social services agency.’’. 
Passed the House of Representatives June 4, 2008. 
Attest: 
LORRAINE C. MILLER, 
Clerk. 
VerDate Aug 31 2005 
02:36 Jun 06, 2008
Jkt 069200
PO 00000
Frm 00019
Fmt 6652
Sfmt 6201
E:\BILLS\H1343.RFS
H1343
erowe on PRODPC61 with BILLS