ties in particular locations. Where found appropriate, it 
shall establish and maintain— 
(1) general hospitals for the efficient and effec-
tive delivery of health care services to individuals re-
quiring inpatient diagnosis, treatment, care, and re-
habilitation for injury or illness; and 
(2) such other health care facilities as are nec-
essary, using guidelines established by the National 
Health Board to promote the efficient and effective 
delivery of health care services. 
In addition, the Board shall distribute and provide such 
health care services of a specialized nature (whether deliv-
ered in an inpatient or outpatient setting) as may be pro-
vided most effectively and efficiently. 
(d) SPECIALIZED SERVICES.—The Board shall, not 
later than the effective date of health services, establish 
and maintain— 
(1) specialized medical facilities for the efficient 
and effective delivery of highly specialized health 
care services, using guidelines it shall establish, to 
individuals requiring highly specialized treatment, 
care, and rehabilitation for injury or illness; 
(2) health care and supplemental services for 
individuals whose health care are related to occupa-
tional or other factors, including individuals residing 
VerDate Aug 31 2005 
22:25 Jul 18, 2007
Jkt 059200
PO 00000
Frm 00033
Fmt 6652
Sfmt 6201
E:\BILLS\H3000.IH
H3000
rwilkins on PROD1PC63 with BILLS
within a region on a temporary or seasonal basis (in-
cluding migratory agricultural workers) and individ-
uals confined to prisons and other correctional insti-
tutions; and 
(3) such other health care facilities as are nec-
essary to promote the efficient and effective delivery 
of health care services. 
(e) HEALTH SERVICES.—States and the National 
Health Board, through its local and regional authorities, 
shall provide the following through health care facilities 
established pursuant to this section: 
(1) Health promotion through education on per-
sonal health matters, nutrition, the avoidance of ill-
ness, and the effective use of health care services 
with particular emphasis on the appropriate and safe 
use (discouraging the overuse) of drugs and medical 
techniques. 
(2) Maintenance and appropriate transmission 
and transferal of personal health records for each 
user of the services consistent with section 201(9). 
(3) Referral services, including referrals, where 
appropriate, to other health care facilities. 
(4) Supplemental services (described in section 
213(b)), as appropriate. 
VerDate Aug 31 2005 
22:25 Jul 18, 2007
Jkt 059200
PO 00000
Frm 00034
Fmt 6652
Sfmt 6201
E:\BILLS\H3000.IH
H3000
rwilkins on PROD1PC63 with BILLS
(5) Assistance to individuals who, because of 
language or cultural differences or educational or 
other handicaps, are unable fully to utilize the serv-
ices available from and delivered by the Board. 
(6) Information (A) on the rights ensured 
under this Act, (B) on the guidelines and standards 
established by the Board, and (C) on how the Board 
is implementing such rights and applying such 
guidelines and standards. 
(7) Information on the grievance mechanisms 
established pursuant to subtitle A of title IV and on 
legal services available to pursue grievances against 
the Board. 
(8) Environmental health inspection and moni-
toring services, including investigations relating to 
the prevention of communicable diseases, in coopera-
tion with State and local authorities. 
(9) Research and data gathering on the leading 
causes of ill health and injury and on health care de-
livery, in accordance with section 421. 
(10) In the case of each inpatient health care 
facility, discharge planning and followup services (A) 
to identify patients who will need continuing care 
after discharge from the facility and (B) to plan, 
with the patient and the patient’s family, arrange-
VerDate Aug 31 2005 
22:25 Jul 18, 2007
Jkt 059200
PO 00000
Frm 00035
Fmt 6652
Sfmt 6201
E:\BILLS\H3000.IH
H3000
rwilkins on PROD1PC63 with BILLS
ments and referrals to meet such postdischarge 
needs. 
(f) AUTHORITIES.— 
(1) EFFECTIVE
DELIVERY.—In its establish-
ment of health care facilities, the National Health 
Board shall seek to minimize fragmentation and du-
plication in delivery of health care and other services 
so as to promote the effective and efficient delivery 
of such services. 
(2) COORDINATION.—The Board shall provide 
mechanisms to coordinate care across political and 
geographic boundaries as necessary. 
(3) ASSURING
AVAILABILITY
AND
ACCESSI-
BILITY OF SERVICES.—The Board shall take what-
ever additional steps are necessary to ensure that all 
of the health services required under this title are 
available and accessible in a timely manner to 
adults, infants, children, and individuals with dis-
abilities in its region. Toward that end, it shall— 
(A) ensure that users have access to a suf-
ficient number of each category of health work-
er, including primary care providers, specialists, 
and other health care professionals, in a man-
ner so that, to the maximum extent possible, 
such providers are geographically accessible to 
VerDate Aug 31 2005 
22:25 Jul 18, 2007
Jkt 059200
PO 00000
Frm 00036
Fmt 6652
Sfmt 6201
E:\BILLS\H3000.IH
H3000
rwilkins on PROD1PC63 with BILLS
all residences and workplaces within the region 
and are culturally and linguistically appro-
priate; 
(B) ensure that services are available in a 
manner which ensures continuity of care, avail-
ability within reasonable hours of operation, 
and include emergency and urgent care services 
which shall be accessible at all times; 
(C) ensure that any process established to 
coordinate care shall ensure ongoing direct ac-
cess to relevant specialists and shall not impose 
an undue burden on users with chronic health 
conditions; 
(D) ensure that appropriate steps are 
taken to eliminate any transportation or other 
barriers to the timely receipt of services; 
(E) ensure that a user who has a severe, 
complex, or chronic condition shall have access 
to the most appropriate health care coordinator 
(as defined in paragraph (4)(A)); and 
(F) ensure that priorities in the use of 
services and facilities shall be set by the appro-
priate health care professionals using criteria of 
medical necessity and that any limitations or 
delay in access to services shall be based only 
VerDate Aug 31 2005 
22:25 Jul 18, 2007
Jkt 059200
PO 00000
Frm 00037
Fmt 6652
Sfmt 6201
E:\BILLS\H3000.IH
H3000
rwilkins on PROD1PC63 with BILLS