Source: https://www.law.cornell.edu/uscode/text/42/254c?quicktabs_8=1
Timestamp: 2015-07-28 13:38:48
Document Index: 308373562

Matched Legal Cases: ['§ 254', '§ 330', '§ 3', '§ 201', '§ 2', '§ 4', '§ 330', '§ 501', '§ 801', '§ 304', '§ 104', '§ 6', '§ 509', '§ 106', '§ 903', '§ 8', '§ 2', '§ 3', '§ 163', '§ 6103', '§ 9', '§ 309', '§ 2', '§ 6']

42 U.S. Code § 254c - Rural health care services outreach, rural health network development, and small health care provider quality improvement grant programs | LII / Legal Information Institute
Purpose The purpose of this section is to provide grants for expanded delivery of health care services in rural areas, for the planning and implementation of integrated health care networks in rural areas, and for the planning and implementation of small health care provider quality improvement activities.
Director The term “Director” means the Director specified in subsection (d) of this section.
Federally qualified health center; rural health clinic The terms “Federally qualified health center” and “rural health clinic” have the meanings given the terms in section 1395x
Health professional shortage area The term “health professional shortage area” means a health professional shortage area designated under section 254e of this title.
Medically underserved community The term “medically underserved community” has the meaning given the term in section 295p
Medically underserved population The term “medically underserved population” has the meaning given the term in section 254b
Program The Secretary shall establish, under section 241 of this title, a small health care provider quality improvement grant program.
Programs The rural health care services outreach, rural health network development, and small health care provider quality improvement grant programs established under section 241 of this title shall be administered by the Director of the Office of Rural Health Policy of the Health Resources and Services Administration, in consultation with State offices of rural health or other appropriate State government entities.
In general In carrying out the programs described in paragraph (1), the Director may award grants under subsections (e), (f), and (g) of this section to expand access to, coordinate, and improve the quality of essential health care services, and enhance the delivery of health care, in rural areas.
Types of grants The Director may award the grants—
Rural health care services outreach grants (1)
Grants The Director may award grants to eligible entities to promote rural health care services outreach by expanding the delivery of health care services to include new and enhanced services in rural areas. The Director may award the grants for periods of not more than 3 years.
Eligibility To be eligible to receive a grant under this subsection for a project, an entity—
shall represent a consortium composed of members—
Applications To be eligible to receive a grant under this subsection, an eligible entity, in consultation with the appropriate State office of rural health or another appropriate State entity, shall prepare and submit to the Secretary an application, at such time, in such manner, and containing such information as the Secretary may require, including—
Rural health network development grants (1)
In general The Director may award rural health network development grants to eligible entities to promote, through planning and implementation, the development of integrated health care networks that have combined the functions of the entities participating in the networks in order to—
Grant periods The Director may award such a rural health network development grant for implementation activities for a period of 3 years. The Director may also award such a rural health network development grant for planning activities for a period of 1 year, to assist in the development of an integrated health care network, if the proposed participants in the network do not have a history of collaborative efforts and a 3-year grant would be inappropriate.
Eligibility To be eligible to receive a grant under this subsection, an entity—
shall represent a network composed of participants—
Small health care provider quality improvement grants (1)
Grants The Director may award grants to provide for the planning and implementation of small health care provider quality improvement activities. The Director may award the grants for periods of 1 to 3 years.
Eligibility To be eligible for a grant under this subsection, an entity—
Applications To be eligible to receive a grant under this subsection, an eligible entity, in consultation with the appropriate State office of rural health or another appropriate State entity shall prepare and submit to the Secretary an application, at such time, in such manner, and containing such information as the Secretary may require, including—
Expenditures for small health care provider quality improvement grants In awarding a grant under this subsection, the Director shall ensure that the funds made available through the grant will be used to provide services to residents of rural areas. The Director shall award not less than 50 percent of the funds made available under this subsection to providers located in and serving rural areas.
Prohibited uses of funds An entity that receives a grant under this section may not use funds provided through the grant—
Coordination with other agencies The Secretary shall coordinate activities carried out under grant programs described in this section, to the extent practicable, with Federal and State agencies and nonprofit organizations that are operating similar grant programs, to maximize the effect of public dollars in funding meritorious proposals.
Preference In awarding grants under this section, the Secretary shall give preference to entities that—
Report Not later than September 30, 2005, the Secretary shall prepare and submit to the appropriate committees of Congress a report on the progress and accomplishments of the grant programs described in subsections (e), (f), and (g) of this section.
Authorization of appropriations There are authorized to be appropriated to carry out this section $45,000,000 for each of fiscal years 2008 through 2012.
(July 1, 1944, ch. 373, title III, § 330A, as added Pub. L. 104–299, § 3(a),Oct. 11, 1996, 110 Stat. 3642; amended Pub. L. 107–251, title II, § 201,Oct. 26, 2002, 116 Stat. 1628; Pub. L. 108–163, § 2(b),Dec. 6, 2003, 117 Stat. 2021; Pub. L. 110–355, § 4,Oct. 8, 2008, 122 Stat. 3994.)
A prior section 254c, act July 1, 1944, ch. 373, title III, § 330, as added July 29, 1975, Pub. L. 94–63, title V, § 501(a), 89 Stat. 342; amended Apr. 22, 1976, Pub. L. 94–278, title VIII, § 801(b), 90 Stat. 415; Aug. 1, 1977, Pub. L. 95–83, title III, § 304, 91 Stat. 388; Nov. 10, 1978, Pub. L. 95–626, title I, § 104(a)–(d)(3)(B), (4), (5), (e), (f), 92 Stat. 3556–3559; July 10, 1979, Pub. L. 96–32, §§ 6(b)–(d), 7(c), 93 Stat. 83, 84; Oct. 17, 1979, Pub. L. 96–88, title V, § 509(b), 93 Stat. 695; Oct. 19, 1980, Pub. L. 96–470, title I, § 106(e), 94 Stat. 2238; Aug. 13, 1981, Pub. L. 97–35, title IX, §§ 903(a), 905, 906, 95 Stat. 561, 562; Jan. 4, 1983, Pub. L. 97–414, § 8(e), 96 Stat. 2060; Apr. 24, 1986, Pub. L. 99–280, §§ 2–4, 100 Stat. 399, 400; Aug. 10, 1988, Pub. L. 100–386, §§ 3, 4, 102 Stat. 921, 923; Nov. 4, 1988, Pub. L. 100–607, title I, § 163(3), 102 Stat. 3062; Dec. 19, 1989, Pub. L. 101–239, title VI, § 6103(e)(5), 103 Stat. 2207; Nov. 6, 1990, Pub. L. 101–527, § 9(a), 104 Stat. 2332; Oct. 27, 1992, Pub. L. 102–531, title III, § 309(b), 106 Stat. 3500, related to community health centers, prior to the general amendment of this subpart by Pub. L. 104–299, § 2.
2008—Subsec. (j). Pub. L. 110–355substituted “$45,000,000 for each of fiscal years 2008 through 2012.” for “$40,000,000 for fiscal year 2002, and such sums as may be necessary for each of fiscal years 2003 through 2006.”
2003—Subsec. (b)(4). Pub. L. 108–163substituted “section 295p
(6)” for “section 295p”.
2002—Pub. L. 107–251amended section generally. Prior to amendment, section related to a rural health outreach, network development, and telemedicine grant program, and in subsec. (a), provided for administration by the Office of Rural Health Policy; in subsec. (b), set out the objectives of grants; in subsec. (c), set out eligibility requirements; in subsec. (d), described preferred characteristics of applicant networks; in subsec. (e), specified permitted uses of grant funds; in subsec. (f), limited the duration of grants; and in subsec. (g), authorized appropriations.
Section effective Oct. 1, 1996, see section 5 ofPub. L. 104–299, as amended, set out as an Effective Date of 1996 Amendment note under section 233 of this title.
“SEC. 411. SHORT TITLE.
“SEC. 412. FINDINGS.
“(1) Heart disease is the leading cause of death in the United States.
“(2) The American Heart Association estimates that 250,000 Americans die from sudden cardiac arrest each year.
“(3) A cardiac arrest victim’s chance of survival drops 10 percent for every minute that passes before his or her heart is returned to normal rhythm.
“(4) Because most cardiac arrest victims are initially in ventricular fibrillation, and the only treatment for ventricular fibrillation is defibrillation, prompt access to defibrillation to return the heart to normal rhythm is essential.
“(5) Lifesaving technology, the automated external defibrillator, has been developed to allow trained lay rescuers to respond to cardiac arrest by using this simple device to shock the heart into normal rhythm.
“(6) Those people who are likely to be first on the scene of a cardiac arrest situation in many communities, particularly smaller and rural communities, lack sufficient numbers of automated external defibrillators to respond to cardiac arrest in a timely manner.
“(7) The American Heart Association estimates that more than 50,000 deaths could be prevented each year if defibrillators were more widely available to designated responders.
“(8) Legislation should be enacted to encourage greater public access to automated external defibrillators in communities across the United States.
“SEC. 413. GRANTS.
“(a) In General.—The Secretary of Health and Human Services, acting through the Rural Health Outreach Office of the Health Resources and Services Administration, shall award grants to community partnerships that meet the requirements of subsection (b) to enable such partnerships to purchase equipment and provide training as provided for in subsection (c).
“(b) Community Partnerships.—A community partnership meets the requirements of this subsection if such partnership—
“(1) is composed of local emergency response entities such as community training facilities, local emergency responders, fire and rescue departments, police, community hospitals, and local non-profit entities and for-profit entities concerned about cardiac arrest survival rates;
“(2) evaluates the local community emergency response times to assess whether they meet the standards established by national public health organizations such as the American Heart Association and the American Red Cross; and
“(3) submits to the Secretary of Health and Human Services an application at such time, in such manner, and containing such information as the Secretary may require.
“(c) Use of Funds.—Amounts provided under a grant under this section shall be used—
“(1) to purchase automated external defibrillators that have been approved, or cleared for marketing, by the Food and Drug Administration; and
“(2) to provide defibrillator and basic life support training in automated external defibrillator usage through the American Heart Association, the American Red Cross, or other nationally recognized training courses.
“(d) Report.—Not later than 4 years after the date of the enactment of this Act [Nov. 13, 2000], the Secretary of Health and Human Services shall prepare and submit to the appropriate committees of Congress a report containing data relating to whether the increased availability of defibrillators has affected survival rates in the communities in which grantees under this section operated. The procedures under which the Secretary obtains data and prepares the report under this subsection shall not impose an undue burden on program participants under this section.
“(e) Authorization of Appropriations.—There is authorized to be appropriated $25,000,000 for fiscal years 2001 through 2003 to carry out this section.”
Pub. L. 106–129, § 6,Dec. 6, 1999, 113 Stat. 1675, provided that: “Not later than January 10, 2001, the Secretary of Health and Human Services shall submit to the Congress a report that—
“(1) identifies any factors that inhibit the expansion and accessibility of telemedicine services, including factors relating to telemedicine networks;
“(2) identifies any factors that, in addition to geographical isolation, should be used to determine which patients need or require access to telemedicine care;
“(A) patients receiving telemedicine service have benefited from the services, and are satisfied with the treatment received pursuant to the services; and
“(B) the medical outcomes for such patients would have differed if telemedicine services had not been available to the patients;
“(4) determines the extent to which physicians involved with telemedicine services have been satisfied with the medical aspects of the services;
“(5) determines the extent to which primary care physicians are enhancing their medical knowledge and experience through the interaction with specialists provided by telemedicine consultations; and
“(6) identifies legal and medical issues relating to State licensing of health professionals that are presented by telemedicine services, and provides any recommendations of the Secretary for responding to such issues.”