Hallways to Health Act
This bill amends titles XIX (Medicaid) and XXI (Children's Health Insurance Program [CHIP]) of the Social Security Act to:
In addition, the bill amends the Public Health Service Act to reauthorize through FY2021 and revise school-based health center programs.
The bill also amends the Patient Protection and Affordable Care Act to specify that school-based health centers are essential community providers for purposes of inclusion in a qualified health plan.
[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4621 Introduced in House (IH)]
<DOC>
114th CONGRESS
2d Session
H. R. 4621
To amend title XXI of the Social Security Act to improve access to, and
the delivery of, children's health services through school-based health
centers, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
February 25, 2016
Mrs. Capps (for herself and Mr. Sarbanes) introduced the following
bill; which was referred to the Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend title XXI of the Social Security Act to improve access to, and
the delivery of, children's health services through school-based health
centers, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Hallways to Health Act''.
SEC. 2. SCHOOL-BASED HEALTH CENTERS.
Title XXI of the Social Security Act (42 U.S.C. 1397aa et seq.) is
amended by adding at the end the following new section:
``SEC. 2114. GRANTS AND PROGRAMS TO IMPROVE ACCESS TO, AND THE DELIVERY
OF, CHILDREN'S HEALTH SERVICES THROUGH SCHOOL-BASED
HEALTH CENTERS.
``(a) Grants to School-Based Health Centers To Encourage Children
To Adopt Healthy Behaviors.--
``(1) Establishment.--Not later than 18 months after the
date of enactment of this subsection, the Secretary shall
publish criteria to enable school-based health centers to apply
for grants for the purpose of assisting eligible children under
this title and title XIX and other children by providing
funding for community health workers to facilitate children's
access to services that encourage children to adopt healthy
behaviors and to improve the quality and cultural competence of
the delivery of such services. Not later than 2 years after
such date, the Secretary shall award grants to school-based
health centers for such purposes.
``(2) Requirements.--A school-based health center that
employs individuals who meet the Bureau of Labor Statistics
standard occupational definition of `health educator' (21-1091
or any successor classification number) or `community health
worker' (21-1094 or any successor classification number) shall
be eligible for a grant under this subsection.
``(3) Reporting.--
``(A) By grantees.--A grantee under this subsection
shall annually submit to the Secretary a report
containing a description of the services provided under
the grant, the data collected with respect to such
services, a description of the efficacy of such
services, any other information determined appropriate
by the Secretary.
``(B) By secretary.--The Secretary biennially shall
submit to Congress a report on the efficacy of the
grant program established under this subsection.
``(4) Authorization of appropriations.--There are
authorized to be appropriated such sums as may be necessary to
carry out this subsection. Funds appropriated under the
preceding sentence shall remain available until expended.''.
SEC. 3. ESTABLISHMENT AND EXPANSION OF DEMONSTRATION PROGRAMS TO
PROVIDE TELE-HEALTH SERVICES AT SCHOOL-BASED HEALTH
CENTERS.
Section 2114 of the Social Security Act (as added by section 2), is
amended by adding at the end the following new subsection:
``(b) Establishment and Expansion of Tele-Health Services
Demonstration Programs.--
``(1) Establishment.--Not later than 18 months after the
date of enactment of this subsection, the Secretary shall
publish criteria for the establishment of a demonstration
program to provide new tele-health services, or to expand
existing tele-health service programs, located at school-based
health centers. A school-based health center's receipt of funds
under the demonstration program under this subsection shall not
preclude the school-based health center from being reimbursed
by public or private health insurance programs according to
State law and regulation for items and services furnished by or
through the center.
``(2) Authorization of appropriations.--There are
authorized to be appropriated such sums as may be necessary to
carry out this subsection. Funds appropriated under the
preceding sentence shall remain available until expended.''.
SEC. 4. ASSURANCE OF PAYMENT UNDER MEDICAID AND CHIP FOR COVERED ITEMS
AND SERVICES FURNISHED BY CERTAIN SCHOOL-BASED HEALTH
CENTERS.
(a) State Plan Requirement.--Section 1902(a) of the Social Security
Act (42 U.S.C. 1396a(a)) is amended by inserting after paragraph (77)
the following new paragraph:
``(78) provide that the State shall certify to the
Secretary that the State has implemented procedures to pay for
medical assistance (including care and services described in
subsections (a)(4)(B) and (r) of section 1905 and provided in
accordance with section 1902(a)(43)) furnished in a school-
based health center (as defined in section 2110(c)(9)), if
payment would be made under the State plan for the same items
and services if furnished in a physician's office or other
outpatient clinic (including if such payment would be included
in the determination of a prepaid capitation or other risk-
based rate of payment to an entity under a contract pursuant to
section 1903(m));''.
(b) Application to CHIP.--Section 2107(e)(1) of the Social Security
Act (42 U.S.C. 1397gg(e)(1)) is amended--
(1) by redesignating subparagraphs (E) through (O) as
subparagraphs (F) through (P), respectively; and
(2) by inserting after subparagraph (D), the following new
subparagraph:
``(E) Section 1902(a)(78) (relating to procedures
to ensure payment for covered services furnished in a
school-based health center).''.
(c) Effective Date.--The amendments made by this section take
effect on October 1, 2016.
SEC. 5. OTHER IMPROVEMENTS.
(a) In General.--Section 399Z-1 of the Public Health Service Act
(42 U.S.C. 280h-5) is amended--
(1) in subsection (a)(1), in the matter preceding
subparagraph (A), by inserting ``either in person or via
telehealth,'' after ``health centers,'';
(2) in subsection (a)(3)(A), by inserting before the
semicolon the following: ``, and include universities,
accountable care organizations, and behavioral health
organizations'';
(3) in subsection (c)(2)(C)(4), by inserting ``and health
education'' after ``health services'';
(4) in subsection (e), by striking ``may--'' and all that
follows through the end and inserting ``may, upon a showing of
good cause, waive the requirement that the SBHC provide all
required comprehensive primary health services for a period of
not to exceed 2 years.'';
(5) in subsection (i), by inserting before the period the
following: ``, including using existing quality performance
measures funded by the Federal Government for such entities'';
(6) in subsection (l)--
(A) by striking ``2014'' and inserting ``2021'';
and
(B) by redesignating such subsection as subsection
(n); and
(7) by inserting after subsection (k), the following:
``(l) Technical Assistance.--The Secretary, acting directly or
through the awarding of grants or contracts to private, nonprofit
entities shall establish or support existing State school-based health
center resource centers that--
``(1) provide advocacy, training, and technical assistance
to school-based health centers, including maximizing Federal
and State resources;
``(2) support the development of school-based health
centers; and
``(3) enhance the operations and performance of school-
based health centers.
``(m) Authorization of Appropriations.--For purposes of carrying
out this section, there are authorized to be appropriated such sums as
may be necessary.''.
(b) Covered Entity.--Section 340B(a)(4) of the Public Health
Service Act (42 U.S.C. 256b(a)(4)) is amended by adding at the end the
following:
``(P) A school-based health center.''.
(c) Qualified Health Plans.--Section 1311(c)(1)(C) of the Patient
Protection and Affordable Care Act (42 U.S.C. 18031(c)(1)(C)) is
amended by inserting ``, providers defined in section 2110(c)(9) of the
Social Security Act,'' after ``Public Health Service Act''.
<all>
Introduced in House
Introduced in House
Referred to the House Committee on Energy and Commerce.
Referred to the Subcommittee on Health.
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