Improving Care in Rural America Reauthorization Act of 2020
This bill reauthorizes through FY2025 and otherwise modifies certain grant programs in the Department of Health and Human Services for (1) rural health services outreach, (2) rural health network development, and (3) small health care provider quality improvement. Among other changes, the bill expands eligibility for certain grants to include entities that are not nonprofits.
[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 3437 Introduced in Senate (IS)]
<DOC>
116th CONGRESS
2d Session
S. 3437
To reauthorize certain programs regarding rural health care.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
March 11, 2020
Mrs. Loeffler (for herself and Ms. Smith) introduced the following
bill; which was read twice and referred to the Committee on Health,
Education, Labor, and Pensions
_______________________________________________________________________
A BILL
To reauthorize certain programs regarding rural health care.
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 ``Improving Care in Rural America
Reauthorization Act of 2020''.
SEC. 2. RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK
DEVELOPMENT, AND SMALL HEALTH CARE PROVIDER QUALITY
IMPROVEMENT GRANT PROGRAMS.
Section 330A of the Public Health Service Act (42 U.S.C. 254c) is
amended--
(1) in subsection (d)(2)--
(A) in subparagraph (A), by striking ``essential''
and inserting ``basic''; and
(B) in subparagraph (B)--
(i) in the matter preceding clause (i), by
inserting ``to'' after ``grants''; and
(ii) in clauses (i), (ii), and (iii), by
striking ``to'' each place such term appears;
(2) in subsection (e)--
(A) in paragraph (1)--
(i) by inserting ``improving and'' after
``outreach by'';
(ii) by inserting ``, through community
engagement and evidence-based or innovative,
evidence-informed models'' before the period of
the first sentence; and
(iii) by striking ``3 years'' and inserting
``5 years''; and
(B) in paragraph (2)--
(i) in the matter preceding subparagraph
(A), by inserting ``shall'' after ``entity'';
(ii) in subparagraph (A), by striking
``shall be a rural public or rural nonprofit
private entity'' and inserting ``be an entity
proposing to serve rural underserved
populations'';
(iii) in subparagraphs (B) and (C), by
striking ``shall'' each place such term
appears; and
(iv) in subparagraph (B)--
(I) in the matter preceding clause
(i), by inserting ``that'' after
``members''; and
(II) in clauses (i) and (ii), by
striking ``that'' each place such term
appears;
(3) in subsection (f)--
(A) in paragraph (1)--
(i) in subparagraph (A)--
(I) in the matter preceding clause
(i), by striking ``promote, through
planning and implementation, the
development of integrated health care
networks that have combined the
functions of the entities participating
in the networks'' and inserting ``plan
and implement integrated health care
networks that collaborate''; and
(II) in clause (ii), by striking
``essential health care services'' and
inserting ``basic health care services
and associated health outcomes''; and
(ii) by amending subparagraph (B) to read
as follows:
``(B) Grant periods.--The Director may award grants
under this subsection for periods of not more than 5
years.''; and
(B) in paragraph (2)--
(i) in the matter preceding subparagraph
(A), by inserting ``shall'' after ``entity'';
(ii) in subparagraph (A), by striking
``shall be a rural public or rural nonprofit
private entity'' and inserting ``be an entity
proposing to serve rural underserved
populations'';
(iii) in subparagraph (B)--
(I) in the matter preceding clause
(i)--
(aa) by striking ``shall'';
and
(bb) by inserting ``that''
after ``participants''; and
(II) in clauses (i) and (ii), by
striking ``that'' each place such term
appears; and
(iv) in subparagraph (C), by striking
``shall'';
(4) in subsection (g)--
(A) in paragraph (1)--
(i) by inserting ``, including activities
related to increasing care coordination,
enhancing chronic disease management, and
improving patient health outcomes'' before the
period of the first sentence; and
(ii) by striking ``3 years'' and inserting
``5 years''; and
(B) in paragraph (2)--
(i) in the matter preceding subparagraph
(A), by inserting ``shall'' after ``entity'';
(ii) in subparagraphs (A) and (B), by
striking ``shall'' each place such term
appears; and
(iii) in subparagraph (A)(ii), by inserting
``or regional'' after ``local'';
(5) in subsection (h)(3), in the matter preceding
subparagraph (A), by inserting ``, as appropriate,'' after
``the Secretary'';
(6) by amending subsection (i) to read as follows:
``(i) Report.--Not later than 4 years after the date of enactment
of the Improving Care in Rural America Reauthorization Act of 2020, and
every 5 years thereafter, the Secretary shall prepare and submit to the
Committee on Health, Education, Labor, and Pensions of the Senate and
the Committee on Energy and Commerce of the House of Representatives a
report on the activities and outcomes of the grant programs under
subsections (e), (f), and (g), including the impact of projects funded
under such programs on the health status of rural residents with
chronic conditions.''; and
(7) in subsection (j), by striking ``$45,000,000 for each
of fiscal years 2008 through 2012'' and inserting ``$79,500,000
for each of fiscal years 2021 through 2025''.
<all>
Introduced in Senate
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
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