Pub. L. 107-251, tit. II, subtit. C, sec. 221
PROGRAMS.
SEC. 221. PROGRAMS. Subpart I of part D of title III of the Public Health Service Act (42 U.S.C. 254b et seq.) (as amended by section 212) is further amended by adding at the end the following: 116 STAT. 1639 “SEC. 330J. RURAL EMERGENCY MEDICAL SERVICE TRAINING AND EQUIPMENT ASSISTANCE PROGRAM. “(a) Grants.—The Secretary, acting through the Administrator of the Health Resources and Services Administration (referred to in this section as the ‘Secretary’) shall award grants to eligible entities to enable such entities to provide for improved emergency medical services in rural areas. “(b) Eligibility.—To be eligible to receive a grant under this section, an entity shall— “(1) be— “(A) a State emergency medical services office; “(B) a State emergency medical services association; “(C) a State office of rural health; “(D) a local government entity; “(E) a State or local ambulance provider; or “(F) any other entity determined appropriate by the Secretary; and “(2) prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, that includes— “(A) a description of the activities to be carried out under the grant; and “(B) an assurance that the eligible entity will comply with the matching requirement of subsection (e). “(c) Use of Funds.—An entity shall use amounts received under a grant made under subsection (a), either directly or through grants to emergency medical service squads that are located in, or that serve residents of, a nonmetropolitan statistical area, an area designated as a rural area by any law or regulation of a State, or a rural census tract of a metropolitan statistical area (as determined under the most recent Goldsmith Modification, originally published in a notice of availability of funds in the Federal Register on February 27, 1992, 57 Fed. Reg. 6725), to— “(1) recruit emergency medical service personnel; “(2) recruit volunteer emergency medical service personnel; “(3) train emergency medical service personnel in emergency response, injury prevention, safety awareness, and other topics relevant to the delivery of emergency medical services; “(4) fund specific training to meet Federal or State certification requirements; “(5) develop new ways to educate emergency health care providers through the use of technology-enhanced educational methods (such as distance learning); “(6) acquire emergency medical services equipment, including cardiac defibrillators; “(7) acquire personal protective equipment for emergency medical services personnel as required by the Occupational Safety and Health Administration; and “(8) educate the public concerning cardiopulmonary resuscitation, first aid, injury prevention, safety awareness, illness prevention, and other related emergency preparedness topics. “(d) Preference.—In awarding grants under this section the Secretary shall give preference to— “(1) applications that reflect a collaborative effort by 2 or more of the entities described in subparagraphs (A) through (F) of subsection (b)(1); and 116 STAT. 1640 “(2) applications submitted by entities that intend to use amounts provided under the grant to fund activities described in any of paragraphs (1) through (5) of subsection (c). “(e) Matching Requirement.—The Secretary may not award a grant under this section to an entity unless the entity agrees that the entity will make available (directly or through contributions from other public or private entities) non-Federal contributions toward the activities to be carried out under the grant in an amount equal to 25 percent of the amount received under the grant. “(f) Emergency Medical Services.—In this section, the term ‘emergency medical services’— “(1) means resources used by a qualified public or private nonprofit entity, or by any other entity recognized as qualified by the State involved, to deliver medical care outside of a medical facility under emergency conditions that occur— “(A) as a result of the condition of the patient; or “(B) as a result of a natural disaster or similar situation; and “(2) includes services delivered by an emergency medical services provider (either compensated or volunteer) or other provider recognized by the State involved that is licensed or certified by the State as an emergency medical technician or its equivalent (as determined by the State), a registered nurse, a physician assistant, or a physician that provides services similar to services provided by such an emergency medical services provider. “(g) Authorization of Appropriations.— “(1) In general.—There are authorized to be appropriated to carry out this section such sums as may be necessary for each of fiscal years 2002 through 2006. “(2) Administrative costs.—The Secretary may use not more than 10 percent of the amount appropriated under paragraph (1) for a fiscal year for the administrative expenses of carrying out this section. “SEC. 330K. MENTAL HEALTH SERVICES DELIVERED VIA TELEHEALTH. “(a) Definitions.—In this section: “(1) Eligible entity.—The term ‘eligible entity’ means a public or nonprofit private telehealth provider network that offers services that include mental health services provided by qualified mental health providers. “(2) Qualified mental health professionals.—The term ‘qualified mental health professionals’ refers to providers of mental health services reimbursed under the medicare program carried out under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) who have additional training in the treatment of mental illness in children and adolescents or who have additional training in the treatment of mental illness in the elderly. “(3) Special populations.—The term ‘special populations’ refers to the following 2 distinct groups: “(A) Children and adolescents in mental health underserved rural areas or in mental health underserved urban areas. “(B) Elderly individuals located in long-term care facilities in mental health underserved rural or urban areas.116 STAT. 1641 “(4) Telehealth.—The term ‘telehealth’ means the use of electronic information and telecommunications technologies to support long distance clinical health care, patient and professional health-related education, public health, and health administration. “(b) Program Authorized.— “(1) In general.—The Secretary, acting through the Director of the Office for the Advancement of Telehealth of the Health Resources and Services Administration, shall award grants to eligible entities to establish demonstration projects for the provision of mental health services to special populations as delivered remotely by qualified mental health professionals using telehealth and for the provision of education regarding mental illness as delivered remotely by qualified mental health professionals using telehealth. “(2) Populations served.—The Secretary shall award the grants under paragraph (1) in a manner that distributes the grants so as to serve equitably the populations described in subparagraphs (A) and (B) of subsection (a)(4). “(c) Use of Funds.— “(1) In general.—An eligible entity that receives a grant under this section shall use the grant funds— “(A) for the populations described in subsection (a)(4)(A)— “(i) to provide mental health services, including diagnosis and treatment of mental illness, as delivered remotely by qualified mental health professionals using telehealth; and “(ii) to collaborate with local public health entities to provide the mental health services; and “(B) for the populations described in subsection (a)(4)(B)— “(i) to provide mental health services, including diagnosis and treatment of mental illness, in long-term care facilities as delivered remotely by qualified mental health professionals using telehealth; and “(ii) to collaborate with local public health entities to provide the mental health services. “(2) Other uses.—An eligible entity that receives a grant under this section may also use the grant funds to— “(A) pay telecommunications costs; and “(B) pay qualified mental health professionals on a reasonable cost basis as determined by the Secretary for services rendered. “(3) Prohibited uses.—An eligible entity that receives a grant under this section shall not use the grant funds to— “(A) purchase or install transmission equipment (other than such equipment used by qualified mental health professionals to deliver mental health services using telehealth under the project involved); or “(B) build upon or acquire real property. “(d) Equitable Distribution.—In awarding grants under this section, the Secretary shall ensure, to the greatest extent possible, that such grants are equitably distributed among geographical regions of the United States. “(e) Application.—An entity that desires a grant under this section shall submit an application to the Secretary at such time, 116 STAT. 1642in such manner, and containing such information as the Secretary determines to be reasonable. “(f) Report.—Not later than 4 years after the date of enactment of the Health Care Safety Net Amendments of 2002, the Secretary shall prepare and submit to the appropriate committees of Congress a report that shall evaluate activities funded with grants under this section. “(g) Authorization of Appropriations.—There are authorized to be appropriated to carry out this section, $20,000,000 for fiscal year 2002 and such sums as may be necessary for fiscal years 2003 through 2006.”.