HEALTH CENTERS.

SEC. 101. HEALTH CENTERS. Section 330 of the Public Health Service Act (42 U.S.C. 254b) is amended— (1) in subsection (b)(1)(A)— (A) in clause (i)(III)(bb), by striking “screening for breast and cervical cancer” and inserting “appropriate cancer screening”; (B) in clause (ii), by inserting “(including specialty referral when medically indicated)” after “medical services”; and (C) in clause (iii), by inserting “housing,” after “social,”; (2) in subsection (b)(2)— (A) in subparagraph (A)(i), by striking “associated with water supply;” and inserting the following: “associated with— “(I) water supply; “(II) chemical and pesticide exposures; “(III) air quality; or “(IV) exposure to lead;”; (B) by redesignating subparagraphs (A) and (B) as subparagraphs (C) and (D), respectively; and (C) by inserting before subparagraph (C) (as so redesignated by subparagraph (B)) the following: (A) behavioral and mental health and substance abuse services; (B) recuperative care services;”; (3) in subsection (c)(1)— (A) in subparagraph (B)— (i) in the heading, by striking “Comprehensive service delivery” and inserting “Managed care”; (ii) in the matter preceding clause (i), by striking “network or plan” and all that follows to the period and inserting “managed care network or plan.”; and (iii) in the matter following clause (ii), by striking “Any such grant may include” and all that follows through the period; and (B) by adding at the end the following: “(C) Practice management networks.—The Secretary may make grants to health centers that receive assistance under this section to enable the centers to plan 116 STAT. 1623and develop practice management networks that will enable the centers to— “(i) reduce costs associated with the provision of health care services; “(ii) improve access to, and availability of, health care services provided to individuals served by the centers; “(iii) enhance the quality and coordination of health care services; or “(iv) improve the health status of communities. “(D) Use of funds.—The activities for which a grant may be made under subparagraph (B) or (C) may include the purchase or lease of equipment, which may include data and information systems (including paying for the costs of amortizing the principal of, and paying the interest on, loans for equipment), the provision of training and technical assistance related to the provision of health care services on a prepaid basis or under another managed care arrangement, and other activities that promote the development of practice management or managed care networks and plans.”; (4) in subsection (d)— (A) by striking the subsection heading and inserting “Loan Guarantee Program.—”; (B) in paragraph (1)— (i) in subparagraph (A), by striking “the principal and interest on loans” and all that follows through the period and inserting “up to 90 percent of the principal and interest on loans made by non-Federal lenders to health centers, funded under this section, for the costs of developing and operating managed care networks or plans described in subsection (c)(1)(B), or practice management networks described in subsection (c)(1)(C).”; (ii) in subparagraph (B)— (I) in clause (i), by striking “or”; (II) in clause (ii), by striking the period and inserting “; or”; and (III) by adding at the end the following: “(iii) to refinance an existing loan (as of the date of refinancing) to the center or centers, if the Secretary determines— “(I) that such refinancing will be beneficial to the health center and the Federal Government; “(II) that the center (or centers) can demonstrate an ability to repay the refinanced loan equal to or greater than the ability of the center (or centers) to repay the original loan on the date the original loan was made.”; and (iii) by adding at the end the following: “(D) Provision directly to networks or plans.—At the request of health centers receiving assistance under this section, loan guarantees provided under this paragraph may be made directly to networks or plans that are at least majority controlled and, as applicable, at least majority owned by those health centers. 116 STAT. 1624 “(E) Federal credit reform.—The requirements of the Federal Credit Reform Act of 1990 (2 U.S.C. 661 et seq.) shall apply with respect to loans refinanced under subparagraph (B)(iii).”; and (C)(i) by striking paragraphs (6) and (7); and (ii) by redesignating paragraph (8) as paragraph (6); (4) in subsection (e)— (A) in paragraph (1)— (i) in subparagraph (B), by striking “subsection(j)(3)” and inserting “subsection (k)(3)”; and (ii) by adding at the end the following: “(C) Operation of networks and plans.—The Secretary may make grants to health centers that receive assistance under this section, or at the request of the health centers, directly to a network or plan (as described in subparagraphs (B) and (C) of subsection (c)(1)) that is at least majority controlled and, as applicable, at least majority owned by such health centers receiving assistance under this section, for the costs associated with the operation of such network or plan, including the purchase or lease of equipment (including the costs of amortizing the principal of, and paying the interest on, loans for equipment).”; (B) in paragraph (5)— (i) in subparagraph (A), by inserting “subparagraphs (A) and (B) of” after “any fiscal year under”; (ii) by redesignating subparagraphs (B) and (C) as subparagraphs (C) and (D), respectively; and (iii) by inserting after subparagraph (A) the following: “(B) Networks and plans.—The total amount of grant funds made available for any fiscal year under paragraph(1)(C) and subparagraphs (B) and (C) of subsection (c)(1) to a health center or to a network or plan shall be determined by the Secretary, but may not exceed 2 percent of the total amount appropriated under this section for such fiscal year.”; and (C) by redesignating paragraphs (4) and (5) as paragraphs (3) and (4), respectively; (5) in subsection (g)— (A) in paragraph (2)— (i) in subparagraph (A), by inserting “and seasonal agricultural worker” after “agricultural worker”; and (ii) in subparagraph (B), by striking “and members of their families” and inserting “and seasonal agricultural workers, and members of their families,”; and (B) (B) in paragraph (3)(A), by striking “on a seasonal basis”; (6) in subsection (h)— (A) in paragraph (1), by striking “homeless children and children at risk of homelessness” and inserting “homeless children and youth and children and youth at risk of homelessness”; (B)(i) by redesignating paragraph (4) as paragraph (5); and (ii) by inserting after paragraph (3) the following: 116 STAT. 1625 “(4) Temporary continued provision of services to certain former homeless individuals.—If any grantee under this subsection has provided services described in this section under the grant to a homeless individual, such grantee may, notwithstanding that the individual is no longer homeless as a result of becoming a resident in permanent housing, expend the grant to continue to provide such services to the individual for not more than 12 months.”; and (C) in paragraph (5)(C) (as redesignated by subparagraph (B)), by striking “and residential treatment” and inserting “, risk reduction, outpatient treatment, residential treatment, and rehabilitation”; (7) in subsection (j)(3)— (A) in subparagraph (E)— (i) in clause (i)— (I) by striking “(i)” and inserting “(i)(I)”; (II) by striking “plan; or” and inserting “plan; and”; and (III) by adding at the end the following: “(II) has or will have a contractual or other arrangement with the State agency administering the program under title XXI of such Act (42 U.S.C. 1397aa et seq.) with respect to individuals who are State children’s health insurance program beneficiaries; or”; and (ii) by striking clause (ii) and inserting the following: (ii) has made or will make every reasonable effort to enter into arrangements described in subclauses (I) and (II) of clause (i);”; (B) in subparagraph (G)— (i) in clause (ii)(II), by striking “; and” and inserting “;”; (ii) by redesignating clause (iii) as clause (iv); and (iii) by inserting after clause (ii) the following: “(iii)(I) will assure that no patient will be denied health care services due to an individual’s inability to pay for such services; and (II) will assure that any fees or payments required by the center for such services will be reduced or waived to enable the center to fulfill the assurance described in subclause (I); and”; (C) in subparagraph (H), in the matter following clause (iii), by striking “or (p)” and inserting “or (q)”; (D) in subparagraph (K)(ii), by striking “and” at the end; (E) in subparagraph (L), by striking the period and inserting “; and”; and (F) by inserting after subparagraph (L), the following: “(M) the center encourages persons receiving or seeking health services from the center to participate in any public or private (including employer-offered) health programs or plans for which the persons are eligible, so long as the center, in complying with this subparagraph, does not violate the requirements of subparagraph (G)(iii)(I) ”; (8)(A) by redesignating subsection (1) as subsection (s) and moving that subsection (s) to the end of the section; 116 STAT. 1626 (B) by redesignating subsections (j), (k), and (m) through (q) as subsections (n), (o), and (p) through (s), respectively; and (C) by inserting after subsection (i) the following: “(j) Access Grants.— “(1) In general.—The Secretary may award grants to eligible health centers with a substantial number of clients with limited English speaking proficiency to provide translation, interpretation, and other such services for such clients with limited English speaking proficiency. “(2) Eligible health center.—In this subsection, the term ‘eligible health center’ means an entity that— “(A) is a health center as defined under subsection (a); “(B) provides health care services for clients for whom English is a second language; and “(C) has exceptional needs with respect to linguistic access or faces exceptional challenges with respect to linguistic access. “(3) Grant amount.—The amount of a grant awarded to a center under this subsection shall be determined by the Administrator. Such determination of such amount shall be based on the number of clients for whom English is a second language that is served by such center, and larger grant amounts shall be awarded to centers serving larger numbers of such clients. “(4) Use of funds.—An eligible health center that receives a grant under this subsection may use funds received through such grant to— “(A) provide translation, interpretation, and other such services for clients for whom English is a second language, including hiring professional translation and interpretation services; and “(B) compensate bilingual or multilingual staff for language assistance services provided by the staff for such clients. “(5) Application.—An eligible health center desiring a grant under this subsection shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may reasonably require, including— “(A) an estimate of the number of clients that the center serves for whom English is a second language; “(B) the ratio of the number of clients for whom English is a second language to the total number of clients served by the center; “(C) a description of any language assistance services that the center proposes to provide to aid clients for whom English is a second language; and “(D) a description of the exceptional needs of such center with respect to linguistic access or a description of the exceptional challenges faced by such center with respect to linguistic access. “(6) Authorization of appropriations.—There are authorized to be appropriated to carry out this subsection, in addition to any funds authorized to be appropriated or appropriated for health centers under any other subsection of this 116 STAT. 1627section, such sums as may be necessary for each of fiscal years 2002 through 2006.”; (9) by striking subsection (m) (as redesignated by paragraph (9)(B)) and inserting the following: “(m) Technical Assistance.—The Secretary shall establish a program through which the Secretary shall provide technical and other assistance to eligible entities to assist such entities to meet the requirements of subsection (1)(3). Services provided through the program may include necessary technical and non-financial assistance, including fiscal and program management assistance, training in fiscal and program management, operational and administrative support, and the provision of information to the entities of the variety of resources available under this title and how those resources can be best used to meet the health needs of the communities served by the entities.”; (10) in subsection (q) (as redesignated by paragraph (9)(B)), by striking “(j)(3)(G)” and inserting “(1)(3)(G)”; and (11) in subsection (s) (as redesignated by paragraph (9)(A))— (A) in paragraph (1), by striking “$802,124,000” and all that follows through the period and inserting “$1,340,000,000 for fiscal year 2002 and such sums as may be necessary for each of the fiscal years 2003 through 2006”; (B) in paragraph (2)— (i) in subparagraph (A)— (I) by striking “(j)(3))” and inserting “(1)(3))”; and (II) by striking “(j)(3)(G)(ii)” and inserting “(1)(3)(H)”; and (ii) by striking subparagraph (B) and inserting the following: “(B) Distribution of grants.—For fiscal year 2002 and each of the following fiscal years, the Secretary, in awarding grants under this section, shall ensure that the proportion of the amount made available under each of subsections (g), (h), and (i), relative to the total amount appropriated to carry out this section for that fiscal year, is equal to the proportion of the amount made available under that subsection for fiscal year 2001, relative to the total amount appropriated to carry out this section for fiscal year 2001.”.