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US Laws | Affordable Health Care Act (HR3950F)
TITLE V--HEALTH CARE WORKFORCE
Subtitle F--Strengthening Primary Care and Other Workforce Improvements

(e) Definitions- In this section: (8659)

(1) ADVANCED PRACTICE REGISTERED NURSE- The term "advanced practice registered nurse" includes the following: (8660)

(A) A clinical nurse specialist (as defined in subsection (aa)(5) of section 1861 of the Social Security Act (42 U.S.C. 1395x)). (8661)

(B) A nurse practitioner (as defined in such subsection). (8662)

(C) A certified registered nurse anesthetist (as defined in subsection (bb)(2) of such section). (8663)

(D) A certified nurse-midwife (as defined in subsection (gg)(2) of such section). (8664)

(2) APPLICABLE NON-HOSPITAL COMMUNITY-BASED CARE SETTING- The term "applicable non-hospital community-based care setting" means a non-hospital community-based care setting which has entered into a written agreement (as described in subsection (b)) with the eligible hospital participating in the demonstration. Such settings include Federally qualified health centers, rural health clinics, and other non-hospital settings as determined appropriate by the Secretary. (8665)

(3) APPLICABLE SCHOOL OF NURSING- The term "applicable school of nursing" means an accredited school of nursing (as defined in section 801 of the Public Health Service Act) which has entered into a written agreement (as described in subsection (b)) with the eligible hospital participating in the demonstration. (8666)

(4) DEMONSTRATION- The term "demonstration" means the graduate nurse education demonstration established under subsection (a). (8667)

(5) ELIGIBLE HOSPITAL- The term "eligible hospital" means a hospital (as defined in subsection (e) of section 1861 of the Social Security Act (42 U.S.C. 1395x)) or a critical access hospital (as defined in subsection (mm)(1) of such section) that has a written agreement in place with-- (8668)

(A) 1 or more applicable schools of nursing; and (8669)

(B) 2 or more applicable non-hospital community-based care settings. (8670)

(6) ELIGIBLE PARTNERS- The term "eligible partners" includes the following: (8671)

(A) An applicable non-hospital community-based care setting. (8672)

(B) An applicable school of nursing. (8673)

(7) QUALIFIED TRAINING- (8674)

(A) IN GENERAL- The term "qualified training" means training-- (8675)

(i) that provides an advanced practice registered nurse with the clinical skills necessary to provide primary care, preventive care, transitional care, chronic care management, and other services appropriate for individuals entitled to, or enrolled for, benefits under part A of title XVIII of the Social Security Act, or enrolled under part B of such title; and (8676)

(ii) subject to subparagraph (B), at least half of which is provided in a non-hospital community-based care setting. (8677)

(B) WAIVER OF REQUIREMENT HALF OF TRAINING BE PROVIDED IN NON-HOSPITAL COMMUNITY-BASED CARE SETTING IN CERTAIN AREAS- The Secretary may waive the requirement under subparagraph (A)(ii) with respect to eligible hospitals located in rural or medically underserved areas. (8678)

(8) SECRETARY- The term "Secretary" means the Secretary of Health and Human Services. (8679)

Subtitle G--Improving Access to Health Care Services (8680)(Text)

SEC. 5601. SPENDING FOR FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). (8681)(Text)

(a) In General- Section 330(r) of the Public Health Service Act (42 U.S.C. 254b(r)) is amended by striking paragraph (1) and inserting the following: (8682)

"(1) GENERAL AMOUNTS FOR GRANTS- For the purpose of carrying out this section, in addition to the amounts authorized to be appropriated under subsection (d), there is authorized to be appropriated the following: (8683)

"(A) For fiscal year 2010, $2,988,821,592. (8684)

"(B) For fiscal year 2011, $3,862,107,440. (8685)

"(C) For fiscal year 2012, $4,990,553,440. (8686)

"(D) For fiscal year 2013, $6,448,713,307. (8687)

"(E) For fiscal year 2014, $7,332,924,155. (8688)

"(F) For fiscal year 2015, $8,332,924,155. (8689)

"(G) For fiscal year 2016, and each subsequent fiscal year, the amount appropriated for the preceding fiscal year adjusted by the product of-- (8690)

"(i) one plus the average percentage increase in costs incurred per patient served; and (8691)

"(ii) one plus the average percentage increase in the total number of patients served.". (8692)

(b) Rule of Construction- Section 330(r) of the Public Health Service Act (42 U.S.C. 254b(r)) is amended by adding at the end the following: (8693)

"(4) RULE OF CONSTRUCTION WITH RESPECT TO RURAL HEALTH CLINICS- (8694)

"(A) IN GENERAL- Nothing in this section shall be construed to prevent a community health center from contracting with a Federally certified rural health clinic (as defined in section 1861(aa)(2) of the Social Security Act), a low-volume hospital (as defined for purposes of section 1886 of such Act), a critical access hospital, a sole community hospital (as defined for purposes of section 1886(d)(5)(D)(iii) of such Act), or a medicare-dependent share hospital (as defined for purposes of section 1886(d)(5)(G)(iv) of such Act) for the delivery of primary health care services that are available at the clinic or hospital to individuals who would otherwise be eligible for free or reduced cost care if that individual were able to obtain that care at the community health center. Such services may be limited in scope to those primary health care services available in that clinic or hospitals. (8695)

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