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                                                       PRINTER'S NO. 449

THE GENERAL ASSEMBLY OF PENNSYLVANIA


SENATE BILL

No. 444 Session of 1999


        INTRODUCED BY SCHWARTZ, KASUNIC, COSTA, BODACK, BELAN, KUKOVICH,
           O'PAKE, BOSCOLA, STOUT AND KITCHEN, FEBRUARY 22, 1999

        REFERRED TO PUBLIC HEALTH AND WELFARE, FEBRUARY 22, 1999

                                     AN ACT

     1  Providing for community health partnerships and for grants;
     2     establishing the Community Health Partnership Technical
     3     Assistance Fund; providing additional powers and duties of
     4     the Department of Health; and making appropriations.

     5     The General Assembly finds as follows:
     6         (1)  That all Pennsylvanians must have access to
     7     appropriate and necessary quality health care.
     8         (2)  That health care in this Commonwealth must be
     9     affordable.
    10         (3)  That improvements in the health status of
    11     Pennsylvanians must be the primary measure of the success of
    12     our health care system.
    13         (4)  That health care and health care needs vary from
    14     community to community.
    15         (5)  That to insure that health care resources are best
    16     allocated to meet the particular health care needs of a
    17     community, communities must collect the information needed to
    18     make these allocations and planning decisions and this
    19     information should be available and used by communities to

     1     plan for immediate and future health needs.
     2         (6)  That improvements in the overall quality of life in
     3     a community requires coordination between health care
     4     providers, human service providers, educators and other
     5     leaders in the community.
     6  Section 1.  Short title.
     7     This act shall be known and may be cited as the Community
     8  Health Partnership Act.
     9  Section 2.  Definitions.
    10     The following words and phrases when used in this act shall
    11  have the meanings given to them in this section unless the
    12  context clearly indicates otherwise:
    13     "Community health partnership" or "partnership."  A nonprofit
    14  corporation capable of carrying out the purposes of this act.
    15     "Department."  The Department of Health of this Commonwealth.
    16  Section 3.  Community health partnership.
    17     (a)  Board of directors.--A partnership shall be governed by
    18  a board of directors, the members of which shall be fairly
    19  representative of the community which the partnership serves and
    20  shall include at least one of each of the following:
    21         (1)  A local government official.
    22         (2)  A representative of the business community.
    23         (3)  A representative of organized labor.
    24         (4)  A health care consumer.
    25         (5)  An educator.
    26         (6)  A health care provider.
    27         (7)  A human service provider.
    28         (8)  A health care insurer.
    29     (b)  Geographic boundaries.--The geographic boundaries of the
    30  community health partnerships shall be the health service
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     1  regions established by the Health Care Cost Containment Council.
     2  Section 4.  Grant program.
     3     (a)  Establishment.--There is hereby established the
     4  Community Health Partnership Grant Program. This program shall
     5  be administered by the department.
     6     (b)  Purpose.--Grants made under this program shall be used
     7  for all of the following purposes which the partnership is
     8  required to perform:
     9         (1)  To conduct a community health status assessment to
    10     define the health status of the region's population,
    11     determine unmet health care needs and identify other health
    12     care problems and opportunities.
    13         (2)  To encourage cooperative action and pilot
    14     initiatives to address specific health care needs and improve
    15     the efficiency and effectiveness of health delivery system.
    16         (3)  To encourage health providers in the region to
    17     utilize health assessment data in making decisions on health
    18     care resource allocations and capital expansions.
    19         (4)  To educate the community on local health issues.
    20         (5)  To advise the department of community health care
    21     needs, opportunities and deficiencies in the allocation of
    22     health care resources.
    23     (c)  Optional use.--A partnership may use grant money for any
    24  other related purpose, provided it has or will perform the
    25  requirements of subsection (b).
    26     (d)  Application.--A partnership may apply to the department
    27  for a grant in such manner as the department shall prescribe.
    28     (e)  Allocation formula.--The department shall develop a
    29  formula to allocate grant funds based on the population within
    30  boundaries of the partnership. A grant shall be made only when
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     1  the partnership can demonstrate that it can match 50% of the
     2  grant award from non-State sources.
     3  Section 5.  Community Health Partnership Technical Assistance
     4                 Fund.
     5     (a)  Establishment.--There is hereby established a separate
     6  account in the State Treasury to be known as the Community
     7  Health Partnership Technical Assistance Fund. This fund shall be
     8  administered by the Department of Health.
     9     (b)  Purpose.--The department shall use moneys of this fund
    10  to purchase, up to a maximum of $50,000 per year, the services
    11  of any Commonwealth academic health center, graduate school of
    12  public health, State agency or private nonprofit health research
    13  organization approved by the department to provide the technical
    14  resources which a community health partnership may need to
    15  fulfill the purposes of this act.
    16     (c)  Procedure.--A partnership shall make its request to the
    17  department for purchase of technical assistance. The department
    18  shall respond to the request within 30 days. The department
    19  shall not unreasonably deny a request for purchase of technical
    20  assistance.
    21  Section 6.  Rules and regulations.
    22     The department shall, in the manner provided by law,
    23  promulgate the rules and regulations necessary to carry out this
    24  act.
    25  Section 7.  Appropriation.
    26     (a)  Grants.--The sum of $1,000,000 is hereby appropriated to
    27  the Department of Health for grants under section 4.
    28     (b)  Technical assistance.--The sum of $400,000 is hereby
    29  appropriated to the Department of Health for the fund
    30  established under section 5.
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     1     (c)  No lapse.--The appropriations made under this section
     2  shall not lapse.
     3  Section 8.  Effective date.
     4     This act shall take effect July 1, 1999, or immediately,
     5  whichever is later.

















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