Rural health care services outreach, rural health network development, and small health care provider quality improvement grant programs

The purpose of this section is to provide grants for expanded delivery of health care services in rural areas, for the planning and implementation of integrated health care networks in rural areas, and for the planning and implementation of small health care provider quality improvement activities. The term “Director” means the Director specified in subsection (d). The terms “Federally qualified health center” and “rural health clinic” have the meanings given the terms in section 1395x(aa) of this title. The term “health professional shortage area” means a health professional shortage area designated under section 254e of this title. The term “medically underserved community” has the meaning given the term in section 295p(6) of this title. The term “medically underserved population” has the meaning given the term in section 254b(b)(3) of this title. The Secretary shall establish, under section 241 of this title, a small health care provider quality improvement grant program. The rural health care services outreach, rural health network development, and small health care provider quality improvement grant programs established under section 241 of this title shall be administered by the Director of the Office of Rural Health Policy of the Health Resources and Services Administration, in consultation with State offices of rural health or other appropriate State government entities. In carrying out the programs described in paragraph (1), the Director may award grants under subsections (e), (f), and (g) to expand access to, coordinate, and improve the quality of basic health care services, and enhance the delivery of health care, in rural areas. The Director may award the grants to— The Director may award grants to eligible entities to promote rural health care services outreach by improving and expanding the delivery of health care services to include new and enhanced services in rural areas, through community engagement and evidence-based or innovative, evidence-informed models. The Director may award the grants for periods of not more than 5 years. To be eligible to receive a grant under this subsection for a project, an entity shall— represent a consortium composed of members that— To be eligible to receive a grant under this subsection, an eligible entity, in consultation with the appropriate State office of rural health or another appropriate State entity, shall prepare and submit to the Secretary an application, at such time, in such manner, and containing such information as the Secretary may require, including— The Director may award rural health network development grants to eligible entities to plan, develop, and implement integrated health care networks that collaborate in order to— The Director may award grants under this subsection for periods of not more than 5 years. To be eligible to receive a grant under this subsection, an entity shall— represent a network composed of participants that— To be eligible to receive a grant under this subsection, an eligible entity, in consultation with the appropriate State office of rural health or another appropriate State entity, shall prepare and submit to the Secretary an application, at such time, in such manner, and containing such information as the Secretary may require, including— a description of— The Director may award grants to provide for the planning and implementation of small health care provider quality improvement activities, including activities related to increasing care coordination, enhancing chronic disease management, and improving patient health outcomes. The Director may award the grants for periods of 1 to 5 years. To be eligible for a grant under this subsection, an entity shall— To be eligible to receive a grant under this subsection, an eligible entity, in consultation with the appropriate State office of rural health or another appropriate State entity shall prepare and submit to the Secretary an application, at such time, in such manner, and containing such information as the Secretary may require, including— In awarding a grant under this subsection, the Director shall ensure that the funds made available through the grant will be used to provide services to residents of rural areas. The Director shall award not less than 50 percent of the funds made available under this subsection to providers located in and serving rural areas. An entity that receives a grant under this section may not use funds provided through the grant— The Secretary shall coordinate activities carried out under grant programs described in this section, to the extent practicable, with Federal and State agencies and nonprofit organizations that are operating similar grant programs, to maximize the effect of public dollars in funding meritorious proposals. In awarding grants under this section, the Secretary, as appropriate, shall give preference to entities that— Not later than 4 years after March 27, 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. There are authorized to be appropriated to carry out this section $79,500,000 for each of fiscal years 2021 through 2025.