Establishing community health teams to support the patient-centered medical home

The Secretary of Health and Human Services (referred to in this section as the “Secretary”) shall establish a program to provide grants to or enter into contracts with eligible entities to establish community-based interdisciplinary, interprofessional teams (referred to in this section as “health teams”) to support primary care practices, including obstetrics and gynecology practices, within the hospital service areas served by the eligible entities. Grants or contracts shall be used to— To be eligible to receive a grant or contract under subsection (a), an entity shall— A health team established pursuant to a grant or contract under subsection (a) shall— support patient-centered medical homes, defined as a mode of care that includes— provide support necessary for local primary care providers to— provide 24-hour care management and support during transitions in care settings including— A provider who contracts with a care team shall— An entity that receives a grant or contract under subsection (a) shall submit to the Secretary a report that describes and evaluates, as requested by the Secretary, the activities carried out by the entity under subsection (c). In this section, the term “primary care” means the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community.