Health Planning Amendments

Summary

Health Planning Amendments - Title I: Revision and Extension of National Health Planning and Development Authority - Amends the Public Health Service Act to permit the Governor of any State which comprises part of an interstate health service area, such an area being an entity designed to facilitate health planning and development functions for a specified region, to request, without the concurrence of the Governors of other States which are part of such area, the redesignation of an interstate area made up of an entire standard metropolitan statistical area. States that no proposed revision of the boundaries of a health service area shall comprise an entire State without prior consensus of the Governor. Directs health systems agencies, such agencies being the bodies designated to provide health planning and development services in a health service area, and Statewide Health Coordinating Councils, to adopt procedures to ensure that no such agency or Council member, employee, consultant, or agent have any actual or apparent conflict of interests with any persons, organization or other entities. Sets forth criteria for selecting health system agency governing body and executive committee members. Directs that there be opportunity for residents of a health service area to participate in the selection process. Excludes from the open meeting requirement confidential agency meetings on personnel issues. Provides for the inclusion on the governing bodies of agencies of persons having their principal place of business within the health service area, doctors of medicine and osteopathy, and nonprofessional health workers. Adds to the statement of goals to be included in the Health Systems Plan (HSP) of a health systems agency a description of institutional health services needed in the area. Requires a State health plan prepared by the Council to have the concurrence of the Governor. Requires a State health coordinating council to coordinate the State health plan with the State mental health plan developed pursuant to the Community Mental Health Centers Act. Requires such plan to assess the minimum requirements for institutional health services and specified other health services. Prohibits the Secretary of Health, Education, and Welfare from making any grant to a State health planning and development agency which does not have a State health plan in effect. Mandates health systems agencies to provide technical assistance in obtaining and filling out necessary forms to applicants applying for projects to achieve the HSP. Allows funds granted for State health planning and development and for regulation of health care rates to be used in a periods succeeding that for which it was granted without being deducted from the subsequent grant award. Extends the period of designation of a health systems agency from one to three years. Provides for a three year extension of such designation. Raises minimum grants to such agencies. Reduces by 25 percent per year for each year during which a State has not designated a State health planning and development agency, the amount of any allotment, grant, loan, or loan guarantee which the Secretary may have committed to a State under this Act. Requires periodic reviews of projects for which a certificate-of-need was issued. Authorizes appropriations for fiscal years 1979, 1980, and 1981 for (1) grants to the States for specified health planning and development purposes, and (2) grants and allotments to the States for health resources development. Title II: Revision and Extension of Health Resources Development Authority - Requires the Governor of a State, as well as the Statewide Health Coordinating Council, to approve any State medical facilities plan under Title XVI (Health Resources Development) of the Public Health Service Act. Authorizes appropriations under such title for fiscal years 1979, 1980, and 1981 for the modernization, conversion, and construction of medical facilities. Directs the Secretary to establish a program of financial assistance to encourage the voluntary consolidation of duplicative hospital services and the discontinuance of unneeded hospital inpatient services. Allows incentive payments received to be used for: (1) the planning, development, and delivery of ambulatory care services; (2) home health care services; (3) long term services; (4) other services designated by the Secretary; (5) preparation of a hospital to serve patients of a closed hospital or reasonable termination pay for personnel who lose employment because of discontinued services; or (6) retraining personnel and assisting them in securing employment. Sets forth provisions governing the application for such incentive payments and the administration of the payment plan. Title III: Miscellaneous Amendments - Repeals Title IX (Education, Research Training, and Demonstration in the fields of Heart Disease, Cancer, Stroke, Kidney Disease, and Other Related Diseases) of the Public Health Service Act.

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Documents

2 official files

• Passed Senate amended

  summary · EN · 27 July 1978

  Open at official source

• Introduced in Senate

  summary · EN · 23 January 1978

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