90R3834 LRM-D
 
  By: Lalani H.B. No. 147
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to a community health clinic grant program.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Chapter 64, Health and Safety Code, is amended by
  designating Section 64.001 as Subchapter A and adding a subchapter
  heading to read as follows:
  SUBCHAPTER A.  TEACHING HOSPITAL ACCOUNT
         SECTION 2.  Chapter 64, Health and Safety Code, is amended by
  adding Subchapter B to read as follows:
  SUBCHAPTER B.  COMMUNITY HEALTH CLINIC GRANT PROGRAM
         Sec. 64.051.  DEFINITIONS. In this subchapter:
               (1)  "Charitable clinic" means a private, nonprofit,
  community-based organization that provides health care services to
  low-income, underinsured, or uninsured individuals at nominal or no
  cost through the use of volunteer health care professionals and
  health care professional partnerships.
               (2)  "Community health clinic" means a
  community-driven, nonprofit health clinic located in a medically
  underserved area or serving populations that are medically
  underserved.  The term includes:
                     (A)  a community health center;
                     (B)  a federally qualified health center, as
  defined by 42 U.S.C. Section 1396d(l)(2)(B);
                     (C)  a rural health clinic; and
                     (D)  a charitable clinic.
               (3)  "Grant program" means the community health clinic
  grant program established under this subchapter.
         Sec. 64.052.  ESTABLISHMENT AND ADMINISTRATION OF GRANT
  PROGRAM. The executive commissioner by rule shall establish and
  the commission shall administer a community health clinic grant
  program to increase access to health care, improve health outcomes,
  reduce health disparities, and achieve health equity in medically
  underserved areas of this state by:
               (1)  improving the provision of preventative care,
  screening, and treatment for chronic health conditions, including
  diabetes, hypertension, and obesity; and
               (2)  strengthening the availability and capacity of
  community health clinics to provide affordable, high-quality
  health care services to medically underserved individuals.
         Sec. 64.053.  APPLICATION. (a)  A community health clinic
  may apply to the commission to receive money under the grant program
  if the clinic:
               (1)  is located in a county with a population of 800,000
  or more, adjacent to a county with a population of 4 million or
  more; and
               (2)  either:
                     (A)  operates in a medically underserved area of
  the county; or
                     (B)  serves a medically underserved population in
  the county.
         (b)  An application submitted under this section must
  identify the specific purpose for which the grant is requested,
  such as preventative care, screening, or treatment for diabetes,
  hypertension, or obesity.
         Sec. 64.054.  AWARD OF GRANTS. (a) The executive
  commissioner, by rule, shall establish eligibility criteria for the
  commission to award grants under the grant program.
         (b)  The commission may award a grant under the grant program
  to an eligible applicant for the specific purpose identified in the
  application under Section 64.053(b).
         (c)  The amount of a grant awarded under this section for a
  specific purpose identified in the application under Section
  64.053(b) may not exceed $5 million.
         (d)  A community health clinic may apply for and be awarded
  multiple grants, provided each grant is awarded for a specific
  purpose identified in the application.
         Sec. 64.055.  USE OF GRANT MONEY. A grant recipient may use
  money awarded under the grant program only for the specific purpose
  identified in the application under Section 64.053(b).  The
  executive commissioner shall adopt rules governing the use of money
  awarded under the grant program.
         Sec. 64.056.  FUNDING. The commission shall award grants as
  provided by this subchapter using money appropriated to the
  commission for that purpose.  Out of the appropriated money, the
  commission shall allocate $200 million each fiscal biennium for
  grant awards under this subchapter.
         Sec. 64.057.  RULES. The executive commissioner shall adopt
  rules necessary to implement and administer this subchapter.
         SECTION 3.  Not later than January 1, 2028, the executive
  commissioner of the Health and Human Services Commission shall
  adopt the rules necessary to implement Subchapter B, Chapter 64,
  Health and Safety Code, as added by this Act.
         SECTION 4.  This Act takes effect September 1, 2027.