| 1 | A bill to be entitled |
| 2 | An act relating to the area health education center |
| 3 | network; amending s. 381.0402, F.S.; requiring the |
| 4 | Department of Health to cooperate with specified medical |
| 5 | schools in maintaining and evaluating the network; |
| 6 | expanding the purposes of the network; requiring the |
| 7 | department to contract with the medical schools to provide |
| 8 | funds to the network; providing that the persons to be |
| 9 | served by the network are "medically underserved |
| 10 | populations" rather than "low-income persons"; requiring |
| 11 | that the network link the provision of primary care |
| 12 | services to medically underserved populations with the |
| 13 | education of medical students, interns, and residents, |
| 14 | students in the health care professions, and health care |
| 15 | providers serving medically underserved populations; |
| 16 | amending s. 381.0405, F.S.; providing that the Office of |
| 17 | Rural Health assume responsibility for state coordination |
| 18 | of federal rural hospital and rural health care grant |
| 19 | programs; deleting obsolete provisions; creating s. |
| 20 | 381.0409, F.S.; authorizing the department to coordinate |
| 21 | with the Federal Government in carrying out certain |
| 22 | activities relating to the recruitment and placement of |
| 23 | health practitioners in medically underserved areas; |
| 24 | providing an effective date. |
| 25 |
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| 26 | Be It Enacted by the Legislature of the State of Florida: |
| 27 |
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| 28 | Section 1. Section 381.0402, Florida Statutes, is amended |
| 29 | to read: |
| 30 | 381.0402 Area health education center network.--The |
| 31 | department, in cooperation with the state-approved medical |
| 32 | schools located in this state which form the area health |
| 33 | education center network in this state, shall maintain and |
| 34 | evaluate organize an area health education center network |
| 35 | focused based on earlier medically indigent demonstration |
| 36 | projects and shall evaluate the impact of each network on |
| 37 | improving access to health services by persons who are medically |
| 38 | underserved. The network shall serve as be a catalyst for the |
| 39 | primary care training of health professionals by increasing |
| 40 | through increased opportunities for training in medically |
| 41 | underserved areas, increasing access to primary care services, |
| 42 | providing health workforce recruitment, enhancing the quality of |
| 43 | health care, and addressing current and emerging public health |
| 44 | issues. |
| 45 | (1) The department shall contract with the medical schools |
| 46 | to assist in funding the an area health education center |
| 47 | network, which links the provision of primary care services to |
| 48 | medically underserved populations low-income persons with the |
| 49 | education of: |
| 50 | (a) Medical students, interns, and residents. The network |
| 51 | shall: |
| 52 | (a) Be coordinated with and under contract with the state- |
| 53 | approved medical schools, which shall be responsible for the |
| 54 | clinical training and supervision. |
| 55 | 1.(b) Divide the state into service areas within the |
| 56 | network for with each state-approved medical school coordinating |
| 57 | the recruitment recruiting, training, and retention of medical |
| 58 | students within its assigned area. |
| 59 | (c) Use a multidisciplinary approach with appropriate |
| 60 | medical supervision. |
| 61 | 2.(d) Use current community resources, such as county |
| 62 | health departments, federally funded community or migrant health |
| 63 | primary care centers, and or other primary health care |
| 64 | providers, as community-based sites for training medical |
| 65 | students, interns, and residents. |
| 66 | 3. Use a multidisciplinary approach with appropriate |
| 67 | medical supervision. |
| 68 | (b) Students in the health care professions. The network |
| 69 | shall: |
| 70 | 1. Facilitate the recruitment, training, and retention of |
| 71 | students in the health care professions within service areas. |
| 72 | 2. Use community resources, such as county health |
| 73 | departments, federally funded community or migrant health |
| 74 | centers, and other primary health care providers, as sites for |
| 75 | training students in the health care professions. |
| 76 | 3. Use a multidisciplinary approach with appropriate |
| 77 | medical supervision. |
| 78 | (c) Health care providers serving medically underserved |
| 79 | populations. The network shall: |
| 80 | 1. Assist providers in medically underserved areas and |
| 81 | other safety net providers in remaining current in their fields |
| 82 | through a variety of community resource initiatives. |
| 83 | 2. Strengthen the health care safety net in this state by |
| 84 | enhancing services and increasing access to care in medically |
| 85 | underserved areas. |
| 86 | 3. Provide other services, such as library and information |
| 87 | resources, continuing professional education, technical |
| 88 | assistance, and other support services, for providers who serve |
| 89 | in medically underserved areas. |
| 90 | (2) The department shall establish criteria and procedures |
| 91 | for quality assurance, performance evaluations, periodic audits, |
| 92 | and other appropriate safeguards for the network. |
| 93 | (3) The department shall make every effort to assure that |
| 94 | the network does participating medical schools do not |
| 95 | discriminate among enrollees with respect to age, race, sex, or |
| 96 | health status. However, the network such schools may target |
| 97 | high-risk medically needy population groups. |
| 98 | (4) The department may use no more than 5 percent of the |
| 99 | annual appropriation for administering and evaluating the |
| 100 | network. |
| 101 | Section 2. Paragraph (f) of subsection (4) of section |
| 102 | 381.0405, Florida Statutes, is amended to read: |
| 103 | 381.0405 Office of Rural Health.-- |
| 104 | (4) COORDINATION.--The office shall: |
| 105 | (f) Assume responsibility for state coordination of the |
| 106 | Rural Hospital Transition Grant Program, the Essential Access |
| 107 | Community Hospital Program, and other federal rural hospital and |
| 108 | rural health care grant programs. |
| 109 | Section 3. Section 381.0409, Florida Statutes, is created |
| 110 | to read: |
| 111 | 381.0409 Coordination with federal health professional |
| 112 | recruitment and placement programs.--The department may |
| 113 | coordinate with the Federal Government to designate health |
| 114 | professional shortage areas and medically underserved areas, to |
| 115 | recommend foreign physicians for visa waivers, to document |
| 116 | health professionals working in the public interest, and to |
| 117 | place health care professionals in medically underserved areas |
| 118 | using federally funded recruitment incentive programs. |
| 119 | Section 4. This act shall take effect July 1, 2006. |