Community and Migrant Health Centers Amendments of 1988

(Senate agreed to House amendment with an amendment) Community and Migrant Health Centers Amendments of 1988 - Amends title III (General Powers and Duties of Public Health Service) of the Public Health Service Act to: (1) add patient case management services to the list of services provided by migrant health centers; and (2) add to the list of services included in the term "supplemental health services" other services appropriate to meet the health needs of the population served by the migrant health center involved. Requires notice and an opportunity to offer information before the Secretary of Health and Human Services may alter a determination that an area is a high impact area. Requires that the schedule of fees or payments used by migrant health centers receiving grants under specified provisions be consistent with locally prevailing rates or charges. Allows grants for migrant health centers under specified provisions to be used for expansion as well as for acquisition and modernization of existing buildings. Allows construction of new buildings if appropriate facilities are not available through acquiring, modernizing, or expanding existing buildings, and subject to other conditions. Revises the limit on the amount of grants for costs of operation and allows a center, in certain circumstances, to retain all of specified types of excess income. Authorizes the Secretary to delegate the authority to administer migrant health center programs to any office within the Public Health Service, except that the authority to enter into, modify, or issue approvals with respect to grants or contracts may be delegated only within the central office of the Health Resources and Services Administration. Authorizes appropriations for grants under specified provisions for migrant health centers for FY 1989 through 1991. Authorizes the Secretary to make grants to assist centers in providing services for the reduction of infant mortality and developing and coordinating referrals regarding the health management of infants and pregnant women. Adds, with regard to community health centers, to the list of services included in the term "supplemental health services" other services appropriate to meet the health needs of the medically underserved population served by the community health center involved. Requires notice and an opportunity to comment before the Secretary may modify the criteria for determining the specific shortages of personal health services of an area or population group. Requires that the schedule of fees or payments used by community health centers receiving grants under specified provisions be consistent with locally prevailing rates or charges. Allows grants for community health centers under specified provisions to be used for expansion as well as for acquisition and modernization of existing buildings. Allows construction of new buildings if appropriate facilities are not available through acquiring, modernizing, or expanding existing buildings, and subject to other conditions. Revises the limit on the amount of grants for costs of operation and allows a center, in certain circumstances, to retain all of specified types of excess income. Authorizes the Secretary to delegate the authority to administer community health center programs to any office within the Public Health Service, except that the authority to enter into, modify, or issue approvals with respect to grants or contracts may be delegated only within the central office of the Health Resources and Services Administration. Authorizes appropriations for grants under specified provisions for community health centers for FY 1989 through 1991. Authorizes the Secretary to make grants to community health centers to assist centers in providing services for the reduction of infant mortality and developing and coordinating referrals regarding the health management of infants and pregnant women. Directs the Secretary, in making grants to community health centers, to give special consideration to the unique needs of frontier areas.

(Measure passed House, amended (Inserted text of H.R. 4503 as passed House)) Community and Migrant Health Centers Amendments of 1988 - Amends title III (General Powers and Duties of Public Health Service) of the Public Health Service Act to: (1) add patient case management services to the list of services provided by migrant health centers; and (2) add to the list of services included in the term "supplemental health services" other services appropriate to meet the health needs of the population served by the migrant health center involved. Requires notice and an opportunity to offer information before the Secretary of Health and Human Services may alter a determination that an area is a high impact area. Requires that the schedule of fees or payments used by migrant health centers receiving grants under specified provisions be consistent with locally prevailing rates or charges. Allows grants for migrant health centers under specified provisions to be used for expansion as well as for acquisition and modernization of existing buildings. Authorizes appropriations for grants under specified provisions for migrant health centers for FY 1989 through 1991. Authorizes the Secretary to make grants to assist centers in providing services for the reduction of infant mortality and developing and coordinating referrals regarding the health management of infants and pregnant women. Adds, with regard to community health centers, to the list of services included in the term "supplemental health services" other services appropriate to meet the health needs of the medically underserved population served by the community health center involved. Requires notice and an opportunity to comment before the Secretary may modify the criteria for determining the specific shortages of personal health services of an area or population group. Requires that the schedule of fees or payments used by community health centers receiving grants under specified provisions be consistent with locally prevailing rates or charges. Allows grants for community health centers under specified provisions to be used for expansion as well as for acquisition and modernization of existing buildings. Authorizes appropriations for grants under specified provisions for community health centers for FY 1989 through 1991. Authorizes the Secretary to make grants to community health centers to assist centers in providing services for the reduction of infant mortality and developing and coordinating referrals regarding the health management of infants and pregnant women. Directs the Secretary, in making grants to community health centers, to give special consideration to the unique needs of frontier areas.

(Measure passed Senate, amended) Family Health Services Amendments Act of 1988 - Title I: Primary Health Centers - Amends title III (General Powers and Duties of Public Health Service) of the Public Health Service Act to add patient case management services to the list of services provided by migrant health centers. Prohibits the Secretary of Health and Human Services from removing a project or program's high impact area designation without notice and an opportunity for the project or program to provide data and information. Adds to the list of services included in the term "supplemental health services" other services appropriate to meet the health needs of the service area population served by a migrant health center. Allows grants for migrant health centers under specified provisions to be used for expansion of existing buildings and construction of new facilities as well as for acquiring and modernizing existing buildings. Revises the limit on the amount of grants and allows centers, in certain circumstances, to retain all of specified types of excess income. Requires that the schedule of fees or payments used by migrant health centers receiving grants under specified provisions be consistent with locally prevailing rates or charges. Authorizes appropriations for grants for migrant health centers for FY 1989 through 1991. Directs the Secretary, if appropriations under such authorization exceed specified levels, to make grants to assist centers in providing services for the reduction of infant mortality and developing and coordinating referrals regarding the health management of infants and pregnant women. Directs the Secretary to prescribe procedures to assure that, except for cause and with notice and opportunity for a hearing: (1) no grant is terminated; and (2) no application for a grant from a program or project that received a grant in the prior year is denied. Amends the Public Health Service Act to: (1) add patient case management services to the list of services provided by community health centers, and (2) add to the list of services included in the term "supplemental health services" other services appropriate to meet the health needs of the service area population. Requires notice and an opportunity to comment before the Secretary may modify the criteria for determining the specific shortages of personal health services of an area or population group. Allows grants for community health centers under specified provisions to be used for expansion of existing buildings and construction of new facilities as well as for acquiring and modernizing existing buildings. Revises the limit on the amount of grants and allows a center, in certain circumstances, to retain all of specified types of excess income. Requires that the schedule of fees or payments used by community health centers receiving grants under specified provisions be consistent with locally prevailing rates or charges. Authorizes appropriations for FY 1989 through 1991 for such grants. Directs the Secretary, if appropriations under such authorization exceed specified levels, to make grants to assist centers in providing services for the reduction of infant mortality and developing and coordinating referrals regarding the health management of infants and pregnant women. Directs the Secretary to prescribe procedures to assure that, except for cause and with notice and opportunity for a hearing: (1) no grant is terminated; and (2) no application for a grant from a program or project that received a grant in the prior year is denied. Directs the Secretary, in making grants to community health centers, to give special consideration to the unique needs of frontier areas. Authorizes the Secretary to delegate the authority to administer migrant health center and community health center programs to any office within the Public Health Service, except that the authority to enter into, modify, or issue approvals with respect to grants or contracts may be delegated only within the central office of the Health Resources and Services Administration. Title II: Health Services for the Homeless - Amends the Public Health Service Act to limit Federal matching funds after the first fiscal year to 75 percent of service costs with regard to grants for health assistance for the homeless. (Current law provides for 75 percent Federal funding for the first fiscal year and 66 and two-thirds percent thereafter.) Authorizes the continued provision for up to 12 months of certain health (including mental health) services to former homeless persons currently living in permanent housing. Includes persons living in transitional housing within the definition of "homeless individual" for purposes of such grants. Authorizes appropriations for such grants for FY 1989 through 1991.

Family Health Services Amendments Act of 1988 - Title I: Primary Health Centers - Amends title III (General Powers and Duties of Public Health Service) of the Public Health Service Act to add patient case management services to the list of services provided by migrant health centers. Prohibits the Secretary of Health and Human Services from removing a project or program's high impact area designation without notice and an opportunity for the project or program to provide data and information. Adds to the list of services included in the term "supplemental health services" other services appropriate to meet the health needs of the service area population served by a migrant health center. Allows grants for migrant health centers under specified provisions to be used for expansion of existing buildings and construction of new facilities as well as for acquiring and modernizing existing buildings. Revises the limit on the amount of grants and allows, in certain circumstances, a center to retain all of specified types of excess income. Requires that the schedule of fees or payments used by migrant health centers receiving certain grants be consistent with locally prevailing rates or charges. Authorizes appropriations for grants for migrant health centers for FY 1989 through 1991. Directs the Secretary, if appropriations under such authorization exceed specified levels, to make grants to assist centers in providing services for the reduction of infant mortality and developing and coordinating referrals regarding the health management of infants and pregnant women. Directs the Secretary to prescribe procedures to assure that, except for cause and with notice and opportunity for a hearing: (1) no grant is terminated; and (2) no application for a grant from a program or project that received a grant in the prior year is denied. Amends the Public Health Service Act to: (1) add patient case management services to the list of services provided by community health centers; and (2) add to the list of services included in the term "supplemental health services" other services appropriate to meet the health needs of the service area population. Requires notice and an opportunity to comment before the Secretary may modify the criteria for determining the specific shortages of personal health services of an area or population group. Allows grants for community health centers under specified provisions to be used for expansion of existing buildings and construction of new facilities as well as for acquiring and modernizing existing buildings. Revises the limit on the amount of grants and allows, in certain circumstances, a center to retain all of specified types of excess income. Requires that the schedule of fees or payments used by community health centers receiving certain grants be consistent with locally prevailing rates or charges. Authorizes appropriations for FY 1989 through 1991 for such grants. Directs the Secretary, if appropriations under such authorization exceed specified levels, to make grants to assist centers in providing services for the reduction of infant mortality and developing and coordinating referrals regarding the health management of infants and pregnant women. Directs the Secretary to prescribe procedures to assure that, except for cause and with notice and opportunity for a hearing: (1) no grant is terminated; and (2) no application for a grant from a program or project that received a grant in the prior year is denied. Directs the Secretary, in making grants to community health centers, to give special consideration to the unique needs of frontier areas. Authorizes the Secretary to delegate the authority to administer migrant health center and community health center programs to any office within the Public Health Service, except that the authority to enter into, modify, or issue approvals with respect to grants or contracts may be delegated only within the central office of the Health Resources and Services Administration. Title II: Health Services for the Homeless - Amends the Public Health Service Act to limit Federal matching funds to 75 percent of service costs with regard to grants for health assistance for the homeless. (Current law provides for 75 percent Federal funding for the first fiscal year and 66 and two-thirds percent thereafter.) Authorizes the continued provision for up to 12 months of certain health (including mental health) services to former homeless persons currently living in permanent housing. Includes persons living in transitional housing within the definition of "homeless individual" for purposes of such grants. Authorizes appropriations for such grants for FY 1989 through 1991. Title III: Prevention and Control of Sexually Transmitted Diseases - Amends the Public Health Service Act to authorize appropriations for FY 1988 through 1990 for grants for the diagnosis, prevention, and control of sexually transmitted diseases and acquired immune deficiency syndrome (AIDS). Requires grants relating to sexually transmitted diseases to include grants for the prevention and control of, and for research and other activities relating to, chlamydia.