[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4431 Introduced in House (IH)]

103d CONGRESS
  2d Session
                                H. R. 4431

To authorize demonstration grants for the renovation of facilities and 
    the purchase of equipment for existing free health clinics that 
    exclusively serve individuals who are without health insurance.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 17, 1994

 Mr. Bateman introduced the following bill; which was referred to the 
                    Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
To authorize demonstration grants for the renovation of facilities and 
    the purchase of equipment for existing free health clinics that 
    exclusively serve individuals who are without health insurance.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Free Health Clinic Expansion Act''.

SEC. 2. DEMONSTRATION GRANTS FOR EXISTING FREE HEALTH CLINICS; 
              RENOVATION OF FACILITIES AND PURCHASE OF EQUIPMENT.

    (a) In General.--The Secretary of Health and Human Services may in 
accordance with this section make grants to nonprofit private health 
clinics that do not impose any charge for the provision of health 
services.
    (b) Purpose of Grant.--The Secretary may make a grant under 
subsection (a) only if the clinic involved agrees that the grant will 
not be expended for any purpose other than the renovation of 
facilities, and the purchase of equipment, for providing health 
services through the clinic.
    (c) Limitation on Amount of Grant.--A grant under subsection (a) 
may not exceed $4,000,000.
    (d) Requirements Regarding Free Care.--The Secretary may make a 
grant under subsection (a) only if the clinic involved meets the 
following conditions:
            (1) The clinic provides health services, with priority 
        given to the provision of primary health care.
            (2) The clinic does not impose any charge for the provision 
        of health services.
            (3) The health services of the clinic are made available 
        only to individuals who are without health insurance and whose 
        income does not exceed 125 percent of the official poverty 
        line.
            (4) None of the health care providers of the clinic 
        receives any compensation for the provision of services through 
        the clinic.
            (5) Not more than 1 individual among the staff of the 
        clinic receives any compensation for the provision of services 
        to the clinic, subject to paragraph (4).
            (6) The clinic agrees to continue operating the clinic in 
        accordance with the conditions described in paragraphs (1) 
        through (5).
    (e) Criteria Regarding Lack of Health Insurance.--For purposes of 
subsection (d)(3), an individual is without health insurance if--
            (1) the individual is not covered under any health 
        insurance policy or plan (including a group health plan or 
        prepaid plan and including an employee welfare benefit plan 
        under the Employee Retirement Income Security Act of 1974); and
            (2) the individual is not covered under the program of 
        title XVIII of the Social Security Act or the program of title 
        XIX of such Act, or any other government program that entitles 
        the individual to receive health services.
    (f) Application for Grant.--The Secretary may make a grant under 
subsection (a) only if an application for the grant is submitted to the 
Secretary and the application is in such form, is made in such manner, 
and contains such agreements, assurances, and information as the 
Secretary determines to be necessary to carry out this section.
    (g) Definitions.--For purposes of this section:
            (1) The term ``official poverty line'' means the official 
        poverty line established by the Director of the Office of 
        Management and Budget and revised by the Secretary in 
        accordance with section 673(2) of the Omnibus Budget 
        Reconciliation Act of 1981, which line is applicable to the 
        size of the family involved.
            (2) The term ``primary health care'' means the following 
        medical specialities: Family medicine, general internal 
        medicine, general pediatrics, and obstetrics and gynecology.
            (3) The term ``Secretary'' means the Secretary of Health 
        and Human Services.

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