Page:United States Statutes at Large Volume 92 Part 3.djvu/935

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PUBLIC LAW 95-000—MMMM. DD, 1978

PUBLIC LAW 95-626—NOV. 10, 1978 RESEARCH AND DEMONSTRATION PROJECTS FOR PRIMARY

92 STAT. 3567 CARE

SEC. 115. Part D of title III is further amended— 42 USC 241. (1) by adding after section 338 the following subpart 42 USC 254k. heading: "Subpart IV—Eesearch and Demonstration Projects in Primary Care"; and (2) by adding after such subpart heading the following new Grants and section:

contracts.

" P R I M A R Y CARE RESEARCH AND DEMONSTRATION PROJECTS

"SEC. 340. (a) The Secretary may make grants to, and enter into 42 USC 256. contracts with, public and private entities which provide health services— "(1) to demonstrate new and innovative methods for the provision of primary health services and dental health services, or " (2) to conduct research on such methods or on existing methods for the provision of primary health services and dental health services, to medical underserved populations or to such other populations as the Secretary determines are necessary to demonstrate or conduct research on particular methods. "(b) Grants and contracts may be made under subsection (a) to demonstrate and conduct research on— "(1) methods of attracting and retaining primary care physicians, dentists, physician assistants, nurse practitioners, and other health professionals, both individually and as teams, to train and practice among medical underserved populations; " (2) differing types of organizational models and relationships, including federations of health service centers, designed to meet unique primary health and dental health service needs; "(3) management and technological improvements (including new or improved methods for biomedical communication and medical and financial recordkeeping and billing systems) to ^ « ^ increase the productivity, effectiveness, efficiency, and financial stability of primary health and dental health service providers; "(4) methods of providing health promotion, disease prevention, and health education programs, including school health programs; "(5) methods of identifying, coordinating, and integrating existing primary health and dental health service programs with mental health and social service programs to maximize use of available resources, avoid duplication of effort, and ensure a coordinated, comprehensive care system; "(6) specific services or mixtures of services appropriate for a given area, including ambulatory care, home health care, environmental health services (described in section 330(a)(4)), community outreach activities, transportation services, and other supplemental health services (as defined in section 330(b)(2)); "(7) the effect of availability of primary health and home health services in terms of reduction of emergency room visits, hospitalizations, and institutionalization in long-term care facilities; "(8) the use of mobile health screening clinics to provide preventive health care services to meet the needs of medical underserved populations; and