SB 315, as introduced, Monning. Health care access demonstration project grants.
Existing law establishes a program for the California Health Facilities Authority to award grants that do not exceed $1,500,000 to one or more projects designed to demonstrate specified new or enhanced cost-effective methods of delivering quality health care services to improve access to quality health care for vulnerable populations or communities, or both, that are effective at enhancing health outcomes and improving access to quality health care and preventive services. Existing law authorizes the authority, if a demonstration project receiving a grant is successful at developing such a new method of delivering high-quality and cost-effective health care services, to implement a 2nd grant program, as specified, to replicate in additional California communities the model developed by that demonstration project. Existing law requires the authority to prepare and provide a report to the Legislature and the Governor on the outcomes of the demonstration grant program that includes, among other information, the total amount of grants issued and the amount of each grant issued.
This bill would create the California Health Access Model Program Two Account within the California Health Facilities Financing Authority Fund for purposes of administering a 2nd competitive grant selection process, in accordance with existing grant provisions, to fund one or more projects designed to demonstrate specified new or enhanced cost-effective methods of delivering quality health care services to improve access to quality health care for vulnerable populations or communities, or both. The bill would transfer up to $6,500,000 from the California Health Facilities Financing Authority Hospital Equipment Loan Program Fund to the account for the purposes of the bill, and would require that any moneys remaining in the account as of January 1, 2023, revert to California Health Facilities Financing Authority Hospital Equipment Loan Program Fund. By expanding the purposes for which a continuously appropriated fund may be used, this bill would make an appropriation.
The bill would also require the authority to prepare and provide a report to the Legislature and the Governor by January 1, 2017, on the outcomes of this 2nd competitive grant selection process, as specified.
Vote: majority. Appropriation: yes. Fiscal committee: yes. State-mandated local program: no.
The people of the State of California do enact as follows:
Section 15438.10 of the Government Code is
2amended to read:
(a) The Legislature finds and declares the following:
4(1) Many Californians face serious obstacles in obtaining needed
5health care services, including, but not limited to, medical, mental
6health, dental, and preventive services. The obstacles faced by
7vulnerable populations and communities include existence of
8complex medical, physical, or social conditions, disabilities,
9economic disadvantage, and living in remote or underserved areas
10that make it difficult to access services.
11(2) With the recent passage of national health care reform, there
12is an increased demand for innovative ways to deliver quality
13health care, including preventive services, to individuals in a
14cost-effective manner.
15(3) There is a need to develop new methods of delivering health
16services utilizing innovative models that can be demonstrated to
17be effective and then replicated throughout California and that
18bring community-based health care preventive services to
19individuals where they live or receive education, social, or general
20health services.
21(4) For more than 30 years, the California Health Facilities
22Financing Authority has provided financial assistance through
P3 1tax-exempt bonds, low-interest loans, and grants to health facilities
2in California, assisting in the expansion of the availability of health
3services and health care facilities throughout the state.
4(b) (1) Following the completion of a competitive selection
5process, the authority may award one or more grants that, in the
6aggregate, do not exceed
one million five hundred thousand dollars
7($1,500,000) to one or more projects designed to demonstrate
8specified new or enhanced cost-effective methods of delivering
9quality health care services to improve access to quality health
10care for vulnerable populations or communities, or both, that are
11effective at enhancing health outcomes and improving access to
12quality health care and preventive services. These health care
13services may include, but are not limited to, medical, mental health,
14or dental services for the diagnosis, care, prevention, and treatment
15of human illness, or individuals with physical, mental, or
16developmental disabilities. More than one demonstration project
17may receive a grant pursuant to this section. It is the intent of the
18Legislature for a demonstration project that receives a grant to
19allow patients to receive screenings, diagnosis, or treatment in
20community settings, including, but not limited to, school-based
21health centers, adult day care centers, and residential care facilities
22
for the elderly, or for individuals with mental illness or
23developmental disabilities.
24(2) A grant awarded pursuant to this subdivision may be
25allocated in increments to a demonstration project over multiple
26years to ensure the demonstration project’s ability to complete its
27work, as determined by the authority. Prior to the initial allocation
28of funds pursuant to this subdivision, the administrators of the
29demonstration project shall provide evidence that the demonstration
30project has or will have additional funds sufficient to ensure
31completion of the demonstration project. If the authority allocates
32a grant in increments, each subsequent year’s allocation shall be
33provided to the demonstration project only upon submission of
34research that shows that the project is progressing toward the
35identification of a high-quality and cost-effective delivery model
36that improves health outcomes and access to quality health care
37and preventive services
for vulnerable populations or communities,
38and can be replicated throughout the state in community settings.
39(3) Except for a health facility that qualifies as a “small and
40rural hospital” pursuant to Section 124840 of the Health and Safety
P4 1Code, a health facility that has received tax-exempt bond financing
2from the authority shall not be eligible to receive funds awarded
3for a demonstration project. Such a health facility may participate
4as an uncompensated partner or member of a collaborative effort
5that is awarded a demonstration project grant. A health facility
6that participates in a demonstration project that receives funds
7pursuant to this section may not claim the funding provided by the
8authority toward meeting its community benefit and charity care
9obligations.
10(4) Funds provided to a demonstration project pursuant to this
11subdivision may be used to supplement, but not to
supplant,
12existing financial and resource commitments of the grantee or
13grantees or any other member of a collaborative effort that has
14been awarded a demonstration project grant.
15(c) (1) If a demonstration project that receives a grant pursuant
16to subdivision (b) is successful at developing a new method of
17delivering high-quality and cost-effective health care services in
18community settings that result in increased access to quality health
19care and preventive services or improved health care outcomes for
20vulnerable populations or communities, or both, then beginning
21as early as the second year after the initial allocation of moneys
22provided pursuant to subdivision (b), the authority may implement
23a second grant program that awards not more than five million
24dollars ($5,000,000), in the aggregate, to eligible recipients as
25defined by the authority, to replicate in additional California
26communities the model developed by a
demonstration project that
27received a grant pursuant to subdivision (b). Prior to the
28implementation of this second grant program, the authority shall
29prepare and provide a report to the Legislature and the Governor
30on the outcomes of the demonstration project. The report shall be
31made in accordance with Section 9795.
32(2) If the authority implements the second grant program, the
33authority shall also report annually, beginning with the first year
34of implementation of the second grant program, to the Legislature
35and the Governor regarding the program, including, but not limited
36to, the total amount of grants issued pursuant to this subdivision,
37the amount of each grant issued, and a description of each project
38awarded funding for replication of the model.
39(3) Grants under this subdivision may be utilized for eligible
40costs, as defined in subdivision (c) of Section 15432, including
P5 1
equipment, information technology, and working capital, as defined
2in subdivision (h) of Section 15432.
3(4) The authority may adopt regulations relating to the grant
4program authorized pursuant to this subdivision, including
5regulations that define eligible recipients, eligible costs, and
6minimum and maximum grant amounts.
7(d) (1) The authority shall prepare and provide a report to the
8Legislature and the Governor by January 1, 2014, on the outcomes
9of the demonstration grant program, including, but not limited to,
10the following:
11(A) The total amount of grants issued.
12(B) The amount of each grant issued.
13(C) A description of other sources of funding for each project.
14(D) A description of each project awarded funding.
15(E) A description of project outcomes that demonstrate
16cost-effective delivery of health care services in community
17settings, that result in improved access to quality health care or
18improved health care outcomes.
19(2) The authority shall prepare and provide a report to the
20Legislature and the Governor by January 1, 2017, on the outcomes
21of the second competitive grant selection process authorized in
22subdivision (g), including, but not limited to, the information
23specified in subparagraphs (A) to (E), inclusive, of paragraph (1).
24(2)
end delete
25begin insert(3)end insert A report submitted pursuant to this subdivision shall be
26submitted in compliance with Section 9795.
27(e) There is hereby created the California Health Access Model
28Program Account in the California Health Facilities Financing
29Authority Fund. All moneys in the account are hereby continuously
30appropriated to the authority for carrying out the purposes of this
31section. An amount of up to six million five hundred thousand
32dollars ($6,500,000) shall be transferred from funds in the
33California Health Facilities Financing Authority Fund that are not
34impressed with a trust for other purposes into the California Health
35Access Model Program Account for the purpose of issuing grants
36pursuant to this section. Any moneys remaining in the California
37Health Access Model Program Account on
January 1, 2020, shall
38revert as of that date to the California Health Facilities Financing
39Authority Fund.
P6 1(f) Any recipient of a grant provided pursuant to subdivision
2(b) shall adhere to all applicable laws relating to scope of practice,
3licensure, staffing, and building codes.
4(g) There is hereby created the California Health Access Model
5Program Two Account within the California Health Facilities
6Financing Authority Fund for purposes of administering a second
7competitive grant selection process, in accordance with
8subdivisions (b) and (c), to fund one or more projects designed to
9demonstrate specified new or enhanced cost-effective methods of
10delivery quality health care services to improve access to quality
11health care for vulnerable populations or communities, or both.
12An amount of up to six
million five hundred thousand dollars
13($6,500,000) shall be transferred from funds in the California
14Health Facilities Financing Authority Hospital Equipment Loan
15Program Fund that are not impressed with a trust for other
16purposes into the California Health Access Model Program Two
17Account for the purpose of administering a second competitive
18grant selection process pursuant to this subdivision. Any moneys
19remaining in the California Health Access Model Program Two
20Account on January 1, 2023, shall revert as of that date to the
21California Health Facilities Financing Authority Hospital
22Equipment Loan Program Fund.
O
99