What This Bill Does
This bill allows the federal government to give extra money to health centers that already receive grants. The extra money would help health centers create community transformation hubs. These hubs are networks of local organizations that work together to address social and economic factors that affect people's health.
Who It Affects
Health centers that receive federal grants. Community-based organizations that partner with health centers. The patients served by these health centers.
Key Provisions
• The Secretary of Health and Human Services can award extra funding to health centers to set up a community transformation hub that addresses social determinants of health (the social, economic and environmental factors that affect health) for the patients they serve. (Sec. 2(r)(1))
• A community transformation hub is a network of community-based organizations that can address major social determinants of health including access to transportation, food security, economic security, education access and quality, neighborhood safety, systemic racism, and the health of the built environment (the human-made structures and spaces in neighborhoods). (Sec. 2(r)(2))
• Before awarding extra funding, the Secretary must consider whether the health center has assessed the social determinants of health facing its patients and whether the proposed hub would adequately address those determinants. (Sec. 2(r)(3))
• Health centers can partner with community-based organizations to carry out activities funded by these awards through a contract, subgrant or memorandum of understanding (a written agreement between parties). (Sec. 2(r)(4))
• The Secretary may provide technical assistance (expert guidance and support) to award recipients for planning, developing and operating community transformation hubs. (Sec. 2(r)(5))
• Within one year after the law is enacted, the Secretary must issue guidance on how to keep community transformation hubs running after federal funding ends. (Sec. 2(r)(6))
What Changes
A new section is added to the Public Health Service Act that authorizes the government to provide supplemental (additional) awards to health centers to establish community transformation hubs.
Important Definitions
Community transformation hub: A network of community-based organizations that can address main social determinants of health, including access to transportation, food security, economic security, education access and quality, neighborhood safety, systemic racism, and the health of the built environment.
I
118TH CONGRESS
1ST SESSION H. R. 1072
To amend the Public Health Service Act to authorize supplemental awards
to health centers to establish community transformation hubs.
IN THE HOUSE OF REPRESENTATIVES
FEBRUARY 17, 2023
Ms. CLARKE of New York (for herself, Mr. CARTER of Louisiana, Mr. BOW-
MAN, Ms. BARRAGA´N, Ms. NORTON, Mrs. WATSON COLEMAN, Ms.
MOORE of Wisconsin, and Ms. LEE of California) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce
A BILL
To amend the Public Health Service Act to authorize supple-
mental awards to health centers to establish community
transformation hubs.
Be it enacted by the Senate and House of Representa-
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tives of the United States of America in Congress assembled,
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SECTION 1. SHORT TITLE.
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This Act may be cited as the ‘‘Health Center Commu-
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nity Transformation Hub Act’’.
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•HR 1072 IH
SEC. 2. SUPPLEMENTAL AWARDS TO SUPPORT COMMUNITY
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TRANSFORMATION HUBS.
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Section 330 of the Public Health Service Act (42
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U.S.C. 254b) is amended—
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(1) by redesignating subsection (r) as sub-
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section (s); and
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(2) by inserting after subsection (q) the fol-
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lowing:
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‘‘(r) SUPPLEMENTAL AWARDS TO SUPPORT COMMU-
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NITY TRANSFORMATION.—
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‘‘(1) IN GENERAL.—The Secretary may award
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to a health center receiving a grant under another
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provision of this section, as a supplement to such
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grant, funds to implement a community trans-
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formation hub to address the social determinants of
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health faced by patients served by the health center.
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‘‘(2) COMMUNITY TRANSFORMATION HUB DE-
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FINED.—In this subsection, the term ‘community
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transformation hub’ means a network of community-
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based organizations capable of addressing primary
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social determinants of health, including—
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‘‘(A) access to transportation;
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‘‘(B) food security;
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‘‘(C) economic security;
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‘‘(D) education access and quality;
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‘‘(E) neighborhood safety;
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•HR 1072 IH
‘‘(F) systemic racism; and
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‘‘(G) health of the built environment.
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‘‘(3)
CONSIDERATION.—In
making
supple-
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mental awards under this subsection, the Secretary
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shall consider—
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‘‘(A) whether the health center involved
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has conducted an assessment of the social de-
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terminants of health facing the health center’s
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patient population; and
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‘‘(B) whether the proposed community
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transformation hub would sufficiently address
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these determinants.
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‘‘(4) PARTNERSHIPS.—The Secretary may allow
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health centers receiving a supplemental award under
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this subsection to carry out the activities supported
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through the award in partnership with community-
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based organizations through a contract, a subgrant,
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or a memorandum of understanding.
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‘‘(5) TECHNICAL ASSISTANCE.—The Secretary
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may provide technical assistance to award recipients
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under this subsection with respect to planning, de-
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velopment, and operation of community trans-
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formation hubs supported under this subsection.
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‘‘(6) COORDINATION.—Not later than 1 year
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after the date of enactment of this subsection, the
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•HR 1072 IH
Secretary, acting through the Administrator of the
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Health Resources and Services Administration and
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the Administrator of the Centers for Medicare &
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Medicaid Services, shall issue guidance on sustaining
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community transformation hubs funded under this
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section after such funding terminates.’’.
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Æ
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