Page:United States Statutes at Large Volume 92 Part 3.djvu/931

 PUBLIC LAW 95-626—NOV. 10, 1978 J

92 STAT. 3563

"PART D—PRIMARY HJBALTH CARE

"Subpart I—Primary Health Centers". (b) Sections 751(f) and 752(d) are each amended by striking out 42 USC 294t, "subpart II of part C" each place it appears and inserting in lieu 294u. thereof "subpart II of part D". HOSPITAL-AFFILIATED PRIMARY CARE CENTERS

SEC. 114. Subpart I of part D of title III (as provided for under sec- 42 USC 241. tion 113(a) of this Act) is amended by inserting before section 329 the Ante, p. 3551. following new section: " H O S P I T A L - A F F I L I A T E D PRIMARY CARE CENTERS

"SEC. 328. (a) For purposes of this section: " (1) The term 'community hospital' means a— "(A) public general hospital owned and operated by a State, county, or local unit of government or by a public benefit corporation, or "(B) private nonprofit hospital, which primarily serves a medical underserved population (as defined in section 330(b)(3)). " (2) The terms 'hospital-affiliated primary care center' and 'primary care center' mean a distinct administrative unit of a community hospital which is located in or adjacent to the hospital and which— "(A) provides primary health services (except that emergency medical services shall be provided to the extent practicable through referral to the emergency room of the community hospital) to a catchment area which is determined by the hospital and approved by the Secretary; " (B) provides, as may be appropriate for particular centers, supplemental health services necessary for the adequate support of primary health services; "(C) provides referral to providers of supplemental health services and payment, as appropriate and feasible, for their provision of such services; " (D) provides for, when the center is closed, at least referral to emergency medical services and authorized access to patient medical records on a twenty-four-hours-a-day, seven-daysa-week basis; and " (E) provides information on the availability and proper ' use of health services provided by the community hospital and the center. " (3) The term 'primary care group practice' means, with respect to a primary care center affiliated with a community hospital, any combination of physicians and other health care providers that includes at least three primary care physicians (as defined in section 771(b)(2)(F) (ii))— "(i) which combination is organized to provide primary health services in a manner which is consistent with the needs of the population to be served by the center, and which uses, where practicable in the provision of such services, nonphysician providers (particularly physician assistants and nurse practitioners) in concert with the physicians of the group practice;

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Definitions. 42 USC 254a-l.

42 USC 254c.

42 USC 295f-l.

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