1 2 76 "SHORT TITLE "SEC. 245. This title may be cited as the 'Community 3 Mental Health Centers Act'.". 4 SEC. 305. (a) Not later than one year after the date 5 of the enactment of this Act the Secretary of Health, Educa6 tion, and Welfare shall make a report to the Committee on 7 Interstate and Foreign Commerce of the House of Repre8 sentatives and the Committee on Labor and Public Welfare 9 of the Senate setting forth a plan, to be carried out in a 10 period of five years, for the extension of comprehensive 11 mental health services through community mental health 12 centers to persons in all areas in which there is a demon13 strated need for such services. Such plan shall, at a minimum, 14 indicate on a phased basis the number of persons to be served 15 by such services and an estimate of the cost and personnel 16 requirements needed to provide such services. 17 (b) Not later than eighteen months after the date of 18 the enactment of this Act the Secretary of Health, Education, 19 and Welfare shall submit to the Committee on Interstate and 20 Foreign Commerce of the House of Representatives and the 21 Committee on Labor and Public Welfare of the Senate a 22 report setting forth (1) national standards for care provided 23 by community mental health centers, and (2) criteria for evaluation of community mental health centers and the qual25 ity of the services provided by the centers. 24 49-210 O 75-6 77 1 2 3 TITLE IV-MIGRANT HEALTH CENTERS MIGRANT HEALTH CENTERS SEC. 401. (a) Section 319 of the Public Health Service 4 Act is amended to read as follows: 67 "SEC. 319. (a) For purposes of this section: "(1) The term 'migrant health center' means an entity 8 which either through its staff and supporting resources or 9 through contracts or cooperative arrangements with other 10 public or private entities provides 11 12 13 14 15 16 17 18 19 20 "(A) primary health services, "(B) as may be appropriate for particular centers, supplemental health services necessary for the adequate support of primary health services, "(C) referral to providers of supplemental health services and payment, as appropriate and feasible, for their provision of such services, "(D) environmental health services, including, as may be appropriate for particular centers, the detection and alleviation of unhealthful conditions associated with 21 water supply, sewage treatment, solid waste dis 22 posal, rodent and parasitic infestation, field sanitation, 23 housing, and other environmental factors related to 1 78 "(E) as may be appropriate for particular centers, infectious and parasitic disease screening and control, (F) as may be appropriate for particular centers, accident prevention, including prevention of excessive 2 3 4 5 6 7 pesticide exposure, and "(G) information on the availability and proper use of health services, 8 for migratory agricultural workers, seasonal agricultural 9 workers, and the members of the families of such migratory 10 and seasonal workers, within the area it serves (referred to in this section as a 'catchment area'). 11 12 "(2) The term 'migratory agricultural worker' means an 13 individual whose principal employment is in agriculture on 14 a seasonal basis, who has been so employed within the last 15 twenty-four months, and who establishes for the purposes 16 of such employment a temporary abode. 17 "(3) The term 'seasonal agricultural workers' means 18 an individual whose principal employment is in agriculture on a seasonal basis and who is not a migratory agricultural 20 worker. 19 21 "(4) The term 'agriculture' means farming in all its 22 branches, including 23 24 "(A) cultivation and tillage of the soil, "(B) the production, cultivation, growing, and harvesting of any commodity grown on, in, or as an ad 79 1 2 3 4 5 6 7 8 junct to or part of a commodity grown in or on, the land, and "(C) any practice (including preparation and processing for market and delivery to storage or to market or to carriers for transportation to market) performed by a farmer or on a farm incident to or in conjunction with an activity described in subparagraph (B). 66 (5) The term 'high impact area' means a health serv9 ice area or other area which has not less than six thousand 10 migratory agricultural workers and seasonal agricultural 11 workers residing within its boundaries for more than two 12 months in any calendar year. In computing the number of 13 workers residing in an area, there shall be included as workers the members of the families of such workers. 14 "(6) The term 'primary health services' means "(A) services of physicians and, where feasible, services of physicians' assistants and nurse clinicians; "(B) diagnostic laboratory and radiologic services; "(C) preventive health services (including children's eye and ear examinations to determine the need for vision and hearing correction, perinatal services, well child services, and family planning services); "(D) emergency medical services; "(E) transportation services as required for ade quate patient care; and 1 80 "(F) preventive dental services. 2 "(7) The term 'supplemental health services' means 3 services which are not included as primary health services 8 9 "(D) rehabilitative services (incluing physical therapy) and long-term physical medicine; "(F) dental services; "(G) vision services; “(H) allied health services; "(I) pharmaceutical services; "(J) therapeutic radiologic services; "(K) public health services (including nutrition education and social services); "(L) health education services; and "(M) services which promote and facilitate optimal use of primary health services and the services referred to in the preceding subparagraphs of this paragraph, including, if a substantial number of the individuals in the population served by a migrant health center are of limited English-speaking ability, the services of outreach |