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42 U.S. Code § 300u-14. Healthy aging, living well; evaluation of community-based prevention and wellness programs for Medicare beneficiaries
(a) Healthy aging, living well
(1) In general
The Secretary of Health and Human Services (referred to in this section as the “Secretary”), acting through the Director of the Centers for Disease Control and Prevention, shall award grants to State or local health departments and Indian tribes to carry out 5-year pilot programs to provide public health community interventions, screenings, and where necessary, clinical referrals for individuals who are between 55 and 64 years of age.
(2) EligibilityTo be eligible to receive a grant under paragraph (1), an entity shall—
(A) be—
(i)
a State health department;
(ii)
a local health department; or
(iii)
an Indian tribe;
(B)
submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require including a description of the program to be carried out under the grant;
(C)
design a strategy for improving the health of the 55-to-64 year-old population through community-based public health interventions; and
(D)
demonstrate the capacity, if funded, to develop the relationships necessary with relevant health agencies, health care providers, community-based organizations, and insurers to carry out the activities described in paragraph (3), such relationships to include the identification of a community-based clinical partner, such as a community health center or rural health clinic.
(3) Use of funds
(A) In general
A State or local health department shall use amounts received under a grant under this subsection to carry out a program to provide the services described in this paragraph to individuals who are between 55 and 64 years of age.
(B) Public health interventions
(i) In general
In developing and implementing such activities, a grantee shall collaborate with the Centers for Disease Control and Prevention and the Administration on Aging, and relevant local agencies and organizations.
(ii) Types of intervention activities
Intervention activities conducted under this subparagraph may include efforts to improve nutrition, increase physical activity, reduce tobacco use and substance abuse, improve mental health, and promote healthy lifestyles among the target population.
(C) Community preventive screenings
(i) In general
In addition to community-wide public health interventions, a State or local health department shall use amounts received under a grant under this subsection to conduct ongoing health screening to identify risk factors for cardiovascular disease, cancer, stroke, and diabetes among individuals in both urban and rural areas who are between 55 and 64 years of age.
(ii) Types of screening activitiesScreening activities conducted under this subparagraph may include—
(I)
mental health/behavioral health and substance use disorders;
(II)
physical activity, smoking, and nutrition; and
(III)
any other measures deemed appropriate by the Secretary.
(iii) Monitoring
Grantees under this section shall maintain records of screening results under this subparagraph to establish the baseline data for monitoring the targeted population [1]
(D) Clinical referral/treatment for chronic diseases
(i) In general
A State or local health department shall use amounts received under a grant under this subsection to ensure that individuals between 55 and 64 years of age who are found to have chronic disease risk factors through the screening activities described in subparagraph (C)(ii), receive clinical referral/treatment for follow-up services to reduce such risk.
(ii) Mechanism
(I) Identification and determination of status
With respect to each individual with risk factors for or having heart disease, stroke, diabetes, or any other condition for which such individual was screened under subparagraph (C), a grantee under this section shall determine whether or not such individual is covered under any public or private health insurance program.
(II) Insured individuals
An individual determined to be covered under a health insurance program under subclause (I) shall be referred by the grantee to the existing providers under such program or, if such individual does not have a current provider, to a provider who is in-network with respect to the program involved.
(III) Uninsured individuals
With respect to an individual determined to be uninsured under subclause (I), the grantee’s community-based clinical partner described in paragraph (4)(D) [2] shall assist the individual in determining eligibility for available public coverage options and identify other appropriate community health care resources and assistance programs.
(iii) Public health intervention program
A State or local health department shall use amounts received under a grant under this subsection to enter into contracts with community health centers or rural health clinics and mental health and substance use disorder service providers to assist in the referral/treatment of at risk patients to community resources for clinical follow-up and help determine eligibility for other public programs.
(E) Grantee evaluation
An eligible entity shall use amounts provided under a grant under this subsection to conduct activities to measure changes in the prevalence of chronic disease risk factors among participants.