[Code of Federal Regulations]

[Title 42, Volume 1]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR51c.304]



[Page 182-183]

 

                         TITLE 42--PUBLIC HEALTH

 

    CHAPTER I--PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN 

                                SERVICES

 

PART 51c_GRANTS FOR COMMUNITY HEALTH SERVICES--Table of Contents

 

         Subpart C_Grants for Operating Community Health Centers

 

Sec. 51c.304  Governing board.



    A governing board for the center shall be established by an 

applicant as follows:

    (a) Size. The board shall consist of at least 9 but not more than 25 

members, except that this requirement may be waived by the Secretary for 

good cause shown.

    (b) Composition. (1) A majority of the board members shall be 

individuals who are or will be served by the center and who, as a group, 

represent the individuals being or to be served in terms of demographic 

factors, such as race, ethnicity, sex.

    (2) No more than one-half of the remaining members of the board may 

be individuals who derive more than 10 percent of their annual income 

from the health care industry.

    (3) The remaining members of the board shall be representative of 

the community in which the center's catchment area is located and shall 

be



[[Page 183]]



selected for their expertise in community affairs, local government, 

finance and banking, legal affairs, trade unions, and other commercial 

and industrial concerns, or social service agencies within the 

community.

    (4) No member of the board shall be an employee of the center, or 

spouse or child, parent, brother or sister by blood or marriage of such 

an employee. The project director may be a non-voting, ex-officio member 

of the board.

    (c) Selection of members. The method of selection of all governing 

board members shall be prescribed in the by-laws or other internal 

governing rules of the center. Such by-laws or other rules must specify 

a process of selection of individuals on the governing board who 

represent the population served or to be served by the center so that 

such individuals, as a group, are representative of such population. 

Such process of selection in the by-laws or other rules is subject to 

approval by the Secretary.

    (d) Functions and responsibilities. (1) The governing board for the 

center shall have authority for the establishment of policy in the 

conduct of the center.

    (2) The governing board shall hold regularly scheduled meetings, at 

least once each month, for which minutes shall be kept.

    (3) The governing board shall have specific responsibility for:

    (i) Approval for the selection and dismissal of a project director 

or chief executive officer of the center;

    (ii) Establishing personnel policies and procedures, including 

selection and dismissal procedures, salary and benefit scales, employee 

grievance procedures, and equal opportunity practices;

    (iii) Adopting policy for financial management practices, including 

a system to assure accountability for center resources, approval of the 

annual project budget, center priorities, eligibility for services 

including criteria for partial payment schedules, and long-range 

financial planning;

    (iv) Evaluating center activities including services utilization 

patterns, productivity of the center, patient satisfaction, achievement 

of project objectives, and development of a process for hearing and 

resolving patient grievances;

    (v) Assuring that the center is operated in compliance with 

applicable Federal, State, and local laws and regulations; and

    (vi) Adopting health care policies including scope and availability 

of services, location and hours of services, and quality-of-care audit 

procedures.