[Code of Federal Regulations]

[Title 42, Volume 1]

[Revised as of October 1, 2006]

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

[CITE: 42CFR51c.102]



[Page 173-175]

 

                         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 A_General Provisions

 

Sec.  51c.102  Definitions.



    As used in this part:

    (a) Act means the Public Health Service Act.

    (b) Catchment area means the area served by a project funded under 

section 330 of the Act.

    (c)(1) Community health center or center means an entity which, 

through its staff and supporting resources or through contracts or 

cooperative arrangements with other public or private entities, provides 

for all residents of its catchment area:

    (i) Primary health services;

    (ii) As determined by the Secretary to be appropriate for particular 

centers, supplemental health services necessary for the adequate support 

of primary health services;

    (iii) Referral to providers of supplemental health services and 

payment, as determined by the Secretary to be appropriate and feasible, 

for their provision of such services;

    (iv) Environmental health services, as determined by the Secretary 

to be appropriate for particular centers; and

    (v) Information on the availability and proper use of health 

services.

    (2) For purposes of paragraph (c)(1) of this section, the provision 

of a given service by a center will be determined by the Secretary to be 

appropriate where:

    (i) There is a need, as determined by the Secretary, for the 

provision of such service in the catchment area; and

    (ii) The provision of such service by the center is feasible, taking 

into consideration the center's projected revenues, other resources, and 

grant support under this part.

    (d) Environmental health services means the detection and 

alleviation of unhealthful conditions of the environment of the 

catchment area, such as problems associated with water supply, sewage 

treatment, solid waste disposal, rodent and parasite infestation, and 

housing conditions. For the purposes of



[[Page 174]]



this part, the detection and alleviation of unhealthful conditions of 

the environment includes the notification of and making of arrangements 

with appropriate Federal, State, or local authorities responsible for 

correcting such conditions.

    (e) Medically underserved population means the population of an 

urban or rural area designated by the Secretary as an area with a 

shortage of personal health services or a population group designated by 

the Secretary as having a shortage of such services. Medically 

underserved areas will be designated by the Secretary and a list of 

those designated will be published in the Federal Register from time to 

time, taking into consideration the following factors, among others:

    (1) Available health resources in relation to size of the area and 

its population, including appropriate ratios of primary care physicians 

in general or family practice, internal medicine, pediatrics, or 

obstetrics and gynecology to population;

    (2) Health indices for the population of the area, such as infant 

mortality rate;

    (3) Economic factors affecting the population's access to health 

services, such as percentage of the population with incomes below the 

poverty level; and

    (4) Demographic factors affecting the population's need and demand 

for health services, such as percentage of the population age 65 and 

over.

    (f) Nonprofit, as applied to any private agency, institution, or 

organization, means one which is a corporation or association, or is 

owned and operated by one or more corporations or associations, no part 

of the net earnings of which inures, or may lawfully inure, to the 

benefit of any private shareholder or individual.

    (g) Physician means a licensed doctor of medicine or doctor of 

osteopathy.

    (h) Primary health services means:

    (1) Diagnostic, treatment, consultative, referral, and other 

services rendered by physicians, and, where feasible, by physician's 

extenders, such as physicians' assistants, nurse clinicians, and nurse 

practitioners;

    (2) Diagnostic laboratory services and diagnostic radiologic 

services;

    (3) Preventive health services, including medical social services, 

nutritional assessment and referral, preventive health education, 

children's eye and ear examinations, prenatal and post-partum care, 

prenatal services, well child care (including periodic screening), 

immunizations, and voluntary family planning services;

    (4) Emergency medical services, including provision, through clearly 

defined arrangements, for access of users of the center to health care 

for medical emergencies during and after the center's regularly 

scheduled hours;

    (5) Transportation services as needed for adequate patient care, 

sufficient so that residents of the catchment area served by the center 

with special difficulties of access to services provided by the center 

receive such services; and

    (6) Preventive dental services provided by a licensed dentist or 

other qualified personnel, including (i) oral hygiene instruction; (ii) 

oral prophylaxis, as necessary; and (iii) topical application of 

fluorides, and the prescription of fluorides for systemic use when not 

available in the community water supply.

    (i) Secretary means the Secretary of Health and Human Services and 

any other officer or employee of the Department of Health and Human 

Services to whom the authority involved has been delegated.

    (j) Supplemental health services means health services which are not 

included as primary health services and which are:

    (1) Inpatient and outpatient hospital services;

    (2) Home health services;

    (3) Extended care facility services;

    (4) Rehabilitative services (including physical and occupational 

therapy) and long-term physical medicine;

    (5) Mental health services, including services of psychiatrists, 

psychologists, and other appropriate mental health professionals;

    (6) Dental services other than those provided as primary health 

services;

    (7) Vision services, including routine eye and vision examinations 

and provision of eyeglasses, as appropriate and feasible;

    (8) Allied health services;



[[Page 175]]



    (9) Pharmaceutical services, including the provision of prescription 

drugs;

    (10) Therapeutic radiologic services;

    (11) Public health services (including nutrition education and 

social services);

    (12) Ambulatory surgical services;

    (13) Health education services; and

    (14) Services, including the services of outreach workers, which 

promote and facilitate optimal use of primary health services and 

services referred to in the preceding subparagraphs of this paragraph 

and, if a substantial number of individuals in the population served by 

the center are of limited English-speaking ability, the services of 

outreach workers and other personnel fluent in the language or languages 

spoken by such individuals.