,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #eiha  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #i1         
#bjaf,ms4 ,velzquez introduc$ ! foll[+  
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce  ,a ,,bill  ,to am5d !
 ,public ,heal? ,s]vice ,act to improve 
! provision ( m$ical s]vices to ali5s   
pres5t 9 ! ,unit$ ,/ates4  #a4 ,%ort    
title ,?is ,act may be cit$ z ! ,mobile 
,m$ical ,immigrant ,heal? ,improvem5t   
,act ( #bjaf4  #b4 ,f9d+s ,congress f9ds
 ! foll[+3  7#a7 ,z ( #bjad1 !re 7      
#db1bjj1jjj ali5s pres5t 9 ! ,unit$     
,/ates1 acc\nt+ = #ac p]c5t ( ! total   
population 7,kais]1 ,janu>y #bjaf74     
7#b7 ,among ! noneld]ly population1     
ne>ly a qu>t] 7#bc p]c5t7 ( ali5s       
lawfully pres5t 9 ! ,unit$ ,/ates & f\r 
9 t5 7#dj p]c5t7 ( undocum5t$ ali5s     
pres5t 9 ! ,unit$ ,/ates d n h heal?    
insurance 7,kais]1 ,janu>y #bjaf74  7#c7
 ,mobile m$ical heal? c>e s]vices c     
effectively rea* ali5s pres5t 9 ! ,unit$
 ,/ates & provide prim>y c>e1 scre5+s1  

d5tal c>e1 m$ications1 behavioral heal? 
c>e1 immunizations1 lab te/s1 case      
managem5t1 b5efits assi/ance &          
assessm5ts1 & triage4  7#d7 ,mobile     
m$ical heal? c>e s]vices c provide heal?
 c>e to ali5s pres5t 9 ! ,unit$ ,/ates 9
 urban1 rural1 & suburban areas4  7#e7  
,! av]age co/ ( a visit to a provid] (  
mobile m$ical heal? c>e s]vices is      
significantly bel[ ! av]age co/ ( an    
em]g5cy dep>tm5t visit4 ,visit+ a mobile
 m$ical heal? c>e s]vice in/ead ( !     
em]g5cy dep>tm5t c result 9 a co/ sav+s 
( m ?an #hjj p] visit4  #c4 ,improv+    
access ( ali5s pres5t 9 ! ,unit$ ,/ates 
to m$ical s]vices ,subp>t ,i ( "p ,d (  
title ,,iii ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #bed;b et seq47 is  
am5d$ by add+ at ! end ! foll[+ new     
section3  #ccj,m4 ,p>tn]%ips to improve 
access ( ali5s pres5t 9 ! ,unit$ ,/ates 
to m$ical s]vices  7a7 ,9 g5]al ,!      
,secret>y may aw>d grants1 contracts1 or
 coop]ative agreem5ts to eligible       
entities describ$ 9 subsection 7b7 to   

enable su* entities to improve access ( 
ali5s pres5t 9 ! ,unit$ ,/ates to mobile
 m$ical heal? c>e s]vices4  7b7         
,eligible entities ,to be eligible = a  
grant1 contract1 or agreem5t "u ?is     
section an entity %all-- 7#a7 be a      
p>tn]%ip consi/+ (--  7,a7 "o or m      
hospitals2 &  7,b7 "o or m o!r local    
heal? c>e facilities1 includ+ cl9ics1   
heal? c5t]s1 prim>y c>e facilities1     
m5tal heal? c5t]s1 ph>macies1 or o!r    
mobile m$ical assets 7z su* t]m is def9$
 = purposes ( section #cai;,c-#b71 :e!r 
or n su* a local heal? c>e facility is  
own$ 7ei!r 9 :ole or 9 "p7 by a p>tn]+  
hospital describ$ 9 subp>agraph 7,a72 & 
7#b7 submit to ! ,secret>y1 an          
application at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation z ! ,secret>y may 
require4  7c7 ,use ( funds ,a grant1    
contract1 or agreem5t aw>d$ "u ?is      
section may be exp5d$ only = activities 
to increase access ( ali5s pres5t 9 !   
,unit$ ,/ates to mobile m$ical s]vices1 
includ+ prim>y heal? s]vices 7z def9$ 9 

section #ccj7;b77#a771 sub/ance abuse   
s]vices 7z def9$ 9 section              
#ccj7;h77#e771 & m5tal heal? c\nsel+4   
7d7 ,limitation on aw>ds ,a hospital or 
heal? c>e facility %all n be eligible = 
a grant1 contract1 or agreem5t "u ?is   
section ) respect to m ?an "o p>tn]%ip  
describ$ 9 subsection 7b77#a74  7e7     
,pref]5ce ,9 aw>d+ a grant1 contract1 or
 agreem5t "u ?is section1 ! ,secret>y   
%all give priority to any application f 
a geographic area t has a comp>atively  
high ratio ( individuals :o are ali5s to
 individuals :o are citiz5s or nationals
 ( ! ,unit$ ,/ates4  7f7 ,supplem5t n   
supplant requirem5t ,a grant1 contract1 
or agreem5t aw>d$ "u ?is section %all be
 exp5d$ to supplem5t1 & n supplant1 !   
exp5ditures ( ! eligible entity involv$ 
& ! value ( 9-k9d contributions = !     
deliv]y ( s]vices to ali5s pres5t 9 !   
,unit$ ,/ates4  7g7 ,def9itions ,=      
purposes ( ?is section3 7#a7 ,ali5 ,!   
t]m ali5 has ! mean+ giv5 to su* t]m 9  
section #aja7;a77#c7 ( ! ,immigration & 

,nationality ,act 7#h ,u4,s4,c4         
#aaja7;a77#c774  7#b7 ,mobile m$ical    
heal? c>e s]vices ,! t]m mobile m$ical  
heal? c>e s]vice means any heal? c>e    
relat$ s]vice provid$ 9 a moveable      
vehicle or a non-p]man5t cl9ic4  4