,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #decg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #bf1        
#bjai,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 ( mobile m$ical heal? c>e   
s]vices to c]ta9 und]s]v$ areas &       
populations1 & = o!r purposes4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,mobile ,heal? ,cl9ics ,act ( #bjai4    
#b4 ,f9d+s ,congress f9ds ! foll[+3     
7#a7 ,accord+ to ! ,mobile ,heal? ,map  
report1 approximately #a1ejj mobile     
heal? cl9ics 7,m,h,cs7 op]ate           
nationwide4  7#b7 ,m,h,cs c effectively 
provide c>e 9 areas :]e heal? c>e       
infra/ructure is limit$ because (       
di/ance1 f9ancial capabilities1 or      
inadequate support+ infra/ructure1      
includ+ lack ( public transportation    
res\rces4  7#c7 ,m,h,cs c (f] s]vices   
su* z prim>y c>e1 scre5+s1 d5tal c>e1   
m$ications1 behavioral heal? c>e1       

immunizations1 laboratory te/s1 case    
managem5t1 triage1 & assi/ance = public 
b5efit programs4  7#d7 ,m,h,cs help     
improve community heal? & access to     
m$ical s]vices 9 und]s]v$ communities   
across ! ,unit$ ,/ates1 includ+ urban1  
rural1 & suburban areas4  7#e7 ,su*     
cl9ics are co/-effective & help r$uce ! 
burd5 on hospitals1 insur]s1 & gov]nm5t 
entities manag+ heal? programs by       
provid+ prev5tion s]vices1 :i* also     
r$uces unnecess>y em]g5cy dep>tm5t      
visits4  7#f7 ,! av]age co/ ( a visit to
 a provid] ( mobile m$ical heal? c>e    
s]vices is significantly l[] ?an !      
av]age co/ ( an em]g5cy dep>tm5t visit4 
,visit+ an ,,mhc in/ead ( ! em]g5cy     
dep>tm5t c result 9 a co/ sav+s ( m ?an 
#hjj p] visit4  7#g7 ,sev]al /udies h   
%[n t ! return on inve/m5t g5]at$ by    
,m,h,cs ranges f #bj to #cf = e #a sp5t4
  7#h7 ,m,h,cs are successful :5 !y     
engage ) o!r local /akehold]s :o c      
provide insight1 k1 & /rategies to help 
meet public heal? *all5ges t are        

imm$iately relevant to ! communities    
receiv+ s]vices f ,,mhc provid]s4  7#i7 
,fund+ has be5 ! l>ge/ b>ri] to !       
developm5t & ma9t5ance ( ,m,h,cs & _!   
res\rces4  7#aj7 ,) additional ,f$]al   
support1 heal? sy/ems w\ld be able to   
bett] inve/ 9 pur*as+1 ma9ta9+1 &       
upgrad+ mobile units1 increas+ ! numb] (
 /aff1 disp5s+ m m$ication1 & advanc+ ! 
use ( effici5t in=mation te*nology =    
heal? purposes4  #c4 ,improv+ access to 
mobile m$ical heal? c>e s]vices  7a7 ,9 
g5]al ,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,n4 ,p>tn]%ips to improve access to 
mobile m$ical heal? c>e s]vices  7a7    
,au?ority e/abli%$  7#a7 ,9 g5]al ,!    
,secret>y may aw>d grants1 contracts1 or
 coop]ative agreem5ts to eligible       
entities to provide mobile m$ical heal? 
c>e s]vices 9 accordance ) subsection   
7e74  7#b7 ,limitation ,a hospital or   
heal? c>e facility may n be eligible = a

 grant1 contract1 or coop]ative agreem5t
 "u ?is section ) respect to m ?an "o   
p>tn]%ip describ$ 9 subsection 7b77#a74 
7b7 ,eligible entities ,to be eligible =
 a grant1 contract1 or coop]ative       
agreem5t "u ?is section1 an entity      
%all-- 7#a7 be a p>tn]%ip consi/+ (--   
7,a7 "o or m hospitals2 or  7,b7 "o or m
 o!r local heal? c>e facilities1 includ+
 cl9ics1 rural heal? cl9ics1 f$]ally    
qualifi$ heal? c5t]s1 heal? c5t]s1      
prim>y c>e facilities1 m5tal heal?      
c5t]s1 ph>macies1 or o!r mobile m$ical  
assets1 )\t reg>d to :e!r or n su* a    
local heal? c>e facility is own$ 7ei!r 9
 :ole or 9 "p7 by a hospital 9 a        
p>tn]%ip describ$ 9 subp>agraph 7,a7 or 
ano!r local heal? c>e facility z        
describ$ 9 ?is subp>agraph2 &  7#b7     
provide s]vices = any "o ( ! foll[+3    
7,a7 ,a m$ically und]s]v$ community 7z  
def9$ 9 section #gii;,b7#f774  7,b7 ,a  
m$ically und]s]v$ population 7z def9$ 9 
section #ccj7;b77#c774  7c7 ,application
 ,an eligible entity seek+ fund+ "u ?is 

section %all submit to ! ,secret>y an   
application at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation z ! ,secret>y may 
require1 includ+1 at a m9imum1 ! foll[+3
  7#a7 ,a long-t]m /rategy & detail$    
implem5tation plan develop$ 9           
consultation ) community gr\ps &        
appropriate /akehold]s4  7#b7 ,a        
demon/ration ( a specific public heal?  
ne$ t is relevant to a community or     
population describ$ 9 subsection        
7b77#b74  7#c7 ,a description ( !       
s]vices t ! entity w provide directly ) 
funds "u ?is section1 &1 if applicable1 
a description ( ! s]vices t ! eligible  
entity w provide indirectly ) su* funds 
?r\gh contracts or coop]ative agreem5ts4
  7#d7 ,an explanation ( ! entity's     
inability to address ! ne$ 9 p>agraph   
7#b7 )\t ,f$]al assi/ance4  7#e7 ,an    
id5tification ( any relat$ gov]nm5tal or
 community initiative t complim5ts or w 
be coord9at$ ) ! long-t]m /rategy &     
detail$ implem5tation plan requir$ "u   
p>agraph 7#a74  7#f7 ,a plan detail+ !  

me?odologies t w be us$ to evaluate !   
access & quality ( mobile m$ical heal?  
c>e s]vices provid$ by ! entity to a    
community or population describ$ 9      
subsection 7b77#b74  7#g7 ,a description
 ( community outrea* me*anisms t !      
entity w employ to ensure ! p>ticipation
 ( a community or population describ$ 9 
subsection 7b77#b74  7#h7 ,an           
id5tification ( be/ practices =         
treatm5t1 outrea*1 & data collection t !
 entity w employ to track program       
p>ticipation & program effectiv5ess4    
7#i7 ,a plan = provid+ mobile m$ical    
heal? c>e s]vices to individuals (      
limit$ ,engli%-speak+ ability4 ,su* plan
 %all--  7,a7 take into acc\nt data f ! 
,bureau ( ! ,c5sus & previ\sly docum5t$ 
qualitative or quantitative obs]vations 
f community s]vice provid]s (f]+ heal?  
c>e s]vices 9 ! areas 9 :i* ! entity w  
provide mobile m$ical heal? c>e s]vices2
 &  7,b7 outl9e :i* languages are mo/   
preval5t & commonly reque/$ =           
translation s]vices 9 su* areas4  7#aj7 

7,a7 ,subject to subp>agraph 7,b71 an   
assurance t1 if ! entity receives a     
grant1 contract1 or coop]ative agreem5t 
or a r5ewal ( su* grant1 contract1 or   
coop]ative agreem5t "u ?is section1 !   
entity w develop a plan to secure o!r   
public or private fund+ res\rces to     
ensure ! cont9u$ op]ation & ma9t5ance ( 
mobile m$ical heal? c>e s]vices provid$ 
"u ?is section aft] funds "u su* grant1 
contract1 or coop]ative agreem5t1 or    
r5ewal1 are no long] available4  7,b7 ,!
 ,secret>y %all waive ! requirem5t "u   
subp>agraph 7,a7 = ! entity if ! entity 
demon/rates t comply+ ) su* requirem5t  
w\ld create an undue burd5 & result 9   
significant disruption ( ! provision (  
mobile m$ical heal? c>e s]vices4  7#aa7 
,any additional in=mation requir$ by !  
,secret>y4  7d7 ,requirem5ts  7#a7      
,am\nt ,a grant contract1 or coop]ative 
agreem5t aw>d$ "u ?is section may n     
exce$ #gej1jjj4  7#b7 ,duration ,a      
grant1 contract1 or coop]ative agreem5t 
aw>d$ "u ?is section %all be = a p]iod (

 #c ye>s4  7#c7 ,r5ewals  7,a7 ,9 g5]al 
,! ,secret>y may r5ew a grant1 contract1
 or coop]ative agreem5t aw>d$ "u ?is    
section ) respect to an eligible entity 
if ! entity--  7i7 submits to !         
,secret>y an application = r5ewal at su*
 "t1 9 su* mann]1 & conta9+ su*         
in=mation z ! ,secret>y may require2 &  
7ii7 demon/rates 9 su* application t--  
7,i7 grant1 contract1 or coop]ative     
agreem5t funds made available to !      
entity 7 us$ 9 a mann] requir$ "u ! mo/ 
rec5tly approv$ application ( ! entity  
"u ?is section2 &  7,,ii7 ! entity has  
made significant progress 9 a*iev+ !    
objectives ( ! initial application      
approv$ = ! entity "u ?is section4  7,b7
 ,duration ,an initial r5ewal = an      
eligible entity "u subp>agraph 7,a7     
%all1 at a m9imum1 be = a p]iod ( #b    
ye>s4 ,any subsequ5t r5ewal = su* an    
entity %all be = a p]iod ( #a ye>4  7e7 
,use ( funds ,a grant1 contract1 or     
coop]ative agreem5t aw>d$ "u ?is section
 may be exp5d$ =-- 7#a7 pur*ases (      

mobile m$ical heal? c>e s]vice vehicles2
  7#b7 ma9t5ance or upgrade ( mobile    
m$ical heal? c>e s]vice vehicles2  7#c7 
hir+ ( casework /aff1 physicians1       
practition]s1 ph>maci/s1 nurs+ p]sonnel1
 or simil> m$ical pr(essionals2  7#d7   
hir+ & pr(essional developm5t (         
adm9i/rative1 ov]sight1 cl]ical1 or o!r 
support /aff manag+ ! op]ations or c>e  
provid$ by mobile m$ical heal? c>e      
s]vice vehicles2  7#e7 pr(essional      
developm5t1 includ+ appropriate tra9+ = 
m$ical pr(essionals specifi$ 9 p>agraph 
7#c72  7#f7 di/ribut+ or disp5s+        
prescriptions2  7#g7 advanc+ ! use (    
in=mation te*nology = treatm5t purposes1
 includ+ ! employm5t ( appropriate /aff 
requir$ = ma9t5ance to ensure ! secure &
 /able op]ations ( comput]s1 s]v]s1 &   
o!r appropriate in=mation te*nology     
infra/ructure2 &  7#h7 increas+ access (
 m$ically und]s]v$ communities 7z def9$ 
9 section #gii;,b7#f77 or m$ically      
und]s]v$ populations 7z def9$ 9 section 
#ccj7;b77#c77 to mobile m$ical heal? c>e

 s]vices1 includ+ requir$ prim>y heal?  
s]vices 7z def9$ 9 section              
#ccj7;b77#a771 sub/ance use disord]     
s]vices 7z def9$ 9 section              
#ccj7;h77#e77;,c771 & m5tal heal?       
c\nsel+4  7f7 ,supplem5t1 n supplant1   
requirem5t ,a grant1 contract1 or       
coop]ative 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  
m$ically und]s]v$ communities or        
m$ically und]s]v$ populations4  7g7     
,annual report ,an eligible entity t    
receives funds "u ?is section dur+ a    
fiscal ye> %all submit to ! ,secret>y1  
on a date specifi$ by ! ,secret>y1 an   
annual report detail+ ! progress 9      
address+ ! public heal? ne$ specifi$ 9  
subsection 7c77#b74  7h7 ,mobile m$ical 
heal? c>e s]vice def9$ ,9 ?is section1 !
 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  7i7 ,au?orization ( 
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section     
#ae1jjj1jjj = fiscal ye> #bjbj & ea*    
succe$+ fiscal ye>4  4  7b7 ,rulemak+ ,n
 lat] ?an ! date t is "o ye> aft] ! date
 ( enactm5t ( ?is ,act1 ! ,secret>y (   
,heal? & ,human ,s]vices %all1 ?r\gh    
notice & comm5t rulemak+1 e/abli%--     
7#a7 a process = aw>d+ grants1 contract1
 & coop]ative agreem5t includ+ r5ew+ &  
t]m9at+ grants1 contract1 & coop]ative  
agreem5t "u section #ccj,n ( ! ,public  
,heal? ,s]vice ,act1 z add$ by          
subsection 7a72  7#b7 b5*m>ks = measur+ 
significant progress z describ$ 9       
subsection 7d77#c77;,a77ii77,,ii7 ( su* 
section2 &  7#c7 a process = provid+    
entities describ$ 9 su* section a fair  
he>+ & appellate review reg>d+ any      
decision by ! ,secret>y to r5ew or      
t]m9ate a grant1 contract1 or coop]ative
 agreem5t "u su* section4