,,ii #aagth ,,congress #ast ,session ,s4 #caje ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,october #bh1 #bjba,mr4 ,bennet introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,public ,health ,service ,act to establish a hospital revitalization program to assist certain health facilities in constructing and modernizing their facilities and to support community development4 #a4 ,short title ,this ,act may be cited as the ,hospital ,revitalization ,act of #bjba4 #b4 ,hospital revitalization program ,title ,,vi of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bia et seq47 is amended by adding at the end the following3 ,e ,hospital revitalization program #fea4 ,establishment of hospital revitalization program 7a7 ,in general ,the ,secretary shall award grants and loans to eligible hospitals for purposes of assisting such hospitals in constructing and modernizing their facilities1 including rural health clinics1 off-site outpatient departments1 skilled nursing facilities1 and other facilities not physically part of the eligible hospital building1 to increase capacity and better serve communities in need4 7b7 ,eligible hospitals 7#a7 ,in general ,to be eligible to receive an award under this section1 a hospital shall submit an application to the ,secretary at such time1 in such manner1 and containing such information as the ,secretary may require1 including information to demonstrate that1 based on available data for fiscal or calendar years #bjag through #bjai1 such hospital-- 7,a7 had less than #ej1jjj1jjj in net patient revenue or fewer than #ej beds 7as reported by the ,health ,care ,cost and ,information ,reporting ,system72 7,b7 had a negative total margin for at least #b of the #c fiscal years prior to fiscal year #bjbj2 and 7,c7 had a public payer mix percentage1 for each of the #c fiscal years prior to fiscal year #bjbj1 that is at least #fe percent 7at least #fe percent of net patient revenue from the ,medicare program or ,medicaid program74 7#b7 ,prioritization criteria ,the ,secretary shall develop prioritization criteria for the grant and loans under subsection 7d71 including-- 7,a7 the year in which the hospital was built2 7,b7 the physical state of the hospital2 7,c7 the average age-of-plant ratio 7accumulated depreciation divided by annual depreciation expense72 7,d7 the level of the hospital's electronic health record implementation2 7,e7 whether the hospital is located in a health professional shortage area 7as defined in section #ccb7;a77#a77;,a7 of the ,public ,health ,service ,act72 and 7,f7 the level of1 relative to the national or statewide average1 individuals with income below #aej percent of the ,federal poverty level in the area served by the hospital4 7c7 ,application ,each eligible hospital desiring an award under this section shall submit to the ,secretary an application1 at such time1 in such manner1 and containing such information to determine eligibility and prioritization required under subsection 7b7 and other information as the ,secretary may require1 including-- 7#a7 a community health needs assessment1 which shall be made available on the websites of the hospital and the ,department of ,health and ,human ,services1 that-- 7,a7 accounts for health equity through factors 7like socioeconomic1 racial1 ethnic1 sexual preference1 gender identity1 health insurance coverage1 education level1 and geography7 that have an impact on the overall health of the population2 7,b7 honors indigenous history and current presence with a land acknowledgment statement2 7,c7 outlines a projection for not less than #e years1 and if possible for #aj years1 with respect to-- 7i7 population and demographic trends within the local community and region2 7ii7 current availability of1 and projected community need for-- 7,i7 inpatient hospital services2 outpatient and ambulatory services2 7,,ii7 diagnostic and lab services2 7,,iii7 post-acute and community services2 7,,iv7 emergency medical services2 7,v7 oral and dental care2 and 7,,vi7 preventive and population health services2 7iii7 current availability and projected community need for ,tribal or veteran health and wellness services2 and 7iv7 current availability and projected community need for non-clinical services1 such as food support1 housing assistance1 transportation1 linguistic1 and other services that impact the health care status of the impacted population2 7,d7 provides a statement outlining the overarching gap in local community or regional services2 7,e7 provides a statement that identifies the highest priority services that have the potential to improve overall health and wellness of the local region2 and 7,f7 establishes a hospital transformation plan that contains-- 7i7 a process for consulting with representatives of the community's interests and input2 7ii7 a list of community input sources representing the broad interests of the community1 that is representative of individuals who are medically underserved1 low-income1 or from minority populations and that may include representatives of local hospitals1 physicians1 allied health professionals1 private and public payers1 patients and consumers1 ,tribal representatives1 and other relevant stakeholders1 including local or regional social service organizations2 and 7iii7 an outline of goals and action steps for improving or maintaining access to care1 strengthening quality of care1 better coordinating care across the local or regional health care delivery system1 and addressing other community needs or gaps identified in the needs assessment2 7#b7 a preliminary construction project plan that-- 7,a7 outlines a project budget with costs of-- 7i7 administrative and legal expenses2 7ii7 land1 structure1 rights-of-way appraisals2 7iii7 relocation expenses2 7iv7 architectural and engineering fees2 7v7 inspection fees2 7vi7 site work 7such as helipad equipment and telecommunication and data network upgrades72 7vii7 demolition and removal2 7viii7 equipment 7such as medical equipment and technology systems1 furniture1 kitchen and bathroom appliances1 and signage72 and 7ix7 any other costs the ,secretary determines appropriate2 and 7,b7 outlines the planned spaces with descriptions 7including square footage and purpose71 as the ,secretary determines appropriate1 which shall include-- 7i7 care units or wards and the number of expected beds in such areas2 7ii7 diagnostic and treatment areas1 including imaging areas1 emergency departments1 laboratories1 and pharmacies2 7iii7 administrative areas1 including lobbies1 office space1 education areas2 and 7iv7 other types of spaces the ,secretary determines appropriate2 7#c7 an energy plan for how the project accounts for energy resilience and efficiency2 and 7#d7 a report on the economic impact of the award on the area or region served1 including an analysis of local labor market effects such as how the hospital may help improve wages1 household incomes1 employment and unemployment rates1 and meet labor demands and how the hospital may help improve wages in the area4 7d7 ,safe structure waiver ,the ,secretary may grant a waiver to eligible hospitals with respect to the timing of submissions of information required under paragraph 7#a71 7#c71 or 7#d7 of subsection 7c71 if the ,secretary determines that the project to be carried out by the eligible hospital receiving such waiver should be expedited to ensure the safety of patients or workers4 7e7 ,grant and loan amounts 7#a7 ,in general ,an award to an eligible hospital under this section shall be in an amount determined by the ,secretary1 based on the information submitted by the eligible hospital under subsection 7c77#b74 ,the total amount of such an award shall not exceed #dj1jjj1jjj1 of which not more than #cj percent may be awarded as a grant1 and any remaining amount may be awarded as a low interest loan4 7#b7 ,no effect on eligibility for other funding ,amounts received by an eligible hospital under this section shall have no effect on the hospital's eligibility for funding made available through other ,federal programs1 including any such funding available with respect to the project supported by the award under this section4 7f7 ,reporting ,each recipient of an award under this section shall submit an annual report to the ,secretary on the use of such award funds in the previous fiscal year1 including the use of such funds to address issues raised in the community health needs assessment1 the energy plan1 and economic impact report submitted with the recipient's application under subsection 7c74 ,such recipient shall post each such report on the website of the recipient4 7g7 ,authorization of appropriations 7#a7 ,in general ,there are authorized to be appropriated #ag1jjj1jjj1jjj for fiscal year #bjbb to carry out this section4 ,amounts appropriated under this subsection shall remain available through fiscal year #bjbe4 7#b7 ,management and oversight ,the ,secretary may allocate up to #j4a percent of the funds appropriated under this subsection for the management and oversight of programs under this section4 4