|
|
| To require the Director of Health to establish and | 1 |
| operate a prenatal group health care pilot program | 2 |
| that is based on the centering pregnancy model of | 3 |
| care and to make an appropriation. | 4 |
| Section 1. As used in this section, "federally qualified | 5 |
| health center" and "federally qualified health center look-alike" | 6 |
| have the same meanings as in section 3701.047 of the Revised Code. | 7 |
| (A) Not later than June 30, 2014, the Director of Health | 8 |
| shall establish a prenatal group health care pilot program that is | 9 |
| based on the centering pregnancy model of care developed by the | 10 |
| Centering Healthcare Institute. The pilot program shall be | 11 |
| operated for two years at four federally qualified health centers | 12 |
| or federally qualified health center look-alikes selected by the | 13 |
| Director in accordance with division (B) of this section. Two | 14 |
| participants must be located in a rural area, and two participants | 15 |
| must be located in an urban area. | 16 |
| (B) The Director shall develop a process to be used in | 17 |
| issuing a request for proposals to federally qualified health | 18 |
| centers and federally qualified health center look-alikes in this | 19 |
| state, receiving responses to the request, and evaluating the | 20 |
| responses on a competitive basis. In the request for proposals, | 21 |
| the Director shall specify that a pilot program participant must | 22 |
| be able to demonstrate that it can meet all of the following | 23 |
| requirements: | 24 |
| (1) Has space to comfortably host centering pregnancy groups | 25 |
| consisting of up to twenty pregnant patients; | 26 |
| (2) Has adequate in-kind resources to contribute to the pilot | 27 |
| program, including existing medical staff; | 28 |
| (3) Has had, on average, at least one hundred patients give | 29 |
| birth annually in the years recently preceding the effective date | 30 |
| of this section; | 31 |
| (4) Is able to identify at least one employee who champions | 32 |
| the centering pregnancy model of care by gaining support for the | 33 |
| model from peers and others; | 34 |
| (5) Is able to implement a centering pregnancy model of care | 35 |
| quickly; | 36 |
| (6) Any other requirements established by the Director. | 37 |
| (C) The Director shall convene a committee to assist the | 38 |
| Director in evaluating submitted proposals and selecting pilot | 39 |
| program participants. At least one member of the committee shall | 40 |
| represent the Ohio Association of Community Health Centers. | 41 |
| (D) The pilot program's goals shall include all of the | 42 |
| following: | 43 |
| (1) Decreasing the number of infants born preterm (prior to | 44 |
| 37 weeks of pregnancy) whose birth weight is less than two | 45 |
| thousand five hundred grams; | 46 |
| (2) Increasing the number of pregnant patients who begin | 47 |
| prenatal care during their first trimester of pregnancy, consume | 48 |
| appropriate amounts of folic acid, stop smoking, and are screened | 49 |
| for depression, the human immunodeficiency virus (HIV), diabetes, | 50 |
| and poor oral health; | 51 |
| (3) Increasing the number of women who breastfeed their | 52 |
| infants. | 53 |
| (E) The Ohio Association of Community Health Centers shall | 54 |
| assist the Director with the pilot program's operation. To that | 55 |
| end, the Association shall employ a part-time infant mortality | 56 |
| program coordinator whose duties include providing technical | 57 |
| assistance to pilot program participants, collecting data | 58 |
| regarding the program, and monitoring the program's success. | 59 |
| (F) Not later than July 1 of each year beginning in 2015, the | 60 |
| Director shall prepare a written report that summarizes the data | 61 |
| that has been collected on the program in the preceding twelve | 62 |
| months; evaluates the program's achievement toward its goals, | 63 |
| including those specified in division (D) of this section; makes | 64 |
| recommendations for the program's future, and provides any other | 65 |
| information the Director considers appropriate for inclusion in | 66 |
| the report. On completion, the report shall be submitted to the | 67 |
| Governor and, in accordance with section 101.68 of the Revised | 68 |
| Code, the General Assembly. | 69 |
| Section 2. All items in this section are hereby appropriated | 70 |
| as designated out of any moneys in the state treasury to the | 71 |
| credit of the designated fund. For all appropriations made in this | 72 |
| act, those in the first column are for fiscal year 2015 and those | 73 |
| in the second column are for fiscal year 2016. The appropriations | 74 |
| made in this act are in addition to any other appropriations made | 75 |
| in fiscal year 2015 and fiscal year 2016. | 76 |
| 77 | |
| General Revenue Fund | 78 |
| GRF | 440XXX | Centering Pregnancy Pilot Project | $ | 500,000 | $ | 500,000 | 79 | ||||
| TOTAL GRF General Revenue Fund | $ | 500,000 | $ | 500,000 | 80 | ||||||
| TOTAL ALL BUDGET FUND GROUPS | $ | 500,000 | $ | 500,000 | 81 | ||||||
| CENTERING PREGNANCY PILOT PROJECT | 82 |
| The foregoing appropriation item 440XXX, Centering Pregnancy | 83 |
| Pilot Project, shall be used to implement the centering pregnancy | 84 |
| model of care developed by the Centering Healthcare Institute in a | 85 |
| two-year pilot project at four federally qualified health centers | 86 |
| in accordance with Section 1 of this act. | 87 |
| Section 3. Within the limits set forth in this act, the | 88 |
| Director of Budget and Management shall establish accounts | 89 |
| indicating the source and amount of funds for each appropriation | 90 |
| made in this act, and shall determine the form and manner in which | 91 |
| appropriation accounts shall be maintained. | 92 |