--Providing fiscal stability and costs related to having service that is available 24 hours a day, 7 days a week, with priority provided to safety net trauma centers located in urban, border, and rural areas;

--Reducing trauma center overcrowding at specific trauma centers related to throughput of trauma patients;


--Establishing new trauma services in underserved areas;

--Enhancing collaboration between trauma centers and other hospitals and emergency medical services personnel related to trauma service availability;

--Making capital improvements to enhance access and expedite trauma care, including providing helipads and associated safety infrastructure; and

-- Enhancing trauma surge capacity at specific trauma centers.

C) Community-Based Collaborative Care Networks

HHS will be able to award grants to eligible entities to support community-based collaborative care networks. A community-based collaborative care network provides comprehensive coordinated and integrated health care services for low-income populations. The grants are authorized for fiscal years 2011 through 2015.

Grant funds may be used for assisting low-income individuals to access health services; enroll in health coverage programs; and obtain a regular primary care provider or a medical home. Other services can including providing case management and care management; outreach using neighborhood health; providing transportation; and expanding capacity, such as through telehealth, after-hours services or urgent care.

D) Community Health Centers

A Community Health Center Fund will be established and administered through HHS to provide for expanded and sustained national investment in community health centers. Funds are authorized from 2011 through 2015 to be used by HHS for the construction and renovation of community health centers.

E) School-Based Health Centers

HHS will establish a program to award grants to eligible entities to support the operation of school-based health centers. The program is authorized for fiscal years 2010 through 2014.

Facilities and communities that have barriers to primary health care, mental health care and substance abuse prevention services will be given priority in grants. Funds awarded under a grant may be used for equipment, training, management and operations, and salaries of personnel.

F) Nurse-Managed Health Clinics

Finally, HHS will also be able to award grants for the cost of the operation of nurse-managed health clinics. Appropriations are $50,000,000 for the fiscal year 2010 and sums as necessary for fiscal years 2011 through 2014. Those facilities will be eligible if nurses are the major providers of services and at least one advanced practice nurse holds an executive management position within the organizational structure. The clinic will also need to assure HHS that it will continue providing comprehensive primary health care services or wellness services without regard to income or insurance status of the patient for the duration of the grant period.

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