42 USC 300u-14 - Healthy aging, living well; evaluation of community-based prevention and wellness programs for Medicare beneficiaries

U.S Code last checked for updates: Nov 22, 2024

§ 300u–14.

Healthy aging, living well; evaluation of community-based prevention and wellness programs for Medicare beneficiaries

(a)

Healthy aging, living well

(1)

In general

(2)

Eligibility

To be eligible to receive a grant under paragraph (1), an entity shall—

(A)

be—

(i)

a State health department;

(ii)

a local health department; or

(iii)

an Indian tribe;

(B)

submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require including a description of the program to be carried out under the grant;

(C)

design a strategy for improving the health of the 55-to-64 year-old population through community-based public health interventions; and

(D)

demonstrate the capacity, if funded, to develop the relationships necessary with relevant health agencies, health care providers, community-based organizations, and insurers to carry out the activities described in paragraph (3), such relationships to include the identification of a community-based clinical partner, such as a community health center or rural health clinic.

(3)

Use of funds

(A)

In general

(B)

Public health interventions

(i)

In general

(ii)

Types of intervention activities

(C)

Community preventive screenings

(i)

In general

(ii)

Types of screening activities

Screening activities conducted under this subparagraph may include—

(I)

mental health/behavioral health and substance use disorders;

(II)

physical activity, smoking, and nutrition; and

(III)

any other measures deemed appropriate by the Secretary.

(iii)

Monitoring

(D)

Clinical referral/treatment for chronic diseases

(i)

In general

(ii)

Mechanism

(I)

Identification and determination of status

(II)

Insured individuals

(III)

Uninsured individuals

(iii)

Public health intervention program

(E)

Grantee evaluation

(4)

Pilot program evaluation

(5)

Authorization of appropriations

(b)

Evaluation and plan for community-based prevention and wellness programs for Medicare beneficiaries

(1)

In general

(2)

Medicare evaluation of prevention and wellness programs

(A)

In general

(B)

Evaluation

The evaluation under subparagraph (A) shall consist of the following:

(i)

Evidence review

The Secretary shall review available evidence, literature, best practices, and resources that are relevant to programs that promote healthy lifestyles and reduce risk factors for the Medicare population. The Secretary may determine the scope of the evidence review and such issues to be considered, which shall include, at a minimum—

(I)

physical activity, nutrition, and obesity;

(II)

falls;

(III)

chronic disease self-management; and

(IV)

mental health.

(ii)

Independent evaluation of evidence-based community prevention and wellness programs

The Administrator of the Centers for Medicare & Medicaid Services, in consultation with the Assistant Secretary for Aging, shall, to the extent feasible and practicable, conduct an evaluation of existing community prevention and wellness programs that are sponsored by the Administration on Aging to assess the extent to which Medicare beneficiaries who participate in such programs—

(I)

reduce their health risks, improve their health outcomes, and adopt and maintain healthy behaviors;

(II)

improve their ability to manage their chronic conditions; and

(III)

reduce their utilization of health services and associated costs under the Medicare program for conditions that are amenable to improvement under such programs.

(3)

Report

Not later than September 30, 2013, the Secretary shall submit to Congress a report that includes—

(A)

recommendations for such legislation and administrative action as the Secretary determines appropriate to promote healthy lifestyles and chronic disease self-management for Medicare beneficiaries;

(B)

any relevant findings relating to the evidence review under paragraph (2)(B)(i); and

(C)

the results of the evaluation under paragraph (2)(B)(ii).

(4)

Funding

(5)

Administration

(6)

Medicare beneficiary

(Pub. L. 111–148, title IV, § 4202, Mar. 23, 2010, 124 Stat. 566.)

cite as: 42 USC 300u-14