Sec. 4304. Harvesting health pilot projects
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/bill/115/hr/2/eas/section-4304A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
In this section: The term eligible entity means— a nonprofit organization; or a State or unit of local government. The term healthcare partner means a healthcare provider, including— a hospital; a Federally-qualified health center (as defined in section 1905(l) of the Social Security Act ( 42 U.S.C. 1396d(l) )); a hospital or clinic operated by the Secretary of Veterans Affairs; or a health care provider group. The term member means, as determined by the applicable eligible entity or healthcare partner carrying out a pilot project in accordance with procedures established by the Secretary— an individual eligible for— benefits under the Food and Nutrition Act of 2008 ( 7 U.S.C. 2011 et seq.); or medical assistance under a State plan or a waiver of such a plan under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.) and enrolled under such plan or waiver; and a member of a low-income household that suffers from, or is at risk of developing, a diet-related health condition.
A determination by an eligible entity or healthcare partner that an individual is a member for purposes of subparagraph
(A)shall not— constitute a determination that the individual is eligible for benefits or assistance under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.) or the Food and Nutrition Act of 2008 ( 7 U.S.C. 2011 et seq.), as applicable; or be a factor in determining whether the individual is eligible for such benefits or assistance. The term pilot project means a pilot project that is awarded a grant under subsection (b)(1). The term produce prescription program means a program that— prescribes fresh fruits and vegetables to members; may provide— financial or non-financial incentives for members to purchase or procure fresh fruits and vegetables; and educational resources on nutrition to members; and may establish additional accessible locations for members to procure fresh fruits and vegetables. The Secretary shall establish a grant program under which the Secretary shall award grants to eligible entities to conduct pilot projects that demonstrate and evaluate the impact of a produce prescription program on— the improvement of dietary health through increased consumption of fruits and vegetables; the reduction of individual and household food insecurity; and the reduction in health care use and associated costs. In carrying out a pilot project using a grant received under subparagraph (A), an eligible entity shall partner with 1 or more healthcare partners. To be eligible to receive a grant under subparagraph (A), an eligible entity shall submit to the Secretary an application containing such information as the Secretary may require, including the information described in clause (ii). An application under clause
(i)shall— identify the 1 or more healthcare partners with which the eligible entity is partnering under subparagraph (B); and include— a description of the methods by which an eligible entity shall— screen and verify eligibility for members for participation in a produce prescription program, in accordance with procedures established under subsection (a)(3)(A); implement an effective produce prescription program, including the role of each healthcare partner in implementing the produce prescription program; evaluate members participating in a produce prescription program with respect to the issues described in clauses
(i)through
(iii)of subparagraph (A); provide educational opportunities relating to nutrition to members participating in a produce prescription program; and inform members of the availability of the produce prescription pilot project; a description of any additional nonprofit or emergency feeding organizations that shall be involved in the pilot project and the role of each additional nonprofit or emergency feeding organization in implementing and evaluating an effective produce prescription program; documentation of a partnership agreement with a relevant State Medicaid agency or other appropriate entity, as determined by the Secretary, to evaluate the effectiveness of a produce prescription program in reducing health care use and associated costs; and any other data necessary to analyze the impact of a produce prescription program, as determined by the Secretary. In carrying out the grant program established under paragraph (1), the Secretary shall coordinate with the Secretary of Health and Human Services and the heads of other appropriate Federal agencies that carry out activities relating to healthcare partners. In carrying out the grant program under paragraph (1), the Secretary may enter into 1 or more memoranda of understanding with a Federal agency, a State, or a private partner to ensure the effective implementation and evaluation of each pilot project. A memorandum of understanding entered into under subparagraph
(A)shall include— a description of a plan to provide educational opportunities relating to nutrition to members participating in the produce prescription program; a description of the role of the Federal agency, State, or private partner, as applicable, in implementing and evaluating an effective produce prescription program; documentation of a partnership agreement with a relevant State Medicaid agency or other appropriate entity, as determined by the Secretary, to evaluate the effectiveness of the produce prescription program in reducing health care use and associated costs; and any other data necessary to analyze the impact of the produce prescription program, as determined by the Secretary. Of the funds of the Commodity Credit Corporation, the Secretary shall use to carry out this section $4,000,000 for each of fiscal years 2019 through 2023, to remain available until expended. The Secretary may use not greater than 10 percent of the amounts provided under paragraph
(1)to pay for the costs of administering, monitoring, and evaluating each pilot project.
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