Title 42, The Public Health and WelfareRelease 119-110

§256i Community-based Collaborative Care Network Program

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER II — GENERAL POWERS AND DUTIES › Part D — Primary Health Care › subpart xii — community-based collaborative care network program › § 256i

Last updated Sep 23, 2026|Official source

Summary

The Secretary of Health and Human Services can give grants to groups that form community-based collaborative care networks. A network is a group of health care providers with shared leadership that delivers coordinated, integrated care for low-income people. Networks must include a qualifying hospital (the kind described in section 1396r–4(b)(1)) and all federally qualified health centers in the community (as defined in section 1395x(aa)), unless a provider doesn’t exist, refuses, or sets unreasonable conditions. Grant decisions should favor networks that can offer the widest range of services, include many providers who already serve many low-income patients, and include a county or city health department. Networks must apply for grants, and past winners may get renewal grants based on performance. Grant money can help low-income people access and use care, enroll in coverage, get a regular primary care provider, provide case and care management, do outreach (including neighborhood health workers), offer transportation, expand capacity (for example telehealth or after-hours care), and deliver direct patient care. The Secretary may limit how much HRSA program grantees spend on direct care. Funds were authorized as needed for fiscal years 2011 through 2015.

Full Legal Text

Title 42, §256i

The Public Health and Welfare, Source: USLM XML via OLRC

(a)In general
The Secretary may award grants to eligible entities to support community-based collaborative care networks that meet the requirements of subsection (b).
(b)Community-based collaborative care networks
(1)Description
A community-based collaborative care network (referred to in this section as a “network”) shall be a consortium of health care providers with a joint governance structure (including providers within a single entity) that provides comprehensive coordinated and integrated health care services (as defined by the Secretary) for low-income populations.
(2)Required inclusion
A network shall include the following providers (unless such provider does not exist within the community, declines or refuses to participate, or places unreasonable conditions on their participation):
(A)A hospital that meets the criteria in section 1396r–4(b)(1) of this title; and
(B)All Federally qualified health centers (as defined in section 1395x(aa) of this title located in the community.
(3)Priority
In awarding grants, the Secretary shall give priority to networks that include—
(A)the capability to provide the broadest range of services to low-income individuals;
(B)the broadest range of providers that currently serve a high volume of low-income individuals; and
(C)a county or municipal department of health.
(c)Application
(1)Application
A network described in subsection (b) shall submit an application to the Secretary.
(2)Renewal
In subsequent years, based on the performance of grantees, the Secretary may provide renewal grants to prior year grant recipients.
(d)Use of funds
(1)Use by grantees
Grant funds may be used for the following activities:
(A)Assist low-income individuals to—
(i)access and appropriately use health services;
(ii)enroll in health coverage programs; and
(iii)obtain a regular primary care provider or a medical home.
(B)Provide case management and care management.
(C)Perform health outreach using neighborhood health workers or through other means.
(D)Provide transportation.
(E)Expand capacity, including through telehealth, after-hours services or urgent care.
(F)Provide direct patient care services.
(2)Grant funds to HRSA grantees
The Secretary may limit the percent of grant funding that may be spent on direct care services provided by grantees of programs administered by the Health Resources and Services Administration or impose other requirements on such grantees deemed necessary.
(e)Authorization of appropriations
There are authorized to be appropriated to carry out this section such sums as may be necessary for each of fiscal years 2011 through 2015.

Reference

Citations & Metadata

Citation

42 U.S.C. § 256i

Title 42, The Public Health and Welfare

Last Updated

Sep 23, 2026

Release point: 119-110