334.038. Assistant physicians, program to serve in medically underserved areas, requirements — fund created — grant eligibility — rulemaking authority. — 1. As used in this section, the following terms shall mean:
Terms Used In Missouri Laws 334.038
- following: when used by way of reference to any section of the statutes, mean the section next preceding or next following that in which the reference is made, unless some other section is expressly designated in the reference. See Missouri Laws 1.020
- person: may extend and be applied to bodies politic and corporate, and to partnerships and other unincorporated associations. See Missouri Laws 1.020
- Property: includes real and personal property. See Missouri Laws 1.020
- State: when applied to any of the United States, includes the District of Columbia and the territories, and the words "United States" includes such district and territories. See Missouri Laws 1.020
- United States: includes such district and territories. See Missouri Laws 1.020
(1) “Assistant physician”, a person licensed to practice under section 334.036 in a collaborative practice arrangement under section 334.037;
(2) “Department”, the department of health and senior services;
(3) “Medically underserved area”:
(a) An area in this state with a medically underserved population;
(b) An area in this state designated by the United States secretary of health and human services as an area with a shortage of personal health services;
(c) A population group designated by the United States secretary of health and human services as having a shortage of personal health services;
(d) An area designated under state or federal law as a medically underserved community; or
(e) An area that the department considers to be medically underserved based on relevant demographic, geographic, and environmental factors;
(4) “Primary care”, physician services in family practice, general practice, internal medicine, pediatrics, obstetrics, or gynecology;
(5) “Start-up money”, a payment made by a county or municipality in this state which includes a medically underserved area for reasonable costs incurred for the establishment of a medical clinic, ancillary facilities for diagnosing and treating patients, and payment of physicians, assistant physicians, and any support staff.
2. (1) The department shall establish and administer a program under this section to increase the number of medical clinics in medically underserved areas. A county or municipality in this state that includes a medically underserved area may establish a medical clinic in the medically underserved area by contributing start-up money for the medical clinic and having such contribution matched wholly or partly by grant moneys from the medical clinics in medically underserved areas fund established in subsection 3 of this section. The department shall seek all available moneys from any source whatsoever, including but not limited to healthcare foundations to assist in funding the program.
(2) A participating county or municipality that includes a medically underserved area may provide start-up money for a medical clinic over a two-year period. The department shall not provide more than one hundred thousand dollars to such county or municipality in a fiscal year unless the department makes a specific finding of need in the medically underserved area.
(3) The department shall establish priorities so that the counties or municipalities which include the neediest medically underserved areas eligible for assistance under this section are assured the receipt of a grant.
3. (1) There is hereby created in the state treasury the “Medical Clinics in Medically Underserved Areas Fund”, which shall consist of any state moneys appropriated, gifts, grants, donations, or any other contribution from any source for such purpose. The state treasurer shall be custodian of the fund. In accordance with sections 30.170 and 30.180, the state treasurer may approve disbursements. The fund shall be a dedicated fund and, upon appropriation, money in the fund shall be used solely for the administration of this section.
(2) Notwithstanding the provisions of section 33.080 to the contrary, any moneys remaining in the fund at the end of the biennium shall not revert to the credit of the general revenue fund.
(3) The state treasurer shall invest moneys in the fund in the same manner as other funds are invested. Any interest and moneys earned on such investments shall be credited to the fund.
4. To be eligible to receive a matching grant from the department, a county or municipality that includes a medically underserved area shall:
(1) Apply for the matching grant; and
(2) Provide evidence satisfactory to the department that it has entered into an agreement or combination of agreements with a collaborating physician or physicians for the collaborating physician or physicians and assistant physician or assistant physicians in accordance with a collaborative practice arrangement under section 334.037 to provide primary care in the medically underserved area for at least two years.
5. The department shall promulgate rules necessary for the implementation of this section, including rules addressing:
(1) Eligibility criteria for a medically underserved area;
(2) A requirement that a medical clinic utilize an assistant physician in a collaborative practice arrangement under section 334.037;
(3) Minimum and maximum county or municipality contributions to the start-up money for a medical clinic to be matched with grant moneys from the state;
(4) Conditions under which grant moneys shall be repaid by a county or municipality for failure to comply with the requirements for receipt of such grant moneys;
(5) Procedures for disbursement of grant moneys by the department;
(6) The form and manner in which a county or municipality shall make its contribution to the start-up money; and
(7) Requirements for the county or municipality to retain interest in any property, equipment, or durable goods for seven years including, but not limited to, the criteria for a county or municipality to be excused from such retention requirement.