GENERAL ASSEMBLY OF NORTH CAROLINA

SESSION 1989

H	1 

HOUSE BILL 1568

Short Title:  Statewide Health Promotion Funds.	(Public)
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Sponsors: Representatives Locks; Barnhill and Bowman.
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Referred to:  Appropriations.
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May 3, 1989

A BILL TO BE ENTITLED
AN ACT TO APPROPRIATE FUNDS TO EXPAND THE STATEWIDE HEALTH PROMOTION AND DISEASE PREVENTION PROGRAM.
The General Assembly of North Carolina enacts:
Section 1.  G.S. 130A-223 reads as rewritten:
"§ 130A-223.  Department to establish program.
(a)	The Department shall establish and administer a program for the prevention of diseases, disabilities and accidents that contribute significantly to mortality and morbidity among adults. The program may also provide for the care and treatment of persons with these diseases or disabilities.
(b)	As part of the prevention program, the Department shall establish and administer a Statewide Health Promotion and Disease Prevention Program.  In administering the program, the Department shall do, but shall not be limited to doing:
(1)	Identify risk factors associated with cardiovascular disease, cancer, injuries, and other leading causes of death or disability;
(2)	Identify the prevalence of risk factors among groups, populations, or geographic areas which share patterns of disease, disability, or mortality from cardiovascular disease, cancer, injuries, and other leading causes of death or disability;
(3)	Utilize health education and other methods which:
a.	Improve the awareness of individuals and communities about the risk factors associated with cardiovascular disease, cancer, injuries, and other leading health problems; and
b.	Promote changes in lifestyle and environment likely to reduce those risk factors;
(4)	Establish, finance, coordinate, and administer contracts with local health departments or, where appropriate, with other public and private organizations, institutions, and agencies, to plan, develop, coordinate, manage, and provide community-based health promotion and disease prevention services for cardiovascular disease, cancer, injuries, and other leading causes of death or disability.  In awarding contracts under this subdivision, the Department shall provide an equal base amount to each county and an additional amount to be allocated based on the needs of the county population;
(5)	Establish, finance, coordinate, and administer a system for awarding and monitoring competitive contracts for local health promotion and disease prevention services and activities for cardiovascular disease, cancer, injuries, and other leading causes of death or disability.  Local health departments and public and private organizations, institutions, and agencies shall be eligible to compete for the contracts;
(6)	Seek and encourage funding from other public and private sources, including foundations, for the purpose of expanding the nature, scope, and impact of services and activities provided under the program;
(7)	Encourage contractors to subcontract parts of local program services and activities to other public and private organizations, institutions, and agencies that can effectively provide those services and activities;
(8)	Promote, encourage, and support participation of volunteers in all aspects of the program;
(9)	Provide technical assistance, management, and program consultation and training to contractors and communities to establish, maintain, and improve health promotion and disease prevention services; and
(10)	Develop, in cooperation with the university community, a reporting, monitoring, assessment, and performance-evaluation system for the health promotion and disease prevention program.  Written reports on these evaluations shall be submitted to the General Assembly on or before March 31 of each year.
	(c)	The Commission is authorized to adopt rules necessary to implement the program.”
Sec. 2.  There is appropriated from the General Fund to the Department of Human Resources $2,892,694 for fiscal year 1989-90 and $2,892,694 for fiscal year 1990-91 to implement and administer a statewide community-based program of Health Promotion and Disease Prevention as described in G.S. 130A-223(b) as added by Section 1 of this act.  Of the amount appropriated in this act for fiscal year 1989-90 $1,000,000 and of the amount appropriated in this act for fiscal year 1990-91 $1,000,000 shall be awarded for competitive contracts under G.S. 130A-223(b)(5) as added by Section 1 of this act.
Sec. 3.  This act shall become effective July 1, 1989.