CHWs are mentioned specifically in several places in the reform bill, and there is strong potential to include CHWs in implementation of several other sections. CHWs and their supporters should work with allies in state and Congressional delegations to make sure these things are carried out!
Sections referring specifically to CHWs:
National Health Care Workforce Commission (Sec. 5101) – includes CHWs in definition of primary care professionals (5101(i)(1)).
Grants to Promote the Community Health Workforce (Sec. 5313) – Directs the Director of CDC to award grants to promote positive health behaviors and outcomes for populations in medically under-served communities through the use of community health workers.
Area Health Education Centers (Sec. 5403) – requires AHECs to “Conduct and participate in interdisciplinary training that involves physicians, physician assistants, nurse practitioners, nurse midwives, dentists, psychologists, pharmacists, optometrists, community health workers, public and allied health professionals, or other health professionals, as practicable.” (5403(c)(1)(D))
Provisions Which May Be Pursued for CHW Roles:
Hospital Readmission Reduction (Sec. 3025) – high potential for CHW role in meeting these standards.
Community Health Teams in Support of Patient-Centered Medical Homes (Sec. 3502) – natural role for CHWs as part of these teams.
Patient Navigator Program (Sec. 3509) – reauthorized through 2015. As implemented by HRSA, grants under this program heavily favor employing CHWs as Navigators.