Required Primary Health Services Law and Legal Definition

Required primary health services refer to the basic health services including referrals made by physicians to providers of medical services and other health-related services, that are accessible, affordable, acceptable and available to all individuals who require such services. It also includes patient case management services and medical services provided by health centers.

According to 42 USCS § 254b(b)(1)(A), the term "required primary health services" means:

(i) basic health services which, for purposes of this section, shall consist of: (I) health services related to family medicine, internal medicine, pediatrics, obstetrics, or gynecology that are furnished by physicians and where appropriate, physician assistants, nurse practitioners, and nurse midwives; (II) diagnostic laboratory and radiologic services; (III) preventive health services, including: (aa) prenatal and perinatal services; (bb) appropriate cancer screening; (cc) well-child services; (dd) immunizations against vaccine-preventable diseases; (ee) screenings for elevated blood lead levels, communicable diseases, and cholesterol; (ff) pediatric eye, ear, and dental screenings to determine the need for vision and hearing correction and dental care; (gg) voluntary family planning services; and (hh) preventive dental services; (IV) emergency medical services; and (V) pharmaceutical services as may be appropriate for particular centers; (ii) referrals to providers of medical services (including specialty referral when medically indicated) and other health-related services (including substance abuse and mental health services); (iii) patient case management services (including counseling, referral, and follow-up services) and other services designed to assist health center patients in establishing eligibility for and gaining access to Federal, State, and local programs that provide or financially support the provision of medical, social, housing, educational, or other related services; (iv) services that enable individuals to use the services of the health center (including outreach and transportation services and, if a substantial number of the individuals in the population served by a center are of limited English-speaking ability, the services of appropriate personnel fluent in the language spoken by a predominant number of such individuals); and(v) education of patients and the general population served by the health center regarding the availability and proper use of health services.