{"data":{"id":"us-dc/d.c.-code-4-651.02","jurisdiction":"us-dc","citation":"D.C. Code § 4-651.02","heading":"Healthy Steps Pediatric Primary Care Demonstration Program.","body":"(a)\nDOH shall establish and administer a Healthy Steps Pediatric Primary Care Demonstration Program (\"Program\"), in accordance with this section, for the purpose of providing grants to primary care providers to administer:\n(1)\nHealthy Steps; and\n(2)\nCo-located lactation support services within the facilities of primary care providers selected to participate in the Program.\n\n(b)\nPrimary care providers located in Wards 5, 7, or 8 that serve a population of 50% Medicaid-eligible families shall be eligible to participate in the Program.\n\n(c)\nAn eligible primary care provider seeking to participate in the Program shall submit an application to DOH that includes a detailed description of the applicant's:\n(1)\nCurrent pediatric population, including the following demographic characteristics of patients:\n(A)\nRace;\n(B)\nEthnicity;\n(C)\nIncome level of parents;\n(D)\nPrimary language spoken; and\n(E)\nLocation by ward;\n(2)\nApproach to health promotion, screening, prevention, and wellness for families with infants and toddlers;\n(3)\nEngagement with other health professionals, including referral relationships with community-based social service providers and home visiting programs;\n(4)\nPlan to integrate a child development specialist and a community health worker into the applicant's practice to engage with families with infants and toddlers;\n(5)\nPlan to refer, coordinate care, and share data with home visiting programs and early learning providers, including Early Head Start, the Quality Improvement Network, and Strong Start;\n(6)\nPlan to coordinate with family support services to address social determinants of health;\n(7)\nPlan to engage an entity with expertise in implementing Healthy Steps for initial and ongoing training of pediatric primary care staff;\n(8)\nPlan to provide services to promote healthy early childhood development and address parenting challenges;\n(9)\nPlan to offer lactation support services, including consultative services and individual and group education classes;\n(10)\nStaffing plan for lactation support services;\n(11)\nPlan to coordinate care and referrals to co-located lactation support services;\n(12)\nCurrent follow through rate of patient behavioral health referrals;\n(13)\nPlan to improve the health literacy of patients;\n(14)\nPlan to screen infants and toddlers for adverse childhood experiences and incorporate findings into the practice; and\n(15)\nOther information as may be required by DOH.\n\n(d)\nSubject to appropriations, DOH shall provide funding to participating primary care providers to:\n(1)\nImplement Healthy Steps;\n(2)\nObtain and maintain Patient-Centered Medical Home National Committee for Quality Assurance recognition ;\n(3)\nObtain the services of community health workers to provide community navigation services;\n(4)\nScreen patients and their families for adverse childhood experiences, developmental health, behavioral health, and social determinants of health needs that affect health and behavioral health outcomes, including poverty, food insecurity, housing instability, and domestic and community violence;\n(5)\nProvide families with community navigation services to address the findings of the screening process conducted pursuant to paragraph (4) of this subsection;\n(6)\nSupport the data collection and reporting required pursuant to [§ 4-651.03]; and\n(7)\nSupport organizational training, evaluation, and delivery of services.\n\n(e)\nDOH shall coordinate with other District agencies and primary care providers selected to participate in the Program to identify and provide effective incentives to families to encourage the use of lactation support services and community-based social services.\n\n(f)\nDOH shall determine the feasibility of co-locating clinics participating in the Special Supplemental Nutrition Program for Women, Infants, and Children, as established by section 17 of the Child Nutrition Act of 1966, approved September 26, 1972 (86 Stat. 729; 42 U.S.C. § 1786), with primary care providers selected to participate in the Program.\n\n(g)\nSubject to appropriations, local funding provided to the Program shall be:\n(1)\nA grant of $300,000 each fiscal year for one primary care provider selected to participate in the Program and an evaluation by the external evaluation contractor selected pursuant to § 4-651.03; provided, that no more than 20% of the grant shall be allocated for an external evaluation conducted pursuant to § 4-651.03;\n(2)\nIn Fiscal Year 2020, an amount for at least one additional primary care clinic selected to participate in the Program; provided, that no more than 20% of the grant shall be allocated  for an external evaluation conducted pursuant to § 4-651.03;\n(3)\nIn Fiscal Year 2021, an amount for at least one additional primary care clinic selected to participate in the Program; provided, that no more than 20% of the grant shall be allocated for an external evaluation conducted pursuant to § 4-651.03;\n(4)\nIn Fiscal Year 2022, an amount for at least one additional primary care clinic selected to participate in the Program; provided, that  no more than 20% of the grant shall be allocated for an external evaluation conducted pursuant to § 4-651.03; and\n(5)\nIn Fiscal Year 2023, an amount for at least one additional primary care clinic selected to participate in the Program; provided, that no more than 20% of the grant shall be allocated for an external evaluation conducted pursuant to § 4-651.03.","path":["Title 4. Public Care Systems.","Chapter 6B. Healthy Early Childhood Development Programs."],"source_url":"https://code.dccouncil.gov/us/dc/council/code/sections/4-651.02","current_through":"2026-08-20 (D.C. Law 26-175)","vintage":"","retrieved_at":"2026-08-29T05:44:07Z","sha256":"93ef271f1a38176c9ea1d5c6d47e25782d0a02f173f93979f4a9b8a145995365","source_id":"us-dc","stale":false,"prev":"us-dc/d.c.-code-4-651.01","next":"us-dc/d.c.-code-4-651.03"},"notice":"GroundRules: Original legal text. Not legal advice."}