An Act To Improve Healthcare Outreach and Education In Rural Areas of Tennessee

BSB/3/16

Sponsored by Ruhee Gupta, Meghana Sappidi, Lillyanne Smith of Ravenwood High School

This legislation was filed in the Health category

Presented as part of the YIG Volunteer 2024 conference

1 BE IT ENACTED BY THE TENNESSEE YMCA YOUTH IN GOVERNMENT
2
3 Section 1: Terms in this act will be defined as follows:
4 (A) American Red Cross- a nonprofit humanitarian organization that provides emergency
5 assistance, disaster relief, and disaster preparedness education in the United States
6 (B) Centers for Disease Control and Prevention (CDC)- the national public health agency of the
7 United States. It is a United States federal agency under the Department of Health and Human
8 Services.
9 (C) Emergency medicine physicians - medical doctors who specialize in the diagnosis, treatment,
10 and management of acute and life-threatening medical conditions that require immediate
11 intervention
12 (D) Motorhome- a motor vehicle equipped like a trailer for living in, with kitchen facilities, beds,
13 etc.
14 (E) Primary Care Physicians- medical doctors who specialize in family medicine, internal medicine,
15 geriatrics, and pediatrics and are often the first point of contact for patients. The primary health
16 care they provide includes routine physical tests, prescription of medicines, and treating and
17 managing minor to acute illnesses.
18 (F) Tennessee Department of Health- a primary agency of state government in Tennessee
19 responsible for public health. Its workforce provides a variety of direct and indirect services to
20 residents and visitors in all 95 counties of the state.
21 (G) United States Department of Agriculture- a federal executive department responsible for
22 developing and executing federal laws related to farming, forestry, rural economic development,
23 and food.
24
25 Section 2: This act aims to create a program to partner with local healthcare providers, community
26 organizations, and government agencies to identify areas in rural Tennessee with limited access to
27 healthcare services and resources. According to the United States Department of Agriculture
28 (USDA), there are approximately eight hundred fifty-six thousand, six hundred forty-three
29 (856,643) rural households in Tennessee, many of which may have limited access to healthcare
30 services.
31
32 Section 3: The purpose of this act is to create a program in order to recruit a team of doctors and
33 interns in the healthcare field who are willing to travel to these rural areas for a few weeks at a
34 time to conduct healthcare education sessions. The doctors will be paid one hundred thousand
35 dollars ($100,000) per year, while the interns will be paid fifty thousand dollars ($50,000) per
36 year, which is subject to change based on inflation. The doctors will consist of one primary care
37 physician and one emergency medicine physician.
38
39 Section 4: The team of doctors and interns will teach a curriculum that encompasses basic
40 information on health care nutrition information, preventative techniques, common illnesses,
41 illness symptoms, and hands-on training and demonstrations on topics such as CPR, first aid, and
42 self-care practices. The purpose of including interns is to provide a unique and educational
43 experience for the interns, while also educating and improving healthcare knowledge in rural areas
44 of Tennessee. The primary care physicians will focus on general healthcare basics, while the
45 emergency medicine physicians will focus on training for emergency situations. This curriculum
46 only aims to ensure that the citizens have the necessary knowledge and supplies to respond to an
47 emergency in a critical situation, until help arrives, and to teach citizens how to recognize illnesses
48 and minor injuries so that they know to seek help.
49
50 Section 5: The team will reach out to mayors or representatives of rural cities in Tennessee to set
51 up the sessions in local churches, schools, and other communal areas to ensure that they are
52 easily accessible to the public. These local mayors and representatives will be responsible for
53 spreading the word and making sure that at least one legal adult from each household attends the
54 session. When attending a session, citizens must bring some sort of identification, such as a
55 passport, license, etc., with them to ensure that they are who they claim to be. The team will allot
56 two weeks time in each town. The entirety of this time may or may not be used, depending on the
57 amount of people that are being catering to. The team will set up multiple sessions so that people
58 can attend on a day that works best for them. If one person from a household cannot attend the
59 session, they will have to fill out mandatory paperwork explaining why they cannot attend and
60 submit it to the program. If the requirement of one person per household is not met, and the
61 missing person/people don’t fill out the paperwork, they will be subject to a fine. This fine will be
62 decided based on their income and will be implemented back into the program.
63
64 Section 6: This act will repeat every twenty years with the team working actively for five years,
65 then waiting fifteen years before repeating. In this five year term, the two (2) doctors will stay
66 constant and active, while the interns will change every year. In total, every twenty years, two (2)
67 doctors and fifteen (15) interns will be involved at some point or another. In this act, the doctors
68 may repeat for another five (5) year term, or more, if they are hired to do so. By having the cycle
69 repeat every twenty years, this act ensures that future generations also have the opportunity to
70 gain the vital healthcare training and knowledge that is presented to the citizens during the
71 sessions.
72
73 Section 7: Those employed will sign a contract for five (5)-year employment. It is also possible for
74 any member of the team to be rehired. The team will travel and stay in motorhomes that will be
75 provided by the program for five years and will be responsible for their meals, gas to power the
76 motorhome, and any other necessities. The motorhomes will change with the employed members,
77 meaning that the same three (3) motorhomes will be given to each year of interns.
78
79 Section 8: As of 2021, according to the Centers for Disease Control and Prevention (CDC),
80 Tennessee ranked second nationwide for the most accidental deaths, with one hundred twenty-
81 eight (128) deaths per one hundred thousand (100,000) residents. After each session, one (1)
82 person from each household will receive a complimentary official American Red Cross first aid kit.
83 These kits cost fifteen dollars ($15) each and will be paid for by the Tennessee Department of
84 Health. The kits contain essential items for treating cuts, scrapes, burns, and many other injuries.
85 These kits will ensure that citizens in rural areas, who may not have access to hospitals, can treat
86 minor injuries, as well as prevent major injuries from becoming more serious until proper help is
87 assured.
88
89 Section 9: This program will cost fifteen million, two hundred fourteen thousand, six hundred
90 forty-five dollars ($15,214,645), and will suffice for one rotation (twenty (20) years). This will be
91
92 seven million, two hundred seventeen thousand, six hundred dollars ($947,217,600). The cost of
93 this bill for twenty (20) years is only 1.06% of the total Tennessee Department of Health’s annual
94 budget. The money will be a one (1)-time payment that will suffice for twenty (20) years. The
95 price may fluctuate in the years following the cycle, depending on the changing economy. The
96 salary of the doctors over five years will cost one million, seven hundred fifty thousand dollars
97 ($1,750,000). Twelve million, eight hundred forty-nine thousand, six hundred forty-five dollars
98 ($12,849,645) will be used to supply first aid kits to eight hundred fifty-six thousand, six hundred
99 forty-three (856,643) rural households. The cost of the motorhomes is six hundred fifteen
100 thousand dollars ($615,000), not including gas and/or repairs.
101
102 Section 10: All laws or parts of laws in conflict with this are hereby repealed.
103
104 Section 11: This act shall take effect January 1, 2025.
105