Title III, SEC. 3424. ACCESSIBILITY OF SERVICES. 
      (a) Services for Certain Individuals. A funding agreement for an award of 
    financial assistance under section 3421 is that the qualified community 
    health group involved will ensure that the services of the group will be 
    accessible directly or through formal contractual arrangements with its 
    participating providers regardless of whether individuals who seek care 
    from the applicant are eligible persons under title I. 

      (b) Use of Third-Party Payors. A funding agreement for an award of 
    financial assistance under section 3421 is that the qualified community 
    health group involved will ensure that the health care providers of the 
    group are all approved by the Secretary as providers under title XVIII of 
    the Social Security Act and by the appropriate State agency as providers 
    under title XIX of the Social Security Act, and the applicant has made or 
    will make every reasonable effort to collect appropriate reimbursement for 
    its costs in providing health services to individuals who are entitled to 
    health benefits under title I of this Act, insurance benefits under title 
    XVIII of the Social Security Act,  medical assistance under a State plan 
    approved under title XIX of the Social Security Act, or to assistance for 
    medical expenses under any other public assistance program or private 
    health insurance program. 

      (c) Schedule of Fees. A funding agreement for an award of financial 
    assistance under section 3421 is that the qualified community health group 
    involved will 

        (1) prepare a schedule of fees or payments for the provision of health 
      services not covered by title I that is consistent with locally 
      prevailing rates or charges and designed to cover its reasonable costs of 
      operation and has prepared a corresponding schedule of discounts to be 
      applied to the payment of such fees or payments (or payments of cost 
      sharing amounts owed in the case of covered benefits) which discounts are 
      applied on the basis of the patient's ability to pay; and 

        (2) make every reasonable effort to secure from patients payment in 
      accordance with such schedules, and to collect reimbursement for services 
      to persons entitled to public or private insurance benefits or other 
      medical assistance on the basis of full fees without application of 
      discounts, except that the applicant will ensure that no person is denied 
      service based on the person's inability to pay therefor. 

      (d) Barriers Within Service Area. A funding agreement for an award of 
    financial assistance under section 3421 is that the qualified community 
    health group involved will ensure that the following conditions are met: 

        (1) In the service area of the group, the group will ensure that 

          (A) the services of the group are accessible to all residents; and 

          (B) to the maximum extent possible, barriers to access to the 
        services of the group are eliminated, including barriers resulting from 
        the area's physical characteristics, its residential patterns, its 
        economic, social and cultural groupings, and available  transportation. 

        (2) The group will periodically conduct reviews within the service area 
      of the group to determine whether the conditions described in paragraph 
      (1) are being met. 

      (e) Limited Ability to Speak English Language. A funding agreement for an 
    award of financial assistance under section 3421 is that, if the service 
    area of the qualified community health group involved serves a substantial 
    number of individuals who have a limited ability to speak the English 
    language, the applicant will 

        (1) maintain arrangements responsive to the needs of such individuals 
      for providing services to the extent practicable in the language and 
      cultural context most appropriate to such individuals; and 

        (2) maintain a sufficient number of staff members who are fluent in 
      both English and the languages spoken by such individuals, and will 
      ensure that the responsibilities of the employees include providing 
      guidance and assistance to such individuals and to other staff members of 
      the group.