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Section 1. Omibus 1 ritle IX. , 2 oe

 

ec

"The Healt ch Services Inprovenent ‘Act of 1970"

. * - . -
vec nec nec eae Caetano ww eee ele eee cae ee ee re et emer ne tes moire eo tm oem ree aac pe me meee serps soem rears orn

 

. . * . . oN

Title 1X of tha PHS Act is “amended to “read: oo _ os ot oh, mo,

‘gection 901. ‘Purpose / ee

Care and services, government at all leve os, and ‘the public; that

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af

° . oo 7 te
- - . vs.
: coe : _

x

“~

The Congress declares that fulfillment of our national purpose depends

°
:
in : : :
ie an tere oa mentee es awe

t
(
i

.

we : . . , . c
on promoting and assuring the highest level of health attainable for

very person, in an environment which contributes positively to health-

*

‘ful fa milly and. “individual living; that attainment of this goal depends

s

on an effective partnership among those “who provide health and ‘medical

Federal assist ance ‘must be directed to su ort coo erative efforts
Pi

‘ aimed at the organization ‘and development of .improved systems for the

delivery of health care and services of high quality for every person;

that the leadership and capacities of those involved in these coopera-

‘tive efforts must be strengthened; and that support of community health

. * .

services should be continued and strengthened; ‘and that these ends

should be eccomplished through the support and encourag ement of

evolving, innovative patterns and forns of providing preventive, diagnostic,

 

therapeutic, and rehabilitative services.
ba : ~ 4 Section 902. Authorization of Appropriation

 

The Secretary is hereby authorized to make. grants and provide other

 

 

 

ae ane

: “assistance to public or private agencies, institutions dnd or zations
oP for the support of cooperative planning and experimentation related to
4 : :
t. ~ organizing and developing health care systems, including planning for the
} 7 a .
Be 3. manpower, Sexvices, and facilities necessary thereto; for consultation
Reta ale - :
Ya. and technical assistance (including the interchange of personnel) 5 or
Boe f°
4 Coa Be mo , . .
| Voo.t.% 4 research and development, training, and denonstrations, including demon-~
bo strations of patient care, which are Gtrect ty related to the purposes
ee _ of this title; to Promote effective conbination or codrdination of public
=. and privat e methods and systems for the delivery of health services at
° “regional, State, and local levels, including the “integration of regional
medical programs and comprehensive health Planning activities authorized
y. under this ‘tite (and includ ing the « encouragement of common | geographic boundari
vas There are hereby authorized to be appropriated’ for the fiscal years ending

June 30, i971, and each of the two succeeding fiscal years such sums as”

\

oo may be necessary for (a) Sec. 906, (b) Sec, 907, and (c) for carrying out.
rl _ the remaining purposes of this title. Sums appropriated under this .
or Lo section for any fiscal year shall zemain available for making such grants

until the end of the fiscal year following the {fiscal year from which the,

appropriat cLon is made. Up to one percent of such sums as are appropriated

may be used by the Secretary for evaluation (either directly or by grants or

. :
t . ‘ : _ . «

ho eaten mgt ge er ent athe it nite os parece Siete pachaetlle o mbeetenbuec ben 6 cweeate
‘

ya " . Contracts). :

pos . . . .
too .

i . . . . .

~
°

 
t

ye.
. * : . oo . .

— . Po tn vo. a . . : :

; Section 903. National Advisory Council on the Organization ‘and Delivery
~~ - of He Health Services

.

a ware

(a) The Secretary may appoint, without regard to the tenia service”

laws, a National Advisory:Coucil on the Organization and Delivery of
“Health Services, The Council shall consist of 25 members, including the

.

rs Chairman and 24 membezs not otherwise in the full-time employ of the

Boe . *

 

“United States, who are leaders in the fields of the fundamental sciences,
“the medical sciences, the organization, delivery and financing of health
wo. 44 "eare, consumer affairs, or public and community affairs. At least three

ee - 4

_ o£ the members: shall be practicing physicians; at ‘least three shall be

Met eR Hwee pee Ce ehh et FER meh Bie ar
°

bo 2. 92) outstanding ‘in the study, diagnosis, or treatment of disease; at least

. three shall be state or local health officials; at least three shall be
. . ‘ .

experts in the financing of health care; and at least eight shall be

Noe members who are active in consumer or public and community affairs.. The

Lente chem ce cme mtentd ne gensd cee fee”
s

Sis eA ost

os . . Seeretary may appoint additicnal liaison members as he determines to be
“oo, ° appropriate. aes
7 a oo by (no change) « as on D. 223, Sec. '905(b) of compilation dist Cong: ‘ess.

 

 

Poe et oe fe) Appointed members of the Council, while attending meetings or con-

7 4. .. £erences ther eof or of chexwise serving on business of ‘the Council, shall be.
20 _ entitled to receive compensation and other reimbursement for expenses at

: yates fixed by regulation of the Secretary.

i “(d) The Council shall advise and assist the Secretary in the preparation
2. , .
& . . . .
{ of vegulations for, and as to policy matters arising with respect to the ad-
hoes IT eo, : . ou, . . .
$07 ittnistration. of progrens under this bit e. The Council shall consider and make
‘ ae ; _ ee
{- | recommendations to the Secretary on the approval of applications for grants anc
. f

4 Ko | other assistance under Section 906, Section 907 (b) and (c), and Section 908.

5 ow ot . . wet re ie ee tte mere tee - .

| _ . “ _— .

 

7
t, . .
: . ‘ “ . \ ' ‘ 4 °
i . . - . ;
to e . . ” . . ; . :
‘ & . . i °
. ev . . : ‘ - :
. " . ° .
¢ : * . . e
at . ny . .
a / Section 904. . Annual. Report. eo ne a .

“On or before January 1 following the close of the previous fiscal

~ year, the Secretary; afters “consultation With “the Council, 7 UT

 

 

 

 

4 oa shall submit to the President and then to the Congress a report of

4 - the activities under this title together with (1) an evaluation of

ea es, oe, -. a . o: ; . .

if .° =. vt. (the effectiveness of these activities in carrying out the purposes

: ; . : : eh, . 2 ; . : . . a . .. mo . . ; . . .

pd tbe. of this title, (2) a statement of the relationship between Federal = ”

7 . . : . ° . . ° ’ -

-. financing and financing from other sources of the activities under~
.. taken pursuant to this title, including efforts by. the grantees to
VE develop alternate sources of financing after an-initial period of

 

Let te ect. a * a
support, and (3) recommendations with'respect to consolidation of

 

 

 

 

 

Lo or programs, or other modifications of this title. °
i => . + Section 905. Regulations .
i as = re oe 7 ote . 7 a mt ve
wp lle Me. The: Secretary, after consultation with, the Council, shall pre-
i ; , . . oe
| ee seribe regulations covering the tems and conditions for approving
ld “ye 7 . et Be , . co ; :
ji. =: J. applications for grants under this title and may prescribe methods
Tere Pee . : .
jie for the coordination of programs assisted under this title, or other
( -. 9 ,-titles of this act or other acts of Congress. *
. . . . . : ~ . ¢ .
ws a we ee seen a tthe ete wee cae ee eee en oe ep nate sn ee ty tim cam meme ST Se cece cee me tema, rane mmm ne Se ttm tet screens © --
4 Law wi. Section 906. Regional Medical’ Programs . ‘
— coe -. ‘(a) Grants for Planning Be -
(i) The Secretary, upon the recommendation of the National Advisory
4 7 Council established by Section 3 (hereafter referred to in this title .

. . " oy trs - oe , .
sas the "Council") is authorized to make grants to public or nonprofit

- ee ee ee wee eee
 

 

 

    

   

re . , . 7 . ; - 7 . . 5)
* . Md . . * . . . oo !
. @ . .
, s . . . . . .
private universities, medical schools, research ins titutions, and
.. “2 l other public or nonprofit. private agencies and OSELEULTONS, and
:. : Combinations thereof, _to assist then in planning | the development
Bee pee of regional medical programs .. rr ror
Pp wo a
vf iets 2) Grant .S under this section may be made only upon application ;
i4 . yo a, :
aa therefor. apprbved by the Secretary. Any, such application may be
tpt . ‘ approved oniy if it contains or is supported by .
Ty oa SE , Sr Lo oo. cot os tort
. wae ot. (AY. reasonable assurances that Federal funds paid pursuant
plo ke
feo, ‘ .to any such grant will be ‘used oaly for the purposes
ye : . £or which paid and-in accordance with | the “Applicable
bp Se, . .¢
PE Ye vo tei) provisions of this title and the regulations there- -
i Se : . .
7 Le m nl i : ane eit a a : . : . / a a . . eo . -- , : - soe
rs: we he ee 8 under; . coe eae, Se .
dk Ws se (BY) reasonable assurances that the applicant will provide =~ -:
pbc. wih ee . - . . . .
he “ co ae we ee pee ce ee —
phe a for such fiscal” contro J. and fund accounting procedures
feo ote tet et ns . / . . . .
Te ee 7 aS are required by the Secretary to assure proper dis- -
poo ZA ou 7. bursement of and accounting for such Federal funds;
th ea tes 8. (C) reasonable assurances that the applicant will make such
Rb. let epee ; ° . ;
| feces 2. oo xeports, in such form and containing such information as
id 4p Cl . . gt or . Lo , ~
y i . 7 vo Loe, oe Bee . . : "
Hitec cre 7 os 8 the Sceretary may from time to time reasonably require,
1 ae and will keep such records. and afford such acecss thereto .
i . ‘ , . : . ° . » :
r as the Seerctary may find necessary to assure the correct-
j : 7 yY :
Y en bea _ i. oe
t ““+. ness and verification of such reports; . ‘ ‘ .
ta ° ° te .& . ° «
if . : . . . os
te: mo (D> a satisfactory showing, that ‘the applicant has designated
oN oa .
“2 yo ws . 2 : ; . .
“3 moe an advisory BrOUD, to advise ‘the applicant (aad the institu-
be . an . my . .
Be Be ‘tions and the agencics participating in the resulting re- *
é De, . ste . 5 : . .
4 wae . a os
‘f “ nO soot gional medical prog sram) in formulating and carrying out

 
Ro

 

 

 

 

 

 

  

 

 

 

oe ‘. “ . . ’ ‘
oo . « . + ° : o : 2 G.
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. the plan for the establishment and operatica of such
“ars oN tee regional medical program, which advisory group includes
el, ote te Toa os fe mn woe te eo: . . f - :
. Se practicing physicians » medical center officials, hospital
Dt OER adminis perators, repre esentat ives fxom appropriate medical
“A Sah aan socicties, voluntary health agencies, representatives of
% ° t 7 .
4 = . - other organizations, institutions, and agencies concerned
i y ep eet with activities. of the kind -to be carried on under the
y re . oe oy : aa aan . spa aad . - poe es
Copa oe oe ne os program, and representatives of the public and cf official
i . 3 . 0 : _ . . . ¢ : . 7
to — oat . . ; .
At ee 3 health and health planning agencies.
ee ee oo ae . _ 0 oe .
By es a ee , tee Te Qt
# ((E) "Evidence that the application has been referréd to the
oot wet oot | - . .- : ‘ “To, Loe,
- State and areawide health planning’ agencies (if there
. : is an areawide health planning agency) for review and com-
a . - 2 , A ‘ .
— 7 ment on the consistence :y of the application, with the plan~
RO ELMS OO ta ee, re
De oe te : mA o .. : . ¢
Dp tte ope soning - of. these agencies. - .
: $e us Soothes vet. “le - an . . Se . 7
. 4 Te Se @) Grants fox Establishment and Gpevation of Regiona 21 Medical Prog
a (1) ° ‘the Secretary.;* ‘upon: ‘the “eoSofiméndat ion, of ‘the. “‘Counei1) is authori
bec 7 8 to make grants, includ ing grants in kind, ‘to public or onprofit priva
ca te a 7 ; : .
yo 7. +: °° * universities, medical schools, research fnstitutions, and other public
37 ‘or nonprofit private agencies and institutions, and combinations
i . thereof, to assist in the establisheent and operation of regional medi
qs 2 ou ‘ 7 _.
3 , “ . pr ogre ans, including construction and equipment of facilities in connec
a .
2° . . . ; . . ° . . . : . . . : . .
ba “.°. Elon therewith. . so os St st ,
43 eo ee ty _: . os — eo :
4d 7 + €2) 0 Grants under this section mey be made only upon application there
a3 , me “ mo - . - a :
iG 0.7 "r+" approved by the Secretary. Any such application may be ‘approved only
bak os : tee ot we so , : .-
3 aE it is recommended by the advisory group described in Section 906 (a
Tos OQ) ©) and contains or is + supported by reasonable assurances that--.

. . . < . - .

 
fanfare cede SEE eteta ener eke

toe eee eee abe

 

 

meen ate tee

tae

ae cde oiletee

ing aw eenenrase aman hot Ld Cy sa Ps te Me oft

 

 

se (AY Federal funds paid pursuant to any such grant (i) will be

. : Cie 3. 3” used. only Lox the puxposes fox which paid and in accoxdance
poe a ote with | the applicable provisions of this title and the mera

. PE Jationd thereunder, and (ii) will not supplant funds that

* ae = . “le, are’ otherwise available for establishment or operation

‘
.

Fone oe os “oF the regional medical program with respect to which the

 

. . prant is made; 9 +. ot ee Tt :
fo : : o : 7 a _ . , . : . of -, . vs ve, . , J -
gee ~  (B) the applicant will seck other sources of financing for

+ “* ae on : . os . : . . . . :
ee we projects under this tit cle, after a period of initial |

: . "support which the- Secretary by regulation detemnines to

4 fa. 0), J.) be appropriate. a oa ot,

. (Cc) Applications for establishment and operation of regional

if Mie “ss . : 7 .

pone ne -. med lical prograns and fox services and fac lithes covexed

3. . Ce nate by such applications have » where appropriate, been re-

a . . “ . .

hat.

BP DAN CS.

 

AO Rete Mat de fe bo! are tte Th ete

.

we ee le

 

a bos ferred to the. areawide health planning agency, if one

exist S and to the State health planning agency, for their

St "review and comment, as to whether the grant application is
of . consistent with the planning of these agencies: _- .
~ “\@D) | =The applicant will provide for such fis al control and
“ rhs fund accounting, procedures as are required by, the Secretary
Ot OQ assure proper disbursement of and accounting for such
. os . os ‘ wo e
‘ Federal funds; Lo. : .
- t . . ar . . . . . oo , . . .
Ba “(E) “fhe applicant will make such reports, in such form and
as , Lf e. mo . . ‘ oe -* . 7
me, Containing such information as the Secretary may from time
oe ms -. * to time reasonably require, and will keep such records and
: : 4b : . : . . ry . : : m -

afford such : access thereto as the Secretary may find necessar

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and section 2 of the Act of June, 13, "1934,

, Any Laborex or iechanic emp Loyed by any contractor ox

‘ . . 46 . 8. ,
. ot 1 . ~
to as SULC the correctness and verification of such
- Eeports; and — Soe ee es

. . . a
.

sub-

ontractox stru

in the per foxmance of wor i on any con ction

‘aided

by payments pursuance to any grant under this section

WELL be paid wa 1206 at rates not less ‘than those prevailing

on sinilaz’ consexvct ion | in the locality as determined by
the Secretary of La Labor in accordance with tne Davis-_

Bacon Act, as amended (40° U.S. C. 2760--2760--5); and the. ,
‘Secxe etary “of Labor shall have, with ‘respect to the .

ied in this paragraph, the au- . .

Labor. standards specif

. o- . . : : ;

- thority are functions set forth in Reorganization Plan

- . . 7 «

“Numbered Ms of 1950 (15 FAR, 3176; 5 U.S.C, 133z--15)'

as’ amended

(40 0.8.6. 2760). re moh oe

(ce), Definitions a TO , ae an

engaged in
research, development,

including

-. (A)

. among a group of public or nonprofit ravake tneensacnens or agencies

. Preventive, diagnostic,

“measures, and methods of patient care; but only if such group--

.. * a « eae mas
the phrase "regional medical program means a cooperative arrangemen

cies:

rs

combination of the following activ

som aA

ahs
.

training, and demonstrations of patient care, -

therapeutic,. a

tuated witi

re

Is 83 tin a geographic arca, composed

part or parts of any one or more States (which for pur-

poses of this title includes the District of Columdia,

uerto Rico, the Virsin Islands,

“the Comnonvealth of .P

.

Coom. American Seaman and rhe Troet Peveteavy af bha Dant fia
Bet ante mes an ee Ne me Sede etl ete
,

a ate eee eee

ae etre nee

 

9.
. df ,
Islands ), which the Secrets ry determines, in accords mce
\ ; a 7 Lt ee Ll,
‘. ‘with regulations, to be appropriate in carrying out the
~~ purposes of this title; ! . ot

'.. (B) Consists of one or more medical centers, one or more

 

ee oe, ¢Llinical res earch centers, and one or more hospitals

.
ae

ang Fe DS we TS:

west : ’ . -
. . + :

(c Has -in effect cooperative arrangments among its component
& i

units which the Secretary finds will be adequate for

effectively carryl ing out the purposes of this title.

 

: , ' ‘
(2) The. term Mned ical center" means: a me dical school or ether medical in-

.

affiliated therewith fox teaching, research, and demonstration purposes.

* ‘ ,

(35 The term "eli cal research center" means an institution (or pa are

an institution) the primary function of which is research, training of

specialists, and demonstrations and which, in connection therewith, pro-

vides specialized, high-quality diagnostic and treatment services for

inpatients and outpatients. OY , a .

e

(4) The term "hospital" means a hospital as defined

es
a
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_ oc
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to
wn
on
nm
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“or other health facility in which local capability for diagnosis and treat

ment is supported and augmented by the program established under this tit

(5) The term “nonprofit” as applied to any institution or agency means

.
:

‘ag institution or agency which is owned and operated by one or more non-

tt

» profit corporations or ass ociations no part of the net earnings of which

‘ permitted by regul ations), remodeling and renovation of existing

inures , or may lawfully inure, to tie bene efit of any private sharcholder
. ¢

individual. - .

(6) The term *construction" includes alteration, major repair (to the ¢

stitution involved in post- graduate medical training and one or more hospit

of

or

wrk
eee
 

: , 10,
Bat . . . ! 7
ns an ook c
Pik - 7 * Buildings Cine luding initial equipment thereof), and replacement of
Me * Lo . .
* obsolcte, “built- in (as determined in accordance ‘with regulations)
5 equipment of existing buildings. . a
: (7) The term "erants in kind" means that the Secretary may, at the
Poo . . ; .
} oe Kequest cf any recipient of a grant under this section, may reduce
ij “7 . . 7 . . .
aod : . . 4 . . :
_ ‘the payments to such recipient by the fair market value of any equip-
3 eo . ee
i ment or supplies furnished to such recipient and by the amount of ‘the
f . . . : . . . . . . 7
“he . pay, allowances,. trave elitig expenses, and eny other costs in connection
j a with the detail of an officer or employee to the recipient when such
j is oy ° :
| - ne . ; . ay _ . . . . 7
: -furnishing or such detail, as the case may be, is for the convenience of
: i . ot : So
Po ». °° and at. the request of such recipient and for the purpose of carrying
3.2 4. out the plan or the project, with respect to which the grant undex this
4 pw section is made. The amount by which such payments are so reduced shall
fe a co
; be available for payment of such costs (including the costs of such equip-

j -, Tent and | supplies) by the Secre tary. -
27 TES . a .. LF na a
Botte. . tae ee! wns bot: ye I evefir rer RA oe Doe senile nek
i os (d) Facilities. The Secretary shell establish, and maintain on a current basis.
: - . settee ae o
: a a ‘list or lists of facilities-in the United States equipped and
oe ow. 6 staffed to provide advanced methods and techniques in the pre-
Pep, vention, diagnosis, treatment, and rehabilitation of disease,
: : , . - . : me : . . / . . :
3 NO . soy + . - .
a . inc Luding trends in equipment, staff, and service and the
5 re oo : de tte : . hte £ yay aa £ h faciliti

s, a Cistribution and proportinns of various types of such facih tr
1 co , in the United States, together with (here add material in
ye oor brackets at top of p.224 of compilation) , ‘
i . - ween + ‘ . .
PoP (ep - Records and Audit : CO
fee 7 ‘2 (here add Section 909, RMP; p. 224 compilation, with no change
i ‘ . . except that the (a) and (b) should be changed to (1) and (2)
4 :
7 \ oo ° - .

very
need we witlee Pargape iuateben there Mme ce tee dae ot eee,

, '(£) | Project Grants for Multiprogram Services and Contracts
“+ +. for Clinical and Field Studies : pe
. ‘(1) + Funds appropriated under this title shall also be available

. |. for grants to any public or nonprofit private agency or institution for

Oo

services needed by, or which will be of substantial use to, any two or

more regional medical programs. ~~ et
me oo ae - a

ee.

ene tabi bee

ee ety Be ew ede te we

rete

eb e men oe

 

eres

Leng eee Ream edeee Meareehe et ene Bein ©

porns

_tive clinical and field

 

* for contracts with publ

--
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.
. . -
.
. Poe
’ ot
~.
.
.
.
-
oe
. .
.
“@
. . .

ct

ie or priva

studies and demonstrations.

. i
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. .
‘
+
.
¢
.
. . -
.
1, °
“.*
. . *
—n . >
*
: . .
a
: .
.
.
.

e azencies for the conduct of cocpor

¢

~ of oo 2 Funds ‘appropriated under this title shall also be available
Ppp=op \

On

 

a
 

; ' 12.
on , . ;
DoS . _
: Section 907. Comprehensive Health Planning and Services
i Ceres cee Dee US oo — en we
be . (Delete Section 314 of the PHuS Act). a
! ‘Enter here Section 314 (a), except that ,
ae oa, 314 (2) (D should be eliminated . ot

Ze “surgeon General eliminated and "Seeretary™ substituted -

— therefore.

ve beware a ele dace a See loot tan eat

Co 3. | Gelete § Section 314 (a) (2) (1)

poe i a anend 314 a) (2) (B) to read as follows: , " ce

 

 

 

 

“oy:
: Tk wee cnees cee se pee nee meee ee
: a "provide for the establi ehme ent of a State . health planning
| > ea eeatn . en
a council which shail include representatives of Stete and
: a ~ Local, publ ié, voluntary, and non-profit private agencies
and organizations ‘concerned with health and the financing
‘y the health services, including representatives of the
7 " Regional Medical ‘progran(s) and of consumers: of health
por *, can :
Ae, ov services. Ai maj jority. of the membership of such council shail
: et " ' *- eonsist of representatives of consumers of health services,
*" including representatives of the poor and minority groups in
! . ; : . ‘
: ae -  . °°. * appropriate numbers, 2 s determined by regulation by the Secre-
: - tary." .
yo “ws . . : . \
a ce, BL Change the numbering and lettering, as follows:
4 - J os) B14 (a>) (2) shail be Section 907 (2) (1) oY
7 B14 (a) (2) (A) chrough © should not be changed. .
wt a , Since (i) is eliminated, (J) and cc) “should be (Lf) and (J)
Ao - : . .
boo . .
4 . .
os
i . .
q wee , .

 
\ ” ; 8 — Lo.
.- . . oo os woot oo !
poe S844 (ay (3) and 314(a) (4). become Section 907(a) (2) and
Book 907 (a) (3). : 8
a, re a ete . / ne : . _¢ . . . “ . . : .
3 - Sect ion, 90700). project Grants for Argawide Health ple nang

7 ~ . . eo.

a) whe Secrctary 18 authorized to make project grants

re

Mow ee ate it to public or nonprofit private agencies or organizations
4

. . 7 . «

.

foo, a ss €or up to 75 percent of. the costs of projects for area-

 

.¥a: ol) with the approval by ° the Secret ary of an application

vo -. '*' wide health planning, including planning for the manc |
Dale sl. (p  power, services, and facilities necessary thereto. Such
ue : “ : : . - - . a . : / . —, : -

bo -grants may not be awarded to a State health planning
eg agericy, authorized undes Section 907(a) of this Act, except
aN

= -. : yo. mo. . .a w . . . . é . :
“( no) 4 the State agency to plan for areas not servea by an

op Ss axeaiide ~planning- agency: 2 .

aheet a taee *

PO eS “ (2) Grants wnder this sub-section: may be made only won

jeetee can whe RME Ne =

aa approval by the Secr et ary Of an application therefor.

“N

5

end a sat

ey

isfac

cr

2
e

ory

MY
)
2
=
he
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“40
co
oe
ny
I
I

yee Cet, ;

“yo UA + (A) The State agency administering or supervising

4 ra me , ‘ tee . . ‘ .

3: 0 . . - . ot .
Ye re _ the administration of ‘the State. plan approved

AD Sw under sub-section (a).has approved the application;
Bee . ..°, (B) Areawide agencies have provided for thé establish-
SH a ; ; - ‘

al . , : ‘ + a : sy
Boot. ‘ment of an areawide health planning council, which
betas _ . . .

yi : . . . . ,

oN . . shall include representatl ives of public, voluntary,
it - + and non-profit private agencles, institutions, and
. 3

an
. a LG
\

. « ‘
Do Be Boe a . : Se
_. ele le ly organizations concerned with - hea lth, including

. representatives of the interests of local govern=

Pe a YA ora ment, of the Regional Medical Progran(s), and of -

 

 

 

 

 

“consumers of health services. A wKwajority
aol. : “o£ the membership of such council shall consist
bose: mt . : aan
th vy . . oo. . . . . . . 7
aa ~ ‘of representatives of consumers of health sexvices,
i. at ° . ;
Ai a : 2 , i Joos ; J!
Poot se oe O'S ineluding representatives of the poor and minority
Bo we TD on . .
Por Dae ee a dey . oe ,
: : “groups in appropriate numbers as dqter mined by
- + ete . o *, 3 .
Ove we regulation by the Secretary.
Por Dt . . 4° ‘

- (C) Phe areawide health planning agency has made -pro-
: ‘ . vision ffor assisting health care facilities in
i ——— Q a. io Lot . : - . : ; e . _ ao
: _ its area to develop a program for capital expendi-
rn ot tures for replacement, modernization, and expansion
fee which is consistent with an overall State plan
ds an ™ oo. . : . .
ee : / > which will mect the. needs of the State and the
eet =
io. Ss, “ .
w oO : oo ne yas 8 4
ee —tarea for health care EGE OSs equipment, and
1b . - . : : tet
i. oe, . . oe : : . : . :
i foe services without Gupiication and otherwise in the
te a u . ; : : 7 . 7 .
pot ee most efficient and economical manner

io _

Paes

Section 907(c) Project Grants for Praining, Studies, .and

edie eee erate eine bt peated saeeen
a ey ea

Bn '
poe :

2 Demonstration . .

7 ee eee ee ee ee eee ee eee Fe - :
7 coe |The Secretary is also authorized to make grants or contracts

i? . . . io . . . . ; /

% _ . - to any public or private agency, institution, or other organiza~ .
: ey tion or to an individual to cover all or any part of the cost of .

1

: 3 a
i ot ° .

. ° . ve ~.

 

*s.
4
“a
.
we
AS
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. f. . V
t %
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projects for crajning, studias, ov demonstrations looking toward the |

development of improved or more effective health planning throughout

‘the, Nation. | ’ .
Section 907(d).. Grants for Comprehensive Public Health Services

oo CG) “the Secretary is author tized to make | grants to State health

or- mental hea Lth euthorities to assist the States in establishing and
maintaining adoqus ate public “health services, including the training of 2
_ personne el for State and local health work. a so appropriated shall .

be available for making payments to States which have sybmitted, and

had approved by the Secretary, State plans for provision of ‘public health
services. a oo po

(2). in oxder to be approved under chs sub-s ection, a State

health services must --
— (A) (same as 2) Wd on p.416, compilacion)

(3) . (same as (2) (3) on p.46 compilation)
~(C) . must show the xcletionship between that plan and the total

health program.cf the State; ~ ° 7 oo
- (dD) (same as (2) (C) on p.46, coapilation) . .

(E) (same as (2) (D) on p.46, compilation, with the following addi

except that the Secretary may prescribe by vezulation methods
a  eertification by the Governor of the readiness of the State agi

authorized under subsection (a) to review and approve such pla)
_ (EF) through (K) are same as (E) through (J) on pp.46-47, :

eA, . .
compilation. :
 

 

o . * . . . . t w
: oe .
oo . opriated to
: . : G several
: States sha Ll be entitled for each fiscal year-to allotments
; det vmined, in accordance with regulations, on the basis of
‘the population and financial need of the respective States
° (the remainder is sane throughout 3 rest of cur ‘rent Sec. 314(d)) .
dost. 907¢e) Project Grants for Health Services Development
fe ‘he Seexekary is authoriacd to make grants: to any public
Sh * » . ” . .
t Ox-—‘OnprofLie pravate agency, institution, ‘Ox organization to
7 cover part of the cost of (1) providing services (including

a.

: _ related training) to meet health needs of limited geographic

os SeOpe or of spec clalized regional ox: national sign

 

t

i oo (2) developing and mYpporting for an initial period new pro-

  

“ U- grans of health services ‘(including related training.) Such
ip ole «- grants may be ma de pursu ant to clanse (1) or (2) of the pre-
vi : : - , . . . - +
po “).> ceeding sentence with respect to projects involving the furnish-
i! ' . . : O . . ; --
pb lve ing of public he s@rvices only if such proposals have been
Ape 2 one “fo - .
4 © Putin £oe, ee |
fl oe ; tm TE the appropriate areawide
44 Wren meen
i? - : ° .
ple health planning agency or agencies or, if.there i858 no such
ie s, - sO 7 oe
woo .agency in the, arca, then such’ other public or non-profit private
of . ; . . : : .
oA), agency or organivation (if any) which per forms similar funecions

ith. as determined in accordance with regulations.

J { nme . 4 * . .

tho .

7 ° a a a

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oo,
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"Go? C) Inter cchangse of Personnel with States

-é1 The Secretary is authorized, through agreaments or other-.
? vu

wise, to arrange for of officers and employees in the

 

Depart ent engaged in work related to health, for work which the

“N

sf{fective dis-

wo
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charge of its responsibilities in the field of health as authorized

 

 

 

by Law, including cooperation with Stctes, and the rovision of .
> 3 2
. . /
technic al or other assistance determined by the Secretary in ac~
(25 For the purposes of this, sub-section, the term "State"
. j ,
means a State or a political subdivision of a State, or any egency
of either of the foregoing engaged in any activities related to health
or designated or established pursuant to subparagraph (A) of paragraph
(2) of subsection (a).
607.(g) General . .
fexactly the same as on pp. 53-54 of compilation)
x ¥y kh .
Section 908. Health Services Research and Development
(Section 304 of the Public Health Service Act is delet red. d”

. The Secretary is authorized to m grants and contracts to support
experiments, research, development, demonstrations and training related
co the organization, financing, and delivery of health serviccs, and
of the facilities related to such’ services, including stich things as:

. _
{Then insert Sections 304(b) and (c) as in compilation, p. 33)
. - . . °
 

 

. 1é.

. i : .
eo

: :

. * . . a . ‘ ~: . . : . . , ,

a - Section 909, Pursuant to regulations prescribed by the Secretary, where

Se. funds are advanced for a single project by more than one Federal agency.
. . weet . - ; . . ; . . . . . / . ; ‘
to an agency or organization assisted under this title, any one Federal

2 agency, may be designated to ack far all in administerine the funds

} o o “ ; a

4 . . . - . : a : . .

: advanced. Tn such cases, a siugle non-Fedeval share requirement may be

i - established according to the preportion of funds advanced by euch

‘ "  . Fedoval agency, and any such’agency may waive any technical grant or con- -

: tte t ‘ a . ; ,

Foo teact requirement (as defined by such regulations). which is inconsistent
with the similar requirements of ‘the administering agency or which the
as we ot . ul

. administering agency dees not impose. oO, -
. v . _
. - , -
os . : ,
“o . *. . .

: i . .

: , . °

: ¢

i .

.

4 -

¢ = * .

. , e
i “ .
.
ON ’
; . .
 

a

he URE

 

Section 2. Health Infomation, System Development -

l. Amend Section 305 (a) to change the reference to Surgeon General

to Secretary .
2. Amend Section 305(a) by addins new #) 7 and n), as follows
/¢ OY & 2 AN,
"r) health care resource , (GC) environnental, and social health
so - La,
hazards, and CED fanily forme ation, growth, and dissoluti ions"

.

3. Section 305 is amended to add ‘an assurance of confidentiality for

"19,

certain records Containi ing information of a personal and privilege “dd

A

nature-and id dentifiable as to. source.

o

4. Add a new Section 305(b) which should read as follows:

.

The Secretary is authorized to undertake dixect iy, ox by

‘ -

iene

Grant or contract, research and development, relating to the
,] - if . 4

; ‘ : ak pide —Zt

ccesign and implevicntation of a héalth information system which

» State, and
2. Present,Section 305(b) through (da) should be renunbered

{c} through Ce). . ; a, - Lo -

wk GE dypeLE Cee buh