Page:United States Statutes at Large Volume 100 Part 1.djvu/435

 PUBLIC LAW 99-280—APR. 24, 1986

100 STAT. 399

Public Law 99-280 99th Congress An Act To amend the Public Health Service Act to revise and extend the programs of assistance for primary health care.

Apr. 24, 1986 [S. 1282]

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, Health Services SECTION 1. SHORT TITLE: REFERENCE TO ACT.

Amendments Act of 1986.

(a) SHORT TITLE.—This Act may be cited as the "Health Services 42 USC 201 note. Amendments Act of 1986". (b) REFERENCE TO ACT.—Whenever in this Act an amendment or repeal is expressed in terms of an amendment to, or a repeal of, a section or other provision, the reference shall be considered to be made to a section or other provision of the Public Health Service Act. 42 USC 201 note. SEC. 2. MEDICALLY UNDERSERVED POPULATIONS.

Section 330(b) (42 U.S.C. 254ca>)) is amended— (1) by striking out the second, third, fourth, and fifth sentences of paragraph (3); and (2) by adding at the end thereof the following: "(4) In carrying out paragraph (3), the Secretary shall by regulation prescribe criteria for determining the specific shortages of personal health services of an area or population group. Such criteria shall— "(A) take into account comments received by the Secretary from the chief executive officer of a State and local officials in a State; and "(B) include infant mortality in an area or population group, other factors indicative of the health status of a population group or residents of an area, the ability of the residents of an area or of a population group to pay for health services and their accessibility to them, and the availability of health professionals to residents of an area or to a population group. "(5) The Secretary may not designate a medically underserved population in a State or terminate the designation of such a population unless, prior to such designation or termination, the Secretary provides reasonable notice and opportunity for comment and consults with— "(A) the chief executive officer of such State; "(B) local officials in such State; and "(C) the State organization, if any, which represents a majority of community health centers in such State. "(6) The Secretary may designate a medically underserved population that does not meet the criteria established under paragraph (4) if the chief executive officer of the State in which such population is located and local officials of such State recommend the designation of such population based on unusual local conditions which are a barrier to access to or the availability of personal health services.".

Regulations.

State and local governments. Children and youth.

State and local governments.

State and local governments.

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