Page:United States Statutes at Large Volume 100 Part 4.djvu/430

 100 STAT. 3207-151 s...

PUBLIC LAW 99-570—OCT. 27, 1986

(D) reducing medical expenses of Indians through health promotion and disease prevention activities, (E) establishing a program— (i) which trains Indians in the provision of health projt t motion and disease prevention services to members of their tribe, and Contracts. (ii) under which such Indians are available on a contract 3{{ basis to provide such services to other tribes, and (F) providing training and continuing education to employees of the service, and to paraprofessionals participating in the Community Health Representative Program, in the delivery of health promotion and disease prevention services. (2) The demonstration project described in paragraph (1) shall include an analysis of the cost effectiveness of organizational structures and of social and educational programs that may be useful in achieving the objectives described in paragraph (1). (3)(A) The demonstration project described in paragraph (1) shall be conducted in association with at least one— r (i) health profession school, (ii) allied health profession or nurse training institution, or (iii) public or private entity that provides health care. Contracts. (B) The Secretary is authorized to enter into contracts with, or Grants. make grants to, any school of medicine or school of osteopathy for the purpose of carrying out the demonstration project described in paragraph (1). .. -^-,-. (C) For purposes of this paragraph, the term "school of medicine" and "school of osteopathy" have the respective meaning given to such terms by section 701(4) of the Public Health Service Act (42 U.S.C. 292a(4)). Reports. (4) The Secretary shall submit to Congress a final report on the demonstration project described in paragraph (1) within 60 days after the termination of such project. (5) For purposes of this paragraph, the term "health promotion" shall include: (A) reduction in the misuse of alcohol and drugs, , (B) cessation of tobacco smoking, •mim:im/j (C) improvement of nutrition, £ (D) improvement in physical fitness, B (E) family planning, and (F) control of stress. (6) For purposes of this paragraph, the term "disease prevention" shall include: (A) immunizations, (B) control of high blood pressure, 52 (C) control of sexually transmittable diseases, i"(D) prevention and control of diabetes, (E) pregnancy and infant care (including prevention of fetal fc alcohol syndrome), Tt>-(F) control of toxic agents, ,., ,, ^ (G) occupational safety and health, /, ', t' -vi*s (H) accident prevention, .,. V^^ ^^ " (I) fluoridation of water, and (J) control of infectious agents. (7) Section 4228 is amended by adding at the end the following: "Provided, That $500,000 shall be made available for activities described under section 4228(c)(l)".

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