Page:United States Statutes at Large Volume 102 Part 4.djvu/187

 PUBLIC LAW 100-607—NOV. 4, 1988

102 STAT. 3157

year 1989, $16,000,000 for fiscal year 1990, and $20,000,000 for fiscal year 1991. "(2) Of the amounts appropriated pursuant to paragraph (1), the Secretary shall obligate not less than 20 percent to carry out subsection (a)(2) and subsection 01>) (subject to subsection (b)(2)(C)), not less than 20 percent to carry out paragraph (3) of subsection (a), and not less than 10 percent to carry out paragraph (4) of such subsection. Of the amounts appropriated pursuant to paragraph (1) for fiscal year 1989, the Secretary shall obligate not less than 20 percent to carry out section 827.". SEC 702. ADVANCED NURSE EDUCATION.

Section 821(b) (42 U.S.C. 29610))) is amended to read as follows: "Q)) For payments under grants and contracts under this section, Appropriation there are authorized to be appropriated $13,000,000 for fiscal year authorization. 1989, $13,000,000 for fiscal year 1990, and $20,000,000 for fiscal year 1991.". SEC 703. NURSE PRACTITIONER AND NURSE MIDWIFE PROGRAMS. (a) REQUIRED NUMBER OF STUDENTS IN TRAINING PROGRAMS.—

Section 822(a)(2)(BKii) (42 U.S.C. 296m(a)(2)(B)(ii)) is amended by striking ''not less than eight students" and inserting "not less than six full-time equivalent students". db) COBOOTMENT UNDER TRAINEESHIP PROGRAM TO SERVE IN CERTAIN AREAS OR FAcnjnES.—Section 822a)X3) (42 U.S.C. 296m(b)(3)) is amended by striking ''332)" and all that follows and inserting the following: 332), in an Indian Health Service health center, in a Native Hawaiian health center, in a public health care facility, in a migrant health center (as defined in section 329(a)(l)), in a rural hesdth clinic (as defined in section 1861(aaX2) of the Social Security Act), or in a community health center (as defined in section 330(a)). (c) ASSURANCES OF OQMPLIANCE WITH GUIDELINES.—Section 822(c)

(42 U.S.C. 296m(c)) is amended— (1) by inserting "under subsection (a) or (b)" after "operate a program"; and (2) by striking "midwives unless this application" and inserting "midwives miless the application". (d) AUTHORIZATION OF APPROPRIATIONS.—Section 822(d) (42 U.S.C.

296m(d)) is amended to read as follows: "(d) For payments under grants and contracts under subsections (a) and 0>), there are authorized to be appropriated $12,000,0(K) for fiscal year 1989, $17,000,000 for fiscal year 1990, and $21,000,000 for fiscal year 1991.". SEC 704. ENHANCEMENT OF QUALITY CARE.

(a) IN GENERAL.—Of the amounts appropriated for each of the fiscal years 1989 through 1991 to carry out titles V n and VIII of the Public Health Service Act, the Secretary of Health and Human Services shall, for each of such fiscal years, make available $650,000 for the purpose of enhancing the ability of a qualified hospital to provide high-quality inpatient services. For purposes of this subsection, the term "qualified hospital" means a hospital that, as of the date of the enactment of this Act, is the only general short-term acute care hospital located in a rural county that is adjacent to 7 counties, of which 1 such a^acent county is a county described in paragraph (8)(B) of section 1886(d) of the Act referred to in section 3710>X1XC) of the Public Health Service Act and, of the remaining 6

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