Page:United States Statutes at Large Volume 102 Part 4.djvu/188

 102 STAT. 3158

PUBLIC LAW 100-607—NOV. 4, 1988

such adjacent counties, 5 such counties are (or are treated as) urban counties for purposes of such section 1886(d) and 1 such county is not (or is not treated as) an urban county for purposes of such section, (b) PRO RATA DETERMINATION.—In making available amounts for

a fiscal year for purposes of subsection (a), the Secretary of Health and Human Services may not reduce the gmiounts available for each program of titles VII and VIII of the Public Health Service Act by more than an amount equal to the product of— (1) the amounts appropriated, after the date of the enactment of this Act, for carrying out the program involved for the fiscal year; and (2) a percentage equal to the quotient of— (A) $650,000; divided by (B) the amounts appropriated, after the date of the enactment of this Act, for carrying out such titles VII and VIII. SEC. 705. IMPROVING HEALTH CARE SERVICES.

(a) IN GENERAL.—Of the amounts appropriated for each of the fiscal years 1989 through 1991 to carry out titles VII and VIII of the Public Health Service Act, the Secretary of Health and Human Services shall, for each of such fiscal years, make available $210,000 for the purpose of improving the health care services furnished by a qualified hospital. For purposes of this subsection, the term "qualified hospital means a hospital located in a rural county— (1) that is adjacent to 6 counties, of which 3 adjacent counties are urban (2 of the urban counties being located in another State), and of which 2 of the adjacent rural counties are without hospital facilities, (2) that is located within 7 miles of another urban county in a separate Metropolitan Statistical Area from the Metropolitan Statistical Area in which the urban counties adjacent to the rural counties are located, (3) that has more than 17,500 residents but less than 17,550 residents according to the 1980 census, (4) that has a workforce of which more than 39.5 percent of those reporting workplace commute to the adjacent urban counties to the 1980 census, and (5) that has a health-related labor pool which is competitively impacted by, in addition to the normal competitive pressures of an urban labor market, the location in 1 of the adjacent urban counties (in another State) of several large health-related facilities, including that State's sole State-owned medical school/ hospital complex with more than 5,500 employees, a large Veterans' Administration hospital with more than 1,000 beds, and a United States Army hospital with more than 350 beds. (b) PRO RATA DETERMINATION.—In making available amounts for a fiscal year for purposes of subsection (a), the Secretary of Health and Human Services may not reduce the amounts available for each program of titles VII and VIII of the Public Health Service Act by more than an amount equal to the product of— (1) the amounts appropriated, after the date of the enactment of this Act, for carrying out the program involved for the fiscal year; and (2) a percentage equal to the quotient of— (A) $210,000; divided by (B) the amounts appropriated, after the date of the enactment of this Act, for carrying out such titles VII and VIII.

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