Page:United States Statutes at Large Volume 102 Part 5.djvu/218

 102 STAT. 4224

PUBLIC LAW 100-690—NOV. 18, 1988

(3) a public or nonprofit private health provider. (c) SERVICES TO B E PROVIDED.—(1) Each recipient of funds under subsection (a)(1) shall provide the following services: (A) Outreach services to inform Native Hawaiians of the availability of health services. (B) Education in health promotion and disease prevention of the Native Hawaiian population by (wherever possible) Native Hawaiian health care practitioners, community outreach workers, counselors, and cultural educators. (C) Services of physicians, physicians' assistants, or nurse practitioners. (D) Immunizations. (E) Prevention and control of diabetes, high blood pressure, and otitis media. (F) Pregnancy and infant care. (G) Improvement of nutrition. (2) In addition to the mandatory services under paragraph (1), the following services may be provided pursuant to subsection (a)(1): (A) Identification, treatment, control, and reduction of the incidence of preventable illnesses and conditions endemic to Native Hawaiians. (B) Collection of data related to the prevention of diseases and illnesses among Native Hawaiians. (C) Services within the meaning of the terms "health promotion", "disease prevention", and "primary health services", as such terms are defined in section 2308, which are not specifically referred to in paragraph (1) of this subsection. (3) The health care services referred to in paragraphs (1) and (2) which are provided under grants or contracts under subsection (a)(1) may be provided by traditional Native Hawaiian healers. (d) LIMITATION ON NUMBER OF ENTITIES.—During a fiscal year, the Secretary under this subtitle may make a grant to, or hold a contract with, not more than nine qualified entities in the State of Hawaii, as follows: (1) Two entities serving individuals on Kaua'i, from which individuals on Ni'ihau shall also be served. (2) Two entities serving individuals on O'ahu. (3) One entity serving individuals on Moloka'i, from which individuals on Lana'i shall also be served. (4) Two entities serving individuals on Maui. (5) Two entities serving individuals on Hawai'i. (e) MATCHING FUNDS.—(1) The Secretary may not make a grant or provide funds pursuant to a contract under subsection (a)(1) to an entity— (A) in an amount exceeding 75 percent of the costs of providing health services under the grant or contract; and (B) unless the entity agrees that the entity will make available, directly or through donations to the entity, non-Federal contributions toward such costs in an amount equal to not less than $1 (in cash or in kind under paragraph (2)) for each $3 of Federal funds provided in such grant or contract. (2) Non-Federal contributions required in paragraph (1) may be in cash or in kind, fairly evaluated, including plant, equipment, or services. Amounts provided by the Federal Government or services assisted or subsidized to any significant extent by the Federal Government may not be included in determining the amount of such non-Federal contributions.

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