Page:United States Statutes at Large Volume 103 Part 3.djvu/81

 PUBLIC LAW 101-239—DEC. 19, 1989 103 STAT. 2149 "(1) consisting of— "(A) at least 1 hospital that— "(i) the State has designated or plans to designate as an essential access community hospital under subsec- tion (b)(l)(C), "(ii) is classified by the Secretary as a rural referral center under section 1886(d)(5)(C), or "(iii) is located in an urban area and meets the criteria for classification as a regional referral center under such section, and "(B) at least 1 facility that the State has designated or plans to designate as a rurcd primary care hospital, and "(2) the members of which have entered into agreements regarding— "(A) patient referral and transfer, "(B) the development and use of communications systems, including (where feasible) telemetry systems and systems for electronic sharing of patient data, and "(C) the provision of emergency and non-emergency transportation among the members. "(h) LIMIT ON AMOUNT OF GRANT TO HOSPITAL OR FACILITY.— A grant made to a hospital or facility under subsection (a)(2) may not exceed $200,000. "(i) EuGiBiuTY OF HOSPITALS OR FACILITIES FOR DESIGNATION BY SECRETARY.— "(1) ESSENTIAL ACCESS COMMUNITY HOSPITAL.—(A) The Sec- retary shall designate a hospital as an essential access commu- nity hospital if the hospital— "(i) is located in a State receiving a grant under subsec- tion (a)(D; "(ii) is designated as an essential access community hos- pital by the State in which it is located (except as provided in subparagraph (B)); and "(iii) meets such other criteria as the Secretary may require. "(B) In the case of a hospital that is not eligible for designa- tion as an essential access community hospital under this para- graph solely because it is not designated as an essential access community hospital by the State in which it is located, the Secretary may designate such hospital as an essential access community hospital under this paragraph if the hospital is not so designated by the State in which it is located solely because of its failure to meet the criteria described in paragraph (3) of subsection (e). "(2) RURAL PRIMARY CARE HOSPITAL.—(A) The Secretary shall designate a facility as a rural primary care hospital if the facility— "(i) is located in a State receiving a grant under subsec- tion (a)(D; "(ii) is designated as a rural primary care hospital by the State in which it is located (except as provided in subpara- j- graph (B)); and "(iii) meets such other criteria as the Secretary may require. "(B) In the case of a facility that is not eligible for designation as a rural primary care hospital under this paragraph solely because it is not designated £U3 a rural primary care hospital by

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