Page:United States Statutes at Large Volume 104 Part 1.djvu/446

 104 STAT. 412 PUBLIC LAW 101-354—AUG. 10, 1990 "(3) criteria for requiring rescreening of cytological preparations, such as— "(A) random rescreening of cj^ology specimens determined to be in the benign category; "(B) focused rescreening of such preparations in high risk groups; and "(C) for each abnormal cj^ological result, rescreening of all prior cytological specimens for the patient, if available; "(4) periodic confirmation and evaluation of the proficiency of individuals involved in screening or interpreting cytological preparations, including announced and unannounced on-site proficiency testing of such individuals, with such testing to take place, to the extent practicable, under normal working conditions; "(5) procedures for detecting inadequately prepared slides, for assuring that no cj^ological diagnosis is rendered on such slides, and for notifying referring physicians of such slides; "(6) requirements that all cytological screening be done on the premises of an appropriately qualified laboratory; "(7) requirements for the retention of cytology slides by laboratories for appropriate periods of time; and "(8) requirements of periodic inspection of cytology services by persons capable of evaluating the quality of cj^ology services. "(e) ISSUANCE BY SECRETARY OF GUIDELINES WITH RESPECT TO QUALITY OF MAMMOGRAPHY AND CYTOLOGICAL SERVICES. — "(1) IN GENERAL.—The Secretary shall establish guidelines for assuring the quality of any mammography and cytological screening procedure conducted pursuant to section 1501(a). Such guidelines with respect to mammography shall include the provisions of paragraphs (1) through (4) of subsection (c), and such guidelines with respect to cytological screening procedures shall include the provisions of paragraphs (1) through (8) of subsection (d). "(2) APPLICABILITY WITH RESPECT TO GRANTS. — The Secretary may not make a grant under section 1501 unless the State involved agrees that the State will, with respect to any mammography or cytological screening procedure conducted pursuant to such section, ensure that the procedure is conducted in accordance with the guidelines issued by the Secretary under paragraph (1). "(3) RESPONSIBILITY OF STATES IN ABSENCE OF GUIDEUNES.— With respect to circumstances in which a State receives a grant under section 1501 before the issuance of guidelines under paragraph (1), this subsection may not be construed to affect in such circumstances the obligation of the State pursuant to subsection (a)(1) to provide for screening procedures and referrals or the obligations under subsections (c) and (d) with respect to providing for quality in the screening procedures. 42 USC 300n. "SEC. 1504. ADDITIONAL REQUIRED AGREEMENTS. "(a) PRIORITY FOR LOW-INCOME WOMEN.— The Secretary may not make a grant under section 1501 unless the State involved agrees that low-income women will be given priority in the provision of services and activities pursuant to paragraphs (1) and (2) of section 1501(a). "(b) LIMITATION ON IMPOSITION OF FEES FOR SERVICES. —The Secretary may not make a grant under section 1501 unless the State

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