Page:United States Statutes at Large Volume 104 Part 3.djvu/980

 104 STAT. 2332 PUBLIC LAW 101-527—NOV. 6, 1990 District of Columbia. Reports. received by the Secretary under subsection (f) for the preceding fiscal year. "(2) DATE FOR SUBMISSION. —With respect to a fiscal year, the report required in paragraph (1) shall be submitted for purposes of such paragraph by not later than the date on which the report required in section 338A(i) is required to be submitted for purposes of such section, "(k) DEFINITIONS.—For purposes of this section: "(1) COMMUNITY ORGANIZATION.—The term 'community organization' means a public or nonprofit private entity. (2) PRIMARY HEALTH CARE.— The term 'primary health care' means health services regarding family medicine, internal medicine, pediatrics, or obstetrics and gynecology, that are provided by physicians, certified nurse practitioners, certified nurse midwives, or physician assistants. "(3) STATE. — 'The term 'State' means each of the several States and the District of Columbia. " G) FUNDING. — "(1) AUTHORIZATION OF APPROPRIATIONS.— For the purpose of making grants under subsection (a), there are authorized to be appropriated $5,000,000 for fiscal year 1991, $10,000,000 for fiscal year 1992, and such sums as may be necessary for fiscal year 1993. "(2) AVAILABILITY.— Amounts appropriated under paragraph (1) shall remain available untU expended. "(3) ALLOCATIONS FOR RURAL AREAS. — "(A) In carrying out subsection (a), the Secretary shall, to the extent practicable, ensure that not less than 50 percent of the amounts appropriated under paragraph (1) are, in the aggregate, expended for making grants pursuant to subsection (c) to community organizations that are located in rural health manpower shortage areas. "(B) Subparagraph (A) may not be construed to prohibit the Secretary from making grants under subsection (a) to States in which no rural health manpower shortage areas are located. "(C) With respect to any fiscal year for which the Secretary is unable to comply with subparagraph (A), the Secretary shall, not later than April 1 of the sulxsequent fiscal year, submit to the Committee on Energy and Commerce of the House of Representatives, and to the Committee on Labor and Human Resources of the Senate, a report stating the fact of such noncompliance and an explanation of the reasons underlying such noncompliance.". SEC. 9. COMMUNITY AND MIGRANT HEALTH CENTERS. (a) COMMUNITY HEALTH CENTERS. — (1) PARALLEL STATUS WITH MIGRANT HEALTH CENTERS REGARD- ING CERTAIN SERVICES. — Section 330 of the Public Health Service Act (42 U.S.C. 254c) is amended— (A) in subsection (a)(5), by amending such section to read as follows: "(5) information on the availability and proper use of health services and services which promote and facilitate optimal use of health services, including, if a substantial number of the individuals in the population served by a center are of limited English-speaking ability, the services of appropriate personnel

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