Page:United States Statutes at Large Volume 104 Part 4.djvu/717

 PUBLIC LAW 101-597 —NOV. 16, 1990 104 STAT. 3033 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. "(B) The Secretary may not make a grant under subsection (a) unless the State involved agrees that— "(i) for the first fiscal year of payments under the grant, 100 percent or less of the non-Federal contributions required in paragraph (1) will be provided in the form of in-kind contributions; "(ii) for any second fiscal year of such payments, not more than 50 percent of such non-Federal contributions will be provided in the form of in-kind contributions; and "(iii) for any third fiscal year of such payments, such non-Federal contributions will be provided solely in the form of cash. "(c) CERTAIN REQUIRED ACTIVITIES.— The Secretary may not make a grant under subsection (a) unless the State involved agrees that activities carried out by an office operated pursuant to such subsection will include— "(1) establishing and maintaining within the State a clearinghouse for collecting and disseminating information on— "(A) rural health care issues; "(B) research findings relating to rural health care; and "(C) innovative approaches to the delivery of health care in rural areas; "(2) coordinating the activities carried out in the State that relate to rural health care, including providing coordination for the purpose of avoiding redundancy in such activities; and "(3) identifying Federal and State programs regarding rural health, and providing technical assistance to public and nonprofit private entities regarding participation in such programs. " (d) REQUIREMENT REGARDING ANNUAL BUDGET FOR OFFICE. — The Secretary may not make a grant under subsection (a) unless the State involved agrees that, for any fiscal year for which the State receives such a grant, the office operated pursuant to subsection (a) will be provided with an annual budget of not less than $50,00. " (e) CERTAIN USES OF FUNDS.— "(1) RESTRICTIONS. — The Secretary may not make a grant under subsection (a) unless the State involved agrees that— "(A) if research with respect to rural health is conducted pursuant to the grant, not more than 10 percent of the grant will be expended for such research; and "(B) the grant will not be expended— "(i) to provide health care (including providing cash payments regarding such care); '(ii) to conduct activities for which Federal funds are expended— "(I) within the State to provide technical and other nonfinancial assistance under subsection (f) of section 330; "(II) under a memorandum of agreement entered into with the State under subsection (h) of such section; or "(III) under a grant under section 3381;

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