Page:United States Statutes at Large Volume 106 Part 1.djvu/466

 106 STAT. 434 PUBLIC LAW 102-321—JULY 10, 1992 "(ii) agrees that such guideHnes will be adopted by the '->, system not later than 6 months after the date on which the trauma center submits to the Secretary the application for the grant. " (3) SUBMISSION AND APPROVAL OF LONG-TERM PLAN.—The Secretary may not make a grant under subsection (a) unless the trauma center involved— "(A) submits to the Secretary a plan satisfactory to the Secretary that— "(i) is developed on the assumption that the center will continue to incur substantial uncompensated costs in providing trauma care; and "(ii) provides for the long-term continued operation of the center with an acceptable standard of medical care, notwithstanding such imcompensated costs; and "(B) agrees to implement the plan according to a schedule approved by the Secretary. 42 USC 300d-42. "SEC. 1242. PREFERENCES IN MAKING GRANTS. "(a) IN GENERAL.—In making grants under section 1241(a), the Secretary shall give preference to any application— "(1) made by a traimia center that, for the purpose specified in such section, will receive financial assistance from the State or political subdivision involved for each fiscal year during which pa3mients are made to the center from the grant, which financial assistemce is exclusive of any assistance provided by the State or political subdivision as a non-Federal contribution under any Federal program requiring such a contribution; or "(2) made by a trauma center that, with respect to the system described in section 1241(b)(2) in which the center is a participant— (A) is providing trauma care in a geographic area in which the availability of trauma care has significantly decreased as a result of a trauma center in the area permanently ceasing participation in such system as of a date occurring during the 2-year period specified in section 1241(b)(1)(B); or "(B) will, in providing trauma care during the 1-year period beginning on the date on which the application for the grant is submitted, incur imcompensated costs in an amoiuit rendering the center unable to continue participation in such system, resulting in a significant decrease in the availability of trauma care in the geographic area. " (b) FURTHER PREFERENCE FOR CERTAIN APPLICATIONS.— With respect to applications for grants under section 1241 that are receiving preference for purposes of subsection (a), the Secretary shall give further preference to any such application made by a trauma center for which a disproportionate percentage of the uncompensated costs of the center result from the provision of trauma care to individuals who neither are citizens nor aliens lawfully admitted to the United States for permanent residence. 42 USC 300d-43. "SEC. 1243. CERTAIN AGREEMENTS. "(a) COMMITMENT REGARDING CONTINUED PARTICIPATION IN TRAUMA CARE SYSTEM. — The Secretary may not make a grant under subsection (a) of section 1241 unless the trauma center involved agrees that—

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