Page:United States Statutes at Large Volume 106 Part 3.djvu/276

 106 STAT. 2070 PUBLIC LAW 102-408—OCT. 13, 1992 in operation on the date of the enactment of the Health Professions Education Extension Amendments of 1992. to any qualified school that provides students of the school with clinical training in the provision of primary health care in publicly-funded— "(A) urban or rural outpatient facilities, home health agencies, or public health agencies; or "(B) rural hospitals. " (3) MATCHING FUNDS.— "(A) With respect to the costs of the program to be carried out by a school pursuant to paragraph (1), the Secretary may provide an award of a grant or contract under such paragraph only if the school agrees to make available (directly or through donations from public or private entities) non-Federal contributions toward such costs in an amount that— "(i) for the first fiscal year for which the school receives such an award, is not less than $1 for each $9 of Federal funds provided through the award (10 percent of such costs); "(ii) for any second such fiscal year, is not less than $1 for each $3 of Federal funds provided through the award (25 percent of such costs); "(iii) for any third such fiscal year, is not less than $1 for each $1 of Federal funds provided through the award (50 percent of such costs); and "(iv) for any fourth or fifth such fiscal year, is not less than $3 for each $1 of Federal funds provided through the award (75 percent of such costs). "(B) Non-Federal contributions required in subparagraph (A) may be in cash or in kind, fairly 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) PRIMARY HEALTH CARE IN NONINSTITUTIONAL SETTINGS. — "(1) IN GENERAL. —The Secretary may make grants to and enter into contracts with public and nonprofit private schools of nursing for the establishment or expansion of nursing practice arrangements in noninstitutional settings to demonstrate methods to improve access to primary health care in medically underserved communities. "(2) OPERATION AND STAFFING OF PROGRAMS. —The Secretary may make an award of a grant or contract under paragraph (1) only if the school involved agrees that the program carried out with the award will be operated and staffed by the faculty and students of the school. "(3) DESIGN.—The Secretary may make an award of a grant or contract under paragraph (1) only if the program to be carried out under such paragraph by the school involved is designed to provide at least 25 percent of the students of the school with a structured clinical experience in primary health care.
 * (2) PREFERENCE.— In making awards of grants and contracts under paragraph (1), the Secretary shall give preference

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