Page:United States Statutes at Large Volume 110 Part 5.djvu/554

 110 STAT. 3628 PUBLIC LAW 104-299—OCT. 11, 1996 meet the health needs of the population served by the health center involved. Such term may include— "(A) environmental health services, including— "(i) the detection and alleviation of unhealthful conditions associated with water supply; "(ii) sewage treatment; "(iii) solid waste disposal; "(iv) rodent and parasitic infestation; "(v) field sanitation; "(vi) housing; and "(vii) other environmental factors related to health; and "(B) in the case of health centers receiving grants under subsection (g), special occupation-related health services for migratory and seasonal agricultural workers, including— "(i) screening for and control of infectious diseases, including parasitic diseases; and "(ii) injury prevention programs, including prevention of exposure to unsafe levels of agricultural chemicals including pesticides. "(3) MEDICALLY UNDERSERVED POPULATIONS.— "(A) IN GENERAL.— The term 'medically underserved population' means the population of an urban or rural area designated by the Secretary as an area with a shortage of personal health services or a population group designated by the Secretary as having a shortage of such services. "(B) CRITERIA.—In carrying out subparagraph (A), the Secretary shall prescribe criteria for determining the specific shortages of personal health services of an area or population group. Such criteria shall— "(i) take into account comments received by the Secretary from the chief executive officer of a State and local officials in a State; and "(ii) include factors indicative of the health status of a population group or residents of an area, the ability of the residents of an area or of a population group to pay for health services and their accessibility to them, and the availability of health professionals to residents of an area or to a population group. "(C) LIMITATION.—The Secretary may not designate a medically underserved population in a State or terminate the designation of such a population unless, prior to such designation or termination, the Secretary provides reasonable notice and opportunity for comment and consults with— "(i) the chief executive officer of such State; "(ii) local officials in such State; and "(iii) the organization, if any, which represents a majority of health centers in such State. " (D) PERMISSIBLE DESIGNATION.—The Secretary may designate a medically underserved population that does not meet the criteria established under subparagraph (B) if the chief executive officer of the State in which such population is located and local officials of such State recommend the designation of such population based on

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