Page:United States Statutes at Large Volume 60 Part 1.djvu/1071

 PUBLIC LAWS-OH. 958-AUG. 13, 1946 Hospital construc- tion program. Need for projects, etc. Methods of admin- istration. Minimum stand- ards. Hearings. Reports. Review of construc- tion program. Approval by Sur- geon General. Changes after ap- proval, etc. Failure to enact legislation prior to July 1, 1948. "(4) set forth a hospital construction program (A) which is based on a State-wide inventory of existing hospitals and survey of need; (B) which conforms with the regulations prescribed by the Surgeon General under section 622 (a), (b), and (c); (C) which, in the case of a State which has developed a program under part B of this title, conforms to the program so developed except for any modification required in order to comply with regulations prescribed pursuant to section 622 (a), (b), and (c), and except for any modification recommended by the State agency designated pursuant to paragraph (1) of this subsection and approved by the Surgeon General; and (D) which meets the requirements as to lack of discrimination on account of race, creed, or color, and for furnishing needed hospital services to persons unable to pay there- for, required by regulations prescribed under section 622 (f); "(5) set forth the relative need determined in accordance with the regulations prescribed under section 622 (d) for the several projects included in such programs, and provide for the construc- tion, insofar as financial resources available therefor and for maintenance and operation make possible, in the order of such relative need; "(6) provide such methods of administration of the State plan, including methods relating to the establishment and mainte- nance of personnel standards on a merit basis (except that the Surgeon General shall exercise no authority with respect to the selection, tenure of office, or compensation of any individual employed in accordance with such methods), as the Surgeon Gen- eral prescribes by regulation under section 622 (g); "(7) provide minimum standards (to be fixed in the discretion of the State) for the maintenance and operation of hospitals which receive Federal aid under this part; "(8) provide for affording to every applicant for a construc- tion project an opportunity for hearing before the State agency; "(9) provide that the State agency will make such reports in such form and containing such information as the Surgeon Gen- eral may from time to time reasonably require, and give the Surgeon General, upon demand, access to the records upon which such information is based; and "(10) provide that the State agency will from time to time review its hospital construction program and submit to the Sur- geon General any modifications thereof which it considers necessary. "(b) The Surgeon General shall approve any State plan and any modification thereof which complies with the provisions of subsection (a). If any such plan or modification thereof shall have been disap- proved by the Surgeon General for failure to comply with subsection (a), the Federal Hospital Council shall, upon request of the State agency, afford it an opportunity for hearing. If such Council deter- nines that the plan or modification complies with the provisions of such subsection, the Surgeon General shall thereupon approve such plan or modification. "(c) No changes in a State plan shall be required within two years after initial approval thereof, or within two years after any change thereafter required therein, by reason of any change in the regulations prescribed pursuant to section 622, except with the consent of the State, or in accordance with further action by the Congress. "(d) If any State, prior to July 1, 1948, has not enacted legislation providing that compliance with minimum standards of maintenance and operation shall be required in the case of hospitals which shall have received Federal aid under this title, such State shall not be entitled to any further allotments under section 624. 1044 [60 STAT.

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