Page:United States Statutes at Large Volume 84 Part 1.djvu/399

 84 STAT. ]

PUBLIC LAW 91-296-JUNE 30, 1970

341

the Federal share shall be the amount determined by the State agency designated in accordance with section 604, but not more than 66% per centum or the State's allotment percentage, whichever is the lower, except that, if the State's allotment percentage is lower than 50 per centum, such allotment percentage shall be deemed to be 50 per centum for purposes of this paragraph. "(3) Prior to the approval of the first project in a State during any fiscal year the State agency designated in accordance with section 604 shall give the Secretary written notification of the maximum Federal share established pursuant to paragraph (2) for projects in such State to be approved by the Secretary during such fiscal year and the method for determining the actual Federal share to be paid with respect to such projects; and such maximum Federal share and such method of determination for projects in such State approved during such fiscal year shall not be changed after such approval. "(4) Notwithstanding the provisions of paragraphs (2) and (3) of this subsection, the Federal share shall, at the option of the State agency, be equal to the per centum provided under such paragraphs plus an incentive per centum (which when combined with the per centum provided under such paragraphs shall not exceed 90 per centum) specified by the State agency in the case of (A) projects that will provide services primarily for persons in an area determined by the Secretary to be a rural or urban poverty area, and (B) projects that offer potential for reducing health care costs through shared services among health care facilities, through interfacility cooperation, or through the construction or modernization of free-standing outpatient facilities."

78 Stat. 4 5 2. 42 USC 291d.

DEFINITION OF H O S P I T A L

SEC. 114. (a) Effective with respect to applications approved under title VI of the Public Health Service Act after June 30, 1970, para- .^'^^^ "sc 291 graph (c) of the section of such Act redesignated (by section 201 of 29 l o. Post, p. 344. this Act) as section 645 is amended— (1) by inserting after "nurses' home facilities," the following: "extended care facilities, facilities related to programs for home health services, self-care units,"; and (2) by inserting a comma immediately before "operated" and inserting immediately before "but does not include" the following: "and also includes education or training facilities for health professions personnel operated as an integral part of a hospital,". STATE ADVISORY C O U N C I L S

SEC. 115. Effective July 1, 1970, section 604(a)(3) of the Public Health Service Act (42 U.S.C. 291d) is amended— (a) by inserting " (A) " after "shall include", and (b) by inserting after "rehabilitation services, and" the following: "representatives particularly concerned with education or training of health professions personnel, and (B) ". CHANGE

IN

NAME

A N D CLARIFICATION OR T R E A T M E N T

OF F U N C T I O N S

OF

DIAGNOSTIC

CENTER

SEC. 116. (a) Sections 601(a)(2) and 602(b)(1)(B) of the Public Health Service Act (42 U.S.C. 291a, 291b) are each amended by striking out "diagnostic or treatment centers" and inserting in lieu thereof "outpatient facilities".

78 Stat. 452.

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