Page:United States Statutes at Large Volume 87.djvu/631

 87 STAT. ]

PUBLIC LAW 93-154-NOV. 16, 1973

599

" (F) the application is submitted in such form and such manner and contains such information (inchiding specification of applicable provisions of law or regulations which restrict the full utilization of the training and skills of health professions and allied and other health personnel in the provision of health care services in such a system) as the Secretary shall prescribe in regulations. "(4)(A) A n application for a grant or contract under section 1203 ^'°^^^^°^or 1204 may not be approved by the Secretary unless (i) the applica- gg"^"^*' PP- ^^stion meets the requirements of subparagraphs (B) through (F) of paragraph (3), and (ii) except as provided in subparagraph (B) (ii), the applicant (I) demonstrates to the satisfaction of the Secretary that the emergency medical services system for which the application is submitted will, within the period specified in subparagraph (B)(i), meet each of the emergency medical services system requirements specified in subparagraph (C), and ( II) provides in the application a plan satisfactory to the Secretary for the system to meet each such requirement within such period. Grant or con" (B)(i) The period within which an emergency medical services tract period. system must meet each of the requirements specified in subparagraph (A) is the period of the grant or contract for which application is made; except that if the applicant demonstrates to the satisfaction of the Secretary the inability of the applicant's emergency medical services system to meet one or more of such requirements within such period, the period (or periods) within which the system must meet such requirement (or requirements) is such period (or periods) as the Secretary may require. "(ii) If an applicant submits an application for a grant or con- submu'tat'^o'HEvi^. tract under section 1203 or 1204 and demonstrates to the satisfaction of the Secretary the inability of the system for which the application is submitted to meet one or more of the requirements specified in subparagraph (C) within any specific period of time, the demonstration and plan prerequisites prescribed by clause (ii) of subparagraph (A) shall not apply with respect to such requirement (or requirements) and the applicant shall provide in his application a plan, satisfactory to the Secretary, for achieving appropriate alternatives to such requirement (or requirements). " (C) An emergency medical services system shall— c^^llltcelT"-' " (i) include an adequate number of health professions, allied tem requirements. health professions, and other health personnel with appropriate training and experience; "(ii) provide for its personnel appropriate training (including clinical training) and continuing education programs which (I) are coordinated with other programs in the system's service area which provide similar training and education, and ( II) emphasize recruitment and necessary training of veterans of the Armed Forces with military training and experience in health care fields and of appropriate public safety personnel in such area; "(iii) join the personnel, facilities, and equipment of the system by a central communications system so that requests for emergency health care services will be handled by a communications facility which (I) utilizes emergency medical telephonic screening, ( II) utilizes or, within such period as the Secretary prescribes will utilize, the universal emergency telephone number 911, and ( III) will have direct communication connections and interconnections with the personnel, facilities, and equipment of the system and with other appropriate emergency medical services systems;

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