Page:United States Statutes at Large Volume 87.djvu/951

 87 STAT.]

PUBLIC LAW 9 3 - 2 2 2 - D E C. 29, 1973

919

try, or other health profession in a State and a majority of whom are licensed to practice medicine or osteopathy. Such an arrangement shall provide— " (A) that such persons shall provide their professional services in accordance with a compensation arrangement established by the entity; and " (B) to the extent feasible (i) that such persons shall utilize such additional professional personnel, allied health professions personnel, and other health personnel (as specified in regulations of the Secretary) as are available and appropriate for the effective and efficient delivery of the services of the persons who are parties to the arrangement, (ii) for the sharing by such persons of medical and other records, equipment, and professional, technical, and administrative staff, and (iii) for the arrangement and encouragement of the continuing education of such persons in the field of clinical medicine and related areas. " (6) The term 'section 314(a) State health planning agency' means the agency of a State which administers or supervises the administration of a State's health planning functions under a State plan approved under section 314(a) (hereinafter in this title referred to as a 'section sAsttT^isoA^' 314(a) plan'); and the term 'section 314(b) areawide health planning 42 USC 245'. agency' means a public or nonprofit private agency or organization which has developed a comprehensive regional, metropolitan, or other local area plan or plans referred to in section 314(b) (hereinafter in this title referred to as a 'section 314(b) plan'). " (7) 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. Such a designation may be made by the Secretary only after consideration of the comments (if any) of (A) each section 314(a) State health planning agency whose section 314(a) plan covers (in whole or in part) such urban or rural area or the area in which such population group resides, and (B) each section 314(b) areawide health planning agency whose section 314(b) plan covers (in whole or in part) such urban or rural area or the area in which such population group resides. "(8) The term 'community rating system' means a system of fixing rates of payments for health services. Under such a system rates of payments may be determined on a per-person or per-family basis and may vary with the number of persons in a family, but except as otherwise authorized in the next sentence, such rates must be equivalent for all individuals and for all families of similar composition. The following differentials in rates of payments may be established under such system: " (A) Nominal differentials in such rates may be established to reflect the different administrative costs of collecting payments from the following categories of members: "(i) Individual members (including their families), "(ii) Small groups of members (as determined under regulations of the Secretary). " (iii) Large groups of members (as determined under regulations of the Secretary). " (B) Differentials in such rates may be established for members enrolled in a health maintenance organization pursuant to a contract with a governmental authority under section 1079 or 1086 of title 10, United States Code, or under any other govern- so Stat. 863. mental program (other than the health benefits program authorized by chapter 89 of title 5, United States Code) or any health 8° Stat. eoo. 5 USC 8901 •

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