Page:United States Statutes at Large Volume 87.djvu/964

 932

PUBLIC LAW 93-222-DEC. 29, 1973

[87 STAT.

"(2) fails to provide such services in the manner prescribed by section 1301(b), or "(^3) is not organized or operated in the manner prescribed by section 1301(c), the Secretary may, in addition to any other remedies available to him, bring a civil action in the United States district court for the district in which such entity is located to enforce its compliance with any assurances it furnished him respecting the provision of basic and supplemental health services or its organization or operation, as the case may be, which assurances were made under section 1310 or when application was made under this title for a grant, contract, loan, or loan guarantee. "(b) The Secretary, through the Assistant Secretary for Health, shall administer subsection (a) in the Office of the Assistant Secretary for Health. "LIMITATION ON SOURCE OF FUNDING FOR HEALTH MAINTENANCE ORGANIZATIONS

"SEC. 1313. No funds appropriated under any provision of this Act other than this title may be used— "(1) for grants or contracts for surveys or other activities to determine the feasibility of developing or expanding health maintenance organizations or other entities which provide, directly or indirectly, health services to a defined population on a prepaid basis; " (2) for grants or contracts, or for payments under loan guarantees, for planning projects for the establishment or expansion of such organizations or entities; " (3) for grants or contracts, or for payments under loan guarantees, for projects for the initial development or expansion of such organizations or entities; or " (4) for loans, or for payments under loan guarantees, to assist in meeting the costs of the initial operation after establishment or expansion of such organizations or entities. a PROGRAM EVALUATION

Report to

Congress.

"SEC. 1314. (a) The Comptroller General shall evaluate the operations of at least fifty of the health maintenance organizations for which assistance was provided under section 1303, 1304, or 1305. The I)eriod of operation of such health maintenance organizations which shall be evaluated under this subsection shall be not less than thirty-six months. The Comptroller General shall report to the Congress the results of the evaluation not later than ninety days after at least fifty of such health maintenance organizations have been in operation for at least thirty-six months. Such report shall contain findings— "(1) with respect to the ability of the organizations evaluated to operate on a fiscally sound basis without continued Federal financial assistance, "(2) with respect to the ability of such organizations to meet the requirements of section 1301(c) respecting their organization ' and operation, " (3) with respect to the ability of such organizations to provide basic and supplemental health services in the manner prescribed by section 1301(b), " (4) with respect to the ability of such organizations to include indigent and high-risk individuals in their membership, and " (5) with respect to the ability of such organizations to provide services to medically underserved populations.

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