Page:United States Statutes at Large Volume 88 Part 2.djvu/914

 2230

42 USC 1320C-1.

Notice to Gov-

PUBLIC LAW 93-641-JAN. 4, 1975

[88

STAT.

"(3) The area, upon its establishment, shall lun-e a population of not less than five hundred thousand or more than three million; except that— " (A) the population of an area may be more than three million if the area includes a standard metropolitan statistical area (as determined by the Office of Management and Burltret) with a population of more than three million, and " (B) the population of an area may— " (i) be less than five hundred thousand if the area comprises an entire State which lias a population of less than five hundred thousand, or "(ii) be less than— " (I) five hundred thousand (but not less than two hundred thousand) in unusual circumstances (as determined by the Secretary), or " ( II) two hundred thousand in highly unusual circumstances (as determined by the Secretary). if the Governor of each State in which the area is located determines, with the approval of the Secretary, that the area meets the other requirements of this subsection. "(4) To the maximum extent feasible, the boundaries of the area shall be appropriately coordinated with the boundaries of areas designated under section 1152 of the Social Security Act for Professional Standards Beview Organizations, existing regional planning areas, and State planning and administrative areas. The boimdaries of a health service area shall be established so that, in the planning and development of health services to be offered within the health service area, any economic or geographic barrier to the receipt of such services in nonmetropolitan areas is taken into account. The boundaries of health service areas shall be established so as to recognize the differences in health planning and health services development needs between nonmetropolitan and metropolitan areas. Each standard metropolitan statistical area shall be entirely wathin the boundaries of one health service area, except that if the Governor of each State in which a standard metropolitan statistical area is located determines, with the approval of the Secretary, that in order to meet the other requirements of this subsection a health service area should contain only part of the standard metropolitan statistical area, then such statistical area shall not be required to be entirely within the boundaries of such health service area. " (b)(1) Within thirty days following the date of the enactment of this title, the Secretary shall simultaneously give to the Governor of each State written notice of the initiation of proceedings to establish health service areas throughout the Ignited States. Each notice shall contain the following: " (A) A statement of the requirement (in subsection (a)) of the establishment of health service areas throughout the United States. " (B) A statement of the criteria prescribed by subsection (a) for health service areas and the procedures prescribed by this subsection for the designation of health service area boundaries. " (C) A request that the Governor receiving the notice (i) designate the boundaries of health service areas within his State, and, where appropriate and in cooperation with the Governors of adjoining States, designate the boundaries within his State of health service areas located both in his State and in adjoining States, and (ii) submit (in such form and manner as the Secretary shall specify) to the Secretary, within one hundred and twenty

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