Page:United States Statutes at Large Volume 88 Part 2.djvu/915

 88 STAT. ]

PUBLIC LAW 93-641-JAN. 4, 1975

2231

days of the date of enactment of this title, such boundary designations together with comments, submitted by the entities referred to in paragraph (2), with respect to such designations. At the time such notice is given under this paragraph to each c.J^"^^',''^*'""'" r^

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(governor, the becretary shall publish as a notice m the l<ederal Register a statement of the giving of his notice to the Governor and the criteria and procedures contained in such notice. "(2) Each State's Governor shall in the development of boundaries for health service areas consult with and solicit the views of the chief executive officer or agency of the political subdivisions within the State, the State agency which administers or supervises the administration of the State's health planning functions under a State plan approved under section 314(a), each entity within the State which has developed a comprehensive regional, metropolitan, or other local area plan or plans referred to in section 314(b), and each regional medical program established in the State under the title IX.

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Fsaeral Register.

'*2 USC 246.

42 USC 299.

"(3)(A) Within two hundred and ten days after the date of pe^demRe'TsJer. enactment of this title, the Secretary shall publish as a notice in the Federal Register the healtli service area boundarv designations. The boundaries for health service areas submitted by the Governors shall, except as otherwise provided in subparagraph (B), constitute upon their publication in the Federal Register the boundaries for such health service areas. " (B)(i) If the Secretary determines that a boundary submitted ^^"^""^IW'^f' to him for a health service area does not meet the requirements of sub- in FecL^rai Regissection (a), he shall, after consultation with the Governor who t<^rsubmitted such boundary, make such revision in the boundary for such area (and as necessary, in the boundaries for adioining health service areas) as may be necessary to meet such requirements and publish such revised boundary (or boundaries); and the revised boundary (or boundaries) shall uron publication in the Federal Register constitute the boundarv (or boundaries) for such health service area (or areas). The Secretary shall notify the Governor of each State in which is located a health service area whose boundary is revised under this clause of the boundary revision and the reasons for such revision. "(ii) In the case of areas of the United States not included within °'^^'" health the boundaries for health service areas submitted to the Secretary publication'in' .•'s requested under the notice under paragraph (1), the Secretary Federal Register. shall establish and publisli in the Federal Register health service area boundaries which include such areas. The Secretary shall notifv the Governor of each State in which is located a health service areri, the boundarv for which is established under this clause of the boundaries etablished. In carryiiiQf out the requirement of this clause, the Secretary may make such revisions in boundaries submitted under subparagraph (A) as he determines are necessary to meet the requirement of subsection (a) for the establishment of health service areas throughout the United States. "(4) The Secretary shall review on a continuing basis and at the Review. request of any Governor or designated health systems agency the appropriateness of the boundaries of the health service areas established under paragraph (3) and, if he determines that a boundary for a health service area no longer meets the T'equirements of subsection (a), he may revise the l>oundaries in accordance with the procedures prescribed by paragraph (3)(B) ( i i) for the establishment of boundaries of health service areas which include areas not included in boundaries submitted by the Governors. If the Secretary acts on his

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