Page:United States Statutes at Large Volume 88 Part 2.djvu/940

 2256

PUBLIC LAW 93-641-JAN. 4, 1975

[88

STAT.

" (C) Such additional requirements as the Secretary may by regulation prescribe. "(c) Centers assisted under this section (1) may enter into arrangements with health systems agencies and State Agencies for the provision of such services as may be appropriate and necessary in assisting the agencies and State Agencies in performing their functions under section 1513 or 1523, respectively, and (2) shall use methods (satisfactory to the Secretary) to disseminate to such agencies and State Agencies such planning approaches, methodoligies, policies and standards as they develop. Appropriations. ^^ (d) For the purposc of making payments pursuant to grants and contracts under subsection (a) there are authorized to be appropriated $5,000,000 for the fiscal year ending June 30, 1975, $8,000,000 for the fiscal year ending June 30, 1976, and $10,000,000 for the fiscal year ending June 30, 1977. li REVIEW BY THE

SECRETARY

an^cTapprovar'^" "SEC. 1535. (a) The Secretary shall review and approve or disap42 USC 300n-4. provc the annual budget of each designated health systems agency and State Agency. In making such review and approval or disapproval the Secretary shall consider the comments of Statewide Health Coordinating Councils submitted under section 1524(c)(3). Information submitted to the Secretary by a health systems agency or a State Agency in connection with the Secretary's review under this subsection shall be made available by the Secretary, upon request, to the appropriate committees (and their subcommittees) of the Congress. Performance "(b) The Secretary shall prescribe performance standards covering the structure, operation, and performance of the functions of each designated health systems agency and State Agency, and he shall establish a reporting system based on the performance standards that allows for continuous review of the structure, operation, and performance of the functions of such agencies. "(c) The Secretary shall review in detail at least every three years the structure, operation, and performance of the functions of each designated health systems agency to determine— "(1) the adequacy of the H S P of the agency for meeting the needs of the residents of the area for a healthful environment and for accessible, acceptable and continuous quality health care at reasonable costs, and the effectiveness of the A I P in achieving the system described in the H S P; "(2) if the structure, operation, and performance of the functions of the agency meet the requirements of sections 1512(b) Ante, pp. 2232, and 1513; 2235 "(3) the extent to which the agency's governing body (and executive committee (if any)) represents the residents of the health service area for which the agency is designated; "(4) the professional credentials and competence of the staff of the agency; "(5) the appropriateness of the data assembled pursuant to section 1513(b)(1) and the quality of the analyses of such data; " (6) the extent to which technical and financial assistance from the agency have been utilized in an effective manner to achieve goals and objectives of the H S P and the A I P; and "(7) the extent to which it may be demonstrated that— " (A) the health of the residents in the agency's health service area has been improved; " (B) the accessibility, acceptability, continuity, and quality of health care in such area has been improved; and

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