Page:United States Statutes at Large Volume 90 Part 2.djvu/1244

 90 STAT. 2712

Second grant or contract, cost limitation.

42 USC 300d-5.

Report to HEW and the Interagency Committee on Emergency Medical Services.

PUBLIC LAW 94-573—OCT. 21, 1976 in the case of applications which demonstrate an exceptional need for financial assistance, 75 per centum of such costs for such year; and "(B) the amount of the second grant or contract under this section for a system may not exceed (i) 25 per centum of the expansion and improvement costs (as determined pursuant to regulations of the Secretary) of the system for the year for which the grant or contract is made, or (ii) in the case of applications which demonstrate an exceptional need for financial assistance, 50 per centum of such costs for such year. " (c) A grant or contract may not be made to or entered into with an entity under this section with respect to an emergency medical services system unless the entity submits with its application for such grant or contract assurances of the participation and support of the system by the public, private, and volunteer organizations and entities which are associated with and involved in activities essential to the effective provision of emergency medical services in the system's service area. "(d)(1) A grant or contract may not be made to or entered into with an entity under this section with respect to an emergency medical services system unless— "(A) the application for such grant or contract includes specific plans for the step-by-step achievement of compliance with each of the requirements of section 1206(b)(4)(C) within the period specified in section 1206(b)(4)(B)(i); and "(B) the application for such grant or contract includes assurances, evidenced by copies of formal resolutions, proclamations, or other acts of the executive or legislative governmental bodies of political subdivisions located in the system's service area which govern a substantial proportion of the population residing in such area, of such bodies'— "(i) support and cooperation with the system, and "(ii) endorsement and support of a specific financial plan which provides for the maintenance of the financial support of the system, after the conclusion of the period of the grant or contract, at the level required to maintain the level of expanded or improved activity to be achieved during the period of the grant or contract. "(2) A second grant or contract may not be made to or entered into with an entity under this section with respect to an emergency medical services system unless— "(A) the Secretary has made the required determination under subsection (b)(l), and "(B) the application for such grant or contract includes assurances, of the executive or legislative governmental bodies of political subdivisions located in the system's service area which govern a substantial proportion of the population residing in such area, that substantial progress is being made toward achieving the financial support to implement the plan described in paragraph (l)(B) ( i i). "(e) An eligible entity which has received a grant from or has entered into a contract with the Secretary under this section shall submit to the Secretary and the Interagency Committee on Emergency Medical Services (established under section 1209) a report on the results of such grant or contract at such intervals as the Secretary

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