Page:United States Statutes at Large Volume 92 Part 2.djvu/853

 PUBLIC LAW 95-559—NOV. 1, 1978

92 STAT. 2133

(d) The amendments made by this section shall only be effective for f^ ® ^ ^^ ^ ^ i^ *^)®^® 42 USC 300e-4 fiscal years beginning on or after October 1, 1978. note LOANS AND LOAN GUARANTEES FOR ACQUISITION AND CONSTRUCTION OF AMBULATORY H E A L T H CARE FACILITIES

SEC. 5. (a) Title X III is amended by inserting after section 1305 the 42 USC 300e. following new section: " L O A N S A N D L O A N GUARANTEES FOR ACQUISITION AND CONSTRUCTION OF AMBULATORY H E A L T H CARE FACILITIES

"SEC. 1305A. (a) The Secretary may— "(1) make loans, from the fund established under section 1308 (e), to public and nonprofit private health maintenance organizations for projects for the acquisition or construction of ambulatory health care facilities and for the acquisition of equipment for facilities acquired or constructed under a loan made under this paragraph; and "(2) guarantee to— "(A) non-Federal lenders for their loans to nonprofit private health maintenance organizations for projects described in paragraph (1) and to private health maintenance organizations for such projects which will serve medically underserved populations, and " (B) the Federal Financing Bank for its loans to nonprofit private health maintenance organizations for projects described in paragraph (1) and to private health maintenance organizations for such projects which will serve medically underserved populations, the payment of principal and interest on such loans. "(b)(1) Except as provided in paragraph (2), the aggregate amount of principal of loans made or guaranteed, or both, under subsection (a) for an ambulatory health care facility may not exceed $2,500,000. "(2) The cumulative total of the principal of the loans outstanding at any time which have been directly made or with respect to which guarantees have been issued under subsection (a) may not exceed such limitations as may be specified in appropriation Acts. "(3) The authority of the Secretary to make loans under subsection (a) shall be effective for any fiscal year only to such extent or in such amounts as are provided in advance in appropriation Acts. "(c) For purposes of this section— "(1) The term 'ambulatory health care facility' means a health care facility for the provision of diagnostic, treatment, and prevention services to ambulatory patients; and "(2) the term 'construction' means the (A) construction of new facilities, (B) alterations, expansion, remodeling, replacement, and renovation of existing facilities, (C) cost of offsite improvements in connection with an activity described in clause (A) or (B), and (D) cost of the acquisition of land in connection with an activity described in clause (A), (B), or (C).". (b) Section 1313(4) is amended by inserting before the period the following: "or in meeting the costs of such organizations in acquiring or constructing ambulatory health care facilities".

42 USC 300e-4a. 42 USC 300e-7.

Principal of loans, limitation. Cumulative total, limitation.

"Ambulatory health care facility." "Construction.

42 USC 300e-12.

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