Page:United States Statutes at Large Volume 92 Part 3.djvu/921

 PUBLIC LAW 95-626—NOV. 10, 1978

92 STAT. 3553

on a prepaid basis to some or to all of the individuals which the centers serve. Such a grant may only be made for such a center if— "(i) the center has received grants under subparagraph (A) of e, this paragraph for at least two consecutive years preceding the year of the grant under this subparagraph; " (ii) the governing board of the center (described in subsection (f)(3)(G)) requests, in a manner prescribed by the Secretary, that the center provide health services on a prepaid basis to some or to all of the population which the center serves; and i "(iii) ^^^ center provides assurances satisfactory to the Secretary that the provision of such services on a prepaid basis will not result in the diminution of health services provided by the center to the population the center served prior to the grant under this subparagraph. Any such grant may include the acquisition and modernization of existing buildings and providing training related to the management of the provision of health services on a prepaid basis.". (B) The fourth sentence of subsection (h)(2) of such section is amended by inserting before the period the following: ", and not more than 5 per centum of such funds may be made available for grants under subsection (d)(1)(C) ". (e) Subsection (d) of such section is amended by striking out paragraph (3) and inserting in lieu thereof the following: "(3) Not more than two grants may be made under paragraph ( I H C) for the same entity. (4)(A) The amount of any grant made in any fiscal year under subparagraph (A) of paragraph (1) to a health center shall be determined by the Secretary, but may not exceed the amount by which the costs of operation of the center in such fiscal year exceed the total of— " (i) the State, local, and other funds, and "(ii) the fees, premiums, and third-party reimbursements, which the center may reasonably be expected to receive for its operations in such fiscal year. In determining the amount of such a grant for a center, if the application for the grant requests funds for a service described in subparagraph (D) or (E) of subsection (a)(1) (other than to the extent the funds would be used for the improvement of private property) or a supplemental health service described in subparagraph (B), (F), (J), or (L) of subsection (a)(7), the Secretary shall include, in an amount determined by the Secretary and to the extent funds are available under appropriation Acts, funds for such service unless the Secretary makes a written finding that such service is not needed and provides the applicant with a copy of such finding. "(B) Payments under grants under subparagraph (A) of paragraph (1) shall be made in advance or by way of reimbursement and in such installments as the Secretary finds necessary and adjustments may be made for overpayments or underpayments, except that if in any fiscal year the sum of— "(i) the total of the amounts described in clauses (i) and (ii) of subparagraph (A) of this paragraph received by a center f in such fiscal year, and • "(ii) the amount of the grant to the center in such fiscal year, exceeded the costs of the center's operation in such fiscal year because the amount received by the center from fees, premiums, and thirdparty reimbursements was greater than expected, an adjustment in the amount of the grant to the center in the succeeding fiscal year shall be made in such a manner that the center may retain such an

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