Page:United States Statutes at Large Volume 92 Part 3.djvu/924

 92 STAT. 3556

42 USC 254b note. • af?f'>-».»;yr

PUBLIC LAW 95-626—NOV. 10, 1978 subsection (f)(3)(G) (ii)) do not establish general policies for such centers, an amount which exceeds 5 per centum of the funds appropriated under this section for that fiscal year.". (j) The amendments made by this section shall apply with respect to grants and contracts made under section 329 of the Public Health Service Act from appropriations for the fiscal years ending after September 30, 1978. COMMUNITY H E A L T H

42 USC 254c.

Grants.

CENTERS

SEC. 104. (a) Paragraph (4) of subsection (a) of section 330 is amended to read as follows: "(4) environmental health services, including, as may be appropriate for particular centers (as determined by the centers), the detection and alleviation of unhealthf ul conditions associated with water supply, sewage treatment, solid waste disposal, rodent and parasitic infestation, field sanitation, housing, and other environmental factors related to health, and". (b)(1) Paragraph (1) of subsection (b) of such section is amended (A) by striking out "and" at the end of subparagraph (E), (B) by striking out the period at the end and inserting in lieu thereof "; and", and (C) by inserting after subparagraph (F) the following new subparagraph: "(G) pharmaceutical services, as may be appropriate for particular centers.". (2) Paragraph (2) of such subsection is amended— (A) by striking out "(including nutrition education and social services)" in subparagraph (K) and inserting in lieu thereof "(including, for the social and other nonmedical needs which affect health status, counseling, referral for assistance, and followup services)"; (B) by inserting "(including nutrition education)" in subparagraph (M) after "health education services"; (C) by striking out "outreach workers" in subparagraph (N) and inserting in lieu thereof "appropriate personnel"; and (D) by striking out subparagraph (1) and by redesignating subparagraphs (J) through (N) as subparagraphs (I) through ' (M), respectively. (c)(1)(A) Paragraph (1) of subsection (d) of such section is amended by adding at the end the following new subparagraph: "(C) The Secretary may make grants to community health centers to enable the centers to plan and develop the provision of health services 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 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 (e)(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 "(iii) the 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.
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