Page:United States Statutes at Large Volume 92 Part 3.djvu/934

 92 STAT. 3566 Application priorities.

Ante, p. 3558.

Report to Congress.

42 USC 1395, 1396.

Appropriation authorization.

Limitation.

PUBLIC LAW 95-626—NOV. 10, 1978 "(4) In reviewing and approving applications for grants under this section, the Secretary shall give priority to the application of any community hospital— "(A) which (i) is located in a State whose laws do not prohibit the hospital from establishing a governing board for its affiliated primary care center which board meets the requirements of subparagraph (G) of section 330(e)(3) for the governing board of a private community health center, and (ii) has established such a governing board, or "(B) which is located in a State whose laws prohibit the hospital from establishing such a board. " (5) Grants under this subsection may be used for covering the costs of planning, developing, and operating hospital-affiliated primary care centers, including the costs of acquiring and modernizing existing buildings or space located in or adjacent to the community hospital (including the costs of amortizing the principal of, and paying interest on, loans). "(c) The Secretary may provide (either through the Department of Health, Education, and Welfare or by grant or contract) all necessary technical and other nonfinancial assistance (including fiscal and program management assistance and training in such management) to a community hospital to assist it in developing plans for, and in operating, a primary care center. The authority of the Secretary to enter into contracts under this subsection shall be effective for any fiscal year only to such extent or in such amounts as are provided in advance m appropriation Acts. "(d) Not later than March 1, 1981, the Comptroller General shall submit a report to Congress evaluating the operation of hospitalaffiliated primary care centers, including, with their voluntary participation, those centers not assisted under this section. With respect to such centers the Comptroller General shall— "(1) assess the costs of such centers and their methods of allocating costs between the centers and their affiliated hospitals; "(2) assess the methods of reimbursement used (particularly under titles X VIII and X IX of the Social Security Act) for services provided by such centers; "(3) compare the cost and effectiveness of providing primary health services through such centers with the cost and effectiveness of providing such services through community health centers and other entities providing similar services, and "(4) assess the degree to which the hospitals provided assistance under this section are complying with the requirements specified under subsection (b)(3). "(e) There are authorized to be appropriated for the purpose of making payments for grants under subsection (a) and for the provision of assistance under subsection (c)— "(1) for the planning and development of primary care centers, $5,000,000 for the fiscal year ending September 30, 1979, and " (2) for the planning, development, and operation of primary care centers, $25,000,000 for the fiscal year ending September 30, 1980, and $30,000,000 for the fiscal year ending September 30, 1981. Not more than $150,000 may be used for the planning and development of any single primary care center.".

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