Page:United States Statutes at Large Volume 92 Part 3.djvu/941

 PUBLIC LAW 95-626—NOV. 10, 1978

92 STAT. 3573

of the amount of such expenditures in the State's fiscal year which ended on or before July 1, 1981. In determining the amount of a grant to a State health authority under subclause (I), the Secretary shall take into account the financial need of such State and the level of State and local expenditures for comprehensive public health services (as defined in subparagraph (C)). In determining the financial need of a State, the Secretary shall consider, as major factors, the proportion of the State's population whose income level is below the poverty income level established by the Secretary and the proportion of its population which is living in medical underserved areas. "(ii) The total amount of grants to a State health authority in a fiscal year may not be less than the greater of— " (I) the total amount of grants received by such authority under paragraph (1) for the fiscal year ending September 30, 1979, or " ( II) the product of $1 and the population of the State served by such authority. Notwithstanding clauses (i) and (ii), if for any fiscal year the amount appropriated for that fiscal year under paragraph (6) is less than the amount needed to make grants in that fiscal year in accordance with such clauses to all State health authorities with approved applications, the total amount of grants in that fiscal year for a State health authority shall not be less than an amount which bears the same ratio to the amounts determined for such authority in accordance with the applicable clause as the amount appropriated under such paragraph bears to the amount needed to make grants in accordance with such clauses in such fiscal year to all State health authorities with approved applications. "(B) The Secretary, at the request of a State health authority, may reduce the amount of the grants to it under paragraph (1), by— "(i) the fair market value of any supplies (including vaccines and other prevention agents) or equipment furnished the State health authority, and "(ii) the amount of the pay, allowances, and travel expenses of any officer or employee of the Government when detailed to the State health authority and the amount of any other costs incurred in connection with the detail of such officer or employee, when the furnishing of such supplies or equipment or the detail of such an officer or employee is for the convenience of the State health authority and for the purpose of carrying out a program with respect to which its grant under paragraph (1) is made. The amount by which any such grant is so reduced shall be available for payment by the Secretary of the costs incurred in furnishing the supplies or equipment, or in detailing the personnel, on which the reduction of such grant is based, and such amount shall be deemed as part of the grant and shall be deemed to have been paid to the State health authority. "(C) For purposes of subparagraph (A)(i) ( II), the term 'State and local expenditures for comprehensive public health services' means expenditures by State and local public health authorities for public health services designated by the Secretary, but excludes expenditures by such authorities— "(i) specifically required by Federal statutory law as a condition to the receipt of Federal financial assistance, or

"State and local expenditures for comprehensive public health services."

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