Page:United States Statutes at Large Volume 93.djvu/1455

 CONCURRENT RESOLUTIONS—SEPT. 21, 1979

93 STAT. 1423

"'(4) In the case of a health maintenance organization or an ambulatory care facility or health care facility which ambulatory or health care facility is controlled, directly or indirectly, by a health maintenance organization or a combination of health maintenance organizations, a State may under the program apply its certificate of need requirements only to the offering of inpatient institutional health services, the acquisition of major medical equipment, and the obligation of capital expenditures for the offering of inpatient institutional health services and then only to the extent that such offering, acquisition, or obligation is not exempt under paragraph (1).". (23) The last sentence of paragraph (5) of the proposed section 1527(b) of the Public Health Service Act (as contained in section 117(a) of the bill) is amended (A) by striking out "subsection (b)" and inserting in lieu thereof "paragraph (1)", and (B) by striking out "or acquisition or lease" and inserting in lieu thereof ", acquisition, or lease". (24) Subsection (f) of the proposed section 1527 of the Public Health Service Act (as contained in section 117(a) of the bill) is amended by striking out "modernize" and inserting in lieu thereof "or modernize a health care facility". (25) The proposed paragraph (6)(B) of section 1531 of the Public Health Service Act (as contained in section 117(b)(3) of the bill) is amended by striking out "(ii)" and inserting in lieu thereof "(II)". (26) The proposed paragraph (6)(B)(ii) of section 1531 of the Public Health Service Act (as contained in section 117(b)(3) of the bill) is amended by inserting a comma before "(II)". (27)(A) Section 118 of the bill is amended by adding at the end the following: "(c) Section 1513(g)(2) is amended by striking out 'existing institutional'." (B) Section 118(b)(2) of the bill is amended by inserting a period and close quotation mark at the end. (C) Section 1523(a)(6) of the Public Health Service Act (as amended by section 118(b)(2) of the bill) is amended by striking out "all institutional" and inserting in lieu thereof "at least those institutional". (28) Section 121(a) of the bill is amended by striking out "(1)". (29) The third sentence of the proposed subparagraph (B) of section 1521(b)(4) of the Public Health Service Act (as contained in section 123(a) of the bill) is amended by striking out "take the action authorized by the first sentence of this subparagraph" and inserting in lieu thereof "terminate an agreement or return a State Agency to a conditionally designated status". (30) Section 124(c)(1) of the bill is amended by inserting "(A)" after "is amended", and by inserting before the period at the end a comma and the following: "and (B) by striking out 'an ex officio' and inserting in lieu thereof *a nonvoting, ex officio' ". (31) The first sentence of section 1531(5) of the Public Health Service Act as proposed to be amended by section 126(a)(1) of the bill is amended by striking out "at least $75,000" and inserting in lieu thereof "at least the expenditure minimum". (32) The proposed paragraph (9) of section 1531 of the Public Health Service Act (as contained in section 126(b) of the bill) is amended by striking out "sections 1523(a)(4)(B), 1527, and 1531(5)" and inserting in lieu thereof "paragraph (5) of this section and sections 1523(a)(4)(B) and 1527". (33)(A) Section 129(a) of the bill is amended by striking out "103, 104(c), 105(d), 106, 107, 117, 123(b)" and inserting in lieu thereof "103(a), 103(b), 103(c), 104(c), 105,106,107,110(c), 110(d), 110(e), 110(f), 111, 115(a 116(d), 116(e), 117,120,123,126".

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