Page:United States Statutes at Large Volume 93.djvu/625

 PUBLIC LAW 96-79—OCT. 4, 1979

93 STAT. 593

TITLE II—REVISION OF AUTHORITY FOR HEALTH RESOURCES DEVELOPMENT Sec. Sec. Sec. Sec.

201. 202. 203. 204.

Revision and extension of assistance. Conforming amendments. Technical amendments. Effective date.

TITLE III-PROGRAM TO ASSIST AND ENCOURAGE THE DISCONTINUANCE OF UNNEEDED HOSPITAL SERVICES Sec. 301. Authorization of program. Sec. 302. Study.

TITLE I—REVISION OF HEALTH PLANNING AUTHORITY REVISION A N D REPORTING ON NATIONAL GUIDELINES FOR HEALTH PLANNING

SEC. lOL (a)(1)(A) Section 1501 is amended (i) by striking out "and shall, as he deems appropriate, by regulation revise such guidelines" in subsection (a), and (ii) by adding after subsection (c) the following: "(d) The Secretary shall, on an annual basis, review the standards and goals included in the guidelines issued under subsection (a). In conducting such a review, the Secretary shall review the health systems plans and annual implementation plans of health systems agencies and State health plans. If the Secretary proposes to revise a guideline issued under subsection (a), he shall make such revision by regulations promulgated in accordance with section 553 of title 5, United States Code. "(e)(1) The Secretary may collect data to determine whether the health care delivery systems meet or are changing to meet the goals included in health systems plans under section 1513(b)(2) and State health plans under section 1524 and to determine the personnel, facilities, and other resources needed to meet such goals. The Secretary shall prescribe (A) the manner in which such data shall be assembled and reported to the Secretary by health systems agencies. State health planning and development agencies, and other entities, and (B) the definitions which shall be used by such agencies and entities in assembling and reporting such data. "(2) The Secretary shall from the data collected under paragraph (1) periodically make public a (A) statement of the relationship between the goals contained in the health systems plans and the State health plans and the status of the supply, distribution, and organization of health resources with respect to which such goals were established, and (B) summary of changes (either through additions or reductions) in resources needed to meet such goals.". (B) The amendments made by subparagraph (A) do not authorize the enactment of new budget authority before October 1, 1979. (2) Subsection (b)(1) of section 1501 is amended by adding at the end thereof the following: "Such standards shall reflect the unique circumstances and needs of medically underserved populations in isolated rural communities.". (3) Subsection (c) of section 1501 is amended by striking out "In issuing guidelines under subsection (a) the Secretary shall" and inserting in lieu thereof "At least 45 days before the initial publication of a regulation proposing a guideline under subsection (a) or a revision under subsection (d) of such a guideline, the Secretary shall, with respect to such proposed guideline or revision,". (b)(1) Section 1513(b)(l) is amended by adding after and below subparagraph (F) the following:

59-194 O — 81

40: QL3

42 USC 300k-l.

42 USC 300/-2. 42 USC 300m-3.

Budget 42 USC*^30k-i note. 42 USC 300k-l.

42 USC 300/-2.

�