Page:United States Statutes at Large Volume 99 Part 1.djvu/977

 PUBLIC LAW 99-166—DEC. 3, 1985

99 STAT. 955

"(4) For the purpose of this subsection, the term 'major medical facility project' means a project for the construction, alteration, or acquisition of a medical facility involving a total expenditure of more than $2,000,000. Such term does not include an acquisition by exchange.". SEC. 302. OPERATIONAL AND CONSTRUCTION PLANNING REQUIREMENT.

(a) REQUIREMENT FOR IMPROVED PLANNING.—Subsection (a) of section 5007 is amended— (1) by inserting "(D" after "(a)"; (2) by striking out "and alteration" the second place it appears in the first sentence and inserting in lieu thereof "alteration, and operation"; (3) by striking out the second and third sentences; and (4) by adding at the end the following new paragraphs: "(2) Each such report shall contain— "(A) a five-year strategic plan for the operation and construction of medical facilities— "(i) setting forth— "(I) the mission of each existing or proposed medical facility; "(II) any planned change in such mission; and "(III) the operational steps needed to achieve the facility's mission and the dates by which such steps are planned to be completed; and "(ii) a five-year plan, based on the factors set out in subclause (i) of this clause, for construction, replacement, or alteration projects for each such facility; "(B) a list, in order of priority, of not less than 10 hospitals that, in the judgment of the Administrator, are most in need of construction or replacement; and "(C) general plans (including projected costs, site location, and, if appropriate, necessary land acquisition) for each medical facility for which construction, replacement, or alteration is planned under clause (A)(ii) of this paragraph. "(3) The report under this subsection shall be submitted not later than June 30 of each year.". (b) TECHNICAL AMENDMENTS.—Subsection (b) of such section is amended— (1) by striking out "(beginning in 1981)"; (2) by inserting "(1)" after "medical facility"; and (3) by striking out "title and, in the case of the second and each succeeding report made under this subsection," and inserting in lieu thereof title, and (2)". (c) CLERICAL AMENDMENTS.—(1) The heading for such section is amended to read as follows: "§ 5007. Operational and construction plans for medical facilities". (2) The item relating to such section in the table of sections at the beginning of chapter 81 is amended to read as follows:

38 USC 5007.

Report.

Hospitals,

Report.

"5007. Operational and construction plans for medical facilities.". SEC. 303. MAJOR FACILITY PROSPECTUS REQUIREMENT.

Section 5004(b)(1) is amended by inserting "and, in the case of a prospectus proposing the construction of a new or replacement medical facility, a description of the consideration that was given to

38 USC 5004.

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