§ 242b. General authority respecting research, evaluations, and demonstrations in health statistics, health services, and health care technology

Footnotes

1. 1 See References in Text note below.

Legislative history

Reconstructed from this section’s Code source credit and amendment notes, resolved against the local Statutes at Large. Editorial notes are evidence, not the law that made the change.

1. 1944

   Pub. L. 84–373 · 69 Stat. 695

   Enacted · 42 U.S.C. § 242b

   July 1, 1944, ch. 373, title III, § 304, as added July 28, 1955, ch. 417, § 3, 69 Stat. 382

   Source evidence

   Code source credit
   July 1, 1944, ch. 373, title III, § 304, as added July 28, 1955, ch. 417, § 3, 69 Stat. 382

2. 1967

   Partnership for Health Amendments of 1967

   Pub. L. 90–174 § 3(a) · 81 Stat. 533

   Substituted · 42 U.S.C. § 242b

   Pub. L. 90–174 substituted provisions of subsecs. (a) to (d) for research and demonstrations relating to health facilities (incorporated from former section 291n of this title) for provisions of former subsecs. (a) to (d) for mental health study including grants for special projects, conditions thereof, and definition of “organization”, authorization of appropriations, terms of grant, availability of amounts otherwise appropriated and noninterference with research and study programs of the National Institute of Mental Health, and acceptance of additional financial support

   Source evidence

   Code amendment note
   Pub. L. 90–174 substituted provisions of subsecs. (a) to (d) for research and demonstrations relating to health facilities (incorporated from former section 291n of this title) for provisions of former subsecs. (a) to (d) for mental health study including grants for special projects, conditions thereof, and definition of “organization”, authorization of appropriations, terms of grant, availability of amounts otherwise appropriated and noninterference with research and study programs of the National Institute of Mental Health, and acceptance of additional financial support.

   Enacted provision · exact public law section
   (a) Section 304 (42 U.S.C. 242b) of the Public Health Service 69 Stat. 382; 70 Stat. 930. Act is amended to read as follows: “Sec. 304. “research and demonstrations relating to health facilities and services (a) The Secretary is authorized— “(1) to make grants to States, political subdivisions, universities, hospitals, and other public or nonprofit private agencies, institutions, or organizations for projects for the conduct of research, experiments, or demonstrations (and related training), and “(2) to make contracts with public or private agencies, institutions, or organizations for the conduct of research, experiments, or demonstrations (and related training), relating to the development, utilization, quality, organization, and financing of services, facilities, and resources of hospitals, facilities for long-term care, or other medical facilities (including, for purposes of this section, facilities for the mentally retarded, as defined in the Mental Retardation Facilities and Community Mental Health Centers 77 Stat. 282. 42 USC 2661 note. Construction Act of 1963), agencies, institutions, or organizations or to development of new methods or improvement of existing methods of organization, delivery, or financing of health services, including, among others— “(A) projects for the construction of units of hospitals, facilities for long-term care, or other medical facilities which involve experimental architectural designs or functional layout or use of new materials or new methods of construction, the efficiency of which can be tested and evaluated, or which involve the demonstration of such efficiency, particularly projects which also involve research, experiments, or demonstrations relating to delivery of health services, and “(B) projects for development and testing of new equipment and systems, including automated equipment, and other new technology systems or concepts for the delivery of health services, and “(C) projects for research and demonstration in new careers in health manpower and new ways of educating and utilizing health manpower. “(b) Except where the Secretary determines that unusual circumstances Cost limitation. make a larger percentage necessary in order to effectuate the purposes of this section, a grant or contract under this section with respect to any project for construction of a facility or for acquisition of equipment may not provide for payment of more than 50 per centum of so much of the cost of the facility or equipment as the Secretary 78 Stat. 454. 42 USC 291e. determines is reasonably attributable to research, experimental, or demonstration purposes. The provisions of clause (5) of the third sentence of section 605(a) and such other conditions as the Secretary may determine shall apply with respect to grants or contracts under this section for projects for construction of a facility or for acquisition of equipment. “(c) Payments of any grants or under any contracts under this section may be made in advance or by way of reimbursement, and in such installments and on such conditions as the Secretary deems necessary to carry out the purposes of this section. “(d) There are authorized to be appropriated for payment of Appropriation. grants or under contracts under this section $20,000,000 for the fiscal year ending June 30, 1968, $40,000,000 for the fiscal year ending June 30, 1969, and $60,000,000 for the fiscal year ending June 30, 1970; except that, for any fiscal year ending after June 30, 1968, such portions Program evaluation. of such sums as the Secretary may determine, but not exceeding 1 per centum thereof, shall be available to the Secretary for evaluation (directly or by grants or contracts) of the program authorized by this section.”

3. 1970

   Medical Facilities Construction and Modernization Amendments of 1970

   Pub. L. 91–296 title IV § 401(b)(1)(A) · 84 Stat. 336

   Struck · 42 U.S.C. § 242b(c); 42 U.S.C. § 242b(d)

   Pub. L. 91–296 struck out provisions authorizing use of appropriated funds for evaluation of program authorized by this section. See section 229b of this title

   Target inherited from the preceding amendment note.

   Source evidence

   Code amendment note
   Pub. L. 91–296 struck out provisions authorizing use of appropriated funds for evaluation of program authorized by this section. See section 229b of this title.

   Enacted provision · exact public law section
   (A) section 304(d) of the Public Health Service Act (42 U.S.C. 81 Stat. 535. 242b) is amended by striking out “; except that for any fiscal year ending after June 30, 1968” and all that follows down to but not including the period;

   Effective date note
   Pub. L. 91–515, title II, § 201(d), Oct. 30, 1970, 84 Stat. 1303, provided that: “The amendments made by subsection (c) of this section [amending this section] shall be effective only with respect to fiscal years ending after June 30, 1970.” Pub. L. 91–296, title IV, § 401(b)(1), June 30, 1970, 84 Stat. 352, provided that the amendment made by that section is effective with respect to appropriations for fiscal years beginning after June 30, 1970.

4. 1970

   Pub. L. 91–515 title II · 84 Stat. 1297

   1. Redesignated · 42 U.S.C. § 242b(a)(1)

      Pub. L. 91–515, §§ 201(a)(1), 203, redesignated subsec. (a) as (a)(1)

   2. Substituted · 42 U.S.C. § 242b(a)(1)

      Pub. L. 91–515, §§ 201(a)(1), 203, substituted “(A)” and “(B)” for “(1)”

   3. Substituted · 42 U.S.C. § 242b(a)(1)

      Pub. L. 91–515, §§ 201(a)(1), 203, substituted “(A)” and “(i) to (iii)” for “(A) to (C)”

   4. Added · 42 U.S.C. § 242b(a)(1)

      Pub. L. 91–515, §§ 201(a)(1), 203, added cls. (iv) and (v)

   Source evidence

   Code amendment note
   Subsec. (a)(1). Pub. L. 91–515, §§ 201(a)(1), 203, redesignated subsec. (a) as (a)(1), substituted “(A)” and “(B)” for “(1)” and “(2)”, and “(i) to (iii)” for “(A) to (C)”, and added cls. (iv) and (v).

   Enacted provision · exact public law
   TITLE II— AMENDMENTS TO TITLE III OF THE PUBLIC HEALTH SERVICE ACT Part A— Research and Demonstrations Relating to Health Facilities and Services Sec. 201. (a) (1) Section 304(a) of the Public Health Service Act 81 Stat. 534. 42 USC 242b. is amended— (A) by inserting “(1)” immediately after “Sec. 304. (a)”; (B) by redesignating clauses (1) and (2) as clauses (A) and (B), respectively; and (C) by redesignating clauses (A), (B), and (C) as clauses (i), (ii), and (iii), respectively. (2) Section 304(b) of such Act is amended— (A) by striking out “(b)” and inserting in lieu thereof “(2)”; and (B) by striking out “this section” each place it appears therein and inserting in lieu thereof “this subsection”. (3) Section 304(c) of such Act is amended— (A) by striking out “(c)” and inserting in lieu thereof “(3)”; and (B) by striking out “this section” each place it appears therein and inserting in lieu thereof “this subsection”. (b) Section 304 of such Act is further amended by adding after the provision thereof redesignated as paragraph (3) by subsection (a)(3)(A) of this section the following new subsection: “(b) “Systems Analysis of National Health Care Plans (1) (A) The Secretary shall develop, through utilization of the systems analysis method, plans for health care systems designed adequately to meet the health needs of the American people. For purposes of the preceding sentence, the systems analysis method means the analytical method by which various means of obtaining a desired result or goal is associated with the costs and benefits involved. “(B) The Secretary shall complete the development of the plans referred to in subparagraph (A), within such period as may be necessary to enable him to submit to the Congress not later than September Report to Congress. 30, 1971, a report thereon which shall describe each plan so developed in terms of— “(i) the number of people who would be covered under the plan; “(ii) the kind and type of health care which would be covered under the plan; “(iii) the cost involved in carrying out the plan and how such costs would be financed; “(iv) the number of additional physicians and other health care personnel and the number and type of health care facilities needed to enable the plan to become fully effective; “(v) the new and improved methods, if any, of delivery of health care services which would be developed in order to effectuate the plan; “(vi) the accessibility of the benefits of such plan to various socioeconomic classes of persons; “(vii) the relative effectiveness and efficiency of such plan as compared to existing means of financing and delivering health care; and “(viii) the legislative, administrative, and other actions which would be necessary to implement the plan. “(C) In order to assure that the advice and service of experts in the various fields concerned will be obtained in the plans authorized by this paragraph and that the purposes of this paragraph will fully be carried out— “(i) the Secretary shall utilize, whenever appropriate, personnel from the various agencies, bureaus, and other departmental subdivisions of the Department of Health, Education, and Welfare; “(ii) the Secretary is authorized, with the consent of the head of the department or agency involved, to utilize (on a reimbursable basis) the personnel and other resources of other departments and agencies of the Federal Government; and “(iii) the Secretary is authorized to consult with appropriate State or local public agencies, private organizations, and individuals. “(2) “Cost and Coverage Report on Existing Legislative Proposals (A) The Secretary shall, in accordance with this paragraph, conduct a study of each legislative proposal which is introduced in the Senate or the House of Representatives during the Ninety-first Congress, and which undertakes to establish a national health insurance plan or similar plan designed to meet the needs of health insurance or for health services of all or the overwhelming majority of the people of the United States. “(B) In conducting such study with respect to each such legislative proposal, the Secretary shall evaluate and analyze such proposal with a view to determining— “(i) the costs of carrying out the proposal; and “(ii) the adequacy of the proposal in terms of (I) the portion of the population covered by the proposal, (II) the type health care provided, paid for, or insured against under the proposal, (III) whether, and if so, to what extent, the proposal provides for the development of new and improved methods for the delivery of health care and services. “(C) Not later than March 31, 1971, the Secretary shall submit to the Congress a report on each legislative proposal which he has been directed to study under this paragraph, together with an analysis and evaluation of such proposal” (c) Subsection (d) of section 304 of such Act is hereby redesignated as subsection (c) and is amended to read as follows: “(c) (1) There are authorized to be appropriated for payment of grants or under contracts under subsection (a), and for purposes of carrying out the provisions of subsection (b), $71,000,000 for the fiscal year ending June 30, 1971 (of which not less than $2,000,000 shall be available only for purposes of carrying out the provisions of subsection (b)), $82,000,000 for the fiscal year ending June 30, 1972, and $94,000,000 for the fiscal year ending June 30, 1973. “(2) In addition to the funds authorized to be appropriated under paragraph (1) to carry out the provisions of subsection (b) there are hereby authorized to lie appropriated to carry out such provisions for each fiscal year such sums as may be necessary.” (d) The amendments made by subsection (c) of this section shall be Effective date effective only with respect to fiscal years ending after June 30, 1970. Sec. 202. That prevision of section 304 of the Public Health Service Act redesignated by section 201(a) of this Act as paragraph (3) of Ante, p. 1301. subsection (a) is further amended— (1) by inserting “(A)” immediately after “(3)”; and (2) by adding after and below such provision the following new subparagraph: “(B) The amounts otherwise payable to any person under a grant or contract made under this subsection shall lie reduced by— “(i) amounts equal to the fair market value of any equipment or supplies furnished to such person by the Secretary for the purpose of carrying out the project with respect to which such grant or contract is made, and “(ii) amounts equal to the pay, allowances, traveling expenses, and related personnel expenses attributable to the performance of services by an officer or employee of the Government in connection with such project, if such officer or employee was assigned or detailed by the Secretary to perform such services, but only if such person requested the Secretary to furnish such equipment or supplies, or such services, as the case may be.” Sec. 203. That provision of section 304 of the Public Health Service Act redesignated by section 201(a) of this Act as paragraph (1) of subsection (a) is further amended by— (1) striking out the period at the end thereof and inserting in lieu thereof “, and”: and (2) adding after and below the clause thereof redesignated by such section 201(a) as clause (iii) the following new clauses: “(iv) projects for research, experiments, and demonstrations dealing with the effective combination or coordination of public, private, or combined public-private methods or systems for the delivery of health services at regional, State, or local levels, and “(v) projects for research and demonstrations in the provision of home health services.” Part B— National Health Surveys and Studies Sec. 210. (a) (1) Clause (1) of subsection (a) of section 305 of the Public Health Service Act is amended by striking out “and” before 70 Stat. 490. 42 USC 242c. “(E)”, and by inserting after the semicolon at the end of such clause the following: “(F) health care resources; (G) environmental and social health hazards; and (II) family formation, growth, and dissolution;”. (2) Such subsection is further amended by adding at the end thereof the following new sentence: “No information obtained in accordance with this paragraph may be used for any purpose other than the statistical purposes for which it was supplied except pursuant to regulations of the Secretary; nor may any such information be published if the particular establishment or person supplying it is identifiable except with the consent of such establishment or person.” (b) Section 305 is further amended by redesignating subsections (b), (c), and (d) as subsections (c), (d), and (e), respectively, and by adding after subsection (a) the following new subsection: “(b) The Secretary is authorized, directly or by contract, to undertake research, development, demonstration, and evaluation, relating to the design and implementation of a cooperative system for producing comparable and uniform health information and statistics at the Federal, State, and local levels.” (c) The subsection of such section 305 redesignated (by subsection (b) of this section) as subsection (d) is amended to read as follows: “(d) There are authorized to be appropriated to carry out this section $15,000,000 for the fiscal year ending June 30, 1971, $20,000,000 for the fiscal year ending June 30, 1972, and $25,000,000 for the fiscal year ending June 30, 1973.” Part C— Grants to States for Comprehensive State Health Planning Sec. 220. (a) (1) The first sentence of section 314(a)(1) of the 80 Stat. 1181; 81 Stat. 533. 42 USC 246. Public Health Service Act is amended by striking out “June 30, 1970” and inserting in lieu thereof “June 30, 1973”. (2) The second sentence of such section 314(a)(1) is amended by striking out “and $15,000,000 for the fiscal year ending June 30, 1970” and inserting in lieu thereof the following: “$15,000,000 for the fiscal year ending June 30, 1970, $15,000,000 for the fiscal year ending June 30, 1971, $17,000,000 for the fiscal year ending June 30, 1972, and $20,l)00,0tt) for the fiscal year ending June 30, 1973”. (b) Section 314(a)(2)(B) of such Act is amended by striking out “State and local agencies” and inserting in lieu thereof “Federal, State, and local agencies (including as an ex officio member, if there is located in such State one or more hospitals or other health care facilities of the Veterans’ Administration, the individual whom the Administrator of Veterans’ Affairs shall have designated to serve on such council as the representative of the hospitals or other health care facilities of such Administration which are located in such State)”. (c) Section 314(a)(2)(B) of such Act (as amended by subsection (b) of this section) is further amended by inserting “(including representation of the regional medical program or programs included in whole or in part within the State)” immediately after “concerned with health”. (d) Section 314(a)(2)(C) of such Act is amended (1) by inserting “and including home health care” immediately after “private”, and (2) by inserting immediately lief ore the semicolon at the end thereof the following: “and including environmental considerations as they relate to public health”. Part D— Project Grants for Area wipe Health Planning Sec. 230. Section 314(b) of the Public Health Service Act is amended— (1) by striking out, in the first sentence thereof, “June 30, 1970” and inserting in lieu thereof “June 30, 1973”; (2) by inserting after the word “services” the second place it appears therein, the phrase “and including the provision of such services through home health care”; (3) by striking out, in the second sentence thereof, “and $15,000,000 for the fiscal year ending June 30, 1970” and inserting in lieu thereof the following: “$15,000,000 for the fiscal year ending June 30, 1970, $20,000,000 for the fiscal year ending June 30, 1971, $30,000,000 for the fiscal year ending June 30, 1972, and $40,000,000 for the fiscal year ending June 30, 1973”; (4) by inserting “(1)(A)” immediately after “(b)”; and (5) by adding after and below the existing language contained therein the following: “(B) Project grants may be made by the Secretary under subparagraph (A) to the State agency administering or supervising the administration of the State plan approved under subsection (a) with respect to a particular region or area, but only if (i) no application for such a grant with respect to such region or area has been filed by any other agency or organization qualified to receive such a grant, and (ii) such State agency certifies, and the Secretary finds, that ample opportunity has been afforded to qualified agencies and organizations to file application for such a grant with respect to such region or area and that it is improbable that, in the foreseeable future, any agency or organization which is qualified for such a grant will file application therefor. “(2) (A) In order to be approved under this subsection, an application for a grant under this subsection must contain or lie supported by reasonable assurances that there has been or will be established, in or for the area with respect to which such grant is sought, an areawide health pl aiming council. The membership of such council shall include representatives of public, voluntary, and nonprofit private agencies, institutions, and organizations concerned with health (including representatives of the interests of local government, of the regional medical program for such area, and of consumers of health services). A majority of the members of such council shall consist of representatives of consumers of health services. “(B) In addition, an application for a grant under this subsection must contain or be supported by reasonable assurances that the areawide health planning agency has made provision for assisting health care facilities in its area to develop a program for capital expenditures for replacement, modernization, and expansion which is consistent with an overall State plan which will meet the needs of the State and the area, for health care facilities, equipment, and services without duplication and otherwise in the most efficient and economical manner.” Part E— Project Grants for Training, Studies and Demonstrations Sec. 240. Section 314(c) of the Public Health Service Act is 80 Stat. 1183; 81 Stat. 533. 42 USC 246. amended— (1) by striking out, in the first sentence thereof, “June 30, 1970” and inserting in lieu thereof “June 30, 1973”; and (2) by striking out, in the second sentence thereof, “and $7,500,000 for the fiscal year ending June 30, 1970” and inserting in lieu thereof the following: “$7,500,000 for the fiscal year ending June 30, 1970, $8,000,000 for the fiscal year ending June 30, 1971, $10,000,000 for the fiscal year ending June 30, 1972, and $12,000,000 for the fiscal year ending June 30, 1973”. Part F— Grants for Comprehensive Public Health Services Sec. 250. (a) Section 314(d)(1) of the Public Health Service Act is amended by striking out “and $100,000,000 for the fiscal year ending June 30, 1970” and inserting in lieu thereof “$100,000,000 for the fiscal year ending June 30, 1970, $130,000,000 for the fiscal year ending June 30, 1971, $145,000,000 for the fiscal year ending June 30, 1972, and $105,000,000 for the fiscal year ending June 30, 1973”. (b) Section 314(d)(2)(C) of such Act is amended (1) by striking out “and (iii)” and inserting in lieu thereof “(iii)” and (2) by inserting before the semicolon at the end thereof the following: “; and (iv) the plan is compatible with the total health program of the State”. Part G— Project Grants for Health Services Development Sec. 260. (a) Section 314(e) of the Public Health Service Act is amended by striking out “and” immediately after “June 30, 1969,” and by inserting after “June 30, 1970,” the following: “$109,500,000 for the fiscal year ending June 30, 1971, $135,000,000 for the fiscal year ending June 30, 1972, and $157,000,000 for the fiscal year ending June 30, 1973,”. (b) The first sentence of 314(e) is further amended by inserting immediately after “cost” the following: “(including equity requirements and amortization of loans on facilities acquired from the Office of Economic Opportunity or construction in connection with any program or project transferred from the Office of Economic Opportunity)”. (c) (1) The second sentence of such section is amended to read as follows: “Any grant made under this subsection may be made only if the application for such grant has been referred for review and comment to the appropriate areawide health planning agency or agencies (or, if there is no such agency in the area, then to such other public or nonprofit private agency or organization (if any) which performs similar functions) and only if the services assisted under such grant will be provided in accordance with such plans as have been developed pursuant to subsection (a).” (2) The amendment made by paragraph (1) shall be effective with respect, to grants under section 314(e) of the Public Health Service Act which are made after the date of enactment of this Act. Part H— Administration of Grants in Certain Multigrant Projects Sec. 270. Part A of title III of the Public Health Service Act is amended by adding at the end thereof the following new section: “Sec. 310A. “Administration of Grants in Certain Multigrant Projects For the purpose of facilitating the administration of, and expediting the carrying out of the purposes of, the programs established by title IX, and sections 304, 314(a), 314(b), 314(c), Ante, pp. 1297 1301. 1304. 314(d), and 314(e) of this Act in situations in which grants are sought or made under two or more of such programs with respect to a single project, the Secretary is authorized to promulgate regulations.— “(1) under which the administrative functions under such programs with respect to such project will be performed by a single administrative unit which is the administrative unit charged with (he administration of any of such programs or is the administrative unit charged with the supervision of two or more of such programs; “(2) designed to reduce the number of applications, reports, and other materials required under such programs to he submitted with respect to such project, and otherwise to simplify, consolidate, and make uniform (to the extent feasible), the data and information required to be contained in such applications, reports, and other materials; and “(3) under which inconsistent or duplicative requirements imposed by such programs will be revised and made uniform with respect to such project; except that nothing in this section shall be construed to authorize the Secretary to waive or suspend, with respect to any such project, any requirement with respect to any of such programs if such requirement is imposed by law’ or by any regulation required by law.” Part I— Annual Report, National Advisory Council, Etc. Sec. 280. Part A of title III of the Public Health Service Act is further amended by adding after section 310 A thereof (as added by section 270 of this Act) the following new section: “310B. “Annual Report On or before January 1 of each year, the Secretary shall transmit to the Congress a report of the activities carried on under the provisions of title IX of this Act and sections 304, 305, 314(a), Ante, pp. 1297, 1301, 1304. 314(b), 314(c), 314(d), and 314(e) of this title together with (1) an evaluation of the effectiveness of such activities in improving the efficiency and effectiveness of the research, planning, and delivery of health services in carrying out the purposes for which such provisions were enacted, (2) a statement of the relationship between Federal financing and financing from other sources of the activities undertaken pursuant, to such provisions (including the possibilities for more efficient support of such activities through use of alternate sources of financing after an initial period of support under such provisions), and (3) such recommendations with respect to such provisions as he deems appropriate,” Sec. 281. Title III of the Public Health Service Act is amended 58 Stat. 691. 42 USC 241. by adding after section 315 thereof the following new section: “Sec. 316. “national advisory council on comprehensive health planning programs (a) The Secretary shall appoint, without regard to the Appointment. civil service laws, a National Advisory Council on Comprehensive Health Planning Programs. The Council shall consist of the Secretary Members. or his designee, who shall lie the chairman, and sixteen members, not otherwise in the regular full-time employ of the United States, who are (1) leaders in the fields of the fundamental sciences, the medical sciences, or the organization, delivery, and financing of health care, (2) officials in State and areawide health planning agencies, (3) leaders in health care administration, or State or community or other public affairs, who are State or local officials, or (4) representatives of consumers of health care. At least six of the appointed members shall be individuals representing the consumers of health care, one shall be an official of a State health planning agency, one shall be an official of an areawide health planning agency, and one shall be a member of the National Advisory Council on Regional Medical Programs. “(b) Each appointed member of the Council shall hold office for a Term. term of four years, except that any member appointed to fill a vacancy prior to the expiration of the term for which his predecessor was appointed shall be appointed for the remainder of such term, and except that the terms of office of the members first taking office shall expire, as designated by the Secretary at the time of appointment, four at the end of the first year, four at the end of the second year, four at the end of the third year, and four at the end of the fourth year after the date of appointment. An appointed member shall not be eligible to serve continuously for more than two terms. “(c) Appointed members of the Council, while attending meetings or conferences thereof or otherwise serving on the business of the Council, shall be entitled to receive compensation at rates fixed by the Secretary, but at rates not exceeding the daily equivalent of the rate specified at the time of service for GS–18 of the general schedule, Ante, p, 198–1. including travel time, and while so serving away from their homes or regular places of business they may be allowed travel expenses, including per diem in lieu of subsistence, as authorized by section 80 Stat. 499; 83 Stat. 190. 5703(b) of title 5 of the United States Code for persons in the Government service employed intermittently. “(d) The Council shall advise and assist the Secretary in the preparation of general regulations for, and as to policy matters arising Ante, p. 1304. with respect to, the administration of section 314 of this title, with increased emphasis on cooperation in the coordination of programs thereunder with the National Advisory Council on Regional Medical Programs, with particular attention to the relationship between the improved organization and delivery of health services and the financing of such services; and shall, in carrying out such functions, review, not less often than annually, the grants made under section 314 to determine their effectiveness in carrying out its purposes.” Sec. 282. Part B of title III of the Public Health Service Act is amended by striking out “Surgeon General” each place it appears and inserting in lieu thereof “Secretary”. Part J— Regulation of Vaccines, Blood, Blood Components, and Allergenic Products Sec. 291. Section 351 of the Public Health Service Act is amended by inserting, after “antitoxin”, each time such word appears, the following: “vaccine, blood, blood component or derivative, allergenic product,”. Part K— Extension of Research Contract Authority Sec. 292. Paragraph (h) of section 301 of the Public Health Service 79 Stat. 448; 81 Stat. 540. 42 USC 241. Act is amended by striking out “five succeeding fiscal years” and inserting in lieu thereof “eight succeeding fiscal years”.

   Effective date note
   Pub. L. 91–515, title II, § 201(d), Oct. 30, 1970, 84 Stat. 1303, provided that: “The amendments made by subsection (c) of this section [amending this section] shall be effective only with respect to fiscal years ending after June 30, 1970.” Pub. L. 91–296, title IV, § 401(b)(1), June 30, 1970, 84 Stat. 352, provided that the amendment made by that section is effective with respect to appropriations for fiscal years beginning after June 30, 1970.

5. 1970

   Pub. L. 91–515 § 201(a)(2) · 84 Stat. 1297

   1. Redesignated · 42 U.S.C. § 242b(a)(2)

      Pub. L. 91–515, § 201(a)(2), redesignated subsec. (b) as (a)(2)

   2. Substituted · 42 U.S.C. § 242b(a)(2)

      Pub. L. 91–515, § 201(a)(2), substituted “subsection” for “section” wherever appearing

   Source evidence

   Code amendment note
   Subsec. (a)(2). Pub. L. 91–515, § 201(a)(2), redesignated subsec. (b) as (a)(2), and substituted “subsection” for “section” wherever appearing.

   Enacted provision · exact public law section
   (2) Section 304(b) of such Act is amended— (A) by striking out “(b)” and inserting in lieu thereof “(2)”; and (B) by striking out “this section” each place it appears therein and inserting in lieu thereof “this subsection”.

   Effective date note
   Pub. L. 91–515, title II, § 201(d), Oct. 30, 1970, 84 Stat. 1303, provided that: “The amendments made by subsection (c) of this section [amending this section] shall be effective only with respect to fiscal years ending after June 30, 1970.” Pub. L. 91–296, title IV, § 401(b)(1), June 30, 1970, 84 Stat. 352, provided that the amendment made by that section is effective with respect to appropriations for fiscal years beginning after June 30, 1970.

6. 1970

   Pub. L. 91–515 title II · 84 Stat. 1297

   1. Redesignated · 42 U.S.C. § 242b(a)(3)

      Pub. L. 91–515, §§ 201(a)(3), 202, redesignated subsec. (c) as (a)(3)(A)

   2. Substituted · 42 U.S.C. § 242b(a)(3)

      Pub. L. 91–515, §§ 201(a)(3), 202, substituted “subsection” for “section” wherever appearing

   3. Added · 42 U.S.C. § 242b(a)(3)

      Pub. L. 91–515, §§ 201(a)(3), 202, added subsec. (a)(3)(B)

   Source evidence

   Code amendment note
   Subsec. (a)(3). Pub. L. 91–515, §§ 201(a)(3), 202, redesignated subsec. (c) as (a)(3)(A), substituted “subsection” for “section” wherever appearing, and added subsec. (a)(3)(B).

   Enacted provision · exact public law
   TITLE II— AMENDMENTS TO TITLE III OF THE PUBLIC HEALTH SERVICE ACT Part A— Research and Demonstrations Relating to Health Facilities and Services Sec. 201. (a) (1) Section 304(a) of the Public Health Service Act 81 Stat. 534. 42 USC 242b. is amended— (A) by inserting “(1)” immediately after “Sec. 304. (a)”; (B) by redesignating clauses (1) and (2) as clauses (A) and (B), respectively; and (C) by redesignating clauses (A), (B), and (C) as clauses (i), (ii), and (iii), respectively. (2) Section 304(b) of such Act is amended— (A) by striking out “(b)” and inserting in lieu thereof “(2)”; and (B) by striking out “this section” each place it appears therein and inserting in lieu thereof “this subsection”. (3) Section 304(c) of such Act is amended— (A) by striking out “(c)” and inserting in lieu thereof “(3)”; and (B) by striking out “this section” each place it appears therein and inserting in lieu thereof “this subsection”. (b) Section 304 of such Act is further amended by adding after the provision thereof redesignated as paragraph (3) by subsection (a)(3)(A) of this section the following new subsection: “(b) “Systems Analysis of National Health Care Plans (1) (A) The Secretary shall develop, through utilization of the systems analysis method, plans for health care systems designed adequately to meet the health needs of the American people. For purposes of the preceding sentence, the systems analysis method means the analytical method by which various means of obtaining a desired result or goal is associated with the costs and benefits involved. “(B) The Secretary shall complete the development of the plans referred to in subparagraph (A), within such period as may be necessary to enable him to submit to the Congress not later than September Report to Congress. 30, 1971, a report thereon which shall describe each plan so developed in terms of— “(i) the number of people who would be covered under the plan; “(ii) the kind and type of health care which would be covered under the plan; “(iii) the cost involved in carrying out the plan and how such costs would be financed; “(iv) the number of additional physicians and other health care personnel and the number and type of health care facilities needed to enable the plan to become fully effective; “(v) the new and improved methods, if any, of delivery of health care services which would be developed in order to effectuate the plan; “(vi) the accessibility of the benefits of such plan to various socioeconomic classes of persons; “(vii) the relative effectiveness and efficiency of such plan as compared to existing means of financing and delivering health care; and “(viii) the legislative, administrative, and other actions which would be necessary to implement the plan. “(C) In order to assure that the advice and service of experts in the various fields concerned will be obtained in the plans authorized by this paragraph and that the purposes of this paragraph will fully be carried out— “(i) the Secretary shall utilize, whenever appropriate, personnel from the various agencies, bureaus, and other departmental subdivisions of the Department of Health, Education, and Welfare; “(ii) the Secretary is authorized, with the consent of the head of the department or agency involved, to utilize (on a reimbursable basis) the personnel and other resources of other departments and agencies of the Federal Government; and “(iii) the Secretary is authorized to consult with appropriate State or local public agencies, private organizations, and individuals. “(2) “Cost and Coverage Report on Existing Legislative Proposals (A) The Secretary shall, in accordance with this paragraph, conduct a study of each legislative proposal which is introduced in the Senate or the House of Representatives during the Ninety-first Congress, and which undertakes to establish a national health insurance plan or similar plan designed to meet the needs of health insurance or for health services of all or the overwhelming majority of the people of the United States. “(B) In conducting such study with respect to each such legislative proposal, the Secretary shall evaluate and analyze such proposal with a view to determining— “(i) the costs of carrying out the proposal; and “(ii) the adequacy of the proposal in terms of (I) the portion of the population covered by the proposal, (II) the type health care provided, paid for, or insured against under the proposal, (III) whether, and if so, to what extent, the proposal provides for the development of new and improved methods for the delivery of health care and services. “(C) Not later than March 31, 1971, the Secretary shall submit to the Congress a report on each legislative proposal which he has been directed to study under this paragraph, together with an analysis and evaluation of such proposal” (c) Subsection (d) of section 304 of such Act is hereby redesignated as subsection (c) and is amended to read as follows: “(c) (1) There are authorized to be appropriated for payment of grants or under contracts under subsection (a), and for purposes of carrying out the provisions of subsection (b), $71,000,000 for the fiscal year ending June 30, 1971 (of which not less than $2,000,000 shall be available only for purposes of carrying out the provisions of subsection (b)), $82,000,000 for the fiscal year ending June 30, 1972, and $94,000,000 for the fiscal year ending June 30, 1973. “(2) In addition to the funds authorized to be appropriated under paragraph (1) to carry out the provisions of subsection (b) there are hereby authorized to lie appropriated to carry out such provisions for each fiscal year such sums as may be necessary.” (d) The amendments made by subsection (c) of this section shall be Effective date effective only with respect to fiscal years ending after June 30, 1970. Sec. 202. That prevision of section 304 of the Public Health Service Act redesignated by section 201(a) of this Act as paragraph (3) of Ante, p. 1301. subsection (a) is further amended— (1) by inserting “(A)” immediately after “(3)”; and (2) by adding after and below such provision the following new subparagraph: “(B) The amounts otherwise payable to any person under a grant or contract made under this subsection shall lie reduced by— “(i) amounts equal to the fair market value of any equipment or supplies furnished to such person by the Secretary for the purpose of carrying out the project with respect to which such grant or contract is made, and “(ii) amounts equal to the pay, allowances, traveling expenses, and related personnel expenses attributable to the performance of services by an officer or employee of the Government in connection with such project, if such officer or employee was assigned or detailed by the Secretary to perform such services, but only if such person requested the Secretary to furnish such equipment or supplies, or such services, as the case may be.” Sec. 203. That provision of section 304 of the Public Health Service Act redesignated by section 201(a) of this Act as paragraph (1) of subsection (a) is further amended by— (1) striking out the period at the end thereof and inserting in lieu thereof “, and”: and (2) adding after and below the clause thereof redesignated by such section 201(a) as clause (iii) the following new clauses: “(iv) projects for research, experiments, and demonstrations dealing with the effective combination or coordination of public, private, or combined public-private methods or systems for the delivery of health services at regional, State, or local levels, and “(v) projects for research and demonstrations in the provision of home health services.” Part B— National Health Surveys and Studies Sec. 210. (a) (1) Clause (1) of subsection (a) of section 305 of the Public Health Service Act is amended by striking out “and” before 70 Stat. 490. 42 USC 242c. “(E)”, and by inserting after the semicolon at the end of such clause the following: “(F) health care resources; (G) environmental and social health hazards; and (II) family formation, growth, and dissolution;”. (2) Such subsection is further amended by adding at the end thereof the following new sentence: “No information obtained in accordance with this paragraph may be used for any purpose other than the statistical purposes for which it was supplied except pursuant to regulations of the Secretary; nor may any such information be published if the particular establishment or person supplying it is identifiable except with the consent of such establishment or person.” (b) Section 305 is further amended by redesignating subsections (b), (c), and (d) as subsections (c), (d), and (e), respectively, and by adding after subsection (a) the following new subsection: “(b) The Secretary is authorized, directly or by contract, to undertake research, development, demonstration, and evaluation, relating to the design and implementation of a cooperative system for producing comparable and uniform health information and statistics at the Federal, State, and local levels.” (c) The subsection of such section 305 redesignated (by subsection (b) of this section) as subsection (d) is amended to read as follows: “(d) There are authorized to be appropriated to carry out this section $15,000,000 for the fiscal year ending June 30, 1971, $20,000,000 for the fiscal year ending June 30, 1972, and $25,000,000 for the fiscal year ending June 30, 1973.” Part C— Grants to States for Comprehensive State Health Planning Sec. 220. (a) (1) The first sentence of section 314(a)(1) of the 80 Stat. 1181; 81 Stat. 533. 42 USC 246. Public Health Service Act is amended by striking out “June 30, 1970” and inserting in lieu thereof “June 30, 1973”. (2) The second sentence of such section 314(a)(1) is amended by striking out “and $15,000,000 for the fiscal year ending June 30, 1970” and inserting in lieu thereof the following: “$15,000,000 for the fiscal year ending June 30, 1970, $15,000,000 for the fiscal year ending June 30, 1971, $17,000,000 for the fiscal year ending June 30, 1972, and $20,l)00,0tt) for the fiscal year ending June 30, 1973”. (b) Section 314(a)(2)(B) of such Act is amended by striking out “State and local agencies” and inserting in lieu thereof “Federal, State, and local agencies (including as an ex officio member, if there is located in such State one or more hospitals or other health care facilities of the Veterans’ Administration, the individual whom the Administrator of Veterans’ Affairs shall have designated to serve on such council as the representative of the hospitals or other health care facilities of such Administration which are located in such State)”. (c) Section 314(a)(2)(B) of such Act (as amended by subsection (b) of this section) is further amended by inserting “(including representation of the regional medical program or programs included in whole or in part within the State)” immediately after “concerned with health”. (d) Section 314(a)(2)(C) of such Act is amended (1) by inserting “and including home health care” immediately after “private”, and (2) by inserting immediately lief ore the semicolon at the end thereof the following: “and including environmental considerations as they relate to public health”. Part D— Project Grants for Area wipe Health Planning Sec. 230. Section 314(b) of the Public Health Service Act is amended— (1) by striking out, in the first sentence thereof, “June 30, 1970” and inserting in lieu thereof “June 30, 1973”; (2) by inserting after the word “services” the second place it appears therein, the phrase “and including the provision of such services through home health care”; (3) by striking out, in the second sentence thereof, “and $15,000,000 for the fiscal year ending June 30, 1970” and inserting in lieu thereof the following: “$15,000,000 for the fiscal year ending June 30, 1970, $20,000,000 for the fiscal year ending June 30, 1971, $30,000,000 for the fiscal year ending June 30, 1972, and $40,000,000 for the fiscal year ending June 30, 1973”; (4) by inserting “(1)(A)” immediately after “(b)”; and (5) by adding after and below the existing language contained therein the following: “(B) Project grants may be made by the Secretary under subparagraph (A) to the State agency administering or supervising the administration of the State plan approved under subsection (a) with respect to a particular region or area, but only if (i) no application for such a grant with respect to such region or area has been filed by any other agency or organization qualified to receive such a grant, and (ii) such State agency certifies, and the Secretary finds, that ample opportunity has been afforded to qualified agencies and organizations to file application for such a grant with respect to such region or area and that it is improbable that, in the foreseeable future, any agency or organization which is qualified for such a grant will file application therefor. “(2) (A) In order to be approved under this subsection, an application for a grant under this subsection must contain or lie supported by reasonable assurances that there has been or will be established, in or for the area with respect to which such grant is sought, an areawide health pl aiming council. The membership of such council shall include representatives of public, voluntary, and nonprofit private agencies, institutions, and organizations concerned with health (including representatives of the interests of local government, of the regional medical program for such area, and of consumers of health services). A majority of the members of such council shall consist of representatives of consumers of health services. “(B) In addition, an application for a grant under this subsection must contain or be supported by reasonable assurances that the areawide health planning agency has made provision for assisting health care facilities in its area to develop a program for capital expenditures for replacement, modernization, and expansion which is consistent with an overall State plan which will meet the needs of the State and the area, for health care facilities, equipment, and services without duplication and otherwise in the most efficient and economical manner.” Part E— Project Grants for Training, Studies and Demonstrations Sec. 240. Section 314(c) of the Public Health Service Act is 80 Stat. 1183; 81 Stat. 533. 42 USC 246. amended— (1) by striking out, in the first sentence thereof, “June 30, 1970” and inserting in lieu thereof “June 30, 1973”; and (2) by striking out, in the second sentence thereof, “and $7,500,000 for the fiscal year ending June 30, 1970” and inserting in lieu thereof the following: “$7,500,000 for the fiscal year ending June 30, 1970, $8,000,000 for the fiscal year ending June 30, 1971, $10,000,000 for the fiscal year ending June 30, 1972, and $12,000,000 for the fiscal year ending June 30, 1973”. Part F— Grants for Comprehensive Public Health Services Sec. 250. (a) Section 314(d)(1) of the Public Health Service Act is amended by striking out “and $100,000,000 for the fiscal year ending June 30, 1970” and inserting in lieu thereof “$100,000,000 for the fiscal year ending June 30, 1970, $130,000,000 for the fiscal year ending June 30, 1971, $145,000,000 for the fiscal year ending June 30, 1972, and $105,000,000 for the fiscal year ending June 30, 1973”. (b) Section 314(d)(2)(C) of such Act is amended (1) by striking out “and (iii)” and inserting in lieu thereof “(iii)” and (2) by inserting before the semicolon at the end thereof the following: “; and (iv) the plan is compatible with the total health program of the State”. Part G— Project Grants for Health Services Development Sec. 260. (a) Section 314(e) of the Public Health Service Act is amended by striking out “and” immediately after “June 30, 1969,” and by inserting after “June 30, 1970,” the following: “$109,500,000 for the fiscal year ending June 30, 1971, $135,000,000 for the fiscal year ending June 30, 1972, and $157,000,000 for the fiscal year ending June 30, 1973,”. (b) The first sentence of 314(e) is further amended by inserting immediately after “cost” the following: “(including equity requirements and amortization of loans on facilities acquired from the Office of Economic Opportunity or construction in connection with any program or project transferred from the Office of Economic Opportunity)”. (c) (1) The second sentence of such section is amended to read as follows: “Any grant made under this subsection may be made only if the application for such grant has been referred for review and comment to the appropriate areawide health planning agency or agencies (or, if there is no such agency in the area, then to such other public or nonprofit private agency or organization (if any) which performs similar functions) and only if the services assisted under such grant will be provided in accordance with such plans as have been developed pursuant to subsection (a).” (2) The amendment made by paragraph (1) shall be effective with respect, to grants under section 314(e) of the Public Health Service Act which are made after the date of enactment of this Act. Part H— Administration of Grants in Certain Multigrant Projects Sec. 270. Part A of title III of the Public Health Service Act is amended by adding at the end thereof the following new section: “Sec. 310A. “Administration of Grants in Certain Multigrant Projects For the purpose of facilitating the administration of, and expediting the carrying out of the purposes of, the programs established by title IX, and sections 304, 314(a), 314(b), 314(c), Ante, pp. 1297 1301. 1304. 314(d), and 314(e) of this Act in situations in which grants are sought or made under two or more of such programs with respect to a single project, the Secretary is authorized to promulgate regulations.— “(1) under which the administrative functions under such programs with respect to such project will be performed by a single administrative unit which is the administrative unit charged with (he administration of any of such programs or is the administrative unit charged with the supervision of two or more of such programs; “(2) designed to reduce the number of applications, reports, and other materials required under such programs to he submitted with respect to such project, and otherwise to simplify, consolidate, and make uniform (to the extent feasible), the data and information required to be contained in such applications, reports, and other materials; and “(3) under which inconsistent or duplicative requirements imposed by such programs will be revised and made uniform with respect to such project; except that nothing in this section shall be construed to authorize the Secretary to waive or suspend, with respect to any such project, any requirement with respect to any of such programs if such requirement is imposed by law’ or by any regulation required by law.” Part I— Annual Report, National Advisory Council, Etc. Sec. 280. Part A of title III of the Public Health Service Act is further amended by adding after section 310 A thereof (as added by section 270 of this Act) the following new section: “310B. “Annual Report On or before January 1 of each year, the Secretary shall transmit to the Congress a report of the activities carried on under the provisions of title IX of this Act and sections 304, 305, 314(a), Ante, pp. 1297, 1301, 1304. 314(b), 314(c), 314(d), and 314(e) of this title together with (1) an evaluation of the effectiveness of such activities in improving the efficiency and effectiveness of the research, planning, and delivery of health services in carrying out the purposes for which such provisions were enacted, (2) a statement of the relationship between Federal financing and financing from other sources of the activities undertaken pursuant, to such provisions (including the possibilities for more efficient support of such activities through use of alternate sources of financing after an initial period of support under such provisions), and (3) such recommendations with respect to such provisions as he deems appropriate,” Sec. 281. Title III of the Public Health Service Act is amended 58 Stat. 691. 42 USC 241. by adding after section 315 thereof the following new section: “Sec. 316. “national advisory council on comprehensive health planning programs (a) The Secretary shall appoint, without regard to the Appointment. civil service laws, a National Advisory Council on Comprehensive Health Planning Programs. The Council shall consist of the Secretary Members. or his designee, who shall lie the chairman, and sixteen members, not otherwise in the regular full-time employ of the United States, who are (1) leaders in the fields of the fundamental sciences, the medical sciences, or the organization, delivery, and financing of health care, (2) officials in State and areawide health planning agencies, (3) leaders in health care administration, or State or community or other public affairs, who are State or local officials, or (4) representatives of consumers of health care. At least six of the appointed members shall be individuals representing the consumers of health care, one shall be an official of a State health planning agency, one shall be an official of an areawide health planning agency, and one shall be a member of the National Advisory Council on Regional Medical Programs. “(b) Each appointed member of the Council shall hold office for a Term. term of four years, except that any member appointed to fill a vacancy prior to the expiration of the term for which his predecessor was appointed shall be appointed for the remainder of such term, and except that the terms of office of the members first taking office shall expire, as designated by the Secretary at the time of appointment, four at the end of the first year, four at the end of the second year, four at the end of the third year, and four at the end of the fourth year after the date of appointment. An appointed member shall not be eligible to serve continuously for more than two terms. “(c) Appointed members of the Council, while attending meetings or conferences thereof or otherwise serving on the business of the Council, shall be entitled to receive compensation at rates fixed by the Secretary, but at rates not exceeding the daily equivalent of the rate specified at the time of service for GS–18 of the general schedule, Ante, p, 198–1. including travel time, and while so serving away from their homes or regular places of business they may be allowed travel expenses, including per diem in lieu of subsistence, as authorized by section 80 Stat. 499; 83 Stat. 190. 5703(b) of title 5 of the United States Code for persons in the Government service employed intermittently. “(d) The Council shall advise and assist the Secretary in the preparation of general regulations for, and as to policy matters arising Ante, p. 1304. with respect to, the administration of section 314 of this title, with increased emphasis on cooperation in the coordination of programs thereunder with the National Advisory Council on Regional Medical Programs, with particular attention to the relationship between the improved organization and delivery of health services and the financing of such services; and shall, in carrying out such functions, review, not less often than annually, the grants made under section 314 to determine their effectiveness in carrying out its purposes.” Sec. 282. Part B of title III of the Public Health Service Act is amended by striking out “Surgeon General” each place it appears and inserting in lieu thereof “Secretary”. Part J— Regulation of Vaccines, Blood, Blood Components, and Allergenic Products Sec. 291. Section 351 of the Public Health Service Act is amended by inserting, after “antitoxin”, each time such word appears, the following: “vaccine, blood, blood component or derivative, allergenic product,”. Part K— Extension of Research Contract Authority Sec. 292. Paragraph (h) of section 301 of the Public Health Service 79 Stat. 448; 81 Stat. 540. 42 USC 241. Act is amended by striking out “five succeeding fiscal years” and inserting in lieu thereof “eight succeeding fiscal years”.

   Effective date note
   Pub. L. 91–515, title II, § 201(d), Oct. 30, 1970, 84 Stat. 1303, provided that: “The amendments made by subsection (c) of this section [amending this section] shall be effective only with respect to fiscal years ending after June 30, 1970.” Pub. L. 91–296, title IV, § 401(b)(1), June 30, 1970, 84 Stat. 352, provided that the amendment made by that section is effective with respect to appropriations for fiscal years beginning after June 30, 1970.

7. 1970

   Pub. L. 91–515 § 201(a)(2)(A) · 84 Stat. 1297

   Redesignated · 42 U.S.C. § 242b(b)

   Pub. L. 91–515, § 201(a)(2)(A), (b), added subsec. (b). Former subsec. (b) redesignated (a)(2)

   Source evidence

   Code amendment note
   Subsec. (b). Pub. L. 91–515, § 201(a)(2)(A), (b), added subsec. (b). Former subsec. (b) redesignated (a)(2).

   Enacted provision · exact public law section
   (A) by striking out “(b)” and inserting in lieu thereof “(2)”; and

   Effective date note
   Pub. L. 91–515, title II, § 201(d), Oct. 30, 1970, 84 Stat. 1303, provided that: “The amendments made by subsection (c) of this section [amending this section] shall be effective only with respect to fiscal years ending after June 30, 1970.” Pub. L. 91–296, title IV, § 401(b)(1), June 30, 1970, 84 Stat. 352, provided that the amendment made by that section is effective with respect to appropriations for fiscal years beginning after June 30, 1970.

8. 1970

   Pub. L. 91–515 title II · 84 Stat. 1297

   1. Redesignated · 42 U.S.C. § 242b(c); 42 U.S.C. § 242b(d)

      Pub. L. 91–515, §§ 201(a)(3)(A), (c), 202(1), redesignated subsec. (d) as (c)

   2. Redesignated · 42 U.S.C. § 242b(c); 42 U.S.C. § 242b(d)

      Pub. L. 91–515, §§ 201(a)(3)(A), (c), 202(1), substituted provisions authorizing appropriations for the fiscal years ending June 30, 1971, June 30, 1972, and June 30, 1973, and authorizing to be appropriated such additional sums for each fiscal year as may be necessary to carry out the provisions of subsec. (b), for provisions authorizing appropriations of $20,000,000 for the fiscal year ending June 30, 1968, $40,000,000 for the fiscal year ending June 30, 1969, and $60,000,000 for the fiscal year ending June 30, 1970. Former subsec. (c) redesignated (a)(3)(A)

   Source evidence

   Code amendment note
   Subsecs. (c), (d). Pub. L. 91–515, §§ 201(a)(3)(A), (c), 202(1), redesignated subsec. (d) as (c), and substituted provisions authorizing appropriations for the fiscal years ending June 30, 1971, June 30, 1972, and June 30, 1973, and authorizing to be appropriated such additional sums for each fiscal year as may be necessary to carry out the provisions of subsec. (b), for provisions authorizing appropriations of $20,000,000 for the fiscal year ending June 30, 1968, $40,000,000 for the fiscal year ending June 30, 1969, and $60,000,000 for the fiscal year ending June 30, 1970. Former subsec. (c) redesignated (a)(3)(A).

   Enacted provision · exact public law
   TITLE II— AMENDMENTS TO TITLE III OF THE PUBLIC HEALTH SERVICE ACT Part A— Research and Demonstrations Relating to Health Facilities and Services Sec. 201. (a) (1) Section 304(a) of the Public Health Service Act 81 Stat. 534. 42 USC 242b. is amended— (A) by inserting “(1)” immediately after “Sec. 304. (a)”; (B) by redesignating clauses (1) and (2) as clauses (A) and (B), respectively; and (C) by redesignating clauses (A), (B), and (C) as clauses (i), (ii), and (iii), respectively. (2) Section 304(b) of such Act is amended— (A) by striking out “(b)” and inserting in lieu thereof “(2)”; and (B) by striking out “this section” each place it appears therein and inserting in lieu thereof “this subsection”. (3) Section 304(c) of such Act is amended— (A) by striking out “(c)” and inserting in lieu thereof “(3)”; and (B) by striking out “this section” each place it appears therein and inserting in lieu thereof “this subsection”. (b) Section 304 of such Act is further amended by adding after the provision thereof redesignated as paragraph (3) by subsection (a)(3)(A) of this section the following new subsection: “(b) “Systems Analysis of National Health Care Plans (1) (A) The Secretary shall develop, through utilization of the systems analysis method, plans for health care systems designed adequately to meet the health needs of the American people. For purposes of the preceding sentence, the systems analysis method means the analytical method by which various means of obtaining a desired result or goal is associated with the costs and benefits involved. “(B) The Secretary shall complete the development of the plans referred to in subparagraph (A), within such period as may be necessary to enable him to submit to the Congress not later than September Report to Congress. 30, 1971, a report thereon which shall describe each plan so developed in terms of— “(i) the number of people who would be covered under the plan; “(ii) the kind and type of health care which would be covered under the plan; “(iii) the cost involved in carrying out the plan and how such costs would be financed; “(iv) the number of additional physicians and other health care personnel and the number and type of health care facilities needed to enable the plan to become fully effective; “(v) the new and improved methods, if any, of delivery of health care services which would be developed in order to effectuate the plan; “(vi) the accessibility of the benefits of such plan to various socioeconomic classes of persons; “(vii) the relative effectiveness and efficiency of such plan as compared to existing means of financing and delivering health care; and “(viii) the legislative, administrative, and other actions which would be necessary to implement the plan. “(C) In order to assure that the advice and service of experts in the various fields concerned will be obtained in the plans authorized by this paragraph and that the purposes of this paragraph will fully be carried out— “(i) the Secretary shall utilize, whenever appropriate, personnel from the various agencies, bureaus, and other departmental subdivisions of the Department of Health, Education, and Welfare; “(ii) the Secretary is authorized, with the consent of the head of the department or agency involved, to utilize (on a reimbursable basis) the personnel and other resources of other departments and agencies of the Federal Government; and “(iii) the Secretary is authorized to consult with appropriate State or local public agencies, private organizations, and individuals. “(2) “Cost and Coverage Report on Existing Legislative Proposals (A) The Secretary shall, in accordance with this paragraph, conduct a study of each legislative proposal which is introduced in the Senate or the House of Representatives during the Ninety-first Congress, and which undertakes to establish a national health insurance plan or similar plan designed to meet the needs of health insurance or for health services of all or the overwhelming majority of the people of the United States. “(B) In conducting such study with respect to each such legislative proposal, the Secretary shall evaluate and analyze such proposal with a view to determining— “(i) the costs of carrying out the proposal; and “(ii) the adequacy of the proposal in terms of (I) the portion of the population covered by the proposal, (II) the type health care provided, paid for, or insured against under the proposal, (III) whether, and if so, to what extent, the proposal provides for the development of new and improved methods for the delivery of health care and services. “(C) Not later than March 31, 1971, the Secretary shall submit to the Congress a report on each legislative proposal which he has been directed to study under this paragraph, together with an analysis and evaluation of such proposal” (c) Subsection (d) of section 304 of such Act is hereby redesignated as subsection (c) and is amended to read as follows: “(c) (1) There are authorized to be appropriated for payment of grants or under contracts under subsection (a), and for purposes of carrying out the provisions of subsection (b), $71,000,000 for the fiscal year ending June 30, 1971 (of which not less than $2,000,000 shall be available only for purposes of carrying out the provisions of subsection (b)), $82,000,000 for the fiscal year ending June 30, 1972, and $94,000,000 for the fiscal year ending June 30, 1973. “(2) In addition to the funds authorized to be appropriated under paragraph (1) to carry out the provisions of subsection (b) there are hereby authorized to lie appropriated to carry out such provisions for each fiscal year such sums as may be necessary.” (d) The amendments made by subsection (c) of this section shall be Effective date effective only with respect to fiscal years ending after June 30, 1970. Sec. 202. That prevision of section 304 of the Public Health Service Act redesignated by section 201(a) of this Act as paragraph (3) of Ante, p. 1301. subsection (a) is further amended— (1) by inserting “(A)” immediately after “(3)”; and (2) by adding after and below such provision the following new subparagraph: “(B) The amounts otherwise payable to any person under a grant or contract made under this subsection shall lie reduced by— “(i) amounts equal to the fair market value of any equipment or supplies furnished to such person by the Secretary for the purpose of carrying out the project with respect to which such grant or contract is made, and “(ii) amounts equal to the pay, allowances, traveling expenses, and related personnel expenses attributable to the performance of services by an officer or employee of the Government in connection with such project, if such officer or employee was assigned or detailed by the Secretary to perform such services, but only if such person requested the Secretary to furnish such equipment or supplies, or such services, as the case may be.” Sec. 203. That provision of section 304 of the Public Health Service Act redesignated by section 201(a) of this Act as paragraph (1) of subsection (a) is further amended by— (1) striking out the period at the end thereof and inserting in lieu thereof “, and”: and (2) adding after and below the clause thereof redesignated by such section 201(a) as clause (iii) the following new clauses: “(iv) projects for research, experiments, and demonstrations dealing with the effective combination or coordination of public, private, or combined public-private methods or systems for the delivery of health services at regional, State, or local levels, and “(v) projects for research and demonstrations in the provision of home health services.” Part B— National Health Surveys and Studies Sec. 210. (a) (1) Clause (1) of subsection (a) of section 305 of the Public Health Service Act is amended by striking out “and” before 70 Stat. 490. 42 USC 242c. “(E)”, and by inserting after the semicolon at the end of such clause the following: “(F) health care resources; (G) environmental and social health hazards; and (II) family formation, growth, and dissolution;”. (2) Such subsection is further amended by adding at the end thereof the following new sentence: “No information obtained in accordance with this paragraph may be used for any purpose other than the statistical purposes for which it was supplied except pursuant to regulations of the Secretary; nor may any such information be published if the particular establishment or person supplying it is identifiable except with the consent of such establishment or person.” (b) Section 305 is further amended by redesignating subsections (b), (c), and (d) as subsections (c), (d), and (e), respectively, and by adding after subsection (a) the following new subsection: “(b) The Secretary is authorized, directly or by contract, to undertake research, development, demonstration, and evaluation, relating to the design and implementation of a cooperative system for producing comparable and uniform health information and statistics at the Federal, State, and local levels.” (c) The subsection of such section 305 redesignated (by subsection (b) of this section) as subsection (d) is amended to read as follows: “(d) There are authorized to be appropriated to carry out this section $15,000,000 for the fiscal year ending June 30, 1971, $20,000,000 for the fiscal year ending June 30, 1972, and $25,000,000 for the fiscal year ending June 30, 1973.” Part C— Grants to States for Comprehensive State Health Planning Sec. 220. (a) (1) The first sentence of section 314(a)(1) of the 80 Stat. 1181; 81 Stat. 533. 42 USC 246. Public Health Service Act is amended by striking out “June 30, 1970” and inserting in lieu thereof “June 30, 1973”. (2) The second sentence of such section 314(a)(1) is amended by striking out “and $15,000,000 for the fiscal year ending June 30, 1970” and inserting in lieu thereof the following: “$15,000,000 for the fiscal year ending June 30, 1970, $15,000,000 for the fiscal year ending June 30, 1971, $17,000,000 for the fiscal year ending June 30, 1972, and $20,l)00,0tt) for the fiscal year ending June 30, 1973”. (b) Section 314(a)(2)(B) of such Act is amended by striking out “State and local agencies” and inserting in lieu thereof “Federal, State, and local agencies (including as an ex officio member, if there is located in such State one or more hospitals or other health care facilities of the Veterans’ Administration, the individual whom the Administrator of Veterans’ Affairs shall have designated to serve on such council as the representative of the hospitals or other health care facilities of such Administration which are located in such State)”. (c) Section 314(a)(2)(B) of such Act (as amended by subsection (b) of this section) is further amended by inserting “(including representation of the regional medical program or programs included in whole or in part within the State)” immediately after “concerned with health”. (d) Section 314(a)(2)(C) of such Act is amended (1) by inserting “and including home health care” immediately after “private”, and (2) by inserting immediately lief ore the semicolon at the end thereof the following: “and including environmental considerations as they relate to public health”. Part D— Project Grants for Area wipe Health Planning Sec. 230. Section 314(b) of the Public Health Service Act is amended— (1) by striking out, in the first sentence thereof, “June 30, 1970” and inserting in lieu thereof “June 30, 1973”; (2) by inserting after the word “services” the second place it appears therein, the phrase “and including the provision of such services through home health care”; (3) by striking out, in the second sentence thereof, “and $15,000,000 for the fiscal year ending June 30, 1970” and inserting in lieu thereof the following: “$15,000,000 for the fiscal year ending June 30, 1970, $20,000,000 for the fiscal year ending June 30, 1971, $30,000,000 for the fiscal year ending June 30, 1972, and $40,000,000 for the fiscal year ending June 30, 1973”; (4) by inserting “(1)(A)” immediately after “(b)”; and (5) by adding after and below the existing language contained therein the following: “(B) Project grants may be made by the Secretary under subparagraph (A) to the State agency administering or supervising the administration of the State plan approved under subsection (a) with respect to a particular region or area, but only if (i) no application for such a grant with respect to such region or area has been filed by any other agency or organization qualified to receive such a grant, and (ii) such State agency certifies, and the Secretary finds, that ample opportunity has been afforded to qualified agencies and organizations to file application for such a grant with respect to such region or area and that it is improbable that, in the foreseeable future, any agency or organization which is qualified for such a grant will file application therefor. “(2) (A) In order to be approved under this subsection, an application for a grant under this subsection must contain or lie supported by reasonable assurances that there has been or will be established, in or for the area with respect to which such grant is sought, an areawide health pl aiming council. The membership of such council shall include representatives of public, voluntary, and nonprofit private agencies, institutions, and organizations concerned with health (including representatives of the interests of local government, of the regional medical program for such area, and of consumers of health services). A majority of the members of such council shall consist of representatives of consumers of health services. “(B) In addition, an application for a grant under this subsection must contain or be supported by reasonable assurances that the areawide health planning agency has made provision for assisting health care facilities in its area to develop a program for capital expenditures for replacement, modernization, and expansion which is consistent with an overall State plan which will meet the needs of the State and the area, for health care facilities, equipment, and services without duplication and otherwise in the most efficient and economical manner.” Part E— Project Grants for Training, Studies and Demonstrations Sec. 240. Section 314(c) of the Public Health Service Act is 80 Stat. 1183; 81 Stat. 533. 42 USC 246. amended— (1) by striking out, in the first sentence thereof, “June 30, 1970” and inserting in lieu thereof “June 30, 1973”; and (2) by striking out, in the second sentence thereof, “and $7,500,000 for the fiscal year ending June 30, 1970” and inserting in lieu thereof the following: “$7,500,000 for the fiscal year ending June 30, 1970, $8,000,000 for the fiscal year ending June 30, 1971, $10,000,000 for the fiscal year ending June 30, 1972, and $12,000,000 for the fiscal year ending June 30, 1973”. Part F— Grants for Comprehensive Public Health Services Sec. 250. (a) Section 314(d)(1) of the Public Health Service Act is amended by striking out “and $100,000,000 for the fiscal year ending June 30, 1970” and inserting in lieu thereof “$100,000,000 for the fiscal year ending June 30, 1970, $130,000,000 for the fiscal year ending June 30, 1971, $145,000,000 for the fiscal year ending June 30, 1972, and $105,000,000 for the fiscal year ending June 30, 1973”. (b) Section 314(d)(2)(C) of such Act is amended (1) by striking out “and (iii)” and inserting in lieu thereof “(iii)” and (2) by inserting before the semicolon at the end thereof the following: “; and (iv) the plan is compatible with the total health program of the State”. Part G— Project Grants for Health Services Development Sec. 260. (a) Section 314(e) of the Public Health Service Act is amended by striking out “and” immediately after “June 30, 1969,” and by inserting after “June 30, 1970,” the following: “$109,500,000 for the fiscal year ending June 30, 1971, $135,000,000 for the fiscal year ending June 30, 1972, and $157,000,000 for the fiscal year ending June 30, 1973,”. (b) The first sentence of 314(e) is further amended by inserting immediately after “cost” the following: “(including equity requirements and amortization of loans on facilities acquired from the Office of Economic Opportunity or construction in connection with any program or project transferred from the Office of Economic Opportunity)”. (c) (1) The second sentence of such section is amended to read as follows: “Any grant made under this subsection may be made only if the application for such grant has been referred for review and comment to the appropriate areawide health planning agency or agencies (or, if there is no such agency in the area, then to such other public or nonprofit private agency or organization (if any) which performs similar functions) and only if the services assisted under such grant will be provided in accordance with such plans as have been developed pursuant to subsection (a).” (2) The amendment made by paragraph (1) shall be effective with respect, to grants under section 314(e) of the Public Health Service Act which are made after the date of enactment of this Act. Part H— Administration of Grants in Certain Multigrant Projects Sec. 270. Part A of title III of the Public Health Service Act is amended by adding at the end thereof the following new section: “Sec. 310A. “Administration of Grants in Certain Multigrant Projects For the purpose of facilitating the administration of, and expediting the carrying out of the purposes of, the programs established by title IX, and sections 304, 314(a), 314(b), 314(c), Ante, pp. 1297 1301. 1304. 314(d), and 314(e) of this Act in situations in which grants are sought or made under two or more of such programs with respect to a single project, the Secretary is authorized to promulgate regulations.— “(1) under which the administrative functions under such programs with respect to such project will be performed by a single administrative unit which is the administrative unit charged with (he administration of any of such programs or is the administrative unit charged with the supervision of two or more of such programs; “(2) designed to reduce the number of applications, reports, and other materials required under such programs to he submitted with respect to such project, and otherwise to simplify, consolidate, and make uniform (to the extent feasible), the data and information required to be contained in such applications, reports, and other materials; and “(3) under which inconsistent or duplicative requirements imposed by such programs will be revised and made uniform with respect to such project; except that nothing in this section shall be construed to authorize the Secretary to waive or suspend, with respect to any such project, any requirement with respect to any of such programs if such requirement is imposed by law’ or by any regulation required by law.” Part I— Annual Report, National Advisory Council, Etc. Sec. 280. Part A of title III of the Public Health Service Act is further amended by adding after section 310 A thereof (as added by section 270 of this Act) the following new section: “310B. “Annual Report On or before January 1 of each year, the Secretary shall transmit to the Congress a report of the activities carried on under the provisions of title IX of this Act and sections 304, 305, 314(a), Ante, pp. 1297, 1301, 1304. 314(b), 314(c), 314(d), and 314(e) of this title together with (1) an evaluation of the effectiveness of such activities in improving the efficiency and effectiveness of the research, planning, and delivery of health services in carrying out the purposes for which such provisions were enacted, (2) a statement of the relationship between Federal financing and financing from other sources of the activities undertaken pursuant, to such provisions (including the possibilities for more efficient support of such activities through use of alternate sources of financing after an initial period of support under such provisions), and (3) such recommendations with respect to such provisions as he deems appropriate,” Sec. 281. Title III of the Public Health Service Act is amended 58 Stat. 691. 42 USC 241. by adding after section 315 thereof the following new section: “Sec. 316. “national advisory council on comprehensive health planning programs (a) The Secretary shall appoint, without regard to the Appointment. civil service laws, a National Advisory Council on Comprehensive Health Planning Programs. The Council shall consist of the Secretary Members. or his designee, who shall lie the chairman, and sixteen members, not otherwise in the regular full-time employ of the United States, who are (1) leaders in the fields of the fundamental sciences, the medical sciences, or the organization, delivery, and financing of health care, (2) officials in State and areawide health planning agencies, (3) leaders in health care administration, or State or community or other public affairs, who are State or local officials, or (4) representatives of consumers of health care. At least six of the appointed members shall be individuals representing the consumers of health care, one shall be an official of a State health planning agency, one shall be an official of an areawide health planning agency, and one shall be a member of the National Advisory Council on Regional Medical Programs. “(b) Each appointed member of the Council shall hold office for a Term. term of four years, except that any member appointed to fill a vacancy prior to the expiration of the term for which his predecessor was appointed shall be appointed for the remainder of such term, and except that the terms of office of the members first taking office shall expire, as designated by the Secretary at the time of appointment, four at the end of the first year, four at the end of the second year, four at the end of the third year, and four at the end of the fourth year after the date of appointment. An appointed member shall not be eligible to serve continuously for more than two terms. “(c) Appointed members of the Council, while attending meetings or conferences thereof or otherwise serving on the business of the Council, shall be entitled to receive compensation at rates fixed by the Secretary, but at rates not exceeding the daily equivalent of the rate specified at the time of service for GS–18 of the general schedule, Ante, p, 198–1. including travel time, and while so serving away from their homes or regular places of business they may be allowed travel expenses, including per diem in lieu of subsistence, as authorized by section 80 Stat. 499; 83 Stat. 190. 5703(b) of title 5 of the United States Code for persons in the Government service employed intermittently. “(d) The Council shall advise and assist the Secretary in the preparation of general regulations for, and as to policy matters arising Ante, p. 1304. with respect to, the administration of section 314 of this title, with increased emphasis on cooperation in the coordination of programs thereunder with the National Advisory Council on Regional Medical Programs, with particular attention to the relationship between the improved organization and delivery of health services and the financing of such services; and shall, in carrying out such functions, review, not less often than annually, the grants made under section 314 to determine their effectiveness in carrying out its purposes.” Sec. 282. Part B of title III of the Public Health Service Act is amended by striking out “Surgeon General” each place it appears and inserting in lieu thereof “Secretary”. Part J— Regulation of Vaccines, Blood, Blood Components, and Allergenic Products Sec. 291. Section 351 of the Public Health Service Act is amended by inserting, after “antitoxin”, each time such word appears, the following: “vaccine, blood, blood component or derivative, allergenic product,”. Part K— Extension of Research Contract Authority Sec. 292. Paragraph (h) of section 301 of the Public Health Service 79 Stat. 448; 81 Stat. 540. 42 USC 241. Act is amended by striking out “five succeeding fiscal years” and inserting in lieu thereof “eight succeeding fiscal years”.

   Effective date note
   Pub. L. 91–515, title II, § 201(d), Oct. 30, 1970, 84 Stat. 1303, provided that: “The amendments made by subsection (c) of this section [amending this section] shall be effective only with respect to fiscal years ending after June 30, 1970.” Pub. L. 91–296, title IV, § 401(b)(1), June 30, 1970, 84 Stat. 352, provided that the amendment made by that section is effective with respect to appropriations for fiscal years beginning after June 30, 1970.

9. 1973

   Health Programs Extension Act of 1973

   Pub. L. 93–45 title I § 102 · 87 Stat. 91

   Changed · 42 U.S.C. § 242b(c)(1)

   Pub. L. 93–45 authorized appropriations of $42,617,000 for fiscal year ending June 30, 1974

   Source evidence

   Code amendment note
   Subsec. (c)(1). Pub. L. 93–45 authorized appropriations of $42,617,000 for fiscal year ending June 30, 1974.

   Enacted provision · exact public law section
   Sec. 102. health services research and development Section 304(c)(1) is amended (1) by striking out “and” 84 Stat. 1302. 42 USC 242b. after “1972,”, and (2) by inserting before the period at the end thereof a comma and the following: “and $42,617,000 for the fiscal year ending June 30, 1974”.

10. 1974

    Pub. L. 93–353 title I § 103 · 88 Stat. 362

    Changed · 42 U.S.C. § 242b

    Pub. L. 93–353, in revising generally provisions of subsecs. (a) to (c), provided for general authority respecting health statistics and health services research, evaluation, and demonstrations, subsec. (a) relating to scope of activities, subsec. (b) relating to additional authority and scope of activities, and subsec. (c) relating to coordination of activities through units of the Department. Former provisions related to research and demonstrations relating to health facilities and services, subsec. (a) relating to grants and contracts for projects for research, experiments, or demonstrations and related training, cost limitation, wage rates, labor standards, and other conditions, and payments (former subsec. (a)(2) and (3) now being covered by section 242m(h) and (e), respectively), subsec. (b) relating to systems analysis of national health care plans, and cost and coverage report on existing legislative proposals, and subsec. (c) relating to authorization of appropriations

    Source evidence

    Code amendment note
    Pub. L. 93–353, in revising generally provisions of subsecs. (a) to (c), provided for general authority respecting health statistics and health services research, evaluation, and demonstrations, subsec. (a) relating to scope of activities, subsec. (b) relating to additional authority and scope of activities, and subsec. (c) relating to coordination of activities through units of the Department. Former provisions related to research and demonstrations relating to health facilities and services, subsec. (a) relating to grants and contracts for projects for research, experiments, or demonstrations and related training, cost limitation, wage rates, labor standards, and other conditions, and payments (former subsec. (a)(2) and (3) now being covered by section 242m(h) and (e), respectively), subsec. (b) relating to systems analysis of national health care plans, and cost and coverage report on existing legislative proposals, and subsec. (c) relating to authorization of appropriations.

    Enacted provision · exact public law section
    Sec. 103. Section 304 is amended to read as follows: 42 USC 242b. “general authority respecting health statistics and health services research, evaluations, and demonstrations “Sec. 304. (a) (1) The Secretary shall— “(A) undertake through the National Center for Health Services Research, the National Center for Health Statistics, and such other units of the Department of Health, Education, and Welfare as he may select, and “(B) support, health statistical activities and health services research, evaluation, and demonstrations. “(2) In carrying out paragraph (1), the Secretary shall give appropriate emphasis to research and statistical activities respecting— “(A) the determinants of an individual’s health, “(B) the impact of the environment on individual health and on health care, “(C) the accessibility, acceptability, planning, organization, technology, distribution, utilization, quality, and financing of systems for the delivery of health care, including systems for the delivery of preventive, personal, and mental health care, and “(D) individual and community knowledge of individual health and the systems for the delivery of health care. “(b) To implement subsection (a), the Secretary may, in addition Additional authority. to any other authority which under other provisions of this Act or any other law may be used by him to implement such subsection, do the following: “(1) Utilize personnel and equipment, facilities, and other physical resources of the Department of Health, Education, and Welfare, permit appropriate (as determined by the Secretary) entities and individuals to utilize the physical resources of such Department, provide technical assistance and advice, make grants to public and nonprofit private entities and individuals, and enter into contracts with public and private entities and individuals, for (A) health services research, evaluation, and demonstrations, and (B) health services research and health statistics training, and (C) health statistical activities. “(2) Admit and treat at hospitals and other facilities of the Service persons not otherwise eligible for admission and treatment at such facilities. “(3) Secure, from time to time and for such periods as the Experts and consultants. Secretary deems advisable, the assistance and advice of experts and consultants from the United States or abroad. “(4) Acquire, construct, improve, repair, operate, and maintain laboratory, research, and other necessary facilities and equipment, and such other real or personal property (including patents) as the Secretary deems necessary; and acquire, without regard to the Act of March 3, 1877 (40 U.S.C. 34), by lease or otherwise, through the Administrator of General Services, buildings or parts of buildings in the District of Columbia or communities located adjacent to the District of Columbia. “(c) The Secretary shall coordinate all health services research, Health services and statistical activities, coordination. evaluation, demonstration, and health statistical activities undertaken and supported through units of the Department of Health, Education, and Welfare. To the maximum extent feasible, such coordination shall be carried out through the National Center for Health Services Research and the National Center for Health Statistics.”

11. 1978

    Health Services Research, Health Statistics, and Health Care Technology Act of 1978

    Pub. L. 95–623 § 3(a) · 92 Stat. 3443

    Substituted · 42 U.S.C. § 242b(a)(1)

    Pub. L. 95–623, § 3(a), substituted provision for the Secretary acting through the National Center for Health Care Technology for such action through other units of the Department of Health, Education, and Welfare and “conduct” for “undertake”, included epidemiological activities, and declared as an objective the improvement of the effectiveness, efficiency, and quality of Federal health services

    Source evidence

    Code amendment note
    Subsec. (a)(1). Pub. L. 95–623, § 3(a), substituted provision for the Secretary acting through the National Center for Health Care Technology for such action through other units of the Department of Health, Education, and Welfare and “conduct” for “undertake”, included epidemiological activities, and declared as an objective the improvement of the effectiveness, efficiency, and quality of Federal health services.

    Enacted provision · exact public law section
    (a) Subsection (a) of section 304 is amended to read as 42 USC 242b. follows: “(a) (1) The Secretary, acting through the National Center for Health Services Research, the National Center for Health Statistics, and the National Center for Health Care Technology, shall conduct and support research, demonstrations, evaluations, and statistical and epidemiological activities for the purpose of improving the effectiveness, efficiency, and quality of health services in the United States. “(2) In carrying out paragraph (1), the Secretary shall give appropriate emphasis to research, demonstrations, evaluations, and statistical and epidemiological activities respecting— “(A) the accessibility, acceptability, planning, organization, distribution, utilization, and financing of systems for the delivery of health care, “(B) alternative methods for measuring and evaluating the quality of systems for the delivery of health care, “(C) the collection, analysis, and dissemination of health related statistics, “(D) alternative methods to improve and promote health statistical and epidemiological activities, “(E) the safety, efficacy, effectiveness, cost effectiveness, and social, economic, and ethical impacts of health care technologies, “(F) alternative methods for disseminating knowledge concerning health and health related activities, “(G) the special health problems of low income and minority groups and the elderly to insure that these problems are assessed on a periodic regular basis, “(H) the prevention of illness, disability, and premature deaths in the United States, “(I) health care costs, increases in such costs, and the reasons for such increases, and “(J) the impact of the environment on individual health and on health care. “(3) Training programs. The Secretary shall, through the National Center for Health Services Research, the National Center for Health Statistics, and the National Center for Health Care Technology and using National Research Service Awards and other appropriate authorities, undertake and support training programs to provide for an expanded and continuing supply of individuals qualified to perform the research, evaluation, and demonstration projects set forth in sections 305, 306, and 42 USC 242c, 242k. Post, p. 3447. 42 USC 242b. 309.”.

12. 1978

    Health Services Research, Health Statistics, and Health Care Technology Act of 1978

    Pub. L. 95–623 § 3(a) · 92 Stat. 3443

    1. Redesignated · 42 U.S.C. § 242b(a)(2)

       Pub. L. 95–623, § 3(a), provided for emphasis to demonstrations, evaluations, and epidemiological activities; redesignated as subpar. (A) former subpar. (C); struck out “technology” and “quality” after “organization,” and “utilization,”, respectively, and end clause “including systems for the delivery of preventive, personal, and mental health care” and former subpar. (A) activities respecting “the determination of an individual’s health”; added subpars. (B) through (D); struck out former subpar. (D) activities respecting “individual and community knowledge of individual health and the systems for the delivery of health care”; added subpars. (E) through (I);

    2. Redesignated · 42 U.S.C. § 242b(a)(2)

       Pub. L. 95–623, § 3(a), provided for emphasis to demonstrations, evaluations, and epidemiological activities; redesignated as subpar. (J) former subpar. (B)

    Source evidence

    Code amendment note
    Subsec. (a)(2). Pub. L. 95–623, § 3(a), provided for emphasis to demonstrations, evaluations, and epidemiological activities; redesignated as subpar. (A) former subpar. (C); struck out “technology” and “quality” after “organization,” and “utilization,”, respectively, and end clause “including systems for the delivery of preventive, personal, and mental health care” and former subpar. (A) activities respecting “the determination of an individual’s health”; added subpars. (B) through (D); struck out former subpar. (D) activities respecting “individual and community knowledge of individual health and the systems for the delivery of health care”; added subpars. (E) through (I); and redesignated as subpar. (J) former subpar. (B).

    Enacted provision · exact public law section
    (a) Subsection (a) of section 304 is amended to read as 42 USC 242b. follows: “(a) (1) The Secretary, acting through the National Center for Health Services Research, the National Center for Health Statistics, and the National Center for Health Care Technology, shall conduct and support research, demonstrations, evaluations, and statistical and epidemiological activities for the purpose of improving the effectiveness, efficiency, and quality of health services in the United States. “(2) In carrying out paragraph (1), the Secretary shall give appropriate emphasis to research, demonstrations, evaluations, and statistical and epidemiological activities respecting— “(A) the accessibility, acceptability, planning, organization, distribution, utilization, and financing of systems for the delivery of health care, “(B) alternative methods for measuring and evaluating the quality of systems for the delivery of health care, “(C) the collection, analysis, and dissemination of health related statistics, “(D) alternative methods to improve and promote health statistical and epidemiological activities, “(E) the safety, efficacy, effectiveness, cost effectiveness, and social, economic, and ethical impacts of health care technologies, “(F) alternative methods for disseminating knowledge concerning health and health related activities, “(G) the special health problems of low income and minority groups and the elderly to insure that these problems are assessed on a periodic regular basis, “(H) the prevention of illness, disability, and premature deaths in the United States, “(I) health care costs, increases in such costs, and the reasons for such increases, and “(J) the impact of the environment on individual health and on health care. “(3) Training programs. The Secretary shall, through the National Center for Health Services Research, the National Center for Health Statistics, and the National Center for Health Care Technology and using National Research Service Awards and other appropriate authorities, undertake and support training programs to provide for an expanded and continuing supply of individuals qualified to perform the research, evaluation, and demonstration projects set forth in sections 305, 306, and 42 USC 242c, 242k. Post, p. 3447. 42 USC 242b. 309.”.

13. 1978

    Health Services Research, Health Statistics, and Health Care Technology Act of 1978

    Pub. L. 95–623 § 3(a) · 92 Stat. 3443

    Added · 42 U.S.C. § 242b(a)(3)

    Pub. L. 95–623, § 3(a), added par. (3)

    Source evidence

    Code amendment note
    Subsec. (a)(3). Pub. L. 95–623, § 3(a), added par. (3).

    Enacted provision · exact public law section
    (a) Subsection (a) of section 304 is amended to read as 42 USC 242b. follows: “(a) (1) The Secretary, acting through the National Center for Health Services Research, the National Center for Health Statistics, and the National Center for Health Care Technology, shall conduct and support research, demonstrations, evaluations, and statistical and epidemiological activities for the purpose of improving the effectiveness, efficiency, and quality of health services in the United States. “(2) In carrying out paragraph (1), the Secretary shall give appropriate emphasis to research, demonstrations, evaluations, and statistical and epidemiological activities respecting— “(A) the accessibility, acceptability, planning, organization, distribution, utilization, and financing of systems for the delivery of health care, “(B) alternative methods for measuring and evaluating the quality of systems for the delivery of health care, “(C) the collection, analysis, and dissemination of health related statistics, “(D) alternative methods to improve and promote health statistical and epidemiological activities, “(E) the safety, efficacy, effectiveness, cost effectiveness, and social, economic, and ethical impacts of health care technologies, “(F) alternative methods for disseminating knowledge concerning health and health related activities, “(G) the special health problems of low income and minority groups and the elderly to insure that these problems are assessed on a periodic regular basis, “(H) the prevention of illness, disability, and premature deaths in the United States, “(I) health care costs, increases in such costs, and the reasons for such increases, and “(J) the impact of the environment on individual health and on health care. “(3) Training programs. The Secretary shall, through the National Center for Health Services Research, the National Center for Health Statistics, and the National Center for Health Care Technology and using National Research Service Awards and other appropriate authorities, undertake and support training programs to provide for an expanded and continuing supply of individuals qualified to perform the research, evaluation, and demonstration projects set forth in sections 305, 306, and 42 USC 242c, 242k. Post, p. 3447. 42 USC 242b. 309.”.

14. 1978

    Health Services Research, Health Statistics, and Health Care Technology Act of 1978

    Pub. L. 95–623 § 3(b) · 92 Stat. 3443

    1. Amended · 42 U.S.C. § 242b(b)(1)

       Pub. L. 95–623, § 3(b), as amended by Pub. L. 96–32, § 5(a)

    2. Substituted · 42 U.S.C. § 242b(b)(1)

       Pub. L. 95–623, § 3(b), as substituted “, when appropriate, enter into contracts with public and private entities and individuals” for “enter into contracts with public and private entities and individuals, for (A) health services research, evaluation, and demonstrations, and (B) health services research and health statistics training, and (C) health statistical activities”

    Source evidence

    Code amendment note
    Subsec. (b)(1). Pub. L. 95–623, § 3(b), as amended by Pub. L. 96–32, § 5(a), substituted “, when appropriate, enter into contracts with public and private entities and individuals” for “enter into contracts with public and private entities and individuals, for (A) health services research, evaluation, and demonstrations, and (B) health services research and health statistics training, and (C) health statistical activities”.

    Enacted provision · exact public law section
    (b) Paragraph (1) of section 304(b) is amended (1) by inserting “, when appropriate,” before “enter into contracts”, and (2) by striking out all after “entities and individuals” the second time it appeal’s and inserting in lieu thereof a period.

15. 1978

    Health Services Research, Health Statistics, and Health Care Technology Act of 1978

    Pub. L. 95–623 § 3(d) · 92 Stat. 3443

    1. Amended · 42 U.S.C. § 242b(b)(3)

       Pub. L. 95–623, § 3(d), as amended by Pub. L. 96–32, § 5(b)

    2. Substituted · 42 U.S.C. § 242b(b)(3)

       Pub. L. 95–623, § 3(d), as substituted “advisable but in accordance with section 3109 of title 5” for “advisable”

    3. Struck · 42 U.S.C. § 242b(b)(3)

       Pub. L. 95–623, § 3(d), as struck out “experts and” before “consultants”, and authorized the Secretary to obtain for the centers the services of experts with appropriate scientific or professional qualifications

    Source evidence

    Code amendment note
    Subsec. (b)(3). Pub. L. 95–623, § 3(d), as amended by Pub. L. 96–32, § 5(b), substituted “advisable but in accordance with section 3109 of title 5” for “advisable”, struck out “experts and” before “consultants”, and authorized the Secretary to obtain for the centers the services of experts with appropriate scientific or professional qualifications.

    Enacted provision · exact public law section
    (d) Section 304(d)(3) is amended (1) by striking out “experts and”, (2) by inserting “but in accordance with section 3109 of title 5, United States Code” after “advisable”, and (3) by adding at the end the following: “The Secretary may for the purpose of carrying out the functions set forth in sections 305, 306, and 309, obtain (in accordance 42 USC 242c, 242k. Post, p. 3447. with section 3109 of title 5 of the United States Code, but without regard to the limitation in such section on the number of days or the period of service) for each of the centers the services of not more than fifteen experts who have appropriate scientific or professional qualifications.”.

16. 1978

    Health Services Research, Health Statistics, and Health Care Technology Act of 1978

    Pub. L. 95–623 § 3(c) · 92 Stat. 3443

    1. Amended · 42 U.S.C. § 242b(c)

       Pub. L. 95–623, § 3(c), designated existing text as par. (1)

    2. Substituted · 42 U.S.C. § 242b(c)

       Pub. L. 95–623, § 3(c), substituted “evaluations, and demonstrations, all health statistical and epidemiological activities, and all research, evaluations, and demonstrations respecting the assessment of health care technology” for “evaluation, demonstration, and health statistical activities” before “undertaken and supported”, required coordination of activities to also be carried out through the National Center for Health Care Technology

    3. Added · 42 U.S.C. § 242b(c)

       Pub. L. 95–623, § 3(c), added par. (2)

    Source evidence

    Code amendment note
    Subsec. (c). Pub. L. 95–623, § 3(c), designated existing text as par. (1), substituted “evaluations, and demonstrations, all health statistical and epidemiological activities, and all research, evaluations, and demonstrations respecting the assessment of health care technology” for “evaluation, demonstration, and health statistical activities” before “undertaken and supported”, required coordination of activities to also be carried out through the National Center for Health Care Technology, and added par. (2).

    Enacted provision · exact public law section
    (c) Subsection (c) of section 304 is amended to read as follows: “(c) (1) The Secretary shall coordinate all health services research, evaluations, and demonstrations, all health statistical and epidemiological activities, and all research, evaluations, and demonstrations respecting the assessment of health care technology undertaken and supported through units of the Department of Health. Education, and Welfare. To the maximum extent feasible such coordination shall be carried out through the National Center for Health Services Research, the National Center for Health Statistics, and the National Center for Health Care Technology. “(2) The Secretary shall coordinate the health services research, evaluations, and demonstrations, the health statistical and (where appropriate) epidemiological activities, and the research, evaluations, and demonstrations respecting the assessment of health care technology authorized by this Act through the National Center for Health Services Research, the National Center for Health Statistics, and the National Center for Health Care Technology.”.

17. 1978

    Health Services Research, Health Statistics, and Health Care Technology Act of 1978

    Pub. L. 95–623 § 7 · 92 Stat. 3443

    1. Amended · 42 U.S.C. § 242b(d)

       Pub. L. 95–623, § 7, as amended by Pub. L. 96–32, § 5(c)

    2. Added · 42 U.S.C. § 242b(d)

       Pub. L. 95–623, § 7, as added subsec. (d)

    Source evidence

    Code amendment note
    Subsec. (d). Pub. L. 95–623, § 7, as amended by Pub. L. 96–32, § 5(c), added subsec. (d).

    Enacted provision · exact public law section
    Sec. 7. study of costs of diseases and adverse effects on humans which are environmentally related Section 304 (as amended by section 3(d)) is amended by 42 USC 242b. adding at the end the following: “(e) (1) The Secretary and the National Academy of Sciences (acting through the Institute of Medicine and other appropriate units) shall, jointly and in cooperation with the Administrator of the Environmental Protection Agency, the Secretary of Labor, the Consumer Product Safety Commission, the Council of Economic Advisers, the Council on Wage and Price Stability, the Council on Environmental Quality, and other entities of the Federal Government which the Secretary determines have the expertise in the subject of the study prescribed by this paragraph, conduct, with funds appropriated under section 308(i) (2), an ongoing study of the present and projected future health costs of pollution and other environmental conditions resulting from human activity (including human activity in any place in the indoor or outdoor environment, including places of employment and residence). In conducting the study, the Secretary and the National Academy of Sciences (hereinafter in this subsection referred to as the ‘Academy’) shall, to the extent feasible— “(A) identify the pollution (and the pollutants responsible for the pollution) and other environmental conditions which are, or may reasonably be anticipated to be, responsible for causing, contributing to, increasing susceptibility to, or aggravating human diseases and adverse effects on humans; “(B) identify each such disease and adverse effect on humans and specifically determine whether cancer, birth defects, genetic damage, emphysema, asthma, bronchitis, and other respiratory diseases, heart disease, stroke, and mental illness and impairment are such a disease or effect; “(C) identify (on a national, regional, or other geographical basis) the source or sources of such pollutants and conditions and estimate the portion of each pollutant and the extent of each condition which can be traced to a specific type of source; “(D) ascertain (i) the extent to which the pollutants and conditions identified under subparagraph (A) are, or may reasonably be anticipated to be, responsible, individually or collectively, for causing, contributing to, increasing susceptibility to, or aggravating the diseases and effects identified under subparagraph (B), and (ii) the effect upon the incidence or severity of specific diseases and effects of individual or collective, as appropriate, incremental reductions in the pollutants and changes in such conditions; and “(E) quantify (i) the present and projected future health costs of the diseases and effects identified under subparagraph (B), and (ii) the reduction in health costs which would result from each incremental reduction and change referred to in subparagraph “(2) The Secretary shall enter into appropriate arrangements with the Academy under which the Secretary shall be responsible for expenses incurred by the Academy in connection with the study prescribed by paragraph (1). “(3) Reports to congressional committees. The first report on the study prescribed by paragraph (1) shall be made to the Committee on Human Resources of the Senate and the Committee on Interstate and Foreign Commerce of the House of Representatives by the Secretary and the Academy not later than eighteen months after the date of the enactment of this subsection. Subsequent reports on the study shall be made by the Secretary and the Academy every two years after the date the first report is submitted. Each report shall (A) identify deficiencies and limitations in the data on the matters considered in the study and recommend actions which may be taken to eliminate such deficiencies and limitations, (B) include such recommendations for legislation as the Secretary determines appropriate, (C) include recommendations for facilitating studies of the effects of hazardous substances on humans, and (D) include a description of any administrative action proposed to be taken by the Secretary, the Administrator of the Environmental Protection Agency, the Secretary of Labor, and the Consumer Product Safety Commission to reduce the costs which have been quantified under paragraph (1) (E) (i). In conducting the study, the Secretary and the Academy shall seek assistance from public and private health financing entities in securing the data needed for the study. “(4) “Health costs of pollution and other environmental conditions.” For purposes of paragraph (1), the term ‘health costs of pollution and other environmental conditions’ means the costs of human diseases and other adverse effects on humans which pollution and other environmental conditions are, or may reasonably be anticipated to be, responsible for causing, contributing to, increasing susceptibility to, or aggravating, including the costs of preventing such diseases and effects, the costs of the treatment, cure, convalescence, and rehabilita-tion of persons afflicted by such diseases, costs reasonably attributable to pain and suffering from such diseases and effects, loss of income and future earnings resulting from such diseases and effects, adverse effects on productivity (and thus increases in production costs and consumer prices) resulting from such diseases and effects, loss of tax revenues resulting from such decreases in earnings and productivity, costs to the welfare and unemployment compensation systems and the programs of health benefits under titles XVIII and XIX of the Social Security Act resulting from such diseases and effects, the overall 42 USC 1395, 1396. increases in costs throughout the economy resulting from such diseases and effects, and other related direct and indirect costs.”.

18. 1979

    Pub. L. 96–32 § 5(a) · 93 Stat. 82

    Amended · 42 U.S.C. § 242b(b)(1); 42 U.S.C. § 242b(b)(3)

    Pub. L. 96–32, § 5(a), (b), amended directory language of Pub. L. 95–623, § 3(b), (d), and required no change in text. See 1978 Amendment note below

    Source evidence

    Code amendment note
    Subsec. (b)(1), (3). Pub. L. 96–32, § 5(a), (b), amended directory language of Pub. L. 95–623, § 3(b), (d), and required no change in text. See 1978 Amendment note below.

    Enacted provision · exact public law section
    (a) Section 3(b) of the Health Services Research, Health Statistics, and Health Care Technology Act of 1978 (Public Law 42 USC 242b. 95–623) is amended by striking out “second time” and inserting in lieu thereof “third time”.

19. 1979

    Pub. L. 96–32 § 5(c) · 93 Stat. 82

    Substituted · 42 U.S.C. § 242b(d)

    Pub. L. 96–32, § 5(c), substituted “(d)” for “(e)” as designation of subsection added by Pub. L. 95–623, § 7, thereby correcting the subsection designation

    Source evidence

    Code amendment note
    Subsec. (d). Pub. L. 96–32, § 5(c), substituted “(d)” for “(e)” as designation of subsection added by Pub. L. 95–623, § 7, thereby correcting the subsection designation.

    Enacted provision · exact public law section
    (c) Subsection (e) of section 304 of the Public Health Service Act (42 U.S.C. 242c(e)) (added by section 7 of the Health Services Research, 42 USC 242b. Health Statistics, and Health Care Technology Act of 1978) is redesignated as subsection (d).

20. 1981

    Pub. L. 97–35 § 918(a) · 95 Stat. 357

    1. Substituted · 42 U.S.C. § 242b(a)(3)

       Pub. L. 97–35, § 918(a), substituted “may” for “shall”

    2. Substituted · 42 U.S.C. § 242b(a)(3)

       Pub. L. 97–35, § 918(a), substituted “or the” for “and the”

    3. Substituted · 42 U.S.C. § 242b(a)(3)

       Pub. L. 97–35, § 918(a), substituted “or using” for “and using”

    4. Substituted · 42 U.S.C. § 242b(a)(3)

       Pub. L. 97–35, § 918(a), substituted “or other” for “and other”

    Source evidence

    Code amendment note
    Subsec. (a)(3). Pub. L. 97–35, § 918(a), substituted “may” for “shall”, “or the” for “and the”, “or using” for “and using”, and “or other” for “and other”.

    Enacted provision · exact public law section
    (a) Section 304(a)(3) (42 U.S.C. 242b(a)(3)) is amended— (1) by striking out “shall” and inserting in lieu thereof “may”, and (2) by striking out “and” the first three places it occurs and inserting in lieu thereof “or”.

21. 1981

    Pub. L. 97–35 § 918(d)(1) · 95 Stat. 357

    Substituted · 42 U.S.C. § 242b(b)(1); 42 U.S.C. § 242b(c)(1)

    Pub. L. 97–35, § 918(d)(1), substituted “Health and Human Services” for “Health, Education, and Welfare”

    Source evidence

    Code amendment note
    Subsecs. (b)(1), (c)(1). Pub. L. 97–35, § 918(d)(1), substituted “Health and Human Services” for “Health, Education, and Welfare”.

    Enacted provision · exact public law section
    (1) Subsections (b)(1) and (c)(1) of section 304 are each amended by striking out “Health, Education, and Welfare” and inserting in lieu thereof “Health and Human Services”.

22. 1981

    Pub. L. 97–35 § 918(b)(1) · 95 Stat. 357

    1. Substituted · 42 U.S.C. § 242b(d)(1)

       Pub. L. 97–35, § 918(b)(1), (2), substituted provisions relating to advice and assistance of the National Academy of Sciences, for provisions relating to joint authority of the National Academy of Sciences

    2. Struck · 42 U.S.C. § 242b(d)(1)

       Pub. L. 97–35, § 918(b)(1), (2), struck out definition of “Academy” as meaning the National Academy of Sciences

    Source evidence

    Code amendment note
    Subsec. (d)(1). Pub. L. 97–35, § 918(b)(1), (2), substituted provisions relating to advice and assistance of the National Academy of Sciences, for provisions relating to joint authority of the National Academy of Sciences, and struck out definition of “Academy” as meaning the National Academy of Sciences.

    Enacted provision · exact public law section
    (1) The first sentence of section 304(d)(1) is amended by striking out “and the National Academy of Sciences (acting through the Institute of Medicine and other appropriate units) shall, jointly and” and inserting in lieu thereof “, with the advice and assistance of the National Academy of Sciences (acting through the Institute of Medicine and other appropriate units), shall,”.

23. 1981

    Pub. L. 97–35 § 918(b)(3) · 95 Stat. 357

    1. Substituted · 42 U.S.C. § 242b(d)(3)

       Pub. L. 97–35, § 918(b)(3), (c), (d)(2), substituted “every three years” for “every two years”

    2. Substituted · 42 U.S.C. § 242b(d)(3)

       Pub. L. 97–35, § 918(b)(3), (c), (d)(2), substituted “Energy and” for “Interstate and Foreign”

    3. Struck · 42 U.S.C. § 242b(d)(3)

       Pub. L. 97–35, § 918(b)(3), (c), (d)(2), struck out references to the Academy

    Source evidence

    Code amendment note
    Subsec. (d)(3). Pub. L. 97–35, § 918(b)(3), (c), (d)(2), substituted “every three years” for “every two years”, and “Energy and” for “Interstate and Foreign”, and struck out references to the Academy.

    Enacted provision · exact public law section
    (3) Section 304(d)(3) is amended by striking out “and the Academy” each place it appears.

24. 1984

    Health Promotion and Disease Prevention Amendments of 1984

    Pub. L. 98–551 § 5(c)(1) · 98 Stat. 2815

    Substituted · 42 U.S.C. § 242b(a)(1)

    Pub. L. 98–551, § 5(c)(1), (2), substituted “the National Center for Health Services Research and Health Care Technology Assessment and the National Center for Health Statistics” for “the National Center for Health Services Research, the National Center for Health Statistics, and the National Center for Health Care Technology”

    Source evidence

    Code amendment note
    Subsec. (a)(1). Pub. L. 98–551, § 5(c)(1), (2), substituted “the National Center for Health Services Research and Health Care Technology Assessment and the National Center for Health Statistics” for “the National Center for Health Services Research, the National Center for Health Statistics, and the National Center for Health Care Technology”.

    Enacted provision · exact public law section
    (1) Section 304 of such Act (42 U.S.C. 242b) is amended by striking out “National Center for Health Services Research” each place it occurs and inserting in lieu thereof “National Center for Health Services Research and Health Care Technology Assessment”.

25. 1984

    Health Promotion and Disease Prevention Amendments of 1984

    Pub. L. 98–551 § 5(c)(1) · 98 Stat. 2815

    Substituted · 42 U.S.C. § 242b(a)(3)

    Pub. L. 98–551, § 5(c)(1), (3), substituted “the National Center for Health Services Research and Health Care Technology Assessment or the National Center for Health Statistics” for “the National Center for Health Services Research, the National Center for Health Statistics, or the National Center for Health Care Technology”

    Source evidence

    Code amendment note
    Subsec. (a)(3). Pub. L. 98–551, § 5(c)(1), (3), substituted “the National Center for Health Services Research and Health Care Technology Assessment or the National Center for Health Statistics” for “the National Center for Health Services Research, the National Center for Health Statistics, or the National Center for Health Care Technology”.

    Enacted provision · exact public law section
    (1) Section 304 of such Act (42 U.S.C. 242b) is amended by striking out “National Center for Health Services Research” each place it occurs and inserting in lieu thereof “National Center for Health Services Research and Health Care Technology Assessment”.

26. 1984

    Health Promotion and Disease Prevention Amendments of 1984

    Pub. L. 98–551 § 5(c)(1) · 98 Stat. 2815

    Substituted · 42 U.S.C. § 242b(c)(1); 42 U.S.C. § 242b(c)(2)

    Pub. L. 98–551, § 5(c)(1), (2), substituted “the National Center for Health Services Research and Health Care Technology Assessment and the National Center for Health Statistics” for “the National Center for Health Services Research, the National Center for Health Statistics, and the National Center for Health Care Technology”

    Source evidence

    Code amendment note
    Subsec. (c)(1), (2). Pub. L. 98–551, § 5(c)(1), (2), substituted “the National Center for Health Services Research and Health Care Technology Assessment and the National Center for Health Statistics” for “the National Center for Health Services Research, the National Center for Health Statistics, and the National Center for Health Care Technology”.

    Enacted provision · exact public law section
    (1) Section 304 of such Act (42 U.S.C. 242b) is amended by striking out “National Center for Health Services Research” each place it occurs and inserting in lieu thereof “National Center for Health Services Research and Health Care Technology Assessment”.

27. 1989

    Omnibus Budget Reconciliation Act of 1989

    Pub. L. 101–239 § 6103(e)(1)(B) · 103 Stat. 2106

    1. Substituted · 42 U.S.C. § 242b(a)

       Pub. L. 101–239, § 6103(e)(1)(B), substituted “the Agency for Health Care Policy and Research” for “the National Center for Health Services Research and Health Care Technology Assessment”

    2. Substituted · 42 U.S.C. § 242b(a)

       Pub. L. 101–239, § 6103(e)(1)(B), substituted “in section 242k of this title and in subchapter VII” for “in sections 242c, 242k, and 242n of this title”

    Source evidence

    Code amendment note
    Subsec. (a). Pub. L. 101–239, § 6103(e)(1)(B), substituted “the Agency for Health Care Policy and Research” for “the National Center for Health Services Research and Health Care Technology Assessment” and “in section 242k of this title and in subchapter VII” for “in sections 242c, 242k, and 242n of this title”.

    Enacted provision · exact public law section
    (B) in subsection (a) (as amended by subparagraph (A) of this paragraph)— (i) by striking “the National Center for Health Services Research and Health Care Technology Assessment” and inserting “the Agency for Health Care Policy and Research”; and (ii) by striking “in sections 305, 306, and 309” and inserting “in section 306 and in title IX”;

28. 1989

    Omnibus Budget Reconciliation Act of 1989

    Pub. L. 101–239 § 6103(e)(1)(A) · 103 Stat. 2106

    1. Redesignated · 42 U.S.C. § 242b(a)

       Pub. L. 101–239, § 6103(e)(1)(A), redesignated par. (3) as entire subsec. (a)

    2. Struck · 42 U.S.C. § 242b(a)

       Pub. L. 101–239, § 6103(e)(1)(A), struck out pars. (1) and (2) which required Secretary to conduct and support research, demonstrations, evaluations, and statistical and epidemiological activities for purpose of improving health services in the United States, and which specified types of activities Secretary was to emphasize in carrying out par. (1)

    Target inherited from the preceding amendment note.

    Source evidence

    Code amendment note
    Pub. L. 101–239, § 6103(e)(1)(A), redesignated par. (3) as entire subsec. (a) and struck out pars. (1) and (2) which required Secretary to conduct and support research, demonstrations, evaluations, and statistical and epidemiological activities for purpose of improving health services in the United States, and which specified types of activities Secretary was to emphasize in carrying out par. (1).

    Enacted provision · exact public law section
    (A) in subsection (a)— (i) by striking paragraphs (1) and (2); and (ii) by striking the paragraph designation in paragraph (3);

29. 1989

    Omnibus Budget Reconciliation Act of 1989

    Pub. L. 101–239 § 6103(e)(1)(C) · 103 Stat. 2106

    Substituted · 42 U.S.C. § 242b(b)

    Pub. L. 101–239, § 6103(e)(1)(C), substituted “subsection (a) and section 242k of this title” for “subsection (a)”

    Source evidence

    Code amendment note
    Subsec. (b). Pub. L. 101–239, § 6103(e)(1)(C), substituted “subsection (a) and section 242k of this title” for “subsection (a)”.

    Enacted provision · exact public law section
    (C) in subsection (b), in the matter preceding paragraph (1), by striking “subsection (a),” and inserting “subsection (a) and section 306,”; and

30. 1989

    Omnibus Budget Reconciliation Act of 1989

    Pub. L. 101–239 § 6103(e)(1)(D) · 103 Stat. 2106

    Substituted · 42 U.S.C. § 242b(c)(1); 42 U.S.C. § 242b(c)(2)

    Pub. L. 101–239, § 6103(e)(1)(D), substituted “the Agency for Health Care Policy and Research” for “the National Center for Health Services Research and Health Care Technology Assessment”

    Source evidence

    Code amendment note
    Subsec. (c)(1), (2). Pub. L. 101–239, § 6103(e)(1)(D), substituted “the Agency for Health Care Policy and Research” for “the National Center for Health Services Research and Health Care Technology Assessment”.

    Enacted provision · exact public law section
    (D) in subsection (c)— (i) in paragraph (1), in the second sentence, by striking “the National Center for Health Services Research and Health Care Technology Assessment” and inserting “the Agency for Health Care Policy and Research”; and (ii) in paragraph (2), by striking “the National Center for Health Services Research and Health Care Technology Assessment” and inserting “the Agency for Health Care Policy and Research”.

31. 1993

    Preventive Health Amendments of 1993

    Pub. L. 103–183 title V § 501(b) · 107 Stat. 2226

    Struck · 42 U.S.C. § 242b(d)

    Pub. L. 103–183 struck out subsec. (d) which directed Secretary to conduct an ongoing study of present and projected future health costs of pollution and other environmental conditions resulting from human activity and to submit to Congress reports on the study

    Source evidence

    Code amendment note
    Subsec. (d). Pub. L. 103–183 struck out subsec. (d) which directed Secretary to conduct an ongoing study of present and projected future health costs of pollution and other environmental conditions resulting from human activity and to submit to Congress reports on the study.

    Enacted provision · exact public law section
    (b) General Authority Respecting Research, Evaluations, and Demonstrations.— Section 304 of the Public Health Service Act (42 U.S.C. 242b) is amended by striking subsection (d).

32. 1999

    Pub. L. 106–129 § 2(b)(2) · 113 Stat. 1653

    Substituted · 42 U.S.C. § 242b(a); 42 U.S.C. § 242b(c)

    Pub. L. 106–129 substituted “Agency for Healthcare Research and Quality” for “Agency for Health Care Policy and Research” wherever appearing

    Source evidence

    Code amendment note
    Subsecs. (a), (c). Pub. L. 106–129 substituted “Agency for Healthcare Research and Quality” for “Agency for Health Care Policy and Research” wherever appearing.

    Enacted provision · exact public law section
    (2) References.— Any reference in law to the Agency for 42 USC 203 et seq. Health Care Policy and Research is deemed to be a reference to the Agency for Healthcare Research and Quality, and any reference in law to the Administrator for Health Care Policy and Research is deemed to be a reference to the Director of the Agency for Healthcare Research and Quality.

33. 2002

    Pub. L. 107–206 title I § 804(c) · 116 Stat. 820

    Substituted · 42 U.S.C. § 242b(a)

    Pub. L. 107–206 substituted “Ruth L. Kirschstein National Research Service Awards” for “National Research Service Awards”

    Source evidence

    Code amendment note
    Subsec. (a). Pub. L. 107–206 substituted “Ruth L. Kirschstein National Research Service Awards” for “National Research Service Awards”.

44 of 55 references resolved to an enrolled provision · 11 partial