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Title 42 — The Public Health and Welfare

Chapter 7 — Social Security

§ 912. Office of Rural Health Policy

Statutory text

(a)

There shall be established in the Department of Health and Human Services (in this section referred to as the “Department”) an Office of Rural Health Policy (in this section referred to as the “Office”). The Office shall be headed by a Director, who shall advise the Secretary on the effects of current policies and proposed statutory, regulatory, administrative, and budgetary changes in the programs established under subchapters XVIII and XIX on the financial viability of small rural hospitals, the ability of rural areas (and rural hospitals in particular) to attract and retain physicians and other health professionals, and access to (and the quality of) health care in rural areas.

(b)

In addition to advising the Secretary with respect to the matters specified in subsection (a), the Director, through the Office, shall—

(1)

oversee compliance with the requirements of section 1302(b) of this title and section 4403 of the Omnibus Budget Reconciliation Act of 1987 (as such section pertains to rural health issues),

(2)

establish and maintain a clearinghouse for collecting and disseminating information on—

(A)

rural health care issues, including rural mental health, rural infant mortality prevention, and rural occupational safety and preventive health promotion,

(B)

research findings relating to rural health care, and

(C)

innovative approaches to the delivery of health care in rural areas, including programs providing community-based mental health services, pre-natal and infant care services, and rural occupational safety and preventive health education and promotion,

(3)

coordinate the activities within the Department that relate to rural health care,

(4)

provide information to the Secretary and others in the Department with respect to the activities, of other Federal departments and agencies, that relate to rural health care, including activities relating to rural mental health, rural infant mortality, and rural occupational safety and preventive health promotion, and

(5)

administer grants, cooperative agreements, and contracts to provide technical assistance and other activities as necessary to support activities related to improving health care in rural areas.

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. Pub. L. 100–203 title IV § 4401 · 101 Stat. 1330

    Enacted · 42 U.S.C. § 912

    Aug. 14, 1935, ch. 531, title VII, § 711, as added Pub. L. 100–203, title IV, § 4401, Dec. 22, 1987, 101 Stat. 1330–225

    Source evidence

    Code source credit
    Aug. 14, 1935, ch. 531, title VII, § 711, as added Pub. L. 100–203, title IV, § 4401, Dec. 22, 1987, 101 Stat. 1330–225

    Enacted provision · exact public law section
    SEC. 4401. OFFICE OF RURAL HEALTH POLICY. Title VII of the Social Security Act is amended by adding at the end thereof the following new section: “office of rural health policy “Sec. 711. (a) There shall be established in the Department of Establishment. 42 USC 912. Health and Human Services (in this section referred to as the ‘Department’) 7272Copy read “ “Department”)”. an Office of Rural Health Policy (in this section referred to as the ‘Office’). The Office shall be headed by a Director, who shall advise the Secretary on the effects of current policies and proposed statutory, regulatory, administrative, and budgetary changes in the programs established under titles XVIII and XIX on the financial viability of small rural hospitals, the ability of rural areas (and rural hospitals in particular) to attract and retain physicians and other health professionals, and access to (and the quality of) health care in rural areas. “(b) In addition to advising the Secretary with respect to the matters specified in subsection (a), the Director, through the Office, shall— “(1) oversee compliance with the requirements of section 1102(b) of this Act and section 4083 of the Omnibus Budget Reconciliation Act of 1987, “(2) establish and maintain a clearinghouse for collecting and disseminating information on— “(A) rural health care issues, “(B) research findings relating to rural health care, and “(C) innovative approaches to the delivery of health care in rural areas, “(3) coordinate the activities within the Department that relate to rural health care, and “(4) provide information to the Secretary and others in the Department with respect to the activities, of other Federal departments and agencies, that relate to rural health care.”.

    Effective date note
    Except as specifically provided in section 411 of Pub. L. 100–360, amendment by Pub. L. 100–360, as it relates to a provision in the Omnibus Budget Reconciliation Act of 1987, Pub. L. 100–203, effective as if included in the enactment of that provision in Pub. L. 100–203, see section 411(a) of Pub. L. 100–360, set out as a Reference to OBRA; Effective Date note under section 106 of Title 1, General Provisions.

  2. Medicare Catastrophic Coverage Act of 1988

    Pub. L. 100–360 title IV § 411(m)(1) · 102 Stat. 683

    Substituted · 42 U.S.C. § 912(b)(1)

    Pub. L. 100–360 substituted “section 4403 of the Omnibus Budget Reconciliation Act of 1987 (as such section pertains to rural health issues)” for “section 4083 of the Omnibus Budget Reconciliation Act of 1987”

    Source evidence

    Code amendment note
    Subsec. (b)(1). Pub. L. 100–360 substituted “section 4403 of the Omnibus Budget Reconciliation Act of 1987 (as such section pertains to rural health issues)” for “section 4083 of the Omnibus Budget Reconciliation Act of 1987”.

    Enacted provision · exact public law section
    (1) Section 4401.— Section 711(b)(1) of the Social Security Act, 42 USC 912. as added by section 4401 of OBRA, is amended by striking “section 4083 of the Omnibus Budget Reconciliation Act of 1987” and inserting “section 4403 of the Omnibus Budget Reconciliation Act of 1987 (as such section pertains to rural health issues)”.

    Effective date note
    Except as specifically provided in section 411 of Pub. L. 100–360, amendment by Pub. L. 100–360, as it relates to a provision in the Omnibus Budget Reconciliation Act of 1987, Pub. L. 100–203, effective as if included in the enactment of that provision in Pub. L. 100–203, see section 411(a) of Pub. L. 100–360, set out as a Reference to OBRA; Effective Date note under section 106 of Title 1, General Provisions.

  3. Omnibus Budget Reconciliation Act of 1989

    Pub. L. 101–239 § 6213(g)(1) · 103 Stat. 2106

    Substituted · 42 U.S.C. § 912(b)(2)(A)

    Pub. L. 101–239, § 6213(g)(1), substituted “health care issues, including rural mental health, rural infant mortality prevention, and rural occupational safety and preventive health promotion” for “health care issues”

    Source evidence

    Code amendment note
    Subsec. (b)(2)(A). Pub. L. 101–239, § 6213(g)(1), substituted “health care issues, including rural mental health, rural infant mortality prevention, and rural occupational safety and preventive health promotion” for “health care issues”.

    Enacted provision · exact public law section
    (1) in paragraph (2)(A), by striking “health care issues” and inserting “health care issues, including rural mental health, rural infant mortality prevention, and rural occupational safety and preventive health promotion”;

  4. Omnibus Budget Reconciliation Act of 1989

    Pub. L. 101–239 § 6213(g)(2) · 103 Stat. 2106

    Substituted · 42 U.S.C. § 912(b)(2)(C)

    Pub. L. 101–239, § 6213(g)(2), substituted “health care in rural areas, including programs providing community-based mental health services, pre-natal and infant care services, and rural occupational safety and preventive health education and promotion” for “health care in rural areas”

    Source evidence

    Code amendment note
    Subsec. (b)(2)(C). Pub. L. 101–239, § 6213(g)(2), substituted “health care in rural areas, including programs providing community-based mental health services, pre-natal and infant care services, and rural occupational safety and preventive health education and promotion” for “health care in rural areas”.

    Enacted provision · exact public law section
    (2) in paragraph (2)(C), by striking “rural areas” and inserting “rural areas, including programs providing community-based mental health services, prenatal and infant care services, and rural occupational safety and preventive health education and promotion”; and

  5. Omnibus Budget Reconciliation Act of 1989

    Pub. L. 101–239 § 6213(g)(3) · 103 Stat. 2106

    Substituted · 42 U.S.C. § 912(b)(4)

    Pub. L. 101–239, § 6213(g)(3), substituted “rural health care, including activities relating to rural mental health, rural infant mortality, and rural occupational safety and preventive health promotion” for “rural health care”

    Source evidence

    Code amendment note
    Subsec. (b)(4). Pub. L. 101–239, § 6213(g)(3), substituted “rural health care, including activities relating to rural mental health, rural infant mortality, and rural occupational safety and preventive health promotion” for “rural health care”.

    Enacted provision · exact public law section
    (3) in paragraph (4), by striking “rural health care” and inserting “rural health care, including activities relating to rural mental health, rural infant mortality, and rural occupational safety and preventive health promotion”.

  6. Medicare Prescription Drug, Improvement, and Modernization Act of 2003

    Pub. L. 108–173 title IV § 432 · 117 Stat. 2066

    Added · 42 U.S.C. § 912(b)(5)

    Pub. L. 108–173 added par. (5)

    Source evidence

    Code amendment note
    Subsec. (b)(5). Pub. L. 108–173 added par. (5).

    Enacted provision · exact public law section
    SEC. 432. OFFICE OF RURAL HEALTH POLICY IMPROVEMENTS.   Section 711(b) (42 U.S.C. 912(b)) is amended— (1) in paragraph (3), by striking “and” after the comma at the end; (2) in paragraph (4), by striking the period at the end and inserting “, and”; and (3) by inserting after paragraph (4) the following new paragraph: “(5) administer grants, cooperative agreements, and contracts to provide technical assistance and other activities as necessary to support activities related to improving health care in rural areas.” .

6 of 6 references resolved to an enrolled provision

Editorial Notes

References in Text

Section 4403 of the Omnibus Budget Reconciliation Act of 1987, referred to in subsec. (b)(1), is section 4403 of Pub. L. 100–203, which is set out as a note under section 1395b–1 of this title.

Amendments1988–2003 · 3 rounds

2003

Subsec. (b)(5). Pub. L. 108–173 added par. (5).

1989

Subsec. (b)(2)(A). Pub. L. 101–239, § 6213(g)(1), substituted “health care issues, including rural mental health, rural infant mortality prevention, and rural occupational safety and preventive health promotion” for “health care issues”.

Subsec. (b)(2)(C). Pub. L. 101–239, § 6213(g)(2), substituted “health care in rural areas, including programs providing community-based mental health services, pre-natal and infant care services, and rural occupational safety and preventive health education and promotion” for “health care in rural areas”.

Subsec. (b)(4). Pub. L. 101–239, § 6213(g)(3), substituted “rural health care, including activities relating to rural mental health, rural infant mortality, and rural occupational safety and preventive health promotion” for “rural health care”.

1988

Subsec. (b)(1). Pub. L. 100–360 substituted “section 4403 of the Omnibus Budget Reconciliation Act of 1987 (as such section pertains to rural health issues)” for “section 4083 of the Omnibus Budget Reconciliation Act of 1987”.

Statutory Notes and Related Subsidiaries

Effective Date of 1988 Amendment

Except as specifically provided in section 411 of Pub. L. 100–360, amendment by Pub. L. 100–360, as it relates to a provision in the Omnibus Budget Reconciliation Act of 1987, Pub. L. 100–203, effective as if included in the enactment of that provision in Pub. L. 100–203, see section 411(a) of Pub. L. 100–360, set out as a Reference to OBRA; Effective Date note under section 106 of Title 1, General Provisions.

Credits

1935–2003 · 4 acts
  1. 1935Aug. 14, 1935, ch. 531, title VII, § 711, as added Pub. L. 100–203, title IV, § 4401, , 101 Stat. 1330–225
  2. 1988amended Pub. L. 100–360, title IV, § 411(m)(1), , 102 Stat. 806
  3. 1989Pub. L. 101–239, title VI, § 6213(g), , 103 Stat. 2251
  4. 2003Pub. L. 108–173, title IV, § 432, , 117 Stat. 2288.
Show as published

(Aug. 14, 1935, ch. 531, title VII, § 711, as added Pub. L. 100–203, title IV, § 4401, , 101 Stat. 1330–225; amended Pub. L. 100–360, title IV, § 411(m)(1), , 102 Stat. 806; Pub. L. 101–239, title VI, § 6213(g), , 103 Stat. 2251; Pub. L. 108–173, title IV, § 432, , 117 Stat. 2288.)

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USLM identifier /us/usc/t42/s912