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From the U.S. House of Representatives Downloadable U.S. Code
[uscode.house.gov]
[Laws in effect as of January 5, 1999]

[CITE: 42USC242m]

 
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
    CHAPTER 6A - PUBLIC HEALTH SERVICE
    SUBCHAPTER II - GENERAL POWERS AND DUTIES
    Part A - Research and Investigations
 
-HEAD-
    Sec. 242m. General provisions respecting effectiveness, efficiency,
        and quality of health services
 
-STATUTE-
    (a) Reports to Congress and President; preparation; review by
        Office of Management and Budget
      (1) Not later than March 15 of each year, the Secretary shall
    submit to the President and Congress the following reports:
        (A) A report on health care costs and financing.  Such report
      shall include a description and analysis of the statistics
      collected under section 242k(b)(1)(G) of this title.
        (B) A report on health resources.  Such report shall include a
      description and analysis, by geographical area, of the statistics
      collected under section 242k(b)(1)(E) of this title.
        (C) A report on the utilization of health resources.  Such
      report shall include a description and analysis, by age, sex,
      income, and geographic area, of the statistics collected under
      section 242k(b)(1)(F) of this title.
        (D) A report on the health of the Nation's people.  Such report
      shall include a description and analysis, by age, sex, income,
      and geographic area, of the statistics collected under section
      242k(b)(1)(A) of this title.
      (2) The reports required in paragraph (1) shall be prepared
    through the National Center for Health Statistics.
      (3) The Office of Management and Budget may review any report
    required by paragraph (1) of this subsection before its submission
    to Congress, but the Office may not revise any such report or delay
    its submission beyond the date prescribed for its submission, and
    may submit to Congress its comments respecting any such report.
    (b) Grants or contracts; applications, submittal; application peer
        review group, findings and recommendations; necessity of
        favorable recommendation; appointments
      (1) No grant or contract may be made under section 242b, 242k, or
    242l of this title unless an application therefor has been
    submitted to the Secretary in such form and manner, and containing
    such information, as the Secretary may by regulation prescribe and
    unless a peer review group referred to in paragraph (2) has
    recommended the application for approval.
      (2)(A) Each application submitted for a grant or contract under
    section 242k of this title in an amount exceeding $50,000 of direct
    costs and for a health services research, evaluation, or
    demonstration project, or for a grant under section 242k(m) of this
    title, shall be submitted to a peer review group for an evaluation
    of the technical and scientific merits of the proposals made in
    each such application.  The Director of the National Center for
    Health Statistics shall establish such peer review groups as may be
    necessary to provide for such an evaluation of each such
    application.
      (B) A peer review group to which an application is submitted
    pursuant to subparagraph (A) shall report its finding and
    recommendations respecting the application to the Secretary, acting
    through the Director of the National Center for Health Statistics,
    in such form and manner as the Secretary shall by regulation
    prescribe.  The Secretary may not approve an application described
    in such subparagraph unless a peer review group has recommended the
    application for approval.
      (C) The Secretary, acting through the Director of the National
    Center for Health Statistics, shall make appointments to the peer
    review groups required in subparagraph (A) from among persons who
    are not officers or employees of the United States and who possess
    appropriate technical and scientific qualifications, except that
    peer review groups regarding grants under section 242k(m) of this
    title may include appropriately qualified such officers and
    employees.
    (c) Development and dissemination of statistics
      The Secretary shall take such action as may be necessary to
    assure that statistics developed under sections 242b and 242k of
    this title are of high quality, timely, comprehensive as well as
    specific, standardized, and adequately analyzed and indexed, and
    shall publish, make available, and disseminate such statistics on
    as wide a basis as is practicable.
    (d) Information; publication restrictions
      No information, if an establishment or person supplying the
    information or described in it is identifiable, obtained in the
    course of activities undertaken or supported under section 242b,
    242k, or 242l of this title may be used for any purpose other than
    the purpose for which it was supplied unless such establishment or
    person has consented (as determined under regulations of the
    Secretary) to its use for such other purpose; and in the case of
    information obtained in the course of health statistical or
    epidemiological activities under section 242b or 242k of this
    title, such information may not be published or released in other
    form if the particular establishment or person supplying the
    information or described in it is identifiable unless such
    establishment or person has consented (as determined under
    regulations of the Secretary) to its publication or release in
    other form.
    (e) Payment procedures; advances or reimbursement; installments;
        conditions; reductions
      (1) Payments of any grant or under any contract under section
    242b, 242k, or 242l of this title 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 such
    section.
      (2) The amounts otherwise payable to any person under a grant or
    contract made under section 242b, 242k, or 242l of this title shall
    be reduced by -
        (A) 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
        (B) 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.
    (f) Contracts without regard to section 3324 of title 31 and
        section 5 of title 41
      Contracts may be entered into under section 242b or 242k of this
    title without regard to section 3324 of title 31 and section 5 of
    title 41.
 
-SOURCE-
    (July 1, 1944, ch. 373, title III, Sec. 308, as added Pub. L.
    93-353, title I, Sec. 107(a), July 23, 1974, 88 Stat. 368; amended
    Pub. L. 94-273, Sec. 7(2), Apr. 21, 1976, 90 Stat. 378; Pub. L.
    95-83, title I, Sec. 104, Aug. 1, 1977, 91 Stat. 384; Pub. L.
    95-623, Sec. 2, 6(d), 8(b), Nov. 9, 1978, 92 Stat. 3443, 3451,
    3455; Pub. L. 97-35, title IX, Sec. 917(a), (b), 919(a)(2)(B), 922,
    Aug. 13, 1981, 95 Stat. 564, 565, 567; Pub. L. 97-414, Sec. 8(c),
    Jan. 4, 1983, 96 Stat. 2060; Pub. L. 98-551, Sec. 7, Oct. 30, 1984,
    98 Stat. 2820; Pub. L. 100-177, title I, Sec. 106(a), 107, 108,
    Dec. 1, 1987, 101 Stat. 988-990; Pub. L. 100-690, title II, Sec.
    2612, Nov. 18, 1988, 102 Stat. 4235; Pub. L. 101-239, title VI,
    Sec. 6103(e)(4), Dec. 19, 1989, 103 Stat. 2206; Pub. L. 101-527,
    Sec. 7(b)(2), (d), Nov. 6, 1990, 104 Stat. 2328; Pub. L. 103-183,
    title V, Sec. 501(c), Dec. 14, 1993, 107 Stat. 2237; Pub. L.
    105-392, title IV, Sec. 401(d), Nov. 13, 1998, 112 Stat. 3587.)
 
-MISC1-
                              PRIOR PROVISIONS
      Provisions similar to those comprising subsec. (e) of this
    section were contained in subsec. (a)(3) of section 304 of act July
    1, 1944, ch. 373, title III, as added July 28, 1955, ch. 417, Sec.
    3, 69 Stat. 382, and amended (formerly classified to section
    242b(a)(3) of this title), prior to general amendment of section
    304 by Pub. L. 93-353, Sec. 103.
                                 AMENDMENTS
      1998 - Subsec. (b)(2)(A), (C). Pub. L. 105-392 substituted
    ''242k(m)'' for ''242k(n)''.
      1993 - Subsec. (a)(1). Pub. L. 103-183, Sec. 501(c)(1)(A),
    redesignated subpars. (B) to (E) as (A) to (D), respectively, and
    struck out former subpar. (A) which read as follows: ''A report on
    -
        ''(i) the administration of sections 242b, 242k, and 242l of
      this title and subchapter VII of this chapter during the
      preceding fiscal year; and
        ''(ii) the current state and progress of health services
      research, health statistics, and health care technology.''
      Subsec. (a)(2). Pub. L. 103-183, Sec. 501(c)(1)(B), substituted
    ''reports required in paragraph (1) shall be prepared through the
    National Center'' for ''reports required by subparagraphs (B)
    through (E) of paragraph (2) shall be prepared through the Agency
    for Health Care Policy and Research and the National Center''.
      Subsec. (c). Pub. L. 103-183, Sec. 501(c)(2)(A)-(D), (3),
    redesignated subsec. (g)(2) as subsec. (c), substituted ''shall
    take'' for ''shall (A) take'' and ''and shall publish'' for ''and
    (B) publish'', and struck out former subsec. (c) which read as
    follows: ''The aggregate number of grants and contracts made or
    entered into under sections 242b and 242c of this title for any
    fiscal year respecting a particular means of delivery of health
    services or another particular aspect of health services may not
    exceed twenty; and the aggregate amount of funds obligated under
    grants and contracts under such sections for any fiscal year
    respecting a particular means of delivery of health services or
    another particular aspect of health services may not exceed
    $5,000,000.''
      Subsec. (f). Pub. L. 103-183, Sec. 501(c)(4), substituted
    ''section 3324 of title 31 and section 5 of title 41'' for
    ''sections 3648 and 3709 of the Revised Statutes (31 U.S.C. 529; 41
    U.S.C. 5)''.
      Subsec. (g). Pub. L. 103-183, Sec. 501(c)(2)(B), (C), (E),
    redesignated par. (2) as subsec. (c) and struck out par. (1) which
    read as follows: ''The Secretary shall -
        ''(A) publish, make available and disseminate, promptly in
      understandable form and on as broad a basis as practicable, the
      results of health services research, demonstrations, and
      evaluations undertaken and supported under sections 242b and 242c
      of this title;
        ''(B) make available to the public data developed in such
      research, demonstrations, and evaluations; and
        ''(C) provide indexing, abstracting, translating, publishing,
      and other services leading to a more effective and timely
      dissemination of information on health services research,
      demonstrations, and evaluations in health care delivery to public
      and private entities and individuals engaged in the improvement
      of health care delivery and the general public; and undertake
      programs to develop new or improved methods for making such
      information available.''
      Subsec. (h). Pub. L. 103-183, Sec. 501(c)(5), struck out subsec.
    (h) which read as follows:
      ''(1) Except where the Secretary determines that unusual
    circumstances make a larger percentage necessary in order to
    effectuate the purposes of section 242k of this title, a grant or
    contract under any of such sections of this title 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
    determines is reasonably attributable to research, evaluation, or
    demonstration purposes.
      ''(2) Laborers and mechanics employed by contractors and
    subcontractors in the construction of such a facility shall be paid
    wages at rates not less than those prevailing on similar work in
    the locality, as determined by the Secretary of Labor in accordance
    with the Act of March 3, 1931 (40 U.S.C. 267a - 267a-5, known as
    the Davis-Bacon Act); and the Secretary of Labor shall have with
    respect to any labor standards specified in this paragraph the
    authority and functions set forth in Reorganization Plan Numbered
    14 of 1950 (5 U.S.C. Appendix) and section 276c of title 40.
      ''(3) Such grants and contracts shall be subject to such
    additional requirements as the Secretary may by regulation
    prescribe.''
      1990 - Subsec. (b)(2)(A). Pub. L. 101-527, Sec. 7(b)(2)(A),
    inserted ''or for a grant under section 242k(n) of this title,''
    after ''demonstration project,''.
      Subsec. (b)(2)(C). Pub. L. 101-527, Sec. 7(b)(2)(B), inserted
    before period at end '', except that peer review groups regarding
    grants under section 242k(n) of this title may include
    appropriately qualified such officers and employees''.
      Subsec. (b)(3). Pub. L. 101-527, Sec. 7(d), struck out par. (3)
    which related to applications submitted under section 242k of this
    title for which a grant or contract may be made under another
    provision of this chapter.
      1989 - Pub. L. 101-239, Sec. 6103(e)(4)(A), amended section
    catchline.
      Subsec. (a)(1)(A)(i). Pub. L. 101-239, Sec. 6103(e)(4)(B)(i),
    substituted ''sections 242b, 242k, and 242l of this title and
    subchapter VII of this chapter'' for ''sections 242b, 242c, 242k,
    and 242l of this title and section 242n of this title''.
      Subsec. (a)(2). Pub. L. 101-239, Sec. 6103(e)(4)(B)(ii),
    substituted ''the Agency for Health Care Policy and Research'' for
    ''the National Center for Health Services Research and Health Care
    Technology Assessment''.
      Subsec. (b)(1). Pub. L. 101-239, Sec. 6103(e)(4)(C)(i), which
    directed amendment of par. (1) by substituting ''section 242b,
    242k, or 242l of this title'' for ''sections 242b, 242c, 242k,
    242l, and 242n of this title'', was executed by making the
    substitution for ''section 242b, 242c, 242k, 242l, or 242n of this
    title'' as the probable intent of Congress.
      Subsec. (b)(2)(A). Pub. L. 101-239, Sec. 6103(e)(4)(C)(ii),
    substituted ''under section 242k of this title'' for ''under
    section 242b or 242c of this title,'' in first sentence, struck out
    second sentence which read as follows: ''Each application for a
    grant, contract, or cooperative agreement in an amount exceeding
    $50,000 of direct costs for the dissemination of research findings
    or the development of research agendas (including conferences,
    workshops, and meetings) shall be submitted to a standing peer
    review group with persons with appropriate expertise and shall not
    be submitted to any peer review group established to review
    applications for research, evaluation, or demonstration
    projects.'', and amended last sentence generally.  Prior to
    amendment, last sentence read as follows: ''The Secretary, acting
    through the Director of the National Center for Health Services
    Research and Health Care Technology Assessment (or, as appropriate,
    through the Director of the National Center for Health Statistics),
    shall establish such peer review groups as may be necessary to
    provide for such an evaluation of an application described in the
    first two sentences of this subparagraph.''
      Subsec. (b)(2)(B). Pub. L. 101-239, Sec. 6103(e)(4)(C)(iii),
    substituted ''the Director of the National Center for Health
    Statistics'' for ''the Director involved''.
      Subsec. (b)(2)(C). Pub. L. 101-239, Sec. 6103(e)(4)(C)(iv),
    substituted ''the Director of the National Center for Health
    Statistics'' for ''the Directors''.
      Subsec. (b)(3). Pub. L. 101-239, Sec. 6103(e)(4)(C)(v),
    substituted ''submitted under section 242k of this title'' for
    ''submitted under section 242b, 242c, or 242k of this title'' and
    ''approved under any of such sections'' for ''approved under
    section 242b, 242c, or 242k of this title''.
      Subsec. (d). Pub. L. 101-239, Sec. 6103(e)(4)(D), substituted
    ''section 242b, 242k, or 242l of this title'' for ''section 242b,
    242c, 242k, 242l, or 242n of this title'', struck out ''(1)'' after
    ''for such other purpose; and'', and substituted ''publication or
    release in other form.'' for ''publication or release in other
    form, and (2) in the case of information obtained in the course of
    health services research, evaluations, or demonstrations under
    section 242b or 242c of this title or in the course of health care
    technology activities under section 242n of this title, such
    information may not be published or released in other form if the
    person who supplied the information or who is described in it is
    identifiable unless such person has consented (as determined under
    regulations of the Secretary) to its publication or release in
    other form.''
      Subsec. (e)(1), (2). Pub. L. 101-239, Sec. 6103(e)(4)(E),
    substituted ''section 242b, 242k, or 242l of this title'' for
    ''section 242b, 242c, 242k, 242l, or 242n of this title''.
      Subsec. (f). Pub. L. 101-239, Sec. 6103(e)(4)(F), substituted
    ''section 242b or 242k of this title'' for ''section 242b, 242c,
    242k, or 242n of this title''.
      Subsec. (g)(1). Pub. L. 101-239, Sec. 6103(e)(4)(G)(i), struck
    out at end ''Except as provided in subsection (d) of this section,
    the Secretary may not restrict the publication and dissemination of
    data from, and results of projects undertaken by, centers supported
    under section 242c(d) of this title.''
      Subsec. (g)(2). Pub. L. 101-239, Sec. 6103(e)(4)(G)(ii),
    substituted ''sections 242b and 242k of this title'' for ''sections
    242b, 242c, 242k, and 242n of this title''.
      Subsec. (h)(1). Pub. L. 101-239, Sec. 6103(e)(4)(H), substituted
    ''effectuate the purposes of section 242k of this title'' for
    ''effectuate the purposes of section 242b, 242c, 242k, or 242n of
    this title'' and ''contract under any of such sections'' for
    ''contract under section 242b, 242c, 242k, or 242n of this title''.
      Subsec. (i). Pub. L. 101-239, Sec. 6103(e)(4)(I), struck out
    subsec. (i) which authorized appropriations for carrying out
    certain programs under sections 242b, 242c, 242k, and 242n of this
    title during fiscal years 1988 to 1990.
      1988 - Subsec. (b)(2)(A). Pub. L. 100-690 inserted after first
    sentence ''Each application for a grant, contract, or cooperative
    agreement in an amount exceeding $50,000 of direct costs for the
    dissemination of research findings or the development of research
    agendas (including conferences, workshops, and meetings) shall be
    submitted to a standing peer review group with persons with
    appropriate expertise and shall not be submitted to any peer review
    group established to review applications for research, evaluation,
    or demonstration projects.'' and substituted ''an application
    described in the first two sentences of this subparagraph'' for
    ''each such application'' in last sentence.
      1987 - Subsec. (a)(1), (2). Pub. L. 100-177, Sec. 106(a)(1),
    added pars. (1) and (2) and struck out former pars. (1) and (2)
    which read as follows:
      ''(1) Not later than December 1 of each year, the Secretary shall
    make a report to Congress respecting (A) the administration of
    sections 242b, 242c, 242k, and 242l and section 242n of this title
    during the preceding fiscal year, and (B) the current state and
    progress of health services research and, health statistics, and
    health care technology.
      ''(2) The Secretary, acting through the National Center for
    Health Services Research and the National Center for Health
    Statistics, shall assemble and submit to the President and the
    Congress not later than December 1 of each year the following
    reports:
        ''(A) A report on health care costs and financing.  Such report
      shall include a description and analysis of the statistics
      collected under section 242k(b)(1)(G) of this title.
        ''(B) A report on health resources.  Such report shall include
      a description and analysis, by geographic area, of the statistics
      collected under section 242k(b)(1)(E) of this title.
        ''(C) A report on the utilization of health resources.  Such
      report shall include a description and analysis, by age, sex,
      income, and geographic area, of the statistics collected under
      section 242k(b)(1)(F) of this title.
        ''(D) A report on the health of the Nation's people.  Such
      report shall include a description and analysis, by age, sex,
      income, and geographic area, of the statistics collected under
      section 242k(b)(1)(A) of this title.''
      Subsec. (a)(3). Pub. L. 100-177, Sec. 106(a)(2), struck out ''or
    (2)'' after ''paragraph (1)''.
      Subsec. (b)(1). Pub. L. 100-177, Sec. 107(1), inserted ''and
    unless a peer review group referred to in paragraph (2) has
    recommended the application for approval'' before period at end.
      Subsec. (b)(2). Pub. L. 100-177, Sec. 107(2), added par. (2) and
    struck out former par. (2) which read as follows: ''Each
    application submitted for a grant or contract under section 242b or
    242c of this title, in an amount exceeding $50,000 of direct costs
    and for a health services research, evaluation, or demonstration
    project, shall be submitted by the Secretary for review for
    scientific merit to a panel of experts appointed by him from
    persons who are not officers or employees of the United States and
    who possess qualifications relevant to the project for which the
    application was made.  A panel to which an application is submitted
    under this paragraph shall report its findings and recommendations
    respecting the application to the Secretary in such form and manner
    as the Secretary shall by regulation prescribe.''
      Subsec. (i). Pub. L. 100-177, Sec. 108, amended subsec. (i)
    generally, substituting provisions authorizing appropriations for
    fiscal years 1988 to 1990 for carrying out activities under
    sections 242b, 242c, 242k, and 242n of this title for former
    provisions authorizing appropriations for fiscal years 1975 to 1987
    for carrying out activities under those sections.
      1984 - Subsec. (i)(1). Pub. L. 98-551, Sec. 7(a), inserted
    provisions authorizing appropriations for fiscal years ending Sept.
    30, 1985, 1986, and 1987, inserted ''and Health Care Technology
    Assessment'' after ''Research'', substituted ''and at least 10 per
    centum of such amount or $1,500,000, whichever is less, shall be
    available only for the user liaison program and the technical
    assistance program referred to in section 242c(c)(2) of this title
    and for dissemination activities directly undertaken through such
    Center'' for ''and at least 5 per centum of such amount or
    $1,000,000, whichever is less, shall be available only for
    dissemination activities directly undertaken through such Center'',
    inserted ''For health care technology assessment activities
    undertaken under subsections (b)(5), (e), (f), and (g) of section
    242c of this title the Secretary shall obligate from funds
    appropriated under this paragraph not less than $3,000,000 for the
    fiscal year ending September 30, 1985, $3,500,000 for the fiscal
    year ending September 30, 1986, and $4,000,000 for the fiscal year
    ending September 30, 1987. For grants under section 242n of this
    title the Secretary shall obligate from funds appropriated under
    this paragraph not less than $500,000 for the fiscal year ending
    September 30, 1985, $750,000 for the fiscal year ending September
    30, 1986, and $750,000 for the fiscal year ending September 30,
    1987.'', and in last sentence substituted ''for any fiscal year''
    for ''for each of the fiscal years ending September 30, 1982,
    September 30, 1983, and September 30, 1984,''.
      Subsec. (i)(2). Pub. L. 98-551, Sec. 7(b), inserted provisions
    authorizing appropriations for fiscal years ending Sept. 30, 1985,
    1986, and 1987.
      1983 - Subsec. (d). Pub. L. 97-414 inserted '', if an
    establishment or person supplying the information or described in
    it is identifiable,'' after ''No information'', and substituted
    ''such establishment or person has consented (as determined under
    regulations of the Secretary) to its use for such other purpose''
    for ''authorized by guidelines in effect under section 242k(l)(2)
    of this title or under regulations of the Secretary''.
      1981 - Subsec. (a)(2). Pub. L. 97-35, Sec. 922(a), substituted
    ''December'' for ''September'', which change had already been made
    by Pub. L. 94-273.
      Subsec. (b)(2). Pub. L. 97-35, Sec. 922(b), substituted
    ''$50,000'' for ''$35,000''.
      Subsec. (d)(2). Pub. L. 97-35, Sec. 922(c), inserted
    applicability to health care technology activities under section
    242n of this title.
      Subsec. (i)(1). Pub. L. 97-35, Sec. 917(a), 919(a)(2)(B),
    inserted provisions respecting amounts of and limitations on uses
    for appropriations for the fiscal years ending Sept. 30, 1982,
    1983, and 1984.
      Subsec. (i)(2). Pub. L. 97-35, Sec. 917(b), inserted provisions
    respecting appropriations for the fiscal years ending Sept. 30,
    1982, 1983, and 1984.
      1978 - Subsec. (a)(1). Pub. L. 95-623, Sec. 6(d)(1), required the
    report to cover the administration of section 242n of this title
    and the current state and progress of health care technology.
      Subsec. (b)(1). Pub. L. 95-623, Sec. 6(d)(2), inserted reference
    to grant or contract under section 242n of this title.
      Subsec. (d). Pub. L. 95-623, Sec. 6(d)(3), 8(b), inserted
    reference to section 242n of this title and substituted in cl. (1)
    ''statistical or epidemiological activities'' for ''statistical
    activities''; and authorized use of information for purposes other
    than for which supplied when authorized by guidelines in effect
    under section 242k(l)(2) of this title.
      Subsecs. (e), (f), (g)(2), (h)(1). Pub. L. 95-623, Sec.
    6(d)(4)-(7), inserted references to section 242n of this title.
      Subsec. (i)(1). Pub. L. 95-623, Sec. 2(a), authorized
    appropriation of $35,000,000; $40,000,000; and $45,000,000 for
    fiscal years ending Sept. 30, 1979, through 1981, and substituted
    minimum amounts of the lesser of 20 per centum of appropriated
    funds or $6,000,000 for health services research, evaluation and
    demonstration activities of the National Center for Health Services
    Research and 5 per centum of such funds or $1,000,000 for
    dissemination activities of such Center for prior similar
    requirement of 25 per centum of appropriated funds for the
    applicable fiscal years for health services research, evaluation,
    and demonstration activities of the Secretary.
      Subsec. (i)(2). Pub. L. 95-623, Sec. 2(b), authorized
    appropriation of $50,000,000; $65,000,000; and $70,000,000 for
    fiscal years ending Sept. 30, 1979, through 1981.
      1977 - Subsec. (i)(1). Pub. L. 95-83, Sec. 104(a), authorized
    appropriation of $28,600,000 for fiscal year ending Sept. 30, 1978.
      Subsec. (i)(2). Pub. L. 95-83, Sec. 104(b), authorized
    appropriation of $33,600,000 for fiscal year ending Sept. 30, 1978.
      1976 - Subsec. (a). Pub. L. 94-273 substituted ''December'' for
    ''September'' wherever appearing.
                      EFFECTIVE DATE OF 1998 AMENDMENT
      Pub. L. 105-392, title IV, Sec. 401(e), Nov. 13, 1998, 112 Stat.
    3587, provided that: ''This section (amending this section and
    sections 247b-5, 247b-6, 247c, 285f-2, 300d-1 to 300d-3, 300d-13,
    300d-32, 300k, and 300n-1 of this title) is deemed to have taken
    effect immediately after the enactment of Public Law 103-183 (Dec.
    14, 1993).''
                      EFFECTIVE DATE OF 1988 AMENDMENT
      Section 2600 of Pub. L. 100-690 provided that: ''Except as
    provided in section 2613(b)(1) (42 U.S.C. 285m note), the
    amendments made by this subtitle (subtitle G (Sec. 2600-2641) of
    title II of Pub. L. 100-690, enacting sections 285m-4 to 285m-6 of
    this title, amending this section, sections 242c, 281, 284, 284c,
    285j, 285m, 285m-1 to 285m-6, 286, 289f, 290cc-28, 290cc-36, 292h,
    294a, 295g-4, 295g-7, 295g-8b, 295h, 295h-5, 295j, 297j, 297n,
    300cc-3, 300cc-13, 300cc-17, 300cc-20, 300cc-31, 300dd-1, 300dd-3,
    300dd-8, 300dd-10, 300dd-12 to 300dd-14, 300dd-21, 300dd-32, 300ee,
    300ee-2, 300ee-5, 300ee-12, 300ee-13, 300ee-15 to 300ee-18,
    300ee-20, 300ee-22, 300ee-34, 300ff-48, and 300aaa to 300aaa-13 of
    this title, and section 393 of Title 21, Food and Drugs, enacting
    provisions set out as notes under section 285m of this title,
    amending provisions set out as notes under sections 201, 292h,
    300cc, 300ee-1, and 300ff-48 of this title, and repealing
    provisions set out as a note under section 285m of this title)
    shall take effect immediately after the enactment of the Health
    Omnibus Programs Extension of 1988 (Nov. 4, 1988).''
                      EFFECTIVE DATE OF 1987 AMENDMENT
      Section 106(c) of Pub. L. 100-177 provided that: ''The amendments
    made by subsections (a) and (b) (amending this section and section
    242p of this title) shall apply to reports and profiles required to
    be submitted after November 1, 1987.''
    MINE WORKERS STUDY; REPORT COMPLETED AND SUBMITTED NO LATER THAN 30
                       MONTHS AFTER NOVEMBER 9, 1978
      Section 10 of Pub. L. 95-623, as amended by S. Res. 30, Mar. 7,
    1979; H. Res. 549, Mar. 25, 1980, required the Secretary, acting
    through the National Center for Health Services Research, to
    arrange for the conduct of a study to evaluate the impact upon the
    utilization of health services by and the health status of members
    of the United Mine Workers and their dependents as a result of
    changes in the United Mine Workers' collective-bargaining
    agreements of Mar. 1978 with a report to be submitted to the
    Secretary and specific committees of the Senate and House of
    Representatives within 30 months after Nov. 9, 1978.
      AUTHORIZATION OF APPROPRIATIONS FOR FISCAL YEAR ENDING JUNE 30,
                                    1977
      Section 107(b) of Pub. L. 93-353 provided that: ''The
    authorizations of appropriations provided by section 308(i) of the
    Public Health Service Act (subsec. (i) of this section) is extended
    for the fiscal year ending June 30, 1977, in the amounts authorized
    for the preceding fiscal year unless before June 30, 1976, Congress
    has passed legislation repealing this subsection.''
 
-SECREF-
                   SECTION REFERRED TO IN OTHER SECTIONS
      This section is referred to in sections 242k, 242p of this title.



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