Page:United States Statutes at Large Volume 112 Part 5.djvu/812

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112 STAT. 3570 PUBLIC LAW 105-392—NOV. 13, 1998 of grants and contracts under section 831 as such section was in effect for fiscal year 1998. "(B) FISCAL YEARS 1999 THROUGH 2002.— Of the amount appropriated under subsection (a) for fiscal year 1999 or any of the fiscal years 2000 through 2002, the Secretary, subject to subsection (d), shall reserve for the fiscal year involved, for making awards of grants and contracts under part B with respect to nurse anesthetists, not less than the percentage constituted by the ratio of the amount appropriated under section 831 as such section was in effect for fiscal year 1998 to the total of the amounts appropriated under this title for such fiscal year. For purposes of the preceding sentence, the Secretary, in determining the amount that has been reserved for the fiscal year involved, shall include any amounts appropriated under subsection (a) for the fiscal year that are obligated by the Secretary to continue in effect grants or contracts under section 831 as such section was in effect for fiscal year 1998. " (c) ALLOCATIONS AFTER FISCAL YEAR 2002. — "(1) IN GENERAL.—For fiscal year 2003 and subsequent fiscal years, amounts appropriated under subsection (a) for the fiscal year involved shall be allocated by the Secretary among parts B, C, and D (and programs within such parts) according to a methodology that is developed in accordance with paragraph (2). The Secretary shall enter into a contract with a public or private entity for the purpose of developing the methodology. The contract shall require that the development of the methodology be completed not later than February 1, 2002. "(2) USE OF CERTAIN FACTORS. — The contract under paragraph (1) shall provide that the methodology under such paragraph will be developed in accordance with the following: "(A) The methodology will take into account the need for and the distribution of health services among medically underserved populations, as determined according to the factors that apply under section 330(b)(3). "(B) The methodology will take into account the need for and the distribution of health services in health professional shortage areas, as determined according to the factors that apply under section 332(b). "(C) The methodology will take into account the need for and the distribution of mental health services among medically underserved populations and in health professional shortage areas. "(D) The methodology will be developed in consultation with individuals in the field of nursing, including registered nurses, nurse practitioners, nurse miciwives, nurse anesthetists, clinical nurse specialists, nursing educators and educational institutions, nurse executives, pediatric nurse associates and practitioners, and women's health, obstetric, and neonatal nurses. "(E) The methodology will take into account the following factors with respect to the States: "(i) A provider population ratio equivalent to a managed care formula of 1/1,500 for primary care services.