71 S T A T. ]
PUBLIC LAW 85-151-AUG. 16, 1957
371
SEC. 2. The amount of such financial assistance shall not exceed 3^^^*^"°"°" that portion of the reasonable cost of the construction project which is attributable to the Indian health needs, as determined by the Surgeon General: Provided, That in determining, for the purposes of this Act, the portion of the cost of the construction project attributable to Indian health needs, the Surgeon General shall take into account only those categories of Indians for which hospital and medical care, including outpatient care and field health services, is being provided by or at the expense of the Public Health Service on the date of enactment of this Act. SEC. 3. As a condition to providing assistance under section 1, the condition. Surgeon General shall— (a) rec[uire plans and specifications meeting such standards of construction and equipment as he may prescribe, and (b) obtain such assurances and agreements as in his judgment are equitable in the light of the financial assistance provided under this Act and are necessary to assure the availability of the facility for the provision of hospital and medical care to Indians and to assure that the hospital is operated in compliance with State standards for operation and maintenance of hospitals which receive Federal aid under title VI of the Public Health Service Act (42 U.S.C. ch. 6A, subch. IV). H USC 291-29 m. SEC. 4. The Surgeon General shall make payments under section 1 Payment, in advance or by way of reimbursement and in such installments consistent with construction progress, as lie may determine. SEC. 5. Neither assistance provided under this Act for meeting part conitruit'ioi^ild?' of the cost of construction of a hospital project, nor the giving of any assurance required as a condition of such assistance, shall be construed as affecting in any way the eligibility of such project for aid under title VI of the Public Health Service Act or any other Federal Act authorizing financial aid in the construction of such project, but construction costs met with Federal funds made available under this Act shall not be included in the cost of construction in which the Federal Government shares under such title VI or other Federal Act. SEC. 6. As used in this Act: Definitions. (a) "Hospital" includes diagnostic or treatment centers and general hospitals, and related facilities, such as laboratories, outpatient departments, nurses' home and training facilities, and central service facilities operated in connection with hospitals, but does not include any hospital furnishing primarily domiciliary care; (b) "Diagnostic or treatment center" means a facility for the diagnosis or diagnosis and treatment of ambulatory patients— (1) which is operated in connection with a hospital, or (2) in which patient care is under the professional supervision of persons licensed to practice medicine or surgery in the State, or, m the case of dental diagnosis or treatment, under the professional supervision of persons licensed to practice dentistry in the State. (c) "Nonprofit" means owned or operated by one or more corporations or associations no part of the net earnings of which inures, or niay lawfully inure, to the benefit of any private shareholder or individual. (d) "Construction" means construction of new buildings, expansion, remodeling, and alteration of existing buildings, and initial equi]3ment of any such buildings (including medical transportation facilities), including architects and engineering fees, but excluding le^al fees, the cost of off-site improvements and the cost of the acquisition of land.
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