90 STAT. 2710
Certain geographical areas, exclusion.
42 USC 300d-l. Reports to HEW and Interagency Committee on Emergency Medical Services. 42 USC 300d-8.
42 USC 300/-4.
PUBLIC LAW 94-573—OCT. 21, 1976 " (B) if such system is the system of a State for which system a study and planning g r a n t or contract has been made or entered into under subsection (a) and if the entity is that State, to u p date the plan of such system to improve the delivery of emergency medical services in r u r a l areas and to medically underserved populations of the State. " (2) I f the Secretary makes a g r a n t or enters into a contract under paragraph (1) respecting an emergency medical services system for a particular geographical area, the Secretary may not make any other g r a n t or enter into any other contract under paragraph (1) respecting such system, or respecting any other such system for the same area or for an area which includes (in whole or substantial part) such area.". (b) Section 1202 is amended— (1) by amending subsection (c) to read as follows: " (c) A n eligible entity which has received a g r a n t from or entered into a contract with the Secretary under this section shall submit to the Secretary and the Interagency Committee on Emergency Medical Services (established under section 1209) a report on the results of such g r a n t or contract at such intervals as the Secretary may prescribe, and shall submit to the Secretary and such Committee a final report on the results of such g r a n t or contract not later than one year after the date the g r a n t was made or the contract was entered into, as the case may be."; (2) by amending paragraph (1) of subsection (d) to read as follows: " (1) demonstrate to the satisfaction of the Secretary the need of the area for the emergency medical services system for which the application is m a d e; "; (3) by amending clause (A) of subsection (d)(3) to read as follows: " (A) with each section 1515 health systems agency whose health systems plan covers or will cover (in whole or in part) such area, and "; and (4) by adding at the end thereof the following new subsection: " (f) The Secretary may not obligate or expend in any fiscal year for grants and contracts made or entered into under subsection (b)(1) an amount greater than 50 per centum of the sums appropriated in such year for g r a n t s and contracts made or entered into under this section.". I N I T I A L OPERATION AND KSTABLTSHMKNT GRANTS
42 USC 300d-2.
SEC. 4. Section 1203 is amended— (1) by inserting " a t least" in subsection (c)(2) before "nine months ' ", and by striking out " h i s " in such subsection and inserting in lieu thereof " i t s "; (2) by striking out " June 30, 1976" in subsection (c)(3) and inserting in lieu thereof "September 30, 1979"; and (3) by adding at the end thereof the following new subsections: " (d) A g r a n t or contract may not be made to or entered into with an entity under this section with respect to an emergency medical services system unless the entity submits with its application for such g r a n t or contract assurances of the participation in and support of the system by the public, private, and vohmteer organizations and entities which are associated with and involved in activities essential to the effective provision of emergency medical services in the system's service area. " (e)(1) A first g r a n t or contract may not be made to or entered into with an entity under this section with respect to an emergency medical services system unless the entity submits with its application for such g r a n t or contract assurances, from the executive or legisla-
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