PUBLIC LAW 101-239—DEC. 19, 1989 103 STAT. 2251 (1) by striking "or" before "b/'; and (2) by inserting "or by a clinical social worker (as defined in subsection (hhXD)," after "Secretary)". (c) EbcPANSiON OF EuGiBLE AREAS.—The second sentence of section 1861(aaX2) of such Act is amended— (1) by striking "designated by the Secretary" and inserting "designated by the chief executive officer of the State and certified by the Secretary as an area with a shortage of personal health services, or that is designated by the Secretary"; (2) by striking "section 1302(7) of the Public Health Service Act or" and inserting "section 330(b)(3) or 1302(7) of the Public Health Service Act,"; and (3) by striking "medical care manpower," and inserting the following: "medical care manpower, (m) as a high impact area described in section 329(a)(5) of that Act, or (IV) as an area which includes a population group which the Secretary deter- mines has a health manpower shortage under section 332(a)(l)(B) of that Act,". (d) EFFECTIVE DATE. — The amendments made by subsections (a) through (c) of this section shall take effect October 1, 1989. (e) DISSEMINATION OF RURAL HEALTH CUNIC INFORMATION.— (1) IN GENERAL.—Not later than 60 days after the date of the enactment of this Act, the Secretary of Health and Human Services, in consultation with the Director of the Office of Rural Health Policy, shall disseminate to health care facilities and to the chief executive officer, chief health officer, and chief human services officer of each State, applications and other necessary information to enable such a facility to apply for designation as a rural health clinic for the purposes of titles XVIII and XIX of the Social Security Act. (2) DEFINITIONS. — For purposes of this subsection: (A) The term "health care facility" means a community health center or a migrant health center, or a hospital, home health agency, or skilled nursing facility participat- ing in a program established under title XVIII or title XIX of the Social Security Act. (B) The term "State" includes the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, Guam, and American Samoa. (f) TREATMENT OF CERTAIN FACILITIES AS RURAL HEALTH (DLINICS. — The Secretary of Health and Human Services shall not deny certifi- cation of a facility as a rural health clinic under section 1861(aaX2) of the Social Security Act if the facility is located on an island and would otherwise be qualified to be certified as such a facility but for the requirement that the services of a physician assistant or nurse practitioner be provided in the facility. (g) EbcPANSiON OF FUNCTIONS OF OFFICE OF RURAL HEALTH PoucY.—Section 711(b) of the Social Security Act (42 U.S.C. 912(b)) is amended— (1) in paragraph (2)(A), by striking "health care issues" and inserting "heiedth care issues, including rural mental health, rural infant mortality prevention, and rural occupational safety and preventive health promotion"; (2) in paragraph (2)(C), by striking "rural areas" and inserting "rural areas, including programs providing community-based mental health services, pre-natal and infant care services, and 42 USC 1395x. 42 USC 1395x note. State and local governments. 42 USC 1395x note. 42 USC 1395x note.
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