PUBLIC LAW 101-354—AUG. 10, 1990 104 STAT. 411 "(3) to ensure that, by the end of any second fiscal year of payments pursuant to the grant, each of the services or activities described in section 1501(a) is provided; and "(4) to ensure that not more than 40 percent of the grant is expended to provide the services or activities described in paragraphs (3) through (6) of such section. " (b) USE OF IMPROVED SCREENING PROCEDURES. —The Secretary may not make a grant under section 1501 unless the State involved agrees that, if any screening procedure superior to a procedure described in subsection (a)(2) becomes commonly available and is recommended for use, any entity providing screening procedures pursuant to the grant will utilize the superior procedure rather than the procedure described in such subsection. " (c) QUALITY ASSURANCE REGARDING SCREENING FOR BREAST CANCER. —The Secretary may not make a grant under section 1501 unless the State involved agrees that the State will assure the quality of any screening procedure for breast cancer conducted pursuant to such section and, in the case of mammography, will provide that— "(1) the equipment used to perform the mammography will be specifically designed for mammography and will meet appropriate radiologic standards for mammography; "(2) the mammography will be performed by an individual who— "(A) is licensed by a State to perform radiological procedures; or "(B) is certified as qualified to perform radiological procedures by an appropriate orgemization; "(3) the results of the mammography will be interpreted by a physician who— "(A) is certified as qualified to interpret radiological procedures by an appropriate board; or "(B) is certified as qualified to interpret screening mammography procedures by an appropriate program for assuring the qualifications of the individual with respect to such interpretations; and "(4) with respect to the first screening mammography performed on a woman for which payment is made pursuant to section 1501(a), there are satisfactory assurances that the results of the mammc^aphy will be placed in permanent medical records maintained with respect to the woman. " (d) QUALITY ASSURANCE REGARDING SCREENING FOR CERVICAL CANCER. —The Secretary may not make a grant under section 1501 unless the State involved agrees that the State will assure the quality of any screening procedure for cervical cancer conducted pursuant to such section and, in the case of the pap smear (or other cytological screening procedure replacing the pap smear pursuant to subsection Ob)), will provide— . , "(1) the maximum number of cytology slides that anyindividual may screen in a 24-hour period; "(2) requirements that a clinical laboratory maintain a record Records. . . '=;"• of^- "(A) the number of cytology slides screened during each 24-hour period by each individual who examines C3rtology slides for the laboratory; and
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, "(B) the number of hours devoted during each 24-hour period to screening cytolc^y slides by such individual;
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