PUBLIC LAW 107-251—OCT. 26, 2002 116 STAT. 1623 and develop practice management networks that will enable the centers to— "(i) reduce costs associated with the provision of health care services; "(ii) improve access to, and availability of, health care services provided to individuals served by the centers; "(iii) enhance the quality and coordination of health care services; or "(iv) improve the health status of communities. "(D) USE OF FUNDS. — The activities for which a grant may be made under subparagraph (B) or (C) may include the purchase or lease of equipment, which may include data and information systems (including paying for the costs of amortizing the principal of, and paying the interest on, loans for equipment), the provision of training and technical assistance related to the provision of health care services on a prepaid basis or under another managed care arrangement, and other activities that promote the development of practice management or managed care networks and plans."; (4) in subsection (d)— (A) by striking the subsection heading and inserting " LOAN GUARANTEE PROGRAM.— "; (B) in paragraph (1)— (i) in subparagraph (A), by striking "the principal and interest on loans" and all that follows through the period and inserting "up to 90 percent of the principal and interest on loans made by non-Federal lenders to health centers, funded under this section, for the costs of developing and operating managed care networks or plans described in subsection (c)(1)(B), or practice management networks described in subsection (c)(1)(C)."; (ii) in subparagraph (B)— (I) in clause (i), by striking "or"; (II) in clause (ii), by striking the period and inserting "; or"; and (III) by adding at the end the following: "(iii) to refinance an existing loan (as of the date of refinancing) to the center or centers, if the Secretary determines— "(I) that such refinancing will be beneficial to the health center and the Federal Government; "(II) that the center (or centers) can demonstrate an ability to repay the refinanced loan equal to or greater than the ability of the center (or centers) to repay the original loan on the date the original loan was made."; and (iii) by adding at the end the following: " (D) PROVISION DIRECTLY TO NETWORKS OR PLANS.— At the request of health centers receiving assistance under this section, loan guarantees provided under this paragraph may be made directly to networks or plans that are at least majority controlled and, as applicable, at least majority owned by those health centers.