Page:United States Statutes at Large Volume 87.djvu/959

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[87 STAT. 927]
PUBLIC LAW 93-000—MMMM. DD, 1973
[87 STAT. 927]

87 STAT. ]

PUBLIC LAW 93-222-DEC. 29, 1973

927

loan (directly made or guaranteed), the total cost of the undertaking in connection with which such assistance was given or used, the amount of that portion of the cost of the undertaking supplied by other sources, and such other records as will facilitate an effective audit. "(2) The Secretary, or any of his duly authorized representatives, shall have access for the purpose of audit and examination to any books, documents, papers, and records of the recipients of a grant, contract, loan, or loan guarantee under this title which relate to such assistance. " (b) Upon expiration of the period for which a grant, contract, s^^^°^^J^lf HEW, Secretary of loan, or loan guarantee was provided an entity under this title, such entity shall make a full and complete report to the Secretary in such manner as he may by regulation prescribe. Each such report shall contain, among such other matters as the Secretary may by regulation require, descriptions of plans, developments, and operations relating to the matters referred to in section 1306(b)(3). "(c) If in any fiscal year the funds appropriated under section 1309 are insufficient to fund all applications approved under this title for that fiscal year, the Secretary shall, after applying the applicable priorities under sections 1303 and 1304, give priority to the funding of applications for projects which the Secretary determines are the most likely to be economically val. " (d) An entity which provides health services to a defined population on a prepaid basis and which has members who are entitled to insurance benefits under title X VIII of the Social Security Act or to '^^ ^*^*- 29i; medical assistance under a State plan approved under title X IX of 42 USC 1395. such Act may be considered as a health maintenance organization for 42 USC 1396. purposes of receiving assistance under this title if— "(1) with respect to its members who are entitled to such insurance benefits or to such medical assistance it (A) provides health services in accordance with section 1301(b), except that (i) it does not furnish to those members the health services (within the basic health services) for which it may not be compensated under such title X VIII or such State plan, and (ii) it does not fix the basic or supplemental health services payment for such members under a community rating system, and (B) is organized and operated in the manner prescribed by section 1301(c), except that it does not assume full financial risk on a prospective basis for the provision to such members of basic or supplemental health services with respect to which it is not required under such title X VIII or such State plan to assume such financial risk; and " (2) with respect to its other members it provides health services in accordance with section 1301(b) and is organized and operated in the manner prescribed by section 1301(c). "(e) In any fiscal year no loan guarantee may be made under this title if the making of such guarantee would cause the cumulative total of the principal of the loans guaranteed under this title in such fiscal year to exceed the amount of grant and contract funds obligated under this title in such fiscal year; except that this subsection shall not apply if the amount of grant and contract funds obligated under this title in such fiscal year equals the sums appropriated under section 1309 for grants and contracts for such fiscal year. "GENERAL PROVISIONS RELATING TO LOAN GUARANTEES AND LOANS

"SEC, 1308. (a)(1) The Secretary may not approve an application for a loan guarantee under this title unless he determines, that (A) the terms, conditions, security (if any), and schedule and amount of repayments with respect to the loan are sufficient to protect the finan-