88
STAT.
]
PUBLIC LAW 93-641-JAN. 4, 1975
" (C) increases in costs of the provision of health care have been restrained. " (d) The Secretary shall review in detail at least every three years the structure, operation, and performance of the functions of each designated State Agency to determine— "(1) the adequacy of the State health plan of the Statewide Health Coordinating Council prepared under section 1524(c)(2) in meeting the needs of the residents of the State for a healthful environment and for accessible, acceptable, and continuous quality health care at reasonable costs; "(2) if the structure, operation, and performance of the functions of the State Agency meet the requirements of sections 1522 and 1523; "(3) the extent to which the Statewide Health Coordinating Council has a membership meeting, and has performed in a manner consistent with, the requirements of section 1524; "(4) the professional credentials and competence of the staff of the State Agency; "(5) the extent to which financial assistance provided under title X VI by the State Agency has been used in an effective manner to achieve the State's health plan under section 1524(c)(2); and " (6) the extent to which it may be demonstrated that— " (A) the health of the residents of the State has been improved; " (B) the accessibility, acceptability, continuity, and quality of health care in the State has been improved; and " (C) increases in costs of the provision of health care have been restrained. ((SPECIAL
2257
^°^ P- ^258.
PROVISIONS FOR CERTAIN STATES A N D TERRITORIES
"SEC. 1536. (a) Any State which— "(1) has no county or municipal public health institution or department, and "(2) has, prior to the date of enactment of this title, maintained a health planning system which substantially complies with the purposes of this title, and the Virgin Islands, Guam, the Trust Territories in the Pacific Islands, and American Samoa shall each be considered in accordance with subsection (b) to be a State for purposes of this title. " (b) In the case of an entity which under subsection (a) is to be considered a State for purposes of this title— "(1) no health service area shall be established within it, "(2) no health systems agency shall be designated for it, "(3) the State Agency designated for it under section 1521 may, in addition to the functions prescribed by section 1523, perform the functions prescribed by section 1513 and shall be eligible to receive grants authorized by sections 1516 and 1640, and "(4) the chief executive office shall appoint the Statewide Health Coordinating Council prescribed by section 1524 in accordance with the regulation of the Secretary."
42 USC aoon-s.
REVISION OF H E A L T H RESOURCES DEVELOPMENT PROGRAMS UNDER THE P U B L I C H E A L T H SERVICE ACT
SEC. 4. The Public Health Service Act, as amended by section 3, is amended by adding after title X V the following new title:
Ante,
p. 2227.
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