Page:United States Statutes at Large Volume 90 Part 2.djvu/803

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PUBLIC LAW 94-000—MMMM. DD, 1976

PUBLIC LAW 94-484—OCT. 12, 1976 public facility under consideration for designation, with special consideration to indicators of— " (A) infant mortality, "(B) access to health services, and "(C) health status. "(3) The percentage of physicians serving an area, population group, medical facility, or other public facility under consideration for designation who are employed by hospitals and who are graduates of foreign medical schools. "(c) In determining whether to make a designation, the Secretary shall take into consideration the following: "(1)(A) The recommendations of each health systems agency (designated under section 1515) for a health service area which includes all or any part of the area, population group, medical facility, or other public facility under consideration for designation. "(B) The recommendations of the State health planning and development agency (designated under section 1521) if such area, population group, medical facility, or other public facility is within a health service area for which no health systems agency has been designated. "(2) The recommendations of the Governor of each State in which the area, population group, medical facility, or other public facility under consideration for designation is in whole or part located. "(d) In accordance with the criteria established under subsection (b) and the considerations listed in subsection (c), the Secretary shall designate, not later than November 1, 1977, health manpower shortage areas in the States, publish a descriptive list of the areas, population groups, medical facilities, and other public facilities so designated, and at least annually review and, as necessary, revise such designations. "(e) Prior to the designation of a public facility, including a Federal medical facility, as a health manpower shortage area, the Secretary shall give written notice of such proposed designation to the chief administrative officer of such facility and request comiments within 30 days with respect to such designation. "(f) The Secretary shall give written notice of the designation of a health manpower shortage area, not later than 60 days from the date of such designation, to— "(1) the Governor of each State in which the area, population group, medical facility, or other public facility so designated is in whole or part located; "(2)(A) each health systems agency (designated under section 1515) for a health service area which includes all or any part of the area, population group, medical facility, or other public facility so designated; or " (B) the State health planning and development agency of the State (designated under section 1521) if there is a part of such area, population group, medical facility, or other public facility within a health service area for which no health systems agency has been designated; and " (3) appropriate public or nonprofit private entities which are located or which have a demonstrated interest in the area so designated. "(g) Any person may recommend to the Secretary the designation of an area, population group, medical facility, or other public facility as a health manpower Mortage area.

90 STAT. 2271

Recommendations.

42 USC 300/-^!..

42 USC 300m.

List, publication.

Notice,

Notice,