Page:United States Statutes at Large Volume 92 Part 3.djvu/940

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PUBLIC LAW 95-000—MMMM. DD, 1978

92 STAT. 3572

PUBLIC LAW 95-626—NOV. 10, 1978

"(II) the product of $1.50 and the population of the area served by such entity (as such population and area j.:-.'f 5 'i\isH'- • may be determined pursuant to guidelines established by »* ' the Secretary); and "(ii) amounts which a local public health entity would A'i 't,4K?<|A receive under clause (i)(I) which are in excess of the applicable amount computed under clause (i) (II) shall be distributed for comprehensive public health services within communities which have the greatest need for such services v;o I?'»?•}• as determined by the State health authority pursuant to guidelines established by the Secretary. "Applicable For purposes of subparagraph (D)(i)(I), the term 'applicable grant grant computation percentage' means the percentage applicable under paracomputation^ graph (4)(A)(i) (II) to the computation of the amount of a grant percentage. under paragraph (1). Annual review. "(3)(A) The Secretary shall review annually the activities undertaken by each State health authority with an approved application under this subsection to determine if the authority complied with the assurances provided with the application. The Secretary may not approve an application submitted under paragraph (2) if the Secretary determines— "(i) that the State health authority for which the application was submitted did not comply with assurances provided with a ar i prior application under paragraph (2), and "(ii) that he cannot be assured that the authority will comply with the assurances provided with the application under consideration. "(B) Whenever the Secretary, after reasonable notice and opportunity for a hearing to the State health authority of a State, finds that, with respect to funds paid to the authority under a grant under paragraph (1), there is a failure to comply with assurances provided under paragraph (2) with respect to the receipt of such grant, the Secretary shall notify the authority that further payments will not be made to it under such grant (or in his discretion that further payments will not be made to it from such grant for activities in which there is such failure), until he is satisfied that there will no longer be such failure. Until he is so satisfied, the Secretary shall make no payment to such authority from such grant or shall limit payment under such grant to activities in which there is no such failure. "(4)(A) The total amount of grants received by a State health authority under paragraph (1) in any fiscal year shall be the greater of the amount determined under clause (i) or (ii) as follows:

"(i) The total amount of grants to a State health authority in a fiscal year shall be the lesser of— " (I) an amount determined by the Secretary which may not be less than the product of $1.00 and the population of the State served by such authority or more than the product of $1.50 and such population, or " ( II) in the case of the fiscal year ending September 30, 1980,10 percent of the amount of State and local expenditures for comprehensive public health services within the State in the State's fiscal year which ended on or before July 1, 1979, in the case of the fiscal year ending September 30, 1981, 15 percent of the amount of such expenditures in the State's fiscal year which ended on or before July 1, 1980, and in the •fiu'K. case of the fiscal year ending September 30, 1982, 20 percent