CHAPTER 6A-PUBLIC HEALTH SERVICE
SUBCHAPTER I-ADMINISTRATION AND MISCELLANEOUS PROVISIONS
Part A-Administration
(a)
Deputy Surgeon General.
(b)
Assistant Surgeons General.
(c)
Creation of temporary positions as Assistant Surgeons General.
(d)
Designation of Assistant Surgeon General with respect to absence, disability, or vacancy in offices of Surgeon General and Deputy Surgeon General.
(a)
Grades of commissioned officers.
(b)
Titles of medical officers.
(c)
Repealed.
(d)
Maximum number in grade for each fiscal year.
(e)
Exception to grade limitations for officers assigned to Department of Defense.
(f)
Exception to maximum number limitations for officers assigned to Department of Defense.
(a)
Original appointments to Regular and Reserve Corps; limitation on appointment and call to active duty.
(b)
Grade and number of original appointments.
(c)
Issuance of commissions.
(d)
Date of appointment; credit for service.
(e)
Reappointment; credit for service.
(f)
Special consultants.
(g)
Designation for fellowships; duties; pay.
(h)
Aliens.
(i)
Civil service appointments by Secretary.
(a)
Commissioned officers of Regular and Reserve Corps; special pay for active duty; incentive special pay for Public Health Service nurses.
(b)
Purchase of supplies.
(c)
Members of national advisory or review councils or committees.
(d)
Field employees.
(e)
Additional pay for service at Gillis W. Long Hansen's Disease Center.
(f)
Allowances included in fellowships.
(g)
Positions in professional, scientific and executive service; compensation; appointment.
(a)
Regulations.
(b),
(c) Repealed.
(d)
Definitions.
(a)
Division of corps; basis of categories.
(b)
Assignment of officers.
(c)
Maximum number of officers in each category.
(d)
Vacancies in grade for purposes of promotion.
(e)
Absence of vacancy in grade as affecting promotion.
(f)
Vacancy in grade as affecting maximum number for each category.
(a)
Permanent or temporary promotions; examination.
(b)
Promotion to certain grades only to fill vacancies; regulations; "restricted grade" defined.
(c)
Examinations.
(d)
Permanent promotions to qualified officers on length of service.
(e)
Promotion of professional category officers to fill certain vacancies.
(f)
Reexamination upon failure of promotion; effective date of promotion.
(g)
Separation from service upon failure of promotion.
(h)
Separation from service upon refusal to stand examination.
(i)
Review of record; separation from service.
(j)
Determination of order of seniority.
(k)
Temporary promotions; fill vacancy in higher grade; war or national emergency; selection of officers; termination of appointment.
(l)
Determination of requirements of Service by Secretary; assignment of Reserve Officers to professional categories; temporary promotions; termination of temporary promotions.
(m)
Acceptance of promotion; oath and affidavit.
(a)
Age; voluntariness; length of service; computation of retired pay.
(b)
Basic pay of highest temporary grade.
(c)
Recall to active duty.
(d)
"Active service" defined.
(e)
Crediting of part of year.
(f)
Retirement or separation for physical disability.
(a)
Rights, privileges, immunities, and benefits accorded to commissioned officers or their survivors.
(b)
Award of decorations.
(c)
Authority of Surgeon General.
(d)
Active service deemed active military service with respect to laws administered by Secretary of Veterans Affairs.
(e)
Active service deemed active military service with respect to Soldiers' and Sailors' Civil Relief Act of 1940.
(f)
Active service deemed active military service with respect to anti-discrimination laws.
(a)
Presentation of flag.
(b)
Multiple presentations not authorized.
(c)
No cost to recipient.
(a)
Other Government departments.
(b)
State health or mental health authorities.
(c)
Congressional committees and nonprofit educational, research, or other institutions engaged in health activities for special studies and dissemination of information.
(d)
Availability of funds; reimbursement by State; detailed services deemed service for computation of pay, promotion, etc.
(a)
Prescription by President: appointments, retirement, etc.
(b)
Promulgation by Surgeon General; administration of Service.
(c)
Preference to school of medicine.
(a)
Appointment; purpose.
(b)
Compensation and allowances of members not full-time employees of United States.
(c)
Delegation of functions.
(a)
Appointment; duties.
(b)
Membership.
(c)
Terms of office.
(d)
Applicability of section 14(a) of Federal Advisory Committee Act.
(a)
In general.
(b)
Voluntary separation within period subsequent to attendance.
(c)
Training in leave without pay status.
(a)
Exclusiveness of remedy.
(b)
Attorney General to defend action or proceeding; delivery of process to designated official; furnishing of copies of pleading and process to United States attorney, Attorney General, and Secretary.
(c)
Removal to United States district court; procedure; proceeding upon removal deemed a tort action against United States; hearing on motion to remand to determine availability of remedy against United States; remand to State court or dismissal.
(d)
Compromise or settlement of claim by Attorney General.
(e)
Assault or battery.
(f)
Authority of Secretary or designee to hold harmless or provide liability insurance for assigned or detailed employees.
(g)
Exclusivity of remedy against United States for entities deemed Public Health Service employees; coverage for services furnished to individuals other than center patients; application process; subrogation of medical malpractice claims; applicable period; entity and contractor defined.
(h)
Qualifications for designation as Public Health Service employee.
(i)
Authority of Attorney General to exclude health care professionals from coverage.
(j)
Remedy for denial of hospital admitting privileges to certain health care providers.
(k)
Estimate of annual claims by Attorney General; criteria; establishment of fund; transfer of funds to Treasury accounts.
(l)
Timely response to filing of action or proceeding.
(m)
Application of coverage to managed care plans.
(n)
Report on risk exposure of covered entities.
(o)
Volunteer services provided by health professionals at free clinics.
(a)
Establishment; composition; chairman.
(b)
Function.
(c)
Duties with respect to drugs for rare diseases or conditions.
(d)
Consultation.
(e)
Annual report; contents.
(a)
Creation; number of members.
(b)
Appointments; qualifications; provisions inapplicable to members.
(c)
Performance appraisal system.
(d)
Pay of members.
(e)
Contribution to retirement system of institutions of higher education.
(f)
Career and noncareer appointment of certain individuals.
(g)
Rules and regulations.
Part B-Miscellaneous Provisions
(a)
Acceptance by Secretary.
(b)
Depository of funds; availability for expenditure.
(c)
Evidences of unconditional gifts of intangible property.
(d)
Real property or tangible personal property.
(a)
In general.
(b)
Report on evaluations.
(a)
Right of United States to recover base amount plus interest.
(b)
Notice of sale, transfer, or change.
(c)
Base amount; interest.
(d)
Waiver of recovery rights.
(e)
Pre-judgment lien.
(a)
Contracting authority.
(b)
Contracting prerequisites.
(c)
Advances under contracts.
(d)
Applicable statutory provisions.
(e)
"Fiscal agent" defined.
(a)
In general.
(b)
Accreditation of postgraduate physician training programs.
(c)
Definitions.
SUBCHAPTER II-GENERAL POWERS AND DUTIES
Part A-Research and Investigations
(a)
Authority of Secretary.
(b)
Testing for carcinogenicity, teratogenicity, mutagenicity, and other harmful biological effects; consultation.
(c)
Diseases not significantly occurring in United States.
(d)
Protection of privacy of individuals who are research subjects.
(a)
Clinical training and instruction and clinical traineeships; stipends and allowances; research projects.
(b)
Effect of treaties and other international agreements on confidentiality.
(c)
Grants to public and other nonprofit institutions.
(d)
Obligatory service for traineeships.
(a)
Scope of activities.
(b)
Additional authority; scope of activities.
(c)
Coordination of activities through units of Department.
(a)
Establishment; appointment of Director; statistical and epidemiological activities.
(b)
Duties.
(c)
Statistical and epidemiological compilations and surveys.
(d)
Technical aid to States and localities.
(e)
Cooperative Health Statistics System.
(f)
Federal-State cooperation.
(g)
Collection of health data; data collection forms.
(h)
Registration area records.
(i)
Technical assistance in effective use of statistics.
(j)
Coordination of health statistical and epidemiological activities.
(k)
National Committee on Vital and Health Statistics; establishment; membership; term of office; compensation; functions; consultations of Secretary with Committee and professional advisory groups.
(l)
Data specific to particular ethnic and racial populations.
(m)
Grants for assembly and analysis of data on ethnic and racial populations.
(n)
Authorization of appropriations.
(a)
Cooperative endeavors; statement of purpose.
(b)
Authority of Secretary; building construction prohibition.
(c)
Benefits for overseas assignees.
(a)
Reports to Congress and President; preparation; review by Office of Management and Budget.
(b)
Grants or contracts; applications, submittal; application peer review group, findings and recommendations; necessity of favorable recommendation; appointments.
(c)
Development and dissemination of statistics.
(d)
Information; publication restrictions.
(e)
Payment procedures; advances or reimbursement; installments; conditions; reductions.
(f)
Contracts without regard to section 3324 of title 31 and section 5 of title 41.
(a)
Establishment.
(b)
Duties.
(c)
Provision of information to public.
(a)
Composition.
(b)
Chair.
(c)
Quorum.
(d)
Meetings.
(e)
Compensation and expenses.
(a)
In general.
(b)
Availability to public.
Part B-Federal-State Cooperation
(a)
Enforcement of quarantine regulations; prevention of communicable diseases.
(b)
Comprehensive and continuing planning; training of personnel for State and local health work; fees.
(c)
Development of plan to control epidemics and meet emergencies or problems resulting from disasters; cooperative planning; temporary assistance; reimbursement of United States.
(a)
Comprehensive health planning and services.
(b)
Project grants for areawide health planning; authorization of appropriations; prerequisites for grants; application; contents.
(c)
Project grants for training, studies, and demonstrations; authorization of appropriations.
(a)
Establishment; priorities.
(b)
National network to coordinate groups.
(a)
Grant authority.
(b)
Application.
(c)
Approval; annual project review.
(d)
Amount of grant; payment.
(e)
Reduction.
(f)
Recordkeeping; audit authority.
(g)
Use of grant funds; mandatory treatment prohibited.
(h)
Reports.
(i)
Technical assistance.
(j)
Authorization of appropriations.
(k)
Additional grants to States, political subdivisions, and other public and nonprofit private entities.
(a)
Authority for grants.
(b)
Status as medicaid provider.
(c)
Priority in making grants.
(d)
Grant application.
(e)
Relationship to services and activities under other programs.
(f)
Method and amount of payment.
(g)
Supplies, equipment, and employee detail.
(h)
Records.
(i)
Audit and examination of records.
(j)
Annual report.
(k)
Indian tribes.
(l)
Funding.
(a)
Prevention.
(b)
Technology assessment and epidemiology.
(a)
In general.
(b)
Additional provisions regarding collection of data.
(c)
Grants and contracts.
(d)
Biennial report.
(e)
Applicability of privacy laws.
(f)
Authorization of appropriations.
(a)
Definitions.
(b)
Purposes.
(c)
Statewide newborn and infant hearing screening, evaluation and intervention programs and systems.
(d)
Technical assistance, data management, and applied research.
(e)
Coordination and collaboration.
(f)
Rule of construction.
(g)
Authorization of appropriations.
(a)
In general.
(b)
Requirement of matching funds.
(c)
Education on significance of early detection.
(d)
Requirement of provision of all services by date certain.
(e)
Additional required agreements.
(f)
Reports to Secretary.
(g)
Description of intended uses of grant.
(h)
Requirement of submission of application.
(i)
Method and amount of payment.
(j)
Technical assistance and provision of supplies and services in lieu of grant funds.
(k)
"Units of local government" defined.
(l)
Authorization of appropriations.
(a)
In general.
(b)
Research, demonstration projects, education, and training.
(c)
Cooperation with providers of primary health services.
(d)
Application for grant.
(e)
Supplies and services in lieu of grant funds.
(f)
Advisory Council.
(g)
Funding.
(a)
In general.
(b)
Applicability of certain provisions.
(c)
Authorization of appropriations.
(d)
Availability of appropriations.
(a)
Technical assistance to public and nonprofit private entities and scientific institutions.
(b)
Research, demonstration, and public information and education projects.
(c)
Project grants to States.
(d)
Grants for innovative, interdisciplinary approaches.
(e)
Authorization of appropriations; terms and conditions; payments; recordkeeping; audit; grant reduction; information disclosure.
(f)
Consent of individuals.
(a)
In general.
(b)
Authority regarding individual diseases.
(c)
Authorized activities.
(d)
Requirement of availability of all services through each grantee.
(e)
Required providers regarding certain services.
(f)
Quality assurance regarding screening for diseases.
(g)
Confidentiality.
(h)
Limitation on imposition of fees for services.
(i)
Limitations on certain expenditures.
(j)
Reports to Secretary.
(k)
Maintenance of effort.
(l)
Requirement of application.
(m)
Duration of grant.
(n)
Technical assistance, and supplies and services in lieu of grant funds.
(o)
Evaluations and reports by Secretary.
(p)
Coordination of Federal programs.
(q)
Authorization of appropriations.
(r)
Separate grants for research on delivery of services.
(a)
Determination of existence of emergency; authorization to act.
(b)
Public Health Emergency Fund; authorization of appropriations; annual report to Congress.
Part C-Hospitals, Medical Examinations, and Medical Care
(a)
Care and treatment.
(b)
Additional sites authorized.
(c)
Agency designated by Secretary.
(d)
Payments to Board of Health of Hawaii.
(a)
Deadline for closure, transfer, or financial self-sufficiency.
(b)
Proposals for transfer or financial self-sufficiency.
(c)
Evaluation of proposals.
(d)
Rejection or approval of proposal.
(e)
Establishment of identifiable administrative unit.
(f)
Finding of financial self-sufficiency.
(a)
Persons entitled to treatment.
(b)
Temporary treatment in emergency cases.
(c)
Authorization for outside treatment.
(a)
Persons entitled to medical services.
(b)
Health care for involuntarily separated officers and dependents.
(c)
Examination of personnel of Service assigned to Coast Guard or National Oceanic and Atmospheric Administration.
(a)
Eligibility.
(b)
Treatment of dependents of personnel.
(c)
Identification.
(a)
Definitions.
(b)
Statement of purpose; agreements or arrangements; reciprocity; reimbursement; credits.
Part D-Primary Health Care
subpart i-health centers
(a)
"Health center" defined.
(b)
Definitions.
(c)
Planning grants.
(d)
Managed care loan guarantee program.
(e)
Operating grants.
(f)
Infant mortality grants.
(g)
Migratory and seasonal agricultural workers.
(h)
Homeless population.
(i)
Residents of public housing.
(j)
Applications.
(k)
Technical and other assistance.
(l)
Authorization of appropriations.
(m)
Memorandum of agreement.
(n)
Records.
(o)
Delegation of authority.
(p)
Special consideration.
(q)
Audits.
(a)
Administration.
(b)
Grants.
(c)
Eligible networks.
(d)
Preference.
(e)
Use of funds.
(f)
Term of grants.
(g)
Authorization of appropriations.
(a)
Grants.
(b)
Use of grants or contracts.
(c)
Advisory Council.
(d)
Advisory Council functions.
(e)
Report.
(f)
Authorization of appropriation.
(a)
In general.
(b)
Funding.
(a)
In general.
(b)
Services through Indian health facilities.
(c)
Funding.
(a)
In general.
(b)
Research and training.
(c)
Priority regarding infants and children.
(d)
Authorization of appropriations.
subpart ii-national health service corps program
(a)
Establishment; composition; purpose; definitions.
(b)
Recruitment and fellowship programs.
(c)
Travel expenses; persons entitled; reimbursement; limitation.
(d)
Monthly pay adjustments of members directly engaged in delivery of health services in health professional shortage area; "monthly pay" defined; monthly pay adjustment of member with service obligation incurred under Scholarship Program or Loan Repayment Program; personnel system applicable.
(e)
Employment ceiling of Department not affected by Corps members.
(f)
Assignment of personnel provisions inapplicable to members whose service obligation incurred under Scholarship Program or Loan Repayment Program.
(g)
Conversion from Corps member to commissioned officer; retirement credits.
(h)
Effective administration of program.
(i)
Definitions.
(a)
Designation by Secretary; removal from areas designated; "medical facility" defined.
(b)
Criteria for designation of health professional shortage areas; promulgation of regulations.
(c)
Considerations in determination of designation.
(d)
Designation; publication of descriptive lists.
(e)
Notice of proposed designation of areas and facilities; time for comment.
(f)
Notice of designation.
(g)
Recommendations to Secretary.
(h)
Public information programs in designated areas.
(a)
Conditions necessary for assignment of Corps personnel to area; contents of application for assignment; assignment to particular facility; approval of applications.
(b)
Corps member income assurances; grants respecting sufficiency of financial resources.
(c)
Assignment of members without regard to ability of area to pay for services.
(d)
Entities entitled to aid; forms of assistance; coordination of efforts; agreements for assignment of Corps members; qualified entity.
(e)
Practice within State by Corps member.
(a)
In general.
(b)
Exclusive factors for determining greatest shortages.
(c)
Establishment of criteria for determining priorities.
(d)
Notifications regarding priorities.
(e)
Limitation on number of entities offered as assignment choices in Scholarship Program.
(f)
Applicable period regarding priorities.
(a)
Charges for services; collection of payments; payment to United States; calculation of payments; annual report.
(b)
Waiver of payment; use of funds.
(c)
Excess funds.
(d)
Charge for services; reduced rate; no charge.
(e)
Deposit of funds in Treasury as miscellaneous receipts; appropriations unaffected.
(f)
Small health centers.
(a)
Means of delivery of services; cooperation with other health care providers.
(b)
Utilization of existing health facilities; lease, acquisition, and use of equipment and supplies; permanent and temporary professional services.
(c)
Loan; purposes; limitations.
(d)
Property and equipment disposal; fair market value; sale at less than full market value.
(e)
Admitting privileges denied to Corps member by hospital; notice and hearing; denial of Federal funds for violation; "hospital" defined.
(a)
Consideration of individual characteristics of members in making assignments.
(b)
Counseling on service in Corps.
(c)
Grants regarding preparation of students for practice.
(d)
Assistance in establishing local professional relationships.
(e)
Temporary relief from Corps duties.
(f)
Determinations regarding effective service.
(a)
Establishment; appointment of members.
(b)
Term of members; compensation; expenses.
(c)
Termination.
subpart iii-scholarship program and loan repayment program
(a)
Establishment.
(b)
Eligibility; application; written contract.
(c)
Review and evaluation of information and forms by prospective applicant.
(d)
Factors considered in providing contracts; priorities.
(e)
Commencement of participation in Scholarship Program; notice.
(f)
Written contract; contents.
(g)
Scholarship provisions; contract with educational institution; increase in monthly stipend.
(h)
Employment ceiling of Department unaffected.
(i)
Annual report to Congress; contents.
(a)
Establishment.
(b)
Eligibility.
(c)
Information to be included with application and contract forms; understandability; availability.
(d)
Factors considered in providing contracts; priorities.
(e)
Approval required for participation.
(f)
Contents of contracts.
(g)
Payments.
(h)
Employment ceiling.
(i)
Reports.
(a)
Service in full-time clinical practice.
(b)
Notice to individual; information for informed decision; eligibility; notice to Secretary; qualification and appointment as commissioned officer; appointment as civilian member; designation of non-United States employee as member; deferment of obligated service.
(c)
Obligated service period; commencement.
(d)
Assignment of personnel.
(e)
Service under National Research Service Award program; credits against obligated service time.
(a)
Application for release of obligations; conditions.
(b)
Written agreement; fee rates; ability to pay; health insurance; regulations; actions to ensure compliance.
(c)
Breach of service contract.
(d)
Travel expenses.
(e)
Sale of equipment and supplies.
(f)
Malpractice insurance.
(g)
Technical assistance.
(a)
Failure to maintain academic standing; dismissal from institution; voluntary termination; liability; failure to accept payment.
(b)
Failure to commence or complete service obligations; formula to determine liability; payment to United States; recovery of delinquent damages; disclosure to credit reporting agencies.
(c)
Failure to commence or complete service obligations for other reasons; determination of liability; payment to United States; waiver of recovery for extreme hardship or good cause shown.
(d)
Cancellation of obligation upon death of individual; waiver or suspension of obligation for impossibility, hardship, or unconscionability; release of debt by discharge in bankruptcy, time limitations.
(a)
Establishment of Fund.
(b)
Authorization of appropriations to Fund.
(c)
Use of Fund.
(d)
Investment.
(a)
Persons entitled; conditions.
(b)
Amount of loan; maximum interest rate.
(c)
Application for loan; submission and approval; interest rates and repayment terms.
(d)
Breach of agreement; notice; determination of liability.
(a)
Report.
(b)
Funding.
(a)
In general.
(b)
Requirement of matching funds.
(c)
Coordination with Federal program.
(d)
Restrictions on use of funds.
(e)
Reports.
(f)
Requirement of application.
(g)
Noncompliance.
(h)
"State" defined.
(i)
Authorization of appropriations.
(a)
In general.
(b)
Requirement of matching funds.
(c)
Certain required activities.
(d)
Requirement regarding annual budget for office.
(e)
Certain uses of funds.
(f)
Reports.
(g)
Requirement of application.
(h)
Noncompliance.
(i)
"State" defined.
(j)
Authorization of appropriations.
(k)
Termination of program.
(a)
Eligibility.
(b)
Terms and conditions.
(c)
"Native Hawaiian" defined.
(d)
Authorization of appropriations.
(a)
In general.
(b)
Certain requirements for States.
(c)
Grants by States to community organizations for provision of scholarship contracts.
(d)
Requirement of State and local matching funds.
(e)
Specifications regarding scholarship contract.
(f)
Reports to Secretary.
(g)
Estimates regarding allocations between urban and rural areas.
(h)
Requirement of application.
(i)
Noncompliance.
(j)
Reports to Congress.
(k)
Definitions.
(l)
Funding.
subpart iv-home health services
(a)
Purpose; authorization of grants and loans; considerations; conditions on loans; appropriations.
(b)
Grants and contracts for training programs for paraprofessionals; considerations; applications; appropriations.
(c)
Report to Congress with respect to grants and loans and training of personnel.
(d)
"Home health services" defined.
subpart v-health services for the homeless
subpart vi-health services for residents of public housing
subpart vii-drug pricing agreements
(a)
Requirements for agreement with Secretary.
(b)
Other definitions.
(c)
References to Social Security Act.
(d)
Compliance with requirements.
subpart viii-bulk purchases of vaccines for certain programs
(a)
Agreements for purchases.
(b)
Negotiation of prices.
(c)
Authority of Secretary.
(d)
Rule of construction.
(a)
In general.
(b)
Certain authorities.
(c)
Relevant entities.
subpart ix-support of graduate medical education programs in children's hospitals
(a)
Payments.
(b)
Amount of payments.
(c)
Amount of payment for direct graduate medical education.
(d)
Amount of payment for indirect medical education.
(e)
Making of payments.
(f)
Authorization of appropriations.
(g)
Definitions.
Part E-Narcotic Addicts and Other Drug Abusers
(a)
Surgeon General authorized to provide programs.
(b)
Furnishing of information relating to persons voluntarily undergoing care to Mayor of District of Columbia.
(c)
Agreements with other departments and agencies.
(a)
Transfers to and from hospitals; duty of prosecuting officers to report convicted persons believed to be addicts.
(b)
Repealed.
(c)
Discharge; further treatment.
(d)
Gratuities and transportation furnished upon discharge or release on parole or supervised release.
(e)
Admission of probationers to hospitals for treatment.
(a)
Application for admission.
(b)
Determination of addiction; conditions of admission; payment of subsistence, care, and treatment.
(c)
Period of confinement.
(d)
Other rights unaffected.
(a)
Conditions.
(b)
Discharge from hospitals; notice; delivery to court.
(c)
Authority of Surgeon General and other officers.
(d)
Payment of costs; determination; disposition of moneys; availability of appropriations.
Part F-Licensing of Biological Products and Clinical Laboratories
subpart 1-biological products
(a)
Biologics license.
(b)
Falsely labeling or marking package or container; altering label or mark.
(c)
Inspection of establishment for propagation and preparation.
(d)
Recall of product presenting imminent hazard; violations.
(e)
Interference with officers.
(f)
Penalties for offenses.
(g)
Construction with other laws.
(h)
Exportation of partially processed biological products.
(i)
"Biological product" defined.
(j)
Application of Federal Food, Drug, and Cosmetic Act.
subpart 2-clinical laboratories
(a)
"Laboratory" or "clinical laboratory" defined.
(b)
Certificate requirement.
(c)
Issuance and renewal of certificates.
(d)
Requirements for certificates.
(e)
Accreditation.
(f)
Standards.
(g)
Inspections.
(h)
Intermediate sanctions.
(i)
Suspension, revocation, and limitation.
(j)
Injunctions.
(k)
Judicial review.
(l)
Sanctions.
(m)
Fees.
(n)
Information.
(o)
Delegation.
(p)
State laws.
(q)
Consultations.
(a)
In general.
(b)
Pregnancy success rates.
(c)
Consultation.
(a)
In general.
(b)
Distribution.
(c)
Requirements.
(d)
Standards.
(e)
Certification under State programs.
(f)
Use of accreditation organizations.
(g)
Inspections.
(h)
Validation inspections.
(i)
Limitation.
(j)
Term.
(a)
Approval of accreditation organizations.
(b)
Criteria and procedures.
(c)
Evaluations.
(d)
Transition.
(a)
In general.
(b)
Effect.
subpart 3-mammography facilities
(a)
Definitions.
(b)
Certificate requirement.
(c)
Issuance and renewal of certificates.
(d)
Application for certificate.
(e)
Accreditation.
(f)
Quality standards.
(g)
Inspections.
(h)
Sanctions.
(i)
Suspension and revocation.
(j)
Injunctions.
(k)
Judicial review.
(l)
Information.
(m)
State laws.
(n)
National Advisory Committee.
(o)
Consultations.
(p)
Breast cancer screening surveillance research grants.
(q)
State program.
(r)
Funding.
Part G-Quarantine and Inspection
(a)
Promulgation and enforcement by Surgeon General.
(b)
Apprehension, detention, or conditional release of individuals.
(c)
Application of regulations to persons entering from foreign countries.
(d)
Apprehension and examination of persons reasonably believed to be infected.
(a)
Control and management.
(b)
Hours of inspection.
(c)
Overtime pay for employees of Service.
(d)
Payment of extra compensation to United States; bond or deposit to assure payment; deposit of moneys to credit of appropriation.
(a)
Detail of medical officer; conditions precedent to issuance; consular officer to receive fees.
(b)
Collectors of customs to receive originals; duplicate copies as part of ship's papers.
(c)
Regulations to secure sanitary conditions of vessels.
(d)
Vessels from ports near frontier.
(e)
Compliance with regulations.
(a)
Penalties for persons violating quarantine laws.
(b)
Penalties for vessels violating quarantine laws.
(c)
Remittance or mitigation of forfeitures.
Part H-Organ Transplants
(a)
Grant authority of Secretary.
(b)
Qualified organizations.
(a)
Contract authority of Secretary; limitation; available appropriations.
(b)
Functions.
(c)
Consideration of critical comments.
(a)
Application requirement.
(b)
Special considerations and priority; planning and establishment grants.
(c)
Determination of grant amount; terms of payment; recordkeeping; access for purposes of audits and examination of records.
(d)
"Transplant center" and "organ" defined.
(a)
Prohibition.
(b)
Penalties.
(c)
Definitions.
(a)
In general.
(b)
Report.
Part I-National Bone Marrow Donor Registry
(a)
Establishment.
(b)
Functions.
(c)
Recruitment; priorities; information and education.
(d)
Patient advocacy; case management.
(e)
Criteria, standards, and procedures.
(f)
Comment procedures.
(g)
Consultation.
(h)
Application.
(i)
Eligibility.
(j)
Records.
(k)
Penalties for disclosure.
(l)
Annual report regarding pretransplant costs.
(a)
Establishment of recipient registry.
(b)
Information.
(c)
Annual report on patient outcomes.
Part J-Prevention and Control of Injuries
(a)
In general.
(b)
Certain activities.
(c)
Coordination of activities.
(d)
"Traumatic brain injury" defined.
(a)
Advisory committee.
(b)
Technical assistance.
(c)
Biennial report.
Part K-Health Care Services in the Home
subpart i-grants for demonstration projects
(a)
In general.
(b)
Requirement with respect to age of recipients of services.
(c)
Relationship to items and services under other programs.
(a)
Limitation on duration of grant.
(b)
Requirement of matching funds.
(c)
Determination of amount of non-Federal contribution.
(a)
Limitation on administrative expenses.
(b)
Description of intended use of grant.
(c)
Requirement of application.
(d)
Evaluations and report by Secretary.
(e)
Authorizations of appropriations.
subpart ii-grants for demonstration projects with respect to alzheimer's disease
(a)
In general.
(b)
Requirement with respect to certain expenditures.
(c)
Relationship to items and services under other programs.
(a)
Requirement of matching funds.
(b)
Determination of amount of non-Federal contribution.
(a)
Limitation on administrative expenses.
(b)
Description of intended use of grant.
(c)
Requirement of application.
(d)
Evaluations and report by Secretary.
(e)
Authorizations of appropriations.
subpart iii-grants for home visiting services for at-risk families
(a)
In general.
(b)
Home visiting services for eligible families.
(c)
Considerations in making grants.
(d)
Federal share.
(e)
Rule of construction regarding at-risk births.
(f)
Delivery of services and case management.
(g)
Outreach.
(h)
Confidentiality.
(i)
Certain assurances.
(j)
Submission to Secretary of certain information.
(k)
Limitation regarding administrative expenses.
(l)
Restrictions on use of grant.
(m)
Reports to Secretary.
(n)
Requirement of application.
(o)
Peer review.
(p)
Evaluations.
(q)
Definitions.
(r)
Authorization of appropriations.
Part L-Services for Children of Substance Abusers
(a)
Establishment.
(b)
Services for children of substance abusers.
(c)
Services for affected families.
(d)
Considerations in making grants.
(e)
Federal share.
(f)
Coordination with other providers.
(g)
Restrictions on use of grant.
(h)
Submission to Secretary of certain information.
(i)
Reports to Secretary.
(j)
Requirement of application.
(k)
Peer review.
(l)
Evaluations.
(m)
Report to Congress.
(n)
Data collection.
(o)
Definitions.
(p)
Funding.
Part N-National Foundation for the Centers for Disease Control and Prevention
(a)
In general.
(b)
Purpose of Foundation.
(c)
Endowment fund.
(d)
Certain activities of Foundation.
(e)
General structure of Foundation; nonprofit status.
(f)
Board of directors.
(g)
Certain responsibilities of executive director.
(h)
General provisions.
(i)
Federal funding.
(j)
Committee for establishment of Foundation.
Part M-National Program of Cancer Registries
(a)
In general.
(b)
Matching funds.
(c)
Eligibility for grants.
(d)
Relationship to certain programs.
(e)
Requirement regarding certain study on breast cancer.
(a)
In general.
(b)
Application.
(a)
In general.
(b)
Relevant States.
(c)
Cooperation of State.
(d)
Planning, commencement, and duration.
(e)
Report.
(a)
Registries.
(b)
Breast cancer study.
Part O-Fetal Alcohol Syndrome Prevention and Services Program
(a)
Fetal Alcohol Syndrome prevention, intervention, and services delivery program.
(b)
Grants and technical assistance.
(c)
Dissemination of criteria.
(d)
National Task Force.
(a)
In general.
(b)
Task Force.
SUBCHAPTER III-NATIONAL RESEARCH INSTITUTES
Part A-National Institutes of Health
(a)
Agency of Public Health Service.
(b)
Agencies within.
(c)
Establishment of additional national research institutes; reorganization or abolition of institutes.
(d)
"National research institute" defined.
(a)
Appointment.
(b)
Duties and authority.
(c)
Availability of substances and organisms for research.
(d)
Services of experts or consultants; number; payment of expenses, conditions, recovery.
(e)
Dissemination of research information.
(f)
Associate Director for Prevention; functions.
(g)
Enhancing competitiveness of certain entities in obtaining research funds.
(h)
Increased participation of women and disadvantaged individuals in biomedical and behavioral research.
(i)
Discretionary fund; uses; report to Congressional committees; authorization of appropriations.
(j)
Data bank of information on clinical trials for drugs for serious or life-threatening diseases and conditions.
(k)
Day care for children of employees.
(l)
Interagency research on trauma.
(a)
In general.
(b)
Education programs.
(c)
Longitudinal studies.
(d)
Exposure to DES in utero.
(e)
Authorization of appropriations.
(a)
Establishment.
(b)
Purpose.
(a)
Development of new vaccines.
(b)
Report.
(c)
Authorization of appropriations.
(a)
Preparation.
(b)
Submission to Congressional committees.
(c)
Periodic review and revision.
(d)
Dissemination of information.
(e)
Interagency Coordinating Committee on the Use of Animals in Research.
Part B-General Provisions Respecting National Research Institutes
(a)
Appointment.
(b)
Duties and authority; grants, contracts, and cooperative agreements.
(c)
Coordination with other public and private entities; cooperation with other national research institutes; appointment of additional peer review groups.
(a)
Establishment; acceptance of conditional gifts; functions.
(b)
Membership; compensation.
(c)
Term of office; reappointment; vacancy.
(d)
Chairman; term of office.
(e)
Meetings.
(f)
Appointment of executive secretary; training and orientation for new members.
(g)
Comments and recommendations for inclusion in biennial report; additional reports.
(h)
Advisory councils in existence; application of section to National Cancer Advisory Board and advisory council to National Heart, Lung, and Blood Institute.
(a)
Establishment.
(b)
Coordination.
(c)
Information clearinghouse.
(d)
Authorization of appropriations.
(a)
In general.
(b)
Inter-institute coordination.
(c)
Morris K. Udall research centers.
(d)
Morris K. Udall Awards for Excellence in Parkinson's Disease Research.
(e)
Authorization of appropriations.
Part C-Specific Provisions Respecting National Research Institutes
subpart 1-national cancer institute
(a)
Cooperative agreements and grants for establishing and supporting.
(b)
Uses for Federal payments under cooperative agreements or grants.
(c)
Period of support; additional periods.
(a)
Expansion and coordination of activities.
(b)
Coordination with other institutes.
(c)
Programs for breast cancer.
(d)
Other cancers.
(e)
Report.
(a)
Expansion and coordination of activities.
(b)
Coordination with other institutes.
(c)
Programs.
(a)
Activities generally.
(b)
Breast cancer and gynecological cancers.
(c)
Prostate cancer.
(d)
Allocation regarding cancer control.
subpart 2-national heart, lung, and blood institute
(a)
Heart, blood vessel, lung, blood diseases, and blood resources; utilization of centers for prevention programs.
(b)
Sickle cell anemia.
(c)
Cooperative agreements and grants for establishing and supporting; uses for Federal payments; period of support, additional periods.
(a)
Establishment.
(b)
Purpose.
(c)
Sleep Disorders Research Advisory Board.
(d)
Development of comprehensive research plan; revision.
(e)
Collection and dissemination of information.
(a)
In general.
(b)
Coordination with other institutes.
(c)
Certain programs.
(d)
Authorization of appropriations.
subpart 3-national institute of diabetes and digestive and kidney diseases
(a)
National Diabetes Data System and National Diabetes Clearinghouse.
(b)
National Digestive Diseases Data System and National Digestive Diseases Information Clearinghouse.
(c)
National Kidney and Urologic Diseases Data System and National Kidney and Urologic Diseases Information Clearinghouse.
(a)
Establishment and purpose.
(b)
Membership; chairman; meetings.
(c)
Annual report.
(a)
Establishment.
(b)
Membership; ex officio members.
(c)
Compensation.
(d)
Term of office; vacancy.
(e)
Chairman.
(f)
Executive director; professional and clerical staff; administrative support services and facilities.
(g)
Meetings.
(h)
Functions of National Diabetes Advisory Board and National Digestive Diseases Advisory Board.
(i)
Subcommittees; establishment and membership.
(j)
Termination of predecessor boards; time within which to appoint members.
(a)
Diabetes mellitus and related endocrine and metabolic diseases.
(b)
Digestive diseases and related functional, congenital, metabolic disorders, and normal development of digestive tract.
(c)
Kidney and urologic diseases.
(d)
Nutritional disorders.
(e)
Geographic distribution; period of support, additional periods.
(a)
Establishment.
(b)
Support of activities.
(c)
Dissemination of information.
subpart 4-national institute of arthritis and musculoskeletal and skin diseases
(a)
Plan to expand, intensify, and coordinate activities; submission; periodic review and revision.
(b)
Coordination of activities with other national research institutes; minimum activities under program.
(c)
Program to be carried out in accordance with plan.
(a)
Establishment and purpose.
(b)
Membership; chairman; meetings.
(a)
Grants for establishment and support.
(b)
Programs included.
(c)
Standardization of patient data and recordkeeping.
(a)
Development, modernization, and operation.
(b)
Duties and functions.
(c)
Optional programs.
(d)
Geographical distribution.
(e)
Period of support; additional periods.
(f)
Treatment and rehabilitation of children.
(a)
Establishment.
(b)
Membership; ex officio members.
(c)
Compensation.
(d)
Term of office; vacancy.
(e)
Chairman.
(f)
Executive director, professional and clerical staff; administrative support services and facilities.
(g)
Meetings.
(h)
Duties and functions.
(i)
Subcommittees; establishment and membership.
(j)
Annual report.
(k)
Termination of predecessor board; time within which to appoint members.
subpart 5-national institute on aging
(a)
Education and training of adequate numbers of personnel.
(b)
Scientific studies.
(c)
Public information and education programs.
(d)
Grants for research relating to Alzheimer's Disease.
(a)
Cooperative agreements and grants for establishing and supporting.
(b)
Use of Federal payments under cooperative agreement or grant.
(c)
Support period; additional periods.
(a)
Development and expansion of centers.
(b)
Functions of centers.
(c)
Geographic distribution of centers.
(d)
"Independence" defined.
(a)
Senior researchers in biomedical research.
(b)
Eligible centers.
(c)
Required recommendation.
(d)
Selection procedures.
(e)
Term of award; renewal.
(a)
Grants for research.
(b)
Preparation of plan; contents; revision.
(c)
Consultation for preparation and revision of plan.
(d)
Grants for promoting independence and preventing secondary disabilities.
(e)
"Council on Alzheimer's Disease" defined.
(a)
Establishment; purpose; duties; publication of summary.
(b)
Fee for information.
(c)
Summaries of research findings from other agencies.
(a)
Grant or contract for establishment.
(b)
Project activities.
(c)
Fees for information; exception.
(d)
Application for grant or contract; contents.
(a)
In general.
(b)
Qualifications.
subpart 6-national institute of allergy and infectious diseases
subpart 7-national institute of child health and human development
(a)
Establishment of Center.
(b)
Purpose.
(c)
Authority of Director.
(d)
Research Plan.
(e)
Medical Rehabilitation Coordinating Committee.
(f)
National Advisory Board on Medical Rehabilitation Research.
(a)
Grants and contracts.
(b)
Number of centers.
(c)
Duties.
(d)
Coordination of information.
(e)
Facilities.
(f)
Period of support.
(g)
Authorization of appropriations.
(a)
In general.
(b)
Design of study.
(c)
Coordination with Women's Health Initiative.
subpart 8-national institute of dental research
subpart 9-national eye institute
(a)
Program of grants.
(b)
Use of funds.
(c)
Authorized expenditures.
subpart 10-national institute of neurological disorders and stroke
subpart 11-national institute of general medical sciences
subpart 12-national institute of environmental health sciences
subpart 13-national institute on deafness and other communication disorders
(a)
Development, modernization and operation; "modernization" defined.
(b)
Use of facilities; qualifications.
(c)
Requisite programs.
(d)
Stipends.
(e)
Discretionary programs.
(f)
Equitable geographical distribution; needs of elderly and children.
(g)
Period of support; recommended extensions of peer review group.
(a)
Establishment.
(b)
Composition; qualifications; appointed and ex officio members.
(c)
Compensation.
(d)
Term of office; vacancies.
(e)
Chairman.
(f)
Personnel; executive director; professional and clerical staff members; consultants; information and administrative support services and facilities.
(g)
Meetings.
(h)
Functions.
(i)
Subcommittee activities; workshops and conferences; collection of data.
(j)
Annual report.
(k)
Commencement of existence.
(a)
Establishment.
(b)
Functions.
(c)
Composition.
(d)
Chairman; meetings.
(e)
Annual report; recipients of report.
subpart 14-national institute on alcohol abuse and alcoholism
(a)
In general.
(b)
Research program.
(c)
Collaboration.
(d)
Funding.
(a)
In general.
(b)
Biennial report.
(a)
Designation; procedures applicable for approval of applications.
(b)
Annual grants; amount; limitation on uses.
subpart 15-national institute on drug abuse
(a)
In general.
(b)
Research program.
(c)
Collaboration.
(d)
Funding.
(a)
In general.
(b)
Report.
(a)
Authority.
(b)
Grants.
(a)
Establishment.
(b)
Duties.
(c)
Report.
(d)
"Pharmacotherapeutics" defined.
(e)
Authorization of appropriations.
subpart 16-national institute of mental health
(a)
In general.
(b)
Research program.
(c)
Collaboration.
(d)
Information with respect to suicide.
(e)
Associate Director for Special Populations.
(f)
Funding.
(a)
In general.
(b)
Report.
(a)
In general.
(b)
Coordination of activities.
(c)
Research, demonstrations, evaluations, and dissemination.
(d)
Authority regarding grants and contracts.
(e)
Report to Congress.
subpart 17-national institute of nursing research
(a)
Appointment; functions and duties; acceptance of conditional gifts; subcommittees.
(b)
Membership; ex officio members; compensation.
(c)
Term of office; vacancy; reappointment.
(d)
Chairman; selection; term of office.
(e)
Meetings.
(f)
Executive secretary; staff; orientation and training for new members.
(g)
Material for inclusion in biennial report; additional reports.
Part D-National Library of Medicine
subpart 1-general provisions
(a)
Purpose and establishment.
(b)
Functions.
(c)
Exchange, destruction, or disposal of materials not needed.
(d)
Availability of publications, materials, facilities, or services; prescription of rules.
(e)
Regional medical libraries; establishment.
(f)
Acceptance and administration of gifts; memorials.
(g)
"Medicine" and "medical" defined.
(a)
Membership; ex officio members.
(b)
Recommendations on matters of policy; recommendations included in annual report; use of services of members by Secretary.
(c)
Term of office; vacancy; reappointment.
subpart 2-financial assistance
(a)
Board of Regents of National Library of Medicine to serve as.
(b)
Functions.
(c)
Use of services of members by Secretary.
(d)
Compensation.
(a)
Compilation of existing and original writings on health.
(b)
Medical library science and related activities.
(c)
Development of education technologies.
(a)
Existing public or private nonprofit medical libraries.
(b)
Uses for grants and contracts.
(c)
Conditions.
(d)
Basic resources materials; limitation on grant or contract.
subpart 3-national center for biotechnology information
(a)
Establishment.
(b)
Functions.
subpart 4-national information center on health services research and health care technology
(a)
Establishment.
(b)
Purpose.
(c)
Electronic, convenient format; criteria for inclusion.
(d)
Coordination with Director of the Agency for Healthcare Research and Quality.
Part E-Other Agencies of NIH
subpart 1-national center for research resources
(a)
Appointment; functions and duties; acceptance of conditional gifts; subcommittees.
(b)
Membership; ex officio members; compensation.
(c)
Term of office; vacancy; reappointment.
(d)
Chairman; selection; term of office.
(e)
Meetings.
(f)
Executive secretary; staff; orientation and training for new members.
(g)
Material for inclusion in biennial report; additional reports.
(h)
Advisory council in existence on November 20, 1985.
(a)
Modernization and construction of facilities.
(b)
Scientific and technical review boards for merit-based review of proposals.
(c)
Requirements for grants.
(d)
Requirement of application.
(e)
Amount of grant; payments.
(f)
Recapture of payments.
(g)
Guidelines.
(h)
Authorization of appropriations.
subpart 2-john e. fogarty international center for advanced study in health sciences
subpart 3-national center for human genome research
(a)
General purpose.
(b)
Research training.
(c)
Amount available for ethical and legal issues.
subpart 4-office of dietary supplements
(a)
Establishment.
(b)
Purpose.
(c)
Duties.
(d)
"Dietary supplement" defined.
(e)
Authorization of appropriations.
subpart 5-national center for complementary and alternative medicine
(a)
In general.
(b)
Advisory council.
(c)
Complement to conventional medicine.
(d)
Appropriate scientific expertise and coordination with institutes and Federal agencies.
(e)
Evaluation of various disciplines and systems.
(f)
Ensuring high quality, rigorous scientific review.
(g)
Data system; information clearinghouse.
(h)
Research centers.
(i)
Availability of resources.
(j)
Availability of appropriations.
Part F-Research on Women's Health
(a)
Establishment.
(b)
Purpose.
(c)
Coordinating Committee.
(d)
Advisory Committee.
(e)
Representation of women among researchers.
(f)
Definitions.
(a)
Data system.
(b)
Clearinghouse.
(a)
In general.
(b)
Inclusion in biennial report of Director of NIH.
Part G-Awards and Training
(a)
Biomedical and behavioral research and research training; programs and institutions included; restriction; special consideration.
(b)
Prerequisites for Award; review and approval by appropriate advisory councils; Award period; uses for Award; payments to non-Federal public or nonprofit private institutions.
(c)
Health research or teaching; service period; recovery upon noncompliance with service requirement, formula; cancellation or waiver of obligation.
(d)
Authorization of appropriations; apportionment.
(a)
In general.
(b)
Applicability of certain provisions.
(c)
Authorization of appropriations.
(a)
Establishment.
(b)
Contracts, obligated service, breach of contract.
(c)
Availability of funds.
(a)
In general.
(b)
Applicability of certain provisions.
(a)
Establishment of program.
(b)
Facilitation of interest of students in careers at National Institutes of Health.
(c)
Period of obligated service.
(d)
Provisions regarding scholarship.
(e)
Penalties for breach of scholarship contract.
(f)
Requirement of application.
(g)
Availability of authorization of appropriations.
(a)
Implementation of program.
(b)
Availability of authorization of appropriations.
(a)
Scope of undertaking.
(b)
Arrangement with National Academy of Sciences or other nonprofit private groups or associations.
(c)
Report to Congressional committees.
Part H-General Provisions
(a)
Applications for biomedical and behavioral research grants, cooperative agreements, and contracts; regulations.
(b)
Periodic review of research at National Institutes of Health.
(c)
Compliance with requirements for inclusion of women and minorities in clinical research.
(a)
Review as precondition to research.
(b)
Ethical review of research.
(a)
Requirement of inclusion.
(b)
Inapplicability of requirement.
(c)
Design of clinical trials.
(d)
Guidelines.
(e)
Date certain for guidelines; applicability.
(f)
Reports by advisory councils.
(g)
Definitions.
(a)
In general.
(b)
Existence of administrative processes as condition of funding for research.
(c)
Process for response of Director.
(d)
Monitoring by Director.
(e)
Protection of whistleblowers.
(a)
Issuance of regulations.
(b)
Relevant projects.
(c)
Identifying and reporting to Secretary.
(d)
Monitoring of process.
(e)
Response.
(f)
Definitions.
(a)
Establishment of guidelines.
(b)
Animal care committees; establishment; membership; functions.
(c)
Assurances required in application or contract proposal; reasons for use of animals; notice and comment requirements for promulgation of regulations.
(d)
Failure to meet guidelines; suspension or revocation of grant or contract.
(e)
Disclosure of trade secrets or privileged or confidential information.
(a)
Conduct or support by Secretary; restrictions.
(b)
Risk standard for fetuses intended to be aborted and fetuses intended to be carried to term to be same.
(a)
Establishment of program.
(b)
Informed consent of donor.
(c)
Informed consent of researcher and donee.
(d)
Availability of statements for audit.
(e)
Applicability of State and local law.
(f)
Report.
(g)
"Human fetal tissue" defined.
(a)
Purchase of tissue.
(b)
Solicitation or acceptance of tissue as directed donation for use in transplantation.
(c)
Criminal penalties for violations.
(d)
Definitions.
(a)
Research on burns, burn injuries, and rehabilitation.
(b)
Authorization of appropriations.
Part I-Foundation for the National Institutes of Health
(a)
In general.
(b)
Purpose of Foundation.
(c)
Certain activities of Foundation.
(d)
Board of Directors.
(e)
Redesignated (g).
(f)
Incorporation.
(g)
Nonprofit status.
(h)
Executive Director.
(i)
Powers.
(j)
Administrative control.
(k)
General provisions.
(l)
Duties of Director.
(m)
Funding.
SUBCHAPTER III–A-SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION
Part A-Organization and General Authorities
(a)
Establishment.
(b)
Agencies.
(c)
Administrator and Deputy Administrator.
(d)
Authorities.
(e)
Associate Administrator for Alcohol Prevention and Treatment Policy.
(f)
Associate Administrator for Women's Services.
(g)
Services of experts.
(h)
Peer review groups.
(i)
Voluntary services.
(j)
Administration.
(k)
Report concerning activities and progress.
(l)
Applications for grants and contracts.
(m)
Authorization of appropriations.
(a)
Appointment.
(b)
Membership.
(c)
Terms of office.
(d)
Chair.
(e)
Meetings.
(f)
Executive Secretary and staff.
(a)
Alcoholism and alcohol abuse.
(b)
Drug abuse.
(a)
In general.
(b)
Members.
(c)
Requirements.
(d)
Recommendations.
(a)
Requirement of annual collection of data on mental illness and substance abuse.
(b)
Requisite areas of data collection on mental health.
(c)
Requisite areas of data collection on substance abuse.
(d)
Development of uniform criteria for data collection.
(a)
Grants for benefit of homeless individuals.
(b)
Preference.
(c)
Services for certain individuals.
(d)
Term of grant.
(e)
Authorization of appropriations.
Part B-Centers and Programs
subpart 1-center for substance abuse treatment
(a)
Establishment.
(b)
Duties.
(c)
Grants and contracts.
(a)
In general.
(b)
Availability of services for each participant.
(c)
Individualized plan of services.
(d)
Required supplemental services.
(e)
Minimum qualifications for receipt of award.
(f)
Requirement of matching funds.
(g)
Outreach.
(h)
Accessibility of program; cultural context of services.
(i)
Continuing education.
(j)
Imposition of charges.
(k)
Reports to Director.
(l)
Requirement of application.
(m)
Equitable allocation of awards.
(n)
Duration of award.
(o)
Evaluations; dissemination of findings.
(p)
Reports to Congress.
(q)
Definitions.
(r)
Authorization of appropriations.
(a)
Grants.
(b)
Prevention.
(c)
Evaluation.
(a)
Grants for treatment improvement.
(b)
Nature of projects.
(c)
Preferences in making grants.
(d)
Duration of grants.
(e)
Authorization of appropriations.
(a)
In general.
(b)
Eligibility.
(c)
Priority.
(d)
Authorization of appropriations.
(a)
In general.
(b)
Priority.
(c)
Health professions education.
(d)
Authorization of appropriations.
(a)
Center for Substance Abuse Treatment.
(b)
States.
(c)
Reservation of space.
subpart 2-center for substance abuse prevention
(a)
Establishment; Director.
(b)
Duties of Director.
(c)
Grants, contracts and cooperative agreements.
(d)
National data base.
(a)
In general.
(b)
Strategies for reducing use.
(c)
Authorization of appropriations.
(a)
Grants to public and nonprofit private entities.
(b)
Priority of projects.
(c)
Strategies for reducing use.
(d)
Regionally equal distribution of grants.
(e)
Application for grants.
(f)
Evaluation of projects.
(g)
"High risk youth" defined.
(h)
Authorization of appropriations.
(a)
In general.
(b)
Certain requirements.
(c)
Special consideration for certain small businesses.
(d)
Consultation and technical assistance.
(e)
Authorization of appropriations.
subpart 3-center for mental health services
(a)
Establishment.
(b)
Duties.
(c)
Grants and contracts.
(a)
Seriously mentally ill individuals, and children and adolescents with serious emotional and mental disturbances.
(b)
Individuals at risk of mental illness.
(c)
Limitation on duration of grant.
(d)
Limitation on administrative expenses.
(e)
Authorizations of appropriations.
(a)
In general.
(b)
Preferences in making grants.
(c)
Requirement of provision of information on prevention.
(d)
Authority for training.
(e)
Requirement of identification of needs and objectives.
(f)
Requirement of application.
(g)
Requirement of minimum number of grants for fiscal year 1989.
(h)
Technical assistance and administrative support.
(i)
"Mental health treatment" defined.
(j)
Authorization of appropriations.
Part C-Projects for Assistance in Transition From Homelessness
(a)
In general.
(b)
Specification of services.
(c)
Coordination.
(d)
Special consideration regarding veterans.
(e)
Special rules.
(f)
Administrative expenses.
(g)
Maintenance of effort.
(h)
Restrictions on use of funds.
(a)
In general.
(b)
Determination of amount.
(c)
Limitation regarding grants by States.
(a)
Minimum allotment.
(b)
Determination under formula.
(a)
In general.
(b)
Specification of funds.
(c)
Requirement of provision of services in State involved.
(a)
In general.
(b)
Opportunity for public comment.
(c)
Relationship to State comprehensive mental health services plan.
(a)
In general.
(b)
Availability to public of reports.
(c)
Evaluations.
(a)
Repayment of payments.
(b)
Withholding of payments.
(c)
Opportunity for hearing.
(d)
Rule of construction.
(a)
In general.
(b)
Criminal penalty for violation of prohibition.
(a)
In general.
(b)
Enforcement.
(a)
Authorization of appropriations.
(b)
Effect of insufficient appropriations for minimum allotments.
Part D-Miscellaneous Provisions Relating to Substance Abuse and Mental Health
(a)
Programs and services.
(b)
Deprivation of employment.
(c)
Construction.
(a)
Nondiscrimination.
(b)
Regulations.
(a)
Requirement.
(b)
Permitted disclosure.
(c)
Use of records in criminal proceedings.
(d)
Application.
(e)
Nonapplicability.
(f)
Penalties.
(g)
Regulations.
(h)
Application to Department of Veterans Affairs.
Part E-Children With Serious Emotional Disturbances
(a)
Grants to certain public entities.
(b)
Considerations in making grants.
(c)
Matching funds.
(a)
Systems of comprehensive care.
(b)
Limitation on age of children provided access to system.
(c)
Required mental health services of system.
(d)
Required arrangements regarding other appropriate services.
(e)
General provisions regarding services of system.
(f)
Restrictions on use of grant.
(a)
In general.
(b)
Multidisciplinary team.
(c)
Coordination with services under Individuals with Disabilities Education Act.
(d)
Contents of plan.
(a)
Optional services.
(b)
Comprehensive plan.
(c)
Limitation on imposition of fees for services.
(d)
Relationship to items and services under other programs.
(e)
Limitation on administrative expenses.
(f)
Reports to Secretary.
(g)
Description of intended uses of grant.
(h)
Requirement of application.
(a)
Duration of support.
(b)
Technical assistance.
(c)
Evaluations and reports by Secretary.
(d)
Definitions.
(e)
Rule of construction.
(f)
Funding.
Part F-Model Comprehensive Program for Treatment of Substance Abuse
(a)
In general.
(b)
Purposes.
(c)
Certain requirements.
(d)
Requirement of non-Federal contributions.
(e)
Evaluations.
(f)
Reports.
(g)
"National capital area" defined.
(h)
Obligation of funds.
SUBCHAPTER IV-CONSTRUCTION AND MODERNIZATION OF HOSPITALS AND OTHER MEDICAL FACILITIES
Part A-Grants and Loans for Construction and Modernization of Hospitals and Other Medical Facilities
(a)
Computation for individual States; formulas for both new construction and modernization.
(b)
Minimum allotments.
(c)
Allotment percentages; definitions; determination.
(d)
Availability of allotments in subsequent years.
(e)
Transfer of allotments.
(f)
Request by State to transfer portion of allotment.
(a)
Priority of projects; determination.
(b)
Standards of construction and equipment.
(c)
Criteria for determining needs for beds, hospitals and other facilities; plans for distribution of beds and facilities.
(d)
Criteria for determining need for modernization.
(e)
State plan requirements; assurances necessary for approval of application.
(a)
Submission; requirements.
(b)
Approval by Surgeon General; hearing after disapproval.
(a)
Application; contents.
(b)
Approval by Surgeon General; requisites; additional approval by Secretary of Health and Human Services.
(c)
Opportunity for hearing required prior to disapproval.
(d)
Amendments subject to same approval as original applications.
(e)
Outpatient facilities; requirements of applicants.
(a)
Certification of work by Surgeon General; conditions affecting payments.
(b)
Additional payments in cases of amended applications.
(c)
Administration expenses; use of portion of allotments to defray; manner of payment.
(a)
Refusal to approve application; procedure; jurisdiction of court of appeals.
(b)
Conclusiveness of Surgeon General's findings; remand; new or modified findings.
(c)
Review by Supreme Court; stay of Surgeon General's action.
(a)
Persons liable.
(b)
Notice to Secretary.
(c)
Amount of recovery; interest; interest period.
(d)
Waiver.
(e)
Lien.
(a)
Authorization; conditions.
(b)
Approval; payments to applicants.
(c)
Terms.
(d)
Funds; miscellaneous receipts.
Part B-Loan Guarantees and Loans for Modernization and Construction of Hospitals and Other Medical Facilities
(a)
Authority of Secretary.
(b)
Cost limitations.
(c)
Administrative assistance.
(a)
Allotment regulations.
(b)
Reallotment.
(c)
Time of availability of amounts for subsequent allotment.
(d)
Modernization or construction commenced on or after January 1, 1968.
(a)
Contents of applications.
(b)
Conditions for approval.
(c)
Hearing.
(d)
Amendment of approved applications.
(e)
Recovery rights; terms and conditions.
(f)
Incontestable guarantee.
(a)
Interest rates; security; equitable geographical distribution.
(b)
Sale.
(c)
Agreements.
(d)
Right of recovery; waiver.
(e)
Interest and interest subsidies as gross income under Internal Revenue Code.
(f)
Sales proceeds; deposit and use.
(g)
Authorization of appropriations.
Part C-Construction or Modernization of Emergency Rooms
Part D-General Provisions
(a)
Membership; qualifications.
(b)
Term of membership.
(c)
Meetings; annual or by call of Surgeon General.
(d)
Advisory or technical committees.
(a)
Other public or private sources unavailable for alleviation of hardship due to increased construction costs.
(b)
Application; form; information.
(c)
Interest; repayment period.
(d)
Authorization of appropriation.
SUBCHAPTER V-HEALTH PROFESSIONS EDUCATION
Part A-Student Loans
subpart i–insured health education assistance loans to graduate students
(a)
In general.
(b)
Certain limitations and priorities.
(c)
Authority of Student Loan Marketing Association.
(a)
In general.
(b)
Extent of insurance liability.
(a)
In general.
(b)
Limitation on rate of interest.
(c)
Minimum annual payment by borrower.
(d)
Applicability of certain laws on rate or amount of interest.
(e)
Determination regarding forbearance.
(f)
Loan repayment schedule.
(g)
Rule of construction regarding determination of need of students.
(h)
Definitions.
(a)
In general.
(b)
Authority regarding comprehensive insurance coverage.
(c)
Assignment of insurance rights.
(d)
Effect of refinancing or consolidation of obligations.
(e)
Rule of construction regarding consolidation of debts and refinancing.
(a)
Conditions for payment to beneficiary.
(b)
Subrogation.
(c)
Forbearance.
(d)
Reasonable care and diligence regarding loans.
(e)
Definitions.
(f)
Reductions in Federal reimbursements or payments for defaulting borrowers.
(g)
Conditions for discharge of debt in bankruptcy.
(h)
Requirement regarding actions for default.
(i)
Inapplicability of Federal and State statute of limitations on actions for loan collection.
(j)
School collection assistance.
(a)
Authority.
(b)
Assessment of premium.
(c)
Reduction of risk-based premium.
(d)
Administrative waivers.
(e)
Payoff to reduce risk category.
(a)
Establishment.
(b)
Purpose and functions.
(c)
Additional duties.
(d)
Allocation of funds for Office.
(a)
In general.
(b)
Contingent authority for issuance of notes or other obligations.
(a)
In general.
(b)
Annual budget; accounts.
(a)
In general.
(b)
Recording by institution of information on students.
(c)
Workshop for student borrowers.
(a)
In general.
(b)
Availability of sums.
subpart ii-federally-supported student loan funds
(a)
Fund agreements.
(b)
Requirements.
(c)
Failure of school to collect loans.
(a)
Amount of loan.
(b)
Terms and conditions.
(c)
Repayment; exclusions from repayment period.
(d)
Cancellation of liability.
(e)
Rate of interest.
(f)
Security or endorsement.
(g)
Transferring and assigning loans.
(h)
Charge with respect to insurance for certain cancellations.
(i)
Charge with respect to late payments.
(j)
Authority of schools regarding rate of payment.
(k)
Authority regarding repayments by Secretary.
(l)
Collection efforts by Secretary.
(m)
Elimination of statute of limitation for loan collections.
(a)
Requirements for students.
(b)
Requirements for schools.
(c)
Definitions.
(a)
Fund agreements regarding certain amounts.
(b)
Minimum qualifications for schools.
(c)
Certain agreements regarding education of students; date certain for compliance.
(d)
Availability of other amounts.
(e)
"Disadvantaged" defined.
(f)
Authorization of appropriations.
(a)
In general.
(b)
Statement regarding loan.
(a)
Distribution after termination of fund.
(b)
Payment of proportionate share to Secretary.
(a)
Date certain for applications.
(b)
Contingent reduction in allotments.
(c)
Allotment of excess funds.
(d)
Payment of installments to schools.
(e)
Disposition of funds returned to Secretary.
(f)
Funding for certain medical schools.
Part B-Health Professions Training for Diversity
(a)
In general.
(b)
Required use of funds.
(c)
Centers of excellence.
(d)
Designation as center of excellence.
(e)
Authority regarding Native American centers of excellence.
(f)
Duration of grant.
(g)
Definitions.
(h)
Funding.
(a)
In general.
(b)
Preference in providing scholarships.
(c)
Amount of award.
(d)
Definitions.
(a)
Loan repayments.
(b)
Fellowships.
(a)
In general.
(b)
Requirements for awards.
(c)
Equitable allocation of financial assistance.
(d)
Matching requirements.
(a)
Scholarships.
(b)
Loan repayments and fellowships.
(c)
Educational assistance in health professions regarding individuals from disadvantaged backgrounds.
(d)
Report.
Part C-Training in Family Medicine, General Internal Medicine, General Pediatrics, Physician Assistants, General Dentistry, and Pediatric Dentistry
(a)
Training generally.
(b)
Academic administrative units.
(c)
Priority.
(d)
Duration of award.
(e)
Funding.
(a)
Establishment.
(b)
Composition.
(c)
Terms.
(d)
Duties.
(e)
Meetings and documents.
(f)
Compensation and expenses.
(g)
FACA.
Part D-Interdisciplinary, Community-Based Linkages
(a)
Collaboration.
(b)
Activities.
(a)
Authority for provision of financial assistance.
(b)
Requirements for centers.
(c)
Certain provisions regarding funding.
(a)
In general.
(b)
Allocation of funds.
(a)
Geriatric education centers.
(b)
Geriatric training regarding physicians and dentists.
(c)
Geriatric faculty fellowships.
(a)
Grants.
(b)
Use of amounts.
(c)
Applications.
(d)
Definitions.
(a)
In general.
(b)
Activities.
(a)
Establishment.
(b)
Composition.
(c)
Terms.
(d)
Duties.
(e)
Meetings and documents.
(f)
Compensation and expenses.
(g)
FACA.
(a)
In general.
(b)
Allocation.
(c)
Obligation of certain amounts.
Part E-Health Professions and Public Health Workforce
subpart 1-health professions workforce information and analysis
(a)
Purpose.
(b)
Grants or contracts.
(c)
Authorization of appropriations.
(a)
Establishment; duties.
(b)
Composition.
(c)
Terms of appointed members.
(d)
Chair.
(e)
Quorum.
(f)
Vacancies.
(g)
Compensation.
(h)
Certain authorities and duties.
(i)
Requirement regarding reports.
(j)
Final report.
(k)
Termination.
(l)
Funding.
subpart 2-public health workforce
(a)
In general.
(b)
Eligibility.
(c)
Preference.
(d)
Activities.
(e)
Traineeships.
(a)
In general.
(b)
Eligible entities.
(c)
Certain requirements.
(a)
In general.
(b)
Certain requirements.
(a)
In general.
(b)
Administration.
(a)
In general.
(b)
Relevant programs.
(c)
Preference in making grants.
(d)
Certain provisions regarding traineeships.
(a)
In general.
(b)
Limitation regarding certain program.
Part F-General Provisions
(a)
Preferences in making awards.
(b)
"Graduate" defined.
(c)
Exceptions for new programs.
(a)
In general.
(b)
Certain authorities and requirements.
(d)
Reports to Congress.
(e)
Requirements regarding personal data.
(g)
Technical assistance.
(h)
Grants and contracts regarding nonprofit entities.
(a)
In general.
(b)
Plan.
(c)
Performance outcome standards.
(d)
Linkages.
(a)
In general.
(b)
Maintenance of effort.
(a)
Awarding of grants and contracts.
(b)
Eligible entities.
(c)
Information requirements.
(d)
Training programs.
(e)
Duration of assistance.
(f)
Peer review regarding certain programs.
(g)
Preference or priority considerations.
(h)
Analytic activities.
(i)
Osteopathic schools.
SUBCHAPTER VI-NURSING WORKFORCE DEVELOPMENT
Part A-General Provisions
(a)
In general.
(b)
Plan.
(c)
Performance outcome standards.
(d)
Linkages.
(a)
In general.
(b)
Maintenance of effort.
(a)
Awarding of grants and contracts.
(b)
Information requirements.
(c)
Training programs.
(d)
Duration of assistance.
(e)
Peer review regarding certain programs.
(f)
Analytic activities.
(g)
State and regional priorities.
(h)
Filing of applications.
Part B-Nurse Practitioners, Nurse Midwives, Nurse Anesthetists, and Other Advanced Education Nurses
(a)
In general.
(b)
Definition of advanced education nurses.
(c)
Authorized nurse practitioner and nurse midwifery programs.
(d)
Authorized nurse anesthesia programs.
(e)
Other authorized educational programs.
(f)
Traineeships.
Part C-Increasing Nursing Workforce Diversity
(a)
In general.
(b)
Guidance.
(c)
Required information and conditions for award recipients.
Part D-Strengthening Capacity for Basic Nurse Education and Practice
(a)
In general.
(b)
Priority areas.
Part E-Student Loans
(a)
Agreements to establish and operate fund authorized.
(b)
Provisions of agreements.
(c)
Regulatory standards applicable to collection of loans.
(a)
Maximum amount per individual per year; preference to first year students.
(b)
Terms and conditions.
(c)
Cancellation.
(d)
Installments.
(e)
Availability to eligible students in need.
(f)
Penalty for late payment.
(g)
Minimum monthly repayment.
(h)
Loan cancellation.
(i)
Loan repayment.
(j)
Collection by Secretary of loan in default; preconditions and procedures applicable.
(k)
Redesignated (j).
(l)
Elimination of statute of limitation for loan collections.
(a)
Application for allotment; reduction or adjustment of amount requested in application; reallotment; continued availability of funds.
(b)
Installment payment of allotments.
(c)
Manner of payment.
(a)
Capital distribution of balance of loan fund.
(b)
Payment of principal or interest on loans.
(c)
Payment of balance of loan fund.
(a)
In general.
(b)
Manner of payments.
(c)
Payment by due date.
(d)
Breach of agreement.
(e)
Preferences regarding participants.
(f)
Definitions.
(g)
Authorization of appropriations.
(h)
Breach of agreement.
Part F-Funding
(a)
Authorization of appropriations.
(b)
Allocations for fiscal years 1998 through 2002.
(c)
Allocations after fiscal year 2002.
(d)
Use of methodology before fiscal year 2003.
(e)
Authority for use of additional factors in methodology.
Part G-National Advisory Council on Nurse Education and Practice
(a)
Establishment.
(b)
Composition.
(c)
Vacancies.
(d)
Duties.
(e)
Meetings and documents.
(f)
Compensation and expenses.
(g)
Funding.
(h)
FACA.
SUBCHAPTER VII-AGENCY FOR HEALTHCARE RESEARCH AND QUALITY
Part A-Establishment and General Duties
(a)
In general.
(b)
Mission.
(c)
Requirements with respect to rural and inner-city areas and priority populations.
(a)
In general.
(b)
Health services training grants.
(c)
Multidisciplinary centers.
(d)
Relation to certain authorities regarding social security.
(e)
Disclaimer.
(f)
Rule of construction.
(g)
Annual report.
Part B-Health Care Improvement Research
(a)
Evidence rating systems.
(b)
Health care improvement research centers and provider-based research networks.
(a)
Support for efforts to develop information on quality.
(b)
Centers for education and research on therapeutics.
(c)
Reducing errors in medicine.
(a)
In general.
(b)
Quality and outcomes information.
(a)
In general.
(b)
Demonstration.
(c)
Facilitating public access to information.
(a)
Preventive Services Task Force.
(b)
Primary care research.
(a)
In general.
(b)
Specification of process.
(c)
Specific assessments.
(d)
Medical examination of certain victims.
(a)
Requirement.
(b)
Study by the Institute of Medicine.
Part C-General Provisions
(a)
Establishment.
(b)
Duties.
(c)
Membership.
(d)
Terms.
(e)
Vacancies.
(f)
Chair.
(g)
Meetings.
(h)
Compensation and reimbursement of expenses.
(i)
Staff.
(j)
Duration.
(a)
Requirement of review.
(b)
Approval as precondition of awards.
(c)
Establishment of peer review groups.
(d)
Authority for procedural adjustments in certain cases.
(e)
Regulations.
(a)
Standards with respect to utility of data.
(b)
Statistics and analyses.
(c)
Authority regarding certain requests.
(a)
In general.
(b)
Prohibition against restrictions.
(c)
Limitation on use of certain information.
(d)
Penalty.
(a)
Financial conflicts of interest.
(b)
Requirement of application.
(c)
Provision of supplies and services in lieu of funds.
(d)
Applicability of certain provisions with respect to contracts.
(a)
Deputy director and other officers and employees.
(b)
Facilities.
(c)
Provision of financial assistance.
(d)
Utilization of certain personnel and resources.
(e)
Consultants.
(f)
Experts.
(g)
Voluntary and uncompensated services.
(a)
Intent.
(b)
Authorization of appropriations.
(c)
Evaluations.
SUBCHAPTER VIII-POPULATION RESEARCH AND VOLUNTARY FAMILY PLANNING PROGRAMS
(a)
Authority of Secretary.
(b)
Factors determining awards; establishment and preservation of rights of local and regional entities.
(c)
Reduction of grant amount.
(d)
Authorization of appropriations.
(a)
Authority of Secretary; prerequisites.
(b)
Factors determining amount of State allotments.
(c)
"State" defined.
(d)
Authorization of appropriations.
(a)
Promulgation of regulations governing execution; amount of grants.
(b)
Payment of grants.
(c)
Prerequisites; "low-income family" defined.
(d)
Suitability of informational or educational materials.
(a)
Omitted.
(b)
Prohibition of public officials and public authorities from imposition of certain requirements contrary to religious beliefs or moral convictions.
(c)
Discrimination prohibition.
(d)
Individual rights respecting certain requirements contrary to religious beliefs or moral convictions.
(e)
Prohibition on entities receiving Federal grant, etc., from discriminating against applicants for training or study because of refusal of applicant to participate on religious or moral grounds.
SUBCHAPTER VIII–A-ADOLESCENT PREGNANCIES
Part A-Grant Program
Part B-Improving Coordination of Federal and State Programs
SUBCHAPTER IX-GENETIC DISEASES, HEMOPHILIA PROGRAMS, AND SUDDEN INFANT DEATH SYNDROME
Part A-Genetic Diseases
(a)
Manner of submission; contents.
(b)
Considerations for grants and contracts under section 300b–1 of this title.
Part B-Sudden Infant Death Syndrome
(a)
Adequate amounts for identification and prevention progress.
(b)
Reports to Congressional committees; contents: data as to applications and funds for specific and general research, summary of findings and plan for taking advantage of research leads and findings.
(c)
Reports to Congressional committees; current and past estimates for research.
Part C-Hemophilia Programs
(a)
Grants and contracts with public and nonprofit private entities for projects to develop and expand existing facilities; definitions.
(b)
Grants for alleviation of insufficient supplies of blood fractions.
(c)
Approval of application as prerequisite for grant or contract; form, manner of submission, and contents of application.
(d)
Nonapplicability of statutory provisions to contracts.
(e)
Authorization of appropriations.
SUBCHAPTER X-TRAUMA CARE
Part A-General Authority and Duties of Secretary
(a)
In general.
(b)
Grants, cooperative agreements, and contracts.
(c)
Administration.
(a)
Establishment.
(b)
Duties.
(c)
Fees and assessments.
(a)
In general.
(b)
Special consideration for certain rural areas.
(c)
Requirement of application.
Part B-Formula Grants With Respect to Modifications of State Plans
(a)
Requirement of allotments for States.
(b)
Purpose.
(a)
Non-Federal contributions.
(b)
Determination of amount of non-Federal contribution.
(a)
Trauma care modifications to State plan for emergency medical services.
(b)
Certain standards with respect to trauma care centers and systems.
(c)
Model trauma care plan.
(d)
Rule of construction with respect to number of designated trauma centers.
(a)
Trauma plan.
(b)
Information received by State reporting and analysis system.
(c)
Availability of emergency medical services in rural areas.
(a)
In general.
(b)
Exception.
(a)
In general.
(b)
Availability to public of reports.
(c)
Evaluations by Comptroller General.
(a)
Minimum allotment.
(b)
Determination under formula.
(c)
Disposition of certain funds appropriated for allotments.
(a)
Repayment of payments.
(b)
Opportunity for hearing.
(a)
In general.
(b)
Criminal penalty for violation of prohibition.
(a)
Technical assistance.
(b)
Provision by Secretary of supplies and services in lieu of grant funds.
Part C-General Provisions Regarding Parts A and B
(a)
Authorization of appropriations.
(b)
Allocation of funds by Secretary.
(c)
Effect of insufficient appropriations for minimum allotments.
Part D-Trauma Centers Operating in Areas Severely Affected by Drug-Related Violence
(a)
In general.
(b)
Minimum qualifications of centers.
(a)
In general.
(b)
Further preference for certain applications.
(a)
Commitment regarding continued participation in trauma care system.
(b)
Maintenance of financial support.
(c)
Trauma care registry.
(a)
Application.
(b)
Limitation on duration of support.
(c)
Limitation on amount of grant.
Part E-Miscellaneous Programs
(a)
In general.
(b)
Identification and referral of domestic violence.
(c)
Authorization of appropriations.
(a)
In general.
(b)
State advisory board.
(c)
Matching funds.
(d)
Application for grant.
(e)
Coordination of activities.
(f)
Report.
(g)
"Traumatic brain injury" defined.
(h)
Authorization of appropriations.
Part F-Interagency Program for Trauma Research
(a)
In general.
(b)
Plan for Program.
(c)
Participating agencies; coordination and collaboration.
(d)
Certain activities of Program.
(e)
Mechanisms of support.
(f)
Resources.
(g)
Coordinating Committee.
(h)
Definitions.
SUBCHAPTER XI-HEALTH MAINTENANCE ORGANIZATIONS
(a)
"Health maintenance organization" defined.
(b)
Manner of supplying basic and supplemental health services to members.
(c)
Organizational requirements.
(d)
Application of rules by certain health maintenance organizations.
(a)
Authority.
(b)
Limitations.
(c)
Source of loan funds.
(d)
Time limit on loans and loan guarantees.
(e)
Repealed.
(f)
Medically underserved populations.
(a)
Submission to and approval by Secretary required for making loans and loan guarantees.
(b)
Application contents.
(c)
Regulations.
(a)
Recordkeeping; audit and examination.
(b)
Report upon expiration of period.
(c)
Repealed.
(d)
Other entities considered health maintenance organizations.
(a)
Conditions.
(b)
Application requirements.
(c)
Sale of loans.
(d)
Loan guarantee fund.
(e)
Loan fund.
(f)
Actions to protect interest of United States in event of default.
(a)
Regulations; membership option.
(b)
Nondiscriminatory contributions for services; payroll deductions; effect on costs.
(c)
"Qualified health maintenance organization" defined.
(d)
Civil penalty; notice and presentation of views; review.
(e)
"Employer" defined.
(f)
Termination of payment for failure to comply.
(a)
Entities operating as health maintenance organizations.
(b)
Advertising.
(c)
Digest of State laws, regulations, and practices; legal consultative assistance.
(a)
Determination of deficiency.
(b)
Action by Secretary upon determination.
(a)
National Health Maintenance Organization Intern Program.
(b)
Technical assistance.
(c)
Amounts provided in advance in appropriation acts.
(a)
Financial information reported to Secretary.
(b)
"Party in interest" defined.
(c)
Information availability.
(d)
Evaluation of transactions.
(e)
Repealed.
(f)
Rates.
(g)
Annual financial statement.
(h)
Penalties.
SUBCHAPTER XII-SAFETY OF PUBLIC WATER SYSTEMS
Part A-Definitions
Part B-Public Water Systems
(a)
National primary drinking water regulations; maximum contaminant level goals; simultaneous publication of regulations and goals.
(b)
Standards.
(c)
Secondary regulations; publication of proposed regulations; promulgation; amendments.
(d)
Regulations; public hearings; administrative consultations.
(e)
Science Advisory Board comments.
(a)
In general.
(b)
Regulations.
(c)
Interim primary enforcement authority.
(a)
Notice to State and public water system; issuance of administrative order; civil action.
(b)
Judicial determinations in appropriate Federal district courts; civil penalties; separate violations.
(c)
Notice to persons served.
(d)
Notice of noncompliance with secondary drinking water regulations.
(e)
State authority to adopt or enforce laws or regulations respecting drinking water regulations or public water systems unaffected.
(f)
Notice and public hearing; availability of recommendations transmitted to State and public water system.
(g)
Administrative order requiring compliance; notice and hearing; civil penalty; civil actions.
(h)
Consolidation incentive.
(i)
"Applicable requirement" defined.
(a)
Characteristics of raw water sources; specific treatment technique; notice to Administrator, reasons for variance; compliance, enforcement; approval or revision of schedules and revocation of variances; review of variances and schedules; publication in Federal Register, notice and results of review; notice to State; considerations respecting abuse of discretion in granting variances or failing to prescribe schedules; State corrective action; authority of Administrator in a State without primary enforcement responsibility; alternative treatment techniques.
(b)
Enforcement of schedule or other requirement.
(c)
Applications for variances; regulations: reasonable time for acting.
(d)
"Treatment technique requirement" defined.
(e)
Small system variances.
(a)
Requisite findings.
(b)
Compliance schedule and implementation of control measures; notice and hearing; dates for compliance with schedule; compliance, enforcement; approval or revision of schedules and revocation of exemptions.
(c)
Notice to Administrator; reasons for exemption.
(d)
Review of exemptions and schedules; publication in Federal Register, notice and results of review; notice to State; considerations respecting abuse of discretion in granting exemptions or failing to prescribe schedules; State corrective action.
(e)
"Treatment technique requirement" defined.
(f)
Authority of Administrator in a State without primary enforcement responsibility.
(g)
Applications for exemptions; regulations; reasonable time for acting.
(a)
In general.
(b)
State enforcement.
(c)
Penalties.
(d)
"Lead free" defined.
(e)
Plumbing fittings and fixtures.
(a)
Interim monitoring relief authority.
(b)
Permanent monitoring relief authority.
(c)
Treatment as NPDWR.
(d)
Other monitoring relief.
(a)
Guidelines.
(b)
State programs.
(c)
Existing programs.
(d)
Expense reimbursement.
(a)
State authority for new systems.
(b)
Systems in significant noncompliance.
(c)
Capacity development strategy.
(d)
Federal assistance.
(e)
Variances and exemptions.
(f)
Small public water systems technology assistance centers.
(g)
Environmental finance centers.
Part C-Protection of Underground Sources of Drinking Water
(a)
Publication of proposed regulations; promulgation; amendments; public hearings; administrative consultations.
(b)
Minimum requirements; restrictions.
(c)
Temporary permits; notice and hearing.
(d)
"Underground injection" defined; underground injection endangerment of drinking water sources.
(a)
List of States in need of a control program; amendment of list.
(b)
State applications; notice to Administrator of compliance with revised or added requirements; approval or disapproval by Administrator; duration of State primary enforcement responsibility; public hearing.
(c)
Program by Administrator for State without primary enforcement responsibility; restrictions.
(d)
"Applicable underground injection control program" defined.
(e)
Primary enforcement responsibility by Indian Tribe.
(a)
Notice to State and violator; issuance of administrative order; civil action.
(b)
Civil and criminal actions.
(c)
Administrative orders.
(d)
State authority to adopt or enforce laws or regulations respecting underground injection unaffected.
(a)
Necessity for well operation permit; designation of one aquifer areas.
(b)
Well operation permits; publication in Federal Register; notice and hearing; issuance or denial; conditions for issuance.
(c)
Civil penalties; separate violations; penalties for willful violations; temporary restraining order or injunction.
(d)
"New underground injection well" defined.
(e)
Areas with one aquifer; publication in Federal Register; commitments for Federal financial assistance.
(a)
Approval of State underground injection control program; alternative showing of effectiveness of program by State.
(b)
Revision or amendment of requirements of regulation; showing of effectiveness of program by State.
(c)
Primary enforcement responsibility of State; voiding by Administrator under duly promulgated rule.
(a)
Purpose.
(b)
"Critical aquifer protection area" defined.
(c)
Application.
(d)
Criteria.
(e)
Contents of application.
(f)
Comprehensive plan.
(g)
Plans under section 208 of Clean Water Act.
(h)
Consultation and hearings.
(i)
Approval or disapproval.
(j)
Grants and reimbursement.
(k)
Activities funded under other law.
(l)
Savings provision.
(m)
Authorization of appropriations.
(a)
State programs.
(b)
Public participation.
(c)
Disapproval.
(d)
Federal assistance.
(e)
"Wellhead protection area" defined.
(f)
Prohibitions.
(g)
Implementation.
(h)
Federal agencies.
(i)
Additional requirement.
(j)
Coordination with other laws.
(k)
Authorization of appropriations.
(a)
In general.
(b)
Guidance.
(c)
Conditions of grants.
(d)
Amount of grants.
(e)
Evaluations and reports.
(f)
Authorization of appropriations.
Part D-Emergency Powers
(a)
Actions authorized against imminent and substantial endangerment to health.
(b)
Penalties for violations; separate offenses.
(a)
Tampering.
(b)
Attempt or threat.
(c)
Civil penalty.
(d)
"Tamper" defined.
Part E-General Provisions
(a)
Certification of need application.
(b)
Application requirements; publication in Federal Register; waiver; certification, issuance or denial.
(c)
Certification of need; issuance; executive orders; implementation of orders; equitable apportionment of orders; factors considered.
(d)
Breach of contracts; defense.
(e)
Penalties for noncompliance with orders; temporary restraining orders and preliminary or permanent injunctions.
(f)
Termination date.
(a)
Specific powers and duties of Administrator.
(b)
Emergency situations.
(c)
Establishment of training programs and grants for training; training fees.
(d)
Authorization of appropriations.
(e)
Technical assistance.
(a)
Public water systems supervision programs; applications for grants; allotment of sums; waiver of grant restrictions; notice of approval or disapproval of application; authorization of appropriations.
(b)
Underground water source protection programs; applications for grants; allotment of sums; authorization of appropriations.
(c)
Definitions.
(d)
New York City watershed protection program.
(a)
Special study and demonstration project grants.
(b)
Limitations.
(c)
Authorization of appropriations.
(d)
Loan guarantees to public water systems; conditions; indebtedness limitation; regulations.
(a)
Assistance for development and demonstration projects.
(b)
Limitations.
(c)
Authorization of appropriations.
(a)
Technical and financial assistance.
(b)
Limitation.
(c)
Condition.
(d)
Authorization of appropriations.
(e)
Acquisition of lands.
(f)
Federal share.
(g)
Definitions.
(a)
Provision of information to Administrator; monitoring program for unregulated contaminants.
(b)
Entry of establishments, facilities, or other property; inspections; conduct of certain tests; audit and examination of records; entry restrictions; prohibition against informing of a proposed entry.
(c)
Penalty.
(d)
Confidential information; trade secrets and secret processes; information disclosure; "information required under this section" defined.
(e)
"Grantee" and "person" defined.
(f)
Information regarding drinking water coolers.
(g)
Occurrence data base.
(h)
Availability of information on small system technologies.
(i)
Screening methods.
(a)
Establishment; membership; representation of interests; term of office, vacancies; reappointment.
(b)
Functions.
(c)
Compensation and allowances; travel expenses.
(d)
Advisory committee termination provision inapplicable.
(a)
In general.
(b)
Administrative penalty orders.
(c)
Limitation on State use of funds collected from Federal Government.
(d)
Indian rights and sovereignty as unaffected; "Federal agency" defined.
(e)
Washington Aqueduct.
(a)
Courts of appeals; petition for review: actions respecting regulations; filing period; grounds arising after expiration of filing period; exclusiveness of remedy.
(b)
District courts; petition for review: actions respecting variances or exemptions; filing period; grounds arising after expiration of filing period; exclusiveness of remedy.
(c)
Judicial order for additional evidence before Administrator; modified or new findings; recommendation for modification or setting aside of original determination.
(a)
Persons subject to civil action; jurisdiction of enforcement proceedings.
(b)
Conditions for commencement of civil action; notice.
(c)
Intervention of right.
(d)
Costs; attorney fees; expert witness fees; filing of bond.
(e)
Availability of other relief.
(a)
Regulations; delegation of functions.
(b)
Utilization of officers and employees of Federal agencies.
(c)
Assignment of Agency personnel to State or interstate agencies.
(d)
Payments of grants; adjustments; advances; reimbursement; installments; conditions; eligibility for grants; "nonprofit agency or institution" defined.
(e)
Labor standards.
(f)
Appearance and representation of Administrator through Attorney General or attorney appointees.
(g)
Authority of Administrator under other provisions unaffected.
(h)
Reports to Congressional committees; review by Office of Management and Budget: submittal of comments to Congressional committees.
(i)
Discrimination prohibition; filing of complaint; investigation; orders of Secretary; notice and hearing; settlements; attorneys' fees; judicial review; filing of petition; procedural requirements; stay of orders; exclusiveness of remedy; civil actions for enforcement of orders; appropriate relief; mandamus proceedings; prohibition inapplicable to undirected but deliberate violations.
(a)
In general.
(b)
EPA regulations.
(a)
General authority.
(b)
Intended use plans.
(c)
Fund management.
(d)
Assistance for disadvantaged communities.
(e)
State contribution.
(f)
Types of assistance.
(g)
Administration of State loan funds.
(h)
Needs survey.
(i)
Indian Tribes.
(j)
Other areas.
(k)
Other authorized activities.
(l)
Savings.
(m)
Authorization of appropriations.
(n)
Health effects studies.
(o)
Monitoring for unregulated contaminants.
(p)
Demonstration project for State of Virginia.
(q)
Small system technical assistance.
(r)
Evaluation.
(a)
Source water assessment.
(b)
Approval and disapproval.
(a)
Petition program.
(b)
Approval or disapproval of petitions.
(c)
Grants to support State programs.
(d)
Guidance.
(e)
Authorization of appropriations.
(f)
Statutory construction.
(a)
Guidelines.
(b)
Loans or grants.
(a)
Definitions.
(b)
Grants to alleviate health risks.
(c)
Use of funds.
(d)
Cost sharing.
(e)
Authorization of appropriations.
(a)
Subpopulations at greater risk.
(b)
Biological mechanisms.
(c)
Studies on harmful substances in drinking water.
(d)
Waterborne disease occurrence study.
Part F-Additional Requirements To Regulate Safety of Drinking Water
(a)
Publication of lists.
(b)
Prohibition.
(c)
Criminal penalty.
(d)
Civil penalty.
(a)
Distribution of drinking water cooler list.
(b)
Guidance document and testing protocol.
(c)
Dissemination to schools, etc.
(d)
Remedial action program.
(a)
School drinking water programs.
(b)
Limits.
(c)
Authorization of appropriations.
SUBCHAPTER XIII-PREVENTIVE HEALTH MEASURES WITH RESPECT TO BREAST AND CERVICAL CANCERS
(a)
In general.
(b)
Grant and contract authority of States.
(c)
Special consideration for certain States.
(d)
Coordinating committee regarding year 2000 health objectives.
(a)
In general.
(b)
Determination of amount of non-Federal contribution.
(a)
Requirement of provision of all services by date certain.
(b)
Use of improved screening procedures.
(c)
Quality assurance regarding screening procedures.
(a)
Priority for low-income women.
(b)
Limitation on imposition of fees for services.
(c)
Statewide provision of services.
(d)
Relationship to items and services under other programs.
(e)
Coordination with other breast and cervical cancer programs.
(f)
Limitation on administrative expenses.
(g)
Restrictions on use of grant.
(h)
Records and audits.
(i)
Reports to Secretary.
(a)
Technical assistance.
(b)
Provision of supplies and services in lieu of grant funds.
(a)
Evaluations.
(b)
Report to Congress.
(a)
Demonstration projects.
(b)
Status as participant in program regarding breast and cervical cancer.
(c)
Applicability of provisions of general program.
(d)
Funding.
(a)
Authorization of appropriations.
(b)
Set-aside for technical assistance and provision of supplies and services.
SUBCHAPTER XIV-HEALTH RESOURCES DEVELOPMENT
Part A-Loans and Loan Guarantees
(a)
Covered projects: duration; payment of principal and interest on loans for covered projects: duration; payments for reduction of interest rate.
(b)
Amount of loans for medical facilities projects and such projects in urban or rural poverty areas.
(c)
Limitation on cumulative total of principal of outstanding loans.
(d)
Administrative assistance of Department of Housing and Urban Development.
(a)
Loan guarantees; criteria for approval; recovery of payments by United States; modification, etc., of terms and conditions; incontestability.
(b)
Loans; criteria for approval; terms and conditions; waiver of recovery of payments by United States.
(c)
Sale of loans; authority; amount; agreements with purchasers; deposit of proceeds.
(d)
Loan and loan guarantee fund; establishment; amounts authorized to be appropriated; issuance, purchase, and sale of notes, obligations, etc.; interest rates; public debt transactions.
(e)
Transfers to and additional capitalization of loan and loan guarantee fund.
(f)
Default prevention measures; terms and conditions; implementation of reforms; foreclosures; protection of Federal interest on default.
Part B-Project Grants
(a)
Authority; objectives; eligible grantees; maximum amounts; authorization of appropriations; availability of unobligated funds.
(b)
Projects for medically underserved populations; eligible grantees; maximum amounts; authorization of appropriations.
Part C-General Provisions
(a)
Submissions.
(b)
Form; required provisions; waiver; projects subject to requirements.
(a)
Persons liable.
(b)
Notice to Secretary.
(c)
Amount of recovery; interest; interest period.
(d)
Waiver.
(e)
Lien.
(a)
Filing of financial statement with appropriate State Agency; form and contents.
(b)
Maintenance of records; access to books, etc., for audit and examination.
(c)
Filing of financial statement with Secretary; form and contents.
Part D-Area Health Services Development Funds
(a)
Eligible recipients; purpose of grants.
(b)
Determination of amounts; maximum amounts.
(c)
Applications; submission and approval as prerequisite; form and contents.
(d)
Authorization of appropriations.
Part E-Program To Assist and Encourage Voluntary Discontinuance of Unneeded Hospital Services and Conversion of Unneeded Hospital Services to Other Health Services Needed by Community
(a)
Terms and conditions; determination of amount; authorized uses.
(b)
Application; submission and approval; form; required provisions; review by health systems agency; basis of State Agency's recommendations; urban or rural poverty population considerations; approval by Secretary: restrictions and special considerations.
(c)
Certification of protective arrangements for employment benefits and interests; guidelines; satisfactory arrangement determinations.
(d)
Records and audits requirements.
(e)
"Hospital" defined.
(a)
"Excess hospital capacity" defined; particular activities.
(b)
Terms and conditions.
SUBCHAPTER XV-HEALTH INFORMATION AND HEALTH PROMOTION
(a)
Development, support, and implementation of programs, activities, etc.
(b)
Authorization of appropriations.
(c)
Application; submission and approval as prerequisite; form and content.
(a)
Authority of Secretary; particular activities.
(b)
Grants to States and other public and nonprofit private entities; costs of demonstrating and evaluating programs; development of models.
(c)
Private nonprofit entities; limitation on amount of grant or contract.
(a)
Establishment; grants; contracts; research and demonstration projects.
(b)
Location; types of research and projects.
(c)
Equitable geographic distribution of centers; procedures.
(d)
"Academic health center" defined.
(e)
Authorization of appropriations.
(a)
In general.
(b)
Duties.
(c)
Advisory Committee.
(d)
Certain requirements regarding duties.
(e)
Grants and contracts regarding duties.
(f)
Reports.
(g)
Definitions.
(h)
Funding.
(a)
In general.
(b)
Duties.
(c)
Certain demonstration projects.
(d)
Information clearinghouse.
(e)
National plan.
(f)
Adolescent health.
(a)
Biennial report.
(b)
Submission to Congress.
(a)
In general.
(b)
Authorization of appropriations.
SUBCHAPTER XVI-PRESIDENT'S COMMISSION FOR THE STUDY OF ETHICAL PROBLEMS IN MEDICINE AND BIOMEDICAL AND BEHAVIOR RESEARCH
(a)
Establishment; composition; appointment of members; vacancies.
(b)
Terms of members.
(c)
Chairman.
(d)
Meetings.
(e)
Compensation; travel expenses, etc.
(a)
Studies and investigations; priority and order; report to President and Congress.
(b)
Recommendations to agencies; subsequent administrative requirements.
(c)
Report on protection of human subjects; scope; submission to President, etc.
(d)
Annual report; scope; submission to President, etc.
(e)
Publication and dissemination of reports.
(f)
Definitions.
(a)
Hearings.
(b)
Appointment and compensation of staff personnel; procurement and compensation of temporary and intermittent services; detail of personnel from other Federal agencies.
(c)
Contracting authority.
(d)
Informational requirements and prohibitions.
(e)
Support services from Administrator of General Services.
SUBCHAPTER XVII-BLOCK GRANTS
Part A-Preventive Health and Health Services Block Grants
(a)
Availability based upon prior year distributions.
(b)
Population.
(c)
Distribution of appropriated funds not allotted.
(d)
Distributions to Indian tribes.
(e)
Report on equitable distribution of available funds.
(a)
Preventive health services, comprehensive public health services, emergency medical services, etc.
(b)
Prohibited uses.
(c)
Transfer of funds.
(d)
Limitation on administrative costs.
(a)
In general.
(b)
State plan.
(c)
State certification.
(d)
State Advisory Committee.
(a)
Annual reports; contents; data collection; copies.
(b)
Fiscal control; accounting procedures; annual audits; repayments and offsets; public inspection; Comptroller General evaluations; report to Congress.
(c)
Inapplicability of title XVII of Omnibus Budget Reconciliation Act of 1981.
(a)
Prerequisites.
(b)
Investigations.
(c)
Availability of books, documents, papers, and records.
(d)
Information not readily available.
(a)
Programs and activities receiving Federal financial assistance.
(b)
Failure to comply.
(c)
Civil actions by Attorney General.
(a)
Grant authority.
(b)
Renewals.
(c)
Definitions.
(d)
Authorization of appropriations.
(a)
Permitted use.
(b)
Targeting of education programs.
(c)
Authorization of appropriations.
(d)
Limitation.
(e)
"Rape prevention and education" defined.
(f)
Terms.
Part B-Block Grants Regarding Mental Health and Substance Abuse
subpart i-block grants for community mental health services
(a)
In general.
(b)
Purpose of grants.
(a)
In general.
(b)
Criteria for plan.
(c)
Definitions regarding mental illness and emotional disturbance; methods for estimate of incidence and prevalence.
(d)
Requirement of implementation of plan.
(a)
Allocation for systems of integrated services for children.
(b)
Providers of services.
(c)
Criteria for mental health centers.
(a)
In general.
(b)
Duties.
(c)
Membership.
(d)
"Council" defined.
(a)
Review of State plan by mental health planning council.
(b)
Maintenance of effort regarding State expenditures for mental health.
(a)
In general.
(b)
Limitation on administrative expenses.
(a)
In general.
(b)
Waivers regarding certain territories.
(a)
States.
(b)
Minimum allotments for States.
(c)
Territories.
(a)
Authorization of appropriations.
(b)
Allocations for technical assistance, data collection, and program evaluation.
subpart ii-block grants for prevention and treatment of substance abuse
(a)
In general.
(b)
Authorized activities.
(a)
Allocations regarding alcohol and other drugs.
(b)
Allocation regarding primary prevention programs.
(c)
Allocations regarding women.
(a)
Capacity of treatment programs.
(b)
Outreach regarding intravenous substance abuse.
(a)
Tuberculosis.
(b)
Human immunodeficiency virus.
(c)
Expenditure of grant for compliance with agreements.
(d)
Maintenance of effort.
(e)
Applicability of certain provision.
(a)
State revolving funds for establishment of homes.
(b)
Issuance by Secretary of guidelines.
(c)
Applicability to territories.
(a)
Relevant law.
(b)
Enforcement.
(c)
Noncompliance of State.
(d)
"First applicable fiscal year" defined.
(a)
In general.
(b)
Referrals regarding States.
(a)
Improvement of process for appropriate referrals for treatment.
(b)
Continuing education.
(c)
Coordination of various activities and services.
(d)
Waiver of requirement.
(a)
In general.
(b)
Waiver.
(c)
Noncompliance by State.
(a)
In general.
(b)
Exception regarding inpatient hospital services.
(c)
Waiver regarding construction of facilities.
(a)
In general.
(b)
State plan.
(c)
Waivers regarding certain territories.
(d)
Issuance of regulations; precondition to making grants.
(a)
States.
(b)
Minimum allotments for States.
(c)
Territories.
(d)
Indian tribes and tribal organizations.
(a)
Authorization of appropriations.
(b)
Allocations for technical assistance, national data base, data collection, and program evaluations.
subpart iii-general provisions
(a)
Report.
(b)
Audits.
(c)
Availability to public.
(a)
In general.
(b)
Patient records.
(a)
In general.
(b)
Specification of amounts.
(a)
Suspension or termination of payments.
(b)
Repayment of payments.
(c)
Withholding of payments.
(d)
Applicability of remedies to certain violations.
(e)
Opportunity for hearing.
(f)
Requirement of hearing in certain circumstances.
(g)
Certain investigations.
(a)
Establishment.
(b)
Criminal penalty for violation of prohibition.
(a)
In general.
(b)
Enforcement.
(a)
Technical assistance.
(b)
Provision of supplies and services in lieu of grant funds.
(a)
In general.
(b)
Exception regarding noncompliance of subgrantees.
(a)
In general.
(b)
Expenditure of amounts.
(c)
Definitions.
(a)
Definitions for this subpart.
(b)
Definitions for this part.
Part C-Certain Programs Regarding Substance Abuse
subpart i-expansion of capacity for providing treatment
(a)
Grants for States with insufficient capacity.
(b)
Priority in making grants.
(c)
Requirement of matching funds.
(d)
Limitation regarding direct treatment services.
(e)
Requirement of application.
(f)
Duration of grant.
(g)
Maintenance of effort.
(h)
Restrictions on use of grant.
(i)
Definitions.
(j)
Authorization of appropriations.
subpart ii-interim maintenance treatment of narcotics dependence
(a)
Requirement regarding Secretary.
(b)
Inapplicability of requirement in certain circumstances.
(c)
Conditions for obtaining authorization from Secretary.
(d)
Definitions.
SUBCHAPTER XVIII-ADOLESCENT FAMILY LIFE DEMONSTRATION PROJECTS
(a)
Covered projects.
(b)
Family planning services; availability in community.
(c)
Fees for services: criteria.
(a)
Priorities.
(b)
Factors to be considered in making grants; special needs of rural areas.
(c)
Duration; Federal share.
(a)
Form, content, and assurances.
(b)
Evaluations: amount, conduct, and technical assistance.
(c)
Reports.
(d)
Notification of parents; "adult" defined.
(e)
Submission of applications to Governor; comments by Governor.
(f)
Availability of core services.
(a)
Grants and contracts; duration; renewal; amount.
(b)
Scope of permissible activities.
(c)
Applications.
(d)
Coordination with National Institutes of Health.
(e)
Review of applications for grants and contracts; establishment of review panel.
(f)
Reports.
SUBCHAPTER XIX-VACCINES
Part 1-National Vaccine Program
Part 2-National Vaccine Injury Compensation Program
subpart a-program requirements
(a)
Program established.
(b)
Attorney's obligation.
(c)
Publicity.
(a)
General rule.
(b)
Petitioners.
(c)
Petition content.
(d)
Additional information.
(e)
Schedule.
(a)
General rule.
(b)
Parties.
(c)
United States Court of Federal Claims special masters.
(d)
Special masters.
(e)
Action by United States Court of Federal Claims.
(f)
Appeals.
(g)
Notice.
(a)
General rule.
(b)
Matters to be considered.
(c)
"Record" defined.
(a)
Initial table.
(b)
Qualifications and aids to interpretation.
(c)
Administrative revision of table.
(d)
Role of Commission.
(e)
Additional vaccines.
(a)
General rule.
(b)
Vaccines administered before effective date.
(c)
Residential and custodial care and service.
(d)
Types of compensation prohibited.
(e)
Attorneys' fees.
(f)
Payment of compensation.
(g)
Program not primarily liable.
(h)
Liability of health insurance carriers, prepaid health plans, and benefit providers.
(i)
Source of compensation.
(j)
Authorization.
(a)
General rule.
(b)
Effect of revised table.
(c)
State limitations of actions.
(a)
General rule.
(b)
Disposition of amounts recovered.
(a)
Establishment.
(b)
Term of office.
(c)
Meetings.
(d)
Compensation.
(e)
Staff.
(f)
Functions.
subpart b-additional remedies
(a)
Election.
(b)
Continuance or withdrawal of petition.
(c)
Limitations of actions.
(a)
General rule.
(b)
Unavoidable adverse side effects; warnings.
(c)
Direct warnings.
(d)
Construction.
(e)
Preemption.
(a)
General rule.
(b)
Liability.
(c)
General damages.
(d)
Punitive damages.
(e)
Evidence.
subpart c-assuring a safer childhood vaccination program in united states
(a)
General rule.
(b)
Reporting.
(c)
Release of information.
(a)
General rule.
(b)
Development and revision of materials.
(c)
Information requirements.
(d)
Health care provider duties.
(a)
General rule.
(b)
Task force.
(c)
Report.
(a)
General rule.
(b)
Sanction.
subpart d-general provisions
(a)
General rule.
(b)
Notice.
(c)
Costs of litigation.
(a)
Reviews.
(b)
Report.
SUBCHAPTER XX-REQUIREMENTS FOR CERTAIN GROUP HEALTH PLANS FOR CERTAIN STATE AND LOCAL EMPLOYEES
(a)
In general.
(b)
Exception for certain plans.
SUBCHAPTER XXI-RESEARCH WITH RESPECT TO ACQUIRED IMMUNE DEFICIENCY SYNDROME
Part A-Administration of Research Programs
(a)
In general.
(b)
Inclusion of certain information.
(a)
In general.
(b)
Time limitations with respect to certain applications.
(c)
Requirements with respect to adjustments in time limitations.
(d)
Annual reports to Congress.
(e)
Quarterly reports for fiscal year 1989.
(a)
In general.
(b)
Notice to Secretary and to Assistant Secretary for Health.
(c)
"Priority request" defined.
(a)
In general.
(b)
Composition.
(c)
Duties.
Part B-Research Authority
(a)
In general.
(b)
Personnel and administrative support.
(c)
Authorization of appropriations.
(a)
Encouragement of applications with respect to clinical trials.
(b)
Encouragement of applications with respect to treatment use in circumstances other than clinical trials.
(c)
Technical assistance with respect to treatment use.
(d)
"New drug" defined.
(a)
In general.
(b)
Requirement of certain projects.
(c)
Participation of private industry, schools of medicine and primary providers.
(d)
Requirement of application.
(e)
Authorization of appropriations.
(a)
Establishment of program.
(b)
Authority with respect to grants and contracts.
(c)
Scientific and ethical guidelines.
(d)
Authorization of appropriations.
(a)
Grants and contracts for research.
(b)
Grants and contracts for additional purposes.
(c)
Special Programme of World Health Organization.
(d)
Preferences.
(e)
Requirement of application.
(f)
Authorization of appropriations.
(a)
In general.
(b)
Use of financial assistance.
(c)
Duration of support.
(d)
Authorization of appropriations.
(a)
Establishment of program.
(b)
Toll-free telephone communications for health care entities.
(c)
Data bank on research information.
(d)
Data bank on clinical trials and treatments.
(e)
Requirements with respect to data bank on clinical trials and treatments.
(a)
In general.
(b)
Requirement of provision of certain services.
(c)
Limitation on imposition of charges for services.
(d)
Evaluation and reports.
(e)
Authorization of appropriations.
(a)
Data collection with respect to national prevalence.
(b)
Epidemiological and demographic data.
(c)
Long-term research.
(d)
Social sciences research.
(e)
Authorization of appropriations.
Part C-Research Training
(a)
In general.
(b)
Programs conducted by National Institute of Mental Health.
(c)
Relationship to limitation on number of employees.
(d)
Authorization of appropriations.
Part D-Office of AIDS Research
subpart i-interagency coordination of activities
(a)
In general.
(b)
Duties.
(a)
Advisory Council.
(b)
Individual coordinating committees regarding research disciplines.
(a)
In general.
(b)
Certain components of plan.
(c)
Budget estimates.
(d)
Funding.
(a)
In general.
(b)
Report to Secretary.
(c)
Projects for cooperation among public and private health entities.
subpart ii-emergency discretionary fund
(a)
In general.
(b)
Peer review.
(c)
Limitations on use of Fund.
(d)
Applicability of limitation regarding number of employees.
(e)
Report to Congress.
(f)
Definitions.
(g)
Funding.
subpart iii-general provisions
(a)
Administrative support for Office.
(b)
Evaluation and report.
(c)
Definitions.
Part E-General Provisions
SUBCHAPTER XXII-HEALTH SERVICES WITH RESPECT TO ACQUIRED IMMUNE DEFICIENCY SYNDROME
Part A-Formula Grants to States for Home and Community-Based Health Services
Part B-Subacute Care
(a)
Definitions.
(b)
Authorization to conduct three projects.
(c)
Services.
(d)
Time and place.
(e)
Evaluation and report.
(f)
Other research.
(g)
Authorization of appropriations.
(h)
Services to veterans.
Part C-Other Health Services
(a)
Counseling before testing.
(b)
Counseling of individuals with negative test results.
(c)
Counseling of individuals with positive test results.
(d)
Rule of construction with respect to counseling without testing.
(e)
Use of funds.
SUBCHAPTER XXIII-PREVENTION OF ACQUIRED IMMUNE DEFICIENCY SYNDROME
(a)
In general.
(b)
Contents of programs.
(c)
Limitation.
(d)
Construction.
(a)
Development and dissemination of guidelines.
(b)
Use in occupational standards.
(c)
Development and dissemination of model curriculum for emergency response employees.
(a)
In general.
(b)
Limitation.
(c)
Requirement of matching funds.
(d)
Requirement of application.
(e)
Authorization of appropriations.
Part A-Formula Grants to States
(a)
Allotments for States.
(b)
Purpose of grants.
(a)
In general.
(b)
Opportunity for public comment.
(a)
In general.
(b)
Limitation on administrative expenses.
(a)
Reports.
(b)
Audits.
(c)
Availability to public.
(d)
Evaluations by Comptroller General.
(a)
In general.
(b)
"Significant percentage" defined.
(a)
Minimum allotment.
(b)
Determination of minimum allotment.
(c)
Determination under formula.
(d)
Disposition of certain funds appropriated for allotments.
(a)
Repayment of payments.
(b)
Withholding of payments.
(c)
Opportunity for hearing.
(d)
Prompt response to serious allegations.
(e)
Investigations.
(a)
In general.
(b)
Criminal penalty for violation of prohibition.
(a)
Technical assistance.
(b)
Provision by Secretary of supplies and services in lieu of grant funds.
(a)
Authorization of appropriations.
(b)
Availability to States.
Part B-National Information Programs
(a)
Comprehensive information plan.
(b)
Clearinghouse.
(c)
Toll-free telephone communications.
(a)
In general.
(b)
Requirement of application.
(a)
In general.
(b)
Preferences in making grants.
(a)
In general.
(b)
Allocations.
SUBCHAPTER XXIV-HIV HEALTH CARE SERVICES PROGRAM
Part A-Emergency Relief for Areas With Substantial Need for Services
(a)
Eligible areas.
(b)
Requirement regarding confirmation of cases.
(c)
Requirements regarding population.
(d)
Continued status as eligible area.
(a)
Administration.
(b)
HIV health services planning council.
(c)
Grievance procedures.
(a)
Grants based on relative need of area.
(b)
Supplemental grants.
(c)
Compliance with priorities of HIV planning council.
(a)
Requirements.
(b)
Primary purposes.
(c)
Limited expenditures for personnel needs.
(d)
Requirement of status as medicaid provider.
(e)
Administration.
(f)
Construction.
(a)
In general.
(b)
Application.
(c)
Single application and grant award.
(d)
Date certain for submission.
(e)
Requirements regarding imposition of charges for services.
Part B-Care Grant Program
subpart i-general grant provisions
(a)
In general.
(b)
Priority for women, infants, and children.
(a)
Consortia.
(b)
Assurances.
(c)
Application.
(d)
"Family centered care" defined.
(e)
Priority.
(a)
Uses.
(b)
Priority.
(c)
"Home- and community-based health services" defined.
(a)
In general.
(b)
Limitations.
(a)
In general.
(b)
Eligible individual.
(c)
State duties.
(d)
Duties of Secretary.
(a)
In general.
(b)
Description of intended uses and agreements.
(c)
Requirements regarding imposition of charges for services.
(d)
Requirement of matching funds regarding State allotments.
(a)
In general.
(b)
Definitions.
(a)
Repealed.
(b)
Amount of grant to State.
(c)
Allocation of assistance by States.
(d)
Expedited distribution.
(e)
Reallocation.
subpart ii-provisions concerning pregnancy and perinatal transmission of hiv
(a)
Requirement.
(b)
Noncompliance.
(c)
Additional funds regarding women and infants.
(a)
Annual determination of reported cases.
(b)
Causes of perinatal transmission.
(c)
CDC reporting system.
(d)
Determination by Secretary.
(e)
Contingent applicability.
(f)
Limitation regarding availability of funds.
(a)
In general.
(b)
Report to Congress.
Part C-Early Intervention Services
subpart i-formula grants for states
(a)
Allotments for States.
(b)
Purposes of grants.
(a)
In general.
(b)
Waiver regarding certain secondary agreements.
(a)
In general.
(b)
Determination of amount of non-Federal contribution.
(c)
Applicability of matching requirement.
(d)
Diminished State contribution.
(a)
In general.
(b)
Sufficiency of amount of grant.
(c)
Criteria for offering and encouraging.
(a)
In general.
(b)
Rule of construction.
(a)
Reporting.
(b)
Partner notification.
(c)
Rules of construction.
(a)
In general.
(b)
Consent to risk of transmission.
(c)
State certification with respect to required laws.
(d)
Time limitations with respect to required laws.
(a)
In general.
(b)
Requirement of matching funds.
(c)
Testing.
(d)
Determination of prisons subject to requirement.
(e)
Applicability of provisions regarding informed consent, counseling, and other matters.
(f)
Requirement of application.
(g)
Rule of construction.
(g)
Authorization of appropriations.
(a)
Minimum allotment.
(b)
Determination under formula.
(c)
Certain allocations by Secretary.
(d)
Disposition of certain funds appropriated for allotments.
(e)
Transition rules.
subpart ii-categorical grants.
(a)
In general.
(b)
Purposes of grants.
(c)
Participation in certain consortium.
(a)
In general.
(b)
Status as medicaid provider.
(a)
In general.
(b)
Specification of factors.
(c)
Equitable allocations.
(a)
Services for individuals with hemophilia.
(b)
Technical assistance.
(c)
Planning and development grants.
subpart iii-general provisions
(a)
Confidentiality.
(b)
Informed consent.
(a)
Counseling before testing.
(b)
Counseling of individuals with negative test results.
(c)
Counseling of individuals with positive test results.
(d)
Additional requirements regarding appropriate counseling.
(e)
Counseling of emergency response employees.
(f)
Rule of construction regarding counseling without testing.
(a)
Reports to Secretary.
(b)
Provision of opportunities for anonymous counseling and testing.
(c)
Prohibition against requiring testing as condition of receiving other health services.
(d)
Maintenance of support.
(e)
Requirements regarding imposition of charges for services.
(f)
Relationship to items and services under other programs.
(g)
Administration of grant.
(h)
Construction.
(a)
In general.
(b)
Limitation.
Part D-General Provisions
(a)
In general.
(b)
Provisions regarding participation in research.
(c)
Provisions regarding conduct of research.
(d)
Additional services for patients and families.
(e)
Coordination with other entities.
(f)
Application.
(g)
Coordination with National Institutes of Health.
(h)
Annual review of programs; evaluations.
(i)
Training and technical assistance.
(j)
Authorization of appropriations.
(a)
Informational and training programs.
(b)
Updates.
(c)
Authorization of appropriations.
(a)
Establishment.
(b)
Report.
(c)
Authorization of appropriations.
(a)
Evaluations.
(b)
Report to Congress.
(c)
Authorization of appropriations.
(d)
Allocation of funds.
(a)
Requirement.
(b)
Integration by State.
(c)
Integration by local or private entities.
(a)
In general.
(b)
Development of methodology.
Part E-Emergency Response Employees
subpart i-guidelines and model curriculum
(a)
In general.
(b)
Requirement of application.
(c)
Authorization of appropriations.
subpart ii-notifications of possible exposure to infectious diseases
(a)
In general.
(b)
Specification of airborne infectious diseases.
(c)
Dissemination.
(a)
Routine notification of designated officer.
(b)
Requirement of prompt notification.
(a)
Initiation of process by employee.
(b)
Initial determination by designated officer.
(c)
Submission of request to medical facility.
(d)
Evaluation and response regarding request to medical facility.
(e)
Time for making response.
(f)
Death of victim of emergency.
(g)
Assistance of public health officer.
(a)
Contents of notification to officer.
(b)
Manner of notification.
(a)
In general.
(b)
Certain contents of notification to employee.
(c)
Responses other than notification of exposure.
(a)
In general.
(b)
Preference in making designations.
(a)
Liability of medical facilities and designated officers.
(b)
Testing.
(c)
Confidentiality.
(d)
Failure to provide emergency services.
(a)
In general.
(b)
Facilitation of information on violations.
Part F-Demonstration and Training
subpart i-special projects of national significance
(a)
In general.
(b)
Grants.
(c)
Special projects.
(d)
Special populations.
(e)
Service development grants.
(f)
Coordination.
(g)
Replication.
subpart ii-aids education and training centers
(a)
Schools; centers.
(b)
Dental schools.
(c)
Authorization of appropriations.
SUBCHAPTER XXV-REQUIREMENTS RELATING TO HEALTH INSURANCE COVERAGE
Part A-Group Market Reforms
subpart 1-portability, access, and renewability requirements
(a)
Limitation on preexisting condition exclusion period; crediting for periods of previous coverage.
(b)
Definitions.
(c)
Rules relating to crediting previous coverage.
(d)
Exceptions.
(e)
Certifications and disclosure of coverage.
(f)
Special enrollment periods.
(g)
Use of affiliation period by HMOs as alternative to preexisting condition exclusion.
(a)
In eligibility to enroll.
(b)
In premium contributions.
subpart 2-other requirements
(a)
Requirements for minimum hospital stay following birth.
(b)
Prohibitions.
(c)
Rules of construction.
(d)
Notice.
(e)
Level and type of reimbursements.
(f)
Preemption; exception for health insurance coverage in certain States.
(a)
In general.
(b)
Construction.
(c)
Exemptions.
(d)
Separate application to each option offered.
(e)
Definitions.
(f)
Sunset.
subpart 3-provisions applicable only to health insurance issuers
(a)
Issuance of coverage in small group market.
(b)
Assuring access in large group market.
(c)
Special rules for network plans.
(d)
Application of financial capacity limits.
(e)
Exception to requirement for failure to meet certain minimum participation or contribution rules.
(f)
Exception for coverage offered only to bona fide association members.
(a)
In general.
(b)
General exceptions.
(c)
Requirements for uniform termination of coverage.
(d)
Exception for uniform modification of coverage.
(e)
Application to coverage offered only through associations.
(a)
Disclosure of information by health plan issuers.
(b)
Information described.
subpart 4-exclusion of plans; enforcement; preemption
(a)
Exception of certain small group health plans.
(b)
Limitation on application of provisions relating to group health plans.
(c)
Exception for certain benefits.
(d)
Exception for certain benefits if certain conditions met.
(e)
Treatment of partnerships.
(a)
State enforcement.
(b)
Secretarial enforcement authority.
(a)
Continued applicability of State law with respect to health insurance issuers.
(b)
Special rules in case of portability requirements.
(c)
Rules of construction.
(d)
Definitions.
Part B-Individual Market Rules
subpart 1-portability, access, and renewability requirements
(a)
Guaranteed availability.
(b)
"Eligible individual" defined.
(c)
Alternative coverage permitted where no State mechanism.
(d)
Special rules for network plans.
(e)
Application of financial capacity limits.
(e)
Market requirements.
(f)
Construction.
(a)
In general.
(b)
General exceptions.
(c)
Requirements for uniform termination of coverage.
(d)
Exception for uniform modification of coverage.
(e)
Application to coverage offered only through associations.
(a)
Waiver of requirements where implementation of acceptable alternative mechanism.
(b)
Application of acceptable alternative mechanisms.
(c)
Provision related to risk.
subpart 2-other requirements
(a)
In general.
(b)
Notice requirement.
(c)
Preemption; exception for health insurance coverage in certain States.
subpart 3-general provisions
(a)
State enforcement.
(b)
Secretarial enforcement authority.
(a)
In general.
(b)
Rules of construction.
(a)
Exception for certain benefits.
(b)
Exception for certain benefits if certain conditions met.
Part C-Definitions; Miscellaneous Provisions
(a)
Group health plan.
(b)
Definitions relating to health insurance.
(c)
Excepted benefits.
(d)
Other definitions.
(e)
Definitions relating to markets and small employers.
Chapter Referred to in Other Sections
This chapter is referred to in sections 217a–1, 247b–4a, 300a–7, 300a–29, 701, 1320a–1, 1320a–7b, 1396r–4, 1437d, 3013, 14402 of this title; title 7 section 136a–1; title 8 section 1255a; title 18 section 42; title 20 section 1092a; title 21 section 397; title 35 sections 156, 287; title 38 section 8126.