PUBLIC LAW 95-626—NOV. 10, 1978 proposed changes, reasons for such changes, and the amount of Federal funds needed by the applicant to make such changes; "(3) assurances satisfactory to the Secretary that the program which will be provided with funds under a grant under subsection (a) will be provided in a manner consistent with the State health plan in effect under section 1524(c) and in those cases where the applicant is a State, that such program will be provided, where appropriate, in a manner consistent with any plans in effect under an application approved under section 315; " (4) assurances satisfactory to the Secretary that the applicant will provide for such fiscal control and fund accounting procedures as the Secretary by regulation prescribes to assure the proper disbursement of and accounting for funds received under grants under subsection (a); "(5) assurances satisfactory to the Secretary that the applicant will provide for periodic evaluation of its program or programs; "(6) assurances satisfactory to the Secretary that the applicant will make such reports (in such form and containing such information as the Secretary may by regulation prescribe) as the Secretary may reasonably require and keep such records and afford such access thereto as the Secretary may find necessary to assure the correctness of, and to verify, such reports; "(7) assurances satisfactory to the Secretary that the applicant will comply with any other conditions imposed by this section with respect to grants; and " (8) such other information as the Secretary may by regulation prescribe. "(c)(1) The Secretary shall not approve an application submitted under subsection (b) for a grant for a program for which a grant was previously made under subsection (a) unless the Secretary determines— "(A) the program for which the application was submitted is operating effectively to achieve its stated purpose, "(B) the applicant complied with the assurances provided the Secretary when applying for such previous grant, and "(C) the applicant will comply with the assurances provided with the application. "(2) The Secretary shall review annually the activities undertaken by each recipient of a grant under subsection (a) to determine if the program assisted by such grant is operating effectively to achieve its stated purposes and if the recipient is in compliance with the assurances provided the Secretary when applying for such grant. "(d) The amount of a grant under subsection (a) shall be determined by the Secretary. Payments under such grants may be made in advance on the basis of estimates or by the way of reimbursement, with necessary adjustments on account of underpayments or overpayments, and in such installments and on such terms and conditions as the Secretary finds necessary to carry out the purposes of such grants. "(e) The Secretary, at the request of a recipient of a grant under subsection (a), may reduce the amount of such grant by— "(1) the fair market value of any supplies (including vaccines and other preventive agents) or equipment furnished the grant recipient, and
92 STAT. 3575
42 USC 300m-3. Post, p. 3578.
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