Page:United States Statutes at Large Volume 97.djvu/1379

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PUBLIC LAW 98-194—DEC. 1, 1983 97 STAT. 1347 "(i) describes the primary and supplemental health services (as defined in section 330) which are needed by the area the entity serves in such period; and "(ii) states the revenues and costs which the entity expects to receive and incur in providing such health services in such period. "(B) From the submission under subparagraph (A) and other information available to the Secretary, the Secretary shall de- termine— "(i) the primary and supplemental health services (as defined in section 330) needed in the area the entity serves; "(ii) the fees, premiums, third party reimbursements, and other revenues the entity making the submission may reason- ably expect to receive from the provision of such services; and "(iii) the costs which the entity may reasonably expect to incur in providing such services. The revenues and costs determined by the Secretary shall be the revenues and costs used in making the determination under para- graph (1). "(3) The Secretary may waive in whole or in part, on a prospective or retrospective basis, the application of paragraph (1) for an entity which is a small health center if the Secretary determines that the entity needs all or part of the amounts otherwise payable under such paragraph to— "(A) expand or improve its provision of health services; "(B) increase the number of individuals served; "(C) renovate or modernize facilities for its provision of health services; "(D) improve the administration of its health service pro- grams; or "(E) establish a financial reserve to assure its ability to continue providing health services. "(4) The excess (if any) of the amount of funds collected by an entity which is a small health center in accordance with subsection (a)(2) over the amount paid to the United States in accordance with paragraph (1) of this subsection shall be used by the center for the purposes set out in subparagraphs (A) through (E) of paragraph (3) of this subsection or to recruit and retain health manpower to provide health services to the individuals in the health manpower shortage area for which the entity submitted an application. "(5) For purposes of this section, the term 'small health center' means an entity other than— "(A) a hospital (or part of a hospital); "(B) a public entity; or "(C) an entity that is receiving a grant under section 329 or section 330, except that such term includes an entity whose grant is less than the total of the amounts, calculated on an annual basis, specified in subparagraphs (A) and (B) of subsec- tion (a)(3).". 42 USC 254c. Revenues and costs. Waiver. Health manpower. "Small health center. " 42 USC 254b, 254c.