Page:United States Statutes at Large Volume 102 Part 4.djvu/191

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PUBLIC LAW 100-000—MMMM. DD, 1988

PUBLIC LAW 100-607—NOV. 4, 1988

102 STAT. 3161

(g) STRIKING OF LOW-INCOME PROVISIONS WITH RESPECT TO LOAN

REPAYMENT.—Section 836(j) (42 U.S.C. 297bO')) is amended by adding "and" at the end of paragraph (2), by striking paragraph (3), and by redesignating paragraph (4) as paragraph (3). (h) USE OF CERTAIN UNEXPENDED FUNDS FOR ALLOTMENTS.—

(1) Section 838(a)(3) (42 U.S.C. 297d(a)(3)) is amended— (A) by inserting "(A)" after the paragraph designation; and (B) by adding at the end the following new subparagraph: "(B) With respect to funds available pursuant to subparagraph (A), any such funds returned to the Secretary and not allotted by the Secretary, during the period of availability specified in such subparagraph, shall be available to carry out section 843 and, for such purpose, shall remain available until expended.". (2) Except as provided in Public Law 100-436, the amendment Effective date. made by paragraph (1) shall take effect as if such amendment 42 USC 297d had been effective on September 30, 1988, and as if section 843 ^°^of the Public Health Service Act, as added by section 715 of this title, had been effective on such date. (i) EXTENSION OF DATE CERTAIN FOR CAPITAL DISTRIBUTION.—Sec-

tion 839 (42 U.S.C. 297e) is amended— (1) in subsection (a)— (A) in the matter preceding paragraph (1), by striking "1991" and inserting "1994"; and (B) in paragraph (1), by striking "1991" and inserting "1994"; and (2) in subsection (b), by striking "1991" each place it appears and inserting "1994". SEC. 714. LOAN REPAYMENTS FOR SERVICE IN CERTAIN HEALTH FACILITIES. (a) AGREEMENTS FOR LOAN REPAYMENTS.—Section 836(h)(1)(C) (42

U.S.C. 297b(h)(l)(C)) is amended to read as follows: "(C) who enters into an agreement with the Secretary to serve as nurse for a period of not less than two years in an Indian Health Service health center, in a Native Hawaiian health center, in a public hospital, in a migrant health center, in a community health center, in a nursing facility, in a rural health clinic, or in a health facility determined by the Secretary to have a critical shortage of nurses;". Ob) PRIORITIES WITH RESPECT TO AGREEMENTS.—Section 836(h) (42 U.S.C. 297b(h)) is amended by adding at the end the following new paragraph: "(5) In entering into agreements under paragraph (1), the Secretary shall give priority— "(A) to applicants with the greatest financial need; and "(B) to applicants that, with respect to health facilities described in such paragraph, agree to serve in such health facilities located in geographic areas with a shortage of and need for nurses, as determined by the Secretary.", (c) DEFINITIONS.—Section 836(h) (42 U.S.C. 297b(h)), as amended by subsection (b) of this section, is further amended by adding at the end the following new paragraph: "(6) For purposes of this subsection: "(A) The term 'community health center' has the meaning given such term in section 330(a).