103 STAT. 2146 PUBLIC LAW 101-239—DEC. 19, 1989 Communications and telecommunications. Transportation. "(A) has developed, or is in the process of developing, a State rural hesdth care plan that— "(i) provides for the creation of one or more rural , health networks (as defined in subsection (g)) in the State, "(ii) promotes regionalization of rursl health services in the State, "(iii) improves access to hospital and other health services for rural residents of the State, and "(iv) enhances the provision of emergency and other transportation services related to health care; "(B) has developed the rural health care plan described in subparagraph (A) in consultation with the hospital associa- tion of the State and rural hospitals located in the State (or, in the case of a State in the process of developing such plan, that assures the Secretary that it will consult with its State hospital association and rural hospitals located in the State in developing such plan); and "(C) has designated, or is in the process of designating, rural non-profit or public hospitals or facilities located in the State as essential access community hospitals or rural primary care hospitals within such networks; and "(2) such other information and assurances as the Secretary may require.
- (C) ELIGIBILITY OF HOSPITALS AND CoNSORTIA FOR GRANTS. —
"(1) IN GENERAL.— Except as provided in paragraph (3), a hospital or facility is eligible to receive a grant under subsection (a)(2) only if the hospital or facility— "(A) is located in a State receiving a grant under subsec- tion (a)(D; "(B) is designated as an essential access community hos- pital or a rural primary care hospital by the State in which it is located or is a member of a rural health network (as defined in subsection (g)); "(C) submits to the State in which it is located and to the Secretary, at such time and in such form as the Secretary may require, an application containing such information and assurances as the Secretary may require; and "(D) the State in which the hospital or facility is located certifies to the Secretary that— "(i) the receiving of such a grant by the hospital or facility is consistent with the State's rural health care plan (described in subsection (b)(l)(A)), and "(ii) the State has approved the application submit- ted under subparagraph (C). "(2) TREATMENT OF CONSORTIA. —A consortium of hospitals or facilities each of which is part of the same rural health network is eligible to receive a grant under subsection (a)(2) if each of its members would individually be eligible to receive such a grant. "(3) ELIGIBILITY OF RPC HOSPFFALS NOT LOCATED IN A STATE RECEIVING GRANT. — A facility designated as a rural primary care hospital by the Secretary under subsection (i)(2)(C) shall be eligible to receive a grant under subsection (a)(2). ' (d) ACTIVITIES FOR WHICH GRANTS MAY BE USED.— "(1) GRANTS TO STATES. —A State shall use a grant received under subsection (a)(1) to carry out the demonstration program established under this section in the State. Such grant may be
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