Page:United States Statutes at Large Volume 104 Part 2.djvu/310

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104 STAT. 1290 PUBLIC LAW 101-502—NOV. 3, 1990 "(ii) For purposes of clause (i)(II), the term 'distribution factor' means the sum of— "(I) an amount equal to the product of 3 and the amount determined under subparagraph (B) for the eligible area involved; and "(II) an amount equal to the product of the amount determined under subparagraph (B) for the eligible area and the amount determined under subparagraph (C) for the area. "(B) AMOUNT RELATING TO CUMULATIVE NUMBER OF CASES. — The amount determined in this subparagraph is an amount equal to the ratio of— "(i) an amount equal to the cumulative number of cases of acquired immune deficiency s3nidrome in the eligible area involved, as indicated by the number of such cases reported to and confirmed by the Director of the Centers for Disease Control by the applicable date specified in section 2601(a); to "(ii) an amount equal to the sum of the respective amounts determined under clause (i) for each eligible area for which an application for a grant for purposes of this paragraph has been approved. "(C) AMOUNT RELATING TO PER CAPITA INCIDENCE OF CASES. — The amount determined in this subparagraph is an amount equal to the ratio of— "(i) the per capita incidence of cumulative cases of acquired immune deficiency syndrome in the eligible area involved (computed on the basis of the most recently available data on the population of the area); to "(ii) the per capita incidence of cumulative such cases in all eligible areas for which applications for grants for purposes of this paragraph have been approved (computed on the basis of the most recently available data on the population of the areas).", (b) SET-ASIDE REGARDING CATEGORICAL GRANTS TO CERTAIN ENTI- TIES FOR EARLY INTERVENTION SERVICES.— Section 2649(c) of the Public Health Service Act, as added by section 301(a) of Public Law 42 USC 300ff-49. 101-381, is amended— (1) by striking "(c) CERTAIN ALLOCATIONS" and all that follows through "After determining" and inserting the following: "(c) CERTAIN ALLOCATIONS BY SECRETARY. — "(1) DISCRETIONARY GRANTS TO CERTAIN STATES. —After determining"; and (2) by adding at the end the following new paragraph: "(2) GRANTS TO CERTAIN POUTICAL SUBDIVISIONS. — "(A)(i) In the case of a State containing any political subdivision described in clause (ii), the Secretary shall, subject to subparagraph (B), make a reduction in the amount of the allotment under subsection (a) for the State for each fiscal year in an amount necessary for carrying out subparagraphs (B) and (C) with respect to the political subdivision. Any such reduction shall be in addition to the reduction required in paragraph (1) for the fiscal year involved. "(ii) The political subdivision referred to in clause (i) is any political subdivision that received a cooperative agreement from the Secretary, acting through the Director of the