12 2 STA T .4038PUBLIC LA W 110 – 3 7 1 —O CT. 8 , 2008 ‘ ‘ (i ii ) i nthecas e of a pr o j ect to b e carrie d o u t in a count y for w hich an at - ris k county desi g nation is in effect under section 14526,70 percent m ay be pro v ided from amounts appropriated to carry out this subtit l e .’ ’. (b) DEMONSTRA T I ON H EA L T HP RO J E C TS. —S ection 14502 of title 40, U nited States C ode, is amended— (1) in subsection (d) by striking paragraph (2) and inserting the following
‘‘(2) L IMITATION ON A V AILA B LE AMO U NTS.— G rants under this section for the operation (including initial operating amounts and operating deficits, which include the cost of attracting, training, and retaining q ualified personnel) of a demonstration health project, whether or not constructed with amounts authori z ed to be appropriated by this section, may be made for up to— ‘‘( A ) 50 percent of the cost of that operation
‘‘( B ) in the case of a project to be carried out in a county for which a distressed county designation is in effect under section 14526, 8 0 percent of the cost of that operation; or ‘‘(C) in the case of a project to be carried out for a county for which an at-risk county designation is in effect under section 14526, 70 percent of the cost of that operation.’’; and (2) in subsection (f)— (A) in paragraph (1) by striking ‘‘paragraph (2)’’ and inserting ‘‘paragraphs (2) and ( 3 )’’; and (B) by adding at the end the following: ‘‘(3) AT-RIS K COUNTIES.— T he ma x imum Commission con- tribution for a project to be carried out in a county for which an at-risk county designation is in effect under section 14526 may be increased to the lesser of— ‘‘(A) 70 percent; or ‘‘(B) the maximum F ederal contribution percentage authorized by this section.’’. (c) ASSISTANCE F OR PRO P OSE D LO W - AND M IDDLE- I NCOME HOUSIN G PROJECTS.—Section 14503 of title 40, United States Code, is amended— (1) in subsection (d) by striking paragraph (1) and inserting the following: ‘‘(1) LIMITATION ON AVAILABLE AMOUNTS.—A loan under subsection (b) for the cost of planning and obtaining financing (including the cost of preliminary surveys and analyses of market needs, preliminary site engineering and architectural fees, site options, application and mortgage commitment fees, legal fees, and construction loan fees and discounts) of a project described in that subsection may be made for up to— ‘‘(A) 50 percent of that cost; ‘‘(B) in the case of a project to be carried out in a county for which a distressed county designation is in effect under section 14526, 80 percent of that cost; or ‘‘(C) in the case of a project to be carried out for a county for which an at-risk county designation is in effect under section 14526, 70 percent of that cost.’’; and (2) in subsection (e) by striking paragraph (1) and inserting the following:
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