Page:United States Statutes at Large Volume 92 Part 3.djvu/922

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PUBLIC LAW 95-000—MMMM. DD, 1978

92 STAT. 3554

PUBLIC LAW 95-626—NOV. 10, 1978

amount (equal to not less than one-half of the amount by which such sum exceeded such costs) as the center can demonstrate to the satisfaction of the Secretary will be used to enable the center (I) to expand and improve its services, (II) to increase the number of persons (eligible under subsection (a) to receive services from such a center) it is able to serve, ( III) to construct and modernize its facilities, (IV) to improve the administration of its service programs, and (V) to establish the financial reserve required for the furnishing of services on a prepaid basis. Without the approval of the Secretary, not more than one-half of such retained sum may be used for construction and modernization of its facilities.". (f) Subsection (f) of such section is amended— (1) by redesignating paragraphs (2), (3), and (4), as paragraphs (3), (4), and (6), respectively; Grant (2) by inserting after paragraph (1) the following new applications. paragraph: "(2) An application for a grant under subparagraph (A) of subsection (d)(1) for a migrant health center shall include— "(A) a description of the need in the center's catchment area for each of the health services described in subparagraphs (D) and (E) of subsection (a)(1) and in subparagraphs (B), (F), 1 (J), and (L) of subsection (a)(7), "(B) if the applicant determines that any such service is not fj needed, the basis for such determination, and "(C) if the applicant does not request funds for any such service which the applicant determines is needed, the reason for not making such a request. In considering an application for a grant under subparagraph (A) of subsection (d)(1), the Secretary may require as a condition to the approval of such application assurance that the applicant will provide any specified health service described in subsection (a) which the Secretary finds is needed to meet specific health needs of the area to be served by the applicant. Such a finding shall be made in writing and a copy shall be provided the applicant."; and Improvements of (3) by inserting after paragraph (4), as so redesignated, the private property. following new paragraph: "(5) The Secretary, in making a grant under this section to a migrant health center for the provision of environmental health services described in subsection (a)(1)(D), may designate a portion of the grant to be expended for improvements to private property for which the written consent of the owner has been obtained and which are necessary to alleviate a hazard to the health of those residing on, or otherwise using, the property and of other persons in the center's catchment area. A center may make such an expenditure for an improvement under a grant only after the Secretary has specifically approved such expenditure and has determined that funds for the improvement are not available from any other source. Notification of The Secretary shall annually notify the appropriate committees of congressional Congress of the amounts so expended and the improvements for which committees. they were spent.". (g)(1)(A) Clause (ii) of subparagraph (G) of paragraph (3) (as so redesignated) of subsection (f) of such section is amended to read as follows: "(ii) selects the services to be provided by the center, schedules the hours during which such services will be provided, approves the center's annual budget, approves the selection of a director for the center, and, except in the case of a public center (as