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Effective date.

Short title.

58 Stat. 683. 42 USC 202 et seq.

58 Stat. 695. 42 USC 248

et seq.

"Specialized health resources."

"Hospital."

"(1) Where a State has enacted or hereafter enacts laws relating to matters covered by this section, which provide for standards equal to or more stringent than the provisions of this section or than the rules and regulations issued under this section, the Secretary may exempt clinical laboratories in that State from compliance with this section."

(b) The amendment made by subsection (a) shall become effective on the first day of the thirteenth month after the month in which it is enacted, except that the Secretary of Health, Education, and Welfare may postpone such effective date for such additional period as he finds necessary, but not beyond the first day of the 19th month after such month in which the amendment is enacted.

(c) This section may be cited as the "Clinical Laboratories Improvement Act of 1967".

VOLUNTEER SERVICES

SEC. 6. Title II of the Public Health Service Act is amended by adding after section 222 (42 U.S.C. 217a) the following new section:

"VOLUNTEER SERVICES

"SEC. 223. Subject to regulations, volunteer and uncompensated services may be accepted by the Secretary, or by any other officer or employee of the Department of Health, Education, and Welfare designated by him, for use in the operation of any health care facility or in the provision of health care."

COOPERATION AS TO MEDICAL CARE FACILITIES AND RESOURCES

SEC. 7. Part C of title III of the Public Health Service Act is amended by adding after section 327 (42 U.S.C. 254) the following new section:

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"SHARING OF MEDICAL CARE FACILITIES AND RESOURCES "SEC. 328. (a) For purposes of this section

"(1) the term 'specialized health resources' means health care resources (whether equipment, space, or personnel) which, because of cost, limited availability, or unusual nature, are either unique in the health care community or are subject to maximum utilization only through mutual use;

"(2) the term 'hospital', unless otherwsie specified, includes (in addition to other hospitals) any Federal hospital. "(b) For the purpose of maintaining or improving the quality of care in Public Health Service facilities and to provide a professional environment therein which will help to attract and retain highly qualified and talented health personnel, to encourage mutually beneficial relationships between Public Health Service facilities and hospitals and other health facilities in the health care community, and to promote the full utilization of hospitals and other health facilities and resources, the Secretary

may

"(1) enter into agreements or arrangements with schools of medicine, and with other health schools, agencies, or institutions, for such interchange or cooperative use of facilities and services on a reciprocal or reimbursable basis, as will be of benefit to the training or research programs of the participating agencies; and

"(2) enter into agreements or arrangements with hospitals and other health care facilities for the mutual use or the exchange of use of specialized health resources, and providing for reciprocal reimbursement.

Any reimbursement pursuant to any such agreement or arrangement shall be based on charges covering the reasonable cost of such utilization, including normal depreciation and amortization costs of equipment. Any proceeds to the Government under this subsection shall be credited to the applicable appropriation of the Public Health Service for the year in which such proceeds are rece ived."

PROGRAM EVALUATION

81 Stat. 540.

SEC. 8. (a) Paragraph (1) of section 314(d) of the Public Health Service Act is amended by inserting before the period at the end thereof the following: "; except that, for any fiscal Ante, p. 534. year ending after June 30, 1968, such portion of such sums as the Secretary may determine, but not exceeding 1 per centum thereof, shall be available to the Secretary for evaluation (directly or by grants or contracts) of the program authorized by this subsection and the amount available for allotments hereunder shall be reduced accordingly".

(b) Section 314(e) of such Act is amended by inserting at

the end thereof the following new sentence: "For any fiscal Ante, pp. 534, 535. year ending after June 30, 1968, such portion of the appropriations for grants under this subsection as the Secretary may determine, but not exceeding 1 per centum thereof, shall be available to the Secretary for evaluation (directly or by grants or contracts) of the program authorized by this subsection." (c) Section 309 (c) of such Act is amended by inserting "(1)" after "except that" and by inserting before the period at the Ante, p. 534. end thereof the following: ", and (2) for any fiscal year ending after June 30, 1968, such portions of the funds made available under this subsection as the Secretary may determine, but not exceeding 1 per centum thereof, shall be available to the Secretary for evaluation (directly or by grants or contracts) of the program authorized by this subsection".

RESEARCH CONTRACT AUTHORITY

SEC. 9. Paragraph (h) of section 301 of the Public Health Service Act (42 U.S.C. 241) is amended by striking out "two succeeding fiscal years" and by inserting in lieu thereof "five 79 Stat. 448. succeeding fiscal years".

58 Stat. 697.

80 Stat. 600.

81 Stat. 541.

58 Stat. 696. 42 USC 249.

78 Stat. 447.

42 USC 291-2910.

63 Stat. 900; 75 Stat. 825.

42 USC 291n note. 78 Stat. 447.

42 USC 291 note.

MEDICAL CARE FOR FEDERAL EMPLOYEES AT REMOTE STATIONS
OF THE SERVICE

SEC. 10. (a) Section 324 of the Public Health Service Act (42 U.S.C. 251) is amended by inserting "(a)" immediately after "SEC. 324." and by redesignating clauses (a) through (d) of such section, and references thereto, as clauses (1) through (4).

(b) Section 324 of such Act is further amended by adding at the end thereof the following new subsection:

"(b) The Secretary is authorized to provide medical, surgical, and dental treatment and hospitalization and optometric care for Federal employees (as defined in section 8901(1) of title 5 of the United States Code) and their dependents at remote medical facilities of the Public Health Service where such care and treatment are not otherwise available. Such employees and their dependents who are not entitled to this care and treatment under any other provision of law shall be charged for it at rates established by the Secretary to reflect the reasonable cost of providing the care and treatment. Any payments pursuant to the preceding sentence shall be credited to the applicable appropriation to the Public Health Service for the year in which such payments are received."

(c) Paragraph (7) of subsection (a) of section 322 of such Act is amended to read as follows:

"(7) Seamen-trainees, while participating in maritime training programs to develop or enhance their employability in the maritime industry; and".

PROJECTS FOR HOSPITAL EXPERIMENTATION, LOANS FOR
INCREASED COSTS

SEC. 11. Title VI of the Public Health Service Act is amended by inserting immediately after section 623 the following new section:

"LOANS FOR CERTAIN HOSPITAL EXPERIMENTATION PROJECTS

"SEC. 623A. (a) In order to alleviate hardship on any recipient of a grant under section 636 of this title (as in effect immediately before the enactment of the Hospital and Medical Facilities Amendments of 1964) for a project for the construction of an experimental or demonstration facility having as its specific purpose the application of novel means for the reduction of hospital costs with respect to which there has been a substantial increase in the cost of such construction (over the estimated cost of such project on the basis of which such grant was made) through no fault of such recipient, the Secretary is authorized to make a loan to such recipient not exceeding 66% per centum of such increased costs, as determined by the Secretary, if the Secretary determines that such recipient is unable to obtain such an amount for such purpose from other public or private

sources.

"(b) Any such loan shall be made only on the basis of an application submitted to the Secretary in such form and containing such information and assurances as he may prescribe. "(c) Each such loan shall bear interest at the rate of 21⁄2 per Interest. centum per annum on the unpaid balance thereof and shall be repayable over a period determined by the Secretary to be appropriate, but not exceeding fifty years.

(d) There are hereby authorized to be appropriated Appropriation. $3,500,000 to carry out the provisions of this section."

MINOR OR TECHNICAL AMENDMENTS

78 Stat. 912.

SEC. 12. (a) Section 806 (c) (1) of the Public Health Service Nurse training. Act (42 U.S.C. 296e(c) (1)) is amended by inserting after "from a loan fund established pursuant to section 822" the following: "or from sums paid by the Secretary from the revolving fund created by section 827(d), or a nursing educational opportunity grant payment made pursuant to section 862".

(b) The second sentence of section 312 of such Act (42 U.S.C. 244) is amended by inserting "and officials of other State or local public or private agencies, institutions, or organizations" after "such health authorities".

(c) Section 725(a) of such Act (42 U.S.C. 293e(a)) is amended by striking out "twelve" and inserting in lieu thereof "thirteen". (d) Section 314(f) of such Act is amended by—

(1) inserting "for" before "the expenses of travel" in paragraph (5);

(2) striking out "Service" and inserting in lieu thereof "Department" in paragraphs (6) and (8).

(e) Section 795(1)(A)(ii) of such Act is amended to read as follows: "(ii) of education in optometric technology, dental hygiene, or curriculums as are specified by regulation, and". (f) The amendment made by subsection (a) shall be effective as of November 3, 1966.

COMPREHENSIVE SURVEY

42 USC 2971.

80 Stat. 1234.

80 Stat. 1237.
42 USC 298c-1.

Health conferences.
60 Stat. 424.
membership.

Advisory council,

77 Stat. 169. Personnel inter

States.

change with 80 Stat. 1186.

42 USC 246.

81 Stat. 542.

"Training center for
and health

allied
professions.'
80 Stat. 1228.
42 USC 295h-4.

Effective date.

SEC. 14. The Secretary of Health, Education, and Welfare, Report to Congress. in consultation and cooperation with other officials of the Federal Government and of the States, shall make a comprephensive survey of the incidence and location of serious hunger and malnutrition and health problems incident thereto in the United States and shall report his findings and recommendations for dealing with these conditions to the Congress within six months from the date of enactment of this section.

MEANING OF SECRETARY

SEC. 15. As used in the amendments made by this Act, the term "Secretary" means the Secretary of Health, Education, and Welfare.

81 Stat. 582.

Temple, Tex.

10. CONVEYANCE OF CERTAIN PROPERTY TO TEMPLE JUNIOR COLLEGE

(Public Law 90-197, approved December, 14, 1967)

A. LEGISLATIVE HISTORY

H.R. 2730 was introduced on January 17, 1967, by Representative W. R. Poage, of Texas. The bill was referred to the Committee on Veterans' Affairs. It was reported from that committee on February 7, 1967 (H. Rept. 7). It passed the House on February 20, 1967. It was reported in the Senate, from the Committee on Labor and Public Welfare, on November 30, 1967 (S. Rept. 822). It passed the Senate on December 1, 1967. The act was approved on December 14, 1967, and became Public Law 90-197.

B. DIGEST OF THE ACT

The act authorizes the Administrator of Veterans' Affairs to convey certain land to Temple Junior College, Temple, Tex., for educational purposes.

Land conveyance.

Conditions.

C. TEXT OF THE ACT

Following is the text of the law.

AN ACT Authorizing the Administrator of Veterans' Affairs to convey certain property to Temple Junior College, Temple, Texas

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That the Administrator of Veterans' Affairs is authorized to convey, without monetary consideration, to Temple Junior College, Temple, Texas, for educational purposes, all right, title and interest of the United States in and to a tract of seventy-three acres of land, more or less, constituting a portion of the reservation of the Veterans' Administration Center, Temple, Texas. The exact legal description of the tract shall be determined by the Administrator of Veterans' Affairs, and if a survey is required in order to make such determination, the Temple Junior College shall bear the expense thereof.

SEC. 2. Any deed of conveyance made pursuant to this Act shall-

(a) provide that the land conveyed shall be used for educational purposes and in a manner that will not, in the judgment of the Administrator of Veterans' Affairs, or his designate, interfere with the care and treatment of patients in the Veterans' Administration Center, Temple, Texas;

(b) contain such additional terms, conditions, reservations, easements and restrictions as may be determined by the Administrator of Veterans' Affairs to be necessary to protect the interest of the United States;

(c) provide that if the Temple Junior College violates any provision of the deed of conveyance or alienates or attempts to alienate all or any part of the parcel so con

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