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(b) RANGE OF FUNDS.—The amount of transfers
under subsection (a) for any fiscal year shall be an amount
(specified by the Board each year) not less than 4⁄100 per-
cent and not to exceed 6⁄100 percent of the amounts the
Board estimates will be expended from the Trust Fund
in the fiscal year.
(c) FUNDS SUPPLEMENTAL TO OTHER FUNDS.—The
funds provided under this section with respect to provision
of services are in addition to, and not in replacement of,
funds made available under the provisions referred to in
subsection (a) and shall be administered in accordance
with the terms of such provisions. The Board shall make
no transfer of funds under this section for any fiscal year
for which the total appropriations for the programs au-
thorized by such provisions are less than the total amount
appropriated for such programs in fiscal year 1993.
Subtitle B—Direct Health Care
Delivery
SEC. 711. SETASIDE FOR PUBLIC HEALTH BLOCK GRANTS.
(a) TRANSFERS
TO PUBLIC HEALTH SERVICE.—
From the amounts provided under subsection (c), the
Board shall make transfers from the American Health Se-
curity Trust Fund to the Public Health Service for the
following purposes:
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(1) For payments to States under the maternal
and child health block grants under title V of the
Social Security Act.
(2) Preventive health block grants under part A
of title XIX of the Public Health Service Act.
(3) Grants to States for community mental
health services under subpart I of part B of title
XIX of the Public Health Service Act.
(4) Grants to States for prevention and treat-
ment of substance abuse under subpart II of part B
of title XIX of the Public Health Service Act.
(5) Grants for HIV health care services under
parts A, B, and C of title XXVI of the Public
Health Service Act.
(b) RANGE OF FUNDS.—The amount of transfers
under subsection (a) for any fiscal year shall be an amount
(specified by the Board each year) not less than 1⁄10 per-
cent and not to exceed 14⁄100 percent of the amounts the
Board estimates will be expended from the Trust Fund
in the fiscal year.
(c) FUNDS SUPPLEMENTAL TO OTHER FUNDS.—The
funds provided under this section with respect to provision
of services are in addition to, and not in replacement of,
funds made available under the programs referred to in
subsection (a) and shall be administered in accordance
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with the terms of such programs. The Board shall make
no transfer of funds under this section for any fiscal year
for which the total appropriations for such programs are
less than the total amount appropriated for such programs
in fiscal year 1993.
SEC. 712. SETASIDE FOR PRIMARY HEALTH CARE DELIV-
ERY.
(a) TRANSFERS
TO PUBLIC HEALTH SERVICE.—
From the amounts provided under subsection (c), the
Board shall make transfers from the American Health Se-
curity Trust Fund to the Public Health Service for the
program of primary care service expansion grants under
subpart V of part D of title III of the Public Health
Service Act (as added by section 713 of this Act).
(b) RANGE OF FUNDS.—The amount of transfers
under subsection (a) for any fiscal year shall be an amount
(specified by the Board each year) not less than 6⁄100 per-
cent and not to exceed 1⁄10 percent of the amounts the
Board estimates will be expended from the Trust Fund
in the fiscal year.
(c) FUNDS SUPPLEMENTAL TO OTHER FUNDS.—The
funds provided under this section with respect to provision
of services are in addition to, and not in replacement of,
funds made available under the sections 329, 330, 340,
340A, 1001, and 2655 of the Public Health Service Act.
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The Board shall make no transfer of funds under this sec-
tion for any fiscal year for which the total appropriations
for such sections are less than the total amount appro-
priated under such sections in fiscal year 1993.
SEC. 713. PRIMARY CARE SERVICE EXPANSION GRANTS.
Part D of title III of the Public Health Service Act
(42 U.S.C. 254b et seq.) is amended by adding at the end
thereof the following new subpart:
‘‘Subpart V—Primary Care Expansion
‘‘SEC. 340D. EXPANDING PRIMARY CARE DELIVERY CAPAC-
ITY IN URBAN AND RURAL AREAS.
‘‘(a) GRANTS FOR PRIMARY CARE CENTERS.—From
the amounts described in subsection (c), the American
Health Security Standards Board shall make grants to
public and nonprofit private entities for projects to plan
and develop primary care centers which will serve medi-
cally underserved populations (as defined in section
330(b)(3)) in urban and rural areas and to deliver primary
care services to such populations in such areas. The funds
provided under such a grant may be used for the same
purposes for which a grant may be made under subsection
(c) or (d) of section 330.
‘‘(b) PROCESS OF AWARDING GRANTS.—The provi-
sions of subsection (e)(1) of section 330 shall apply to a
grant under this section in the same manner as they apply
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to a grant under subsection (c) of such section. The provi-
sions of subsection (g)(3) of such section shall apply to
grants for projects to plan and develop primary care cen-
ters under this section in the same manner as they apply
to grants under such section.
‘‘(c) FUNDING AS SET-ASIDE FROM TRUST FUND.—
Funding to carry out this section is provided from the
American Health Security Trust Fund in accordance with
section 912 of the American Health Security Act.
‘‘(d) PRIMARY CARE CENTER DEFINED.—In this sec-
tion, the term ‘primary care center’ means—
‘‘(1) a migrant health center (as defined in sec-
tion 329(a)(1)),
‘‘(2) a community health center (as defined in
section 330(a)),
‘‘(3) an entity qualified to receive a grant under
section 340, 340A, 1001, or 2655, or
‘‘(4) a Federally-qualified health center (as de-
fined in section 1905(l)(2)(B) of the Social Security
Act).’’.
Subtitle C—Primary Care and
Outcomes Research
SEC. 721. SET-ASIDE FOR OUTCOMES RESEARCH.
(a) GRANTS FOR OUTCOMES RESEARCH.—From the
amounts provided under subsection (c), the Board shall
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make transfers from the Trust Fund to the Agency for
Health Care Policy and Research under title IX of the
Public Health Service Act for the purpose of carrying out
activities under such title.
(b) RANGE OF FUNDS.—The amount of transfers
under subsection (a) for any fiscal year shall be an amount
(specified by the Board each year) not less than 1⁄100 per-
cent and not to exceed 2⁄100 percent of the amounts the
Board estimates will be expended from the Trust Fund
in the fiscal year.
(c) FUNDS SUPPLEMENTAL TO OTHER FUNDS.—The
funds provided under this section with respect to provision
of services are in addition to, and not in replacement of,
funds made available to the Agency for Health Care Policy
and Research under section 926 of the Public Health
Service Act. The Board shall make no transfer of funds
under this section for any fiscal year for which the total
appropriations under such section are less than the total
amount appropriated under such section and title in fiscal
year 1993.
(d) CONFORMING AMENDMENT.—Section 926(a) of
the Public Health Service Act (42 U.S.C. 299c–5(a)) is
amended by striking ‘‘$35,000,000’’ and all that follows
through the end and inserting ‘‘for each fiscal year (begin-
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ning with fiscal year 1994) such sums as may be
necessary.’’.
SEC. 722. OFFICE OF PRIMARY CARE AND PREVENTION RE-
SEARCH.
(a) IN GENERAL.—Title IV of the Public Health
Service Act, as amended by section 2 of Public Law 101–
613, is amended—
(1) by redesignating section 486 as section
485A;
(2) by redesignating parts F through H as
parts G through I, respectively; and
(3) by inserting after part E the following new
part:
‘‘PART F—RESEARCH ON PRIMARY CARE AND
PREVENTION
‘‘SEC. 486. OFFICE OF PRIMARY CARE AND PREVENTION
RESEARCH.
‘‘(a) ESTABLISHMENT.—There is established within
the Office of the Director of NIH an office to be known
as the Office of Primary Care and Prevention Research
(in this part referred to as the ‘Office’). The Office shall
be headed by a director, who shall be appointed by the
Director of NIH.
‘‘(b) PURPOSE.—The Director of the Office shall—