(D) in the first sentence of subsection (c), 
by striking ‘‘section 6 or 7’’ and inserting ‘‘sec-
tion 6, 7, or 7A’’; 
(E) in the first sentence of subsection (c), 
by striking ‘‘unpaid overtime compensation’’ 
and inserting ‘‘, unpaid overtime compensation, 
or unpaid health leave compensation’’; 
(F) in the second sentence of subsection 
(c), by striking ‘‘or overtime compensation’’ and 
inserting ‘‘, overtime compensation, or health 
leave compensation’’; and 
(G) in the third sentence of subsection (c), 
by striking ‘‘or unpaid overtime compensation 
under sections 6 and 7’’ and inserting ‘‘, unpaid 
overtime compensation, or unpaid health leave 
compensation under sections 6, 7, and 7A’’; and 
(6) in section 18(a)— 
(A) in the first sentence, by inserting ‘‘or 
minimum health leave compensation higher 
than the minimum health leave compensation 
established under this Act’’ before ‘‘, and no 
provision’’; and 
(B) the second sentence, by inserting be-
fore the period at the end the following: ‘‘, or 
justify any employer in reducing health leave 
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compensation provided by him which is in ex-
cess of the applicable minimum health leave 
compensation under this Act’’. 
Subtitle B—Eligibility For, Nature 
Of, and Scope of Services Pro-
vided by the Service 
SEC. 211. ELIGIBILITY FOR SERVICES. 
(a) IN GENERAL.—All individuals while within the 
United States are eligible to receive health care and sup-
plemental services under this Act. 
(b) UNITED STATES DEFINED.—For purposes of this 
section, the term ‘‘United States’’ includes Indian reserva-
tions, the District of Columbia, the Commonwealth of 
Puerto Rico, the Virgin Islands, Guam, Samoa, and the 
Northern Mariana Islands. 
SEC. 212. ENTITLEMENT TO SERVICES. 
(a) IN GENERAL.—Except as provided in subsection 
(b), the Service shall, on and after the effective date of 
health services, provide users with all health care services 
and supplemental services described in section 213 which 
the Service determines, in accordance with this title, to 
be necessary or appropriate for the promotion and en-
hancement of health, for the prevention of disease, and 
for the diagnosis and treatment of, and rehabilitation fol-
lowing, injury, disability, or disease. 
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(b) EXCLUSION.—Services provided under this Act 
shall not include personal comfort or cosmetic services un-
less the National Health Board or its designee determines 
that the services are required for health-related reasons. 
SEC. 213. PROVISION OF HEALTH CARE AND SUPPLE-
MENTAL SERVICES. 
(a) IN GENERAL.—The Service shall provide in the 
United States the following health care services in or 
through facilities established by the Service— 
(1) the promotion of health and well-being 
through health education programs to be carried out 
in facilities of the Service as well as in workplaces, 
schools, and elsewhere utilizing all appropriate 
media, and by assisting other Government agencies 
in taking appropriate actions to promote health and 
well-being; 
(2) the prevention of illness, injury, and death 
through education and advocacy addressed to the so-
cial, occupational, and environmental causes of ill 
health; through the provision of appropriate preven-
tive services including social, medical, occupational, 
and environmental health services, on both an emer-
gency and sustained basis; through screening and 
other early detection programs to identify and ame-
liorate the primary causes of ill health; and, where 
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appropriate, through actions taken on an emergency 
basis to halt environmental threats to life and 
health; 
(3) the diagnosis and treatment of illness and 
injury, including emergency medical services, com-
prehensive outpatient and inpatient health care serv-
ices, occupational health services, mental health 
services, dental care, vision care, long-term care, and 
home health services; 
(4) the rehabilitation of the sick and disabled, 
including physical, psychological, occupational, and 
other specialized therapies; and 
(5) the provision of drugs, therapeutic devices, 
appliances, equipment, and other medical supplies 
(including eyeglasses, other visual aids, dental aids, 
hearing aids, and prosthetic devices) certified effec-
tive in the National Pharmacy and Medical Supply 
Formulary (published under section 432(a)) and fur-
nished or prescribed by authorized health workers. 
(b) SUPPLEMENTAL SERVICES.—The Service shall 
provide the following services supplemental to the delivery 
of health care services in or through health care facilities 
established by the Service— 
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(1) ambulance and other transportation services 
to insure ready and timely access to necessary health 
care; 
(2) child care services for individuals who, dur-
ing the time they receive outpatient health care serv-
ices from the Service or are working in a health care 
facility of the Service, are responsible for a child’s 
care; 
(3) homemaking and home health services— 
(A) to enable the provision of inpatient 
health services at a health care facility of the 
Service to an individual who has the sole re-
sponsibility for the care 
(i) of a child under 15 years of age, 
or 
(ii) of a physically or mentally handi-
capped individual who requires the care of 
another individual, and 
(B) for the bedfast or severely handicapped 
individual; and 
(4) such counseling and social service assistance 
as will avoid the unnecessary provision of health care 
services. 
(c) LOCAL PUBLIC HEALTH SERVICES.—The Service 
shall maintain the functions, especially those related to en-
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vironmental health and the prevention of illness, currently 
performed by the departments of health of the States and 
localities, to the extent consistent with Federal, State, and 
local law, and shall cooperate with State and local govern-
ments in its conduct of such functions. 
(d) EMERGENCY HEALTH CARE SERVICES.—The 
Service shall provide, at rates established by the National 
Health Board, for reimbursement of the cost of emergency 
health care services furnished in facilities not operated by 
the Service or by health workers not employed by the Serv-
ice, when an injury or acute illness requires immediate 
medical attention under circumstances making it medi-
cally impractical for the ill or injured individual to receive 
care in a Service facility or by an employee of the Service. 
Subtitle C—Health Care Facilities 
and Delivery of Health Care 
Services 
SEC. 221. ESTABLISHMENT OF HEALTH CARE FACILITIES 
AND 
DISTRIBUTION 
OF 
DELIVERY 
OF 
HEALTH CARE AND OTHER SERVICES. 
(a) HEALTH SERVICE AREAS.—The National Health 
Board, in consultation with local authorities and residents 
of the local communities affected, shall establish such 
health care facilities as are necessary to provide all nec-
essary comprehensive primary and specialized health care 
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services, including distributing such health care resources 
in a manner as to overcome present shortages and ensure 
equitable access for every resident to needed health care 
resources. In establishing such facilities, the National 
Health Board shall rely primarily on existing political 
boundaries for the purposes of allocating health services, 
including cities, counties, perinatal services regions, 
States, and Federal Medicare regions, and shall determine 
the need to establish additional or supplementary regional 
health service areas that may cross existing boundaries. 
(b) HEALTH CARE FACILITIES.— 
(1) IN GENERAL.—The National Health Board 
and its local authorities shall, not later than the ef-
fective date of health services and to the maximum 
extent feasible, establish and maintain such health 
care facilities as are necessary for the efficient and 
effective delivery to individuals of comprehensive pri-
mary health care services (defined in paragraph (2)), 
specialized health care services (defined in para-
graph (3)), special services (defined in paragraph 
(4)) and community-oriented health measures (de-
fined in paragraph (5)). Such health care facilities 
shall be established and maintained in a manner 
that, as soon as possible and to the greatest extent 
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feasible, provides services in each community 
through a single comprehensive health center. 
(2) COMPREHENSIVE PRIMARY HEALTH CARE 
SERVICES DEFINED.—As used in paragraph (1), the 
term ‘‘comprehensive primary health care services’’ 
means those basic outpatient health care services 
typically needed for the promotion of health and the 
prevention and treatment of common illnesses and 
includes the following health care services— 
(A) general primary medical and dental 
care, including diagnosis and treatment, routine 
physical 
examinations, 
laboratory, 
and 
radiologic services, and home visits by health 
workers, as appropriate; 
(B) preventive health services, including at 
least immunizations, nutrition counseling and 
consultation, and periodic screening and assess-
ment services; 
(C) children’s health services, including as-
sessment of growth and development, education 
and counseling on childrearing and child devel-
opment, and school and day care center health 
services; 
(D) obstetrical and gynecological services, 
including family planning and contraceptive 
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services, pregnancy (prenatal and postnatal) 
and abortion counseling and services; 
(E) comprehensive geriatric services; 
(F) vision and hearing examinations and 
provision of eyeglasses and other visual aids 
and hearing aids; 
(G) 24-hour emergency medical services; 
(H) provision of pharmaceuticals and 
therapeutic devices, and medical appliances and 
equipment; 
(I) mental health services, including psy-
chological and psychiatric counseling; 
(J) home health services; and 
(K) occupational safety and health serv-
ices, including screening, diagnosis, treatment, 
and education. 
(3) SPECIALIZED HEALTH CARE SERVICES DE-
FINED.—As used in paragraph (1), the term ‘‘spe-
cialized health care services’’ means those health 
care services of a specialized nature (whether deliv-
ered in an inpatient or outpatient setting) which, ap-
plying guidelines established by the National Health 
Board, may be provided most effectively and effi-
ciently in a community setting. 
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(4) SPECIAL SERVICES DEFINED.—As used in 
paragraph (1), the term ‘‘special services’’ means 
supportive services and the facilities (including nurs-
ing homes and multiservice centers) in which such 
services are provided for individuals who are phys-
ically or mentally handicapped, mentally ill, infirm, 
or chronically ill, so as to promote the integration 
and functioning of such individuals within the com-
munity. 
(5) COMMUNITY-ORIENTED HEALTH MEASURES 
DEFINED.—As used in paragraph (1), the term 
‘‘community-oriented health measures’’ includes ef-
forts to focus organized community activities upon 
the promotion of health and the prevention of illness 
and injury, support for self-help and mutual aid 
groups offering health promotion and rehabilitative 
support programs; surveillance of potential threats 
to community health, and prompt action to protect 
against such threats, and includes outreach efforts 
to ensure that all residents are aware of and able to 
utilize the health services of the Service, as needed. 
(c) ALLOCATION
OF
HOSPITALS.—The National 
Health Board, in consultation with its local authorities, 
shall periodically determine the necessity to establish and 
maintain inpatient and other specialized health care facili-
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