An Act to provide assistance in combating mental retardation through grants for construction of research centers and grants for facilities for the mentally retarded and assistance in improving mental health through grants for construction and initial staffing
PL 88-164 (S.1576), enacted 10/31/1963

282 
PUBLIC LAW 88-164-OCT. 31, 1963 
[77 STAT. 
October 31, 1963 
[S. 1576] 
Mental Retar-
dation Facilities 
and Community 
Mental Health 
Centers Construc-
tion Act of 1963. 
Public Law 88-164 
AN ACT 
To provide assistance in combating mental retardation through grants for con-
struction of research centers and grants for facilities for the mentally 
retarded and assistance in improving mental health through grants for con-
struction of community mental health centers, and for other purposes. 
Be it enacted hy the Seriate and House of Representatives 
of the 
United States of America in Congress assembled, That this Act may 
be cited as the "Mental Retardation Facilities and Community 
Mental Health Centers Construction Act of 1963". 
TITLE I—CONSTRUCTION OF RESEARCH CENTERS AND 
FACILITIES FOR T H E MENTALLY RETARDED 
70 Stat. 717; 
Ante, 
p. 164. 
42 u s e 292-
292i. 
SHORT TITLE 
SEC. 100. This title may be cited as the "Mental Retardation 
Facilities Construction Act". 
PART A—GRANTS FOR CONSTRUCTION or CENTERS FOR RESEARCH ON 
MENTAL RETARDATION AND RELATED ASPECTS OF HUMAN DEVEL-
OPMENT 
SEC. 101. Title V I I of the Public Health Service Act is amended by 
adding at the end thereof the following new part: 
"PART D—CENTERS FOR RESEARCH ON MENTAL RETARDATION AND 
RELATED ASPECTS OF HUMAN DEVELOPMENT 
a 
AUTHORIZATION OF APPROPRIATIONS 
"SEC. 761. There are authorized to be appropriated $6,000,000 
for the fiscal year ending June 30, 1964, $8,000,000 for the fiscal year 
ending June 30, 1965, and $6,000,000 each for the fiscal year ending 
June 30, 1966, and the fiscal year ending June 30, 1967, for project 
grants to assist in meeting the costs of construction of facilities for 
research, or research and related purposes, relating to human 
development, whether biological, medical, social, or behavioral, which 
may assist in finding the causes, and means of prevention, of .mental 
retardation, or in finding means of ameliorating the ejffects of 
mental retardation. 
Sums so appropriated shall remain available 
until expended for payments with respect to projects or which 
applications have been filed under this part before July 1, 1967, 
and approved by the Surgeon General thereunder before July 1,1968. 
(( 
APPLICATIONS 
"SEC. 762. (a) Applications for grants under this part with 
respect to any facility may be approved by the Surgeon General only 
if— 
"(1) the applicant is a public or nonprofit institution which 
the Surgeon General determines is competent to engage in the 
type of research for which the facility is to be constructed; and 
(2) the application contains or is supported by reasonable 
assurances that (A) for not less than twenty years after com-
pletion of construction, the facility will be used for the research, 
or research and related purposes, for which it was constructed; 
(B) sufficient funds will be available for meeting the non-Federal 
share of the cost of constructing the facility; (C) sufficient funds 
77 STAT. ] 
PUBLIC LAW 88 -164-OCT. 31,1963 
283 
will be available, when the construction is completed, for effective 
use of the facility for the research, or research and related pur-
poses, for which it was constructed; and (D) all laborers and 
mechanics employed by contractors or subcontractors in the per-
formance of work on construction of the center will be paid 
wages at rates not less than those prevailing on similar con-
struction in the locality as determined by the Secretary of Labor 
in accordance with the Davis-Bacon Act, as amended (40 U.S.C. 
276a—276a-5); and the Secretary of Labor shall have, with 
49stat. ion. 
respect to the labor standards specified in this clause (D) the 
authority and functions set forth in Eeorganization 
Plan 
Numbered 14 of 1950 (15 F.E. 3176; 5 U.S.C. 133z-15), and 
64 stat. i267. 
section 2 of the Act of June 13, 1934, as amended (40 U.S.C. 
2 7 6 c ) . 
63 Stat. 108. 
"(b) In acting on applications for grants, the Surgeon General 
shall take into consideration the relative effectiveness of the proposed 
facilities in expanding the Nation's capacity for research and related 
purposes in the field of mental retardation and related aspects 
of human development, and such other factors as he, after con-
sultation with the national advisory council or councils concerned 
with the field or fields of research involved, may by regulation pre-
scribe in order to assure that the facilities constructed with such 
grants, severally and together, will best serve the purpose of advanc-
ing scientific knowledge pertaining to mental retardation and related 
aspects of human development. 
" A M O U N T o r GRANTS ; PAYMENTS 
"SEC. 763. (a) The total of the grants with respect to any project 
for the construction of a facility under this part may not exceed 75 
per centum of the necessary cost of construction of the center as 
determined by the Surgeon General. 
"(b) Payments of grants under this part shall be made in advance 
or by way of reimbursement, in such installments consistent with 
construction progress, and on such conditions as the Surgeon General 
may determine. 
"(c) No grant may be made after January 1, 1964, under any 
provision of this Act other than this part, for any of the four fiscal 
years in the period beginning July 1, 1963, and ending June 30, 1967, 
for construction of any facility described in this part, unless the 
Surgeon General determines that funds are not available under this 
part to make a grant for the construction of such facility. 
"RECAPTURE OF PAYMENTS 
"SEC. 764. If, within twenty years after completion of any con-
struction for which funds have been paid under this part— 
"(1) the applicant or other owner of the facility shall cease 
to be a public or nonprofit institution, or 
"(2) the facility shall cease to be used for the research pur-
poses, or research and related purposes, for which it was con-
structed, unless the Surgeon General determines, in accordance 
with regulations, that there is good cause for releasing the appli-
cant or other owner from the obligation to do so, 
the L^ited States shall be entitled to recover from the applicant or 
other owner of the facility the amount bearing the same ratio to the 
then value (as determined by agreement of the parties or by action 
brought in the United States district court for the district in which 
such facility is situated) of the facility, as the amount of the Federal 
participation bore to the cost of construction of such facility. 
284 
PUBLIC LAW 88-164-OCT. 31, 1963 
[77 STAT. 
(( 
NONINTERFERENCE WITH ADMINISTRATION OF INSTITUTIONS 
"SEC. 765. Excej)t as otherwise specifically provided in this part, 
nothing contained in this part shall be construed as authorizing any 
department, agency, officer, or employee of the United States to exer-
cise any direction, supervision, or control over, or impose any require-
ment or condition with respect to, the research or related purposes 
conducted by, and the personnel or administration of, any institution. 
u 
DEFINITIONS 
"SEC. 766. As used in this part— 
"(1) the terms 'construction' and 'cost of construction' include 
(A) the construction of new buildings and the expansion, re-
modeling, and alteration of existing buildings, including archi-
tects' fees, but not including the cost of acquisition of land 
or off-site improvements, and (B) equipping new buildings and 
existing buildings, whether or not expanded, remodeled, or 
altered; 
"(2) the term 'nonprofit institution' means an institution 
owned and operated by one or more corporations or associations 
no part of the net earnings of which inures, or may lawfully 
inure, to the benefit of any private shareholder or individual." 
PART 
B—PROJECT 
GRANTS 
FOR 
CONSTRUCTION 
OF 
UNIVERSITY-
AFFILIATED FACILITIES FOR THE MENTALLY RETARDED 
AUTHORIZATION OF APPROPRIATIONS 
SEC. 121. For the purpose of assisting in the construction of clinical 
facilities providing, as nearly as practicable, a full range of inpatient 
and outpatient services for the mentally retarded and facilities which 
will aid in demonstrating provision of specialized services for the 
diagnosis and treatment, education, training, or care of the mentally 
retarded or in the clinical training of physicians and other specialized 
personnel needed for research, diagnosis and treatment, education, 
training, or care of the mentally retarded, there are authorized to be 
appropriated $5,000,000 for the fiscal year ending June 30, 1964, 
$7,500,000 for the fiscal year ending June 30, 1965, and $10,000,000 
each for the fiscal year ending June 30,1966, and the fiscal year ending 
June 30, 1967. The sums so appropriated shall be used for project 
grants for construction of public and other nonprofit facilities for the 
mentally retarded which are associated with a college or university. 
APPLICATIONS 
SEC. 122. Applications for grants under this part with respect to 
any facility may be approved by the Secretary only if the application 
contains or is supported by reasonable assurances that— 
(1) the facility will be associated, to the extent prescribed in 
regulations of the Secretary, with a college or university hospital 
(including affiliated hospitals), or with such other part of a 
college or university as the Secretary may find appropriate in the 
light of the purposes of this part; 
(2) the plans and specifications are in accord with regulations 
prescribed by the Secretary under section 133 (3); 
(3) title to the site for the project is or will be vested in one or 
more of the agencies or institutions filing the application or in a 
public or other nonprofit agency or institution which is to operate 
the facility; 
63 Stat. 108. 
77 STAT. ] 
PUBLIC LAW 88-164-OCT. 31, 1963 
285 
(4) adequate financial support will be available for construc-
tion of the project and for its maintenance and operation when 
completed; and 
(5) all laborers and mechanics employed by contractors or sub-
contractors in the performance of work on construction of the 
project will be paid wages at rates not less than those prevailing 
on similar construction in the locality as determined by the Secre-
tary of Labor in accordance with the Davis-Bacon Act, as 
amended (40 U.S.C. 276a—276a-5); and the Secretary of Labor 
49 stat. 1011. 
shall have with respect to the labor standards specified in this 
paragraph the authority and functions set forth in Reorganiza-
tion Plan Numbered 14 of 1950 (15 F.R. 3176; 5 U.S.C. 133z-15) 
64 stat. 1257. 
and section 2 of the Act of June 13, 1934, as amended (40 U.S.C. 
276c). 
AMOUNT OF G R A N T S ; 
PAYMENTS 
SEC. 123. (a) The total of the grants with respect to any project 
for the construction of a facility under this part may not exceed 75 
per centum of the necessary cost of construction thereof as determined 
by the Secretary. 
(b) Payments of grants under this part shall be made in advance 
or by way of reimbursement, in such installments consistent with con-
struction progress, and on such conditions as the Secretary may 
determine. 
RECOVERY 
SEC. 124. If any facility with respect to which funds have been 
paid under this part shall, at any time within twenty years after 
the completion of construction— 
(1) be sold or transferred to any person, agency, or organiza-
tion which is not qualified to file an application under this part, 
or 
(2) cease to be a public or other nonprofit facility for the 
mentally retarded, unless the Secretary determines, in accord-
ance with regulations, that there is good cause for releasing 
the applicant or other owner from the obligation to continue 
such facility as a public or other nonprofit facility for the 
mentally retarded, 
the United States shall be entitled to recover from either the trans-
feror or the transferee (or, in the case of a facility which has ceased 
to be a public or other nonprofit facility for the mentally retarded, 
from the ow^ners thereof) an amount bearing the same ratio to the 
then value (as determined by the agreement of the parties or by 
action brought in the district court of the United States for the 
district in which the facility is situated) of so much of the facility 
as constituted an approved project or projects, as the amount of the 
Federal participation bore to the cost of the construction of such 
project or projects. 
NONDUPLICATION OF GRANTS 
SEC. 125. No grant may be made after January 1, 1964, under any 
provision of the Public Health Service Act, for any of the four 
^^ stat. 682. 
fiscal years in the period beginning July 1, 1963, and ending June 30, 
1967, for construction of any facility for the mentally retarded 
described in this part, unless the Secretary determines that funds 
are not available under this part to make a grant for the con-
struction of such facility. 
42 u s e 201 note. 
286 
PUBLIC LAW 88-164-OCT. 31, 1963 
[77 STAT. 
PART C—GRANTS FOR CONSTRUCTION OF FACILITIES FOR THE MENTALLY 
RETARDED 
AUTHORIZATION OF APPROPRIATIONS 
SEC. 131. There are authorized to be appropriated, for grants 
for construction of public and other nonprofit facilities for the 
mentally retarded, $10,000,000 for the fiscal year ending June 30, 
1965, $12,500,000 for the fiscal year ending June 30, 1966, $15,000,000 
for the fiscal year ending June 30, 1967, and $30,000,000 for the fiscal 
year ending June 30,1968. 
ALLOTMENTS TO STATES 
SEC. 132. (a) For each fiscal year, the Secretary shall, in accord-
ance with regulations, make allotments from the sums appropriated 
under section 131 to the several States on the basis of (1) the 
population, (2) the extent of the need for facilities for the mentally 
retarded, and (3) the financial need of the respective States; except 
that no such allotment to any State, other than the Virgin Islands, 
American Samoa, and Guam, for any fiscal year may be less than 
$100,000. 
Sums so allotted to a State for a fiscal year for con-
struction and remaining unobligated at the end of such year shall 
remain available to such State for such purpose for the next 
fiscal year (and for such year only), in addition to the sums allotted, 
to such State for such next fiscal year. 
(b) In accordance with regulations of the Secretary, any State 
may file with him a request that a specified portion of its allotment 
under this part be added to the allotment of another State under this 
part for the purpose of meeting a portion of the Federal share of the 
cost of a project for the construction of a facility for the mentally 
retarded in such other State. If it is found by the Secretary that 
construction of the facility with respect to which the request is 
made would meet needs of the State making the request and that use 
of the specified portion of such State's allotment, as requested 
by it, would assist in carrying out the purposes of this part, such 
portion of such State's allotment shall be added to the allotment 
of the other State under this part, to be used for the purpose referred 
to above. 
(c) Upon the request of any State that a specified portion of its 
allotment under this part be added to the allotment of such State 
under title II, and upon (1) the simultaneous certification to the 
Secretary by the State agency designated as provided in the State 
plan approved under this part to the effect that it has afforded 
a reasonable opportunity to make applications for the portion so 
specified and there have been no approvable applications for such por-
tion, or (2) a showing satisfactory to the Secretary that the need for 
the community mental health centers in such State is substantially 
greater than for the facilities for the mentally retarded, the Sec-
retary shall, subject to such limitations as he may by regulations 
prescribe, promptly adjust the allotments of such State in accord-
ance with such request and shall notify such State agency and 
the State agency designated under the State plan approved under 
title II, and thereafter the allotments as so adjusted shall be deemed 
the State's allotments for purposes of this part and title II. 
42 use 291k. 
77 STAT. ] 
PUBLIC L
A
W 88-164-OCT. 31, 1%3 
287 
REGULATIONS 
SEC. 133. Within six months after enactment of this Act, the 
Secretary shall, after consultation with the Federal Hosj)ital Council 
(established by section 633 of the Public Health Service Act and 
eo st^at. io48. 
hereinafter in this part referred to as the "Council"), by general 
regulations applicable uniformly to all the States, prescribe— 
(1) the kinds of services needed to provide adequate services 
for mentally retarded persons residing in a State; 
(2) the general manner in which the State agencj (designated 
as provided in the State plan approved under this part) shall 
determine the priority of projects based on the relative need 
of different areas, giving special consideration to facilities which 
will provide comprehensive services for a particular community 
or communities; 
(3) general standards of construction and equipment for 
facilities of different classes and in different types or location; 
and 
(4) that the State plan shall provide for adequate facilities 
for the mentally retarded for persons residing in the State, and 
shall provide for adequate facilities for the mentally retarded to 
furnish needed services for persons unable to pay therefor. Such 
regulations may require that before approval of an application 
for a facility or addition to a facility is recommended by a State 
agency, assurance shall be received by the State from the appli-
cant that there will be made available in such facility or addition 
a reasonable volume of services to persons unable to pay therefor, 
but an exception shall be made if such a requirement is not 
feasible from a financial viewpoint. 
STATE PLANS 
SEC. 134. (a) After such regulations have been issued, any State 
desiring to take advantage of this part shall submit a State plan for 
carrying out its purposes. Such State plan must— 
(1) designate a single State agency as the sole agency for the 
administration of the plan, or designate such agency as the sole 
agency for supervising the administration of the plan; 
(2) contain satisfactory evidence that the State agency desig-
nated in accordance with paragraph (1) hereof will have author-
ity to carry out such plan in conformity with this part; 
(3) provide for the designation of a State advisory council 
which shall include representatives of State agencies concerned 
with planning, operation, or utilization of facilities for the 
mentally retarded and of nongovernment organizations or groups 
concerned with education, employment, rehabilitation, welfare, 
and health, and including representatives of consumers of the 
services provided by such facilities; 
(4) set forth a program for construction of facilities for the 
mentally retarded (A) which is based on a statewide inventory 
of existing facilities and survey of need; (B) which conforms 
with the regulations prescribed under section 133(1); and (C) 
which meets the requirements for furnishing needed services to 
persons unable to pay therefor, included in regulations prescribed 
under section 133(4); 
(5) set forth the relative need, determined in accordance with 
the regulations prescribed under section 133(2), for the several 
projects included in such programs, and provide for the construc-
tion, insofar as financial resources available therefor and for 
288 
PUBLIC LAW 88-164-OCT. 31, 1963 
[77 STAT. 
maintenance and operation make possible, in the order of such 
relative need; 
(6) provide such methods of administration of the State plan, 
including methods relating to the establishment and maintenance 
of personnel standards on a merit basis (except that the Secre-
tary shall exercise no authority with respect to the selection, ten-
ure of office, or compensation of any individual employed in 
accordance with such methods), as are found by the Secretary to 
be necessary for the proper and efficient operation of the plan; 
(7) provide minimum standards (to be fixed in the discretion 
of the State) for the maintenance and operation of facilities 
which receive Federal aid under this part; 
(8) provide for affording to every applicant for a construc-
tion project an opportunity for hearing before the State agency; 
(9) provide that the State agency will make such reports in 
such form and containing such information as the Secretary may 
from time to time reasonably require, and will keep such records 
and afford such access thereto as the Secretary may find neces-
sary to assure the correctness and verification of such reports; 
and 
(10) provide that the State agency will from time to time, but 
not less often than annually, review its State plan and submit to 
the Secretary any modifications thereof which it considers 
necessary. 
(b) The Secretary shall approve any State plan and any modifica-
tion thereof which complies with the provisions of subsection (a). 
The Secretary shall not finally disapprove a State plan except after 
reasonable notice and opportunity for a hearing to the State. 
APPROVAL OF 
PROJECTS 
SEC. 135. (a) For each project for construction pursuant to a State 
plan approved under this part, there shall be submitted to the Secre-
tary through the State agency an application by the State or a 
political subdivision thereof or by a public or other nonprofit agency. 
If two or more such agencies join in the construction of the project, 
the application may be filed by one or more of such agencies. 
Such 
application shall set forth— 
(1) a description of the site for such project; 
(2) plans and specifications therefor in accordance with the 
regulations prescribed by the Secretary under section 133(3); 
(3) reasonable assurance that title to such site is or will be 
vested in one or more of the agencies filing the application or in a 
public or other nonprofit agency which is to operate the facility; 
(4) reasonable assurance that adequate financial support will 
be available for the construction of the project and for its main-
tenance and operation when completed; 
(5) reasonable assurance that all laborers and mechanics em-
ployed by contractors or subcontractors in the performance of 
work on construction of the project will be paid wages at rates 
not less than those prevailing on similar construction in the 
locality as determined by the Secretary of Labor in accordance 
with the Davis-Bacon Act, as amended (40 U.S.C. 276a— 
49 Stat. 1011. 
276a-5); and the Secretary of Labor shall have with respect to 
the labor standards specified in this paragraph the authority and 
functions set forth in Reorganization Plan Numbered 14 of 1950 
64 Stat. 1267. 
(15 F.R. 3176; 5 U.S.C. 133z-15) and section 2 of the Act of 
63 Stat. 108. 
j^j^g -^3^ ^93^^ ^g ajnended (40 U.S.C. 276c) ; and 
(6) a certification by the State agency of the Federal share for 
the project. 
77 STAT. ] 
PUBLIC LAW 88-164-OCT. 31, 1963 
289 
The Secretary shall approve such application if sufficient funds to 
pay the Federal share of the cost of construction of such project 
are available from the allotment to the State, and if the Secretary 
finds (A) that the application contains such reasonable assurance 
as to title, financial support, and payment of prevailing rates of 
wages and overtime pay; (B) that the plans and specifications are 
in accord with the regulations prescribed pursuant to section 133; 
(C) that the application is in conformity with the State plan 
approved under section 134 and contains an assurance that in the 
operation of the facility there will be compliance with the applic-
able requirements of the State plan and of the regulations prescribed 
under section 133(4) for furnishing needed facilities for persons 
unable to pay therefor, and with State standards for operation 
and maintenance; and (D) that the application has been approved 
and recommended by the State agency and is entitled to priority 
over other projects within the State in accordance with the regula-
tions prescribed pursuant to section 133(2). 
No application shall 
be disapproved by the Secretary until he has afforded the State 
agency an opportunity for a hearing. 
(b) Amendment of any approved application shall be subject 
to approval in the same manner as an original application. 
WITHHOLDING OF PAYMENTS 
SEC. 136. Whenever. the Secretary after reasonable notice and 
opportunity for hearing to the State agency designated as provided 
in section 134(a) (1), finds— 
(1) that the State agency is not complying substantially with 
the provisions required by section 134 to be included in its State 
plan or with regulations under this part; 
(2) that any assurance required to be given in an application 
filed under section 135 is not being or cannot be carried out; 
(3) that there is a substantial failure to carry out plans and 
specifications approved by the Secretary under section 135; or 
(4) that adequate State funds are not being provided annually 
for the direct administration of the State plan, 
the Secretary may forthwith notify the State agency that— 
(5) no further payments will be made to the State from allot-
ments under this part; or 
(6) no further payments will be made from allotments under 
this part for any project or projects designated by the Secretary 
as being affected by the action or inaction referred to in para-
graph (1), (2), (3), or (4) of this section, 
as the Secretary may determine to be appropriate under the circum-
stances; and, except with regard to any project for which the appli-
cation has already been approved and which is not directly affected, 
further payments from such allotments may be withheld, in whole 
or in part, until there is no longer any failure to comply (or to carry 
out the assurance or plans and specifications or to provide adequate 
State funds, as the case may be) or, if such compliance (or other 
action) is impossible, until the State repays or arranges for the repay-
ment of Federal moneys to which the recipient was not entitled. 
NONDUPLICATION OF GRANTS 
SEC. 137. No grant may be made after January 1, 1964, under any 
provision of the Public Health Service Act, for any of the four fiscal ^s stat. 682. 
years in the period beginning July 1, 1964, and ending June 30, 1968, 
"^^ ^°^ "°''-
for construction of any facility for the mentally retarded described 
in this part, unless the Secretary determines that funds are not avail-
93-025 0-64-21 
290 
PUBLIC LAW 88-164-OCT. 31, 1963 
[77 STAT. 
able under this part to make a grant for the construction of such 
facility. 
TITLE 
II—CONSTEUCTION OF COMMUNITY 
MENTAL 
HEALTH CENTEES 
SHORT TITLE 
Citation of 
SEC. 200. This title may be cited as the "Community Mental Health 
""'• 
Centers Act". 
AUTHORIZATION OF APPROPRIATIONS 
SEC. 201. There are authorized to be appropriated, for grants for 
construction of public and other nonprofit community mental health 
centers, $35,000,000 for the fiscal year ending June 30, 1965, 
$50,000,000 for the fiscal year ending June 30, 1966, and $65,000,000 
for the fiscal year ending June 30,1967. 
ALLOTMENTS TO STATES 
SEC. 202. (a) For each fiscal year, the Secretary shall, in accord-
ance with regulations, make allotments from the sums appropriated 
under section 201 to the several States on the basis of (1) the popula-
tion, (2) the extent of the need for community mental health centers, 
and (3) the financial need of the respective States; except that no 
such allotment to any State, other than the Virgin Islands, American 
Samoa, and Guam, for any fiscal year may be less than $100,000. 
Sums so allotted to a State for a fiscal year and remaining unobligated 
at the end of such year shall remain available to such State for such 
purpose for the next fiscal year (and for such year only), in addition 
to the sums allotted for such State for such next fiscal year. 
(b) In accordance with regulations of the Secretary, any State may 
file with him a request that a specified portion of its allotment under 
this title be added to the allotment of another State under this title 
for the purpose of meeting a portion of the Federal share of the cost 
of a project for the construction of a community mental health center 
in such other State. 
If it is found by the Secretary that construction 
of the center with respect to which the request is made would meet 
needs of the State making the request and that use of the specified 
portion of such State's allotment, as requested by it, would assist in 
carrying out the purpose^ of this title, such portion of such State's 
allotment shall be added to the allotment of the other State under this 
title to be used for the purpose referred to above. 
(c) Upon the request of any State that a specified portion of its 
allotment under this title be added to the allotment of such State 
under part C of title I and upon (1) the simultaneous certification to 
the Secretary by the State agency designated as provided in the 
State plan approved under this title to the effect that it has afforded 
a reasonable opportunity to make applications for the portion so 
specified and there have been no approvable applications for such 
portion or (2) a showing satisfactory to the Secretary that the need 
for facilities for the mentally retarded in such State is substantially 
greater than for community mental health centers, the Secretary 
shall, subject to such limitations as he may by regulation prescribe, 
promptly adjust the allotments of such State in accordance with such 
request and shall notify such State agency and the State agency desig-
nated under the State plan approved under part C of title I, and 
thereafter the allotments as so adjusted shall be deemed the State's 
allotments for purposes of this title and part C of title I. 
77 STAT.] 
PUBLIC LAW 8 8 - 1 6 4 - O C T . 31, 1963 
291 
REGULATIONS 
SEC. 203. Within six months after enactment of this Act, the Sec-
retary shall, after consultation with the Federal Hospital Council 
(established by section 633 of the Public Health Service Act) 
eo stat. io48. 
and the National Advisory Mental Health Council (established by 
42 use 291k. 
section 217 of the Public Health Service Act), by general regula- 
64 stat. 446. 
tions applicable uniformly to all the States, prescribe— 
42 use 218. 
(1) the kinds of community mental health services needed to 
provide adequate mental health services for persons residing 
m a State; 
(2) the general manner in which the State agency (designated 
as provided in the State plan approved under this title) shall 
determine the priority of projects based on the relative need of 
different areas, giving special consideration to projects on the 
basis of the extent to which the centers to be constructed there-
by will, alone or in conjunction with other facilities owned or 
operated by the applicant or affiliated or associated with the 
applicant, provide comprehensive mental health services (as 
determined by the Secretary in accordance with regulations) 
for mentally ill persons in a particular community or com-
munities or which will be part of or closely associated with a 
general hospital; 
(3) general standards of construction and equipment for 
centers of different classes and in different types of location; 
and 
(4) that the State plan shall provide for adequate community 
mental health centers for people residing in the State, and shall 
provide for adequate community mental health centers to 
furnish needed services for persons unable to pay therefor. 
Such regulations may require that before approval of an appli-
cation for a center or addition to a center is recommended by a 
State agency, assurance shall be received by the State from the 
applicant that there will be made available in such center or 
addition a reasonable volume of services to persons unable to pay 
therefor, but an exception shall be made if such a requirement 
is not feasible from a financial viewpoint. 
STATE PLANS 
SEC. 204. (a) After such regulations have been issued, any State 
desiring to take advantage of this title shall submit a State plan for 
carrying out its purposes. Such State plan must— 
(1) designate a single State agency as the sole agency for 
the administration of the plan, or designate such agency as the 
sole agency for supervising the administration of the plan; 
(2) contain satisfactory evidence that the State agency desig-
nated in accordance with paragraph (1) hereof will have author-
ity to carry out such plan m conformity with this title; 
(3) provide for the designation of a State advisory council 
which shall include representatives of nongovernment organiza-
tions or groups, and of State agencies, concerned with planning, 
operation, or utilization of comm'inity mental health centers or 
other mental health facilities, including representatives of con-
sumers of the services provided by such centers and facilities 
who are familiar with the need for such services, to consult with 
the State agency in carrying out such plan; 
(4) set forth a program for construction of community mental 
health centers (A) which is based on a statewide inventory of 
292 
PUBLIC LAW 88-164^0CT. 31, 1963 
[77 STAT. 
existing facilities and survey of need; (B) which conforms with 
the regulations prescribed by the Secretary under section 203(1); 
and (C) which meets the requirements for furnishing needed 
services to persons unable to pay therefor, included in regulations 
prescribed under section 203(4); 
(5) set forth the relative need, determined in accordance with 
the regulations prescribed under section 203(2), for the several 
projects included in such programs, and provide for the construc-
tion, insofar as financial resources available therefor and for 
maintenance and operation make possible, in the order of such 
relative need; 
(6) provide such methods of administration of the State plan, 
including methods relating to the establishment and maintenance 
of personnel standards on a merit basis (except that the Secre-
tary shall exercise no authority with respect to the selection, 
tenure of office, or compensation of any individual employed in 
accordance with such methods), as are found by the Secretary to 
be necessary for the proper and efficient operation of the plan; 
(7) provide minimum standards (to be fixed in the discretion 
of the State) for the maintenance and operation of centers which 
receive Federal aid under this title; 
(8) provide for affording to every applicant for a construc-
tion project an opportunity for hearing before the State agency; 
(9) provide that the State agency will make such reports in 
such form and containing such information as the Secretary may 
from time to time reasonably require, and will keep such records 
and afford such access thereto as the Secretary may find necessary 
to assure the correctness and verification of such reports; and 
(10) provide that the State agency will from time to time, but 
not less often than annually, review its State plan and submit to 
the Secretary any modifications thereof which it considers 
necessary. 
(b) The Secretary shall approve any State plan and any modifi-
cation thereof which complies with the provisions of subsection (a). 
The Secretary shall not finally disapprove a- State plan except after 
reasonable notice and opportunity for a hearing to the State. 
APPROVAL OF PROJECTS 
SEC. 205. (a) For each project for construction pursuant to a State 
plan approved under this title, there shall be submitted to the Secre-
tary through the State agency an application by the State or a politi-
cal subdivision thereof or by a public or other nonprofit agency. 
If two or more such agencies join in the construction of the project, 
the application may be filed by one or more of such agencies. Such 
application shall set forth— 
(1) a description of the site for such project; 
(2) plans and specifications therefor in accordance with the 
regulations prescribed by the Secretary under section 203(3); 
(3) reasonable assurance that title to such site is or will be 
vested in one or more of the agencies filing the application or in 
a public or other nonprofit agency which is to operate the com-
munity mental health center; 
(4) reasonable assurance that adequate financial support will 
be available for the construction of the project and for its main-
tenance and operation when completed; 
(5) reasonable assurance that all laborers and mechanics em-
ployed by contractors or subcontractors in the performance of 
work on construction of the project will be paid wages at rates 
not less than those prevailing on similar construction in the 
77 STAT. ] 
PUBLIC LAW 88-164-OCT. 31, 1963 
293 
locality as determined by the Secretary of Labor in accordance 
with the Davis-Bacon Act, as amended (40 U.S.C. 276a— 
276a-5); and the Secretary of Labor shall have with respect to 
49 stat. 1011. 
the labor standards specified in this paragraph the authority and 
functions set forth in Reorganization Plan Numbered 14 of 1950 
(15 F.R. 3176; 5 U.S.C. 133z-15) and section 2 of the Act of 
64 stat. 1257. 
June 13,1934, as amended (40 U.S.C. 276c); and 
63 stat. los. 
(6) a certification by the State agency of the Federal share for 
the project. 
The Secretary shall approve such application if sufficient funds to pay 
the Federal share of the cost of construction of such project are avail-
able from the allotment to the State, and if the Secretary finds (A) 
that the application contains such reasonable assurance as to title, 
financial support, and payment of prevailing rates of wages and 
overtime pay; (B) that the plans and specifications are in accord 
with the regulations prescribed pursuant to section 203; (C) that 
the application is in conformity with the State plan approved 
under section 204 and contains an assurance that in the operation 
of the center there will be compliance with the applicable require-
ments of the State plan and of the regulations prescribed under sec-
tion 203(4) for furnishing needed services for persons unable to pay 
therefor, and with State standards for operation and maintenance; 
(D) that the services to be provided by the center, alone or in con-
junction with other facilities owned or operated by the applicant or 
affiliated or associated with the applicant, will be part of a program 
providing, principally for persons residing in a particular com-
munity or communities in or near which such center is to be situated, 
at least those essential elements of comprehensive mental health 
services for mentally ill persons which are prescribed by the Secre-
tary in accordance with regulations; and (E) that the application 
has been approved and recommended by the State agency and is en-
titled to priority over other projects within the State in accordance 
with the regulations prescribed pursuant to section 203 (2). 
No appli-
cation shall be disapproved by the Secretary until he has afforded the 
State agency an opportunity for a hearing, 
(b) AmCTifdment of any approved application shall be subject to 
approval in the same manner as an original application. 
WITHHOLDING OF PAYMENTS 
SEC. 206. Whenever the Secretary, after reasonable notice and op-
portunity for hearing to the State agency designated as provided in 
section 204 (a)(1), finds— 
(1) that the State agency is not complying substantially with 
the provisions required by section 204 to be included in its State 
plan, or with regulations under this title; 
(2) that any assurance required to be given in an application 
filed under section 205 is not being or cannot be carried out; 
(3) that there is a substantial failure to carry out plans and 
sp>ecifications approved by the Secretary under section 205; or 
(4) that adequate State funds are not being provided an-
nually for the direct administration of the State plan, 
the Secretary may forthwith notify the State agency that— 
(6) no further paj^ments will be made to the State from 
allotments under this title; or 
(6) no further payments will be made from 
allotments 
under this title for any project or projects designated by the 
Secretary as being affected by the action or inaction referred 
to in paragraph (1), (2), (3), or (4) of this section, 
294 
PUBLIC LAW 88-164-OCT. 31, 1963 
[77 STAT. 
as the Secretary may determine to be appropriate under the cir-
cumstances; and, except with regard to any project for which the 
application has already been approved and which is not directly 
affected, further payments from such allotments may be withheld, 
in whole or in part, until there is no longer any failure to comply 
(or to carry out the assurance or plans and specifications or to 
provide adequate State funds, as the case may be) or, if such com-
pliance (or other action) is impossible, until the State repays or 
arranges for the repayment of Federal moneys to which the recipient 
was not entitled. 
NONDUPLICATION OF GRANTS 
SEC. 207. No grant may be made after January 1, 1964, under 
58 Stat. 682. 
auy provisiou of the Public Health Service Act, for any of the 
note ^^^ ^^^ 
three fiscal years in the period beginning Jul;^ 1, 1964, and ending 
June 30, 1967, for construction of any facility described in this 
title, unless the Secretary determines that funds are not available 
under this title to make a grant for the construction of such 
facility. 
TITLE III—TRAINING OF TEACHERS OF 
MENTALLY 
RETARDED AND OTHER HANDICAPPED CHILDREN 
TRAINING OF TEACHERS OF HANDICAPPED CHILDREN 
SEC. 301. (a) (1) The second sentence of the first section of the Act 
72 Stat. 1777. 
of September 6, 1958 (Public Law 85-926), is amended by striking 
20 use 611. 
Q^^ "Such grants" and inserting in lieu thereof "Grants under this 
section" and by striking out "fellowships" and inserting in lieu there-
of "fellowships or traineeships". 
(2) Such section is further amended by inserting before the sec-
ond sentence thereof, the following new sentence: "He is also 
authorized to make grants to public or other nonprofit institutions of 
higher learning to assist them in providing professional or advanced 
training for personnel engaged or preparing to engage in employment 
as teachers of handicapped children, as supervisors of such teachers, 
or as speech correctionists or other specialists providing special 
services for education of such children, or engaged or preparing to 
engage in research in fields related to education of such children." 
(3) The first sentence of such section is amended by striking out 
"mentally retarded children" and inserting in lieu thereof "mentally 
retarded, hard of hearing, deaf, speech impaired, visually handi-
capped, seriously emotionally disturbed, crippled, or other health 
impaired children who by reason thereof require special education 
(hereinafter in this Act referred to as 'handicapped children')". 
20 use 612. 
Section 2 of such Act is amended by striking out "mentally retarded 
children" and inserting in lieu thereof "handicapped children". 
^''p^^^- 
(4) The second sentence of section 3 of such Act is repealed. Sec-
20 use 617! 
tio^ ' ^f s^^'^ ^^^ is amended to read as follows: 
"SEC. 7. There are authorized to be appropriated for carrying out 
this Act $11,500,000 for the fiscal year ending June 30,-1964; 
$14,500,000 for the fiscal year ending June 30, 1965; and $19,500,000 
for the fiscal year ending June 30,1966." 
(5) The amendments made by this subsection shall apply in the 
case of fiscal years beginning after June 30, 1963, except that deaf 
children shall not be included as "handicapped children" for purposes 
of such amendments for the fiscal year ending June 30,1964. 
(b) Effective for fiscal years beginning after June 30, 1964, the 
first section of such Act is amended by adding at the end thereof the 
following new sentence: "The Commissioner is also authorized to 
77 STAT. ] 
PUBLIC LAW 88-164-OCT. 31, 1963 
295 
make grants to public or other nonprofit institutions of higher learn-
ing to assist them in establishing and maintaining scholarships, with 
such stipends as may be determined by the Commissioner, for training 
personnel preparing to engage in employment as teachers of the 
deaf." 
(c) (1) The first sentence of subsection (a) of section 6 of the Act 
of September 22, 1961 (Public Law 87-276, 20 U.S.C. 676) is 
75 stat. 576. 
amended by inserting immediately before the period at the end 
thereof the following: ", and $1,500,000 for the fiscal year Miding 
June 30,1964". 
(2) Subsection (b) of such section 6 is amended by striking out 
"1963" and inserting in lieu thereof "1964". 
RESEARCH AND DEMONSTRATION PROJECTS I N EDUCATION OF 
HANDICAPPED CHILDREN 
SEC 302. (a) There is authorized to be appropriated for the fiscal 
year ending June 30, 1964, and each of the next two fiscal years, the 
sum of $2,000,000 to enable the Commissioner of Education to make 
grants to States, State or local educational agencies, public and non-
profit private institutions of higher learning, and other public or 
nonprofit private educational or research agencies and organizations 
for research or demonstration projects relating to education for 
mentally retarded, hard of hearing, deaf, speech impaired, visually 
handicapped, seriously emotionally disturbed, crippled, or other 
health impaired children who by reason thereof require special educa-
tion (hereinafter in this section referred to as "handicapped chil-
dren") . Such grants shall be made in installments, in advance or by 
way of reimbursement, and on such conditions as the Commissioner 
of Education may determine. 
(b) The Commissioner of Education is authorized to appoint such 
special or technical advisory committees as he may deem necessary to 
advise him on matters of general policy relating to particular fields of 
education of handicapped children or relating to special services 
necessary thereto or special problems involved therein. 
(c) The Commissioner of Education shall also from time to time 
appoint panels of experts who are competent to evaluate various types 
of research or demonstration projects under this section, and shall 
secure the advice and recommendations of such a panel before making 
any such grant in the field in which such experts are competent. 
(d) Members of any committee or panel appointed under this sec-
tion who are not regular full-time employees of the United States 
shall, while serving on the business of such committee or panel, be 
entitled to receive compensation at rates fixed by the Secretary of 
Health, Education, and Welfare, but not exceeding $75 per day, in-
cluding travel time; and, while so serving away from their homes or 
regular place of business, they may be allowed travel expenses, in-
cluding per diem in lieu of suDsistence, as authorized by section 5 of 
the Administrative Expenses Act of 1946 (5 U.S.C. 73b-2) for 
eo stat. sos. 
persons in the Government service employed intermittently. 
(e) The Commissioner of Education is authorized to delegate any 
of his functions under this section, except the promulgation of regula-
tions, to any officer or employee of the Office of Education. 
296 
PUBLIC LAW 88-164-OCT. 31, 1963 
[77 STAT. 
TITLE IV—GENERAL 
DEFINITIONS 
SEC. 401. For purposes of this Act— 
(a) The term "State" includes Puerto Rico, Guam, American 
Samoa, the Virgin Islands, and the District of Columbia. 
(b) The term "facility for the mentally retarded" means a facility 
specially designed for the diagnosis, treatment, education, training, 
or custodial care of the mentally retarded, including facilities for 
training specialists and sheltered workshops for the- mentally re-
tarded, out only if such workshops are part of facilities which provide 
or will provide comprehensive services for the mentally retarded. 
(c) The term "community mental health center" means a facility 
providing services for the prevention or diagnosis of mental illness, 
or care and treatment of mentally ill patients, or rehabilitation of 
such persons, which services are provided principally for persons 
residing in a particular community or communities in or near which 
the facility is situated. 
(d) The terms "nonprofit facility for the mentally retarded", 
"nonprofit community mental health center", and "nonprofit private 
institution of higher learning" mean, respectively, a facility for the 
mentally retarded, a community mental health center, and an institu-
tion of higher learning which is owned and operated by one or more 
nonprofit corporations or associations no part of the net earnings of 
which inures, or may lawfully inure, to the benefit of any private 
shareholder or individual; and the term "nonprofit private agency or 
organization" means an agency or organization which is such a cor-
poration or association or which is owned and operated by one or 
more of such corporations or associations. 
(e) The term "construction" includes construction of new build-
ings, expansion, remodeling, and alteration of existin;^ buildings, 
and initial equipment of any such buildings (including medical 
transportation facilities); including architect's fees, but excluding the 
cost of off-site improvements and the cost of the acquisition of land. 
(f) The term "cost of construction" means the amount found by 
the Secretary to be necessary for the construction of a project. 
(g) The term "title", when used with reference to a site for a 
project, means a fee simple, or such other estate or interest (including 
a leasehold on which the rental does not exceed 4 per centum of the 
value of the land) as the Secretary finds sufficient to assure for a 
period of not less than fifty years undistui^bed use and possession for 
the purposes of construction and operation of the project. 
(h) The term "Federal share" with respect to any project means— 
(1) if the State plan under which application for such project 
is filed contains, as of the date of approval of the project appli-
cation, standards approved by the Secretary pursuant to section 
402 the amount determined in accordance with such standards 
by the State agency designated under such plan; or 
(2) if the State plan does not contain such standards, the 
amount (not less than 331/^ per centum and not more than either 
66% per centum or the State's Federal percentage, whichever is 
the lower) established by such State agency for all projects in 
the State: Provided^ That prior to the approval of the first such 
project in the State during any fiscal year such State agency 
shall give to the Secretary written notification of the Federal 
share established under this paragraph for such projects in such 
State to be approved by the Secretary during such fiscal year, 
and the Federal share for such projects in such State approved 
during such fiscal year shall not be changed after such approval. 
77 STAT. ] 
PUBLIC LAW 88-164-OCT. 31, 1963 
297 
(i) The Federal percentage for any State shall be 100 per centum 
less that percentage which bears the same ratio to 50 per centum as 
the per capita income of such State bears to the per capita income of 
the United States, except that the Federal percentage for Puerto 
Eico, Guam, American Samoa, and the Virgin Islands shall be 
66% per centum. 
(j) (1) The Federal percentages shall be promulgated by the 
Secretary between July 1 and August 31 of each even-numbered year, 
on the basis of the average of the per capita incomes of the States 
and of the United States for the three most recent consecutive years 
for which satisfactory data are available from the Department of 
Commerce. Such promulgation shall be conclusive for each of the 
two fiscal years in the period beginning July 1 next succeeding such 
promulgation; except that the Secretary shall promulgate such 
percentages as soon as possible after the enactment of this Act, which 
promulgation shall be conclusive for the fiscal year ending June 30, 
1965. 
(2) The term "United States" means (but only for purposes of 
this subsection and subsection (i)) the fifty States and the District 
of Columbia. 
(k) The term "Secretary" means the Secretary of Health, Educa-
tion, and Welfare. 
STATE STANDARDS FOR VARIABLE FEDERAL SHARE 
SEC. 402. The State plan approved under part C of title I or 
title I I may include standards for determination of the Federal 
share of the cost of projects approved in the State under such part 
or title, as the case may be. Such standards shall provide equitably 
(and, to the extent practicable, on the basis of objective criteria) 
for variations between projects or classes of projects on the basis 
of the economic status of areas and other relevant factors. 
No 
such standards shall provide for a Federal share of more than 
66% per centum or less than 331/^ per centum of the cost of con-
struction of any project. 
The Secretary shall approve any such 
standards and any modifications thereof which comply with the 
provisions of this section. 
PAYMENTS FOR CONSTRUCTION 
S E C 403. (a) Upon certification to the Secretary by the State 
agency, designated as provided in section 134 in the case of a facility 
for the mentally retarded, or section 204 in the case of a community 
mental health center, based upon inspection by it, that work has been 
performed upon a project, or purchases have been made, in accord-
ance with the approved plans and specifications, and that payment of 
an installment is due to the applicant, such installment shall be paid 
to the State, from the applicable allotment of such State, except that 
(1) if the State is not authorized by law to make payments to the 
applicant, the payment shall be made directly to the applicant, (2) 
if the Secretary, after investigation or otherwise, has reason to 
believe that any act (or failure to act) has occurred requiring action 
pursuant to section 136 or section 206, as the case may be, payment 
may, after he has given the State agency so designated notice of 
opportunity for hearing pursuant to such section, be withheld, in 
whole or in part, pending corrective action or action based on such 
hearing, and (3) the total of payments under this subsection with re-
spect to such project may not exceed an amount equal to the Federal 
share of the cost of construction of such project. 
298 
PUBLIC LAW 88-164-OCT. 31, 1963 
[77 STAT. 
(b) In case an amendment to an approved application is approved 
as provided in section 135 or 205 or the estimated cost of a project is 
revised upward, any additional payment with respect thereto may be 
made from the applicable allotment of the State for the fiscal year 
in which such amendment or revision is approved. 
JUDICIAL 
REVIEW 
SEC. 404. If the Secretary refuses to approve any application for a 
project submitted under section 135 or 205, the State agency through 
which such application was submitted, or if any State is dissatis-
fied with his action under section 134(b) or 204(b) or section 136 or 
206, such State, may appeal to the United States court of appeals 
for the circuit in which such State is located, by filing a petition 
with such court within sixty days after such action. A copy of the 
petition shall be forthwith transmitted by the clerk of the court to 
the Secretary, or any officer designated by him for that purpose. 
The Secretary thereupon shall file in the court the record of the pro-
ceedings on which he based his action, as provided in section 2112 
72 Stat. 941. 
of title 28, United States Code. Upon the filing of such petition, 
the court shall have jurisdiction to affirm the action of the Secretary 
or to set it aside, in whole or in part, temporarily or permanently, 
but until the filing of the record, the Secretary may modify or set 
aside his order. 
The findings of the Secretary as to the facts, if 
supported by substantial evidence, shall be conclusive, but the court, 
for good cause shown, may remand the case to the Secretary to take 
further evidence, and the Secretary may thereupon make new or 
modified findings of fact and may modify his previous action, and 
shall file in the court the record of the further proceedings. 
Such 
new or modified findings of fact shall likewise be conclusive if sup-
ported by substantial evidence. The judgment of the court affirming 
or setting aside, in whole or in part, any action of the Secretary shall 
be final, subject to review by the Supreme Court of the United States 
upon certiorari or certification as provided in section 1254 of title 
62 Stat. 928. 
28, United States Code. The commencement of proceedings under 
this section shall not, unless so specifically ordered by the court, 
operate as a stay of the Secretary's action. 
RECOVERY 
SEC. 405. If any facility or center with respect to which funds 
have been paid under section 403 shall, at any time within twenty 
years after the completion of construction— 
(1) be sold or transferred to any person, agency, or organiza-
tion (A) which is not qualified to file an application under section 
135 or 205, or (B) which is not approved as a transferee by 
the State agency designated pursuant to section 134 (in the 
case of a facility for the mentally retarded) or section 204 (in 
case of a community mental health center), or its successor; or 
(2) cease to be a public or other nonprofit facility for the 
mentally retarded or community mental health center, as the 
case may be^ unless the Secretary determines, in accordance 
with regulations, that there is good cause for releasing the 
applicant or other owner from the obligation to continue such 
facility as a public or other nonprofit facility for the mentally 
retarded or such center as a community mental health center, 
the United States shall be entitled to recover from either the trans-
feror or the transferee (or, in the case of a facility or center which 
has ceased to be public or other nonprofit facility for the mentally 
77 STAT. ] 
PUBLIC LAW 88-165-NOV. 4, 1963 
299 
retarded or community mental health center, from the owners 
thereof) an amount bearing the same ratio to the then value (as 
determined by the agreement of the parties or by action brought in 
the district court of the United States for the district in which the 
center is situated) of so much of such facility or center as constituted 
an approved project or projects, as the amount of the Federal partici-
pation bore to the cost of the construction of such project or projects. 
Such right of recovery shall not constitute a lien upon such facility or 
center prior to judgment. 
STATE CONTROL OF OPERATIONS 
SEC. 406. Except as otherwise specifically provided, nothing in 
this Act shall be construed as conferring on any Federal officer or 
employee the right to exercise any supervision or control over the 
administration, personnel, maintenance, or operation of any facility 
for the mentally retarded or community mental health center with 
respect to which any funds have been or may be expended under this 
Act. 
CONFORMING 
AMENDMENT 
60 Stat. 1048. 
42 u s e 291k. 
SEC. 407. (a) The first sentence of section 633(b) of the Public 
Health Service Act is amended by striking out "eight" and inserting 
in lieu thereof "twelve". The second sentence thereof is amended to 
read: "Six of the twelve appointed members shall be persons who 
are outstanding in fields pertaining to medical facility and health 
activities, and three of these six shall be authorities in matters relat-
ing to the operation of hospitals or other medical facilities, one of 
them shall be an authority in matters relating to the mentally 
retarded and one of them shall be an authority in matters relating to 
mental health, and the other six members shall be appointed to repre-
sent the consumers of services provided by such facilities and shall 
be persons familiar with the need for such services in urban or rural 
areas." 
(b) The terms of office of the additional members of the Federal 
Hospital Council authorized by the amendment made by subsection 
(a) who first take office after enactment of this Act shall expire, as 
designated by the Secretary at the time of appointment, one at the 
end of the first year, one at the end of the second year, one at the end 
of the third year, and one at the end of the fourth year after the 
date of appointment. 
.\pproved October 31, 1963, 10:Cf7 a.m. 
Public Law 88-165 
A N A C T 
November 4, 1963 
To amend the Act redefining the units and establishing the standards of 
^^' ^
"
^
"
^
^ 
electrical and photometric measurements to provide that the candela shall 
be the unit of luminous intensity. 
Be it enacted hy the Senate and House of Representatives 
of the 
United States 
of America 
in Congress assembled^ That the Act 
entitled "An Act to redefine the units and establish the standards of 
electrical and photometric measurements" (Act of July 21, 1950; 
64 Stat. 370) is amended by deleting the word "candle" wherever it 
is use 223. 
appears and inserting in lieu thereof the word "candela". 
Approved November 4, 1963.