An Act to revise and extend the provisions of title XII of the Public Health Services Act relating to emergency medical services systems, and for other purposes.
PL 94-573 (S.2548), enacted 10/21/1976

PUBLIC LAW 94-573—OCT. 21, 1976 
90 STAT. 2709 
Public Law 94-573 
94th Congress 
An Act 
To revise and extend the provisions of title XII of ttie Public Health Services 
Act relating to emergency medical services systems, and for other purposes. 
Be it enacted hy the Seriate and House of Representatives 
of the 
United States of America 
in Congress 
assembled^ 
SHORT TITLE AND REFERENCES IN ACT 
SECTION 1. (a) This Act may be cited as the "Emergency Medical 
Services Amemlments of 1976". 
(b) Except as otherwise specifically provided in this Act, whenever 
in this Act an amendment or repeal is expressed in terms of an amend-
ment to, or repeal of, a section or other provision, the reference shall 
be considered to be made to a section or other provision of the Public 
Health Service Act. 
DEFINITIONS 
Oct. 21. 1976 
[S. 2548] 
Emergency 
Medical Services 
Amendments of 
1976. 
42 use 201 note. 
42 use 201 note. 
SEC. 2. Paragraphs (-1) and (5) of section 1201 are amended to read 
42 USe 300d. 
as follows: 
"(4) The term 'section 1521 State health planning and development 
agency' means the agency of a State designated under section 1521 
(g)(3)^ 
^ 
•^ 
^ 
42USe300m„ 
"(5) The term 'section 1515 health systems agency' means a health 
systems agency designated under section 1515, and the term 'health 
42 USe 300/-4. 
systems plan' means a health systems plan referred to in section 1513 
(•b)(2).". 
42 use 300/-2. 
STUDY AND PLANNING GRANTS 
SEC. 3. (a) Section 1202 is amended— 
42 USe 300d.l. 
(1) by inserting " ( 1 ) " in subsection (a) after " ( a ) ' ' ; 
(2) by striking out "projects" in subsection (a) and all that 
follows through "such a system" and inserting in lieu thereof 
"projects which include both studying the feasibility of and plan-
ning (A) the establishment and operation of an emergency medi-
cal services system, (B) the expansion and improvement of such 
a system, or (C) both"; 
(3) by redesignating subsection (b) as paragraph (2) of sub-
section (a) ; 
(4) by striking out "this section" each place it appears in para-
graph (2) (as so redesignated) of subsection (a) and inserting in 
lieu thereof "paragraph (1)"; and 
(5) by inserting after subsection (a) the following new sub-
section : 
"(b) (1) The Secretary may make a grant to or enter into a con-
tract with an eligible entity (as defined in section 1206(a)) with 
42 USC 300d-i5. 
respect to an emergency medical services system for the purpose of 
enabling the entity— 
"(A) to study the feasibility of, or plan for, the expansion and 
improvement of such system to provide for the use in such system 
of advanced life-support techniques, or 
90 STAT. 2710 
PUBLIC LAW 94-573—OCT. 21, 1976 
Certain 
geographical 
areas, exclusion. 
42 use 300d-l. 
Reports to HEW 
and Interagency 
Committee on 
Emergency 
Medical Services. 
42 use 300d-8. 
42 use 300/-4. 
42 use 300d-2. 
"(B) if such system is the system of a State for which system 
a study and planning grant or contract has been made or entered 
into under subsection (a) and if the entity is that State, to update 
the plan of such system to improve the delivery of emergency 
medical services in rural areas and to medically underserved 
populations of the State. 
"(2) If the Secretary makes a grant or enters into a contract under 
paragraph (1) respecting an emergency medical services system for 
a particular geographical area, the Secretary may not make any other 
grant or enter into any other contract under paragraph (1) respecting 
such system, or respecting any other such system for the same area or 
for an area which includes (in whole or substantial part) such area.". 
(b) Section 1202 is amended— 
(1) by amending subsection (c) to read as follows: 
"(c) An eligible entity which has received a grant from or entered 
into a contract with the Secretary under this section shall submit to 
the Secretary and the Interagency Committee on Emergency Medical 
Services (established under section 1209) a report on the results of 
such grant or contract at such intervals as the Secretary may pre-
scribe, and shall submit to the Secretary and such Committee a final 
report on the results of such grant or contract not later than one year 
after the date the grant was made or the contract was entered into, as 
the case may be."; 
(2) by amending paragraph (1) of subsection (d) to read as 
follows: 
"(1) demonstrate to the satisfaction of the Secretary the need 
of the area for the emergency medical services system for which 
the application is made;"; 
(3) by amending clause (A) of subsection (d) (3) to read as 
follows: "(A) with each section 1515 health systems agency 
whose health systems plan covers or will cover (in whole or in 
part) such area, and"; and 
(4) by adding at the end thereof the following new subsection: 
" (f) The Secretary may not obligate or expend in any fiscal year for 
grants and contracts made or entered into under subsection (b) (1) an 
amount greater than 50 per centum of the sums appropriated in such 
year for grants and contracts made or entered into under this section.". 
INITIAL OPERATION AND KSTABLTSHMKNT GRANTS 
SEC. 4. Section 1203 is amended— 
(1) by inserting "at least" in subsection (c) (2) before "nine 
months'", and by striking out "his" in such subsection and 
inserting in lieu thereof "its"; 
(2) by striking out "June 30, 1976" in subsection (c) (3) and 
inserting in lieu thereof "September 30,1979"; and 
(3) by adding at the end thereof the following new subsections: 
"(d) A grant or contract may not be made to or entered into with 
an entity under this section with respect to an emergency medical serv-
ices system unless the entity submits with its application for such grant 
or contract assurances of the participation in and support of the system 
by the public, private, and vohmteer organizations and entities which 
are associated with and involved in activities essential to the effective 
provision of emergency medical services in the system's service area. 
"(e) (1) A first grant or contract may not be made to or entered 
into with an entity under this section with respect to an emergency 
medical services system unless the entity submits with its application 
for such grant or contract assurances, from the executive or legisla-
PUBLIC LAW 94-573—OCT. 21, 1976 
90 STAT. 2711 
tive governmental bodies of political subdivisions located in the sys-
tem's service area which govern a substantial proportion of the 
population residing in such area, of each such bodies' support of and 
cooperation with the system. 
"(2) A second grant or contract may not be made to or entered into 
with an entity under this section with respect to an emergency medical 
services system unless— 
"(A) the Secretary has made the required determination under 
subsection (c) (2) ; 
"(B) the application for such grant or contract includes spe-
cific plans for the step-by-step achievement of compliance with 
each of the requirements of section 1206(b)(4)(C) within the 
period specified in section 1206(b) (4) (B) (i); and 
"(C) the application for such grant or contract includes assur-
ances, evidenced by copies of formal resolutions, proclamations, 
or other acts of the executive or legislative governmental bodies 
of political subdivisions located in the system's service area which 
govern a substantial proportion of the population residing in 
such area, of such bodies'—• 
"(i) continued support and cooperation with the system, 
and 
"(ii) financial support of the system, in the year after the 
conclusion of the period of support under the grant or con-
tract, sufficient to maintain the system at the level at which 
such system is to be maintained during the period of the 
grant or contract. 
"(f) An eligible entity which has received a grant from or has 
entered into a contract with the Secretary under this section shall 
submit to the Secretary and the Interagency Committee on Emergency 
Medical Services (established under section 1209) a report on the 
results of such grant or contract at such intervals as the Secretary 
may prescribe, and shall submit to the Secretary and such Com-
mittee a final report on the results of grants made to or contracts 
entered into with the entity under this section not later than one year 
after the completion of the second such grant or contract under this 
section.". 
EXPANSION AND IMPROVEMENT GRANTS 
SEC. 5. Section 1204 is amended by striking out subsection (b) and 
inserting in lieu thereof the following: 
"(b)(1) Each grant or contract for a project under this section 
shall be made for the project's costs of expansion and improvement in 
the year for which the grant or contract is made or entered into. If 
a grant or contract is made or entered into under this section for a 
system, the Secretary may make one additional grant or contract for 
that system if he determines, after a review of at least the first nine 
months' activities of the applicant carried out under the first grant 
or contract, that the applicant is satisfactorily progressing in the 
expansion and improvement of the system in accordance with the plan 
contained in its application (pursuant to section 1206(b) (4)) for the 
first grant or contract. 
"(2) Subject to section 1206 (f) — 
"(A) the amount of the first grant or contract under this 
section for an emergency medical services system may not exceed 
(i) 50 per centum of the expansion and improvement costs (as 
determined pursuant to regulations of the Secretary) of the sys-
tem for the year for which the grant or contract is made, or (ii) 
42 u s e SOOd-i). 
Report to HE\);^ 
and the 
Interagency 
Committee on 
Emergency 
Medical Services. 
42 u s e 300d-8. 
42 u s e 300d.a. 
Additional grant 
or contract. 
First grant or 
contract, cost 
limitation. 
90 STAT. 2712 
PUBLIC LAW 94-573—OCT. 21, 1976 
Second grant or 
contract, cost 
limitation. 
42 u s e 300d-5. 
Report to HEW 
and the 
Interagency 
Committee on 
Emergency 
Medical Services. 
in the case of applications which demonstrate an exceptional need 
for financial assistance, 75 per centum of such costs for such 
year; and 
"(B) the amount of the second grant or contract under this 
section for a system may not exceed (i) 25 per centum of the 
expansion and improvement costs (as determined pursuant to 
regulations of the Secretary) of the system for the year for 
which the grant or contract is made, or (ii) in the case of appli-
cations which demonstrate an exceptional need for financial 
assistance, 50 per centum of such costs for such year. 
" (c) A grant or contract may not be made to or entered into with 
an entity under this section with respect to an emergency medical 
services system unless the entity submits with its application for such 
grant or contract assurances of the participation and support of the 
system by the public, private, and volunteer organizations and entities 
which are associated with and involved in activities essential to the 
effective provision of emergency medical services in the system's 
service area. 
"(d) (1) A grant or contract may not be made to or entered into 
with an entity under this section with respect to an emergency medical 
services system unless— 
"(A) the application for such grant or contract includes specific 
plans for the step-by-step achievement of compliance with each 
of the requirements of section 1206(b) (4) (C) within the period 
specified in section 1206(b) (4) (B) (i); and 
"(B) the application for such grant or contract includes assur-
ances, evidenced by copies of formal resolutions, proclamations, 
or other acts of the executive or legislative governmental bodies 
of political subdivisions located in the system's service area which 
govern a substantial proportion of the population residing in 
such area, of such bodies'— 
"(i) support and cooperation with the system, and 
"(ii) endorsement and support of a specific financial plan 
which provides for the maintenance of the financial support 
of the system, after the conclusion of the period of the grant 
or contract, at the level required to maintain the level of 
expanded or improved activity to be achieved during the 
period of the grant or contract. 
"(2) A second grant or contract may not be made to or entered 
into with an entity under this section with respect to an emergency 
medical services system unless— 
"(A) the Secretary has made the required determination under 
subsection (b) (l),and 
"(B) the application for such grant or contract includes assur-
ances, of the executive or legislative governmental bodies of 
political subdivisions located in the system's service area which 
govern a substantial proportion of the population residing 
in such area, that substantial progress is being made toward 
achieving the financial support to implement the plan described 
in paragraph (l)(B)(ii). 
"(e) An eligible entity which has received a grant from or has 
entered into a contract with the Secretary under this section shall 
submit to the Secretary and the Interagency Committee on Emer-
gency Medical Services (established under section 1209) a report on 
the results of such grant or contract at such intervals as the Secretary 
PUBLIC LAW 94-573—OCT. 21, 1976 
90 STAT. 2713 
may prescribe, and shall submit to the Secretary and such Committee 
a final report on the results of grants made to or contracts entered into 
with the entity under this section not later than one year after the 
completion of the second such grant or contract under this section.". 
RESEARCH GRANTS 
SEC. 6. Section 1205 is amended— 
42 U
S
C 300d-4. 
(1) by inserting "and enter into contracts with" in subsection 
(a) before "public"; 
(2) by inserting "and especially research which emphasizes 
the identification and utilization of techniques and methods to 
apply the results of such research to improve the delivery of 
emergency medical services in such areas" in subsection (a) after 
"in rural areas"; 
(3) by inserting at the end of subsection (c) the following 
new sentence: "Such reports shall contain recommendations and 
a plan of action for applying the results of the research assisted 
by such grant or contract to improve the delivery of emergency 
medical services."; and 
(4) by adding at the end thereof the following new subsection: 
"(d) (1) Before any grant or contract may be made or entered into 
by the Secretary under this section the Secretary shall consult, con-
cerning such grant or contract, with the identifiable administrative 
unit described in section 1208. 
Post, p. 2715. 
" (2) No regulation, guideline, funding priority, or application form 
shall be established under this section without the full participation 
in the development of such regulation, guideline, priority, or form, 
by the identifiable administrative unit described in section 1208.". 
GENERAL PROVISIONS 
SEC. 7. Section 1206 is amended— 
42 U
S
C SOOd-Ji. 
(1) by inserting "(A)" in subsection (b)(1) before "No 
grant"; 
(2) by inserting after subsection (b) (1) the following new 
subparagraph: 
"(B) No applicant may receive more than a total of five years of 
grant or contract assistance under this part, except that, in deter-
mining the number of years of grant or contract assistance which 
an applicant received under this part, the Secretary shall not include 
any period during which the applicant received grant or contract 
assistance under sectio;i 1202(b) (1) or section 1205."; 
42 USC SOOd-i, 
(3) by amending clauses (i) and (ii) of subsection (b) (3) (D) 300d-4. 
to read as follows: 
"(i) section 1521 State health planning and development 42 USC 300m. 
agency of each State in which the service area of the emer-
gency medical services system for which the application is 
submitted will be located, and 
"(ii) section 1515 health systems agency whose health 42 USC 300/-4. 
systems plan covers or will cover (in whole or in part) the 
service area of such system,"; 
(4) by striking out "An" in subsection (b) (4) (A) and insert-
ing in lieu thereof "No", and by striking out "not" after "section 
1203 or 1204 may" in such subsection; 
tntu^^ 300d-2, 
(5) by inserting "the respective section and of" in subsection ^""<*-^-
(b) (4) (A) (i) after "requirements of"; 
90 STAT. 2714 
PUBLIC LAW 94-573—OCT. 21, 1976 
23 use 401 et 
seq. 
Review or 
evaluation; 
submitted to 
HEW. 
42 use 241, 
281, 292, 300d-
6. 
Post, p. 2718. 
(6) by striking out "(A)" in subsection (b) (4) (B) (i) and 
inserting in lieu thereof "(C)"; 
(7) by striking out "the period of the grant or contract for 
which application is made" in subsection (b) (4) (B) (i) and 
inserting in lieu thereof "the total period of eligibility for assist-
ance under the section for which the application for assistance is 
made"; 
(8) by striking out "and" before "(III)" in clause (iii) of 
subsection (b)(4)(C), and by inserting before the semicolon at 
the end of such clause the following: ", (IV) will have the capa-
bility to communicate with individuals having auditory handicaps 
and to communicate in the language of the predominant popula-
tion groups with limited English-speaking ability in the system's 
service area, and (V) makes maximum use of communications 
equipment and systems acquired under any highway safety pro-
gram approved under chapter 4 of title 23, United States Code, 
and of such equipment and system acquired under title I of the 
Omnibus Crime Control and Safe Streets Act of 1968 (42 U.S.C. 
3701 et seq.)"; 
(9) by inserting "(making maximum use of vehicles acquired 
under any highway safety program approved under chapter 4 of 
title 23, United States Code)" in subsection (b) (4) (C) (iv) after 
"include"; 
(10) by striking out "standardized" in subsection (b)(4) 
(C) (xi) and inserting in lieu thereof "coordinated"; 
(11) by amending clause (xiii) of subsection (b)(4)(C) to 
read as follows: 
"(xiii) provide the Secretary with such information as he 
may require to conduct periodic, comprehensive, and inde-
pendent reviews and evaluations of the extent and quality of 
the emergency health care services provided in the system's 
service area, and submit to the Secretary the results of any 
review or evaluation which may be conducted by such system 
of the extent and quality of the emergency health care serv-
ices provided in the system's service area;"; 
(12) by striking out "section 1207 or title VII" in subsection 
(e) and inserting m lieu thereof "section 301, title IV, title VII, 
section 1207, or section 1221"; 
(13) by striking out "1207" in clause (1) of subsection (e) and 
inserting in lieu thereof "1207 (a)"; 
(14) by inserting "(other than basic training of emergency 
medical technicians, trainino; of paramedics, and short-term spe-
cialized training or retraining of physicians, nurses, and other 
health care professionals)" in subsection (f) (2) after "training 
program"; 
(15) by inserting "(A) has" in subsection (f) (2) after "unless 
the applicant"; and 
(16) by inserting before the period at the end of paragraph (2) 
of subsection (f) the following: ". or (B) has demonstrated to the 
satisfaction of the Secretary that the filing of such an application 
would be futile or unreasonablv burdensome". 
AUTHORIZATION OF APPROPRIATIONS 
42 use 300d-6. 
SEC. 8. (a) Subsection (a) of section 1207 is amended— 
(1) by striking out "and^ after "1974," and inserting after 
"1975" the following: ", $35,000,000 for the fiscal year ending 
PUBLIC LAW 94-573—OCT. 21, 1976 
90 STAT. 2715 
June 30, 1976, $5,083,000 for the period beginning July 1, 1976, 
and ending September 30, 1976, $45,000,000 for the fiscal year 
ending September 30, 1977, and $55,000,000 for the fiscal year 
ending September 30,1978"; 
(2) by striking out "for the fiscal year ending June 30, 1976, 
there are authorized to be appropriated $70,000,000" and insert-
ing in lieu thereof ", there are authorized to be appropriated 
$70,000,000 for the fiscal year ending September 30,1979"; and 
(3) by adding at the end thereof the following new paragraph : 
"(5) (A) Of the sums appropriated under paragraph (1) for 
the fiscal year ending September 30,1977, and for the succeeding 
fiscal year, at least 2i^ per centum but not more than 5 per centum 
of such sums for each such fiscal year shall be used for grants and 
contracts under section 1202. 
42 USC 300d-]L. 
"(B) Of the sums appropriated under paragraph (1) for the 
fiscal year ending September 30, 1977, and for each of the two 
succeeding fiscal years, (i) not less than 20 per centum of such 
sums for each such fiscal years shall be used for grants and con-
tracts under section 1203, and (ii) not less than 20 per centum of 4.2 USC 300d-2. 
such sums for each such fiscal year shall be used for grants and 
contracts under section 1204.". 
42 U
S
C 300d-3. 
(b) Section 1207(b) is amended by striking out "two" and insert- 42 USC 300d-6. 
ing in lieu thereof "five". 
ADMINISTRATION 
SEC. 9. Section 1208 is amended to read as follows: 
42 USC 300d-7, 
"SEC. 1208. (a) The Secretary shall administer the program of 
grants and contracts (except for grants and contracts under section 
1205) authorized by this part through an identifiable administrative 42 U
S
C 300d-4.. 
unit specializing in emergency medical services within the Depart-
ment of Health, Education, and Welfare. 
"(b) Such administrative unit shall— 
"(1) be responsible for collecting, analyzing, cataloging, and 
disseminating all data useful in the development and operation 
of emergency medical services systems, including data derived 
from reviews and evaluations of emergency medical services sys-
tems assisted under sections 1202, 1203, and 1204; 
"(2) publish suggested criteria for collecting necessary infor-
mation for the evaluation of projects and programs funded under 
this title; 
"(3) participate fully in the development of regulations, guide-
lines, funding priorities, and application forms relating to activi-
ties carried out under sections 776, 1205, and 1221; 
42 USC 295f-6, 
"(4) be consulted in advance of the awarding of grants and 300d-4. 
contracts under sections 776,1205, and 1221; 
P°^t' P- 2718. 
"(5) be consulted in advance of the issuance of regulations, 
guidelines, and funding priorities relating to research or training 
in the area of emergency medical services carried out under any 
other authority of this Act; 
"(6) provide technical assistance (with special consideration 
for applicants in rural areas) and monitoring with respect to 
grant and contract activities under sections 1202,1203,1204, and 
1221; and 
" (7) provide for periodic, independent evaluations of the effec-
tiveness of, and coordination between, the programs carried out 
90 STAT. 2716 
PUBLIC LAW 94-573—OCT. 21, 1976 
42 use 295f-6. 
Post, p. 2718. 
42 use 300d-8. 
Injra. 
Report to 
Congress. 
under this part and the programs carried out under sections 776 
and 1221. 
"(c) In addition, such administrative unit shall, through the Inter-
agency Committee on Emergency Medical Services (established under 
section 1209) — 
"(1) study on a continuing basis (including evaluating the 
adequacy, technical soundness, and redundancy of) the roles, 
resources, and responsibilities of all Federal programs and activi-
ties relating to emergency medical services; 
"(2) annually update (A) the Federal emergency medical 
services funding and resource-sharing plan, (B) the description 
of sources of Federal support, and (C) the recommended uniform 
standards with respect to emergency medical services equipment 
and training, all initially developed and published by the Com-
mittee under section 1209 (b); 
"(3) make recommendations to the Secretary respecting steps 
he might take, using the authorities available to him, to encourage 
States to implement the recommended uniform 
standards 
described in paragraph (2) (C); and 
"(4) make recommendations to the Secretary respecting the 
administration of, and regulations under, the programs of grants 
and contracts under this title. 
Such unit shall report to the Congress the results of studies made 
under paragraph (1). The first such report shall be made not later 
than June 15, 1977, the second such report shall be made not later 
than February 1,1978, and subsequent reports shall be made not later 
than February 1 of each year after 1978.". 
42 use 300d-8. 
Ante, p. 2715. 
Federal 
emergency 
medical services 
funding and 
resource-sharing 
plan. 
INTERAGENCY 
COMMITTEE 
SEC. 10. (a) The second sentence of subsection (a) of section 1209 
is amended to read as follows: "The Committee shall coordinate and 
provide for the communication and exchange of information among 
all Federal programs and activities relating to emergency medical 
services, and shall carry out its responsibilities under section 1208 (c).". 
(b) Section 1209(b) is amended by striking out "the National 
Academy of Sciences," and inserting "and from the National Academy 
of Sciences" after "Education, and Welfare)". 
(c) Section 1209(e) is amended by striking out "1203" and insert-
ing in lieu thereof "1202,1203,". 
(d) Section 1209 is amended by redesignating subsections (b), (c), 
(d),and (e) as subsections (c), (d), (e),and (f), respectively, and by 
inserting after subsection (a) the following new subsection: 
"(b) The Committee shall, not later than July 1, 1977, develop and 
publish: 
"(1) A coordinated, comprehensive Federal emergency medical 
services funding and resource-sharing plan, designed to promote 
the coordination between, and enhance the effectiveness of, Fed-
eral, State, and local funding and operation of programs and 
agencies relating to emergency medical services and related 
activities (including communication and transportation systems 
of public safety agencies). 
"(2) A description of sources of Federal support for the pur-
chase of vehicles and communications equipment and for training 
activities related to emergency medical services. 
PUBLIC LAW 94-573—OCT. 21, 1976 
90 STAT. 2717 
"(3) Recommended uniform standards of quality, health, and 
safety with respect to all equipment (including communications 
and transportation equipment) and training related to emergency 
medical services. 
The plan described in paragraph (1) shall include a report containing Report, 
recommendations for any legislation which would enhance the capa-
bility of Federal, State, and local governments to provide an inte-
grated response in medical emergencies. The description described in 
^ 
paragraph (2) shall be disseminated to the regional offices of Federal 
agencies which provide financial support in the purchase of vehicles 
and equipment or in training activities related to emergency medical 
services for distribution to appropriate entities and the public". 
ANNUAL REPORTS 
SEC. 11. Section 1210 is amended by inserting at the end thereof 42 USC 300d-S». 
the following: "The report under this section covering the fiscal year 
ending June 30, 1976, shall also cover the period beginning July 1, 
1976, and ending September 30, 1976, and shall be submitted to Con-
gress not later than February 1, 1977. The report under this section 
covering the fiscal year ending September 30, 1977, and each report 
covering each subsequent fiscal year, shall be submitted to Congress 
not later than February 1, in the fiscal year following each such fiscal 
year.". 
TRAINING GRANTS 
SEC. 12. (a) Section 776(a) is amended— 
42 USC 295f-6. 
(1) by inserting "(1)" after "(a)"; 
(2) by inserting "hospitals having training programs which 
meet requirements established by the Secretary," before "schools 
% ' o^ 
of medicine"; 
(3) by striking out "and" before "other appropriate"; 
(4) by inserting ", and other appropriate public entities (as 
defined in paragraph (2))" after "educational entities"; 
' 
(5) by inserting "and to assist in meeting the cost of training, 
and establishment of programs for the training, of physicians in 
emergency medicine" after "ambulance service)"; and 
(6) by adding at the end thereof the following new paragraph: 
'»^ 
"(2) For the purposes of paragraph (1), the term 'other appro- "Other 
j)riate public entity' means a State, unit of general local government, appropriate 
or any other public entity which— 
public entity." 
"(A) has established an emergency medical services system (as 
defined in section 1201 (1)), and 
42 U
S
C 300d. 
"(B) except with respect to the basic training of emergency 
medical technicians, has entered into an agreement with an 
appropriate educational entity for a training program under this 
section.". 
(b) Section 776 is amended— 
(1) by redesignating subsection (e) as subsection (g) and 
amending such subsection (as so redesignated) — 
(A) by inserting "(1)" after "(g)"; 
(B) by inserting ", and each of the next five fiscal years" 
after "1974"; and 
(C) by inserting at the end thereof the following new 
paragraph: 
"(2) Not less than 30 percent of the funds appropriated under 
paragraph (1) for any fiscal year shall be used in that fiscal year to 
89-194 O—78—pt. 2 
79 
90 STAT. 2718 
PUBLIC LAW 94-573—OCT. 21, 1976 
Ante, p. 2715. 
42 u s e 300d. 
assist in meeting the cost of training, and of establishment of programs 
for the training, of physicians in emergency medicine."; and 
(2) by inserting after subsection (d) the following new sub-
sections : 
"(e] No regulation, guideline, funding priority, or application form 
shall be established with respect to this section without the full par-
ticipation in the development of such regulation, guideline, priority, 
or form, by the administrative unit described in section 1208. 
"(f) To the maximum extent practicable, the Secretary shall estab-
lish a uniform funding cycle so as to coordinate the submission and 
review of applications for grants and contracts under title XII and 
under this section and to coordinate funding policies among programs 
carried out under such authorities.". 
42 use 300d-7 
note. 
42 use 300d-8. 
Report to 
congressional 
committees. 
EXPENSES OF ADMINISTRATION 
SEC. 13. Not later than 60 days after the date of enactment of the 
annual appropriations Act making appropriations for the programs 
under title XII of the Public Health Service Act for each fiscal year 
ending after September 30, 1976, the Secretary of Health, Education, 
and Welfare shall allocate an amount of expenditures and a number 
of personnel positions sufficient for the identifiable administrative 
unit (described in section 1208 of such Act) to— 
(1) provide support (including salaries of unit personnel and 
costs of administration, data gathering and dissemination, tech-
nical assistance, monitoring, and independent evaluation) for it 
to carry out its functions under title XII of such Act for such 
fiscal year; and 
(2) provide support for the Interagency Committee on Emer-
gency Medical Services established under section 1209 of such Act 
tor such fiscal year, 
and shall immediately report to the appropriate Committees of Con-
gress a statement of the amount of expenditures and the number of 
personnel positions so allocated for such fiscal year. 
42 use 300d. 
42 use S
O
O
d
, 
300d.5. 
42 use 300d.9. 
Grants and 
contracts. 
42 use 300d.21. 
BURN INJURY PROGRAM AND CONFORMING AMENDMENTS 
SEC. 14. Title XII is amended— 
(1) by inserting "PART A—ASSISTANCE FOR EMERGENCY MEDICAL 
SERVICES SYSTEMS" after the heading for the title; 
(2) by striking out "this title" each place it appears in section 
1201 and in subsections (b) and (e) of section 1206 and inserting 
in lieu thereof "this part"; and 
(3) by inserting after section 1210 the following new part: 
"PART B—BURN INJURIES 
"PROGRAMS RELATING TO BURN INJURIES 
"SEC. 1221. (a) (1) The Secretary may make grants to, and enter 
into contracts with, public or private nonprofit entities for the sup-
port of, and may conduct, programs for the establishment, operation, 
and improvement of activities to (A) demonstrate the effectiveness of 
different methods for the treatment and rehabilitation of individuals 
injured by burns, (B) conduct research in the treatment and rehabili-
tation of siich individuals, and (C) provide training in such treatment 
and rehabilitation and in such research. 
PUBLIC LAW 94-573—OCT. 21, 1976 
90 STAT. 2719 
(2) The Secretary may enter into contracts with entities and indi-
viduals for the support of research in the treatment and rehabilitation 
of individuals injured by burns. 
"(b) No grant or contract may be made or entered into under Applications, 
subsection (a) unless an application therefor has been submitted to, 
and approved by, the Secretary. Such application shall be submitted 
in such form and manner and contain such information as the Secre-
tary may require. In considering applications under this section, the 
Secretary shall give priority to applications for programs which (1) 
will provide services within a geographical area in which services are 
not currently being adequately provided, and (2) are in or accessible 
to the service area of an emergency medical services system (as defined 
in section 1201 (1)). 
42 USC 300d. 
"(c) For purposes of carrying out subsection (a), there are author- Appropriation 
ized to be appropriated $5,000,000 for the fiscal year ending Septem- authorization, 
ber 30, 197^, $7,500,000 for the fiscal vear ending September 30, 1978, 
and $10,000,000 for the fiscal year ending September 30, 1979.". 
TRANSFER OF EQUIPMENT 
42 USC 242b 
note. 
SEC. 15. Notwithstanding any other provision of law, the Secretary 
of Health, Education, and Welfare may vest title to equipment 
purchased— 
(1) with funds under the seven contracts for emergency medical 
services demonstration projects entered into in 1972 and 1973 
under section 304 of the Public Health Service Act (as in effect 
42 U
S
C 242b 
at the time the contracts were entered into), and 
(2) by contractors with the United States under such contracts 
or subcontractors under such contracts, 
in such contractors or subcontractors without further obligation to 
the Government or on such terms as the Secretary considers 
appropriate. 
UNIFORM PATIENT REPORTING SYSTEM 
42 USC 300cl-9' 
note. 
SEC. 16. The Secretary of Health, Education, and Welfare shall 
conduct studies to identify the categories of patients which should be 
included in a uniform reporting system to be used to evaluate the 
effectiveness of emergency medical services systems and burn injury 
programs supported under title XII of the Public Health Service 
Act in reducing death and disability. Not later than 18 months after 42 USC 300d. 
the date of enactment of this Act, the Secretary shall report to the 
Congress the results of such studies. Such report shall include such 
recommendations for legislation relating to such a uniform reporting 
system as the Secretary determines are appropriate. 
E X T E N S I O N O F ARTHRITIS COMMISSION 
SEC. 17. Section 3(j)(2) of the National Arthritis Act of 1974 
(Public Law 93-640) is amended to read as follows: 
42 USC 289c-l 
"(2) The Commission shall cease to exist on December 31, 1976.". note. 
EXTENSION OF THE COMMISSION FOR THE PROTECTION OF HUMAN 
SUBJECTS 
SEC. 18. (a) Section 204(d) of the National Kesearch Act (Public 
Law 93-348) is amended by striking out "24-month period" each place 42 USC 289/-1 
it appears and inserting in lieu thereof "36-month period". 
note. 
90 STAT. 2720 
PUBLIC LAW 94-573—OCT. 21, 1976 
Submittal to 
National 
Advisory Council 
on Alcohol 
Abuse and 
Alcoholism. 
42 use218 note. 
(b) Section 211(b) of such Act is amended by striking out "Janu-
ary 1,1977" and inserting in lieu thereof "January 1,1978". 
REVIEW OF ALCOHOLISM GRANTS 
SEC. 19. (a) Section 311(c)(2) of the Comprehensive Alcohol 
Abuse and Alcoholism Prevention, Treatment, and Rehabilitation 
Act of 1970 (42 U.S.C. 4577) is amended)— 
(1) by inserting "(A) "after "(2)"; 
(2) by striking out the last two sentences thereof; and 
(3) by inserting at the end thereof the following new 
subparagraph: 
"(B) (i) Except as provided in clause (ii), each application for a 
grant under this section shall be submitted by the Secretary to the 
National Advisory Council on Alcohol Abuse and Alcoholism for his 
review. The Secretary may approve an application for a grant under 
this section only if it is recommended for approval by such Council. 
" (ii) Clause (i) shall not apply to an application for a grant under 
this section for a project or program for any period of 12 consecutive 
months for which period payments under such grant will be less than 
$250,000, if an application for a grant under this section for such 
project or program and for a period of time which includes such 
12-month period has been submitted to, and approved by, the 
Secretary.". 
(b) The amendment made by subsection (a) shall apply with 
respect to applications for grants under section 311 of such Act after 
June 30,1976. 
EFFECTIVE DATE 
SEC. 20. Amendments and repeals made to the Public Health 
Service Act by this Act shall not apply with respect to grants made or 
contracts entered into before the date of enactment of this Act, except 
that the amendments made by sections 4(3) and 5 of this Act with 
respect to adding a new subsection (f) to section 1203 and a new 
subsection (e) to section 1204, respectively, of the Public Health 
Service Act shall apply to grants made and contracts entered into 
after June 1,1976. 
Approved October 21, 1976. 
Effective date. 
42 use 4577 
note. 
42 u s e 300d 
note. 
Ante, p. 2710. 
Ante, p. 2711. 
LEGISLATIVE HISTORY: 
HOUSE REPORT No. 94-1089 accompanying H.R. 12664 (Gomm. on Interstate and 
Foreign Commerce). 
SENATE REPORT No. 94-889 (Comm. on Ubor and Public Welfare). 
CONGRESSIONAL RECORD, Vol. 122 (1976): 
June 10, considered and passed Senate. 
Aug. 24, considered and passed House, amended, in lieu of H.R. 12664. 
Oct. 1, Senate agreed to House amendments with an amendment; House agreed to 
Senate amendment.