An Act to amend the Public Health Service Act to promote and assist in the extension and improvement of comprehensive health planning and public health services, to provide for a more effective use of available Federal funds for such planning and services
PL 89-749 (S.3008), enacted 11/03/1966

1180 
PUBLIC LAW 89-748-NOV. 2, 1966 
[80 
STAT. 
November 2, 1966 
[H. R. 18284] 
Public Law 89-748 
AN ACT 
To authorize the Attorney General to adjust the legislative jurisdiction exercised 
by the United States over lands within the Federal Reformatory at Chillicothe, 
Ohio. 
Federal Re-
formatory, Chilli-
cothe, Ohio. 
Relinquishment 
of jurisdiction. 
Be it enacted hy the Senate and Houae of Representatives 
of the 
United States of America in Congress assembled. That, notwithstand-
ing any other provision of law, the Attorney General may, at such 
times as he may deem desirable, relinquish to the State of Ohio all, or 
such portion as he may deem desirable for relinquishment, of the juris-
diction heretofore acquired by the United States over any land within 
the Federal Reformatory, Chillicothe, Ohio, reserving to the United 
States such concurrent or partial jurisdiction as he may deem neces-
sary. Relinquishment of jurisdiction under the authority of this Act 
may be made by filing with the Governor of the State of Ohio a notice 
of such relinquishment, which shall take effect upon acceptance thereof 
by the State of Ohio in such manner as its laws may prescribe. 
Approved November 2, 1966. 
November 3, 1966 
[S.3008] 
Public Law 89-749 
AN ACT 
To amend the Public Health Service Act to promote and assist in the extension 
and improvement of comprehensive health planning and public health services, 
to provide for a more effective use of available Federal funds for such plan-
ning and services, and for other purposes. 
Comprehensive 
Health Planning 
and Public Health 
Services Amend-
ments of 1966. 
Be it enacted hy the Senate and House of Representatives 
of the 
J United States of America in Congress assembled^ That this Act may 
be cited as the "Comprehensive Health Planning and Public Health 
Services Amendments of 1966". 
FINDINGS AND DECLARATION OF PURPOSE 
SEC. 2. (a) The Congress declares that fulfillment of our national 
purpose depends on promoting and assuring the highest level of health 
attainable for every person, in an environment which contributes posi-
tively to healthful individual and family living; that attainment of 
this goal depends on an effective partnership, involving close intergov-
ernmental collaboration, official and voluntary efforts, and participa-
tion of individuals and organizations; that Federal financial assistance 
must be directed to support the marshaling of all health resources— 
national. State, and local—to assure comprehensive health services of 
high quality for every person, but without interference with existing 
patterns of private professional practice of medicine, dentistry, and 
related healing arts. 
(b) To carry out such purpose, and recognizing the changing char-
acter of health problems, the Congress finds that comprehensive plan-
ning for health services, health manpower, and health facilities is 
80 STAT. ] 
PUBLIC LAW 89-749-NOV. 3, 1966 
1181 
essential at every level of government; that desirable administration 
requires strengthening the leadership and capacities of State health 
agencies; and that support of health services provided people in their 
communities should be broadened and made more flexible. 
GRANTS FOR COMPREHENSIVE HEALTH 
PLANNING AND PUBLIC 
HEALTH 
SERVICES 
SEC. 3. Section 314 of the Public Health Service Act (42 U.S.C. 
246) is amended to read as follows: 
^^ ^
*
^
*
" ^^^' 
" G R A N T S FOR COMPREHENSIVE HEALTH PLANNING AND PUBLIC 
H E A L T H 
SERVICES 
"Grants to States for Comprehensive State Health Planning 
"SEC. 314. (a)(1) AUTHORIZATION.—In order to assist the States 
in comprehensive and continuing planning for their current and 
future health needs, the Surgeon General is authorized during the 
period beginning July 1, 1966, and ending June 30, 1968, to make 
grants to States which have submitted, and had approved by the Sur-
geon General, State plans for comprehensive State health planning. 
For the purposes of carrying out this subsection, there are hereby 
authorized to be appropriated $2,500,000 for the fiscal year ending 
June 30, 1967, and $5,000,000 for the fiscal year ending June 30, 1968. 
"(2) 
STATE PLANS FOR COMPREHENSIVE STATE HEALTH PLANNING.— 
In order to be approved for purposes of this subsection, a State plan 
for comprehensive State health planning must— 
"(A) designate, or provide for the establishment of, a single 
State agency, which may be an interdepartmental agency, as the 
sole agency for administering or supervising the administration 
of the State's health planning functions under the plan; 
"(B) provide for the establishment of a State health planning 
council, which shall include representatives of State and local 
agencies and nongovernmental organizations and groups con-
cerned with health, and of consumers of health services, to ad-
vise such State agency in carrying out its functions under the 
plan, and a majority of the membership of such council shall con-
sist of representatives of consumers of health services; 
"(C) set forth policies and procedures for the expenditure of 
funds under the plan, which, in the judgment of the Surgeon Gen-
eral, are designed to provide for comprehensive State planning 
for health services (both public and private), including the facili-
ties and persons required for the provision of such services, to 
meet the health needs of the people of the State; 
"(D) provide for encouraging cooperative efforts among gov-
ernmental or nongovernmental agencies, organizations and groups 
concerned with health services, facilities, or manpower, and for 
cooperative efforts between such agencies, organizations, and 
65-300 O - 67 - 77 
requirements. 
1182 
PUBLIC LAW 89-749-NOV. 3, 1966 
[80 STAT. 
groups and similar agencies, organizations, and groups in the 
fields of education, welfare, and rehabilitation; 
"(E) contain or be supported by assurances satisfactory to the 
Surgeon General that the funds paid under this subsection will 
be used to supplement and, to the extent practicable, to increase 
the level of funds that would otherwise be made available by the 
State for the purpose of comprehensive health planning and not 
to supplant such non-Federal funds; 
"(F) 
provide such methods of administration 
(including 
methods relating to the establishment and maintenance of per-
sonnel standards on a merit basis, except that the Surgeon General 
shall exercise no authority with respect to the selection, tenure 
of office, and compensation of any individual employed in accord-
ance with such methods) as are found by the Surgeon General to 
be necessary for the proper and efficient operation of the plan; 
=™?it°^»,?tT^"^ 
"(Gr) provide that the State agency will make such reports, in 
such form and containing such information, as the Surgeon Gen-
eral may from time to time reasonably require, and will keep such 
records and afford such access thereto as the Surgeon General finds 
necessary to assure the correctness and verification of such 
reports; 
"(H) provide that the State agency will from time to time, but 
not less often than annually, review its State plan approved under 
this subsection and submit to the Surgeon General appropriate 
modifications thereof; 
" (I) provide for such fiscal control and fund accounting proce-
dures as may be necessary to assure proper disbursement of and 
accounting for funds paid to the State under this subsection; and 
" (J) contain such additional information and assurances as the 
Surgeon General may find necessary to carry out the purposes of 
this subsection. 
" (3) (A) STATE ALLOTMENTS.—From the sums appropriated for such 
purpose for each fiscal year, the several States shall be entitled to allot-
ments determined, in accordance with regulations, on the basis of the 
population and the per capita income of the respective States; except 
that no such allotment to any State for any fiscal year shall be less than 
1 per centum of the sum appropriated for such fiscal year pursuant to 
paragraph (1). Any such allotment to a State for a fiscal year shall 
remam available for obligation by the State, in accordance with the 
provisions of this subsection and tlie State's plan approved there-
under, until the close of the succeeding fiscal year. 
"(B) The amount of any allotment to a State under subparagraph 
(A) for any fiscal year which the Surgeon General determines will not 
be required by the State, during tlie period for which it is available, 
for the purposes for which allotted shall be available for reallotment 
by the Surgeon General from time to time, on such date or dates as he 
may fix, to other States with respect to which such a determination has 
not been made, in proportion to the original allotments to such States 
80 STAT. ] 
PUBLIC LAW 89-749-NOV. 3, 1966 
1183 
under subparagraph (A) for such fiscal year, but with such propor-
tionate amount for any of such other States being reduced to the 
extent it exceeds the sum the Surgeon General estimates such State 
needs and will be able to use during such period: and the total of such 
reductions shall be similarly reallotted among the States whose pro-
portionate amounts were not so reduced. Any amount so reallotted 
to a State from funds appropriated pursuant to this subsection for a 
fiscal year shall be deemed part of its allotment under subparagraph 
(A) for such fiscal year. 
" (4) PAYMENTS TO STATES.—From each State's allotment for a fiscal 
year under this subsection, the State shall from time to time be paid 
the Federal share of the expenditures incurred during that year or 
the succeeding year pursuant to its State plan approved under this 
subsection. 
Such payments shall be made on the basis of estimates by 
the Surgeon General of the sums the State will need in order to per-
form the planning under its approved State plan under this subsec-
tion, but with such adjustments as may be necessary to take account 
of previously made underpayments or overpayments. The 'Federal 
share' for any State for purposes of this subsection shall be all, or 
such part as the Surgeon General may determine, of the cost of such 
planning. 
"Project Grants for Areawide Health Planning 
"(b) The Surgeon General is authorized, during the period begin-
ning July 1,1966, and ending June 30,1968, to make, with the approval 
of the State agency administering or supervising the administration 
of the State plan approved under subsection (a), project grants to any 
other public or nonprofit private agency or organization to cover not 
to exceed 75 per centum of the costs of projects for developing (and 
from time to time revising) comprehensive regional, metropolitan area, 
or other local area plans for coordination of existing and planned 
health services, including the facilities and persons required for pro-
vision of such services; except that in the case of project grants made 
in any State prior to July 1,1968, approval of such State agency shall 
be required only if such State has such a State plan in effect at the 
time of such grants. For the purposes of carrying out this subsection, 
there are hereby authorized to be appropriated $5,000,000 for the fiscal 
year ending June 30, 1967, and $7,500,000 for the fiscal year ending 
June 30,1968. 
"Project Grants for Training, Studies, and Demonstrations 
"(c) The Surgeon General is also authorized, during the period 
beginning July 1, 1966, and ending June 30, 1968, to make grants to 
any public or nonprofit private agency, institution, or other organiza-
tion to cover all or any part of the cost of projects for training, studies, 
or demonstrations looking toward the development of improved or 
more effective comprehensive health planning throughout the Nation. 
1184 
PUBLIC LAW 89-749-NOV. 3, 1966 
[80 STAT. 
For the purposes of carrying out this subsection, there are hereby 
authorized to be appropriated $1,500,000 for the fiscal year ending 
June 30,1967, and $2,500,000 for the fiscal year ending June 30,1968. 
"Grants for Comprehensive Public Health Services 
"(d) (1) AUTHORIZATION OF APPROPRIATIONS.—There are authorized 
to be appropriated $62,500,000 for the fiscal year ending June 30, 
1968, to enable the Surgeon General to make grants to State health 
or mental health authorities to assist the States in establishing and 
maintaining adequate public health services, including the training 
of personnel for State and local health work. 
The sums so appro-
priated shall be used for making payments to States which have sub-
mitted, and had approved by the Surgeon General, State plans for 
provision of public health services. 
Standards. 
«^2) 
S T A T E PLANS FOR PROVISION OF PUBLIC HEALTH SERVICES.—In 
order to be approved under this subsection, a State plan for provision 
of public health services must— 
"(A) provide for administration or supervision of administra-
tion by the State health authority or, with respect to mental 
health services, the State mental health authority; 
"(B) set forth the policies and procedures to be followed in the 
expenditure of the funds paid under this subsection; 
"(C) contain or be supported by assurances satisfactory to the 
Surgeon General that (i) the funds paid to the State under this 
subsection will be used to make a significant contribution toward 
providing and strengthening public health services in the various 
political subdivisions in order to improve the health of the 
people; (ii) such funds will be made available to other public or 
nonprofit private agencies, institutions, and organizations, in 
accordance with criteria which the Surgeon General determines 
are designed to secure maximum participation of local, regional, 
or metropolitan agencies and groups in the provision of such 
services; and (iii) such funds will be used to supplement and, to 
the extent practical, to increase the level of funds that would 
otherwise be made available for the purposes for which the Fed-
eral funds are provided and not to supplant such non-Federal 
funds; 
"(D) provide for the furnishing of public health services 
under the State plan in accordance with such plans as have been 
developed pursuant to subsection (a) ; 
"(E) provide that public health services furnished under the 
plan will be in accordance with standards prescribed by regula-
tions, including standards as to the scope and quality of such 
services; 
"(F) provide such methods of administration 
(including 
methods relating to the establishment and maintenance of per-
sonnel standards on a merit basis, except that the Surgeon General 
shall exercise no authority with respect to the selection, tenure of 
office, and compensation of any individual employed in accordance 
with such methods) as are found by the Surgeon General to be 
necessary for the proper and efficient operation of the plan; 
"(G) provide that the State health authority or, with respect 
to mental health services, the State mental health authority, will 
from time to time, but not less often than annually, review and 
evaluate its State plan approved under this subsection and submit 
to the Surgeon General appropriate modifications thereof; 
80 STAT. ] 
PUBLIC LAW 89-749-NOV. 3, 1966 
1185 
••(H) provide that the 8tate Jiealrh autJioi-Jty or, w iti) respect 
Recordkeeping 
to mental health services, the State mental healtli anthoi'ity, will '"^''""^'"^"t^-
make such reports, in such form and containing- such information, 
as the Surgeon (xeneral may from time to time reasonably require, 
and will keep such records and afford such access thereto as the 
Surj^eon General finds necessary to assure the coi'rectness and veri-
fication of such reports; 
•'(1) provide for such fiscal control and fund accountino; proce-
dures as may be necessary to assure the proper disbursement of 
and accounting for funds paid to the State under this subsection; 
and 
"(J) contain such additional information and assui-aiices as the 
Surgeon General may find necessary to carry out the purposes of 
this subsection. 
"(3) STATE ALLOTMENTS.—From the sums appropriated to carry out 
the provisions of this subsection the several States shall be entitled for 
each fiscal year to allotments determined, in accordance with regula-
tions, on the basis of the population and financial need of the respective 
States, except that no State's allotment shall be less for any year than 
the total amounts allotted to such State under formula grants for 
cancer control, plus other allotments under this section, for the fiscal 
year ending June 30,1967. 
•'(4) (A) PAYMENTS TO STAJ-ES.—From each State's allotment under 
this subsection for a fiscal year, the State shall be paid the Federal 
share of the expenditures incurred during such year under its State 
plan approved under this subsection. 
Such payments shall \ye made 
from time to time in advance on the basis of estimates by the Surgeon 
General of the sums the State will expend under the State plan, excejjt 
that such adjustments as may be necessary shall be made on account 
of previously made underpayments or overpayments under this sub-
section. 
"(B) For the purpose of determining the Federal share for any 
State, expenditures by nonprofit private agencies, organizations, and 
groups shall, subject to such limitations and conditions as may be pre-
scribed by regulations, be regarded as expenditures by such State or a 
political subdivision thereof. 
"(5) FEDERAL SHARE.—The 'Federal share' for any State for pur- 
"^^^derai share." 
poses of this subsection 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 in no case shall such percentage be less than 381/^ per 
centum or more than 66% per centum, and except that the Federal 
share for the Commonwealth of Puerto JRico, Guam, American Samoa, 
and the Virgin Islands shall be 66% per centum. 
" (6) DETERMINATION OF FEDERAL SHARES.—The Federal shares shall 
be determined by the Surgeon General between July 1 and September 1 
of each year, on the basis of the average per capita incomes of each of 
the States and of the United States for the most recent year for which 
satisfactory data are available from the Department of Commerce, 
and such determination shall be conclusive for the fiscal year begin-
ning on the next July 1. The populations of the several States shall 
be determined on the basis of the latest figures for the population of 
the several States available from the Department of Commerce. 
"(7) ALLOCATION OF FUNDS WITHIN THE STATES.—At least 15 per 
centum of a State's allotment under this subsection shall be available 
only to the State mental health authority for the provision under the 
State plan of mental health services. 
"state." 
1186 
PUBLIC LAW 89-749-NOV. 3, 1966 
[80 STAT. 
"Project Grants for Health Services Development 
"(e) There are authorized to be appropriated $62,500,000 for the 
fiscal year ending June 30, 1968, for grants to any public or nonprofit 
private agency, institution, or organization to cover part of the cost 
of (1) providing services to meet health needs of limited geographic 
scope or of specialized regional or national significance, (2) stimulat-
ing and supporting for an initial period new programs of health serv-
ices, or (3) undertaking studies, demonstrations, or training designed 
to develop new methods or improve existing methods of providing 
health services. Such grants may be made pursuant to clause (1) 
or (2) of the preceding sentence with respect to projects involving the 
furnishing of public health services only if such services are provided 
in accordance with such plans as have been developed pursuant to sub-
section (a). 
"Interchange of Personnel With States 
"(f) (1) For the purposes of this subsection, the term 'State' means 
a State or a political subdivision of a State, or any agency of either 
of the foregoing engaged in any activities related to health or desig-
nated or established pursuant to subparagraph (A) of paragraph (2) 
of subsection (a) ; the term 'Secretary' means (except when used in 
paragraph (3) (D)) the Secretary of Health, Education, and Welfare; 
and the term 'Department' means the Department of Health, Educa-
tion, and Welfare. 
"(2) The Secretary is authorized, through agreements or otherwise, 
to arrange for assignment of officers and employees of States to the 
Department and assignment to States of officers and employees in 
the Department engaged in work related to health, for work which 
the Secretary determines will aid the Department in more effective 
discharge of its responsibilities in the field of health as authorized by 
law, including cooperation with States and the provision of technical 
or other assistance. The period of assignment of any officer or em-
ployee under an arrangement shall not exceed two years. 
"(3) (A) Officers and employees in the Department assigned to any 
State pursuant to this suh^ection shall be considered, during such 
assignment, to be (i) on detail to a regular work assignment in the 
Department, or (ii) on leave without pay from their positions in the 
Department. 
' ( B ) Persons considered to be so detailed shall remain as officers 
or employees, as the case may be, in the Department for all purposes, 
except that the supervision of their duties during the period of detail 
may be governed by agreement between the Department and the State 
involved. 
"(C) In the case of persons so assigned and on leave without pay— 
"(i) if the rate of compensation (including allowances) for 
their employment by the State is less than the rate of compensa-
tion (including allowances) they would be receiving had they 
continued in their regular assignment in the Department, they 
may receive supplemental salary payments from the Department 
in the amount considered by the Secretary to be justified, but not 
at a rate in excess of the difference between the State rate and the 
Department rate; and 
''(ii) they may be granted annual leave and sick leave to the 
extent authorized by law, but only in circumstances considered by 
the Secretary to justify approval of such leave. 
Such officers and employees on leave without pay shall, notwithstand-
ing any other provision of law, be entitled— 
"(iii) to continuation of their insurance under the Federal 
Employees' Group Life Insurance Act of 1954, and coverage 
68 Stat. 7 36. 
5 u s e 209 1 note. 
80 STAT. ] 
PUBLIC LAW 89-749-NOV. 3, 1966 
1187 
73 Stat. 708. 
5 use 3001 note. 
70 Stat. 736. 
5 use 2251 note. 
68 Stat. 736. 
5 use 2091 note. 
under the Federal Employees Health Benefits Act of 1959, so long 
as the Department continues to collect the employee's contribu-
tion from the officer or employee involved and to transmit for 
timely deposit into the funds created under such Acts the amount 
of the employee's contributions and the Government's contribu-
tion from appropriations of the Department; and 
" (iv) (I) in the case of commissioned officers of the Service, to 
have their service during their assignment treated as provided in 
section 214(d) for such officers on leave without pay, or (II) in ^^ f
^
'
^
'
- ^^o-
the case of other officers and employees in the Department, to 
credit the period of their assignment under the arrangement under 
this subsection toward periodic or longevity step increases and for 
retention and leave accrual purposes, and, upon payment into the 
civil service retirement and disability fund of the percentage of 
their State salary, and of their supplemental salary payments, if 
any, which would have been deducted from a like Federal salary 
for the period of such assignment and payment by the Secretary 
into such fund of the amount which would have been payable by 
him during the period of such assignment with respect to a like 
Federal salary, to treat (notwithstanding the provisions of the 
Independent Offices Appropriation Act, 1959, under the head 
'Civil Service Retirement and Disability Fund') their service 
cTrf^^ooi?^"*". 
I 
. 
, 
. 
I 
. 
.
,
.
-
•
' 
• 
p 
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5 use 2/67 note. 
during such period as service withm the meaning oi the Civil 
Service Retirement Act; 
except that no officer or employee or his beneficiary may receive 
any benefits under the Civil Service Retirement Act, the Federal 
Employees Health Benefits Act of 1959, or the Federal Employees' 
Group Life Insurance Act of 1954, based on service during an assign-
ment hereunder for which the officer or employee or (if he dies without 
making such election) his beneficiary elects to receive benefits, under 
any State retirement or insurance law or program, which the Civil 
Service Commission determines to be similar. 
The Department shall 
deposit currently in the funds created under the Federal Employees' 
Group Life Insurance Act of 1954, the Federal Employees Health 
Benefits Act of 1959, and the civil service retirement and disability 
fund, respectively, the amount of the Government's contribution under 
these Acts on account of service with respect to which employee contri-
butions are collected as provided in subparagraph (iii) and the 
amount of the Government's contribution under the Civil Service 
Retirement Act on account of service with respect to which payments 
(of the amount which would have been deducted under that Act) 
referred to in subparagraph (iv) are made to such civil service retire-
ment and disability fund. 
"(D) Any such officer or employee on leave without pay (other than 
a commissioned officer of the Service) who suffers disability or death 
as a result of personal injury sustained while in the performance of 
his duty during an assignment hereunder, shall be treated, for the 
purposes of the Federal Employees' Compensation Act, as though he 63^stft.^'854!^' 
were an employee, as defined in such Act, who had sustained such 
suse 751 note, 
injury in the performance of duty. When such person (or his depend-
ents, in case of death) entitled by reason of injury or death to benefits 
under that Act is also entitled to benefits from a State for the same 
injury or death, he (or his dependents in case of death) shall elect 
which benefits he will receive. 
Such election shall be made within one 
year after the injury or death, or such further time as the Secretary of 
Labor may for good cause allow, and when made shall be irrevocable 
unless otherwise provided by law. 
"(4) Assignment of any officer or employee in the Department to a 
State under this subsection may be made with or without reimburse-
1188 
PUBLIC LAW 89-749-NOV. 3, 1966 
[80 STAT. 
meiit by the State for the coiupeiisHtion (or supplementrtrv coiiipeiisa-
rion), travel and ti'ans})ortatioii expenses (to or from the place of 
assignment), and allowances, or any part thereof, of such officer or 
employee dnrhig the period of assigimient, and any such reimburse-
ment shall be credited to the appropriation utilized for payinj>- such 
compensation, travel or transportation expenses, or allowances. 
of\o^usThoid*^°" 
'^i^) Appropriations to the Department shall IMJ available, in ac-
goods. 
cordance with tlie standardized Government travel reg"ulations or, 
with respect to conmiissioned officei's of the Service, the joint travel 
regulations, the expenses of travel of officers and employees assigned 
to States under an arrangement under this subsection on either a detail 
or leave-vvithout-pay basis and, in accordance with applicable law, 
orders, and regulations, for expenses of transportation of their immedi-
ate families and expenses of transportation of their household goods 
and personal eHects, in connection with the travel of such officers and 
employees to the location of their posts of assignment and their return 
to their official stations. 
"(6) Officers and employees of States who aiv assigned to the De-
partment under an arrangement under this subsection may (A) be 
given appointments in the Department covering the periods of such 
assignments, or (B) be considered to be on detail to the Department. 
Appointments of i)ersons so assigned jnay be made without regard to 
the civil service laws. Pereons so appointed in the Depailment shall 
be paid at rates of compensation determined in accordance with the 
Ante, p. 288. 
Classiticatiou Act of 1949, and shall not be considered to be officers oi' 
employees of the Service for the purposes of (A) the Civil Service 
5°us*c*225\^ 
Ketirement Act, (B) the Federal Emi)loyees' Group Life Insurance 
68 Stat. 736.° 
Act of 1954, or (C) unless their appointments i-esult in the loss of 
5 use 2091 note, oovcrage in a group health benefits plan whose premium has been paid 
in whole or in })art by a State contribution, the Federal Employees 
rus*c*3ooTnote ^l^^^l^^h l^ciiefits Act of 1959. State officei-s and employees who are. 
assigned to tlie Department without appointment shall not be con-
sidered to be officers or employees of the Department, excei)t as pro-
vided in subsection (7), nor shall they be paid a salary or wage by the 
Service during the period of their assigimient. The supervision of the 
duties of such persons during the assignment may be governed by 
agreement between the Secretary and the State involved. 
int^e°ei^t''tovi- 
"(^) ^"^) "^^^^ State officcr or employee who is assigned to the De-
s^on^.^^piTca- 
partment without appointment shall nevertheless be subject to the 
wiity. 
provisions of sections 208, 205, 207, 208, and 209 of title 18 of the 
76 Stat. 1121. 
United States Code. 
"(B) Any State officer or employee who is given an aj)pointment 
while assigned to the Department, or who is assigned to the Depart-
ment without appointment, under an arrangement under this subsec-
tion, and who suffers disability or death as a result of personal injury 
sustained while in the performance of his duty during such assign-
ment shall be treated, for the purpose of the Federal Employees" Com-
6 3^stat^*854^^' 
peusatiou Act, as though he were an employee, as defined in such Act, 
5 use 751 note, who had sustained such injury in the performance of duty. 
When 
such person (or his dependents, in case of death) entitled by reason 
of injury or death to benefits under that Act is also entitled to benefits 
from a State for the same injury or death, he (or his dependents, in 
case of death) shall elect which benefits he will receive. 
Such 
election shall be made within one year after the injury or death, or 
such further time as the Secretary of Labor may for good cause allow, 
and when made shall be irrevocable unless otherwise provided by law. 
to^laris^oT^"^^^ 
"(^) ^^^ appropriations to the Department shall be available, in 
a°srignmen°t. 
accordauce with the standardized Government travel regulations, 
80 STAT. ] 
PUBLIC LAW 89-749-NOV. 3, 1966 
1189 
during the period of assignment and in the case of travel to and from 
their places of assignment or appointment, for the payment of expenses 
of travel of persons assigned to, or given appointments by, the Service 
under an arrangement under this subsection. 
"(9) All arrangements under this subsection for assignment of 
officers or employees in tlie Department to States or for assignment 
of officers or employees of States to the Department shall be made in 
accordance with regulations of the Secretary, 
"General 
"(g) (1) All regulations and amendments thereto with respect to 
grants to States under subsection (a) shall be made after consultation 
with a conference of the State health planning agencies designated 
or established pursuant to subparagraph (A) of paragraph (2) of 
subsection (a). All regulations and amendments thereto with respect 
to grants to States under subsection (d) shall be made after consulta-
tion with a conference of State health authorities and, in the case of 
regulations and amendments which relate to or in any way affect 
grants for services or other activities in the field of mental health, the 
State mental health authorities. 
Insofar as practicable, the Surgeon 
General shall obtain the agreement, prior to the issuance of such regu-
lations or amendments, of the State authorities or agencies with whom 
such consultation is required. 
"(2) The Surgeon General, at the request of any recipient of a ^.^Payment reduc-
grant under this section, may reduce the payments to such recipient 
by the fair market value of any equipment or supplies furnished to 
such recipient and by the amount of the pay, allowances, traveling 
expenses, and any other costs in connection with the detail of an officer 
or employee to the recipient when such furnishing or such detail, as 
the case may be, is for the convenience of and at the request of such 
recipient and for the purpose of carrying out the State plan or the 
project with respect to which the grant under this section is made. 
The amount by which such payments are so reduced shall be available 
for payment of such costs (including the costs of such equipment and 
supplies) by the Surgeon General, but shall, for purposes of determin-
ing the Federal share under subsection (a) or (d), be deemed to have 
been paid to the State. 
"(3) Whenever the Surgeon General, after reasonable notice and ce^sairorTof'^a"' 
opportunity for hearing to the health authority or, where appropri- ments, 
ate, the mental health authority of a State or a State health planning 
agency designated or established pursuant to subparagraph (A) of 
paragraph (2) of subsection (a), finds that, with respect to money 
paid to the State out of appropriations under subsection (a) or (d), 
there is a failure to comply substantially with either— 
"(A) the applicable provisions of this section; 
"(B) the State plan submitted under such subsection; or 
"(C) applicable regulations under this section; 
the Surgeon General shall notify such State health authority, mental 
health authority, or health planning agency, as the case may be, that 
further payments will not be made to the State from appropriations 
under such subsection (or in his discretion that further payments 
will not be made to the State from such appropriations for activities 
in which there is such failure), until he is satisfied that there will no 
longer be such failure. Until he is so satisfied, the Surgeon General 
shall make no payment to such State from appropriations under such 
subsection, or shall limit payment to activities in which there is no 
such failure. 
"(4) For the purposes of this section— 
"(A) The term 'nonprofit' as applied to any private agency, 
"Norprofit." 
institution, or organization means one which is a corporation or 
1190 
PUBLIC LAW 89-749-NOV. 3, 1966 
[80 STAT. 
association, or is 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; and 
"^'^*^-" 
"(B) The term 'State' includes the Commonwealth of Puerto 
Rico, Guam, American Samoa, the Virgin Islands, and the Dis-
trict of Columbia and the term 'United States' means the fifty 
States and the District of Columbia." 
CONTINUATION OF GRANTS TO SCHOOLS OF PUBLIC H E A L T H 
74 Stat. 819. 
42 u s e 242g. 
SEC. 4. Effective July 1, 1%7, section 309 of the Public Health 
Service Act is amended by adding after subsection (b) the following 
new subsection: 
"(c) There are also authorized to be appropriated $5,000,000 each 
for the fiscal year ending June 30,1968, to enable the Surgeon General 
to make grants, under such terms and conditions as may be prescribed 
by regulations, for provision, in public or nonprofit private schools of 
public health accredited by a body or bodies recognized by the Surgeon 
General, of comprehensive professional training, specialized con-
sultive services, and technical assistance in the fields of public health 
and in the administration of State or local public health programs, 
except that in allocating funds made available under this subsection 
among such schools of public health, the Surgeon General shall give 
primary consideration to the number of federally sponsored students 
attending each such school." 
CONTINUATION OF AUTHORIZATION FOR TRAINING OF PERSONNEL FOR STATE 
AND LOCAL H E A L T H W O R K ; COOPERATION BETWEEN T H E STATES 
SEC. 5. (a) Effective July 1, 1966, section 311 of the Public Health 
Service Act is amended by inserting " ( a ) " after "311." and by adding 
at the end of such section the following new subsection: 
"(b) The Surgeon General shall encourage cooperative activities 
between the States with respect to comprehensive and continuing plan-
ning as to their current and future health needs, the establishment and 
maintenance of adequate public health services, and otherwise carry-
ing out the purposes of section 314." 
(b) Effective July 1,1967, section 311 of the Public Health Service 
Act is further amended by adding at the end of subsection (b) thereof 
the following new sentence: "The Surgeon General is also authorized 
to train personnel for State and local health work." 
E F F E C T I V E DATE AND REPEALER 
SEC. 6. The amendments made by section 3 shall become effective as 
of July 1, 1966, except that the provisions of section 314 of the 
Public Health Service Act as in effect prior to the enactment of 
this Act shall be effective until July 1,1967, in lieu of the provisions of 
subsections (d) and (e), and the provisions of subsection (g) insofar 
as they relate to such subsections (d) and (e), of section 314 of the 
'75%^tf' 8 24 
Public Health Service Act as amended by this Act. 
Effective July 1, 
78 stat.^'^447. ' 
1967, sectlous 316 and 318 of the Public Sealth Service Act are 
42 use 247 a; 
repealed. 
247c. 
*^ 
REORGANIZATION 
PLAN 
SEC. T. The provisions enacted by this Act shall l)e subject lo the 
Post, p. 1610. 
provisions of Reorganization Plan Numbered 3 of 11)66. 
Approved November 3, 1966. 
58 Stat. 69 3. 
42 u s e 243. 
Ante, 
p. 1181.