An Act to amend title VII of the Public Health Service Act to provide increased manpower for the health professions, and for other purposes
PL 92-157 (H.R.8629), enacted 11/18/1971

85 STAT. ] 
PUBLIC LAW 92-157-NOV. 18, 1971 
431 
Public Law 92-157 
AN ACT 
November 18, 1971 
To amend title VII of the Public Health Service Act to provide increased man- 
[H. R. 8629] 
power for the health professions, and for other purposes. 
Be it enacted hy the Senate and Houm of Representatives 
of the 
United States of America in Congress assembled. 
Health profes-
sions. 
Manpower train-
-
X ing. 
TITLE I—AMENDMENTS TO TITLE V I I OF T H E PUBLIC 
H E A L T H SERVICE ACT 
SHORT T I T L E ; R E F E R E N C E S TO A C T 
SEC. 101. (a) This title may be cited as the "Comprehensive Health 
citation o
f tuie. 
Manpower Training Act of 1971". 
(b) Whenever in this title an amendment or repeal is expressed in 
terms of an amendment to, or repeal of. a section or other provision, 
the reference shall be considered to be made to a section or other pro-
vision of the Public Health Service Act. 
ss stat. 68 2. 
42 u s e 201 
note, 
(JRANTS AND LOAN GUARANTEES FOR CONSTRUCTION OF TEACHING 
FACILI-
TIES FOR MEDICAL, DENTAL, AND OTHER HEAL'ITI PROFESSIONS 
PERSON-
N E L ; 
EXTENSION 
OF PART A 
SEC. 102. (a) AUTHORIZATION LEVEL.—Section 720 (42 I^S.C. 293) Jl^H^';,^^^^' 
is amended to read as follows: 
82 Stat. 773. 
77 Stat. 164. 
42 u s e 292, 
"AUTHORIZATION OF APPROPRIATIONS 
"SEC. 720. (a) There are authorized to be appropriated $225,000,000 
for the fiscal year ending June 30,1972, $250,000,000 for the fiscal year 
ending June 30, 1973, and $275,000,000 for the fiscal year ending 
June 30, 1974, for grants under part A of this title for construction of 
^o stat, 717 
Jiealth research lacilities and tor grants to assist in the construction 01 
teaching facilities for the training of physicians, dentists, pharmacists, 
optometrists, podiatrists, veterinarians, and professional public health 
personnel." 
(b) 
FEDERAL SHARE.— 
(1) Clause (A) of section 722(a) (1) (42U.S.C. 293b(a) (1)) is 
77 stat. 168 
amended (A) by inserting " ( i ) " immediately before "for a proj-
ect", (B) hy striking out "and in the case of a grant" and inserting 
in lieu thereof "(ii)", (C) by inserting "and (iii) for a project 
for major remodeling or renovation of an existing facility where 
such project is required to meet an increase in student enroll-
ment," immediately before "such amount", and (D) by striking 
out "66% per centum" and inserting in lieu thereof "80 per 
centum". 
(2) Clause (B) of such section is amended (A) by striking out 
"66% per centum" and inserting in lieu thereof "80 per centum", 
(B) by striking out "50 per centum" and inserting in lieu thereof 
"70 per centum", and (C) by inserting after "unusual circum-
stances" the following: "(such as a school located in a geographi-
cal area of the United States with a critical shortage of health 
profession manpower)". 
(c) 
FACILITIES INCLUDED.— 
(1) Section 724(1) (A) (42 U.S.C. 293d(l)(A)) is amended 
by inserting "the acquisition," before "remodeling". 
(2) Section 724 is amended by striking out paragraph (5) and 
inserting in lieu thereof the following: 
82 stat. 773. 
432 
PUBLIC LAW 92-157-NOV. 18, 1971 
[85 STAT. 
"Teaching 
"(5) xhe term 'teaching facilities' means areas dedicated for 
use by students, faculty, or administrative or maintenance per-
sonnel for clinical purposes, research activities, libraries, class-
rooms, offices, auditoriums, dining areas, student activities, or 
other related purposes necessary for, and appropriate to, the con-
duct of comprehensive programs of education. Such term includes 
interim facilities but does not include off-site improvements or 
living quarters. 
fa -i"'^""^' 
"(^) '^^^ term 'interim facilities' means teaching facilities 
designed to provide teaching space on a short-term (less than ten 
years) basis while facilities of a more permanent nature are being 
planned and constructed." 
" ijsc ^^^d 
^^) Section 724(4) is amended (A) by striking out "doctor of 
pharmacy" and inserting "an equivalent degree", and (B) by 
striking out "doctor of surgical chiropody" and inserting in lieu 
thereof "an equivalent degree". 
(4) Section 724 is further amended by striking out the semicolo]i 
at the end of paragraphs (1) and (2) and inserting in lieu thereof 
a period and by striking out "; and" at the end of paragraph (4) 
and inserting in lieu thereof a period. 
7j^stat. 168; 
(5) Section 723 (42 U.S.C. 298c) is amended by inserting "(or 
in the case of interim facilities, within such shorter period as the 
Secretary shall by regulation prescribe)" immediately after 
"twenty years". 
(d) LOAN 
GUARANTEES AND INTEREST 
SUBSIDIES.—Part B 
is 
amended by adding after section 728 (42 U.S.C. 293h) the following 
new section: 
"LOAN GUARANTEES AND INTEREST SUBSIDIES 
"SEC. 72;9'. (a) To assist nonprofit private entities to carry out 
approved construction projects for teaching facilities, the Secretary 
may, during the period beginning July 1, 1971, and ending with the 
close of June 30, 1974, guarantee (in accordance with this section and 
subject to subsection (f)) to any non-Federal lender which makes a 
loan to such an entity for such a project payment when due of the prin-
cipal of and interest on such loan if such entity is eligible (as deter-
mined under regulations of the Secretary) for a grant under this part 
for such project. The Secretary may make commitments, on behalf of 
the United States, to make such loan guarantees prior to the making of 
such loans. No such loan guarantee (1) may, except under such special 
circumstances and under such conditions as are prescribed by regula-
tions, apply to any amount which, when added to any grant under this 
part or any other law of the United States, exceeds 90 per centum 
of the cost of construction of the project, or (2) may apply to more 
than 90 per centum of the loss of principal of and interest on the loan. 
"(b) In the case of any nonprofit private entity which is eligible 
(as determined under regulations of the Secretary) for a grant under 
this part to assist it in carrying out an approved construction project 
for teaching facilities after June 30,1971, and to whom a loan has been 
made by a non-Federal lender to assist it in carrying out such project, 
the Secretary, during the period beginning July 1, 1971, and ending 
with the close of June 30, 1974. may, subject to subsection (f), pay to 
the holder of such loan (and for and on behalf of the entity which 
received such loan) amounts sufficient to reduce by not to exceed 3 per 
centum per annum the net effective interest rate otherwise payable on 
such loan. 
Application. 
"(^^ j ^ l^r^j^ guarantee or interest subsidy payment may be made 
under this section only upon an application (submitted in such manner 
85 STAT. ] 
PUBLIC LAW 92-157-NOV. 18, 1971 
433 
and containing such information as the Secretary may by regulations 
require) approved by the Secretary. The Secretary may not approve 
an application for a loan guarantee or interest subsidy payment unless 
he determines that the terms, conditions, security (if any), and schedule 
and amount of repayments with respect to the loan are sufficient to 
protect the financial interests of the United States and are otherwise 
reasonable, including a determination that the rate of interest does not 
exceed such per centum per annum on the principal obligation out-
standing as the Secretary determines to be reasonable, taking into 
account the range of interest rates prevailing in the private market for 
similar loans and the risks assumed by the United States. The Secre-
tary may not approve an application for a loan guarantee, unless he 
determines that the loan would not be available on reasonable terms 
and conditions without the guarantee under this section. 
"(d)(1) The United States shall be entitled to recover from the 
Recovery right, 
applicant for a loan guarantee under this section the amount of any 
payment made pursuant to such guarantee, unless the Secretary for 
good cause waives such right of recovery; and, upon making any such 
payment, the United States shall be subrogated to all of the rights of 
the recipient of the payments with respect to which the guarantee was 
made. 
"(2) To the extent permitted by paragraph (3), any terms and 
conditions applicable to a loan guarantee under this section may be 
modified by the Secretary to the extent he determines it to be con-
sistent with the financial interest of the United States. 
"(3) Any loan guarantee made by the Secretary pursuant to this 
section shall be incontestable in the hands of an applicant on whose 
behalf such guarantee is made, and as to any person who makes or 
contracts to make a loan to such applicant in reliance thereon, except 
for fraud or misrepresentation on the part of such applicant or such 
other person. 
" (e) There is established in the Treasury a loan guarantee and inter- 
^""'^' 
est subsidy fund (hereinafter in this subsection referred to as the 
'fund') which shall be available to the Secretary without fiscal year 
limitation, in such amounts as may be specified from time to time in 
appropriation Acts, (1) to enable him to discharge his responsibilities 
under guarantees issued by him under this section, and (2) for interest 
subsidy payments authorized by this section. There are authorized to 
be appropriated from time to time such amounts as may be necessary 
to provide the sums required for the fund; except that the amount 
appropriated for interest subsidy payments may not exceed $8,000,000 
in the fiscal year ending June 30, 1972, $16,000,000 in the fiscal year 
ending June 30,1973, and $24,000,000 in the fiscal year ending June 30, 
1974. There shall also be deposited in the fund amounts received by 
the Secretary or other property or assets derived by him from his 
operations under this section, including any money derived from the 
sale of assets. If at any time the sums in the fund are insufficient to 
enable the Secretary to discharge his responsibilities under guarantees 
issued by him under this section or to make interest subsidy payments 
authorized by this section, he is authorized to issue to the Secretary 
of the Treasury notes or other obligations in such forms and denomi-
nations, bearing such maturities, and subject to such terms and condi-
tions, as may be prescribed by the Secretary with the approval of the 
Secretary of the Treasury, but only in such amounts as may be speci-
fied from time to time in appropriation Acts. Such notes or other 
obligations shall bear interest at a rate determined by the Secretary 
of the Treasury, taking into consideration the current average market 
3'ield on outstanding marketable obligations of the United States of 
comparable maturities during the month preceding the issuance of 
Ihe notes or other obligations. The Secretary of the Treasury shall 
434 
PUBLIC LAW 92-157-NOV. 18, 1971 
[85 STAT. 
40 Stat. 288, 
506. 
31 u s e 774. 
Limitations, 
Ante, p . 431. 
Administrative 
assistance. 
77 Stat. 165. 
79 Stat. 1058. 
purchase any notes and other obligations issued hereunder and for 
that purpose he may tise as a public debt transaction the proceeds from 
the sale of any securities issued under the Second Liberty Bond Act, 
and the purposes for which the securities may be issued under that Act 
are extended to include any purchase of such notes and obligations. 
The Secretary of the Treasury may at any time sell any of the notes 
or other obligations acquired by him under this subsection. All redemp-
tions, purchases, and sales by the Secretary of the Treasury of such 
notes or other obligations shall be treated as public debt transactions 
of the LTnited States. Sums borrowed under this subsection shall be 
deposited in the fund and redemption of such notes and obligations 
shall be made by the Secretary from the fund. 
" (f) (1) The cumulative total of the principal of the loans outstand-
ing at any time with respect to which guarantees have been issued 
under this section may not exceed such limitations as may be specified 
in appropriation Acts. 
"(2) In any fiscal year no loan guarantee may be made under sub-
section (a) and no agreement to make interest subsidy payments may 
be entered into under subsection (b) if the making of such guarantee 
or the entering into of such agreement would cause the cumulative 
total of— 
"(A) the principal of the loans guaranteed under subsection 
(a) in such fiscal year, and 
"(B) the principal of the loans for which no guarantee has been 
made under subsection (a) and with respect to which an agree-
ment to make interest subsidy payments is entered into under 
subsection (b) in such fiscal year, 
to exceed the amount of grant funds obligated under this part in such 
fiscal year; except that this paragraph shall not apply if the amount 
of grant funds obligated under this part in such fiscal year equals the 
sums appi-opriated for such fiscal year under section 720. 
"(g) The Secretary, with the consent of the Secretary of Housing 
and Urban Development, may obtain from the Department of Hous-
ing and Urban Development such assistance with respect to the 
administration of this section as will promote efficiency and economy 
thereof." 
(e) 
SPECIAL CONSIDERATION FOR CERTAIN PROJECTS.—Section 721 
(42 U . S . C . 293a) is amended by adding at the end thereof the 
following: 
"(e) In the case of applications to aid in the construction of new 
schools of medicine, osteopathy, or dentistry, the Secretary shall give 
special consideration to those applications which contain or are rea-
sonably supported by assurances that, because of the use that will be 
made of existing facilities (including Federal medical or dental facil-
ities), the school will be able to accelerate the date on w^hich it will 
begin its teaching program." 
(f) 
ELIGIBLE APPLICANTS.— 
(1) COMBINATIONS.—Section 721(b)(1) (42 U.S.C. 293a(b) 
(1)) is amended by inserting a comma before "and (B)" and by 
inserting before the period at the end the following: ", or (C) 
any combination of schools which are described in clause (A) and 
which meet the requirements of clause (B)". 
(2) AFFILIATED HOSPITALS AND OUTPATIENT FACILITIES.— 
(A) Paragraphs (2) and (3) of section 721(b) (42 U.S.C. 
293a(b)) are amended to read as follows: 
"(2) Notwithstanding paragraph (1), in the case of an affiliated 
hospital or affiliated outpatient facility, an application which is 
approved by the school of medicine, osteopathy, or dentistry with 
which the hospital or outpatient facility is affiliated and which other-
85 STAT. ] 
PUBLIC LAW 92-157-NOV. 18, 1971 
435 
wise complies with the requirements of this part may be filed by any 
public or other nonprofit agency qualified to file an application under 
section 605. 
"(3) In the case of any application, whether filed by a school or, 
in the case of an affiliated hospital or affiliated outpatient facility, by 
any other public or other nonprofit agency, for a grant under this 
part to assist in the construction of a hospital or outpatient facility, 
as defined in section 645— 
"(A) if the hospital or outpatient facility is needed in connec-
tion with a new school, only that portion of the project to construct 
the hospital or outpatient facility which the Secretary determines 
to be reasonably attributable to the need of such school for the 
facility for teaching purposes, 
"(B) if the construction is in connection with expansion of the 
training capacity of an existing school, only that portion of the 
project to construct the hospital or outpatient facility which the 
Secretary determines to be reasonably attributable to the need 
of such school for the facility in order to expand its training 
capacity, or 
"(C) if the construction is in connection with renovation or 
rehabilitation of a hospital or outpatient facility used by an 
existing school, only that portion of the project which the Secre-
tary determines to be reasonably attributable to the need of such 
school for the hospital or outpatient facility in order to prevent 
curtailment of enrollment or quality of training of the school 
or to meet an increase in student enrollment, 
shall be regarded as the project with respect to which payments may 
be made under section 722." 
(B) Section 724(3) (42U.S.C.293d(3)) is amended to read 
as follows: 
" (3) The term 'affiliated hospital or affiliated outpatient facility' 
means a hospital or outpatient facility, as defined in section 645, 
which is not owned by, but is affiliated (to the extent and in the 
manner determined in accordance with regulations) with, a school 
of medicine, osteopathy, or dentistry which meets the eligibility 
conditions set forth in section 721(b) (1).". 
(C) Section 723(a) (42 U.S.C. 293c(a)) is amended by 
inserting "or outpatient facility" after "hospital". 
(g) 
CONSIDERATION or 
CERTAIN PROJECTS BY SECTION 314 
PLAN-
NING AGENCIES.—Section 721(c) (42 U.S.C. 293a(c)) is amended (1) 
by striking out "and" at the end of paragraph (5), (2) by striking 
out the period at the end of paragraph (6) and inserting in lieu thereof 
"; and", and (3) by adding after paragraph (6) the following new 
paragraph: 
"(7) in the case of an application for a project for the construction 
of a facility intended, at least in part, for the provision of health serv-
ices, an opportunity has been provided for comment on the project 
by (A) the State agency administering or supervising the adminis-
tration of the State plan approved under section 314(a), and (B) the 
public or nonprofit private agency or organization responsible for the 
plan or plans referred to in section 314(b) and covermg the area in 
which such project is to be located or if there is no such agency, such 
other public or nonprofit private agency or organization (if any) 
as performs, as determined in accordance with criteria of the Secre-
tary, similar functions." 
(h) 
ENROLLMENT INCREASE.— 
(1) Section 721(c) (2) (42 U.S.C. 293a(c) (2)) is amended by 
adding at the end thereof the following new sentence: "If a school 
applies for a grant in a fiscal year for a construction project to 
78 Stat. 453. 
42 u s e 291e. 
78 Stat. 460; 
!4 Stat. 344. 
42 u s e 291o. 
77 Stat. 168. 
42 u s e 293b. 
"Affiliated 
hospital or affili-
ated outpatient 
facility," 
77 Stat. 169. 
Ante, p. 434. 
77 Stat, 165. 
80 Stat. 1181; 
84 Stat. 1304. 
42 u s e 246. 
75-432 O - 72 - 30 
436 
PUBLIC LAW 92-157-NOV. 18, 1971 
[85 STAT. 
Post, p. 437. 
expand its training capacity and if under paragraph (2) of sec-
tion 770(f) the school is not required to meet in such fiscal year 
the enrollment increase prescribed by such section because of 
limitations of physical facilities, the Secretary, after consultation 
with the National Advisory Council on Health Professions Edu-
cation, may waive (in whole or in part) the enrollment increase 
prescribed by clause (D) of the preceding sentence if the appli-
cation for such construction project contains or is supported by 
reasonable assurances satisfactory to the Secretary that the num-
ber of first-year students enrolled at such school during the first 
full school year after the completion of such project and for each 
of the next nine school years thereafter will be not less than the 
number of first-year students that such school would be required 
to enroll under section 770(f) (without regard to paragraph (2) 
thereof) for a grant under section 770 (a)." 
y/statf^iosy!' 
(^) Section 721(c) (2) is further amended by striking out "sec-
42 use 293'a. 
tion 771 (b)" and inserting in lieu thereof "section 770 (f)". 
77 Stat. 170. 
(i) 
TECHNICAL ASSISTANCE.—Section 728 (42 U.S.C. 293h) is 
amended to read as follows: 
"TECHNICAL ASSISTANCE 
"SEC. 728. The Secretary may provide technical assistance (1) to 
applicants under this part and other public or nonprofit private 
schools, agencies, organizations, and institutions, and combinations 
thereof, in designing and planning the construction of any facility 
for which financial assistance may be provided under this part, and 
(2) to State or interstate planning agencies established to plan pro-
grams for relieving shortages of training capacity for health 
personnel." 
(j) TECHNICAL AMENDMENTS.— 
(1) Section 723(a) (42 U.S.C. 293c(a)) is amended by strik-
ing out "625" and inserting in lieu thereof "605". 
(2) Section 721(c) (3) (42 U.S.C. 293a(c) (3)) is amended to 
read as follows: 
"(3) (A) in the case of an application for a grant to assist in 
the construction of new teaching facilities, such application is 
for aid in the construction of a new school of medicine, osteop-
athy, dentistry, pharmacy, optometry, podiatry, 
veterinary 
medicine, or public health, or construction which will expand the 
training capacity of an existing school of medicine, osteopathy, 
dentistry, pharmacy, optometry, podiatry, veterinary medicine, 
or public health, or (B) in the case of an application for a grant 
to assist in the replacement or rehabilitation of existing teaching 
facilities, such application is for aid in construction which will 
replace or rehabilitate facilities of, or used by, an existing school 
of medicine, osteopathy, dentistry, pharmacy, optometry, podia-
try, veterinary medicine, or public health, which facilities either 
are so obsolete as to require the school to curtail substantially 
either its enrollment or the quality of the training provided (and, 
for purposes of this part, expansion or curtailment of capacity 
for continuing education shall also be considered expansion and 
curtailment, respectively, of training capacity) or are required 
to meet an increase in student enrollment;" 
(3) Section 721(c) (6) (42 U.S.C. 293a (c)(6)) is amended by 
striking out "which is a hospital or diagnostic or treatment cen-
ter, as defined in section 631" and inserting in lieu thereof "which 
42 use 2910. 
-g ^ hospital or outpatient facility, as defined in section 645". 
82 Stat. 774. 
^ (4) Section 722(d) (42 U.S.C. 293b(d)) is amended by strik-
ing out "or for medical library purposes (within the meaning of 
82 Stat. 789. 
85 STAT. ] 
PUBLIC LAW 92-157-NOV. 18, 1971 
437 
part I of title I I I ) " and inserting in lieu thereof "or for medical 
library purposes (within the meaning of part J of title I I I ) " . 
42 use 280b. 
(5) Section 723 (42 TJ.S.C. 293c) is amended by inserting "or" 
82 stat. 773. 
at the end of paragraph (b). 
(6) The heading for part B of title VII is amended by inserting 
"AND LOAN GUARANTEES AND INTEREST SUBSIDIES" immediately 
after "GRANTS". 
(7) (A) Part B (other than section 727 thereof) of title VII is 
42 use 293. 
amended by striking out "Surgeon General" each place it occurs 
and inserting in lieu thereof "Secretary". 
(B) Section 722(b) (42 U.S.C. 293b(b)) is amended by striking 
77 stat. les. 
out "Surgeon General's" and inserting in lieu thereof "Secre-
tary's"; section 727(a) (42 U.S.C. 293g(a)) is amended by strik-
ing out "The Surgeon General, after consultation with the Council 
and with the approval of the Secretary" and inserting in lieu 
thereof "The Secretary, after consultation with the Council"; and 
section 727(b) (42 U.S.C. 293g(b)) is amended by striking out 
"The Surgeon General is authorized to make, wnth the approval of 
the Secretary" and inserting in lieu thereof "The Secretary may 
make", 
(k) TECHNICAL AMENDMENTS TO PART A.— 
(1) Section 705(a) (42 U.S.C. 292d(a)) is amended to read as 
jo stat^. 718; 
follows: 
"SEC. 705. (a) The Secretary may from time to time set dates (not 
earlier than in the fiscal year preceding the year for which a grant is 
sought) by which applications for grants under this part for any fiscal 
year must be filed." 
(2) (A) Part A of title y I I (other than sections 703 (a) and 709 
thereof) is amended by striking out "Surgeon General" each place 
it occurs and inserting in lieu thereof "Secretary". 
(B) Section 706(b) (42 U.S.C. 292e(b)) is aniended by strik-
ing out "Surgeon General's" and inserting in lieu thereof 
"Secretarv s . 
(C) Section 709(a) (42 U.S.C. 292h(a)) is amended by strik- 
^o stat. 719. 
ing out "Surgeon General, after consultation with the Council and 
with the approval of the Secretary," and inserting in lieu thereof 
"Secretary"; and section 709(b) (42 U.S.C. 292h(b)) is amended 
by striking out "Surgeon General is authorized to make, with 
the approval of the Secretary," and inserting in lieu thereof "Sec-
retary may make". 
(GRANTS AND 
CONTRACTS 
TO 
IMPROVE 
T H E 
QUALITY 
OF 
SCHOOLS 
OF 
MEDICINE, 
OSTEOPATHY, 
DENTISTRY, 
VETERINARY 
MEDICINE, 
OPTOMETRY, PHARMACY, AND PODIATRY; HEALTH MANPOWER 
EDUCA-
TION 
INITIATIVE 
AWARDS 
SEC. 104. 
(a) 
CAPITATION, SPECIAL PROJECT, AND OTHER GRANT 
AND CONTRACT PROGRAMS.—Part E of title VII is amended to read 
^2 st^at. 7j4^. 
as follows: 
"PART E—GRANTS AND CONTRACTS TO IMPROVE THE QUALITY OF 
SCHOOLS 
OF 
MEDICINE, 
OSTEOPATHY, 
DENTISTRY, 
VETERINARY 
MEDICINE, OPTOMETRY, PHARMACY, AND PODIATRY; HEALTH MAN-
POWER EDUCATION INITIATIVE AWARDS 
"CAPITATION GRANTS 
"SEC. 770. (a) GRANT COMPUTATION.—The Secretary shall make 
annual grants to schools of medicine, osteopathy, dentistry, veterinary 
medicine, optometry, pharmacy, and podiatry for the support of the 
education programs of such schools. The amount of the annual grant to 
77 Stat. 164. 
42 u s e 292. 
438 
PUBLIC LAW 92-157-NOV. 18, 1971 
[85 STAT. 
each such school with an approved application shall be computed for 
each fiscal year as follows. 
"(1) Each school of medicine (other than a two-year school of 
medicine), osteopathy, and dentistry shall receive— 
" (A) in the case of full-time students enrolled in such school 
in such year in a training program which is more than three 
years, $2,500 for each such first-, second-, and third-year 
student and $4,000 for each such student who will graduate 
from such school in such year; 
"(B) in the case of full-time students enrolled in such school 
in such year in a training program which is not more than 
three years, $2,500 for each such student enrolled and $6,000 
for each such student who will graduate from such school in 
such year; 
"(C) in the case of full-time students enrolled in such 
school in such year in a training program which is designed 
to permit such students to complete, within six years after 
completing secondary school, the requirements for the degree 
of doctor of medicine, $2,500 for each such student enrolled 
in such year in the last three years of such program and 
$6,000 for each such student who will graduate from such 
school in such year, and for purposes of subsections (d) and 
(f), a student enrolled in the first year of the last three years 
of such school's medical training program shall be consid-
ered a first-year student. 
"(D) $1,000 for each student who is enrolled in such year 
on a full-time basis in a program of such school for the train-
ing of physicians' assistants or dental therapists; and 
"(E) $1,000 for each enrollment bonus student (as deter-
mined under subsection (d)) enrolled in such school in such 
year. 
" (2) Each two-year school of medicine shall receive (A) $2,500 
for each full-time student enrolled in such school in such year in 
the last two years of the training program of such school; (B) 
$1,000 for each enrollment bonus student enrolled in such school 
in such year in such last two years; and (C) $1,000 for each stu-
dent who is enrolled in such year on a full-time basis in a program 
of such school for the training of physicians' assistants. For pur-
poses of subsections (d) and (f), a student enrolled in the first 
year of the last two years of such school's medical training pro-
gram shall be considered a first-year student. 
" (3) Each school of veterinary medicine shall receive $1,750 for 
each full-time student, and $700 for each enrollment bonus stu-
dent, enrolled in such school in such year. 
" (4) Each school of optometry shall receive $800 for each full-
time student, and $320 for each enrollment bonus student, enrolled 
in such school in such year. 
" (5) Each school of pharmacy (other than a school of pharmacy 
with a course of study of more than four years) shall receive $800 
for each full-time student, and $320 for each enrollment bonus 
student, enrolled in such school in such year. Each school of phar-
msicj with a course of study of more than four years shall receive 
$800 for each full-time student enrolled in the last four years of 
such school and $320 for each enrollment bonus student enrolled 
in the last four years of such school. For purposes of subsections 
(d) and (f), a student enrolled in the first year of the last four 
years of such school shall be considered a first-year student. 
"(6) Each school of podiatry shall receive $800 for each full-
time student, and $320 for each enrollment bonus student, enrolled 
in such school in such year. 
85 STAT. ] 
PUBLIC LAW 92-157-NOV. 18, 1971 
439 
That part of a grant to any school wliich is computed under this sub- 
Limitation. 
section on the number of enrollment bonus students enrolled in such 
school may not exceed $150,000 for each class in which such students 
are enrolled. 
"(b) SMALL MEDICAL, OsTEorATHic, AND DENTAL SCHOOLS.—If the 
first fiscal year (beginning after June 80, 1971) in which any school 
of medicine, osteopathy, or dentistry receives a grant under subsec-
tion (a) is a fiscal year in which the number of first-year students 
enrolled in such school is not more than 50, then, in such year, and in 
the succeeding fiscal year, the amount of the grant payable to such 
school under subsection (a) shall be increased by $50,000. 
"(c) APPORTIONMENT or APPROPRIATIONS.—If the total of the grants 
to be made under this section for any fiscal year— 
"(1) to schools of medicine, osteopathy, and dentistry with 
approved applications exceeds the amounts appropriated under 
subsection (j) (1) for such grants, or 
''(2) to schools of veterinary medicine, optometry, pharmacy, 
and podiatry with approved applications exceeds the amounts 
a])propriated under subsection (j) (2) for such grants, 
the amount of the grant for that fiscal year to each such school shall 
be an amount which bears the same ratio to the amount determined 
for the school for that fiscal year undei* the applicable provisions of 
subsections (a) and (b) as the total of the amounts appropriated for 
that year under subsection (j)(l) or (j)(2),as the case may be, bears 
to the amount required to make grants in accordance with subsections 
(a) and (b) to each school referred to in clause (1) or (2), as the case 
may be. 
"(d) 
ENROLLMENT BONUS STUDENT DEFINED.—For purposes of 
subsection (a), a full-time student enrolled for any school year in a 
school of medicine, osteopathy, dentistry, veterinary medicine, optom-
etry, pharmacy, or podiatry (other than a student enrolled in a pro-
gram of such school for the training of physician's assistants or dental 
therapists and a student for whom a grant is made under section 771) 
P°^t' P* '•^S. 
shall be considered to be an enrollment bonus student if— 
"(1) he enrolled in such school as a first-year student for a 
school year beginning after June 30,1971; and 
"(2) the size of the class of first-year students which enrolled 
in such school for such school year met the applicable require-
ment of subsection (e) (1) (A) or (e) (2) (A), and the application 
of such school for a grant under this section for the fiscal year 
in which such school year began met the applicable requirement 
of subsection (e) (1) (B) or (e) (2) (B). 
Any student who is considered to be an enrollment bonus student for 
the school year for which he enrolled as a first-year student in a school 
shall be considered to be an enrollment bonus student for each school 
year thereafter for which he is enrolled in such school. 
"(e) 
CLASS 
SIZE AND APPLICATION REQUIREMENTS FOR BONUS 
ENROLLMENT STUDENTS.— 
"(1) SCHOOL YEAR 1971-1972.—If the school year for which a 
class enrolled as a class of first-year students in a school was the 
first school year beginning after June 30, 1971— 
" (A) the number of students who enrolled in such class for 
such school year must exceed the number of first-year students 
who enrolled in such school for the preceding school year by 
5 per centum of such number or by five students, whichever is 
greater; and 
"(B) the application of such school for a grant under this 
section in the fiscal year ending June 30, 1972, must contain 
or be supported by reasonable assurances that, for the first 
440 
PUBLIC LAW 92-157-NOV. 18, 1971 
[85 STAT. 
school year beginning after June 30,1972 and for each school 
year thereafter, the number of students enrolled in such 
school as a class of first-year students will not be less than a 
number equal to the sum of— 
"(i) the minimum enrollment of first-year students 
required under subparagraph (A) ; and 
"(ii) 10 per centum of the number of first-year stu-
dents enrolled for the first school year beginning after 
June 30, 1970, if such number was not more than 100, 
or, if such number was more than 100, 5 per centum of 
such number or ten students, whichever is greater. 
"(2) 
SCHOOL YEARS AFTER SCHOOL YEAR 1971-1972.—If the 
school year for which a class enrolled as a class of first-year stu-
dents in a school was any school year beginning after June 30, 
1972— 
"(A) the number of students who enrolled in such class 
for such school year— 
"(i) if such school has not previously received a grant 
for bonus enrollment students, must be not less than the 
sum of (I) the minimum number of first-year students 
which such school is required pursuant to subsection (f) 
(or would be required pursuant to subsection (f) except 
for paragraph (2) thereof) to enroll for such school 
year, and (II) 5 per centum of that number or 5 stu-
dents, whichever is greater; or 
"(ii) if such school has previously qualified for a 
bonus enrollment grant under this section, must be not 
less than the sum of (I) the minimum number of stu-
dents which such school was required, pursuant to para-
graph (1) (B) or (2) (B) (as the case may be), to assure 
the Secretary would be enrolled for such school year, and 
(II) 5 per centum of that number or 5 students, which-
ever is greater; and 
"(B) the application of such school for a grant under this 
section for the fiscal year in which such school year begins 
contains or is supported by reasonable assurances that, for 
the first school year beginning after the close of such fiscal 
year and for each fiscal year thereafter, the number of stu-
dents enrolled in such school as a class of first-year students 
will not be less than the minimum number of students such 
school was required under subparagraph (A) to enroll as 
first-year students. 
"(f) 
MAINTENANCE 
OF EFFORT 
AND ENROLLMENT 
INCREASE 
REQUIREMENTS.— 
"(1) The Secretary shall not make a grant under this section to 
any school in a fiscal year beginning after June 30, 1971, unless 
the application for such grant contains or is supported by reason-
able assurances satisfactory to the Secretary— 
"(A) that for the first school year beginning after the 
close of the fiscal year in which such grant is first made and 
for each school year thereafter during which such a grant is 
made the first-j^ear enrollment of full-time students in such 
school will exceed the number of such students enrolled in the 
school year beginning during the fiscal year ending June 30, 
1971— 
"(i) by 10 per centum of such number if such number 
was not more than 100, or 
"(ii) by 5 per centum of such number, or 10 students, 
whichever is greater, if such number was more than 100; 
and 
85 STAT. ] 
PUBLIC LAW 92-157-NOV. 18,1971 
441 
"(B) that the applicant will expend in carrying out its 
function as a school of medicine, osteopathy, dentistry, vet-
erinary medicine, optometry, pharmacy, or podiatry, as the 
case may be, during the fiscal year for which such grant is 
sought, an amount of funds (other than funds for construc-
tion as determined by the Secretary) from non-Federal 
sources which is at least as great as the average amount of 
funds expended by such applicant for such purpose (exclud-
ing expenditures of a nonrecurring nature) in the 3 fiscal 
years immediately preceding the fiscal year for which such 
grant is sought. 
The requirements of subparagraph (A) shall be in addition to the 
requirements of section 721 (c) (2), where applicable. 
^"'^' ^' ^^^' 
" (2) The Secretary is authorized to waive (in whole or in part) 
Waiver authority. 
the provisions of paragraph (1) (A) if he determines, after con-
sultation with the National Advisory Council on Health Profes-
sions Education, that the required increase in first-year enroUrnent 
of full-time students in a school cannot, because of limitations 
of physical facilities available to the school for training or because 
of other relevant factors, be accomplished without lowering the 
quality of training provided therein. 
"(3) In those instances where enrollment increases proposed 
exceed the requirements of paragraph (1) (A), the Secretary shall 
satisfy himself, after consultation with the appropriate accredita-
tion body or bodies (as defined in section 721 (b) (1)), that there is 
7? stat. les; 
reasonable assurance that such expanded program will meet the 
42 use 293*3. 
accreditation standards of such body or bodies. 
"(g) 
PLAX REQUIREMENT.— 
" (1) In the case of a school which has not received a grant under 
subsection (a) in a fiscal year beginning after June 30, 1971, an 
application by such school for a grant for a fiscal year beginning 
after that date shall contain or be accompanied by a plan to carry 
out or establish and carry out, during the two-school-year period 
commencing not later than the first day of the fiscal year next 
following the fiscal year in which the grant is made, specific proj-
ects in at least three of the following categories of projects (or if 
the application is for a school of pharmacy, specific projects in the 
category described in clause (G) and specific projects in at least 
two other categories) : 
"(A) Projects to effect significant improvements in the 
curriculum of such school (including projects for shortening 
of the length of time required to complete training programs 
provided by such school). 
"(B) Projects to establish cooperative interdisciplinary 
training among schools of medicine, dentistry, osteopathy, 
optometry, podiatry, pharmacy, veterinary medicine, nurs-
ing, public health, and allied health, including projects for 
training for the use of the team approach to the provision of 
health services. 
"(C) Projects to train for new roles, types, or levels of 
health personnel, including programs for the training of 
physicians' assistants, dental therapists, and other health pro-
fessions' assistants, and nurse practitioners, in cooperation 
with appropriate academic institutions and hospitals. 
" (D) Projects to make innovative modifications of existing 
programs of education in the health professions, including 
projects for the teaching of the organization, provision, 
financing, or evaluation, of health care. 
"(E) Projects to assist in significantly increasing the sup-
442 
PUBLIC LAW 92-157-NOV. 18, 1971 
[85 STAT. 
On-site inspec-
tions. 
Reports to con-
gressional com-
mittees. 
42 u s e 295g. 
"Full-time stu-
d e n t s . " 
ply of adequately trained personnel in the health professions 
needed to meet the health needs of the Nation. 
"(F) Projects to establish, at schools of medicine, osteop-
athy, or dentistry, increased emphasis on, and training in, 
the science of clinical pharmacology; diagnosis, treatment, 
and prevention of drug and alcohol use and abuse; the assess-
ment of the efficacy of various therapeutic regimens, and; 
in the case of schools of medicine and osteopathy, the science 
of nutrition. 
"(G) Projects to provide, at schools of pharmacy, for 
increased emphasis on, and training in, clinical pharmacy, 
drug use and abuse, and where appropriate 
clinical 
pharmacology. 
"(H) Projects to increase admissions to, and enrollment and 
retention in, such schools of qualified individuals who, due 
to socioeconomic factors, are financially or educationally 
disadvantaged. 
"(I) Projects to train and educate primary care health 
professionals with particular emphasis (in the case of schools 
of medicine, osteopathy, and dentistry) upon the establish-
ment of new, or expansion of existing, programs for training 
in family medicine. 
"(2) The Secretary may make on-site inspections of any school, 
or require the supplying of information or data from any school, 
receiving a grant under subsection (a) to determine the extent to 
which such school is carrying out the specific projects required to 
be included in the plan submitted by such school (pursuant to 
paragraph (1)) in connection with its application for such grant. 
" (3) The Secretary shall submit to the Committee on Labor and 
Public Welfare of the Senate and the Committee on Interstate and 
Foreign Commerce of the House of Representatives two reports 
containing full and complete information as to the extent to which 
schools receiving grants under subsection (a) are carrying out the 
specific projects included in plans submitted by them pursuant to 
paragraph (1). The first such report shall be submitted not later 
than January 1, 1973, and the second such report shall be sub-
mitted not later than September 1,1974. 
" (h) ENROLLMENT AND GRADUATION DETERMINATIONS.— 
" (1) For purposes of this part and part F, regulations of the 
Secretary shall include provisions relating to determination of the 
number of students enrolled in a school, or in a particular year-
class in a school, or the number of graduates, as the case may be, 
on the basis of estimates or on the basis of the number of students 
who were enrolled in a school, or in a particular year-class in a 
school, or were graduates, in an earlier year, as the case may be, or 
on such basis as he deems appropriate for making such determina-
tion, and shall include methods of making such determination 
when a school or a year-class was not in existence in an earlier year 
at a school. 
"(2) For purposes of this part and part F, the term 'full-time 
students' (whether such term is used by itself or in connection 
with a particular year-class) means students pursuing a full-time 
course of study leading to a degree of doctor of medicine, doctor 
of dentistry, or an equivalent degree, doctor of osteopathy, bach-
elor of science in pharmacy or an equivalent degree, doctor of 
optometry or an equivalent degree, doctor of veterinary medicine 
or an equivalent degree, or doctor of podiatry or an equivalent 
degree. 
85 STAT. ] 
PUBLIC LAW 92-157-NOV. 18, 1971 
443 
"(i) APPLICATIONS FOR NEW SCHOOLS.—In the case of a new school 
of medicine, osteopathy, dentistry, veterinary medicine, optometry, 
pharmacy, or podiatry, which applies for a grant under this section 
in the fiscal year preceding the fiscal year in which it will admit its 
first class, the enrollment for purposes of subsections (a) and (b) shall 
be the number of full-time students which the Secretary determines, 
on the basis of assurances provided by the school, will be enrolled in 
the school, in the fiscal year after the fiscal year in which the grant is 
made. 
" ( j ) AUTHOKIZATION OF APPROPRIATIONS.— 
"(1) There are authorized to be appropriated $200,000,000 for 
the fiscal year ending June 30, 1972, $213,000 000 for the fiscal 
year ending June 30, 1973, and $238,000,000 for the fiscal year 
ending June 30, 1974, for grants under this section to schools of 
medicine, osteopathy, and dentistry. 
"(2) There are authorized to be appropriated $34,000,000 for 
tlie fiscal year ending June 30,1972, $37,000,000 for the fiscal year 
ending June 30, 1973, and $41,000,000 for the fiscal year ending 
June 30, 1974, for grants under this section to schools of veteri-
nary medicine, optometry, pharmacy, and podiatry. 
"(3) No funds appropriated under any provision of this Act 
(other than this subsection) may be used to make grants under 
this section. 
"STAKT-UP ASSISTANCE 
"SEC. 771. (a) (1) In the case of any new school of medicine, osteop-
athy or dentistry which begins instruction after the date of enact-
ment of this section, the Secretary may, after taking into account— 
" (A) the ability of such school to use a grant under this section 
to (i) accelerate the date it will begin instruction, or (ii) increase 
the number of students in its entering class, and 
"(B) the other resources available to such school, 
make a grant to such school for each year such school is a new school 
(as determined under paragraph (4)). No school may receive a grant 
under this subsection unless the Secretary estimates that the number 
of full-time students enrolled in its first academic year of operation 
will exceed twenty-three. 
"(2) The Secretary shall determine the amount of any grant under 
this subsection; but no such grant to any school may exceed— 
"(A) in the case of the year preceding the first year in which 
such school has students enrolled, an amount equal to the product 
of $10,000 and the number of full-time students which the Secre-
tary estimates will enroll in such school in such first year; 
"(B) in the case of the first year in which such school has stu-
dents enrolled, an amount equal to the product of $7,500 and the 
number of full-time students enrolled in such school in such year; 
"(C) in the case of the second year in which such school has 
students enrolled, an amount equal to the product of $5,000 and 
the number of full-time students enrolled in such school in such 
year; 
"(D) in the case of the third year in which such school has 
students enrolled, an amount equal to the product of $2,500 and 
the number of full-time students enrolled in such school in such 
year. 
Estimates by the Secretary under this subsection of the number of 
full-time students enrolled in a school may be made on the basis of 
assurances provided by the school. 
"(3) The Secretary shall give special consideration to each applica-
tion of a school for grant assistance under this subsection which con-
tains or is reasonably supported by assurances, that, because of the 
444 
PUBLIC LAW 92-157-NOV. 18, 1971 
[85 STAT. 
use that the school will make of existing facilities (including Federal 
medical or dental facilities), it will be able to accelerate the date on 
which it will begin its teaching program. 
"(4) For purposes of this subsection, any school of medicine, oste-
opathy, or dentistry shall be considered a new school for any year if 
such year is the year preceding the first year in which such school has 
students enrolled, such first year, and the next two years. 
"(5) Payments under grants under this subsection may be made in 
advance or by way of reimbursement, and at such intervals and on 
such conditions, as the Secretary finds necessary. 
Appropriation, 
»^g^ There is authorized to be appropriated to make grants under 
this subsection not to exceed $10,000,000 for the fiscal year ending 
June 30, 1972, and a like amount for each of the next two fiscal years. 
Sums appropriated under this paragraph shall remain available until 
expended. 
"(b)(1) The Secretary shall make a grant to any public or nonprofit 
private two-year school of medicine (or any school accredited as such 
a two-year school) which intends to become a school accredited to 
grant the degree of doctor of medicine. The amount of the grant to 
a school under this subsection shall be equal to the product of $50,000 
and the number of third-year students which the Secretary determines 
will be initially enrolled in such school. Upon application by the 
school, the Secretary shall (if the school so requests) make a grant 
to such school for expenditure in the year preceding the initial enroll-
ment of third-year students in such school, or thereafter. No school 
may receive more than one grant under this subsection. 
"(2) No grant may be made under this subsection unless an appli-
cation therefor has been submitted before July 1, 1974, and the 
school enrolls third-year students not later than the school year 
beginning in the fiscal year ending June 30, 1975. The Secretary may 
not approve an application for a grant under this subsection unless 
he determines it contains or is supported by reasonable assurances 
that the school for which the application is made will be affiliated with 
an accredited hospital in the fiscal year for which such grant is made. 
Pavments under grants under this subsection may be made in advance 
or by way of reimbursement, and at such intervals and on such con-
ditions, as the Secretary finds necessary. 
u 
SPECIAL PROJECT GRANTS AND CONTRACTS 
"SEC. 772. (a) The Secretary may make grants to assist schools of 
medicine, osteopathy, dentistry, veterinary medicine, optometry, 
pharmacy, and podiatry in meeting the costs of special projects to— 
" (1) effect significant improvements in the curriculums of any 
such schools (including projects to shorten the length of time 
required for training in such schools), with particular emphasis, 
in the case of schools of medicine or osteopathy, upon the estab-
lishment of new, or expansion of existing, programs for training 
in family medicine ; 
"(2) develop programs for cooperative interdisciplinary train-
ing among schools of medicine, osteopathy, dentistry, veterinary 
medicine, optometry, pharmacy, podiatry, nursing, public health, 
and allied health, including projects for training in the use of 
the team approach to the delivery of health services; 
"(3) develop and operate training programs, and train, for 
new roles, types, or levels of health personnel, including pro-
grams for the training of physicians' assistants and other health 
professions' assistants; 
"(4) plan, develop, or establish new programs, or innovative 
modifications of existing programs, of education in such health 
85 STAT.] 
PUBLIC LAW 92-1 5 7 - N O V . 18, 1971 
US 
professions, including the teaching of the organization, delivery, 
financing, or evaluation of health care; 
"(5) research, develop, or demonstrate advances in the various 
fields related to education in such health professions; 
"(6) assist in increasing the supply, or improving the distribu-
tion, by geographic area or specialty group, of adequately trained 
personnel in such health professions needed to meet the health 
needs of the Nation; 
"(7) establish and operate programs at schools of medicine or 
osteopathy (and where applicable at other health professions 
schools) (A) providing increased emphasis on, and training in, 
the science of clinical pharmacology, the prevention, diagnosis, 
treatment, and rehabilitation of alcoholism and drug dependence, 
and the assessment of the efficacy of various therapeutic regi-
mens, or (B) providing increased emphasis on, and training 
and research in, the science of human nutrition and the applica-
tion of such science to health; 
"(8) establish and operate projects designed to identify, and in-
crease admissions to and enrollment in schools of medicine, osteop-
athy, dentistry, veterinary medicine, optometry, pharmacy, and 
podiatry of, individuals whose background and interests make it 
reasonable to assume that they will engage in the practice of their 
health profession in rural or other areas having a severe shortage 
of personnel in such health profession; 
"(9) establish and operate projects designed to increase admis-
sions to and enrollment in such schools of qualified invididuals 
from, minority or low-income groups; 
" (10) plan experimental teaching programs or facilities; 
" (11) provide traineeships (including costs of training and fees, 
stipends, and allowances for the students (including travel and 
subsistence expenses and dependency allowances)) for full-time 
students to secure part of their education under a preceptor in 
family practice, pediatrics, internal medicine, or other health 
fields designated by the Secretary, or in rural or other areas hav-
ing a severe shortage of physicians; 
"(12) utilize health personnel more efficiently, through the use 
of computer technology and otherwise; or 
"(13) encourage new or more effective approaches to the organi-
zation and delivery of health services through the use of the team 
approach to delivery of health services and the utilization of 
computer technology to process biomedical information in the 
provision of health services. 
The Secretary may also enter into contracts with public or private 
health or educational entities to carry out any project described in this 
subsection. 
"(b) Grants and contracts may also be made by the Secretary under 
this section for— 
"(1) the discovery, collection, development, or confirmation of 
information for, 
" (2) the planning, development, demonstration, establishment, 
or maintenance of, 
"(3) the alteration or renovation of existing facilities for, any 
project described in subsection (a). 
"(c) Contracts under this section may be entered into without 
regard to sections 3648 and 3709 of the Revised Statutes (31 U.S.C. 
529;41U.S.C. 5). 
"(d) There are authorized to be appropriated $118,000,000 for the 
Appropriation. 
fiscal year ending June 30,1972, $138,000,000 for the fiscal year ending 
June 30, 1973, and $156,000,000 for the fiscal year ending June 30, 
Ante, p. 444. 
446 
PUBLIC LAW 92-157-NOV. 18, 1971 
[85 STAT. 
1974, for the purpose of making payments pursuant to grants and con-
tracts under this section. Funds appropriated under this subsection for 
the fiscal year ending June 30, 1972, shall remain available for obliga-
tion through September 30,1972. 
"GRANTS TO ASSIST 
HEALTH PROFESSIOXS SCHOOLS WHICH ARE IN 
FINANCIAL DISTRESS 
Appropriation. 
uQ^^^ ^^^ ^^^ There are authorized to be appropriated $20,000,000 
for the fiscal year ending June 30,1972, $15,000,000 for the fiscal year 
ending June 30, 1973, and $10,000,000 for the fiscal year ending June 
30,1974, to make grants under this section, and, to the extent that sums 
appropriated under this subsection are not used for such grants, for 
grants under section 772. Funds appropriated under this subsection for 
the fiscal year ending June 30, 1972, shall remain available for obli-
gation through September 30,1972. 
"(b) The Secretary may make grants to assist any school of medi-
cine, osteopathy, dentistry, veterinary medicine, optometry, pharmacy, 
or podiatry which is in serious financial straits to meet its costs of 
operation or which has special need for financial assistance to meet 
accreditation requirements. 
"(c) Any grant under this section may be made upon such terms and 
conditions as the Secretary determines to be reasonable and necessary, 
including requirements that the school agree (1) to disclose any finan-
cial information or data deemed by the Secretary to be necessary to 
determine the sources or causes of that school's financial distress, (2) 
to conduct a comprehensive cost analysis study in cooperation with the 
Secretary, and (3) to carry out appropriate operational and financial 
reforms on the basis of information obtained in the course of the com-
prehensive cost analysis study or on the basis of other relevant 
information. 
"(d) An application for a grant under this section must contain or 
be supported by assurances satisfactory to the Secretary that the appli-
cant will expend in carrying out its function as a school of medicine, 
osteopathy, dentistry, veterinary medicine, optometry, pharmacy, or 
podiatry, as the case may be, during the fiscal year for which such 
grant is sought, an amount of funds (other than funds for construc-
tion, as determined by the Secretary) from non-Federal sources which 
is at least as great as the average amount of funds expended by such 
applicant for such purpose (excluding expenditures of a nonrecurring 
nature) in the three fiscal years immediately preceding the fiscal year 
for which such grant is sought. The Secretary may, after consultation 
with the Xational Advisory Council on Health Professions Education, 
waive the requirement of the preceding sentence with respect to any 
school if he determines application of such requirement to such school 
would be inconsistent with the purposes of this section. 
" H E A L T H MANPOWER EDUCATION INITIATIVE AWARDS 
"SEC. 774. (a) (1) For the purpose of improving the distribution, 
supply, quality, utilization, and efficiency of health personnel and the 
health services delivery system, the Secretary may make grants to 
public or nonprofit priA^ate health or educational entities, and may enter 
into contracts with public or private health or educational entities, for 
l)rojects— 
"(A) to encourage the establishment or maintenance of pro-
grams to alleviate shortages of health personnel in areas desig-
nated by the Secretary through training or retraining such 
personnel in facilities located in such areas or to otherwise im-
85 STAT. ] 
PUBLIC LAW 92-157-NOV. 18, 1971 
447 
prove the distribution of health personnel by area or by specialty 
group; 
"(B) to provide training programs leading to more efficient 
utilization of health personnel; 
"(C) to initiate new types and patterns or improve existing 
patterns of training, retraining, continuing education, and 
advanced training of health personnel, including teachers, admin-
istrators, specialists, and paraprofessionals (particularly physi-
cians' 
assistants, 
dental 
therapists, 
and 
pediatric 
nurse 
practitioners) ; 
"(D) to encourage new or more effective approaches to the orga-
nization and delivery of health services through training individ-
uals in the use of the team approach to delivery of health services 
and otherwise; or 
"(E) to assist State, local, or other regional arrangements 
among schools and related organizations and institutions to carry 
out the purpose of this subsection. 
"(2) Grants and contracts may also be made by the Secretary 
under this section for (A) the discovery, collection, development or 
confirmation of information for, (B) the planning development, 
demonstration, establishment, or maintenance of, or (C) the alteration 
or renovation of existing facilities for, any of the projects described 
in paragraph (1) of this subsection. 
(3) Contracts may be entered into under this subsection without 
regard to sections 3648 and 3709 of the Revised Statutes (31 U.S.C. 
529;41U.S.C.5). 
"(b) The Secretary may also make grants to public or nonprofit 
private health or educational entities to assist in meeting the costs of 
special projects to— 
"(1) establish or operate projects designed to identify, and 
increase admissions to and enrollment in schools of medicine, den-
tistry, osteopathy, optometry, podiatry, pharmacy, veterinary 
medicine, public health, or other health training of, individuals 
whose background and interests make it reasonable to assume 
that they will engage in the practice of their health profession in 
rural or other areas having a severe shortage of personnel in such 
health profession; or 
"(2) (A) identify individuals with a potential for education or 
training in the health professions (including veterans of the 
Armed Forces of the United States with training or experience 
in the health field) who due to socioeconomic factors are finan-
cially or otherwise disadvantaged and encouraging and assisting 
them (i) to enroll in a school of medicine, dentistrj^, osteopathy, 
pharmacy, optometry, podiatry, veterinary medicine, public 
health, or other health training; or (ii) if they are not qualified 
to enroll in such a school, to undertake such postsecondary educa-
tion or training as may be required to qualify them to enroll in 
such a school; 
"(B) publicize existing sources of financial aid available to 
persons enrolled in any such school or who are undertaking train-
ing necessary to qualify them to enroll in any such school; or 
"(C) estalDlish such programs as the Secretary determines will 
enhance and facilitate the enrollment, pursuit, and completion of 
study by individuals referred to in clause (A) in schools referred 
to in clause (A) (i). 
Of the sums appropriated under subsection (e) for any fiscal year, not 
more than 15 per centum of such sums, but in no event less than 
$5,000,000, shall be used to make grants under this subsection in such 
fiscal year. Of the sums available for grants under this subsection for 
any fiscal year, not more than one-half of such sums may be used for 
448 
PUBLIC LAW 92-157-NOV. 18, 1971 
[85 STAT. 
such fiscal year for projects described in clause (1) and not more than 
one-half of such sums may be used for such fiscal year for projects 
described in clause (2). 
"(c) (1) No grant may be made under this section unless an applica-
tion therefor has been submitted to, and approved by, the Secretary. 
Such application shall be in such form, submitted in such manner, and 
contain such information as the Secretary shall by regulation 
prescribe. 
" (2) The amount of any grant under this section shall be determined 
by the Secretary. Payments under grants under this section may be 
made in advance or by way of reimbursement, and at such intervals 
and on such conditions, as the Secretary finds necessary. 
"(d) Each grant or contract under subsection (a) of this section 
must be coordinated with the regional medical program for the area 
in which the grant or contract will be carried out. 
Appropriation. 
u^g^ -pov the purpose of making payments pursuant to grants and 
contracts under this section, there are authorized to be appropriated 
$45,000,000 for the fiscal year ending June 30, 1972, $90,000,000 for 
the fiscal year ending June 30, 1973, and $135,000,000 for the fiscal 
year ending June 30, 1974. Funds appropriated under this subsection 
for the fiscal year ending June 30, 1972, shall remain available for 
obligation through September 30,1972. 
"APPLICATIONS FOR CAPITATION, START-UP, SPECIAL PROJECT, AND 
FINANCIAL DISTRESS GRANTS 
"SEC. 775. (a) The Secretary may from time to time set dates (not 
earlier than in the fiscal year preceding the year for which a grant is 
sought) by which applications for grants under section 770, 771, 772, 
or 773 for any fiscal year must be filed. 
" (b) To be eligible for a grant under section 770, 771, 772, or 773, 
the applicant must (1) be a public or other nonprofit school of medi-
cine, osteopathy, dentistry, veterinary medicine, optometry, pharmacy, 
or podiatry, and (2) be accredited by a recognized body or bodies 
approved for such purpose by the Commissioner of Education, except 
that the requirement of this clause shall be deemed to be satisfied if 
(A^ in the case of a school which by reason of no, or an insufficient, 
period of operation is not, at the time of application for a grant under 
this part, eligible for such accreditation, the Commissioner finds, after 
consultation with the appropriate accreditation body or bodies, that 
there is reasonable assurance that the school will meet the accredita-
tion standards of such body or bodies prior to the beginning of the 
academic year following the normal graduation date of students who 
are in their first year of instruction at such school during the fiscal 
year in which the Secretary makes a final determination as to approval 
of the application, or (B) in the case of any other school, the Commis-
sioner finds after such consultation and after consultation with the 
Secretary that there is reasonable ground to expect that, with the aid 
of a grant (or grants) under those sections, having regard for the 
purposes of the grant for which application is made, such school will 
meet such accreditation standards within a reasonable time. 
"(c) The Secretary shall not approve or disapprove any application 
for a grant under this part except after consultation with the National 
Advisory Council on Health Professions Education (established by 
Post, p. 460. 
section 725). 
"(d) A grant under section 770, 771, 772, or 773 may be made only 
if the application therefor— 
"(1) is approved by the Secretary upon his determination that 
the applicant (and its application) meet the applicable eligibility 
Ante, pp. 437 
446. 
85 STAT. ] 
PUBLIC LAW 92-157-NOV. 18, 1971 
449 
conditions prescribed by section 770, 771, or 773 or subsection (b) 44^" 4
^
^
6
^
^
* '*^'' 
of this section; 
"(2) contains such additional information as the Secretary may 
require to make the determinations required of him under the 
section authorizing the grant for which the application is made 
and such assurances as he may find necessary to carry out the 
purposes of such section; and 
"(3) provides for such fiscal-control and accounting procedures 
and reports, and access to the records of the applicant, as the Sec-
retary may require to assure proper disbursement of and account-
ing for Federal funds paid to the applicant under such grant." 
STUDENT LOANS 
SEC. 105. (a) AUTHORIZATION LEVEL.—Subsection (a) of section 742 
(42 U.S.C. 294b (a)) is amended to read as follows: 
82'stau 7*78?' 
"SEC. 742. (a) For the purpose of— 
" (1) making Federal capital contributions into the loan funds 
of schools which have established loan funds under this part, 
"(2) making payments into the fund established by section 
744(d), and 
42 use 294d. 
"(3) making transfers under section 746, 
'*2 ^^^ 2^'*^* 
there are authorized to be appropriated $50,000,000 for the fiscal year 
ending June 30, 1972, $55,000,000 for the fiscal year ending June 30, 
1973, and $60,000,000 for the fiscal year ending June 30, 1974. For the 
fiscal year ending June 30, 1975, and each of the two succeeding fiscal 
years there are authorized to be appropriated to the Secretary such 
sums as may be necessary to enable students who have received a loan 
under this part for any academic year ending before July 1, 1974, to 
continue or complete their education." 
(b) LOAN REPAYMENT AND FORGIVENESS.— 
(1) Section 741(f) (42 U.S.C. 294a(f)) is amended to read as so^stfu'uJS!''' 
follows: 
"(f)(1) In the case of any individual— 
" (A) w^ho has received a degree of doctor of medicine, doctor of 
osteopathy, doctor of dentistry or an equivalent degree, doctor of 
veterinary medicine or an equivalent degree, doctor of optometry 
or- an equivalent degree, bachelor of science in pharmacy or an 
equivalent degree, or doctor of podiatry or an equivalent degree; 
"(B) who obtained (i) one or more loans from a loan fund 
established under this part, or (ii) any other educational loan for 
his costs at a school of medicine, osteopathy, dentistry, veterinary 
medicine, optometry, pharmacy, or podiatry; and 
"(C) who enters into an agreement with the Secretary to prac- g^^^J^^^"^'^" ^*'°'''" 
tice his profession for a period of at least two years in an area in 
a State determined by the Secretary, after consultation with the 
appropriate State health authority (as determined by the Secre-
tary by regulations), to have a shortage of and need for persons 
trained in his profession; 
the Secretary shall make payments in accordance with paragraph (2), 
for and on behalf of that individual, on the principal of and interest 
on any loan of his described in subparagraph (B) of this paragraph 
which is outstanding on the date he begins the practice specified in the 
agreement described in subparagraph (C) of this paragraph. 
"(2) The payments described in paragraph (1) shall be made by 
the Secretary as follows: 
"(A) Upon completion by the individual for whom the pay-
men.ts are to be made of the first year of the practice specified in 
the agreement he entered into with the Secretary under para-
graph (1), the Secretary shall pay 30 per centum of the principal 
age area. 
450 
PUBLIC LAW 92-157-NOV. 18, 1971 
[85 STAT. 
of, and the interest on each loan of such mdividual described in 
paragraph (1) (B) which is outstanding on the date he began 
such practice. 
"(B) Upon completion by that individual of the second year of 
such practice, the Secretary shall pay another 30 per centum of 
the principal of, and the interest on each such loan. 
"(C) Upon completion by that individual of a third year of 
such practice, the Secretary shall pay another 25 per centum of 
the principal of, and the interest on each such loan. 
"(3) Notwithstanding the requirement of completion of practice 
specified in paragraph (2), the Secretary shall, on or before the due 
date thereof, pay any loan or loan installment which may fall due 
within the period of practice for which the borrower may receive pay-
ments under this subsection, upon the declaration of such borrower, at 
such times and in such manner as the Secretary may prescribe (and 
supported by such other evidence as the Secretary may reasonably 
require), that the borrower is then engaged as described by paragraph 
(1) or (2) (C), and that he will continue to be so engaged for the 
period required (in the absence of this paragraph) to entitle him to 
have made the payments provided by this subsection for such period; 
except that not more than 85 per centum of the principal of any such 
loan shall be paid pursuant to this paragraph. 
"(4) A borrower who fails to fulfill an agreement with the Secre-
tary entered into under paragraph (1) shall be liable to reimburse the 
Secretary for any payments made pursuant to paragraph (2) (A) or 
paragraph (3) in consideration of such agreement. 
"(5) Notwithstanding the amendment made by section 105(b) (1) of 
Ante, p. 449. 
|^]^g Comprelieusive Health Manpower Training Act of 1971 to this 
subsection— 
"(A) any person who obtained one or more loans from a loan 
fund established under this part, who before the date of the enact-
ment of such Act became eligible for cancellation of all or part of 
such loans (including accrued interest) under this subsection (as 
in effect on the day before such date), and who on such date was 
not engaged in a pi-actice for which loan cancellation was author-
ized under this subsection (as so in effect), may at any time elect 
to receive such cancellation in accoi'dance with this subsection (as 
so in eff'ect) ; and 
"(B) in the case of any person who obtained one or more loans 
from a loan fund established under this part and who on such date 
was engaged in a practice for which cancellation of all or part of 
such loans (including accrued interest) was authorized under this 
subsection (as so in effect), this subsection (as so in effect) shall 
continue to apply to such person for purposes of providing such 
loan cancellation until he terminates such practice. 
"Nothing in this paragraph shall be consti'ued to prevent any person 
from entering into an agreement for loan cancellation under this sub-
section (as amended by section 105(b) (1) of such Act).'-
77 Stat. 171; 
(2) Sectiou 741 of such Act is amended by adding at the end 
82 Stat 777 
• 
• 
•
/ 
& 
42 use 29*43. 
thereof the following new subsection: 
"(1) upon application by a person who received, and is under an 
obligation to repay, any loan made to such pei'son as a health profes-
sions student to enable him to study medicine, osteopathy, dentistry, 
veterinary medicine, optometry, phai-macy, or podiatry, the Secretary 
may undertake to repay (without liability to the applicant) all or any 
jjart of such loan, and any interest or portion ther'eof outstanding 
thereon, upon his determination, pursuant to regulations establishing 
criteria therefor, that the applicant— 
85 STAT.] 
PUBLIC LAW 92-157-NOV. 18, 1971 
451 
"(1) failed to complete such studies leading to his first pro-
fessional degree; 
"(2) is in exceptionally needy circumstances; 
"(3) is from a low-income or disadvantaged family as those 
terms may be defined by such regulations; and 
"(4) has not resumed, or cannot reasonably be expected to 
resume, the study of medicine, osteopathy, dentistry, veterinary 
medicine, optometry, pharmacy, or podiatry, within two years 
following the date upon which he terminated such studies." 
(c) LOAN CEILING.—Section 741 (a) (42 U.S.C. 294a (a)) is amended 
,'l^\^\''''' 
(1) by striking out "$2,500" and inserting in lieu thereof "$3,500", and 
(2) by striking out the second sentence. 
(d) REPAYMENT AFTER TRAINING.—Section 741 (c) (2) (42 U.S.C. 
294a(c) (2)) is amended by striking out "(up to five years)". 
82 stat. 777. 
(e) 
TECHNICAL AMENDMENTS.— 
(1) Section 740(b) (4) (42 U.S.C. 294(b) (4)) is amended by 
striking out "1971" and inserting in lieu thereof "1974". 
(2) Section 743 (42 U.S.C. 294c) is amended by striking out 
^"'^' P- i^^-
"1975" each place it occurs and inserting in lieu thereof "1977". 
(3) Section 744(a)(1) (42 U.S.C. 294d(a) (1)) is amended by 
striking out "four fiscal years" and inserting in lieu thereof "six 
fiscal years". 
(4) Sections 740(b)(4) and 741(b) (42 U.S.C. 294(b)(4), 
294a(b)) are each amended (A) by striking out "doctor of 
79 stat. loss. 
pharmacy" and inserting in lieu thereof "an equivalent degree", 
and (B) by striking out "doctor of surgical chiropody" and 
inserting in lieu thereof "an equivalent degree". 
(f) LOANS FOR STUDY ABROAD.— 
(1) Part C of title VII is amended by inserting immediately 
below the heading to such part the following: 
"SUBPART I—LOANS TO STUDENTS STUDYING IN THE UNITED 
STATES" 
(2) Such part C is amended by striking out "this part" each 
'^^ use 294. 
place it occurs and inserting in lieu thereof "this subpart". 
(3) Section 781 (42 U.S.C. 295f) is amended by striking out 
82 stat. 779. 
"part C" and inserting in lieu thereof "subpart I of part C". 
"
^
^ 
^^^^"^' 
(4) Such part C is further amended by adding after section 
746 the following: 
^2 use 294f. 
"SUBPART II—STUDENT LOANS BY THE SECRETARY TO CITIZENS OF THE 
UNITED STATES W H O ARE FULL-TIME STUDENTS IN SCHOOLS OF 
MEDICINE LOCATED OUTSIDE THE UNITED STATES 
"STUDENT LOANS 
"SEC. 747. (a) From the amounts appropriated to carry out this 
subpart, the Secretary is authorized to make, in accordance with this 
subpart, loans to citizens of the United States who are full-time stu-
dents in schools of medicine which are located outside the United 
States. 
75-432 O - 72 - 31 
452 
PUBLIC LAW 92-157-NOV. 18, 1971 
[85 STAT. 
"(b) Except as otherwise provided in this subpart, loans made 
under this subpart shall (to the extent feasible) be made on the same 
terms and conditions as are required with respect to loans made to 
Ante, p. 451. 
studeuts of mediciue under the program established by subpart I. 
"(c) (1) No loan under this subpart shall be made to any student 
unless— 
"(A) prior to the date such student files application for such 
loan— 
"(i) he has made application for admission as a student in 
a school of medicine which is located in the United States; 
and 
"(ii) he has, in connection with the making of such appli-
cation for admission to such school, undergone a written 
examination to determine his qualifications for admission as 
a student in such school; 
"(B) such student furnishes to the Secretary a certification 
from such school that— 
"(i) such student is qualified for admission as a student in 
such school, and 
"(ii) such student was denied admission as a student in 
such school solely because, for the school year for which such 
student applied for admission to such school, the number of 
qualified applicants for admission to such school exceeded the 
maximum number of students (as determined by such school) 
which such school was prepared to accept for admission for 
such year; and 
"(C) such student has not been accepted, before the date of 
approval of his application for a loan under this subpart, by a 
medical school located in the United States. 
"(2) No loan under this subpart shall be made to any student who 
has completed three years as a student in a school of medicine, unless— 
" (A) such student has passed an examination which— 
"(i) is prepared by a body or bodies which the Secretary 
recognizes as being qualified to prepare such an examination, 
and 
"(ii) is used to determine the qualifications of students in 
schools of medicine which are located outside the United 
States for admission (as transfer students) in schools of medi-
cine which are located in the United States; and 
"(B) such student has made application for admission (as a 
transfer student) to, but has not been accepted by, a school of 
medicine which is located in the United States. 
Appropriation. 
«((j) fp^ ^^^^^ ^^^ ^j^jg g^bpart thcre are authorized to be appro-
priated $1,750,000 for the fiscal year ending June 30,1972, and foV each 
of the next two fiscal years." 
SCHOLARSHIPS 
SEC. 106. 
(a) 
SCHOLARSHIPS FOR SxtiDy IN THE UNITED STATES.— 
Effective with respect to scholarship grants made under subsection (a) 
^ 79 Stat. 1055; 
of sectiou 780 of the Public Health Service Act (42 U.S.C. 295g) for 
nte, p. 44. 
fiscal 
yeaps beginning after June 30,1971— 
(1) subsection (b) of such section is amended to read as follows: 
79 Stat. 1055. 
42 u s e 295g. 
85 STAT. ] 
PUBLIC LAW 92-157-NOV. 18, 1971 
453 
"(b) The amount of the grant under subsection (a) to each such 
school for the fiscal year ending June 30,1972, shall be equal to $3,000 
multiplied by one-tenth of the number of full-time students of such 
school. The amount of such grant for the fiscal year ending June 30, 
1973, and the next fiscal year shall be equal to the greater of (1) $3,000 
multiplied by the number of full-time students of such school who are 
from low-income backgrounds as determined under regulations of the 
Secretary, or (2) $3,000 multiplied by one-tenth of the number of 
full-time students of such school. For the fiscal year ending June 30, 
1975, and for each of the two succeeding fiscal years, the grant under 
subsection (a) shall be such amount as may be necessary to enable 
such school to continue making payments under scholarship awards 
to students who initially received such awards out of grants made to 
the school for fiscal years ending before July 1,1974."; 
(2) subsection (c) (1) is amended to read as follows: 
"(c)(1) Scholarships may be awarded by schools from grants under 
subsection (a) — 
"(A) only to individuals who have been accepted by them for 
enrollment as full-time first-year students and to individuals 
enrolled and in good standing as full-time students, in the case 
of awards from such grants for the fiscal year ending June 30, 
1972, and each of the next two fiscal years; and 
"(B) only to individuals enrolled and in good standing as full-
time students who initially received scholarship awards out of 
such grants for a fiscal year ending prior to July 1, 1974, in the 
case of awards from such grants for the fiscal year ending 
June 30,1975, or the two succeeding fiscal years."; and 
(3) subsection (c) (2) is amended by striking out "$2,500" and 
inserting in lieu thereof "$3,500". 
(b) 
SCHOLARSHIPS FOR STUDY ABROAD.— 
(1) Part F of title VII is amended by inserting immediately 
below the heading to such part the following: 
"SUBPART I—GRANTS FOR SCHOLARSHIPS TO STUDENTS STUDYING IN 
THE U N I T E D 
STATES" 
(2) The heading for such part F is amended by striking out all 
after "Grants". 
(3) The section heading for section 780 (42 U.S.C. 295g) is 
amended by adding at the end thereof "for Study in the United 
States". 
(4) Such part F is amended by striking out "this part" each 
"
^
^ "^^ ^^^g. 
place it occurs and inserting in lieu thereof "this subpart". 
(5) Section 746 (42 U.S.C. 294f) is amended by striking out 
^2 stat. 778. 
"part F " and inserting in lieu thereof "subpart I of part F". 
(6) Such part F is further amended by adding after section 
781 the following: 
42 use 295g.i. 
"SUBPART II—SCHOLARSHIPS BY THE SECRETARY TO CITIZENS OF THE 
UNITED STATES W H O ARE FULL-TIME STUDENTS IN SCHOOLS OF 
MEDICINE LOCATED OUTSIDE THE UNITED STATES 
"SCHOLARSHIP GRANTS FOR STUDY ABROAD 
"SEC. 785. (a) From the appropriations under subsection (e), the 
Secretary is authorized to make, in accordance with this subpart, 
scholarship grants to citizens of the United States who are full-time 
students in schools of medicine which are located outside the United 
States. 
454 
PUBLIC LAW 92-157-NOV. 18, 1971 
[85 STAT. 
"(b) Scholarship grants under this subpart shall be awarded for 
any school year only to students of exceptional financial need who 
need such financial assistance to pursue a course of study at a school 
of medicine for such year and who have entered into an agreement 
with the Secretary to practice medicine in the United States for a 
period of five years. Such practice shall begin within such reasonable 
period of time, after completion of such student's professional train-
ing, as the Secretary shall by regulation prescribe. Any such scholar-
ship for a school year shall cover such portion of the student's tuition, 
fees, books, equipment, and living expenses at the school of medicine 
in which he is enrolled, but not to exceed $3,500 for any year, as the 
Secretary may determine the student needs for such year on the basis 
of the requirements and financial resources of the student. 
"(c) Grants under this subpart shall be made in accordance with 
regulations prescribed by the Secretary after consultation with the 
National Advisory Council on Health Professions Education. 
"(d) (1) No scholarship grant under this subpart shall be made to 
any student unless— 
"(A) prior to the date such student files application for such 
grant— 
"(i) he has made application for admission as a student in 
a school of medicine which is located in the United States; 
"(ii) he has, in connection with the making of such appli-
cation for admission to such school, undergone a written ex-
amination to determine his qualifications for admission as a 
student in such school; 
" (B) such student furnishes to the Secretary a certification from 
such school that— 
"(i) such student is qualified for admission as a student in 
such school, and 
" (ii) such student was denied admission as a student in such 
school solely because, for the school year for which such stu-
dent applied for admission to such school, the number of 
qualified applicants for admission to such school exceeded the 
maximum number of students (as determined by such school) 
which such school was prepared to accept for admission for 
such year; and 
"(C) such student has not been accepted, before the date of ap-
proval of his application for a scholarship grant under this sub-
part, by a medical school located in the United States. 
"(2) No scholarship grant under this subpart shall be made to any 
student who has completed three years as a student in a school of medi-
cine, unless— 
"(A) such student has passed an examination which— 
"(i) is prepared by a body or bodies which the Secretary 
recognizes as being qualified to prepare such an examination, 
and 
"(ii) is used to determine the qualifications of students in 
schools of medicine which are located outside the United 
States for admission (as transfer students) in schools of medi-
cine which are located in the United States; and 
"(B) such student has made application for admission (as a 
transfer student) to, but has not been accepted by, a school of 
medicine which is located in the United States. 
Appropriations. 
"^g^ YoT the purpose of making scholarship grants under this sub-
part there are authorized to be appropriated the following amounts: 
"(1) For the fiscal year ending June 30, 1972, and for each of 
the next two fiscal years, there are authorized to be appropriated 
$150,000. 
85 STAT.] 
PUBLIC LAW 92-157-NOV. 18, 1971 
455 
"(2) For the fiscal year ending June 30, 1975, and for each of 
the two succeeding fiscal years, there are authorized to be appro-
priated such amounts as may be necessary to enable the Secretary 
to continue to make scholarship grants to students who received 
such grants under this subpart from funds made available to the 
Secretary for such purpose for fiscal years ending before July 1, 
1974." 
(c) 
PHYSICIAN SHORTAGE AREA SCHOLARSHIP PROGRAM.—Part 
F 
of title VII is amended by adding after the subpart added by sub-
section (b) of this section the following new subpart: 
"SUBPART III—PHYSICIAN SHORTAGE AREA SCHOLARSHIP PROGRAM 
a SCHOLARSHIP GRANTS 
"SEC. 784. (a) In order to promote the more adequate provision of 
medical care for persons who— 
"(1) reside in a physician shortage area; 
"(2) are migratory agricultural workers or members of the 
families of such workers; 
the Secretary may, in accordance with the provisions of this subpart, 
make scholarship grants to individuals who are medical students and 
who agree to engage in the practice of primary care after completion 
of their professional training (A) in a physician shortage area, or 
(B) at such place or places, such facility or facilities, and in such 
manner, as may be necessary to assure that, of the patients receiving 
medical care in such practice, a substantial portion will consist of 
persons referred to in clause (2). For purposes of this subpart, (1) 
the term 'physician shortage area' means an area determined by the 
Secretary under section 741(f) (1) (C) to have a shortage of and a 
need for physicians, and (2) the term 'primary care' has the meaning 
prescribed for it by the Secretary under section 768(c)(3)(B). 
"(b) (1) Scholarship grants under this subpart shall be made with 
respect to academic years. 
" (2) The amount of any scholarship grant under this subpart to any 
individual for any full academic year shall not exceed $5,000. 
" (3) The Secretary shall, in awarding scholarship grants under this 
subpart, accord priority to applicants as follows— 
" (A) first, to any applicant who (i) is from a low-income back-
ground (as determined under regulations of the Secretary), (ii) 
resides in a physician shortage area, and (iii) agrees that, upon 
completion of his professional training, he will return to such 
area and will engage in such area in the practice of primary care; 
"(B) second, to any applicant who meets all the criteria set 
forth in subparagraph (A) except that prescribed in clause (i) ; 
"(C) third, to any applicant who meets the criterion set forth 
in clause (i) ; and 
"(D) fourth, to any other applicant. 
''(c)(1) Any scholarship grant awarded to any individual under 
this subpart shall be awarded upon the condition that such individual 
will, upon completion of his professional training, engage in the prac-
tice of primary care— 
" (A) in the case of any individual who, in applying for a schol-
arship grant under this subpart, met the criteria set forth in sub-
paragraph (A) or (B) of subsection (b)(3), in the physician 
shortage area in which he agreed (pursuant to such subparagraph) 
to engage in such practice; and 
"(B) in the case of any individual who did not agree (pursuant 
to such subparagraph (A) or (B)) to engage in such practice in 
79 Stat. 1055. 
42 u s e 295g. 
"Physician 
shortage area," 
Ante, p. 449. 
"Primary care. 
Post, p. 458. 
Limitation. 
456 
PUBLIC LAW 92-157-NOV. 18, 1971 
[85 STAT. 
any particular physician shortage area (or who is not, under a 
waiver under paragraph (4) of this subsection, required to engage 
in such practice in any particular physician shortage area)— 
" (i) in any physician shortage area, or 
"(ii) at such place or places, in such facility or facilities, 
and in such manner, as may be necessary to assure that, of 
the patients receiving medical care provided by such indi-
vidual, a substantial portion will consist of persons who are 
migratory agricultural workers or are members of the fami-
lies of such workers; 
for a twelve-month period for each full academic year with respect 
to which he receives such a scholarship grant. For purposes of the 
preceding sentence, any individual, who has received a scholarship 
grant under this subpart for four full academic years, shall be deemed 
to have received such a grant for only three full academic years if 
such individual serves all of his internship or residency in a public 
or private hospital, which is located in a physician shortage area, or a 
substantial portion of the patients of which consists of persons who 
are migratory agricultural workers (or are members of the families 
of such workers) and, if, while so serving, such individual receives 
training or professional experience designed to prepare him to engage 
in the practice of primary care. 
"(2) The condition imposed by paragraph (1) shall be complied 
with by any individual to whom it applies within such reasonable 
period of time, after the completion of such individual's professional 
training, as the Secretary shall by regulations prescribe. 
" (3) If any individual to whom the condition referred to in para-
graph (1) is applicable fails, within the period prescribed pursuant 
to regulations under paragraph (2), to comply with such condition 
for the full number of months with respect to which such condition is 
applicable, the United States shall be entitled to recover from such 
individual an amount equal to the amount produced by multiplying— 
"(A) the aggregate of (i) the amounts of the scholarship grant 
or grants (as the case may be) made to such individual under this 
subpart, and (ii) the sums of the interest which would be pay-
able on each such scholarship grant if, at the time such grant was 
made, such grant were a loan bearing interest at a rate fixed by 
the Secretary of the Treasury, after taking into consideration 
private consumer rates of interest prevailing at the time such 
grant was made, and if the interest on each such grant had been 
compounded annually, by 
"(B) a fraction the numerator of which is the number obtained 
by subtracting from the number of months to which such condi-
tion is applicable a number equal to one-half of the number of 
months with respect to which compliance by such individual with 
such condition was made, and the denominator of which is a num-
ber equal to the number of months with respect to which such 
condition is applicable. 
Any amount which the United States is entitled to recover under this 
paragraph shall, within the three-year period beginning on the date 
the United States becomes entitled to recover such amount, be paid to 
the United States. Until any amount due the United States under this 
paragraph on account of any grant under this subpart is paid, there 
shall accrue to the United States interest on such amount at the same 
rate as that fixed by the Secretary of the Treasury pursuant to clause 
(A) with respect to the grant on account of which such amount is due 
the United States. 
"(4) (A) Any obligation of any individual to comply with the con-
dition applicable to him under the preceding provisions of this sub-
section shall be canceled upon the death of such individual. 
85 STAT.] 
PUBLIC LAW 92-157-NOV. 18, 1971 
457 
"(B) The Secretary shall by regulations provide for the waiver or 
suspension of any such obligation applicable to any individual when-
ever compliance by such individual is impossible or would involve 
extreme hardship to such individual and if enforcement of such obli-
gation with respect to any individual would be against equity and 
good conscience. 
"ADMINISTRATION; CONTRACTUAL ARRANGEMENTS 
"SEC. 785. The Secretary may enter into agreements with schools of 
medicine, hospitals, or other appropriate public or nonprofit private 
agencies under which such schools, hospitals, or other agencies will, as 
agents of the Secretary, perform such functions in the administration 
of this subpart, as the Secretary may specify. Any such agreement 
with any school, hospital, or other agency may provide for payment by 
the Secretary of amounts equal to the expenses actually and neces-
sarily incurred by such school, hospital, or other agency in carrying 
out such agreement. 
"AUTHORIZATION or APPROPRIATIONS 
"SEC. 786. For the purpose of making scholarship grants under this 
subpart, there are authorized to be appropriated $2,500,000 for the 
fiscal year ending June 30, 1972, $3,000,000 for the fiscal year ending 
June 30, 1973, and $3,500,000 for the fiscal year ending June 30, 1974. 
For the fiscal year ending June 30,1975, and for each succeeding fiscal 
year, there are authorized to be appropriated such sums as may be 
necessary to continue to make such grants to students who (prior to 
July 1,1974) have received such a grant and who are eligible for such 
a grant under this part during such succeeding fiscal year." 
GRANTS FOR TRAINING, TRAINEESHIPS, AND FELLOWSHIPS AND COMPUTER 
TECHNOLOGY HEALTH CARE DEMONSTRATION PROGRAMS 
SEC. 107. (a) Title VII is amended by striking out the heading of 
part D and inserting in lieu thereof the following: 
"PART D—GRANTS FOR FAMILY MEDICINE, TRAINING, TRAINEESHIPS, 
AND 
FELLOWSHIPS AND COMPUTER TECHNOLOGY HEALTH 
CARE 
DEMONSTRATION PROGRAMS'' 
(b) Part D is further amended by adding at the end thereof the 
^^ use 295. 
following: 
"GRANTS FOR TRAINING, TRAINEESHIPS, AND FELLOWSHIPS IN FAMILY 
MEDICINE 
"SEC. 767. There are authorized to be appropriated $25,000,000 for 
the fiscal year ending June 30, 1972, $35,000,000 for the fiscal year 
ending June 30, 1973, and $40,000,000 for the fiscal year ending June 
30,1974, for grants by the Secretary to any public or nonprofit private 
hospital— 
"(1) to plan, develop, and operate, or participate in, an 
approved professional training program (including continuing 
education and apj)roved residency programs in family practice) 
in the field of family medicine for medical students, interns, resi-
dents, or practicing physicians; 
" (2) to provide financial assistance (in the form of traineeships 
and fellowships) to medical students, interns, residents, practicing 
physicians, or other medical personnel, who are in need thereof, 
458 
PUBLIC LAW 92-157-NOV. 18, 1971 
[85 STAT. 
who are participants in any such program, and who plan to 
specialize or work in the practice of family medicine; and 
"(3) to plan, develop, and operate, or participate in, other 
approved training programs in the field of family medicine. 
"GRANTS FOR SUPPORT or POSTGRADUATE TRAINING PROGRAMS FOR 
PHYSICIANS AND DENTISTS 
Appropriation. 
"SEC. 768. (a) ThcTc are authorized to be appropriated $7,500,000 
for the fiscal year ending June 30, 1973, and $15,000,000 for the fiscal 
year ending June 30,1974, for grants under subsection (b). 
"(b)(1) The Secretary shall make annual grants in accordance 
Avith this section to— 
"(A) public or nonprofit private schools of medicine, osteop-
athy, or dentistry, which are accredited as provided in section 
77 Stat. 165. 
721(b)(1), and which have approved applications, and 
"(B) public or nonprofit private hospitals which are not affil-
iated with an accredited school of medicine, osteopathy, or 
dentistry, and which have approved applications, 
to assist in meeting the educational costs of the first three years of full-
time approved graduate training programs in the area of primary care 
or in any other area of health care (designated under subsection 
(c)(3)(B)) in which there is a shortage of qualified physicians or 
dentists. 
"(2) The amount of a grant under this subsection for any fiscal year 
to any school or hospital shall be equal to $3,000 for each physician or 
dentist enrolled in a graduate training program (A) described in para-
graph (1) of this subsection, and (B) m the case of a grant to a school, 
conducted in clinical facilities of such schools or with which such 
school has a written agreement of affiliation, or, in the case of a grant 
to a hospital, conducted in such hospital; except that if the total of 
the grants to be made under this subsection for any fiscal year to 
schools and hospitals with approved applications exceeds the amounts 
appropriated under subsection (a) for such grants, the amount of the 
grant for that fiscal year to each such school or hospital shall be an 
amount which bears the same ratio to the amount determined for the 
school or hospital for that fiscal year under the preceding sentence as 
the total of the amounts appropriated under subsection (a) for that 
year bears to the amount required to make grants to each school in 
accordance with such sentence. 
"(3) For purposes of paragraph (2), the Secretary shall— 
"(A) in the case of a grant in the fiscal year ending June 30, 
1973, count only the number of first-year physicians and dentists 
enrolled in graduate training programs described in paragraph 
(1), and 
"(B) in the case of a grant in the fiscal year ending June 30, 
1974, count only the number of first- and second-year physicians 
and dentists enrolled in graduate training programs described in 
paragraph (1). 
"(c) (1) The Secretary may from time to time set dates (not earlier 
than the fiscal year preceding the year for which a grant is sought) by 
Avhich applicants for grants under subsection (b) for any fiscal year 
must be filed. 
" (2) A grant under subsection (b) may be made only if the applica-
tion therefor— 
"(A) is approved by the Secretary upon his determination that 
the applicant meets the eligibility conditions set forth in para-
graph (1) of such subsection; 
"(B) contains a specific program or programs which such appli-
cant has undertaken to encourage physicians and dentists to enroll 
85 STAT. ] 
PUBLIC LAW 92-157-NOV. 18, 1971 
459 
in graduate training programs described in paragraph (1) of this 
subsection; 
"(C) contains or is supported by assurances that such applicant 
will increase the number of graduate training positions open to 
physicians and dentists in such graduate training programs; 
"(D) provides for such fiscal control and accounting proce-
dures, and access to the records of the applicant, as the Secretary 
may require to assure proper disbursement of and accounting for 
any such grant; 
"(E) contains a statement in such detail as the Secretary may 
determine necessary, describing the manner in which any grant 
made under subsection (b) will be applied to meet the educational 
costs of the graduate training program for which the grant is 
made, including any payments from a grant proposed to be made 
by an applicant which is a school to any clinical facility which 
participates in such training program under a written agreement 
of affiliation with the applicant and which shares in the payment 
of the educational costs of such program; and 
"(F) contains such additional information as the Secretary may 
require to make the determinations required of him under this 
section, and such assurances as he may find necessary. 
"(3) The Secretary— 
"(A) shall not approve or disapprove any application for a 
grant under subsection (b) except after consultation with the 
National Advisory Council on Health Professions Education; 
"(B) shall define in consultation with such Council, those 
health care fields included within the term 'primary health care' 
and shall designate any other areas of health care in which there 
is a shortage of qualified physicians and dentists; and 
"(C) shall, on an annual basis, establish guidelines specifying 
such absolute or percentage increases in the numbers of physicians 
or dentists receiving full-time graduate training which any appli-
cant receiving a grant under subsection (b) as may be required 
to meet as a condition of such a grant. 
"Primary health 
c a r e , " 
*'<JRANTS FOR TRAINING, TRAINEESIIIPS. AND FELU)WSHIPS FOR HEALTH 
PROFESSIONS TEACHING PERSONNEL 
"SEC. 769. (a) There are authorized to be appropriated $10,000,000 
Appropriation. 
for the fiscal year ending June 30, 1972, $15,000,000 for the fiscal year 
ending June 30, 1973, and $20,000,000 for the fiscal year ending June 
30,1974, for grants under this section. 
"(b) The Secretary may make grants under this section to public 
and nonprofit private schools of medicine, dentistry, osteopathy, podi-
atry, optometry, pharmacy, and veterinary medicine (as such schools 
are defined in section 724) for training (at such schools or elsewhere), 
'^^ use 293d„ 
and traineeships and fellowships for the advanced training, of indi-
viduals to enable them to teach, or improve their teaching skills, in 
the medical, dental, osteopathic, podiatric, optometric, pharmaceuti-
cal, or veterinary medicine fields. 
' (c) Not less than 75 per centum of any grant under this section to 
any school shall be used by the school for traineeships and fellowships. 
" G R A N T S FOR C O M P U T E R T E C H N O L O G Y H E A L T H 
CARE DEMONSTRATION 
PROGRAMS 
"SEC. 769A. There are authorized to be appropriated $5,000,000 for 
Appropriation. 
the fiscal year ending June 30, 1972, $10,000,000 for the fiscal year 
ending June 30, 1973, and $15,000,000 for the fiscal year ending June 
30, 1974, for grants by the Secretary to public or nonprofit private 
460 
PUBLIC LAW 92-157-NOV. 18, 1971 
[85 STAT. 
schools, agencies, organizations, or institutions, and combinations 
thereof, to— 
"(1) phm and develop free-standing or university-based com-
puter laboratories which would establish computer-based systems, 
including compatible languages, standard terminologies, commu-
nication networks, and decisionmaking strategies, to enable the 
utilization of modern computer technologies by physicians and 
other health personnel in the provision of health services and in. 
the processing of biomedical information relating to the provision 
of such services; and 
"(2) research through computer technology the functions per-
formed by physicians to determine which functions could be 
appropriately transfer-red and performed by other appropriately 
trained personnel. 
"CxENERAL, PROVISIONS 
"SEO. 769B. (a) No grant may be made under sections 767, 769, 
^Mite, pp, 457- 
and 769A unless an application therefor has been submitted to, and 
approved by, the Secretary. Such application shall be in such form, 
submitted in such manner, and contain such information, as the Sec-
retary shall by regulation prescribe. 
"(b) Payments by recipients of grants under sections 767 and 769A 
for (1) traineeships shall be limited to such amounts as the Secretary 
finds necessary to cover the cost of tuition and fees of, and stipends 
and allowances (including travel and subsistence expenses and 
dependency allowances) for, the trainees; and (2) fellowships shall 
be limited to such amounts as the Secretary finds necessary to cover 
the cost of advanced study by, and stipends and allowances (including 
travel and subsistence expenses and dependency allowances) for, the 
fellows. 
"(c) The amount of any grant under sections 767, 769, or 769A shall 
be determined by the Secretary. Payments under such grants may be 
made in advance or by way of reimbursement, and at such intervals 
and on such conditions, as the Secretary finds necessary." 
NATIONAL ADVISORY COUNCIL ON HEALTH PROFESSIONS EDUCATION 
SEC. 108. (a) ESTABLISHMENT OF ADVISORY COUNCIL.—Section 725 
77 Stat. 169. 
(42 U.S.C. 293e) is amended to read as follows: 
"NATIONAL ADVISORY COUNCIL ON HEALTH PROFESSIONS EDUCATION 
"SEC. 725. (a) There is established in the Public Health Service a 
National Advisory Council on Health Professions Education (here-
after in this section referred to as the 'Council'), consisting of the Sec-
retary (or his delegate), who shall be Chairman of the Council, and 
twenty members appointed by the Secretary (without regard to the 
5 use 101 et 
provisions of title 5 of the United States Code relating to appoint-
^^'^' 
ments in the competitive service) from persons who because of their 
education, experience, or training are particularly qualified to advise 
the Secretary with respect to the programs of assistance authorized by 
2
9
M ^9^ 293-295. ^^^^g 3^ (.^ j)^ y^ and F of this title. At least four of the appointed 
^' 
members shall be selected from the general public and two shall be 
selected from among full-time students enrolled in health professions 
scliools. 
"(b) The Council shall advise the Secretary in the preparation of 
general regulations and with respect to policy matters arising in the 
42^use 292, 
administration of this title (other than parts A and G thereof). 
" (c) The Secretary may use the services of any member or members 
of the Council in connection with matters related to the administration 
295h. 
77 Stat. 165. 
82 Stat. 777. 
85 STAT.] 
PUBLIC LAW 92-157-NOV. 18, 1971 
^161 
of this title (other than parts A and G thereof), for such periods, in ^^^2 use 292, 
addition to conference periods, as he may determine." 
(b) 
TECHNICAL AMENDMENTS.— 
(1) The last sentence of section 721(c) (42 U.S.C. 293a (c)) is 
amended by striking out "on Education for Health Professions" 
and inserting in lieu thereof "on Health Professions Education". 
(2) Section 780(d) (42 U.S.C. 295g(d)) is amended by striking 
out "National Advisory Council on Health Professions Educa-
tional Assistance" and inserting in lieu thereof "National Advi-
sory Council on Health Professions Education (established by 
section 725)". 
^"te, p. 46o. 
ADVANCE 
FUNDING 
SEC. 109. Section 799 of the Public Health Service Act (42 U.S.C. 
295h-8) is amended by striking out "this part" and inserting in lieu 
^4 stat. 1354. 
thereof "this title, section 306, or section 309". 
SEX 
DISCRIMINATION 
SEC. 110. Title VII is amended by— 
(1) inserting after section 798 the following: 
42 use 295h"7. 
"PART H—GENERAL PROVISIONS"; 
and 
(2) by striking out section 799A and inserting; in lieu thereof 
§4 stat. 1355. 
the following: 
42 use 295h..9. 
u 
DISCRIMINATION ON BASIS OF SEX PROHIBITED 
"SEC. 799A. The Secretary may not make a grant, loan guarantee, 
or interest subsidy payment under this title to, or for the benefit of, any 
school of medicine, osteopathy, dentistry, veterinary medicine, optom-
etry, pharmacy, podiatry, or public health or any training center for 
allied health personnel unless the application for the grant, loan guar-
antee, or interest subsidy payment contains assurances satisfactory to 
the Secretary that the school or training center will not discriminate 
on the basis of sex in the admission of individuals to its training pro-
grams. The Secretary may not enter into a contract under this title 
with any such school or training center unless the school or training 
center furnishes assurances satisfactory to the Secretary that it will 
not discriminate on the basis of sex in the admission of individuals to 
its training programs." 
TITLE II—MISCELLANEOUS PEOVISIONS RELATING 
TO HEALTH MANPOWER PROGRAMS 
J O I N T 
ADMINISTRATION 
SEC. 201. Section 310A of the Public Health Service Act (42 U.S.C. 
242i) is amended by striking out "title I X " and inserting in lieu 
^"^ ^^^t* i30(5. 
thereof "titles VII, VIII, and IX". 
NATIONAL H E A L T H 
MANPOWER 
CLEARINGHOUSE 
SEC. 202. (a) There is established in the Department of Health, 
Education, and Welfare a National Health Manpower Shortage Clear-
inghouse. It shall be the function of the Clearinghouse to provide 
information to, and maintain listings of, (1) communities and areas 
with health professional needs, and (2) prospective health workers 
interested in such opportunities. 
Ante, 
p. 449. 
462 
PUBLIC LAW 92-157-NOV. 18, 1971 
[85 STAT. 
(b) Information and listing services performed by the Clearing-
house shall be provided free of charge to all interested health profes-
sionals and to all communities and groups within the areas determined 
by the Secretary under section 741(f) to have a shortage of and need 
for health professionals. 
Appropriation. 
(^^^ There are authorized to be appropriated such sums as are 
necessary to establish, operate, and maintain the Clearinghouse created 
by subsection (a). 
ASSIGNMENT OF PUBLIC HEALTH SERVICE PHYSICIANS TO CERTAIN 
COUNTIES 
84 stau ^
1
8
6
^
8
. 
SEC. 203. Sectlou 329(a) of the Public Health Service Act is 
amended by adding at the end thereof the following: "The Secretary 
shall use his best efforts to provide, to each county certified by him to 
be without the services of a physician physically residing within such 
county, at least one physician in the Public Health Service, except for 
counties so sparsely populated as not to require such a physician. Such 
physicians shall be assigned so that each such county shall have a 
residing physician within one year from the date of enactment of this 
^lir^ *° ^°"" 
sentence. Within one year from the date of enactment of this sentence 
the Secretary shall report to the Congress with respect to his imple-
mentation of this section." 
gress 
Report to Con-
gress. 
STUDY OF FEDERAL H E A L T H FACILITIES CONSTRUCTION COSTS 
SEC. 204. The Comptroller General shall conduct a study of health 
facilities construction costs. Such study shall include consideration of 
the feasibility of reducing the cost of constructing health facilities con-
structed with assistance provided under the Public Health Service 
Act, particularly with respect to innovative techniques, new materials, 
and the possible waiver of unnecessarily costly Federal standards. The 
study shall be completed, and a report shall be submitted to the Con-
gress, within one year after the date of enactment of this Act. 
STUDY OF COSTS OF EDUCATING STUDENTS OF THE VARIOUS H E A L T H 
PROFESSIONS 
SEC. 205. (a) (1) The Secretary of Health, Education, and Welfare 
(hereinafter in this section referred to as "Secretary") shall arrange 
for the conduct of a study or studies to determine the national average 
annual per student educational cost of schools of medicine, osteopathy, 
dentistry, optometry, pharmacy, podiatry, veterinary medicine, and 
nursing in providing education programs which lead, respectively, to 
a degree of doctor of medicine, a degree of doctor of osteopathy, a 
degree of doctor of dentistry (or an equivalent degree), a degree of 
doctor of optometry (or an equivalent degree), a degree of bachelor of 
science in pharmacy (or an equivalent degree), a degree of doctor of 
podiatry (or an equivalent degree), a degree of doctor of veterinary 
medicine (or an equivalent degree), a certificate of degree or other 
appropriate evidence of completion of a course of training for physi-
cians assistants or dental therapists, or a certificate or degree certify-
ing completion of nurse training. 
Reports. 
^2) Such studies shall be completed and an interim report thereon 
submitted not later than March 30, 1973, and a final report not later 
than January 1, 1974, to the Secretary, the Committee on Labor and 
Public Welfare of the Senate, and the Committee on Interstate and 
Foreign Commerce of the House of Representatives. 
(3) Such studies shall develop methodologies for ascertaining the 
national average annual per student educational costs and shall, on 
85 STAT. ] 
PUBLIC LAW 92-157-NOV. 18, 1971 
463 
such basis, determine such costs for school years 1971-1972,1972-1973, 
and the estimated costs for school year 1973-1974 in the respective 
disciplines. The study shall also indicate the extent of variation among 
schools within the respective disciplines in their annual per student 
educational costs and the key factors affecting this variation. The 
studies shall employ the most recent data available from the health 
professional schools in the country at the time of the study. 
(4) Such studies shall also describe national uniform standards for 
determining annual per student educational costs for each health pro-
fessional school in future years and estimates of the cost to such schools 
of reporting according to these uniform standards. 
(5) The report shall also include recommendations concerning how 
the Federal Government can utilize educational cost per student data 
to determine the amount of capitation grants under the Public Health 
Service Act to each health professional school. 
(b) (1) The Secretary shall request the National Academy of 
Sciences to conduct such studies under an arrangement under which 
the actual expenses incurred by such Academy in conducting such 
studies will be paid by the Secretary. If the National Academy of 
Sciences is willing to do so, the Secretary shall enter into such an 
arrangement with such Academy for the conduct of such studies. 
(2) If the National Academy of Sciences is unwilling to conduct 
one or more of such studies under such an arrangement, then the 
Secretary shall enter into a similar arrangement with other appropri-
ate nonprofit private groups or associations under which such groups 
or associations will conduct such studies and prepare and submit the 
reports thereon as provided in subsection (a) (2). 
National uni-
form standards.! 
58 Stat. 68 2. 
42 u s e 201 
note. 
REPORT 
SEC. 206. The Secretary shall prepare and submit to the Congress, 
prior to June 30,1974, a final report on the administration of title VII 
(other than parts A and G thereof) of the Public Health Service Act 
which shall include an estimate of increases in the number of per-
sons entering the health professions effected under such title prior to 
the enactment of this Act; an estimate of such increases effected in 
consequence of the enactment of this Act; an estimate of the numbers 
of practitioners of such professions in relation to the need of the public 
therefor; and an appraisal of title VII (other than parts A and G 
thereof), as amended by this Act, to meet long-term national needs for 
health professionals. The Secretary shall submit to the Congress a 
first interim report prior to June 30, 1973, and a second interim report 
prior to January 31, 1974, describing his preliminary findings in the 
preparation of his final report. 
TITLE III—MISCELLANEOUS 
TECHNICAL AMENDMENTS TO PUBLIC HEALTH SERVICE ACT 
SEC. 301. (a) Subsection (f) of section 208 of the Public Health 
Service Act is amended by striking out "section 207(f)" and insert-
ing in lieu thereof "subsection (g)". 
(b) The second sentence of subsection (a) of section 217 of such Act 
is amended by striking out "Council on Alcoholic Abuse" and insert-
ing in lieu thereof "Council on Alcohol Abuse"'. 
(c) The section 223 of such Act (added by section 4 of Public Law 
91-623) is redesignated as section 224. 
(d) (1) Section 382 of such Act is amended by inserting "Se<'retary" 
before ", through the Library" in subsection (a) thereof; by inserting 
"Secretary" before "may exchange" in subsection (b) thereof; and by 
Ante, 
p. 431, 
58 Stat. 686; 
62 Stat. 40, 41; 
63 Stat. 834. 
42 u s e 210. 
42 u s e 218. 
84 Stat. 1870. 
42 u s e 233. 
42 u s e 276. 
464 
PUBLIC LAW 92-157-NOV. 18, 1971 
[85 STAT. 
70 Stat. 960; 
84 Stat. 66. 
42 u s e 277. 
42 u s e 280. 
79 Stat. 1067; 
84 Stat. 66. 
42 u s e 280a-l. 
84 Stat. 1349. 
42 u s e 295h-3d. 
80 Stat. 1228. 
42 u s e 295h-4. 
42 u s e 295f, 
295g. 
inserting "Secretary" before "is authorized" in subsection (c) thereof. 
(2) (A) Section 383 of such Act is amended by inserting "Secretary" 
after "The" in the last sentence of subsection (a) thereof; by inserting 
"Secretary" after "recommendations to the" in the first sentence of 
subsection (b) thereof; by inserting "Secretary" after "users, and the" 
in such sentence; by inserting "Secretary" after "The" in the last sen-
tence of such subsection; and by striking out subsection (d) thereof. 
(3) Section 386 of such Act is amended by inserting "Secretary" 
after "selected by the". 
(4) Subsection (a) of section 388 of such Act is amended by insert-
ing "Secretary" after "Whenever the" and by striking out "section 
398" in paragraphs (2) and (3) and inserting in lieu thereof 
"section 397". 
(e) Section 794(a) (2) (D) of such Act is amended by striking out 
"or pursuant to part B of the title IV of the Higher Education Act 
of 1965" after "1958". 
(f) Section 795(1) of such Act is amended by inserting "and" at the 
end of clause (C); by striking out "and" at the end of clause (D); 
and by striking out clause (E). 
(g) Parts E and F of title VII of such Act are each amended by 
striking out "Surgeon General" each place it occurs and inserting in 
lieu thereof "Secretary". 
84 Stat. 1707, 
42 u s e 1857h-5. 
84 Stat. 1686. 
42 u s e 18S7C-8. 
84 Stat. 1698. 
42 u s e 1857f-
6c. 
84 Stat. 1683. 
42 u s e 1857C-6. 
TECHNICAL AMENDMENTS TO THE CLEAN AIR ACT 
SEC. 302. (a) Section 307(a) (1) of the Clean Air Act is amended by 
striking out "210(c) (4)" and mserting in lieu thereof "211(c) (3)". 
(b) Section 113(b) (2) of such Act is amended by inserting " ( A ) " 
before "during", and by inserting ", or 
(B)" after 
"assumed 
enforcement". 
(c) Section 113(c)(1)(A) of such Act is amended by inserting 
" ( i ) " before "during" and by inserting ", or (ii)" after "assumed 
enforcement". 
(d) Section 211(c)(3)(A) of such Act is amended by inserting 
"obtaining" after "purpose of ". 
(e) Section 211(d) of such Act is amended by striking out "under 
subsection (c)," at the second place it appears and inserting in lieu 
thereof "under subsection (b)". 
(f) The first sentence of section 111(b) (1J(B) of the Clean Air 
Act is amended by striking out "propose" and inserting in lieu thereof 
"publish proposed". 
68 Stat. 511. 
21 u s e 346a. 
84 Stat. 1322. 
42 u s e 2676. 
TECHNICAL AMENDMENTS TO OTHER ACTS 
SEC. 303. (a) The fourth sentence of section 408(g) of the Food, 
Drug, and Cosmetic Act is amended by striking out ", which the Sec-
retary shall by rules and regulations prescribe,". 
(b) Paragraph (c) of section 136 of the Developmental Disabilities 
Services and Facilities Construction Act is amended by striking out 
"section 134" and inserting in lieu thereof "section 135". 
Approved November 18, 1971.