An Act to amend the Public Health Service Act to extend through the fiscal year ending September 30, 1978, the assistance programs for health services research; health statistics; comprehensive public health services; hypertension programs; migrant health; community health centers; medical libraries; cancer control programs; the National Cancer Institute; heart, blood vessel, lung, and blood disease prevention and control programs; the National Heart, Lung, and Blood Institute; National Research Service Awards; population research and voluntary family planning programs; sudden infant death syndrome; hemophilia; national health planning and development; and health resources development; to amend the Community Mental Health Centers Act to extend it through the fiscal year ending September 30, 1978; to extend the assistance programs for home health services; and for other purposes.
PL 95-83 (H.R.4975), enacted 08/01/1977

PUBLIC LAW 95-83—AUG. 1, 1977 
91 STAT. 383 
Public Law 95-83 
95th Congress 
An Act 
To ameud the Public Health Service Act to extend through the fiscal year ending 
September 30,1978, the assistance programs for health services research ; health 
statistics; comprehensive public health services; hypertension programs; 
migrant health; community health centers; medical libraries; cancer control 
programs; the National Cancer Institute; heart, blood vessel, lung, and blood 
disease prevention and control programs; the National Heart, Lung, and Blood 
Institute; National Research Service Awards; population research and volun-
tary family planning programs; sudden infant death syndrome; hemophilia; 
national health planning and development; and health resources develop-
ment; to amend the Community Mental Health Centers Act to extend it 
through the fiscal year ending September 30, 1978; to extend the assistance 
programs for home health services; and for other purposes. 
Be it enacted by the Senate and House of Representatives 
of the 
United States of America 
in Congress 
assembled, 
T I T L E I — H E A L T H P L A N N I N G AND H E A L T H 
S E R V I C E S 
R E S E A R C H AND S T A T I S T I C S 
E X T E N S I O N 
Aug. 1, 1977 
[H.R. 4975] 
Health services 
programs. 
Extension. 
Health Planning 
and Health 
Services 
Research and 
Statistics 
Extension Act of 
1977. 
42 use 201 note. 
42 use 300/-5. 
42 use 300m-4. 
42 use 300m-5. 
42 use 300n-3. 
SEC. 101. This title may be cited as the "Health Planning and Health 
Services Research and Statistics Extension Act of 1977". 
SEC. 102. (a) Section 1516(c) (1) of the Public Health Service Act 
(relating to authorizations for planning grants) is amended by strik-
ing out "for the fiscal year ending June 30,1977" and inserting in lieu 
thereof "each for the fiscal years ending September 30, 1977, and 
September 30, 1978". 
(b) Section 1525(c) of such Act (relating to authorizations for 
State health planning and development agencies) is amended by 
striking out "for the fiscal year ending June 30, 1977" and insert-
ing in lieu thereof "each for the fiscal years ending September 30, 
1977, and September 30,1978". 
(c) Section 1526(e) of such Act (relating to authorizations for 
grants for rate regulation) is amended by striking out "for the fiscal 
year ending June 30, 1977" and inserting in lieu thereof "each for the 
fiscal years ending September 30, 1977, and September 30, 1978". 
(d) Section 1584-(d) of such Act (relating to authorizations for 
centers for health planning) is amended by striking out "for the fiscal 
year ending June 30, 1977" and inserting in lieu thereof "each for the 
fiscal years ending September 30,1977, and September 30, 1978". 
SEC. 103. (a) Section 1613 of the Public Health Service Act 42 USe 300p-3. 
(relating to authorizations for construction) is amended by striking 
out "for the fiscal year ending June 30, 1977" and inserting in lieu 
thereof "each for the fiscal years ending September 30,1977, and Sep-
tember 30,1978". 
(b) Section 1625(d) of such Act (relating to funds for project 
42 USC 300r. 
grants) is amended by adding at the end the following new sentence: 
"In addition to the amounts made available for such grants under the 
preceding sentence for the fiscal year ending September 30,1978, there 
are authorized to be appropriated $67,500,000 for such fiscal year for 
such grants.". 
(c) Section 1640(d) of such Act (relating to authorizations for area 
42 USe 300t. 
health services development) is amended by striking out "for the fis-
cal year ending June 30, 1977" and inserting in lieu thereof "each for 
91 STAT. 384 
PUBLIC LAW 95-83—AUG. 1, 1977 
42 use 242m. 
Payments to 
States. 
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42 use 1396d. 
Applicability. 
42 use 1396b 
note. 
42 use 1396. 
42 use 300e-8. 
42 use 300k-3. 
42 use 300/. 
42 use 300/-1. 
42 use 300/-2. 
the jfiscal years ending September 30, 1977, and September 30, 1978". 
Sec. 104. (a) Section 308(i) (1) of the Public Health Service Act 
(relating to authorizations for the National Center for Health Serv-
ices Research) is amended (1) by striking out "and" after "1975,", 
and (2) by inserting after "1976" the following: ", and $28,600,000 
for the fiscal year ending September 30,1978". 
(b) Section 308(i) (2) of such Act (relating to authorizations for 
the National Center for Health Statistics) is amended (1) by strik-
ing out "and" after "1975,", and (2) by inserting after "1976" the 
following: ", and $33,600,000 for the fiscal year ending September 30, 
1978". 
SEC. 105. (a)(1) Section 1903(m) (2) (A) of the Social Security 
Act is amended to read as follows: 
"(2) (A) Except as provided in subparagraphs (B) and (C), no 
payment shall be made under this title to a State with respect to 
expenditures incurred by it for payment (determined under a prepaid 
capitation basis or under any other risk basis) for services provided 
by any entity which is responsible for the provision of inpatient hos-
l^ital services and any other service described in paragraph (2), (3), 
(4), (5), or (7) of section 1905(a) or for the provision of any three or 
more of the services described in such paragraphs unless— 
"(i) the Secretary (or the State as authorized by paragraph 
(3)) has determined that the entity is a health maintenance orga-
nization as defined in paragraph (1); and 
"(ii) less than one-half of the membership of the entity consists 
of individuals who (I) are insured for benefits under part B of 
title XVIII or for benefits under both parts A and B of such title, 
or (II) are eligible to receive benefits under this title.". 
(2) Section 1903(m) (2) (C) of such Act is amended by striking out 
"(A) (iii)" each place it occurs and inserting in lieu thereof "(A) (ii)", 
(3) The amendments made by paragraphs (1) and (2) shall apply 
Avith respect to payments under title XIX of the Social Security Act 
to States for services provided— 
(A) after October 8, 1976, under contracts under such title 
entered into or renegotiated after such date, or 
(B) after the expiration of the one-year period beginning on 
such date, 
whichever occurs first. 
(b) Section 1309(a) of the Public Health Service Act is amended 
by striking out "September 30, 1977" the second time it occurs and 
inserting in lieu thereof "September 30, 1979". 
SEC. 106. (a) The fourth sentence of section 1503(b)(1) of the 
Public Health Service Act is amended by inserting "established" 
before "under section 1524". 
(b) The first sentence of section 1511 (a) of such Act is amended by 
striking out "There" and inserting in lieu thereof "Except as provided 
in section 1536, there". 
(c) Section 1512(b) (3) (B) (i) of such Act is amended by striking 
out "subsections (e), (f), and (g)" and inserting in lieu thereof "sub-
sections (e), (f), (g),and (h)". 
(d) Section 1512(c) of such Act is amended by striking out "agen-
cies' health" and inserting in lieu thereof "agency's health". 
(e) The first sentence of section 1513(a) of such Act is amended by 
striking out "the provision" and inserting in lieu thereof "provision". 
(f) The last sentence of section 1513(a) of such Act is amended by 
striking out "(g)" and inserting in lieu thereof "(h)". 
PUBLIC LAW 95-83—AUG. 1, 1977 
91 STAT. 385 
42 use 300Z-3. 
42 use 300/-4. 
42 use 300m. 
42 use 300m-2. 
42 use 300m-5. 
42 use 300n-5. 
(g) The margin of the last sentence of paragraph (1) of section 
1513(b) of such Act is indented to align with the margin of para- ^2 USe 300/-2. 
graph (2) of such section. 
(h) Section 1513(b)(2)(C) of such Act is amended by striking 
out "is consistent" and inserting in lieu thereof "are consistent". 
(i) Section 1513 (d) of such Act is amended by striking out "system" 
each place it occurs and inserting in lieu thereof "systems". 
(i) Section 1514 of such Act is amended by inserting "public or" 
before "nonprofit private". 
(k) Section 1515 (d) of such Act is amended by striking out "health 
services area" and inserting in lieu thereof "health service area". 
(1) Section 1521(a) of such Act is amended by striking out "other 
than" and all that follows in such section and inserting in lieu thereof 
a period. 
(m) Section 1521(d) of such Act is amended by striking out 
"Policy, Planning," and inserting in lieu thereof "Planning". 
(n) Section 1523(c) of such Act is amended by striking out "(6), 
or (7)" and inserting in lieu thereof "or (6)". 
(o) Section 1526(a) of such Act is amended by inserting "grants" 
after "may make". 
(p) Section 1536(a) of such Act is amended by striking out "Trust 
Territories in the Pacific Islands" and inserting in lieu thereof "Trust 
Territory of the Pacific Islands, the Northern Mariana Islands". 
(q) Section 1536(b) (4) of such Act is amended (1) by striking out 
"office" and inserting in lieu thereof "officer", and (2) by striking out 
"the regulation" and inserting in lieu thereof "regulations". 
(r) Section 1602(5) of such Act is amended by striking out "1503" 
and inserting in lieu thereof "1603". 
(s) The second sentence of section 1602 of such Act is amended by 
striking out "supports" and inserting in lieu thereof "support". 
(t) Section 1603(a) (4), 1603(a) (5), 1603(a) (6), 1604(b) (1) (C), 
1604(b) (2) (A) and 1604(c) (2) (B) (i) of such Act are each amended 
by striking out "1602(a)" and inserting in lieu thereof "1602". 
(u) Section 1603(a)(6) of such Act is amended by striking out 
"(4)" and inserting in lieu thereof "(5)". 
(v) Section 1603(a)(7) of such Act is amended by striking out 
"standards" and inserting in lieu thereof "requirements". 
(w) Section 1610(a) of such Act is amended by striking out "1513" 
and inserting in lieu thereof "1613". 
(x) (1) Subsections (a) and (b) (1) of section 1620 of such Act are 
each amended by striking out "September 30, 1977" and inserting in 
lieu thereof "September 30,1978". 
(2) Section 1622(e)(2) of such Act is amended by striking out 
"and June 30,1977" and inserting in lieu thereof "September 30,1977, 
and September 30,1978". 
(y) Section 1622(c) of such Act is amended by adding after para-
graph (4) the following new paragraph: 
"(5) If any loan to a public entity under this part is sold and guar-
anteed by the Secretary under this subsection, interest paid on such 
loan after its sale and any interest subsidy paid, under paragraph 
(3)(A)(ii), by the Secretary with respect to such loan which is 
received by the purchaser of the loan (or the purchaser's successor in 
interest) shall be included in the gross income of the purchaser or 
successor for the purpose of chapter 1 of the Internal Kevenue Code 
of 1954.". 
26 use 1 et seq. 
42 use 300o-l. 
42 use 300o-2, 
300o-3. 
42 use 300p. 
42 use 300q. 
42 use 300q-2. 
91 STAT. 386 
PUBLIC LAW 95-83—AUG. 1, 1977 
42 use 300S-3. 
42 use 201. 
Biomedical 
Research 
Extension Act of 
1977. 
42 use 201 note. 
42 use 280b. 
42 use 286c. 
42 use 286g. 
42 use 286b. 
42 use 286f. 
42 use 286d. 
42 use 287c. 
(z) Section 1633(14) of such Act is amended by striking out "title 
XIV" and inserting in lieu thereof "title XV". 
SEC. 107. Section 2(f) of the Public Health Service Act (relating to 
the definition of the term State) is amended (1) by striking out "and" 
after "Islands,", and (2) by adding before the period the following: 
", American Samoa, and the Trust Territory of the Pacific Islands". 
TITLE II—BIOMEDICAL RESEARCH EXTENSION 
SEC. 201 This title may be cited as the Biomedical Research Exten-
sion Act of 1977". 
SEC. 202. Section 390(c) of the Public Health Service Act (relating 
to authorizations for medical libraries) is amended (1) by striking 
out "and" after "1975,", and (2) by inserting after "1976" the follow-
ing: ", and $14,600,000 for the fiscal year ending September 30, 1978". 
SEC. 203. (a) (1) Section 409 of the Public Health Service Act (relat-
ing to authorizations for cancer control programs) is amended (A) by 
striking out "and" after "1976,", and (B) by striking out "June 30, 
1977" and inserting in lieu thereof "September 30,1977, and $84,560,000 
for the fiscal year ending September 30,1978". 
(2) Section 410C of such Act (relating to authorizations for pro-
grams of the National Cancer Institute) is amended (A) by striking 
out "and" after "1976;", and (B) by striking out "June 30,1977" and 
inserting in lieu thereof "September 30,1977; and $923,590,000 for the 
fiscal year ending September 30,1978". 
(b) (1) The second sentence of section 408(b) of such Act (relating 
to national cancer research and demonstration centers) is amended by 
striking out "; but support, under this subsection (other than support 
for construction) shall not exceed $5,000,000 per year per center." and 
inserting in lieu thereof a period and the following: "The aggregate 
of payments (other than payments for construction) made to any 
center in support of such an agreement for its costs (other than indirect 
costs) described in the first sentence may not exceed $5,000,000 in any 
fiscal year, except that if in any fiscal year there is an increase, as 
reflected in the Consumer Price Index published by the Bureau of 
Labor Statistics, in the costs of a center for which payments may be 
made under such an agreement, the aggregate of payments in such year 
for such center may exceed $5,000,000 to include such increase and any 
such increase in any preceding fiscal year for which payments were 
made to such center under such an agreement to the extent that such 
increase resulted in payments in excess of $5,000,000. As used in this 
section, the term 'construction' does not include the acquisition of land, 
and the term 'training' does not include research training for which 
fellowship support may be provided under section 472.". 
(2) Section 410B(a) (1) of such Act (relating to the National Can-
cer Advisory Board) is amended (A) by inserting "Policy" after 
"Technology", and (B) by striking out " (or his designee)" and insert-
ing in lieu thereof " (or their designees)". 
(3) Section 410(a) (1) of such Act (relating to the authority of the 
Director of the National Cancer Institute) is amended by striking out 
"one hundred" and inserting in lieu thereof "one hundred and fifty-
one". 
SEC. 204. (a) (1) Section 414(b) of the Public Health Service Act 
(relating to authorizations for heart, blood vessel, lung, and blood 
disease prevention and treatment programs) is amended (A) by strik-
PUBLIC LAW 95-83—AUG. 1, 1977 
91 STAT. 387 
ing out "and" after "1976,", and (B) by striking out "fiscal year 1977" 
and inserting in lieu thereof "the fiscal year ending September 30,1977, 
and $30,000,000 for the fiscal year ending September 30, 1978". 
(2) Section 419B of such Act (relating to authorizations for the 
National Heart, Lung, and Blood Institute) is amended (A) by strik-
ing out "and" after "1976,", and (B) by striking out "for fiscal year 
1977" and inserting in lieu thereof the following: "for the fiscal year 
ending September 30,1977, and $426,320,000 for the fiscal year ending 
September 30,1978". 
(b) (1) Section 415 (a) (1) of such Act (relating to national research 
and demonstration centers) is amended— 
(A) by striking out "diseases and for research in the use of 
blood and blood products and in the management of blood 
resources;" in subparagraph (A) and inserting in lieu thereof 
"and blood vessel diseases,", and 
(B) by striking out ", blood vessel diseases, research in the use 
of blood products, and research" in subparagraph (C) and insert-
ing in lieu thereof "diseases and research into blood, in the use of 
blood products and". 
(2) The third sentence of section 415(b) of such Act (relating to 
national research and demonstration centers) is amended by striking 
out "in any year" and all that follows in such sentence and inserting in 
lieu thereof the following: "in any fiscal year, except that if in any 
fiscal year there is an increase, as reflected in the Consumer Price 
Index published by the Bureau of Labor Statistics, in the costs of a 
center for which payments may be made under such an agreement, 
the aggregate of payments in such year for such center may exceed 
$5,000,000 to include such increase and any such increase in any pre-
ceding fiscal year for which payments were made to such center under 
such an agreement to the extent that such increase resulted in pay-
ments in excess of $5,000,000.". 
(3) Section 417(a) (1) of such Act (relating to the National Heart, 
Lung, and Blood Advisory Council) is amended by striking out 
"National Science Foundation" and inserting in lieu thereof "Office of 
Science and Technology Policy". 
(4) Section 419A(a) of such Act (relating to administration) is 
amended by striking out "made pursuant to section 414". 
SEC. 205. Section 472(d) of the Public Health Service Act (relating 
to National Research Service Awards) is amended (1) by striking 
out "and" after "1976,", and (2) by striking out "for fiscal year 1977" 
and inserting in lieu thereof the following: "for the fiscal year ending 
September 30, 1977, and $161,390,000 for the fiscal year ending Sep-
tember 30,1978". 
TITLE III—HEALTH SERVICES EXTENSION 
42 use 287i. 
National research 
and 
demonstration 
centers. 
42 use 287d. 
42 use 287f. 
42 use 287h. 
42 use 289/-1. 
Health Services 
Extension Act of 
1977. 
42 use 201 note. 
SKG. 301. This title may be cited as the "Health Services Extension 
Act of 1977". 
SEC. 302. (a) Section 314(d) (7) (A) of the Public Health Service 
Act (relating to authorizations for formula grants to States for com- 42 USe 246 
l)rehensive public health services) is amended (1) by striking out 
"and" after "1976,", and (2) by striking out "for fiscal year 1977" and 
inserting in lieu thereof the following: "for the fiscal year ending 
September 30, 1977, and $106,750,000 for the fiscal year ending Sep-
tember 30,1978". 
91 STAT. 388 
PUBLIC LAW 95-83—AUG. 1, 1977 
42 use 246. 
(b) Section 314(d) (7) (B) of such Act (relating to authorizations 
for grants for hypertension programs) is amended (1) by striking 
.^,,, .,., 
out "and" after "1976,", and (2) by striking out "for fiscal year 1977" 
* ' '^ and inserting in lieu thereof the following: "for the fiscal year ending 
September 30, 1977, and $12,680,000 for the fiscal year ending Septem-
ber 30,1978". 
SEC. 303. (a) (1) Section 319(h) (1) of the Public Health Service 
42 use 247d. 
Act (relating to authorizations for planning and development of 
migrant health centers) is amended (A) by striking out "and" after 
"1976,", and (B) by striking out "for fiscal year 1977" and inserting 
in lieu thereof the following: "for the fiscal year ending September 30, 
. 
' 
1977, and $2,950,000 for the fiscal year ending September 30, 1978". 
(2) The second sentence of section 319(h)(1) of such Act is amended 
by striking out "the next fiscal year" and inserting in lieu thereof 
"each of the next two fiscal years". 
(b) (1) The first sentence of section 319 (h) (2) of such Act (relating 
to authorizations for operation of migrant health centers) is amended 
(A) by striking out "and" after "1976,", and (B) by striking out 
"for fiscal year 1977" and inserting in lieu thereof the following: 
"for the fiscal year ending September 30, 1977, and $32,080,000 for 
the fiscal year ending September 30,1978". 
(2) The third sentence of section 319(h) (2) of such Act is amended 
by striking out "fiscal year 1977" and inserting in lieu thereof "fiscal 
years ending September 30,1977, and September 30,1978". 
(c) Section 319(h) (3) of such Act (relating to authorizations for 
inpatient and outpatient hospital services) is amended (1) by striking 
out "and" after "1976,", and (2) by striking out "for fiscal year 1977" 
and inserting in lieu thereof the following: "for the fiscal year ending 
September 30, 1977, and $4,230,000 for the fiscal year ending Septem-
ber 30,1978". 
SEC. 304 (a)(1) Section 330(g)(1) of the Public Health Service 
42 use 254c. 
Act (relating to authorizations for planning and development of com-
munity health centers) is amended (A) by striking out "and" after 
"1976,", and (B) by striking out "for fiscal year 1977" and inserting 
in lieu thereof the following: "for the fiscal year ending September 30, 
1977, and $5,880,000 for the fiscal year ending September 30,1978". 
(2) Section 330(g) (2) of such Act (relating to niithorizations for 
' ' ' 
operation of community health centers) is amended (A) by striking 
out "and" after "1976."^ and (B) bv striking out "for fiscal year 1977" 
and inserting in lieu thereof the following: "for the fiscal year ending 
September 30, 1977, and $256,840,000 for the fiscal year ending 
September 30, 1978". 
(b) (1) Section 330(b) (3) of such Act (relating to the definition of 
medically underserved population) is amended by adding at the end 
thereof the following: "In designating urban and rural areas for 
purposes of this paragraph, the Secretary shall take into account 
,5j,, ^
^ y 
unusual local conditions which are a barrier to access to or the avail-
ability of personal health services.". 
;,..,, 
(2) The first sentence of section 330(e) (1) of such Act is amended 
by striking out "subsection (e)" and inserting in lieu thereof "subsec-
tion (c)". 
42 use 300. 
SEC. 305. (a) Section 1001(c) of the Public Healtli Service Act 
(relating to authorizations for familv planning projects) is amended 
(1) by striking out "and" after "1976;", and (2) by striking out "for 
fiscal year 1977" and inserting in lieu thereof the following: "for the 
Medically 
underserved 
population. 
PUBLIC LAW 95-83—AUG. 1, 1977 
91 STAT. 389 
fiscal year ending September 30, 1977; and $136,400,000 for the fiscal 
year ending September 30,1978". 
(b) Section 1003(b) of such Act (relating to authorizations for 
training) is amended (1) by striking out "and" after "1976;", and (2) 
by striking out "for fiscal year 1977" and inserting in lieu thereof 
the following: "for the fiscal year ending September 30, 1977; and 
$3,000,000 for the fiscal year ending September 30,1978". 
(c) (1) Section 1004(b) (1) of such Act (relating to authorizations 
for research) is amended (A) by striking out "and" after "1976,", and 
(B) by striking out "for fiscal year 1977" and inserting in lieu thereof 
the following: "for the fiscal year ending September 30, 1977, and 
$68,500,000 for the fiscal year ending September 30,1978". 
(2) Section 1004(b)(2) of such Act (relating to limitation on 
source of funds) is amended by adding immediately before the period 
the following: "or for the administration of this section". 
(d) Section 1005(b) of such Act (relating to authorizations for 
informational and educational materials) is amended (1) by striking 
out "and" after "1976;", and (2) by striking out "for fiscal year 1977" 
and inserting in lieu thereof the following: "for the fiscal year ending 
September 30, 1977; and $600,000 for the fiscal year ending Sep-
tember 30, 1978". 
SEC. 306. (a) Section 1121(b) (5) of the Public Health Service Act 
(relating to authorizations for sudden infant death syndrome pro-
grams) is amended (1) by striking out "and" after "1976,", and (2) 
by striking out "fiscal year ending 1977" and inserting in lieu thereof 
the following: "ending September 30, 1977, and $3^,650,000 for the 
fiscal year ending September 30,1978". 
(b) Section 1131(f) of such Act (relating to authorizations for 
hemophilia programs) is amended (1) by striking out "and" after 
"1976,", and (2) by striking out "for fiscal year 1977" and inserting 
in lieu thereof the following: "for the fiscal year ending September 
30,1977, and $4,550,000 for the fiscal year ending September 30,1978". 
(c) Section 1132(e) of such Act (relating to authorizations for blood 
separation centers) is amended (1) by striking out "and" after "1976,", 
and (2) by striking out "for fiscal year 1977" and inserting in lieu 
thereof the following: "for the fiscal year ending September 30,1977, 
and $3,450,000 for the fiscal year ending September 30,1978". 
SEC. 307. (a) (1) The first sentence of section 708(a) of the Public 
Health Service Act (relating to health professions data) is amended 
(A) by inserting "program" after "health professions personnel 
which", and (B) by striking out "United States and its territories and 
possessions" and inserting in lieu thereof "States". 
(2) Section 708(e)(1)(C) of such Act is amended by inserting 
"use" after "personal data which". 
(b) Section 721(f) of such Act (relating to regional health pro-
fessions programs) is amended by striking out "subsection (a)" in 
paragraphs (1) and (2) and inserting in lieu thereof "subsection (a) 
of section 720". 
(c) (1) Section 731(a) (2) (B) of such Act (relating to loan repay-
ment period) is amended by striking out "after the date on which the 
student completes his internship or residency training, and not later 
than the earlier of 12 months after such date or of 3 years after the 
date he ceases" and inserting in lieu thereof "nor later than 12 months 
after the date on which the student ceases to be a participant in an 
accredited internship or residency program or (if he was not a partici-
pant in such a program) ceases". 
42 use 300a-l. 
42 use 300a-2. 
42 use 300a-3. 
42USe300c-ll. 
42USe300c-21. 
42 use 300C-22. 
Health 
professions data. 
42 use 292h. 
42 use 293a. 
42 use 294d. 
91 STAT. 390 
PUBLIC LAW 95-83—AUG. 1, 1977 
42 use 294d. 
Certificates of 
insurance. 
42 u s e 294e. 
Responsibilities. 
42 u s e 294h. 
Waivers and 
suspensions. 
Eligible 
institutions. 
42 use 294j. 
Effective date. 
42 use 294d 
note. 
Effective date. 
42 use 294i. 
Loan forgiveness. 
42 u s e 294n. 
(2) Section 731(a) (2) (C) (i) of such Act (relating to termination 
of loans) is amended by inserting "(or at an institution defined by 
section 435(b) of the Higher Education Act of 1965)" after "eligible 
institution". 
(3) The first sentence of section 732(a) (2) of such Act (relating to 
effective date of certificates of insurance) is amended by striking out 
"was made" and inserting in lieu thereof "is made to a student 
described in section 731 (a) (1)". 
(4) Section 732(d) of such Act (relating to certificates of insur-
ance) is amended to read as follows: 
"(d) The rights of an eligible lender arising under insurance evi-
denced by a certificate of insurance issued to it under this section may 
be assigned by such lender, subject to regulation by the Secretary, only 
to (1) another eligible lender, or (2) the Student Loan Marketing 
Association.". 
(5) (A) The first sentence of section 735(c) (2) of such Act (relat-
ing to responsibilities) is amended (i) by striking out "specified in 
the agreement" and inserting in lieu thereof "specified in the contract", 
and (ii) by striking out all that follows "in an amount" and inserting 
in lieu thereof "determined in accordance with the formula 
•-*(^0 
in which 'A' is the amount the United States is entitled to recover; 
*
<
^
' is the sum of the amounts paid by the Secretary under the contract 
to or on behalf of the individual and the interest on such amounts 
which would be payable if at the time the amounts were paid they were 
loans bearing interest at the maximum legal prevailing rate, as deter-
mined by the Treasurer of the United States; 't' is the total number of 
months in the individual's period of obligated service; and 's' is the 
number of months of such period served by him in accordance with the 
contract.". 
(B) Section 735(c) (4) of such Act (relating to waivers and sus-
pensions) is amended (i) by inserting "any obligation of service or" 
after "suspension of", and (ii) by striking out "the agreement which 
was breached" and inserting in lieu thereof "the contract". 
(6) Section 737(1) of such Act (relating to definition of eligible 
institution) is amended by striking out "that is receiving, or the 
Secretary determines is eligible to receive, a grant under section 770 
for such fiscal year" and inserting in lieu thereof "that received a grant, 
or the Secretary determines met the requirements for receipt of a 
grant, under section 770 for the preceding fiscal year." 
(7) The amendments made by this subsection shall take effect 
October 1, 1977. 
(d) Effective October 1, 1977, section 736 of such Act (relating to 
participation of Federal credit unions) is amended by striking out 
"Director of the Bureau of Federal Credit Unions" and inserting in 
lieu thereof "Administrator of the National Credit Union Admin-
istration". 
(e) (1) Section 741(f) (1) (B) of such Act (relating to loan forgive-
ness) is amended (A) by inserting "(i)" after "who", and (B) by 
inserting before the semicolon the following: ", or (ii) obtained, under 
a written loan agreement entered into before October 12, 1976, any 
other educational loan for his costs at a school of medicine, osteopathy, 
dentistry, veterinary medicine, optometry, pharmacy, or podiatry". 
(2) Section 741(f)(2) of such Act (relating to payments) is 
PUBLIC LAW 95-83—AUG. 1, 1977 
91 STAT. 391 
Effective date. 
42 u s e 294n 
note. 
Effective dates. 
42 u s e 294r, 
294s. 
Scholarships. 
42 u s e 294w. 
amended by inserting after subparagraph (C) the following: '"No eertified copy of 
payment may be made under this paragraph with respect to a loan agreement, 
described in paragraph (1) (B) (ii) unless the person on whose behalf 
^p^'**^* *° 
the payment is to be made has submitted to the Secretary a certified 
copy of the agreement under which such loan was made. In any year 
the amount of payments that may be made under this paragraph with 
respect to such a loan may not exceed $10,000 and the total amount of 
payments that may be made under this paragraph with respect to such 
a loan may not exceed $50,000.". 
(3) The amendments made by this subsection shall be effective as 
of October 12,1976. 
(f) Effective October 1,1977, sections 748(b) (2) and 749(b) (2) of 
such Act (relating to traineeships) are each amended by inserting 
"tuition and fees and" before "such stipends". 
(g) The first sentence of section 754:(c) of such Act (relating to 
breach of scholarship contract) is amended by striking out "is the sum 
of the amount" and all that follows down through "was a loan" and 
inserting in lieu thereof "is the sum of the amounts paid under this 
subpart to or on behalf of the individual and the interest on such 
amounts w^hich would be payable if at the time the amounts were paid 
they were loans". 
(h) Effective October 1, 1977, section 758(a) of such Act (relating 42 USe 294z. 
to scholarships for first-year students of exceptional financial need) 
is amended by striking out "in the school year ending in the fiscal year 
in which such grant is made". 
(i)(l) Effective October 1, 1977, the first sentence of section 771 
(b)(2)(C) of such Act (relating to residencies in primary care) is 42 USe 295f-l. 
amended by striking out "training program of such school in pri-
mary care" the second time it occurs and inserting in lieu thereof 
"training program of any school in primary care". 
(2) Effective October 1, 1977, section 771(b)(2)(E) of such Act 
(relating to termination of affiliation with medical residency training 
programs) is amended by striking out "in the fiscal year". 
(3) Effective October 1, 1977, section 771(b) (3) (A) of such Act 
(relating to eligibility foi- capitation grants) is amended by striking 
out "immediately before" and inserting "in". 
(4) Effective'October 1, 1977, section 771(b)(3)(B) of such Act 
(relating to the enrollment of students of foreign schools of medicine 
in schools of medicine in the United States) is amended to read as 
follows: 
"(B) Xo later than August 15, 1977, and August 15 of each of the 
next two years, the Secretary shall identify the citizens of the United 
States who— 
"(i) were— 
"(I) before October 12, 1976, students in a school of medi-
cine not in a State, or 
"(II) enrolled in programs of institutions of higher edu-
cation (other than schools of osteopathy or schools of medi-
cine of more than two years) which programs were in 
existence in the States before such date and which prepare 
stiidents to enter the third year of schools of medicine in the 
States; and 
"(ii) by the date of the identification made under this sub-
paragraph— 
"(I) in the case of a student described in clause (i)(I), 
successfully completed at least two years in a school of medi-
eertain U.S. 
medical students. 
91 STAT. 392 
PUBLIC LAW 95-83—AUG. 1, 1977 
Apportionment. 
Effective date. 
42 use 295g-l. 
42 use 295g-9. 
42 use 300d. 
Effective date. 
42 use 295h-5. 
Effective date. 
Effective date. 
' 
cine not in a State, and, in the case of a student described in 
clause (i) ( I I ) , successfully completed a program described in 
such clause, and 
" ( I I ) successfully completed part I of the National Board 
of Medical Examiners" examination (or any successor to such 
examination). 
The Secretary shall equitably apportion a number of positions among 
the schools of medicine in the States adequate to fill the needs of 
students identified in accordance with the preceding sentence.". 
(j) Effective October 1, 1977, section 781(d) (2) (C) of such Act 
(relating to residency program requirement) is amended by striking 
out "or general internal medicine" and inserting in lieu thereof ", gen-
eral internal medicine, or general pediatrics". 
(k) Paragraph (1) of section 789(a) of such Act (relating to 
training in emergency medical services) is amended by striking out 
"and to assist in meeting the cost" and all that follows in such para-
graph and inserting in lieu thereof the following: ", to assist in 
meeting the cost of training (including the cost of establishing pro-
grams for the training) of physicians in emergency medicine, espe-
cially training which affords clinical experience in providing medical 
services in emergency medical services systems receiving assistance 
under title X I I of this Act, and to provide financial assistance (in the 
form of traineeships and fellowships) to residents who plan to special-
ize or work in the practice of emergency medicine.". 
(1) Effective October 1, 1977, section"796(a) (4) of such Act (relat-
ing to project grants and contracts) is amended by striking out "of 
methods" and inserting in lieu thereof "or improvement of programs", 
(m) Effective October 1, 1977, section 796(c) of such Act (relating 
to eligibility for allied health special project grants and contracts) is 
amended (1) by striking out "or" at the end of paragraph (2), (2) 
by striking out the period at the end of paragraph (3) and inserting in 
lieu thereof "; or", and (3) by adding after paragraph (3) the follow-
ing new paragraph: 
" (4) other public or nonprofit private entities capable, as deter-
mined by the Secretary, of carrying out projects described in 
subsection (a).", 
(n) (1) Effective October 1, 1977, subpart IV of part C of title V I I 
of such Act (relating to National Health Service Corps Scholarships) 
is amended by adding at the end thereof the following new section: 
"INDIAN 
HEALTH SCHOLARSHIP PROGRAM 
42 use 294y-l. 
"SEC. 757. (a) In addition to the sums authorized to be appropriated 
42 use 294y. 
under section 756(a) to carry out the Scholarship Program, there are 
puthorized to be appropriated $5,450,000 for the fiscal year ending 
September 30, 1978, $6,300,000 for the fiscal year ending Septem-
ber 30, 1979, $7,200,000 for the fiscal year ending September 30, 1980, 
and for each of the succeeding four fiscal years sucli sums as mav be 
specifically authorized by an Act enacted after the date of enactment 
of this section, to provide scholarships under the Scholarship Program 
to provide physicians, osteopaths, dentists, veterinarians, nurses, 
optometrists, podiatrists, pharmacists, public health personnel, and 
allied health professionals to provide services to Indians. Such scholar-
ships shall be designated 'Indian Health Scholarships' and shall be 
made in accordance with this subpart, except as provided in subsection 
PUBLIC LAW 95-83—AUG. 1, 1977 
91 STAT. 393 
"(b) (1) The Secretary, acting through the Indian Health Service, 
shall determine the individuals who shall receive the Indian Health 
Scholarships, shall accord priority to applicants who are Indians, and 
shall determine the distribution of the scholarships on the basis of 
the relative needs of Indians for additional services by specific health 
professions. 
"(2) The active duty service obligation prescribed in the written 
contract entered into under this subpart shall be met by the recipient 
of an Indian Health Scholarship by service in the Indian Health 
Service, in a program assisted under title V of the Indian Health Care 
Improvement Act, or in the private practice of his profession if, as 
determined by the Secretary in accordance with guidelines promul-
gated by him, such practice is situated in a physician or other health 
professional shortage area and addresses the health care needs of a 
substantial number of Indians. 
"(c) For purposes of this section, the term 'Indians' has the same 
meaning given that term by subsection (c) of section 4 of tlie Indian 
Health Care Improvement Act and includes individuals described in 
clauses (1) through (4) of that subsection.". 
(2) Section 105(a) of the Indian Health Care Improvement Act 
is amended by striking out "pursuant to section 104" and inserting 
in lieu thereof "pursuant to section 757 of the Public Health Service 
Act". 
(o) (1) The second sentence of section 810(a) of the Public Health 
Service Act (relating to computation of capitation grants for nursing 
schools) is amended by inserting "for each fiscal year" after "shall be 
computed". 
(2) Paragraphs (1), (2), and (3) of such section 810(a) are each 
amended by striking out "such year" each place it occurs and inserting 
in lieu thereof "such fiscal year". 
(3) (A) Section 810(c)(1)(A) of such Act (relating to require-
ments for nursing school capitation grants) is amended by striking 
out "beginning after" and inserting in lieu thereof "beginning in". 
(B) Sections 810(c) (2) (A) and 810(c) (2) (B) of such Act (relat-
ing to requirements for nursing school capitation grants) are each 
amended by striking out "beginning after the close of" and inserting in 
lieu thereof "beginning in". 
(4) Section 810(c) (1) (B) of such Act is amended by striking out 
"fiscal" each place it occurs and inserting in lieu thereof "school". 
(5) (A) Section 822 of such Act (relating to nurse practitioner pro-
grams) is amended by— 
(i) inserting after "contracts for programs" in the last sentence 
of subsection (a)(1) the following: "for the training of nurse 
practitioners who will practice in health manpower shortage areas 
(designated under section 332) and"; 
(ii) redesignating subsections (b), (c),and (d) as subsections 
(c), (d), and (e), respectively, and inserting after subsection (a) 
the following: 
" (b) (1) The Secretary may make grants to and enter into contracts 
with schools of nursing, medicine, and public health, public or non-
profit private hospitals, and other nonprofit entities to establish and 
operate traineeship programs to train nurse practitioners who are resi-
dents of a health manpower shortage area (designated under section 
332). 
"(2) Traineeships funded under this subsection shall include 100 
percent of the costs of tuition, reasonable living and moving expenses 
(including stipends), books, fees, and necessary transportation. 
25 u s e 1651. 
"Indians." 
25 u s e 1603. 
25 u s e 1614. 
Ante, p. 392. 
Nursing schools. 
42 u s e 296e. 
42 u s e 296m. 
42 u s e 256. 
Grants and 
contracts. 
91 STAT. 394 
PUBLIC LAW 95-83—AUG. 1, 1977 
Commitment. 
42 use 256. 
42 use 297. 
Effective date. 
42 use 296m 
note. 
42 use 294t 
note. 
Effective date. 
Aliens. 
8 use 1153. 
"(3) A traineeship funded under this subsection shall not be 
awarded unless the recipient enters into a commitment with the Secre-
tary to practice as a nurse practitioner in a health manpower shortage 
area (designated under section 332).". 
(B) Section 830 of such Act (relating to traineeships) is amended— 
(1) by striking out in subsection (a)(2) "(A) for the training 
of nurse practitioners who will practice in health manpower 
shortage areas (designated under section 332), and (B) for 
traineeship programs" ; 
(2) by striking out subsection (b), and 
(3) by redesignating subsection (c) as subsection (b). 
(C) The amendments made by this paragraph shall be effective as 
of October 12,1976. 
(p)(l) Section 408(b)(2) of the Health Professions Education 
Assistance Act of 1976 (Public Law 94—484) (relating to effective 
date of revision of National Health Service Corps Scholarship Pro-
gram) is amended— 
(A) by striking out "Except as provided in subparagraph (B)" 
in subparagraph (A) and inserting in lieu thereof "Except as 
provided in subparagraphs (B) and (C)"; 
(B) in subparagraph (B) by striking out "for any school year" 
and all that follows in such subparagraph and inserting in lieu 
thereof "from appropriations for such Program for any fiscal year 
ending before October 1,1977."; and 
(C) by amending subparagraph (C) to read as follows: 
"(C) If an individual received a scholarship under the Public 
Health and National Health Service Corps Scholarship Program for 
any school year beginning before the date of the enactment of this 
Act, periods of internship or residency served by such individual in 
a facility of the National Health Service Corps or other facility of 
the Public Health Service shall be creditable in satisfying such indi-
vidual's service obligation incurred under that Program for such 
scholarship or for any scholarship received under the National 
Health Service Corps Scholarship Program for any subsequent 
school year. If an individual received a scholarship under the Public 
Health and National Health Service Corps Program for the first 
time from appropriations for such Program for the fiscal year end-
ing September 30, 1977, periods of internship or residency served by 
such individual in such a facility shall be creditable in satisfying such 
individual's service obligation incurred under that Program for such 
scholarship.". 
(2) The amendments made by this subsection shall be effective as 
of October 12, 1976. 
(q)(l) Section 212(a) (32) of the Immigration and Nationality 
Act (8 IJ.S.C. 1182(a)) is amended (A) by inserting after "graduates 
of a medical school" in the first sentence thereof "not accredited by a 
body or bodies approved for the purpose by the Commissioner of Edu-
cation (regardless of whether such school of medicine is in the United 
States", and (B) by amending the second sentence to read as follows: 
"The exclusion of aliens under this paragraph shall apply to prefer-
ence immigrant aliens described in section 203(a) (3) and (6) and to 
nonpreference immigrant aliens described in section 203(a) (8).", 
(2) (A) Section 212(j) (1) (B) of such Act is amended by inserting 
after "that the alien" the following: "(i) is a graduate of a school of 
medicine which is accredited by a body or bodies approved for the 
PUBLIC LAW 95-83—AUG. 1, 1977 
91 STAT. 395 
purpose by the Commissioner of Education (regardless of whether 
such school of medicine is in the United States); or (ii)". 
(B) Section 212(j)(l)(C) of such Act is amended by striking 
out "that upon such completion and return" and all that follows 
through "in that country" and inserting in lieu thereof "that there 
is a need in that country for persons with the skills the alien will 
acquire in such education or training". 
(C) Section 212(j) (1) (D) of such Act is amended (i) by striking 
out "at the request" and inserting in lieu thereof "at the written 
request", and (ii) by striking out clause (i) and redesignating clauses 
(ii) and (iii) as clauses (i) and (ii), respectively. 
(D) Section 212(j)(2)(A) of such Act is amended by striking 
out 
(A) through (D)" and inserting in lieu thereof "(A) and 
(3) Title VI of the Health Professions Educational Assistance Act 
of 1976 is amended by adding at the end thereof the following new 
section: 
8 use 1182. 
'
(
< 
TECHNICAL AND CONFORMING 
AMENDMENTS 
"SEC. 602. (a) For purposes of section 212(a) (32) and section 212 
(j) (1) of the Immigration and Nationality Act (8 U.S.C. 1182), an 
alien who is a graduate of a medical school shall be considered to have 
passed parts I and II of the National Board of Medical Examiners 
Examination if the alien— 
"(1) was on January 9, 1977, a doctor of medicine fully and 
permanently licensed to practice medicine in a State, 
"(2) held on that date a valid specialty certificate issued by a 
constituent board of the American Board of Medical Specialties, 
and 
" (3) was on that date practicing medicine in a State. 
"(b) For purposes of this section, the term 'State' means a State 
as defined in section 101(a) (36) of the Immigration and Nationality 
Act (8 U.S.C. 1101). 
"(c) Section 101(a) (41) of the Immigration and Nationality Act 
is amended (1) by inserting 'a' after 'graduates of and (2) by insert-
ing ', other than such aliens who are of national or international 
renown in the field of medicine' after 'in a foreign state'. 
"(d) This section and the amendment made by subsection (c) are 
effective January 10, 1977, and the amendments made by subsections 
(b) (4) and (d) of section 601 shall apply only on and after January 
10,1978, notwithstanding subsection (f) of such section.". 
(r) Section 707 of the Public Health Service Act (relating to dele-
gation) is amended (1) by striking out the comma following "review" 
in paragraph (1), (2) by striking out "the merit of," in paragraph 
(1), (3) by inserting "(including any application for a continuation 
of such a grant or contract or for modification of such a contract)" 
after "program" in paragraph (1), and (4) by striking out "or enter 
into such a contract" in paragraph (2) and inserting in lieu thereof a 
comma and the following: "enter into such a contract, continue such a 
grant or contract, or modify such a contract". 
SEC. 308. (a) Section 202(d) of the Community Mental Health 
Centers Act (relating to authorizations for planning of community 
mental health center programs) is amended (1) by striking out "and" 
after "1976,", and (2) by striking out "for the fiscal year 1977" and 
inserting in lieu thereof the following: "for the fiscal year ending 
Aliens. 
8 u s e 1182 note. 
"State." 
8 use 1101. 
Effective dates. 
8 u s e 1101 note. 
42 u s e 292g. 
eommunity 
mental health 
centers programs, 
extension. 
42 u s e 2689a. 
91 STAT. 396 
PUBLIC LAW 95-83—AUG. 1, 1977 
42 use 2689b. 
42 use 2689c. 
42 use 2689d. 
42 use 2689h. 
42 use 2689p. 
42 use 2689q. 
42 use 2689b. 
42 use 2689e. 
42 use 701. 
42 use 1396b 
note. 
September 30, 1977, and $1,930,000 for the fiscal year ending on 
September 30, 1978". 
(b) (1) Section 203(d) (1) of such Act (relating to authorizations 
for initial operation) is amended (A) by striking out "and" after 
"1976,", and (B) by striking out "for fiscal year 1977" and inserting 
in lieu thereof the following: "for the fiscal year ending September 30, 
1977, and $38,890,000 for the fiscal year ending September 30, 1978". 
(2) Section 203(d) (2) of such Act (relating to continuation grants) 
is amended (A) by striking out "1977" and inserting in lieu thereof 
"1978", and (B) by striking out "or the next fiscal year" and inserting 
in lieu thereof "or the next two fiscal years". 
(c) Section 204(c) of such Act (relating to authorizations for 
consultation and education services) is amended (1) by striking out 
"and" after "1976,", and (2) by striking out "for fiscal year 1977" 
and inserting in lieu thereof the following: "for the fiscal year ending 
September 30, 1977. and $15,000,000 for the fiscal year ending Sep-
tember 30, 1978". 
(d) Section 205(c) of such Act (relating to authorizations for 
conversion grants) is amended (1) by striking out "and" after "1976,", 
and (2) by striking out "for fiscal year 1977" and inserting in lieu 
thereof the following: "for the fiscal year ending September 30, 1977, 
and $23,000,000 for the fiscal year ending September 30, 1978". 
(e) Section 213 of such Act (relating to authorizations for 
financial 
distress grants) is amended (1) by striking out "and" after "1976,", 
and (2) by striking out "for fiscal year 1977" and inserting in lieu 
thereof the following: "for the fiscal year ending September 30,1977, 
and $13,500,000 for the fiscal year ending September 30,1978,". 
(f) Section 228 of such Act (relating to authorizations for facili-
ties assistance) is amended (1) by striking out "and" after "1976,", 
and (2) by inserting after "1977," the following: "and $2,500,000 for 
the fiscal year ending September 30, 1978,". 
(g) Section 231(d) of such Act (relating to authorizations for rape 
prevention and control) is amended (1) by striking out "and" after 
"1976,", and (2) by striking out "for fiscal year 1977" and inserting 
in lieu thereof the following: "for the fiscal year ending September 30, 
1977, and $7,880,000 for the fiscal year ending September 30, 1978". 
(h) Section 203(e) (1) (A) (i) of such Act (relating to conversion 
grants) is amended by striking out "two grants" and inserting in lieu 
thereof "three grants". 
(i) The last sentence of section 206(d) of such Act (relating to 
general provisions) is amended by striking out "ninetieth" and insert-
ing in lieu thereof "one hundred and twentieth". 
SEC. 309. (a) Section 501 of the Social Security Act (relating to 
authorizations for maternal and child health and crippled children's 
services) is amended (1) by striking out "and" after ''1972,", and (2) 
by striking out "and each fiscal year thereafter" and inserting in lieu 
thereof tlie following: "and for each of the next four fiscal years, and 
$399,864,200 for the fiscal year ending September 30,1978, and for each 
fiscal year thereafter". 
(b)" Section 249B of the Social Security Amendments of 1972 (relat-
ing to compensation under medicaid for nursing home inspectors) is 
amended by striking out "June 30,1977" and inserting in lieu thereof 
"September 30,1980". 
PUBLIC LAW 95-83—AUG. 1, 1977 
91 STAT. 397 
SEC. 310. (a) Section 602(a) (5) of Public Law 94-63 (relating to 
authorizations for home health services) is amended by inserting after 
"1977" the following: ", and $8,000,000 for the fiscal year ending Sep-
tember 30, 1978,". 
(b) Section 602(b)(4) of such Public Law (relating to authori-
zations for home health services training) is amended (1) by striking 
out "and" after "1976,", and (2) by inserting after "1977" the follow-
ing: ", and $4,000,000 for the fiscal year ending September 30, 1978,". 
SEC. 311. (a)(1) Section 303(a) of the Comprehensive Alcohol 
Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act 
of 1970 (relating to State plans) is amended by adding after and below 
paragraph (16) the following: 
"Each State plan shall pertain to the twelve-month period of the State 
fiscal year which commences in the calendar year in which the plan 
is submitted and shall be submitted not later than July 31 of each 
calendar year.". 
(2) Section 303(b) of such Act is amended by adding at the end 
the following: "A State plan submitted under subsection (a) may also 
contain provisions relating to drug abuse or mental health. The Secre-
tary, acting through the National Institute on Alcohol Abuse and 
Alcoholism, shall establish procedures by which the Institute shall 
review each State plan submitted under subsection (a) and under 
which it shall complete its review of each such plan not later than 
September 15 of the calendar year in which the plan is submitted or 
not later than sixty days after the plan is received by the Institute, 
whichever is later.". 
(3) The second isentence of section 409 (e) of the Drug Abuse Office 
and Treatment Act of 1972 (relating to State plans) is amended by 
striking out "commencing October 1 of the calendar year" and insert-
ing in lieu thereof "of the State fiscal year which commences in the 
calendar year". 
(b) (1) The first sentence of section 302(a) of the Comprehensive 
Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabili-
tation Act of 1970 (relating to allotments) is amended by striking out 
"shall be less than $200,000." and inserting in lieu thereof the follow-
ing: "shall, except as provided in paragraph (2), be less than the 
greater of (A) $200,000, or (B) the amount of such State's allotment 
for the fiscal year ending June 30, 1976, unless the amount appropri-
ated under section 301 for allotments for the fiscal year ending June 30, 
1976, was greater than the amount appropriated for the fiscal year for 
which the minimum allotment determination is being made , in whicli 
case the minimum allotment prescribed by this clause shall be an 
amount which bears the same ratio to the amount allotted for the fiscal 
year ending June 30, 1976, as the amount appropriated for the fiscal 
year for which the minimum allotment determination is being made 
beai-s to the amount appropriated for the fiscal year ending June 30, 
1976.". 
(2) Section 302(a) of such Act is further amended by inserting 
"(1)" after "(a)" and by adding at the end the following: 
"(2) If the amount appropriated under section 301 for any fiscal 
year is less than the amount required to make for such fiscal year the 
minimum allotment prescribed by paragraph (1) to each State with an 
approved State plan, the minimum allotment for such fiscal year for 
a State with an approved State plan shall be an amount which bears 
the same ratio to the minimum allotment prescribed by paragraph 
Home health 
services. 
42 u s e 1395x 
note. 
State plans. 
42 u s e 4573. 
Review 
procedures, 
establishment. 
21 u s e 1176. 
42 u s e 4572. 
91 STAT. 398 
PUBLIC LAW 95-83—AUG. 1, 1977 
42 use 4577. 
21 use 1112. 
42 use 210. 
42 use 289k-2 
note. 
Preventive health 
services, model 
standards, 
establishment 
and report to 
eongress. 
42 use 242b 
note. 
International 
health activities, 
study. 
42 use 242/ 
note. 
Reports, 
submittal to 
Secretary and 
congressional 
committees. 
Arrangement 
with National 
Academy of 
Sciences. 
(1) for such State as the amount appropriated under section 301 for 
such fiscal year bears to the amount of appropriations required to 
make the minimum allotment, as so prescribed, to each State Avith an 
approved State plan.". 
(c) Section 311(c) (2) (B) (i) of such Act (relating to review of 
applications) is amended by striking out "his" and inserting in lieu 
thereof "its". 
(d) The second sentence of section 202 of the Drug Abuse Office 
and Treatment Act of 1972 (relating to the Director of the Office of 
Drug Abuse Policy) is amended by striking out "any other depart-
ment or agency of the United States" and inserting in lieu thereof 
"any department or agency of the United States engaged in any drug 
traffic prevention function (as defined in section 103)". 
SEC. 312. Section 208(g) of the Public Health Service Act is 
amended by (1) striking out "fifty" and inserting in lieu thereof 
"fifty-five", and (2) inserting after "National Institutes of Health" 
the following: "and not less than five shall be for the National Insti-
tute on Alcohol Abuse and Alcoholism for individuals engaged in 
lesearch on alcohol abuse and alcoholism". 
SEC. 313. Section 603(b) of Public Law 94-63 is amended by strik-
ing out "Not later than 2 years from the date of enactment of this 
Act" and inserting in lieu thereof "Not later than August 30, 1977,'". 
SEC. 314. The Secretary of Health, Education, and Welfare, in coop-
eration with appropriate professional entities and individuals, shall 
within two years of the date of the enactment of this section (1) 
establish model standards with respect to preventive health services in 
communities, and (2) report such standards to the Congress. Such 
standards shall be developed to identify populations in need of preven-
tive or protective health services and to maintain comnmnity oriented 
preventive health programs. 
SEC. 315. (a) (1) The Secretary of Health, Education, and Welfare 
(hereinafter in this section referred to as "Secretary") shall arrange 
for tlie conduct of a study or studies to determine opportunities, if any, 
for broadened Federal program activities in areas of international 
health. Such study or studies shall consider biomedical and behavioral 
research, health services research, health professions education, immu-
nization and public health activities, and other areas that might 
improve our and other nations' capacities to prevent, diagnose, control, 
or cure disease, and to organize and deliver effective and efficient health 
services. 
(2) An interim report on such study or studies shall be completed 
no later than October 1, 1977. A final report thereon shall be com-
pleted no later than January 1, 1978. Both reports shall be submitted 
to the Secretary, the Committee on Human Resources of the Senate, 
and the Committee on Interstate and Foreign Commerce of the House 
of Representatives. 
(b) (1) The Secretary shall request the National Academy of Sci-
ences (hereinafter in this section referred to as "Academy") to con-
duct such study or studies under an arrangement whereby the actual 
expenses incurred by the Academy directly related to the conduct of 
such study or studies will be paid by the Secretary. If the Academy is 
willing to do so, the Secretary shall enter into such an arrangement 
with the Academy. 
PUBLIC LAW 95-83—AUG. 1, 1977 
91 STAT. 399 
(2) If the Academy is unwilling to conduct one or more of such 
studies under such an airangement, then the Secretary shall enter into 
a similar arrangement with other appropriate nonprofit private groups 
or associations to conduct such study or studies and prepare and submit 
the reports thereon as provided in subsection (a)(2). 
Approved August 1, 1977. 
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LEGISLATIVE HISTORY: 
HOUSE REPORTS: No. 95-117, No. 95-116 accompanying H.R. 4974, and No. 
95-118 accompanying H.R. 4976 (all from Comm. on Interstate 
and Foreign Commerce) and No. 95-500 (Comm. of Conference). 
SENATE REPORTS: No. 95-102 (Comm. on Human Resources) and No. 95-349 
(Comm. of Conference). 
CONGRESSIONAL RECORD, Vol. 123 (1977): 
Mar. 31, considered and passed House; H.R. 4974 and H.R. 4976 considered 
and passed House. 
May 4, considered and passed Senate, amended. 
May 11, House agreed to Senate amendment with an amendment. 
July 15, Senate agreed to conference report. 
July 20, House agreed to conference report.