An Act to amend the Public Health Service Act to extend and improve the programs relating to the training of nursing and other health professions and allied health professions personnel, the program relating to student aid for such personnel, and the program relating to health research facilities, and for other purposes.
PL 90-490 (S.3095), enacted 08/16/1968

82 STAT. ] 
PUBLIC LAW 90-490-AUG. 16, 1968 
773 
Public Law 90-490 
AN ACT 
August 16, 1968 
To amend the Public Health Service Act to extend and improve the programs 
[s.309£j 
relating to the training of nursing and other health professions and allied 
health professions personnel, the program relating to student aid for such 
personnel, and the program relating to health research facilities, and for other 
purposes. 
Be it enacted hy the Senate and House of Representatives 
of the 
United States of America in Congress assembled. That this Aot may 
Health Man-
, 
. 
. 
. 
//T-r 
1,1 -«r 
» 
/•ir>/>o«" 
power Act of 
be cited as the "Health Manpower Act oi 1958 . 
igeg. 
SEC. 2. As used in the amendments made by this Act, the term 
"Secretary", unless the context otherwise requires, means the Secretary 
of Health, Education, and Welfare. 
TITLE I—HEALTH PROFESSIONS TRAINING 
PART A—CONSTRUCTION GRANTS 
EXTENSION OF CONSTRUCTION AUTHORIZATIONS 
SEC. 101. (a) Section 720 of the Public Health Service Act (42 
U.S.C. 293) is amended by inserting after and below clause (3) of the 
79 stat. io56. 
first sentence thereof the following new sentence: "For such grants 
there are also authorized to be appropriated $170,000,000 for the fiscal 
year ending June 30, 1970, and $225,000,000 for the next fiscal year." 
(b) (1) Such section 720 is further amended by striking out "Sums 
so appropriated shall remain available until expended." and by adding 
at the end of such section the following: "Sums so appropriated for 
any fiscal year shall remain availaJble for obligation through the close 
of the next fiscal year." 
(2) The amendments made by this subsection shall apply only with 
respect to appropriations for fiscal 3'ears ending after June 30, 1969, 
FEDERAL SHARE 
SEC. 102. (a) Subsection (a) (1) of section 722 of the Public Health 
Service Act (42 U.S.C. 293b) is amended by striking out "such amount 
77 stat. les. 
may not exceed 50 per centum" and inserting in lieu thereof "such 
amount may not, except where the Secretary determines that ususual 
circumstances make a larger percentage (which in no case may exceed 
66% per centum) necessary in order to effectuate the purposes of this 
part, exceed 50 per centum". 
(b) The amendment made by this section shall apply in the case of 
projects for which grants are made from appropriations for fiscal years 
ending after June 30,1969. 
L E N G T H A N D CHARACTER OF FEDERAL RECOVERY INTEREST IN FACILITIES 
SEC. 103. (a) (1) Clause (b) of section 723 of the Public Health 
Service Act (42 U.S.C. 293c) is amended to read as follows: 
"(b) the facility shall cease to be used for the teaching purposes 
(and the other purposes permitted under section 722) for which 
it was constructed, unless the Secretary determines, in accordance 
with regulations, that there is good cause for releasing the appli-
cant or other owner from the obligation to do so,". 
(2) So much of such section 723 of such Act as precedes clause (a) 
is amended by striking out "ten" and inserting in lieu thereof "twenty". 
774 
PUBLIC LAW 90-490-AUG. 16, 1968 
[82 STAT. 
42 u s e 293-
293h. 
70 Stat. 717. 
42 u s e 292-
77 Stat. 166. 
^ (3) dause (A) of section 721(c) (2) of such Act (42 U.S.C. 293a) 
is amended to read: " (A) the facility is intended to be used for the pur-
poses for which the application has been made,". 
(b) The amendments made by subsection (a) (1) and (2) shall 
apply in the case of facilities for which a grant has been or is in the 
future made under part B of title VII of the Public Health Service 
Act. The amendment made by subsection (a) (3) shall apply in the case 
of assurances given after the date of enactment of this Act under such 
part B. 
GRANTS FOR MULTIPURPOSE 
FACILITIES 
SEC. 104. (a) Section 722 of the Public Health Service Act (42 
U.S.C. 293b) is further amended by adding at the end thereof the 
following new subsection: 
" (d) In the case of a project for construction of facilities which are 
primarily (as determined in accordance with regulations of the Secre-
tary) for teaching purposes and for which a grant may be made under 
this part, but which also are for research purposes, or research and 
related purposes, in the sciences related to health (within the meaning 
of part A of this title) or for medical library purposes (within the 
29^2!."" ^^^ 
meaning of part I of title I I I ) , the project shall, insofar as all such 
^^ us^c ^°ob 
purposes are involved, be regarded as a project for facilities with 
280b-ii. 
respect to which a grant may be made under this part." 
(b) The amendment made by subsection (a) shall apply in the case 
of projects for which grants are made under part B of title VII of 
the Public Health Service Act from appropriations for fiscal years 
ending after June 30,1969. 
GRANTS FOR CONTINUING AND ADVANCED EDUCATION 
FACILITIES 
SEC. 105. (a) Paragraph (3) of section 721(c) of the Public 
Health Service Act (42 U.S.C. 293a) is amended by inserting before 
the semicolon at the end thereof the following-: "(and, for purposes of 
this part, expansion or curtailment of capacity for continuing educa-
tion shall also be considered expansion and curtailment, respectively, 
of training capacity)". 
(b) Subsection (d) of section 721 of sucli Act is amended by insert-
ing "(other than a project for facilities for continuing education)" 
after "an existing school" in paragraph (1) (A) and after "a school" 
in paragraph (1) (B). 
(c) Section 724(4) of such Act is amended by inserting before 
the semicolon at the end thereof: ", and including advanced training 
related to such training provided by any such school". 
(d) The amendments made by this section shall apply in the case 
of projects for which grants are made under part B of title VII of 
the Public Health Service Act from appropriations for fiscal years 
ending after June 30, 1969, 
PART B—INSTITUTIONAL AND SPECIAL PROJECT GRANTS FOR TRAINING 
OF HEALTH PROFESSIONS PERSONNEL 
SEC. 111. (a) Sections 770, 771, and 772 of the Public Health Serv-
ice Act (42 U.S.C. 295f, 295f-l, 295f-2) are amended to read as 
follows: 
"AUTHORIZATION FOR APPROPRIATIONS 
"SEC. 770. (a) There are authorized to be appropriated $117,-
000,000 for the fiscal year ending June 30, 1970, and $168,000,000 for 
the fiscal year ending June 30, 1971, for institutional grants under 
section 771 and special project grants under section 772. 
77 Stat. 169. 
42 u s e 293d. 
79 Stat. 1052. 
82 STAT. ] 
PUBLIC LAW 90-490-AUG. 16, 1968 
775 
"(b) The portion of the sums so appropriated for each fiscal year 
which shall be available for grants under each such section shall be 
determined by the Secretary unless otherwise provided in the Act or 
Acts appropriating such sums for such year. 
'INSTITUTIONAL GRANTS 
Distribution. 
"SEC. 771. (a)(1) The sums available for grants under this sec-
tion from appropriations under section 770 for the fiscal year ending 
June 30, 1970, and for the next fiscal year shall be distributed to the 
schools of medicine, dentistry, osteopathy, pharmacy, optometry, vet-
erinary medicine, and podiatry with approved applications as follows: 
Each school shall receive $25,000; and of the remainder— 
"(A) 75 per centum shall be distributed on the basis of— 
"(i) the relative enrollment of full-time Students for such 
year, and 
"(ii) the relative increase in enrollment of such students 
for such year over the average enrollment of such school for 
the five school years preceding the year for which the appli-
cation is made; 
with the amount per full-time student so computed that a school 
receives twice as much for each such student in the increase as 
for other full-time students, and 
"(B) 25 per centum shall be distl^buted on the basis of the 
relative number of graduates for such y^ar. 
In computing the increase under clause (a) (ri) of the preceding sen-
tence for any school, there shall be excluded a number equal to the 
increase required by subsection (b) (1) (except in the case of a school 
to which the third sentence of such subsection applies). 
"(2) For the fiscal years ending June 30, 1970, and June 30, 1971, 
only, the sum computed under paragraph (1) for any school which is 
less than the amount such school received under this section for the 
fiscal year ending June 30, 1969, shall be increased to that amount, 
the total of the increases thereby required being derived by proportion-
ately reducing the sums computed under such paragraph (1) for the 
remaining schools, but with such adjustments as may be necessary to 
prevent the sums computed for any of such remaining schools from 
being reduced to less than the amount it received for such fiscal year 
ending June 30,1969, under this section, 
"(b) (1) The Secretary shall not make a grant under this section 
Enrollment in 
to any school unless the application for such grant contains or is "ent.^ require-
supported by reasonable assurances that for the first school year begin-
ning after the fiscal year for which such grant is made and each 
school year thereafter during which such a grant is made the first-
year enrollment of full-time students in such school will exceed the 
average of the first-year enrollments of such students in such school 
for the tw^o school years having the highest such enrollment during 
tlie five school years during the period of July 1, 1963, through June 
30, 1968, by at least 2i/^ per centum of such average first-year enroll-
ments, or by five students, whichever is greater. The requirements of 
this paragraph shall be in addition to the requirements of section 
721(c) (2) (D) of this Act, where applicable. The Secretary is author- 
77 stat. lee. 
ized to waive (in whole or in part) the provisions of this paragraph 
waiver. ^'*^^ 
if he determines, after consultation with the National Advisory Coun-
cil on Health Professions Educational Assistance, that the required 
increase in first-year enrollment of full-time students in a school can-
not, because of limitations of physical facilities available to the school 
for training, be accomplished without lowering the quality of training 
provided therein. 
776 
Limitation. 
PUBLIC LAW 90-490-AUG. 16, 1968 
[82 STAT. 
Post, p. 779. 
"Full-time 
students." 
79 Stat. 1053. 
"(2) Notwithstanding the preceding provisions of this section, no 
grant under this section to any school for any fiscal year may exceed 
the total of the funds from non-Federal sources expended (excluding 
expenditures of a nonrecurring nature) by the school during the pre-
ceding year for teaching purposes (as determined in accordance with 
criteria prescribed by the Secretary), except that this paragraph 
shall not apply in the case of a school which has for such year a 
particular year-class which it did not have for the preceding year 
or in the case of Howard University. 
"(c) (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 determination, and shall 
include methods of making such determinations 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, bachelor of science in phar-
macy, or doctor of pharmacy, doctor of optometry or an equivalent 
degree, doctor of veterinary medicine or an equivalent degree, or doctor 
of podijatry or an equivalent degree. 
u 
SPECIAL PROJECT GRANTS 
"SEC. 772. Grants may be made, from sums available therefore from 
appropriations under section 770 for the fiscal year ending June 30, 
1970, and for the next fiscal year, to assist schools of medicine, den-
tistry, osteopathy, pharmacy, optometry, podiatry, and veterinary 
medicine in meeting the cost of special projects to plan, develop, or 
establish new programs or modifications of existing programs of edu-
cation in such health professions or to effect significant improvements 
in curriculums of any such schools or for research in the various fields 
related to education in such health professions, or to develop training 
for new levels or types of health professions personnel, or to assist any 
such schools which are in serious financial straits to meet their costs 
of operation or w^hich have special need for financial assistance to meet 
the accreditation requirements, or to assist any such schools to meet the 
costs of planning experimental teaching facilities or experimental 
design thereof, or which will otherwise strengthen, improve, or expand 
programs to train personnel in such health professions or help to 
increase the supply of adequately trained personnel in such health pro-
fessions needed to meet the health needs of the Nation." 
(b) (1) Subsection (a) of section 773 of such Act (42 U.S.C. 295f-3 
is amended by striking out "basic or special grants under section 771 
or 772" and inserting in lieu thereof "grants under section 771 or 772". 
(2) Subsection (b) (1) of such section is amended by inserting 
before "or podiatry" the following: "pharmacy, veterinary medicine,". 
(3) Subsection (c) of such section is amended by striking out 
"National Advisory Council on Medical, Dental, Optometric, and 
Podiatric Education" and inserting in lieu thereof "National Advisory 
Council on Health Professions Educational Assistance". 
(4) Subsection (d) (2) of such section is amended by inserting 
"(excluding expenditures of a nonrecurring nature)" after "for such 
purpose". 
82 STAT. ] 
PUBLIC LAW 90-490-AUG. 16, 1968 
777 
Priorities. 
(5) Subsection (e) of such section is amended to read as follows: 
"(e) In determining priority of projects applications for which 
are filed under section T72, the Secretary shall give consideration to— 
"(1) the extent to which the project will increase enrollment 
of full-time students receiving the training for which grants are 
authorized under this part; 
"(2) the relative need of the applicant for financial assistance 
to maintain or provide for accreditation or to avoid curtailing 
enrollment or reduction in the quality of training provided; and 
"(3) the extent to which the pi-oject may result in curriculum 
improvement or improved methods of training or will help to 
reduce the period of required training without adversely affecting 
the quality thereof." 
(c) (1) Section 774(a) of such Act is amended by striking out "and 
79 sta^. io54^ 
podiatric education" and inserting in lieu thereof "podiatric, phar- 
'^^ 
2 - • 
maceutical, and veterinary education". 
(2) Such section 774(a) is further amended by striking out 
"twelve" and inserting in lieu thereof "fourteen", and by striking out 
"National Advisory Council on Medical, Dental, Optometric, and 
Podiatric Education" and inserting in lieu thereof "National Advisory 
Council on Health Professions Educational Assistance". 
(3) The heading of section 774 is amended to read: 
"NATIONAL ADVISORY COUNCIL ON HEALTH PROFESSIONS EDUCATIONAL 
ASSISTANCE" 
(4) Section 780(d) of such Act is amended by striking out 
"
^
2 use 295g. 
"National Advisory Council on Medical, Dental, Optometric, and 
Podiatric Education" and inserting in lieu thereof "National Advisory 
Council on Health Professions Educational Assistance". 
(d) The amendments made by this section shall apply with respect 
Effective date. 
to appropriations for fiscal years ending after June 30,1969. 
(e) Effective only with respect to appropriations for the fiscal year 
ending June 30,1969, section 772 of such Act is amended (1) by striking 
J^ ^
*
g
^
^
- ^^^^-^ 
out subsection (c), and (2) by inserting before the period at the end of 
subsection (b) the following: ", or (3) to plan for special projects for 
which grants are authorized under this section as amended by the 
Health Manpower Act of 1968". 
PART C—STUDENT AID 
STUDENT LOANS 
SEC. 121. (a) (1) Clauses (2) and (3) of section 740(b) of the Pub-
lic Health Service Act (42 U.S.C. 294) are each amended by inserting 
77 stat. 171. 
", except as provided in section 746," after "fund" the first time it 
appears therein. 
(2) Section 740(b) (4) of such Act is amended by striking out 
"1969" and inserting in lieu thereof "1971". 
(3) Section 741(c) of such Act (42 U.S.C. 294a) is amended by 
striking out "three vears" the first time it appears therein and insert-
ing in lieu thereof "one year" and by adding before the period at the 
end thereof "; and periods (up to five years) of advanced professional 
training including internships and residencies)". 
(4) Section 741(e) of such Act is amended to read as follows: 
"(e) Such loans shall bear interest, on the unpaid balance of the 
loan, computed only for periods for which the loan is repayable, at 
the rate of 3 per centum per year". 
(5) (A) Section 741 of such Act is further amended by adding at 
the end thereof the following new subsections: 
79 Stat. 10S7. 
778 
PUBLIC LAW 90-490-AUG. 16, 1968 
[82 STAT. 
Late payment, 
penalty. 
Minimum pay-
ment. 
77 Stat. 171. 
42 u s e 294. 
Appropriation. 
79 Stat. 1057. 
80 Stat. 1232. 
"(j) Subject to regulations of the Secretary, a school may assess 
a charge with respect to a loan made under this part for failure of the 
borrower to pay all or any part of an installment when it is due and, 
in the case of a borrower who is entitled to deferment of the loan under 
subsection (c) or cancellation of part or all of the loan under subsec-
tion (f), for any failure to file timely and satisfactory evidence 
of such entitlement. The amount of any such charge may not exceed 
$1 for the first month or part of a month by which such installment 
or evidence is late and $2 for each such month or part of a month there-
after. The school may elect to add the amount of any such charge to 
the principal amount of the loan as of the first day after the day on 
which such installment or evidence was due, or to make the amount 
of the charge payable to the school not later than the due date of the 
next installment after receipt by the borrower of notice of the assess-
ment of the charge. 
"(k) A school may provide, in accordance with regulations of the 
Secretary, that during the repayment period of a loan from a loan fund 
established pursuant to an agreement under this part payments of 
principal and interest by the borrower with respect to all the outstand-
ing loans made to him from loan funds so established shall be at a 
rate equal to not less than $15 per month." 
(B) Subsection (b) (2) of section 740 of such Act is further 
amended by striking out "and (D)" and inserting in lieu thereof "(D) 
collections pursuant to section 741 (j), and (E)". 
(b) (1) The first sentence of subsection (a) of section 742 of such 
Act (42 U.S.C. 294b) is amended by striking out "and" before 
"$25,000,000" and by inserting before the period at the end thereof 
", and $35,000,000 each for the fiscal year ending June 30, 1970, and 
the next fiscal year". 
(2) The third sentence of such subsection is amended by striking 
out "1970" and "1969" and inserting in lieu thereof "1972" and "1971", 
respectively. 
(3) The fourth sentence of such subsection is amended by striking 
out "and" before "(2)" and by inserting before the period at the 
end thereof ", and (3) for transfers pursuant to section 746". 
(c) Section 743 of such Act (42 U.S.C. 294c) is amended by strik-
ing out "1972" each place it appears therein and inserting in lieu 
thereof "1974". 
(d) (1) Section 744(a) (1) of such Act (42 U.S.C. 294d) is amended 
by inserting "and each of the next three fiscal years," after "1968,". 
(2) Section 744(c) of such Act is amended by striking out 
"$35,000,000" and inserting in lieu thereof "$45,000,000". 
(e) Part C of title VII of such Act (42 U.S.C. 294, et seq.) is further 
amended by adding at the end thereof the following new section: 
'TRANSFER OF FUNDS TO SCHOLARSHIPS 
Post, 
p. 779. 
80 Stat. 1232. 
Effective dates. 
"SEC. 746. Not to exceed 20 per centum of the amount paid to a school 
from the appropriations for any fiscal year for Federal capital con-
tributions under an agreement under this part, or such larger per-
centage thereof as the Secretary may approve, may be transferred to 
the sums available to the school under part F of this title to be used 
for the same purpose as such sums. In the case of any such transfer, 
the amount of any funds which the school deposited in its student loan 
fund pursuant to section 740(b) (2) (B) with respect to the amount 
so transferred may be withdrawn by the school from such fund." 
(f) The amendments made by subsections (a)(1), (b)(3), and (e) 
shall apply with respect to appropriations for fiscal years ending 
after June 30, 1969. The amendment made by subsection (a) (3) 
shall apply (1) with respect to all loans made under an agreement 
82 STAT. ] 
PUBLIC LAW 90-490-AUG. 16, 1968 
779 
under part (C) of title VII of the Public Health Service Act after 
June 30, 1969, and (2) with respect to loans made thereunder before 
July 1, 1969, to the extent agreed to by the school which made the 
loans and the Secretary (but, then, only as to years beginning after 
June 30, 1969). The amendment made by subsection (a) (4) and (5) 
shall apply with respect to loans made after June 30, 1969. 
SCHOLARSHIPS 
SEC. 122. (a) Subsection (a) of section 780 of the Public Health 
Service Act (42 U.S.C. 295g) is amended by striking out "or phar- 
79 stat. loss. 
macy" and inserting in lieu thereof "pharmacy, or veterinary medi-
cine". The heading of such section is amended by striking out "OR 
PHARMACY" and inserting in lieu thereof "PHARMACY, OR VETERINARY 
MEDICINE". 
(b) Subsection (b) of such section is amended by inserting "and 
each of the next two fiscal years" after "1969," in the first sentence 
and by striking out "1970" and "1969" and inserting in lieu thereof 
"1972" and "1971", respectively, in the second sentence. 
(c) (1) Paragraph (1) of subsection (c) of such section is amended 
by inserting "and each of the next two fiscal years" after "1969" in 
clause (D) and by striking out "1969" and "1970" in clause (E) and 
inserting in lieu thereof "1971" and "1972", respectively. 
(2) The first sentence of paragraph (2) of such subsection (c) is 
amended by striking out "from low-income families who, without 
such financial assistance could not" and inserting in lieu thereof "of 
exceptional financial need who need such financial assistance to". 
(d) Part F of title VII of the Public Health Service Act is further 
amended by inserting after section 780 the following new section: 
«
< 
TRANSFER TO STUDENT LOAN 
FUNDS 
"SEC. 781. Not to exceed 20 per centum of the amount paid to a 
school from the appropriations for any fiscal year for scholarships 
under this part, or such larger percentage thereof as the Secretary 
may approve, may be transferred to the sums available to the school 
under part C for (and to be regarded as) Federal capital contribu-
tions, to be used for the same puipose as such sums." 
(e) The amendment made by subsections (a), (b), (c) (1), and (d) 
Effective dates. 
shall apply with respect to appropriations for fiscal years ending June 
30,1969. The amendments made by subsection (c) (2) shall apply with 
respect to scholarships from appropriations for fiscal ysars ending 
after June 30,1969. 
PART D—MISCELLANEOUS 
-. 
STUDY OF S C H O O L AID AND STUDENT AID PROGRAMS 
SEC. 131. The Secretary shall, in consultation with the Advisory ^en^ and c°ori''-^^'" 
Councils established by sections 725 and 774, prepare, and submit to gress. 
the President and the Congress prior to July 1, 1970, a report on the 
^^ use 293e. 
administration of parts B, C, E, and F of title VII of the Public Health 
" ^' P- ' ^ • 
Service Act, an appraisal of the programs under such parts in the light 
/
^
^
^ ^ogsf-ll' 
of their adequacy to meet the long-term needs for health professionals, 
^' 
^ 
and his recommendations as a result thereof. 
780 
PUBLIC LAW 90-490-AUG. 16, 1968 
[82 STAT. 
TITLE II—NUESE TEAINING 
PART A—CONSTRUCTION GRANTS 
EXTENSION OF CONSTRUCTION AUTHORIZATION 
SEC. 201. (a) Section 801 of the Public Health Service Act (42 
78 Stat. 908. 
XJ.S.C. 296) is amended to read as follows: 
"SEC. 801. (a) There are authorized to be appropriated, for grants 
to assist in the construction.of new facilities for collegiate, associate 
degree, or diploma schools of nursing, or replacement or rehabilitation 
of existing facilities for such schools, $25,000,000 for the fiscal year 
ending June 30,1970, and $35,000,000 for the fiscal year ending June 30, 
1971. 
"(b) Sums appropriated pursuant to subsection (a) for a fiscal year 
shall remain available for obligation through the close of the next 
fiscal year." 
(b) Section 802(a) of such Act (42 U.S.C. 296a) is amended by 
strikmg out "July 1,1968" and insertmg in lieu thereof "July 1,1970 . 
FEDERAL SHARE 
SEC. 202. Section 803(a) of the Public Health Service Act (42 
U.S.C. 296b) is amended by striking out "may not exceed 50 per 
centum" in clause (B) and inserting m lieu thereof "may not, except 
where the Secretary determines that, unusual circumstances make a 
larger percentage (which may in no case exceed 66% per centum) 
necessary in order to effectuate the purposes of this part, exceed 50 
per c^tum". 
INCLUSION OF TRUST TERRITORY 
SEC. 203. Section 843(a) of the Public Health Service Act (42 
U.S.C. 298b) is amended by striking out "or the Virgin Islands" and 
inserting in lieu thereof "the Virgin Islands, or the Trust Territory 
of the Pacific Islands". 
AMENDMENT OF DEFINITION OF COLLEGIATE SCHOOL OF NURSING 
SEC. 204. Section 843(c) of the Public Health Service Act is 
amended by inserting before the period at the end thereof ", and 
including advanced training related to such program of education 
provided by such school". 
EFFECTIVE DATE 
SEC. 205. The amendments made by sections 201 and 204 shall apply 
with respect to appropriations for fiscal years ending after Jime 30, 
1969. 
PART B—SPECIAL PROJECT AND INSTITUTIONAL GRANTS TO SCHOOLS OP 
' 
NURSING 
SPECIAL P R O J E C T AND INSTITUTIONAL GRANTS 
SEC. 211. Sections 805 and 806 of the Public Health Service Act (42 
U.S.C. 296d, 296e) are amended to read as follows: 
82 STAT. ] 
PUBLIC LAW 90-490-AUG. 16, 1968 
781 
"IMPROVEMENT I N NURSE TRAINING 
"SEC. 805. (a) From the sums available therefor from appropria-
tions under section 808 for the fiscal year ending June 30, 1970, and 
the next fiscal year, grants may be made to assist any public or non-
profit private agency, organization, or institution to meet the cost of 
special projects to plan, develop, or establish new programs or modifi-
cations of existing programs of nursing education or to effect signifi-
cant improvements in curriculums of schools of nursing or for research 
in the various fields of nursing education, or to assist schools of nurs-
ing which are in serious financial straits to meet their costs of opera-
tion or to assist schools of nursing which have special need for 
financial assistance to meet accreditation requirements, or to assist in 
otherwise strengthening, improving, or expanding programs of nurs-
ing education, or to assist any such agency, organization, or institution 
to meet the costs of other special projects which will help to increase 
the supply of adequately trained nursing personnel needed to meet 
the health needs of the Nation. 
"(b) In determining priority of projects for which applications 
are filed under subsection (a), the Secretary shall give priority in the 
following order: 
" (1) the relative need of the applicant (if a school of nursing) 
for financial assistance to continue in operation or avoid curtail-
ing enrollment or reduction in the q^uality of training provided; 
"(2) the special need of the applicant for financial assistance 
in connection with its merger with a school of nursing; 
"(3) the relative need of the applicant for financial assistance 
to maintain or provide for accreditation as a school of nursing; 
and 
"(4) the extent to which the project will increase enrollment 
of full-time students receiving nursing training. 
Priorities. 
;; 
INSTTTimOJfAli GRANTS 
"SEC. 806. (a) The sums available for grants under this section from 
appropriations under section 808 for the fiscal year ending June 30, 
1970, and the next fiscal year shall be distributed to the schools with 
approved applications as follows: Each school shall receive $15,000; 
and of the remainder— 
" (A) 75 per centum shall be distributed on the basis of— 
"(i) the relative enrollment of full-time students for such 
year, and 
"(ii) the relative increase in enrollment of such students 
for such year over the average enrollment of such school for 
the five school years preceding the year for which the applica-
tion is made; 
with the amount per full-time student so computed that a school 
receives twice as much for each such student in the increase as for 
other full-time students, and 
"(B) 25 per centum shall be distributed on the basis of the 
relative number of graduates for such year. 
In computing the increase under clause (A) (ii) of the preceding sen-
tence for anj^ school, there shall be excluded a number equal to the 
increase required by subsection (b) (except in the case of a school to 
which the third sentence of such subsection applies). 
" (b) The Secretary shall not make a grant under this section to any 
school from any appropriation for a fiscal year ending after June 30, 
1970, unless the application for such grant contains or is supported by 
reasonable assurances that for the first school year beginning after the 
fiscal year for which such grant is made and each school year thereafter 
Distribution. 
Enrollment in-
crease require-
ment. 
782 
PUBLIC LAW 90-490-AUG. 16, 1968 
[82 STAT. 
78 Stat. 909. 
42 u s e 296a. 
Waiver. 
Post, 
pp. 785, 
786. 
"Full-time 
students." 
during which such a grant is made the first-year enrollment of full-
time students in such school will exceed the average of the first-year 
enrollment of such students in such school for the two school years hav-
ing the highest such enrollment during the five school years during the 
period of July 1, 1963, through June 30, 1968, by at least 21^^ per 
centum of such average first-year enrollment, or by five students, 
whichever is greater. The requirements of this subsection shall be in 
addition to the requirements of section 802(b)(2)(D) of this Act, 
where applicable. The Secretary is authorized to waive (in whole or in 
part) the provisions of this subsection if he determines, after consulta-
tion with the National Advisory Council on Nurse Training, that the 
required increase in first-year enrollment of full-time student? in a 
school cannot, because of limitations of physical facilities available to 
the school for training, be accomplished without lowering the quality 
of training provided therein. 
"(c) (1) For the purposes of this part and part D, 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 from a school, 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 particular year-class in a school, 
or were graduates from a school in earlier years, as the case may be, or 
on such basis as he deems appropriate for making such determination, 
and shall include methods of making such determination when a school 
or a year-class was not in existence m an earlier year at a school. 
"(2) For purposes of this part and j)art D, the term 'full-time stu-
dents' (whether such term is used by itself or in connection with a 
particular year-class) means students pursuing a full-time course of 
study in an accredited program in a school of nursing." 
CONDITIONS OF ELIGIBILITY 
42 u s e 296-
296e. 
SEC. 212. Part A of title VIII of the Public Health Service Act is 
amended by adding at' the end thereof the following new sections: 
a APPLICATIONS FOR GRANTS 
"SEC. 807. (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 under section 805 or 806 for any fiscal 
year must be filed. 
"(b) The Secretary shall not approve or disapprove any application 
for a grant under this part except after consultation with the National 
Advisory Council on Nurse Training. 
"(c) A grant under section 805 or 806 may be made only if the appli-
cation therefor— 
" (1) is from a public or nonprofit private school of nursing, or, 
in the case of grants under section 805, a public or nonprofit 
private agency, organization, or institution; 
"(2) contains or is supported by assurances satisfactory to the 
Secretary that the applicant will expend in carrying out its func-
tions as a school of nursing, during the fiscal year for which such 
grant is sought, an amount of funds (other than funds for con-
struction as determined by the Secretary) from non-Federal 
sources which are at least as great as the average amount of funds 
expended by such applicant for such purpose (excluding expendi-
tures of a nonrecurring nature) in the three fiscal years imme-
diately preceding the fiscal year for which such grant is sought; 
" (3) contains such additional information as the Secretary may 
82 STAT. ] 
PUBLIC LAW 90-490-AUG. 16, 1968 
require to make the determinations required of him under this 
part and such assurances as he may find necessaiy to carry out 
the purposes of this part; and 
"(4) provides for such fiscal control and accounting proce-
dures and reports, and access to the records of the applicant, as 
the Secretary may require to assure proper disbursement of and 
accounting for Federal funds paid to the applicant under this 
part. 
"AUTHORIZATION FOR APPROPRIATIOXS 
"SEC. 808. (a) There are authorized to be appropriated $35,000,000 
for the fiscal year ending June 30, 1970, and $40,000,000 for the fiscal 
year ending June 30, 1971, for improvement grants under section 805 
and institutional grants under section 806. 
"(b) Of the sums appropriated under subsection (a) of this section 
$15,000,000 shall be available for each of the fiscal years ending 
June 30,1970, and June 30,1971, for grants under section 805." 
CONFORMING 
CHANGE 
SEC. 213. Clause (2) of section 843(f) of the Public Health Serv-
ice Act (42 U.S.C. 298b) is amended to read: "(2) in the case of a 
school applying for a grant under section 806 for any fiscal year, prior 
to the beginning of the first academic year following the normal 
graduation date of the class which is the entering class for such fiscal 
year (or is the first such class in such year if there is more than one);". 
EFFECTIVE DATE 
SEC. 214. The amendments made by the preceding provisions of this 
part shall apply with respect to appropriations for fiscal years ending 
after June 30, 1969. 
783 
PLANNING FOR FISCAL YEAR 
1 9 6 9 
SEC. 215. Effective only with respect to appropriations for the fiscal 
year ending June 30, 1969, section 805(a) of the Public Health Serv-
ice Act is amended by inserting at the end thereof the following new 
sentence: "Appropriations under this section shall also be available 
for grants for plamiing special projects for which grants are author-
ized under this section as amended by the Health Manpower Act of 
1968." 
78 Stat. 912. 
42 u s e 296d. 
PART C—STUDENT AID 
ADVANCED TRAINING 
SEC. 221. Section 821(a) of the Public Health Service Act (42 
U.S.C. 297) is amended by striking out "and" before "$12,000,000" 
and by inserting "$15,000,000 for the fiscal year ending June 30, 
1970, and $19,000,000 for the fiscal year ending June 30, 1971," after 
"1969," 
STUDENT LOANS 
Appropriation. 
SEC. 222. (a)(1) Clauses (2) and (3) of section 822(b) of the 
Public Health Service Act (42 U.S.C. 297a) are each amended by 
inserting ", except as provided in section 829," after "fund" the first 
time it appears therein. 
(2) Section 822(b)(4) of such Act is amended by striking out 
"1969" and inserting in lieu thereof "1971". 
(b) (1) Section 823(a) of such Act (42 U.S.C. 297b) is amended by 
striking out "$1,000" and inserting in lieu thereof "$1,500", by insert-
784 
PUBLIC LAW 90-490-AUG. 16, 1968 
[82 STAT. 
78 Stat. 914. 
42 u s e 297b. 
79 Stat. 1058. 
Late payment, 
penalty. 
Minimum pay-
ment. 
42 u s e 297a. 
Appropriation. 
ing "to licensed practical nurses and" immediately after "preference", 
and by inserting after the first sentence the following new sentence: 
"The aggregate of the loans for all years from such funds may not 
exceed $6,000 in the case of any student.". 
(2) Section 823(b) (2) of such Act is amended by (A) striking out 
"one year" and inserting in lieu thereof "nine months" and (B) 
striking "except that" and all that follows down to but not including 
the semicolon and inserting in lieu thereof "excluding from such 10-
year period all (A) periods (up to three years) of (i) active duty 
performed by the borrower as a member of a uniformed service, or 
(ii) service as a volunteer under the Peace Corps Act, and (B) periods 
(up to five years) during which the borrower is pursuing a full-time 
course of study at a collegiate school of nursing leading to bac-
calaureate degree in nursing or an equivalent degree, or to graduate 
degree in nursing, or is otherwise pursuing advanced professional 
training in nursing". 
(3) Section 823(b) (3) of such Act is amended by inserting before 
the semicolon at the end thereof the following: ", except that such 
rate shall be 15 per centum for each complete year of service as such 
a nurse in a public or other nonprofit hospital in any area which is 
determined, in accordance with regulations of the Secretary, to be 
an area which has a substantial shortage of such nurses at such hos-
pitals, and for the purpose of any cancellation at such higher rate, 
an amount equal to an additional 50 per centum of the total amount 
of such loans plus interest may be canceled". 
(4) Section 823(b)(5) of such Act is amended by striking out 
everything which follows "3 per centum per annum" down to but not 
including the second semicolon. 
(c) (1) Section 823 of such Act is further amended by adding at 
the end thereof the following new subsections: 
"(f) Subject to regulations of the Secretary, a school may assess 
a charge with respect to a loan from the loan fund established pur-
suant to an agreement under this part for failure of the borrower to 
pay all or any part of an installment when it is due and, in the case 
of a borrower who is entitled to deferment of the loan under subsec-
tion (b) (2) or cancellation of part or all of the loan under subsection 
(b)(3), for any failure to file timely and satisfactory evidence of 
such entitlement. The amount of any such charge may not exceed $1 
for the first month or part of a month by which such installment or 
evidence is late and $2 for each such month or part of a month there-
after. The school may elect to add the amount of any such charge 
to the principal amount of the loan as of the first day after the day 
on which such installment or evidence was due, or to make the amount 
of the charge payable to the school not later than the due date of the 
next installment after receipt by the borrower of notice of the assess-
ment of the charge. 
"(g) A school may provide in accordance with regulations of the 
Secretary, that during the repayment period of a loan from a loan 
fund established pursuant to an agreement under this part payments 
of principal and interest by the borrower with respect to all the out-
standing loans made to him from loan funds so established shall be at 
a rate equal to not less than $15 per month." 
(2) Subsection (b) (2) of section 822 of such Act is further amended 
by striking out "and (D)" and inserting in lieu thereof "(D) collec-
tions pursuant to section 823 (f), and (E)". 
(d) (1) Section 824 of such Act (42 U.S.C. 297c) is amended by 
inserting "$20,000,000 for the fiscal year ending June 30, 1970, and 
$21,000,000 for the fiscal year ending June 30,1971," after "1969," the 
first time it appears therein, by striking out "1970" and inserting in 
82 STAT. ] 
PUBLIC LAW 90-490-AUG. 16, 1968 
785 
lieu thereof "1972", and by striking out "1969," the second time it 
appears therein and inserting in lieu thereof "1971,". 
(2) The second sentence of such section is amended by inserting 
so stat. 1235. 
before the period at the end thereof ", and (3) for transfers pursuant 
"^^ ^^^ ^^^''• 
to section 829". 
(e) The first two sentences of section 825 of such Act (42 U.S.C. 
297d) are amended to read as follows: "From the sums appropriated 
^^ stat. 915. 
pursuant to section 824 for any fiscal year, the Secretary shall allot to 
each school an amount which bears the same ratio to the amount so 
appropriated as the number of persons enrolled on a full-time basis in 
such school bears to the total number of persons enrolled on a full-time 
basis in all schools of nursing in all the States. The number of persons 
enrolled on a full-time basis in schools of nursing for purposes of this 
section shall be determined by the Secretary for the most recent year 
for which satisfactory data are available to him." 
(f) Section 826 of such Act (42 U.S.C. 297e) is amended by striking 
out "1972" each place it appears therein and inserting in lieu thereof 
"1974". 
(g) Section 827(a) (1) of such Act (42 U.S.C. 297f) is amended by 
so stat. 1233. 
inserting "and each of the next three fiscal years," after "1968,". 
(h) Part B of title VIII of such Act (42 U.S.C. 297 et seq.) is fur-
ther amended by adding at the end thereof the following new section: 
a. 
42 u s e 297a. 
TRANSFERS TO SCHOLARSHIP PROGRAM 
"SEC. 829. Not to exceed 20 per centum of the amount paid to a 
school from the appropriation for any fiscal year for Federal capital 
contributions under an agreement under this part, or such larger per-
centage thereof as the Secretary may approve, may be transferred to 
the sums available to the school under part D to be used for the same 
purpose as such sums. In the case of any such transfer, the amount of 
any funds which the school deposited in its student loan fund pursuant 
to section 822 (b)(2)(B) with respect to the amount so transferred may 
be withdrawn by the school from such fund." 
(i) The amendments made by subsection (b) (1) and (2) shall 
Effective dates. 
apply with respect to all loans made after June 30, 1969, and with 
respect to loans made from a student loan fund established under an 
agreement pursuant to section 822, before July 1, 1969, to the extent 
agreed to by the school which made the loans and the Secretary (but 
then only for years beginning after June 30, 1968). The amendfments 
made by subsection (b) (4) and subseetion (c) shall apply with respect 
to loans made after June 30, 1969. The amendment made by sub-
section (h) shall apply with respect to appropriations for fiscal years 
beginning after June 30, 1969. The amendment made by subsection 
(b) (3) shall apply with respect to service, specified in section 823(b) 
(3) of such Act, performed during academic years beginning after the 
^"'e- P- 784. 
enactment of this Act, whether the loan was made before or after 
such enactment. 
SCHOLARSHIPS 
SEC. 223. (a) So much of part D of title V I I I of the Public Health 
Service Act (42 U.S.C. 298c et seq.) as precedes section 868 is amended 
^° ^*^*- ^^''^• 
to read as follows: 
786 
PUBLIC LAW 90-490-AUG. 16, 1968 
[82 STAT. 
Recipients. 
Amount, limita-
tion. 
*'PART D—SCHOLARSHIP GRANTS TO SCHCX)I.S OF NURSING 
"SCHOLARSHIP GRANTS 
"SEC. 860. (a) The Secretary shall make grants as provided in this 
part to each public or other nonprofit school of nursing for scholarships 
to be awarded annually by such school to students thereof. 
"(b) The amount of the grant under subsection (a) for the fiscal 
year ending June SO, 1970, and the next fiscal year to each such school 
shall be equal to $2,000 multiplied by one-tenth of the number of full-
time students of such school. For the fiscal year ending June 30,1972, 
and for each of the three succeeding fiscal years, the grant under sub-
section (a) shall be such amount as may be necessary to enable such 
school to continue making payments under scholarship awards to stu-
dents who initially received such aw^ards out of grants made to the 
school for fiscal years ending prior to July 1,1971. 
" (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, and 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, 1970, and the next fiscal year; 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, 1971, in 
the case of awards from such grants for the fiscal year ending 
June 30,1972, and each of the three succeeding fiscal years. 
"(2) Scholarships from grants under subsection (a) for any school 
year shall be awarded only to students of exceptional financial need 
who need such financial assistance to pursue a course of study at the 
school for such year. Any such scholarship awarded for a school year 
shall cover such portion of the student's tuition, fees, books, equip-
ment, and living expenses at the school making the award, but not to 
exceed $1,500 for any year in the case of any student, as such school 
may determine the student needs for such year on the basis of his 
requirements and financial resources. 
"(d) Grants under subsection (a) shall be made in accordance 
with reflations prescribed by the Secretary after consultation with 
the National Advisory Council on Nurse Training. 
"(e) Grants under subsection (a) may be paid in advance or by 
^vay of reimbursement, and at such intervals as the Secretary may find 
necessary; and with appropriate adjustments on account of overpay-
ments or underpayments previously made. 
Effective date. 
"TRANSFERS TO STUDENT LOAN PROGRAM 
"SEC. 861. Not to exceed 20 per centum of the amount paid to a 
school from the appropriation for any fiscal year for scholarships 
under this part, or such larger percentage thereof as the Secretary 
may approve for such school for such year, may be transferred to the 
sums available to the school under this part for (and to be regarded 
as) Federal capital contributions, to be used for the same purpose 
as such sums." 
(b) The amendment made by subsection (a) shall apply with 
respect to appropriations for fiscal years ending after June 30, 1969. 
82 STAT. ] 
PUBLIC LAW 90-490-AUG. 16, 1968 
787 
PART D—MISCELLANEOUS 
DEFINITION OF ACCREDITATION 
SEC. 231. (a) Subsections (c) and (e) of section 843 of the Public 
Health Service Act (42 U.S.C. 298b) are each amended by striking out 
^^ ^'^*- ^'^^• 
"an accredited program" and inserting in lieu thereof "a program". 
(b) Subsection (d) of such section is amended by striking out "an 
accredited two-year program" and inserting in lieu thereof "a two-
year program". 
(c) Such subsection (c) is further amended by adding before the 
period at the end thereof (and after the language added by section 205 
of this Act) ", but only if such program, or such unit, college, or uni-
versity is accredited". 
(d) Such subsection (d) is further amended by adding before the 
period at the end thereof ", but only if such program, or such unit, 
college, or university is accredited". 
(e) Such subsection (e) is further amended by adding before the 
period at the end thereof ", but only if such program, or such affiliated 
school or such hospital or university or such independent school is 
accredited". 
(f) So much of subsection (f) of such section as precedes clause (1) 
'^^ ^*^' ^^'^s-
is amended— 
(1) by inserting ", or by a State agency," immediately after 
"accredited by a recognized body or bodies"; 
(2) by inserting "or State agency" immediately after "such a 
recognized body or bodies"; 
(3) by inserting after "Commissioner of Education" the first 
time it appears therein "and when applied to a hospital, school, 
college, or university (or a unit thereof) means a hospital, school, 
college, or university (or a unit thereof) which is accredited by a 
recognized body or bodies, or by a State agency, approved for such 
purpose by the Commissioner of Education"; 
(4) by striking out "or a program accredited for the purpose 
of this Act by the Commissioner of Education"; 
(5) by inserting ", or a hospital, school, college, or university 
(or a unit thereof)," immediately after "except that a program"; 
(6) by inserting ", or the hospital, school, college, or university 
(or a unit thereof)," immediately after "reasonable assurance that 
the program"; and 
(7) by striking out "by the school which provides or will pro-
vide such program". 
(g) Such subsection (f) is further amended by adding at the end 
thereof the following new sentence: "For the purpose of this para-
graph, the Commissioner of Education shall publish a list of recog-
nized accrediting bodies, and of State agencies, which he determines 
to be reliable authority as to the quality of training offered." 
STUDY OF SCHOOL AID AND STUDENT AID PROGRAMS 
SEC. 232. The Secretary shall, in consultation with the Advisory ^enrand cor'-'^^'" 
Council established by section 841, prepare, and submit to the Presi- gress^" 
dent and the Congress prior to July 1,1970, a report on the administra- 
^2 use 298. 
tion of title VIII of the Public Health Service Act, an appraisal of 298c-8. 
the programs under such title in the light of their adequacy to meet 
the long-term needs for nurses, and his recommendations as a result 
thereof. 
788 
PUBLIC LAW 90-490-AUG. 16, 1968 
[82 STAT. 
TITLE III—ALLIED H E A L T H PKOFESSIONS 
AND PUBLIC HEALTH TRAINING 
Appropriations. 
80 Stat. 1222. 
Report to Presi-
dent and Con-
gress. 
EXTENSION AND IMPROVEMENT OF ALLIED H E A L T H PROFESSIONS PROGRAM 
SEC. 301. (a) (1) (A) Section 791(a) (1) of the Public Health Serv-
ice Act (42 U.S.C. 295h) is amended by striking out "and $13,500,000 
for the hscal year ending June 30, 1969" and inserting in lieu thereof 
'^$13,500,000 for the fiscal year ending June 30, 1969; and $10,000,000 
for the fiscal year ending June 30,1970". 
(B) Section 791(b)(1) of such Act is amended by striking out 
"1968" and inserting in lieu thereof "1969". 
(2) (A) Section 792(a) of such Act (42 U.S.C. 295h-l) is amended 
by striking out "and $17,000,000 for the fiscal year ending June 30, 
1969" and inserting in lieu thereof "$17,000,000 for the fiscal year end-
ing June 30, 1969; and $20,000,000 for the fiscal year ending June 30, 
1970". 
(B) Section 792(b)(1) of such Act is amended by striking out 
"1969" and inserting in lieu thereof "1970". 
(3) Section 793(a) of such Act (42 U.S.C. 295h-2) is amended by 
striking out "and $3,500,000 for the fiscal year ending June 30, 1969" 
and inserting in lieu thereof "$3,500,000 for the fiscal year ending 
June 30,1969; and $5,000,000 for the fiscal year ending June 30,1970". 
(4) Section 794 of such Act (42 U.S.C. 295h-3) is amended by strik-
ing out "and $3,000,000 for the fiscal year ending June 30, 1969" and 
inserting in lieu thereof "$3,000,000 for the fiscal year ending June 30, 
1969; and $4,500,000 for the fiscal year ending J^ne 30, 1970". 
(b) Such section 794 is further amended by— 
(1) striking out "training centers for allied health profes-
' sions" and inserting in lieu thereof "agencies, institutions, and 
organizations"; 
(2) inserting "and methods" after "curriculums"; and 
(3) striking out "new types of". 
(c) Part G of title VII of such Act is further amended by adding 
at the end thereof the following new section: 
a EVALUATION 
"SEC. 797. Such portion of any appropriation pursuant to section 
791, 792, 793, or 794, for any fiscal year ending after June 30, 1969, 
as the Secretary may determine, bu/not exceeding one-half of 1 per 
centum thereof, shall be available to the Secretary for evaluation 
(directly or by grants or contracts) of the programs authorized by 
this part." 
(d) Such part G is further amended by adding after section 797 
(added by subsection (c)) the following new section: 
a STUDY 
"SEC. 798. The Secretai-y shall prepare, and submit to the President 
and the Congress prior to April 1,1969, a report on the administration 
of this part, an appraisal of the programs under this part in the light 
of their adequacy to meet the needs for allied health professions per-
sonnel, and his recommendations as a result thereof." 
Appropriation. 
78 Stat. 613. 
PUBLIC HEALTH 
TRAINING 
SEC. 302. (a) Section 309(a) of the Public Health Service Act (42 
U.S.C. 242g) is amended by striking out "and" before "$9,000,000" 
and by inserting "$8,500,000 for the fiscal year ending June 30,1970, 
and $12,000,000 for the fiscal year ending June 30, 1971," after 1969. 
82 STAT. ] 
PUBLIC LAW 90-490-AUG. 16, 1968 
789 
(b) (1) Section 306(a) of the Public Health Service Act (42 U.S.C. 
242d) is amended (1) by striking out "and" before "$10,000,000" and yg^stat^eia^^' 
by striking out "the succeeding fiscal year," and inserting in lieu thereof 
"the two succeeding fiscal years, and $14,000,000 for the fiscal year end-
ing June 30, 1971", and (2) by inserting "sanitarians," immediately 
after "nurses . 
(2) Section 306(d) of such Act is amended by striking out "$50" „ittte'^eomp,°ns'a-
and inserting in lieu thereof "$100". 
tion. 
TITLE IV—HEALTH RESEARCH FACILITIES 
EXTENSION o r CONSTRUCTION AUTHORIZATION 
SEC. 401. (a) Section 704 of the Public Health Service Act (42 
U.S.C. 292c) is amended by striking out "and" after "$50,000,000"; 
^9 stat. 448. 
and by inserting "$20,000,000 for the fiscal year ending June 30,1970, 
and $30,000,000 for the next fiscal year," after "$280,000,000,". 
(b) Section 705 (a) of such Act (42 U.S.C. 293) is amended by strik- 
42 use 292d. 
ing out "1968" and inserting in lieu thereof "1970". 
FEDERAL SHARE 
. 
SEC. 402. (a) Subsection (a) of section 706 of the Public Health 
Service Act (42 U^S.C. 292e) is amended by striking out "except th'at in 
^o stat. 719. 
no event may such amount exceed 50 per centum" and inserting in 
lieu thereof "but such amount may not, except as provided in para-
graph (2), exceed 50 per centum". 
(b) Such subsection (a) of section 706 is further amended by insert-
ing " (1)" after " (a)" and adding at the end thereof the following new 
paragraph: 
"(2) The maximum amount of any grant shall be 66% per centum 
instead of the maximum under paragraph (1) in the case of any class 
or classes of projects which the Secretary determines have such special 
national or regional significance as to warrant a larger grant than is 
permitted under paragraph (1); but not more than 25 per centum of 
the funds appropriated pursuant to section 704 for any fiscal year shall 
be available for grants in excess of 50 per centum with respect to such 
class or classes of projects." 
ADVISORY C O U N C I L COMPENSATION 
SEC. 403. Section 703 (d) of the Public Health Service Act (42 U.S.C. 
292b) is amended by striking out "$50" and inserting in lieu thereof 
"$100". 
EFFECTIVE DATE 
SEC. 404. The amendments made by section 402 shall apply in the 
case of projects for which grants are made from appropriations for 
fiscal years ending after June 30,1969. 
SEC. 405. The clause of section 101(b) of the Joint Resolution of 
June 29,1968 (Public Law 90-366) relating to activities of the domestic 
agricultural workers health program of the Department of Health, 
Education, and Welfare, is amended by striking out ", other than 
grants,". 
Approved August 16, 1968. 
Ante, 
p. 275.