An Act to amend the Public Health Service Act to extend and expand the authorizations for grants for comprehensive health planning and services, to broaden and improve the authorization for research and demonstrations relating to the delivery of health services, to improve the performance of clinical laboratories, and to authorize cooperative activities between the Public Health Service hospitals and community facilities, and for other purposes
PL 90-174 (H.R.6418), enacted 12/05/1967

81 STAT. 
PUBLIC LAW 90-174-DEC. 5, 1967 
533 
Public Law 90-174 
AN ACT 
To amend the Public Health Service Act to extend and expand the authoriza-
tions for grants for comprehensive health planning and services, to broaden 
and improve the authorization for research and demonstrations relating to 
the delivery of health services, to improve the performance of clinical lab-
oratories, and to authorize cooperative activities between the Public Health 
Service hospitals and community facilities, and for other purposes. 
December 5, 1967 
[H. R. (5418] 
Be H enacted hy the Senate and Houne of RepreHentatives of the 
United States of America In Congress assemhJ-ed, That this Act may 
be cited as the "Partnership for Health Amendments of 1967". 
Partnership for 
Health Amend-
ments of 1967. 
(JRANTS FOR COMrKKHENSlVK 
IlKALTH PLANNING .\XD 
ITBLIC 
SERVICES 
HEALTH 
SEC, 2. (a) (1) Subsection (a) (1) of section 814 of the Public Health 
Service Act (42 U.S.C. 246, as amended by section 8 of the Compre-
hensive Health Planning and Public Health Services Amendments 
of 1966, Public Law 89-749) is amended (1) by striking out ''1968" 
the first time it appears and inserting in lieu thereof "1970'' and (2) by 
striking out "and $5,000,(X)0 for the fiscal year ending June 80, 1968" 
and inserting in lieu thereof "$7,000,000 for the fiscal year ending June 
80, 1968, $10,000,000 for the fiscal year ending June 80, 1969, and 
$15,000,000 for the fiscal year ending June 80, 1970". 
(2) Subsection (a) (2) of such section is amended by redesignating 
subparagraphs (I) and (J) as subparagraphs (J) and (K), respec-
tively, and by inserting after subparagraph (H) the following new 
j)aragraph: 
"(I) effective July 1, 1968, (i) provide for assisting each 
health care facility in the State to develop a program foi-
capital expenditures for replacement, modernization, and 
expansion which is consistent with an overall State plan 
developed in accordance with criteria established by the Sec-
retary after consultation with the State which will meet 
the needs of the State for health care facilities, equipment, 
and services without duplication and otherwise in the most 
efficient and economical manner, and (ii) provide that the 
State agency furnishing such assistance will periodically 
review the program (developed pursuant to clause (i)) of 
each health care facility in the State and recommend appro-
priate modification thereof;". 
(3) The last sentence of subsection (a) (4) of such section is 
amended by inserting before the period at the end thereof ", except 
that in the case of the allotments for the fiscal year ending June 80, 
1970, it shall not exceed 75 per centum of such cost". 
(b)(1) Subsection (b) of such section is amended by striking out 
"1968" the first time it appears and inserting in lieu thereof "1970" 
and by striking out "and $7,500,000 for the fiscal year ending June 80, 
1968", and inserting in lieu thereof "$7,500,000 for the fiscal year end-
ing June 80, 1968, $10,000,000 for the fiscal year ending June 30, 1969, 
and $15,000,000 for the fiscal j^ear ending June 30,1970". 
(2) Such subsection (b) is further amended by inserting imme-
diately after "project grants to any other public or nonprofit private 
agency or organization" the following: "(but with appropriate repre-
sentation of the interests of local government where the recipient 
of the grant is not a local government or combination thereof or an 
agency of such government or combination)". 
(c) Subsection (c) of such section is amended by striking out "1968" 
the first time it appears and inserting in lieu thereof "1970" and by 
Health planning 
grants to States, 
appropriation. 
80 Stat. U81. 
State plans, 
standards. 
"Federal share" 
of expenditures. 
80 Stat. 1.183. 
Areawide health 
planning, project 
grants. 
Recipients. 
Training, stud-
ies, etc., program 
extension. 
534 
PUBLIC LAW 90-174-DEC. 5, 1967 
[81 STAT. 
Comprehensive 
public health 
services, appro-
priation. 
80 Stat. 1184. 
42 u s e 246. 
Allocation of 
funds. 
Health serv-
ices development 
grants, appropri-
ation. 
80 Stat. 1186. 
"State." 
Public health 
school grants, ap-
propriation. 
80 Stat. 1190. 
Striking out "and $2,500,000 for the fiscal year ending June 30, 1968" 
and inserting in lieu thereof "$2,500,000 for the fiscal year ending 
June 30, 1968, $5,000,000 for the fiscal year ending June 30, 1969, 
and $7,500,000 for the fiscal year ending June 30, 1970". 
(d) (1) Subsection (d) (1) of such section is amended by striking 
out "$62,500,000 for the fiscal year ending June 30, 1968," and insert-
ing in lieu thereof "$70,000,000 for the fiscal year ending June 30, 
1968, $90,000,000 for the fiscal year ending June 30, 1969, and 
$100,000,000 for the fiscal year ending June 30, 1970,". 
(2) Effective July 1, 1968, subsection (d) (5) of such section is 
amended by inserting "the Trust Territory of the Pacific Islands," 
after "American Samoa,". 
(3) Subsection (d)(7) of such section is amended by adding at 
the end thereof the following new sentence: "Effective with respect 
to allotments under this subsection for fiscal years ending after June 
30, 1968, at least 70 per centum of such amount reserved for mental 
health services and at least 70 per centum of the remainder of a State's 
allotment under this subsection shall be available only for the provi-
sion under the State plan of services in communities of the State." 
(e) Subsection (e) of such section is amended by striking out 
"$62,500,000 for the fiscal year ending June 30,1968," and inserting in 
lieu thereof "$90,000,000 for the fiscal year ending June 30, 1968, 
$95,000,000 for the fiscal year ending June 30, 1969,^ and $80,000,000 
for the fiscal year ending June 30, 1970,". 
(f) Effective July 1, 1968, subsection (g) (4) (B) of such section is 
amended by inserting "the Trust Territory of the Pacific Islands," 
after "American Samoa,". 
(g) P^ffective July 1, 1967, subsection (c) of section 309 of such 
Act (42 U.S.C. 242g(c)), as amended by section 4 of the Comprehen-
sive Health Planning and Public Health Services Amendments of 
1966 (Public Law 89-749), is amended by striking out "each" after 
"$5,000,000" and by inserting after "the fiscal year ending June 30, 
1968," the following: "$6,000,000 for the fiscal year ending June 30, 
1969, and $7,000,000 for the fiscal year ending June 30, 1970,". 
69 Stat. 382; 
70 Stat. 930. 
77 Stat. 282. 
42 u s e 2661 
note. 
RESEARCH AND DEMONSTRATIONS RELATING TO HEALTH FACILITIES AND 
SERVICES 
SEC. 3. (a) Section 304 (42 U.S.C. 242b) of the Public Health Serv-
ice Act is amended to read as follows: 
" R E S E A R C H AND DEMONSTRATIONS RELATING TO HEALTH FACILITIES AND 
SERVICES 
" S E C 304. (a) The Secretary is authorized— 
"(1) to make grants to States, political subdivisions, univer-
sities, hospitals, and other public or nonprofit private agencies, 
institutions, or organizations for projects for the conduct or 
research, experiments, or demonstrations (and related training), 
and 
"(2) to make contracts with public or private agencies, insti-
tutions, or organizations for the conduct of research, experiments, 
or demonstrations (and related training), 
relating to the development, utilization, quality, organization, and 
financing of services, facilities, and resources of hospitals, facilities 
for long-term care, or other medical facilities (including, for purposes 
of this section, facilities for the mentally retarded, as defined in the 
Mental Ketardation Facilities and Community Mental Health Centers 
Construction Act of 1963), agencies, institutions, or organizations or 
to development of new methods or improvement of existing methods 
81 STAT.] 
PUBLIC LAW 90-174-DEC. 5, 1967 
535 
of organization, delivery, or financing of liealth services, including, 
among others— 
"(A) projects for the construction of units of hospitals, facili-
ties for long-term care, or other medical facilities which involve 
experimental architectural designs or functional layout or use of 
new materials or new methods of construction, the efficiency of 
which can be tested and evaluated, or which involve the demon-
stration of such efficiency, particularly projects which also in-
volve research, experiments, or demonstrations relating to deliv-
ery of health services, and 
"(B) projects for development and testing of new equipment 
and systems, including automated equipment, and other new 
technology systems or concepts for the delivery of health services, 
and 
"(C) projects for research and demonstration in new careers 
in health manpower and new w^ays of educating and utilizing 
health manpower. 
"(b) Except where the Secretary determines that unusual circum-
stances make a larger percentage necessary in order to effectuate the 
purposes of this section, a grant or contract under this section with 
respect to any project for construction of a facility or for acquisition 
of equipment may not provide for payment of more than 50 per centum 
of so much of the cost of the facility or equipment as the Secretary 
determines is reasonably attributable to research, experimental, or 
demonstration purposes. The provisions of clause (5) of the third 
sentence of section 605(a) and such other conditions as the Secretary 
may determine shall apply with respect to grants or contracts under 
rliis section for projects for construction of a facility or for acquisi-
tion of equipment. 
"(c) Payments of any grants or under any contracts under this 
section may be made in advance or by way of reimbursement, and in 
such installments and on such conditions as the Secretary deems 
necessary to carry out the purposes of this section. 
"(d) There are authorized to be appropriated for payment of 
grants or under contracts under this section $20,000,000 for the fiscal 
vear ending June 30, 1968, $40,000,000 for the fiscal year ending June 
30, 1969, and $60,000,000 for the fiscal year ending June 30, 1970; 
except that, for any fiscal year ending after June 30, 1968, such por-
tions of such sums as the Secretary may determine, but not exceeding 
1 per centum thereof, shall be aA'ailable to the Secretary for evalua-
tion (directly or by grants or contracts) of the program authorized 
by this section." 
(b) Effective with respect to appropriations for fiscal years ending 
after June 30, 1967— 
(1) section 624 of such Act is repealed; and 
(2) the first sentence of section 314(e) of such Act is amended 
by inserting "or" at the end of clause (1), by striking out clause 
(3), by striking out ", or" at the end of clause (2), by inserting 
"(including related training)" after "providing services" in 
clause (1), and by amending clause (2) to read: "(2) developing 
and supporting for an initial period new programs of health 
services (including related training)". 
Any sums appropriated for the fiscal year ending June 30, 1968, 
for carrying out such sections 624 and 314(e) (3) which remain biuty 
unobligated on the date of enactment of this Act shall be available 
for carrying out section 304 of the Public Health Service Act, and the 
total of such sums (and any portion of the appropriations for such 
year for such purpose obligated prior to such date of enactment in 
carrying out such sections) shall be deducted from the authorization 
for such year contained in such section 304. 
Cost limitation. 
78 Stat. 454. 
42 u s e 29 le. 
Appropriation. 
Program evalu-
ation. 
Repeal. 
78 Stat. 459. 
42 u s e 29 In. 
Ante, 
p. 534. 
Unobligated 
funds, availa-
Ante, 
p. 5 34. 
536 
PUBLIC LAW 90-174-DEC. 5, 1967 
[81 STAT. 
58 Stat. 693; 
80 Stat. 1190. 
Reimbursement 
of U.S. 
COOPERATION W I T H STATES I N 
EMERGENCIES 
SEC. 4. Section 311 of the Public Health Service Act (42 TJ.S.G. 
243) is amended by inserting at the end thereof the following new 
subsection: 
"(c) The Secretary may enter into agreements providing for cooper-
ative planning between Public Health Service medical facilities and 
community health facilities to cope with health problems resulting 
from disasters, and for participation by Public Health Service medical 
facilities in carrying out such planning. He may also, at the request of 
the appropriate State or local authority, extend temporary (not in 
excess of forty-five days) assistance to States or localities in meeting 
health emergencies of such a nature as to warrant Federal assistance. 
The Secretary may require such reimbursement of the United States 
for aid (other than planning) under the preceding sentences of this 
subsection as he may determine to be reasonable under the circum-
stances. Any reimbursement so paid shall be credited to the applicable 
appropriation of the Public Health Service for the year in which such 
reimbursement is received." 
Clinical Lab-
oratories Im-
provement Act 
of 1967. 
58 Stat. 702. 
"Laboratory, * 
"clinical labora-
tory." 
"Interstate 
commerce." 
Exemption. 
Standards. 
CLINICAL, LABORATORIES I]MPR0VEMENT 
SEC. 5. (a) Part F of title I I I of the Public Health Service Act 
(42 U.S.C. 262-3) is amended by changing the title to read: "LICEN'S-
TNG—BIOLOGICAL PRODUCTS AND CLINICAL LABORA-
TORIES", and by adding after section 352 (42 U.S.C. 263) the follow-
ing new section: 
" L I C E N S I N G 
O F 
LABORATORIES 
"SEC, 353. (a) As used in this section— 
"(1) the term 'laboratory' or 'clinical laboratory' means a 
facility for the biological, microbiological, serological, chemical, 
immuno-hematological, hematological, biophysical, cytological, 
pathological, or other examination of materials derived from the 
human body, for the purpose of providing information for the 
diagnosis, prevention, or treatment of any disease or impairment 
of, or the assessment of the health of, man; 
"(2) The term 'interstate commerce' means trade, traffic, com-
merce, transportation, transmission, or communication between 
any State or possession of the LTnited States, the Commonwealth 
of Puerto Rico, or the District of Columbia, and any place outside 
thereof, or within the District of Columbia. 
"(b)(1) No person may solicit or accept in interstate commerce, 
directly or indirectly, any specimen for laboratory examination or 
other laboratory procedures, unless there is in effect a license for such 
laboratory issued by the Secretary under this section applicable to such 
procedures. 
"(2) The Secretary shall by regulation exempt from the provisions 
of this section laboratories whose operations are so small or infrequent 
as not to constitute a significant threat to the public health. 
"(c) A license issued by the Secretary under this section may be 
applicable to all laboratory procedures or only to specified laboratory 
procedures or categories of laboratory procedures. 
"(d) (1) A license shall not be issued in the case of any clinical 
laboratory unless (A) the application therefor contains or is accom-
panied by such information as the Secretary finds necessary, and (B) 
the applicant agrees and the Secretary determines that such labora-
tory will be operated in accordance with standards found necessary by 
the Secretary to carry out the purposes of this section. Such standards 
shall be designed to assure consistent performance by the laboratories 
Period of 
validity. 
81 STAT.] 
PUBLIC LAW 9 0 - 1 7 4 - D E C . 5, 1967 
537 
of accurate laboratory procedures and services, and shall include, 
among others, standards to assure— 
"(i) maintenance of a quality control program adequate and 
appropriate for accuracy of the laboratory procedures and 
services; 
"(ii) maintenance of records, equipment, and facilities neces-
sary to proper and effective operation of the laboratory; 
"(iii) qualifications of the director of the laboratory and other 
supervisory professional personnel necessary for adequate and 
effective professional supervision of the operation of the labora-
tory (which shall include criteria relating to the extent to which 
training and experience shall be substituted for education) ; and 
"(iv) participation in a proficiency testing program established 
by the Secretary. 
"(2) A license issued under this section shall be valid for a period 
of three years, or such shorter period as the Secretary may establish 
for any clinical laboratory or any class or classes thereof; and may 
be renewed in such manner as the Secretary may prescribe. The pro-
visions of this section requiring licensing shall not apply to a clinical 
laboratory in a hospital accredited by the Joint Commission on the 
Accreditation of Hospitals or by the American Osteopathic Associa-
tion, or a laboratory which has been inspected and accredited by such 
commission or association, by the Commission on Inspection and 
Accreditation of the College of American Pathologists, or by any 
other national accreditation body approved for the purpose by the 
Secretary, but only if the standards applied by such commission, asso-
ciation, or other body in determining whether or not to accredit such 
hospital or laboratory are equal to or more stringent than the provi-
sions of this section and the rules and regulations issued under this 
section, and only if there is adequate provision for assuring that such 
standards continue to be met by such hospital or laboratory; provided 
that any such laboratory shall be treated as a licensed laboratory for 
all other purposes of this section. 
"(3) The Secretary may require payment of fees for the issuance 
and renewal of licenses, but the amount of any such fee shall not exceed 
$125 per annum. 
"(e) A laboratory license may be revoked, suspended, or limited 
if the Secretary finds, after reasonable notice and opport;unity for 
hearing to the owner or operator of the laboratory, that such owner 
or operator or any employee of the laboratory— 
"(1) has been guilty of misrepresentation in obtaining the 
license; 
"(2) has engaged or attempted to engage or represented him-
self as entitled to perform anj laboratory procedure or cate-
gory of procedures not authorized in the license; 
"(3) has failed to comply with the standards with respect to 
laboratories and laboratory personnel prescribed by the Secre-
tary pursuant to this section; 
"(4) has failed to comply with reasonable requests of the 
Secretary for any information or materials, or work on materials, 
he deems necessary to determine the laboratory's continued eligi-
bility for its license hereunder or continued compliance with the 
Secretary's standards hereunder; 
"(5) has refused a request of the Secretary or any Federal 
officer or employee duly designated by him for permission to in-
spect the laboratory and its operations and pertinent records at 
any reasonable time; or 
"(6) has violated or aided and abetted in the violation of any 
provisions of this section or of any rule or regulation promulgated 
thereunder. 
License fees. 
Revocation, etc. 
80 Stat. 1323. 
538 
PUBLIC LAW 90-174-DEC. 5, 1967 
[81 STAT. 
^^Legai proce- 
"(f) Wlieiiever the Secretary has reason to believe that continua-
tion of any activity by a hiboratory licensed under this section would 
constitute an imminent hazard to the public health, he may bring suit 
in the district court for the district in which such laboratory is situ-
ated to enjoin continuation of such activity and, upon proper showing, 
a temporary injunction or restraining order against continuation of 
such activity pending issuance of a final order under this section shall 
be granted without bond by such court. 
Judicial review. 
"(g) (^^ j^^^j party aggrieved by any final action taken under sub-
section (e) of this section may at any time within sixty days after the 
date of such action file a petition with the United States court of 
appeals for the circuit wherein such person resides or has his principal 
place of business, for judicial review of such action. A copy of- the 
petition shall be forthwith transmitted by the clerk of the court to the 
Secretary or other officer designated by him for that purpose. The 
Secretary thereupon shall file in the court the record on which the 
action of the Secretary is based, as provided in section 2112 of title 28, 
J?.^*^^-A1^' 
United States Code. 
"(2) If the petitioner applies to the court for leave to adduce addi-
tional evidence, and shows to the satisfaction of the court that such 
additional evidence is material and that there were reasonable grounds 
for the failure to adduce such evidence in the proceeding before the 
Secretary, the court may order such additional evidence (and evidence 
in rebuttal thereof) to be taken before the Secretary, and to be adduced 
upon the hearing in such manner and upon such terms and conditions 
as the court may deem proper. The Secretary may modify his find-
ings as to the facts, or make new findings, by reason of the additional 
evidence so taken, and he shall file such modified or new findings, and 
his recommendations, if any, for the modification or setting aside of 
his original action, with the return of such additional evidence. 
"(3) Upon the filing of the petition referred to in paragraph (1) 
of this subsection, the court shall have jurisdiction to affirm the action, 
or to set it aside in whole or in part, temporarily or permanently. 
The findings of the Secretary as to the facts, if supported by substan-
tial evidence, shall be conclusive. 
"(4) The judgment of the court affirming or setting jvside, in whole 
or in part, any such action of the Secretary shall be final, subject to 
review by the Supreme Court of the United States upon certiorari or 
certification as provided in section 1254 of title 28, United States Code. 
"(h) Any person who willfully violates any provision of this sec-
tion or any rule or regulation promulgated thereunder shall be guilty 
of a misdemeanor and shall on conviction thereof be subject to impris-
onment for not more than one year, or a fine of not more than $1,000, 
or both such imprisonment and fine. 
Exemptions. 
«(-^ rpj^^ provisious of this section shall not apply to any clinical 
laboratory operated by a licensed physician, osteopath, dentist, or 
podiatrist, or group thereof, who performs or perform laboratory tests 
or procedures, personally or through his or their employees, siolely 
as an adjunct to the treatment of his or their own patients; nor shall 
such provisions apply to any laboratory with respect to tests or other 
procedures made by it for any person engaged in the business of insur-
ance if made solely for purposes of determining whether to write an 
insurance contract or of determining eligibility or continued eligi-
bility for payments thereunder. 
"(j) In carrying out his functions under this section, the Secretary 
is authorized, pursuant to agreement, to utilize the services or facilities 
of any Federal or State or local public agency or nonprofit private 
agency or organization, and may pay therefor in advance or by way 
of reimbursement, and in such installments, as he may determine. 
62 Stat. 928. 
Penalty. 
81 STAT.] 
PUBLIC LAW 90-174-DEC. 5, 1967 
539 
"(k) Nothing in this section shall be construed as affecting the 
power of any State to enact and enforce laws relating to the matters 
covered by this section to the extent that such laws are not inconsistent 
with the provisions of this section or with the rules and regulations 
issued under this section. 
"(1) Where a State has enacted or hereafter enacts laws relating 
to matters covered by this section, which provide for standards equal 
to or more stringent than the provisions of this section or than the 
rules and regulations issued under this section, the Secretary may 
exempt clinical laboratories in that State from compliance with this 
section." 
(b) The amendment made by subsection (a) shall become effective 
on the first day of the thirteenth month after the month in which it 
is enacted, except that the Secretary of Health, Education, and Wel-
fare may postpone such effective date for such additional period as he 
finds necessary, but not beyond the first day of the 19th montli after 
such month in which the amendment is enacted. 
(c) This section may be cited as the "Clinical Laboratories ImiDrove-
ment Act of 1967". 
VOLUNTEER SERVICES 
SEC. 6. Title I I of the Public Health Service Act is amended by 
adding after section 222 (42 U.S.C. 217a) the following new section : 
Effective date. 
Short title. 
58 Stat. 683. 
42 use 202 et 
seq-
"VOLUNTEER 
SERVICES 
"SEC. 223. Subject to regulations, volunteer and uncompensated 
services may be accepted by the Secretary, or by any other officer or 
employee of the Department of Health, Education, and Welfare des-
ignated by him, for use in the operation of any health care facility or in 
the provision of health care." 
COOPERATION AS TO MEDICAL CARE FACILITIES AND RESOURCES 
SEC. 7. Part C of title I I I of the Public Health Service Act is 
^ l'^^ ^l^'^, 
amended by adding after section 327 (42 U.S.C. 254) the following new seq. 
section: 
"SHARING OF MEDICAL CARE FACILITIES AND RESOURCES 
"SEC. 328. (a) For purposes of this section— 
" (1) the term 'specialized health resources' means health care 
resources (whether equipment, space, or personnel) which, because 
of cost, limited availability, or unusual nature, are either unique 
in the health care community or are subject to maximum utiliza-
tion only through mutual use; 
"(2) the term 'hospital', unless otherwise s]:)ecified, includes 
(in addition to other hospitals) any Federal hospital. 
"(b) For the purpose of maintaining or improving the quality of 
care in Public Health Service facilities and to provide a professional 
environment therein which will help to attract and retain highly 
qualified and talented health i)ersonnel, to encourage mutually bene-
ficial relationships between Public Health Service facilities and hos-
pitals and other health facilities in the health care community, and 
to promote the full utilization of hospitals and other health facilities 
and resources, the Secretai'y may— 
"(1) enter into agreements or arrangements with schools of 
medicine, and with other health schools, agencies, or institutions, 
for such interchange or cooperative use of facilities and services on 
a reciprocal or reimbursable basis, as will be of benefit to the 
"Specialized 
he alth re sour ce s." 
"Hospital." 
540 
PUBLIC LAW 90-174-DEC. 5, 1967 
[81 STAT. 
traiiiiiio- or researoh prog-rams of the participating aoencies; aiul 
"(2) enter into agreements or arrangements with liospitals and 
other health care facilities for the nnitual use or the exchange of 
use of specialized health resources, and providing for reciprocal 
reimbursement. 
Any reimbursement pursuant to any such agreement or arrangement 
shall be based on charges covering the reasonable cost of such utiliza-
tion, including normal depreciation and amortization costs of equip-
ment. Any proceeds to the Government under this subsection shall be 
credited to the applicable appropriation of the l*ublic Health Service; 
for the year in which such proceeds are receiA^ed.'' 
TROGRAM E V A L U A n O N 
SEC. 8. (a) Paragraph (1) of section 314(d) of the Public Heakh 
Ante, p. 534. 
Servicc Act is amended by inserting before the period at the end 
thereof the following: ", except that, for any fiscal year ending after 
June 30, 1968, such portion of such sums as the Secretary may deter-
mine, but not exceeding 1 per centum thereof, shall be available to the 
Secretary for evaluation (directly or by grants or contracts) of the 
program authorized by this subsection and the amount available for 
allotments hereunder shall be reduced accordingly"'. 
535"'*' ^''" ^^'^' 
0^) Section 314(e) of such Act is amended by inserting at the end 
thereof the following new sentence: "For any fiscal year ending after 
June 30,1968, such portion of the appropriations for grants under this 
subsection as the Secretary may determine, but not exceeding 1 per 
centum thereof, shall be available to the Secretary for evaluation 
(directly or by grants or contracts) of the program authorized by this 
subsection." 
Ante, p. 534. 
^^^ Sectiou 309(c) of such Act is amended by inserting "(1)'' after 
"except that" and by inserting before the period at the end thereof 
the following: ", and (2) for any fiscal year ending after June 30, 
1968, such portions of the funds made available under this subsection 
as the Secretary may determine, but not exceeding 1 per centum 
thereof, shall be available to the Secretary for evaluation (directly or 
by grants or contracts) of the program authorized by this subsection"'. 
RESEARCH CONTRACT A t T T I I O R m r 
SEC. 9. Paragraph (h) of section 301 of the Public Health Service 
79 Stat. 448. 
\(,^ (42 TJ.S.C. 241) is amended by striking out "two succeeding fiscal 
years" and by inserting in lieu thereof "five succeeding fiscal years"'. 
MEDICAL 
C A R E 
FOR FEDERAL EMPLOYEES Al^ REMOTE STATIONS OF T H E 
SERVICE 
58 Stat. 697. 
SEC. 10. (a) Section 324 of the Public Health Service Act (42 
U.S.C. 251) is amended by inserting " ( a ) " immediately after "SEC. 
324." and by redesignating clauses (a) through (d) of such section, 
and references thereto, as clauses (1) through (4). 
(b) Section 324 of such Aot is further amended by adding at the end 
thereof the following new subsection: 
"(b) The Secretary is authorized to provide medical, surgical, and 
dental treatment and hospitalization and optometric care for Federal 
employees (as defined in section 8901(1) of title 5 of the United States 
80 Stat. 600. 
Code) and their dependents at remote medical facilities of the Public 
Health Service where such care and treatment are not otherwise avail-
able. Such employees and their dependents who are not entitled to this 
care and treatment under any other provision of law shall be charged 
for it at rates established by the Secretary to i*eflect the reavSonable cost 
81 STAT.] 
PUBLIC LAW 90-174-DEC. 5, 1967 
541 
of providing the care and treatment. Any payments pui-snant to the 
preceding sentence shall be credited to the applicable appropriation to 
the Public Health Service for the year in which such payments are 
received." 
(c) Paragraph (7) of subsection (a) of section 322 of such Act is 
amended to read as follows: 
"(7) Seamen-trainees, while participating in maritime training 
programs to develop or enhance their employability in the maritime 
industry; and". 
58 Stat. 696. 
42 u s e 249. 
63 Stat. 900; 
75 Stat. 825. 
42 u s e 291n 
note. 
78 Stat. 447. 
42 u s e 291 
note. 
PROJECTS FOR HOSPITAL EXPERIMEXTATION, LOANS FOR INCREASED COSTS 
SEC. 11. Title VI of the Public Health Service Act is amended by 
H J'g^^' ^^l: 
inserting immediately after section 623 the following new section: 
29lo. 
'"LOANS FOR CERTAIN HOSPITAL EXPERIMENTATION PROJECTS 
"SEC. 623A. (a) In order to alleviate hardship on any recipient of a 
grant under section 636 of this title (as in effect immediately before 
the enactment of the Hospital and Medical Facilities Amendments of 
1964) for a project for the construction of an experimental or demon-
stration facility having as its specific purpose the application of novel 
means for the reduction of hospital costs with respect to which there 
has been a substantial increase in the cost of such construction (over 
the estimated cost of such project on the basis of which such grant was 
made) through no fault of such recipient, the Secretary is authorized 
to make a loan to such recipient not exceeding 66% per centum of such 
increased costs, as determined by the Secretary, if the Secretary deter-
mines that such recipient is unable to obtain such an amount for such 
purpose from other public or private sources. 
" (b) Any such loan shall be made only on the basis of an application 
submitted to the Secretary in such form and containing such informa-
tion and assurances as he may prescribe. 
"(c) Each such loan shall bear interest at the rate of 21^ per 
centum per annum on the unpaid balance thereof and shall be re-
payable over a period determined by the Secretary to be appropriate, 
but not exceeding fifty years. 
"(d) There are hereby authorized to be appropriated $3,500,000 to 
carry out the provisions of this section." 
Interest. 
Appropriation. 
MINOR OR TECHNICAL AMENDMENTS 
SEC. 12. (a) Section 806(c)(1) of the Public Health Service Act 
(42 U.S.C. 296e(c) (1)) is amended by inserting after "from a loan 
fund established pursuant to section 822" the following: "or from sums 
])aid by the Secretary from the revolving fund created by section 
827(d), or a nursing educational opportunity grant payment made 
pursuant to section 862". 
(b) The second sentence of section 312 of such Act (42 U.S.C. 
244) is amended by inserting "and officials of other State or local 
public or private agencies, institutions, or organizations" after "such 
health authorities". 
(c) Section 725(a) of such Act (42 U.S.C. 293e(a)) is amended by 
striking out "twelve" and inserting in lieu thereof "thirteen". 
(d) Section 314(f) of such Act is amended by— 
(1) inserting "for" before "the expenses of travel" in para-
graph (5); 
(2) striking out "Service" and inserting in lieu thereof "De-
partment" in paragraphs (6) and (8). 
Nurse training. 
78 Stat. 9 12. 
80 Stat. 1234. 
42 u s e 297f. 
80 Stat. 1237. 
42 u s e 293C-1. 
Health confer-
ences. 
60 Stat. 424. 
Advisory coun-
cil, membership. 
77 Stat. 169. 
Personnel inter-
change with 
States. 
80 Stat. 1186. 
42 u s e 246. 
542 
PUBLIC LAW 90-175-DEC. 5, 1967 
[81 STAT. 
"Training center 
for allied health 
professions." 
80 Stat. 1228. 
42 u s e 295h-4. 
Effective date. 
Report to 
gress. 
(e) Section 795(1) (A) (ii) of such Act is amended to read as fol-
lows: "'(ii) of education in optometric technology, dental hygiene, 
or curriculunis as are specified by regulation, and". 
(f) The amendment made by subsection (a) shall be effective as of 
Xovember 3,1966. 
COMPREHENSIVE SURVEY 
SEC. 14, The Secretary of Health, Education, and Welfare, in con-
sultation and cooperation with other officials of the Federal Govern-
ment and of the States, shall make a comprehensive survey of the 
incidence and location of serious hunger and malnutrition and health 
problems incident thereto in the United States and shall report his 
findings and recommendations for dealing with these conditions to 
the Congress within six months from the date of enactment of this 
section. 
MEANING OF SECRETARY 
SEC. 15. As used in the amendments made by this Act, the term 
"Secretary" means the Secretary of Health, Education, and Welfare. 
Approved December 5, 1967. 
December 5, 1967 
[S. 1031] 
Public Law 90-175 
AN ACT 
To amend further the Peace Corps Act (75 Stat. 612), as amended. 
Peace Corps. 
Appropriation 
authorization. 
80 Stat. 764. 
22 use 2502. 
Be it enacted hy the Senate and House of Representatives 
of the 
United States of America in Congress assembled^ That section 3(b) of 
the Peace Corps Act, as amended, which authorizes apj)ropriations to 
carry out the purposes of that Act, is amended by striking out "1967" 
and "$110,000,000" and substituting "1968" and "$115,700,000", re-
spectively. 
Approved December 5, 1967. 
December 6, 1967 
Public Law 90-176 
AN ACT 
[H. R. 2529] 
rp^j amend the Act of September 8, 1960, relating to the Washington Channel 
waterfront. 
Washington 
Channel water-
front. 
D.C Code 
5-723. 
Be it enacted hy the Senate and House of Representatives 
of the 
United States of America in Congress assembled^ That (1) the first 
sentence of section 4(b) of the Act entitled "An Act to authorize the 
Commissioners of the District of Columbia on behalf of the United 
States to transfer from the United States to the District of Columbia 
Kedevelopment Land Agency title to certain real property in said 
District", approved September 8, 1960 (74 Stat. 872), is amended by 
striking out "by reason of the enactment of the joint resolution 
approved August 28, 1958 (72 Stat. 983; Public Law 85-821),". 
(2) The second sentence of section 4(b) of such Act is amended 
by striking out "by reason of the operation of such joint resolution 
approved August 28, 1958,". 
(3) Section 4(b) of such Act is amended by inserting after the 
first sentence thereof the following: "The priority of opportunity 
created by this section is a personal right of the owners of businesses 
displaced. In the event of the death of any such owner of any such 
displaced business, the spouse of such owner, or, if there is no spouse,