An Act to amend the Public Health Service Act to extend for three years the programs of assistance for training in the allied health professions, and for other purposes
PL 91-519 (S.3586), enacted 11/02/1970

1342 
PUBLIC LAW 91-519-NOV. 2, 1970 
[84 STAT. 
78 Stat. 120; 
83 Stat. 602. 
26 u s e 1563. 
Effective date. 
lection may be made notwithstanding any provision of law or 
rule of law which otherwise would prevent such assessment and 
collection. 
"(d) MEMBERS OF CONTROLLED (TROUP.—Under regulations pre-
scribed by the Secretary or his delegate, if a corporation is a member 
of a controlled group of corporations (within the meaning of section 
1563), subsections (a)(2) and (c) shall be applied by treating all 
members of such controlled group as one corporation.'' 
(b) The table of sections for such part VIII is amended by adding 
at the end thereof the following: 
"Sec. 250. Certain payments to the National Railroad Pas-
senger Corporation." 
(c) The amendments made by this section shall apply to taxable 
years ending after the date of the enactment of this Act. 
Approved October 30, 1970. 
November 2, 1970 
[S.3586] 
Public Law 91-519 
AN ACT 
To amend title VII of the Public Health Service Act to establish eligibility of 
new schools of medicine, dentistry, osteopathy, pharmacy, optometry, veter-
inary medicine, and podiatry for institutional grants under section 771 thereof, 
to extend and improve the program relating to training of personnel in the 
allied health professions, and for other purposes. 
Health Training 
Improvement Act 
of 1970. 
Be it enacted hy the Senate and House of Representatives 
of the 
United States of America in Congress 
assembled, 
SHORT TITLE 
SECTION 1. This Act may be cited as the "Health Training Improve-
ment Act of 1970". 
TITLE I—SCHOOLS OF MEDICINE, DENTISTEY, OSTE-
OPATHY, 
PHARMACY, 
OPTOMETRY, 
VETERINARY 
MEDICINE, AND PODIATRY 
84 STAT. ] 
PUBLIC LAW 91-519-NOV. 2, 1970 
1343 
INSTITUTIONAL GRANTS 
SEC. 101. (a) Section 771 of the Public Health Service Act (42 
U.S.C. 295f-l) is amended by adding at the end thereof the following 
^^ ^'^'* ^^s. 
new subsection: 
"(d) In the case of a new school of medicine, dentistry, osteopathy, 
pharmacy, optometry, veterinary medicine, or podiatry, which applies 
for a grant under this section m the fiscal year preceding the fiscal 
year in which it will admit its first class, the enrollment for purposes 
of subparagraph (a) (1) (A) of this section shall be the number of 
full-time students which the Secretary determines, on the basis of 
assurances provided by the school, will be enrolled in the school, in 
the fiscal year after the fiscal year in which the grant is made." 
(b) The amendment made by subsection (a) of this section shall be 
effective only with respect to sums available for grants under section 
771 of the Public Health Service Act from appropriations under 
section 770 of such Act for the fiscal years ending after June 30,1970. 
^2 use 295f. 
MEDICAL AND DENTAL SCHOOLS IN FINANCIAL DISTRESS 
SEC. 102. (a) Section 772 of the Public Health Service Act (42 
U.S.C. 295f-2) is amended— 
(1) by adding at the end thereof the following new sentence: ^ift'"'^^' ^''^^^°" 
"Sums appropriated under section 770 for the fiscal year ending 
June 30, 1971, for grants under this section to assist any such 
schools which are in serious financial straits to meet their costs of 
operation shall remain available to make such grants until June 30, 
1972."; and 
(2) by inserting " ( a ) " after "Sec. 772." and by adding at the 
end the following new subsection: 
"(b) The Congress finds and declares that the Nation's economy, 
welfare, and security are adversely affected by the acute financial crisis 
which threatens the survival of medical and dental schools which 
provide the highest quality of teaching, medical and dental research, 
and delivery of health care for the Nation. The Secretary shall deter-
mine the need for emergency financial assistance to such medical and 
dental schools and shall report to the Congress on or before June 30, 
Report to 
^ 
^ 
' Congress. 
1344 
PUBLIC L
A
W 91-519-NOV. 2, 1970 
[84 STAT. 
1971, his determinations of such need and his recommendations for 
such administrative and legislative action as he determines is necessary 
to meet such needs.". 
(b) The ajnendment made by paragraph (1) of subsection (a) of 
this section shall apply only with respect to appropriations under 
!? f}^i'11^: 
section 770 of the Piiblic Health Service Act made after the date of 
the enactment of this Act. 
42 use 795f. 
TITLE II—ALLIED HEALTH PEOFESSIONS 
GRANTS FOR CONSTRUCTION OF TEACHING FACILITIES FOR ALLIED HEALTH 
PROFESSIONS PERSONNEL 
SEC. 201. (a) Paragraph (1) of subsection (a) of section 791 of the 
80 Stat. 1222; 
PubHc Health Service Act (42 U.S.C. 295h(a) (1)) is amended (1) by 
2 Stat, 788. 
striking out "and" after "June 30,1969 ;"^ and (2) by striking out the 
period and inserting in lieu thereof a semicolon and the following: "; 
$20,000,000 for the fiscal year ending June 30, 1971; $30,000,000 for 
the fiscal year ending June 30,1972; and $40,000,000 for the fiscal year 
ending June 30,1973." 
(b) Paragraph (1) of subsection (b) of such section is amended by 
striking out "July 1, 1969" and inserting in lieu thereof "July 1, 
1972". 
GRANTS TO IMPROVE THE QUALITY OF TRAINING FOR ALLIED HEALTH 
PROFESSIONS 
SEC. 202. (a) Effective with respect to appropriations for the fiscal 
year beginning July 1,1970, section 792 of the Public Health Service 
Act (42 U.S.C. 295h-l (a)) is amended as follows: 
(1) Sul^ection (a) of such section is amended to read as follows: 
"Basic Improvement Grants 
"SEC. 792. (a) (1) There are authorized to be appropriated 
$15,000,000 for the fiscal year ending June 30,1971, $15,000,000 for the 
fiscal year ending June 30. 1972^ and $15,000,000 for the fiscal year 
ending June 30, 1973, for oasic improvement grants under this sub-
section." 
(2) Subsection (b) of such section is amended— 
(A) by striking out the subsection heading, 
(B) by striking out "(b)(1)" and inserting in lieu thereof 
"(2)", 
. 
. 
(C) by striking out "paragraph (2)" and inserting m lieu 
thereof "paragraph (3)'*, 
(D) by striking out "June 30,1970" and inserting in lieu thereof 
"June 30,1973", and 
(E) by striking out "(2)" in paragraph (2) aad inserting in 
lieu thereof "(3)". 
Repeal. 
^3^ Subsection (c) is repealed and the following new subsections 
are inserted immediately before subsection (d): 
"Special Improvement Grants 
"(b) There are authorized to be appropriated $15,000,000 for the 
fiscal year ending June 30,1971, $20,000,000 for the fiscal year ending 
June 30,1972» and $30,000,000 for the fiscal year ending June 30,1973, 
for special improvement grants to assist training centers for allied 
84 STAT. ] 
PUBLIC L
A
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1345 
health professions in projects for the provision, maintenance, or 
improvement of the specialized functions which the center serves. 
^'Special Projects for Experimentation, Demonstration, and 
Institutional Improvement 
" (c) (1) There are authorized to be appropriated $10,000,000 for the 
fiscal year ending June 30,1971, $20,000,000 for the fiscal year ending 
June 30,1972, and $30,000,000 for the fiscal year ending June 30,1973, 
for grants and contracts for special projects under this subsection. 
"(2) The Secretary is authorized, from sums available therefor 
from appropriations made under this subsection and subsection (b), to 
make grants to public or nonprofit private agencies, organizations, and 
institutions, and to enter into contracts with individuals, agencies, 
organizations, and institutions, for special projects related to train-
ing or retraining of allied health personnel, including— 
" (A) planningj establishing, demonstrating, or developing new 
programs, or modifying or expanding existing programs, includ-
mg interdisciplinary training programs; 
"(B) develoj^ing, demonstrating, or establishing special pro-
grams, or adapting existing programs, to reach special groups such 
as returning veterans with experience in a health field, the eco-
nomically or culturally deprived, or persons reentering any of the 
allied health fields; 
" (C) developing, demonstrating, or evaluating new or improved 
teaching methods or curriculums; 
"(D) developing, demonstrating, or establishing interrelation-
ships amon^ institutions which will facilitate the training, retrain-
ing, or utilization of allied health manpower; 
"(E) developing, demonstrating, or evaluating new types of 
health manpower; 
"(F) developing, demonstrating, or evaluating techniques for 
appropriate recognition (including equivalency and proficiencjjr 
testing mechanisms) of previously acquired training or experi-
ence; and 
"(G) 
developing, demonstrating, or evaluating new or 
improved means of recruitment, retraining, or retention of allied 
health manpower." 
(b) Effective with respect to grants from appropriations for the 
fiscal year beginning July 1, 1970, subsection (d) of section 792 is 
amended— 
(A) by striking out "basic or special improvement" in para-
graph (1); 
(B) by inserting "in the case of a basic or special improvement 
grant," immediately after "(A)" in paragraph (2)(A); and 
(C) by striking out "for grants under subsection fc)" in para-
graph (3) and inserting in lieu thereof "for special improvem^it 
grants under subsection (b) and for special project grants under 
subsection (c)". 
(c) Effective with respect to grants from appropriations for the 
fiscal year beginning July 1, 1970^ section 796(3) of such Act (42 
TJ.S.C. 295h-4) is amended by striking out "as applied to any training 
center for allied health professions'" and inserting in lieu thereoi 
", as applied to any training center for allied health professions or 
to any private agency, organization, or institution^". 
(d) Effective with respect to the fiscal year beginning July 1,1970, 
section 794 of such Act (42 U.S.C. 295h-3) is repealed. 
Contract authoi 
ity. 
80 Stat. 1227. 
42 u s e 295h-l, 
Repeal. 
Effective date» 
80 Stat. 1228; 
82 Stat. 788. 
1346 
PUBLIC LAW 91-519-NOV. 2, 1970 
[84 STAT. 
aRAINEP:SHIPS FOR ADVANCED TRAINING OF ALLIED HEALTH PROFESSIONS 
PERSONNEL 
SEC. 203. (a) Subsection (a) of section 793 of the Public Healtli 
80 Stat. 1228; 
Service Act (42 U.S.C. 295h-2(a)) is amended (1) by striking out 
82 Stat. 788. 
u^^^v ^
f
^
.
^
^
. uj^j^g gQ^ 1969;", aud (2) by inserting after "June 30, 
1970;" the following: "$8,000,000 for the fiscal year ending June 30, 
1971; 
$10,000,000 for the fiscal year ending June 30, 1972; and 
$12,000,000 for the fiscal year ending June 30,1973;". 
(b) Effective with respect to grants from appropriations for the 
fiscal year beginning July 1,1970— 
(1) Subsection (b) of such section is amended by striking out 
"training centers for allied health professions" and inserting in lieu 
thereof "agencies, organizations, and institutions". 
(2) Subsection (c) of such section is amended by striking out "cen-
ters" and inserting in lieu thereof "public or nonprofit private agencies, 
organizations, and institutions". 
ENCOURAGEMENT 
OF FULL UTILIZiVTION 
OF EDUCATIONAL 
TALENT 
FOR 
T H E ALLIED HEALTH PROFESSIONS 
42 use 295h. 
SEC. 204. Part G of title VII of the Public Health Service Act is 
amended by adding immediately after section 793 thereof the following 
new sections: 
" G R A N T S 
A N D 
C O N T R A C T S 
T O ENCOURAGE FULL UTILIZATION OF EDUCA-
TIONAL TALENT FOR ALLIED HEALTH 
PROFESSIONS 
"SEC. 794A. (a) To assist in meeting the need for additional trained 
personnel in the allied health professions, the Secretary is authorized 
to make grants to State or local educational agencies or other public or 
nonprofit private agencies, institutions, and organizations, or enter 
into contracts without regard to section 3709 of the Revised Statutes 
(41 U.S.C. (5)), for the purpose of— 
"(1) identifying individuals of financial, educational, or cul-
tural need with a potential for education or training in the allied 
health professions, including returning veterans of the Armed 
Forces of the ITnited States with training or experience in the 
health field, and encouraging and assisting them, whenever appro-
priate, to (A) complete secondary school, (B) undertake such 
postsecondary training as may be required to qualify them for 
training in the allied health professions, and (C) undertake post-
secondary educational training in the allied health professions, or 
"(2) publicizing existing sources of financial aid available to 
persons undertaking training or education in the allied health 
professions. 
Appropriation. 
"(b) For the purpose of carrying out the provisions of this section, 
there are authorized to be appropriated $750,000 for the fiscal year end-
ing June 30, 1971; $1,000,000 for the fiscal year ending June 30, 1972: 
and $1,250,000 for the fiscal year ending June 30,1973. 
"SCHOLARSHIP GRANTS 
"SEC. 794B. (a) The Secretary is authorized to make (in accordance 
wnth such regulations as he may prescribe) grants to public or non-
profit private agencies, institutions, and organizations with an estab-
lished program for training or retraining of personnel in the allied 
health professions or occupations specified by the Secretary for (1) 
scholarships to be awarded by such agency, institution, or organiza-
tion to students thereof, and (2) scholarships in retaining programs 
84 STAT. ] 
PUBLIC LAW 91-519-NOV. 2, 1970 
1347 
of such agency, institution, or organization to be awarded to allied 
health professions personnel in occupations for which such agency, 
institution, or organization determines that there is a need for the 
development of, or the expansion of, training. 
"(b) Scholarships awarded by any agency, institution, or organiza-
tion from grants under subsection (a) shall be awarded for any year 
only to individuals of exceptional financial need who require such 
assistance for such year in order to pursue a course of study offered 
by such agency, institution, or organization. 
"(c) Grants under subsection (a) may be paid in advance or by 
way of reimbursement and at such intervals as the Secretary may 
deem appropriate and with appropriate adjustments on account of 
overpayments or underpayments previously made. 
"(d) Any scholarship aw^arded from grants under subsection (a) 
to any individual for any year shall cover such portion of the indi-
vidual's tuition, fees, books, equipment, and living expenses as the 
agency, institution, or organization awarding the scholarship may 
determine to be needed by such individual for such year on the basis 
of his requirements and financial resources; except that the amount 
of any such scholarship shall not exceed $2,000, plus $600 for each 
dependent (not in excess of three) in the case of any individual who 
is awarded such a scholarship. 
"(e) The Secretary shall not approve any grant under this section 
unless the applicant therefor provides assurances satisfactory to the 
Secretary that funds made available through such grant will be so 
used as to supplement and, to the extent practicable, increase the 
level of non-Federal funds, which w^ould in the absence of such grant, 
be made available for the purpose for which such grant is requested. 
"(f) For the purpose of carrying out the provisions of this section, 
there is authorized to be appropriated $4,000,000 for the fiscal year 
ending June 30, 1971; $5,000,000 for the fiscal year ending June 30, 
1972; and $6,000,000 for the fiscal year ending June 30, 1973. 
Scholarship, 
limitation. 
Appropriation. 
"WORK-STUDY PROGRAMS 
"SEC. 794C. (a) The Secretary is authorized to enter into agree-
ments with public or nonprofit private agencies, institutions, and 
organizations with established programs for the training or retrain-
ing of personnel in the allied health professions specified by the Sec-
retary under which the Secretary will make grants to such agencies, 
institutions, and organizations to assist them in the operation of 
work-study programs for individuals undergoing training or retrain-
ing provided by such programs. 
"(b) Any agreement entered into pursuant to this section with a 
public or nonprofit private agency, institution, or organization shall— 
"(1) provide that such agency, institution, or organization, 
will operate a work-study program for the part-time employ-
ment of its students or trainees either (A) in work for such 
agency, institution, or organization or (B) pursuant to arrange-
ments between such agency, institution, or organization and 
another public or private nonprofit agency, institution, or orga-
nization, in work which is in the public interest for such other 
agency, institution, or organization; 
"(2) provide that any such work-study program shall be 
operated in such manner that its operation will not result in the 
displacement of employed workers or impair existing contracts 
for employment; 
"(3) provide that any such work-study program will provide 
conditions of employment, for the students or trainees partici-
1348 
PUBLIC LAW 91-519-NOV. 2, 1970 
[84 STAT. 
pating therein, which are appropriate and reasonable in light 
of such factors as type of work performed, prevailing wages in 
the area for similar work, and proficiency of the individual in 
the performance of the work involved; 
"(4) provide that no Federal funds made available to such 
agency, mstitution, or organization pursuant to such agreement 
shall be used for the construction, operation, or maintenance of 
any facility or part thereof which is used or is to be used for 
sectarian instruction or as a place for religious worship; 
"(5) provide that Federal funds made available to such agency, 
institution, or organization pursuant to such agreement shall be 
used only to make payments to its students or trainees performing 
work in the work-study program operated by such agency, insti-
Administrative 
tutiou, or Organization; except that such agency, institution, or 
expenses. 
Organization may use a portion of such funds to meet administra-
tive expenses connected with the operation of such program, but 
Funds, limita- 
the portiou which may be so used shall not exceed 5 per centum 
of that part of such funds which is used for the purpose of mak-
ing payments, to such students or trainees, for work performed 
for a public or private nonprofit agency, institution, or organiza-
tion other than the agency, institution, or organization receiv-
ing such Federal funds pursuant to such agreement; 
famm^t"°°rtfet- 
"^^^ provide that such agency, institution, or organization, in 
en'^e.*^* ^^^ ^^ 
Selecting students or trainees for employment in such work-study 
program, will give preference to individuals from low-income 
lamilies, and that no individual will be selected for employment 
- 
in such program unless he (A) is in need of the earnings from 
such employment in order to pursue a course of study (whether on 
a full-time or part-time basis) for training or retraining of person-
nel in the allied health professions provided by such agency, insti-
tution, or organization, (B) is capable, in the opinion of such 
agency, institution, or organization, of maintaining good standing 
in such course of study while employed under such work-study 
program, and (C) in the case of any individual who at the time 
he applies for such employment is a new student or trainee, has 
been accepted for enrollment in such course of study on a full-
time basis or part-time and, in the case of any other individual, 
is enrolled in such course of study on such a basis and is main-
taining good standing in such course of study; 
ortuniti^"^"* °^" 
" (^) provide that such agency, institution, or organization shall, 
in the operation of such work-study program, provide all individ-
uals desiring employment therein an opportunity to make appli-
cation for such employment and that, to the extent that necessary 
funds are available, all eligible applicants will be employed in 
such program; and 
"(8) include such other provisions as the Secretary may deem 
necessary or appropriate to carry out the purposes of this section. 
"(c) The Secretary shall not approve any grant under this section 
unless the applicant therefor provides assurances satisfactory to the 
Secretary that funds made available through such grant will be so used 
as to supplement and, to the extent practical, increase the level of non-
Federal funds which would, in the absence of such grant, be made 
available for the purpose for which such grant is requested, 
^unds, limita- 
"(d)(1) Fuuds provided through any grant made under this section 
shall not be used to pay more than— 
"(A) 90 per centum, in the case of the period commencing on 
the date of the enactment of this section and ending with the close 
of the third June 30th thereafter, 
"(B) 85 per centum, in the case of the one-year period which 
immediately succeeds the period referred to in clause (A), 
tion. 
84 STAT. ] 
PUBLIC L
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1349 
"(C) 80 per centum, in the case of the one-year period which 
immediately succeeds the period referred to in clause (B), nor 
"(D) 75 per centum, in the case of any period after the period 
referred to in clause (C), 
of the costs attributable to the payment of compensation to students or 
trainees for employment in the work-study program with respect to 
which such grant is made. 
"(2) (A) In determining (for purposes of paragraph (1)) the 
amounts attributable to the payment of compensation to students or 
trainees for employment in any work-study program, there shall be 
disregarded any Federal funds (other than such funds derived from 
a grant under this section) used for the payment of such compensation. 
"(B) In determining (for purposes of paragraph (1)) the total 
amounts expended for the payment of compensation to students or 
trainees for employment in any work-study program operated by any 
agency, institution, or organization receiving a grant under this 
section, there shall be included the reasonable value of compensation 
provided by such agency, institution, or organization to such students 
or trainees in the form of services and supplies (including tuition, 
board, and books). 
" (e) For the purpose of carrying out the provisions of this section, 
there is authorized to be appropriated $2,000,000 for the fiscal year end-
ing June 30, 1971, $4,000,000 for the fiscal year ending June 30, 
1972, and $6,000,000 for the fiscal year ending June 30, 1973. 
student services 
and supplies* 
Approprlatlon> 
" L O A N S rOR STUDENTS OF THE ALLIED HEALTH PROFESSIONS 
"SEC. 794D. (a) (1) The Secretary is authorized (in accordance with 
such regulations as he may prescribe) to enter into an agreement for 
the establishment and operation of a student loan fund in accordance 
with this section with any public or private nonprofit agency, institu-
tion, or organization which has an established program for the training 
or retraining of personnel in the allied health professions specified by 
the Secretary. 
" (2) Each agreement entered into under this subsection shall— 
"(A) provide for establishment of a student loan fund by 
such agency, institution, or organization for students or trainees 
enrolled in such program ; 
"(B) provide for deposit in the fund of (i) the Federal capital 
contributions paid under this section to the agency, institution, or 
organization by the Secretary, (ii) an additional amount from 
other sources equal to not less than one-ninth of such Federal cap-
ital contributions, (iii) collections of principal and interest on 
loans made from the fund, (iv) collections pursuant to subsection 
(b) (6), and (v) any other earnings of the fund; 
"(C) provide that the fund shall be used only for loans to 
students or trainees enrolled in such program of the agency, insti-
tution, or organization in accordance with the agreement and for 
costs of collection of such loans and interest thereon; 
"(D) provide that loans may be made from such fund to 
students pursuing a course of study (whether full time or part 
time) in such program of such agency, institution, or organization 
and that while the agreement remains in effect no such student 
who is attending such program of such agency, institution, or 
organization shall receive a loan from a loan fund established 
under section 204 of the National Defense Education Act of 1958 
or pursuant to part B of the title IV of the Higher Education Act 
of 1965; and 
"(E) contain such other provisions as are necessary to protect 
the financial interests of the United States. 
student loan 
fund* 
Fund deposits^ 
72 Stat. 1584; 
82 Stat. 1034. 
20 u s e 424. 
20 u s e 1071. 
ditions 
1350 
PUBLIC LAW 91.519-NOV. 2, 1970 
[84 STAT. 
Limitation. 
« Qy^ ^]^^ rpj^^ total of the loans for any academic year (or its equiv-
alent, as determiined under regulations of the Secretary) made by 
agencies, institutions or organizations from loan funds established 
pursuant to agreements under this section may not exceed $1,500 
in the case of any student. The aggregate of the loans for all years from 
such funds may not exceed $6,000 in the case of any student. 
Terms and con- 
"(^2) Loaus from auy such student loan fund by any agency, 
institution or organization shall be made on such terms and conditions 
as it may determine; subject, however, to such conditions, limitations, 
and requirements as the Secretary may prescribe (bjr regulation or 
in the agreement with the agency, institution, or organization) with a 
view to preventing impairment of the capital of such fund to the maxi-
mum extent practicable in the light of the objective of enabling the 
student to complete his course of study; and except that— 
" (A) such loan may be made only to a student who (i) is in need 
of the amount of the loan to pursue a part-time or full-time 
course of study at the agency, institution, or organization, and 
(ii) is capable, in the opinion of the agency, institution, or orga-
nization, of maintaining good standing in such course of study; 
Repayment. 
"(B) such loau shall 
TO 
repayable in equal or graduated periodic 
installments (with the right of the borrower to accelerate repay-
ment) over the ten-year period which begins one year after the 
student ceases to pursue a part-time or full-time course of study 
in a program for the training or retraining of personnel in the 
allied health professions at an agency, institution, or organiza-
tion approved by the Secretary, excluding from such ten-year 
period all (i) periods (up to three years) of (I) active duty per-
formed by the borrower as a member of a uniformed service, 
oo fl^n ocm 
^^ (^^) sGrvicc as a volunteer under the Peace Corps Act, and (ii) 
periods (up to five years) during which the borrower is pursuing 
a full-time course of study at a school leading to a baccalaureate 
or associate degree or the equivalent of either or to a higher degree 
in one of the allied health professions; 
"(C) not to exceed 50 per centum of any such loan (plus inter-
est) shall be canceled for full-time employment in any of the 
allied health professions (including teaching any such profession 
or service as an administrator, supervisor, or specialist in any such 
profession) in any public or private nonprofit agency, institution, 
or organization, or m a rural area with an individual practitioner 
of medicine or dentistry if such service is approved by a local 
county health department or its equivalent at the rate of 10 per 
centum of the amount of such loan plus interest thereon, which 
was unpaid on the first day of such service, for each complete year 
of such service, except that such rate shall be 15 per centum 
for each complete year of service in such a profession in a public 
or other nonprofit hospital, other health service facility or health 
agency which is determined, in accordance with regulations of 
the Secretary, to have a substantial shortage of persons rendering 
service in such profession, and for purposes 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; 
"(D) the liability to repay the unpaid balance of such loan and 
accrued interest thereon shall be canceled upon the death of the 
borrower, or if the Secretary determines that he has become 
permanently and totally disabled; 
"(E) such a loan shall bear interest on the unpaid balance of the 
loan, computed only for periods during which the loan is repay-
able, at the rate of 3 per centum per annum ,
• 
22 u s e 2501 
note 
Interest rate. 
84 STAT. ] 
PUBLIC LAW 91-519-NOV. 2, 1970 
1351 
"(F) such a loan shall be made without security or endoreemerLt, 
unsecured loans, 
except that if the borrower is a minor and the note or other ^'''=^P'^^°''* 
evidence of obligation executed by him would not, under the appli-
cable law, create a binding obligation, either security or endorse-
ment may be required; and 
"(G) no note or other evidence of any such loan may be trans-
ferred or assigned by the agency, institution, or organization 
making the loan except that, if the borrower transfers to another 
agency, institution, or organization participating in the program 
under this section, such note or other evidence of a loan may be 
transferred to such other agency, institution, or organization. 
"(3) When all or any part of a loan, or interest, is canceled under 
this subsection, the Secretary shall pay to the agency, institution, or 
organization an amount equal to its proportionate share of the can-
celed portion, as determined by the Secretary. 
"(4) Any loan for any year by an agency, institution, or organiza- me^ts?^' ^"^*''"" 
tion from a student loan fund established pursuant to an agreement 
under this section shall be made in such installments as may be pro-
vided in regulations of the Secretary or such agreement and, upon 
notice to the Secretary by the agency, institution, or organization that 
any recipient of a loan is failing to maintain satisfactory standing, 
any or all further installments of his loan shall be withheld, as may 
be appropriate. 
"(5) An agreement under this section with any agency, institution, 
or organization shall include provisions designed to make loans from 
the student loan fund established thereunder reasonably available (to 
the extent of the available funds in such fund) to all eligible students 
in the agency, institution, or organization in need thereof. 
"(6) Subject to regulations of the Secretary, an agency, institution, inftaiiments,^r»-
or organization may assess a charge with respect to a loan from thfe sessments.' 
loan fund established pursuant to an agreement under this section 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 paragraph (2) (B) or cancellation of part or all of the 
loan under paragraph (2) (C), for any failure to file timely and satis-
factory evidence of sucn entitlement. The amount of any such charge 
Limitation. 
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 thereafter. The agency, institution, or organization 
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 agency, institution, or organization not later than the due date of 
the next installment after receipt by the borrower of notice of the 
assessment of the charge. 
" (7) An agency, institution, or organization may provide, in accord- 
Monthly rate. 
ance with regulations of the Secretary, that during the repayment 
period of a loan from a loan fund established pursuant to an agree-
ment under this section payments of principal and interest by the 
borrower with respect to all the outstanding loans made to him from 
loan funds so established shall be at a rate equal to not less than $15 
per month. 
"(c) There are authorized to be appropriated to the Secretary for 
Appropriation., 
Federal capital contributions to student loan funds pursuant to sub-
section (a)(2)(B)(i) $3,500,000 for the fiscal year ending June 30, 
1971, $5,000,000 for the fiscal year ending June 30, 1972, and 
$10,000,000 for the fiscal year ending June 30,1973, and there are also 
authorized to be appropriated such sums for the fiscal year ending 
June 30, 1974, and each of the two succeeding fiscal years as may be 
1352 
PTTBLIC LAW 91-519-NOV. 2, 1970 
[84 STAT. 
Funds, allot-
menta 
Applications, 
filing dates* 
Installments* 
necessary to enable students who have received a loan from any 
academic year ending before July 1, 1973, to continue or complete 
their education. Sums appropriated pursuant to this subsection for 
any fiscal year shall be available to the Secretary (1) for payments 
into the funds established by subsection (f) (4), and (^2) in accordance 
with agreements under this section, for Federal capital contributions 
to schools with which such agreements have been made, to be used 
together with deposits in such funds pursuant to subsection (a) (2) 
(B)(ii), for establishment and maintenance of student loan funds. 
"(d) (1) From the sums appropriated pursuant to subsection (c) 
for any fiscal year, the Secretary shall allot to each agency, institu-
tion, or organization, which has an established program or programs 
for the training or retraining of personnel in the allied health pro-
fessions approved by the Secretary, 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 program or programs m such agency, 
institution, or organization approved by the Secretary bears to the 
total number of persons enrolled on a full-time basis in such programs 
in all such agencies, institutions, or organizations in all the States. 
The number of persons enrolled, in such a program, on a full-time 
basis in such agencies, institutions, or organizations for purposes of 
the subsection shall be determined by the Secretary for the most 
recent year for which satisfactory data are available to him. Funds 
available in any fiscal year for payment to agencies, institutions, or 
organizations under this section (whether as Federal capital contri-
butions or as loans under subsection (f)) which are in excess of the 
amount appropriated pursuant to subsection (c) for that year shall 
be allotted among agencies, institutions, or organizations approved 
by the Secretary in such manner as the Secretary determines will 
best carry out the purposes of this section. 
"(2) The Secretary shall from time to time set dates by which 
agencies, institutions, or organizations must file applications for 
Federal capital contributions and for loans pursuant to subsection (f). 
"(3) The Federal capital contributions to a loan fund of an agency, 
institution, or organization approved by the Secretary under this 
section shall be paid from time to time in such installments as the 
Secretary determines will not result in unnecessary accumulations in 
its loan fund. 
"(e) (1) After June 30,1977, and not later than September 30,1977, 
there shall be a capital distribution of the balance of the loan fund 
established under an agreement pursuant to subsection (a) (2) by 
each agency, institution or organization approved by the Secretary 
as follows: 
"(A) The Secretary shall first be paid an amount which bears 
the same ratio to such balance in such fund at the close of June 
30, 1977, as the total amount of the Federal capital contributions 
to such fund by the Secretary pursuant to subsection (a)(2)(B) 
(i) bears to the total amount in such fund derived from such Fed-
eral capital contributions from funds deposited therein pursuant 
to subsection (a) (2) (B) (ii). 
"(B) The remainder of such balance shall be paid to the 
agency, institution, or organization approved by the Secretary. 
"(2) After September 30, 1977, each agency, institution or organi-
zation approved by the Secretary with which the Secretary has made 
an agreement under this section shall pay to the Secretary, not less 
often than quarterly, the same proportionate share of amounts received 
by it after June 30,1977, in payment of principal and interest on loans 
made from the loan fund established pursuant to such agreement 
(other than so much of such fund as relates to payments from the 
revolving fund established by subsection (f)(4)) as was determined for 
the Secretary under paragraph (1). 
84 STAT.] 
PUBLIC LAW 91-519-NOV. 2, 1970 
1353 
"(f) (1) (A) During the fiscal year ending June 80, 1971, and each 
of the next two fiscal years, the Secretary may make loans, from the 
revolving fund established by paragraph (4), to any public or private 
nonprofit agency, institution or organization approved by him, to pro-
vide all or part of the capital needed by any such agency, institution 
or organization for making loans to students under this subsection 
(other than capital needed to make the institutional contributions 
required of agencies, institutions or organizations by subsection (a)(2) 
(B) (ii)). Loans to students from such borrowed sums shall be subject 
to the terms, conditions, and limitations set forth in subsection (b). 
The requirement in subsection (a) (2) (B) (ii) with respect to institu-
tional contributions by agencies, institutions, or organizations to stu-
dent loan funds shall not apply to loans made to agencies, institutions, 
or organizations under this subsection. 
"(B) A loan to an agency, institution, or organization approved by 
the Secretary under this subsection may be made upon such terms and 
conditions, consistent with applicable provisions of subsection (a), 
as the Secretary deems appropriate. If the Secretary deems it to be nec-
essary to assure that the purposes of this subsection will be achieved, 
these terms and conditions may include provisions making the obliga-
tion of the agency, institution, or organization to the Secretary on 
such a loan payable solely from such revenues or other assets or secu-
rity (including collections on loans to students) as the Secretary may 
approve. Such a loan shall bear interest at a rate which the Secretary 
determines to be adequate to cover (i) the cost of the funds to the 
Treasury as determined by the Secretary of the Treasury, taking into 
consideration the current average yields of outstanding marketable 
obligations of the Ignited States having maturities comparable to the 
maturities of loans made by the Secretary under this subsection, and 
(ii) probable losses. 
"(2) If an agency, institution, or organization approved by the Sec-
retary borrows any sums under this subsection, the Secretary shall 
agree to pay to it (A) an amount equal to 90 per centum of the loss to 
it from defaults on student loans made from such sums, (B) the 
amount by which the interest payable by it on such sums exceeds the 
interest received by it on student loans made from such sums, (C) an 
amount equal to the amount of collection expenses authorized by 
subsection (a) (2) (C) to be paid out of a student loan fund with 
respect to such sums, and (D) the amount of the principal which is 
canceled pursuant to subsection (b) (2) (C) or (D) with respect to 
student loans made from such sums. There are authorized to be appro-
priated without fiscal year limitation such sums as may be necessary 
to carry out the purposes of this paragraph. 
"(3) The total of the loans made in any fiscal year under this sub- 
Limitation. 
section shall not exceed the lesser of (1) such limitations as may be spec-
ified in appropriation Acts, and (2) the difference between $35,000,000 
and the amount of Federal capital contributions paid under this sec-
tion for that year. 
"(4) (A) There is hereby created within the Treasury an allied 
professions training fund (hereinafter in this paragraph referred to 
as the 'fund') which shall be available to the Secretary without fiscal 
year limitation as a revolving fund for the purposes of this subsection. 
A business-type budget for the fund shall be prepared, transmitted 
to the Congress, considered, and enacted in the manner prescribed by 
law (sections 102, 103, and 104 of the Government Corporation Con-
trol Act, 31 IT.S.C. 847-849) for wholly owned Government corpora- 
59 stat. sosj 
tionS. 
61 Stat. 584. 
"(B) The fund shall consist of appropriations paid into the fund 
pursuant to subsection (c), appropriations made pursuant to this 
paragraph, all amounts received by the Secretary as interest payments 
1354 
PUBLIC LAW 91-519-NOV. 2, 1970 
[84 STAT. 
or repayments of principal on loans under this subsection, and any 
other moneys, property, or assets derived by him from his operations 
in connection with this subsection (other than paragraph 
(2)), 
including any monejs derived directly or indirectly from the sale of 
assets, or beneficial interest or participations in assets, of the fund. 
"(C) 
All loans, expenses (other than normal administrative 
expenses), aaid payments pursuant to operations of the Secretary under 
this subsection (other than paragraph (s)) shall be paid from the 
fund, including (but not limited to) expenses and payments of the 
Secretary in connection with the sale, under section 302(c) of the 
78 Stat. 800; 
Federal National Mortgage Association Charter Act, of participation 
82 Stat! 542!^^^^' ^^ obligations acquired under this subsection. From time to time, 
12 use 17*17. 
and at least at the close of each fiscal year, the Secretary shall pay 
from the fund into the Treasury as miscellaneous receipts interest 
on the cumulative amount of appropriations paid out for loans under 
this subsection, less the average undisbursed cash balance in the fund 
during the year. The rate of such interest shall be determined by the 
Secretary of the Treasury, taking into consideration the average 
market yield during the month preceding each fiscal year on out-
standing Treasury obligations of maturity comparable to the average 
maturity of loans made from the fund. Interest payments may be 
deferred with the approval of the Secretary of the Treasury, but 
any interest payments so deferred shall themselves bear interest. If 
at any time the Secretary determines that moneys in the fund exceed 
the present and any reasonable prospective future requirements of 
the fund, such excess may be transferred to the general fund of the 
Treasury. 
"(g) The Secretary may agree to modifications of agreements or 
loans made under this section, and may compromise, waive, or release 
any right, title, claim, or demand of the United States arising or 
acquired under this section." 
STUDY OF ALLIED H E A L T H PROGRAMS 
SEC. 205. Section 798 of the Public Health Service Act (42 U.S.C. 
82 Stat. 788. 
295h-7) Is amended to read as follows: 
STUDY 
"SEC. 798. (a) The Secretary shall conduct a study of the adminis-
tration of— 
, ;. 
"(1) the provisions of this part, 
"(2) other provisions of this Act which relate to the allied 
health professions or the training of individuals to prepare them 
to engage in any of such professions; and 
" (3) provisions of law which are administered by the Commis-
sioner of Education and which relate to the allied health profes-
sions or the training of individuals to prepare them to engage in 
any of such professions; 
with a view to determining the adequacy of such provisions and the 
programs established pursuant thereto to meet the needs of the Nation 
for allied health professions personnel." 
ADVANCE FUNDING 
, 
.^ -/: 
Ante, p. 1346. 
gj;c. 206. Part G of title VII of the Public Health Service Act is 
further amended by adding after section 798 thereof the following 
newsection: 
; 
84 STAT. ] 
PUBLIC L
A
W 91-520-NOV. 2, 1970 
1355 
a 
ADVANCE FUNDING 
"SEC. 799. Any appropriation Act which appropriates funds for 
any fiscal year for grants, contracts, or other payments under this 
part may also appropriate for the next fiscal year the funds that are 
authorized to be appropriated for such payments for such next fiscal 
year; but no funds may be made available therefrom for obligation 
for such payments before the fiscal year for which such funds are 
authorized to be appropriated." 
LICENSURE REPORT 
SEC. 207. Part G of title VII of the Public Health Service Act is 
further amended by adding after section 799 (as added by section 206 
of this Act) the following new section: 
u 
LICENSURE REPORT 
"SEC 799A. The Secretary shall prepare and submit to the Congress, 
prior to July 1, 1971, a report identifying the major problems associ-
ated with licensure, certification, and other qualifications for practice 
or employment of health personnel (including ^roup practice of health 
personnel), together with summaries of the activities (if any) of Fed-
eral agencies, professional organizations, or other instrumentalities 
directed toward the alleviation of such problems and toward maximiz-
ing the proper and efficient utilization of health personnel in meeting 
the health needs of the Nation. Such report shall include specific rec-
ommendations by the Secretary for steps to be taken toward the 
solution of the problems so identified in such report." 
Approved November 2, 1970. 
Report to Con-
gress. 
Public Law 91-520 
AN APT 
/^i> 
rt.v^x 
November 2, 1970 
To authorize the Thousand Islands Bridge Authority to construct, maintain. 
[H. R. 15069] 
and oi>erate an additional toll bridge across the Saint Lawrence River at or 
near Cape Vincent, New York. 
Be it enacted hy the Senate and House of Representatives 
of the 
United States of Am-erica in Congress assembled. That, in order to 
^t* Lawrence 
facilitate the increased volume of international commerce, improve ^^-^gii bria e 
postal service, and strengthen the friendly relations between the United, struction authori-
States of America and the Government of Canada and other purposes, ^3*^°"* 
the Thousand Islands Bridge Authority, its successors and assigns, 
the successor to the New York Development Association, Incorporated, 
"S'S'hich was authorized to construct, maintain, and operate toll bridges 
between the mainland of United States across the Saint Lawrence 
Kiver to the mainland of Canada, pursuant to an Act entitled "An Act 
authorizing the New York Development Association, Incorporated, 
its successors and assigns, to construct, maintain, and operate a bridge 
across the Saint Lawrence River near Alexandria Bay, New York" 
approved March 4, 1929, be and is hereby authorized to construct, 
maintain, and operate an additional toll bridge and approaches thereto, 
across the easterly channel of the Saint Lawrence River, at or near Cape 
Vincent in the county of Jefferson, New York to some convenient point ont! 
45 Stat. 1552. 
Cape Vincent, 
N. Y.-Kingston,