Public Health Service Act Extension
PL 93-45 (S.1136), enacted 06/18/1973

87 STAT.] 
PUBLIC LAW 9 3 - 4 5 - J U N E 18, 1973 
91 
Public Law 93-45 
AN A C T 
j^j^g jg^ jg73 
To extend through fiscal year 1974 certain expiring appropriations aiitliori- 
[s.1136] 
zations in the Public Health Service Act, the Community Mental Health 
Centers Act, and the Developmental Disabilities Services and Facilities Con-
struction Act, and for otlier purposes. 
Be it enacted hy the Senate and House of Representatives 
of the 
United States of America in Congress assembled. 
Health Programs 
^ 
"
^ 
Extension Act of 
1973. 
SHORT TITLE 
SECTIOX 1. Tliis Act may be cited as tlie "Healtli Projoranis Exten-
sion Act of 1973'", 
TITLE I—A^IENDMEXTS TO PUBLIC HEALTH 
SERVICE ACT 
REFEREXCES TO ACT 
SEC. 101. AA'henever in this title an amendment is expressed in terms 
of an amendment to a section or other provision, the reference shall 
be considered to be made to a section or other provision of the Public 
Health Service Act. 
ss stat. 682. 
HEALTH SERVICES RESEARCH AND DEVELOPMENT 
42 use 2 01 
note. 
SEC. 102. Section 304(c) (1) is amended (1) by striking out "and" 
84 stat. 1302. 
after "1972,", and (2) by inserting before the period at the end thereof 
a. comma and the following: "and $42,617,000 for the fiscal year ending 
June 30, 1974". 
NATIONAL HEALTH SCRVEYS AND STUDIES 
SEC. 103. Section 305(d) is amended (1) by striking out "and" after 
8
4 stat. 1304. 
"1972," and (2) by striking out the period and inserting in lieu thereof 
^'^ ^^^ ^'*^''* 
a comma and the following: "and $14,518,000 for the fiscal year ending 
June 30, 1974". 
PUBLIC HEALTH TRAINING 
SEC. 104. (a) Section 306(.a) is amended (1) by striking out "and" ^ 70 stat. 923; 
42 use 242d. 
after "1972,", and (2) by inserting after "1973" the following: ", and ^^ ^*^*- " ' 
$10,300,000 for the fiscal year ending June 30,1974,". 
(b) Section 309(a) is amended (1) by striking out "and" after 
74 stat. si9; 
"1972,", and (2) by inserting after "1973" the following: ", and ^^o'usc242 
^^6,500,000 for the fiscal year ending June 30, 1974". 
^' 
(c) Section 309(c) is amended (1) by striking out "and" after 
""1972,", and (2) by inserting after "1973" the following: ", and 
$6,500,000 for the fiscal year ending June 30,1974". 
MIGRANT HEALTH 
SEC. 105. Section 310 is amended (1) by striking out "and" after 
76 stat. 592; 
- • 
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, _ . 
- 
. 
. 
_ 
V / 
V 
_ 
e> _ 
Q^ S t a t . 5 2 . 
42 use 242h. 
"1972,", and (2) by inserting after "1973" the following: ", and ^'^ ^*^'-^2 
$26,750,000 for the fiscal year ending June 30,1974". 
92 
PUBLIC LAW 93-45-JUNE 18, 1973 
[87 STAT. 
COMPREIIEXSIVE H E A L T H PLANNING SERVICES 
JVT\\\\^''' 
SEC. 106. (a) (1) Section 314(a) (1) is amended (A) by striking out 
42 use 246. 
"and" after "1972,", and (B) by inserting after "1973" the follow-
ing: ", and $10,000,000 for the fiscal year ending June 30, 1974". 
(2) Section 314(b) (1) (A) is amended (A) by striking out "and" 
after "1972,", and (B) by inserting after "1973" the following: ", and 
$25,100,000 for the fiscal year ending June 30, 1974". 
(3) Section 314(c) is amended (A) by striking out "and" after 
"1972,", and (B) by inserting after "1973" the following: ", and 
$4,700,000 for the fiscal year ending June 30, 1974". 
(4) Section 314(d) (i) is amended (A) by striking out "and" 
after "1972,", and (B) by inserting after "1973" the following: ", and 
$90,000,000 for the fiscal year ending June 30, 1974". 
(5) Section 314(e) is amended (A) by striking out "and" after 
"1972,", (B) by inserting "and $230,700,000 for the fiscal year end-
ing June 30, 1974," after "1973,", and (C) by adding at the end 
thereof the following: "No grant may be made under this subsec-
tion for the fiscal year ending June 30, 1974, to cover the cost of 
services described in clause (1) or (2) of the first sentence if a grant 
or contract to cover the cost of such services may be made or entered 
into from funds authorized to be appropriated for such fiscal year 
under an authorization of appropriations in any provision of this 
Act (other than this subsection) amended by title I of the Health 
Ante, p. 91. 
Pi'ograms Extension Act of 1973." 
(b) The first sentences of sections 314(b) (1) (A) and 314(c) are each 
amended by striking out "and ending June 30, 1973" and inserting in 
lieu thereof "and ending June 30, 1974". 
ASSISTANCE TO MEDICAL 
LIBRARIES 
79 Stat. 1062; 
SEC. 107. (a) Scctiou 394(a) is amended (1) by striking out "and" 
"
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2 use 280b-4 
^fter "1972,", and (2) by inserting after "1973" the following: ", and 
$1,500,000 for the fiscal year ending June 30, 1974". 
(b) Section 395(a) is amended by inserting after the first sentence 
the following new sentence : "To enable the Secretary to carry out such 
purposes, there is authorized to be appropriated $95,000 for the fiscal 
year ending June 30. 1974," 
(c) Section 395(b) is amended by inserting after the first sentence 
the following new sentence: "To enable the Secretary to carry out such 
purposes, there is authorized to be appropriated $900,000 for the fiscal 
year ending June 30, 1974." 
84 Stat. 67. 
"
^ (d) Scctiou 396(a) is amended (1) by striking out "and" after 
42use280b.7. a-L972,", and (2) by inserting after "1973" the following: ", and 
$2,705,000 for the fiscal year ending June 30, 1974". 
42 use 280b-8. 
(e) Section 397(a) is amended (1) by striking out "and" after 
"1972,", and (2) by inserting after "1973" the following: ", and 
$2,902,000 for the fiscal year ending June 30, 1974". 
42 use 280b-9. 
(f) gectiou 398(a) is amended by inserting after the first sentence 
the folloAving new sentence: "To enable the Secretary to carry out such 
purposes, there is authorized to be appropriated $340,000 for the fiscal 
year ending June 30,1974.". 
HILL-BURTON 
PROGRAMS 
78 Stat. 448; 
SEC. 108. (a) (1) Sectiou 601(a) is amended to read as follows: 
^ f u s c S a . 
" (a) for the fiscal year ending June 30,1974— 
42 u s e 2 80b-5. 
87 STAT. ] 
PUBLIC LAW 93-45-JUNE 18, 1973 
93 
"(1) $20,800,000 for grants for the construction of public or 
other nonprofit facilities for long-term care; 
"(2) $70,000,000 for grants for the construction of public or 
other nonprofit outpatient facilities; 
"(3) $15,000,000 for grants for the construction of public or 
other nonprofit rehabilitation facilities;". 
(2) Section 601(b) is amended (A) by striking out "and" after g/?.^!%-V^' 
"1972,", and (B) by inserting after "1973" the following: ", and 
42 use 291 a. 
$41,400,000 for the fiscal year ending June 30,1974". 
(3) Section 601(c) is amended (A) by striking out "and" after 
"1972,", and (B) by inserting after "1973" the following: ", and 
$50,000,000 for the fiscal year ending June 30,1974". 
(b) (1) Section 621(a) is amended by striking out "through June 
^^ stat. 334. 
30, 1973" in paragraphs (1) and (2) and inserting in lieu thereof 
^
" 
"through June 30,1974". 
(2) Section 625(2) is amended by striking out "for the fiscal year 
^^ 
ijscinh. 
ending June 30, 1973" and inserting in lieu thereof "for each of the 
fiscal years ending June 30,1973, and June 30,1974". 
TRAINING I N T H E ALLIED H E A L T H 
PROFESSIONS 
SEC. 109. (a) Section 792(b) is amended (1) by striking out "and" 
^^ us^c 2gs^h-'i. 
after "1972,". and (2) by inserting after "1973" the following: ", and 
$20,000,000 for the fiscal year ending June 30,1974". 
(b) Section 792(c) (1) is amended (1) by striking out "and" after 
"1972,", and (2) by inserting after "1973" the following: ", and 
$18,245,000 for the fiscal year ending June 30,1974". 
(c) Section 793(a) is amended (1) by striking out "and" after 
sostat. 1228; 
"1972;", and (2) by inserting after "1973" the following: "; and "^a'uscltsM 
$6,000,000 for the fiscal year ending June 30, 1974". 
(d) Section 794A(b) is amended (1) by striking out "and" after 
^2 use 2 95h-3a. 
"1972;", and (2) by inserting after "1973" the following: "; and 
$100,000 for the fiscal year ending June 30, 1974". 
REGIONAL MEDICAL PROGRAMS 
SEC. 110. Section 901(a) is amended (1) by striking out "and" 84 1^11^^298' 
after "1972,", and (2) by inserting after "1973"'the following: ", and 
42 use 299a. 
$159,000,000 for the fiscal year ending June 30,1974,". 
POPULATION RESEARCH AND FAMILY PLANNING 
SEC. 111. (a) Section 1001(c) is amended (1) by striking out 
84 stat. 1506; 
"and" after "1972;", and (2) by inserting after "1973" the follow- ^^2'usc 300 
ing: ", and $111,500,000 for the fiscal year ending June 30, 1974". 
(b) Section 1003(b) is amended (1) by striking out "and" after 
42 usesooa-i. 
"1972;", and (2) by inserting after "1973" the following: "; and 
$3,000,000 for the fiscal year ending June 30, 1974". 
(c) Section 1004(b) is"amended (1) by striking out "and" after 
'^^ use 3ooa.2. 
"1972;", and (2) by inserting after "1973" the following: "; and 
$2,615,000 for the fiscal year ending June 30, 1974". 
(d) Section 1005(b) is amended (1) by striking out "and" after 
^2 use 3 00a-3. 
"1972;", and (2) by inserting after "1973" the following: "; and 
$909,000 for the fiscal year ending June 30, 1974". 
94 
PUBLIC LAW 93-45-JUNE 18, 1973 
[87 STAT. 
TITLE IT—AMENDMENTS TO T H E COMMUNITY 
MENTAL HEALTH CENTERS ACT 
77 Stat. 290. 
42 u s e 2681 
note. 
84 Stat. 54. 
42 u s e 2681. 
42 u s e 2687. 
REFERENCP:S TO ACT 
SEC. 201. Whenever in this title an amendment is expressed in terms 
of an amendment to a section or other provision, the reference shall 
be considered to be made to a section or other provision of the Com-
mmiity Mental Health Centers Act. 
CONSTRUCTIOX ASSISTANCE FOR MENTAL H E A L T H CENTERS 
SEC. 202. (a) Section 201(a) is amended (1) by striking out "and" 
after "1972,", and (2) by inserting after "1973" the following: ", and 
$20,000,000 for the fiscal year ending June 30, 1974". 
(b) Section 207 is amended by striking out "1973" and inserting 
in lieu thereof "1974". 
79 Stat. 42 8; 
84 Stat. 5 7. 
42 u s e 2688a. 
42 u s e 2688d. 
84 Stat. 5 9. 
42 u s e 2 688J-1. 
84 Stat. 1851. 
42 u s e 2688J-2. 
STAFFINQ ASSISTANCE FOR MENTAL H E A L T H CENTERS 
SEC. 203. (a) Section 221(b) is amended by striking out "1973" 
each place it occurs and inserting in lieu thereof "1974". 
(b) Section 224(a) is amended (1) bv striking out "and" after 
"1972,", (2) by inserting after "1973" the following: ", and $49,131,00;) 
for the hscal year ending June 30, 1974", and (3) by striking out 
"thirteen succeeding years" and inserting in lieu thereof "fourteen 
succeeding years". 
ALCOHOLISM PROGRAMS 
SEC, 204. (a) Section 246 is amended by striking out "1973" and 
inserting in lieu thereof "1974". 
(b) Section 247(d) is amended by striking out "for the fiscal year 
ending June 30, 1973" and inserting in lieu thereof "for each of the 
fiscal years ending June 30, 1973, and June 30, 1974". 
82 
Stat. 1010; 
84 
Stat. 59. 
42 
use 2688/. 
84 
Stat. 1238. 
42 
use 2688Z-1. 
86 Stat. 76. 
42 u s e 2688n-l. 
DRUG ABUSE PROGRAMS 
SEC. 205. (a) Section 252 is amended by striking out "1973" and 
insertiiig in lieu thereof "1974". 
(b) Section 253(d) is amended (1) by striking out "and" after 
"1972,", and (2) by inserting after "1973" the following: ", and 
$1,700,000 for the fiscal year ending June 30, 1974". 
(c) Section 256(e) is amended by striking out "$75,003,000" and 
inserting in lieu thereof "$60,000,000". 
42 u s e 26880. 
84 Stat. 58. 
OTHER AUTHORIZATIONS FOR ALCOHOLISM AND DRUG ABUSE PROGRAMS 
SEC. 206. (a) Section 261(a) is amended (1) bv striking out "and" 
after "1972,", and (2) by inserting after "1973" the following: ", and 
$36,774,000 for the fiscal year ending June 30, 1974". 
(b) Section 261 (b) is amended (1) by striking out "nine fiscal years" 
and inserting in lieu thereof "ten fiscal years", and (2) by striking out 
"1973" and inserting in lieu thereof "1974". 
84 Stat. 60. 
42 u s e 2688u. 
MENTAL H E A L T H OF CHILDREN 
SEC. 207. (a) Section 271(d)(1) is amended (1) by striking out 
"and" after "1972,", and (2) by inserting after "1973" the following: 
", and $16,515,000 for the fiscal year ending June 30, 1974". 
87 STAT.] 
PUBLIC LAW 93-45-JUNE 18, 1973 
95 
84 Stat. 60. 
42 u s e 2688u. 
84 Stat. 1317. 
42 u s e 2671. 
(b) Section 271(d) (2) is amended (A) by striking out "eight fiscal 
years" and inserting in lieu thereof "nine fiscal years", and (B) by 
striking out "1973" and inserting in lieu thereof "1974". 
TITLE III—AMENDMENTS TO T H E 
DEVELOPMENTAL 
DISABILITIES SEKVICES AND FACILITIES CONSTRUC-
TION ACT 
ATJTHORIZATION OF APPROPRIATIONS FOR SERVICES AND PLANNING 
SEC. 301. (a) Section 122 (b) of the Developmental Disabilities Serv- 
g^ gtat. 1326. 
ices and Facilities Construction Act is amended (1) by striking out 
42 use 2 66ia 
"and" after "1972;", and (2) by inserting after "1973" the following: 
"; and $9,250,000 for the fiscal year ending June 30,1974". 
(b) Section 131 of such Act is amended (1) by striking out "and" 
after "1972,", and (2) by inserting after "1973" the following: ", and 
$32,500,000 for the fiscal year ending June 30,1974". 
(c) Section 137(b) (1) is amended by striking out "the fiscal year 
^4 stau^i323. 
ending June 30, 1973" and inserting in lieu thereof "each of the fiscal 
years ending June 30,1973, and June 30,1974". 
TITLE IV—MISCELLANEOUS 
MISCELLANEOUS 
SEC. 401. (a) Section 601 of the Medical Facilities Construction and 
Modernization Amendments of 1970 is amended by striking out "1973" 
84 stat. 353. 
and inserting in lieu thereof "1974". 
^^ "^^ '°' "°'' 
(b) The receipt of any grant, contract, loan, or loan guarantee under 
sterilization or 
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i 
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^^ 
abortion* discrinii'" 
the Public Health Service Act, the Community Mental Health Cen- nation prohibition. 
ters Act, or the Developmental Disabilities Services and Facilities 
^^ ^*^^'2^oi^noti^ 
Construction Act by any individual or entity does not authorize any 
77 stat. 290. 
court or any public official or other public authority to require— 
42 use 2681 
(1) such individual to perform or assist in the performance of "°42'use 2661 
any sterilization procedure or abortion if his performance or note. 
assistance in the performance of such procedure or abortion would 
be contrary to his religious beliefs or moral convictions; or 
(2) such entity to— 
(A) make its facilities available for the performance of 
any sterilization procedure or abortion if the performance of 
such procedure or abortion in such facilities is prohibited by 
• ~ 
the entity on the basis of religious beliefs or moral convictions, 
or 
(B) provide any personnel for the performance or assist-
ance in the performance of any sterilization procedure or 
abortion if the performance or assistance in the performance 
of such procedure or abortion by such personnel would be 
contrary to the religious beliefs or moral convictions of such 
personnel. 
(c) No entity which receives a grant, contract, loan, or loan guaran-
tee under the Public Health Service Act, the Community Mental 
Health Centers Act, or the Developmental Disabilities Services and 
Facilities Construction Act after the date of enactment of this Act 
may— 
(1) discriminate in the employment, promotion, or termination 
of employment of any physician or other health care personnel, or 
96 
PUBLIC LAW 93-46-JUNE 18, 1973 
[87 STAT. 
(2) discriminate in the extension of staff or other privileges to 
any physician or otlier health care personnel, 
because he performed or assisted in the performance of a lawful 
sterilization procedure or abortion, because he refused to perform or 
assist in the performance of such a procedure or abortion on the 
grounds that his performance or assistance in the performance of thi^ 
procedure or abortion would be contrary to his religious beliefs or 
moral convictions, or because of his religious beliefs or moral convic-
tions respecting sterilization procedures or abortions. 
Approved June 18, 1973. 
June 18, 1973 
[H. R. 2246] 
Public Law 93-46 
AN ACT 
To amend the Public Works and Economic Development Act of 1965 
to extend the authorizations for a one-year period. 
Public works 
program. 
Extension. 
79 Stat. 554; 
85 Stat. 166. 
42 u s e 3135. 
Loans, exten-
sion. 
42 u s e 3141, 
Eligible Indian 
tribes, payment of 
administrative ex-
penses. 
42 u s e 3151. 
42 u s e 3152. 
42 u s e 3171, 
Be it enacted hy the Senate and House of Representatives 
of the 
XJnited States of Amsrica in Congress assembled, 
SECTION 1. The first sentence of section 105 of the Public Works 
and Economic Development Act of 1965, as amended, is amended by 
striking out the word "and" after the words "June 30, 1971," and 
by striking out the period at the end thereof and inserting in lieu 
thereof a comma and the following: "and not to exceed $200,000,000 
for the fiscal year ending June 30, 1974.", and by striking in the last 
sentence the words "and June 30, 1973," and inserting in lieu thereof 
", June 30,1973, and June 30,1974,". 
SEC. 2. Subsection (c) of section 201 of the Public Works and Eco-
nomic Development Act of 1965, as amended, is amended by striking 
out the period at the end thereof and inserting in lieu thereof a comma 
'and the following: "and shall not exceed $55,000,000 for the fiscal 
year ending June 30,1974." 
SEC. 3. (a) Subsection (b) of section 301 of the Public Works and 
Economic Development Act of 1965, as amended, is amended by 
inserting in the first sentence immediately after the word "hereof" 
the following: ", except that in the case of a grant under this sub-
section to an Indian tribe the Secretary is authorized to defray up to 
100 per centum of such expenses". 
(b) Section 302 of the Public Works and Economic Development 
Act of 1965, as amended, is amended by striking out the word "and" 
after the words "June 30, 1969," and by striking out the period at the 
end thereof and inserting in lieu thereof a comma and the following: 
"and $35,000,000 for the fiscal year ending June 30, 1974." 
SEC. 4. Subsection (g) of section 403 of the Public Works and Eco-
nomic Development Act of 1965, as amended, is amended by inserting 
after "1973", the following: "and not to exceed $45,000,000 for the 
fiscal year ending June 30,1974,".