42 U.S.C. 228 42 U.S.C. 229 UNAUTHORIZED WEARING OF UNIFORMS SEC. 510. Except as many be authorized by regulations of the President, the insignia and uniform of commissioned officers of the Service, or any distinctive part of such insignia or uniform, or any insignia or uniform any part of which is similar to a distinctive part thereof, shall not be worn, after the promulgation of such regulations, by any person other than a commissioned officer of the Service. ANNUAL REPORT SEC. 511. The Surgeon General shall transmit to the Secretary, for submission to the Congress at the beginning of each regular session, a full report of the administration of the functions of the Service under this Act. including a detailed statement of receipts and disbursements. MEMORIALS AND OTHER ACKNOWLEDGEMENTS SEC. 512.45 The Secretary may provide for suitably acknowledging, within the Department (whether by memorials, designations, or other suitable acknowledg ments), (1) efforts of persons who have contributed substantially to the health of the Nation and (2) gifts for use in activities of the Department related to health. Sec. 510 amended by the Act of June 25, 1948, 62 Stat. 859. 45 Sec. 512 added by Sec. 503 (a) of P.L. 90-574. TITLE VI-ASSISTANCE FOR CONSTRUCTION AND MODERNIZATION OF HOSPITALS AND OTHER MEDICAL FACILITIES 46 DECLARATION OF PURPOSE SEC. 600. The purpose of this title is— (a) to assist the several States in the carrying out of their programs for the construction and modernization of such public or other nonprofit community hospitals and other medical facilities as may be necessary, in conjunction with existing facilities, to furnish adequate hospital, clinic, or similar services to all their people; (b) to stimulate the development of new or improved types of physical facilities for medical, diagnostic, preventive, treatment, or rehabilitative services; and (c) to promote research, experiments, and demonstrations relating to the effective development and utilization of hospital, clinic, or similar services, facilities, and resources, and to promote the coordination of such research, experiments, and demonstrations and the useful application of their results. PART A-GRANTS AND LOANS FOR CONSTRUCTION AND MODERNIZATION OF HOSPITALS AND OTHER MEDICAL FACILITIES AUTHORIZATION OF APPROPRIATIONS FOR CONSTRUCTION GRANTS SEC. 601. In order to assist the States in carrying out the purposes of section 600, there are authorized to be appropriated 47 (a) for the fiscal year ending June 30, 1965, and each of the next five fiscal years (1) $70,000,000 for grants for the construction of public or other nonprofit facilities for long-term care; (2) $20,000,000 for grants for the construction of public or other nonprofit diagnostic or treatment centers; (3) $10,000,000 for grants for the construction of public or other nonprofit rehabilitation facilities; Title VI was completely revised by sec. 3(a) P.L. 88-443. (b) 48 for grants for the construction of public or other nonprofit hospitals and public health centers and for grants for modernization of such facilities and the facilities referred to in paragraph (a), $150,000,000 for the fiscal year ending June 30, 1965, $160,000,000 for the fiscal year ending June 30, 1966, $170,000,000 for the fiscal year ending June 30, 1967, $180,000,000 each for the next two fiscal years, and $195,000,000 for the fiscal year ending June 30, 1970. STATE ALLOTMENTS SEC. 602. (a) (1) 49 Each State shall be entitled for each fiscal year to an allotment bearing the same ratio to the sums appropriated for such year pursuant to subparagraphs (1), (2), and (3), respectively, of section 601 (a), and to an allotment bearing the same ratio to the new hospital portion of the sums appropriated for such year pursuant to section 601 (b), as the product of— (A) the population of such State, and (B) the square of its allotment percentage, bears to the sum of the corresponding products for all of the States. As used in this paragraph, the new hospital portion of sums appropriated pursuant to section 601(b) (which portion shall be available for grants for the construction of public or other nonprofit hospitals and public health centers) is 100 per centum of such sums in the case of the fiscal year ending June 30, 1965, seven-eighths thereof in the case of the first fiscal year thereafter, twenty-seven thirty-fourths thereof in the case of the second fiscal year thereafter, thirteen-eighteenths thereof in the case of the third fiscal year thereafter, twenty-five thirty-sixths thereof in the case of the fourth fiscal year thereafter and two-thirds thereof in the case of the fifth fiscal year thereafter. (2) 50 For each fiscal year beginning after June 30, 1965, the Surgeon General shall, in accordance with regulations, make allotments from the remainder of the sums appropriated pursuant to section 601 (b) (which portion shall be available for grants for modernization of facilities referred to in paragraphs (a) and (b) of section 601) on the basis of the population, the extent of the need for modernization of the facilities referred to in paragraphs (a) and (b) of section 601, and the finan cial need of the respective States. (b) (1) The allotment to any State under subsection (a) for any fiscal year which is less than 48 Sec. 601(b) amended by subsec. 402(a)(2) of P.L. 90-574. 49 Subsec. 602(a)(1) amended by subsec. 402(b)(1) of P.L. 90-574. 60 Sec. 3(b) (5) of P.L. 88-443, provided for the following exception in sec. 602 (a) (2) of the PHS Act: "no application with respect to a project for modernization of any facility in any State may be approved by the Surgeon General. for purposes of receiving funds from an allotment under section 602 (a) (2) of the Public Health Service Act, as amended by this Act. before July 1, 1965, or before such State has had a State plan approved by the Surgeon General as meeting the requirements of section 604 (a) (4) (E) as well as the other requirements of section 604 of such act as so amended." (A) $25,000 for the Virgin Islands, American Samoa, or Guam and $50,000 for any other State, in the case of an allotment for grants for the construction of public or other nonprofit rehabilitation facilities, (B) $50,000 for the Virgin Islands, American Samoa, or Guam and $200,000 for any other State in the case of an allotment for grants for the construction of public or other nonprofit diagnostic or treatment centers, or (C) $100,000 for the Virgin Islands, American Samoa, Guam and $200,000 for any other State in the case of an allotment for grants for the construction of public or other nonprofit facilities for longterm care or for the construction of public or other nonprofit hospitals and public health centers, or for the modernization of facilities referred to in paragraph (a) or (b) of section 601, shall be increased to that amount, the total of the increases thereby required being derived by proportionately reducing the allotment from appropriations under such subparagraph or paragraph to each of the remaining States under subsection (a) of this section, but with such adjustments as may be necessary to prevent the allotment of any of such remaining States from appropriations under such subparagraph or paragraph from being thereby reduced to less than that amount. (2) An allotment of the Virgin Islands, American Samoa, or Guam for any fiscal year may be increased as provided in paragraph (1) only to the extent it satisfies the Surgeon General, at such time prior to the beginning of such year as the Surgeon General may designate, that such increase will be used for payments under and in accordance with the provisions of this part. (c) For the purposes of this part (1) The "allotment percentage" for any State shall be 100 per centum less that percentage which bears the same ratio to 50 per centum as the per capita income of such State bears to the per capita income of the United States, except that (A) the allotment percentage shall in no case be more than 75 per centum or less than 3313 per centum, and (B) the allotment percentage for the Commonwealth of Puerto Rico, Guam, American Samoa, and the Virgin Islands shall be 75 per centum. (2) The allotment percentages shall be determined by the Surgeon General between July 1 and September 30 of each even-numbered year, on the basis of the average of the per capita incomes of each of the States and of the United States for the three most recent consecutive years for which satisfactory data are available from the Department of Commerce, and the States shall be notified promptly thereof. Such determination shall be conclusive for each of the two fiscal years in the period beginning July 1 next succeeding such determination. (3) The population of the several States shall be determined on the basis of the latest figures certified by the Department of Commerce. (4) The term "United States" means (but only for purposes of paragraphs (1) and (2)) the fifty States and the District of Columbia. (d) (1) Any sum allotted to a State, other than the Virgin Islands, American Samoa, and Guam for a fiscal year under this section and remaining unobligated at the end of such year shall remain available to such State, for the purpose for which made, for the next fiscal year (and for such year only), in addition to the sums allotted to such State for such purpose for such next fiscal year. (2) Any sum allotted to the Virgin Islands, American Samoa, or Guam for a fiscal year under this section and remaining unobligated at the end of such year shall remain available to it, for the purpose for which made, for the next two fiscal years (and for such years only), in addition to the sums allotted to it for such purpose for each of such next two fiscal years. (e) (1) Upon the request of any State that (A) a specified portion of any allotment of such State under paragraph (1) of subsection (a), other than an allotment for grants for the construction of public or other nonprofit rehabilitation facilities, be added to another allotment of such State under paragraph (1) or (2) of such subsection, other than an allotment for grants for the construction of public or other nonprofit hospitals and public health centers, or (B) a specified portion of an allotment of such State under paragraph (2) of subsection (a) be added to an allotment of such State under paragraph (1) of such subsection, and upon simultaneous certification to the Surgeon General by the State agency in such State to the effect that(C) it has afforded a reasonable opportunity to make applications for the portion so specified and there have been no approvable applications for such portion, or (D) in the case of a request to transfer a portion of an allotment under paragraph (1) of subsection (a) for grants for the construction of public or other nonprofit hospitals and public health centers, use of such portion as requested by such State agency will better carry out the purposes of this title, the Surgeon General shall promptly (but after application of subsection (b)) adjust the allotments of such State in accordance with such request and shall notify the State agency. (2) In addition to the transfer of portions of allotments under paragraph (1), the Surgeon General, upon the request of any State that a specified portion of an allotment of such State under paragraph (2) of subsec |