A prior section 254c, act July 1, 1944, ch. 373, title III, § 330, as added July 29, 1975, Pub. L. 94–63, title V, § 501(a), 89 Stat. 342; amended Apr. 22, 1976, Pub. L. 94–278, title VIII, § 801(b), 90 Stat. 415; Aug. 1, 1977, Pub. L. 95–83, title III, § 304, 91 Stat. 388; Nov. 10, 1978, Pub. L. 95–626, title I, § 104(a)–(d)(3)(B), (4), (5), (e), (f), 92 Stat. 3556–3559; July 10, 1979, Pub. L. 96–32, §§ 6(b)–(d), 7(c), 93 Stat. 83, 84; Oct. 17, 1979, Pub. L. 96–88, title V, § 509(b), 93 Stat. 695; Oct. 19, 1980, Pub. L. 96–470, title I, § 106(e), 94 Stat. 2238; Aug. 13, 1981, Pub. L. 97–35, title IX, §§ 903(a), 905, 906, 95 Stat. 561, 562; Jan. 4, 1983, Pub. L. 97–414, § 8(e), 96 Stat. 2060; Apr. 24, 1986, Pub. L. 99–280, §§ 2–4, 100 Stat. 399, 400; Aug. 10, 1988, Pub. L. 100–386, §§ 3, 4, 102 Stat. 921, 923; Nov. 4, 1988, Pub. L. 100–607, title I, § 163(3), 102 Stat. 3062; Dec. 19, 1989, Pub. L. 101–239, title VI, § 6103(e)(5), 103 Stat. 2207; Nov. 6, 1990, Pub. L. 101–527, § 9(a), 104 Stat. 2332; Oct. 27, 1992, Pub. L. 102–531, title III, § 309(b), 106 Stat. 3500, related to community health centers, prior to the general amendment of this subpart by Pub. L. 104–299, § 2.
2008—Subsec. (j). Pub. L. 110–355 substituted “$45,000,000 for each of fiscal years 2008 through 2012.” for “$40,000,000 for fiscal year 2002, and such sums as may be necessary for each of fiscal years 2003 through 2006.”
2003—Subsec. (b)(4). Pub. L. 108–163 substituted “section 295p(6)” for “section 295p”.
2002—Pub. L. 107–251 amended section generally. Prior to amendment, section related to a rural health outreach, network development, and telemedicine grant program, and in subsec. (a), provided for administration by the Office of Rural Health Policy; in subsec. (b), set out the objectives of grants; in subsec. (c), set out eligibility requirements; in subsec. (d), described preferred characteristics of applicant networks; in subsec. (e), specified permitted uses of grant funds; in subsec. (f), limited the duration of grants; and in subsec. (g), authorized appropriations.
Rural Access to Emergency Devices
Pub. L. 106–505, title IV, subtitle B, Nov. 13, 2000, 114 Stat. 2340, provided that:
“SEC. 412. FINDINGS.“Congress makes the following findings:
Heart disease is the leading cause
of death in the United States
The American Heart Association estimates that 250,000 Americans die from sudden cardiac arrest each year
A cardiac arrest victim’s chance of survival drops 10 percent for every minute that passes before his or her heart is returned to normal rhythm.
Because most cardiac arrest victims are initially in ventricular fibrillation, and the only treatment
for ventricular fibrillation is defibrillation, prompt access to defibrillation to return the heart to normal rhythm is essential.
Lifesaving technology, the automated external defibrillator, has been developed to allow trained lay rescuers to respond to cardiac arrest by using this simple device
to shock the heart into normal rhythm.
Those people who are likely to be first on the scene of a cardiac arrest situation in many communities, particularly smaller and rural communities, lack sufficient numbers of automated external defibrillators to respond to cardiac arrest in a timely manner.
The American Heart Association estimates that more than 50,000 deaths could be prevented each year
if defibrillators were more widely available to designated responders.
Legislation should be enacted to encourage greater public access to automated external defibrillators in communities across the United States
“SEC. 413. GRANTS.
of Health and Human Services,
acting through the Rural Health Outreach Office
of the Health Resources and Services Administration
, shall award
grants to community partnerships that meet the requirements of subsection (b) to enable such partnerships to purchase equipment and provide training as provided for in subsection (c).
“(b)Community Partnerships.—A community partnership meets the requirements of this subsection if such partnership—
is composed of local emergency response entities such as community training facilities, local emergency responders, fire and rescue departments
, police, community hospitals,
and local non-profit entities and for-profit entities concerned about cardiac arrest survival rates;
evaluates the local community emergency response times to assess whether they meet the standards established by national public health organizations such as the American Heart Association and the American Red Cross; and
submits to the Secretary
of Health and Human Services
an application at such time, in such manner, and containing such information as the Secretary
“(c)Use of Funds.—Amounts provided under a grant under this section shall be used—
to purchase automated external defibrillators that have been approved, or cleared for marketing, by the Food and Drug Administration; and
to provide defibrillator and basic
life support training in automated external defibrillator usage through the American Heart Association, the American Red Cross, or other nationally recognized training courses.
Not later than 4 years
after the date of the enactment of this Act [Nov. 13, 2000
], the Secretary
of Health and Human Services
shall prepare and submit to the appropriate committees of Congress
containing data relating to
whether the increased availability of defibrillators has affected survival rates in the communities in which grantees under this section operated. The procedures under which the Secretary
obtains data and prepares the report
under this subsection shall not impose an undue burden on program participants
under this section.
“(e)Authorization of Appropriations.—
There is authorized to be appropriated $25,000,000 for fiscal years
2001 through 2003 to carry out this section.”
Report on Telemedicine
Pub. L. 106–129, § 6, Dec. 6, 1999, 113 Stat. 1675, provided that:
“Not later than January 10, 2001, the Secretary of Health and Human Services shall submit to the Congress a report that—
identifies any factors that inhibit the expansion and accessibility of telemedicine services
, including factors relating to
identifies any factors that, in addition to geographical isolation, should be used to determine which patients need or require access to telemedicine care;
“(3) determines the extent to which—
the medical outcomes
for such patients would have differed if telemedicine services
had not been available to the patients;
determines the extent to which physicians
involved with telemedicine services
have been satisfied with the medical aspects of the services
determines the extent to which primary care physicians
are enhancing their medical knowledge and experience through the interaction with specialists provided by telemedicine consultations; and
identifies legal and medical issues relating toState
licensing of health professionals that are presented by telemedicine services
, and provides any recommendations of the Secretary
for responding to such issues.”