42 USC 242m(d): Identifiable information for certain research and statistical activities

          
Sec. 242m. General provisions respecting effectiveness, 
        efficiency, and quality of health services
        

(a) Reports to Congress and President; preparation; review by Office of 
        Management and Budget

    (1) Not later than March 15 of each year, the Secretary shall submit 
to the President and Congress the following reports:
        (A) A report on health care costs and financing. Such report 
    shall include a description and analysis of the statistics collected 
    under section 242k(b)(1)(G) of this title.
        (B) A report on health resources. Such report shall include a 
    description and analysis, by geographical area, of the statistics 
    collected under section 242k(b)(1)(E) of this title.
        (C) A report on the utilization of health resources. Such report 
    shall include a descrip
    tion and analysis, by age, sex, income, and geographic area, of the 
    statistics collected under section 242k(b)(1)(F) of this title.
        (D) A report on the health of the Nation's people. Such report 
    shall include a description and analysis, by age, sex, income, and 
    geographic area, of the statistics collected under section 
    242k(b)(1)(A) of this title.

    (2) The reports required in paragraph (1) shall be prepared through 
the National Center for Health Statistics.
    (3) The Office of Management and Budget may review any report 
required by paragraph (1) of this subsection before its submission to 
Congress, but the Office may not revise any such report or delay its 
submission beyond the date prescribed for its submission, and may submit 
to Congress its comments respecting any such report.

(b) Grants or contracts; applications, submittal; application peer 
        review group, findings and recommendations; necessity of 
        favorable recommendation; appointments

    (1) No grant or contract may be made under section 242b, 242k, or 
242l of this title unless an application therefor has been submitted to 
the Secretary in such form and manner, and containing such information, 
as the Secretary may by regulation prescribe and unless a peer review 
group referred to in paragraph (2) has recommended the application for 
approval.
    (2)(A) Each application submitted for a grant or contract under 
section 242k of this title in an amount exceeding $50,000 of direct 
costs and for a health services research, evaluation, or demonstration 
project, or for a grant under section 242k(m) of this title, shall be 
submitted to a peer review group for an evaluation of the technical and 
scientific merits of the proposals made in each such application. The 
Director of the National Center for Health Statistics shall establish 
such peer review groups as may be necessary to provide for such an 
evaluation of each such application.
    (B) A peer review group to which an application is submitted 
pursuant to subparagraph (A) shall report its finding and 
recommendations respecting the application to the Secretary, acting 
through the Director of the National Center for Health Statistics, in 
such form and manner as the Secretary shall by regulation prescribe. The 
Secretary may not approve an application described in such subparagraph 
unless a peer review group has recommended the application for approval.
    (C) The Secretary, acting through the Director of the National 
Center for Health Statistics, shall make appointments to the peer review 
groups required in subparagraph (A) from among persons who are not 
officers or employees of the United States and who possess appropriate 
technical and scientific qualifications, except that peer review groups 
regarding grants under section 242k(m) of this title may include 
appropriately qualified such officers and employees.

(c) Development and dissemination of statistics

    The Secretary shall take such action as may be necessary to assure 
that statistics developed under sections 242b and 242k of this title are 
of high quality, timely, comprehensive as well as specific, 
standardized, and adequately analyzed and indexed, and shall publish, 
make available, and disseminate such statistics on as wide a basis as is 
practicable.

        

            
 
          

(d) Information; publication restrictions

    No information, if an establishment or person supplying the 
information or described in it is identifiable, obtained in the course 
of activities undertaken or supported under section 242b, 242k, or 242l 
of this title may be used for any purpose other than the purpose for 
which it was supplied unless such establishment or person has consented 
(as determined under regulations of the Secretary) to its use for such 
other purpose; and in the case of information obtained in the course of 
health statistical or epidemiological activities under section 242b or 
242k of this title, such information may not be published or released in 
other form if the particular establishment or person supplying the 
information or described in it is identifiable unless such establishment 
or person has consented (as determined under regulations of the 
Secretary) to its publication or release in other form.

(e) Payment procedures; advances or reimbursement; installments; 
        conditions; reductions

    (1) Payments of any grant or under any contract under section 242b, 
242k, or 242l of this title 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 such section.
    (2) The amounts otherwise payable to any person under a grant or 
contract made under section 242b, 242k, or 242l of this title shall be 
reduced by--
        (A) amounts equal to the fair market value of any equipment or 
    supplies furnished to such person by the Secretary for the purpose 
    of carrying out the project with respect to which such grant or 
    contract is made, and
        (B) amounts equal to the pay, allowances, traveling expenses, 
    and related personnel expenses attributable to the performance of 
    services by an officer or employee of the Government in connection 
    with such project, if such officer or employee was assigned or 
    detailed by the Secretary to perform such services,

but only if such person requested the Secretary to furnish such 
equipment or supplies, or such services, as the case may be.

(f) Contracts without regard to section 3324 of title 31 and section 5 
        of title 41

    Contracts may be entered into under section 242b or 242k of this 
title without regard to section 3324 of title 31 and section 5 of title 
41.

(July 1, 1944, ch. 373, title III, Sec. 308, as added Pub. L. 93-353, 
title I, Sec. 107(a), July 23, 1974, 88 Stat. 368; amended Pub. L. 94-
273, Sec. 7(2), Apr. 21, 1976, 90 Stat. 378; Pub. L. 95-83, title I, 
Sec. 104, Aug. 1, 1977, 91 Stat. 384; Pub. L. 95-623, Secs. 2, 6(d), 
8(b), Nov. 9, 1978, 92 Stat. 3443, 3451, 3455; Pub. L. 97-35, title IX, 
Secs. 917(a), (b), 919(a)(2)(B), 922, Aug. 13, 1981, 95 Stat. 564, 
565, 567; Pub. L. 97-414, Sec. 8(c), Jan. 4, 1983, 96 Stat. 2060; Pub. 
L. 98-551, Sec. 7, Oct. 30, 1984, 98 Stat. 2820; Pub. L. 100-177, title 
I,
Secs. 106(a), 107, 108, Dec. 1, 1987, 101 Stat. 988-990; Pub. L. 
100-690, title II, Sec. 2612, Nov. 18, 1988, 102 Stat. 4235; Pub. L. 
101-239, title VI, Sec. 6103(e)(4), Dec. 19, 1989, 103 Stat. 2206; Pub. 
L. 101-527, Sec. 7(b)(2), (d), Nov. 6, 1990, 104 Stat. 2328; Pub. L. 
103-183, title V, Sec. 501(c), Dec. 14, 1993, 107 Stat. 2237; Pub. L. 
105-392, title IV, Sec. 401(d), Nov. 13, 1998, 112 Stat. 3587.)
                            Prior Provisions

    Provisions similar to those comprising subsec. (e) of this section 
were contained in subsec. (a)(3) of section 304 of act July 1, 1944, ch. 
373, title III, as added July 28, 1955, ch. 417, Sec. 3, 69 Stat. 382, 
and amended (formerly classified to section 242b(a)(3) of this title), 
prior to general amendment of section 304 by Pub. L. 93-353, Sec. 103.
                               Amendments

    1998--Subsec. (b)(2)(A), (C). Pub. L. 105-392 substituted 
``242k(m)'' for ``242k(n)''.
    1993--Subsec. (a)(1). Pub. L. 103-183, Sec. 501(c)(1)(A), 
redesignated subpars. (B) to (E) as (A) to (D), respectively, and struck 
out former subpar. (A) which read as follows: ``A report on--
        ``(i) the administration of sections 242b, 242k, and 242l of 
    this title and subchapter VII of this chapter during the preceding 
    fiscal year; and
        ``(ii) the current state and progress of health services 
    research, health statistics, and health care technology.''
    Subsec. (a)(2). Pub. L. 103-183, Sec. 501(c)(1)(B), substituted 
``reports required in paragraph (1) shall be prepared through the 
National Center'' for ``reports required by subparagraphs (B) through 
(E) of paragraph (2) shall be prepared through the Agency for Health 
Care Policy and Research and the National Center''.
    Subsec. (c). Pub. L. 103-183, Sec. 501(c)(2)(A)-(D), (3), 
redesignated subsec. (g)(2) as subsec. (c), substituted ``shall take'' 
for ``shall (A) take'' and ``and shall publish'' for ``and (B) 
publish'', and struck out former subsec. (c) which read as follows: 
``The aggregate number of grants and contracts made or entered into 
under sections 242b and 242c of this title for any fiscal year 
respecting a particular means of delivery of health services or another 
particular aspect of health services may not exceed twenty; and the 
aggregate amount of funds obligated under grants and contracts under 
such sections for any fiscal year respecting a particular means of 
delivery of health services or another particular aspect of health 
services may not exceed $5,000,000.''
    Subsec. (f). Pub. L. 103-183, Sec. 501(c)(4), substituted ``section 
3324 of title 31 and section 5 of title 41'' for ``sections 3648 and 
3709 of the Revised Statutes (31 U.S.C. 529; 41 U.S.C. 5)''.
    Subsec. (g). Pub. L. 103-183, Sec. 501(c)(2)(B), (C), (E), 
redesignated par. (2) as subsec. (c) and struck out par. (1) which read 
as follows: ``The Secretary shall--
        ``(A) publish, make available and disseminate, promptly in 
    understandable form and on as broad a basis as practicable, the 
    results of health services research, demonstrations, and evaluations 
    undertaken and supported under sections 242b and 242c of this title;
        ``(B) make available to the public data developed in such 
    research, demonstrations, and evaluations; and
        ``(C) provide indexing, abstracting, translating, publishing, 
    and other services leading to a more effective and timely 
    dissemination of information on health services research, 
    demonstrations, and evaluations in health care delivery to public 
    and private entities and individuals engaged in the improvement of 
    health care delivery and the general public; and undertake programs 
    to develop new or improved methods for making such information 
    available.''
    Subsec. (h). Pub. L. 103-183, Sec. 501(c)(5), struck out subsec. (h) 
which read as follows:
    ``(1) Except where the Secretary determines that unusual 
circumstances make a larger percentage necessary in order to effectuate 
the purposes of section 242k of this title, a grant or contract under 
any of such sections of this title 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, evaluation, or demonstration purposes.
    ``(2) Laborers and mechanics employed by contractors and 
subcontractors in the construction of such a facility shall be paid 
wages at rates not less than those prevailing on similar work in the 
locality, as determined by the Secretary of Labor in accordance with the 
Act of March 3, 1931 (40 U.S.C. 267a--267a-5, known as the Davis-Bacon 
Act); and the Secretary of Labor shall have with respect to any labor 
standards specified in this paragraph the authority and functions set 
forth in Reorganization Plan Numbered 14 of 1950 (5 U.S.C. Appendix) and 
section 276c of title 40.
    ``(3) Such grants and contracts shall be subject to such additional 
requirements as the Secretary may by regulation prescribe.''
    1990--Subsec. (b)(2)(A). Pub. L. 101-527, Sec. 7(b)(2)(A), inserted 
``or for a grant under section 242k(n) of this title,'' after 
``demonstration project,''.
    Subsec. (b)(2)(C). Pub. L. 101-527, Sec. 7(b)(2)(B), inserted before 
period at end ``, except that peer review groups regarding grants under 
section 242k(n) of this title may include appropriately qualified such 
officers and employees''.
    Subsec. (b)(3). Pub. L. 101-527, Sec. 7(d), struck out par. (3) 
which related to applications submitted under section 242k of this title 
for which a grant or contract may be made under another provision of 
this chapter.
    1989--Pub. L. 101-239, Sec. 6103(e)(4)(A), amended section 
catchline.
    Subsec. (a)(1)(A)(i). Pub. L. 101-239, Sec. 6103(e)(4)(B)(i), 
substituted ``sections 242b, 242k, and 242l of this title and subchapter 
VII of this chapter'' for ``sections 242b, 242c, 242k, and 242l of this 
title and section 242n of this title''.
    Subsec. (a)(2). Pub. L. 101-239, Sec. 6103(e)(4)(B)(ii), substituted 
``the Agency for Health Care Policy and Research'' for ``the National 
Center for Health Services Research and Health Care Technology 
Assessment''.
    Subsec. (b)(1). Pub. L. 101-239, Sec. 6103(e)(4)(C)(i), which 
directed amendment of par. (1) by substituting ``section 242b, 242k, or 
242l of this title'' for ``sections 242b, 242c, 242k, 242l, and 242n of 
this title'', was executed by making the substitution for ``section 
242b, 242c, 242k, 242l, or 242n of this title'' as the probable intent 
of Congress.
    Subsec. (b)(2)(A). Pub. L. 101-239, Sec. 6103(e)(4)(C)(ii), 
substituted ``under section 242k of this title'' for ``under section 
242b or 242c of this title,'' in first sentence, struck out second 
sentence which read as follows: ``Each application for a grant, 
contract, or cooperative agreement in an amount exceeding $50,000 of 
direct costs for the dissemination of research findings or the 
development of research agendas (including conferences, workshops, and 
meetings) shall be submitted to a standing peer review group with 
persons with appropriate expertise and shall not be submitted to any 
peer review group established to review applications for research, 
evaluation, or demonstration projects.'', and amended last sentence 
generally. Prior to amendment, last sentence read as follows: ``The 
Secretary, acting through the Director of the National Center for Health 
Services Research and Health Care Technology Assessment (or, as 
appropriate, through the Director of the National Center for Health 
Statistics), shall establish such peer review groups as may be necessary 
to provide for such an evaluation of an application described in the 
first two sentences of this subparagraph.''
    Subsec. (b)(2)(B). Pub. L. 101-239, Sec. 6103(e)(4)(C)(iii), 
substituted ``the Director of the National Center for Health 
Statistics'' for ``the Director involved''.
    Subsec. (b)(2)(C). Pub. L. 101-239, Sec. 6103(e)(4)(C)(iv), 
substituted ``the Director of the National Center for Health 
Statistics'' for ``the Directors''.
    Subsec. (b)(3). Pub. L. 101-239, Sec. 6103(e)(4)(C)(v), substituted 
``submitted under section 242k of this title'' for ``submitted under 
section 242b, 242c, or 242k of this title'' and ``approved under any of 
such sections'' for ``approved under section 242b, 242c, or 242k of this 
title''.
    Subsec. (d). Pub. L. 101-239, Sec. 6103(e)(4)(D), substituted 
``section 242b, 242k, or 242l of this title'' for ``section 242b, 242c, 
242k, 242l, or 242n of this title'', struck out ``(1)'' after ``for such 
other purpose; and'', and substituted ``publication or release in other 
form.'' for ``publication or release in other form, and (2) in the case 
of information obtained in the course of health services research, 
evaluations, or demonstrations under section 242b or 242c of this title 
or in the course of health care technology activities under section 242n 
of this title, such information may not be published or released in 
other form if the person who supplied the information or who is 
described in it is identifiable unless such person has consented (as 
determined under regulations of the Secretary) to its publication or 
release in other form.''
    Subsec. (e)(1), (2). Pub. L. 101-239, Sec. 6103(e)(4)(E), 
substituted ``section 242b, 242k, or 242l of this title'' for ``section 
242b, 242c, 242k, 242l, or 242n of this title''.
    Subsec. (f). Pub. L. 101-239, Sec. 6103(e)(4)(F), substituted 
``section 242b or 242k of this title'' for ``section 242b, 242c, 242k, 
or 242n of this title''.
    Subsec. (g)(1). Pub. L. 101-239, Sec. 6103(e)(4)(G)(i), struck out 
at end ``Except as provided in subsection (d) of this section, the 
Secretary may not restrict the publication and dissemination of data 
from, and results of projects undertaken by, centers supported under 
section 242c(d) of this title.''
    Subsec. (g)(2). Pub. L. 101-239, Sec. 6103(e)(4)(G)(ii), substituted 
``sections 242b and 242k of this title'' for ``sections 242b, 242c, 
242k, and 242n of this title''.
    Subsec. (h)(1). Pub. L. 101-239, Sec. 6103(e)(4)(H), substituted 
``effectuate the purposes of section 242k of this title'' for 
``effectuate the purposes of section 242b, 242c, 242k, or 242n of this 
title'' and ``contract under any of such sections'' for ``contract under 
section 242b, 242c, 242k, or 242n of this title''.
    Subsec. (i). Pub. L. 101-239, Sec. 6103(e)(4)(I), struck out subsec. 
(i) which authorized appropriations for carrying out certain programs 
under sections 242b, 242c, 242k, and 242n of this title during fiscal 
years 1988 to 1990.
    1988--Subsec. (b)(2)(A). Pub. L. 100-690 inserted after first 
sentence ``Each application for a grant, contract, or cooperative 
agreement in an amount exceeding $50,000 of direct costs for the 
dissemination of research findings or the development of research 
agendas (including conferences, workshops, and meetings) shall be 
submitted to a standing peer review group with persons with appropriate 
expertise and shall not be submitted to any peer review group 
established to review applications for research, evaluation, or 
demonstration projects.'' and substituted ``an application described in 
the first two sentences of this subparagraph'' for ``each such 
application'' in last sentence.
    1987--Subsec. (a)(1), (2). Pub. L. 100-177, Sec. 106(a)(1), added 
pars. (1) and (2) and struck out former pars. (1) and (2) which read as 
follows:
    ``(1) Not later than December 1 of each year, the Secretary shall 
make a report to Congress respecting (A) the administration of sections 
242b, 242c, 242k, and 242l and section 242n of this title during the 
preceding fiscal year, and (B) the current state and progress of health 
services research and, health statistics, and health care technology.
    ``(2) The Secretary, acting through the National Center for Health 
Services Research and the National Center for Health Statistics, shall 
assemble and submit to the President and the Congress not later than 
December 1 of each year the following reports:
        ``(A) A report on health care costs and financing. Such report 
    shall include a description and analysis of the statistics collected 
    under section 242k(b)(1)(G) of this title.
        ``(B) A report on health resources. Such report shall include a 
    description and analysis, by geographic area, of the statistics 
    collected under section 242k(b)(1)(E) of this title.
        ``(C) A report on the utilization of health resources. Such 
    report shall include a description and analysis, by age, sex, 
    income, and geographic area, of the statistics collected under 
    section 242k(b)(1)(F) of this title.
        ``(D) A report on the health of the Nation's people. Such report 
    shall include a description and analysis, by age, sex, income, and 
    geographic area, of the statistics collected under section 
    242k(b)(1)(A) of this title.''
    Subsec. (a)(3). Pub. L. 100-177, Sec. 106(a)(2), struck out ``or 
(2)'' after ``paragraph (1)''.
    Subsec. (b)(1). Pub. L. 100-177, Sec. 107(1), inserted ``and unless 
a peer review group referred to in paragraph (2) has recommended the 
application for approval'' before period at end.
    Subsec. (b)(2). Pub. L. 100-177, Sec. 107(2), added par. (2) and 
struck out former par. (2) which read as follows: ``Each application 
submitted for a grant or contract under section 242b or 242c of this 
title, in an amount exceeding $50,000 of direct costs and for a health 
services research, evaluation, or demonstration project, shall be 
submitted by the Secretary for review for scientific merit to a panel of 
experts appointed by him from persons who are not officers or employees 
of the United States and who possess qualifications relevant to the 
project for which the application was made. A panel to which an 
application is submitted under this paragraph shall report its findings 
and recommendations respecting the application to the Secretary in such 
form and manner as the Secretary shall by regulation prescribe.''
    Subsec. (i). Pub. L. 100-177, Sec. 108, amended subsec. (i) 
generally, substituting provisions authorizing appropriations for fiscal 
years 1988 to 1990 for carrying out activities under sections 242b, 
242c, 242k, and 242n of this title for former provisions authorizing 
appropriations for fiscal years 1975 to 1987 for carrying out activities 
under those sections.
    1984--Subsec. (i)(1). Pub. L. 98-551, Sec. 7(a), inserted provisions 
authorizing appropriations for fiscal years ending Sept. 30, 1985, 1986, 
and 1987, inserted ``and Health Care Technology Assessment'' after 
``Research'', substituted ``and at least 10 per centum of such amount or 
$1,500,000, whichever is less, shall be available only for the user 
liaison program and the technical assistance program referred to in 
section 242c(c)(2) of this title and for dissemination activities 
directly undertaken through such Center'' for ``and at least 5 per 
centum of such amount or $1,000,000, whichever is less, shall be 
available only for dissemination activities directly undertaken through 
such Center'', inserted ``For health care technology assessment 
activities undertaken under subsections (b)(5), (e), (f), and (g) of 
section 242c of this title the Secretary shall obligate from funds 
appropriated under this paragraph not less than $3,000,000 for the 
fiscal year ending September 30, 1985, $3,500,000 for the fiscal year 
ending September 30, 1986, and $4,000,000 for the fiscal year ending 
September 30, 1987. For grants under section 242n of this title the 
Secretary shall obligate from funds appropriated under this paragraph 
not less than $500,000 for the fiscal year ending September 30, 1985, 
$750,000 for the fiscal year ending September 30, 1986, and $750,000 for 
the fiscal year ending September 30, 1987.'', and in last sentence 
substituted ``for any fiscal year'' for ``for each of the fiscal years 
ending September 30, 1982, September 30, 1983, and September 30, 
1984,''.
    Subsec. (i)(2). Pub. L. 98-551, Sec. 7(b), inserted provisions 
authorizing appropriations for fiscal years ending Sept. 30, 1985, 1986, 
and 1987.
    1983--Subsec. (d). Pub. L. 97-414 inserted ``, if an establishment 
or person supplying the information or described in it is 
identifiable,'' after ``No information'', and substituted ``such 
establishment or person has consented (as determined under regulations 
of the Secretary) to its use for such other purpose'' for ``authorized 
by guidelines in effect under section 242k(l)(2) of this title or under 
regulations of the Secretary''.
    1981--Subsec. (a)(2). Pub. L. 97-35, Sec. 922(a), substituted 
``December'' for ``September'', which change had already been made by 
Pub. L. 94-273.
    Subsec. (b)(2). Pub. L. 97-35, Sec. 922(b), substituted ``$50,000'' 
for ``$35,000''.
    Subsec. (d)(2). Pub. L. 97-35, Sec. 922(c), inserted applicability 
to health care technology activities under section 242n of this title.
    Subsec. (i)(1). Pub. L. 97-35, Secs. 917(a), 919(a)(2)(B), 
inserted provisions respecting amounts of and limitations on uses for 
appropriations for the fiscal years ending Sept. 30, 1982, 1983, and 
1984.
    Subsec. (i)(2). Pub. L. 97-35, Sec. 917(b), inserted provisions 
respecting appropriations for the fiscal years ending Sept. 30, 1982, 
1983, and 1984.
    1978--Subsec. (a)(1). Pub. L. 95-623, Sec. 6(d)(1), required the 
report to cover the administration of section 242n of this title and the 
current state and progress of health care technology.
    Subsec. (b)(1). Pub. L. 95-623, Sec. 6(d)(2), inserted reference to 
grant or contract under section 242n of this title.
    Subsec. (d). Pub. L. 95-623, Secs. 6(d)(3), 8(b), inserted 
reference to section 242n of this title and substituted in cl. (1) 
``statistical or epidemiological activities'' for ``statistical 
activities''; and authorized use of information for purposes other than 
for which supplied when authorized by guidelines in effect under section 
242k(l)(2) of this title.
    Subsecs. (e), (f), (g)(2), (h)(1). Pub. L. 95-623, Sec. 6(d)(4)-(7), 
inserted references to section 242n of this title.
    Subsec. (i)(1). Pub. L. 95-623, Sec. 2(a), authorized appropriation 
of $35,000,000; $40,000,000; and $45,000,000 for fiscal years ending 
Sept. 30, 1979, through 1981, and substituted minimum amounts of the 
lesser of 20 per centum of appropriated funds or $6,000,000 for health 
services research, evaluation and demonstration activities of the 
National Center for Health Services Research and 5 per centum of such 
funds or $1,000,000 for dissemination activities of such Center for 
prior similar requirement of 25 per centum of appropriated funds for the 
applicable fiscal years for health services research, evaluation, and 
demonstration activities of the Secretary.
    Subsec. (i)(2). Pub. L. 95-623, Sec. 2(b), authorized appropriation 
of $50,000,000; $65,000,000; and $70,000,000 for fiscal years ending 
Sept. 30, 1979, through 1981.
    1977--Subsec. (i)(1). Pub. L. 95-83, Sec. 104(a), authorized 
appropriation of $28,600,000 for fiscal year ending Sept. 30, 1978.
    Subsec. (i)(2). Pub. L. 95-83, Sec. 104(b), authorized appropriation 
of $33,600,000 for fiscal year ending Sept. 30, 1978.
    1976--Subsec. (a). Pub. L. 94-273 substituted ``December'' for 
``September'' wherever appearing.
                    Effective Date of 1998 Amendment

    Pub. L. 105-392, title IV, Sec. 401(e), Nov. 13, 1998, 112 Stat. 
3587, provided that: ``This section [amending this section and sections 
247b-5, 247b-6, 247c, 285f-2, 300d-1 to 300d-3, 300d-13, 300d-32, 300k, 
and 300n-1 of this title] is deemed to have taken effect immediately 
after the enactment of Public Law 103-183 [Dec. 14, 1993].''
                    Effective Date of 1988 Amendment

    Section 2600 of Pub. L. 100-690 provided that: ``Except as provided 
in section 2613(b)(1) [42 U.S.C. 285m note], the amendments made by this 
subtitle [subtitle G (Secs. 2600-2641) of title II of Pub. L. 100-
690, enacting sections 285m-4 to 285m-6 of this title, amending this 
section, sections 242c, 281, 284, 284c, 285j, 285m, 285m-1 to 285m-6, 
286, 289f, 290cc-28, 290cc-36, 292h, 294a, 295g-4, 295g-7, 295g-8b, 
295h, 295h-5, 295j, 297j, 297n, 300cc-3, 300cc-13, 300cc-17, 300cc-20, 
300cc-31, 300dd-1, 300dd-3, 300dd-8, 300dd-10, 300dd-12 to 300dd-14, 
300dd-21, 300dd-32, 300ee, 300ee-2, 300ee-5, 300ee-12, 300ee-13, 300ee-
15 to 300ee-18, 300ee-20, 300ee-22, 300ee-34, 300ff-48, and 300aaa to 
300aaa-13 of this title, and section 393 of Title 21, Food and Drugs, 
enacting provisions set out as notes under section 285m of this title, 
amending provisions set out as notes under sections 201, 292h, 300cc, 
300ee-1, and 300ff-48 of this title, and repealing provisions set out as 
a note under section 285m of this title] shall take effect immediately 
after the enactment of the Health Omnibus Programs Extension of 1988 
[Nov. 4, 1988].''
                    Effective Date of 1987 Amendment

    Section 106(c) of Pub. L. 100-177 provided that: ``The amendments 
made by subsections (a) and (b) [amending this section and section 242p 
of this title] shall apply to reports and profiles required to be 
submitted after November 1, 1987.''
  Mine Workers Study; Report Completed and Submitted No Later Than 30 
                      Months After November 9, 1978

    Section 10 of Pub. L. 95-623, as amended by S. Res. 30, Mar. 7, 
1979; H. Res. 549, Mar. 25, 1980, required the Secretary, acting through 
the National Center for Health Services Research, to arrange for the 
conduct of a study to evaluate the impact upon the utilization of health 
services by and the health status of members of the United Mine Workers 
and their dependents as a result of changes in the United Mine Workers' 
collective-bargaining agreements of Mar. 1978 with a report to be 
submitted to the Secretary and specific committees of the Senate and 
House of Representatives within 30 months after Nov. 9, 1978.
  Authorization of Appropriations for Fiscal Year Ending June 30, 1977

    Section 107(b) of Pub. L. 93-353 provided that: ``The authorizations 
of appropriations provided by section 308(i) of the Public Health 
Service Act [subsec. (i) of this section] is extended for the fiscal 
year ending June 30, 1977, in the amounts authorized for the preceding 
fiscal year unless before June 30, 1976, Congress has passed legislation 
repealing this subsection.''