102 STAT. 3128

PUBLIC LAW 100-607-NOV. 4, 1988

Contracts.

Mexico.

Minorities.
Urban areas.
Rural areas.

Mexico.

(3) Section 781(h) (as redesignated by subsection (cXD of this
section) is amended in the first sentence—

(A) by striking "There are authorized" and all that follows
through "this saction" and inserting the following: "For the
purpose of carrying out this section other than subsection (f),
there are authorized to be appropriated"; and

(B) by striking "and" after "1987," and inserting before the
period the following: ", $18,700,000 for the fiscal year 1989, and
$20,000,000 for each of the fiscal years 1990 and 1991".

(c) HEALTH EDUCATION AND TRAINING CENTEHS.—Section 781 (42
U.S.C. 295g-l) is amended—

(1) by ^designating subsections (f) and (g) as subsections (g)
and (h), respectively; and

(2) by adding after subsection (e) the following new subsection:
"(fXl) The Secretary shall enter into contracts with schools of

medicine and osteopathy for the purpose of planning, developing,
establishing, maintaining, and operating health education and
training centers—

(A) to improve the supply, distribution, quality, and effi-
ciency of personnel providing (in the United States) health
services along the border between the United States and
Mexico;

"(B) to improve the supply, distribution, quality, and effi-
ciency of personnel providing, in other urban and rural areas
(including frontier areas) of the United States, health services to
any population group, including Hispanic individuals, that has
demonstrated serious unmet health care needs; and

"(C) to encourage health promotion and disease prevention
through public education in the areas described.
"(2) The Secretary may not enter into a contract under paragraph
(1) unless the applicant for such assistance agrees, in carrying out
the purpose described in such paragraph, to enter into arrange-
ments with one or more public or nonprofit private entities in the
State that have expertise in providing health education to the
public.

"(3) The Secretary shall, after consultation with health education
and training centers, designate the geographic area in which each
such center will carry out the purpose described in paragraph (1).
The service area of such a center shall be located entirely within the
State in which the center is located. Each border health education
and training center shall be located in a county (or other political
subdivision) of the State in close proximity to the border between
the United States and Mexico.
"(4) The Secretary may not enter into a contract under paragraph

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"(A) to establish an advisory group comprised of health serv-
ice providers, educators and consumers from the service area
and of faculty from participating schools;

"(B) after consultation with such advisory group, to develop a
plan for carrying out the purpose described in paragraph (1) in
the service area;

"(Q to enter into contracts, as needed, with other institutions
or entities to carry out such plan; and

"(D) to be responsible for the evaluation of the program.
"(5) The Secretary may not make a grant or enter into a contract
under paragraph (1) unless the applicant for such assistance
agrees—