PUBLIC LAW 100-607—NOV. 4, 1988 102 STAT. 3157

year 1989, $16,000,000 for fiscal year 1990, and $20,000,000 for fiscal
year 1991.

"(2) Of the amounts appropriated pursuant to paragraph (1), the
Secretary shall obligate not less than 20 percent to carry out
subsection (aX2) and subsection (b) (subject to subsection (bX2XC)),
not less than 20 percent to carry out paragraph (3) of subsection (a),
and not less than 10 percent to carry out paragraph (4) of such
subsection. Of the amounts appropriated pursuant to paragraph (1)
for fiscal year 1989, the Secretary shall obligate not less than 20
percent to carry out section 827.".

SEC. 702. ADVANCED NURSE EDUCATION.

Section 821(b) (42 U.S.C. 2961(b)) is amended to read as follows:

"(b) For payments under grants and contracts under this section, Appropriation

there are authorized to be appropriated $13,000,000 for fiscal year authorization.

1989, $13,000,000 for fiscal year 1990, and $20,000,000 for fiscal year

1991.".

SEC. 703. NURSE PRACTITIONER AND NURSE MIDWIFE PROGRAMS.

(a) REQUIRED NUMBER or STUDENTS IN TRAINING PROGRAMS.—
Section 822(aX2XBXii) (42 U.S.C. 296m(aX2XBXii)) is amended by
striking "not less than eight students" and inserting "not less than
six full-time equivalent students".

(b) COMMITMENT UNDER TRAINEESHIP PROGRAM TO SERVE IN CER-
TAIN AREAS OR FACILITIES.—Section 822(bX3) (42 U.S.C. 296m(bX3)) is
amended bv striking "332)" and all that follows and inserting the
following: 332), in an Indian Health Service health center, in a
Native Hawaiian health center, in a public health care facility, in a
migrant health center (as defined in section 329(aXD), in a rural
health clinic (as defined in section 1861(aaX2) of the Social Security
Act), or in a community health center (as defined in section 330(a)) .

(c) ASSURANCES OF COMPLIANCE WITH GUIDELINES.—Section 822(c)
(42 U.S.C. 296m(c)) is amended—

(1) by inserting "under subsection (a) or (b)" after "operate a
program"; and

(2) by striking "midwives unless this application" and insert-
ing "midwives unless the application".

(d) AUTHORIZATION OF APPROPRIATIONS.—Section 822(d) (42 U.S.C.
296m(d)) is amended to read as follows:

"(d) For payments under grants and contracts under subsections
(a) and (b), there are authorized to be appropriated $12,000,000 for
fiscal year 1989, $17,000,000 for fiscal year 1990, and $21,000,000 for
fiscal year 199L".

SEC 704. ENHANCEMENT OF QUALITY CARE.

(a) IN GENERAL.—Of the amounts appropriated for each of the
fiscal years 1989 through 1991 to carry out titles VH and VIII of the
Public Health Service Act, the Secretary of Health and Human
Services shall, for each of such fiscal years, make available $650,000
for the purpose of enhancing the ability of a qualified hospital to
provide high-quality inpatient services. For purposes of this subsec-
tion, the term "qualified hospital" means a hospital that, as of the
date of the enactment of this Act, is the only general short-term
acute care hospital located in a rural county that is adjacent to 7
counties, of which 1 such adjacent county is a county described in
paragraph (8KB) of section 1886(d) of the Act referred to in section
371(bXlXQ of the Public Health Service Act and, of the remaining 6