United States Code

requirements of the United States, shall be reported not later than the 1st day of September each year to the Secretary of the Treasury, to be used at his discretion in determining the amounts of crude opium and coca leaves to be imported under the Narcotic Drugs Import and Export Act, as amended.

(b) The Surgeon General shall cooperate with States for the purpose of aiding them to solve their narcotic drug problems and shall give authorized representatives of the States the benefit of his experience in the care, treatment, and rehabilitation of narcotic addicts to the end that each State may be encouraged to provide adequate facilities and methods for the care and treatment of its narcotic addicts. (July 1, 1944, ch. 373, title III, § 302, 58 Stat. 692.)

REFERENCES IN TEXT

The Narcotic Drugs Import and Export Act, referred to in text of subsection (a), is classified to sections 171, 173, 174, 176–184, and 185 of Title 21, Food and Drugs.

§ 242a. Mental health; instruction of training of persons and public and nonprofit organizations. (a) In carrying out the purposes of section 241 of this title with respect to mental health, the Surgeon General is authorized

(1) to provide training and instruction and to establish and maintain traineeships, in accordance with the provisions of section 289c (a) of this title;

(2) to make grants to State or local agencies, laboratories, and other public or nonprofit agencies and institutions, and to individuals for investigations, experiments, demonstrations, studies, and research projects with respect to the development of improved methods of diagnosing mental illness, and of care, treatment, and rehabilitation of the mentally ill, including grants to State agencies responsible for administration of State institutions for care, or care and treatment, of mentally ill persons for developing and establishing improved methods of operation and administration of such institutions.

(b) Grants under paragraph (2) of subsection (a) of this section may be made only upon recommendation of the National Advisory Mental Health Council. Such grants may be paid in advance or by way of reimbursement, as may be determined by the Surgeon General; and shall be made on such conditions as the Surgeon General finds necessary. (July 1, 1944, ch. 373, title III, § 303, as added July 3, 1946, ch. 538, § 7 (c), 60 Stat. 423, and amended Aug. 2, 1956, ch. 871, title V, § 501, 70 Stat. 929.)

AMENDMENTS

1956 Subsec. (a). Act Aug. 2, 1956, substituted provisions of par. (1) relating to traineeships in accordance with section 289c (a) of this title and par. (2) relating to grants for research and improved operation of mental institutions for provisions relating to admission of study patients, including patients from St. Elizabeths Hospital, to the National Institute of Mental Health.

Subsec. (b). Act Aug. 2, 1956, substituted provisions relating to recommendation of grants by Council and payment by Surgeon General for provisions relating to mental health training.

EFFECTIVE DATE OF 1956 AMENDMENT

Section 503 of act Aug. 2, 1956, provided that amendment to this section and section 242b of this title shall become effective on July 1, 1956.

§ 242b. Mental health study; grants for special projects.

(a) Conditions; definition.

(1) The Surgeon General is authorized, upon the recommendation of the National Advisory Mental Health Council, to make grants for the carrying out of a program of research into and study of our resources, methods, and practices for diagnosing, treating, caring for, and rehabilitating the mentally ill, such program to be on a scale commensurate with the problem.

(2) Such grants may be made to one or more organizations, but only on condition that the organization will undertake and conduct, or if more than one organization is to receive such grants, only on condition that such organizations have agreed among themselves to undertake and conduct, a coordinated program of research into and study of all aspects of the resources, methods, and practices referred to in paragraph (1).

(3) As used in paragraph (2), the term "organization" means a nongovernmental agency, organization, or commission, composed of representatives of leading national medical and other professional associations, organizations, or agencies active in the field of mental health.

(b) Appropriations; terms of grant.

For such purpose there is authorized to be appropriated for the fiscal year ending June 30, 1956, the sum of $250,000 to be used for a grant or grants to help initiate the research and study provided for in this section; and the sum of $500,000 for each of the two succeeding fiscal years for the making of such grants as may be needed to carry the research and study to completion. The terms of any such grant shall provide that the research and study shall be completed not later than three years from the date it is inaugurated; that the grantee shall file annual reports with the Congress, the Surgeon General, and the Governors of the several States, among others that the grantee may select; and that the final report shall be similarly filed.

Nothing in this section shall in any way affect the availability of amounts otherwise appropriated for work in the field of mental health; nor be construed to interfere with or diminish the more limited and specific programs of research and study being carried on through or under the auspices of the National Institute of Mental Health.

(d) Additional financial support.

Any grantee agency, organization, or commission is authorized to accept additional financial support from private or other public sources to assist in carrying on the project authorized by this section. (July 1, 1944, ch. 373, title III, § 304, as added July 28, 1955, ch. 417, § 3, 69 Stat. 382, and amended Aug. 2, 1956, ch. 871, title V, § 502, 70 Stat. 930.)

AMENDMENTS

1956 Act Aug. 2, 1956, changed heading of section 304 of act July 1, 1944 from "Grants for special projects in mental health" to "Mental health study grants". Section heading has been changed for purposes of codification.

SHORT TITLE Section 1 of Joint Res. July 28, 1955, provided that: "This joint resolution [which enacted this section and provisions set out as a note hereunder] may be cited as the 'Mental Health Study Act of 1955'."

DECLARATION OF PURPOSE

Section 2 of Joint Res. July 28, 1955, provided that: "(a) It is the sense of the Congress that there exists a critical need for such an objective, thorough, and nationwide analysis and reevaluation of the human and economic problems of mental illness and of the resources, methods, and practices currently utilized in diagnosing, treating, caring for, and rehabilitating the mentally ill, both within and outside of institutions, as may lead to the development of comprehensive and realistic recommendations for such better utilization of those resources or such improvements on and new developments in methods of diagnosis, treatment, care, and rehabilitation as give promise of resulting in a marked reduction in the incidence or duration of mental illness and, in consequence, a lessening of the appalling emotional and financial drain on the families of those afflicted or on the economic resources of the States and of the Nation.

"(b) It is declared to be the policy of the Congress to promote mental health and to help solve the complex and the interrelated problems posed by mental illness by encouraging the undertaking of nongovernmental, multidisciplinary research into and reevaluation of all aspects of our resources, methods, and practices for diagnosing, treating, caring for, and rehabilitating the mentally ill, including research aimed at the prevention of mental illness. It is the purpose of this joint resolution [adding this section] to implement that policy."

§ 242c. National health surveys and studies. (a) Determination of extent of illness and disability and related information; development and test of methods for obtaining current data.

The Surgeon General is authorized (1) to make, by sampling or other appropriate means, surveys and special studies of the population of the United States to determine the extent of illness and disability and related information such as: (A) the number, age, sex, ability to work or engage in other activities, and occupation or activities of persons afflicted with chronic or other disease or injury or handicapping condition; (B) the type of disease or injury or handicapping condition of each person so afflicted; (C) the length of time that each such person has been prevented from carrying on his occupation or activities; (D) the amounts and types of services received for or because of such conditions; and (E) the economic and other impacts of such conditions; and (2) in connection therewith, to develop and test new or improved methods for obtaining current data on illness and disability and related information.

(b) Publication of results.

The Surgeon General is authorized, at appropriate intervals, to make available, through publications and otherwise, to any interested governmental or other public or private agencies, organizations, or groups, or to the public, the results of surveys or studies made pursuant to subsection (a) of this section.

For each fiscal year beginning after June 30, 1956, there are authorized to be appropriated such sums as the Congress may determine for carrying out the provisions of this section.

(d) Cooperation with other Governmental or State agencies.

To assist in carrying out the provisions of this section the Surgeon General is authorized and directed to cooperate and consult with the Departments of Commerce and Labor and any other interested Federal Departments or agencies and with State health departments. For such purpose he shall utilize insofar as possible the services or facilities of any agency of the Federal Government and, without regard to section 5 of Title 41, of any appropriate State or other public agency, and may, without regard to section 5 of Title 41, utilize the services or facilities of any private agency, organization, group, or individual, in accordance with written agreements between the head of such agency, organization, or group, or such individual, and the Secretary of Health, Education, and Welfare. Payment, if any, for such services or facilities shall be made in such amounts as may be provided in such agreement. (July 1, 1944, ch. 373, title III, § 305, as added July 3, 1956, ch. 510, § 3, 70 Stat. 490.)

SHORT TITLE

Section 1 of act July 3, 1956, provided that: "This Act [which enacted this section, amended section 241 of this title, and enacted provisions set out as a note hereunder] may be cited as the 'National Health Survey Act'."

DECLARATION OF PURPOSE

Section 2 of act July 3, 1956, provided that: "(a) The Congress hereby finds and declares

"(1) that the latest information on the number and relevant characteristics of persons in the country suffering from heart disease, cancer, diabetes, arthritis and rheumatism, and other diseases, injuries, and handicapping conditions is now seriously out of date; and

"(2) that periodic inventories providing reasonably current information on these matters are urgently needed for purposes such as (A) appraisal of the true state of health of our population (including both adults and children), (B) adequate planning of any programs to improve their health, (C) research in the field of chronic diseases, and (D) measurement of the numbers of persons in the working ages so disabled as to be unable to perform gainful work.

"(b) It is, therefore, the purpose of this Act [adding this section and amending section 241 of this title] to provide (1) for a continuing survey and special studies to secure on a non-compulsory basis accurate and current statistical information on the amount, distribution, and effects of illness and disability in the United States and the services received for or because of such conditions; and (2) for studying methods and survey techniques for securing such statistical information, with a view toward their continuing improvement."

§ 242d. Graduate or specialized training for physicians, engineers, nurses, and other professional personnel.

(a) Appropriations.

There are authorized to be appropriated for the fiscal year ending June 30, 1957, and for each of the next twelve fiscal years, such sums as the Congress may determine but not to exceed $4,500,000 for the fiscal year ending June 30, 1965, $7,000,000 for the fiscal year ending June 30, 1966, $8,000,000 for the fiscal year ending June 30, 1967, and $10,000,000 each for the fiscal year ending June 30, 1968, and the succeeding fiscal year, to cover the cost of traineeships for graduate or specialized training in public health for physicians, engineers, nurses, and other professional health personnel.

(b) Awards of traineeships to individuals or institutions.

Traineeships under this section may be awarded by the Surgeon General either (1) directly to individuals whose applications for admission have been accepted by the public or other nonprofit institutions providing the training, or (2) through grants to such institutions.

Payments under this section may be made in advance or by way of reimbursement, and at such intervals and on such conditions, as the Surgeon General finds necessary. Such payments to institutions may be used only for traineeships, and payments under this section with respect to any traineeship shall be limited to such amounts as the Surgeon General finds necessary to cover the cost of tuition and fees, and a stipend and allowances (including travel and subsistence expenses) for the trainee. (d) Advisory committee; composition and functions; compensation and travel expenses.

The Surgeon General shall appoint an expert advisory committee, composed of persons representative of the principal health specialities in the fields of public health administration and training, to advise him in connection with the administration of this section and section 242g of this title, including the development of program standards and policies and including, in the case of section 242g of this title, certification to the Surgeon General of projects which it has reviewed and approved. Members of such committee who are not otherwise in the employ of the United States, while attending meetings of the committee or otherwise serving at the request of the Surgeon General, shall be entitled to receive compensation at a rate to be fixed by the Secretary of Health, Education, and Welfare, but not exceeding $50 per diem, including travel time, and while away from their homes or regular places of business they may be allowed travel expenses, including per diem in lieu of subsistence, as authorized by section 73b-2 of Title 5 for persons in the Government service employed intermittently. (e) Conference; representatives; appraisal of traineeships; report and recommendations.

The Surgeon General shall, between June 30, 1958, and December 1, 1958, call a conference broadly representative of the professional and training groups interested in and informed about training of professional public health personnel, and including members of the advisory committee appointed pursuant to subsection (d) of this section, to assist him in appraising the effectiveness of the traineeships under this section in meeting the needs for trained public health personnel; in considering modifications in this section, if any, which may be desirable to increase its effectiveness; and in considering the most effective distribution of responsibilities between Federal and State governments with respect to the administration and support of public health training. The Surgeon General shall submit to the Congress, on or before January 1, 1959, a report of such conference, including any recommendations by it relating to the limitation, extension, or modification of this section. The Surgeon General shall, between June 30, 1963, and December 1, 1963,

call a similar conference, and shall submit to the Congress, on or before January 1, 1964, a report of such conference, including any recommendations by it relating to the limitation, extension, or modification of this section. The Surgeon General shall, between June 30, 1967, and December 1, 1967, call a similar conference, and shall submit to the Congress, on or before January 1, 1968, a report of such conference, including any recommendations by it relating to the limitation, extension, or modification of this section.

(f) Supervision of personnel or curriculum.

Except as otherwise provided in this section, nothing contained in this section shall be construed as authorizing any department, agency, officer, or employee of the United States to exercise any direction, supervision, or control over the personnel or curriculum of any training institution. (July 1, 1944, ch.

373, title III, § 306, as added Aug. 2, 1956, ch. 871, title I, § 101, 70 Stat. 923, and amended July 23, 1959, Pub. L. 86-105, § 1, 73 Stat. 239; Sept. 8, 1960, Pub. L. 86-720, § 1(b), 74 Stat. 820; Aug. 27, 1964, Pub. L. 88-497, § 2, 78 Stat. 613.)

AMENDMENTS

1964 Subsec. (a). Pub L. 88-497, § 2(a), substituted "twelve fiscal years" for "seven fiscal years" and specified maximum limits for the authorized appropriations for the fiscal years 1965-1969.

Subsec. (e). Pub. L. 88-497, § 2(b), required the Surgeon General to call a conference between June 30, 1967, and Dec. 1, 1967, and to submit a report to Congress on or before Jan. 1, 1968.

1960 Subsec. (d). Pub L. 86-720 inserted the words "and section 242g of this title" and "and including, in the case of section 242g of this title, certification to the Surgeon General of projects which it has reviewed and approved."

1959 Subsec. (a). Pub. L. 86-105 substituted "seven fiscal years" for "two fiscal years."

Subsec. (e). Pub. L. 86-105 required the Surgeon General to call a conference between June 30, 1963 and Dec. 1, 1963, and to submit a report to Congress on or before Jan. 1, 1964.

SHORT TITLE

Section 1 of Pub. L. 88-497 provided that Pub. L. 88-497, amending this section and section 242g of this title, may be cited as the "Graduate Public Health Training Amendments of 1964."

EFFECTIVE DATE

Section 102 of act Aug. 2, 1956, provided that this section shall become effective on July 1, 1956.

§ 242e. Training of nursing teachers or supervisors. (a) Appropriations.

There are authorized to be appropriated for the fiscal year ending June 30, 1957, and for each of the next seven fiscal years, such sums as the Congress may determine, to cover the cost of traineeships for the training of professional nurses to teach in the various fields of nurse training (including practical nurse training) or to serve in an administrative or supervisory capacity.

(b) Awards of traineeships to institutions.

Traineeships under this section shall be awarded by the Surgeon General through grants to public other nonprofit institutions providing the training.

Payments to institutions under this section may be made in advance or by way of reimbursement, and

at such intervals and on such conditions as the Surgeon General finds necessary. Such payments

may be used only for traineeships and shall be limited to such amounts as the Surgeon General finds necessary to cover the costs of tuition and fees, and a stipend and allowances (including travel and subsistence expenses) for the trainees.

(d) Advisory Committee; composition and functions; compensation and travel expenses.

The Surgeon General shall appoint an expert advisory committee, composed of persons from the fields of nursing and nurse training, hospital administration, and medicine, to advise him in connection with the administration of this section, including the development of program standards and policies. Members of such committee who are not otherwise in the employ of the United States, while attending meetings of the committee or otherwise serving at the request of the Surgeon General, shall be entitled to receive compensation at a rate to be fixed by the Secretary of Health, Education, and Welfare, but not exceeding $50 per diem, including travel time, and while away from their homes or regular places of business they may be allowed travel expenses, including per diem in lieu of subsistence, as authorized by section 73b-2 of Title 5 for persons in the Government service employed intermittently. (e) Conference; representatives; appraisal of traineeships; report and recommendations.

The Surgeon General shall, between June 30, 1958, and December 1, 1958, call a conference broadly representative of the professional and training groups interested in and informed about the advanced training of professional nurses, and including members of the advisory committee appointed pursuant to subsection (d) of this section, to assist him in appraising the effectiveness of the traineeships under this section in meeting the needs for professional nurses in teaching, administrative, and supervisory positions and in considering modifications in this section, if any, which may be desirable to increase its effectiveness, including possible means of stimulating State participation in the administration and financing of advanced training of professional nurses through Federal matching grants to States for the support of traineeships or related training activities, or otherwise. The Surgeon General shall submit to the Congress, on or before January 1, 1959, a report of such conference, including any recommendations by it relating to the limitation, extension, or modification of this section. The Surgeon General shall, between June 30, 1963, and December 1, 1963, call a similar conference, and shall submit to the Congress, on or before January 1, 1964, a report of such conference, including any recommendations by it relating to the limitation, extension, or modification of this section. (f) Supervision of personnel or curriculum.

ch. 871, title II, § 201, 70 Stat. 924, and amended July 23, 1959, Pub. L. 86–105, § 2, 73 Stat. 239.)

AMENDMENTS

1959 Subsec. (a). Pub. L. 86-105 substituted "seven fiscal years" for "two fiscal years."

Subsec. (e). Pub. L. 86-105 required the Surgeon General to call a conference between June 30, 1963 and Dec. 1, 1963, and to submit a report to Congress on or before Jan. 1, 1964.

EFFECTIVE DATE

Section 202 of act Aug. 2, 1956, provided that this section shall become effective on July 1, 1956.

§ 242f. International cooperation.

(a) Use of health research and research training re

sources.

To carry out the purposes of clause (1) of section 2101 of Title 22, the Surgeon General may, in the exercise of his authority under this chapter and other provisions of law to conduct and support health research and research training, make such use of health research and research training resources in participating foreign countries as he may deem necessary and desirable.

(b) Fellowships; equipment; meetings and conferences; interchange of scientists and experts; consultants; compensation and travel expenses. In carrying out his responsibilities under this section the Surgeon General may

(1) establish and maintain fellowships in the United States and in participating foreign countries;

(2) make grants to public institutions or agencies and to nonprofit private institutions or agencies in the United States and in participating foreign countries for the purpose of establishing and maintaining fellowships;

(3) make grants or loans of equipment, medical, biological, physical, or chemical substances or other materials, for use by public institutions or agencies, or nonprofit private institutions or agencies, or by individuals, in participating foreign countries;

(4) participate and otherwise cooperate in any international health research or research training meetings, conferences, or other activities;

(5) facilitate the interchange between the United States and participating foreign countries, and among participating foreign countries, of research scientists and experts who are engaged in experiments and programs of research or research training, and in carrying out such purpose may pay per diem compensation, subsistence, and travel for such scientists and experts when away from their places of residence at rates not to exceed those provided in section 73b-2 of Title 5 for persons in the Government service employed intermittently; and

(6) procure, in accordance with the provisions of section 55a of Title 5, the temporary or intermittent services of experts or consultants; individuals so employed shall receive compensation at a rate to be fixed by the Secretary, but not in excess of $50 per diem, including travel time, and while away from their homes or regular places of business may be allowed travel expenses, including per diem in lieu of subsistence, as authorized by section 73b-2 of Title 5 for persons

in the Government service employed intermittently.

The Surgeon General may not, in the exercise of his authority under this section, assist in the construction of buildings for research or research training in any foreign country.

(d) Definitions.

For the purposes of this section

(1) The term "health research" shall include, but not be limited to, research, investigations, and studies relating to causes and methods of prevention of accidents, including but not limited to highway and aviation accidents.

(2) The term "participating foreign countries" means those foreign countries which cooperate with the United States in carrying out the purposes of this section.

(July 1, 1944, ch. 373, title III, § 308, as added July 12, 1960, Pub. L. 86-610, § 3, 74 Stat. 364.)

§ 242g. Graduate public health training grants. (a) Appropriations.

In order to enable the Surgeon General to make project grants to schools of public health, and to other public or nonprofit private institutions providing graduate or specialized training in public health, for the purpose of strengthening or expanding graduate or specialized public health training in such institutions, there are authorized to be appropriated not to exceed $2,000,000 for each fiscal year in the period beginning July 1, 1960, and ending June 30, 1964, $2,500,000 for the fiscal year ending June 30, 1965, $4,000,000 for the fiscal year ending June 30, 1966, $5,000,000 for the fiscal year ending June 30, 1967, $7,000,000 for the fiscal year ending June 30, 1968, and $9,000,000 for the fiscal year ending June 30, 1969.

(b) Recommended projects; duration of grant; pay

ments.

Grants to institutions under subsection (a) of this section may be made only for those projects which are recommended by the advisory committee appointed pursuant to section 242d (d) of this title. Any grant for a project made from an appropriation under this section for any fiscal year may include such amounts for carrying out such project during succeeding years. Payment pursuant to such grants may be made in advance or by way of reimbursement, and in such installments as the Surgeon General shall prescribe by regulations after consultation with representatives of such institutions. (July 1, 1944, ch. 373, title III, § 309, as added Sept. 8, 1960, Pub. L. 86-720, § 1(a), 74 Stat. 819, and amended Aug. 27, 1964, Pub. L. 88-497, § 3, 78 Stat. 613.)

AMENDMENTS

1964 Subsec. (a). Pub. L. 88-497, § 3 (a), (b), substituted authority to appropriate for public or nonprofit private institutions instead of schools of nursing or engineering providing training in public health for nurses or engineers, increased the maximum authorization for the fiscal year ending June 30, 1965, from $2,000,000 to $2,500,000, and authorized appropriations for the fiscal years 1966-1969.

Subsec. (b). Pub. L. 88-497, § 3 (c), substituted "institutions" for "schools" wherever appearing.

EFFECTIVE DATE OF 1964 AMENDMENT Section 3(b) of Pub. L. 88-497 provided in part that the substitution of authority to appropriate for public or nonprofit private institutions instead of schools of nursing or engineering in subsec. (a) of this section, shall be effective in case of grants from appropriations for any fiscal year beginning after June 30, 1964.

§ 242h. Grants for family health service clinics for domestic agricultural migratory workers. There are authorized to be appropriated for the fiscal year ending June 30, 1963, the fiscal year ending June 30, 1964, and the fiscal year ending June 30, 1965, such sums, not to exceed $3,000,000 for any year, as may be necessary to enable the Surgeon General (1) to make grants to public and other nonprofit agencies, institutions, and organizations for paying part of the cost of (i) establishing and operating family health service clinics for domestic agricultural migratory workers and their families, including training persons to provide services in the establishing and operating of such clinics, and (ii) special projects to improve health services for and the health conditions of domestic agricultural migratory workers and their families, including training persons to provide health services for or otherwise improve the health conditions of such migratory workers and their families, and (2) to encourage and cooperate in programs for the purpose of improving health services for or otherwise improving the health conditions of domestic agricultural migratory workers and their families. (July

1, 1944, ch. 373, title III, § 310, as added Sept. 25, 1962, Pub. L. 87-692, 76 Stat. 592.)

§ 243. Federal and State cooperation generally.

The Surgeon General is authorized to accept from State and local authorities any assistance in the enforcement of quarantine regulations made pursuant to this chapter which such authorities may be able and willing to provide. The Surgeon General shall also assist States and their political subdivisions in the prevention and suppression of communicable diseases, shall cooperate with and aid State and local authorities in the enforcement of their quarantine and other health regulations and in carrying out the purposes specified in section 246 of this title, and shall advise the several States on matters relating to the preservation and improvement of the public health. (July 1, 1944, ch. 373, title III, § 311, 58 Stat. 693.)

§ 244. Health conferences.

A conference of the health authorities of the several States shall be called annually by the Surgeon General. Whenever in his opinion the interests of the public health would be promoted by a conference, the Surgeon General may invite as many of such health authorities to confer as he deems necessary or proper. Upon the application of health authorities of five or more States it shall be the duty of the Surgeon General to call a conference of all State and Territorial health authorities joining in the request. Each State represented at any conference shall be entitled to a single vote. Whenever at any such conference matters relating to mental health are to be discussed, the mental health authorities of the re

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United States Code, Volume 9