community, particularly children of preschool age, and which includes plans and measures looking toward the strengthening of ongoing community programs for the immunization against such diseases of infants and for maintenance of immunity in the remainder of the population. Nothing in this section shall be construed to require any State or any political subdivision or instrumentality of a State to have an immunization program which would require any person who objects to immunization to be immunized or to have any child or ward of his immunized. (c) (1) 80 Payments under this section may be made in advance on the basis of estimates or by way of reimbursement, with necessary adjustments on account of underpayments or overpayments in such installments, and on such terms and conditions as the Surgeon General finds necessary to carry out the purposes of this section, and the Surgeon General may, if the applicant State or other political subdivision or instrumentality so requests, purchase and furnish vaccines in lieu of making money grants for the purchase thereof. (2) Each applicant under this section for a money grant for the purchase of vaccines, or for a grant of vaccines in lieu of a money grant, for use in connection with an immunization program shall, at the time it files its application with the Surgeon General, provide the Surgeon General with assurances satisfactory to him that it will, if it receives such a grant, furnish any physician, who practices in the area in which such program is to be carried out and makes application therefor to it, with such amounts of vaccines as are reasonably necessary in order to permit such physician during the period of such program to immunize his patients who are in the group for whose immunization such grant of money or vaccines is made. (3) 81 Each applicant for a grant under this section for use in connection with an immunization program shall, at the time it files its application for such grant with the Surgeon General, provide the Surgeon General with assurances satisfactory to him that it will, if it receives such grant, furnish such other services and materials as may be necessary to carry out such program. (d) The Surgeon General, at the request of a State or other public agency, may reduce the grant to such agency under this section by the amount of the pay, allowances, traveling expenses, and any other costs in connection with the detail of an officer or employee of the Public Health Service to such agency when such detail is made for the convenience of and at the request of such agency and for the purpose of carrying out a function for which a grant is made under this section. The amount by which such Subsec. 317(c)(3) amended by sec. 2 of P.L. 89-109. grant is so reduced shall be available for payment of such costs by the Surgeon General, but shall, for purposes of subsection (c), be deemed to have been paid to such agency. (e) Nothing in this section shall limit or otherwise restrict the use of funds which are granted to a State or to a political subdivision of a State under title V of the Social Security Act, or other provisions of this Act, or other Federal law and which are available for the purchase of vaccine or for organizing, promoting, conducting, or participating in immunization programs, from being used for such purposes in connection with programs assisted through grants under this section. SPECIAL PROJECT GRANTS FOR ASSISTING IN THE AREA- SEC. 318.82 There are authorized to be appropriated $2,500,000 for the fiscal year ending June 30, 1965, and $5,000,000 for each of the next four fiscal years to enable the Surgeon General to make grants to the appropriate State agency or agencies designated in accordance with section 604 (a) (1) to cover not to exceed 50 per centum of the costs of projects for developing (and from time to time revising) and supervising and assisting in the carrying out of comprehensive regional, metropolitan area, or other local area plans for coordination of existing and planned health facilities, and facilities related thereto, and services provided by such facilities. PART C-HOSPITALS, MEDICAL EXAMINATIONS, AND HOSPITALS SEC. 321. The Surgeon General, pursuant to regulations, shall (a)83 Control, manage, and operate all institutions, hospitals, and stations of the Service, including minor repairs and maintenance, and provide for the care, treatment, and hospitalization of patients, including the furnishing of prosthetic and orthopedic devices, and tobacco; and from time to time, with the approval of the President, select suitable sites for and establish such additional institutions, hospitals, and stations in the States and possessions of the United States as in his judgment are necessary to enable the Service to discharge its functions and duties; (b) Provide for the transfer of Public Health Service patients, in the care of attendants where necessary, be Sec. 318 added by sec. 2 of P.L. 88-443. "Subsec. (a) was amended by sec. 2(a) of P.L. 781, 80th Congress. 42 U.S.C. 249. tween hospitals and stations operated by the Service or between such hospitals and stations and other hospitals and stations in which Public Health Service patients may be received, and the payment of expenses of such transfer; (c) Provide for the disposal of articles produced by patients in the course of their curative treatment, either by allowing the patient to retain such articles or by selling them and depositing the money received therefor to the credit of the appropriation from which the materials for making the articles were purchased; (d) 85 Provide for the disposal of money and effects, in the custody of the hospitals or stations, of deceased patients; and 86 (e) 6 Provide, to the extent the Surgeon General determines that other public or private funds are not available therefor, for the payment of expenses of preparing and transporting the remains of, or the payment of reasonable burial expenses for, any patient dying in a hospital or station. CARE AND TREATMENT OF SEAMEN AND CERTAIN OTHER PERSONS SEC. 322. (a) The following persons shall be entitled, in accordance with regulations, to medical, surgical, and dental treatment and hospitalization without charge at hospitals and other stations of the Service: (1) Seamen employed on vessels of the United States registered, enrolled, and licensed under the maritime laws thereof, other than canal boats engaged in the coasting trade; (2) Seamen employed on United States or foreign flag vessels as employees of the United States through the War Shipping Administration; (3) Seamen, not enlisted or commissioned in the military or naval establishments, who are employed on State school ships or on vessels of the United States Government of more than five tons' burden; (4) Cadets at State maritime academies or on State training ships; (5) Seamen on vessels of the Mississippi River Commission and, upon application of their commanding of ficers, officers and crews of vessels of the Fish and Wildlife Service: (6) Enrollees in the United States Maritime Service on active duty and members of the Merchant Marine Cadet Corps; 84 Subsec. (c) was amended, by striking out the word "and" at the end of the subsection, by sec. 2(b) of P.L. 781, 80th Congress. 8 Subsec. (d) was amended, by striking out the period at the end of the subsection and inserting in lieu thereof ; and", by sec. 2(b) of P.L. 781, 80th Congress. se Subsec. (e) was added by sec. 2(b) of P.L. 781, 80th Congress. (7) Employees and noncommissioned officers in the field service of the Public Health Service when injured or taken sick in line of duty; and (8) 87 Persons who own vessels registered, enrolled, or licensed under the maritime laws of the United States, who are engaged in commercial fishing operations, and who accompany such vessels on such fishing operations, and a substantial part of whose services in connection with such fishing operations are comparable to services performed by seamen employed on such vessel or on vessels engaged in similar operations. (b) When suitable accommodations are available, seamen on foreign-flag vessels may be given medical, surgical, and dental treatment and hospitalization on application of the master, owner, or agent of the vessel at hospitals and other stations of the Service at rates fixed by regulations. All expenses connected with such treatment, including burial in the event of death, shall be paid by such master, owner, or agent. No such vessel shall be granted clearance until such expenses are paid or their payment appropriately guaranteed to the Collector of Customs. (c) Any person when detained in accordance with quarantine laws, or, at the request of the Immigration and Naturalization Service, any person detained by that Service, may be treated and cared for by the Public Health Service. (d) Persons not entitled to treatment and care at institutions, hospitals, and stations of the Service may, in accordance with regulations of the Surgeon General, be admitted thereto for temporary treatment and care in case of emergency. (e) Persons entitled to care and treatment under subsection (a) of this section and persons whose care and treatment is authorized by subsection (c) may, in accordance with regulations, receive such care and treatment at the expense of the Service from public or private medical or hospital facilities other than those of the Service, when authorized by the officer in charge of the station at which the application is made.88 CARE AND TREATMENT OF FEDERAL PRISONERS SEC. 323. The Service shall supervise and furnish medical treatment and other necessary medical, psychiatric, and related technical and scientific services, authorized by the Act of May 13, 1930, as amended (U.S.C., 1940 edition, title 18, secs. 751, 752), in penal and correctional institutions of the United States. Subsec. 322 (a) (8) was added by P.L. 88-424 (Aug. 13, 1964). 42 U.S.C. 250 42 U.S.C. 251 42 U.S.C. 252 42 U.S.C. 253 EXAMINATION AND TREATMENT OF FEDERAL EMPLOYEES SEC. 324. The Surgeon General is authorized to provide at institutions, hospitals, and stations of the Service medical, surgical, and hospital services and supplies for persons entitled to treatment under the United States Employees' Compensation Act and extensions thereof. The Surgeon General may also provide for making medical examinations of (a) employees of the Alaska Railroad and employees of the Federal Government for retirement purposes; (b) employees in Federal classified service, and applicants for appointment, as requested by the Civil Service Commission for the purpose of promoting health and efficiency; (c) seamen for purposes of qualifying for certificates of service; and (d) employees eligible for benefits under the Longshoremen's and Harbor Workers' Compensation Act, as amended (U.S.C., 1940 edition, title 33, ch. 18), as requested by any deputy commissioner thereunder. EXAMINATION OF ALIENS SEC. 325. The Surgeon General shall provide for mak ing, at places within the United States or in other countries, such physical and mental examinations of aliens as are required by the immigration laws, subject to administrative regulations prescribed by the Attorney General and medical regulations prescribed by the Surgeon General with the approval of the Secretary. SERVICES TO COAST GUARD, COAST AND GEODETIC SURVEY, AND SEC. 326.89 (a) Subject to regulations of the President (1) commissioned officers, chief warrant officers, warrant officers, cadets, and enlisted personnel of the Regular Coast Guard on active duty, including those on shore duty and those on detached duty; and Regular and temporary members of the United States Coast Guard Reserve when on active duty; (2) 89 commissioned officers, ships' officers, and members of the crews of vessels of the United States Coast and Geodetic Survey on active duty including those on shore duty and those on detached duty; and (3) commissioned officers of the Regular or Reserve Corps of the Public Health Service on active duty; shall be entitled to medical, surgical, and dental treatment and Pars. (1) and (2) were amended and par. (3) was added by sec. 5(d) of P.L. 86-415. |