"DEFINITIONS

"SEC. 724. As used in this part

"(1) The terms 'construction' and 'cost of construction' include (A) the construction of new buildings, the expansion of existing buildings, and remodeling, replacement, renovation, major repair (to the extent permitted by regulations), or alteration of existing buildings, including architects' fees, but not including the cost of acquisition of land or off-site improvement, and (B) initial equipment of new buildings and of the expanded, remodeled, repaired, renovated, or altered part of existing buildings;

"(2) The term 'nonprofit school' means a school owned and operated by one or more corporations or associations no part of the net earnings of which inures, or may lawfully inure, to the benefit of any private shareholder or individual; and

“(3) The terms 'school of medicine', 'school of dentistry', 'school of osteopathy', and 'school of public health' mean a school which provides training leading, respectively, to a degree of doctor of medicine, a degree of doctor of dentistry or an equivalent degree, a degree of doctor of osteopathy, and a graduate degree in public health.

"NATIONAL ADVISORY COUNCIL ON EDUCATION FOR HEALTH PROFESSIONS "SEC. 725. (a) There is hereby established in the Public Health Service a National Advisory Council on Education for Health Professions, consisting of the Surgeon General of the Public Health Service, who shall be Chairman, and the Commissioner of Education, both of whom shall be ex officio members, and twelve members appointed by the Secretary without regard to the civil service laws. Four of the appointed members shall be selected from the general public and eight shall be selected from among leading authorities in the fields of higher education, at least four of whom are particularly concerned with training in medicine, dentistry, osteopathy, or the public health professions. In selecting persons for appointment to the Council, consideration shall be given to such factors, among others, as (1) experience in the planning, constructing, financing, or administration of schools of medicine, dentistry, or osteopathy, or schools of public health, and (2) familiarity with the need for teaching facilities in all areas of the Nation.

"(b) The Council shall advise and assist the Surgeon General in the preparation of general regulations and with respect to policy matters arising in the administration of this part and part C, and in the review of applications thereunder.

"(c) The Surgeon General is authorized to use the services of any member or members of the Council in connection with matters related to the administration of this part, for such periods, in addition to conference periods, as he may determine. The Surgeon General shall, in addition, make appropriate provision for consultation between and coordination of the work of the Council and the National Advisory Council on Health Research Facilities with respect to matters bearing on the purposes and administration of this part and part C.

"(d) Appointed members of the Council, while attending conferences or meetings of the Council or while otherwise serving at the request of the Surgeon General, shall be entitled to receive compensation at a rate to be fixed by the Secretary 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 law (5 U.S.C. 73b-2) for persons in the Government service employed intermittently.

"NONINTERFERENCE WITH ADMINISTRATION OF INSTITUTIONS

"SEC. 726. Nothing contained in this part shall be construed as authorizing any department, agency, officer, or employee of the United States to exercise any direction, supervision, or control over, or impose any requirement or condition with respect to, the personnel, curriculum, methods of instruction, or administra tion of any institution.

"REGULATIONS

"SEC. 727. (a) The Surgeon General, after consultation with the Council and with the approval of the Secretary, shall prescribe general regulations for this part covering the eligibility of institutions, the order of priority in approving

applications, the terms and conditions for approving applications, determinations of the amounts of grants, and minimum standards of construction and equipment for various types of institutions.

"(b) The Surgeon General is authorized to make, with the approval of the Secretary, such other regulations as he finds necessary to carry out the provisions of this part.

"TECHNICAL ASSISTANCE

"SEC. 728. In carrying out the purposes of this part, and to further the development of State, or joint or coordinated regional or other interstate, planning or programs for relieving shortages of training capacity in the fields of medicine, dentistry, osteopathy, and public health, through constructing teaching facilities, providing adequate financial support for schools, or otherwise, the Surgeon General is authorized to provide technical assistance and consultative services to State or interstate planning agencies established for any of such purposes.

"PLANNING GRANTS FOR MEDICAL, OSTEOPATHIC, DENTAL, OR PROFESSIONAL PUBLIC HEALTH EDUCATION PROGRAMS

"SEC. 729. There is hereby authorized to be appropriated for each fiscal year in the period beginning July 1, 1963, and ending June 30, 1973, the sum of $500,000 to enable the Surgeon General to make grants to regional, interstate, State, or local public or private nonprofit agencies and organizations and to any public or private nonprofit institution for planning and determining the need for teaching facilities for, or otherwise planning a new, expanded, or improved program of, training physicians, professional public health personnel, or dentists. "PART C-SCHOLARSHIP GRANTS TO SCHOOLS OF MEDICINE, OSTEOPATHY, OR DENTISTRY

"SCHOLARSHIP GRANTS

"SEC. 740. (a) The Surgeon General shall make grants to each public or other nonprofit school of medicine, osteopathy, or dentistry (as defined in sectin 724), which is accredited as provided in section 721 (b) (2), for scholarships to be awarded annually by such school to students thereof.

"(b) The amount of the grant under subsection (a) to each such school shall be equal to $1,500 multiplied by (1) for the fiscal year ending June 30, 1964, one-fourth of the number of first-year students of such school; (2) for the fiscal year ending June 30, 1965, one-fourth of the number of first-year students and second-year students of such school; (3) for the fiscal year ending June 30, 1966, one-fourth of the number of first-year students, second-year students, and thirdyear students of such school; and (4) for each fiscal year thereafter, one-fourth of the number of students of such school.

"(c) (1) Scholarships may be awarded by schools from grants under subsection (a) only to individuals who have been accepted by them for enrollment as full-time first-year students in the case of awards from grants under subsection (a) for the fiscal year ending June 30, 1964; only to individuals who have been so accepted and individuals enrolled and in good standing as full-time second-year students in the case of such awards from such grants for the fiscal year ending June 30, 1965; and only to individuals so accepted or enrolled and individuals enrolled and in good standing as full-time third-year students in the case of such awards from such grants for the fiscal year ending June 30, 1966; and thereafter only to individuals who have been so accepted and individuals who are enrolled as full-time students in the school.

"(2) Scholarships awarded from grants under subsection (a) for any school year shall be awarded to talented students on the basis of need for financial assistance in pursuing a course of study at the school for such year. Any such scholarship awarded for a school year shall cover such portion of the student's tuition, fees, books. equipment, and living expenses at the school making the award, but not to exceed $2,000 for any year, as such school may determine the student needs for such year on the basis of his requirements and financial

resources.

"(d) The Surgeon General shall also make cost of education payments to schools which receive grants under subsection (a). Such payments to any school for a year shall be equal to $1.000 for each of its students who is awarded a

scholarship from a grant under subsection (a) for such year, but not in excess of the number of students determined for such school for such year under clause (1), (2), (3), or (4), as the case may be, of subsection (b).

"(e) Grants under subsection (a) and payments under subsection (d) shall be made in accordance with regulations prescribed after consultation with the National Advisory Council on Education for the Health Professions (established by section 725). Such regulations shall include provisions relating to determination, for purposes of grants or payments for a fiscal year, of the number of students enrolled in a particular year-class on the basis of estimates, or on the basis of the number in such year-class in an earlier year, or on such other basis as he deems appropriate for making such determination, and including methods of making such determination when a year-class was not in existence in an earlier year at a school.

"(f) Grants under subsection (a) and payments under subsection (d) may be paid in advance or by way of reimbursement, and at such intervals as the Surgeon General may find necessary; and with appropriate adjustments on account of overpayments or underpayments previously made."

EXTENSION AND EXPANSION OF RESEARCH FACILITIES GRANTS

SEC. 3. (a) Effective with respect to appropriations for fiscal years beginning after June 30, 1964, section 704 of the Public Health Service Act is amended by striking out "$30,000,000" and inserting in lieu thereof "$50,000,000". Such section is further amended by striking out "five succeeding fiscal years" and inserting in lieu thereof "eight succeeding fiscal years".

(b) Section 705 (a) of such Act is amended by striking out "June 30, 1961" and inserting in lieu thereof "June 30, 1966".

(c) Section 706 (a) of such Act is amended by striking out “, or in the case of a multipurpose facility," and inserting in lieu thereof "in the case of a facility which the Surgeon General determines is to be used for research, or research and purposes related thereto (including research training), in the sciences related to health or, in the case of any other multipurpose facility,".

(d) Sections 704 and 705 (c) (2) of such Act are each amended by inserting ", or research and related purposes, after "research", wherever it appears therein. Section 705 (e) of such Act is amended by inserting ", or research and related purposes," after "research" the first time it appears therein and inserting "or related purposes" after "research" the second time it appears therein. Section 707 (b) of such Act is amended by inserting or research and related purposes," after "research purposes". Section 706(a) of such Act is amended by striking out "facility for research" and inserting in lieu thereof "facility for research, or research and related purposes,". Section 708 of such Act is amended by

inserting "or related purposes" after "research".

(e) Section 705 (c) of such Act is further amended by striking out "and" at the end of paragraph (2), by striking out the period at the end of paragraph (3) and inserting in lieu thereof "; and", and by adding after paragraph (3) the following new paragraph:

"(4) the application contains or is supported by adequate assurance that any laborer or mechanic employed by any contractor or subcontractor in the performance of work on the construction of the facility (A) will be paid wages at rates not less than those prevailing on similar construction in the locality as determined by the Secretary of Labor in accordance with the Davis-Bacon Act, as amended (40 U.S.C. 276a-276a5), and (B) will receive compensation at a rate not less than one and one-half times his basic rate of pay for all hours worked in any workweek in excess of eight hours in any workday or forty hours in the workweek. The Secretary of Labor shall have, with respect to the labor standards specified in this paragraph, the authority and functions set forth in Reorganization Plan Numbered 14 of 1950 (15 F.R. 3176; 64 Stat. 1267), and section 2 of the Act of June 13, 1934, as amended (40 U.S.C. 276c)."

(f) Part A of title VII of such Act is further amended by inserting after section 710 the folowing new sections:

"TECHNICAL ASSISTANCE

"SEC. 711. The Surgeon General is authorized to provide assistance to applicants under this part, and other public or nonprofit institutions engaging or competent to engage in research, or research and related purposes, in the

sciences related to health, in designing and planning the construction of facilities for the conduct of such research or research training.

"CONSTRUCTION OF REGIONAL FACILITIES

"SEC. 712. When the Surgeon General finds, in accordance with regulations, that the purposes of this part can best be achieved through the construction of research, or research and related purposes, facilities of particular value or significance for the Nation or a region thereof, and that because of the cost of such facilities or their use as a national or regional resource for research or related purposes a grant pursuant to the preceding provisions of this part does not provide an effective or appropriate means of financing the construction of such facilities, he may construct or make arrangements for constructing, through contracts for paying (including advance or installment payments) part or all of the cost of construction or otherwise, facilities for the conduct of research, or for research and related purposes, in the sciences related to health. The Surgeon General may, where he deems such action appropriate, make arrangements, by contract or otherwise, for the operation of such facilities (for the conduct of such research, or research and related purposes) or may make contributions toward the cost of such operation of facilities of this nature whether or not constructed pursuant to, or with aid provided under, this section. Title to any facility constructed under this section may be transferred by the Surgeon General on behalf of the United States to any public or nonprofit private institution competent to engage in the type of research, or research and related purposes, for which the facility was constructed. Such transfer shall be made subject to the condition that the facility will be operated for the research, or research and related purposes, for which it was constructed and to such other conditions as the Surgeon General deems necessary to carry out the objectives of this part and to protect the interests of the United States."

(g) The parenthetical phrase in the first sentence of section 433 (a) of such Act which reads “(including grants-in-aid for drawing plans, erection of buildings, and acquisition of land therefor)" is repealed.

[H.R. 3180, 88th Cong., 1st sess.]

A BILL To authorize a ten-year program of grants for construction of medical, dental, and public health educational facilities, and for other purposes

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That this Act may be cited as the "Health Educational Facilities Construction Act of 1963".

GRANTS FOR HEALTH EDUCATIONAL FACILITIES

SEC. 2. The Public Health Service Act (42 U.S.C., chapter 6A) is amended by adding at the end thereof the following new title:

"TITLE VIII-HEALTH EDUCATIONAL FACILITIES CONSTRUCTION PROGRAM

SEC. 801. The Congress hereby finds and declares that

"(a) increased demand for health services and health research necessitates the expansion and improvement of existing health educational facilities;

"(b) steadily increasing tuition fees and increasing contributions from private citizens, associations, funds, and foundations, and from the health professions themselves have proven insufficient to provide the necessary capital funds required for such expansion and improvement;

"(c) it is, therefore, the policy of the Congress to provide funds for construction of health educational facilities for our public and nonprofit medical, dental, and public health schools, thus insuring the continued production of an adequate number of properly qualified and trained physicians, dentists, teachers, and research scientists.

"DEFINITIONS

"SEC. 802. As used in this title

"(1) The term 'Council' means the National Advisory Council on Health Educational Facilities established by section 803.

"(2) The terms 'construction' and 'cost of construction' include (A) the construction of new buildings and the expansion, remodeling, and alteration of existing buildings, including architects' fees in excess of amounts granted under section 804 (c) (3), but not including the cost of acquisition of land or offsite improvements, except in the case of existing structures suitable for use as health educational facilities, and (B) equipping new buildings and existing buildings, whether or not expanded, remodeled, or altered.

"(3) The term 'nonprofit', as applied to a school, means a school owned and operated by one or more nonprofit corporations or associations no part of the net earnings of which inures, or may lawfully inure, to the benefit of any private shareholder or individual.

"(4) The term 'medical school' includes two-year schools and means a school providing training leading to the degree of doctor of medicine or osteopathy, approved or accredited by a recognized body or bodies approved by the Surgeon General after he had obtained the advice and recommendation of the Council, except that a new school which (by reason of no, or an insufficient, period of operation) is not, at the time of application for a grant to construct a facility under this title, eligible for accreditation by such a recognized body or bodies, shall be deemed accredited for purposes of this title if the Surgeon General finds, after consultation with the appropriate accreditation body or bodies, that there is reasonable assurance that the school will, upon completion of such facility, meet the accreditation standards of such body or bodies.

"(5) The term 'dental school' means a school which provides training leading to the degree of doctor of dental surgery, or an equivalent degree, approved or accredited by a recognized body or bodies approved by the Surgeon General after he has obtained the advice and recommendation of the Council, except that a new school which (by reason of no, or an insufficient, period of operation) is not, at the time of application for a grant to construct a facility under this title, eligible for accreditation by such a recognized body or bodies, shall be deemed accredited for purposes of this title if the Surgeon General finds, after consultation with the appropriate accreditation body or bodies, that there is reasonable assurance that the school will, upon completion of such facility, meet the accreditation standards of such body or bodies.

"(6) The term 'pubic health school' means a school which provides comprehensive professional training, specialized consultative services, and technical assistance in the fields of public health and in the administration of State and local public health programs, except that a new school which (by reason of no, or an insufficient, period of operation) is not, at the time of application for a grant to construct a facility under this title, eligible for accreditation by such a recognized body or bodies, shall be deemed accredited for purposes of this title if the Surgeon General finds, after consultation with the appropriate accreditation body or bodies, that there is reasonable assurance that the school will, upon completion of such facility, meet the accreditation standards of such body or bodies.

"(7) The term 'health educational facilities' includes educational and related research facilities in medicine, dentistry, and pubic health.

"NATIONAL ADVISORY COUNCIL ON HEALTH EDUCATIONAL FACILITIES "SEC. 803. (a) There is hereby established in the Public Health Service a National Advisory Council on Health Educational Facilities, consisting of the Surgeon General of the Public Health Service, who shall be Chairman, and the Commissioner of Education, who shall be ex officio members, and ten members appointed by the Secretary without regard to the civil service laws. The ten appointed members shall be leaders in the fields of health sciences, education, or public affairs, and four of the ten shall be persons active in the fields of professional health education.

"(b) The Council shall

"(1) advise and assist the Surgeon General in the preparation of general regulations and with respect to policy matters arising in the administration of this title; and

"(2) consider all applications for grants under this title and make to the Surgeon General such recommendations as it deems advisable with respect to (a) the approval of such applications, and (b) the amount which should be granted to each institution whose application, in its opinion, should be approved.