2 1 SEC. 102. Section 314 (d) of the Public Health Service 2 Act is amended to read as follows: 3 4 "Comprehensive Public Health Services "(d) (1) From allotments made pursuant to paragraph 5 (4), the Secretary may make grants to State health and 6 mental health authorities to assist in meeting the costs of 7 providing comprehensive public health services under State 8 plans approved under paragraph (3). 9 "(2) No grant may be made under paragraph (1) to 10 the State health or mental health authority of any State 11 unless an application therefor has been submitted to and 12 approved by the Secretary and unless 13 14 15 16 17 18 19 20 "(A) the State has submitted to the Secretary a State plan for the provision of comprehensive public health services and has had the plan initially approved by him under paragraph (3); or "(B) in the case of a State which has had a State plan initially approved under such paragraph, the Secre tary, upon his annual review of the State plan of the State, determines that the plan and the activities under21 taken under it continue to meet the requirements of 22 such paragraph. 23 An application for a grant under paragraph (1) shall be 24 submitted in such form and manner and shall contain such 25 information as the Secretary may require. 3 1 "(3) A State plan for the provision of comprehensive 2 public health services shall include such information and 3 assurances as the Secretary may find necessary for approval 4 of the plan and shall be comprised of the following three 5 parts: "(A) An administrative part setting out a program for the performance of the activities prescribed by the public health service and mental health service parts of the State plan, which program shall "(i) provide for administration, or supervision of administration, of such activities by the State health authority or, with respect to mental health activities, by the State mental health authority; "(ii) set forth policies and procedures to be followed in the expenditure of funds received from grants made under paragraph (1); "(iii) contain or be supported by assurances satisfactory to the Secretary that (I) the funds paid to the State public and mental health authorities under grants made under paragraph (1) will be used to make a significant contribution toward providing and strengthening public health services in the various political subdivisions of the State; (II) such funds will be made available to other public or nonprofit private agencies, institutions, and organi 4 zations, in accordance with criteria which the Secre tary determines are designed to secure maximum participation of local, regional, or metropolitan agencies and groups in the provision of such services; (III) such funds will be used to supplement and, to the extent practical, to increase the level of nonFederal funds that would otherwise be made available for the purposes for which the grant funds are provided and not to supplant such non-Federal funds; and (IV) the plan is compatible with the total health program of the State; "(iv) provide that the State health authority or, with respect to mental health activities, the State mental health authority, will, from time to time, but not less often than annually, (I) review and evaluate its State plan and submit to the Secretary appro priate modifications thereof, (II) report to the Secretary (by such categories as the Secretary may prescribe) a description of the services provided pursuant to the public health service and mental health service parts of the State plan in the preced ing fiscal year and the amount of funds spent by such categories for the provision of such services, and (III) report to the Secretary the extent to which services provided under the State plan for persons 5 with developmental disabilities and for the preven tion and treatment of alcohol and drug abuse or integrated with services provided under the plan through community mental health centers: "(v) provide that the State health authority or, with respect to mental health activities, the State mental health authority will make such reports, in such form and containing such information, as the Secretary may from time to time reasonably require, and will keep such records and afford such access thereto as the Secretary finds necessary to assure the correctness and verification of such reports; "(vi) provide for such fiscal control and fund accounting procedures as may be necessary to assure the proper disbursement of and accounting for funds. paid under grants under paragraph (1); and "(vii) include provisions, meeting such requirements as the Civil Service Commission may prescribe, relating to the establishment and maintenance of personnel standards on a merit basis; "(viii) contain such additional provisions as the Secretary may find necessary for the proper and efficient operation of the State plan. "(B) A public health service part setting out a plan for the provision within the State of public health serv 6 ices (other than mental health services). Such plan shall be prepared by the State health authority and shall “(i) require that such services provided within the State be provided in conformity with the applicable provisions and requirements of any comprehensive State health plan developed with assistance provided under subsection (a) of this section; “(ii) include an assessment of the most serious public health problems that exist within the State, based upon data pertaining to mortality and morbidity within the State and to the economic impact of public health problems within the State and upon other appropriate information; and “(iii) provide for programs relating to environmental health, health education, preventive medicine, health manpower and facilities licensure, and, commensurate with the extent of the problem, services for the prevention and treatment of hypertension, drug abuse, drug dependence, alcohol abuse, and alcoholism. "(C) A mental health service part setting out a plan for the provision within the State of mental health services. Such plan shall be prepared by the State mental health authority and shall |