Page:United States Statutes at Large Volume 106 Part 5.djvu/907

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PUBLIC LAW 102-573 —OCT. 29, 1992 106 STAT. 4545 (C) in paragraph (2)(A) (as redesignated by subparagraph (B)>— (i) by striking out "subsection (h)" and inserting in lieu thereof "this section"; (ii) in the first sentence, by striking out "but such allocation" through "met"; (iii) in the second sentence— (I) by striking out "(in accordance with paragraph (2))"; and (II) by striking out "raise the deficiency level" and inserting in lieu thereof the following: "reduce the health status and resource deficiency'; and (D) in paragraph (2)(B) (as redesignated by subparagraph (B)), by inserting after "consultation with" the following: ", and with the active participation of,"; (3) in subsection (c)— (A) by striking out paragraph (1) and redesignating paragraphs (2), (3), and (4) as paragraphs (1), (2), and (3), respectively; (B) by amending paragraph (1) (as redesignated by subparagraph (A) above) to read as follows: "(1) The term 'health status and resource deficiency means the extent to which— "(A) the health status objectives set forth in section 3(b) are not being achieved; and "(B) the Indian tribe does not have available to it the health resources it needs, taking into account the actual cost of providing health care services given local geographic, climatic, rural, or other circumstances."; and (C) in paragraph (3) (as redesignated by subparagraph (A) above)— (i) by striking out "Under regulations, the" and inserting in lieu thereof "The"; and (ii) by striking out "health resources deficiency level" and inserting in lieu thereof "extent of the health status and resource deficiency"; (4) in subsection (d)(1), by striking out "subsection (h)" and inserting in lieu thereof "this section"; (5) in subsection (e)— (A) in the material preceding paragraph (1)— (i) by striking out "60 days" and inserting in lieu thereof "3 years"; (ii) by striking out "Indian Health Care Amendments of 1988" and inserting in heu thereof "Indian Health Amendments of 1992"; and (iii) by striking out "health services priority system" and inserting in lieu thereof "health status and resource deficiency'; (B) in paragraph (1), by striking out "health resources deficiencies" and inserting in lieu thereof "health status and resource deficiencies"; (C) in paragraph (2), by striking out "the level of health resources deficiency for" and inserting in lieu thereof the following: "the extent of the health status and resource deficiency of; (D) in paragraph (3), by striking "raise all" and all that follows through the semicolon and insert in lieu thereof