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For on~ typ~ of oroject, funds would be eiven to a group con- <br />sisting 'of at least two-thirds of all local educational a~encies. <br />wirnin an SMSA which a~ree to develop a joint plan to <br /> <br />from one school [o another in the SMSA not later than <br />July !, 1983. The percent of minority group children <br />in ~ach school in the plan must equal at least half the <br />total percent of minority group children enrolled In <br />all scboo!s in the SMSA. <br /> <br />The second type of metropolitan area project related <br />to the SMSA provides for planning grants to pay for planning <br />and constructing integrated "education parks." Such <br />parks are defined as ~arks of a school or cluster of <br />schools located within an S~!SA. Since ~unds have not <br />been appropriated for Section 709 for the last five years, <br />changes in SMSA boundaries will not affect grants given <br /> <br /> Health Care Financino Administration. Under the <br />Health Care Plnanc~ng Adm~nisnratlon Medicare, <br />as well as ~!edicaid programs in many Stares, reimburses <br />hospitals for the costs of routine care on a per-diem <br />basis. Limits on the amount of reimbursement fo~ routine <br />costs are partially determined by whether a hospital <br />is located in a county within an SMSA or in a nonmetropolitan <br />area. Hospitals in SMSA's are grouped according to their <br />number of beds and the per capita income (PCI) of the <br />SMSA in which they are located, based on PCI estimates <br />of the Bureau of kconomic Analysis.' A limit on routine <br />per-diem costs is established for each income-bedsize <br /> <br />Nonmetropolitan area hospitals are grouped adcording to <br />the per capita income of the nonmetropo!itan portion <br />of the S~=~ in which they are located, as .well as their <br />number cf beds, and limits for these groups are established. <br />Limits tend to be higher for hospitals in-SMSA's, reflecting <br />the higher cost of routine care in metropolitan hospitals. <br />Furthermore, limits for hospitals in SMSA's with high <br />PCI tend to be higher than those in SMSA's with'low PCI. <br /> <br /> National Health Planning and Resources Development <br />Act or i97D (~.L. ~3-6a. 1). Section 1311 o~ this Act <br />establishes heai~h service areas to be covered by health <br />systems a~encies. The health service areas are geographic <br />regions throughout the United States which are appropriate <br /> <br /> <br />