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fo-~ t.~,e p3~annlng of health aery!cea. These regions include <br /> e~tire States, in some instances~ but generally encompass <br /> areas within a.State. Populations of these areas usually <br /> range from 500,000 to 3,000,000. Waivers may be granted <br /> for areas with less than 500,000 in "usual circumstances;" <br /> however, the population of a health service area can <br /> only exceed 3,000,000 if the area includes an SI4SA with <br /> a population greater .than three million. <br /> <br />-. The Act stipulates that an SMSA must be entirely within <br /> the boundaries of one health service aree unless the <br /> Governor, with the approval of the Secretary of <br /> determines that only part of an SI.~SA should be included <br /> in a oarticu!ar health service area In fact, many health <br /> service areas oo not coincide with S~SA boundaries. <br /> Large S~SA's and SMSA's that straddle State lines tend <br /> to be split. <br /> <br /> Funding o~ a health service agency is based on the size <br /> of the healt~ service area's population, regardless of <br /> whether or.not the area includes an S~4SA. The Act authorizes <br /> planning grants for the amount of the lower of two figures: <br /> $.50 multiplied by the total population of the area, <br /> or $3,750,000. Nonmet£opolitan areas tend to receive <br /> smaller grants than SMSA's because their population is <br /> lower; however, a very large nonmetropolitan health service <br /> area could receive a larger grant than a small SMSA ~f <br /> the boundaries drawn up by. the Governor include a greater <br /> population in the nonmetropolitan area. <br /> <br /> Deoartment of Housinq and Urban Development <br /> <br /> Community Development Block Grant Program. Derived <br /> from the legal authority of the Housing and Community <br /> Development Act of 1974 (P.L. 93-383), as amended by <br /> the .qousing and Community Development Act of 1977 <br /> (P.L. 95-128), this program awards grants to local governments <br /> to fund a wide range of conlmunity development activities <br /> which had been previously f-~nanced under separate grant <br /> programs. The purpose of these block grants is to help <br /> provide "decent housing and a suitable living environment <br /> and expanding economic opportunities principally for <br /> persons of low and moderate income." Elimination of <br /> slums and conditions detrimental to health, safety, or <br /> welfare, as well as improvement of community services, <br /> are some of the activities covered by this program. <br /> in addition, Urban Development Action Grants to assist <br /> severely distressed cities and urban counties in revitalizing <br /> local economies are authorized in Section 119 of the <br /> 1974 Act, as amended by the 1977 Act. <br /> <br /> <br />