ENHANCEMENT OF QUALITY CARE.

SEC. 704. ENHANCEMENT OF QUALITY CARE. (a) In General.—Of the amounts appropriated for each of the fiscal years 1989 through 1991 to carry out titles VII and VIII of the Public Health Service Act, the Secretary of Health and Human Services shall, for each of such fiscal years, make available $650,000 for the purpose of enhancing the ability of a qualified hospital to provide high-quality inpatient services. For purposes of this subsection, the term “qualified hospital” means a hospital that, as of the date of the enactment of this Act, is the only general short-term acute care hospital located in a rural county that is adjacent to 7 counties, of which 1 such adjacent county is a county described in paragraph (8)(B) of section 1886(d) of the Act referred to in section 371(b)(1)(C) of the Public Health Service Act and, of the remaining 6 102 STAT. 3158such adjacent counties, 5 such counties are (or are treated as) urban counties for purposes of such section 1886(d) and 1 such county is not (or is not treated as) an urban county for purposes of such section. (b) Pro Rata Determination.—In making available amounts for a fiscal year for purposes of subsection (a), the Secretary of Health and Human Services may not reduce the amounts available for each program of titles VII and VIII of the Public Health Service Act by more than an amount equal to the product of— (1) the amounts appropriated, after the date of the enactment of this Act, for carrying out the program involved for the fiscal year; and (2) a percentage equal to the quotient of— (A) $650,000; divided by (B) the amounts appropriated, after the date of the enactment of this Act, for carrying out such titles VII and VIII.