1991—Puspan. L. 102–40 renumbered section 5006 of this title as this section.

Puspan. L. 102–83 substituted “Secretary” for “Administrator” wherever appearing.

Section effective Oct. 1, 1979, but not applicable with respect to the acquisition, construction, or alteration of any medical facilities if the acquisition, construction, or alteration (not including exchange) was approved by the President before Oct. 1, 1979, see section 302 of Puspan. L. 96–22, set out as a note under section 8101 of this title.