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PPACT: Page 1389, Patient Protection and Affordable Care Act of 2009

1389
HR 3590 EAS/PP
ditions described in paragraph (2)(A), (3),
1
(4), or (5) of subsection (c).
2
``(2) N
O LIMITATION
.--Nothing in this subsection
3
shall be construed as limiting the centers of excellence
4
referred to in this section to the designated amount,
5
or to preclude such entities from competing for grants
6
under this section.
7
``(3) M
AINTENANCE OF EFFORT
.--
8
``(A) I
N GENERAL
.--With respect to activi-
9
ties for which a grant made under this part are
10
authorized to be expended, the Secretary may not
11
make such a grant to a center of excellence for
12
any fiscal year unless the center agrees to main-
13
tain expenditures of non-Federal amounts for
14
such activities at a level that is not less than the
15
level of such expenditures maintained by the cen-
16
ter for the fiscal year preceding the fiscal year
17
for which the school receives such a grant.
18
``(B) U
SE OF FEDERAL FUNDS
.--With re-
19
spect to any Federal amounts received by a cen-
20
ter of excellence and available for carrying out
21
activities for which a grant under this part is
22
authorized to be expended, the center shall, before
23
expending the grant, expend the Federal amounts
24

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