The Secretary may make contributions to local authorities toward, or for, the construction of traffic controls, road improvements, or other devices adjacent to a medical facility if considered necessary for safe ingress or egress. (Added Pub. L. 96–22, title III, § 301(a) , June 13, 1979 , 93 Stat. 58 , § 5008; renumbered § 8108, Pub. L. 102–40, title IV, § 402(b)(1) , May 7, 1991 , 105 Stat. 238 ; amended Pub. L. 102–83, § 4(b)(1) , (2)(E), Aug. 6, 1991 , 105 Stat. 404 , 405.) Editorial Notes Prior Provisions Provisions similar to those comprising this section were contained in former section 5001(g) of this title prior to the general revision of this subchapter by Pub. L. 96–22 . Amendments 1991— Pub. L. 102–40 renumbered section 5008 of this title as this section. Pub. L. 102–83 substituted “Secretary” for “Administrator”. Statutory Notes and Related Subsidiaries Effective Date 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 Pub. L. 96–22 , set out as a note under section 8101 of this title .