; (B) research findings relating to rural health care; and (C) innovative approaches to the delivery of health care in rural areas; (2) coordinating the activities carried out in the State that relate to rural health care, including providing coordination for the purpose of avoiding redundancy in such activities; and (3) identifying Federal and State programs regarding rural health, and providing technical assistance to public and nonprofit private entities regarding participation in such programs. (d) Requirement regarding annual budget for office The Secretary may not make a grant under subsection (a) unless the State involved agrees that, for any fiscal year for which the State office of rural health receives such a grant, the office operated pursuant to subsection (a) of this section will be provided with an annual budget of not less than $150,000. (e) Certain uses of funds (1) Restrictions The Secretary may not make a grant under subsection (a) unless the State office of rural health involved agrees that the grant will not be expended— (A) to provide health care (including providing cash payments regarding such care); (B) to conduct activities for which Federal funds are expended— (i) within the State to provide technical and other nonfinancial assistance under section 330A(f); (ii) under a memorandum of agreement entered into with the State office of rural health under section 330A(h); or (iii) under a grant under section 338I; (C) to purchase medical equipment, to purchase ambulances, aircraft, or other vehicles, or to purchase major communications equipment; (D) to purchase or improve real property; or (E) to carry out any activity regarding a certificate of need. (2) Authorities Activities for which a State office of rural health may expend a grant under subsection (a) include— (A) paying the costs of maintaining an office of rural health for purposes of subsection (a)