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42 U.S.C. § 291a — Congressional declaration of purpose
Federal law — U.S. Code and appendices · legal_authorities
The purpose of this subchapter is—
**(a)** to assist the several States in the carrying out of their programs for the construction and modernization of such public or other nonprofit community hospitals and other medical facilities as may be necessary, in conjunction with existing facilities, to furnish adequate hospital, clinic, or similar services to all their people;
**(b)** to stimulate the development of new or improved types of physical facilities for medical, diagnostic, preventive, treatment, or rehabilitative services; and
**(c)** to promote research, experiments, and demonstrations relating to the effective development and utilization of hospital, clinic, or similar services, facilities, and resources, and to promote the coordination of such research, experiments, and demonstrations and the useful application of their results.
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Stable record: federal_law:legal_authorities:record_usc_23ab999c62f2dbdaa0b53ac7
Source file: Laws/federal/codes/united-states-code/title-42/section-291a-congressional-declaration-of-purpose--fd1fb82b78.md
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Source location: Title 42, Chapter 6A, § 291a; chapter-6a-public-health-service.md
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The purpose of this subchapter is—
**(a)** to assist the several States in the carrying out of their programs for the construction and modernization of such public or other nonprofit community hospitals and other medical facilities as may be necessary, in conjunction with existing facilities, to furnish adequate hospital, clinic, or similar services to all their people;
**(b)** to stimulate the development of new or improved types of physical facilities for medical, diagnostic, preventive, treatment, or rehabilitative services; and
**(c)** to promote research, experiments, and demonstrations relating to the effective development and utilization of hospital, clinic, or similar services, facilities, and resources, and to promote the coordination of such research, experiments, and demonstrations and the useful application of their results.
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Refusal to approve application; procedure; jurisdiction of court of appeals** If the Surgeon General refuses to approve any application for a project submitted under [section 291e of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section291e&num=0&edition=prelim) or [section 291j of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section291j&num=0&edition=prelim), the State agency through which such application was submitted, or if any State is dissatisfied with his action under [section 291g of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section291g&num=0&edition=prelim) such State may appeal to the United States court of appeals for the circuit in which such State is located, by filing a petition with such court within sixty days after such action. A copy of the petition shall be forthwith transmitted by the clerk of the court to the Surgeon General, or any officer designated by him for that purpose. The Surgeon General shall thereupon file in the court the record of the proceedings on which he based his action, as provided in [section 2112 of title 28](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title28-section2112&num=0&edition=prelim). Upon the filing of such petition, the court shall have jurisdiction to affirm the action of the Surgeon General or to set it aside, in whole or in part, temporarily or permanently, but until the filing of the record, the Surgeon General may modify or set aside his order.
**(b) Conclusiveness of Surgeon General’s findings; remand; new or modified findings** The findings of the Surgeon General as to the facts, if supported by substantial evidence, shall be conclusive, but the court, for good cause shown, may r
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 291i
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Federal law — U.S. Code and appendices · legal_authorities
The Surgeon General, with the approval of the Federal Hospital Council and the Secretary of Health and Human Services shall by general regulations prescribe—
**(a) Priority of projects; determination** the general manner in which the State agency shall determine the priority of projects based on the relative need of different areas lacking adequate facilities of various types for which assistance is available under this part, giving special consideration—
(1) in the case of projects for the construction of hospitals, to facilities serving areas with relatively small financial resources and, at the option of the State, rural communities;
(2) in the case of projects for the construction of rehabilitation facilities, to facilities operated in connection with a university teaching hospital which will provide an integrated program of medical, psychological, social, and vocational evaluation and services under competent supervision;
(3) in the case of projects for modernization of facilities, to facilities serving densely populated areas;
(4) in the case of projects for construction or modernization of outpatient facilities, to any outpatient facility that will be located in, and provide services for residents of, an area determined by the Secretary to be a rural or urban poverty area;
(5) to projects for facilities which, alone or in conjunction with other facilities, will provide comprehensive health care, including outpatient and preventive care as well as hospitalization;
(6) to facilities which will provide training in health or allied health professions; and
(7) to facilities which will provide to a significant extent, for the treatment of alcoholism;
**(b) Standards of construction and equipment** general standards of construction and equipment for facilities
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 291d
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Federal law — U.S. Code and appendices · legal_authorities
In the case of any facility for which a grant, loan, or loan guarantee has been made under this subchapter, the applicant for such grant, loan, or loan guarantee (or, if appropriate, such other person as the Secretary may prescribe) shall file at least annually with the State agency for the State in which the facility is located a statement which shall be in such form, and contain such information, as the Secretary may require to accurately show—
(1) the financial operations of the facility, and
(2) the costs to the facility of providing health services in the facility and the charges made by the facility for providing such services,
during the period with respect to which the statement is filed.
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 291
Stored review status: release_metadata_unconfirmed. Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
Federal law — U.S. Code and appendices · legal_authorities
In order to assist the States in carrying out the purposes of [section 291 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section291&num=0&edition=prelim), there are authorized to be appropriated—
**(a)** for the fiscal year ending June 30, 1974—
(1) $20,800,000 for grants for the construction of public or other nonprofit facilities for long-term care;
(2) $70,000,000 for grants for the construction of public or other nonprofit outpatient facilities;
(3) $15,000,000 for grants for the construction of public or other nonprofit rehabilitation facilities;
**(b)** for grants for the construction of public or other nonprofit hospitals and public health centers, $150,000,000 for the fiscal year ending June 30, 1965, $160,000,000 for the fiscal year ending June 30, 1966, $170,000,000 for the fiscal year ending June 30, 1967, $180,000,000 each for the next two fiscal years, $195,000,000 for the fiscal year ending June 30, 1970, $147,500,000 for the fiscal year ending June 30, 1971, $152,500,000 for the fiscal year ending June 30, 1972, $157,500,000 for the fiscal year ending June 30, 1973, and $41,400,000 for the fiscal year ending June 30, 1974; and
**(c)** for grants for modernization of the facilities referred to in paragraphs (a) and (b), $65,000,000 for the fiscal year ending June 30, 1971, $80,000,000 for the fiscal year ending June 30, 1972, $90,000,000 for the fiscal year ending June 30, 1973, and $50,000,000 for the fiscal year ending June 30, 1974.
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 291b
Stored review status: release_metadata_unconfirmed. Incoming connection: Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
Federal law — U.S. Code and appendices · legal_authorities
**(a) Computation for individual States; formulas for both new construction and modernization**
(1) Each State shall be entitled for each fiscal year to an allotment bearing the same ratio to the sums appropriated for such year pursuant to subparagraphs (1), (2), and (3), respectively, of [section 291a(a) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section291a/a&num=0&edition=prelim), and to an allotment bearing the same ratio to the sums appropriated for such year pursuant to [section 291a(b) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section291a/b&num=0&edition=prelim), as the product of—
(A) the population of such State, and
(B) the square of its allotment percentage,
bears to the sum of the corresponding products for all of the States.
(2) For each fiscal year, the Secretary shall, in accordance with regulations, make allotments among the States, from the sums appropriated for such year under [section 291a(c) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section291a/c&num=0&edition=prelim), on the basis of the population, the financial need, and the extent of the need for modernization of the facilities referred to in paragraphs (a) and (b) of [section 291a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section291a&num=0&edition=prelim), of the respective States.
**(b) Minimum allotments**
(1) The allotment to any State under subsection (a) for any fiscal year which is less than—
(A) $50,000 for the Virgin Islands, American Samoa, the Trust Territory of the Pacific Islands, or Guam and $100,000 for any other State, in the case of an allotment for grants for the construction of public or other nonpr
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 291c
Stored review status: release_metadata_unconfirmed. Incoming connection: Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
Federal law — U.S. Code and appendices · legal_authorities
**(a) Submission; requirements** Any State desiring to participate in this part may submit a State plan. Such plan must—
(1) designate a single State agency as the sole agency for the administration of the plan, or designate such agency as the sole agency for supervising the administration of the plan;
(2) contain satisfactory evidence that the State agency designated in accordance with paragraph (1) of this subsection will have authority to carry out such plan in conformity with this part;
(3) provide for the designation of a State advisory council which shall include (A) representatives of nongovernmental organizations or groups, and of public agencies, concerned with the operation, construction, or utilization of hospital or other facilities for diagnosis, prevention, or treatment of illness or disease, or for provision of rehabilitation services, and representatives particularly concerned with education or training of health professions personnel, and (B) an equal number of representatives of consumers familiar with the need for the services provided by such facilities, to consult with the State agency in carrying out the plan, and provide, if such council does not include any representatives of nongovernmental organizations or groups, or State agencies, concerned with rehabilitation, for consultation with organizations, groups, and State agencies so concerned;
(4) set forth, in accordance with criteria established in regulations prescribed under [section 291c of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section291c&num=0&edition=prelim) and on the basis of a statewide inventory of existing facilities, a survey of need, and (except to the extent provided by or pursuant to such regulations) community, area, or regional plans
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 291e
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Federal law — U.S. Code and appendices · legal_authorities
Whenever the Surgeon General, after reasonable notice and opportunity for hearing to the State agency designated as provided in [section 291d(a)(1) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section291d/a/1&num=0&edition=prelim), finds—
**(a)** that the State agency is not complying substantially with the provisions required by [section 291d of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section291d&num=0&edition=prelim) to be included in its State plan; or
**(b)** that any assurance required to be given in an application filed under [section 291e of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section291e&num=0&edition=prelim) is not being or cannot be carried out; or
**(c)** that there is a substantial failure to carry out plans and specifications approved by the Surgeon General under [section 291e of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section291e&num=0&edition=prelim); or
**(d)** that adequate State funds are not being provided annually for the direct administration of the State plan,
the Surgeon General may forthwith notify the State agency that—
**(e)** no further payments will be made to the State under this part, or
**(f)** no further payments will be made from the allotments of such State from appropriations under any one or more subparagraphs or paragraphs of [section 291a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section291a&num=0&edition=prelim), or for any project or projects, designated by the Surgeon General as being affected by the action or inaction referred to in paragraph (a), (b), (c), or (d) of this section,
as the Surgeon General may determine t
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 291h
Stored review status: release_metadata_unconfirmed. Incoming connection: Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
Federal law — U.S. Code and appendices · legal_authorities
For the purposes of this subchapter—
**(a)** The term “State” includes the Commonwealth of Puerto Rico, Guam, American Samoa, the Trust Territory of the Pacific Islands, the Virgin Islands, and the District of Columbia.
**(b)**
(1) The term “Federal share” with respect to any project means the proportion of the cost of such project to be paid by the Federal Government under this subchapter.
(2) With respect to any project in any State for which a grant is made from an allotment from an appropriation under [section 291a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section291a&num=0&edition=prelim), the Federal share shall be the amount determined by the State agency designated in accordance with [section 291d of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section291d&num=0&edition=prelim), but not more than 66⅔ per centum or the State’s allotment percentage, whichever is the lower, except that, if the State’s allotment percentage is lower than 50 per centum, such allotment percentage shall be deemed to be 50 per centum for purposes of this paragraph.
(3) Prior to the approval of the first project in a State during any fiscal year the State agency designated in accordance with [section 291d of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section291d&num=0&edition=prelim) shall give the Secretary written notification of the maximum Federal share established pursuant to paragraph (2) of this subsection for projects in such State to be approved by the Secretary during such fiscal year and the method for determining the actual Federal share to be paid with respect to such projects; and such maximum Federal share and such method of determination for projects in
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 291o–1
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Federal law — U.S. Code and appendices · legal_authorities
Page 966
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 291
(2) improving the quality of mental and sub-
stance use disorder prevention and treatment
services delivered to racial and ethnic minor-
ity populations; and
(3) increasing the number of culturally com-
petent mental and substance use disorders
professionals who teach, administer services,
conduct research, and provide direct mental or
substance use disorder services to racial and
ethnic minority populations.
(b) Training covered
The fellowships awarded under subsection (a)
shall be for postbaccalaureate training (includ-
ing for master’s and doctoral degrees) for men-
tal and substance use disorder treatment profes-
sionals, including in the fields of psychiatry,
nursing, social work, psychology, marriage and
family therapy, mental health counseling, and
substance use disorder and addiction counseling.
(c) Authorization of appropriations
To carry out this section, there are authorized
to be appropriated $25,000,000 for each of fiscal
years 2023 through 2027.
(July 1, 1944, ch. 373, title V, § 597, as added Pub.
L. 114–255, div. B, title IX, § 9024, Dec. 13, 2016, 130
Stat. 1253; amended Pub. L. 117–328, div. FF, title
I, § 1312, Dec. 29, 2022, 136 Stat. 5697.)
Editorial Notes
AMENDMENTS
2022—Subsec.
(c).
Pub.
L.
117–328
substituted
‘‘$25,000,000 for each of fiscal years 2023 through 2027’’
for ‘‘$12,669,000 for each of fiscal years 2018 through
2022’’.
SUBCHAPTER
IV—CONSTRUCTION
AND
MODERNIZATION
OF
HOSPITALS
AND
OTHER MEDICAL FACILITIES
§ 291. Congressional declaration of purpose
The purpose of this subchapter is—
(a) to assist the several States in the car-
rying out of their programs for the construc-
tion and modernization of such public or other
nonprofit community hospit
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 291a
Stored review status: historical_2024_not_currentness_verified. Same stored citation; legal effect and authority still require review.