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42 U.S.C. § 256c — Bulk purchases of vaccines for certain programs
Federal law — U.S. Code and appendices · legal_authorities
**(a) Agreements for purchases**
(1) **In general** — Not later than 180 days after October 27, 1992, the Secretary, acting through the Director of the Centers for Disease Control and Prevention and in consultation with the Administrator of the Health Resources and Services Administration, shall enter into negotiations with manufacturers of vaccines for the purpose of establishing and maintaining agreements under which entities described in paragraph (2) may purchase vaccines from the manufacturers at the prices specified in the agreements.
(2) **Relevant entities** — The entities referred to in paragraph (1) are entities that provide immunizations against vaccine-preventable diseases with assistance provided under [section 254b of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section254b&num=0&edition=prelim).
**(b) Negotiation of prices** In carrying out subsection (a), the Secretary shall, to the extent practicable, ensure that the prices provided for in agreements under such subsection are comparable to the prices provided for in agreements negotiated by the Secretary on behalf of grantees under [section 247b(j)(1) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section247b/j/1&num=0&edition=prelim).
**(c) Authority of Secretary** In carrying out subsection (a), the Secretary, in the discretion of the Secretary, may enter into the agreements described in such subsection (and may decline to enter into such agreements), may modify such agreements, may extend such agreements, and may terminate such agreements.
**(d) Rule of construction** This section may not be construed as requiring any State to reduce or terminate the supply of vaccines provided by the State to any of the entities described
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Source file: Laws/federal/codes/united-states-code/title-42/section-256c-bulk-purchases-of-vaccines-for-certain-programs--586c136dba.md
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Source location: Title 42, Chapter 6A, § 256c; chapter-6a-public-health-service.md
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**(a) Agreements for purchases**
(1) **In general** — Not later than 180 days after October 27, 1992, the Secretary, acting through the Director of the Centers for Disease Control and Prevention and in consultation with the Administrator of the Health Resources and Services Administration, shall enter into negotiations with manufacturers of vaccines for the purpose of establishing and maintaining agreements under which entities described in paragraph (2) may purchase vaccines from the manufacturers at the prices specified in the agreements.
(2) **Relevant entities** — The entities referred to in paragraph (1) are entities that provide immunizations against vaccine-preventable diseases with assistance provided under [section 254b of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section254b&num=0&edition=prelim).
**(b) Negotiation of prices** In carrying out subsection (a), the Secretary shall, to the extent practicable, ensure that the prices provided for in agreements under such subsection are comparable to the prices provided for in agreements negotiated by the Secretary on behalf of grantees under [section 247b(j)(1) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section247b/j/1&num=0&edition=prelim).
**(c) Authority of Secretary** In carrying out subsection (a), the Secretary, in the discretion of the Secretary, may enter into the agreements described in such subsection (and may decline to enter into such agreements), may modify such agreements, may extend such agreements, and may terminate such agreements.
**(d) Rule of construction** This section may not be construed as requiring any State to reduce or terminate the supply of vaccines provided by the State to any of the entities described in subsection (a)(2).
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Federal law — U.S. Code and appendices · legal_authorities
There is authorized to be appropriated a sum not to exceed $7,500,000 for the erection and equipment, for the use of the Public Health Service in carrying out the provisions of this Act, of suitable and adequate hospital buildings and facilities, including necessary living quarters for personnel, and of suitable and adequate laboratory buildings and facilities, and such buildings and facilities shall be known as the National Institute of Mental Health. The Administrator of General Services is authorized to acquire, by purchase, condemnation, donation, or otherwise, a suitable and adequate site or sites, selected on the advice of the Surgeon General of the Public Health Service, in or near the District of Columbia for such buildings and facilities, and to erect thereon, furnish, and equip such buildings and facilities. The amount authorized to be appropriated in this section shall include the cost of preparation of drawings and specifications, supervision of construction, and other administrative expenses incident to the work: Provided, That the Administrator of General Services shall prepare the plans and specifications, make all necessary contracts, and supervise construction.
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 233
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Federal law — U.S. Code and appendices · legal_authorities
**(a) “Health center” defined**
(1) **In general** — For purposes of this section, the term “health center” means an entity that serves a population that is medically underserved, or a special medically underserved population comprised of migratory and seasonal agricultural workers, the homeless, and residents of public housing, by providing, either through the staff and supporting resources of the center or through contracts or cooperative arrangements—
(A) required primary health services (as defined in subsection (b)(1)); and
(B) as may be appropriate for particular centers, additional health services (as defined in subsection (b)(2)) necessary for the adequate support of the primary health services required under subparagraph (A);
for all residents of the area served by the center (hereafter referred to in this section as the “catchment area”).
(2) **Limitation** — The requirement in paragraph (1) to provide services for all residents within a catchment area shall not apply in the case of a health center receiving a grant only under subsection (g), (h), or (i).
**(b) Definitions** For purposes of this section:
(1) **Required primary health services**
(A) *In general* — The term “required primary health services” means—
(i) basic health services which, for purposes of this section, shall consist of—
(I) health services related to family medicine, internal medicine, pediatrics, obstetrics, or gynecology that are furnished by physicians and where appropriate, physician assistants, nurse practitioners, and nurse midwives;
(II) diagnostic laboratory and radiologic services;
(III) preventive health services, including—
(aa) prenatal and perinatal services;
(bb) appropriate cancer screening;
(cc) well-chil
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 254b
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Requirements for agreement with Secretary**
(1) **In general** — The Secretary shall enter into an agreement with each manufacturer of covered outpatient drugs under which the amount required to be paid (taking into account any rebate or discount, as provided by the Secretary) to the manufacturer for covered outpatient drugs (other than drugs described in paragraph (3)) purchased by a covered entity on or after the first day of the first month that begins after November 4, 1992, does not exceed an amount equal to the average manufacturer price for the drug under title XIX of the Social Security Act [[42 U.S.C. 1396](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1396&num=0&edition=prelim) et seq.] in the preceding calendar quarter, reduced by the rebate percentage described in paragraph (2). Each such agreement shall require that the manufacturer furnish the Secretary with reports, on a quarterly basis, of the price for each covered outpatient drug subject to the agreement that, according to the manufacturer, represents the maximum price that covered entities may permissibly be required to pay for the drug (referred to in this section as the “ceiling price”), and shall require that the manufacturer offer each covered entity covered outpatient drugs for purchase at or below the applicable ceiling price if such drug is made available to any other purchaser at any price.
(2) **“Rebate percentage” defined**
(A) *In general* — For a covered outpatient drug purchased in a calendar quarter, the “rebate percentage” is the amount (expressed as a percentage) equal to—
(i) the average total rebate required under section 1927(c) of the Social Security Act [[42 U.S.C. 1396r–8(c)](https://uscode.house.gov/view.xhtml?req=granuleid:USC-preli
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 256b
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Federal law — U.S. Code and appendices · legal_authorities
Page 442
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 256c
paragraph (O) of such section 340B(a)(4), the require-
ment with respect to the disproportionate share ad-
justment percentage described in such subparagraph
(O).
‘‘(d) SELF-ATTESTATION.—
‘‘(1) IN
GENERAL.—A hospital described in sub-
section (a) that fails to meet the applicable require-
ment for the disproportionate share adjustment per-
centage described in subsection (c) shall, within 30
days of such failure, or in the case of a hospital where
such failure occurred prior to the date of enactment
of this Act but after the start of the COVID-19 public
health emergency, within 30 days of the date of en-
actment, provide to the Secretary of Health and
Human Services an attestation that contains infor-
mation on any actions taken by or other impact on
such hospital in response to or as a result of the
COVID-19 public health emergency that may have im-
pacted the ability to meet the applicable requirement
for the disproportionate share adjustment percentage
described in subsection (c).
‘‘(2) PAPERWORK REDUCTION ACT.—Chapter 35 of title
44, United States Code, shall not apply to the collec-
tion of information provided pursuant to this sub-
section.
‘‘(e) DEFINITIONS.—In this section:
‘‘(1) COVERED
ENTITY.—The term ‘covered entity’
has the meaning given such term in section 340B(a)(4)
of the Public Health Service Act (42 U.S.C. 256b(a)(4)).
‘‘(2) COVID–19 PUBLIC HEALTH EMERGENCY.—The term
‘COVID–19 public health emergency’ means the public
health emergency declared by the Secretary of
Health and Human Services under section 319 of the
Public Health Service Act (42 U.S.C. 247d) on January
31, 2020, with respect to COVID–19 (or any renewal of
such declaration).’’
PRICING OF DIAGNOSTIC TESTING
Pu
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 256c
Stored review status: historical_2024_not_currentness_verified. Same stored citation; legal effect and authority still require review.