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42 U.S.C. § 255 — Home health services
Federal law — U.S. Code and appendices · legal_authorities
**(a) Purpose; authorization of grants and loans; considerations; conditions on loans; appropriations**
(1) For the purpose of encouraging the establishment and initial operation of home health programs to provide home health services in areas in which such services are inadequate or not readily accessible, the Secretary may, in accordance with the provisions of this section, make grants to public and nonprofit private entities and loans to proprietary entities to meet the initial costs of establishing and operating such home health programs. Such grants and loans may include funds to provide training for paraprofessionals (including homemaker home health aides) to provide home health services.
(2) In making grants and loans under this subsection, the Secretary shall—
(A) consider the relative needs of the several States for home health services;
(B) give preference to areas in which a high percentage of the population proposed to be served is composed of individuals who are elderly, medically indigent, or disabled; and
(C) give special consideration to areas with inadequate means of transportation to obtain necessary health services.
(3)
(A) No loan may be made to a proprietary entity under this section unless the application of such entity for such loan contains assurances satisfactory to the Secretary that—
(i) at the time the application is made the entity is fiscally sound;
(ii) the entity is unable to secure a loan for the project for which the application is submitted from non-Federal lenders at the rate of interest prevailing in the area in which the entity is located; and
(iii) during the period of the loan, such entity will remain fiscally sound.
(B) Loans under this section shall be made at an interest rate comparable to the r
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Source location: Title 42, Chapter 6A, § 255; chapter-6a-public-health-service.md
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**(a) Purpose; authorization of grants and loans; considerations; conditions on loans; appropriations**
(1) For the purpose of encouraging the establishment and initial operation of home health programs to provide home health services in areas in which such services are inadequate or not readily accessible, the Secretary may, in accordance with the provisions of this section, make grants to public and nonprofit private entities and loans to proprietary entities to meet the initial costs of establishing and operating such home health programs. Such grants and loans may include funds to provide training for paraprofessionals (including homemaker home health aides) to provide home health services.
(2) In making grants and loans under this subsection, the Secretary shall—
(A) consider the relative needs of the several States for home health services;
(B) give preference to areas in which a high percentage of the population proposed to be served is composed of individuals who are elderly, medically indigent, or disabled; and
(C) give special consideration to areas with inadequate means of transportation to obtain necessary health services.
(3)
(A) No loan may be made to a proprietary entity under this section unless the application of such entity for such loan contains assurances satisfactory to the Secretary that—
(i) at the time the application is made the entity is fiscally sound;
(ii) the entity is unable to secure a loan for the project for which the application is submitted from non-Federal lenders at the rate of interest prevailing in the area in which the entity is located; and
(iii) during the period of the loan, such entity will remain fiscally sound.
(B) Loans under this section shall be made at an interest rate comparable to the rate of interest prevailing on the date the loan is made with respect to the marketable obligations of the United States of comparable maturities, adjusted to provide for administrative costs.
(4) Applications for grants and loans under this subsection shall be in such form and contain such information as the Secretary shall prescribe.
(5) There are authorized to be appropriated for grants and loans under this subsection $5,000,000 for each of the fiscal years ending on September 30, 1983, September 30, 1984, September 30, 1985, September 30, 1986, and September 30, 1987.
**(b) Grants and contracts for training programs for paraprofessionals; considerations; applications; appropriations**
(1) The Secretary may make grants to and enter into contracts with public and private entities to assist them in developing appropriate training programs for paraprofessionals (including homemaker home health aides) to provide home health services.
(2) Any program established with a grant or contract under this subsection to train homemaker home health aides shall—
(A) extend for at least forty hours, and consist of classroom instruction and at least twenty hours (in the aggregate) of supervised clinical instruction directed toward preparing students to deliver home health services;
(B) be carried out under appropriate professional supervision and be designed to train students to maintain or enhance the personal care of an individual in his home in a manner which promotes the functional independence of the individual; and
(C) include training in—
(i) personal care services designed to assist an individual in the activities of daily living such as bathing, exercising, personal grooming, and getting in and out of bed; and
(ii) household care services such as maintaining a safe living environment, light housekeeping, and assisting in providing good nutrition (by the purchasing and preparation of food).
(3) In making grants and entering into contracts under this subsection, special consideration shall be given to entities which establish or will establish programs to provide training for persons fifty years of age and older who wish to become paraprofessionals (including homemaker home health aides) to provide home health services.
(4) Applications for grants and contracts under this subsection shall be in such form and contain such information as the Secretary shall prescribe.
(5) There are authorized to be appropriated for grants and contracts under this subsection $2,000,000 for each of the fiscal years ending September 30, 1983, September 30, 1984, September 30, 1985, September 30, 1986, and September 30, 1987.
**(c) Report to Congress with respect to grants and loans and training of personnel** The Secretary shall report to the Committee on Labor and Human Resources of the Senate and the Committee on Energy and Commerce of the House of Representatives on or before January 1, 1984, with respect to—
(1) the impact of grants made and contracts entered into under subsections (a) and (b) (as such subsections were in effect prior to October 1, 1981);
(2) the need to continue grants and loans under subsections (a) and (b) (as such subsections are in effect on the day after January 4, 1983); and
(3) the extent to which standards have been applied to the training of personnel who provide home health services.
**(d) “Home health services” defined** For purposes of this section, the term “home health services” has the meaning prescribed for the term by [section 1395x(m) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395x/m&num=0&edition=prelim).
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Care and treatment**
(1) At or through the National Hansen’s Disease Programs Center (located in the State of Louisiana), the Secretary shall without charge provide short-term care and treatment, including outpatient care, for Hansen’s disease and related complications to any person determined by the Secretary to be in need of such care and treatment. The Secretary may not at or through such Center provide long-term care for any such disease or complication.
(2) The Center referred to in paragraph (1) shall conduct training in the diagnosis and management of Hansen’s disease and related complications, and shall conduct and promote the coordination of research (including clinical research), investigations, demonstrations, and studies relating to the causes, diagnosis, treatment, control, and prevention of Hansen’s disease and other mycobacterial diseases and complications related to such diseases.
(3) Paragraph (1) is subject to section 211 of the Department of Health and Human Services Appropriations Act, 1998.
**(b) Additional sites authorized** In addition to the Center referred to in subsection (a), the Secretary may establish sites regarding persons with Hansen’s disease. Each such site shall provide for the outpatient care and treatment for Hansen’s disease and related complications to any person determined by the Secretary to be in need of such care and treatment.
**(c) Agency designated by Secretary** The Secretary shall carry out subsections (a) and (b) acting through an agency of the Service. For purposes of the preceding sentence, the agency designated by the Secretary shall carry out both activities relating to the provision of health services and activities relating to the conduct of research.
**(d) Payments to Board of Health of Hawaii** The Sec
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Federal law — U.S. Code and appendices · legal_authorities
The oath of office shall be administered by the President of the Senate to each Senator who shall be elected, previous to his taking his seat.
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Federal law — U.S. Code and appendices · legal_authorities
### Statutory Notes
Section 121, acts Mar. 3, 1905, ch. 1443, § 1, 33 Stat. 1009; Aug. 14, 1912, ch. 288, § 1, 37 Stat. 309, provided for establishment in perpetuity of a hospital station and laboratory at Molokai, Hawaii.
Section 122, act Mar. 3, 1905, ch. 1443, § 3, 33 Stat. 1009, provided for admission and treatment of leper patients. See [section 255 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section255&num=0&edition=prelim).
Section 123, acts Mar. 3, 1905, ch. 1443, § 4, 33 Stat. 1009; Aug. 14, 1912, ch. 288, § 1, 37 Stat. 309, provided for detail of officers and employees for leprosy work. See [section 215 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section215&num=0&edition=prelim).
Section 124, acts Mar. 3, 1905, ch. 1443, § 6, 33 Stat. 1010; Aug. 14, 1912, ch. 288, § 1, 37 Stat. 309, provided regulations for administration of hospital station and laboratory.
Section 125, acts Mar. 3, 1905, ch. 1443, § 7, 33 Stat. 1010; Mar. 4, 1911, ch. 285, § 1, 36 Stat. 1394; Aug. 14, 1912, ch. 288, § 1, 37 Stat. 309, provided for additional pay and allowances to officers detailed on leprosy duty. See [section 210 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section210&num=0&edition=prelim).
#### Renumbering and Repeal of Repealing Act
Title XIII, § 1313, formerly title VI, § 611, of act July 1, 1944, which repealed these sections, was renumbered title VII, § 711, by act Aug. 13, 1946, ch. 958, § 5, 60 Stat. 1049; § 713, by act Feb. 28, 1948, ch. 83, § 9(b), 62 Stat. 47; title VIII, § 813, by act July 30, 1956, ch. 779, § 3(b), 70 Stat. 721; title IX, § 913, by Pub. L. 88–581, § 4(b), Sept. 4, 1964, 78 Stat. 919; title X, § 1013, by Pub. L. 89–239, § 3(
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 121 to 125
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Federal law — U.S. Code and appendices · legal_authorities
### Statutory Notes
Section 131, act Feb. 3, 1917, ch. 26, § 1, 39 Stat. 872, provided for establishment of a leprosy home in the United States.
Section 132, act Feb. 3, 1917, ch. 26, § 4, 39 Stat. 873, provided for erection of buildings for the home.
Section 133, act Feb. 3, 1917, ch. 26, § 2, 39 Stat. 873, provided for receipt of lepers into the home. See [section 255 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section255&num=0&edition=prelim).
Section 134, act Feb. 3, 1917, ch. 26, § 3, 39 Stat. 873, provided for regulations governing the home. See [section 255 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section255&num=0&edition=prelim).
Section 135, act Feb. 3, 1917, ch. 26, § 5, 39 Stat. 873, provided for additional pay of officers detailed to duty at said home. See [section 210 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section210&num=0&edition=prelim).
#### Renumbering and Repeal of Repealing Act
Title XIII, § 1313, formerly title VI, § 611, of act July 1, 1944, which repealed these sections, was renumbered title VII, § 711, by act Aug. 13, 1946, ch. 958, § 5, 60 Stat. 1049; § 713, by act Feb. 28, 1948, ch. 83, § 9(b), 62 Stat. 47; title VIII, § 813, by act July 30, 1956, ch. 779, § 3(b), 70 Stat. 721; title IX, § 913, by Pub. L. 88–581, § 4(b), Sept. 4, 1964, 78 Stat. 919; title X, § 1013, by Pub. L. 89–239, § 3(b), Oct. 6, 1965, 79 Stat. 931; title XI, § 1113, by Pub. L. 91–572, § 6(b), Dec. 24, 1970, 84 Stat. 1506; title XII, § 1213, by Pub. L. 92–294, § 3(b), May 16, 1972, 86 Stat. 137; title XIII, § 1313, by Pub. L. 93–154, § 2(b)(2), Nov. 16, 1973, 87 Stat. 604, and was repealed by Pub. L. 93–222, § 7(b), Dec. 29, 1973, 87 Stat. 936
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 131 to 135
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Availability based upon prior year distributions**
(1) From the amounts appropriated under [section 300w of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section300w&num=0&edition=prelim) for any fiscal year and available for allotment under this subsection, the Secretary shall allot to each State an amount which bears the same ratio to the available amounts for that fiscal year as the amounts provided by the Secretary under the provisions of law listed in paragraph (2) to the State and entities in the State for fiscal year 1981 bore to the total amount appropriated for such provisions of law for fiscal year 1981.
(2) The provisions of law referred to in paragraph (1) are the following provisions of law as in effect on September 30, 1981:
(A) The authority for grants under [section 247b of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section247b&num=0&edition=prelim) for preventive health service programs for the control of rodents.
(B) The authority for grants under [section 247b of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section247b&num=0&edition=prelim) for establishing and maintaining community and school-based fluoridation programs.
(C) The authority for grants under [section 247b of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section247b&num=0&edition=prelim) for preventive health service programs for hypertension.
(D) Sections 247b–1 11 See References in Text note below. and 247b–2 of this title.
(E) Section 246(d) 1 of this title.
(F) Section 255(a) 1 of this title.
(G) Sections 300d–1,1 300d–2,1 and 300d–3 1 of this title.
**(b) Population** From the amount required to be made availabl
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 300w–1
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Federal law — U.S. Code and appendices · legal_authorities
Page 427
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 255
(b) Obligated service
(1) In general
Any service described in subsection (a) that
a participant provides may count towards such
participant’s completion of any obligated serv-
ice requirements under the Scholarship Pro-
gram or the Loan Repayment Program, sub-
ject to any limitation imposed under para-
graph (2).
(2) Limitation
The Secretary may impose a limitation on
the number of hours of service described in
subsection (a) that a participant may credit
towards completing obligated service require-
ments, provided that the limitation allows a
member to credit service described in sub-
section (a) for not less than 50 percent of the
total hours required to complete such obli-
gated service requirements.
(c) Rule of construction
The authorization under subsection (a) shall
be notwithstanding any other provision of this
subpart or subpart II.
(July 1, 1944, ch. 373, title III, § 338N, as added
Pub. L. 115–271, title VII, § 7072, Oct. 24, 2018, 132
Stat. 4030.)
SUBPART IV—HOME HEALTH SERVICES
Editorial Notes
CODIFICATION
Pub. L. 100–177, title II, § 202(f)(1), Dec. 1, 1987, 101
Stat. 999, substituted ‘‘IV’’ for ‘‘III’’ as subpart designa-
tion.
Pub. L. 97–414, § 6(a), Jan. 4, 1983, 96 Stat. 2057, added
heading ‘‘Subpart III—Home Health Services’’.
Pub. L. 95–626, title I, § 105(b), title II, § 207(a), Nov. 10,
1978, 92 Stat. 3560, 3585, struck out heading ‘‘Part D—
Lepers’’ and added heading ‘‘Subpart III—Home Health
Services’’.
§ 255. Home health services
(a) Purpose; authorization of grants and loans;
considerations; conditions on loans; appro-
priations
(1) For the purpose of encouraging the estab-
lishment and initial operation of home health
programs to provide home health services i
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 255
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