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42 U.S.C. § 300k — Establishment of program of grants to States
Federal law — U.S. Code and appendices · legal_authorities
**(a) In general** The Secretary, acting through the Director of the Centers for Disease Control and Prevention, may make grants to States on the basis of an established competitive review process for the purpose of carrying out programs—
(1) to screen women for breast and cervical cancer as a preventive health measure;
(2) to provide appropriate referrals for medical treatment of women screened pursuant to paragraph (1) and to ensure, to the extent practicable, the provision of appropriate follow-up services and support services such as case management;
(3) to develop and disseminate public information and education programs for the detection and control of breast and cervical cancer;
(4) to improve the education, training, and skills of health professionals (including allied health professionals) in the detection and control of breast and cervical cancer;
(5) to establish mechanisms through which the States can monitor the quality of screening procedures for breast and cervical cancer, including the interpretation of such procedures; and
(6) to evaluate activities conducted under paragraphs (1) through (5) through appropriate surveillance or program-monitoring activities.
**(b) Grant and contract authority of States**
(1) **In general** — A State receiving a grant under subsection (a) may, subject to paragraphs (2) and (3), expend the grant to carry out the purpose described in such subsection through grants to public and nonprofit private entities and through contracts with public and private entities.
(2) **Certain applications** — If a nonprofit private entity and a private entity that is not a nonprofit entity both submit applications to a State to receive an award of a grant or contract pursuant to paragraph (1), the State may give priority to the applic
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Stable record: federal_law:legal_authorities:record_usc_b73c2d8bde4d87c044b105ef
Source file: Laws/federal/codes/united-states-code/title-42/section-300k-establishment-of-program-of-grants-to-states--45ea38c8fa.md
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Source location: Title 42, Chapter 6A, § 300k; chapter-6a-public-health-service.md
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**(a) In general** The Secretary, acting through the Director of the Centers for Disease Control and Prevention, may make grants to States on the basis of an established competitive review process for the purpose of carrying out programs—
(1) to screen women for breast and cervical cancer as a preventive health measure;
(2) to provide appropriate referrals for medical treatment of women screened pursuant to paragraph (1) and to ensure, to the extent practicable, the provision of appropriate follow-up services and support services such as case management;
(3) to develop and disseminate public information and education programs for the detection and control of breast and cervical cancer;
(4) to improve the education, training, and skills of health professionals (including allied health professionals) in the detection and control of breast and cervical cancer;
(5) to establish mechanisms through which the States can monitor the quality of screening procedures for breast and cervical cancer, including the interpretation of such procedures; and
(6) to evaluate activities conducted under paragraphs (1) through (5) through appropriate surveillance or program-monitoring activities.
**(b) Grant and contract authority of States**
(1) **In general** — A State receiving a grant under subsection (a) may, subject to paragraphs (2) and (3), expend the grant to carry out the purpose described in such subsection through grants to public and nonprofit private entities and through contracts with public and private entities.
(2) **Certain applications** — If a nonprofit private entity and a private entity that is not a nonprofit entity both submit applications to a State to receive an award of a grant or contract pursuant to paragraph (1), the State may give priority to the application submitted by the nonprofit private entity in any case in which the State determines that the quality of such application is equivalent to the quality of the application submitted by the other private entity.
(3) **Payments for screenings** — The amount paid by a State to an entity under this subsection for a screening procedure under subsection (a)(1) may not exceed the amount that would be paid under part B of title XVIII of the Social Security Act [[42 U.S.C. 1395j](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395j&num=0&edition=prelim) et seq.] if payment were made under such part for furnishing the procedure to a woman enrolled under such part.
**(c) Special consideration for certain States** In making grants under subsection (a) to States whose initial grants under such subsection are made for fiscal year 1995 or any subsequent fiscal year, the Secretary shall give special consideration to any State whose proposal for carrying out programs under such subsection—
(1) has been approved through a process of peer review; and
(2) is made with respect to geographic areas in which there is—
(A) a substantial rate of mortality from breast or cervical cancer; or
(B) a substantial incidence of either of such cancers.
**(d) Coordinating committee regarding year 2020 health objectives** The Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall establish a committee to coordinate the activities of the agencies of the Public Health Service (and other appropriate Federal agencies) that are carried out toward achieving the objectives established by the Secretary for reductions in the rate of mortality from breast and cervical cancer in the United States by the year 2020. Such committee shall be comprised of Federal officers or employees designated by the heads of the agencies involved to serve on the committee as representatives of the agencies, and such representatives from other public or private entities as the Secretary determines to be appropriate.
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Reports to Congress and President; preparation; review by Office of Management and Budget**
(1) Not later than March 15 of each year, the Secretary shall submit to the President and Congress the following reports:
(A) A report on health care costs and financing. Such report shall include a description and analysis of the statistics collected under [section 242k(b)(1)(G) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section242k/b/1/G&num=0&edition=prelim).
(B) A report on health resources. Such report shall include a description and analysis, by geographical area, of the statistics collected under [section 242k(b)(1)(E) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section242k/b/1/E&num=0&edition=prelim).
(C) A report on the utilization of health resources. Such report shall include a description and analysis, by age, sex, income, and geographic area, of the statistics collected under [section 242k(b)(1)(F) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section242k/b/1/F&num=0&edition=prelim).
(D) A report on the health of the Nation’s people. Such report shall include a description and analysis, by age, sex, income, and geographic area, of the statistics collected under [section 242k(b)(1)(A) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section242k/b/1/A&num=0&edition=prelim).
(2) The reports required in paragraph (1) shall be prepared through the National Center for Health Statistics.
(3) The Office of Management and Budget may review any report required by paragraph (1) of this subsection before its submission to Congress, but the Office may not revise any such report or delay its submission beyond
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 242m
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Federal law — U.S. Code and appendices · legal_authorities
This chapter may be cited as the “Social Security Act”.
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1305
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Requirement of requests and certifications** Except as provided in subsections (d) and (g) and in [section 1395mm of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395mm&num=0&edition=prelim), payment for services furnished an individual may be made only to providers of services which are eligible therefor under [section 1395cc of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395cc&num=0&edition=prelim) and only if—
(1) written request, signed by such individual, except in cases in which the Secretary finds it impracticable for the individual to do so, is filed for such payment in such form, in such manner, and by such person or persons as the Secretary may by regulation prescribe, no later than the close of the period ending 1 calendar year after the date of service;
(2) a physician, or, in the case of services described in subparagraph (B), a physician, or a nurse practitioner, a clinical nurse specialist, or a physician assistant (as those terms are defined in [section 1395x(aa)(5) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395x/aa/5&num=0&edition=prelim)) who does not have a direct or indirect employment relationship with the facility but is working in collaboration with a physician,,11 So in original. or, in the case of services described in subparagraph (C), a physician, a nurse practitioner or clinical nurse specialist (as such terms are defined in [section 1395x(aa)(5) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395x/aa/5&num=0&edition=prelim)) who is working in accordance with State law, or a physician assistant (as defined in [section 1395x(aa)(5) of this title](https://usc
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1395j
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Contents** A State plan for medical assistance must—
(1) provide that it shall be in effect in all political subdivisions of the State, and, if administered by them, be mandatory upon them;
(2) provide for financial participation by the State equal to not less than 40 per centum of the non-Federal share of the expenditures under the plan with respect to which payments under [section 1396b of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1396b&num=0&edition=prelim) are authorized by this subchapter; and, effective July 1, 1969, provide for financial participation by the State equal to all of such non-Federal share or provide for distribution of funds from Federal or State sources, for carrying out the State plan, on an equalization or other basis which will assure that the lack of adequate funds from local sources will not result in lowering the amount, duration, scope, or quality of care and services available under the plan;
(3) provide for granting an opportunity for a fair hearing before the State agency to any individual whose claim for medical assistance under the plan is denied or is not acted upon with reasonable promptness;
(4) provide (A) such methods of administration (including methods relating to the establishment and maintenance of personnel standards on a merit basis, except that the Secretary shall exercise no authority with respect to the selection, tenure of office, and compensation of any individual employed in accordance with such methods, including provision for utilization of professional medical personnel in the administration and, where administered locally, supervision of administration of the plan, and, subject to [section 1396b(i) of this title](https://uscode.house.gov/view.xhtml?req=granulei
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1396a
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Federal law — U.S. Code and appendices · legal_authorities
**(a) In general** The Secretary may not make a grant under [section 300k of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section300k&num=0&edition=prelim) unless the State involved agrees, with respect to the costs to be incurred by the State in carrying out the purpose described in such section, to make available non-Federal contributions (in cash or in kind under subsection (b)) toward such costs in an amount equal to not less than $1 for each $3 of Federal funds provided in the grant. Such contributions may be made directly or through donations from public or private entities.
**(b) Determination of amount of non-Federal contribution**
(1) **In general** — Non-Federal contributions required in subsection (a) may be in cash or in kind, fairly evaluated, including equipment or services (and excluding indirect or overhead costs). Amounts provided by the Federal Government, or services assisted or subsidized to any significant extent by the Federal Government, may not be included in determining the amount of such non-Federal contributions.
(2) **Maintenance of effort** — In making a determination of the amount of non-Federal contributions for purposes of subsection (a), the Secretary may include only non-Federal contributions in excess of the average amount of non-Federal contributions made by the State involved toward the purpose described in [section 300k of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section300k&num=0&edition=prelim) for the 2-year period preceding the first fiscal year for which the State is applying to receive a grant under such section.
(3) **Inclusion of relevant non-Federal contributions for medicaid** — In making a determination of the amount of non-Federal contributio
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 300l
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Federal law — U.S. Code and appendices · legal_authorities
The Secretary may not make a grant under [section 300k of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section300k&num=0&edition=prelim) for a program in a State unless the State plan 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.] for the State includes the screening procedures specified in subparagraphs (A) and (B) of [section 300m(a)(2) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section300m/a/2&num=0&edition=prelim) as medical assistance provided under the plan.
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 300l–1
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Requirement of provision of all services by date certain** The Secretary may not make a grant under [section 300k of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section300k&num=0&edition=prelim) unless the State involved agrees—
(1) to ensure that, initially and throughout the period during which amounts are received pursuant to the grant, not less than 60 percent of the grant is expended to provide each of the services or activities described in paragraphs (1) and (2) of [section 300k(a) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section300k/a&num=0&edition=prelim), including making available screening procedures for both breast and cervical cancers;
(2) subject to subsection (b), to ensure that—
(A) in the case of breast cancer, both a physical examination of the breasts and the screening procedure known as a mammography are conducted; and
(B) in the case of cervical cancer, both a pelvic examination and the screening procedure known as a pap smear are conducted;
(3) to ensure that, by the end of any second fiscal year of payments pursuant to the grant, each of the services or activities described in [section 300k(a) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section300k/a&num=0&edition=prelim) is provided; and
(4) to ensure that not more than 40 percent of the grant is expended to provide the services or activities described in paragraphs (3) through (6) of such section.
**(b) Use of improved screening procedures** The Secretary may not make a grant under [section 300k of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section300k&num=0&edition=prelim) unless the State involved agrees that, if any scr
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 300m
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Priority for low-income women** The Secretary may not make a grant under [section 300k of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section300k&num=0&edition=prelim) unless the State involved agrees that low-income women will be given priority in the provision of services and activities pursuant to paragraphs (1) and (2) of [section 300k(a) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section300k/a&num=0&edition=prelim).
**(b) Limitation on imposition of fees for services** The Secretary may not make a grant under [section 300k of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section300k&num=0&edition=prelim) unless the State involved agrees that, if a charge is imposed for the provision of services or activities under the grant, such charge—
(1) will be made according to a schedule of charges that is made available to the public;
(2) will be adjusted to reflect the income of the woman involved; and
(3) will not be imposed on any woman with an income of less than 100 percent of the official poverty line, as established by the Director of the Office of Management and Budget and revised by the Secretary in accordance with [section 9902(2) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section9902/2&num=0&edition=prelim).
**(c) Statewide provision of services**
(1) **In general** — The Secretary may not make a grant under [section 300k of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section300k&num=0&edition=prelim) unless the State involved agrees that services and activities under the grant will be made available throughout the State, including availability to members of any I
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 300n
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Federal law — U.S. Code and appendices · legal_authorities
The Secretary may not make a grant under [section 300k of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section300k&num=0&edition=prelim) unless—
(1) the State involved submits to the Secretary a description of the purposes for which the State intends to expend the grant;
(2) the description identifies the populations, areas, and localities in the State with a need for the services or activities described in [section 300k(a) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section300k/a&num=0&edition=prelim);
(3) the description provides information relating to the services and activities to be provided, including a description of the manner in which the services and activities will be coordinated with any similar services or activities of public and private entities; and
(4) the description provides assurances that the grant funds will be used in the most cost-effective manner.
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 300n–1
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Federal law — U.S. Code and appendices · legal_authorities
The Secretary may not make a grant under [section 300k of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section300k&num=0&edition=prelim) unless an application for the grant is submitted to the Secretary, the application contains the description of intended uses required in [section 300n–1 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section300n-1&num=0&edition=prelim), and the application is in such form, is made in such manner, and contains such agreements, assurances, and information as the Secretary determines to be necessary to carry out this subchapter.
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 300n–2
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