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42 U.S.C. § 254r — Grants to State Offices of Rural Health
Federal law — U.S. Code and appendices · legal_authorities
**(a) In general** The Secretary, acting through the Director of the Federal Office of Rural Health Policy (established under [section 912 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section912&num=0&edition=prelim)), shall make grants to each State Office of Rural Health for the purpose of improving health care in rural areas.
**(b) Requirement of matching funds**
(1) **In general** — Subject to paragraph (2), the Secretary may not make a grant under subsection (a) unless the State office of rural health involved agrees, with respect to the costs to be incurred in carrying out the purpose described in such subsection, to provide non-Federal contributions toward such costs in an amount equal to $3 for each $1 of Federal funds provided in the grant.
(2) **Waiver or reduction** — The Secretary may waive or reduce the non-Federal contribution if the Secretary determines that requiring matching funds would limit the State office of rural health’s ability to carry out the purpose described in subsection (a).
(3) **Determination of amount of non-Federal contribution** — Non-Federal contributions required in paragraph (1) may be in cash or in kind, fairly evaluated, including plant, equipment, or services. 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.
**(c) Certain required activities** Recipients of a grant under subsection (a) shall use the grant funds for purposes of—
(1) maintaining within the State office of rural health a clearinghouse for collecting and disseminating information on—
(A) rural health care issues;
(B) research findings relating to rural hea
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 254r
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Stable record: federal_law:legal_authorities:record_usc_dc466447bb08a37967c62fbc
Source file: Laws/federal/codes/united-states-code/title-42/section-254r-grants-to-state-offices-of-rural-health--39459210b9.md
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Passage SHA-256: 13fb8eb35b202316bc5a0735286948bce7d4ca07244b28a644a8eb1615ea228e
Source location: Title 42, Chapter 6A, § 254r; chapter-6a-public-health-service.md
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**(a) In general** The Secretary, acting through the Director of the Federal Office of Rural Health Policy (established under [section 912 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section912&num=0&edition=prelim)), shall make grants to each State Office of Rural Health for the purpose of improving health care in rural areas.
**(b) Requirement of matching funds**
(1) **In general** — Subject to paragraph (2), the Secretary may not make a grant under subsection (a) unless the State office of rural health involved agrees, with respect to the costs to be incurred in carrying out the purpose described in such subsection, to provide non-Federal contributions toward such costs in an amount equal to $3 for each $1 of Federal funds provided in the grant.
(2) **Waiver or reduction** — The Secretary may waive or reduce the non-Federal contribution if the Secretary determines that requiring matching funds would limit the State office of rural health’s ability to carry out the purpose described in subsection (a).
(3) **Determination of amount of non-Federal contribution** — Non-Federal contributions required in paragraph (1) may be in cash or in kind, fairly evaluated, including plant, equipment, or services. 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.
**(c) Certain required activities** Recipients of a grant under subsection (a) shall use the grant funds for purposes of—
(1) maintaining within the State office of rural health a clearinghouse for collecting and disseminating information on—
(A) rural health care issues;
(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 254c(f) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section254c/f&num=0&edition=prelim);
(ii) under a memorandum of agreement entered into with the State office of rural health under [section 254c(h) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section254c/h&num=0&edition=prelim); or
(iii) under a grant under [section 254q–1 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section254q-1&num=0&edition=prelim);
(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);
(B) subject to paragraph (1)(B)(iii), paying the costs of any activity carried out with respect to recruiting and retaining health professionals to serve in rural areas of the State; and
(C) providing grants and contracts to public and nonprofit private entities to carry out activities authorized in this section.
(3) **Limit on indirect costs** — The Secretary may impose a limit of no more than 15 percent on indirect costs claimed by the recipient of the grant.
**(f) Reports** The Secretary may not make a grant under subsection (a) unless the State office of rural health involved agrees—
(1) to submit to the Secretary reports or performance data containing such information as the Secretary may require regarding activities carried out under this section; and
(2) to submit such a report or performance data not later than September 30 of each fiscal year immediately following any fiscal year for which the State office of rural health has received such a grant.
**(g) Requirement of application** The Secretary may not make a grant under subsection (a) unless an application for the grant is submitted to the Secretary 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 such subsection.
**(h) Noncompliance** The Secretary may not make payments under subsection (a) to a State office of rural health for any fiscal year subsequent to the first fiscal year of such payments unless the Secretary determines that, for the immediately preceding fiscal year, the State office of rural health has complied with each of the agreements made by the State office of rural health under this section.
**(i) Authorization of appropriations**
(1) **In general** — For the purpose of making grants under subsection (a), there are authorized to be appropriated $12,500,000 for each of fiscal years 2023 through 2027.
(2) **Availability** — Amounts appropriated under paragraph (1) shall remain available until expended.
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Eligibility** Subject to the availability of funds appropriated under the authority of subsection (d), the Secretary shall provide funds to Papa Ola Lokahi for the purpose of providing scholarship assistance to students who—
(1) meet the requirements of section 254l(b) of this title, and
(2) are Native Hawaiians.
**(b) Terms and conditions**
(1) The scholarship assistance provided under subsection (a) shall be provided under the same terms and subject to the same conditions, regulations, and rules that apply to scholarship assistance provided under section 254l of this title.
(2) The Native Hawaiian Health Scholarship program shall not be administered by or through the Indian Health Service.
**(c) “Native Hawaiian” defined** For purposes of this section, the term “Native Hawaiian” means any individual who is—
(1) a citizen of the United States,
(2) a resident of the State of Hawaii, and
(3) a descendant of the aboriginal people, who prior to 1778, occupied and exercised sovereignty in the area that now constitutes the State of Hawaii, as evidenced by—
(A) genealogical records,
(B) Kupuna (elders) or Kama’aina (long-term community residents) verification, or
(C) birth records of the State of Hawaii.
**(d) Authorization of appropriations** There are authorized to be appropriated $1,800,000 for each of the fiscal years 1990, 1991, and 1992 for the purpose of funding the scholarship assistance provided under subsection (a).
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 254s
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Federal law — U.S. Code and appendices · legal_authorities
**(a)** There shall be established in the Department of Health and Human Services (in this section referred to as the “Department”) an Office of Rural Health Policy (in this section referred to as the “Office”). The Office shall be headed by a Director, who shall advise the Secretary on the effects of current policies and proposed statutory, regulatory, administrative, and budgetary changes in the programs established under subchapters XVIII and XIX on the financial viability of small rural hospitals, the ability of rural areas (and rural hospitals in particular) to attract and retain physicians and other health professionals, and access to (and the quality of) health care in rural areas.
**(b)** In addition to advising the Secretary with respect to the matters specified in subsection (a), the Director, through the Office, shall—
(1) oversee compliance with the requirements of [section 1302(b) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1302/b&num=0&edition=prelim) and section 4403 of the Omnibus Budget Reconciliation Act of 1987 (as such section pertains to rural health issues),
(2) establish and maintain a clearinghouse for collecting and disseminating information on—
(A) rural health care issues, including rural mental health, rural infant mortality prevention, and rural occupational safety and preventive health promotion,
(B) research findings relating to rural health care, and
(C) innovative approaches to the delivery of health care in rural areas, including programs providing community-based mental health services, pre-natal and infant care services, and rural occupational safety and preventive health education and promotion,
(3) coordinate the activities within the Department that relate to rural health
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 912
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Federal law — U.S. Code and appendices · legal_authorities
The Congress finds the following:
(1) Federal health services to maintain and improve the health of the Indians are consonant with and required by the Federal Government’s historical and unique legal relationship with, and resulting responsibility to, the American Indian people.
(2) A major national goal of the United States is to provide the resources, processes, and structure that will enable Indian tribes and tribal members to obtain the quantity and quality of health care services and opportunities that will eradicate the health disparities between Indians and the general population of the United States.
(3) A major national goal of the United States is to provide the quantity and quality of health services which will permit the health status of Indians to be raised to the highest possible level and to encourage the maximum participation of Indians in the planning and management of those services.
(4) Federal health services to Indians have resulted in a reduction in the prevalence and incidence of preventable illnesses among, and unnecessary and premature deaths of, Indians.
(5) Despite such services, the unmet health needs of the American Indian people are severe and the health status of the Indians is far below that of the general population of the United States.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1611
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Employment of scholarship grantees during nonacademic periods** Any individual who receives a scholarship grant pursuant to [section 1613a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1613a&num=0&edition=prelim) shall be entitled to employment in the Service during any nonacademic period of the year. Periods of employment pursuant to this subsection shall not be counted in determining the fulfillment of the service obligation incurred as a condition of the scholarship grant.
**(b) Employment of medical and other students during nonacademic periods** Any individual enrolled in a course of study in the health professions may be employed by the Service during any nonacademic period of the year. Any such employment shall not exceed one hundred and twenty days during any calendar year.
**(c) Employment without regard to competitive personnel system or agency personnel limitation; compensation** Any employment pursuant to this section shall be made without regard to any competitive personnel system or agency personnel limitation and to a position which will enable the individual so employed to receive practical experience in the health profession in which he or she is engaged in study. Any individual so employed shall receive payment for his or her services comparable to the salary he or she would receive if he or she were employed in the competitive system. Any individual so employed shall not be counted against any employment ceiling affecting the Service or the Department of Health and Human Services.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1616a
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Federal law — U.S. Code and appendices · legal_authorities
When used in this chapter—
**(a)** The term “Service” means the Public Health Service;
**(b)** The term “Surgeon General” means the Surgeon General of the Public Health Service;
**(c)** Unless the context otherwise requires, the term “Secretary” means the Secretary of Health and Human Services.
**(d)** The term “regulations”, except when otherwise specified, means rules and regulations made by the Surgeon General with the approval of the Secretary;
**(e)** The term “executive department” means any executive department, agency, or independent establishment of the United States or any corporation wholly owned by the United States;
**(f)** Except as provided in sections 246(g)(4)(B),11 See References in Text note below. 247c(c)(1),1 254d(h)(3),1 263c(5),1 264(d), 292a(9),1 300a(c), 300f(13), and 300n(1) 1 of this title, the term “State” includes, in addition to the several States, only the District of Columbia, Guam, the Commonwealth of Puerto Rico, the Northern Mariana Islands, the Virgin Islands, American Samoa, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.
**(g)** The term “possession” includes, among other possessions, Puerto Rico and the Virgin Islands;
**(h)** Repealed. Pub. L. 97–35, title IX, § 986(a), Aug. 13, 1981, 95 Stat. 603.
**(i)** The term “vessel” includes every description of watercraft or other artificial contrivance used, or capable of being used, as a means of transportation on water, exclusive of aircraft and amphibious contrivances;
**(j)** The term “habit-forming narcotic drug” or “narcotic” means opium and coca leaves and the several alkaloids derived therefrom, the best known of these alkaloids being morphia, heroin, and codeine, obtained from opium, and cocaine derived from the coca
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 202
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Establishment; appointment of members** There is established a council to be known as the National Advisory Council on the National Health Service Corps (hereinafter in this section referred to as the “Council”). The Council shall be composed of not more than 15 members appointed by the Secretary. The Council shall consult with, advise, and make recommendations to, the Secretary with respect to his responsibilities in carrying out this subpart (other than section 254r 11 See References in Text note below. of this title), and shall review and comment upon regulations promulgated by the Secretary under this subpart.
**(b) Term of members; compensation; expenses**
(1) Members of the Council shall be appointed for a term of three years, except that any member appointed to fill a vacancy occurring prior to the expiration of the term for which the member’s predecessor was appointed shall be appointed for the remainder of such term. No member shall be removed, except for cause.
(2) Members of the Council (other than members who are officers or employees of the United States), while attending meetings or conferences thereof or otherwise serving on the business of the Council, shall be entitled to receive for each day (including traveltime) in which they are so serving compensation at a rate fixed by the Secretary (but not to exceed the daily equivalent of the annual rate of basic pay in effect for grade GS–18 of the General Schedule); and while so serving away from their homes or regular places of business all members may be allowed travel expenses, including per diem in lieu of subsistence, as authorized by [section 5703 of title 5](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title5-section5703&num=0&edition=prelim) for persons in the Government Servi
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 254j
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Persons entitled; conditions** The Secretary may, out of appropriations authorized under [section 254k of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section254k&num=0&edition=prelim), make one loan to a Corps member who has agreed in writing—
(1) to engage in the private full-time clinical practice of the profession of the member in a health professional shortage area (designated under [section 254e of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section254e&num=0&edition=prelim)) for a period of not less than 2 years which—
(A) in the case of a Corps member who is required to complete a period of obligated service under this subpart, begins not later than 1 year after the date on which such individual completes such period of obligated service; and
(B) in the case of an individual who is not required to complete a period of obligated service under this subpart, begins at such time as the Secretary considers appropriate;
(2) to conduct such practice in accordance with [section 254n(b)(1) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section254n/b/1&num=0&edition=prelim); and
(3) to such additional conditions as the Secretary may require to carry out this section.
Such a loan shall be used to assist such individual in meeting the costs of beginning the practice of such individual’s profession in accordance with such agreement, including the costs of acquiring equipment and renovating facilities for use in providing health services, and of hiring nurses and other personnel to assist in providing health services. Such loan may not be used for the purchase or construction of any building.
**(b) Amount of loan; maximum interest rate**
(1) The amoun
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 254p
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Federal law — U.S. Code and appendices · legal_authorities
**(a) In general**
(1) **Authority for grants** — The Secretary, acting through the Administrator of the Health Resources and Services Administration, may make grants to States for the purpose of assisting the States in operating programs described in paragraph (2) in order to provide for the increased availability of primary health care services in health professional shortage areas. The National Advisory Council established under [section 254j of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section254j&num=0&edition=prelim) shall advise the Administrator regarding the program under this section.
(2) **Loan repayment programs** — The programs referred to in paragraph (1) are, subject to subsection (c), programs of entering into contracts under which the State involved agrees to pay all or part of the principal, interest, and related expenses of the educational loans of health professionals in consideration of the professionals agreeing to provide primary health services in health professional shortage areas.
(3) **Direct administration by State agency** — The Secretary may not make a grant under paragraph (1) unless the State involved agrees that the program operated with the grant will be administered directly by a State agency.
**(b) Requirement of matching funds**
(1) **In general** — The Secretary may not make a grant under subsection (a) unless the State agrees that, with respect to the costs of making payments on behalf of individuals under contracts made pursuant to paragraph (2) of such subsection, the State will make available (directly or through donations from public or private entities) non-Federal contributions in cash toward such costs in an amount equal to not less than $1 for each $1 of Federal funds provided in
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 254q–1
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Programs to promote mental health among health care professionals**
(1) **In general** — The Secretary shall award grants or contracts to health care entities, including entities that provide health care services, such as hospitals, community health centers, and rural health clinics, or to medical professional associations, to establish or enhance evidence-based or evidence-informed programs dedicated to improving mental health and resiliency for health care professionals.
(2) **Use of funds** — An eligible entity receiving a grant or contract under this subsection shall use funds received through the grant or contract to implement a new program or enhance an existing program to promote mental health among health care professionals, which may include—
(A) improving awareness among health care professionals about risk factors for, and signs of, suicide and mental health or substance use disorders, in accordance with evidence-based or evidence-informed practices;
(B) establishing new, or enhancing existing, evidence-based or evidence-informed programs for preventing suicide and improving mental health and resiliency among health care professionals;
(C) establishing new, or enhancing existing, peer-support programs among health care professionals; or
(D) providing mental health care, follow-up services and care, or referral for such services and care, as appropriate.
(3) **Priority** — In awarding grants and contracts under this subsection, the Secretary shall give priority to eligible entities in health professional shortage areas or rural areas.
**(b) Training grants** The Secretary may establish a program to award grants to health professions schools, academic health centers, State or local governments, Indian Tribes or Tribal organizations, or oth
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 294t
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Definitions** In this chapter, the following definitions apply:
(1) The term “NTIA” means the National Telecommunications and Information Administration.
(2) The term “Assistant Secretary” means the Assistant Secretary for Communications and Information.
(3) The term “Secretary” means the Secretary of Commerce.
(4) The term “Commission” means the Federal Communications Commission.
(5) The term “Corporation” means the Communications Satellite Corporation authorized in title III of the Communications Satellite Act of 1962 ([47 U.S.C. 731](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title47-section731&num=0&edition=prelim) et seq.).
**(b) Findings** The Congress finds the following:
(1) Telecommunications and information are vital to the public welfare, national security, and competitiveness of the United States.
(2) Rapid technological advances being made in the telecommunications and information fields make it imperative that the United States maintain effective national and international policies and programs capable of taking advantage of continued advancements.
(3) Telecommunications and information policies and recommendations advancing the strategic interests and the international competitiveness of the United States are essential aspects of the Nation’s involvement in international commerce.
(4) There is a critical need for competent and effective telecommunications and information research and analysis and national and international policy development, advice, and advocacy by the executive branch of the Federal Government.
(5) As one of the largest users of the Nation’s telecommunications facilities and resources, the Federal Government must manage its radio spectrum use and other internal communications operations in the most eff
Source: Supplied U.S. Code snapshot — release unconfirmed · 47 U.S.C. § 901
Stored review status: release_metadata_unconfirmed. Incoming connection: Explicit cross-reference supplied in source Markdown; currentness and applicability require review.