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42 U.S.C. § 256i — Community-based collaborative care net-

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42 U.S.C. § 256i — Community-based collaborative care net-

Page 454 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 256i and ending on November 17, 2023, and $21,834,247 for the period beginning on November 18, 2023, and ending on January 19, 2024’’ for ‘‘and $16,635,616 for the period be- ginning on October 1, 2023, and ending on November 17, 2023’’. Pub. L. 118–15 struck out ‘‘and’’ before ‘‘$126,500,000’’ and inserted ‘‘and $16,635,616 for the period beginning on October 1, 2023, and ending on November 17, 2023,’’ be- fore ‘‘to remain available’’. 2020—Subsec. (g)(1). Pub. L. 116–260 inserted ‘‘and’’ after ‘‘2017,’’ and substituted ‘‘2023’’ for ‘‘fiscal year 2020, and $27,379,452 for the period beginning on October 1, 2020, and ending on December 18, 2020’’. Pub. L. 116–215 substituted ‘‘$27,379,452’’ for ‘‘$24,953,425’’ and ‘‘December 18, 2020’’ for ‘‘December 11, 2020’’. Pub. L. 116–159 substituted ‘‘$24,953,425’’ for ‘‘$21,141,096’’ and ‘‘December 11, 2020’’ for ‘‘November 30, 2020’’. Pub. L. 116–136 substituted ‘‘through fiscal year 2020, and $21,141,096 for the period beginning on October 1, 2020, and ending on November 30, 2020’’ for ‘‘and 2019, and $81,445,205 for the period beginning on October 1, 2019, and ending on May 22, 2020’’. 2019—Subsec. (g)(1). Pub. L. 116–94 substituted ‘‘$81,445,205’’ for ‘‘$28,072,603’’ and ‘‘May 22, 2020’’ for ‘‘December 20, 2019’’. Pub. L. 116–69 substituted ‘‘$28,072,603’’ for ‘‘$18,021,918’’ and ‘‘December 20, 2019’’ for ‘‘November 21, 2019’’. Pub. L. 116–59 struck out ‘‘and’’ before ‘‘$126,500,000’’ and inserted ‘‘and $18,021,918 for the period beginning on October 1, 2019, and ending on November 21, 2019,’’ before ‘‘to remain available’’. 2018—Subsec. (a). Pub. L. 115–123, § 50901(d)(1), amend- ed subsec. (a) generally. Prior to amendmen

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Page 454 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 256i and ending on November 17, 2023, and $21,834,247 for the period beginning on November 18, 2023, and ending on January 19, 2024’’ for ‘‘and $16,635,616 for the period be- ginning on October 1, 2023, and ending on November 17, 2023’’. Pub. L. 118–15 struck out ‘‘and’’ before ‘‘$126,500,000’’ and inserted ‘‘and $16,635,616 for the period beginning on October 1, 2023, and ending on November 17, 2023,’’ be- fore ‘‘to remain available’’. 2020—Subsec. (g)(1). Pub. L. 116–260 inserted ‘‘and’’ after ‘‘2017,’’ and substituted ‘‘2023’’ for ‘‘fiscal year 2020, and $27,379,452 for the period beginning on October 1, 2020, and ending on December 18, 2020’’. Pub. L. 116–215 substituted ‘‘$27,379,452’’ for ‘‘$24,953,425’’ and ‘‘December 18, 2020’’ for ‘‘December 11, 2020’’. Pub. L. 116–159 substituted ‘‘$24,953,425’’ for ‘‘$21,141,096’’ and ‘‘December 11, 2020’’ for ‘‘November 30, 2020’’. Pub. L. 116–136 substituted ‘‘through fiscal year 2020, and $21,141,096 for the period beginning on October 1, 2020, and ending on November 30, 2020’’ for ‘‘and 2019, and $81,445,205 for the period beginning on October 1, 2019, and ending on May 22, 2020’’. 2019—Subsec. (g)(1). Pub. L. 116–94 substituted ‘‘$81,445,205’’ for ‘‘$28,072,603’’ and ‘‘May 22, 2020’’ for ‘‘December 20, 2019’’. Pub. L. 116–69 substituted ‘‘$28,072,603’’ for ‘‘$18,021,918’’ and ‘‘December 20, 2019’’ for ‘‘November 21, 2019’’. Pub. L. 116–59 struck out ‘‘and’’ before ‘‘$126,500,000’’ and inserted ‘‘and $18,021,918 for the period beginning on October 1, 2019, and ending on November 21, 2019,’’ before ‘‘to remain available’’. 2018—Subsec. (a). Pub. L. 115–123, § 50901(d)(1), amend- ed subsec. (a) generally. Prior to amendment, text read as follows: ‘‘Subject to subsection (h)(2), the Secretary shall make payments under this section for direct ex- penses and for indirect expenses to qualified teaching health centers that are listed as sponsoring institu- tions by the relevant accrediting body for expansion of existing or establishment of new approved graduate medical residency training programs.’’ Subsec. (f). Pub. L. 115–123, § 50901(d)(6), substituted ‘‘teaching health center’’ for ‘‘hospital’’ wherever ap- pearing. Subsec. (g)(1). Pub. L. 115–123, § 50901(d)(2), substituted ‘‘and $126,500,000 for each of fiscal years 2018 and 2019,’’ for ‘‘and $30,000,000 for the period of the first and second quarters of fiscal year 2018,’’. Subsec. (h)(1)(D) to (H). Pub. L. 115–123, § 50901(d)(3), added subpars. (D) to (G) and redesignated former sub- par. (D) as (H). Subsec. (j)(2) to (4). Pub. L. 115–123, § 50901(d)(5), added par. (2) and redesignated former pars. (2) and (3) as (3) and (4), respectively. 2017—Subsec. (g). Pub. L. 115–96 designated existing provisions as par. (1), inserted heading, substituted ‘‘and $30,000,000 for the period of the first and second quarters of fiscal year 2018, to remain available until expended’’ for ‘‘and $15,000,000 for the first quarter of fiscal year 2018’’, and added par. (2). Pub. L. 115–63 substituted ‘‘2015, $60,000,000’’ for ‘‘2015 and $60,000,000’’ and inserted ‘‘, and $15,000,000 for the first quarter of fiscal year 2018’’ before period at end. 2015—Subsec. (g). Pub. L. 114–10 inserted ‘‘and $60,000,000 for each of fiscal years 2016 and 2017’’ before period at end. Statutory Notes and Related Subsidiaries FUNDING FOR TEACHING HEALTH CENTERS THAT OPERATE GRADUATE MEDICAL EDUCATION Pub. L. 117–2, title II, § 2604, Mar. 11, 2021, 135 Stat. 44, provided that: ‘‘(a) IN GENERAL.—In addition to amounts otherwise available, and notwithstanding the capped amount ref- erenced in sections 340H(b)(2) and 340H(d)(2) of the Pub- lic Health Service Act (42 U.S.C. 256h(b)(2) and (d)(2)), there is appropriated to the Secretary [of Health and Human Services] for fiscal year 2021, out of any money in the Treasury not otherwise appropriated, $330,000,000, to remain available until September 30, 2023, for the program of payments to teaching health centers that operate graduate medical education under section 340H of the Public Health Service Act (42 U.S.C. 256h) and for teaching health center development grants authorized under section 749A of the Public Health Service Act (42 U.S.C. 293l–1). ‘‘(b) USE OF FUNDS.—Amounts made available pursu- ant to subsection (a) shall be used for the following ac- tivities: ‘‘(1) For making payments to establish new ap- proved graduate medical residency training programs pursuant to section 340H(a)(1)(C) of the Public Health Service Act (42 U.S.C. 256h(a)(1)(C)). ‘‘(2) To provide an increase to the per resident amount described in section 340H(a)(2) of the Public Health Service Act (42 U.S.C. 256h(a)(2)) of $10,000. ‘‘(3) For making payments under section 340H(a)(1)(A) of the Public Health Service Act (42 U.S.C. 256h(a)(1)(A))) [sic] to qualified teaching health centers for maintenance of filled positions at existing approved graduate medical residency training pro- grams. ‘‘(4) For making payments under section 340H(a)(1)(B) of the Public Health Service Act (42 U.S.C. 256h(a)(1)(B)) for the expansion of existing ap- proved graduate medical residency training pro- grams. ‘‘(5) For making awards under section 749A of the Public Health Service Act (42 U.S.C. 293l–1) to teach- ing health centers for the purpose of establishing new accredited or expanded primary care residency pro- grams. ‘‘(6) To cover administrative costs and activities necessary for qualified teaching health centers re- ceiving payments under section 340H of the Public Health Service Act (42 U.S.C. 256h) to carry out ac- tivities under such section.’’ PAYMENTS FOR PREVIOUS FISCAL YEARS Pub. L. 115–123, div. E, title IX, § 50901(d)(7), Feb. 9, 2018, 132 Stat. 289, provided that: ‘‘The provisions of sec- tion 340H of the Public Health Service Act (42 U.S.C. 256h), as in effect on the day before the date of enact- ment of Public Law 115–96 [Dec. 22, 2017], shall continue to apply with respect to payments under such section for fiscal years before fiscal year 2018.’’ SUBPART XII—COMMUNITY-BASED COLLABORATIVE CARE NETWORK PROGRAM Editorial Notes CODIFICATION Pub. L. 115–63, title III, § 301(c)(1), Sept. 29, 2017, 131 Stat. 1172, redesignated this subpart, which was for- merly subpart XI of part D of title III of act July 1, 1944, as subpart XII. Another subpart XI of part D of title III of the Act is classified to subpart XI (§ 256h) of this part. § 256i. Community-based collaborative care net- work program (a) In general The Secretary may award grants to eligible entities to support community-based collabo- rative care networks that meet the require- ments of subsection (b). (b) Community-based collaborative care net- works (1) Description A community-based collaborative care net- work (referred to in this section as a ‘‘net- Page 455 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 258 1 So in original. A closing parenthesis probably should appear. work’’) shall be a consortium of health care providers with a joint governance structure (including providers within a single entity) that provides comprehensive coordinated and integrated health care services (as defined by the Secretary) for low-income populations. (2) Required inclusion A network shall include the following pro- viders (unless such provider does not exist within the community, declines or refuses to participate, or places unreasonable conditions on their participation): (A) A hospital that meets the criteria in section 1396r–4(b)(1) of this title; and (B) All Federally qualified health centers (as defined in section 1395x(aa) of this title 1 located in the community. (3) Priority In awarding grants, the Secretary shall give priority to networks that include— (A) the capability to provide the broadest range of services to low-income individuals; (B) the broadest range of providers that currently serve a high volume of low-income individuals; and (C) a county or municipal department of health. (c) Application (1) Application A network described in subsection (b) shall submit an application to the Secretary. (2) Renewal In subsequent years, based on the perform- ance of grantees, the Secretary may provide renewal grants to prior year grant recipients. (d) Use of funds (1) Use by grantees Grant funds may be used for the following activities: (A) Assist low-income individuals to— (i) access and appropriately use health services; (ii) enroll in health coverage programs; and (iii) obtain a regular primary care pro- vider or a medical home. (B) Provide case management and care management. (C) Perform health outreach using neigh- borhood health workers or through other means. (D) Provide transportation. (E) Expand capacity, including through telehealth, after-hours services or urgent care. (F) Provide direct patient care services. (2) Grant funds to HRSA grantees The Secretary may limit the percent of grant funding that may be spent on direct care services provided by grantees of programs ad- ministered by the Health Resources and Serv- ices Administration or impose other require- ments on such grantees deemed necessary. (e) Authorization of appropriations There are authorized to be appropriated to carry out this section such sums as may be nec- essary for each of fiscal years 2011 through 2015. (July 1, 1944, ch. 373, title III, § 340I, formerly § 340H, as added Pub. L. 111–148, title X, § 10333, Mar. 23, 2010, 124 Stat. 970; renumbered § 340I, Pub. L. 115–63, title III, § 301(c)(2), Sept. 29, 2017, 131 Stat. 1172.) PART E—NARCOTIC ADDICTS AND OTHER DRUG ABUSERS § 257. Repealed. Pub. L. 106–310, div. B, title XXXIV, § 3405(a), Oct. 17, 2000, 114 Stat. 1221, as amended by Pub. L. 114–198, title I, § 110(b), July 22, 2016, 130 Stat. 710 Section, acts July 1, 1944, ch. 373, title III, § 341, 58 Stat. 698; May 8, 1954, ch. 195, § 3, 68 Stat. 80; July 24, 1956, ch. 676, title III, § 302(a), 70 Stat. 622; Pub. L. 89–793, title VI, § 601, Nov. 8, 1966, 80 Stat. 1449; 1967 Reorg. Plan No. 3, § 401, eff. Nov. 3, 1967 (in part), 32 F.R. 11669, 81 Stat. 951; Pub. L. 91–513, title I, § 2(a)(1), Oct. 27, 1970, 84 Stat. 1240; Pub. L. 92–255, title IV, § 402, Mar. 21, 1972, 86 Stat. 77; Pub. L. 93–198, title IV, § 421, Dec. 24, 1973, 87 Stat. 789; Pub. L. 98–473, title II, § 232(a), Oct. 12, 1984, 98 Stat. 2031; Pub. L. 99–646, § 22(a), Nov. 10, 1986, 100 Stat. 3597; Pub. L. 102–54, § 13(q)(1)(B)(i), June 13, 1991, 105 Stat. 278, related to care and treatment of narcotic ad- dicts. Statutory Notes and Related Subsidiaries EFFECTIVE DATE OF 2016 AMENDMENT Pub. L. 114–198, title I, § 110(b), July 22, 2016, 130 Stat. 710, provided that the amendment made by section 110(b) (amending directory language of section 3405(a) of Pub. L. 106–310, which repealed this section) is effec- tive as if included in the enactment of Pub. L. 106–310. § 257a. Transferred Editorial Notes CODIFICATION Section, Pub. L. 91–513, title I, § 4, Oct. 27, 1970, 84 Stat. 1241; Pub. L. 96–88, title V, § 509(b), Oct. 17, 1979, 93 Stat. 695, which related to medical treatment of nar- cotics addiction, was transferred to section 290bb–2a of this title. § 258. Repealed. Pub. L. 106–310, div. B, title XXXIV, § 3405(a), Oct. 17, 2000, 114 Stat. 1221, as amended by Pub. L. 114–198, title I, § 110(b), July 22, 2016, 130 Stat. 710 Section, acts July 1, 1944, ch. 373, title III, § 342, 58 Stat. 699; 1953 Reorg. Plan No. 1, §§ 5, 8, eff. Apr. 11, 1953, 18 F.R. 2053, 67 Stat. 631; Pub. L. 91–513, title I, § 2(a)(2)(A), Oct. 27, 1970, 84 Stat. 1240; Pub. L. 96–88, title V, § 509(b), Oct. 17, 1979, 93 Stat. 695, related to em- ployment, establishment of industries, plants, etc., sale of commodities, and disposition of proceeds. Statutory Notes and Related Subsidiaries EFFECTIVE DATE OF 2016 AMENDMENT Pub. L. 114–198, title I, § 110(b), July 22, 2016, 130 Stat. 710, provided that the amendment made by section 110(b) (amending directory language of section 3405(a) of Pub. L. 106–310, which repealed this section) is effec- tive as if included in the enactment of Pub. L. 106–310.

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 256h — Program of payments to teaching health centers that operate graduate medical education programs

**(a) Payments** (1) **In general** — Subject to subsection (h)(2), the Secretary shall make payments under this section for direct expenses and indirect expenses to qualified teaching health centers that are listed as sponsoring institutions by the relevant accrediting body for, as appropriate— (A) maintenance of filled positions at existing approved graduate medical residency training programs; (B) expansion of existing approved graduate medical residency training programs; and (C) establishment of new approved graduate medical residency training programs. (2) **Per resident amount** — In making payments under paragraph (1), the Secretary shall consider the cost of training residents at teaching health centers and the implications of the per resident amount on approved graduate medical residency training programs at teaching health centers. (3) **Priority** — In making payments under paragraph (1)(C), the Secretary shall give priority to qualified teaching health centers that— (A) serve a health professional shortage area with a designation in effect under [section 254e of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section254e&num=0&edition=prelim) or a medically underserved community (as defined in [section 295p of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section295p&num=0&edition=prelim)); or (B) are located in a rural area (as defined in [section 1395ww(d)(2)(D) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395ww/d/2/D&num=0&edition=prelim)). **(b) Amount of payments** (1) **In general** — Subject to paragraph (2), the amounts payable under this section to qualified teaching health centers for an approved graduate medical r

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 256h — Program of payments to teaching health

Page 450 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 256h 1 So in original. The word ‘‘is’’ probably should appear. (A) an institution of higher education, in- cluding a community college; (B) a public-private partnership; (C) a federally qualified health center; (D) an Indian Health Service facility or a tribe or tribal organization (as such terms are defined in section 5304 of title 25); (E) a State or county public health clinic, a health facility operated by an Indian tribe or tribal organization, or urban Indian orga- nization providing dental services; or (F) a public hospital or health system; (2) be within a program accredited by the Commission on Dental Accreditation or within a dental education program in an accredited institution; and (3) shall submit an application to the Sec- retary at such time, in such manner, and con- taining such information as the Secretary may require. (d) Administrative provisions (1) Amount of grant Each grant under this section shall be in an amount that is not less than $4,000,000 for the 5-year period during which the demonstration project 1 being conducted. (2) Disbursement of funds (A) Preliminary disbursements Beginning 1 year after March 23, 2010, the Secretary may disperse to any entity receiv- ing a grant under this section not more than 20 percent of the total funding awarded to such entity under such grant, for the pur- pose of enabling the entity to plan the dem- onstration project to be conducted under such grant. (B) Subsequent disbursements The remaining amount of grant funds not dispersed under subparagraph (A) shall be dispersed such that not less than 15 percent of such remaining amount is dispersed each subsequent year. (e) Compliance with State requirements Each entity receiving

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 256i — Community-based collaborative care network program

**(a) In general** The Secretary may award grants to eligible entities to support community-based collaborative care networks that meet the requirements of subsection (b). **(b) Community-based collaborative care networks** (1) **Description** — A community-based collaborative care network (referred to in this section as a “network”) shall be a consortium of health care providers with a joint governance structure (including providers within a single entity) that provides comprehensive coordinated and integrated health care services (as defined by the Secretary) for low-income populations. (2) **Required inclusion** — A network shall include the following providers (unless such provider does not exist within the community, declines or refuses to participate, or places unreasonable conditions on their participation): (A) A hospital that meets the criteria in [section 1396r–4(b)(1) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1396r–4/b/1&num=0&edition=prelim); and (B) All Federally qualified health centers (as defined in [section 1395x(aa) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395x/aa&num=0&edition=prelim) 11 So in original. A closing parenthesis probably should appear. located in the community. (3) **Priority** — In awarding grants, the Secretary shall give priority to networks that include— (A) the capability to provide the broadest range of services to low-income individuals; (B) the broadest range of providers that currently serve a high volume of low-income individuals; and (C) a county or municipal department of health. **(c) Application** (1) **Application** — A network described in subsection (b) shall submit an application to the Secretary. (2)

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 293l — Advisory Committee on Training in Primary Care Medicine and Dentistry

**(a) Establishment** The Secretary shall establish an advisory committee to be known as the Advisory Committee on Training in Primary Care Medicine and Dentistry (in this section referred to as the “Advisory Committee”). **(b) Composition** (1) **In general** — The Secretary shall determine the appropriate number of individuals to serve on the Advisory Committee. Such individuals shall not be officers or employees of the Federal Government. (2) **Appointment** — Not later than 90 days after November 13, 1998, the Secretary shall appoint the members of the Advisory Committee from among individuals who are health professionals. In making such appointments, the Secretary shall ensure a fair balance between the health professions, that at least 75 percent of the members of the Advisory Committee are health professionals, a broad geographic representation of members and a balance between urban and rural members. Members shall be appointed based on their competence, interest, and knowledge of the mission of the profession involved. (3) **Minority representation** — In appointing the members of the Advisory Committee under paragraph (2), the Secretary shall ensure the adequate representation of women and minorities. **(c) Terms** (1) **In general** — A member of the Advisory Committee shall be appointed for a term of 3 years, except that of the members first appointed— (A) ⅓ of such members shall serve for a term of 1 year; (B) ⅓ of such members shall serve for a term of 2 years; and (C) ⅓ of such members shall serve for a term of 3 years. (2) **Vacancies** (A) *In general* — A vacancy on the Advisory Committee shall be filled in the manner in which the original appointment was made and shall be subject to any conditions which applied with respect to the or

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 293l — Advisory Committee on Training in Pri-

Page 1025 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 293l populations, or who achieve a significant in- crease in the rate of placing graduates in such settings. (8) Qualified applicants that intend to estab- lish a special populations oral health care edu- cation center or training program for the di- dactic and clinical education of dentists, den- tal health professionals, and dental hygienists who plan to teach oral health care for people with developmental disabilities, cognitive im- pairment, complex medical problems, signifi- cant physical limitations, and vulnerable el- derly. (d) Application An eligible entity desiring a grant under this section shall submit to the Secretary an appli- cation at such time, in such manner, and con- taining such information as the Secretary may require. (e) Duration of award The period during which payments are made to an entity from an award of a grant or con- tract under subsection (a) shall be 5 years. The provision of such payments shall be subject to annual approval by the Secretary and subject to the availability of appropriations for the fiscal year involved to make the payments. (f) Authorizations of appropriations For the purpose of carrying out subsections (a) and (b), there is authorized to be appropriated $28,531,000 for each of fiscal years 2021 through 2025. (g) Carryover funds An entity that receives an award under this section may carry over funds from 1 fiscal year to another without obtaining approval from the Secretary. In no case may any funds be carried over pursuant to the preceding sentence for more than 3 years. (July 1, 1944, ch. 373, title VII, § 748, as added Pub. L. 111–148, title V, § 5303(2), Mar. 23, 2010, 124 Stat. 618; amended Pub. L. 116–136, div. A, title III, § 3401(

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