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42 U.S.C. § 11707 — Administration of grants and contracts
Federal law — U.S. Code and appendices · legal_authorities
Page 8213
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 11707
been treated as referring to S. 2681, as passed by the
Senate on Aug. 7, 1992, to reflect the probable intent of
Congress.
Pub. L. 100–579 and Pub. L. 100–690 enacted substan-
tially identical sections. The text of this section is
based on section 7 of Pub. L. 100–579, as subsequently
amended.
AMENDMENTS
2010—Subsec. (b). Pub. L. 111–148, which directed the
amendment of section 7(b) of the Native Hawaiian
Health Care Act of 1988 by substituting ‘‘2019’’ for
‘‘2001’’, was executed by making the amendment to this
section, which is section 7 of the Native Hawaiian
Health Care Improvement Act, to reflect the probable
intent of Congress.
1992—Pub. L. 102–396 amended section generally. Prior
to amendment, section related to assignment of per-
sonnel.
§ 11707. Administration of grants and contracts
(a) Terms and conditions
The Secretary shall include in any grant made
or contract entered into under this chapter such
terms and conditions as the Secretary considers
necessary or appropriate to ensure that the ob-
jectives of such grant or contract are achieved.
(b) Periodic review
The Secretary shall periodically evaluate the
performance of, and compliance with, grants and
contracts under this chapter.
(c) Administrative requirements
The Secretary may not make a grant or enter
into a contract under this chapter with an enti-
ty unless the entity—
(1) agrees to establish such procedures for
fiscal control and fund accounting as may be
necessary to ensure proper disbursement and
accounting with respect to the grant or con-
tract;
(2) agrees to ensure the confidentiality of
records maintained on individuals receiving
health services under the grant or contract;
(3) with respect to providing h
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Page 8213
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 11707
been treated as referring to S. 2681, as passed by the
Senate on Aug. 7, 1992, to reflect the probable intent of
Congress.
Pub. L. 100–579 and Pub. L. 100–690 enacted substan-
tially identical sections. The text of this section is
based on section 7 of Pub. L. 100–579, as subsequently
amended.
AMENDMENTS
2010—Subsec. (b). Pub. L. 111–148, which directed the
amendment of section 7(b) of the Native Hawaiian
Health Care Act of 1988 by substituting ‘‘2019’’ for
‘‘2001’’, was executed by making the amendment to this
section, which is section 7 of the Native Hawaiian
Health Care Improvement Act, to reflect the probable
intent of Congress.
1992—Pub. L. 102–396 amended section generally. Prior
to amendment, section related to assignment of per-
sonnel.
§ 11707. Administration of grants and contracts
(a) Terms and conditions
The Secretary shall include in any grant made
or contract entered into under this chapter such
terms and conditions as the Secretary considers
necessary or appropriate to ensure that the ob-
jectives of such grant or contract are achieved.
(b) Periodic review
The Secretary shall periodically evaluate the
performance of, and compliance with, grants and
contracts under this chapter.
(c) Administrative requirements
The Secretary may not make a grant or enter
into a contract under this chapter with an enti-
ty unless the entity—
(1) agrees to establish such procedures for
fiscal control and fund accounting as may be
necessary to ensure proper disbursement and
accounting with respect to the grant or con-
tract;
(2) agrees to ensure the confidentiality of
records maintained on individuals receiving
health services under the grant or contract;
(3) with respect to providing health services
to any population of Native Hawaiians, a sub-
stantial portion of which has a limited ability
to speak the English language—
(A) has developed and has the ability to
carry out a reasonable plan to provide
health services under the grant or contract
through individuals who are able to commu-
nicate with the population involved in the
language and cultural context that is most
appropriate; and
(B) has designated at least one individual,
fluent in both English and the appropriate
language, to assist in carrying out the plan;
(4) with respect to health services that are
covered in the plan of the State of Hawaii ap-
proved under title XIX of the Social Security
Act [42 U.S.C. 1396 et seq.]—
(A) if the entity will provide under the
grant or contract any such health services
directly—
(i) the entity has entered into a partici-
pation agreement under such plans; and
(ii) the entity is qualified to receive pay-
ments under such plan; and
(B) if the entity will provide under the
grant or contract any such health services
through a contract with an organization—
(i) the organization has entered into a
participation agreement under such plan;
and
(ii) the organization is qualified to re-
ceive payments under such plan; and
(5) agrees to submit to the Secretary and to
Papa Ola Lokahi an annual report that de-
scribes the utilization and costs of health
services provided under the grant or contract
(including the average cost of health services
per user) and that provides such other infor-
mation as the Secretary determines to be ap-
propriate.
(d) Contract evaluation
(1) If, as a result of evaluations conducted by
the Secretary, the Secretary determines that an
entity has not complied with or satisfactorily
performed a contract entered into under section
11705 of this title, the Secretary shall, prior to
renewing such contract, attempt to resolve the
areas of noncompliance or unsatisfactory per-
formance and modify such contract to prevent
future occurrences of such noncompliance or un-
satisfactory performance. If the Secretary deter-
mines that such noncompliance or unsatisfac-
tory performance cannot be resolved and pre-
vented in the future, the Secretary shall not
renew such contract with such entity and is au-
thorized to enter into a contract under section
11705 of this title with another entity referred to
in section 11705(b) of this title that provides
services to the same population of Native Ha-
waiians which is served by the entity whose con-
tract is not renewed by reason of this sub-
section.
(2) In determining whether to renew a contract
entered into with an entity under this chapter,
the Secretary shall consider the results of the
evaluation under this section.
(3) All contracts entered into by the Secretary
under this chapter shall be in accordance with
all Federal contracting laws and regulations ex-
cept that, in the discretion of the Secretary,
such contracts may be negotiated without ad-
vertising and may be exempted from the provi-
sions of sections 3131 and 3133 of title 40.
(4) Payments made under any contract entered
into under this chapter may be made in advance,
by means of reimbursement, or in installments
and shall be made on such conditions as the Sec-
retary deems necessary to carry out the pur-
poses of this chapter.
(e) Limitation on use of funds for administrative
expenses
Except for grants and contracts under section
11706 of this title, the Secretary may not grant
to, or enter into a contract with, an entity
under this chapter unless the entity agrees that
the entity will not expend more than 10 percent
of amounts received pursuant to this chapter for
the purpose of administering the grant or con-
tract.
(f) Report
(1) For each fiscal year during which an entity
receives or expends funds pursuant to a grant or
contract under this chapter, such entity shall
submit to the Secretary and to Papa Ola Lokahi
a quarterly report on—
(A) activities conducted by the entity under
the grant or contract;
Page 8214
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 11708
(B) the amounts and purposes for which Fed-
eral funds were expended; and
(C) such other information as the Secretary
may request.
(2) The reports and records of any entity which
concern any grant or contract under this chap-
ter shall be subject to audit by the Secretary,
the Inspector General of the Department of
Health and Human Services, and the Comp-
troller General of the United States.
(g) Annual private audit
The Secretary shall allow as a cost of any
grant made or contract entered into under this
chapter the cost of an annual private audit con-
ducted by a certified public accountant.
(Pub. L. 100–579, § 8, Oct. 31, 1988, 102 Stat. 2921;
Pub. L. 100–690, title II, § 2308, Nov. 18, 1988, 102
Stat. 4228; Pub. L. 102–396, title IX, § 9168, Oct. 6,
1992, 106 Stat. 1948.)
Editorial Notes
REFERENCES IN TEXT
The Social Security Act, referred to in subsec. (c)(4),
is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Title XIX of the
Act is classified generally to subchapter XIX (§ 1396 et
seq.) of chapter 7 of this title. For complete classifica-
tion of this Act to the Code, see section 1305 of this
title and Tables.
CODIFICATION
In subsec. (d)(3), ‘‘sections 3131 and 3133 of title 40’’
substituted for ‘‘the Act of August 24, 1935 (40 U.S.C.
270a et seq.)’’ on authority of Pub. L. 107–217, § 5(c), Aug.
21, 2002, 116 Stat. 1303, the first section of which enacted
Title 40, Public Buildings, Property, and Works.
The 1992 amendment is based on section 1 of S. 2681,
One Hundred Second Congress, as passed by the Senate
on Aug. 7, 1992, and enacted into law by section 9168 of
Pub. L. 102–396. Section 9168, which referred to S. 2681,
as passed by the Senate on ‘‘September 12, 1992’’, has
been treated as referring to S. 2681, as passed by the
Senate on Aug. 7, 1992, to reflect the probable intent of
Congress.
Pub. L. 100–579 and Pub. L. 100–690 enacted substan-
tially identical sections. The text of this section is
based on section 8 of Pub. L. 100–579, as subsequently
amended.
AMENDMENTS
1992—Pub. L. 102–396 amended section generally. Prior
to amendment, section defined terms for purposes of
this chapter.
§ 11708. Assignment of personnel
(a) In general
The Secretary is authorized to enter into an
agreement with any entity under which the Sec-
retary is authorized to assign personnel of the
Department of Health and Human Services with
expertise identified by such entity to such enti-
ty on detail for the purposes of providing com-
prehensive health promotion and disease preven-
tion services to Native Hawaiians.
(b) Applicable Federal personnel provisions
Any assignment of personnel made by the Sec-
retary under any agreement entered into under
the authority of subsection (a) shall be treated
as an assignment of Federal personnel to a local
government that is made in accordance with
subchapter VI of chapter 33 of title 5.
(Pub. L. 100–579, § 9, Oct. 31, 1988, 102 Stat. 2923;
Pub. L. 100–690, title II, § 2309, Nov. 18, 1988, 102
Stat. 4229; Pub. L. 102–396, title IX, § 9168, Oct. 6,
1992, 106 Stat. 1948.)
Editorial Notes
CODIFICATION
The 1992 amendment is based on section 1 of S. 2681,
One Hundred Second Congress, as passed by the Senate
on Aug. 7, 1992, and enacted into law by section 9168 of
Pub. L. 102–396. Section 9168, which referred to S. 2681,
as passed by the Senate on ‘‘September 12, 1992’’, has
been treated as referring to S. 2681, as passed by the
Senate on Aug. 7, 1992, to reflect the probable intent of
Congress.
Pub. L. 100–579 and Pub. L. 100–690 enacted substan-
tially identical sections. The text of this section is
based on section 9 of Pub. L. 100–579, as subsequently
amended.
AMENDMENTS
1992—Pub. L. 102–396 amended section generally. Prior
to amendment, section related to rule of construction.
§ 11709. Native Hawaiian health scholarships
(a) Eligibility
Subject to the availability of funds appro-
priated under the authority of subsection (c) of
this section, the Secretary shall provide funds
through a direct grant or a cooperative agree-
ment to Papa Ola Lokahi for the purpose of pro-
viding scholarship assistance to students who—
(1) meet the requirements of paragraphs (1),
(3), and (4) of section 254l(b) of this title, and
(2) are Native Hawaiians.
(b) Terms and conditions
(1) The scholarship assistance provided under
subsection (a) of this section 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, provided that—
(A) the provision of scholarships in each
type of health care profession training shall
correspond to the need for each type of health
care professional identified in the Native Ha-
waiian comprehensive health care master plan
implemented under section 11703 of this title
to serve the Native Hawaiian health care sys-
tems, as identified by Papa Ola Lokahi;
(B) the primary health services covered
under the scholarship assistance program
under this section shall be the services in-
cluded under the definition of that term under
section 11711(8) of this title;
(C) to the maximum extent practicable, the
Secretary shall select scholarship recipients
from a list of eligible applicants submitted by
the Papa Ola Lokahi;
(D) the obligated service requirement for
each scholarship recipient shall be fulfilled
through the full-time clinical or nonclinical
practice of the health profession of the schol-
arship recipient, in an order of priority that
would provide for practice—
(i) first, in any one of the five Native Ha-
waiian health care systems; and
(ii) second, in—
(I) a health professional shortage area or
medically underserved area located in the
State of Hawaii; or
Cross-references
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Terms and conditions** The Secretary shall include in any grant made or contract entered into under this chapter such terms and conditions as the Secretary considers necessary or appropriate to ensure that the objectives of such grant or contract are achieved.
**(b) Periodic review** The Secretary shall periodically evaluate the performance of, and compliance with, grants and contracts under this chapter.
**(c) Administrative requirements** The Secretary may not make a grant or enter into a contract under this chapter with an entity unless the entity—
(1) agrees to establish such procedures for fiscal control and fund accounting as may be necessary to ensure proper disbursement and accounting with respect to the grant or contract;
(2) agrees to ensure the confidentiality of records maintained on individuals receiving health services under the grant or contract;
(3) with respect to providing health services to any population of Native Hawaiians, a substantial portion of which has a limited ability to speak the English language—
(A) has developed and has the ability to carry out a reasonable plan to provide health services under the grant or contract through individuals who are able to communicate with the population involved in the language and cultural context that is most appropriate; and
(B) has designated at least one individual, fluent in both English and the appropriate language, to assist in carrying out the plan;
(4) with respect to health services that are covered in the plan of the State of Hawaii approved 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.]—
(A) if the entity will provide under the grant or contract any s
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 11707
Stored review status: release_metadata_unconfirmed. Same stored citation; legal effect and authority still require review.
Federal law — U.S. Code and appendices · legal_authorities
**(a) Establishment** There is hereby established the Medicaid and CHIP Payment and Access Commission (in this section referred to as “MACPAC”).
**(b) Duties**
(1) **Review of access policies for all States and annual reports** — MACPAC shall—
(A) review policies of the Medicaid program established under this subchapter (in this section referred to as “Medicaid”) and the State Children’s Health Insurance Program established under subchapter XXI (in this section referred to as “CHIP”) affecting access to covered items and services, including topics described in paragraph (2);
(B) make recommendations to Congress, the Secretary, and States concerning such access policies;
(C) by not later than March 15 of each year (beginning with 2010), submit a report to Congress containing the results of such reviews and MACPAC’s recommendations concerning such policies; and
(D) by not later than June 15 of each year (beginning with 2010), submit a report to Congress containing an examination of issues affecting Medicaid and CHIP, including the implications of changes in health care delivery in the United States and in the market for health care services on such programs.
(2) **Specific topics to be reviewed** — Specifically, MACPAC shall review and assess the following:
(A) *Medicaid and CHIP payment policies* — Payment policies under Medicaid and CHIP, including—
(i) the factors affecting expenditures for the efficient provision of items and services in different sectors, including the process for updating payments to medical, dental, and health professionals, hospitals, residential and long-term care providers, providers of home and community based services, Federally-qualified health centers and rural health clinics, managed care entities, and providers of ot
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1396
Stored review status: release_metadata_unconfirmed. The source passage cites 42 U.S.C. § 1396. This identifies an authority to review, not proof of applicability.
Federal law — U.S. Code and appendices · legal_authorities
Page 4009
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 1396
of the enactment of this Act [Oct. 6, 2014], the Sec-
retary shall develop and report to Congress on a stra-
tegic plan for collecting or otherwise accessing data on
race and ethnicity for purposes of specifying quality
measures and resource use and other measures under
subsections (c) and (d) of section 1899B of the Social Se-
curity Act, as added by subsection (a), and, as the Sec-
retary determines appropriate, other similar provisions
of, including payment adjustments under, title XVIII of
such Act (42 U.S.C. 1395 et seq.).’’
SUBCHAPTER XIX—GRANTS TO STATES
FOR MEDICAL ASSISTANCE PROGRAMS
§ 1396. Medicaid and CHIP Payment and Access
Commission
(a) Establishment
There is hereby established the Medicaid and
CHIP Payment and Access Commission (in this
section referred to as ‘‘MACPAC’’).
(b) Duties
(1) Review of access policies for all States and
annual reports
MACPAC shall—
(A) review policies of the Medicaid pro-
gram established under this subchapter (in
this section referred to as ‘‘Medicaid’’) and
the State Children’s Health Insurance Pro-
gram established under subchapter XXI (in
this section referred to as ‘‘CHIP’’) affecting
access to covered items and services, includ-
ing topics described in paragraph (2);
(B) make recommendations to Congress,
the Secretary, and States concerning such
access policies;
(C) by not later than March 15 of each year
(beginning with 2010), submit a report to
Congress containing the results of such re-
views and MACPAC’s recommendations con-
cerning such policies; and
(D) by not later than June 15 of each year
(beginning with 2010), submit a report to
Congress
containing
an
examination
of
issues affecting Medicaid and CHIP, includ-
ing the impli
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 1396
Stored review status: historical_2024_not_currentness_verified. The source passage cites 42 U.S.C. § 1396. This identifies an authority to review, not proof of applicability.