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42 U.S.C. § 291g — Withholding of payments; noncompliance
Federal law — U.S. Code and appendices · legal_authorities
Page 975
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 291g
lished within the Office of the Assistant Secretary for
Health, see Notice of Department of Health and Human
Services, Office of the Assistant Secretary for Health,
Mar. 30, 1987, 52 F.R. 11754.
§ 291f. Payments for construction or moderniza-
tion
(a) Certification of work by Surgeon General;
conditions affecting payments
Upon certification to the Surgeon General by
the State agency, based upon inspection by it,
that work has been performed upon a project, or
purchases have been made, in accordance with
the approved plans and specifications, and that
payment of an installment is due to the appli-
cant, such installment shall be paid to the
State, from the applicable allotment of such
State, except that (1) if the State is not author-
ized by law to make payments to the applicant,
or if the State so requests, the payment shall be
made directly to the applicant, (2) if the Sur-
geon General, after investigation or otherwise,
has reason to believe that any act (or failure to
act) has occurred requiring action pursuant to
section 291g of this title, payment may, after he
has given the State agency notice of oppor-
tunity for hearing pursuant to such section, be
withheld, in whole or in part, pending corrective
action or action based on such hearing, and (3)
the total of payments under this subsection with
respect to such project may not exceed an
amount equal to the Federal share of the cost of
construction of such project.
(b) Additional payments in cases of amended ap-
plications
In case an amendment to an approved applica-
tion is approved as provided in section 291e of
this title or the estimated cost of a project is re-
vised upward, any additional payment with re-
spect thereto may be
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 291g
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Source location: USCODE-2024-title42-chap6A-subchapIV-partA-sec291g.pdf
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Page 975
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 291g
lished within the Office of the Assistant Secretary for
Health, see Notice of Department of Health and Human
Services, Office of the Assistant Secretary for Health,
Mar. 30, 1987, 52 F.R. 11754.
§ 291f. Payments for construction or moderniza-
tion
(a) Certification of work by Surgeon General;
conditions affecting payments
Upon certification to the Surgeon General by
the State agency, based upon inspection by it,
that work has been performed upon a project, or
purchases have been made, in accordance with
the approved plans and specifications, and that
payment of an installment is due to the appli-
cant, such installment shall be paid to the
State, from the applicable allotment of such
State, except that (1) if the State is not author-
ized by law to make payments to the applicant,
or if the State so requests, the payment shall be
made directly to the applicant, (2) if the Sur-
geon General, after investigation or otherwise,
has reason to believe that any act (or failure to
act) has occurred requiring action pursuant to
section 291g of this title, payment may, after he
has given the State agency notice of oppor-
tunity for hearing pursuant to such section, be
withheld, in whole or in part, pending corrective
action or action based on such hearing, and (3)
the total of payments under this subsection with
respect to such project may not exceed an
amount equal to the Federal share of the cost of
construction of such project.
(b) Additional payments in cases of amended ap-
plications
In case an amendment to an approved applica-
tion is approved as provided in section 291e of
this title or the estimated cost of a project is re-
vised upward, any additional payment with re-
spect thereto may be made from the applicable
allotment of the State for the fiscal year in
which such amendment or revision is approved.
(c) Administration expenses; use of portion of al-
lotments to defray; manner of payment
(1) At the request of any State, a portion of
any allotment or allotments of such State under
this part shall be available to pay one-half (or
such smaller share as the State may request) of
the expenditures found necessary by the Sur-
geon General for the proper and efficient admin-
istration during such year of the State plan ap-
proved under this part; except that not more
than 4 per centum of the total of the allotments
of such State for a year, or $100,000, whichever is
less, shall be available for such purpose for such
year. Payments of amounts due under this para-
graph may be made in advance or by way of re-
imbursement, and in such installments, as the
Surgeon General may determine.
(2) Any amount paid under paragraph (1) of
this subsection to any State for any fiscal year
shall be paid on condition that there shall be ex-
pended from State sources for such year for ad-
ministration of the State plan approved under
this part not less than the total amount ex-
pended for such purposes from such sources dur-
ing the fiscal year ending June 30, 1970.
(July 1, 1944, ch. 373, title VI, § 606, as added Pub.
L. 88–443, § 3(a), Aug. 18, 1964, 78 Stat. 454; amend-
ed Pub. L. 91–296, title I, § 112, June 30, 1970, 84
Stat. 340.)
Editorial Notes
PRIOR PROVISIONS
A prior section 291f, act July 1, 1944, ch. 373, title VI,
§ 623, as added Aug. 13, 1946, ch. 958, § 2, 60 Stat. 1041;
amended June 19, 1948, ch. 554, 62 Stat. 536; Oct. 25, 1949,
ch. 722, § 3(a), 63 Stat. 899, related to State plans, their
submission, and their requirements, prior to the gen-
eral amendment of this subchapter by Pub. L. 88–443.
See section 291d of this title.
Provisions similar to those comprising subsec. (a) of
this section were contained in former section 291h(b),
acts July 1, 1944, ch. 373, title VI, § 625, as added Aug. 13,
1946, ch. 958, § 2, 60 Stat. 1041; amended Oct. 25, 1949, ch.
722, § 3(b), 63 Stat. 899, prior to the general amendment
of this subchapter by Pub. L. 88–443.
AMENDMENTS
1970—Subsec. (c)(1). Pub. L. 91–296, § 112(1), substituted
‘‘4 per centum’’ for ‘‘2 per centum’’ and ‘‘$100,000 for
$50,000’’.
Subsec. (c)(2). Pub. L. 91–296, § 112(2), substituted
‘‘June 30, 1970’’ for ‘‘June 30, 1964’’.
Statutory Notes and Related Subsidiaries
CHANGE OF NAME
‘‘Secretary of Health and Human Services’’ sub-
stituted for ‘‘Secretary of Health, Education, and Wel-
fare’’ pursuant to section 509(b) of Pub. L. 96–88, which
is classified to section 3508(b) of Title 20, Education.
EFFECTIVE DATE OF 1970 AMENDMENT
Pub. L. 91–296, title I, § 112, June 30, 1970, 84 Stat. 340,
provided that the amendment made by that section is
effective with respect to expenditures under a State
plan approved under this subchapter which are made
for administration of such plan during any fiscal year
beginning after June 30, 1970.
Executive Documents
TRANSFER OF FUNCTIONS
Office of Surgeon General abolished by section 3 of
Reorg. Plan No. 3 of 1966, eff. June 25, 1966, 31 F.R. 8855,
80 Stat. 1610, and functions thereof transferred to Sec-
retary of Health, Education, and Welfare by section 1 of
Reorg. Plan No. 3 of 1966, set out as a note under sec-
tion 202 of this title. Office of Surgeon General reestab-
lished within the Office of the Assistant Secretary for
Health, see Notice of Department of Health and Human
Services, Office of the Assistant Secretary for Health,
Mar. 30, 1987, 52 F.R. 11754.
§ 291g. Withholding of payments; noncompliance
with requirements
Whenever the Surgeon General, after reason-
able notice and opportunity for hearing to the
State agency designated as provided in section
291d(a)(1) of this title, finds—
(a) that the State agency is not complying
substantially with the provisions required by
section 291d of this title to be included in its
State plan; or
(b) that any assurance required to be given
in an application filed under section 291e of
this title is not being or cannot be carried out;
or
(c) that there is a substantial failure to
carry out plans and specifications approved by
the Surgeon General under section 291e of this
title; or
Page 976
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 291h
(d) that adequate State funds are not being
provided annually for the direct administra-
tion of the State plan,
the Surgeon General may forthwith notify the
State agency that—
(e) no further payments will be made to the
State under this part, or
(f) no further payments will be made from
the allotments of such State from appropria-
tions under any one or more subparagraphs or
paragraphs of section 291a of this title, or for
any project or projects, designated by the Sur-
geon General as being affected by the action
or inaction referred to in paragraph (a), (b),
(c), or (d) of this section,
as the Surgeon General may determine to be ap-
propriate under the circumstances; and, except
with regard to any project for which the applica-
tion has already been approved and which is not
directly affected, further payments may be
withheld, in whole or in part, until there is no
longer any failure to comply (or carry out the
assurance or plans and specifications or provide
adequate State funds, as the case may be) or, if
such compliance (or other action) is impossible,
until the State repays or arranges for the repay-
ment of Federal moneys to which the recipient
was not entitled.
(July 1, 1944, ch. 373, title VI, § 607, as added Pub.
L. 88–443, § 3(a), Aug. 18, 1964, 78 Stat. 455.)
Editorial Notes
PRIOR PROVISIONS
A prior section 291g, act July 1, 1944, ch. 373, title VI,
§ 624, as added Aug. 13, 1946, ch. 958, § 2, 60 Stat. 1041;
amended June 29, 1948, ch. 728, § 1, 62 Stat. 1103; Oct. 25,
1949, ch. 722, §§ 3(b), 7, 63 Stat. 899, 901; Aug. 1, 1956, ch.
852, § 19(c), 70 Stat. 911; Sept. 25, 1962, Pub. L. 87–688,
§ 4(a)(3), 76 Stat. 587, authorized allotments to States
for construction, specified their amount, and provided
for availability for unexpended funds, prior to the gen-
eral amendment of this subchapter by Pub. L. 88–443.
See section 291b of this title.
Provisions similar to those comprising this section
were contained in former section 291j(a), acts July 1,
1944, ch. 373, title VI, § 632, as added Aug. 13, 1946, ch.
958, § 2, 60 Stat. 1041; amended Oct. 25, 1949, ch. 722, § 4,
63 Stat. 900; July 12, 1954, ch. 471, § 4(g), 68 Stat. 466,
prior to the general amendment of this subchapter by
Pub. L. 88–443.
Statutory Notes and Related Subsidiaries
CHANGE OF NAME
‘‘Secretary of Health and Human Services’’ sub-
stituted for ‘‘Secretary of Health, Education, and Wel-
fare’’ pursuant to section 509(b) of Pub. L. 96–88, which
is classified to section 3508(b) of Title 20, Education.
Executive Documents
TRANSFER OF FUNCTIONS
Office of Surgeon General abolished by section 3 of
Reorg. Plan No. 3 of 1966, eff. June 25, 1966, 31 F.R. 8855,
80 Stat. 1610, and functions thereof transferred to Sec-
retary of Health, Education, and Welfare by section 1 of
Reorg. Plan No. 3 of 1966, set out as a note under sec-
tion 202 of this title. Office of Surgeon General reestab-
lished within the Office of the Assistant Secretary for
Health, see Notice of Department of Health and Human
Services, Office of the Assistant Secretary for Health,
Mar. 30, 1987, 52 F.R. 11754.
§ 291h. Judicial review
(a) Refusal to approve application; procedure; ju-
risdiction of court of appeals
If the Surgeon General refuses to approve any
application for a project submitted under sec-
tion 291e of this title or section 291j of this title,
the State agency through which such applica-
tion was submitted, or if any State is dissatis-
fied with his action under section 291g of this
title such State may appeal to the United States
court of appeals for the circuit in which such
State is located, by filing a petition with such
court within sixty days after such action. A
copy of the petition shall be forthwith trans-
mitted by the clerk of the court to the Surgeon
General, or any officer designated by him for
that purpose. The Surgeon General shall there-
upon file in the court the record of the pro-
ceedings on which he based his action, as pro-
vided in section 2112 of title 28. Upon the filing
of such petition, the court shall have jurisdic-
tion to affirm the action of the Surgeon General
or to set it aside, in whole or in part, tempo-
rarily or permanently, but until the filing of the
record, the Surgeon General may modify or set
aside his order.
(b) Conclusiveness of Surgeon General’s findings;
remand; new or modified findings
The findings of the Surgeon General as to the
facts, if supported by substantial evidence, shall
be conclusive, but the court, for good cause
shown, may remand the case to the Surgeon
General to take further evidence, and the Sur-
geon General may thereupon make new or modi-
fied findings of fact and may modify his previous
action, and shall file in the court the record of
the further proceedings. Such new or modified
findings of fact shall likewise be conclusive if
supported by substantial evidence.
(c) Review by Supreme Court; stay of Surgeon
General’s action
The judgment of the court affirming or setting
aside, in whole or in part, any action of the Sur-
geon General shall be final, subject to review by
the Supreme Court of the United States upon
certiorari or certification as provided in section
1254 of title 28. The commencement of pro-
ceedings under this section shall not, unless so
specifically ordered by the court, operate as a
stay of the Surgeon General’s action.
(July 1, 1944, ch. 373, title VI, § 608, as added Pub.
L. 88–443, § 3(a), Aug. 18, 1964, 78 Stat. 456.)
Editorial Notes
PRIOR PROVISIONS
A prior section 291h, act July 1, 1944, ch. 373, title VI,
§ 625, as added Aug. 13, 1946, ch. 958, § 2, 60 Stat. 1041;
amended Oct. 25, 1949, ch. 722, §§ 3(b–d), 8, 63 Stat. 899,
901; July 12, 1954, ch. 471, § 4(b), 68 Stat. 464, related to
projects for construction, the application required and
its contents and approval by the Surgeon General, and
provided for a hearing prior to disapproval of the appli-
cation, prior to the general amendment of this sub-
chapter by Pub. L. 88–443. See section 291e of this title.
Provisions similar to those comprising this section
were contained in former section 291j(b), act July 1,
1944, ch. 373, title VI, § 632, as added Aug. 13, 1946, ch.
958, § 2, 60 Stat. 1041; amended June 28, 1948, ch. 646,
§ 32(a), 62 Stat. 991; May 24, 1949, ch. 139, § 127, 63 Stat.
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Certification of work by Surgeon General; conditions affecting payments** Upon certification to the Surgeon General by the State agency, based upon inspection by it, that work has been performed upon a project, or purchases have been made, in accordance with the approved plans and specifications, and that payment of an installment is due to the applicant, such installment shall be paid to the State, from the applicable allotment of such State, except that (1) if the State is not authorized by law to make payments to the applicant, or if the State so requests, the payment shall be made directly to the applicant, (2) if the Surgeon General, after investigation or otherwise, has reason to believe that any act (or failure to act) has occurred requiring action pursuant to [section 291g of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section291g&num=0&edition=prelim), payment may, after he has given the State agency notice of opportunity for hearing pursuant to such section, be withheld, in whole or in part, pending corrective action or action based on such hearing, and (3) the total of payments under this subsection with respect to such project may not exceed an amount equal to the Federal share of the cost of construction of such project.
**(b) Additional payments in cases of amended applications** In case an amendment to an approved application is approved as provided in [section 291e of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section291e&num=0&edition=prelim) or the estimated cost of a project is revised upward, any additional payment with respect thereto may be made from the applicable allotment of the State for the fiscal year in which such amendment or revision is approved.
**(c) Admin
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 291g
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