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42 U.S.C. § 256h — Program of payments to teaching health
Federal law — U.S. Code and appendices · legal_authorities
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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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 a grant under this sec-
tion shall certify that it is in compliance with
all applicable State licensing requirements.
(f) Evaluation
The Secretary shall contract with the Direc-
tor of the Institute of Medicine to conduct a
study of the demonstration programs conducted
under this section that shall provide analysis,
based upon quantitative and qualitative data,
regarding access to dental health care in the
United States.
(g) Clarification regarding dental health aide
program
Nothing in this section shall prohibit a dental
health aide training program approved by the
Indian Health Service from being eligible for a
grant under this section.
(h) Authorization of appropriations
There is authorized to be appropriated such
sums as may be necessary to carry out this sec-
tion.
(July 1, 1944, ch. 373, title III, § 340G–1, as added
Pub. L. 111–148, title V, § 5304, Mar. 23, 2010, 124
Stat. 621.)
SUBPART
XI—SUPPORT
OF
GRADUATE
MEDICAL
EDUCATION
IN
QUALIFIED
TEACHING
HEALTH
CENTERS
Editorial Notes
CODIFICATION
Subpart is comprised of subpart XI of part D of title
III of act July 1, 1944. Another subpart XI of part D of
title III of the Act was redesignated subpart XII by
Pub. L. 115–63, title III, § 301(c)(1), Sept. 29, 2017, 131
Stat. 1172, and is classified to subpart XII (§ 256i) of this
part.
§ 256h. Program of payments to teaching health
centers that operate graduate medical edu-
cation programs
(a) Payments
(1) In general
Subject to subsection (h)(2), the Secretary
shall make payments under this section for di-
rect expenses and indirect expenses to quali-
fied teaching health centers that are listed as
sponsoring institutions by the relevant ac-
crediting body for, as appropriate—
(A) maintenance of filled positions at ex-
isting approved graduate medical residency
training programs;
(B) expansion of existing approved grad-
uate medical residency training programs;
and
(C) establishment of new approved grad-
uate medical residency training programs.
(2) Per resident amount
In making payments under paragraph (1),
the Secretary shall consider the cost of train-
ing 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 sec-
tion 254e of this title or a medically under-
served community (as defined in section 295p
of this title); or
(B) are located in a rural area (as defined
in section 1395ww(d)(2)(D) of this title).
(b) Amount of payments
(1) In general
Subject to paragraph (2), the amounts pay-
able under this section to qualified teaching
health centers for an approved graduate med-
ical residency training program for a fiscal
year are each of the following amounts:
(A) Direct expense amount
The amount determined under subsection
(c) for direct expenses associated with spon-
soring approved graduate medical residency
training programs.
(B) Indirect expense amount
The amount determined under subsection
(d) for indirect expenses associated with the
Page 451
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 256h
1 So in original. Probably should be ‘‘subsections’’.
additional costs relating to teaching resi-
dents in such programs.
(2) Capped amount
(A) In general
The total of the payments made to quali-
fied teaching health centers under paragraph
(1)(A) or paragraph (1)(B) in a fiscal year
shall not exceed the amount of funds appro-
priated under subsection (g) for such pay-
ments for that fiscal year.
(B) Limitation
The Secretary shall limit the funding of
full-time equivalent residents in order to en-
sure the direct and indirect payments as de-
termined under subsection 1 (c) and (d) do
not exceed the total amount of funds appro-
priated in a fiscal year under subsection (g).
(C) Addition
Notwithstanding any provision of this sec-
tion, for the period beginning on October 1,
2023, and ending on December 31, 2024, the
Secretary may use any amounts made avail-
able in any fiscal year to carry out this sec-
tion (including amounts recouped under sub-
section (f)) to make payments described in
paragraphs (1)(A) and (1)(B), in addition to
the total amount of funds appropriated
under subsection (g).
(c) Amount of payment for direct graduate med-
ical education
(1) In general
The amount determined under this sub-
section for payments to qualified teaching
health centers for direct graduate expenses re-
lating to approved graduate medical residency
training programs for a fiscal year is equal to
the product of—
(A) the updated national per resident
amount for direct graduate medical edu-
cation, as determined under paragraph (2);
and
(B) the average number of full-time equiv-
alent residents in the teaching health cen-
ter’s graduate approved medical residency
training programs as determined under sec-
tion 1395ww(h)(4) of this title (without re-
gard to the limitation under subparagraph
(F) of such section) during the fiscal year.
(2) Updated national per resident amount for
direct graduate medical education
The updated per resident amount for direct
graduate medical education for a qualified
teaching health center for a fiscal year is an
amount determined as follows:
(A)
Determination
of
qualified
teaching
health center per resident amount
The Secretary shall compute for each indi-
vidual qualified teaching health center a per
resident amount—
(i) by dividing the national average per
resident amount computed under section
256e(c)(2)(D) of this title into a wage-re-
lated portion and a non-wage related por-
tion by applying the proportion deter-
mined under subparagraph (B);
(ii) by multiplying the wage-related por-
tion by the factor applied under section
1395ww(d)(3)(E) of this title (but without
application of section 4410 of the Balanced
Budget Act of 1997 (42 U.S.C. 1395ww note))
during the preceding fiscal year for the
teaching health center’s area; and
(iii) by adding the non-wage-related por-
tion to the amount computed under clause
(ii).
(B) Updating rate
The Secretary shall update such per resi-
dent amount for each such qualified teach-
ing health center as determined appropriate
by the Secretary.
(d) Amount of payment for indirect medical edu-
cation
(1) In general
The amount determined under this sub-
section for payments to qualified teaching
health centers for indirect expenses associated
with the additional costs of teaching residents
for a fiscal year is equal to an amount deter-
mined appropriate by the Secretary.
(2) Factors
In determining the amount under paragraph
(1), the Secretary shall—
(A) evaluate indirect training costs rel-
ative to supporting a primary care residency
program in qualified teaching health cen-
ters; and
(B) based on this evaluation, assure that
the aggregate of the payments for indirect
expenses under this section and the pay-
ments for direct graduate medical education
as determined under subsection (c) in a fis-
cal year do not exceed the amount appro-
priated for such expenses as determined in
subsection (g).
(3) Interim payment
Before the Secretary makes a payment
under this subsection pursuant to a deter-
mination of indirect expenses under paragraph
(1), the Secretary may provide to qualified
teaching health centers a payment, in addi-
tion to any payment made under subsection
(c), for expected indirect expenses associated
with the additional costs of teaching residents
for a fiscal year, based on an estimate by the
Secretary.
(e) Clarification regarding relationship to other
payments for graduate medical education
Payments under this section—
(1) shall be in addition to any payments—
(A) for the indirect costs of medical edu-
cation under section 1395ww(d)(5)(B) of this
title;
(B) for direct graduate medical education
costs under section 1395ww(h) of this title;
and
(C) for direct costs of medical education
under section 1395ww(k) of this title;
(2) shall not be taken into account in apply-
ing the limitation on the number of total full-
time equivalent residents under subparagraphs
(F) and (G) of section 1395ww(h)(4) of this title
and clauses (v), (vi)(I), and (vi)(II) of section
Page 452
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 256h
2 See References in Text note below.
3 So in original.
1395ww(d)(5)(B) of this title for the portion of
time that a resident rotates to a hospital; and
(3) shall not include the time in which a resi-
dent is counted toward full-time equivalency
by a hospital under paragraph (2) or under sec-
tion 1395ww(d)(5)(B)(iv) of this title, section
1395ww(h)(4)(E) of this title, or section 256e of
this title.
(f) Reconciliation
The Secretary shall determine any changes to
the number of residents reported by a teaching
health center in the application of the teaching
health center for the current fiscal year to de-
termine the final amount payable to the teach-
ing health center for the current fiscal year for
both
direct
expense
and
indirect
expense
amounts. Based on such determination, the Sec-
retary shall recoup any overpayments made to
pay any balance due to the extent possible. The
final amount so determined shall be considered
a final intermediary determination for the pur-
poses of section 1395oo of this title and shall be
subject to administrative and judicial review
under that section in the same manner as the
amount of payment under section 1395ww(d) 2 of
this title is subject to review under such sec-
tion.
(g) Funding
(1) In general
To carry out this section, there are appro-
priated such sums as may be necessary, to re-
main available until expended, not to exceed—
(A) $230,000,000, for the period of fiscal
years 2011 through 2015;
(B) $60,000,000 for each of fiscal years 2016
and 2017;
(C) $126,500,000 for each of fiscal years 2018
through 2023;
(D) $16,635,616 for the period beginning on
October 1, 2023, and ending on November 17,
2023, $21,834,247 for the period beginning on
November 18, 2023, and ending on January 19,
2024, $16,982,192 for the period beginning on
January 20, 2024, and ending on March 8,
2024, and $164,136,986 for the period beginning
on October 1, 2023,3 and ending on December
31, 2024; and
(E) $43,150,685 for the period beginning on
January 1, 2025, and ending on March 31,
2025.
(2) Administrative expenses
Of the amount made available to carry out
this section for any fiscal year, the Secretary
may not use more than 5 percent of such
amount for the expenses of administering this
section.
(h) Annual reporting required
(1) Annual report
The report required under this paragraph for
a qualified teaching health center for a fiscal
year is a report that includes (in a form and
manner specified by the Secretary) the fol-
lowing information for the residency academic
year completed immediately prior to such fis-
cal year:
(A) The types of primary care resident ap-
proved training programs that the qualified
teaching health center provided for resi-
dents.
(B) The number of approved training posi-
tions for residents described in paragraph
(4).
(C) The number of residents described in
paragraph (4) who completed their residency
training at the end of such residency aca-
demic year and care for vulnerable popu-
lations living in underserved areas.
(D) The number of patients treated by resi-
dents described in paragraph (4).
(E) The number of visits by patients treat-
ed by residents described in paragraph (4).
(F) Of the number of residents described in
paragraph (4) who completed their residency
training at the end of such residency aca-
demic year, the number and percentage of
such residents entering primary care prac-
tice (meaning any of the areas of practice
listed in the definition of a primary care
residency program in section 293l–1 of this
title).
(G) Of the number of residents described in
paragraph (4) who completed their residency
training at the end of such residency aca-
demic year, the number and percentage of
such residents who entered practice at a
health care facility—
(i) primarily serving a health profes-
sional shortage area with a designation in
effect under section 254e of this title or a
medically underserved community (as de-
fined in section 295p of this title); or
(ii) located in a rural area (as defined in
section 1395ww(d)(2)(D) of this title).
(H) Other information as deemed appro-
priate by the Secretary.
(2) Audit authority; limitation on payment
(A) Audit authority
The Secretary may audit a qualified teach-
ing health center to ensure the accuracy and
completeness of the information submitted
in a report under paragraph (1).
(B) Limitation on payment
A teaching health center may only receive
payment in a cost reporting period for a
number of such resident positions that is
greater than the base level of primary care
resident positions, as determined by the Sec-
retary. For purposes of this subparagraph,
the ‘‘base level of primary care residents’’
for a teaching health center is the level of
such residents as of a base period.
(3) Reduction in payment for failure to report
(A) In general
The amount payable under this section to
a qualified teaching health center for a fis-
cal year shall be reduced by at least 25 per-
cent if the Secretary determines that—
(i) the qualified teaching health center
has failed to provide the Secretary, as an
addendum to the qualified teaching health
center’s application under this section for
such fiscal year, the report required under
paragraph (1) for the previous fiscal year;
or
Page 453
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 256h
(ii) such report fails to provide complete
and accurate information required under
any subparagraph of such paragraph.
(B) Notice and opportunity to provide accu-
rate and missing information
Before imposing a reduction under sub-
paragraph (A) on the basis of a qualified
teaching health center’s failure to provide
complete
and
accurate
information
de-
scribed in subparagraph (A)(ii), the Sec-
retary shall provide notice to the teaching
health center of such failure and the Sec-
retary’s intention to impose such reduction
and shall provide the teaching health center
with the opportunity to provide the required
information within the period of 30 days be-
ginning on the date of such notice. If the
teaching health center provides such infor-
mation within such period, no reduction
shall be made under subparagraph (A) on the
basis of the previous failure to provide such
information.
(4) Residents
The residents described in this paragraph
are those who are in part-time or full-time
equivalent resident training positions at a
qualified teaching health center in any ap-
proved graduate medical residency training
program.
(i) Regulations
The Secretary shall promulgate regulations to
carry out this section.
(j) Definitions
In this section:
(1) Approved graduate medical residency train-
ing program
The term ‘‘approved graduate medical resi-
dency training program’’ means a residency or
other postgraduate medical training pro-
gram—
(A) participation in which may be counted
toward certification in a specialty or sub-
specialty and includes formal postgraduate
training programs in geriatric medicine ap-
proved by the Secretary; and
(B) that meets criteria for accreditation
(as established by the Accreditation Council
for Graduate Medical Education, the Amer-
ican Osteopathic Association, or the Amer-
ican Dental Association).
(2) New approved graduate medical residency
training program
The term ‘‘new approved graduate medical
residency training program’’ means an ap-
proved graduate medical residency training
program for which the sponsoring qualified
teaching health center has not received a pay-
ment under this section for a previous fiscal
year (other than pursuant to subsection
(a)(1)(C)).
(3) Primary care residency program
The term ‘‘primary care residency program’’
has the meaning given that term in section
293l–1 of this title.
(4) Qualified teaching health center
The term ‘‘qualified teaching health center’’
has the meaning given the term ‘‘teaching
health center’’ in section 293l–1 of this title.
(July 1, 1944, ch. 373, title III, § 340H, as added
Pub. L. 111–148, title V, § 5508(c), Mar. 23, 2010, 124
Stat. 670; amended Pub. L. 114–10, title II,
§ 221(b), Apr. 16, 2015, 129 Stat. 154; Pub. L. 115–63,
title III, § 301(a), Sept. 29, 2017, 131 Stat. 1171;
Pub. L. 115–96, div. C, title I, § 3101(c), Dec. 22,
2017, 131 Stat. 2048; Pub. L. 115–123, div. E, title
IX, § 50901(d)(1)–(3), (5), (6), Feb. 9, 2018, 132 Stat.
287–289; Pub. L. 116–59, div. B, title I, § 1101(c),
Sept. 27, 2019, 133 Stat. 1102; Pub. L. 116–69, div.
B, title I, § 1101(c), Nov. 21, 2019, 133 Stat. 1136;
Pub. L. 116–94, div. N, title I, § 401(c), Dec. 20,
2019, 133 Stat. 3113; Pub. L. 116–136, div. A, title
III, § 3831(c), Mar. 27, 2020, 134 Stat. 434; Pub. L.
116–159, div. C, title I, § 2101(c), Oct. 1, 2020, 134
Stat. 728; Pub. L. 116–215, div. B, title II, § 1201(c),
Dec. 11, 2020, 134 Stat. 1044; Pub. L. 116–260, div.
BB, title III, § 301(c), Dec. 27, 2020, 134 Stat. 2922;
Pub. L. 118–15, div. B, title III, § 2321(a), Sept. 30,
2023, 137 Stat. 94; Pub. L. 118–22, div. B, title II,
§ 201(a), Nov. 17, 2023, 137 Stat. 119; Pub. L. 118–35,
div. B, title I, § 101(a), Jan. 19, 2024, 138 Stat. 4;
Pub. L. 118–42, div. G, title I, § 101(c)(1), (2), Mar.
9, 2024, 138 Stat. 397; Pub. L. 118–158, div. C, title
I, § 3101(c), Dec. 21, 2024, 138 Stat. 1762.)
Editorial Notes
REFERENCES IN TEXT
Section 4410 of the Balanced Budget Act of 1997, re-
ferred to in subsec. (c)(2)(A)(ii), is section 4410 of Pub.
L. 105–33, which is set out as a note under section
1395ww of this title.
Section 1395ww(d) of this title, referred to in subsec.
(f), was in the original ‘‘section 1186(d) of such Act’’,
and was translated as meaning section 1886(d) of act
Aug. 14, 1935, ch. 531, known as the Social Security Act,
to reflect the probable intent of Congress. The Social
Security Act does not contain a section 1186.
CODIFICATION
Another section 340H of act July 1, 1944, was renum-
bered section 340I and is classified to section 256i of this
title.
AMENDMENTS
2024—Subsec. (b)(2)(C). Pub. L. 118–42, § 101(c)(2), added
subpar. (C).
Subsec. (g)(1). Pub. L. 118–158, § 3101(c)(2), substituted
‘‘, not to exceed—’’ and subpars. (A) to (E) for period at
end.
Pub. L. 118–158, § 3101(c)(1), struck out ‘‘not to exceed
$230,000,000, for the period of fiscal years 2011 through
2015, $60,000,000 for each of fiscal years 2016 and 2017,
$126,500,000 for each of fiscal years 2018 through 2023,
$16,635,616 for the period beginning on October 1, 2023,
and ending on November 17, 2023, $21,834,247 for the pe-
riod beginning on November 18, 2023, and ending on
January 19, 2024, $16,982,192 for the period beginning on
January 20, 2024, and ending on March 8, 2024, and
$164,136,986 for the period beginning on October 1, 2023,
and ending on December 31, 2024,’’ after ‘‘as may be nec-
essary,’’.
Pub. L. 118–42, § 101(c)(1), substituted ‘‘$16,982,192 for
the period beginning on January 20, 2024, and ending on
March 8, 2024, and $164,136,986 for the period beginning
on October 1, 2023, and ending on December 31, 2024’’ for
‘‘and $16,982,192 for the period beginning on January 20,
2024, and ending on March 8, 2024’’.
Pub. L. 118–35 substituted ‘‘$21,834,247 for the period
beginning on November 18, 2023, and ending on January
19, 2024, and $16,982,192 for the period beginning on Jan-
uary 20, 2024, and ending on March 8, 2024’’ for ‘‘and
$21,834,247 for the period beginning on November 18,
2023, and ending on January 19, 2024’’.
2023—Subsec.
(g)(1).
Pub.
L.
118–22
substituted
‘‘$16,635,616 for the period beginning on October 1, 2023,
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-
Cross-references
Connections may be documented source relationships, shared citations or nearby passages. Each explains its basis; a connection alone does not establish applicability to your situation.
Federal law — U.S. Code and appendices · legal_authorities
**(a) Health care of the aged and disabled** The Secretary shall carry on studies and develop recommendations to be submitted from time to time to the Congress relating to health care of the aged and the disabled, including studies and recommendations concerning (1) the adequacy of existing personnel and facilities for health care for purposes of the programs under parts A and B of this subchapter; (2) methods for encouraging the further development of efficient and economical forms of health care which are a constructive alternative to inpatient hospital care; and (3) the effects of the deductibles and coinsurance provisions upon beneficiaries, persons who provide health services, and the financing of the program.
**(b) Operation and administration of insurance programs** The Secretary shall make a continuing study of the operation and administration of this subchapter (including a validation of the accreditation process of national accreditation bodies under [section 1395bb(a) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395bb/a&num=0&edition=prelim) 11 So in original. Probably should be followed by a comma. the operation and administration of health maintenance organizations authorized by section 226 of the Social Security Amendments of 1972 [[42 U.S.C. 1395mm](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395mm&num=0&edition=prelim)], the experiments and demonstration projects authorized by section 402 of the Social Security Amendments of 1967 [[42 U.S.C. 1395b–1](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395b-1&num=0&edition=prelim)] and the experiments and demonstration projects authorized by section 222(a) of the Social Security Amendments of 1972 [[4
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1395ww
Stored review status: release_metadata_unconfirmed. The source passage cites 42 U.S.C. § 1395ww. This identifies an authority to review, not proof of applicability.
Federal law — U.S. Code and appendices · legal_authorities
Page 3807
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 1395ww
Editorial Notes
AMENDMENTS
1982—Subsec. (d). Pub. L. 97–248 redesignated second
subsec. (c), relating to hearing to review determina-
tion, as subsec. (d).
Statutory Notes and Related Subsidiaries
EFFECTIVE DATE OF 1982 AMENDMENT
Amendment by Pub. L. 97–248 effective as if originally
included as part of this section as this section was en-
acted by the Omnibus Budget Reconciliation Act of
1981, Pub. L. 97–35, see section 128(e)(2) of Pub. L. 97–248,
set out as a note under section 1395x of this title.
EFFECTIVE DATE
Pub. L. 97–35, title XXI, § 2101(c), Aug. 13, 1981, 95 Stat.
787, provided that: ‘‘The amendment made by sub-
section (a) [enacting this section and amending section
1396b of this title] shall apply only to services furnished
by a hospital during any accounting year beginning on
or after October 1, 1981.’’
PAYMENTS TO PROMOTE CLOSURE AND CONVERSION OF
UNDERUTILIZED HOSPITAL FACILITIES
Pub. L. 98–369, div. B, title III, § 2353, July 18, 1984, 98
Stat. 1099, directed Secretary of Health and Human
Services to carry out a study and report to Congress
prior to Mar. 31, 1985, on modifications required in this
section in order to conform the closure and conversion
program authorized in that section to the prospective
payment system under section 1395ww(d) of this title,
so as to provide assistance to hospitals which may have
particular problems in converting facilities (or parts
thereof) from acute care to less intensive care or in
closing facilities (or parts thereof), such report to in-
clude recommendations as to how, and whether, imple-
mentation of this section as modified may result in re-
ductions in total hospital inpatient costs and total ex-
penditures under this subchapt
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 1395ww
Stored review status: historical_2024_not_currentness_verified. The source passage cites 42 U.S.C. § 1395ww. This identifies an authority to review, not proof of applicability.
Federal law — U.S. Code and appendices · legal_authorities
**(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
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 256h
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** 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
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 293l
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Federal law — U.S. Code and appendices · legal_authorities
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(
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 293l
Stored review status: historical_2024_not_currentness_verified. The source passage cites 42 U.S.C. § 293l. This identifies an authority to review, not proof of applicability.