Arkansas Legal Resource Navigator

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

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

Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 256h

Stored review status: historical_2024_not_currentness_verified. A text match is a research starting point; applicability is not established.

Original supplied file — preserved unchanged

Download original Markdown file

File SHA-256: 542a21fbac659ecbdbbc66dcb65045d748cea4959ab9399170e2a98188d25665. The original may include catalog metadata, neighboring provisions, or embedded records outside this collection's scope. Search shows only the selected federal record. Historical editions and unverified snapshots are not a statement of current law.

Authority boundary: historical or unconfirmed source not current law verified.

Open the recorded source website ↗

Record provenance

Stable record: federal_law:legal_authorities:usc2024-a730355ae1ad93714468f6c9
Source file: Laws/federal/codes/united-states-code-2024/title-42/section-256h-program-of-payments-to-teaching-health--b9f209d286.md
Pages: Not recorded – Not recorded
Passage SHA-256: 4ded2d664d72d95cb9918e2231ea45423bed1e7fe0749dda7126c9221774fadd

Source location: USCODE-2024-title42-chap6A-subchapII-partD-subpartxi-sec256h.pdf

Stored source content

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

42 U.S.C. § 1395ww — Studies and recommendations

**(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

42 U.S.C. § 1395ww — Payments to hospitals for inpatient

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

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

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

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

Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 293l

Stored review status: release_metadata_unconfirmed. The source passage cites 42 U.S.C. § 293l. This identifies an authority to review, not proof of applicability.

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(

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.