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38 U.S.C. § 8158 — Deposit in escrow
Federal law — U.S. Code and appendices · legal_authorities
Page 1367
TITLE 38—VETERANS’ BENEFITS
§ 8158
§ 8156. Coordination with health services devel-
opment activities carried out under the Na-
tional Health Planning and Resources Devel-
opment Act of 1974
The Secretary and the Secretary of Health and
Human Services shall, to the maximum extent
practicable, coordinate programs carried out
under this subchapter and programs carried out
under part F of title XVI of the Public Health
Service Act (42 U.S.C. 300t et seq.).
(Added Pub. L. 89–785, title II, § 203, Nov. 7, 1966,
80 Stat. 1375, § 5056; amended Pub. L. 94–581, title
I, § 115(a)(2), Oct. 21, 1976, 90 Stat. 2853; Pub. L.
97–295, § 4(93), (95)(A), Oct. 12, 1982, 96 Stat. 1313;
renumbered § 8156, Pub. L. 102–40, title IV,
§ 402(b)(1), May 7, 1991, 105 Stat. 238; Pub. L.
102–83, § 4(b)(1), (2)(E), Aug. 6, 1991, 105 Stat. 404,
405.)
Editorial Notes
REFERENCES IN TEXT
The National Health Planning and Resources Devel-
opment Act of 1974, referred to in section catchline, is
Pub. L. 93–641, Jan. 4, 1975, 88 Stat. 2225, which is classi-
fied generally to subchapters XIII (§ 300k et seq.) and
XIV (§ 300o et seq.) of chapter 6A of Title 42, The Public
Health and Welfare. For complete classification of this
Act to the Code, see Short Title of 1975 Amendment
note set out under section 201 of Title 42 and Tables.
The Public Health Service Act, referred to in text, is
act July 1, 1944, ch. 373, 58 Stat. 682. Part F of title XVI
of the Public Health Service Act was added by act Jan.
4, 1975, Pub. L. 93–641, § 4, 88 Stat. 2273, and was redesig-
nated as Part D by Pub. L. 96–79, title II, § 202(a), Oct.
4, 1979, 93 Stat. 632. Part D of that Act is classified gen-
erally to Part D (§ 300t) of subchapter XIV of chapter 6A
of Title 42. For complete classification
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Page 1367
TITLE 38—VETERANS’ BENEFITS
§ 8158
§ 8156. Coordination with health services devel-
opment activities carried out under the Na-
tional Health Planning and Resources Devel-
opment Act of 1974
The Secretary and the Secretary of Health and
Human Services shall, to the maximum extent
practicable, coordinate programs carried out
under this subchapter and programs carried out
under part F of title XVI of the Public Health
Service Act (42 U.S.C. 300t et seq.).
(Added Pub. L. 89–785, title II, § 203, Nov. 7, 1966,
80 Stat. 1375, § 5056; amended Pub. L. 94–581, title
I, § 115(a)(2), Oct. 21, 1976, 90 Stat. 2853; Pub. L.
97–295, § 4(93), (95)(A), Oct. 12, 1982, 96 Stat. 1313;
renumbered § 8156, Pub. L. 102–40, title IV,
§ 402(b)(1), May 7, 1991, 105 Stat. 238; Pub. L.
102–83, § 4(b)(1), (2)(E), Aug. 6, 1991, 105 Stat. 404,
405.)
Editorial Notes
REFERENCES IN TEXT
The National Health Planning and Resources Devel-
opment Act of 1974, referred to in section catchline, is
Pub. L. 93–641, Jan. 4, 1975, 88 Stat. 2225, which is classi-
fied generally to subchapters XIII (§ 300k et seq.) and
XIV (§ 300o et seq.) of chapter 6A of Title 42, The Public
Health and Welfare. For complete classification of this
Act to the Code, see Short Title of 1975 Amendment
note set out under section 201 of Title 42 and Tables.
The Public Health Service Act, referred to in text, is
act July 1, 1944, ch. 373, 58 Stat. 682. Part F of title XVI
of the Public Health Service Act was added by act Jan.
4, 1975, Pub. L. 93–641, § 4, 88 Stat. 2273, and was redesig-
nated as Part D by Pub. L. 96–79, title II, § 202(a), Oct.
4, 1979, 93 Stat. 632. Part D of that Act is classified gen-
erally to Part D (§ 300t) of subchapter XIV of chapter 6A
of Title 42. For complete classification of this Act to
the Code, see Short Title note set out under section 201
of Title 42 and Tables.
AMENDMENTS
1991—Pub. L. 102–40 renumbered section 5056 of this
title as this section.
Pub. L. 102–83 substituted ‘‘The Secretary’’ for ‘‘The
Administrator’’.
1982—Pub. L. 97–295, § 4(95)(A), substituted ‘‘Health
and Human Services’’ for ‘‘Health, Education, and Wel-
fare’’.
Pub. L. 97–295, § 4(93), inserted ‘‘(42 U.S.C. 300t et
seq.)’’ after ‘‘part F of title XVI of the Public Health
Service Act’’.
1976—Pub. L. 94–581 substituted ‘‘health services de-
velopment activities carried out under the National
Health Planning and Resources Development Act of
1974’’ for ‘‘programs carried out under the Heart Dis-
ease, Cancer, and Stroke Amendments of 1965’’ in sec-
tion catchline and ‘‘part F of title XVI’’ for ‘‘title IX’’
in text.
Statutory Notes and Related Subsidiaries
EFFECTIVE DATE OF 1976 AMENDMENT
Amendment by Pub. L. 94–581 effective Oct. 21, 1976,
see section 211 of Pub. L. 94–581, set out as a note under
section 111 of this title.
§ 8157. Joint title to medical equipment
(a) Subject to subsection (b), the Secretary
may enter into agreements with institutions de-
scribed in section 8153(a) of this title for the
joint acquisition of medical equipment.
(b)(1) The Secretary may not pay more than
one-half of the purchase price of equipment ac-
quired through an agreement under subsection
(a).
(2) Any equipment to be procured under such
an agreement shall be procured by the Sec-
retary. Title to such equipment shall be held
jointly by the United States and the institution.
(3) Before equipment acquired under such an
agreement may be used, the parties to the
agreement shall arrange by contract under sec-
tion 8153 of this title for the exchange or use of
the equipment.
(4) The Secretary may not contract for the ac-
quisition of medical equipment to be purchased
jointly under an agreement under subsection (a)
until the institution which enters into the
agreement provides to the Secretary its share of
the purchase price of the medical equipment.
(c)(1) Notwithstanding any other provision of
law, the Secretary may transfer the interest of
the Department in equipment acquired through
an agreement under subsection (a) to the insti-
tution which holds joint title to the equipment
if the Secretary determines that the transfer
would be justified by compelling clinical consid-
erations or the economic interest of the Depart-
ment. Any such transfer may only be made upon
agreement by the institution to pay to the De-
partment the amount equal to one-half of the
depreciated purchase price of the equipment.
Any such payment when received shall be cred-
ited to the applicable Department medical ap-
propriation.
(2) Notwithstanding any other provision of
law, the Secretary may acquire the interest of
an institution in equipment acquired under sub-
section (a) if the Secretary determines that the
acquisition would be justified by compelling
clinical considerations or the economic interests
of the Department. The Secretary may not pay
more than one-half the depreciated purchase
price of that equipment.
(Added Pub. L. 102–405, title I, § 103(a)(1), Oct. 9,
1992, 106 Stat. 1973.)
§ 8158. Deposit in escrow
(a) To facilitate the procurement of medical
equipment pursuant to section 8157 of this title,
the Secretary may enter into escrow agreements
with institutions described in section 8153(a) of
this title. Any such agreement shall provide
that—
(1) the institutions shall pay to the Sec-
retary the funds necessary to make a payment
under section 8157(b)(4) of this title;
(2) the Secretary, as escrow agent, shall ad-
minister those funds in an escrow account; and
(3) the Secretary shall disburse the escrowed
funds to pay for such equipment upon its de-
livery or in accordance with the contract to
procure the equipment and shall disburse all
accrued interest or other earnings on the
escrowed funds to the institution.
(b) As escrow agent for funds placed in escrow
pursuant to an agreement under subsection (a),
the Secretary may—
(1) invest the escrowed funds in obligations
of the Federal Government or obligations
which are insured or guaranteed by the Fed-
eral Government;
(2) retain in the escrow account interest or
other earnings on such investments;
Page 1368
TITLE 38—VETERANS’ BENEFITS
§ 8159
(3) disburse the funds pursuant to the escrow
agreement; and
(4) return undisbursed funds to the institu-
tion.
(c)(1) If the Secretary enters into an escrow
agreement under this section, the Secretary
may enter into an agreement to procure medical
equipment if one-half the purchase price of the
equipment is available in an appropriation or
fund for the expenditure or obligation.
(2) Funds held in an escrow account under this
section shall not be considered to be public
funds.
(Added Pub. L. 102–405, title I, § 103(a)(1), Oct. 9,
1992, 106 Stat. 1974.)
§ 8159. Authority to pay for services authorized
but not subject to an agreement
(a) IN GENERAL.—If, in the course of furnishing
hospital care, a medical service, or an extended
care service authorized by the Secretary and
pursuant to a contract, agreement, or other ar-
rangement with the Secretary, a provider who is
not a party to the contract, agreement, or other
arrangement furnishes hospital care, a medical
service, or an extended care service that the
Secretary considers necessary, the Secretary
may compensate the provider for the cost of
such care or service.
(b) NEW
CONTRACTS
AND
AGREEMENTS.—The
Secretary shall take reasonable efforts to enter
into a contract, agreement, or other arrange-
ment with a provider described in subsection (a)
to ensure that future care and services author-
ized by the Secretary and furnished by the pro-
vider are subject to such a contract, agreement,
or other arrangement.
(Added Pub. L. 115–182, title I, § 112(a), June 6,
2018, 132 Stat. 1421.)
SUBCHAPTER V—ENHANCED-USE LEASES
OF REAL PROPERTY
§ 8161. Definitions
For the purposes of this subchapter:
(1) The term ‘‘enhanced-use lease’’ means a
written lease entered into by the Secretary
under this subchapter.
(2) The term ‘‘congressional veterans’ affairs
committees’’ means the Committees on Vet-
erans’ Affairs of the Senate and the House of
Representatives.
(3) The term ‘‘supportive housing’’ means
housing that engages tenants in on-site and
community-based support services for vet-
erans or their families that are at risk of
homelessness or are homeless. Such term may
include the following:
(A) Transitional housing.
(B) Single-room occupancy.
(C) Permanent housing.
(D) Congregate living housing.
(E) Independent living housing.
(F) Assisted living housing.
(G) Other modalities of housing.
(4) The term ‘‘lessee’’ means the party with
whom the Secretary has entered into an en-
hanced-use lease under this subchapter.
(5) The term ‘‘major enhanced-use lease’’
means an enhanced-use lease that includes
consideration consisting of an average annual
rent of more than $10,000,000.
(Added Pub. L. 102–86, title IV, § 401(a), Aug. 14,
1991, 105 Stat. 417; amended Pub. L. 112—154, title
II, § 211(a), Aug. 6, 2012, 126 Stat. 1179; Pub. L.
114–226, § 3(d), Sept. 29, 2016, 130 Stat. 932.)
Editorial Notes
AMENDMENTS
2016—Pars. (4), (5). Pub. L. 114–226 added pars. (4) and
(5).
2012—Par. (3). Pub. L. 112–154 added par. (3).
Statutory Notes and Related Subsidiaries
EFFECTIVE DATE OF 2012 AMENDMENT
Pub. L. 112—154, title II, § 211(k), Aug. 6, 2012, 126 Stat.
1182, provided that ‘‘Except as otherwise provided in
this section [enacting section 8168 of this title, amend-
ing this section and sections 8162, 8164 to 8167, and 8169
of this title, and enacting provisions set out as notes
under sections 8162 and 8168 of this title], the amend-
ments made by this section shall take effect on the
date of the enactment of this Act [Aug. 6, 2012].
TRAINING AND OUTREACH REGARDING AUTHORITY
Pub. L. 106–117, title II, § 208(f), Nov. 30, 1999, 113 Stat.
1568, provided that: ‘‘The Secretary [of Veterans Af-
fairs] shall take appropriate actions to provide training
and outreach to personnel at Department [of Veterans
Affairs] medical centers regarding the enhanced-use
lease authority under subchapter V of chapter 81 of
title 38, United States Code. The training and outreach
shall address methods of approaching potential lessees
in the medical or commercial sectors regarding the
possibility of entering into leases under that authority
and other appropriate matters.’’
INDEPENDENT ANALYSIS OF OPPORTUNITIES FOR USE OF
AUTHORITY
Pub. L. 106–117, title II, § 208(g), Nov. 30, 1999, 113 Stat.
1568, provided that:
‘‘(1) The Secretary [of Veterans Affairs] shall take
appropriate actions to secure from an appropriate enti-
ty (or entities) independent of the Department [of Vet-
erans Affairs] an analysis (or analyses) of opportunities
for the use of the enhanced-use lease authority under
subchapter V of chapter 81 of title 38, United States
Code.
‘‘(2) An analysis under paragraph (1) shall include—
‘‘(A) a survey of facilities of the Department for
purposes of identifying Department property that
presents an opportunity for lease under the enhanced-
use lease authority;
‘‘(B) an assessment of the feasibility of entering
into enhanced-use leases under that authority in the
case of any property identified under subparagraph
(A) as presenting an opportunity for such lease; and
‘‘(C) an assessment of the resources required at the
Department facilities concerned, and at the Depart-
ment Central Office, in order to facilitate the enter-
ing into of enhanced-used leases in the case of prop-
erty so identified.
‘‘(3) If as a result of a survey under paragraph (2)(A)
an entity carrying out an analysis under this sub-
section determines that a particular Department prop-
erty presents no opportunities for lease under the en-
hanced-use lease authority, the analysis shall include
the entity’s explanation of that determination.
‘‘(4) If as a result of such a survey an entity carrying
out an analysis under this subsection determines that
certain Department property presents an opportunity
for lease under the enhanced-use lease authority, the
analysis shall include a single integrated business plan,
developed by the entity, that addresses the strategy
and resources necessary to implement the plan for all
Cross-references
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Federal law — U.S. Code and appendices · legal_authorities
**(a)** To facilitate the procurement of medical equipment pursuant to [section 8157 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title38-section8157&num=0&edition=prelim), the Secretary may enter into escrow agreements with institutions described in [section 8153(a) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title38-section8153/a&num=0&edition=prelim). Any such agreement shall provide that—
(1) the institutions shall pay to the Secretary the funds necessary to make a payment under [section 8157(b)(4) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title38-section8157/b/4&num=0&edition=prelim);
(2) the Secretary, as escrow agent, shall administer those funds in an escrow account; and
(3) the Secretary shall disburse the escrowed funds to pay for such equipment upon its delivery or in accordance with the contract to procure the equipment and shall disburse all accrued interest or other earnings on the escrowed funds to the institution.
**(b)** As escrow agent for funds placed in escrow pursuant to an agreement under subsection (a), the Secretary may—
(1) invest the escrowed funds in obligations of the Federal Government or obligations which are insured or guaranteed by the Federal Government;
(2) retain in the escrow account interest or other earnings on such investments;
(3) disburse the funds pursuant to the escrow agreement; and
(4) return undisbursed funds to the institution.
**(c)**
(1) If the Secretary enters into an escrow agreement under this section, the Secretary may enter into an agreement to procure medical equipment if one-half the purchase price of the equipment is available in an appropriation or fund for the expenditure or obligation.
(2) Funds held in a
Source: Supplied U.S. Code snapshot — release unconfirmed · 38 U.S.C. § 8158
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
The Secretary shall provide (either through the Department of Health and Human Services or by contract) all necessary technical and other nonfinancial assistance to any public or other entity which is eligible to apply for assistance under this subchapter to assist such entity in developing applications to be submitted to the Secretary under section 300s–1 or 300t–12 of this title. The Secretary shall make every effort to inform eligible applicants of the availability of assistance under this subchapter.
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 300t
Stored review status: release_metadata_unconfirmed. The source passage cites 42 U.S.C. § 300t. This identifies an authority to review, not proof of applicability.
Federal law — U.S. Code and appendices · legal_authorities
Page 1363
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 300t–11
1 See References in Text note below.
Attorney General upon request of the Secretary)
which will effect compliance by the entity with
such assurances. An action to effectuate compli-
ance with any such assurance may be brought
by a person other than the Secretary only if a
complaint has been filed by such person with the
Secretary and the Secretary has dismissed such
complaint or the Attorney General has not
brought a civil action for compliance with such
assurance within six months after the date on
which the complaint was filed with the Sec-
retary.
(July 1, 1944, ch. 373, title XVI, § 1627, as added
Pub. L. 96–79, title II, § 202(c), Oct. 4, 1979, 93
Stat. 634.)
Statutory Notes and Related Subsidiaries
EFFECTIVE DATE
Section effective Oct. 1, 1979, see section 204 of Pub.
L. 96–79, set out as an Effective Date of 1979 Amend-
ment note under section 300q of this title.
PART D—AREA HEALTH SERVICES DEVELOPMENT
FUNDS
Editorial Notes
CODIFICATION
Pub. L. 96–79, title II, § 202(a), Oct. 4, 1979, 93 Stat. 632,
redesignated former part F as part D relating to area
health services development funds and former part D as
part B.
§ 300t. Development grants for health systems
agencies
(a) Eligible recipients; purpose of grants
The Secretary shall make in each fiscal year a
grant to each health system agency—
(1) with which there is in effect a designa-
tion agreement under section 300l–4(c) 1 of this
title,
(2) which has in effect an HSP and AIP re-
viewed by the Statewide Health Coordinating
Council, and
(3) which, as determined under the review
made under section 300n–4(c) 1 of this title, is
organized and operated in the manner pre-
scribed by section 300l–1(b) 1 of this title and is
pe
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 300t
Stored review status: historical_2024_not_currentness_verified. The source passage cites 42 U.S.C. § 300t. This identifies an authority to review, not proof of applicability.