42 U.S.C. § 291a — Authorization of appropriations

Page 966 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 291 (2) improving the quality of mental and sub- stance use disorder prevention and treatment services delivered to racial and ethnic minor- ity populations; and (3) increasing the number of culturally com- petent mental and substance use disorders professionals who teach, administer services, conduct research, and provide direct mental or substance use disorder services to racial and ethnic minority populations. (b) Training covered The fellowships awarded under subsection (a) shall be for postbaccalaureate training (includ- ing for master’s and doctoral degrees) for men- tal and substance use disorder treatment profes- sionals, including in the fields of psychiatry, nursing, social work, psychology, marriage and family therapy, mental health counseling, and substance use disorder and addiction counseling. (c) Authorization of appropriations To carry out this section, there are authorized to be appropriated $25,000,000 for each of fiscal years 2023 through 2027. (July 1, 1944, ch. 373, title V, § 597, as added Pub. L. 114–255, div. B, title IX, § 9024, Dec. 13, 2016, 130 Stat. 1253; amended Pub. L. 117–328, div. FF, title I, § 1312, Dec. 29, 2022, 136 Stat. 5697.) Editorial Notes AMENDMENTS 2022—Subsec. (c). Pub. L. 117–328 substituted ‘‘$25,000,000 for each of fiscal years 2023 through 2027’’ for ‘‘$12,669,000 for each of fiscal years 2018 through 2022’’. SUBCHAPTER IV—CONSTRUCTION AND MODERNIZATION OF HOSPITALS AND OTHER MEDICAL FACILITIES § 291. Congressional declaration of purpose The purpose of this subchapter is— (a) to assist the several States in the car- rying out of their programs for the construc- tion and modernization of such public or other nonprofit community hospitals and other med- ical facilities as may be necessary, in conjunc- tion with existing facilities, to furnish ade- quate hospital, clinic, or similar services to all their people; (b) to stimulate the development of new or improved types of physical facilities for med- ical, diagnostic, preventive, treatment, or re- habilitative services; and (c) to promote research, experiments, and demonstrations relating to the effective devel- opment and utilization of hospital, clinic, or similar services, facilities, and resources, and to promote the coordination of such research, experiments, and demonstrations and the use- ful application of their results. (July 1, 1944, ch. 373, title VI, § 600, as added Pub. L. 88–443, § 3(a), Aug. 18, 1964, 78 Stat. 447.) Editorial Notes PRIOR PROVISIONS A prior section 291, act July 1, 1944, ch. 373, title VI, § 601, as added Aug. 13, 1946, ch. 958, § 2, 60 Stat. 1041; amended Oct. 25, 1949, ch. 722, § 6, 63 Stat. 900; July 12, 1954, ch. 471, § 4(a), 68 Stat. 464, related to subject mat- ter similar to this section, prior to the general amend- ment of this subchapter by Pub. L. 88–443. Provisions similar to those comprising this section were contained in former section 291o, act July 1, 1944, ch. 373, title VI, § 641, as added July 12, 1954, ch. 471, § 2, 68 Stat. 461, prior to the general amendment of this subchapter by Pub. L. 88–443. Statutory Notes and Related Subsidiaries EFFECTIVE DATE Pub. L. 88–443, § 3(b), Aug. 18, 1964, 78 Stat. 461, as amended by Pub. L. 91–296, title I, § 120, June 30, 1970, 84 Stat. 343, provided that: ‘‘The amendment made by sub- section (a) [enacting this section and sections 291a to 291j, 291k to 291m, 291n, and 291o of this title] shall be- come effective upon the date of enactment of this Act [Aug. 18, 1964], except that— ‘‘(1) all applications approved by the Surgeon Gen- eral under title VI of the Public Health Service Act [42 U.S.C. 291 et seq.] prior to such date, and allot- ments of sums appropriated prior to such date, shall be governed by the provisions of such title VI in ef- fect prior to such date; ‘‘(2) allotment percentages promulgated by the Sur- geon General under such title VI during 1962 shall continue to be effective for purposes of such title as amended by this Act for the fiscal year ending June 30, 1965; ‘‘(3) the terms of members of the Federal Hospital Council who are serving on such Council prior to such date shall expire on the date they would have expired had this Act not been enacted; ‘‘(4) the provisions of the fourth sentence of section 636(a) of the Public Health Service Act [former 42 U.S.C. 291n(a)], as in effect prior to the enactment of this Act, shall apply in lieu of the fourth sentence of section 624(a) of the Public Health Service Act [former 42 U.S.C. 291n(a)], as amended by this Act, in the case of any project for construction of a facility or for acquisition of equipment with respect to which a grant for any part thereof or for planning such con- struction or equipment was made prior to the enact- ment of this Act; ‘‘(5) no application with respect to a project for modernization of any facility in any State may be ap- proved by the Surgeon General, for purposes of re- ceiving funds from an allotment under section 602(a)(2) of the Public Health Service Act, as amended by this Act [42 U.S.C. 291b(a)(2)], before July 1, 1965, or before such State has had a State plan approved by the Surgeon General as meeting the requirements of section 604(a)(4)(E) [42 U.S.C. 291d(a)(4)(E)] as well as the other requirements of section 604 of such Act as so amended [42 U.S.C. 291d]; ‘‘(6) the provisions of clause (b) of section 609 of the Public Health Service Act [42 U.S.C. 291i], as amended by this Act, shall apply with respect to any project whether it was approved, and whether the event spec- ified in such clause occurred, before, on, or after the date of enactment of this Act [June 30, 1970], except that it shall not apply in the case of any project with respect to which recovery under title VI of such Act [42 U.S.C. 291 et seq.] has been made prior to the en- actment of this paragraph.’’ PART A—GRANTS AND LOANS FOR CONSTRUCTION AND MODERNIZATION OF HOSPITALS AND OTHER MEDICAL FACILITIES § 291a. Authorization of appropriations In order to assist the States in carrying out the purposes of section 291 of this title, there are authorized to be appropriated— (a) for the fiscal year ending June 30, 1974— (1) $20,800,000 for grants for the construc- tion of public or other nonprofit facilities for long-term care; Page 967 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 291b (2) $70,000,000 for grants for the construc- tion of public or other nonprofit outpatient facilities; (3) $15,000,000 for grants for the construc- tion of public or other nonprofit rehabilita- tion facilities; (b) for grants for the construction of public or other nonprofit hospitals and public health centers, $150,000,000 for the fiscal year ending June 30, 1965, $160,000,000 for the fiscal year ending June 30, 1966, $170,000,000 for the fiscal year ending June 30, 1967, $180,000,000 each for the next two fiscal years, $195,000,000 for the fiscal year ending June 30, 1970, $147,500,000 for the fiscal year ending June 30, 1971, $152,500,000 for the fiscal year ending June 30, 1972, $157,500,000 for the fiscal year ending June 30, 1973, and $41,400,000 for the fiscal year ending June 30, 1974; and (c) for grants for modernization of the facili- ties referred to in paragraphs (a) and (b), $65,000,000 for the fiscal year ending June 30, 1971, $80,000,000 for the fiscal year ending June 30, 1972, $90,000,000 for the fiscal year ending June 30, 1973, and $50,000,000 for the fiscal year ending June 30, 1974. (July 1, 1944, ch. 373, title VI, § 601, as added Pub. L. 88–443, § 3(a), Aug. 18, 1964, 78 Stat. 448; amend- ed Pub. L. 90–574, title IV, § 402(a), Oct. 15, 1968, 82 Stat. 1011; Pub. L. 91–296, title I, §§ 101(a), 102(a), 116(a), June 30, 1970, 84 Stat. 337, 341; Pub. L. 93–45, title I, § 108(a), June 18, 1973, 87 Stat. 92.) Editorial Notes PRIOR PROVISIONS A prior section 291a, act July 1, 1944, ch. 373, title VI, § 611, as added Aug. 13, 1946, ch. 958, § 2, 60 Stat. 1041, au- thorized appropriations for surveys and planning, prior to the general amendment of this subchapter by Pub. L. 88–443. A prior section 291d, act July 1, 1944, ch. 373, title VI, § 621, as added Aug. 13, 1946, ch. 958, § 2, 60 Stat. 1041; amended Oct. 25, 1949, ch. 722, § 2(a), 63 Stat. 897; July 27, 1953, ch. 243, 67 Stat. 196; Aug. 2, 1956, ch. 871, title IV, § 401, 70 Stat. 929; Aug. 14, 1958, Pub. L. 85–664, § 1(a), 72 Stat. 616, related to subject matter similar to this section, prior to the general amendment of this sub- chapter by Pub. L. 88–443. A prior section 291p, act July 1, 1944, ch. 373, title VI, § 646, as added July 12, 1954, ch. 471, § 2, 68 Stat. 461, re- lated to subject matter similar to this section, prior to the general amendment of this subchapter by Pub. L. 88–443. A prior section 291s, act July 1, 1944, ch. 373, title VI, § 651, as added July 12, 1954, ch. 471, § 3, 68 Stat. 462; amended Aug. 2, 1956, ch. 871, title IV, § 402, 70 Stat. 929; Aug. 14, 1958, Pub. L. 85–664, § 1(b), 72 Stat. 616; Oct. 5, 1961, Pub. L. 87–395, § 3(a), 75 Stat. 825, related to subject matter similar to this section, prior to the general amendment of this subchapter by Pub. L. 88–443. AMENDMENTS 1973—Subsec. (a). Pub. L. 93–45, § 108(a)(1), substituted introductory text reading ‘‘fiscal year ending June 30, 1974’’ for ‘‘fiscal year ending June 30, 1965, and each of the next eight fiscal years’’ and in cl. (1) ‘‘$20,800,000’’ for ‘‘$85,000,000’’. Subsec. (b). Pub. L. 93–45, § 108(a)(2), authorized appro- priations of $41,400,000 for fiscal year ending June 30, 1974. Subsec. (c). Pub. L. 93–45, § 108(a)(3), authorized appro- priations of $50,000,000 for fiscal year ending June 30, 1974. 1970—Par. (a). Pub. L. 91–296, §§ 101(a)(1), (2), 116(a), substituted ‘‘outpatient facilities’’ for ‘‘diagnostic or treatment centers’’ in enumeration of facilities eligible for construction grants, extended through fiscal year ending June 30, 1973, authority to appropriate funds for construction grants, increased from $70,000,000 to $85,000,000 annual authority to make grants for public or other nonprofit facilities for long-term care, from $20,000,000 to $70,000,000 authority for public or other nonprofit outpatient facilities, and from $10,000,000 to $15,000,000 authority for public or other nonprofit reha- bilitation facilities. Par. (b). Pub. L. 91–296, §§ 101(a)(3), 102(a)(1), struck out provisions authorizing grants for modernization of facilities and inserted provisions authorizing appro- priation of $147,500,000 for fiscal year ending June 30, 1971, $152,500,000 for fiscal year ending June 30, 1972, and $157,500,000 for fiscal year ending June 30, 1973, for grants for construction of public or other nonprofit hospitals and public health centers. Par. (c). Pub. L. 91–296, § 102(a)(2), added par. (c). 1968—Par. (a). Pub. L. 90–574, § 402(a)(1), substituted ‘‘next five’’ for ‘‘next four’’. Par. (b). Pub. L. 90–574, § 402(a)(2), authorized appro- priation of $195,000,000 for fiscal year ending June 30, 1970. Statutory Notes and Related Subsidiaries EFFECTIVE DATE OF 1970 AMENDMENT Pub. L. 91–296, title I, § 101(b), June 30, 1970, 84 Stat. 337, provided that: ‘‘The amendments made by sub- section (a) [amending this section] shall take effect with respect to appropriations made under such section 601 [42 U.S.C. 291a] for fiscal years beginning after June 30, 1970.’’ Pub. L. 91–296, title I, § 102(a), June 30, 1970, 84 Stat. 337, provided that the amendment made by that section is effective with respect to appropriations made under this section for fiscal years beginning after June 30, 1970. § 291b. State allotments (a) Computation for individual States; formulas for both new construction and moderniza- tion (1) Each State shall be entitled for each fiscal year to an allotment bearing the same ratio to the sums appropriated for such year pursuant to subparagraphs (1), (2), and (3), respectively, of section 291a(a) of this title, and to an allotment bearing the same ratio to the sums appropriated for such year pursuant to section 291a(b) of this title, as the product of— (A) the population of such State, and (B) the square of its allotment percentage, bears to the sum of the corresponding products for all of the States. (2) For each fiscal year, the Secretary shall, in accordance with regulations, make allotments among the States, from the sums appropriated for such year under section 291a(c) of this title, on the basis of the population, the financial need, and the extent of the need for moderniza- tion of the facilities referred to in paragraphs (a) and (b) of section 291a of this title, of the re- spective States. (b) Minimum allotments (1) The allotment to any State under sub- section (a) for any fiscal year which is less than— (A) $50,000 for the Virgin Islands, American Samoa, the Trust Territory of the Pacific Is-