Part A—Formula Grants to States
§300ee–11. Establishment of program
(a) Allotments for States
For the purpose described in subsection (b), the Secretary shall for each of the fiscal years 1989 through 1991 make an allotment for each State in an amount determined in accordance with
(b) Purpose of grants
The Secretary may not make payments under subsection (a) for a fiscal year unless the State involved agrees to expend the payments only for the purpose of carrying out, in accordance with
(July 1, 1944, ch. 373, title XXV, formerly title XV, §2501, as added
Editorial Notes
Prior Provisions
A prior section 2501 of act July 1, 1944, was successively renumbered by subsequent acts, see
§300ee–12. Provisions with respect to carrying out purpose of grants
A State may expend payments received under
(1) to develop, establish, and conduct public information activities relating to the prevention and diagnosis of acquired immune deficiency syndrome for those populations or communities in the State in which there are a significant number of individuals at risk of infection with the etiologic agent for such syndrome;
(2) to develop, establish, and conduct such public information activities for the general public relating to the prevention and diagnosis of such syndrome;
(3) to develop, establish, and conduct activities to reduce risks relating to such syndrome, including research into the prevention of such syndrome;
(4) to conduct demonstration projects for the prevention of such syndrome;
(5) to provide technical assistance to public entities, to nonprofit private entities concerned with such syndrome, to schools, and to employers, for the purpose of developing information programs relating to such syndrome;
(6) with respect to education and training programs for the prevention of such syndrome, to conduct such programs for health professionals (including allied health professionals), public safety workers (including emergency response employees), teachers, school administrators, and other appropriate education personnel;
(7) to conduct appropriate programs for educating school-aged children with respect to such syndrome, after consulting with local school boards;
(8) to make available to physicians and dentists in the State information with respect to acquired immune deficiency syndrome, including measures for the prevention of exposure to, and the transmission of, the etiologic agent for such syndrome (which information is updated not less than annually with the most recently available scientific date 1 relating to such syndrome);
(9) to carry out the initial implementation of recommendations contained in the guidelines and the model curriculum developed under
(10) to make grants to public entities, and to nonprofit private entities concerned with acquired immune deficiency syndrome, for the purpose of the development, establishment, and expansion of programs for education directed toward individuals at increased risk of infection with the etiologic agent for such syndrome and activities to reduce the risks of exposure to such etiologic agent, with preference to programs directed toward populations in which there is significant evidence of such infection.
(July 1, 1944, ch. 373, title XXV, formerly title XV, §2502, as added
Editorial Notes
Prior Provisions
A prior section 2502 of act July 1, 1944, was successively renumbered by subsequent acts, see
Amendments
1988—Par. (9).
Statutory Notes and Related Subsidiaries
Effective Date of 1988 Amendment
Amendment by
1 So in original. Probably should be "data".
§300ee–13. Requirement of submission of application containing certain agreements and assurances
(a) In general
The Secretary may not make payments under
(1) the State involved submits to the Secretary a description of the purposes for which the State intends to expend the payments for the fiscal year;
(2) the description identifies the populations, areas, and localities in the State with a need for the services for which amounts may be provided by the State under this part;
(3) the description provides information relating to the programs and activities to be supported and services to be provided, including a description of the manner in which such programs and activities will be coordinated with any similar programs and activities of public and private entities;
(4) the State submits to the Secretary an application for the payments containing agreements in accordance with this part;
(5) the agreements are made through certification from the chief executive officer of the State;
(6) with respect to such agreements, the application provides assurances of compliance satisfactory to the Secretary; and
(7) the application otherwise is in such form, is made in such manner, and contains such agreements, assurances, and information as the Secretary determines to be necessary to carry out this part.
(b) Opportunity for public comment
The Secretary may not make payments under
(July 1, 1944, ch. 373, title XXV, formerly title XV, §2503, as added
Editorial Notes
Prior Provisions
A prior section 2503 of act July 1, 1944, was successively renumbered by subsequent acts, see
Amendments
1988—Subsec. (a)(3).
Statutory Notes and Related Subsidiaries
Effective Date of 1988 Amendment
Amendment by
§300ee–14. Restrictions on use of grant
(a) In general
The Secretary may not make payments under
(1) to provide inpatient services;
(2) to make cash payments to intended recipients of services;
(3) to purchase or improve real property (other than minor remodeling of existing improvements to real property) or to purchase major medical equipment; or
(4) to satisfy any requirement for the expenditure of non-Federal funds as a condition for the receipt of Federal funds.
(b) Limitation on administrative expenses
The Secretary may not make payments under
(July 1, 1944, ch. 373, title XXV, formerly title XV, §2504, as added
Editorial Notes
Prior Provisions
A prior section 2504 of act July 1, 1944, was successively renumbered by subsequent acts, see
§300ee–15. Requirement of reports and audits by States
(a) Reports
The Secretary may not make payments under
(1) securing a record and a description of the purposes for which payments received by the State pursuant to such section were expended and of the recipients of such payments;
(2) determining whether the payments were expended in accordance with the needs within the State required to be identified pursuant to
(3) determining whether the payments were expended in accordance with the purpose described in
(4) determining the percentage of payments received pursuant to such section that were expended by the State for administrative expenses during the preceding fiscal year.
(b) Audits
(1) The Secretary may not make payments under
(2) The Secretary may not make payments under
(A) the State will provide for—
(i) a financial and compliance audit of such payments; or
(ii) a single financial and compliance audit of each entity administering such payments;
(B) the audit will be performed biennially and will cover expenditures in each fiscal year; and
(C) the audit will be conducted in accordance with standards established by the Comptroller General of the United States for the audit of governmental organizations, programs, activities, and functions.
(3) The Secretary may not make payments under
(4) For purposes of paragraph (2), the term "financial and compliance audit" means an audit to determine whether the financial statements of an audited entity present fairly the financial position, and the results of financial operations, of the entity in accordance with generally accepted accounting principles, and whether the entity has complied with laws and regulations that may have a material effect upon the financial statements.
(c) Availability to public
The Secretary may not make payments under
(d) Evaluations by Comptroller General
The Comptroller General of the United States shall, from time to time, evaluate the expenditures by States of payments received under
(July 1, 1944, ch. 373, title XXV, formerly title XV, §2505, as added
Editorial Notes
Prior Provisions
A prior section 2505 of act July 1, 1944, was successively renumbered by subsequent acts, see
Amendments
1988—Subsec. (b)(1), (2).
Statutory Notes and Related Subsidiaries
Effective Date of 1988 Amendment
Amendment by
§300ee–16. Additional required agreements
(a) In general
The Secretary may not, except as provided in subsection (b), make payments under
(1) all programs conducted or supported by the State with such payments will establish objectives for the program and will determine the extent to which the objectives are met;
(2) information provided under this part will be scientifically accurate and factually correct;
(3) in carrying out
(4) with respect to a State in which there is a substantial number of individuals who are intravenous substance abusers, the State will place priority on activities under this part directed at such substance abusers;
(5) with respect to a State in which there is a significant incidence of reported cases of acquired immune deficiency syndrome, the State will—
(A) for the purpose described in subsection (b) of
(i) to make grants to public entities, to migrant health centers (as defined in section 254b(a) 1 of this title), to community health centers (as defined in section 254c(a) 1 of this title), and to nonprofit private entities concerned with acquired immune deficiency syndrome; or
(ii) to enter into contracts with public and private entities; and
(B) of the amounts reserved for a fiscal year by the State for expenditures required in subparagraph (A), expend not less than 50 percent to carry out
(6) with respect to programs carried out pursuant to
(A) that any educational or informational materials developed with a grant pursuant to such section will contain material, and be presented in a manner, that is specifically directed toward the group for which such materials are intended;
(B) to provide a description of the manner in which the applicant has planned the program in consultation with, and of the manner in which such applicant will consult during the conduct of the program with—
(i) appropriate local officials and community groups for the area to be served by the program;
(ii) organizations comprised of, and representing, the specific population to which the education or prevention effort is to be directed; and
(iii) individuals having expertise in health education and in the needs of the population to be served;
(C) to provide information demonstrating that the applicant has continuing relationships, or will establish continuing relationships, with a portion of the population in the service area that is at risk of infection with the etiologic agent for acquired immune deficiency syndrome and with public and private entities in such area that provide health or other support services to individuals with such infection;
(D) to provide a description of—
(i) the objectives established by the applicant for the conduct of the program; and
(ii) the methods the applicant will use to evaluate the activities conducted under the program to determine if such objectives are met; and
(E) such other information as the Secretary may prescribe;
(7) with respect to programs carried out pursuant to
(A) there is a significant incidence of acquired immune deficiency syndrome;
(B) there has been a significant increase in the incidence of such syndrome; or
(C) there is a significant risk of becoming infected with the etiologic agent for such syndrome;
(8) the State will establish reasonable criteria to evaluate the effective performance of entities that receive funds from payments made to the State under
(9) the State will permit and cooperate with Federal investigations undertaken in accordance with
(10) the State will maintain State expenditures for services provided pursuant to
(b) "Significant percentage" defined
For purposes of subsection (a)(5), the term "significant percentage" means at least a percentage of 1 percent of the number of reported cases of acquired immune deficiency syndrome in the United States.
(July 1, 1944, ch. 373, title XXV, formerly title XV, §2506, as added
Editorial Notes
References in Text
Prior Provisions
A prior section 2506 of act July 1, 1944, was successively renumbered by subsequent acts, see
Amendments
1988—Subsec. (a).
Subsec. (a)(5).
Subsec. (a)(8).
Subsec. (a)(9).
Subsec. (b).
Statutory Notes and Related Subsidiaries
Effective Date of 1988 Amendment
Amendment by
Reference to Community, Migrant, Public Housing, or Homeless Health Center Considered Reference to Health Center
Reference to community health center, migrant health center, public housing health center, or homeless health center considered reference to health center, see section 4(c) of
1 See References in Text note below.
§300ee–17. Determination of amount of allotments for States
(a) Minimum allotment
Subject to the extent of amounts made available in appropriation Acts, the allotment for a State under
(1) the applicable amount specified in subsection (b); or
(2) the amount determined in accordance with subsection (c).
(b) Determination of minimum allotment
(1) If the total amount appropriated under
(2) If the total amount appropriated under
(3) If the total amount appropriated under
(c) Determination under formula
(1) The amount referred to in subsection (a)(2) is the sum of—
(A) the amount determined under paragraph (2); and
(B) the amount determined under paragraph (3).
(2) The amount referred to in paragraph (1)(A) is the product of—
(A) an amount equal to 50 percent of the amounts appropriated pursuant to
(B) a percentage equal to the quotient of—
(i) the population of the State involved; divided by
(ii) the population of the United States.
(3) The amount referred to in paragraph (1)(B) is the product of—
(A) an amount equal to 50 percent of the amounts appropriated pursuant to
(B) a percentage equal to the quotient of—
(i) the number of additional cases of acquired immune deficiency syndrome reported to and confirmed by the Secretary for the State involved for the most recent fiscal year for which such data is available; divided by
(ii) the number of additional cases of such syndrome reported to and confirmed by the Secretary for the United States for such fiscal year.
(d) Disposition of certain funds appropriated for allotments
(1) Amounts described in paragraph (2) shall be allotted by the Secretary to States receiving payments under
(2) The amounts referred to in paragraph (1) are any amounts that are not paid to States under
(A) the failure of any State to submit an application under
(B) the failure, in the determination of the Secretary, of any State to prepare within a reasonable period of time such application in compliance with such section; or
(C) any State informing the Secretary that the State does not intend to expend the full amount of the allotment made to the State.
(July 1, 1944, ch. 373, title XXV, formerly title XV, §2507, as added
Editorial Notes
Prior Provisions
A prior section 2507 of act July 1, 1944, was successively renumbered by subsequent acts, see
Amendments
1989—Subsec. (a).
1988—Subsec. (a)(1).
Subsec. (b)(1).
Subsec. (b)(2), (3).
Subsec. (d).
Statutory Notes and Related Subsidiaries
Effective Date of 1988 Amendment
Amendment by
§300ee–18. Failure to comply with agreements
(a) Repayment of payments
(1) The Secretary may, subject to subsection (c), require a State to repay any payments received by the State under
(2) If a State fails to make a repayment required in paragraph (1), the Secretary may offset the amount of the repayment against the amount of any payment due to be paid to the State under
(b) Withholding of payments
(1) The Secretary may, subject to subsection (c), withhold payments due under
(2) The Secretary shall cease withholding payments from a State under paragraph (1) if the Secretary determines that there are reasonable assurances that the State will expend amounts received under
(3) The Secretary may not withhold funds under paragraph (1) from a State for a minor failure to comply with the agreements referred to in such paragraph.
(c) Opportunity for hearing
Before requiring repayment of payments under subsection (a)(1), or withholding payments under subsection (b)(1), the Secretary shall provide to the State an opportunity for a hearing conducted within the State.
(d) Prompt response to serious allegations
The Secretary shall promptly respond to any complaint of a substantial or serious nature that a State has failed to expend amounts received under
(e) Investigations
(1) The Secretary shall conduct in several States in each fiscal year investigations of the expenditure of payments received by the States under
(2) The Comptroller General of the United States may conduct investigations of the expenditure of funds received under
(3) Each State, and each entity receiving funds from payments made to a State under
(4)(A) In conducting any investigation in a State, the Secretary and the Comptroller General of the United States may not make a request for any information not readily available to the State, or to an entity receiving funds from payments made to the State under
(B) Subparagraph (A) shall not apply to the collection, compilation, or transmittal of data in the course of a judicial proceeding.
(July 1, 1944, ch. 373, title XXV, formerly title XV, §2508, as added
Editorial Notes
Prior Provisions
A prior section 2508 of act July 1, 1944, was successively renumbered by subsequent acts, see
Amendments
1988—Subsec. (a).
Subsec. (b).
Subsecs. (d), (e)(1).
Statutory Notes and Related Subsidiaries
Effective Date of 1988 Amendment
Amendment by
§300ee–19. Prohibition against certain false statements
(a) In general
(1) A person may not knowingly make or cause to be made any false statement or representation of a material fact in connection with the furnishing of items or services for which amounts may be paid by a State from payments received by the State under
(2) A person with knowledge of the occurrence of any event affecting the right of the person to receive any amounts from payments made to the State under
(b) Criminal penalty for violation of prohibition
Any person who violates a prohibition established in subsection (a) may for each violation be fined in accordance with title 18, or imprisoned for not more than 5 years, or both.
(July 1, 1944, ch. 373, title XXV, formerly title XV, §2509, as added
Editorial Notes
Prior Provisions
A prior section 2509 of act July 1, 1944, was successively renumbered by subsequent acts, see
§300ee–20. Technical assistance and provision by Secretary of supplies and services in lieu of grant funds
(a) Technical assistance
The Secretary may provide training and technical assistance to States with respect to the planning, development, and operation of any program or service carried out pursuant to this part. The Secretary may provide such technical assistance directly or through grants or contracts.
(b) Provision by Secretary of supplies and services in lieu of grant funds
(1) Upon the request of a State receiving payments under this part, the Secretary may, subject to paragraph (2), provide supplies, equipment, and services for the purpose of aiding the State in carrying out such part and, for such purpose, may detail to the State any officer or employee of the Department of Health and Human Services.
(2) With respect to a request described in paragraph (1), the Secretary shall reduce the amount of payments under
(July 1, 1944, ch. 373, title XXV, formerly title XV, §2510, as added
Editorial Notes
Prior Provisions
A prior section 2510 of act July 1, 1944, was successively renumbered by subsequent acts, see
Amendments
1988—Subsec. (b)(2).
Statutory Notes and Related Subsidiaries
Effective Date of 1988 Amendment
Amendment by
§300ee–21. Evaluations
The Secretary shall, directly or through grants or contracts, evaluate the services provided and activities carried out with payments to States under this part.
(July 1, 1944, ch. 373, title XXV, formerly title XV, §2511, as added
Editorial Notes
Prior Provisions
A prior section 2511 of act July 1, 1944, was successively renumbered by subsequent acts, see
§300ee–22. Report by Secretary
The Secretary shall annually prepare a report on the activities of the States carried out pursuant to this part. Such report may include any recommendations of the Secretary for appropriate administrative and legislative initiatives. The report shall be submitted to the Congress through inclusion in the comprehensive report required in section 300cc(a) 1 of this title.
(July 1, 1944, ch. 373, title XXV, formerly title XV, §2512, as added
Editorial Notes
References in Text
Prior Provisions
A prior section 2512 of act July 1, 1944, was successively renumbered by subsequent acts, see
Amendments
1988—
Statutory Notes and Related Subsidiaries
Effective Date of 1988 Amendment
Amendment by
1 See References in Text note below.
§300ee–23. Definition
For purposes of this part, the term "infection with the etiologic agent for acquired immune deficiency syndrome" includes any condition arising from such etiologic agent.
(July 1, 1944, ch. 373, title XXV, formerly title XV, §2513, as added
Editorial Notes
Prior Provisions
A prior section 2513 of act July 1, 1944, was successively renumbered by subsequent acts, see
§300ee–24. Funding
(a) Authorization of appropriations
For the purpose of making allotments under
(b) Availability to States
Any amounts paid to a State under
(July 1, 1944, ch. 373, title XXV, formerly title XV, §2514, as added
Editorial Notes
Prior Provisions
A prior section 2514 of act July 1, 1944, was successively renumbered by subsequent acts, see