Title 42The Public Health and WelfareRelease 119-73

§247b–21 Mosquito-borne diseases; coordination grants to States; assessment and control grants to political subdivisions

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER II— - GENERAL POWERS AND DUTIES › Part Part B— - Federal-State Cooperation › § 247b–21

Last updated Apr 6, 2026|Official source

Summary

The Health Secretary, through the CDC director, can give money to states to run and coordinate mosquito control work and to help states give small grants (no more than $10,000 each) to local governments so they can assess needs and make plans for control programs. States that have local areas with higher disease or infected mosquito problems get priority. To get a state grant, a state must have or agree to make a coordination plan, work with its local governments, monitor how programs are carried out (especially in high-risk neighboring areas), agree that the state will make the small local assessment grants, promise the grant will add to—not replace—other state or local funds, and send a report after the fiscal year describing activities and how well local programs were coordinated. Each state can get only one of these grants. The Secretary can also give grants directly to local governments or groups of local governments to run or improve control programs. Priority goes to places with past or current high disease or infected mosquitoes, rising risk (including new serious mosquito diseases), or a public health emergency. Applicants must show they can work with nearby areas, that the state has identified regions needing help or that their plans match state plans, and they must have done an assessment (including mosquito breeding surveys) and made a plan. Local grants must include at least 1/3 non-Federal match of costs ($1 for each $2 of Federal funds), which can be cash or valued donations, unless the Secretary waives the match for very poor areas or extreme mosquito or disease need. Local recipients must report after the fiscal year on their work and effectiveness. Applications must follow the Secretary’s rules. Funds can also pay for training and technical help. “Political subdivision” means local governments under the state. Congress authorized $100,000,000 per year for fiscal years 2019–2023. For fiscal year 2019, at least 50% of the money must go to local grants.

Full Legal Text

Title 42, §247b–21

The Public Health and Welfare — Source: USLM XML via OLRC

(a)(1)With respect to mosquito control programs to prevent and control mosquito-borne diseases (referred to in this section as “control programs”), the Secretary, acting through the Director of the Centers for Disease Control and Prevention, may make grants to States for the purpose of—
(A)coordinating control programs in the State involved; and
(B)assisting such State in making grants to political subdivisions of the State to conduct assessments to determine the immediate needs in such subdivisions for control programs, including programs to address emerging infectious mosquito-borne diseases, and to develop, on the basis of such assessments, plans for carrying out control programs in the subdivisions or improving existing control programs.
(2)In making grants under paragraph (1), the Secretary shall give preference to States that have one or more political subdivisions with an incidence, prevalence, or high risk of mosquito-borne disease, or a population of infected mosquitoes, that is substantial relative to political subdivisions in other States.
(3)A grant may be made under paragraph (1) only if—
(A)the State involved has developed, or agrees to develop, a plan for coordinating control programs in the State, and the plan takes into account any assessments or plans described in subsection (b)(3) that have been conducted or developed, respectively, by political subdivisions in the State;
(B)in developing such plan, the State consulted or will consult (as the case may be under subparagraph (A)) with political subdivisions in the State that are carrying out or planning to carry out control programs;
(C)the State agrees to monitor control programs in the State in order to ensure that the programs are carried out in accordance with such plan, with priority given to coordination of control programs in political subdivisions described in paragraph (2) that are contiguous;
(D)the State agrees that the State will make grants to political subdivisions as described in paragraph (1)(B), and that such a grant will not exceed $10,000; and
(E)the State agrees that the grant will be used to supplement, and not supplant, State and local funds available for the purpose described in paragraph (1).
(4)A grant may be made under paragraph (1) only if the State involved agrees that, promptly after the end of the fiscal year for which the grant is made, the State will submit to the Secretary a report that—
(A)describes the activities of the State under the grant; and
(B)contains an evaluation of whether the control programs of political subdivisions in the State were effectively coordinated with each other, which evaluation takes into account any reports that the State received under subsection (b)(5) from such subdivisions.
(5)A State may not receive more than one grant under paragraph (1).
(b)(1)The Secretary, acting through the Director of the Centers for Disease Control and Prevention, may make grants to political subdivisions of States or consortia of political subdivisions of States, for the operation, including improvement, of control programs.
(2)In making grants under paragraph (1), the Secretary shall give preference to a political subdivision or consortium of political subdivisions that—
(A)has—
(i)a history of elevated incidence or prevalence of mosquito-borne disease;
(ii)a population of infected mosquitoes;
(iii)met criteria determined by the Secretary to suggest an increased risk of elevated incidence or prevalence of mosquito-borne disease in the pending fiscal year, including an emerging infectious mosquito-borne disease that presents a serious public health threat; or
(iv)a public health emergency due to the incidence or prevalence of a mosquito-borne disease that presents a serious public health threat;
(B)demonstrates to the Secretary that such political subdivision or consortium of political subdivisions will, if appropriate to the mosquito circumstances involved, effectively coordinate the activities of the control programs with contiguous political subdivisions;
(C)demonstrates to the Secretary (directly or through State officials) that the State in which such a political subdivision or consortium of political subdivisions is located has identified or will identify geographic areas in such State that have a significant need for control programs and will effectively coordinate such programs in such areas; and
(D)(i)is located in a State that has received a grant under subsection (a); or
(ii)that 11 So in original. demonstrates to the Secretary that the control program is consistent with existing State mosquito control plans or policies, or other applicable State preparedness plans.
(3)A grant may be made under paragraph (1) only if the political subdivision or consortium of political subdivisions involved—
(A)has conducted an assessment to determine the immediate needs in such subdivision or consortium for a control program, including an entomological survey of potential mosquito breeding areas; and
(B)has, on the basis of such assessment, developed a plan for carrying out such a program.
(4)(A)With respect to the costs of a control program to be carried out under paragraph (1) by a political subdivision or consortium of political subdivisions, a grant under such paragraph may be made only if the subdivision or consortium agrees to make available (directly or through donations from public or private entities) non-Federal contributions toward such costs in an amount that is not less than ⅓ of such costs ($1 for each $2 of Federal funds provided in the grant).
(B)Non-Federal contributions required in subparagraph (A) may be in cash or in kind, fairly evaluated, including plant, equipment, or services. Amounts provided by the Federal Government, or services assisted or subsidized to any significant extent by the Federal Government, may not be included in determining the amount of such non-Federal contributions.
(C)The Secretary may waive the requirement established in subparagraph (A) if the Secretary determines that—
(i)extraordinary economic conditions in the political subdivision or consortium of political subdivisions involved justify the waiver; or
(ii)the geographical area covered by a political subdivision or consortium for a grant under paragraph (1) has an extreme mosquito control need due to—
(I)the size or density of the potentially impacted human population;
(II)the size or density of a mosquito population that requires heightened control; or
(III)the severity of the mosquito-borne disease, such that expected serious adverse health outcomes for the human population justify the waiver.
(5)A grant may be made under paragraph (1) only if the political subdivision or consortium of political subdivisions involved agrees that, promptly after the end of the fiscal year for which the grant is made, the subdivision or consortium will submit to the Secretary, and to the State within which the subdivision or consortium is located, a report that describes the control program and contains an evaluation of whether the program was effective.
(6)A political subdivision or a consortium of political subdivisions may not receive more than one grant under paragraph (1).
(c)A grant may be made under subsection (a) or (b) only if an application for the grant is submitted to the Secretary and the application 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 section.
(d)Amounts appropriated under subsection (f) may be used by the Secretary to provide training and technical assistance with respect to the planning, development, and operation of assessments and plans under subsection (a) and control programs under subsection (b). The Secretary may provide such technical assistance directly or through awards of grants or contracts to public and private entities.
(e)In this section, the term “political subdivision” means the local political jurisdiction immediately below the level of State government, including counties, parishes, and boroughs. If State law recognizes an entity of general government that functions in lieu of, and is not within, a county, parish, or borough, the Secretary may recognize an area under the jurisdiction of such other entities of general government as a political subdivision for purposes of this section.
(f)(1)For the purpose of carrying out this section, there are authorized to be appropriated $100,000,000 for each of fiscal years 2019 through 2023.
(2)In the case of control programs carried out in response to a mosquito-borne disease that constitutes a public health emergency, the authorization of appropriations under paragraph (1) is in addition to applicable authorizations of appropriations under this chapter and other medical and public health preparedness and response laws.
(3)For fiscal year 2019, 50 percent or more of the funds appropriated under paragraph (1) shall be used to award grants to political subdivisions or consortia of political subdivisions under subsection (b).

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Amendments

2019—Subsec. (a)(1)(B). Pub. L. 116–22, § 607(a)(1), inserted “including programs to address emerging infectious mosquito-borne diseases,” after “subdivisions for control programs,” and “or improving existing control programs” after “in the subdivisions”. Subsec. (b)(1). Pub. L. 116–22, § 607(a)(2)(A), inserted “, including improvement,” after “operation”. Subsec. (b)(2)(A)(iii). Pub. L. 116–22, § 607(a)(2)(B)(i)(II), substituted “, including an emerging infectious mosquito-borne disease that presents a serious public health threat; or” for semicolon at end. Subsec. (b)(2)(A)(iv). Pub. L. 116–22, § 607(a)(2)(B)(i)(I), (III), added cl. (iv). Subsec. (b)(2)(D). Pub. L. 116–22, § 607(a)(2)(B)(ii), amended subpar. (D) generally. Prior to amendment, subpar. (D) read as follows: “is located in a State that has received a grant under subsection (a).” Subsec. (b)(4)(C). Pub. L. 116–22, § 607(a)(2)(C), substituted “that—” for “that extraordinary economic conditions in the political subdivision or consortium of political subdivisions involved justify the waiver.” and added cls. (i) and (ii). Subsec. (b)(6). Pub. L. 116–22, § 607(a)(2)(D), amended par. (6) generally. Prior to amendment, par. (6) related to amount of grant and number of grants. Subsec. (f)(1). Pub. L. 116–22, § 607(a)(3)(A), substituted “for each of fiscal years 2019 through 2023” for “for fiscal year 2003, and such sums as may be necessary for each of fiscal years 2004 through 2007”. Subsec. (f)(2). Pub. L. 116–22, § 607(a)(3)(B), substituted “this chapter and other medical and public health preparedness and response laws” for “the Public Health Security and Bioterrorism Preparedness and Response Act of 2002”. Subsec. (f)(3). Pub. L. 116–22, § 607(a)(3)(C), substituted “2019” for “2004” in heading and “2019,” for “2004,” in text.

Reference

Citations & Metadata

Citation

42 U.S.C. § 247b–21

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73