Title 42The Public Health and WelfareRelease 119-73

§254a Sharing of medical care facilities and resources

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER II— - GENERAL POWERS AND DUTIES › Part Part C— - Hospitals, Medical Examinations, and Medical Care › § 254a

Last updated Apr 6, 2026|Official source

Summary

The Secretary may make agreements that let Public Health Service hospitals and other health facilities share space, staff, equipment, and services. The goals are to keep care high quality, help hire and keep good health workers, build helpful partnerships, and make better use of hospitals and resources. Specialized health resources are expensive, rare, or unusual equipment, space, or personnel that often must be shared. "Hospital" also includes Federal hospitals. The Secretary can agree with medical and other health schools, hospitals, and health agencies to trade use or pay each other for training, research, and mutual use of these resources.

Full Legal Text

Title 42, §254a

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

(a)For purposes of this section—
(1)the term “specialized health resources” means health care resources (whether equipment, space, or personnel) which, because of cost, limited availability, or unusual nature, are either unique in the health care community or are subject to maximum utilization only through mutual use;
(2)the term “hospital”, unless otherwise specified, includes (in addition to other hospitals) any Federal hospital.
(b)For the purpose of maintaining or improving the quality of care in Public Health Service facilities and to provide a professional environment therein which will help to attract and retain highly qualified and talented health personnel, to encourage mutually beneficial relationships between Public Health Service facilities and hospitals and other health facilities in the health care community, and to promote the full utilization of hospitals and other health facilities and resources, the Secretary may—
(1)enter into agreements or arrangements with schools of medicine, schools of osteopathic medicine, and with other health professions schools, agencies, or institutions, for such interchange or cooperative use of facilities and services on a reciprocal or reimbursable basis, as will be of benefit to the training or research programs of the participating agencies; and
(2)enter into agreements or arrangements with hospitals and other health care facilities for the mutual use or the exchange of use of specialized health resources, and providing for reciprocal reimbursement.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Amendments

1988—Subsec. (b)(1). Pub. L. 100–607 inserted “schools of osteopathic medicine,” after “schools of medicine,” and “professions” after “health”.

Statutory Notes and Related Subsidiaries

Availability of Appropriations for Expenses of Sharing Medical Care Facilities and Resources Pub. L. 102–394, title II, § 204, Oct. 6, 1992, 106 Stat. 1811, provided that: “Funds advanced to the National Institutes of Health Management Fund from appropriations in this Act or subsequent Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Acts shall be available for the expenses of sharing medical care facilities and resources pursuant to section 327A of the Public Health Service Act [42 U.S.C. 254a].” Similar provisions were contained in the following prior appropriation acts: Pub. L. 102–170, title II, § 204, Nov. 26, 1991, 105 Stat. 1126. Pub. L. 101–517, title II, § 204, Nov. 5, 1990, 104 Stat. 2208. Pub. L. 101–166, title II, § 205, Nov. 21, 1989, 103 Stat. 1177. Pub. L. 100–202, § 101(h) [title II, § 205], Dec. 22, 1987, 101 Stat. 1329–256, 1329–274. Pub. L. 99–500, § 101(i) [H.R. 5233, title II, § 205], Oct. 18, 1986, 100 Stat. 1783–287, and Pub. L. 99–591, § 101(i) [H.R. 5233, title II, § 205], Oct. 30, 1986, 100 Stat. 3341–287. Pub. L. 99–178, title II, § 205, Dec. 12, 1985, 99 Stat. 1119. Pub. L. 98–619, title II, § 205, Nov. 8, 1984, 98 Stat. 3321. Pub. L. 98–139, title II, § 205, Oct. 31, 1983, 97 Stat. 887. Pub. L. 97–377, title I, § 101(e)(1) [title II, § 205], Dec. 21, 1982, 96 Stat. 1878, 1894.

Reference

Citations & Metadata

Citation

42 U.S.C. § 254a

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73