Title 42The Public Health and WelfareRelease 119-73

§254c–1a Grants to nurse-managed health clinics

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER II— - GENERAL POWERS AND DUTIES › Part Part D— - Primary Health Care › Subpart subpart i— - health centers › § 254c–1a

Last updated Apr 6, 2026|Official source

Summary

The Secretary will give grants to help pay the operating costs of nurse-managed health clinics. Comprehensive primary health care services means basic primary health services. A nurse-managed health clinic is a practice run by advanced practice nurses that offers primary or wellness care to underserved or vulnerable people and is tied to a school, college, nursing department, federally qualified health center, or a nonprofit health or social services agency. To get a grant, a clinic must be an NMHC and apply with promises that nurses are the main providers, at least one advanced practice nurse is in executive management, the clinic will keep offering care regardless of income or insurance during the grant, and within 90 days of the grant it will form a community advisory committee with a majority of members who are served by the clinic. The Secretary will set grant amounts based on the clinic’s financial need and other factors. Congress authorized $50,000,000 for fiscal year 2010 and whatever sums are needed for fiscal years 2011 through 2014.

Full Legal Text

Title 42, §254c–1a

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

(a)(1)In this section, the term “comprehensive primary health care services” means the primary health services described in section 254b(b)(1) of this title.
(2)The term “nurse-managed health clinic” means a nurse-practice arrangement, managed by advanced practice nurses, that provides primary care or wellness services to underserved or vulnerable populations and that is associated with a school, college, university or department of nursing, federally qualified health center, or independent nonprofit health or social services agency.
(b)The Secretary shall award grants for the cost of the operation of nurse-managed health clinics that meet the requirements of this section.
(c)To be eligible to receive a grant under this section, an entity shall—
(1)be an NMHC; and
(2)submit to the Secretary an application at such time, in such manner, and containing—
(A)assurances that nurses are the major providers of services at the NMHC and that at least 1 advanced practice nurse holds an executive management position within the organizational structure of the NMHC;
(B)an assurance that the NMHC will continue providing comprehensive primary health care services or wellness services without regard to income or insurance status of the patient for the duration of the grant period; and
(C)an assurance that, not later than 90 days of receiving a grant under this section, the NMHC will establish a community advisory committee, for which a majority of the members shall be individuals who are served by the NMHC.
(d)The amount of any grant made under this section for any fiscal year shall be determined by the Secretary, taking into account—
(1)the financial need of the NMHC, considering State, local, and other operational funding provided to the NMHC; and
(2)other factors, as the Secretary determines appropriate.
(e)For the purposes of carrying out this section, there are authorized to be appropriated $50,000,000 for the fiscal year 2010 and such sums as may be necessary for each of the fiscal years 2011 through 2014.

Legislative History

Notes & Related Subsidiaries

Statutory Notes and Related Subsidiaries

Purpose Pub. L. 111–148, title V, § 5208(a), Mar. 23, 2010, 124 Stat. 612, provided that: “The purpose of this section [enacting this section] is to fund the development and operation of nurse-managed health clinics.”

Reference

Citations & Metadata

Citation

42 U.S.C. § 254c–1a

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73