Title 42 — The Public Health and WelfareRelease 119-83
§254c–3 Special diabetes programs for Indians
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–3
Summary
The Secretary must give grants to pay for diabetes prevention and treatment services. Those services must be provided through one of these: the Indian Health Service; an Indian health program run by a tribe or tribal organization under the Indian Self-Determination Act; or an urban Indian health program run by an urban Indian organization under title V of the Indian Health Care Improvement Act. Money comes from specific appropriations. For each of fiscal years 1998 through 2002, $30,000,000 per year is set aside and kept available for these grants. In addition, Congress provided: $70,000,000 for each of fiscal years 2001 and 2002 (to be combined with the $30,000,000 transfers); $100,000,000 for 2003; $150,000,000 for each year 2004–2017; $150,000,000 for each year 2018–2023 (available until spent); $155,619,196 for 2024 (available until spent); $159,228,188 for 2025 (available until spent); $200,000,000 for 2026 (available until spent); and $50,410,959 for the period October 1, 2026 through December 31, 2026 (available until spent).
Full Legal Text
Title 42, §254c–3
The Public Health and Welfare — Source: USLM XML via OLRC
(a)The Secretary shall make grants for providing services for the prevention and treatment of diabetes in accordance with subsection (b).
(b)For purposes of subsection (a), services under such subsection are provided in accordance with this subsection if the services are provided through any of the following entities:
(1)The Indian Health Service.
(2)An Indian health program operated by an Indian tribe or tribal organization pursuant to a contract, grant, cooperative agreement, or compact with the Indian Health Service pursuant to the Indian Self-Determination Act [25 U.S.C. 5321 et seq.].
(3)An urban Indian health program operated by an urban Indian organization pursuant to a grant or contract with the Indian Health Service pursuant to title V of the Indian Health Care Improvement Act [25 U.S.C. 1651 et seq.].
(c)(1)Notwithstanding section 1397dd(a) of this title, from the amounts appropriated in such section for each of fiscal years 1998 through 2002, $30,000,000, to remain available until expended, is hereby transferred and made available in such fiscal year for grants under this section.
(2)For the purpose of making grants under this section, there is appropriated, out of any money in the Treasury not otherwise appropriated—
(A)$70,000,000 for each of fiscal years 2001 and 2002 (which shall be combined with amounts transferred under paragraph (1) for each such fiscal years);
(B)$100,000,000 for fiscal year 2003;
(C)$150,000,000 for each of fiscal years 2004 through 2017;
(D)$150,000,000 for each of fiscal years 2018 through 2023, to remain available until expended;
(E)$155,619,196 for fiscal year 2024, to remain available until expended;
(F)$159,228,188 for fiscal year 2025, to remain available until expended;
(G)$200,000,000 for fiscal year 2026, to remain available until expended; and
(H)$50,410,959 for the period beginning on October 1, 2026, and ending on December 31, 2026, to remain available until expended.
Legislative History
Notes & Related Subsidiaries
Editorial Notes
References in Text
The Indian Self-Determination Act, referred to in subsec. (b)(2), is title I of Pub. L. 93–638, Jan. 4, 1975, 88 Stat. 2206, which is classified principally to subchapter I (§ 5321 et seq.) of chapter 46 of Title 25, Indians. For complete classification of this Act to the Code, see
Short Title
note set out under section 5301 of Title 25 and Tables. The Indian Health Care Improvement Act, referred to in subsec. (b)(3), is Pub. L. 94–437, Sept. 30, 1976, 90 Stat. 1400. Title V of the Act is classified generally to subchapter IV (§ 1651 et seq.) of chapter 18 of Title 25, Indians. For complete classification of this Act to the Code, see
Short Title
note set out under section 1601 of Title 25 and Tables.
Amendments
2026—Subsec. (c)(2)(E) to (H). Pub. L. 119–75 added subpars. (E) to (H) and struck out former subpars. (E) to (H) which read as follows: “(E) $19,726,027 for the period beginning on
October 1, 2023, and ending on
November 17, 2023, $25,890,411 for the period beginning on
November 18, 2023, and ending on
January 19, 2024, $20,136,986 for the period beginning on
January 20, 2024, and ending on
March 8, 2024, and $130,000,000 for the period beginning on
March 9, 2024, and ending on
December 31, 2024, to remain available until expended; “(F) $39,261,745 for the period beginning on
January 1, 2025, and ending on
March 31, 2025, to remain available until expended; “(G) $79,832,215 for the period beginning on
April 1, 2025, and ending on
September 30, 2025, to remain available until expended; and “(H) $53,145,205 for the period beginning on
October 1, 2025, and ending on
January 30, 2026, to remain available until expended.” 2025—Subsec. (c)(2)(G). Pub. L. 119–4 added subpar. (G). Subsec. (c)(2)(H). Pub. L. 119–37 added subpar. (H). 2024—Subsec. (c)(2)(E). Pub. L. 118–42 substituted “$20,136,986 for the period beginning on
January 20, 2024, and ending on
March 8, 2024, and $130,000,000 for the period beginning on
March 9, 2024, and ending on
December 31, 2024” for “and $20,136,986 for the period beginning on
January 20, 2024, and ending on
March 8, 2024”. Pub. L. 118–35 substituted “$25,890,411 for the period beginning on
November 18, 2023, and ending on
January 19, 2024, and $20,136,986 for the period beginning on
January 20, 2024, and ending on
March 8, 2024” for “and $25,890,411 for the period beginning on
November 18, 2023, and ending on
January 19, 2024”. Subsec. (c)(2)(F). Pub. L. 118–158 added subpar. (F). 2023—Subsec. (c)(2)(E). Pub. L. 118–22 substituted “$19,726,027 for the period beginning on
October 1, 2023, and ending on
November 17, 2023, and $25,890,411 for the period beginning on
November 18, 2023, and ending on
January 19, 2024” for “$19,726,027 for the period beginning on
October 1, 2023, and ending on
November 17, 2023”. Pub. L. 118–15 added subpar. (E). 2020—Subsec. (c)(2)(D). Pub. L. 116–260 substituted “2023” for “2020, and $32,465,753 for the period beginning on
October 1, 2020, and ending on
December 18, 2020”. Pub. L. 116–215 substituted “$32,465,753” for “$29,589,042” and “
December 18, 2020” for “
December 11, 2020”. Pub. L. 116–159 substituted “$29,589,042” for “$25,068,493” and “
December 11, 2020” for “
November 30, 2020”. Pub. L. 116–136 substituted “through 2020, and $25,068,493 for the period beginning on
October 1, 2020, and ending on
November 30, 2020” for “and 2019, and $96,575,342 for the period beginning on
October 1, 2019, and ending on
May 22, 2020”. 2019—Subsec. (c)(2)(D). Pub. L. 116–94 substituted “$96,575,342” for “$33,287,671” and “
May 22, 2020” for “
December 20, 2019”. Pub. L. 116–69 substituted “$33,287,671” for “$21,369,863” and “
December 20, 2019” for “
November 21, 2019”. Pub. L. 116–59 inserted “and $21,369,863 for the period beginning on
October 1, 2019, and ending on
November 21, 2019,” before “to remain available”. 2018—Subsec. (c)(2)(D). Pub. L. 115–123 amended subpar. (D) generally. Prior to amendment, subpar. (D) read as follows: “$37,500,000 for the first quarter of fiscal year 2018 and $37,500,000 for the second quarter of fiscal year 2018.” 2017—Subsec. (c)(2)(D). Pub. L. 115–96 inserted “and $37,500,000 for the second quarter of fiscal year 2018” before period at end. Pub. L. 115–63 added subpar. (D). 2015—Subsec. (c)(2)(C). Pub. L. 114–10 substituted “2017” for “2015”. 2014—Subsec. (c)(2)(C). Pub. L. 113–93 substituted “2015” for “2014”. 2013—Subsec. (c)(2)(C). Pub. L. 112–240 substituted “2014” for “2013”. 2010—Subsec. (c)(2)(C). Pub. L. 111–309 substituted “2013” for “2011”. 2008—Subsec. (c)(2)(C). Pub. L. 110–275 substituted “2011” for “2009”. 2007—Subsec. (c)(2)(C). Pub. L. 110–173 substituted “2009” for “2008”. 2002—Subsec. (c)(2)(C). Pub. L. 107–360 added subpar. (C). 2000—Subsec. (c). Pub. L. 106–554 designated existing provisions as par. (1), inserted par. heading, and added par. (2). 1998—Subsec. (c). Pub. L. 105–174 inserted “, to remain available until expended,” after “fiscal years 1998 through 2002, $30,000,000”.
Statutory Notes and Related Subsidiaries
Funds Available Until Expended Pub. L. 108–7, div. F, title II, Feb. 20, 2003, 117 Stat. 261, provided in part “That funds appropriated under the Special Diabetes Program for Indians (42 U.S.C. 254c–3(c)) for fiscal year 2003 and thereafter for the purpose of making grants shall remain available until expended”.
Reference
Citations & Metadata
Citation
42 U.S.C. § 254c–3
Title 42 — The Public Health and Welfare
Last Updated
Apr 18, 2026
Release point: 119-83