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Title 42 — The Public Health and WelfareRelease 119-73

§280c–1 Limitation on duration of grant and requirement of matching funds

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER II— - GENERAL POWERS AND DUTIES › Part Part K— - Health Care Services in the Home and Public Health Programs for Dementia › Subpart subpart i— - grants for demonstration projects › § 280c–1

Last updated Apr 6, 2026|Official source

Summary

Limits federal grant payments to a State under section 280c(a) to no more than three years. The Secretary must review the payments every year. In year one the federal share cannot be more than 75% of the costs, year two 65%, and year three 55%. The Secretary cannot award the grant unless the State agrees to provide non‑Federal funds or donations: year one at least $25 for each $75 of federal funds, year two at least $35 for each $65, and year three at least $45 for each $55. The State’s share can be cash or fairly valued goods, equipment, or services, but not items paid for or largely paid for by the federal government.

Full Legal Text

Title 42, §280c–1

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

(a)The period during which payments are made to a State from a grant under section 280c(a) of this title may not exceed 3 years. Such payments shall be subject to annual evaluation by the Secretary.
(b)(1)(A)For the first year of payments to a State from a grant under section 280c(a) of this title, the Secretary may not make such payments in an amount exceeding 75 percent of the costs of services to be provided by the State pursuant to such section.
(B)For the second year of such payments to a State, the Secretary may not make such payments in an amount exceeding 65 percent of the costs of such services.
(C)For the third year of such payments to a State, the Secretary may not make such payments in an amount exceeding 55 percent of the costs of such services.
(2)The Secretary may not make a grant under section 280c(a) of this title to a State unless the State agrees to make available, directly or through donations from public or private entities, non-Federal contributions toward the costs of services to be provided pursuant to such section in an amount equal to—
(A)for the first year of payments to the State from the grant, not less than $25 (in cash or in kind under subsection (c)) for each $75 of Federal funds provided in the grant;
(B)for the second year of such payments to the State, not less than $35 (in cash or in kind under subsection (c)) for each $65 of such Federal funds; and
(C)for the third year of such payments to the State, not less than $45 (in cash or in kind under subsection (c)) for each $55 of such Federal funds.
(c)Non-Federal contributions required in subsection (b) 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.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Prior Provisions

A prior section 396 of act
July 1, 1944, ch. 373, title III, formerly § 398, as added Oct. 22, 1965, Pub. L. 89–291, § 2, 79 Stat. 1065; renumbered § 397 and amended Mar. 13, 1970, Pub. L. 91–212, §§ 2(f), 7, 10(c)(3), (d)(2)(A), 84 Stat. 63, 65, 67;
June 18, 1973, Pub. L. 93–45, title I, § 107(e), 87 Stat. 92; renumbered § 396 and amended
July 23, 1974, Pub. L. 93–353, title II, §§ 202(e), (f), 203(d), 204, 88 Stat. 372, 373, which related to grants for establishment of regional medical libraries, was classified to section 280b–8 of this title, prior to repeal by Pub. L. 99–158, § 3(b), Nov. 20, 1985, 99 Stat. 879.

Statutory Notes and Related Subsidiaries

Effective Date

Section effective Oct. 1, 1987, see section 701(a) of Pub. L. 100–175, set out as an

Effective Date

of 1987 Amendment note under section 3001 of this title.

Reference

Citations & Metadata

Citation

42 U.S.C. § 280c–1

Title 42 — The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73