Title 42The Public Health and WelfareRelease 119-73

§286 National Library of Medicine

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER III— - NATIONAL RESEARCH INSTITUTES › Part Part D— - National Library of Medicine › Subpart subpart 1— - general provisions › § 286

Last updated Apr 6, 2026|Official source

Summary

Create and run the National Library of Medicine to help medical science and share health and medical information with the public. The Secretary must collect and keep books, journals, films, recordings, and other medical materials. The Secretary must organize them, publish catalogs and indexes, lend or copy items, give reference and research help, and tell people about the Library’s services. The Secretary must also encourage use of computers and telecommunications by health workers (including those in rural areas) to improve access to biomedical information. The Library may do other appropriate activities as funds allow. The Secretary may discard or give away materials the Library no longer needs. After asking the Board of Regents, the Secretary may set rules for sharing publications, facilities, or services, including making them free, lending or charging fees, or contracting with public or nonprofit groups. The Secretary, with the Board’s advice, must also determine three things about regional medical libraries: whether an area lacks an adequate regional library, whether there is a need under section 286b–6, and whether no local library can be developed with financial help. Section 238 governs gifts to the Library, and the Board will advise on memorials to donors. “Medicine” and “medical” cover preventive and therapeutic medicine, dentistry, pharmacy, hospitalization, nursing, public health, basic sciences, and related fields.

Full Legal Text

Title 42, §286

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

(a)In order to assist the advancement of medical and related sciences and to aid the dissemination and exchange of scientific and other information important to the progress of medicine and to the public health, there is established the National Library of Medicine (hereafter in this part referred to as the “Library”).
(b)The Secretary, through the Library and subject to subsection (d), shall—
(1)acquire and preserve books, periodicals, prints, films, recordings, and other library materials pertinent to medicine;
(2)organize the materials specified in paragraph (1) by appropriate cataloging, indexing, and bibliographical listings;
(3)publish and disseminate the catalogs, indexes, and bibliographies referred to in paragraph (2);
(4)make available, through loans, photographic or other copying procedures, or otherwise, such materials in the Library as the Secretary determines appropriate;
(5)provide reference and research assistance;
(6)publicize the availability from the Library of the products and services described in any of paragraphs (1) through (5);
(7)promote the use of computers and telecommunications by health professionals (including health professionals in rural areas) for the purpose of improving access to biomedical information for health care delivery and medical research; and
(8)engage in such other activities as the Secretary determines appropriate and as the Library’s resources permit.
(c)The Secretary may exchange, destroy, or otherwise dispose of any books, periodicals, films, and other library materials not needed for the permanent use of the Library.
(d)(1)The Secretary may, after obtaining the advice and recommendations of the Board of Regents, prescribe rules under which the Library will—
(A)provide copies of its publications or materials,
(B)will make available its facilities for research, or
(C)will make available its bibliographic, reference, or other services,
(2)Rules prescribed under paragraph (1) may provide for making available such publications, materials, facilities, or services—
(A)without charge as a public service,
(B)upon a loan, exchange, or charge basis, or
(C)in appropriate circumstances, under contract arrangements made with a public or other nonprofit entity.
(e)Whenever the Secretary, with the advice of the Board of Regents, determines that—
(1)in any geographic area of the United States there is no regional medical library adequate to serve such area;
(2)under criteria prescribed for the administration of section 286b–6 of this title, there is a need for a regional medical library to serve such area; and
(3)because there is no medical library located in such area which, with financial assistance under section 286b–6 of this title, can feasibly be developed into a regional medical library adequate to serve such area,
(f)section 238 of this title shall be applicable to the acceptance and administration of gifts made for the benefit of the Library or for carrying out any of its functions, and the Board of Regents shall make recommendations to the Secretary relating to establishment within the Library of suitable memorials to the donors.
(g)For purposes of this part, the terms “medicine” and “medical”, except when used in section 286a of this title, include preventive and therapeutic medicine, dentistry, pharmacy, hospitalization, nursing, public health, and the fundamental sciences related thereto, and other related fields of study, research, or ac­tivity.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Amendments

1993—Pub. L. 103–43, § 1401(c)(1), repealed amendment by Pub. L. 100–202. See 1987 Amendment note below. Subsec. (b)(6) to (8). Pub. L. 103–43, § 1401(a), added pars. (6) and (7) and redesignated former par. (6) as (8). Subsec. (f). Pub. L. 103–43, § 2010(b)(3), substituted “section 238” for “section 300aaa”. 1990—Subsec. (f). Pub. L. 101–381 made technical amendment to reference to section 300aaa of this title to reflect renumbering of corresponding section of original act. 1988—Subsec. (f). Pub. L. 100–690 made technical amendment to reference to section 300aaa of this title to reflect renumbering of corresponding section of original act. Pub. L. 100–607 substituted “300aaa” for “300cc”. 1987—Pub. L. 100–202, which directed the amendment of “section 465(B) of 42 U.S.C. 286” by inserting “between (5) and (6) an additional charge to the Secretary to ‘publicize the availability of the above products and services of the National Library of Medicine’ ”, was repealed by Pub. L. 103–43, § 1401(c)(1). 1986—Subsec. (f). Pub. L. 99–660 substituted “section 300cc of this title” for “section 300aa of this title”.

Statutory Notes and Related Subsidiaries

Effective Date

of 1988 AmendmentAmendment by Pub. L. 100–690 effective immediately after enactment of Pub. L. 100–607, which was approved Nov. 4, 1988, see section 2600 of Pub. L. 100–690, set out as a note under section 242m of this title.

Effective Date

of 1986 AmendmentAmendment by Pub. L. 99–660 effective Dec. 22, 1987, see section 323 of Pub. L. 99–660, as amended, set out as an

Effective Date

note under section 300aa–1 of this title. Applicability of Certain New Authority Pub. L. 103–43, title XIV, § 1401(c)(2),
June 10, 1993, 107 Stat. 170, provided that: “With respect to the authority established for the National Library of Medicine in section 465(b)(6) of the Public Health Service Act, as added by subsection (a) of this section [42 U.S.C. 286(b)(6)], such authority shall be effective as if the authority had been established on
December 22, 1987.”

Reference

Citations & Metadata

Citation

42 U.S.C. § 286

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73