Title 42The Public Health and WelfareRelease 119-73

§291g Withholding of payments; noncompliance with requirements

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER IV— - CONSTRUCTION AND MODERNIZATION OF HOSPITALS AND OTHER MEDICAL FACILITIES › Part Part A— - Grants and Loans for Construction and Modernization of Hospitals and Other Medical Facilities › § 291g

Last updated Apr 6, 2026|Official source

Summary

The Surgeon General can stop federal payments to a State after giving the State agency fair notice and a chance for a hearing. This can happen if the agency is not following its required State plan, cannot carry out promised assurances, fails to follow approved plans, or does not provide enough State money to run the plan. Payments to the whole State or to specific affected projects may be withheld.

Full Legal Text

Title 42, §291g

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

Whenever the Surgeon General, after reasonable notice and opportunity for hearing to the State agency designated as provided in section 291d(a)(1) of this title, finds—
(a)that the State agency is not complying substantially with the provisions required by section 291d of this title to be included in its State plan; or
(b)that any assurance required to be given in an application filed under section 291e of this title is not being or cannot be carried out; or
(c)that there is a substantial failure to carry out plans and specifications approved by the Surgeon General under section 291e of this title; or
(d)that adequate State funds are not being provided annually for the direct administration of the State plan,
(e)no further payments will be made to the State under this part, or
(f)no further payments will be made from the allotments of such State from appropriations under any one or more subparagraphs or paragraphs of section 291a of this title, or for any project or projects, designated by the Surgeon General as being affected by the action or inaction referred to in paragraph (a), (b), (c), or (d) of this section,

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Prior Provisions

A prior section 291g, act
July 1, 1944, ch. 373, title VI, § 624, as added Aug. 13, 1946, ch. 958, § 2, 60 Stat. 1041; amended
June 29, 1948, ch. 728, § 1, 62 Stat. 1103; Oct. 25, 1949, ch. 722, §§ 3(b), 7, 63 Stat. 899, 901; Aug. 1, 1956, ch. 852, § 19(c), 70 Stat. 911; Sept. 25, 1962, Pub. L. 87–688, § 4(a)(3), 76 Stat. 587, authorized allotments to States for

Construction

, specified their amount, and provided for availability for unexpended funds, prior to the general amendment of this subchapter by Pub. L. 88–443. See section 291b of this title. Provisions similar to those comprising this section were contained in former section 291j(a), acts
July 1, 1944, ch. 373, title VI, § 632, as added Aug. 13, 1946, ch. 958, § 2, 60 Stat. 1041; amended Oct. 25, 1949, ch. 722, § 4, 63 Stat. 900;
July 12, 1954, ch. 471, § 4(g), 68 Stat. 466, prior to the general amendment of this subchapter by Pub. L. 88–443.

Statutory Notes and Related Subsidiaries

Change of Name

“Secretary of Health and Human Services” substituted for “Secretary of Health, Education, and Welfare” pursuant to section 509(b) of Pub. L. 96–88, which is classified to section 3508(b) of Title 20, Education.

Executive Documents

Transfer of Functions

Office of Surgeon General abolished by section 3 of Reorg. Plan No. 3 of 1966, eff. June 25, 1966, 31 F.R. 8855, 80 Stat. 1610, and functions thereof transferred to Secretary of Health, Education, and Welfare by section 1 of Reorg. Plan No. 3 of 1966, set out as a note under section 202 of this title. Office of Surgeon General reestablished within the Office of the Assistant Secretary for Health, see Notice of Department of Health and Human Services, Office of the Assistant Secretary for Health, Mar. 30, 1987, 52 F.R. 11754.

Reference

Citations & Metadata

Citation

42 U.S.C. § 291g

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73