Title 42The Public Health and WelfareRelease 119-73

§291j–6 Loan guarantee and loan fund

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

Last updated Apr 6, 2026|Official source

Summary

Creates a loan guarantee and loan fund in the Treasury that the Secretary can use without a yearly time limit. Congress must approve how much money goes in. The fund pays for the Secretary’s loan guarantees, interest on guaranteed loans to nonprofit agencies, direct loans to public agencies that are sold and guaranteed, interest on those loans, and buying back sold public-agency loans. Congress can add capital as needed, and the fund can also get money from loan repayments, interest, or the sale of assets if Congress allows. Only money that Congress specifically approves for direct loans under section 291j–7, or sale proceeds that Congress authorizes, may be used to make those direct loans to public agencies. If the fund does not have enough money, the Secretary must still cover obligations like interest payments, guarantees for nonprofit loans, interest subsidies for public-agency loans, payments to loan buyers if a public agency defaults, and repurchasing sold public-agency loans.

Full Legal Text

Title 42, §291j–6

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

(a)(1)There is hereby established in the Treasury a loan guarantee and loan fund (hereinafter in this section referred to as the “fund”) which shall be available to the Secretary without fiscal year limitation, in such amounts as may be specified from time to time in appropriations Acts, (i) to enable him to discharge his responsibilities under guarantees issued by him under this part, (ii) for payment of interest on the loans to nonprofit agencies which are guaranteed, (iii) for direct loans to public agencies which are sold and guaranteed, (iv) for payment of interest with respect to such loans, and (v) for repurchase by him of direct loans to public agencies which have been sold and guaranteed. There are authorized to be appropriated to the fund from time to time such amounts as may be necessary to provide capital required for the fund. To the extent authorized from time to time in appropriation Acts, there shall be deposited in the fund amounts received by the Secretary as interest payments or repayments of principal on loans and any other moneys, property, or assets derived by him from his operations under this part, including any moneys derived from the sale of assets.
(2)Of the moneys in the fund, there shall be available to the Secretary for the purpose of making of direct loans to public agencies only such sums as shall have been appropriated for such purpose pursuant to section 291j–7 of this title or sums received by the Secretary from the sale of such loans (in accordance with such section) and authorized in appropriations Acts to be used for such purpose.
(b)If at any time the moneys in the fund are insufficient to enable the Secretary to discharge his responsibilities under this part—
(i)to make payments of interest on loans to nonprofit private agencies which he has guaranteed under this part;
(ii)to otherwise comply with guarantees under this part of loans to nonprofit private agencies;
(iii)to make payments of interest subsidies with respect to loans to public agencies which he has made, sold, and guaranteed under this part;
(iv)in the event of default by public agencies to make payments of principal and interest on loans which the Secretary has made, sold, and guaranteed, under this part, to make such payments to the purchaser of such loan;
(v)to repurchase loans to public agencies which have been sold and guaranteed under this part,

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Codification In subsec. (b), “chapter 31 of title 31” and “that chapter” substituted for “the Second Liberty Bond Act, as amended” and “that Act, as amended”, respectively, on authority of Pub. L. 97–258, § 4(b), Sept. 13, 1982, 96 Stat. 1067, the first section of which enacted Title 31, Money and Finance.

Reference

Citations & Metadata

Citation

42 U.S.C. § 291j–6

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73