§300b–5 — Title 42 The Public Health and Welfare | U.S. Code

Summary

The Secretary can give grants to support research, tracking, prevention, and care for heritable blood disorders like sickle cell disease. Grants can pay to collect and keep data (for example, how many people have these conditions, where they live, what treatments they use, and what risk factors affect them). Grants can also fund public health work to improve health care access and results, support community groups and health departments for education and training, help labs and state programs test for these conditions (including specific sickle cell types), and find the best ways to treat and prevent complications. The Secretary should try to fund groups across the United States and may favor applicants that work with community organizations. Eligible applicants include states and territories, tribal groups, state and local health departments, colleges, and experienced nonprofits. The Health Resources and Services Administration (HRSA) must keep funding efforts that improve sickle cell care in areas with many affected people. Grants will support coordinating care, genetic testing and counseling, combined technical services, training health workers, and expanding programs that keep care continuous. Awarded groups must also work with community sickle cell organizations, link to newborn screening and state maternal-child health programs, train nurses and staff, partner with hematologists and experts, help secure Medicaid and CHIP payment, and support teens moving to adult care. HRSA will pick a National Coordinating Center to gather and share data and best practices, create model treatment protocols and materials, and report results to Congress (including counts of health care use like ER visits and how many people tested then got genetic counseling). Definitions: Administrator — the HRSA Administrator. Eligible entity (for the HRSA grants) — a Federally-Qualified Health Center, nonprofit hospital or clinic, or a university health center providing primary care that works with a community sickle cell group and has at least 5 years’ related experience. Authorized funding: $8,205,000 for each of fiscal years 2026 through 2030.

Title 42, §300b–5

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

(a)(1)The Secretary may award grants related to heritable blood disorders, including sickle cell disease, for one or more of the following purposes:

(A)To collect and maintain data on such diseases and conditions, including subtypes as applicable, and their associated health outcomes and complications, including for the purpose of—

(i)improving national incidence and prevalence data;

(ii)identifying health disparities, including the geographic distribution, related to such diseases and conditions;

(iii)assessing the utilization of therapies and strategies to prevent complications; and

(iv)evaluating the effects of genetic, environmental, behavioral, and other risk factors that may affect such individuals.

(B)To conduct public health activities with respect to such conditions, which may include—

(i)developing strategies to improve health outcomes and access to quality health care for the screening for, and treatment and management of, such diseases and conditions, including through public-private partnerships;

(ii)providing support to community-based organizations and State and local health departments in conducting education and training activities for patients, communities, and health care providers concerning such diseases and conditions;

(iii)supporting State health departments and regional laboratories, including through training, in testing to identify such diseases and conditions, including specific forms of sickle cell disease, in individuals of all ages; and

(iv)the identification and evaluation of best practices for treatment of such diseases and conditions, and prevention and management of their related complications.

(2)The Secretary shall, to the extent practicable, award grants under this subsection to eligible entities across the United States to improve data on the incidence and prevalence of heritable blood disorders, including sickle cell disease, and the geographic distribution of such diseases and conditions.

(3)To seek a grant under this subsection, an eligible entity shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require.

(4)In awarding grants under this subsection, the Secretary may give priority, as appropriate, to eligible entities that have a relationship with a community-based organization that has experience in, or is capable of, providing services to individuals with heritable blood disorders, including sickle cell disease.

(5)In this subsection, the term “eligible entity” includes the 50 States, the District of Columbia, the Commonwealth of Puerto Rico, the United States Virgin Islands, the Commonwealth of the Northern Mariana Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of Marshall 11 So in original. Probably should be preceded by “the”. Islands, the Republic of Palau, Indian tribes, a State or local health department, an institution of higher education, or a nonprofit entity with appropriate experience to conduct the activities under this subsection.

(b)(1)(A)The Administrator, through the Bureau of Primary Health Care and the Maternal and Child Health Bureau, shall continue efforts, including by awarding grants, to develop or establish mechanisms to improve the treatment of sickle cell disease, and to improve the prevention and treatment of complications of sickle cell disease, in populations with a high proportion of individuals with sickle cell disease, including through—

(i)the coordination of service delivery for individuals with sickle cell disease;

(ii)genetic counseling and testing;

(iii)bundling of technical services related to the treatment of sickle cell disease and the prevention and treatment of complications of sickle cell disease;

(iv)training of health professionals; and

(v)identifying and establishing other efforts related to the expansion and coordination of education, treatment, and continuity of care programs for individuals with sickle cell disease.

(B)The Administrator shall, to the extent practicable, award grants under this section 22 So in original. Probably should be “this subsection”. to eligible entities located in different regions of the United States.

(2)An eligible entity awarded a grant under this subsection shall use funds made available under the grant to carry out, in addition to the activities described in paragraph (1)(A), the following activities:

(A)To facilitate and coordinate the delivery of education, treatment, and continuity of care for individuals with sickle cell disease under—

(i)the entity’s collaborative agreement with a community-based sickle cell disease organization or a nonprofit entity that works with individuals who have sickle cell disease;

(ii)the sickle cell disease newborn screening program for the State in which the entity is located; and

(iii)the maternal and child health program under title V of the Social Security Act (42 U.S.C. 701 et seq.) for the State in which the entity is located.

(B)To train nursing and other health staff who provide care for individuals with sickle cell disease.

(C)To enter into a partnership with adult or pediatric hematologists in the region and other regional experts in sickle cell disease at tertiary and academic health centers and State and county health offices.

(D)To identify and secure resources for ensuring reimbursement under the medicaid program, State children’s health insurance program, and other health programs for the treatment of sickle cell disease and the prevention and treatment of complications of sickle cell disease.

(E)To provide or coordinate services for adolescents with sickle cell disease making the transition to adult health care.

(3)(A)The Administrator shall make a grant to, or enter into a contract or cooperative agreement with, an entity to serve as the National Coordinating Center for the demonstration program conducted under this subsection.

(B)The National Coordinating Center shall—

(i)collect, coordinate, monitor, and distribute data, best practices, and findings regarding the activities funded under grants made to eligible entities under the demonstration program;

(ii)develop a model protocol for eligible entities with respect to the treatment of sickle cell disease and the prevention and treatment of complications of sickle cell disease;

(iii)develop educational materials regarding the treatment of sickle cell disease and the prevention and treatment of complications of sickle cell disease; and

(iv)prepare and submit to Congress a final report that includes recommendations regarding the effectiveness of the demonstration program conducted under this subsection and such direct outcome measures as—

(I)the number and type of health care resources utilized (such as emergency room visits, hospital visits, length of stay, and physician visits for individuals with sickle cell disease); and

(II)the number of individuals that were tested and subsequently received genetic counseling for the sickle cell trait.

(4)An eligible entity desiring a grant under this subsection shall submit an application to the Administrator at such time, in such manner, and containing such information as the Administrator may require.

(5)In this subsection:

(A)The term “Administrator” means the Administrator of the Health Resources and Services Administration.

(B)The term “eligible entity” means a Federally-qualified health center, a nonprofit hospital or clinic, or a university health center that provides primary health care, that—

(i)has a collaborative agreement with a community-based sickle cell disease organization or a nonprofit entity with experience in working with individuals who have sickle cell disease; and

(ii)demonstrates to the Administrator that either the Federally-qualified health center, the nonprofit hospital or clinic, the university health center, the organization or entity described in clause (i), or the experts described in paragraph (2)(C), has at least 5 years of experience in working with individuals who have sickle cell disease.

(C)The term “Federally-qualified health center” has the meaning given that term in section 1905(l)(2)(B) of the Social Security Act (42 U.S.C. 1396d(l)(2)(B)).

(6)There is authorized to be appropriated to carry out this subsection, $8,205,000 for each of fiscal years 2026 through 2030.

Notes & Related Subsidiaries

Editorial Notes

References in Text

The Social Security Act, referred to in subsec. (b)(2)(A)(iii), is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Title V of the Act is classified generally to subchapter V (§ 701 et seq.) of chapter 7 of this title. For complete classification of this Act to the Code, see section 1305 of this title and Tables. Codification section 712(c) of Pub. L. 108–357, formerly set out as a note under section 300b–1 of this title, which was transferred to this section, redesignated as subsec. (b), and amended by Pub. L. 115–327, § 3, was based on Pub. L. 108–357, title VII, § 712(c), Oct. 22, 2004, 118 Stat. 1559.

Prior Provisions

A prior section 300b–5, act

July 1, 1944, ch. 373, title XI, § 1106, as added Apr. 22, 1976, Pub. L. 94–278, title IV, § 403(a), 90 Stat. 409, related to an annual report to President and Congress on administration of this part, prior to repeal by Pub. L. 97–35, title XXI, § 2193(b)(4), Aug. 13, 1981, 95 Stat. 827. Another prior section 300b–5, act

July 1, 1944, ch. 373, title XI, § 1106, as added

May 16, 1972, Pub. L. 92–294, § 3(c), 86 Stat. 139; amended Aug. 29, 1972, Pub. L. 92–414, § 4(3), 86 Stat. 652, related to an annual report to President and Congress on administration of this part, prior to repeal by Pub. L. 94–278, title IV, § 403(a), Apr. 22, 1976, 90 Stat. 407.

Amendments

2026—Subsec. (b)(1)(A)(iii), (2)(D). Pub. L. 119–75, § 6505(a)(1), (2), substituted “treatment of sickle cell disease and the prevention and treatment of complications of sickle cell disease” for “prevention and treatment of sickle cell disease”. Subsec. (b)(3)(A). Pub. L. 119–75, § 6505(a)(3)(A), substituted “make a grant to, or enter into a contract or cooperative agreement with,” for “enter into a contract with”. Subsec. (b)(3)(B)(ii), (iii). Pub. L. 119–75, § 6505(a)(3)(B), substituted “treatment of sickle cell disease and the prevention and treatment of complications of sickle cell disease” for “prevention and treatment of sickle cell disease”. Subsec. (b)(6). Pub. L. 119–75, § 6505(a)(4), substituted “$8,205,000 for each of fiscal years 2026 through 2030” for “$4,455,000 for each of fiscal years 2019 through 2023”. 2018—Subsec. (b). Pub. L. 115–327, § 3(b), transferred section 712(c) of Pub. L. 108–357 to this section and redesignated it as subsec. (b). See Codification note above. Pub. L. 115–327, § 3(a)(1), substituted “sickle cell disease” for “Sickle Cell Disease” wherever appearing. Subsec. (b)(1)(A). Pub. L. 115–327, § 3(a)(2), substituted “shall continue efforts, including by awarding grants, to develop or establish mechanisms to improve the treatment of sickle cell disease, and to improve the prevention and treatment of complications of sickle cell disease, in populations with a high proportion of individuals with sickle cell disease” for “shall conduct a demonstration program by making grants to up to 40 eligible entities for each fiscal year in which the program is conducted under this section for the purpose of developing and establishing systemic mechanisms to improve the prevention and treatment of Sickle Cell Disease”. Subsec. (b)(1)(B). Pub. L. 115–327, § 3(a)(3), substituted “Geographic diversity” for “Grant award requirements” in heading, struck out cl. (i) designation and heading before “The Administrator shall”, and struck out cl. (ii) which related to priority in awarding grants. Subsec. (b)(2)(E). Pub. L. 115–327, § 3(a)(4), added subpar. (E). Subsec. (b)(6). Pub. L. 115–327, § 3(a)(5), substituted “$4,455,000 for each of fiscal years 2019 through 2023” for “$10,000,000 for each of fiscal years 2005 through 2009”.

§300b–5 Sickle cell disease and other heritable blood disorders research, surveillance, prevention, and treatment