Title 42 — The Public Health and WelfareRelease 119-73
§300d–19 Failure to comply with agreements
Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER X— - TRAUMA CARE › Part Part B— - Formula Grants With Respect to Modifications of State Plans › § 300d–19
Summary
The Secretary can make a State return payments it got under section 300d–11(a) if the Secretary decides the State did not spend the money the way it had agreed. The Secretary must give the State a chance for a hearing first, and if the State still does not repay, the Secretary may deduct the amount from future payments under section 300d–11(a).
Full Legal Text
Title 42, §300d–19
The Public Health and Welfare — Source: USLM XML via OLRC
(a)(1)The Secretary may, in accordance with subsection (b), require a State to repay any payments received by the State pursuant to section 300d–11(a) of this title that the Secretary determines were not expended by the State in accordance with the agreements required to be made by the State as a condition of the receipt of payments under such section.
(2)If a State fails to make a repayment required in paragraph (1), the Secretary may offset the amount of the repayment against any amount due to be paid to the State under section 300d–11(a) of this title.
(b)Before requiring repayment of payments under subsection (a)(1), the Secretary shall provide to the State an opportunity for a hearing.
Reference
Citations & Metadata
Citation
42 U.S.C. § 300d–19
Title 42 — The Public Health and Welfare
Last Updated
Apr 6, 2026
Release point: 119-73