Title 42The Public Health and WelfareRelease 119-73

§300d–18 Determination of amount of allotment

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–18

Last updated Apr 6, 2026|Official source

Summary

Decides how much money each State and territory gets for the year. Each place gets either a set minimum or a calculated amount — whichever is larger. The minimum is $250,000 for each State, the District of Columbia, and Puerto Rico, and $50,000 for the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands. The calculated amount is the sum of two parts. The first part is 80% of the program money available that year, split by each place’s share of the total U.S. population. The second part is 20% of that money, split by each State’s land area but with each State’s area counted no higher than 266,807 square miles and compared to the total of those capped areas for all States. If some money is not paid to a State because the State did not apply, did not prepare an acceptable application in time, or told the Secretary it will not spend its full allotment, those funds are reallocated to the States that are receiving payments. The reallocation is done using the same population share used in the 80% part.

Full Legal Text

Title 42, §300d–18

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

(a)Subject to the extent of amounts made available in appropriations Acts, the amount of an allotment under section 300d–11(a) of this title for a State for a fiscal year shall be the greater of—
(1)the amount determined under subsection (b)(1); and
(2)$250,000 in the case of each of the several States, the District of Columbia, and the Commonwealth of Puerto Rico, and $50,000 in the case of each of the Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands.
(b)(1)The amount referred to in subsection (a)(1) for a State for a fiscal year is the sum of—
(A)an amount determined under paragraph (2); and
(B)an amount determined under paragraph (3).
(2)The amount referred to in subparagraph (A) of paragraph (1) for a State for a fiscal year is the product of—
(A)an amount equal to 80 percent of the amounts appropriated under section 300d–32(a) of this title for the fiscal year and available for allotment under section 300d–11(a) of this title; and
(B)a percentage equal to the quotient of—
(i)an amount equal to the population of the State; divided by
(ii)an amount equal to the population of all States.
(3)The amount referred to in subparagraph (B) of paragraph (1) for a State for a fiscal year is the product of—
(A)an amount equal to 20 percent of the amounts appropriated under section 300d–32(a) of this title for the fiscal year and available for allotment under section 300d–11(a) of this title; and
(B)a percentage equal to the quotient of—
(i)an amount equal to the lesser of 266,807 and the amount of the square mileage of the State; divided by
(ii)an amount equal to the sum of the respective amounts determined for the States under clause (i).
(c)(1)Amounts described in paragraph (2) shall, in accordance with paragraph (3), be allotted by the Secretary to States receiving payments under section 300d–11(a) of this title for the fiscal year (other than any State referred to in paragraph (2)(C)).
(2)The amounts referred to in paragraph (1) are any amounts made available pursuant to 300d–32(b)(3) of this title that are not paid under section 300d–11(a) of this title to a State as a result of—
(A)the failure of the State to submit an application under section 300d–17 of this title;
(B)the failure, in the determination of the Secretary, of the State to prepare within a reasonable period of time such application in compliance with such section; or
(C)the State informing the Secretary that the State does not intend to expend the full amount of the allotment made for the State.
(3)The amount of an allotment under paragraph (1) for a State for a fiscal year shall be an amount equal to the product of—
(A)an amount equal to the amount described in paragraph (2) for the fiscal year involved; and
(B)the percentage determined under subsection (b)(2) for the State.

Reference

Citations & Metadata

Citation

42 U.S.C. § 300d–18

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73