Title 42The Public Health and WelfareRelease 119-73

§300ee–15 Requirement of reports and audits by States

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER XXIII— - PREVENTION OF ACQUIRED IMMUNE DEFICIENCY SYNDROME › Part Part A— - Formula Grants to States › § 300ee–15

Last updated Apr 6, 2026|Official source

Summary

To receive federal payments under the program, a State must send an annual report that shows how the money was spent, who got it, whether spending matched the State’s identified needs and the program’s purpose, and what share went to administrative costs. A State must also keep proper fiscal controls and fund accounting so money is handled correctly. The State must have either a financial-and-compliance audit of the payments or a single audit of each group that runs the payments. The audit must be done every two years, cover each fiscal year’s spending, and follow standards set by the Comptroller General. The State must give the audit to its legislature within 30 days after it is finished. “Financial and compliance audit” means a check of whether financial reports are fair and whether laws and rules were followed. Reports and audits must be open to the public. The Comptroller General will also review State spending from time to time.

Full Legal Text

Title 42, §300ee–15

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

(a)The Secretary may not make payments under section 300ee–11(a) of this title for a fiscal year unless the State involved agrees to prepare and submit to the Secretary an annual report in such form and containing such information as the Secretary determines to be necessary for—
(1)securing a record and a description of the purposes for which payments received by the State pursuant to such section were expended and of the recipients of such payments;
(2)determining whether the payments were expended in accordance with the needs within the State required to be identified pursuant to section 300ee–13(a)(2) of this title;
(3)determining whether the payments were expended in accordance with the purpose described in section 300ee–11(b) of this title; and
(4)determining the percentage of payments received pursuant to such section that were expended by the State for administrative expenses during the preceding fiscal year.
(b)(1)The Secretary may not make payments under section 300ee–11(a) of this title for a fiscal year unless the State involved agrees to establish such fiscal control and fund accounting procedures as may be necessary to ensure the proper disbursal of, and accounting for, amounts received by the State under such section.
(2)The Secretary may not make payments under section 300ee–11(a) of this title for a fiscal year unless the State involved agrees that—
(A)the State will provide for—
(i)a financial and compliance audit of such payments; or
(ii)a single financial and compliance audit of each entity administering such payments;
(B)the audit will be performed biennially and will cover expenditures in each fiscal year; and
(C)the audit will be conducted in accordance with standards established by the Comptroller General of the United States for the audit of governmental organizations, programs, activities, and functions.
(3)The Secretary may not make payments under section 300ee–11(a) of this title for a fiscal year unless the State involved agrees that, not later than 30 days after the completion of an audit under paragraph (2), the State will provide a copy of the audit report to the State legislature.
(4)For purposes of paragraph (2), the term “financial and compliance audit” means an audit to determine whether the financial statements of an audited entity present fairly the financial position, and the results of financial operations, of the entity in accordance with generally accepted accounting principles, and whether the entity has complied with laws and regulations that may have a material effect upon the financial statements.
(c)The Secretary may not make payments under section 300ee–11(a) of this title for a fiscal year unless the State involved agrees to make copies of the reports and audits described in this section available for public inspection.
(d)The Comptroller General of the United States shall, from time to time, evaluate the expenditures by States of payments received under section 300ee–11(a) of this title in order to ensure that expenditures are consistent with the provisions of this part.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Prior Provisions

A prior section 2505 of act July 1, 1944, was successively renumbered by subsequent acts, see section 238d of this title.

Amendments

1988—Subsec. (b)(1), (2). Pub. L. 100–690 substituted “make payments” for “payments”.

Statutory Notes and Related Subsidiaries

Effective Date

of 1988 AmendmentAmendment by Pub. L. 100–690 effective immediately after enactment of Pub. L. 100–607, which was approved Nov. 4, 1988, see section 2600 of Pub. L. 100–690, set out as a note under section 242m of this title.

Reference

Citations & Metadata

Citation

42 U.S.C. § 300ee–15

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73