Title 42The Public Health and WelfareRelease 119-73

§300q Loan and loan guarantee authority

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER XIV— - HEALTH RESOURCES DEVELOPMENT › Part Part A— - Loans and Loan Guarantees › § 300q

Last updated Apr 6, 2026|Official source

Summary

The Secretary may, until September 30, 1982, make loans from the fund created under section 300q–2(d) to public or nonprofit groups for medical facility projects. Covered projects include closing or converting unneeded hospital services, converting facilities to outpatient or long‑term care, renovating or modernizing facilities (including fixing safety problems or meeting licensing standards), building new outpatient centers, and building new inpatient facilities in areas with recent fast population growth. The Secretary may also guarantee loans made by non‑Federal lenders and by the Federal Financing Bank for these same projects. For projects in urban or rural poverty areas, the Secretary may pay the loan holder amounts that lower the loan’s net effective interest rate by no more than one‑half if the project could not proceed otherwise. A loan (direct or guaranteed) plus any other help under part B cannot exceed 90% of a project’s cost, except projects in poverty areas may get up to 100%. The total principal of loans outstanding under these guarantees or direct loans must stay within limits set in appropriation Acts. With HUD’s agreement, the Secretary must get HUD’s help to run this program efficiently.

Full Legal Text

Title 42, §300q

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

(a)(1)The Secretary, during the period ending September 30, 1982, may, in accordance with this part, make loans from the fund established under section 300q–2(d) of this title to any public or nonprofit private entity for projects for—
(A)the discontinuance of unneeded hospital services or facilities,11 So in original. The comma probably should be a semicolon.
(B)the conversion of unneeded hospital services and facilities to needed health services and medical facilities, including outpatient medical facilities and facilities for long-term care;
(C)the renovation and modernization of medical facilities, particularly projects for the prevention or elimination of safety hazards, projects to avoid noncompliance with licensure or accreditation standards, or projects to replace obsolete facilities;
(D)the construction of new outpatient medical facilities; and
(E)the construction of new inpatient medical facilities in areas which have experienced (as determined by the Secretary) recent rapid population growth.
(2)(A)The Secretary, during the period ending September 30, 1982, may, in accordance with this part, guarantee to—
(i)non-Federal lenders for their loans to public and nonprofit private entities for medical facilities projects described in paragraph (1), and
(ii)the Federal Financing Bank for its loans to public and nonprofit private entities for such projects,
(B)In the case of a guarantee of any loan to a public or nonprofit private entity under subparagraph (A)(i) which is located in an urban or rural poverty area, the Secretary may pay, to the holder of such loan and for and on behalf of the project for which the loan was made, amounts sufficient to reduce by not more than one half the net effective interest rate otherwise payable on such loan if the Secretary finds that without such assistance the project could not be undertaken.
(b)The principal amount of a loan directly made or guaranteed under subsection (a) for a medical facilities project, when added to any other assistance provided such project under part B, may not exceed 90 per centum of the cost of such project unless the project is located in an area determined by the Secretary to be an urban or rural poverty area, in which case the principal amount, when added to other assistance under part B, may cover up to 100 per centum of such costs.
(c)The cumulative total of the principal of the loans outstanding at any time with respect to which guarantees have been issued, or which have been directly made, may not exceed such limitations as may be specified in appropriation Acts.
(d)The Secretary, with the consent of the Secretary of Housing and Urban Development, shall obtain from the Department of Housing and Urban Development such assistance with respect to the administration of this part as will promote efficiency and economy thereof.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Prior Provisions

A prior section 1601 of act July 1, 1944, ch. 373, title XVI, as added Jan. 4, 1975, Pub. L. 93–641, § 4, 88 Stat. 2258, was classified to section 300o of this title, prior to repeal by Pub. L. 96–79, § 202(a).

Amendments

1979—Subsec. (a). Pub. L. 96–79, §§ 201(b)(1), 203(a)(2), added par. (1); substituted reference to section 1602(d) for 1622(d), set out in text as “section 300q–2(d) of this title”; incorporated in par. (2) former subsec. (b) provisions made applicable for period ending Sept. 30, 1982, previously covering period beginning
July 1, 1974, and ending Sept. 30, 1978, extended provisions to public entities, struck out existing condition that applications for assistance under subchapter be approved under former section 300o–3 of this title, substituted in subpar. (2)(B) provision for payment of amounts sufficient to reduce by not more than one half net effective interest otherwise payable on the loan for prior provision for amounts sufficient to reduce by 3 per centum per annum net effective interest rate on the loan, and struck out provision granting contractual right of holder of a guaranteed loan to receive from the United States such interest payments. Subsec. (b). Pub. L. 96–79, § 201(b)(1), added subsec. (b) and incorporated existing provisions of subsec. (b) relating to loan guarantee authority for payment of principal and interest on loans for approved projects, their duration, and payments for reduction of interest rate in subsec. (a)(2) of this section. 1977—Subsecs. (a), (b)(1). Pub. L. 95–83 substituted “
September 30, 1978” for “
September 30, 1977”. 1976—Subsecs. (a), (b)(1). Pub. L. 94–273 substituted “September” for “June”.

Statutory Notes and Related Subsidiaries

Effective Date

of 1979 Amendment Pub. L. 96–79, title II, § 204, Oct. 4, 1979, 93 Stat. 636, provided that: “The

Amendments

made by this title [enacting section 300s, 300s–1, and 300s–6, amending this section and section 201, 300q–2, 300r, 300s–1a, 300s–3, and 300s–5, and repealing sections 300o to 300o–3, 300p to 300p–3, 300q–1, and 300s of this title] shall take effect October 1, 1979, except that the

Amendments

made by section 201(b) [amending this section and section 300q–2 of this title] respecting the payment of an interest subsidy for a loan or loan guarantee made under part A of title XVI of the Public Health Service Act [42 U.S.C. 300q et seq.] shall apply only with respect to loans and loan guarantees made after October 1, 1979, and with respect to loans and loan guarantees made under such part before such date the Secretary shall continue to pay the interest subsidy authorized for such loans and loan guarantees before such date.”

Reference

Citations & Metadata

Citation

42 U.S.C. § 300q

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73