Title 42The Public Health and WelfareRelease 119-73

§300z–4 Grants for demonstration projects for services

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER XVIII— - ADOLESCENT FAMILY LIFE DEMONSTRATION PROJECTS › § 300z–4

Last updated Apr 6, 2026|Official source

Summary

Gives priority for grants to groups that serve places with high teen pregnancy or many low-income families and few care programs, and to groups that can either offer strong care services (at one site or through a well-linked network) or provide suitable prevention services for the local area, including rural needs. Priority also goes to applicants who will use existing local programs and facilities, tap other Federal, State, and local funding, show community support by providing non‑Federal money, staff, or space, involve local people and agencies in planning, and use new, effective ways to address teen sex, pregnancy, or parenting (including giving pregnant teens good information about adoption). The federal official in charge decides grant sizes based on teen pregnancy rates and how good local services already are, and must consider rural needs and try to spread funds by how many adolescents need services. Grants can last no more than 5 years. The federal share of project costs may be up to 70 percent in years 1 and 2, 60 percent in year 3, 50 percent in year 4, and 40 percent in year 5. Local matching money can be cash or in‑kind (like buildings, equipment, or services) and must be fairly valued. The official may waive the percentage limits for a year under rules they set.

Full Legal Text

Title 42, §300z–4

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

(a)In approving applications for grants for demonstration projects for services under this subchapter, the Secretary shall give priority to applicants who—
(1)serve an area where there is a high incidence of adolescent pregnancy;
(2)serve an area with a high proportion of low-income families and where the availability of programs of care for pregnant adolescents and adolescent parents is low;
(3)show evidence—
(A)in the case of an applicant who will provide care services, of having the ability to bring together a wide range of needed core services and, as appropriate, supplemental services in comprehensive single-site projects, or to establish a well-integrated network of such services (appropriate for the target population and geographic area to be served including the special needs of rural areas) for pregnant adolescents or adolescent parents; or
(B)in the case of an applicant who will provide prevention services, of having the ability to provide prevention services for adolescents and their families which are appropriate for the target population and the geographic area to be served, including the special needs of rural areas;
(4)will utilize to the maximum extent feasible existing available programs and facilities such as neighborhood and primary health care centers, maternity homes which provide or can be equipped to provide services to pregnant adolescents, agencies serving families, youth, and children with established programs of service to pregnant adolescents and vulnerable families, licensed adoption agencies, children and youth centers, maternal and infant health centers, regional rural health facilities, school and other educational programs, mental health programs, nutrition programs, recreation programs, and other ongoing pregnancy prevention services and programs of care for pregnant adolescents and adolescent parents;
(5)make use, to the maximum extent feasible, of other Federal, State, and local funds, programs, contributions, and other third-party reimbursements;
(6)can demonstrate a community commitment to the program by making available to the demonstration project non-Federal funds, personnel, and facilities;
(7)have involved the community to be served, including public and private agencies, adolescents, and families, in the planning and implementation of the demonstration project; and
(8)will demonstrate innovative and effective approaches in addressing the problems of adolescent premarital sexual relations, pregnancy, or parenthood, including approaches to provide pregnant adolescents with adequate information about adoption.
(b)(1)The amount of a grant for a demonstration project for services under this subchapter shall be determined by the Secretary, based on factors such as the incidence of adolescent pregnancy in the geographic area to be served, and the adequacy of pregnancy prevention services and programs of care for pregnant adolescents and adolescent parents in such area.
(2)In making grants for demonstration projects for services under this subchapter, the Secretary shall consider the special needs of rural areas and, to the maximum extent practicable, shall distribute funds taking into consideration the relative number of adolescents in such areas in need of such services.
(c)(1)A grantee may not receive funds for a demonstration project for services under this subchapter for a period in excess of 5 years.
(2)(A)Subject to paragraph (3), a grant for a demonstration project for services under this subchapter may not exceed—
(i)70 per centum of the costs of the project for the first and second years of the project;
(ii)60 per centum of such costs for the third year of the project;
(iii)50 per centum of such costs for the fourth year of the project; and
(iv)40 per centum of such costs for the fifth year of the project.
(B)Non-Federal contributions required by subparagraph (A) may be in cash or in kind, fairly evaluated, including plant, equipment, or services.
(3)The Secretary may waive the limitation specified in paragraph (2)(A) for any year in accordance with criteria established by regulation.

Reference

Citations & Metadata

Citation

42 U.S.C. § 300z–4

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73