42 U.S.C. § 254c–10: Certain requirements

Summary

Grants are allowed only if the applicant agrees to some clear rules. No more than 5 percent of the grant can be used for admin work like accounting, reporting, and oversight. The grant must add to other money for treating lupus and cannot replace funds the applicant already gets. The Secretary can limit what clients are charged, and those limits can change based on a person’s financial situation. The grant cannot pay for services that have already been paid, or can reasonably be expected to be paid, by state compensation, insurance, Federal or State health benefits, or prepaid health providers. The applicant must post a clear notice at every service site explaining any Federal rules about charging clients.

Title 42, §254c–10

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

A grant may be made under section 254c–9 of this title only if the applicant involved makes the following agreements:

(1)Not more than 5 percent of the grant will be used for administration, accounting, reporting, and program oversight functions.

(2)The grant will be used to supplement and not supplant funds from other sources related to the treatment of lupus.

(3)The applicant will abide by any limitations deemed appropriate by the Secretary on any charges to individuals receiving services pursuant to the grant. As deemed appropriate by the Secretary, such limitations on charges may vary based on the financial circumstances of the individual receiving services.

(4)The grant will not be expended to make payment for services authorized under section 254c–9(a) of this title to the extent that payment has been made, or can reasonably be expected to be made, with respect to such services—

(A)under any State compensation program, under an insurance policy, or under any Federal or State health benefits program; or

(B)by an entity that provides health services on a prepaid basis.

(5)The applicant will, at each site at which the applicant provides services under section 254c–9(a) of this title, post a conspicuous notice informing individuals who receive the services of any Federal policies that apply to the applicant with respect to the imposition of charges on such individuals.

Editorial Notes

Codification Section was enacted as part of the Lupus Research and Care

Amendments

of 2000, and also as part of the Public Health Improvement Act, and not as part of the Public Health Service Act which comprises this chapter.

§254c–10 Certain Requirements

Summary

Title 42, §254c–10

Notes & Related Subsidiaries

Editorial Notes

Amendments

Citations & Metadata