Title 42, The Public Health and WelfareRelease 119-110

§280c–1 Limitation on Duration of Grant and Requirement of Matching Funds

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER II — GENERAL POWERS AND DUTIES › Part K — Health Care Services in the Home and Public Health Programs for Dementia › subpart i — grants for demonstration projects › § 280c–1

Last updated Sep 22, 2026|Official source

Summary

Limits federal grant payments to a State to no more than 3 years, and the Secretary must review the payments every year. To get a grant, a State must share the cost. In year 1 the federal share cannot exceed 75% (the State must provide at least $25 for every $75 federal). In year 2 the federal share cannot exceed 65% (State at least $35 per $65). In year 3 the federal share cannot exceed 55% (State at least $45 per $55). State contributions can be cash or real items or services, if their value is fair. Money or services paid or largely paid by the federal government cannot count toward the State’s share.

Full Legal Text

Title 42, §280c–1

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

(a)Limitation on duration of grant
The period during which payments are made to a State from a grant under section 280c(a) of this title may not exceed 3 years. Such payments shall be subject to annual evaluation by the Secretary.
(b)Requirement of matching funds
(1)(A)For the first year of payments to a State from a grant under section 280c(a) of this title, the Secretary may not make such payments in an amount exceeding 75 percent of the costs of services to be provided by the State pursuant to such section.
(B)For the second year of such payments to a State, the Secretary may not make such payments in an amount exceeding 65 percent of the costs of such services.
(C)For the third year of such payments to a State, the Secretary may not make such payments in an amount exceeding 55 percent of the costs of such services.
(2)The Secretary may not make a grant under section 280c(a) of this title to a State unless the State agrees to make available, directly or through donations from public or private entities, non-Federal contributions toward the costs of services to be provided pursuant to such section in an amount equal to—
(A)for the first year of payments to the State from the grant, not less than $25 (in cash or in kind under subsection (c)) for each $75 of Federal funds provided in the grant;
(B)for the second year of such payments to the State, not less than $35 (in cash or in kind under subsection (c)) for each $65 of such Federal funds; and
(C)for the third year of such payments to the State, not less than $45 (in cash or in kind under subsection (c)) for each $55 of such Federal funds.
(c)Determination of amount of non-Federal contribution
Non-Federal contributions required in subsection (b) may be in cash or in kind, fairly evaluated, including plant, equipment, or services. Amounts provided by the Federal Government, or services assisted or subsidized to any significant extent by the Federal Government, may not be included in determining the amount of such non-Federal contributions.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Prior Provisions

A prior section 396 of act
July 1, 1944, ch. 373, title III, formerly § 398, as added Oct. 22, 1965, Pub. L. 89–291, § 2, 79 Stat. 1065; renumbered § 397 and amended Mar. 13, 1970, Pub. L. 91–212, §§ 2(f), 7, 10(c)(3), (d)(2)(A), 84 Stat. 63, 65, 67;
June 18, 1973, Pub. L. 93–45, title I, § 107(e), 87 Stat. 92; renumbered § 396 and amended
July 23, 1974, Pub. L. 93–353, title II, §§ 202(e), (f), 203(d), 204, 88 Stat. 372, 373, which related to grants for establishment of regional medical libraries, was classified to section 280b–8 of this title, prior to repeal by Pub. L. 99–158, § 3(b), Nov. 20, 1985, 99 Stat. 879.

Statutory Notes and Related Subsidiaries

Effective Date

Section effective Oct. 1, 1987, see section 701(a) of Pub. L. 100–175, set out as an

Effective Date

of 1987 Amendment note under section 3001 of this title.

Reference

Citations & Metadata

Citation

42 U.S.C. § 280c–1

Title 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110