Title 42, The Public Health and WelfareRelease 119-110

§280c–5 General Provisions

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 ii — programs with respect to alzheimer’s disease and related dementias › § 280c–5

Last updated Sep 23, 2026|Official source

Summary

The Secretary cannot award a grant or cooperative agreement under sections 280c–3 or 280c–4 unless the recipient agrees that no more than 5 percent of the award will pay administrative costs. The recipient must apply first. The application must describe planned spending, give assurances that the grant will be used as intended, and include any other forms or information the Secretary requires. The Secretary must evaluate the funded activities and send Congress a report with the findings within 1 year after the evaluations end. "Indian tribe" and "tribal organization" mean what 25 U.S.C. 1603 defines. Congress authorized $20,000,000 per year for fiscal years 2020–2024 and $33,000,000 per year for fiscal years 2025–2029.

Full Legal Text

Title 42, §280c–5

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

(a)Limitation on administrative expenses
The Secretary may not make a grant or cooperative agreement under section 280c–3 or 280c–4 of this title to an entity unless the entity agrees that not more than 5 percent of the grant or cooperative agreement will be expended for administrative expenses with respect to the grant or cooperative agreement.
(b)Requirement of application
The Secretary may not make a grant under section 1 280c–3 or 280c–4 of this title to an entity unless the entity has submitted to the Secretary an application for the grant. The application shall—
(1)contain the description of intended expenditures;
(2)with respect to carrying out the purpose for which the grant is to be made, provide assurances of compliance satisfactory to the Secretary; and
(3)otherwise be in such form, be made in such manner, and contain such information and agreements as the Secretary determines to be necessary to carry out this subpart.
(c)Evaluations and report by Secretary
The Secretary shall—
(1)provide for an evaluation of the activities for which an award is made under section 1 280c–3 or 280c–4 of this title; and
(2)not later than 1 year after the completion of such evaluations, submit to the Congress a report describing the findings made as a result of the evaluations.
(d)Definition
In this subpart, the terms “Indian tribe” and “tribal organization” have the meanings given such terms in section 1603 of title 25.
(e)Authorizations of appropriations
For the purpose of carrying out this subpart, there are authorized to be appropriated $20,000,000 for each of fiscal years 2020 through 2024 and $33,000,000 for each of fiscal years 2025 through 2029.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Amendments

2024—Subsec. (e). Pub. L. 118–142 inserted “and $33,000,000 for each of fiscal years 2025 through 2029” before period at end. 2018—Subsec. (a). Pub. L. 115–406, § 4(1), inserted “or cooperative agreement” after “grant” wherever appearing and substituted “section 280c–3 or 280c–4 of this title to an entity unless the entity” for “section 280c–3(a) of this title to a State unless the State” and “5 percent” for “10 percent”. Subsec. (b). Pub. L. 115–406, § 4(4)(A), substituted “section 280c–3 or 280c–4 of this title to an entity unless the entity” for “section 280c–3(a) of this title to a State unless the State” in introductory provisions. Pub. L. 115–406, § 4(2), (3), redesignated subsec. (c) as (b) and struck out former subsec. (b) which required a State to submit a description of the purposes for which the State intended to expend a grant. Subsec. (b)(1). Pub. L. 115–406, § 4(4)(B), substituted “expenditures;” for “expenditures required in subsection (b);”. Subsec. (c). Pub. L. 115–406, § 4(3), redesignated subsec. (d) as (c). Former subsec. (c) redesignated (b). Subsec. (c)(1). Pub. L. 115–406, § 4(5)(A), substituted “the activities for which an award” for “each demonstration project for which a grant” and “section 280c–3 or 280c–4 of this title” for “section 280c–3(a) of this title”. Subsec. (c)(2). Pub. L. 115–406, § 4(5)(B), substituted “1 year” for “6 months”. Subsec. (d). Pub. L. 115–406, § 4(3), (6), added subsec. (d) and redesignated former subsec. (d) as (c). Subsec. (e). Pub. L. 115–406, § 4(7), substituted “$20,000,000 for each of fiscal years 2020 through 2024” for “$5,000,000 for each of the fiscal years 1988 through 1990, $7,500,000 for fiscal year 1991, such sums as may be necessary for each of the fiscal years 1992 and 1993, $8,000,000 for fiscal year 1998, and such sums as may be necessary for each of the fiscal years 1999 through 2002”. 1998—Subsec. (e). Pub. L. 105–392 substituted “1991, such sums” for “1991, and such sums” and inserted before period at end “, $8,000,000 for fiscal year 1998, and such sums as may be necessary for each of the fiscal years 1999 through 2002”. 1990—Subsec. (e). Pub. L. 101–557 substituted “there are” for “there is” and inserted before period at end “, $7,500,000 for fiscal year 1991, and such sums as may be necessary for each of the fiscal years 1992 and 1993”.

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–5

Title 42, The Public Health and Welfare

Last Updated

Sep 23, 2026

Release point: 119-110