Title 42, The Public Health and WelfareRelease 119-102

§291a Authorization of Appropriations

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER IV — CONSTRUCTION AND MODERNIZATION OF HOSPITALS AND OTHER MEDICAL FACILITIES › Part A — Grants and Loans for Construction and Modernization of Hospitals and Other Medical Facilities › § 291a

Last updated Aug 21, 2026|Official source

Summary

Provides money to help States carry out section 291. For the fiscal year ending June 30, 1974 it sets aside $20,800,000 for building public or nonprofit long‑term care facilities, $70,000,000 for outpatient facilities, and $15,000,000 for rehabilitation facilities. It also sets yearly grant amounts for building public or nonprofit hospitals and public health centers and for modernizing those kinds of facilities. For hospital and public health center construction the amounts are $150,000,000 (FY ending June 30, 1965), $160,000,000 (1966), $170,000,000 (1967), $180,000,000 (1968 and 1969), $195,000,000 (1970), $147,500,000 (1971), $152,500,000 (1972), $157,500,000 (1973), and $41,400,000 (1974). For modernization the amounts are $65,000,000 (1971), $80,000,000 (1972), $90,000,000 (1973), and $50,000,000 (1974).

Full Legal Text

Title 42, §291a

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

In order to assist the States in carrying out the purposes of section 291 of this title, there are authorized to be appropriated—
(a)for the fiscal year ending June 30, 1974—
(1)$20,800,000 for grants for the construction of public or other nonprofit facilities for long-term care;
(2)$70,000,000 for grants for the construction of public or other nonprofit outpatient facilities;
(3)$15,000,000 for grants for the construction of public or other nonprofit rehabilitation facilities;
(b)for grants for the construction of public or other nonprofit hospitals and public health centers, $150,000,000 for the fiscal year ending June 30, 1965, $160,000,000 for the fiscal year ending June 30, 1966, $170,000,000 for the fiscal year ending June 30, 1967, $180,000,000 each for the next two fiscal years, $195,000,000 for the fiscal year ending June 30, 1970, $147,500,000 for the fiscal year ending June 30, 1971, $152,500,000 for the fiscal year ending June 30, 1972, $157,500,000 for the fiscal year ending June 30, 1973, and $41,400,000 for the fiscal year ending June 30, 1974; and
(c)for grants for modernization of the facilities referred to in paragraphs (a) and (b), $65,000,000 for the fiscal year ending June 30, 1971, $80,000,000 for the fiscal year ending June 30, 1972, $90,000,000 for the fiscal year ending June 30, 1973, and $50,000,000 for the fiscal year ending June 30, 1974.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Prior Provisions

A prior section 291a, act
July 1, 1944, ch. 373, title VI, § 611, as added Aug. 13, 1946, ch. 958, § 2, 60 Stat. 1041, authorized appropriations for surveys and planning, prior to the general amendment of this subchapter by Pub. L. 88–443. A prior section 291d, act
July 1, 1944, ch. 373, title VI, § 621, as added Aug. 13, 1946, ch. 958, § 2, 60 Stat. 1041; amended Oct. 25, 1949, ch. 722, § 2(a), 63 Stat. 897;
July 27, 1953, ch. 243, 67 Stat. 196; Aug. 2, 1956, ch. 871, title IV, § 401, 70 Stat. 929; Aug. 14, 1958, Pub. L. 85–664, § 1(a), 72 Stat. 616, related to subject matter similar to this section, prior to the general amendment of this subchapter by Pub. L. 88–443. A prior section 291p, act
July 1, 1944, ch. 373, title VI, § 646, as added
July 12, 1954, ch. 471, § 2, 68 Stat. 461, related to subject matter similar to this section, prior to the general amendment of this subchapter by Pub. L. 88–443. A prior section 291s, act
July 1, 1944, ch. 373, title VI, § 651, as added
July 12, 1954, ch. 471, § 3, 68 Stat. 462; amended Aug. 2, 1956, ch. 871, title IV, § 402, 70 Stat. 929; Aug. 14, 1958, Pub. L. 85–664, § 1(b), 72 Stat. 616; Oct. 5, 1961, Pub. L. 87–395, § 3(a), 75 Stat. 825, related to subject matter similar to this section, prior to the general amendment of this subchapter by Pub. L. 88–443.

Amendments

1973—Subsec. (a). Pub. L. 93–45, § 108(a)(1), substituted introductory text reading “fiscal year ending
June 30, 1974” for “fiscal year ending
June 30, 1965, and each of the next eight fiscal years” and in cl. (1) “$20,800,000” for “$85,000,000”. Subsec. (b). Pub. L. 93–45, § 108(a)(2), authorized appropriations of $41,400,000 for fiscal year ending
June 30, 1974. Subsec. (c). Pub. L. 93–45, § 108(a)(3), authorized appropriations of $50,000,000 for fiscal year ending
June 30, 1974. 1970—Par. (a). Pub. L. 91–296, §§ 101(a)(1), (2), 116(a), substituted “outpatient facilities” for “diagnostic or treatment centers” in enumeration of facilities eligible for

Construction

grants, extended through fiscal year ending June 30, 1973, authority to appropriate funds for

Construction

grants, increased from $70,000,000 to $85,000,000 annual authority to make grants for public or other nonprofit facilities for long-term care, from $20,000,000 to $70,000,000 authority for public or other nonprofit outpatient facilities, and from $10,000,000 to $15,000,000 authority for public or other nonprofit rehabilitation facilities. Par. (b). Pub. L. 91–296, §§ 101(a)(3), 102(a)(1), struck out provisions authorizing grants for modernization of facilities and inserted provisions authorizing appropriation of $147,500,000 for fiscal year ending
June 30, 1971, $152,500,000 for fiscal year ending
June 30, 1972, and $157,500,000 for fiscal year ending
June 30, 1973, for grants for

Construction

of public or other nonprofit hospitals and public health centers. Par. (c). Pub. L. 91–296, § 102(a)(2), added par. (c). 1968—Par. (a). Pub. L. 90–574, § 402(a)(1), substituted “next five” for “next four”. Par. (b). Pub. L. 90–574, § 402(a)(2), authorized appropriation of $195,000,000 for fiscal year ending June 30, 1970.

Statutory Notes and Related Subsidiaries

Effective Date

of 1970 Amendment Pub. L. 91–296, title I, § 101(b), June 30, 1970, 84 Stat. 337, provided that: “The

Amendments

made by subsection (a) [amending this section] shall take effect with respect to appropriations made under such section 601 [42 U.S.C. 291a] for fiscal years beginning after
June 30, 1970.” Pub. L. 91–296, title I, § 102(a),
June 30, 1970, 84 Stat. 337, provided that the amendment made by that section is effective with respect to appropriations made under this section for fiscal years beginning after
June 30, 1970.

Reference

Citations & Metadata

Citation

42 U.S.C. § 291a

Title 42, The Public Health and Welfare

Last Updated

Aug 21, 2026

Release point: 119-102