Title 42, The Public Health and WelfareRelease 119-110

§291j–6 Loan Guarantee and Loan Fund

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

Last updated Sep 22, 2026|Official source

Summary

Creates a special loan guarantee and loan fund in the Treasury for the Secretary to use without yearly limits. The fund pays for the Secretary’s loan guarantees and related costs: it covers guarantees, interest on loans to nonprofit agencies, direct loans to public agencies that are sold and guaranteed, interest on those loans, and buying back public-agency loans that were sold. Congress can appropriate money to the fund, and loan repayments, interest, or sale proceeds can be put back into it when allowed. If the fund does not have enough money to meet those obligations (for example, to pay interest, honor guarantees, pay purchasers if a public agency defaults, or repurchase loans), the Secretary may, with Treasury approval and only in amounts Congress allows, issue notes or other obligations that the Treasury will buy. The Treasury sets the interest rate based on recent market yields, may sell or redeem those notes, and treats those actions as public debt transactions. Money raised this way goes into the fund and must be repaid from it.

Full Legal Text

Title 42, §291j–6

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

(a)(1)There is hereby established in the Treasury a loan guarantee and loan fund (hereinafter in this section referred to as the “fund”) which shall be available to the Secretary without fiscal year limitation, in such amounts as may be specified from time to time in appropriations Acts, (i) to enable him to discharge his responsibilities under guarantees issued by him under this part, (ii) for payment of interest on the loans to nonprofit agencies which are guaranteed, (iii) for direct loans to public agencies which are sold and guaranteed, (iv) for payment of interest with respect to such loans, and (v) for repurchase by him of direct loans to public agencies which have been sold and guaranteed. There are authorized to be appropriated to the fund from time to time such amounts as may be necessary to provide capital required for the fund. To the extent authorized from time to time in appropriation Acts, there shall be deposited in the fund amounts received by the Secretary as interest payments or repayments of principal on loans and any other moneys, property, or assets derived by him from his operations under this part, including any moneys derived from the sale of assets.
(2)Of the moneys in the fund, there shall be available to the Secretary for the purpose of making of direct loans to public agencies only such sums as shall have been appropriated for such purpose pursuant to section 291j–7 of this title or sums received by the Secretary from the sale of such loans (in accordance with such section) and authorized in appropriations Acts to be used for such purpose.
(b)If at any time the moneys in the fund are insufficient to enable the Secretary to discharge his responsibilities under this part—
(i)to make payments of interest on loans to nonprofit private agencies which he has guaranteed under this part;
(ii)to otherwise comply with guarantees under this part of loans to nonprofit private agencies;
(iii)to make payments of interest subsidies with respect to loans to public agencies which he has made, sold, and guaranteed under this part;
(iv)in the event of default by public agencies to make payments of principal and interest on loans which the Secretary has made, sold, and guaranteed, under this part, to make such payments to the purchaser of such loan;
(v)to repurchase loans to public agencies which have been sold and guaranteed under this part,
he is authorized to issue to the Secretary of the Treasury notes or other obligations in such forms and denominations, bearing such maturities, and subject to such terms and conditions, as may be prescribed by the Secretary with the approval of the Secretary of the Treasury, but only in such amounts as may be specified from time to time in appropriations Acts. Such notes or other obligations shall bear interest at a rate determined by the Secretary of the Treasury, taking into consideration the current average market yield on outstanding marketable obligations of the United States of comparable maturities during the month preceding the issuance of the notes or other obligations. The Secretary of the Treasury is authorized and directed to purchase any notes and other obligations issued hereunder and for that purpose he is authorized to use as a public debt transaction the proceeds from the sale of any securities issued under chapter 31 of title 31, and the purposes for which securities may be issued under that chapter, are extended to include any purchase of such notes and obligations. The Secretary of the Treasury may at any time sell any of the notes or other obligations acquired by him under this subsection. All redemptions, purchases, and sales by the Secretary of the Treasury of such notes or other obligations shall be treated as public debt transactions of the United States. Sums borrowed under this subsection shall be deposited in the fund and redemption of such notes and obligations shall be made by the Secretary from such fund.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Codification In subsec. (b), “chapter 31 of title 31” and “that chapter” substituted for “the Second Liberty Bond Act, as amended” and “that Act, as amended”, respectively, on authority of Pub. L. 97–258, § 4(b), Sept. 13, 1982, 96 Stat. 1067, the first section of which enacted Title 31, Money and Finance.

Reference

Citations & Metadata

Citation

42 U.S.C. § 291j–6

Title 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110