Title 42, The Public Health and WelfareRelease 119-73not60

§291j–2 Allocation Among States

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–2

Last updated Apr 5, 2026|Official source

Summary

Each fiscal year, the Secretary must split the total loan principal available under this program among the States, using rules that look at each State’s share of the population, how much money it needs, its need to build new facilities, and its need to modernize existing facilities. The loans covered include guaranteed loans to nonprofit private agencies and direct loans to public agencies. If a State had money allotted for a fiscal year ending before July 1, 1973 that it did not spend by year-end, that money stays available to that State for the next two fiscal years only. With the State’s consent, any of that money still unused after the first of those two years can be reallocated to other States that need it; reallocated funds remain available until the end of the second of those two years and are added to the receiving State’s allotments. Money allotted or reallotted for a year cannot be counted as available for a later year while it is still in its availability period. Also, the allotments for the fiscal year ending June 30, 1971 and the next fiscal year may be used to guarantee loans to finish or modernize a nonprofit private hospital or similar facility if work started on or after January 1, 1968, and the State certifies and the Secretary finds the loan is necessary to complete or keep the facility operating. No more than two such projects are allowed per State.

Full Legal Text

Title 42, §291j–2

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

(a)For each fiscal year, the total amount of principal of loans to nonprofit private agencies which may be guaranteed or loans to public agencies which may be directly made under this part shall be allotted by the Secretary among the States, in accordance with regulations, on the basis of each State’s relative population, financial need, need for construction of the facilities referred to in section 291j–1(a) of this title, and need for modernization of such facilities.
(b)Any amount allotted under subsection (a) to a State for a fiscal year ending before July 1, 1973, and remaining unobligated at the end of such year shall remain available to such State, for the purpose for which made, for the next two fiscal years (and for such years only), and any such amount shall be in addition to the amounts allotted to such State for such purpose for each of such next two fiscal years; except that, with the consent of any such State, any such amount remaining unobligated at the end of the first of such next fiscal year may be reallotted (on such basis as the Secretary deems equitable and consistent with the purposes of this subchapter) to other States which have need therefor. Any amounts so reallotted to a State shall be available for the purposes for which made until the close of the second such next two fiscal years and shall be in addition to the amount allotted and available to such State for the same period.
(c)Any amount allotted or reallotted to a State under this section for a fiscal year shall not, until the expiration of the period during which it is available for obligation, be considered as available for allotment for a subsequent fiscal year.
(d)The allotments of any State under subsection (a) for the fiscal year ending June 30, 1971, and the succeeding fiscal year shall also be available to guarantee loans with respect to any project, for modernization or construction of a nonprofit private hospital or other health facility referred to in section 291j–1(a)(1) of this title, if the modernization or construction of such facility was not commenced earlier than January 1, 1968, and if the State certifies and the Secretary finds that without such guaranteed loan such facility could not be completed and begin to operate or could not continue to operate, but with such guaranteed loan would be able to do so: Provided, That this subsection shall not apply to more than two projects in any one State.

Reference

Citations & Metadata

Citation

42 U.S.C. § 291j–2

Title 42, The Public Health and Welfare

Last Updated

Apr 5, 2026

Release point: 119-73not60