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Title 42, The Public Health and WelfareRelease 119-110

§300d–15 Restrictions on Use of Payments

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER X — TRAUMA CARE › Part B — Formula Grants With Respect to Modifications of State Plans › § 300d–15

Last updated Sep 22, 2026|Official source

Summary

The Secretary cannot give these payments for a fiscal year unless the State agrees to spend them only in certain ways. The agreement must bar five uses: any purpose other than making, carrying out, and checking the changes required to the State’s emergency medical services plan; giving cash directly to people who would get services; buying or improving land or buildings (except small remodels); using the money to meet a required non‑Federal spending condition; and giving funds to for‑profit groups instead of public or nonprofit ones. The Secretary can lift one of these bans only if the Secretary finds that the activities in the State’s plan cannot be done any other way.

Full Legal Text

Title 42, §300d–15

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

(a)In general
The Secretary may not, except as provided in subsection (b), make payments under section 300d–11(a) of this title for a fiscal year unless the State involved agrees that the payments will not be expended—
(1)for any purpose other than developing, implementing, and monitoring the modifications required by section 300d–11(b) of this title to be made to the State plan for the provision of emergency medical services;
(2)to make cash payments to intended recipients of services provided pursuant to this section;
(3)to purchase or improve real property (other than minor remodeling of existing improvements to real property);
(4)to satisfy any requirement for the expenditure of non-Federal funds as a condition for the receipt of Federal funds; or
(5)to provide financial assistance to any entity other than a public or nonprofit private entity.
(b)Waiver
The Secretary may waive a restriction under subsection (a) only if the Secretary determines that the activities outlined by the State plan submitted under section 300d–14(a) of this title by the State involved cannot otherwise be carried out.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Amendments

2007—Pub. L. 110–23 amended section generally. Prior to amendment, section related to restrictions on use of payments.

Reference

Citations & Metadata

Citation

42 U.S.C. § 300d–15

Title 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110