Title 42, The Public Health and WelfareRelease 119-110

§300d–18 Determination of Amount of Allotment

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER X — TRAUMA CARE › Part B — Formula Grants With Respect to Modifications of State Plans › § 300d–18

Last updated Sep 22, 2026|Official source

Summary

Decides how much money each State or territory gets from the program each fiscal year, as long as Congress provides the funds. Each place gets whichever is larger: a formula amount or a minimum guarantee. The minimum is $250,000 for each State, the District of Columbia, and Puerto Rico, and $50,000 for the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands. The formula splits the available allotment money into two parts. Eighty percent is shared by each State based on its share of the total U.S. population. Twenty percent is shared based on land area, but no State’s area counts for more than 266,807 square miles when doing that math. If money is not paid to a State because it didn’t apply, didn’t file a proper application in time, or said it won’t spend the full amount, that money is reallocated to States that are receiving payments. The reallocation is divided by each State’s share of the population.

Full Legal Text

Title 42, §300d–18

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

(a)Minimum allotment
Subject to the extent of amounts made available in appropriations Acts, the amount of an allotment under section 300d–11(a) of this title for a State for a fiscal year shall be the greater of— (1)
(2)$250,000 in the case of each of the several States, the District of Columbia, and the Commonwealth of Puerto Rico, and $50,000 in the case of each of the Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands.
(b)Determination under formula
(1)In general
The amount referred to in subsection (a)(1) for a State for a fiscal year is the sum of— (A)
(B)an amount determined under paragraph (3).
(2)Amount relating to population
The amount referred to in subparagraph (A) of paragraph (1) for a State for a fiscal year is the product of— (A)
(B)a percentage equal to the quotient of—
(i)an amount equal to the population of the State; divided by
(ii)an amount equal to the population of all States.
(3)Amount relating to square mileage
The amount referred to in subparagraph (B) of paragraph (1) for a State for a fiscal year is the product of— (A)
(B)a percentage equal to the quotient of—
(i)an amount equal to the lesser of 266,807 and the amount of the square mileage of the State; divided by
(ii)an amount equal to the sum of the respective amounts determined for the States under clause (i).
(c)Disposition of certain funds appropriated for allotments
(1)In general
Amounts described in paragraph (2) shall, in accordance with paragraph (3), be allotted by the Secretary to States receiving payments under section 300d–11(a) of this title for the fiscal year (other than any State referred to in paragraph (2)(C)).
(2)Type of amounts
The amounts referred to in paragraph (1) are any amounts made available pursuant to 300d–32(b)(3) of this title that are not paid under section 300d–11(a) of this title to a State as a result of— (A)
(B)the failure, in the determination of the Secretary, of the State to prepare within a reasonable period of time such application in compliance with such section; or
(C)the State informing the Secretary that the State does not intend to expend the full amount of the allotment made for the State.
(3)Amount
The amount of an allotment under paragraph (1) for a State for a fiscal year shall be an amount equal to the product of— (A)
(B)the percentage determined under subsection (b)(2) for the State.

Reference

Citations & Metadata

Citation

42 U.S.C. § 300d–18

Title 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110