Title 42, The Public Health and WelfareRelease 119-110
§300d–19 Failure to Comply with Agreements
Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER X — TRAUMA CARE › Part B — Formula Grants With Respect to Modifications of State Plans › § 300d–19
Summary
The Secretary may make a State pay back any money the State got under the program if the Secretary finds the State did not spend it as the State had agreed. If the State won’t repay, the Secretary can take the amount from future program payments to the State. Before ordering repayment, the Secretary must give the State a chance for a hearing.
Full Legal Text
Title 42, §300d–19
The Public Health and Welfare, Source: USLM XML via OLRC
(a)Repayment of payments
(1)Requirement
The Secretary may, in accordance with subsection (b), require a State to repay any payments received by the State pursuant to section 300d–11(a) of this title that the Secretary determines were not expended by the State in accordance with the agreements required to be made by the State as a condition of the receipt of payments under such section.
(2)Offset of amounts
If a State fails to make a repayment required in paragraph (1), the Secretary may offset the amount of the repayment against any amount due to be paid to the State under section 300d–11(a) of this title.
(b)Opportunity for hearing
Before requiring repayment of payments under subsection (a)(1), the Secretary shall provide to the State an opportunity for a hearing.
Reference
Citations & Metadata
Citation
42 U.S.C. § 300d–19
Title 42, The Public Health and Welfare
Last Updated
Sep 22, 2026
Release point: 119-110