Title 42, The Public Health and WelfareRelease 119-110

§300ee–18 Failure to Comply with Agreements

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER XXIII — PREVENTION OF ACQUIRED IMMUNE DEFICIENCY SYNDROME › Part A — Formula Grants to States › § 300ee–18

Last updated Sep 22, 2026|Official source

Summary

The Secretary can make a State pay back money it got under section 300ee–11(a) if the Secretary finds the State did not spend the money the way the State agreed in its application under section 300ee–13. If the State does not pay back the money, the Secretary can take the amount out of future payments the State would get under section 300ee–11(a). The Secretary can also stop payment to a State for the same reason, but must stop if the State gives reasonable assurances it will follow the agreements. Payments cannot be stopped for a minor mistake. Before making a State repay money or stopping payments, the Secretary must give the State a chance for a hearing inside the State. The Secretary must quickly look into serious complaints that a State broke the spending rules. Each year the Secretary will investigate spending in several States, and the Comptroller General may also investigate. States and groups that get the money must let the Secretary and the Comptroller General review and copy records upon reasonable request. Investigators cannot ask for information that is not readily available or make unreasonable requests for how data are given, except during a court case.

Full Legal Text

Title 42, §300ee–18

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

(a)Repayment of payments
(1)The Secretary may, subject to subsection (c), require a State to repay any payments received by the State under section 300ee–11(a) of this title that the Secretary determines were not expended by the State in accordance with the agreements required to be contained in the application submitted by the State pursuant to section 300ee–13 of this title.
(2)If a State fails to make a repayment required in paragraph (1), the Secretary may offset the amount of the repayment against the amount of any payment due to be paid to the State under section 300ee–11(a) of this title.
(b)Withholding of payments
(1)The Secretary may, subject to subsection (c), withhold payments due under section 300ee–11(a) of this title if the Secretary determines that the State involved is not expending amounts received under such section in accordance with the agreements required to be contained in the application submitted by the State pursuant to section 300ee–13 of this title.
(2)The Secretary shall cease withholding payments from a State under paragraph (1) if the Secretary determines that there are reasonable assurances that the State will expend amounts received under section 300ee–11(a) of this title in accordance with the agreements referred to in such paragraph.
(3)The Secretary may not withhold funds under paragraph (1) from a State for a minor failure to comply with the agreements referred to in such paragraph.
(c)Opportunity for hearing
Before requiring repayment of payments under subsection (a)(1), or withholding payments under subsection (b)(1), the Secretary shall provide to the State an opportunity for a hearing conducted within the State.
(d)Prompt response to serious allegations
The Secretary shall promptly respond to any complaint of a substantial or serious nature that a State has failed to expend amounts received under section 300ee–11(a) of this title in accordance with the agreements required to be contained in the application submitted by the State pursuant to section 300ee–13 of this title.
(e)Investigations
(1)The Secretary shall conduct in several States in each fiscal year investigations of the expenditure of payments received by the States under section 300ee–11(a) of this title in order to evaluate compliance with the agreements required to be contained in the applications submitted to the Secretary pursuant to section 300ee–13 of this title.
(2)The Comptroller General of the United States may conduct investigations of the expenditure of funds received under section 300ee–11(a) of this title by a State in order to ensure compliance with the agreements referred to in paragraph (1).
(3)Each State, and each entity receiving funds from payments made to a State under section 300ee–11(a) of this title, shall make appropriate books, documents, papers, and records available to the Secretary and the Comptroller General of the United States, or any of their duly authorized representatives, for examination, copying, or mechanical reproduction on or off the premises of the appropriate entity upon a reasonable request therefor.
(4)(A)In conducting any investigation in a State, the Secretary and the Comptroller General of the United States may not make a request for any information not readily available to the State, or to an entity receiving funds from payments made to the State under section 300ee–11(a) of this title, or make an unreasonable request for information to be compiled, collected, or transmitted in any form not readily available.
(B)Subparagraph (A) shall not apply to the collection, compilation, or transmittal of data in the course of a judicial proceeding.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Prior Provisions

A prior section 2508 of act July 1, 1944, was successively renumbered by subsequent acts, see section 238g of this title.

Amendments

1988—Subsec. (a). Pub. L. 100–690, § 2619(f)(1) [(g)(1)], substituted “300ee–13 of this title” for “300ee–17 of this title”. Subsec. (b). Pub. L. 100–690, § 2619(f)(2) [(g)(2)], inserted “of payments” after “Withholding” in heading and substituted “300ee–13 of this title” for “300ee–17 of this title” in par. (1). Subsecs. (d), (e)(1). Pub. L. 100–690, § 2619(f)(3), (4) [(g)(3), (4)], substituted “300ee–13 of this title” for “300ee–17 of this title”.

Statutory Notes and Related Subsidiaries

Effective Date

of 1988 AmendmentAmendment by Pub. L. 100–690 effective immediately after enactment of Pub. L. 100–607, which was approved Nov. 4, 1988, see section 2600 of Pub. L. 100–690, set out as a note under section 242m of this title.

Reference

Citations & Metadata

Citation

42 U.S.C. § 300ee–18

Title 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110