Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER XXIV — HIV HEALTH CARE SERVICES PROGRAM › Part A — Emergency Relief for Areas With Substantial Need for Services › subpart i — general grant provisions › § 300ff–14
Grants can only go to a city or county leader if they agree to spend the money the way the local HIV planning council decides and only on three things: core medical services, support services, and allowed administrative costs. The leader must give the money directly to public or nonprofit groups, or to a for-profit only if it is the only good provider in the area. At least 75% of the grant (after some reserved amounts) must pay for core medical services for people with HIV who are eligible. The federal health official can waive the 75% rule for a year if there are no waiting lists for the AIDS Drug Assistance Program and core services are available to all eligible people. Core medical services include things like outpatient care, AIDS drug programs and medicines, dental care, early intervention, help with insurance costs, home health and hospice, nutrition, mental health and substance-abuse outpatient care, and medical case management. Early intervention services may be offered at many places (clinics, shelters, hospitals, testing sites, etc.), but a provider must show other funds are not enough and that these grant dollars will add to, not replace, existing funding. The leader must also set aside at least a share of funds for women, infants, children, and youth with HIV equal to their share of the local HIV population, unless those groups are already served by Medicaid, CHIP, or other federal or state programs. If a service is covered by the State Medicaid plan, the city or county must either provide it directly as a Medicaid provider or hire an organization that is enrolled to receive Medicaid payments. The local planning council can waive that rule if a provider will not bill or accept insurance or government payments. No more than 10% of the grant can be used for administrative costs, and total admin spending by all funded groups must stay within that 10% limit. Usual grant management, contracting, monitoring, and related program support count as allowed admin costs. The leader must run a clinical quality management program to check that care follows the latest Public Health Service HIV treatment guidelines. Up to the smaller of 5% of the grant or $3,000,000 may be used for that program, and those funds do not count against the 10% admin cap. Grant money cannot buy land, build or majorly improve buildings, or be given as cash payments to service recipients.
Full Legal Text
The Public Health and Welfare, Source: USLM XML via OLRC
Legislative History
Reference
Citation
42 U.S.C. § 300ff–14
Title 42, The Public Health and Welfare
Last Updated
Sep 22, 2026
Release point: 119-110