Title 42, The Public Health and WelfareRelease 119-110

§300ff–28 Distribution of Funds

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER XXIV — HIV HEALTH CARE SERVICES PROGRAM › Part B — Care Grant Program › subpart i — general grant provisions › § 300ff–28

Last updated Sep 23, 2026|Official source

Summary

Explains how federal HIV/AIDS grant money is split to States and territories. Each of the 50 States, the District of Columbia, Guam, and the Virgin Islands gets at least $200,000 if it has fewer than 90 living AIDS cases, or $500,000 if it has 90 or more, unless a formula gives a larger amount. Other territories get at least $50,000 or the formula amount. The formula divides the available money into percentages: 75% based on each State’s total living HIV/AIDS cases, 20% based on cases outside certain big-city areas, and 5% based on cases in States without those big-city areas. Key terms: "State distribution factor" = number of living cases in the State; "non-EMA distribution factor" = living cases minus cases in eligible or transitional areas; "living cases" = names-based counts as of December 31 of the latest year. Special rules apply for 2007–2012 for places that did not yet use names-based reporting (including a 5% reduction in counts, 6% for 2012, and a 3% increase for some States in 2010–2012). The Secretary monitors reporting and can reallocate funds from States that limit increases or do not meet reporting rules. For the HIV treatment drug program, States get money by the State distribution factor, with 5% held back each year for supplemental drug grants that must be used only for medications and require some State matching of non-Federal funds. Tells States how to spend the grants. No more than 10% may be used for planning and not more than 10% for administration, and a State’s subgrantees together may not spend more than 10% for admin. A State must set up a clinical quality management program; up to the lesser of 5% of the grant or $3,000,000 may be used for it and those costs do not count against the 10% admin cap. States may not spend grant money to buy land or major buildings or give cash to service recipients. At least 75% of the grant must be tied to specific programs and obligated within 150 days the first year or 120 days in later years, and the State must get public comment on how it will use the money. Any funds not obligated in time are taken back and given to other grants.

Full Legal Text

Title 42, §300ff–28

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

(a)Amount of grant to State
(1)Minimum allotment
Subject to the extent of amounts made available under section 300ff–31b of this title, the amount of a grant to be made under section 300ff–21 of this title for— (A)
(B)each territory other than Guam and the Virgin Islands shall be the greater of $50,000 or an amount determined under paragraph (2).
(2)Determination
(A)Formula
For purposes of paragraph (1), the amount referred to in this paragraph for a State (including a territory) for a fiscal year is, subject to subparagraphs (E) and (F)—
(i)an amount equal to the amount made available under section 300ff–31b of this title for the fiscal year involved for grants pursuant to paragraph (1), subject to subparagraph (F); and
(ii)the percentage constituted by the sum of—
(I)the product of 0.75 and the ratio of the State distribution factor for the State or territory (as determined under subsection (B)) to the sum of the respective State distribution factors for all States or territories;
(II)the product of .20 and the ratio of the non-EMA distribution factor for the State or territory (as determined under subparagraph (C)) to the sum of the respective non-EMA distribution factors for all States or territories; and
(III)if the State does not for such fiscal year contain any area that is an eligible area under subpart I of part A or any area that is a transitional area under section 300ff–19 of this title (referred to in this subclause as a “no-EMA State”), the product of 0.05 and the ratio of the number of cases that applies for the State under subparagraph (D) to the sum of the respective numbers of cases that so apply for all no-EMA States.
(B)State distribution factor (C) Non-EMA distribution factor (D) Living cases of HIV/AIDS
For purposes of subparagraph (A)(ii)(I), the term “State distribution factor” means an amount equal to the number of living cases of HIV/AIDS in the State involved, as determined under subparagraph (D).
(E)Code-based States; limitation on increase in grant
(i)In general
For each of the fiscal years 2007 through 2012, if code-based reporting (within the meaning of subparagraph (D)(vi)) applies in a State as of the beginning of the fiscal year involved, then notwithstanding any other provision of this paragraph, the amount of the grant pursuant to paragraph (1) for the State may not for the fiscal year involved exceed by more than 5 percent the amount of the grant pursuant to this paragraph for the State for the preceding fiscal year, except that the limitation under this clause may not result in a grant pursuant to paragraph (1) for a fiscal year that is less than the minimum amount that applies to the State under such paragraph for such fiscal year.
(ii)Use of amounts involved
For each of the fiscal years 2007 through 2012, amounts available as a result of the limitation under clause (i) shall be made available by the Secretary as additional amounts for grants pursuant to section 300ff–29a of this title, subject to subparagraph (H).
(F)Appropriations for treatment drug program
(i)Formula grants
With respect to the fiscal year involved, if under section 300ff–31b of this title an appropriations Act provides an amount exclusively for carrying out section 300ff–26 of this title, the portion of such amount allocated to a State shall be the product of— (I)
(II)the percentage constituted by the ratio of the State distribution factor for the State (as determined under subparagraph (B)) to the sum of the State distribution factors for all States;
which product shall then, as applicable, be increased under subparagraph (H).
(ii)Supplemental treatment drug grants
(I)In general
From amounts made available under subclause (V), the Secretary shall award supplemental grants to States described in subclause (II) to enable such States to purchase and distribute to eligible individuals under section 300ff–26(b) of this title pharmaceutical therapeutics described under subsections (c)(2) and (e) of such section.
(II)Eligible States
For purposes of subclause (I), a State shall be an eligible State if the State did not have unobligated funds subject to reallocation under subsection (d) in the previous fiscal year and, in accordance with criteria established by the Secretary, demonstrates a severe need for a grant under this clause. For purposes of determining severe need, the Secretary shall consider eligibility standards, formulary composition, the number of eligible individuals to whom a State is unable to provide therapeutics described in section 300ff–26(a) of this title, and an unanticipated increase of eligible individuals with HIV/AIDS.
(III)State requirements
The Secretary may not make a grant to a State under this clause unless the State agrees that the State will make available (directly or through donations of public or private entities) non-Federal contributions toward the activities to be carried out under the grant in an amount equal to $1 for each $4 of Federal funds provided in the grant, except that the Secretary may waive this subclause if the State has otherwise fully complied with section 300ff–27(d) of this title with respect to the grant year involved. The provisions of this subclause shall apply to States that are not required to comply with such section 300ff–27(d) of this title.
(IV)Use and coordination
Amounts made available under a grant under this clause shall only be used by the State to provide HIV/AIDS-related medications. The State shall coordinate the use of such amounts with the amounts otherwise provided under section 300ff–26(a) of this title in order to maximize drug coverage.
(V)Funding
For the purpose of making grants under this clause, the Secretary shall each fiscal year reserve 5 percent of the amount referred to in clause (i) with respect to section 300ff–26 of this title.
(iii)Code-based States; limitation on increase in formula grant
The limitation under subparagraph (E)(i) applies to grants pursuant to clause (i) of this subparagraph to the same extent and in the same manner as such limitation applies to grants pursuant to paragraph (1), except that the reference to minimum grants does not apply for purposes of this clause. Amounts available as a result of the limitation under the preceding sentence shall be made available by the Secretary as additional amounts for grants under clause (ii) of this subparagraph.
(G)Repealed. Pub. L. 109–415, title II, § 203(b)(2), Dec. 19, 2006, 120 Stat. 2792
(H)Increase in formula grants
(i)Assurance of amount
(I)General rule
For fiscal year 2010, the Secretary shall ensure, subject to clauses (ii) through (iv), that the total for a State of the grant pursuant to paragraph (1) and the grant pursuant to subparagraph (F) is not less than 95 percent of such total for the State for fiscal year 2009.
(II)Rule of construction
With respect to the application of subclause (I), the 95 percent requirement under such subclause shall apply with respect to each grant awarded under paragraph (1) and with respect to each grant awarded under subparagraph (F).
(ii)Fiscal years 2011 and 2012
For each of the fiscal years 2011 and 2012, the Secretary shall ensure that the total for a State of the grant pursuant to paragraph (1) and the grant pursuant to subparagraph (F) is not less than 100 percent of such total for the State for fiscal year 2010.
(iii)Fiscal year 2013
For fiscal year 2013, the Secretary shall ensure that the total for a State of the grant pursuant to paragraph (1) and the grant pursuant to subparagraph (F) is not less than 92.5 percent of such total for the State for fiscal year 2012.
(iv)Source of funds for increase
(I)In general
From the amount reserved under section 300ff–31b(b)(2) of this title for a fiscal year, and from amounts available for such section pursuant to subsection (d) of this section, the Secretary shall make available such amounts as may be necessary to comply with clause (i).
(II)Pro rata reduction
If the amounts referred to in subclause (I) for a fiscal year are insufficient to fully comply with clause (i) for the year, the Secretary, in order to provide the additional funds necessary for such compliance, shall reduce on a pro rata basis the amount of each grant pursuant to paragraph (1) for the fiscal year, other than grants for States for which increases under clause (i) apply and other than States described in paragraph (1)(A)(i)(I). A reduction under the preceding sentence may not be made in an amount that would result in the State involved becoming eligible for such an increase.
(v)Applicability
This paragraph may not be construed as having any applicability after fiscal year 2013.
(b)Allocation of assistance by States
(1)Allowances
Prior to allocating assistance under this subsection, a State shall consider the unmet needs of those areas that have not received financial assistance under part A.
(2)Planning and evaluations
Subject to paragraph (4) and except as provided in paragraph (5), a State may not use more than 10 percent of amounts received under a grant awarded under section 300ff–21 of this title for planning and evaluation activities.
(3)Administration
(A)In general
Subject to paragraph (4), and except as provided in paragraph (5), a State may not use more than 10 percent of amounts received under a grant awarded under section 300ff–21 of this title for administration.
(B)Allocations
In the case of entities and subcontractors to which a State allocates amounts received by the State under a grant under section 300ff–21 of this title, the State shall ensure that, of the aggregate amount so allocated, the total of the expenditures by such entities for administrative expenses does not exceed 10 percent (without regard to whether particular entities expend more than 10 percent for such expenses).
(C)Administrative activities
For the purposes of subparagraph (A), amounts may be used for administrative activities that include routine grant administration and monitoring activities, including a clinical quality management program under subparagraph (E).
(D)Subcontractor administrative costs
For the purposes of this paragraph, subcontractor administrative activities include—
(i)usual and recognized overhead, including established indirect rates for agencies;
(ii)management oversight of specific programs funded under this subchapter; and
(iii)other types of program support such as quality assurance, quality control, and related activities.
(E)Clinical quality management
(i)Requirement
Each State that receives a grant under section 300ff–21 of this title shall provide for the establishment of a clinical quality management program to assess the extent to which HIV health services provided to patients under the grant are consistent with the most recent Public Health Service guidelines for the treatment of HIV/AIDS and related opportunistic infection, and as applicable, to develop strategies for ensuring that such services are consistent with the guidelines for improvement in the access to and quality of HIV health services.
(ii)Use of funds
(I)In general
From amounts received under a grant awarded under section 300ff–21 of this title for a fiscal year, a State may use for activities associated with the clinical quality management program required in clause (i) not to exceed the lesser of— (aa)
(bb)$3,000,000.
(II)Relation to limitation on administrative expenses
The costs of a clinical quality management program under clause (i) may not be considered administrative expenses for purposes of the limitation established in subparagraph (A).
(4)Limitation on use of funds
Except as provided in paragraph (5), a State may not use more than a total of 15 percent of amounts received under a grant awarded under section 300ff–21 of this title for the purposes described in paragraphs (2) and (3).
(5)Exception
With respect to a State that receives the minimum allotment under subsection (a)(1) for a fiscal year, such State, from the amounts received under a grant awarded under section 300ff–21 of this title for such fiscal year for the activities described in paragraphs (2) and (3), may, notwithstanding paragraphs (2) through (4), use not more than that amount required to support one full-time-equivalent employee.
(6)Construction
A State may not use amounts received under a grant awarded under section 300ff–21 of this title to purchase or improve land, or to purchase, construct, or permanently improve (other than minor remodeling) any building or other facility, or to make cash payments to intended recipients of services.
(c)Expedited distribution
(1)In general
Not less than 75 percent of the amounts received under a grant awarded to a State under section 300ff–21 of this title shall be obligated to specific programs and projects and made available for expenditure not later than—
(A)in the case of the first fiscal year for which amounts are received, 150 days after the receipt of such amounts by the State; and
(B)in the case of succeeding fiscal years, 120 days after the receipt of such amounts by the State.
(2)Public comment
Within the time periods referred to in paragraph (1), the State shall invite and receive public comment concerning methods for the utilization of such amounts.
(d)Reallocation
Any portion of a grant made to a State under section 300ff–21 of this title for a fiscal year that has not been obligated as described in subsection (c) ceases to be available to the State and shall be made available by the Secretary for grants under section 300ff–29a of this title, in addition to amounts made available for such grants under section 300ff–31b(b)(2) of this title.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Amendments

2009—Pub. L. 111–87, § 2(a)(1), (3)(A), repealed Pub. L. 109–415, § 703, and revived the provisions of this section as in effect on Sept. 30, 2009. See 2006 Amendment note and

Effective Date

of 2009 Amendment; Revival of Section note below. Subsec. (a)(2)(A)(i). Pub. L. 111–87, § 5(c)(1), substituted “subparagraph (F)” for “subparagraph (G)”. Subsec. (a)(2)(D)(ii). Pub. L. 111–87, § 3(b)(1)(A)(i), substituted “2012” for “2009” in introductory provisions. Subsec. (a)(2)(D)(ii)(II). Pub. L. 111–87, § 3(b)(1)(A)(ii), substituted “or a subsequent fiscal year through fiscal year 2012” for “or 2009”. Subsec. (a)(2)(D)(iv). Pub. L. 111–87, § 3(b)(1)(B), substituted “2012” for “2010”. Subsec. (a)(2)(D)(v). Pub. L. 111–87, § 3(b)(1)(C), inserted “or a subsequent fiscal year” after “2009”. Subsec. (a)(2)(D)(vi)(II). Pub. L. 111–87, § 3(b)(1)(D), inserted “for fiscal years before fiscal year 2012 (and 6 percent for fiscal year 2012)” after “5 percent”. Subsec. (a)(2)(D)(vi)(III). Pub. L. 111–87, § 7(b), added subcl. (III). Subsec. (a)(2)(D)(viii)(II). Pub. L. 111–87, § 3(b)(1)(E), substituted “2013” for “2010” and “2012” for “2009”. Subsec. (a)(2)(D)(x). Pub. L. 111–87, § 3(b)(1)(F), added cl. (x). Subsec. (a)(2)(E)(i), (ii). Pub. L. 111–87, § 3(b)(2), substituted “2012” for “2009”. Subsec. (a)(2)(F)(ii)(V). Pub. L. 111–87, § 10(b), struck out “, subject to subclause (VI)” before period. Subsec. (a)(2)(H)(i). Pub. L. 111–87, § 5(b)(1), (c)(1), substituted “2010” for “2007” and “2009” for “2006” and substituted “subparagraph (F)” for “subparagraph (G)” in two places. Subsec. (a)(2)(H)(ii). Pub. L. 111–87, § 5(b)(3), (c)(1), in heading, substituted “2011 and 2012” for “2008 and 2009” and, in text, substituted “2011 and 2012” for “2008 and 2009”, “subparagraph (F)” for “subparagraph (G)”, and “2010” for “2007”. Pub. L. 111–87, § 5(b)(2), redesignated cl. (iii) as (ii) and struck out former cl. (ii). Prior to amendment, text read as follows: “For purposes of clause (i) as applied for fiscal year 2007, the references in such clause to subparagraph (G) are deemed to be references to subparagraph (I) as such subparagraph was in effect for fiscal year 2006.” Subsec. (a)(2)(H)(iii). Pub. L. 111–87, § 5(b)(4), added cl. (iii). Former cl. (iii) redesignated (ii). Subsec. (a)(2)(H)(v). Pub. L. 111–87, § 5(b)(5), substituted “2013” for “2009”. 2006—Pub. L. 109–415, § 703, which directed repeal of this section effective Oct. 1, 2009, was itself repealed by Pub. L. 111–87, § 2(a)(1), effective Sept. 30, 2009. Subsec. (a)(1). Pub. L. 109–415, § 204(a), substituted “section 300ff–21 of this title” for “this part” in introductory provisions. Pub. L. 109–415, § 203(g)(1), substituted “section 300ff–31b of this title” for “section 300ff–77 of this title” in introductory provisions. Subsec. (a)(1)(A). Pub. L. 109–415, § 203(g)(2)(A), substituted “each of the 50 States, the District of Columbia, Guam, and the Virgin Islands (referred to in this paragraph as a ‘covered State’)” for “each of the several States and the District of Columbia” in introductory provisions. Subsec. (a)(1)(A)(i)(I). Pub. L. 109–415, § 702(1), substituted “AIDS” for “acquired immune deficiency syndrome”. Pub. L. 109–415, § 203(g)(2)(B)(i), substituted “covered State” for “State or District”. Subsec. (a)(1)(A)(i)(II). Pub. L. 109–415, § 702(1), substituted “AIDS” for “acquired immune deficiency syndrome”. Pub. L. 109–415, § 203(g)(2)(B)(ii), substituted “covered State” for “State or District” and inserted “and” at end. Subsec. (a)(1)(B). Pub. L. 109–415, § 203(g)(3), substituted “each territory other than Guam and the Virgin Islands” for “each territory of the United States, as defined in paragraph (3),”. Subsec. (a)(2)(A). Pub. L. 109–415, § 203(b)(1)(A), in introductory provisions substituted “For purposes of paragraph (1), the amount referred to in this paragraph for a State (including a territory) for a fiscal year is, subject to subparagraphs (E) and (F)” for “The amount referred to in paragraph (1)(A)(ii) for a State and paragraph (1)(B) for a territory of the United States shall be the product of”, added cl. (i), and struck out former cl. (i) which read as follows: “(i) an amount equal to the amount appropriated under section 300ff–77 of this title for the fiscal year involved for grants under this part, subject to subparagraphs (H) and (I); and”. Subsec. (a)(2)(A)(ii)(I). Pub. L. 109–415, § 203(b)(1)(B)(i), substituted “0.75” for “.80” and struck out “and” at end. Subsec. (a)(2)(A)(ii)(II). Pub. L. 109–415, § 203(b)(1)(B)(ii), inserted “non-EMA” after “respective” and substituted “; and” for period at end. Subsec. (a)(2)(A)(ii)(III). Pub. L. 109–415, § 203(b)(1)(B)(iii), added subcl. (III). Subsec. (a)(2)(B). Pub. L. 109–415, § 203(a)(1)(A), substituted “number of living cases of HIV/AIDS in the State involved” for “estimated number of living cases of acquired immune deficiency syndrome in the eligible area involved”. Subsec. (a)(2)(C)(i). Pub. L. 109–415, § 203(g)(4), struck out “or territory” after “State”. Pub. L. 109–415, § 203(a)(2)(A), substituted “number of living cases of HIV/AIDS” for “estimated number of living cases of acquired immune deficiency syndrome”. Subsec. (a)(2)(C)(ii). Pub. L. 109–415, § 203(a)(2)(B), amended cl. (ii) generally. Prior to amendment, cl. (ii) read as follows: “the estimated number of living cases of acquired immune deficiency syndrome in such State or territory that are within an eligible area (as determined under part A of this subchapter).” Subsec. (a)(2)(D). Pub. L. 109–415, § 203(a)(1)(B), amended subpar. (D) generally. Prior to amendment, subpar. (D) related to estimating the number of living cases of acquired immune deficiency syndrome in a State or territory. Subsec. (a)(2)(E). Pub. L. 109–415, § 203(b)(3), added subpar (E). Pub. L. 109–415, § 203(b)(2), struck out heading and text of subpar. (E). Text read as follows: “If under section 300ff–13(a)(3)(D)(i) of this title the Secretary determines that data on cases of HIV disease are not sufficiently accurate and reliable, then notwithstanding subparagraph (D) of this paragraph, for any fiscal year prior to fiscal year 2007 the references in such subparagraph to cases of HIV disease do not have any legal effect.” Subsec. (a)(2)(F). Pub. L. 109–415, § 203(b)(4), redesignated subpar. (I) as (F). Pub. L. 109–415, § 203(b)(2), struck out heading and text of subpar. (F). Text read as follows: “For purposes of subparagraph (D), the cost index for Puerto Rico, the Virgin Islands, and Guam shall be 1.0.” Subsec. (a)(2)(F)(i). Pub. L. 109–415, § 203(c)(1), which directed amendment of subsec. (a)(2)(G)(i) by substituting “section 300ff–31b of this title” for “section 300ff–77 of this title” in introductory provisions, substituting a semicolon for a period at end of subcl. (II), and adding concluding provisions, was executed by making the amendment to subsec. (a)(2)(F)(i), to reflect the probable intent of Congress. Subsec. (a)(2)(F)(ii). Pub. L. 109–415, § 203(c)(2), which directed amendment of subsec. (a)(2)(G)(ii) by adding subcls. (I) to (III), striking out former subcls. (I) to (III), substituting “5 percent” for “3 percent” in subcl. (V), striking out subcl. (VI), and realigning margins, was executed by making the

Amendments

to subsec. (a)(2)(F)(ii), to reflect the probable intent of Congress. Prior to amendment, subcls. (I) to (III) and (VI) related to supplemental grants to States to increase access to therapeutics described in section 300ff–26(a), eligibility for grants, requirements for grants, and reservation of amounts, respectively. Subsec. (a)(2)(F)(iii). Pub. L. 109–415, § 203(c)(3), which directed amendment of subsec. (a)(2)(G) by adding cl. (iii), was executed by making the amendment to subsec. (a)(2)(F), to reflect the probable intent of Congress. Subsec. (a)(2)(G). Pub. L. 109–415, § 203(b)(2), struck out heading and text of subpar. (G). Text read as follows: “The Secretary may, in determining the amount of a grant for a fiscal year under this subsection, adjust the grant amount to reflect the amount of unexpended and uncanceled grant funds remaining at the end of the fiscal year preceding the year for which the grant determination is to be made. The amount of any such unexpended funds shall be determined using the financial status report of the grantee.” Subsec. (a)(2)(H). Pub. L. 109–415, § 203(d), added subpar. (H). Pub. L. 109–415, § 203(b)(2), struck out subpar. (H) which related to amount of grants in fiscal years 2001 to 2005. Subsec. (a)(2)(I). Pub. L. 109–415, § 203(b)(4), redesignated subpar. (I) as (F). Subsec. (a)(3). Pub. L. 109–415, § 203(g)(5), struck out par. (3), which defined “State” and “territory of the United States” as used in subsec. (a). Subsec. (b)(1). Pub. L. 109–415, § 203(e)(1), redesignated par. (2) as (1). Subsec. (b)(2). Pub. L. 109–415, § 204(a), substituted “section 300ff–21 of this title” for “this part”. Pub. L. 109–415, § 203(e)(2), substituted “paragraph (4)” for “paragraph (5)” and “paragraph (5)” for “paragraph (6)”. Pub. L. 109–415, § 203(e)(1), redesignated par. (3) as (2). Former par. (2) redesignated (1). Subsec. (b)(3). Pub. L. 109–415, § 203(e)(3), added subpars. (B) and (E), redesignated former subpars. (B) and (C) as (C) and (D), respectively, inserted “, including a clinical quality management program under subparagraph (E)” before period at end of subpar. (C), and, in subpar. (A), reenacted heading without change and amended text generally. Prior to amendment, subpar. (A) text read as follows: “Subject to paragraph (5) and except as provided in paragraph (6), a State may not use more than 10 percent of amounts received under a grant awarded under this part for administration. In the case of entities and subcontractors to which the State allocates amounts received by the State under the grant (including consortia under section 300ff–23 of this title), the State shall ensure that, of the aggregate amount so allocated, the total of the expenditures by such entities for administrative expenses does not exceed 10 percent (without regard to whether particular entities expend more than 10 percent for such expenses).” Pub. L. 109–415, § 203(e)(1), redesignated par. (4) as (3). Former par. (3) redesignated (2). Subsec. (b)(4). Pub. L. 109–415, § 204(a), substituted “section 300ff–21 of this title” for “this part”. Pub. L. 109–415, § 203(e)(4), substituted “paragraph (5)” for “paragraph (6)” and “paragraphs (2) and (3)” for “paragraphs (3) and (4)”. Pub. L. 109–415, § 203(e)(1), redesignated par. (5) as (4). Former par. (4) redesignated (3). Subsec. (b)(5). Pub. L. 109–415, § 204(a), substituted “section 300ff–21 of this title” for “this part”. Pub. L. 109–415, § 203(e)(5), substituted “paragraphs (2) and (3), may, notwithstanding paragraphs (2) through (4),” for “paragraphs (3) and (4), may, notwithstanding paragraphs (3), (4), and (5),”. Pub. L. 109–415, § 203(e)(1), redesignated par. (6) as (5). Former par. (5) redesignated (4). Subsec. (b)(6). Pub. L. 109–415, § 204(a), substituted “section 300ff–21 of this title” for “this part”. Pub. L. 109–415, § 203(e)(1), redesignated par. (7) as (6). Former par. (6) redesignated (5). Subsec. (b)(7). Pub. L. 109–415, § 203(e)(1), redesignated par. (7) as (6). Subsec. (c)(1). Pub. L. 109–415, § 204(a), substituted “section 300ff–21 of this title” for “this part” in introductory provisions. Subsec. (d). Pub. L. 109–415, § 203(f), reenacted heading without change and amended text generally. Prior to amendment, text read as follows: “Any amounts appropriated in any fiscal year and made available to a State under this part that have not been obligated as described in subsection (d) of this section shall be repaid to the Secretary and reallotted to other States in proportion to the original grants made to such States.” 2000—Subsec. (a). Pub. L. 106–345, § 206(a)(1), redesignated subsec. (b) as (a). Subsec. (a)(1)(A)(i). Pub. L. 106–345, § 206(a)(2), substituted “$200,000” for “$100,000” in subcl. (I) and “$500,000” for “$250,000” in subcl. (II). Subsec. (a)(1)(A)(ii). Pub. L. 106–345, § 206(c)(1), inserted “and then, as applicable, increased under paragraph (2)(H)” before semicolon. Subsec. (a)(1)(B). Pub. L. 106–345, § 206(d), inserted “the greater of $50,000 or” after “shall be”. Subsec. (a)(2)(A)(i). Pub. L. 106–345, § 206(c)(2)(A), substituted “subparagraphs (H) and (I)” for “subparagraph (H)”. Subsec. (a)(2)(D)(i). Pub. L. 106–345, § 206(b)(1), inserted before semicolon “, except that (subject to subparagraph (E)), for grants made pursuant to this paragraph or section 300ff–30 of this title for fiscal year 2005 and subsequent fiscal years, the cases counted for each 12-month period beginning on or after July 1, 2004, shall be cases of HIV disease (as reported to and confirmed by such Director) rather than cases of acquired immune deficiency syndrome”. Subsec. (a)(2)(E) to (G). Pub. L. 106–345, § 206(b)(2), (3), added subpar. (E) and redesignated former subpars. (E) and (F) as (F) and (G), respectively. Former subpar. (G) redesignated (H). Subsec. (a)(2)(H). Pub. L. 106–345, § 206(c)(2)(B), amended heading and text of subpar. (H) generally. Prior to amendment, text related to limitations on the amount of a grant awarded for fiscal years 1996 to 2000 to a State or territory under this part in relation to the amount received by the State or territory for fiscal year 1995. Pub. L. 106–345, § 206(b)(2), redesignated subpar. (G) as (H). Former subpar. (H) redesignated (I). Subsec. (a)(2)(I). Pub. L. 106–345, § 206(e), reenacted heading without change, designated existing provisions as cl. (i), inserted cl. (i) heading, redesignated former cls. (i) and (ii) as subcls. (I) and (II), respectively, in subcl. (I) inserted “, less the percentage reserved under clause (ii)(V)” before semicolon, and added cl. (ii). Pub. L. 106–345, § 206(b)(2), redesignated subpar. (H) as (I). Subsec. (a)(3)(B). Pub. L. 106–345, § 206(f), substituted “the Republic of the Marshall Islands, the Federated States of Micronesia, and the Republic of Palau, and only for purposes of paragraph (1) the Commonwealth of Puerto Rico” for “and the Republic of the Marshall Islands”. Subsecs. (b) to (e). Pub. L. 106–345, § 206(a)(1), redesignated subsecs. (c) to (e) as (b) to (d), respectively. 1998—Subsec. (b)(3)(A). Pub. L. 105–392, § 417(1), substituted “, the Commonwealth of Puerto Rico, the Virgin Islands, and Guam” for “and the Commonwealth of Puerto Rico”. Subsec. (b)(3)(B). Pub. L. 105–392, § 417(2), struck out “the Virgin Islands, Guam” after “means”. 1996—Subsec. (a). Pub. L. 104–146, § 3(g)(2), struck out subsec. (a) which related to special projects of national significance. Subsec. (a)(1). Pub. L. 104–146, § 6(c)(3)(A), which directed amendment of subsec. (a)(1) by substituting “section 300ff–77” for “section 300ff–30”, could not be executed because of the repeal of subsec. (a) by Pub. L. 104–146, § 3(g)(2). See above. Subsec. (b)(1). Pub. L. 104–146, § 6(c)(3)(B), which directed amendment of subsec. (b)(1) by substituting “section 300ff–77 of this title” for “section 300ff–30 of this title”, could not be executed because the words “section 300ff–30 of this title” did not appear subsequent to the general amendment of subsec. (b)(1) by Pub. L. 104–146, § 5. See below. Pub. L. 104–146, § 5, amended heading and text of par. (1) generally. Prior to amendment, text read as follows: “Subject to the extent of amounts made available under section 300ff–30 of this title, the amount of a grant to be made under this part for— “(A) each of the several States and the District of Columbia for a fiscal year shall be the greater of— “(i) $100,000, and “(ii) an amount determined under paragraph (2); and “(B) each territory of the United States, as defined in paragraph 3, shall be an amount determined under paragraph (2).” Subsec. (b)(2). Pub. L. 104–146, § 5, amended par. (2) generally, substituting subpars. (A) to (H) for former subpars. (A) and (B) relating to determination of amount of allotments. Subsec. (c)(1). Pub. L. 104–146, § 3(c)(5)(A), struck out heading and text of par. (1). Text read as follows: “In a State that has reported 1 percent or more of all AIDS cases reported to and confirmed by the Centers for Disease Control and Prevention in all States, not less than 50 percent of the amount received by the State under a grant awarded under this part shall be utilized for the creation and operation of community-based comprehensive care consortia under section 300ff–23 of this title, in those areas within the State in which the largest number of individuals with HIV disease reside.” Subsec. (c)(3), (4). Pub. L. 104–146, § 3(c)(5)(B), amended pars. (3) and (4) generally. Prior to amendment, pars. (3) and (4) read as follows: “(3) Planning and evaluations.—A State may not use in excess of 5 percent of amounts received under a grant awarded under this part for planning and evaluation activities. “(4) Administration.—A State may not use in excess of 5 percent of amounts received under a grant awarded under this part for administration, accounting, reporting, and program oversight functions.” Subsec. (c)(5) to (7). Pub. L. 104–146, § 3(c)(5)(C), (D), added pars. (5) and (6) and redesignated former par. (5) as (7). 1992—Subsec. (c)(1). Pub. L. 102–531 substituted “Centers for Disease Control and Prevention” for “Centers for Disease Control”.

Statutory Notes and Related Subsidiaries

Effective Date

of 2009 Amendment; Revival of SectionFor provisions that repeal by section 2(a)(1) of Pub. L. 111–87 of section 703 of Pub. L. 109–415 be effective Sept. 30, 2009, that the provisions of this section as in effect on Sept. 30, 2009, be revived, and that amendment by section 3(b), 5(b), (c)(1), 7(b), and 10(b) of Pub. L. 111–87 be applicable to this section as so revived and effective as if enacted on Sept. 30, 2009, see section 2(a)(2), (3) of Pub. L. 111–87, set out as a note under section 300ff–11 of this title.

Effective Date

of 1996 AmendmentAmendment by section 3(c)(5), (g)(2) and 6(c)(3)(A) of Pub. L. 104–146 effective Oct. 1, 1996, and amendment by section 5 and 6(c)(3)(B) of Pub. L. 104–146 effective May 20, 1996, see section 13 of Pub. L. 104–146, set out as a note under section 300ff–11 of this title.

Reference

Citations & Metadata

Citation

42 U.S.C. § 300ff–28

Title 42, The Public Health and Welfare

Last Updated

Sep 23, 2026

Release point: 119-110