42 U.S.C. § 300ff–29a: Supplemental grants

Summary

The Secretary must give extra federal grants to States that show, in an application, a clear and measured need for more HIV/AIDS services and that did not have more than 5 percent of their most recent grant money canceled, taken back, or waived. When deciding who has a need, the Secretary may look at things like how many people still need services, rising case numbers overall or in new groups, how common HIV/AIDS is now, the cost and difficulty of care, other health problems that occur with HIV, homelessness, certain high‑risk groups, barriers to care (like distance, poor insurance, or language), and whether a drop in regular grant money has reduced services. If a State lost regular grant money and services fell, the Secretary must try to restore funding consistent with the State’s 2006 grant award. Within 45 days after giving extra funds, the Secretary must report to Congress the total supplemental amount, how much was used to protect prior funding levels, how much was given under the priority rule, how the rest was spent, and the reasons for those decisions. Rules about core medical services apply the same as for the regular grants. The grant program starts in the first fiscal year money is made available under section 300ff–31b(b)(1).

Title 42, §300ff–29a

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

(a)In general

For the purpose of providing services described in section 300ff–22(a) of this title, the Secretary shall make grants to States—

(1)whose applications under section 300ff–27 of this title have demonstrated the need in the State, on an objective and quantified basis, for supplemental financial assistance to provide such services; and

(2)that did not, for the most recent grant year pursuant to section 300ff–28(a)(1) or 300ff–28(a)(2)(F)(i) of this title for which data is available, have more than 5 percent of grant funds under such sections canceled, offset under section 300ff–31a(e) of this title, or covered by any waivers under section 300ff–31a(c) of this title.

(b)Demonstrated need

The factors considered by the Secretary in determining whether an eligible area has a demonstrated need for purposes of subsection (a)(1) may include any or all of the following:

(1)The unmet need for such services, as determined under section 300ff–27(b) of this title.

(2)An increasing need for HIV/AIDS-related services, including relative rates of increase in the number of cases of HIV/AIDS.

(3)The relative rates of increase in the number of cases of HIV/AIDS within new or emerging subpopulations.

(4)The current prevalence of HIV/AIDS.

(5)Relevant factors related to the cost and complexity of delivering health care to individuals with HIV/AIDS in the eligible area.

(6)The impact of co-morbid factors, including co-occurring conditions, determined relevant by the Secretary.

(7)The prevalence of homelessness.

(8)The prevalence of individuals described under section 300ff–12(b)(2)(M) of this title.

(9)The relevant factors that limit access to health care, including geographic variation, adequacy of health insurance coverage, and language barriers.

(10)The impact of a decline in the amount received pursuant to section 300ff–28 of this title on services available to all individuals with HIV/AIDS identified and eligible under this subchapter.

(c)Priority in making grants

The Secretary shall provide funds under this section to a State to address the decline in services related to the decline in the amounts received pursuant to section 300ff–28 of this title consistent with the grant award to the State for fiscal year 2006, to the extent that the factor under subsection (b)(10) (relating to a decline in funding) applies to the State.

(d)Report on the awarding of supplemental funds

Not later than 45 days after the awarding of supplemental funds under this section, the Secretary shall submit to Congress a report concerning such funds. Such report shall include information detailing—

(1)the total amount of supplemental funds available under this section for the year involved;

(2)the amount of supplemental funds used in accordance with the hold harmless provisions of section 300ff–28(a)(2) of this title;

(3)the amount of supplemental funds disbursed pursuant to subsection (c);

(4)the disbursement of the remainder of the supplemental funds after taking into account the uses described in paragraphs (2) and (3); and

(5)the rationale used for the amount of funds disbursed as described under paragraphs (2), (3), and (4).

(e)Core medical services

The provisions of section 300ff–22(b) of this title apply with respect to a grant under this section to the same extent and in the same manner as such provisions apply with respect to a grant made pursuant to section 300ff–28(a)(1) of this title.

(f)Applicability of grant authority

The authority to make grants under this section applies beginning with the first fiscal year for which amounts are made available for such grants under section 300ff–31b(b)(1) of this title.

Notes & Related Subsidiaries

Editorial Notes

Prior Provisions

A prior section 2620 of act

July 1, 1944, was renumbered section 2621 and is classified to section 300ff–30 of this title. Another prior section 2620 of act

July 1, 1944, was classified to section 300ff–30 of this title prior to repeal by Pub. L. 104–146.

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). Pub. L. 111–87, §§ 5(c)(2), 8(a)(2), (b)(2)(D), substituted “300ff–28(a)(2)(F)(i)” for “300ff–28(a)(2)(G)(i)”, “5 percent” for “2 percent”, and “canceled, offset under section 300ff–31a(e) of this title,” for “canceled”. 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.

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 5(c)(2) and 8(a)(2), (b)(2)(D) 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.

§300ff–29a Supplemental Grants

Summary

Title 42, §300ff–29a

Notes & Related Subsidiaries

Editorial Notes

Prior Provisions

Amendments

Effective Date

Statutory Notes and Related Subsidiaries

Effective Date

Citations & Metadata