Title 42, The Public Health and WelfareRelease 119-110

§300ff–87 Severity of Need Index

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER XXIV — HIV HEALTH CARE SERVICES PROGRAM › Part E — General Provisions › § 300ff–87

Last updated Sep 22, 2026|Official source

Summary

By September 30, 2008, the Secretary must create and send a severity of need index to the right committees in Congress. The index scores how much help people with HIV/AIDS need in each state or area. It uses several factors and multiplies them by the number of living HIV/AIDS cases so some cases get more weight. Different parts of the program can use different factors. When the Secretary sends the index, they must include how it was made and tested, an independent contractor’s review, and a description of community input. If the index was not sent in fiscal year 2007 or 2008, the Secretary must send a report for that year updating progress on getting client-level data, describing progress on the index (including method and community input), and saying whether the index can be ready before fiscal year 2009.

Full Legal Text

Title 42, §300ff–87

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

(a)Development of index
Not later than September 30, 2008, the Secretary shall develop and submit to the appropriate committees of Congress a severity of need index in accordance with subsection (c).
(b)Definition of severity of need index
In this section, the term “severity of need index” means the index of the relative needs of individuals within a State or area, as identified by a number of different factors, and is a factor or set of factors that is multiplied by the number of living HIV/AIDS cases in a State or area, providing different weights to those cases based on needs. Such factors or set of factors may be different for different components of the provisions under this subchapter.
(c)Requirements for Secretarial submission
When the Secretary submits to the appropriate committees of Congress the severity of need index under subsection (a), the Secretary shall provide the following:
(1)Methodology for and rationale behind developing the severity of need index, including information related to the field testing of the severity of need index.
(2)An independent contractor analysis of activities carried out under paragraph (1).
(3)Information regarding the process by which the Secretary received community input regarding the application and development of the severity of need index.
(d)Annual reports
If the Secretary fails to submit the severity of need index under subsection (a) in either of fiscal years 2007 or 2008, the Secretary shall prepare and submit to the appropriate committees of Congress a report for such fiscal year—
(1)that updates progress toward having client level data;
(2)that updates the progress toward having a severity of need index, including information related to the methodology and process for obtaining community input; and
(3)that, as applicable, states whether the Secretary could develop a severity of need index before fiscal year 2009.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Prior Provisions

A prior section 300ff–87, act July 1, 1944, ch. 373, title XXVI, § 2687, as added Pub. L. 101–381, title IV, § 411(a), Aug. 18, 1990, 104 Stat. 627, related to limitations with respect to duties of medical facilities, prior to the general amendment of this part by Pub. L. 109–415.

Amendments

2009—Pub. L. 111–87 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. 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, and that the provisions of this section as in effect on Sept. 30, 2009, be revived, see section 2(a)(2), (3)(A) of Pub. L. 111–87, set out as a note under section 300ff–11 of this title.

Reference

Citations & Metadata

Citation

42 U.S.C. § 300ff–87

Title 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110