Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER XIV — HEALTH RESOURCES DEVELOPMENT › Part A — Loans and Loan Guarantees › § 300q–2
The Secretary can only approve loan guarantees or make loans when the deal protects the financial interests of the United States and is otherwise reasonable. For guarantees, the loan’s repayment plan, security, and interest rate must be fair compared to similar private loans, and the loan must not be available on reasonable terms without the guarantee. For loans, the Secretary must be satisfied the borrower can pay on time and has enough extra funds to finish the project. Loans must have appropriate security, a set maturity date, repayment schedule, and an interest rate like current comparable loans, reduced by any allowed interest subsidy for projects in urban or rural poverty areas. The United States can recover any payments it makes under a guarantee unless the Secretary waives that right for good cause. After paying, the United States takes over the payer’s rights to collect. Guarantees are generally final and cannot be challenged later, unless the borrower or a lender committed fraud or lied. The Secretary can add or change terms as needed to protect the United States’ financial interest. The Secretary may sell loans on the private market, to the Federal National Mortgage Association, or to the Federal Financing Bank, usually for about the unpaid principal. When a loan is sold, the Secretary can agree to guarantee the purchaser’s payments and to pay an interest subsidy if needed. Agreements can let the Secretary collect loan payments for the purchaser, repurchase loans, or pay the purchaser the full unpaid amount if a borrower defaults, and then the United States gets the purchaser’s right to recover losses. Money from loan sales goes into a Loan and Loan Guarantee Fund in the Treasury. That fund pays for loans, guarantees, interest subsidies, repurchases, and related actions. If the fund lacks money, the Secretary may issue notes or obligations that the Treasury can buy, with repayments coming from the fund. The Secretary may also act to prevent defaults by modifying rules, delaying or renegotiating payments, offering technical help, or temporarily paying interest and principal. In defaults, and following state law, the Secretary can sell or take temporary possession of real property pledged as security to protect the United States’ interest.
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The Public Health and Welfare, Source: USLM XML via OLRC
Legislative History
Reference
Citation
42 U.S.C. § 300q–2
Title 42, The Public Health and Welfare
Last Updated
Sep 22, 2026
Release point: 119-110