Title 42, The Public Health and WelfareRelease 119-110

§300s–4 Reporting and Audit Requirements for Recipients

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER XIV — HEALTH RESOURCES DEVELOPMENT › Part C — General Provisions › § 300s–4

Last updated Sep 22, 2026|Official source

Summary

Applicants and recipients of Federal allotments, grants, loans, or loan guarantees for a health facility must file at least annually with the State agency where the facility is located a financial statement in the form the Secretary requires. The statement must clearly show how the facility handled its money during the period and must list the costs of providing health services and the charges the facility billed. Those who get Federal help must keep records the Secretary requires, including how the Federal money was spent, the total project cost, and money from other sources, so audits can be done. The Secretary and the U.S. Comptroller General, or their authorized representatives, may inspect any books, documents, papers, or records related to the Federal assistance. Recipients must also file at least annually a similar report with the Secretary for facilities built or upgraded with the aid.

Full Legal Text

Title 42, §300s–4

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

(a)Filing of financial statement with appropriate State Agency; form and contents
In the case of any facility for which an allotment payment, grant, loan, or loan guarantee has been made under this subchapter, the applicant for such payment, grant, loan, or loan guarantee (or, if appropriate, such other person as the Secretary may prescribe) shall file at least annually with the State Agency for the State in which the facility is located a statement which shall be in such form, and contain such information, as the Secretary may require to accurately show—
(1)the financial operations of the facility, and
(2)the costs of the facility of providing health services in the facility and the charges made by the facility for providing such services,
during the period with respect to which the statement is filed.
(b)Maintenance of records; access to books, etc., for audit and examination
(1)Each entity receiving Federal assistance under this subchapter shall keep such records as the Secretary shall prescribe, including records which fully disclose the amount and disposition by such entity of the proceeds of such assistance, the total cost of the project in connection with which such assistance is given or used, the amount of that portion of the cost of the project supplied by other sources, and such other records as will facilitate an effective audit.
(2)The Secretary and the Comptroller General of the United States, or any of their duly authorized representatives, shall have access for the purpose of audit and examination to any books, documents, papers, and records of such entities which in the opinion of the Secretary or the Comptroller General may be related or pertinent to the assistance referred to in paragraph (1).
(c)Filing of financial statement with Secretary; form and contents
Each such entity shall file at least annually with the Secretary a statement which shall be in such form, and contain such information, as the Secretary may require to accurately show—
(1)the financial operations of the facility constructed or modernized with such assistance, and
(2)the costs to such facility of providing health services in such facility, and the charges made for such services, during the period with respect to which the statement is filed.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Prior Provisions

A prior section 1625 of act July 1, 1944, was renumbered section 1610 by Pub. L. 96–79, title II, § 203(b), Oct. 4, 1979, 93 Stat. 635, and is classified to section 300r of this title.

Reference

Citations & Metadata

Citation

42 U.S.C. § 300s–4

Title 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110