Title 42, The Public Health and WelfareRelease 119-110

§300w–1 Allotments

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER XVII — BLOCK GRANTS › Part A — Preventive Health and Health Services Block Grants › § 300w–1

Last updated Sep 23, 2026|Official source

Summary

The Secretary must split the money available under section 300w among the States. Part of each State’s share is set so that it keeps the same ratio as the money that State and its local entities got in 1981 from a group of public‑health grant programs (these include programs like rodent control, community and school fluoridation, hypertension work, and several other listed sections). Some of the funds are instead allotted to States based on their population under section 300w(b). If a State does not apply, gives up some of its money, or has part of its allotment offset or repaid, the leftover funds are reallocated to the other States in proportion to their allotments. If an Indian tribe or tribal organization asks and the Secretary agrees the tribe would be better served, the Secretary must reserve from that State’s allotment an amount based on the tribe’s 1981 share and grant it to the tribe if the tribe files an approved plan. The meanings of “Indian tribe” and “tribal organization” are the same as in 25 U.S.C. 5304(b) and (c). The Secretary must also study and develop a fair formula for dividing funds, consider State finances, populations, and other factors, and report recommendations to Congress by June 30, 1982.

Full Legal Text

Title 42, §300w–1

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

(a)Availability based upon prior year distributions
(1)From the amounts appropriated under section 300w of this title for any fiscal year and available for allotment under this subsection, the Secretary shall allot to each State an amount which bears the same ratio to the available amounts for that fiscal year as the amounts provided by the Secretary under the provisions of law listed in paragraph (2) to the State and entities in the State for fiscal year 1981 bore to the total amount appropriated for such provisions of law for fiscal year 1981.
(2)The provisions of law referred to in paragraph (1) are the following provisions of law as in effect on September 30, 1981:
(A)The authority for grants under section 247b of this title for preventive health service programs for the control of rodents.
(B)The authority for grants under section 247b of this title for establishing and maintaining community and school-based fluoridation programs.
(C)The authority for grants under section 247b of this title for preventive health service programs for hypertension.
(D)section 247b–1 and 247b–2 of this title.
(E)section 246(d) 1 of this title.
(F)section 255(a) 1 of this title.
(G)section 300d–1,1 300d–2,1 and 300d–3 1 of this title.
(b)Population
From the amount required to be made available under section 300w(b) of this title for allotments under this subsection for any fiscal year, the Secretary shall make allotments to each State on the basis of the population of the State.
(c)Distribution of appropriated funds not allotted
To the extent that all the funds appropriated under section 300w of this title for a fiscal year and available for allotment in such fiscal year are not otherwise allotted to States because—
(1)one or more States have not submitted an application or description of activities in accordance with section 300w–4 of this title for the fiscal year;
(2)one or more States have notified the Secretary that they do not intend to use the full amount of their allotment; or
(3)some State allotments are offset or repaid under section 300w–5(b)(3) of this title;
such excess shall be allotted among each of the remaining States in proportion to the amount otherwise allotted to such States for the fiscal year without regard to this subsection.
(d)Distributions to Indian tribes
(1)If the Secretary—
(A)receives a request from the governing body of an Indian tribe or tribal organization within any State that funds under this part be provided directly by the Secretary to such tribe or organization, and
(B)determines that the members of such tribe or tribal organization would be better served by means of grants made directly by the Secretary under this part,
the Secretary shall reserve from amounts which would otherwise be allotted to such State under subsection (a) for the fiscal year the amount determined under paragraph (2).
(2)The Secretary shall reserve for the purpose of paragraph (1) from amounts that would otherwise be allotted to such State under subsection (a) an amount equal to the amount which bears the same ratio to the State’s allotment for the fiscal year involved as the total amount provided or allotted for fiscal year 1981 by the Secretary to such tribe or tribal organization under the provisions of law referred to in subsection (a) bore to the total amount provided or allotted for such fiscal year by the Secretary to the State and entities (including Indian tribes and tribal organizations) in the State under such provisions of law.
(3)The amount reserved by the Secretary on the basis of a determination under this subsection shall be granted to the Indian tribe or tribal organization serving the individuals for whom such a determination has been made.
(4)In order for an Indian tribe or tribal organization to be eligible for a grant for a fiscal year under this subsection, it shall submit to the Secretary a plan for such fiscal year which meets such criteria as the Secretary may prescribe.
(5)The terms “Indian tribe” and “tribal organization” have the same meaning given such terms in section 5304(b) and (c) 1 of title 25.
(e)Report on equitable distribution of available funds
The Secretary shall conduct a study for the purpose of devising a formula for the equitable distribution of funds available for allotment to the States under this section. In conducting the study, the Secretary shall take into account—
(1)the financial resources of the various States,
(2)the populations of the States, and
(3)any other factor which the Secretary may consider appropriate.
Before June 30, 1982, the Secretary shall submit a report to the Congress respecting the development of a formula and make such recommendations as the Secretary may deem appropriate in order to ensure the most equitable distribution of funds under allotments under this section.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

References in Text

section 247b–1 of this title, referred to in subsec. (a)(2)(D), was in the original a reference to section 401 of the Health Services and Centers

Amendments

of 1978, Pub. L. 95–626, which was repealed effective Oct. 1, 1981, by Pub. L. 97–35, title IX, § 902(a), (h), Aug. 13, 1981, 95 Stat. 559, 561. Pub. L. 100–572, § 3, Oct. 31, 1988, 102 Stat. 2887, enacted section 317A of act
July 1, 1944, which is classified to section 247b–1 of this title. section 247b–2 of this title, referred to in subsec. (a)(2)(D), was repealed effective Oct. 1, 1981, by Pub. L. 97–35, title IX, § 902(a), (h), Aug. 13, 1981, 95 Stat. 559, 561. section 246(d) of this title, referred to in subsec. (a)(2)(E), was repealed effective Oct. 1, 1981, by Pub. L. 97–35, title IX, § 902(b), (h), Aug. 13, 1981, 95 Stat. 559, 561. section 255 of this title, referred to in subsec. (a)(2)(F), was in the original a reference to section 339 of act
July 1, 1944, which was repealed effective Oct. 1, 1981, by Pub. L. 97–35, title IX, § 902(b), (h), Aug. 13, 1981, 95 Stat. 559, 561. Pub. L. 97–414, § 6(a), Jan. 4, 1983, 96 Stat. 2057, added a new section 339 of act
July 1, 1944, which is classified to section 255 of this title. section 300d–1, 300d–2, and 300d–3 of this title, referred to in subsec. (a)(2)(G), were in the original references to section 1202, 1203, and 1204, respectively, of act
July 1, 1944, which were repealed effective Oct. 1, 1981, by Pub. L. 97–35, title IX, § 902(d)(1), (h), Aug. 13, 1981, 95 Stat. 560, 561. Pub. L. 101–590, § 3, Nov. 16, 1990, 104 Stat. 2916–2918, enacted new section 1202, 1203, and 1204 of act
July 1, 1944, which were classified to section 300d–1, 300d–2, and 300d–3, respectively, of this title. Pub. L. 103–183, title VI, § 601(b), Dec. 14, 1983, 107 Stat. 2238, repealed section 1202 and renumbered section 1203 and 1204 as 1202 and 1203, respectively. Pub. L. 110–23, §§ 3, 5,
May 3, 2007, 121 Stat. 90, 91, repealed section 1202, renumbered section 1203 as 1202, and enacted new section 1203 of act
July 1, 1944, which is classified to section 300d–5 of this title. Section 5304 of title 25, referred to in subsec. (d)(5), has been amended, and subsecs. (b) and (c) of section 5304 no longer define the terms “Indian tribe” and “tribal organization”. However, such terms are defined elsewhere in that section.

Statutory Notes and Related Subsidiaries

Effective Date

Section effective Oct. 1, 1981, see section 901 of Pub. L. 97–35, set out in part as a note under section 300w of this title.

Reference

Citations & Metadata

Citation

42 U.S.C. § 300w–1

Title 42, The Public Health and Welfare

Last Updated

Sep 23, 2026

Release point: 119-110