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Title 42, The Public Health and WelfareRelease 119-110

§300x–22 Certain Allocations

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER XVII — BLOCK GRANTS › Part B — Block Grants Regarding Mental Health and Substance Use › subpart ii — block grants for substance use prevention, treatment, and recovery services › § 300x–22

Last updated Sep 22, 2026|Official source

Summary

States that get these grants must spend at least 20% of the money on prevention for people who do not need treatment for drug or alcohol problems. Those prevention programs must teach and counsel people and run activities that lower the chance they develop problems. States must give priority to programs for groups at higher risk, and those priority programs must use community-based prevention plans that include ways to discourage underage drinking and tobacco use. For services for pregnant women and women with children, states had to spend at least 5% more of the grant in fiscal year 1993 (compared to 1992) and at least 5% more in fiscal year 1994 (compared to 1993). In later years, they must spend at least as much as they did in 1994. A state can ask the federal health official for a one-year waiver if it already has enough services, and the official must decide within 120 days. Any treatment programs paid from the reserved funds must provide prenatal care and childcare while women are in treatment, either directly or through other public or nonprofit groups.

Full Legal Text

Title 42, §300x–22

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

(a)Allocation regarding primary prevention programs
A funding agreement for a grant under section 300x–21 of this title is that, in expending the grant, the State involved—
(1)will expend not less than 20 percent for programs for individuals who do not require treatment for substance use disorders, which programs—
(A)educate and counsel the individuals on such disorders; and
(B)provide for activities to reduce the risk of such disorders by the individuals;
(2)will, in carrying out paragraph (1)—
(A)give priority to programs for populations that are at risk of developing a pattern of such disorders; and
(B)ensure that programs receiving priority under subparagraph (A) develop community-based strategies for the prevention of such disorders, including strategies to discourage the use of alcoholic beverages and tobacco products by individuals to whom it is unlawful to sell or distribute such beverages or products.
(b)Allocations regarding women
(1)In general
Subject to paragraph (2), a funding agreement for a grant under section 300x–21 of this title for a fiscal year is that—
(A)in the case of a grant for fiscal year 1993, the State involved will expend not less than 5 percent of the grant to increase (relative to fiscal year 1992) the availability of treatment services designed for pregnant women and women with dependent children (either by establishing new programs or expanding the capacity of existing programs);
(B)in the case of a grant for fiscal year 1994, the State will expend not less than 5 percent of the grant to so increase (relative to fiscal year 1993) the availability of such services for such women; and
(C)in the case of a grant for any subsequent fiscal year, the State will expend for such services for such women not less than an amount equal to the amount expended by the State for fiscal year 1994.
(2)Waiver
(A)Upon the request of a State, the Secretary may provide to the State a waiver of all or part of the requirement established in paragraph (1) if the Secretary determines that the State is providing an adequate level of treatments services for women described in such paragraph, as indicated by a comparison of the number of such women seeking the services with the availability in the State of the services.
(B)The Secretary shall approve or deny a request for a waiver under subparagraph (A) not later than 120 days after the date on which the request is made.
(C)Any waiver provided by the Secretary under subparagraph (A) shall be applicable only to the fiscal year involved.
(3)Childcare and prenatal care
A funding agreement for a grant under section 300x–21 of this title for a State is that each entity providing treatment services with amounts reserved under paragraph (1) by the State will, directly or through arrangements with other public or nonprofit private entities, make available prenatal care to women receiving such services and, while the women are receiving the services, childcare.

Legislative History

Notes & Related Subsidiaries

Amendment of Subsection (b)(2), (3)Pub. L. 106–310, div. B, title XXXIII, § 3303(f)(2), Oct. 17, 2000, 114 Stat. 1211, provided that, effective upon publication of

Regulations

developed in accordance with section 300x–32(e)(1) of this title, subsection (c) of this section [now subsection (b)] is amended by striking out paragraph (2) and redesignating paragraph (3) as paragraph (2).

Editorial Notes

Prior Provisions

A prior section 1922 of act
July 1, 1944, was classified to section 300x–9a of this title prior to repeal by Pub. L. 102–321. Another prior section 1922 of act
July 1, 1944, was classified to section 300y–1 of this title prior to repeal by Pub. L. 100–690.

Amendments

2022—Subsec. (a). Pub. L. 117–328, § 1241(a)(3)(B), substituted “such disorders” for “such abuse” wherever appearing. Subsec. (a)(1). Pub. L. 117–328, § 1241(a)(3)(A), substituted “substance use disorders” for “substance abuse” in introductory provisions. 2000—Subsec. (a). Pub. L. 106–310, § 3303(a), redesignated subsec. (b) as (a) and struck out heading and text of former subsec. (a). Text read as follows: “A funding agreement for a grant under section 300x–21 of this title is that, in expending the grant, the State involved will expend— “(1) not less than 35 percent for prevention and treatment activities regarding alcohol; and “(2) not less than 35 percent for prevention and treatment activities regarding other drugs.” Subsec. (b). Pub. L. 106–310, § 3303(a)(2), redesignated subsec. (c) as (b). Former subsec. (b) redesignated (a). Subsec. (c). Pub. L. 106–310, § 3303(a)(2), redesignated subsec. (c) as (b).

Statutory Notes and Related Subsidiaries

Effective Date

of 2000 Amendment Pub. L. 106–310, div. B, title XXXIII, § 3303(f)(2), Oct. 17, 2000, 114 Stat. 1211, provided that the amendment made by section 3303(f)(2) is effective upon the publication of the

Regulations

developed in accordance with section 300x–32(e)(1) of this title.

Reference

Citations & Metadata

Citation

42 U.S.C. § 300x–22

Title 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110