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–30
States that get a federal grant must keep their total state spending on the covered activities at least as high as the average spending for the two years before the grant year. The Secretary can leave out one-time, specially labeled funds from that total. If a State asks, the Secretary may waive the spending rule when there are major economic problems in the State or part of it. The Secretary must approve or deny the waiver within 120 days, and any approved waiver only applies to that fiscal year. Before giving a grant, the Secretary will check if the State kept its spending promise the year before. If the State did not, the Secretary will cut the current grant by the shortfall amount. The State must give enough information for this check. Instead of a cut, a State can ask to follow a negotiated plan approved by the Secretary; if it later breaks that plan, the Secretary can enforce the cut or the plan.
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The Public Health and Welfare, Source: USLM XML via OLRC
Legislative History
Reference
Citation
42 U.S.C. § 300x–30
Title 42, The Public Health and Welfare
Last Updated
Sep 22, 2026
Release point: 119-110