Title 42, The Public Health and WelfareRelease 119-110

§3032c Health Care Service Demonstration Projects in Rural Areas

Title 42 › CHAPTER 35 — PROGRAMS FOR OLDER AMERICANS › SUBCHAPTER IV — ACTIVITIES FOR HEALTH, INDEPENDENCE, AND LONGEVITY › Part A — Grant Programs › § 3032c

Last updated Sep 22, 2026|Official source

Summary

The Assistant Secretary must give grants, after talking with the State agency, to public agencies and nonprofit groups. Grants can pay part or all of the cost to start or run model health care projects through multipurpose senior centers in rural areas that provide nutrition services under section 3030e. These projects can include home health care, adult day care, mental health services, outreach, and transportation. The goal is to meet the health care needs of medically underserved older people who live in those rural places. To get a grant, an applicant must send an application to the Assistant Secretary with required information and promises. The application must show the applicant’s experience with the planned medical services; work with graduate programs in fields like public health, nursing, social work, nutrition, gerontology, and similar areas; and coordination with critical access hospitals and rural health clinics. The project must be at a multipurpose senior center in a rural area with fewer than 5,000 people or in a county with fewer than seven people per square mile. The center must be in a State where at least 33 1/3 percent of the population lives in rural areas and at least 5 percent lives in counties with fewer than seven people per square mile, using the latest Census data. Applicants must also agree to send required evaluations and reports. The Assistant Secretary must send Congress a report that summarizes those evaluations and reports.

Full Legal Text

Title 42, §3032c

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

(a)Authority
The Assistant Secretary, after consultation with the State agency of the State involved, shall make grants to eligible public agencies and nonprofit private organizations to pay part or all of the cost of developing or operating model health care service projects (including related home health care services, adult day health care, mental health services, outreach, and transportation) through multipurpose senior centers that are located in rural areas and that provide nutrition services under section 3030e of this title, to meet the health care needs of medically underserved older individuals residing in such areas.
(b)Eligibility
To be eligible to receive a grant under subsection (a), a public agency or nonprofit private organization shall submit to the Assistant Secretary an application containing such information and assurances as the Secretary may require, including—
(1)information describing the nature and extent of the applicant’s—
(A)experience in providing medical services of the type to be provided in the project for which a grant is requested; and
(B)coordination and cooperation with—
(i)institutions of higher education having graduate programs with capability in public health, mental health, the medical sciences, psychology, pharmacology, nursing, social work, health education, nutrition, or gerontology, for the purpose of designing and developing such project; and
(ii)critical access hospitals (as defined in section 1395x(mm)(1) of this title and rural health clinics (as defined in section 1395x(aa)(2) of this title);
(2)assurances that the applicant will carry out the project for which a grant is requested, through a multipurpose senior center located—
(A)(i)in a rural area that has a population of less than 5,000; or
(ii)in a county that has fewer than seven individuals per square mile; and
(B)in a State in which—
(i)not less than 33⅓ of the population resides in rural areas; and
(ii)not less than 5 percent of the population resides in counties with fewer than seven individuals per square mile,
as defined by and determined in accordance with the most recent data available from the Bureau of the Census; and
(3)assurances that the applicant will submit to the Assistant Secretary such evaluations and reports as the Assistant Secretary may require.
(c)Reports
The Assistant Secretary shall prepare and submit to the appropriate committees of Congress a report that includes summaries of the evaluations and reports required under subsection (b).

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Amendments

2006—Subsec. (a). Pub. L. 109–365, § 404(1), inserted “mental health services,” after “adult day health care,”. Subsec. (b)(1)(B)(i). Pub. L. 109–365, § 404(2), inserted “mental health,” after “public health,”.

Reference

Citations & Metadata

Citation

42 U.S.C. § 3032c

Title 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110