U.S. Code » Title 42 » Chapter CHAPTER 6A— PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER I— ADMINISTRATION AND MISCELLANEOUS PROVISIONS › Part Part A— Administration

42 U.S.C. § 203

Organization of Service

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The Service shall consist of (1) the Office of the Surgeon General, (2) the National Institutes of Health, (3) the Bureau of Medical Services, and 11 So in original. The “and” probably should not appear. (4) the Bureau of State Services, and 22 So in original. Probably should be followed by “(5)”. the Agency for Healthcare Research and Quality. The Secretary is authorized and directed to assign to the Office of the Surgeon General,33 See 1993 Amendment note below. to the National Institutes of Health, to the Bureau of Medical Services, and to the Bureau of State Services, respectively, the several functions of the Service, and to establish within them such divisions, sections, and other units as he may find necessary; and from time to time abolish, transfer, and consolidate divisions, sections, and other units and assign their functions and personnel in such manner as he may find necessary for efficient operation of the Service. No division shall be established, abolished, or transferred, and no divisions shall be consolidated, except with the approval of the Secretary. The National Institutes of Health shall be administered as a part of the field service. The Secretary may delegate to any officer or employee of the Service such of his powers and duties under this chapter, except the making of regulations, as he may deem necessary or expedient.

Notes of Decisions
Cited in 7 cases (1 in the last 5 years), 1970–2025 · leading case: Casad v. United States Dep't of Health & Human Servs., 301 F.3d 1247 (10th Cir. 2002).
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Casad v. United States Dep't of Health & Human Servs., 301 F.3d 1247 (10th Cir. 2002). “The NIH, dedicated to research and development activities in the area of public health and welfare, is an agency of the Public Health Service, 42 U.S.C. §§ 203 , 281, which is in turn administrated by the Secretary of Health and Human Services, § 241.”
Wood v. United States, 494 F. Supp. 792 (E.D. Va. 1980). · cites it 2× “§ 248 (e) and 42 U.S.C. § 203 as authority for the designated physician to authorize the payment of “burial expenses for any patient dying in a hospital or station.”
Est. of Booker v. Greater Philadelphia Health Action, Inc., 10 F. Supp. 3d 656 (E.D. Pa. 2014). “42 U.S.C. § 203 . . The FSHCAA also extends § 233(a)'s protections to health center officers, governing board members, and certain contractors.”
Alexander v. Mount Sinai Hosp. Med. Ctr., 484 F.3d 889 (7th Cir. 2007). “See 42 U.S.C. § 203 . 3 .All references to the “Secretary” are to the Secretary of Health and Human Services.”
Margaret E. Gruver v. Sec'y of Health, 426 F.2d 1195 (D.C. Cir. 1970). “42 U.S.C. § 203 (f) (1) (D) (1964). The limitation on wage earnings has been increased to $140.”
Pointer v. Shalala, 841 F. Supp. 201 (N.D. Tex. 1993). “§ 203 (f)(4)(A) for the proposition that one is presumed to have engaged in self-employment in any given month until it is shown to the satisfaction of the Secretary that such individual rendered no substantial services to any trade or business, the net income or loss of which…”
Kennedy v. Braidwood Mgmt., Inc., No. 24-316 (U.S. June 27, 2025). · cites it 3× “42 U. S. C. §203 . The Agency is headed by a Director, who is appointed by the Secretary of HHS.”
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