42 U.S.C. § 291a

Authorization of appropriations

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In order to assist the States in carrying out the purposes of section 291 of this title, there are authorized to be appropriated—(a) for the fiscal year ending June 30, 1974—(1) $20,800,000 for grants for the construction of public or other nonprofit facilities for long-term care;(2) $70,000,000 for grants for the construction of public or other nonprofit outpatient facilities;(3) $15,000,000 for grants for the construction of public or other nonprofit rehabilitation facilities;(b) for grants for the construction of public or other nonprofit hospitals and public health centers, $150,000,000 for the fiscal year ending June 30, 1965, $160,000,000 for the fiscal year ending June 30, 1966, $170,000,000 for the fiscal year ending June 30, 1967, $180,000,000 each for the next two fiscal years, $195,000,000 for the fiscal year ending June 30, 1970, $147,500,000 for the fiscal year ending June 30, 1971, $152,500,000 for the fiscal year ending June 30, 1972, $157,500,000 for the fiscal year ending June 30, 1973, and $41,400,000 for the fiscal year ending June 30, 1974; and(c) for grants for modernization of the facilities referred to in paragraphs (a) and (b), $65,000,000 for the fiscal year ending June 30, 1971, $80,000,000 for the fiscal year ending June 30, 1972, $90,000,000 for the fiscal year ending June 30, 1973, and $50,000,000 for the fiscal year ending June 30, 1974.(July 1, 1944, ch. 373, title VI, § 601, as added Pub. L. 88–443, § 3(a), Aug. 18, 1964, 78 Stat. 448; amended Pub. L. 90–574, title IV, § 402(a), Oct. 15, 1968, 82 Stat. 1011; Pub. L. 91–296, title I, §§ 101(a), 102(a), 116(a), June 30, 1970, 84 Stat. 337, 341; Pub. L. 93–45, title I, § 108(a), June 18, 1973, 87 Stat. 92.)Editorial NotesPrior Provisions

A prior section 291a, act July 1, 1944, ch. 373, title VI, § 611, as added Aug. 13, 1946, ch. 958, § 2, 60 Stat. 1041, authorized appropriations for surveys and planning, prior to the general amendment of this subchapter by Pub. L. 88–443.

A prior section 291d, act July 1, 1944, ch. 373, title VI, § 621, as added Aug. 13, 1946, ch. 958, § 2, 60 Stat. 1041; amended Oct. 25, 1949, ch. 722, § 2(a), 63 Stat. 897; July 27, 1953, ch. 243, 67 Stat. 196; Aug. 2, 1956, ch. 871, title IV, § 401, 70 Stat. 929; Aug. 14, 1958, Pub. L. 85–664, § 1(a), 72 Stat. 616, related to subject matter similar to this section, prior to the general amendment of this subchapter by Pub. L. 88–443.

A prior section 291p, act July 1, 1944, ch. 373, title VI, § 646, as added July 12, 1954, ch. 471, § 2, 68 Stat. 461, related to subject matter similar to this section, prior to the general amendment of this subchapter by Pub. L. 88–443.

A prior section 291s, act July 1, 1944, ch. 373, title VI, § 651, as added July 12, 1954, ch. 471, § 3, 68 Stat. 462; amended Aug. 2, 1956, ch. 871, title IV, § 402, 70 Stat. 929; Aug. 14, 1958, Pub. L. 85–664, § 1(b), 72 Stat. 616; Oct. 5, 1961, Pub. L. 87–395, § 3(a), 75 Stat. 825, related to subject matter similar to this section, prior to the general amendment of this subchapter by Pub. L. 88–443.

Amendments

1973—Subsec. (a). Pub. L. 93–45, § 108(a)(1), substituted introductory text reading “fiscal year ending June 30, 1974” for “fiscal year ending June 30, 1965, and each of the next eight fiscal years” and in cl. (1) “$20,800,000” for “$85,000,000”.

Subsec. (b). Pub. L. 93–45, § 108(a)(2), authorized appropriations of $41,400,000 for fiscal year ending June 30, 1974.

Subsec. (c). Pub. L. 93–45, § 108(a)(3), authorized appropriations of $50,000,000 for fiscal year ending June 30, 1974.

1970—Par. (a). Pub. L. 91–296, §§ 101(a)(1), (2), 116(a), substituted “outpatient facilities” for “diagnostic or treatment centers” in enumeration of facilities eligible for construction grants, extended through fiscal year ending June 30, 1973, authority to appropriate funds for construction grants, increased from $70,000,000 to $85,000,000 annual authority to make grants for public or other nonprofit facilities for long-term care, from $20,000,000 to $70,000,000 authority for public or other nonprofit outpatient facilities, and from $10,000,000 to $15,000,000 authority for public or other nonprofit rehabilitation facilities.

Par. (b). Pub. L. 91–296, §§ 101(a)(3), 102(a)(1), struck out provisions authorizing grants for modernization of facilities and inserted provisions authorizing appropriation of $147,500,000 for fiscal year ending June 30, 1971, $152,500,000 for fiscal year ending June 30, 1972, and $157,500,000 for fiscal year ending June 30, 1973, for grants for construction of public or other nonprofit hospitals and public health centers.

Par. (c). Pub. L. 91–296, § 102(a)(2), added par. (c).

1968—Par. (a). Pub. L. 90–574, § 402(a)(1), substituted “next five” for “next four”.

Par. (b). Pub. L. 90–574, § 402(a)(2), authorized appropriation of $195,000,000 for fiscal year ending June 30, 1970.

Statutory Notes and Related SubsidiariesEffective Date of 1970 Amendment

Pub. L. 91–296, title I, § 101(b), June 30, 1970, 84 Stat. 337, provided that: “The amendments made by subsection (a) [amending this section] shall take effect with respect to appropriations made under such section 601 [42 U.S.C. 291a] for fiscal years beginning after June 30, 1970.”

Pub. L. 91–296, title I, § 102(a), June 30, 1970, 84 Stat. 337, provided that the amendment made by that section is effective with respect to appropriations made under this section for fiscal years beginning after June 30, 1970.

Notes of Decisions

Cited in 5 cases, 1974–1989 · leading case: Nat'l Ass'n of Neighborhood Health Centers, Inc. v. David Mathews, as U. S. Sec'y of Health, Educ. & Welfare, 551 F.2d 321 (D.C. Cir. 1976).

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Nat'l Ass'n of Neighborhood Health Centers, Inc. v. David Mathews, as U. S. Sec'y of Health, Educ. & Welfare, 551 F.2d 321 (D.C. Cir. 1976). · cites it 2× “42 U.S.C. § 291a. 11 . 42 U.S.C. § 291a. 12 .”

Norris Square Civic Ass'n v. St. Mary Hosp. (In Re St. Mary Hosp.), 86 B.R. 393 (Bankr. E.D. Pa. 1988). “The plaintiffs in the Adversary action invoke several federal and state laws and City ordinances and regulations which they argue that the closure violates, including the following: (1) Title VI of the Civil Rights Act of 1964, as the closing will purportedly have a disparate…”

Velez v. St. Mary Hosp. (In Re St. Mary Hosp.), 97 B.R. 199 (Bankr. E.D. Pa. 1989). “The Second Amended Complaint recites four claims or causes of action, based upon the following respective theories: (1) Title VI of the Civil Rights Act of 1964, contending that the closing of the hospital will have a disparate impact on minorities; (2) The Hill-Burton Act, 42…”

Metro. Med. Ctr. & Extended Care Facility v. Harris, 693 F.2d 775 (8th Cir. 1982). “42 U.S.C. § 291a. The Act requires that health care institutions, as a condition of receiving federal funds, “furnish needed services for persons unable to *779 pay therefor.”

Yale-New Haven Hosp. v. Matthews, 32 Conn. Supp. 539 (1974). “1 To carry out those purposes, 42 U.S.C. § 291a (1970) appropriates stuns of money to be paid to states which submit acceptable plans to the surgeon general for the construction and modernization of hospitals and other medical facilities.”

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