42 U.S.C. § 291i

Recovery of expenditures under certain conditions

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(a) Persons liableIf any facility with respect to which funds have been paid under section 291f of this title shall, at any time within 20 years after the completion of construction or modernization—(1) be sold or transferred to any entity (A) which is not qualified to file an application under section 291e of this title, or (B) which is not approved as a transferee by the State agency designated pursuant to section 291d of this title, or its successor, or(2) cease to be a public health center or a public or other nonprofit hospital, outpatient facility, facility for long-term care, or rehabilitation facility,the United States shall be entitled to recover, whether from the transferor or the transferee (or, in the case of a facility which has ceased to be public or nonprofit, from the owners thereof) an amount determined under subsection (c).(b) Notice to Secretary

The transferor of a facility which is sold or transferred as described in subsection (a)(1), or the owner of a facility the use of which is changed as described in subsection (a)(2), shall provide the Secretary written notice of such sale, transfer, or change not later than the expiration of 10 days from the date on which such sale, transfer, or change occurs.

(c) Amount of recovery; interest; interest period(1) Except as provided in paragraph (2), the amount the United States shall be entitled to recover under subsection (a) is an amount bearing the same ratio to the then value (as determined by the agreement of the parties or in an action brought in the district court of the United States for the district for which the facility involved is situated) of so much of the facility as constituted an approved project or projects as the amount of the Federal participation bore to the cost of the construction or modernization of such project or projects.(2)(A) After the expiration of—(i) 180 days after the date of the sale, transfer, or change of use for which a notice is required by subsection (b), in the case of a facility which is sold or transferred or the use of which changes after July 18, 1984, or(ii) thirty days after July 18, 1984, or if later 180 days after the date of the sale, transfer, or change of use for which a notice is required by subsection (b), in the case of a facility which was sold or transferred or the use of which changed before July 18, 1984.11 So in original. The period probably should be a comma.the amount which the United States is entitled to recover under paragraph (1) with respect to a facility shall be the amount prescribed by paragraph (1) plus interest, during the period described in subparagraph (B), at a rate (determined by the Secretary) based on the average of the bond equivalent of the weekly ninety-day Treasury bill auction rate.(B) The period referred to in subparagraph (A) is the period beginning—(i) in the case of a facility which was sold or transferred or the use of which changed before July 18, 1984, thirty days after such date or if later 180 days after the date of the sale, transfer, or change of use for which a notice is required by subsection (b),(ii) in the case of a facility with respect to which notice is provided in accordance with subsection (b), upon the expiration of 180 days after the receipt of such notice, or(iii) in the case of a facility with respect to which such notice is not provided as prescribed by subsection (b), on the date of the sale, transfer, or change of use for which such notice was to be provided,and ending on the date the amount the United States is entitled to under paragraph (1) is collected.(d) Waiver(1) The Secretary may waive the recovery rights of the United States under subsection (a)(1) with respect to a facility in any State if the Secretary determines, in accordance with regulations, that the entity to which the facility was sold or transferred—(A) has established an irrevocable trust—(i) in an amount equal to the greater of twice the cost of the remaining obligation of the facility under clause (2) of section 291c(e) of this title or the amount, determined under subsection (c), that the United States is entitled to recover, and(ii) which will only be used by the entity to provide the care required by clause (2) of section 291c(e) of this title; and(B) will meet the obligation of the facility under clause (1) of section 291c(e) of this title.(2) The Secretary may waive the recovery rights of the United States under subsection (a)(2) with respect to a facility in any State if the Secretary determines, in accordance with regulations, that there is good cause for waiving such rights with respect to such facility.(e) Lien

The right of recovery of the United States under subsection (a) shall not constitute a lien on any facility with respect to which funds have been paid under section 291f of this title.

(July 1, 1944, ch. 373, title VI, § 609, as added Pub. L. 88–443, § 3(a), Aug. 18, 1964, 78 Stat. 456; amended Pub. L. 91–296, title I § 116(d), June 30, 1970, 84 Stat. 342; Pub. L. 98–369, div. B, title III, § 2381(a), July 18, 1984, 98 Stat. 1112.)Editorial NotesPrior Provisions

A prior section 291i, act July 1, 1944, ch. 373, title VI, § 631, as added Aug. 13, 1946, ch. 958, § 2, 60 Stat. 1041; amended June 19, 1948, ch. 544, 62 Stat. 531; Oct. 25, 1949, ch. 722, § 9, 63 Stat. 901; July 12, 1954, ch. 471, § 4(c)–(f), 68 Stat. 465, 466; Aug. 1, 1956, ch. 852, § 19(a), (b), 70 Stat. 911; June 25, 1959, Pub. L. 86–70, § 31(c), 73 Stat. 149; July 12, 1960, Pub. L. 86–624, § 29(d), 74 Stat. 419; Oct. 5, 1961, Pub. L. 87–395, § 5, 75 Stat. 826; Sept. 25, 1962, Pub. L. 87–688, § 4(a)(2), 76 Stat. 587, related to allotment percentages, and contained various definitions, prior to the general amendment of this subchapter by Pub. L. 88–443. See section 291b of this title.

Provisions similar to those comprising this section were contained in section 291h(e) of this title, act July 1, 1944, ch. 373, title VI, § 625, as added Aug. 13, 1946, ch. 958, § 2, 60 Stat. 1041; amended Oct. 25, 1949, ch. 722, § 3(c), 63 Stat. 899, 901; July 12, 1954, ch. 471, § 4(b), 68 Stat. 464, prior to the general amendment of this subchapter by Pub. L. 88–443.

Amendments

1984—Pub. L. 98–369 amended section generally. Prior to amendment, section read as follows: “If any facility with respect to which funds have been paid under section 291f of this title shall, at any time within twenty years after the completion of construction—

“(a) be sold or transferred to any person, agency, or organization (1) which is not qualified to file an application under section 291e of this title, or (2) which is not approved as a transferee by the State agency designated pursuant to section 291d of this title, or its successor, or

“(b) cease to be a public health center or a public or other nonprofit hospital, outpatient facility, facility for long-term care, or rehabilitation facility, unless the Surgeon General determines, in accordance with regulations, that there is good cause for releasing the applicant or other owner from this obligation,

the United States shall be entitled to recover from either the transferor or the transferee (or, in the case of a facility which has ceased to be public or nonprofit, from the owners thereof) an amount bearing the same ratio to the then value (as determined by the agreement of the parties or by action brought in the district court of the United States for the district in which the facility is situated) of so much of the facility as constituted an approved project or projects, as the amount of the Federal participation bore to the cost of the construction or modernization under such project or projects. Such right of recovery shall not constitute a lien upon said facility prior to judgment.”

1970—Cl. (b). Pub. L. 91–296 substituted “outpatient facility” for “diagnostic or treatment center”.

Statutory Notes and Related SubsidiariesChange of Name

“Secretary of Health and Human Services” substituted for “Secretary of Health, Education, and Welfare” in subsecs. (b), (c), and (d) pursuant to section 509(b) of Pub. L. 96–88, which is classified to section 3508(b) of Title 20, Education.

Regulations and Personnel

Pub. L. 98–369, div. B, title III, § 2381(c), July 18, 1984, 98 Stat. 1116, provided that: “Not later than the expiration of the one-hundred-and-eighty-day period beginning on the date of the enactment of this section [July 18, 1984], the Secretary shall have in effect regulations and personnel to place in effect the amendments made by this section [amending sections 291i and 300s–1a of this title].”

Executive DocumentsTransfer of Functions

Office of Surgeon General abolished by section 3 of Reorg. Plan No. 3 of 1966, eff. June 25, 1966, 31 F.R. 8855, 80 Stat. 1610, and functions thereof transferred to Secretary of Health, Education, and Welfare by section 1 of Reorg. Plan No. 3 of 1966, set out as a note under section 202 of this title. Office of Surgeon General reestablished within the Office of the Assistant Secretary for Health, see Notice of Department of Health and Human Services, Office of the Assistant Secretary for Health, Mar. 30, 1987, 52 F.R. 11754.

Notes of Decisions

Cited in 19 cases, 1974–1993 · leading case: Nat'l Med. Enter., Inc. v. United States, 28 Fed. Cl. 540 (Fed. Cl. 1993).

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Nat'l Med. Enter., Inc. v. United States, 28 Fed. Cl. 540 (Fed. Cl. 1993). · cites it 14× “00; and (3) is founded upon a federal statute, 42 U.S.C. § 291i. *543 As such, the claim meets the criteria set forth in 28 U.”

United States v. The City of Palm Beach Gardens, 635 F.2d 337 (5th Cir. 1981). · cites it 2× “HATCHETT, Circuit Judge: In this case the parties disagree as to the time within which the United States must bring suit under the Hill-Burton Act, 42 U.S.C. § 291i, for the recovery of federal funds used in the construction of a nonprofit hospital sold to a profit-making…”

United States v. City of Palm Beach Gardens, 466 F. Supp. 1155 (S.D. Fla. 1979). · cites it 7× “42 U.S.C. § 291i. There is no dispute about the fact that the hospital was conveyed several years ago to a proprietary corporation and has been re-conveyed several times since that time.”

Am. Hosp. Ass'n v. Richard S. Schweiker, & Illinois Migrant Council, Intervening, 721 F.2d 170 (7th Cir. 1983). “There is a 20-year limit upon the period during which the government may recover a portion of the aid if the hospital is sold to a person not eligible for Hill-Burton assistance or ceases to be a non-profit institution, 42 U.S.C. § 291i; but this recapture provision has little…”

United States v. First Georgia Bank, 529 F. Supp. 384 (N.D. Ga. 1982). · cites it 4× “*385 Plaintiff’s action as well as defendants’ motion call for the Court’s interpretation of 42 U.S.C. § 291i which reads as follows: If any facility with respect to which funds have been paid under section 606 [42 USCS § 291f] shall, at any time within twenty years after the…”

United States v. Coweta Cnty. Hosp. Auth., 777 F.2d 667 (11th Cir. 1985). · cites it 5× “KRAVITCH, Circuit Judge: The correct interpretation of the refund provisions of the Hill-Burton Act, 42 U.S. C.A. § 291i (supp. 1985), is the issue in this case.”

Norris Square Civic Ass'n v. St. Mary Hosp. (In Re St. Mary Hosp.), 86 B.R. 393 (Bankr. E.D. Pa. 1988). “1981), there are distinct limitations upon the managerial decisions of hospitals which courts can effect.”

United States v. NBC Bank-Rockdale, 7 F.3d 63 (5th Cir. 1993). · cites it 4× “67, as a grant under Title VI of the Public Health Service Act, 42 U.S.C. § 291i(a), for construction of a non-profit hospital.”

United States v. St. James Par., 792 F. Supp. 1410 (E.D. La. 1992). · cites it 7× “The Hill-Burton Act 42 U.S.C. § 291i provides no definitive guidance, and the jurisprudence is equally elusive on the subject, although clearly under United States v.”

Poirrier v. St. James Par. Police Jury, 372 F. Supp. 1021 (E.D. La. 1974). · cites it 2× “Although such a claim would lie chiefly against the parochial officials directly responsible for opening and operating the hospital, the Secretary enters the picture because of his right under 42 U.S.C. § 291i to recover Hill-Burton funds whenever a project ceases to be a public…”

Velez v. St. Mary Hosp. (In Re St. Mary Hosp.), 97 B.R. 199 (Bankr. E.D. Pa. 1989). “See 42 U.S.C. § 291i; and 42 C.F.R. § 124.704 .”

United States v. Lutheran Med. Ctr., 524 F. Supp. 421 (D. Neb. 1981). · cites it 3× “The Hill-Burton Act, 42 U.S.C.A. § 291i, provides that the federal *425 government may sue to recover a share of the value of the hospital if, within twenty years after the completion of construction, either of two events occur: (1) the hospital is sold or transferred to a…”

Show all 19 citing cases →

— 42 U.S.C. § 291i(a) — 5 cases

Nat'l Med. Enter., Inc. v. United States, 28 Fed. Cl. 540 (Fed. Cl. 1993). “00; and (3) is founded upon a federal statute, 42 U.S.C. § 291i. *543 As such, the claim meets the criteria set forth in 28 U.”

United States v. NBC Bank-Rockdale, 7 F.3d 63 (5th Cir. 1993). “67, as a grant under Title VI of the Public Health Service Act, 42 U.S.C. § 291i(a), for construction of a non-profit hospital.”

United States v. First Georgia Bank, 529 F. Supp. 384 (N.D. Ga. 1982). “*385 Plaintiff’s action as well as defendants’ motion call for the Court’s interpretation of 42 U.S.C. § 291i which reads as follows: If any facility with respect to which funds have been paid under section 606 [42 USCS § 291f] shall, at any time within twenty years after the…”

United States v. St. James Par., 792 F. Supp. 1410 (E.D. La. 1992). “The Hill-Burton Act 42 U.S.C. § 291i provides no definitive guidance, and the jurisprudence is equally elusive on the subject, although clearly under United States v.”

United States v. St. James Par., 792 F. Supp. 1419 (E.D. La. 1992).

— 42 U.S.C. § 291i(a)(2) — 2 cases

United States v. St. James Par., 792 F. Supp. 1419 (E.D. La. 1992).

— 42 U.S.C. § 291i(a)(l) — 2 cases

United States v. St. James Par., 792 F. Supp. 1419 (E.D. La. 1992).

— 42 U.S.C. § 291i(b) — 3 cases

United States v. St. John's Gen. Hosp., 875 F.2d 1064 (3rd Cir. 1989).

United States v. St. James Par., 792 F. Supp. 1419 (E.D. La. 1992).

— 42 U.S.C. § 291i(c) — 1 case

— 42 U.S.C. § 291i(c)(2) — 1 case

United States v. St. John's Gen. Hosp., 875 F.2d 1064 (3rd Cir. 1989).

— 42 U.S.C. § 291i(c)(2)(A)(i) — 1 case

United States v. St. John's Gen. Hosp., 875 F.2d 1064 (3rd Cir. 1989).

— 42 U.S.C. § 291i(d) — 2 cases

United States v. Coweta Cnty. Hosp. Auth., 777 F.2d 667 (11th Cir. 1985). “KRAVITCH, Circuit Judge: The correct interpretation of the refund provisions of the Hill-Burton Act, 42 U.S. C.A. § 291i (supp. 1985), is the issue in this case.”

United States v. St. James Par., 792 F. Supp. 1419 (E.D. La. 1992).

— 42 U.S.C. § 291i(d)(2) — 1 case

— 42 U.S.C. § 291i(d)(l) — 2 cases

United States v. St. John's Gen. Hosp., 875 F.2d 1064 (3rd Cir. 1989).

United States v. St. James Par., 792 F. Supp. 1419 (E.D. La. 1992).

— 42 U.S.C. § 291i(e) — 1 case

United States v. St. John's Gen. Hosp., 875 F.2d 1064 (3rd Cir. 1989).

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