WHAT THE LAW DOINCongress, in plain words

The law › Title 42, The Public Health and Welfare › Chapter 7

42 U.S.C. 1308: Additional grants to Puerto Rico, Virgin Islands, Guam, and American Samoa; limitation on total payments

Created in 1958 by Public Law 85-840. Changed by 35 later laws. 1 bill in this Congress would change it.

This Congress

  • H.R. 10874 Medicare Low Income Subsidy Equality Act of 2026 · introduced · would change (f)

How it got here

2024

  • Pub. L. 118–83, §211(1), substituted ", (5), and (14)" for "and (5)" in introductory provisions. (Continuing Appropriations and Extensions Act, 2025) Law text · (g)
  • Pub. L. 118–83, §211(2), added par. (14). (Continuing Appropriations and Extensions Act, 2025) Law text · (g)

2022

  • Pub. L. 117–328, §5101(a)(1)(B), substituted "fiscal year 2022 (and, in the case of a territory other than Puerto Rico, for each subsequent fiscal year)" for "each fiscal year after fiscal year 2021" in concluding provisions. (Consolidated Appropriations Act, 2023) Law text · (g)
  • Pub. L. 117–328, §5101(a)(1)(A)(i)(I), substituted "clause (ii) or (iii)" for "clause (ii)". (Consolidated Appropriations Act, 2023) Law text · (g)
  • Pub. L. 117–328, §5101(a)(1)(A)(i)(II)–(iii), added cl. (iii). (Consolidated Appropriations Act, 2023) Law text · (g)
  • Pub. L. 117–328, §5101(e)(1), inserted "reporting" after "reform" in heading. (Consolidated Appropriations Act, 2023) Law text · (g)
  • Pub. L. 117–328, §5101(e)(2), added cl. (v). (Consolidated Appropriations Act, 2023) Law text · (g)
  • Pub. L. 117–328, §5101(d)(1), inserted "and for fiscal year 2023 and each subsequent fiscal year (or, in the case of Puerto Rico, and for fiscal year 2023 and each subsequent fiscal year before fiscal year 2028)" after "fiscal year 2021)" in introductory provisions. (Consolidated Appropriations Act, 2023) Law text · (g)
  • Pub. L. 117–328, §5101(d)(2), inserted "or by reason of the amendments made by section 5101 of the Health Extenders, Improving Access to Medicare, Medicaid, and CHIP, and Strengthening Public Health Act of 2022" before period at end. (Consolidated Appropriations Act, 2023) Law text · (g)
  • Pub. L. 117–103 added par. (10). (Consolidated Appropriations Act, 2022) Law text · (g)
  • Pub. L. 117–328, §5101(a)(2), added pars. (11) to (13). (Consolidated Appropriations Act, 2023) Law text · (g)
  • Pub. L. 117–328, §5101(f), added subsec. (i). (Consolidated Appropriations Act, 2023) Law text · (i)

2020

  • Pub. L. 116–260, §208(d)(1), substituted "subsections (g) and (h) and section 1396u–5(e)(1)(B) of this title" for "subsection (g) and section 1396u–5(e)(1)(B) of this title" in introductory provisions. (Consolidated Appropriations Act, 2021) Law text · (f)
  • Pub. L. 116–127, §6009(1)(A), substituted "for fiscal year 2020, $128,712,500; and" for "for each of fiscal years 2020 through 2021, $126,000,000;" in cl. (ii) and added cl. (iii). (Families First Coronavirus Response Act) Law text · (g)
  • Pub. L. 116–127, §6009(1)(B), substituted "for fiscal year 2020, $130,875,000; and" for "for each of fiscal years 2020 through 2021, $127,000,000;" in cl. (ii) and added cl. (iii). (Families First Coronavirus Response Act) Law text · (g)
  • Pub. L. 116–127, §6009(1)(C), substituted "for fiscal year 2020, $63,100,000; and" for "for each of fiscal years 2020 through 2021, $60,000,000; and" in cl. (ii) and added cl. (iii). (Families First Coronavirus Response Act) Law text · (g)
  • Pub. L. 116–127, §6009(1)(D), substituted "for fiscal year 2020, $86,325,000; and" for "for each of fiscal years 2020 through 2021, $84,000,000." in cl. (ii) and added cl. (iii). (Families First Coronavirus Response Act) Law text · (g)
  • Pub. L. 116–260, §210(d), designated existing provisions as subpar. (A), inserted heading, and added subpar. (B). (Consolidated Appropriations Act, 2021) Law text · (g)
  • Pub. L. 116–127, §6009(2)(A), substituted "$2,716,188,000" for "$2,623,188,000". (Families First Coronavirus Response Act) Law text · (g)
  • Pub. L. 116–127, §6009(2)(B), substituted "$2,809,063,000" for "$2,719,072,000". (Families First Coronavirus Response Act) Law text · (g)
  • Pub. L. 116–260, §208(d)(2), added subsec. (h). (Consolidated Appropriations Act, 2021) Law text · (h)

2019

  • Pub. L. 116–94, §202(a)(1)(G), inserted concluding provisions. (Further Consolidated Appropriations Act, 2020) Law text · (g)
  • Pub. L. 116–94, §202(a)(1)(A), substituted "subject to section 18043(a)(2) of this title and paragraphs (3) and (5)" for "subject to and section 18043(a)(2) of this title paragraphs (3) and (5)" in introductory provisions. (Further Consolidated Appropriations Act, 2020) Law text · (g)
  • Pub. L. 116–94, §202(a)(1)(B), substituted "Puerto Rico shall not exceed—" for "Puerto Rico shall not exceed the sum of", inserted "(i) except as provided in clause (ii), the sum of" before "the amount provided", and added cl. (ii). (Further Consolidated Appropriations Act, 2020) Law text · (g)
  • Pub. L. 116–94, §202(a)(1)(C), substituted "the Virgin Islands shall not exceed—" for "the Virgin Islands shall not exceed the sum of", inserted "(i) except as provided in clause (ii), the sum of" before "the amount provided", and added cl. (ii). (Further Consolidated Appropriations Act, 2020) Law text · (g)
  • Pub. L. 116–94, §202(a)(1)(D), substituted "Guam shall not exceed—" for "Guam shall not exceed the sum of", inserted "(i) except as provided in clause (ii), the sum of" before "the amount provided", and added cl. (ii). (Further Consolidated Appropriations Act, 2020) Law text · (g)
  • Pub. L. 116–94, §202(a)(1)(E), substituted "the Northern Mariana Islands shall not exceed—" for "the Northern Mariana Islands shall not exceed the sum of", inserted "(i) except as provided in clause (ii), the sum of" before "the amount provided", and added cl. (ii). (Further Consolidated Appropriations Act, 2020) Law text · (g)
  • Pub. L. 116–94, §202(a)(1)(F), substituted "American Samoa shall not exceed—" for "American Samoa shall not exceed the sum of", inserted "(i) except as provided in clause (ii), the sum of" before "the amount provided", and added cl. (ii). (Further Consolidated Appropriations Act, 2020) Law text · (g)
  • Pub. L. 116–20, §802(a)(1), substituted "(E), and (F)" for "and (E)". (Additional Supplemental Appropriations for Disaster Relief Act, 2019) Law text · (g)
  • Pub. L. 116–20, §802(a)(2), substituted "and (F)" for "and (E)" in introductory provisions. (Additional Supplemental Appropriations for Disaster Relief Act, 2019) Law text · (g)
  • Pub. L. 116–20, §802(a)(4), added subpar. (E). Former subpar. (E) redesignated (F). (Additional Supplemental Appropriations for Disaster Relief Act, 2019) Law text · (g)
  • Pub. L. 116–20, §802(a)(5)(A), (D), (E), substituted "subchapter XIX—" for "subchapter XIX,", designated remainder of existing provisions as cl. (i), and added cl. (ii). (Additional Supplemental Appropriations for Disaster Relief Act, 2019) Law text · (g)
  • Pub. L. 116–20, §802(a)(3), redesignated subpar. (E) as (F). (Additional Supplemental Appropriations for Disaster Relief Act, 2019) Law text · (g)
  • Pub. L. 116–20, §802(a)(5)(B), (C), substituted ", (D), and (E)" for "and (D)" and substituted ", the Virgin Islands, and the Northern Mariana Islands" for "and the Virgin Islands" in two places. (Additional Supplemental Appropriations for Disaster Relief Act, 2019) Law text · (g)
  • Pub. L. 116–20, §802(a)(6), added subpar. (G). (Additional Supplemental Appropriations for Disaster Relief Act, 2019) Law text · (g)
  • Pub. L. 116–94, §202(a)(2), added pars. (6) to (8). (Further Consolidated Appropriations Act, 2020) Law text · (g)
  • Pub. L. 116–94, §202(d), added par. (9). (Further Consolidated Appropriations Act, 2020) Law text · (g)

2018

  • Pub. L. 115–123, §50711(f), substituted "613(f), or 674(a)(6)" for "or 613(f)". (Bipartisan Budget Act of 2018) Law text · (a)
  • Pub. L. 115–123, §20301(b), inserted "for a calendar quarter of such fiscal year," after "section 1396b(a)(3) of this title" and substituted "of such fiscal year, and with respect to fiscal years beginning with fiscal year 2018, if the Virgin Islands qualifies for a payment under se… (Bipartisan Budget Act of 2018) Law text · (g)
  • Pub. L. 115–123, §20301(a)(1), substituted "subparagraphs (B), (C), (D), and (E)" for "subparagraph (B)". (Bipartisan Budget Act of 2018) Law text · (g)
  • Pub. L. 115–123, §20301(a)(2), added subpars. (C) to (E). (Bipartisan Budget Act of 2018) Law text · (g)

2017

  • Pub. L. 115–31, §102(a)(5), substituted "each of fiscal years 2017 and 2018" for "fiscal year 2012". (Consolidated Appropriations Act, 2017) Law text · (b)
  • Pub. L. 115–31, §202(a)(1), inserted "and with respect to fiscal years beginning with fiscal year 2017, if Puerto Rico qualifies for a payment under section 1396b(a)(6) of this title for a calendar quarter (beginning on or after July 1, 2017) of such fiscal year" after "1396b(a)(3) … (Consolidated Appropriations Act, 2017) Law text · (g)
  • Pub. L. 115–31, §202(a)(2), designated existing provisions as subpar. (A), substituted "Subject to subparagraph (B), the Secretary" for "The Secretary", and added subpar. (B). (Consolidated Appropriations Act, 2017) Law text · (g)

2012

  • Pub. L. 112–96 substituted "fiscal year 2012" for "fiscal years 1997 through 2003". (Middle Class Tax Relief and Job Creation Act of 2012) Law text · (b)

2010

  • Pub. L. 111–152, §1204(b)(1)(A), inserted "and section 18043(a)(2) of this title" after "subject to" in introductory provisions. (Health Care and Education Reconciliation Act of 2010) Law text · (g)
  • Pub. L. 111–148, §2005(a)(1), substituted "paragraphs (3) and (5)" for "paragraph (3)" in introductory provisions. (Patient Protection and Affordable Care Act) Law text · (g)
  • Pub. L. 111–148, §2005(b), which directed substitution of "to—" for "to" and insertion of subpar. (A) designation before "fiscal years beginning" and "(B) fiscal years beginning with fiscal year 2014, payments made to Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islan… (Patient Protection and Affordable Care Act) Law text · (g)
  • Pub. L. 111–148, §2005(a)(2), substituted "(3), and (4)" for "and (3)". (Patient Protection and Affordable Care Act) Law text · (g)
  • Pub. L. 111–148, §10201(d), which directed amendment of subsec. (g)(4)(B) "as added by section 2005(b)" of Pub. L. 111–148 by substituting "the highest income eligibility level in effect for parents under the commonwealth's or territory's State plan under subchapter XIX or under … (Patient Protection and Affordable Care Act) Law text · (g)
  • Pub. L. 111–152, §1204(b)(1)(B), added par. (5) and struck out former par. (5). Prior to amendment, text read as follows: "The amounts otherwise determined under this subsection for Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa for the secon… (Health Care and Education Reconciliation Act of 2010) Law text · (g)
  • Pub. L. 111–148, §2005(a)(3), added par. (5). (Patient Protection and Affordable Care Act) Law text · (g)

2009

  • Pub. L. 111–5, §2101(d)(1), struck out "603(c)(3)," after "603(a)(5),". See Effective Date of 2009 Amendment note below. (American Recovery and Reinvestment Act of 2009) Law text · (a)
  • Pub. L. 111–5, §2101(c), inserted "603(c)(3)," after "603(a)(5),". (American Recovery and Reinvestment Act of 2009) Law text · (a)
  • Pub. L. 111–3 added par. (4). (Children's Health Insurance Program Reauthorization Act of 2009) Law text · (g)

2006

  • Pub. L. 109–171, §6055(1), inserted "and subject to paragraph (3)" after "subsection (f)" in introductory provisions. (Deficit Reduction Act of 2005) Law text · (g)
  • Pub. L. 109–171, §6055(2), added par. (3). (Deficit Reduction Act of 2005) Law text · (g)

2003

  • Pub. L. 108–40 substituted "2003" for "2002". (Welfare Reform Extension Act of 2003) Law text · (b)
  • Pub. L. 108–173 inserted "and section 1396u–5(e)(1)(B) of this title" after "Subject to subsection (g)" in introductory provisions. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (f)

1997

  • Pub. L. 105–33, §5512(a), amended heading and text of subsec. (a) generally. Prior to amendment, text read as follows: "Notwithstanding any other provision of this chapter, the total amount certified by the Secretary of Health and Human Services under subchapters I, X, XIV, and XVI of … (Balanced Budget Act of 1997) Law text · (a)
  • Pub. L. 105–33, §5001(b), inserted "603(a)(5)," after "603(a)(4),". (Balanced Budget Act of 1997) Law text · (a)
  • Pub. L. 105–33, §5512(b), inserted ", including any amount paid to the State under part A of subchapter IV that is transferred in accordance with section 604(d) of this title and expended under the program to which transferred" before semicolon. (Balanced Budget Act of 1997) Law text · (b)
  • Pub. L. 105–33, §5512(c), struck out heading and text of subsec. (e). Text read as follows: "The ceiling amount with respect to a territory shall be reduced for a fiscal year by an amount equal to the amount (if any) by which— (Balanced Budget Act of 1997) Law text · (e)
  • Pub. L. 105–33, §4726(1), substituted "Subject to subsection (g), the" for "The" in introductory provisions. (Balanced Budget Act of 1997) Law text · (f)
  • Pub. L. 105–33, §4726(2), added subsec. (g). (Balanced Budget Act of 1997) Law text · (g)

1996

  • Pub. L. 104–193, §103(b)(3), added section catchline and struck out former catchline. (Personal Responsibility and Work Opportunity Reconciliation Act of 1996) Law text
  • Pub. L. 104–193, §103(b)(3), added subsecs. (a) and (b) and struck out former subsec. (a) which limited total amount certified under subchapters I, X, XIV, XVI of this chapter and parts A and E of subchapter IV of this chapter for payment to Puerto Rico, the Virgin Islands, and G… (Personal Responsibility and Work Opportunity Reconciliation Act of 1996) Law text · (a), (b)
  • Pub. L. 104–193, §103(b)(3), added subsec. (c). Former subsec. (c) redesignated (f). (Personal Responsibility and Work Opportunity Reconciliation Act of 1996) Law text · (c)
  • Pub. L. 104–193, §103(b)(1), (3), added subsecs. (d) and (e) and struck out former subsec. (d) which limited payments to American Samoa and former subsec. (e) which related to allotment of smaller amounts. (Personal Responsibility and Work Opportunity Reconciliation Act of 1996) Law text · (d), (e)
  • Pub. L. 104–193, §103(b)(2), redesignated subsec. (c) as (f). (Personal Responsibility and Work Opportunity Reconciliation Act of 1996) Law text · (f)

1993

  • Pub. L. 103–66 amended pars. (1) to (5) generally. Prior to amendment, pars. (1) to (5) read as follows: · (c)

1988

  • Pub. L. 100–485, §601(c)(2), amended section catchline generally.
  • Pub. L. 100–485, §202(c)(2), inserted "or, in the case of part A of subchapter IV of this chapter, section 603(k) of this title" before "applies" in introductory provisions. · (a)
  • Pub. L. 100–485, §602(a)(1), added subpars. (F) and (G) and struck out former subpar. (F) which read as follows: "$72,000,000 with respect to the fiscal year 1979 and each fiscal year thereafter;". · (a), (G)
  • Pub. L. 100–485, §602(a)(2), added subpars. (F) and (G) and struck out former subpar. (F) which read as follows: "$2,400,000 with respect to the fiscal year 1979 and each fiscal year thereafter;". · (a), (G)
  • Pub. L. 100–485, §602(a)(3), added subpars. (F) and (G) and struck out former subpar. (F) which read as follows: "$3,300,000 with respect to the fiscal year 1979 and each fiscal year thereafter." · (a), (G)
  • Pub. L. 100–485, §202(c)(3), struck out "and services provided under section 602(a)(19) of this title" after "family planning services" in introductory provisions. · (b)
  • Pub. L. 100–485, §601(b), added subsec. (d) and redesignated former subsec. (d) as (e). · (d), (e)

1987

  • Pub. L. 100–203 amended subsec. (c) generally. Prior to amendment, subsec. (c) read as follows: "The total amount certified by the Secretary under subchapter XIX of this chapter with respect to a fiscal year for payment to— · (c)

1984

  • Pub. L. 98–369 substituted "$63,400,000" for "$45,000,000" in par. (1), "$2,100,000" for "$1,500,000" in par. (2), "$2,000,000" for "$1,400,000" in par. (3), "$550,000" for "$350,000" in par. (4), and "$1,150,000" for "$750,000" in par. (5). · (c)

1982

  • Pub. L. 97–248, §160(a), inserted provisions following par. (3)(F) that each jurisdiction specified in this subsection may use in its program under subchapter XX of this chapter any sums available to it under this subsection which are not needed to carry out the programs specified in t… · (a)
  • Pub. L. 97–248, §136(b), added par. (5). · (c)

1981

  • Pub. L. 97–35, §2353(f), substituted in provision preceding par. (1) "The total amount certified by the Secretary of Health and Human Services" for "Except as provided in section 1397a(a)(2)(C) of this title, the total amount certified by the Secretary of Health, Education, and Welfare… · (a)
  • Pub. L. 97–35, §2162(b)(1), in par. (1) increased the amount from not to exceed $2,000,000 to not to exceed $45,000,000, in par. (2) increased the amount from not to exceed $65,000 to not to exceed $1,500,000, in par. (3) increased the amount from not to exceed $90,000 to not to exceed… · (c)
  • Pub. L. 97–35, §2193(c)(1), substituted "section 621 of this title" for "sections 702(a) and 712(a) of this title, and the provisions of sections 621, 703(1), and 704(1) of this title as amended by the Social Security Amendments of 1967". · (d)

1980

  • Pub. L. 96–272 substituted "section 1397a(a)(2)(C) of this title" for "section 1397a(a)(2)(D) of this title" and "under parts A and E" for "under part A" in provisions preceding par. (1), substituted "with respect to each of the fiscal years 1972 through 1978" for "with respect to the … · (a)

1978

  • Pub. L. 95–600, §802(b)(1)(B), inserted "other than the fiscal year 1979, or". · (a)
  • Pub. L. 95–600, §802(b)(1)(C), added subpar. (F). · (a)
  • Pub. L. 95–600, §802(b)(2)(B), substituted "other than the fiscal year 1979, or" for "; and". · (a)
  • Pub. L. 95–600, §802(b)(2)(C), added subpar. (F). · (a)
  • Pub. L. 95–600, §802(b)(3)(B), inserted "other than the fiscal year 1979, or". · (a)
  • Pub. L. 95–600, §802(b)(3)(C), added subpar. (F). · (a)

1975

  • Pub. L. 93–647 substituted "Except as provided in section 1397a(a)(2)(D) of this title, the total amount" for "The total amount". · (a)

1972

  • Pub. L. 92–603, §271(a), substituted "$30,000,000" for "$20,000,000". · (c)
  • Pub. L. 92–603, §271(b), substituted "$1,000,000" for "$650,000". · (c)
  • Pub. L. 92–603, §272(b), inserted ", American Samoa, and the Trust Territory of the Pacific Islands" after "allot such smaller amounts to Guam". · (d)

1968

  • Pub. L. 90–248 amended section generally and, among other changes, raised the present $9.8 million limit for Federal financial participation in the public assistance programs of Puerto Rico to $12.5 million for fiscal 1968 with further increases in succeeding fiscal years to a maximum of $24 millio…

1965

  • Pub. L. 89–97 substituted "and 722(a)" for "722(a) and 727(a)" and struck out "(or, in the case of section 727(a) of this title" after "in lieu of the initial", and removed the litigation requiring that, with respect to any fiscal year, $625,000 of the $9,800,000 certified for payments to Puerto Ri…

1962

  • Pub. L. 87–543 substituted "$9,800,000", "$330,000", "$450,000", and "initial (or, in the case of section 727(a) of this title, the minimum) allotment" for "$9,500,000", "$320,000", "$430,000", and "$60,000, $60,000 $60,000, respectively," and inserted references to subchapter "XVI (other than sect…

1961

  • Pub. L. 87–64, substituted "$9,500,000", "$320,000", and "$430,000" for "$9,425,000", "$318,750", and "$425,000", respectively. See Repeals note below.
  • Pub. L. 87–31 increased the grant to Puerto Rico for fiscal year ending June 30, 1961, from $9,000,000 to $9,075,000 and for fiscal year ending June 30, 1962, to $9,425,000; the grants to Virgin Islands and Guam from $315,000 and $420,000 to $318,750 and $425,000, respectively; and payments under s…

1960

  • Pub. L. 86–778 substituted "$9,000,000, of which $500,000 may be used only for payments certified with respect to section 303(a)(2)(B) of this title" for "$8,500,000", "$315,000, of which $15,000 may be used only for payments certified in respect to section 303(a)(2)(B) of this title" for "$300,000…

1958

  • Pub. L. 85–840, §§507, 508, amended section. Section 507(a) substituted "$8,500,000" for "$5,312,500" and "$300,000" for "$200,000", and limited the total amount certified for payment to Guam with respect to any fiscal year to not more than $400,000. Section 507(b) amended catchline to include Guam…

Text, outline and history from the official U.S. Code (2024 edition) on GovInfo, published by the Office of the Law Revision Counsel. Changes made after that edition appear under This Congress.