42 U.S.C. 254b: Health centers

2022

• Pub. L. 117–204 added cl. (v). (Maximizing Outcomes through Better Investments in Lifesaving Equipment for (MOBILE) Health Care Act) Law text · (e)

2020

• Pub. L. 116–260 added subpar. (H). (Consolidated Appropriations Act, 2021) Law text · (d)
• Pub. L. 116–136 added par. (6). (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (r)

2018

• Pub. L. 115–123, §50901(b)(1), (2), substituted "use disorder" for "abuse". (Bipartisan Budget Act of 2018) Law text · (b), (2)
• Pub. L. 115–123, §50901(b)(3), substituted "Centers" for "In general" in heading, struck out subpar. (A) designation and heading, redesignated cls. (i) to (v) of former subpar. (A) as subpars. (A) to (E), respectively, realigned margins, and struck out former subpars. (B) to (D) whi… (Bipartisan Budget Act of 2018) Law text · (c)
• Pub. L. 115–123, §50901(b)(4), added subsec. (d) and struck out former subsec. (d) which related to loan guarantee program. (Bipartisan Budget Act of 2018) Law text · (d)
• Pub. L. 115–123, §50901(b)(5)(A), substituted "1 year" for "2 years" and inserted at end "The Secretary shall not make a grant under this paragraph unless the applicant provides assurances to the Secretary that within 120 days of receiving grant funding for the operation of the h… (Bipartisan Budget Act of 2018) Law text · (e)
• Pub. L. 115–123, §50901(b)(5)(B), in heading, struck out "and plans" after "networks", and in text, struck out "or plan (as described in subparagraphs (B) and (C) of subsection (c)(1))" after "to a network", substituted "including—" for "or plan, including", inserted cl. (i) desi… (Bipartisan Budget Act of 2018) Law text · (e)
• Pub. L. 115–123, §50901(b)(6), in heading, struck out "and plans" after "Networks" and in text, substituted "to a health center or to a network" for "and subparagraphs (B) and (C) of subsection (c)(1) to a health center or to a network or plan". (Bipartisan Budget Act of 2018) Law text · (e)
• Pub. L. 115–123, §50901(b)(7), added par. (6). (Bipartisan Budget Act of 2018) Law text · (e)
• Pub. L. 115–123, §50901(b)(8)(A), substituted ", children and youth at risk of homelessness, homeless veterans, and veterans at risk of homelessness" for "and children and youth at risk of homelessness". (Bipartisan Budget Act of 2018) Law text · (h)
• Pub. L. 115–123, §50901(b)(8)(B)(iii)(II), which directed substitution of "use disorder" for "abuse", was executed by making the substitution the first place it appeared, to reflect the probable intent of Congress. (Bipartisan Budget Act of 2018) Law text · (h)
• Pub. L. 115–123, §50901(b)(8)(B)(iii)(I), substituted "use disorder" for "abuse" in heading. (Bipartisan Budget Act of 2018) Law text · (h)
• Pub. L. 115–123, §50901(b)(8)(B)(i), (ii), redesignated subpar. (C) as (B) and struck out former subpar. (B). Prior to amendment, text of subpar. (B) read as follows: "The term 'substance abuse' has the same meaning given such term in section 290cc–34(4) of this title." (Bipartisan Budget Act of 2018) Law text · (h)
• Pub. L. 115–123, §50901(b)(8)(B)(ii), redesignated subpar. (C) as (B). (Bipartisan Budget Act of 2018) Law text · (h)
• Pub. L. 115–123, §50901(b)(9)(A)(i), (ii), in heading, inserted "unmet" before "need", and in introductory provisions, inserted "or subsection (e)(6)" after "subsection (e)(1)". (Bipartisan Budget Act of 2018) Law text · (k)
• Pub. L. 115–123, §50901(b)(9)(A)(iii), inserted "unmet" before "need for health services". (Bipartisan Budget Act of 2018) Law text · (k)
• Pub. L. 115–123, §50901(b)(9)(A)(iv)–(vi), added subpar. (D). (Bipartisan Budget Act of 2018) Law text · (k)
• Pub. L. 115–123, §50901(b)(9)(B)(i), inserted "or subsection (e)(6)" after "subsection (e)(1)(B)" in introductory provisions. (Bipartisan Budget Act of 2018) Law text · (k)
• Pub. L. 115–123, §50901(b)(9)(B)(ii), substituted ", including other health care providers that provide care within the catchment area, local hospitals, and specialty providers in the catchment area of the center, to provide access to services not available through the health cen… (Bipartisan Budget Act of 2018) Law text · (k)
• Pub. L. 115–123, §50901(b)(9)(B)(iii), inserted "who shall be directly employed by the center" after "approves the selection of a director for the center". (Bipartisan Budget Act of 2018) Law text · (k)
• Pub. L. 115–123, §50901(b)(9)(B)(iv)–(vi), added subpar. (N). (Bipartisan Budget Act of 2018) Law text · (k)
• Pub. L. 115–123, §50901(b)(9)(C), struck out par. (4) which related to approval of new or expanded service applications. (Bipartisan Budget Act of 2018) Law text · (k)
• Pub. L. 115–123, §50901(b)(10), inserted at end "Funds expended to carry out activities under this subsection and operational support activities under subsection (m) shall not exceed 3 percent of the amount appropriated for this section for the fiscal year involved." (Bipartisan Budget Act of 2018) Law text · (l)
• Pub. L. 115–123, §50901(b)(11), inserted at end "A waiver provided by the Secretary under this paragraph may not remain in effect for more than 1 year and may not be extended after such period. An entity may not receive more than one waiver under this paragraph in consecutive years." (Bipartisan Budget Act of 2018) Law text · (q)
• Pub. L. 115–123, §50901(b)(12), substituted "Committee on Health, Education, Labor, and Pensions of the Senate, and the Committee on Energy and Commerce of the House of Representatives, a report including, at a minimum—" for "appropriate committees of Congress a report concerning th… (Bipartisan Budget Act of 2018) Law text · (r)
• Pub. L. 115–123, §50901(b)(13), added par. (5). (Bipartisan Budget Act of 2018) Law text · (r)
• Pub. L. 115–123, §50901(b)(14), struck out subsec. (s) which related to demonstration program for individualized wellness plans. (Bipartisan Budget Act of 2018) Law text · (s)

2010

• Pub. L. 111–148, §5601(a), added par. (1) and struck out former par. (1). Prior to amendment, text read as follows: "For the purpose of carrying out this section, in addition to the amounts authorized to be appropriated under subsection (d), there are authorized to be appropriated— (Patient Protection and Affordable Care Act) Law text · (r)
• Pub. L. 111–148, §5601(b), added par. (4). (Patient Protection and Affordable Care Act) Law text · (r)
• Pub. L. 111–148, §4206, added subsec. (s). (Patient Protection and Affordable Care Act) Law text · (s)

2008

• Pub. L. 110–355, §2(c)(1), added par. (3). (Health Care Safety Net Act of 2008) Law text · (c)
• Pub. L. 110–355, §2(a), amended par. (1) generally. Prior to amendment, text read as follows: "For the purpose of carrying out this section, in addition to the amounts authorized to be appropriated under subsection (d) of this section, there are authorized to be appropriated $1,340,… (Health Care Safety Net Act of 2008) Law text · (r)

2003

• Pub. L. 108–163, §2(a)(2)(A), substituted "plan." for "plan.." in introductory provisions. (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (c)
• Pub. L. 108–163, §2(a)(2)(B), inserted "or" at end. (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (d)
• Pub. L. 108–163, §2(a)(1)(A), amended pars. (3) to (5) to read as if subpar. (C) of the second par. (4) of section 101 of Pub. L. 107–251 had not been enacted. See 2002 Amendment notes below. (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (e)
• Pub. L. 108–163, §2(a)(2)(E), added subsec. (j) identical to the subsec. (j) appearing in the amendment by section 101(8)(C) of Pub. L. 107–251. See 2002 Amendment notes below. Former subsec. (j) redesignated (k). (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (j)
• Pub. L. 108–163, §2(a)(1)(C), amended subsec. (j) to read as if pars. (8) through (11) of section 101 of Pub. L. 107–251 had not been enacted. See 2002 Amendment notes below. (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (j)
• Pub. L. 108–163, §2(a)(1)(B), amended subpar. (H) to read as if subpar. (C) of par. (7) of section 101 of Pub. L. 107–251 had not been enacted. See 2002 Amendment note below. (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (j)
• Pub. L. 108–163, §2(a)(2)(C), (D), redesignated subsec. (j) as (k) and struck out heading and text of former subsec. (k). Text read as follows: "The Secretary may provide (either through the Department of Health and Human Services or by grant or contract) all necessary technical and ot… (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (k)
• Pub. L. 108–163, §2(a)(1)(C), amended subsec. (k) to read as if pars. (8) through (11) of section 101 of Pub. L. 107–251 had not been enacted. See 2002 Amendment notes below. (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (k)
• Pub. L. 108–163, §2(a)(2)(H), inserted "(either through the Department of Health and Human Services or by grant or contract)" after "shall provide" and substituted "(k)(3)" for "(l)(3)". (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (l)
• Pub. L. 108–163, §2(a)(2)(G), added subsec. (l) identical to the subsec. (m) appearing in the amendment by section 101(9) of Pub. L. 107–251. See 2002 Amendment notes below. Former subsec. (l) redesignated (r). (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (l)
• Pub. L. 108–163, §2(a)(1)(C), amended subsec. (l) to read as if pars. (8) through (11) of section 101 of Pub. L. 107–251 had not been enacted. See 2002 Amendment note below. (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (l)
• Pub. L. 108–163, §2(a)(1)(C), amended subsecs. (m) to (o) to read as if pars. (8) through (11) of section 101 of Pub. L. 107–251 had not been enacted. See 2002 Amendment notes below. (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (m), (n), (o)
• Pub. L. 108–163, §2(a)(2)(I), substituted "(k)(3)(G)" for "(j)(3)(G)". (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (p)
• Pub. L. 108–163, §2(a)(1)(C), amended subsec. (p) to read as if pars. (8) through (11) of section 101 of Pub. L. 107–251 had not been enacted. See 2002 Amendment note below. (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (p)
• Pub. L. 108–163, §2(a)(1)(C), amended subsec. (q) to read as if pars. (8) through (11) of section 101 of Pub. L. 107–251 had not been enacted. See 2002 Amendment note below. (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (q)
• Pub. L. 108–163, §2(a)(2)(F), redesignated subsec. (l) as (r). (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (r)
• Pub. L. 108–163, §2(a)(1)(C), amended subsec. (r) to read as if pars. (8) through (11) of section 101 of Pub. L. 107–251 had not been enacted. See 2002 Amendment note below. (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (r)
• Pub. L. 108–163, §2(a)(2)(J)(i), substituted "$1,340,000,000 for fiscal year 2002 and such sums as may be necessary for each of the fiscal years 2003 through 2006" for "$802,124,000 for fiscal year 1997, and such sums as may be necessary for each of the fiscal years 1998 through 200… (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (r)
• Pub. L. 108–163, §2(a)(2)(J)(ii), substituted "(k)(3)" for "(j)(3)" and "(k)(3)(H)" for "(j)(3)(G)(ii)". (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (r)
• Pub. L. 108–163, §2(a)(2)(J)(iii), added subpar. (B) identical to the subpar. (B) appearing in the amendment by section 101(11)(B)(ii) of Pub. L. 107–251 and struck out heading and text of former subpar. (B) relating to distribution of grants for fiscal years 1997 through 1999. S… (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (r)
• Pub. L. 108–163, §2(a)(1)(C), amended subsec. (s) to read as if pars. (8) through (11) of section 101 of Pub. L. 107–251 had not been enacted. See 2002 Amendment notes below. (Health Care Safety Net Amendments Technical Corrections Act of 2003) Law text · (s)

2002

• Pub. L. 107–251, §101(1)(A), substituted "appropriate cancer screening" for "screening for breast and cervical cancer". (Health Care Safety Net Amendments of 2002) Law text · (b)
• Pub. L. 107–251, §101(1)(B), inserted "(including specialty referral when medically indicated)" after "medical services". (Health Care Safety Net Amendments of 2002) Law text · (b)
• Pub. L. 107–251, §101(1)(C), inserted "housing," after "social,". (Health Care Safety Net Amendments of 2002) Law text · (b)
• Pub. L. 107–251, §101(2)(C), added subpar. (A). Former subpar. (A) redesignated (C). (Health Care Safety Net Amendments of 2002) Law text · (b)
• Pub. L. 107–251, §101(2)(A), substituted "associated with—" and subcls. (I) to (IV) for "associated with water supply;". (Health Care Safety Net Amendments of 2002) Law text · (b)
• Pub. L. 107–251, §101(2)(B), (C), added subpar. (B) and redesignated former subpars. (A) and (B) as (C) and (D), respectively. (Health Care Safety Net Amendments of 2002) Law text · (b)
• Pub. L. 107–251, §101(3)(A)(iii), struck out concluding provisions which read as follows: "Any such grant may include the acquisition and lease of buildings and equipment which may include data and information systems (including the costs of amortizing the principal of, and payin… (Health Care Safety Net Amendments of 2002) Law text · (c)
• Pub. L. 107–251, §101(3)(A)(ii), in introductory provisions, substituted "managed care network or plan." for "network or plan for the provision of health services, which may include the provision of health services on a prepaid basis or through another managed care arrangement, to some or to all of… (Health Care Safety Net Amendments of 2002) Law text · (c)
• Pub. L. 107–251, §101(3)(A)(i), substituted "Managed care" for "Comprehensive service delivery" in heading. (Health Care Safety Net Amendments of 2002) Law text · (c)
• Pub. L. 107–251, §101(3)(B), added subpars. (C) and (D). (Health Care Safety Net Amendments of 2002) Law text · (c), (D)
• Pub. L. 107–251, §101(4)(A), substituted "Loan guarantee program" for "Managed care loan guarantee program" in heading. (Health Care Safety Net Amendments of 2002) Law text · (d)
• Pub. L. 107–251, §101(4)(B)(i), substituted "up to 90 percent of the principal and interest on loans made by non-Federal lenders to health centers, funded under this section, for the costs of developing and operating managed care networks or plans described in subsection (c)(1)(B… (Health Care Safety Net Amendments of 2002) Law text · (d)
• Pub. L. 107–251, §101(4)(B)(ii), added cl. (iii). (Health Care Safety Net Amendments of 2002) Law text · (d)
• Pub. L. 107–251, §101(4)(B)(iii), added subpars. (D) and (E). (Health Care Safety Net Amendments of 2002) Law text · (d), (E)
• Pub. L. 107–251, §101(4)(C), redesignated par. (8) as (6) and struck out headings and text of former pars. (6) and (7) which related to annual reports and program evaluation, respectively. (Health Care Safety Net Amendments of 2002) Law text · (d)
• Pub. L. 107–251, §101(4)(A)(i), substituted "subsection (k)(3)" for "subsection (j)(3)". (Health Care Safety Net Amendments of 2002) Law text · (e)
• Pub. L. 107–251, §101(4)(A)(ii), added subpar. (C). (Health Care Safety Net Amendments of 2002) Law text · (e)
• Pub. L. 107–251, §101(4)(C), redesignated par. (4), relating to limitation, as (3). (Health Care Safety Net Amendments of 2002) Law text · (e)
• Pub. L. 107–251, §101(4)(C), redesignated par. (5) as (4). Former par. (4) redesignated (3). (Health Care Safety Net Amendments of 2002) Law text · (e)
• Pub. L. 107–251, §101(4)(B), (C), redesignated par. (5) as (4), inserted "subparagraphs (A) and (B) of" after "any fiscal year under" in subpar. (A), added subpar. (B), and redesignated former subpars. (B) and (C) as (C) and (D), respectively. (Health Care Safety Net Amendments of 2002) Law text · (e)
• Pub. L. 107–251, §101(5)(A)(i), inserted "and seasonal agricultural worker" after "migratory agricultural worker". (Health Care Safety Net Amendments of 2002) Law text · (g)
• Pub. L. 107–251, §101(5)(A)(ii), substituted "and seasonal agricultural workers, and members of their families," for "and members of their families". (Health Care Safety Net Amendments of 2002) Law text · (g)
• Pub. L. 107–251, §101(5)(B), struck out "on a seasonal basis" after "in agriculture". (Health Care Safety Net Amendments of 2002) Law text · (g)
• Pub. L. 107–251, §101(6)(A), substituted "homeless children and youth and children and youth at risk of homelessness" for "homeless children and children at risk of homelessness". (Health Care Safety Net Amendments of 2002) Law text · (h)
• Pub. L. 107–251, §101(6)(B)(ii), added par. (4). Former par. (4) redesignated (5). (Health Care Safety Net Amendments of 2002) Law text · (h)
• Pub. L. 107–251, §101(6)(B)(i), (C), redesignated par. (4) as (5) and substituted ", risk reduction, outpatient treatment, residential treatment, and rehabilitation" for "and residential treatment" in subpar. (C). (Health Care Safety Net Amendments of 2002) Law text · (h)
• Pub. L. 107–251, §101(8)(C), added subsec. (j) relating to access grants. (Health Care Safety Net Amendments of 2002) Law text · (j)
• Pub. L. 107–251, §101(8)(B), which directed the redesignation of subsecs. (j), (k), and (m) through (q) as subsecs. (n), (o), and (p) through (s), respectively, could not be executed. (Health Care Safety Net Amendments of 2002) Law text · (j)
• Pub. L. 107–251, §101(7)(A)(i), designated existing provisions as subcl. (I) and added subcl. (II). (Health Care Safety Net Amendments of 2002) Law text · (j)
• Pub. L. 107–251, §101(7)(A)(ii), substituted "arrangements described in subclauses (I) and (II) of clause (i)" for "such an arrangement". (Health Care Safety Net Amendments of 2002) Law text · (j)
• Pub. L. 107–251, §101(7)(B), added cl. (iii) and redesignated former cl. (iii) as (iv). (Health Care Safety Net Amendments of 2002) Law text · (j), (iv)
• Pub. L. 107–251, §101(7)(C), substituted "or (q)" for "or (p)" in concluding provisions. (Health Care Safety Net Amendments of 2002) Law text · (j)
• Pub. L. 107–251, §101(7)(D)–(F), added subpar. (M). (Health Care Safety Net Amendments of 2002) Law text · (j)
• Pub. L. 107–251, §101(8)(B), which directed the redesignation of subsecs. (j), (k), and (m) through (q) as subsecs. (n), (o), and (p) through (s), respectively, could not be executed. (Health Care Safety Net Amendments of 2002) Law text · (k)
• Pub. L. 107–251, §101(8)(A), redesignated subsec. (l) as (s). (Health Care Safety Net Amendments of 2002) Law text · (l)
• Pub. L. 107–251, §101(9), which directed striking subsec. (m) (as redesignated by paragraph (9)(B)) and adding a new subsec. (m), could not be executed. The new subsec. (m) to be added read as follows: "(m) Technical Assistance.—The Secretary shall establish a program through which the… (Health Care Safety Net Amendments of 2002) Law text · (m)
• Pub. L. 107–251, §101(8)(B), which directed the redesignation of subsecs. (j), (k), and (m) through (q) as subsecs. (n), (o), and (p) through (s), respectively, could not be executed. (Health Care Safety Net Amendments of 2002) Law text · (m)
• Pub. L. 107–251, §101(8)(B), which directed the redesignation of subsecs. (j), (k), and (m) through (q) as subsecs. (n), (o), and (p) through (s), respectively, could not be executed. (Health Care Safety Net Amendments of 2002) Law text · (n), (o), (p)
• Pub. L. 107–251, §101(10), which directed the substitution of "(l)(3)(G)" for "(j)(3)(G)" in subsec. (q) "(as redesignated by paragraph (9)(B))", could not be executed. (Health Care Safety Net Amendments of 2002) Law text · (q)
• Pub. L. 107–251, §101(8)(B), which directed the redesignation of subsecs. (j), (k), and (m) through (q) as subsecs. (n), (o), and (p) through (s), respectively, could not be executed. (Health Care Safety Net Amendments of 2002) Law text · (q)
• Pub. L. 107–251, §101(8)(B), which directed the redesignation of subsecs. (j), (k), and (m) through (q) as subsecs. (n), (o), and (p) through (s), respectively, could not be executed. (Health Care Safety Net Amendments of 2002) Law text · (r)
• Pub. L. 107–251, §101(8)(B), which directed the redesignation of subsecs. (j), (k), and (m) through (q) as subsecs. (n), (o), and (p) through (s), respectively, could not be executed. (Health Care Safety Net Amendments of 2002) Law text · (s)
• Pub. L. 107–251, §101(11)(A), substituted "$1,340,000,000 for fiscal year 2002 and such sums as may be necessary for each of the fiscal years 2003 through 2006" for "$802,124,000 for fiscal year 1997, and such sums as may be necessary for each of the fiscal years 1998 through 2001". (Health Care Safety Net Amendments of 2002) Law text · (s)
• Pub. L. 107–251, §101(11)(B)(i), substituted "(l)(3)" for "(j)(3)" and "(l)(3)(H)" for "(j)(3)(G)(ii)". (Health Care Safety Net Amendments of 2002) Law text · (s)
• Pub. L. 107–251, §101(11)(B)(ii), added subpar. (B) and struck out heading and text of former subpar. (B) relating to distribution of grants for fiscal years 1997 through 1999. (Health Care Safety Net Amendments of 2002) Law text · (s)