WHAT THE LAW DOINCongress, in plain words

The law › Title 42, The Public Health and Welfare › Chapter 6A

42 U.S.C. 256h: Program of payments to teaching health centers that operate graduate medical education programs

Created in 2010 by the Patient Protection and Affordable Care Act (Public Law 111-148). Changed by 16 later laws. 1 bill in this Congress would change it; 3 new laws this Congress changed it.

2 other sections of the Code cite this one, including 42 U.S.C. 254m, 42 U.S.C. 293l–1.

This Congress

  • H.R. 7148 Consolidated Appropriations Act, 2026 · became law · changed (g)
  • H.R. 5371 Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 · became law · changed (g)
  • H.R. 1968 Full-Year Continuing Appropriations and Extensions Act, 2025 · became law · changed (g)
  • H.R. 9877 Health Equity and Accountability Act of 2026 · introduced · would change (a), (j)

How it got here

2024

  • Pub. L. 118–42, §101(c)(2), added subpar. (C). (Consolidated Appropriations Act, 2024) Law text · (b)
  • Pub. L. 118–158, §3101(c)(2), substituted ", not to exceed—" and subpars. (A) to (E) for period at end. (American Relief Act, 2025) Law text · (g)
  • Pub. L. 118–158, §3101(c)(1), struck out "not to exceed $230,000,000, for the period of fiscal years 2011 through 2015, $60,000,000 for each of fiscal years 2016 and 2017, $126,500,000 for each of fiscal years 2018 through 2023, $16,635,616 for the period beginning on October 1, 2023, and ending on… (American Relief Act, 2025) Law text · (g)
  • Pub. L. 118–42, §101(c)(1), substituted "$16,982,192 for the period beginning on January 20, 2024, and ending on March 8, 2024, and $164,136,986 for the period beginning on October 1, 2023, and ending on December 31, 2024" for "and $16,982,192 for the period beginning on January 20, 2024, and endin… (Consolidated Appropriations Act, 2024) Law text · (g)
  • Pub. L. 118–35 substituted "$21,834,247 for the period beginning on November 18, 2023, and ending on January 19, 2024, and $16,982,192 for the period beginning on January 20, 2024, and ending on March 8, 2024" for "and $21,834,247 for the period beginning on November 18, 2023, and ending on January… (Further Additional Continuing Appropriations and Other Extensions Act, 2024) Law text · (g)

2023

  • Pub. L. 118–22 substituted "$16,635,616 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $21,834,247 for the period beginning on November 18, 2023, and ending on January 19, 2024" for "and $16,635,616 for the period beginning on October 1, 2023, and … (Further Continuing Appropriations and Other Extensions Act, 2024) Law text · (g)
  • Pub. L. 118–15 struck out "and" before "$126,500,000" and inserted "and $16,635,616 for the period beginning on October 1, 2023, and ending on November 17, 2023," before "to remain available". (Continuing Appropriations Act, 2024 and Other Extensions Act) Law text · (g)

2020

  • Pub. L. 116–260 inserted "and" after "2017," and substituted "2023" for "fiscal year 2020, and $27,379,452 for the period beginning on October 1, 2020, and ending on December 18, 2020". (Consolidated Appropriations Act, 2021) Law text · (g)
  • Pub. L. 116–215 substituted "$27,379,452" for "$24,953,425" and "December 18, 2020" for "December 11, 2020". (Further Continuing Appropriations Act, 2021, and Other Extensions Act) Law text · (g)
  • Pub. L. 116–159 substituted "$24,953,425" for "$21,141,096" and "December 11, 2020" for "November 30, 2020". (Continuing Appropriations Act, 2021 and Other Extensions Act) Law text · (g)
  • Pub. L. 116–136 substituted "through fiscal year 2020, and $21,141,096 for the period beginning on October 1, 2020, and ending on November 30, 2020" for "and 2019, and $81,445,205 for the period beginning on October 1, 2019, and ending on May 22, 2020". (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (g)

2019

  • Pub. L. 116–94 substituted "$81,445,205" for "$28,072,603" and "May 22, 2020" for "December 20, 2019". (Further Consolidated Appropriations Act, 2020) Law text · (g)
  • Pub. L. 116–69 substituted "$28,072,603" for "$18,021,918" and "December 20, 2019" for "November 21, 2019". (Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019) Law text · (g)
  • Pub. L. 116–59 struck out "and" before "$126,500,000" and inserted "and $18,021,918 for the period beginning on October 1, 2019, and ending on November 21, 2019," before "to remain available". (Continuing Appropriations Act, 2020, and Health Extenders Act of 2019) Law text · (g)

2018

  • Pub. L. 115–123, §50901(d)(1), amended subsec. (a) generally. Prior to amendment, text read as follows: "Subject to subsection (h)(2), the Secretary shall make payments under this section for direct expenses and for indirect expenses to qualified teaching health centers that are listed… (Bipartisan Budget Act of 2018) Law text · (a)
  • Pub. L. 115–123, §50901(d)(6), substituted "teaching health center" for "hospital" wherever appearing. (Bipartisan Budget Act of 2018) Law text · (f)
  • Pub. L. 115–123, §50901(d)(2), substituted "and $126,500,000 for each of fiscal years 2018 and 2019," for "and $30,000,000 for the period of the first and second quarters of fiscal year 2018,". (Bipartisan Budget Act of 2018) Law text · (g)
  • Pub. L. 115–123, §50901(d)(3), added subpars. (D) to (G) and redesignated former subpar. (D) as (H). (Bipartisan Budget Act of 2018) Law text · (h)
  • Pub. L. 115–123, §50901(d)(5), added par. (2) and redesignated former pars. (2) and (3) as (3) and (4), respectively. (Bipartisan Budget Act of 2018) Law text · (j)

2017

  • Pub. L. 115–96 designated existing provisions as par. (1), inserted heading, substituted "and $30,000,000 for the period of the first and second quarters of fiscal year 2018, to remain available until expended" for "and $15,000,000 for the first quarter of fiscal year 2018", and added … Law text · (g)
  • Pub. L. 115–63 substituted "2015, $60,000,000" for "2015 and $60,000,000" and inserted ", and $15,000,000 for the first quarter of fiscal year 2018" before period at end. (Disaster Tax Relief and Airport and Airway Extension Act of 2017) Law text · (g)

2015

  • Pub. L. 114–10 inserted "and $60,000,000 for each of fiscal years 2016 and 2017" before period at end. (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (g)

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.