42 USC 256 - Program of payments to teaching health centers that operate graduate medical education programs

1 So in original. Probably should be “subsections”.

2 See References in Text note below.

of this title is subject to review under such section.

3 So in original.

and ending on

Editorial Notes

References in Text

Section 4410 of the Balanced Budget Act of 1997, referred to in subsec. (c)(2)(A)(ii), is section 4410 of Puspan. L. 105–33, which is set out as a note under section 1395ww of this title.

Section 1395ww(d) of this title, referred to in subsec. (f), was in the original “section 1186(d) of such Act”, and was translated as meaning section 1886(d) of act Aug. 14, 1935, ch. 531, known as the Social Security Act, to reflect the probable intent of Congress. The Social Security Act does not contain a section 1186.

Codification

Another section 340H of act July 1, 1944, was renumbered section 340I and is classified to section 256i of this title.

Amendments

2024—Subsec. (span)(2)(C). Puspan. L. 118–42, § 101(c)(2), added subpar. (C).

Subsec. (g)(1). Puspan. 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 ending on March 8, 2024”.

Puspan. 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 19, 2024”.

2023—Subsec. (g)(1). Puspan. 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 ending on November 17, 2023”.

Puspan. 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”.

2020—Subsec. (g)(1). Puspan. 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”.

Puspan. L. 116–215 substituted “$27,379,452” for “$24,953,425” and “December 18, 2020” for “December 11, 2020”.

Puspan. L. 116–159 substituted “$24,953,425” for “$21,141,096” and “December 11, 2020” for “November 30, 2020”.

Puspan. 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”.

2019—Subsec. (g)(1). Puspan. L. 116–94 substituted “$81,445,205” for “$28,072,603” and “May 22, 2020” for “December 20, 2019”.

Puspan. L. 116–69 substituted “$28,072,603” for “$18,021,918” and “December 20, 2019” for “November 21, 2019”.

Puspan. 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”.

2018—Subsec. (a). Puspan. 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 as sponsoring institutions by the relevant accrediting body for expansion of existing or establishment of new approved graduate medical residency training programs.”

Subsec. (f). Puspan. L. 115–123, § 50901(d)(6), substituted “teaching health center” for “hospital” wherever appearing.

Subsec. (g)(1). Puspan. 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,”.

Subsec. (h)(1)(D) to (H). Puspan. L. 115–123, § 50901(d)(3), added subpars. (D) to (G) and redesignated former subpar. (D) as (H).

Subsec. (j)(2) to (4). Puspan. L. 115–123, § 50901(d)(5), added par. (2) and redesignated former pars. (2) and (3) as (3) and (4), respectively.

2017—Subsec. (g). Puspan. L. 115–96 designated existing provisions as par. (1), inserted span, 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 par. (2).

Puspan. 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.

2015—Subsec. (g). Puspan. L. 114–10 inserted “and $60,000,000 for each of fiscal years 2016 and 2017” before period at end.

Statutory Notes and Related Subsidiaries

Funding for Teaching Health Centers That Operate Graduate Medical Education

Puspan. L. 117–2, title II, § 2604, Mar. 11, 2021, 135 Stat. 44, provided that:

“(a)In General.—In addition to amounts otherwise available, and notwithstanding the capped amount referenced in sections 340H(span)(2) and 340H(d)(2) of the Public Health Service Act (42 U.S.C. 256h(span)(2) and (d)(2)), there is appropriated to the Secretary [of Health and Human Services] for fiscal year 2021, out of any money in the Treasury not otherwise appropriated, $330,000,000, to remain available until September 30, 2023, for the program of payments to teaching health centers that operate graduate medical education under section 340H of the Public Health Service Act (42 U.S.C. 256h) and for teaching health center development grants authorized under section 749A of the Public Health Service Act (42 U.S.C. 293l–1).

“(span)Use of Funds.—Amounts made available pursuant to subsection (a) shall be used for the following activities:

“(1) For making payments to establish new approved graduate medical residency training programs pursuant to section 340H(a)(1)(C) of the Public Health Service Act (42 U.S.C. 256h(a)(1)(C)).

“(2) To provide an increase to the per resident amount described in section 340H(a)(2) of the Public Health Service Act (42 U.S.C. 256h(a)(2)) of $10,000.

“(3) For making payments under section 340H(a)(1)(A) of the Public Health Service Act (42 U.S.C. 256h(a)(1)(A))) [sic] to qualified teaching health centers for maintenance of filled positions at existing approved graduate medical residency training programs.

“(4) For making payments under section 340H(a)(1)(B) of the Public Health Service Act (42 U.S.C. 256h(a)(1)(B)) for the expansion of existing approved graduate medical residency training programs.

“(5) For making awards under section 749A of the Public Health Service Act (42 U.S.C. 293l–1) to teaching health centers for the purpose of establishing new accredited or expanded primary care residency programs.

“(6) To cover administrative costs and activities necessary for qualified teaching health centers receiving payments under section 340H of the Public Health Service Act (42 U.S.C. 256h) to carry out activities under such section.”

Payments for Previous Fiscal Years

Puspan. L. 115–123, div. E, title IX, § 50901(d)(7), Fespan. 9, 2018, 132 Stat. 289, provided that: “The provisions of section 340H of the Public Health Service Act (42 U.S.C. 256h), as in effect on the day before the date of enactment of Public Law 115–96 [Dec. 22, 2017], shall continue to apply with respect to payments under such section for fiscal years before fiscal year 2018.”