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42 USC § 291a - Authorization of appropriations

---
identifier: "/us/usc/t42/s291a"
source: "usc"
legal_status: "official_prima_facie"
title: "42 USC § 291a - Authorization of appropriations"
title_number: 42
title_name: "THE PUBLIC HEALTH AND WELFARE"
section_number: "291a"
section_name: "Authorization of appropriations"
chapter_number: 6
chapter_name: "PUBLIC HEALTH SERVICE"
subchapter_number: "IV"
subchapter_name: "CONSTRUCTION AND MODERNIZATION OF HOSPITALS AND OTHER MEDICAL FACILITIES"
part_number: "A"
part_name: "Grants and Loans for Construction and Modernization of Hospitals and Other Medical Facilities"
positive_law: false
currency: "119-84"
last_updated: "2026-04-17"
format_version: "1.1.0"
generator: "[email protected]"
source_credit: "(July 1, 1944, ch. 373, title VI, § 601, as added Pub. L. 88–443, § 3(a), Aug. 18, 1964, 78 Stat. 448; amended Pub. L. 90–574, title IV, § 402(a), Oct. 15, 1968, 82 Stat. 1011; Pub. L. 91–296, title I, §§ 101(a), 102(a), 116(a), June 30, 1970, 84 Stat. 337, 341; Pub. L. 93–45, title I, § 108(a), June 18, 1973, 87 Stat. 92.)"
---

# § 291a. Authorization of appropriations

In order to assist the States in carrying out the purposes of section 291 of this title, there are authorized to be appropriated—

**(a)** for the fiscal year ending June 30, 1974—

**(1)** $20,800,000 for grants for the construction of public or other nonprofit facilities for long-term care;

**(2)** $70,000,000 for grants for the construction of public or other nonprofit outpatient facilities;

**(3)** $15,000,000 for grants for the construction of public or other nonprofit rehabilitation facilities;

**(b)** for grants for the construction of public or other nonprofit hospitals and public health centers, $150,000,000 for the fiscal year ending June 30, 1965, $160,000,000 for the fiscal year ending June 30, 1966, $170,000,000 for the fiscal year ending June 30, 1967, $180,000,000 each for the next two fiscal years, $195,000,000 for the fiscal year ending June 30, 1970, $147,500,000 for the fiscal year ending June 30, 1971, $152,500,000 for the fiscal year ending June 30, 1972, $157,500,000 for the fiscal year ending June 30, 1973, and $41,400,000 for the fiscal year ending June 30, 1974; and

**(c)** for grants for modernization of the facilities referred to in paragraphs (a) and (b), $65,000,000 for the fiscal year ending June 30, 1971, $80,000,000 for the fiscal year ending June 30, 1972, $90,000,000 for the fiscal year ending June 30, 1973, and $50,000,000 for the fiscal year ending June 30, 1974.

---

**Source Credit**: (July 1, 1944, ch. 373, title VI, § 601, as added Pub. L. 88–443, § 3(a), Aug. 18, 1964, 78 Stat. 448; amended Pub. L. 90–574, title IV, § 402(a), Oct. 15, 1968, 82 Stat. 1011; Pub. L. 91–296, title I, §§ 101(a), 102(a), 116(a), June 30, 1970, 84 Stat. 337, 341; Pub. L. 93–45, title I, § 108(a), June 18, 1973, 87 Stat. 92.)

## Editorial Notes

### Prior Provisions

A prior section 291a, , as added , , authorized appropriations for surveys and planning, prior to the general amendment of this subchapter by .

A prior section 291d, , as added , ; amended , ; , ; , title IV, § 401, ; , , , related to subject matter similar to this section, prior to the general amendment of this subchapter by .

A prior section 291p, , as added , , related to subject matter similar to this section, prior to the general amendment of this subchapter by .

A prior section 291s, , as added , ; amended , title IV, § 402, ; , , ; , , , related to subject matter similar to this section, prior to the general amendment of this subchapter by .

### Amendments

1973—Subsec. (a). , substituted introductory text reading “fiscal year ending ” for “fiscal year ending , and each of the next eight fiscal years” and in cl. (1) “$20,800,000” for “$85,000,000”.

Subsec. (b). , authorized appropriations of $41,400,000 for fiscal year ending .

Subsec. (c). , authorized appropriations of $50,000,000 for fiscal year ending .

1970—Par. (a). , §§ 101(a)(1), (2), 116(a), substituted “outpatient facilities” for “diagnostic or treatment centers” in enumeration of facilities eligible for construction grants, extended through fiscal year ending , authority to appropriate funds for construction grants, increased from $70,000,000 to $85,000,000 annual authority to make grants for public or other nonprofit facilities for long-term care, from $20,000,000 to $70,000,000 authority for public or other nonprofit outpatient facilities, and from $10,000,000 to $15,000,000 authority for public or other nonprofit rehabilitation facilities.

Par. (b). , §§ 101(a)(3), 102(a)(1), struck out provisions authorizing grants for modernization of facilities and inserted provisions authorizing appropriation of $147,500,000 for fiscal year ending , $152,500,000 for fiscal year ending , and $157,500,000 for fiscal year ending , for grants for construction of public or other nonprofit hospitals and public health centers.

Par. (c). , added par. (c).

1968—Par. (a). , substituted “next five” for “next four”.

Par. (b). , authorized appropriation of $195,000,000 for fiscal year ending .

## Statutory Notes and Related Subsidiaries

### Effective Date of 1970 Amendment

> “The amendments made by subsection (a) [amending this section] shall take effect with respect to appropriations made under such section 601 [
> 
> ] for fiscal years beginning after
> 
> .”

, , , provided that:

, , , provided that the amendment made by that section is effective with respect to appropriations made under this section for fiscal years beginning after .