42 U.S.C. § 300x–4
Additional provisions
United States · Title 42 — THE PUBLIC HEALTH AND WELFARE · Status: effective
Cite this
- Citation
- 42 U.S.C. § 300x–4, Additional provisions, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/476377
- Permanent ID
ys:prov:476377@1- SHA-256
2af7d723ca1dc1e254e8b1b6a3b68b6eec65dd2580c2f4eac694bda99955aa2e
The hash is SHA-256 of this version's text, with every run of whitespace collapsed to a single space and the ends trimmed. The ID always leads back here, and checking it says whether the text you cited is still the current version.
Full text
The Secretary may make a grant under section 300x of this title to a State only if—
A funding agreement for a grant under section 300x of this title is that the State involved will maintain State expenditures for community mental health services at a level that is not less than the average level of such expenditures maintained by the State for the 2-year period preceding the fiscal year for which the State is applying for the grant.
The Secretary may exclude from the aggregate State expenditures under subsection (a), funds appropriated to the principle agency for authorized activities which are of a non-recurring nature and for a specific purpose.
The Secretary may, upon the request of a State, waive the requirement established in paragraph (1) in whole or in part if the Secretary determines that extraordinary economic conditions in the State in the fiscal year involved or in the previous fiscal year justify the waiver 11 So in original. Probably should be followed by a period.
The Secretary shall approve or deny a request for a waiver under this paragraph not later than 120 days after the date on which the request is made.
A waiver provided by the Secretary under this paragraph shall be applicable only to the fiscal year involved.
In making a grant under section 300x of this title to a State for a fiscal year, the Secretary shall make a determination of whether, for the previous fiscal year, the State maintained material compliance with the agreement made under paragraph (1). If the Secretary determines that a State has failed to maintain such compliance, the Secretary shall reduce the amount of the allotment under section 300x of this title for the State for the fiscal year for which the grant is being made by an amount equal to the amount constituting such failure for the previous fiscal year.
A State that has failed to comply with paragraph (1) and would otherwise be subject to a reduction in the State’s allotment under section 300x of this title may, upon request by the State, in lieu of having the amount of the allotment under section 300x of this title for the State reduced for the fiscal year of the grant, agree to comply with a negotiated agreement that is approved by the Secretary and carried out in accordance with guidelines issued by the Secretary. If a State fails to enter into or comply with a negotiated agreement, the Secretary may take action under this paragraph or the terms of the negotiated agreement.
The Secretary may make a grant under section 300x of this title for a fiscal year only if the State involved submits to the Secretary information sufficient for the Secretary to make the determination required in subparagraph (A)(i).
Legislative history
The public laws that enacted or amended this section. Tallies are for the whole bill as it passed each chamber — often an omnibus covering far more than this provision — not a vote on this section alone.
- ADAMHA Reorganization Act
- Children's Health Act of 2000House: 419–2Senate: no recorded tally
- 21st Century Cures ActHouse: no recorded tallySenate: no recorded tally