Reports to Congress and President; preparation; review by Office of Management and Budget
Grants or contracts; applications, submittal; application peer review group, findings and recommendations; necessity of favorable recommendation; appointments
Development and dissemination of statistics
The Secretary shall take such action as may be necessary to assure that statistics developed under sections 242b and 242k of this title are of high quality, timely, comprehensive as well as specific, standardized, and adequately analyzed and indexed, and shall publish, make available, and disseminate such statistics on as wide a basis as is practicable.
Information; publication restrictions
lNo information, if an establishment or person supplying the information or described in it is identifiable, obtained in the course of activities undertaken or supported under section 242b, 242k, or 242 of this title may be used for any purpose other than the purpose for which it was supplied unless such establishment or person has consented (as determined under regulations of the Secretary) to its use for such other purpose; and in the case of information obtained in the course of health statistical or epidemiological activities under section 242b or 242k of this title, such information may not be published or released in other form if the particular establishment or person supplying the information or described in it is identifiable unless such establishment or person has consented (as determined under regulations of the Secretary) to its publication or release in other form.
Payment procedures; advances or reimbursement; installments; conditions; reductions
section 3324 of title 31section 6101 of title 41 Contracts without regard to and
section 3324 of title 31section 6101 of title 41Contracts may be entered into under section 242b or 242k of this title without regard to and .
July 1, 1944, ch. 373Pub. L. 93–353, title I, § 107(a)88 Stat. 368Pub. L. 94–273, § 7(2)90 Stat. 378Pub. L. 95–83, title I, § 10491 Stat. 384Pub. L. 95–62392 Stat. 3443Pub. L. 97–35, title IX95 Stat. 564Pub. L. 97–414, § 8(c)96 Stat. 2060Pub. L. 98–551, § 798 Stat. 2820Pub. L. 100–177, title I101 Stat. 988–990Pub. L. 100–690, title II, § 2612102 Stat. 4235Pub. L. 101–239, title VI, § 6103(e)(4)103 Stat. 2206Pub. L. 101–527, § 7(b)(2)104 Stat. 2328Pub. L. 103–183, title V, § 501(c)107 Stat. 2237Pub. L. 105–392, title IV, § 401(d)112 Stat. 3587(, title III, § 308, as added , , ; amended , , ; , , ; , §§ 2, 6(d), 8(b), , , 3451, 3455; , §§ 917(a), (b), 919(a)(2)(B), 922, , , 565, 567; , , ; , , ; , §§ 106(a), 107, 108, , ; , , ; , , ; , (d), , ; , , ; , , .)
Editorial Notes
Codification
section 6101 of title 4141 U.S.C. 5Pub. L. 111–350, § 6(c)124 Stat. 3854In subsec. (f), “” substituted for “section 3709 of the Revised Statutes ()” on authority of , , , which Act enacted Title 41, Public Contracts.
Prior Provisions
act July 1, 1944, ch. 373, title IIIJuly 28, 1955, ch. 417, § 369 Stat. 382section 242b(a)(3) of this titlePub. L. 93–353, § 103Provisions similar to those comprising subsec. (e) of this section were contained in subsec. (a)(3) of section 304 of , as added , , and amended (formerly classified to ), prior to general amendment of section 304 by .
Amendments
Pub. L. 105–3921998—Subsec. (b)(2)(A), (C). substituted “242k(m)” for “242k(n)”.
Pub. L. 103–183, § 501(c)(1)(A)1993—Subsec. (a)(1). , redesignated subpars. (B) to (E) as (A) to (D), respectively, and struck out former subpar. (A) which read as follows: “A report on—
l“(i) the administration of sections 242b, 242k, and 242 of this title and subchapter VII of this chapter during the preceding fiscal year; and
“(ii) the current state and progress of health services research, health statistics, and health care technology.”
Pub. L. 103–183, § 501(c)(1)(B)Subsec. (a)(2). , substituted “reports required in paragraph (1) shall be prepared through the National Center” for “reports required by subparagraphs (B) through (E) of paragraph (2) shall be prepared through the Agency for Health Care Policy and Research and the National Center”.
Pub. L. 103–183, § 501(c)(2)(A)Subsec. (c). –(D), (3), redesignated subsec. (g)(2) as subsec. (c), substituted “shall take” for “shall (A) take” and “and shall publish” for “and (B) publish”, and struck out former subsec. (c) which read as follows: “The aggregate number of grants and contracts made or entered into under sections 242b and 242c of this title for any fiscal year respecting a particular means of delivery of health services or another particular aspect of health services may not exceed twenty; and the aggregate amount of funds obligated under grants and contracts under such sections for any fiscal year respecting a particular means of delivery of health services or another particular aspect of health services may not exceed $5,000,000.”
Pub. L. 103–183, § 501(c)(4)section 3324 of title 31section 5 of title 4131 U.S.C. 52941 U.S.C. 5Subsec. (f). , substituted “ and ” for “sections 3648 and 3709 of the Revised Statutes (; )”.
Pub. L. 103–183, § 501(c)(2)(B)Subsec. (g). , (C), (E), redesignated par. (2) as subsec. (c) and struck out par. (1) which read as follows: “The Secretary shall—
“(A) publish, make available and disseminate, promptly in understandable form and on as broad a basis as practicable, the results of health services research, demonstrations, and evaluations undertaken and supported under sections 242b and 242c of this title;
“(B) make available to the public data developed in such research, demonstrations, and evaluations; and
“(C) provide indexing, abstracting, translating, publishing, and other services leading to a more effective and timely dissemination of information on health services research, demonstrations, and evaluations in health care delivery to public and private entities and individuals engaged in the improvement of health care delivery and the general public; and undertake programs to develop new or improved methods for making such information available.”
Pub. L. 103–183, § 501(c)(5)Subsec. (h). , struck out subsec. (h) which read as follows:
section 242k of this title“(1) Except where the Secretary determines that unusual circumstances make a larger percentage necessary in order to effectuate the purposes of , a grant or contract under any of such sections of this title with respect to any project for construction of a facility or for acquisition of equipment may not provide for payment of more than 50 per centum of so much of the cost of the facility or equipment as the Secretary determines is reasonably attributable to research, evaluation, or demonstration purposes.
40 U.S.C. 267asection 276c of title 40“(2) Laborers and mechanics employed by contractors and subcontractors in the construction of such a facility shall be paid wages at rates not less than those prevailing on similar work in the locality, as determined by the Secretary of Labor in accordance with the Act of (—267a–5, known as the Davis-Bacon Act); and the Secretary of Labor shall have with respect to any labor standards specified in this paragraph the authority and functions set forth in Reorganization Plan Numbered 14 of 1950 (5 U.S.C. Appendix) and .
“(3) Such grants and contracts shall be subject to such additional requirements as the Secretary may by regulation prescribe.”
Pub. L. 101–527, § 7(b)(2)(A)section 242k(n) of this title1990—Subsec. (b)(2)(A). , inserted “or for a grant under ,” after “demonstration project,”.
Pub. L. 101–527, § 7(b)(2)(B)section 242k(n) of this titleSubsec. (b)(2)(C). , inserted before period at end “, except that peer review groups regarding grants under may include appropriately qualified such officers and employees”.
Pub. L. 101–527, § 7(d)section 242k of this titleSubsec. (b)(3). , struck out par. (3) which related to applications submitted under for which a grant or contract may be made under another provision of this chapter.
Pub. L. 101–239, § 6103(e)(4)(A)1989—, amended section catchline.
Pub. L. 101–239, § 6103(e)(4)(B)(i)llsection 242n of this titleSubsec. (a)(1)(A)(i). , substituted “sections 242b, 242k, and 242 of this title and subchapter VII of this chapter” for “sections 242b, 242c, 242k, and 242 of this title and ”.
Pub. L. 101–239, § 6103(e)(4)(B)(ii)Subsec. (a)(2). , substituted “the Agency for Health Care Policy and Research” for “the National Center for Health Services Research and Health Care Technology Assessment”.
Pub. L. 101–239, § 6103(e)(4)(C)(i)lllSubsec. (b)(1). , which directed amendment of par. (1) by substituting “section 242b, 242k, or 242 of this title” for “sections 242b, 242c, 242k, 242, and 242n of this title”, was executed by making the substitution for “section 242b, 242c, 242k, 242, or 242n of this title” as the probable intent of Congress.
Pub. L. 101–239, § 6103(e)(4)(C)(ii)section 242k of this titleSubsec. (b)(2)(A). , substituted “under ” for “under section 242b or 242c of this title,” in first sentence, struck out second sentence which read as follows: “Each application for a grant, contract, or cooperative agreement in an amount exceeding $50,000 of direct costs for the dissemination of research findings or the development of research agendas (including conferences, workshops, and meetings) shall be submitted to a standing peer review group with persons with appropriate expertise and shall not be submitted to any peer review group established to review applications for research, evaluation, or demonstration projects.”, and amended last sentence generally. Prior to amendment, last sentence read as follows: “The Secretary, acting through the Director of the National Center for Health Services Research and Health Care Technology Assessment (or, as appropriate, through the Director of the National Center for Health Statistics), shall establish such peer review groups as may be necessary to provide for such an evaluation of an application described in the first two sentences of this subparagraph.”
Pub. L. 101–239, § 6103(e)(4)(C)(iii)Subsec. (b)(2)(B). , substituted “the Director of the National Center for Health Statistics” for “the Director involved”.
Pub. L. 101–239, § 6103(e)(4)(C)(iv)Subsec. (b)(2)(C). , substituted “the Director of the National Center for Health Statistics” for “the Directors”.
Pub. L. 101–239, § 6103(e)(4)(C)(v)section 242k of this titleSubsec. (b)(3). , substituted “submitted under ” for “submitted under section 242b, 242c, or 242k of this title” and “approved under any of such sections” for “approved under section 242b, 242c, or 242k of this title”.
Pub. L. 101–239, § 6103(e)(4)(D)llsection 242n of this titleSubsec. (d). , substituted “section 242b, 242k, or 242 of this title” for “section 242b, 242c, 242k, 242, or 242n of this title”, struck out “(1)” after “for such other purpose; and”, and substituted “publication or release in other form.” for “publication or release in other form, and (2) in the case of information obtained in the course of health services research, evaluations, or demonstrations under section 242b or 242c of this title or in the course of health care technology activities under , such information may not be published or released in other form if the person who supplied the information or who is described in it is identifiable unless such person has consented (as determined under regulations of the Secretary) to its publication or release in other form.”
Pub. L. 101–239, § 6103(e)(4)(E)llSubsec. (e)(1), (2). , substituted “section 242b, 242k, or 242 of this title” for “section 242b, 242c, 242k, 242, or 242n of this title”.
Pub. L. 101–239, § 6103(e)(4)(F)Subsec. (f). , substituted “section 242b or 242k of this title” for “section 242b, 242c, 242k, or 242n of this title”.
Pub. L. 101–239, § 6103(e)(4)(G)(i)section 242c(d) of this titleSubsec. (g)(1). , struck out at end “Except as provided in subsection (d) of this section, the Secretary may not restrict the publication and dissemination of data from, and results of projects undertaken by, centers supported under .”
Pub. L. 101–239, § 6103(e)(4)(G)(ii)Subsec. (g)(2). , substituted “sections 242b and 242k of this title” for “sections 242b, 242c, 242k, and 242n of this title”.
Pub. L. 101–239, § 6103(e)(4)(H)section 242k of this titleSubsec. (h)(1). , substituted “effectuate the purposes of ” for “effectuate the purposes of section 242b, 242c, 242k, or 242n of this title” and “contract under any of such sections” for “contract under section 242b, 242c, 242k, or 242n of this title”.
Pub. L. 101–239, § 6103(e)(4)(I)Subsec. (i). , struck out subsec. (i) which authorized appropriations for carrying out certain programs under sections 242b, 242c, 242k, and 242n of this title during fiscal years 1988 to 1990.
Pub. L. 100–6901988—Subsec. (b)(2)(A). inserted after first sentence “Each application for a grant, contract, or cooperative agreement in an amount exceeding $50,000 of direct costs for the dissemination of research findings or the development of research agendas (including conferences, workshops, and meetings) shall be submitted to a standing peer review group with persons with appropriate expertise and shall not be submitted to any peer review group established to review applications for research, evaluation, or demonstration projects.” and substituted “an application described in the first two sentences of this subparagraph” for “each such application” in last sentence.
Pub. L. 100–177, § 106(a)(1)1987—Subsec. (a)(1), (2). , added pars. (1) and (2) and struck out former pars. (1) and (2) which read as follows:
lsection 242n of this title“(1) Not later than December 1 of each year, the Secretary shall make a report to Congress respecting (A) the administration of sections 242b, 242c, 242k, and 242 and during the preceding fiscal year, and (B) the current state and progress of health services research and, health statistics, and health care technology.
“(2) The Secretary, acting through the National Center for Health Services Research and the National Center for Health Statistics, shall assemble and submit to the President and the Congress not later than December 1 of each year the following reports:
section 242k(b)(1)(G) of this title“(A) A report on health care costs and financing. Such report shall include a description and analysis of the statistics collected under .
section 242k(b)(1)(E) of this title“(B) A report on health resources. Such report shall include a description and analysis, by geographic area, of the statistics collected under .
section 242k(b)(1)(F) of this title“(C) A report on the utilization of health resources. Such report shall include a description and analysis, by age, sex, income, and geographic area, of the statistics collected under .
section 242k(b)(1)(A) of this title“(D) A report on the health of the Nation’s people. Such report shall include a description and analysis, by age, sex, income, and geographic area, of the statistics collected under .”
Pub. L. 100–177, § 106(a)(2)Subsec. (a)(3). , struck out “or (2)” after “paragraph (1)”.
Pub. L. 100–177, § 107(1)Subsec. (b)(1). , inserted “and unless a peer review group referred to in paragraph (2) has recommended the application for approval” before period at end.
Pub. L. 100–177, § 107(2)Subsec. (b)(2). , added par. (2) and struck out former par. (2) which read as follows: “Each application submitted for a grant or contract under section 242b or 242c of this title, in an amount exceeding $50,000 of direct costs and for a health services research, evaluation, or demonstration project, shall be submitted by the Secretary for review for scientific merit to a panel of experts appointed by him from persons who are not officers or employees of the United States and who possess qualifications relevant to the project for which the application was made. A panel to which an application is submitted under this paragraph shall report its findings and recommendations respecting the application to the Secretary in such form and manner as the Secretary shall by regulation prescribe.”
Pub. L. 100–177, § 108Subsec. (i). , amended subsec. (i) generally, substituting provisions authorizing appropriations for fiscal years 1988 to 1990 for carrying out activities under sections 242b, 242c, 242k, and 242n of this title for former provisions authorizing appropriations for fiscal years 1975 to 1987 for carrying out activities under those sections.
Pub. L. 98–551, § 7(a)section 242c(c)(2) of this titlesection 242c of this titlesection 242n of this title1984—Subsec. (i)(1). , inserted provisions authorizing appropriations for fiscal years ending , 1986, and 1987, inserted “and Health Care Technology Assessment” after “Research”, substituted “and at least 10 per centum of such amount or $1,500,000, whichever is less, shall be available only for the user liaison program and the technical assistance program referred to in and for dissemination activities directly undertaken through such Center” for “and at least 5 per centum of such amount or $1,000,000, whichever is less, shall be available only for dissemination activities directly undertaken through such Center”, inserted “For health care technology assessment activities undertaken under subsections (b)(5), (e), (f), and (g) of the Secretary shall obligate from funds appropriated under this paragraph not less than $3,000,000 for the fiscal year ending , $3,500,000 for the fiscal year ending , and $4,000,000 for the fiscal year ending . For grants under the Secretary shall obligate from funds appropriated under this paragraph not less than $500,000 for the fiscal year ending , $750,000 for the fiscal year ending , and $750,000 for the fiscal year ending .”, and in last sentence substituted “for any fiscal year” for “for each of the fiscal years ending , , and ,”.
Pub. L. 98–551, § 7(b)Subsec. (i)(2). , inserted provisions authorizing appropriations for fiscal years ending , 1986, and 1987.
Pub. L. 97–414l1983—Subsec. (d). inserted “, if an establishment or person supplying the information or described in it is identifiable,” after “No information”, and substituted “such establishment or person has consented (as determined under regulations of the Secretary) to its use for such other purpose” for “authorized by guidelines in effect under section 242k()(2) of this title or under regulations of the Secretary”.
Pub. L. 97–35, § 922(a)Pub. L. 94–2731981—Subsec. (a)(2). , substituted “December” for “September”, which change had already been made by .
Pub. L. 97–35, § 922(b)Subsec. (b)(2). , substituted “$50,000” for “$35,000”.
Pub. L. 97–35, § 922(c)section 242n of this titleSubsec. (d)(2). , inserted applicability to health care technology activities under .
Pub. L. 97–35Subsec. (i)(1). , §§ 917(a), 919(a)(2)(B), inserted provisions respecting amounts of and limitations on uses for appropriations for the fiscal years ending , 1983, and 1984.
Pub. L. 97–35, § 917(b)Subsec. (i)(2). , inserted provisions respecting appropriations for the fiscal years ending , 1983, and 1984.
Pub. L. 95–623, § 6(d)(1)section 242n of this title1978—Subsec. (a)(1). , required the report to cover the administration of and the current state and progress of health care technology.
Pub. L. 95–623, § 6(d)(2)section 242n of this titleSubsec. (b)(1). , inserted reference to grant or contract under .
Pub. L. 95–623section 242n of this titlelSubsec. (d). , §§ 6(d)(3), 8(b), inserted reference to and substituted in cl. (1) “statistical or epidemiological activities” for “statistical activities”; and authorized use of information for purposes other than for which supplied when authorized by guidelines in effect under section 242k()(2) of this title.
Pub. L. 95–623, § 6(d)(4)section 242n of this titleSubsecs. (e), (f), (g)(2), (h)(1). –(7), inserted references to .
Pub. L. 95–623, § 2(a)Subsec. (i)(1). , authorized appropriation of $35,000,000; $40,000,000; and $45,000,000 for fiscal years ending , through 1981, and substituted minimum amounts of the lesser of 20 per centum of appropriated funds or $6,000,000 for health services research, evaluation and demonstration activities of the National Center for Health Services Research and 5 per centum of such funds or $1,000,000 for dissemination activities of such Center for prior similar requirement of 25 per centum of appropriated funds for the applicable fiscal years for health services research, evaluation, and demonstration activities of the Secretary.
Pub. L. 95–623, § 2(b)Subsec. (i)(2). , authorized appropriation of $50,000,000; $65,000,000; and $70,000,000 for fiscal years ending , through 1981.
Pub. L. 95–83, § 104(a)1977—Subsec. (i)(1). , authorized appropriation of $28,600,000 for fiscal year ending .
Pub. L. 95–83, § 104(b)Subsec. (i)(2). , authorized appropriation of $33,600,000 for fiscal year ending .
Pub. L. 94–2731976—Subsec. (a). substituted “December” for “September” wherever appearing.
Statutory Notes and Related Subsidiaries
Effective Date of 1998 Amendment
Pub. L. 105–392, title IV, § 401(e)112 Stat. 3587
Effective Date of 1988 Amendment
Pub. L. 100–690, title II, § 2600102 Stat. 4233
Effective Date of 1987 Amendment
Pub. L. 100–177, title I, § 106(c)101 Stat. 989
Mine Workers Study; Report Completed and Submitted No Later Than 30 Months After
Pub. L. 95–623, § 1092 Stat. 3455, , , as amended by S. Res. 30, ; H. Res. 549, , required the Secretary, acting through the National Center for Health Services Research, to arrange for the conduct of a study to evaluate the impact upon the utilization of health services by and the health status of members of the United Mine Workers and their dependents as a result of changes in the United Mine Workers’ collective-bargaining agreements of Mar. 1978 with a report to be submitted to the Secretary and specific committees of the Senate and House of Representatives within 30 months after .
Authorization of Appropriations for Fiscal Year Ending
Pub. L. 93–353, title I, § 107(b)88 Stat. 371, , , provided that the authorizations provided by subsec. (i) of this section would be extended for the fiscal year ending , unless before , Congress passed legislation repealing the extension.