Public Law 119-73 (01/23/2026)

42 U.S.C. § 291a

Authorization of appropriations

section 291 of this titleIn order to assist the States in carrying out the purposes of , there are authorized to be appropriated—
(a)
for the fiscal year ending —
(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 , $160,000,000 for the fiscal year ending , $170,000,000 for the fiscal year ending , $180,000,000 each for the next two fiscal years, $195,000,000 for the fiscal year ending , $147,500,000 for the fiscal year ending , $152,500,000 for the fiscal year ending , $157,500,000 for the fiscal year ending , and $41,400,000 for the fiscal year ending ; and
(c)
for grants for modernization of the facilities referred to in paragraphs (a) and (b), $65,000,000 for the fiscal year ending , $80,000,000 for the fiscal year ending , $90,000,000 for the fiscal year ending , and $50,000,000 for the fiscal year ending .

July 1, 1944, ch. 373Pub. L. 88–443, § 3(a)78 Stat. 448Pub. L. 90–574, title IV, § 402(a)82 Stat. 1011Pub. L. 91–296, title I84 Stat. 337Pub. L. 93–45, title I, § 108(a)87 Stat. 92(, title VI, § 601, as added , , ; amended , , ; , §§ 101(a), 102(a), 116(a), , , 341; , , .)

Editorial Notes

Prior Provisions

act July 1, 1944, ch. 373, title VI, § 611Aug. 13, 1946, ch. 958, § 260 Stat. 1041Pub. L. 88–443A prior section 291a, , as added , , authorized appropriations for surveys and planning, prior to the general amendment of this subchapter by .

act July 1, 1944, ch. 373, title VI, § 621Aug. 13, 1946, ch. 958, § 260 Stat. 1041Oct. 25, 1949, ch. 722, § 2(a)63 Stat. 897July 27, 1953, ch. 24367 Stat. 196Aug. 2, 1956, ch. 87170 Stat. 929Pub. L. 85–664, § 1(a)72 Stat. 616Pub. L. 88–443A 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 .

act July 1, 1944, ch. 373, title VI, § 646July 12, 1954, ch. 471, § 268 Stat. 461Pub. L. 88–443A prior section 291p, , as added , , related to subject matter similar to this section, prior to the general amendment of this subchapter by .

act July 1, 1944, ch. 373, title VI, § 651July 12, 1954, ch. 471, § 368 Stat. 462Aug. 2, 1956, ch. 87170 Stat. 929Pub. L. 85–664, § 1(b)72 Stat. 616Pub. L. 87–395, § 3(a)75 Stat. 825Pub. L. 88–443A 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

Pub. L. 93–45, § 108(a)(1)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”.

Pub. L. 93–45, § 108(a)(2)Subsec. (b). , authorized appropriations of $41,400,000 for fiscal year ending .

Pub. L. 93–45, § 108(a)(3)Subsec. (c). , authorized appropriations of $50,000,000 for fiscal year ending .

Pub. L. 91–2961970—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.

Pub. L. 91–296Par. (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.

Pub. L. 91–296, § 102(a)(2)Par. (c). , added par. (c).

Pub. L. 90–574, § 402(a)(1)1968—Par. (a). , substituted “next five” for “next four”.

Pub. L. 90–574, § 402(a)(2)Par. (b). , authorized appropriation of $195,000,000 for fiscal year ending .

Statutory Notes and Related Subsidiaries

Effective Date of 1970 Amendment

Pub. L. 91–296, title I, § 101(b)84 Stat. 337

42 U.S.C. 291a“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:

Pub. L. 91–296, title I, § 102(a)84 Stat. 337, , , provided that the amendment made by that section is effective with respect to appropriations made under this section for fiscal years beginning after .