US Code

Public Law 119-102 (07/12/2026)

42 U.S.C. § 300e–6

Administration of assistance programs

Section text and notes

(a)

Recordkeeping; audit and examination

(1)
Each recipient of a loan or loan guarantee under this subchapter shall keep such records as the Secretary shall prescribe, including records which fully disclose the amount and disposition by such recipient of the proceeds of the loan (directly made or guaranteed), the total cost of the undertaking in connection with which the loan was given or used, the amount of that portion of the cost of the undertaking supplied by other sources, and such other records as will facilitate an effective audit.
(2)
The Secretary, or any of his duly authorized representatives, shall have access for the purpose of audit and examination to any books, documents, papers, and records of the recipients of a loan or loan guarantee under this subchapter which relate to such assistance.
(b)

Report upon expiration of period

section 300e–5(b)(3) of this titleUpon expiration of the period for which a loan or loan guarantee was provided an entity under this subchapter, such entity shall make a full and complete report to the Secretary in such manner as he may by regulation prescribe. Each such report shall contain, among such other matters as the Secretary may by regulation require, descriptions of plans, developments, and operations relating to the matters referred to in .

(c)

Pub. L. 99–660, title VIII, § 803(a)100 Stat. 3799 Repealed. , ,

(d)

Other entities considered health maintenance organizations

42 U.S.C. 139542 U.S.C. 1396An entity which provides health services to a defined population on a prepaid basis and which has members who are entitled to insurance benefits under title XVIII of the Social Security Act [ et seq.] or to medical assistance under a State plan approved under title XIX of such Act [ et seq.] may be considered as a health maintenance organization for purposes of receiving assistance under this subchapter if—
(1)
section 300e(b) of this title42 U.S.C. 1395section 300e(c) of this title with respect to its members who are entitled to such insurance benefits or to such medical assistance it (A) provides health services in accordance with , except that (i) it does not furnish to those members the health services (within the basic health services) for which it may not be compensated under such title XVIII [ et seq.] or such State plan, and (ii) it does not fix the basic or supplemental health services payment for such members under a community rating system, and (B) is organized and operated in the manner prescribed by , except that it does not assume full financial risk on a prospective basis for the provision to such members of basic or supplemental health services with respect to which it is not required under such title XVIII or such State plan to assume such financial risk; and
(2)
section 300e(b) of this titlesection 300e(c) of this title with respect to its other members it provides health services in accordance with and is organized and operated in the manner prescribed by .
section 300e(b) of this titlesection 300e(c) of this titleAn entity which provides health services to a defined population on a prepaid basis and which has members who are enrolled under the health benefits program authorized by chapter 89 of title 5, may be considered as a health maintenance organization for purposes of receiving assistance under this subchapter if with respect to its other members it provides health services in accordance with and is organized and operated in the manner prescribed by .

July 1, 1944, ch. 373 Pub. L. 93–222, § 287 Stat. 926 Pub. L. 94–460, title I90 Stat. 1950 Pub. L. 97–35, title IX, § 943(d)95 Stat. 576 Pub. L. 99–660, title VIII, § 803(a)100 Stat. 3799 (, title XIII, § 1307, as added , , ; amended , §§ 109(b)(1), 112, , , 1953; , , ; , (b)(2), , , 3800.)

Editorial Notes

References in Text

act Aug. 14, 1935, ch. 531 49 Stat. 620 section 1305 of this titleThe Social Security Act, referred to in subsec. (d), is , . Titles XVIII and XIX of the Social Security Act are classified generally to subchapters XVIII (§ 1395 et seq.) and XIX (§ 1396 et seq.), respectively, of chapter 7 of this title. For complete classification of this Act to the Code, see and Tables.

Amendments

Pub. L. 99–660, § 803(b)(2)1986—Subsec. (a)(1). , substituted “loan or loan guarantee” for “grant, contract, loan, or loan guarantee”, “proceeds of the loan” for “proceeds of the grant, contract, or loan”, and “with which the loan was given” for “with which such assistance was given”.

Pub. L. 99–660, § 803(b)(2)(A)Subsecs. (a)(2), (b). , substituted “loan or loan guarantee” for “grant, contract, loan, or loan guarantee”.

Pub. L. 99–660, § 803(a)section 300e–8 of this titleSubsec. (c). , struck out subsec. (c) which read as follows: “If in any fiscal year the funds appropriated under are insufficient to fund all applications approved under this subchapter for that fiscal year, the Secretary shall, after applying the applicable priorities under sections 300e–2 and 300e–3 of this title, give priority to the funding of applications for projects which the Secretary determines are the most likely to be economically viable.”

Pub. L. 97–351981—Subsec. (e). struck out subsec. (e) which related to limitation on cumulative total of loan guarantees in any fiscal year.

Pub. L. 94–460, § 1121976—Subsec. (d). , inserted sentence at end setting conditions upon which an entity providing health services to a defined population on a prepaid basis may be considered as a health maintenance organization for purposes of receiving assistance under this subchapter.

Pub. L. 94–460, § 109(b)(1)Subsec. (e). , inserted “for a private health maintenance organization (other than a private nonprofit health maintenance organization)” after “may be made”, and “for private health maintenance organizations (other than private nonprofit health maintenance organizations)” after “guaranteed”.

Statutory Notes and Related Subsidiaries

Effective Date of 1986 Amendment

Pub. L. 99–660section 803(c) of Pub. L. 99–660section 300e–5 of this titleAmendment by not applicable to any grant made or contract entered into under this subchapter before , see , set out as a note under .

Pub. L. 99–660section 815(a) of Pub. L. 99–660section 300e–1 of this titleAmendment by effective , see , set out as an Effective and Termination Dates of 1986 Amendment note under .

Effective Date of 1976 Amendment

Pub. L. 94–460section 118 of Pub. L. 94–460section 300e of this titleAmendment by effective , see , set out as a note under .