SUBCHAPTER I—ADMINISTRATION AND MISCELLANEOUS PROVISIONS Sec. 201. Definitions.

202. Administration and supervision of Service. 203. Organization of Service. 204. Commissioned corps; composition; appointment of Regular and Reserve officers; appointment and status of warrant officers. 205. Appointment and tenure of office of Surgeon General; reversion in rank. 206. Assignment of officers. (a) Deputy Surgeon General. (b) Assistant Surgeons General. (c) Creation of temporary positions as Assistant Surgeons General. (d) Designation of Assistant Surgeon General with respect to absence, disability, or vacancy in offices of Surgeon General and Deputy Surgeon General. 207. Grades, ranks, and titles of commissioned corps. (a) Grades of commissioned officers. (b) Titles of medical officers. (c) Repealed. (d) Maximum number in grade for each fiscal year. (e) Exception to grade limitations for officers assigned to Department of Defense. (f) Exception to maximum number limitations for officers assigned to Department of Defense. 208. Repealed. 209. Appointment of personnel. (a) Original appointments to Regular and Reserve Corps; limitation on appointment and call to active duty. (b) Grade and number of original appointments. (c) Issuance of commissions. (d) Date of appointment; credit for service. (e) Reappointment; credit for service. (f) Special consultants. (g) Designation for fellowships; duties; pay. (h) Aliens. (i) Civil service appointments by Secretary. 209a to 209c. Omitted or Repealed. 209d. Appointment of osteopaths as commissioned officers. 210. Pay and allowances. (a) Commissioned officers of Regular and Reserve Corps; special pay for active duty; incentive special pay for Public Health Service nurses. (b) Purchase of supplies. (c) Members of national advisory or review councils or committees. (d) Field employees. (e) Additional pay for service at Gillis W. Long Hansen’s Disease Center. (f) Allowances included in fellowships. (g) Positions in professional, scientific and executive service; compensation; appointment. 210–1. Annual and sick leave. (a) Regulations. (b), (c) Repealed. (d) Definitions. 210a. Repealed. 210b. Professional categories. (a) Division of corps; basis of categories. (b) Assignment of officers. (c) Maximum number of officers in each category. (d) Vacancies in grade for purposes of promotion. (e) Absence of vacancy in grade as affecting promotion. (f) Vacancy in grade as affecting maximum number for each category. 211. Promotion of commissioned officers. (a) Permanent or temporary promotions; examination. (b) Promotion to certain grades only to fill vacancies; regulations; “restricted grade” defined. (c) Examinations. (d) Permanent promotions to qualified officers on length of service. (e) Promotion of professional category officers to fill certain vacancies. (f) Reexamination upon failure of promotion; effective date of promotion. (g) Separation from service upon failure of promotion. (h) Separation from service upon refusal to stand examination. (i) Review of record; separation from service. (j) Determination of order of seniority. (k) Temporary promotions; fill vacancy in higher grade; war or national emergency; selection of officers; termination of appointment. (l) Determination of requirements of Service by Secretary; assignment of Reserve Officers to professional categories; temporary promotions; termination of temporary promotions. (m) Acceptance of promotion; oath and affidavit. 211a, 211b. Repealed. 211c. Promotion credit for medical officers in assistant grade. 212. Retirement of commissioned officers. (a) Age; voluntariness; length of service; computation of retired pay. (b) Basic pay of highest temporary grade. (c) Recall to active duty. (d) “Active service” defined. (e) Crediting of part of year. (f) Retirement or separation for physical disability. 212a, 212b. Repealed. 213. Military benefits. (a) Rights, privileges, immunities, and benefits accorded to commissioned officers or their survivors. (b) Award of decorations. (c) Authority of Surgeon General. (d) Active service deemed active military service with respect to laws administered by Secretary of Veterans Affairs. (e) Active service deemed active military service with respect to Servicemembers Civil Relief Act. (f) Active service deemed active military service with respect to anti-discrimination laws. 213a. Rights, benefits, privileges, and immunities for commissioned officers or beneficiaries; exercise of authority by Secretary or designee. 214. Presentation of United States flag upon retirement. (a) Presentation of flag. (b) Multiple presentations not authorized. (c) No cost to recipient. 214a. Repealed. 215. Detail of Service personnel. (a) Other Government departments. (b) State health or mental health authorities. (c) Congressional committees and nonprofit educational, research, or other institutions engaged in health activities for special studies and dissemination of information. (d) Availability of funds; reimbursement by State; detailed services deemed service for computation of pay, promotion, etc. 216. Regulations. (a) Prescription by President: appointments, retirement, etc. (b) Promulgation by Surgeon General; administration of Service. (c) Preference to school of medicine. 217. Use of Service in time of war or emergency. 217a. Advisory councils or committees. (a) Appointment; purpose. (b) Compensation and allowances of members not full-time employees of United States. (c) Delegation of functions. 217a–1. Advisory committees; prohibition of consideration of political affiliations. 217b. Volunteer services. 218. National Advisory Councils on Migrant Health. (a) Appointment; duties. (b) Membership. (c) Terms of office. (d) Applicability of section 14(a) of Federal Advisory Committee Act. 218a. Training of officers. (a) In general. (b) Voluntary separation within period subsequent to attendance. (c) Training in leave without pay status. 219 to 230. Transferred, Repealed, or Omitted. 231. Service and supply fund; uses; reimbursement. 232. National Institute of Mental Health; authorization of appropriation; construction; location. 233. Civil actions or proceedings against commissioned officers or employees. (a) Exclusiveness of remedy. (b) Attorney General to defend action or proceeding; delivery of process to designated official; furnishing of copies of pleading and process to United States attorney, Attorney General, and Secretary. (c) Removal to United States district court; procedure; proceeding upon removal deemed a tort action against United States; hearing on motion to remand to determine availability of remedy against United States; remand to State court or dismissal. (d) Compromise or settlement of claim by Attorney General. (e) Assault or battery. (f) Authority of Secretary or designee to hold harmless or provide liability insurance for assigned or detailed employees. (g) Exclusivity of remedy against United States for entities deemed Public Health Service employees; coverage for services furnished to individuals other than center patients; application process; subrogation of medical malpractice claims; applicable period; entity and contractor defined. (h) Qualifications for designation as Public Health Service employee. (i) Authority of Attorney General to exclude health care professionals from coverage. (j) Remedy for denial of hospital admitting privileges to certain health care providers. (k) Estimate of annual claims by Attorney General; criteria; establishment of fund; transfer of funds to Treasury accounts. (l) Timely response to filing of action or proceeding. (m) Application of coverage to managed care plans. (n) Report on risk exposure of covered entities. (o) Volunteer services provided by health professionals at free clinics. (p) Administration of smallpox countermeasures by health professionals. 234. Repealed. 235. Administration of grants in multigrant projects; promulgation of regulations. 236. Orphan Products Board. (a) Establishment; composition; chairman. (b) Function. (c) Duties with respect to drugs for rare diseases or conditions. (d) Consultation. (e) Annual report; contents. 237. Silvio O. Conte Senior Biomedical Research Service. (a) Creation; number of members. (b) Appointments; qualifications; provisions inapplicable to members. (c) Performance appraisal system. (d) Pay of members. (e) Contribution to retirement system of institutions of higher education. (f) Career and noncareer appointment of certain individuals. (g) Rules and regulations.

238. Gifts for benefit of Service. (a) Acceptance by Secretary. (b) Depository of funds; availability for expenditure. (c) Evidences of unconditional gifts of intangible property. (d) Real property or tangible personal property. 238a. Use of immigration station hospitals. 238b. Disposition of money collected for care of patients. 238c. Transportation of remains of officers. 238d. Availability of appropriations for grants to Federal institutions. 238e. Transfer of funds. 238f. Availability of appropriations. 238g. Wearing of uniforms. 238h. Biennial report. 238i. Memorials and other acknowledgments for contributions to health of Nation. 238j. Evaluation of programs. (a) In general. (b) Report on evaluations. 238k. Contract authority. 238l. Recovery. (a) Right of United States to recover base amount plus interest. (b) Notice of sale, transfer, or change. (c) Base amount; interest. (d) Waiver of recovery rights. (e) Pre-judgment lien. 238m. Use of fiscal agents. (a) Contracting authority. (b) Contracting prerequisites. (c) Advances under contracts. (d) Applicable statutory provisions. (e) “Fiscal agent” defined. 238n. Abortion-related discrimination in governmental activities regarding training and licensing of physicians. (a) In general. (b) Accreditation of postgraduate physician training programs. (c) Definitions. 238o. Restriction on use of funds for assisted suicide, euthanasia, and mercy killing. 238p. Recommendations and guidelines regarding automated external defibrillators for Federal buildings. (a) Guidelines on placement. (b) Related recommendations. (c) Consultations; consideration of certain recommendations. (d) Date certain for establishing guidelines and recommendations. (e) Definitions. 238q. Liability regarding emergency use of automated external defibrillators. (a) Good Samaritan protections regarding AEDs. (b) Inapplicability of immunity. (c) Rules of construction. (d) Federal jurisdiction. (e) Definitions.

239. General provisions. (a) Definitions. (b) Voluntary program. 239a. Determination of eligibility and benefits. (a) In general. (b) Covered individuals. (c) Criteria for reimbursement. (d) Deadline for filing request. (e) Structured settlements at Secretary’s option. (f) Review of determination. 239b. Smallpox vaccine injury table. (a) Smallpox vaccine injury table. 239c. Medical benefits. (a) In general. (b) Benefits secondary to other coverage. 239d. Compensation for lost employment income. (a) In general. (b) Amount of compensation. (c) Limitations. (d) Benefit in addition to medical benefits. 239e. Payment for death. (a) Death benefit. (b) Election in case of dependents. (c) Benefit in addition to medical benefits. 239f. Administration. (a) Administration by agreement with other agency or agencies. (b) Regulations. 239g. Authorization of appropriations. 239h. Relationship to other laws. SUBCHAPTER II—GENERAL POWERS AND DUTIES

241. Research and investigations generally. (a) Authority of Secretary. (b) Testing for carcinogenicity, teratogenicity, mutagenicity, and other harmful biological effects; consultation. (c) Diseases not significantly occurring in United States. (d) Protection of privacy of individuals who are research subjects. 242. Studies and investigations on use and misuse of narcotic drugs and other drugs; annual report to Attorney General; cooperation with States. 242a. Repealed. 242b. General authority respecting research, evaluations, and demonstrations in health statistics, health services, and health care technology. (a) Scope of activities. (b) Additional authority; scope of activities. (c) Coordination of activities through units of Department. 242c to 242j. Repealed or Transferred. 242k. National Center for Health Statistics. (a) Establishment; appointment of Director; statistical and epidemiological activities. (b) Duties. (c) Statistical and epidemiological compilations and surveys. (d) Technical aid to States and localities. (e) Cooperative Health Statistics Sys­tem. (f) Federal-State cooperation. (g) Collection of health data; data collection forms. (h) Registration area records. (i) Technical assistance in effective use of statistics. (j) Coordination of health statistical and epidemiological activities. (k) National Committee on Vital and Health Statistics; establishment; membership; term of office; compensation; functions; consultations of Secretary with Committee and professional advisory groups. (l) Data specific to particular ethnic and racial populations. (m) Grants for assembly and analysis of data on ethnic and racial populations. (n) Authorization of appropriations. 242l. International cooperation. (a) Cooperative endeavors; statement of purpose. (b) Authority of Secretary; building construction prohibition. (c) Benefits for overseas assignees. (d) Strategies to improve injection safety. 242m. General provisions respecting effectiveness, efficiency, and quality of health services. (a) Reports to Congress and President; preparation; review by Office of Management and Budget. (b) Grants or contracts; applications, submittal; application peer review group, findings and recommendations; necessity of favorable recommendation; appointments. (c) Development and dissemination of statistics. (d) Information; publication restrictions. (e) Payment procedures; advances or reimbursement; installments; conditions; reductions. (f) Contracts without regard to section 3324 of title 31 and section 5 of title 41. 242n. Repealed. 242o. Health conferences; publication of health educational information. 242p. National disease prevention data profile. 242q. Task Force on Aging Research; establishment and duties. (a) Establishment. (b) Duties. (c) Provision of information to public. 242q–1. Membership. (a) Composition. (b) Chair. (c) Quorum. (d) Meetings. (e) Compensation and expenses. 242q–2. Administrative staff and support. 242q–3. Reports. (a) In general. (b) Availability to public. 242q–4. Definitions. 242q–5. Authorization of appropriations. 242r. Improvement and publication of data on food-related allergic responses. (a) In general. (b) Authorization of appropriations.

243. General grant of authority for cooperation. (a) Enforcement of quarantine regulations; prevention of communicable diseases. (b) Comprehensive and continuing planning; training of personnel for State and local health work; fees. (c) Development of plan to control epidemics and meet emergencies or problems resulting from disasters; cooperative planning; temporary assistance; reimbursement of United States. 244. Public access defibrillation programs. (a) In general. (b) Preference. (c) Use of funds. (d) Application. (e) Authorization of appropriations. 244–1, 244a. Repealed. 245. Public access defibrillation demonstration projects. (a) In general. (b) Use of funds. (c) Application. (d) Authorization of appropriations. 245a. Repealed. 246. Grants and services to States. (a) Comprehensive health planning and services. (b) Project grants for areawide health planning; authorization of appropriations; prerequisites for grants; application; contents. (c) Project grants for training, studies, and demonstrations; authorization of appropriations. 246a. Bureau of State Services management fund; establishment; advancements; availability. 247. Omitted. 247a. Family support groups for Alzheimer’s disease patients. (a) Establishment; priorities. (b) National network to coordinate groups. 247b. Project grants for preventive health services. (a) Grant authority. (b) Application. (c) Approval; annual project review. (d) Amount of grant; payment. (e) Reduction. (f) Recordkeeping; audit authority. (g) Use of grant funds; mandatory treatment prohibited. (h) Reports. (i) Technical assistance. (j) Authorization of appropriations. (k) Additional grants to States, political subdivisions, and other public and nonprofit private entities. 247b–1. Screenings, referrals, and education regarding lead poisoning. (a) Authority for grants. (b) Status as medicaid provider. (c) Priority in making grants. (d) Grant application. (e) Relationship to services and activities under other programs. (f) Method and amount of payment. (g) Supplies, equipment, and employee detail. (h) Records. (i) Audit and examination of records. (j) Annual report. (k) Indian tribes. (l) Funding. (m) Guidelines for standardized reporting. 247b–2. Repealed. 247b–3. Education, technology assessment, and epidemiology regarding lead poisoning. (a) Prevention. (b) Technology assessment and epidemiology. 247b–3a. Training and reports by the Health Resources and Services Administration. (a) Training. (b) Report. (c) Authorization of appropriations. 247b–4. National Center on Birth Defects and Developmental Disabilities. (a) In general. (b) Grants and contracts. (c) Biennial report. (d) Applicability of privacy laws. (e) Advisory committee. (f) Authorization of appropriations. 247b–4a. Early detection, diagnosis, and interventions for newborns and infants with hearing loss. (a) Definitions. (b) Purposes. (c) Statewide newborn and infant hearing screening, evaluation and intervention programs and systems. (d) Technical assistance, data management, and applied research. (e) Coordination and collaboration. (f) Rule of construction. (g) Authorization of appropriations. 247b–4b. Developmental disabilities surveillance and research programs. (a) National autism and pervasive developmental disabilities surveillance program. (b) Centers of excellence in autism and pervasive developmental disabilities epidemiology. (c) Clearinghouse. (d) Definition. (e) Authorization of appropriations. 247b–4c. Information and education. (a) In general. (b) Stipends. (c) Authorization of appropriations. 247b–4d. Inter-agency Autism Coordinating Committee. (a) Establishment. (b) Membership. (c) Administrative support; terms of service; other provisions. 247b–4e. Report to Congress. 247b–5. Preventive health measures with respect to prostate cancer. (a) In general. (b) Requirement of matching funds. (c) Education on significance of early detection. (d) Requirement of provision of all services by date certain. (e) Additional required agreements. (f) Reports to Secretary. (g) Description of intended uses of grant. (h) Requirement of submission of application. (i) Method and amount of payment. (j) Technical assistance and provision of supplies and services in lieu of grant funds. (k) “Units of local government” defined. (l) Authorization of appropriations. 247b–6. Preventive health services regarding tuberculosis. (a) In general. (b) Research, demonstration proj­ects, education, and training. (c) Cooperation with providers of primary health services. (d) Application for grant. (e) Supplies and services in lieu of grant funds. (f) Advisory Council. (g) Funding. 247b–7. Loan repayment program. (a) In general. (b) Applicability of certain provisions. (c) Authorization of appropriations. (d) Availability of appropriations. 247b–8. Fellowship and training programs. 247b–9. Diabetes in children and youth. (a) Surveillance on juvenile diabetes. (b) Type 2 diabetes in youth. (c) Authorization of appropriations. 247b–10. Compilation of data on asthma. (a) In general. (b) Surveillance activities. (c) Collaborative efforts. (d) Authorization of appropriations. 247b–11. Effects of folic acid in prevention of birth defects. (a) In general. (b) Consultations with States and private entities. (c) Technical assistance. (d) Evaluations. (e) Authorization of appropriations. 247b–12. Safe motherhood. (a) Surveillance. (b) Prevention research. (c) Prevention programs. (d) Authorization of appropriations. 247b–13. Prenatal and postnatal health. (a) In general. (b) Grants. (c) Authorization of appropriations. 247b–14. Oral health promotion and disease prevention. (a) Grants to increase resources for community water fluoridation. (b) Community water fluoridation. (c) School-based dental sealant program. (d) Definitions. (e) Authorization of appropriations. 247b–14a. Identification of interventions that reduce the burden and transmission of oral, dental, and craniofacial diseases in high risk populations; development of approaches for pediatric oral and craniofacial assessment. (a) In general. (b) Compliance with State practice laws. (c) Authorization of appropriations. 247b–15. Surveillance and education regarding hepatitis C virus. (a) In general. (b) Laboratory procedures. (c) Authorization of appropriations. 247b–16. Grants for lead poisoning related activities. (a) Authority to make grants. (b) Coordination with other children’s programs. (c) Performance measures. (d) Authorization of appropriations. 247b–17. Human papillomavirus. (a) Surveillance. (b) Prevention activities; education program. (c) HPV education and prevention. 247b–18. Surveillance and research regarding muscular dystrophy. (a) In general. (b) National muscular dystrophy epidemiology program. (c) Coordination with centers of excellence. (d) Authorization of appropriations. 247b–19. Information and education. (a) In general. (b) Stipends. (c) Authorization of appropriations. 247b–20. Food safety grants. (a) In general. (b) Authorization of appropriations. 247b–21. Mosquito-borne diseases; coordination grants to States; assessment and control grants to political subdivisions. (a) Coordination grants to States; assessment grants to political subdivisions. (b) Prevention and control grants to political subdivisions. (c) Applications for grants. (d) Technical assistance. (e) Definition of political subdivision. (f) Authorization of appropriations. 247c. Sexually transmitted diseases; prevention and control projects and programs. (a) Technical assistance to public and nonprofit private entities and scientific institutions. (b) Research, demonstration, and public information and education projects. (c) Project grants to States. (d) Grants for innovative, interdisciplinary approaches. (e) Authorization of appropriations; terms and conditions; payments; recordkeeping; audit; grant reduction; information disclosure. (f) Consent of individuals. 247c–1. Infertility and sexually transmitted diseases. (a) In general. (b) Authority regarding individual diseases. (c) Authorized activities. (d) Requirement of availability of all services through each grantee. (e) Required providers regarding certain services. (f) Quality assurance regarding screening for diseases. (g) Confidentiality. (h) Limitation on imposition of fees for services. (i) Limitations on certain expenditures. (j) Reports to Secretary. (k) Maintenance of effort. (l) Requirement of application. (m) Duration of grant. (n) Technical assistance, and supplies and services in lieu of grant funds. (o) Evaluations and reports by Secretary. (p) Coordination of Federal programs. (q) Authorization of appropriations. (r) Separate grants for research on delivery of services. 247c–2. Data collection regarding programs under subchapter XXIV. 247d. Public health emergencies. (a) Emergencies. (b) Public Health Emergency Fund. (c) Supplement not supplant. (d) Data submittal and reporting deadlines. 247d–1. National needs to combat threats to public health. (a) Capacities. (b) Supplement not supplant. (c) Technical assistance. (d) Authorization of appropriations. 247d–2. Assessment of public health needs. (a) Program authorized. (b) Procedure. (c) Report. (d) Supplement not supplant. (e) Authorization of appropriations. 247d–3. Grants to improve State and local public health agencies. (a) Program authorized. (b) Eligible entities. (c) Use of funds. (d) Report. (e) Supplement not supplant. 247d–3a. Grants to improve State, local, and hospital preparedness for and response to bioterrorism and other public health emergencies. (a) In general. (b) Eligible entities. (c) Bioterrorism and Other Public Health Emergency Preparedness and Response Plan. (d) Use of funds. (e) Priorities in use of grants. (f) Certain activities. (g) Coordination with local Medical Response System. (h) Coordination of Federal activities. (i) Definition. (j) Funding. 247d–3b. Partnerships for community and hospital preparedness. (a) Grants. (b) Eligibility. (c) Regional coordination. (d) Consistency of planned activities. (e) Use of funds. (f) Limitation on awards. (g) Priorities in use of grants. (h) Coordination with local Medical Response System. (i) Authorization of appropriations. 247d–4. Revitalizing the Centers for Disease Control and Prevention. (a) Facilities; capacities. (b) National communications and surveillance networks. (c) Authorization of appropriations. 247d–5. Combating antimicrobial resistance. (a) Task force. (b) Research and development of new antimicrobial drugs and diagnostics. (c) Education of medical and public health personnel. (d) Grants. (e) Grants for demonstration programs. (f) Supplement not supplant. (g) Authorization of appropriations. 247d–6. Public health countermeasures to a bioterrorist attack. (a) Working group on bioterrorism and other public health emergencies. (b) Advice to the Federal Government. (c) Strategy for communication of information regarding bioterrorism and other public health emergencies. (d) Recommendation of Congress regarding official Federal Internet site on bioterrorism. (e) Grants. (f) Federal assistance. (g) Education; training regarding pediatric issues. (h) Accelerated research and development on priority pathogens and countermeasures. (i) General Accounting Office report. (j) Supplement not supplant. 247d–6a. Authority for use of certain procedures regarding qualified countermeasure research and development activities. (a) In general. (b) Expedited procurement authority. (c) Authority to expedite peer review. (d) Authority for personal services contracts. (e) Streamlined personnel authority. (f) Actions committed to agency discretion. 247d–6b. Strategic National Stockpile. (a) Strategic National Stockpile. (b) Smallpox vaccine development. (c) Additional authority regarding procurement of certain biomedical countermeasures; availability of special reserve fund. (d) Disclosures. (e) Definition. (f) Authorization of appropriations. 247d–6c. Reports regarding authorities under this Act. (a) Secretary of Health and Human Services. (b) Government Accountability Office review. (c) Report regarding biocontainment facilities. (d) Designated congressional committees. 247d–6d. Targeted liability protections for pandemic and epidemic products and security countermeasures. (a) Liability protections. (b) Declaration by Secretary. (c) Definition of willful misconduct. (d) Exception to immunity of covered persons. (e) Procedures for suit. (f) Actions by and against the United States. (g) Severability. (h) Rule of construction concerning National Vaccine Injury Compensation Program. (i) Definitions. 247d–6e. Covered countermeasure process. (a) Establishment of Fund. (b) Payment of compensation. (c) Voluntary program. (d) Exhaustion; exclusivity; election. (e) Definitions. 247d–7. Demonstration program to enhance bioterrorism training, coordination, and readiness. (a) In general. (b) Eligible entities. (c) Specific criteria. (d) Duration of award. (e) Supplement not supplant. (f) Government Accountability Office report. (g) Authorization of appropriations. 247d–7a. Grants regarding training and education of certain health professionals. (a) In general. (b) Authority regarding non-Federal contributions. (c) Authorization of appropriations. 247d–7b. Emergency system for advance registration of health professions volunteers. (a) In general. (b) Certain criteria. (c) Other assistance. (d) Coordination among States. (e) Rule of construction. (f) Authorization of appropriations. 247d–7c. Supplies and services in lieu of award funds. (a) In general. (b) Corresponding reduction in payments. 247d–7d. Security for countermeasure development and production. (a) In general. (b) Guidelines. 247d–8. Coordinated program to improve pediatric oral health. (a) In general. (b) Grants. (c) Distribution. (d) Authorization of appropriations.

247e. National Hansen’s Disease Programs Center. (a) Care and treatment. (b) Additional sites authorized. (c) Agency designated by Secretary. (d) Payments to Board of Health of Hawaii. 248. Control and management of hospitals; furnishing prosthetic and orthopedic devices; transfer of patients; disposal of articles produced by patients; disposal of money and effects of deceased patients; payment of burial expenses. 248a. Closing or transfer of hospitals; reduction of services; Congressional authorization required. 248b. Transfer or financial self-sufficiency of public health service hospitals and clinics. (a) Deadline for closure, transfer, or financial self-sufficiency. (b) Proposals for transfer or financial self-sufficiency. (c) Evaluation of proposals. (d) Rejection or approval of proposal. (e) Establishment of identifiable administrative unit. (f) Finding of financial self-sufficiency. 248c, 248d. Repealed. 249. Medical care and treatment of quarantined and detained persons. (a) Persons entitled to treatment. (b) Temporary treatment in emergency cases. (c) Authorization for outside treatment. 250. Medical care and treatment of Federal prisoners. 250a. Transfer of appropriations. 251. Medical examination and treatment of Federal employees; medical care at remote stations. 252. Medical examination of aliens. 253. Medical services to Coast Guard, National Oceanic and Atmospheric Administration, and Public Health Service. (a) Persons entitled to medical services. (b) Health care for involuntarily separated officers and dependents. (c) Examination of personnel of Service assigned to Coast Guard or National Oceanic and Atmospheric Administration. 253a. Medical services to retired personnel of National Oceanic and Atmospheric Administration. (a) Eligibility. (b) Treatment of dependents of personnel. (c) Identification. 253b. Former Lighthouse Service employees; medical service eligibility. 254. Interdepartmental work. 254a. Sharing of medical care facilities and resources. (a) Definitions. (b) Statement of purpose; agreements or arrangements; reciprocity; reimbursement; credits.

254b. Health centers. (a) “Health center” defined. (b) Definitions. (c) Planning grants. (d) Loan guarantee program. (e) Operating grants. (f) Infant mortality grants. (g) Migratory and seasonal agricultural workers. (h) Homeless population. (i) Residents of public housing. (j) Access grants. (k) Applications. (l) Technical assistance. (m) Memorandum of agreement. (n) Records. (o) Delegation of authority. (p) Special consideration. (q) Audits. (r) Authorization of appropriations. 254c. Rural health care services outreach, rural health network development, and small health care provider quality improvement grant programs. (a) Purpose. (b) Definitions. (c) Program. (d) Administration. (e) Rural health care services outreach grants. (f) Rural health network development grants. (g) Small health care provider quality improvement grants. (h) General requirements. (i) Report. (j) Authorization of appropriations. 254c–1. Grants for health services for Pacific Islanders. (a) Grants. (b) Use of grants or contracts. (c) Advisory Council. (d) Advisory Council functions. (e) Omitted. (f) Authorization of appropriation. 254c–2. Special diabetes programs for type I diabetes. (a) In general. (b) Funding. 254c–3. Special diabetes programs for Indians. (a) In general. (b) Services through Indian health facilities. (c) Funding. 254c–4. Centers for strategies on facilitating utilization of preventive health services among various populations. (a) In general. (b) Research and training. (c) Priority regarding infants and children. (d) Authorization of appropriations. 254c–5. Epilepsy; seizure disorder. (a) National public health campaign. (b) Seizure disorder; demonstration projects in medically underserved areas. (c) Definitions. (d) Authorization of appropriations. 254c–6. Certain services for pregnant women. (a) Infant adoption awareness. (b) Application for grant. (c) Authorization of appropriations. 254c–7. Special needs adoption programs; public awareness campaign and other activities. (a) Special needs adoption awareness campaign. (b) National resources program. (c) Other programs. (d) Application for grant. (e) Funding. 254c–8. Healthy start for infants. (a) In general. (b) Requirements for making grants. (c) Coordination. (d) Rule of construction. (e) Additional services for at-risk pregnant women and infants. (f) Funding. 254c–9. Establishment of program of grants. (a) In general. (b) Recipients of grants. (c) Certain activities. (d) Integration with other programs. 254c–10. Certain requirements. 254c–11. Technical assistance. 254c–12. Definitions. 254c–13. Authorization of appropriations. 254c–14. Telehealth network and telehealth resource centers grant programs. (a) Definitions. (b) Programs. (c) Administration. (d) Grants. (e) Grant periods. (f) Eligible entities. (g) Applications. (h) Terms; conditions; maximum amount of assistance. (i) Preferences. (j) Distribution of funds. (k) Use of funds. (l) Prohibited uses of funds. (m) Collaboration. (n) Coordination with other agencies. (o) Outreach activities. (p) Telehealth. (q) Report. (r) Regulations. (s) Authorization of appropriations. 254c–15. Rural emergency medical service training and equipment assistance program. (a) Grants. (b) Eligibility. (c) Use of funds. (d) Preference. (e) Matching requirement. (f) Emergency medical services. (g) Authorization of appropriations. 254c–16. Mental health services delivered via telehealth. (a) Definitions. (b) Program authorized. (c) Use of funds. (d) Equitable distribution. (e) Application. (f) Report. (g) Authorization of appropriations. 254c–17. Repealed. 254c–18. Telemedicine; incentive grants regarding coordination among States. (a) In general. (b) Authorization of appropriations.

254d. National Health Service Corps. (a) Establishment; composition; purpose; definitions. (b) Recruitment and fellowship programs. (c) Travel and moving expenses; persons entitled; reimbursement; limitation. (d) Monthly pay adjustments of members directly engaged in delivery of health services in health professional shortage area; “monthly pay” defined; monthly pay adjustment of member with service obligation incurred under Scholarship Program or Loan Repayment Program; personnel system applicable. (e) Employment ceiling of Department not affected by Corps members. (f) Assignment of personnel provisions inapplicable to members whose service obligation incurred under Scholarship Program or Loan Repayment Program. (g) Conversion from Corps member to commissioned officer; retirement credits. (h) Effective administration of program. (i) Demonstration projects; waivers. (j) Definitions. 254e. Health professional shortage areas. (a) Designation by Secretary; removal from areas designated; “medical facility” defined. (b) Criteria for designation of health professional shortage areas; promulgation of regulations. (c) Considerations in determination of designation. (d) Designation; publication of descriptive lists. (e) Notice of proposed designation of areas and facilities; time for comment. (f) Notice of designation. (g) Recommendations to Secretary. (h) Public information programs in designated areas. (i) Dissemination. (j) Regulations and report. 254f. Corps personnel. (a) Conditions necessary for assignment of Corps personnel to area; contents of application for assignment; assignment to particular facility; approval of applications. (b) Corps member income assurances; grants respecting sufficiency of financial resources. (c) Assignment of members without regard to ability of area to pay for services. (d) Entities entitled to aid; forms of assistance; coordination of efforts; agreements for assignment of Corps members; qualified entity. (e) Practice within State by Corps member. 254f–1. Priorities in assignment of Corps personnel. (a) In general. (b) Establishment of criteria for determining priorities. (c) Notifications regarding priorities. (d) Limitation on number of entities offered as assignment choices in Scholarship Program. 254g. Charges for services by entities using Corps members. (a) Availability of services regardless of ability to pay or payment source. (b) Charges for services. 254h. Provision of health services by Corps members. (a) Means of delivery of services; cooperation with other health care providers. (b) Utilization of existing health facilities; lease, acquisition, and use of equipment and supplies; permanent and temporary professional services. (c) Loan; purposes; limitations. (d) Property and equipment disposal; fair market value; sale at less than full market value. (e) Admitting privileges denied to Corps member by hospital; notice and hearing; denial of Federal funds for violation; “hospital” defined. 254h–1. Facilitation of effective provision of Corps services. (a) Consideration of individual characteristics of members in making assignments. (b) Counseling on service in Corps. (c) Grants regarding preparation of students for practice. (d) Assistance in establishing local professional relationships. (e) Temporary relief from Corps duties. (f) Determinations regarding effective service. 254i. Annual report to Congress; contents. 254j. National Advisory Council on National Health Service Corps. (a) Establishment; appointment of members. (b) Term of members; compensation; expenses. (c) Termination. 254k. Authorization of appropriations.

254l. National Health Service Corps Scholarship Program. (a) Establishment. (b) Eligibility; application; written contract. (c) Review and evaluation of information and forms by prospective applicant. (d) Factors considered in providing contracts; priorities. (e) Commencement of participation in Scholarship Program; notice. (f) Written contract; contents. (g) Scholarship provisions; contract with educational institution; increase in monthly stipend. (h) Employment ceiling of Department unaffected. 254l–1. National Health Service Corps Loan Repayment Program. (a) Establishment. (b) Eligibility. (c) Information to be included with application and contract forms; understandability; availability. (d) Factors considered in providing contracts; priorities. (e) Approval required for participation. (f) Contents of contracts. (g) Payments. (h) Employment ceiling. 254m. Obligated service under contract. (a) Service in full-time clinical practice. (b) Notice to individual; information for informed decision; eligibility; notice to Secretary; qualification and appointment as commissioned officer; appointment as civilian member; designation of non-United States employee as member; deferment of obligated service. (c) Obligated service period; commencement. (d) Assignment of personnel. 254n. Private practice. (a) Application for release of obligations; conditions. (b) Written agreement; actions to ensure compliance. (c) Breach of service contract. (d) Travel expenses. (e) Sale of equipment and supplies. (f) Malpractice insurance. (g) Technical assistance. 254o. Breach of scholarship contract or loan repayment contract. (a) Failure to maintain academic standing; dismissal from institution; voluntary termination; liability; failure to accept payment. (b) Failure to commence or complete service obligations; formula to determine liability; payment to United States; recovery of delinquent damages; disclosure to credit reporting agencies. (c) Failure to commence or complete service obligations for other reasons; determination of liability; payment to United States; waiver of recovery for extreme hardship or good cause shown. (d) Cancellation of obligation upon death of individual; waiver or suspension of obligation for impossibility, hardship, or unconscionability; release of debt by discharge in bankruptcy, time limitations. (e) Inapplicability of Federal and State statute of limitations on actions for collection. (f) Effective date. 254o–1. Fund regarding use of amounts recovered for contract breach to replace services lost as result of breach. (a) Establishment of Fund. (b) Authorization of appropriations to Fund. (c) Use of Fund. (d) Investment. 254p. Special loans for former Corps members to enter private practice. (a) Persons entitled; conditions. (b) Amount of loan; maximum interest rate. (c) Application for loan; submission and approval; interest rates and repayment terms. (d) Breach of agreement; notice; determination of liability. 254q. Authorization of appropriations. (a) Authorization of appropriations. (b) Scholarships for new participants. (c) Scholarships and loan repayments. 254q–1. Grants to States for loan repayment programs. (a) In general. (b) Requirement of matching funds. (c) Coordination with Federal program. (d) Restrictions on use of funds. (e) Reports. (f) Requirement of application. (g) Noncompliance. (h) “State” defined. (i) Authorization of appropriations. 254r. Grants to States for operation of offices of rural health. (a) In general. (b) Requirement of matching funds. (c) Certain required activities. (d) Requirement regarding annual budget for office. (e) Certain uses of funds. (f) Reports. (g) Requirement of application. (h) Noncompliance. (i) “State” defined. (j) Authorization of appropriations. (k) Termination of program. 254s. Native Hawaiian Health Scholarships. (a) Eligibility. (b) Terms and conditions. (c) “Native Hawaiian” defined. (d) Authorization of appropriations. 254t. Demonstration project. (a) Program authorized. (b) Procedure. (c) Limitations. (d) Designations. (e) Rule of construction. (f) Report. (g) Authorization of appropriations.

255. Home health services. (a) Purpose; authorization of grants and loans; considerations; conditions on loans; appropriations. (b) Grants and contracts for training programs for paraprofessionals; considerations; applications; appropriations. (c) Report to Congress with respect to grants and loans and training of personnel. (d) “Home health services” defined.

256. Grants to strengthen the effectiveness, efficiency, and coordination of services for the uninsured and underinsured. (a) In general. (b) Eligible entities. (c) Limitations. (d) Priorities. (e) Use of funds. (f) Grantee requirements. (g) Maintenance of effort. (h) Technical assistance. (i) Evaluation of program. (j) Demonstration authority. (k) Authorization of appropriations. (l) Date certain for termination of program. 256a. Patient navigator grants. (a) Grants. (b) Use of funds. (c) Prohibitions. (d) Grant period. (e) Application. (f) Uniform baseline measures. (g) Preference. (h) Duplication of services. (i) Coordination with other programs. (j) Study; reports. (k) Rule of construction. (l) Definitions. (m) Authorization of appropriations.

256b. Limitation on prices of drugs purchased by covered entities. (a) Requirements for agreement with Secretary. (b) Other definitions. (c) References to Social Security Act. (d) Compliance with requirements.

256c. Bulk purchases of vaccines for certain programs. (a) Agreements for purchases. (b) Negotiation of prices. (c) Authority of Secretary. (d) Rule of construction. 256d. Breast and cervical cancer information. (a) In general. (b) Certain authorities. (c) Relevant entities.

256e. Program of payments to children’s hospitals that operate graduate medical education programs. (a) Payments. (b) Amount of payments. (c) Amount of payment for direct graduate medical education. (d) Amount of payment for indirect medical education. (e) Making of payments. (f) Authorization of appropriations. (g) Definitions.

256f. Designated dental health professional shortage area. 256g. Grants for innovative programs. (a) Grant program authorized. (b) State activities. (c) Application. (d) Matching requirement. (e) Report. (f) Authorization of appropriations.

257 to 261a. Repealed or Transferred.

262. Regulation of biological products. (a) Biologics license. (b) Falsely labeling or marking package or container; altering label or mark. (c) Inspection of establishment for propagation and preparation. (d) Recall of product presenting imminent hazard; violations. (e) Interference with officers. (f) Penalties for offenses. (g) Construction with other laws. (h) Exportation of partially processed biological products. (i) “Biological product” defined. (j) Application of Federal Food, Drug, and Cosmetic Act. 262a. Enhanced control of dangerous biological agents and toxins. (a) Regulatory control of certain biological agents and toxins. (b) Regulation of transfers of listed agents and toxins. (c) Possession and use of listed agents and toxins. (d) Registration; identification; database. (e) Safeguard and security requirements for registered persons. (f) Inspections. (g) Exemptions. (h) Disclosure of information. (i) Civil money penalty. (j) Notification in event of release. (k) Reports. (l) Definitions. (m) Authorization of appropriations. 263. Preparation of biological products by Service.

263a. Certification of laboratories. (a) “Laboratory” or “clinical laboratory” defined. (b) Certificate requirement. (c) Issuance and renewal of certificates. (d) Requirements for certificates. (e) Accreditation. (f) Standards. (g) Inspections. (h) Intermediate sanctions. (i) Suspension, revocation, and limitation. (j) Injunctions. (k) Judicial review. (l) Sanctions. (m) Fees. (n) Information. (o) Delegation. (p) State laws. (q) Consultations. 263a–1. Assisted reproductive technology programs. (a) In general. (b) Pregnancy success rates. (c) Consultation. 263a–2. Certification of embryo laboratories. (a) In general. (b) Distribution. (c) Requirements. (d) Standards. (e) Certification under State programs. (f) Use of accreditation organizations. (g) Inspections. (h) Validation inspections. (i) Limitation. (j) Term. 263a–3. Accreditation organizations. (a) Approval of accreditation organizations. (b) Criteria and procedures. (c) Evaluations. (d) Transition. 263a–4. Certification revocation and suspension. (a) In general. (b) Effect. 263a–5. Publication. 263a–6. Fees. 263a–7. Definitions.

263b. Certification of mammography facilities. (a) Definitions. (b) Certificate requirement. (c) Issuance and renewal of certificates. (d) Application for certificate. (e) Accreditation. (f) Quality standards. (g) Inspections. (h) Sanctions. (i) Suspension and revocation. (j) Injunctions. (k) Judicial review. (l) Information. (m) State laws. (n) National Advisory Committee. (o) Consultations. (p) Breast cancer screening surveillance research grants. (q) State program. (r) Funding.

264. Regulations to control communicable diseases. (a) Promulgation and enforcement by Surgeon General. (b) Apprehension, detention, or conditional release of individuals. (c) Application of regulations to persons entering from foreign countries. (d) Apprehension and examination of persons reasonably believed to be infected. (e) Preemption. 265. Suspension of entries and imports from designated places to prevent spread of communicable diseases. 266. Special quarantine powers in time of war. 267. Quarantine stations, grounds, and anchorages. (a) Control and management. (b) Hours of inspection. (c) Overtime pay for employees of Service. (d) Payment of extra compensation to United States; bond or deposit to assure payment; deposit of moneys to credit of appropriation. 268. Quarantine duties of consular and other officers. 269. Bills of health. (a) Detail of medical officer; conditions precedent to issuance; consular officer to receive fees. (b) Collectors of customs to receive originals; duplicate copies as part of ship’s papers. (c) Regulations to secure sanitary conditions of vessels. (d) Vessels from ports near frontier. (e) Compliance with regulations. 270. Quarantine regulations governing civil air navigation and civil aircraft. 271. Penalties for violation of quarantine laws. (a) Penalties for persons violating quarantine laws. (b) Penalties for vessels violating quarantine laws. (c) Remittance or mitigation of forfeitures. 272. Administration of oaths by quarantine officers.

273. Organ procurement organizations. (a) Grant authority of Secretary. (b) Qualified organizations. (c) Pancreata islet cell transplantation or research. 273a. National living donor mechanisms. 274. Organ procurement and transplantation network. (a) Contract authority of Secretary; limitation; available appropriations. (b) Functions. (c) Consideration of critical comments. 274a. Scientific registry. 274b. General provisions respecting grants and contracts. (a) Application requirement. (b) Special considerations and priority; planning and establishment grants. (c) Determination of grant amount; terms of payment; recordkeeping; access for purposes of audits and examination of records. (d) “Transplant center” and “organ” defined. 274c. Administration. 274d. Report. 274e. Prohibition of organ purchases. (a) Prohibition. (b) Penalties. (c) Definitions. 274f. Reimbursement of travel and subsistence expenses incurred toward living organ donation. (a) In general. (b) Preference. (c) Certain circumstances. (d) Relationship to payments under other programs. (e) Definitions. (f) Authorization of appropriations. 274f–1. Public awareness; studies and demonstrations. (a) Organ donation public awareness program. (b) Studies and demonstrations. (c) Grants to States. (d) Educational activities. (e) Authorization of appropriations. 274f–2. Grants regarding hospital organ donation coordinators. (a) Authority. (b) Administration of coordination program. (c) Requirements. (d) Rule of construction. (e) Evaluations. (f) Matching requirement. (g) Funding. 274f–3. Studies relating to organ donation and the recovery, preservation, and transportation of organs. (a) Development of supportive information. (b) Activities. (c) Research and dissemination. (d) Authorization of appropriations. 274f–4. Report relating to organ donation and the recovery, preservation, and transportation of organs. (a) In general. (b) Requirements. (c) Initial report requirements. 274g. Authorization of appropriations.

274k. National Program. (a) Establishment. (b) Accreditation. (c) Informed consent. (d) Functions. (e) Bone marrow recruitment; priorities; information and education. (f) Bone marrow criteria, standards, and procedures. (g) Cord blood recruitment; priorities; information and education. (h) Patient advocacy and case management for bone marrow and cord blood. (i) Comment procedures. (j) Consultation. (k) Contracts. (l) Eligibility. (m) Records. (n) Penalties for disclosure. 274l. Stem cell therapeutic outcomes database. (a) Establishment. (b) Information. (c) Annual report on patient outcomes. (d) Publicly available data. 274l–1. Definitions. 274m. Authorization of appropriations. 275 to 280a–1. Repealed.

280b. Research. 280b–1. Prevention and control activities. 280b–1a. Interpersonal violence within families and among acquaintances. 280b–1b. Prevention of traumatic brain injury. (a) In general. (b) Certain activities. (c) Coordination of activities. (d) “Traumatic brain injury” defined. 280b–1c. Use of allotments for rape prevention education. (a) Permitted use. (b) Collection and dissemination of information on sexual assault. (c) Authorization of appropriations. (d) Limitations. 280b–1d. National program for traumatic brain injury registries. 280b–2. General provisions. (a) Advisory committee. (b) Technical assistance. (c) Biennial report. 280b–3. Authorization of appropriations. 280b–4. Study conducted by the Centers for Disease Control and Prevention. (a) Purposes. (b) Use of funds. (c) Authorization of appropriations.

280c. Establishment of program. (a) In general. (b) Requirement with respect to age of recipients of services. (c) Relationship to items and services under other programs. 280c–1. Limitation on duration of grant and requirement of matching funds. (a) Limitation on duration of grant. (b) Requirement of matching funds. (c) Determination of amount of non-Federal contribution. 280c–2. General provisions. (a) Limitation on administrative expenses. (b) Description of intended use of grant. (c) Requirement of application. (d) Evaluations and report by Secretary. (e) Authorizations of appropriations.

280c–3. Establishment of program. (a) In general. (b) Requirement with respect to certain expenditures. (c) Relationship to items and services under other programs. 280c–4. Requirement of matching funds. (a) Requirement of matching funds. (b) Determination of amount of non-Federal contribution. 280c–5. General provisions. (a) Limitation on administrative expenses. (b) Description of intended use of grant. (c) Requirement of application. (d) Evaluations and report by Secretary. (e) Authorizations of appropriations.

280c–6. Projects to improve maternal, infant, and child health. (a) In general. (b) Home visiting services for eligible families. (c) Considerations in making grants. (d) Federal share. (e) Rule of construction regarding at-risk births. (f) Delivery of services and case management. (g) Outreach. (h) Confidentiality. (i) Certain assurances. (j) Submission to Secretary of certain information. (k) Limitation regarding administrative expenses. (l) Restrictions on use of grant. (m) Reports to Secretary. (n) Requirement of application. (o) Peer review. (p) Evaluations. (q) Definitions. (r) Authorization of appropriations.

280d. Transferred. 280d–11. Transferred.

280e. National program of cancer registries. (a) In general. (b) Matching funds. (c) Eligibility for grants. (d) Relationship to certain programs. (e) Requirement regarding certain study on breast cancer. 280e–1. Planning grants regarding registries. (a) In general. (b) Application. 280e–2. Technical assistance in operations of statewide cancer registries. 280e–3. Study in certain States to determine factors contributing to elevated breast cancer mortality rates. (a) In general. (b) Relevant States. (c) Cooperation of State. (d) Planning, commencement, and duration. (e) Report. 280e–4. Authorization of appropriations. (a) Registries. (b) Breast cancer study.

280e–11. Establishment and duties of Foundation. (a) In general. (b) Purpose of Foundation. (c) Endowment fund. (d) Certain activities of Foundation. (e) General structure of Foundation; nonprofit status. (f) Board of directors. (g) Certain responsibilities of executive director. (h) General provisions. (i) Federal funding. (j) Committee for establi