View all text of Subpartii [§ 300x-21 - § 300x-35]
§ 300x–31. Restrictions on expenditure of grant
(a) In general
(1) Certain restrictions
A funding agreement for a grant under section 300x–21 of this title is that the State involved will not expend the grant—
(A) to provide inpatient hospital services, except as provided in subsection (b);
(B) to make cash payments to intended recipients of health services;
(C) to purchase or improve land, purchase, construct, or permanently improve (other than minor remodeling) any building or other facility, or purchase major medical equipment;
(D) to satisfy any requirement for the expenditure of non-Federal funds as a condition for the receipt of Federal funds;
(E) to provide financial assistance to any entity other than a public or nonprofit private entity; or
(F) to carry out any program prohibited by section 300ee–5 of this title.
(2) Limitation on administrative expenses
(3) Limitation regarding penal and correctional institutions
(b) Exception regarding inpatient hospital services
(1) Medical necessity as precondition
(2) Rate of payment
(c) Waiver regarding construction of facilities
(1) In general
(2) Standard regarding need for waiver
(3) Amount
(4) Matching funds
(5) Date certain for acting upon request
(July 1, 1944, ch. 373, title XIX, § 1931, as added Pub. L. 102–321, title II, § 202, July 10, 1992, 106 Stat. 397; amended Pub. L. 114–255, div. B, title VIII, § 8002(h), Dec. 13, 2016, 130 Stat. 1230; Pub. L. 117–328, div. FF, title I, § 1241(a)(7), Dec. 29, 2022, 136 Stat. 5677.)