42 USC 300x-24 - Requirements regarding tuberculosis and human immunodeficiency virus

U.S Code last checked for updates: Feb 22, 2025

§ 300x–24.

Requirements regarding tuberculosis and human immunodeficiency virus

(a)

Tuberculosis

(1)

In general

A funding agreement for a grant under section 300x–21 of this title is that the State involved will require that any entity receiving amounts from the grant for operating a program of treatment for substance use disorders—

(A)

will, directly or through arrangements with other public or nonprofit private entities, routinely make available tuberculosis services to each individual receiving treatment for such disorders; and

(B)

in the case of an individual in need of such treatment who is denied admission to the program on the basis of the lack of the capacity of the program to admit the individual, will refer the individual to another provider of tuberculosis services.

(2)

Tuberculosis services

For purposes of paragraph (1), the term “tuberculosis services”, with respect to an individual, means—

(A)

counseling the individual with respect to tuberculosis;

(B)

testing to determine whether the individual has contracted such disease and testing to determine the form of treatment for the disease that is appropriate for the individual; and

(C)

providing such treatment to the individual.

(b)

Human immunodeficiency virus

(1)

Requirement for certain States

In the case of a State described in paragraph (2), a funding agreement for a grant under section 300x–21 of this title is that—

(A)

with respect to individuals undergoing treatment for substance use disorders, the State will, subject to paragraph (3), carry out 1 or more projects to make available to the individuals early intervention services for HIV disease at the sites at which the individuals are undergoing such treatment;

(B)

for the purpose of providing such early intervention services through such projects, the State will make available from the grant the percentage that is applicable for the State under paragraph (4); and

(C)

the State will, subject to paragraph (5), carry out such projects only in geographic areas of the State that have the greatest need for the projects.

(2)

Designated States

(3)

Use of existing programs regarding substance use disorders

(4)

Applicable percentage regarding expenditures for services

(A)

(i)

For purposes of paragraph (1)(B), the percentage that is applicable under this paragraph for a designated State is, subject to subparagraph (B), the percentage by which the amount of the grant under section 300x–21 of this title for the State for the fiscal year involved is an increase over the amount specified in clause (ii).

(ii)

The amount specified in this clause is the amount that was reserved by the designated State involved from the allotment of the State under section 300x–1a 1

 See References in Text note below.

of this title for fiscal year 1991 in compliance with section 300x–4(c)(6)(A)(ii) 1 of this title (as such sections were in effect for such fiscal year).

(B)

If the percentage determined under subparagraph (A) for a designated State for a fiscal year is less than 2 percent (including a negative percentage, in the case of a State for which there is no increase for purposes of such subparagraph), the percentage applicable under this paragraph for the State is 2 percent. If the percentage so determined is 2 percent or more, the percentage applicable under this paragraph for the State is the percentage determined under subparagraph (A), subject to not exceeding 5 percent.

(5)

Requirement regarding rural areas

(A)

A funding agreement for a grant under section 300x–21 of this title for a designated State is that, if the State will carry out 2 or more projects under paragraph (1), the State will carry out 1 such project in a rural area of the State, subject to subparagraph (B).

(B)

The Secretary shall waive the requirement established in subparagraph (A) if the State involved certifies to the Secretary that—

(i)

there is insufficient demand in the State to carry out a project under paragraph (1) in any rural area of the State; or

(ii)

there are no rural areas in the State.

(6)

Manner of providing services

With respect to the provision of early intervention services for HIV disease to an individual, a funding agreement for a grant under section 300x–21 of this title for a designated State is that—

(A)

such services will be undertaken voluntarily by, and with the informed consent of, the individual; and

(B)

undergoing such services will not be required as a condition of receiving treatment services for substance use disorders or any other services.

(7)

Definitions

For purposes of this subsection:

(A)

The term “designated State” means a State described in paragraph (2).

(B)

The term “early intervention services”, with respect to HIV disease, means—

(i)

appropriate pretest counseling;

(ii)

testing individuals with respect to such disease, including tests to confirm the presence of the disease, tests to diagnose the extent of the deficiency in the immune system, and tests to provide information on appropriate therapeutic measures for preventing and treating the deterioration of the immune system and for preventing and treating conditions arising from the disease;

(iii)

appropriate post-test counseling; and

(iv)

providing the therapeutic measures described in clause (ii).

(C)

The term “HIV disease” means infection with the etiologic agent for acquired immune deficiency syndrome.

(c)

Expenditure of grant for compliance with agreements

(1)

In general

(2)

Limitation

A funding agreement for a grant under section 300x–21 of this title for a State is that the grant will not be expended to make payment for any service provided for purposes of compliance with this section to the extent that payment has been made, or can reasonably be expected to be made, with respect to such service—

(A)

under any State compensation program, under any insurance policy, or under any Federal or State health benefits program (including the program established in title XVIII of the Social Security Act [42 U.S.C. 1395 et seq.] and the program established in title XIX of such Act [42 U.S.C. 1396 et seq.]); or

(B)

by an entity that provides health services on a prepaid basis.

(d)

Applicability of certain provision

(July 1, 1944, ch. 373, title XIX, § 1924, as added Pub. L. 102–321, title II, § 202, July 10, 1992, 106 Stat. 391; amended Pub. L. 114–255, div. B, title VIII, § 8002(c), Dec. 13, 2016, 130 Stat. 1229.)

cite as: 42 USC 300x-24