{"identifier":"/us/usc/t42/s1397d","title_num":"42","num":"§ 1397d.","heading":"Limitation on use of grants; waiver","status":null,"guid":"id6e5ceee5-4aa7-11eb-94f5-9ff2c44f6f3c","source_credit":"(Aug. 14, 1935, ch. 531, title XX, § 2005, as added Pub. L. 97–35, title XXIII, § 2352(a), Aug. 13, 1981, 95 Stat. 869; amended Pub. L. 100–93, § 8(i), Aug. 18, 1987, 101 Stat. 695; Pub. L. 100–203, title IV, § 4118(e)(13), Dec. 22, 1987, as added Pub. L. 100–360, title IV, § 411(k)(10)(D), July 1, 1988, 102 Stat. 796; Pub. L. 100–485, title VI, § 608(d)(26)(K)(ii), Oct. 13, 1988, 102 Stat. 2422; Pub. L. 105–12, § 9(c), Apr. 30, 1997, 111 Stat. 27; Pub. L. 111–148, title VI, § 6703(d)(1)(B), Mar. 23, 2010, 124 Stat. 803.)","seq_in_title":2055,"parent_identifier":"/us/usc/t42/ch7/schXX/dA","ancestors":[{"identifier":"/us/usc/t42","level":"title","num":"Title 42—","heading":"THE PUBLIC HEALTH AND WELFARE","status":null,"is_section":false},{"identifier":"/us/usc/t42/ch7","level":"chapter","num":"CHAPTER 7—","heading":"SOCIAL SECURITY","status":null,"is_section":false},{"identifier":"/us/usc/t42/ch7/schXX","level":"subchapter","num":"SUBCHAPTER XX—","heading":"BLOCK GRANTS AND PROGRAMS FOR SOCIAL SERVICES AND ELDER JUSTICE","status":null,"is_section":false},{"identifier":"/us/usc/t42/ch7/schXX/dA","level":"division","num":"Division A—","heading":"Block Grants to States for Social Services","status":null,"is_section":false}],"xml":"<section xmlns=\"http://xml.house.gov/schemas/uslm/1.0\" xmlns:xsi=\"http://www.w3.org/2001/XMLSchema-instance\" xmlns:dc=\"http://purl.org/dc/elements/1.1/\" xmlns:dcterms=\"http://purl.org/dc/terms/\" style=\"-uslm-lc:I80\" id=\"id8b8e1ab2-86fb-11e9-b915-8b3e54686b9f\" identifier=\"/us/usc/t42/s1397d\"><num value=\"1397d\">§ 1397d.</num><heading> Limitation on use of grants; waiver</heading><subsection style=\"-uslm-lc:I11\" class=\"indent0\" id=\"id8b8e1ab3-86fb-11e9-b915-8b3e54686b9f\" identifier=\"/us/usc/t42/s1397d/a\"><num value=\"a\">(a)</num><chapeau> Except as provided in subsection (b), grants made under this division may not be used by the State, or by any other person with which the State makes arrangements to carry out the purposes of this division—</chapeau><paragraph style=\"-uslm-lc:I12\" class=\"indent1\" id=\"id8b8e1ab4-86fb-11e9-b915-8b3e54686b9f\" identifier=\"/us/usc/t42/s1397d/a/1\"><num value=\"1\">(1)</num><content> for the purchase or improvement of land, or the purchase, construction, or permanent improvement (other than minor remodeling) of any building or other facility;</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I12\" class=\"indent1\" id=\"id8b8e1ab5-86fb-11e9-b915-8b3e54686b9f\" identifier=\"/us/usc/t42/s1397d/a/2\"><num value=\"2\">(2)</num><content> for the provision of cash payments for costs of subsistence or for the provision of room and board (other than costs of subsistence during rehabilitation, room and board provided for a short term as an integral but subordinate part of a social service, or temporary emergency shelter provided as a protective service);</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I12\" class=\"indent1\" id=\"id8b8e1ab6-86fb-11e9-b915-8b3e54686b9f\" identifier=\"/us/usc/t42/s1397d/a/3\"><num value=\"3\">(3)</num><content> for payment of the wages of any individual as a social service (other than payment of the wages of welfare recipients employed in the provision of child day care services);</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I12\" class=\"indent1\" id=\"id8b8e1ab7-86fb-11e9-b915-8b3e54686b9f\" identifier=\"/us/usc/t42/s1397d/a/4\"><num value=\"4\">(4)</num><content> for the provision of medical care (other than family planning services, rehabilitation services, or initial detoxification of an alcoholic or drug dependent individual) unless it is an integral but subordinate part of a social service for which grants may be used under this division;</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I12\" class=\"indent1\" id=\"id8b8e1ab8-86fb-11e9-b915-8b3e54686b9f\" identifier=\"/us/usc/t42/s1397d/a/5\"><num value=\"5\">(5)</num><content> for social services (except services to an alcoholic or drug dependent individual or rehabilitation services) provided in and by employees of any hospital, skilled nursing facility, intermediate care facility, or prison, to any individual living in such institution;</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I12\" class=\"indent1\" id=\"id8b8e1ab9-86fb-11e9-b915-8b3e54686b9f\" identifier=\"/us/usc/t42/s1397d/a/6\"><num value=\"6\">(6)</num><content> for the provision of any educational service which the State makes generally available to its residents without cost and without regard to their income;</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I12\" class=\"indent1\" id=\"id8b8e1aba-86fb-11e9-b915-8b3e54686b9f\" identifier=\"/us/usc/t42/s1397d/a/7\"><num value=\"7\">(7)</num><content> for any child day care services unless such services meet applicable standards of State and local law;</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I12\" class=\"indent1\" id=\"id8b8e1abb-86fb-11e9-b915-8b3e54686b9f\" identifier=\"/us/usc/t42/s1397d/a/8\"><num value=\"8\">(8)</num><content> for the provision of cash payments as a service (except as otherwise provided in this section);</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I12\" class=\"indent1\" id=\"id8b8e1abc-86fb-11e9-b915-8b3e54686b9f\" identifier=\"/us/usc/t42/s1397d/a/9\"><num value=\"9\">(9)</num><chapeau> for payment for any item or service (other than an emergency item or service) furnished—</chapeau><subparagraph style=\"-uslm-lc:I13\" class=\"indent2\" id=\"id8b8e1abd-86fb-11e9-b915-8b3e54686b9f\" identifier=\"/us/usc/t42/s1397d/a/9/A\"><num value=\"A\">(A)</num><content> by an individual or entity during the period when such individual or entity is excluded under this division or subchapter V, XVIII, or XIX pursuant to section 1320a–7, 1320a–7a, 1320c–5, or 1395u(j)(2) of this title, or</content>\n</subparagraph>\n<subparagraph style=\"-uslm-lc:I13\" class=\"indent2\" id=\"id8b8e1abe-86fb-11e9-b915-8b3e54686b9f\" identifier=\"/us/usc/t42/s1397d/a/9/B\"><num value=\"B\">(B)</num><content> at the medical direction or on the prescription of a physician during the period when the physician is excluded under this division or subchapter V, XVIII, or XIX pursuant to section 1320a–7, 1320a–7a, 1320c–5, or 1395u(j)(2) of this title and when the person furnishing such item or service knew or had reason to know of the exclusion (after a reasonable time period after reasonable notice has been furnished to the person); or</content>\n</subparagraph>\n</paragraph>\n<paragraph style=\"-uslm-lc:I12\" class=\"indent1\" id=\"id8b8e41cf-86fb-11e9-b915-8b3e54686b9f\" identifier=\"/us/usc/t42/s1397d/a/10\"><num value=\"10\">(10)</num><content> in a manner inconsistent with the Assisted Suicide Funding Restriction Act of 1997 [<ref href=\"/us/usc/t42/s14401\">42 U.S.C. 14401</ref> et seq.].</content>\n</paragraph>\n</subsection>\n<subsection style=\"-uslm-lc:I11\" class=\"indent0\" id=\"id8b8e41d0-86fb-11e9-b915-8b3e54686b9f\" identifier=\"/us/usc/t42/s1397d/b\"><num value=\"b\">(b)</num><content> The Secretary may waive the limitation contained in subsection (a)(1) and (4) upon the State’s request for such a waiver if he finds that the request describes extraordinary circumstances to justify the waiver and that permitting the waiver will contribute to the State’s ability to carry out the purposes of this division.</content>\n</subsection>\n<sourceCredit id=\"id8b8e41d1-86fb-11e9-b915-8b3e54686b9f\">(<ref href=\"/us/act/1935-08-14/ch531\">Aug. 14, 1935, ch. 531</ref>, title XX, § 2005, as added <ref href=\"/us/pl/97/35/tXXIII/s2352/a\">Pub. L. 97–35, title XXIII, § 2352(a)</ref>, <date date=\"1981-08-13\">Aug. 13, 1981</date>, <ref href=\"/us/stat/95/869\">95 Stat. 869</ref>; amended <ref href=\"/us/pl/100/93/s8/i\">Pub. L. 100–93, § 8(i)</ref>, <date date=\"1987-08-18\">Aug. 18, 1987</date>, <ref href=\"/us/stat/101/695\">101 Stat. 695</ref>; <ref href=\"/us/pl/100/203/tIV/s4118/e/13\">Pub. L. 100–203, title IV, § 4118(e)(13)</ref>, <date date=\"1987-12-22\">Dec. 22, 1987</date>, as added <ref href=\"/us/pl/100/360/tIV/s411/k/10/D\">Pub. L. 100–360, title IV, § 411(k)(10)(D)</ref>, <date date=\"1988-07-01\">July 1, 1988</date>, <ref href=\"/us/stat/102/796\">102 Stat. 796</ref>; <ref href=\"/us/pl/100/485/tVI/s608/d/26/K/ii\">Pub. L. 100–485, title VI, § 608(d)(26)(K)(ii)</ref>, <date date=\"1988-10-13\">Oct. 13, 1988</date>, <ref href=\"/us/stat/102/2422\">102 Stat. 2422</ref>; <ref href=\"/us/pl/105/12/s9/c\">Pub. L. 105–12, § 9(c)</ref>, <date date=\"1997-04-30\">Apr. 30, 1997</date>, <ref href=\"/us/stat/111/27\">111 Stat. 27</ref>; <ref href=\"/us/pl/111/148/tVI/s6703/d/1/B\">Pub. L. 111–148, title VI, § 6703(d)(1)(B)</ref>, <date date=\"2010-03-23\">Mar. 23, 2010</date>, <ref href=\"/us/stat/124/803\">124 Stat. 803</ref>.)</sourceCredit>\n<notes type=\"uscNote\" id=\"id8b8e41d2-86fb-11e9-b915-8b3e54686b9f\">\n<note style=\"-uslm-lc:I75\" topic=\"referencesInText\" id=\"id8b8e41d3-86fb-11e9-b915-8b3e54686b9f\">\n<heading class=\"centered smallCaps\">References in Text</heading><p style=\"-uslm-lc:I21\" class=\"indent0\">The Assisted Suicide Funding Restriction Act of 1997, referred to in subsec. (a)(10), is <ref href=\"/us/pl/105/12\">Pub. L. 105–12</ref>, <date date=\"1997-04-30\">Apr. 30, 1997</date>, <ref href=\"/us/stat/111/23\">111 Stat. 23</ref>, which is classified principally to chapter 138 (§ 14401 et seq.) of this title. For complete classification of this Act to the Code, see Short Title note set out under <ref href=\"/us/usc/t42/s14401\">section 14401 of this title</ref> and Tables.</p>\n</note>\n<note style=\"-uslm-lc:I74\" topic=\"priorProvisions\" id=\"id8b8e41d4-86fb-11e9-b915-8b3e54686b9f\"><heading class=\"centered smallCaps\">Prior Provisions</heading><p style=\"-uslm-lc:I21\" class=\"indent0\">A prior section 1397d, <ref href=\"/us/act/1935-08-14/ch531/tXX/s2005\">act Aug. 14, 1935, ch. 531, title XX, § 2005</ref>, as added <date date=\"1975-01-04\">Jan. 4, 1975</date>, <ref href=\"/us/pl/93/647/s2\">Pub. L. 93–647, § 2</ref>, <ref href=\"/us/stat/88/2347\">88 Stat. 2347</ref>; amended <date date=\"1980-06-17\">June 17, 1980</date>, <ref href=\"/us/pl/96/272/tII/s206/d\">Pub. L. 96–272, title II, § 206(d)</ref>, <ref href=\"/us/stat/94/525\">94 Stat. 525</ref>, related to effective date of implementing regulations, prior to the general revision of this subchapter by <ref href=\"/us/pl/97/35/s2352/a\">section 2352(a) of Pub. L. 97–35</ref>.</p>\n</note>\n<note style=\"-uslm-lc:I74\" topic=\"amendments\" id=\"id8b8e41d5-86fb-11e9-b915-8b3e54686b9f\"><heading class=\"centered smallCaps\">Amendments</heading><p style=\"-uslm-lc:I21\" class=\"indent0\">2010—<ref href=\"/us/pl/111/148\">Pub. L. 111–148</ref>, which directed substitution of “this division” for “this subchapter” wherever appearing in subtitle 1 of title XX of act <date date=\"1935-08-14\">Aug. 14, 1935</date>, was executed by making the substitution wherever appearing in this section, which is in subtitle A of title XX act <date date=\"1935-08-14\">Aug. 14, 1935</date>, to reflect the probable intent of Congress.</p>\n<p style=\"-uslm-lc:I21\" class=\"indent0\">1997—Subsec. (a)(10). <ref href=\"/us/pl/105/12\">Pub. L. 105–12</ref> added par. (10).</p>\n<p style=\"-uslm-lc:I21\" class=\"indent0\">1988—Subsec. (a)(9)(A), (B). <ref href=\"/us/pl/100/360/s411/k/10/D\">Pub. L. 100–360, § 411(k)(10)(D)</ref>, as amended by <ref href=\"/us/pl/100/485/s608/d/26/K/ii\">Pub. L. 100–485, § 608(d)(26)(K)(ii)</ref>, added <ref href=\"/us/pl/100/203/s4118/e/13\">Pub. L. 100–203, § 4118(e)(13)</ref>, see 1987 Amendment note below.</p>\n<p style=\"-uslm-lc:I21\" class=\"indent0\">1987—Subsec. (a)(9). <ref href=\"/us/pl/100/93\">Pub. L. 100–93</ref> added par. (9).</p>\n<p style=\"-uslm-lc:I21\" class=\"indent0\">Subsec. (a)(9)(A), (B). <ref href=\"/us/pl/100/203/s4118/e/13\">Pub. L. 100–203, § 4118(e)(13)</ref>, as added by <ref href=\"/us/pl/100/360/s411/k/10/D\">Pub. L. 100–360, § 411(k)(10)(D)</ref>, as amended by <ref href=\"/us/pl/100/485/s608/d/26/K/ii\">Pub. L. 100–485, § 608(d)(26)(K)(ii)</ref>, substituted “under this subchapter or subchapter V, XVIII, or XIX pursuant to section 1320a–7, 1320a–7a, 1320c–5, or 1395u(j)(2) of this title” for “pursuant to <ref href=\"/us/usc/t42/s1320a–7\">section 1320a–7 of this title</ref> or <ref href=\"/us/usc/t42/s1320a–7a\">section 1320a–7a of this title</ref> from participation in the program under this subchapter”.</p>\n</note>\n<note style=\"-uslm-lc:I74\" topic=\"effectiveDateOfAmendment\" id=\"id8b8e41d6-86fb-11e9-b915-8b3e54686b9f\"><heading class=\"centered smallCaps\">Effective Date of 1997 Amendment</heading><p style=\"-uslm-lc:I21\" class=\"indent0\">Amendment by <ref href=\"/us/pl/105/12\">Pub. L. 105–12</ref> effective <date date=\"1997-04-30\">Apr. 30, 1997</date>, and applicable to Federal payments made pursuant to obligations incurred after <date date=\"1997-04-30\">Apr. 30, 1997</date>, for items and services provided on or after such date, subject to also being applicable with respect to contracts entered into, renewed, or extended after <date date=\"1997-04-30\">Apr. 30, 1997</date>, as well as contracts entered into before <date date=\"1997-04-30\">Apr. 30, 1997</date>, to the extent permitted under such contracts, see <ref href=\"/us/pl/105/12/s11\">section 11 of Pub. L. 105–12</ref>, set out as an Effective Date note under <ref href=\"/us/usc/t42/s14401\">section 14401 of this title</ref>.</p>\n</note>\n<note style=\"-uslm-lc:I74\" topic=\"effectiveDateOfAmendment\" id=\"id8b8e41d7-86fb-11e9-b915-8b3e54686b9f\"><heading class=\"centered smallCaps\">Effective Date of 1988 Amendments</heading><p style=\"-uslm-lc:I21\" class=\"indent0\">Amendment by <ref href=\"/us/pl/100/485\">Pub. L. 100–485</ref> effective as if included in the enactment of the Medicare Catastrophic Coverage Act of 1988, <ref href=\"/us/pl/100/360\">Pub. L. 100–360</ref>, see <ref href=\"/us/pl/100/485/s608/g/1\">section 608(g)(1) of Pub. L. 100–485</ref>, set out as a note under <ref href=\"/us/usc/t42/s704\">section 704 of this title</ref>.</p>\n<p style=\"-uslm-lc:I21\" class=\"indent0\">Except as specifically provided in <ref href=\"/us/pl/100/360/s411\">section 411 of Pub. L. 100–360</ref>, amendment by <ref href=\"/us/pl/100/360\">Pub. L. 100–360</ref>, as it relates to a provision in the Omnibus Budget Reconciliation Act of 1987, <ref href=\"/us/pl/100/203\">Pub. L. 100–203</ref>, effective as if included in the enactment of that provision in <ref href=\"/us/pl/100/203\">Pub. L. 100–203</ref>, see <ref href=\"/us/pl/100/360/s411/a\">section 411(a) of Pub. L. 100–360</ref>, set out as a Reference to OBRA; Effective Date note under <ref href=\"/us/usc/t1/s106\">section 106 of Title 1</ref>, General Provisions.</p>\n</note>\n<note style=\"-uslm-lc:I74\" topic=\"effectiveDateOfAmendment\" id=\"id8b8e41d8-86fb-11e9-b915-8b3e54686b9f\"><heading class=\"centered smallCaps\">Effective Date of 1987 Amendment</heading><p style=\"-uslm-lc:I21\" class=\"indent0\">Amendment by <ref href=\"/us/pl/100/93\">Pub. L. 100–93</ref> effective at end of fourteen-day period beginning <date date=\"1987-08-18\">Aug. 18, 1987</date>, and inapplicable to administrative proceedings commenced before end of such period, see <ref href=\"/us/pl/100/93/s15/a\">section 15(a) of Pub. L. 100–93</ref>, set out as a note under <ref href=\"/us/usc/t42/s1320a–7\">section 1320a–7 of this title</ref>.</p>\n</note>\n</notes>\n</section>","provision":null,"duplicates":[],"release":{"label":"116-252","currency_date":"2020-12-22","congress":116,"law_num":252,"excluded_laws":[],"update_num":null,"seq":222,"is_partial":false,"caveat":null,"titles_affected":["18","20","31","34","40","42"],"ingested_titles":[]},"served_from":{"label":"116-252","currency_date":"2020-12-22","congress":116,"law_num":252,"excluded_laws":[],"update_num":null,"seq":222,"is_partial":false,"caveat":null,"titles_affected":["18","20","31","34","40","42"],"ingested_titles":[]},"content_first_seen":{"label":"116-19","currency_date":"2019-05-31","congress":116,"law_num":19,"excluded_laws":[],"update_num":null,"seq":174,"is_partial":false,"caveat":null,"titles_affected":["25","42"],"ingested_titles":[]},"is_exact":true,"note":null}