---
kind: "section"
citation: "42 C.F.R. § 55a.201"
title: "42"
number: "55a.201"
heading: "What is required for a State application?"
url: "https://uscodex.org/cfr/42/55a.201"
---

# §55a.201. What is required for a State application?


An approvable State application must contain assurances that the State will:

- (a) **Provide the following services for active and inactive miners in the State—**
  - (1) Primary care;
  - (2) Patient and family education and counseling;
  - (3) Outreach;
  - (4) Patient care coordination, including individual patient care plans for all patients;
  - (5) Antismoking advice; and
  - (6) **Other symptomatic treatments.**
- (b) Provide medical services in consultation with a physician with special training or experience in the diagnosis and treatment of respiratory diseases.
- (c) Meet all criteria for approval and designation by the Department of Labor under [20 CFR part 725](/cfr/20/part725.md) to perform disability examination and provide treatment under the Act.
- (d) **Use grant funds under this part to supplement and not supplant existing services of the State.**
- (e) Provide the services described above for those miners previously served by a Black Lung Clinic in the State for which grant support expires during the funding period of the State's grant.
- (f) **Provide services described above regardless of a person's ability to pay.**
- (g) Audit its expenditures from amounts received under this part in accordance with the provisions of [subpart F](/cfr/42/subpartF.md) of [2 CFR part 200](/cfr/2/part200.md).

## Notes

### Amendments

[50 FR 7913, Feb. 27, 1985, as amended at 50 FR 53156, Dec. 30, 1985; 81 FR 3008, Jan. 20, 2016; 89 FR 80066, Oct. 2, 2024]

### Authority

Authority: Sec. 427(a), Federal Mine Safety and Health Act of 1977, 92 Stat. 100 (30 U.S.C. 937(a)).

### Source

Source: 50 FR 7913, Feb. 27, 1985, unless otherwise noted.

### Amendments

[50 FR 7913, Feb. 27, 1985, as amended at 50 FR 53156, Dec. 30, 1985; 81 FR 3008, Jan. 20, 2016; 89 FR 80066, Oct. 2, 2024]