---
kind: "section"
citation: "42 U.S.C. § 254c–9"
title: "42"
title_heading: "The Public Health and Welfare"
number: "254c–9"
heading: "Establishment of program of grants"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/42/254c-9"
units:
  - "Chapter 6A — Public Health Service"
  - "Subchapter II — General Powers and Duties"
  - "Part D — Primary Health Care"
  - "Subpart i — health centers"
---

# §254c–9. Establishment of program of grants

- (a) **In general—** The [Secretary](/usc/42/201.md?p=c) of Health and Human [Services](/usc/42/201.md?p=a) shall in accordance with sections 254c–9 to [254c–13](/usc/42/254c–13.md) of this title make grants to provide for [projects](/usc/42/13641.md?p=2) for the establishment, operation, and coordination of effective and cost-efficient systems for the delivery of essential [services](/usc/42/201.md?p=a) to individuals with lupus and their families.
- (b) **Recipients of grants—** A grant under [subsection (a)](#a) may be made to an entity only if the entity is a public or [nonprofit](/usc/42/300s–3.md?p=3) private entity, which may include a [State](/usc/42/201.md?p=f) or local government; a public or [nonprofit](/usc/42/300s–3.md?p=3) private [hospital](/usc/42/300s–3.md?p=1), community-based organization, hospice, ambulatory care facility, community health center, migrant health center, or homeless health center; or other appropriate public or [nonprofit](/usc/42/300s–3.md?p=3) private entity.
- (c) **Certain activities—** To the extent practicable and appropriate, the [Secretary](/usc/42/201.md?p=c) shall ensure that [projects](/usc/42/13641.md?p=2) under [subsection (a)](#a) provide [services](/usc/42/201.md?p=a) for the diagnosis and disease management of lupus. Activities that the [Secretary](/usc/42/201.md?p=c) may authorize for such [projects](/usc/42/13641.md?p=2) may also include the following:
  - (1) Delivering or enhancing outpatient, ambulatory, and home-based health and support [services](/usc/42/201.md?p=a), including case management and comprehensive [treatment](/usc/42/11851.md?p=11) [services](/usc/42/201.md?p=a), for individuals with lupus; and delivering or enhancing support [services](/usc/42/201.md?p=a) for their families.
  - (2) Delivering or enhancing inpatient care management [services](/usc/42/201.md?p=a) that prevent unnecessary hospitalization or that expedite discharge, as medically appropriate, from inpatient facilities of individuals with lupus.
  - (3) Improving the quality, availability, and organization of health care and support [services](/usc/42/201.md?p=a) (including transportation [services](/usc/42/201.md?p=a), attendant care, homemaker [services](/usc/42/201.md?p=a), day or respite care, and providing counseling on financial assistance and insurance) for individuals with lupus and support [services](/usc/42/201.md?p=a) for their families.
- (d) **Integration with other programs—** To the extent practicable and appropriate, the [Secretary](/usc/42/201.md?p=c) shall integrate the [program](/usc/42/274l–1.md?p=4) under sections 254c–9 to [254c–13](/usc/42/254c–13.md) of this title with other grant [programs](/usc/42/274l–1.md?p=4) carried out by the [Secretary](/usc/42/201.md?p=c), including the [program](/usc/42/274l–1.md?p=4) under [section 254b of this title](/usc/42/254b.md).

## Source credit

(Pub. L. 106–505, title V, § 521, Nov. 13, 2000, 114 Stat. 2343.)

## Notes

### Editorial Notes

### Codification

Section was enacted as part of the Lupus Research and Care Amendments of 2000, and also as part of the Public Health Improvement Act, and not as part of the Public Health Service Act which comprises this chapter.