---
kind: "section"
citation: "42 U.S.C. § 300d–15"
title: "42"
title_heading: "The Public Health and Welfare"
number: "300d–15"
heading: "Restrictions on use of payments"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/42/300d-15"
units:
  - "Chapter 6A — Public Health Service"
  - "Subchapter X — Trauma Care"
  - "Part B — Formula Grants With Respect to Modifications of State Plans"
---

# §300d–15. Restrictions on use of payments

- (a) **In general—** The [Secretary](/usc/42/201.md?p=c) may not, except as provided in [subsection (b)](#b), make payments under [section 300d–11(a) of this title](/usc/42/300d–11.md?p=a) for a fiscal year unless the [State](/usc/42/201.md?p=f) involved agrees that the payments will not be expended—
  - (1) for any purpose other than developing, implementing, and monitoring the modifications required by [section 300d–11(b) of this title](/usc/42/300d–11.md?p=b) to be made to the [State plan](/usc/42/300d–31.md?p=2) for the provision of emergency medical [services](/usc/42/201.md?p=a);
  - (2) to make cash payments to intended recipients of [services](/usc/42/201.md?p=a) provided pursuant to this section;
  - (3) to purchase or improve real property (other than minor remodeling of existing improvements to real property);
  - (4) to satisfy any requirement for the expenditure of non-Federal funds as a condition for the receipt of Federal funds; or
  - (5) to provide financial assistance to any entity other than a public or [nonprofit](/usc/42/300s–3.md?p=3) private entity.
- (b) **Waiver—** The [Secretary](/usc/42/201.md?p=c) may waive a restriction under [subsection (a)](#a) only if the [Secretary](/usc/42/201.md?p=c) determines that the activities outlined by the [State plan](/usc/42/300d–31.md?p=2) submitted under [section 300d–14(a) of this title](/usc/42/300d–14.md?p=a) by the [State](/usc/42/201.md?p=f) involved cannot otherwise be carried out.

## Source credit

(July 1, 1944, ch. 373, title XII, § 1215, as added Pub. L. 101–590, § 3, Nov. 16, 1990, 104 Stat. 2923; amended Pub. L. 110–23, § 9, May 3, 2007, 121 Stat. 97.)

## Notes

### Editorial Notes

### Amendments

2007—Pub. L. 110–23 amended section generally. Prior to amendment, section related to restrictions on use of payments.