---
kind: "section"
citation: "42 U.S.C. § 300d–21"
title: "42"
title_heading: "The Public Health and Welfare"
number: "300d–21"
heading: "Technical assistance and provision by Secretary of supplies and services in lieu of grant funds"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/42/300d-21"
units:
  - "Chapter 6A — Public Health Service"
  - "Subchapter X — Trauma Care"
  - "Part B — Formula Grants With Respect to Modifications of State Plans"
---

# §300d–21. Technical assistance and provision by Secretary of supplies and services in lieu of grant funds

- (a) **Technical assistance—** The [Secretary](/usc/42/201.md?p=c) shall, without charge to a [State](/usc/42/201.md?p=f) receiving payments under [section 300d–11(a) of this title](/usc/42/300d–11.md?p=a), provide to the [State](/usc/42/201.md?p=f) (or to any public or [nonprofit](/usc/42/300s–3.md?p=3) private entity designated by the [State](/usc/42/201.md?p=f)) technical assistance with respect to the planning, development, and operation of any [program](/usc/42/274l–1.md?p=4) carried out pursuant to [section 300d–11(b) of this title](/usc/42/300d–11.md?p=b). The [Secretary](/usc/42/201.md?p=c) may provide such technical assistance directly, through contract, or through grants.
- (b) **Provision by Secretary of supplies and services in lieu of grant funds—**
  - (1) **In general—** Upon the request of a [State](/usc/42/201.md?p=f) receiving payments under [section 300d–11(a) of this title](/usc/42/300d–11.md?p=a), the [Secretary](/usc/42/201.md?p=c) may, subject to [paragraph (2)](#b-2), provide supplies, equipment, and [services](/usc/42/201.md?p=a) for the purpose of aiding the [State](/usc/42/201.md?p=f) in carrying out [section 300d–11(b) of this title](/usc/42/300d–11.md?p=b) and, for such purpose, may detail to the [State](/usc/42/201.md?p=f) any officer or [employee](/usc/42/300gg–91.md?p=d-5) of the Department of Health and Human [Services](/usc/42/201.md?p=a).
  - (2) **Reduction in payments—** With respect to a request described in [paragraph (1)](#b-1), the [Secretary](/usc/42/201.md?p=c) shall reduce the amount of payments to the [State](/usc/42/201.md?p=f) under [section 300d–11(a) of this title](/usc/42/300d–11.md?p=a) by an amount equal to the costs of detailing personnel and the fair market value of any supplies, equipment, or [services](/usc/42/201.md?p=a) provided by the [Secretary](/usc/42/201.md?p=c). The [Secretary](/usc/42/201.md?p=c) shall, for the payment of expenses incurred in complying with such request, expend the amounts withheld.

## Source credit

(July 1, 1944, ch. 373, title XII, § 1221, as added Pub. L. 101–590, § 3, Nov. 16, 1990, 104 Stat. 2926.)

## Notes

### Editorial Notes

### Prior Provisions

A prior section 300d–21, act July 1, 1944, ch. 373, title XII, § 1221, as added Oct. 21, 1976, Pub. L. 94–573, § 14(3), 90 Stat. 2718; amended Dec. 12, 1979, Pub. L. 96–142, title I, § 107(a)–(c), 93 Stat. 1069, related to programs for burn, trauma, and poison injuries, prior to repeal by Pub. L. 97–35, title IX, § 902(d)(1), (h), Aug. 13, 1981, 95 Stat. 560, 561, effective Oct. 1, 1981.