---
kind: "section"
citation: "42 U.S.C. § 300ff–20"
title: "42"
title_heading: "The Public Health and Welfare"
number: "300ff–20"
heading: "Authorization of appropriations"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/42/300ff-20"
units:
  - "Chapter 6A — Public Health Service"
  - "Subchapter XXIV — Hiv Health Care Services Program"
  - "Part A — Emergency Relief for Areas With Substantial Need for Services"
  - "Subpart iii — general provisions"
---

# §300ff–20. Authorization of appropriations

- (a) **In general—** For the purpose of carrying out this part, there are authorized to be appropriated $604,000,000 for fiscal year 2007, $626,300,000 for fiscal year 2008, $649,500,000 for fiscal year 2009, $681,975,000 for fiscal year 2010, $716,074,000 for fiscal year 2011, $751,877,000 for fiscal year 2012, and $789,471,000 for fiscal year 2013. Amounts appropriated under the preceding sentence for a fiscal year are available for obligation by the [Secretary](/usc/42/201.md?p=c) until the end of the second succeeding fiscal year.
- (b) **Reservation of amounts—**
  - (1) **Fiscal year 2007—** Of the amount appropriated under [subsection (a)](#a) for fiscal year 2007, the [Secretary](/usc/42/201.md?p=c) shall reserve—
    - (A) $458,310,000 for grants under subpart I; and
    - (B) $145,690,000 for grants under [section 300ff–19 of this title](/usc/42/300ff–19.md).
  - (2) **Subsequent fiscal years—** Of the amount appropriated under [subsection (a)](#a) for fiscal year 2008 and each subsequent fiscal year—
    - (A) the [Secretary](/usc/42/201.md?p=c) shall reserve an amount for grants under subpart I; and
    - (B) the [Secretary](/usc/42/201.md?p=c) shall reserve an amount for grants under [section 300ff–19 of this title](/usc/42/300ff–19.md).
- (c) **Transfer of certain amounts; change in status as eligible area or transitional area—** Notwithstanding [subsection (b)](#b):
  - (1) If a [metropolitan area](/usc/42/300ff–17.md?p=2) is an [eligible area](/usc/42/300ff–17.md?p=1) under subpart I for a fiscal year, but for a subsequent fiscal year ceases to be an [eligible area](/usc/42/300ff–17.md?p=1) by reason of [section 300ff–11(b) of this title](/usc/42/300ff–11.md?p=b)—
    - (A)
      - (i) the amount reserved under paragraph [(1)(A)](#b-1-A) or [(2)(A)](#b-2-A) of subsection (b) of this section for the first such subsequent year of not being an [eligible area](/usc/42/300ff–17.md?p=1) is deemed to be reduced by an amount equal to the amount of the grant made pursuant to [section 300ff–13(a) of this title](/usc/42/300ff–13.md?p=a) for the [metropolitan area](/usc/42/300ff–17.md?p=2) for the preceding fiscal year; and
      - (ii)
        - (I) if the [metropolitan area](/usc/42/300ff–17.md?p=2) qualifies for such first subsequent fiscal year as a transitional area under 300ff–19[^1] of this title, the amount reserved under paragraph [(1)(B)](#b-1-B) or [(2)(B)](#b-2-B) of subsection (b) for such fiscal year is deemed to be increased by an amount equal to the amount of the reduction under [subparagraph (A)](#c-1-A) for such year; or
        - (II) if the [metropolitan area](/usc/42/300ff–17.md?p=2) does not qualify for such first subsequent fiscal year as a transitional area under 300ff–19[^1] of this title, an amount equal to the amount of such reduction is, notwithstanding [subsection (a)](#a), transferred and made available for grants pursuant to [section 300ff–28(a)(1) of this title](/usc/42/300ff–28.md?p=a-1), in addition to amounts available for such grants under [section 300ff–31b of this title](/usc/42/300ff–31b.md); and
    - (B) if a transfer under [subparagraph (A)(ii)(II)](#c-1-A-ii-II) is made with respect to the [metropolitan area](/usc/42/300ff–17.md?p=2) for such first subsequent fiscal year, then—
      - (i) the amount reserved under paragraph [(1)(A)](#b-1-A) or [(2)(A)](#b-2-A) of subsection (b) of this section for such year is deemed to be reduced by an additional $500,000; and
      - (ii) an amount equal to the amount of such additional reduction is, notwithstanding [subsection (a)](#a), transferred and made available for grants pursuant to [section 300ff–28(a)(1) of this title](/usc/42/300ff–28.md?p=a-1), in addition to amounts available for such grants under [section 300ff–31b of this title](/usc/42/300ff–31b.md).
  - (2) If a [metropolitan area](/usc/42/300ff–17.md?p=2) is a transitional area under [section 300ff–19 of this title](/usc/42/300ff–19.md) for a fiscal year, but for a subsequent fiscal year ceases to be a transitional area by reason of [section 300ff–19(c)(2) of this title](/usc/42/300ff–19.md?p=c-2) (and does not qualify for such subsequent fiscal year as an [eligible area](/usc/42/300ff–17.md?p=1) under subpart I)—
    - (A) the amount reserved under [subsection (b)(2)(B)](#b-2-B) of this section for the first such subsequent fiscal year of not being a transitional area is deemed to be reduced by an amount equal to the total of—
      - (i) the amount of the grant that, pursuant to [section 300ff–13(a) of this title](/usc/42/300ff–13.md?p=a), was made under [section 300ff–19(d)(2)(A) of this title](/usc/42/300ff–19.md?p=d-2-A) for the [metropolitan area](/usc/42/300ff–17.md?p=2) for the preceding fiscal year; and
      - (ii) $500,000; and
    - (B)
      - (i) subject to [clause (ii)](#c-2-B-ii), an amount equal to the amount of the reduction under [subparagraph (A)](#c-2-A) for such year is, notwithstanding [subsection (a)](#a), transferred and made available for grants pursuant to [section 300ff–28(a)(1) of this title](/usc/42/300ff–28.md?p=a-1), in addition to amounts available for such grants under [section 300ff–31b of this title](/usc/42/300ff–31b.md); and
      - (ii) for each of fiscal years 2010 through 2013, notwithstanding [subsection (a)](#a)—
        - (I) there shall be transferred to the [State](/usc/42/201.md?p=f) containing the [metropolitan area](/usc/42/300ff–17.md?p=2), for purposes described in [section 300ff–22(a) of this title](/usc/42/300ff–22.md?p=a), an amount (which shall not be taken into account in applying [section 300ff–28(a)(2)(H) of this title](/usc/42/300ff–28.md?p=a-2-H)) equal to—
          - (aa) for the first fiscal year of the [metropolitan area](/usc/42/300ff–17.md?p=2) not being a transitional area, 75 percent of the amount described in [subparagraph (A)(i)](#c-2-A-i) for such area;
          - (bb) for the second fiscal year of the [metropolitan area](/usc/42/300ff–17.md?p=2) not being a transitional area, 50 percent of such amount; and
          - (cc) for the third fiscal year of the [metropolitan area](/usc/42/300ff–17.md?p=2) not being a transitional area, 25 percent of such amount; and
        - (II) there shall be transferred and made available for grants pursuant to [section 300ff–28(a)(1) of this title](/usc/42/300ff–28.md?p=a-1) for the fiscal year, in addition to amounts available for such grants under [section 300ff–31b of this title](/usc/42/300ff–31b.md), an amount equal to the total amount of the reduction for such fiscal year under [subparagraph (A)](#c-2-A), less the amount transferred for such fiscal year under [subclause (I)](#c-2-B-ii-I).
  - (3) If a [metropolitan area](/usc/42/300ff–17.md?p=2) is a transitional area under [section 300ff–19 of this title](/usc/42/300ff–19.md) for a fiscal year, but for a subsequent fiscal year qualifies as an [eligible area](/usc/42/300ff–17.md?p=1) under subpart I—
    - (A) the amount reserved under [subsection (b)(2)(B)](#b-2-B) of this section for the first such subsequent fiscal year of becoming an [eligible area](/usc/42/300ff–17.md?p=1) is deemed to be reduced by an amount equal to the amount of the grant that, pursuant to [section 300ff–13(a) of this title](/usc/42/300ff–13.md?p=a), was made under [section 300ff–19(d)(2)(A) of this title](/usc/42/300ff–19.md?p=d-2-A) for the [metropolitan area](/usc/42/300ff–17.md?p=2) for the preceding fiscal year; and
    - (B) the amount reserved under [subsection (b)(2)(A)](#b-2-A) for such fiscal year is deemed to be increased by an amount equal to the amount of the reduction under [subparagraph (A)](#c-3-A) for such year.
- (d) **Certain transfers; allocations between programs under subpart I—** With respect to paragraphs [(1)(B)(i)](#c-1-B-i) and [(2)(A)(ii)](#c-2-A-ii) of subsection (c), the [Secretary](/usc/42/201.md?p=c) shall administer any reductions under such paragraphs for a fiscal year in accordance with the following:
  - (1) The reductions shall be made from amounts available for the single [program](/usc/42/274l–1.md?p=4) referred to in [section 300ff–19(d)(2)(C) of this title](/usc/42/300ff–19.md?p=d-2-C) (relating to supplemental grants).
  - (2) The reductions shall be made before the amounts referred to in [paragraph (1)](#d-1) are used for purposes of [section 300ff–13(a)(4) of this title](/usc/42/300ff–13.md?p=a-4).
  - (3) If the amounts referred to in [paragraph (1)](#d-1) are not sufficient for making all the reductions, the reductions shall be reduced until the total amount of the reductions equals the total of the amounts referred to in such paragraph.
- (e) **Rules of construction regarding first subsequent fiscal year—** Paragraphs [(1)](#c-1) and [(2)](#c-2) of subsection (c) apply with respect to each series of fiscal years during which a [metropolitan area](/usc/42/300ff–17.md?p=2) is an [eligible area](/usc/42/300ff–17.md?p=1) under subpart I or a transitional area under [section 300ff–19 of this title](/usc/42/300ff–19.md) for a fiscal year and then for a subsequent fiscal year ceases to be such an area by reason of section [300ff–11(b)](/usc/42/300ff–11.md?p=b) or [300ff–19(c)(2)](/usc/42/300ff–19.md?p=c-2) of this title, respectively, rather than applying to a single such series. [Paragraph (3)](#c-3) of subsection (c) applies with respect to each series of fiscal years during which a [metropolitan area](/usc/42/300ff–17.md?p=2) is a transitional area under [section 300ff–19 of this title](/usc/42/300ff–19.md) for a fiscal year and then for a subsequent fiscal year becomes an [eligible area](/usc/42/300ff–17.md?p=1) under subpart I, rather than applying to a single such series.

## Footnotes

[^1]: So in original. Probably should be preceded by “section”.

## Source credit

(July 1, 1944, ch. 373, title XXVI, § 2610, as added and amended Pub. L. 109–415, title I, § 108, title VII, § 703, Dec. 19, 2006, 120 Stat. 2783, 2820; Pub. L. 111–87, §§ 2(a)(1), (3)(A), (b), 4(b), Oct. 30, 2009, 123 Stat. 2885, 2889.)

## Notes

### Editorial Notes

### Amendments

2009—Pub. L. 111–87, § 2(a)(1), (3)(A), repealed Pub. L. 109–415, § 703, and revived the provisions of this section as in effect on Sept. 30, 2009. See 2006 Amendment note and Effective Date of 2009 Amendment; Revival of Section note below.

Subsec. (a). Pub. L. 111–87, § 2(b), substituted “$649,500,000 for fiscal year 2009, $681,975,000 for fiscal year 2010, $716,074,000 for fiscal year 2011, $751,877,000 for fiscal year 2012, and $789,471,000 for fiscal year 2013” for “and $649,500,000 for fiscal year 2009”.

Subsec. (c)(2)(B). Pub. L. 111–87, § 4(b), designated existing provisions as cl. (i), inserted “subject to clause (ii),” before “an amount equal to the amount”, and added cl. (ii).

2006—Pub. L. 109–415, § 703, which directed repeal of this section effective Oct. 1, 2009, was itself repealed by Pub. L. 111–87, § 2(a)(1), effective Sept. 30, 2009.

### Statutory Notes and Related Subsidiaries

### Effective Date of 2009 Amendment; Revival of Section

For provisions that repeal by section 2(a)(1) of Pub. L. 111–87 of section 703 of Pub. L. 109–415 be effective Sept. 30, 2009, that the provisions of this section as in effect on Sept. 30, 2009, be revived, and that amendment by sections 2(b) and 4(b) of Pub. L. 111–87 be applicable to this section as so revived and effective as if enacted on Sept. 30, 2009, see section 2(a)(2), (3) of Pub. L. 111–87, set out as a note under section 300ff–11 of this title.