---
kind: "section"
citation: "42 U.S.C. § 300l"
title: "42"
title_heading: "The Public Health and Welfare"
number: "300l"
heading: "Requirement of matching funds"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/42/300l"
units:
  - "Chapter 6A — Public Health Service"
  - "Subchapter XIII — Preventive Health Measures with Respect to Breast and Cervical Cancers"
---

# §300l. Requirement of matching funds

- (a) **In general—** The [Secretary](/usc/42/201.md?p=c) may not make a grant under [section 300k of this title](/usc/42/300k.md) unless the [State](/usc/42/201.md?p=f) involved agrees, with respect to the costs to be incurred by the [State](/usc/42/201.md?p=f) in carrying out the purpose described in such section, to make available non-Federal contributions (in cash or in kind under [subsection (b)](#b)) toward such costs in an amount equal to not less than $1 for each $3 of Federal funds provided in the grant. Such contributions may be made directly or through donations from public or private entities.
- (b) **Determination of amount of non-Federal contribution—**
  - (1) **In general—** Non-Federal contributions required in [subsection (a)](#a) may be in cash or in kind, fairly evaluated, including equipment or [services](/usc/42/201.md?p=a) (and excluding indirect or overhead costs). Amounts provided by the Federal Government, or [services](/usc/42/201.md?p=a) assisted or subsidized to any significant extent by the Federal Government, may not be included in determining the amount of such non-Federal contributions.
  - (2) **Maintenance of effort—** In making a determination of the amount of non-Federal contributions for purposes of [subsection (a)](#a), the [Secretary](/usc/42/201.md?p=c) may include only non-Federal contributions in excess of the average amount of non-Federal contributions made by the [State](/usc/42/201.md?p=f) involved toward the purpose described in [section 300k of this title](/usc/42/300k.md) for the 2-year period preceding the first fiscal year for which the [State](/usc/42/201.md?p=f) is applying to receive a grant under such section.
  - (3) **Inclusion of relevant non-Federal contributions for medicaid—** In making a determination of the amount of non-Federal contributions for purposes of [subsection (a)](#a), the [Secretary](/usc/42/201.md?p=c) shall, subject to paragraphs (1) and (2) of this subsection, include any non-Federal amounts expended pursuant to title XIX of the Social Security Act [[42 U.S.C. 1396](/usc/42/1396.md) et seq.] by the [State](/usc/42/201.md?p=f) involved toward the purpose described in paragraphs (1) and (2) of [section 300k(a) of this title](/usc/42/300k.md?p=a).

## Source credit

(July 1, 1944, ch. 373, title XV, § 1502, as added Pub. L. 101–354, § 2, Aug. 10, 1990, 104 Stat. 410.)

## Notes

### Editorial Notes

### References in Text

The Social Security Act, referred to in subsec. (b)(3), is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Title XIX of the Social Security Act is classified generally to subchapter XIX (§ 1396 et seq.) of chapter 7 of this title. For complete classification of this Act to the Code, see section 1305 of this title and Tables.

### Prior Provisions

A prior section 300l, act July 1, 1944, ch. 373, title XV, § 1511, as added Jan. 4, 1975, Pub. L. 93–641, § 3, 88 Stat. 2229; amended Apr. 22, 1976, Pub. L. 94–278, title XI, § 1106(a), 90 Stat. 416; Aug. 1, 1977, Pub. L. 95–83, title I, § 106(b), 91 Stat. 384; Oct. 4, 1979, Pub. L. 96–79, title I, § 104(a)(1), (b), 93 Stat. 595, 596, related to establishment of health service areas, prior to repeal by Pub. L. 99–660, title VII, § 701(a), Nov. 14, 1986, 100 Stat. 3799, effective Jan. 1, 1987.

A prior section 1502 of act July 1, 1944, ch. 373, title XV, was classified to section 300k–2 of this title prior to repeal by Pub. L. 99–660.