---
kind: "section"
citation: "42 U.S.C. § 300s–6"
title: "42"
title_heading: "The Public Health and Welfare"
number: "300s–6"
heading: "Enforcement of assurances"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/42/300s-6"
units:
  - "Chapter 6A — Public Health Service"
  - "Subchapter XIV — Health Resources Development"
  - "Part C — General Provisions"
---

# §300s–6. Enforcement of assurances


The [Secretary](/usc/42/201.md?p=c) shall investigate and ascertain, on a periodic basis, with respect to each entity which is receiving financial assistance under this subchapter or which has received financial assistance under subchapter IV or this subchapter, the extent of compliance by such entity with the assurances required to be made at the time such assistance was received. If the [Secretary](/usc/42/201.md?p=c) finds that such an entity has failed to comply with any such assurance, the [Secretary](/usc/42/201.md?p=c) shall report such noncompliance to the [health systems agency](/usc/42/300e–1.md?p=6) for the health [service](/usc/42/201.md?p=a) area in which such entity is located and the [State](/usc/42/201.md?p=f) health planning and development [agency](/usc/42/8262.md?p=1) of the [State](/usc/42/201.md?p=f) in which the entity is located and shall take any action authorized by law (including an action for specific performance brought by the Attorney General upon request of the [Secretary](/usc/42/201.md?p=c)) which will effect compliance by the entity with such assurances. An action to effectuate compliance with any such assurance may be brought by a person other than the [Secretary](/usc/42/201.md?p=c) only if a complaint has been filed by such person with the [Secretary](/usc/42/201.md?p=c) and the [Secretary](/usc/42/201.md?p=c) has dismissed such complaint or the Attorney General has not brought a civil action for compliance with such assurance within six months after the date on which the complaint was filed with the [Secretary](/usc/42/201.md?p=c).


## Source credit

(July 1, 1944, ch. 373, title XVI, § 1627, as added Pub. L. 96–79, title II, § 202(c), Oct. 4, 1979, 93 Stat. 634.)

## Notes

### Statutory Notes and Related Subsidiaries

### Effective Date

Section effective Oct. 1, 1979, see section 204 of Pub. L. 96–79, set out as an Effective Date of 1979 Amendment note under section 300q of this title.