---
kind: "section"
citation: "42 U.S.C. § 300x–24"
title: "42"
title_heading: "The Public Health and Welfare"
number: "300x–24"
heading: "Requirements regarding tuberculosis and human immunodeficiency virus"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/42/300x-24"
units:
  - "Chapter 6A — Public Health Service"
  - "Subchapter XVII — Block Grants"
  - "Part B — Block Grants Regarding Mental Health and Substance Use"
  - "Subpart ii — block grants for substance use prevention, treatment, and recovery services"
---

# §300x–24. Requirements regarding tuberculosis and human immunodeficiency virus

- (a) **Tuberculosis—**
  - (1) **In general—** A [funding agreement](/usc/42/300x–8.md?p=2) for a grant under [section 300x–21 of this title](/usc/42/300x–21.md) is that the [State](/usc/42/201.md?p=f) involved will require that any entity receiving amounts from the grant for operating a [program](/usc/42/274l–1.md?p=4) of [treatment](/usc/42/11851.md?p=11) for [substance use disorders](/usc/42/300x–34.md?p=4)—
    - (A) will, directly or through arrangements with other public or [nonprofit](/usc/42/300s–3.md?p=3) private entities, routinely make available tuberculosis [services](/usc/42/201.md?p=a) to each individual receiving [treatment](/usc/42/11851.md?p=11) for such disorders; and
    - (B) in the case of an individual in need of such [treatment](/usc/42/11851.md?p=11) who is denied admission to the [program](/usc/42/274l–1.md?p=4) on the basis of the lack of the capacity of the [program](/usc/42/274l–1.md?p=4) to admit the individual, will refer the individual to another [provider](/usc/42/299b–21.md?p=8) of tuberculosis [services](/usc/42/201.md?p=a).
  - (2) **Tuberculosis services—** For purposes of [paragraph (1)](#a-1), the term “tuberculosis [services](/usc/42/201.md?p=a)”, with respect to an individual, means—
    - (A) counseling the individual with respect to tuberculosis;
    - (B) testing to determine whether the individual has contracted such disease and testing to determine the form of [treatment](/usc/42/11851.md?p=11) for the disease that is appropriate for the individual; and
    - (C) providing such [treatment](/usc/42/11851.md?p=11) to the individual.
- (b) **Human immunodeficiency virus—**
  - (1) **Requirement for certain States—** In the case of a [State](/usc/42/201.md?p=f) described in [paragraph (2)](#b-2), a [funding agreement](/usc/42/300x–8.md?p=2) for a grant under [section 300x–21 of this title](/usc/42/300x–21.md) is that—
    - (A) with respect to individuals undergoing [treatment](/usc/42/11851.md?p=11) for [substance use disorders](/usc/42/300x–34.md?p=4), the [State](/usc/42/201.md?p=f) will, subject to [paragraph (3)](#b-3), carry out 1 or more [projects](/usc/42/13641.md?p=2) to make available to the individuals early intervention [services](/usc/42/201.md?p=a) for HIV disease at the sites at which the individuals are undergoing such [treatment](/usc/42/11851.md?p=11);
    - (B) for the purpose of providing such early intervention [services](/usc/42/201.md?p=a) through such [projects](/usc/42/13641.md?p=2), the [State](/usc/42/201.md?p=f) will make available from the grant the percentage that is applicable for the [State](/usc/42/201.md?p=f) under [paragraph (4)](#b-4); and
    - (C) the [State](/usc/42/201.md?p=f) will, subject to [paragraph (5)](#b-5), carry out such [projects](/usc/42/13641.md?p=2) only in geographic areas of the [State](/usc/42/201.md?p=f) that have the greatest need for the [projects](/usc/42/13641.md?p=2).
  - (2) **Designated States—** For purposes of this subsection, a [State](/usc/42/201.md?p=f) described in this paragraph is any [State](/usc/42/201.md?p=f) whose rate of cases of acquired immune deficiency syndrome is 10 or more such cases per 100,000 individuals (as indicated by the number of such cases reported to and confirmed by the [Director](/usc/42/11851.md?p=5) of the Centers for Disease Control and Prevention for the most recent calendar year for which such data are available).
  - (3) **Use of existing programs regarding substance use disorders—** With respect to [programs](/usc/42/274l–1.md?p=4) that provide [treatment services](/usc/42/300x–34.md?p=7) for [substance use disorders](/usc/42/300x–34.md?p=4), a [funding agreement](/usc/42/300x–8.md?p=2) for a grant under [section 300x–21 of this title](/usc/42/300x–21.md) for a designated [State](/usc/42/201.md?p=f) is that each such [program](/usc/42/274l–1.md?p=4) participating in a [project](/usc/42/13641.md?p=2) under [paragraph (1)](#b-1) will be a [program](/usc/42/274l–1.md?p=4) that began operation prior to the fiscal year for which the [State](/usc/42/201.md?p=f) is applying to receive the grant. A [program](/usc/42/274l–1.md?p=4) that so began operation may participate in a [project](/usc/42/13641.md?p=2) under [paragraph (1)](#b-1) without regard to whether the [program](/usc/42/274l–1.md?p=4) has been providing early intervention [services](/usc/42/201.md?p=a) for HIV disease.
  - (4) **Applicable percentage regarding expenditures for services—**
    - (A)
      - (i) For purposes of [paragraph (1)(B)](#b-1-B), the percentage that is applicable under this paragraph for a designated [State](/usc/42/201.md?p=f) is, subject to [subparagraph (B)](#b-4-B), the percentage by which the amount of the grant under [section 300x–21 of this title](/usc/42/300x–21.md) for the [State](/usc/42/201.md?p=f) for the fiscal year involved is an increase over the amount specified in [clause (ii)](#b-4-A-ii).
      - (ii) The amount specified in this clause is the amount that was reserved by the designated [State](/usc/42/201.md?p=f) involved from the allotment of the [State](/usc/42/201.md?p=f) under section 300x–1a[^1] of this title for fiscal year 1991 in compliance with [section 300x–4(c)(6)(A)(ii)](/usc/42/300x–4.md)[^1] of this title (as such sections were in effect for such fiscal year).
    - (B) If the percentage determined under [subparagraph (A)](#b-4-A) for a designated [State](/usc/42/201.md?p=f) for a fiscal year is less than 2 percent (including a negative percentage, in the case of a [State](/usc/42/201.md?p=f) for which there is no increase for purposes of such subparagraph), the percentage applicable under this paragraph for the [State](/usc/42/201.md?p=f) is 2 percent. If the percentage so determined is 2 percent or more, the percentage applicable under this paragraph for the [State](/usc/42/201.md?p=f) is the percentage determined under [subparagraph (A)](#b-4-A), subject to not exceeding 5 percent.
  - (5) **Requirement regarding rural areas—**
    - (A) A [funding agreement](/usc/42/300x–8.md?p=2) for a grant under [section 300x–21 of this title](/usc/42/300x–21.md) for a designated [State](/usc/42/201.md?p=f) is that, if the [State](/usc/42/201.md?p=f) will carry out 2 or more [projects](/usc/42/13641.md?p=2) under [paragraph (1)](#b-1), the [State](/usc/42/201.md?p=f) will carry out 1 such [project](/usc/42/13641.md?p=2) in a rural area of the [State](/usc/42/201.md?p=f), subject to [subparagraph (B)](#b-5-B).
    - (B) The [Secretary](/usc/42/201.md?p=c) shall waive the requirement established in [subparagraph (A)](#b-5-A) if the [State](/usc/42/201.md?p=f) involved certifies to the [Secretary](/usc/42/201.md?p=c) that—
      - (i) there is insufficient demand in the [State](/usc/42/201.md?p=f) to carry out a [project](/usc/42/13641.md?p=2) under [paragraph (1)](#b-1) in any rural area of the [State](/usc/42/201.md?p=f); or
      - (ii) there are no rural areas in the [State](/usc/42/201.md?p=f).
  - (6) **Manner of providing services—** With respect to the provision of early intervention [services](/usc/42/201.md?p=a) for HIV disease to an individual, a [funding agreement](/usc/42/300x–8.md?p=2) for a grant under [section 300x–21 of this title](/usc/42/300x–21.md) for a designated [State](/usc/42/201.md?p=f) is that—
    - (A) such [services](/usc/42/201.md?p=a) will be undertaken voluntarily by, and with the informed consent of, the individual; and
    - (B) undergoing such [services](/usc/42/201.md?p=a) will not be required as a condition of receiving [treatment services](/usc/42/300x–34.md?p=7) for [substance use disorders](/usc/42/300x–34.md?p=4) or any other [services](/usc/42/201.md?p=a).
  - (7) **Definitions—** For purposes of this subsection:
    - (A) The term “designated [State](/usc/42/201.md?p=f)” means a [State](/usc/42/201.md?p=f) described in [paragraph (2)](#b-2).
    - (B) The term “early intervention [services](/usc/42/201.md?p=a)”, with respect to HIV disease, means—
      - (i) appropriate pretest counseling;
      - (ii) testing individuals with respect to such disease, including tests to confirm the presence of the disease, tests to diagnose the extent of the deficiency in the immune system, and tests to provide information on appropriate therapeutic measures for preventing and treating the deterioration of the immune system and for preventing and treating conditions arising from the disease;
      - (iii) appropriate post-test counseling; and
      - (iv) providing the therapeutic measures described in [clause (ii)](#b-7-B-ii).
    - (C) The term “HIV disease” means infection with the etiologic agent for acquired immune deficiency syndrome.
- (c) **Expenditure of grant for compliance with agreements—**
  - (1) **In general—** A grant under [section 300x–21 of this title](/usc/42/300x–21.md) may be expended for purposes of compliance with the agreements required in this section, subject to [paragraph (2)](#c-2).
  - (2) **Limitation—** A [funding agreement](/usc/42/300x–8.md?p=2) for a grant under [section 300x–21 of this title](/usc/42/300x–21.md) for a [State](/usc/42/201.md?p=f) is that the grant will not be expended to make payment for any [service](/usc/42/201.md?p=a) provided for purposes of compliance with this section to the extent that payment has been made, or can reasonably be expected to be made, with respect to such [service](/usc/42/201.md?p=a)—
    - (A) under any [State](/usc/42/201.md?p=f) compensation [program](/usc/42/274l–1.md?p=4), under any insurance policy, or under any Federal or [State](/usc/42/201.md?p=f) health benefits [program](/usc/42/274l–1.md?p=4) (including the [program](/usc/42/274l–1.md?p=4) established in title XVIII of the Social Security Act [[42 U.S.C. 1395](/usc/42/1395.md) et seq.] and the [program](/usc/42/274l–1.md?p=4) established in title XIX of such Act [[42 U.S.C. 1396](/usc/42/1396.md) et seq.]); or
    - (B) by an entity that provides health [services](/usc/42/201.md?p=a) on a prepaid basis.
- (d) **Applicability of certain provision—** [Section 300x–31 of this title](/usc/42/300x–31.md) applies to this section (and to each other provision of this subpart).

## Footnotes

[^1]: See References in Text note below.

## Source credit

(July 1, 1944, ch. 373, title XIX, § 1924, as added Pub. L. 102–321, title II, § 202, July 10, 1992, 106 Stat. 391; amended Pub. L. 114–255, div. B, title VIII, § 8002(c), Dec. 13, 2016, 130 Stat. 1229.)

## Notes

### Editorial Notes

### References in Text

Section 300x–1a of this title, referred to in subsec. (b)(4)(A)(ii), was repealed by Pub. L. 102–321, title II, § 201(2), July 10, 1992, 106 Stat. 378.

Section 300x–4 of this title, referred to in subsec. (b)(4)(A)(ii), was in the original a reference to section 1916 of act July 1, 1944, which was repealed by Pub. L. 102–321, title II, § 201(2), July 10, 1992, 106 Stat. 378. Section 201(2) of Pub. L. 102–321 enacted new sections 1915 and 1916 of act July 1, 1944, which are classified to sections 300x–4 and 300x–5, respectively, of this title.

The Social Security Act, referred to in subsec. (c)(2)(A), is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Titles XVIII and XIX of the Act are classified generally to subchapters XVIII (§ 1395 et seq.) and 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 1924 of act July 1, 1944, was classified to section 300x–10 of this title prior to repeal by Pub. L. 102–321.

Another prior section 1924 of act July 1, 1944, was classified to section 300y–3 of this title prior to repeal by Pub. L. 99–280.

### Amendments

2016—Subsec. (a)(1). Pub. L. 114–255, § 8002(c)(1)(A), substituted “substance use disorders” for “substance abuse” in introductory provisions.

Subsec. (a)(1)(A). Pub. L. 114–255, § 8002(c)(1)(B), substituted “such disorders” for “such abuse”.

Subsec. (b)(1)(A). Pub. L. 114–255, § 8002(c)(2)(A), substituted “substance use disorders” for “substance abuse”.

Subsec. (b)(2). Pub. L. 114–255, § 8002(c)(2)(B), inserted “and Prevention” after “Disease Control”.

Subsec. (b)(3). Pub. L. 114–255, § 8002(c)(2)(C), substituted “use disorders” for “abuse” in heading and “substance use disorders” for “substance abuse” in text.

Subsec. (b)(6)(B). Pub. L. 114–255, § 8002(c)(2)(D), substituted “substance use disorders” for “substance abuse”.

Subsecs. (d), (e). Pub. L. 114–255, § 8002(c)(3), (4), redesignated subsec. (e) as (d) and struck out former subsec. (d). Prior to amendment, text of subsec. (d) read as follows: “With respect to services provided for by a State for purposes of compliance with this section, a funding agreement for a grant under section 300x–21 of this title is that the State will maintain expenditures of non-Federal amounts for such services at a level that is not less than average level of such expenditures maintained by the State for 2-year period preceding the first fiscal year for which the State receives such a grant.”

### Statutory Notes and Related Subsidiaries

### Change of Name

Centers for Disease Control changed to Centers for Disease Control and Prevention by Pub. L. 102–531, title III, § 312, Oct. 27, 1992, 106 Stat. 3504.