---
kind: "section"
citation: "42 U.S.C. § 300x–53"
title: "42"
title_heading: "The Public Health and Welfare"
number: "300x–53"
heading: "Additional requirements"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/42/300x-53"
units:
  - "Chapter 6A — Public Health Service"
  - "Subchapter XVII — Block Grants"
  - "Part B — Block Grants Regarding Mental Health and Substance Use"
  - "Subpart iii — general provisions"
---

# §300x–53. Additional requirements

- (a) **In general—** A [funding agreement](/usc/42/300x–8.md?p=2) for a grant under section [300x](/usc/42/300x.md) or [300x–21](/usc/42/300x–21.md) of this title is that the [State](/usc/42/201.md?p=f) involved will—
  - (1)
    - (A) for the fiscal year for which the grant involved is provided, provide for independent peer review to assess the quality, appropriateness, and efficacy of [treatment services](/usc/42/300x–34.md?p=7) provided in the [State](/usc/42/201.md?p=f) to individuals under the [program involved](/usc/42/300x–64.md?p=a-1); and
    - (B) ensure that, in the conduct of such peer review, not fewer than 5 percent of the entities providing [services](/usc/42/201.md?p=a) in the [State](/usc/42/201.md?p=f) under such [program](/usc/42/274l–1.md?p=4) are reviewed (which 5 percent is representative of the total population of such entities);
  - (2) permit and cooperate with Federal investigations undertaken in accordance with [section 300x–55 of this title](/usc/42/300x–55.md); and
  - (3) provide to the [Secretary](/usc/42/201.md?p=c) any data required by the [Secretary](/usc/42/201.md?p=c) pursuant to subsections (c) and (d) of [section 290aa–4 of this title](/usc/42/290aa–4.md) and will cooperate with the [Secretary](/usc/42/201.md?p=c) in the development of uniform criteria for the collection of data pursuant to such section.
- (b) **Patient records—** The [Secretary](/usc/42/201.md?p=c) may make a grant under section [300x](/usc/42/300x.md) or [300x–21](/usc/42/300x–21.md) of this title only if the [State](/usc/42/201.md?p=f) involved has in effect a system to protect from inappropriate disclosure patient records maintained by the [State](/usc/42/201.md?p=f) in connection with an activity funded under the [program involved](/usc/42/300x–64.md?p=a-1) or by any entity which is receiving amounts from the grant.

## Source credit

(July 1, 1944, ch. 373, title XIX, § 1943, as added Pub. L. 102–321, title II, § 203(a), July 10, 1992, 106 Stat. 404; amended Pub. L. 102–352, § 2(a)(12), Aug. 26, 1992, 106 Stat. 939; Pub. L. 114–255, div. B, title VIII, § 8003(1), Dec. 13, 2016, 130 Stat. 1232.)

## Notes

### Editorial Notes

### Amendments

2016—Subsec. (a)(3). Pub. L. 114–255 substituted “subsections (c) and (d) of section 290aa–4 of this title” for “section 290aa–4 of this title”.

1992—Subsec. (a)(3). Pub. L. 102–352 substituted “section 290aa–4 of this title” for “section 290bb–21 of this title”.

### Statutory Notes and Related Subsidiaries

### Effective Date of 1992 Amendment

Amendment by Pub. L. 102–352 effective immediately upon effectuation of amendment made by Pub. L. 102–321, see section 3(1) of Pub. L. 102–352, set out as a note under section 285n of this title.