§ 300w-3. Use of allotments
(a)
Preventive health services, comprehensive public health services, emergency medical services, etc.
(1)
Except as provided in subsections (b) and (c) of this section, payments made to a State under section
300w–2 of this title may be used for the following:
(A)
Activities consistent with making progress toward achieving the objectives established by the Secretary for the health status of the population of the United States for the year 2000 (in this part referred to as “year 2000 health objectives”).
(B)
Preventive health service programs for the control of rodents and for community and school-based fluoridation programs.
(C)
Feasibility studies and planning for emergency medical services systems and the establishment, expansion, and improvement of such systems. Amounts for such systems may not be used for the costs of the operation of the systems or the purchase of equipment for the systems, except that such amounts may be used for the payment of not more than 50 percent of the costs of purchasing communications equipment for the systems. Amounts may be expended for feasibility studies or planning for the trauma-care components of such systems only if the studies or planning, respectively, is consistent with the requirements of section
300d–13
(a) of this title.
(E)
The establishment, operation, and coordination of effective and cost-efficient systems to reduce the prevalence of illness due to asthma and asthma-related illnesses, especially among children, by reducing the level of exposure to cockroach allergen or other known asthma triggers through the use of integrated pest management, as applied to cockroaches or other known allergens. Amounts expended for such systems may include the costs of building maintenance and the costs of programs to promote community participation in the carrying out at such sites of integrated pest management, as applied to cockroaches or other known allergens. For purposes of this subparagraph, the term “integrated pest management” means an approach to the management of pests in public facilities that combines biological, cultural, physical, and chemical tools in a way that minimizes economic, health, and environmental risks.
(b)
Prohibited uses
A State may not use amounts paid to it under section
300w–2 of this title to—
(3)
purchase or improve land, purchase, construct, or permanently improve (other than minor remodeling) any building or other facility, or purchase major medical equipment,
(4)
satisfy any requirement for the expenditure of non-Federal funds as a condition for the receipt of Federal funds, or
Except as provided in subsection (a)(1)(E) of this section, the Secretary may waive the limitation contained in paragraph (3) upon the request of a State if the Secretary finds that there are extraordinary circumstances to justify the waiver and that granting the waiver will assist in carrying out this part.
(c)
Transfer of funds
A State may transfer not more than 7 percent of the amount allotted to the State under section
300w–1
(a) of this title for any fiscal year for use by the State under part B of this subchapter and title V of the Social Security Act [42 U.S.C. 701 et seq.] in such fiscal year as follows: At any time in the first three quarters of the fiscal year a State may transfer not more than 3 percent of the allotment of the State for the fiscal year for such use, and in the last quarter of a fiscal year a State may transfer for such use not more than the remainder of the amount of its allotment which may be transferred.
(d)
Limitation on administrative costs
Of the amount paid to any State under section
300w–2 of this title, not more than 10 percent paid from each of its allotments under subsections (a) and (b) of section
300w–1 of this title may be used for administering the funds made available under section
300w–2 of this title. The State will pay from non-Federal sources the remaining costs of administering such funds.