1. (a) Purpose It is the purpose of this section to establish a Community Health Center Fund (referred to in this section as the “CHC Fund”), to be administered through the Office of the Secretary of the Department of Health and Human Services to provide for expanded and sustained national investment in community health centers under section 254b of this title and the National Health Service Corps.

2. (b) Funding There is authorized to be appropriated, and there is appropriated, out of any monies in the Treasury not otherwise appropriated, to the CHC Fund—

   1. (1) to be transferred to the Secretary of Health and Human Services to provide enhanced funding for the community health center program under section 254b of this title—

      1. (A) $1,000,000,000 for fiscal year 2011;
      2. (B) $1,200,000,000 for fiscal year 2012;
      3. (C) $1,500,000,000 for fiscal year 2013;
      4. (D) $2,200,000,000 for fiscal year 2014;
      5. (E) $3,600,000,000 for each of fiscal years 2015 through 2017;
      6. (F) $3,800,000,000 for fiscal year 2018;
      7. (G) $4,000,000,000 for each of fiscal years 2019 through 2023;
      8. (H) $4,236,712,328 for fiscal year 2024;
      9. (I) $4,295,287,671 for fiscal year 2025;
      10. (J) $4,600,000,000 for fiscal year 2026; and
      11. (K) $1,159,452,055 for the period beginning on October 1, 2026, and ending on December 31, 2026; and

   2. (2) to be transferred to the Secretary of Health and Human Services to provide enhanced funding for the National Health Service Corps—

      1. (A) $290,000,000 for fiscal year 2011;
      2. (B) $295,000,000 for fiscal year 2012;
      3. (C) $300,000,000 for fiscal year 2013;
      4. (D) $305,000,000 for fiscal year 2014;
      5. (E) $310,000,000 for each of fiscal years 2015 through 2017;
      6. (F) $310,000,000 for each of fiscal years 2018 and 2019;
      7. (G) $310,000,000 for fiscal year 2020;
      8. (H) $310,000,000 for each of fiscal years 2021 through 2023;
      9. (I) $341,208,605 for fiscal year 2024;
      10. (J) $349,736,600 for fiscal year 2025;
      11. (K) $350,000,000 for fiscal year 2026; and
      12. (L) $88,219,178 for the period beginning on October 1, 2026, and ending on December 31, 2026.
3. (c) Construction There is authorized to be appropriated, and there is appropriated, out of any monies in the Treasury not otherwise appropriated, $1,500,000,000 to be available for fiscal years 2011 through 2015 to be used by the Secretary of Health and Human Services for the construction and renovation of community health centers.
4. (d) Use of fund The Secretary of Health and Human Services shall transfer amounts in the CHC Fund to accounts within the Department of Health and Human Services to increase funding, over the fiscal year 2008 level, for community health centers and the National Health Service Corps.
5. (e) Availability Amounts appropriated under subsections (b) and (c) shall remain available until expended.

(Pub. L. 111–148, title X, § 10503, Mar. 23, 2010, 124 Stat. 1004; Pub. L. 111–152, title II, § 2303, Mar. 30, 2010, 124 Stat. 1083; Pub. L. 114–10, title II, § 221(a), Apr. 16, 2015, 129 Stat. 154; Pub. L. 115–96, div. C, title I, § 3101(a), (b), Dec. 22, 2017, 131 Stat. 2048; Pub. L. 115–123, div. E, title IX, § 50901(a), (c), Feb. 9, 2018, 132 Stat. 282, 287; Pub. L. 116–59, div. B, title I, § 1101(a), (b), Sept. 27, 2019, 133 Stat. 1102; Pub. L. 116–69, div. B, title I, § 1101(a), (b), Nov. 21, 2019, 133 Stat. 1136; Pub. L. 116–94, div. N, title I, § 401(a), (b), Dec. 20, 2019, 133 Stat. 3113; Pub. L. 116–136, div. A, title III, § 3831(a), (b), Mar. 27, 2020, 134 Stat. 433; Pub. L. 116–159, div. C, title I, § 2101(a), (b), Oct. 1, 2020, 134 Stat. 728; Pub. L. 116–215, div. B, title II, § 1201(a), (b), Dec. 11, 2020, 134 Stat. 1044; Pub. L. 116–260, div. BB, title III, § 301(a), (b), Dec. 27, 2020, 134 Stat. 2922; Pub. L. 118–15, div. B, title III, § 2321(b), (c), Sept. 30, 2023, 137 Stat. 94, 95; Pub. L. 118–22, div. B, title II, § 201(b), (c), Nov. 17, 2023, 137 Stat. 119, 120; Pub. L. 118–35, div. B, title I, § 101(b), (c), Jan. 19, 2024, 138 Stat. 4; Pub. L. 118–42, div. G, title I, § 101(a), (b), Mar. 9, 2024, 138 Stat. 397; Pub. L. 118–158, div. C, title I, § 3101(a), (b), Dec. 21, 2024, 138 Stat. 1762; Pub. L. 119–4, div. B, title I, § 2101(a), (b), Mar. 15, 2025, 139 Stat. 40; Pub. L. 119–37, div. F, title I, § 6101(a), (b), Nov. 12, 2025, 139 Stat. 629; Pub. L. 119–75, div. J, title IV, § 6401, Feb. 3, 2026, 140 Stat. 686.)

Editorial Notes

Codification

Section was enacted as part of the Patient Protection and Affordable Care Act, and not as part of the Public Health Service Act which comprises this chapter.

Amendments

2026—Subsec. (b)(1)(H) to (K). Pub. L. 119–75, § 6401(a), added subpars. (H) to (K) and struck out former subpars. (H) to (K) whcih read as follows: “

(H) $526,027,397 for the period beginning on October 1, 2023, and ending on November 17, 2023, $690,410,959 for the period beginning on November 18, 2023, and ending on January 19, 2024, $536,986,301 for the period beginning on January 20, 2024, and ending on March 8, 2024, and $3,592,328,767 for the period beginning on October 1, 2023, and ending on December 31, 2024;

“(I) $1,050,410,959 for the period beginning on January 1, 2025, and ending on March 31, 2025;

“(J) $2,135,835,616 for the period beginning on April 1, 2025, and ending on September 30, 2025; and

“(K) $1,423,890,411 for the period beginning on October 1, 2025, and ending on January 30, 2026; and”.

Subsec. (b)(2)(I) to (L). Pub. L. 119–75, § 6401(b), added subpars. (I) to (L) and struck out former subpars. (I) to (L) which read as follows:

“(I) $40,767,123 for the period beginning on October 1, 2023, and ending on November 17, 2023, $53,506,849 for the period beginning on November 18, 2023, and ending on January 19, 2024, $41,616,438 for the period beginning on January 20, 2024, and ending on March 8, 2024, and $297,013,699 for the period beginning on October 1, 2023, and ending on December 31, 2024;

“(J) $85,068,493 for the period beginning on January 1, 2025, and ending on March 31, 2025;

“(K) $172,972,603 for the period beginning on April 1, 2025, and ending on September 30, 2025; and

“(L) $115,315,068 for the period beginning on October 1, 2025, and ending on January 30, 2026.”

2025—Subsec. (b)(1)(J). Pub. L. 119–4, § 2101(a), added subpar. (J).

Subsec. (b)(1)(K). Pub. L. 119–37, § 6101(a), added subpar. (K).

Subsec. (b)(2)(K). Pub. L. 119–4, § 2101(b), added subpar. (K).

Subsec. (b)(2)(L). Pub. L. 119–37, § 6101(b), added subpar. (L).

2024—Subsec. (b)(1)(F). Pub. L. 118–158, § 3101(a)(2), substituted semicolon for “, $4,000,000,000 for each of fiscal years 2019 through 2023, $526,027,397 for the period beginning on October 1, 2023, and ending on November 17, 2023, $690,410,959 for the period beginning on November 18, 2023, and ending on January 19, 2024, $536,986,301 for the period beginning on January 20, 2024, and ending on March 8, 2024, and $3,592,328,767 for the period beginning on October 1, 2023, and ending on December 31, 2024; and”.

Pub. L. 118–42, § 101(a), substituted “$536,986,301 for the period beginning on January 20, 2024, and ending on March 8, 2024, and $3,592,328,767 for the period beginning on October 1, 2023, and ending on December 31, 2024” for “and $536,986,301 for the period beginning on January 20, 2024, and ending on March 8, 2024”.

Pub. L. 118–35, § 101(b), substituted “$690,410,959 for the period beginning on November 18, 2023, and ending on January 19, 2024, and $536,986,301 for the period beginning on January 20, 2024, and ending on March 8, 2024” for “and $690,410,959 for the period beginning on November 18, 2023, and ending on January 19, 2024”.

Subsec. (b)(1)(G) to (I). Pub. L. 118–158, § 3101(a)(1), (3), added subpars. (G) to (I).

Subsec. (b)(2)(I). Pub. L. 118–42, § 101(b), substituted “$41,616,438 for the period beginning on January 20, 2024, and ending on March 8, 2024, and $297,013,699 for the period beginning on October 1, 2023, and ending on December 31, 2024” for “and $41,616,438 for the period beginning on January 20, 2024, and ending on March 8, 2024”.

Pub. L. 118–35, § 101(c), substituted “$53,506,849 for the period beginning on November 18, 2023, and ending on January 19, 2024, and $41,616,438 for the period beginning on January 20, 2024, and ending on March 8, 2024” for “and $53,506,849 for the period beginning on November 18, 2023, and ending on January 19, 2024”.

Subsec. (b)(2)(J). Pub. L. 118–158, § 3101(b), added subpar. (J).

2023—Subsec. (b)(1)(F). Pub. L. 118–22, § 201(b), substituted “$526,027,397 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $690,410,959 for the period beginning on November 18, 2023, and ending on January 19, 2024” for “and $526,027,397 for the period beginning on October 1, 2023, and ending on November 17, 2023”.

Pub. L. 118–15, § 2321(b), substituted “, $4,000,000,000” for “and $4,000,000,000” and inserted “, and $526,027,397 for the period beginning on October 1, 2023, and ending on November 17, 2023” before the semicolon.

Subsec. (b)(2)(I). Pub. L. 118–22, § 201(c), substituted “$40,767,123 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $53,506,849 for the period beginning on November 18, 2023, and ending on January 19, 2024” for “$40,767,123 for the period beginning on October 1, 2023, and ending on November 17, 2023”.

Pub. L. 118–15, § 2321(c), added subpar. (I).

2020—Subsec. (b)(1)(F). Pub. L. 116–260, § 301(a), substituted “and $4,000,000,000 for each of fiscal years 2019 through 2023” for “, $4,000,000,000 for fiscal year 2019, $4,000,000,000 for fiscal year 2020, and $865,753,425 for the period beginning on October 1, 2020, and ending on December 18, 2020”.

Pub. L. 116–215, § 1201(a), substituted “$865,753,425” for “$789,041,096” and “December 18, 2020” for “December 11, 2020”.

Pub. L. 116–159, § 2101(a), substituted “$789,041,096” for “$668,493,151” and “December 11, 2020” for “November 30, 2020”.

Pub. L. 116–136, § 3831(a), substituted “$4,000,000,000 for fiscal year 2020, and $668,493,151 for the period beginning on October 1, 2020, and ending on November 30, 2020” for “and $2,575,342,466 for the period beginning on October 1, 2019, and ending on May 22, 2020”.

Subsec. (b)(2)(G). Pub. L. 116–136, § 3831(b), added subpar. (G) and struck out former subpar. (G) which read as follows: “$199,589,041 for the period beginning on October 1, 2019, and ending on May 22, 2020.”

Subsec. (b)(2)(H). Pub. L. 116–260, § 301(b), substituted “$310,000,000 for each of fiscal years 2021 through 2023” for “$67,095,890 for the period beginning on October 1, 2020, and ending on December 18, 2020”.

Pub. L. 116–215, § 1201(b), substituted “$67,095,890” for ‘$61,150,685” and “December 18, 2020” for “December 11, 2020”.

Pub. L. 116–159, § 2101(b), substituted “$61,150,685” for “$51,808,219” and “December 11, 2020” for “November 30, 2020”.

Pub. L. 116–136, § 3831(b), added subpar. (H).

2019—Subsec. (b)(1)(F). Pub. L. 116–94, § 401(a), substituted “$2,575,342,466” for “$887,671,223” and “May 22, 2020” for “December 20, 2019”.

Pub. L. 116–69, § 1101(a), substituted “$887,671,223” for “$569,863,014” and “December 20, 2019” for “November 21, 2019”.

Pub. L. 116–59, § 1101(a), substituted “2018, $4,000,000,000 for fiscal year 2019, and $569,863,014 for the period beginning on October 1, 2019, and ending on November 21, 2019; and” for “2018 and $4,000,000,000 for fiscal year 2019.”

Subsec. (b)(2)(G). Pub. L. 116–94, § 401(b), substituted “$199,589,041” for “$68,794,521” and “May 22, 2020” for “December 20, 2019”.

Pub. L. 116–69, § 1101(a), substituted “$887,671,223” for “$569,863,014” and “December 20, 2019” for “November 21, 2019”.

Pub. L. 116–59, § 1101(b), added subpar. (G).

2018—Subsec. (b)(1)(F). Pub. L. 115–123, § 50901(a), amended subpar. (F) generally. Prior to amendment, subpar. (F) read as follows: “$550,000,000 for the period of the first and second quarters of fiscal year 2018;”.

Subsec. (b)(2)(F). Pub. L. 115–123, § 50901(c), amended subpar. (F) generally. Prior to amendment, subpar. (F) read as follows: “$65,000,000 for period of the first and second quarters of fiscal year 2018.”

2017—Subsec. (b)(1)(F). Pub. L. 115–96, § 3101(a), added subpar. (F).

Subsec. (b)(2)(F). Pub. L. 115–96, § 3101(b), added subpar. (F).

2015—Subsec. (b)(1)(E), (2)(E). Pub. L. 114–10 substituted “for each of fiscal years 2015 through 2017” for “for fiscal year 2015”.

2010—Subsec. (b)(1)(A). Pub. L. 111–152, § 2303(1), substituted “1,000,000,000” for “700,000,000”.

Subsec. (b)(1)(B). Pub. L. 111–152, § 2303(2), substituted “1,200,000,000” for “800,000,000”.

Subsec. (b)(1)(C). Pub. L. 111–152, § 2303(3), substituted “1,500,000,000” for “1,000,000,000”.

Subsec. (b)(1)(D). Pub. L. 111–152, § 2303(4), substituted “2,200,000,000” for “1,600,000,000”.

Subsec. (b)(1)(E). Pub. L. 111–152, § 2303(5), substituted “3,600,000,000” for “2,900,000,000”.