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republic-os/legal/us/code/title-42/chapter-6a/section-300x-53.md
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Fabio 76b8ec33a7 Legal corpus: the complete U.S. Code (59,740 sections, all 53 titles)
Ingested titles 12–51 and 54 from OLRC USLM XML @119-100 (the whole Code
now, uniform edition; Title 53 is reserved/empty). LegalText 11,221 ->
59,740; repo total 105,704 records. Deterministic (byte-identical rerun,
verified on Title 42's 8,356 sections); make check green. make
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Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
2026-07-06 10:51:44 -04:00

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---
type: "LegalText"
title: "42 U.S.C. § 300x53"
description: "Additional requirements"
jurisdiction: "us"
corpus: "united_states_code"
kind: "code_section"
title_number: 42
title_name: "THE PUBLIC HEALTH AND WELFARE"
chapter_number: "6A"
chapter_name: "PUBLIC HEALTH SERVICE"
section: "300x53"
citation: "42 U.S.C. § 300x53"
status: "current"
release_point: "119-100"
release_date: "2026-06-26"
source: "official"
source_url: "https://uscode.house.gov/download/releasepoints/us/pl/119/100/xml_usc42@119-100.zip"
source_identifier: "/us/usc/t42/s300x53"
source_file: "data/legal/raw/us/code/title-42/usc42.xml"
source_hash: "4f4d3b42f005bb17fb7791b754691ea7ac8ed04b20bccb05fe19ae11c8592358"
raw_snapshot_hash: "644321055a08eb1f260a6a3e31ac157fa024756abf612a9fd6857e7e400cf24e"
text_hash: "3d1f4647fc4d9966d6a25b2b86b4e44b4ae529bb087cd20425796e3706b8b5e2"
retrieved_at: "2026-07-04"
confidence: "official"
tags: ["legal", "us-code"]
---
# 42 U.S.C. § 300x53 - Additional requirements
## Text
(a) In general A funding agreement for a grant under section 300x or 300x21 of this title is that the State 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 provided in the State to individuals under the program involved; and
(B) ensure that, in the conduct of such peer review, not fewer than 5 percent of the entities providing services in the State under such program 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 300x55 of this title; and
(3) provide to the Secretary any data required by the Secretary pursuant to subsections (c) and (d) of section 290aa4 of this title and will cooperate with the Secretary in the development of uniform criteria for the collection of data pursuant to such section.
(b) Patient records The Secretary may make a grant under section 300x or 300x21 of this title only if the State involved has in effect a system to protect from inappropriate disclosure patient records maintained by the State in connection with an activity funded under the program involved or by any entity which is receiving amounts from the grant.
(July 1, 1944, ch. 373, title XIX, § 1943, as added Pub. L. 102321, title II, § 203(a), July 10, 1992, 106 Stat. 404; amended Pub. L. 102352, § 2(a)(12), Aug. 26, 1992, 106 Stat. 939; Pub. L. 114255, div. B, title VIII, § 8003(1), Dec. 13, 2016, 130 Stat. 1232.)
## Notes
Editorial Notes
Amendments2016—Subsec. (a)(3). Pub. L. 114255 substituted “subsections (c) and (d) of section 290aa4 of this title” for “section 290aa4 of this title”. 1992—Subsec. (a)(3). Pub. L. 102352 substituted “section 290aa4 of this title” for “section 290bb21 of this title”.
Statutory Notes and Related Subsidiaries
Effective Date of 1992 AmendmentAmendment by Pub. L. 102352 effective immediately upon effectuation of amendment made by Pub. L. 102321, see section 3(1) of Pub. L. 102352, set out as a note under section 285n of this title.