42 U.S.C. § 274b — General provisions respecting grants and contracts

(a) Application requirement: No grant under this part, and no contract under section 274 or 274a, can be made unless an application has been submitted to and approved by the Secretary, in whatever form and manner the Secretary requires by regulation. (b) Special considerations and priority; planning and establishment grants: (1) A planning grant under section 273(a)(1) can run for one year and cannot exceed $100,000 for any organ procurement organization. (2) Grants under section 273(a)(2) can run for two years; no single year's grant can exceed $500,000, and no organ procurement organization can get more than $800,000 total for initial operation or expansion. (3) Grants or contracts under section 273(a)(3) can run for up to 3 years. (c) Determination of grant amount; terms of payment; recordkeeping; access for audits: (1) The Secretary decides the dollar amount of each grant or contract under section 273 or 274a. Payments can be made in advance based on estimates, or as reimbursement, with adjustments for under- or over-payment, in whatever installments and terms the Secretary finds necessary. (2)(A) Every recipient of a grant or contract under section 273, 274, or 274a must keep records the Secretary requires — including records fully showing how the money was spent, the total project cost, and how much of that cost other sources paid, plus anything else needed for an effective audit. (B) The Secretary and the Comptroller General (or their authorized representatives) can access any of the recipient's books, documents, papers, and records connected to that grant or contract, for audit and examination. (d) "Transplant center" and "organ" defined: (1) "Transplant center" means a health care facility where organ transplants are performed. (2) "Organ" means the human kidney, liver, heart, lung, pancreas, and any other human organ the Secretary specifies by regulation — but not corneas or eyes; for purposes of section 274a, "organ" also includes bone marrow.