42 U.S.C. § 300z–3 — Uses of grants for demonstration projects for services

(a) Covered projects — Except as subsection (b) allows, grantees may only use these service-demonstration funds to (1) provide eligible persons care services, prevention services, or both, for a grantee providing a combination; (2) coordinate, integrate, and provide linkages among providers of care, prevention, and other services for eligible persons, furthering this subchapter's purposes; (3) provide supplemental services where those services are not adequate or available to eligible persons in the community and are essential to caring for pregnant adolescents and preventing teen premarital sex and pregnancy; (4) plan the administration and coordination of pregnancy prevention services and care programs for pregnant adolescents and adolescent parents in ways that further this subchapter's objectives; and (5) fulfill the assurances required for grant approval by section 300z–5 of this title. (b) Family planning services; availability in community (1) No demonstration-project funds under this subchapter may pay for family planning services (other than counseling and referral services) to adolescents unless appropriate family planning services are not otherwise available in the community. (2) A grantee that, after determining family planning services are not otherwise available, provides them anyway may only use this subchapter's funds for those services if all its funding from every other source is insufficient to support them. (c) Fees for services: criteria — Grantees must charge fees under a fee schedule the Secretary approves as part of the application described in section 300z–5 of this title. That schedule must base fees on the income of the eligible person or their parents or legal guardians, and must account for how difficult it is for adolescents to obtain resources to pay for services. A grantee may never discriminate in providing services to anyone because they cannot pay — except that, in determining whether an unemancipated minor can pay, the grantee must consider the income of the minor's family, unless the minor's parents or guardians refuse to make such payments.