(B) Section 1619 of this Act (relating to benefits for individuals who perform substantial gainful activity despite severe medical impairment). (C) Section 1634(b) of this Act (relating to preservation of benefit status for disabled widows and widowers who lost SSI benefits because of 1983 changes in actuarial reduction formula). (D) Section 1634(c) of this Act (relating to individuals who lose eligibility for SSI benefits due to entitlement to child's insurance benefits under section 202(d) of this Act). (E) Section 1634(d) of this Act (relating to individuals who lose eligibility for SSI benefits due to entitlement to early widow's or widower's insurance benefits under section 202(e) or (f) of this Act). (3) FOSTER CARE AND ADOPTION ASSISTANCE.-Sections 472(h) and 473(b) of this Act (relating to medical assistance for children in foster care and for adopted children). (4) REFUGEE ASSISTANCE.-Section 412(e)(5) of the Immigration and Nationality Act 268 (relating to medical assistance for certain refugees). (5) 269 MISCELLANEOUS. (A) Section 230 of Public Law 93-66 (relating to deeming eligible for medical assistance certain essential persons). (B) Section 231 of Public Law 93-66 (relating to deeming eligible for medical assistance certain persons in medical institutions). (C) Section 232 of Public Law 93-66 (relating to deeming eligible for medical assistance certain blind and disabled medically indigent persons). (D) Section 13(c) of Public Law 93-233 (relating to deeming eligible for medical assistance certain individuals receiving mandatory State supplementary payments). (E) Section 503 of Public Law 94-566 (relating to deeming eligible for medical assistance certain individuals who would be eligible for supplemental security income benefits but for cost-of-living increases in social security benefits). (F) Section 310(b)(1) of Public Law 96-272 (relating to continuing medicaid eligibility for certain recipients of Department of Veterans Affairs pensions). (b) ADDITIONAL STATE PLAN REQUIREMENTS.-For other provisions of law that establish additional requirements for State plans to be approved under this title, see the following: (1) Section 1618 of this Act (relating to requirement for operation of certain State supplementation programs). (2) Section 212(a) of Public Law 93-66 270 (relating to requiring mandatory minimum State supplementation of SSI benefits program). 268 See Vol. II, P.L. 82-414. 269 See Vol. II, P.L. 93-66, P.L. 93-233, P.L. 94-566, and P.L. 96-272. 270 See Vol. II, P.L. 93–66, §212(a). PURPOSES OF TITLE; AUTHORIZATION OF APPROPRIATIONS SEC. 2001. [42 U.S.C. 1397] For the purposes of consolidating Federal assistance to States for social services into a single grant, increasing State flexibility in using social service grants, and encouraging each State, as far as practicable under the conditions in that State, to furnish services directed at the goals of (1) achieving or maintaining economic self-support to prevent, reduce, or eliminate dependency; (2) achieving or maintaining self-sufficiency, including reduction or prevention of dependency; (3) preventing or remedying neglect, abuse, or exploitation of children and adults unable to protect their own interests, or preserving, rehabilitating or reuniting families; (4) preventing or reducing inappropriate institutional care by providing for community-based care, home-based care, or other forms of less intensive care; and Title XX of the Social Security Act is administered by the Office of Community Services, Administration for Children and Families, Department of Health and Human Services, 42. in Title XX appears in the United States Code as §§1397-1397f, subchapter XX, chapter 7, Title Regulations of the Secretary of Health and Human Services relating to Title XX are contained part 96, subtitle A, Title 45, Code of Federal Regulations. See Vol. II, 31 U.S.C. 7501-7507, with respect to uniform audit requirements for State and local governments receiving Federal financial assistance. See Vol. II, P.L. 79-396, §17(p), with respect to proprietary title XX center and §17(q), with respect to demonstration projects. See Vol. II, P.L. 88-352, §601, for prohibition against discrimination in federally assisted pro grams. See Vol. II, P.L. 95–521, §102(i), with respect to reporting of benefits received under the Social Security Act. See Vol. II, P.L. 99-425, Title VI, with respect to grants for awarding scholarships to certain eligible individuals. See Vol. II, P.L. 100-383, §§105(f)(2) and 206(d)(2), with respect to exclusion from income and resources of certain payments to certain individuals. See Vol. II, 31 U.S.C. 3803(c)(2)(C), with respect to benefits not affected by P.L. 100-383. See Vol. II, P.L. 101-239, §10405, with respect to Agent Orange settlement payments excluded from countable income and resources under Federal means-tested programs. 2 This table of contents does not appear in the law. (5) securing referral or admission for institutional care when other forms of care are not appropriate, or providing services to individuals in institutions, there are authorized to be appropriated for each fiscal year such sums as may be necessary to carry out the purposes of this title. PAYMENTS TO STATES SEC. 2002. [42 U.S.C. 1397a] (a)(1) Each State shall be entitled to payment under this title for each fiscal year in an amount equal to its allotment for such fiscal year, to be used by such State for services directed at the goals set forth in section 2001, subject to the requirements of this title. (2) For purposes of paragraph (1) (A) services which are directed at the goals set forth in section 2001 include, but are not limited to, child care services, protective services for children and adults, services for children and adults in foster care, services related to the management and maintenance of the home, day care services for adults, transportation services, family planning services, training and related services, employment services, information, referral, and counseling services, the preparation and delivery of meals, health support services and appropriate combinations of services designed to meet the special needs of children, the aged, the mentally retarded, the blind, the emotionally disturbed, the physically handicapped, and alcoholics and drug addicts; and (B) expenditures for such services may include expenditures for (i) administration (including planning and evaluation); (ii) personnel training and retraining directly related to the provision of those services (including both short- and long-term training at educational institutions through grants to such institutions or by direct financial assistance to students enrolled in such institutions); and (iii) conferences or workshops, and training or retraining through grants to nonprofit organizations within the meaning of section 501(c)(3) of the Internal Revenue Code of 19543 or to individuals with social services expertise, or through financial assistance to individuals participating in such conferences, workshops, and training or retraining (and this clause shall apply with respect to all persons involved in the delivery of such services). (b) The Secretary shall make payments in accordance with section 6503 of title 31, United States Code 4, to each State from its allotment for use under this title. (c) Payments to a State from its allotment for any fiscal year must be expended by the State in such fiscal year or in the suc ceeding fiscal year. (d) A State may transfer up to 10 percent of its allotment under section 2003 for any fiscal year for its use for that year under other provisions of Federal law providing block grants for support of health services, health promotion and disease prevention activities, or low-income home energy assistance (or any combination of those activities). Amounts allotted to a State under any provisions of 3 See Vol. II, P.L. 83–591. *See Vol. II, title 31. Federal law referred to in the preceding sentence and transferred by a State for use in carrying out the purposes of this title shall be treated as if they were paid to the State under this title but shall not affect the computation of the State's allotment under this title. The State shall inform the Secretary of any such transfer of funds. (e) A State may use a portion of the amounts described in subsection (a) for the purpose of purchasing technical assistance from public or private entities if the State determines that such assistance is required in developing, implementing, or administering programs funded under this title. (f) A State may use funds provided under this title to provide vouchers, for services directed at the goals set forth in section 2001, to families, including (1) families who have become ineligible for assistance under a State program funded under part A of title IV by reason of a durational limit on the provision of such assistance; and (2) families denied cash assistance under the State program funded under part A of title IV for a child who is born to a member of the family who is (A) a recipient of assistance under the program; or (B) a person who received such assistance at any time during the 10-month period ending with the birth of the child. ALLOTMENTS SEC. 2003. [42 U.S.C. 1397b] (a) The allotment for any fiscal year to each of the jurisdictions of Puerto Rico, Guam, the Virgin Islands, and the Northern Mariana Islands shall be an amount which bears the same ratio to the amount specified in subsection (c) as the amount which was specified for allocation to the particular jurisdiction involved for the fiscal year 1981 under section 2002(a)(2)(C) of this Act (as in effect prior to the enactment of this section 5) bore to $2,900,000,000. The allotment for fiscal year 1989 and each succeeding fiscal year to American Samoa shall be an amount which bears the same ratio to the amount allotted to the Northern Mariana Islands for that fiscal year as the population of American Samoa bears to the population of the Northern Mariana Islands determined on the basis of the most recent data available at the time such allotment is determined. (b) The allotment for any fiscal year for each State other than the jurisdictions of Puerto Rico, Guam, the Virgin Islands, American Samoa, and the Northern Mariana Islands shall be an amount which bears the same ratio to (1) the amount specified in subsection (c), reduced by (2) the total amount allotted to those jurisdictions for that fiscal year under subsection (a), as the population of that State bears to the population of all the States (other than Puerto Rico, Guam, the Virgin Islands, American Samoa, and the Northern Mariana Islands) as determined by the Secretary (on the basis of the most recent data available from the Department of Commerce) and promulgated prior to the first day of the third month of the preceding fiscal year. 5 August 13, 1981 [P.L. 97–35; 95 Stat. 357]. (c) The amount specified for purposes of subsections (a) and (b) shall be (1) $2,400,000,000 for the fiscal year 1982; (2) $2,450,000,000 for the fiscal year 1983; (3) $2,700,000,000 for the fiscal years 1984, 1985, 1986, 1987, and 1989; (4) $2,750,000,000 for the fiscal year 1988; (5) $2,800,000,000 for each of the fiscal years 1990 through 1995; (6) $2,381,000,000 for the fiscal year 1996; (11) $1,700,000,000 for the fiscal year 2001 and each fiscal year thereafter. STATE ADMINISTRATION SEC. 2004. [42 U.S.C. 1397c] Prior to expenditure by a State of payments made to it under section 2002 for any fiscal year, the State shall report on the intended use of the payments the State is to receive under this title, including information on the types of activities to be supported and the categories or characteristics of individuals to be served. The report shall be transmitted to the Secretary and made public within the State in such manner as to facilitate comment by any person (including any Federal or other public agency) during development of the report and after its completion. The report shall be revised throughout the year as may be necessary to reflect substantial changes in the activities assisted under this title, and any revision shall be subject to the requirements of the previous sentence. LIMITATIONS ON USE OF GRANTS SEC. 2005. [42 U.S.C. 1397d] (a) Except as provided in subsection (b), grants made under this title may not be used by the State, or by any other person with which the State makes arrangements to carry out the purposes of this title (1) for the purchase or improvement of land, or the purchase, construction, or permanent improvement (other than minor remodeling) of any building or other facility; (2) for the provision of cash payments for costs of subsistence or for the provision of room and board (other than costs of subsistence during rehabilitation, room and board provided for a short term as an integral but subordinate part of a social serv ice, or temporary emergency shelter provided as a protective service); (3) for payment of the wages of any individual as a social service (other than payment of the wages of welfare recipients employed in the provision of child day care services); (4) for the provision of medical care (other than family planning services, rehabilitation services, or initial detoxification of an alcoholic or drug dependent individual) unless it is an integral but subordinate part of a social service for which grants may be used under this title; |