the outermost boundaries of the area so delimited);

DISTRICT OF COLUMBIA

In the State of Maryland: Montgomery County; Prince Georges County.

In the State of Virginia: Arlington County; Fairfax County; Loudoun County; Prince William County.

(As so delimited, the Virginia portion of the region will include the city of Alexandria, the city of Fairfax, and the city of Falls Church.) § 81.13

New Jersey-New York-Connecticut Interstate Air Quality Control Region.

The New Jersey-New York-Connecticut Interstate Air Quality Control Region consists of the territorial area encompassed by the boundaries of the following jurisdictions (including the territorial area of all municipalities (as defined in section 302 (f) of the Clean Air Act, 42 U.S.C. 1857h (f)) geographically located within the outermost boundaries of the area so delimited);

In the State of Connecticut: Greenwich Town

ship.

Stamford Township. Darien Township. New Cannan Township. Norwalk Township. Wilton Township. Weston Township. Redding Township. Newton Township. Bethel Township.

Danbury Township.

Westport Township. Fairfield Township. Easton Township. Bridgeport Township.

Stratford Township. Trumbull Township. Monroe Township. Ridgefield Township. Brookfield Township. New Fairfield Township.

[33 F.R. 17176, Nov. 20, 1968]

§ 81.14 Metropolitan Chicago Interstate Air Quality Control Region (IndianaIllinois).

The Metropolitan Chicago Interstate Air Quality Control Region consists of the territorial area encompassed by the boundaries of the following jurisdictions (including the territorial area of all municipalities (as defined in section 302(f) of the Clean Air Act, 42 U.S.C. 1857h (f)) geographically located within the outermost boundaries of the area so delimited):

In the State of Illinois:
McHenry County.
Lake County.
Kane County.

In the State of Indiana:
Lake County.

Cook County. DuPage County. Will County.

Porter County.

The Metropolitan Philadelphia Interstate Air Quality Control Region (Pennsylvania-New Jersey-Delaware) consists of the territorial area encompassed by the boundaries of the following jurisdictions (including the territorial area of all municipalities (as defined in section 302 (f) of the Clean Air Act, 42 U.S.C. 1857h (f)) geographically located within the outermost boundaries of the area so delimited);

In the State of Pennsylvania: Bucks County, Chester County, Delaware County, Montgomery County, Philadelphia County. In the State of New Jersey: Burlington County, Camden County, Gloucester County, Mercer County, Salem County.

In the State of Delaware: New Castle County.

[33 F.R. 18625, Dec. 17, 1968]

of Health, Education, and Welfare; (28 F.R. 4209)

(f) "Bureau" means the Children's Bureau in the Department of Health, Education, and Welfare;

(g) "Chief" means the Chief of the Children's Bureau in the Department of Health, Education, and Welfare;

(h) "Obligation" means a debt properly incurred by a State agency in carrying out the provisions of an approved State plan;

(1) "Official forms" means forms supplied by the Bureau to State agencies for requesting funds and for submitting State budgets or reports under Parts 1 and 2 of Title V of the act;

(j) "Crippled children" means those children, below the age of 21, who are handicapped or suffering from conditions which may lead to being handicapped, under the definition adopted by the State Agency;

(k) "Facilitating services" means transportation, subsistence away from home, drugs, biologicals, communications, supplies and equipment as may be necessary for the provision of maternal and child health or crippled children's services;

(1) "Health" means a state of physical and mental well-being, not merely the absence of disease or infirmity;

(m) "Medical care" means services, Including services in hospitals and convalescent homes, by physicians and the allied services of dentists, nurses, medical-social workers, nutritionists, dietitians, physical therapists, technicians and other personnel whose services are needed

(1) With respect to the maternal and child health services program, for the improvement of the health of mothers and children, or,

(2) With respect to the crippled children's services program, to restore a crippled child to maximum health, or to cure or prevent the advance of an illness that may lead to crippling;

(n) "Maternal and child health services" means (1) the provision of educational, preventive, diagnostic and treatment services, including medical care, hospitalization and other institutional care and after care, appliances and facilitating services directed toward improving the health of mothers and children; (2) the development, strengthening and improvement of standards and techniques relating to such services and care; (3) the training of personnel en

gaged in the provision, development,, strengthening or improvement of such services and care; and, (4) necessary administrative services in connection with the foregoing;

(o) "Crippled children's services" means (1) the location of crippled children; (2) the provision for such children of diagnostic and treatment services, including medical care, hospitalization and other institutional care and after care, appliances and facilitating services directed toward the diagnosis of the condition of such children or toward the restoration of such children to maximum. physical and mental health; (3) the development, strengthening and improvement of standards and techniques relating to the provision of such care and services; (4) the training of personnel engaged in the provision, development, strengthening or improvement of such care and services; and (5) necessary administrative services in connection with the foregoing;

(p) "Demonstration services" means either (1) the provision in a county, district, or community of more and better maternal and child health services than are available in any comparable area in the State, utilizing facilities meeting acceptable standards and personnel who are especially well qualified, for the purpose of establishing standards of care and service that can be shown to be practical, effective and adequate to improve the health of mothers and children, or (2) the provision of a special type of maternal and child health service for the purpose of proving its value in improving the health of mothers and children and in providing information on cost, methods of development, techniques of provision and the administration of a given type of health service not generally available to mothers and children;

(q) "Specialized expenditures for Maternal and Child Health Services,' "Specialized expenditures for Crippled Children's Services," "Supporting expenditures for Maternal and Child Health Services," and "Supporting expenditures for Crippled Children's Services," shall have such meaning as may be ascribed to them in policies issued by the Chief for the purpose of achieving the most effective utilization of the Federal funds granted.

[14 F.R. 3495, June 28, 1949, as amended at 17 F.R. 5952, July 2, 1952; 31 F.R. 203, Jan. 7, 1966]

§ 200.2 State plans; general requirement; form, contents, and amend

ment.

(a) The basic condition to the certification of Federal funds is a State Plan for Maternal and Child Health Services or a State Plan for Crippled Children's Services, approved as meeting requirements of Title V, Parts 1 and 2, of the act and regulations established thereunder.

(b) State Plans shall follow the instructions as to form and content indicated in the Plan Instructions to be released by the Bureau pursuant to the regulations in this part and shall contain descriptions of all material phases of the Maternal and Child Health or Crippled Children's Programs, including (1) their legal bases, (2) the manner in which their purposes, as contemplated by section 501 and 511 of the act, will be carried out, (3) their scope and content, and (4) the policies, standards, methods and procedures relative to (i) their administration, (ii) the supervision of their administration, (ii) their operation, and (iv) their compliance with the requirements of the act.

(c) State plans and budgets shall be revised, in accordance with instructions from the Bureau, whenever there are significant changes.

(a) Provide for their administration in local communities.

(1) Directly by the State Agency; or (2) By local public agencies which are, with respect to their administration locally of such plans, supervised by the State Agency; or

(3) By a combination of the foregoing methods of administration; and

(b) Set forth the manner in which the State Agency will exercise and make effective its supervision over the operations of the local public agencies with respect to their administration locally of such plans.

ing, at least, the planning, promoting, and coordinating of maternal and child health services and the administration of the unit and its staff as provided under the State Plan;

(2) With respect to the crippled children's services program for the establishment, in the State Agency, of a separate organizational unit charged primarily with responsibilities in the field of health services for crippled children and including, at least, the planning, promoting and coordinating of crippled children's services and the administration of the unit and its staff as provided under the State Plan: Provided, That, where the major functions of the State Agency relate to the provision of health services to children, as in the case of a Crippled Children's Commission, such commission shall itself be considered as the separate organizational unit required.

(b) State Plans may provide for combining the Crippled Children's Program Unit and the Maternal and Child Health Program Unit into one organizational unit under the direction of a single program director.

§ 200.5 Program directors.

State Plans shall provide that the Maternal and Child Health and Crippled Children's Program Unit or Units, will both or each be under the direction of a program director who will be (a) a Doctor of Medicine; (b) a full-time employee of the State Agency; (c) devoting his full time, during the hours of his employment by the State Agency, to the work of the Program Unit of which he is the director: Provided, That the Chief may approve a plan provision providing for the part-time employment of such Doctor of Medicine where satisfactory evidence is submitted justifying such a provision.

§ 200.6 Information on services available.

State Plans shall describe how the public throughout the State will be fully informed, insofar as feasible, as to the maternal and child health and crippled children's services available under such State Plans.