6 ices (other than mental health services). Such plan shall be prepared by the State health authority and shall "(i) require that such services provided within the State be provided in conformity with the applicable provisions and requirements of any compre hensive State health plan developed with assistance provided under subsection (a) of this section; “(ii) include an assessment of the most serious public health problems that exist within the State, based upon data pertaining to mortality and morbidity within the State and to the economic impact of public health problems within the State and upon other appropriate information; and "(iii) provide for programs relating to environmental health, health education, preventive medicine, health manpower and facilities licensure, and, commensurate with the extent of the problem, services for the prevention and treatment of hypertension, drug abuse, drug dependence, alcohol abuse, and alcoholism. "(C) A mental health service part setting out a plan for the provision within the State of mental health 24 services. Such plan shall be prepared by the State mental 7 "(i) require that such services provided within the State be provided in conformity with the applicable provisions and requirements of any comprehensive State Health plan developed with assistance provided under subsection (a) of this section; "(ii) include an assessment of the most serious mental health problems that exist within the State, based upon data pertaining to mortality and morbidity within the State and to the economic impact of mental health problems within the State and upon other appropriate information; "(iii) include a detailed plan designed to eliminate inappropriate placement of persons with mental health problems in institutions and to improve the quality of care for those with mental health problems for whom institutional care is appropriate; "(iv) prescribe minimum standards for the maintenance and operation of mental health pro-· grams and facilities (including community mental health centers) within the State and for the enforcement of such standards; and "(v) provide for assistance to courts and other public agencies and to appropriate private agencies to facilitate (I) screening by community mental health centers (or, if there are no such centers, other 1 2 3 4 5 6 7 8 9 appropriate entities) of residents of the State who are being considered for inpatient care in a mental health facility to determine if such care is necessary, and (II) provision of followup care by community mental health centers (or, if there are no such cen ters, by other appropriate entities) for residents of the State who have been discharged from mental health facilities. The Secretary shall approve a State plan submitted to him 10 which meets the requirements of subparagraphs (A), (B), 11 and (C) of this paragraph and such other requirements as 12 he is authorized to prescribe under this paragraph. The 13 Secretary shall review annually each State plan which has 14 been initially approved by him and the activities undertaken 15 under the plan to determine if the plan and such activities 16 continue to meet the requirements of such subparagraphs. 17 "(4) In each fiscal year the Secretary shall, in accordance with regulations, allot the sums appropriated for 19 such year under paragraph (7) among the States on the 20 basis of the population and the financial need of the respective States. The populations of the States shall be determined on the basis of the latest figures for the population of the 23 States available from the Department of Commerce. 18 21 22 24 "(5) The Secretary shall determine the amount of any 25 grant under paragraph (1); but the amount of grants made 9 1 in any fiscal year to the public and mental health 2 authorities of any State may not exceed the amount of the 3 State's allotment available for obligation in such fiscal year. 4 Payments under such grants may be made in advance or 5 by way of reimbursement, and at such intervals and on such 6 conditions, as the Secretary finds necessary. 7 "(6) In any fiscal year "(A) not less than 15 per centum of a State's allot ment under paragraph (4) shall be made available only for grants under paragraph (1) to the State's mental health authority for the provision of mental health services pursuant to its State plan, and not less than 22 per centum of a State's allotment under paragraph (4) shall be available only for establishing and maintaining under the State plan programs for the screening, detection, diagnosis, prevention, and detection of hypertension; and "(B) not less than "(i) 70 per centum of the amount of a State's allotment which is made available for grants to the mental health authority, and "(ii) 70 per centum of the remainder of the State's allotment, shall be available only for the provision under the State plan of services in communities of the State. 10 1 "(7) For the purpose of making grants under para2 graph (1) there are authorized to be appropriated 3 $160,000,000 for the fiscal year ending June 30, 1975, and 4 $160,000,000 for the fiscal year ending June 30, 1976." TITLE II-FAMILY PLANNING PROGRAMS 5 6 SEC. 201. This title may be cited as the "Family 7 Planning and Population Research Act of 1975". 8 SEC. 202. (a) Section 1001 (c) of the Public Health 9 Service Act is amended (1) by striking out "and" after 10 "1973;" and (2) by inserting after "1974" the following: 11 "; $150,000,000 for the fiscal year ending June 30, 1975; 12 and $175,000,000 for the fiscal year ending June 30, 1976". (b) Section 1003 (b) of such Act is amended (1) by 14 striking out "and" after "1973;" and (2) by inserting 15 after "1974" the following: "; $4,000,000 for fiscal year 16 ending June 30, 1975; and $5,000,000 for the fiscal 17 year ending June 30, 1976". 13 18 (c) Section 1004 of such Act is amended to read as 19 follows: 20 21 22 23 "RESEARCH "SEC. 1004. (a) The Secretary may "(1) conduct, and "(2) make grants to public or nonprofit private entities and enter into contracts with public or private 24 25 |