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S. 1606, title I, part B

S, 1318

PURPOSE

1. Maternal and child-health serv- 1. Maternal and child-health services.:—To enable each State to provide ices.—To enable each State to provide and maintain services and facilities for and maintain services and facilities promoting the physical and mental forhealth of mothers and children by- (a) Maternity care, including med

(a) Establishment and maintenance ical, nursing, dental, hospital, and reof adequate maternal and child-health lated services. services..

(6) Preventive maternal and child(6) Development of more effective health work, including mental health. measures for carrying out the above (c) School health services. purposes.

(d) Diagnostic services and care of (c) Demonstration projects.

sick children, including medical, nurs(d) Training personnel for State and ing, hospital, and related services. local services.

(e) Dental care of children.

(f) Correction of defects and conditions likely to interfere with normal growth and development and the educational progress of children.

(9) Demonstration projects in the field of maternal and child health.

(h) Training of professional and tech

nical personnel. 2. Services for crippled children. - 2. Services for crippled children. -To To enable each State to provide and enable States to provide services and maintain services for locating crippled facilities for the care and treatment of or otherwise physically handicapped children who are crippled, otherwise children, and for

physically handicapped, or suffering (a) Providing medical, surgical, cor- from conditions which lead to crippling rective, and other services and care, and or physical handicaps, includingfacilities for diagnosis, hospitalization, (a) Locating children in need of and aftercare for children who are services and care. crippled or otherwise physically handi- (6) Provision of medical, surgical, capped or who are suffering from con- corrective, and other services and care, ditions which lead to crippling or physi- and facilities for diagnosis, hospitalizacal handicaps.

tion, and aftercare for children. (6) Development of more effective (c) Development of more effective measures for carrying out above pur- measures for carrying out above purposes.

poses. (C) Demonstration projects.

(d) Demonstration projects. (d) Training of personnel for State (e) Training of personnel for State and local services.

and local crippled children's services.

3. Child-welfare services. To assist each State public-welfare agency to develop State-wide programs for childwelfare services and measures including

(a) The extension and strengthening of public child-welfare services.

(6) Provision of suitable care and protection for children without parental care and supervision and children who are dependent, neglected, or delinquent, or in danger of becoming neglected or delinquent.

(c) Training of personnel. Note.-The term "child-welfare services" is defined in section 305 to include specifically the following services for children:

(a) Guidance and social service to or in behalf of children who are dependent, 8. 1606, title I, part B

3 S. 1606, sec. 121 (a); S. 1318, sec. 101. 4 S. 1606, sec. 123; S. 1318, sec. 201. 5 S. 1318, sec. 301.

S. 1913

PURPOSE continued

neglected, or delinquent, or in danger of becoming neglected or delinquent.

(6) Placement, supervision, and maintenance of children in fosterfamily homes.

(C) Temporary care of children who are dependent, neglected, or delinquent, or in danger of becoming neglected or delinquent, with special consideration in areas where such children would otherwise be detained in jail or deprived of necessary protection and shelter, or study of their special needs.

(d) Specialized services to strengthen and improve the programs of public institutions caring for children.

(e) Care in foster-family homes or day-care centers of children whose mothers are employed or whose home conditions require care outside their own hones during any part of the 24hour day, including auxiliary services necessary to assure proper use of daycare facilities and to safeguard children receiving care.

(f) Payment of the cost of returning nonresident children to their own communities if the cost cannot be otherwise met.

(9) Promoting cooperation with appropriate State and community agencies in improving conditions affecting the welfare of children,

SUMS APPROPRIATED FOR GRANTS TO STATES WITH PLANS APPROVED BY CHIEF OF THE

CHILDREN'S BUREAU

1. Maternal and child health.—Be- 1. Maternal and child health.-$50,ginning with fiscal year ending June 30, 000,000 for fiscal year ending June 30, 1946, and each year thereafter, author- 1946, and for each year thereafter, auization is given for a sum sufficient to thorization is given for a sum. sufficient carry out the purposes specified. to carry out the purposes specified.

2. Services for crippled children.-Be- 2. Services for crippled children. ginning with fiscal year ending June 30, $25,000,000 for fiscal year ending June 1946, and each year thereafter, authori- 30, 1946, and for each year thereafter, zation is given for a sum sufficient to authorization is given for a sum sufficarry out the purposes specified.

cent to carry out the purposes specified.

3. Child-welfare services.-$20,000,00 for fiscal year ending June 30, 1946, and for each year thereafter, authorization is given for a sum sufficient to carry out the purposes specified.

APPROVAL OF STATE PLANS'

The Chief of the Children's Bureau The Chief of the Children's Bureau shall approve any plan which fulfills the shall approve any plan that fulfills the conditions specified in the proposed act, conditions specified in the proposed act. and shall notify the Secretary of Labor and the State agency of his approval.

8 S. 1606, secs. 121, 123; S. 1318, secs. 101, 201, 301. PS. 1606, secs. 122, 124 ; S. 1318, secs. 103, 203, 303.

S. 1606, title I, part B

S. 1318

8 CONDITIONS FOR APPROVAL OF A STATE PLAN

Maternal and child-health State plan, Maternal and child-health State plan, to be approved, must make provision for to be approved, must make provision for the following:

the following: 1. Financial participation by the 1. Same. State.

2. Extension and improvement of 2. State-wide coverage or extension local maternal and child-health services of the program each year so that a State and facilities administered by local plan adequate to carry out the purposes health units so that the plan will be in of this title will be in effect in all politieffect in all political subdivisions of the cal subdivisions of the State by July 1, State not later than 10 years after the 1955. date of approval of the first State plan approved under this section. 3. Administration or supervision of

3. Administration or supervision of administration of the plan by the State administration of the plan by the State health agency.

(State agencies may, health agency must be provided for towhen necessary, develop working agree- gether with appropriate coordination of ments with any public agency or agen- the State plan under this title with the cies administering or providing related agency's general public health and mediservices.)

cal-care programs. (State agencies may develop agreements or cooperative arrangements with other State or local public agencies whose functions include the provision of services similar or related to the services furnished under the

State plan. 4. As services and facilities are fur- 4. As services and facilities are furnished under the plan they shall be nished under the plan they shall be available to all mothers and children in available to all mothers and children in the State or locality who elect to par- the State or locality who elect to particticipate in the benefits of the program. ipate in the benefits and there shall be

no discrimination because of race, creed, color, or national origin, and no resi

dence requirements. 5. Such methods of administration 5. Such methods of administration as (including methods relating to the es- are necessary for the proper and efficient tablishment and maintenance of per- operation of the plan, including meth. sonnel standards on a merit basis, ex- ods relating to the establishment and cept that the Chief of the Children's Bu- maintenance ofreau shall exercise no authority with (a) Personnel standards and selecrespect to the selection, tenure of office, tion on a merit-system basis (except and compensation of any individual em- that the Chief of the Children's Bureau ployed in accordance with such meth- shall exercise no authority with respect ods) as are necessary for the proper to the selection, tenure of office, and and efficient operation of the plan. compensation of any individual em

ployed in accordance with such methods).

(6). Standards for professional personnel rendering services (established by the State agency after consultation with professional advisory committees appointed by the State agency.

(0) Standards for hospital and other similar types of care.

(d) Right of beneficiary to free choice of available physician, hospital, clinic, or health-service agency, and the right of physicians, hospitals, or clinics to refuse to accept cases.

(e) High quality of care by providing for

8 S. 1606, sec. 122 ; S. 1318, sec. 103.

8. 1606, title I, part B

S. 1318
CONDITIONS FOR APPROVAL OF A STATE PLAN-continued

(1) Adequate remuneration for the persons or institutions providing serv. ices or care.

(2) Such use of health centers, hospitals, clinics, and health-service agencies, public or voluntary, as will achieve satisfactory distribution and coordination of preventive, diagnostic, consul. tative and curative services furnished by general practitioners, specialists, public health personnel, and laboratories.

(3) Postgraduate training of professional and technical personnel.

(f) Payments to physicians on a per capita, salary, per case, or per session basis, or in the case of consultations or emergency visits on a fee-for-service basis.

(g) Purchase of care from public or voluntary hospitals and other health service agencies on a basis related to

cost of providing such care. 6. Cooperation with medical, health, 6. Cooperation with medical, health, nursing, education, and welfare groups hospital, nursing, education, and wel and organizations.

fare groups and organizations in the

State. 7. That the agency will make such 7. That the State health agency will reports, in such form and containing make reports, in such form and consuch information, as the Secretary of taining such information as the Chief Labor may from time to time require, of the Children's Bureau may from time and comply with such provisions as he to time require, and comply with such may from time to time find necessary provisions as the Chief of the Children's to assure the correctness and verification Bureau may from time to time find necof such reports.

essary to assure the correctness and

verification of such reports. 8. That the State agency shall have 8. Adequate dissemination of informaauthority to make and publish such tion in the State with regard to the rules and regulations as are necessary services and facilities available under for the efficient operation of such sery- this title. ices, having special regard for the qual. ity and economy of services.

9. Development of demonstration ser- 9 That the State make provision vices and for the training of personnel. for

(a) A general advisory council ap pointed by the State health agency and composed of members of the professions or agencies, public and voluntary, that furnish care or services under the State plan, and of other persons representing the public who are informed on the need for and problems related to the provision or receipt of maternal and childhealth services and medical care of mothers and children: Provided, That whenever the State health agency administers the program of services to crippled children, the same general advisory council shall serve both the maternal and child health and crippled children's programs.

0. Technical advisory committees ap pointed by the State agency composed

S. 1606, title I, part B

S. 1318

CONDITIONS FOR APPROVAL OF A STATE PLAN-continued

of medical and other professional groups concerned with the administration or operation of the State plan.

10. Opportunity for the beneficiaries, as well as those furnishing services, for a fair hearing before the State health agency on matters affecting their interests.

11. State plan is made a part of the State plan for maternal and childhealth services submitted in accordance with provisions of title V, part 1, of the

Social Security Act. Services for crippled children. — Services for crippled children.' – State plan, to be approved, must make State plan, to be approved, must make provision for the following:

provision for the following: 1. Financial participation by the

1. Same. State. 2. Carrying out the purposes specified

2. State-wide program or extension of in the section so that the program will the program each year so that a State be in effect in all political subdivisions plan adequate to carry out the purposes of the State, and the services and facil- specified in this title will be in effect in ities available to all crippled children, all political subdivisions of the State, not later than a date 10 years after the not later than July 1, 1955. date of approval of the first plan approved under the section.

3. The administration of the plan by a 3. The administration of the plan by single State agency the supervision of the State health agency or the superthe administration of the plan by a vision of the administration of the plan single State agency, and for appropriate by the State health agency, and for apcoordination of the plan with the ma- propriate coordination of the plan with ternal- and child-health program of the the maternal and child-health program State health agency. (State agencies of the State health agency. State may, when necessary, develop working agencies may develop agreements or agreements with any public agency or comparative arrangements with other agencies administering or providing re- State or local public agencies whose lated services.)

functions include the provision of seryices similar or related to the services furnished under the State plan.)

NOTE.—Prior to July 1950, in States in which another State agency is charged by State law with administrative or supervisory responsibility for a program of services for crippled children, and is operating a plan approved by the Chief of the Children's Bureau under title V, part 2, of the Social Security Act, such other State agency may administer a plan of services for crip

pled children under this title. 4. That as services and facilities are 4. That as services and facilities are furnished under the plan they shall be furnished under the plan, they shall be available to all crippled children in the available to all crippled children in the State who elect to participate in the State or locality who elect to participate benefits of the program.

in the benefits of the program, and that there will be no discrimination because of race, creed, color, or national origin,

and no residence requirements. 5. Such methods of administration 5. Such methods of administration as (including methods relating to the es- are necessary for the proper and efficient

• S. 1606, sec. 124 ; S. 1318, sec. 203.

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