S. 1606, title I, part B

S. 1318

(a) Maternity care, including med

(b) Development of more effective measures for carrying out the above purposes.

2. Services for crippled children.*To enable each State to provide and maintain services for locating crippled or otherwise physically handicapped children, and for

(a) Providing medical, surgical, corrective, and other services and care, and facilities for diagnosis, hospitalization, and aftercare for children who are crippled or otherwise physically handicapped or who are suffering from conditions which lead to crippling or physical handicaps.

(b) Development of more effective measures for carrying out above purposes.

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

3 S. 1606, sec. 121 (a); S. 1318, sec. 101.

4 S. 1606, sec. 123; S. 1318, sec. 201.

5 S. 1318, sec. 301.

(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.

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

(h) Training of professional and technical personnel.

2. Services for crippled children.*-To enable States to provide services and facilities for the care and treatment of children who are crippled, otherwise physically handicapped, or suffering from conditions which lead to crippling or physical handicaps, including

(a) Locating children in need of services and care.

(b) Provision of medical, surgical, corrective, and other services and care, and facilities for diagnosis, hospitalization, and aftercare for children.

(c) Development of more effective measures for carrying out above purposes.

(d) Demonstration projects.

(e) Training of personnel for State 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.

(b) 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

S. 1313

neglected, or delinquent, or in danger of becoming neglected or delinquent. (b) Placement, supervision, and maintenance of children in foster

family 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 homes 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.

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

1. Maternal and child health.-Beginning with fiscal year ending June 30, 1946, and each year thereafter, authorization is given for a sum sufficient to carry out the purposes specified.

2. Services for crippled children.-Beginning with fiscal year ending June 30, 1946, and each year thereafter, authorization is given for a sum sufficient to carry out the purposes specified.

1. Maternal and child health.-$50,000,000 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.

2. Services for crippled children.$25,000,000 for fiscal year ending June 30, 1946, and for each year thereafter, authorization is given for a sum sufficent 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.

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

The Chief of the Children's Bureau shall approve any plan that fulfills the conditions specified in the proposed act.

S. 1606, title I, part B

S. 1318

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

1. Financial participation by the State.

2. Extension and improvement of local maternal and child-health services and facilities administered by local health units so that the plan will be in effect in all political subdivisions of the State not later than 10 years after the date of approval of the first State plan approved under this section.

3. Administration or supervision of administration of the plan by the State health agency. (State agencies may, when necessary, develop working agreements with any public agency or agencies administering or providing related services.)

4. As services and facilities are furnished under the plan they shall be available to all mothers and children in the State or locality who elect to participate in the benefits of the program.

5. Such methods of administration (including methods relating to the establishment and maintenance of personnel standards on a merit basis, except that the Chief of the Children's Bureau shall exercise no authority with respect to the selection, tenure of office, and compensation of any individual employed in accordance with such methods) as are necessary for the proper and efficient operation of the plan.

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

3. Administration or supervision of administration of the plan by the State health agency must be provided for together with appropriate coordination of the State plan under this title with the agency's general public health and medical-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 furnished under the plan they shall be available to all mothers and children in the State or locality who elect to participate in the benefits and there shall be no discrimination because of race, creed, color, or national origin, and no residence requirements.

5. Such methods of administration as are necessary for the proper and efficient operation of the plan, including methods relating to the establishment and maintenance of—

(a) Personnel standards and selection on a merit-system basis (except that the Chief of the Children's Bureau shall exercise no authority with respect to the selection, tenure of office, and compensation of any individual employed in accordance with such methods).

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

(c) 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

S. 1606, title I, part B

S. 1318

6. Cooperation with medical, health, nursing, education, and welfare groups and organizations.

7. That the agency will make such reports, in such form and containing such information, as the Secretary of Labor may from time to time require, and comply with such provisions as he may from time to time find necessary to assure the correctness and verification of such reports.

8. That the State agency shall have authority to make and publish such rules and regulations as are necessary for the efficient operation of such services, having special regard for the quality and economy of services.

9. Development of demonstration services and for the training of personnel.

(1) Adequate remuneration for the persons or institutions providing services 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, consultative 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, hospital, nursing, education, and welfare groups and organizations in the State.

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

8. Adequate dissemination of information in the State with regard to the services and facilities available under this title.

9 That the State make provision for

(a) A general advisory council appointed 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.

b. Technical advisory committees appointed by the State agency composed

S. 1606, title I, part B

S. 1318

Services for crippled

children.— State plan, to be approved, must make provision for the following:

1. Financial participation by the State.

2. Carrying out the purposes specified in the section so that the program will be in effect in all political subdivisions of the State, and the services and facilities available to all crippled children, not later than a date 10 years after the date of approval of the first plan approved under the section.

3. The administration of the plan by a single State agency or the supervision of the administration of the plan by a single State agency, and for appropriate coordination of the plan with the maternal- and child-health program of the State health agency. (State agencies may, when necessary, develop working agreements with any public agency or agencies administering or providing related services.)

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

5. Such methods of administration (including methods relating to the esS. 1606, sec. 124; S. 1318, sec. 203.

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."— State plan, to be approved, must make provision for the following: 1. Same.

2. State-wide program or extension of the program each year so that a State plan adequate to carry out the purposes specified in this title will be in effect in all political subdivisions of the State, not later than July 1, 1955.

3. The administration of the plan by the State health agency or the supervision of the administration of the plan by the State health agency, and for appropriate coordination of the plan with the maternal and child-health program of the State health agency. State agencies may develop agreements or comparative 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.)

NOTE. Prior to July 1, 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 crippled children under this title.

4. That as services and facilities are furnished under the plan, they shall be available to all crippled children in the State or locality who elect to participate 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 as are necessary for the proper and efficient