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tories, and others; (3) payments to individual physicians for care furnished under this title 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; and (4) purchase of care from public or voluntary hospitals and other health service agencies included under the State plan on a basis related to cost for providing such care;

(7) provide for adequate dissemination of information in the State with regard to the services and facilities available under this title;

(8) provide 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;

(9) provide for cooperation with medical, health, hospital, nursing, education, and welfare groups and organizations in the State;

(10) provide (a) for 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 child health 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 the crippled children programs; and (b) for technical advisory committees appointed by the State health agency composed of medical and other professional groups concerned with the administration or operation of the State plan; and

(11) provide for granting to any mother, or person acting in behalf of a child whose claim with respect to care or services under the plan is denied, or to any physician or other person, organization, or institution, participating or desiring to participate in furnishing services or facilities under

the plan, an opportunity for a fair hearing before the State health agency. (b) The Chief of the Children's Bureau shall approve any plan which fulfills the conditions specified in subsection (a).

PAYMENT TO STATES

Sec. 104. (a) From the sums appropriated therefor and the allotments available under section 102 (a), the Secretary of the Treasury shall pay to each State which has an approved plan for maternal and child-health services, for each fiscal year or part thereof, beginning with the fiscal year ending June 30, 1946, an amount, which shall be used exclusively for carrying out the purposes of the State plan, and which shall be matched dollar for dollar by State or State and local funds made available for the purposes of this Act as set forth in section 101. (b) The method of computing and paying such amount shall be as follows:

(1) The Secretary of Labor shall from time to time, but not less often than semiannually, estimate the amount to be paid to the State with respect to each State plan for each year or part thereof, under the provisions of subsection (a) of this section, such estimate to be based on (A) a report filed by the State containing its estimate of the total sum to be expended in such year or part thereof in accordance with the provisions of subsection (a), and (B) such other data as to such estimated expenditures, and such investigation as he may find necessary.

(2) The Secretary of Labor shall then certify to the Secretary of the Treasury the amount so estimated for each State plan, reduced or increased, as the case may be, by any sum by which the Secretary of Labor finds that his estimate for any prior fiscal year or part thereof for such State plan was greater or less than the amount which should have been paid to the State under subsection (a) for such year or part thereof; except that such increases or decreases shall not be made to the extent that such sum has been applied to make the amount certified for any prior year or part thereof greater or less than the amount estimated by the Secretary of Labor for such prior year or part thereof.

(3) The Secretary of the Treasury shall, prior to audit or settlement by the General Accounting Office, pay to the State, in such installments and at the time or times fixed by the Secretary of Labor, the amount so certified.

(c) The Secretary of Labor shall from time to time certify to the Secretary of the Treasury the amounts to be paid to the States from the allotments available under section 102 (b), and the Secretary of the Treasury shall, prior to audit or settlement by the General Accounting Office, make payments of such amounts at the time or times specified by the Secretary of Labor.

FEDERAL ADVISORY COMMITTEES

Sec. 105. The Chief of the Children's Bureau shall formulate general policies for the administration of this title after consultation with (1) a conference of State health officers, and (2) an advisory committee composed of professional and public members and, as necessary, technical advisory committees, which he shall appoint.

The Children's Bureau is authorized to pay to each person appointed by the Chief of the Children's Bureau to an advisory committee compensation at the rate of $25 a day while serving on business of the committee, and actual traveling and subsistence expenses while so serving away from his place of residence.

TITLE II-SERVICES FOR CRIPPLED CHILDREN

APPROPRIATION

SEC. 201. For the purpose of enabling each State to provide and maintain 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 services for locating such children, for providing medical, surgical corrective, and other services and care, and facilities for diagnosis, hospitalization, and aftercare for such children, and to de velop more effective measures for carrying out the purposes of this title, including demonstrations and the training of personnel for State and local crippled children's services, there is hereby authorized to be appropriated for the fiscal year ending June 30, 1946, the sum of $25,000,000, and for each year thereafter, a sum sufficient to carry out the purposes of this title. The sums authorized under this section shall be used for making payments to States which have submitted to and had approved by the Chief of the Children's Bureau, State plans for developing such programs and providing such care and services.

ALLOTMENTS TO STATES SEC. 202. (a) For the fiscal year ending June 30, 1946, and for each year thereafter, the Secretary of Labor shall allot to each State, out of the sums appropriated pursuant to section 201, such part of $2,500,000 as he finds that the number of children under twenty-one years of age in such State bore to the total number of children under twenty-one years of age in the United States, in the latest calendar year for which the Bureau of the Census has available statistics.

(b) For the fiscal year ending June 30, 1946, and for each year thereafter, in addition to the allotments made under subsection (a), the Secretary of Labor shall allot to the States, out of the sums appropriated pursuant to section 201, the amount remaining after the amount allotted under subsection (a) has been deducted, taking into consideration for each State such factors as (1) the number of crippled children under twenty-one years of age in the State for whom the services and care provided for in section 201 are to be made available, and the cost of furnishing such services and care to them, (2) the special problems of crippled children, and (3) the financial need of the State for assistance in carrying out the State plan.

APPROVAL OF STATE PLANS Sec. 203. (a) A State plan for crippled children's services under this title must

(1) provide for financial participation by the State;

(2) provide for a State-wide program or for extension of the program each year so that a State plan adequate to carry out the purposes specified in section 201 will be in effect in all political subdivisions of the State, not later than July 1, 1955 ;

(3) provide 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;

(4) provide for 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: Provided, however, That prior to July 1, 1950, in States in which another State agency is already 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: And provided further, That in carrying out the purposes of this title, the State agency 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;

(5) be made part of the State plan for services for crippled children submitted in accordance with the provisions of title V, part 2, of the Social Security Act when the same State agency is administering both State plans for services for crippled children;

(6) provide 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 on a merit basis, except that the Chief of the Children's Bureau sball 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 medical, dental, nursing, and related types of care or service and standards for hospital and other institutional care and services, such standards to be established by the State agency after consultation with professional advisory committees appointed by the State agency, and (C) such methods of administration of medical care as will insure (1) the right of crippled children or persons acting in their behalf, to select from among those meeting standards prescribed by the State agency in accordance with methods set forth in the State plan, the physician, hospital, clinic or health service agency of their choice (provided that the physician, hospital, clinic, or health service agency selected may refuse to accept the case), and where no such selection is made, the State plan shall set forth the method by which care will be made available; (2) a high quality of care by providing for adequate remuneration for the persons and institutions providing medical care and related services; opportunities for postgraduate training of professional and technical personnel; and such use of health centers, hospitals, clinics, and other health service agencies, public and voluntary, as will achieve the satisfactory distribution and coordination of preventive, diagnostic, consultative, and curative services for crippled children furnished by general practitioners, specialists, public health personnel, laboratories, and others; (3) payments to individual physicians for care furnished under this title on a salary, per case, or per session basis, or in the case of consultations or emergency visits on a fee-for-service basis; and (4) purchase of care from public and voluntary hospitals and other health service agencies included under the State plan on a basis related to cost of providing such care;

(7) provide for adequate dissemination of information in the State with regard to the services and facilities available under this title;

(8) provide that the State agency will make reports, in such form and continuing 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;

(9) provide for cooperation with medical, health, hospital, nursing, education, and welfare groups and organizations, and with any agency in such State charged with administering State laws providing for vocational rehabilitation of physically handicapped children;

(10) provide (a) for a general advisory council appointed by the State 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 crippled children services: 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; and (b) for technical advisory committees appointed by the State agency composed of medical and other professional groups concerned with the administration or operation of the State plan; and

(11) Provide for granting to any mother, or person acting in behalf of a child whose claim with respect to care or services under the plan is denied, or to any physician or other person, organization, or institution, participating or desiring to participate in furnishing services or facilities under the plan,

an opportunity for a fair hearing before the State health agency. (b) The Chief of the Children's Bureau shall approve any plan which fulfills the conditions specified in subsection (a).

PAYMENT TO STATES

SEC. 204. (a) From the sums appropriated therefor and the allotments available under section 202 (a), the Secretary of the Treasury shall pay to each State which has an approved plan for services to crippled children, for each fiscal year or part thereof, beginning with the fiscal year ending June 30, 1946, an amount, which shall be used exclusively for carrying out the purposes of the State plan and which shall be matched dollar for dollar by State or State and local funds made available for the purposes of this Act as set forth in section 201. (b) The method of computing and paying such amounts shall be as follows:

(1) The Secretary of Labor shall from time to time, but not less often than semiannually, estimate the amount to be paid to the State with respect to each State plan for each year or part thereof, under the provisions of subsection (a) of this section, such estimate to be based on (A) a report filed by the State containing its estimate of the total sum to be expended in such year or part thereof in accordance with the provisions of subsection (a), and (B) such other data as to such estimated expenditures and such investigation as he may find necessary.

(2) The Secretary of Labor shall then certify to the Secretary of the Treasury the amount so estimated for each State plan, reduced or increased, as the case may be, by any sum by which the Secretary of Labor finds that his estimate for any prior fiscal year or part thereof for such State plan was greater or less than the amount which should have been paid to the State under subsection (a) for such year or part thereof; except that such increases or decreases shall not be made to the extent that such sum has been applied to make the amount certified for any prior year or part thereof greater or less than the amount estimated by the Secretary of Labor for such prior year or part thereof.

(3) The Secretary of the Treasury shall, prior to audit or settlement by the General Accounting Office, pay to the State, in such installments and at

the time or times fixed by the Secretary of Labor, the amounts so certified. (c) The Secretary of Labor shall from time to time certify to the Secretary of the Treasury the amounts to be paid to the States from the allotments available under section 202 (b), and the Secretary of the Treasury shall, prior to audit or settlement by the General Accounting Office, make payments of such amounts at the time or times specified by the Secretary of Labor.

FEDERAL ADVISORY COMMITTEE

SEC. 205. The Chief of the Children's Bureau shall formulate general policies for the administration of this title after consultation with (1) a conference of executive officers of State agencies administering the program for crippled children under this title, and (2) an advisory committee composed of professional and public members and, as necessary, technical advisory committees, which he shall appoint.

The Children's Bureau is authorized to pay to each person appointed by the Chief of the Children's Bureau to an advisory committee compensation at the rate of $25 a day while serving on business of the committee, and actual traveling and subsistence expenses while so serving away from his place of residence.

TITLE III-CHILD-WELFARE SERVICES

APPROPRIATION

SEC. 301. For the purpose of assisting each State public-welfare agency to develop effective State-wide child-welfare programs and measures, including the training of personnel, for extending and strengthening public child-welfare services, and for providing 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, there is hereby authorized to be appropriated for the fiscal year ending June 30, 1946, the sum of $20,000,000, and for each year thereafter a sum sufficient to carry out the purposes of this title. The sums authorized under this section shall be used for making payments to States for use by cooperating State public-welfare agencies which have developed jointly with the Children's Bureau, and had approved by the Chief of the Children's Bureau, State plans for developing such programs and providing such services and care.

ALLOTMENTS TO STATES Sec. 302. (a) For each of the fiscal years ending June 30, 1946, and June 30, 1947, the Secretary of Labor shall allot to each State, out of the sums appropriated pursuant to section 301, such part of $10,000,000, and for the fiscal year ending June 30, 1948, and for each fiscal year thereafter, such part of threefourths of the sums appropriated, as he finds that the number of children under twenty-one years of age in such State bore to the total number of children under twenty-one years of age in the United States, in the latest calendar year for which the Bureau of the Census has available statistics.

(b) For the fiscal year ending June 30, 1946, and for each fiscal year there after, in addition to the allotments made under subsection (a), the Secretary of Labor shall allot' to the States, out of the sums appropriated pursuant to section 301, the amount remaining after the amount allotted under subsection (a) has been deducted, taking into consideration for each State such factors as (1) the number of children under twenty-one years of age in the State for whom the services and care provided for in section 301 are to be made available, and the cost of furnishing such services and care to them, (2) the special problems of child welfare, and (3) the financial need of the State for assistance in carrying out the State plan.

APPROVAL OF STATE PLANS

Sec. 303. (a) A State plan for child-welfare services under this title must

(1) provide for financial participation by the State;

(2) provide for a State-wide program, including at least guidance and social service to or in behalf of children who are dependent, neglected, or delinquent, or in danger of becoming neglected or delinquent, or for extension of the program each year so that such guidance and service will be available to all children in need thereof, in all political subdivisions of the State, not later than July 1, 1955;

(3) provide that as services and care are furnished under the plan they shall be available to all children without discrimination because of race, creed, color, or national origin, and without residence requirements;

(4) provide for the administration of the plan by the State public-welfare agency or the supervision of the administration of the plan by the State public-welfare agency, and for appropriate coordination of the plan with the general public-welfare program of the State public-welfare agency : Provided, That in carrying out the purpose of this tle, the State public-welfare agency may develop agreements or cooperative arrangements with other State agencies whose functions include the provision of services related to the services furnished under the State plan;

(5) be made part of the State plan for child-welfare services submitted in accordance with the provisions of title V, part 3, of the Social Security Act;

(6) provide such methods of administration as are found by the Chief of the Children's Bureau to be necessary for the proper and efficient operation of the plan, including methods relating to the establishment and main

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