Guam....

Puerto Rico.
Virgin Islands.

(25 F.R. 9615.)

50. 00

Federal matching on a 50-50 basis on both money and
vendor medical payments up to a maximum of
$35.50 (to revert to $35 after June 30, 1962) a
month times the number of recipients on the old-age,
blind, and disabled program with a maximum of $18
a month times the number of recipients on the aid
to dependent children program.
Additional matching for vendor medical expenditures
is available for up to $7.50 per month per recipient
on old-age assistance rather than the additional $15
per month per recipient which applies to the States
and the District of Columbia.

Total Federal payments for all 4 public assistance pro-
grams may not exceed

In each case a portion of these amounts is only available
if used to provide additional medical vendor pay-
ments on behalf of assistance recipients:

1. Increase in the Federal matching
formula-Continued

E. Provision of rehabilitation serv-
ices and training of welfare
agency personnel (adminis.
trative expenses):

1. Type of services and Fed-
eral matching.

2. Providers of services.

The Federal Government shares with the States on a
dollar-for-dollar basis (50 percent) in the administra-
tive costs of carrying out the public assistance pro-
grams for the aged, blind, disabled, dependent
children, and medical assistance for the aged. A
State, at its option, may include within its matched
administrative expenses, services to help applicants
for and recipients of public assistance to attain self-
care, (old-age assistance); self-support and self-care
(aid to the blind and aid to the disabled); and to
maintain and strengthen family life (aid to dependent
children). There is no provision authorizing services
for medical assistance for the aged.

Services are to be provided by the staff of the State
welfare agency but, in the provision of these services,
there must be maximum utilisation of other agencies
providing similar or related services.

States would be required to make available to applicants
and recipients at least the following services, to be
prescribed by the Secretary of Health, Education, and
Welfare: In the case of old-age assistance applicants
and recipients, "to help them attain or retain capa-
bility for self-care"; in the case of applicants and
recipients on the blind and disabled program, "to
help them attain or retain capability for self-support
or self-care"; in the case of the dependent children
program, "to maintain and strengthen family life for
children, and to help relatives specified in the act
with whom children are living to attain or
retain capability for self-support or self-care."
Other services noted in the following paragraph may be
made available at the option of the State as are all
services for medical assistance for the aged.

The Federal Government would pay 75 percent of
the cost of

Le (1) the services specified above, which are
required by the Secretary to be made available to
applicants or recipients;

(2) other services provided to applicants or
recipients specified by the Secretary as likely to
prevent or reduce dependency;

(3) services described in (1) and (2) specified by
the Secretary as appropriate for individuals who,
within the periods prescribed by the Secretary,
have been or are likely to become applicants for
or recipients of public assistance and who request
such services;

(4) training of personnel employed or preparing
for employment with a State or local public as-
sistance agency.

The Federal Government would continue to pay
50 percent of cost of other services and other ad-
ministrative costs.

Effective as to expenditures after June 30, 1962.
Same as under existing law, but services may also be
furnished, pursuant to agreement with the State
welfare agency, by a State health or vocational re-
habilitation agency or by other State agencies which
the Secretary deems appropriate (whether provided.
by its staff or by contract with nonprofit private or
local public agencies). The provision of services by
other agencies would be subject to limitations by the
Secretary and would have to be services which

1. Program would be extended for 5 years through
June 30, 1967.

2. No change.

(a) make assurance that assistance will not be (a) No change.
granted if, and for as long as, the unemployed parent
refuses, without good cause, to accept employment
in which he is able to engage and which is offered
through either a public employment office or by an
employer if the offer is determined by the State
agency to be a bona fide offer of such employment;

(b) provide for entering into cooperative arrange-
ments with the system of public employment offices in
the State looking toward the employment of unem-
ployed parents, including appropriate provision for
periodic registration of the unemployed parent and
for the maximum utilization of the job placement
and other services and facilities of such offices; and

(b) No change.

(c) provide for entering into cooperative arrange- (c) Adds requirement that State plan must provide for

denying aid to families for as long as the unemployed parent refuses without good cause to undergo such retraining. Effective July 1, 1963.