INCREASE IN AUTHORIZATION OF APPROPRIATIONS.

SEC. 6501. INCREASE IN AUTHORIZATION OF APPROPRIATIONS. (a) In General.—Section 501 of the Social Security Act (42 U.S.C. 701) is amended— (1) by amending subsection (a) to read as follows: “(a) To improve the health of all mothers and children consistent with the applicable health status goals and national health objectives established by the Secretary under the Public Health Service Act for the year 2000, there are authorized to be appropriated $686,000,000 for fiscal year 1990 and each fiscal year thereafter— “(1) for the purpose of enabling each State— “(A) to provide and to assure mothers and children (in particular those with low income or with limited availability of health services) access to quality maternal and child health services; “(B) to reduce infant mortality and the incidence of preventable diseases and handicapping conditions among children, to reduce the need for inpatient and long-term care services, to increase the number of children (especially preschool children) appropriately immunized against disease and the number of low income children receiving health assessments and follow-up diagnostic and treatment services, and otherwise to promote the health of mothers and infants by providing prenatal, delivery, and postpartum care for low income, at-risk pregnant women, and to promote the health of children by providing preventive and primary care services for low income children; “(C) to provide rehabilitation services for blind and disabled individuals under the age of 16 receiving benefits 103 STAT. 2274under title XVI, to the extent medical assistance for such services is not provided under title XIX; and “(D) to provide and to promote family-centered, community-based, coordinated care (including care coordination services, as defined in subsection (b)(3)) for children with special health care needs and to facilitate the development of community-based systems of services for such children and their families; “(2) for the purpose of enabling the Secretary (through grants, contracts, or otherwise) to provide for special projects of regional and national significance, research, and training with respect to maternal and child health and children with special health care needs (including early intervention training and services development), for genetic disease testing, counseling, and information development and dissemination programs, for grants (including funding for comprehensive hemophilia diagnostic treatment centers) relating to hemophilia without regard to age, and for the screening of newborns for sickle cell anemia, and other genetic disorders and follow-up services; and “(3) subject to section 502(b) for the purpose of enabling the Secretary (through grants, contracts, or otherwise) to provide for developing and expanding the following— “(A) maternal and infant health home visiting programs in which case management services as defined in subparagraphs (A) and (B) of subsection (b)(4), health education services, and related social support services are provided in the home to pregnant women or families with an infant up to the age one by an appropriate health professional or by a qualified nonprofessional acting under the supervision of a health care professional, “(B) projects designed to increase the participation of obstetricians and pediatricians under the program under this title and under state plans approved under title XIX, “(C) integrated maternal and child health service delivery systems (of the type described in section 1136 and using, once developed, the model application form developed under section 6506(a) of the Omnibus Budget Reconciliation Act of 1989), “(D) maternal and child health centers which (i) provide prenatal, delivery, and postpartum care for pregnant women and preventive and primary care services for infants up to age one, and (ii) operate under the direction of a not-for-profit hospital, “(E) maternal and child health projects to serve rural populations, and “(F) outpatient and community based services programs (including day care services) for children with special health care needs whose medical services are provided primarily through inpatient institutional care.”, and (2) by adding at the end of subsection (b) the following new paragraphs: “(3) The term ‘care coordination services’ means services to promote the effective and efficient organization and utilization of resources to assure access to necessary comprehensive services for children with special health care needs and their families. “(4) The term ‘case management services’ means— 103 STAT. 2275 “(A) with respect to pregnant women, services to assure access to quality prenatal, delivery, and postpartum care; and “(B) with respect to infants up to age one, services to assure access to quality preventive and primary care services.”. (b) Conforming Amendment.—Section 505(2)(C)(ii) of such Act (42 U.S.C. 705(2)(C)(ii)) is amended by striking “paragraphs (1) through (3) of section 501(a)” and inserting “subparagraphs (A) through (D) of section 501(a)(1)”.