CERTAIN PROGRAMS.

SEC. 309. CERTAIN PROGRAMS. (a) Migrant Health Centers.— (1) Infant mortality and morbidity.— Section 329(h)(2) of the Public Health Service Act (42 U.S.C. 254b(h)(2)) is amended— (A) by amending subparagraph (B) to read as follows: “(B) The Secretary may make grants to migrant health centers for the purpose of assisting such centers in— “(i) providing comprehensive health care and support services for the reduction of (I) the incidence of infant mortality, and (II) morbidity among children who are less than 3 years of age; and “(ii) developing and coordinating service and referral arrangements between migrant health centers and other entities for the health management of pregnant women and children described in clause (i).”; and (B) by adding at the end the following subparagraphs: “(D) The Secretary may make a grant under subparagraph (B) only if the migrant health center involved agrees to expend the grant for the following activities with respect to the purpose described in such subparagraph: “(i) Primary health services, including prenatal care. “(ii) Community education, outreach, and case finding. “(iii) Case management services. “(iv) Client education, including parenting and child development education. “(E) The purposes for which a migrant health center may expend a grant under subparagraph (B) include, with respect to the purpose described in such subparagraph, substance abuse106 STAT. 3500 screening, counseling and referral services, and other necessary nonmedical support services, including child care, translation services, and housing assistance. “(F) The Secretary may make a grant under subparagraph (B) only if the migrant health center involved agrees that— “(i) the center will coordinate the provision of services under the grant to each of the recipients of the services; “(ii) such services will be continuous for each such recipient; “(iii) the center will provide follow-up services for individuals who are referred by the center for services described in subparagraph (E); and “(iv) the grant will be expended to supplement, and not supplant, the expenditures of the center for primary health services (including prenatal care) with respect to the purpose described in such subparagraph.”. (2) Certain services.— Section 329(a)(6)(C) of the Public Health Service Act (42 U.S.C. 254b(a)(6)(C)) is amended by inserting after “well child services,” the following: “immunizations against vaccine-preventable diseases, screenings for elevated blood lead levels,”. (3) Certain expenditures.— Section 329(d)(4) of the Public Health Service Act (42 U.S.C. 254b(d)(4)) is amended by adding at the end the following subparagraph: “(C) With respect to amounts described in clauses (i) and (ii) of subparagraph (A), the Secretary may not restrict expenditures of such amounts by any grantee under paragraph (1)(A) for— “(i) repair or minor renovation of the physical plant; “(ii) establishment of a financial reserve as required for the furnishing of services on a prepaid basis or as needed to cover unanticipated expenses; “(iii) interest payments on short-term loans to cover cash shortfalls; or “(iv) necessary salary requirements to remain competitive in hiring health care practitioners.”. (b) Community Health Centers.— (1) Infant mortality and morbidity.— Section 330(g)(2) of the Public Health Service Act (42 U.S.C. 254c(g)(2)) is amended— (A) by amending subparagraph (B) to read as follows: “(B) The Secretary may make grants to community health centers for the purpose of assisting such centers in— “(i) providing comprehensive health care and support services for the reduction of (I) the incidence of infant mortality, and (II) morbidity among children who are less than 3 years of age; and “(ii) developing and coordinating service and referral arrangements between community health centers and other entities for the health management of pregnant women and children described in clause (i).”; and (B) by adding at the end the following subparagraphs: “(D) The Secretary may make a grant under subparagraph (B) only if the community health center involved agrees to expend the grant for the following activities with respect to the purpose described in such subparagraph: “(i) Primary health services, including prenatal care. “(ii) Community education, outreach, and case finding. “(iii) Case management services. 106 STAT. 3501 “(iv) Client education, including parenting and child development education. “(E) The purposes for which a community health center may expend a grant under subparagraph (B) include, with respect to the purpose described in such subparagraph, substance abuse screening, counseling and referral services, and other necessary nonmedical support services, including child care, translation services, and housing assistance. “(F) The Secretary may make a grant under subparagraph (B) only if the community health center involved agrees that— “(i) the center will coordinate the provision of services under the grant to each of the recipients of the services; “(ii) such services will be continuous for each such recipient; “(iii) the center will provide follow-up services for individuals who are referred by the center for services described in subparagraph (E); and “(iv) the grant will be expended to supplement, and not supplant, the expenditures of the center for primary health services (including prenatal care) with respect to the purpose described in such subparagraph.”. (2) Certain services.— Section 330(b)(1)(C) of the Public Health Service Act (42 U.S.C. 254c(b)(1)C)) is amended by inserting after “well child services,” the following: “immunizations against vaccine-preventable diseases, screenings for elevated blood lead levels,”. (3) Certain expenditures.— Section 330(d)(4) of the Public Health Service Act (42 U.S.C. 254c(d)(4)) is amended by adding at the end the following subparagraph: “(C) With respect to amounts described in clauses (i) and (ii) of subparagraph (A), the Secretary may not restrict expenditures of such amounts by any grantee under paragraph (1) for— “(i) repair or minor renovation of the physical plant; “(ii) establishment of a financial reserve as required for the famishing of services on a prepaid basis or as needed to cover unanticipated expenses; “(iii) interest payments on short-term loans to cover cash shortfalls; or “(iv) necessary salary requirements to remain competitive in hiring health care practitioners.”. (c) Health Care for the Homeless.— Section 340 of the Public Health Service Act (42 U.S.C. 256) is amended by adding at the end the following subsection: “(t) Infant Mortality and Morbidity.— “(1) In general.— The Secretary may make grants to grantees under subsection (a) for the purpose of assisting such grantees in— “(A) providing comprehensive health care and support services for the reduction of (i) the incidence of infant mortality, and (ii) morbidity among children who are less than 3 years of age; and “(B) developing and coordinating service and referral arrangements between such grantees and other entities for the health management of pregnant women and children described in subparagraph (A). “(2) Required activities.— The Secretary may make a grant under paragraph (1) only if the applicant involved agrees106 STAT. 3502 to expend the grant for the following activities with respect to the purpose described in such paragraph: “(A) Primary health services, including prenatal care. “(B) Community education, outreach, and case finding. “(C) Case management services. “(D) Client education, including parenting and child development education. “(3) Certain authorized activities.— The purposes for which a grant under paragraph (1) may be expended include, with respect to the purpose described in such paragraph, substance abuse screening, counseling and referral services, and other necessary nonmedical support services, including child care, translation services, and housing assistance. “(4) Certain requirements regarding provision of services.— The Secretary may make a grant under paragraph (1) only if the applicant involved agrees that— “(A) the applicant will coordinate the provision of services under the grant to each of the recipients of the services; “(B) such services will be continuous for each such recipient; “(C) the applicant will provide follow-up services for individuals who are referred by the applicant for services described in paragraph (3); and “(D) the grant will be expended to supplement, and not supplant, the expenditures of the applicant for primary health services (including prenatal care) with respect to the purpose described in paragraph (1). “(5) Application for grant.— The Secretary may make a grant under paragraph (1) only if an application for the grant is submitted to the Secretary and the application is in such form, is made in such manner, and contains such agreements, assurances, and information as the Secretary determines to be necessary to carry out this subsection. “(6) Authorization of appropriations.— For the purpose of carrying out this subsection, there are authorized to be appropriated such sums as may be necessary for each of the fiscal years 1993 and 1994.”. (d) Health Care for Residents of Public Housing.— Section 340A of the Public Health Service Act (42 U.S.C. 256a) is amended by adding at the end the following subsection: “(q) Infant Mortality and Morbidity.— “(1) In general.— The Secretary may make grants to grantees under subsection (a) for the purpose of assisting such grantees in— “(A) providing comprehensive health care and support services for the reduction of (i) the incidence of infant mortality, and (ii) morbidity among children who are less than 3 years of age; and “(B) developing and coordinating service and referral arrangements between such grantees and other entities for the health management of pregnant women and children described in subparagraph (A). “(2) Required activities.— The Secretary may make a grant under paragraph (1) only if the applicant involved agrees to expend the grant for the following activities with respect to the purpose described in such paragraph: “(A) Primary health services, including prenatal care. 106 STAT. 3503 “(B) Community education, outreach, and case finding. “(C) Case management services. “(D) Client education, including parenting and child development education. “(3) Certain authorized activities.— The purposes for which a grant under paragraph (1) may be expended include, with respect to the purpose described in such paragraph, substance abuse screening, counseling and referral services, and other necessary nonmedical support services, including child care, translation services, and housing assistance. “(4) Certain requirements regarding provision of services.— The Secretary may make a grant under paragraph (1) only if the applicant involved agrees that— “(A) the applicant will coordinate the provision of services under the grant to each of the recipients of the services; “(B) such services will be continuous for each such recipient; “(C) the applicant will provide follow-up services for individuals who are referred by the applicant for services described in paragraph (3); and “(D) the grant will be expended to supplement, and not supplant, the expenditures of the applicant for primary health services (including prenatal care) with respect to the purpose described in paragraph (1). “(5) Application for grant.— The Secretary may make a grant under paragraph (1) only if an application for the grant is submitted to the Secretary and the application is m such form, is made in such manner, and contains such agreements, assurances, and information as the Secretary determines to be necessary to carry out this subsection. “(6) Authorization of appropriations.— For the purpose of carrying out this subsection, there are authorized to be appropriated such sums as may be necessary for each of the fiscal years 1993 and 1994.”.