BLOCK GRANTS.

SEC. 301. BLOCK GRANTS. (a) Authorization of Appropriations.—Section 1901(a) of the Public Health Service Act (42 US.C. 300w(a)) is amended by striking “and” after “1986,” and by inserting before the period the following: “, $110,000,000 for fiscal year 1989, and such sums as may be necessary for each of the fiscal years 1990 and 1991”. (b) Use of Allotments.—Section 1904(a)(1) of the Public Health Service Act (42 U5.C. 300w-3(a)(1)) is amended— (1) in subparagraph (B), by inserting before the period the following: “and elevated serum cholesterol”; (2) in subparagraph (O, by inserting before the period the following: “, including programs designed to reduce the incidence of chronic diseases”; (3) in subparagraph (D), by inserting before the period the following: “, including immunization services”; (4) in subparagraph (F), in the second sentence, by striking “systems (other” and all that follows and inserting the following: “systems, except that such amounts may be used for the payment of not more than 50 percent of the costs of purchasing communications equipment for the systems.”; and (5) by inserting after subparagraph (g) the following new subparagraph; 102 STAT. 3112 “(H) Establishing and maintaining preventive health service programs for screening for, the detection, diagnosis, prevention, and referral for treatment of, and follow-up on compliance with treatment prescribed for, uterine cancer and breast cancer.”. (c) Application and Description of Activities.—Section 1905(d) of the Public Health Service Act (42 U.S.C. 300w-4(d)) is amended by adding at the end the following new sentence: “The description shall include a statement of the public health objectives expected to be achieved by the State through the use of the payments the State will receive under section 1903.”. (d) Reports and Audits.— (1) Section 1906(a) of the Public Health Service Act (42 U.S.C. 300w-5(a)) is amended by adding at the end the following new paragraph: “(3) Each annual report required in paragraph (1) shall include— “(A) information and data on the number of individuals who received services provided through the use of payments under section 1903, the types of such services provided, the types of health care providers that delivered such services, and the cost of each type of such service; “(B) such other information and data as the Secretary may require; and “(C) an evaluation of the extent to which such services have been effective toward meeting the public health objectives described in the statement submitted to the Secretary pursuant to section 1905(d).”. (2) Section 1906(b)(6) of the Public Health Service Act (42 U.S.C. 300w-5(b)(6)) is amended by striking “1983,” and inserting “1990,”.