To amend title V of the Social Security Act to provide for supplemental resources to enhance the delivery of health services to pregnant women and infants.

Amends title V (Maternal and Child Health Services) of the Social Security Act to increase authorized appropriations for such program. Requires States, as a condition of receiving additional funds, to conduct a statewide needs assessment of maternity and infant care, including prenatal care and prevention of low birthweight and infant mortality, and to develop a plan to meet those needs. Changes State reporting requirements to monitor plan implementation results.

 
HR 1568 IH
101st CONGRESS
1st Session
 H. R. 1568
To amend title V of the Social Security Act to provide for supplemental
resources to enhance the delivery of health services to pregnant women
and infants.
IN THE HOUSE OF REPRESENTATIVES
March 22, 1989
Mrs. KENNELLY (for herself, Mr. OWENS of New York, Mr. BATES, Mr. DWYER of New
Jersey, Mr. FAUNTROY, Mr. MCDERMOTT, Mrs. COLLINS, Mr. FLORIO, Mr. ENGEL,
Mr. LEWIS of Georgia, Mr. CROCKETT, Mr. GARCIA, Ms. KAPTUR, Ms. OAKAR,
Mr. DAVIS, Mr. BRYANT, Mr. LAFALCE, Mr. CONYERS, Mr. NEAL of North Carolina,
Mr. FOGLIETTA, Mr. LEVIN of Michigan, Mr. FORD of Tennessee, Mr. SAVAGE,
Ms. PELOSI, Mr. COYNE, Mrs. SAIKI, Mr. THOMAS A. LUKEN, Mr. HERTEL, and
Mr. ROE) introduced the following bill; which was referred to the Committee
on Energy and Commerce
A BILL
To amend title V of the Social Security Act to provide for supplemental
resources to enhance the delivery of health services to pregnant women
and infants.
  Be it enacted by the Senate and House of Representatives of the United
  States of America in Congress assembled,
SECTION 1. INCREASE IN AUTHORIZATION FOR SUPPLEMENTAL RESOURCES TO ENHANCE
THE DELIVERY OF HEALTH SERVICES TO PREGNANT WOMEN AND INFANTS.
  (a) IN GENERAL- Paragraph (4) of section 501(a) of the Social Security Act
  (42 U.S.C. 701(a)(4)) is amended by striking `$561,000,000' and inserting
  in lieu thereof `$661,000,000'.
  (b) ALLOCATION AND REQUIREMENTS RELATED TO USE OF FUNDS UNDER NEW PROGRAM-
  (1) Section 502 of such Act (42 U.S.C. 702) is amended--
  (A) by redesignating subsection (d) as subsection (e); and
  (B) by inserting after subsection (c) the following new subsection:
  `(d)(1) Of the amounts appropriated for a fiscal year in excess of
  $561,000,000, the Secretary shall--
  `(A) retain an amount equal to 15 percent of such amounts in the same
  manner as the amounts retained in subsection (a); and
  `(B) allot an amount equal to 85 percent of such amounts in the same manner
  and for the same purposes as the amounts allotted under subsection (b).
  `(2) The amount retained by the Secretary under paragraph (1)(A) shall
  be used for carrying out (through grants, contracts, or otherwise) the
  purpose of section 501(a)(4).
  `(3) As a condition of receipt of the amount allotted under paragraph
  (1)(B), a State shall provide in such State's description of intended
  expenditures and statement of assurances under section 505--
  `(A) a statewide needs assessment (as described in section 505(1)(F))
  on maternity and infant care;
  `(B) a plan for meeting the needs identified by the assessment;
  `(C) a description of how the funds received will be utilized for the
  coordination and direct provision of services under the plan; and
  `(D) an assurance that amounts expended pursuant to this paragraph shall
  be in addition to any amounts that would have been expended from State
  funds for programs (including programs under this title) as in effect on
  the day before the date of enactment of this Act.'.
  (3) Section 505(1) of such Act (42 U.S.C. 705(1)) is amended--
  (A) by striking `and (D)' and inserting in lieu thereof `(D)'; and
  (B) by striking `such payments' and inserting in lieu thereof `such payments,
  and (E) a statewide needs assessment as described in section 502(d)(3)
  identifying unmet maternity and infant care needs including prenatal care
  and prevention of low birthweight and infant mortality'.
  (c) ANNUAL REPORTS- Section 506(a)(1) of such Act (42 U.S.C. 706(a)(1)) is
  amended by inserting before the last sentence the following new sentence:
  `States must submit annual reports describing the extent to which funds
  met the objectives of the plan provided for under section 502(d)(3),
  such reports shall fully describe the services provided, including the
  number of individuals served under this title and the characteristics of
  such individuals served, as well as statewide statistics related to the
  percentage of pregnant women who by the third trimester have been provided
  prenatal care and statistics related to the birthweight distribution and
  health status of infants.'.
  (d) CONFORMING AMENDMENT- Paragraphs (1), (2)(A), and (3) of section 502(c)
  of such Act (42 U.S.C. 702(c)) are amended by striking `$478,000,000'
  each place it appears and inserting in lieu thereof `$478,000,000, but
  not in excess of $561,000,000'.
  (e) EFFECTIVE DATE- The amendments made by this section shall become
  effective with respect to services delivered six or more months after the
  date of enactment of this Act.