42usc701

Compilation Volume I Title Page

AUTHORIZATION OF
APPROPRIATIONS
SEC. 501. [42 U.S.C. 701] (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 $850,000,000 for fiscal year 2001 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 under 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.
Funds appropriated under this section may only be used in a manner consistent with the
Assisted Suicide Funding Restriction Act of 1997.
(b) For purposes of this title:
(1) The term “consolidated health programs” means the programs administered
under the provisions of—
(A) this title (relating to maternal and child health and services for children with
special health care needs),
(B) section 1615(c) of this Act (relating to supplemental security income for
disabled children),
(C) sections 316 (relating to lead-based paint poisoning prevention programs),
1101 (relating to genetic disease programs), 1121 (relating to sudden infant death
syndrome programs) and 1131 (relating to hemophilia treatment centers) of the
Public Health Service Act[3], and
(D) title VI[4] of the Health Services and Centers Amendments of 1978 (Public
Law 95-626; relating to adolescent pregnancy grants),
as such provisions were in effect before the date of the enactment of the Maternal
and Child Health Services Block Grant Act[5].
(2) The term “low income” means, with respect to an individual or family, such
an individual or family with an income determined to be below the income
official poverty line defined by the Office of Management and Budget and revised
annually in accordance with section 673(2) of the Omnibus Budget Reconciliation
Act of 1981[6].

(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—
(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.
(c)[7] (1)(A) For the purpose of enabling the Secretary (through grants, contracts, or
otherwise) to provide for special projects of regional and national significance for the
development and support of family-to-family health information centers described in
paragraph (2), there is appropriated to the Secretary, out of any money in the Treasury
not otherwise appropriated—
(i) $3,000,000 for fiscal year 2007;
(ii) $4,000,000 for fiscal year 2008; and
(iii) $5,000,000 for fiscal year 2009.
(B) Funds appropriated or authorized to be appropriated under subparagraph (A)
shall—
(i) be in addition to amounts appropriated under subsection (a) and retained under
section 502(a)(1) for the purpose of carrying out activities described in subsection
(a)(2); and
(ii) remain available until expended.
(2) The family-to-family health information centers described in this paragraph
are centers that—
(A) assist families of children with disabilities or special health care needs to
make informed choices about health care in order to promote good treatment
decisions, cost-effectiveness, and improved health outcomes for such children;
(B) provide information regarding the health care needs of, and resources
available for, such children;
(C) identify successful health delivery models for such children;
(D) develop with representatives of health care providers, managed care
organizations, health care purchasers, and appropriate State agencies, a model for
collaboration between families of such children and health professionals;
(E) provide training and guidance regarding caring for such children;
(F) conduct outreach activities to the families of such children, health
professionals, schools, and other appropriate entities and individuals; and
(G) are staffed—
(i) by such families who have expertise in Federal and State public and private
health care systems; and
(ii) by health professionals.
(3) The Secretary shall develop family-to-family health information centers
described in paragraph (2) in accordance with the following:

(A) With respect to fiscal year 2007, such centers shall be developed in not less
than 25 States.
(B) With respect to fiscal year 2008, such centers shall be developed in not less
than 40 States.
(C) With respect to fiscal year 2009 and each fiscal year thereafter, such centers
shall be developed in all States.
(4) The provisions of this title that are applicable to the funds made available to
the Secretary under section 502(a)(1) apply in the same manner to funds made
available to the Secretary under paragraph (1)(A).
(5) For purposes of this subsection, the term "State" means each of the 50 States
and the District of Columbia.
[3]

P.L. 78-410. P.L. 97-35, §2193(b)(1), 95 Stat. 827, repealed §§316, 1101, 1121, and
1131 of the PHSA.
[4]

P.L. 95-626, Title VI, was repealed by P.L. 97-35, §955(b); 95 Stat. 592.

[5]

P.L. 97-35, Title XXI, subtitle D [95 Stat. 818].

[6]

See Vol. II, P.L. 97-35.

[7]

P.L. 109-171, §6064, added subsection (c), effective February 8, 2006.