Page:United States Statutes at Large Volume 106 Part 4.djvu/765

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PUBLIC LAW 102-531—OCT. 27, 1992 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)(l)(C) of the Public Health Service Act (42 U.S.C. 254c(b)(l)(C)) is amended by inserting sifter "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 furnishing of services on a prepaid basis or as needed to cover unanticipated expenses; "(iii) interest pa>inents 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 GENERAli. —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