
From the U.S. Code Online via GPO Access
[wais.access.gpo.gov]
[Laws in effect as of January 23, 2000]
[Document affected by Public Law 106-554 Section 1(a)(6)[921(a)]]
[Document affected by Public Law 106-554 Section 1(a)(6)[921(b)]]
[CITE: 42USC701]

 
                 TITLE 42--THE PUBLIC HEALTH AND WELFARE
 
                       CHAPTER 7--SOCIAL SECURITY
 
      SUBCHAPTER V--MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT
 
Sec. 701. Authorization of appropriations; purposes; definitions

    (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 [42 
U.S.C. 201 et seq.] for the year 2000, there are authorized to be 
appropriated $705,000,000 for fiscal year 1994 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 subchapter XVI of this chapter, to the extent medical 
        assistance for such services is not provided under subchapter 
        XIX of this chapter; and
            (D) to provide and to promote family-centered, community-
        based, coordinated care (including care coordination services, 
        as defined in subsection (b)(3) of this section) 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 702(b) of this title 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) of this section, 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 
        subchapter and under state \1\ plans approved under subchapter 
        XIX of this chapter,
---------------------------------------------------------------------------
    \1\ So in original. Probably should be capitalized.
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            (C) integrated maternal and child health service delivery 
        systems (of the type described in section 1320b-6 \2\ of this 
        title and using, once developed, the model application form 
        developed under section 6506(a) of the Omnibus Budget 
        Reconciliation Act of 1989),
---------------------------------------------------------------------------
    \2\ See References in Text note below.
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            (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 [42 
U.S.C. 14401 et seq.].
    (b) For purposes of this subchapter:
        (1) The term ``consolidated health programs'' means the programs 
    administered under the provisions of--
            (A) this subchapter (relating to maternal and child health 
        and services for children with special health care needs),
            (B) section 1382d(c) of this title (relating to supplemental 
        security income for disabled children),
            (C) sections 247a of this title (relating to lead-based 
        paint poisoning prevention programs), 300b of this title 
        (relating to genetic disease programs), 300c-11 of this title 
        (relating to sudden infant death syndrome programs) and 300c-21 
        of this title (relating to hemophilia treatment centers), and
            (D) title VI 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 August 13, 1981.
        (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 9902(2) of this title.
        (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.

(Aug. 14, 1935, ch. 531, title V, Sec. 501, as added Pub. L. 97-35, 
title XXI, Sec. 2192(a), Aug. 13, 1981, 95 Stat. 818; amended Pub. L. 
97-248, title I, Sec. 137(b)(1), (2), Sept. 3, 1982, 96 Stat. 376; Pub. 
L. 98-369, div. B, title III, Sec. 2372(a), July 18, 1984, 98 Stat. 
1110; Pub. L. 99-272, title IX, Sec. 9527(a)-(c), Apr. 7, 1986, 100 
Stat. 219; Pub. L. 99-509, title IX, Sec. 9441(a), Oct. 21, 1986, 100 
Stat. 2071; Pub. L. 100-203, title IV, Sec. 4118(p)(8), Dec. 22, 1987, 
101 Stat. 1330-159; Pub. L. 101-239, title VI, Sec. 6501(a), Dec. 19, 
1989, 103 Stat. 2273; Pub. L. 103-432, title II, Sec. 201, Oct. 31, 
1994, 108 Stat. 4453; Pub. L. 105-12, Sec. 9(d), Apr. 30, 1997, 111 
Stat. 27.)

                       References in Text

    The Public Health Service Act, referred to in subsec. (a), is act 
July 1, 1944, ch. 373, 58 Stat. 682, as amended, which is classified 
generally to chapter 6A (Sec. 201 et seq.) of this title. For complete 
classification of this Act to the Code, see Short Title note set out 
under section 201 of this title and Tables.
    The Assisted Suicide Funding Restriction Act of 1997, referred to in 
subsec. (a), is Pub. L. 105-12, Apr. 30, 1997, 111 Stat. 23, which is 
classified principally to chapter 138 (Sec. 14401 et seq.) of this 
title. For complete classification of this Act to the Code, see Short 
Title note set out under section 14401 of this title and Tables.
    Section 1320b-6 of this title, referred to in subsec. (a)(3)(C), was 
repealed by Pub. L. 104-193, title I, Sec. 108(g)(7), Aug. 22, 1996, 110 
Stat. 2168.
    Section 6506(a) of the Omnibus Budget Reconciliation Act of 1989, 
referred to in subsec. (a)(3)(C), is section 6506(a) of Pub. L. 101-239 
which is set out below.
    Sections 247a, 300b, 300c-11, and 300c-21 of this title, referred to 
in subsec. (b)(1)(C), were repealed by Pub. L. 97-35, Sec. 2193(b)(1), 
Aug. 13, 1981, 95 Stat. 827. See Effective Date, Savings, and 
Transitional Provisions note set out below.
    The Health Services and Centers Amendments of 1978, referred to in 
subsec. (b)(1)(D), is Pub. L. 95-626, Nov. 10, 1978, 92 Stat. 3551. 
Title VI of the Health Services and Centers Amendments of 1978 was 
classified generally to part A (Sec. 300a-21 et seq.) of subchapter 
VIII-A of this chapter prior to its repeal by Pub. L. 97-35, title IX, 
Sec. 955(b), title XXI, Sec. 2193(f), Aug. 13, 1981, 95 Stat. 592, 828. 
For complete classification of this Act to the Code, see Short Title of 
1978 Amendment note set out under section 201 of this title and Tables.


                            Prior Provisions

    A prior section 701, act Aug. 14, 1935, ch. 531, title V, Sec. 501, 
as added Jan. 2, 1968, Pub. L. 90-248, title III, Sec. 301, 81 Stat. 
921; amended Aug. 1, 1977, Pub. L. 95-83, title III, Sec. 309(a), 91 
Stat. 396; Aug. 13, 1981, Pub. L. 97-35, title XXI, Sec. 2193(a)(3), 95 
Stat. 827, provided for authorization of appropriations, prior to the 
general revision of this subchapter by section 2192(a) of Pub. L. 97-35. 
For effective date, savings, and transitional provisions, see section 
2194 of Pub. L. 97-35, set out below.
    Another prior section 701, acts Aug. 14, 1935, ch. 531, title V, 
Sec. 501, 49 Stat. 629; Aug. 10, 1939, ch. 666, title V, Sec. 501, 53 
Stat. 1380; 1946 Reorg. Plan No. 2, Sec. 1, eff. July 16, 1946, 11 F.R. 
7873, 60 Stat. 1095; Aug. 10, 1946, ch. 951, title IV, Sec. 401(b)(1), 
60 Stat. 986; Aug. 28, 1950, ch. 809, title III, pt. 3, Sec. 331(a), pt. 
6, Sec. 361(e), 64 Stat. 551, 558; Aug. 28, 1958, Pub. L. 85-840, title 
VI, Sec. 602(a), 72 Stat. 1054; Sept. 13, 1960, Pub. L. 86-778, title 
VII, Sec. 707(a)(1)(A), 74 Stat. 995; Oct. 24, 1963, Pub. L. 88-156, 
Sec. 2(a), 77 Stat. 273; July 30, 1965, Pub. L. 89-97, title II, 
Sec. 201(a), 79 Stat. 353, authorized appropriations, for maternal and 
child health services, of $25,000,000; $30,000,000; $35,000,000; 
$45,000,000; $50,000,000; $55,000,000; $55,000,000; and $60,000,000 for 
fiscal years ending June 30, 1963, 1964, 1965, 1966, 1967, 1968, 1969, 
1970 and each fiscal year thereafter, respectively, prior to the general 
amendment of title V of the Social Security Act by Pub. L. 90-248, 
Sec. 301.
    Provisions similar to those comprising former section 701 were 
contained in section 511 of act Aug. 14, 1935, ch. 531, title V, 49 
Stat. 631, as amended (formerly classified to section 711 of this title, 
and sections 531(a), 532(a), and 533(a) (formerly 532(a)) of act Aug. 
14, 1935, ch. 531, title V, as added Oct. 24, 1963, Pub. L. 88-156, 
Sec. 4, 77 Stat. 274; amended July 30, 1965, Pub. L. 89-97, title II, 
Sec. 205(3), 79 Stat. 354; Oct. 24, 1963, Pub. L. 88-156, Sec. 4, 77 
Stat. 274; renumbered July 30, 1965, Pub. L. 89-97, title II, 
Sec. 205(2), 79 Stat. 354 (formerly classified to sections 729(a), 729-
1(a), and 729a(a) of this title), prior to the general amendment and 
renumbering of title V of act Aug. 14, 1935, by Pub. L. 90-248, 
Sec. 301.


                               Amendments

    1997--Subsec. (a). Pub. L. 105-12 inserted concluding provisions.
    1994--Subsec. (a). Pub. L. 103-432 substituted ``$705,000,000 for 
fiscal year 1994'' for ``$686,000,000 for fiscal year 1990'' in 
introductory provisions.
    1989--Subsec. (a). Pub. L. 101-239, Sec. 6501(a)(1), amended subsec. 
(a) generally, substituting pars. (1) to (3) for former pars. (1) to (4) 
and concluding provisions.
    Subsec. (b)(3), (4). Pub. L. 101-239, Sec. 6501(a)(2), added pars. 
(3) and (4).
    1987--Subsec. (b)(2). Pub. L. 100-203 struck out ``nonform'' after 
``below the''.
    1986--Subsec. (a). Pub. L. 99-509 substituted ``$553,000,000 for 
fiscal year 1987, $557,000,000 for fiscal year 1988, and $561,000,000 
for fiscal year 1989'' for ``$478,000,000 for fiscal year 1984'' in 
concluding provisions.
    Pub. L. 99-272, Sec. 9527(b), substituted ``children with special 
health care needs'' for ``crippled children'' in concluding provisions.
    Subsec. (a)(4). Pub. L. 99-272, Sec. 9527(a), substituted ``children 
who are `children with special health care needs' or who are suffering 
from conditions leading to such status'' for ``children who are crippled 
or who are suffering from conditions leading to crippling''.
    Subsec. (b)(1)(A). Pub. L. 99-272, Sec. 9527(c), substituted 
``services for children with special health care needs'' for ``crippled 
children's services''.
    1984--Subsec. (a). Pub. L. 98-369 substituted ``$478,000,000 for 
fiscal year 1984 and each fiscal year thereafter'' for ``$373,000,000 
for fiscal year 1982 and for each fiscal year thereafter''.
    1982--Subsec. (b)(1)(D). Pub. L. 97-248, Sec. 137(b)(1), substituted 
``title VI'' for ``title IV''.
    Subsec. (b)(2). Pub. L. 97-248, Sec. 137(b)(2), substituted 
``section 9902(2)'' for ``section 2971d''.


                    Effective Date of 1997 Amendment

    Amendment by Pub. L. 105-12 effective Apr. 30, 1997, applicable to 
Federal payments made pursuant to obligations incurred after Apr. 30, 
1997, for items and services provided on or after such date, subject to 
also being applicable with respect to contracts entered into, renewed, 
or extended after Apr. 30, 1997, as well as contracts entered into 
before Apr. 30, 1997, to the extent permitted under such contracts, see 
section 11 of Pub. L. 105-12, set out as an Effective Date note under 
section 14401 of this title.


                    Effective Date of 1989 Amendment

    Section 6510 of Pub. L. 101-239 provided that:
    ``(a) In General.--Except as provided in subsection (b), the 
amendments made by this subtitle [subtitle C (Secs. 6501-6510) of title 
VI of Pub. L. 101-239, amending this section and sections 702 to 706, 
708, and 709 of this title] shall apply to appropriations for fiscal 
years beginning with fiscal year 1990.
    ``(b) Application and Report.--The amendments made--
        ``(1) by subsections (b) and (c) of section 6503 [amending 
    sections 702, 704 to 706, and 709 of this title] shall apply to 
    payments for allotments for fiscal years beginning with fiscal year 
    1991, and
        ``(2) by section 6504 [amending section 706 of this title] shall 
    apply to annual reports for fiscal years beginning with fiscal year 
    1991.''


                    Effective Date of 1984 Amendment

    Section 2372(b) of Pub. L. 98-369 provided that: ``The amendment 
made by subsection (a) [amending this section] shall be effective for 
fiscal years beginning on or after October 1, 1983.''


                    Effective Date of 1982 Amendment

    Amendment by Pub. L. 97-248 effective as if originally included as 
part of this section as this section was amended by the Omnibus Budget 
Reconciliation Act of 1981, Pub. L. 97-35, see section 137(d)(2) of Pub. 
L. 97-248, set out as a note under section 1396a of this title.


          Effective Date, Savings, and Transitional Provisions

    Section 2194 of Pub. L. 97-35 provided that:
    ``(a) Except as otherwise provided in this section, the amendments 
made by sections 2192 [enacting this subchapter and enacting provisions 
set out as a note under section 706 of this title] and 2193 [amending 
this section and sections 247a, 300a-27, 300b, 300c-11, and 300c-21 of 
this title with respect to fiscal year ending Sept. 30, 1982, amending 
sections 300b-3, 300b-6, 1301, 1308, 1320a-1, 1320a-8, 1320b-2, 1320b-4, 
1320c-21, 1382d, 1395b-1, 1395x, and 1396a of this title, repealing 
sections 236, 247a, 300a-21 to 300a-28, 300a-41, 300b, 300b-5, 300c-11, 
and 300c-21 of this title, enacting provisions set out as a note under 
section 1382d of this title, and amending provisions set out as notes 
under sections 1320a-8 and 1395b-1 of this title] of this subtitle do 
not apply to any grant made, or contract entered into, or amounts 
payable to States under State plans before the earlier of--
        ``(1) October 1, 1982, or
        ``(2)(A) in the case of such grants, contracts, or payments 
    under consolidated State programs (as defined in subsection 
    (c)(2)(C)) to a State (or entities in the State), the date the State 
    is first entitled to an allotment under title V of the Social 
    Security Act [this subchapter] (as amended by this subtitle), or
        ``(B) in the case of grants and contracts under consolidated 
    Federal programs (as defined in subsection (c)(2)(B)), October 1, 
    1981, or such later date (before October 1, 1982) as the Secretary 
    determines to be appropriate.
    ``(b)(1) The Secretary of Health and Human Services (hereinafter in 
this section referred to as the `Secretary') may not provide for any 
allotment to a State under title V of the Social Security Act [this 
subchapter] (as amended by this subtitle) for a calendar quarter in 
fiscal year 1982 unless the State has notified the Secretary, at least 
30 days (or 15 days in the case of the first calendar quarter of the 
fiscal year) before the beginning of the calendar quarter, that the 
State requests an allotment for that calendar quarter (and subsequent 
calendar quarters).
    ``(2)(A) Any grants or contracts entered into under the authorities 
of the consolidated State programs (as defined in subsection (c)(2)(C)) 
after the date of the enactment of this subtitle [Aug. 13, 1981] shall 
permit the termination of such grant or contract upon three months 
notice by the State in which the grantee or contractor is located.
    ``(B) The Secretary shall not make or renew any grants or contracts 
under the provisions of the consolidated State programs (as defined in 
subsection (c)(2)(C)) to a State (or an entity in the State) after the 
date the State becomes entitled to an allotment of funds under title V 
of the Social Security Act [this subchapter] (as amended by this 
subtitle).
    ``(3)(A) In the case of funds appropriated for fiscal year 1982 for 
consolidated health programs (as defined in subsection (c)(2)(A)), such 
funds shall (notwithstanding any other provision of law) be available 
for use under title V of the Social Security Act (as amended by this 
subtitle) [this subchapter], subject to subparagraphs (B) and (C).
    ``(B) Notwithstanding any other provision of law--
        ``(i) the amount that may be made available for expenditures for 
    the consolidated Federal programs for fiscal year 1982 and for 
    projects and programs under section 502(a) of the Social Security 
    Act [section 702(a) of this title] (as amended by this subtitle) may 
    not exceed the amount provided for projects and programs under such 
    section 502(a) for that fiscal year, and
        ``(ii) the amount that may be made available to a State (or 
    entities in the State) for carrying out the consolidated State 
    programs for fiscal year 1982 and for allotments to the State under 
    section 502(b) of the Social Security Act [section 702(b) of this 
    title] (as amended by this subtitle) may not exceed the amount which 
    is allotted to the State for that fiscal year under such section 
    (without regard to paragraphs (3) and (4) thereof).
    ``(C) For fiscal year 1982, the Secretary shall reduce the amount 
which would otherwise be available--
        ``(i) for expenditures by the Secretary under section 502(a) of 
    the Social Security Act [section 702(a) of this title] (as amended 
    by this subtitle) by the amounts which the Secretary determines or 
    estimates are payable for consolidated Federal programs (as defined 
    in subsection (c)(2)(B)) from funds for fiscal year 1982, and
        ``(ii) for allotment to each of the States under section 502(b) 
    of such Act [section 702(b) of this title] (as so amended) by the 
    amounts which the Secretary determines or estimates are payable to 
    that State (or entities in the State) under the consolidated State 
    programs (as defined in subsection (c)(2)(C)) from funds for fiscal 
    year 1982.
    ``(c) For purposes of this section:
        ``(1) The term `State' has the meaning given such term for 
    purposes of title V of the Social Security Act [this subchapter].
        ``(2)(A) The term `consolidated health programs' has the meaning 
    given such term in section 501(b) of the Social Security Act 
    [subsec. (b) of this section] (as amended by this subtitle).
        ``(B) The term `consolidated Federal programs' means the 
    consolidated health programs--
            ``(i) of special projects grants under sections 503 and 504 
        [sections 703 and 704 of this title], and training grants under 
        section 511 [section 711 of this title], of the Social Security 
        Act,
            ``(ii) of grants and contracts for genetic disease projects 
        and programs under section 1101 of the Public Health Service Act 
        [section 300b of this title], and
            ``(iii) of grants or contracts for comprehensive hemophilia 
        diagnostic and treatment centers under section 1131 of the 
        Public Health Service Act [section 300c-21 of this title],
    as such sections are in effect before the date of the enactment of 
    this subtitle [Aug. 13, 1981].
        ``(C) The term `consolidated State programs' means the 
    consolidated health programs, other than the consolidated Federal 
    programs.
    ``(d) The provisions of chapter 2 of subtitle C of title XVII of 
this Act [sections 1741-1745 of Pub. L. 97-35, which were repealed and 
reenacted as section 7301-7305 of Title 31, Money and Finance, by Pub. 
L. 97-258, Sept. 13, 1982, 96 Stat. 877] shall not apply to this 
subtitle (or the programs under the amendments made by this title 
[probably should be subtitle]) and, specifically, section 1745 of this 
Act [set out as a note under section 1243 of Title 31] shall not apply 
to financial and compliance audits conducted under section 506(b) of the 
Social Security Act [section 706(b) of this title] (as amended by this 
subtitle).''


  Development of Model Applications for Maternal and Child Assistance 
                                Programs

    Section 6506(a) of Pub. L. 101-239 directed Secretary of Health and 
Human Services to develop, not later than one year after Dec. 19, 1989, 
a model application form for use in applying for assistance for pregnant 
women and for children less than 6 years old under maternal and child 
assistance programs and required publication of model form in Federal 
Register and dissemination of form to State agencies.


           Research on Infant Mortality and Medicaid Services

    Section 6507 of Pub. L. 101-239 provided that: ``The Secretary of 
Health and Human Services shall develop a national data system for 
linking, for any infant up to age one--
        ``(1) the infant's birth record,
        ``(2) any death record for the infant, and
        ``(3) information on any claims submitted under title XIX of the 
    Social Security Act [subchapter XIX of this chapter] for health care 
    furnished to the infant or with respect to the birth of the 
    infant.''


  Demonstration Project on Health Insurance for Medically Uninsurable 
                                Children

    Section 6508 of Pub. L. 101-239 authorized Secretary of Health and 
Human Services to conduct not more than 4 demonstration projects to 
provide health insurance coverage through eligible plans to medically 
uninsurable children under 19 years of age, further provided for 
definition of eligible plan, requirements for demonstration projects, 
including guarantee of insurance coverage for at least two years, 
provision of non-Federal funds, as well as further restrictions on 
insurance plans, and further provided for applications for projects, 
evaluation of projects by Secretary and report to Congress, and 
authorization of appropriations for each of fiscal years 1991, 1992, and 
1993.


                   Maternal and Child Health Handbook

    Section 6509 of Pub. L. 101-239 provided that:
    ``(a) In General.--
        ``(1) Development.--The Secretary of Health and Human Services 
    shall develop a maternal and child health handbook in consultation 
    with the National Commission to Prevent Infant Mortality and public 
    and private organizations interested in the health and welfare of 
    mothers and children.
        ``(2) Field testing and evaluation.--The Secretary shall 
    complete publication of the handbook for field testing by July 1, 
    1990, and shall complete field testing and evaluation by June 1, 
    1991.
        ``(3) Availability and distribution.--The Secretary shall make 
    the handbook available to pregnant women and families with young 
    children, and shall provide copies of the handbook to maternal and 
    child health programs (including maternal and child health clinics 
    supported through either title V or title XIX of the Social Security 
    Act [this subchapter and subchapter XIX of this chapter], community 
    and migrant health centers under sections 329 and 330 of the Public 
    Health Service Act [former sections 254b and 254c of this title], 
    the grant program for the homeless under section 340 of the Public 
    Health Service Act [former section 256 of this title], the `WIC' 
    program under section 17 of the Child Nutrition Act of 1966 [section 
    1786 of this title], and the head start program under the Head Start 
    Act [section 9831 et seq. of this title]) that serve high-risk 
    women. The Secretary shall coordinate the distribution of the 
    handbook with State maternal and child health departments, State and 
    local public health clinics, private providers of obstetric and 
    pediatric care, and community groups where applicable. The Secretary 
    shall make efforts to involve private entities in the distribution 
    of the handbook under this paragraph.
    ``(b) Authorization of Appropriations.--There are authorized to be 
appropriated $1,000,000 for each of fiscal years 1991, 1992, and 1993, 
for carrying out the purposes of this section.''
    [Reference to community health center, migrant health center, public 
housing health center, or homeless health center considered reference to 
health center, see section 4(c) of Pub. L. 104-299, set out as a note 
under section 254b of this title.]

                  Section Referred to in Other Sections

    This section is referred to in sections 256b, 702, 705, 706, 709, 
1396u-2 of this title.
