School Readiness Act of 1991

Summary

School Readiness Act of 1991 - Title I: Public Health Service Act Provisions - Subtitle A: Comprehensive Primary and Preventive Care for Pregnant Women, Infants and Children - Comprehensive Maternal and Early Childhood Health Care Act - Replaces Public Health Service Act provisions authorizing appropriations for migrant health centers (MHCs) and community health centers (CHCs) with provisions requiring the use of funds appropriated under other provisions to develop, operate, and expand Comprehensive Perinatal and Early Childhood Health Programs in medically underserved areas. Mandates grants to MHCs and CHCs for such programs. Requires the use of funds appropriated under other provisions for planning and developing CHCs to serve medically underserved populations. Amends provisions relating to health services for the homeless to require use of funds appropriated under other provisions to develop, operate, and expand such programs. Mandates grants to grantees under the provisions relating to the homeless for such programs. Directs the Secretary of Health and Human Services, through the Centers for Disease Control (CDC), to provide vaccines to the health department of each State or large city that is operating an immunization project for distribution to grantees under specified provisions, federally qualified health centers, and public health professionals. Requires, in determining the quantity of vaccine needed, that the Administrator of the Health Resources and Services Administration make available to the CDC Director data from annual reports from such grantees and federally qualified health centers. Requires the CDC Director to direct the State or city health department to provide the recipients with an adequate supply of vaccine from the allotment provided to the grantee. Amends the Vaccine and Immunization Amendments of 1990 to replace provisions authorizing grants for vaccine outreach programs with provisions authorizing the Secretary, through the CDC Director, to make grants to States for demonstration projects related to immunization. Authorizes appropriations. Amends the Public Health Service Act to add substance abuse treatment and prevention services to the list of supplemental health services provided by MHCs and CHCs. Replaces provisions mandating grants for prevention, education, and treatment projects regarding drug and alcohol abuse relating to pregnant and postpartum women and their infants with provisions mandating demonstration grants for substance abuse prevention, education, and treatment projects serving such individuals. Requires that services under the grants be provided at locations accessible to low-income pregnant and postpartum women and in the most appropriate language and cultural context. Requires that services eligible for Medicaid payment be provided by an entity qualified to receive Medicaid payments. Limits fees for services. Requires non-Federal contributions in a specified ratio. Limits grants to five years but allows renewal. Makes grant payments subject to annual approval by the Secretary and to the availability of appropriations. Authorizes appropriations. Directs the Secretary, through the CDC Director, to assist the prenatal clinics in the United States in implementing smoking cessation programs to decrease rates of smoking during pregnancy. Authorizes grants to or contracts with State or local health departments and other public entities to assist in implementing programs and policies to prevent and encourage cessation of tobacco use during pregnancy. Authorizes appropriations. Subtitle B: Grants for Home-visiting Services for At-Risk Families - Mandates competitive grants for the Federal share of the costs of home visiting services. Requires that the grants be for at least three years. Requires that the services include case management, with a registered nurse or social worker assigned as the case manager for individual cases. Requires that the case manager develop a family service plan for the client. Sets the Federal share of the grants at a specified percentage. Authorizes appropriations. Title II: Head Start Act - Amends the Head Start Act to direct (currently, authorize) the Secretary, on application by an agency designated (currently, an agency eligible for designation) as a Head Start agency, to provide, subject to appropriations, financial assistance for Head Start programs. Entitles all eligible children to receive services through a Head Start program. Authorizes appropriations to carry out the Act. Declares that provisions of the Omnibus Budget Reconciliation Act of 1990 (excluding receipts and expenditures of the Federal Old-Age and Survivors Insurance Trust Fund and the Federal Disability Insurance Trust Fund from being counted as new budget authority, outlays, receipts, or deficit or surplus for purposes of the U.S. budget, the congressional budget, or the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act)) shall apply with respect to amounts appropriated under this authorization. Directs the Secretary to make a minimum amount available to carry out the Head Start Transition Project Act.

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Documents

4 official files

• Reported to Senate (text)

  Reported to Senate · EN

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• Introduced in Senate (text)

  Introduced in Senate · EN

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• Reported to Senate with amendment(s)

  summary · EN · 2 August 1991

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• Introduced in Senate

  summary · EN · 24 April 1991

  Open at official source

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