42 U.S.C. § 706 : US Code - Section 706: Administrative and fiscal accountability

Search 42 U.S.C. § 706 : US Code - Section 706: Administrative and fiscal accountability

(a) Annual reporting requirements; form, etc.
(1) Each State shall prepare and submit to the Secretary annual
reports on its activities under this subchapter. Each such report
shall be prepared by, or in consultation with, the State maternal
and child health agency. In order properly to evaluate and to
compare the performance of different States assisted under this
subchapter and to assure the proper expenditure of funds under this
subchapter, such reports shall be in such standardized form and
contain such information (including information described in
paragraph (2)) as the Secretary determines (after consultation with
the States) to be necessary (A) to secure an accurate description
of those activities, (B) to secure a complete record of the
purposes for which funds were spent, of the recipients of such
funds, (C) to describe the extent to which the State has met the
goals and objectives it set forth under section 705(a)(2)(B)(i) of
this title and the national health objectives referred to in
section 701(a) of this title, and (D) to determine the extent to
which funds were expended consistent with the State's application
transmitted under section 705(a) of this title. Copies of the
report shall be provided, upon request, to any interested public
agency, and each such agency may provide its views on these reports
to the Congress.
(2) Each annual report under paragraph (1) shall include the
following information:
(A)(i) The number of individuals served by the State under this
subchapter (by class of individuals).
(ii) The proportion of each class of such individuals which has
health coverage.
(iii) The types (as defined by the Secretary) of services
provided under this subchapter to individuals within each such
class.
(iv) The amounts spent under this subchapter on each type of
services, by class of individuals served.
(B) Information on the status of maternal and child health in
the State, including -
(i) information (by county and by racial and ethnic group) on
-
(I) the rate of infant mortality, and
(II) the rate of low-birth-weight births;
(ii) information (on a State-wide basis) on -
(I) the rate of maternal mortality,
(II) the rate of neonatal death,
(III) the rate of perinatal death,
(IV) the number of children with chronic illness and the
type of illness,
(V) the proportion of infants born with fetal alcohol
syndrome,
(VI) the proportion of infants born with drug dependency,
(VII) the proportion of women who deliver who do not
receive prenatal care during the first trimester of
pregnancy, and
(VIII) the proportion of children, who at their second
birthday, have been vaccinated against each of measles,
mumps, rubella, polio, diphtheria, tetanus, pertussis, Hib
meningitis, and hepatitis B; and
(iii) information on such other indicators of maternal,
infant, and child health care status as the Secretary may
specify.
(C) Information (by racial and ethnic group) on -
(i) the number of deliveries in the State in the year, and
(ii) the number of such deliveries to pregnant women who were
provided prenatal, delivery, or postpartum care under this
subchapter or were entitled to benefits with respect to such
deliveries under the State plan under subchapter XIX of this
chapter in the year.
(D) Information (by racial and ethnic group) on -
(i) the number of infants under one year of age who were in
the State in the year, and
(ii) the number of such infants who were provided services
under this subchapter or were entitled to benefits under the
State plan under subchapter XIX of this chapter or the State
plan under subchapter XXI of this chapter at any time during
the year.
(E) Information on the number of -
(i) obstetricians,
(ii) family practitioners,
(iii) certified family nurse practitioners,
(iv) certified nurse midwives,
(v) pediatricians, and
(vi) certified pediatric nurse practitioners,
who were licensed in the State in the year.
For purposes of subparagraph (A), each of the following shall be
considered to be a separate class of individuals: pregnant women,
infants up to age one, children with special health care needs,
other children under age 22, and other individuals.
(3) The Secretary shall annually transmit to the Committee on
Energy and Commerce of the House of Representatives and the
Committee on Finance of the Senate a report that includes -
(A) a description of each project receiving funding under
paragraph (2) or (3) of section 702(a) of this title, including
the amount of Federal funds provided, the number of individuals
served or trained, as appropriate, under the project, and a
summary of any formal evaluation conducted with respect to the
project;
(B) a summary of the information described in paragraph (2)(A)
reported by States;
(C) based on information described in paragraph (2)(B) supplied
by the States under paragraph (1), a compilation of the following
measures of maternal and child health in the United States and in
each State:
(i) Information on -
(I) the rate of infant mortality, and
(II) the rate of low-birth-weight births.
Information under this clause shall also be compiled by racial
and ethnic group.
(ii) Information on -
(I) the rate of maternal mortality,
(II) the rate of neonatal death,
(III) the rate of perinatal death,
(IV) the proportion of infants born with fetal alcohol
syndrome,
(V) the proportion of infants born with drug dependency,
(VI) the proportion of women who deliver who do not receive
prenatal care during the first trimester of pregnancy, and
(VII) the proportion of children, who at their second
birthday, have been vaccinated against each of measles,
mumps, rubella, polio, diphtheria, tetanus, pertussis, Hib
meningitis, and hepatitis B.
(iii) Information on such other indicators of maternal,
infant, and child health care status as the Secretary has
specified under paragraph (2)(B)(iii).
(iv) Information (by racial and ethnic group) on -
(I) the number of deliveries in the State in the year, and
(II) the number of such deliveries to pregnant women who
were provided prenatal, delivery, or postpartum care under
this subchapter or were entitled to benefits with respect to
such deliveries under the State plan under subchapter XIX of
this chapter in the year;
(D) based on information described in subparagraphs (C), (D),
and (E) of paragraph (2) supplied by the States under paragraph
(1), a compilation of the following information in the United
States and in each State:
(i) Information on -
(I) the number of deliveries in the year, and
(II) the number of such deliveries to pregnant women who
were provided prenatal, delivery, or postpartum care under
this subchapter or were entitled to benefits with respect to
such deliveries under a State plan under subchapter XIX of
this chapter in the year.
Information under this clause shall also be compiled by racial
and ethnic group.
(ii) Information on -
(I) the number of infants under one year of age in the
year, and
(II) the number of such infants who were provided services
under this subchapter or were entitled to benefits under a
State plan under subchapter XIX of this chapter or the State
plan under subchapter XXI of this chapter at any time during
the year.
Information under this clause shall also be compiled by racial
and ethnic group.
(iii) Information on the number of -
(I) obstetricians,
(II) family practitioners,
(III) certified family nurse practitioners,
(IV) certified nurse midwives,
(V) pediatricians, and
(VI) certified pediatric nurse practitioners,
who were licensed in a State in the year; and
(E) an assessment of the progress being made to meet the health
status goals and national health objectives referred to in
section 701(a) of this title.
(b) Audits; implementation, standards, etc.
(1) Each State shall, not less often than once every two years,
audit its expenditures from amounts received under this subchapter.
Such State audits shall be conducted by an entity independent of
the State agency administering a program funded under this
subchapter in accordance with the Comptroller General's standards
for auditing governmental organizations, programs, activities, and
functions and generally accepted auditing standards. Within 30 days
following the completion of each audit report, the State shall
submit a copy of that audit report to the Secretary.
(2) Each State shall repay to the United States amounts found by
the Secretary, after notice and opportunity for a hearing to the
State, not to have been expended in accordance with this subchapter
and, if such repayment is not made, the Secretary may offset such
amounts against the amount of any allotment to which the State is
or may become entitled under this subchapter or may otherwise
recover such amounts.
(3) The Secretary may, after notice and opportunity for a
hearing, withhold payment of funds to any State which is not using
its allotment under this subchapter in accordance with this
subchapter. The Secretary may withhold such funds until the
Secretary finds that the reason for the withholding has been
removed and there is reasonable assurance that it will not recur.
(c) Public inspection of reports and audits
The State shall make copies of the reports and audits required by
this section available for public inspection within the State.
(d) Access to books, records, etc.; creation of new records
(1) For the purpose of evaluating and reviewing the block grant
established under this subchapter, the Secretary and the
Comptroller General shall have access to any books, accounts,
records, correspondence, or other documents that are related to
such block grant, and that are in the possession, custody, or
control of States, political subdivisions thereof, or any of their
grantees.
(2) In conjunction with an evaluation or review under paragraph
(1), no State or political subdivision thereof (or grantee of
either) shall be required to create or prepare new records to
comply with paragraph (1).
(3) For other provisions relating to deposit, accounting,
reports, and auditing with respect to Federal grants to States, see
section 6503(b) (!1) of title 31.