264
gency circumstances, including establishing necessary processing centers.
The Secretary may carry out this subsection without regard to provisions
of law (except section 13111(b) of this title) on making, carrying out, and
modifying contracts and on United States Government expenditures.
(c) HEALTH ACTIVITIES.—(1) The Secretary of Health and Human Serv-
ices shall—
(A) ensure that an adequate number of trained personnel are avail-
able at a location at which refugees enter the United States so that
all necessary medical records are available and in order;
(B) provide for identifying refugees with medical conditions affecting
the public health and requiring treatment;
(C) ensure that State and local health officials at a resettlement des-
tination in the United States are notified promptly of the arrival of
each refugee and are provided with all applicable medical records; and
(D) provide for monitoring refugees referred to in clause (B) of this
paragraph to ensure that the refugees receive appropriate and timely
treatment.
(2) The Secretary of Health and Human Services shall monitor and as-
sess the quality of medical screening and related health services provided
to refugees waiting to be resettled in the United States.
§ 13105. Initial resettlement assistance grants and contracts
(a) GENERAL AUTHORITY.—(1) The Director of the Office of Refugee
Resettlement (or other officer if the President decides the Director should
not administer this subsection) may make grants to, and contracts with,
public agencies and private nonprofit organizations for the initial resettle-
ment (including the initial reception and placement with sponsors) of refu-
gees in the United States. A grant to, or contract with, a private nonprofit
voluntary organization shall be consistent with the objectives of this sub-
chapter, considering the different resettlement approaches and practices of
that organization. Assistance under this subsection shall be provided in co-
ordination with other assistance provided under this subchapter. The Fed-
eral administering agency shall use the criteria described in subsection (c)
of this section in awarding or renewing a grant or contract under this sec-
tion.
(2) An amount provided to an agency or organization under a grant or
contract may be obligated or expended only during the fiscal year in which
the amount is provided, or a subsequent fiscal period approved by the ad-
ministering agency or officer making the contract, to carry out this section.
(b) REQUIREMENTS.—(1) Each grant to, and contract with, an agency
or organization under subsection (a) of this section shall require that the
agency or organization—
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(A) provide quarterly performance and financial status reports to the
administering agency;
(B) provide notice either directly or through its local affiliate—
(i) to the appropriate local welfare office when the agency or or-
ganization receiving the grant or contract becomes aware that a
refugee is offered employment; and
(ii) to the refugee that notice to the local welfare office has been
given;
(C) when requested by a local welfare office to which a refugee has
applied for cash assistance, provide documentation to that office about
cash or other resources provided directly by the agency or organization
receiving the grant or contact to the refugee under this section and sec-
tion 13104 of this title;
(D) ensure that, in the case of a refugee that the agency or organi-
zation receiving the grant or contract knows has been identified under
section 13104(c)(1)(B) of this title as having a medical condition af-
fecting the public health and requiring treatment, the refugee reports
to the appropriate health agency when the refugee resettles in an area;
(E) fulfill its responsibility to provide for the basic needs (including
food, clothing, shelter, and transportation for job interviews and train-
ing) of each refugee resettled, to develop and carry out a resettlement
plan (including the early employment of each refugee resettled), and to
monitor how the plan is being carried out; and
(F) submit to the administering agency an annual report on—
(i) the number of refugees placed (by county of placement) and
the expenditures made during the year covered by the report
under the grant or contract, including the proportion of the ex-
penditures used for administrative purposes and for providing
services;
(ii) the proportion of refugees that the agency or organization
receiving the grant or contract has placed in the prior year who
are receiving cash or medical assistance described in section 13108
of this title;
(iii) the efforts made by the agency or organization receiving the
grant or contract to monitor placement of refugees and the activi-
ties of local affiliates of the agency or organization;
(iv) the extent to which the agency or organization receiving the
grant or contract has coordinated its activities with local social
service providers in a way that avoids duplication of activities, has
provided notice to the local welfare offices, and has reported medi-