‘‘(I) the availability of preventive
health care and immunization services
for pre-school children;
‘‘(II) any transportation, child
care, or other support services that
may be available to assist parents in
obtaining such services for their chil-
dren; and
‘‘(III) the clinics at which any
child may receive immunizations free
or at a reduced charge.’’.
(2) APPLICABILITY.—The amendments made
by paragraph (1) shall apply to—
(A) payments to individuals under State
plan approved under part A of title IV of the
Social Security Act, for months beginning on or
after October 1, 1997; and
(B) payments to States under such part
for calendar quarters beginning on or after Oc-
tober 1, 1997.
(b) AMENDMENTS TO THE CHILD CARE AND DEVEL-
OPMENT BLOCK GRANT.—
(1) IN
GENERAL.—Section 658E(2) of the
Child Care and Development Block Grant Act (42
U.S.C. 9858c(2)) is amended—
(A) in subparagraph (F)—
(i) in clause (ii) by striking ‘‘and’’ at
the end;
(ii) in clause (iii) by striking the pe-
riod at the end and inserting ‘‘; and’’;
(iii) by inserting after subclause (III),
as so redesignated, the following:
‘‘(iv) a requirement that such provid-
ers require with respect to each child who
receives child care services from any of
such providers that certificates signed by a
physician who verifies that such child has
been immunized in accordance with rec-
ommendations issued by the Surgeon Gen-
eral of the Public Health Service be sub-
mitted, at required intervals and in accord-
ance with rules issued by the Secretary, to
the child care provider involved.’’; and
(iv) by striking the last sentence; and
(B) in subparagraph (G)—
(i) by inserting ‘‘(i)’’ before ‘‘Pro-
vide’’; and
(ii) by adding at the end the follow-
ing:
‘‘(ii) For the purpose of enforcing the re-
quirement described in subparagraph (F)(iv),
such procedures shall ensure that each of such
providers gives to parents of each child who re-
ceives child care services from the provider in-
volved written notice of—
‘‘(I) each immunization requirement
applicable to such child;
‘‘(II) an opportunity of not less than
30 days, and not more than 45 days, to
correct the failure to satisfy such require-
ment; and
‘‘(III) the fact that child care services
for such child will be terminated for failure
to satisfy such requirement before the expi-
ration of the 45-day period beginning on
the date such notice is received.’’.
(2) APPLICABILITY.—The amendments made
by paragraph (1) shall not apply with respect to fis-
cal years beginning before October 1, 1997.
(c) ISSUANCE
OF
IMMUNIZATION
RECOMMENDA-
TIONS
BY
THE SURGEON GENERAL
OF
THE PUBLIC
HEALTH SERVICE.—After taking into consideration the
then most recent report of the Committee on Infectious
Diseases of the American Academy of Pediatrics, the Sur-
geon General of the Public Health Service shall issue, and
revise from time to time, recommendations for the immu-
nization of children under 6 years of age. With respect
to each recommended immunization, such recommenda-
tion shall include—
(1) contraindications (if any) that should be
identified to exempt a child from receiving such im-
munization, and
(2) remedial action that may be taken to mini-
mize the adverse effect of failure to administer such
immunization to a child at the recommended age.
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