‘‘(1) establish such fiscal control and fund ac-
counting procedures as may be necessary to ensure 
proper disbursal of, and accounting for, amounts re-
ceived under subsection (a); and 
‘‘(2) upon request, provide records maintained 
pursuant to paragraph (1) to the Secretary or the 
Comptroller General of the United States for pur-
poses of auditing the expenditures of the grant by 
the eligible entity. 
‘‘(h) REQUIREMENT OF MATCHING FUNDS.— 
‘‘(1) IN
GENERAL.—The Secretary may not 
make a grant under subsection (a) to an eligible en-
tity for a fiscal year unless the eligible entity agrees, 
with respect to the costs to be incurred by the eligi-
ble entity for such fiscal year in carrying out the ac-
tivities described in subsection (b), to make available 
non-Federal contributions (in cash or in kind under 
paragraph (2)) toward such costs in an amount 
equal to not less than $1 for each $3 of Federal 
funds provided in the grant for such fiscal year. 
Such contributions may be made directly or through 
donations from public or private entities. 
‘‘(2) DETERMINATION
OF
AMOUNT
OF
NON- 
FEDERAL CONTRIBUTION.— 
VerDate Nov 24 2008 
22:51 Feb 26, 2009
Jkt 079200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H1189.IH
H1189
mstockstill on PROD1PC66 with BILLS
‘‘(A) IN GENERAL.—Non-Federal contribu-
tions required in paragraph (1) may be in cash 
or in kind, fairly evaluated, including equipment 
or services (and excluding indirect or overhead 
costs). Amounts provided by the Federal Gov-
ernment, or services assisted or subsidized to 
any significant extent by the Federal Govern-
ment, may not be included in determining the 
amount of such non-Federal contributions. 
‘‘(B) 
MAINTENANCE
OF
EFFORT.—In 
making a determination of the amount of non- 
Federal contributions for purposes of paragraph 
(1), the Secretary may include only non-Federal 
contributions in excess of the average amount 
of non-Federal contributions made by the eligi-
ble entity involved toward the activities de-
scribed in subsection (b) for the 2-year period 
preceding the first fiscal year for which the eli-
gible entity is applying to receive a grant under 
subsection (a). 
‘‘(C) INCLUSION OF RELEVANT NON-FED-
ERAL
CONTRIBUTIONS
FOR
MEDICAID.—In 
making a determination of the amount of non- 
Federal contributions for purposes of paragraph 
(1), the Secretary shall, subject to subpara-
VerDate Nov 24 2008 
22:51 Feb 26, 2009
Jkt 079200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6201
E:\BILLS\H1189.IH
H1189
mstockstill on PROD1PC66 with BILLS
graphs (A) and (B) of this paragraph, include 
any non-Federal amounts expended pursuant to 
title XIX of the Social Security Act by the eligi-
ble entity involved toward the activities de-
scribed in subparagraphs (A) and (B) of sub-
section (b)(1). 
‘‘(i) ADDITIONAL REQUIREMENTS.— 
‘‘(1) LIMITATION
ON
ADMINISTRATIVE
EX-
PENSES.—The Secretary may not make a grant to 
an eligible entity under subsection (a) unless the eli-
gible entity provides assurances that not more than 
10 percent of the grant will be expended for admin-
istrative expenses with respect to the activities fund-
ed by the grant. 
‘‘(2) STATEWIDE PROVISION OF SERVICES.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (B), the Secretary may not make a grant 
under subsection (a) to an eligible entity unless 
the eligible entity provides assurances that any 
program funded by such grant will be made 
available throughout the State, including avail-
ability to members of an Indian tribe or tribal 
organization (as such terms are defined in sec-
tion 4 of the Indian Self-Determination and 
Education Assistance Act). 
VerDate Nov 24 2008 
22:51 Feb 26, 2009
Jkt 079200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6201
E:\BILLS\H1189.IH
H1189
mstockstill on PROD1PC66 with BILLS
‘‘(B) WAIVER.—The Secretary may waive 
the requirement under subparagraph (A) for an 
eligible entity if the Secretary determines that 
compliance by the eligible entity with the re-
quirement would result in an inefficient alloca-
tion of resources with respect to carrying out 
the purposes described in subsection (a). 
‘‘(j) TECHNICAL ASSISTANCE
AND PROVISION
OF 
SUPPLIES AND SERVICES IN LIEU OF GRANT FUNDS.— 
‘‘(1) TECHNICAL ASSISTANCE.—The Secretary 
may provide training and technical assistance with 
respect to the planning, development, and operation 
of any program funded by a grant under subsection 
(a). The Secretary may provide such technical as-
sistance directly to eligible entities or through grants 
to, or contracts with, public and private entities. 
‘‘(2) PROVISION OF SUPPLIES AND SERVICES IN 
LIEU OF GRANT FUNDS.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (B), upon the request of an eligible entity 
receiving a grant under subsection (a), the Sec-
retary for the purpose of aiding the eligible en-
tity to carry out a program under subsection 
(b)— 
VerDate Nov 24 2008 
22:51 Feb 26, 2009
Jkt 079200
PO 00000
Frm 00011
Fmt 6652
Sfmt 6201
E:\BILLS\H1189.IH
H1189
mstockstill on PROD1PC66 with BILLS
‘‘(i) may provide supplies, equipment, 
and services to the eligible entity; and 
‘‘(ii) may detail to the eligible entity 
any officer or employee of the Department 
of Health and Human Services. 
‘‘(B) CORRESPONDING REDUCTION IN PAY-
MENTS.—With respect to a request made by an 
eligible entity under subparagraph (A), the Sec-
retary shall reduce the amount of payments 
made under the grant under subsection (a) to 
the eligible entity by an amount equal to the 
fair market value of any supplies, equipment, or 
services provided by the Secretary and the costs 
of detailing personnel (including pay, allow-
ances, and travel expenses) under subparagraph 
(A). The Secretary shall, for the payment of ex-
penses incurred in complying with such request, 
expend the amounts withheld. 
‘‘(k) REPORTS.—A grant under subsection (a) may 
be made only if the applicant involved agrees to submit 
to the Secretary such reports as the Secretary may require 
with respect to the grant. 
‘‘(l) AUTHORIZATION OF APPROPRIATIONS.— 
VerDate Nov 24 2008 
22:51 Feb 26, 2009
Jkt 079200
PO 00000
Frm 00012
Fmt 6652
Sfmt 6201
E:\BILLS\H1189.IH
H1189
mstockstill on PROD1PC66 with BILLS