I
103D CONGRESS
1ST SESSION
H. R. 1909
To amend the title IV of Stewart B. McKinney Homeless Assistance Act
to require operators of emergency shelters and transitional housing as-
sisted under such title to determine the immunization status of children
under the age of 6 occupying such housing.
IN THE HOUSE OF REPRESENTATIVES
APRIL 28, 1993
Mrs. ROUKEMA introduced the following bill; which was referred to the
Committee on Banking, Finance and Urban Affairs
A BILL
To amend the title IV of Stewart B. McKinney Homeless
Assistance Act to require operators of emergency shelters
and transitional housing assisted under such title to de-
termine the immunization status of children under the
age of 6 occupying such housing.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘Homeless Children’s
Immunization Assistance Act’’.
SEC. 2. EMERGENCY SHELTER GRANTS PROGRAM.
(a) DEFINITION.—Section 411 of the Stewart B.
McKinney Homeless Assistance Act (42 U.S.C. 11371) is
amended by adding at the end the following new para-
graph:
‘‘(11) The term ‘child immunization’ means im-
munization of children who have not attained the
age of 6 years, in accordance with recommendations
issued by the Surgeon General of the Public Health
Service.’’.
(b) ELIGIBLE ACTIVITIES.—Section 414(a) of the
Stewart B. McKinney Homeless Assistance Act (42 U.S.C.
11374(a)) is amended by adding at the end the following
new paragraph:
‘‘(5) The provision of services relating to child
immunization, as follows:
‘‘(A) Providing transportation for children
occupying facilities assisted under this subtitle
to locations where child immunization is avail-
able.
‘‘(B) Providing information and counseling
to families occupying such facilities regarding
the benefits and availability of child immuniza-
tion.
‘‘(C) Providing child immunization for chil-
dren occupying such facilities at the facility
(subject to the limitations under paragraph (2))
or coordinating and arranging for child immu-
nization at the facility.
Any assistance used for the purposes under this
paragraph shall be considered to have been used for
activities under paragraph (2) for purposes of the
limitation under paragraph (2)(B).’’.
(c) REQUIREMENTS TO ASSIST IN OBTAINING CHILD
IMMUNIZATIONS.—Section 415 of the Stewart B. McKin-
ney Homeless Assistance Act (42 U.S.C. 11375) is amend-
ed—
(1) in subsection (c)(3)—
(A) in subparagraph (A), by striking
‘‘and’’ at the end;
(B) by redesignating subparagraph (B) as
subparagraph (C); and
(C) by inserting after subparagraph (A)
the following new subparagraph:
‘‘(B) in the case of children who have not
attained the age of 6 years and occupy a facility
assisted under this subtitle, immunizations (to
the extent that such children have not been im-
munized in accordance with recommendations
issued by the Surgeon General of the Public
Health Service); and’’; and
(2) by adding at the end the following new sub-
section:
‘‘(f) DETERMINATION OF IMMUNIZATION RECORD OF
CHILDREN OCCUPYING FACILITIES.—For any child who
has not attained the age of 6 and is occupying a facility
assisted under this subtitle, not later than 60 days after
such initial occupancy the recipient of such assistance
shall—
‘‘(1) make reasonable efforts to obtain from the
family of such child or the appropriate State or local
health agency information sufficient to determine
whether the child has been immunized in accordance
with recommendations issued by the Surgeon Gen-
eral of the Public Health Service; and
‘‘(2) for any child that has not been so immu-
nized or for which insufficient information is avail-
able to determine whether the child has been so
immunized, provide the family of the child with in-
formation regarding the benefits and availability of
child immunization.’’.
SEC. 3. TRANSITIONAL HOUSING UNDER SUPPORTIVE
HOUSING PROGRAM.
(a) DEFINITION.—Section 422 of the Stewart B.
McKinney Homeless Assistance Act (42 U.S.C. 11382) is
amended—
(1) by redesignating paragraphs (2) through
(14) as paragraphs (3) through (15), respectively;
and
(2) by inserting after paragraph (1) the follow-
ing new paragraph:
‘‘(2) The term ‘child immunization’ means im-
munization of children who have not attained the
age of 6 years, in accordance with recommendations
issued by the Surgeon General of the Public Health
Service.’’.
(b) REQUIREMENT TO ASSIST IN OBTAINING CHILD
IMMUNIZATIONS.—Section 425 of the Stewart B. McKin-
ney Homeless Assistance Act (42 U.S.C. 11385) is amend-
ed—
(1) by striking subsection (b) and inserting the
following new subsection:
‘‘(b) REQUIREMENTS.—
‘‘(1) IN
GENERAL.—Supportive services pro-
vided in connection with a project shall address the
special needs of individuals (such as homeless per-
sons with disabilities and homeless families with
children) intended to be served by a project.
‘‘(2) 
DETERMINATION
OF
IMMUNIZATION
RECORD
OF
CHILDREN
OCCUPYING
TRANSITIONAL
HOUSING.—For any child who has not attained the
age of 6 and is occupying a project that is transi-
tional housing, not later than 60 days after such ini-
tial occupancy the recipient of such assistance
shall—
‘‘(A) make reasonable efforts to obtain
from the family of such child or the appropriate
State or local health agency information suffi-
cient to determine whether the child has been
immunized in accordance with recommendations
issued by the Surgeon General of the Public
Health Service; and
‘‘(B) for any child that has not been so im-
munized or for which insufficient information is
available to determine whether the child has
been so immunized, provide the family of the
child with information regarding the benefits
and availability of child immunization.’’.
(c) ELIGIBLE SERVICES.—Section 425(c) of the
Stewart B. McKinney Homeless Assistance Act (42 U.S.C.
11385(c)) is amended by striking ‘‘and (G)’’ and inserting
the following: ‘‘(G) providing (i) transportation for chil-
dren occupying projects that are supportive housing to
locations where child immunization is available, (ii) infor-
mation and counseling to families occupying such projects
regarding the benefits and availability of child immuniza-
tion, and (iii) child immunization for children occupying
such projects at the project or coordinating and arranging
for the provision of such services at the project, and (H)’’.
(d) REQUIRED AGREEMENTS.—Section 426(c) of the
Stewart B. McKinney Homeless Assistance Act (42 U.S.C.
11386(c)) is amended—
(1) in paragraph (6), by striking ‘‘and’’ at the
end;
(2) by redesignating paragraph (7) as para-
graph (8); and
(3) by inserting after paragraph (6) the follow-
ing new paragraph:
‘‘(7) in the case of any project that is support-
ive housing, to assist children who have not attained
the age of 6 years and occupy the project to obtain
immunizations (to the extent that such children have
not been immunized in accordance with rec-
ommendations issued by the Surgeon General of the
Public Health Service); and’’.
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