144
ment than would be incurred absent the pro-
gram;
(C) the results of the program will be eval-
uated and reported to the Secretary by inde-
pendent entities;
(D) no fewer very low-income families will
be assisted under the program than would oth-
erwise have been assisted; and
(E) the program is consistent with the
Fair Housing Act, title VI of the Civil Rights
Act of 1964, section 504 of the Rehabilitation
Act of 1973, and the Age Discrimination Act of
1975.
(3) EXCEPTIONS
TO
PROVISIONS
OF
UNITED
STATES HOUSING ACT OF 1937.—
(A) MANDATORY.—Notwithstanding any
other provision of law, during the period of the
demonstration program (pursuant to subsection
(i)) section 3(a) of the United States Housing
Act of 1937 (relating to rental amounts for
dwelling units in public housing projects), sec-
tions 3(b) (4) and (5) of such Act (relating to
determination of income and adjusted income),
and section 16 of such Act (relating to income
eligibility) shall not apply to any public housing
145
projects involved in a demonstration program
under this subsection or any families residing in
such projects. Each public housing authority
and resident management corporation carrying
out a demonstration program under this sub-
section shall establish rents for dwelling units
in projects involved in the demonstration pro-
gram at the discretion of the agency or corpora-
tion.
(B) DISCRETIONARY.—The Secretary may
exempt a public housing agency or resident
management corporation carrying out a dem-
onstration program under this subsection from
any other requirements of the United States
Housing Act of 1937, and modify the require-
ments of such sections and other provisions
with respect to such agencies, that the Sec-
retary determines are not consistent with the
purposes of a demonstration program.
(4) INCOME
ELIGIBILITY.—Not less than 30
percent of the total number of dwelling units in pub-
lic housing projects involved in a demonstration pro-
gram carried out under this subsection by a public
housing agency or resident management corporation
146
shall be available for leasing only to very low-income
families.
(5) EFFECT ON OPERATING SUBSIDIES.—Not-
withstanding any requirement pursuant to section 9
of the United States Housing Act of 1937, the
amount of annual contributions provided for a fiscal
year under such section to any public housing agen-
cy or resident management corporation carrying out
a demonstration program in such fiscal year may
not exceed the amount of such annual contributions
provided under such section to the agency or cor-
poration for the last fiscal year concluding before
the commencement of the demonstration program by
the agency or corporation, as adjusted for inflation
(as determined by the Secretary).
(6) TREATMENT OF FAMILIES UNABLE TO PAY
RENTAL CHARGES IN PUBLIC HOUSING.—
(A) AUTHORITY
TO
PROVIDE
SECTION
ASSISTANCE.—Notwithstanding any other provi-
sion of law, in connection with carrying out a
demonstration program under this subsection a
public housing agency may provide assistance
under section 8 of the United States Housing
Act of 1937 (to the extent sufficient amounts
for such assistance are available to such agen-
147
cy) on behalf of any family that (A) resides in
a dwelling unit in a public housing project in-
volved in the demonstration program upon the
commencement of the demonstration, (B) is
otherwise eligible for such assistance, and (C)
under section 3(a)(1) of such Act would pay as
rent for a dwelling unit assisted under such sec-
tion an amount that is less than the rental
charge for the public housing dwelling unit
under the demonstration program. Any such as-
sistance provided for such family shall be sub-
ject to the provisions of section 3(a)(1) or 8(o)
of such Act, as applicable.
(B) USE.—Such assistance may be used in
connection with the rental of a public housing
dwelling unit or any other dwelling unit eligible
for rental using such assistance.
(C) PREFERENCE.—Notwithstanding any
other provision of law, a public housing agency
carrying out a demonstration program under
this subsection may give preference in providing
assistance under such section 8 to families de-
scribed in subparagraph (A) of this paragraph.
(7) SCOPE OF DEMONSTRATIONS.—In authoriz-
ing public housing agencies and resident manage-
148
ment corporations to carry out demonstration pro-
grams under this subsection, the Secretary shall pro-
vide that the demonstration is carried out with re-
spect to one or more specific public housing projects.
(8) NUMBER OF DEMONSTRATIONS.—The Sec-
retary may authorize not more than 50 public hous-
ing agencies or resident management corporations to
carry out demonstration programs under this sub-
section.
(9) DURATION.—A public housing agency or
resident management corporation authorized to
carry out a demonstration program under this sub-
section may carry out the demonstration for a pe-
riod, determined by the agency or corporation, of not
more than 5 years.
(10) LIMITATION.—The number and duration
of demonstration programs authorized by the Sec-
retary may not exceed the number and duration nec-
essary to achieve the objectives of this subsection.
(11) ADDITIONAL REQUIREMENTS.—In author-
izing a demonstration program under this sub-
section, the Secretary may impose such requirements
on the program as the Secretary considers to be ap-
propriate to further its purposes.
(12) REPORTS.—
149
(A) TO SECRETARY.—Each public housing
agency and resident management corporation
carrying out a demonstration program under
this subsection shall submit a report to the Sec-
retary regarding the demonstration for each
year in which the demonstration is carried out,
as shall be required by the Secretary.
(B) TO
CONGRESS.—Not later than 6
years after the date of the enactment of this
Act, the Secretary shall submit a report to the
Congress describing and evaluating the dem-
onstration programs carried out under this sub-
section.
(13) DEFINITIONS.—For purposes of this sub-
section:
(A) PUBLIC HOUSING.—The terms ‘‘public
housing’’ and ‘‘project’’ have the meanings
given such terms in section 3(b) of the United
States Housing Act of 1937.
(B) 
PUBLIC
HOUSING
AGENCY.—The
terms ‘‘public housing agency’’ and ‘‘agency’’
have the meanings given the term ‘‘public hous-
ing agency’’ in section 3(b) of the United States
Housing Act of 1937.
150
(C) RESIDENT
MANAGEMENT
CORPORA-
TION.—The terms ‘‘resident management cor-
poration’’ and ‘‘corporation’’ mean a resident
management corporation established in accord-
ance with requirements of the Secretary under
section 20 of the United States Housing Act of
1937.
(D) SECRETARY.—The term ‘‘Secretary’’
means the Secretary of Housing and Urban De-
velopment.
(E) VERY
LOW-INCOME
FAMILIES.—The
term ‘‘very low-income families’’ has the mean-
ing given the term in section 3(b) of the United
States Housing Act of 1937.
(14) APPLICABILITY TO INDIAN HOUSING.—In
accordance with section 201(b)(2) of the United
States Housing Act of 1937, the provisions of this
subsection shall apply to public housing developed or
operated pursuant to a contract between the Sec-
retary and an Indian housing authority.
(d) REGULATIONS.—The Secretary may issue any
regulations necessary to carry out this section and the
amendments made by this section.
(e) BUDGET COMPLIANCE AND EFFECTIVE DATE.—
151
(1) BUDGET
COMPLIANCE.—Notwithstanding
subsection (b), this section and the amendments
made by this section shall be effective only to the ex-
tent approved, or in such amounts as are provided,
in appropriation Acts.
(2) EFFECTIVE DATE.—The provisions of this
section shall take effect and the amendments under
this section shall be made on October 1, 1995.
SEC. 907. REQUIRED IMMUNIZATIONS FOR CHILDREN.
(a) AFDC BENEFITS DENIED FOR CHILDREN WHO
HAVE NOT RECEIVED PREVENTIVE HEALTH CARE OR
IMMUNIZATIONS.—
(1) IN GENERAL.—Section 402(a) of the Social
Security Act (42 U.S.C. 602(a)), as amended by sec-
tions 201(a)(1), 302, 303, 304, 305, 307, 309(a),
602, and 904 of this Act, is amended—
(A) by striking ‘‘and’’ at the end of para-
graph (53);
(B) by striking the period at the end of
paragraph (54) and inserting ‘‘; and’’; and
(C) by inserting after paragraph (54) the
following:
‘‘(55) provide that—
‘‘(A) aid under the plan shall not be pay-
able with respect to any child who has not at-
152
tained the age of 6 years, unless the State
agency has received from 1 or more physicians
written verification (on a form prescribed by the
State)—
‘‘(i) that the child has been examined
by a physician not less frequently than—
‘‘(I) in the case of a child who
has not attained the age of 19
months, every 6 months since the
child was born; and
‘‘(II) in the case of any other
child, every 6 months until the child
attained the age of 19 months, and
every year thereafter;
‘‘(ii) that the child has been immu-
nized in accordance with recommendations
issued by the Surgeon General of the Pub-
lic Health Service; and
‘‘(iii) of any contraindication which
exempts the child from receiving an immu-
nization;
‘‘(B) the State will conduct appropriate
education and outreach activities designed to—
153
‘‘(i) increase public awareness of the
importance of preventive health care and
immunizations for pre-school children; and
‘‘(ii) inform the public about—
‘‘(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, 1995; and
(B) payments to States under such part
for calendar quarters beginning on or after Oc-
tober 1, 1995.
154
(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)—
155
(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, 1995.
156
(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.
Æ
HR 3500 SC——2
HR 3500 SC——3
HR 3500 SC——4
HR 3500 SC——5
HR 3500 SC——6
HR 3500 SC——7
HR 3500 SC——8
HR 3500 SC——9