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(c) INSTRUCTION AND TRAINING FOR REFUGEES RECEIVING ASSIST-
ANCE.—The Director shall develop plans to provide instruction in English
and other appropriate services and training to a refugee receiving cash as-
sistance.
(d) LIMITATION ON USE OF AMOUNTS.—If a refugee is eligible for aid
or assistance under a State plan approved under part A of title IV or under
title XIX of the Social Security Act (42 U.S.C. 601 et seq., 1396 et seq.)
or for supplemental security income benefits (including State supplementary
payments) under the program established under title XVI of that Act (42
U.S.C. 1381 et seq.), amounts to carry out this section may be used only
to pay the part of the aid or assistance not paid by the United States Gov-
ernment under part A of title IV or under title XIX for cash and medical
assistance provided the refugee, and for State supplementary payments.
(e) MEDICAL ASSISTANCE FOR REFUGEES OTHERWISE INELIGIBLE.—
During the one-year period after a refugee enters the United States, the Di-
rector may authorize medical assistance of the kind provided under sub-
section (a) of this section to a refugee if—
(1) the refugee does not qualify for assistance under a State plan
approved under title XIX of the Social Security Act (42 U.S.C. 1396
et seq.) because of financial resources or income requirements of the
plan; and
(2) the Director decides that—
(A) providing the medical services will encourage economic self-
sufficiency or avoid a significant burden on State and local govern-
ments; and
(B) the refugee meets alternative financial resources and income
requirements the Director establishes.
(f) ALTERNATIVE ASSISTANCE PROJECTS.—(1) The Secretary of Health
and Human Services shall develop and carry out alternative projects for ref-
ugees who have been in the United States less than 36 months. The projects
shall provide refugees with interim support, medical services, support serv-
ices, and case-management services, as needed, in a way that encourages
self-sufficiency, reduces welfare dependency, and fosters greater coordina-
tion among public agencies and private nonprofit organizations providing re-
settlement assistance and service providers. The Secretary may provide an
alternative project to cover a specific group of refugees who have been in
the United States at least 36 months if the Secretary decides that—
(A) refugees in the group have been significantly and disproportion-
ately dependent on welfare;
(B) those refugees need the services provided under the project to
become self-sufficient; and
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(C) including those refugees under the project would be cost-effec-
tive.
(2) A refugee in an alternative project may not receive cash or medical
assistance under another subsection of this section or under part A of title
IV or under title XIX of the Social Security Act (42 U.S.C. 601 et seq.,
1396 et seq.).
(3) Amounts authorized to be appropriated under section 13112 of this
title or part A of title IV or title XIX of the Social Security Act (42 U.S.C.
601 et seq., 1396 et seq.) may be used to carry out and evaluate alternative
projects under this subsection, to the extent the use of those amounts is
consistent with the purposes for which amounts are authorized to be appro-
priated.
(g) NOTIFICATION OF APPLICATION BY REFUGEE FOR ASSISTANCE.—As
a condition for an entity receiving assistance, reimbursement, or a contract
under this section, the entity must ensure that when a refugee applies for
cash or medical assistance for which assistance or reimbursement is pro-
vided under this section, the entity will notify promptly the public agency
or private nonprofit organization (or local affiliate of the organization) that
provided for the initial resettlement of the refugee under section 13105(a)
of this title that the refugee has applied for the assistance.
§ 13109. Administrative
(a) AUTHORITY OF THE DIRECTOR.—In providing assistance under this
subchapter, the Director of the Office of Refugee Resettlement, to the ex-
tent of available appropriations—
(1) shall make available sufficient resources for employment training
and placement to permit refugees to achieve economic self-sufficiency
as soon as possible;
(2) shall provide refugees with the opportunity to acquire sufficient
instruction in English to enable them to become resettled effectively as
quickly as possible;
(3) shall ensure that cash assistance is made available to refugees
as provided under section 13108(b) of this title in a way that will not
discourage economic self-sufficiency;
(4) shall ensure that women have the same opportunities as men to
participate in training and instruction;
(5) shall make a periodic assessment, based on refugee population
and other relevant factors, of the relative needs of refugees for assist-
ance and services under this subchapter and the resources available to
meet those needs;