95 STAT. 822
PUBLIC LAW 97-35—AUG. 13, 1981 "(1) inpatient services, other than inpatient services provided to crippled children or to high-risk pregnant women and infants and such other inpatient services as the Secretary may approve; "(2) cash payments to intended recipients of health services; "(3) the purchase or improvement of land, the purchase, construction, or permanent improvement (other than minor remodeling) of any building or other facility, or the purchase of maior medical equipment; (4) satisfying any requirement for the expenditure of nonFederal funds as a condition for the receipt of Federal funds; or "(5) providing funds for research or training to any entity other than a public or nonprofit private entity. The Secretary may waive the limitation contained in paragraph (3) upon the request of a State if the Secretary finds that there are extraordinary circumstances to justify the waiver and that granting the waiver will assist in carrying out this title. "(c) A State may use a portion of the amounts described in subsection (a) for the purpose of purchasing technical assistance from public or private entities if the State determines that such assistance is required in developing, implementing, and administering programs funded under this title. "DESCRIPTION OF INTENDED EXPENDITURES AND STATEMENT OF ASSURANCES
42 USC 705.
"SEC. 505. In order to be entitled to payments for allotments under section 502 for a fiscal year, a State must prepare and transmit to the Secretary— "(1) a report describing the intended use of payments the State is to receive under this title for the fiscal year, including (A) a description of those populations, areas, and localities in the State which the State has identified as needing maternal and child health services, (B) a statement of goals and objectives for meeting those needs, (C) information on the types of services to be provided and the categories or characteristics of individuals to be served, and (D) data the State intends to collect respecting activities conducted with such payments; and "(2) a statement of assurances that represents to the Secretary that— "(A) the State will provide a fair method (as determined by the State) for allocating funds allotted to the State under this title among such individuals, areeis, and localities identified under paragraph (I)(A) as needing maternal and child health services, and the State will identify and apply guidelines for the appropriate frequency and content of, and appropriate referral and followup with respect to, health care assessments and services financially assisted by the State under this title and methods for assuring quality assessments and services; "(B) funds allotted to the State under this title will only be used, consistent with section 508, to carry out the purposes of this title or to continue activities previously conducted under the consolidated health programs (described in section 502(b)(l)); "(C) the State will use— "(i) a substantial proportion of the sums expended by the State for carrying out this title for the provision of health services to mothers and children, with special
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