Sec. 105. Funding for health oversight and coordination plans
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Out of any money in the Treasury of the United States not otherwise appropriated, there are appropriated to the Secretary, $50,000,000 for fiscal year 2020, for the purpose of making payments to States, Indian tribes, tribal organizations, and tribal consortia to implement and operate health oversight and coordination plans under subpart 1 of part B of title IV of the Social Security Act ( 42 U.S.C. 621 et seq.), in accordance with this section. Such amounts shall be in addition to other amounts made available for such purposes.
Not later than 30 days after the date of enactment of this Act, the Secretary shall do the following: Subject to subparagraph (B), from the amount appropriated under subsection (a), the Secretary shall reserve $5,000,000 for allotting to each Indian tribe or tribal consortium that receives funds under subpart 1 of part B of title IV of such Act for fiscal year 2020 and operates a program under section 479B of such Act ( 42 U.S.C. 679c ) for such fiscal year, an amount that bears the same proportion to the amount so reserved as the amount awarded to each such Indian tribe or tribal consortium under subpart 1 of part B of title IV of such Act for fiscal year 2020 bears to the total amount awarded to all Indian tribes, tribal organizations, and tribal consortia under that subpart 1 for such fiscal year.
The Secretary shall establish an expedited process for awarding allotments on a competitive basis among Indian tribes, tribal organizations, and tribal consortia that are not described in subparagraph
(A)but receive funds under subpart 1 of part B of title IV of such Act for fiscal year 2020. To the extent the Secretary awards any allotments under this subparagraph for fiscal year 2020, the Secretary shall make pro rata reductions in the amount of the allotments determined under subparagraph
(A)for fiscal year 2020 as necessary to ensure that the total amount of allotments made for such fiscal year under this paragraph does not exceed the amount reserved under subparagraph
(A)for the fiscal year. The Secretary shall allot to each State that receives an allotment for fiscal year 2020 under section 423 of the Social Security Act ( 42 U.S.C. 623 ), an amount that bears the same proportion to the amount appropriated under subsection
(a)which remains after the application of paragraph (1)(A), as the total amount allotted to the State under such section 423 for fiscal year 2020 bears to the sum of the total amounts allotted to all States under that section for that fiscal year. The Secretary shall make the first payment to each State, Indian tribe, tribal organization, and tribal consortium for which an allotment is determined under paragraph
(1)or (2). Each subsequent payment shall be made on a quarterly basis no later than the beginning of the quarter involved. A State, Indian tribe, tribal organization, or tribal consortium shall use the funds paid from an allotment under this section for expenditures to implement and operate a health oversight and coordination plan as required under section 422(b)(15)(A) of the Social Security Act ( 42 U.S.C. 622(b)(15)(A) ), or, in the case of an Indian tribe, tribal organization, or tribal consortia not required to implement and operate such a plan, for expenditures involving tribal participation with States responsible for developing and carrying out such plans. A State, Indian tribe, tribal organization, or tribal consortium shall expend significant portions of the funds paid from an allotment under this section to conduct expanded activities to mitigate the impact of the COVID–19 pandemic on the health and well-being of children in foster care, such as the following: Providing access to expedited and accurate COVID–19 testing and treatment for children, parents, and caregivers to support child health and placement stability. Providing access to mental health services and supports, including to address needs arising from health issues, social isolation, and economic deprivation stemming from the pandemic. Using telehealth services for children in foster care to ensure uninterrupted access to needed pediatric medical and subspecialty care, including behavioral and mental health services. Ensuring ongoing access to needed in-person care, including the on-time provision of all needed vaccinations in accordance with the latest pediatric vaccination schedule as updated by the Centers for Disease Control and Prevention. The Secretary shall not impose any cash or in-kind matching requirement or require an application from a State, Indian tribe, tribal organization, or tribal consortium as a condition for being paid the amounts allotted to the State, Indian tribe, tribal organization, or tribal consortium under this section (except to the extent necessary for the expedited award of allotments under subsection (b)(1)(B)). Subject to subsection (f), funds from an allotment determined under this section shall remain available for expenditure by the State, Indian tribe, tribal organization, or tribal consortium (as applicable) through September 30, 2022 (September 30, 2023, in the case of any funds redistributed under subsection (f)). Subsection
(d)of section 433 of the Social Security Act ( 42 U.S.C. 629c ) shall apply to the amounts allotted under this section for fiscal year 2020 that remain unobligated on July 1, 2022, in the same manner as that subsection applies to the amounts from allotments made under subsections (a), (b), and
(c)of that section for a fiscal year except that, for purposes of redistributing amounts allotted under this section for fiscal year 2020, a State, Indian tribe, tribal organization, and tribal consortium shall not be required to make the certification referred to in such section 433(d) before July 1, 2022. Not later than 120 days after the date of enactment of this Act, each State, Indian tribe, tribal organization, and tribal consortium paid funds from an allotment made under this section shall submit a report to the Secretary detailing how the State, Indian tribe, tribal organization, or tribal consortium plans to use the funds in accordance with the requirements of this section. The report required under this subsection shall be in addition to, and may be combined with, other reports required under this Act or section 432(a)(8) of the Social Security Act ( 42 U.S.C. 629b(a)(8) ). The Secretary shall not delay making any payments (including the first payment required within 30 days of the date of enactment of this Act) to States, Indian tribes, tribal organizations, and tribal consortia from the allotments made under this section because of the report required under this paragraph. Each State, Indian tribe, tribal organization, and tribal consortium shall report on the actual expenditures made in a fiscal year using funds from a payment made under this section (including any payments of amounts reallotted). Each report on a fiscal year shall be submitted not later than June 30 of the succeeding fiscal year and shall include such information as the Secretary shall require regarding the actual expenditures of such funds. The Secretary shall submit to the appropriate committees of Congress a summary of the reports submitted under paragraphs
(1)and
(2)not later than 60 days after the date on which the reports are due. The summaries required under this paragraph may be combined with the other summaries required to be submitted to such committees under this Act.
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Sec. 105
Funding for health oversight and coordination plans
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