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Code · BILL · 117th Congress · H.R. 8450 (Reported in House) — To reauthorize child nutrition programs, and for other purposes. · Sec. 303

Sec. 303. Certification and recertification determinations and nutritional risk evaluations

1,122 words·~5 min read·/bill/117/hr/8450/rh/section-303

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Section 17(d)(3)(C) of the Child Nutrition Act of 1966 ( 42 U.S.C. 1786(d)(3)(C) ) is amended to read as follows: Each individual seeking certification, recertification, or a nutritional risk evaluation for participation in the program shall be offered an appointment— in-person, through video technology permitting 2-way, real-time interactive communications, by telephone, and in such other format as the Secretary determines appropriate in order to determine eligibility under the program, provided that such format permits 2-way, real-time interactive communications; and that occurs in a format, setting, or platform that is accessible to the individual in accordance with the Americans with Disabilities Act of 1990 ( 42 U.S.C. 12101 et seq. ) and section 504 of the Rehabilitation Act of 1973 ( 29 U.S.C. 794 ).
If an individual meets the certification presence requirement through technology permitting 2-way, real-time interactive communications or other methods described in clause (i)(I), the anthropometric data with respect to such individual shall be obtained within 90 days. . Section 17(d)(3) of the Child Nutrition Act of 1966 ( 42 U.S.C. 1786(d)(3) ) is amended by conforming the margin of subparagraph
(B)to the margin of subparagraph (C). Section 17(f)(6)(B) of the Child Nutrition Act of 1966 ( 42 U.S.C. 1786(f)(6)(B) ) is amended— in the second sentence— by striking vouchers by mail in its plan and inserting food instruments by mail, remote issuance, or other means in the State plan ; and by striking The State and inserting the following: The State ; in the third sentence— by striking vouchers by mail and inserting food instruments by mail, remote issuance, or other means ; and by striking The Secretary and inserting the following: The Secretary ; and by striking
(B)State agencies and all that follows through to obtain vouchers. and inserting the following: State agencies may provide for the delivery of food instruments, including electronic benefit transfer cards, to any participant through means that do not require the participant to travel to the local agency to obtain food instruments, such as through mailing or remote issuance. . Section 17(h) of the Child Nutrition Act of 1966 ( 42 U.S.C. 1786(h) ) is amended— in paragraph (2)(B)— by striking clause (ii); and by striking and inserting
(i)Except as provided in clause
(ii)and Except as provided in ; in paragraph (10)— in subparagraph (A), by striking 2010 through 2015 and inserting 2023 through 2028 ; in subparagraph (B), by striking clause
(ii)and inserting the following: $90,000,000 shall be used to— establish, develop, improve, replace, or administer technology platforms, including management information systems, that enhance the services of, access to, or redemption of benefits under the program; establish, develop, improve, replace, or administer a system that allows for secure communication of information between health care providers and program clinics in order to facilitate sharing of information necessary for certification, establishing nutrition risk, or for the provision of health care services; and carry out paragraph (15); and of which up to $8,000,000 may be used for Federal administrative costs; and ; and by adding at the end the following: The Secretary shall annually collect data from State agencies and make publicly available on the website of the Department State-level estimates of the percentage of pregnant women, postpartum women, infants, and children under age five— who are enrolled in the program under this section and the supplemental nutrition assistance program under the Food and Nutrition Act of 2008 ( 7 U.S.C. 2011 et seq. ); and who are— enrolled in the program under this section and the Medicaid program established under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq. ); and a member of a family described in subsection (d)(2)(A)(i). The Secretary shall— in addition to the information made available under subparagraph (A), also publish on the website of the Department best practices for increasing the percentages described in such subparagraph; and evaluate the number and types of referrals to the program under this section made by— administrators of the supplemental nutrition assistance program under the Food and Nutrition Act of 2008 ( 7 U.S.C. 2011 et seq. ); and administrators of the Medicaid program established under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq. ). Not later than 1 year after the date of the enactment of this paragraph and annually thereafter, each State shall— submit to the Secretary an annual cross-enrollment plan that— is developed across the programs described in subparagraph
(A)that includes goals, specific measures, and a timeline for increasing the percentages described in such subparagraph; and includes policies to refer to the program under this section participants in the programs described in such subparagraph who are not certified for the program under this section; and if such plan is approved by the Secretary, implement such plan. The Secretary shall provide technical assistance and award competitive grants to State agencies to— increase the percentages described in subparagraph (A); and implement measures pursuant to an annual cross-enrollment plan under subparagraph (C), including— improving technology; establishing more robust referral systems; conducting targeted outreach to potential participants in the program under this section; enhancing State capacity to share and analyze data across the programs described in subparagraph (A); and providing training or technical assistance to local agencies. Any data collected under this paragraph shall be— used only for the purposes of certifying eligible persons for the program under this section; and subject to the confidentiality provisions described in section 246.26(d) of title 7, Code of Federal Regulations (or successor regulations). . Not later than 1 year after the date of enactment of this Act, the Secretary shall submit to the Committee on Agriculture, Nutrition, and Forestry of the Senate and the Committee on Education and Labor of the House of Representatives a report on the use of remote technologies under the special supplemental nutrition program for women, infants, and children established by section 17 of the Child Nutrition Act of 1966 ( 42 U.S.C. 1786 ) (referred to in this section as the program ). The report submitted under paragraph
(1)shall include a description of— the use of remote technologies and other digital tools, including video, telephone, and online platforms— to certify and recertify eligible individuals for program services; and to provide nutrition education and breastfeeding support to program participants; the impact of remote technologies, including video, telephone, and online platforms, on certifications, recertifications, appointments, and participant satisfaction under the program; and best practices to— certify and recertify program participants for program services using remote technologies; incorporate the use of digital tools into the program certification process; integrate nutrition education and breastfeeding support services for program participants into remote technologies and platforms; and securely manage program participant data.
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