Under existing legislation, 1965. In connection with its consideration of the regular Labor-Health, Education, and Welfare appropriation bill for 1965, Congress approved an appropriation of $2,780 million for grants to States for old-age assistance, medical assistance for the aged, aid to families with dependent children, aid to the blind, and aid to the permanently and totally disabled under titles I, IV, X, XIV, respectively, of the Social Security Act, as amended; or for assistance payments made under title XVI of the act, as amended. Recent program trends and estimates submitted by the States indicate that the appropriation for 1965 will fall short of meeting the Federal share of State expenditures by an estimated $407.9 million. This amount includes $41,853 thousand from the 1965 appropriation used to complete 1964 requirements. ASSISTANCE FOR REPATRIATED UNITED STATES NATIONALS For necessary expenses of carrying out section 1113 of the Social Security Act, as amended (42 U.S.C. 1313), and of carrying out the provisions of the Act of July 5, 1960 (74 Stat. 308), and for care and treatment in accordance with the Acts of March 2, 1929, and October 29, 1941, as amended (24 U.S.C. 191a, 196a), [$373,000] Public Law 86-571, approved July 5, 1960, provides for hospitalization and services to repatriated mentally ill U.S. nationals until arrangements can be made for assumption of responsibility by States of residence or family. This estimate assumes that a total of 87 mentally ill repatriates will require hospitalization in 1966. This compares with 79 who required hospital care in 1964, and 83 in 1965. Public Law 87-64, approved June 30, 1961, as amended by Public Laws 87-543, approved June 25, 1962, and 88-347, approved June 30, 1964, authorized, under a new section 1113 of the Social Security Act, temporary assistance to U.S. citizens and their dependents who return to this country because of destitution, illness, or international crises and who are without available resources. Temporary assistance is provided for under this program as follows: (a) persons returned from Cuba it is estimated an average of 3 cases per month will receive assistance in 1966 as compared to 22 in 1965 and 52 in 1964; and (b) persons returned from other countriesit is estimated a total of about 116 cases will require some form of assistance in 1966 as compared to 106 in 1965 and Object Classification (in thousands of dollars) 96 in 1964. tution, or international crises and who are without available resources. 1. Program policies and standards.-Requirements of the Social Security Act are interpreted and specialized technical assistance is provided to State agencies. There is special emphasis to assure that problems of public welfare, including methods of administration, are dealt with constructively. Considerable emphasis is being placed on alleviating and preventing dependency to the maximum extent possible through methods such as: increased development and utilization of social services, including community resources; community work and training programs; and better trained public welfare personnel. 2. Review State plans and grants, evaluate State operations.-Action is taken on new State plans and on amendments thereto to assure conformity to the act; reviews are made of operations and findings are used to assist States in administering their programs; consultation and advice are provided on problems arising in day-to-day operations; grants are processed; information is provided to the public. 3. Research and statistics.-Information is collected in cooperation with State agencies. Special analyses are undertaken to provide national statistics and other information on public assistance which are used by the Bureau and the States in formulating policies, planning program content, setting standards, making legislative recommendations, justifying appropriation requests, answering requests, and guiding administrative action. Object Classification (in thousands of dollars) New obligational authority. Personnel compensation: 10 Total obligations.. 4,738 5,710 6,495 11.1 Permanent positions....... 70 Receipts and other offsets (items 11-17).- 11.3 Positions other than permanent.. 11.4 11.5 Special personal service payments.Other personnel compensation.......... 74 Obligated balance, end of year. 72 Obligated balance, start of year_ 77 Adjustments in expired accounts.. -2 12.0 Personnel benefits.... 21.0 Travel and transportation of 22.0 Transportation of things.. persons 3,554 4,402 4,911 supplemental.. 91 Expenditures from civilian pay in 23.0 Rent, communications, and utilities. 24.0 Printing and reproduction... 72 91 crease supplemental.... 25.1 Other services. 35 25.2 Services of other agencies. 66 The Bureau is responsible for the administration of grant-in-aid programs for old-age assistance, medical assistance for the aged, aid to families with dependent children, aid to the blind, and aid to the permanently and totally disabled. Approximately 8 million individuals are expected to receive aid under these programs in 1966, involving more than $5.5 billion in Federal, State, and local funds, of which over $3.25 billion will be Federal. These programs are intended to provide financial assistance, medical care, and other social services to assure the minimum essentials of living for specified groups: needy aged, blind, disabled, and children in families broken by death, incapacity, or absence of a parent, and for some families hard pressed because of unemployment. The Bureau also administers a program of assistance for repatriated U.S. nationals who are returned from abroad because of mental or other kinds of illness, desti 26.0 Supplies and materials.. 31.0 Equipment.. 12.0 Personnel benefits... 21.0 Travel and transportation of persons22.0 Transportation of things...... 11.1 Permanent positions..... 11.5 Other personnel compensation. Total personnel compensation... 23.0 Rent, communications, and utilities. 24.0 Printing and reproduction.... 25.1 Other services.. 181321 8 4 2 1 151 220 Direct program: -7,722 -16 89,356 7,722 -29,552 | -40,552 29,552 106,000 151,000 Average number of all employees... 506 Average GS grade.......... 9.5 Average GS salary.. $9,893 20 Average number of all employees. 16 15 Average GS grade.. Average GS salary... GRANTS FOR MATERNAL AND CHILD WELFARE 18 9.5 The States are required to match one-half of the amounts appropriated for maternal and child health and crippled children's services. The remainder is distributed to the States in proportion to their financial need, except that not to exceed 12%% of the appropriations for the above programs is available for special project grants to State $9,893 agencies and to public or nonprofit institutions of higher learning. The States are required to match all appropriated funds for child welfare services but the percent of matching required varies from 33% to 66%. There are no specific matching requirements for the programs of grants for research, training, or demonstration projects in child welfare or grants for research projects relating to maternal and child health and crippled children's services. For grants for maternal and child welfare as authorized in title V, parts 1, 2, 3, and 4 of the Social Security Act, as amended (42 U.S.C., ch. 7, subch. V; 74 Stat. 995-997, and 77 Stat. 273), [$127,830,000] $162,000,000 of which [$35,000,000 $40,000,000 shall be available for maternal and child-health services under part 1, [$35,000,000 $40,000,000 for services for crippled children under part 2, [$34,000,000 (of which $4,000,000 $40,000,000 (of which $7,000,000 shall be for allotment for day care pursuant to section 527 of such Act) for child welfare services under part 3 (other than section 526), [$5,830,000 $8,000,000 for research, training, or demonstration projects in child welfare under section 526, [$15,000,000 $30,000,000 for special project grants for maternity and infant care under section 531, and [$3,000,000 $4,000,000 for research projects relating to maternal and child health and crippled children's services under section 532 of such Act: Provided, That any allotment to a State pursuant to section 502(b) or 512(b) of such Act shall not be included in computing for the purposes of subsections (a) and (b) of sections 504 and 514 of such Act an amount expended or estimated to be expended by the State: Provided further, That [$3,500,000 $4,750,000 of the amount available under section 502(b) of such Act shall be used only for special projects for mentally retarded children, and [$2,500,000] $3,750,000 of the amount available under section 512(b) of such Act shall be used only for special projects for services for crippled children who are mentally [retarded: Provided further, That after January 1, 1966 no federal funds shall be used to pay in excess of one-half of the cost of day care services under section 527 (a) of the Social Security Act, as amended] retarded. (Department of Health, Education, and Welfare Appropriation Act, 1965.) Program and Financing (in thousands of dollars) 1. Maternal and child health services.-Grants are provided to States for the extension and improvement of health services for mothers and children, especially in rural areas. It is proposed that $4.75 million of these grants be earmarked for special projects for mentally retarded children. 2. Crippled children's services.-Grants are made to States to extend and improve services for crippled children including medical, surgical, corrective, and other care, It is proposed that $3.75 million especially in rural areas. of these grants be earmarked for special projects for crippled children who are mentally retarded. 3. Child welfare services.-Grants aid States to establish, extend, and strengthen child welfare services for the protection and care of homeless, dependent, and neglected children, and children in danger of becoming delinquent, and for the return of runaway children to their own homes in other States. It is proposed that of the amount requested for child welfare grants, $7 million will be earmarked for day care services. 4. Research, training, or demonstration projects in child welfare.-Grants are made to public or nonprofit institutions of higher learning or agencies and organizations engaged in research or child welfare activities for projects of regional or national significance or for those which demonstrate new facilities or methods which contribute to the advancement of child welfare, and to public or nonprofit institutions of higher learning for special projects for training personnel for work in the field of child welfare. 5. Special project grants for maternity and infant care.Grants are made to State or local health agencies for special projects for maternity and infant care to help reduce the incidence of mental retardation caused by complications associated with childbearing. The Federal grant cannot exceed 75% of the cost of a project. 6. Research projects relating to maternal and child health services and crippled children's services.-Grants, contracts, or jointly financed cooperative arrangements are made for research projects relating to maternal and child health and crippled children's services that show promise of substantial contribution to the advancement of these programs. SALARIES AND EXPENSES, CHILDREN'S BUREAU For necessary expenses in carrying out the Act of April 9, 1912, as amended (42 U.S.C., ch. 6), and title V of the Social Security Act, as amended (42 U.S.C., ch. 7, subch. V), including purchase of reports and material for the publications of the Children's Bureau and of reprints for distribution, [$4,295,000 $4,494,000: Provided, That no part of any appropriation contained in this title shall be used to promulgate or carry out any instructions, order, or regulation relating to the care of obstetrical cases which discriminate between persons licensed under State law to practice obstetrics: Provided further, That the foregoing proviso shall not be so construed as to prevent any patient from having the services of any practitioner of her own choice, paid for out of this fund, so long as State laws are complied with: Provided further, That any State plan which provides standards for professional obstetrical services in accordance with the laws of the State shall be approved. (Department of Health, Education, and Welfare Appropriation Act, 1965.) Program and Financing (in thousands of dollars) 1964 actual 1965 1966 estimate estimate 841 to State agencies, other public and voluntary agencies and organizations, and educational institutions engaged in training professional personnel; and guides and recommendations are prepared on the provision of child health services. 2. State and local social services for children. --The same approach is used for the child welfare services as for the child health services. 3. Technical assistance to States and communities for juvenile delinquency programs.-Consultation is given to States, communities and organizations, both public and voluntary, on standards and methods for care and treatment of juvenile delinquents, on content of State or local programs, and on problems of organization and coordination on a statewide or local basis; assistance is given to State agencies and educational institutions in planning for training of professional and nonprofessional personnel in the field of juvenile delinquency. 4. Research in child life and services for children.— Studies on child health and welfare, particularly social and economic problems are conducted and the programs and services for children are evaluated. The results are interpreted to the lay and professional public through pamphlets and bulletins. 5. Information for parents and others working with children. Publications are prepared and distributed on child health and welfare services. Upon request, assistance is given to States in interpreting their child health and welfare programs. 6. Mental retardation services for children.-Policies and guides are developed, and applications are reviewed for special maternity and infant care project grants designed to help reduce the incidence of mental retardation caused by complications of child bearing; and for research projects relating to maternal and child health and crippled children's services. Consultative services are given to State and local agencies, both public and voluntary, with emphasis on expansion of services for mentally retarded children; program interpretive materials are prepared and distributed. Object Classification (in thousands of dollars) 44 Proposed supplemental due to civilian pay Identification code increases... 103 09-35-1556-0-1-651 Selected resources as of June 30 are as follows: Unpaid undelivered orders, 1963. $25 thousand; 1964, $136 thousand; 1965, $76 thousand; 1966, $60 thousand. The Bureau investigates and reports on the health and welfare of children and administers grants for: maternal and child health services; crippled children's services; child welfare services; research, training, or demonstration projects relating to child welfare, maternal and child health, and crippled children's services; and special projects for maternity and infant care. 31.0 Equipment.......... Total costs, funded... 94.0 Change in selected resources. Total obligations.......... 99.0 Total number of permanent positions.. Full-time equivalent of other positions.. Average number of all employees.. Average GS grade.......... 1. State and local health services for children.-Policies and requirements for State maternal and child health and crippled children's programs are developed; State plans Average GS salaryare reviewed and approved; consultative services are given 38 56 27 22 56 Personnel Summary WELFARE ADMINISTRATION-Continued General and special funds-Continued JUVENILE DELINQUENCY AND YOUTH OFFENSES For grants and contracts for demonstration, evaluation, and training projects, and for technical assistance, relating to control of juvenile delinquency and youth offenses, and for salaries and expenses in connection therewith, $10,000,000 [; and for a], of which $3,500,000 shall be available until expended for the demonstration and evaluation project in the Washington metropolitan [area, $1,500,000 to remain available only through June 30, 1965; as authorized by the Juvenile Delinquency and Youth Offenses Control Act of 1961, as amended] area pursuant to section 9 of the Juvenile Delinquency and Youth Offenses Control Act of 1961. (Department of Health, Education, and Welfare Appropriation Act, 1965, authorizing legislation to be proposed.) projects are in operation. In 1965, about 20 special single action demonstration programs will be started. The 1966 estimate includes continuing costs for 3 of the original demonstration projects and costs for 20 special demonstration programs. 2. Grants and contracts for training of personnel.-Funds are for the purpose of training personnel already employed or preparing for employment in programs for the prevention and control of juvenile delinquency. This training is accomplished through university-based training centers and workshops and short-term traineeships. Over 12,500 personnel who work or are preparing to work in the prevention and control of juvenile delinquency were trained by the end of calendar 1964. 3. Technical assistance services and administration.— This activity provides for coordination of specialized services in juvenile delinquency and control both at the Federal and local levels; for project and training application review and approval; collection and dissemination of information; and direct services and technical assistance to local communities and training institutions in the field. 4. Washington metropolitan area demonstration and evaluation project. This special project was started in 1965 for the purpose of demonstrating to the Nation the effectiveness of a large-scale, well-rounded program for the prevention and control of juvenile delinquency and youth offenses. The project includes among other things, a neighborhood development center, a law enforcement and corrections program, and an innovative welfare program. It is being designed to demonstrate methods of increasing opportunities available to young people who are, or are in danger of becoming, juvenile delinquents or youth offenders, and of increasing the ability of these youth to make use of these opportunities. Object Classification (in thousands of dollars) 6,950 11,500 10,000 Identification code 09-35-0175-0-1-659 Relation of obligations to expenditures: 71 Total obligations (affecting expenditures).. 72 Obligated balance, start of year.. 6,206 74 Obligated balance, end of year. -5,603 Personnel compensation: -9,603 11.1 Permanent positions. 121 77 Adjustments in expired accounts. 11 11.3 11.4 Positions other than permanent.. Special personnel service payments. 2322 1 Includes capital outlay as follows: 1964, $1 thousand; 1965, $5 thousand; 1966, $0 thousand. 2 Selected resources as of June 30 are as follows: Unpaid undelivered orders, 1963. $122 thousand; 1964, $167 thousand; 1965, $167 thousand; 1966, $167 thousand. This program, under Public Law 87-274, was extended by Public Law 88-368 to June 30, 1966. Appropriation authorization expires June 30, 1965, except for sections 7-9 of the act. The appropriation request for 1966 is proposed under current legislation for which additional appropriation authorization is proposed. 1. Grants and contracts for demonstration and evaluation projects. Funds will be used for demonstrating improved methods in the prevention and control of juvenile delinquency with emphasis placed on supporting programs of law enforcement and corrections, remedial services, and self-help projects especially suited to the needs of young people. Eight major and five limited demonstration 398 25 26 172 8 7 7 8 60 60 3 3 25.2 Services of other agencies.. 566 345 231 31.0 Equipment... 26.0 Supplies and materials.... 2 3 3 |