under the contract efficiently and effectively and will meet such requirements as to financial responsibility, legal authority, and other matters as he finds pertinent. (c) A contract under subsection (a) may provide for advances of funds to enable entities to make payments under the contract. (d) Subsections (d) and (e) of section 1842 of the Social Security Act shall apply to contracts with entities under subsection (a) in the same manner as they apply to contracts with carriers under that section. (e) In this section, the term "fiscal agent" means a carrier described in section 1842(f)(1) of the Social Security Act and includes, with respect to contracts under subsection (aX1XA), an Indian tribe or tribal organization acting under contract with the Secretary under the Indian Self-Determination Act (Public Law 93-638). ADOLESCENT PREGNANCY TITLES VI AND VII OF THE HEALTH SERVICES AND CENTERS AMENDMENTS OF 1978 (Public Law 95-626) TITLE VI-GRANT PROGRAM FINDINGS AND PURPOSES SEC. 601.1 (a) The Congress finds that (1) adolescents are at a high risk of unwanted pregnancy; (2) in 1975, almost 1,000,000 adolescents became pregnant and nearly 600,000 carried their babies to term; (3) pregnancy and childbirth among adolescents, particularly young adolescents, often results in severe adverse health, social, and economic consequences, including: a higher percentage of pregnancy and childbirth complications; a higher incidence of low-birth-weight babies; a higher frequency of developmental disabilities; higher infant mortality and morbidity; a decreased likelihood of completing schooling; a greater likelihood that adolescent marriage will end in divorce; and higher risks of unemployment and welfare dependency; (4) an adolescent who becomes pregnant once is likely to experience rapid repeat pregnancies and childbearing, with increased risks; (5) the problems of adolescent pregnancy and parenthood are multiple and complex and are best approached through a variety of integrated and essential services; (6) such services, including a wide array of educational and supportive services, often are not available to the adolescents who need them, or are available but fragmented and thus of limited effectiveness in preventing pregnancies and future welfare dependency; and (7) Federal policy therefor should encourage the development of appropriate health, educational, and social services where they are now lacking or inadequate, and the better coordination of existing services where they are available in order to prevent unwanted early and repeat pregnancies and to help adolescents become productive, independent contributors to family and community life. (b) Therefore, the purposes of this Act are (1) to establish better coordination, integration, and linkages among existing programs in order to expand and improve the This title and title VII were repealed by section 2193(f) of Public Law 97-35. The effective date of the repeal is not later than October 1, 1982. See section 2194(a) of Public Law 97-35. availability of, and access to, needed comprehensive community services which assist in preventing unwanted initial and repeat pregnancies among adolescents, enable pregnant adolescents to obtain proper care and assist pregnant adolescents and adolescent parents to become productive independent contributors to family and community life, with primary emphasis on services to adolescents who are 17 years of age and under and are pregnant or who are parents; (2) to expand the availability of such services that are essential to that objective; and (3) to promote innovative, comprehensive, and integrated approaches to the delivery of such services. DEFINITIONS SEC. 602. For the purposes of this Act, the term (1) "Secretary" means the Secretary of the Department of Health, Education, and Welfare; (2) "eligible person" means (A) with regard to the provision of all necessary core services and such necessary supplemental services as may be available, a pregnant adolescent or an adolescent parent; or (B) with regard to the provision of the services described in paragraphs (4)(A), (4)(B), and (4)(G) and referral to such other services which may be appropriate, a nonpregnant adolescent; (3) "eligible grant recipient" means a public or nonprofit private organization or agency which demonstrates, to the satisfaction of the Secretary, the capability of providing in a single setting all core services or the capability of creating a network through which all core services would be provided; (4) "core services" means those services which shall be provided by all grantees which are (A) pregnancy testing, maternity counseling, and referral services; (B) family planning services, except that such services for nonpregnant adolescents shall be limited to counseling and referral unless suitable and appropriate family planning services are not otherwise available in the community; (C) primary and preventive health services including pre- and post-natal care; (D) nutrition information and counseling; (E) referral for screening and treatment of venereal disease; (F) referral to appropriate pediatric care; (G) educational services in sexuality and family life (including sex education), and including family planning information; (H) referral to appropriate educational and vocational services; (I) adoption counseling and referral services; and |