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260829 WH 7EI - GTV CLERK 1 � +FINANCE GITY OF SAINT PAITL � �i � N4RY - DEPARTMENT CO1111C11 � B�.AiE -MAYOR , F112 NO. � � ' ,Resolution Presented By _4, Referred To Committee: Date Out of Committee By Date WHEREAS, President Nixon has capriciously cut back and impounded Federal funding legally appropriated by the Congress for valuable programs in urban renewal, huxnan services, and employment opportunities; and;� t WHEREAS, these programs have been supported consistently by this Council and tHe people of St. Paul becaus e of the housing, meaningful employment, necessary social services, and other benefits that have been provided to our community, our senior citizens, and other disadvantaged groups; so, therefore, be it ' RESOLVED, that this Council, on behalf of the people of St. Paul, does hereby declare and affirm its opposition to the withholding of Federal dollars and the curta.ilment of� programs and endeavors that are so vita.l to the conti.nued growth and improvement of opportunity in this city; and be it ` FURTHER RESOLVED, that the City Cler:k be directed to send copies of this resolution to the distinguished members of the Minnesota Congressional Delegati.on and the Governor of Minnesota. COUIVCILMEN Yeas Nays Requested by Department of: �� Konopatzki In Favor Levine Meredith � Against BY 9�7C ROedZex' Tedesco Mme.President Butler (� �A?3 �R 7 Form Approved by City Attorney , Adopted by Council: Date Certified Passed by Council Secretary BY B Appr ed by Ma�o • Date � Approved by Mayor for Submission to Council By BY 2ueu�t�� MAR 17 1973 . . ' . �� Ffarry E. Marshall AIbeM B. Olsoa � Cit7�Clerk and ''" °� Council Recorder Commisioner of Registr¢tion :��_";�>.,� �,, /�� OFFICE OF THE CITx CLERK CITY O� SAIN'I' PAUL BUREAU OF RECORDS �86 Cit�Hall St.Paul,Minnesota 55102 Ma,rch 13, 19?3 President Richard Nixcn Governor Wer.dell Anderson Minnesota Congressiona,l Delegation Gentle�r:en: Attach is � resolution of the St. Paul City Council, C.F. No. 260829 expressing opposition to the witnnolc3..i.ng of Feder ollaxs r�nd curtai].�nt of progr.ams in urban renewal, human services and empl.o,,r�ent apportunit:�es. Ycurs very truly, � . �. ; ; � ��-/ \ _ , �/ �,vv a Ciiy Cl �� Ai3G:jmw Attach. ��O 1 p- C�" �h�d C c� � JOSEPH�.KARTH HOUSE COMMITTEE ON� , hx psTncr,MWxuor� WAYS AND MEANS 2�32 R�nuRx Hous[OrrK[&ne. �"��'� Q�origregg of t�e �niteb �tateg HOBERT E.FffSS MWtl19TW7N!ASSISTMT �ou�e of �e�re�etttatfbeg DISTRICT ORICl: eoor su �ington.�.QC. 20515 F�t�u Buioixc i�tm U.S.CWet Hoose 316 N.Ro�ar Sieeer SAINT PAU..MINN. SS1OI (612)725-7868 March 19, 1973 Mr. Harry E. Marshall City C1erk and Commissioner of Registration City of St. Pau1 386 City Hall and Court House St. Pau1, Minnesota 55102 Dear Harry: Thank you very much for sending along to me a copy of the resolution passed recently by the St. Pau1 City Council in which they ex- pressed their opposition to the withholding of appropriated monies and curtailment of certain Federal programs. I do appreciate your thoughtfulness. With bast wishes, I am Sincerely yours, J ep E. Karth mbe of Congress JEK:pw . �.' ��:-''-'�cJ ��. � JOHN'A.BLATNIK cHAiRMnN �87H DISTRICT,MINNESOTA COMMITTEE ON PUBLIC WORKS Roon�2449 RAYBURN HOUSE OFFICE BLD6. �or�gre�� ot t�je ��iteb �tate� �% �OU�E Of �C�rE�Eritatf�lEg �as�jf�gtot�,�.�. 20515 March 19, 1973 Mr. Harry E. Marshall, Clerk City of St. Paul 386 City Hall St. Paul, Minnesota 55102 Dear Mr. Marshall: I appreciate receiving a copy of your letter giving your thoughts on the adverse impact of the proposed new restrictions on Federal matching funds for social services. The new, harshly restrictive regulations would reverse the progress of the past decade in providing constructive services to the poor, elderly, and disadvantaged and deny them the opportunity they seek and deserve to become productive members of their communities. We must preserve and continue these programs that give local agencies the funds and tools to help people become economically self-sufficient and to restore their dignity. I have personally advised the Secretary of Heal.th, Education and Welfare of my strong opposition to the revised regulations and have urged that they be withdrawn. I am hopeful that he will take this admistrative action, but if legislation is necessary, you can count on my wholehearted, active support. With warm regards, and again my thanks for writing. Sincerely, �'�' Q/�La�i�"`w�.�'t� ohn A. Blatnik, M. C. JAB:mjy � F �(� D �''c,�� ' JOHN'A.R,�LATNIK CNAtRM/W . 8tti�SSTRICT,MINNESOTA COMMITTEE ON PUBLIC WORK3 RooM 2449 RAYBURN HOUS60PFIC6 BL.D6• �ot�gre�� of t�je �r�iteb �tate� �� ou�e of �epre�cetttatibe� �as�jtttgtott,�.QC. 20515 April 4 , 1973 b1r. Harry E. Marshall City Clerk Office of the City Clerk 386 City Hall St . Paul , Minnesota 55102 Dear Mr. Marshall : I appreciate receiving a copy of the resolution adopted by the St. Paul City Council expressing strong opposition to President Nixon' s national priorities as expressed in his budget, impoundments and their implied assumption that many of our pressing domestic problems have been solved. I am appalled by the Administration' s attempts to eliminate or severely cutback countless programs designed to provide improved health care , housing, education, manpower training and to meet other critical needs of the American people . To justify this attitude , the White House states that many of these programs have not worked. The President has been quick to criticize people-oriented programs , but very slow to offer alternatives . In fact, in some instances where programs have not been effective in achieving their objectives , the fault lies with the way they have been administered--not with the programs themselves . I am enclosing a reprint of a March 12 Duluth Herald editorial which comments on legislation I have introduce speci ically directed to this impoundment controversy. The House Rules Committee is currently holding hearings on this bill and it is expected to reach the �iouse Floor for a vote within the next two weeks . Congress must provide a way in which to "override" the President ' s impoundments- -for without such a mechanism, he is free to substitute his preferences for the collective and deliberative judgment of 435 hlembers of the House and 100 Senators , which brings us dangerously close to one-man rule . With every good wish. Si cerely, ��Q ohn A. Blatnik, M, C. . , �ULUTH HEI?�,L,� AN INDEPENDENT NL�"WgPAPEIt DULUTH, 11dINN. EUGEN'�R�W�JyaERr O��1.��t�OE J. RpG�R GRIER Wnerot A1qnlpqr E.J. DOE �,aAA,URiCE SPAR61/ Gr� �pke�Mt� JOHN W. BREEN trod�ietlen AAenop�r Ofitef0l rubltq�tlen Ix IM CHy et pulufh �W�qhn N�ws funev.700 Nettaql ThNtK tupoln�. Welht�bn.C�G 9000f A,DVERTISING OEFIE�S;sewy�nF�n.vyall�w Ce. NEW YORK CHICAGO ��•ILADELPHtA SAN FRANC�SCO ATLANtA LOS ANG�`� QI�iTR01T MiNNEAP0U5 C�!AR�OTTE March 12, 1973 Fi htin Fire Wi�h Fire g g The President's apparent authority dent's right to impound or not to im- to impound funds appropriated by Cnn- pound, this bill would sidestep that gress exists in a constitutional haze. question and simply give Congress le- Congressman �hn Blatnik has Aro- gal machinery with which to override d le islation which would do much the Presiden�t. t�di oerse that haze an per aps e As is often the case when the Con- Comgress get on with the tasks it deems stitution is not clear on a specific issue, most important to the national welfare. it can be necessary to overcome the As explained by Blatnik, his bill confusion by writing law—which the would require the President to notify President can't p r e v e n t C�ngress Congress within 10 days of;any i m- from doing. It would seem appropri- poundment, giving Congress a specific ate at this time that Congress step into breakdown of the programs and funds the fog surrounding tt�e impounding of affected,and the President's reason for funds and make it possible to release impoundment. those funds which Congress believes The House and Senate would therr need to be spent for the national inter- have 60 days within which to approve est. or disapprove of the Yresident's action. It is unfortunate, oF course, that If Congress disapprflved, the President Congress would have to aet twice to in effect would be overridden, and his get its wishes. But if the President is impoundment aetion would be canceled. going to exercise authority irr such a "We're not trying here to resolve way as to cancel Congress' initial ef- the basic constitutional issue of power forts to deal with national problems, of the purse, grave though it is," Blat- Congress has little choice but to fight nik said., fire with fire, and come back with the No; it would appeax that the basic legal tools necessary to force open a constitutional questions of the Pre�i- treasury which the President—by mere dent's supposed authority to impound exeEUtive fiat—has locked. fun�ds are not really the issue in Blat- Blatnik is to be commended for this nik's bill. �t,ather, his proposal is sim- irritiative. It could spare us the delays, ply a very practical way around this �avhich would accompany tryfng to re= question.Instead of debating the Presi- solve this matter through the courts. �z. � � � � � � � �� DOI�LD M. FRASER FOREIGN AFFAIRS COMMITTEE SrH Disrwcr,Mua+esor� SUBCOMMITTEES: CNAIRMAN.I NTERNATIONAL 11/1 HOUSE OFFIC6 BUILDINO OROANIZATIONS AND MOV6MENiS ZO��a �o�gre�� of t�e ��citeb,�t�.te� STATE DEPARTMENi OROANIZATION DALE MwcIVER AND FOREI6N OPERATIONS ,�M,N��,,,�,�s,�^� .- �ou�e of �tepre�entatibe� NATIONALSECURITYPOLICYAND $CIENTIFIC D6VELOPMENTS ��iiig`�7i��4/� 20515 FOREIGN ECONOMIC POLICY DISTRICT OF COLUMBIA COM M ITTEE March 19 , 1973 Mr. Harry E. Marshall Office of the City Clerk 386 City Hall and Court House St . Paul „ Minnesota 55102 Dear Mr. Marshall : Thanks very much for your letter indicating your support for full allocation of the $2.5 billion appropriated for social services under Title IVA of the Social Security Act. I agree that every cent of this money should be spent . Next week , the Democratic Caucus will be considering my resolution which directs the Ways and Means Committee to report legislation which will enable state and local governments to con- tinue existing programs of social services within the $2.5 billion limitation. Considerable support for full funding for social services has been generated through letters like yours. I appreciate your writing and knowing of your interest and concern is useful in persuading doubtful Members of Congress . With best wishes. 7 __,..,.__�.__._. ,, S ce Y� 1 \ - ,.�_. ._ �� ,u�L_�---�_; Do d��M:�'Fraser � Lnclosure * FOR RELEASE: T'h�r�day, February 22, 1973 FROM: Congr��sman Doaald M. Fraser Phone: �a�h - 202/225-4755 1111 Lcngworth Building Mpis - GT2�725-20�1 Washington, D, C. 205I5 FRAS ER S PONS ORS OJfDER A142ERICANS ACT Rep. Donald M. Fraser reported today that he has introduced the Comprehen�ive Older Americans Services }3i11 vetoed by President Nixon last year. Fraser said the bill would extend and amend the Older Americans Act of 1965, and provide increased funds to the states for a variety of services directed at special problems of the aged, �ncluding transportation, nutrition, recreation, housing and pre-retirement training. The measure would alsoe -- make the Administration on Aaing (AcA) directly responsible to the Secretary of Health, Education and Welfare rather than remain under HEW' s Social and Rehabilitation Service. -- authorize a presidentially-appointed 15-member Council on the Aging to serve as a "spokesman" for the aying within the federal gov�ernment. � . C,r a? �6 B�a�J �WALTE�t F. MONDALE MINNESOTA '�2JC�if eb ,�if af ez ,$enafe WASHINGTON� D.C. 20510 P�Iarch 2� , 19 7 3 �iarry �. :�iarshall, City Cler�: 38E Gity :Iall St. Paul, :�iirinesota 55102 Dear T1r. �1ars'.iall: �:zank you for your recer:t nlessac;e rec�arc,irLq the Social Services �r.oc�rarl. I fully �rree with your concer��s over the Adr:inistration' s recent pro*.��sals to sharply reuuce aid. to St��tes anc' local cor�r.lur.ities for_ Social Servir.es, thr�uc�h a comp]_e�: ne�� set of rec�ulations . The Soci�l. ^ervic�a pronr��m can c10 rluch tn help families off the welf�r.P rolls �nc� int� x�.roc?uetive �aor3;, anc� to help the h�?nclica�p�c1, elc�.er�7.y ancl disabled. avc�ic institutionalization and leZC? use�u]_ lives in the cor�rlunity. I hope that the I�clrinistr��tion will reeonsic'er. its apnroach to this vital �rocrr_ar�. l�n�� I G�ill c'•,� my best to preserve the Soci�1� �er��ices pronr.ar through lenislative action if �Ile �'�.dministrati�n proceeds or� its �resent course. I ar.; enelosir.g r,iaterials c:escribin, 7.ecrislation I have introciuced -- caith the su��l�c�rt of a hi�artisan coalition af 43 Senato .r_s -- to pr.eservc }-ey ele^�ents of the �tiistiz;g ;�rac;rar-�. 11g�in , than}�y ouu far c-�riting. t7ith �varm regarc�s . Sincerely, I - , � W • TTalter F. P1orldal.e HU�ERT FI. HUMPHREY C �� 9 MINNESOTA " 's�l Cr��f eb .:�if af e� .�¢�r�caf¢ WASHINGTON, D.C. 20510 March 19, 19 73 Mr. Harry E. Marshall City Clerk 386 City Hall St. Paul, Minnesota 55102 Dear Mr. Marshall: Thank you for sending me a copy of the Resolution adopted bq the Citq Council of St. Paul. I do appreciate being kept informed as to the opinions of your membership. Bes t wishes. Sincerely, flubert H. Humphrey r Uaited States of America PROCEEDINGS AND DEBATBS OF THB 9 3d CONGRBSS, FIRST SBS$ION yol. 119 WASHINGTON, WEDNESDAY, MARCH 14, 1973 No. 40 Sen�te WEDNESDAY, 1VIARCH 14, 1973 $y MT. MONDAI,E (for h1IIlSelf, In addition, we would like to express our MT. JAVIT3, MP. ABOIIREZK, Mr. Under these proposed regula.tions,Por- concern about other parts of the reported $AYH, MT. BIDEN, MT. BROCK, mer welfare recipients would be denied new regulations such as those which would eligibilitY for daY �'e or other serviCes repeal the current use of in-kind contribu- Mr. BxooxE, Mr. Bvxaicic, Mr. 3ust after those services have permitted tions ior tne non-federal matcn, deny aay CASE, MT.CLARK,Mr. Coox,Mr. them to iind empioyment and leave the care eligibillty to tormer weifare recipients CRANST6N, MT. EAGLETON, MT. juat aYter thLS day care program has Per" FITLBRIGHT, Mr. GxAVEi., Mx'. �'elfax'e rolls. So they Would be foTCed �itted them to flnd employment and leave HART,�I'.HARTKE,MT.�ATFYELD, b�k °n welfare. As &Tl HL''W memo the welfsre rolls; snd raiae serious questiona MT. HATHAWAY, Mr. HOLLINGS, S��S� sbout whether the Federal Inter-agency Da9 1VSP. $IIDDLESTON, MY. HIIGHES, T�e re�lations will cause many former Care 6tandards—which estsblish minimum welfare recipients to quit their joba . . protectlon for chitdren in federally assisted MT. HIIMPHREY, M!. KENNEDY, (gnd] creatb 9 revolving door egect. d8y caTe and whdch hsve b2Cn in effect foi Mr. 1VI�Txins, Mr. McGEE, Mr. ��precisely the kind oP mixed up the past 8 yeara—will continue to aPP19• MCC�OVERN, MP. MCINTYAR, Mr. �centive system which traps peogle in MONTOYA, Mr. Moss, Mr'• ppverty, and destroYS faith in the good �'�'e respectiully request that� we be in- MIISKIE,MI'.NELSON�Mr. Pecx- ��ntians oY government. formea in advance about any proposed WOOD, MT'. PA3TORE, MT. PELL, chariges !n aTC6a euch 68 thes¢, snd that if Mr. PEeCY, MI'. RANnoLPH, MT. The bill whiCh We a2'e iritTOduCirig t0- and when any changeb are proposed they be RIBICOFF, NLr. SCHWEIi{ER, Mr, day d028 riOt attempt to preserve the avsllable foi public comment and later revi- ..STAFFORD, MY. STEVENSON, Mr. old reBVlatfons �rit&Ct. IT18tC&Cl, our bill SiOn. would preserve the flve most essential wtth warmest personai regsras, TQNNEY, &rid MI'. WILLIAMS: 3lncerely, � S.1220.A bill to lixnit the authority of components of the existing program: �onaaie, aavits, Ribicoff, Packwood, the SecretarY of Health, Education, and First.The use o4 privately oantributed stevenson, auourezx, Bayh, seau, WelPare to impose, by regulations, cer- funds and in-kind contributions to make Brooke, sura�cx, case, Church Crsn- tain additional restrictions upon the up the 8tate's matching share. ston, Dominick, Eagleton, Fhxlbright, availability axid use of Federal funds Second. Existing flexibility for States aravei, Hart, Hartke, Hatfleld, Hath- authorized for social services under the away,Huddleston,Aughes,Humphrey, Hennedy, Mathias, McCiee, McC#overn, public assistance programs established to o8er servic� to past welYare recipi- �cintyre, �etcaif, Moss, Muskie, Nel- b9 �e �ial Security Act. Referred to ents foP up to 2 years A�ttd to potential son, Nunn, Petl, Percy, Randolph, the Committee on Finance. welfare reeipients for up to 5 years. schweicker, sta�rora, stevena, Taft, MT. MONDALE. Mr. President, I am Third.The Authority Of$tatee bo pro- 'runney, Witliams, Clarx, Montoya, introducing legislation to preserve key �de dTUg and alCOho1 tTeatment pro- and Symington_ aspects of the Federal social services Brams, education and training services EXHIBTT a program from "impoundment by red- �d comprehensive servicc�for children, the elderly and the disabled under the s. ia2o ta,p8." My bill I'@flCCte tYle COriCe121S eX- SOCi&1 S81'V1CCS pTOgTSIYl. Be it enacted by the Senate and House of pressed in a letter 45 Senators joined me Fourth. The continued application o! Representatives of the vnitea states o/ in sending to Secretary Weinberger on day care standards established for the America in Congress assembled, ' FebruaPY 15, a CopY of when I ask utl- BEC.2. (a) The regulations of the Secretary animous consent be printed at the close PTOgT&m ixl 1969. oY Health, Education, and Welfare (relating of rnY remarks. In acldition, our bill would free States to the admintstration of titles I,x,xIV,and This legislation is co- Prom unreasona,ble requirements for re- xvi, and part A of title tv, of tne sociai sponsored by a bipartisan coalition oP 42 p�ing as often as every 3 months on security act� as in eRect on January i,is�a, Sen&tOr'S, &t1d endorsed by 12 oP ouT the use of funds. shall remain Sn full force and effect insofar CioVernors. The Governors supporting The social services program is an es- as such regulations relate t�- our bill include Governors Carter of sential effort to aid families in getting (i) the use of privately contributed funds Cieorgia, Anderson af Minnesota, Buxn- oH welfare,and to help older or disabled �d in-kind contributions as part of state pers oP Arkansas, Tribbltb oE Delaware, citizens live useful lives outside of in- expenditures, �n determtning (for purposes of any auch title or psrt A) the amount of AridTUB OY Idaho, FOTd Of Kentucky, stitutions. It is a flexible program, With the Federal contribution to which any State Mandel oP MarYland, Curtis oY Maine, broad authority resting in the States. is entitled on account of eapenditures in- Exon oP Nebraska, 8happ oP Pennsyl- �e cuts the administration has pro- currea by the state for soctai services unaer vania, Rampton of Utah. and Lucev of Posed w111 not create savings.The Amer- a 3tate plan approved under any such title iC&n people will pay mOTe iri higheT$tate or part A, provided that the Secretary may Wise��in. Mr. President, Teg- clarify requirements that such privately con- ulations proposed by the administration and local taxes, in increased costs for tributea funas be expendea in accoraance and scheduled to go into effect on April 1 welfare and crime and in the waste of with a state pian. would cripple the e�ectiveness oi this thousands o4 human llves. �a) the authority of sny 8tate,under any proeram whiCh is designed to assist WQ are hopePul that Secretary Wein- euch plan,to deane the categories or classea 8tates in helping families off the welfare berger will revise his proposal to reflect of individuals who are eligible to receive such rolls and in providing alternatives to �despread congress�iona.l concern. If he scetat servtces; institutional care for the aged, blind, does not, we will move through the leg- (s) the autaortty of any state, unaer islative process to preserve this program, �Y such pian, to include, as social services, and disabled. as (Jongress intended, within the �2.5 �a alcohol treatment programs, eaucation Last year the Congress adopted a$2.5 billion ceiling established bq the Con- and training services, and comprehensive billion ceiling and ather rePorms Por the gress last fall. service programs for chlldren, tne elderly, SOCi&1 S@t'ViCCB pl'OqT&IIl—t0 prevent or the disabled (including such programa &b1188S and to require i3ESY.eB t0 more Exxxsxx 1 for mentally retarded children and adults); carefully order their priorities. r�s�ev�aY i4, 1973. (4) reporting requirements of States, un- But the new reeulations go far beyond HOII. CA3PAR WEINBERGE&, der Any such plan, with respect to the pro- the mandate of Congress,to crush exist- Secretary oj Heaith, Educat{on, and Wel- vlsfon of social services; or fare,Washington,D.C. (8) the standards imposed, under any ing 8ta,te programs—for da.y care ao that DEAR MR. $ECEETARY: WB sre extremely such plan, with respect to the provision, ae mothers can work,me&18 arid OtheP 881'V- concerned about reports that forthcoming aocisl servicea, of day care services. iC� fOT elder�y persons living at home, social service regulations may make Yunda- (b) No regulation, promulgated by the dTlig Aud a1COholism tT�&tInent Arld pP8- mentsl changes in the operation of federally- 6ecretary oi Health, Education,and Welfare vention,�uvenile delinquencq prevention 8seisted programs in the flelds of day care, sfter January 1, 1973, shall have any iorce &rid Otr18T SCTVICQS. aid to the elderly, mental retardation and or eSect, and any such regulation shali be They WdUld sha.rply reduce tk18 Fed- �uvenile delinquency. lnvalid, if, and insofar as, such regulation eral contribution for social services--by In psrticular, we would like to register �et onnastent with the provlsions of sub- our strong opposition to the reported ad- � � �600 milliOn to�1 billion beloW the level ministrative repeal oi eaisting provisions — established by the Congress. In Minne- whtch permit the use oY privately contrib- Iasr om Cosroxsons sota alone the new regulations would cut uted funds—from charitable organizations $enators Javits, Abourezk, Bayh, Biden, over$34 million in services Eor programs such sa the IInited way or nmerica—to srocx, srooxe, Burdlck, Case, Clark, Cook, &�CCtiTlg 73,000 ChjldTBri &rid &dUlYS. make up the required local or state match. Cranston, Eagleton, Fulbright, Gravel, Hart, Ciov. Dale Buxnpers of Arkansas re- This Proposed change would seriously un- Hartke, Hatfleld, Hathawsy, Hollings, Hud- dermine the excellent existing private-pub- dleston, Hu hes, Humphrey, Kenned Ma- cently described the impact of these pro- lic partnership appronch to huxnan problems. thias,Mcqee,Mc(3overn,McIntyre,M ntoya, pOS&13 On hls$Y&YR: These kinds of cooperative efforts should be Moss, Muskie, Nelson, Packwood, Pastore, To give you an esample of the e8ect it encouraged rather than diacouraged. Pell, Percy, Randolph, Riblcoft, Schweiker, would have on our mental retardatlon pro- Such en extreme change in the existing gta8ord, Stevenson, Tunney, Williams. grama,when I was elected we had fewer than social services program is unwarrsnted.P'eara 20 communLty facilitiea casing for a little , of an uncontrollable budget in this area were iesa than 400 chlldren. resolved by the ;2.6 billion ceiling on Z`ltle In the past year and a half . . . we have IV-A which the Congrese adopted last year. expsnded that to 82 facilitiea caring for over And lesa eatreme proposals for desling with 2,000 children. isoleted examplea oi abuse have been oHered Qutte franklp, with the guidelines pro'- by individusls such as former 8ecretary hlbiting the uee of private funda and the RichArdson. We sre attaching for your in- further reatrictions...we will probably wind formation a copy of a letter 6ecretsry Rich- up closing virtuslly every one of the new ardson sent to Representativa Wilbur Mills ones we have atarted in the past year and lsst October concerning this isaue. a half. v • � United States ofAmerica PROCEEDINGS AND DEBATES OF THE (�3d CONGRESS, FIRST SESSION Vol. 119 WASHINGTON, MONDAY, FEBRUARY 26, 1973 No. 29 Sen�te SOCIAL SERVICES CUTBACKS Fourth, these proposals remain silent a nair. Mr. MONDALE. Mr. President, on on the critical question of standards for Georgia Governor Jimmy Carter has federally assisted day care. By so doing, reported similar problems. Apparently Thursday, February 15, the Department they raise serious questions about the repeal of authority to use privately of Health,Education,and Welfare issued whether the Federal interagency day contributed funds in Georgia will force proposed new regulations for federally care standards—which establish mini- the closing down of scores of federal- assisted programs in the areas of day mal protections for children in federally state programs, cause the loss of three care, aid to the elderly, mental retarda- assisted day care and which have been thousand jobs, and put hundreds of in- tion, juvenile delinquency and other in effect for the last 5 years—will con- dividuals temporarily back on the wel- social services. If implemented without tinue to apply.In the HEW press release fare rolls. change, these new proposals will do describing these proposals—but nowhere And the philosoPhy behind these pro- nothing less than cripple thousands of in the proposals themselves—it was posals runs absolutely counter to the ad- vital human service programs across the stated that revised Federal day care re- ministration's rhetoric about returning country. Their overall impact was per- quirements are being considered, will be decisions to the state and local levels. A haps best summarized by Allen Jensen, completed in the near future and will recent statement by the National League an official of the Council of State Gov- become effective. Whether this in fact of Cities and the U.S. Conference of ernors, who described them as a smoke will occur remains to be seen. And Mayors stated quite correctly that— screen for cut-backs in programs that Whether those proposed revisions will �'ne proposais appear to run counter to really benefit people. meet the legal requirements in the Eco- over-all aaministration poiicy whicn aims PROTEST To wEixsexcEa riOri11C Opportunity Act that any revised toward decentralizntion, toward strengthen- Based on some early reports of what standards be no less comprehensive than ing iocai government capacity ana towara ar- fording localities greater flexibility to utilize these POgUlatlOTIS might contain, I exlSting d2y care standards—also re- ana adapt federal proorams in accordance drafted a letter to Secretaiy Wein- mains unclear. Questions such as these with local needs. berger—which 46 Senators signed— involve such sensitive issues as adult- stressing our grave concerns. For the MSNNESOTA �n,rncr benefit of the public and for the benefit child ratios in day care are too impor- In the State of Minnesota alone, these of my colleagues, I shall ask unanimous tant to be left in limbo. regulations would have a disastrous im- consent that a copy of the letter we sent Fifth, the restrictive list of permitted pact.Estimates indicate that human i o- activities appears to exclude worthwhile p� and of the proposed regulations be existing programs, such as those en- �rams in Minnesota would lose$20 to$22 printed at the close of n�y remarks. gaged in the treatment of alcohol and million as a result of these re�ulations. wEnxExESSes ix THE PROPOSAL d�g-related problems. �me 13,000 adults and 24,000 children Mr. President, the regulations which Sixth, by requiring quarterly—and in receive social services eveiy month in were fixially issued are even worse than some instances more frequen�-reports Minnesota, and estimates suggest that the early reports suggested.While I have on each person receiving aid, the new these regulations could result in a reduc- not yet completed a final analysis of all regulations threaten to drown the social tion of over 50 percent in those currently of these proposed changes—and I intend services program in redtape. being served. Specifically, it is estimated that these regulations R•ould result in to speak again on this subject when my NATIONAL IMPACT cutbacks of the following programs; review is complete—just a cursory view As an excellent editorial in the Wash- Two million doliars cut in day activi- reveals many of the serious weaknesses ington Post pointed out recently— ties centers for retarded children; contained in these recommendations. Tnese reguiations are a reversion, almost One million, five hundred thousand Consider just a few. to tae point of parody, to the worst traat- dollars cut in detoxification centers; First, these regulations seek to repeal tions of an ingrown and paternaiistic bu- Social services to the aged would be existing provisions which permit the use reaucracy. . . . soom days are aneaa for the cut in half; of privately contributed funds—from Paper inaustry and for the iegion of minor Other mental health rervices k�ould charitable organizations such as the cierxs who wiu cranx tne wheeis insiae tnis United Wa of America�to make up the large new welfare machine.But for that part lose$1.3 million; and Y oi the popuiation wnicn is poor, ana may A total of$4 million would be cut from required local or state match in these actualiy neea help, the outioox is not so services in the area of alcohol and drug cooperative Federal-State programs. As io11y. treatment, migrant day care, pilot city, our letter indicated, this would seriously And these regulations involve more legal assistance, corrections, and blind undermine our excellent existing private- than just a backward step into unnec- services. public partnership approach to human essary bureaucracY and confusion. They Minnesota has some of the most sen- problerns.Former Health,Education and also constitute an effort to cut back sitively run,highest quality day care pro- Welfare Secretary Elliott Richardson spending for desperately needed social grams in America—and they would be said that these kinds of cooperative ef- programs by anywhere from $600 mil- dealt a crippling blow by these pi•oposed forts should be encouraged rather than lion to$1 billion.That same Washington revisions. discouraged, and I agree with him. Greg Coler, executive director of Lhe Post editorial said it well: Second, these proposed regulatiori5 As a budget device, tne new reguiations Greater Miririeapolis Day Care Associa- would repeal the curent use of "in amount to impoundment by red tape. Al- tiOn, estimates that 95 percent of the kind" contributions for the non-Federal though tne authorization is $2.5 bnlion,Mr. over $2 miilion worth of day cai•e pro- match. Permitting the non-Federal Nixon's budget provides only $1.9 billion for vided by his organization would be lost match to include donated space, equip- next year. Tne Aaministration is ctearty if privately contributed funds could not ment or services is not only fair, it is counting on the weight of tne reguiations to be used as local match. And after sam- essential to the continued operation of prevent tne states from obtaining tneir fun pling half of the 1,200 children his or- many existing programs. atiotments. ganization serves in day care programs, Third, by limiting services for former The administration apparently has ac- Mr. Coler reports that an estimated 60 welfare recipients to 3 months, and by curately assessed the extent to which percent would be ruled inelieible if these barring aid to potential welfare recipi- these regulations will save mo�y. On new regulations took effect. ents with incomes more than 11/3 times the basis of earlier, less restrictive draft Gary Winget,executive director of the the welfare level,these proposed regula- regulations at least 25 Governors re- Greater St. Paul Council for Coordinat- tions undercut our efforts to help indi- ported that their service programs would ing Child Care provides sitnilar docu- viduals move from reliance on welfare be seriously hurt. mentation of the severe impact these benefits to a position of financial inde- Consider for a moment the specific regulations would have on programs in pendence. Indeed, this highly restrictive kinds of services that these proposed St. Paul. Mr. Winget es±imates that un- new proposal apgears to create just the regulations seek to eliminate. Governor der these proposals, Ramsey County kind of notch problem that the adminis- Dale Bumpers of Arkansas recently de- would lose up to $1.2 million in Federal tration led us to belieye it was concerned scTibed the impact of these proposals on and private day care programs amivally, about removing.For example,under this his State: eliminate up to 528 children in low in- new definition,former welfare recipients To gtve you an exampie or tne effect it come and target area families from day appear to be denied eligibility for day wouta have on our mentat retaraatton pro- care programs, and force an unknown care ]ust after that day care has per- grams,when z was eiectea we naa rewer tnan number of working parents with margin- mitted them to flnd employment and 2o community facilities caring tor a littie al incomes off of employment and on leave the welfare rolls. Unable to afYord less than 400 children. t0 AFDC. adequate care for their children, they in the past year and a half . . . we have Finally, the highly� successful HELP are likely to be forced back on welfare. expanaea that to s2 raciiities cartng for over program at the University of Miune- 2,000 children. This is precisely the kind of mixed up sota�through which 300 to 400 AFDC Quite frankly, with the guidelines pro- incentive system which traps people in hibiting the use of private runas ana tne tur- mothers and 400 to 500 other disadvan- poverty.It works at cross purposes with tner restricttons . . . we will probably wtnd taged individuals are receiving college a philosophy which I believe we all up ciosin� vutusup every one of tne new education—is seriously threatened. For- share. ones we have startea in the past year and est Harris, director of this excellent�uo- -2- ' � . gPflTtl,reports that he has been informed Edmund $. Muskie, $am Nunn, Charles r�d.Eapendltures that aome$tat�are in- P' by the State department of welfare that H. Percy, Richard $. 3chweiker, Ted ciuding currently as social services would these new regulations may make it im- stevens, John V. Tunney, Dlck Clark. � excluded.Dlsatlowed costa would lnclude possible to continue providing the books, Stuazt Symington. those for subsistence and health care ;ea- cept diagnostic)—now matched for eligibles tuition, child care, and transportation — unaer n2eaicaia. states wui not be sbte to which makes it possible for these welfare sTATEMENT HY CASPAR W.WEINHERGER,SECxe- p�vide services OII a group baais. The CUP- • receipients to continue their education. T"RY OF HEALTH, EDIICATION, AND WELFARE rent practice S110W3 persona with relatively MORE INFORMATION NEEDID The proposed regulations on social serv- high incomes to receive services because they ices we sre issuing tomorrow attempt to ilve in terget areas such as Model Cities. Preliminary analysis and reports such bring some order out of what was promising The proposal deflnes individuals eligible as these CoIIVinCe me th&t IllajoT TeVi- to become a chaotic situation.It became ap- for serviees as those on Btate welfare rolls SiOris must be made iri these prOpOSBd parent last year that without strong effort ot those who are likely to become welfare regulations. And Secretary Weinberger Bt the Federal level, expenditures by the recipients within sia months,and those who h&s indiCatCd & WiIlingriCSS t0 liSl.eri tO States for socriI services would soar out of have been welfare reclpients wlthin the past those of us who see the need for change. controi.wnue expenaitures ror�isvz were three months. One oI the criticisms of the IIl h1S statement describing these pT0- �1.71 btllion, estimates for F'Y 1973 totalled current rulea is that lndivlduals can be posals he said: ffi4.65 billion and projections beyond that provided services if they might be expected were even higher. One State projected FY to become welfare recipienta in the forth- Out oI this klnd of dialogue we hope we 1973 expenditures 140 times more than their coming flve-year period. can develop a set of regulations that will put FY 1972 expenditures. The proposal elitninates Federal matchin most decision-making closer to the polnt � where servlces are used and which will per- The Congress took one step in the Revenue for funds privately donated to States. All mit available resources to be used effec- sharing Act to remedy the situation by plac- monies used as the States'share in gaining e tively.for those who neeQ them most. Sng a cetling of �2.5 billion on Federal ex- Federai match must be from public appro- penditures for social services.It remains for priations. I believe C1t12CriS throughout the the Department of Health, Education, and Services required by the proposal for eligi- C011ritIy should respond to the Secre- we�fare, working wlthin the limitations im- ble families with dependent children (AFDC) tary's 1riVltatlOri. I llTgC CV2ryOrie lri- Posed by the Congress, to provide for social are: terested lri th1S 1SSUE to write to both �rvices at the local level Sn the most efficient Family Planning, including medical sup- the Secretary and to me indicating their way possible. We believe our proposed reg- plies and services. views on these proposals, their estimates ulations strengthen the role oY State agencies Foster care services for children. in managing the program. Protective services for chlldren,to prevent of what it might mean to programs they We are proposing elimination of require- neglectar abuse.Optional services for AFDO &2'@ associated with, and their i2COtII- ments which are not based on legislative families are: mendation for change. manaates or necessary for proper and efHci- Day care services,when related to the par- In OT'del' t0 fUrthBP the publiC d'1alOg ent administration. We are also reducing ent's gaining employment. the Secretary has called for,I ask unarii- overlap with other Federally-supported pro- Eflucational services, limited to helping s n1oUS COnSCnt th8t a number of news- s�'ams and speciflcally identlfying for the family member secure educational training p&pCP articles be printed aL th15 pOirit flrst time the Federally recognized servicea (but not paying for that training), in my remarks, along with the proposed for which Federal cost-sharing will be au- Employment services (other than the Work regulations, the letter I mentioned thorized. Incentive Program) which will help a person earlier, and an excellent memorandum "�'e hnve rormaiized eitgibility determina- get a Job. tion and redetermination at specific inter- Health-related services, limited to helping describing the. impact of the propoSed vals and we have required that service plans the person or family find needed health care, iegUl&tiOris, prepared by Miss Jll(�y for individuals and families be prepared and but not paying for the actual care or medical Assmus of the Wa5hington ReseaT'Ch suthorized in advance and reviewed period- servlce. Project Action COl1nCi1. ically for need and effectiveness. Homemaker service, aimed at helping the There being ri0 ObjeCtiOn, the itC1riS I emphasize that these are proposals only, family stay together, when no one in the were ordered to be printed in the RECOxn, submitted for public comment. We encour- family is able to provide the necessary house- SS fO110WS: age comment from all interested and con- keeping and home.management services. cerned individuals and organizations and Home management training services,which FEBRUARY 14, 1973. will give each careful review and consider- teach the head of family how to mansge a HOri, CASPAR WEINBERGER, ation. household,prepare food and rear children. Secretary oj Health,Education, and WeIJ¢re, We have already circulated these proposals Housing improvement services, aimed at Washington,D.C. to all States and many other concerned helping the family obtain or retain adequate Dens Ms.SecxsrenY:We are extremely con- groups,and also to the Advisory Commission housing (not to include costs or moving, cerned about reports that forthcoming social on Intergovernmental Relations. renting,buying or repairing). service regulatlons may make fundamental Out of this kind of dialogue we hope we Transportation services to msxke possible changes in the operatlon of federally-assisted can develop a set oi regulations that will put travel to and from community facilities and programs in the flelds of day care,aid to the most decision-making closer to the point resources where needed services are available. elderly, mental retardatlon and juvenile where services are Used and which wlll per- OpEional services for eligible aged, blind deiinquency. mit available resources to be used effectively and disabled clients are: In particular,we would like to register our for those who need them most. Day care services for adults. strong oppositlon to the reported sdminis- — Household chore services. trative repeal of exlsting provisions WYISCH HEW NEWS RELEASE�THURSDAY, EdUCat10IIB1 services (help to secure edu- permit the use of privately contributed '��IIA&Y 1S.1973 cational training but not to cover cost of the funds—from charitable organizations such �e Department of Health,Education,Qnd training). as the United Way of America—to make up Welfare tode,y proposed new rules concern- Employment services. the required local or state match. This pro- Sng Federally-supported social services which Family planning services, except supplies posed change would seriously undermine the allow States to concentrate services on pop- and medical services. excellent,existing private-public partnership ulation groups most in need of them, and Foster care for adults. approach to human problems.These kinds of give States more options in determining serv- Health-related services which help persons cooperative efforts should be encouraged ices to be provided. to gain medical care but which Ss paid for rather than discouraged. under other programs. Such an extreme change in the existing The Proposal relates to Congressional pas- Home delivered or group hot meals. social services program 1s unwarranted.Fears sage last October of the Revenue 8haring Home management instructlon, Home- of an uncantmllable budget In this area were Act, which places an snnual limit of $2.5 maker services. resolved by the $2.5 billion ceiling on Tltle blllion on Federal matching funds to the Housing improvement services,but not to States for social services under Titles IV IV-A which the Congress adopted last year. and XVI of the Social Security Act. With include payment for repairs or moving. And less extreme proposals for dealing with Protective services for adults. the exception of child care,famIIy planning, lsolated examples of abuse have been offered foster care, mental retardation activSties, Special services for the blind, including by Sndividuals such as former Secretary mobility and self-care training. Richardson.We are attachin for our infor- and alcohollsm and drug prevention pro- g y grams, st least 90 percent of such funds Z'ransporta,tion services helping a person mation a copy of a letter Secretary Richard- must be for services to welfare recipients or get to and from needed community facilities. son sent to Representative Wilbur Mills last applicants. Ea,ch State's allotment 1s based The proposed regulations do not refer to October concerning this issue. on its population in relation to the national Federal standards for day care outside'the In addition, we would like to express our Population. child's home. Revised Federal dap care re- concern about other parts of �the reported quirements,which are equally comprehensive new regulatfons such as those which would The proposed new regulations also define but more clearly deflned and enforceable repeal the current use of in-kind contribu- Bervices eligible for Federal cost sharing,and than the 1968 requirements now in effect, tions for the non-federal match, den da set new limitations on the use of Federal Y Y are currentlp under intensive review. The care eligibillty to former welfare recipients funds for services to people not on Federal- revised requirements will be completed in the just after thls day care program has per- State welfare rolls. near future,and will become effective as soon mitted them to flnd employment and leave The regulations are designed to permit as flnal clearance and approval procedures the welfare rolls; and raise serious questions 8tates to manage more eSectively available are completed. about whether the Federal Inter-agency Day social services resources withln constralnts of Interested parties have 30 days from the Care Standards—which establish minimum the new law.Certaln services formerly man- date of publication in the Federal Reglster 1n protection for children in federally-assisted dated by regulation become optional, giving which to suggest changes in the proposed day care and which have been in effect for the States more flexibility!n choosing what regulations.Comments should be sent to the the yast 5 years—wlll contlnue to apply. services they wlsh to provide welfare families Adminstrator, Social and Rehabllitation We respectfully request that we be in- and individuals. Hd�aever, iamily planning, Service,DHEW,330 C Street,B.W.,Washing- formed Sn advance about any proposed protective, and ioster care services for chil- ton,D.C.Comments will be available for in- changes in areas such ss these, and that if dren would continue to be F'ederally re- spection on Monday through Friday of esch and when any changes are proposed they be quired. The regulations �lso give increased week from 8:30 a.m., to 5:00 p.m., in Room available for public comment and later emphasis to services that help people on b119, Mary E. Switzer Memorial Building revision. welfare move.toward self-sufflciency and em- (formerly HEW South Building),Area Code: Wlth warmest persona]regards. ployment. 202 963-7361. Sincerely, Most Federally recognized services would NOTICE oF Paorossn RULE 1�L+xxxc Walter F.Mondale,Abrsham Ribicofi,Adlal continue to receive 75 percent Federal cost- (Department oi Health,Education,and Wel- E. Stevenson III, Birch Bayh, Edward sharing, with States providing the other 26 fare,Social snd Rehabilitstion 3ervice (45 W.Brooke,Cllfford P.Case,Alan Cran- percent of costs. CFR Parts 220, 221, 222 and 226), Service ston, Thomas F. Eagleton. Prior to the congressionally-lmposed programs for fsmilies and children and for Mike Gravel, Vance Hartke, Wflliam O. celling on Federal funds,socisl servlces had aged,blind, or disabled individusls: Titles Hathaway, Harold E. Hughes, Edward experienced a rapld cost escslation. In flscal I,IV (Parts A and B),X,XIV,and XVI of M. Kennedy, Gale W. McGee, Thomas yesr 1970, ffi522 mlllion Sn F'ederal funda wsa the Social Security Act) J. McIntyre. s ent to match social services Jacob K.Javits,Bob Packwood,James States. By flscal year 1972, Federnl expentiiy Notice is hereby given that the regula- Abourezk, J. Glenn Beall, Jr., Clinton tures had grown to �1.71 billion, and esti- tions set forth in tentative form below are N. Burdick, Frank Church, Peter Ii. mates last August by Statea for Federal proposed by the Administrator, Social and Dominlck,J,W.Fulbright. matching for FY 1973 totalled $4.65 billion. Rehsbilitation Service, with the approval of Phillp A. Hart, Msrk O.Hatfleld,Walter Following passage of the new law,the$tates the Secretary of Health,Education,and Wel- D. Huddleaton, fiubert H. Humphrey, estimatc�l a �ederal spending level of a2.3 fare.The amendments Sn general revlse,com- Charles McC.Msthias,Jr.,George Mc- blllion in F'Y 1973, since approximately half bine and transfer to a new Part 221 the reg- Govern,I,ee Metcalf. the Statea will not spend up to their a1- ulaCions for the Family Services and Adult Frank E.Moss,Gaylord Nelson,Claiborne lotted ceilfng. Services programs (in Parts 220 and 222) and Pell, Jennings Randolph, Robert T. The proposal apelis out the services and ac- Purchase of servlces (1n Part 226). The re- StatYord, R.obert Taft, Jr., Harrlson A. tivlties that are Federslly recognized and visions eliminate several administrative re- Williama, Jr., Joseph M. 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ZL6I�aq��N ZL61 un8ny ZL6I iaqwanoN 2L6[isnHny S3�IAM3S ltl1�OS MO!SNOI1tl�011U 1tlt13�3� � E � . -4- (1) Famllies and chlldren who are current IV-A,X,XIV or XVI plan.No service,other �B) Fam{iypl¢nningservices. applicants for flnsncial assistance under than emergency assistance in the form of (i) For Family Services this means social, title IV-A. services under the title I-A plan,may be pro- educational, snd medical servlces to enable (2) F`amllies and individuals who have vided under the 3tate plan untll it has been appropriate indlviduals (includSng minors been applicants for or recipients of 8nancial incorporated in the individual service plan who can be considered to be sexually active) assistance under the Stute plan within the and a service may be provided only to the � limit voluntarily the family size or space previous three months, but only to the ex- extent and for the duration specifled in the Children,snd to prevent or reduce the in- tent necessary to complete provision of serv- the service plan.The service plan must relste cidence of births out oi wedlock.Such serv- ices initinted before withdrawal or denial of ell services provided to the speciflc gosle to lces include printed materials,graup discus- the appllcatlon or termination oY flnancial be achieved by the service program. It must sions and individual interviews whlch pro- assistance. elso Sndicate the target datea for goal vide Snformation about and discussion o1 (3) Families snd individuals who sre achievement and the extent snd duration of family planning; medical contraceptive serv- likely to become applicants for or recipiente the provision of each servlce. For the pur- ices and supplies; and help in utilizing medi- of flnancial sssistance under the State plan poses of this part, the speciflc goals to be cal and educatiousl resources availsble in within six months, l.e., those who: achieved are limited to: the community. Such services must be of- (i) Do not have income exceeding 133�/�ryo (1) Self-support goal: To achieve and fered and be provided promptly (directly or of the State's flnanclal assistance payment maintain the feaslble level of employment under arrangements with others) to a11 in- level under the State's approved plan; and and economic self-sutflciency. (Not applica- dividuals voluntarils requesting them. (11) Do not have resources that exceed per- ble to the aged under the Adult Services pro- (ii) For Adult Services this means social missible levels for such financial assistance; gram.) and educational services, and help in secur- and (2) Self-sufliciency goal: To achieve and ing medical servlces, to enable indivlduals (iii) In the case of eli�iblllty under title maintain personal independence, self-deter- to limit voluntarily the family size or space IV-A, have a specific problem or problems mination and security, including, for ch11- the children, and to prevent or reduce the which are susceptible to correction or ameli- dren,the achtevement of potential for event- incidence of births out-of-wedlock. Such oration through provision of services and usl independent living. services include printed materials,group dis- which will lead to dependence on flnancisl (b) The service plan must be reviewed as cussions and individual interviews which provide information about and discussion of assistance under tltle IV-A within s1x months ofte�i as necessary to insure that only appro- family planning; and help in utilizing medi- if not corrected or ameliorsted; and priate servicec are provided to recipients but cal and educational resources available in the (iv) In the case of eligibillty under title in any evevt oirce every six months. At the community. I, X,XIV or XVI,have a speclflc problem or time of each review the need Yor and effec- �7) Foster care services for ¢dults. This problems which are susceptible to correction tiveness of all services must be reassessed and means placement of sn individual in a sub- or amelioration through provision of services progress toward achievement oY goals must stitute home which is suitable to his needs, and which wlll lead to dependence on flnan- be ecaluated and recorded. supervision of such home, and periodic re- cial asslstance under auch title, or medical (c) Service plans for families and in- view of the placement, at least annually, to asslstance, within six months if not cor- dividuals who are deterimned to be eligible determine its continued approprieteness. rected or ameliorated; and who are for service on the basis that they are llkely Foster care sezvices do not include activities (a) At least aixty-four and one-half yeara to becane applicants for or recipients of of the home in providing care or supervision of age for linkage to title I,or title XVI with financial assistance under the title I,IV-A,X, oY Lhe individual during the period af his respect to the aged; XIV or XVI pinn may include only services placement in the hox�e. (b) Experiencing serlous, progressive de- which are necessary to correct or ameliorate (g) Foster care services for children. This terioratlon of sight that,es substantiated by the specific problems which will deal to de- means placement of a child in a foster family medical opinion,is likely to reach the level 01 Pendence mi such financial assistance or home, or appropriate group care facility, as the State agency's deflnition of blindness medical assistance to aged,blind or disabled a result of a Judicial determination to the within six months, for linkage to title X,or persons under the title XIX plan,as identi- effect that continuation of care in the chlld's title XVI with respect to the blind; or fied at the time of eligibility determination own home would be contrary to the welfare (c) At least seventeen and one-half years or redetermination. of such child; services needed by such child of age and,according to professionsl opinion, (d) Whenever the provider of services spe- while awaiting placement; supervision of are experiencing a physical or mental condi- cified in the service plan is not located within the care af such child in foster care and oY tion which is 1lkely to result within aix the organizational unit responsible for the the foster care home or facility,to assure ap- months in permanent and total disability, maintenance of the service plan,there must propriate care; counseling cvith the parent or for linksge to tltle XIV, or title XVI with be a writteu authorization for the provision other responsible relative to improve home respect to the disabled. of the service which specifies the service to conditious nnd enable such child to return (4) Aged, blind, or disubled persons who be provided and the individuals to whom it to his own home or the home of anothez rela- are llkely to become applicants for or recipi- �'�ll be provided. No authorization for the tive, as soon as feasible; and periodic review ents of financlal asslstance under the State Provision of service may cover a period longer of the placement to determine its continuing plan within six months as evidenced by the than six months but authorizations for addi- appropriateness. Foster care services do not fact that they are currently eligible for medi- tional periods may be made subject to the iiiclude activities of the foster care home cal assistance as medlcally needy individuals review requirement in paragraph (b) of or facility in providing care or supervision of under the State's title XIX plan. this section. No procision of service may be the chiTd during the period of placement of §221.7 Determinstion and redetermination authorized at cost to the State agency if it the child in the home or facility. A foster of eligibillty for services. is available without cost to the State agency. care home or facility used for care of chil- (e) Efforts to enable individuals and fam- dren must be licensed by the State in which (n) The State agency must make e deter� ilies to clarify their need for services, to it is situated or have been approved, by the mination that each family and individual is identify and make choices of appropriate agency of such State responsible for licensing eligible for Family Services or Adult Services services, and to use services effectively (i.e., homes ar facilities of this type, as meeting prior to the provision of services under the supportive counseling) are assumed as an the standards established for such licensing. State plan. integral part of development and mainte- (9) Health-related services. This means (1) In the case ot current applicants for or nance of the individual service plan, helping individuals and families to identify recipients of financlal asslstance under the §221.9 Definition of services. health needs and to secure diagnostic, pre- State plan,this determination must take the � This section contains deflnitions of all ventive, remedial, ameliorative, child health form of verificatton by the organizational � � screening, and other needed health services unit respousible for development of individ- mandatory and optional service under the available under Medicaid,Medicare,maternal ual service plans with the organizational unit Family Servlce program and the deflned serv- and child health programs, handicapped responsible for determination of eligibility ices under the Adult Services program (see children's programs or other agency health for financial assistance that the family or in- 4§221.5 and 221.6 of this chapter). services programs and from other public or dtvidual has submitted an application for (b) (1) Chore services.This means the per- private agencies or providers of healtk� �erv- assistance whlch has not been withdrawn or formance of household tasks,essential shop- ices; planning, as appropriate, with the 1n- denied or that the family or iudividual is Ping, simple household repairs, and other dividual, his relatives or others, and health currently receiving flnancial assistance. Tl�is light work necessary to enable an individual providers to help assure continuity of treat- verification must identlfy each individttal to remain ln his own home when,because oY ment and carrying out of health recommen- w�hose needs are taken into acco�mt iu the frailty or other conditions, he is unabie to dations; and helping such individual to applics6ion or the determinatlon oi the perform such tasks himself and they do not secure admission to medical institutions and �mount of financial assistance. require the services of a trained homemaker other health-related Pacilities. (2) In the case of families or individuals oT other specialist. (10) Home delivered or congreg¢te me¢ls. who are found eligible for service on the basis (2) Day care services for adults.This means This means the preparation aud delivery o1 that they are likely to become appllcants for personal care during the day in a protective hot meals to an individual in hLs home or in or recipients of financial assistance under the setting approved by the State or local agene9• a central dining facility as necessary to pre- Stnte plau,this determination must be based (3) Day care services jor children. This vent institutionalization or malnutrition. on evidencc that the conditions of eliglbility means care of a child for a portion of the (11) Homemaker services. have beeu met, a�id must identify the spe- day,but less than 24 hours,in his own home (i) For Family Services this means care oY cific problems which, if not corrected or by s responsible person,or outside his home individuals in their own homes, and help- ameliorated,will lead to dependence on such in a family day care home, group day care ing individual caretaker relatives to achieve fii�aiicial assistance or, in the case of the home, or day care center.Such care must be adequate household and family management, aged, blind or disabled, on medlcal asslst- for the purpose of enabling the caretaker through the services oi a trained and super- aiice. relatives to participate in employment,train- vised homemaker. (b) The State agency must make a rede- ing, or receipt of needed services, where no (ii) For Adult Services this means care oi termination of eliglbility of each family end other member of the child's family is able to individuals Sn their own homes,and helping individual receiviiig service at the following provide adequate care and supervision. In- individuals Sn maintaining, strengthening, intervals: home care must meet State agency stand- and safeguarding their functioning in the (1) Quarterly for families and individuals �'ds that, as a minimum, include require- home,through the services of a trained and whose eligibility is based on their status as ments with respect to: the responsible per- supervised homemaker. current applicants for or reciplents of flnan- son's age,physical and emotional health,and (12) Home man¢gement and otTaer Junc- cial assistance. (This redetermination msy be capacity and available ttme to care properly tional educational services. This means for- accomplished by comparison of flnsnclsl as- for children: minimum and maximum hours mal or informal instruction and training in sistance payrolls or eligibility listings wlth to be allowed per 24-hour day for such care; manegement of household budgets, mainte- service eligibllity listings.) maximum number of chlldren that may be nance and care of the hame, preparation of esred for ln the home at an one time; and food, nutrition, consumer education, child (2) Within 30 days of the date thst the y rearin status of the family or individual as a cur- Proper feeding and health care of the chil- g, and health maintenance. rent applicant for or recipient of flnancial dren. Day care facilities used for the care of (13) Housing improvement services. This asststance is terminated. chlldren must be licensed by the State or ap- means helping families and individusls to (3) Within six months of the date of the Proved as meeting the standards for such obtain or retain adequate housing. Housing original determination of eligibilltp and of llcensing. and relocation costs, including construction, any subsequent redetermination of eligibility (4) Edtecational services.This means help- renovation or repair, moving of families or for families and indlviduals whose ellgibility ing individuals to secure educatlonal train- individuals, rent, deposits, and home pur- is based on the determination thst they are Sng most approprlate to their capacities,from chase, may not be clnimed ss service costs. available communit resaurces at no cost to (14) Protective services Jor adults. This likely to become appllcants for or recipients y means identif in and hel in to correct of financial asslstance. the agency. y g P g (4) WithSn three months of the e�ective (5) Employment serv{ces (non-WIN under hazardous living conditions or situations of date ot thls re ulation for familles and Sn- titZe IV-A and or the blind or disabled an individual who is unable to protect or g � �• care for himself. dividuals recelving servlce on the basis that ��means enabling appmpriate indlvidusls (15) Protective services jor chiZdren. This they are former sppllcants for or recipients to secure paid employment or training lead- means responding to instances,and substan- of financial assistance. ing to such employment,through vocatlonal, tiating the evldence,of neglect,abuse or ex- � 4 2218. Indivldual service plan. educational, social and psychological diag- ploitation of a�hSld; helping parents recog- (a) An individusl eervice plan muet be nostic essessments to determine potentisl for nize the causes thereof and strengthening developed and meintained on s current basis �ob-training or employment; and through (through arrangement of one or morc of the helping them to obtain education or trslning services included in the State lan by agency sta8 for ench famlly end indtvidual 8t no cost to the enc p ) parental recelving service under the Btste'a tltle I, � y' ability to provide acceptable csre; or if that -5- is not poesible,bringing the situation to the for the proper snd e�cient administrstion ticipate in WIN under title IV-C of the Act, , attention of approprlste nourts or law en- oi the State plan; unless the WIN program has not been 1n1- iorcemeut agenciea, and furnlshing relevant (b)(1) For servicea under the State plan y�a� in the local Jurisdiction; and �t�'. provided in sccordance with the lndividual (m) Others costs not approved by SRS. (16) Spectal services jor the blind. This �rvice plan to familles and individuals in- §a21.54 Ratea and smounts of Federal fl- means helping to ellev3ate the handicappin� cluded under the Stete plan who have been eHects of bllndness through: training !n determined(and redeterminsd) to be eliglble nancisl participation. mobility, personal care, home management, pursuant to the provlsions of thls part; (a) Federal financial pmrtic{pation at the and communlcation skllls; special aids and 75%rate. appliances; special counseling for caretakers �a) For other activities which are essen- �1) For States with a State plan epproved of blind children and adults; and help in tial to the management and support of such � �eeting the requirementa of Subpart A securing talking book machines. services; of thls part, end that have in operation an (17) Tran,s7�ort¢tion serv{ces. This meana (3) For emergency assLstance in the form app=oved sepsrated service system 1n accord- making it possible for an lndlvidual to travel of services to needy familiea with chlldren ance with §206.102 01 this chapter, Federal to_and from community Yacilities and re- (gee $233.120 01 this chapter); and 8nancial partlaipation at the rate of 75% sources,as part of a service plan. (c) Identifled and allxated in accordence 1s avallable for all matchable direct costs §221.30 Purchase of services. wlth 8R$instructions and OMB Circular A- 01 the separated service system, plus all (s) A State plan under title I, IV-A, X, 87• indirect costs which have been allocated in XIV or XVI of the Act, which authorizes the g 221.52 Expendltures for which Federel fl- accordance with an appmved cost alloca- provision oY services by purchase from other nancial participatlon 1s avallsble. tion plan and with the requirements of OMB State or local public agencies,from nonproflt Circular A-87. or proprietary prlvste agencies or organiza- Federal flnancial participation Ss avallable �g) For Btates with a State plan approveti tions,or from individuals,must with respect in espenditures for: ��eeting the requirements of 3wbpart A of to services which are purchased: (a) 3alary,fringe beneflts,end travel oosts this part,but that do not have in operation (1) Include a description of the scope and of staff engaged in carrying out service work sn approved separated service system in ac- types of aervices which may be purchased Or service-relatecl worlc; cordance with 5 205.102 of thls chapter, the under the State plan; (b) Costs of related eapensea, such sa rate of Federal flnancial participation 1s gov- (2) Provide that the State or local agency equipment, iurniture, supplies, oommunica- erned by the regulations in Parts 220 and 222 wlll negatiate a written purchsse oP services tions,and office space; of Lhis chapter as in effect on January 1, agreement with each public or private agency �c) Costa of services pumhaSed ia accord- 1972, for sll matchsble direct costs oY the or organization in accordance with require- ance with this part; services program,plus all indirect costs which ments prescribed by BRS. EHective Aprll 1, �d) Costs oi State advisory committees on have been allocated in accordance wtth an 1973,all purchased services must be provided day care services for chlldren, including ex- appmved cost allocation plan and with the under agreements which meet the require- Penses of inemb@re in attending meetinga, requirements of O:VIB Circular A-87. men'ts oY this paragraph. A written agree- supportive staff, and obher technical asaist- (b) Federal hnanciaL participation Jor pur- ment or written instructions which meet the ance; chased services. requirements of thLs paragraph must also be �e) Costs of agency staff att2ndance aS (1) Federal financial participation is avail- executed or issued by the single State or local meetings pertinent to the development or able in expendttures for purchase of services agency where services are provided under implementation oY Federal and 8tate service under t'he State plan to the extent that pay- the plan directly by the State or local agency Policies and programs; ment for purchased services is in accordance in respect to activities added by reorganiza- (f) Cost to the agency for the use o2 wy�h rates of payment established by the tion of administrative structure, redesigna- valunteers; State which do not exceed the amounts rea- tion of the State or local agency, or other- (g) Costs of operation of agency facilLties �nable'and necessary to assure quality of wlse, occurring after February 16, 1973, or used solely for the provision of services, ex- een•ice and,in the case of services purchased are provided by any public agency as to cept that appropriate distribution of costs is irom other public agencies,the cost reason- which s waiver oY the single 5tate agency necessary when other agencies also use such ably assigna-ble to such services,provided the requirement pursuant to section 204 of the facilities in carrying out their functions, as services are purchased in accordance with Inter overnmental Co might be the case in comprehensive neigh- the re uirements of this art. g operation Act is 9 P borhood service centers; 2 Services which ma granted after February 15, 1973. Z'hese writ- ( ) y be purchased with ten purchase of aervice agreements and other �h) Costs of administrative support activi- Federal flnancial participation sre those for written agreements or instructions are sub- ties furnished by other public agencies or �y�ch Federal flnancial participstion is oth- ject to prior review and approval by the S1ZS other units within the single 8tate agency erwise available under title I,IV-A,%,XIV,or Regional Office, to the extent presoribed in, �'hich are allocated to the service programs XVI of the Act and which are lncluded under and in accordance with, instructions issued in accordance with an approved cost alloca- the approved State plan, except ss limited b9 sRS; tion plan or an approved dndirect cost rate by the provisions of subparagraph (3) of this (3) Provide that services will be pur- as provided in OMB Circular A-87; paragraph. cha,sed only !f such services are not avail- (i) With prior appmval by BRS, coats of (3) Effective March 1, 1973,Federal flnan- able without cost; technical assistance, surveys, and studies, cial participation is acailable for s new pur- (4j Provide that purchase of services from Performed by other public agencies, private phase of services�from another public agency individuals will be documented as to type, organizations, or individuals to assist the only for services beyond those represented by cost, and quantity. if an individual acts as agency in devloping, planning, monitoring, flscal year 1972 expenditures of the provider an agent for other providers, he must enter and evaluating the services program when agency (or its predecessors) fat the type of such assistance is not avallable without cost; service and th2 t of ersons covered b into a formal purchase of aervices agreement Costs of advice and consultation fur- � P y w-ith the State or local agency in socordance �� the agreement. A new purchase of service with subparagraph (2) of thls paragraph; ri�hed by experts for the purpose of assisting from another public agency is any purchase staff in diagnosis and in developing indi- of services other than a urchase for the t (5) Provide that overall planning for pur- vidual service lans; P ype chase of services,and monitoring and evalua- P oY service and the type of persons covered tion of purchased services,must be done dt- (k) Costs of emergency assistance in the by en agreement that was validly sub]ect rectly by staff of the State or local agency; form of services under title IV-A; to Federal financial participation under title (�) Provide that the State or local agency (1) Costs incurred on behalf of an indi- I,IV-A,X,XIV,or XVI prior to February 16, will determine the eligibility of individuals vidual under title I, %, XIV or XVI for 1973. for services and will suthorize the types of securing guardianship or commitment (e.g., Example: The welfare agency makes an sercices to be provided to each individual and court costs,attorney's fees and gusrdianship agreement for purchase oi services from an- specify the duration of the provislon of such °r other costs attendant on securing pro- other public agency.In the year ended June fessional services); 30,1972,there was no urchase arran ement, services to each individual; (m) Costs of public liability and other and such other agenc ex ended ffi100,000 (7) Assure that the sources from which �surance rotection;and y P services are purchased are licensed or other- P in non-Federal funds in furnishing the type wise meet State and Federal standards; �n) Other costs, upon approval by SRS. of servic�to the type of persons 8overed by (8)(i) Provide for the establishment of §221.53 expenditures for which Federal fl- the agreement. In the year ending June 30, rates of payment for such services which do nancial participation is not avail- 1974, Federal flnancial participstlon will be not exceed the amounts reasonable and nec- able. available only to the extent that the ex- essary to assure quality of service, and in Federal financial participation is not avall- Penditures of such other agency for these the case of services purchased from other able under this part in expenditures Yor: P�'Poses from non-F'ederal sources are ex- public agencies, are in accordance with the (a) Carrying out any assistance paymenta p�ded. If the total expenditures &re $100,- cost reasonably assignable to such services; functions,including the assistance payments � or less, there vrill be no Federal pay- ii Describe the methods used in estsb- share of costs of lannin and im lementin �ents. Ii the total eacpenditures are over � � P g p g i100,000, Federal flnancial participation will lishing and maintaining such rates; and the separation of servicea from assistance be available onl in the excesa over b100,000. (iii) Indicate that information to sup- payments; Y port such rates of payment will be main- (b) Activities which are not related to Thus� iY total expenditures are 8200,000, the tained in accessible form; and services provided by agency sta8 or volun- Federal share at 75 percent of expansion (9) Provide that,where payment for serv- teers, by arrangement with other egencies, would be $75,000.For a new purchase in the ices is made to the recipient for payment to organizations, or individuals, at no cost to Period February i6 through June 30, 1973, the vendor, the State or lxal agency wlll the service program, or by purchase; for the purpose of computing the Federal specify to the recipient the type,cost,quan- (c) Purchased services which are not se- financial participation for the remainder of tity, and the vendor of the service, and the cured in accordance with this part; the flscal year ending June 30, 1973, the agency wi11 establish procedures to insure (d) Construction and ma�or renovations; total fiscal year 1972 expenditures of $100,- proper delivery of the service to, and pay- (e) Vendor payments for ioster care (they 000 are prorated. Thus, if the new purchase y, p paymenta); went into e8ect on April 1, 1973, Federal fl- ment b the reci ient. are assistance na,ncial participation for the April-June (b) In the case of services provided, by (f) Issuance of licenses or the enforce- purchase, as emergency assistance to needy ment of licensing standards; 1973 quarter would be available only in the families with children under title IV-A, the (g) Education programs and services that excess over $25,000 for that quarter. State plan may provide for an exception from are normally provided by the regular school �4) The provlsions of subparagraph (3) of the requirements in paragraph (a)(2), (4), system; this paragraph also apply to services pro- (7), and (8) oY this section,but only to the (h) Housing and relocation cwsts, includ- vided, dlrectly or thmugh purchase, by: extent snd for the period necessary to deal ing construction, renovation or repair,mov- (i) any public agency as to which a waiver with the emergency situation. ing of families or individusls, rent,depoeits, of the single State agency requirement pur- (c) All other requirements governing the and home purchase; suant to section 204 of the Intergovern- State plan are applicable to the purchase of (i) Medical, mental health, or remedial mental Cooperation Act 1s granted a.fter services, including: care or services, except when they are: February 15,1973,or (1) C3eneral provisions such as those re- (1),Part oY the family planning servicea (11) che 3tate or loosl agencp, as to ac- lsting to single State agency, grievances, under title IV-A, including medical services tivities added by reorganizatlon of admtnis- safeguarding of information,civil rights,and or supplles for family planning purposes• trative structura, redeslgnation of the 3tate flnancial control and reporting requlre- (2) Medical examtnations for persons car- or local agency,or otherwise,occurring after ments; and ing for children under agency auspices, and February 16,1973. (2) Speciflc provisions as to the programs ere not otherwise available;or ¢221.55 Limitatlons on total amount of Fed- of services auch as those on requlred aerv- (3) For medicsl (including psychiatrlc) eral funds payable to States' for icea,8tate-wideness,maximum utilization�f diagnostic assessments necessary to the de- aervlces. other agencies providing services, and relst- velopment of a service olan for sn individual; (a) The am�unt of Federal funds payable ing services to deflned gosls. ��) 5µbsistence and other maintenance tq the flfty 8tates and the Dlstrict of Co- 6UHPART H-FEDERAL FINANCIAL PA$TICIPATION ��nce items even when such items are lumbia under tltles I,IV-A,�[,%IV,and XVI Titles l,IV-A,X,XIV and XVI component� of a comprehensive program of ror any gscal year (commencing with the s service facility; g�l y� p�� Jul 5 22�.61 C3eneral. (k) Transportation which is provided un- � 8 Y 1, 1972) with re- Federal flnsncisl participation is avallable der the 8tate's title XIX plsn; spect to e nditures made after June S0, for ex nditures under the State plan whlch (1) EHective Janusr 1, 1974, costs o1 em- 1972 (see paragrsph (b) of this sectlon) 1br � y aervices (other than WIN Support Servlces, sre: ployment servlces(non-WIN under title IV-A � emergency asslstance in Lhe form o1 (a) Found by the Secretary to be necesssry provided to persons who are eligible to par- ��s, uiider tltle IV-A) ls subJect to -6- Lhe following limitstions: (b) Pbr famlly planning servlces and far 8tates have to be more careful,we are trying ' (1) The total smount of F'ederal funds WIN 8upport Servicea, the total amount of Lo give them more o1 an option." pald to the Stete undea�all of the tltles ior Federat funde that may be paid for any weinberger commented on a number of any 9sca1 year with respect to ezpenditurea 5sca1 year shall not eaceed 6a,000,000 for tha optiona lost: made for such aervlces shall not eaceed the Puerto Rico, �85,000 far the Virgin Islands, Five-year-old federal standazds on the gtste+s ailotment,as determined under para- and �90.000 fa�r C3uam. Other servicee are �ximum numbers of chlldren that can be graph(c) 01 thla section;and sub]ect to the overall payme�t limitatlons cared for in day care centexs by each adult (2) The amounts of Federal funda paid to for flnanclal asslstQnce and servioes under have been thrown out. the State under a11 of the titlea for any Ss- titlea I,IV-A, %, XIV,and XVI, as speciSed �w$Pent Lwo years and better than hali cai year wtth respect to expenditurea made ln section 1108(s) of the 3oc1a1$ecurity Act. B �111oa dollsra devising a set'of "Model Sor such services shsll not exceed the limita (c) The rates and amounts o1 Federal �Y Care Codes" whlch Rutledge sald might pertatning to the typea of individuals served. gnanclal participation set forth ia 5 921.64 be approved by the time the new rules take as apecifled under psragraph (d) of this sec- �8� pnd (b) of thSs chapter apply to Puerto eHect, perhaps sa esrty as Aprll 15. Lion. Rloo, the Vlrgin Islands and Guam, except The model codes would be advisory, not Notwithstanding the provisions of para- that the 80% rate of Federal Snancial par- binding,and recommend double the number graphs (c)(1) Snd (fl) of this section, a ticipation fa aubstituted sa may b9 appro- of children per adult over the old federal State's gilotment for the 8sca1 year com- priate. The limitation in Federal psyments standards. mencing July 1, 1972, ahall conslst of the � 5 ggl.b6 oi this chapter dces not spply. Day Care groups have argued that allows sum of: Titles I, IV-A, IV-B X, XIV, and XVI �ore "warehousing," with less attention to (1) an amount not to exceed �50 million each child's needs. payable to the State�cith respect to the total 4 221.61 Pub11c sources of $tate's share. The federal matching of private donationa eapendltures lncurred,for the calendar quar- (s) Publlc funds, other than those de- 1s gone, slthough matching for state and ter beginning July 1, 1972, for mstchable rived from prlvate resources, used by the local government monep remains. costa of services of the type to whlch�the Qtate or local agency for its services pro- "Some substantisl abvses had grown up, sllotment provlsions apply,and grflms may be considesed as the State's or st lesst were quite possible," Weinberger (ii) sn smount equal to three-fourths of shere in claiming Federal reimbursement said. the State's sllotment as determined in ec- where such Yunds are: The private groups which got federal cordance with paragrspha (c)(1) and (d) of (1) Appmpriated directly to the State matching money to run their own programs this sectlon. or local agency;or were not supervised by the government, However, no 6tate's allotment for such (2) Funds of another public agency which Weinberger said. flscal year shall be less than it would dther- �� A lot of services for welfare families, the �v1se be under the provisions of parsgrsphs (i) Transferred to the Sta�te or local blind and the aged atates now must provide (c)(1) and(d) of thls sectlon. agency and are under its admixustrative will become optional, depending on state (b) For purposes of this section, expendi- �ntrol;or preferences. tures for services are ordinarlly considered (11) Certifled by the oontributing public There was a very broad opening for states to be incurred on Ehe date on which the cash ��y � r�resent;ing cuaren7t expendi- to provide services to people who may not transactions occur or the date to which a1= tures for services to peraons ellgible under have been in need at all;' Weinberger said. located in accordsnce with OMB Clrcular �e State agency's services prograsns, sub- Block certiflcation, which allowed people A-87 and cost ellocation procedurea pre- }ect to all other limitations of this part. to take part in a program because they lived scrtbed by SRB. In the case of local admin- Funds from another public agency may be in a designated area, 1s out. lstration, the date of eapenditure by the used to purchase servibea from the con- Weinberger said it allowed too many peo- local agency governs.In the case of purchase tributing public agencp, in accordance with ple who didn't need the programs to take of services from snother public sgency, the the regulstions in thls part on purchase part in them anyway. date of eapendlture by such other publia of services. There is no re-allocation formula, which agency governs. DiHerent rules mey be ap- �b) Public funds by t,he State or local would allow money unspent by one state plied with respect to a 3tate,elther generally a$ency for its services programs may nat to go to another state. This was prohibited or for articular classea oi e nditures,onl be considered as the State's shsre in claim- by Congress, Weinberger said. upon pustiflcation by the S ete to the Ad funds ase: "I hope they're (the new rules) going to ministrator end approvsl by him.In revlew- (1) Federa.l funds, unless authorized by cut back on the things that don't beneflt ing State reqvests for approval, the Admin- �deral law to be used to match other Fed- the people that most need them;' he istrstor wlll consider generslly sppllcable eral funds; said. ". . . With limited resources, it seems State law,conslstency of Stste practice,par- (a1 Used to match ather Federal funds; or very desirable for that aioney to go to those ticularly Sn relatlon to periods prior to July �s) Used to purchase services which are most 1n need."He emphasized that the rules 1, 1972, and other factors relevant to the ava�ll�ble without cogt. issued teday are not necessarily in flnal form. purposes of this section. In respect to purchase of services from "We don't have a closed mind on anything (c)(1) For each flscal year (commencing another public agency, see also 5 221.54(b) here;' he said. — with the flscsl year beginning July 1, 1972) of thLg chapter with respect to rates and each State shall be allotted an amount which �ounts of Federal flnancial participation. I�'om the New York ZYmes, Feb. 16, 1973] bears the same ratio to$2,b00,000,000 as the 4 221.62 Private eources oY State's share. Nncox AiuES SEEKING To Cvx STATS SocxnL population of such$tste bears to the popu- Donated private funds or in-kind contr!- �ocaenzs sr �SOO MII.LION lation of sll the States. butions may nat be considered as the State's (By RSchsrd D. Lyons) (2) The allotment for each State wlll be share in claiming Federal relmbursement. i'Vesxixcrox,February 15.-The Nixon Ad- promulgated Yor each flscal year by the Sec- p,t.om the Washln ton Post, Feb. 16, 1973 ministration moved today to nan'ow such retary between July 1 snd August 31 of the � g 1 state aocial programs ss day csre and heslth calendar year immediately preceding such HEW DEFENDS NEW CUTBACK RULES and employment servicxs and cut F'ederal fiscal year on the basis of the population of (By Austin Scott) outlays for them by�B00-milllon ln the flscal each State snd of all of the 3tates as deter- Year 197� mined from the most recent satisfactory data Proposed new rules for federal social serv- �e states had sought almost�8-billion in available from the Depa,rtment of Commerce ice programs—which drew anguish protests g�eral aid for their social aervlce programe st such time. from day care, welfare and senior citizen for next year. Congreas had imposed s �2.5- (d) Not more than 10% of the Fedezal Broups—represent an attempt to prune back billlon ceiling but the Administration now funds shall be pald with respect to expendi- as palnlessly as possible, Health, Education Proposes spending only�1.8-blllion in Fedeml tures Sn providing services to Sndividuals Bnd Welfsre Department offlcials said iunds,down from$2.8-billion in the current yesterday. flscal ear. (eligible for services) who sre not recipients gut an hour after HEW 3ecretar Cas ar y of aid or assistance under State plans ap- 9 p Caspar W.Weinberger,Secretary of Health, proved under such titles, or applicants for Weinberger met with reporters to explain Education, and Welfare, said thst the Ad- auch aid or assistance,except that this lim- the new rules,a group of 46 senators includ- �inistration's move,in the form of proposed 1Lation dces not apply to the following serv- ing 13 Republicans, sent him a letter op- changes in rules for the service9, had been ices: posing them. made to eliminate abuses in whlch states had (i) Services provided to meet the needs of "Such an extreme change in the existing received soclal serviae grants and theri ap- social servlces program is unwarranted," lied the funds to other uses. a child for personal care, protection, snd their letter said. P supervision (as deflned under day care serv- He said that some of the "horror storles" ices for children) but only in the case oi a Led by Sen.Walter F.Mondale (D-Minn.), inclvded"the making of documentary 81ms" child where the provision of such services is the group was particularly opposed to one snd the payxnent of salaries for prison guarda needed Sn order to enable a member of such new rule that knocks out the three federa] Yrom socisl service funds. chlld's family to accept or continue in em- dollars now avallable for every dollar of pr!- ��I was convinced that some of the statea ployment or to participate in traitting to pre- vate contributiona to run mental healtY: were paving roads with the money," he told pare such member for employment, or be- centers, prlson rehabllitation snd other so• a news brieflng. cause of the death, continued sbsence from cisl services programs. Administratlon officials have coxnplained the home,or incapacity oP the child's mother ��This Proposed change would aeriously un- in recent months that many states have been and the inability of any member of such dermine the excellent private-public partner- �.�ng a run at the Federal Treasury bq child's family to provide adequate cnre snd ehip approach to human problems that now �eking Federai payment for many services supervlsion for such child; exists,"the senators told Weinberger."These that had previously b�n paid for with state (2) Family planning eervices; klnda of cooperative e8orta would be en- funds. (3) Any services lncluded in the approved couraged rather than discouraged," New York,for example,received ffi88-million Stete plan that are provided to an individual 'I'he debate is a continuation of one that from the Federal Government for social serv- diagnosed as mentally retarded by a Btate started last fall, when HEW then-Secretary ices in the flscal year 1971,with the amount mental retardation clinic or other agency or E111ot Richsrdson wrote to President Nison �ring to �588-million last year, according organlzation recognlzed by the State sgency �Y�6 s �naway social aervices program to Federal statistics.The amount Albany had as competent to make auch dlagnoses, or by � threstening to bankrupt the federal sought for the Hscal ye&r 1973 wsa $854- a llcensed physiclan, but only if such serv- �'e��y million,but the state will receive only�220- ices are needed es part of an indlvidusl serv- Opezsting with feW Tules.almoet no monl- million for the flscal years 1973 and 1974. ice plan for such individusl by reason of h18 �ring, and wholesale abUBes, particiIIarly New Jersey received b20-million in the conditioa of being mentally retarded; in large atatea like Californla, Illinols and g�al year 1971, had saked Yor �41b-mllIion (4) Any services included in the approved New York,the program threntened to drain for the flscal year 1973 but will receive only State plsn provided to an individual who haa �6 billion irom the federal treasury in 1975. �gg_�illion for the current and next flscal been dlagnosed by s licensed physlcian ss a "I wsa convinced aomeone was paving year. drug addict or alcoholic, but only 11 such r��th 1t,but we never could flnd that;' The H.E.W. move came Sn the form o1 services are needed by such indivldual uader wetnberger said. proposals by the Department's Social snd an indivldual service plsa ss part of a pro- Late isat year, Congresa clamped a &2.b Rehabllitation Servicea to set new guidelinea gram of sctive treatment of hle condition se billion celling on the program. for what services could be funded with Fed- s drug addict or an alcohollc• and Weinberger argued at the newa brieflng eral money snd who would receive them. (b) Foater care eervices Sor children when that HEW was trying to aHape the most SENAT069 A1TAC8 rsoross:.s needed by a chlld under sn lndivldual eeiv- coherent program posaible within the limlts •Phe p=oPosed changes Sn regulationa,which 1ce plan becauae he la under foaLer cate. Congress set, an approach thet resulted in w�ll be printed ln the Federal fiegister to- cutting many optiona from ststes and local morrow and could go into e8ect with eome {221.68 Rstes and smouata of Pbderal IInsn- �oups. clal particlpstioa for Puerto Rlco, •�Zye thin that reall bothered us wea �mendmenta in about two months,were 1m- the Virgia lelsnda and Civam• the unfocused nature of it,"eald Weinberger. ��iately attacked by 46 Senstors,includtng (e) Por Puerto Rico, the Virginls Islande •�We hafl no ldes who these were really 13 Republicens. and Ciuem,the beaic rate for Federal Snan- benefltin 'I'he Senatois said in s stetement that the B•�� changes "would eeriously undermine the cW psrticlpstlon for P'smily 6ervices snd "NOw we want to be very apeclflc about ezcellent prlvete-public partnerahip sp- VpIIR gupport 6ervlaee under title IV-A is what the funds are to be for;'added Phllip prpach to human problems that now exists." 80%.�wever,e$ective July 1,1972,the rste Rutledge, acting adminlstrstor of the Social �.�� nds of cooperstive efforta should 1s b0% for emergency aesistsnoe!n the form and Rehabllitation 8ervtce Adminlstration. �encouraged rather than dlscoursged"the ot�ervices. "We sre saying slnce there is s cetiing snd e},�tement said. ' _7_ ' The Senators Look particular eaceptWn W 1atlons of a density and detail calculated stantially reduce the number oi senior citi- s proposed change that would forbid the use �discourage states from using it.The neat �ns ellgible for vitally needed services." of private funds to be included as part o1 �uestion ia whether thla melancholy ez- � �oQ� �py � the propoeed zeguis- the stste or municipality's matching iunds. perience dces not foreshadow the mletskes tiona wsa floated by the Councll of 8tate At present, a private agency may donate, stlll to be made in President NL4on's other (}overnmenta in November for that group's for eaample, �100,000 to a day care center. revenue-sharing ventures. reactlon. The city or state could then applp to the �om the Washin ton Post,Feb.12,1975 "we are qulte sure that the etates will have Federal Government for m300,000 from Fed- � g � ma�or objectiona to tha denial M the use oi eral matching funds for the day care center, Cv�rsncxs PLANNED 2N SOCIAL SE&VICES private funds for matching," said Allen sinoe the matching formula hss been ;3 in (Bp Austin 8cott) Jensen, a special assistant on human re- Federal money for every $1 in local money. sources to the gtoup. The Nixon administration 1s preparing to — make maJor changes in the way the federal "They feel thla ie a way to hsve commu- [From the Washington Post, Feb. 18, 1973] government supporta programs in dsy care, nity isvolvement and communlLy partfcipa- THE SOCIAL SIItVICES FIIND aid to the elderly, mental retardation, �u- tion in dellvering these servlces." venlle delinquency,snd other social services. Sensen estimated that private donations Thtngs are never,quite what they seem, Although new social services regulatlons &long with the three federal dollars that can in the long stnxggle over the federal Sociul aren't scheduled to be announced by the De- now be given for each private dollar,supply 8ervices fund.The public has fallen under an partment of Health, Education end WelYare a�ut�b6 million worth of dsy-csre services impression that Mr.Nixon is drastically cut- smund the country.. for another week or so,some affected groups ting federal outlays on social welfare, and The privste money comes fmm many ra idl retumin broad discretion to the have obtained copies and are gearing up for eources, includln charitable or P 9 g a flght. g ganizstions states. Neither halY oP that SmpressLon hap- such as IInited Way, snd even bake saies or Rep. Bella Abzug (D.-N.Y.), e vocal sup- pens to be true, in the case of the massiva pa�r oi day-care centers, denounced the Barsge sales conducted by the day-care cen- $ocial Services fund, but it suits the pur- new proposals as `unconscionable;' and said �rg� poses of neither the administration nor its she will call for congressional hearings into. �ong with eliminating such federal fund critics to say so out loud.In fact, the 8ocial thelr effect on day csre. Arkansas Ciov. Dale �tching, the new proposals also ellminate Services fund has evolved into a careless gumpers said parts of them are "pstently rederal matching for the value of "in-kind and unintentional kind of revenue-aharing. absurd." contributions," such as when furniture or a The administration's desperate attempts to While the proposed new regulations would building are donated. control it have nothing to do with the ide- change the groupd rules for federal aid to a A number of experts are saying that poll- ological warfare over the Great Society. To number oi important social services pro- tics 1s playing s heavy role in the federal the contrary, they offer a highly instructive �.a� �ost oi the comment so iar has been �&tching section of the new regulations. premonition of the troubles that President aimed at their effect on day care. They point out that the government's Nigon map hsve with his further experi- �written now,they would eliminate exist- proposed policy is opposite the position taken ments in revenue sharin by former HEW Secretary Elliot L. Richard- B• ing mandatory federal child care standards, The Social Services fund has had a bl2arre and end the$3 in matching money that the son when he said to several members of the hlstory. An obscure item in the budgets of Yederal government gives for every �1 pri- House last summer that he supported feQeral the 1960's, it oflered states three-fourths of vate contributions.However,they would per- matching for private donations. the cost oi certain services to help people mit the government to continue matching,3 The proposed policy, however, dces go get o8,or keep off,welfare.The fund ran to for 1,state and local funds, along with a directive from the Senate Fi- $366 million a year when Mr.Ni�con took of- That end to the federal matching of pri- nance Coinmittee, which said during last flce. But then the California state govern- Vate moneg applies to all the progrsms, not Year's debate over welfare reform that this ment perceived that,ii viewed with imagina- just day care,and it is what Bumpers termed kind of matching should be stopped. tion (and sympathy),half the state's budget "patently absured." 'i'here are predictions that federal match- might be considered to be social services.The 'TO give yau an example of the effect !t ing for private money will be reinstated be- federal fund started to shoot up in 1970,with would have on our mental retardation pro- fore the regulations beoome final, and the 40 per cent of it going that year to one gram,"he said,"when I was elected[in 1970] �ministration will make its real flght over state—California,where a Republican gover- we had fewer than 20 community facilities the elimination of federal standards, and a nor was running for re-election and did not caring for a little less than 400 children. new ban it proposes to place on transferring care to raise taxes. Then New York began to "In the past year and a half . . .we have social services money to other state programs. see the potential in this interesting fund. expanded that to 82 facilities caring for over `It's a foolish (HEW) Secretary who From state to state, word spresd. Congress 2,000 children. ignores a directive from the Senate Finance had never put a limit on the fund.The Tress- "Quite frankly,with the guidelines prohi- Committee,"said one source, "but they'll be ury was obliged to pay three-fourths of the biting the use of private funda and the fur- able to say they tried, and the real money is cost of any state or local program that met ther restrictions . . . we will probably wind �ved in other places." the definitions set by the Department of up closing virtualiy everp one of the neW They certainly tighten up everything all Health, Education and Welfare. HEW's defl- ones we have started in the past year and &long the line in terms of ellgibility, defini- nitions turned out to be strangely loose and a hslf." tions,and range of authority,"said Elizabeth inviting. The Social Services fund paid aut "It's such a bad law I can't conceive oY 1t Wickenden, professor of urban affairs at the $800 million in flscal 1971,and$1.9 bIIlion in standing,"he said."I have heard they expect City University of New York. 1972.The states'applications shot upward as to save $1 billion. My guess would be theyRl "The two most severe restrictions in them the grew increasin 1 audacious in shiftin save $2 billion with the guidelines as they �'e the direct result of Senate Finance Com- y B Y g mittee instructions to the Secretary . . . All large parts of their routine budgets onto the are now." of this I think is quite consistent with the federal Treasurq. Among the changes in the proposed regula- current phllosophy of the administration. tions are: At the beginning of last year, the admin- Quartzrly recertiHcation of applicants for They have on one hand loosened up insofar istration originally budgeted only �1.2 bil- some programs, instead of the yearly recer- �the state decision-making is concerned... lion for this fund in fiscal 1973. But the And on the other hand they've tightened tification. states'demands totaled twice as much by last eligibility on who can get the service." May, and�by June they came to $5 blllion. Tightening day-care eligibility require- _ FIEW urgently warned the White House,but ments.Current rules allow day care for chil- HEW IssvES NEw SOCIAL SERVICE Rscv- the White House told the department to keep dren who have been on welfare within the LATIONS�PPONENT3 PREPARE To Pvsx quiet and do nothing.The President,it might P�t two years, or are prospects for welfare Fos MODIF'ICATION be recalled,was then running for re-election in the next five yea.rs.The new ones change � and wanted no trouble with governors.Later those figures to three months and six months, i'�OTl Da� Ca'�e and �.'ll J_.t.� respectively. �, F,� �, in the summer Jodie Allen, an economist at D.-v�.,_cnm..._nt P�-'T�O:''"tS, the Urban Institute, published the figures. Elimination of the"special need"category, � ' In a flurry of embarrassment the President allowing services for the handicapped re- �'@ rJJ'U c�l�"y �_�� '_�7 3 and Congress hastily agreed to place a limit gardless of income. HEW last week claimed ita proposed new of$2.5 billion a year on the fund. Elimination of federal money for code en- regulations for Federslly funded day care and forcement, to make sure state standards are 'The current stage of the controversy be- being enforced. other social services wlll give states more op- gan last week when HEW brought out new tions, but others viewed them as hard-line Setting of a maximum income flgure for regulations for the Social Services fund. day-care eligibility that in some states works and restrictive. These regulations are a reversion, slmost to out to below the poverty level for a family The regulations issued Friday will "allow the point of parody, to the worst traditions �1 four. states to concentrate servicea on population of an ingrown and paternalistic bureaucracy. HEW officials point to their plans to in- groups most in need of them" and "give A state can extend services to an individual crease the amount oi money spent on day states more options in determining services person, under this program,only after a so- care, aiSd the number oY children coveied. to be provided," according to an HEW news cfal worker has drawn up a "service plan" Federal budget estimates show one portion release. for that person, proving his eligibllity, list- of the government's support for day care Some social welfare leadere, !n snd out of ing what services he is to receive, showing ��P�g irom an estimated $82 miIlion un- Congress,disagreed and prepared to challenge how they will lead to "goals" and setting der the Work Incentive Program in Fiscai the proposed rules published in the Feder¢l "target dates for goal achievement." And 1973, to $204 million in Fiscal 1974 which Register Feb.16. it all hss to be reviewed every six months. a.(ll begin Julp 1. The HEW news releese descrlption oi the Boom days are ahead for the paper indus- Some chlld-care groups,however,are con- regulations was termed "a smokescreen" by try and for the legion of minor clerks who vinced the dropping of federel standards wlll Allen Jensen,special assistant to the Council will crank the wheels inside this iarge new mean more "warehousAng" of children with of 3tate(3overnments. welfare machine. But for that part of the little sttention pald to their education or "In fact," said Jensen, "the regulations population which is poor, and may ac- other needs. Put far more restrictions on services than the tually need help the outlook is not so The new regulations drop all rePerence to current regulations do." jolly. exlsting federal interagency regulatlons about On the basls of earlier,less restrlctive draft As a budget device, the new regulations the ratio of children to arlults at day-care rules,Jensen said at least 2b governors had amount to impoundment by red tape. Al- centers. told him their service programs would• be though the authorization is $2.5 blllion, Instead, a set of HEW Model Day Care seriously hurt. Mr: Nixon's budget provities only $1.9 bii- Codes, currently on Secretary Caspar Wein- 1Kar9 geyserling,iormer director of the La- lion for it next year. The administration is berger's desk, recommends approximately bor Department Women'a Buresu, said the clesrly counting on the weight of the regu- twice �s many chlldren per adult as the regulstions would be "most devastating" Lo lations to prevent the states from obtaining standards now Sn e$ect. the working poor with incomes between thelr full allotments. The opening pages of the Model Day Csre m4,000 and &6,000. The new rules on income One sad and revealing provLsion in the Codes indicate they are to be used as guide- ellgibllity would mean that"]ust when they regulations prohibits states from using pri- lines far states to draw up their own codes, work the�r wsp out of poverty,they are not vate funds,donated to voluntary social agen- but are not requirements. eligible for cervices;'ehe eaid. cies as matching money in this program. "It's all a matter of money," said the Bipartisan e8orts are being taken in Con- In his flrat term, Mr. Nixon talked much source who gsve a copy of the proposed regu- gress to chnnge the regulations. about the crucial role of the volunteer Sn lations to The Weshington Post, and who The rulea were published for SO-day com- American society. ApparenLly the idea also asked not to be identifled. ment without signlflcant change from the �i��g The key thing to remember 1s that mast version eummarized in DCCD Seports Extra The collfaioa between the states and the experts say the child-to-staS ratio accounts Edition,Feb. 12.IInder the regulstlons: Nison sdministration over the Soc1s1 8erv- for 7b per cent of sll the costa. Tliey were Eligibllity for services fs limited almost ex- ices funde has nothing to do with the New BPending $800 mlllion ior day care st the clusively to current rectpients of, or appli- Deal or the 1980s. 'i7ie f•und took oa up- end of Sscal 1972. If you double the child- esnts ior,welfare asslstance. to-ataH ratio, ea they're proposing, that'e n Prlvate donated funds and in-kind con-' ward under the Nixon sdministration,which �ving oi$300 mlllion." tributlons from private sourcea are pro- deliberately esploited it se revenue-sharing ��ese regulstions ate unoonscionable," hibited from being used as a state's share to to certain key states. It then Sew out of ea,td-Rep. Abzug. "They eSectively ahut out obtaia Federsl matching money. control altogether. Now the administration children from middle income fBmlllea irom Tight restrictions are placed on the pur- Sa trying to re6apture it by drswing up regu- r�erallq essisted dsy care,ead they wiA sub- chase of aervices from other egencias. -8- Subslstence assistsnce and most health Homemaker service fa defined ag "care of Funds for social services related to the servlces are not ellgible for F�ederal match- individuals in their own homes and helping WIN program are authorized in addition to ing support. individual caretaker relatives to achieve ade- the 52.5 billion ceiling end at a federal match- Most day care may be provided only if St qug�household snd family management..:' Sng rate of 90 percent. Approximately �200 will eneble a parent to work. Day csre as a State dap care sdvisorp committees sre million is expected to be available in flscal protective or chlld welfare service,or in cer- required, but local advisory panels are no year 1973 for social services under the WIN tsin lnstances like the ebsence or incspacity longer reqnired and there is no requirement program. of a chlld's mother, may slso be provided to that parents sit on state commlttees. aen�ax n.exxrxc ellglbles. Services may be purchesed from other �, g, was only SO years old. Yet she agencies only if they are not available with- ��ged—and fel�much older. Mrs. Fi. hnd In-home day care must meet state stand- out cost. srds and out-of-home csre must be licensed Comments on the regulations mBy be made �d 11 pregnsncies during her 30 yeara.Ponr by the state,but the regulatlons eliminate a for 30 days.They should be aent to the Ad- of the chlldren had died. Her husband was requlrement in current regulattons that out- �nistrator, Social and Rehabflitation 8erv- � auto worker, had been laid-oR and the of-home day care comply with Federal Inter- ice, Department of Health, Education and famlly was on welfare. sgency Day Care Requirements. Welfare, 330 C St. SW., Washington, D.C. I had never heard of famlly ptanning un- In what appears to be e sudden Adminls- 20201. til my last baby was delivered,^Mrs. H. told tration shift, not evident in the regulations, _ a caseworker. 'They told me sbout it at the hospital.Now we don't have to worry all the HEW !s expected to require out-of-home day SocieL SExvicsa time and mp mother dcesn't have to worry care to meet a revised verslon oY the Federal From Publication Of about me having more babies." Interagency Day Care Requirements. L1dt1011a.1. Legisla{:ive Mrs. A. 1s now taking steps to avoid hav- DCCD Iteports learned that, At the last ing more children.She has proflted from ad- minute, s paragraph wse added to the HEW Conierenee, i7ashington, vice and referrals of the local social service news release on the regulations saying re- agency. vlsed day care Etequirements wlli be fssued Januar jT rJ� 19 7 3 Description o�service soon. Inserted into this NLC Washington is a The addition,sbsent irom earlier dratCa o1 The problem of unplanned and unwanted special piece on social services. Because of child bearing among low income families and the news release.1s believed to have been pre- trie present uncertainty oi the 8na1 federal pared to ward o8 Congressional opposltion ta re ulations affectin federal reimbursement individuels has received increasing recogni- the lack of Federal Requirements. g g tion over the past flve years.The relationship The revLsed Requlremente, written pri- for secial services, the�ollowing inforznation between high fertility and economic depend- marll b HEW's Office of Child Development, re;arding the various Lypes of social services ency, poor maternal and child health and Y Y or social services for a recipient group is not family planning services in public programs. have been stalled in the Otflce of Manege- to be interpreted as official federal description ment and Budget since last August. They of social services activiti� which can be Mandatory Service were expected to die there. funded under the Social Security Act. Under Title IV-A of the Social Security These revised Requirements, which the Specifically designed for use at the NLC Act, state welfare departments must offer news release descrlbes ns equally comprehen- �ial services seminars, the plece explains famlly planning services to current, former sive•but more clearly deflned and enforceable and illustrates some of the services that and potential AFDC recipients and these than the 1968 Requirements now in effect," hava been funded by social services author- services must now be "provided promptly would require, according to tl�e most recent izations of the Social Security Act. 3ince (directly or under arrangements with draSt avallable,one care giver for every seven I�W is still drafting changes in these social others)." A penaity will be imposed for chlldren ages 3 to 41/z and one care giver for �ervice regulations, it is not yet known ex- fallure to offer and provlde services to appli- every 10 children ages 4 to 67/2. Current re- actly what services can be funded under the cants and current recipients of AEDC.H.R. 1 quirements stlpulate a ratio of one sdult for iederal social services programa in the fu- authorizes 90 percent federal matching for every five children ages 3 to 4 and one adult ture and which wlll be mandetory and whtch Title IV-A famlly planning services (in con- for every seven cl�tldren ages 4 to 6. optional. trast to 75 percent federal matching for other Some states contend ratios in current Re- Txs $2.5 BILLION CEILING ESTABLISHED services). Under T1t18 XIX, 811 StSt05 With quirements are too stzingent and costly for � Medicaid programs are now required to in- them to meet,but some child welfare special- The Social Services program authorizations clude family planning services and supplies lsts maintain that low child-stafi ratios were changed by amendments to the Social as one of the basic medical services avallable are necessary to prevent damare to children. Security Act included in the revenue shar- to all persons covered by the program. The On the proposed new regulations, 43 Sen- ing bill and Lhe Social Security and Wel- federal matching rate for famlly plannixlg ators, led by Sens. Walter Mondate, D- fare Bill (AR 1) enacted in 1972. The pro- under Medicaid has also been raised to 90 Mlnn.) and Jacob Javits (R-N.Y.), wrote to gram was changed by establishing a limit percent. HEW Secretary Casper Welnberger to pro- of$2.5 billion federal matching funds for so- Family planning services include medical tect the cutoff of private funds and to ex- cial servlces available to States according to and social services, medical examination, press concern over restrlctions,e1lgiUility and a formula based on population instead of diagnosis and prescription, laboratory tests, lack of Federal Requirements. open-ended appropriations. contraceptive drugs and supplies, group and The signers include 13 Republicans,among GOAL-ORIENTED sexvicES individual instruction, and follow-up. Sub- them such usually stalwart members as Titles I, X, XIV, XVI, and part A of Title sidized programs enable low income persons, Sens. Peter pominlck (Colo.) and J. Glenn IV of the Soocial Security Act authorize i.e.,thwse who are not able Lo afford the serv- Beall, Jr. (Md.). federal matching payments to states for ices of a private physician,to have access to Rep. Bella Abzug called the regulations providing socinl services to applicants for fertllity control services. disastmus," and said they would lead to welfare, present, former and potential wel- population Ser�•ice warehousing of children. She has called on fare recipients.These social aervices are gen- Flouse Education and Labor Chairman Carl erally deflned in the Act as follows: Z'he population in need of subsidized fam- Perkins to hold public hearings on their ef- For families with dependent children they ily planning services is diverse. It includes fect on day care. are: "Services to a family or any member welfare recipients, other poor groups, the HEW and the ORice of Management snd thereof for the purpose of preserving, re- ��near poor" who have marginal or fluctuat- Budget, which had a strong hsnd in writing habilitating, reuniting,or strengthening the ing incomes. These are the people who may the regulations,said that they are necessary family, snd such other services as will assist slip into and remain Sn serious economic to curb abuses in the programs and to focus members oi a family to attain or retain cap- dependency through unplanned and un- on programs and people who would benefit �bllity for the maximum self-support and w'anted chlld bearing. the most. personal independence. [Section 406(d)] Ho2o services are provided "We cannot allow states to flnance their For the aged, blind e.nd disabled,they are In the private sector these services are pro- whole state governments with thla money," any services which "help them to attain or yifled mostly by private physicians in their said one OMB source."It's time to dig in on retain capabllity for self-support or self- offices. In the public sector family planning this program and go 08 in a better direction care" and services "likely to prevent or re- services nre usually organized in a clinic set- the next time." duce dependency." [Section 1063] ting which may be associated with a hospital, The proposed regulations are expected to ��y has drafted proposed regul9.tions in- health depnrtment, or neigihborhood health hsve these effects: tended to increase the public accountability facilitp, or which may be free standing. In Arkansas C3ov.Dale Bumpers was quoted ss for social services by establishing planning tl�e clinics the services of physiciens saying that approximately 60 of his state's gnd reporting requirements to create a gosl- nLUSes, social workers and paraprofessionals 82 mental retardation centers for children oriented social service system which has as are combined for the most eRicient and e,ffec- would be closed down. its m3ssion reducing the barriers to attain- tive use of professional t1me.Such organized The prohibition agalnst donated funds ing and maintaining ma.xlmum capabllity for family planning services are financed gener- would cut out about�55 mlllion in funds for self-support, self-care and personal inde- ously through private donations, federal day csre now used as state metch. pendence for reclpients of social services. p�i�}�grants,and to some extent state and A etaH assistant to C3eorgls McMurray, Commissioner of New York Cit s A enc for xixns oF socrar. SERVICES IOC81 medical assistance and social services Child Development,estimates that more thon Child care and iamSly planning services, programs. half of the 33,000 chlldren in Agency pro- foster care for children, treatment of drug Gaps in Services Network grams would not be eligible for Federal reim- addicts and alcoholics, and services for the There remain large gaps in the service de- bursement under the regulations. "In many mentally retarded would continue to be avail- livery network. Fully one-haIf oi all U.S. cases,"she said,"without day care the others sble, as under present law, Yor appllcants coun•ties are without family planning servicea wlll have to go back on welfaYe, costing the for and "present, former and potential wel- of�ny kind and many established programs city two and one-half times what day care fare recipients."Further descriptions of these are inadequate to meet the need. costs." categories are given in the following pages: Fosx�x cex.s Foe CHILDREN She seid the administrstive costs nnd time Famil Plannin 2 Jud is a ten- ear-old who was born with involved in determining and redetermining y g p y eligibiltty are"prohibitive" Foster Care for Children______________ 3 clubbed Yiands and feet and alimentary ab- One Pennsylvania state source said that of Child Care____________________________ 4 normmlities. Her mother is divorced and liv- the 14,000 children in IV-A day care Sn the TI'eatment for Mentally Retarded______ 5 ing on AFDC. There was no facllity foa� stste,only 2,000 would be eligible. T1'eatment for Alcoholism and Drug Ad- remedial treatment for Judy in her rux+al area DCCD Reporta Extra Edition (Feb 12) diction_____________________________ 6 Bo she was placed in a stsble foster home Sn presented a look at the new regulations.Ad- At least 90 percent of the federal funds s large ciLy with excellent medical and re- ditional requtrements tnclude: spent for social servic� other thaa thoee habllitative facilltiea. Federal reimbursemeat 1s not svailable for above must be used for social servlces for �dy has lived Sn the foster home for ten subsistence aeatstance snd other mainten- individuais who are applicants for or recip- y��regularly going back home to spend va- ance asslstance items evea when the are art Sents of welfare cash assiatance and no more cations with her fsmlly.Surgery,therapy and of s comprehenatve program of a day ca:^e than 10 percent for "former nnd potential training have given Judy use of her hands tacllitv. welfare recipients. Examples of theae social �d ahe is able bo walk. There 1s no mention of communit lan- services are given in the following pages. Current plsns are to return Judy to her Y P natural family for good by next summer.She ning,information referral,staffing and train- They might be: will still have to make occasional trips to a ing and mobillzatlon—terma under which 4-C organiQatione have beea funded in the Tlgnsportation servlce_________________ 8 nearby city for continuing treatment snd past. FiEW staH mho worked on the regula- Mesls on Wheels and 3enior Centers____ 7 therapy,however. tions ssid thst these and other srevlcea not Health-related servicea________________ 8 Judy and her famlly both proflted from the apeciflcslly mentloned oould be refmbureed �g�l Services_________________________ 8 ioster home experience. If she had been left only Sf a state could ahow they were neces- Housing Improvement_________________ 9 in the home,Judy would have had no future. ssry for the"proper snd efficient adminlstre- Protective Services for Adulte_________ 9 This famlly has been assSsted eo that they tion of programs and with FiEW approval." Aome Management Service------------- 10 can manage the job of adequately caring for Reimbursement for moet health-related �Ployment 6ervices (NON-WIN)______ 10 their chlld. services would be restrtcted to placement, �9 Care for Adults------------------ 11 Description oJ service and would not cover the coet of providing �ter Csre for Adulte________________ 11 �e breaking up oi a home is not a pleas- eervices. Protective 3ervlces for Children________ 12 ant thing. Many of the social services work Homemaker Servicea___________________ 12 to keep the home unit Logether; foster care separates the home unit. There are some ' -9- . cases,however, in which the child is better the day, but lesa thsn 24-hours in his own mental health center indicated that the alco- 08 separated from e femlly. Whether the home by a responsible person,or outside h1s holic mother needed treatment.The mother separation is due to ignorance or simple hov*ie in a family day care home,group dsy a,�$admitted to the stste hoepital chemical neglect,abuse,abandonment,lllness or emer- care home or dap care center. . . . dependency treatment unit.To help keep the gency,the service should be avallable to chll- Elements of the Program famlly intact,homemaker eervices were pro- dren. The intent is that chffdren where pa- Among the elements that child care serv- vided so that the children received care and rents are not capable or wllling to properly ice programs are: supervision wh11e their mother was hospital- care Yor them are gicen substitute home 1} exploration to determine most suitable 1zed. environments. arrangements for the chlld and parenta; 2) Now Mrs.H.hae been discharged and con- Foster care elements work in behalf oi os directly wlth chlldren in tinuea to remain sober and 1s able to care for Foster care provides care for a temporary day care (including provision of facilities her aa•n chlldren. or extended period in sn agencp-supervised and the essentials of daily living, as re- Description oJ setvice home for chlldren whose parents are unable 4uired); a daily program of care and educa- to care ior them adequatelp because oi social, tional sctivities; health supervision; trans- Treatment of elcohol and drug addicted emotional or health problema of chlldren portation; work with famlly day care moth- persons requires a complea of serv�ice in or- and/or parenta and who csn beneflt from ers;3) work with parents,to help them make der to rehabilitate them and brin them to famlly life experiences. Elements of the best use of day care and to cope with prob- their maximum level of self-aufficiency.Such program include: 1) erzplorstion to deter- lems in child development and rearing; 4) eervices mlght include (but are not llmited mine appropriate service, development of a �amily day care home recruitment, home- to): flndin and develo ment and licensln Information and refenal services. plan for service, and preparatlon for place- g• p � g�' Early detection and evaluatlon. ment• 2) work in behalf of or directly with All child care services must meet the re- children durin lacement includin rovi- quirements of the 1968 Federol Interagency Crisis intervention services. slon of the essentials of daily living,such as Day Care Requirements which apply to all Therapeutic treatment incluPing: y shelter, meats, clothin arran ements for federally aided child care programs. Counseling: individusl, grou and famil g� g Therapy: individual and/or group. education,recreation,religion, medical-den- How services are prov{ded Activity therapies. tal care; child care,e.g.,service payments for State and local social services agency per- personal care including: foster parents; social work and other treat- sonnel may directlp provide these services but Foster care. ment services, such as psychiatry, psychol- in many cases contracts for such services Day care. ogy,special education; 3) work with parents with other public,private non-proflt or pri- Care in small group homes. whlle chlld is in placement; 4) postplace- vate agencies may be involved. Transitional aervices ln facilities such ae ment activities during read�usbment period; TREATMENT FOR MENTALLY RETARDED rehabilitation L1IIit8 &�d halfway hOUSCS b) ioster family home recruitment, study, which offer comprehensive servlcee. and develo ment. Eight-year-old C3ay spent most of the firSt P six years of her life in an institution crib. Assistance in receiving vocational and edu- Ho2o services are provided She never learned to walY too well and child- cational rehabllitative services. Foster care may be provided by a state hood games and toys were not part of her Community follow-up servicea including agency or purchased through a private world. ongoing suppbrtive services for the individusl agency which can provide services for indi- A retarded child,C3ay was placed in a syate and family. vidual or chlldren with special needs that institution when she was a baby because her Hom services are provided the public agency cannot adequately provide parents could not care for her.But two years Current applicants or recipients of flnan- for. It 1s the responsibility of the state de- ago a couple took Ciay into their home and cial assistance. partment of public welfare to give leadership starteii raising her with the same individual Previous appliCants or recipients of as- in planning, establishing nnd maintaining love and attention their other seven children sistance during the last six months. adequate foster family care services through- have received through the years. Persons likely to become reciplents or ap- out the State,under both public and volun- Now Gay not only walks, but runs and plicants of assistance. tary auspices. plays with other children in the neighbor- Medically or economically needy persons as State Responsibility hood. She attends a special education class defined in the State plan. The State provides direct services, is re- and has a remarkable memory, according to Eroposed regulations state that: sponsible for licensing of agencles, and li- her foster parents. The individual must have been diagnosed censing of foster homes and the promotion Description of service by a licensed physician as an slcoholic or of standards of foster fsmily care service Most oi the state plans serving the men- drug addict; throughout the State through the develop- tally retarded are ultimately designed to Social services provided must be needed as ment of requirements for licensing of agen- bring the Sndivldual out of the institution,to Part of an individual service plan for an ac- cies, consultation to all child welfsre agen- hsve him contribute to his own support,and tive treatment program. cies in accordance with the needs of the to reduce the drain on state and federal dol- The state welfare agency may provide the individual agencies and skilled supervision lars for his maintenance. services directly or through contracts with to child welfare units directly under the ad- Examples of Programs other state and local agencies such as the ministrative control of the state department. state alcoholism or drug agency,the depart- Examples oP programs for the mentally re- ment of inental health, community agencies CHILD CARE tarded include: or other. Mr. T. came home from Viet Nam para- One .St&t@ �S developing s broad COIl� TRANSPORTATION SERVICEB lyzed. Doctors sald he would ,never walk tinuum of community services—group again. Mr.T.had a wife and six children to homes,diagnas3s snd evaluation centers,day $0-yeaz-old Mrs. J. had heard of the pro- support.And there seemed to be no way, care and work activity centers,and transpor- grams at the community center for the aged. The couple requested day care services of tation. She wanted very much to go but it was too far the state agency so that Mr.T.cauld Lrans- to walk and she simply could not aqueeze the port her husband, who was garalyzed and Eight family resource centers for the re- money from her small monthly pension. in a wheel chair for yherapy several times a tarded have been developed in another State. Then she heard oY the local Senior Citizens week. The specific aims of the centers are to: (1) Mobile Service. The service provided trans- With extensive h siothera coordinate intake, referral, placement, and portation to 1,606 diHerent aeniora.Appoint- p y py, Mr. T. im- follow-up services for all retarded persons in ments for trips were scheduled a day ahead proved and Ls now able to walk with crutches. the catchment area; (2) provide comprehen- and the central o}fice was able to oommuni- Mr.T.worked in the day care center ss sn sive client and family supportive services cate with the van driver by two-way radio, �ssistant teacher for about four months while necessary to prevent institutionalization and allowing last-minute change and emergen- her youngest daughter was enrolled.She then i�isure successful community adjustment— cies to be handled. enrolled in a medieal technicisn course and including client and family counseling and Mrs. J. simply made plans to go to the has subsequently accepted a position in the guidance,homemakers services,ete.; (3) co- center twice a week and mad0 reservatione field. ordinate residential placements in both spe- With the driver. "I feel 10 yeara younger," Today Mr.T.is on his feet.Thanks to the cialized facillties as well as in other commu- she told a center worker recently. "and I've day care cure,so is his family. nity living arrangements(apartments,board- made so many friends.° Description of service ing homes,foster care,etc.); (4) provide rec- Description of service Day care is a very special service for chi�- r�ational opportunities and other social dren who must have eupplementary care dur- group services to retarded children and Lack of ineans to move around a commu- ing part of the 24-hour day by adults other adults;and(5) coordinate a program of com- nity can isolate a healthy and physically mo- munity supervlsion and guidance oi retasded bile person as completely as SY she were bed- than their parents. They need thia care be- children and adults by vokunteer citizens ridden. Most older people don't drive. Tax1s cause,for some reason,their parents are un- are too ex ensive for man of them. Public able to provide care and supervision on e, (the so-called Citizen Advocacy Program). P 9 full-time basis. These arents do retain re- In addition, the family resource centers are transportation either does not exist or is ex- P purchasing direct services (developmental tremely diHicult for them to use. It, too, sponsibility for their Pamilies, but need to day care, adult developmental services, etc.) grows more expensive every day. delegate a part of this responsibility to from community agencies and thus acting As a result,many people do not use avail- others.Day care,thus,is a service Uhat keeps as area-wide agencies for supervistng con- able social services or Yacilitiea because they children in their own homes and promotes tinuity of services.State matching funds are cannot reach them. Transportation may be the stable functioning of their families. provided by the State Office of Mental Retar- needed related to child care programs. Individual Treatment dation. Shopping Dltflculty Since day care is a part-time substitute How services are provided Small neighborhood shops, easy to reach far parents in their responsibility for chlld in recent years, contractual agreements on foot, have disappeared in many commu. rearing, the distinguishing featu;e must be have been developed between state public nities. Today's supermar;cets are often lo- a degree of excellence surpassing all other �elfare and mental retardation agencies cated at distances too grest for many older daytime programs for children. In whatever either by adminLstrative action of a combina- people to reach by walking,particularly with setting the care is provided—a center, the tion of adminlstrative and legislative action. heavy packages to carry home.And so nutri- home oi a neighbor,in the child's own home, Generally, these contracts have been for the tion suHera. or in a family day care home—the measure pcovision of community services to retarded Financial problems may reach an unneces- of excellence will be revealed by the degree children through Titles IV-A and/or the de- sary criais when people have no.way to get to which the child is treated as an Sndividual livery of services to retarded adults through to a social securlty or public assistance o}flce. snd�the extent to which the care he receives XIV and XVI of the Social Security Act.The meets his parClculsr needs. state divisiona responsible for MR services Escort "Provides Needs of a Child" often supervises the program and furnishes Some older people need an escort on trips The new soci,al services amendments to the the matching iunda either directly through elther because of physical irailty or,in some Social Secnrity Act deflned ohild care services appropriated funds or Sndirectly through lo- toeventureUOUt slo ee sfraid—with reason— as those °provided to meet the needs of s cal public and private sources. ch11d for personal caxe>plOtCCtSOII BIICI SUPBT- TREATMENT FO$ ALCOHOLISDf AND DRIIG T'he handicapped children aad adults need vision,but only in the case of a child where ADDICTION transportation service. the provision of such services is needed (A) Mrs. H. was the mother o1 flVe h@81thf . MEALS ON WHEEI.B AND SLNIOS CENTERS Sn order to enable a_member of such child's children. Her husband hsd sbandoned her. Mra. 8. Lived alone. 3he had a son and s famlly to accept or continue in employment She spent much oY her time�in the depths of daughter wlth s total of Sve grsadchildren or to partici•pate in tralning to prepare such depression and she drank excessively. The but all llved on the other alde of the coun- member for employment, or (B) because of family's problema did not go unnoticed. A try. When Mrs. 3. was reZerred to the case- the death,continued absence Yrom the home, neighbor referred the family to the commu- worker, ahe was low in spirlts sad lmpover- or incspaclty of the child's mother and the nity"Office on Problem Drinking." iehed. She aimply did not heve the energy inablllty of any member of auch chlld's fam- Within 24 hours of referral, a caseworker � �oP snd prepare meals foa� hereelf. And lly to provide adequate care and superviaion irom the county welfare department er- she was too proud to ast others for help. for such child." ranged for the chlldren to receive medical 3he didn't have to awallow her pride to The drsft regulations state that"chlld care care they urgently needed. The communtty Bervicee mean csre of s chlld for s portion oY -10- participate in the local Meals on Wheels pro- circumstancea Mrs. H. was to receive a outside.There was no telephone.The nearest . gram for needy-elderly shut-ina. Meals of monthly sum of money.But funds had never neighbor was one and one-half mlles away. meat and vegetsbles, potatces or noodles, �¢en released to her. Mrs. P. had multiple sclerosis and stomach salad, fruit or Jello, bread and butter, mllk ger eligibllity worker had discussed the ulcers. 3he was blind in one eye. She got and dessert were prepared in th�cafeterla of legal problems with her and initiated eome around by rocking a short-legged kitchen an Alcoholism Treatment Program. The correspondence to attornepa with little re- chair in such a way as to walk it across the meals are de:ivered to Mrs. S.'s home at the �t.The agency's legal consultant was then flaor. She is a recipient of AND (Aid to the cost of only 35 centa a meal. Mrs. S. slso �ormed and initiated correspondence to Disabled) and receives 834 per month. Her learned from the cese worker that she can the court.A hearing was scheduled; however, husband was employed by a feamer who pro- catch a mint-bus to a local high school where the matter was settled out oi court prior to vides him with free rent in the shack in hot lunches are served every school day for that time. 81nce the monthly payment was which they live. Mr. P. also worked for the 20 cents. Mrs. 3.really prefers to ride to the less than the smount mentloned in the wlll, iarmer for such income in kind ss mllk and school, according to the case worker. That the agency's legal consultant was again eggs.It seems that his employer had managed wey, she gets to see her newly-made friends �lled 1n. Upon his recommendation the to keep Mr.P.in debt to him for many,many who also eat there. amount offered was sccepted for the client, months. IIpon referral, the county welfare Description oJ serroice with the stipulation that the amount could casewarker stated that Mr. snd Mrs.P. were Persons with disabilities of old age and be changed if,at a later date,her living ex- mentally retarded,socially retarded,snd had poverty suffer numerous difficulties, includ- penses and cSrcumstances changed. pooT �udgment in managing their affaire, ing physical and social isolation,poor health, Arrangements have been made for the especlally Snancially. lack of money,inaccessibility of services,lack checks to be sent to Mrs.FI's lceal bank where The case aide and homemqker helped the of transportation, dlfficulty in shopping for she will report to sign the check and have P's move lnto a four-room modern house with food and other necessities, poor diEtary money deposited to her checking account. s carpet,refrigerator,a lawn,and the modern hsbits,excess leisure time,feeling oi useless- Description o�service �nveniences. ness and not being wanted. Whlle each legal service agency is prop- They arranged Sor Mrs. P. to have a com- The Meals on Wheels,the Congregate Feed- erly unique in order to reflect the particular Plete medical work-up at the hospital. As a ing Programs and programs to encourage needs of its oommunity,in general they pro- result of conferences with the Adult Services community participation are services aimed vide legal counseling and representation to �eld Supervisor,the home care provision was used in meeting Mrs. P.'s needs. Effective at reducing these problems. individuals and groups across a broad spec- �ptember 1,1968,Mr.and b2rs.P.will begin Ho2o services are provdded trum of legal problems in order to assure receiving$180 per month to provide for care Programs such as these sre provided by that the rights of individuals are protected, in the recipients' own home rather than in The major eligibllity exclusions are those a nursin home. many diRerent kinds of organizations: offi- g cases that are fee-generating, matters in cSal or voluntary health and welfare agen- which the State or community has an obliga- The caseworker and the homemaker are cies, non-proflt snd proflt. Increasingly the tion to furnish counsel to the indigent,and cooperating in s project to teach Mr.P.how more common form of service delivery is the to keep the house and take care of Mrs. P, those persons who exceed the flnancial stand- multifunction senior citizen program which ards. Some examples oi cases that a legal whose multiple sclerosis is not improved. is under (religious and non-sectarian) pr1- $ervice ofRce might have are counsel snd Description of service vate suspices and along with support from representation Sn landlord/tenant issues, fn Adults, particularly elderly adults, can fees and United Funds receives funding actions concerning public agencies, in con- need protective services Just as much as chil- thruugh government grants and contracts. sumer issues, in divorce and family matters, dren. The kinds of service are not identical Under the current proposed regulations to and in commitment procedures. although often similar, but the need can be the Social Security Act relating to home deliv- The great maJority of problems brought as urgent for an older person as for a child. ered and congregate meals paqment will be }� legal ser�ices offices involve domestic re- Protective services means the systematic use made for service that covers preparation and lations, economic difficulties and property of social, health and legal services and re- delivery (but not the cost of the food) of matters. aources for and on behalf of seriously im- at least one hot meal daily to an individual How services are provided paired actults, persons who are abused, iso- i�i his home or in s centrsl dining facility. lated or exploited and who have no persons Tl�e regulations also provide for payment for �'�'hlle local sponsorship of a legal services ready,willing or able to assist them. recreational and leisure time services to the Program is a decision made locally, clearly aging, and to encourage their participation the endorsement of.the local bar association How services ¢re provided as volunteers in community agencies and or- 1s an essential ingredient ior success. Whlle Since protective services covers a broad ganizations. not s legal requlrement, the contribution of range oi services for the elderly, including some local funds is a useful devlce to in- housing, health, and mental health services HEALTH-AELATED 3ERVICES sure local aupport. Some examples of spon- to obtain other community resources,finance rlr. K., age 80, Austrian-born and flnan- �rship are model cities agencies, multi- assistance and homemaker services, the cially independent, has lived alone all his countp agencies(in rural areas),legal aid so- opportunities for providers are equally broad. life and has no known relstives. He was re- cieties (usually supported by IInited Funds �e program may be run essentially from one ferred to the project by a local ophthalmolo- and/or local funds), tenan?s organizations, ofiice .which contracts wlth other agencies. �ist who found Mr. K's blood pressure so county or city government,and private, not The program may be one that provides a high a stroke was feared.The doctor wanted for proflt agencies developed especially for combination of purchase of service and direct immediate hospital placeznent to reduce the this purpose. provision. b100C� pressure t0 8VOiC1 a stroke &llCl PI'C- HOUSING SMPROVEMENT SEAVICES HOME MANAGEMENT SERVICES pare rir.K.for cataract surgery. Not knowin this mnn or his immediate Mrs. B. 1s a b0-year-old woman who has �"s. M. is an attractive, pleasant 35-year- g had a long history of inental problems. She old woman with I1 children who is sepa- needs, the caseworker and homemaker went has always been in a protective environment, I'ated fram her husband. She has been on together to dlscuss the doctor's recommenda- either voluntarily or involuntarilp. She has ptiblic assistance for almost 2 years and was tion. After some discussion, Mr. K. agreed a difficult problem in relating to people and; recently refzrred to the Social Service Unit to enter the hospital and the team members therefore, was referred to the State Social for help, with her household management, assisted him in preparation for and admit- Service Staff. child care grablems as well as flnding her a ance to the hospital, including transporta- gy µ.orking with the Housing Specialist, decent home. A Social Service Casewarker tio�i. funded with social service funds, the staff ��e actively involved with the family and Vislts were contiuued regularly to cement was able to encourage and effectively have helped to organize the household. The fact the relationship with the client. After the Mrs. B. participate in new social situations that a worker was visiting at least once or blood pressure deceased he had cataract sur- as elementary as apartment hunting and twice a week to see what help was needed gery and was placed in a nursing home.The contacting real estate agents.'I'hey weze able was very supportive for Mrs. M. She felt caseworker assisted him in enrolling for so- to locate a standard apartment which someone cared and made a greater effort to cial security medical benefits so he will have pleased Mrs. B. Since she has rented this flnd adequate housing and kept her present this resource to cover a prostatectomy. apartment, furniture was given to her. She house in arder. The children were given Descri tion o service 1s very happy that her home is now totallp speciflc chores of their own including clean- P � "her own." As Mrs. B. was never in a living ing and child care. With the help oP the Many who are receiving public aid have situation where she was responsible for Fie!d Staff Mrs. M, was able to flnd an cronic disease and disabllity, and because oi utllities, etc., Social Service is working on 8-�om house that she could atfard and that these conditiona have special health needs. the basic budgeting techniques and house- was in good condition. The Social Service The health care system generally dces not hold management. Caseworker got beds, furniture and a re- work very well for many people,particularly Mrs. B. is quite willing to accept her new frigerator for the family. She said she the disadvantaged,disabled and elderly.Phy- couldn't thank us enough for what we have responsibilities; and with continued work slcian house calls snd other home health care with her,the agency is certain that she soon done and that surely"the good Lord"and the 1s &lmost non-eaistent. Barriera to health will be able to become independent in house- �location Agency was watching over hez. care are created by s person's lack of knowl- hold management. She is now employed and can manage to edge of where to go, lack oi transportstion, continue working because her house is in long waits in physicians offices and clinics, Description oj service An estimated one-third of order. and impersonal care. public assist- Description of service Health-related setvices call ior personal- ance payments is spent for housing by low- Disorganization in famlly life is closely as- ized attention,regulsr and frequent contacte Sncome families.In contrast, the proportion $ociated wlth conditions of poverty, disad- by a social worker, a paraprofessional or a oi income most families spend for shelter vairtage and neglect. It is likelp to be trans- volunteer under professional supervision. A ranges from 12 to 17 percent. A large num- �itted irom one generation to another. person ia helped to get proper health care, ber oY poor tamilies including public assist- ��ce which provides help in home man- to follow the prescribed health regimen,and ance recipients live Sn substanda�rd private agement can be a flrst step in breaking the to make use of community, facllitles that housing. The ability to overcome the bar- cycle of poverty.The service Calls for a com- will help maintain Sndependent functioning. riers of lack of knowledge of housing assist- bination oY aocial service and family edu- It requires continuing liaison with physicians ance available through other public pro- cation. and nurses to iacilitate mutual patient plan- grams, improving relationships between Improves Understanding ning,work with the patient to overcome med- landlords and tenants snd encouragements A mother is helped to improve capabilitp ical ignorance and lack of proper use of to report housing code violations are maJor !n preparing nutritious meals, in mainteSn- health care, securing oi transportation and factors in improving housing services to ing a clean and comfortable home,in family escort service for patients who otherwlse these families. could not et to health care and, enerall relationships and chlld-x+earing.Where there g B 9. Elements oY Service !s e father in the home, both mother and supplying much needed personslized etten- Housing improvement services include father are helped in undeastanding money tion and help. helping Sndividuals locate quallty housing management and in sharing the discipline How services are provided at an acceptable price and securing assist- �d supervision of chlldren. Otherwlse, a Service ia provided on an outreach basis— ance in home maintenance and minor re- to people in their own homes ususlly upon pairs. It also involves attempts at lmprove- single parent is supported and strengthened the initiative of the agency. 8uch cervice 1s ment of landlord-tenant relations including �Blve the children a good home. a basic responsibility of case work staH o1 explanation to Lhe tenants o1 thelr respon- Individually and in groups the heada of a department o1 public weliare,ehared with sibilities and sta8 reporting and encourag- famffies are helped to cope with the everp- the vocetfonal rehabilitatlon and e1d to bllnd 1ng families to report housing code viola- day problezns of living: hame maintenance, programs.Prlvate organlzntiona,such as vle- tlons. consumer knowledge, hemdth care, famlly re- iting nurse asaociations end eenior citlzen How services are provided lationships (parent-child,teen-age pzoblems. etc.) and community participation. services hsve proved eHective ln providing Btate and local public welfsre agencies can How services are provided these suDDOrtive servlcea for health care, use soclal services funds to employ housing �,y�,�, ��s specialists and housing sides who have had This kind of service 1s provided by a va- Mrs.H.79,lives slone in a crowded apsrt- special training or experience in housing. riety of governemntal and private organiza- ment.She hsa three chlldren who do not live PROTECTIVE sssvxc�s roa envi.xs tions including fsmily service agencies, mental health centers, neighbaa�hood and cloee to her end another eon,now deceasefl. The P'e lived in an old dllapidated two- �ulti-service centers, Department of Agri- Her eoa's will speciSed that under certein room house wlth B tar paper covering on the culture and unSversity extenslon services. . � -11- EMPLOYMENT SERVYCFS-NON-WIN Hoxo services are provided pAOrosm Naw 8ocz+L 8�vcc�R�c°r.e'rtox6, , Mrs.W.,a young woman with a 5-year-old C}enerallp foster care for adults 1s a direct PSIHLIS�D N�H$IIASY 18, 1978 son,was living in temporary housing at the service of a welfare department to provide P�temorandum by Judy time oY her referrel to Social Service. alternatives of care to recipients.Th1a service j�S STl1U S F7a sh in tOIl With the help of a caseworker, arrange- may be provided also by a private organiza- r g ments were msde for Mrs. W. and her son c�on gP��a��g m�r�i�g co tae��g. Re s e a r ch Pr o j e c t t0 IIlOVC into public housing. Mra. W. paid pAOTECTIVE BERVICES FOR CBII.DREN for the moving expenses qut of her own On February 16, SEW publlshed its pro- Ciail was 23-years-dld at the time of re- posed new regulations for soclal services.Ia- money. ferral.Her infant son had a broken arm and terested parties have untll March 19 to sub- Once moved, Mrs. W. was assisted by the bruises around his face and head. Ciall had mit comments, sfter which HEW m¢y make caseworker by being referred to several em- taken her three-month-old son to the neigh- chai�ges before putting the new regulations ployment programs. One referral resulted in borhood clinic where trie doctor admitted into effect. her being able to abtain a part-time job in him to the local eneral hos itat.The hos i- the dietary dFpertment of a local haspitaL g P p The new regulations would seriously affect Mrs.W.now manages her own life and has tal personnel referred mother and child to the quality and quantity oi services current- no current need for social services, or for the department's Chlld Protection Program. ly being provided, and would drastically re- public assistance. The child was placed in a temporary foster duce the number of children and families home. Gail began having regular sessions eligible for such services. Description oJ service with the department's psychiatric con- The following is a summary of some of the Many effective Jab programs have been sultant. She visited her chlld in the foster most obvious and.serious changes in the those that rehabilitate the physically handi- home.Each visit was a little longer,intervals regulations. capped. Recent legislatlon and administra- were shortened. Her son was in the foster 1. Eligibility Jor Services: tive ection have encouraged similar eHorts home 10 months. When he was returned �a� Definition of Past and Potential�Re- for thase who sre socially and economically home,a department homemaker was assigned ciPieruts (8ec. 221.6(c))—Past recipients of disadvantaged, and mentally handicapped. to help Gail with his care and the housework. ,�*� may receive services if they were ap- To place into Jobs recipients oi Aid to Fam- The Community Service Aide, Homemaker, plicants or recipients within the previous ities and Dependent Chlldren (1iFDC), Con- Child Protection Social Worker and Super- three months, and if they are completing gress established under the 1967 Social Secu- visor were all available to Gail 24-hours per services pmvided while they were applicants �ity Amendments the Work Incentive (WIN) day by phone and to visit her if needad.The or recipients. (Current regulations make eli- Progrem. child protection social worker counselled Gall gible anyone who was a recipient or appli- The current proposed regulations for social for two years. There has been no problem cant within the previous two years.) Poten- services under the Social Security Act allow With child abuse in that time. tial recipients are eligible if they are likely 1or payment for employment service that is Description of service not part of WIN to enable "agpropriate in- to 1�e dependent within six months—i.e., if dividuals to secure paid employment or Protective services are casework+services their income is not more than I/a higher than training leading to such employment, initiated by the social work agency.n situa- the state's AFDC payment, if there are no through vocational, educational, social and tions where children are negleoted, abused, family resources exceeding permissible levels psychological assessments to determine po- exploited, or permitted to live under de- for AFDC, and if the services to be provlded tential for Job training or employment";also, moralizing conditions Uy their parents or will correct problems which otherwise would there is allowance for"vocational rehabllita- others responsible for their care. lead to dependence. (Current regulations tion service (other than medical or subsis- In providing protective services,the agency make eligible anyone likely to be a recipient tence items) as defined in the Vocational gccepts complaints or referrals from indi- within five years,snd states have the suthor- Rehabilitation Act, when provlded pursuant viduals, other social agencies, schools, and ity to set their own maximum income levels to an agreement with the State agency ad_ law eniorcement officials,etc. for eligibility as a potential recipient.) ministering the vocational rehabilitation Usually someone ather than the parent (b) Individual Eligibility�ection 221.8 program."It provides,also for vocational ed- brings children who are neglected or abused would end the current authority for group ucation and training where the Work In- �the attention of the child welfare agency. eligibility Yor services (e.g.,sny resident of a centive Program has not been initiated in It may be some other agency,public or pri- model cities area,or an OEO-designated pov- a local jurisdiction or Ls inadequate in size vate, a doctor, s hospital, or a citizen con- erty area, regardless of individual economic and scope to meet the needs of the appro- cerned about a child locked in an empty room need). The new regulations require a spe- priate iudividuals.° for-2 days, beaten with the buckle end of a ciflc individual service plan for each family belt,or left cold and unfed to wander in the and individual. Only services included in Ho2v services are provided streets. the individual plan can be provided, for a The prin�ipal agencies providing these Child welfare services oan strengthen some specifled period of time, and those services services are the welfare department, the families in which these children are found. must relate to one oi two specific goals-- vocational rehabllitation agency and the em- If the troubled Yairilly is discovered early self-support or self-sufficiency.Service plans ployment service, and with the potential for enough these services may prev�nt many oY must be reviewed at least once every siR coordinating their work with other organiza- the social ills that follow when children are months "to insure only appropriate services tlons through the Cooperative Area Man- deprived of care and protection. are provided." power System (CAMPS). Hozo aervices ¢re provided (c) Redetermination oJ Eligibility—Section DAY CARE FOR ADULTS pratective services for children are usually 221.7 requires frequen,k (to the point of har- n4r. R. had almost forgotten what it was provided by the state or county welfare pro- rassment) redetermination of eligibi]ity for like to smile. It had been a rough life,espe- gram. � services: cially since his wife of 43 years died flve years HOMEMAKER sExvxcss Once every three months for current re- a�;o. He then moved into a drab apartment cipients, � iu the inner-city. There was nowhere to go, Following the birth of their third child, For past recipients, within 30 days of the nothiug to do.Then Mr.R.was introduced to Mrs. E. developed phlebitis in her left leg time they go off the rolls, a senior center that opened up near his home. and became very depressed as her mother For potential recipients,at least once every He was,in his words,"born again." had died with a"blood clot"after childbirth. 6 months, Dancing and singing in the center's bright- Because of her depression,Mrs.E.was trans- Within three months of the effective date ly colored, cheerful activity ha11 thnusts him ferred to the hospital psychiatric unit. The of the regulations for all former recipients into a lifestyle that is "like heaven" Mr. R. Psychiatrist discharge plan called for home- currently receiving services. even took up the violin again—a hobby that maker-home health aide service untll Mrs. 2. M¢ndatory and Optional Services—Sec- once brought joy to his wife.Now he brings E's physical and mental health improved tion 221.5(b) lists only three mandatory Joy to others at the center. permlting her to resume care of her family. services�uhich states must provide to current A homemaker-home health aide, working applicants and recipients—family planning, Description oj service as a member of the care team and under the foster care services,and protective care serv- This is a proo am for impaired adults('such supervision of a social worker, was assigned ices (in case of neglect,abuse or eacploitation as the aging, handicapped and mentally ill) to take care of the children, Mrs. E. and of children). All other services which ase to enable them to remain wlth their famllies their home.Mr.E.,who had been away from currently mandatory become optional under rather to be placed fiill-time in an institu- his job for three weeks during the family the new Section 221.5—child care services tion, crisis,was then able to return to work. related to work or training, non-WIN em- Day Care programs can range from day After a few weeks at home Mrs. E. was ployment services,education services,health- care centers that provide association and able to resume care for her chfldren and related services, homemaker services, home acticlty with others today hospitals offering home so that homemaker-home health aid management and other functional educa- dia.gnostic and treatment services too com- service was no longer needed. tional services, housing improvement serv- plex to bring into the patient's home. Descri7�tion oJ service ices, and transportation services related to a Social program service plan. Other services, which are op- Homemaker services involve care of in- tional now under the current regulations, A day care center is primarily a social pro- divlduals in their own homes and helping are completely eliminated—such as, child gram for the frail, moderately handicapped individual caretaker relatives to overcome care which is not work-related,other educa- or slightly confused older person who needs specific barriers to achievement oY optimum tion and training services,and legal services. care during the day, either because he lives household and family management through alone or to r211eve his family and thereb9 services of a trained and supervised home- 3. Day Care (Sec. 221.9(a)(3)—States are keep him at home.A day hospital Ls a health maker. no longer required to provide day care as a care program for a disabled for an ill-aged The service also helps maintain children mandatory service,but may include it in the person who can be treated for part of each in their home. state plan as an optional service.However,it day rather than full-time admission to a Hozo services are rov3ded must be care necessary to enable a member hospitaL P oP the chlld's famlly to work or accept train- The type of auspices and the stafRng will Providers of the homemaker service in� ing, and only in cases where there is no one vary depending upon whether the social or clude visiting nurse associations and other else in the family to care for the chlld. The the health component is dominant. In the home health agencies, local welfare depart- new draft eliminates the requirements in cur- former the staffuig and service will be similar ments, and other family and'child welfare ren� regulations that care be "suitable" for to a neighborhaod center and the latter like service organizations under various auspices. the child, thst parents be involved in the a hospital. Some provide homemaker service as their choice of oare and agree to the type of care FOSTER CARE SERVICES FOR ADULTS only service; others provide it for just one provided,and that states develop alternative age group or problem group as for the aged, sources of care. It eliminates the curren� Many aged,dlsabled and handicapped per- children or the sick. provlsion that care outside the home must sons are not bedridden but need help ln the Many States contract with private home- be provided in facllities thnt meet the Fed- daily routine oP living. These people, gen- maker services to provide the services. Un- eral Interagency Day Care Requirements,but erally, prefer living with a private fasnily in der this s stem, a service says only that such facilities must meet state home-like surroundin and take ride in Y purchased for a � P client from another agency w311 be treated or local licensing requirements.It also ellm- living outside institutions.Foster care tends no differently than an agency-provided serv- inates the requirement that in-home care be to preserve a sense of independence in the ice, but the pur�hase mechanism itself w111 "reasonably in sccord" with standards o1 aged and handicapped adult. be closely controlled by federal offlclals. the Chlld Welfare League of Amerlca and the The basic service is homeflnding and super- These materials were produced by the Nationel Council for Homemaker Services. vision after placement to: Council oP State Governments and its af- 4. Advisory Committees (Sea 221.2(b)— (a) locate suitable familiea; (b) Snterest Under the new draft,states would no longer each in making a place in their famlly for filiate, the National Legislative Coqference, ye required to maintain sdvisory committees under agreement with the assistance from for sll social services,but thep would have to an aging or disabled person; and (c) match the American Public Weliare Assoclation. eaoh foster home (in terms of background oi hsve an advisory committee for day care only. interests, temperament, personality, type, The American Public Welfare Association IInlike current regulattons which require etc.) with s person to be provided foster care. operated under grant No. 89-P-8006/5-01 that �/3 of these committees be recipients, The placement then !s supported by special from the Social and Rehabilitation Service, selected by recipients, the new regulations services as needed such as caseworkere,para- Department oi Health, Education snd Wel- would not require any participation by recipi- professional case aides,homemskers and vol- fare. Inquiries may be addressed to, and ents of day care services.The authority of the unteer friendlp visitors. The coordinartor of limited coptes are available from: committees is vaguelq deflned as"to sdvise:' theae services snd the main aource of coun- Program Director, Council oi State Gov- b.Purchase oJ Sefvices seling help to both the foster famliy and the ernments, 1150 17th Street, N.W., Washing- (s) Private Agencies—Sectlon aai.sa ab- adult-in-csre 1s the caseworker. ton, D.C. 20036. solutely prohibits all privste sourcea of the atate's 26% matching share—whether Ln cash or in kind. -12- � (b) Public Agenciea—The atatb melfare sgency msy continue to purchsae aervlcee rrom other public agencles, but $ection 221.80(s)(2) requfres that atl such purchsse arrangements are aubject to priar review sad approval by SRS, with documentation ss to type, cost, snd quality. 8ection 221.b4 (b)(S) 1lmits federal matching after Msir.h 1, 1973 to new purchases from other public sgencies for servlces beyond those repre- eented by Sscsl 1972 expenditures (e move to prevent uee of soclal aervicea funde to reflnance atate and local servlce programsj. Section 221.50(a)(7) requires assurance that sources Yrom which servlces are pur- chaeed ate licensed or otherwise meet state and federel stsxidards. 6. Hearfngs Procedures-8ection 221.2(c) eliminatea current requirements for fair hearings and appeals in cases of denial or exclusion irom programs, or of failure to tske lnto account n recipient's choice. Zn- stead, it requires only "a system through which recipients may present grievances about the operation of the service pro- gram." 7. Public Inform.ation—All public inior- matlon requirement6 in current regulations hsve been eliminated. 8. Eapansfon oj Services—All require- ments in current regulatione for state agen- cies to extend or lmprove servlces,to develop slternstive sources of services,or to mobllize resources have been eliminsted. C 1��'�d �c�°� JOSEPH�.KARTH HOUSE COMMITTEE ON , hx Disintt,Mu�x[sou WAYS AND MEANS 2172 R�twxx Hoos[Or►�B�os. `""T°"�`�' . �Congre�g of t�e �ttiteb �tateg 808ER'f E.F�SS ,�,�f*.�*��s��, �ou�e of 3�e�re�erita�tibe�c O�mrcr Orflea: Ro�.su !lla�s'�ington.�.eC. 20515 FeoF3�u Buaaxc�xo U.S.Couei Haus[ 3f6 N.Roe[�r Sn�r S�u�i P�u4 M�xx. 55f01 (612)725-7l69 March 19, 1973 Mr. Harry E. Marshall City C1erk and Commissioner of Registration City of St. Pau1 386 City Ha11 and Court House St. Paul, Minnesota 55102 Dear Harry: Thank you very much for sending along to me a copy of the resolution passed recently by the St. Pau1 City Council in which they ex- pressed their opposition to the withholding of appropriated monies and curtailment of certain Federal programs. I do appreciate your thoughtfulness. With best wishes, I am Sincerely yours, J ep E. Karth mbe of Congress JEK:pw WHITE — CITY CLERK PINK — FINANCE 7F� C011I1C11 f`j �� { BLUERY— MAYORTMENT GITY OF SAINT 1 AIIL File NO. v,�`. :��`-� • � . ,x�ou�,.czl Resolution s . � � ...�sw.r.lnY�.:k „�.R`'S. "- a,+s. �. ,... �.- Presented By ".~°" . �:� Referred To Committee: Date Out of Committee By Date WH�R.EAS, Preaident i"3ixoa haa capriciously cut back ar�d impaunded Federal fundi�g legally appropriated by khe Gongress for rratnable programs in urban renewal. burria�► �aervice�a, a�eci amployxnent opportunfties; and WHEREAS, #.�ese prv�ra�s have beea supparted coaaister�tlq by this Council a�d the peaple sf St. Paul bec�use of the ho�sing, mea�►in�ful emplop�ment. aecesaary �ocial seavice�, and other bar�efita that have beem provided to our cornmunity, our e�enior citizens, and ather disadva.ntaged groupe; so, therefare, be i t RES�LVED. t,hat thi� Cauncil, on behalf of the people of St. Panl, does her�by d�ciare and affirm ite oppositi�c�n tzr the wit�olding of Federal dollars and the curt�.ilment of gra�razns aiul eadea�ora that a�re so vitzl ta the contiaued growth and improveaient of apportt�r�ity ia tlu� cit�; ar�d be it �`UR.THER RE�C?LVED, �iat the City G2erk be direct�d t�a send eopies af thits resvlutian ta the clistin�uished ins�nbers of th� �Linnesota Congressional Delegation and the Goveraar of. �inaesota. COUNCILMEN Requested by Department of: Yeas Nays I�t.... Konopatzki In Favor Levine {'� Meredith �.i� Against BY Te esco �d� Mme.President Butler �a� 9 1973 Form Approved by City Attorney Adopted by Council: Date Certified Passed by Council Secretary By By Approved by Mayor: Date �IIAR � 3 1973 Approved by Mayor for Submission to Council By By