Page:United States Statutes at Large Volume 104 Part 1.djvu/444

 104 STAT. 410 PUBLIC LAW 101-354—AUG. 10, 1990 the purpose described in such subsection through grants to, and contracts with, public or nonprofit private entities. 42 USC 300/. "SEC. 1502. REQUIREMENT OF MATCHING FUNDS. "(a) IN GENERAL. —The Secretary may not make a grant under section 1501 unless the State involved agrees, with respect to the costs to be incurred by the State in carrying out the purpose described in such section, to make available non-Federal contributions (in cash or in kind under subsection (b)) toward such costs in an amount equal to not less than $1 for each $3 of Federal funds provided in the grant. Such contributions may be made directly or through donations from public or private entities. "(b) DETERMINATION OF AMOUNT OF NON-FEDERAL CONTRIBU- TION. — "(1) IN GENERAL. —Non-Federal contributions required in subsection (a) may be in cash or in kind, fairly evaluated, including equipment or services (and excluding indirect or overhead costs). Amounts provided by the Federal Government, or services assisted or subsidized to any significant extent by the Federal Government, may not be included in determining the amount of such non-Federal contributions. "(2) MAINTENANCE OF EFFORT. —In making a determination of the amount of non-Federal contributions for purposes of subsection (a), the Secretary may include only non-Federal contributions in excess of the average amount of non-Federal contributions made by the State involved toward the purpose described in section 1501 for the 2-year period preceding the first fiscal year for which the State is applying to receive a grant under such section. "(3) INCLUSION OF RELEVANT NON-FEDERAL CONTRIBUTIONS FOR MEDICAID.— In making a determination of the amount of non- Federal contributions for purposes of subsection (a), the Secretary shall, subject to paragraphs (1) and (2) of this subsection, include any non-Federal amounts expended pursuant to title XIX of the Social Security Act by the State involved toward the purpose described in paragraphs (1) and (2) of section 1501(a). 42 USC 300m "SEC. 1503. REQUIREMENTS WITH RESPECT TO TYPE AND QUALITY OF SERVICES. "(a) REQUIREMENT OF PROVISION OF ALL SERVICES BY DATE CER- TAIN. —The Secretary may not make a grant under section 1501 unless the State involved agrees— "(1) to ensure that, initially and throughout the period during which amounts are received pursuant to the grant, not less than 60 percent of the grant is expended to provide each of the services or activities described in paragraphs (1) and (2) of section 1501(a), including making available screening procedures for both breast and cervical cancers; "(2) subject to subsection (b), to ensure that— "(A) in the case of breast cancer, both a physical examination of the breasts and the screening procedure known as a mammography are conducted; and "(B) in the case of cervical cancer, both a pelvic examination and the screening procedure known as a pap smear are conducted;

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