Page:United States Statutes at Large Volume 108 Part 6.djvu/175

 ^*-^ -^* PUBLIC LAW 103-448—NOV. 2, 1994 108 STAT. 4743 breastfeeding promotion strategies and to develop State or local agency capacity or facilities to provide quality breastfeeding services.". (s) SPENDBACK FUNDS.— Section 17(i)(3) of such Act (42 U.S.C. 1786(i)(3)) is amended— (1) in subparagraph (A)(i), by inserting "(except as provided in subparagraph (H))" after "1 percent"; and (2) by adding at the end the following new subparagraph: "(H) The Secretary may authorize a State agency to expend not more than 3 percent of the amount of funds allocated to a State under this section for supplemental foods for a fiscal year for expenses incurred under this section for supplemental foods during the preceding fiscal year, if the Secretary determines that there has been a significant reduction in infant formula cost containment savings provided to the State agency that would affect the ability of the State agency to at least maintain the level of participation by eligible participants served by the State agency.". (t) ELIMINATION OF DUPLICATIVE MIGRANT REPORTS. —Section 17 of such Act (42 U.S.C. 1786) is amended— (1) in subsection (d)(4), by inserting after "Congress" the following: "and the National Advisory Council on Maternal, Infant, and Fetal Nutrition established under subsection (k)"; and (2) by striking subsection (j). (u) INITL\TIVE TO PROVIDE PROGRAM SERVICES AT COMMUNITY AND MIGRANT HEALTH CENTERS.—Section 17 of such Act (42 U.S.C. 1786) (as amended by subsection (t)(2)) is further amended by inserting after subsection (i) the following new subsection: "(j)(l) The Secretary and the Secretary of Health and Human Services (referred to in this subsection as the 'Secretaries') shall jointly establish and carry out an initiative for the purpose of providing both supplemental foods and nutrition education under the special supplemental nutrition program and health care services to low-income pregnant, postpartum, and breastfeeding women, infants, and children at substantially more community health centers and migrant health centers. "(2) The initiative shall also include— "(A) activities to improve the coordination of the provision of supplemental foods and nutrition education under the special supplemental nutrition program and health care services at facilities funded by the Indian Health Service; and "(B) the development and implementation of strategies to ensure that, to the maximum extent feasible, new community health centers, migrant health centers, and other federally supported health care facilities established in medically underserved areas provide supplemental foods and nutrition education under the special supplemental nutrition program. "(3) The initiative may include— "(A) outreach and technical assistance for State and local agencies and the facilities described in paragraph (2)(A) and the health centers and facilities described in paragraph (2)(B); "(B) demonstration projects in selected State or local areas; and "(C) such other activities as the Secretaries find are appropriate.

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