Page:United States Statutes at Large Volume 88 Part 2.djvu/1026

 2342

PUBLIC LAW 93-647-JAN. 4, 1975

[88

STAT.

"(8) No payment may be made under this section with respect to any expenditure if payment is made with respect to that expenditure 62^. "^^ ^°^' ""d^r section 403 or 422 of this Act. "(9)(A) No payment may be made under this section with respect to any expenditure in connection with the provision of any child day care service, unless— " (i) in the case of care provided in the child's home, the care meets standards established by the State which are reasonably in accord with recommended standards of national standardsetting organizations concerned with the home care of children, or "(ii) in the case of care provided outside the child's home, the care meets the Federal interagency day care requirements as approved by the Department of Health, Education, and Welfare and the Office of Economic Opportunity on September 23, 1968; except that (I) subdivision III of such requirements with respect to educational services shall be recommended to the States and not required, and staffing standards for school-age children in day care centers may be revised by the Secretary, ( II) the staffing standards imposed with respect to such care in the case of children under age 3 shall conform to regulations prescribed by the Secretary, and ( III) the staffing standards imposed with respect to such care in the case of children aged 10 to 14 shall require at least one adult for each 20 children, and in the case of schoolaged children under age 10 shall require at least one adult for each 15 children, except as provided in subparagraph (B). " (B) The Secretary shall submit to the President of the Senate and the Speaker of the House of Representatives, after December 31, 1976, and prior to July 1, 1977, an evaluation of the appropriateness of the requirements imposed by subparagraph (A), together with any recommendations he may have for modification of those requirements. No earlier than ninety days after the submission of that report, the Secretary may, by regulation, make such modifications in the requirements imposed by subparagraph (A) as he determines are appropriate. " (C) The requirements imposed by this paragraph are in lieu of any requirements that would otherwise be applicable under section Ante, p. 2310. 522(d) of the Ecouomic Opportunity Act of 1964 to child day care services with respect to which payment is made under this section. "(10) No payment may be made under this section with respect to any expenditure for the provision of any educational service which the State makes generally available to its residents without cost and without regard to their income. "(11) No payment may be made under this section with respect to any expenditure for the provision of any service to any individual living in any hospital, skilled nursing facility, or intermediate care facility (including any such hospital or facility for mental diseases or for the mentally retarded), any prison, or any foster family home except—

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