Question

Answer the following questions in regards to the History and Basics of Title V.What is Title V of the Social Security Act and what legislation over the years has increased accountability of this program and how?

Answer 1

It is a federal program that focuses on improving the health of all mothers and children. It is a parnership with state maternal and child health and children with special health care needs programs, reaching across economic lines to support core public health functions as resource development, capacity and systems building, population based functions such as public information, education, knowledge development, outreach programs, technical assistance to communities and provider training.

In August 1935, President Franklin Delano Roosevelt signs into law new legislation to promote and improve maternal and child health nationwide. Title V of the Social Security Act is born.

1935-40- Title V provides programs for maternity, infant, and child care, and a full range of medical services for children, including children with congenital disabilities.

By 1938, every State but one has a Crippled Children’s (CC) Program aimed at the social and emotional, as well as the physical needs of these children. They represent the first medical care programs supported on a continual basis with Federal grants-in-aid money.

In 1940s- The Emergency Maternity Infant Care Program (EMIC), administered by the Maternal and Child Health Bureau and the State Title V agencies, establishes a service delivery system that provides free and complete maternity and infant health care for the wives and infants of the four lowest grades of servicemen. At the time of its implementation.

1950s- New program initiatives are developed to respond to new information about infant mortality rates and risks and information that points to the movement of health care providers away from the cities and rural areas toward suburban areas. In addition, this decade sees the beginning of special funding for projects targeting g “mentally retarded” children, later referred to as MR funds.

1960s-70s- The Maternal and Infant Care Programs (MIC) and Children and Youth Programs (C&Y) provide comprehensive child and reproductive health care services to millions of low-income women and children. The services developed by the programs for prenatal care, well-baby care, and family planning become models for the country.

1970s- The Improved Pregnancy Outcomes Program (IPO) promotes greater access to appropriate levels of care for pregnant women and infants in chosen geographic regions. The 34 States that participate in this program—including 13 that have very high rates of infant mortality—experience greater rates of decline in infant mortality than does the rest of the country.

1980s- The Maternal and Child Health Services Block Grant is created in 1981, consolidating under Title V seven former categorical child health programs into a single program of formula grants to States supported by a Federal special projects authority. States adopt injury prevention as a public health issue. The Emergency Medical Services for Children (EMSC) program is created in recognition of the fact that children have special needs when they are critically ill or injured. The program provides training and education in pediatric emergency health care, and influences the development of pediatric emergency equipment and standards

1990s- The Maternal and Child Health Bureau and its partners remain dedicated to improving the health of all the Nation’s women and children. Significant amendments to Title V in 1989 and adoption of the Government Performance Results Act (GPRA) of 1993 usher in an era of greater sophistication in assessing unmet service needs and improved accountability in measuring program performance and strengthening an already close Federal-State partnership. State data on health status and services are collected electronically and made available nationally via the Title V Information System Web site (www.MCHDATA.net). Major new child health legislative initiatives—Healthy Start in 1991 and the State Child Health Insurance Program (SCHIP) in 1997—target longstanding national concerns over infant mortality and uninsured children, drawing heavily on MCH professional expertise and organizational support. Abstinence Education is added to Title V as a categorical program separate from the Block Grant in 1996.

2000- The Maternal and Child Health Bureau assumes responsibility for new legislative programs to support Newborn Hearing Screening and Poison Control Centers. new funding for community-based abstinence education is added to SPRANS.