Requirements with respect to type and quality of services

The Secretary may not make a grant under section 300k of this title unless the State involved agrees— subject to subsection (b), to ensure that— The Secretary may not make a grant under section 300k of this title unless the State involved agrees that, if any screening procedure superior to a procedure described in subsection (a)(2) becomes commonly available and is recommended for use, any entity providing screening procedures pursuant to the grant will utilize the superior procedure rather than the procedure described in such subsection. The Secretary may not make a grant under section 300k of this title unless the State involved agrees that the State will, in accordance with applicable law, assure the quality of screening procedures conducted pursuant to such section. The Secretary shall establish a demonstration project under which the Secretary may waive the requirements of paragraphs (1) and (4) of subsection (a) for not more than 5 States, if— the State involved— the State involved submits to the Secretary— assurances, satisfactory to the Secretary, that the State will maintain the average annual level of State fiscal year expenditures for the services and activities described in paragraphs (1) and (2) of section 300k(a) of this title for the period for which the waiver is granted, and for the period for which any extension of such wavier 11 So in original. Probably should be “waiver”. is granted, at a level that is not less than— In granting waivers under paragraph (1), the Secretary— The Secretary, upon the request of a State that has received a waiver under paragraph (1), shall, at the end of the waiver period described in subparagraph (A)(i), review performance under the waiver and may extend the waiver for an additional period if the Secretary determines that— the State has maintained the average annual level of State fiscal expenditures for the services and activities described in paragraphs (1) and (2) of section 300k(a) of this title for the period for which the waiver was granted at a level that is not less than— The Secretary shall include as part of the evaluations and reports required under section 300n–4 of this title, the following: With respect to States receiving a waiver under paragraph (1), a description of the percentage of the grant that is expended on providing each of the services or activities described in— With respect to States receiving a waiver under paragraph (1), a description of— Amounts to which a waiver applies under this subsection shall not be used to increase the number of salaried employees. In this subsection: The term “Indian tribe” has the meaning given the term in section 1603 of title 25. The term “tribal organization” has the meaning given the term in section 1603 of title 25. The term “State” means each of the several States of the United States, the District of Columbia, the Commonwealth of Puerto Rico, American Samoa, the Commonwealth of the Northern Mariana Islands, the Republic of the Marshall Islands, the Federated States of Micronesia, the Republic of Palau, an Indian tribe, and a tribal organization. The Secretary may not grant a waiver or extension under this subsection after September 30, 2012.