Building Secure and Healthy Families Act of 2003 - Amends part A (Temporary Assistance for Needy Families) (TANF) of title IV of the Social Security Act to revise the TANF program, with changes: (1) replacing grants for States to reward a decrease in illegitimacy with grants to States to promote and support secure families; (2) adding nondiscrimination requirements pertaining to marital status and family structure and participation in activities or services funded under the new grant; (3) authorizing a State to assist a teenage parent who does not attend high school or another equivalent training program to come into compliance with TANF work and education requirements; (4) deeming teenage heads of household who maintain satisfactory school attendance to meet work participation requirements; (5) requiring certain certifications regarding domestic or sexual violence in State TANF plans; (6) prohibiting a State from penalizing an individual for TANF requirement noncompliance where domestic or sexual violence is a significant contributing factor in the noncompliance; (7) deeming a TANF recipient who provides appropriate care to a child or other relative who has a serious health condition or a disability as engaged in work for work participation rate purposes; and (8) eliminating the termination of TANF assistance for an entire family where an individual in the family has refused to engage in required work.
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