<num style="-uslm-dtd:enum" value="XXVI">TITLE XXVI—</num><heading style="-uslm-dtd:header">HIV HEALTH CARE SERVICES PROGRAM<ref style="-uslm-dtd:footnote-ref" idref="ID86FC22DD45924C63A3777BB5557EB3AB" class="footnoteRef">1</ref> </heading><footnote id="ID86FC22DD45924C63A3777BB5557EB3AB" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">1</sup><p style="-uslm-dtd:para; margin-left:1em">This title was added by Public Law 101–381. Section 2 of that Public Law provides as follows: “<quotedText style="-uslm-dtd:quote">It is the purpose of this Act to provide emergency assistance to localities that are disproportionately affected by the Human Immunodeficiency Virus epidemic and to make financial assistance available to States and other public or private nonprofit entities to provide for the development, organization, coordination and operation of more effective and cost efficient systems for the delivery of essential services to individuals and families with HIV disease.</quotedText>”.</p></footnote> <part style="-uslm-dtd:part" identifier="/us/sComp/78/373/tXXVI/ptA" styleType="traditional"> <num style="-uslm-dtd:enum" value="A">Part A—</num><heading style="-uslm-dtd:header">Emergency Relief for Areas With Substantial Need for Services<ref style="-uslm-dtd:footnote-ref" idref="ID822C3D26D0304973A504C0197709043E" class="footnoteRef">2</ref> </heading><footnote id="ID822C3D26D0304973A504C0197709043E" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">2</sup><content><p style="-uslm-dtd:para; margin-left:1em">Section 502 of Public Law 106–345 (114 Stat. 1353) relates to the development of reliable and affordable tests for HIV disease that can rapidly be administered and whose results can rapidly be obtained.</p> <p style="-uslm-dtd:para; margin-left:1em">With respect to information for determining formula grants under parts A and B, section 501(a) of Public Law 106–345 (114 Stat. 1352) provides for a study of State surveillance systems regarding cases of infection with the human immunodeficiency virus. Section 501(d)(1) of such Law requires that a report of the findings of the study be submitted not later than 3 years after the date of the enactment of the Law, which was enacted October 20, 2000.</p></content></footnote> <subpart style="-uslm-dtd:subpart" identifier="/us/sComp/78/373/tXXVI/ptA/sptI" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">Subpart I—</num><heading style="-uslm-dtd:header">General Grant Provisions </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2601" styleType="OLC"> <num style="-uslm-dtd:enum" value="2601">SEC. 2601. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–11<b>]</b> </editorialNote><heading style="-uslm-dtd:header">ESTABLISHMENT OF PROGRAM OF GRANTS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2601/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Eligible Areas.—</heading><content style="-uslm-dtd:text">The Secretary, acting through the Administrator of the Health Resources and Services Administration, shall, subject to subsections (b) through (c), make grants in accordance with section 2603 for the purpose of assisting in the provision of the services specified in section 2604 in any metropolitan area for which there has been reported to and confirmed by the Director of the Centers for Disease Control and Prevention a cumulative total of more than 2,000 cases of AIDS during the most recent period of 5 calendar years for which such data are available.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2601/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Continued Status as Eligible Area.—</heading><chapeau style="-uslm-dtd:text">Notwithstanding any other provision of this section, a metropolitan area that is an eligible area for a fiscal year continues to be an eligible area until the metropolitan area fails, for three consecutive fiscal years—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2601/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">to meet the requirements of subsection (a); and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2601/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">to have a cumulative total of 3,000 or more living cases of AIDS (reported to and confirmed by the Director of the Centers for Disease Control and Prevention) as of December 31 of the most recent calendar year for which such data is available.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2601/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Boundaries.—</heading><chapeau style="-uslm-dtd:text">For purposes of determining eligibility under this subpart—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2601/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">with respect to a metropolitan area that received funding under this subpart in fiscal year 2006, the boundaries of such metropolitan area shall be the boundaries that were in effect for such area for fiscal year 1994; or</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2601/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">with respect to a metropolitan area that becomes eligible to receive funding under this subpart in any fiscal year after fiscal year 2006, the boundaries of such metropolitan area shall be the boundaries that are in effect for such area when such area initially receives funding under this subpart.</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602" styleType="OLC"> <num style="-uslm-dtd:enum" value="2602">SEC. 2602. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–12<b>]</b> </editorialNote><heading style="-uslm-dtd:header">ADMINISTRATION AND PLANNING COUNCIL. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Administration.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Assistance made available under grants awarded under this subpart shall be directed to the chief elected official of the city or urban county that administers the public health agency that provides outpatient and ambulatory services to the greatest number of individuals with AIDS, as reported to and confirmed by the Centers for Disease Control and Prevention, in the eligible area that is awarded such a grant.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Requirements.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/a/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">To receive assistance under section 2601(a), the chief elected official of the eligible area involved shall—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/a/2/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><chapeau style="-uslm-dtd:text">establish, through intergovernmental agreements with the chief elected officials of the political subdivisions described in subparagraph (B), an administrative mechanism to allocate funds and services based on—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/a/2/A/i/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">the number of AIDS cases in such subdivisions;</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/a/2/A/i/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">the severity of need for outpatient and ambulatory care services in such subdivisions; and</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/a/2/A/i/III" styleType="OLC"> <num style="-uslm-dtd:enum" value="III">(III) </num><content style="-uslm-dtd:text">the health and support services personnel needs of such subdivisions; and</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/a/2/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">establish an HIV health services planning council in accordance with subsection (b).</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/a/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Local political subdivision.—</heading><chapeau style="-uslm-dtd:text">The political subdivisions referred to in subparagraph (A) are those political subdivisions in the eligible area—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/a/2/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">that provide HIV-related health services; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/a/2/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">for which the number of cases reported for purposes of section 2601(a) constitutes not less than 10 percent of the number of such cases reported for the eligible area.</content> </clause> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">HIV Health Services Planning Council.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Establishment.—</heading><content style="-uslm-dtd:text">To be eligible for assistance under this subpart, the chief elected official described in subsection (a)(1) shall establish or designate an HIV health services planning council that shall reflect in its composition the demographics of the population of individuals with HIV/AIDS in the eligible area involved, with particular consideration given to disproportionately affected and historically underserved groups and subpopulations. Nominations for membership on the council shall be identified through an open process and candidates shall be selected based on locally delineated and publicized criteria. Such criteria shall include a conflict-of-interest standard that is in accordance with paragraph (5).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Representation.—</heading><chapeau style="-uslm-dtd:text">The HIV health services planning council shall include representatives of—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">health care providers, including federally qualified health centers;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">community-based organizations serving affected populations and AIDS service organizations;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">social service providers, including providers of housing and homeless services;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/2/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">mental health and substance abuse providers;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/2/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">local public health agencies;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/2/F" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">hospital planning agencies or health care planning agencies;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/2/G" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">affected communities, including people with HIV/AIDS, members of a Federally recognized Indian tribe as represented in the population, individuals co-infected with hepatitis B or C and historically underserved groups and subpopulations;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/2/H" styleType="OLC"> <num style="-uslm-dtd:enum" value="H">(H) </num><content style="-uslm-dtd:text">nonelected community leaders;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/2/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">State government (including the State medicaid agency and the agency administering the program under part B);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/2/J" styleType="OLC"> <num style="-uslm-dtd:enum" value="J">(J) </num><content style="-uslm-dtd:text">grantees under subpart II of part C;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/2/K" styleType="OLC"> <num style="-uslm-dtd:enum" value="K">(K) </num><content style="-uslm-dtd:text">grantees under section 2671, or, if none are operating in the area, representatives of organizations with a history of serving children, youth, women, and families living with HIV and operating in the area;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/2/L" styleType="OLC"> <num style="-uslm-dtd:enum" value="L">(L) </num><content style="-uslm-dtd:text">grantees under other Federal HIV programs, including but not limited to providers of HIV prevention services; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/2/M" styleType="OLC"> <num style="-uslm-dtd:enum" value="M">(M) </num><content style="-uslm-dtd:text">representatives of individuals who formerly were Federal, State, or local prisoners, were released from the custody of the penal system during the preceding 3 years, and had HIV/AIDS as of the date on which the individuals were so released.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Method of providing for council.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">In providing for a council for purposes of paragraph (1), a chief elected official receiving a grant under section 2601(a) may establish the council directly or designate an existing entity to serve as the council, subject to subparagraph (B).</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Consideration regarding designation of council.—</heading><content style="-uslm-dtd:text">In making a determination of whether to establish or designate a council under subparagraph (A), a chief elected official receiving a grant under section 2601(a) shall give priority to the designation of an existing entity that has demonstrated experience in planning for the HIV health care service needs within the eligible area and in the implementation of such plans in addressing those needs. Any existing entity so designated shall be expanded to include a broad representation of the full range of entities that provide such services within the geographic area to be served.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Duties.—</heading><chapeau style="-uslm-dtd:text">The planning council established or designated under paragraph (1) shall—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">determine the size and demographics of the population of individuals with HIV/AIDS, as well as the size and demographics of the estimated population of individuals with HIV/AIDS who are unaware of their HIV status;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">determine the needs of such population, with particular attention to—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">individuals with HIV/AIDS who know their HIV status and are not receiving HIV-related services;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">disparities in access and services among affected subpopulations and historically underserved communities; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/B/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">individuals with HIV/AIDS who do not know their HIV status;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><chapeau style="-uslm-dtd:text">establish priorities for the allocation of funds within the eligible area, including how best to meet each such priority and additional factors that a grantee should consider in allocating funds under a grant based on the—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/C/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">size and demographics of the population of individuals with HIV/AIDS (as determined under subparagraph (A)) and the needs of such population (as determined under subparagraph (B));</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/C/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">demonstrated (or probable) cost effectiveness and outcome effectiveness of proposed strategies and interventions, to the extent that data are reasonably available;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/C/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">priorities of the communities with HIV/AIDS for whom the services are intended;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/C/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">coordination in the provision of services to such individuals with programs for HIV prevention and for the prevention and treatment of substance abuse, including programs that provide comprehensive treatment for such abuse;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/C/v" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">(v) </num><content style="-uslm-dtd:text">availability of other governmental and non-governmental resources, including the State medicaid plan under title XIX of the Social Security Act and the State Children's Health Insurance Program under title XXI of such Act to cover health care costs of eligible individuals and families with HIV/AIDS; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/C/vi" styleType="OLC"> <num style="-uslm-dtd:enum" value="vi">(vi) </num><content style="-uslm-dtd:text">capacity development needs resulting from disparities in the availability of HIV-related services in historically underserved communities;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><chapeau style="-uslm-dtd:text">develop a comprehensive plan for the organization and delivery of health and support services described in section 2604 that—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/D/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">includes a strategy for identifying individuals who know their HIV status and are not receiving such services and for informing the individuals of and enabling the individuals to utilize the services, giving particular attention to eliminating disparities in access and services among affected subpopulations and historically underserved communities, and including discrete goals, a timetable, and an appropriate allocation of funds;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/D/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">includes a strategy to coordinate the provision of such services with programs for HIV prevention (including outreach and early intervention) and for the prevention and treatment of substance abuse (including programs that provide comprehensive treatment services for such abuse);</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/D/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">is compatible with any State or local plan for the provision of services to individuals with HIV/AIDS; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/D/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">includes a strategy, coordinated as appropriate with other community strategies and efforts, including discrete goals, a timetable, and appropriate funding, for identifying individuals with HIV/AIDS who do not know their HIV status, making such individuals aware of such status, and enabling such individuals to use the health and support services described in section 2604, with particular attention to reducing barriers to routine testing and disparities in access and services among affected subpopulations and historically underserved communities;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">assess the efficiency of the administrative mechanism in rapidly allocating funds to the areas of greatest need within the eligible area, and at the discretion of the planning council, assess the effectiveness, either directly or through contractual arrangements, of the services offered in meeting the identified needs;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/F" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">participate in the development of the statewide coordinated statement of need initiated by the State public health agency responsible for administering grants under part B;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/G" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">establish methods for obtaining input on community needs and priorities which may include public meetings (in accordance with paragraph (7)), conducting focus groups, and convening ad-hoc panels; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/4/H" styleType="OLC"> <num style="-uslm-dtd:enum" value="H">(H) </num><content style="-uslm-dtd:text">coordinate with Federal grantees that provide HIV-related services within the eligible area.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><heading style="-uslm-dtd:header">Conflicts of interest.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/5/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The planning council under paragraph (1) may not be directly involved in the administration of a grant under section 2601(a). With respect to compliance with the preceding sentence, the planning council may not designate (or otherwise be involved in the selection of) particular entities as recipients of any of the amounts provided in the grant.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/5/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Required agreements.—</heading><content style="-uslm-dtd:text">An individual may serve on the planning council under paragraph (1) only if the individual agrees that if the individual has a financial interest in an entity, if the individual is an employee of a public or private entity, or if the individual is a member of a public or private organization, and such entity or organization is seeking amounts from a grant under section 2601(a), the individual will not, with respect to the purpose for which the entity seeks such amounts, participate (directly or in an advisory capacity) in the process of selecting entities to receive such amounts for such purpose.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/5/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><heading style="-uslm-dtd:header">Composition of council.—</heading><chapeau style="-uslm-dtd:text">The following applies regarding the membership of a planning council under paragraph (1):</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/5/C/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">Not less than 33 percent of the council shall be individuals who are receiving HIV-related services pursuant to a grant under section 2601(a), are not officers, employees, or consultants to any entity that receives amounts from such a grant, and do not represent any such entity, and reflect the demographics of the population of individuals with HIV/AIDS as determined under paragraph (4)(A). For purposes of the preceding sentence, an individual shall be considered to be receiving such services if the individual is a parent of, or a caregiver for, a minor child who is receiving such services.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/5/C/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">With respect to membership on the planning council, clause (i) may not be construed as having any effect on entities that receive funds from grants under any of parts B through F but do not receive funds from grants under section 2601(a), on officers or employees of such entities, or on individuals who represent such entities.</content> </clause> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/6" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><heading style="-uslm-dtd:header">Grievance procedures.—</heading><content style="-uslm-dtd:text">A planning council under paragraph (1) shall develop procedures for addressing grievances with respect to funding under this subpart, including procedures for submitting grievances that cannot be resolved to binding arbitration. Such procedures shall be described in the by-laws of the planning council and be consistent with the requirements of subsection (c).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/7" styleType="OLC"> <num style="-uslm-dtd:enum" value="7">(7) </num><heading style="-uslm-dtd:header">Public deliberations.—</heading><chapeau style="-uslm-dtd:text">With respect to a planning council under paragraph (1), the following applies:</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/7/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">The council may not be chaired solely by an employee of the grantee under section 2601(a).</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/7/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">In accordance with criteria established by the Secretary:</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/7/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">The meetings of the council shall be open to the public and shall be held only after adequate notice to the public.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/7/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">The records, reports, transcripts, minutes, agenda, or other documents which were made available to or prepared for or by the council shall be available for public inspection and copying at a single location.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/7/B/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">Detailed minutes of each meeting of the council shall be kept. The accuracy of all minutes shall be certified to by the chair of the council.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/b/7/B/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">This subparagraph does not apply to any disclosure of information of a personal nature that would constitute a clearly unwarranted invasion of personal privacy, including any disclosure of medical information or personnel matters.</content> </clause> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c)<ref style="-uslm-dtd:footnote-ref" idref="IDFB383639CDCE4B1CA5ED00B016B980A1" class="footnoteRef">3</ref> </num><heading style="-uslm-dtd:header">Grievance Procedures.—</heading><footnote id="IDFB383639CDCE4B1CA5ED00B016B980A1" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">3</sup><p style="-uslm-dtd:para; margin-left:1em">Subsection (c) was added by an amendment to subsection (b). Section 3(b)(1)(F) of Public Law 104–146 (110 Stat. 1348) provided that subsection (b) of section 2602 is amended “<quotedText style="-uslm-dtd:quote">by adding at the end thereof the following:</quotedText>”, and then added paragraphs (5) and (6) and subsection (c).</p></footnote> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Federal responsibility.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/c/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">Models.—</heading><content style="-uslm-dtd:text">The Secretary shall, through a process that includes consultations with grantees under this subpart and public and private experts in grievance procedures, arbitration, and mediation, develop model grievance procedures that may be implemented by the planning council under subsection (b)(1) and grantees under this subpart. Such model procedures shall describe the elements that must be addressed in establishing local grievance procedures and provide grantees with flexibility in the design of such local procedures.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/c/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Review.—</heading><content style="-uslm-dtd:text">The Secretary shall review grievance procedures established by the planning council and grantees under this subpart to determine if such procedures are adequate. In making such a determination, the Secretary shall assess whether such procedures permit legitimate grievances to be filed, evaluated, and resolved at the local level.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Grantees.—</heading><content style="-uslm-dtd:text">To be eligible to receive funds under this subpart, a grantee shall develop grievance procedures that are determined by the Secretary to be consistent with the model procedures developed under paragraph (1)(A). Such procedures shall include a process for submitting grievances to binding arbitration.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Process for Establishing Allocation Priorities.—</heading><chapeau style="-uslm-dtd:text">Promptly after the date of the submission of the report required in section 501(b) of the Ryan White CARE Act Amendments of 2000<ref style="-uslm-dtd:footnote-ref" idref="ID47CB6B8562574075A8C9404455C98EA8" class="footnoteRef">4</ref> (relating to the relationship between epidemiological measures and health care for certain individuals with HIV/AIDS), the Secretary, in consultation with planning councils and entities that receive amounts from grants under section 2601(a) or 2611, shall develop epidemiologic measures—</chapeau><footnote id="ID47CB6B8562574075A8C9404455C98EA8" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">4</sup><p style="-uslm-dtd:para; margin-left:1em">Public Law 106–345 (114 Stat. 1352). Section 501(d)(2) of such Law requires that the report be submitted not later than 2 years after the date of the enactment of the Law, which was enacted October 20, 2000.</p></footnote> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/d/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">for establishing the number of individuals living with HIV/AIDS who are not receiving HIV-related health services; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/d/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">for carrying out the duties under subsection (b)(4) and section 2617(b).</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2602/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Training Guidance and Materials.—</heading><content style="-uslm-dtd:text">The Secretary shall provide to each chief elected official receiving a grant under section 2601(a) guidelines and materials for training members of the planning council under paragraph (1) regarding the duties of the council.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603" styleType="OLC"> <num style="-uslm-dtd:enum" value="2603">SEC. 2603. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–13<b>]</b> </editorialNote><heading style="-uslm-dtd:header">TYPE AND DISTRIBUTION OF GRANTS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Grants Based on Relative Need of Area.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">In carrying out section 2601(a), the Secretary shall make a grant for each eligible area for which an application under section 2605(a) has been approved. Each such grant shall be made in an amount determined in accordance with paragraph (3).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Expedited distribution.—</heading><content style="-uslm-dtd:text">Not later than 60 days after an appropriation becomes available to carry out this subpart for a fiscal year, the Secretary shall, except in the case of waivers granted under section 2605(c), disburse 66⅔ percent of the amount made available under section 2610(b) for carrying out this subpart for such fiscal year through grants to eligible areas under section 2601(a), in accordance with paragraphs (3) and (4).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Amount of grant.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Subject to the extent of amounts made available in appropriations Acts, a grant made for purposes of this paragraph to an eligible area shall be made in an amount equal to the product of—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">an amount equal to the amount available for distribution under paragraph (2) for the fiscal year involved; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">the percentage constituted by the ratio of the distribution factor for the eligible area to the sum of the respective distribution factors for all eligible areas;</content> </clause><continuation style="-uslm-dtd:continuation-text" role="subparagraph">which product shall then, as applicable, be increased under paragraph (4).</continuation> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Distribution factor.—</heading><content style="-uslm-dtd:text">For purposes of subparagraph (A)(ii), the term “<term style="-uslm-dtd:term">distribution factor</term>” means an amount equal to the estimated number of living cases of AIDS<ref style="-uslm-dtd:footnote-ref" idref="IDBD0172F7044F4C5B91D484837046EA23" class="footnoteRef">5</ref> in the eligible area involved, as determined under subparagraph (C).</content><footnote id="IDBD0172F7044F4C5B91D484837046EA23" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">5</sup><content><p style="-uslm-dtd:para; margin-left:1em">Section 102(b)(1) of Public Law 109–415 provides as follows:</p> <p style="-uslm-dtd:para; margin-left:2em">(1) in subparagraph (B), by striking “<quotedText style="-uslm-dtd:quote">estimated living cases of acquired immune deficiency syndrome</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">living cases of HIV/AIDS (reported to and confirmed by the Director of the Centers for Disease Control and Prevention)</quotedText>”; and</p> <p style="-uslm-dtd:para; margin-left:1em">Such amendment could not be executed because the words “<quotedText style="-uslm-dtd:quote">number of</quotedText>” probably should appear before “<quotedText style="-uslm-dtd:quote">living cases</quotedText>” in the matter purported to be struck.</p></content></footnote> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><heading style="-uslm-dtd:header">Living cases of hiv/aids.—</heading> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><heading style="-uslm-dtd:header">Requirement of names-based reporting.—</heading><content style="-uslm-dtd:text">Except as provided in clause (ii), the number determined under this subparagraph for an eligible area for a fiscal year for purposes of subparagraph (B) is the number of living names-based cases of HIV/AIDS that, as of December 31 of the most recent calendar year for which such data is available, have been reported to and confirmed by the Director of the Centers for Disease Control and Prevention.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><heading style="-uslm-dtd:header">Transition period; exemption regarding non-aids cases.—</heading><chapeau style="-uslm-dtd:text">For each of the fiscal years 2007 through 2012, an eligible area is, subject to clauses (iii) through (v), exempt from the requirement under clause (i) that living names-based non-AIDS cases of HIV be reported unless—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/ii/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">a system was in operation as of December 31, 2005, that provides sufficiently accurate and reliable names-based reporting of such cases throughout the State in which the area is located, subject to clause (viii); or</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/ii/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">no later than the beginning of fiscal year 2008 or a subsequent fiscal year through fiscal year 2012, the Secretary, in consultation with the chief executive of the State in which the area is located, determines that a system has become operational in the State that provides sufficiently accurate and reliable names-based reporting of such cases throughout the State.</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><heading style="-uslm-dtd:header">Requirements for exemption for fiscal year 2007.—</heading><chapeau style="-uslm-dtd:text">For fiscal year 2007, an exemption under clause (ii) for an eligible area applies only if, by October 1, 2006—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/iii/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I)</num><item style="-uslm-dtd:item" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/iii/I/aa" styleType="OLC" class="inline"><num style="-uslm-dtd:enum" value="aa">(aa) </num><content style="-uslm-dtd:text">the State in which the area is located had submitted to the Secretary a plan for making the transition to sufficiently accurate and reliable names-based reporting of living non-AIDS cases of HIV; or</content></item> <item style="-uslm-dtd:item" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/iii/I/bb" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="bb">(bb) </num><content style="-uslm-dtd:text">all statutory changes necessary to provide for sufficiently accurate and reliable reporting of such cases had been made; and</content> </item> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/iii/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">the State had agreed that, by April 1, 2008, the State will begin accurate and reliable names-based reporting of such cases, except that such agreement is not required to provide that, as of such date, the system for such reporting be fully sufficient with respect to accuracy and reliability throughout the area.</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><heading style="-uslm-dtd:header">Requirement for exemption as of fiscal year 2008.—</heading><content style="-uslm-dtd:text">For each of the fiscal years 2008 through 2012, an exemption under clause (ii) for an eligible area applies only if, as of April 1, 2008, the State in which the area is located is substantially in compliance with the agreement under clause (iii)(II).</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/v" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">(v) </num><heading style="-uslm-dtd:header">Progress toward names-based reporting.—</heading><content style="-uslm-dtd:text">For fiscal year 2009 or a subsequent fiscal year, the Secretary may terminate an exemption under clause (ii) for an eligible area if the State in which the area is located submitted a plan under clause (iii)(I)(aa) and the Secretary determines that the State is not substantially following the plan.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/vi" styleType="OLC"> <num style="-uslm-dtd:enum" value="vi">(vi) </num><heading style="-uslm-dtd:header">Counting of cases in areas with exemptions.—</heading> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/vi/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">With respect to an eligible area that is under a reporting system for living non-AIDS cases of HIV that is not names-based (referred to in this subparagraph as “<quotedText style="-uslm-dtd:quote">code-based reporting</quotedText>”), the Secretary shall, for purposes of this subparagraph, modify the number of such cases reported for the eligible area in order to adjust for duplicative reporting in and among systems that use code-based reporting.</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/vi/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><heading style="-uslm-dtd:header">Adjustment rate.—</heading><content style="-uslm-dtd:text">The adjustment rate under subclause (I) for an eligible area shall be a reduction of 5 percent for fiscal years before fiscal year 2012 (and 6 percent for fiscal year 2012) in the number of living non-AIDS cases of HIV reported for the area.</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/vi/III" styleType="OLC"> <num style="-uslm-dtd:enum" value="III">(III) </num><heading style="-uslm-dtd:header">Increased adjustment for certain areas previously using code-based reporting.—</heading><chapeau style="-uslm-dtd:text">For purposes of this subparagraph for each of fiscal years 2010 through 2012, the Secretary shall deem the applicable number of living cases of HIV/AIDS in an area that were reported to and confirmed by the Centers for Disease Control and Prevention to be 3 percent higher than the actual number if—</chapeau> <item style="-uslm-dtd:item" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/vi/III/aa" styleType="OLC"> <num style="-uslm-dtd:enum" value="aa">(aa) </num><content style="-uslm-dtd:text">for fiscal year 2007, such area was a transitional area;</content> </item> <item style="-uslm-dtd:item" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/vi/III/bb" styleType="OLC"> <num style="-uslm-dtd:enum" value="bb">(bb) </num><content style="-uslm-dtd:text">fiscal year 2007 was the first year in which the count of living non-AIDS cases of HIV in such area, for purposes of this section, was based on a names-based reporting system; and</content> </item> <item style="-uslm-dtd:item" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/vi/III/cc" styleType="OLC"> <num style="-uslm-dtd:enum" value="cc">(cc) </num><content style="-uslm-dtd:text">the amount of funding that such area received under this part for fiscal year 2007 was less than 70 percent of the amount of funding (exclusive of funds that were identified as being for purposes of the Minority AIDS Initiative) that such area received under such part for fiscal year 2006.</content> </item> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/vii" styleType="OLC"> <num style="-uslm-dtd:enum" value="vii">(vii) </num><heading style="-uslm-dtd:header">Multiple political jurisdictions.—</heading><chapeau style="-uslm-dtd:text">With respect to living non-AIDS cases of HIV, if an eligible area is not entirely within one political jurisdiction and as a result is subject to more than one reporting system for purposes of this subparagraph:</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/vii/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">Names-based reporting under clause (i) applies in a jurisdictional portion of the area, or an exemption under clause (ii) applies in such portion (subject to applicable provisions of this subparagraph), according to whether names-based reporting or code-based reporting is used in such portion.</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/vii/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">If under subclause (I) both names-based reporting and code-based reporting apply in the area, the number of code-based cases shall be reduced under clause (vi).</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/viii" styleType="OLC"> <num style="-uslm-dtd:enum" value="viii">(viii) </num><heading style="-uslm-dtd:header">List of eligible areas meeting standard regarding December 31, 2005.—</heading> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/viii/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">If an eligible area or portion thereof is in a State specified in subclause (II), the eligible area or portion shall be considered to meet the standard described in clause (ii)(I). No other eligible area or portion thereof may be considered to meet such standard.</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/viii/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><heading style="-uslm-dtd:header">Relevant states.—</heading><content style="-uslm-dtd:text">For purposes of subclause (I), the States specified in this subclause are the following: Alaska, Alabama, Arkansas, Arizona, Colorado, Florida, Indiana, Iowa, Idaho, Kansas, Louisiana, Michigan, Minnesota, Missouri, Mississippi, North Carolina, North Dakota, Nebraska, New Jersey, New Mexico, New York, Nevada, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, West Virginia, Wyoming, Guam, and the Virgin Islands.</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/ix" styleType="OLC"> <num style="-uslm-dtd:enum" value="ix">(ix) </num><heading style="-uslm-dtd:header">Rules of construction regarding acceptance of reports.—</heading> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/ix/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><heading style="-uslm-dtd:header">Cases of aids.—</heading><content style="-uslm-dtd:text">With respect to an eligible area that is subject to the requirement under clause (i) and is not in compliance with the requirement for names-based reporting of living non-AIDS cases of HIV, the Secretary shall, notwithstanding such noncompliance, accept reports of living cases of AIDS that are in accordance with such clause.</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/ix/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><heading style="-uslm-dtd:header">Applicability of exemption requirements.—</heading><content style="-uslm-dtd:text">The provisions of clauses (ii) through (viii) may not be construed as having any legal effect for fiscal year 2013 or any subsequent fiscal year, and accordingly, the status of a State for purposes of such clauses may not be considered after fiscal year 2012.</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/x" styleType="OLC"> <num style="-uslm-dtd:enum" value="x">(x) </num><heading style="-uslm-dtd:header">Program for detecting inaccurate or fraudulent counting.—</heading><content style="-uslm-dtd:text">The Secretary shall carry out a program to monitor the reporting of names-based cases for purposes of this subparagraph and to detect instances of inaccurate reporting, including fraudulent reporting.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/C/xi" styleType="OLC"> <num style="-uslm-dtd:enum" value="xi">(xi) </num><heading style="-uslm-dtd:header">Future fiscal years.—</heading><content style="-uslm-dtd:text">For fiscal years beginning with fiscal year 2013, determinations under this paragraph shall be based only on living names-based cases of HIV/AIDS with respect to the area involved.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><heading style="-uslm-dtd:header">Code-based areas; limitation on increase in grant .—</heading> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/D/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">For each of the fiscal years 2007 through 2012, if code-based reporting (within the meaning of subparagraph (C)(vi)) applies in an eligible area or any portion thereof as of the beginning of the fiscal year involved, then notwithstanding any other provision of this paragraph, the amount of the grant pursuant to this paragraph for such area for such fiscal year may not—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/D/i/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">for fiscal year 2007, exceed by more than 5 percent the amount of the grant for the area that would have been made pursuant to this paragraph and paragraph (4) for fiscal year 2006 (as such paragraphs were in effect for such fiscal year) if paragraph (2) (as so in effect) had been applied by substituting “<quotedText style="-uslm-dtd:quote">66⅔ percent</quotedText>” for “<quotedText style="-uslm-dtd:quote">50 percent</quotedText>”; and</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/D/i/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">for each of the fiscal years 2008 through 2012, exceed by more than 5 percent the amount of the grant pursuant to this paragraph and paragraph (4) for the area for the preceding fiscal year.</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/3/D/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><heading style="-uslm-dtd:header">Use of amounts involved.—</heading><content style="-uslm-dtd:text">For each of the fiscal years 2007 through 2012, amounts available as a result of the limitation under clause (i) shall be made available by the Secretary as additional amounts for grants pursuant to subsection (b) for the fiscal year involved, subject to paragraph (4) and section 2610(d)(2).</content> </clause> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Increases in grant.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/4/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">For each eligible area that received a grant pursuant to this subsection for fiscal year 2009, the Secretary shall, for each of the fiscal years 2010 through 2013, increase the amount of the grant made pursuant to paragraph (3) for the area to ensure that the amount of the grant for the fiscal year involved is not less than the following amount, as applicable to such fiscal year:</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/4/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">For fiscal year 2010, an amount equal to 95 percent of the sum of the amount of the grant made pursuant to paragraph (3) and this paragraph for fiscal year 2009.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/4/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">For each of the fiscal years 2011 and 2012, an amount equal to 100 percent of the amount of the grant made pursuant to paragraph (3) and this paragraph for fiscal year 2010.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/4/A/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">For fiscal year 2013, an amount equal to 92.5 percent of the amount of the grant made pursuant to paragraph (3) and this paragraph for fiscal year 2012.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/4/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Source of funds for increase.—</heading> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/4/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">From the amounts available for carrying out the single program referred to in section 2609(d)(2)(C) for a fiscal year (relating to supplemental grants), the Secretary shall make available such amounts as may be necessary to comply with subparagraph (A), subject to section 2610(d)(2).</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/4/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><heading style="-uslm-dtd:header">Pro rata reduction.—</heading><content style="-uslm-dtd:text">If the amounts referred to in clause (i) for a fiscal year are insufficient to fully comply with subparagraph (A) for the year, the Secretary, in order to provide the additional funds necessary for such compliance, shall reduce on a pro rata basis the amount of each grant pursuant to this subsection for the fiscal year, other than grants for eligible areas for which increases under subparagraph (A) apply. A reduction under the preceding sentence may not be made in an amount that would result in the eligible area involved becoming eligible for such an increase.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/a/4/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><heading style="-uslm-dtd:header">Limitation.—</heading><content style="-uslm-dtd:text">This paragraph may not be construed as having any applicability after fiscal year 2013.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Supplemental Grants.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Subject to subsection (a)(4)(B)(i) and section 2610(d), the Secretary shall disburse the remainder of amounts not disbursed under section 2603(a)(2) for such fiscal year for the purpose of making grants under section 2601(a) to eligible areas whose application under section 2605(b)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">contains a report concerning the dissemination of emergency relief funds under subsection (a) and the plan for utilization of such funds;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">demonstrates the need in such area, on an objective and quantified basis, for supplemental financial assistance to combat the HIV epidemic;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">demonstrates the existing commitment of local resources of the area, both financial and in-kind, to combating the HIV epidemic;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/1/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">demonstrates the ability of the area to utilize such supplemental financial resources in a manner that is immediately responsive and cost effective;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/1/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">demonstrates that resources will be allocated in accordance with the local demographic incidence of AIDS including appropriate allocations for services for infants, children, youth, women, and families with HIV/AIDS;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/1/F" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">demonstrates the inclusiveness of affected communities and individuals with HIV/AIDS;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/1/G" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">demonstrates the manner in which the proposed services are consistent with the local needs assessment and the statewide coordinated statement of need;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/1/H" styleType="OLC"> <num style="-uslm-dtd:enum" value="H">(H) </num><content style="-uslm-dtd:text">demonstrates the ability of the applicant to expend funds efficiently by not having had, for the most recent grant year under subsection (a) for which data is available, more than 5 percent of grant funds under such subsection canceled, offset under subsection (c)(4), or covered by any waivers under subsection (c)(3); and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/1/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">demonstrates success in identifying individuals with HIV/AIDS as described in clauses (i) through (iii) of paragraph (2)(A).</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Amount of grant.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The amount of each grant made for purposes of this subsection shall be determined by the Secretary based on a weighting of factors under paragraph (1), with demonstrated need under subparagraph (B) of such paragraph counting one-third, and demonstrated success in identifying individuals with HIV/AIDS who do not know their HIV status and making them aware of such status counting one-third. In making such determination, the Secretary shall consider—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/2/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">the number of individuals who have been tested for HIV/AIDS;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/2/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">of those individuals described in clause (i), the number of individuals who tested for HIV/AIDS who are made aware of their status, including the number who test positive; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/2/A/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">of those individuals described in clause (ii), the number who have been referred to appropriate treatment and care.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Demonstrated need.—</heading><chapeau style="-uslm-dtd:text">The factors considered by the Secretary in determining whether an eligible area has a demonstrated need for purposes of paragraph (1)(B) may include any or all of the following:</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/2/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">The unmet need for such services, as determined under section 2602(b)(4) or other community input process as defined under section 2609(d)(1)(A).</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/2/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">An increasing need for HIV/AIDS-related services, including relative rates of increase in the number of cases of HIV/AIDS.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/2/B/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">The relative rates of increase in the number of cases of HIV/AIDS within new or emerging subpopulations.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/2/B/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">The current prevalence of HIV/AIDS.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/2/B/v" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">(v) </num><content style="-uslm-dtd:text">Relevant factors related to the cost and complexity of delivering health care to individuals with HIV/AIDS in the eligible area.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/2/B/vi" styleType="OLC"> <num style="-uslm-dtd:enum" value="vi">(vi) </num><content style="-uslm-dtd:text">The impact of co-morbid factors, including co-occurring conditions, determined relevant by the Secretary.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/2/B/vii" styleType="OLC"> <num style="-uslm-dtd:enum" value="vii">(vii) </num><content style="-uslm-dtd:text">The prevalence of homelessness.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/2/B/viii" styleType="OLC"> <num style="-uslm-dtd:enum" value="viii">(viii) </num><content style="-uslm-dtd:text">The prevalence of individuals described under section 2602(b)(2)(M).</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/2/B/ix" styleType="OLC"> <num style="-uslm-dtd:enum" value="ix">(ix) </num><content style="-uslm-dtd:text">The relevant factors that limit access to health care, including geographic variation, adequacy of health insurance coverage, and language barriers.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/2/B/x" styleType="OLC"> <num style="-uslm-dtd:enum" value="x">(x) </num><content style="-uslm-dtd:text">The impact of a decline in the amount received pursuant to subsection (a) on services available to all individuals with HIV/AIDS identified and eligible under this title.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><heading style="-uslm-dtd:header">Priority in making grants.—</heading><content style="-uslm-dtd:text">The Secretary shall provide funds under this subsection to an eligible area to address the decline or disruption of all EMA-provided services related to the decline in the amounts received pursuant to subsection (a) consistent with the grant award for the eligible area for fiscal year 2006, to the extent that the factor under subparagraph (B)(x) (relating to a decline in funding) applies to the eligible area.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/2/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><heading style="-uslm-dtd:header">Increased adjustment for certain areas previously using code-based reporting.—</heading><content style="-uslm-dtd:text">For purposes of this subsection for each of fiscal years 2010 through 2012, the Secretary shall deem the applicable number of living cases of HIV/AIDS in an area that were reported to and confirmed by the Centers for Disease Control and Prevention to be 3 percent higher than the actual number if the conditions described in items (aa) through (cc) of subsection (a)(3)(C)(vi)(III) are all satisfied.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Remainder of amounts.—</heading><chapeau style="-uslm-dtd:text">In determining the amount of funds to be obligated under paragraph (1), the Secretary shall include amounts that are not paid to the eligible areas under expedited procedures under section 2603(a)(2) as a result of—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the failure of any eligible area to submit an application under section 2605(c); or</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">any eligible area informing the Secretary that such eligible area does not intend to expend the full amount of its grant under such section.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Failure to submit.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/4/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The failure of an eligible area to submit an application for an expedited grant under section 2603(a)(2) shall not result in such area being ineligible for a grant under this subsection.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/b/4/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Application.—</heading><content style="-uslm-dtd:text">The application of an eligible area submitted under section 2605(b) shall contain the assurances required under subsection (a) of such section if such eligible area fails to submit an application for an expedited grant under section 2603(a)(2).</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Timeframe for Obligation and Expenditure of Grant Funds.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Obligation by end of grant year.—</heading><content style="-uslm-dtd:text">Effective for fiscal year 2007 and subsequent fiscal years, funds from a grant award made pursuant to subsection (a) or (b) for a fiscal year are available for obligation by the eligible area involved through the end of the one-year period beginning on the date in such fiscal year on which funds from the award first become available to the area (referred to in this subsection as the “<quotedText style="-uslm-dtd:quote">grant year for the award</quotedText>”), except as provided in paragraph (3)(A).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Supplemental grants; cancellation of unobligated balance of grant award.—</heading><chapeau style="-uslm-dtd:text">Effective for fiscal year 2007 and subsequent fiscal years, if a grant award made pursuant to subsection (b) for an eligible area for a fiscal year has an unobligated balance as of the end of the grant year for the award—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/c/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the Secretary shall cancel that unobligated balance of the award, and shall require the eligible area to return any amounts from such balance that have been disbursed to the area; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/c/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the funds involved shall be made available by the Secretary as additional amounts for grants pursuant to subsection (b) for the first fiscal year beginning after the fiscal year in which the Secretary obtains the information necessary for determining that the balance is required under subparagraph (A) to be canceled, except that the availability of the funds for such grants is subject to subsection (a)(4) and section 2610(d)(2) as applied for such year.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/c/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Formula grants; cancellation of unobligated balance of grant award; waiver permitting carryover.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/c/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Effective for fiscal year 2007 and subsequent fiscal years, if a grant award made pursuant to subsection (a) for an eligible area for a fiscal year has an unobligated balance as of the end of the grant year for the award, the Secretary shall cancel that unobligated balance of the award, and shall require the eligible area to return any amounts from such balance that have been disbursed to the area, unless—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/c/3/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">before the end of the grant year, the chief elected official of the area submits to the Secretary a written application for a waiver of the cancellation, which application includes a description of the purposes for which the area intends to expend the funds involved; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/c/3/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">the Secretary approves the waiver.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/c/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Expenditure by end of carryover year.—</heading><chapeau style="-uslm-dtd:text">With respect to a waiver under subparagraph (A) that is approved for a balance that is unobligated as of the end of a grant year for an award:</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/c/3/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">The unobligated funds are available for expenditure by the eligible area involved for the one-year period beginning upon the expiration of the grant year (referred to in this subsection as the “<quotedText style="-uslm-dtd:quote">carryover year</quotedText>”).</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/c/3/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">If the funds are not expended by the end of the carryover year, the Secretary shall cancel that unexpended balance of the award, and shall require the eligible area to return any amounts from such balance that have been disbursed to the area.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/c/3/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><heading style="-uslm-dtd:header">Use of cancelled balances.—</heading><content style="-uslm-dtd:text">In the case of any balance of a grant award that is cancelled under subparagraph (A) or (B)(ii), the grant funds involved shall be made available by the Secretary as additional amounts for grants pursuant to subsection (b) for the first fiscal year beginning after the fiscal year in which the Secretary obtains the information necessary for determining that the balance is required under such subparagraph to be canceled, except that the availability of the funds for such grants is subject to subsection (a)(4) and section 2610(d)(2) as applied for such year.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/c/3/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><heading style="-uslm-dtd:header">Corresponding reduction in future grant.—</heading> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/c/3/D/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">In the case of an eligible area for which a balance from a grant award under subsection (a) is unobligated as of the end of the grant year for the award—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/c/3/D/i/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">the Secretary shall reduce, by the same amount as such unobligated balance (less any amount of such balance that is the subject of a waiver of cancellation under subparagraph (A)), the amount of the grant under such subsection for the first fiscal year beginning after the fiscal year in which the Secretary obtains the information necessary for determining that such balance was unobligated as of the end of the grant year (which requirement for a reduction applies without regard to whether a waiver under subparagraph (A) has been approved with respect to such balance); and</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/c/3/D/i/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">the grant funds involved in such reduction shall be made available by the Secretary as additional funds for grants pursuant to subsection (b) for such first fiscal year, subject to subsection (a)(4) and section 2610(d)(2);</content> </subclause><continuation style="-uslm-dtd:continuation-text" role="clause">except that this clause does not apply to the eligible area if the amount of the unobligated balance was 5 percent or less.</continuation> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/c/3/D/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><heading style="-uslm-dtd:header">Relation to increases in grant.—</heading><content style="-uslm-dtd:text">A reduction under clause (i) for an eligible area for a fiscal year may not be taken into account in applying subsection (a)(4) with respect to the area for the subsequent fiscal year.</content> </clause> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/c/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Authority regarding administration of provisions.—</heading><content style="-uslm-dtd:text">In administering paragraphs (2) and (3) with respect to the unobligated balance of an eligible area, the Secretary may elect to reduce the amount of future grants to the area under subsection (a) or (b), as applicable, by the amount of any such unobligated balance in lieu of cancelling such amount as provided for in paragraph (2) or (3)(A). In such case, the Secretary may permit the area to use such unobligated balance for purposes of any such future grant. An amount equal to such reduction shall be available for use as additional amounts for grants pursuant to subsection (b), subject to subsection (a)(4) and section 2610(d)(2). Nothing in this paragraph shall be construed to affect the authority of the Secretary under paragraphs (2) and (3), including the authority to grant waivers under paragraph (3)(A). The reduction in future grants authorized under this paragraph shall be notwithstanding the penalty required under paragraph (3)(D) with respect to unobligated funds.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Compliance With Priorities of HIV Planning Council.—</heading><content style="-uslm-dtd:text">Notwithstanding any other provision of this subpart, the Secretary, in carrying out section 2601(a), may not make any grant under subsection (a) or (b) to an eligible area unless the application submitted by such area under section 2605 for the grant involved demonstrates that the grants made under subsections (a) and (b) to the area for the preceding fiscal year (if any) were expended in accordance with the priorities applicable to such year that were established, pursuant to section 2602(b)(4)(C), by the planning council serving the area.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Report on the Awarding of Supplemental Funds.—</heading><chapeau style="-uslm-dtd:text">Not later than 45 days after the awarding of supplemental funds under this section, the Secretary shall submit to Congress a report concerning such funds. Such report shall include information detailing—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/e/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the total amount of supplemental funds available under this section for the year involved;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/e/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">the amount of supplemental funds used in accordance with the hold harmless provisions of subsection (a)(4);</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/e/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">the amount of supplemental funds disbursed pursuant to subsection (b)(2)(C);</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/e/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">the disbursement of the remainder of the supplemental funds after taking into account the uses described in paragraphs (2) and (3); and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2603/e/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">the rationale used for the amount of funds disbursed as described under paragraphs (2), (3), and (4).</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604" styleType="OLC"> <num style="-uslm-dtd:enum" value="2604">SEC. 2604. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–14<b>]</b> </editorialNote><heading style="-uslm-dtd:header">USE OF AMOUNTS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Requirements.—</heading><chapeau style="-uslm-dtd:text">The Secretary may not make a grant under section 2601(a) to the chief elected official of an eligible area unless such political subdivision agrees that—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">subject to paragraph (2), the allocation of funds and services within the eligible area will be made in accordance with the priorities established, pursuant to section 2602(b)(4)(C), by the HIV health services planning council that serves such eligible area;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">funds provided under section 2601 will be expended only for—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/a/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">core medical services described in subsection (c);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/a/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">support services described in subsection (d); and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/a/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">administrative expenses described in subsection (h); and</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/a/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">the use of such funds will comply with the requirements of this section.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Direct Financial Assistance to Appropriate Entities.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The chief elected official of an eligible area shall use amounts from a grant under section 2601 to provide direct financial assistance to entities described in paragraph (2) for the purpose of providing core medical services and support services.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Appropriate entities.—</heading><content style="-uslm-dtd:text">Direct financial assistance may be provided under paragraph (1) to public or nonprofit private entities, or private for-profit entities if such entities are the only available provider of quality HIV care in the area.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Required Funding for Core Medical Services.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">With respect to a grant under section 2601 for an eligible area for a grant year, the chief elected official of the area shall, of the portion of the grant remaining after reserving amounts for purposes of paragraphs (1) and (5)(B)(i) of subsection (h), use not less than 75 percent to provide core medical services that are needed in the eligible area for individuals with HIV/AIDS who are identified and eligible under this title (including services regarding the co-occurring conditions of the individuals).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Waiver.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The Secretary shall waive the application of paragraph (1) with respect to a chief elected official for a grant year if the Secretary determines that, within the eligible area involved—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/2/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">there are no waiting lists for AIDS Drug Assistance Program services under section 2616; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/2/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">core medical services are available to all individuals with HIV/AIDS identified and eligible under this title.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Notification of waiver status.—</heading><content style="-uslm-dtd:text">When informing the chief elected official of an eligible area that a grant under section 2601 is being made for the area for a grant year, the Secretary shall inform the official whether a waiver under subparagraph (A) is in effect for such year.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Core medical services.—</heading><chapeau style="-uslm-dtd:text">For purposes of this subsection, the term “<term style="-uslm-dtd:term">core medical services</term>”, with respect to an individual with HIV/AIDS (including the co-occurring conditions of the individual), means the following services:</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">Outpatient and ambulatory health services.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">AIDS Drug Assistance Program treatments in accordance with section 2616.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/3/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">AIDS pharmaceutical assistance.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/3/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">Oral health care.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/3/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">Early intervention services described in subsection (e).</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/3/F" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">Health insurance premium and cost sharing assistance for low-income individuals in accordance with section 2615.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/3/G" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">Home health care.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/3/H" styleType="OLC"> <num style="-uslm-dtd:enum" value="H">(H) </num><content style="-uslm-dtd:text">Medical nutrition therapy.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/3/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">Hospice services.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/3/J" styleType="OLC"> <num style="-uslm-dtd:enum" value="J">(J) </num><content style="-uslm-dtd:text">Home and community-based health services as defined under section 2614(c).</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/3/K" styleType="OLC"> <num style="-uslm-dtd:enum" value="K">(K) </num><content style="-uslm-dtd:text">Mental health services.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/3/L" styleType="OLC"> <num style="-uslm-dtd:enum" value="L">(L) </num><content style="-uslm-dtd:text">Substance abuse outpatient care.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/c/3/M" styleType="OLC"> <num style="-uslm-dtd:enum" value="M">(M) </num><content style="-uslm-dtd:text">Medical case management, including treatment adherence services.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Support Services.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/d/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">For purposes of this section, the term “<term style="-uslm-dtd:term">support services</term>” means services, subject to the approval of the Secretary, that are needed for individuals with HIV/AIDS to achieve their medical outcomes (such as respite care for persons caring for individuals with HIV/AIDS, outreach services, medical transportation, linguistic services, and referrals for health care and support services).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/d/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Medical outcomes.—</heading><content style="-uslm-dtd:text">In this subsection, the term “<term style="-uslm-dtd:term">medical outcomes</term>” means those outcomes affecting the HIV-related clinical status of an individual with HIV/AIDS.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Early Intervention Services.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/e/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">For purposes of this section, the term “<term style="-uslm-dtd:term">early intervention services</term>” means HIV/AIDS early intervention services described in section 2651(e), with follow-up referral provided for the purpose of facilitating the access of individuals receiving the services to HIV-related health services. The entities through which such services may be provided under the grant include public health departments, emergency rooms, substance abuse and mental health treatment programs, detoxification centers, detention facilities, clinics regarding sexually transmitted diseases, homeless shelters, HIV/AIDS counseling and testing sites, health care points of entry specified by eligible areas, federally qualified health centers, and entities described in section 2652(a) that constitute a point of access to services by maintaining referral relationships.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/e/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Conditions.—</heading><chapeau style="-uslm-dtd:text">With respect to an entity that proposes to provide early intervention services under paragraph (1), such paragraph shall apply only if the entity demonstrates to the satisfaction of the chief elected official for the eligible area involved that—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/e/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">Federal, State, or local funds are otherwise inadequate for the early intervention services the entity proposes to provide; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/e/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the entity will expend funds pursuant to such paragraph to supplement and not supplant other funds available to the entity for the provision of early intervention services for the fiscal year involved.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/f" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">(f) </num><heading style="-uslm-dtd:header">Priority for Women, Infants, Children, and Youth.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/f/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">For the purpose of providing health and support services to infants, children, youth, and women with HIV/AIDS, including treatment measures to prevent the perinatal transmission of HIV, the chief elected official of an eligible area, in accordance with the established priorities of the planning council, shall for each of such populations in the eligible area use, from the grants made for the area under section 2601(a) for a fiscal year, not less than the percentage constituted by the ratio of the population involved (infants, children, youth, or women in such area) with HIV/AIDS to the general population in such area of individuals with HIV/AIDS.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/f/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Waiver.—</heading><content style="-uslm-dtd:text">With respect to the population involved, the Secretary may provide to the chief elected official of an eligible area a waiver of the requirement of paragraph (1) if such official demonstrates to the satisfaction of the Secretary that the population is receiving HIV-related health services through the State medicaid program under title XIX of the Social Security Act, the State children's health insurance program under title XXI of such Act, or other Federal or State programs.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/g" styleType="OLC"> <num style="-uslm-dtd:enum" value="g">(g) </num><heading style="-uslm-dtd:header">Requirement of Status as Medicaid Provider.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/g/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Provision of service.—</heading><chapeau style="-uslm-dtd:text">Subject to paragraph (2), the Secretary may not make a grant under section 2601(a) for the provision of services under this section in a State unless, in the case of any such service that is available pursuant to the State plan approved under title XIX of the Social Security Act for the State—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/g/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the political subdivision involved will provide the service directly, and the political subdivision has entered into a participation agreement under the State plan and is qualified to receive payments under such plan; or</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/g/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the political subdivision will enter into an agreement with a public or nonprofit private entity under which the entity will provide the service, and the entity has entered into such a participation agreement and is qualified to receive such payments.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/g/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Waiver.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/g/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">In the case of an entity making an agreement pursuant to paragraph (1)(B) regarding the provision of services, the requirement established in such paragraph shall be waived by the HIV health services planning council for the eligible area if the entity does not, in providing health care services, impose a charge or accept reimbursement available from any third-party payor, including reimbursement under any insurance policy or under any Federal or State health benefits program.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/g/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Determination.—</heading><content style="-uslm-dtd:text">A determination by the HIV health services planning council of whether an entity referred to in subparagraph (A) meets the criteria for a waiver under such subparagraph shall be made without regard to whether the entity accepts voluntary donations for the purpose of providing services to the public.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/h" styleType="OLC"> <num style="-uslm-dtd:enum" value="h">(h) </num><heading style="-uslm-dtd:header">Administration.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/h/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Limitation.—</heading><content style="-uslm-dtd:text">The chief elected official of an eligible area shall not use in excess of 10 percent of amounts received under a grant under this subpart for administrative expenses.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/h/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Allocations by chief elected official.—</heading><content style="-uslm-dtd:text">In the case of entities and subcontractors to which the chief elected official of an eligible area allocates amounts received by the official under a grant under this subpart, the official shall ensure that, of the aggregate amount so allocated, the total of the expenditures by such entities for administrative expenses does not exceed 10 percent (without regard to whether particular entities expend more than 10 percent for such expenses).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/h/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Administrative activities.—</heading><chapeau style="-uslm-dtd:text">For purposes of paragraph (1), amounts may be used for administrative activities that include—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/h/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">routine grant administration and monitoring activities, including the development of applications for part A funds, the receipt and disbursal of program funds, the development and establishment of reimbursement and accounting systems, the development of a clinical quality management program as described in paragraph (5), the preparation of routine programmatic and financial reports, and compliance with grant conditions and audit requirements; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/h/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">all activities associated with the grantee's contract award procedures, including the activities carried out by the HIV health services planning council as established under section 2602(b), the development of requests for proposals, contract proposal review activities, negotiation and awarding of contracts, monitoring of contracts through telephone consultation, written documentation or onsite visits, reporting on contracts, and funding reallocation activities.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/h/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Subcontractor administrative activities.—</heading><chapeau style="-uslm-dtd:text">For the purposes of this subsection, subcontractor administrative activities include—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/h/4/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">usual and recognized overhead activities, including established indirect rates for agencies;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/h/4/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">management oversight of specific programs funded under this title; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/h/4/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">other types of program support such as quality assurance, quality control, and related activities.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/h/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><heading style="-uslm-dtd:header">Clinical quality management.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/h/5/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">Requirement.—</heading><content style="-uslm-dtd:text">The chief elected official of an eligible area that receives a grant under this subpart shall provide for the establishment of a clinical quality management program to assess the extent to which HIV health services provided to patients under the grant are consistent with the most recent Public Health Service guidelines for the treatment of HIV/AIDS and related opportunistic infection, and as applicable, to develop strategies for ensuring that such services are consistent with the guidelines for improvement in the access to and quality of HIV health services.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/h/5/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Use of funds.—</heading> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/h/5/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">From amounts received under a grant awarded under this subpart for a fiscal year, the chief elected official of an eligible area may use for activities associated with the clinical quality management program required in subparagraph (A) not to exceed the lesser of—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/h/5/B/i/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">5 percent of amounts received under the grant; or</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/h/5/B/i/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">$3,000,000.</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/h/5/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><heading style="-uslm-dtd:header">Relation to limitation on administrative expenses.—</heading><content style="-uslm-dtd:text">The costs of a clinical quality management program under subparagraph (A) may not be considered administrative expenses for purposes of the limitation established in paragraph (1).</content> </clause> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2604/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><heading style="-uslm-dtd:header">Construction.—</heading><content style="-uslm-dtd:text">A chief elected official may not use amounts received under a grant awarded under this subpart to purchase or improve land, or to purchase, construct, or permanently improve (other than minor remodeling) any building or other facility, or to make cash payments to intended recipients of services.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605" styleType="OLC"> <num style="-uslm-dtd:enum" value="2605">SEC. 2605. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–15<b>]</b> </editorialNote><heading style="-uslm-dtd:header">APPLICATION. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><chapeau style="-uslm-dtd:text">To be eligible to receive a grant under section 2601, an eligible area shall prepare and submit to the Secretary an application, in accordance with subsection (c) regarding a single application and grant award, at such time, in such form, and containing such information as the Secretary shall require, including assurances adequate to ensure—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1)</num><subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/1/A" styleType="OLC" class="inline"><num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">that funds received under a grant awarded under this subpart will be utilized to supplement not supplant State funds made available in the year for which the grant is awarded to provide HIV-related services as described in section 2604(b)(1);</content></subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/1/B" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">that the political subdivisions within the eligible area will maintain the level of expenditures by such political subdivisions for HIV-related services as described in section 2604(b)(1) at a level that is equal to the level of such expenditures by such political subdivisions for the preceding fiscal year; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/1/C" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">that political subdivisions within the eligible area will not use funds received under a grant awarded under this subpart in maintaining the level of expenditures for HIV-related services as required in subparagraph (B);</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">that the eligible area has an HIV health services planning council and has entered into intergovernmental agreements pursuant to section 2602, and has developed or will develop the comprehensive plan in accordance with section 2602(b)(3)(B);</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">that entities within the eligible area that receive funds under a grant under this subpart will maintain appropriate relationships with entities in the eligible area served that constitute key points of access to the health care system for individuals with HIV/AIDS (including emergency rooms, substance abuse treatment programs, detoxification centers, adult and juvenile detention facilities, sexually transmitted disease clinics, HIV counseling and testing sites, mental health programs, and homeless shelters), and other entities under section 2604(b)(3) and 2652(a), for the purpose of facilitating early intervention for individuals newly diagnosed with HIV/AIDS and individuals knowledgeable of their HIV status but not in care;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">that the chief elected official of the eligible area will satisfy all requirements under section 2604(c);</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">that entities within the eligible area that will receive funds under a grant provided under section 2601(a) shall participate in an established HIV community-based continuum of care if such continuum exists within the eligible area;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/6" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><chapeau style="-uslm-dtd:text">that funds received under a grant awarded under this subpart will not be utilized to make payments for any item or service to the extent that payment has been made, or can reasonably be expected to be made, with respect to that item or service—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/6/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">under any State compensation program, under an insurance policy, or under any Federal or State health benefits program (except for a program administered by or providing the services of the Indian Health Service); or</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/6/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by an entity that provides health services on a prepaid basis;</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/7" styleType="OLC"> <num style="-uslm-dtd:enum" value="7">(7) </num><chapeau style="-uslm-dtd:text">to the maximum extent practicable, that—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/7/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">HIV health care and support services provided with assistance made available under this subpart will be provided without regard—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/7/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">to the ability of the individual to pay for such services; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/7/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">to the current or past health condition of the individual to be served;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/7/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">such services will be provided in a setting that is accessible to low-income individuals with HIV-disease; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/7/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">a program of outreach will be provided to low-income individuals with HIV-disease to inform such individuals of such services;</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/8" styleType="OLC"> <num style="-uslm-dtd:enum" value="8">(8) </num><content style="-uslm-dtd:text">that the applicant has participated, or will agree to participate, in the statewide coordinated statement of need process where it has been initiated by the State public health agency responsible for administering grants under part B, and ensure that the services provided under the comprehensive plan are consistent with the statewide coordinated statement of need;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/9" styleType="OLC"> <num style="-uslm-dtd:enum" value="9">(9) </num><content style="-uslm-dtd:text">that the eligible area has procedures in place to ensure that services provided with funds received under this subpart meet the criteria specified in section 2604(b)(1); and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/a/10" styleType="OLC"> <num style="-uslm-dtd:enum" value="10">(10) </num><content style="-uslm-dtd:text">that the chief elected official will submit to the lead State agency under section 2617(b)(4), audits, consistent with Office of Management and Budget circular A133, regarding funds expended in accordance with this subpart every 2 years and shall include necessary client-based data to compile unmet need calculations and Statewide coordinated statements of need process.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Application.—</heading><chapeau style="-uslm-dtd:text">An eligible area that desires to receive a grant under section 2603(b) shall prepare and submit to the Secretary an application, in accordance with subsection (c) regarding a single application and grant award, at such time, in such form, and containing such information as the Secretary shall require, including the information required under such subsection and information concerning—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the number of individuals to be served within the eligible area with assistance provided under the grant, including the identification of individuals with HIV/AIDS as described in clauses (i) through (iii) of section 2603(b)(2)(A);</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">demographic data on the population of such individuals;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">the average cost of providing each category of HIV-related health services and the extent to which such cost is paid by third-party payors;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/b/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">the aggregate amounts expended for each such category of services;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/b/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">the manner in which the expected expenditures are related to the planning process for States that receive funding under part B (including the planning process described in section 2617(b)); and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/b/6" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">the expected expenditures and how those expenditures will improve overall client outcomes, as described under the State plan under section 2617(b), and through additional outcomes measures as identified by the HIV health services planning council under section 2602(b).</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Single Application and Grant Award.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Application.—</heading><content style="-uslm-dtd:text">The Secretary may phase in the use of a single application that meets the requirements of subsections (a) and (b) of section 2603 with respect to an eligible area that desires to receive grants under section 2603 for a fiscal year.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Grant award.—</heading><content style="-uslm-dtd:text">The Secretary may phase in the awarding of a single grant to an eligible area that submits an approved application under paragraph (1) for a fiscal year.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Date Certain for Submission.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/d/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Requirement.—</heading><content style="-uslm-dtd:text">Except as provided in paragraph (2), to be eligible to receive a grant under section 2601(a) for a fiscal year, an application under subsection (a) shall be submitted not later than 45 days after the date on which appropriations are made under section 2677 for the fiscal year.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/d/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Exception.—</heading><content style="-uslm-dtd:text">The Secretary may extend the time for the submission of an application under paragraph (1) for a period of not to exceed 60 days if the Secretary determines that the eligible area has made a good faith effort to comply with the requirement of such paragraph but has otherwise been unable to submit its application.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/d/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Distribution by Secretary.—</heading><content style="-uslm-dtd:text">Not later than 45 days after receiving an application that meets the requirements of subsection (a) from an eligible area, the Secretary shall distribute to such eligible area the amounts awarded under the grant for which the application was submitted.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/d/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Redistribution.—</heading><content style="-uslm-dtd:text">Any amounts appropriated in any fiscal year under this subpart and not obligated to an eligible entity as a result of the failure of such entity to submit an application shall be redistributed by the Secretary to other eligible entities in proportion to the original grants made to such eligible areas under section 2601(a).</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Requirements Regarding Imposition of Charges for Services.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/e/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The Secretary may not make a grant under section 2601 to an eligible area unless the eligible area provides assurances that in the provision of services with assistance provided under the grant—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/e/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in the case of individuals with an income less than or equal to 100 percent of the official poverty line, the provider will not impose charges on any such individual for the provision of services under the grant;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/e/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">in the case of individuals with an income greater than 100 percent of the official poverty line, the provider—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/e/1/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">will impose a charge on each such individual for the provision of such services; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/e/1/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">will impose the charge according to a schedule of charges that is made available to the public;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/e/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">in the case of individuals with an income greater than 100 percent of the official poverty line and not exceeding 200 percent of such poverty line, the provider will not, for any calendar year, impose charges in an amount exceeding 5 percent of the annual gross income of the individual involved;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/e/1/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">in the case of individuals with an income greater than 200 percent of the official poverty line and not exceeding 300 percent of such poverty line, the provider will not, for any calendar year, impose charges in an amount exceeding 7 percent of the annual gross income of the individual involved; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/e/1/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">in the case of individuals with an income greater than 300 percent of the official poverty line, the provider will not, for any calendar year, impose charges in an amount exceeding 10 percent of the annual gross income of the individual involved.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/e/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Assessment of charge.—</heading><chapeau style="-uslm-dtd:text">With respect to compliance with the assurance made under paragraph (1), a grantee or entity receiving assistance under this subpart may, in the case of individuals subject to a charge for purposes of such paragraph—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/e/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">assess the amount of the charge in the discretion of the grantee, including imposing only a nominal charge for the provision of services, subject to the provisions of such paragraph regarding public schedules and regarding limitations on the maximum amount of charges; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/e/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">take into consideration the medical expenses of individuals in assessing the amount of the charge, subject to such provisions.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/e/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Applicability of limitation on amount of charge.—</heading><content style="-uslm-dtd:text">The Secretary may not make a grant under section 2601 to an eligible area unless the eligible area agrees that the limitations established in subparagraphs (C), (D) and (E) of paragraph (1) regarding the imposition of charges for services applies to the annual aggregate of charges imposed for such services, without regard to whether they are characterized as enrollment fees, premiums, deductibles, cost sharing, copayments, coinsurance, or other charges.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2605/e/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Waiver regarding secondary agreements.—</heading><content style="-uslm-dtd:text">The requirements established in paragraphs (1) through (3) shall be waived in accordance with section 2604(d)(2).</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2606" styleType="OLC"> <num style="-uslm-dtd:enum" value="2606">SEC. 2606. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–16<b>]</b> </editorialNote><heading style="-uslm-dtd:header">TECHNICAL ASSISTANCE. </heading> <content style="-uslm-dtd:text" class="block">The Administrator of the Health Resources and Services Administration shall, beginning on the date of enactment of this title, provide technical assistance, including assistance from other grantees, contractors or subcontractors under this title to assist newly eligible metropolitan areas in the establishment of HIV health services planning councils and, to assist entities in complying with the requirements of this subpart in order to make such entities eligible to receive a grant under this subpart. The Administrator may make planning grants available to metropolitan areas, in an amount not to exceed $75,000 for any metropolitan area, projected to be eligible for funding under section 2601 in the following fiscal year. Such grant amounts shall be deducted from the first year formula award to eligible areas accepting such grants. Not to exceed 1 percent of the amount appropriated for a fiscal year under section 2677 for grants under part A may be used to carry out this section.</content> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2607" styleType="OLC" role="definitions"> <num style="-uslm-dtd:enum" value="2607">SEC. 2607. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–17<b>]</b> </editorialNote><heading style="-uslm-dtd:header">DEFINITIONS. </heading> <subsection style="-uslm-dtd:subsection" styleType="OLC" role="undesignated-level"><chapeau style="-uslm-dtd:text">For purposes of this subpart:</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2607/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Eligible area.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">eligible area</term>” means a metropolitan area meeting the requirements of section 2601 that are applicable to the area.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptI/s2607/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Metropolitan area.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">metropolitan area</term>” means an area that is referred to in the HIV/AIDS Surveillance Report of the Centers for Disease Control and Prevention as a metropolitan area, and that has a population of 50,000 or more individuals.</content> </paragraph> </subsection> </section> </subpart> <subpart style="-uslm-dtd:subpart" identifier="/us/sComp/78/373/tXXVI/ptA/sptII" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">Subpart II—</num><heading style="-uslm-dtd:header">Transitional Grants </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609" styleType="OLC"> <num style="-uslm-dtd:enum" value="2609">SEC. 2609. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–19<b>]</b> </editorialNote><heading style="-uslm-dtd:header">ESTABLISHMENT OF PROGRAM. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">The Secretary, acting through the Administrator of the Health Resources and Services Administration, shall make grants for the purpose of providing services described in section 2604 in transitional areas, subject to the same provisions regarding the allocation of grant funds as apply under subsection (c) of such section.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Transitional Areas.—</heading><content style="-uslm-dtd:text">For purposes of this section, the term “<term style="-uslm-dtd:term">transitional area</term>” means, subject to subsection (c), a metropolitan area for which there has been reported to and confirmed by the Director of the Centers for Disease Control and Prevention a cumulative total of at least 1,000, but fewer than 2,000, cases of AIDS during the most recent period of 5 calendar years for which such data are available.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Certain Eligibility Rules.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Fiscal year 2011.—</heading><content style="-uslm-dtd:text">With respect to grants under subsection (a) for fiscal year 2011, a metropolitan area that received funding under subpart I for fiscal year 2010 but does not for fiscal year 2011 qualify under such subpart as an eligible area and does not qualify under subsection (b) as a transitional area shall, notwithstanding subsection (b), be considered a transitional area.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Continued status as transitional area.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/c/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Notwithstanding subsection (b), a metropolitan area that is a transitional area for a fiscal year continues, except as provided in subparagraph (B), to be a transitional area until the metropolitan area fails, for three consecutive fiscal years—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/c/2/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">to qualify under such subsection as a transitional area; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/c/2/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">subject to subparagraphs (B) and (C), to have a cumulative total of 1,500 or more living cases of AIDS (reported to and confirmed by the Director of the Centers for Disease Control and Prevention) as of December 31 of the most recent calendar year for which such data is available.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/c/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Permitting margin of error applicable to certain metropolitan areas.—</heading><content style="-uslm-dtd:text">In applying subparagraph (A)(ii) for a fiscal year after fiscal year 2008, in the case of a metropolitan area that has a cumulative total of at least 1,400 (and fewer than 1,500) living cases of AIDS as of December 31 of the most recent calendar year for which such data is available, such area shall be treated as having met the criteria of such subparagraph if not more than 5 percent of the total from grants awarded to such area under this part is unobligated as of the end of the most recent fiscal year for which such data is available.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/c/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><heading style="-uslm-dtd:header">Exception regarding status as eligible area.—</heading><content style="-uslm-dtd:text">Subparagraphs (A) and (B) do not apply for a fiscal year if the metropolitan area involved qualifies under subpart I as an eligible area.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Application of Certain Provisions of Subpart I.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/d/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Administration; planning council.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/d/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The provisions of section 2602 apply with respect to a grant under subsection (a) for a transitional area to the same extent and in the same manner as such provisions apply with respect to a grant under subpart I for an eligible area, except that, subject to subparagraph (B), the chief elected official of the transitional area may elect not to comply with the provisions of section 2602(b) if the official provides documentation to the Secretary that details the process used to obtain community input (particularly from those with HIV) in the transitional area for formulating the overall plan for priority setting and allocating funds from the grant under subsection (a).</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/d/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Exception.—</heading><content style="-uslm-dtd:text">For each of the fiscal years 2007 through 2013, the exception described in subparagraph (A) does not apply if the transitional area involved received funding under subpart I for fiscal year 2006.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/d/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Type and distribution of grants; timeframe for obligation and expenditure of grant funds.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/d/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">Formula grants; supplemental grants.—</heading><content style="-uslm-dtd:text">The provisions of section 2603 apply with respect to grants under subsection (a) to the same extent and in the same manner as such provisions apply with respect to grants under subpart I, subject to subparagraphs (B) and (C).</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/d/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Formula grants; increase in grant.—</heading><content style="-uslm-dtd:text">For purposes of subparagraph (A), section 2603(a)(4) does not apply.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/d/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><heading style="-uslm-dtd:header">Supplemental grants; single program with subpart i program.—</heading><chapeau style="-uslm-dtd:text">With respect to section 2603(b) as applied for purposes of subparagraph (A):</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/d/2/C/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">The Secretary shall combine amounts available pursuant to such subparagraph with amounts available for carrying out section 2603(b) and shall administer the two programs as a single program.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/d/2/C/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">In the single program, the Secretary has discretion in allocating amounts between eligible areas under subpart I and transitional areas under this section, subject to the eligibility criteria that apply under such section, and subject to section 2603(b)(2)(C) (relating to priority in making grants).</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/d/2/C/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">Pursuant to section 2603(b)(1), amounts for the single program are subject to use under sections 2603(a)(4) and 2610(d)(1).</content> </clause> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptII/s2609/d/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Application; technical assistance; definitions.—</heading><content style="-uslm-dtd:text">The provisions of sections 2605, 2606, and 2607 apply with respect to grants under subsection (a) to the same extent and in the same manner as such provisions apply with respect to grants under subpart I.</content> </paragraph> </subsection> </section> </subpart> <subpart style="-uslm-dtd:subpart" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII" styleType="OLC"> <num style="-uslm-dtd:enum" value="III">Subpart III—</num><heading style="-uslm-dtd:header">General Provisions </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610" styleType="OLC"> <num style="-uslm-dtd:enum" value="2610">SEC. 2610. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–20<b>]</b> </editorialNote><heading style="-uslm-dtd:header">AUTHORIZATION OF APPROPRIATIONS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">For the purpose of carrying out this part, there are authorized to be appropriated $604,000,000 for fiscal year 2007, $626,300,000 for fiscal year 2008, $649,500,000 for fiscal year 2009, $681,975,000 for fiscal year 2010, $716,074,000 for fiscal year 2011, $751,877,000 for fiscal year 2012, and $789,471,000 for fiscal year 2013. Amounts appropriated under the preceding sentence for a fiscal year are available for obligation by the Secretary until the end of the second succeeding fiscal year.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Reservation of Amounts.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Fiscal year 2007.—</heading><chapeau style="-uslm-dtd:text">Of the amount appropriated under subsection (a) for fiscal year 2007, the Secretary shall reserve—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/b/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">$458,310,000 for grants under subpart I; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/b/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">$145,690,000 for grants under section 2609.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Subsequent fiscal years.—</heading><chapeau style="-uslm-dtd:text">Of the amount appropriated under subsection (a) for fiscal year 2008 and each subsequent fiscal year—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/b/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the Secretary shall reserve an amount for grants under subpart I; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/b/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the Secretary shall reserve an amount for grants under section 2609.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Transfer of Certain Amounts; Change in Status as Eligible Area or Transitional Area.—</heading><chapeau style="-uslm-dtd:text">Notwithstanding subsection (b):</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">If a metropolitan area is an eligible area under subpart I for a fiscal year, but for a subsequent fiscal year ceases to be an eligible area by reason of section 2601(b)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A)</num><clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/1/A/i" styleType="OLC" class="inline"><num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">the amount reserved under paragraph (1)(A) or (2)(A) of subsection (b) of this section for the first such subsequent year of not being an eligible area is deemed to be reduced by an amount equal to the amount of the grant made pursuant to section 2603(a) for the metropolitan area for the preceding fiscal year; and</content></clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/1/A/ii" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="ii">(ii)</num><subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/1/A/ii/I" styleType="OLC" class="inline"><num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">if the metropolitan area qualifies for such first subsequent fiscal year as a transitional area under 2609, the amount reserved under paragraph (1)(B) or (2)(B) of subsection (b) for such fiscal year is deemed to be increased by an amount equal to the amount of the reduction under subparagraph (A) for such year; or</content></subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/1/A/ii/II" styleType="OLC" class="leftIndentDecrease2"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">if the metropolitan area does not qualify for such first subsequent fiscal year as a transitional area under 2609, an amount equal to the amount of such reduction is, notwithstanding subsection (a), transferred and made available for grants pursuant to section 2618(a)(1), in addition to amounts available for such grants under section 2623; and</content> </subclause> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">if a transfer under subparagraph (A)(ii)(II) is made with respect to the metropolitan area for such first subsequent fiscal year, then—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/1/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">the amount reserved under paragraph (1)(A) or (2)(A) of subsection (b) of this section for such year is deemed to be reduced by an additional $500,000; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/1/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">an amount equal to the amount of such additional reduction is, notwithstanding subsection (a), transferred and made available for grants pursuant to section 2618(a)(1), in addition to amounts available for such grants under section 2623.</content> </clause> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">If a metropolitan area is a transitional area under section 2609 for a fiscal year, but for a subsequent fiscal year ceases to be a transitional area by reason of section 2609(c)(2) (and does not qualify for such subsequent fiscal year as an eligible area under subpart I)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">the amount reserved under subsection (b)(2)(B) of this section for the first such subsequent fiscal year of not being a transitional area is deemed to be reduced by an amount equal to the total of—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/2/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">the amount of the grant that, pursuant to section 2603(a), was made under section 2609(d)(2)(A) for the metropolitan area for the preceding fiscal year; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/2/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">$500,000; and</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B)</num><clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/2/B/i" styleType="OLC" class="inline"><num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">subject to clause (ii), an amount equal to the amount of the reduction under subparagraph (A) for such year is, notwithstanding subsection (a), transferred and made available for grants pursuant to section 2618(a)(1), in addition to amounts available for such grants under section 2623; and</content></clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/2/B/ii" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><chapeau style="-uslm-dtd:text">for each of fiscal years 2010 through 2013, notwithstanding subsection (a)—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/2/B/ii/I" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="I">(I) </num><chapeau style="-uslm-dtd:text">there shall be transferred to the State containing the metropolitan area, for purposes described in section 2612(a), an amount (which shall not be taken into account in applying section 2618(a)(2)(H)) equal to—</chapeau> <item style="-uslm-dtd:item" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/2/B/ii/I/aa" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="aa">(aa) </num><content style="-uslm-dtd:text">for the first fiscal year of the metropolitan area not being a transitional area, 75 percent of the amount described in subparagraph (A)(i) for such area;</content> </item> <item style="-uslm-dtd:item" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/2/B/ii/I/bb" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="bb">(bb) </num><content style="-uslm-dtd:text">for the second fiscal year of the metropolitan area not being a transitional area, 50 percent of such amount; and</content> </item> <item style="-uslm-dtd:item" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/2/B/ii/I/cc" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="cc">(cc) </num><content style="-uslm-dtd:text">for the third fiscal year of the metropolitan area not being a transitional area, 25 percent of such amount; and</content> </item> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/2/B/ii/II" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">there shall be transferred and made available for grants pursuant to section 2618(a)(1) for the fiscal year, in addition to amounts available for such grants under section 2623, an amount equal to the total amount of the reduction for such fiscal year under subparagraph (A), less the amount transferred for such fiscal year under subclause (I).</content> </subclause> </clause> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><chapeau style="-uslm-dtd:text">If a metropolitan area is a transitional area under section 2609 for a fiscal year, but for a subsequent fiscal year qualifies as an eligible area under subpart I—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the amount reserved under subsection (b)(2)(B) of this section for the first such subsequent fiscal year of becoming an eligible area is deemed to be reduced by an amount equal to the amount of the grant that, pursuant to section 2603(a), was made under section 2609(d)(2)(A) for the metropolitan area for the preceding fiscal year; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/c/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the amount reserved under subsection (b)(2)(A) for such fiscal year is deemed to be increased by an amount equal to the amount of the reduction under subparagraph (A) for such year.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Certain Transfers; Allocations Between Programs Under Subpart I.—</heading><chapeau style="-uslm-dtd:text">With respect to paragraphs (1)(B)(i) and (2)(A)(ii) of subsection (c), the Secretary shall administer any reductions under such paragraphs for a fiscal year in accordance with the following:</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/d/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">The reductions shall be made from amounts available for the single program referred to in section 2609(d)(2)(C) (relating to supplemental grants).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/d/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">The reductions shall be made before the amounts referred to in paragraph (1) are used for purposes of section 2603(a)(4).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/d/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">If the amounts referred to in paragraph (1) are not sufficient for making all the reductions, the reductions shall be reduced until the total amount of the reductions equals the total of the amounts referred to in such paragraph.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptA/sptIII/s2610/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Rules of Construction Regarding First Subsequent Fiscal Year.—</heading><content style="-uslm-dtd:text">Paragraphs (1) and (2) of subsection (c) apply with respect to each series of fiscal years during which a metropolitan area is an eligible area under subpart I or a transitional area under section 2609 for a fiscal year and then for a subsequent fiscal year ceases to be such an area by reason of section 2601(b) or 2609(c)(2), respectively, rather than applying to a single such series. Paragraph (3) of subsection (c) applies with respect to each series of fiscal years during which a metropolitan area is a transitional area under section 2609 for a fiscal year and then for a subsequent fiscal year becomes an eligible area under subpart I, rather than applying to a single such series.</content> </subsection> </section> </subpart> </part> <part style="-uslm-dtd:part" identifier="/us/sComp/78/373/tXXVI/ptB" styleType="traditional"> <num style="-uslm-dtd:enum" value="B">Part B—</num><heading style="-uslm-dtd:header">Care Grant Program<ref style="-uslm-dtd:footnote-ref" idref="ID2B3F1D0037A74F1E8559AF83C3C2DDB8" class="footnoteRef">6</ref> </heading> <subpart style="-uslm-dtd:subpart" identifier="/us/sComp/78/373/tXXVI/ptB/sptI" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">Subpart I—</num><heading style="-uslm-dtd:header">General Grant Provisions </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2611" styleType="OLC"> <num style="-uslm-dtd:enum" value="2611">SEC. 2611. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–21<b>]</b> </editorialNote><heading style="-uslm-dtd:header">GRANTS. </heading> <content style="-uslm-dtd:text" class="block">The Secretary shall, subject to the availability of appropriations, make grants to States to enable such States to improve the quality, availability and organization of health care and support services for individuals and families with HIV/AIDS. The authority of the Secretary to provide grants under part B is subject to section 2626(e)(2) (relating to the decrease in perinatal transmission of HIV/AIDS).</content><footnote id="ID2B3F1D0037A74F1E8559AF83C3C2DDB8" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">6</sup><content><p style="-uslm-dtd:para; margin-left:1em">See footnote at the beginning of part A.</p> <p style="-uslm-dtd:para; margin-left:1em">Section 8(a) of Public Law 104–146 (110 Stat. 1372) establishes a condition for the receipt of grants under part B. The condition relates to notification of spouses of HIV-infected patients.</p></content></footnote> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612" styleType="OLC"> <num style="-uslm-dtd:enum" value="2612">SEC. 2612. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–22<b>]</b> </editorialNote><heading style="-uslm-dtd:header">GENERAL USE OF GRANTS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><chapeau style="-uslm-dtd:text">A State may use amounts provided under grants made under section 2611 for—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">core medical services described in subsection (b);</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">support services described in subsection (c); and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/a/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">administrative expenses described in section 2618(b)(3).</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Required Funding for Core Medical Services.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">With respect to a grant under section 2611 for a State for a grant year, the State shall, of the portion of the grant remaining after reserving amounts for purposes of subparagraphs (A) and (E)(ii)(I) of section 2618(b)(3), use not less than 75 percent to provide core medical services that are needed in the State for individuals with HIV/AIDS who are identified and eligible under this title (including services regarding the co-occurring conditions of the individuals).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Waiver.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The Secretary shall waive the application of paragraph (1) with respect to a State for a grant year if the Secretary determines that, within the State—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/2/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">there are no waiting lists for AIDS Drug Assistance Program services under section 2616; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/2/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">core medical services are available to all individuals with HIV/AIDS identified and eligible under this title.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Notification of waiver status.—</heading><content style="-uslm-dtd:text">When informing a State that a grant under section 2611 is being made to the State for a fiscal year, the Secretary shall inform the State whether a waiver under subparagraph (A) is in effect for the fiscal year.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Core medical services.—</heading><chapeau style="-uslm-dtd:text">For purposes of this subsection, the term “<term style="-uslm-dtd:term">core medical services</term>”, with respect to an individual infected with HIV/AIDS (including the co-occurring conditions of the individual) means the following services:</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">Outpatient and ambulatory health services.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">AIDS Drug Assistance Program treatments in accordance with section 2616.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/3/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">AIDS pharmaceutical assistance.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/3/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">Oral health care.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/3/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">Early intervention services described in subsection (d).</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/3/F" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">Health insurance premium and cost sharing assistance for low-income individuals in accordance with section 2615.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/3/G" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">Home health care.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/3/H" styleType="OLC"> <num style="-uslm-dtd:enum" value="H">(H) </num><content style="-uslm-dtd:text">Medical nutrition therapy.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/3/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">Hospice services.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/3/J" styleType="OLC"> <num style="-uslm-dtd:enum" value="J">(J) </num><content style="-uslm-dtd:text">Home and community-based health services as defined under section 2614(c).</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/3/K" styleType="OLC"> <num style="-uslm-dtd:enum" value="K">(K) </num><content style="-uslm-dtd:text">Mental health services.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/3/L" styleType="OLC"> <num style="-uslm-dtd:enum" value="L">(L) </num><content style="-uslm-dtd:text">Substance abuse outpatient care.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/b/3/M" styleType="OLC"> <num style="-uslm-dtd:enum" value="M">(M) </num><content style="-uslm-dtd:text">Medical case management, including treatment adherence services.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Support Services.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">For purposes of this subsection, the term “<term style="-uslm-dtd:term">support services</term>” means services, subject to the approval of the Secretary, that are needed for individuals with HIV/AIDS to achieve their medical outcomes (such as respite care for persons caring for individuals with HIV/AIDS, outreach services, medical transportation, linguistic services, and referrals for health care and support services).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Definition of medical outcomes.—</heading><content style="-uslm-dtd:text">In this subsection, the term “<term style="-uslm-dtd:term">medical outcomes</term>” means those outcomes affecting the HIV-related clinical status of an individual with HIV/AIDS.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Early Intervention Services.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/d/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">For purposes of this section, the term “<term style="-uslm-dtd:term">early intervention services</term>” means HIV/AIDS early intervention services described in section 2651(e), with follow-up referral provided for the purpose of facilitating the access of individuals receiving the services to HIV-related health services. The entities through which such services may be provided under the grant include public health departments, emergency rooms, substance abuse and mental health treatment programs, detoxification centers, detention facilities, clinics regarding sexually transmitted diseases, homeless shelters, HIV/AIDS counseling and testing sites, health care points of entry specified by States, federally qualified health centers, and entities described in section 2652(a) that constitute a point of access to services by maintaining referral relationships.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/d/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Conditions.—</heading><chapeau style="-uslm-dtd:text">With respect to an entity that proposes to provide early intervention services under paragraph (1), such paragraph shall apply only if the entity demonstrates to the satisfaction of the chief elected official for the State involved that—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/d/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">Federal, State, or local funds are otherwise inadequate for the early intervention services the entity proposes to provide; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/d/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the entity will expend funds pursuant to such subparagraph to supplement and not supplant other funds available to the entity for the provision of early intervention services for the fiscal year involved.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Priority for Women, Infants, Children, and Youth.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/e/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">For the purpose of providing health and support services to infants, children, youth, and women with HIV/AIDS, including treatment measures to prevent the perinatal transmission of HIV, a State shall for each of such populations in the eligible area use, from the grants made for the area under section 2601(a) for a fiscal year, not less than the percentage constituted by the ratio of the population involved (infants, children, youth, or women in such area) with HIV/AIDS to the general population in such area of individuals with HIV/AIDS.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/e/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Waiver.—</heading><content style="-uslm-dtd:text">With respect to the population involved, the Secretary may provide to a State a waiver of the requirement of paragraph (1) if such State demonstrates to the satisfaction of the Secretary that the population is receiving HIV-related health services through the State medicaid program under title XIX of the Social Security Act, the State children's health insurance program under title XXI of such Act, or other Federal or State programs.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2612/f" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">(f) </num><heading style="-uslm-dtd:header">Construction.—</heading><content style="-uslm-dtd:text">A State may not use amounts received under a grant awarded under section 2611 to purchase or improve land, or to purchase, construct, or permanently improve (other than minor remodeling) any building or other facility, or to make cash payments to intended recipients of services.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613" styleType="OLC"> <num style="-uslm-dtd:enum" value="2613">SEC. 2613. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–23<b>]</b> </editorialNote><heading style="-uslm-dtd:header">GRANTS TO ESTABLISH HIV CARE CONSORTIA. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Consortia.—</heading><chapeau style="-uslm-dtd:text">A State may, subject to subsection (f), use amounts provided under a grant awarded under section 2611 to provide assistance under section 2612(a) to an entity that—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">is an association of one or more public, and one or more nonprofit private, (or private for-profit providers or organizations if such entities are the only available providers of quality HIV care in the area) health care and support service providers and community based organizations operating within areas determined by the State to be most affected by HIV/AIDS; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">agrees to use such assistance for the planning, development and delivery, through the direct provision of services or through entering into agreements with other entities for the provision of such services, of comprehensive outpatient health and support services for individuals with HIV disease, that may include—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/a/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">essential health services such as case management services, medical, nursing, substance abuse treatment, mental health treatment, and dental care, diagnostics, monitoring, prophylactic treatment for opportunistic infections, treatment education to take place in the context of health care delivery, and medical follow-up services, mental health, developmental, and rehabilitation services, home health and hospice care; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/a/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">essential support services such as transportation services, attendant care, homemaker services, day or respite care, benefits advocacy, advocacy services provided through public and nonprofit private entities, and services that are incidental to the provision of health care services for individuals with HIV/AIDS including nutrition services, housing referral services, and child welfare and family services (including foster care and adoption services).</content> </subparagraph> </paragraph><continuation style="-uslm-dtd:continuation-text" role="subsection">An entity or entities of the type described in this subsection shall hereinafter be referred to in this title as a “<quotedText style="-uslm-dtd:quote">consortium</quotedText>” or “<quotedText style="-uslm-dtd:quote">consortia</quotedText>”.</continuation> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Assurances.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Requirement.—</heading><chapeau style="-uslm-dtd:text">To receive assistance from a State under subsection (a), an applicant consortium shall provide the State with assurances that—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/b/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">within any locality in which such consortium is to operate, the populations and subpopulations of individuals and families with HIV/AIDS have been identified by the consortium, particularly those experiencing disparities in access and services and those who reside in historically underserved communities;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/b/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the service plan established under subsection (c)(2) by such consortium is consistent with the comprehensive plan under section 2617(b)(4) and addresses the special care and service needs of the populations and subpopulations identified under subparagraph (A); and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/b/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">except as provided in paragraph (2), the consortium will be a single coordinating entity that will integrate the delivery of services among the populations and subpopulations identified under subparagraph (A).</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Exception.—</heading><chapeau style="-uslm-dtd:text">Subparagraph (C) of paragraph (1) shall not apply to any applicant consortium that the State determines will operate in a community or locality in which it has been demonstrated by the applicant consortium that—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/b/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">subpopulations exist within the community to be served that have unique service requirements; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/b/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">such unique service requirements cannot be adequately and efficiently addressed by a single consortium serving the entire community or locality.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Application.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">To receive assistance from the State under subsection (a), a consortium shall prepare and submit to the State, an application that—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">demonstrates that the consortium includes agencies and community-based organizations—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/1/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">with a record of service to populations and subpopulations with HIV/AIDS requiring care within the community to be served; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/1/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">that are representative of populations and subpopulations reflecting the local incidence of HIV and that are located in areas in which such populations reside;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">demonstrates that the consortium has carried out an assessment of service needs within the geographic area to be served and, after consultation with the entities described in paragraph (2), has established a plan to ensure the delivery of services to meet such identified needs that shall include—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/1/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">assurances that service needs will be addressed through the coordination and expansion of existing programs before new programs are created;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/1/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">assurances that, in metropolitan areas, the geographic area to be served by the consortium corresponds to the geographic boundaries of local health and support services delivery systems to the extent practicable;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/1/B/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">assurances that, in the case of services for individuals residing in rural areas, the applicant consortium shall deliver case management services that link available community support services to appropriate specialized medical services; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/1/B/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">assurances that the assessment of service needs and the planning of the delivery of services will include participation by individuals with HIV/AIDS;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">demonstrates that adequate planning has occurred to meet the special needs of families with HIV/AIDS, including family centered and youth centered care;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/1/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><chapeau style="-uslm-dtd:text">demonstrates that the consortium has created a mechanism to evaluate periodically—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/1/D/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">the success of the consortium in responding to identified needs; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/1/D/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">the cost-effectiveness of the mechanisms employed by the consortium to deliver comprehensive care;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/1/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">demonstrates that the consortium will report to the State the results of the evaluations described in subparagraph (D) and shall make available to the State or the Secretary, on request, such data and information on the program methodology that may be required to perform an independent evaluation; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/1/F" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">demonstrates that adequate planning occurred to address disparities in access and services and historically underserved communities.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Consultation.—</heading><chapeau style="-uslm-dtd:text">In establishing the plan required under paragraph (1)(B), the consortium shall consult with—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A)</num><clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/2/A/i" styleType="OLC" class="inline"><num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">the public health agency that provides or supports ambulatory and outpatient HIV-related health care services within the geographic area to be served; or</content></clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/2/A/ii" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">in the case of a public health agency that does not directly provide such HIV-related health care services such agency shall consult with an entity or entities that directly provide ambulatory and outpatient HIV-related health care services within the geographic area to be served;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">not less than one community-based organization that is organized solely for the purpose of providing HIV-related support services to individuals with HIV/AIDS;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">grantees under section 2671, or, if none are operating in the area, representatives in the area of organizations with a history of serving children, youth, women, and families living with HIV; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/c/2/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">the types of entities described in section 2602(b)(2).</content> </subparagraph><continuation style="-uslm-dtd:continuation-text" role="paragraph">The organization to be consulted under subparagraph (B) shall be at the discretion of the applicant consortium.</continuation> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Definition.—</heading><content style="-uslm-dtd:text">As used in section 2611, the term “<term style="-uslm-dtd:term">family centered care</term>” means the system of services described in this section that is targeted specifically to the special needs of infants, children, women, and families. Family centered care shall be based on a partnership between parents, professionals, and the community designed to ensure an integrated, coordinated, culturally sensitive, and community-based continuum of care for children, women, and families with HIV/AIDS.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Priority.—</heading><chapeau style="-uslm-dtd:text">In providing assistance under subsection (a), the State shall, among applicants that meet the requirements of this section, give priority—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/e/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">first to consortia that are receiving assistance from the Health Resources and Services Administration for adult and pediatric HIV-related care demonstration projects; and then</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/e/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">to any other existing HIV care consortia.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2613/f" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">(f) </num><heading style="-uslm-dtd:header">Allocation of Funds; Treatment as Support Services.—</heading><content style="-uslm-dtd:text">For purposes of the requirement of section 2612(b)(1), expenditures of grants under section 2611 for or through consortia under this section are deemed to be support services, not core medical services. The preceding sentence may not be construed as having any legal effect on the provisions of subsection (a) that relate to authorized expenditures of the grant.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614" styleType="OLC"> <num style="-uslm-dtd:enum" value="2614">SEC. 2614. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–24<b>]</b> </editorialNote><heading style="-uslm-dtd:header">GRANTS FOR HOME- AND COMMUNITY-BASED CARE. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Uses.—</heading><chapeau style="-uslm-dtd:text">A State may use amounts provided under a grant awarded under section 2611 to make grants under section 2612(b)(3)(J) to entities to—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">provide home- and community-based health services for individuals with HIV/AIDS pursuant to written plans of care prepared by a case management team, that shall include appropriate health care professionals, in such State for providing such services to such individuals;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">provide outreach services to individuals with HIV/AIDS, including those individuals in rural areas; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614/a/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">provide for the coordination of the provision of services under this section with the provision of HIV-related health services, including specialty care and vaccinations for hepatitis co-infection, provided by public and private entities.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Priority.—</heading><chapeau style="-uslm-dtd:text">In awarding grants under subsection (a), a State shall give priority to entities that provide assurances to the State that—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">such entities will participate in HIV care consortia if such consortia exist within the State; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">such entities will utilize amounts provided under such grants for the provision of home- and community-based services to low-income individuals with HIV/AIDS.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Definition.—</heading><chapeau style="-uslm-dtd:text">As used in section 2611, the term “<term style="-uslm-dtd:term">home- and community-based health services</term>”—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">means, with respect to an individual with HIV/AIDS, skilled health services furnished to the individual in the individual's home pursuant to a written plan of care established by a case management team, that shall include appropriate health care professionals, for the provision of such services and items described in paragraph (2);</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">includes—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614/c/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">durable medical equipment;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614/c/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">home health aide services and personal care services furnished in the home of the individual;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614/c/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">day treatment or other partial hospitalization services;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614/c/2/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">home intravenous and aerosolized drug therapy (including prescription drugs administered as part of such therapy);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614/c/2/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">routine diagnostic testing administered in the home of the individual; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614/c/2/F" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">appropriate mental health, developmental, and rehabilitation services; and</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614/c/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><chapeau style="-uslm-dtd:text">does not include—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614/c/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">inpatient hospital services; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2614/c/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">nursing home and other long term care facilities.</content> </subparagraph> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2615" styleType="OLC"> <num style="-uslm-dtd:enum" value="2615">SEC. 2615. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–25<b>]</b> </editorialNote><heading style="-uslm-dtd:header">CONTINUUM OF HEALTH INSURANCE COVERAGE. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2615/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><chapeau style="-uslm-dtd:text">A State may use amounts received under a grant awarded under section 2611 to establish a program of financial assistance under section 2612(b)(3)(F) to assist eligible low-income individuals with HIV/AIDS in—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2615/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">maintaining a continuity of health insurance; or</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2615/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">receiving medical benefits under a health insurance program, including risk-pools.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2615/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Limitations.—</heading><chapeau style="-uslm-dtd:text">Assistance shall not be utilized under subsection (a)—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2615/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">to pay any costs associated with the creation, capitalization, or administration of a liability risk pool (other than those costs paid on behalf of individuals as part of premium contributions to existing liability risk pools); and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2615/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">to pay any amount expended by a State under title XIX of the Social Security Act.</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2616" styleType="OLC"> <num style="-uslm-dtd:enum" value="2616">SEC. 2616. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–26<b>]</b> </editorialNote><heading style="-uslm-dtd:header">PROVISION OF TREATMENTS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2616/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">A State shall use a portion of the amounts provided under a grant awarded under section 2611 to establish a program under section 2612(b)(3)(B) to provide therapeutics to treat HIV/AIDS or prevent the serious deterioration of health arising from HIV/AIDS in eligible individuals, including measures for the prevention and treatment of opportunistic infections.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2616/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Eligible Individual.—</heading><chapeau style="-uslm-dtd:text">To be eligible to receive assistance from a State under this section an individual shall—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2616/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">have a medical diagnosis of HIV/AIDS; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2616/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">be a low-income individual, as defined by the State.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2616/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">State Duties.—</heading><chapeau style="-uslm-dtd:text">In carrying out this section the State shall—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2616/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">ensure that the therapeutics included on the list of classes of core antiretroviral therapeutics established by the Secretary under subsection (e) are, at a minimum, the treatments provided by the State pursuant to this section;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2616/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">provide assistance for the purchase of treatments determined to be eligible under paragraph (1), and the provision of such ancillary devices that are essential to administer such treatments;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2616/c/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">provide outreach to individuals with HIV/AIDS, and as appropriate to the families of such individuals;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2616/c/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">facilitate access to treatments for such individuals;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2616/c/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">document the progress made in making therapeutics described in subsection (a) available to individuals eligible for assistance under this section; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2616/c/6" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">encourage, support, and enhance adherence to and compliance with treatment regimens, including related medical monitoring.</content> </paragraph><continuation style="-uslm-dtd:continuation-text" role="subsection">Of the amount reserved by a State for a fiscal year for use under this section, the State may not use more than 5 percent to carry out services under paragraph (6), except that the percentage applicable with respect to such paragraph is 10 percent if the State demonstrates to the Secretary that such additional services are essential and in no way diminish access to the therapeutics described in subsection (a).</continuation> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2616/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Duties of the Secretary.—</heading><content style="-uslm-dtd:text">In carrying out this section, the Secretary shall review the current status of State drug reimbursement programs established under section 2612(2) and assess barriers to the expanded availability of the treatments described in subsection (a). The Secretary shall also examine the extent to which States coordinate with other grantees under this title to reduce barriers to the expanded availability of the treatments described in subsection (a).</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2616/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">List of Classes of Core Antiretroviral Therapeutics.—</heading><content style="-uslm-dtd:text">For purposes of subsection (c)(1), the Secretary shall develop and maintain a list of classes of core antiretroviral therapeutics, which list shall be based on the therapeutics included in the guidelines of the Secretary known as the Clinical Practice Guidelines for Use of HIV/AIDS Drugs, relating to drugs needed to manage symptoms associated with HIV. The preceding sentence does not affect the authority of the Secretary to modify such Guidelines.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2616/f" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">(f) </num><heading style="-uslm-dtd:header">Use of Health Insurance and Plans.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2616/f/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">In carrying out subsection (a), a State may expend a grant under section 2611 to provide the therapeutics described in such subsection by paying on behalf of individuals with HIV/AIDS the costs of purchasing or maintaining health insurance or plans whose coverage includes a full range of such therapeutics and appropriate primary care services.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2616/f/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Limitation.—</heading><content style="-uslm-dtd:text">The authority established in paragraph (1) applies only to the extent that, for the fiscal year involved, the costs of the health insurance or plans to be purchased or maintained under such paragraph do not exceed the costs of otherwise providing therapeutics described in subsection (a).</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2616/g" styleType="OLC"> <num style="-uslm-dtd:enum" value="g">(g) </num><heading style="-uslm-dtd:header">Drug Rebate Program.—</heading><content style="-uslm-dtd:text">A State shall ensure that any drug rebates received on drugs purchased from funds provided pursuant to this section are applied to activities supported under this subpart, with priority given to activities described under this section.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617" styleType="OLC"> <num style="-uslm-dtd:enum" value="2617">SEC. 2617. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–27<b>]</b> </editorialNote><heading style="-uslm-dtd:header">STATE APPLICATION. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">The Secretary shall not make a grant to a State under section 2611 for a fiscal year unless the State prepares and submits, to the Secretary, an application at such time, in such form, and containing such agreements, assurances, and information as the Secretary determines to be necessary to carry out section 2611.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Description of Intended Uses and Agreements.—</heading><chapeau style="-uslm-dtd:text">The application submitted under subsection (a) shall contain—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">a detailed description of the HIV-related services provided in the State to individuals and families with HIV/AIDS during the year preceding the year for which the grant is requested, and the number of individuals and families receiving such services, that shall include—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">a description of the types of programs operated or funded by the State for the provision of HIV-related services during the year preceding the year for which the grant is requested and the methods utilized by the State to finance such programs;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">an accounting of the amount of funds that the State has expended for such services and programs during the year preceding the year for which the grant is requested; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><chapeau style="-uslm-dtd:text">information concerning—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/1/C/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">the number of individuals to be served with assistance provided under the grant;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/1/C/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">demographic data on the population of the individuals to be served;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/1/C/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">the average cost of providing each category of HIV-related health services and the extent to which such cost is paid by third-party payors; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/1/C/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">the aggregate amounts expended for each such category of services;</content> </clause> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">a determination of the size and demographics of the population of individuals with HIV/AIDS in the State;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><chapeau style="-uslm-dtd:text">a determination of the needs of such population, with particular attention to—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">individuals with HIV/AIDS who know their HIV status and are not receiving HIV-related services; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">disparities in access and services among affected subpopulations and historically underserved communities;</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><chapeau style="-uslm-dtd:text">the designation of a lead State agency that shall—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/4/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">administer all assistance received under section 2611;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/4/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">conduct the needs assessment and prepare the State plan under paragraph (3);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/4/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">prepare all applications for assistance under section 2611;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/4/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">receive notices with respect to programs under this title;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/4/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">every 2 years, collect and submit to the Secretary all audits, consistent with Office of Management and Budget circular A133, from grantees within the State, including audits regarding funds expended in accordance with section 2611; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/4/F" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">carry out any other duties determined appropriate by the Secretary to facilitate the coordination of programs under this title.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><chapeau style="-uslm-dtd:text">a comprehensive plan that describes the organization and delivery of HIV health care and support services to be funded with assistance received under section 2611 that shall include a description of the purposes for which the State intends to use such assistance, and that—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/5/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A)<ref style="-uslm-dtd:footnote-ref" idref="ID27413EEBDDBC4087B391F01700FB0865" class="footnoteRef">7</ref> </num><chapeau style="-uslm-dtd:text">establishes priorities for the allocation of funds within the State based on—</chapeau><footnote id="ID27413EEBDDBC4087B391F01700FB0865" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">7</sup><p style="-uslm-dtd:para; margin-left:1em">The placement of subparagraphs (A) through (C) is according to the probable intent of the Congress. Section 205(a)(3) of Public Law 106–345 (114 Stat. 1332, 1333) amended paragraph (4) by redesignating subparagraphs (A) through (C) as subparagraphs (D) through (F), and then instructed that new subparagraphs (A) through (C) be inserted before “<quotedText style="-uslm-dtd:quote">subparagraph (C)</quotedText>”. The amendment probably should have instructed that the new subparagraphs be inserted before subparagraph (D), as redesignated.</p></footnote> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/5/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">size and demographics of the population of individuals with HIV/AIDS (as determined under paragraph (2)) and the needs of such population (as determined under paragraph (3));</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/5/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">availability of other governmental and non-governmental resources, including the State medicaid plan under title XIX of the Social Security Act and the State Children's Health Insurance Program under title XXI of such Act to cover health care costs of eligible individuals and families with HIV/AIDS;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/5/A/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">capacity development needs resulting from disparities in the availability of HIV-related services in historically underserved communities and rural communities; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/5/A/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">the efficiency of the administrative mechanism of the State for rapidly allocating funds to the areas of greatest need within the State;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/5/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">includes a strategy for identifying individuals who know their HIV status and are not receiving such services and for informing the individuals of and enabling the individuals to utilize the services, giving particular attention to eliminating disparities in access and services among affected subpopulations and historically underserved communities, and including discrete goals, a timetable, and an appropriate allocation of funds;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/5/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">includes a strategy to coordinate the provision of such services with programs for HIV prevention (including outreach and early intervention) and for the prevention and treatment of substance abuse (including programs that provide comprehensive treatment services for such abuse);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/5/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">describes the services and activities to be provided and an explanation of the manner in which the elements of the program to be implemented by the State with such assistance will maximize the quality of health and support services available to individuals with HIV/AIDS throughout the State;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/5/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">provides a description of the manner in which services funded with assistance provided under section 2611 will be coordinated with other available related services for individuals with HIV/AIDS;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/5/F" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">provides a description of how the allocation and utilization of resources are consistent with the statewide coordinated statement of need (including traditionally underserved populations and subpopulations) developed in partnership with other grantees in the State that receive funding under this title; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/5/G" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">includes key outcomes to be measured by all entities in the State receiving assistance under this title; and</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/6" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">an assurance that the public health agency administering the grant for the State will periodically convene a meeting of individuals with HIV/AIDS, members of a Federally recognized Indian tribe as represented in the State, representatives of grantees under each part under this title, providers, and public agency representatives for the purpose of developing a statewide coordinated statement of need;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/7" styleType="OLC"> <num style="-uslm-dtd:enum" value="7">(7) </num><chapeau style="-uslm-dtd:text">an assurance by the State that—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/7/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the public health agency that is administering the grant for the State engages in a public advisory planning process, including public hearings, that includes the participants under paragraph (6), and the types of entities described in section 2602(b)(2), in developing the comprehensive plan under paragraph (5) and commenting on the implementation of such plan;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/7/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">the State will—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/7/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">to the maximum extent practicable, ensure that HIV-related health care and support services delivered pursuant to a program established with assistance provided under section 2611 will be provided without regard to the ability of the individual to pay for such services and without regard to the current or past health condition of the individual with HIV/AIDS;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/7/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">ensure that such services will be provided in a setting that is accessible to low-income individuals with HIV/AIDS;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/7/B/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">provide outreach to low-income individuals with HIV/AIDS to inform such individuals of the services available under section 2611; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/7/B/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><chapeau style="-uslm-dtd:text">in the case of a State that intends to use amounts provided under the grant for purposes described in 2615<ref style="-uslm-dtd:footnote-ref" idref="IDAEA68D32A4E145F18F56BB4C06CD02B5" class="footnoteRef">8</ref>, submit a plan to the Secretary that demonstrates that the State has established a program that assures that—</chapeau><footnote id="IDAEA68D32A4E145F18F56BB4C06CD02B5" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">8</sup><p style="-uslm-dtd:para; margin-left:1em">The word “<quotedText style="-uslm-dtd:quote">section</quotedText>” probably should appear before “<quotedText style="-uslm-dtd:quote">2615</quotedText>”. Section 12(c)(3) of Public Law 104–146 (110 Stat. 1373) provides that subsection (b)(3)(B)(iv) is amended by inserting “<quotedText style="-uslm-dtd:quote">section</quotedText>” before “<quotedText style="-uslm-dtd:quote">2615</quotedText>”, but the amendment cannot be executed because the term “<term style="-uslm-dtd:term">2615</term>” does not appear in paragraph (3)(B)(iv). The term formerly did appear in such paragraph, but former paragraph (3) was redesignated as paragraph (4) by section 3(c)(4)(B) of such Public Law (110 Stat. 1355).</p></footnote> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/7/B/iv/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">such amounts will be targeted to individuals who would not otherwise be able to afford health insurance coverage; and</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/7/B/iv/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">income, asset, and medical expense criteria will be established and applied by the State to identify those individuals who qualify for assistance under such program, and information concerning such criteria shall be made available to the public;</content> </subclause> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/7/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">the State will provide for periodic independent peer review to assess the quality and appropriateness of health and support services provided by entities that receive funds from the State under section 2611;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/7/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">the State will permit and cooperate with any Federal investigations undertaken regarding programs conducted under section 2611;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/7/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">the State will maintain HIV-related activities at a level that is equal to not less than the level of such expenditures by the State for the 1-year period preceding the fiscal year for which the State is applying to receive a grant under section 2611;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/7/F" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><chapeau style="-uslm-dtd:text">the State will ensure that grant funds are not utilized to make payments for any item or service to the extent that payment has been made, or can reasonably be expected to be made, with respect to that item or service—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/7/F/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">under any State compensation program, under an insurance policy, or under any Federal or State health benefits program; or</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/7/F/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by an entity that provides health services on a prepaid basis (except for a program administered by or providing the services of the Indian Health Service); and</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/7/G" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">entities within areas in which activities under the grant are carried out will maintain appropriate relationships with entities in the area served that constitute key points of access to the health care system for individuals with HIV/AIDS (including emergency rooms, substance abuse treatment programs, detoxification centers, adult and juvenile detention facilities, sexually transmitted disease clinics, HIV counseling and testing sites, mental health programs, and homeless shelters), and other entities under section 2612(c) and 2652(a), for the purpose of facilitating early intervention for individuals newly diagnosed with HIV/AIDS and individuals knowledgeable of their HIV status but not in care; and</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/8" styleType="OLC"> <num style="-uslm-dtd:enum" value="8">(8) </num><chapeau style="-uslm-dtd:text">a comprehensive plan—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/8/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">containing an identification of individuals with HIV/AIDS as described in clauses (i) through (iii) of section 2603(b)(2)(A) and the strategy required under section 2602(b)(4)(D)(iv);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/8/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">describing the estimated number of individuals within the State with HIV/AIDS who do not know their status;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/8/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">describing activities undertaken by the State to find the individuals described in subparagraph (A) and to make such individuals aware of their status;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/8/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">describing the manner in which the State will provide undiagnosed individuals who are made aware of their status with access to medical treatment for their HIV/AIDS; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/b/8/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">describing efforts to remove legal barriers, including State laws and regulations, to routine testing.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Requirements Regarding Imposition of Charges for Services.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In General.—</heading><chapeau style="-uslm-dtd:text">The Secretary may not make a grant under section 2611 to a State unless the State provides assurances that in the provision of services with assistance provided under the grant—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/c/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in the case of individuals with an income less than or equal to 100 percent of the official poverty line, the provider will not impose charges on any such individual for the provision of services under the grant;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/c/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">in the case of individuals with an income greater than 100 percent of the official poverty line, the provider—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/c/1/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">will impose charges on each such individual for the provision of such services; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/c/1/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">will impose charges according to a schedule of charges that is made available to the public;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/c/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">in the case of individuals with an income greater than 100 percent of the official poverty line and not exceeding 200 percent of such poverty line, the provider will not, for any calendar year, impose charges in an amount exceeding 5 percent of the annual gross income of the individual involved;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/c/1/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">in the case of individuals with an income greater than 200 percent of the official poverty line and not exceeding 300 percent of such poverty line, the provider will not, for any calendar year, impose charges in an amount exceeding 7 percent of the annual gross income of the individual involved; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/c/1/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">in the case of individuals with an income greater than 300 percent of the official poverty line, the provider will not, for any calendar year, impose charges in an amount exceeding 10 percent of the annual gross income of the individual involved.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Assessment of charge.—</heading><chapeau style="-uslm-dtd:text">With respect to compliance with the assurance made under paragraph (1), a grantee under section 2611 may, in the case of individuals subject to a charge for purposes of such paragraph—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/c/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">assess the amount of the charge in the discretion of the grantee, including imposing only a nominal charge for the provision of services, subject to the provisions of such paragraph regarding public schedules regarding limitation on the maximum amount of charges; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/c/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">take into consideration the medical expenses of individuals in assessing the amount of the charge, subject to such provisions.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/c/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Applicability of limitation on amount of charge.—</heading><content style="-uslm-dtd:text">The Secretary may not make a grant under section 2611 unless the applicant of the grant agrees that the limitations established in subparagraphs (C), (D), and (E) of paragraph (1) regarding the imposition of charges for services applies to the annual aggregate of charges imposed for such services, without regard to whether they are characterized as enrollment fees, premiums, deductibles, cost sharing, copayments, coinsurance, or other charges.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/c/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Waiver.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/c/4/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The State shall waive the requirements established in paragraphs (1) through (3) in the case of an entity that does not, in providing health care services, impose a charge or accept reimbursement from any third-party payor, including reimbursement under any insurance policy or under any Federal or State health benefits program.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/c/4/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Determination.—</heading><content style="-uslm-dtd:text">A determination by the State of whether an entity referred to in subparagraph (A) meets the criteria for a waiver under such subparagraph shall be made without regard to whether the entity accepts voluntary donations regarding the provision of services to the public.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Requirement of Matching Funds Regarding State Allotments.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/d/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">In the case of any State to which the criterion described in paragraph (3) applies, the Secretary may not make a grant under section 2611 unless the State agrees that, with respect to the costs to be incurred by the State in carrying out the program for which the grant was awarded, the State will, subject to subsection (b)(2), make available (directly or through donations from public or private entities) non-Federal contributions toward such costs in an amount equal to—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/d/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">for the first fiscal year of payments under the grant, not less than 16⅔ percent of such costs ($1 for each $5 of Federal funds provided in the grant);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/d/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">for any second fiscal year of such payments, not less than 20 percent of such costs ($1 for each $4 of Federal funds provided in the grant);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/d/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">for any third fiscal year of such payments, not less than 25 percent of such costs ($1 for each $3 of Federal funds provided in the grant);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/d/1/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">for any fourth fiscal year of such payments, not less than 33⅓ percent of such costs ($1 for each $2 of Federal funds provided in the grant); and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/d/1/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">for any subsequent fiscal year of such payments, not less than 33⅓ percent of such costs ($1 for each $2 of Federal funds provided in the grant).</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/d/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Determination of amount of non-federal contribution.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/d/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Non-Federal contributions required in paragraph (1) may be in cash or in kind, fairly evaluated, including plant, equipment, or services. Amounts provided by the Federal Government, and any portion of any service subsidized by the Federal Government, may not be included in determining the amount of such non-Federal contributions.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/d/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Inclusion of certain amounts.—</heading> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/d/2/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">In making a determination of the amount of non-Federal contributions made by a State for purposes of paragraph (1), the Secretary shall, subject to clause (ii), include any non-Federal contributions provided by the State for HIV-related services, without regard to whether the contributions are made for programs established pursuant to this title;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/d/2/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">In making a determination for purposes of clause (i), the Secretary may not include any non-Federal contributions provided by the State as a condition of receiving Federal funds under any program under this title (except for the program established in section 2611) or under other provisions of law.</content> </clause> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/d/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Applicability of requirement.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/d/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">Number of cases.—</heading><content style="-uslm-dtd:text">A State referred to in paragraph (1) is any State for which the number of cases of HIV/AIDS reported to and confirmed by the Director of the Centers for Disease Control and Prevention for the period described in subparagraph (B) constitutes in excess of 1 percent of the aggregate number of such cases reported to and confirmed by the Director for such period for the United States.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/d/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Period of time.—</heading><content style="-uslm-dtd:text">The period referred to in subparagraph (A) is the 2-year period preceding the fiscal year for which the State involved is applying to receive a grant under subsection (a).</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/d/3/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><heading style="-uslm-dtd:header">Puerto Rico.—</heading><content style="-uslm-dtd:text">For purposes of paragraph (1), the number of cases of HIV/AIDS reported and confirmed for the Commonwealth of Puerto Rico for any fiscal year shall be deemed to be less than 1 percent.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2617/d/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Diminished state contribution.—</heading><content style="-uslm-dtd:text">With respect to a State that does not make available the entire amount of the non-Federal contribution referred to in paragraph (1), the State shall continue to be eligible to receive Federal funds under a grant under section 2611, except that the Secretary in providing Federal funds under the grant shall provide such funds (in accordance with the ratios prescribed in paragraph (1)) only with respect to the amount of funds contributed by such State.</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618" styleType="OLC"> <num style="-uslm-dtd:enum" value="2618">SEC. 2618. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–28<b>]</b> </editorialNote><heading style="-uslm-dtd:header">DISTRIBUTION OF FUNDS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Amount of Grant to State.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Minimum allotment.—</heading><chapeau style="-uslm-dtd:text">Subject to the extent of amounts made available under section 2623, the amount of a grant to be made under section 2611 for—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">each of the 50 States, the District of Columbia, Guam, and the Virgin Islands (referred to in this paragraph as a “<quotedText style="-uslm-dtd:quote">covered State</quotedText>”) for a fiscal year shall be the greater of—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/1/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i)</num><subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/1/A/i/I" styleType="OLC" class="inline"><num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">with respect to a covered State that has less than 90 living cases of AIDS, as determined under paragraph (2)(D), $200,000; or</content></subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/1/A/i/II" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">with respect to a covered State that has 90 or more living cases of AIDS, as determined under paragraph (2)(D), $500,000; and</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/1/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">an amount determined under paragraph (2) and then, as applicable, increased under paragraph (2)(H); and</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">each territory other than Guam and the Virgin Islands shall be the greater of $50,000 or an amount determined under paragraph (2).</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Determination.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">Formula.—</heading><chapeau style="-uslm-dtd:text">For purposes of paragraph (1), the amount referred to in this paragraph for a State (including a territory) for a fiscal year is, subject to subparagraphs (E) and (F)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">an amount equal to the amount made available under section 2623 for the fiscal year involved for grants pursuant to paragraph (1), subject to subparagraph (F); and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><chapeau style="-uslm-dtd:text">the percentage constituted by the sum of—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/A/ii/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">the product of 0.75 and the ratio of the State distribution factor for the State or territory (as determined under subsection (B)) to the sum of the respective State distribution factors for all States or territories;</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/A/ii/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">the product of .20 and the ratio of the non-EMA distribution factor for the State or territory (as determined under subparagraph (C)) to the sum of the respective non-EMA distribution factors for all States or territories; and</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/A/ii/III" styleType="OLC"> <num style="-uslm-dtd:enum" value="III">(III) </num><content style="-uslm-dtd:text">if the State does not for such fiscal year contain any area that is an eligible area under subpart I of part A or any area that is a transitional area under section 2609 (referred to in this subclause as a “<quotedText style="-uslm-dtd:quote">no-EMA State</quotedText>”), the product of 0.05 and the ratio of the number of cases that applies for the State under subparagraph (D) to the sum of the respective numbers of cases that so apply for all no-EMA States.</content> </subclause> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">State distribution factor.—</heading><content style="-uslm-dtd:text">For purposes of subparagraph (A)(ii)(I), the term “<term style="-uslm-dtd:term">State distribution factor</term>” means an amount equal to the number of living cases of HIV/AIDS in the State involved, as determined under subparagraph (D).</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><heading style="-uslm-dtd:header">Non-ema distribution factor.—</heading><chapeau style="-uslm-dtd:text">For purposes of subparagraph (A)(ii)(II), the term “<term style="-uslm-dtd:term">non-ema distribution factor</term>” means an amount equal to the sum of—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/C/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">the number of living cases of HIV/AIDS in the State involved, as determined under subparagraph (D); less</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/C/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><chapeau style="-uslm-dtd:text">a number equal to the sum of—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/C/ii/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">the total number of living cases of HIV/AIDS that are within areas in such State that are eligible areas under subpart I of part A for the fiscal year involved, which individual number for an area is the number that applies under section 2601 for the area for such fiscal year; and</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/C/ii/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">the total number of such cases that are within areas in such State that are transitional areas under section 2609 for such fiscal year, which individual number for an area is the number that applies under such section for the fiscal year.</content> </subclause> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><heading style="-uslm-dtd:header">Living cases of hiv/aids.—</heading> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><heading style="-uslm-dtd:header">Requirement of names-based reporting.—</heading><content style="-uslm-dtd:text">Except as provided in clause (ii), the number determined under this subparagraph for a State for a fiscal year for purposes of subparagraph (B) is the number of living names-based cases of HIV/AIDS in the State that, as of December 31 of the most recent calendar year for which such data is available, have been reported to and confirmed by the Director of the Centers for Disease Control and Prevention.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><heading style="-uslm-dtd:header">Transition period; exemption regarding non-aids cases.—</heading><chapeau style="-uslm-dtd:text">For each of the fiscal years 2007 through 2012, a State is, subject to clauses (iii) through (v), exempt from the requirement under clause (i) that living non-AIDS names-based cases of HIV be reported unless—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/ii/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">a system was in operation as of December 31, 2005, that provides sufficiently accurate and reliable names-based reporting of such cases throughout the State, subject to clause (vii); or</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/ii/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">no later than the beginning of fiscal year 2008 or a subsequent fiscal year through fiscal year 2012, the Secretary, after consultation with the chief executive of the State, determines that a system has become operational in the State that provides sufficiently accurate and reliable names-based reporting of such cases throughout the State.</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><heading style="-uslm-dtd:header">Requirements for exemption for fiscal year 2007.—</heading><chapeau style="-uslm-dtd:text">For fiscal year 2007, an exemption under clause (ii) for a State applies only if, by October 1, 2006—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/iii/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I)</num><item style="-uslm-dtd:item" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/iii/I/aa" styleType="OLC" class="inline"><num style="-uslm-dtd:enum" value="aa">(aa) </num><content style="-uslm-dtd:text">the State had submitted to the Secretary a plan for making the transition to sufficiently accurate and reliable names-based reporting of living non-AIDS cases of HIV; or</content></item> <item style="-uslm-dtd:item" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/iii/I/bb" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="bb">(bb) </num><content style="-uslm-dtd:text">all statutory changes necessary to provide for sufficiently accurate and reliable reporting of such cases had been made; and</content> </item> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/iii/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">the State had agreed that, by April 1, 2008, the State will begin accurate and reliable names-based reporting of such cases, except that such agreement is not required to provide that, as of such date, the system for such reporting be fully sufficient with respect to accuracy and reliability throughout the area.</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><heading style="-uslm-dtd:header">Requirement for exemption as of fiscal year 2008.—</heading><content style="-uslm-dtd:text">For each of the fiscal years 2008 through 2012, an exemption under clause (ii) for a State applies only if, as of April 1, 2008, the State is substantially in compliance with the agreement under clause (iii)(II).</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/v" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">(v) </num><heading style="-uslm-dtd:header">Progress toward names-based reporting.—</heading><content style="-uslm-dtd:text">For fiscal year 2009 or a subsequent fiscal year, the Secretary may terminate an exemption under clause (ii) for a State if the State submitted a plan under clause (iii)(I)(aa) and the Secretary determines that the State is not substantially following the plan.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/vi" styleType="OLC"> <num style="-uslm-dtd:enum" value="vi">(vi) </num><heading style="-uslm-dtd:header">Counting of cases in areas with exemptions.—</heading> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/vi/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">With respect to a State that is under a reporting system for living non-AIDS cases of HIV that is not names-based (referred to in this subparagraph as “<quotedText style="-uslm-dtd:quote">code-based reporting</quotedText>”), the Secretary shall, for purposes of this subparagraph, modify the number of such cases reported for the State in order to adjust for duplicative reporting in and among systems that use code-based reporting.</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/vi/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><heading style="-uslm-dtd:header">Adjustment rate.—</heading><content style="-uslm-dtd:text">The adjustment rate under subclause (I) for a State shall be a reduction of 5 percent for fiscal years before fiscal year 2012 (and 6 percent for fiscal year 2012) in the number of living non-AIDS cases of HIV reported for the State.</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/vi/III" styleType="OLC"> <num style="-uslm-dtd:enum" value="III">(III) </num><heading style="-uslm-dtd:header">Increased adjustment for certain states previously using code-based reporting.—</heading><chapeau style="-uslm-dtd:text">For purposes of this subparagraph for each of fiscal years 2010 through 2012, the Secretary shall deem the applicable number of living cases of HIV/AIDS in a State that were reported to and confirmed by the Centers for Disease Control and Prevention to be 3 percent higher than the actual number if—</chapeau> <item style="-uslm-dtd:item" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/vi/III/aa" styleType="OLC"> <num style="-uslm-dtd:enum" value="aa">(aa) </num><content style="-uslm-dtd:text">there is an area in such State that satisfies all of the conditions described in items (aa) through (cc) of section 2603(a)(3)(C)(vi)(III); or</content> </item> <item style="-uslm-dtd:item" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/vi/III/bb" styleType="OLC"> <num style="-uslm-dtd:enum" value="bb">(bb)</num><subitem style="-uslm-dtd:subitem" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/vi/III/bb/AA" styleType="OLC" class="inline"><num style="-uslm-dtd:enum" value="AA">(AA) </num><content style="-uslm-dtd:text">fiscal year 2007 was the first year in which the count of living non-AIDS cases of HIV in such area, for purposes of this part, was based on a names-based reporting system; and</content></subitem> <subitem style="-uslm-dtd:subitem" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/vi/III/bb/BB" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="BB">(BB) </num><content style="-uslm-dtd:text">the amount of funding that such State received under this part for fiscal year 2007 was less than 70 percent of the amount of funding that such State received under such part for fiscal year 2006.</content> </subitem> </item> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/vii" styleType="OLC"> <num style="-uslm-dtd:enum" value="vii">(vii) </num><heading style="-uslm-dtd:header">List of states meeting standard regarding december 31, 2005.—</heading> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/vii/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">If a State is specified in subclause (II), the State shall be considered to meet the standard described in clause (ii)(I). No other State may be considered to meet such standard.</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/vii/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><heading style="-uslm-dtd:header">Relevant states.—</heading><content style="-uslm-dtd:text">For purposes of subclause (I), the States specified in this subclause are the following: Alaska, Alabama, Arkansas, Arizona, Colorado, Florida, Indiana, Iowa, Idaho, Kansas, Louisiana, Michigan, Minnesota, Missouri, Mississippi, North Carolina, North Dakota, Nebraska, New Jersey, New Mexico, New York, Nevada, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, West Virginia, Wyoming, Guam, and the Virgin Islands.</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/viii" styleType="OLC"> <num style="-uslm-dtd:enum" value="viii">(viii) </num><heading style="-uslm-dtd:header">Rules of construction regarding acceptance of reports.—</heading> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/viii/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><heading style="-uslm-dtd:header">Cases of aids.—</heading><content style="-uslm-dtd:text">With respect to a State that is subject to the requirement under clause (i) and is not in compliance with the requirement for names-based reporting of living non-AIDS cases of HIV, the Secretary shall, notwithstanding such noncompliance, accept reports of living cases of AIDS that are in accordance with such clause.</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/viii/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><heading style="-uslm-dtd:header">Applicability of exemption requirements.—</heading><content style="-uslm-dtd:text">The provisions of clauses (ii) through (vii) may not be construed as having any legal effect for fiscal year 2013 or any subsequent fiscal year, and accordingly, the status of a State for purposes of such clauses may not be considered after fiscal year 2012.</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/ix" styleType="OLC"> <num style="-uslm-dtd:enum" value="ix">(ix) </num><heading style="-uslm-dtd:header">Program for detecting inaccurate or fraudulent counting.—</heading><content style="-uslm-dtd:text">The Secretary shall carry out a program to monitor the reporting of names-based cases for purposes of this subparagraph and to detect instances of inaccurate reporting, including fraudulent reporting.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/D/x" styleType="OLC"> <num style="-uslm-dtd:enum" value="x">(x) </num><heading style="-uslm-dtd:header">Future fiscal years.—</heading><content style="-uslm-dtd:text">For fiscal years beginning with fiscal year 2013, determinations under this paragraph shall be based only on living names-based cases of HIV/AIDS with respect to the State involved.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><heading style="-uslm-dtd:header">Code-based states; limitation on increase in grant.—</heading> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/E/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">For each of the fiscal years 2007 through 2012, if code-based reporting (within the meaning of subparagraph (D)(vi)) applies in a State as of the beginning of the fiscal year involved, then notwithstanding any other provision of this paragraph, the amount of the grant pursuant to paragraph (1) for the State may not for the fiscal year involved exceed by more than 5 percent the amount of the grant pursuant to this paragraph for the State for the preceding fiscal year, except that the limitation under this clause may not result in a grant pursuant to paragraph (1) for a fiscal year that is less than the minimum amount that applies to the State under such paragraph for such fiscal year.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/E/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><heading style="-uslm-dtd:header">Use of amounts involved.—</heading><content style="-uslm-dtd:text">For each of the fiscal years 2007 through 2012, amounts available as a result of the limitation under clause (i) shall be made available by the Secretary as additional amounts for grants pursuant to section 2620, subject to subparagraph (H).</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/F" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F)<ref style="-uslm-dtd:footnote-ref" idref="IDD610855048294FF3B3FB3C08FDC1A305" class="footnoteRef">9</ref> </num><heading style="-uslm-dtd:header">Appropriations for treatment drug program.—</heading><footnote id="IDD610855048294FF3B3FB3C08FDC1A305" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">9</sup><p style="-uslm-dtd:para; margin-left:1em">The amendments made by section 203(c) of Public Law 109–415 to section 2618(a)(2)(G) have been carried out to subparagraph (F), as redesignated by subsection (b)(4) of such Public Law, in order to reflect the probable intent of Congress.</p></footnote> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/F/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><heading style="-uslm-dtd:header">Formula grants.—</heading><chapeau style="-uslm-dtd:text">With respect to the fiscal year involved, if under section 2623 an appropriations Act provides an amount exclusively for carrying out section 2616, the portion of such amount allocated to a State shall be the product of—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/F/i/I" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="I">(I)<ref style="-uslm-dtd:footnote-ref" idref="IDD2DEA41C163D442A820B0FDAF51E11F9" class="footnoteRef">10</ref> </num><content style="-uslm-dtd:text">100 percent of such amount, less the percentage reserved under clause (ii)(V); and</content><footnote id="IDD2DEA41C163D442A820B0FDAF51E11F9" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">10</sup><p style="-uslm-dtd:para; margin-left:1em">Indentation of subclauses (I) and (II) are so in law. See section 206(e)(1) of Public Law 106–345 (114 Stat. 1336).</p></footnote> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/F/i/II" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="II">(II)<ref style="-uslm-dtd:dangling-footnote-ref" class="footnoteRef">10</ref> </num><content style="-uslm-dtd:text">the percentage constituted by the ratio of the State distribution factor for the State (as determined under subparagraph (B)) to the sum of the State distribution factors for all States;</content> </subclause><continuation style="-uslm-dtd:continuation-text" role="subclause">which product shall then, as applicable, be increased under subparagraph (H).</continuation> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/F/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><heading style="-uslm-dtd:header">Supplemental treatment drug grants.—</heading> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/F/ii/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">From amounts made available under subclause (V), the Secretary shall award supplemental grants to States described in subclause (II) to enable such States to purchase and distribute to eligible individuals under section 2616(b) pharmaceutical therapeutics described under subsections (c)(2) and (e) of such section.</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/F/ii/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><heading style="-uslm-dtd:header">Eligible states.—</heading><content style="-uslm-dtd:text">For purposes of subclause (I), a State shall be an eligible State if the State did not have unobligated funds subject to reallocation under section 2618(d) in the previous fiscal year and, in accordance with criteria established by the Secretary, demonstrates a severe need for a grant under this clause. For purposes of determining severe need, the Secretary shall consider eligibility standards, formulary composition, the number of eligible individuals to whom a State is unable to provide therapeutics described in section 2616(a), and an unanticipated increase of eligible individuals with HIV/AIDS.</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/F/ii/III" styleType="OLC"> <num style="-uslm-dtd:enum" value="III">(III) </num><heading style="-uslm-dtd:header">State requirements.—</heading><content style="-uslm-dtd:text">The Secretary may not make a grant to a State under this clause unless the State agrees that the State will make available (directly or through donations of public or private entities) non-Federal contributions toward the activities to be carried out under the grant in an amount equal to $1 for each $4 of Federal funds provided in the grant, except that the Secretary may waive this subclause if the State has otherwise fully complied with section 2617(d) with respect to the grant year involved. The provisions of this subclause shall apply to States that are not required to comply with such section 2617(d).</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/F/ii/IV" styleType="OLC"> <num style="-uslm-dtd:enum" value="IV">(IV) </num><heading style="-uslm-dtd:header">Use and coordination.—</heading><content style="-uslm-dtd:text">Amounts made available under a grant under this clause shall only be used by the State to provide HIV/AIDS-related medications. The State shall coordinate the use of such amounts with the amounts otherwise provided under section 2616(a) in order to maximize drug coverage.</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/F/ii/V" styleType="OLC"> <num style="-uslm-dtd:enum" value="V">(V) </num><heading style="-uslm-dtd:header">Funding.—</heading><content style="-uslm-dtd:text">For the purpose of making grants under this clause, the Secretary shall each fiscal year reserve 5 percent of the amount referred to in clause (i) with respect to section 2616.</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/F/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><heading style="-uslm-dtd:header">Code-based states; limitation on increase in formula grant.—</heading><content style="-uslm-dtd:text">The limitation under subparagraph (E)(i) applies to grants pursuant to clause (i) of this subparagraph to the same extent and in the same manner as such limitation applies to grants pursuant to paragraph (1), except that the reference to minimum grants does not apply for purposes of this clause. Amounts available as a result of the limitation under the preceding sentence shall be made available by the Secretary as additional amounts for grants under clause (ii) of this subparagraph.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/H" styleType="OLC"> <num style="-uslm-dtd:enum" value="H">(H)<ref style="-uslm-dtd:footnote-ref" idref="ID1995014A31174329B088D971255C367F" class="footnoteRef">11</ref> </num><heading style="-uslm-dtd:header">Increase in formula grants.—</heading><footnote id="ID1995014A31174329B088D971255C367F" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">11</sup><p style="-uslm-dtd:para; margin-left:1em">So in law. There is no subparagraph (G).</p></footnote> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/H/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><heading style="-uslm-dtd:header">Assurance of amount.—</heading> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/H/i/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><heading style="-uslm-dtd:header">General rule.—</heading><content style="-uslm-dtd:text">For fiscal year 2010, the Secretary shall ensure, subject to clauses (ii) through (iv), that the total for a State of the grant pursuant to paragraph (1) and the grant pursuant to subparagraph (F) is not less than 95 percent of such total for the State for fiscal year 2009.</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/H/i/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><heading style="-uslm-dtd:header">Rule of construction.—</heading><content style="-uslm-dtd:text">With respect to the application of subclause (I), the 95 percent requirement under such subclause shall apply with respect to each grant awarded under paragraph (1) and with respect to each grant awarded under subparagraph (F).</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/H/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><heading style="-uslm-dtd:header">Fiscal years 2011 and 2012.—</heading><content style="-uslm-dtd:text">For each of the fiscal years 2011 and 2012, the Secretary shall ensure that the total for a State of the grant pursuant to paragraph (1) and the grant pursuant to subparagraph (F) is not less than 100 percent of such total for the State for fiscal year 2010.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/H/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><heading style="-uslm-dtd:header">Fiscal year 2013.—</heading><content style="-uslm-dtd:text">For fiscal year 2013, the Secretary shall ensure that the total for a State of the grant pursuant to paragraph (1) and the grant pursuant to subparagraph (F) is not less than 92.5 percent of such total for the State for fiscal year 2012.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/H/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><heading style="-uslm-dtd:header">Source of funds for increase.—</heading> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/H/iv/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">From the amount reserved under section 2623(b)(2) for a fiscal year, and from amounts available for such section pursuant to subsection (d) of this section, the Secretary shall make available such amounts as may be necessary to comply with clause (i).</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/H/iv/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><heading style="-uslm-dtd:header">Pro rata reduction.—</heading><content style="-uslm-dtd:text">If the amounts referred to in subclause (I) for a fiscal year are insufficient to fully comply with clause (i) for the year, the Secretary, in order to provide the additional funds necessary for such compliance, shall reduce on a pro rata basis the amount of each grant pursuant to paragraph (1) for the fiscal year, other than grants for States for which increases under clause (i) apply and other than States described in paragraph (1)(A)(i)(I). A reduction under the preceding sentence may not be made in an amount that would result in the State involved becoming eligible for such an increase.</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/a/2/H/v" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">(v) </num><heading style="-uslm-dtd:header">Applicability.—</heading><content style="-uslm-dtd:text">This paragraph may not be construed as having any applicability after fiscal year 2013.</content> </clause> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Allocation of Assistance by States.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Allowances.—</heading><content style="-uslm-dtd:text">Prior to allocating assistance under this subsection, a State shall consider the unmet needs of those areas that have not received financial assistance under part A.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Planning and evaluations.—</heading><content style="-uslm-dtd:text">Subject to paragraph (4) and except as provided in paragraph (5), a State may not use more than 10 percent of amounts received under a grant awarded under section 2611 for planning and evaluation activities.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Administration.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Subject to paragraph (4), and except as provided in paragraph (5), a State may not use more than 10 percent of amounts received under a grant awarded under section 2611 for administration.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Allocations.—</heading><content style="-uslm-dtd:text">In the case of entities and subcontractors to which a State allocates amounts received by the State under a grant under section 2611, the State shall ensure that, of the aggregate amount so allocated, the total of the expenditures by such entities for administrative expenses does not exceed 10 percent (without regard to whether particular entities expend more than 10 percent for such expenses).</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/3/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><heading style="-uslm-dtd:header">Administrative activities.—</heading><content style="-uslm-dtd:text">For the purposes of subparagraph (A), amounts may be used for administrative activities that include routine grant administration and monitoring activities, including a clinical quality management program under subparagraph (E).</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/3/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><heading style="-uslm-dtd:header">Subcontractor administrative costs.—</heading><chapeau style="-uslm-dtd:text">For the purposes of this paragraph, subcontractor administrative activities include—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/3/D/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">usual and recognized overhead, including established indirect rates for agencies;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/3/D/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">management oversight of specific programs funded under this title; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/3/D/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">other types of program support such as quality assurance, quality control, and related activities.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/3/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><heading style="-uslm-dtd:header">Clinical quality management.—</heading> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/3/E/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><heading style="-uslm-dtd:header">Requirement.—</heading><content style="-uslm-dtd:text">Each State that receives a grant under section 2611 shall provide for the establishment of a clinical quality management program to assess the extent to which HIV health services provided to patients under the grant are consistent with the most recent Public Health Service guidelines for the treatment of HIV/AIDS and related opportunistic infection, and as applicable, to develop strategies for ensuring that such services are consistent with the guidelines for improvement in the access to and quality of HIV health services.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/3/E/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><heading style="-uslm-dtd:header">Use of funds.—</heading> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/3/E/ii/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">From amounts received under a grant awarded under section 2611 for a fiscal year, a State may use for activities associated with the clinical quality management program required in clause (i) not to exceed the lesser of—</chapeau> <item style="-uslm-dtd:item" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/3/E/ii/I/aa" styleType="OLC"> <num style="-uslm-dtd:enum" value="aa">(aa) </num><content style="-uslm-dtd:text">5 percent of amounts received under the grant; or</content> </item> <item style="-uslm-dtd:item" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/3/E/ii/I/bb" styleType="OLC"> <num style="-uslm-dtd:enum" value="bb">(bb) </num><content style="-uslm-dtd:text">$3,000,000.</content> </item> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/3/E/ii/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><heading style="-uslm-dtd:header">Relation to limitation on administrative expenses.—</heading><content style="-uslm-dtd:text">The costs of a clinical quality management program under clause (i) may not be considered administrative expenses for purposes of the limitation established in subparagraph (A).</content> </subclause> </clause> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Limitation on use of funds.—</heading><content style="-uslm-dtd:text">Except as provided in paragraph (5), a State may not use more than a total of 15 percent of amounts received under a grant awarded under section 2611 for the purposes described in paragraphs (2) and (3).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><heading style="-uslm-dtd:header">Exception.—</heading><content style="-uslm-dtd:text">With respect to a State that receives the minimum allotment under subsection (a)(1) for a fiscal year, such State, from the amounts received under a grant awarded under section 2611 for such fiscal year for the activities described in paragraphs (2) and (3), may, notwithstanding paragraphs (2) through (4)<ref style="-uslm-dtd:footnote-ref" idref="IDAA0131ED19AB45C9A15220959A8D562B" class="footnoteRef">12</ref>, use not more than that amount required to support one full-time-equivalent employee.</content><footnote id="IDAA0131ED19AB45C9A15220959A8D562B" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">12</sup><p style="-uslm-dtd:para; margin-left:1em">Section 203(e)(5) of Public Law 109–415 (120 Stat. 2795) struck “<quotedText style="-uslm-dtd:quote">paragraphs (3)</quotedText>” and all that follows through “<quotedText style="-uslm-dtd:quote">(5),</quotedText>” and inserted revised text. There were two references to “<quotedText style="-uslm-dtd:quote">paragraphs (3)</quotedText>”. The amendment was executed to the first such reference to reflect the probable intent of Congress.</p></footnote> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/b/6" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><heading style="-uslm-dtd:header">Construction.—</heading><content style="-uslm-dtd:text">A State may not use amounts received under a grant awarded under section 2611 to purchase or improve land, or to purchase, construct, or permanently improve (other than minor remodeling) any building or other facility, or to make cash payments to intended recipients of services.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Expedited Distribution.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Not less than 75 percent of the amounts received under a grant awarded to a State under section 2611 shall be obligated to specific programs and projects and made available for expenditure not later than—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/c/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in the case of the first fiscal year for which amounts are received, 150 days after the receipt of such amounts by the State; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/c/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in the case of succeeding fiscal years, 120 days after the receipt of such amounts by the State.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Public comment.—</heading><content style="-uslm-dtd:text">Within the time periods referred to in paragraph (1), the State shall invite and receive public comment concerning methods for the utilization of such amounts.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2618/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Reallocation.—</heading><content style="-uslm-dtd:text">Any portion of a grant made to a State under section 2611 for a fiscal year that has not been obligated as described in subsection (c) ceases to be available to the State and shall be made available by the Secretary for grants under section 2620, in addition to amounts made available for such grants under section 2623(b)(2).</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2619" styleType="OLC"> <num style="-uslm-dtd:enum" value="2619">SEC. 2619. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–29<b>]</b> </editorialNote><heading style="-uslm-dtd:header">TECHNICAL ASSISTANCE. </heading> <content style="-uslm-dtd:text" class="block">The Secretary shall provide technical assistance in administering and coordinating the activities authorized under section 2612, including technical assistance for the development and implementation of statewide coordinated statements of need.</content> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620" styleType="OLC"> <num style="-uslm-dtd:enum" value="2620">SEC. 2620. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–29a<b>]</b> </editorialNote><heading style="-uslm-dtd:header">SUPPLEMENTAL GRANTS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><chapeau style="-uslm-dtd:text">For the purpose of providing services described in section 2612(a), the Secretary shall make grants to States—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">whose applications under section 2617 have demonstrated the need in the State, on an objective and quantified basis, for supplemental financial assistance to provide such services; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">that did not, for the most recent grant year pursuant to section 2618(a)(1) or 2618(a)(2)(F)(i) for which data is available, have more than 5 percent of grant funds under such sections canceled, offset under section 2622(e), or covered by any waivers under section 2622(c).</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Demonstrated Need.—</heading><chapeau style="-uslm-dtd:text">The factors considered by the Secretary in determining whether an eligible area has a demonstrated need for purposes of subsection (a)(1) may include any or all of the following:</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">The unmet need for such services, as determined under section 2617(b).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">An increasing need for HIV/AIDS-related services, including relative rates of increase in the number of cases of HIV/AIDS.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">The relative rates of increase in the number of cases of HIV/AIDS within new or emerging subpopulations.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/b/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">The current prevalence of HIV/AIDS.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/b/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">Relevant factors related to the cost and complexity of delivering health care to individuals with HIV/AIDS in the eligible area.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/b/6" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">The impact of co-morbid factors, including co-occurring conditions, determined relevant by the Secretary.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/b/7" styleType="OLC"> <num style="-uslm-dtd:enum" value="7">(7) </num><content style="-uslm-dtd:text">The prevalence of homelessness.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/b/8" styleType="OLC"> <num style="-uslm-dtd:enum" value="8">(8) </num><content style="-uslm-dtd:text">The prevalence of individuals described under section 2602(b)(2)(M).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/b/9" styleType="OLC"> <num style="-uslm-dtd:enum" value="9">(9) </num><content style="-uslm-dtd:text">The relevant factors that limit access to health care, including geographic variation, adequacy of health insurance coverage, and language barriers.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/b/10" styleType="OLC"> <num style="-uslm-dtd:enum" value="10">(10) </num><content style="-uslm-dtd:text">The impact of a decline in the amount received pursuant to section 2618 on services available to all individuals with HIV/AIDS identified and eligible under this title.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Priority in Making Grants.—</heading><content style="-uslm-dtd:text">The Secretary shall provide funds under this section to a State to address the decline in services related to the decline in the amounts received pursuant to section 2618 consistent with the grant award to the State for fiscal year 2006, to the extent that the factor under subsection (b)(10) (relating to a decline in funding) applies to the State.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Report on the Awarding of Supplemental Funds.—</heading><chapeau style="-uslm-dtd:text">Not later than 45 days after the awarding of supplemental funds under this section, the Secretary shall submit to Congress a report concerning such funds. Such report shall include information detailing—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/d/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the total amount of supplemental funds available under this section for the year involved;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/d/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">the amount of supplemental funds used in accordance with the hold harmless provisions of section 2618(a)(2);</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/d/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">the amount of supplemental funds disbursed pursuant to subsection (c);</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/d/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">the disbursement of the remainder of the supplemental funds after taking into account the uses described in paragraphs (2) and (3); and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/d/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">the rationale used for the amount of funds disbursed as described under paragraphs (2), (3), and (4).</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Core Medical Services.—</heading><content style="-uslm-dtd:text">The provisions of section 2612(b) apply with respect to a grant under this section to the same extent and in the same manner as such provisions apply with respect to a grant made pursuant to section 2618(a)(1).</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2620/f" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">(f) </num><heading style="-uslm-dtd:header">Applicability of Grant Authority.—</heading><content style="-uslm-dtd:text">The authority to make grants under this section applies beginning with the first fiscal year for which amounts are made available for such grants under section 2623(b)(1).</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621" styleType="OLC"> <num style="-uslm-dtd:enum" value="2621">SEC. 2621. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–30<b>]</b> </editorialNote><heading style="-uslm-dtd:header">EMERGING COMMUNITIES. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">The Secretary shall award supplemental grants to States determined to be eligible under subsection (b) to enable such States to provide comprehensive services of the type described in section 2612(a) to supplement the services otherwise provided by the State under a grant under this subpart in emerging communities within the State that are not eligible to receive grants under part A.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Eligibility.—</heading><chapeau style="-uslm-dtd:text">To be eligible to receive a supplemental grant under subsection (a), a State shall—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">be eligible to receive a grant under this subpart;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">demonstrate the existence in the State of an emerging community as defined in subsection (d)(1);</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">agree that the grant will be used to provide funds directly to emerging communities in the State, separately from other funds under this title that are provided by the State to such communities; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/b/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">submit the information described in subsection (c).</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Reporting Requirements.—</heading><chapeau style="-uslm-dtd:text">A State that desires a grant under this section shall, as part of the State application submitted under section 2617, submit a detailed description of the manner in which the State will use amounts received under the grant and of the severity of need. Such description shall include—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">a report concerning the dissemination of supplemental funds under this section and the plan for the utilization of such funds in the emerging community;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">a demonstration of the existing commitment of local resources, both financial and in-kind;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/c/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">a demonstration that the State will maintain HIV-related activities at a level that is equal to not less than the level of such activities in the State for the 1-year period preceding the fiscal year for which the State is applying to receive a grant under section 2611;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/c/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">a demonstration of the ability of the State to utilize such supplemental financial resources in a manner that is immediately responsive and cost effective;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/c/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">a demonstration that the resources will be allocated in accordance with the local demographic incidence of AIDS including appropriate allocations for services for infants, children, women, and families with HIV/AIDS;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/c/6" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">a demonstration of the inclusiveness of the planning process, with particular emphasis on affected communities and individuals with HIV/AIDS; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/c/7" styleType="OLC"> <num style="-uslm-dtd:enum" value="7">(7) </num><content style="-uslm-dtd:text">a demonstration of the manner in which the proposed services are consistent with local needs assessments and the statewide coordinated statement of need.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Definitions of Emerging Community.—</heading><content style="-uslm-dtd:text">For purposes of this section, the term “<term style="-uslm-dtd:term">emerging community</term>” means a metropolitan area (as defined in section 2607) for which there has been reported to and confirmed by the Director of the Centers for Disease Control and Prevention a cumulative total of at least 500, but fewer than 1,000, cases of AIDS during the most recent period of 5 calendar years for which such data are available.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Continued Status as Emerging Community.—</heading><chapeau style="-uslm-dtd:text">Notwithstanding any other provision of this section, a metropolitan area that is an emerging community for a fiscal year continues to be an emerging community until the metropolitan area fails, for three consecutive fiscal years—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/e/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">to meet the requirements of subsection (d); and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/e/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">to have a cumulative total of 750 or more living cases of AIDS (reported to and confirmed by the Director of the Centers for Disease Control and Prevention) as of December 31 of the most recent calendar year for which such data is available.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/f" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">(f) </num><heading style="-uslm-dtd:header">Distribution.—</heading><chapeau style="-uslm-dtd:text">The amount of a grant under subsection (a) for a State for a fiscal year shall be an amount equal to the product of—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/f/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the amount available under section 2623(b)(1) for the fiscal year; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2621/f/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">a percentage equal to the ratio constituted by the number of living cases of HIV/AIDS in emerging communities in the State to the sum of the respective numbers of such cases in such communities for all States.</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622" styleType="OLC"> <num style="-uslm-dtd:enum" value="2622">SEC. 2622. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–31a<b>]</b> </editorialNote><heading style="-uslm-dtd:header">TIMEFRAME FOR OBLIGATION AND EXPENDITURE OF GRANT FUNDS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Obligation by end of Grant Year.—</heading><content style="-uslm-dtd:text">Effective for fiscal year 2007 and subsequent fiscal years, funds from a grant award made to a State for a fiscal year pursuant to section 2618(a)(1) or 2618(a)(2)(F), or under section 2620 or 2621, are available for obligation by the State through the end of the one-year period beginning on the date in such fiscal year on which funds from the award first become available to the State (referred to in this section as the “<quotedText style="-uslm-dtd:quote">grant year for the award</quotedText>”), except as provided in subsection (c)(1).</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Supplemental Grants; Cancellation of Unobligated Balance of Grant Award.—</heading><chapeau style="-uslm-dtd:text">Effective for fiscal year 2007 and subsequent fiscal years, if a grant award made to a State for a fiscal year pursuant to section 2618(a)(2)(F)(ii), or under section 2620 or 2621, has an unobligated balance as of the end of the grant year for the award—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the Secretary shall cancel that unobligated balance of the award, and shall require the State to return any amounts from such balance that have been disbursed to the State; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">the funds involved shall be made available by the Secretary as additional amounts for grants pursuant to section 2620 for the first fiscal year beginning after the fiscal year in which the Secretary obtains the information necessary for determining that the balance is required under paragraph (1) to be canceled, except that the availability of the funds for such grants is subject to section 2618(a)(2)(H) as applied for such year.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Formula Grants; Cancellation of Unobligated Balance of Grant Award; Waiver Permitting Carryover.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Effective for fiscal year 2007 and subsequent fiscal years, if a grant award made to a State for a fiscal year pursuant to section 2618(a)(1) or 2618(a)(2)(F)(i) has an unobligated balance as of the end of the grant year for the award, the Secretary shall cancel that unobligated balance of the award, and shall require the State to return any amounts from such balance that have been disbursed to the State, unless—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/c/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">before the end of the grant year, the State submits to the Secretary a written application for a waiver of the cancellation, which application includes a description of the purposes for which the State intends to expend the funds involved; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/c/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the Secretary approves the waiver.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Expenditure by end of carryover year.—</heading><chapeau style="-uslm-dtd:text">With respect to a waiver under paragraph (1) that is approved for a balance that is unobligated as of the end of a grant year for an award:</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/c/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">The unobligated funds are available for expenditure by the State involved for the one-year period beginning upon the expiration of the grant year (referred to in this section as the “<quotedText style="-uslm-dtd:quote">carryover year</quotedText>”).</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/c/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">If the funds are not expended by the end of the carryover year, the Secretary shall cancel that unexpended balance of the award, and shall require the State to return any amounts from such balance that have been disbursed to the State.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/c/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Use of cancelled balances.—</heading><content style="-uslm-dtd:text">In the case of any balance of a grant award that is cancelled under paragraph (1) or (2)(B), the grant funds involved shall be made available by the Secretary as additional amounts for grants under section 2620 for the first fiscal year beginning after the fiscal year in which the Secretary obtains the information necessary for determining that the balance is required under such paragraph to be canceled, except that the availability of the funds for such grants is subject to section 2618(a)(2)(H) as applied for such year.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/c/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Corresponding reduction in future grant.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/c/4/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">In the case of a State for which a balance from a grant award made pursuant to section 2618(a)(1) or 2618(a)(2)(F)(i) is unobligated as of the end of the grant year for the award—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/c/4/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">the Secretary shall reduce, by the same amount as such unobligated balance (less any amount of such balance that is the subject of a waiver of cancellation under paragraph (1)), the amount of the grant under such section for the first fiscal year beginning after the fiscal year in which the Secretary obtains the information necessary for determining that such balance was unobligated as of the end of the grant year (which requirement for a reduction applies without regard to whether a waiver under paragraph (1) has been approved with respect to such balance); and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/c/4/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">the grant funds involved in such reduction shall be made available by the Secretary as additional funds for grants under section 2620 for such first fiscal year, subject to section 2618(a)(2)(H);</content> </clause><continuation style="-uslm-dtd:continuation-text" role="subparagraph">except that this subparagraph does not apply to the State if the amount of the unobligated balance was 5 percent or less.</continuation> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/c/4/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Relation to increases in grant.—</heading><content style="-uslm-dtd:text">A reduction under subparagraph (A) for a State for a fiscal year may not be taken into account in applying section 2618(a)(2)(H) with respect to the State for the subsequent fiscal year.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Treatment of Drug Rebates.—</heading><chapeau style="-uslm-dtd:text">For purposes of this section, funds that are drug rebates referred to in section 2616(g) may not be considered part of any grant award referred to in subsection (a). If an expenditure of ADAP rebate funds would trigger a penalty under this section or a higher penalty than would otherwise have applied, the State may request that for purposes of this section, the Secretary deem the State's unobligated balance to be reduced by the amount of rebate funds in the proposed expenditure. Notwithstanding 2618(a)(2)(F), any unobligated amount under section 2618(a)(2)(F)(ii)(V) that is returned to the Secretary for reallocation shall be used by the Secretary for—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/d/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the ADAP supplemental program if the Secretary determines appropriate; or</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/d/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">for additional amounts for grants pursuant to section 2620.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2622/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Authority Regarding Administration of Provisions.—</heading><content style="-uslm-dtd:text">In administering subsections (b) and (c) with respect to the unobligated balance of a State, the Secretary may elect to reduce the amount of future grants to the State under section 2618, 2620, or 2621, as applicable, by the amount of any such unobligated balance in lieu of cancelling such amount as provided for in subsection (b) or (c)(1). In such case, the Secretary may permit the State to use such unobligated balance for purposes of any such future grant. An amount equal to such reduction shall be available for use as additional amounts for grants pursuant to section 2620, subject to section 2618(a)(2)(H). Nothing in this paragraph shall be construed to affect the authority of the Secretary under subsections (b) and (c), including the authority to grant waivers under subsection (c)(1). The reduction in future grants authorized under this subsection shall be notwithstanding the penalty required under subsection (c)(4) with respect to unobligated funds.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2623" styleType="OLC"> <num style="-uslm-dtd:enum" value="2623">SEC. 2623. </num><heading style="-uslm-dtd:header">AUTHORIZATION OF APPROPRIATIONS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2623/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">For the purpose of carrying out this subpart, there are authorized to be appropriated $1,195,500,000 for fiscal year 2007, $1,239,500,000 for fiscal year 2008, $1,285,200,000 for fiscal year 2009, $1,349,460,000 for fiscal year 2010, $1,416,933,000 for fiscal year 2011, $1,487,780,000 for fiscal year 2012, and $1,562,169,000 for fiscal year 2013. Amounts appropriated under the preceding sentence for a fiscal year are available for obligation by the Secretary until the end of the second succeeding fiscal year.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2623/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Reservation of Amounts.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2623/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Emerging communities.—</heading><content style="-uslm-dtd:text">Of the amount appropriated under subsection (a) for a fiscal year, the Secretary shall reserve $5,000,000 for grants under section 2621.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2623/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Supplemental grants.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2623/b/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Of the amount appropriated under subsection (a) for a fiscal year in excess of the 2006 adjusted amount, the Secretary shall reserve ⅓ for grants under section 2620, except that the availability of the reserved funds for such grants is subject to section 2618(a)(2)(H) as applied for such year, and except that any amount appropriated exclusively for carrying out section 2616 (and, accordingly, distributed under section 2618(a)(2)(F)) is not subject to this subparagraph.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptI/s2623/b/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">2006 adjusted amount.—</heading><content style="-uslm-dtd:text">For purposes of subparagraph (A), the term “<term style="-uslm-dtd:term">2006 adjusted amount</term>” means the amount appropriated for fiscal year 2006 under section 2677(b) (as such section was in effect for such fiscal year), excluding any amount appropriated for such year exclusively for carrying out section 2616 (and, accordingly, distributed under section 2618(a)(2)(I), as so in effect).</content> </subparagraph> </paragraph> </subsection> </section> </subpart> <subpart style="-uslm-dtd:subpart" identifier="/us/sComp/78/373/tXXVI/ptB/sptII" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">Subpart II—</num><heading style="-uslm-dtd:header">Provisions Concerning Pregnancy and Perinatal Transmission of HIV </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625" styleType="OLC"> <num style="-uslm-dtd:enum" value="2625">SEC. 2625. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–33<b>]</b> </editorialNote><heading style="-uslm-dtd:header">EARLY DIAGNOSIS GRANT PROGRAM. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">In the case of States whose laws or regulations are in accordance with subsection (b), the Secretary, acting through the Centers for Disease Control and Prevention, shall make grants to such States for the purposes described in subsection (c).</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Description of Compliant States.—</heading><chapeau style="-uslm-dtd:text">For purposes of subsection (a), the laws or regulations of a State are in accordance with this subsection if, under such laws or regulations (including programs carried out pursuant to the discretion of State officials), both of the policies described in paragraph (1) are in effect, or both of the policies described in paragraph (2) are in effect, as follows:</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1)</num><subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/b/1/A" styleType="OLC" class="inline"><num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">Voluntary opt-out testing of pregnant women.</content></subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/b/1/B" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">Universal testing of newborns.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2)</num><subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/b/2/A" styleType="OLC" class="inline"><num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">Voluntary opt-out testing of clients at sexually transmitted disease clinics.</content></subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/b/2/B" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">Voluntary opt-out testing of clients at substance abuse treatment centers.</content> </subparagraph> </paragraph><continuation style="-uslm-dtd:continuation-text" role="subsection">The Secretary shall periodically ensure that the applicable policies are being carried out and recertify compliance.</continuation> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Use of Funds.—</heading><content style="-uslm-dtd:text">A State may use funds provided under subsection (a) for HIV/AIDS testing (including rapid testing), prevention counseling, treatment of newborns exposed to HIV/AIDS, treatment of mothers infected with HIV/AIDS, and costs associated with linking those diagnosed with HIV/AIDS to care and treatment for HIV/AIDS.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Application.—</heading><content style="-uslm-dtd:text">A State that is eligible for the grant under subsection (a) shall submit an application to the Secretary, in such form, in such manner, and containing such information as the Secretary may require.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Limitation on Amount of Grant.—</heading><content style="-uslm-dtd:text">A grant under subsection (a) to a State for a fiscal year may not be made in an amount exceeding $10,000,000.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/f" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">(f) </num><heading style="-uslm-dtd:header">Rule of Construction.—</heading><content style="-uslm-dtd:text">Nothing in this section shall be construed to pre-empt State laws regarding HIV/AIDS counseling and testing.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/g" styleType="OLC"> <num style="-uslm-dtd:enum" value="g">(g) </num><heading style="-uslm-dtd:header">Definitions.—</heading><chapeau style="-uslm-dtd:text">In this section:</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/g/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">voluntary opt-out testing</term>” means HIV/AIDS testing—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/g/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">that is administered to an individual seeking other health care services; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/g/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">in which—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/g/1/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">pre-test counseling is not required but the individual is informed that the individual will receive an HIV/AIDS test and the individual may opt out of such testing; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/g/1/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">for those individuals with a positive test result, post-test counseling (including referrals for care) is provided and confidentiality is protected.</content> </clause> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/g/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">universal testing of newborns</term>” means HIV/AIDS testing that is administered within 48 hours of delivery to—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/g/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">all infants born in the State; or</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/g/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">all infants born in the State whose mother's HIV/AIDS status is unknown at the time of delivery.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2625/h" styleType="OLC"> <num style="-uslm-dtd:enum" value="h">(h) </num><heading style="-uslm-dtd:header">Authorization of Appropriations.—</heading><content style="-uslm-dtd:text">Of the funds appropriated annually to the Centers for Disease Control and Prevention for HIV/AIDS prevention activities, $30,000,000 shall be made available for each of the fiscal years 2007 through 2009 for grants under subsection (a), of which $20,000,000 shall be made available for grants to States with the policies described in subsection (b)(1), and $10,000,000 shall be made available for grants to States with the policies described in subsection (b)(2). Funds provided under this section are available until expended.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2626" styleType="OLC"> <num style="-uslm-dtd:enum" value="2626">SEC. 2626. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–34<b>]</b> </editorialNote><heading style="-uslm-dtd:header">PERINATAL TRANSMISSION OF HIV DISEASE; CONTINGENT REQUIREMENT REGARDING STATE GRANTS UNDER THIS PART. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2626/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Annual Determination of Reported Cases.—</heading><content style="-uslm-dtd:text">A State shall annually determine the rate of reported cases of AIDS as a result of perinatal transmission among residents of the State.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2626/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Causes of Perinatal Transmission.—</heading><chapeau style="-uslm-dtd:text">In determining the rate under subsection (a), a State shall also determine the possible causes of perinatal transmission. Such causes may include—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2626/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the inadequate provision within the State of prenatal counseling and testing in accordance with the guidelines issued by the Centers for Disease Control and Prevention;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2626/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">the inadequate provision or utilization within the State of appropriate therapy or failure of such therapy to reduce perinatal transmission of HIV, including—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2626/b/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">that therapy is not available, accessible or offered to mothers; or</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2626/b/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">that available therapy is offered but not accepted by mothers; or</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2626/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">other factors (which may include the lack of prenatal care) determined relevant by the State.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2626/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">CDC Reporting System.—</heading><content style="-uslm-dtd:text">Not later than 4 months after the date of enactment of this subpart, the Director of the Centers for Disease Control and Prevention shall develop and implement a system to be used by States to comply with the requirements of subsections (a) and (b). The Director shall issue guidelines to ensure that the data collected is statistically valid.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2627" styleType="OLC"> <num style="-uslm-dtd:enum" value="2627">SEC. 2627. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–37<b>]</b> </editorialNote><heading style="-uslm-dtd:header">STATE HIV TESTING PROGRAMS ESTABLISHED PRIOR TO OR AFTER ENACTMENT. </heading> <content style="-uslm-dtd:text" class="block">Nothing in this subpart shall be construed to disqualify a State from receiving grants under this title if such State has established at any time prior to or after the date of enactment of this subpart a program of mandatory HIV testing.</content> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2628" styleType="OLC"> <num style="-uslm-dtd:enum" value="2628">SEC. 2628. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–37a<b>]</b> </editorialNote><heading style="-uslm-dtd:header">RECOMMENDATIONS FOR REDUCING INCIDENCE OF PERINATAL TRANSMISSION. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2628/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Study by Institute of Medicine.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2628/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The Secretary shall request the Institute of Medicine to enter into an agreement with the Secretary under which such Institute conducts a study to provide the following:</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2628/a/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">For the most recent fiscal year for which the information is available, a determination of the number of newborn infants with HIV born in the United States with respect to whom the attending obstetrician for the birth did not know the HIV status of the mother.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2628/a/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">A determination for each State of any barriers, including legal barriers, that prevent or discourage an obstetrician from making it a routine practice to offer pregnant women an HIV test and a routine practice to test newborn infants for HIV/AIDS in circumstances in which the obstetrician does not know the HIV status of the mother of the infant.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2628/a/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">Recommendations for each State for reducing the incidence of cases of the perinatal transmission of HIV, including recommendations on removing the barriers identified under subparagraph (B).</content> </subparagraph><continuation style="-uslm-dtd:continuation-text" role="paragraph">If such Institute declines to conduct the study, the Secretary shall enter into an agreement with another appropriate public or nonprofit private entity to conduct the study.</continuation> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2628/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Report.—</heading><content style="-uslm-dtd:text">The Secretary shall ensure that, not later than 18 months after the effective date of this section, the study required in paragraph (1) is completed and a report describing the findings made in the study is submitted to the appropriate committees of the Congress, the Secretary, and the chief public health official of each of the States.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2628/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Progress Toward Recommendations.—</heading><content style="-uslm-dtd:text">In fiscal year 2004, the Secretary shall collect information from the States describing the actions taken by the States toward meeting the recommendations specified for the States under subsection (a)(1)(C).</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptII/s2628/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Submission of Reports to Congress.—</heading><content style="-uslm-dtd:text">The Secretary shall submit to the appropriate committees of the Congress reports describing the information collected under subsection (b).</content> </subsection> </section> </subpart> <subpart style="-uslm-dtd:subpart" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII" styleType="OLC"> <num style="-uslm-dtd:enum" value="III">Subpart III—</num><heading style="-uslm-dtd:header">Certain Partner Notification Programs </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631" styleType="OLC"> <num style="-uslm-dtd:enum" value="2631">SEC. 2631. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–38<b>]</b> </editorialNote><heading style="-uslm-dtd:header">GRANTS FOR PARTNER NOTIFICATION PROGRAMS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">In the case of States whose laws or regulations are in accordance with subsection (b), the Secretary, subject to subsection (c)(2), may make grants to the States for carrying out programs to provide partner counseling and referral services.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Description of Compliant State Programs.—</heading><chapeau style="-uslm-dtd:text">For purposes of subsection (a), the laws or regulations of a State are in accordance with this subsection if under such laws or regulations (including programs carried out pursuant to the discretion of State officials) the following policies are in effect:</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">The State requires that the public health officer of the State carry out a program of partner notification to inform partners of individuals with HIV/AIDS that the partners may have been exposed to the disease.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2)</num><subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/b/2/A" styleType="OLC" class="inline"><num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">In the case of a health entity that provides for the performance on an individual of a test for HIV/AIDS, or that treats the individual for the disease, the State requires, subject to subparagraph (B), that the entity confidentially report the positive test results to the State public health officer in a manner recommended and approved by the Director of the Centers for Disease Control and Prevention, together with such additional information as may be necessary for carrying out such program.</content></subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/b/2/B" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">The State may provide that the requirement of subparagraph (A) does not apply to the testing of an individual for HIV/AIDS if the individual underwent the testing through a program designed to perform the test and provide the results to the individual without the individual disclosing his or her identity to the program. This subparagraph may not be construed as affecting the requirement of subparagraph (A) with respect to a health entity that treats an individual for HIV/AIDS.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><chapeau style="-uslm-dtd:text">The program under paragraph (1) is carried out in accordance with the following:</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/b/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">Partners are provided with an appropriate opportunity to learn that the partners have been exposed to HIV/AIDS, subject to subparagraph (B).</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/b/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">The State does not inform partners of the identity of the infected individuals involved.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/b/3/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">Counseling and testing for HIV/AIDS are made available to the partners and to infected individuals, and such counseling includes information on modes of transmission for the disease, including information on prenatal and perinatal transmission and preventing transmission.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/b/3/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">Counseling of infected individuals and their partners includes the provision of information regarding therapeutic measures for preventing and treating the deterioration of the immune system and conditions arising from the disease, and the provision of other prevention-related information.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/b/3/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">Referrals for appropriate services are provided to partners and infected individuals, including referrals for support services and legal aid.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/b/3/F" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">Notifications under subparagraph (A) are provided in person, unless doing so is an unreasonable burden on the State.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/b/3/G" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">There is no criminal or civil penalty on, or civil liability for, an infected individual if the individual chooses not to identify the partners of the individual, or the individual does not otherwise cooperate with such program.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/b/3/H" styleType="OLC"> <num style="-uslm-dtd:enum" value="H">(H) </num><content style="-uslm-dtd:text">The failure of the State to notify partners is not a basis for the civil liability of any health entity who under the program reported to the State the identity of the infected individual involved.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/b/3/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">The State provides that the provisions of the program may not be construed as prohibiting the State from providing a notification under subparagraph (A) without the consent of the infected individual involved.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/b/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">The State annually reports to the Director of the Centers for Disease Control and Prevention the number of individuals from whom the names of partners have been sought under the program under paragraph (1), the number of such individuals who provided the names of partners, and the number of partners so named who were notified under the program.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/b/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">The State cooperates with such Director in carrying out a national program of partner notification, including the sharing of information between the public health officers of the States.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Reporting System for Cases of HIV Disease; Preference in Making Grants.—</heading><content style="-uslm-dtd:text">In making grants under subsection (a), the Secretary shall give preference to States whose reporting systems for cases of HIV/AIDS produce data on such cases that is sufficiently accurate and reliable for use for purposes of section 2618(a)(2)(D)(i).</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptB/sptIII/s2631/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Authorization of Appropriations.—</heading><content style="-uslm-dtd:text">For the purpose of carrying out this section, there is authorized to be appropriated $10,000,000 for each of the fiscal years 2007 through 2009.</content> </subsection> </section> </subpart> </part> <part style="-uslm-dtd:part" identifier="/us/sComp/78/373/tXXVI/ptC" styleType="traditional"> <num style="-uslm-dtd:enum" value="C">Part C—</num><heading style="-uslm-dtd:header">Early Intervention Services </heading> <subpart style="-uslm-dtd:subpart" identifier="/us/sComp/78/373/tXXVI/ptC/sptI" styleType="traditional"> <num style="-uslm-dtd:enum" value="I">Subpart I—</num><heading style="-uslm-dtd:header">Categorical Grants </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651" styleType="OLC"> <num style="-uslm-dtd:enum" value="2651">SEC. 2651. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–51<b>]</b> </editorialNote><heading style="-uslm-dtd:header">ESTABLISHMENT OF A PROGRAM. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">For the purposes described in subsection (b), the Secretary, acting through the Administrator of the Health Resources and Services Administration, may make grants to public and nonprofit private entities specified in section 2652(a).</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Requirements.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The Secretary may not make a grant under subsection (a) unless the applicant for the grant agrees to expend the grant only for—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/b/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">core medical services described in subsection (c);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/b/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">support services described in subsection (d); and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/b/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">administrative expenses as described in section 2664(g)(3).</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Early intervention services.—</heading><content style="-uslm-dtd:text">An applicant for a grant under subsection (a) shall expend not less than 50 percent of the amount received under the grant for the services described in subparagraphs (B) through (E) of subsection (e)(1) for individuals with HIV/AIDS.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Required Funding for Core Medical Services.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">With respect to a grant under subsection (a) to an applicant for a fiscal year, the applicant shall, of the portion of the grant remaining after reserving amounts for purposes of paragraphs (3) and (5) of section 2664(g), use not less than 75 percent to provide core medical services that are needed in the area involved for individuals with HIV/AIDS who are identified and eligible under this title (including services regarding the co-occurring conditions of the individuals).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Waiver.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">The Secretary shall waive the application of paragraph (1) with respect to an applicant for a grant if the Secretary determines that, within the service area of the applicant—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/2/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">there are no waiting lists for AIDS Drug Assistance Program services under section 2616; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/2/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">core medical services are available to all individuals with HIV/AIDS identified and eligible under this title.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Notification of waiver status.—</heading><content style="-uslm-dtd:text">When informing an applicant that a grant under subsection (a) is being made for a fiscal year, the Secretary shall inform the applicant whether a waiver under subparagraph (A) is in effect for the fiscal year.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Core medical services.—</heading><chapeau style="-uslm-dtd:text">For purposes of this subsection, the term “<term style="-uslm-dtd:term">core medical services</term>”, with respect to an individual with HIV/AIDS (including the co-occurring conditions of the individual) means the following services:</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">Outpatient and ambulatory health services.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">AIDS Drug Assistance Program treatments under section 2616.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/3/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">AIDS pharmaceutical assistance.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/3/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">Oral health care.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/3/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">Early intervention services described in subsection (e).</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/3/F" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">Health insurance premium and cost sharing assistance for low-income individuals in accordance with section 2615.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/3/G" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">Home health care.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/3/H" styleType="OLC"> <num style="-uslm-dtd:enum" value="H">(H) </num><content style="-uslm-dtd:text">Medical nutrition therapy.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/3/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">Hospice services.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/3/J" styleType="OLC"> <num style="-uslm-dtd:enum" value="J">(J) </num><content style="-uslm-dtd:text">Home and community-based health services as defined under section 2614(c).</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/3/K" styleType="OLC"> <num style="-uslm-dtd:enum" value="K">(K) </num><content style="-uslm-dtd:text">Mental health services.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/3/L" styleType="OLC"> <num style="-uslm-dtd:enum" value="L">(L) </num><content style="-uslm-dtd:text">Substance abuse outpatient care.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/c/3/M" styleType="OLC"> <num style="-uslm-dtd:enum" value="M">(M) </num><content style="-uslm-dtd:text">Medical case management, including treatment adherence services.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Support Services.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/d/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">For purposes of this section, the term “<term style="-uslm-dtd:term">support services</term>” means services, subject to the approval of the Secretary, that are needed for individuals with HIV/AIDS to achieve their medical outcomes (such as respite care for persons caring for individuals with HIV/AIDS, outreach services, medical transportation, linguistic services, and referrals for health care and support services).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/d/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Definition of medical outcomes.—</heading><content style="-uslm-dtd:text">In this section, the term “<term style="-uslm-dtd:term">medical outcomes</term>” means those outcomes affecting the HIV-related clinical status of an individual with HIV/AIDS.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Specification of Early Intervention Services.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/e/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The early intervention services referred to in this section are—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/e/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">counseling individuals with respect to HIV/AIDS in accordance with section 2662;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/e/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">testing individuals with respect to HIV/AIDS, including tests to confirm the presence of the disease, tests to diagnose the extent of the deficiency in the immune system, and tests to provide information on appropriate therapeutic measures for preventing and treating the deterioration of the immune system and for preventing and treating conditions arising from HIV/AIDS;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/e/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">referrals described in paragraph (2);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/e/1/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">other clinical and diagnostic services regarding HIV/AIDS, and periodic medical evaluations of individuals with HIV/AIDS; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/e/1/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">providing the therapeutic measures described in subparagraph (B).</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/e/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Referrals.—</heading><chapeau style="-uslm-dtd:text">The services referred to in paragraph (1)(C) are referrals of individuals with HIV/AIDS to appropriate providers of health and support services, including, as appropriate—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/e/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">to entities receiving amounts under part A or B for the provision of such services;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/e/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">to biomedical research facilities of institutions of higher education that offer experimental treatment for such disease, or to community-based organizations or other entities that provide such treatment; or</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/e/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">to grantees under section 2671, in the case of a pregnant woman.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/e/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Requirement of availability of all early intervention services through each grantee.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/e/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The Secretary may not make a grant under subsection (a) unless the applicant for the grant agrees that each of the early intervention services specified in paragraph (2) will be available through the grantee. With respect to compliance with such agreement, such a grantee may expend the grant to provide the early intervention services directly, and may expend the grant to enter into agreements with public or nonprofit private entities, or private for-profit entities if such entities are the only available provider of quality HIV care in the area, under which the entities provide the services.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/e/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Other requirements.—</heading><chapeau style="-uslm-dtd:text">Grantees described in—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/e/3/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">subparagraphs (A), (D), (E), and (F) of section 2652(a)(1) shall use not less than 50 percent of the amount of such a grant to provide the services described in subparagraphs (A), (B), (D), and (E) of paragraph (1) directly and on-site or at sites where other primary care services are rendered; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2651/e/3/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">subparagraphs (B) and (C) of section 2652(a)(1) shall ensure the availability of early intervention services through a system of linkages to community-based primary care providers, and to establish mechanisms for the referrals described in paragraph (1)(C), and for follow-up concerning such referrals.</content> </clause> </subparagraph> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2652" styleType="OLC"> <num style="-uslm-dtd:enum" value="2652">SEC. 2652. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–52<b>]</b> </editorialNote><heading style="-uslm-dtd:header">MINIMUM QUALIFICATIONS OF GRANTEES. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2652/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Eligible Entities.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2652/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The entities referred to in section 2651(a) are public entities and nonprofit private entities that are—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2652/a/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">federally-qualified health centers under section 1905(l)(2)(B) of the Social Security Act;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2652/a/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">grantees under section 1001 (regarding family planning) other than States;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2652/a/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">comprehensive hemophilia diagnostic and treatment centers;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2652/a/1/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">rural health clinics;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2652/a/1/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">health facilities operated by or pursuant to a contract with the Indian Health Service;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2652/a/1/F" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">community-based organizations, clinics, hospitals and other health facilities that provide early intervention services to those persons infected with HIV/AIDS through intravenous drug use; or</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2652/a/1/G" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">nonprofit private entities that provide comprehensive primary care services to populations at risk of HIV/AIDS, including faith-based and community-based organizations.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2652/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Underserved populations.—</heading><content style="-uslm-dtd:text">Entities described in paragraph (1) shall serve underserved populations which may include minority populations and Native American populations, ex-offenders, individuals with comorbidities including hepatitis B or C, mental illness, or substance abuse, low-income populations, inner city populations, and rural populations.<ref style="-uslm-dtd:footnote-ref" idref="ID5E9FFCE96A5645AEBFEA38D97348B372" class="footnoteRef">13</ref>;</content><footnote id="ID5E9FFCE96A5645AEBFEA38D97348B372" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">13</sup><p style="-uslm-dtd:para; margin-left:1em">See footnote for section 217(a).</p></footnote> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2652/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Status as Medicaid Provider.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2652/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Subject to paragraph (2), the Secretary may not make a grant under section 2651 for the provision of services described in subsection (b) of such section in a State unless, in the case of any such service that is available pursuant to the State plan approved under title XIX of the Social Security Act for the State—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2652/b/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the applicant for the grant will provide the service directly, and the applicant has entered into a participation agreement under the State plan and is qualified to receive payments under such plan; or</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2652/b/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the applicant for the grant will enter into an agreement with a public or nonprofit private entity, or a private for-profit entity if such entity is the only available provider of quality HIV care in the area, under which the entity will provide the service, and the entity has entered into such a participation agreement and is qualified to receive such payments.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2652/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Waiver regarding certain secondary agreements.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2652/b/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">In the case of an entity making an agreement pursuant to paragraph (1)(B) regarding the provision of services, the requirement established in such paragraph regarding a participation agreement shall be waived by the Secretary if the entity does not, in providing health care services, impose a charge or accept reimbursement available from any third-party payor, including reimbursement under any insurance policy or under any Federal or State health benefits program.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2652/b/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">A determination by the Secretary of whether an entity referred to in subparagraph (A) meets the criteria for a waiver under such subparagraph shall be made without regard to whether the entity accepts voluntary donations regarding the provision of services to the public.</content> </subparagraph> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2653" styleType="OLC"> <num style="-uslm-dtd:enum" value="2653">SEC. 2653. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–53<b>]</b> </editorialNote><heading style="-uslm-dtd:header">PREFERENCES IN MAKING GRANTS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2653/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">In making grants under section 2651, the Secretary shall give preference to any qualified applicant experiencing an increase in the burden of providing services regarding HIV/AIDS, as indicated by the factors specified in subsection (b).</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2653/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Specification of Factors.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2653/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">In the case of the geographic area with respect to which the entity involved is applying for a grant under section 2651, the factors referred to in subsection (a), as determined for the period specified in paragraph (2), are—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2653/b/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the number of cases of HIV/AIDS;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2653/b/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the rate of increase in such cases;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2653/b/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">the lack of availability of early intervention services;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2653/b/1/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">the number of other cases of sexually transmitted diseases, and the number of cases of tuberculosis and of drug abuse and the number of cases of individuals co-infected with HIV/AIDS and hepatitis B or C;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2653/b/1/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">the rate of increase in each of the cases specified in subparagraph (D);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2653/b/1/F" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">the lack of availability of primary health services from providers other than such applicant; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2653/b/1/G" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">the distance between such area and the nearest community that has an adequate level of availability of appropriate HIV-related services, and the length of time required to travel such distance.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2653/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Relevant period of time.—</heading><content style="-uslm-dtd:text">The period referred to in paragraph (1) is the 2-year period preceding the fiscal year for which the entity involved is applying to receive a grant under section 2651.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2653/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Equitable Allocations.—</heading><content style="-uslm-dtd:text">In providing preferences for purposes of subsection (b), the Secretary shall equitably allocate the preferences among urban and rural areas.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2653/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Certain Areas.—</heading><chapeau style="-uslm-dtd:text">Of the applicants who qualify for preference under this section—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2653/d/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the Secretary shall give preference to applicants that will expend the grant under section 2651 to provide early intervention under such section in rural areas; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2653/d/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">the Secretary shall give preference to areas that are underserved with respect to such services.</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2654" styleType="OLC"> <num style="-uslm-dtd:enum" value="2654">SEC. 2654. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–54<b>]</b> </editorialNote><heading style="-uslm-dtd:header">MISCELLANEOUS PROVISIONS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2654/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Services for Individuals With Hemophilia.—</heading><content style="-uslm-dtd:text">In making grants under section 2651, the Secretary shall ensure that any such grants made regarding the provision of early intervention services to individuals with hemophilia are made through the network of comprehensive hemophilia diagnostic and treatment centers.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2654/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Technical Assistance.—</heading><content style="-uslm-dtd:text">The Secretary may, directly or through grants or contracts, provide technical assistance to nonprofit private entities regarding the process of submitting to the Secretary applications for grants under section 2651, and may provide technical assistance with respect to the planning, development, and operation of any program or service carried out pursuant to such section.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2654/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Planning and Development Grants.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2654/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The Secretary may provide planning grants to public and nonprofit private entities for purposes of—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2654/c/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">enabling such entities to provide early intervention services; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2654/c/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">assisting the entities in expanding their capacity to provide HIV/AIDS-related health services, including early intervention services, in low-income communities and affected subpopulations that are underserved with respect to such services (subject to the condition that a grant pursuant to this subparagraph may not be expended to purchase or improve land, or to purchase, construct, or permanently improve, other than minor remodeling, any building or other facility).</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2654/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Requirement.—</heading><content style="-uslm-dtd:text">The Secretary may only award a grant to an entity under paragraph (1) if the Secretary determines that the entity will use such grant to assist the entity in qualifying for a grant under section 2651.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2654/c/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Preference.—</heading><content style="-uslm-dtd:text">In awarding grants under paragraph (1), the Secretary shall give preference to entities that provide primary care services in rural areas or to underserved populations.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2654/c/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Amount and duration of grants.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2654/c/4/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">Early intervention services.—</heading><content style="-uslm-dtd:text">A grant under paragraph (1)(A) may be made in an amount not to exceed $50,000.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2654/c/4/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Capacity development.—</heading> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2654/c/4/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><heading style="-uslm-dtd:header">Amount.—</heading><content style="-uslm-dtd:text">A grant under paragraph (1)(B) may be made in an amount not to exceed $150,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2654/c/4/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><heading style="-uslm-dtd:header">Duration.—</heading><content style="-uslm-dtd:text">The total duration of a grant under paragraph (1)(B), including any renewal, may not exceed 3 years.</content> </clause> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2654/c/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><heading style="-uslm-dtd:header">Limitation.—</heading><content style="-uslm-dtd:text">Not to exceed 5 percent of the amount appropriated for a fiscal year under section 2655 may be used to carry out this section.</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptC/sptI/s2655" styleType="OLC"> <num style="-uslm-dtd:enum" value="2655">SEC. 2655. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–55<b>]</b> </editorialNote><heading style="-uslm-dtd:header">AUTHORIZATION OF APPROPRIATIONS. </heading> <content style="-uslm-dtd:text" class="block">For the purpose of making grants under section 2651, there are authorized to be appropriated, $218,600,000 for fiscal year 2007, $226,700,000 for fiscal year 2008, $235,100,000 for fiscal year 2009, $246,855,000 for fiscal year 2010, $259,198,000 for fiscal year 2011, $272,158,000 for fiscal year 2012, and $285,766,000 for fiscal year 2013.</content> </section> </subpart> <subpart style="-uslm-dtd:subpart" identifier="/us/sComp/78/373/tXXVI/ptC/sptII" styleType="traditional"> <num style="-uslm-dtd:enum" value="II">Subpart II—</num><heading style="-uslm-dtd:header">General Provisions </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2661" styleType="OLC"> <num style="-uslm-dtd:enum" value="2661">SEC. 2661. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–61<b>]</b> </editorialNote><heading style="-uslm-dtd:header">CONFIDENTIALITY AND INFORMED CONSENT. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2661/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Confidentiality.—</heading><content style="-uslm-dtd:text">The Secretary may not make a grant under this part unless, in the case of any entity applying for a grant under section 2651, the entity agrees to ensure that information regarding the receipt of early intervention services pursuant to the grant is maintained confidentially in a manner not inconsistent with applicable law.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2661/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Informed Consent.—</heading><content style="-uslm-dtd:text">The Secretary may not make a grant under this part unless the applicant for the grant agrees that, in testing an individual for HIV/AIDS, the applicant will test an individual only after the individual confirms that the decision of the individual with respect to undergoing such testing is voluntarily made.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662" styleType="OLC"> <num style="-uslm-dtd:enum" value="2662">SEC. 2662. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–62<b>]</b> </editorialNote><heading style="-uslm-dtd:header">PROVISION OF CERTAIN COUNSELING SERVICES. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Counseling of Individuals With Negative Test Results.—</heading><chapeau style="-uslm-dtd:text">The Secretary may not make a grant under this part unless the applicant for the grant agrees that, if the results of testing conducted for HIV/AIDS indicate that an individual does not have such condition, the applicant will provide the individual information, including—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">measures for prevention of, exposure to, and transmission of HIV/AIDS, hepatitis B, hepatitis C, and other sexually transmitted diseases;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">the accuracy and reliability of results of testing for HIV/AIDS, hepatitis B, and hepatitis C;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/a/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">the significance of the results of such testing, including the potential for developing AIDS, hepatitis B, or hepatitis C;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/a/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">the appropriateness of further counseling, testing, and education of the individual regarding HIV/AIDS and other sexually transmitted diseases;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/a/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">if diagnosed with chronic hepatitis B or hepatitis C co-infection, the potential of developing hepatitis-related liver disease and its impact on HIV/AIDS; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/a/6" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">information regarding the availability of hepatitis B vaccine and information about hepatitis treatments.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Counseling of Individuals With Positive Test Results.—</heading><chapeau style="-uslm-dtd:text">The Secretary may not make a grant under this part unless the applicant for the grant agrees that, if the results of testing for HIV/AIDS indicate that the individual has such condition, the applicant will provide to the individual appropriate counseling regarding the condition, including—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">information regarding—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/b/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">measures for prevention of, exposure to, and transmission of HIV/AIDS, hepatitis B, and hepatitis C;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/b/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the accuracy and reliability of results of testing for HIV/AIDS, hepatitis B, and hepatitis C; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/b/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">the significance of the results of such testing, including the potential for developing AIDS, hepatitis B, or hepatitis C;</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">reviewing the appropriateness of further counseling, testing, and education of the individual regarding HIV/AIDS and other sexually transmitted diseases; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><chapeau style="-uslm-dtd:text">providing counseling—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/b/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">on the availability, through the applicant, of early intervention services;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/b/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">on the availability in the geographic area of appropriate health care, mental health care, and social and support services, including providing referrals for such services, as appropriate;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/b/3/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C)</num><clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/b/3/C/i" styleType="OLC" class="inline"><num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">that explains the benefits of locating and counseling any individual by whom the infected individual may have been exposed to HIV/AIDS, hepatitis B, or hepatitis C and any individual whom the infected individual may have exposed to HIV/AIDS, hepatitis B, or hepatitis C; and</content></clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/b/3/C/ii" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">that emphasizes it is the duty of infected individuals to disclose their infected status to their sexual partners and their partners in the sharing of hypodermic needles; that provides advice to infected individuals on the manner in which such disclosures can be made; and that emphasizes that it is the continuing duty of the individuals to avoid any behaviors that will expose others to HIV/AIDS, hepatitis B, or hepatitis C; and</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/b/3/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">on the availability of the services of public health authorities with respect to locating and counseling any individual described in subparagraph (C);</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/b/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">if diagnosed with chronic hepatitis B or hepatitis C co-infection, the potential of developing hepatitis-related liver disease and its impact on HIV/AIDS; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/b/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">information regarding the availability of hepatitis B vaccine.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Additional Requirements Regarding Appropriate Counseling.—</heading><content style="-uslm-dtd:text">The Secretary may not make a grant under this part unless the applicant for the grant agrees that, in counseling individuals with respect to HIV/AIDS, the applicant will ensure that the counseling is provided under conditions appropriate to the needs of the individuals.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Counseling of Emergency Response Employees.—</heading><content style="-uslm-dtd:text">The Secretary may not make a grant under this part to a State unless the State agrees that, in counseling individuals with respect to HIV/AIDS, the State will ensure that, in the case of emergency response employees, the counseling is provided to such employees under conditions appropriate to the needs of the employees regarding the counseling.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2662/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Rule of Construction Regarding Counseling Without Testing.—</heading><content style="-uslm-dtd:text">Agreements made pursuant to this section may not be construed to prohibit any grantee under this part from expending the grant for the purpose of providing counseling services described in this section to an individual who does not undergo testing for HIV/AIDS as a result of the grantee or the individual determining that such testing of the individual is not appropriate.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2663" styleType="OLC"> <num style="-uslm-dtd:enum" value="2663">SEC. 2663. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–63<b>]</b> </editorialNote><heading style="-uslm-dtd:header">APPLICABILITY OF REQUIREMENTS REGARDING CONFIDENTIALITY, INFORMED CONSENT, AND COUNSELING. </heading> <content style="-uslm-dtd:text" class="block">The Secretary may not make a grant under this part unless the applicant for the grant agrees that, with respect to testing for HIV/AIDS, any such testing carried out by the applicant with funds appropriated through this Act will be carried out in accordance with conditions described in sections 2661 and 2662.</content> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664" styleType="OLC"> <num style="-uslm-dtd:enum" value="2664">SEC. 2664. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–64<b>]</b> </editorialNote><heading style="-uslm-dtd:header">ADDITIONAL REQUIRED AGREEMENTS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Reports to Secretary.—</heading><chapeau style="-uslm-dtd:text">The Secretary may not make a grant under this part unless—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">the applicant submits to the Secretary—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/a/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">a specification of the expenditures made by the applicant for early intervention services for the fiscal year preceding the fiscal year for which the applicant is applying to receive the grant;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/a/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">an estimate of the number of individuals to whom the applicant has provided such services for such fiscal year;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/a/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">information regarding how the expected expenditures of the grant are related to the planning process for localities funded under part A (including the planning process described in section 2602) and for States funded under part B (including the planning process described in section 2617(b)); and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/a/1/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">a specification of the expected expenditures and how those expenditures will improve overall client outcomes, as described in the State plan under section 2617(b);</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">the applicant agrees to submit to the Secretary a report providing—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/a/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the number of individuals to whom the applicant provides early intervention services pursuant to the grant;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/a/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">epidemiological and demographic data on the population of such individuals;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/a/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">the extent to which the costs of HIV-related health care for such individuals are paid by third-party payors;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/a/2/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">the average costs of providing each category of early intervention service; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/a/2/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">the aggregate amounts expended for each such category;</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/a/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">the applicant agrees to provide additional documentation to the Secretary regarding the process used to obtain community input into the design and implementation of activities related to such grant; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/a/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">the applicant agrees to submit, every 2 years, to the lead State agency under section 2617(b)(4) audits, consistent with Office of Management and Budget circular A133, regarding funds expended in accordance with this title and shall include necessary client level data to complete unmet need calculations and Statewide coordinated statements of need process.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Provision of Opportunities for Anonymous Counseling and Testing.—</heading><chapeau style="-uslm-dtd:text">The Secretary may not make a grant under this part unless the applicant for the grant agrees that, to the extent permitted under State law, regulation or rule, the applicant will offer substantial opportunities for an individual—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">to undergo counseling and testing regarding HIV/AIDS without being required to provide any information relating to the identity of the individual; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">to undergo such counseling and testing through the use of a pseudonym.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Prohibition Against Requiring Testing as Condition of Receiving Other Health Services.—</heading><content style="-uslm-dtd:text">The Secretary may not make a grant under this part unless the applicant for the grant agrees that, with respect to an individual seeking health services from the applicant, the applicant will not require the individual to undergo testing for HIV as a condition of receiving any health services unless such testing is medically indicated in the provision of the health services sought by the individual.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Maintenance of Support.—</heading><content style="-uslm-dtd:text">The Secretary may not make a grant under this part unless the applicant for the grant agrees to maintain the expenditures of the applicant for early intervention services at a level equal to not less than the level of such expenditures maintained by the State for the fiscal year preceding the fiscal year for which the applicant is applying to receive the grant.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Requirements Regarding Imposition of Charges for Services.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/e/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The Secretary may not make a grant under this part unless, subject to paragraph (5), the applicant for the grant agrees that—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/e/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in the case of individuals with an income less than or equal to 100 percent of the official poverty line, the applicant will not impose a charge on any such individual for the provision of early intervention services under the grant;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/e/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">in the case of individuals with an income greater than 100 percent of the official poverty line, the applicant—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/e/1/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">will impose a charge on each such individual for the provision of such services; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/e/1/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">will impose the charge according to a schedule of charges that is made available to the public.</content> </clause> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/e/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Limitation on charges regarding individuals subject to charges.—</heading><chapeau style="-uslm-dtd:text">With respect to the imposition of a charge for purposes of paragraph (1)(B)(ii), the Secretary may not make a grant under this part unless, subject to paragraph (5), the applicant for the grant agrees that—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/e/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in the case of individuals with an income greater than 100 percent of the official poverty line and not exceeding 200 percent of such poverty line, the applicant will not, for any calendar year, impose charges in an amount exceeding 5 percent of the annual gross income of the individual involved;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/e/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in the case of individuals with an income greater than 200 percent of the official poverty line and not exceeding 300 percent of such poverty line, the applicant will not, for any calendar year, impose charges in an amount exceeding 7 percent of the annual gross income of the individual involved; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/e/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">in the case of individuals with an income greater than 300 percent of the official poverty line, the applicant will not, for any calendar year, impose charges in an amount exceeding 10 percent of the annual gross income of the individual involved.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/e/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Assessment of charge.—</heading><chapeau style="-uslm-dtd:text">With respect to compliance with the agreement made under paragraph (1), a grantee under this part may, in the case of individuals subject to a charge for purposes of such paragraph—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/e/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">assess the amount of the charge in the discretion of the grantee, including imposing only a nominal charge for the provision of services, subject to the provisions of such paragraph regarding public schedules and of paragraph (2) regarding limitations on the maximum amount of charges; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/e/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">take into consideration the medical expenses of individuals in assessing the amount of the charge, subject to such provisions.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/e/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Applicability of limitation on amount of charge.—</heading><content style="-uslm-dtd:text">The Secretary may not make a grant under this part unless the applicant for the grant agrees that the limitations established in paragraph (2) regarding the imposition of charges for services applies to the annual aggregate of charges imposed for such services, without regard to whether they are characterized as enrollment fees, premiums, deductibles, cost sharing, copayments, coinsurance, or similar charges.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/e/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><heading style="-uslm-dtd:header">Waiver regarding certain secondary agreements.—</heading><content style="-uslm-dtd:text">The requirement established in paragraph (1)(B)(i) shall be waived by the Secretary in the case of any entity for whom the Secretary has granted a waiver under section 2652(b)(2).</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/f" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">(f) </num><heading style="-uslm-dtd:header">Relationship to Items and Services Under Other Programs.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/f/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The Secretary may not make a grant under this part unless the applicant for the grant agrees that, subject to paragraph (2), the grant will not be expended by the applicant, or by any entity receiving amounts from the applicant for the provision of early intervention services, to make payment for any such service to the extent that payment has been made, or can reasonably be expected to be made, with respect to such service—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/f/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">under any State compensation program, under an insurance policy, or under any Federal or State health benefits program (except for a program administered by or providing the services of the Indian Health Service); or</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/f/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by an entity that provides health services on a prepaid basis.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/f/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Applicability to certain secondary agreements for provision of services.—</heading><content style="-uslm-dtd:text">An agreement made under paragraph (1) shall not apply in the case of an entity through which a grantee under this part provides early intervention services if the Secretary has provided a waiver under section 2652(b)(2) regarding the entity.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/g" styleType="OLC"> <num style="-uslm-dtd:enum" value="g">(g) </num><heading style="-uslm-dtd:header">Administration of Grant.—</heading><chapeau style="-uslm-dtd:text">The Secretary may not make a grant under this part unless the applicant for the grant agrees that—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/g/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the applicant will not expend amounts received pursuant to this part for any purpose other than the purposes described in the subpart under which the grant involved is made;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/g/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">the applicant will establish such procedures for fiscal control and fund accounting as may be necessary to ensure proper disbursement and accounting with respect to the grant;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/g/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">the applicant will not expend more than 10 percent of the grant for administrative expenses with respect to the grant, including planning and evaluation, except that the costs of a clinical quality management program under paragraph (5) may not be considered administrative expenses for purposes of such limitation;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/g/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">the applicant will submit evidence that the proposed program is consistent with the statewide coordinated statement of need and agree to participate in the ongoing revision of such statement of need; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/g/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><chapeau style="-uslm-dtd:text">the applicant will provide for the establishment of a clinical quality management program—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/g/5/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">to assess the extent to which medical services funded under this title that are provided to patients are consistent with the most recent Public Health Service guidelines for the treatment of HIV/AIDS and related opportunistic infections, and as applicable, to develop strategies for ensuring that such services are consistent with the guidelines; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2664/g/5/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">to ensure that improvements in the access to and quality of HIV health services are addressed.</content> </subparagraph> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2665" styleType="OLC"> <num style="-uslm-dtd:enum" value="2665">SEC. 2665. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–65<b>]</b> </editorialNote><heading style="-uslm-dtd:header">REQUIREMENT OF SUBMISSION OF APPLICATION CONTAINING CERTAIN AGREEMENTS AND ASSURANCES. </heading> <subsection style="-uslm-dtd:subsection" styleType="OLC" role="undesignated-level"><chapeau style="-uslm-dtd:text">The Secretary may not make a grant under this part unless—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2665/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">an application for the grant is submitted to the Secretary containing agreements and assurances in accordance with this part and containing the information specified in section 2664(a)(1);</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2665/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">with respect to such agreements, the application provides assurances of compliance satisfactory to the Secretary; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2665/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">the application otherwise is in such form, is made in such manner, and contains such agreements, assurances, and information as the Secretary determines to be necessary to carry out this part.</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2666" styleType="OLC"> <num style="-uslm-dtd:enum" value="2666">SEC. 2666. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–66<b>]</b> </editorialNote><heading style="-uslm-dtd:header">PROVISION BY SECRETARY OF SUPPLIES AND SERVICES IN LIEU OF GRANT FUNDS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2666/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">Upon the request of a grantee under this part, the Secretary may, subject to subsection (b), provide supplies, equipment, and services for the purpose of aiding the grantee in providing early intervention services and, for such purpose, may detail to the State any officer or employee of the Department of Health and Human Services.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2666/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Limitation.—</heading><content style="-uslm-dtd:text">With respect to a request described in subsection (a), the Secretary shall reduce the amount of payments under the grant involved by an amount equal to the costs of detailing personnel and the fair market value of any supplies, equipment, or services provided by the Secretary. The Secretary shall, for the payment of expenses incurred in complying with such request, expend the amounts withheld.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2667" styleType="OLC"> <num style="-uslm-dtd:enum" value="2667">SEC. 2667. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–67<b>]</b> </editorialNote><heading style="-uslm-dtd:header">USE OF FUNDS. </heading> <subsection style="-uslm-dtd:subsection" styleType="OLC" role="undesignated-level"><chapeau style="-uslm-dtd:text">Counseling programs carried out under this part—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2667/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">shall not be designed to promote or encourage, directly, intravenous drug abuse or sexual activity, homosexual or heterosexual;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2667/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">shall be designed to reduce exposure to and transmission of HIV/AIDS by providing accurate information;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2667/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">shall provide information on the health risks of promiscuous sexual activity and intravenous drug abuse; amd</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptC/sptII/s2667/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">shall provide information on the transmission and prevention of hepatitis A, B, and C, including education about the availability of hepatitis A and B vaccines and assisting patients in identifying vaccination sites.</content> </paragraph> </subsection> </section> </subpart> </part> <part style="-uslm-dtd:part" identifier="/us/sComp/78/373/tXXVI/ptD" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">PART D—</num><heading style="-uslm-dtd:header">WOMEN, INFANTS, CHILDREN, AND YOUTH </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptD/s2671" styleType="OLC"> <num style="-uslm-dtd:enum" value="2671">SEC. 2671. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–71<b>]</b> </editorialNote><heading style="-uslm-dtd:header">GRANTS FOR COORDINATED SERVICES AND ACCESS TO RESEARCH FOR WOMEN, INFANTS, CHILDREN, AND YOUTH. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">The Secretary, acting through the Administrator of the Health Resources and Services Administration, shall award grants to public and nonprofit private entities (including a health facility operated by or pursuant to a contract with the Indian Health Service) for the purpose of providing family-centered care involving outpatient or ambulatory care (directly or through contracts or memoranda of understanding) for women, infants, children, and youth with HIV/AIDS.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Additional Services for Patients and Families.—</heading><chapeau style="-uslm-dtd:text">Funds provided under grants awarded under subsection (a) may be used for the following support services:</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">Family-centered care including case management.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">Referrals for additional services including—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/b/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">referrals for inpatient hospital services, treatment for substance abuse, and mental health services; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/b/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">referrals for other social and support services, as appropriate.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">Additional services necessary to enable the patient and the family to participate in the program established by the applicant pursuant to such subsection including services designed to recruit and retain youth with HIV.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/b/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">The provision of information and education on opportunities to participate in HIV/AIDS-related clinical research.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Coordination With Other Entities.—</heading><chapeau style="-uslm-dtd:text">A grant awarded under subsection (a) may be made only if the applicant provides an agreement that includes the following:</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">The applicant will coordinate activities under the grant with other providers of health care services under this Act, and under title V of the Social Security Act, including programs promoting the reduction and elimination of risk of HIV/AIDS for youth.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">The applicant will participate in the statewide coordinated statement of need under part B (where it has been initiated by the public health agency responsible for administering grants under part B) and in revisions of such statement.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/c/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">The applicant will every 2 years submit to the lead State agency under section 2617(b)(4) audits regarding funds expended in accordance with this title and shall include necessary client-level data to complete unmet need calculations and Statewide coordinated statements of need process.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Administration; Application.—</heading><chapeau style="-uslm-dtd:text">A grant may only be awarded to an entity under subsection (a) if an application for the grant is submitted to the Secretary and the application is in such form, is made in such manner, and contains such agreements, assurances, and information as the Secretary determines to be necessary to carry out this section. Such application shall include the following:</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/d/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">Information regarding how the expected expenditures of the grant are related to the planning process for localities funded under part A (including the planning process outlined in section 2602) and for States funded under part B (including the planning process outlined in section 2617(b)).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/d/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">A specification of the expected expenditures and how those expenditures will improve overall patient outcomes, as outlined as part of the State plan (under section 2617(b)) or through additional outcome measures.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Annual Review of Programs; Evaluations.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/e/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Review regarding access to and participation in programs.—</heading><chapeau style="-uslm-dtd:text">With respect to a grant under subsection (a) for an entity for a fiscal year, the Secretary shall, not later than 180 days after the end of the fiscal year, provide for the conduct and completion of a review of the operation during the year of the program carried out under such subsection by the entity. The purpose of such review shall be the development of recommendations, as appropriate, for improvements in the following:</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/e/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">Procedures used by the entity to allocate opportunities and services under subsection (a) among patients of the entity who are women, infants, children, or youth.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/e/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">Other procedures or policies of the entity regarding the participation of such individuals in such program.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/e/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Evaluations.——</heading><content style="-uslm-dtd:text"> <ref style="-uslm-dtd:footnote-ref" idref="IDBCD876D7F1AD4C76A846F14C062C3404" class="footnoteRef">14</ref>The Secretary shall, directly or through contracts with public and private entities, provide for evaluations of programs carried out pursuant to subsection (a).</content><footnote id="IDBCD876D7F1AD4C76A846F14C062C3404" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">14</sup><p style="-uslm-dtd:para; margin-left:1em">Dash so in law.</p></footnote> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/f" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">(f) </num><heading style="-uslm-dtd:header">Administrative Expenses.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/f/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Limitation.—</heading><content style="-uslm-dtd:text">A grantee may not use more than 10 percent of amounts received under a grant awarded under this section for administrative expenses.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/f/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Clinical quality management program.—</heading><content style="-uslm-dtd:text">A grantee under this section shall implement a clinical quality management program to assess the extent to which HIV health services provided to patients under the grant are consistent with the most recent Public Health Service guidelines for the treatment of HIV/AIDS and related opportunistic infection, and as applicable, to develop strategies for ensuring that such services are consistent with the guidelines for improvement in the access to and quality of HIV health services.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/g" styleType="OLC"> <num style="-uslm-dtd:enum" value="g">(g) </num><heading style="-uslm-dtd:header">Training and Technical Assistance.—</heading><content style="-uslm-dtd:text">From the amounts appropriated under subsection (j) for a fiscal year, the Secretary may use not more than 5 percent to provide, directly or through contracts with public and private entities (which may include grantees under subsection (a)), training and technical assistance to assist applicants and grantees under subsection (a) in complying with the requirements of this section.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/h" styleType="OLC"> <num style="-uslm-dtd:enum" value="h">(h) </num><heading style="-uslm-dtd:header">Definitions.—</heading><chapeau style="-uslm-dtd:text">In this section:</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/h/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Administrative expenses.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">administrative expenses</term>” means funds that are to be used by grantees for grant management and monitoring activities, including costs related to any staff or activity unrelated to services or indirect costs.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/h/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Indirect costs.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">indirect costs</term>” means costs included in a Federally negotiated indirect rate.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/h/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Services.—</heading><chapeau style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">services</term>” means—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/h/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">services that are provided to clients to meet the goals and objectives of the program under this section, including the provision of professional, diagnostic, and therapeutic services by a primary care provider or a referral to and provision of specialty care; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/h/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">services that sustain program activity and contribute to or help improve services under subparagraph (A).</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><heading style="-uslm-dtd:header">Application to Primary Care Services.—</heading><content style="-uslm-dtd:text">Nothing in this part shall be construed as requiring funds under this part to be used for primary care services when payments are available for such services from other sources (including under titles XVIII, XIX, and XXI of the Social Security Act).</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptD/s2671/j" styleType="OLC"> <num style="-uslm-dtd:enum" value="j">(j) </num><heading style="-uslm-dtd:header">Authorization of Appropriations.—</heading><content style="-uslm-dtd:text">For the purpose of carrying out this section, there are authorized to be appropriated, $71,800,000 for each of the fiscal years 2007 through 2009, $75,390,000 for fiscal year 2010, $79,160,000 for fiscal year 2011, $83,117,000 for fiscal year 2012, and $87,273,000 for fiscal year 2013.</content> </subsection> </section> </part> <part style="-uslm-dtd:part" identifier="/us/sComp/78/373/tXXVI/ptE" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">PART E—</num><heading style="-uslm-dtd:header">GENERAL PROVISIONS </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptE/s2681" styleType="OLC"> <num style="-uslm-dtd:enum" value="2681">SEC. 2681. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–81<b>]</b> </editorialNote><heading style="-uslm-dtd:header">COORDINATION. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptE/s2681/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Requirement.—</heading><content style="-uslm-dtd:text">The Secretary shall ensure that the Health Resources and Services Administration, the Centers for Disease Control and Prevention, the Substance Abuse and Mental Health Services Administration, and the Centers for Medicare & Medicaid Services coordinate the planning, funding, and implementation of Federal HIV programs (including all minority AIDS initiatives of the Public Health Service, including under section 2693) to enhance the continuity of care and prevention services for individuals with HIV/AIDS or those at risk of such disease. The Secretary shall consult with other Federal agencies, including the Department of Veterans Affairs, as needed and utilize planning information submitted to such agencies by the States and entities eligible for assistance under this title.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptE/s2681/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Report.—</heading><content style="-uslm-dtd:text">The Secretary shall biennially prepare and submit to the appropriate committees of the Congress a report concerning the coordination efforts at the Federal, State, and local levels described in this section, including a description of Federal barriers to HIV program integration and a strategy for eliminating such barriers and enhancing the continuity of care and prevention services for individuals with HIV/AIDS or those at risk of such disease.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptE/s2681/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Integration by State.—</heading><content style="-uslm-dtd:text">As a condition of receipt of funds under this title, a State shall provide assurances to the Secretary that health support services funded under this title will be integrated with other such services, that programs will be coordinated with other available programs (including Medicaid), and that the continuity of care and prevention services of individuals with HIV/AIDS is enhanced.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptE/s2681/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Integration by Local or Private Entities.—</heading><content style="-uslm-dtd:text">As a condition of receipt of funds under this title, a local government or private nonprofit entity shall provide assurances to the Secretary that services funded under this title will be integrated with other such services, that programs will be coordinated with other available programs (including Medicaid), and that the continuity of care and prevention services of individuals with HIV is enhanced.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptE/s2682" styleType="OLC"> <num style="-uslm-dtd:enum" value="2682">SEC. 2682. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–82<b>]</b> </editorialNote><heading style="-uslm-dtd:header">AUDITS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptE/s2682/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">For fiscal year 2009, and each subsequent fiscal year, the Secretary may reduce the amounts of grants under this title to a State or political subdivision of a State for a fiscal year if, with respect to such grants for the second preceding fiscal year, the State or subdivision fails to prepare audits in accordance with the procedures of section 7502 of title 31, United States Code. The Secretary shall annually select representative samples of such audits, prepare summaries of the selected audits, and submit the summaries to the Congress.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptE/s2682/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Posting on the Internet.—</heading><content style="-uslm-dtd:text">All audits that the Secretary receives from the State lead agency under section 2617(b)(4) shall be posted, in their entirety, on the Internet website of the Health Resources and Services Administration.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptE/s2683" styleType="OLC"> <num style="-uslm-dtd:enum" value="2683">SEC. 2683. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–83<b>]</b> </editorialNote><heading style="-uslm-dtd:header">PUBLIC HEALTH EMERGENCY. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptE/s2683/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">In an emergency area and during an emergency period, the Secretary shall have the authority to waive such requirements of this title to improve the health and safety of those receiving care under this title and the general public, except that the Secretary may not expend more than 5 percent of the funds allocated under this title for sections 2620 and section 2603(b).</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptE/s2683/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Emergency Area and Emergency Period.—</heading><chapeau style="-uslm-dtd:text">In this section:</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2683/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Emergency area.—</heading><chapeau style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">emergency area</term>” means a geographic area in which there exists—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2683/b/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">an emergency or disaster declared by the President pursuant to the National Emergencies Act or the Robert T. Stafford Disaster Relief and Emergency Assistance Act; or</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2683/b/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">a public health emergency declared by the Secretary pursuant to section 319.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2683/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Emergency period.—</heading><chapeau style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">emergency period</term>” means the period in which there exists—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2683/b/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">an emergency or disaster declared by the President pursuant to the National Emergencies Act or the Robert T. Stafford Disaster Relief and Emergency Assistance Act; or</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2683/b/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">a public health emergency declared by the Secretary pursuant to section 319.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptE/s2683/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Unobligated Funds.—</heading><content style="-uslm-dtd:text">If funds under a grant under this section are not expended for an emergency in the fiscal year in which the emergency is declared, such funds shall be returned to the Secretary for reallocation under sections 2603(b) and 2620.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptE/s2684" styleType="OLC"> <num style="-uslm-dtd:enum" value="2684">SEC. 2684. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–84<b>]</b> </editorialNote><heading style="-uslm-dtd:header">PROHIBITION ON PROMOTION OF CERTAIN ACTIVITIES. </heading> <content style="-uslm-dtd:text" class="block">None of the funds appropriated under this title shall be used to fund AIDS programs, or to develop materials, designed to promote or encourage, directly, intravenous drug use or sexual activity, whether homosexual or heterosexual. Funds authorized under this title may be used to provide medical treatment and support services for individuals with HIV.</content> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptE/s2685" styleType="OLC"> <num style="-uslm-dtd:enum" value="2685">SEC. 2685. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–85<b>]</b> </editorialNote><heading style="-uslm-dtd:header">PRIVACY PROTECTIONS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptE/s2685/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">The Secretary shall ensure that any information submitted to, or collected by, the Secretary under this title excludes any personally identifiable information.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptE/s2685/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Definition.—</heading><content style="-uslm-dtd:text">In this section, the term “<term style="-uslm-dtd:term">personally identifiable information</term>” has the meaning given such term under the regulations promulgated under section 264(c) of the Health Insurance Portability and Accountability Act of 1996.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptE/s2686" styleType="OLC"> <num style="-uslm-dtd:enum" value="2686">SEC. 2686. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–86<b>]</b> </editorialNote><heading style="-uslm-dtd:header">GAO REPORT. </heading> <content style="-uslm-dtd:text" class="block">The Comptroller General of the Government Accountability Office shall, not less than 1 year after the date of enactment of the Ryan White HIV/AIDS Treatment Extension Act of 2009, submit to the appropriate committees of Congress a report describing Minority AIDS Initiative activities across the Department of Health and Human Services, including programs under this title and programs at the Centers for Disease Control and Prevention, the Substance Abuse and Mental Health Services Administration, and other departmental agencies. Such report shall include a history of program activities within each relevant agency and a description of activities conducted, people served and types of grantees funded, and shall collect and describe best practices in community outreach and capacity-building of community based organizations serving the communities that are disproportionately affected by HIV/AIDS.</content> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptE/s2687" styleType="OLC"> <num style="-uslm-dtd:enum" value="2687">SEC. 2687. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–87<b>]</b> </editorialNote><heading style="-uslm-dtd:header">SEVERITY OF NEED INDEX. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptE/s2687/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Development of Index.—</heading><content style="-uslm-dtd:text">Not later than September 30, 2008, the Secretary shall develop and submit to the appropriate committees of Congress a severity of need index in accordance with subsection (c).</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptE/s2687/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Definition of Severity of Need Index.—</heading><content style="-uslm-dtd:text">In this section, the term “<term style="-uslm-dtd:term">severity of need index</term>” means the index of the relative needs of individuals within a State or area, as identified by a number of different factors, and is a factor or set of factors that is multiplied by the number of living HIV/AIDS cases in a State or area, providing different weights to those cases based on needs. Such factors or set of factors may be different for different components of the provisions under this title.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptE/s2687/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Requirements for Secretarial Submission.—</heading><chapeau style="-uslm-dtd:text">When the Secretary submits to the appropriate committees of Congress the severity of need index under subsection (a), the Secretary shall provide the following:</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2687/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">Methodology for and rationale behind developing the severity of need index, including information related to the field testing of the severity of need index.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2687/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">An independent contractor analysis of activities carried out under paragraph (1).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2687/c/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">Information regarding the process by which the Secretary received community input regarding the application and development of the severity of need index.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptE/s2687/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Annual Reports.—</heading><chapeau style="-uslm-dtd:text">If the Secretary fails to submit the severity of need index under subsection (a) in either of fiscal years 2007 or 2008, the Secretary shall prepare and submit to the appropriate committees of Congress a report for such fiscal year—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2687/d/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">that updates progress toward having client level data;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2687/d/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">that updates the progress toward having a severity of need index, including information related to the methodology and process for obtaining community input; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2687/d/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">that, as applicable, states whether the Secretary could develop a severity of need index before fiscal year 2009.</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptE/s2688" styleType="OLC"> <num style="-uslm-dtd:enum" value="2688">SEC. 2688. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–87a<b>]</b> </editorialNote><heading style="-uslm-dtd:header">NATIONAL HIV/AIDS TESTING GOAL. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">Not later than January 1, 2010, the Secretary shall establish a national HIV/AIDS testing goal of 5,000,000 tests for HIV/AIDS annually through federally-supported HIV/AIDS prevention, treatment, and care programs, including programs under this title and other programs administered by the Centers for Disease Control and Prevention.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Annual Report.—</heading><chapeau style="-uslm-dtd:text">Not later than January 1, 2011, and annually thereafter, the Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall submit to Congress a report describing, with regard to the preceding 12-month reporting period—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">whether the testing goal described in subsection (a) has been met;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">the total number of individuals tested through federally-supported and other HIV/AIDS prevention, treatment, and care programs in each State;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><chapeau style="-uslm-dtd:text">the number of individuals who—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/b/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">prior to such 12-month period, were unaware of their HIV status; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/b/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">through federally-supported and other HIV/AIDS prevention, treatment, and care programs, were diagnosed and referred into treatment and care during such period;</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/b/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">any barriers, including State laws and regulations, that the Secretary determines to be a barrier to meeting the testing goal described in subsection (a);</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/b/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">the amount of funding the Secretary determines necessary to meet the annual testing goal in the following 12 months and the amount of Federal funding expended to meet the testing goal in the prior 12-month period; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/b/6" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">the most cost-effective strategies for identifying and diagnosing individuals who were unaware of their HIV status, including voluntary testing with pre-test counseling, routine screening including opt-out testing, partner counseling and referral services, and mass media campaigns.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Review of Program Effectiveness.—</heading><chapeau style="-uslm-dtd:text">Not later than 1 year after the date of enactment of this section, the Secretary, in consultation with the Director of the Centers for Disease Control and Prevention, shall submit a report to Congress based on a comprehensive review of each of the programs and activities conducted by the Centers for Disease Control and Prevention as part of the Domestic HIV/AIDS Prevention Activities, including the following:</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">The amount of funding provided for each program or activity.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">The primary purpose of each program or activity.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/c/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">The annual goals for each program or activity.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/c/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><chapeau style="-uslm-dtd:text">The relative effectiveness of each program or activity with relation to the other programs and activities conducted by the Centers for Disease Control and Prevention, based on the—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/c/4/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">number of previously undiagnosed individuals with HIV/AIDS made aware of their status and referred into the appropriate treatment;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/c/4/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">amount of funding provided for each program or activity compared to the number of undiagnosed individuals with HIV/AIDS made aware of their status;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/c/4/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">program's contribution to the National HIV/AIDS testing goal; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/c/4/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">progress made toward the goals described in paragraph (3).</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/c/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">Recommendations if any to Congress on ways to allocate funding for domestic HIV/AIDS prevention activities and programs in order to achieve the National HIV/AIDS testing goal.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptE/s2688/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Coordination With Other Federal Activities.—</heading><content style="-uslm-dtd:text">In pursuing the National HIV/AIDS testing goal, the Secretary, where appropriate, shall consider and coordinate with other national strategies conducted by the Federal Government to address HIV/AIDS.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptE/s2689" styleType="OLC" role="definitions"> <num style="-uslm-dtd:enum" value="2689">SEC. 2689. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–88<b>]</b> </editorialNote><heading style="-uslm-dtd:header">DEFINITIONS. </heading> <subsection style="-uslm-dtd:subsection" styleType="OLC" role="undesignated-level"><chapeau style="-uslm-dtd:text">For purposes of this title:</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2689/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">AIDS.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">AIDS</term>” means acquired immune deficiency syndrome.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2689/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Co-occurring conditions.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">co-occurring conditions</term>” means one or more adverse health conditions in an individual with HIV/AIDS, without regard to whether the individual has AIDS and without regard to whether the conditions arise from HIV.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2689/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Counseling.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">counseling</term>” means such counseling provided by an individual trained to provide such counseling.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2689/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Family-centered care.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">family-centered care</term>” means the system of services described in this title that is targeted specifically to the special needs of infants, children, women and families. Family-centered care shall be based on a partnership between parents, professionals, and the community designed to ensure an integrated, coordinated, culturally sensitive, and community-based continuum of care for children, women, and families with HIV/AIDS.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2689/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><heading style="-uslm-dtd:header">Families with hiv/aids.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">families with HIV/AIDS</term>” means families in which one or more members have HIV/AIDS.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2689/6" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><heading style="-uslm-dtd:header">HIV.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">HIV</term>” means infection with the human immunodeficiency virus.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2689/7" styleType="OLC"> <num style="-uslm-dtd:enum" value="7">(7) </num><heading style="-uslm-dtd:header">HIV/AIDS.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2689/7/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">HIV/AIDS</term>” means HIV, and includes AIDS and any condition arising from AIDS.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2689/7/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Counting of cases.—</heading><chapeau style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">living cases of HIV/AIDS</term>”, with respect to the counting of cases in a geographic area during a period of time, means the sum of—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptE/s2689/7/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">the number of living non-AIDS cases of HIV in the area; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptE/s2689/7/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">the number of living cases of AIDS in the area.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2689/7/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><heading style="-uslm-dtd:header">Non-aids cases.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">non-AIDS</term>”, with respect to a case of HIV, means that the individual involved has HIV but does not have AIDS.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2689/8" styleType="OLC"> <num style="-uslm-dtd:enum" value="8">(8) </num><heading style="-uslm-dtd:header">Human immunodeficiency virus.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">human immunodeficiency virus</term>” means the etiologic agent for AIDS.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2689/9" styleType="OLC"> <num style="-uslm-dtd:enum" value="9">(9) </num><heading style="-uslm-dtd:header">Official poverty line.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">official poverty line</term>” means the poverty line established by the Director of the Office of Management and Budget and revised by the Secretary in accordance with section 673(2) of the Omnibus Budget Reconciliation Act of 1981.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2689/10" styleType="OLC"> <num style="-uslm-dtd:enum" value="10">(10) </num><heading style="-uslm-dtd:header">Person.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">person</term>” includes one or more individuals, governments (including the Federal Government and the governments of the States), governmental agencies, political subdivisions, labor unions, partnerships, associations, corporations, legal representatives, mutual companies, joint-stock companies, trusts, unincorporated organizations, receivers, trustees, and trustees in cases under title 11, United States Code.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2689/11" styleType="OLC"> <num style="-uslm-dtd:enum" value="11">(11) </num><heading style="-uslm-dtd:header">State.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2689/11/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">State</term>” means each of the 50 States, the District of Columbia, and each of the territories.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2689/11/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Territories.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">territory</term>” means each of American Samoa, Guam, the Commonwealth of Puerto Rico, the Commonwealth of the Northern Mariana Islands, the Virgin Islands, the Republic of the Marshall Islands, the Federated States of Micronesia, and Palau.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptE/s2689/12" styleType="OLC"> <num style="-uslm-dtd:enum" value="12">(12) </num><heading style="-uslm-dtd:header">Youth with hiv.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">youth with HIV</term>” means individuals who are 13 through 24 years old and who have HIV/AIDS.</content> </paragraph> </subsection> </section> </part> <part style="-uslm-dtd:part" identifier="/us/sComp/78/373/tXXVI/ptF" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">PART F—</num><heading style="-uslm-dtd:header">DEMONSTRATION AND TRAINING </heading> <subpart style="-uslm-dtd:subpart" identifier="/us/sComp/78/373/tXXVI/ptF/sptI" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">Subpart I—</num><heading style="-uslm-dtd:header">Special Projects of National Significance </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptF/sptI/s2691" styleType="OLC"> <num style="-uslm-dtd:enum" value="2691">SEC. 2691. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–101<b>]</b> </editorialNote><heading style="-uslm-dtd:header">SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptF/sptI/s2691/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><chapeau style="-uslm-dtd:text">Of the amount appropriated under each of parts A, B, C, and D for each fiscal year, the Secretary shall use the greater of $20,000,000 or an amount equal to 3 percent of such amount appropriated under each such part, but not to exceed $25,000,000, to administer special projects of national significance to—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptI/s2691/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">quickly respond to emerging needs of individuals receiving assistance under this title; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptI/s2691/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">to fund special programs to develop a standard electronic client information data system to improve the ability of grantees under this title to report client-level data to the Secretary.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptF/sptI/s2691/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Grants.—</heading><chapeau style="-uslm-dtd:text">The Secretary shall award grants under subsection (a) to entities eligible for funding under parts A, B, C, and D based on—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptI/s2691/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">whether the funding will promote obtaining client level data as it relates to the creation of a severity of need index, including funds to facilitate the purchase and enhance the utilization of qualified health information technology systems;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptI/s2691/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">demonstrated ability to create and maintain a qualified health information technology system;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptI/s2691/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">the potential replicability of the proposed activity in other similar localities or nationally;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptI/s2691/b/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">the demonstrated reliability of the proposed qualified health information technology system across a variety of providers, geographic regions, and clients; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptI/s2691/b/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">the demonstrated ability to maintain a safe and secure qualified health information system; or</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptI/s2691/b/6" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">newly emerging needs of individuals receiving assistance under this title.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptF/sptI/s2691/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Coordination.—</heading><content style="-uslm-dtd:text">The Secretary may not make a grant under this section unless the applicant submits evidence that the proposed program is consistent with the statewide coordinated statement of need, and the applicant agrees to participate in the ongoing revision process of such statement of need.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptF/sptI/s2691/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Privacy Protection.—</heading><content style="-uslm-dtd:text">The Secretary may not make a grant under this section for the development of a qualified health information technology system unless the applicant provides assurances to the Secretary that the system will, at a minimum, comply with the privacy regulations promulgated under section 264(c) of the Health Insurance Portability and Accountability Act of 1996.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptF/sptI/s2691/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Replication.—</heading><content style="-uslm-dtd:text">The Secretary shall make information concerning successful models or programs developed under this part available to grantees under this title for the purpose of coordination, replication, and integration. To facilitate efforts under this subsection, the Secretary may provide for peer-based technical assistance for grantees funded under this part.</content> </subsection> </section> </subpart> <subpart style="-uslm-dtd:subpart" identifier="/us/sComp/78/373/tXXVI/ptF/sptII" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">Subpart II—</num><heading style="-uslm-dtd:header">AIDS Education and Training Centers </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692" styleType="OLC"> <num style="-uslm-dtd:enum" value="2692">SEC. 2692. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–111<b>]</b> </editorialNote><heading style="-uslm-dtd:header">HIV/AIDS COMMUNITIES, SCHOOLS, AND CENTERS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Schools; Centers.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The Secretary may make grants and enter into contracts to assist public and nonprofit private entities and schools and academic health science centers in meeting the costs of projects—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/a/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">to train health personnel, including practitioners in programs under this title and other community providers, in the diagnosis, treatment, and prevention of HIV/AIDS, including the prevention of the perinatal transmission of the disease, including measures for the prevention and treatment of opportunistic infections, and including (as applicable to the type of health professional involved), prenatal and other gynecological care for women with HIV/AIDS;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/a/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">to train the faculty of schools of, and graduate departments or programs of, medicine, nursing, osteopathic medicine, dentistry, public health, allied health, and mental health practice to teach health professions students to provide for the health care needs of individuals with HIV/AIDS;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/a/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">to develop and disseminate curricula and resource materials relating to the care and treatment of individuals with such disease and the prevention of the disease among individuals who are at risk of contracting the disease; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/a/1/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">to develop protocols for the medical care of women with HIV/AIDS, including prenatal and other gynecological care for such women.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Preference in making grants.—</heading><chapeau style="-uslm-dtd:text">In making grants under paragraph (1), the Secretary shall give preference to qualified projects which will—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/a/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">train, or result in the training of, health professionals who will provide treatment for minority individuals and Native Americans with HIV/AIDS and other individuals who are at high risk of contracting such disease;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/a/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">train, or result in the training of, minority health professionals and minority allied health professionals to provide treatment for individuals with such disease; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/a/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">train or result in the training of health professionals and allied health professionals to provide treatment for hepatitis B or C co-infected individuals.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/a/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Application.—</heading><content style="-uslm-dtd:text">No grant or contract may be made under paragraph (1) unless an application is submitted to the Secretary in such form, at such time, and containing such information, as the Secretary may prescribe.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Dental Schools.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/b/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">Grants.—</heading><content style="-uslm-dtd:text">The Secretary may make grants to dental schools and programs described in subparagraph (B) to assist such schools and programs with respect to oral health care to patients with HIV/AIDS.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/b/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Eligible applicants.—</heading><content style="-uslm-dtd:text">For purposes of this subsection, the dental schools and programs referred to in this subparagraph are dental schools and programs that were described in section 777(b)(4)(B) as such section was in effect on the day before the date of the enactment of the Health Professions Education Partnerships Act of 1998 (Public Law 105–392) and in addition dental hygiene programs that are accredited by the Commission on Dental Accreditation.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Application.—</heading><content style="-uslm-dtd:text">Each dental school or program described in section<ref style="-uslm-dtd:footnote-ref" idref="IDF39CA4FC39624AEE90388B05E6FCC50C" class="footnoteRef">15</ref> the section referred to in paragraph (1)(B) may annually submit an application documenting the unreimbursed costs of oral health care provided to patients with HIV/AIDS by that school or hospital during the prior year.</content><footnote id="IDF39CA4FC39624AEE90388B05E6FCC50C" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">15</sup><p style="-uslm-dtd:para; margin-left:1em">So in law. See section 402(b)(2) of Public Law 106–345 (114 Stat. 1349).</p></footnote> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Distribution.—</heading><content style="-uslm-dtd:text">The Secretary shall distribute the available funds among all eligible applicants, taking into account the number of patients with HIV/AIDS served and the unreimbursed oral health care costs incurred by each institution as compared with the total number of patients served and costs incurred by all eligible applicants.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/b/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Maintenance of effort.—</heading><content style="-uslm-dtd:text">The Secretary shall not make a grant under this subsection if doing so would result in any reduction in State funding allotted for such purposes.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/b/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><heading style="-uslm-dtd:header">Community-based care.—</heading><content style="-uslm-dtd:text">The Secretary may make grants to dental schools and programs described in paragraph (1)(B) that partner with community-based dentists to provide oral health care to patients with HIV/AIDS in unserved areas. Such partnerships shall permit the training of dental students and residents and the participation of community dentists as adjunct faculty.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Authorization of Appropriations.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Schools; centers.—</heading><content style="-uslm-dtd:text">For the purpose of awarding grants under subsection (a), there are authorized to be appropriated $34,700,000 for each of the fiscal years 2007 through 2009, $36,535,000 for fiscal year 2010, $38,257,000 for fiscal year 2011, $40,170,000 for fiscal year 2012, and $42,178,000 for fiscal year 2013.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptII/s2692/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Dental schools.—</heading><content style="-uslm-dtd:text">For the purpose of awarding grants under subsection (b), there are authorized to be appropriated $13,000,000 for each of the fiscal years 2007 through 2009, $13,650,000 for fiscal year 2010, $14,333,000 for fiscal year 2011, $15,049,000 for fiscal year 2012, and $15,802,000 for fiscal year 2013.</content> </paragraph> </subsection> </section> </subpart> <subpart style="-uslm-dtd:subpart" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII" styleType="OLC"> <num style="-uslm-dtd:enum" value="III">Subpart III—</num><heading style="-uslm-dtd:header">Minority AIDS Initiative </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693" styleType="OLC"> <num style="-uslm-dtd:enum" value="2693">SEC. 2693. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–121<b>]</b> </editorialNote><heading style="-uslm-dtd:header">MINORITY AIDS INITIATIVE. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">For the purpose of carrying out activities under this section to evaluate and address the disproportionate impact of HIV/AIDS on, and the disparities in access, treatment, care, and outcomes for, racial and ethnic minorities (including African Americans, Alaska Natives, Latinos, American Indians, Asian Americans, Native Hawaiians, and Pacific Islanders), there are authorized to be appropriated $131,200,000 for fiscal year 2007, $135,100,000 for fiscal year 2008, $139,100,000 for fiscal year 2009, $146,055,000 for fiscal year 2010, $153,358,000 for fiscal year 2011, $161,026,000 for fiscal year 2012, and $169,077,000 for fiscal year 2013. The Secretary shall develop a formula for the awarding of grants under subsections (b)(1)(A) and (b)(1)(B) that ensures that funding is provided based on the distribution of populations disproportionately impacted by HIV/AIDS.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Certain Activities.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">In carrying out the purpose described in subsection (a), the Secretary shall provide for—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">emergency assistance under part A;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">care grants under part B;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">early intervention services under part C;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/1/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">services through projects for HIV-related care under part D; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/1/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">activities through education and training centers under section 2692.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Allocations among activities.—</heading><chapeau style="-uslm-dtd:text">Activities under paragraph (1) shall be carried out by the Secretary in accordance with the following:</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">For supplemental grants to improve HIV-related health outcomes to reduce existing racial and ethnic health disparities, the Secretary shall, of the amount appropriated under subsection (a) for a fiscal year, reserve the following, as applicable:</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">For fiscal year 2007, $43,800,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">For fiscal year 2008, $45,400,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/A/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">For fiscal year 2009, $47,100,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/A/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">For fiscal year 2010, $46,738,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/A/v" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">(v) </num><content style="-uslm-dtd:text">For fiscal year 2011, $49,075,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/A/vi" styleType="OLC"> <num style="-uslm-dtd:enum" value="vi">(vi) </num><content style="-uslm-dtd:text">For fiscal year 2012, $51,528,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/A/vii" styleType="OLC"> <num style="-uslm-dtd:enum" value="vii">(vii) </num><content style="-uslm-dtd:text">For fiscal year 2013, $54,105,000.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">For grants used for supplemental support education and outreach services to increase the number of eligible racial and ethnic minorities who have access to treatment through the program under section 2616 for therapeutics, the Secretary shall, of the amount appropriated for a fiscal year under subsection (a), reserve the following, as applicable:</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">For fiscal year 2007, $7,000,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">For fiscal year 2008, $7,300,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/B/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">For fiscal year 2009, $7,500,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/B/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">For fiscal year 2010, $8,763,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/B/v" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">(v) </num><content style="-uslm-dtd:text">For fiscal year 2011, $9,202,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/B/vi" styleType="OLC"> <num style="-uslm-dtd:enum" value="vi">(vi) </num><content style="-uslm-dtd:text">For fiscal year 2012, $9,662,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/B/vii" styleType="OLC"> <num style="-uslm-dtd:enum" value="vii">(vii) </num><content style="-uslm-dtd:text">For fiscal year 2013, $10,145,000.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><chapeau style="-uslm-dtd:text">For planning grants, capacity-building grants, and services grants to health care providers who have a history of providing culturally and linguistically appropriate care and services to racial and ethnic minorities, the Secretary shall, of the amount appropriated for a fiscal year under subsection (a), reserve the following, as applicable:</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/C/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">For fiscal year 2007, $53,400,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/C/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">For fiscal year 2008, $55,400,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/C/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">For fiscal year 2009, $57,400,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/C/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">For fiscal year 2010, $61,343,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/C/v" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">(v) </num><content style="-uslm-dtd:text">For fiscal year 2011, $64,410,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/C/vi" styleType="OLC"> <num style="-uslm-dtd:enum" value="vi">(vi) </num><content style="-uslm-dtd:text">For fiscal year 2012, $67,631,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/C/vii" styleType="OLC"> <num style="-uslm-dtd:enum" value="vii">(vii) </num><content style="-uslm-dtd:text">For fiscal year 2013, $71,012,000.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><chapeau style="-uslm-dtd:text">For eliminating racial and ethnic disparities in the delivery of comprehensive, culturally and linguistically appropriate care services for HIV disease for women, infants, children, and youth, the Secretary shall, of the amount appropriated under subsection (a), reserve the following, as applicable:</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/D/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">For fiscal year 2010, $20,448,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/D/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">For fiscal year 2011, $21,470,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/D/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">For fiscal year 2012, $22,543,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/D/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">For fiscal year 2013, $23,671,000.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><chapeau style="-uslm-dtd:text">For increasing the training capacity of centers to expand the number of health care professionals with treatment expertise and knowledge about the most appropriate standards of HIV disease-related treatments and medical care for racial and ethnic minority adults, adolescents, and children with HIV disease, the Secretary shall, of the amount appropriated under subsection (a), reserve the following, as applicable:</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/E/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">For fiscal year 2010, $8,763,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/E/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">For fiscal year 2011, $9,201,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/E/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">For fiscal year 2012, $9,662,000.</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/b/2/E/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">For fiscal year 2013, $10,144,000.</content> </clause> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Consistency With Prior Program.—</heading><content style="-uslm-dtd:text">With respect to the purpose described in subsection (a), the Secretary shall carry out this section consistent with the activities carried out under this title by the Secretary pursuant to the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2002 (Public Law 107–116).</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Synchronization of Minority AIDS Initiative.—</heading><chapeau style="-uslm-dtd:text">For fiscal year 2010 and each subsequent fiscal year, the Secretary shall incorporate and synchronize the schedule of application submissions and funding availability under this section with the schedule of application submissions and funding availability under the corresponding provisions of this title XXVI as follows:</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/d/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">The schedule for carrying out subsection (b)(1)(A) shall be the same as the schedule applicable to emergency assistance under part A.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/d/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">The schedule for carrying out subsection (b)(1)(B) shall be the same as the schedule applicable to care grants under part B.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/d/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">The schedule for carrying out subsection (b)(1)(C) shall be the same as the schedule applicable to grants for early intervention services under part C.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/d/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">The schedule for carrying out subsection (b)(1)(D) shall be the same as the schedule applicable to grants for services through projects for HIV-related care under part D.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptF/sptIII/s2693/d/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">The schedule for carrying out subsection (b)(1)(E) shall be the same as the schedule applicable to grants and contracts for activities through education and training centers under section 2692.</content> </paragraph> </subsection> </section> </subpart> </part> <part style="-uslm-dtd:part" identifier="/us/sComp/78/373/tXXVI/ptG" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">PART G—</num><heading style="-uslm-dtd:header">NOTIFICATION OF POSSIBLE EXPOSURE TO INFECTIOUS DISEASES </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptG/s2695" styleType="OLC"> <num style="-uslm-dtd:enum" value="2695">SEC. 2695. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–131<b>]</b> </editorialNote><heading style="-uslm-dtd:header">INFECTIOUS DISEASES AND CIRCUMSTANCES RELEVANT TO NOTIFICATION REQUIREMENTS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><chapeau style="-uslm-dtd:text">Not later than 180 days after the date of the enactment of this part, the Secretary shall complete the development of—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">a list of potentially life-threatening infectious diseases, including emerging infectious diseases, to which emergency response employees may be exposed in responding to emergencies;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">guidelines describing the circumstances in which such employees may be exposed to such diseases, taking into account the conditions under which emergency response is provided; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695/a/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">guidelines describing the manner in which medical facilities should make determinations for purposes of section 2695B(d).</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Specification of Airborne Infectious Diseases.—</heading><content style="-uslm-dtd:text">The list developed by the Secretary under subsection (a)(1) shall include a specification of those infectious diseases on the list that are routinely transmitted through airborne or aerosolized means.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Dissemination.—</heading><chapeau style="-uslm-dtd:text">The Secretary shall—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">transmit to State public health officers copies of the list and guidelines developed by the Secretary under subsection (a) with the request that the officers disseminate such copies as appropriate throughout the States; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">make such copies available to the public.</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptG/s2695A" styleType="OLC"> <num style="-uslm-dtd:enum" value="2695A">SEC. 2695A. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–132<b>]</b> </editorialNote><heading style="-uslm-dtd:header">ROUTINE NOTIFICATIONS WITH RESPECT TO AIRBORNE INFECTIOUS DISEASES IN VICTIMS ASSISTED. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695A/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Routine Notification of Designated Officer.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695A/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Determination by treating facility.—</heading><content style="-uslm-dtd:text">If a victim of an emergency is transported by emergency response employees to a medical facility and the medical facility makes a determination that the victim has an airborne infectious disease, the medical facility shall notify the designated officer of the emergency response employees who transported the victim to the medical facility of the determination.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695A/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Determination by facility ascertaining cause of death.—</heading><content style="-uslm-dtd:text">If a victim of an emergency is transported by emergency response employees to a medical facility and the victim dies at or before reaching the medical facility, the medical facility ascertaining the cause of death shall notify the designated officer of the emergency response employees who transported the victim to the initial medical facility of any determination by the medical facility that the victim had an airborne infectious disease.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695A/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Requirement of Prompt Notification.—</heading><content style="-uslm-dtd:text">With respect to a determination described in paragraph (1) or (2) of subsection (a), the notification required in each of such paragraphs shall be made as soon as is practicable, but not later than 48 hours after the determination is made.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B" styleType="OLC"> <num style="-uslm-dtd:enum" value="2695B">SEC. 2695B. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–133<b>]</b> </editorialNote><heading style="-uslm-dtd:header">REQUEST FOR NOTIFICATION WITH RESPECT TO VICTIMS ASSISTED. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Initiation of Process by Employee.—</heading><content style="-uslm-dtd:text">If an emergency response employee believes that the employee may have been exposed to an infectious disease by a victim of an emergency who was transported to a medical facility as a result of the emergency, and if the employee attended, treated, assisted, or transported the victim pursuant to the emergency, then the designated officer of the employee shall, upon the request of the employee, carry out the duties described in subsection (b) regarding a determination of whether the employee may have been exposed to an infectious disease by the victim.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Initial Determination by Designated Officer.—</heading><chapeau style="-uslm-dtd:text">The duties referred to in subsection (a) are that—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the designated officer involved collect the facts relating to the circumstances under which, for purposes of subsection (a), the employee involved may have been exposed to an infectious disease; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">the designated officer evaluate such facts and make a determination of whether, if the victim involved had any infectious disease included on the list issued under paragraph (1) of section 2695(a), the employee would have been exposed to the disease under such facts, as indicated by the guidelines issued under paragraph (2) of such section.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Submission of Request to Medical Facility.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">If a designated officer makes a determination under subsection (b)(2) that an emergency response employee may have been exposed to an infectious disease, the designated officer shall submit to the medical facility to which the victim involved was transported a request for a response under subsection (d) regarding the victim of the emergency involved.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Form of request.—</heading><content style="-uslm-dtd:text">A request under paragraph (1) shall be in writing and be signed by the designated officer involved, and shall contain a statement of the facts collected pursuant to subsection (b)(1).</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Evaluation and Response Regarding Request to Medical Facility.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/d/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">If a medical facility receives a request under subsection (c), the medical facility shall evaluate the facts submitted in the request and make a determination of whether, on the basis of the medical information possessed by the facility regarding the victim involved, the emergency response employee was exposed to an infectious disease included on the list issued under paragraph (1) of section 2695(a), as indicated by the guidelines issued under paragraph (2) of such section.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/d/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Notification of exposure.—</heading><content style="-uslm-dtd:text">If a medical facility makes a determination under paragraph (1) that the emergency response employee involved has been exposed to an infectious disease, the medical facility shall, in writing, notify the designated officer who submitted the request under subsection (c) of the determination.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/d/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Finding of no exposure.—</heading><content style="-uslm-dtd:text">If a medical facility makes a determination under paragraph (1) that the emergency response employee involved has not been exposed to an infectious disease, the medical facility shall, in writing, inform the designated officer who submitted the request under subsection (c) of the determination.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/d/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Insufficient information.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/d/4/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">If a medical facility finds in evaluating facts for purposes of paragraph (1) that the facts are insufficient to make the determination described in such paragraph, the medical facility shall, in writing, inform the designated officer who submitted the request under subsection (c) of the insufficiency of the facts.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/d/4/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B)</num><clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/d/4/B/i" styleType="OLC" class="inline"><num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">If a medical facility finds in making a determination under paragraph (1) that the facility possesses no information on whether the victim involved has an infectious disease included on the list under section 2695(a), the medical facility shall, in writing, inform the designated officer who submitted the request under subsection (c) of the insufficiency of such medical information.</content></clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/d/4/B/ii" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">If after making a response under clause (i) a medical facility determines that the victim involved has an infectious disease, the medical facility shall make the determination described in paragraph (1) and provide the applicable response specified in this subsection.</content> </clause> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Time for Making Response.—</heading><content style="-uslm-dtd:text">After receiving a request under subsection (c) (including any such request resubmitted under subsection (g)(2)), a medical facility shall make the applicable response specified in subsection (d) as soon as is practicable, but not later than 48 hours after receiving the request.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/f" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">(f) </num><heading style="-uslm-dtd:header">Death of Victim of Emergency.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/f/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Facility ascertaining cause of death.—</heading><content style="-uslm-dtd:text">If a victim described in subsection (a) dies at or before reaching the medical facility involved, and the medical facility receives a request under subsection (c), the medical facility shall provide a copy of the request to the medical facility ascertaining the cause of death of the victim, if such facility is a different medical facility than the facility that received the original request.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/f/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Responsibility of facility.—</heading><content style="-uslm-dtd:text">Upon the receipt of a copy of a request for purposes of paragraph (1), the duties otherwise established in this part regarding medical facilities shall apply to the medical facility ascertaining the cause of death of the victim in the same manner and to the same extent as such duties apply to the medical facility originally receiving the request.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/g" styleType="OLC"> <num style="-uslm-dtd:enum" value="g">(g) </num><heading style="-uslm-dtd:header">Assistance of Public Health Officer.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/g/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Evaluation of response of medical facility regarding insufficient facts.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/g/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">In the case of a request under subsection (c) to which a medical facility has made the response specified in subsection (d)(4)(A) regarding the insufficiency of facts, the public health officer for the community in which the medical facility is located shall evaluate the request and the response, if the designated officer involved submits such documents to the officer with the request that the officer make such an evaluation.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/g/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">As soon as is practicable after a public health officer receives a request under subparagraph (A), but not later than 48 hours after receipt of the request, the public health officer shall complete the evaluation required in such paragraph and inform the designated officer of the results of the evaluation.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/g/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Findings of evaluation.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/g/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">If an evaluation under paragraph (1)(A) indicates that the facts provided to the medical facility pursuant to subsection (c) were sufficient for purposes of determinations under subsection (d)(1)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/g/2/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">the public health officer shall, on behalf of the designated officer involved, resubmit the request to the medical facility; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/g/2/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">the medical facility shall provide to the designated officer the applicable response specified in subsection (d).</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/g/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">If an evaluation under paragraph (1)(A) indicates that the facts provided in the request to the medical facility were insufficient for purposes of determinations specified in subsection (c)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/g/2/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">the public health officer shall provide advice to the designated officer regarding the collection and description of appropriate facts; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/g/2/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><chapeau style="-uslm-dtd:text">if sufficient facts are obtained by the designated officer—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/g/2/B/ii/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">the public health officer shall, on behalf of the designated officer involved, resubmit the request to the medical facility; and</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/78/373/tXXVI/ptG/s2695B/g/2/B/ii/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">the medical facility shall provide to the designated officer the appropriate response under subsection (c).</content> </subclause> </clause> </subparagraph> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptG/s2695C" styleType="OLC"> <num style="-uslm-dtd:enum" value="2695C">SEC. 2695C. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–134<b>]</b> </editorialNote><heading style="-uslm-dtd:header">PROCEDURES FOR NOTIFICATION OF EXPOSURE. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695C/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Contents of Notification to Officer.—</heading><chapeau style="-uslm-dtd:text">In making a notification required under section 2695A or section 2695B(d)(2), a medical facility shall provide—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695C/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the name of the infectious disease involved; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695C/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">the date on which the victim of the emergency involved was transported by emergency response employees to the medical facility involved.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695C/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Manner of Notification.—</heading><chapeau style="-uslm-dtd:text">If a notification under section 2695A or section 2695B(d)(2) is mailed or otherwise indirectly made—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695C/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the medical facility sending the notification shall, upon sending the notification, inform the designated officer to whom the notification is sent of the fact that the notification has been sent; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695C/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">such designated officer shall, not later than 10 days after being informed by the medical facility that the notification has been sent, inform such medical facility whether the designated officer has received the notification.</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptG/s2695D" styleType="OLC"> <num style="-uslm-dtd:enum" value="2695D">SEC. 2695D. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–135<b>]</b> </editorialNote><heading style="-uslm-dtd:header">NOTIFICATION OF EMPLOYEE. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695D/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><chapeau style="-uslm-dtd:text">After receiving a notification for purposes of section 2695A or 2695B(d)(2), a designated officer of emergency response employees shall, to the extent practicable, immediately notify each of such employees who—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695D/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">responded to the emergency involved; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695D/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">as indicated by guidelines developed by the Secretary, may have been exposed to an infectious disease.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695D/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Certain Contents of Notification to Employee.—</heading><chapeau style="-uslm-dtd:text">A notification under this subsection to an emergency response employee shall inform the employee of—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695D/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the fact that the employee may have been exposed to an infectious disease and the name of the disease involved;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695D/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">any action by the employee that, as indicated by guidelines developed by the Secretary, is medically appropriate; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695D/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">if medically appropriate under such criteria, the date of such emergency.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695D/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Responses Other Than Notification of Exposure.—</heading><content style="-uslm-dtd:text">After receiving a response under paragraph (3) or (4) of subsection (d) of section 2695B, or a response under subsection (g)(1) of such section, the designated officer for the employee shall, to the extent practicable, immediately inform the employee of the response.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptG/s2695E" styleType="OLC"> <num style="-uslm-dtd:enum" value="2695E">SEC. 2695E. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–136<b>]</b> </editorialNote><heading style="-uslm-dtd:header">SELECTION OF DESIGNATED OFFICERS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695E/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">For the purposes of receiving notifications and responses and making requests under this part on behalf of emergency response employees, the public health officer of each State shall designate 1 official or officer of each employer of emergency response employees in the State.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695E/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Preference in Making Designations.—</heading><content style="-uslm-dtd:text">In making the designations required in subsection (a), a public health officer shall give preference to individuals who are trained in the provision of health care or in the control of infectious diseases.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptG/s2695F" styleType="OLC"> <num style="-uslm-dtd:enum" value="2695F">SEC. 2695F. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–137<b>]</b> </editorialNote><heading style="-uslm-dtd:header">LIMITATION WITH RESPECT TO DUTIES OF MEDICAL FACILITIES. </heading> <subsection style="-uslm-dtd:subsection" styleType="OLC" role="undesignated-level"><chapeau style="-uslm-dtd:text">The duties established in this part for a medical facility—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695F/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">shall apply only to medical information possessed by the facility during the period in which the facility is treating the victim for conditions arising from the emergency, or during the 60-day period beginning on the date on which the victim is transported by emergency response employees to the facility, whichever period expires first; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXVI/ptG/s2695F/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">shall not apply to any extent after the expiration of the 30-day period beginning on the expiration of the applicable period referred to in paragraph (1), except that such duties shall apply with respect to any request under section 2695B(c) received by a medical facility before the expiration of such 30-day period.</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptG/s2695G" styleType="OLC"> <num style="-uslm-dtd:enum" value="2695G">SEC. 2695G. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–138<b>]</b> </editorialNote><heading style="-uslm-dtd:header">MISCELLANEOUS PROVISIONS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695G/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Liability of Medical Facilities, Designated Officers, Public Health Officers, and Governing Entities.—</heading><content style="-uslm-dtd:text">This part may not be construed to authorize any cause of action for damages or any civil penalty against any medical facility, any designated officer, any other public health officer, or any governing entity of such facility or officer for failure to comply with the duties established in this part.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695G/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Testing.—</heading><content style="-uslm-dtd:text">This part may not, with respect to victims of emergencies, be construed to authorize or require a medical facility to test any such victim for any infectious disease.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695G/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Confidentiality.—</heading><content style="-uslm-dtd:text">This part may not be construed to authorize or require any medical facility, any designated officer of emergency response employees, or any such employee, to disclose identifying information with respect to a victim of an emergency or with respect to an emergency response employee.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695G/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Failure To Provide Emergency Services.—</heading><content style="-uslm-dtd:text">This part may not be construed to authorize any emergency response employee to fail to respond, or to deny services, to any victim of an emergency.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695G/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Notification and Reporting Deadlines.—</heading><content style="-uslm-dtd:text">In any case in which the Secretary determines that, wholly or partially as a result of a public health emergency that has been determined pursuant to section 319(a), individuals or public or private entities are unable to comply with the requirements of this part, the Secretary may, notwithstanding any other provision of law, temporarily suspend, in whole or in part, the requirements of this part as the circumstances reasonably require. Before or promptly after such a suspension, the Secretary shall notify the Congress of such action and publish in the Federal Register a notice of the suspension.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695G/f" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">(f) </num><heading style="-uslm-dtd:header">Continued Application of State and Local Law.—</heading><content style="-uslm-dtd:text">Nothing in this part shall be construed to limit the application of State or local laws that require the provision of data to public health authorities.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptG/s2695H" styleType="OLC"> <num style="-uslm-dtd:enum" value="2695H">SEC. 2695H. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–139<b>]</b> </editorialNote><heading style="-uslm-dtd:header">INJUNCTIONS REGARDING VIOLATION OF PROHIBITION. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695H/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">The Secretary may, in any court of competent jurisdiction, commence a civil action for the purpose of obtaining temporary or permanent injunctive relief with respect to any violation of this part.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXVI/ptG/s2695H/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Facilitation of Information on Violations.—</heading><content style="-uslm-dtd:text">The Secretary shall establish an administrative process for encouraging emergency response employees to provide information to the Secretary regarding violations of this part. As appropriate, the Secretary shall investigate alleged such violations and seek appropriate injunctive relief.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXVI/ptG/s2695I" styleType="OLC"> <num style="-uslm-dtd:enum" value="2695I">SEC. 2695I. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300ff–140<b>]</b> </editorialNote><heading style="-uslm-dtd:header">APPLICABILITY OF PART. </heading> <content style="-uslm-dtd:text" class="block">This part shall not apply in a State if the chief executive officer of the State certifies to the Secretary that the law of the State is substantially consistent with this part.</content> </section> </part>