[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1538 Introduced in House (IH)]

103d CONGRESS
  1st Session
                                H. R. 1538

 To amend the Public Health Service Act to promote activities for the 
  prevention of additional cases of infection with the virus commonly 
                             known as HIV.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 30, 1993

  Ms. Pelosi (for herself, Mr. Waxman, Mr. McDermott, Mrs. Byrne, Mr. 
Deutsch, Mr. DeLugo, Ms. Eshoo, Mr. Evans, Mr. Foglietta, Mr. Frank of 
   Massachusetts, Mr. Hamburg, Mr. Hoyer, Mr. Lewis of Georgia, Mrs. 
Maloney, Mr. Nadler, Ms. Norton, Ms. Schenk, Mr. Studds, Mrs. Unsoeld, 
 Ms. Velazquez, Mr. Yates, Mr. Washington, Mr. Coleman, Mr. Engel, Mr. 
    Barrett of Wisconsin, Ms. Woolsey, Mr. Lantos, and Mr. Hobson) 
 introduced the following bill; which was referred to the Committee on 
                          Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
 To amend the Public Health Service Act to promote activities for the 
  prevention of additional cases of infection with the virus commonly 
                             known as HIV.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Comprehensive HIV Prevention Act of 
1993''.

SEC. 2. ESTABLISHMENT OF CERTAIN AUTHORITIES REGARDING PREVENTION OF 
              INFECTION WITH HUMAN IMMUNODEFICIENCY VIRUS.

    Title XXV of the Public Health Service Act (42 U.S.C. 300ee et 
seq.) is amended to read as follows:

                ``TITLE XXV--PREVENTION OF HIV INFECTION

     ``PART A--COORDINATION AMONG AGENCIES OF PUBLIC HEALTH SERVICE

              ``Subpart I--Public Health Service Generally

``SEC. 2501. AUTHORITY OF ASSISTANT SECRETARY FOR HEALTH.

    ``(a) In General.--The authority established in this part for the 
Secretary shall be carried out by the Secretary acting through the 
Assistant Secretary for Health.
    ``(b) Duties.--
            ``(1) Interagency coordination.--With respect to activities 
        for the prevention of infection with the human immunodeficiency 
        virus, the Secretary shall plan, coordinate, and evaluate such 
        activities that are conducted or supported by the agencies 
        specified in paragraph (2).
            ``(2) Designated agencies.--The agencies referred to in 
        paragraph (1) are as follows:
                    ``(A) The Centers for Disease Control and 
                Prevention.
                    ``(B) The Health Resources and Services 
                Administration.
                    ``(C) The National Institutes of Health.
                    ``(D) The Substance Abuse and Mental Health 
                Services Administration.
            ``(3) Consultations.--The Secretary shall carry out this 
        part (including developing and revising the plans required in 
        section 2503) in consultation with the heads of the designated 
        agencies and with the advisory council established under 
        section 2502.

``SEC. 2502. ADVISORY COUNCIL.

    ``(a) In General.--The Secretary shall establish an advisory 
council to be known as the Secretary's Advisory Council on HIV 
Prevention (in this section referred to as the `Advisory Council'). The 
Advisory Council shall make recommendations to the Secretary on 
carrying out this part, including reviewing and making recommendations 
on plans under section 2503.
    ``(b) Composition.--
            ``(1) In general.--The Advisory Council shall be composed 
        of such individuals as the Secretary may select, subject to 
        paragraphs (2) and (3).
            ``(2) Ex officio members.--The heads of each of the 
        designated agencies (or the designees of such heads), and the 
        chairs of each of the advisory councils for such agencies, 
        shall serve as nonvoting members of the Advisory Council.
            ``(3) Appointed members.--The Secretary shall appoint to 
        the Advisory Council individuals who are not officers or 
        employees of the Federal Government. Of such individuals--
                    ``(A) no fewer than one shall be an individual who 
                conducts research on HIV prevention activities;
                    ``(B) no fewer than one shall be an expert in 
                specific health communications and social marketing;
                    ``(C) no fewer than one shall be an epidemiologist;
                    ``(D) no fewer than one shall be the chief public 
                health officer of a State;
                    ``(E) no fewer than one shall be the chief public 
                health officer of a political subdivision;
                    ``(F) no fewer than two shall be representatives of 
                community-based organizations that carry out HIV 
                prevention activities;
                    ``(G) no fewer than two shall be individuals with 
                HIV infection; and
                    ``(H) no fewer than two shall be representatives of 
                individuals who are at significant risk of contracting 
                HIV infection.

``SEC. 2503. COMPREHENSIVE PLAN FOR EXPENDITURE OF APPROPRIATIONS.

    ``Subject to the provisions of this section and other applicable 
law, the Secretary, in carrying out section 2501, shall--
            ``(1) establish, for each designated agency, a 
        comprehensive plan for the conduct and support of all HIV 
        prevention activities of the agency (which plan shall be first 
        established under this paragraph not later than 12 months after 
        the date of the enactment of the Comprehensive HIV Prevention 
        Act of 1993);
            ``(2) ensure that each such plan establishes priorities 
        among the HIV prevention activities that the agency involved is 
        authorized to carry out;
            ``(3) ensure that each such plan establishes objectives 
        regarding such activities of the agency, describes the means 
        for achieving the objectives, and designates the date by which 
        the objectives are expected to be achieved;
            ``(4) ensure that all amounts appropriated for such 
        activities of the agency are expended in accordance with the 
        plan;
            ``(5) ensure that the plan is coordinated with each other 
        plan established under paragraph (1);
            ``(6) review the plan not less than annually, and revise 
        the plan as appropriate; and
            ``(7) ensure that the plan serves as a broad, binding 
        statement of policies regarding HIV prevention activities of 
        the agency, but does not remove the responsibility of the head 
        of the agency for the approval of specific programs or 
        projects, or for other details of the daily administration of 
        such activities, in accordance with the plan.

``SEC. 2504. BUDGET REQUESTS.

    ``(a) Requests of Secretary.--With respect to a fiscal year, the 
Secretary shall prepare and submit directly to the President, for 
review and transmittal to the Congress, a budget request for carrying 
out each plan under section 2503 for the fiscal year, after reasonable 
opportunity for comment by the head of the designated agency for which 
the plan has been developed and by the advisory council established 
under section 2502. The budget estimate shall include an estimate of 
the number and type of personnel needs for the designated agencies.
    ``(b) Requests of Designated Agencies.--With respect to a fiscal 
year, the head of each designated agency shall, not later than the date 
specified by the Secretary, prepare and submit to the Secretary a 
proposed budget request for carrying out the plan under section 2503 
that has been developed for the agency. The Secretary shall consider 
such request in carrying out subsection (a) with respect to the agency.

                ``Subpart II--Intra-Agency Coordination

``SEC. 2511. INDIVIDUAL OFFICES ON PREVENTION.

    ``(a) In General.--
            ``(1) Administration of authorities.--The Secretary shall 
        carry out this section acting through the heads of the 
        designated agencies.
            ``(2) Individual offices.--With respect to each designated 
        agency other than the National Institutes of Health, the head 
        of the agency shall establish within the agency an office to 
        carry out the functions described in subsection (b). Such 
        office shall be headed by a director, who shall be appointed by 
        the head of the agency.
    ``(b) Functions.--With respect to preparing and submitting plans 
under section 2503, and with respect to any other function established 
under subpart I for the heads of designated agencies, the head of each 
such agency shall carry out the functions acting through the Director 
of the office established under subsection (a) for the agency (except 
that such functions of the Director of the National Institutes of 
Health shall be carried out by such Director acting through the 
Director of the Office of AIDS Research established under section 
2351).

    ``PART B--PROGRAMS OF CENTERS FOR DISEASE CONTROL AND PREVENTION

                    ``Subpart I--Certain Authorities

``SEC. 2521. ADMINISTRATOR OF PROGRAMS.

    ``This part shall be carried out by the Secretary acting through 
the Director of the Centers for Disease Control and Prevention.

                     ``Subpart II--Certain Programs

``SEC. 2531. EPIDEMIOLOGY AND SURVEILLANCE.

    ``(a) In General.--The Secretary may, directly or through the 
provision of financial assistance, conduct studies and carry out other 
activities to assist public and nonprofit private entities in obtaining 
epidemiological data on the human immunodeficiency virus and related 
matters. Such activities may include surveillance activities and other 
relevant data-collection activities.
    ``(b) Meetings.--For the purpose of improving programs that carry 
out HIV prevention activities, the Secretary may hold meetings in order 
that States, political subdivisions, the Centers for Disease Control 
and Prevention, and other entities can exchange information and ideas.
    ``(c) Funding.--For the purpose of carrying out this section, there 
are authorized to be appropriated $175,000,000 for fiscal year 1994, 
and such sums as may be necessary for each of the fiscal years 1995 and 
1996. Amounts appropriated under the preceding sentence are not 
available for conferences under section 2532(m).

``SEC. 2532. COMMUNITY-BASED PROGRAM.

    ``(a) In General.--
            ``(1) Authority for financial assistance.--The Secretary 
        may provide financial assistance to health departments of 
        States and political subdivisions for the purpose of operating 
        projects to carry out the HIV prevention activities described 
        in paragraph (2) for individuals who are at significant risk of 
        contracting HIV infection or of transmitting such infection to 
        other individuals.
            ``(2) HIV community-based activities.--With respect to 
        individuals described in paragraph (1), the HIV prevention 
        activities referred to in such paragraph are such activities 
        that are carried out in their communities to educate the 
        individuals on the transmission of the human immunodeficiency 
        virus, including encouraging the individuals to avoid the 
        particular behaviors placing the individuals at significant 
        risk of contracting HIV infection or of transmitting such 
        infection to other individuals.
    ``(b) Seeking Out At-Risk Individuals.--The Secretary may provide 
financial assistance under subsection (a) only if the applicant 
involved agrees that, in operating the project for which the assistance 
is sought, the applicant will seek out and offer HIV community-based 
activities to at-risk individuals .
    ``(c) Assessment of Need.--
            ``(1) In general.--With respect to the geographic area in 
        which an applicant for financial assistance under subsection 
        (a) proposes to carry out a project under such subsection, the 
        Secretary may provide the assistance only if--
                    ``(A) the applicant has, on the basis of standards 
                and methodologies established under paragraph (2), 
                conducted an assessment of the extent of the need in 
                the geographic area for the project; and
                    ``(B) the applicant submits the assessment to the 
                Secretary, together with a description of the 
                relationship between the assessment and the proposal of 
                the applicant for such project.
            ``(2) Issuance of standards by secretary.--Not later than 
        90 days after the date of the enactment of the Comprehensive 
        HIV Prevention Act of 1993, the Secretary shall establish 
        uniform standards and methodologies for assessments under 
        paragraph (1). In developing the standards and methodologies, 
        the Secretary shall ensure that such assessments are made on 
        the basis of data that is readily accessible to, or easily 
        developed by, health departments of States and political 
        subdivisions.
    ``(d) Requirements Regarding Project Areas.--
            ``(1) In general.--The Secretary may provide financial 
        assistance under subsection (a) only if, with respect to the 
        project involved--
                    ``(A) the applicant involved has designated the 
                geographic area in which the applicant will operate the 
                project; and
                    ``(B) the jurisdictions specified in paragraph (2) 
                have entered into an agreement for purposes of 
                allocating among such jurisdictions the HIV community-
                based activities that are to be provided with such 
                assistance.
            ``(2) Relevant jurisdictions.--With respect to a geographic 
        area designated by an applicant pursuant to paragraph (1), the 
        jurisdictions referred to in such paragraph are each of the 
        jurisdictions in which there is located any portion of the 
        geographic area.
    ``(e) Planning Councils.--
            ``(1) State council.--
                    ``(A) The Secretary may provide financial 
                assistance under subsection (a) to a State only if the 
                State agrees to operate a council in accordance with 
                subparagraphs (B) through (D).
                    ``(B) For purposes of subparagraph (A), a council 
                is operated in accordance with this subparagraph if the 
                duties of the council are making recommendations to the 
                State on the following:
                            ``(i) Priorities for the allocation within 
                        the State of funds and services under 
                        subsection (a).
                            ``(ii) A comprehensive plan for carrying 
                        out HIV community-based activities in the 
                        State, including coordination of such 
                        activities with other activities carried out in 
                        the State with respect to the human 
                        immunodeficiency virus.
                            ``(iii) Assessing the efficiency of 
                        entities in carrying out such activities in the 
                        State.
                    ``(C) For purposes of subparagraph (A), a council 
                is operated in accordance with this subparagraph if, 
                subject to subparagraph (D), the membership of the 
                council includes representatives of the following 
                entities:
                            ``(i) State or local public health 
                        agencies.
                            ``(ii) State or local agencies providing 
                        treatment for substance abuse.
                            ``(iii) Private providers of such 
                        treatment.
                            ``(iv) State or local agencies that 
                        administer correctional facilities with respect 
                        to crimes.
                            ``(v) Epidemiologists.
                            ``(vi) Behavioral scientists.
                            ``(vii) Providers of mental health 
                        services.
                            ``(viii) Community-based organizations that 
                        carry out activities or services relating to 
                        the human immunodeficiency virus for a diverse 
                        cross-section of individuals affected by HIV 
                        infections in the project area involved, and 
                        that have demonstrated ties to the project 
                        area.
                            ``(ix) Individuals with HIV infection.
                            ``(x) Communities with a significant number 
                        of at-risk individuals.
                    ``(D) For purposes of subparagraph (A), a council 
                is operated in accordance with this subparagraph if the 
                membership of the council includes no fewer than one 
                individual from each of the councils operated pursuant 
                to paragraph (2).
                    ``(E) With respect to compliance with subparagraph 
                (A), a council under such subparagraph may include 
                members in addition to the members required in 
                subparagraph (C).
            ``(2) Local councils.--
                    ``(A) The Secretary may provide financial 
                assistance under subsection (a) only if, for the 
                project area involved, the applicant for the assistance 
                agrees to provide for the operation of a council in 
                accordance with subparagraphs (B) and (C).
                    ``(B) For purposes of subparagraph (A), a council 
                is operated in accordance with this subparagraph if, 
                with respect to the project area involved, the duties 
                of the council are as follows:
                            ``(i) To establish priorities for the 
                        allocation within the project area of funds and 
                        services under subsection (a).
                            ``(ii) To provide for a comprehensive plan 
                        for carrying out HIV community-based 
                        activities, which plan is compatible with any 
                        existing State and local plans regarding such 
                        activities and which plan provides for the 
                        coordination of such activities with other 
                        activities carried out in the project area with 
                        respect to the human immunodeficiency virus.
                            ``(iii) To assess the efficiency of the 
                        project carried out with the assistance in 
                        rapidly allocating funds to the communities in 
                        the project area that have the greatest need.
                    ``(C) For purposes of subparagraph (A), a council 
                is operated in accordance with this subparagraph if the 
                membership of the council includes representatives of 
                each of the types of entities specified in paragraph 
                (1)(C).
                    ``(D) With respect to compliance with subparagraph 
                (A), a council under such subparagraph may include 
                members in addition to the members required in 
                subparagraph (C).
            ``(3) Authority of local councils.--
                    ``(A) The Secretary may provide financial 
                assistance under subsection (a) only if the applicant 
                involved agrees, subject to subparagraph (B), that the 
                allocation of HIV community-based activities within a 
                project area under subsection (d) will be made in 
                accordance with the priorities established under 
                paragraph (2)(B)(i) for the project area.
                    ``(B) In the case of a project under subsection (a) 
                that is carried out with financial assistance provided 
                under such subsection to a State, the requirement 
                established in subparagraph (A) is subject to such 
                conditions regarding the use of amounts from the award 
                of such assistance as the State may establish in 
                accordance with this section.
    ``(f) Technical Services Organizations.--
            ``(1) In general.--The Secretary may provide financial 
        assistance under subsection (a) only if the applicant involved 
        agrees that, in expending the assistance, the applicant will 
        enter into a contract with an organization described in 
        paragraph (2) under which contract the organization provides, 
        for the project operated with such assistance, the following 
        services:
                    ``(A) The organization assists in the development 
                of all plans for carrying out HIV community-based 
                activities through the project.
                    ``(B) The organization provides technical services 
                to the project in carrying out such activities.
                    ``(C) The organization, in collaboration with 
                entities that carry out such activities, develops a 
                methodology for evaluations of whether and to what 
                extent the project has influenced individuals to avoid 
                behaviors that place the individuals at significant 
                risk of contracting HIV infection or of transmitting 
                such infection to other individuals.
            ``(2) Approval of secretary.--The organization referred to 
        in paragraph (1) is an organization that has been approved by 
        the Secretary as having the necessary expertise for performing, 
        for the project involved, the functions specified in such 
        paragraph.
            ``(3) Requirements for providers.--The Secretary may 
        provide financial assistance under subsection (a) only if the 
        applicant involved agrees to ensure that each entity (including 
        the applicant) that is to carry out any HIV community-based 
        activity through the project involved complies with the 
        following requirements:
                    ``(A) The entity develops a plan for the entity to 
                carry out the HIV community-based activities involved, 
                and the plan is developed in collaboration with the 
                technical services organization for the project.
                    ``(B) With respect to the evaluations described in 
                paragraph (1)(C), the entity undergoes such an 
                evaluation each year, and the evaluation is conducted 
                in accordance with the methodology developed under such 
                paragraph.
            ``(4) Description regarding compliance of project.--The 
        Secretary may provide financial assistance under subsection (a) 
        only if the applicant involved submits to the Secretary a 
        description of the manner in which the applicant intends to 
        comply with the agreements made under this subsection, 
        including a specification of the amount of such assistance to 
        be expended for such purposes.
    ``(g) Maintenance of Effort.--With respect to HIV prevention 
activities, the Secretary may provide financial assistance under 
subsection (a) only if the applicant involved agrees to maintain 
expenditures of non-Federal amounts for such activities at a level that 
is not less than the level of such expenditures maintained by the 
applicant for the fiscal year preceding the fiscal year for which the 
applicant receives an award of such assistance.
    ``(h) Assistance for Planning of Projects.--The Secretary may 
provide financial assistance to States and political subdivisions for 
the purpose of developing plans to carry out projects under subsection 
(a).
    ``(i) Application for Assistance.--The Secretary may provide 
financial assistance under subsection (a) or (h) only if--
            ``(1) an application for the assistance is submitted to the 
        Secretary;
            ``(2) 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 the purpose of the assistance involved; and
            ``(3) in the case of an application for financial 
        assistance under subsection (a), the application contains--
                    ``(A) the assessment and description required in 
                subsection (c) (relating to the need for a project); 
                and
                    ``(B) the description required in subsection (f)(4) 
                (relating to technical services organizations).
    ``(j) Meetings.--For the purpose of improving the program carried 
out under this section, the Secretary may hold meetings in order that 
technical service organizations, States, political subdivisions, the 
Centers for Disease Control and Prevention, and other entities can 
exchange information and ideas.
    ``(k) Definitions.--For purposes of this section:
            ``(1) The term `at-risk individual' means an individual who 
        is at significant risk of contracting HIV infection or of 
        transmitting such infection to other individuals.
            ``(2) The term `HIV community-based activities' means the 
        HIV prevention activities described in subsection (a)(2).
            ``(3) The term `jurisdiction' means the jurisdiction of a 
        political subdivision.
            ``(4) The term `project area' means the geographic area in 
        which a project under subsection (a) is carried out (or 
        proposed to be carried out) pursuant to a designation under 
        subsection (d).
            ``(5) The term `technical services organization', with 
        respect to a project under subsection (a), means the 
        organization that receives the contract required in subsection 
        (f)(1) with respect to the project.
    ``(l) Authorization of Appropriations.--For the purposes of 
carrying out this section, there are authorized to be appropriated 
$175,000,000 for fiscal year 1994, and such sums as may be necessary 
for each of the fiscal years 1995 and 1996. Amounts appropriated under 
the preceding sentence for fiscal year 1994 shall remain available 
until expended.

``SEC. 2533. COUNSELING AND TESTING.

    ``(a) In General.--The Secretary may provide financial assistance 
to States and political subdivisions for the purpose of--
            ``(1) counseling individuals on HIV infection;
            ``(2) testing individuals for such infection, including 
        tests to confirm the presence of the disease, to diagnose the 
        extent of the deficiency in the immune system, and 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 such infection;
            ``(3) providing appropriate referrals and follow-up 
        services for individuals who have undergone such counseling or 
        testing; and
            ``(4) providing partner notification with respect to HIV 
        infection.
    ``(b) Requirements Regarding Confidentiality, Informed Consent, and 
Other Matters.--
            ``(1) In general.--The Secretary may provide financial 
        assistance under subsection (a) only if the applicant involved 
        agrees that the provisions specified in paragraph (2) apply to 
        the award of such assistance to the same extent and in the same 
        manner as such provisions apply to grants under section 2651.
            ``(2) Specification of provisions.--The provisions referred 
        to in paragraph (1) are section 2661; subsections (a), (b), 
        (c), (d), and (f) of section 2662; and subsections (b) and (c) 
        of section 2664.
    ``(c) Application for Assistance.--The Secretary may provide 
financial assistance under subsection (a) only if an application for 
the assistance 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 the purpose described in subsection (a).
    ``(d) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $175,000,000 
for fiscal year 1994, and such sums as may be necessary for each of the 
fiscal years 1995 and 1996.

                   ``Subpart III--Additional Programs

``SEC. 2541. PUBLIC EDUCATION.

    ``(a) In General.--The Secretary may, directly or through the 
provision of financial assistance, carry out activities to provide 
information and education to the public on the human immunodeficiency 
virus.
    ``(b) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $50,000,000 
for fiscal year 1994, and such sums as may be necessary for each of the 
fiscal years 1995 and 1996.

``SEC. 2542. SPECIFIC POPULATIONS.

    ``(a) In General.--The Secretary may, directly or through the 
provision of financial assistance, carry out HIV prevention activities 
with respect to specific populations identified by the Secretary.
    ``(b) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $60,000,000 
for fiscal year 1994, and such sums as may be necessary for each of the 
fiscal years 1995 and 1996.

``SEC. 2543. PROGRAMS FOR ADOLESCENTS.

    ``(a) In General.--The Secretary may, directly or through the 
provision of financial assistance, carry out HIV prevention activities 
with respect to adolescents.
    ``(b) School-Based Programs.--
            ``(1) In carrying out subsection (a), the Secretary may 
        assist elementary and secondary schools and institutions of 
        higher education in operating programs to carry out HIV 
        prevention activities.
            ``(2)(A) In carrying out paragraph (1), the Secretary may 
        provide financial assistance to education and health 
        departments of States and political subdivisions, and may 
        provide such assistance to other public or nonprofit private 
        entities.
            ``(B) The Secretary may provide financial assistance under 
        subparagraph (A) to an educational or health department of a 
        political subdivision only after consultation with the 
        educational or health department of the State involved.
    ``(c) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $60,000,000 
for fiscal year 1994, and such sums as may be necessary for each of the 
fiscal years 1995 and 1996.

``SEC. 2544. RESEARCH; DEMONSTRATION PROJECTS.

    ``(a) In General.--With respect to HIV prevention activities, the 
Secretary may, directly or through the provision of financial 
assistance, conduct research and carry out demonstration projects.
    ``(b) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $20,000,000 
for fiscal year 1994, and such sums as may be necessary for each of the 
fiscal years 1995 and 1996.

``SEC. 2545. GENERAL AUTHORITY.

    ``(a) In General.--With respect to HIV prevention activities, the 
Secretary may, directly or through the provision of financial 
assistance, carry out programs in addition to the programs otherwise 
authorized in this part.
    ``(b) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 1994 through 1996.

                    ``Subpart IV--General Provisions

``SEC. 2551. TECHNICAL ASSISTANCE; SUPPLIES AND SERVICES IN LIEU OF 
              FUNDS.

    ``(a) Technical Assistance.--The Secretary may provide training and 
technical assistance to applicants for, and recipients of, financial 
assistance under this part with respect to the planning, development, 
and operation of activities under this part. The Secretary may provide 
such technical assistance directly or through awards of financial 
assistance.
    ``(b) Supplies and Services.--
            ``(1) In general.--Upon the request of a recipient of an 
        award under this part, the Secretary may, subject to paragraph 
        (2), provide supplies, equipment, and services for the purpose 
        of aiding the recipient in carrying out the purpose of the 
        award, and for such purpose, may detail to the recipient any 
        officer or employee of the Department of Health and Human 
        Services.
            ``(2) Corresponding reduction in payments.--With respect to 
        a request under paragraph (1), the Secretary shall reduce the 
        amount of payments under the award 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.

                      ``PART C--GENERAL PROVISIONS

``SEC. 2591. DEFINITIONS.

    ``For purposes of this title:
            ``(1) The term `designated agency' means an agency 
        specified in section 2501(b)(2).
            ``(2) The term `financial assistance' means grants, 
        cooperative agreements, and contracts.
            ``(3) The term `human immunodeficiency virus' means the 
        etiologic agent for acquired immune deficiency syndrome.
            ``(4) The term `HIV infection' means infection with the 
        human immunodeficiency virus.
            ``(5) The term `HIV prevention activities' means activities 
        for the prevention of HIV infection, including counseling 
        individuals, educating the public, and other appropriate 
        activities. Such term includes research on the prevention of 
        HIV infection.
            ``(6) The term `political subdivision' means a political 
        subdivision of a State.''.

SEC. 3. EFFECTIVE DATE.

    This Act takes effect October 1, 1993, or upon the date of the 
enactment of this Act, whichever occurs later.

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