[Congressional Bills 104th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3174 Introduced in House (IH)]







104th CONGRESS
  2d Session
                                H. R. 3174

    To amend the Public Health Service Act to provide for programs 
         regarding women and the human immunodeficiency virus.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 27, 1996

 Mrs. Morella introduced the following bill; which was referred to the 
                         Committee on Commerce

_______________________________________________________________________

                                 A BILL


 
    To amend the Public Health Service Act to provide for programs 
         regarding women and the human immunodeficiency virus.

    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 ``Women and HIV Outreach and 
Prevention Act''.

SEC. 2. PREVENTIVE HEALTH PROGRAMS REGARDING WOMEN AND HUMAN 
              IMMUNODEFICIENCY VIRUS.

    Title XXV of the Public Health Service Act (42 U.S.C. 300ee et 
seq.) is amended by adding at the end the following part:

                      ``Part C--Programs for Women

``SEC. 2531. PREVENTIVE HEALTH SERVICES.

    ``(a) In General.--The Secretary may make grants for the following 
purposes:
            ``(1) Providing to women preventive health services that 
        are related to acquired immune deficiency syndrome, including--
                    ``(A) providing prevention education on the human 
                immunodeficiency virus (in this part referred to as 
                `HIV'), including counseling on all modes of 
                transmission between individuals, including sexual 
                contact, the use of IV drugs, and maternal-fetal 
                transmission;
                    ``(B) making available voluntary HIV testing 
                services to women; and
                    ``(C) providing effective and close linkages 
                between testing and care services for women.
            ``(2) Providing appropriate referrals regarding the 
        provision of other services to women who are receiving services 
        pursuant to paragraph (1), including, as appropriate, referrals 
        regarding the following: treatment for HIV infection; treatment 
        for substance abuse; mental health services; pregnancy and 
        childbirth; pediatric care; housing services; public 
        assistance; job training; child care; respite care; 
        reproductive health care; and domestic violence.
            ``(3) Providing follow-up services regarding such 
        referrals, to the extent practicable.
            ``(4) Improving referral arrangements for purposes of 
        paragraph (2).
            ``(5) In the case of a woman receiving services pursuant to 
        any of paragraphs (1) through (3), providing to the partner of 
        the woman the services described in such paragraphs, as 
        appropriate.
            ``(6) With respect to the services specified in paragraphs 
        (1) through (5)--
                    ``(A) providing outreach services to inform women 
                of the availability of such services; and
                    ``(B) providing training regarding the effective 
                provision of such services.
    ``(b) Minimum Qualifications of Grantees.--The Secretary may make a 
grant under subsection (a) only if the applicant for the grant is a 
grantee under section 329, section 330, or section 1001, or is another 
public or nonprofit private entity that provides health or voluntary 
family planning services to a significant number of low-income women in 
a culturally sensitive and language-appropriate manner.
    ``(c) Confidentiality.--The Secretary may make a grant under 
subsection (a) only if the applicant for the grant agrees to maintain 
the confidentiality of information on individuals regarding screenings 
pursuant to subsection (a), subject to complying with applicable law.
    ``(d) Application for Grant.--The Secretary may make a grant under 
subsection (a) only 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 such subsection.
    ``(e) Evaluations and Reports.--
            ``(1) Evaluations.--The Secretary shall, directly or 
        through contracts with public or private entities, provide for 
        evaluations of projects carried out pursuant to subsection (a).
            ``(2) Reports.--Not later than 1 year after the date on 
        which amounts are first appropriated under subsection (f), and 
        annually thereafter, the Secretary shall submit to the Congress 
        a report summarizing evaluations carried out under paragraph 
        (1) during the preceding fiscal year.
    ``(f) Authorizations of Appropriations.--
            ``(1) Title x clinics.--For the purpose of making grants 
        under subsection (a) to entities that are grantees under 
        section 1001, and for the purpose of otherwise carrying out 
        this section with respect to such grants, there are authorized 
        to be appropriated $30,000,000 for fiscal year 1997, and such 
        sums as may be necessary for each of the fiscal years 1998 and 
        1999.
            ``(2) Community and migrant health centers; other 
        providers.--For the purpose of making grants under subsection 
        (a) to entities that are grantees under section 329 or 330, and 
        to other entities described in subsection (b) that are not 
        grantees under section 1001, and for the purpose of otherwise 
        carrying out this section with respect to such grants, there 
        are authorized to be appropriated $20,000,000 for fiscal year 
        1997, and such sums as may be necessary for each of the fiscal 
        years 1998 and 1999.

``SEC. 2532. PUBLIC EDUCATION.

    ``(a) In General.--The Secretary may make grants for the purpose of 
developing and carrying out programs to provide HIV prevention 
education to women, including education on all modes of transmission 
between individuals, including sexual contact, the use of IV drugs, and 
maternal-fetal transmission.
    ``(b) Minimum Qualifications of Grantees.--The Secretary may make a 
grant under subsection (a) only if the applicant involved is a public 
or nonprofit private entity that is experienced in carrying out health-
related activities for women, with a priority given to such entities 
that have successfully targeted women of color.
    ``(c) Application for Grant.--The Secretary may make a grant under 
subsection (a) only 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 such subsection.
    ``(d) Provisions Regarding Planning Councils.--In carrying out the 
mission of the Community HIV Planning Process, the Secretary shall 
ensure that women who represent women's interests and have expertise on 
women's health, HIV positive women, and their advocates are included on 
the Planning Councils, that financial resources are allocated to ensure 
such representation, and that Planning Councils use qualitative data 
based on women's experiences.
    ``(e) Evaluations and Reports.--
            ``(1) Evaluations.--The Secretary shall, directly or 
        through contracts with public or private entities, provide for 
        evaluations of projects carried out pursuant to subsection (a).
            ``(2) Reports.--Not later than 1 year after the date on 
        which amounts are first appropriated under subsection (e), and 
        annually thereafter, the Secretary shall submit to the Congress 
        a report summarizing evaluations carried out under paragraph 
        (1) during the preceding fiscal year.
    ``(e) Authorizations of Appropriations.--For the purpose of 
carrying out this section, there are authorized to be appropriated 
$30,000,000 for fiscal year 1997, and such sums as may be necessary for 
each of the fiscal years 1998 and 1999.''.

SEC. 3. TREATMENT OF WOMEN FOR SUBSTANCE ABUSE.

    Subpart 1 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb et seq.), as amended by section 108 of Public Law 102-321 
(106 Stat. 336), is amended by inserting after section 509 the 
following section:

                ``treatment of women for substance abuse

    ``Sec. 509A. (a) In General.--The Director of the Center for 
Substance Abuse Treatment may make awards of grants, cooperative 
agreements, and contracts for the purpose of carrying out programs--
            ``(1) to provide treatment for substance abuse to women, 
        including but not limited to, women with dependent children;
            ``(2) to provide to women who engage in such abuse 
        counseling on the prevention of infection with, and the 
        transmission of, the etiologic agent for acquired immune 
        deficiency syndrome; and
            ``(3) to provide such counseling to women who are the 
        partners of individuals who engage in such abuse.
    ``(b) Authorization of Appropriations.--For the purpose of carrying 
out subsection (a), there are authorized to be appropriated $20,000,000 
for fiscal year 1997, and such sums as may be necessary for each of the 
fiscal years 1998 and 1999.''.

SEC. 4. EARLY INTERVENTION SERVICES FOR WOMEN.

    Section 2655 of the Public Health Service Act (42 U.S.C. 300ff-55) 
is amended--
            (1) by striking ``For the purpose of'' and inserting ``(a) 
        In General.--For the purpose of''; and
            (2) by adding at the end the following subsection:
    ``(b) Programs for Women.--For the purpose of making grants under 
section 2651 to provide to women early intervention services described 
in such section, and for the purpose of providing technical assistance 
under section 2654(b) with respect to such grants, there are authorized 
to be appropriated $20,000,000 for fiscal year 1997, and such sums as 
may be necessary for each of the fiscal years 1998 and 1999.''.
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