1.This Act may be cited as the
Ryan White HIV/AIDS Treatment
Modernization Act
.
<enum>I</enum><header>Emergency relief for eligible areas</header>
<section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id271C9AD25BE34D86B4D0831BC7954672" reported-display-style="strikethrough" section-type="subsequent-section"><enum>101.</enum><header>Establishment and
general eligibility</header>
<subsection commented="no" display-inline="no-display-inline" id="id3F5D6A2477904ADC86E17C88F56960AA"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Section 2601 of the Public Health Service
Act (42 U.S.C. 300ff–11) is amended by striking subsections (b) through (d) and
inserting the following:</text>
<quoted-block changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id7599F01EE7EA4849B4F170EB78B9B5B0" reported-display-style="strikethrough" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="ID9761F417850B425EABBBA28B6447ED8F"><enum>(b)</enum><header>Continued status
as eligible area</header><text display-inline="yes-display-inline">Notwithstanding any other provision of this
section, a metropolitan area shall continue to be eligible to receive a grant
under this part until such area, for three consecutive grant years, fails to
meet the requirements of subsection
(a).</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id16F4794C43E24C72909D72054560B7E8" reported-display-style="strikethrough"><enum>(b)</enum><header>Definition</header><text display-inline="yes-display-inline">Section 2607(2) of the Public Health
Service Act (42 U.S.C. 300ff–17(2)) is amended by adding at the end the
following: <quote>For purposes of determining eligibility under this part, the
boundaries of each metropolitan area shall be the boundaries that were in
effect for each such area for fiscal year 1994.</quote>.</text>
</subsection></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id2CE38F4AD99641EAB2A093B463E4BD32" reported-display-style="strikethrough" section-type="subsequent-section"><enum>102.</enum><header>Living cases of
HIV/AIDS</header>
<subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id79E38E7828194996B94717BEBDEFA596" reported-display-style="strikethrough"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Section 2601(a) of
the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (42
U.S.C. 300ff–11(a)) is amended by striking <quote>for which there</quote> and
all that follows through <quote>available</quote> and inserting <quote>for
which there is 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 for the most recent period of 5 calendar years for which such data are
available</quote>.</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id53B5099BB4EA45EAB4CF174E5E83E846" reported-display-style="strikethrough"><enum>(b)</enum><header>Distribution
based on living cases of HIV/AIDS</header><text display-inline="yes-display-inline">Section 2603(a)(3) of the Public Health
Service Act (42 U.S.C. 300ff–13(a)(3)) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idEEFE9411AF954E0ABD57E7982447BD20"><enum>(1)</enum><text display-inline="yes-display-inline">in subparagraph (B), by striking
<quote>cases of acquired immune deficiency syndrome</quote> and inserting
<quote>cases of HIV/AIDS (reported to and confirmed by the Director of the
Centers for Disease Control and Prevention)</quote>;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idF32AE684818245A684B4BD10CE793B56"><enum>(2)</enum><text display-inline="yes-display-inline">by striking subparagraphs (C) and (D) and
inserting the following:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="id9605BDD57CD14EB897B38BA5BCAD0296" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="id5A9DC3A821364B83BC3EC2C1324FD5C6"><enum>(C)</enum><header>Living cases of
HIV/AIDS</header>
<clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id6F08FA764C3A4B6F88FBDFC9E58EBA5C" reported-display-style="strikethrough"><enum>(i)</enum><header>In
general</header><text display-inline="yes-display-inline">Except as provided
for in clauses (ii) and (iii), the amount determined in this subparagraph is
the number of living cases of HIV/AIDS (reported to and confirmed by the
Director of the Centers for Disease Control and Prevention) through December 31
of the most recent calendar year.</text>
</clause><clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idEBF1CB8E325C44ED873A1AE7080939F6" reported-display-style="strikethrough"><enum>(ii)</enum><header>Fiscal years
2007 through 2010</header><text display-inline="yes-display-inline">For each of
fiscal years 2007 through 2010, the Secretary may use the proxy number for the
number of HIV cases described in clause (iii) if—</text>
<subclause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id98D5B7BEB9F94950B1DF0B2F5CDD843A" reported-display-style="strikethrough"><enum>(I)</enum><text display-inline="yes-display-inline">the State involved—</text>
<item changed="deleted" commented="no" display-inline="no-display-inline" id="idA04FC38A987547C282D17686E9B79897" reported-display-style="strikethrough"><enum>(aa)</enum><text display-inline="yes-display-inline">is reporting, or the State will by October
1, 2006 have submitted a transition plan for reporting, accurate and reliable
HIV cases to the Director of the Centers for Disease Control and Prevention;
or</text>
</item><item changed="deleted" commented="no" display-inline="no-display-inline" id="idD53187B2C6DD46AF93D240D9408C8430" reported-display-style="strikethrough"><enum>(bb)</enum><text display-inline="yes-display-inline">not later than October 1, 2006, make all
necessary statutory changes to allow for the collection of HIV data certified
by the Director of the Centers for Disease Control and Prevention;</text>
</item></subclause><subclause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idD65FFB13129D47D680776652B86E2A44" reported-display-style="strikethrough"><enum>(II)</enum><text display-inline="yes-display-inline">the State involved will by April 1, 2008,
begin reporting accurate and reliable HIV cases, as determined by the Director
of the Centers for Disease Control and Prevention; and</text>
</subclause><subclause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id1FE60017E9F44DC2AA125678F7CA478E" reported-display-style="strikethrough"><enum>(III)</enum><text display-inline="yes-display-inline">the Director of the Centers for Disease
Control and Prevention has determined that such State does not have an
established HIV surveillance system.</text>
</subclause></clause><clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id527FEF9C8D3945468A68FF2CC4A76847" reported-display-style="strikethrough"><enum>(iii)</enum><header>Amount
determined</header><text display-inline="yes-display-inline">With respect to
each of fiscal years 2007 through 2010, the amount determined under this
subparagraph shall be the lesser of—</text>
<subclause changed="deleted" commented="no" display-inline="no-display-inline" id="id7BD93A42E9554288957AB948ED5D2AC6" reported-display-style="strikethrough"><enum>(I)</enum><text display-inline="yes-display-inline">the product of 0.9 and the number of living
AIDS cases in the area involved; or</text>
</subclause><subclause changed="deleted" commented="no" display-inline="no-display-inline" id="idA0B4708136F645D281FD5BD0151BEA92" reported-display-style="strikethrough"><enum>(II)</enum><text display-inline="yes-display-inline">an amount equal to 110 percent of the
funding level for the previous fiscal year, taking into account the shift of
the formula pool from 0.5 to 0.67 in fiscal year
2006.</text>
</subclause></clause></subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idCA2002E5C3B6422EA978B3F0F16A5BFE" reported-display-style="strikethrough"><enum>(3)</enum><text display-inline="yes-display-inline">by redesignating subparagraph (E) as
subparagraph (D).</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idEF84F3D0E88E4FA0A4D7D3F87E13212D" reported-display-style="strikethrough"><enum>(c)</enum><header>Application</header><text display-inline="yes-display-inline">Section 2604(b)(4)(A) of the Public Health
Service Act (42 U.S.C. 300ff–14(b)(4)(A)) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idE5AB9A7C5A2543CEAB4F8F472126A46F"><enum>(1)</enum><text display-inline="yes-display-inline">by striking <quote>acquired immune
deficiency syndrome</quote> and inserting <quote>HIV/AIDS</quote>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idA7E6DC0FF0C0446E911F2F202E962C8D"><enum>(2)</enum><text display-inline="yes-display-inline">by striking <quote>such syndrome</quote>
and inserting <quote>HIV/AIDS</quote>.</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id1A8499EC858D44D882C7EE4CDCCEEEB2" reported-display-style="strikethrough"><enum>(d)</enum><header>Coordination</header><text display-inline="yes-display-inline">Section 2605(b) of the Public Health
Service Act (42 U.S.C. 300ff–15(b)) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idDD43E57D0D45440D8B6DF997C9B0C171"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (3), by striking
<quote>and</quote> at the end;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idBE23E5BD8B0947D0BADD91CC051DD7B1"><enum>(2)</enum><text display-inline="yes-display-inline">in paragraph (4), by striking the period
and inserting a semicolon; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idB2518AFCD82849DFA761290C954AB1CF"><enum>(3)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="idB947D22006E2402CA5FED618DAC6FD20" style="OLC">
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id8E47125EE00246108A110C14F4F10BE1" reported-display-style="strikethrough"><enum>(5)</enum><text display-inline="yes-display-inline">the manner in which the expected
expenditures under the grant are related to the planning process for States
that receive funding under part B (including the planning process described in
section 2617(b)); and</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id9D9EEA6322EB428BBCC33F566EF8C018" reported-display-style="strikethrough"><enum>(6)</enum><text display-inline="yes-display-inline">the expected expenditures under the grant
and how those expenditures will improve overall client outcomes, as described
under the State plan under section 2617(b), or through additional outcomes
measures.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idB366B7FAC9194971B5337CAB36A4CE5D" reported-display-style="strikethrough" section-type="subsequent-section"><enum>103.</enum><header>Type and
distribution of grants</header>
<subsection commented="no" display-inline="no-display-inline" id="idAF4D451B79C040F8AF4253CD028A1BFB"><enum>(a)</enum><header>Distribution of
funds</header><text display-inline="yes-display-inline">Section 2603(a)(2) of
the Public Health Service Act (42 U.S.C. 300ff–13(a)(2)) is amended by striking
<quote>50 percent</quote> and inserting <quote>66<fraction>2/3</fraction>
percent</quote>.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="id7480A84E149B48688347647A90B546C7"><enum>(b)</enum><header>Emergency grants</header><text display-inline="yes-display-inline">Section 2603(a)(3)(E) of the Public Health
Service Act (42 U.S.C. 300ff–13(a)(3)(E)) is amended to read as follows:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="id2B99F1370CF243029F09F572369B9532" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="id3F57439169E04A0B959C5464B623A7F7"><enum>(E)</enum><header>Unexpended
funds</header>
<clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id58F9350AB4E8414DAB44F5AA300A202F" reported-display-style="strikethrough"><enum>(i)</enum><header>In
general</header><text display-inline="yes-display-inline">An eligible area that
has unobligated funds for a fiscal year under a grant under this part
shall—</text>
<subclause changed="deleted" commented="no" display-inline="no-display-inline" id="idEBF92AC55CAF4F4D95C5121EA4D50488" reported-display-style="strikethrough"><enum>(I)</enum><text display-inline="yes-display-inline">return such funds to the Secretary to be
applied as provided for in subsection (b); or</text>
</subclause><subclause changed="deleted" commented="no" display-inline="no-display-inline" id="id97D68F781A7240D68532A415240D98B9" reported-display-style="strikethrough"><enum>(II)</enum><text display-inline="yes-display-inline">submit an application to the Secretary for
the use of such funds in the succeeding fiscal year that includes a description
of the manner in which the area intends to use such funds.</text>
</subclause></clause><clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idF0D79073FBE14A82B7FB97784AE25CF4" reported-display-style="strikethrough"><enum>(ii)</enum><header>Carryover</header><text display-inline="yes-display-inline">With respect to an application received
under clause (i)(II), the Secretary shall determine whether the area involved
may carryover any unobligated funds for use under this part in the succeeding
fiscal year or whether such amounts shall be returned to the Secretary for use
under subsection (b). Notice shall be provided to the area of such
determination.</text>
</clause><clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id6F2ABCE70EF14B009480E3CED8D320F4" reported-display-style="strikethrough"><enum>(iii)</enum><header>Failure to
expend funds</header><text display-inline="yes-display-inline">Amounts carried
over by an eligible area under this subparagraph that are not expended in the
succeeding fiscal year shall be returned to the Secretary for use under
subsection (b).</text>
</clause><clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id67DC56008B164A8BAEDFF7E09E760AF6" reported-display-style="strikethrough"><enum>(iv)</enum><header>Consideration
in making grants</header><text display-inline="yes-display-inline">The
Secretary may, in determining the amount of a grant for a fiscal year under
this paragraph, adjust the grant amount to reflect the amount of unexpended and
uncanceled grant funds remaining at the end of the fiscal year preceding the
year for which the grant determination is to be made. The amount of any such
unexpended funds shall be determined using the financial status report of the
grantee.</text>
</clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id0159C82E715F409F8A43C5CAE2139819" reported-display-style="strikethrough"><enum>(c)</enum><header>Hold
harmless</header><text display-inline="yes-display-inline">Section 2603(a)(4)
of the Public Health Service Act (42 U.S.C. 300ff–13(a)(4)) is amended to read
as follows:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="idD5E136AEFE79465AB410A5890E62221A" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="ID2AD0DCD896E7460693461BF4BC90494C"><enum>(4)</enum><header>Increases in
grant</header>
<subparagraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDBEECBFCAC1C64FC88CE85AF1D8E4238C" reported-display-style="strikethrough"><enum>(A)</enum><header>In
general</header><text display-inline="yes-display-inline">For eligible areas
receiving grants under this section in fiscal year 2007, the Secretary shall
increase the amount of the grant made pursuant to paragraph (2) for the area to
ensure that—</text>
<clause changed="deleted" commented="no" display-inline="no-display-inline" id="IDC42F28A1B0DD452BBE307D407791F43F" reported-display-style="strikethrough"><enum>(i)</enum><text display-inline="yes-display-inline">for fiscal year 2007, the grant is not less
than 90 percent of the amount of the grant made for the eligible area pursuant
to such paragraph for the base year;</text>
</clause><clause changed="deleted" commented="no" display-inline="no-display-inline" id="ID8D074A2360A448C2AE99093855096F20" reported-display-style="strikethrough"><enum>(ii)</enum><text display-inline="yes-display-inline">for fiscal year 2008, the grant is not less
than 85 percent of the amount of such base year grant; and</text>
</clause><clause changed="deleted" commented="no" display-inline="no-display-inline" id="IDCA74C68E22754F5C8E241F0E8A0D6589" reported-display-style="strikethrough"><enum>(iii)</enum><text display-inline="yes-display-inline">for fiscal year 2009, the grant is not less
than 80 percent of the amount of the base year grant.</text>
</clause></subparagraph><subparagraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDB9D53DFBA80849148E95028481BF33D6" reported-display-style="strikethrough"><enum>(B)</enum><header>Base
year</header><text display-inline="yes-display-inline">With respect to grants
made pursuant to paragraph (2) for an eligible area, the base year shall be
fiscal year
2006.</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idE93059980B1B40A6846263C4267E7E88" reported-display-style="strikethrough" section-type="subsequent-section"><enum>104.</enum><header>Core medical
services</header><text display-inline="no-display-inline">Section 2604 of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name> (42 U.S.C.
300ff–14) is amended by adding at the end the following:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="idA9626436235446B0B89A7D95C93A45EF" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="ID60474baeea0c4ac88585a8b614731c39"><enum>(h)</enum><header>Required funding
for core medical services</header><text display-inline="yes-display-inline"></text>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDd62ad114745c4f92844a2ce04d1a031e" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">Notwithstanding any
other provision of law, a grantee under this part shall expend not less than 75
percent of the funds received under the grant on core medical services, except
that the Secretary shall waive the application of this subsection with respect
to a grantee if the Secretary determines that, within the service area of the
grantee—</text>
<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="IDc90218d2e29a491ea7f20d9631500767" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">there is no waiting lists for AIDS Drug
Assistance Program services; and</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID865b8690045e40e99ab9e3e9ccc5567d" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">core medical services are available to all
individuals infected with HIV/AIDS.</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDcf0b8a0e7b5d40299ce58ae7b531bd03" reported-display-style="strikethrough"><enum>(2)</enum><header>Core medical
services</header><text display-inline="yes-display-inline">For purposes of this
subsection, the term <term>core medical services</term> with respect to an
individual infected with HIV/AIDS (including the co-occurring diseases of the
individual) means the following services:</text>
<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID369cd2b56ed64214952d85fa283b40a4" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">Outpatient and ambulatory health
services.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="IDafd96567b6f144d1b4560d4baeda1645" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">AIDS Drug Assistance Program
treatments.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID5303a85b2e8b45c09401049d5f7e525e" reported-display-style="strikethrough"><enum>(C)</enum><text display-inline="yes-display-inline">AIDS pharmaceutical assistance.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="IDce459ec21a96492dbbfd60dffb3a7bfa" reported-display-style="strikethrough"><enum>(D)</enum><text display-inline="yes-display-inline">Oral health care.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="IDdfecb25c60b345b999c3558db71f338b" reported-display-style="strikethrough"><enum>(E)</enum><text display-inline="yes-display-inline">Early intervention services.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="IDbd5ec0d9d7044819bbabe606c1c8abb9" reported-display-style="strikethrough"><enum>(F)</enum><text display-inline="yes-display-inline">Health insurance premium and cost sharing
assistance for low-income individuals.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID9b38da3ff7a74daaa4c00870667c6005" reported-display-style="strikethrough"><enum>(G)</enum><text display-inline="yes-display-inline">Home health care.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id48501A6D3315410E981D975AF7F889B3" reported-display-style="strikethrough"><enum>(H)</enum><text display-inline="yes-display-inline">Hospice services.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID595e17fc39b14b218c0e50443d7ffc55" reported-display-style="strikethrough"><enum>(I)</enum><text display-inline="yes-display-inline">Home and community-based health services as
defined under section 2614(c), except homemaker services.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID35e577cd11a24d6b89bc570486c8778f" reported-display-style="strikethrough"><enum>(J)</enum><text display-inline="yes-display-inline">Mental health services.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID38406e4f1cdd4ce89808b963b48b860b" reported-display-style="strikethrough"><enum>(K)</enum><text display-inline="yes-display-inline">Substance abuse outpatient care.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID8f11e877d9d04bb684a8e28672452799" reported-display-style="strikethrough"><enum>(L)</enum><text display-inline="yes-display-inline">Medical case management, including
treatment adherence services.</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDac3e917aa64b4293af0e663addad4b4c" reported-display-style="strikethrough"><enum>(3)</enum><header>Support
services</header><text display-inline="yes-display-inline">Notwithstanding any
other provision of law, and subject to paragraph (1), a grantee under this
part, subject to the approval of the Secretary, may provide support services
(such as respite care for individuals with HIV/AIDS, outreach services, medical
transportation, nutritional counseling, linguistic services, and referral for
health care and support services for individuals with HIV/AIDS) needed to
achieve medical outcomes which are related to the medical outcomes for an
individual infected with HIV and approved by the Secretary.</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id6F039C7ED3304E58B45533401032ADED" reported-display-style="strikethrough"><enum>(4)</enum><header>Definition of
medical outcomes</header><text display-inline="yes-display-inline">In this
subsection, the term <quote>medical outcomes</quote> means those outcomes
affecting the HIV-related clinical status of an individual with
HIV/AIDS.</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDaafe27ffcc694fe1859b6bce24c53bf5" reported-display-style="strikethrough"><enum>(5)</enum><header>Unexpended
funds</header><text display-inline="yes-display-inline">Any amounts required to
be expended for core medical services or support services under this subsection
that remain unobligated at the end of the fiscal year in which the funds were
awarded shall be remitted to the Secretary for reallocation under section
2603(b).</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idC23221A1E58B47F39B721F3C89F28927" reported-display-style="strikethrough" section-type="subsequent-section"><enum>105.</enum><header>Supplemental
grants</header><text display-inline="no-display-inline">Section 2603(b) of the
Public Health Service Act (42 U.S.C. 300ff–13(b)) is amended—</text>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idF8278A9B7D794A39AF9AB65B488C272D" reported-display-style="strikethrough"><enum>(1)</enum><text display-inline="yes-display-inline">by striking <quote>severe need</quote> each
place that such appears and inserting <quote>demonstrated need</quote>;</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id4D764F4C46524F7C93F79F484573A9CE" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">in paragraph (1)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id0C212147C9A448F2AD15F5AC0C8D6A56"><enum>(A)</enum><text display-inline="yes-display-inline">in the matter preceding subparagraph (A),
by striking <quote>Not later than</quote> and all that follows through
<quote>the Secretary shall</quote> and insert <quote>The Secretary
shall</quote>;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id62E7374FB610465EB7BFBEA94756EF7F"><enum>(B)</enum><text display-inline="yes-display-inline">by striking subparagraph (F) and inserting
the following:</text>
<quoted-block changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id96FC0EDA389A41A0BFA985E1AB64A129" reported-display-style="strikethrough" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="idF98C88D5457A4DD392E4D8E6CCEAA480"><enum>(F)</enum><text display-inline="yes-display-inline">demonstrate the inclusiveness of affected
communities and individuals with
HIV/AIDS;</text>
</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idB29622F08F13446BA85F6FBD77E55B2A" reported-display-style="strikethrough"><enum>(C)</enum><text display-inline="yes-display-inline">in subparagraph (G), by striking the period
and inserting <quote>; and</quote>; and</text>
</subparagraph><subparagraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idEE8BD15EE4DD432297EA90EC044E2BFD" reported-display-style="strikethrough"><enum>(D)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text>
<quoted-block changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="idE84CE9BC20D7464D8DD4CE4009076AFB" reported-display-style="strikethrough" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="id7B8367ECF0E44D5A801A3B2C574CC075"><enum>(H)</enum><text display-inline="yes-display-inline">demonstrate the ability of the applicant to
expend funds efficiently by not having any unexpended funds reallocated under
section
2603(a)(3)(E).</text>
</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id723136D6E32743289CEC3F0054302093" reported-display-style="strikethrough"><enum>(3)</enum><text display-inline="yes-display-inline">in paragraph (2)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id739429FFA49F41E2BF820A981DF7F394"><enum>(A)</enum><text display-inline="yes-display-inline">by striking subparagraph (B) and inserting
the following:</text>
<quoted-block changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id863D65B3047C4196B17906B60A363E90" reported-display-style="strikethrough" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="id69DC6645C5B64635BC28AD390801A984"><enum>(B)</enum><header>Demonstrated
need</header><text display-inline="yes-display-inline">In determining
demonstrated need for purposes of subparagraph (A), the Secretary shall
consider relevant factors that impact the need for supplemental financial
assistance, including—</text>
<clause commented="no" display-inline="no-display-inline" id="id47DC4C3ED34A4A7C9CA944DE04775BFF"><enum>(i)</enum><text display-inline="yes-display-inline">the unmet need for such services, as
determined under section 2602(b)(4) or other community input process as defined
under section 2609A(a);</text>
</clause><clause commented="no" display-inline="no-display-inline" id="id7D85EEBB965D419F8442037954FB8819"><enum>(ii)</enum><text display-inline="yes-display-inline">an increasing need for HIV/AIDS-related
services, including relative rates of increase in the number of cases of
HIV/AIDS;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="id65CC8560DB554612AD63B8C2D2A24235"><enum>(iii)</enum><text display-inline="yes-display-inline">the relative rates of increase in the
number of cases of HIV/AIDS within new or emerging subpopulations;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="id011D3703D0234A968D42B4F6ED1E35D5"><enum>(iv)</enum><text display-inline="yes-display-inline">the current prevalence of HIV/AIDS;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="id64CBBEE73A6D4F4C8B1F69FA5A22D51E"><enum>(v)</enum><text display-inline="yes-display-inline">relevant factors related to the cost and
complexity of delivering health care to individuals with HIV/AIDS in the
eligible area;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="id4BF1A0D46A1C4F2C8D2B2D79EEA043C9"><enum>(vi)</enum><text display-inline="yes-display-inline">the impact of co-morbid factors, including
co-occurring infections, determined relevant by the Secretary;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="id15CADA136DB241FE861C3BCA77103DD2"><enum>(vii)</enum><text display-inline="yes-display-inline">the prevalence of homelessness;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="id580713AE22AC4D2499E18046DC54A1C2"><enum>(viii)</enum><text display-inline="yes-display-inline">the prevalence of individuals described
under section 2602(b)(2)(M);</text>
</clause><clause commented="no" display-inline="no-display-inline" id="id9CF100BE9B8B4BA987C8A300EB01FC47"><enum>(ix)</enum><text display-inline="yes-display-inline">the relevant factors that limit access to
health care, including geographic variation, adequacy of health insurance
coverage, and language barriers; or</text>
</clause><clause commented="no" display-inline="no-display-inline" id="idFBF4972F44E84E3EB7646E2A3E2E9F5D"><enum>(x)</enum><text display-inline="yes-display-inline">the impact of a precipitous decline in the
amount received under this subpart to an increase in unmet need for such
services.</text>
</clause></subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph><subparagraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idAE2AE81E566E4D9DB70ECF180580A64B" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">by striking subparagraphs (C) and
(D).</text>
</subparagraph></paragraph></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id38EB11434DA8446A9F1E0D3744204C20" reported-display-style="strikethrough" section-type="subsequent-section"><enum>106.</enum><header>Administrative
costs</header><text display-inline="no-display-inline">Section 2604(f) of the
Public Health Service Act (42 U.S.C. 300ff–14(f)) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idB07E135C45C64DAB9EEA3B629FBB3BEF"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (1), by striking <quote>5
percent</quote> and inserting <quote>10 percent</quote>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idD9B5225716B2436FB4C2FEEBC67CFA1C"><enum>(2)</enum><text display-inline="yes-display-inline">in paragraph (2)(B), by inserting
<quote>the activities carried out by HIV health services planning council as
established under section 2602(b),</quote> after
<quote>including</quote>.</text>
</paragraph></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id9DCBC3F9624C4B74903B10BAF1CFE156" reported-display-style="strikethrough" section-type="subsequent-section"><enum>107.</enum><header>Audits</header><text display-inline="no-display-inline">Section 2605(a) of the Public Health Service
Act (42 U.S.C. 300ff–15(a)) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id12244135F9CD4310ABDB2F9A9126D132"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (8), by striking
<quote>and</quote> at the end;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idB4B7878DF09D4317A683A98926D0B563"><enum>(2)</enum><text display-inline="yes-display-inline">in paragraph (9), by striking the period
and inserting <quote>; and</quote>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id4931D15DB2DE4DEF9D3A3C14B0618997"><enum>(3)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text>
<quoted-block changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id3BB77C9B40CE4F95BB9D4E14936A716B" reported-display-style="strikethrough" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="idAE55B54CE294453992208FEE69B28E33"><enum>(10)</enum><text display-inline="yes-display-inline">that the chief elected official will submit
to the lead State agency under section 2617(b)(4), audits regarding funds
expended in accordance with this part every 2 years and shall include necessary
client-based data to compile unmet need calculations and Statewide coordinated
statements of need
process.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id3B2A3E1167DA411F841AB90FE0FC4982" reported-display-style="strikethrough" section-type="subsequent-section"><enum>108.</enum><header>Planning council
representation</header><text display-inline="no-display-inline">Section
2602(b)(2)(G) of the Public Health Service Act (42 U.S.C. 300ff–12(b)(2)(G)) is
amended by inserting <quote>, Native Americans, individuals co-infected with
hepatitis B or C</quote> after <quote>disease</quote>.</text>
</section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id28DED8748C8240C3B1BCAF06E1AD52AB" reported-display-style="strikethrough" section-type="subsequent-section"><enum>109.</enum><header>Payer of last
resort</header><text display-inline="no-display-inline">Section 2605(a)(6)(A)
of the Public Health Service Act (42 U.S.C. 300ff–15(a)(6)(A)) is amended by
inserting <quote>(except for a program administered by or providing the
services of the Indian Health Service)</quote> before the semicolon.</text>
</section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id6C0D8ED60CD24C4FB1A702C4BE7E18E0" reported-display-style="strikethrough" section-type="subsequent-section"><enum>110.</enum><header>Transitional grants
for other areas</header>
<subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id84378A48175946A08BC111B508FCC05E" reported-display-style="strikethrough"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Part A of title XXVI
of the Public Health Service Act (42 U.S.C. 300ff–11) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idE1828625112E42CB963D0C26D49E58D0"><enum>(1)</enum><text display-inline="yes-display-inline">by inserting after the part heading the
following:</text>
<quoted-block changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id4C732D7532BB432C9838F3EC67474B76" reported-display-style="strikethrough" style="OLC">
<subpart commented="no" id="id627C14C4DBB445ACB657BE1FBF149694"><enum>I</enum><header>General grant
provisions</header>
</subpart><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id9DC201F4CD084DC991E07658D2E5A79B" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">by redesignating sections 2606 and 2607 as
sections 2610 and 2610A, respectively; and</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id1437E43EA0C94EAEAF888B80B66527C3" reported-display-style="strikethrough"><enum>(3)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="idB697F23712B046AAB6584BABD99A1A22" style="OLC">
<subpart changed="deleted" commented="no" committee-id="SSHR00" id="id8861A755E40444F0B6ECE2038EB26C93" reported-display-style="strikethrough"><enum>II</enum><header>Transitional
grants</header>
<section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idBC3321D4366A49A283C90F2BA08C6BC1" reported-display-style="strikethrough" section-type="subsequent-section"><enum>2609.</enum><header>Establishment</header>
<subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDC52FA77E5E4C4272B1A60B9D97C32038" reported-display-style="strikethrough"><enum>(a)</enum><header>Eligible
areas</header>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idD4AFA88113BB4A6D83736C2BD1B5D503" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">The Secretary, acting
through the Administrator of the Health Resources and Services Administration,
shall, subject to subsection (b), make grants in accordance with this subpart
for the purpose of assisting in the provision of the services specified in
section 2604 in any metropolitan area—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="idBEED8400A0FC4625A5EE6004E1074303"><enum>(A)</enum><text display-inline="yes-display-inline">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 less than 2,000, cases of acquired
immune deficiency syndrome for the most recent period of 5 calendar years for
which such data are available; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id633BEA98DABA444EB2C4702AEFAB0692"><enum>(B)</enum><text display-inline="yes-display-inline">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 less than 1,000, cases of acquired immune
deficiency syndrome for the most recent period of 5 calendar years for which
such data are available.</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id60EE2299B9D2426183B05F70792FDFE3" reported-display-style="strikethrough"><enum>(2)</enum><header>Additional
eligible areas</header><text display-inline="yes-display-inline">With respect
to fiscal year 2007, a metropolitan area that received funding under this part
for fiscal year 2006 but which does not meet the eligibility threshold
described in paragraph (1)(A) for fiscal year 2007 shall be deemed to be
eligible under such paragraph (1)(A).</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id90BA7A0154974C2185FBFA758F584DA8" reported-display-style="strikethrough"><enum>(b)</enum><header>Continued status
as eligible area</header><text display-inline="yes-display-inline">Notwithstanding any other provision of this
section, a metropolitan area shall continue to be eligible to receive a grant
under this section until such area, for three consecutive grant years, fails to
meet the applicable requirement of subparagraph (A) or (B) of subsection (a)(1)
concerning the number of living cases of AIDS over the most recent 5-year
period.</text>
</subsection></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id5AAFC256A36E43EE9A8C2D217DEBD280" reported-display-style="strikethrough" section-type="subsequent-section"><enum>2609A.</enum><header>Application of
other provisions</header>
<subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idB59DE90639964FAB9BE2CB802FA5EC30" reported-display-style="strikethrough"><enum>(a)</enum><header>Administration</header>
<paragraph commented="no" display-inline="no-display-inline" id="id16C9C41A4E6845EC8A5515B848E69524"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">The provisions of section 2602 shall apply
to areas that receive a grant under this subpart, except that the chief elected
official may elect not to comply with the provisions of subsection (b), so long
as the official provides documentation to the Secretary that details the
process used to obtain community input (particularly from those inflected with
HIV) for the design and implementation of activities related to such
grant.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id521F5664B23A47C582ED06E0317A6109"><enum>(2)</enum><header>Exception</header><text display-inline="yes-display-inline">The exception provided for in paragraph (1)
shall not apply in fiscal years 2007 through 2009 to areas that receive funding
under this part.</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id52F245F0495A43CF935BE9A4ACE37E96" reported-display-style="strikethrough"><enum>(b)</enum><header>Distribution</header><text display-inline="yes-display-inline">The provisions of section 2603 shall apply
for purposes of awarding grants under this subpart, except that—</text>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id200F60633793494BB285FC9DCBE9E3A3" reported-display-style="strikethrough"><enum>(1)</enum><text display-inline="yes-display-inline">with respect to areas described in section
2609(a)(1)(A)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="idA861616CECE5464F9A861A8A94005390"><enum>(A)</enum><text display-inline="yes-display-inline">66<fraction>2/3</fraction> percent of the
amounts appropriated under section 2609B(1) for each fiscal year shall be
allocated to such areas as provided for in section 2603(a); and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id2388492DAB8D4CF9BF9C4A6AAA5D4843"><enum>(B)</enum><text display-inline="yes-display-inline">33<fraction>1/3</fraction> percent of the
amounts appropriated under section 2609B(1) for each fiscal year shall be
allocated to such areas as provided for in section 2603(b); and</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id1A4F71199E144FEE84EACC3BFDD5384E" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">with respect to areas described in section
2609(a)(1)(B), 100 percent of the amounts appropriated under section 2609B(2)
for each fiscal year shall be allocated to such areas as provided for in
section 2603(a).</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idDFAB4CB0921B4E12BADE6D42988637FC" reported-display-style="strikethrough"><enum>(c)</enum><header>Hold
harmless</header><text display-inline="yes-display-inline">Paragraph (4) of
section 2603(a) shall not apply to an area for purposes of this subpart.</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idD81067527D27400EA05E4C4A88075C11" reported-display-style="strikethrough"><enum>(d)</enum><header>Use of
amounts</header><text display-inline="yes-display-inline">Amounts provided to
an area under a grant under this part shall be used by such entity as provided
for in section 2604.</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idA2D0A593C62A4723952A4A9DD878DAFF" reported-display-style="strikethrough"><enum>(e)</enum><header>Application</header><text display-inline="yes-display-inline">To be eligible to receive a grant under
this subpart, an area shall submit to the Secretary an application that meets
the requirements of section 2605.</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idE321B2D1CD804B708F92BB057EA58269" reported-display-style="strikethrough"><enum>(f)</enum><header>Technical
assistance and definitions</header><text display-inline="yes-display-inline">The provisions of sections 2606 and 2707
shall apply for purposes of this subpart, except that with respect to the
definition of metropolitan area in section 2607(2), such term shall be applied
so that for purposes of determining eligible areas, the Secretary shall use the
boundaries of a respective area that were used when the area involved initially
receive funding under this part.</text>
</subsection></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id1670ED50232943CFA1FA7B284660F289" reported-display-style="strikethrough" section-type="subsequent-section"><enum>2609B.</enum><header>Authorization of
appropriations</header><text display-inline="no-display-inline">There are
authorized to be appropriated to carry out this subpart—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idEF6B20C8587142159F6AB1D8E5475324"><enum>(1)</enum><text display-inline="yes-display-inline">with respect to areas described in section
2609(a)(1)(A), $123,300,000 for fiscal year 2007, $127,900,000 for fiscal year
2008, $132,600,000 for fiscal year 2009, $137,500,000 for fiscal year 2010, and
$142,600,000 for fiscal year 2011; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id05BDB1630C27454CA5ECB5A6D286BE81"><enum>(2)</enum><text display-inline="yes-display-inline">with respect to areas described in section
2609(a)(1)(B), $5,000,000 for each of the fiscal years 2007 through
2011.</text>
</paragraph></section></subpart><subpart changed="deleted" commented="no" committee-id="SSHR00" id="id7034D8CFFB254EAEB18E04F4CE7F44EA" reported-display-style="strikethrough"><enum>III</enum><header>General
provisions</header>
</subpart><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idC1AC9053AFF441969CD089AD78FDD2A2" reported-display-style="strikethrough"><enum>(b)</enum><header>Repeal</header><text display-inline="yes-display-inline">Section 2620 of the Public Health Service
Act (42 U.S.C. 300ff–30) is repealed.</text>
</subsection></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idC7B1771CC28F4AAC824E13630DA470A5" reported-display-style="strikethrough" section-type="subsequent-section"><enum>111.</enum><header>Authorization of
appropriations</header><text display-inline="no-display-inline">Subpart I of
part A of title XXVI of the Public Health Service Act (42 U.S.C. 300ff–11) is
amended by adding at the end the following:</text>
<quoted-block changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id8DD40BBEE69E465BB8427437406CFDA9" reported-display-style="strikethrough" style="OLC">
<section commented="no" display-inline="no-display-inline" id="id87C45A969DA34377B8AA900CE4C56E72" section-type="subsequent-section"><enum>2606.</enum><header>Authorization
of appropriations</header><text display-inline="no-display-inline">For the
purpose of carrying put this subpart, there are authorized to be appropriated
$418,600,000 for fiscal year 2007, $434,100,000 for fiscal year 2008,
$450,100,000 for fiscal year 2009, $466,800,000 for fiscal year 2010, and
$484,100,000 for fiscal year
2011.</text>
</section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>II</enum><header>Care grants</header>
<section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id6725869306B345DD9D6CF9176CA4009D" reported-display-style="strikethrough" section-type="subsequent-section"><enum>201.</enum><header>Living cases of
HIV/AIDS</header>
<subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id3519E4C25206476E8A511047AE6BE238" reported-display-style="strikethrough"><enum>(a)</enum><header>Priority</header><text display-inline="yes-display-inline">Section 2611(b)(1) of the Public Health
Service Act (42 U.S.C. 300ff–21(b)(1)) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id3291A6B40E264821A8E51925754E8644"><enum>(1)</enum><text display-inline="yes-display-inline">by striking <quote>acquired immune
deficiency syndrome</quote> and inserting <quote>HIV/AIDS</quote>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idA228042E037941FD8792AF849006ECF0"><enum>(2)</enum><text display-inline="yes-display-inline">by striking <quote>such syndrome</quote>
and inserting <quote>HIV/AIDS</quote>.</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idD6DF276799E544DFB5E9074E36489AE3" reported-display-style="strikethrough"><enum>(b)</enum><header>Application</header><text display-inline="yes-display-inline">Section 2617(d)(3) of the Public Health
Service Act (42 U.S.C. 300ff–27(d)(3)) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id1786411A44F1441F967D85CA0D41E15B"><enum>(1)</enum><text display-inline="yes-display-inline">in subparagraph (A), by striking
<quote>acquired immune deficiency syndrome</quote> and inserting
<quote>HIV/AIDS</quote>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id769BC96C2B3B4B5D80BBE80F5DE1DD28"><enum>(2)</enum><text display-inline="yes-display-inline">in subparagraph (C), by striking
<quote>acquired immune deficiency syndrome</quote> and inserting
<quote>HIV/AIDS</quote>.</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idE82A36CCEBD347D8AD9405CE7ABAAFB0" reported-display-style="strikethrough"><enum>(c)</enum><header>Distribution of
funds</header><text display-inline="yes-display-inline">Section 2618(a) of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name> (42 U.S.C.
300ff–28(a)) is amended—</text>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDEB51A591ACE14EC8AF2FD9C0E4D36869" reported-display-style="strikethrough"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (1)(A)(i)—</text>
<subparagraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDFDDFC5485A754FE9AFD074D7ED3BCD39" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">in subclause (I), by striking <quote>cases
of acquired immune deficiency syndrome, as determined under paragraph
(2)(D)</quote> and inserting <quote>living cases of AIDS (reported to and
confirmed by the Director of the Centers for Disease Control and
Prevention)</quote>; and</text>
</subparagraph><subparagraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID7C2265A846C143489C6AF556EBFFEACD" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">in subclause (II)—</text>
<clause commented="no" display-inline="no-display-inline" id="IDA5FDE8ABFA64445AA03AB651ACD75DF6"><enum>(i)</enum><text display-inline="yes-display-inline">by striking <quote>cases of acquired immune
deficiency syndrome, as determined under paragraph (2)(D)</quote> and inserting
<quote>living cases of AIDS (reported to and confirmed by the Director of the
Centers for Disease Control and Prevention)</quote>; and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="ID7FA41681E9694D94AD5A3E27EB840318"><enum>(ii)</enum><text display-inline="yes-display-inline">by inserting <quote>and</quote> after the
semicolon; and</text>
</clause></subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID996063ECB37A4007A36FD2EB8190D4B8" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">in paragraph (2)—</text>
<subparagraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id9D7731B8BDD54D74A23E8821C280186C" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">in subparagraph (B), by striking
<quote>estimated number of living cases of acquired immune deficiency
syndrome</quote> and inserting <quote>number of living cases of
HIV/AIDS</quote>;</text>
</subparagraph><subparagraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id75AAF11DCD5B48D994DC1C2151EB476E" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">in subparagraph (C)—</text>
<clause commented="no" display-inline="no-display-inline" id="idDCACD32ED23B4D2F89896064222981D5"><enum>(i)</enum><text display-inline="yes-display-inline">by striking <quote>estimated</quote> each
place that such term appears; and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="idEC29F62AD85B422EA7AA119DD296436C"><enum>(ii)</enum><text display-inline="yes-display-inline">by striking <quote>acquired immune
deficiency syndrome</quote> each place that such appears and inserting
<quote>HIV/AIDS</quote>; and</text>
</clause></subparagraph><subparagraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id0C9D7E41FE2F46149B78F244A6952F0E" reported-display-style="strikethrough"><enum>(C)</enum><text display-inline="yes-display-inline">by striking subparagraph (D) and inserting
the following:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="idDFB6C280A3764B1D86232ACD76A2DA7D" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="idAB29889483B245189743E17CE6A30AB7"><enum>(F)</enum><header>Living cases of
HIV/AIDS</header>
<clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id4922877663A64EE2B9AAF2A9F0027B1A" reported-display-style="strikethrough"><enum>(i)</enum><header>In
general</header><text display-inline="yes-display-inline">Except as provided
for in clause (ii) and (iii), the amount determined in this subparagraph is the
number of living cases of HIV/AIDS (reported to and confirmed by the Director
of the Centers for Disease Control and Prevention) through December 31 of the
most recent calendar year involved.</text>
</clause><clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id5E2FDCBFE88F4548AEC5F55AD3BDF257" reported-display-style="strikethrough"><enum>(ii)</enum><header>Fiscal years
2007 through 2010</header><text display-inline="yes-display-inline">For each of
fiscal years 2007 through 2010, the Secretary may use the proxy number for the
number of HIV cases described in clause (iii) if—</text>
<subclause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id8304A42E9ABA4359B1A57ADC47A8FE46" reported-display-style="strikethrough"><enum>(I)</enum><text display-inline="yes-display-inline">the State involved—</text>
<item changed="deleted" commented="no" display-inline="no-display-inline" id="idD53638199BDF49998AE6298B5742E0EB" reported-display-style="strikethrough"><enum>(aa)</enum><text display-inline="yes-display-inline">is reporting, or the State will by October
1, 2006 have submitted a transition plan for reporting, accurate and reliable
HIV cases to the Director of the Centers for Disease Control and Prevention;
or</text>
</item><item changed="deleted" commented="no" display-inline="no-display-inline" id="id6C86E4D6D84C487B9C1F2B24816E5802" reported-display-style="strikethrough"><enum>(bb)</enum><text display-inline="yes-display-inline">not later than October 1, 2006, make all
necessary statutory changes to allow for the collection of HIV data certified
by the Director of the Centers for Disease Control and Prevention;</text>
</item></subclause><subclause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idEF6A7D552E684E2AA078BCFDAE14FB07" reported-display-style="strikethrough"><enum>(II)</enum><text display-inline="yes-display-inline">the State involved will by April 1, 2008,
begin reporting accurate and reliable HIV cases, as determined by the Director
of the Centers for Disease Control and Prevention; and</text>
</subclause><subclause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id601CD228330A456680695EEC8AB6E7DE" reported-display-style="strikethrough"><enum>(III)</enum><text display-inline="yes-display-inline">the Director of the Centers for Disease
Control and Prevention has determined that such State does not have an
established HIV surveillance system.</text>
</subclause></clause><clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idDA8C0E9037234B0E950326AFAB16B835" reported-display-style="strikethrough"><enum>(iii)</enum><header>Amount
determined</header><text display-inline="yes-display-inline">With respect to
each of fiscal years 2007 through 2010, the amount determined under this
subparagraph shall be the lesser of—</text>
<subclause changed="deleted" commented="no" display-inline="no-display-inline" id="id57A497EC59974E859D5025EB1BCA188A" reported-display-style="strikethrough"><enum>(I)</enum><text display-inline="yes-display-inline">the product of 0.9 and the number of living
AIDS cases in the area involved; or</text>
</subclause><subclause changed="deleted" commented="no" display-inline="no-display-inline" id="idC0E86F157B2341FF8FB72ECFDED28192" reported-display-style="strikethrough"><enum>(II)</enum><text display-inline="yes-display-inline">an amount equal to 110 percent of the
funding level for the previous fiscal
year.</text>
</subclause></clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id90585ABF0F844DD7909ECF20B4DE592A" reported-display-style="strikethrough" section-type="subsequent-section"><enum>202.</enum><header>AIDS Drug Assistance
Program</header>
<subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id70CEA2A447B64C47BF1FB3BBB0BC1846" reported-display-style="strikethrough"><enum>(a)</enum><header>Requirement of
minimum drug list</header><text display-inline="yes-display-inline">Section
2616 of the Public Health Service Act (42 U.S.C. 300ff–26) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idEB59B3E2889D4BC68CE8868FC6A38474"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (c), by striking paragraph
(1) and inserting the following:</text>
<quoted-block changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id351B77790CF348BF8C9369CCEB2BE60B" reported-display-style="strikethrough" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="idF3C45704DCBA4BD28D7BCD45068085B5"><enum>(1)</enum><text display-inline="yes-display-inline">ensure that those treatments contained on
the list of core AIDS Drug Assistance Program antiretroviral medications
developed by the Secretary based on Public Health Service guidelines, are the
minimum required treatments to be included under the program established under
this section;</text>
</paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id3639CC3A13FE49B2839DC6D6D34C8785" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">in subsection (d), by adding at the end the
following: <quote>The Secretary, in consultation with the Public Health
Service, shall develop and maintain a list of classes of core AIDS Drug
Assistance Program antiretroviral medications that shall be based upon those
medications included in the Department of Health and Human Service’s Public
Health Service HIV/AIDS Clinical Practice Guidelines for use of HIV/AIDS Drugs,
drugs needed to manage symptoms associated with HIV infection.</quote>.</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id94AEB9E6A63142AF97A8CE1200F3697A" reported-display-style="strikethrough"><enum>(b)</enum><header>State
requirements</header><text display-inline="yes-display-inline">Subclauses (I)
through (III) of section 2618(a)(2)(I)(ii) of the Public Health Service Act (42
U.S.C. 300ff–28(a)(2)(I)(ii)(I)–(III)) are amended to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="id839F3DE64E5544B794DD9F8C0ECCA292" style="OLC">
<subclause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idE754EFC3AE4D41FDB33D2B02DCEA5F45" indent="down1" reported-display-style="strikethrough"><enum>(I)</enum><header>In
general</header><text display-inline="yes-display-inline">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 (as described in section 2616(b)),
pharmaceutical therapeutics described under sections 2616(a) and
2616(c).</text>
</subclause><subclause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idEA089828AD4F4D57A877693B19FC839E" indent="down1" reported-display-style="strikethrough"><enum>(II)</enum><header>Eligible
States</header><text display-inline="yes-display-inline">For purposes of
subclause (I), a State shall be an eligible State if the State did not have
unexpended funds subject to reallocation under section 2618(d) and, in
accordance with criteria established by the Secretary, demonstrates a severe
need for a grant under this clause. In developing such criteria, 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.</text>
</subclause><subclause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id09C3CED1F8924FE5B092252A49921A09" reported-display-style="strikethrough"><enum>(III)</enum><header>State
requirements</header><text display-inline="yes-display-inline">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.</text>
</subclause><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id433FD06E5A6246EF9EB0401A009D6104" reported-display-style="strikethrough"><enum>(c)</enum><header>Increase in ADAP
set-aside</header><text display-inline="yes-display-inline">Section
2618(a)(2)(I)(ii)(V) of the Public Health Service Act (42 U.S.C.
300ff–28(a)(2)(I)(ii)(V)) is amended by striking <quote>3</quote> and inserting
<quote>5</quote>.</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id57740DD2D9134106BE2670A74D720418" reported-display-style="strikethrough"><enum>(d)</enum><header>Drug rebate
program</header><text display-inline="yes-display-inline">Section 2616 of the
Public Health Service Act (42 U.S.C. 300ff–26) is amended by adding at the end
the following:</text>
<quoted-block changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id4802872A3C4C405BBF69457F2316EA31" reported-display-style="strikethrough" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="id85AB4FB0C14C4CA891DF19A68B0B1545"><enum>(f)</enum><header>Drug rebate
program</header><text display-inline="yes-display-inline">A State shall ensure
that any drug rebates received on drugs purchased from funds provided under
this section are applied to activities supported under this title, with a
preference for activities described under this
section.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id27D5C6F56D5F4CE5AF2419B87C8C2BB7" reported-display-style="strikethrough" section-type="subsequent-section"><enum>203.</enum><header>Coordination</header><text display-inline="no-display-inline">Section 2617(b) of the Public Health Service
Act (42 U.S.C. 300ff–27(b)) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idB1DBA04F18E746A7BACCCC915CF41BC0"><enum>(1)</enum><text display-inline="yes-display-inline">by redesignating paragraphs (4) through (6)
as paragraphs (5) through (7), respectively;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idA25DA8F199A545668BB6629699C93F45"><enum>(2)</enum><text display-inline="yes-display-inline">by inserting after paragraph (3), the
following:</text>
<quoted-block changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id08E2D42288CE42B0BB0F3752ABBA1823" reported-display-style="strikethrough" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="id00E4F5651D414F9B94D5174A6894133D"><enum>(4)</enum><text display-inline="yes-display-inline">the designation of a lead State agency that
shall—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id7864BFCF73E042ACA3AE4A4CE2AB0AF6"><enum>(A)</enum><text display-inline="yes-display-inline">administer all assistance received under
this part;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idCAF0D2AA81D343C79B5F4B9CFD8448B3"><enum>(B)</enum><text display-inline="yes-display-inline">conduct the needs assessment and prepare
the State plan under paragraph (3);</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idEB5332B754ED456EBDF92EC4FDF7352B"><enum>(C)</enum><text display-inline="yes-display-inline">prepare all applications for assistance
under this part;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idB518FDB39157417EBF9AC16440826D0C"><enum>(D)</enum><text display-inline="yes-display-inline">receive notices with respect to programs
under this title;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idA2BB2B92283F4F61B25B000B74F3912C"><enum>(E)</enum><text display-inline="yes-display-inline">every 2 years, collect and submit to the
Secretary all audits from grantees within the State, including audits regarding
funds expended in accordance with this part; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id8210199B0DDF4DAA9915F256E5EE63F9"><enum>(F)</enum><text display-inline="yes-display-inline">carry out any other duties determined
appropriate by the Secretary to facilitate the coordination of programs under
this
title.</text>
</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idA5F721A7B04C47F59305CD64F5F65E76" reported-display-style="strikethrough"><enum>(3)</enum><text display-inline="yes-display-inline">in paragraph (5) (as so
redesignated)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id9661A52D2074445CBF7FF219F271DB4E"><enum>(A)</enum><text display-inline="yes-display-inline">in the matter preceding subparagraph (A),
by striking <quote>under this part</quote> and inserting <quote>under any
provision of this title</quote>;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idF6F499CEA4DB4C94AF5886AC90145FFA"><enum>(B)</enum><text display-inline="yes-display-inline">in subparagraph (E), by striking
<quote>and</quote> at the end; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id40047E8AB1CF44F0BC574AFF4EF6DD6D"><enum>(C)</enum><text display-inline="yes-display-inline">by inserting after subparagraph (F), the
following:</text>
<quoted-block changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id6A4890E387324EF684147A748C847DAC" reported-display-style="strikethrough" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="idC41C11B2F7C74C0D86A4771156C7B17A"><enum>(G)</enum><text display-inline="yes-display-inline">includes key outcomes to be measured by all
entities in the State receiving assistance under this title;
and</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idDD8479ED27F54594BB4EE5BBB2088E3C" reported-display-style="strikethrough" section-type="subsequent-section"><enum>204.</enum><header>Distribution of
funds</header>
<subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id2F2DE553C3364E018D1C3431B76F2DFC" reported-display-style="strikethrough"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Section 2618(a)(2) of
the Public Health Service Act (42 U.S.C. 300ff–28(a)(2)) is amended—</text>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idCA132BF3CC8742A992EAD9DFD3A4C5FA" reported-display-style="strikethrough"><enum>(1)</enum><text display-inline="yes-display-inline">in subparagraph (A)—</text>
<subparagraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id9C34A190215A4726B334871EA3319083" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">in clause (i), by striking <quote>and
(I)</quote> and inserting <quote>, (I), and (J)</quote>; and</text>
</subparagraph><subparagraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idF3A2E83A71264C42BE545D454A830BB0" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">in clause (ii)—</text>
<clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idE488F9D0C5154AF5AE64A79B72307619" reported-display-style="strikethrough"><enum>(i)</enum><text display-inline="yes-display-inline">in subclause (I)—</text>
<subclause commented="no" display-inline="no-display-inline" id="id6C80B15416834002BA896AFA2146DADD"><enum>(I)</enum><text display-inline="yes-display-inline">by striking <quote>0.8</quote> and
inserting <quote>0.75</quote>; and</text>
</subclause><subclause commented="no" display-inline="no-display-inline" id="idFD3E05AFB8FC420190E6155B4EC7F467"><enum>(II)</enum><text display-inline="yes-display-inline">by striking <quote>and</quote> at the
end;</text>
</subclause></clause><clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idE11F6A807B964B29A85CB308F714FCED" reported-display-style="strikethrough"><enum>(ii)</enum><text display-inline="yes-display-inline">in subclause (II), by striking the period
and inserting <quote>; and</quote>; and</text>
</clause><clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id756746722A8F467C8D95083C759CCB2A" reported-display-style="strikethrough"><enum>(iii)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text>
<quoted-block changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id667F4CE141AE4F09B39EC5D60B40196A" reported-display-style="strikethrough" style="OLC">
<subclause commented="no" display-inline="no-display-inline" id="id023653EC1B5A4D2A99B0CF0C57345368"><enum>(III)</enum><text display-inline="yes-display-inline">the product of 0.05 and the ratio of the
locality distribution factor (as determined under subparagraph (D)) to the sum
of the respective State distribution factors for all States and
territories.</text>
</subclause><after-quoted-block>;</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id4A652B8854CD4186A93D4A90D4E68969" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">in subparagraph (C)(ii), by striking
<quote>(as determined under part A)</quote> and inserting <quote>under subpart
I of part A and an eligible area under section 2609(a)(1)(A)</quote>;</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idDA06E1E47F2F4E62B065306E85DCADA6" reported-display-style="strikethrough"><enum>(3)</enum><text display-inline="yes-display-inline">by inserting after subparagraph (C), the
following:</text>
<quoted-block changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id622AB59EB5934A0088770D9834DEB923" reported-display-style="strikethrough" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="idAFA57D09AF364BF4ACFD1DDED5770AB0"><enum>(D)</enum><header>Locality
distribution factor</header><text display-inline="yes-display-inline">For
purposes of subparagraph (A)(ii)(III), the term <quote>locality distribution
factor</quote> means an amount equal to the sum of—</text>
<clause commented="no" display-inline="no-display-inline" id="idC42A8336922E49359BA052C0D9711A52"><enum>(i)</enum><text display-inline="yes-display-inline">the number of living cases of HIV/AIDS in
the State or territory involved, as determined under subparagraph (F);
less</text>
</clause><clause commented="no" display-inline="no-display-inline" id="idE1F5F1FAEA3744CAB3278C4ACB5BE5D4"><enum>(ii)</enum><text display-inline="yes-display-inline">the number of living cases of HIV/AIDS in
such State or territory that are within an eligible area (as determined under
subpart I of part A and section
2609(a)(1)(A)).</text>
</clause></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id1506B5373B564EB598FBC0BBCF6C6339" reported-display-style="strikethrough"><enum>(4)</enum><text display-inline="yes-display-inline">by striking subparagraph (E) and inserting
the following:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="idE1041CB7F7D84FBE99109131306E7127" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="ID964bfd2017e34d8185e4598671a2d9e2"><enum>(E)</enum><header>Severity of
need</header>
<clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID79553d99b4324bfda49933d769bf33a1" reported-display-style="strikethrough"><enum>(i)</enum><header>Fiscal years
beginning with 2011</header><text display-inline="yes-display-inline">If, by
January 1, 2010, the Secretary notifies the appropriate committees of Congress
that the Secretary has developed a severity of need index, in accordance with
clause (v), the provisions of subparagraphs (A) through (D) shall not apply for
fiscal year 2011 or any fiscal year thereafter, and the Secretary shall use the
severity of need index (as defined in clause (iv)) for the determination of the
formula allocations, subject to the Congressional Review Act.</text>
</clause><clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID0863ba6651e34990a588b09b9ad1a2d9" reported-display-style="strikethrough"><enum>(ii)</enum><header>Subsequent
fiscal years</header><text display-inline="yes-display-inline">If, on or before
any January 1 that is subsequent to the date referred to in clause (i), the
Secretary notifies the appropriate committees of Congress that the Secretary
has developed a severity of need index, in accordance with clause (v), for each
succeeding fiscal year, the provisions of subparagraphs (A) through (D) shall
not apply, and the Secretary shall use the severity of need index (as defined
in clause (iv)) for the determination of the formula allocations, subject to
the Congressional Review Act.</text>
</clause><clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID8ddc26447a444d8eb303f64c01861f6b" reported-display-style="strikethrough"><enum>(iii)</enum><header>Fiscal year
2013</header><text display-inline="yes-display-inline">The Secretary shall
notify the appropriate committees of Congress that the Secretary has developed
a severity of need index by January 1, 2012, and the provisions of
subparagraphs (A) through (D) shall not apply, and the Secretary shall use the
severity of need index (as defined in clause (iv)) for the formula allocations
for fiscal year 2013, subject to the Congressional Review Act.</text>
</clause><clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID2f8be865a12e4c94b300a0443263defc" reported-display-style="strikethrough"><enum>(iv)</enum><header>Definition of
severity of need index</header><text display-inline="yes-display-inline">In
this subparagraph, the term <quote>severity of need index</quote> means the
index of the relative needs of individuals within the State, as identified by a
variety of different factors, and is a factor that is multiplied by the number
of living HIV/AIDS cases in the State, providing different weights to those
cases based on their needs.</text>
</clause><clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDf0f1908d00e34a7986f3d1546589ed5d" reported-display-style="strikethrough"><enum>(v)</enum><header>Requirements for
secretarial notification</header><text display-inline="yes-display-inline">When
the Secretary notifies the appropriate committees of Congress that the
Secretary has developed a severity of need index, the Secretary shall provide
the following:</text>
<subclause changed="deleted" commented="no" display-inline="no-display-inline" id="ID1827be4f14bd430887bd91e8945837f2" reported-display-style="strikethrough"><enum>(I)</enum><text display-inline="yes-display-inline">Methodology for and rationale behind
developing the severity of need index, including information related to the
field testing of the severity of need index.</text>
</subclause><subclause changed="deleted" commented="no" display-inline="no-display-inline" id="ID1d8d6b8c21ce467a8e70ae784d83dab2" reported-display-style="strikethrough"><enum>(II)</enum><text display-inline="yes-display-inline">Expected changes in funding allocations,
given the application of the severity of need index and the elimination of the
provisions of subparagraphs (A) through (D).</text>
</subclause><subclause changed="deleted" commented="no" display-inline="no-display-inline" id="ID144629a5f8654e548bc4af5f76bcad30" reported-display-style="strikethrough"><enum>(III)</enum><text display-inline="yes-display-inline">Information regarding the process by which
the Secretary received community input regarding the application of the
severity of need index.</text>
</subclause><subclause changed="deleted" commented="no" display-inline="no-display-inline" id="ID0bbe9379bca34de6b2cb0f57604a1522" reported-display-style="strikethrough"><enum>(IV)</enum><text display-inline="yes-display-inline">Timeline and process for the implementation
of the severity of need index to ensure that it is applied in the following
fiscal year.</text>
</subclause></clause><clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID74059d3b5b824e6db546d9d3fb8844f4" reported-display-style="strikethrough"><enum>(vi)</enum><header>Annual
reports</header><text display-inline="yes-display-inline">Not later than 1 year
after the date of enactment of the <short-title>Ryan White
HIV/AIDS Treatment Modernization Act</short-title>, and annually thereafter
until the Secretary notifies Congress that the Secretary has developed a
severity of need index in accordance with this subparagraph, the Secretary
shall prepare and submit to the appropriate committees of Congress a
report—</text>
<subclause changed="deleted" commented="no" display-inline="no-display-inline" id="IDb53875bbc90543f8985782dfd70fcf1d" reported-display-style="strikethrough"><enum>(I)</enum><text display-inline="yes-display-inline">that updates progress toward having client
level data;</text>
</subclause><subclause changed="deleted" commented="no" display-inline="no-display-inline" id="ID1a759a59efc9467cb96963dd9708bc01" reported-display-style="strikethrough"><enum>(II)</enum><text display-inline="yes-display-inline">that updates the progress toward having a
severity of need index, including information related to the methodology and
process for obtaining community input; and</text>
</subclause><subclause changed="deleted" commented="no" display-inline="no-display-inline" id="IDd708499e2aff42c69ffbf5e61a823853" reported-display-style="strikethrough"><enum>(III)</enum><text display-inline="yes-display-inline">that, as applicable, states whether the
Secretary could develop a severity of need index before fiscal year
2010.</text>
</subclause></clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id3C9EDC599DAD4D2AA92B8D2E45ADB2EC" reported-display-style="strikethrough"><enum>(5)</enum><text display-inline="yes-display-inline">by striking subparagraph (G), and inserting
the following:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="idBF413124C1EF41238FA1199DB9B7816A" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="id60BD919F546B4DB1812416A4C26FC40C"><enum>(G)</enum><header>Unexpended
funds</header>
<clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id40B5AEC985CC4CD7B9B1F373DBDBB603" reported-display-style="strikethrough"><enum>(i)</enum><header>In
general</header><text display-inline="yes-display-inline">A State that has
unobligated funds for a fiscal year under a grant under this part shall—</text>
<subclause changed="deleted" commented="no" display-inline="no-display-inline" id="idD1915D14C63F4F209A9833C15C2CDAB9" reported-display-style="strikethrough"><enum>(I)</enum><text display-inline="yes-display-inline">return such funds to the Secretary to be
applied as provided for in section 2620; or</text>
</subclause><subclause changed="deleted" commented="no" display-inline="no-display-inline" id="id17C57E5FB9EB403487B20AF670BE3214" reported-display-style="strikethrough"><enum>(II)</enum><text display-inline="yes-display-inline">submit an application to the Secretary for
the use of such funds in the succeeding fiscal year that includes a description
of the manner in which the State intends to use such funds.</text>
</subclause></clause><clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id6A189F4A5FB849619EF6AF01423FA2E1" reported-display-style="strikethrough"><enum>(ii)</enum><header>Carryover</header><text display-inline="yes-display-inline">With respect to an application received
under clause (i)(II), the Secretary shall determine whether the State involved
may carryover any unobligated funds for use under this part in the succeeding
fiscal year or whether such amounts shall be returned to the Secretary for use
under section 2620. Notice shall be provided to the area of such
determination.</text>
</clause><clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idC8ED7238013244A49D47BE8209818641" reported-display-style="strikethrough"><enum>(iii)</enum><header>Failure to
expend funds</header><text display-inline="yes-display-inline">Amounts carried
over by a State under this subparagraph that are not expended in the succeeding
fiscal year shall be returned to the Secretary for use under section
2610.</text>
</clause><clause changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idA8E7F9D0DD8F42BA8C15877C96BCA132" reported-display-style="strikethrough"><enum>(iv)</enum><header>Consideration
in making grants</header><text display-inline="yes-display-inline">The
Secretary may, in determining the amount of a grant for a fiscal year under
this paragraph, adjust the grant amount to reflect the amount of unexpended and
uncanceled grant funds remaining at the end of the fiscal year preceding the
year for which the grant determination is to be made. The amount of any such
unexpended funds shall be determined using the financial status report of the
grantee.</text>
</clause></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idD4C1A6E4AC2D47A79A7F46609347F1BB" reported-display-style="strikethrough"><enum>(6)</enum><text display-inline="yes-display-inline">by striking subparagraph (H); and</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id9EF4AE98E7CC4EE585251DF7AF4F56A6" reported-display-style="strikethrough"><enum>(7)</enum><text display-inline="yes-display-inline">in subparagraph (I)(ii), by striking
subclause (VI) and inserting the following:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="id812268DF3EA5424A8ED072CCD1018393" style="OLC">
<subclause commented="no" display-inline="no-display-inline" id="idFB3D116125A24E699D3CB0F6CBACF3D8"><enum>(VI)</enum><header>Increases in
grant</header>
<item changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id6FBF236276504E57A676075004C165CE" reported-display-style="strikethrough"><enum>(aa)</enum><header>In
general</header><text display-inline="yes-display-inline">For eligible areas
receiving grants under this section in fiscal year 2007, the Secretary shall
increase the amount of the grant made pursuant to paragraph (2) for the State
to ensure that—</text>
<subitem changed="deleted" commented="no" display-inline="no-display-inline" id="id22716484A10A471B84577D82DB5D8C93" reported-display-style="strikethrough"><enum>(AA)</enum><text display-inline="yes-display-inline">for fiscal year 2007, the grant is not less
than 90 percent of the amount of the grant made for the State under section
2620 and section 2618(a) for the base year;</text>
</subitem><subitem changed="deleted" commented="no" display-inline="no-display-inline" id="id5905D90EEA154C12A89AF9C50EDE7E40" reported-display-style="strikethrough"><enum>(BB)</enum><text display-inline="yes-display-inline">for fiscal year 2008, the grant is not less
than 85 percent of the amount of such base year grant; and</text>
</subitem><subitem changed="deleted" commented="no" display-inline="no-display-inline" id="id022BDBFEF3244EB39D94DFDDF3AEF853" reported-display-style="strikethrough"><enum>(CC)</enum><text display-inline="yes-display-inline">for fiscal year 2009, the grant is not less
than 80 percent of the amount of the base year grant.</text>
</subitem></item><item changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idEFB866BB47FD4F7CBC648961EA3D2BFD" reported-display-style="strikethrough"><enum>(bb)</enum><header>Base
year</header><text display-inline="yes-display-inline">With respect to grants
made pursuant to paragraph (2) for an State, the base year shall be fiscal year
2006.</text>
</item></subclause><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idB37C02AFD0CE409C8BEF4A60F25A5785" reported-display-style="strikethrough"><enum>(b)</enum><header>Reallocation</header><text display-inline="yes-display-inline">Section 2618(d) of the Public Health
Service Act (42 U.S.C. 300ff–28(d)) is amended by striking <quote>in proportion
to the original grants made to such States</quote> and insert
<quote>reallocated pursuant to section 2620</quote>.</text>
</subsection></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id382F5F2319B14E18964C2234B7AE4A9E" reported-display-style="strikethrough" section-type="subsequent-section"><enum>205.</enum><header>Core medical
services</header><text display-inline="no-display-inline">Section 2612 of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name> (42 U.S.C.
300ff–22) is amended by adding at the end the following:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="idF11F00D28EAA44289C0597DA7D60C3B3" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="id6D63B867DD3745359BBE6370D046BD0A"><enum>(e)</enum><header>Required funding
for core medical services</header><text display-inline="yes-display-inline"></text>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id6B0E2760376B4DA4BA8970E30222836D" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">Notwithstanding any
other provision of law, a grantee under this part shall expend not less than 75
percent of the funds received under the grant on core medical services, except
that the Secretary shall waive the application of this subsection with respect
to a grantee if the Secretary determines that, within the service area of the
grantee—</text>
<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id5B94C66472714ABBA3AC92DA7843989E" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">there is no waiting lists for AIDS Drug
Assistance Program services; and</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="idBB3502ADC6364DF9B382ED8A9110F6B1" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">core medical services are available to all
individuals infected with HIV/AIDS.</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id8112FC637DED45F89F683401FE21E600" reported-display-style="strikethrough"><enum>(2)</enum><header>Core medical
services</header><text display-inline="yes-display-inline">For purposes of this
subsection, the term <term>core medical services</term> with respect to an
individual infected with HIV/AIDS (including the co-occurring diseases of the
individual) means the following services:</text>
<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="idAE0E3E13494E4CBF99159D32ED94AC88" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">Outpatient and ambulatory health
services.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id182E7C9AE3A04ECF8513D5EFCB0E8888" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">AIDS Drug Assistance Program
treatments.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id8A87F20D58514E5FBFE71B1A78C976BF" reported-display-style="strikethrough"><enum>(C)</enum><text display-inline="yes-display-inline">AIDS pharmaceutical assistance.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="idF0CA9FBDF7784B418B722E2E1186FD26" reported-display-style="strikethrough"><enum>(D)</enum><text display-inline="yes-display-inline">Oral health care.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="idA1A6517A02744474AC8132B0F7C7A1D3" reported-display-style="strikethrough"><enum>(E)</enum><text display-inline="yes-display-inline">Early intervention services.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="idBEF79BF56CE9454F81E026704F544963" reported-display-style="strikethrough"><enum>(F)</enum><text display-inline="yes-display-inline">Health insurance premium and cost sharing
assistance for low-income individuals.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id623E6F25415249A1AFC160C97D9F7C54" reported-display-style="strikethrough"><enum>(G)</enum><text display-inline="yes-display-inline">Home health care.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="idEA61EBCE53BE4F0D8D233E205C3C3A5B" reported-display-style="strikethrough"><enum>(H)</enum><text display-inline="yes-display-inline">Hospice services.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id7664C62A37F04926A4EDAEC4BBD1D636" reported-display-style="strikethrough"><enum>(I)</enum><text display-inline="yes-display-inline">Home and community-based health services as
defined under section 2614(c), except homemaker services.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id0AEADE491D9F43B2A853AF509858D037" reported-display-style="strikethrough"><enum>(J)</enum><text display-inline="yes-display-inline">Mental health services.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id5A571750A12E4D4E848D729A99A9F4EF" reported-display-style="strikethrough"><enum>(K)</enum><text display-inline="yes-display-inline">Substance abuse outpatient care.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id3F70878C2FA8443F95C17526F0E5E510" reported-display-style="strikethrough"><enum>(L)</enum><text display-inline="yes-display-inline">Medical case management, including
treatment adherence services.</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idC1AD8EDC0A3946FE836CB9B43CB28659" reported-display-style="strikethrough"><enum>(3)</enum><header>Support
services</header><text display-inline="yes-display-inline">Notwithstanding any
other provision of law, and subject to paragraph (1), a grantee under this
part, subject to the approval of the Secretary, may provide support services
(such as respite care for individuals with HIV/AIDS, outreach services, medical
transportation, nutritional counseling, linguistic services, and referral for
health care and support services for individuals with HIV/AIDS) needed to
achieve medical outcomes which are related to the medical outcomes for an
individual infected with HIV and approved by the Secretary.</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id864B57A229254EFE8AE96915CDCF8250" reported-display-style="strikethrough"><enum>(4)</enum><header>Definition of
medical outcomes</header><text display-inline="yes-display-inline">In this
subsection, the term <quote>medical outcomes</quote> means those outcomes
affecting the HIV-related clinical status of an individual with
HIV/AIDS.</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idA6478D100A6D4B1385223FD0C11750CD" reported-display-style="strikethrough"><enum>(5)</enum><header>Unexpended
funds</header><text display-inline="yes-display-inline">Any amounts required to
be expended for core medical services or support services under this subsection
that remain unobligated at the end of the fiscal year in which the funds were
awarded shall be remitted to the Secretary for reallocation under section
2620.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id957820CA8F6C463B93E62DFAFA5FB547" reported-display-style="strikethrough" section-type="subsequent-section"><enum>206.</enum><header>Supplemental
grants</header>
<subsection commented="no" display-inline="no-display-inline" id="id3BD6341FAB8448ADA06B4E74F7A0D2C0"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Section 2620 of the Public Health Service
Act (42 U.S.C. 300ff–30) is amended to read as follows:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="idEEA9C6055472462D80FEEE575322E8CA" style="OLC">
<section commented="no" display-inline="no-display-inline" id="IDd8f1e5641b5b43ec980520329cb63360" section-type="subsequent-section"><enum>2620.</enum><header>Supplemental
grants</header>
<subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID0b3dcc8adb94462bbc79f4697f31f11b" reported-display-style="strikethrough"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">The Secretary shall
utilize amounts appropriated under section 2622 for a fiscal year and made
available in accordance with subsection (c) to award grants to States whose
applications under section 2617 demonstrate a need in the State for
supplemental financial assistance to combat the HIV epidemic and that have not
had unexpended funds subject to the reallocation under section
2618(a)(2)(G).</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID75a12c886b4f4be783382d94d07d3731" reported-display-style="strikethrough"><enum>(b)</enum><header>Demonstrated
need</header><text display-inline="yes-display-inline">In determining
demonstrated need for purposes of subsection (a), the Secretary shall consider
relevant factors that impact the need for supplemental financial assistance,
including—</text>
<paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID43632764c70d43778a69ff44b35bfd4a" reported-display-style="strikethrough"><enum>(1)</enum><text display-inline="yes-display-inline">the unmet need for such services, as
determined under section 2602(b)(4) or other community input process as defined
under section 2609A(a);</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="IDf3894c912bf14179a72ce9c081cf6729" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">an increasing need for HIV/AIDS-related
services, including relative rates of increase in the number of cases of
HIV/AIDS;</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="IDca27939f035b437d81fa3ad686d87ac2" reported-display-style="strikethrough"><enum>(3)</enum><text display-inline="yes-display-inline">the relative rates of increase in the
number of cases of HIV/AIDS within new or emerging subpopulations;</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID52724c478cbf4379bd4afd770679f6c0" reported-display-style="strikethrough"><enum>(4)</enum><text display-inline="yes-display-inline">the current prevalence of HIV/AIDS;</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="IDe0001ed5b44f41ff8025123c923c6fea" reported-display-style="strikethrough"><enum>(5)</enum><text display-inline="yes-display-inline">relevant factors related to the cost and
complexity of delivering health care to individuals with HIV/AIDS in the
eligible area;</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="IDce2008f624d94aee91afad744e745165" reported-display-style="strikethrough"><enum>(6)</enum><text display-inline="yes-display-inline">the impact of co-morbid factors, including
co-occurring infections, determined relevant by the Secretary;</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID1dec87e170744089be47c1f825cca47e" reported-display-style="strikethrough"><enum>(7)</enum><text display-inline="yes-display-inline">the prevalence of homelessness;</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID5a961678825c4658831ff0c5b6342cc0" reported-display-style="strikethrough"><enum>(8)</enum><text display-inline="yes-display-inline">the prevalence of individuals described
under section 2602(b)(2)(M);</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID0308daf69b3f44d0975db98cb1c5895e" reported-display-style="strikethrough"><enum>(9)</enum><text display-inline="yes-display-inline">the relevant factors that limit access to
health care, including geographic variation, adequacy of health insurance
coverage, and language barriers; or</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID9c176848ed114effa3c068107fd48ef3" reported-display-style="strikethrough"><enum>(10)</enum><text display-inline="yes-display-inline">the impact of a precipitous decline in the
amount received under this subpart to an increase in unmet need for such
services.</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID45efba7ab17749e98763cd0f5ecab095" reported-display-style="strikethrough"><enum>(c)</enum><header>Amount and
trigger of funding</header>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id9A1CE1ADA9794AF8BADEC7557ECD4DE0" reported-display-style="strikethrough"><enum>(1)</enum><header>Amount</header><text display-inline="yes-display-inline">For each fiscal year beginning with the
trigger year described in paragraph (2), the Secretary shall make available for
purposes of awarding grants under this section, <fraction>1/3</fraction> of the
sum of—</text>
<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="idD4A33A8CA384497C9707511996930294" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">the amount appropriated under section 2622
for such fiscal year; less</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id5137459D4E0C4F52953E60A7049A7B2B" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">the amount made available to carry out
section 2618(a)(2)(I) and section 2621 for such fiscal year.</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id095760BDC6A24C4DA7759F75E8669233" reported-display-style="strikethrough"><enum>(2)</enum><header>Trigger
year</header><text display-inline="yes-display-inline">This section shall be
effective only for fiscal years beginning in the first fiscal year in which the
amount appropriated under section 2621, excluding any amounts made available to
carry out section 2618(a)(2)(I) and section 2621 for such fiscal year, exceeds
the amount appropriated under section 2677(b) (as such section existed on the
day before the date of enactment of the <short-title>Ryan
White HIV/AIDS Treatment Modernization Act</short-title>) for fiscal year 2006,
excluding any amount made available to carry out section 2618(a)(2)(I) for
fiscal year
2006.</text>
</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idE3030A19F6FE4DC5B945F12AB495646B" reported-display-style="strikethrough"><enum>(b)</enum><header>Conforming
amendments</header><text display-inline="yes-display-inline">Section 2618 of
the Public Health Service Act (42 U.S.C. 300ff–28) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id993B8C78A60F4EE590A2AFB4406F08AD"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a)(1), by striking
<quote>section 2677</quote> and inserting <quote>section 2622 and to the
provisions of section 2620</quote>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDe6baeec5c03c4a32ae335a90ea5ad1cc"><enum>(2)</enum><text display-inline="yes-display-inline">in subsection (c)(1), by inserting “,
except for grants awarded under section 2620,” after <quote>under this
part</quote>.</text>
</paragraph></subsection></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idAB3FC10CB18F446C9C64A3C8318CD8BF" reported-display-style="strikethrough" section-type="subsequent-section"><enum>207.</enum><header>Reduction of the
ADAP waiting list</header><text display-inline="no-display-inline">Subpart I of
part B of title XXVI of the Public Health Service Act (42 U.S.C. 300ff–21 et
seq.) is amended by adding at the end the following:</text>
<quoted-block changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id5D307837020A44729F46996C0898B8BF" reported-display-style="strikethrough" style="OLC">
<section commented="no" display-inline="no-display-inline" id="ID5a3da1d5a78b4b7ca9dcc894da924f14" section-type="subsequent-section"><enum>2621.</enum><header>Reduction of
the ADAP waiting list</header>
<subsection commented="no" display-inline="no-display-inline" id="ID8de7f3cc4fed4d438a50483a058d3314"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">If the Secretary
determines that there is additional need for States to have funds to provide
eligible individuals (as described in section 2616(b)) appropriate access to
pharmaceutical therapies, the Secretary may make supplemental grants to States
described in subsection (b) to enable such States to purchase and distribute to
eligible individuals pharmaceutical therapies as described in sections 2616(a)
and 2616(e).</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="IDd94f9e81f5aa42068224dcd542afbce7"><enum>(b)</enum><header>Eligible
States</header><text display-inline="yes-display-inline">For purposes of
subsection (a), a State is an eligible State if the State did not have
unexpended funds subject to reallocation under section 2618(d), and, in
accordance with criteria established by the Secretary, demonstrates a need for
a grant under such subsection. In developing such criteria, the Secretary shall
consider eligibility standards, formulary composition, the number of eligible
individuals to whom the State is unable to provide therapeutics described in
section 2616(a), and unanticipated increases in the number of eligible
individuals.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="ID4d6b74e7eefa4df2b15176de82f1e10a"><enum>(c)</enum><header>State
requirements</header><text display-inline="yes-display-inline">The Secretary
may not make a grant to a State under this section unless the State involved
agrees that the State will make available (directly or through donations from
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 under the grant, except that the Secretary may waive this
subsection if the State has otherwise fully complied with section 2617(d) with
respect to the grant year involved.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="ID8ecb0a3f9ea6477ba5cc1b3f1cf88997"><enum>(d)</enum><header>Authorization of
appropriations</header><text display-inline="yes-display-inline">There is
authorized to be appropriated to carry out this section, $40,000,000 for fiscal
year
2007.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idAE5D075AA379476390756117DF28D470" reported-display-style="strikethrough" section-type="subsequent-section"><enum>208.</enum><header>Native American
representation</header><text display-inline="no-display-inline">Section
2617(b)(6) of the Public Health Service Act (42 U.S.C. 300ff–27(b)(5)), as so
redesignated, is amended by inserting <quote>Native Americans within the
State,</quote> before <quote>representatives of grantees</quote>.</text>
</section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id93F86AA40A41420D85CD75BD72994DDF" reported-display-style="strikethrough" section-type="subsequent-section"><enum>209.</enum><header>Payer of last
resort</header><text display-inline="no-display-inline">Section
2617(b)(7)(F)(ii) of the Public Health Service Act (42 U.S.C. 300ff–27(b)(6))is
amended by inserting <quote>(except for a program administered by or providing
the services of the Indian Health Services)</quote> before the
semicolon.</text>
</section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id4E9B262EFEE341E4926A17959F55302F" reported-display-style="strikethrough" section-type="subsequent-section"><enum>210.</enum><header>Hepatitis</header><text display-inline="no-display-inline">Section 2614(a)(3) of the Public Health
Service Act (42 U.S.C. 300ff–24(a)(3)) is amended by inserting <quote>,
including speciality care (including vaccinations) for hepatitis
coinfection,</quote> after <quote>health services</quote>.</text>
</section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id4558E8D962624AFCBA06CC2A25017DC2" reported-display-style="strikethrough" section-type="subsequent-section"><enum>211.</enum><header>Authorization of
appropriations</header><text display-inline="no-display-inline">Subpart I of
part B of title XXVI of the Public Health Service Act (42 U.S.C. 300ff–21 et
seq.), as amended by section 207, is further amended by adding at the end the
following:</text>
<quoted-block changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id453E880A71CC4297B8E9B4584D60C1BD" reported-display-style="strikethrough" style="OLC">
<section commented="no" display-inline="no-display-inline" id="id1B1FCDA2503144D0AABEB6B05C77E914" section-type="subsequent-section"><enum>2622.</enum><header>Authorization
of appropriations</header><text display-inline="no-display-inline">For the
purpose of carrying put this subpart, there are authorized to be appropriated
$1,190,400,000 for fiscal year 2007, $1,193,000,000 for fiscal year 2008,
$1,237,100,000 for fiscal year 2009, $1,282,900,000 for fiscal year 2010, and
$1,330,300,000 for fiscal year
2011.</text>
</section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>III</enum><header>Early intervention services</header>
<section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id774ADA365C614282938525557FD8B98B" reported-display-style="strikethrough" section-type="subsequent-section"><enum>301.</enum><header>Categorical
grants</header>
<subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idA020532A5ABE4045B25090D3D1D642B5" reported-display-style="strikethrough"><enum>(a)</enum><header>Establishment of
program</header><text display-inline="yes-display-inline">Section 2651(b) of
the Public Health Service Act (42 U.S.C. 300ff–51(b)) is amended—</text>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idE36387746A2341B4B2993FDAAC281D50" reported-display-style="strikethrough"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (2)(D), by striking <quote>the
disease</quote> and inserting <quote>HIV/AIDS</quote>;</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idCE2B02F1B620458EA4701545434773C7" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">in paragraph (4)(B)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id1AF35C5BF8B543C1A4E2CA6104AE7DE4"><enum>(A)</enum><text display-inline="yes-display-inline">in clause (i), by striking
<quote>paragraphs (1)</quote> and all that follows through
<quote>2652(a)</quote> and inserting <quote>subparagraphs (A), (D), (E), and
(F) of section 12652(a)(1)</quote>; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id5C958C014ECE49A8A227E53FB08E8AB5"><enum>(B)</enum><text display-inline="yes-display-inline">in clause (ii), by striking
<quote>paragraphs (3) and (4) of section 2652(a)</quote> and inserting
<quote>subparagraphs (B) and (C) of section 2652(a)(1)</quote>; and</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id49AB2A396C6F4BFCAD557B461ECC9BF2" reported-display-style="strikethrough"><enum>(3)</enum><text display-inline="yes-display-inline">in paragraph (5)(A), by striking <quote>the
disease</quote> each place that such appears and inserting
<quote>HIV/AIDS</quote>.</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idD22536A3178C429798CCDF9CE6F71510" reported-display-style="strikethrough"><enum>(b)</enum><header>Minimum
qualification of grantees</header><text display-inline="yes-display-inline">Section 2652(a) of the Public Health
Service Act (42 U.S.C. 300ff–52(a)) is amended to read as follows:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="id0720F8B6585F41D0A7C81BA12FE14098" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="id47476CCC758A4B60B3DE5E3588C30F92"><enum>(a)</enum><header>Eligible
entities</header>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id17AC64DE6796470D95EDA786933B1175" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">The entities referred
to in section 2651(a) are public entities and nonprofit private entities that
are—</text>
<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="IDf2a65da13f094db5b3bd2ae4d9a517d9" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">federally-qualified health centers under
section 1905(l)(2)(B) of the Social Security Act;</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="IDed5cf7a4f49d47d9a0da07f9c707e88b" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">grantees under section 1001 (regarding
family planning) other than States;</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID13598bb9cf74489e82f1d6a4d09d8cbb" reported-display-style="strikethrough"><enum>(C)</enum><text display-inline="yes-display-inline">comprehensive hemophilia diagnostic and
treatment centers;</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="IDe1ac840f54cf4c6eb198846c86ea0413" reported-display-style="strikethrough"><enum>(D)</enum><text display-inline="yes-display-inline">rural health clinics;</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID6fcd90554fca41ad809e908649e019d7" reported-display-style="strikethrough"><enum>(E)</enum><text display-inline="yes-display-inline">health facilities operated by or pursuant
to a contract with the Indian Health Service;</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID1e01814f089e4027a080989e338e1eda" reported-display-style="strikethrough"><enum>(F)</enum><text display-inline="yes-display-inline">nonprofit private entities that provide
comprehensive primary care services to populations at risk of HIV/AIDS.</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID39d452eb43da4e5194c22fe679bba26b" reported-display-style="strikethrough"><enum>(2)</enum><header>Underserved
populations</header><text display-inline="yes-display-inline">Entities
described in paragraph (1) shall serve underserved populations which may
include minority populations and Native American populations, ex-offenders,
individuals co-infected with HIV and hepatitis B or C, low-income populations,
inner city populations, and rural
populations.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idEBF35933FB2942C391E60C05EF761030" reported-display-style="strikethrough"><enum>(c)</enum><header>Preferences in
making grants</header><text display-inline="yes-display-inline">Section 2653 of
the Public Health Service Act (42 U.S.C. 300ff–53) is amended—</text>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idD13762D052D7458AA161E90801C256BF" reported-display-style="strikethrough"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (b)(1)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id07C8CCB794584D93B7C2622F370C0B13"><enum>(A)</enum><text display-inline="yes-display-inline">in subparagraph (A), by striking
<quote>acquired immune deficiency syndrome</quote> and inserting
<quote>HIV/AIDS</quote>; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id2264FAE53ACF4F4FA5A2390CA1440A82"><enum>(B)</enum><text display-inline="yes-display-inline">in subparagraph (D), by inserting before
the semicolon the following: <quote>and the number of cases of individuals
coinfected with HIV/AIDS and hepatitis B or C</quote>; and</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idF98FBFA768D94E48ADA5818AF5286ABA" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">in subsection (d)(2), by striking
<quote>special consideration</quote> and inserting
<quote>preference</quote>.</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idAC1BB4F32C1F48F98EFCF998263D257C" reported-display-style="strikethrough"><enum>(d)</enum><header>Planning and
development grants</header><text display-inline="yes-display-inline">Section
2654(c) of the Public Health Service Act (42 U.S.C. 300ff–54(c)) is
amended—</text>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idBCD642ACCA0B40F5B80C945CFCE78933" reported-display-style="strikethrough"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (1)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="idBAB586D3FE0541FCB0D0D3BF3E2B08B4"><enum>(A)</enum><text display-inline="yes-display-inline">in subparagraph (A), by striking
<quote>HIV</quote>; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id44E660327C6C402FB7A3305A082AE3B9"><enum>(B)</enum><text display-inline="yes-display-inline">in subparagraph (B), by striking
<quote>HIV</quote> and inserting <quote>HIV/AIDS</quote>; and</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idE04F10016EDA410192377C5DB5093C44" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">in paragraph (3), by striking <quote>or
underserved communities</quote> and inserting <quote>areas or to underserved
populations</quote>.</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idB4150796C4144B0AB05CD1421E7DC8D3" reported-display-style="strikethrough"><enum>(e)</enum><header>Authorization of
appropriations</header><text display-inline="yes-display-inline">Section 2655
of the Public Health Service Act (42 U.S.C. 300ff–55) is amended by striking
<quote>such sums</quote> and all that follows through <quote>2005</quote> and
inserting <quote>, $218,600,000 for fiscal year 2007, $226,700,000 for fiscal
year 2008, $235,100,000 for fiscal year 2009, $234,800,000 for fiscal year
2010, and $252,800,000 for fiscal year 2011</quote>.</text>
</subsection></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id38BEC9B594D1498AA6271A7B8234BE08" reported-display-style="strikethrough" section-type="subsequent-section"><enum>302.</enum><header>General
provisions</header>
<subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id5963E3363F044D8389FC3DCC6CD80439" reported-display-style="strikethrough"><enum>(a)</enum><header>Counseling
services</header><text display-inline="yes-display-inline">Section 2662(a) of
the Public Health Service Act (42 U.S.C. 300ff–62(a)) is amended by striking
<quote>the disease</quote> and inserting <quote>HIV/AIDS</quote>.</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id4DD6F51E81744D5AACE4022B6426490D" reported-display-style="strikethrough"><enum>(b)</enum><header>Applicability of
certain requirements</header><text display-inline="yes-display-inline">Section
2663 of the Public Health Service Act (42 U.S.C. 300ff–63) is amended by
striking <quote>will, without</quote> and all that follows through <quote>be
carried</quote> and inserting <quote>with funds appropriated through this Act
will be carried</quote>.</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id811F24468C824FB38691AEAC6A063D78" reported-display-style="strikethrough"><enum>(c)</enum><header>Additional
required agreements</header><text display-inline="yes-display-inline">Section
2664(a) of the Public Health Service Act (42 U.S.C. 300ff–64(a)) is
amended—</text>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id07CF3FFAE1174B358D9E1362D2D98AC7" reported-display-style="strikethrough"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (1)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id3E57E32A5DFC49D68325AFDF3B5810CF"><enum>(A)</enum><text display-inline="yes-display-inline">in subparagraph (A), by striking
<quote>and</quote> at the end;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idFFB7A26A88994DC4ADBB94F8E1A4F818"><enum>(B)</enum><text display-inline="yes-display-inline">in subparagraph (B), by striking
<quote>and</quote> at the end; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id6D5D77C2A6D040AB943127F338974C00"><enum>(C)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id52B4835084444D35A812DD0FE793ED91" style="OLC">
<subparagraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID0a7070a1457e4fcdab8d742a7a662b42" reported-display-style="strikethrough"><enum>(C)</enum><text display-inline="yes-display-inline">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</text>
</subparagraph><subparagraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDf8d5eba016af4f3497ff5c7686dea2a2" reported-display-style="strikethrough"><enum>(D)</enum><text display-inline="yes-display-inline">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) or through additional
outcome measures;</text>
</subparagraph><after-quoted-block>;
</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idEBFD636EAF2E47DF830A9E07D4E5AC47" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">in paragraph (2), by striking the period
and inserting a semicolon; and</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idCB2DCA018ADC479383C2042684B5264C" reported-display-style="strikethrough"><enum>(3)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id28114744FCF64BD5B8782304B486D746" style="OLC">
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID3dd5b2313ed148a8b08a8d5108ec5009" reported-display-style="strikethrough"><enum>(3)</enum><text display-inline="yes-display-inline">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</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idD7559D570D2843B19E118C23BC24DEEB" reported-display-style="strikethrough"><enum>(4)</enum><text display-inline="yes-display-inline">the applicant agrees to 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.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idD7FFFA71A82B47DAA77AAF1B876A7367" reported-display-style="strikethrough" section-type="subsequent-section"><enum>303.</enum><header>Core medical
services</header><text display-inline="no-display-inline">Subpart II of part C
of title XXVI of the <act-name parsable-cite="PHSA">Public Health Service
Act</act-name> (42 U.S.C. 300ff–61 et seq.) is amended by adding at the end the
following:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="id941A3D7BCDEC4263A87B700099611C06" style="OLC">
<section commented="no" display-inline="no-display-inline" id="id68A76593B7AD438FB15F06E4B8B86553" section-type="subsequent-section"><enum>2688.</enum><header>Required
funding for core medical services</header>
<subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id10F6E82DFA3C41D199AE0A2FB08665D2" reported-display-style="strikethrough"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Notwithstanding any
other provision of law, a grantee under this part shall expend not less than 75
percent of the funds received under the grant on core medical services, except
that the Secretary shall waive the application of this section with respect to
a grantee if the Secretary determines that, within the service area of the
grantee—</text>
<paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="id5626F6A1878E49CF8CECAE14DFFAC817" reported-display-style="strikethrough"><enum>(1)</enum><text display-inline="yes-display-inline">there is no waiting lists for AIDS Drug
Assistance Program services; and</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="id07421496CF9D413FAD1CD4974D8F3797" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">core medical services are available to all
individuals infected with HIV/AIDS.</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id9391713E562345D1A50110F249EE956C" reported-display-style="strikethrough"><enum>(b)</enum><header>Core medical
services</header><text display-inline="yes-display-inline">For purposes of this
section, the term <term>core medical services</term> with respect to an
individual infected with HIV/AIDS (including the co-occurring diseases of the
individual) means the following services:</text>
<paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="id3CE82A69758E4F13BD6F51C6EC7E1107" reported-display-style="strikethrough"><enum>(1)</enum><text display-inline="yes-display-inline">Outpatient and ambulatory health
services.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="id30C9BB5BF1A94AE09774615333CC5107" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">AIDS Drug Assistance Program
treatments.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="id1175959FB52D4F83A655F1DB9E72E2AC" reported-display-style="strikethrough"><enum>(3)</enum><text display-inline="yes-display-inline">AIDS pharmaceutical assistance.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="id6A7AA327D679458189D8EC9944D2F8AA" reported-display-style="strikethrough"><enum>(4)</enum><text display-inline="yes-display-inline">Oral health care.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="idFE318617F0D94555B9189C365AB4AF00" reported-display-style="strikethrough"><enum>(5)</enum><text display-inline="yes-display-inline">Early intervention services.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="id1FD32C1C4F404C009578F8ECF08F89D3" reported-display-style="strikethrough"><enum>(6)</enum><text display-inline="yes-display-inline">Health insurance premium and cost sharing
assistance for low-income individuals.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="idBF9D3C4E3A004EC8877E212B5C483B4F" reported-display-style="strikethrough"><enum>(7)</enum><text display-inline="yes-display-inline">Home health care.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="id09334DD9F304499780F3ACF28D5CDA9C" reported-display-style="strikethrough"><enum>(8)</enum><text display-inline="yes-display-inline">Hospice services.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="id22DDB53B675E4611972E51CBEE47372D" reported-display-style="strikethrough"><enum>(9)</enum><text display-inline="yes-display-inline">Home and community-based health services as
defined under section 2614(c), except homemaker services.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="id171E47B875024A0A8419D8E437A941C9" reported-display-style="strikethrough"><enum>(10)</enum><text display-inline="yes-display-inline">Mental health services.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="idAFBC47C01887468191881FFEA7D4ABA2" reported-display-style="strikethrough"><enum>(11)</enum><text display-inline="yes-display-inline">Substance abuse outpatient care.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="id901EDDF1D8654CF8AD26ED7B7BEDB063" reported-display-style="strikethrough"><enum>(12)</enum><text display-inline="yes-display-inline">Medical case management, including
treatment adherence services.</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idD364E2AA07214B42A019EBE4D2E912DB" reported-display-style="strikethrough"><enum>(c)</enum><header>Support
services</header><text display-inline="yes-display-inline">Notwithstanding any
other provision of law, and subject to subsection (a), a grantee under this
part, subject to the approval of the Secretary, may provide support services
(such as respite care for individuals with HIV/AIDS, outreach services, medical
transportation, nutritional counseling, linguistic services, and referral for
health care and support services for individuals with HIV/AIDS) needed to
achieve medical outcomes which are related to the medical outcomes for an
individual infected with HIV and approved by the Secretary.</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idF16D519423C64FA88A73DD9A0D2709DD" reported-display-style="strikethrough"><enum>(d)</enum><header>Definition of
medical outcomes</header><text display-inline="yes-display-inline">In this
section, the term <quote>medical outcomes</quote> means those outcomes
affecting the HIV-related clinical status of an individual with
HIV/AIDS.</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id83B2183A7AB0499FA264DEBCB4D280FF" reported-display-style="strikethrough"><enum>(e)</enum><header>Unexpended
funds</header><text display-inline="yes-display-inline">Any amounts required to
be expended for core medical services or support services under this section
that remain unobligated at the end of the fiscal year in which the funds were
awarded shall be remitted to the Secretary for reallocation under this
section.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id77E64F0965774BD19F29329CC4AB54F4" reported-display-style="strikethrough" section-type="subsequent-section"><enum>304.</enum><header>Payer of last
resort</header><text display-inline="no-display-inline">Section 2664(f)(1)(A)
of the Public Health Service Act (42 U.S.C. 300ff–64(f)(1)(A)) is amended by
inserting <quote>(except for a program administered by or providing the
services of the Indian Health Service)</quote> before the semicolon.</text>
</section><enum>IV</enum><header>Women, infants, children, and youth</header>
<section commented="no" display-inline="no-display-inline" id="id33C963DDE08F4358BC613B7B123DC665" section-type="subsequent-section"><enum>401.</enum><header>Women, infants, children, and
youth</header><text display-inline="no-display-inline">Part D of title XXVI of
the Public Health Service Act (42 U.S.C. 300ff–71 et seq.) is amended to read
as follows:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="id7776CACAF6654D5F879042029A822EE4" style="OLC">
<part commented="no" id="idB5C17804B64E4953AF205DEAA21994C6"><enum>D</enum><header>Women, infants,
children, and youth</header>
<section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDc1700d8b80884217bd60d0a18a4b8d37" reported-display-style="strikethrough" section-type="subsequent-section"><enum>2671.</enum><header>Grants for
coordinated services and access to research for women, infants, children, and
youth</header>
<subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID548bc34c0dd847d7bcf0b40ea1fa30e8" reported-display-style="strikethrough"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">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)
that provide family-centered care involving outpatient or ambulatory care
(directly or through contracts) for women, infants, children, and youth with
HIV/AIDS.</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDaafa8c65094a4f7e8a3194cb59ed5b2f" reported-display-style="strikethrough"><enum>(b)</enum><header>Additional
services for patients and families</header><text display-inline="yes-display-inline">Funds provided under grants awarded under
subsection (a) may be also be used for the following support services:</text>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID66877c32bacd41c892fe828562c12a28" reported-display-style="strikethrough"><enum>(1)</enum><text display-inline="yes-display-inline">Family-centered care including case
management.</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID5f1c854ec30d4b2fa5eeb75eaee1a195" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">Referrals for additional services
including—</text>
<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="idAFA08F785A14406B9D90DDAA0665FA24" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">referrals for inpatient hospital services,
treatment for substance abuse, and mental health services; and</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id0661EAC90F6E4990BF2C14815884E60D" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">referrals for other social and support
services, as appropriate.</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID87ba44737a2c491a93f6eaeac9231a8c" reported-display-style="strikethrough"><enum>(3)</enum><text display-inline="yes-display-inline">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.</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDaaefdfde2dc348f4aca811c114a2369c" reported-display-style="strikethrough"><enum>(4)</enum><text display-inline="yes-display-inline">The provision of information and education
on opportunities to participate in HIV/AIDS-related clinical research.</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID3f8f7d9012b34c4e87b90c17384a84d7" reported-display-style="strikethrough"><enum>(c)</enum><header>Coordination
with other entities</header><text display-inline="yes-display-inline">A grant
awarded under subsection (a) may be made only if the applicant provides an
agreement that includes the following:</text>
<paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID664a198d1ca34136a6b09c0f83689205" reported-display-style="strikethrough"><enum>(1)</enum><text display-inline="yes-display-inline">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.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID5d4d27f83a7448fd9d1f8b52d3ad9b6a" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">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.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID05ee83c5c675488c8a627562fff070c9" reported-display-style="strikethrough"><enum>(3)</enum><text display-inline="yes-display-inline">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.</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDf381b4ce105848f8b364fd2645571246" reported-display-style="strikethrough"><enum>(d)</enum><header>Administration</header><text display-inline="yes-display-inline"></text>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDa70d1ed222224c559b24819a1a0dae5e" reported-display-style="strikethrough"><enum>(1)</enum><header>Application</header><text display-inline="yes-display-inline">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:</text>
<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID4a410952992d471792b481c625012657" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">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).</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID7b768d464fb5440997987c3479f3d7a2" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">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.</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDd2ac551b62a2495d8fbf2f2d7643b1d5" reported-display-style="strikethrough"><enum>(2)</enum><header>Quality
management program</header><text display-inline="yes-display-inline">A grantee
under this section shall implement a 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.</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDb15506b5b738416cb91120f533cd6fcc" reported-display-style="strikethrough"><enum>(e)</enum><header>Annual review of
programs; evaluations</header><text display-inline="yes-display-inline"></text>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDd1ac1e9501284c7b8f982be74e61cccf" reported-display-style="strikethrough"><enum>(1)</enum><header>Review regarding
access to and participation in programs</header><text display-inline="yes-display-inline">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:</text>
<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID3ad2e9f5dd0c447da8531476c3a4af4b" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">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.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID489342fb46674181b6202fcc974f4d10" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">Other procedures or policies of the entity
regarding the participation of such individuals in such program.</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDfe210e7b8f564304899471b168ac14a3" reported-display-style="strikethrough"><enum>(2)</enum><header>Evaluations</header><text display-inline="yes-display-inline">—The Secretary shall, directly or through
contracts with public and private entities, provide for evaluations of programs
carried out pursuant to subsection (a).</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID0a6ec31e4c5049adb45412c80f01d954" reported-display-style="strikethrough"><enum>(f)</enum><header>Cap on
administrative expenses</header><text display-inline="yes-display-inline">A
grantee may not use more than 10 percent of amounts received under a grant
awarded under this section for administrative expenses.</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDb2b453d367764bc7a9b139c2ad3d614d" reported-display-style="strikethrough"><enum>(g)</enum><header>Training and
technical assistance</header><text display-inline="yes-display-inline">From the
amounts appropriated under subsection (i) 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.</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID2df67c75b3954e158faee61114c2b5c1" reported-display-style="strikethrough"><enum>(h)</enum><header>Definitions</header><text display-inline="yes-display-inline">In this section:</text>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idF14ECB036F5E4537BB4B5D8EB9F2B59A" reported-display-style="strikethrough"><enum>(1)</enum><header>Administrative
expenses</header><text display-inline="yes-display-inline">The term
<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.</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id2187895319F4455A8FB80AC3734DCE38" reported-display-style="strikethrough"><enum>(2)</enum><header>Indirect
costs</header><text display-inline="yes-display-inline">The term <term>indirect
costs</term> means costs included in a Federally negotiated indirect
rate.</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id338CA6A58B5E4D25B43E1991C4A0FC21" reported-display-style="strikethrough"><enum>(3)</enum><header>Services</header><text display-inline="yes-display-inline">The term <term>services</term>
means—</text>
<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id58EE1745BC14479CB822F3D9377AD2E2" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">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</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id8C65E74D32B848CDB3467FA249D8FC9A" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">services that sustain program activity and
contribute to or help improve services under subparagraph (A).</text>
</subparagraph></paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDcc74a7764fe54f9fac70098024eb617d" reported-display-style="strikethrough"><enum>(i)</enum><header>Authorization of
appropriations</header><text display-inline="yes-display-inline">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
2011.</text>
</subsection></section></part><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id59AC1E40347246EF916EFDE4A0789812" reported-display-style="strikethrough" section-type="subsequent-section"><enum>402.</enum><header>GAO
Report</header><text display-inline="no-display-inline">Not later than 24
months after the date of enactment of this Act, the Comptroller General of the
Government Accountability Office shall conduct an evaluation, and submit to
Congress a report, concerning the funding provided for under part D of title
XXVI of the Public Health Service Act to determine—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idD183BC35A50444DA91907CBE7B04F074"><enum>(1)</enum><text display-inline="yes-display-inline">how funds are used to provide the
administrative expenses, indirect costs, and services, as defined in section
2671(h) of such title, for individuals with HIV/AIDS;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id34D4325933E84F39B418B777F7011964"><enum>(2)</enum><text display-inline="yes-display-inline">how funds are used to provide the
administrative expenses, indirect costs, and services, as defined in section
2671(h) of such title, to family members of women, infants, children, and youth
infected with HIV/AIDS;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idE631336AF01542C6B91C99274DEB71F9"><enum>(3)</enum><text display-inline="yes-display-inline">how funds are used to provide
family-centered care involving outpatient or ambulatory care authorized under
section 2671(a) of such title;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id7C14CF0C34D1464FBCD7D4C725196600"><enum>(4)</enum><text display-inline="yes-display-inline">how funds are used to provide additional
services authorized under section 2671(b) of such title; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idC06F50C3ACF64D7A93961D3EB830B396"><enum>(5)</enum><text display-inline="yes-display-inline">how funds are used to help identify
HIV-positive pregnant women and connect them with care that can improve their
health and prevent perinatal transmission.</text>
</paragraph></section><enum>V</enum><header>General provisions</header>
<section commented="no" display-inline="no-display-inline" id="id5A46A9F626D6427199CA351E595EC7CE" section-type="subsequent-section"><enum>501.</enum><header>General Provisions</header><text display-inline="no-display-inline">Part E of title XXVI of the Public Health
Service Act (42 U.S.C. 300ff–80 et seq.) is amended to read as follows:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="id35FAE50A305F4B9C85470219BBC11538" style="OLC">
<part commented="no" id="id8B1AF53DC37E4758B5CD36F4254628BD"><enum>E</enum><header>General
Provisions</header>
<section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID2bc6a1dbf820477cab8650e8dbff5f58" reported-display-style="strikethrough" section-type="subsequent-section"><enum>2681.</enum><header>Coordination</header>
<subsection changed="deleted" commented="no" display-inline="no-display-inline" id="ID312605ab11b845a186abe07c9758b777" reported-display-style="strikethrough"><enum>(a)</enum><header>Requirement</header><text display-inline="yes-display-inline">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 the Minority AIDS
Initiative 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.</text>
</subsection><subsection changed="deleted" commented="no" display-inline="no-display-inline" id="IDf49ff3cb45094be380408ec876554a3a" reported-display-style="strikethrough"><enum>(b)</enum><header>Report</header><text display-inline="yes-display-inline">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.</text>
</subsection><subsection changed="deleted" commented="no" display-inline="no-display-inline" id="ID19a8ca065f504e4686a6c2e94e650960" reported-display-style="strikethrough"><enum>(c)</enum><header>Integration by
State</header><text display-inline="yes-display-inline">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.</text>
</subsection><subsection changed="deleted" commented="no" display-inline="no-display-inline" id="ID36abeff16c6143068861631df5272078" reported-display-style="strikethrough"><enum>(d)</enum><header>Integration by
local or private entities</header><text display-inline="yes-display-inline">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.</text>
</subsection></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID8ed03cb6eaad47abba5731aa4dfb6533" reported-display-style="strikethrough" section-type="subsequent-section"><enum>2682.</enum><header>Audits</header>
<subsection changed="deleted" commented="no" display-inline="no-display-inline" id="ID6c300785a2864c208c44da136ae8cfc3" reported-display-style="strikethrough"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">For fiscal year 2007,
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.</text>
</subsection><subsection changed="deleted" commented="no" display-inline="no-display-inline" id="ID3a3ca6de0d764d20bb531794e9af8d93" reported-display-style="strikethrough"><enum>(b)</enum><header>Posting on the
Internet</header><text display-inline="yes-display-inline">All audits that the
Secretary receives from the State lead agency under section 2617(b)(4) shall be
posted on the Internet website of the Health Resources and Services
Administration.</text>
</subsection></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDa88f1e3d301441509d62e496f45b3f83" reported-display-style="strikethrough" section-type="subsequent-section"><enum>2683.</enum><header>Public health
emergency</header>
<subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id239BB2C0106849E68415A1F2970AD8FC" reported-display-style="strikethrough"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">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).</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idE7CE02DF612C4762AD8181D8BDC53E24" reported-display-style="strikethrough"><enum>(b)</enum><header>Emergency area
and emergency period</header><text display-inline="yes-display-inline">In this
section:</text>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id8217929BF4B742A28EA4A5D1AD341536" reported-display-style="strikethrough"><enum>(1)</enum><header>Emergency
area</header><text display-inline="yes-display-inline">The term <term>emergency
area</term> means a geographic area in which there exists—</text>
<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id42C43309EDC14871AA969C5B727C3A09" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">an emergency or disaster declared by the
President pursuant to the National Emergencies Act of the Robert T. Stafford
Disaster Relief and Emergency Assistance Act; and</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id78AB77CC2285480FACF098086B3FEF98" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">a public health emergency declared by the
Secretary pursuant to section 319.</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id79C4E99A5A1F4B41913798580C359508" reported-display-style="strikethrough"><enum>(2)</enum><header>Emergency
period</header><text display-inline="yes-display-inline">The term
<term>emergency period</term> means the period in which there exists—</text>
<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id6B232B8576BB4C9188130F21D0FE86ED" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">an emergency or disaster declared by the
President pursuant to the National Emergencies Act of the Robert T. Stafford
Disaster Relief and Emergency Assistance Act; and</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="idFBC9F6CFD84B4D398212F17C3FE51D65" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">a public health emergency declared by the
Secretary pursuant to section 319.</text>
</subparagraph></paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id67EBF4F506814201A1F1B023F6CD03DF" reported-display-style="strikethrough"><enum>(c)</enum><header>Unobligated
funds</header><text display-inline="yes-display-inline">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.</text>
</subsection></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDca44d1ad37b241e7859e9f17aab66b5d" reported-display-style="strikethrough" section-type="subsequent-section"><enum>2684.</enum><header>Prohibition on
promotion of certain activities</header><text display-inline="no-display-inline">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.</text>
</section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id08C4D09A5CF741FEA982A8FF8D829065" reported-display-style="strikethrough" section-type="subsequent-section"><enum>2685.</enum><header>Privacy
protections</header><text display-inline="no-display-inline">The Secretary
shall collect client-level data under this title in a manner that is consistent
with the unique identifier as reported to the Director of the Centers for
Disease Control and Prevention as of the date of enactment of this
section.</text>
</section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idBB760DD257BB445A8EB0CA9C8BE5BB47" reported-display-style="strikethrough" section-type="subsequent-section"><enum>2686.</enum><header>GAO
report</header><text display-inline="no-display-inline">The Comptroller General
of the Government Accountability Office shall biennially submit to the
appropriate committees of Congress a report that includes a description of
Federal, State, and local barriers to HIV program integration, particularly for
racial and ethnic minorities, and recommendations for enhancing the continuity
of care and the provision of prevention services for individuals with HIV/AIDS
or those at risk for such disease. Such report shall include a demonstration of
the manner in which funds under this subpart are being expended and to what
extent the services provided with such funds increase access to prevention and
care services for individuals with HIV/AIDS and build stronger community
linkages to address HIV prevention and care for racial and ethnic minority
communities.</text>
</section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDe628d80be9df4fbe9dae69bd6ffb0fd2" reported-display-style="strikethrough" section-type="subsequent-section"><enum>2687.</enum><header>Definitions</header><text display-inline="no-display-inline">For purposes of this title:</text>
<paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID9929fef8d9174e13967c22b40c3cfbc6" reported-display-style="strikethrough"><enum>(1)</enum><header>Counseling</header><text display-inline="yes-display-inline">The term <term>counseling</term> means such
counseling provided by an individual trained to provide such counseling.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="id7AE5E498F6D947F0BD2A92DF9D1D9A9B" reported-display-style="strikethrough"><enum>(2)</enum><header>Family-centered
care</header><text display-inline="yes-display-inline">The term
<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.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID190f70c01fa84735a71d5274f9378706" reported-display-style="strikethrough"><enum>(3)</enum><header>Families with
hiv/aids</header><text display-inline="yes-display-inline">The term
<term>families with HIV/AIDS</term> means families in which one or more members
have HIV/AIDS.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="idEBB0FC77FB54428D8478061B45A04004" reported-display-style="strikethrough"><enum>(4)</enum><header>
HIV</header><text display-inline="yes-display-inline">The term <term>HIV</term>
means infection with the etiologic agent for acquired immune deficiency
syndrome.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID947f2fdef3ec4b77b6ef21ec39dfb8fa" reported-display-style="strikethrough"><enum>(5)</enum><header>HIV/AIDS</header><text display-inline="yes-display-inline">The term <term>HIV/AIDS</term> means
infection with the etiologic agent for acquired immune deficiency syndrome, and
includes any condition arising from such syndrome.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID88af3e700fcf43bcb132f79a8653abbc" reported-display-style="strikethrough"><enum>(6)</enum><header>Official poverty
line</header><text display-inline="yes-display-inline">The term <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.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="idB449B8DDCA8F4831959401A33A89D1A3" reported-display-style="strikethrough"><enum>(7)</enum><header>Person</header><text display-inline="yes-display-inline">The term <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.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="IDbab10b4a1f0a4adb9bf5737eb25ae685" reported-display-style="strikethrough"><enum>(8)</enum><header>State</header><text display-inline="yes-display-inline">The term <quote>State</quote>, except as
otherwise specifically provided, means each of the 50 States, the District of
Columbia, the Virgin Islands, Guam, American Samoa, the Commonwealth of the
Northern Mariana Islands, Puerto Rico, and the Republic of the Marshall
Islands.</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID9e9869969eae4bc6a5dc550c48ac5f5c" reported-display-style="strikethrough"><enum>(9)</enum><header>Youth with
HIV</header><text display-inline="yes-display-inline">The term <term>youth with
HIV</term> means individuals who are 13 through 24 years old and who have
HIV/AIDS.</text>
</paragraph></section></part><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>VI</enum><header>Demonstration and training</header>
<section commented="no" display-inline="no-display-inline" id="idD3DC33FE6C714AF38500463DE6A20B5E" section-type="subsequent-section"><enum>601.</enum><header>Demonstration and
training</header><text display-inline="no-display-inline">Subpart I of part F
of title XXVI of the Public Health Service Act (42 U.S.C. 300ff–101 et seq.) is
amended to read as follows:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="idC4A75B4BED064214B4EDC95A99BF5CE5" style="OLC">
<part commented="no" id="id400B39EE6B6E4BA0BF0C54F6876CE386"><enum>F</enum><header>Demonstration and
training</header>
<subpart changed="deleted" commented="no" committee-id="SSHR00" id="idEC10EF330E7F4598A46B702E272D0141" reported-display-style="strikethrough"><enum>I</enum><header>Special projects
of national significance</header>
<section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDf2589525ccd84933b05cfd8e1589ef73" reported-display-style="strikethrough" section-type="subsequent-section"><enum>2691.</enum><header>Special projects of
national significance</header>
<subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDdef9a76f0914420f821d7118bcaa1a51" reported-display-style="strikethrough"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">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—</text>
<paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID75d8839d33a74747b368666088ab6349" reported-display-style="strikethrough"><enum>(1)</enum><text display-inline="yes-display-inline">quickly respond to emerging needs of
individuals receiving assistance under this title; and</text>
</paragraph><paragraph changed="deleted" commented="no" display-inline="no-display-inline" id="IDa4a1f38e70c74176a030de1c35ceac53" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">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.</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID5b814295162c48bba425659dd0f58e7f" reported-display-style="strikethrough"><enum>(b)</enum><header>Grants</header><text display-inline="yes-display-inline">The Secretary shall award grants under
subsection (a) to entities eligible for funding under parts A, B, C, and D
based on—</text>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID82832c87670542259365a17e3612f4af" reported-display-style="strikethrough"><enum>(1)(A)</enum><text display-inline="yes-display-inline">whether the funding will promote obtaining
client level data as it relates to the creation of a severity of need index
under section 2618(a)(2)(E)(iii), including funds to facilitate the purchase
and enhance the utilization of qualified health information technology
systems;</text>
<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id23B1D3DDBCBD468F92B6CC762B9E0AA7" indent="up1" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">demonstrated ability to create and maintain
a qualified health information technology system;</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id7E27E51C8D3440A5A0EF3CF4166A5A3B" indent="up1" reported-display-style="strikethrough"><enum>(C)</enum><text display-inline="yes-display-inline">the potential replicability of the proposed
activity in other similar localities or nationally;</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id2074C72B028D4AD593B99831401D6F21" indent="up1" reported-display-style="strikethrough"><enum>(D)</enum><text display-inline="yes-display-inline">the demonstrated reliability of the
proposed qualified health information technology system across a variety of
providers, geographic regions, and clients; and</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="idEB2E06F2CA1A453D89490A738CDAFBF9" indent="up1" reported-display-style="strikethrough"><enum>(E)</enum><text display-inline="yes-display-inline">the demonstrated ability to maintain a safe
and secure qualified health information system; or</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="id38F77CDAC22A4549A4280B2268961A25" indent="up1" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">newly emerging needs of individuals
receiving assistance under this title.</text>
</subparagraph></paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID957bebbcf0dc45bc92ed0a99983df700" reported-display-style="strikethrough"><enum>(c)</enum><header>Coordination</header><text display-inline="yes-display-inline">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.</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idF861E909C62944CBBB77AF6FF0433022" reported-display-style="strikethrough"><enum>(d)</enum><header>Privacy
protection</header><text display-inline="yes-display-inline">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 comply with the privacy regulations promulgated
under section 264(c) of the Health Insurance Portability and Accountability Act
of 1996.</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID3374c603186545ec99808d80caa32e7c" reported-display-style="strikethrough"><enum>(e)</enum><header>Replication</header><text display-inline="yes-display-inline">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 from grantees funded under this
part.</text>
</subsection></section></subpart></part><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id0937E48410254EAE800AA00C6BBE9BBA" reported-display-style="strikethrough" section-type="subsequent-section"><enum>602.</enum><header>AIDS education and
training centers</header><text display-inline="no-display-inline">Section
2692(a)(2) of the Public Health Service Act (42 U.S.C. 300ff–92(a)(2)) is
amended—</text>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id291D182D1C2141BBB3EF89E8BAE7C1B3" reported-display-style="strikethrough"><enum>(1)</enum><text display-inline="yes-display-inline">in subparagraph (A)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="idC2BAE62E95594F6297A26B2686A379FE"><enum>(A)</enum><text display-inline="yes-display-inline">by inserting <quote>and Native
Americans</quote> after <quote>minority individuals</quote>; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idBDB8BEE0BE6D49B2B229401C945D9AC8"><enum>(B)</enum><text display-inline="yes-display-inline">by striking <quote>and</quote> at the
end;</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id8037D0F7CD5F457BA3F62C3E1CC33CCD" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">in subparagraph (B), by striking the period
and inserting <quote>; and</quote>; and</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idD5886F0CB38041DD911F4F1C1E4C9DDC" reported-display-style="strikethrough"><enum>(3)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text>
<quoted-block changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id9EAA3CB51F7D4FF6A9B14817AE0DFC78" reported-display-style="strikethrough" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="idB7DEDD316EB042F7B4060B9A9DB54D50"><enum>(C)</enum><text display-inline="yes-display-inline">train or result in the training of health
professionals and allied health professionals to provide treatment for
hepatitis B or C co-infected
individuals.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDF3EF452CF7194E2CA68832058E28F82D" reported-display-style="strikethrough" section-type="subsequent-section"><enum>603.</enum><header>Codification of
minority aids initiative under ryan white comprehensive aids resources
emergency Act of 1990</header><text display-inline="no-display-inline">Part F
of title XXVI of the <act-name parsable-cite="PHSA">Public Health Service
Act</act-name> (42 U.S.C. 300ff–101 et seq.) is amended by adding at the end
the following:</text>
<quoted-block act-name="Public Health Service Act" committee-id="SSHR00" display-inline="no-display-inline" id="ID7F1FF6749E6A42C2AE992F0445B1D5E3" style="OLC">
<subpart commented="no" id="ID9CB487467F42429B9D3A9920BCD1BC7B"><enum>II</enum><header>Minority AIDS
Initiative</header>
<section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID4249A07332F447F5A4FC36195B46E379" reported-display-style="strikethrough" section-type="subsequent-section"><enum>2693.</enum><header>Minority aids
initiative</header>
<subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID620764CF723040DFA31F8BDD98AF4825" reported-display-style="strikethrough"><enum>(a)</enum><header>In
General</header><text display-inline="yes-display-inline">There is authorized
to be appropriated for the purpose of carrying out activities under this
section to evaluate and address the disproportionate impact of HIV disease and
disparities in access, treatment, care, and outcome on racial and ethnic
minorities, including African Americans, Alaska Natives, Latinos, American
Indians, Asian Americans, Native Hawaiians, and Pacific Islanders, $131,200,000
for fiscal year 2007, $135,100,000 for fiscal year 2008, $139,100,000 for
fiscal year 2009, $143,200,000 for fiscal year 2010, and $147,500,000 for
fiscal year 2010.</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDC054F40E27454CDFB598BD4822BD04DD" reported-display-style="strikethrough"><enum>(b)</enum><header>Certain
Activities</header>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID91C0254A5BC74A6DB4FD2BE48C4B4DBE" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">In carrying out the
purpose described in subsection (a), the Secretary shall provide for—</text>
<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID090B5B135C4B43BCB384704D233D8FAD" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">emergency assistance under part A;</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID7CB752AA11184E86AAEB1D5897BD352F" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">comprehensive care under part B;</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID1868537369E14DD293A793A55BF9FA18" reported-display-style="strikethrough"><enum>(C)</enum><text display-inline="yes-display-inline">early intervention services under part
C;</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="IDE8BE2F9991DB49C4918BE2F12C378EFC" reported-display-style="strikethrough"><enum>(D)</enum><text display-inline="yes-display-inline">services through demonstration projects for
HIV-related care; and</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID971F5784A0C4431E80B83FDCB61AA221" reported-display-style="strikethrough"><enum>(E)</enum><text display-inline="yes-display-inline">activities through education and training
centers under section 2692.</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID0E0ECEB5540D4D92BEDD068E8E27DD8F" reported-display-style="strikethrough"><enum>(2)</enum><header>Allocations
among activities</header><text display-inline="yes-display-inline">Activities
under paragraph (1) shall be carried out by the Secretary in accordance with
the following:</text>
<subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="IDFF5092D693D744B4ACB0C03FA64B1788" reported-display-style="strikethrough"><enum>(A)</enum><text display-inline="yes-display-inline">Of the amount appropriated for each fiscal
year under subsection (a), $43,800,000 for fiscal year 2007, $45,400,000 for
fiscal year 2008, $47,100,000 for fiscal year 2009, $48,800,000 for fiscal year
2010, and $50,700,000 for fiscal year 2010, shall be used for competitive,
supplemental grants to improve HIV-related health outcomes to reduce existing
racial and ethnic health disparities.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID777AC94F7B2D4B459D480153E85309A5" reported-display-style="strikethrough"><enum>(B)</enum><text display-inline="yes-display-inline">Of the amount appropriated for each fiscal
year under subsection (a), $7,000,000 for fiscal year 2007, $7,300,000 for
fiscal year 2008, $7,500,000 for fiscal year 2009, $7,800,000 for fiscal year
2010, and $8,100,000 for fiscal year 2010, shall be used for competitive,
supplemental support educational 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.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="IDF76B8DA8A7CD457F82DEE91F5918B40B" reported-display-style="strikethrough"><enum>(C)</enum><text display-inline="yes-display-inline">Of the amount appropriated for each fiscal
year under subsection (a), $53,400,000 for fiscal year 2007, $55,400,000 for
fiscal year 2008, $57,400,000 for fiscal year 2009, $59,500,000 for fiscal year
2010, and $61,800,000 for fiscal year 2010, shall be used 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.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="ID9385C20A503A48DBA42A36D1AAC8FFE4" reported-display-style="strikethrough"><enum>(D)</enum><text display-inline="yes-display-inline">Of the amount appropriated for each fiscal
year under subsection (a), $18,500,000 for each of fiscal years 2007 through
2011 shall be used for sustaining and expanding efforts to deliver
comprehensive, culturally and linguistically appropriate research-based
intervention and care services for HIV disease to racial and ethnic minority
women, infants, children, and youth.</text>
</subparagraph><subparagraph changed="deleted" commented="no" display-inline="no-display-inline" id="IDA85298E2051C4BAAA75C003CD59563C5" reported-display-style="strikethrough"><enum>(E)</enum><text display-inline="yes-display-inline">Of the amount appropriated for each fiscal
year under subsection (a), $8,500,000 for each of fiscal years 2007 through
2011 shall be used for increasing the training capacity of centers to expand
the number of community-based racial and ethnic minority health care
professionals with treatment expertise and knowledge about the most appropriate
standards of HIV disease-related treatments and medical care for adults,
adolescents, and children with HIV disease.</text>
</subparagraph></paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDC776D31A90874BE892F92739DB3F5AE7" reported-display-style="strikethrough"><enum>(e)</enum><header>Consistency With
Prior Program</header><text display-inline="yes-display-inline">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).</text>
</subsection></section></subpart><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idED16F0026DDC4231800E16A6573828B2" reported-display-style="strikethrough" section-type="subsequent-section"><enum>604.</enum><header>Authorization of
appropriations</header><text display-inline="no-display-inline">Section 2692(c)
of the Public Health Service Act (42 U.S.C. 300ff–92(c)) is amended to read as
follows:</text>
<quoted-block changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="idCA1E8F4AE5D94CE7A2BB8F6E890C6ED6" reported-display-style="strikethrough" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="ID39fc44972f074adca2d1c72397a5e758"><enum>(c)</enum><header>Authorization of
appropriations</header><text display-inline="yes-display-inline"></text>
<paragraph commented="no" display-inline="no-display-inline" id="IDec7e36565b3a481ba0f104996362bfaf"><enum>(1)</enum><header>Schools;
centers</header><text display-inline="yes-display-inline">For the purpose of
awarding grants under subsection (a), there and authorized to be appropriated
$34,700,000 for each of fiscal years 2007 through 2011.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDfb7bbf505f9d4803bd39be4e18fdaa9c"><enum>(2)</enum><header>Dental
schools</header><text display-inline="yes-display-inline">For the purpose of
awarding grants under paragraphs (2) and (3) of subsection (b), there are
authorized to be appropriated $13,000,000 for each of fiscal years 2007 through
2011.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>VII</enum><header>Miscellaneous provisions</header>
<section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id4AD65E46ECE94F9A95BAF40377F51519" reported-display-style="strikethrough" section-type="subsequent-section"><enum>701.</enum><header>Hepatitis</header>
<subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id73D60FF7A4C8481CBC6E67749540AE05" reported-display-style="strikethrough"><enum>(a)</enum><header>Provision of
certain counseling services</header><text display-inline="yes-display-inline">Section 2662 of the Public Health Service
Act (42 U.S.C. 300ff–62) is amended—</text>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idF12F3927E68649A499B515AE760225DC" reported-display-style="strikethrough"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="ID3cae54f94832408ab87982996d73f010"><enum>(A)</enum><text display-inline="yes-display-inline">in paragraph (1), by inserting <quote>,
hepatitis B, and hepatitis C</quote> before the semicolon;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID1e99fc4d906347ebb6614060c8a4c541"><enum>(B)</enum><text display-inline="yes-display-inline">in paragraph (2), by inserting <quote>and
testing for hepatitis B and hepatitis C</quote> before the semicolon;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id7B6BFB9E19F044BCB694C33FDE637B66"><enum>(C)</enum><text display-inline="yes-display-inline">in paragraph (6), by striking
<quote>and</quote> at the end;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id3A5034C623A94DEFA24E30B4C3A284DF"><enum>(D)</enum><text display-inline="yes-display-inline">in paragraph (7), by striking the period
and inserting <quote>; and</quote>; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="IDe3fb1ae4dc7e4d499ada0d2b954ffd36"><enum>(E)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text>
<quoted-block changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="idA9CCCE91C398479791ED1334CB037D92" reported-display-style="strikethrough" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="IDf65fcbfb2136482ab27b3e788929319e"><enum>(8)</enum><text display-inline="yes-display-inline">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.</text>
</paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID770431fc06ef4f219398d925e853c6ef" reported-display-style="strikethrough"><enum>(2)</enum><text display-inline="yes-display-inline">in subsection (c)(3)(C)(i), by inserting
<quote>, hepatitis B, or hepatitis B</quote> after <quote>exposed to
HIV</quote> each place that such appears.</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="IDa0e92f0b8b78442e9303fcdbea0b0b59" reported-display-style="strikethrough"><enum>(b)</enum><header>Use of
amounts</header><text display-inline="yes-display-inline">Section 2667 of the
Public Health Service Act (42 U.S.C. 300ff–67) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id2959BEA1489A4EDF8D1689404B5EFC27"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (2), by striking
<quote>and</quote> at the end;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id90117F870F8240A29EAC0B79DBC519D4"><enum>(2)</enum><text display-inline="yes-display-inline">in paragraph (3), by striking the period
and inserting <quote>; and</quote>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idE9AA3E07EE8D47E7AB1ED6D09B6D0AF6"><enum>(3)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text>
<quoted-block changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id2336E50269674A86B2457784908FD73C" reported-display-style="strikethrough" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="IDe8ca9b32bcda4bf4acb3e99535fd0d2e"><enum>(4)</enum><text display-inline="yes-display-inline">shall provide information on the
transmission and prevention of hepatitis A, B, and C and the location of
entities that provide hepatitis A and B vaccinations to individuals with
HIV.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id01B2FF16361040D1A31F2F63674DC405" reported-display-style="strikethrough" section-type="subsequent-section"><enum>702.</enum><header>Technical
provisions</header><text display-inline="no-display-inline">Title XXVI of the
Public Health Service Act (42 U.S.C. 300ff et seq.) is amended by striking
<quote>HIV disease</quote> each place that such appears and inserting
<quote>HIV/AIDS</quote>.</text>
</section><section changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id75E5848E2F884C73A807CEA1D1B600EF" reported-display-style="strikethrough" section-type="subsequent-section"><enum>703.</enum><header>Repeal</header><text display-inline="no-display-inline">Section 2677 of the Public Health Service
Act (42 U.S.C. 300ff–77) is repealed.</text>
</section>
1.This Act may be cited as the
Ryan White HIV/AIDS Treatment
Modernization Act of 2006
.
<enum>I</enum><header>Emergency relief for
eligible areas</header>
<section changed="added" committee-id="SSHR00" id="idbcc9d98a-32dc-4476-9051-8fbd943b00b8" reported-display-style="italic"><enum>101.</enum><header>Establishment and
general eligibility</header>
<subsection id="id7cdebcf9-aa49-4bde-b223-97ef4fd3c372"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Section 2601 of the Public Health Service
Act (42 U.S.C. 300ff–11) is amended by striking subsections (b) through (d) and
inserting the following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="idff7a06b0-af78-49ef-b798-8e4b33b34c7a" reported-display-style="italic" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="idab78e6b9-b17e-488b-8080-23ec238892a4"><enum>(b)</enum><header>Continued status as
eligible area</header><text display-inline="yes-display-inline">Notwithstanding
any other provision of this section, a metropolitan area shall continue to be
eligible to receive a grant under this part until such area, for three
consecutive grant years, fails to meet the requirements of subsection
(a).</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="added" committee-id="SSHR00" id="id560bf83f-c401-40a1-a399-41cc97b089f1" reported-display-style="italic"><enum>(b)</enum><header>Definition</header><text>Section
2607(2) of the Public Health Service Act (42 U.S.C. 300ff–17(2)) is amended by
adding at the end the following: <quote>For purposes of determining eligibility
under this part, the boundaries of each metropolitan area shall be the
boundaries that were in effect for each such area for fiscal year
1994.</quote>.</text>
</subsection></section><section changed="added" committee-id="SSHR00" id="ide4b3e02b-33c2-42ed-939b-a24d55a16cb9" reported-display-style="italic"><enum>102.</enum><header>Living cases of
HIV/AIDS</header>
<subsection changed="added" committee-id="SSHR00" id="id724cdbe0-f1be-4a17-b25a-44a9096e01ef" reported-display-style="italic"><enum>(a)</enum><header>In
general</header><text>Section 2601(a) of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (42 U.S.C.
300ff–11(a)) is amended by striking <quote>for which there</quote> and all that
follows through <quote>available</quote> and inserting <quote>for which there
is 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 for the most
recent period of 5 calendar years for which such data are
available</quote>.</text>
</subsection><subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id6c734643-66f4-45e6-b3c5-dbc93571cae4" reported-display-style="italic"><enum>(b)</enum><header>Distribution based on
living cases of HIV/AIDS</header><text>Section 2603(a)(3) of the Public Health
Service Act (42 U.S.C. 300ff–13(a)(3)) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idd4c9d3ba-06d7-4261-ba4d-29ba6e9b1110"><enum>(1)</enum><text>in
subparagraph (B), by striking <quote>cases of acquired immune deficiency
syndrome</quote> and inserting <quote>cases of HIV/AIDS (reported to and
confirmed by the Director of the Centers for Disease Control and
Prevention)</quote>;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id1e71a05b-32d3-4b0d-955d-58a5a70dede6"><enum>(2)</enum><text>by
striking subparagraphs (C) and (D) and inserting the following:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="id220e7a50-e7fe-447c-9875-86707d41e972" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="idc0e987d0-68ce-43f8-89e2-ad1c19646a37"><enum>(C)</enum><header>Living cases of
HIV/AIDS</header>
<clause changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id453a4974-90bf-4e5a-a6d0-bcc660d5713c" reported-display-style="italic"><enum>(i)</enum><header>In
general</header><text>Except as provided for in clauses (ii) and (iii), the
amount determined in this subparagraph is the number of living cases of
HIV/AIDS (reported to and confirmed by the Director of the Centers for Disease
Control and Prevention) through December 31 of the most recent calendar
year.</text>
</clause><clause changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id5ac89e01-5e2c-4292-a093-3bd96e58903a" reported-display-style="italic"><enum>(ii)</enum><header>Fiscal years 2007
through 2010</header><text>For each of fiscal years 2007 through 2010, the
Secretary may use the proxy number for the number of HIV cases described in
clause (iii) if—</text>
<subclause changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id4312ec38-e8ed-4e82-8b22-7d23b6d91f13" reported-display-style="italic"><enum>(I)</enum><text>the State
involved—</text>
<item changed="added" commented="no" display-inline="no-display-inline" id="idc25bd227-3318-44b1-a281-8c506674d570" reported-display-style="italic"><enum>(aa)</enum><text>is reporting, or the
State will by October 1, 2006 have submitted a transition plan for reporting,
accurate and reliable HIV cases to the Director of the Centers for Disease
Control and Prevention; or</text>
</item><item changed="added" commented="no" display-inline="no-display-inline" id="id7ebf9bef-3867-4dbb-b35c-82e1c75c8694" reported-display-style="italic"><enum>(bb)</enum><text>not later than October
1, 2006, make all necessary statutory changes to allow for the collection of
HIV data certified by the Director of the Centers for Disease Control and
Prevention;</text>
</item></subclause><subclause changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id1a03ef3b-bc84-4474-88dd-e02a906bfd80" reported-display-style="italic"><enum>(II)</enum><text>the State involved will
by April 1, 2008, begin reporting accurate and reliable HIV cases, as
determined by the Director of the Centers for Disease Control and Prevention;
and</text>
</subclause><subclause changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id041b3fa8-7c94-4853-a339-0ac9974576bc" reported-display-style="italic"><enum>(III)</enum><text>the Director of the
Centers for Disease Control and Prevention has determined that such State does
not have an established HIV surveillance system.</text>
</subclause></clause><clause changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idb28dc3ae-131f-493f-b45a-3810865eda90" reported-display-style="italic"><enum>(iii)</enum><header>Amount
determined</header><text>With respect to each of fiscal years 2007 through
2010, the amount determined under this subparagraph shall be the lesser
of—</text>
<subclause changed="added" commented="no" display-inline="no-display-inline" id="ida15620b7-2ccd-4478-9d53-0059155ffeb3" reported-display-style="italic"><enum>(I)</enum><text>the product of 0.9 and
the number of living AIDS cases in the area involved; or</text>
</subclause><subclause changed="added" commented="no" display-inline="no-display-inline" id="id8dff5214-f00c-489f-a057-1baa8db36b43" reported-display-style="italic"><enum>(II)</enum><text>an amount equal to 110
percent of the funding level for the previous fiscal year, taking into account
the shift of the formula pool from 0.5 to 0.67 in fiscal year
2006.</text>
</subclause></clause></subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id5f80ce23-57ed-4978-b470-d76ddbb7a53a" reported-display-style="italic"><enum>(3)</enum><text>by redesignating
subparagraph (E) as subparagraph (D).</text>
</paragraph></subsection><subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idc51872fc-ef82-447d-80bb-85a3e160848f" reported-display-style="italic"><enum>(c)</enum><header>Application</header><text>Section
2604(b)(4)(A) of the Public Health Service Act (42 U.S.C. 300ff–14(b)(4)(A)) is
amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idfb0e27b5-ed9f-4e5f-8bd6-1bcc383c83be"><enum>(1)</enum><text>by
striking <quote>acquired immune deficiency syndrome</quote> and inserting
<quote>HIV/AIDS</quote>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id098029c5-c401-42c2-bba4-5285d7c77c38"><enum>(2)</enum><text>by
striking <quote>such syndrome</quote> and inserting
<quote>HIV/AIDS</quote>.</text>
</paragraph></subsection><subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id79948356-c0b9-4759-a8ca-f6a17b99161b" reported-display-style="italic"><enum>(d)</enum><header>Coordination</header><text>Section
2605(b) of the Public Health Service Act (42 U.S.C. 300ff–15(b)) is
amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id181f3b01-f6bb-4a6d-8e0e-ffb2f869e5e4"><enum>(1)</enum><text>in
paragraph (3), by striking <quote>and</quote> at the end;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id10d0e479-2652-444f-b6e7-e2b6731e0275"><enum>(2)</enum><text>in
paragraph (4), by striking the period and inserting a semicolon; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id68cb1532-727d-419c-952f-393473b7742e"><enum>(3)</enum><text>by
adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id52957f6b-8203-4262-a1ef-5aac538dbb6d" style="OLC">
<paragraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id6018ce55-fa6e-4362-af53-afb8d88b3e1e" reported-display-style="italic"><enum>(5)</enum><text>the manner in which the
expected expenditures under the grant are related to the planning process for
States that receive funding under part B (including the planning process
described in section 2617(b)); and</text>
</paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id580ae10c-9980-4d60-8fc2-c08f6947d78f" reported-display-style="italic"><enum>(6)</enum><text>the expected expenditures
under the grant and how those expenditures will improve overall client
outcomes, as described under the State plan under section 2617(b), or through
additional outcomes
measures.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section><section changed="added" committee-id="SSHR00" id="id333474f2-4bbb-4064-8c5c-9d334437fb07" reported-display-style="italic"><enum>103.</enum><header>Type and distribution
of grants</header>
<subsection id="id3d76adcc-d360-4fd1-83f1-709d2c1010cb"><enum>(a)</enum><header>Distribution of
funds</header><text>Section 2603(a)(2) of the Public Health Service Act (42
U.S.C. 300ff–13(a)(2)) is amended by striking <quote>50 percent</quote> and
inserting <quote>66<fraction>2/3</fraction> percent</quote>.</text>
</subsection><subsection id="id4f0333e4-a7b3-4004-92b1-d2678f5c7a80"><enum>(b)</enum><header>Emergency grants</header><text display-inline="yes-display-inline">Section 2603(a)(3)(E) of the Public Health
Service Act (42 U.S.C. 300ff–13(a)(3)(E)) is amended to read as follows:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="id27e4e527-139a-4fdb-b79a-9ea3962b7ada" style="OLC">
<subparagraph id="idfae9b90e-7a87-42d5-bf0f-642a4adbb25c"><enum>(E)</enum><header>Unexpended
funds</header>
<clause changed="added" committee-id="SSHR00" id="id624b713f-a08d-4077-901a-18659426365c" reported-display-style="italic"><enum>(i)</enum><header>In
general</header><text>An eligible area that has unobligated funds for a fiscal
year under a grant under this part shall—</text>
<subclause changed="added" id="id44b00797-8906-42ed-9d5e-6ac2568da772" reported-display-style="italic"><enum>(I)</enum><text>return such funds to the
Secretary to be applied as provided for in subsection (b); or</text>
</subclause><subclause changed="added" id="idce58db08-af16-45f3-a805-c82f0b6aa5ab" reported-display-style="italic"><enum>(II)</enum><text>submit an application to
the Secretary for the use of such funds in the succeeding fiscal year that
includes a description of the manner in which the area intends to use such
funds.</text>
</subclause></clause><clause changed="added" committee-id="SSHR00" id="idf149a2d9-d79e-44ce-9f11-cae788bb7731" reported-display-style="italic"><enum>(ii)</enum><header>Carryover</header><text>With
respect to an application received under clause (i)(II), the Secretary shall
determine whether the area involved may carryover any unobligated funds for use
under this part in the succeeding fiscal year or whether such amounts shall be
returned to the Secretary for use under subsection (b). Notice shall be
provided to the area of such determination.</text>
</clause><clause changed="added" committee-id="SSHR00" id="ida386aed4-5add-4060-a0fa-3ebf72ce34df" reported-display-style="italic"><enum>(iii)</enum><header>Failure to expend
funds</header><text>Amounts carried over by an eligible area under this
subparagraph that are not expended in the succeeding fiscal year shall be
returned to the Secretary for use under subsection (b).</text>
</clause><clause changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id62e133df-b14c-4ad5-80da-be51c28d7166" reported-display-style="italic"><enum>(iv)</enum><header>Consideration in
making grants</header><text>The Secretary may, in determining the amount of a
grant for a fiscal year under this paragraph, adjust the grant amount to
reflect the amount of unexpended and uncanceled grant funds remaining at the
end of the fiscal year preceding the year for which the grant determination is
to be made. The amount of any such unexpended funds shall be determined using
the financial status report of the
grantee.</text>
</clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="added" committee-id="SSHR00" id="id65709659-5478-4092-960b-85ab164f76ea" reported-display-style="italic"><enum>(c)</enum><header>Hold
harmless</header><text>Section 2603(a)(4) of the Public Health Service Act (42
U.S.C. 300ff–13(a)(4)) is amended to read as follows:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="id17d7c493-e002-44dc-91b5-fe4642d0968b" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="idc57fbe3a-069c-4d4d-99ed-dce850f2d5d7"><enum>(4)</enum><header>Increases in
grant</header>
<subparagraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id68774923-17c8-42c6-83b3-a7e22d3a41a3" reported-display-style="italic"><enum>(A)</enum><header>In
general</header><text>For eligible areas receiving grants under this section in
fiscal year 2007, the Secretary shall increase the amount of the grant made
pursuant to paragraph (2) for the area to ensure that—</text>
<clause changed="added" id="id947b0a91-c306-4abc-8780-c9bfa3972355" reported-display-style="italic"><enum>(i)</enum><text>for fiscal year 2007, the
grant is not less than 90 percent of the amount of the grant made for the
eligible area pursuant to such paragraph for the base year;</text>
</clause><clause changed="added" id="id1ea9e742-e99c-44e5-9d5b-294088d59932" reported-display-style="italic"><enum>(ii)</enum><text>for fiscal year 2008,
the grant is not less than 85 percent of the amount of such base year grant;
and</text>
</clause><clause changed="added" id="id370c893a-83f1-4f22-bbda-3fde07c13dd3" reported-display-style="italic"><enum>(iii)</enum><text>for fiscal year 2009,
the grant is not less than 80 percent of the amount of the base year
grant.</text>
</clause></subparagraph><subparagraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id1f408c75-b12b-4788-9195-50aba793b985" reported-display-style="italic"><enum>(B)</enum><header>Base
year</header><text>With respect to grants made pursuant to paragraph (2) for an
eligible area, the base year shall be fiscal year
2006.</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><section changed="added" committee-id="SSHR00" id="id389e7d0e-5232-41a2-b3a5-011fa1587093" reported-display-style="italic"><enum>104.</enum><header>Core medical
services</header><text display-inline="no-display-inline">Section 2604 of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name> (42 U.S.C.
300ff–14) is amended by adding at the end the following:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="id300f2e2a-833f-4cde-bec1-60a2e751d3fe" style="OLC">
<subsection id="id048830bd-cb1b-47fd-8acc-2b5beeb667c3"><enum>(h)</enum><header>Required funding for
core medical services</header><text></text>
<paragraph changed="added" committee-id="SSHR00" id="id7f7be610-d850-47f8-a8b1-ea032a15e351" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text>Notwithstanding any other provision of law, a grantee
under this part shall expend not less than 75 percent of the funds received
under the grant on core medical services, except that the Secretary shall waive
the application of this subsection with respect to a grantee if the Secretary
determines that, within the service area of the grantee—</text>
<subparagraph changed="added" id="ide5c1fad9-3020-47af-a323-750357dcbde3" reported-display-style="italic"><enum>(A)</enum><text>there is
no waiting lists for AIDS Drug Assistance Program services; and</text>
</subparagraph><subparagraph changed="added" id="id74a83a5f-0f87-41f8-9f60-754e7f19c452" reported-display-style="italic"><enum>(B)</enum><text>core
medical services are available to all individuals infected with
HIV/AIDS.</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id78475a79-d3bc-4dd9-be46-19705e0022a5" reported-display-style="italic"><enum>(2)</enum><header>Core medical
services</header><text>For purposes of this subsection, the term <term>core
medical services</term> with respect to an individual infected with HIV/AIDS
(including the co-occurring diseases of the individual) means the following
services:</text>
<subparagraph changed="added" id="id5e370d9e-c7f3-4850-96c5-00fe4040ba24" reported-display-style="italic"><enum>(A)</enum><text>Outpatient and ambulatory
health services.</text>
</subparagraph><subparagraph changed="added" id="id4c280e67-c805-4db8-afc2-476bb4f24440" reported-display-style="italic"><enum>(B)</enum><text>AIDS Drug
Assistance Program treatments.</text>
</subparagraph><subparagraph changed="added" id="idd5bb80d8-286c-4daf-8f07-4ed544c08e08" reported-display-style="italic"><enum>(C)</enum><text>AIDS
pharmaceutical assistance.</text>
</subparagraph><subparagraph changed="added" id="idcdea9b4b-cc58-4220-801c-8bace980f4d7" reported-display-style="italic"><enum>(D)</enum><text>Oral
health care.</text>
</subparagraph><subparagraph changed="added" id="idac9e7739-b539-434f-9eb1-e0c62f1088ff" reported-display-style="italic"><enum>(E)</enum><text>Early
intervention services.</text>
</subparagraph><subparagraph changed="added" id="idadfaa4af-5559-4140-8c49-48f017a69b5c" reported-display-style="italic"><enum>(F)</enum><text>Health
insurance premium and cost sharing assistance for low-income
individuals.</text>
</subparagraph><subparagraph changed="added" id="ida98e2d3d-ced3-49e2-8085-953eeda1cc65" reported-display-style="italic"><enum>(G)</enum><text>Home
health care.</text>
</subparagraph><subparagraph changed="added" id="idd16de6dc-52af-4b80-aa3c-37acbe69a840" reported-display-style="italic"><enum>(H)</enum><text>Hospice
services.</text>
</subparagraph><subparagraph changed="added" id="id152e0d7f-cd87-4a91-94e1-0766666781ff" reported-display-style="italic"><enum>(I)</enum><text>Home and
community-based health services as defined under section 2614(c), except
homemaker services.</text>
</subparagraph><subparagraph changed="added" id="id56e86f08-112a-49b1-a45f-0aa25578791f" reported-display-style="italic"><enum>(J)</enum><text>Mental
health services.</text>
</subparagraph><subparagraph changed="added" id="iddb51fe91-ab6c-43fa-b916-07155d41773a" reported-display-style="italic"><enum>(K)</enum><text>Substance
abuse outpatient care.</text>
</subparagraph><subparagraph changed="added" id="id6832cf27-c000-4d1f-8332-84baccd5c675" reported-display-style="italic"><enum>(L)</enum><text>Medical
case management, including treatment adherence services.</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="idd3dcd569-027f-47a4-ad30-f2fb8d6218e0" reported-display-style="italic"><enum>(3)</enum><header>Support
services</header><text>Notwithstanding any other provision of law, and subject
to paragraph (1), a grantee under this part, subject to the approval of the
Secretary, may provide support services (such as respite care for individuals
with HIV/AIDS, outreach services, medical transportation, nutritional
counseling, linguistic services, and referral for health care and support
services for individuals with HIV/AIDS) needed to achieve medical outcomes
which are related to the medical outcomes for an individual infected with HIV
and approved by the Secretary.</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="idfad76959-b047-4ece-a558-cf9da52aba36" reported-display-style="italic"><enum>(4)</enum><header>Definition of medical
outcomes</header><text>In this subsection, the term <quote>medical
outcomes</quote> means those outcomes affecting the HIV-related clinical status
of an individual with HIV/AIDS.</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="idd8c882f0-5816-4774-aa77-6b8229d413da" reported-display-style="italic"><enum>(5)</enum><header>Unexpended
funds</header><text>Any amounts required to be expended for core medical
services or support services under this subsection that remain unobligated at
the end of the fiscal year in which the funds were awarded shall be remitted to
the Secretary for reallocation under section
2603(b).</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section changed="added" committee-id="SSHR00" id="id4c30644c-c2e0-4351-870a-d3be893e4dbc" reported-display-style="italic"><enum>105.</enum><header>Supplemental
grants</header><text display-inline="no-display-inline">Section 2603(b) of the
Public Health Service Act (42 U.S.C. 300ff–13(b)) is amended—</text>
<paragraph changed="added" committee-id="SSHR00" id="id09bf182b-2704-4e1f-a0f1-149bf67edfeb" reported-display-style="italic"><enum>(1)</enum><text display-inline="yes-display-inline">by striking <quote>severe need</quote> each
place that such appears and inserting <quote>demonstrated need</quote>;</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id612a64d1-0932-4407-9e3c-89ef53d398ba" reported-display-style="italic"><enum>(2)</enum><text>in paragraph (1)—</text>
<subparagraph id="ide899330a-9d33-4398-992e-824b27862df3"><enum>(A)</enum><text>in
the matter preceding subparagraph (A), by striking <quote>Not later
than</quote> and all that follows through <quote>the Secretary shall</quote>
and insert <quote>The Secretary shall</quote>;</text>
</subparagraph><subparagraph id="id52ccedcf-ce6b-4135-a2c4-72f646602515"><enum>(B)</enum><text>by
striking subparagraph (F) and inserting the following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="ida726b34b-d6f3-484a-8b5d-110f75bd76eb" reported-display-style="italic" style="OLC">
<subparagraph id="id8487856b-a045-401d-8e80-265fe3be2484"><enum>(F)</enum><text>demonstrate the
inclusiveness of affected communities and individuals with
HIV/AIDS;</text>
</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id0b3fddac-839e-4653-8bab-773e04278d44" reported-display-style="italic"><enum>(C)</enum><text>in subparagraph (G), by
striking the period and inserting <quote>; and</quote>; and</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id0cec591d-fedf-4310-980d-a28484dbb3ae" reported-display-style="italic"><enum>(D)</enum><text>by adding at the end the
following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="id7296e97a-e105-49ba-aae3-2424cf7ffb1a" reported-display-style="italic" style="OLC">
<subparagraph id="id808ac67f-17f1-44b8-bef0-17666332c368"><enum>(H)</enum><text>demonstrate the ability
of the applicant to expend funds efficiently by not having any unexpended funds
reallocated under section
2603(a)(3)(E).</text>
</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="iddf738520-8e58-4357-8269-5c418f878b7f" reported-display-style="italic"><enum>(3)</enum><text>in paragraph (2)—</text>
<subparagraph id="id2df1e5ff-1579-4e21-91c1-fa8d2baa5a3d"><enum>(A)</enum><text>by
striking subparagraph (B) and inserting the following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="id433f097d-68bb-402b-836b-2e98af505843" reported-display-style="italic" style="OLC">
<subparagraph id="id7154b993-90b1-4c55-bded-a30bbcf98789"><enum>(B)</enum><header>Demonstrated
need</header><text>In determining demonstrated need for purposes of
subparagraph (A), the Secretary shall consider relevant factors that impact the
need for supplemental financial assistance, including—</text>
<clause id="id39d521af-650e-43a7-8570-ee8a9ac57677"><enum>(i)</enum><text>the unmet need for such
services, as determined under section 2602(b)(4) or other community input
process as defined under section 2609A(a);</text>
</clause><clause id="id85514fc5-3aef-4b83-a65e-1def20c5da22"><enum>(ii)</enum><text>an increasing need for
HIV/AIDS-related services, including relative rates of increase in the number
of cases of HIV/AIDS;</text>
</clause><clause id="idd0ecd032-f05c-4e34-b17a-3b11f652138a"><enum>(iii)</enum><text>the relative rates of
increase in the number of cases of HIV/AIDS within new or emerging
subpopulations;</text>
</clause><clause id="idd82e094d-d676-40de-8a09-e5af69f5d1a7"><enum>(iv)</enum><text>the current prevalence
of HIV/AIDS;</text>
</clause><clause id="idf632c0dd-5537-47f0-8b3d-5d95dd56e51d"><enum>(v)</enum><text>relevant factors related
to the cost and complexity of delivering health care to individuals with
HIV/AIDS in the eligible area;</text>
</clause><clause id="id60c13f74-dce0-4a2d-845c-98a4c12afda1"><enum>(vi)</enum><text>the impact of co-morbid
factors, including co-occurring infections, determined relevant by the
Secretary;</text>
</clause><clause id="id001c8d6f-785f-44d4-9c06-0df9b3df8437"><enum>(vii)</enum><text>the prevalence of
homelessness;</text>
</clause><clause id="id9607b832-c3c0-4afd-b26b-00931bdbcd97"><enum>(viii)</enum><text>the prevalence of
individuals described under section 2602(b)(2)(M);</text>
</clause><clause id="id118dc496-43aa-43bb-96a0-b96262f494c2"><enum>(ix)</enum><text>the relevant factors
that limit access to health care, including geographic variation, adequacy of
health insurance coverage, and language barriers; or</text>
</clause><clause id="idc1491da4-2a43-4240-9b0d-e70b57d40c31"><enum>(x)</enum><text>the impact of a
precipitous decline in the amount received under this subpart to an increase in
unmet need for such services.</text>
</clause></subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="idc3900720-b74e-4f14-bbc1-01a79e70d0d1" reported-display-style="italic"><enum>(B)</enum><text>by striking subparagraphs
(C) and (D).</text>
</subparagraph></paragraph></section><section changed="added" committee-id="SSHR00" id="id194beaf3-0c5f-4193-abe3-258dbd8fe4c5" reported-display-style="italic"><enum>106.</enum><header>Administrative
costs</header><text display-inline="no-display-inline">Section 2604(f) of the
Public Health Service Act (42 U.S.C. 300ff–14(f)) is amended—</text>
<paragraph id="id1d94b192-0cf1-4453-ad1f-c9e1c313276f"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (1), by striking <quote>5
percent</quote> and inserting <quote>10 percent</quote>; and</text>
</paragraph><paragraph id="id56810f41-4abe-4b9f-94d7-5d52e060bc20"><enum>(2)</enum><text>in
paragraph (2)(B), by inserting <quote>the activities carried out by HIV health
services planning council as established under section 2602(b),</quote> after
<quote>including</quote>.</text>
</paragraph></section><section changed="added" committee-id="SSHR00" id="idfa903ade-2fc6-4626-ad97-de0cf030287f" reported-display-style="italic"><enum>107.</enum><header>Audits</header><text display-inline="no-display-inline">Section 2605(a) of the Public Health Service
Act (42 U.S.C. 300ff–15(a)) is amended—</text>
<paragraph id="id211dc97e-ed8c-44b2-98f6-740b3f1ac305"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (8), by striking
<quote>and</quote> at the end;</text>
</paragraph><paragraph id="id302c53b1-ccc2-4dc6-86d7-4c9bc25c16b9"><enum>(2)</enum><text>in
paragraph (9), by striking the period and inserting <quote>; and</quote>;
and</text>
</paragraph><paragraph id="id3a6dc79e-1953-490d-a117-8b9b29ae7889"><enum>(3)</enum><text>by
adding at the end the following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="id80151654-a148-460e-8204-30f48c923cdd" reported-display-style="italic" style="OLC">
<paragraph id="id71369112-a6a4-4dd8-b6ad-4fefff07bdbc"><enum>(10)</enum><text>that the chief elected
official will submit to the lead State agency under section 2617(b)(4), audits
regarding funds expended in accordance with this part every 2 years and shall
include necessary client-based data to compile unmet need calculations and
Statewide coordinated statements of need
process.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section changed="added" committee-id="SSHR00" id="idc905b3d9-0443-4c41-bdc6-6386160b34b4" reported-display-style="italic"><enum>108.</enum><header>Planning council
representation</header><text display-inline="no-display-inline">Section
2602(b)(2)(G) of the Public Health Service Act (42 U.S.C. 300ff–12(b)(2)(G)) is
amended by inserting <quote>, Native Americans, individuals co-infected with
hepatitis B or C</quote> after <quote>disease</quote>.</text>
</section><section changed="added" committee-id="SSHR00" id="idcd13bcb0-f7e6-4396-b988-8f094e8f60ff" reported-display-style="italic"><enum>109.</enum><header>Payer of last
resort</header><text display-inline="no-display-inline">Section 2605(a)(6)(A)
of the Public Health Service Act (42 U.S.C. 300ff–15(a)(6)(A)) is amended by
inserting <quote>(except for a program administered by or providing the
services of the Indian Health Service)</quote> before the semicolon.</text>
</section><section changed="added" committee-id="SSHR00" id="id21c193a0-50c7-4ea3-83c3-fd888eafb16a" reported-display-style="italic"><enum>110.</enum><header>Transitional grants
for other areas</header>
<subsection changed="added" committee-id="SSHR00" id="idc1b32849-c509-467e-9246-83b94b6c92f6" reported-display-style="italic"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Part A of title XXVI
of the Public Health Service Act (42 U.S.C. 300ff–11) is amended—</text>
<paragraph id="id1e1f6f95-adfa-4985-a30f-ae28e0792e07"><enum>(1)</enum><text>by
inserting after the part heading the following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="id1a7f3537-5a4a-4eda-b8f9-e85d8cbeecae" reported-display-style="italic" style="OLC">
<subpart id="id73894008-1e49-4f9f-873b-82b8e70c4866"><enum>I</enum><header>General grant
provisions</header>
</subpart><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="idcdf4ee2c-05f0-434a-beca-a8d86f653153" reported-display-style="italic"><enum>(2)</enum><text>by redesignating sections
2606 and 2607 as sections 2610 and 2610A, respectively; and</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id3b35aeaa-2cf4-40c1-acc3-b15b00db000b" reported-display-style="italic"><enum>(3)</enum><text>by adding at the end the
following:</text>
<quoted-block display-inline="no-display-inline" id="id0c090423-cdfa-424c-8b68-6f0886d68ab2" style="OLC">
<subpart changed="added" committee-id="SSHR00" id="id75a7681c-6115-4764-9800-8e33b53ada42" reported-display-style="italic"><enum>II</enum><header>Transitional
grants</header>
<section changed="added" committee-id="SSHR00" id="idaae59b97-5328-46db-83d5-bea281e7081f" reported-display-style="italic"><enum>2609.</enum><header>Establishment</header>
<subsection changed="added" committee-id="SSHR00" id="id6aceab94-54c0-4212-a8fb-81184092fec8" reported-display-style="italic"><enum>(a)</enum><header>Eligible areas</header>
<paragraph changed="added" committee-id="SSHR00" id="iddfee5f29-d218-46fe-a5c3-e42bd3428d38" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text>The Secretary, acting through the Administrator of the
Health Resources and Services Administration, shall, subject to subsection (b),
make grants in accordance with this subpart for the purpose of assisting in the
provision of the services specified in section 2604 in any metropolitan
area—</text>
<subparagraph id="idd419b7ac-2216-44d3-a53e-b5bbd46b2cfd"><enum>(A)</enum><text>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 less than 2,000, cases of
acquired immune deficiency syndrome for the most recent period of 5 calendar
years for which such data are available; and</text>
</subparagraph><subparagraph id="id3cf4f2b2-997b-440d-90c2-a3ef709770ea"><enum>(B)</enum><text>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 less than 1,000, cases of
acquired immune deficiency syndrome for the most recent period of 5 calendar
years for which such data are available.</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id4aa6a34a-483b-4bd2-a1c9-cf4482a6b43b" reported-display-style="italic"><enum>(2)</enum><header>Additional eligible
areas</header><text>With respect to fiscal year 2007, a metropolitan area that
received funding under this part for fiscal year 2006 but which does not meet
the eligibility threshold described in paragraph (1)(A) for fiscal year 2007
shall be deemed to be eligible under such paragraph (1)(A).</text>
</paragraph></subsection><subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id00ed63b3-cb56-4b77-ab26-688ca8c66f8b" reported-display-style="italic"><enum>(b)</enum><header>Continued status as
eligible area</header><text display-inline="yes-display-inline">Notwithstanding
any other provision of this section, a metropolitan area shall continue to be
eligible to receive a grant under this section until such area, for three
consecutive grant years, fails to meet the applicable requirement of
subparagraph (A) or (B) of subsection (a)(1) concerning the number of living
cases of AIDS over the most recent 5-year period.</text>
</subsection></section><section changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id68f26901-6410-4683-b2c9-cab8034df512" reported-display-style="italic"><enum>2609A.</enum><header>Application of other
provisions</header>
<subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idb49272d9-5eef-4d88-93b8-06803d19beff" reported-display-style="italic"><enum>(a)</enum><header>Administration</header>
<paragraph commented="no" display-inline="no-display-inline" id="id46632608-8b73-4bcf-b9a2-733f23fda447"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">The provisions of section 2602 shall apply
to areas that receive a grant under this subpart, except that the chief elected
official may elect not to comply with the provisions of subsection (b), so long
as the official provides documentation to the Secretary that details the
process used to obtain community input (particularly from those inflected with
HIV) for the design and implementation of activities related to such
grant.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ida7367776-1210-4573-8bb9-98e99eb1ee8c"><enum>(2)</enum><header>Exception</header><text display-inline="yes-display-inline">The exception provided for in paragraph (1)
shall not apply in fiscal years 2007 through 2009 to areas that receive funding
under this part.</text>
</paragraph></subsection><subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id5d8f42de-ccdc-4683-ac49-8e8fa671b1e0" reported-display-style="italic"><enum>(b)</enum><header>Distribution</header><text display-inline="yes-display-inline">The provisions of section 2603 shall apply
for purposes of awarding grants under this subpart, except that—</text>
<paragraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idff94ec09-dd70-4a60-8eba-2769cb512974" reported-display-style="italic"><enum>(1)</enum><text display-inline="yes-display-inline">with respect to areas described in section
2609(a)(1)(A)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id31673008-7872-41ec-93d4-56e76a1f9acd"><enum>(A)</enum><text display-inline="yes-display-inline">66<fraction>2/3</fraction> percent of the
amounts appropriated under section 2609B(1) for each fiscal year shall be
allocated to such areas as provided for in section 2603(a); and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id646d264d-df18-478c-a3b8-1ab915472d61"><enum>(B)</enum><text>33<fraction>1/3</fraction> percent
of the amounts appropriated under section 2609B(1) for each fiscal year shall
be allocated to such areas as provided for in section 2603(b); and</text>
</subparagraph></paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id1202e5fd-bfae-4796-8e23-c7e347f70661" reported-display-style="italic"><enum>(2)</enum><text>with respect to areas
described in section 2609(a)(1)(B), 100 percent of the amounts appropriated
under section 2609B(2) for each fiscal year shall be allocated to such areas as
provided for in section 2603(a).</text>
</paragraph></subsection><subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idd41b3cce-45bf-42f4-90e1-54b006191c19" reported-display-style="italic"><enum>(c)</enum><header>Hold
harmless</header><text>Paragraph (4) of section 2603(a) shall not apply to an
area for purposes of this subpart.</text>
</subsection><subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ida91a1ca8-91ac-48ae-9d04-219e2c478f94" reported-display-style="italic"><enum>(d)</enum><header>Use of
amounts</header><text>Amounts provided to an area under a grant under this part
shall be used by such entity as provided for in section 2604.</text>
</subsection><subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id2fae9d49-f9bf-42cb-b3db-c4ab7195b4d4" reported-display-style="italic"><enum>(e)</enum><header>Application</header><text>To
be eligible to receive a grant under this subpart, an area shall submit to the
Secretary an application that meets the requirements of section 2605.</text>
</subsection><subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id1425c763-5b83-4b69-b99a-57cd0a248f9f" reported-display-style="italic"><enum>(f)</enum><header>Technical assistance
and definitions</header><text>The provisions of sections 2606 and 2707 shall
apply for purposes of this subpart, except that with respect to the definition
of metropolitan area in section 2607(2), such term shall be applied so that for
purposes of determining eligible areas, the Secretary shall use the boundaries
of a respective area that were used when the area involved initially receive
funding under this part.</text>
</subsection></section><section changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id3ab07bd0-3b2e-47ec-ade1-c1ce57299a73" reported-display-style="italic"><enum>2609B.</enum><header>Authorization of
appropriations</header><text display-inline="no-display-inline">There are
authorized to be appropriated to carry out this subpart—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id5f48855e-4a07-45ac-9b05-50dc40d31ac2"><enum>(1)</enum><text display-inline="yes-display-inline">with respect to areas described in section
2609(a)(1)(A), $123,300,000 for fiscal year 2007, $127,900,000 for fiscal year
2008, $132,600,000 for fiscal year 2009, $137,500,000 for fiscal year 2010, and
$142,600,000 for fiscal year 2011; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id047fc40d-1c92-42b3-bfff-1df0430753bf"><enum>(2)</enum><text>with respect to areas described in
section 2609(a)(1)(B), $5,000,000 for each of the fiscal years 2007 through
2011.</text>
</paragraph></section></subpart><subpart changed="added" committee-id="SSHR00" id="id2e148d93-1ab3-4018-bc58-4f7ded17ae15" reported-display-style="italic"><enum>III</enum><header>General
provisions</header>
</subpart><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id83d90a1f-ea2f-4d20-8c77-418ceaa6e529" reported-display-style="italic"><enum>(b)</enum><header>Repeal</header><text>Section
2620 of the Public Health Service Act (42 U.S.C. 300ff–30) is repealed.</text>
</subsection></section><section changed="added" committee-id="SSHR00" id="id38dc11de-8f44-4790-8650-e5d8330922e4" reported-display-style="italic"><enum>111.</enum><header>Authorization of
appropriations</header><text display-inline="no-display-inline">Subpart I of
part A of title XXVI of the Public Health Service Act (42 U.S.C. 300ff–11) is
amended by adding at the end the following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="ideb34207d-44da-4c02-83ad-11cb1e3c5cd0" reported-display-style="italic" style="OLC">
<section id="id341ba81e-f999-4fa0-8031-86f7844cf17d"><enum>2606.</enum><header>Authorization of
appropriations</header><text display-inline="no-display-inline">For the purpose
of carrying put this subpart, there are authorized to be appropriated
$418,600,000 for fiscal year 2007, $434,100,000 for fiscal year 2008,
$450,100,000 for fiscal year 2009, $466,800,000 for fiscal year 2010, and
$484,100,000 for fiscal year
2011.</text>
</section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>II</enum><header>Care grants</header>
<section changed="added" committee-id="SSHR00" id="id84ddaea5-5b03-4026-a8ab-adbbda05fb7e" reported-display-style="italic"><enum>201.</enum><header>Living cases of
HIV/AIDS</header>
<subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ide862a5a6-496b-4b9b-98ba-be055fafdf7c" reported-display-style="italic"><enum>(a)</enum><header>Priority</header><text>Section
2611(b)(1) of the Public Health Service Act (42 U.S.C. 300ff–21(b)(1)) is
amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id964ebf88-bfc6-42ea-862f-8d48a2980667"><enum>(1)</enum><text>by
striking <quote>acquired immune deficiency syndrome</quote> and inserting
<quote>HIV/AIDS</quote>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id66991737-b84f-4c9d-a793-6ea3c37ceeb7"><enum>(2)</enum><text>by
striking <quote>such syndrome</quote> and inserting
<quote>HIV/AIDS</quote>.</text>
</paragraph></subsection><subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id223e5cd0-83c3-46af-a3f3-5e76182c361d" reported-display-style="italic"><enum>(b)</enum><header>Application</header><text>Section
2617(d)(3) of the Public Health Service Act (42 U.S.C. 300ff–27(d)(3)) is
amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id4b1ea805-d2a9-41b7-a600-29c12a2f72cd"><enum>(1)</enum><text>in
subparagraph (A), by striking <quote>acquired immune deficiency
syndrome</quote> and inserting <quote>HIV/AIDS</quote>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idc58d5c91-c252-430e-98d2-628664a746ec"><enum>(2)</enum><text>in
subparagraph (C), by striking <quote>acquired immune deficiency
syndrome</quote> and inserting <quote>HIV/AIDS</quote>.</text>
</paragraph></subsection><subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id467daed4-b779-41b1-9eaf-76b99127770c" reported-display-style="italic"><enum>(c)</enum><header>Distribution of
funds</header><text>Section 2618(a) of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (42 U.S.C.
300ff–28(a)) is amended—</text>
<paragraph changed="added" committee-id="SSHR00" id="id368a1fd1-b750-4a34-b57a-56f9909b73fb" reported-display-style="italic"><enum>(1)</enum><text>in paragraph
(1)(A)(i)—</text>
<subparagraph changed="added" committee-id="SSHR00" id="id5236a968-a32f-4783-8f76-f4c60b8cd3d5" reported-display-style="italic"><enum>(A)</enum><text>in subclause (I), by
striking <quote>cases of acquired immune deficiency syndrome, as determined
under paragraph (2)(D)</quote> and inserting <quote>living cases of AIDS
(reported to and confirmed by the Director of the Centers for Disease Control
and Prevention)</quote>; and</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="idef7b0da3-5001-4288-98b1-5f537759625d" reported-display-style="italic"><enum>(B)</enum><text>in subclause (II)—</text>
<clause id="id864fe2e3-2cfc-4def-8c8b-66b0a320876a"><enum>(i)</enum><text>by
striking <quote>cases of acquired immune deficiency syndrome, as determined
under paragraph (2)(D)</quote> and inserting <quote>living cases of AIDS
(reported to and confirmed by the Director of the Centers for Disease Control
and Prevention)</quote>; and</text>
</clause><clause id="id872c77de-8647-468a-8732-167f75819070"><enum>(ii)</enum><text>by
inserting <quote>and</quote> after the semicolon; and</text>
</clause></subparagraph></paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idea78140d-1c90-42f7-a092-7dc1d9729a78" reported-display-style="italic"><enum>(2)</enum><text>in paragraph (2)—</text>
<subparagraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idc705e152-c304-47a8-873b-ed5ebfd0ade4" reported-display-style="italic"><enum>(A)</enum><text>in subparagraph (B), by
striking <quote>estimated number of living cases of acquired immune deficiency
syndrome</quote> and inserting <quote>number of living cases of
HIV/AIDS</quote>;</text>
</subparagraph><subparagraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idc187777c-dec0-437e-b47e-7c398366e012" reported-display-style="italic"><enum>(B)</enum><text>in subparagraph
(C)—</text>
<clause commented="no" display-inline="no-display-inline" id="ida9f3f094-96bd-405e-8100-5345f520bd82"><enum>(i)</enum><text>by
striking <quote>estimated</quote> each place that such term appears; and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="id9bafac81-605b-461c-9a28-8c0f42186d05"><enum>(ii)</enum><text>by
striking <quote>acquired immune deficiency syndrome</quote> each place that
such appears and inserting <quote>HIV/AIDS</quote>; and</text>
</clause></subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id17a1211d-397b-4a1d-92e1-55d9a90bd2b7" reported-display-style="italic"><enum>(C)</enum><text>by striking subparagraph
(D) and inserting the following:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="id61c0e322-6b57-4a37-8f92-7274ea1d7054" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="id30199c6f-546c-41ce-857e-f7e32a717237"><enum>(F)</enum><header>Living cases of
HIV/AIDS</header>
<clause changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idef8ae605-2e24-43cf-bfd0-c36c1054cff6" reported-display-style="italic"><enum>(i)</enum><header>In
general</header><text>Except as provided for in clause (ii) and (iii), the
amount determined in this subparagraph is the number of living cases of
HIV/AIDS (reported to and confirmed by the Director of the Centers for Disease
Control and Prevention) through December 31 of the most recent calendar year
involved.</text>
</clause><clause changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id629d27f2-f8e6-41aa-9468-68653050b75d" reported-display-style="italic"><enum>(ii)</enum><header>Fiscal years 2007
through 2010</header><text>For each of fiscal years 2007 through 2010, the
Secretary may use the proxy number for the number of HIV cases described in
clause (iii) if—</text>
<subclause changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idc3d0db20-2eab-4459-b714-537ec95db688" reported-display-style="italic"><enum>(I)</enum><text>the State
involved—</text>
<item changed="added" commented="no" display-inline="no-display-inline" id="idc4c274d6-db52-4c65-93e1-7dbed1c333a4" reported-display-style="italic"><enum>(aa)</enum><text>is reporting, or the
State will by October 1, 2006 have submitted a transition plan for reporting,
accurate and reliable HIV cases to the Director of the Centers for Disease
Control and Prevention; or</text>
</item><item changed="added" commented="no" display-inline="no-display-inline" id="idb31c9429-919a-4d17-ad2f-735a925f029b" reported-display-style="italic"><enum>(bb)</enum><text>not later than October
1, 2006, make all necessary statutory changes to allow for the collection of
HIV data certified by the Director of the Centers for Disease Control and
Prevention;</text>
</item></subclause><subclause changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idac9a6e76-1c6c-4818-be15-829fe50d77d2" reported-display-style="italic"><enum>(II)</enum><text>the State involved will
by April 1, 2008, begin reporting accurate and reliable HIV cases, as
determined by the Director of the Centers for Disease Control and Prevention;
and</text>
</subclause><subclause changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id839e9438-01c0-4f08-ad59-3ba6aac4152a" reported-display-style="italic"><enum>(III)</enum><text>the Director of the
Centers for Disease Control and Prevention has determined that such State does
not have an established HIV surveillance system.</text>
</subclause></clause><clause changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id53acaf2d-255d-4df8-81f6-6145afc8a388" reported-display-style="italic"><enum>(iii)</enum><header>Amount
determined</header><text>With respect to each of fiscal years 2007 through
2010, the amount determined under this subparagraph shall be the lesser
of—</text>
<subclause changed="added" commented="no" display-inline="no-display-inline" id="id77ac7c8c-5cd7-4f84-be88-07d1d328de5c" reported-display-style="italic"><enum>(I)</enum><text>the product of 0.9 and
the number of living AIDS cases in the area involved; or</text>
</subclause><subclause changed="added" commented="no" display-inline="no-display-inline" id="idcbdc8586-7bea-4008-82a3-72118828b0f6" reported-display-style="italic"><enum>(II)</enum><text>an amount equal to 110
percent of the funding level for the previous fiscal
year.</text>
</subclause></clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection></section><section changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id78c2d6fb-f09e-4090-8a75-1169f1262300" reported-display-style="italic"><enum>202.</enum><header>AIDS Drug Assistance
Program</header>
<subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idcc9a42f7-5232-4004-aa48-0ced0d587f68" reported-display-style="italic"><enum>(a)</enum><header>Requirement of minimum
drug list</header><text>Section 2616 of the Public Health Service Act (42
U.S.C. 300ff–26) is amended—</text>
<paragraph id="idfa3d9ecb-afb1-480c-899b-e57609a9ca67"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (c), by striking paragraph
(1) and inserting the following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="idae1cd58f-31b4-4ac0-99fd-15723e84ff93" reported-display-style="italic" style="OLC">
<paragraph id="id6f070f36-c68e-48ee-a3f3-e6720d5eced2"><enum>(1)</enum><text display-inline="yes-display-inline">ensure that those treatments contained on
the list of core AIDS Drug Assistance Program antiretroviral medications
developed by the Secretary based on Public Health Service guidelines, are the
minimum required treatments to be included under the program established under
this section;</text>
</paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id950069c0-c9c3-48c2-a099-2488bd407c3e" reported-display-style="italic"><enum>(2)</enum><text>in subsection (d), by
adding at the end the following: <quote>The Secretary, in consultation with the
Public Health Service, shall develop and maintain a list of classes of core
AIDS Drug Assistance Program antiretroviral medications that shall be based
upon those medications included in the Department of Health and Human Service’s
Public Health Service HIV/AIDS Clinical Practice Guidelines for use of HIV/AIDS
Drugs, drugs needed to manage symptoms associated with HIV
infection.</quote>.</text>
</paragraph></subsection><subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id993c9f6d-1e39-4ebc-b5b8-677fd083d1ea" reported-display-style="italic"><enum>(b)</enum><header>State
requirements</header><text>Subclauses (I) through (III) of section
2618(a)(2)(I)(ii) of the Public Health Service Act (42 U.S.C.
300ff–28(a)(2)(I)(ii) (I)–(III)) are amended to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="id2cf73a1c-f8ff-4dee-888d-4682e52826b0" style="OLC">
<subclause changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idaf7275d7-0be0-4f49-8db0-1208530a6f0b" indent="down1" reported-display-style="italic"><enum>(I)</enum><header>In
general</header><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 (as
described in section 2616(b)), pharmaceutical therapeutics described under
sections 2616(a) and 2616(c).</text>
</subclause><subclause changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idccaae7a8-ada9-4a69-85ef-9c0ba86c80f7" indent="down1" reported-display-style="italic"><enum>(II)</enum><header>Eligible
States</header><text>For purposes of subclause (I), a State shall be an
eligible State if the State did not have unexpended funds subject to
reallocation under section 2618(d) and, in accordance with criteria established
by the Secretary, demonstrates a severe need for a grant under this clause. In
developing such criteria, 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.</text>
</subclause><subclause changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idef0208ee-740e-46ed-8553-bd14d3a469f8" reported-display-style="italic"><enum>(III)</enum><header>State
requirements</header><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.</text>
</subclause><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="iddb349b37-12a7-4290-9e80-da2c039616a7" reported-display-style="italic"><enum>(c)</enum><header>Increase in ADAP
set-aside</header><text>Section 2618(a)(2)(I)(ii)(V) of the Public Health
Service Act (42 U.S.C. 300ff–28(a)(2)(I)(ii)(V)) is amended by striking
<quote>3</quote> and inserting <quote>5</quote>.</text>
</subsection><subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id3e69c84c-19fa-4d7c-b7e5-1bf8cfe6bd04" reported-display-style="italic"><enum>(d)</enum><header>Drug rebate
program</header><text>Section 2616 of the Public Health Service Act (42 U.S.C.
300ff–26) is amended by adding at the end the following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="idc7984a2f-2dfd-44d9-88a9-429144ad8d56" reported-display-style="italic" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="idec328a96-ba63-46ff-bfad-1798193eea2b"><enum>(f)</enum><header>Drug rebate
program</header><text>A State shall ensure that any drug rebates received on
drugs purchased from funds provided under this section are applied to
activities supported under this title, with a preference for activities
described under this
section.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><section changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ide430e1dc-1d19-4af2-8dfb-6ffc99ce97e0" reported-display-style="italic"><enum>203.</enum><header>Coordination</header><text display-inline="no-display-inline">Section 2617(b) of the Public Health Service
Act (42 U.S.C. 300ff–27(b)) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id7173767a-fb20-4648-bbed-b9ac2f980a73"><enum>(1)</enum><text display-inline="yes-display-inline">by redesignating paragraphs (4) through (6)
as paragraphs (5) through (7), respectively;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id5b6c66c3-74c3-4e9a-8b1d-a201200f9eec"><enum>(2)</enum><text>by
inserting after paragraph (3), the following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="id1d42c05d-9722-4a69-8d27-f7f9bacf7e2d" reported-display-style="italic" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="idbef08629-cb76-4fd1-84b9-7e8cd78fa745"><enum>(4)</enum><text>the designation of a lead
State agency that shall—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="idda245a14-bbc1-4069-816f-4bf0a1414052"><enum>(A)</enum><text>administer all assistance
received under this part;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id18e3b3c4-7ff2-4902-926f-a75839dcfccb"><enum>(B)</enum><text>conduct the needs
assessment and prepare the State plan under paragraph (3);</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idbc0dc27e-4a80-400e-997d-23a424fbab3d"><enum>(C)</enum><text>prepare all applications
for assistance under this part;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idf0806bb2-9289-4b72-ade6-30addce9f781"><enum>(D)</enum><text>receive notices with
respect to programs under this title;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idaaab6e79-b282-43d0-b815-6cc074174e55"><enum>(E)</enum><text>every 2 years, collect
and submit to the Secretary all audits from grantees within the State,
including audits regarding funds expended in accordance with this part;
and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id4b642cee-c2b9-4831-b22f-31c9ed812f1b"><enum>(F)</enum><text>carry out any other
duties determined appropriate by the Secretary to facilitate the coordination
of programs under this
title.</text>
</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idf10d5c33-b5c8-497c-b4c2-4a993ebd8cc9" reported-display-style="italic"><enum>(3)</enum><text>in paragraph (5) (as so
redesignated)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id9248e0f3-91e0-42da-88ec-5c854bc20300"><enum>(A)</enum><text>in
the matter preceding subparagraph (A), by striking <quote>under this
part</quote> and inserting <quote>under any provision of this
title</quote>;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id35133d6e-c916-4a36-8716-a86f6a145c9e"><enum>(B)</enum><text>in
subparagraph (E), by striking <quote>and</quote> at the end; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ida37e0ae8-673f-4e23-9145-f741682e5d25"><enum>(C)</enum><text>by
inserting after subparagraph (F), the following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="id62a129ab-c469-4e13-8bc7-dcef0c5db7a9" reported-display-style="italic" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="id85fb6054-9136-4c4f-9fcd-a812b8a6a06d"><enum>(G)</enum><text>includes key outcomes to
be measured by all entities in the State receiving assistance under this title;
and</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></section><section changed="added" committee-id="SSHR00" id="id552d6b38-067d-4325-9329-7f835a8f2e75" reported-display-style="italic"><enum>204.</enum><header>Distribution of
funds</header>
<subsection changed="added" committee-id="SSHR00" id="idd9ecf756-5a5f-48f5-ab23-2f0829bc86a3" reported-display-style="italic"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Section 2618(a)(2) of
the Public Health Service Act (42 U.S.C. 300ff–28(a)(2)) is amended—</text>
<paragraph changed="added" committee-id="SSHR00" id="id96678173-84ea-4aa3-973f-dd9cb4932073" reported-display-style="italic"><enum>(1)</enum><text>in subparagraph
(A)—</text>
<subparagraph changed="added" committee-id="SSHR00" id="id25105e93-9a47-4c03-85ac-2e981837efae" reported-display-style="italic"><enum>(A)</enum><text>in clause (i), by
striking <quote>and (I)</quote> and inserting <quote>, (I), and (J)</quote>;
and</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id079ce476-9ae4-4da4-ae65-e0de5a2a4fd3" reported-display-style="italic"><enum>(B)</enum><text>in clause (ii)—</text>
<clause changed="added" committee-id="SSHR00" id="idfed0925b-d31c-4e10-aed5-a733b9270861" reported-display-style="italic"><enum>(i)</enum><text>in subclause (I)—</text>
<subclause id="id3e188266-4114-417f-8b46-1048cc65500c"><enum>(I)</enum><text>by
striking <quote>0.8</quote> and inserting <quote>0.75</quote>; and</text>
</subclause><subclause id="id0974f012-caec-4a74-9371-22a8184a240f"><enum>(II)</enum><text>by
striking <quote>and</quote> at the end;</text>
</subclause></clause><clause changed="added" committee-id="SSHR00" id="id4a1aa576-91c2-4feb-99ee-3cf8de28b7ba" reported-display-style="italic"><enum>(ii)</enum><text>in subclause (II), by
striking the period and inserting <quote>; and</quote>; and</text>
</clause><clause changed="added" committee-id="SSHR00" id="id158a2db7-751a-49dc-8555-c7a4b90e4d61" reported-display-style="italic"><enum>(iii)</enum><text>by adding at the end
the following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="ide7fad08e-553d-479a-9264-3d1f85329c6a" reported-display-style="italic" style="OLC">
<subclause id="id585239f2-5e6f-4273-bd3e-d778ec19c272"><enum>(III)</enum><text>the product of 0.05 and
the ratio of the locality distribution factor (as determined under subparagraph
(D)) to the sum of the respective State distribution factors for all States and
territories.</text>
</subclause><after-quoted-block>;</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id7ebae686-e905-4cb6-bda1-58caeed1c27f" reported-display-style="italic"><enum>(2)</enum><text>in subparagraph (C)(ii),
by striking <quote>(as determined under part A)</quote> and inserting
<quote>under subpart I of part A and an eligible area under section
2609(a)(1)(A)</quote>;</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="idc00a9ba1-b204-4064-b3fb-135019760ed7" reported-display-style="italic"><enum>(3)</enum><text>by inserting after
subparagraph (C), the following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="id6e7dd7fd-061b-4418-aab2-6df21bde0678" reported-display-style="italic" style="OLC">
<subparagraph id="idde48ced1-d76b-435a-b201-f29167fb9ef8"><enum>(D)</enum><header>Locality distribution
factor</header><text>For purposes of subparagraph (A)(ii)(III), the term
<quote>locality distribution factor</quote> means an amount equal to the sum
of—</text>
<clause id="id5b50d2e8-ac7d-47b3-b674-c54d1132cb04"><enum>(i)</enum><text>the number of living
cases of HIV/AIDS in the State or territory involved, as determined under
subparagraph (F); less</text>
</clause><clause id="ide0334187-1bdb-43d6-b88a-45b5990e6b23"><enum>(ii)</enum><text>the number of living
cases of HIV/AIDS in such State or territory that are within an eligible area
(as determined under subpart I of part A and section
2609(a)(1)(A)).</text>
</clause></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="idfa3bc654-8003-456f-b900-0e4c8628c567" reported-display-style="italic"><enum>(4)</enum><text>by striking subparagraph
(E) and inserting the following:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="idd7be3bd0-090d-490d-ab19-a2ca98b6508a" style="OLC">
<subparagraph id="idf73979ff-bbc9-4166-9ee9-eaf2c1245e6a"><enum>(E)</enum><header>Severity of
need</header>
<clause changed="added" committee-id="SSHR00" id="idaed89ae3-f6f4-4b66-948a-44a1377e72d7" reported-display-style="italic"><enum>(i)</enum><header>Fiscal years beginning
with 2011</header><text>If, by January 1, 2010, the Secretary notifies the
appropriate committees of Congress that the Secretary has developed a severity
of need index, in accordance with clause (v), the provisions of subparagraphs
(A) through (D) shall not apply for fiscal year 2011 or any fiscal year
thereafter, and the Secretary shall use the severity of need index (as defined
in clause (iv)) for the determination of the formula allocations, subject to
the Congressional Review Act.</text>
</clause><clause changed="added" committee-id="SSHR00" id="ideda95d5b-fdc6-498c-8fb4-90206f30b2de" reported-display-style="italic"><enum>(ii)</enum><header>Subsequent fiscal
years</header><text>If, on or before any January 1 that is subsequent to the
date referred to in clause (i), the Secretary notifies the appropriate
committees of Congress that the Secretary has developed a severity of need
index, in accordance with clause (v), for each succeeding fiscal year, the
provisions of subparagraphs (A) through (D) shall not apply, and the Secretary
shall use the severity of need index (as defined in clause (iv)) for the
determination of the formula allocations, subject to the Congressional Review
Act.</text>
</clause><clause changed="added" committee-id="SSHR00" id="id835f2bab-2549-40c9-99c1-9cbb2ef53b0d" reported-display-style="italic"><enum>(iii)</enum><header>Fiscal year
2013</header><text>The Secretary shall notify the appropriate committees of
Congress that the Secretary has developed a severity of need index by January
1, 2012, and the provisions of subparagraphs (A) through (D) shall not apply,
and the Secretary shall use the severity of need index (as defined in clause
(iv)) for the formula allocations for fiscal year 2013, subject to the
Congressional Review Act.</text>
</clause><clause changed="added" committee-id="SSHR00" id="idb5443d06-b34f-4fde-8227-efbadfc82d73" reported-display-style="italic"><enum>(iv)</enum><header>Definition of severity
of need index</header><text>In this subparagraph, the term <quote>severity of
need index</quote> means the index of the relative needs of individuals within
the State, as identified by a variety of different factors, and is a factor
that is multiplied by the number of living HIV/AIDS cases in the State,
providing different weights to those cases based on their needs.</text>
</clause><clause changed="added" committee-id="SSHR00" id="idafebdc65-5807-4be7-bd78-f58ef06849c5" reported-display-style="italic"><enum>(v)</enum><header>Requirements for
secretarial notification</header><text>When the Secretary notifies the
appropriate committees of Congress that the Secretary has developed a severity
of need index, the Secretary shall provide the following:</text>
<subclause changed="added" id="id919d51f7-7384-446b-a5c3-d2fb31d94ddd" reported-display-style="italic"><enum>(I)</enum><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.</text>
</subclause><subclause changed="added" id="id321ac3cb-5fd7-4522-a3c2-6d3ecef33c15" reported-display-style="italic"><enum>(II)</enum><text>Expected changes in
funding allocations, given the application of the severity of need index and
the elimination of the provisions of subparagraphs (A) through (D).</text>
</subclause><subclause changed="added" id="id51a9ccba-7033-4ab7-b3fe-bfe51809cf31" reported-display-style="italic"><enum>(III)</enum><text>Information regarding
the process by which the Secretary received community input regarding the
application of the severity of need index.</text>
</subclause><subclause changed="added" id="id446f20d5-3780-4ce8-a9df-5a16d1566f55" reported-display-style="italic"><enum>(IV)</enum><text>Timeline and process for
the implementation of the severity of need index to ensure that it is applied
in the following fiscal year.</text>
</subclause></clause><clause changed="added" committee-id="SSHR00" id="idb2413985-5810-48c9-802a-7cd075906ed9" reported-display-style="italic"><enum>(vi)</enum><header>Annual
reports</header><text>Not later than 1 year after the date of enactment of the
<short-title>Ryan White HIV/AIDS Treatment Modernization
Act of 2006</short-title>, and annually thereafter until the Secretary notifies
Congress that the Secretary has developed a severity of need index in
accordance with this subparagraph, the Secretary shall prepare and submit to
the appropriate committees of Congress a report—</text>
<subclause changed="added" id="idec5d00e8-bd02-4117-a17e-cd4f16d2e9e0" reported-display-style="italic"><enum>(I)</enum><text>that updates progress
toward having client level data;</text>
</subclause><subclause changed="added" id="id1dd16551-8dc1-46aa-bf81-e57d5dc5eea4" reported-display-style="italic"><enum>(II)</enum><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</text>
</subclause><subclause changed="added" id="id172221b3-ba61-4f81-a303-ebc61a80cbb8" reported-display-style="italic"><enum>(III)</enum><text>that, as applicable,
states whether the Secretary could develop a severity of need index before
fiscal year
2010.</text>
</subclause></clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="idd07fe001-7513-4370-99f6-fb2ca988dede" reported-display-style="italic"><enum>(5)</enum><text>by striking subparagraph
(G), and inserting the following:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="idfd49bd90-637d-4666-9015-0b8659e71f1c" style="OLC">
<subparagraph id="id3a0749f5-4730-475c-a884-e829fcd01105"><enum>(G)</enum><header>Unexpended
funds</header>
<clause changed="added" committee-id="SSHR00" id="id3c3affec-e847-4563-80e2-4ef1042fb9af" reported-display-style="italic"><enum>(i)</enum><header>In
general</header><text>A State that has unobligated funds for a fiscal year
under a grant under this part shall—</text>
<subclause changed="added" id="idfc89d9fd-1744-457a-ba0d-ec1436f3ffd8" reported-display-style="italic"><enum>(I)</enum><text>return such funds to the
Secretary to be applied as provided for in section 2620; or</text>
</subclause><subclause changed="added" id="id8d9856bc-4a34-4967-8eaf-3ed9ee78c90c" reported-display-style="italic"><enum>(II)</enum><text>submit an application to
the Secretary for the use of such funds in the succeeding fiscal year that
includes a description of the manner in which the State intends to use such
funds.</text>
</subclause></clause><clause changed="added" committee-id="SSHR00" id="idea273851-34d5-4f15-832f-9884be259af4" reported-display-style="italic"><enum>(ii)</enum><header>Carryover</header><text>With
respect to an application received under clause (i)(II), the Secretary shall
determine whether the State involved may carryover any unobligated funds for
use under this part in the succeeding fiscal year or whether such amounts shall
be returned to the Secretary for use under section 2620. Notice shall be
provided to the area of such determination.</text>
</clause><clause changed="added" committee-id="SSHR00" id="idb1e8c5fc-f351-45cc-8a73-b6368c4d09a7" reported-display-style="italic"><enum>(iii)</enum><header>Failure to expend
funds</header><text>Amounts carried over by a State under this subparagraph
that are not expended in the succeeding fiscal year shall be returned to the
Secretary for use under section 2610.</text>
</clause><clause changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id30a1cef8-416e-4ff7-8497-d36799dbd010" reported-display-style="italic"><enum>(iv)</enum><header>Consideration in
making grants</header><text>The Secretary may, in determining the amount of a
grant for a fiscal year under this paragraph, adjust the grant amount to
reflect the amount of unexpended and uncanceled grant funds remaining at the
end of the fiscal year preceding the year for which the grant determination is
to be made. The amount of any such unexpended funds shall be determined using
the financial status report of the
grantee.</text>
</clause></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id6f1771ca-e581-4872-ac8e-d6d3ce8a8ef7" reported-display-style="italic"><enum>(6)</enum><text>by striking subparagraph
(H); and</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id9be38508-026d-4eb8-bbc6-924da16f55a5" reported-display-style="italic"><enum>(7)</enum><text>in subparagraph (I)(ii),
by striking subclause (VI) and inserting the following:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="idad73d3e0-3614-40ca-b411-129cff09ff7a" style="OLC">
<subclause commented="no" display-inline="no-display-inline" id="id0f7d3d71-e999-4f54-a6da-7e3e6c7a9b9c"><enum>(VI)</enum><header>Increases in
grant</header>
<item changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idf7663e99-fb7b-4ad2-a4c5-4c658427ad42" reported-display-style="italic"><enum>(aa)</enum><header>In
general</header><text>For eligible areas receiving grants under this section in
fiscal year 2007, the Secretary shall increase the amount of the grant made
pursuant to paragraph (2) for the State to ensure that—</text>
<subitem changed="added" id="idca1b678c-112a-4f93-99e6-86e24c3f4709" reported-display-style="italic"><enum>(AA)</enum><text>for fiscal year 2007,
the grant is not less than 90 percent of the amount of the grant made for the
State under section 2620 and section 2618(a) for the base year;</text>
</subitem><subitem changed="added" id="idd71b28d4-11db-4de5-8d21-c20dd06ac51c" reported-display-style="italic"><enum>(BB)</enum><text>for fiscal year 2008,
the grant is not less than 85 percent of the amount of such base year grant;
and</text>
</subitem><subitem changed="added" id="id5df3a34b-88fc-4efb-ab64-40f25264ce73" reported-display-style="italic"><enum>(CC)</enum><text>for fiscal year 2009,
the grant is not less than 80 percent of the amount of the base year
grant.</text>
</subitem></item><item changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id40fe3e98-1603-4e02-988f-e8446e2bba91" reported-display-style="italic"><enum>(bb)</enum><header>Base
year</header><text>With respect to grants made pursuant to paragraph (2) for an
State, the base year shall be fiscal year
2006.</text>
</item></subclause><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="idd2c882bd-bdb0-4fcf-a732-77cab4dee2a8" reported-display-style="italic"><enum>(b)</enum><header>Reallocation</header><text>Section
2618(d) of the Public Health Service Act (42 U.S.C. 300ff–28(d)) is amended by
striking <quote>in proportion to the original grants made to such
States</quote> and insert <quote>reallocated pursuant to section
2620</quote>.</text>
</subsection></section><section changed="added" committee-id="SSHR00" id="id62277205-05f1-4885-b6b7-cb358afd908e" reported-display-style="italic"><enum>205.</enum><header>Core medical
services</header><text display-inline="no-display-inline">Section 2612 of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name> (42 U.S.C.
300ff–22) is amended by adding at the end the following:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="id87067a6d-377f-4936-a982-1072310b524e" style="OLC">
<subsection id="id4fd780ef-fcc0-4efd-9767-29982bd6c6bd"><enum>(e)</enum><header>Required funding for
core medical services</header><text></text>
<paragraph changed="added" committee-id="SSHR00" id="id82393a8b-8d50-469d-9750-72374e34e101" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text>Notwithstanding any other provision of law, a grantee
under this part shall expend not less than 75 percent of the funds received
under the grant on core medical services, except that the Secretary shall waive
the application of this subsection with respect to a grantee if the Secretary
determines that, within the service area of the grantee—</text>
<subparagraph changed="added" id="ide260c641-943c-4a36-96f5-312208ca8d84" reported-display-style="italic"><enum>(A)</enum><text>there is
no waiting lists for AIDS Drug Assistance Program services; and</text>
</subparagraph><subparagraph changed="added" id="id2808641d-b09a-4ec0-a2f6-0a0303c59827" reported-display-style="italic"><enum>(B)</enum><text>core
medical services are available to all individuals infected with
HIV/AIDS.</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id9f72f1c4-47ab-46dd-b17d-f8c03f218c89" reported-display-style="italic"><enum>(2)</enum><header>Core medical
services</header><text>For purposes of this subsection, the term <term>core
medical services</term> with respect to an individual infected with HIV/AIDS
(including the co-occurring diseases of the individual) means the following
services:</text>
<subparagraph changed="added" id="ideac2fba6-b859-49ef-84f2-1001ce9a7da3" reported-display-style="italic"><enum>(A)</enum><text>Outpatient and ambulatory
health services.</text>
</subparagraph><subparagraph changed="added" id="id389188e1-782c-400e-8738-af56ff5b7ac1" reported-display-style="italic"><enum>(B)</enum><text>AIDS Drug
Assistance Program treatments.</text>
</subparagraph><subparagraph changed="added" id="ida9488367-cbc9-4c8a-80e4-3a7e5b51f431" reported-display-style="italic"><enum>(C)</enum><text>AIDS
pharmaceutical assistance.</text>
</subparagraph><subparagraph changed="added" id="idc331333a-6894-4667-a1cf-89380f874030" reported-display-style="italic"><enum>(D)</enum><text>Oral
health care.</text>
</subparagraph><subparagraph changed="added" id="idaf7d0a20-77ff-446f-927d-b996ed481444" reported-display-style="italic"><enum>(E)</enum><text>Early
intervention services.</text>
</subparagraph><subparagraph changed="added" id="iddd9dc7d7-b593-41a8-a2f3-713721191997" reported-display-style="italic"><enum>(F)</enum><text>Health
insurance premium and cost sharing assistance for low-income
individuals.</text>
</subparagraph><subparagraph changed="added" id="id0580cf06-2eca-49d5-b995-750a452b0ae8" reported-display-style="italic"><enum>(G)</enum><text>Home
health care.</text>
</subparagraph><subparagraph changed="added" id="id48042926-4909-45aa-bcda-030c7ba29a2b" reported-display-style="italic"><enum>(H)</enum><text>Hospice
services.</text>
</subparagraph><subparagraph changed="added" id="id605edaaa-e1b8-406b-bafc-509480ff9210" reported-display-style="italic"><enum>(I)</enum><text>Home and
community-based health services as defined under section 2614(c), except
homemaker services.</text>
</subparagraph><subparagraph changed="added" id="id53d3e4fc-037a-4902-ac70-f7024457b9df" reported-display-style="italic"><enum>(J)</enum><text>Mental
health services.</text>
</subparagraph><subparagraph changed="added" id="id60542497-90a9-4364-80d3-629fbaac72cc" reported-display-style="italic"><enum>(K)</enum><text>Substance
abuse outpatient care.</text>
</subparagraph><subparagraph changed="added" id="id68517568-246f-47a8-8b20-0e87e454ad79" reported-display-style="italic"><enum>(L)</enum><text>Medical
case management, including treatment adherence services.</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="idd343c08e-e368-4ebd-b64b-c85a1d3513fc" reported-display-style="italic"><enum>(3)</enum><header>Support
services</header><text>Notwithstanding any other provision of law, and subject
to paragraph (1), a grantee under this part, subject to the approval of the
Secretary, may provide support services (such as respite care for individuals
with HIV/AIDS, outreach services, medical transportation, nutritional
counseling, linguistic services, and referral for health care and support
services for individuals with HIV/AIDS) needed to achieve medical outcomes
which are related to the medical outcomes for an individual infected with HIV
and approved by the Secretary.</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id0c188ecb-add0-4754-8910-01c5eb06a34e" reported-display-style="italic"><enum>(4)</enum><header>Definition of medical
outcomes</header><text>In this subsection, the term <quote>medical
outcomes</quote> means those outcomes affecting the HIV-related clinical status
of an individual with HIV/AIDS.</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="idddee7625-61a6-4247-89d8-d4870778c15a" reported-display-style="italic"><enum>(5)</enum><header>Unexpended
funds</header><text>Any amounts required to be expended for core medical
services or support services under this subsection that remain unobligated at
the end of the fiscal year in which the funds were awarded shall be remitted to
the Secretary for reallocation under section
2620.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section changed="added" committee-id="SSHR00" id="idc3727047-0ed8-4463-9a02-59cb64d72e2f" reported-display-style="italic"><enum>206.</enum><header>Supplemental
grants</header>
<subsection id="id1c6d3943-e596-43fe-a18e-240f4482de30"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Section 2620 of the Public Health Service
Act (42 U.S.C. 300ff–30) is amended to read as follows:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="iddc312dcd-b1e5-4967-8fce-b4dc4c770f4e" style="OLC">
<section id="id22486ed8-0e7c-44ee-a9bf-f8715471bbc0"><enum>2620.</enum><header>Supplemental
grants</header>
<subsection changed="added" committee-id="SSHR00" id="idf7d46f03-2194-4f76-95e4-5920ebf66609" reported-display-style="italic"><enum>(a)</enum><header>In
general</header><text>The Secretary shall utilize amounts appropriated under
section 2622 for a fiscal year and made available in accordance with subsection
(c) to award grants to States whose applications under section 2617 demonstrate
a need in the State for supplemental financial assistance to combat the HIV
epidemic and that have not had unexpended funds subject to the reallocation
under section 2618(a)(2)(G).</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id50135019-cebe-4cd1-8fc7-60e4e2360c98" reported-display-style="italic"><enum>(b)</enum><header>Demonstrated
need</header><text>In determining demonstrated need for purposes of subsection
(a), the Secretary shall consider relevant factors that impact the need for
supplemental financial assistance, including—</text>
<paragraph changed="added" id="idd0471fde-0dbd-46e1-9f1c-c94e05966398" reported-display-style="italic"><enum>(1)</enum><text>the unmet need for such
services, as determined under section 2602(b)(4) or other community input
process as defined under section 2609A(a);</text>
</paragraph><paragraph changed="added" id="id7cb297f7-ddb4-4418-88fc-692890cf2af4" reported-display-style="italic"><enum>(2)</enum><text>an increasing need for
HIV/AIDS-related services, including relative rates of increase in the number
of cases of HIV/AIDS;</text>
</paragraph><paragraph changed="added" id="idb9ac4dd9-bc1a-426c-8e18-7c1e10b50abc" reported-display-style="italic"><enum>(3)</enum><text>the relative rates of
increase in the number of cases of HIV/AIDS within new or emerging
subpopulations;</text>
</paragraph><paragraph changed="added" id="id09f987d0-ab8f-4719-b21e-54e2d31e7686" reported-display-style="italic"><enum>(4)</enum><text>the current prevalence of
HIV/AIDS;</text>
</paragraph><paragraph changed="added" id="id52b83760-9ced-4172-b644-42591cc15d9e" reported-display-style="italic"><enum>(5)</enum><text>relevant factors related
to the cost and complexity of delivering health care to individuals with
HIV/AIDS in the eligible area;</text>
</paragraph><paragraph changed="added" id="id85388bdc-0f4f-46d4-9871-9d6cab2b41ea" reported-display-style="italic"><enum>(6)</enum><text>the impact of co-morbid
factors, including co-occurring infections, determined relevant by the
Secretary;</text>
</paragraph><paragraph changed="added" id="idadbbb71c-8cce-4190-bef1-159accca45a0" reported-display-style="italic"><enum>(7)</enum><text>the prevalence of
homelessness;</text>
</paragraph><paragraph changed="added" id="id4a0c5509-1e31-4d98-9853-7f3bf0e81fb6" reported-display-style="italic"><enum>(8)</enum><text>the prevalence of
individuals described under section 2602(b)(2)(M);</text>
</paragraph><paragraph changed="added" id="id8b19b810-d992-42d2-8da0-9fafab851bc5" reported-display-style="italic"><enum>(9)</enum><text>the relevant factors that
limit access to health care, including geographic variation, adequacy of health
insurance coverage, and language barriers; or</text>
</paragraph><paragraph changed="added" id="id758152b1-1b87-40b8-be05-3e3deedf6342" reported-display-style="italic"><enum>(10)</enum><text>the impact of a
precipitous decline in the amount received under this subpart to an increase in
unmet need for such services.</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id202822b4-89ee-4273-a28d-478d16197128" reported-display-style="italic"><enum>(c)</enum><header>Amount and trigger of
funding</header>
<paragraph changed="added" committee-id="SSHR00" id="id71017653-c5b7-404a-86cd-e7da2cb1b2e5" reported-display-style="italic"><enum>(1)</enum><header>Amount</header><text>For
each fiscal year beginning with the trigger year described in paragraph (2),
the Secretary shall make available for purposes of awarding grants under this
section, <fraction>1/3</fraction> of the sum of—</text>
<subparagraph changed="added" id="id65d8e89f-8924-4ed0-8d87-fbfe8184ac8f" reported-display-style="italic"><enum>(A)</enum><text>the
amount appropriated under section 2622 for such fiscal year; less</text>
</subparagraph><subparagraph changed="added" id="id9d34a3dc-3e4f-426b-970f-1776a7ea3857" reported-display-style="italic"><enum>(B)</enum><text>the
amount made available to carry out section 2618(a)(2)(I) and section 2621 for
such fiscal year.</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="idc24286b9-1d4e-4a44-89b2-0cdbee25c1c7" reported-display-style="italic"><enum>(2)</enum><header>Trigger
year</header><text>This section shall be effective only for fiscal years
beginning in the first fiscal year in which the amount appropriated under
section 2621, excluding any amounts made available to carry out section
2618(a)(2)(I) and section 2621 for such fiscal year, exceeds the amount
appropriated under section 2677(b) (as such section existed on the day before
the date of enactment of the <short-title>Ryan White
HIV/AIDS Treatment Modernization Act of 2006</short-title>) for fiscal year
2006, excluding any amount made available to carry out section 2618(a)(2)(I)
for fiscal year
2006.</text>
</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="added" committee-id="SSHR00" id="id5cfd882c-3275-4e07-b3b7-0b776154176d" reported-display-style="italic"><enum>(b)</enum><header>Conforming
amendments</header><text>Section 2618 of the Public Health Service Act (42
U.S.C. 300ff–28) is amended—</text>
<paragraph id="idf270f7fc-cfa5-4c59-8761-fe8d941c46ff"><enum>(1)</enum><text>in
subsection (a)(1), by striking <quote>section 2677</quote> and inserting
<quote>section 2622 and to the provisions of section 2620</quote>; and</text>
</paragraph><paragraph id="idb6c79c6e-4f8e-4cd1-bfcb-2a88d9ff654a"><enum>(2)</enum><text>in
subsection (c)(1), by inserting “, except for grants awarded under section
2620,” after <quote>under this part</quote>.</text>
</paragraph></subsection></section><section changed="added" committee-id="SSHR00" id="id64ba6bb8-18aa-4fff-90b2-49be3971c1e3" reported-display-style="italic"><enum>207.</enum><header>Reduction of the ADAP
waiting list</header><text display-inline="no-display-inline">Subpart I of part
B of title XXVI of the Public Health Service Act (42 U.S.C. 300ff–21 et seq.)
is amended by adding at the end the following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="idb8943f5b-c1b0-4305-9ab5-705594c65fcc" reported-display-style="italic" style="OLC">
<section id="id45f8af77-76f5-4c0c-80b2-6b2d03640a3a"><enum>2621.</enum><header>Reduction of the ADAP
waiting list</header>
<subsection id="idef1514a8-445a-4606-991a-9e5a5f578283"><enum>(a)</enum><header>In
general</header><text>If the Secretary determines that there is additional need
for States to have funds to provide eligible individuals (as described in
section 2616(b)) appropriate access to pharmaceutical therapies, the Secretary
may make supplemental grants to States described in subsection (b) to enable
such States to purchase and distribute to eligible individuals pharmaceutical
therapies as described in sections 2616(a) and 2616(e).</text>
</subsection><subsection id="ida2adcb00-b8c1-483d-bbee-bf215eebf84a"><enum>(b)</enum><header>Eligible
States</header><text>For purposes of subsection (a), a State is an eligible
State if the State did not have unexpended funds subject to reallocation under
section 2618(d), and, in accordance with criteria established by the Secretary,
demonstrates a need for a grant under such subsection. In developing such
criteria, the Secretary shall consider eligibility standards, formulary
composition, the number of eligible individuals to whom the State is unable to
provide therapeutics described in section 2616(a), and unanticipated increases
in the number of eligible individuals.</text>
</subsection><subsection id="id22c25cbf-d9e5-4ef4-bafa-e3920af79dde"><enum>(c)</enum><header>State
requirements</header><text>The Secretary may not make a grant to a State under
this section unless the State involved agrees that the State will make
available (directly or through donations from 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 under the
grant, except that the Secretary may waive this subsection if the State has
otherwise fully complied with section 2617(d) with respect to the grant year
involved.</text>
</subsection><subsection id="id9f5334f0-e5dc-4587-a164-04d899c45abb"><enum>(d)</enum><header>Authorization of
appropriations</header><text>There is authorized to be appropriated to carry
out this section, $40,000,000 for fiscal year
2007.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section changed="added" committee-id="SSHR00" id="id56e4d01a-0545-48b6-9712-f7e01313bf23" reported-display-style="italic"><enum>208.</enum><header>Native American
representation</header><text display-inline="no-display-inline">Section
2617(b)(6) of the Public Health Service Act (42 U.S.C. 300ff–27(b)(5)), as so
redesignated, is amended by inserting <quote>Native Americans within the
State,</quote> before <quote>representatives of grantees</quote>.</text>
</section><section changed="added" committee-id="SSHR00" id="id2d948a32-37e2-4fc9-93b1-82acab49b350" reported-display-style="italic"><enum>209.</enum><header>Payer of last
resort</header><text display-inline="no-display-inline">Section
2617(b)(7)(F)(ii) of the Public Health Service Act (42 U.S.C. 300ff–27(b)(6))is
amended by inserting <quote>(except for a program administered by or providing
the services of the Indian Health Services)</quote> before the
semicolon.</text>
</section><section changed="added" committee-id="SSHR00" id="id52b4ed49-1fd1-40fb-b4ee-eeed87073b8c" reported-display-style="italic"><enum>210.</enum><header>Hepatitis</header><text display-inline="no-display-inline">Section 2614(a)(3) of the Public Health
Service Act (42 U.S.C. 300ff–24(a)(3)) is amended by inserting <quote>,
including speciality care (including vaccinations) for hepatitis
coinfection,</quote> after <quote>health services</quote>.</text>
</section><section changed="added" committee-id="SSHR00" id="id60b085d8-1b80-43dc-9547-71140aa13170" reported-display-style="italic"><enum>211.</enum><header>Authorization of
appropriations</header><text display-inline="no-display-inline">Subpart I of
part B of title XXVI of the Public Health Service Act (42 U.S.C. 300ff–21 et
seq.), as amended by section 207, is further amended by adding at the end the
following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="id1792169b-ad45-4750-9cc6-edbc9be7309d" reported-display-style="italic" style="OLC">
<section id="idfdecd2df-58da-4130-ae53-badb6b5fe623"><enum>2622.</enum><header>Authorization of
appropriations</header><text display-inline="no-display-inline">For the purpose
of carrying put this subpart, there are authorized to be appropriated
$1,190,400,000 for fiscal year 2007, $1,193,000,000 for fiscal year 2008,
$1,237,100,000 for fiscal year 2009, $1,282,900,000 for fiscal year 2010, and
$1,330,300,000 for fiscal year
2011.</text>
</section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>III</enum><header>Early intervention
services</header>
<section changed="added" committee-id="SSHR00" id="id74a2dfb5-c44b-4e59-91ec-11408b6495f4" reported-display-style="italic"><enum>301.</enum><header>Categorical
grants</header>
<subsection changed="added" committee-id="SSHR00" id="id073ecdd0-178b-4fc1-b8c8-417fdc960a16" reported-display-style="italic"><enum>(a)</enum><header>Establishment of
program</header><text>Section 2651(b) of the Public Health Service Act (42
U.S.C. 300ff–51(b)) is amended—</text>
<paragraph changed="added" committee-id="SSHR00" id="ide45352de-5d7d-4e43-9e0b-40c34cc195c3" reported-display-style="italic"><enum>(1)</enum><text>in paragraph (2)(D), by
striking <quote>the disease</quote> and inserting
<quote>HIV/AIDS</quote>;</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id7cee00d0-5c8b-4ca5-a9c9-90574e24df3d" reported-display-style="italic"><enum>(2)</enum><text>in paragraph
(4)(B)—</text>
<subparagraph id="idfae9a2b6-523d-49f2-92be-9a0794ef7dde"><enum>(A)</enum><text>in
clause (i), by striking <quote>paragraphs (1)</quote> and all that follows
through <quote>2652(a)</quote> and inserting <quote>subparagraphs (A), (D),
(E), and (F) of section 12652(a)(1)</quote>; and</text>
</subparagraph><subparagraph id="idd189eb51-5972-46c0-88e8-7cc9c966d4f3"><enum>(B)</enum><text>in
clause (ii), by striking <quote>paragraphs (3) and (4) of section
2652(a)</quote> and inserting <quote>subparagraphs (B) and (C) of section
2652(a)(1)</quote>; and</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="ided30eca3-edaa-40d3-b869-56f0ec85caf0" reported-display-style="italic"><enum>(3)</enum><text>in paragraph (5)(A), by
striking <quote>the disease</quote> each place that such appears and inserting
<quote>HIV/AIDS</quote>.</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id7c1753bd-7bc7-46b8-9080-62384e3b4faf" reported-display-style="italic"><enum>(b)</enum><header>Minimum qualification
of grantees</header><text>Section 2652(a) of the Public Health Service Act (42
U.S.C. 300ff–52(a)) is amended to read as follows:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="id3bce3b5f-7b92-4752-b1e7-d0c712f208b2" style="OLC">
<subsection id="id0302f1fd-8272-4bb6-9ad1-3acd7c46d0fb"><enum>(a)</enum><header>Eligible
entities</header>
<paragraph changed="added" committee-id="SSHR00" id="idd21deeed-7745-4ede-9e77-7f29beab6b14" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text>The entities referred to in section 2651(a) are public
entities and nonprofit private entities that are—</text>
<subparagraph changed="added" id="id67d285b7-b6a3-43cd-b5e3-a675f15009b2" reported-display-style="italic"><enum>(A)</enum><text>federally-qualified
health centers under section 1905(l)(2)(B) of the Social Security Act;</text>
</subparagraph><subparagraph changed="added" id="idf08a67f9-83c5-46a4-8656-55a65ba60a3a" reported-display-style="italic"><enum>(B)</enum><text>grantees
under section 1001 (regarding family planning) other than States;</text>
</subparagraph><subparagraph changed="added" id="id80cb911b-5f38-44a7-9697-34f25734f23c" reported-display-style="italic"><enum>(C)</enum><text>comprehensive hemophilia
diagnostic and treatment centers;</text>
</subparagraph><subparagraph changed="added" id="idfc78c412-42f3-4a0b-9edf-e2fd118ba238" reported-display-style="italic"><enum>(D)</enum><text>rural
health clinics;</text>
</subparagraph><subparagraph changed="added" id="idc2f50fcb-cfbc-400d-89cb-5b3bacd773b0" reported-display-style="italic"><enum>(E)</enum><text>health
facilities operated by or pursuant to a contract with the Indian Health
Service;</text>
</subparagraph><subparagraph changed="added" id="id11f2e9ef-588a-4a24-b23d-2eeb83c25490" reported-display-style="italic"><enum>(F)</enum><text>nonprofit
private entities that provide comprehensive primary care services to
populations at risk of HIV/AIDS.</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id5ee8d626-4ed8-4897-b16d-6167bd944a4f" reported-display-style="italic"><enum>(2)</enum><header>Underserved
populations</header><text>Entities described in paragraph (1) shall serve
underserved populations which may include minority populations and Native
American populations, ex-offenders, individuals co-infected with HIV and
hepatitis B or C, low-income populations, inner city populations, and rural
populations.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="added" committee-id="SSHR00" id="id8826aed4-75e1-4c60-9910-72f18bb0959e" reported-display-style="italic"><enum>(c)</enum><header>Preferences in making
grants</header><text>Section 2653 of the Public Health Service Act (42 U.S.C.
300ff–53) is amended—</text>
<paragraph changed="added" committee-id="SSHR00" id="idf9d67291-7327-40d3-801a-1f7bd73d2ca8" reported-display-style="italic"><enum>(1)</enum><text>in subsection
(b)(1)—</text>
<subparagraph id="idd5104ffb-534d-4918-bfd8-3be353163521"><enum>(A)</enum><text>in
subparagraph (A), by striking <quote>acquired immune deficiency
syndrome</quote> and inserting <quote>HIV/AIDS</quote>; and</text>
</subparagraph><subparagraph id="idfe0fdca1-e81e-4bec-9440-66fc8c996bf0"><enum>(B)</enum><text>in
subparagraph (D), by inserting before the semicolon the following: <quote>and
the number of cases of individuals coinfected with HIV/AIDS and hepatitis B or
C</quote>; and</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id6c66ffe9-b2b5-4a95-ab2c-0b9a4a862dfc" reported-display-style="italic"><enum>(2)</enum><text>in subsection (d)(2), by
striking <quote>special consideration</quote> and inserting
<quote>preference</quote>.</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="ide774f00c-9892-4965-9642-159d7e7522c8" reported-display-style="italic"><enum>(d)</enum><header>Planning and
development grants</header><text>Section 2654(c) of the Public Health Service
Act (42 U.S.C. 300ff–54(c)) is amended—</text>
<paragraph changed="added" committee-id="SSHR00" id="id7f23b8d6-180c-44ee-a3f2-dce5b365a99e" reported-display-style="italic"><enum>(1)</enum><text>in paragraph (1)—</text>
<subparagraph id="id2af60fa9-ef57-4ffe-853c-6cb91b6a6827"><enum>(A)</enum><text>in
subparagraph (A), by striking <quote>HIV</quote>; and</text>
</subparagraph><subparagraph id="idee94b7d1-fbf7-4d3f-ac47-0dd4d4a8dca2"><enum>(B)</enum><text>in
subparagraph (B), by striking <quote>HIV</quote> and inserting
<quote>HIV/AIDS</quote>; and</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id0cad50c0-54a5-4dbe-a078-4aa784643baa" reported-display-style="italic"><enum>(2)</enum><text>in paragraph (3), by
striking <quote>or underserved communities</quote> and inserting <quote>areas
or to underserved populations</quote>.</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="idc87e4991-ae7b-4f89-ad49-3f52654106ba" reported-display-style="italic"><enum>(e)</enum><header>Authorization of
appropriations</header><text>Section 2655 of the Public Health Service Act (42
U.S.C. 300ff–55) is amended by striking <quote>such sums</quote> and all that
follows through <quote>2005</quote> and inserting <quote>, $218,600,000 for
fiscal year 2007, $226,700,000 for fiscal year 2008, $235,100,000 for fiscal
year 2009, $234,800,000 for fiscal year 2010, and $252,800,000 for fiscal year
2011</quote>.</text>
</subsection></section><section changed="added" committee-id="SSHR00" id="id9613201d-8146-4ad9-8fff-d429be3eac6c" reported-display-style="italic"><enum>302.</enum><header>General
provisions</header>
<subsection changed="added" committee-id="SSHR00" id="id43f2f6c2-ea87-4ef0-a68e-0176bc9b55a7" reported-display-style="italic"><enum>(a)</enum><header>Counseling
services</header><text>Section 2662(a) of the Public Health Service Act (42
U.S.C. 300ff–62(a)) is amended by striking <quote>the disease</quote> and
inserting <quote>HIV/AIDS</quote>.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id7a7ceb8d-ac55-4941-bdd6-aebea576bca5" reported-display-style="italic"><enum>(b)</enum><header>Applicability of
certain requirements</header><text>Section 2663 of the Public Health Service
Act (42 U.S.C. 300ff–63) is amended by striking <quote>will, without</quote>
and all that follows through <quote>be carried</quote> and inserting
<quote>with funds appropriated through this Act will be carried</quote>.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="idd8a5ad90-af17-4941-bc41-c19b9aae647a" reported-display-style="italic"><enum>(c)</enum><header>Additional required
agreements</header><text>Section 2664(a) of the Public Health Service Act (42
U.S.C. 300ff–64(a)) is amended—</text>
<paragraph changed="added" committee-id="SSHR00" id="idb339f6f1-d523-47b9-897c-f826555ff20a" reported-display-style="italic"><enum>(1)</enum><text>in paragraph (1)—</text>
<subparagraph id="id0154e07f-e803-4b72-9c08-ab795c5144d9"><enum>(A)</enum><text>in
subparagraph (A), by striking <quote>and</quote> at the end;</text>
</subparagraph><subparagraph id="id28c86ac7-ca21-4931-bdf8-3c28ab180744"><enum>(B)</enum><text>in
subparagraph (B), by striking <quote>and</quote> at the end; and</text>
</subparagraph><subparagraph id="id7b82af91-ed22-4b70-8a7b-8f66ca1e8de4"><enum>(C)</enum><text>by
adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id4644e57e-091a-46d7-9d0b-18c769439e84" style="OLC">
<subparagraph changed="added" committee-id="SSHR00" id="id0c419744-69e6-45d2-8bf6-3e5324eeaa54" reported-display-style="italic"><enum>(C)</enum><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</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id6e6077c0-0a7d-4fd4-aed2-7c0095293a80" reported-display-style="italic"><enum>(D)</enum><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) or through
additional outcome measures;</text>
</subparagraph><after-quoted-block>;
</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="ida328501d-5a0c-4139-8a40-dbe146467ba3" reported-display-style="italic"><enum>(2)</enum><text>in paragraph (2), by
striking the period and inserting a semicolon; and</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="iddf661e03-d60f-43a2-a5b5-f9c2e3574b1b" reported-display-style="italic"><enum>(3)</enum><text>by adding at the end the
following:</text>
<quoted-block display-inline="no-display-inline" id="id93970b7b-ad3d-435d-85a3-357f1045c3f3" style="OLC">
<paragraph changed="added" committee-id="SSHR00" id="id87be422a-aeb6-463b-b712-076433fbe703" reported-display-style="italic"><enum>(3)</enum><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</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id4cd221c0-9d85-47e3-9a7b-b1f2738fcd93" reported-display-style="italic"><enum>(4)</enum><text>the applicant agrees to
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.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section><section changed="added" committee-id="SSHR00" id="id03865f8c-37aa-4a20-92e1-7755b3f65569" reported-display-style="italic"><enum>303.</enum><header>Core medical
services</header><text display-inline="no-display-inline">Subpart II of part C
of title XXVI of the <act-name parsable-cite="PHSA">Public Health Service
Act</act-name> (42 U.S.C. 300ff–61 et seq.) is amended by adding at the end the
following:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="idaa4c9dbf-261f-4fe9-a509-0df68cf63296" style="OLC">
<section id="idc310551c-dea7-41cc-90a6-2cbb2614620b"><enum>2688.</enum><header>Required funding for
core medical services</header>
<subsection changed="added" committee-id="SSHR00" id="idc4260ead-06ee-484c-bb8b-068e9b8080bd" reported-display-style="italic"><enum>(a)</enum><header>In
general</header><text>Notwithstanding any other provision of law, a grantee
under this part shall expend not less than 75 percent of the funds received
under the grant on core medical services, except that the Secretary shall waive
the application of this section with respect to a grantee if the Secretary
determines that, within the service area of the grantee—</text>
<paragraph changed="added" id="id52e23bc0-cdad-4501-98a8-e1b34a3051d9" reported-display-style="italic"><enum>(1)</enum><text>there is no waiting lists
for AIDS Drug Assistance Program services; and</text>
</paragraph><paragraph changed="added" id="idf079b54d-7014-4545-b27a-856c9956921c" reported-display-style="italic"><enum>(2)</enum><text>core medical services are
available to all individuals infected with HIV/AIDS.</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id22c12bd6-5d9d-4ab2-8781-d4a4a55cc315" reported-display-style="italic"><enum>(b)</enum><header>Core medical
services</header><text>For purposes of this section, the term <term>core
medical services</term> with respect to an individual infected with HIV/AIDS
(including the co-occurring diseases of the individual) means the following
services:</text>
<paragraph changed="added" id="idcf861702-6f15-40a0-b7d1-f627ab0025b1" reported-display-style="italic"><enum>(1)</enum><text>Outpatient and ambulatory
health services.</text>
</paragraph><paragraph changed="added" id="id08aee038-594a-4f7a-8930-877e10b61500" reported-display-style="italic"><enum>(2)</enum><text>AIDS Drug Assistance
Program treatments.</text>
</paragraph><paragraph changed="added" id="id8e38efbe-425b-47fd-919d-8994bd20bcd7" reported-display-style="italic"><enum>(3)</enum><text>AIDS pharmaceutical
assistance.</text>
</paragraph><paragraph changed="added" id="idb295903b-fdfd-4b31-98cf-508d50dd104e" reported-display-style="italic"><enum>(4)</enum><text>Oral health care.</text>
</paragraph><paragraph changed="added" id="id19a96108-acf6-4129-8517-2797262e5dbe" reported-display-style="italic"><enum>(5)</enum><text>Early intervention
services.</text>
</paragraph><paragraph changed="added" id="id94018232-fdf5-4885-9cba-2c436b183cab" reported-display-style="italic"><enum>(6)</enum><text>Health insurance premium
and cost sharing assistance for low-income individuals.</text>
</paragraph><paragraph changed="added" id="id986388e3-3e93-4492-869d-6a373b8d0c5d" reported-display-style="italic"><enum>(7)</enum><text>Home health care.</text>
</paragraph><paragraph changed="added" id="id4a2ca559-22e4-430e-b670-c86f6358de8e" reported-display-style="italic"><enum>(8)</enum><text>Hospice services.</text>
</paragraph><paragraph changed="added" id="id818afd84-e946-4eea-8eb2-bfdd556f466a" reported-display-style="italic"><enum>(9)</enum><text>Home and community-based
health services as defined under section 2614(c), except homemaker
services.</text>
</paragraph><paragraph changed="added" id="idc70f7f3f-0a53-44dc-ba5a-c6e3dafca5c6" reported-display-style="italic"><enum>(10)</enum><text>Mental health
services.</text>
</paragraph><paragraph changed="added" id="ida0475153-9027-4b2b-8bd4-2c930b44a1b2" reported-display-style="italic"><enum>(11)</enum><text>Substance abuse
outpatient care.</text>
</paragraph><paragraph changed="added" id="idf3010ad5-1f77-4c9d-ac24-c3a8159287b6" reported-display-style="italic"><enum>(12)</enum><text>Medical case management,
including treatment adherence services.</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="idb227ec52-992d-4b3e-82fb-932d5b37dad9" reported-display-style="italic"><enum>(c)</enum><header>Support
services</header><text>Notwithstanding any other provision of law, and subject
to subsection (a), a grantee under this part, subject to the approval of the
Secretary, may provide support services (such as respite care for individuals
with HIV/AIDS, outreach services, medical transportation, nutritional
counseling, linguistic services, and referral for health care and support
services for individuals with HIV/AIDS) needed to achieve medical outcomes
which are related to the medical outcomes for an individual infected with HIV
and approved by the Secretary.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id75873a9b-3274-4b40-b663-ca2a8d2bfc3b" reported-display-style="italic"><enum>(d)</enum><header>Definition of medical
outcomes</header><text>In this section, the term <quote>medical
outcomes</quote> means those outcomes affecting the HIV-related clinical status
of an individual with HIV/AIDS.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id3602aa80-4bf0-4efd-89a7-61ccdf53a855" reported-display-style="italic"><enum>(e)</enum><header>Unexpended
funds</header><text>Any amounts required to be expended for core medical
services or support services under this section that remain unobligated at the
end of the fiscal year in which the funds were awarded shall be remitted to the
Secretary for reallocation under this
section.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section changed="added" committee-id="SSHR00" id="idcf72bd01-73e5-4c5f-b9f3-1d49d389fa0f" reported-display-style="italic"><enum>304.</enum><header>Payer of last
resort</header><text display-inline="no-display-inline">Section 2664(f)(1)(A)
of the Public Health Service Act (42 U.S.C. 300ff–64(f)(1)(A)) is amended by
inserting <quote>(except for a program administered by or providing the
services of the Indian Health Service)</quote> before the semicolon.</text>
</section><enum>IV</enum><header>Women, infants,
children, and youth</header>
<section id="id078ddc9e-7ed2-402a-88ef-7d68fba15a3e"><enum>401.</enum><header>Women, infants, children, and
youth</header><text display-inline="no-display-inline">Part D of title XXVI of
the Public Health Service Act (42 U.S.C. 300ff–71 et seq.) is amended to read
as follows:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="idf7b58920-c5b8-4815-9e29-3ce132b7113a" style="OLC">
<part id="iddf210b1f-f6cd-4818-aa98-e556fa26d8ed"><enum>D</enum><header>Women, infants, children,
and youth</header>
<section changed="added" committee-id="SSHR00" id="idc8a4fa7b-9840-4da1-a6db-566669f7909c" reported-display-style="italic"><enum>2671.</enum><header>Grants for
coordinated services and access to research for women, infants, children, and
youth</header>
<subsection changed="added" committee-id="SSHR00" id="id864596e7-4cb6-4fde-a017-258d2840c9a7" reported-display-style="italic"><enum>(a)</enum><header>In
general</header><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) that provide family-centered care
involving outpatient or ambulatory care (directly or through contracts) for
women, infants, children, and youth with HIV/AIDS.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id5762eb89-d33a-42f7-bc54-0d437726a5e0" reported-display-style="italic"><enum>(b)</enum><header>Additional services for
patients and families</header><text>Funds provided under grants awarded under
subsection (a) may be also be used for the following support services:</text>
<paragraph changed="added" committee-id="SSHR00" id="id274af134-b1c3-4819-b5c7-6e3d9aba11c1" reported-display-style="italic"><enum>(1)</enum><text>Family-centered care
including case management.</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id6aa3e809-7116-4816-a915-7ca97a881e75" reported-display-style="italic"><enum>(2)</enum><text>Referrals for additional
services including—</text>
<subparagraph changed="added" id="idb7654537-c948-4143-ad70-ce7fc99d25ea" reported-display-style="italic"><enum>(A)</enum><text>referrals
for inpatient hospital services, treatment for substance abuse, and mental
health services; and</text>
</subparagraph><subparagraph changed="added" id="id314dc957-fba6-46b6-9ee7-a43c1045a9dd" reported-display-style="italic"><enum>(B)</enum><text>referrals
for other social and support services, as appropriate.</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id32f7c496-5c39-4cde-bdb0-8b6fe0b4ecab" reported-display-style="italic"><enum>(3)</enum><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.</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id565200c9-eaad-4c27-a6c3-9df6e975e1e9" reported-display-style="italic"><enum>(4)</enum><text>The provision of
information and education on opportunities to participate in HIV/AIDS-related
clinical research.</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="idb09431a1-1afb-4d9c-adad-f4670ad79515" reported-display-style="italic"><enum>(c)</enum><header>Coordination with other
entities</header><text>A grant awarded under subsection (a) may be made only if
the applicant provides an agreement that includes the following:</text>
<paragraph changed="added" id="idbafaf70d-ce0e-4407-9ffe-2eb5291ae3d2" reported-display-style="italic"><enum>(1)</enum><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.</text>
</paragraph><paragraph changed="added" id="idfcc3fd96-cc34-4120-9f2b-3f24d51e57c5" reported-display-style="italic"><enum>(2)</enum><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.</text>
</paragraph><paragraph changed="added" id="idbc29a001-aa07-4d9f-9bac-fcdd2e6e71e9" reported-display-style="italic"><enum>(3)</enum><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.</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id22f5b147-e387-46f8-9472-c3152ceae7c6" reported-display-style="italic"><enum>(d)</enum><header>Administration</header><text></text>
<paragraph changed="added" committee-id="SSHR00" id="id3ab7d349-6bbe-419b-9dc0-d0f234fc209d" reported-display-style="italic"><enum>(1)</enum><header>Application</header><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:</text>
<subparagraph changed="added" id="idc6ee936f-8ab1-4161-a1ed-e5d9978ad2a5" reported-display-style="italic"><enum>(A)</enum><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).</text>
</subparagraph><subparagraph changed="added" id="idb9b8139f-235f-469a-92a6-102e1e3fe79a" reported-display-style="italic"><enum>(B)</enum><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.</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="idc64e9a85-24c0-49f9-b849-e4bb0368e307" reported-display-style="italic"><enum>(2)</enum><header>Quality management
program</header><text>A grantee under this section shall implement a 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.</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id1a1b7cd3-577f-4802-8d69-958482b1b8ac" reported-display-style="italic"><enum>(e)</enum><header>Annual review of
programs; evaluations</header><text></text>
<paragraph changed="added" committee-id="SSHR00" id="id93e841ec-dc2f-4b86-aed0-adf1691fa529" reported-display-style="italic"><enum>(1)</enum><header>Review regarding access
to and participation in programs</header><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:</text>
<subparagraph changed="added" id="id1075be36-f943-4c3e-b059-8904a7260a21" reported-display-style="italic"><enum>(A)</enum><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.</text>
</subparagraph><subparagraph changed="added" id="idb256d7de-9376-436f-9e3c-e1d5a277f997" reported-display-style="italic"><enum>(B)</enum><text>Other
procedures or policies of the entity regarding the participation of such
individuals in such program.</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id71ed17c1-3208-4fbe-8178-87a60ca3be60" reported-display-style="italic"><enum>(2)</enum><header>Evaluations</header><text>—The
Secretary shall, directly or through contracts with public and private
entities, provide for evaluations of programs carried out pursuant to
subsection (a).</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id46bc7963-3fe5-4b97-83b0-572f47fb58aa" reported-display-style="italic"><enum>(f)</enum><header>Cap on administrative
expenses</header><text>A grantee may not use more than 10 percent of amounts
received under a grant awarded under this section for administrative
expenses.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id0be13f58-85a2-4881-9644-e338511a228e" reported-display-style="italic"><enum>(g)</enum><header>Training and technical
assistance</header><text>From the amounts appropriated under subsection (i) 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.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id753b6ae4-901e-40a8-8e49-09098393bf4f" reported-display-style="italic"><enum>(h)</enum><header>Definitions</header><text>In
this section:</text>
<paragraph changed="added" committee-id="SSHR00" id="id07fd9893-6b71-4663-bc33-644e4c0b7202" reported-display-style="italic"><enum>(1)</enum><header>Administrative
expenses</header><text>The term <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.</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="idacfc6beb-b911-40d5-90d8-e71b20ac5edd" reported-display-style="italic"><enum>(2)</enum><header>Indirect
costs</header><text>The term <term>indirect costs</term> means costs included
in a Federally negotiated indirect rate.</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id8da3c7d9-40a0-4626-bff0-f42b777c3a72" reported-display-style="italic"><enum>(3)</enum><header>Services</header><text>The
term <term>services</term> means—</text>
<subparagraph changed="added" id="iddba0177f-7794-4bba-a015-5aef77d1654b" reported-display-style="italic"><enum>(A)</enum><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</text>
</subparagraph><subparagraph changed="added" id="idf8b67542-f24c-4443-9836-8cff851ec4f4" reported-display-style="italic"><enum>(B)</enum><text>services
that sustain program activity and contribute to or help improve services under
subparagraph (A).</text>
</subparagraph></paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id6e977d5f-dd2c-48ef-973d-f51f884cb8a8" reported-display-style="italic"><enum>(i)</enum><header>Authorization of
appropriations</header><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
2011.</text>
</subsection></section></part><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section changed="added" committee-id="SSHR00" id="idee82d6eb-8e45-4312-9ffe-bbce1677896c" reported-display-style="italic"><enum>402.</enum><header>GAO
Report</header><text display-inline="no-display-inline">Not later than 24
months after the date of enactment of this Act, the Comptroller General of the
Government Accountability Office shall conduct an evaluation, and submit to
Congress a report, concerning the funding provided for under part D of title
XXVI of the Public Health Service Act to determine—</text>
<paragraph id="idf572b0af-ba00-4aa9-9cae-74bb7ef9abc5"><enum>(1)</enum><text display-inline="yes-display-inline">how funds are used to provide the
administrative expenses, indirect costs, and services, as defined in section
2671(h) of such title, for individuals with HIV/AIDS;</text>
</paragraph><paragraph id="idbc646ebb-7a75-4d73-9c76-ee78dd5a8b29"><enum>(2)</enum><text display-inline="yes-display-inline">how funds are used to provide the
administrative expenses, indirect costs, and services, as defined in section
2671(h) of such title, to family members of women, infants, children, and youth
infected with HIV/AIDS;</text>
</paragraph><paragraph id="idc3ad230b-9dd6-4ae1-8a3a-17d9ee0fa5d3"><enum>(3)</enum><text display-inline="yes-display-inline">how funds are used to provide
family-centered care involving outpatient or ambulatory care authorized under
section 2671(a) of such title;</text>
</paragraph><paragraph id="id64ef1161-c4cd-4b59-b500-f2b3d16d28aa"><enum>(4)</enum><text>how
funds are used to provide additional services authorized under section 2671(b)
of such title; and</text>
</paragraph><paragraph id="id33bbe1f9-b1b8-403d-b353-89e0b89ee81e"><enum>(5)</enum><text>how
funds are used to help identify HIV-positive pregnant women and connect them
with care that can improve their health and prevent perinatal
transmission.</text>
</paragraph></section><enum>V</enum><header>General
provisions</header>
<section id="id26aa8bfb-6a2c-449b-9277-2786ab6f937d"><enum>501.</enum><header>General Provisions</header><text display-inline="no-display-inline">Part E of title XXVI of the Public Health
Service Act (42 U.S.C. 300ff–80 et seq.) is amended to read as follows:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="ide38b3dd9-d3ea-44b1-92ed-9c9de85e11e2" style="OLC">
<part id="idef17974a-3040-41b2-a9b0-41cd1c74368e"><enum>E</enum><header>General
Provisions</header>
<section changed="added" committee-id="SSHR00" id="idb790ead3-d30f-42cd-ab8c-602206d85dcd" reported-display-style="italic"><enum>2681.</enum><header>Coordination</header>
<subsection changed="added" id="id179d6b52-b558-46cd-8d9e-7875b1167d65" reported-display-style="italic"><enum>(a)</enum><header>Requirement</header><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 the Minority AIDS Initiative 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.</text>
</subsection><subsection changed="added" id="id27c31196-0b89-461d-8d69-6d504bca3174" reported-display-style="italic"><enum>(b)</enum><header>Report</header><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.</text>
</subsection><subsection changed="added" id="id11a4a311-bc67-4996-925d-fdc797a172d0" reported-display-style="italic"><enum>(c)</enum><header>Integration by
State</header><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.</text>
</subsection><subsection changed="added" id="id97af6849-02f0-4874-8a62-4e98f5adc99c" reported-display-style="italic"><enum>(d)</enum><header>Integration by local or
private entities</header><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.</text>
</subsection></section><section changed="added" committee-id="SSHR00" id="id3e8aaf14-8c1e-4c72-b052-e9d7f7b25c6d" reported-display-style="italic"><enum>2682.</enum><header>Audits</header>
<subsection changed="added" id="id00f30fe2-7044-49dc-9802-1a6b08847846" reported-display-style="italic"><enum>(a)</enum><header>In
general</header><text>For fiscal year 2007, 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.</text>
</subsection><subsection changed="added" id="id9f3bc512-4afc-451c-b06d-77e0c1d7daec" reported-display-style="italic"><enum>(b)</enum><header>Posting on the
Internet</header><text>All audits that the Secretary receives from the State
lead agency under section 2617(b)(4) shall be posted on the Internet website of
the Health Resources and Services Administration.</text>
</subsection></section><section changed="added" committee-id="SSHR00" id="id75cc3ea1-9b83-4d1a-a103-ba73d422a26c" reported-display-style="italic"><enum>2683.</enum><header>Public health
emergency</header>
<subsection changed="added" committee-id="SSHR00" id="id772c6652-4b85-4859-9fec-de92366d47cd" reported-display-style="italic"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">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).</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="ideddbf9b0-4c2f-4781-a17e-528e76cb3eaf" reported-display-style="italic"><enum>(b)</enum><header>Emergency area and
emergency period</header><text>In this section:</text>
<paragraph changed="added" committee-id="SSHR00" id="id91d2c99c-c390-4af5-b6d2-052ddec56519" reported-display-style="italic"><enum>(1)</enum><header>Emergency
area</header><text>The term <term>emergency area</term> means a geographic area
in which there exists—</text>
<subparagraph changed="added" id="idcd730a20-8133-43df-864f-7c57745243a0" reported-display-style="italic"><enum>(A)</enum><text>an
emergency or disaster declared by the President pursuant to the National
Emergencies Act of the Robert T. Stafford Disaster Relief and Emergency
Assistance Act; and</text>
</subparagraph><subparagraph changed="added" id="idf318f90f-5405-48b1-8302-0c9b70470240" reported-display-style="italic"><enum>(B)</enum><text>a public
health emergency declared by the Secretary pursuant to section 319.</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id0e6c459b-7018-43ae-92e5-aecb556ab744" reported-display-style="italic"><enum>(2)</enum><header>Emergency
period</header><text>The term <term>emergency period</term> means the period in
which there exists—</text>
<subparagraph changed="added" id="idd5b6b07b-9315-4393-966a-e47cd8b8bc9f" reported-display-style="italic"><enum>(A)</enum><text>an
emergency or disaster declared by the President pursuant to the National
Emergencies Act of the Robert T. Stafford Disaster Relief and Emergency
Assistance Act; and</text>
</subparagraph><subparagraph changed="added" id="id806d65ce-b216-4d80-8cf7-4bf512656f34" reported-display-style="italic"><enum>(B)</enum><text>a public
health emergency declared by the Secretary pursuant to section 319.</text>
</subparagraph></paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id300fc456-9a4f-444f-ac1a-9dacadfcfb3c" reported-display-style="italic"><enum>(c)</enum><header>Unobligated
funds</header><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.</text>
</subsection></section><section changed="added" committee-id="SSHR00" id="id3e85a4f5-de2f-443c-a0a7-dca2ea384c81" reported-display-style="italic"><enum>2684.</enum><header>Prohibition on
promotion of certain activities</header><text display-inline="no-display-inline">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.</text>
</section><section changed="added" committee-id="SSHR00" id="ide851049c-99c9-4d3c-b97f-7fbc66bbb818" reported-display-style="italic"><enum>2685.</enum><header>Privacy
protections</header><text display-inline="no-display-inline">The Secretary
shall collect client-level data under this title in a manner that is consistent
with the unique identifier as reported to the Director of the Centers for
Disease Control and Prevention as of the date of enactment of this
section.</text>
</section><section changed="added" committee-id="SSHR00" id="id4576691a-d8c4-4aba-836d-2816a79be8d8" reported-display-style="italic"><enum>2686.</enum><header>GAO
report</header><text display-inline="no-display-inline">The Comptroller General
of the Government Accountability Office shall biennially submit to the
appropriate committees of Congress a report that includes a description of
Federal, State, and local barriers to HIV program integration, particularly for
racial and ethnic minorities, and recommendations for enhancing the continuity
of care and the provision of prevention services for individuals with HIV/AIDS
or those at risk for such disease. Such report shall include a demonstration of
the manner in which funds under this subpart are being expended and to what
extent the services provided with such funds increase access to prevention and
care services for individuals with HIV/AIDS and build stronger community
linkages to address HIV prevention and care for racial and ethnic minority
communities.</text>
</section><section changed="added" committee-id="SSHR00" id="id21dab8f6-0487-453b-b1cf-67b2d15375a9" reported-display-style="italic"><enum>2687.</enum><header>Definitions</header><text display-inline="no-display-inline">For purposes of this title:</text>
<paragraph changed="added" id="idad3cb5cf-f1ac-4880-998d-4f694e5a723e" reported-display-style="italic"><enum>(1)</enum><header>Counseling</header><text>The
term <term>counseling</term> means such counseling provided by an individual
trained to provide such counseling.</text>
</paragraph><paragraph changed="added" id="id3c986832-a342-4bbf-aeb4-7944b634e2da" reported-display-style="italic"><enum>(2)</enum><header>Family-centered
care</header><text>The term <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.</text>
</paragraph><paragraph changed="added" id="id600c0813-a335-407b-bd92-f0080a5f2757" reported-display-style="italic"><enum>(3)</enum><header>Families with
hiv/aids</header><text>The term <term>families with HIV/AIDS</term> means
families in which one or more members have HIV/AIDS.</text>
</paragraph><paragraph changed="added" id="iddcdbc8a8-676e-412f-99fa-759b393f12af" reported-display-style="italic"><enum>(4)</enum><header> HIV</header><text>The
term <term>HIV</term> means infection with the etiologic agent for acquired
immune deficiency syndrome.</text>
</paragraph><paragraph changed="added" id="id1862fd5c-71a5-4c75-bfd0-79df15214554" reported-display-style="italic"><enum>(5)</enum><header>HIV/AIDS</header><text>The
term <term>HIV/AIDS</term> means infection with the etiologic agent for
acquired immune deficiency syndrome, and includes any condition arising from
such syndrome.</text>
</paragraph><paragraph changed="added" id="idbc7e9ce7-cb47-4029-9364-3587f097b15c" reported-display-style="italic"><enum>(6)</enum><header>Official poverty
line</header><text>The term <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.</text>
</paragraph><paragraph changed="added" id="id52ac5d44-31df-4de1-a9ff-99d39fa00223" reported-display-style="italic"><enum>(7)</enum><header>Person</header><text>The
term <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.</text>
</paragraph><paragraph changed="added" id="id4f011959-01ba-4dad-aac2-33ecfb821126" reported-display-style="italic"><enum>(8)</enum><header>State</header><text>The
term <quote>State</quote>, except as otherwise specifically provided, means
each of the 50 States, the District of Columbia, the Virgin Islands, Guam,
American Samoa, the Commonwealth of the Northern Mariana Islands, Puerto Rico,
and the Republic of the Marshall Islands.</text>
</paragraph><paragraph changed="added" id="idd7c88e39-5333-41a4-b8ea-64cde05e6e61" reported-display-style="italic"><enum>(9)</enum><header>Youth with
HIV</header><text>The term <term>youth with HIV</term> means individuals who
are 13 through 24 years old and who have
HIV/AIDS.</text>
</paragraph></section></part><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>VI</enum><header>Demonstration and
training</header>
<section id="id9ec4d670-33f6-491b-b541-8ded8f35b134"><enum>601.</enum><header>Demonstration and
training</header><text display-inline="no-display-inline">Subpart I of part F
of title XXVI of the Public Health Service Act (42 U.S.C. 300ff–101 et seq.) is
amended to read as follows:</text>
<quoted-block committee-id="SSHR00" display-inline="no-display-inline" id="id31c95541-fd63-4a57-9116-6c4e84d03715" style="OLC">
<part id="id333e4c10-5365-45f7-861d-15dc84ccd70a"><enum>F</enum><header>Demonstration and
training</header>
<subpart changed="added" committee-id="SSHR00" id="id40a8916c-0d73-47b7-af37-64164692ff18" reported-display-style="italic"><enum>I</enum><header>Special projects of
national significance</header>
<section changed="added" committee-id="SSHR00" id="id7730bbea-c498-4262-adec-156a76357145" reported-display-style="italic"><enum>2691.</enum><header>Special projects of
national significance</header>
<subsection changed="added" committee-id="SSHR00" id="id905c6d92-3db8-4334-94ae-14f4fc189a4a" reported-display-style="italic"><enum>(a)</enum><header>In
general</header><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—</text>
<paragraph changed="added" id="idf143639b-d1ca-4153-974f-6cc68b7cf2e9" reported-display-style="italic"><enum>(1)</enum><text>quickly respond to
emerging needs of individuals receiving assistance under this title; and</text>
</paragraph><paragraph changed="added" id="id42773ae0-9c04-4eef-850e-cc7439da1e9f" reported-display-style="italic"><enum>(2)</enum><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.</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="iddfaeb251-0430-4cac-b187-5a4e56c90782" reported-display-style="italic"><enum>(b)</enum><header>Grants</header><text>The
Secretary shall award grants under subsection (a) to entities eligible for
funding under parts A, B, C, and D based on—</text>
<paragraph changed="added" committee-id="SSHR00" id="id210fd999-3c87-4468-9d89-6d8e94fd0ede" reported-display-style="italic"><enum>(1)(A)</enum><text>whether the funding
will promote obtaining client level data as it relates to the creation of a
severity of need index under section 2618(a)(2)(E)(iii), including funds to
facilitate the purchase and enhance the utilization of qualified health
information technology systems;</text>
<subparagraph changed="added" id="id61d754b6-0ad8-40a0-8e60-eead348681cb" indent="up1" reported-display-style="italic"><enum>(B)</enum><text>demonstrated ability to
create and maintain a qualified health information technology system;</text>
</subparagraph><subparagraph changed="added" id="idacad1d53-7c62-408d-97ba-2b14f0fb92b5" indent="up1" reported-display-style="italic"><enum>(C)</enum><text>the potential
replicability of the proposed activity in other similar localities or
nationally;</text>
</subparagraph><subparagraph changed="added" id="id436eee70-3be2-433b-98b6-d2e571f8669b" indent="up1" reported-display-style="italic"><enum>(D)</enum><text>the demonstrated
reliability of the proposed qualified health information technology system
across a variety of providers, geographic regions, and clients; and</text>
</subparagraph><subparagraph changed="added" id="id17d19ad1-3263-499a-9056-c5c5949362c6" indent="up1" reported-display-style="italic"><enum>(E)</enum><text>the demonstrated ability
to maintain a safe and secure qualified health information system; or</text>
</subparagraph><subparagraph changed="added" id="id0aadf5ef-9df6-4f0c-831c-df1605ab0a90" indent="up1" reported-display-style="italic"><enum>(2)</enum><text>newly emerging needs of
individuals receiving assistance under this title.</text>
</subparagraph></paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="ide3626626-8ee1-4fc0-9d35-1902053165b2" reported-display-style="italic"><enum>(c)</enum><header>Coordination</header><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.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id6adadda0-f3b8-4b2d-ba2c-a9646caeff3a" reported-display-style="italic"><enum>(d)</enum><header>Privacy
protection</header><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 comply
with the privacy regulations promulgated under section 264(c) of the Health
Insurance Portability and Accountability Act of 1996.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="ide7f7852a-889b-4767-a718-bad735c8eac1" reported-display-style="italic"><enum>(e)</enum><header>Replication</header><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 from grantees funded under this
part.</text>
</subsection></section></subpart></part><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section changed="added" committee-id="SSHR00" id="id697cd391-c2f7-4aa4-9c7a-c0a656efa15b" reported-display-style="italic"><enum>602.</enum><header>AIDS education and
training centers</header><text display-inline="no-display-inline">Section
2692(a)(2) of the Public Health Service Act (42 U.S.C. 300ff–92(a)(2)) is
amended—</text>
<paragraph changed="added" committee-id="SSHR00" id="idb4a43ada-151f-4f18-8e8e-193d09d779f6" reported-display-style="italic"><enum>(1)</enum><text display-inline="yes-display-inline">in subparagraph (A)—</text>
<subparagraph id="ida531d0b5-baf3-4902-bd67-d2ce0b1dbabc"><enum>(A)</enum><text display-inline="yes-display-inline">by inserting <quote>and Native
Americans</quote> after <quote>minority individuals</quote>; and</text>
</subparagraph><subparagraph id="idc8f6d9ba-02c1-459a-9ad7-fdb38f181cdf"><enum>(B)</enum><text>by
striking <quote>and</quote> at the end;</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id22b7e3bf-93ba-4b06-b2ff-16fa91fc20b3" reported-display-style="italic"><enum>(2)</enum><text>in subparagraph (B), by
striking the period and inserting <quote>; and</quote>; and</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="iddb98cd90-b753-4608-98c3-ddeb68e64dca" reported-display-style="italic"><enum>(3)</enum><text>by adding at the end the
following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="idd641d2e7-ec67-4d48-8ac4-f13f04de973a" reported-display-style="italic" style="OLC">
<subparagraph id="idf3f6dd12-65aa-415b-95f8-abf9675aebf4"><enum>(C)</enum><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.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section changed="added" committee-id="SSHR00" id="id524f752c-8650-44f5-8ded-9b5d4a312b3b" reported-display-style="italic"><enum>603.</enum><header>Codification of
minority aids initiative under ryan white comprehensive aids resources
emergency Act of 1990</header><text display-inline="no-display-inline">Part F
of title XXVI of the <act-name parsable-cite="PHSA">Public Health Service
Act</act-name> (42 U.S.C. 300ff–101 et seq.) is amended by adding at the end
the following:</text>
<quoted-block act-name="Public Health Service Act" committee-id="SSHR00" id="id0a4048c5-72f6-49ff-a9f2-4f7e2610a3de" style="OLC">
<subpart id="id19abfbf0-3552-46ce-9ed2-a9c06087e212"><enum>II</enum><header>Minority AIDS
Initiative</header>
<section changed="added" committee-id="SSHR00" id="id97ae8b7a-3ab3-4520-bdc1-6856abfaf311" reported-display-style="italic"><enum>2693.</enum><header>Minority aids
initiative</header>
<subsection changed="added" committee-id="SSHR00" id="id0aff3f42-84b7-4317-bfa3-c7ae786c2191" reported-display-style="italic"><enum>(a)</enum><header>In
General</header><text>There is authorized to be appropriated for the purpose of
carrying out activities under this section to evaluate and address the
disproportionate impact of HIV disease and disparities in access, treatment,
care, and outcome on racial and ethnic minorities, including African Americans,
Alaska Natives, Latinos, American Indians, Asian Americans, Native Hawaiians,
and Pacific Islanders, $131,200,000 for fiscal year 2007, $135,100,000 for
fiscal year 2008, $139,100,000 for fiscal year 2009, $143,200,000 for fiscal
year 2010, and $147,500,000 for fiscal year 2010.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id045e7364-c1d6-4840-a49a-8cc436a8d2ce" reported-display-style="italic"><enum>(b)</enum><header>Certain
Activities</header>
<paragraph changed="added" committee-id="SSHR00" id="ide4028b62-ccc8-4b8d-8d47-d5ac96ad80e2" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text>In carrying out the purpose described in subsection (a),
the Secretary shall provide for—</text>
<subparagraph changed="added" id="idf0272cca-ad29-4f0d-a3f0-9bc8ae4af59d" reported-display-style="italic"><enum>(A)</enum><text>emergency
assistance under part A;</text>
</subparagraph><subparagraph changed="added" id="idba2821b8-d734-4129-80c7-15a8ab3b35c3" reported-display-style="italic"><enum>(B)</enum><text>comprehensive care under
part B;</text>
</subparagraph><subparagraph changed="added" id="iddeb401d0-aff1-42ee-b853-90f2386ddf10" reported-display-style="italic"><enum>(C)</enum><text>early
intervention services under part C;</text>
</subparagraph><subparagraph changed="added" id="id44a79852-4ae2-48cd-a26c-3602b8853e5c" reported-display-style="italic"><enum>(D)</enum><text>services
through demonstration projects for HIV-related care; and</text>
</subparagraph><subparagraph changed="added" id="idaf44c859-2484-4cf0-950f-3fb5f1850696" reported-display-style="italic"><enum>(E)</enum><text>activities through
education and training centers under section 2692.</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id7397e6d5-73f6-4576-94ef-152cfd88e148" reported-display-style="italic"><enum>(2)</enum><header>Allocations among
activities</header><text>Activities under paragraph (1) shall be carried out by
the Secretary in accordance with the following:</text>
<subparagraph changed="added" id="id74321e1c-97c2-4a9e-86dd-a63c7f1d5db5" reported-display-style="italic"><enum>(A)</enum><text>Of the
amount appropriated for each fiscal year under subsection (a), $43,800,000 for
fiscal year 2007, $45,400,000 for fiscal year 2008, $47,100,000 for fiscal year
2009, $48,800,000 for fiscal year 2010, and $50,700,000 for fiscal year 2010,
shall be used for competitive, supplemental grants to improve HIV-related
health outcomes to reduce existing racial and ethnic health disparities.</text>
</subparagraph><subparagraph changed="added" id="idc6761548-3408-451d-ae07-90d87b30bf78" reported-display-style="italic"><enum>(B)</enum><text>Of the
amount appropriated for each fiscal year under subsection (a), $7,000,000 for
fiscal year 2007, $7,300,000 for fiscal year 2008, $7,500,000 for fiscal year
2009, $7,800,000 for fiscal year 2010, and $8,100,000 for fiscal year 2010,
shall be used for competitive, supplemental support educational 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.</text>
</subparagraph><subparagraph changed="added" id="idb6646439-bfaf-43e8-88ec-53b4ef2f9e3f" reported-display-style="italic"><enum>(C)</enum><text>Of the
amount appropriated for each fiscal year under subsection (a), $53,400,000 for
fiscal year 2007, $55,400,000 for fiscal year 2008, $57,400,000 for fiscal year
2009, $59,500,000 for fiscal year 2010, and $61,800,000 for fiscal year 2010,
shall be used 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.</text>
</subparagraph><subparagraph changed="added" id="id3874349c-44e3-4aca-8183-cf811bd337d1" reported-display-style="italic"><enum>(D)</enum><text>Of the
amount appropriated for each fiscal year under subsection (a), $18,500,000 for
each of fiscal years 2007 through 2011 shall be used for sustaining and
expanding efforts to deliver comprehensive, culturally and linguistically
appropriate research-based intervention and care services for HIV disease to
racial and ethnic minority women, infants, children, and youth.</text>
</subparagraph><subparagraph changed="added" id="id3f2e4d4c-3a63-4efa-b800-502765ab0916" reported-display-style="italic"><enum>(E)</enum><text>Of the
amount appropriated for each fiscal year under subsection (a), $8,500,000 for
each of fiscal years 2007 through 2011 shall be used for increasing the
training capacity of centers to expand the number of community-based racial and
ethnic minority health care professionals with treatment expertise and
knowledge about the most appropriate standards of HIV disease-related
treatments and medical care for adults, adolescents, and children with HIV
disease.</text>
</subparagraph></paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="idb07f1101-a687-423b-adc8-dc3a4a92ee79" reported-display-style="italic"><enum>(e)</enum><header>Consistency With Prior
Program</header><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).</text>
</subsection></section></subpart><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section changed="added" committee-id="SSHR00" id="id3614b4b9-361f-42bf-a059-087ed27a2b14" reported-display-style="italic"><enum>604.</enum><header>Authorization of
appropriations</header><text display-inline="no-display-inline">Section 2692(c)
of the Public Health Service Act (42 U.S.C. 300ff–92(c)) is amended to read as
follows:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="id7bb75158-169b-42ea-819a-98cb1558e928" reported-display-style="italic" style="OLC">
<subsection id="id59a6f768-e320-4d24-9817-6756a15848cf"><enum>(c)</enum><header>Authorization of
appropriations</header><text></text>
<paragraph id="id9c88c7e6-c5c6-4319-916c-27f206fb0fa7"><enum>(1)</enum><header>Schools;
centers</header><text>For the purpose of awarding grants under subsection (a),
there and authorized to be appropriated $34,700,000 for each of fiscal years
2007 through 2011.</text>
</paragraph><paragraph id="idced14113-6790-42fd-b203-30d897b8d795"><enum>(2)</enum><header>Dental
schools</header><text>For the purpose of awarding grants under paragraphs (2)
and (3) of subsection (b), there are authorized to be appropriated $13,000,000
for each of fiscal years 2007 through
2011.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>VII</enum><header>Miscellaneous
provisions</header>
<section changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id164266b2-19e1-4a0e-9d35-ab4aaf5a04bf" reported-display-style="italic"><enum>701.</enum><header>Hepatitis</header>
<subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idb1bfed2f-6ee8-4a69-9127-28238faedcc8" reported-display-style="italic"><enum>(a)</enum><header>Provision of certain
counseling services</header><text>Section 2662 of the Public Health Service Act
(42 U.S.C. 300ff–62) is amended—</text>
<paragraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idf97ec3de-0579-403e-bf25-432a0f6925cc" reported-display-style="italic"><enum>(1)</enum><text>in subsection (a)—</text>
<subparagraph id="id98f25f02-b140-4c96-be9d-c2ec3ca68c84"><enum>(A)</enum><text>in
paragraph (1), by inserting <quote>, hepatitis B, and hepatitis C</quote>
before the semicolon;</text>
</subparagraph><subparagraph id="ide5c4bb4e-1274-40ce-bcc6-d75f5463416a"><enum>(B)</enum><text>in
paragraph (2), by inserting <quote>and testing for hepatitis B and hepatitis
C</quote> before the semicolon;</text>
</subparagraph><subparagraph id="id2a90f8bf-ebdb-4ded-ab45-1541fd375a70"><enum>(C)</enum><text>in
paragraph (6), by striking <quote>and</quote> at the end;</text>
</subparagraph><subparagraph id="idc254b423-66af-4fcb-b310-b3686b13e635"><enum>(D)</enum><text>in
paragraph (7), by striking the period and inserting <quote>; and</quote>;
and</text>
</subparagraph><subparagraph id="idf555aa43-fa59-4883-a479-338c1e62c419"><enum>(E)</enum><text>by
adding at the end the following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="id93a6244b-d57e-4ff6-83ee-4959dc2bf321" reported-display-style="italic" style="OLC">
<paragraph id="idd1a7af34-2bd9-4cc4-8512-bc3d91348b79"><enum>(8)</enum><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.</text>
</paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id42908585-955b-4299-a037-2716572db5e3" reported-display-style="italic"><enum>(2)</enum><text>in subsection
(c)(3)(C)(i), by inserting <quote>, hepatitis B, or hepatitis B</quote> after
<quote>exposed to HIV</quote> each place that such appears.</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id3e54c308-05f7-4ec2-b6be-547f03455602" reported-display-style="italic"><enum>(b)</enum><header>Use of
amounts</header><text>Section 2667 of the Public Health Service Act (42 U.S.C.
300ff–67) is amended—</text>
<paragraph id="id609c8eb0-9369-4517-aeca-496fce6e5baa"><enum>(1)</enum><text>in
paragraph (2), by striking <quote>and</quote> at the end;</text>
</paragraph><paragraph id="idb7699d5a-f9c8-4fac-ac9e-b2c40fa47303"><enum>(2)</enum><text>in
paragraph (3), by striking the period and inserting <quote>; and</quote>;
and</text>
</paragraph><paragraph id="id69deaca7-5db5-4a53-baf7-be3204c7420f"><enum>(3)</enum><text>by
adding at the end the following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="idacfaaa21-945c-40fd-8450-77b5216440ba" reported-display-style="italic" style="OLC">
<paragraph id="id6f580f85-8700-4935-b321-ba764f8c4026"><enum>(4)</enum><text>shall provide information
on the transmission and prevention of hepatitis A, B, and C and the location of
entities that provide hepatitis A and B vaccinations to individuals with
HIV.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section><section changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idaaf52f19-6cdf-464f-9697-56157a1d788c" reported-display-style="italic" section-type="subsequent-section"><enum>702.</enum><header>Technical
provisions</header><text display-inline="no-display-inline">Title XXVI of the
Public Health Service Act (42 U.S.C. 300ff et seq.) is amended by striking
<quote>HIV disease</quote> each place that such appears and inserting
<quote>HIV/AIDS</quote>.</text>
</section><section changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idfdeceef5-5715-47b2-ba63-33e465ada10a" reported-display-style="italic" section-type="subsequent-section"><enum>703.</enum><header>Repeal</header><text display-inline="no-display-inline">Section 2677 of the Public Health Service
Act (42 U.S.C. 300ff–77) is repealed.</text>
</section>
August 3, 2006
Reported with an amendment