[Congressional Record Volume 146, Number 68 (Tuesday, June 6, 2000)]
[Senate]
[Pages S4579-S4588]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]


                          AMENDMENTS SUBMITTED

                                 ______
                                 

        NATIONAL DEFENSE AUTHORIZATION ACT FOR FISCAL YEAR 2001

                                 ______
                                 

                 WARNER (AND OTHERS) AMENDMENT NO. 3173

  Mr. WARNER (for himself, Mr. Lott, Mr. Hutchinson, Mr. Thurmond, Mr. 
Inhofe, Ms. Snowe, Mr. Kerry, Mrs. Hutchison, and Mr. Murkowski) 
proposed an amendment to the bill (S. 2549) to authorize appropriations 
for fiscal year 2001 for military activities of the Department of 
Defense, for military construction, and for defense activities of the 
Department of Energy, to prescribe personnel strengths for such fiscal 
year for the Armed Forces, and for other purposes; as follows:

       Strike sections 701 through 704 and insert the following:

     SEC. 701. CONDITIONS FOR ELIGIBILITY FOR CHAMPUS UPON THE 
                   ATTAINMENT OF 65 YEARS OF AGE.

       (a) Eligibility of Medicare Eligible Persons.--Section 
     1086(d) of title 10, United States Code, is amended--
       (1) by striking paragraph (2) and inserting the following:
       ``(2) The prohibition contained in paragraph (1) shall not 
     apply to a person referred to in subsection (c) who--
       ``(A) is enrolled in the supplementary medical insurance 
     program under part B of such title (42 U.S.C. 1395j et seq.); 
     and
       ``(B) in the case of a person under 65 years of age, is 
     entitled to hospital insurance benefits under part A of title 
     XVIII of the Social Security Act pursuant to subparagraph (A) 
     or (C) of section 226(b)(2) of such Act (42 U.S.C. 426(b)(2)) 
     or section 226A(a) of such Act (42 U.S.C. 426-1(a)).''; and
       (2) in paragraph (4), by striking ``paragraph (1) who 
     satisfy only the criteria specified in subparagraphs (A) and 
     (B) of paragraph (2), but not subparagraph (C) of such 
     paragraph,'' and inserting ``subparagraph (B) of paragraph 
     (2) who do not satisfy the condition specified in 
     subparagraph (A) of such paragraph''.
       (b) Extension of TRICARE Senior Prime Demonstration 
     Program.--Paragraph (4) of section 1896(b) of the Social 
     Security Act (42 U.S.C. 1395ggg(b)) is amended by striking 
     ``3-year period beginning on January 1, 1998'' and inserting 
     ``period beginning on January 1, 1998, and ending on December 
     31, 2002''.
       (c) Effective Dates.--(1) The amendments made by subsection 
     (a) shall take effect on October 1, 2001.
       (2) The amendment made by subsection (b) shall take effect 
     on the date of the enactment of this Act.
                                 ______
                                 

             DEPARTMENT OF DEFENSE APPROPRIATIONS ACT 2001

                                 ______
                                 

                   COLLINS AMENDMENTS NOS. 3174-3178

  (Ordered to lie on the table.)
  Ms. COLLINS submitted five amendments intended to be proposed by her 
to the bill (S. 2593) making appropriations for the Department of 
Defense for the fiscal year ending September 30, 2001, and for other 
purposes; as follows:

                           Amendment No. 3174

       On page 109, between lines 11 and 12, insert the following:
       Sec. 8126. Of the total amount appropriated by title II 
     under the heading ``Aircraft Procurement, Army'' for the 
     procurement of C-212 short takeoff and landing, fixed-wing 
     aircraft, $15,000,000 may be used for the procurement of C-
     212 short takeoff and landing, fixed-wing aircraft for the 
     Army National Guard for the use of Special Forces Groups of 
     the Army National Guard.
                                  ____


                           Amendment No. 3175

       On page 109, between lines 11 and 12, insert the following:
       Sec. 8126. In addition to other amounts appropriated by 
     title IV under the heading ``Research, Development, Test and 
     Evaluation, Navy'', there is hereby appropriated for the 
     purposes under that heading $2,000,000: Provided, That such 
     amount shall be available for continued design and analysis 
     under the reentry systems applications program for the 
     advanced technology vehicle.
                                  ____


                           Amendment No. 3176

       On page 109, between lines 11 and 12, insert the following:
       Sec. 8126. In addition to other amounts appropriated by 
     title IV under the heading ``Research, Development, Test and 
     Evaluation, Defense-Wide'', there is hereby appropriated for 
     the purposes under that heading $6,000,000: Provided, That 
     such amount shall be available for the initial production of 
     units of the ALGL / STRIKER to facilitate early fielding of 
     the ALGL / STRIKER to special operations forces.
                                  ____


                           Amendment No. 3177

       On page 109, between lines 11 and 12, insert the following:
       Sec. 8126. In addition to other amounts appropriated by 
     title IV under the heading ``Research, Development, Test and 
     Evaluation, Navy'', there is hereby appropriated for the 
     purposes under that heading $2,000,000: Provided, That such 
     amount shall be available for the Marine Corps advanced 
     technology demonstration program for the delivery of the 
     prototype units of the ALGL / STRIKER for testing and 
     evaluation by the Marine Corps that, except for this section, 
     would otherwise be an unfunded requirement of the Marine 
     Corps.
                                  ____


                           Amendment No. 3178

       On page 109, between lines 11 and 12, insert the following:
       Sec. 8126. In addition to other amounts appropriated by 
     title III under the heading ``Procurement, Defense-Wide'', 
     there is hereby appropriated for the purposes under that 
     heading $7,000,000: Provided, That such amount shall be 
     available for the procurement of the integrated bridge system 
     for special warfare rigid inflatable boats under the Special 
     Operations Forces Combatant Craft Systems program.
                                 ______
                                 

        NATIONAL DEFENSE AUTHORIZATION ACT FOR FISCAL YEAR 2001

                                 ______
                                 

                       McCAIN AMENDMENT NO. 3179

  Mr. McCAIN proposed an amendment to the bill, S. 2549, supra; as 
follows:

       On page 206, between lines 15 and 16, insert the following:

     SEC. 610. SPECIAL SUBSISTENCE ALLOWANCE FOR MEMBERS ELIGIBLE 
                   TO RECEIVE FOOD STAMP ASSISTANCE.

       (a) Allowance.--(1) Chapter 7 of title 37, United States 
     Code, is amended by inserting after section 402 the following 
     new section:

     ``Sec. 402a. Special subsistence allowance

       ``(a) Entitlement.--(1) Upon the application of an eligible 
     member of a uniformed service described in subsection (b), 
     the Secretary concerned shall pay the member a special 
     subsistence allowance for each month for which the member is 
     eligible to receive food stamp assistance.
       ``(2) In determining the eligibility of a member to receive 
     food stamp assistance for purposes of this section, the 
     amount of any special subsistence allowance paid the member 
     under this section shall not be taken into account.
       ``(b) Covered Members.--An enlisted member referred to in 
     subsection (a) is an enlisted member in pay grade E-5 or 
     below.
       ``(c) Termination of Entitlement.--The entitlement of a 
     member to receive payment of a special subsistence allowance 
     terminates upon the occurrence of any of the following 
     events:
       ``(1) Termination of eligibility for food stamp assistance.
       ``(2) Payment of the special subsistence allowance for 12 
     consecutive months.
       ``(3) Promotion of the member to a higher grade.
       ``(4) Transfer of the member in a permanent change of 
     station.
       ``(d) Reestablished Entitlement.--(1) After a termination 
     of a member's entitlement to the special subsistence 
     allowance under subsection (c), the Secretary concerned shall 
     resume payment of the special subsistence allowance to the 
     member if the Secretary determines, upon further application 
     of the member, that the member is eligible to receive food 
     stamps.
       ``(2) Payments resumed under this subsection shall 
     terminate under subsection (c) upon the occurrence of an 
     event described in that subsection after the resumption of 
     the payments.
       ``(3) The number of times that payments are resumed under 
     this subsection is unlimited.
       ``(e) Documentation of Eligibility.--A member of the 
     uniformed services applying for the special subsistence 
     allowance under this section shall furnish the Secretary 
     concerned with such evidence of the member's eligibility for 
     food stamp assistance as the Secretary may require in 
     connection with the application.
       ``(f) Amount of Allowance.--The monthly amount of the 
     special subsistence allowance under this section is $180.
       ``(g) Relationship to Basic Allowance for Subsistence.--The 
     special subsistence allowance under this section is in 
     addition to the basic allowance for subsistence under section 
     402 of this title.
       ``(h) Food Stamp Assistance Defined.--In this section, the 
     term `food stamp assistance' means assistance under the Food 
     Stamp Act of 1977 (7 U.S.C. 2011 et seq.).
       ``(i) Termination of Authority.--No special subsistence 
     allowance may be made under this section for any month 
     beginning after September 30, 2005.''.
       (2) The table of sections at the beginning of such chapter 
     is amended by inserting after the item relating to section 
     402 the following:

``402a. Special subsistence allowance.''.

       (b) Effective Date.--Section 402a of title 37, United 
     States Code, shall take effect on the first day of the first 
     month that begins on or after the date of the enactment of 
     this Act.
       (c) Annual Report.--(1) Not later than March 1 of each year 
     after 2000, the Comptroller General of the United States 
     shall submit to Congress a report setting forth the number of 
     members of the uniformed services who are eligible for 
     assistance under the Food Stamp Act of 1977 (7 U.S.C. 2011 et 
     seq.).
       (2) In preparing the report, the Comptroller General shall 
     consult with the Secretary of

[[Page S4580]]

     Defense, the Secretary of Transportation (with respect to the 
     Coast Guard), the Secretary of Health and Human Services 
     (with respect to the commissioned corps of the Public Health 
     Service), and the Secretary of Commerce (with respect to the 
     commissioned officers of the National Oceanic and Atmospheric 
     Administration), who shall provide the Comptroller General 
     with any information that the Comptroller General determines 
     necessary to prepare the report.
       (3) No report is required under this subsection after March 
     1, 2005.
                                 ______
                                 

                    McCAIN AMENDMENTS NOS. 3180-3182

  (Ordered to lie on the table.)
  Mr. McCAIN submitted three amendment intended to be proposed by him 
to the bill, S. 2549, supra; as follows:

                           Amendment No. 3180

       On page 206, between lines 15 and 16, insert the following:

     SEC. 610. RESTRUCTURING OF BASIC PAY TABLES FOR CERTAIN 
                   ENLISTED MEMBERS.

       (a) In General.--The table under the heading ``ENLISTED 
     MEMBERS'' in section 601(c) of the National Defense 
     Authorization Act for Fiscal Year 2000 (Public Law 105-65; 
     113 Stat. 648) is amended by striking the amounts relating to 
     pay grades E-7, E-6, and E-5 and inserting the amounts for 
     the corresponding years of service specified in the following 
     table:
       

                                                                    ENLISTED MEMBERS
                                       Years of service computed under section 205 of title 37, United States Code
--------------------------------------------------------------------------------------------------------------------------------------------------------
                        Pay Grade                              2 or less            Over 2             Over 3             Over 4             Over 6
--------------------------------------------------------------------------------------------------------------------------------------------------------
E-7......................................................           1,765.80           1,927.80           2,001.00           2,073.00           2,148.60
E-6......................................................           1,518.90           1,678.20           1,752.60           1,824.30           1,899.40
E-5......................................................           1,332.60           1,494.00           1,566.00           1,640.40           1,715.70
                                                          ----------------------------------------------------------------------------------------------
                                                                 Over 8            Over 10            Over 12            Over 14            Over 16
                                                          ----------------------------------------------------------------------------------------------
E-7......................................................           2,277.80           2,350.70           2,423.20           2,495.90           2,570.90
E-6......................................................           2,022.60           2,096.40           2,168.60           2,241.90           2,294.80
E-5......................................................           1,821.00           1,893.00           1,967.10           1,967.60           1,967.60
                                                          ----------------------------------------------------------------------------------------------
                                                                Over 18            Over 20            Over 22            Over 24            Over 26
                                                          ----------------------------------------------------------------------------------------------
E-7......................................................           2,644.20           2,717.50           2,844.40           2,926.40           3,134.40
E-6......................................................           2,332.00           2,332.00           2,335.00           2,335.00           2,335.00
E-5......................................................           1,967.60           1,967.60           1,967.60           1,967.60           1,967.60
--------------------------------------------------------------------------------------------------------------------------------------------------------

       (b) Application of Amendments.--The amendments made by 
     subsection (a) shall take effect as of October 1, 2000, and 
     shall apply with respect to months beginning on or after that 
     date.
                                  ____


                           Amendment No. 3181

       On page 236, between lines 6 and 7, insert the following:

     SEC. 646. POLICY ON INCREASING MINIMUM SURVIVOR BENEFIT PLAN 
                   BASIC ANNUITIES FOR SURVIVING SPOUSES AGE 62 OR 
                   OLDER.

       It is the sense of Congress that there should be enacted 
     during the 106th Congress legislation that increases the 
     minimum basic annuities provided under the Survivor Benefit 
     Plan for surviving spouses of members of the uniformed 
     services who are 62 years of age or older.

     SEC. 647. SURVIVOR BENEFIT PLAN ANNUITIES FOR SURVIVORS OF 
                   ALL MEMBERS WHO DIE ON ACTIVE DUTY.

       (a) Entitlement.--(1) Subsection (d)(1) of section 1448 of 
     title 10, United States Code, is amended to read as follows:
       ``(1) Surviving spouse annuity.--The Secretary concerned 
     shall pay an annuity under this subchapter to the surviving 
     spouse of--
       ``(A) a member who dies on active duty after--
       ``(i) becoming eligible to receive retired pay;
       ``(ii) qualifying for retired pay except that he has not 
     applied for or been granted that pay; or
       ``(iii) completing 20 years of active service but before he 
     is eligible to retire as a commissioned officer because he 
     has not completed 10 years of active commissioned service; or
       ``(B) a member not described in subparagraph (A) who dies 
     on active duty, except in the case of a member whose death, 
     as determined by the Secretary concerned--
       ``(i) is a direct result of the member's intentional 
     misconduct or willful neglect; or
       ``(ii) occurs during a period of unauthorized absence.''.
       (2) The heading for subsection (d) of such section is 
     amended by striking ``retirement-eligible''.
       (b) Amount of Annuity.--Section 1451(c)(1) of such title is 
     amended to read as follows:
       ``(1) In general.--In the case of an annuity provided under 
     section 1448(d) or 1448(f) of this title, the amount of the 
     annuity shall be determined as follows:
       ``(A) Beneficiary under 62 years of age.--If the person 
     receiving the annuity is under 62 years of age or is a 
     dependent child when the member or former member dies, the 
     monthly annuity shall be the amount equal to 55 percent of 
     the retired pay imputed to the member or former member. The 
     retired pay imputed to a member or former member is as 
     follows:
       ``(i) Except in a case described in clause (ii), the 
     retired pay to which the member or former member would have 
     been entitled if the member or former member had been 
     entitled to that pay based upon his years of active service 
     when he died.
       ``(ii) In the case of a deceased member referred to in 
     subparagraph (A)(iii) or (B) of section 1448(d)(1) of this 
     title, the retired pay to which the member or former member 
     would have been entitled if the member had been entitled to 
     that pay based upon a retirement under section 1201 of this 
     title (if on active duty for more than 30 days when the 
     member died) or section 1204 of this title (if on active duty 
     for 30 days or less when the member died) for a disability 
     rated as total.
       ``(B) Beneficiary 62 years of age or older.--
       ``(i) General rule.--If the person receiving the annuity 
     (other than a dependent child) is 62 years of age or older 
     when the member or former member dies, the monthly annuity 
     shall be the amount equal to 35 percent of the retired pay 
     imputed to the member or former member as described in clause 
     (i) or (ii) of the second sentence of subparagraph (A).
       ``(ii) Rule if beneficiary eligible for social security 
     offset computation.--If the beneficiary is eligible to have 
     the annuity computed under subsection (e) and if, at the time 
     the beneficiary becomes entitled to the annuity, computation 
     of the annuity under that subsection is more favorable to the 
     beneficiary than computation under clause (i), the annuity 
     shall be computed under that subsection rather than under 
     clause (i).''.
       (c) Effective Date.--This section and the amendments made 
     by this section shall take effect on October 1, 2000, and 
     shall apply with respect to deaths occurring on or after that 
     date.

     SEC. 648. FAMILY COVERAGE UNDER SERVICEMEMBERS' GROUP LIFE 
                   INSURANCE.

       (a) Insurable Dependents.--Section 1965 of title 38, United 
     States Code, is amended by adding at the end the following:
       ``(10) The term `insurable dependent', with respect to a 
     member, means the following:
       ``(A) The member's spouse.
       ``(B) A child of the member for so long as the child is 
     unmarried and the member is providing over 50 percent of the 
     support of the child.''.
       (b) Insurance Coverage.--(1) Subsection (a) of section 1967 
     of title 38, United States Code, is amended to read as 
     follows:
       ``(a)(1) Subject to an election under paragraph (2), any 
     policy of insurance purchased by the Secretary under section 
     1966 of this title shall automatically insure the following 
     persons against death:
       ``(A) In the case of any member of a uniformed service on 
     active duty (other than active duty for training)--
       ``(i) the member; and
       ``(ii) each insurable dependent of the member.
       ``(B) Any member of a uniformed service on active duty for 
     training or inactive duty training scheduled in advance by 
     competent authority.
       ``(C) Any member of the Ready Reserve of a uniformed 
     service who meets the qualifications set forth in section 
     1965(5)(B) of this title.
       ``(2)(A) A member may elect in writing not to be insured 
     under this subchapter.
       ``(B) A member referred to in subparagraph (A) may also 
     make either or both of the following elections in writing:
       ``(i) An election not to insure a dependent spouse under 
     this subchapter.
       ``(ii) An election to insure none of the member's children 
     under this subchapter.
       ``(3)(A) Subject to an election under subparagraph (B), the 
     amount for which a person is insured under this subchapter is 
     as follows:
       ``(i) In the case of a member, $200,000.
       ``(ii) In the case of a member's spouse, the amount equal 
     to 50 percent of the amount for which the member is insured 
     under this subchapter.

[[Page S4581]]

       ``(iii) In the case of a member's child, $10,000.
       ``(B) A member may elect in writing to be insured or to 
     insure an insurable dependent in an amount less than the 
     amount provided under subparagraph (A). The amount of 
     insurance so elected shall, in the case of a member or 
     spouse, be evenly divisible by $10,000 and, in the case of a 
     child, be evenly divisible by $5,000.
       ``(4) No dependent of a member is insured under this 
     chapter unless the member is insured under this subchapter.
       ``(5) The insurance shall be effective with respect to a 
     member and the member's dependents on the first day of active 
     duty or active duty for training, or the beginning of a 
     period of inactive duty training scheduled in advance by 
     competent authority, or the first day a member of the Ready 
     Reserve meets the qualifications set forth in section 
     1965(5)(B) of this title, or the date certified by the 
     Secretary to the Secretary concerned as the date 
     Servicemembers' Group Life Insurance under this subchapter 
     for the class or group concerned takes effect, whichever is 
     the later date.''.
       (2) Subsection (c) of such section is amended by striking 
     out the first sentence and inserting the following: ``If a 
     person eligible for insurance under this subchapter is not so 
     insured, or is insured for less than the maximum amount 
     provided for the person under subparagraph (A) of subsection 
     (a)(3), by reason of an election made by a member under 
     subparagraph (B) of that subsection, the person may 
     thereafter be insured under this subchapter in the maximum 
     amount or any lesser amount elected as provided in such 
     subparagraph (B) upon written application by the member, 
     proof of good health of each person to be so insured, and 
     compliance with such other terms and conditions as may be 
     prescribed by the Secretary.''.
       (c) Termination of Coverage.--(1) Subsection (a) of section 
     1968 of such title is amended--
       (A) in the matter preceding paragraph (1), by inserting 
     ``and any insurance thereunder on any insurable dependent of 
     such a member,'' after `` any insurance thereunder on any 
     member of the uniformed services,'';
       (B) by striking ``and'' at the end of paragraph (3);
       (C) by striking the period at the end of paragraph (4) and 
     inserting ``; and''; and
       (D) by adding at the end the following:
       ``(5) with respect to an insurable dependent of the 
     member--
       ``(A) upon election made in writing by the member to 
     terminate the coverage; or
       ``(B) on the earlier of--
       ``(i) the date of the member's death;
       ``(ii) the date of termination of the insurance on the 
     member's life under this subchapter;
       ``(iii) the date of the dependent's death; or
       ``(iv) the termination of the dependent's status as an 
     insurable dependent of the member.
       (2) Subsection (b)(1)(A) of such section is amended by 
     inserting ``(to insure against death of the member only)'' 
     after ``converted to Veterans' Group Life Insurance''.
       (d) Premiums.--Section 1969 of such title is amended by 
     adding at the end the following:
       ``(g)(1) During any period in which any insurable dependent 
     of a member is insured under this subchapter, there shall be 
     deducted each month from the member's basic or other pay 
     until separation or release from active duty an amount 
     determined by the Secretary (which shall be the same for all 
     such members) as the premium allocable to the pay period for 
     providing that insurance coverage.
       ``(2)(A) The Secretary shall determine the premium amounts 
     to be charged for life insurance coverage for dependents of 
     members under this subchapter.
       ``(B) The premium amounts shall be determined on the basis 
     of sound actuarial principles and shall include an amount 
     necessary to cover the administrative costs to the insurer or 
     insurers providing such insurance.
       ``(C) Each premium rate for the first policy year shall be 
     continued for subsequent policy years, except that the rate 
     may be adjusted for any such subsequent policy year on the 
     basis of the experience under the policy, as determined by 
     the Secretary in advance of that policy year.
       ``(h) Any overpayment of a premium for insurance coverage 
     for an insurable dependent of a member that is terminated 
     under section 1968(a)(5) of this title shall be refunded to 
     the member.''.
       (e) Payments of Insurance Proceeds.--Section 1970 of such 
     title is amended by adding at the end the following:
       ``(h) Any amount of insurance in force on an insurable 
     dependent of a member under this subchapter on the date of 
     the dependent's death shall be paid, upon the establishment 
     of a valid claim therefor, to the member or, in the event of 
     the member's death before payment to the member can be made, 
     then to the person or persons entitled to receive payment of 
     the proceeds of insurance on the member' life under this 
     subchapter.''.
       (f) Effective Date and Initial Implementation.--(1) This 
     section and the amendments made by this section shall take 
     effect on the first day of the first month that begins more 
     than 120 days after the date of the enactment of this Act, 
     except that paragraph (2) shall take effect on the date of 
     the enactment of this Act.
       (2) The Secretary of Veterans Affairs, in consultation with 
     the Secretaries of the military departments, the Secretary of 
     Transportation, the Secretary of Commerce and the Secretary 
     of Health and Human Services, shall take such action as is 
     necessary to ensure that each member of the uniformed 
     services on active duty (other than active duty for training) 
     during the period between the date of the enactment of this 
     Act and the effective date determined under paragraph (1) is 
     furnished an explanation of the insurance benefits available 
     for dependents under the amendments made by this section and 
     is afforded an opportunity before such effective date to make 
     elections that are authorized under those amendments to be 
     made with respect to dependents.
                                  ____


                           Amendment No. 3182

       On page 239, after line 22, add the following:

   Subtitle F--Additional Benefits For Reserves and Their Dependents

     SEC. 671. SENSE OF CONGRESS.

       It is the sense of Congress that it is in the national 
     interest that the President provide funds for the reserve 
     components of the Armed Forces (including the National Guard 
     and Reserves) that are sufficient to ensure that the reserve 
     components meet the requirements specified for the reserve 
     components in the National Military Strategy, including 
     military training.

     SEC. 672. TRAVEL BY RESERVES ON MILITARY AIRCRAFT.

       (a) Space-Required Travel for Travel to Duty Stations 
     INCONUS and OCONUS.--(1) Subsection (a) of section 18505 of 
     title 10, United States Code, is amended to read as follows:
       ``(a) A member of a reserve component traveling to a place 
     of annual training duty or inactive-duty training (including 
     a place other than the member's unit training assembly if the 
     member is performing annual training duty or inactive-duty 
     training in another location) may travel in a space-required 
     status on aircraft of the armed forces between the member's 
     home and the place of such duty or training.''.
       (2) The heading of such section is amended to read as 
     follows:

     ``Sec. 18505. Reserves traveling to annual training duty or 
       inactive-duty training: authority for space-required 
       travel''.

       (b) Space-Available Travel for Members of Selected Reserve 
     and Dependents.--Chapter 1805 of such title is amended by 
     adding at the end the following new section:

     ``Sec. 18506. Space-available travel: Selected Reserve; 
       dependents

       ``(a) Eligibility for Space-Available Travel.--The 
     Secretary of Defense shall prescribe regulations to allow 
     persons described in subsection (b) to receive transportation 
     on aircraft of the Department of Defense on a space-available 
     basis under the same terms and conditions (including terms 
     and conditions applicable to travel outside the United 
     States) as apply to members of the armed forces entitled to 
     retired pay.
       ``(b) Persons Eligible.--Subsection (a) applies to a person 
     who is a member of the Selected Reserve in good standing (as 
     determined by the Secretary concerned).
       ``(c) Dependents.--A dependent of a person described in 
     subsection (b) may be provided transportation under this 
     section on the same basis as dependents of members of the 
     armed forces entitled to retired pay.
       ``(d) Limitation on Required Identification.--Neither the 
     `Authentication of Reserve Status for Travel Eligibility' 
     form (DD Form 1853), nor or any other form, other than the 
     presentation of military identification and duty orders upon 
     request, or other methods of identification required of 
     active duty personnel, shall be required of reserve component 
     personnel using space-available transportation within or 
     outside the continental United States under this section.''.
       (c) Clerical Amendments.--The table of sections at the 
     beginning of such chapter is amended by striking the item 
     relating to section 18505 and inserting the following new 
     items:

``18505. Reserves traveling to annual training duty or inactive-duty 
              training: authority for space-required travel.
``18506. Space-available travel: Selected Reserve; dependents.''.
       (d) Implementing Regulations.--Regulations under section 
     18506 of title 10, United States Code, as added by subsection 
     (b), shall be prescribed not later than 180 days after the 
     date of the enactment of this Act.

     SEC. 673. BILLETING SERVICES FOR RESERVE MEMBERS TRAVELING 
                   FOR INACTIVE DUTY TRAINING.

       (a) In General.--(1) Chapter 1217 of title 10, United 
     States Code, is amended by adding at the end the following 
     new section:

     ``Sec. 12604. Attendance at inactive-duty training 
       assemblies: billeting in Department of Defense facilities

       ``(a) Authority for Billeting on Same Basis as Active Duty 
     Members Traveling Under Orders.--The Secretary of Defense 
     shall prescribe regulations authorizing a Reserve traveling 
     to inactive-duty training at a location more than 50 miles 
     from the Reserve's home to be eligible for billeting in 
     Department of Defense facilities on the same basis as a 
     member of the armed forces on active duty who is traveling 
     under orders away from the member's duty station.
       ``(b) Proof of Reason for Travel.--The Secretary shall 
     include in regulations under subsection (a) means for 
     establishing that a Reserve seeking billeting in Department 
     of Defense facilities under that subsection is

[[Page S4582]]

     traveling for attendance at inactive-duty training at a 
     location more than 50 miles from the Reserve's home.''.
       (2) The table of sections at the beginning of such chapter 
     is amended by adding at the end the following new item:

``12604. Attendance at inactive-duty training assemblies: billeting in 
              Department of Defense facilities.''.
       (b) Effective Date.--Section 12604 of title 10, United 
     States Code, as added by subsection (a), shall apply with 
     respect to periods of inactive-duty training beginning more 
     than 180 days after the date of the enactment of this Act.

     SEC. 674. INCREASE IN MAXIMUM NUMBER OF RESERVE RETIREMENT 
                   POINTS THAT MAY BE CREDITED IN ANY YEAR.

       Section 12733(3) of title 10, United States Code, is 
     amended by striking ``but not more than'' and all that 
     follows and inserting ``but not more than--
       ``(A) 60 days in any one year of service before the year of 
     service that includes September 23, 1996;
       ``(B) 75 days in the year of service that includes 
     September 23, 1996, and in any subsequent year of service 
     before the year of service that includes the date of the 
     enactment of the National Defense Authorization Act for 
     Fiscal Year 2001; and
       ``(C) 90 days in the year of service that includes the date 
     of the enactment of the National Defense Authorization Act 
     for Fiscal Year 2001.''.

     SEC. 675. AUTHORITY FOR PROVISION OF LEGAL SERVICES TO 
                   RESERVE COMPONENT MEMBERS FOLLOWING RELEASE 
                   FROM ACTIVE DUTY.

       (a) Legal Services.--Section 1044(a) of title 10, United 
     States Code, is amended--
       (1) by redesignating paragraph (4) as paragraph (5); and
       (2) by inserting after paragraph (3) the following new 
     paragraph (4):
       ``(4) Members of a reserve component not covered by 
     paragraph (1) or (2), but only during a period, following a 
     release from active duty under a call or order to active duty 
     for more than 29 days under a mobilization authority (as 
     determined by the Secretary of Defense), that is not in 
     excess of twice the length of time served on active duty.''.
       (b) Dependents.--Paragraph (5) of such section, as 
     redesignated by subsection (a), is amended by striking ``and 
     (3)'' and inserting ``(3), and (4)''.
       (c) Implementing Regulations.--Regulations to implement the 
     amendments made by subsections (a) and (b) shall be 
     prescribed not later than 180 days after the date of the 
     enactment of this Act.
                                 ______
                                 

                 KERREY (AND OTHERS) AMENDMENT NO. 3183

  Mr. KERREY (for himself, Mr. Levin, Mr. Daschle, Mr. Harkin, Mr. 
Kerry, and Mr. Durbin) proposed an amended to the bill, S. 2549, supra; 
as follows:

       Strike section 1017 and insert the following:

     SEC. 1017. REPEAL OF LIMITATION ON RETIREMENT OR 
                   DISMANTLEMENT OF STRATEGIC NUCLEAR DELIVERY 
                   SYSTEMS IN EXCESS OF MILITARY REQUIREMENTS.

       Section 1302 of the National Defense Authorization Act for 
     Fiscal Year 1998 (Public Law 105-85; 111 Stat. 1948) is 
     repealed.
                                 ______
                                 

                       WARNER AMENDMENT NO. 3184

  Mr. WARNER proposed an amendment to amendment No. 3183 proposed by 
Mr. Kerrey to the bill, S. 2549, supra; as follows:

       In lieu of the language proposed to be inserted, insert the 
     following:

     ``SEC. 1017. CORRECTION OF SCOPE OF WAIVER AUTHORITY FOR 
                   LIMITATION ON RETIREMENT OR DISMANTLEMENT OF 
                   STRATEGIC NUCLEAR DELIVERY SYSTEMS; AUTHORITY 
                   TO WAIVE LIMITATION.

       ``(a) Section 1302(b) of the National Defense Authorization 
     Act for Fiscal Year 1998 (Public Law 105-85; 111 Stat. 1948), 
     as amended by section 1501(a) of the National Defense 
     Authorization Act for Fiscal Year 2000 (Public Law 106-65; 
     113 Stat. 806), is further amended by striking ``the 
     application of the limitation in effect under paragraph 
     (1)(B) or (3) of subsection (a), as the case may be,'' and 
     inserting ``the application of the limitation in effect under 
     subsection (a) to a strategic nuclear delivery system.
       ``(b) Authority To Waive Limitation on Retirement or 
     Dismantlement of Strategic Nuclear Delivery Systems.--After 
     the submission of the report on the results of the nuclear 
     posture review to Congress under section 1015(c)--
       ``(1) the Secretary of Defense shall, taking into 
     consideration the results of the review, submit to the 
     President a recommendation regarding whether the President 
     should waive the limitation on the retirement or 
     dismantlement of strategic nuclear delivery systems in 
     section 1302 National Defense Authorization Act for Fiscal 
     Year 1998 (Public Law 105-85; 111 Stat. 1948); and
       ``(2) the President, taking into consideration the results 
     of the review and the recommendation made by the Secretary of 
     Defense under paragraph (1), may waive the limitation 
     referred to in that paragraph if the President determines 
     that it is in the national security interests of the United 
     States to do so.''.
                                 ______
                                 

                       BENNETT AMENDMENT NO. 3185

  (Ordered to lie on the table).
  Mr. BENNETT submitted an amendment intended to be proposed by him to 
the bill, S. 2549, supra; as follows:

       On page 462, between lines 2 and 3, insert the following:

     SEC. 1210. ADJUSTMENT OF COMPOSITE THEORETICAL PERFORMANCE 
                   LEVELS OF HIGH PERFORMANCE COMPUTERS.

       (a) Layover Period for New Performance Levels.--Section 
     1211 of the National Defense Authorization Act for Fiscal 
     Year 1998 (50 U.S.C. App. 2404 note) is amended--
       (1) in the second sentence of subsection (d), by striking 
     ``180'' and inserting ``60''; and
       (2) by adding at the end the following:
       ``(g) Calculation of 60-Day Period.--The 60-day period 
     referred to in subsection (d) shall be calculated by 
     excluding the days on which either House of Congress is not 
     in session because of an adjournment of the Congress sine 
     die.''.
       (b) Effective Date.--The amendments made by subsection (a) 
     shall apply to any new composite theoretical performance 
     level established for purposes of section 1211(a) of the 
     National Defense Authorization Act for Fiscal Year 1998 that 
     is submitted by the President pursuant to section 1211(d) of 
     that Act on or after the date of the enactment of this Act.
                                 ______
                                 

                     ROBB AMENDMENTS NOS. 3186-3187

  (Ordered to lie on the table.)
  Mr. ROBB submitted two amendments intended to be proposed by him to 
the bill, S. 2549, supra; as follows:

                           Amendment No. 3186

       On page __, between lines __ and __, insert the following:

     SEC.  . DEFENSE TRAVEL SYSTEM.

       (a) Requirement for Report.--Not later than November 30, 
     2000, the Secretary of Defense shall submit to the 
     congressional defense committees a report on the Defense 
     Travel System.
       (b) Content of Report.--The report shall include the 
     following:
       (1) A detailed discussion of the development, testing, and 
     fielding of the system, including the performance 
     requirements, the evaluation criteria, the funding that has 
     been provided for the development, testing, and fielding of 
     the system, and the funding that is projected to be required 
     for completing the development, testing, and fielding of the 
     system.
       (2) The schedule that has been followed for the testing of 
     the system, including the initial operational test and 
     evaluation and the final operational testing and evaluation, 
     together with the results of the testing.
       (3) The cost savings expected to result from the deployment 
     of the system and from the completed implementation of the 
     system, together with a discussion of how the savings are 
     estimated and the expected schedule for the realization of 
     the savings.
       (4) An analysis of the costs and benefits of fielding the 
     front-end software for the system throughout all 18 
     geographical areas selected for the original fielding of the 
     system.
       (c) Limitations.--(1) Not more than 25 percent of the 
     amount authorized to be appropriated under section __ for the 
     Defense Travel System may be obligated or expended before the 
     date on which the Secretary submits the report required under 
     subsection (a).
       (2) Funds appropriated for the Defense Travel System 
     pursuant to the authorization of appropriations referred to 
     in paragraph (1) may not be used for a purpose other than the 
     Defense Travel System unless the Secretary first submits to 
     Congress a written notification of the intended use and the 
     amount to be so used.
                                  ____


                           Amendment No. 3187

       On page 545, following line 22, add the following:

                       PART IV--OTHER CONVEYANCES

     SEC. 2876. LAND CONVEYANCE, FORMER NATIONAL GROUND 
                   INTELLIGENCE CENTER, CHARLOTTESVILLE, VIRGINIA.

       (a) Conveyance Authorized.--The Administrator of General 
     Services may convey, without consideration, to the City of 
     Charlottesville, Virginia (in this section referred to as the 
     ``City''), all right, title, and interest of the United 
     States in and to a parcel of real property, including any 
     improvements thereon, formerly occupied by the National 
     Ground Intelligence Center and known as the Jefferson Street 
     Property.
       (b) Authority To Convey Without Consideration.--The 
     conveyance authorized by subsection (a) may be made without 
     consideration if the Administrator determines that the 
     conveyance on that basis would be in the best interests of 
     the United States.
       (c) Purpose of Conveyance.--The conveyance authorized by 
     subsection (a) shall be for the purpose of permitting the 
     City to use the parcel, directly or through an agreement with 
     a public or private entity, for economic development 
     purposes.
       (d) Reversionary Interest.--If, during the 5-year period 
     beginning on the date the Administrator makes the conveyance 
     authorized by subsection (a), the Administrator determines 
     that the conveyed real property is not being used for a 
     purpose specified in subsection (c), all right, title, and 
     interest in and to the property, including any improvements 
     thereon, shall revert to the United

[[Page S4583]]

     States, and the United States shall have the right of 
     immediate entry onto the property.
       (e) Inapplicability of Certain Property Management Laws.--
     The conveyance authorized by subsection (a) shall not be 
     subject to the following:
       (1) Sections 2667 and 2696 of title 10, United States Code.
       (2) Section 501 of the Stewart B. McKinney Homeless 
     Assistance Act (42 U.S.C. 11411).
       (3) Sections 202 and 203 of the Federal Property and 
     Administrative Services Act of 1949 (40 U.S.C. 483, 484).
       (f) Limitation on Certain Subsequent Conveyances.--(1) 
     Subject to paragraph (2), if at any time after the 
     Administrator makes the conveyance authorized by subsection 
     (a) the City conveys any portion of the parcel conveyed under 
     that subsection to a private entity, the City shall pay to 
     the United States an amount equal to the fair market value 
     (as determined by the Administrator) of the portion conveyed 
     at the time of its conveyance under this subsection.
       (2) Paragraph (1) applies to a conveyance described in that 
     paragraph only if the Administrator makes the conveyance 
     authorized by subsection (a) without consideration.
       (3) The Administrator shall cover over into the general 
     fund of the Treasury as miscellaneous receipts any amounts 
     paid the Administrator under this subsection.
       (g) Description of Property.--The exact acreage and legal 
     description of the real property to be conveyed under 
     subsection (a) shall be determined by a survey satisfactory 
     to the Administrator. The cost of the survey shall be borne 
     by the City.
       (h) Additional Terms and Conditions.--The Administrator may 
     require such additional terms and conditions in connection 
     with the conveyance as the Administrator considers 
     appropriate to protect the interests of the United States.
                                 ______
                                 

                       KERREY AMENDMENT NO. 3188

  (Ordered to lie on the table.)
  Mr. KERREY submitted an amendment intended to be proposed by him to 
the bill, S. 2549, supra; as follows:

       On page 368, between lines 21 and 22, insert the following:
       (7) The ability of the United States to deter a nuclear 
     attack with strategic forces at the levels proposed for a 
     third treaty between the United States and the Russian 
     Federation on the reduction and limitation of strategic 
     offensive arms, with consideration being given to the 
     estimated effect on the Russian Federation of a nuclear 
     retaliation by the United States.
                                 ______
                                 

                       WARNER AMENDMENT NO. 3189

  Mr. WARNER proposed an amendment to the bill, S. 2549, supra; as 
follows:

       On page 613, after line 12, insert the following:

     SEC. 3403. DISPOSAL OF TITANIUM.

       (a) Disposal Required.--Subject to subsection (b), the 
     President shall, by September 30, 2010, dispose of 30,000 
     short tons of titanium contained in the National Defense 
     Stockpile so as to result in receipts to the United States in 
     a total amount that is not less than $180,000,000.
       (b) Minimization of Disruption and Loss.--The President may 
     not dispose of titanium under subsection (a) to the extent 
     that the disposal will result in--
       (1) undue disruption of the usual markets of producers, 
     processors, and consumers of titanium; or
       (2) avoidable loss to the United States.
       (c) Treatment of Receipts.--Notwithstanding section 9 of 
     the Strategic and Critical Materials Stock Piling Act (50 
     U.S.C. 98h), funds received as a result of the disposal of 
     titanium under subsection (a) shall be applied as follows: 
     $174,000,000 to defray the costs of health care benefit 
     improvement for retired military personnel; and $6,000,000 
     for transfer to the American Battle Monuments Commission for 
     deposit in the fund established under section 2113 of title 
     36, United States Code, for the World War II memorial 
     authorized by section 1 of Public Law 103-32 (107 Stat. 90).
       (d) World War II Memorial.--(1) The amount transferred to 
     the American Battle Monuments Commission under subsection (c) 
     shall be used to complete all necessary requirements for the 
     design of, ground breaking for, construction of, maintenance 
     of, and dedication of the World War II memorial. The 
     Commission shall determine how the amount shall be 
     apportioned among such purposes.
       (2) Any funds not necessary for the purposes set forth in 
     paragraph (1) shall be transferred to and deposited in the 
     general fund of the Treasury.
       (e) Relationship to Other Disposal Authority.--The disposal 
     authority provided in subsection (a) is new disposal 
     authority and is in addition to, and shall not affect, any 
     other disposal authority provided by law regarding materials 
     in the National Defense Stockpile.
                                 ______
                                 

                 RYAN WHITE CARE ACT AMENDMENTS OF 2000

                                 ______
                                 

                JEFFORDS (AND OTHERS) AMENDMENT NO. 3190

  Mr. WARNER (for Mr. Jeffords (for himself, Mr. Kennedy, and Mr. 
Frist)) proposed an amendment to the bill (S. 2311) to revise and 
extend the Ryan White CARE Act programs under title XXVI of the Public 
Health Service Act, to improve access to health care and the quality of 
health care under such programs, and to provide for the development of 
increased capacity to provide health care and related support services 
to individuals and families with HIV disease, and for other purposes; 
as follows:

       Strike all after the enacting clause and insert the 
     following:

     SECTION 1. SHORT TITLE.

       This Act may be cited as the ``Ryan White CARE Act 
     Amendments of 2000''.

     SEC. 2. REFERENCES; TABLE OF CONTENTS.

       (a) References.--Except as otherwise expressly provided, 
     whenever in this Act an amendment or repeal is expressed in 
     terms of an amendment to, or repeal of, a section or other 
     provision, the reference shall be considered to be made to a 
     section or other provision of the Public Health Service Act 
     (42 U.S.C. 201 et seq.).
       (b) Table of Contents.--The table of contents of this Act 
     is as follows:

Sec. 1. Short title.
Sec. 2. References; table of contents.

             TITLE I--AMENDMENTS TO HIV HEALTH CARE PROGRAM

       Subtitle A--Amendments to Part A (Emergency Relief Grants)

Sec. 101. Duties of planning council, funding priorities, quality 
              assessment.
Sec. 102. Quality management.
Sec. 103. Funded entities required to have health care relationships.
Sec. 104. Support services required to be health care-related.
Sec. 105. Use of grant funds for early intervention services.
Sec. 106. Replacement of specified fiscal years regarding the sunset on 
              expedited distribution requirements.
Sec. 107. Hold harmless provision.
Sec. 108. Set-aside for infants, children, and women.

         Subtitle B--Amendments to Part B (Care Grant Program)

Sec. 121. State requirements concerning identification of need and 
              allocation of resources.
Sec. 122. Quality management.
Sec. 123. Funded entities required to have health care relationships.
Sec. 124. Support services required to be health care-related.
Sec. 125. Use of grant funds for early intervention services.
Sec. 126. Authorization of appropriations for HIV-related services for 
              women and children.
Sec. 127. Repeal of requirement for completed Institute of Medicine 
              report.
Sec. 128. Supplement grants for certain States.
Sec. 129. Use of treatment funds.
Sec. 130. Increase in minimum allotment.
Sec. 131. Set-aside for infants, children, and women.

     Subtitle C--Amendments to Part C (Early Intervention Services)

Sec. 141. Amendment of heading; repeal of formula grant program.
Sec. 142. Planning and development grants.
Sec. 143. Authorization of appropriations for categorical grants.
Sec. 144. Administrative expenses ceiling; quality management program.
Sec. 145. Preference for certain areas.
Sec. 146. Technical amendment.

         Subtitle D--Amendments to Part D (General Provisions)

Sec. 151. Research involving women, infants, children, and youth.
Sec. 152. Limitation on administrative expenses.
Sec. 153. Evaluations and reports.
Sec. 154. Authorization of appropriations for grants under parts A and 
              B.

     Subtitle E--Amendments to Part F (Demonstration and Training)

Sec. 161. Authorization of appropriations.

                   TITLE II--MISCELLANEOUS PROVISIONS

Sec. 201. Institute of Medicine study.

             TITLE I--AMENDMENTS TO HIV HEALTH CARE PROGRAM

       Subtitle A--Amendments to Part A (Emergency Relief Grants)

     SEC. 101. DUTIES OF PLANNING COUNCIL, FUNDING PRIORITIES, 
                   QUALITY ASSESSMENT.

       Section 2602 (42 U.S.C. 300ff-12) is amended--
       (1) in subsection (b)--
       (A) in paragraph (2)(C), by inserting before the semicolon 
     the following: ``, including providers of housing and 
     homeless services''; and
       (B) in paragraph (4), by striking ``shall--'' and all that 
     follows and inserting ``shall have the responsibilities 
     specified in subsection (d).''; and
       (2) by adding at the end the following:
       ``(d) Duties of Planning Council.--The planning council 
     established under subsection (b) shall have the following 
     duties:
       ``(1) Priorities for allocation of funds.--The council 
     shall establish priorities for the allocation of funds within 
     the eligible area, including how best to meet each

[[Page S4584]]

     such priority and additional factors that a grantee should 
     consider in allocating funds under a grant, based on the 
     following factors:
       ``(A) The size and demographic characteristics of the 
     population with HIV disease to be served, including, subject 
     to subsection (e), the needs of individuals living with HIV 
     infection who are not receiving HIV-related health services.
       ``(B) The documented needs of the population with HIV 
     disease with particular attention being given to disparities 
     in health services among affected subgroups within the 
     eligible area.
       ``(C) The demonstrated or probable cost and outcome 
     effectiveness of proposed strategies and interventions, to 
     the extent that data are reasonably available.
       ``(D) Priorities of the communities with HIV disease for 
     whom the services are intended.
       ``(E) The availability of other governmental and non-
     governmental resources, including the State medicaid plan 
     under title XIX of the Social Security Act and the State 
     Children's Health Insurance Program under title XXI of such 
     Act to cover health care costs of eligible individuals and 
     families with HIV disease.
       ``(F) Capacity development needs resulting from gaps in the 
     availability of HIV services in historically underserved low-
     income communities.
       ``(2) Comprehensive service delivery plan.--The council 
     shall develop a comprehensive plan for the organization and 
     delivery of health and support services described in section 
     2604. Such plan shall be compatible with any existing State 
     or local plans regarding the provision of such services to 
     individuals with HIV disease.
       ``(3) Assessment of fund allocation efficiency.--The 
     council shall assess the efficiency of the administrative 
     mechanism in rapidly allocating funds to the areas of 
     greatest need within the eligible area.
       ``(4) Statewide statement of need.--The council shall 
     participate in the development of the Statewide coordinated 
     statement of need as initiated by the State public health 
     agency responsible for administering grants under part B.
       ``(5) Coordination with other federal grantees.--The 
     council shall coordinate with Federal grantees providing HIV-
     related services within the eligible area.
       ``(6) Community participation.--The council shall establish 
     methods for obtaining input on community needs and priorities 
     which may include public meetings, conducting focus groups, 
     and convening ad-hoc panels.
       ``(e) Process for Establishing Allocation Priorities.--
       ``(1) In general.--Not later than 24 months after the date 
     of enactment of the Ryan White CARE Act Amendments of 2000, 
     the Secretary shall--
       ``(A) consult with eligible metropolitan areas, affected 
     communities, experts, and other appropriate individuals and 
     entities, to develop epidemiologic measures for establishing 
     the number of individuals living with HIV disease who are not 
     receiving HIV-related health services; and
       ``(B) provide advice and technical assistance to planning 
     councils with respect to the process for establishing 
     priorities for the allocation of funds under subsection 
     (d)(1).
       ``(2) Exception.--Grantees under this part shall not be 
     required to establish priorities for individuals not in care 
     until epidemiologic measures are developed under paragraph 
     (1).''.

     SEC. 102. QUALITY MANAGEMENT.

       (a) Funds Available for Quality Management.--Section 2604 
     (42 U.S.C. 300ff-14) is amended--
       (1) by redesignating subsections (c) through (f) as 
     subsections (d) through (g), respectively; and
       (2) by inserting after subsection (b) the following:
       ``(c) Quality Management.--
       ``(1) Requirement.--The chief elected official of an 
     eligible area that receives a grant under this part shall 
     provide for the establishment of a quality management program 
     to assess the extent to which medical services provided to 
     patients under the grant are consistent with the most recent 
     Public Health Service guidelines for the treatment of HIV 
     disease and related opportunistic infection and to develop 
     strategies for improvements in the access to and quality of 
     medical services.
       ``(2) Use of funds.--From amounts received under a grant 
     awarded under this part, the chief elected official of an 
     eligible area may use, for activities associated with its 
     quality management program, not more than the lesser of--
       ``(A) 5 percent of amounts received under the grant; or
       ``(B) $3,000,000.''.
       (b) Quality Management Required for Eligibility for 
     Grants.--Section 2605(a) (42 U.S.C. 300ff-15(a)) is amended--
       (1) by redesignating paragraphs (3) through (6) as 
     paragraphs (5) through (8), respectively; and
       (2) by inserting after paragraph (2) the following:
       ``(3) that the chief elected official of the eligible area 
     will satisfy all requirements under section 2604(c);''.

     SEC. 103. FUNDED ENTITIES REQUIRED TO HAVE HEALTH CARE 
                   RELATIONSHIPS.

       (a) Use of Amounts.--Section 2604(e)(1) (42 U.S.C. 300ff-
     14(d)(1)) (as so redesignated by section 102(a)) is amended 
     by inserting ``and the State Children's Health Insurance 
     Program under title XXI of such Act'' after ``Social Security 
     Act''.
       (b) Applications.--Section 2605(a) (42 U.S.C. 300ff-15(a)) 
     is amended by inserting after paragraph (3), as added by 
     section 102(b), the following:
       ``(4) that funded entities within the eligible area that 
     receive funds under a grant under section 2601(a) shall 
     maintain appropriate relationships with entities in the area 
     served that constitute key points of access to the health 
     care system for individuals with HIV disease (including 
     emergency rooms, substance abuse treatment programs, 
     detoxification centers, adult and juvenile detention 
     facilities, sexually transmitted disease clinics, HIV 
     counseling and testing sites, mental health programs, and 
     homeless shelters) and other entities under section 2652(a) 
     for the purpose of facilitating early intervention for 
     individuals newly diagnosed with HIV disease and individuals 
     knowledgeable of their status but not in care;''.

     SEC. 104. SUPPORT SERVICES REQUIRED TO BE HEALTH CARE-
                   RELATED.

       (a) In General.--Section 2604(b)(1) (42 U.S.C. 300ff-
     14(b)(1)) is amended--
       (1) in the matter preceding subparagraph (A), by striking 
     ``HIV-related--'' and inserting ``HIV-related services, as 
     follows:'';
       (2) in subparagraph (A)--
       (A) by striking ``outpatient'' and all that follows through 
     ``substance abuse treatment and'' and inserting the 
     following: ``Outpatient health services.--Outpatient and 
     ambulatory health services, including substance abuse 
     treatment,''; and
       (B) by striking ``; and'' and inserting a period;
       (3) in subparagraph (B), by striking ``(B) inpatient case 
     management'' and inserting ``(C) Inpatient case management 
     services.--Inpatient case management''; and
       (4) by inserting after subparagraph (A) the following:
       ``(B) Outpatient support services.--Outpatient and 
     ambulatory support services (including case management), to 
     the extent that such services facilitate, enhance, support, 
     or sustain the delivery, continuity, or benefits of health 
     services for individuals and families with HIV disease.''.
       (b) Conforming Amendment to Application Requirements.--
     Section 2605(a) (42 U.S.C. 300ff-15(a)), as amended by 
     section 102(b), is further amended--
       (1) in paragraph (7) (as so redesignated), by striking 
     ``and'' at the end thereof;
       (2) in paragraph (8) (as so redesignated), by striking the 
     period and inserting ``; and''; and
       (3) by adding at the end the following:
       ``(9) that the eligible area has procedures in place to 
     ensure that services provided with funds received under this 
     part meet the criteria specified in section 2604(b)(1).''.

     SEC. 105. USE OF GRANT FUNDS FOR EARLY INTERVENTION SERVICES.

       (a) In General.--Section 2604(b)(1) (42 U.S.C. 300ff-
     14(b)(1)), as amended by section 104(a), is further amended 
     by adding at the end the following:
       ``(D) Early intervention services.--Early intervention 
     services as described in section 2651(b)(2), with follow-
     through referral, provided for the purpose of facilitating 
     the access of individuals receiving the services to HIV-
     related health services, but only if the entity providing 
     such services--
       ``(i)(I) is receiving funds under subparagraph (A) or (C); 
     or
       ``(II) is an entity constituting a point of access to 
     services, as described in section 2605(a)(4), that maintains 
     a relationship with an entity described in subclause (I) and 
     that is serving individuals at elevated risk of HIV disease;
       ``(ii) demonstrates to the satisfaction of the chief 
     elected official that Federal, State, or local funds are 
     inadequate for the early intervention services the entity 
     will provide with funds received under this subparagraph; and
       ``(iii) demonstrates to the satisfaction of the chief 
     elected official that funds will be utilized under this 
     subparagraph to supplement not supplant other funds available 
     for such services in the year for which such funds are being 
     utilized.
       (b) Conforming Amendments to Application Requirements.--
     Section 2605(a)(1) (42 U.S.C. 300ff-15(a)(1)) is amended--
       (1) in subparagraph (A), by striking ``services to 
     individuals with HIV disease'' and inserting ``services as 
     described in section 2604(b)(1)''; and
       (2) in subparagraph (B), by striking ``services for 
     individuals with HIV disease'' and inserting ``services as 
     described in section 2604(b)(1)''.

     SEC. 106. REPLACEMENT OF SPECIFIED FISCAL YEARS REGARDING THE 
                   SUNSET ON EXPEDITED DISTRIBUTION REQUIREMENTS.

       Section 2603(a)(2) (42 U.S.C. 300ff-13(a)(2)) is amended by 
     striking ``for each of the fiscal years 1996 through 2000'' 
     and inserting ``for a fiscal year''.

     SEC. 107. HOLD HARMLESS PROVISION.

       Section 2603(a)(4) (42 U.S.C. 300ff-13(a)(4)) is amended to 
     read as follows:
       ``(4) Limitation.--With respect to each of fiscal years 
     2001 through 2005, the Secretary shall ensure that the amount 
     of a grant made to an eligible area under paragraph (2) for 
     such a fiscal year is not less than an

[[Page S4585]]

     amount equal to 98 percent of the amount the eligible area 
     received for the fiscal year preceding the year for which the 
     determination is being made.''.

     SEC. 108. SET-ASIDE FOR INFANTS, CHILDREN, AND WOMEN.

       Section 2604(b)(3) (42 U.S.C. 300ff-14(b)(3)) is amended--
       (1) by inserting ``for each population under this 
     subsection'' after ``council''; and
       (2) by striking ``ratio of the'' and inserting ``ratio of 
     each''.

         Subtitle B--Amendments to Part B (Care Grant Program)

     SEC. 121. STATE REQUIREMENTS CONCERNING IDENTIFICATION OF 
                   NEED AND ALLOCATION OF RESOURCES.

       (a) General Use of Grants.--Section 2612 (42 U.S.C. 300ff-
     22) is amended--
       (1) by striking ``A State'' and inserting ``(a) In 
     General.--A State''; and
       (2) in the matter following paragraph (5)--
       (A) by striking ``Services'' and inserting:
       ``(b) Delivery of Services.--Services'';
       (B) by striking ``paragraph (1)'' and inserting 
     ``subsection (a)(1)''; and
       (C) by striking ``paragraph (2)'' and inserting 
     ``subsection (a)(2) and section 2613'';
       (b) Application.--Section 2617(b) (42 U.S.C. 300ff-27(b)) 
     is amended--
       (1) in paragraph (1)(C)--
       (A) by striking clause (i) and inserting the following:
       ``(i) the size and demographic characteristics of the 
     population with HIV disease to be served, except that by not 
     later than October 1, 2002, the State shall take into account 
     the needs of individuals not in care, based on epidemiologic 
     measures developed by the Secretary in consultation with the 
     State, affected communities, experts, and other appropriate 
     individuals (such State shall not be required to establish 
     priorities for individuals not in care until such 
     epidemiologic measures are developed);'';
       (B) in clause (iii), by striking ``and'' at the end; and
       (C) by adding at the end the following:
       ``(v) the availability of other governmental and non-
     governmental resources;
       ``(vi) the capacity development needs resulting in gaps in 
     the provision of HIV services in historically underserved 
     low-income and rural low-income communities; and
       ``(vii) the efficiency of the administrative mechanism in 
     rapidly allocating funds to the areas of greatest need within 
     the State;''; and
       (2) in paragraph (2)--
       (A) in subparagraph (B), by striking ``and'' at the end;
       (B) by redesignating subparagraph (C) as subparagraph (F); 
     and
       (C) by inserting after subparagraph (B), the following:
       ``(C) an assurance that capacity development needs 
     resulting from gaps in the provision of services in 
     underserved low-income and rural low-income communities will 
     be addressed; and
       ``(D) with respect to fiscal year 2003 and subsequent 
     fiscal years, assurances that, in the planning and allocation 
     of resources, the State, through systems of HIV-related 
     health services provided under paragraphs (1), (2), and (3) 
     of section 2612(a), will make appropriate provision for the 
     HIV-related health and support service needs of individuals 
     who have been diagnosed with HIV disease but who are not 
     currently receiving such services, based on the epidemiologic 
     measures developed under paragraph (1)(C)(i);''.

     SEC. 122. QUALITY MANAGEMENT.

       (a) State Requirement for Quality Management.--Section 
     2617(b)(4) (42 U.S.C. 300ff-27(b)(4)) is amended--
       (1) by striking subparagraph (C) and inserting the 
     following:
       ``(C) the State will provide for--
       ``(i) the establishment of a quality management program to 
     assess the extent to which medical services provided to 
     patients under the grant are consistent with the most recent 
     Public Health Service guidelines for the treatment of HIV 
     disease and related opportunistic infections and to develop 
     strategies for improvements in the access to and quality of 
     medical services; and
       ``(ii) a periodic review (such as through an independent 
     peer review) to assess the quality and appropriateness of 
     HIV-related health and support services provided by entities 
     that receive funds from the State under this part;'';
       (2) by redesignating subparagraphs (E) and (F) as 
     subparagraphs (F) and (G), respectively;
       (3) by inserting after subparagraph (D), the following:
       ``(E) an assurance that the State, through systems of HIV-
     related health services provided under paragraphs (1), (2), 
     and (3) of section 2612(a), has considered strategies for 
     working with providers to make optimal use of financial 
     assistance under the State medicaid plan under title XIX of 
     the Social Security Act, the State Children's Health 
     Insurance Program under title XXI of such Act, and other 
     Federal grantees that provide HIV-related services, to 
     maximize access to quality HIV-related health and support 
     services;
       (4) in subparagraph (F), as so redesignated, by striking 
     ``and'' at the end; and
       (5) in subparagraph (G), as so redesignated, by striking 
     the period and inserting ``; and''.
       (b) Availability of Funds for Quality Management.--
       (1) Availability of grant funds for planning and 
     evaluation.--Section 2618(c)(3) (42 U.S.C. 300ff-28(c)(3)) is 
     amended by inserting before the period ``, including not more 
     than $3,000,000 for all activities associated with its 
     quality management program''.
       (2) Exception to combined ceiling on planning and 
     administration funds for states with small grants.--Paragraph 
     (6) of section 2618(c) (42 U.S.C. 300ff-28(c)(6)) is amended 
     to read as follows:
       ``(6) Exception for quality management.--Notwithstanding 
     paragraph (5), a State whose grant under this part for a 
     fiscal year does not exceed $1,500,000 may use not to exceed 
     20 percent of the amount of the grant for the purposes 
     described in paragraphs (3) and (4) if--
       ``(A) that portion of the amount that may be used for such 
     purposes in excess of 15 percent of the grant is used for its 
     quality management program; and
       ``(B) the State submits and the Secretary approves a plan 
     (in such form and containing such information as the 
     Secretary may prescribe) for use of funds for its quality 
     management program.''.

     SEC. 123. FUNDED ENTITIES REQUIRED TO HAVE HEALTH CARE 
                   RELATIONSHIPS.

       Section 2617(b)(4) (42 U.S.C. 300ff-27(b)(4)), as amended 
     by section 122(a), is further amended by adding at the end 
     the following:
       ``(H) that funded entities maintain appropriate 
     relationships with entities in the area served that 
     constitute key points of access to the health care system for 
     individuals with HIV disease (including emergency rooms, 
     substance abuse treatment programs, detoxification centers, 
     adult and juvenile detention facilities, sexually transmitted 
     disease clinics, HIV counseling and testing sites, mental 
     health programs, and homeless shelters), and other entities 
     under section 2652(a), for the purpose of facilitating early 
     intervention for individuals newly diagnosed with HIV disease 
     and individuals knowledgeable of their status but not in 
     care.''.

     SEC. 124. SUPPORT SERVICES REQUIRED TO BE HEALTH CARE-
                   RELATED.

       (a) Technical Amendment.--Section 3(c)(2)(A)(iii) of the 
     Ryan White CARE Act Amendments of 1996 (Public Law 104-146) 
     is amended by inserting ``before paragraph (2) as so 
     redesignated'' after ``inserting''.
       (b) Services.--Section 2612(a)(1) (42 U.S.C. 300ff-
     22(a)(1)), as so designated by section 121(a), is amended by 
     striking ``for individuals with HIV disease'' and inserting 
     ``, subject to the conditions and limitations that apply 
     under such section''.
       (c) Conforming Amendment to State Application 
     Requirement.--Section 2617(b)(2) (42 U.S.C. 300ff-27(b)(2)), 
     as amended by section 121(b), is further amended by inserting 
     after subparagraph (D) the following:
       ``(E) an assurance that the State has procedures in place 
     to ensure that services provided with funds received under 
     this section meet the criteria specified in section 
     2604(b)(1)(B); and''.

     SEC. 125. USE OF GRANT FUNDS FOR EARLY INTERVENTION SERVICES.

       Section 2612(a) (42 U.S.C. 300ff-22(a)), as amended by 
     section 121, is further amended--
       (1) in paragraph (4), by striking ``and'' at the end;
       (2) in paragraph (5), by striking the period and inserting 
     ``; and''; and
       (3) by adding at the end the following:
       ``(6) to provide, through systems of HIV-related health 
     services provided under paragraphs (1), (2), and (3), early 
     intervention services, as described in section 2651(b)(2), 
     with follow-up referral, provided for the purpose of 
     facilitating the access of individuals receiving the services 
     to HIV-related health services, but only if the entity 
     providing such services--
       ``(A)(i) is receiving funds under section 2612(a)(1); or
       ``(ii) is an entity constituting a point of access to 
     services, as described in section 2617(b)(4), that maintains 
     a referral relationship with an entity described in clause 
     (i) and that is serving individuals at elevated risk of HIV 
     disease;
       ``(B) demonstrates to the State's satisfaction that other 
     Federal, State, or local funds are inadequate for the early 
     intervention services the entity will provide with funds 
     received under this paragraph; and
       ``(C) demonstrates to the satisfaction of the State that 
     funds will be utilized under this paragraph to supplement not 
     supplant other funds available for such services in the year 
     for which such funds are being utilized.''.

     SEC. 126. AUTHORIZATION OF APPROPRIATIONS FOR HIV-RELATED 
                   SERVICES FOR WOMEN AND CHILDREN.

       Section 2625(c)(2) (42 U.S.C. 300ff-33(c)(2)) is amended by 
     striking ``fiscal years 1996 through 2000'' and inserting 
     ``fiscal years 2001 through 2005''.

     SEC. 127. REPEAL OF REQUIREMENT FOR COMPLETED INSTITUTE OF 
                   MEDICINE REPORT.

       Section 2628 (42 U.S.C. 300ff-36) is repealed.

     SEC. 128. SUPPLEMENTAL GRANTS FOR CERTAIN STATES.

       Subpart I of part B of title XXVI of the Public Health 
     Service Act (42 U.S.C. 300ff-11 et seq.) is amended by adding 
     at the end the following:

     ``SEC. 2622. SUPPLEMENTAL GRANTS.

       ``(a) In General.--The Secretary shall award supplemental 
     grants to States determined to be eligible under subsection 
     (b) to enable such States to provide comprehensive services 
     of the type described in section 2612(a) to supplement the 
     services otherwise provided by the State under a grant under 
     this subpart in emerging communities within the State that 
     are not eligible to receive grants under part A.

[[Page S4586]]

       ``(b) Eligibility.--To be eligible to receive a 
     supplemental grant under subsection (a) a State shall--
       ``(1) be eligible to receive a grant under this subpart;
       ``(2) demonstrate the existence in the State of an emerging 
     community as defined in subsection (d)(1); and
       ``(3) submit the information described in subsection (c).
       ``(c) Reporting Requirements.--A State that desires a grant 
     under this section shall, as part of the State application 
     submitted under section 2617, submit a detailed description 
     of the manner in which the State will use amounts received 
     under the grant and of the severity of need. Such description 
     shall include--
       ``(1) a report concerning the dissemination of supplemental 
     funds under this section and the plan for the utilization of 
     such funds in the emerging community;
       ``(2) a demonstration of the existing commitment of local 
     resources, both financial and in-kind;
       ``(3) a demonstration that the State will maintain HIV-
     related activities at a level that is equal to not less than 
     the level of such activities in the State for the 1-year 
     period preceding the fiscal year for which the State is 
     applying to receive a grant under this part;
       ``(4) a demonstration of the ability of the State to 
     utilize such supplemental financial resources in a manner 
     that is immediately responsive and cost effective;
       ``(5) a demonstration that the resources will be allocated 
     in accordance with the local demographic incidence of AIDS 
     including appropriate allocations for services for infants, 
     children, women, and families with HIV disease;
       ``(6) a demonstration of the inclusiveness of the planning 
     process, with particular emphasis on affected communities and 
     individuals with HIV disease; and
       ``(7) a demonstration of the manner in which the proposed 
     services are consistent with local needs assessments and the 
     statewide coordinated statement of need.
       ``(d) Definition of Emerging Community.--In this section, 
     the term `emerging community' means a metropolitan area--
       ``(1) that is not eligible for a grant under part A; and
       ``(2) for which there has been reported to the Director of 
     the Centers for Disease Control and Prevention a cumulative 
     total of between 500 and 1999 cases of acquired immune 
     deficiency syndrome for the most recent period of 5 calendar 
     years for which such data are available.
       ``(e) Funding.--
       ``(1) In general.--Subject to paragraph (2), with respect 
     to each fiscal year beginning with fiscal year 2001, the 
     Secretary, to carry out this section, shall utilize--
       ``(A) the greater of--
       ``(i) 25 percent of the amount appropriated under 2677 to 
     carry out part B, excluding the amount appropriated under 
     section 2618(b)(2)(H), for such fiscal year that is in excess 
     of the amount appropriated to carry out such part in fiscal 
     year preceding the fiscal year involved; or
       ``(ii) $5,000,000;

     to provide funds to States for use in emerging communities 
     with at least 1000, but less than 2000, cases of AIDS as 
     reported to and confirmed by the Director of the Centers for 
     Disease Control and Prevention for the five year period 
     preceding the year for which the grant is being awarded; and
       ``(B) the greater of--
       ``(i) 25 percent of the amount appropriated under 2677 to 
     carry out part B, excluding the amount appropriated under 
     section 2618(b)(2)(H), for such fiscal year that is in excess 
     of the amount appropriated to carry out such part in fiscal 
     year preceding the fiscal year involved; or
       ``(ii) $5,000,000;

     to provide funds to States for use in emerging communities 
     with at least 500, but less than 1000, cases of AIDS reported 
     to and confirmed by the Director of the Centers for Disease 
     Control and Prevention for the five year period preceding the 
     year for which the grant is being awarded.
       ``(2) Trigger of funding.--This section shall be effective 
     only for fiscal years beginning in the first fiscal year in 
     which the amount appropriated under 2677 to carry out part B, 
     excluding the amount appropriated under section 
     2618(b)(2)(H), exceeds by at least $20,000,000 the amount 
     appropriated under 2677 to carry out part B in fiscal year 
     2000, excluding the amount appropriated under section 
     2618(b)(2)(H).
       ``(3) Minimum amount in future years.--Beginning with the 
     first fiscal year in which amounts provided for emerging 
     communities under paragraph (1)(A) equals $5,000,000 and 
     under paragraph (1)(B) equals $5,000,000, the Secretary shall 
     ensure that amounts made available under this section for the 
     types of emerging communities described in each such 
     paragraph in subsequent fiscal years is at least $5,000,000.
       ``(4) Distribution.--The amount of a grant awarded to a 
     State under this section shall be determined by the Secretary 
     based on the formula described in section 2618(b)(2), except 
     that in applying such formula, the Secretary shall--
       ``(A) substitute `1.0' for `.80' in subparagraph (A)(ii)(I) 
     of such section; and
       ``(B) not consider the provisions of subparagraphs 
     (A)(ii)(II) and (C) of such section.''.

     SEC. 129. USE OF TREATMENT FUNDS.

       (a) State Duties.--Section 2616(c) (42 U.S.C. 300ff-26(c)) 
     is amended--
       (1) in the matter preceding paragraph (1), by striking 
     ``shall--'' and inserting ``shall use funds made available 
     under this section to--'';
       (2) by redesignating paragraphs (1) through (5) as 
     subparagraphs (A) through (E), respectively and realigning 
     the margins of such subparagraphs appropriately;
       (3) in subparagraph (D) (as so redesignated), by striking 
     ``and'' at the end;
       (4) in subparagraph (E) (as so redesignated), by striking 
     the period and inserting ``; and''; and
       (5) by adding at the end the following:
       ``(F) encourage, support, and enhance adherence to and 
     compliance with treatment regimens, including related medical 
     monitoring.'';
       (6) by striking ``In carrying'' and inserting the 
     following:
       ``(1) In general.--In carrying''; and
       (7) by adding at the end the following:
       ``(2) Limitations.--
       ``(A) In general.--No State shall use funds under paragraph 
     (1)(F) unless the limitations on access to HIV/AIDS 
     therapeutic regimens as defined in subsection (e)(2) are 
     eliminated.
       ``(B) Amount of funding.--No State shall use in excess of 
     10 percent of the amount set-aside for use under this section 
     in any fiscal year to carry out activities under paragraph 
     (1)(F) unless the State demonstrates to the Secretary that 
     such additional services are essential and in no way diminish 
     access to therapeutics.''.
       (b) Supplement Grants.--Section 2616 (42 U.S.C. 300ff-26) 
     is amended by adding at the end the following:
       ``(e) Supplemental Grants for the Provision of 
     Treatments.--
       ``(1) In general.--From amounts made available under 
     paragraph (5), the Secretary shall award supplemental grants 
     to States determined to be eligible under paragraph (2) to 
     enable such States to increase access to therapeutics to 
     treat HIV disease as provided by the State under subsection 
     (c)(1)(B) for individuals at or below 200 percent of the 
     Federal poverty line.
       ``(2) Criteria.--The Secretary shall develop criteria for 
     the awarding of grants under paragraph (1) to States that 
     demonstrate a severe need. In determining the criteria for 
     demonstrating State severity of need, the Secretary shall 
     consider eligibility standards and formulary composition.
       ``(3) State requirement.--The Secretary may not make a 
     grant to a State under this subsection unless the State 
     agrees that--
       ``(A) 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 in the grant; and
       ``(B) the State will not impose eligibility requirements 
     for services or scope of benefits limitations under 
     subsection (a) that are more restrictive than such 
     requirements in effect as of January 1, 2000.
       ``(4) Use and coordination.--Amounts made available under a 
     grant under this subsection shall only be used by the State 
     to provide HIV/AIDS-related medications. The State shall 
     coordinate the use of such amounts with the amounts otherwise 
     provided under this section in order to maximize drug 
     coverage.
       ``(5) Funding.--
       ``(A) Reservation of amount.--The Secretary shall reserve 3 
     percent of any amount referred to in section 2618(b)(2)(H) 
     that is appropriated for a fiscal year, to carry out this 
     subsection.
       ``(B) Minimum amount.--In providing grants under this 
     subsection, the Secretary shall ensure that the amount of a 
     grant to a State under this part is not less than the amount 
     the State received under this part in the previous fiscal 
     year, as a result of grants provided under this 
     subsection.''.
       (c) Supplement and not Supplant.--Section 2616 (42 U.S.C. 
     300ff-26(c)), as amended by subsection (b), is further 
     amended by adding at the end the following:
       ``(f) Supplement not Supplant.--Notwithstanding any other 
     provision of law, amounts made available under this section 
     shall be used to supplement and not supplant other funding 
     available to provide treatments of the type that may be 
     provided under this section.''.

     SEC. 130. INCREASE IN MINIMUM ALLOTMENT.

       (a) In General.--Section 2618(b)(1)(A)(i) (42 U.S.C. 300ff-
     28(b)(1)(A)(i)) is amended--
       (1) in subclause (I), by striking ``$100,000'' and 
     inserting ``$200,000''; and
       (2) in subclause (II), by striking ``$250,000'' and 
     inserting ``$500,000''.
       (b) Territories.--Section 2618(b)(1)(B) (42 U.S.C. 300ff-
     28(b)(1)(B)) is amended by inserting ``the greater of $50,000 
     or'' after ``shall be''.
       (c) Technical Amendment.--Section 2618(b)(3)(B) (42 U.S.C. 
     300ff-28(b)(3)(B)) is amended by striking ``and the Republic 
     of the Marshall Islands'' and inserting ``, the Republic of 
     the Marshall Islands, the Federated States of Micronesia, and 
     the Republic of Palau, and only for purposes of paragraph (1) 
     the Commonwealth of Puerto Rico''.

     SEC. 131. SET-ASIDE FOR INFANTS, CHILDREN, AND WOMEN.

       Section 2611(b) (42 U.S.C. 300ff-21(b)) is amended--
       (1) by inserting ``for each population under this 
     subsection'' after ``State shall use''; and
       (2) by striking ``ratio of the'' and inserting ``ratio of 
     each''.

[[Page S4587]]

     Subtitle C--Amendments to Part C (Early Intervention Services)

     SEC. 141. AMENDMENT OF HEADING; REPEAL OF FORMULA GRANT 
                   PROGRAM.

       (a) Amendment of Heading.--The heading of part C of title 
     XXVI is amended to read as follows:

       ``Part C--Early Intervention and Primary Care Services''.

       (b) Repeal.--Part C of title XXVI (42 U.S.C. 300ff-41 et 
     seq.) is amended--
       (1) by repealing subpart I; and
       (2) by redesignating subparts II and III as subparts I and 
     II.
       (c) Conforming Amendments.--
       (1) Information regarding receipt of services.--Section 
     2661(a) (42 U.S.C. 300ff-61(a)) is amended by striking 
     ``unless--'' and all that follows through ``(2) in the case 
     of'' and inserting ``unless, in the case of''.
       (2) Additional agreements.--Section 2664 (42 U.S.C. 300ff-
     64) is amended--
       (A) in subsection (e)(5), by striking ``2642(b) or'';
       (B) in subsection (f)(2), by striking ``2642(b) or''; and
       (C) by striking subsection (h).

     SEC. 142. PLANNING AND DEVELOPMENT GRANTS.

       (a) Allowing Planning and Development Grant To Expand 
     Ability To Provide Primary Care Services.--Section 2654(c) 
     (42 U.S.C. 300ff-54(c)) is amended--
       (1) in paragraph (1), to read as follows:
       ``(1) In general.--The Secretary may provide planning and 
     development grants to public and nonprofit private entities 
     for the purpose of--
       ``(A) enabling such entities to provide HIV early 
     intervention services; or
       ``(B) assisting such entities to expand the capacity, 
     preparedness, and expertise to deliver primary care services 
     to individuals with HIV disease in underserved low-income 
     communities on the condition that the funds are not used to 
     purchase or improve land or to purchase, construct, or 
     permanently improve (other than minor remodeling) any 
     building or other facility.''; and
       (2) in paragraphs (2) and (3) by striking ``paragraph (1)'' 
     each place that such appears and inserting ``paragraph 
     (1)(A)''.
       (b) Amount; Duration.--Section 2654(c) (42 U.S.C. 300ff-
     54(c)), as amended by subsection (a), is further amended--
       (1) by redesignating paragraph (4) as paragraph (5); and
       (2) by inserting after paragraph (3) the following:
       ``(4) Amount and duration of grants.--
       ``(A) Early intervention services.--A grant under paragraph 
     (1)(A) may be made in an amount not to exceed $50,000.
       ``(B) Capacity development.--
       ``(i) Amount.--A grant under paragraph (1)(B) may be made 
     in an amount not to exceed $150,000.
       ``(ii) Duration.--The total duration of a grant under 
     paragraph (1)(B), including any renewal, may not exceed 3 
     years.''.
       (c) Increase in limitation.--Section 2654(c)(5) (42 U.S.C. 
     300ff-54(c)(5)), as so redesignated by subsection (b), is 
     amended by striking ``1 percent'' and inserting ``5 
     percent''.

     SEC. 143. AUTHORIZATION OF APPROPRIATIONS FOR CATEGORICAL 
                   GRANTS.

       Section 2655 (42 U.S.C. 300ff-55) is amended by striking 
     ``1996'' and all that follows through ``2000'' and inserting 
     ``2001 through 2005''.

     SEC. 144. ADMINISTRATIVE EXPENSES CEILING; QUALITY MANAGEMENT 
                   PROGRAM.

       Section 2664(g) (42 U.S.C. 300ff-64(g)) is amended--
       (1) in paragraph (3), to read as follows:
       ``(3) the applicant will not expend more than 10 percent of 
     the grant for costs of administrative activities with respect 
     to the grant;'';
       (2) in paragraph (4), by striking the period and inserting 
     ``; and''; and
       (3) by adding at the end the following:
       ``(5) the applicant will provide for the establishment of a 
     quality management program to assess the extent to which 
     medical services funded under this title that are provided to 
     patients are consistent with the most recent Public Health 
     Service guidelines for the treatment of HIV disease and 
     related opportunistic infections and that improvements in the 
     access to and quality of medical services are addressed.''.

     SEC. 145. PREFERENCE FOR CERTAIN AREAS.

       Section 2651 (42 U.S.C. 300ff-51) is amended by adding at 
     the end the following:
       ``(d) Preference in Awarding Grants.--In awarding new 
     grants under this section, the Secretary shall give 
     preference to applicants that will use amounts received under 
     the grant to serve areas that are determined to be rural and 
     underserved for the purposes of providing health care to 
     individuals infected with HIV or diagnosed with AIDS.''.

     SEC. 146. TECHNICAL AMENDMENT.

       Section 2652(a) (42 U.S.C. 300ff-52(a)) is amended--
       (1) striking paragraphs (1) and (2) and inserting the 
     following:
       ``(1) health centers under section 330;''; and
       (2) by redesignating paragraphs (3) through (6) as 
     paragraphs (2) through (5), respectively.

         Subtitle D--Amendments to Part D (General Provisions)

     SEC. 151. RESEARCH INVOLVING WOMEN, INFANTS, CHILDREN, AND 
                   YOUTH.

       (a) Elimination of Requirement To Enroll Significant 
     Numbers of Women and Children.--Section 2671(b) (42 U.S.C. 
     300ff-71(b)) is amended--
       (1) in paragraph (1), by striking subparagraphs (C) and 
     (D); and
       (2) by striking paragraphs (3) and (4).
       (b) Information and Education.--Section 2671(d) (42 U.S.C. 
     300ff-71(d)) is amended by adding at the end the following:
       ``(4) The applicant will provide individuals with 
     information and education on opportunities to participate in 
     HIV/AIDS-related clinical research.''.
       (c) Quality Management; Administrative Expenses Ceiling.--
     Section 2671(f) (42 U.S.C. 300ff-71(f)) is amended--
       (1) by striking the subsection heading and designation and 
     inserting the following:
       ``(f) Administration.--
       ``(1) Application.--''; and
       (2) by adding at the end the following:
       ``(2) Quality management program.--A grantee under this 
     section shall implement a quality management program.''.
       (d) Coordination.--Section 2671(g) (42 U.S.C. 300ff-71(g)) 
     is amended by adding at the end the following: ``The 
     Secretary acting through the Director of NIH, shall examine 
     the distribution and availability of ongoing and appropriate 
     HIV/AIDS-related research projects to existing sites under 
     this section for purposes of enhancing and expanding 
     voluntary access to HIV-related research, especially within 
     communities that are not reasonably served by such projects. 
     Not later than 12 months after the date of enactment of the 
     Ryan White CARE Act Amendments of 2000, the Secretary shall 
     prepare and submit to the appropriate committees of Congress 
     a report that describes the findings made by the Director and 
     the manner in which the conclusions based on those findings 
     can be addressed.''.
       (e) Authorization of Appropriations.--Section 2671(j) (42 
     U.S.C. 300ff-71(j)) is amended by striking ``fiscal years 
     1996 through 2000'' and inserting ``fiscal years 2001 through 
     2005''.

     SEC. 152. LIMITATION ON ADMINISTRATIVE EXPENSES.

       Section 2671 (42 U.S.C. 300ff-71) is amended--
       (1) by redesignating subsections (i) and (j), as 
     subsections (j) and (k), respectively; and
       (2) by inserting after subsection (h), the following:
       ``(i) Limitation on Administrative Expenses.--
       ``(1) Determination by secretary.--Not later than 12 months 
     after the date of enactment of the Ryan White Care Act 
     Amendments of 2000, the Secretary, in consultation with 
     grantees under this part, shall conduct a review of the 
     administrative, program support, and direct service-related 
     activities that are carried out under this part to ensure 
     that eligible individuals have access to quality, HIV-related 
     health and support services and research opportunities under 
     this part, and to support the provision of such services.
       ``(2) Requirements.--
       ``(A) In general.--Not later than 180 days after the 
     expiration of the 12-month period referred to in paragraph 
     (1) the Secretary, in consultation with grantees under this 
     part, shall determine the relationship between the costs of 
     the activities referred to in paragraph (1) and the access of 
     eligible individuals to the services and research 
     opportunities described in such paragraph.
       ``(B) Limitation.--After a final determination under 
     subparagraph (A), the Secretary may not make a grant under 
     this part unless the grantee complies with such requirements 
     as may be included in such determination.''.

     SEC. 153. EVALUATIONS AND REPORTS.

       Section 2674(c) (42 U.S.C. 399ff-74(c)) is amended by 
     striking ``1991 through 1995'' and inserting ``2001 through 
     2005''.

     SEC. 154. AUTHORIZATION OF APPROPRIATIONS FOR GRANTS UNDER 
                   PARTS A AND B.

       Section 2677 (42 U.S.C. 300ff-77) is amended to read as 
     follows:

     ``SEC. 2677. AUTHORIZATION OF APPROPRIATIONS.

       ``There are authorized to be appropriated--
       ``(1) such sums as may be necessary to carry out part A for 
     each of the fiscal years 2001 through 2005; and
       ``(2) such sums as may be necessary to carry out part B for 
     each of the fiscal years 2001 through 2005.''.

     Subtitle E--Amendments to Part F (Demonstration and Training)

     SEC. 161. AUTHORIZATION OF APPROPRIATIONS.

       (a) Schools; Centers.--Section 2692(c)(1) (42 U.S.C. 300ff-
     111(c)(1)) is amended by striking ``fiscal years 1996 through 
     2000'' and inserting ``fiscal years 2001 through 2005''.
       (b) Dental Schools.--Section 2692(c)(2) (42 U.S.C. 300ff-
     111(c)(2)) is amended by striking ``fiscal years 1996 through 
     2000'' and inserting ``fiscal years 2001 through 2005''.
       (c) Dental Schools and Programs.--Section 2692(b) of the 
     Public Health Service Act (42 U.S.C. 300ff-111(b)) is 
     amended--
       (1) in paragraph (1), by striking ``777(b)(4)(B)'' and 
     inserting ``777(b)(4)(B) (as such section existed on the day 
     before the date of enactment of the Health Professions 
     Education Partnerships Act of 1998 (Public Law 105-392)) and 
     dental hygiene programs that are accredited by the Commission 
     on Dental Accreditation''; and
       (2) in paragraph (2), by striking ``777(b)(4)(B)'' and 
     inserting ``777(b)(4)(B) (as such section existed on the day 
     before the date of enactment of the Health Professions 
     Education Partnerships Act of 1998 (Public Law 105-392))''.

                   TITLE II--MISCELLANEOUS PROVISIONS

     SEC. 201. INSTITUTE OF MEDICINE STUDY.

       (a) In General.--Not later than 120 days after the date of 
     enactment of this Act, the

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     Secretary of Health and Human Services shall enter into a 
     contract with the Institute of Medicine for the conduct of a 
     study concerning the appropriate epidemiological measures and 
     their relationship to the financing and delivery of primary 
     care and health-related support services for low-income, 
     uninsured, and under-insured individuals with HIV disease.
       (b) Requirements.--
       (1) Completion.--The study under subsection (a) shall be 
     completed not later than 21 months after the date on which 
     the contract referred to in such subsection is entered into.
       (2) Issues to be considered.--The study conducted under 
     subsection (a) shall consider--
       (A) the availability and utility of health outcomes 
     measures and data for HIV primary care and support services 
     and the extent to which those measures and data could be used 
     to measure the quality of such funded services;
       (B) the effectiveness and efficiency of service delivery 
     (including the quality of services, health outcomes, and 
     resource use) within the context of a changing health care 
     and therapeutic environment as well as the changing 
     epidemiology of the epidemic;
       (C) existing and needed epidemiological data and other 
     analytic tools for resource planning and allocation 
     decisions, specifically for estimating severity of need of a 
     community and the relationship to the allocations process; 
     and
       (D) other factors determined to be relevant to assessing an 
     individual's or community's ability to gain and sustain 
     access to quality HIV services.
       (c) Report.--Not later than 90 days after the date on which 
     the study is completed under subsection (a), the Secretary of 
     Health and Human Services shall prepare and submit to the 
     appropriate committees of Congress a report describing the 
     manner in which the conclusions and recommendations of the 
     Institute of Medicine can be addressed and implemented.

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