Home > 106th Congressional Bills > S. 2311 (rs) To revise and extend the Ryan White CARE Act programs under title XXVI [Reported in Senate] ...

S. 2311 (rs) To revise and extend the Ryan White CARE Act programs under title XXVI [Reported in Senate] ...


Google
 
Web GovRecords.org


106th CONGRESS
  2d Session
                                S. 2311


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              June 7, 2000

                 Referred to the Committee on Commerce

_______________________________________________________________________

                                 AN ACT


 
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 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.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``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 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 

Pages: 1 2 3 4 Next >>

Other Popular 106th Congressional Bills Documents:

1 S. 613 (rh) To encourage Indian economic development, to provide for the disclosure of Indian tribal sovereign immunity in contracts involving Indian tribes, and for other purposes. [Reported in House] ...
2 H.Con.Res. 312 (eh) [Engrossed in House] ...
3 S. 3286 (is) To provide permanent funding for the Bureau of Land Management Payment in Lieu of Taxes program, and for other purposes. [Introduced in Senate] ...
4 H.Con.Res. 206 (eh) [Engrossed in House] ...
5 H.R. 2442 (enr) To provide for the preparation of a Government report detailing injustices suffered by Italian Americans during World War II, and a formal acknowledgment of such injustices by the President. [Enrolled bill] ...
6 H.R. 4733 (rfs) Making appropriations for energy and water development for the fiscal year ending September 30, 2001, and for other purposes. [Referred in Senate] ...
7 H.Con.Res. 19 (eh) [Engrossed in House] ...
8 H.R. 1751 (rh) To establish the Carrizo Plain National Conservation Area in the State of California, and for other purposes. [Reported in House] ...
9 S. 1595 (rs) To designate the United States courthouse at 401 West Washington Street in Phoenix, Arizona, as the ``Sandra Day O'Connor United States Courthouse''. [Reported in Senate] ...
10 H.R. 5661 (ih) To amend titles XVIII, XIX, and XXI of the Social Security Act to [Introduced in House] ...
11 S. 1356 (is) To amend the Marine Protection, Research, and Sanctuaries Act of 1972 to clarify the limitation on the dumping of dredged material in Long Island Sound. [Introduced in Senate] ...
12 H.R. 1501 (eas) [Engrossed Amendment Senate] ...
13 H.R. 4986 (eh) To amend the Internal Revenue Code of 1986 to repeal the provisions relating to foreign sales corporations (FSCs) and to exclude extraterritorial income from gross income. [Engrossed in House] ...
14 H.R. 1799 (ih) To amend title 38, United States Code, to revise and improve the authorities of the Secretary of Veterans Affairs relating to the provision of counseling and treatment for sexual trauma experienced by veterans. [Introduced in House] %%Filen...
15 H.Res. 495 (ih) Expressing the sense of the House regarding support for the Financial Action Task Force on Money Laundering, and the timely and public identification of noncooperative jurisdictions in the fight against international money laundering. [Int...
16 H.R. 138 (ih) To condemn those officials of the Chinese Communist Party, the Government of the People's Republic of China, and other persons who are involved in the enforcement of forced abortions by preventing such persons from entering or remaining in t...
17 H.R. 499 (ih) To amend the Worker Adjustment and Retraining Notification Act to require an employer which is terminating its business to offer its employees an employee stock ownership plan. [Introduced in House] ...
18 H.R. 1023 (ih) For the relief of Richard W. Schaffert. [Introduced in House] ...
19 H.R. 125 (ih) To amend the Communications Act of 1934 to direct the Federal Communications Commission to establish an ethnic and minority affairs section. [Introduced in House] ...
20 H.Res. 595 (rh) Waiving a requirement of clause 6(a) of rule XIII with respect to consideration of certain resolutions reported from the Committee on Rules. [Reported in House] ...
21 S. 2776 (is) To amend the Internal Revenue Code of 1986 to encourage charitable contributions to public charities for use in medical research. [Introduced in Senate] ...
22 H.R. 440 (ih) To make technical corrections to the Microloan Program. [Introduced in House] ...
23 H.R. 4206 (ih) To establish a grant program to improve the quality and expand the availability of child care services, and of family support services, for families with children less than 3 years of age. [Introduced in House] ...
24 H.J.Res. 28 (eh) Providing for the reappointment of Wesley S. Williams, Jr. as a citizen regent of the Board of Regents of the Smithsonian Institution. [Engrossed in House] ...
25 H.Con.Res. 234 (rfs) Tabling the bill (H.R. 2466) entitled ``An Act making appropriations for the Department of the Interior and related agencies for the fiscal year ending September 30, 2000, and for other purposes. [Referred in Senate] ...
26 S. 2882 (enr) To authorize the Bureau of Reclamation to conduct certain feasibility studies to augment water supplies for the Klamath Project, Oregon and California, and for other purposes. [Enrolled bill] ...
27 H.R. 5493 (ih) To improve the ability of local communities to participate in Federal [Introduced in House] ...
28 H.R. 4346 (ih) To modernize public schools, reduce class sizes, increase access to technology, enhance school safety, improve teacher quality and strengthen accountability for academic results, and for other purposes. [Introduced in House] ...
29 H.Con.Res. 322 (ih) Expressing the sense of the Congress regarding Vietnamese Americans and others who seek to improve social and political conditions in Vietnam. [Introduced in House] ...
30 H.Res. 386 (eh) [Engrossed in House] ...


Other Documents:

106th Congressional Bills Records and Documents

GovRecords.org presents information on various agencies of the United States Government. Even though all information is believed to be credible and accurate, no guarantees are made on the complete accuracy of our government records archive. Care should be taken to verify the information presented by responsible parties. Please see our reference page for congressional, presidential, and judicial branch contact information. GovRecords.org values visitor privacy. Please see the privacy page for more information.
House Rules:

104th House Rules
105th House Rules
106th House Rules

Congressional Bills:

104th Congressional Bills
105th Congressional Bills
106th Congressional Bills
107th Congressional Bills
108th Congressional Bills

Supreme Court Decisions

Supreme Court Decisions

Additional

1995 Privacy Act Documents
1997 Privacy Act Documents
1994 Unified Agenda
2004 Unified Agenda

Congressional Documents:

104th Congressional Documents
105th Congressional Documents
106th Congressional Documents
107th Congressional Documents
108th Congressional Documents

Congressional Directory:

105th Congressional Directory
106th Congressional Directory
107th Congressional Directory
108th Congressional Directory

Public Laws:

104th Congressional Public Laws
105th Congressional Public Laws
106th Congressional Public Laws
107th Congressional Public Laws
108th Congressional Public Laws

Presidential Records

1994 Presidential Documents
1995 Presidential Documents
1996 Presidential Documents
1997 Presidential Documents
1998 Presidential Documents
1999 Presidential Documents
2000 Presidential Documents
2001 Presidential Documents
2002 Presidential Documents
2003 Presidential Documents
2004 Presidential Documents

Home Executive Judicial Legislative Additional Reference About Privacy