I

104TH CONGRESS

2D SESSION H. R. 3174

To amend the Public Health Service Act to provide for programs regarding

women and the human immunodeficiency virus.

IN THE HOUSE OF REPRESENTATIVES

MARCH 27, 1996

Mrs. MORELLA introduced the following bill; which was referred to the

Committee on Commerce

A BILL

To amend the Public Health Service Act to provide for

programs regarding women and the human

immunodeficiency virus.

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled,

3 SECTION 1. SHORT TITLE.

4 This Act may be cited as the ‘‘Women and HIV Out5 reach and Prevention Act’’.
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1 SEC. 2. PREVENTIVE HEALTH PROGRAMS REGARDING

2 WOMEN AND HUMAN IMMUNODEFICIENCY

3 VIRUS.

4 Title XXV of the Public Health Service Act (42

5 U.S.C. 300ee et seq.) is amended by adding at the end

6 the following part:

7 ‘‘PART C—PROGRAMS FOR WOMEN

8 ‘‘SEC. 2531. PREVENTIVE HEALTH SERVICES.

9 ‘‘(a) IN GENERAL.—The Secretary may make grants

10 for the following purposes:

11 ‘‘(1) Providing to women preventive health serv12 ices that are related to acquired immune deficiency

13 syndrome, including—

14 ‘‘(A) providing prevention education on the

15 human immunodeficiency virus (in this part re16 ferred to as ‘HIV’), including counseling on all

17 modes of transmission between individuals, in18 cluding sexual contact, the use of IV drugs, and

19 maternal-fetal transmission;

20 ‘‘(B) making available voluntary HIV test21 ing services to women; and

22 ‘‘(C) providing effective and close linkages

23 between testing and care services for women.

24 ‘‘(2) Providing appropriate referrals regarding

25 the provision of other services to women who are re26 ceiving services pursuant to paragraph (1), includ-
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1 ing, as appropriate, referrals regarding the follow2 ing: treatment for HIV infection; treatment for sub3 stance abuse; mental health services; pregnancy and

4 childbirth; pediatric care; housing services; public as5 sistance; job training; child care; respite care; repro6 ductive health care; and domestic violence.

7 ‘‘(3) Providing follow-up services regarding

8 such referrals, to the extent practicable.

9 ‘‘(4) Improving referral arrangements for pur10 poses of paragraph (2).

11 ‘‘(5) In the case of a woman receiving services

12 pursuant to any of paragraphs (1) through (3), pro13 viding to the partner of the woman the services de14 scribed in such paragraphs, as appropriate.

15 ‘‘(6) With respect to the services specified in

16 paragraphs (1) through (5)—

17 ‘‘(A) providing outreach services to inform

18 women of the availability of such services; and

19 ‘‘(B) providing training regarding the ef20 fective provision of such services.

21 ‘‘(b) MINIMUM QUALIFICATIONS OF GRANTEES.—

22 The Secretary may make a grant under subsection (a)

23 only if the applicant for the grant is a grantee under sec24 tion 329, section 330, or section 1001, or is another public

25 or nonprofit private entity that provides health or vol-
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1 untary family planning services to a significant number

2 of low-income women in a culturally sensitive and lan3 guage-appropriate manner.

4 ‘‘(c) CONFIDENTIALITY.—The Secretary may make a

5 grant under subsection (a) only if the applicant for the

6 grant agrees to maintain the confidentiality of information

7 on individuals regarding screenings pursuant to subsection

8 (a), subject to complying with applicable law.

9 ‘‘(d) APPLICATION FOR GRANT.—The Secretary may

10 make a grant under subsection (a) only if an application

11 for the grant is submitted to the Secretary and the appli12 cation is in such form, is made in such manner, and con13 tains such agreements, assurances, and information as the

14 Secretary determines to be necessary to carry out such

15 subsection.

16 ‘‘(e) EVALUATIONS AND REPORTS.—

17 ‘‘(1) EVALUATIONS.—The Secretary shall, di18 rectly or through contracts with public or private en19 tities, provide for evaluations of projects carried out

20 pursuant to subsection (a).

21 ‘‘(2) REPORTS.—Not later than 1 year after the

22 date on which amounts are first appropriated under

23 subsection (f), and annually thereafter, the Sec24 retary shall submit to the Congress a report summa-
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1 rizing evaluations carried out under paragraph (1)

2 during the preceding fiscal year.

3 ‘‘(f) AUTHORIZATIONS OF APPROPRIATIONS.—

4 ‘‘(1) TITLE X CLINICS.—For the purpose of

5 making grants under subsection (a) to entities that

6 are grantees under section 1001, and for the pur7 pose of otherwise carrying out this section with re8 spect to such grants, there are authorized to be ap9 propriated $30,000,000 for fiscal year 1997, and

10 such sums as may be necessary for each of the fiscal

11 years 1998 and 1999.

12 ‘‘(2) COMMUNITY AND MIGRANT HEALTH CEN13 TERS; OTHER PROVIDERS.—For the purpose of mak14 ing grants under subsection (a) to entities that are

15 grantees under section 329 or 330, and to other en16 tities described in subsection (b) that are not grant17 ees under section 1001, and for the purpose of oth18 erwise carrying out this section with respect to such

19 grants, there are authorized to be appropriated

20 $20,000,000 for fiscal year 1997, and such sums as

21 may be necessary for each of the fiscal years 1998

22 and 1999.

23 ‘‘SEC. 2532. PUBLIC EDUCATION.

24 ‘‘(a) IN GENERAL.—The Secretary may make grants

25 for the purpose of developing and carrying out programs
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1 to provide HIV prevention education to women, including

2 education on all modes of transmission between individ3 uals, including sexual contact, the use of IV drugs, and

4 maternal-fetal transmission.

5 ‘‘(b) MINIMUM QUALIFICATIONS OF GRANTEES.—

6 The Secretary may make a grant under subsection (a)

7 only if the applicant involved is a public or nonprofit pri8 vate entity that is experienced in carrying out health-relat9 ed activities for women, with a priority given to such enti10 ties that have successfully targeted women of color.

11 ‘‘(c) APPLICATION FOR GRANT.—The Secretary may

12 make a grant under subsection (a) only if an application

13 for the grant is submitted to the Secretary and the appli14 cation is in such form, is made in such manner, and con15 tains such agreements, assurances, and information as the

16 Secretary determines to be necessary to carry out such

17 subsection.

18 ‘‘(d) PROVISIONS REGARDING PLANNING COUN19 CILS.—In carrying out the mission of the Community HIV

20 Planning Process, the Secretary shall ensure that women

21 who represent women’s interests and have expertise on

22 women’s health, HIV positive women, and their advocates

23 are included on the Planning Councils, that financial re24 sources are allocated to ensure such representation, and
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1 that Planning Councils use qualitative data based on wom2 en’s experiences.

3 ‘‘(e) EVALUATIONS AND REPORTS.—

4 ‘‘(1) EVALUATIONS.—The Secretary shall, di5 rectly or through contracts with public or private en6 tities, provide for evaluations of projects carried out

7 pursuant to subsection (a).

8 ‘‘(2) REPORTS.—Not later than 1 year after the

9 date on which amounts are first appropriated under

10 subsection (e), and annually thereafter, the Sec11 retary shall submit to the Congress a report summa12 rizing evaluations carried out under paragraph (1)

13 during the preceding fiscal year.

14 ‘‘(e) AUTHORIZATIONS OF APPROPRIATIONS.—For

15 the purpose of carrying out this section, there are author16 ized to be appropriated $30,000,000 for fiscal year 1997,

17 and such sums as may be necessary for each of the fiscal

18 years 1998 and 1999.’’.

19 SEC. 3. TREATMENT OF WOMEN FOR SUBSTANCE ABUSE.

20 Subpart 1 of part B of title V of the Public Health

21 Service Act (42 U.S.C. 290bb et seq.), as amended by sec22 tion 108 of Public Law 102-321 (106 Stat. 336), is

23 amended by inserting after section 509 the following sec24 tion:
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1 ‘‘TREATMENT OF WOMEN FOR SUBSTANCE ABUSE

2 ‘‘SEC. 509A. (a) IN GENERAL.—The Director of the

3 Center for Substance Abuse Treatment may make awards

4 of grants, cooperative agreements, and contracts for the

5 purpose of carrying out programs—

6 ‘‘(1) to provide treatment for substance abuse

7 to women, including but not limited to, women with

8 dependent children;

9 ‘‘(2) to provide to women who engage in such

10 abuse counseling on the prevention of infection with,

11 and the transmission of, the etiologic agent for ac12 quired immune deficiency syndrome; and

13 ‘‘(3) to provide such counseling to women who

14 are the partners of individuals who engage in such

15 abuse.

16 ‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—For the

17 purpose of carrying out subsection (a), there are author18 ized to be appropriated $20,000,000 for fiscal year 1997,

19 and such sums as may be necessary for each of the fiscal

20 years 1998 and 1999.’’.

21 SEC. 4. EARLY INTERVENTION SERVICES FOR WOMEN.

22 Section 2655 of the Public Health Service Act (42

23 U.S.C. 300ff-55) is amended—

24 (1) by striking ‘‘For the purpose of’’ and insert25 ing ‘‘(a) IN GENERAL.—For the purpose of’’; and
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1 (2) by adding at the end the following sub2 section:

3 ‘‘(b) PROGRAMS FOR WOMEN.—For the purpose of

4 making grants under section 2651 to provide to women

5 early intervention services described in such section, and

6 for the purpose of providing technical assistance under

7 section 2654(b) with respect to such grants, there are au8 thorized to be appropriated $20,000,000 for fiscal year

9 1997, and such sums as may be necessary for each of the

10 fiscal years 1998 and 1999.’’.

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