II 

111TH CONGRESS 

1ST SESSION S. 1523 

To amend the Public Health Service Act to establish a grant program to 

provide supportive services in permanent supportive housing for chronically homeless individuals and families, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

JULY 28, 2009 

Mr. BURR (for himself and Mr. REED) introduced the following bill; which was 

read twice and referred to the Committee on Health, Education, Labor, 

and Pensions 

A BILL 

To amend the Public Health Service Act to establish a grant 

program to provide supportive services in permanent supportive housing for chronically homeless individuals and 

families, and for other purposes. 

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 ‘‘Services for Ending 

5 Long-Term Homelessness Act’’. 

6 SEC. 2. FINDINGS. 

7 Congress makes the following findings: 


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1 (1) Nationally, on any given night, there are 

2 approximately 124,000 people who are experiencing 

3 chronic homelessness, including some families with 

4 children. Chronically homeless people often live in 

5 shelters or on the streets for years at a time, experi6 ence repeated episodes of homelessness without 

7 achieving housing stability, or cycle between home8 lessness, jails, mental health facilities, and hospitals. 

9 (2) In 2003, the President’s New Freedom 

10 Commission on Mental Health recommended the de11 velopment and implementation of a comprehensive 

12 plan designed to facilitate access to 150,000 units of 

13 permanent supportive housing for consumers and 

14 families who are chronically homeless. The Commis15 sion found that affordable housing alone is insuffi16 cient for many people with severe mental illness, and 

17 that flexible, mobile, individualized support services 

18 are also necessary to support and sustain consumers 

19 in their housing. Since the Commission made the 

20 recommendations, approximately 60,000 units of 

21 permanent supportive housing have been developed 

22 and currently another 30,000 are under develop23 ment. However, funding for the services continues to 

24 be an ongoing problem even with respect to existing 

25 service providers. 


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1 (3) By implementing permanent supportive 

2 housing, communities are making progress toward 

3 ending chronic homelessness. 

4 (4) Permanent supportive housing is a proven 

5 and cost-effective solution to chronic homelessness. 

6 A 2007 study, of progress in Portland, Oregon in 

7 ending chronic homelessness, found that the city and 

8 county saved $15,000 per person involved per year 

9 by housing chronically homeless individuals. Also, a 

10 2009 study in Seattle illustrated that one program 

11 saved $29,388 per person involved per year by im12 plementing permanent supportive housing. 

13 (5) Current programs for funding services in 

14 permanent supportive housing, other than those ad15 ministered by the Department of Housing and 

16 Urban Development, were not designed to be closely 

17 coordinated with housing resources, nor were they 

18 designed to meet the multiple needs of people who 

19 are chronically homeless. 

20 SEC. 3. DUTIES OF ADMINISTRATOR OF SUBSTANCE ABUSE 

21 AND MENTAL HEALTH SERVICES ADMINIS22 TRATION. 

23 Section 501(d) of the Public Health Service Act (42 

24 U.S.C. 290aa(d)) is amended— 


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1 (1) in paragraph (17), by striking ‘‘and’’ at the 

2 end; 

3 (2) in paragraph (18), by striking the period 

4 and inserting ‘‘; and’’; and 

5 (3) by adding at the end the following: 

6 ‘‘(19) collaborate with Federal departments and 

7 programs that are part of the President’s Inter8 agency Council on Homelessness, particularly the 

9 Department of Housing and Urban Development, 

10 the Department of Labor, and the Department of 

11 Veterans Affairs, and with other agencies within the 

12 Department of Health and Human Services, particu13 larly the Health Resources and Services Administra14 tion, the Administration on Children and Families, 

15 and the Centers for Medicare & Medicaid Services, 

16 to design national strategies for providing services in 

17 supportive housing that will assist in ending chronic 

18 homelessness and to implement programs that ad19 dress chronic homelessness.’’. 

20 SEC. 4. GRANTS FOR SERVICES FOR CHRONICALLY HOME21 LESS INDIVIDUALS AND FAMILIES IN SUP22 PORTIVE HOUSING. 

23 (a) IN GENERAL.—Title V of the Public Health Serv24 ice Act (42 U.S.C. 290aa et seq.), as amended by sub25 section (b), is amended by adding at the end the following: 


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1 ‘‘PART K—GRANTS FOR SERVICES TO END 

2 CHRONIC HOMELESSNESS 

3 ‘‘SEC. 597. GRANTS FOR SERVICES TO END CHRONIC HOME4 LESSNESS. 

5 ‘‘(a) IN GENERAL.— 

6 ‘‘(1) GRANTS.—The Secretary shall make 

7 grants to entities described in paragraph (2) for the 

8 purpose of carrying out projects to provide the serv9 ices described in subsection (d) to chronically home10 less individuals and families in permanent supportive 

11 housing. 

12 ‘‘(2) ELIGIBLE ENTITIES.—For purposes of 

13 paragraph (1), an entity described in this paragraph 

14 is— 

15 ‘‘(A) a State or political subdivision of a 

16 State, an Indian tribe or tribal organization, or 

17 a public or nonprofit private entity, including a 

18 community-based provider of homelessness serv19 ices, health care, housing, or other services im20 portant to individuals and families who are 

21 chronically homeless; or 

22 ‘‘(B) a consortium composed of entities de23 scribed in subparagraph (A), which consortium 

24 includes a public or nonprofit private entity 

25 that serves as the lead applicant and has re26 sponsibility for fiscal management, project manVerDate Nov 24 2008 16:11 Jul 29, 2009 Jkt 079200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\S1523.IS S1523

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1 agement, and coordinating the activities of the 

2 consortium. 

3 ‘‘(b) PRIORITIES.—In making grants under sub4 section (a), the Secretary shall give priority to applicants 

5 demonstrating that the applicants— 

6 ‘‘(1) target the services described in subsection 

7 (d) and related funds to individuals or families 

8 who— 

9 ‘‘(A) have been homeless for longer periods 

10 of time or have experienced more episodes of 

11 homelessness than are required to be individ12 uals or families who are chronically homeless; 

13 ‘‘(B) have high rates of utilization of emer14 gency public systems of care; or 

15 ‘‘(C) have a history of interactions with 

16 law enforcement and the criminal justice sys17 tem; 

18 ‘‘(2) have greater funding commitments from 

19 State or local government agencies responsible for 

20 overseeing mental health treatment, substance use 

21 disorder treatment, medical care, and employment 

22 (including commitments to provide Federal funds in 

23 accordance with subsection (e)(2)(B)(ii)); 

24 ‘‘(3) will provide for an increase in the number 

25 of units of permanent supportive housing that would 


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1 serve chronically homeless individuals and families in 

2 the community as a result of an award of a grant 

3 under subsection (a); and 

4 ‘‘(4) have demonstrated experience providing 

5 services to address the mental health and substance 

6 use disorder problems of chronically homeless indi7 viduals and families living in permanent supportive 

8 housing settings. 

9 ‘‘(c) GEOGRAPHIC DISTRIBUTION.—The Secretary 

10 shall ensure that consideration is given to geographic dis11 tribution (such as urban and rural areas) in the awarding 

12 of grants under subsection (a). 

13 ‘‘(d) SERVICES.—The services referred to in sub14 section (a) are the following: 

15 ‘‘(1) Services provided by the grantee or by 

16 qualified subcontractors that promote recovery and 

17 self-sufficiency and address barriers to housing sta18 bility, including the following: 

19 ‘‘(A) Mental health services, including 

20 treatment and recovery support services. 

21 ‘‘(B) Substance use disorder treatment and 

22 recovery support services, including counseling, 

23 treatment planning, recovery coaching, and re24 lapse prevention. 


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1 ‘‘(C) Integrated, coordinated treatment 

2 and recovery support services for co-occurring 

3 disorders. 

4 ‘‘(D) Health education, including referrals 

5 for medical and dental care. 

6 ‘‘(E) Services designed to help individuals 

7 and families make progress toward self-suffi8 ciency and recovery, including benefits advo9 cacy, money management, life-skills training, 

10 self-help programs, and engagement and moti11 vational interventions. 

12 ‘‘(F) Parental skills and family support. 

13 ‘‘(G) Case management. 

14 ‘‘(H) Other supportive services that pro15 mote an end to chronic homelessness. 

16 ‘‘(I) Coordination or partnership with 

17 other agencies, programs, or mainstream bene18 fits to maximize the availability of services and 

19 resources to meet the needs of chronically 

20 homeless individuals and families living in sup21 portive housing using cost-effective approaches 

22 that avoid duplication. 

23 ‘‘(J) Data collection and measuring per24 formance outcomes as specified in subsection 

25 (k). 


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1 ‘‘(2) Services, as described in paragraph (1), 

2 that are delivered to individuals and families who 

3 are chronically homeless and who are scheduled to 

4 become residents of permanent supportive housing 

5 within 90 days pending the location or development 

6 of an appropriate unit of housing. 

7 ‘‘(3) For individuals and families who are oth8 erwise eligible, and who have voluntarily chosen to 

9 seek other housing opportunities after a period of 

10 tenancy in supportive housing, services, as described 

11 in paragraph (1), that are delivered, for a period of 

12 90 days after exiting permanent supportive housing 

13 or until the individuals have transitioned to com14 prehensive services adequate to meet their current 

15 needs, provided that the purpose of the services is to 

16 support the individuals in their choice to transition 

17 into housing that is responsive to their individual 

18 needs and preferences. 

19 ‘‘(e) MATCHING FUNDS.— 

20 ‘‘(1) IN GENERAL.—A condition for the receipt 

21 of a grant under subsection (a) is that, with respect 

22 to the cost of the project to be carried out by an ap23 plicant pursuant to such subsection, the applicant 

24 agrees as follows: 


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1 ‘‘(A) In the case of the initial grant pursu2 ant to subsection (j)(1)(A), the applicant will, 

3 in accordance with paragraphs (2) and (3), 

4 make available contributions toward such costs 

5 in an amount that is not less than $1 for each 

6 $3 of Federal funds provided in the grant. 

7 ‘‘(B) In the case of a renewal grant pursu8 ant to subsection (j)(1)(B), the applicant will, 

9 in accordance with paragraphs (2) and (3), 

10 make available contributions toward such costs 

11 in an amount that is not less than $1 for each 

12 $1 of Federal funds provided in the grant. 

13 ‘‘(2) SOURCE OF CONTRIBUTION.—For pur14 poses of paragraph (1), contributions made by an 

15 applicant are in accordance with this paragraph if 

16 made as follows: 

17 ‘‘(A) The contribution is made from funds 

18 of the applicant or from donations from public 

19 or private entities. 

20 ‘‘(B) Of the contribution— 

21 ‘‘(i) not less than 80 percent is from 

22 non-Federal funds; and 

23 ‘‘(ii) not more than 20 percent is from 

24 Federal funds provided under programs 

25 that— 


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1 ‘‘(I) are not expressly directed at 

2 services for homeless individuals, but 

3 whose purposes are broad enough to 

4 include the provision of a service or 

5 services described in subsection (d) as 

6 authorized expenditures under such 

7 program; and 

8 ‘‘(II) do not prohibit Federal 

9 funds under the program from being 

10 used to provide a contribution that is 

11 required as a condition for obtaining 

12 Federal funds. 

13 ‘‘(3) DETERMINATION OF AMOUNT CONTRIB14 UTED.—Contributions required in paragraph (1) 

15 may be in cash or in kind, fairly evaluated, including 

16 plant, equipment, or services. Amounts provided by 

17 the Federal Government, or services assisted or sub18 sidized to any significant extent by the Federal Gov19 ernment, may not be included in determining the 

20 amount of non-Federal contributions required in 

21 paragraph (2)(B)(i). 

22 ‘‘(f) ADMINISTRATIVE EXPENSES.—A condition for 

23 the receipt of a grant under subsection (a) is that the ap24 plicant involved agree that not more than 10 percent of 

25 the grant will be expended for administrative expenses 


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1 with respect to the grant. Expenses for data collection and 

2 measuring performance outcomes as specified in sub3 section (k) shall not be considered as administrative ex4 penses subject to the limitation in this subsection. 

5 ‘‘(g) CERTAIN USES OF FUNDS.—Notwithstanding 

6 other provisions of this section, a grantee under subsection 

7 (a) may expend not more than 20 percent of the grant 

8 to provide the services described in subsection (d) to home9 less individuals or families who are not chronically home10 less individuals or families. 

11 ‘‘(h) APPLICATION FOR GRANT.—A grant may be 

12 made under subsection (a) only if an application for the 

13 grant is submitted to the Secretary and the application 

14 is in such form, is made in such manner, and contains 

15 such agreements, assurances, and information as the Sec16 retary determines to be necessary to carry out this section. 

17 ‘‘(i) CERTAIN REQUIREMENTS.—A condition for the 

18 receipt of a grant under subsection (a) is that the appli19 cant involved demonstrate the following: 

20 ‘‘(1) The applicant and all direct providers of 

21 services have the experience, infrastructure, and ex22 pertise needed to ensure the quality and effective23 ness of services, which may be demonstrated by any 

24 of the following: 


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1 ‘‘(A) Compliance with all local, city, coun2 ty, or State requirements for licensing, accredi3 tation, or certification (if any) which are appli4 cable to the proposed project. 

5 ‘‘(B) A minimum of 2 years experience 

6 providing comparable services that do not re7 quire licensing, accreditation, or certification. 

8 ‘‘(C) Certification as a Medicaid service 

9 provider, including health care for the homeless 

10 programs and community health centers. 

11 ‘‘(D) An executed agreement with a rel12 evant State or local government agency that 

13 will provide oversight over the mental health, 

14 substance use disorder, or other services that 

15 will be delivered by the project. 

16 ‘‘(2) There is a mechanism for determining 

17 whether residents of permanent supportive housing 

18 are chronically homeless individuals or families. 

19 Such a mechanism may rely on local data systems 

20 or records of shelter admission. If there are no 

21 sources of data regarding the duration or number of 

22 homeless episodes, or if such data are unreliable for 

23 the purposes of this subsection, an applicant must 

24 demonstrate that the project will implement appro25 priate procedures, taking into consideration the caVerDate Nov 24 2008 16:11 Jul 29, 2009 Jkt 079200 PO 00000 Frm 00013 Fmt 6652 Sfmt 6201 E:\BILLS\S1523.IS S1523

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1 pacity of local homeless service providers to docu2 ment episodes of homelessness and the challenges of 

3 engaging individuals and families who have been 

4 chronically homeless, to verify that an individual or 

5 family is chronically homeless. 

6 ‘‘(3) The applicant participates in a local, re7 gional, or statewide homeless management informa8 tion system. 

9 ‘‘(j) DURATION OF INITIAL AND RENEWAL GRANTS; 

10 ADDITIONAL PROVISIONS REGARDING RENEWAL

11 GRANTS.— 

12 ‘‘(1) IN GENERAL.—Subject to paragraphs (2) 

13 and (3), the period during which payments are made 

14 to a grantee under subsection (a) shall be in accord15 ance with the following: 

16 ‘‘(A) In the case of the initial grant, the 

17 period of payments shall be 5 years. 

18 ‘‘(B) In the case of a subsequent grant (re19 ferred to in this subsection as a ‘renewal 

20 grant’), the period of payments shall not be 

21 more than 5 years. 

22 ‘‘(2) ANNUAL APPROVAL; AVAILABILITY OF AP23 PROPRIATIONS; NUMBER OF GRANTS.—The provision 

24 of payments under an initial or renewal grant is sub25 ject to annual approval by the Secretary of the payVerDate Nov 24 2008 16:11 Jul 29, 2009 Jkt 079200 PO 00000 Frm 00014 Fmt 6652 Sfmt 6201 E:\BILLS\S1523.IS S1523

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1 ments and to the availability of appropriations for 

2 the fiscal year involved to make the payments. This 

3 subsection may not be construed as establishing a 

4 limitation on the number of grants under subsection 

5 (a) that may be made to an entity. 

6 ‘‘(3) ADDITIONAL PROVISIONS REGARDING RE7 NEWAL GRANTS.— 

8 ‘‘(A) COMPLIANCE WITH MINIMUM STAND9 ARDS.—A renewal grant may be made by the 

10 Secretary only if the Secretary determines that 

11 the applicant involved has, in the project car12 ried out with the grant, maintained compliance 

13 with minimum standards for quality and suc14 cessful outcomes for housing retention, as de15 termined by the Secretary. 

16 ‘‘(B) AMOUNT.—The maximum amount of 

17 a renewal grant under this subsection for an 

18 applicant shall not exceed an amount equal to 

19 75 percent of the amount of Federal funds pro20 vided to the applicant in the final year of the 

21 initial grant period. 

22 ‘‘(k) STRATEGIC PERFORMANCE OUTCOMES AND RE23 PORTS.— 

24 ‘‘(1) IN GENERAL.—The Secretary shall, as a 

25 condition of the receipt of grants under subsection 


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1 (a), require grantees to provide data regarding the 

2 performance outcomes of the projects carried out 

3 under the grants. Consistent with the requirements 

4 and procedures established by the Secretary, each 

5 grantee shall measure and report specific perform6 ance outcomes related to the long-term goals of in7 creasing stability within the community for individ8 uals and families who have been chronically home9 less, and decreasing the recurrence of periods of 

10 homelessness. 

11 ‘‘(2) PERFORMANCE OUTCOMES.—The perform12 ance outcomes described under paragraph (1) shall 

13 include, with respect to individuals and families who 

14 have been chronically homeless— 

15 ‘‘(A) improvements in housing stability; 

16 ‘‘(B) improvements in employment and 

17 education; 

18 ‘‘(C) reductions in problems related to sub19 stance use disorders; 

20 ‘‘(D) reductions in problems related to 

21 mental health disorders; and 

22 ‘‘(E) other areas as the Secretary deter23 mines appropriate. 

24 ‘‘(3) COORDINATION AND CONSISTENCY WITH

25 OTHER HOMELESS ASSISTANCE PROGRAMS.— 


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1 ‘‘(A) PROCEDURES.—In establishing stra2 tegic performance outcomes and reporting re3 quirements under paragraph (1), the Secretary 

4 shall develop and implement procedures that 

5 minimize the costs and burdens to grantees and 

6 program participants, and that are practical, 

7 streamlined, and designed for consistency with 

8 the requirements of the homeless assistance 

9 programs administered by the Secretary of 

10 Housing and Urban Development. 

11 ‘‘(B) APPLICANT COORDINATION.—Appli12 cants under this section shall coordinate with 

13 community stakeholders, including participants 

14 in the local homeless management information 

15 system, concerning the development of systems 

16 to measure performance outcomes and with the 

17 Secretary for assistance with data collection 

18 and measurements activities. 

19 ‘‘(4) REPORT.—A grantee shall submit an an20 nual report to the Secretary that— 

21 ‘‘(A) identifies the grantee’s progress to22 ward achieving its strategic performance out23 comes; and 

24 ‘‘(B) describes other activities conducted 

25 by the grantee to increase the participation, 


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1 housing stability, and other improvements in 

2 outcomes for individuals and families who have 

3 been chronically homeless. 

4 ‘‘(l) TRAINING AND TECHNICAL ASSISTANCE.—The 

5 Secretary, directly or through awards of grants or con6 tracts to public or nonprofit private entities, shall provide 

7 training and technical assistance regarding the planning, 

8 development, and provision of services in projects under 

9 subsection (a). 

10 ‘‘(m) BIENNIAL REPORTS TO CONGRESS.—Not later 

11 than 2 years after the date of the enactment of the Serv12 ices for Ending Long-Term Homelessness Act, and bienni13 ally thereafter, the Secretary shall submit to the appro14 priate committees of Congress a report on projects under 

15 subsection (a) that— 

16 ‘‘(1) includes a summary of information re17 ceived by the Secretary under subsection (k); 

18 ‘‘(2) describes how the services provided under 

19 each such project are coordinated with State and 

20 local social service programs and homelessness as21 sistance programs, and services provided by the De22 partment of Veterans Affairs and other relevant 

23 Federal agencies; and 

24 ‘‘(3) includes an evaluation of the manner in 

25 which funds are used under such projects, and the 


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1 effectiveness of such projects in ending long-term 

2 homelessness and improving outcomes for individuals 

3 with mental illness or substance use disorder prob4 lems. 

5 ‘‘(n) DEFINITIONS.—For purposes of this section: 

6 ‘‘(1) CHRONICALLY HOMELESS.— 

7 ‘‘(A) IN GENERAL.—The term ‘chronically 

8 homeless’, used with respect to an individual or 

9 family, means an individual or family who— 

10 ‘‘(i) is homeless; 

11 ‘‘(ii) has been homeless continuously 

12 for at least 1 year or has been homeless on 

13 at least 4 separate occasions in the last 3 

14 years; and 

15 ‘‘(iii) has an adult head of household 

16 (or a minor head of household if no adult 

17 is present in the household) with a 

18 diagnosable substance use disorder, a seri19 ous mental illness, a developmental dis20 ability (as defined in section 102 of the 

21 Developmental Disabilities Assistance and 

22 Bill of Rights Act of 2000 (42 U.S.C. 

23 15002)), post traumatic stress disorder, a 

24 cognitive impairment resulting from a 

25 brain injury, or a chronic physical illness 


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1 or disability or the co-occurrence of 2 or 

2 more chronic physical illnesses or disabil3 ities. 

4 ‘‘(B) RULE OF CONSTRUCTION.—An indi5 vidual shall be considered to be chronically 

6 homeless if such individual— 

7 ‘‘(i) resides in an institutional care fa8 cility, including a jail, substance use dis9 order or mental health treatment facility, 

10 hospital, or other similar facility; 

11 ‘‘(ii) has resided in a facility described 

12 in clause (i) for fewer than 90 days; and 

13 ‘‘(iii) met all of the requirements de14 scribed in subparagraph (A) prior to enter15 ing that facility. 

16 ‘‘(2) HOMELESS.—The term ‘homeless’ means 

17 living or residing in a place not meant for human 

18 habitation, in a safe haven, or in an emergency 

19 homeless shelter. 

20 ‘‘(3) PERMANENT SUPPORTIVE HOUSING.— 

21 ‘‘(A) IN GENERAL.—The term ‘permanent 

22 supportive housing’ means permanent, afford23 able housing with flexible support services that 

24 are available and designed to help the tenants 

25 stay housed and build the necessary skills to 


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1 live as independently as possible. Such term 

2 does not include housing that is time-limited. 

3 Supportive housing offers residents assistance 

4 in reaching their full potential, which may in5 clude opportunities to secure other housing that 

6 meets their needs and preferences, based on in7 dividual choice instead of the requirements of 

8 time-limited transitional programs. Under this 

9 section, permanent affordable housing includes 

10 permanent housing funded or assisted through 

11 title IV of the McKinney-Vento Homeless As12 sistance Act (42 U.S.C. 11361 et seq.) and sec13 tion 8 of the United States Housing Act of 

14 1937 (42 U.S.C. 1437f). 

15 ‘‘(B) AFFORDABLE.—For purposes of sub16 paragraph (A), the term ‘affordable’ means 

17 within the financial means of individuals who 

18 are extremely low income, as defined by the 

19 Secretary of Housing and Urban Development. 

20 ‘‘(4) SUBSTANCE USE DISORDER SERVICES.— 

21 The term ‘substance use disorder’, used with respect 

22 to services, has the meaning given the term ‘sub23 stance abuse services’ in section 330(h)(5)(C). 

24 ‘‘(o) FUNDING.— 


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1 ‘‘(1) AUTHORIZATION OF APPROPRIATIONS.— 

2 For the purpose of carrying out this section, there 

3 are authorized to be appropriated such sums as may 

4 be necessary for each of the fiscal years 2010 

5 through 2014. 

6 ‘‘(2) ALLOCATION FOR TRAINING AND TECH7 NICAL ASSISTANCE.—Of the amount appropriated 

8 under paragraph (1) for a fiscal year, the Secretary 

9 may reserve not more than 3 percent for carrying 

10 out subsection (l).’’. 

11 (b) TECHNICAL AMENDMENTS TO PUBLIC HEALTH

12 SERVICE ACT.—Title V of the Public Health Service Act 

13 (42 U.S.C. 290aa et seq.) is amended by— 

14 (1) redesignating part G, as added by section 

15 144 of the Community Renewal Tax Relief Act of 

16 2000, as part J; and 

17 (2) redesignating sections 581 through 584, as 

18 added by section 144 of such Act, as sections 596 

19 through 596C, respectively. 

20 (c) CITATION AMENDMENT.—Effective on the effec21 tive date described in section 1503 of the Homeless Emer22 gency Assistance and Rapid Transition to Housing Act of 

23 2009 (42 U.S.C. 11302 note), section 597(n)(3)(A) of the 

24 Public Health Service Act, as added by subsection (a), is 


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1 amended by striking ‘‘(42 U.S.C. 11361 et seq.)’’ and in2 serting ‘‘(42 U.S.C. 11360 et seq.)’’. 

Æ 


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