(1) the sum of the respective amounts deter-
mined for the State under subsection (b) and sub-
section (c); and
(2) $500,000.
(b) AMOUNT RELATING TO POPULATION.—For pur-
poses of subsection (a), the amount determined under this
subsection is the product of—
(1) an amount equal to 50 percent of the
amount appropriated under section 2322 for the fis-
cal year and available for awards under section
2313; and
(2) the percentage constituted by the ratio of—
(A) the number of individuals residing in
the State involved; to
(B) the sum of the respective amounts de-
termined for each State under subparagraph
(A).
(c) AMOUNT RELATING TO POVERTY LEVEL.—For
purposes of subsection (a), the amount determined under
this subsection is the product of—
(1) the amount determined under subsection
(b)(1); and
(2) the percentage constituted by the ratio of—
(A) the number of individuals residing in
the State whose income is at or below an
amount equal to 200 percent of the official pov-
erty line; to
(B) the sum of the respective amounts de-
termined for each State under subparagraph
(A).
SEC. 2318. QUALITY ASSURANCE; COST-EFFECTIVENESS.
The Secretary shall establish guidelines for assuring
the quality of community health advisor programs (includ-
ing quality in the training of community health advisors)
and for assuring the cost-effectiveness of the programs.
A funding agreement for an award under section 2313 is
that the applicant involved will carry out such programs
in accordance with the guidelines.
SEC. 2319. EVALUATIONS; TECHNICAL ASSISTANCE.
(a) EVALUATIONS.—The Secretary shall conduct
evaluations of community health advisor programs, and
may disseminate information developed as result of the
evaluations. In conducting such evaluations, the Secretary
shall determine whether the programs are in compliance
with the guidelines established under section 2318.
(b) TECHNICAL ASSISTANCE.—The Secretary may
provide technical assistance to recipients of awards under
section 2313 with respect to the planning, development,
and operation of community health advisor programs.
(c) GRANTS AND CONTRACTS.—The Secretary may
carry out this section directly or through grants, coopera-
tive agreements, or contracts.
(d) 
LIMITATION
ON
EXPENDITURES.—Of 
the
amounts appropriated under section 2322 for a fiscal year,
the Secretary may reserve not more than 10 percent for
carrying out this section.
SEC. 2320. RULE OF CONSTRUCTION REGARDING PRO-
GRAMS OF INDIAN HEALTH SERVICE.
This chapter may not be construed as requiring the
Secretary to modify or terminate the program carried out
by the Director of the Indian Health Service and des-
ignated by such Director as the Community Health Rep-
resentative Program. The Secretary shall ensure that sup-
port for such Program is not supplanted by awards under
section 2313. In communities in which both such Program
and a community health advisor program are being carried
out, the Secretary shall ensure that the community health
advisor program works in cooperation with, and as a com-
plement to, the Community Health Representative Pro-
gram.
SEC. 2321. DEFINITIONS.
For purposes of this chapter:
(1) The term ‘‘authorized program services’’,
with respect to a community health advisor program,
means the services specified in section 2314(b)(2).
(2) The term ‘‘community health advisor’’ has
the meaning given such term in section 2314(d).
(3) The term ‘‘community health advisor pro-
gram’’ means a program carried out under section
2314(b).
(4) The term ‘‘financial assistance’’, with re-
spect to an award under section 2313, means a
grant, cooperative agreement, or a contract.
(5) The term ‘‘funding agreement’’ means an
agreement required as a condition of receiving an
award under section 2313.
(6) The term ‘‘Healthy People 2000 Objectives’’
has the meaning given such term in section 2314(d).
(7) The term ‘‘medically underserved commu-
nity’’ has the meaning given such term in section
2314(d).
(8) The term ‘‘official poverty line’’ means the
official poverty line established by the Director of
the Office of Management and Budget and revised
by the Secretary in accordance with section 673(2)
of the Omnibus Budget Reconciliation Act of 1981,
which poverty line is applicable the size of the family
involved.
(9) The term ‘‘Secretary’’ means the Secretary
of Health and Human Services.
(10) The term ‘‘State’’ means each of the sev-
eral States, the District of Columbia, and each of
the Commonwealth of Puerto Rico, American
Samoa, Guam, the Commonwealth of the Northern
Mariana Islands, the Virgin Islands, and the Trust
Territory of the Pacific Islands.
(11) The term ‘‘State involved’’, with respect to
an applicant for an award under section 2313,
means the State in which the applicant is to carry
out a community health advisor program.
SEC. 2322. FUNDING.
(a) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this chapter, there is authorized
to be appropriated $100,000,000 for each of the fiscal
years 1995 through 2000.
(b) EFFECT OF INSUFFICIENT APPROPRIATIONS FOR
MINIMUM ALLOTMENTS.—
(1) IN GENERAL.—If the amounts made avail-
able under subsection (a) for a fiscal year are insuf-
ficient for providing each State (or entity designated
by the State pursuant to section 2313, as the case