(3) MEDICALLY UNDERSERVED COMMUNITY.—
For purposes of this chapter, the term ‘‘medically
underserved community’’ means—
(A) a community that has a substantial
number of individuals who are members of a
medically underserved population, as defined in
section 330 of the Public Health Service Act; or
(B) a community a significant portion of
which is a health professional shortage area
designated under section 332 of such Act.
SEC. 2315. ADDITIONAL AGREEMENTS.
(a) IDENTIFICATION
OF COMMUNITY NEEDS.—A
funding agreement for an award under section 2313 is
that the applicant involved will—
(1) identify the needs of the community in-
volved for the authorized program services;
(2) in identifying such needs, consult with
members of the community, with individuals and
programs that provide health services in the commu-
nity, and with individuals and programs that provide
health-related social services in the community; and
(3) consider such needs in carrying out a com-
munity health advisor program for the community.
(b) MATCHING FUNDS.—
(1) IN GENERAL.—With respect to the cost of
carrying out a community health advisor program, a
funding agreement for an award under section 2313
is that the applicant involved will make available (di-
rectly or through donations from public or private
entities) non-Federal contributions toward such cost
in an amount that is not less than 25 percent of
such cost.
(2) DETERMINATION
OF
AMOUNT
CONTRIB-
UTED.—
(A) Non-Federal contributions required in
paragraph (1) may be in cash or in kind, fairly
evaluated, including plant, equipment, or serv-
ices. Amounts provided by the Federal Govern-
ment, or services assisted or subsidized to any
significant extent by the Federal Government,
may not be included in determining the amount
of such non-Federal contributions.
(B) With respect to the State in which the
community health advisor program involved is
to be carried out, amounts provided by the
State in compliance with subsection (c) shall be
included in determining the amount of non-Fed-
eral contributions under paragraph (1).
(c) MAINTENANCE OF EFFORT.—With respect to the
purposes for which an award under section 2313 is au-
thorized in this chapter to be expended, the Secretary may
make such an award only if the State involved agrees to
maintain expenditures of non-Federal amounts for such
purposes at a level that is not less than the level of such
expenditures maintained by the State for the fiscal year
preceding the first fiscal year for which such an award
is made with respect to the State.
(d) CULTURAL CONTEXT OF SERVICES.—A funding
agreement for an award under section 2313 for an appli-
cant is that the services of the community health advisor
program involved will be provided in the language and cul-
tural context most appropriate for the individuals served
by the program.
(e) NUMBER OF PROGRAMS PER AWARD; PROGRAMS
FOR URBAN AND RURAL AREAS.—A funding agreement
for an award under section 2313 for an applicant is that
the number of community health advisor programs oper-
ated in the State with the award will be determined by
the 
Secretary, 
except 
that 
(subject 
to 
section
2314(b)(1)(B)) such a program will be carried out in not
less than one urban area of the State, and in not less than
one rural area of the State.
(f) ONGOING SUPERVISION OF ADVISORS.—A fund-
ing agreement for an award under section 2313 is that
the applicant involved will ensure that each community
health advisor program operated with the award provides
for the ongoing supervision of the community health advi-
sors of the program.
(g) CERTAIN EXPENDITURES.—
(1) 
TRAINING; 
CONTINUING
EDUCATION.—
Funding agreements for an award under section
2313 include the following:
(A) The applicant involved will ensure
that, for each community health advisor pro-
gram operated with the award, a program is
carried out to train community health advisors
to provide the authorized program services, in-
cluding practical experiences in providing serv-
ices for health promotion and disease preven-
tion.
(B) The program of training will provide
for the continuing education of the community
health advisors.
(C) Not more than 15 percent of the
award will be expended for the program of
training.
(2) COMPENSATION.—With respect to compli-
ance with the agreements made under this chapter,
the purposes for which an award under section 2313
may be expended include providing compensation for
the services of community health advisors.
(h) REPORTS TO SECRETARY; ASSESSMENT OF EF-
FECTIVENESS.—Funding agreements for an award under
section 2313 for an applicant include the following:
(1) The applicant will ensure that, for each fis-
cal year for which a community health advisor pro-
gram receives amounts from the award, the program
will prepare a report describing the activities of the
program for such year, including—
(A) a specification of the number of indi-
viduals served by the program;
(B) a specification of the entities with
which the program has collaborated in carrying
out the purpose described in section 2314(a)(1);
and
(C) an assessment of the extent of the ef-
fectiveness of the program in carrying out such
purpose.
(2) Such reports will include such additional in-
formation regarding the applicant and the programs
as the Secretary may require.
(3) The applicant will prepare the reports as a
single document and will submit the document to the
Secretary not later than February 1 of the fiscal
year following the fiscal year for which the reports
were prepared.
SEC. 2316. APPLICATION FOR ASSISTANCE; STATE PLAN.
For purposes of section 2313, an application is in ac-
cordance with this section if—
(1) the application is submitted not later than
the date specified by the Secretary;
(2) the application contains each funding agree-
ment described in this chapter;
(3) the application contains a State plan de-
scribing the purposes for which the award is to be
expended in the State, including a description of the
manner in which the applicant will comply with each
such funding agreement; and
(4) the application is in such form, is made in
such manner, and contains such agreements, assur-
ances, and information as the Secretary determines
to be necessary to carry out this chapter.
SEC. 2317. DETERMINATION OF AMOUNT OF ALLOTMENT.
(a) IN GENERAL.—For purposes of section 2313, the
allotment under this section with respect to a State for
a fiscal year is the greater of—