189 
SEC. 
552. 
ENCOURAGEMENT 
OF 
STATES 
TO 
UTILIZE 
HEALTH 
CARE 
FOR 
THE 
HOMELESS 
PROJECTS AS PATH PROVIDERS. 
Section 522(a) of the Public Health Service Act (42 
U.S.C. 290cc–22(a)) is amended in the matter preceding 
paragraph (1) by inserting after ‘‘veterans organizations’’ 
the following: ‘‘, health centers with active grants under 
section 330(h),’’. 
SEC. 553. STATE DESCRIPTIONS OF RESOURCE ALLOCA-
TION PROCESS. 
Section 527(a) of the Public Health Service Act (42 
U.S.C. 290cc–27(a)) is amended— 
(1) by redesignating paragraphs (3) and (4) as 
paragraphs (4) and (5), respectively; and 
(2) by inserting after paragraph (2) the fol-
lowing paragraph: 
‘‘(3) such description identifies the process the 
State intends to use to allocate funds to political 
subdivisions of the State and to nonprofit private en-
tities pursuant to section 522;’’. 
SEC. 554. FEDERAL REPORT ON PATH AND HOMELESS 
GRANT PROGRAMS. 
Part C of title V of the Public Health Service Act 
(42 U.S.C. 290cc–21 et seq.) is amended by inserting 
after section 533 the following section:
190 
‘‘SEC. 533A. ANNUAL REPORT. 
‘‘Not later than October 1 of each year, the Secretary 
shall prepare and deliver a report to the Committee on 
Health, Education, Labor and Pensions of the Senate and 
the Committee on Energy and Commerce of the House 
of Representatives regarding the programs under this 
part, including— 
‘‘(1) a comprehensive description of the pro-
grams; 
‘‘(2) a record and a description of the services 
for which amounts received under section 521 and 
section 506 were expended during the preceding fis-
cal year; 
‘‘(3) a record and description of the recipients 
of amounts received under section 521 and section 
506 were expended during the preceding fiscal year; 
‘‘(4) a record and description of the consistency 
and coordination of programs and services for which 
amounts received under section 521 and section 506 
were expended during the preceding fiscal year with 
applications submitted to the Department of Hous-
ing and Urban Development pursuant to subtitle C 
of title IV of the Stewart B. McKinney Homeless 
Assistance Act; 
‘‘(5) a record and description of the coordina-
tion of programs and services for which amounts re-
191 
ceived under section 521 and section 506 were ex-
pended during the preceding fiscal year with mental 
health, substance abuse, housing, health, and other 
social service programs funded through federal block 
grant, formula grant, competitive grant, and other 
mechanisms; and 
‘‘(6) such other information as the Secretary 
deems useful.’’. 
SEC. 555. CLARIFICATION OF TARGET POPULATIONS PRO-
VISION OF PATH STATUTE. 
The Congress encourages the Secretary of Health 
and Human Services to provide guidance to the States re-
garding an appropriate definition of populations eligible 
for services provided with grants under part C of title V 
of the Public Health Service Act. In doing so, the Sec-
retary should suggest that the States make such services 
available to homeless persons or persons at imminent risk 
of homelessness with serious and persistent mental impair-
ments as evidenced by a chronicity of symptoms and in-
ability to function in the community independently.
192 
Subtitle C—Amendments Regard-
ing Ryan White Comprehensive 
AIDS Resources Emergency Act 
of 1990 
PART 1—DISCHARGE PLANNING 
SEC. 561. AVERTING RWCA PATIENT DISCHARGE INTO 
HOMELESSNESS. 
Section 2604 of the Public Health Service Act (42 
U.S.C. 300ff–14) is amended— 
(1) in subsection (b)(1)(C), by inserting ‘‘and in 
such a manner as ensures patient placement in sta-
ble and appropriate housing,’’ after ‘‘as medically 
appropriate,’’; and 
(2) in subsection (d)(1)(D), by inserting ‘‘, and 
discharged from inpatient facilities in such a manner 
as ensures that such individuals and families are 
placed in stable and appropriate housing,’’ after 
‘‘appropriate level of care’’. 
PART 2—PROVISION OF APPROPRIATE SERVICES 
SEC. 566. AMPLIFICATION OF SCOPE OF RWCA SERVICES. 
(a) EMERGENCY RELIEF GRANTS.—Subparagraph 
(A) of section 2604(b)(1) of the Public Health Services 
Act (42 U.S.C. 300ff–14(b)(1)) is amended to read as fol-
lows:
193 
‘‘(A) Outpatient and ambulatory health 
services, including outreach, diagnosis, moni-
toring, medical services, nursing, substance 
abuse treatment, mental health treatment, spe-
cialty services, dental services, nutrition serv-
ices, medical follow-up, attendant care, home 
health services, respite care, recuperative serv-
ices, hospice services, developmental services, 
rehabilitation services, social services, mainte-
nance services, public benefit assistance, hous-
ing assistance, educational assistance, employ-
ment assistance, vocational assistance, trans-
portation assistance, supportive and supervisory 
services in a residential setting, and comprehen-
sive treatment services, which shall include 
treatment education and prophylactic treatment 
for opportunistic infections, for individuals and 
families with HIV disease.’’. 
(b) GRANTS
TO
ESTABLISH
HIV CARE
CON-
SORTIA.—Paragraph (2) of section 2613(a) of the Public 
Health Service Act (42 U.S.C. 300ff–23) is amended— 
(1) by amending subparagraph (A) to read as 
follows: 
‘‘(A) essential health services such as case 
management, outreach, medical services, nurs-
194 
ing, substance abuse treatment, mental health 
treatment, specialty services, dental services, 
nutrition services, diagnostic services, moni-
toring, prophylactic treatment for opportunistic 
infections, treatment education to take place in 
the context of health care delivery, medical fol-
low-up, developmental, rehabilitation, home 
health, recuperative, and hospice care; and’’; 
and 
(2) by amending subparagraph (B) to read as 
follows: 
‘‘(B) essential support services such as 
case management, transportation, attendant 
care, homemaker, day or respite care, public 
benefits assistance, advocacy services provided 
through public and nonprofit private entities, 
and services that are complementary to the pro-
vision of health care services for individuals 
with HIV disease including social, maintenance, 
educational, employment, vocational, supportive, 
and supervisory services in a residential setting, 
nutrition, housing, and child welfare and family 
services (including foster care and adoption 
services).’’.