I 
109TH CONGRESS 
2D SESSION 
H. R. 6143 
To amend title XXVI of the Public Health Service Act to revise and extend 
the program for providing life-saving care for those with HIV/AIDS. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 21, 2006 
Mrs. BONO (for herself, Mr. PITTS, Mr. BARTON of Texas, Mr. DEAL of Geor-
gia, Mr. RADANOVICH, Mr. NORWOOD, Mr. UPTON, Mr. BUYER, Mrs. 
MYRICK, Mr. GILLMOR, and Mr. TERRY) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To amend title XXVI of the Public Health Service Act to 
revise and extend the program for providing life-saving 
care for those with HIV/AIDS. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Ryan White HIV/AIDS Treatment Modernization Act of 
2006’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
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TITLE I—EMERGENCY RELIEF FOR ELIGIBLE AREAS 
Sec. 101. Establishment of program; general eligibility for grants. 
Sec. 102. Type and distribution of grants; formula grants. 
Sec. 103. Type and distribution of grants; supplemental grants. 
Sec. 104. Timeframe for obligation and expenditure of grant funds. 
Sec. 105. Use of amounts. 
Sec. 106. Additional amendments to part A. 
Sec. 107. New program in part A; transitional grants for certain areas ineli-
gible under section 2601. 
Sec. 108. Authorization of appropriations for part A. 
TITLE II—CARE GRANTS 
Sec. 201. General use of grants. 
Sec. 202. AIDS Drug Assistance Program. 
Sec. 203. Distribution of funds. 
Sec. 204. Additional amendments to subpart I of part B. 
Sec. 205. Supplemental grants on basis of demonstrated need. 
Sec. 206. Emerging communities. 
Sec. 207. Timeframe for obligation and expenditure of grant funds. 
Sec. 208. Authorization of appropriations for subpart I of part B. 
Sec. 209. Early diagnosis grant program. 
Sec. 210. Certain partner notification programs; authorization of appropria-
tions. 
TITLE III—EARLY INTERVENTION SERVICES 
Sec. 301. Establishment of program; core medical services. 
Sec. 302. Eligible entities; preferences; planning and development grants. 
Sec. 303. Authorization of appropriations. 
Sec. 304. Confidentiality and informed consent. 
Sec. 305. Provision of certain counseling services. 
Sec. 306. General provisions. 
TITLE IV—WOMEN, INFANTS, CHILDREN, AND YOUTH 
Sec. 401. Women, infants, children, and youth. 
Sec. 402. GAO Report. 
TITLE V—GENERAL PROVISIONS 
Sec. 501. General provisions. 
TITLE VI—DEMONSTRATION AND TRAINING 
Sec. 601. Demonstration and training. 
Sec. 602. AIDS education and training centers. 
Sec. 603. Codification of minority AIDS initiative. 
TITLE VII—MISCELLANEOUS PROVISIONS 
Sec. 701. Hepatitis; use of funds. 
Sec. 702. Certain references. 
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TITLE I—EMERGENCY RELIEF 
FOR ELIGIBLE AREAS 
SEC. 101. ESTABLISHMENT OF PROGRAM; GENERAL ELIGI-
BILITY FOR GRANTS. 
(a) IN GENERAL.—Section 2601 of the Public Health 
Service Act (42 U.S.C. 300ff–11) is amended by striking 
subsections (b) through (d) and inserting the following: 
‘‘(b) CONTINUED STATUS AS ELIGIBLE AREA.—Not-
withstanding any other provision of this section, a metro-
politan area that is an eligible area for a fiscal year con-
tinues to be an eligible area until the metropolitan area 
fails, for three consecutive fiscal years— 
‘‘(1) to meet the requirements of subsection (a); 
and 
‘‘(2) to have a cumulative total of 3,000 or 
more living cases of AIDS (reported to and con-
firmed by the Director of the Centers for Disease 
Control and Prevention) as of December 31 of the 
most recent calendar year for which such data is 
available. 
‘‘(c) BOUNDARIES.—For purposes of determining eli-
gibility under this part— 
‘‘(1) with respect to a metropolitan area that 
received funding under this part in fiscal year 2006, 
the boundaries of such metropolitan area shall be 
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the boundaries that were in effect for such area for 
fiscal year 1994; or 
‘‘(2) with respect to a metropolitan area that 
becomes eligible to receive funding under this part in 
any fiscal year after fiscal year 2006, the boundaries 
of such metropolitan area shall be the boundaries 
that are in effect for such area when such area ini-
tially receives funding under this part.’’. 
(b) TECHNICAL AND CONFORMING AMENDMENTS.— 
Section 2601(a) of the Public Health Service Act (42 
U.S.C. 300ff–11(a)) is amended— 
(1) by striking ‘‘through (d)’’ and inserting 
‘‘through (c)’’; and 
(2) by inserting ‘‘and confirmed by’’ after ‘‘re-
ported to’’. 
(c) DEFINITION OF METROPOLITAN AREA.—Section 
2607(2) of the Public Health Service Act (42 U.S.C. 
300ff–17(2)) is amended— 
(1) by striking ‘‘area referred’’ and inserting 
‘‘area that is referred’’; and 
(2) by inserting before the period the following: 
‘‘, and that has a population of 50,000 or more indi-
viduals’’. 
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SEC. 102. TYPE AND DISTRIBUTION OF GRANTS; FORMULA 
GRANTS. 
(a) 
DISTRIBUTION
PERCENTAGES.—Section 
2603(a)(2) of the Public Health Service Act (42 U.S.C. 
300ff–13(a)(2)) is amended— 
(1) in the first sentence— 
(A) by striking ‘‘50 percent of the amount 
appropriated under section 2677’’ and inserting 
‘‘662⁄3 percent of the amount made available 
under section 2610(b) for carrying out this sub-
part’’; and 
(B) by striking ‘‘paragraph (3)’’ and in-
serting ‘‘paragraphs (3) and (4)’’. 
(2) by striking the last sentence. 
(b) DISTRIBUTION BASED ON LIVING CASES OF HIV/ 
AIDS.—Section 2603(a)(3) of the Public Health Service 
Act (42 U.S.C. 300ff–13(a)(3)) is amended— 
(1) in subparagraph (B), by striking ‘‘estimated 
living cases of acquired immune deficiency syn-
drome’’ and inserting ‘‘living cases of HIV/AIDS 
(reported to and confirmed by the Director of the 
Centers for Disease Control and Prevention)’’; and 
(2) by striking subparagraphs (C) through (E) 
and inserting the following: 
‘‘(C) LIVING CASES OF HIV/AIDS.— 
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‘‘(i) REQUIREMENT OF NAMES-BASED 
REPORTING.—Except as provided in clause 
(ii), the number determined under this 
subparagraph for an eligible area for a fis-
cal year for purposes of subparagraph (B) 
is the number of living names-based cases 
of HIV/AIDS that, as of December 31 of 
the most recent calendar year for which 
such data is available, have been reported 
to and confirmed by the Director of the 
Centers for Disease Control and Preven-
tion. 
‘‘(ii) TRANSITION
PERIOD; EXEMP-
TION
REGARDING
NON-AIDS
CASES.—For 
each of the fiscal years 2007 through 
2010, an eligible area is, subject to clauses 
(iii) through (v), exempt from the require-
ment under clause (i) that living names- 
based non-AIDS cases of HIV be reported 
unless— 
‘‘(I) a system was in operation as 
of December 31, 2005, that provides 
sufficiently 
accurate 
and 
reliable 
names-based reporting of such cases 
throughout the State in which the 
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area is located, subject to clause (viii); 
or 
‘‘(II) no later than the beginning 
of fiscal year 2008, 2009, or 2010, 
the Secretary, in consultation with the 
chief executive of the State in which 
the area is located, determines that a 
system has become operational in the 
State that provides sufficiently accu-
rate and reliable names-based report-
ing of such cases throughout the 
State. 
‘‘(iii) REQUIREMENTS
FOR
EXEMP-
TION FOR FISCAL YEAR 2007.—For fiscal 
year 2007, an exemption under clause (ii) 
for an eligible area applies only if, by Octo-
ber 1, 2006— 
‘‘(I)(aa) the State in which the 
area is located had submitted to the 
Secretary a plan for making the tran-
sition to sufficiently accurate and reli-
able names-based reporting of living 
non-AIDS cases of HIV; or 
‘‘(bb) all statutory changes nec-
essary to provide for sufficiently accu-
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rate and reliable reporting of such 
cases had been made; and 
‘‘(II) the State had agreed that, 
by April 1, 2008, the State will begin 
accurate and reliable names-based re-
porting of such cases, except that 
such agreement is not required to pro-
vide that, as of such date, the system 
for such reporting be fully sufficient 
with respect to accuracy and reli-
ability throughout the area. 
‘‘(iv) REQUIREMENT FOR EXEMPTION 
AS OF FISCAL YEAR 2008.—For each of the 
fiscal years 2008 through 2010, an exemp-
tion under clause (ii) for an eligible area 
applies only if, as of April 1, 2008, the 
State in which the area is located is sub-
stantially in compliance with the agree-
ment under clause (iii)(II). 
‘‘(v) 
PROGRESS
TOWARD
NAMES- 
BASED REPORTING.—For fiscal year 2009 
or 2010, the Secretary may terminate an 
exemption under clause (ii) for an eligible 
area if the State in which the area is lo-
cated submitted a plan under clause 
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(iii)(I)(aa) and the Secretary determines 
that the State is not substantially following 
the plan. 
‘‘(vi) COUNTING OF CASES IN AREAS 
WITH EXEMPTIONS.— 
‘‘(I) IN GENERAL.—With respect 
to an eligible area that is under a re-
porting system for living non-AIDS 
cases of HIV that is not names-based 
(referred to in this subparagraph as 
‘code-based reporting’), the Secretary 
shall, for purposes of this subpara-
graph, modify the number of such 
cases reported for the eligible area in 
order to adjust for duplicative report-
ing in and among systems that use 
code-based reporting. 
‘‘(II) ADJUSTMENT
RATE.—The 
adjustment rate under subclause (I) 
for an eligible area shall be a reduc-
tion of 5 percent in the number of liv-
ing non-AIDS cases of HIV reported 
for the area. 
‘‘(vii) MULTIPLE POLITICAL JURISDIC-
TIONS.—With respect to living non-AIDS 
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cases of HIV, if an eligible area is not en-
tirely within one political jurisdiction and 
as a result is subject to more than one re-
porting system for purposes of this sub-
paragraph: 
‘‘(I) 
Names-based 
reporting 
under clause (i) applies in a jurisdic-
tional portion of the area, or an ex-
emption under clause (ii) applies in 
such portion (subject to applicable 
provisions of this subparagraph), ac-
cording to whether names-based re-
porting or code-based reporting is 
used in such portion. 
‘‘(II) If under subclause (I) both 
names-based reporting and code-based 
reporting apply in the area, the num-
ber of code-based cases shall be re-
duced under clause (vi). 
‘‘(viii) LIST
OF
ELIGIBLE
AREAS 
MEETING STANDARD REGARDING DECEM-
BER 31, 2005.— 
‘‘(I) IN GENERAL.—If an eligible 
area or portion thereof is in a State 
specified in subclause (II), the eligible 
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area or portion shall be considered to 
meet the standard described in clause 
(ii)(I). No other eligible area or por-
tion thereof may be considered to 
meet such standard. 
‘‘(II) RELEVANT
STATES.—For 
purposes of subclause (I), the States 
specified in this subclause are the fol-
lowing: Alaska, Alabama, Arkansas, 
Arizona, Colorado, Florida, Indiana, 
Iowa, 
Idaho, 
Kansas, 
Louisiana, 
Michigan, Minnesota, Missouri, Mis-
sissippi, North Carolina, North Da-
kota, Nebraska, New Jersey, New 
Mexico, New York, Nevada, Ohio, 
Oklahoma, South Carolina, South Da-
kota, Tennessee, Texas, Utah, Vir-
ginia, Wisconsin, West Virginia, Wyo-
ming, Guam, and the Virgin Islands. 
‘‘(ix) RULES OF CONSTRUCTION RE-
GARDING ACCEPTANCE OF REPORTS.— 
‘‘(I) CASES OF AIDS.—With re-
spect to an eligible area that is sub-
ject to the requirement under clause 
(i) and is not in compliance with the 
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requirement for names-based report-
ing of living non-AIDS cases of HIV, 
the Secretary shall, notwithstanding 
such noncompliance, accept reports of 
living cases of AIDS that are in ac-
cordance with such clause. 
‘‘(II) APPLICABILITY OF EXEMP-
TION
REQUIREMENTS.—The 
provi-
sions of clauses (ii) through (viii) may 
not be construed as having any legal 
effect for fiscal year 2011 or any sub-
sequent fiscal year, and accordingly, 
the status of a State for purposes of 
such clauses may not be considered 
after fiscal year 2010. 
‘‘(x) PROGRAM FOR DETECTING INAC-
CURATE
OR
FRAUDULENT
COUNTING.— 
The Secretary shall carry out a program to 
monitor the reporting of names-based 
cases for purposes of this subparagraph 
and to detect instances of inaccurate re-
porting, including fraudulent reporting.’’. 
(c) CODE-BASED AREAS; LIMITATION ON INCREASE 
IN GRANT.—Section 2603(a)(3) of the Public Health 
Service Act (42 U.S.C. 300ff–13(a)), as amended by sub-
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section (b)(2) of this section, is amended by adding at the 
end the following subparagraph: 
‘‘(D) CODE-BASED AREAS; LIMITATION ON 
INCREASE IN GRANT.— 
‘‘(i) IN GENERAL.—For each of the 
fiscal years 2007 through 2010, if code- 
based reporting (within the meaning of 
subparagraph (C)(vi)) applies in an eligible 
area or any portion thereof as of the begin-
ning of the fiscal year involved, then not-
withstanding any other provision of this 
paragraph, the amount of the grant pursu-
ant to this paragraph for such area for 
such fiscal year may not— 
‘‘(I) for fiscal year 2007, exceed 
by more than 5 percent the amount of 
the grant for the area that would have 
been made pursuant to this paragraph 
and paragraph (4) for fiscal year 
2006 (as such paragraphs were in ef-
fect for such fiscal year) if paragraph 
(2) (as so in effect) had been applied 
by substituting ‘662⁄3 percent’ for ‘50 
percent’; and 
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‘‘(II) for each of the fiscal years 
2008 and 2009, exceed by more than 
5 percent the amount of the grant 
pursuant to this paragraph and para-
graph (4) for the area for the pre-
ceding fiscal year. 
‘‘(ii) USE OF AMOUNTS INVOLVED.— 
For each of the fiscal years 2007 through 
2010, amounts available as a result of the 
limitation under clause (i) shall be made 
available by the Secretary as additional 
amounts for grants pursuant to subsection 
(b) for the fiscal year involved, subject to 
paragraph (4) and section 2610(d)(2).’’. 
(d) HOLD HARMLESS.—Section 2603(a) of the Pub-
lic Health Service Act (42 U.S.C. 300ff–13(a)) is amend-
ed— 
(1) in paragraph (3)(A)— 
(A) in clause (ii), by striking the period at 
the end and inserting a semicolon; and 
(B) by inserting after and below clause (ii) 
the following: 
‘‘which product shall then, as applicable, be in-
creased under paragraph (4).’’. 
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(2) by amending paragraph (4) to read as fol-
lows: 
‘‘(4) INCREASES IN GRANT.— 
‘‘(A) IN GENERAL.—For each eligible area 
that received a grant pursuant to this sub-
section for fiscal year 2006, the Secretary shall, 
for each of the fiscal years 2007 through 2009, 
increase the amount of the grant made pursu-
ant to paragraph (3) for the area to ensure that 
the amount of the grant for the fiscal year in-
volved is not less than the following amount, as 
applicable to such fiscal year: 
‘‘(i) For fiscal year 2007, an amount 
equal to 95 percent of the amount of the 
grant that would have been made pursuant 
to paragraph (3) and this paragraph for 
fiscal year 2006 (as such paragraphs were 
in effect for such fiscal year) if paragraph 
(2) (as so in effect) had been applied by 
substituting ‘662⁄3 percent’ for ‘50 per-
cent’. 
‘‘(ii) For each of the fiscal years 2008 
and 2009, an amount equal to 95 percent 
of the amount of the grant made pursuant 
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to paragraph (3) and this paragraph for 
the preceding fiscal year. 
‘‘(B) SOURCE OF FUNDS FOR INCREASE.— 
‘‘(i) 
IN
GENERAL.—From 
the 
amounts available for carrying out the sin-
gle 
program 
referred 
to 
in 
section 
2609(d)(2)(C) for a fiscal year (relating to 
supplemental grants), the Secretary shall 
make available such amounts as may be 
necessary to comply with subparagraph 
(A), subject to section 2610(d)(2). 
‘‘(ii) PRO RATA REDUCTION.—If the 
amounts referred to in clause (i) for a fis-
cal year are insufficient to fully comply 
with subparagraph (A) for the year, the 
Secretary, in order to provide the addi-
tional funds necessary for such compliance, 
shall reduce on a pro rata basis the 
amount of each grant pursuant to this sub-
section for the fiscal year, other than 
grants for eligible areas for which in-
creases under subparagraph (A) apply. A 
reduction under the preceding sentence 
may not be made in an amount that would 
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result in the eligible area involved becom-
ing eligible for such an increase. 
‘‘(C) LIMITATION.—This paragraph may 
not be construed as having any applicability 
after fiscal year 2009.’’. 
SEC. 103. TYPE AND DISTRIBUTION OF GRANTS; SUPPLE-
MENTAL GRANTS. 
Section 2603(b) of the Public Health Service Act (42 
U.S.C. 300ff–13(b)) is amended— 
(1) in paragraph (1)— 
(A) in the matter preceding subparagraph 
(A), by striking ‘‘Not later than’’ and all that 
follows through ‘‘the Secretary shall’’ and in-
serting the following: ‘‘Subject to subsection 
(a)(4)(B)(i) and section 2610(d), the Secretary 
shall’’; 
(B) in subparagraph (B), by striking 
‘‘demonstrates the severe need in such area’’ 
and inserting ‘‘demonstrates the need in such 
area, on an objective and quantified basis,’’; 
(C) by striking subparagraph (F) and in-
serting the following: 
‘‘(F) demonstrates the inclusiveness of af-
fected communities and individuals with HIV/ 
AIDS;’’; 
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(D) in subparagraph (G), by striking the 
period and inserting ‘‘; and’’; and 
(E) by adding at the end the following: 
‘‘(H) demonstrates the ability of the appli-
cant to expend funds efficiently by not having 
had, for the most recent grant year under sub-
section (a) for which data is available, more 
than 2 percent of grant funds under such sub-
section canceled or covered by any waivers 
under subsection (c)(3).’’; and 
(2) in paragraph (2)— 
(A) in subparagraph (A), by striking ‘‘se-
vere need’’ and inserting ‘‘demonstrated need’’; 
(B) by striking subparagraph (B) and in-
serting the following: 
‘‘(B) DEMONSTRATED NEED.—The factors 
considered by the Secretary in determining 
whether an eligible area has a demonstrated 
need for purposes of paragraph (1)(B) may in-
clude any or all of the following: 
‘‘(i) The unmet need for such services, 
as determined under section 2602(b)(4) or 
other community input process as defined 
under section 2609(d)(1)(A). 
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‘‘(ii) An increasing need for HIV/ 
AIDS-related services, including relative 
rates of increase in the number of cases of 
HIV/AIDS. 
‘‘(iii) The relative rates of increase in 
the number of cases of HIV/AIDS within 
new or emerging subpopulations. 
‘‘(iv) The current prevalence of HIV/ 
AIDS. 
‘‘(v) Relevant factors related to the 
cost and complexity of delivering health 
care to individuals with HIV/AIDS in the 
eligible area. 
‘‘(vi) The impact of co-morbid factors, 
including co-occurring conditions, deter-
mined relevant by the Secretary. 
‘‘(vii) The prevalence of homelessness. 
‘‘(viii) The prevalence of individuals 
described under section 2602(b)(2)(M). 
‘‘(ix) The relevant factors that limit 
access to health care, including geographic 
variation, adequacy of health insurance 
coverage, and language barriers. 
‘‘(x) The impact of a decline in the 
amount received pursuant to subsection (a) 
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on services available to all individuals with 
HIV/AIDS identified and eligible under 
this title.’’; and 
(C) by striking subparagraphs (C) and (D) 
and inserting the following: 
‘‘(C) PRIORITY IN MAKING GRANTS.—The 
Secretary shall provide funds under this sub-
section to an eligible area to address the decline 
in services related to the decline in the amounts 
received pursuant to subsection (a) consistent 
with the grant award for the eligible area for 
fiscal year 2006, to the extent that the factor 
under subparagraph (B)(x) (relating to a de-
cline in funding) applies to the eligible area.’’. 
SEC. 104. TIMEFRAME FOR OBLIGATION AND EXPENDI-
TURE OF GRANT FUNDS. 
Section 2603 of the Public Health Service Act (42 
U.S.C. 300ff–13) is amended— 
(1) by redesignating subsection (c) as sub-
section (d); and 
(2) by inserting after subsection (b) the fol-
lowing: 
‘‘(c) TIMEFRAME FOR OBLIGATION AND EXPENDI-
TURE OF GRANT FUNDS.— 
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‘‘(1) OBLIGATION BY END OF GRANT YEAR.— 
Effective for fiscal year 2007 and subsequent fiscal 
years, funds from a grant award made pursuant to 
subsection (a) or (b) for a fiscal year are available 
for obligation by the eligible area involved through 
the end of the one-year period beginning on the date 
in such fiscal year on which funds from the award 
first become available to the area (referred to in this 
subsection as the ‘grant year for the award’), except 
as provided in paragraph (3)(A). 
‘‘(2) SUPPLEMENTAL GRANTS; CANCELLATION 
OF UNOBLIGATED BALANCE OF GRANT AWARD.—Ef-
fective for fiscal year 2007 and subsequent fiscal 
years, if a grant award made pursuant to subsection 
(b) for an eligible area for a fiscal year has an unob-
ligated balance as of the end of the grant year for 
the award— 
‘‘(A) the Secretary shall cancel that unobli-
gated balance of the award, and shall require 
the eligible area to return any amounts from 
such balance that have been disbursed to the 
area; and 
‘‘(B) the funds involved shall be made 
available 
by 
the 
Secretary 
as 
additional 
amounts for grants pursuant to subsection (b) 
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for the first fiscal year beginning after the fis-
cal year in which the Secretary obtains the in-
formation necessary for determining that the 
balance is required under subparagraph (A) to 
be canceled, except that the availability of the 
funds for such grants is subject to subsection 
(a)(4) and section 2610(d)(2) as applied for 
such year. 
‘‘(3) FORMULA GRANTS; CANCELLATION OF UN-
OBLIGATED
BALANCE
OF
GRANT
AWARD; WAIVER 
PERMITTING CARRYOVER.— 
‘‘(A) IN
GENERAL.—Effective for fiscal 
year 2007 and subsequent fiscal years, if a 
grant award made pursuant to subsection (a) 
for an eligible area for a fiscal year has an un-
obligated balance as of the end of the grant 
year for the award, the Secretary shall cancel 
that unobligated balance of the award, and 
shall require the eligible area to return any 
amounts from such balance that have been dis-
bursed to the area, unless— 
‘‘(i) before the end of the grant year, 
the chief executive officer of the area sub-
mits to the Secretary a written application 
for a waiver of the cancellation, which ap-
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plication includes a description of the pur-
poses for which the area intends to expend 
the funds involved; and 
‘‘(ii) the Secretary approves the waiv-
er. 
‘‘(B) EXPENDITURE BY END OF CARRY-
OVER YEAR.—With respect to a waiver under 
subparagraph (A) that is approved for a bal-
ance that is unobligated as of the end of a 
grant year for an award: 
‘‘(i) The unobligated funds are avail-
able for expenditure by the eligible area in-
volved for the one-year period beginning 
upon the expiration of the grant year (re-
ferred to in this subsection as the ‘carry-
over year’). 
‘‘(ii) If the funds are not expended by 
the end of the carryover year, the Sec-
retary shall cancel that unexpended bal-
ance of the award, and shall require the el-
igible area to return any amounts from 
such balance that have been disbursed to 
the area. 
‘‘(C) USE OF CANCELLED BALANCES.—In 
the case of any balance of a grant award that 
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is cancelled under subparagraph (A) or (B)(ii), 
the grant funds involved shall be made available 
by the Secretary as additional amounts for 
grants pursuant to subsection (b) for the first 
fiscal year beginning after the fiscal year in 
which the Secretary obtains the information 
necessary for determining that the balance is 
required under such subparagraph to be can-
celed, except that the availability of the funds 
for such grants is subject to subsection (a)(4) 
and section 2610(d)(2) as applied for such 
year. 
‘‘(D) CORRESPONDING REDUCTION IN FU-
TURE GRANT.— 
‘‘(i) IN GENERAL.—In the case of an 
eligible area for which a balance from a 
grant award under subsection (a) is unobli-
gated as of the end of the grant year for 
the award— 
‘‘(I) the Secretary shall reduce, 
by the same amount as such unobli-
gated balance, the amount of the 
grant under such subsection for the 
first fiscal year beginning after the 
fiscal year in which the Secretary ob-
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