TITLE I—ANNUAL REPORT TO CONGRESS ON PROGRAMS FOR
IMPROVING HEALTH STATUS OF HISPANIC INDIVIDUALS
Sec. 101. Annual report regarding diabetes, HIV/AIDS, substance abuse, and
mental health.
TITLE II—DIABETES CONTROL AND PREVENTION
Sec. 201. National Diabetes Education Program of Centers for Disease Control
and Prevention; increased authorization of appropriations for
activities regarding Hispanic individuals.
Sec. 202. National Institutes of Health; implementation of recommendations of
Diabetes Research Working Group.
TITLE III—HIV PREVENTION ACTIVITIES REGARDING HISPANIC
INDIVIDUALS
Sec. 301. Programs of Centers for Disease Control and Prevention; representa-
tion of Hispanic individuals in membership of community plan-
ning groups.
Sec. 302. AIDS education and training centers funded by Health Resources
and Services Administration; establishment of center directed
toward minority populations with HIV.
TITLE IV—PREVENTION OF LATINA ADOLESCENT SUICIDES
Sec. 401. Establishment of program for prevention of Latina adolescent sui-
cides.
TITLE V—BILINGUAL HEALTH PROFESSIONALS
Sec. 501. Training of bilingual health professionals with respect to minority
health conditions.
TITLE VI—CULTURAL COMPETENCE
Sec. 601. Definition.
Sec. 602. Activities of Office of Minority Health; Center for Linguistic and Cul-
tural Competence in Health Care.
Sec. 603. Cultural competence demonstration projects.
Sec. 604. Use of medicare and medicaid disproportionate share hospital funds
to pay for translators.
TITLE VII—HISPANIC-SERVING HEALTH PROFESSIONS SCHOOLS
Sec. 701. Hispanic-serving health professions schools.
TITLE VIII—DATA REGARDING RACE AND ETHNICITY
Sec. 801. Collection of data.
Sec. 802. Development of standards; study to measure patient outcomes under
medicare and medicaid programs.
TITLE IX—GENERAL PROVISIONS
Sec. 901. Definitions.
Sec. 902. Effective date.
SEC. 2. FINDINGS.
The Congress finds as follows:
(1) Type 2 diabetes accounts for 90 to 95 per-
cent of diabetes cases nationwide, and it is the most
common form of the disease in the Hispanic commu-
nity. Among Hispanics, type 2 diabetes is twice as
common as the disease is among non-Hispanic
whites. Six percent of the Hispanic population has
been diagnosed with type 2 diabetes, and another six
percent is estimated to have undiagnosed diabetes.
(2) Controlling the risk factors of diabetes can
prevent the development of diabetes in many geneti-
cally susceptible individuals. Addressing environ-
mental risk factors like diet, weight and physical ac-
tivity can significantly impact the development of di-
abetes.
(3) Hispanics account for 20 percent of new
AIDS cases. Of these new AIDS cases, Hispanic
men account for 20 percent of reported cases among
males, Hispanic women account for 19 percent of re-
ported cases among females, and Hispanic children
account for 22 percent of cases among all children.
(4) The two primary modes of HIV trans-
mission in the Hispanic community are (A) individ-
uals who have unprotected sex, and (B) individuals
who inject themselves with drugs.
(5) Mexican-American women are more likely to
report severe depression than their non-Hispanic
Anglo or African-American peers.
(6) Hispanic girls now lead girls nationwide in
rates of suicide attempts, alcohol and drug abuse,
and self-reported gun possession.
(7) Federal agencies do not have adequate
mechanisms to collect health care data for Hispanic-
Americans and other minority groups.
(8) The lack of understandable or culturally ap-
propriate information on health care options pre-
vents many Hispanics from receiving adequate care
and from making educated decisions about their
well-being.
TITLE I—ANNUAL REPORT TO
CONGRESS 
ON 
PROGRAMS
FOR 
IMPROVING 
HEALTH
STATUS OF HISPANIC INDI-
VIDUALS
SEC. 101. ANNUAL REPORT REGARDING DIABETES, HIV/
AIDS, 
SUBSTANCE 
ABUSE, 
AND 
MENTAL
HEALTH.
(a) IN GENERAL.—The Secretary of Health and
Human Services (in this Act referred to as the ‘‘Sec-
retary’’) shall annually submit to the Congress a report
on programs carried out through the Public Health Serv-
ice with respect to improving the health status of Hispanic
individuals regarding diabetes, HIV infection, AIDS, sub-
stance abuse, and mental health, including—
(1) prevention programs carried out through
the Centers for Disease Control and Prevention and
the Substance Abuse and Mental Health Services
Administration;
(2) treatment programs carried out through the
Health Resources and Services Administration and
the Substance Abuse and Mental Health Services
Administration;
(3) research programs carried out through the
National Institutes of Health; and
(4) activities of the Office of Public Health and
Science, including activities of the Office of Minority
Health.
(b) DATA COLLECTION.—Each report under sub-
section (a) shall include information on programs carried
out through the Public Health Service to collect data that
relates to the health status of Hispanic individuals regard-
ing diabetes, HIV infection, AIDS, substance abuse, and
mental health.
TITLE II—DIABETES CONTROL
AND PREVENTION
SEC. 201. NATIONAL DIABETES EDUCATION PROGRAM OF
CENTERS FOR DISEASE CONTROL AND PRE-
VENTION; INCREASED AUTHORIZATION OF
APPROPRIATIONS FOR ACTIVITIES REGARD-
ING HISPANIC INDIVIDUALS.
(a) IN GENERAL.—For the purpose of carrying out
the activities described in subsection (b) through the Na-
tional Diabetes Education Program of the Centers for Dis-
ease Control and Prevention, there are authorized to be
appropriated $100,000,000 for fiscal year 2001, and such
sums as may be necessary for each of the fiscal years 2002
through 2005. Such authorization of appropriations is in
addition to other authorizations of appropriations that are
available for such purpose.
(b) INCREASE IN PREVENTION ACTIVITIES.—The ac-
tivities referred to in subsection (a) are—
(1) identifying geographic areas in which the
incidence of or mortality from diabetes in Hispanic
individuals is significantly above the national aver-
age for such individuals; and
(2) carrying out in such areas prevention activi-
ties regarding diabetes that are directed toward His-
panic individuals, including education programs and
screening programs.
SEC. 202. NATIONAL INSTITUTES OF HEALTH; IMPLEMEN-
TATION OF RECOMMENDATIONS OF DIABE-
TES RESEARCH WORKING GROUP.
For the purpose of carrying out the plan to imple-
ment the recommendations of the Diabetes Research
Working Group of the National Institute on Diabetes and
Digestive and Kidney Diseases (which plan was developed
and submitted to the Congress pursuant to the Depart-
ment of Health and Human Services Appropriations Act,
2000), 
there 
are 
authorized 
to 
be 
appropriated
$1,000,000,000 for fiscal year 2001, and such sums as
may be necessary for each of the fiscal years 2002 through
2005.
TITLE III—HIV PREVENTION AC-
TIVITIES 
REGARDING 
HIS-
PANIC INDIVIDUALS
SEC. 301. PROGRAMS OF CENTERS FOR DISEASE CONTROL
AND PREVENTION; REPRESENTATION OF HIS-
PANIC INDIVIDUALS IN MEMBERSHIP OF
COMMUNITY PLANNING GROUPS.
(a) IN GENERAL.—With respect to community plan-
ning groups that the Centers for Disease Control and Pre-
vention utilizes in carrying out programs for the preven-
tion of HIV infection, the Secretary, acting through the
Director of such Centers, shall carry out the following:
(1) The Secretary shall identify community
planning groups for which Hispanic individuals are
underrepresented as members in relation to the
number of Hispanic individuals with HIV who reside
in the communities involved.
(2) The Secretary shall develop a plan to in-
crease the representation of Hispanic individuals in
the membership of the community planning groups
identified under paragraph (1). Such plan may pro-
vide for facilitating the participation of Hispanic in-
dividuals as members in such groups by assisting the
individuals with the incidental costs incurred by the
individuals in being such members, such as the costs
of transportation and child-care services.
(3) The plan shall include a strategy and de-
tailed timeline for implementing the plan.
(b) DEFINITION.—For purposes of this section, the
term ‘‘community planning group’’ has the meaning that
applies for purposes of programs established pursuant to
the Ryan White Comprehensive AIDS Resources Emer-
gency Act of 1990 (including title XXVI of the Public
Health Service Act).
SEC. 302. AIDS EDUCATION AND TRAINING CENTERS FUND-
ED BY HEALTH RESOURCES AND SERVICES
ADMINISTRATION; ESTABLISHMENT OF CEN-
TER DIRECTED TOWARD MINORITY POPU-
LATIONS WITH HIV.
(a) IN GENERAL.—In carrying out section 2692 of
the Public Health Service Act, the Secretary, acting
through the Administrator of the Health Resources and
Services Administration, shall make grants to eligible His-
panic-serving institutions for the purpose of carrying out
projects under such section with respect to HIV in racial
and ethnic minority groups.
(b) CULTURAL
COMPETENCE.—A condition for
grants under subsection (a) is that the applicants involved
agree that the education and training provided through
projects under such subsection will be provided in a cul-
turally competent manner (as defined in section 601).
(c) ELIGIBLE INSTITUTIONS.—For purposes of this
section:
(1) The term ‘eligible Hispanic-serving institu-
tion’ means a Hispanic-serving institution that has
a record of carrying out HIV-related activities with
respect to Hispanic individuals.
(2) The term ‘Hispanic-serving institution’ has
the meaning given such term in section 502 of the
Higher Education Act of 1965.
TITLE IV—PREVENTION OF
LATINA ADOLESCENT SUICIDES
SEC. 401. ESTABLISHMENT OF PROGRAM FOR PREVENTION
OF LATINA ADOLESCENT SUICIDES.
Title V of the Public Health Service Act (42 U.S.C.
290aa et seq.) is amended by inserting after section 520B
the following section:
‘‘SEC. 520C. PREVENTION OF LATINA ADOLESCENT SUI-
CIDES.
‘‘(a) IN
GENERAL.—The Secretary shall make
awards of grants, cooperative agreements, or contracts to
public and nonprofit private entities for the purpose of re-
ducing suicide attempts and deaths among Latina adoles-
cents.
‘‘(b) COLLABORATION.—The Secretary shall ensure
that the program under this section is developed in col-
laboration with the relevant institutes at the National In-
stitutes of Health, the Health Resources and Services Ad-
ministration, the Centers for Disease Control and Preven-
tion, and the Administration on Children and Families.
‘‘(c) PREFERENCE.—In making awards under sub-
section (a), the Secretary shall give preference to appli-
cants that—
‘‘(1) demonstrate a strong linkage with schools
and are actually supported by and operated within
a school facility or associated setting; and
‘‘(2) involve direct services to Latina adoles-
cents.
‘‘(d) REQUIREMENTS.—A condition for the receipt of
an award under subsection (a) is that the applicant in-
volved demonstrate that the project to be carried out with
the award will—
‘‘(1) provide for the timely assessment and
treatment of Latina adolescents at risk for suicide;
‘‘(2) use evidenced based strategies;
‘‘(3) be based on exemplary practices that are
adapted to the unique characteristics and needs of
the local community;
‘‘(4) be integrated into the existing health care
system in the community including primary health
care, mental health services, and substance abuse
services as appropriate;
‘‘(5) be integrated into other systems in the
community to address the needs of Latina adoles-
cents including the educational system, juvenile jus-
tice, and recreation;
‘‘(6) provide support services to the families
and friends of those who plan, attempt, or actually
commit suicide;
‘‘(7) provide culturally, linguistically and devel-
opmentally appropriate services;
‘‘(8) agree to outcomes evaluation to determine
the success of the program and the possibility of
replication to other adolescent girls at risk of sui-
cide;
‘‘(9) provide or ensure referral for mental
health and substance abuse services as needed; and
‘‘(10) ensure that staff used in the program are
trained in suicide prevention, are capable of pro-
viding culturally and linguistically appropriate serv-
ices and that professionals involved in the system of
care are given training in identifying persons at risk
of suicide.
‘‘(e) COORDINATION.—A condition for the receipt of
an award under subsection (a) is that the applicant in-
volved demonstrate that—
‘‘(1) the application has the support of the local
communities and the approval of the political sub-
division to be served by the project; and
‘‘(2) the applicant has discussed the application
with State mental health officials.
‘‘(f) MATCHING REQUIREMENT.—With respect to the
costs to be incurred by an applicant in carrying out a
project under subsection (a), the Secretary may require
as a condition of the receipt of the award that the appli-
cant make available (directly or through donations from
public or private entities) non-Federal contributions to-
ward such costs in an amount that is not less than 25
percent of such costs ($1 for each $3 of Federal funds
provided in the award).
‘‘(g) EVALUATION.—The Secretary shall ensure that
entities receiving awards under subsection (a) submit an
evaluation of the project that includes an evaluation of—
‘‘(1) the efficacy of project strategies; and
‘‘(2) short, intermediate, and long-term out-
comes, including the overall impact of the project on
the self-esteem of Latina adolescents and their emo-
tional development and ability to deal in a positive
and confident manner with their families, social en-
vironment, and peers.
‘‘(h) DISSEMINATION AND EDUCATION.—The Sec-
retary shall ensure that the findings from the program
under this section are disseminated to State and local gov-
ernmental agencies and private providers of mental health
and substance abuse services.
‘‘(i) DURATION OF PROJECTS.—With respect to an
award under subsection (a), the period during which pay-
ments under such award are made may not exceed 5 years.
‘‘(j) DEFINITION.—For purposes of this section, the
term ‘adolescent’ means an individual between the ages
of 11 and 17 (inclusive).
‘‘(k) FUNDING.—
‘‘(1) AUTHORIZATION
OF
APPROPRIATIONS.—
For the purpose of carrying out this section, there
are authorized to be appropriated $10,000,000 for
fiscal year 2001, and such sums as may be nec-
essary for each of the fiscal years 2002 and 2005.
‘‘(2) ALLOCATION
FOR
PROGRAM
MANAGE-
MENT.—Of the amount appropriated under para-
graph (1) for a fiscal year, the Secretary may re-
serve not more than 1 percent for administering the
program under this section.’’.
TITLE V—BILINGUAL HEALTH
PROFESSIONALS
SEC. 501. TRAINING OF BILINGUAL HEALTH PROFES-
SIONALS 
WITH 
RESPECT 
TO 
MINORITY
HEALTH CONDITIONS.
(a) IN GENERAL.—The Secretary, acting through the
Administrator of the Health Resources and Services Ad-
ministration, shall (directly or through awards of grants
or contracts to public or nonprofit private entities) carry
out a program—
(1) to identify health professionals who speak
both English and a language used by racial or ethnic
minority groups in the United States; and
(2) to train such health professionals with re-
spect to the treatment of minority health conditions,
such as diabetes, HIV infection, substance abuse,
and conditions regarding mental health.
(b) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out subsection (a), there are author-
ized to be appropriated such sums as may be necessary
for each of the fiscal years 2001 through 2005.
TITLE VI—CULTURAL
COMPETENCE
SEC. 601. DEFINITION.
(a) IN GENERAL.—For purposes of this Act, the term
‘‘culturally competent’’, with respect to the manner in
which health-related services, education, and training are
provided, means providing the services, education, and
training in the language and cultural context that is most
appropriate for the individuals for whom the services, edu-
cation, and training are intended, including as necessary
the provision of bilingual services.
(b) MODIFICATION.—The definition established in
subsection (a) may be modified as needed at the discretion
of the Secretary after providing a 30-day notice to the
Congress.
SEC. 602. ACTIVITIES OF OFFICE OF MINORITY HEALTH;
CENTER FOR LINGUISTIC AND CULTURAL
COMPETENCE IN HEALTH CARE.
(a) EDUCATIONAL MATERIALS; TECHNICAL ASSIST-
ANCE.—
(1) IN GENERAL.—The Secretary, through the
Office of Minority Health under section 1707 of the
Public Health Service Act, shall—
(A) provide for the development of edu-
cational materials on providing health services
in a culturally competent manner;
(B) provide technical assistance in carrying
out programs that use such materials; and
(C) provide technical assistance on other
matters regarding the provision of health serv-
ices in a culturally competent manner.
(2) AUTHORIZATION OF APPROPRIATIONS.—For
the purpose of carrying out paragraph (1), there are
authorized to be appropriated $1,000,000 for fiscal
year 2001, and such sums as may be necessary for
each of the fiscal years 2002 through 2005.
(b) CENTER FOR LINGUISTIC AND CULTURAL COM-
PETENCE IN HEALTH CARE.—
(1) IN GENERAL.—The Secretary, through the
Office of Minority Health under section 1707 of the
Public Health Service Act, shall provide for a Center
for Linguistic and Cultural Competence in Health
Care to carry out programs to promote and facilitate
the provision of health-related services, education,
and training in a culturally competent manner.
(2) AUTHORIZATION OF APPROPRIATIONS.—For
the purpose of carrying out paragraph (1), there are
authorized to be appropriated $5,000,000 for fiscal
year 2001, and such sums as may be necessary for
each of the fiscal years 2002 through 2005.
SEC. 
603. 
CULTURAL 
COMPETENCE 
DEMONSTRATION
PROJECTS.
(a) IN GENERAL.—The Secretary, acting through the
Administrator of the Health Care Financing Administra-
tion, shall conduct a cultural competence demonstration
project under which grants are made to two hospitals with
a history in the medicare program to enable them to im-
plement standards for the culturally competent provision
of services to address the specific needs of any population
that constitutes at least 5 percent of the population served
by the hospital involved.
(b) NUMBER AND TYPE.—Of the hospitals provided
grants under this section, one shall be located in an urban
and the other in a rural area (as defined in section
1886(d)(2)(D) of the Social Security Act). The urban hos-
pital shall serve a significant limited English proficient
population and be within 175 miles of the border with
Mexico. In selecting such hospitals, the Secretary shall
give preference to hospitals that serve large immigrant
populations.
(c) AMOUNT AND DURATION OF GRANT.—A grant
under this section for a hospital shall be in the amount
of $5,000,000 and shall be for a period of 5 years.
(d) EVALUATION AND REPORT.—
(1) EVALUATION.—The Secretary shall also
provide for a grant to an appropriate qualified entity
in an amount not to exceed $1,000,000 to evaluate
the demonstration projects conducted under this sec-
tion.
(2) REPORT.—The Secretary shall submit to
Congress a report on the projects conducted under
this section. The Secretary shall include in such re-
port the results of the evaluation conducted under
paragraph (1) and recommendations on whether on
going medicare funding should be provided for im-
plementation of standards for cultural competency in
hospitals.
(e) AUTHORIZATION
OF APPROPRIATIONS.—There
are authorized to be appropriated from the Federal Hos-
pital Insurance Trust Fund (under section 1817 of the
Social 
Security 
Act) 
to 
carry 
out 
this 
section,
$11,000,000, which shall remain available until expended.
SEC. 604. USE OF MEDICARE AND MEDICAID DISPROPOR-
TIONATE SHARE HOSPITAL FUNDS TO PAY
FOR TRANSLATORS.
Nothing in title XVIII or XIX of the Social Security
Act shall be construed to prevent a disproportionate share
hospital that receives funds under section 1886(d)(5)(F)
or section 1923 of such Act from using such funds to pay
for translators for a population that is limited English
proficient and that constitutes 10 percent or more of the
population that it serves.
TITLE 
VII—HISPANIC-SERVING
HEALTH 
PROFESSIONS
SCHOOLS
SEC. 
701. 
HISPANIC-SERVING 
HEALTH 
PROFESSIONS
SCHOOLS.
(a) IN GENERAL.—The Secretary, acting through the
Administrator of the Health Resources and Services Ad-
ministration, shall make grants to Hispanic-serving health
professions schools for the purpose of carrying out pro-
grams to recruit Hispanic individuals to enroll in and
graduate from the schools, which may include providing
scholarships and other financial assistance as appropriate.
(b) ELIGIBILITY.—For purposes of subsection (a), an
entity is a Hispanic-serving health professions school if the
entity—
(1) is a school or program under section 799B
of the Public Health Service Act;
(2) has an enrollment of full-time equivalent
students that is at least 5 percent Hispanic stu-
dents;
(3) has been effective in carrying out programs
to recruit Hispanic individuals to enroll in and grad-
uate from the school;
(4) has been effective in recruiting and retain-
ing Hispanic faculty members; and
(5) has a significant number of graduates who
are providing health services to medically under-
served populations or to individuals in health profes-
sional shortage areas.
(c) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated such sums as may be necessary for
each of the fiscal years 2001 through 2005.
TITLE VIII—DATA REGARDING
RACE AND ETHNICITY
SEC. 801. COLLECTION OF DATA.
Part A of title III of the Public Health Service Act
(42 U.S.C. 241 et seq.) is amended by inserting after sec-
tion 306 the following section:
‘‘DATA ON RACE AND ETHNICITY
‘‘SEC. 306A. (a) IN GENERAL.—The Secretary shall
by regulation provide for the following:
‘‘(1) Health data collected under programs car-
ried out by the Secretary (whether collected directly
or pursuant to grants, cooperative agreements, or
contracts) shall include data on race and ethnicity
and shall, at a minimum, use the categories for race
and ethnicity described in OMB Directive 15.
‘‘(2) Data collected by the Secretary pursuant
to title VI of the Civil Rights Act of 1964 shall in-
clude data on race and ethnicity and shall, at a min-
imum, use such categories.
‘‘(3) Data on race and ethnicity that is collected
under paragraph (1) or (2) shall use the procedures
described in such Directive for collecting data from
an individual, and shall be maintained and presented
(including for reporting purposes) in accordance
with such Directive.
‘‘(4) Such other data as the Secretary may des-
ignate (including administrative records) shall be
collected, maintained, and presented in accordance
with such Directive, to the extent that such data are
collected by the Secretary and relate to health-re-
lated programs that are carried out by the Sec-
retary.
‘‘(b) EXEMPTIONS.—The final rule promulgated by
the Secretary under subsection (a) shall be in accordance
with the following:
‘‘(1) Such rule shall provide that, with respect
to a program referred to in subsection (a) or an ac-
tivity under the program, a requirement under the
rule does not apply to the extent that compliance
with the requirement would exceed the authority
provided by law for the program, or would be incon-
sistent with the purpose of the program or activity.
‘‘(2) Such rule shall provide that the Secretary
may provide an exemption from the applicability of
a requirement under the rule to a program, or an
activity under the program, if the Secretary deter-
mines that there is a reasonable basis for providing
the exemption.
‘‘(3) With respect to each program or activity
that the Secretary determines is exempt under para-
graph (1) or (2), such rule shall require the
Secretary—
‘‘(A) to publish in the Federal Register a
notice of such fact;
‘‘(B) to include in the notice an expla-
nation of the reason or reasons underlying the
determination by the Secretary that the stand-
ard described in paragraph (1) or (2) (as appli-
cable) has been met; and
‘‘(C) to so publish the notice not later than
30 days after the date on which the determina-
tion involved is made.
‘‘(c) DEFINITION.—For purposes of this section, the
term ‘OMB Directive 15’ means Statistical Policy Direc-
tive No. 15, Race and Ethnic Standards for Federal Sta-
tistics and Administrative Reporting, as established by the
Director of the Office of Management and Budget through
the notice issued October 30, 1997 (62 FR 58782). Such
term includes any subsequent revisions to such Direc-
tive.’’.
SEC. 802. DEVELOPMENT OF STANDARDS; STUDY TO MEAS-
URE PATIENT OUTCOMES UNDER MEDICARE
AND MEDICAID PROGRAMS.
(a) DEVELOPMENT OF STANDARDS.—Not later than
one year after the date of the enactment of this Act, the
Secretary, through the Administrator of the Health Care
Financing Administration, shall develop outcome meas-
ures to evaluate, by race and ethnicity, the performance
of health care programs and projects that provide health
care to individuals under the medicare and medicaid pro-
grams (under titles XVIII and XIX, respectively, of the
Social Security Act).
(b) STUDY.—After the Secretary develops the out-
come measures under subsection (a), the Secretary shall
conduct a study that evaluates, by race and ethnicity, the
performance of health care programs and projects referred
to in subsection (a).
(c) REPORT TO CONGRESS.—Not later that two years
after the date of the enactment of this Act, the Secretary
shall submit to Congress a report describing the outcome
measures developed under subsection (a), and the results
of the study conducted pursuant to subsection (b).
TITLE IX—GENERAL
PROVISIONS
SEC. 901. DEFINITIONS.
For purposes of this Act:
(1) The term ‘‘culturally competent’’ has the
meaning given such term in section 601.
(2) The term ‘‘HIV’’ means the human im-
munodeficiency virus, the causative agent for ac-
quired immune deficiency syndrome (commonly
known as AIDS).
(3) The term ‘‘Secretary’’ has the meaning in-
dicated for such term in section 101(a).
SEC. 902. EFFECTIVE DATE.
This Act and the amendments made by this Act take
effect upon the date of the enactment of this Act.
Æ