(r) BLOCK
GRANTS
FOR
COMMUNITY
MENTAL
HEALTH SERVICES.—In addition to any other authoriza-
tions of appropriations that are available for the purpose
of carrying out subpart I of part B of title XIX of the
Public Health Service Act, there are authorized to be ap-
propriated for such purpose $50,000,000 for fiscal year
1995.
(s) BLOCK GRANTS FOR PREVENTION AND TREAT-
MENT OF SUBSTANCE ABUSE.—In addition to any other
authorizations of appropriations that are available for the
purpose of carrying out subpart II of part B of title XIX
of the Public Health Service Act, there are authorized to
be appropriated for such purpose $50,000,000 for fiscal
year 1995.
(t) BLOCK
GRANTS
FOR
PREVENTIVE
HEALTH
SERVICES.—In addition to any other authorizations of ap-
propriations that are available for the purpose of carrying
out part A of title XIX of the Public Health Service Act,
there are authorized to be appropriated for such purpose
$30,000,000 for fiscal year 1995.
(u) SCHOLARSHIP
AND LOAN REPAYMENT PRO-
GRAMS OF NATIONAL HEALTH SERVICE CORPS.—In addi-
tion to any other authorizations of appropriations that are
available for the purpose of contracts under sections 338A
and 338B of the Public Health Service Act, there are au-
thorized 
to 
be 
appropriated 
for 
such 
purpose
$100,000,000 for fiscal year 1995.
(v) SOCIAL SECURITY ACT; MATERNAL AND CHILD
HEALTH BLOCK GRANT.—In addition to any other au-
thorizations of appropriations that are available for the
purpose of carrying out title V of the Social Security Act,
there are authorized to be appropriated for such purpose
$100,000,000 for fiscal year 1995.
CHAPTER 2—COMMUNITY HEALTH
ADVISOR PROGRAM
SEC. 2311. SHORT TITLE.
This chapter may be cited as the ‘‘National Commu-
nity Health Advisor Act’’.
SEC. 2312. FINDINGS.
The Congress finds the following:
(1) Poverty, geographic isolation, cultural dif-
ferences, lack of transportation, low literacy, lack of
access to services and further difficulties resulting
from a lack of continuity of care, are barriers for
millions of low-income and underserved Americans in
the current health care delivery system.
(2) The Public Health Service has determined
that many health problems are rooted in poverty and
hit hardest at those least able to protect themselves.
(3) The Public Health Service has established
goals and objectives regarding improvements in the
health of the public by the year 2000. An evaluation
by the Service, entitled ‘‘Health United States 1992
and Healthy People 2000 Review’’, illustrates the
acute access problem faced by rural areas and the
inner cities. The evaluation cites the fact that sub-
urbs have the lowest death rates, while death rates
in rural counties are 12 percent higher and in large
core metropolitan counties, 19 percent higher.
(4) Discussions of health care reform focus al-
most exclusively on questions of how to extend
health insurance to the Nation’s 35–40 million unin-
sured and make services available while simulta-
neously bringing medical costs under control; how-
ever, it is imperative to correct the fundamental and
deep-rooted obstacles that low-income urban and
rural Americans confront when trying to access med-
ical care and preventive health services. For exam-
ple, in 1991, 19 million American women qualified
for mammography screening benefits through Medi-
care; however, only 670,000 (or less than 3 percent)
took advantage of this benefit.
(5) People who are local, indigenous members
and residents of underserved communities are
uniquely knowledgeable about their populations’
needs; where such individuals are already serving as
community health advisors, they communicate to
health and social service providers the needs of com-
munity members, provide quality health promotion
and disease prevention information to the commu-
nity and serve as the crucial link between their com-
munities and providers to increase utilization of
available preventive health services and to reach out
to communities to increase the effectiveness of the
health care delivery system, reduce preventable mor-
bidity and mortality, and improve the quality of life.
SEC. 2313. FORMULA GRANTS REGARDING COMMUNITY
HEALTH ADVISOR PROGRAMS.
(a) FORMULA GRANTS.—
(1) IN GENERAL.—In the case of each State (or
entity designated by a State under subsection (b))
that submits to the Secretary an application in ac-
cordance with section 2316 for a fiscal year, the
Secretary of Health and Human Services, acting
through the Director of the Centers for Disease
Control and Prevention and in coordination with the
heads of the agencies specified in paragraph (2),
shall make an award of financial assistance to the
State or entity for the development and operation of
community health advisor programs under section
2314(b). The award shall consist of the allotment
determined under section 2317 with respect to the
State, subject to section 2322(b).
(2) COORDINATION WITH OTHER AGENCIES.—
The agencies referred to in paragraph (1) regarding
coordination are the Health Resources and Services
Administration, the National Institutes of Health,
and the Substance Abuse and Mental Health Serv-
ices Administration.
(b) DESIGNATED ENTITIES.—With respect to the
State involved, an entity other than the State may receive
an award under subsection (a) only if the entity—
(1) is a public or nonprofit private academic or-
ganization (or other public or nonprofit private en-
tity); and
(2) has been designated by the State to carry
out the purpose described in such subsection in the
State and to receive amounts under such subsection
in lieu of the State.
(c) 
ROLE
OF
STATE
AGENCY
FOR
PUBLIC
HEALTH.—A funding agreement for an award under sub-
section (a) is that—
(1) if the applicant is a State, the award will
be administered by the State agency with the prin-