207 
(1) by tribe, tribal organization, and service 
unit of the Service, the prevalence of, and the types 
of complications resulting from, diabetes among In-
dians; and 
(2) based on paragraph (1), the measures (in-
cluding patient education) each service unit should 
take to reduce the prevalence of, and prevent, treat, 
and control the complications resulting from, diabe-
tes among Indian tribes within that service unit. 
(b) SCREENING.—The Secretary shall screen each In-
dian who receives services from the Service for diabetes 
and for conditions which indicate a high risk that the indi-
vidual will become diabetic. Such screening may be done 
by an Indian tribe or tribal organization operating 
healthcare programs or facilities with funds from the Serv-
ice under the Indian Self-Determination and Education 
Assistance Act. 
(c) CONTINUED FUNDING.—The Secretary shall con-
tinue to fund, through fiscal year 2015, each effective 
model diabetes project in existence on the date of the en-
actment of this Act and such other diabetes programs op-
erated by the Secretary or by Indian tribes and tribal or-
ganizations and any additional programs added to meet 
existing diabetes needs. Indian tribes and tribal organiza-
tions shall receive recurring funding for the diabetes pro-
208 
grams which they operate pursuant to this section. Model 
diabetes projects shall consult, on a regular basis, with 
tribes and tribal organizations in their regions regarding 
diabetes needs and provide technical expertise as needed. 
(d) DIALYSIS PROGRAMS.—The Secretary shall pro-
vide funding through the Service, Indian tribes and tribal 
organizations to establish dialysis programs, including 
funds to purchase dialysis equipment and provide nec-
essary staffing. 
(e) OTHER ACTIVITIES.—The Secretary shall, to the 
extent funding is available— 
(1) in each area office of the Service, consult 
with Indian tribes and tribal organizations regarding 
programs for the prevention, treatment, and control 
of diabetes; 
(2) establish in each area office of the Service 
a registry of patients with diabetes to track the 
prevalence of diabetes and the complications from 
diabetes in that area; and 
(3) ensure that data collected in each area of-
fice regarding diabetes and related complications 
among Indians is disseminated to tribes, tribal orga-
nizations, and all other area offices.
209 
(f) DEFINITIONS.—For purposes of this section, the 
definitions contained in section 4 of the Indian Health 
Care Improvement Act shall apply. 
SEC. 445. GENETICS OF DIABETES. 
Title IV of the Public Health Service Act (42 U.S.C. 
281 et seq.) is amended by inserting after section 430 the 
following: 
‘‘SEC. 430A. GENETICS OF DIABETES. 
‘‘The Diabetes Mellitus Interagency Coordinating 
Committee, in collaboration with the Directors of the Na-
tional Human Genome Research Institute, the National 
Institute of Diabetes and Digestive and Kidney Diseases, 
and the National Institute of Environmental Health 
Sciences, and other voluntary organizations and interested 
parties, shall— 
‘‘(1) coordinate and assist efforts of the Type 
1 Diabetes Genetics Consortium, which will collect 
and share valuable DNA information from type 1 di-
abetes patients from studies around the world; and 
‘‘(2) provide continued coordination and sup-
port for the consortia of laboratories investigating 
the genomics of diabetes.’’.
210 
SEC. 446. RESEARCH AND TRAINING ON DIABETES IN UN-
DERSERVED AND MINORITY POPULATIONS. 
(a) RESEARCH.—Subpart 3 of part C of title IV of 
the Public Health Service Act (42 U.S.C. 285c et seq.) 
is amended by adding at the end the following: 
‘‘SEC. 434B. RESEARCH ON DIABETES IN UNDERSERVED 
AND MINORITY POPULATIONS. 
‘‘(a) IN GENERAL.—The Director of the Institute, in 
coordination with the Director of the National Center on 
Minority Health and Health Disparities, the Director of 
the Office of Minority Health, and other appropriate insti-
tutes and centers, shall expand, intensify, and coordinate 
research programs on pre-diabetes, type 1 diabetes and 
type 2 diabetes in underserved populations and minority 
groups. 
‘‘(b) RESEARCH.—The research described in sub-
section (a) shall include research on— 
‘‘(1) behavior, including diet and physical activ-
ity and other aspects of behavior; 
‘‘(2) environmental factors related to type 2 di-
abetes that are unique to, more serious, or more 
prevalent, among underserved or high-risk popu-
lations; 
‘‘(3) research on the prevention of complica-
tions, which are unique to, more serious, or more 
prevalent among minorities, as well as research on
211 
how to effectively translate the findings of clinical 
trials and research to improve methods for self-man-
agement and health-care delivery; and 
‘‘(4) genetic studies of diabetes, consistent with 
research conducted under section 430A. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated for purposes of carrying 
out this section, such sums as may be necessary for each 
of fiscal years 2007 through 2012.’’. 
(b) DIVISION DIRECTORS.—Section 428(b)(1) of the 
Public Health Service Act (42 U.S.C. 285c–2(b)(1)) is 
amended by inserting ‘‘(including research training of 
members of minority populations in order to facilitate 
their conduct of diabetes-related research in underserved 
populations and minority groups)’’ after ‘‘research pro-
grams’’. 
SEC. 447. AUTHORIZATION OF APPROPRIATIONS. 
Subpart 3 of part C of title IV of the Public Health 
Service Act (42 U.S.C. 285c et seq.) (as amended by sec-
tion 448(a)) is amended by adding at the end the fol-
lowing: 
‘‘SEC. 434C. AUTHORIZATION OF APPROPRIATIONS. 
‘‘For the purpose of carrying out this subpart with 
respect to the programs of the National Institute of Diabe-
tes and Digestive and Kidney Diseases, other than section
212 
434B, there are authorized to be appropriated such sums 
as may be necessary for each of fiscal years 2007 through 
2012.’’. 
SEC. 448. PREVENTION AND CONTROL OF SEXUALLY 
TRANSMITTED DISEASES. 
(a) IN GENERAL.—Section 318(e)(1) of the Public 
Health Service Act (42 U.S.C. 247c(e)(1)) is amended by 
striking ‘‘1998’’ and inserting ‘‘2008’’. 
(b) PREVENTABLE CASES OF INFERTILITY.—Section 
318A of the Public Health Service Act (42 U.S.C. 247c– 
1) is amended— 
(1) in subsection (q), by striking ‘‘1998’’ and 
inserting ‘‘2012’’; and 
(2) in subsection (r)(2), by striking ‘‘1998’’ and 
inserting ‘‘2012’’. 
SEC. 449. MODEL COMMUNITY DIABETES AND CHRONIC 
DISEASE CARE AND PREVENTION AMONG PA-
CIFIC ISLANDERS AND NATIVE HAWAIIANS. 
Part P of title III of the Public Health Service Act 
(42 U.S.C. 280g et seq.), as amended by section 432, is 
further amended by adding at the end the following:
213 
‘‘SEC. 399P. MODEL COMMUNITY DIABETES AND CHRONIC 
DISEASE CARE AND PREVENTION AMONG PA-
CIFIC ISLANDERS AND NATIVE HAWAIIANS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention, may award grants and enter into cooperative 
agreements and contracts with eligible entities to establish 
a model community demonstration project to provide 
training and support for community-based prevention and 
control programs targeting diabetes, hypertension, cardio-
vascular disease, and other related health problems in 
American Samoa, the Commonwealth of the Northern 
Mariana Islands, Guam, the Federated States of Micro-
nesia, Hawaii, the Republic of the Marshall Islands, and 
the Republic of Palau. 
‘‘(b) ELIGIBLE ENTITY DEFINED.—In this section 
the term ‘eligible entity’ means any organization described 
in section 501(c)(3) of the Internal Revenue Code of 1986 
and exempt from tax under section 501(a) of such Code. 
‘‘(c) PRIORITY.—The Secretary shall give priority for 
grants, agreements, and contracts under this section to 
eligible entities that have previously administered cul-
turally appropriate Centers for Disease Control and Pre-
vention programs intended to prevent and control diabetes 
in the areas described in subsection (a).
214 
‘‘(d) REGULATIONS.—The Secretary is authorized to 
promulgate such regulations as may be necessary to carry 
out this section. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section, 
such sums as may be necessary for fiscal years 2007 
through 2012.’’. 
SEC. 450. GRANTS TO IMPROVE THE PROVISION OF DENTAL 
SERVICES UNDER MEDICAID AND SCHIP. 
Title V of the Social Security Act (42 U.S.C. 701 
et seq.) is amended by adding at the end the following: 
‘‘SEC. 511. GRANTS TO IMPROVE THE PROVISION OF DEN-
TAL SERVICES UNDER MEDICAID AND SCHIP. 
‘‘(a) AUTHORITY TO MAKE GRANTS.—In addition to 
any other payments made under this title to a State, the 
Secretary shall award grants to States that satisfy the re-
quirements of subsection (b) to improve the provision of 
dental services to children who are enrolled in a State plan 
under title XIX or a State child health plan under title 
XXI (in this section, collectively referred to as the ‘State 
plans’). 
‘‘(b) REQUIREMENTS.—In order to be eligible for a 
grant under this section, a State shall provide the Sec-
retary with the following assurances:
215 
‘‘(1) 
IMPROVED
SERVICE
DELIVERY.—The 
State shall have a plan to improve the delivery of 
dental services to children, including children with 
special health care needs, who are enrolled in the 
State plans, including providing outreach and ad-
ministrative case management, improving collection 
and reporting of claims data, and providing incen-
tives, in addition to raising reimbursement rates, to 
increase provider participation. 
‘‘(2) ADEQUATE PAYMENT RATES.—The State 
has provided for payment under the State plans for 
dental services for children at levels consistent with 
the market-based rates and sufficient enough to en-
list providers to treat children in need of dental serv-
ices. 
‘‘(3) ENSURED ACCESS.—The State shall en-
sure it will make dental services available to children 
enrolled in the State plans to the same extent as 
such services are available to the general population 
of the State. 
‘‘(c) USE OF FUNDS.— 
‘‘(1) IN GENERAL.—Funds provided under this 
section may be used to provide administrative re-
sources (such as program development, provider 
training, data collection and analysis, and research-
216 
related tasks) to assist States in providing and as-
sessing services that include preventive and thera-
peutic dental care regimens. 
‘‘(2) LIMITATION.—Funds provided under this 
section may not be used for payment of direct den-
tal, medical, or other services or to obtain Federal 
matching funds under any Federal program. 
‘‘(d) APPLICATION.—A State shall submit an applica-
tion to the Secretary for a grant under this section in such 
form and manner and containing such information as the 
Secretary may require. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to make grants under 
this section, such sums as may be necessary for fiscal year 
2007 and each fiscal year thereafter. 
‘‘(f) APPLICATION
OF
OTHER
PROVISIONS
OF 
TITLE.— 
‘‘(1) IN GENERAL.—Except as provided in para-
graph (2), the other provisions of this title shall not 
apply to a grant made under this section. 
‘‘(2) EXCEPTIONS.—The following provisions of 
this title shall apply to a grant made under sub-
section (a) to the same extent and in the same man-
ner as such provisions apply to allotments made 
under section 502(c):
217 
‘‘(A) Section 504(b)(6) (relating to prohi-
bition on payments to excluded individuals and 
entities). 
‘‘(B) Section 504(c) (relating to the use of 
funds for the purchase of technical assistance). 
‘‘(C) Section 504(d) (relating to a limita-
tion on administrative expenditures). 
‘‘(D) Section 506 (relating to reports and 
audits), but only to the extent determined by 
the Secretary to be appropriate for grants made 
under this section. 
‘‘(E) Section 507 (relating to penalties for 
false statements). 
‘‘(F) 
Section 
508 
(relating 
to 
non-
discrimination). 
‘‘(G) Section 509 (relating to the adminis-
tration of the grant program).’’. 
SEC. 451. STATE OPTION TO PROVIDE WRAP-AROUND 
SCHIP COVERAGE TO CHILDREN WHO HAVE 
OTHER HEALTH COVERAGE. 
(a) IN GENERAL.— 
(1) SCHIP.— 
(A) STATE
OPTION
TO
PROVIDE
WRAP- 
AROUND
COVERAGE.—Section 2110(b) of the
218 
Social Security Act (42 U.S.C. 1397jj(b)) is 
amended— 
(i) in paragraph (1)(C), by inserting 
‘‘, subject to paragraph (5),’’ after ‘‘under 
title XIX or’’; and 
(ii) by adding at the end the fol-
lowing: 
‘‘(5) STATE OPTION TO PROVIDE WRAP-AROUND 
COVERAGE.—A State may waive the requirement of 
paragraph (1)(C) that a targeted low-income child 
may not be covered under a group health plan or 
under health insurance coverage, if the State satis-
fies the conditions described in subsection (c)(8). 
The State may waive such requirement in order to 
provide— 
‘‘(A) dental services; 
‘‘(B) cost-sharing protection; or 
‘‘(C) all services. 
In waiving such requirement, a State may limit the 
application of the waiver to children whose family in-
come does not exceed a level specified by the State, 
so long as the level so specified does not exceed the 
maximum income level otherwise established for 
other children under the State child health plan.’’.