160
‘‘(2) 
SUPPLEMENTATION
REQUIREMENT.—
Funds appropriated under section 407 and made 
available for homelessness prevention activities shall 
be used to supplement, and not supplant, other Fed-
eral, State, and local public funds used for homeless-
ness prevention. 
‘‘(c) USE RESTRICTIONS.—
‘‘(1) ACQUISITION, REHABILITATION, AND NEW 
CONSTRUCTION.—A project that consists of activities 
described in paragraph (1) or (2) of subsection (a) 
shall be operated for the purpose specified in the ap-
plication submitted for the project under section 422 
for not less than 20 years. 
‘‘(2) OTHER ACTIVITIES.—A project that con-
sists of activities described in any of paragraphs (3) 
through (7) of subsection (a) shall be operated for 
the purpose specified in the application submitted 
for the project under section 422 for the duration of 
the grant period involved. 
‘‘(3) CONVERSION.—If the recipient or project 
sponsor carrying out a project that provides transi-
tional or permanent housing submits a request to 
the Secretary to carry out instead a project for the 
direct benefit of low-income persons, and the Sec-
retary determines that the initial project is no longer
161
needed to provide transitional or permanent housing, 
the Secretary may approve the project described in 
the request and authorize the recipient or project 
sponsor to carry out that project. 
‘‘(d) REPAYMENT OF ASSISTANCE AND PREVENTION 
OF UNDUE BENEFITS.—
‘‘(1) REPAYMENT.—If a recipient or project 
sponsor receives assistance under section 422 to 
carry out a project that consists of activities de-
scribed in paragraph (1) or (2) of subsection (a) and 
the project ceases to provide transitional or perma-
nent housing— 
‘‘(A) earlier than 10 years after operation 
of the project begins, the Secretary shall re-
quire the recipient or project sponsor to repay 
100 percent of the assistance; or 
‘‘(B) not earlier than 10 years, but earlier 
than 20 years, after operation of the project be-
gins, the Secretary shall require the recipient or 
project sponsor to repay 10 percent of the as-
sistance for each of the years in the 20-year pe-
riod for which the project fails to provide that 
housing. 
‘‘(2) PREVENTION OF UNDUE BENEFITS.—Ex-
cept as provided in paragraph (3), if any property
162
is used for a project that receives assistance under 
subsection (a) and consists of activities described in 
paragraph (1) or (2) of subsection (a), and the sale 
or other disposition of the property occurs before the 
expiration of the 20-year period beginning on the 
date that operation of the project begins, the recipi-
ent or project sponsor who received the assistance 
shall comply with such terms and conditions as the 
Secretary may prescribe to prevent the recipient or 
project sponsor from unduly benefiting from such 
sale or disposition. 
‘‘(3) EXCEPTION.—A recipient or project spon-
sor shall not be required to make the repayments, 
and comply with the terms and conditions, required 
under paragraph (1) or (2) if—
‘‘(A) the sale or disposition of the property 
used for the project results in the use of the 
property for the direct benefit of very low-in-
come persons; or 
‘‘(B) all of the proceeds of the sale or dis-
position are used to provide transitional or per-
manent housing meeting the requirements of 
this subtitle.’’.
163
SEC. 433. PROGRAM REQUIREMENTS. 
Section 426 of the McKinney-Vento Homeless Assist-
ance Act (42 U.S.C. 11386) is amended—
(1) in subsection (a)—
(A) in paragraph (1), by striking ‘‘Applica-
tions’’ and all that follows through ‘‘shall’’ and 
inserting ‘‘Applications for assistance under 
section 422 shall’’; 
(B) in paragraph (2)—
(i) by striking subparagraph (B) and 
inserting the following new subparagraph: 
‘‘(B) a description of the size and charac-
teristics of the population that would occupy 
housing units or receive supportive services as-
sisted under this subtitle;’’; and 
(ii) in subparagraph (E), by striking 
‘‘in the case of projects assisted under this 
title that do not receive assistance under 
such sections,’’; and 
(C) in paragraph (3), in the last sentence, 
by striking ‘‘recipient’’ and inserting ‘‘recipient 
or project sponsor’’; 
(2) in subsection (d), in the first sentence, by 
striking ‘‘recipient’’ and inserting ‘‘recipient or 
project sponsor’’; 
(3) by striking subsection (e);
164
(4) by redesignating subsections (f), (g), and 
(h), as subsections (e), (f), and (g), respectively; 
(5) in subsection (f) (as so redesignated by 
paragraph (4) of this section), in the first sentence, 
by striking ‘‘recipient’’ each place it appears and in-
serting ‘‘recipient or project sponsor’’; 
(6) by striking subsection (i); and 
(7) by redesignating subsection (j) as sub-
section (h). 
SEC. 434. ALLOCATION AMOUNTS AND FUNDING. 
The McKinney-Vento Homeless Assistance Act is 
amended—
(1) by repealing section 429 (42 U.S.C. 11389); 
and 
(2) by redesignating sections 427 and 428 (42 
U.S.C. 11387, 11388) as sections 432 and 433, re-
spectively; and 
(3) by inserting after section 426 the following 
new sections: 
‘‘SEC. 427. ALLOCATION OF AMOUNTS FOR SPECIFIC ELIGI-
BLE ACTIVITIES. 
‘‘(a) PREVENTION ACTIVITIES.—From the amount 
made available to carry out this subtitle for each fiscal 
year (not including any amounts made available under sec-
tion 407 and allocated for use under subtitle B), an
165
amount equal to not more than 3 percent shall be used 
for prevention activities described in section 423(a)(9). 
‘‘(b) TREATMENT OF AMOUNTS FOR PERMANENT OR 
TRANSITIONAL HOUSING.—Nothing in this Act may be 
construed to establish a limit on the amount of funding 
that an applicant may request under this subtitle for ac-
quisition, construction, or rehabilitation activities for the 
development of permanent housing or transitional hous-
ing. 
‘‘SEC. 428. RENEWAL FUNDING AND TERMS OF ASSISTANCE 
FOR 
GRANT 
AMOUNTS 
FOR 
PERMANENT 
HOUSING. 
‘‘(a) IN GENERAL.—Of the total amount available for 
use in connection with expiring or terminating section 8 
subsidy contracts awarded under section 8 of the United 
States Housing Act of 1937 (42 U.S.C. 1437f), such sums 
as may be necessary shall be transferred and merged into 
the Homeless Assistance Grants account of the Depart-
ment of Housing and Urban Development. 
‘‘(b) RENEWALS.—Amounts transferred and merged 
pursuant to subsection (a) shall be available for the re-
newal of contracts for a 1-year term for rental assistance 
and housing operation costs associated with permanent 
housing projects funded under this subtitle, or under sub-
title C or F (as in effect immediately before the enactment
166
of the Bringing America Home Act), for homeless individ-
uals and homeless families. The Secretary shall determine 
whether to renew a contract for such a permanent housing 
project on the basis of demonstrated need for the project 
and the compliance of the entity carrying out the project 
with appropriate standards of housing quality and habit-
ability as determined by the Secretary. 
‘‘SEC. 429. ADMINISTRATIVE EXPENSES. 
‘‘(a) ADMINISTRATIVE EXPENSES.—Grant amounts 
awarded under this subtitle may be used for administra-
tive expenses, including expenses for—
‘‘(1) carrying out routine grant administration 
and monitoring activities; 
‘‘(2) receipt and disbursement of program 
funds; 
‘‘(3) preparation of financial and performance 
reports, including carrying out management infor-
mation system functions; and 
‘‘(4) compliance with grant conditions and audit 
requirements. 
‘‘(b) 
LIMITATIONS
ON
ADMINISTRATIVE
EX-
PENSES.—A portion, of not more than 6 percent, of grant 
amounts awarded under this subtitle may be used for ad-
ministrative expenses described in subsection (a), and not 
less than 1⁄2 of such portion shall be allocated to nonprofit
167
organizations and other project sponsors to fund manage-
ment information system functions, application prepara-
tion, and preparation of annual performance and other 
evaluation reports. 
‘‘SEC. 430. MATCHING FUNDING. 
‘‘An entity who submits an application and receives 
a grant under this subtitle shall make available contribu-
tions, in cash or in donated services, in an amount equal 
to not less than 25 percent of the Federal funds provided 
under the grant. 
‘‘SEC. 431. APPEAL PROCEDURE. 
‘‘(a) IN GENERAL.—With respect to funding under 
this subtitle, if certification of consistency with the consoli-
dated plan pursuant to section 403 is withheld from an 
applicant who has submitted an application for that cer-
tification, such applicant may appeal such decision to the 
Secretary. 
‘‘(b) PROCEDURE.—The Secretary shall establish a 
procedure to process the appeals described in subsection 
(a). 
‘‘(c) DETERMINATION.—Not later than 45 days after 
the date of receipt of an appeal described in subsection 
(a), the Secretary shall determine if certification was un-
reasonably withheld. If such certification was unreason-
ably withheld, the Secretary shall review such application
168
and determine if such applicant shall receive funding 
under this subtitle.’’. 
Subtitle D—Repeals and 
Conforming Amendments 
SEC. 441. REPEALS. 
Subtitles D, E, F, and G of title IV of the McKinney-
Vento Homeless Assistance Act (42 U.S.C. 11391 et seq., 
11401 et seq., 11403 et seq., and 11408 et seq.) are here-
by repealed. 
SEC. 442. CONFORMING AMENDMENTS. 
(a) CONSOLIDATED PLAN.—Section 403(1) of the 
McKinney-Vento Homeless Assistance Act (as so redesig-
nated by section 411(2) of this Act), is amended—
(1) by striking ‘‘current housing affordability 
strategy’’ and inserting ‘‘consolidated plan’’; and 
(2) by inserting before the comma the following: 
‘‘(referred to in such section as a ‘comprehensive 
housing affordability strategy’)’’. 
(b) PERSONS EXPERIENCING HOMELESSNESS.—Sec-
tion 103 of the McKinney-Vento Homeless Assistance Act 
(42 U.S.C. 11302) is amended by adding at the end the 
following new subsection: 
‘‘(d) PERSONS EXPERIENCING HOMELESSNESS.—
Any references in this Act to homeless individuals (includ-
ing homeless persons) or homeless groups (including the
169
homeless) shall be considered to include, and to refer to, 
individuals experiencing homelessness or groups experi-
encing homelessness, respectively.’’. 
SEC. 443. AMENDMENT TO TABLE OF CONTENTS. 
The table of contents in section 101(b) of the McKin-
ney-Vento Homeless Assistance Act (42 U.S.C. 11301 
note) is amended by striking the items relating to the 
heading for title IV and all that follows through the item 
relating to section 492 and inserting the following new 
items:
‘‘TITLE IV—HOUSING ASSISTANCE 
‘‘Subtitle A—Comprehensive Homeless Assistance Plan 
‘‘Sec. 401. Definitions. 
‘‘Sec. 402. Community homeless assistance planning boards. 
‘‘Sec. 403. Housing affordability strategy. 
‘‘Sec. 404. Technical assistance. 
‘‘Sec. 405. Performance reports. 
‘‘Sec. 406. Discharge coordination policy. 
‘‘Sec. 407. Authorization of appropriations. 
‘‘Subtitle B—Emergency Shelter Grants Program 
‘‘Sec. 411. Definitions. 
‘‘Sec. 412. Grant assistance. 
‘‘Sec. 413. Allocation and distribution of assistance. 
‘‘Sec. 414. Eligible activities. 
‘‘Sec. 415. Responsibilities of recipients. 
‘‘Sec. 416. Administrative provisions. 
‘‘Subtitle C—Continuum of Care Program 
‘‘Sec. 421. Purpose. 
‘‘Sec. 422. Continuum of care applications and grants. 
‘‘Sec. 423. Eligible activities. 
‘‘Sec. 424. Supportive housing. 
‘‘Sec. 425. Supportive services. 
‘‘Sec. 426. Program requirements. 
‘‘Sec. 427. Allocation of amounts for specific eligible activities. 
‘‘Sec. 428. Renewal funding and terms of assistance for grant amounts for per-
manent housing. 
‘‘Sec. 429. Administrative expenses. 
‘‘Sec. 430. Matching funding. 
‘‘Sec. 431. Appeal procedure.
170
‘‘Sec. 432. Regulations. 
‘‘Sec. 433. Reports to Congress.’’.
TITLE V—PRESERVATION OF 
RESOURCES 
SEC. 501. GOVERNORS, MAYORS, CITIES, AND COUNTIES 
HOUSING ADVISORY COMMITTEES. 
It is the sense of the Congress that the National Gov-
ernors Association, the U.S. Conference of Mayors, the 
National League of Cities, and the National Association 
of Counties should—
(1) each establish an advisory committee to un-
dertake an assessment of housing needs in the 
United States on an annual basis; and 
(2) submit each such annual housing needs as-
sessment to the Committee on Financial Services of 
the House of Representatives and the Committee on 
Banking, Housing, and Urban Affairs of the Senate, 
and the Committees on Appropriations of the House 
and Senate. 
SEC. 502. MORTGAGE INTEREST DEDUCTION LIMITED TO 
$300,000 OF DEBT ON 1 HOME; REPEAL OF DE-
DUCTION FOR HOME EQUITY INDEBTEDNESS; 
REPEAL OF EXCLUSION OF GAIN ON SALE OF 
PRINCIPAL RESIDENCE. 
(a) LIMITATIONS ON MORTGAGE INTEREST DEDUC-
TION.—
171
(1) IN
GENERAL.—Paragraph (3) of section 
163(h) of the Internal Revenue Code of 1986 is 
amended to read as follows: 
‘‘(3) QUALIFIED
RESIDENCE
INTEREST.—For 
purposes of this subsection—
‘‘(A) IN
GENERAL.—The term ‘qualified 
residence interest’ means any interest which is 
paid or accrued during the taxable year on ac-
quisition indebtedness with respect to the prin-
cipal residence of the taxpayer. For purposes of 
the preceding sentence, the determination of 
whether any property is the principal residence 
of the taxpayer shall be made as of the time the 
interest is accrued. 
‘‘(B) ACQUISITION INDEBTEDNESS.—
‘‘(i) IN GENERAL.—The term ‘acquisi-
tion indebtedness’ means any indebtedness 
which—
‘‘(I) is incurred in acquiring, con-
structing, or substantially improving 
the principal residence of the tax-
payer, and 
‘‘(II) is secured by such resi-
dence.
172
Such term also includes any indebtedness 
secured by such residence resulting from 
the refinancing of indebtedness meeting 
the requirements of the preceding sentence 
(or this sentence); but only to the extent 
the amount of the indebtedness resulting 
from such refinancing does not exceed the 
amount of the refinanced indebtedness. 
‘‘(ii) $500,000 LIMITATION.—The ag-
gregate amount treated as acquisition in-
debtedness for any period shall not exceed 
$300,000 ($150,000 in the case of a mar-
ried individual filing a separate return). 
‘‘(C) TREATMENT OF INDEBTEDNESS IN-
CURRED ON OR BEFORE JULY 18, 2003.—
‘‘(i) IN GENERAL.—In the case of any 
pre-July 18, 2003, indebtedness—
‘‘(I) such indebtedness shall be 
treated as acquisition indebtedness, 
and 
‘‘(II) the limitation of subpara-
graph (B)(ii) shall not apply. 
‘‘(ii) REDUCTION IN $300,000 LIMITA-
TION.—The limitation of subparagraph 
(B)(ii) shall be reduced (but not below
173
zero) by the aggregate amount of out-
standing pre-July 18, 2003, indebtedness. 
‘‘(iii) PRE-JULY 18, 2003, INDEBTED-
NESS.—The term ‘pre-July 18, 2003, in-
debtedness’ means—
‘‘(I) any indebtedness which was 
incurred on or before July 18, 2003, 
and which was secured by a qualified 
residence on such date and at all 
times thereafter before the interest is 
paid or accrued, or 
‘‘(II) any indebtedness which is 
secured by the qualified residence and 
was incurred after July 18, 2003, to 
refinance indebtedness described in 
subclause (I) (or refinanced indebted-
ness meeting the requirements of this 
subclause) to the extent (immediately 
after the refinancing) the principal 
amount of the indebtedness resulting 
from the refinancing does not exceed 
the principal amount of the refinanced 
indebtedness (immediately before the 
refinancing).
174
‘‘(iv) LIMITATION ON PERIOD OF RE-
FINANCING.—Subclause (II) of clause (iii) 
shall not apply to any indebtedness after—
‘‘(I) the expiration of the term of 
the indebtedness described in clause 
(iii)(I), or 
‘‘(II) if the principal of the in-
debtedness described in clause (iii)(I) 
is not amortized over its term, the ex-
piration of the term of the 1st refi-
nancing of such indebtedness (or if 
earlier, the date which is 30 years 
after the date of such 1st refi-
nancing).’’. 
(2) CONFORMING AMENDMENT.—Subparagraph 
(A) of section 163(h)(4) of such Code is amended to 
read as follows: 
‘‘(a) PRINCIPAL
RESIDENCE.—The term 
‘principal residence’ has the meaning given to 
such term by section 121.’’. 
(b) REPEAL OF EXCLUSION OF GAIN ON SALE OF 
PRINCIPAL RESIDENCE.—Section 121 of such Code is 
hereby repealed.
175
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to taxable years beginning after 
the date of the enactment of this Act. 
TITLE VI—HEALTH SECURITY 
Subtitle A—General Provisions 
SEC. 601. FINDINGS; SENSE OF CONGRESS. 
(a) FINDINGS.—The Congress finds as follows: 
(1) The United States has the most expensive 
health care system in the world in terms of absolute 
costs, per capita costs, and percentage of gross do-
mestic product (GDP). 
(2) Despite being first in spending, the World 
Health Organization has ranked the United States 
37th among all nations in terms of meeting the 
needs of its people. 
(3) 43,000,000 Americans, including 9,000,000 
children, are uninsured. 
(4) Tens of millions more Americans are inad-
equately insured, including medicare beneficiaries 
who lack access to prescription drug coverage and 
long term care coverage. 
(5) Racial, income, and ethnic disparities in ac-
cess to care threaten communities across the coun-
try, particularly communities of color.
176
(6) Health care costs continue to increase, jeop-
ardizing the health security of working families and 
small businesses. 
(7) Any health care reform must ensure that 
health care providers and practitioners are able to 
provide patients with the quality care they need. 
(b) SENSE OF CONGRESS.—It is the sense of the 
Congress that legislation should be enacted to guarantee 
that every person in the United States, regardless of in-
come, age, or employment or health status, has access to 
health care that—
(1) is affordable to individuals and families, 
businesses and taxpayers and that removes financial 
barriers to needed care; 
(2) is as cost efficient as possible, spending the 
maximum amount of dollars on direct patient care; 
(3) provides comprehensive benefits, including 
benefits for mental health, co-occurring disorders, 
and long term care services; 
(4) promotes prevention and early intervention; 
(5) includes parity for mental health, co-occur-
ring disorders and other services; 
(6) eliminates disparities in access to quality 
health care;
177
(7) addresses the needs of people with special 
health care needs and underserved populations in 
rural and urban areas; 
(8) promotes quality and better health out-
comes; 
(9) addresses the need to have adequate num-
bers of qualified health care caregivers, practi-
tioners, and providers to guarantee timely access to 
quality care; 
(10) provides adequate and timely payments in 
order to guarantee access to providers; 
(11) fosters a strong network of health care fa-
cilities, including safety net providers; 
(12) ensures continuity of coverage and con-
tinuity of care; 
(13) maximizes consumer choice of health care 
providers and practitioners; and 
(14) is easy for patients, providers and practi-
tioners to use and reduces paperwork. 
SEC. 602. SENSE OF CONGRESS REGARDING MEDICAID EX-
PANSION. 
(a) FINDINGS.—The Congress finds that—
(1) impoverished people are unable to purchase 
insurance in the private market because of soaring 
costs;
178
(2) over one-half of poor and homeless Ameri-
cans and two-thirds of homeless adults unaccom-
panied by children have no health insurance at all, 
primarily because they do not qualify for public 
health insurance and because they cannot afford pri-
vate health insurance; 
(3) only 30 percent of surveyed homeless per-
sons nationwide and 20 percent of clients receiving 
services through the Health Care for the Homeless 
Program are beneficiaries of the Medicaid program 
or the State Children’s Health Insurance Program 
under title XXI of the Social Security Act (SCHIP); 
(4) in all but nine states the Medicaid and 
SCHIP programs currently exclude single non-dis-
abled adults; 
(5) safety-net health care providers are often 
unable to obtain access to specialty care and medica-
tions for patients who are uninsured; 
(6) research has shown that people with health 
insurance have better access to health care than do 
those receiving safety net services alone; and 
(7) Medicaid helps prevent and end homeless-
ness by increasing the access of impoverished people 
to comprehensive health care.
179
(b) SENSE OF CONGRESS.—It is the sense of the 
Congress that legislation should be enacted—
(1) to expand Medicaid to all individuals with 
incomes below 200 percent of the Federal poverty 
line; 
(2) to ensure that Medicaid services remain af-
fordable for beneficiaries by eliminating cost sharing 
for beneficiaries with incomes below the Federal pov-
erty line; and 
(3) to mandate expedited enrollment for Med-
icaid applicants experiencing homelessness. 
SEC. 603. AUTHORIZATIONS OF APPROPRIATIONS FOR CER-
TAIN PROGRAMS. 
(a) COMMUNITY MENTAL HEALTH SERVICES BLOCK 
GRANT.—Section 1920(a) of the Public Health Service 
Act (42 U.S.C. 300x–9(a)) is amended by striking ‘‘there 
are authorized’’ and all that follows and inserting the fol-
lowing: ‘‘there are authorized to be appropriated 
$500,000,000 for fiscal year 2003, and such sums as may 
be necessary for each of the fiscal years 2004 through 
2007.’’. 
(b) SUBSTANCE ABUSE PREVENTION AND TREAT-
MENT BLOCK GRANT.—Section 1935(a) of the Public 
Health Service Act (42 U.S.C. 300x–35(a)) is amended 
by striking ‘‘there are authorized’’ and all that follows and
180
inserting the following: ‘‘there are authorized to be appro-
priated $2,500,000,000 for fiscal year 2003, and such 
sums as may be necessary for each of the fiscal years 2004 
through 2007.’’. 
(c) PROJECTS
FOR ASSISTANCE
IN TRANSITION 
FROM HOMELESSNESS (PATH).—Section 535(a) of the 
Public Health Service Act (42 U.S.C. 290cc–35(a)) is 
amended by striking ‘‘there is authorized’’ and all that fol-
lows and inserting the following: ‘‘there are authorized to 
be appropriated $100,000,000 for fiscal year 2003, and 
such sums as may be necessary for each of the fiscal years 
2004 through 2007.’’. 
(d) GRANTS FOR THE BENEFIT OF HOMELESS INDI-
VIDUALS (GBHI).—Section 506(e) of the Public Health 
Service Act (42 U.S.C. 290aa–5(e)) is amended by strik-
ing ‘‘There is authorized’’ and all that follows and insert-
ing the following: ‘‘For the purpose of carrying out this 
section, there are authorized to be appropriated 
$100,000,000 for fiscal year 2003, and such sums as may 
be necessary for each of the fiscal years 2004 through 
2007.’’.
181
Subtitle B—Substance Abuse and 
Mental Health Services Admin-
istration 
PART 1—MAINSTREAM ADDICTION AND MENTAL 
HEALTH SERVICES PROGRAMS 
Subpart A—Discharge Planning 
SEC. 611. AVERTING PATIENT DISCHARGE INTO HOMELESS-
NESS. 
Part D of title V of the Public Health Service Act 
(42 U.S.C. 290dd et seq.) is amended by adding at the 
end the following section: 
‘‘SEC. 544. DISCHARGE PLANNING IN PRIVATE AND PUBLIC 
HOSPITALS AND INPATIENT FACILITIES. 
‘‘Any private or public hospital, nursing home, 
subacute and transitional care, hospice, residential treat-
ment, rehabilitation, or other inpatient facility which re-
ceives support in any form from any State or program 
supported in whole or in part by funds appropriated to 
any Federal department or agency pursuant to this title 
XIX shall have established a system designed to ensure 
that individuals in such facilities are referred to the most 
medically appropriate level of care and discharged from 
such facilities in such a manner that ensures that such 
individuals are placed in stable and appropriate housing, 
as soon as such referral is medically indicated.’’.
182
Subpart B—Provision of Appropriate Services 
SEC. 616. APPLICATION OF KNOWLEDGE DEVELOPMENT 
FINDINGS TO SERVICE DELIVERY. 
(a) STATE PLAN FOR COMPREHENSIVE COMMUNITY 
HEALTH SERVICES FOR CERTAIN INDIVIDUALS.—Section 
1912(b) of the Public Health Service Act is amended by 
inserting after paragraph (5) the following: 
‘‘(7) REPLICATION OF SUCCESSFUL MODELS.—
The plan describes the manner in which resources 
will be allocated to entities that agree to replicate 
successful models of prevention, early intervention, 
and treatment, and rehabilitation as identified by 
the Administrator.’’. 
(b) APPLICATION FOR GRANT; APPROVAL OF STATE 
PLAN.—Section 1932(b) of the Public Health Service Act 
(42 U.S.C. 300x–32(b)), as amended by section 632(2) 
of this Act, is amended by adding at the end the following 
paragraph: 
‘‘(5) REPLICATION OF SUCCESSFUL MODELS.—
The plan submitted under subsection (a)(6) shall de-
scribe the manner in which resources will be allo-
cated to entities that agree to replicate successful 
models of prevention, early intervention, and treat-
ment, and rehabilitation as identified by the Admin-
istrator.’’.
183
Subpart C—Grantee Planning, Reporting, and 
Capacity-Building 
SEC. 621. EXPANSION OF PARTICIPATION IN GRANTEE 
PLANNING. 
Subpart II of part B of title XIX of the Public Health 
Service Act (42 U.S.C. 300x–21 et seq.) is amended by 
inserting after section 1927 the following section: 
‘‘SEC. 1927B. STATE SUBSTANCE ABUSE PLANNING COUN-
CIL. 
‘‘(a) IN GENERAL.—A funding agreement for a grant 
under section 1921 is that the State involved will establish 
and maintain a State substance abuse planning council in 
accordance with the conditions described in this section. 
‘‘(b) DUTIES.—A condition under subsection (a) for 
a Council is that the duties of the Council are—
‘‘(1) to review plans submitted under section 
1932 and to submit to the State any recommenda-
tions of the Council for modifications to the plans; 
‘‘(2) to serve as an advocate for individuals 
with substance abuse disorders; 
‘‘(3) to monitor, review, and evaluate, not less 
than once each year, the allocation of funds for, and 
adequacy of, substance abuse service within the 
State. 
‘‘(c) MEMBERSHIP.—
184
‘‘(1) IN
GENERAL.—A condition under sub-
section (a) for a Council is that the Council be com-
posed of residents of the State, including representa-
tives of—
‘‘(A) the principal State agencies with re-
spect to—
‘‘(i) substance abuse, mental health, 
primary health, HIV/AIDS, education, vo-
cational rehabilitation, criminal justice, 
housing, youth services, and social services; 
and 
‘‘(ii) the development of the plan sub-
mitted pursuant to title XIX of the Social 
Security Act; 
‘‘(B) public, private, and nonprofit entities 
concerned with the need, planning, operation, 
funding, and use of substance abuse services 
and related support service, including those 
concerned with homeless individuals; 
‘‘(C) individuals who are receiving sub-
stance abuse services; and 
‘‘(D) the families of such individuals. 
‘‘(2) CERTAIN
REQUIREMENTS.—A condition 
under subsection (a) for a Council is that not less 
than 40 percent of the members of the Council are
185
individuals who are not State employees or providers 
of substance abuse services. 
‘‘(d) DEFINITION.—For purposes of this section, the 
term ‘Council’ means a State substance abuse planning 
council. 
‘‘(e) ADDITIONAL PROVISION.—The Secretary may 
make a grant under Section 1921 to a State only if—
‘‘(1) the plan submitted under section 1932 
with respect to the grant and the report of the State 
under section 1942(a) concerning the preceding fis-
cal year has been reviewed by the State substance 
abuse planning council established under this sec-
tion; and 
‘‘(2) the State submits to the Secretary any 
recommendations received by the State from such 
council for modifications to the plan (without regard 
to whether the State has made the recommended 
modifications) and any comments concerning the an-
nual report.’’. 
SEC. 622. DOCUMENTATION OF NEEDS OF AND ESTAB-
LISHING PRIORITIES FOR HOMELESS POPU-
LATION. 
Section 1932(b) of the Public Health Service Act (42 
U.S.C. 300x–32(b)) is amended—
186
(1) by amending paragraph (1) to read as fol-
lows: 
‘‘(1) IN
GENERAL.—A plan submitted by a 
State under subsection (a)(6) is in accordance with 
this subsection if—
‘‘(A) the plan contains detailed provisions 
for complying with each funding agreement for 
a grant under section 1921 that is applicable to 
the State, including a description of the manner 
in which the State intends to expend the grant; 
and 
‘‘(B) the plan meets the criteria specified 
in subsection (b)(4).’’; and 
(2) by adding at the end the following para-
graph: 
‘‘(4) CRITERIA FOR PLAN.—With respect to the 
provision of services under Section 1921, the criteria 
referred to in subsection (b)(1) are as follows: 
‘‘(A) COMPREHENSIVE COMMUNITY-BASED 
SUBSTANCE ABUSE PREVENTION AND TREAT-
MENT SYSTEMS.—The plan provides for a co-
ordinated community-based system of care for 
individuals with substance abuse or at-risk of 
substance abuse and describes available services 
and resources in a comprehensive system of
187
care, including services for dually-diagnosed in-
dividuals. The description of the system of care 
shall include substance abuse prevention serv-
ices, substance abuse treatment services, pri-
mary health services, mental health services, re-
habilitation services, employment services, hous-
ing services, educational services, medical and 
dental care, and other support services to be 
provided to individuals with Federal, State, and 
local public and private resources. The plan 
shall include a separate description of case 
management services and provide for activities 
leading to reduction in need for hospitalization. 
‘‘(B) SUBSTANCE ABUSE PREVENTION AND 
TREATMENT
SYSTEM
DATA
AND
EPIDEMI-
OLOGY.—The plan contains an estimate of the 
incidence and prevalence in the State of sub-
stance abuse among adults and children, includ-
ing individuals who are homeless, and presents 
quantitative targets to be achieved in the imple-
mentation of the system described in subpara-
graph (B). 
‘‘(C) TARGETED SERVICES TO RURAL AND 
HOMELESS POPULATIONS.—The plan describes 
the State’s outreach to and services for individ-
188
uals who are homeless and how community-
based services will be provided to individuals re-
siding in rural areas, including individuals who 
are homeless. 
‘‘(D) MANAGEMENT SYSTEMS.—The plan 
describes the financial resources, staffing, and 
training for substance abuse prevention and 
treatment providers that is necessary to imple-
ment the plan, and provides for the training of 
providers of emergency health services regard-
ing substance abuse. The plan further describes 
the manner in which the State intends to ex-
pend the grant under Section 1921 for the fis-
cal year involved.’’. 
Subpart D—Designation of Persons Experiencing 
Homelessness as Priority Population 
SEC. 626. REQUIRING GRANTEES TO DIRECT FUNDS TO 
PERSONS EXPERIENCING HOMELESSNESS. 
(a) TREATMENT SERVICES REGARDING SUBSTANCE 
ABUSE.—Subpart II of part B of title XIX of the Public 
Health Service Act (42 U.S.C. 300x–21 et seq.), as 
amended by section 621 of this Act, is further amended 
by inserting before section 1927B the following section:
190
‘‘(A) will refer the person to a treatment 
facility that has the capacity to provide treat-
ment services to the person; or 
‘‘(B) will, if no treatment facility has the 
capacity to admit the person, make interim 
services available to the person at the time the 
person seeks the treatment services.’’. 
(b) PREFERENCE REGARDING MENTAL HEALTH 
SERVICES.—Section 1912(b) of the Public Health Service 
Act (42 U.S.C. 300x–2(b)), as amended by section 616(a) 
of this Act, is further amended by inserting after para-
graph (5) the following: 
‘‘(6) HOMELESS INDIVIDUALS.—The plan pro-
vides that homeless individuals are to receive pref-
erence in the provision of services provided under 
grants under section 1911.’’. 
SEC. 627. PRIORITIZATION OF SERVICES FOR RUNAWAY, 
HOMELESS, AND STREET YOUTH. 
Section 517(b) of the Public Health Service Act (42 
U.S.C. 290bb–23(b)) is amended—
(1) in paragraph (1), by inserting ‘‘runaway, 
homeless, and street children and youth,’’ after ‘‘ad-
olescent parents,’’; and 
(2) in paragraph (2), by inserting ‘‘homeless-
ness,’’ after ‘‘suicide,’’.
191
SEC. 628. DEFINITION OF RUNAWAY, HOMELESS, AND 
STREET YOUTH AS HIGH RISK. 
Section 517(g) of the Public Health Service Act (42 
U.S.C. 290bb–23(g)) is amended—
(1) in paragraph (9), by striking ‘‘or’’ after the 
semicolon; 
(2) in paragraph (10), by striking the period 
and inserting ‘‘; or’’; and 
(3) by adding at the end the following para-
graph: 
‘‘(11) ‘‘is a runaway, homeless, or street 
youth.’’. 
Subpart E—Federal Program Management 
SEC. 631. ESTABLISHMENT OF FEDERAL PLAN ON ADDIC-
TION, MENTAL ILLNESS, AND HOMELESS-
NESS. 
Part D of title V of the Public Health Service Act 
(42 U.S.C. 290dd et seq.), as amended by section 611 of 
this Act, is further amended by adding at the end the fol-
lowing section: 
‘‘SEC. 545. FEDERAL PLAN ON ADDICTION, MENTAL ILL-
NESS, AND HOMELESSNESS. 
‘‘(a) PLAN ELEMENTS.—Within one year after the 
date of the enactment of this section, the Secretary shall 
prepare and submit to the Committee on Energy and 
Commerce of the House of Representatives and the Com-
192
mittee on Health, Education, Labor, and Pensions of the 
Senate a plan that describes—
‘‘(1) current federal, state, and local public poli-
cies and practices regarding homelessness and addic-
tion and mental illness prevention, early interven-
tion, treatment, and rehabilitation; 
‘‘(2) identifies administrative and statutory ac-
cess and care barriers and opportunities for persons 
experiencing homelessness with addictive and mental 
disorders; and 
‘‘(3) recommends administrative and legislative 
actions that would increase homeless persons’ access 
to addiction and mental health services and improves 
the appropriateness and quality of care they receive 
through such systems and programs. 
‘‘(b) PLAN SUB-ELEMENTS.—The plan should de-
scribe the elements as provided in subsection (a) for the 
following topics: 
‘‘(1) Grantee planning, reporting, and capacity-
building. 
‘‘(2) Consumer involvement. 
‘‘(3) Designation of priority populations. 
‘‘(4) Outreach and enrollment. 
‘‘(5) Participant tracking.
193
‘‘(6) Elimination of regulatory and administra-
tive impediments. 
‘‘(7) Provision of appropriate services. 
‘‘(8) Discharge planning. 
‘‘(9) Outcome measurement. 
‘‘(c) CONSULTATION.—In establishing the plan re-
quired under subsection (a), the Secretary shall consult 
with homeless children, youth, families, and individuals 
with addictive and mental disorders, nonprofit organiza-
tions advocating for persons experiencing homelessness, 
homeless health, housing, and support service providers, 
and public agency representatives. 
‘‘(d) PLAN
IMPLEMENTATION.—Within one year 
after the date of enactment of this section, the Secretary 
shall implement administrative recommendations identi-
fied in subsection (a)(3).’’. 
PART 2—TARGETED HOMELESS ADDICTION AND 
MENTAL HEALTH SERVICES PROGRAMS 
Subpart A—Reauthorize, Rename, and Strengthen 
the Grants for the Benefit of Homeless Individ-
uals Program 
SEC. 641. TREATMENT AND RECOVERY INITIATIVE FOR 
PERSONS EXPERIENCING HOMELESSNESS. 
Section 506 of the Public Health Service Act (42 
U.S.C. 290aa–5) is amended by striking the section des-
194
ignation and heading and all that follows through sub-
section (c) and inserting the following: 
‘‘SEC. 506. GRANTS FOR TREATMENT AND RECOVERY INI-
TIATIVE 
FOR 
PERSONS 
EXPERIENCING 
HOMELESSNESS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator and the Administrator of the Health 
Resources and Services Administration, shall make grants 
to, and enter into contracts and cooperative agreements 
with, community based public and private nonprofit enti-
ties for the purpose of developing and expanding the serv-
ices specified in section 552(b) for homeless individuals 
and families who (1)(A) are suffering from substance 
abuse; (B) are suffering from mental illness; or (C) are 
suffering from substance abuse and from mental illness; 
and (2) are homeless or at imminent risk of becoming 
homeless. In carrying out this subsection, the adminis-
trator shall consult with the Directors of the national re-
search institutes of the National Institutes of Health, the 
Assistant Secretary of the Administration, the Adminis-
trator of the Social Security Administration, the Secretary 
of Agriculture, the Secretary of Education, the Secretary 
of Housing and Urban Development, the Secretary of 
Labor, the Secretary of Transportation, and the Secretary 
of Veterans Affairs.
195
‘‘(b) PREFERENCE.—In awarding grants under sub-
section (a), the Secretary shall give preference to—
‘‘(1) entities that provide integrated primary 
health care, substance abuse and mental health serv-
ices to homeless individuals, including health centers 
receiving grants under section 330(h); 
‘‘(2) entities that demonstrate experience in 
providing substance abuse and mental health service 
to homeless persons; and 
‘‘(3) entities that demonstrate experience in 
providing supportive housing or permanent housing 
to persons experiencing homelessness in treatment 
for or in recovery from substance abuse or mental 
illness. 
‘‘(c) SERVICES
FOR
INDIVIDUALS.—In making 
awards under subsection (a), the Secretary may not—
‘‘(1) prohibit the provision of services under 
such subsection to individuals experiencing homeless-
ness who are suffering from substance abuse and are 
not suffering from mental illness; 
‘‘(2) make payments under subsection (a) to 
any entity that has a policy of (A) excluding individ-
uals from mental health services due to the existence 
of suspicion of substance abuse; or (B) has a policy 
of excluding individuals from substance abuse serv-
196
ices due to the existence or suspicion of mental ill-
ness.’’. 
Subpart B—Reauthorize and Strengthen the Projects 
for Assistance in Transition from Homelessness 
(PATH) Program 
SEC. 651. EXPANSION OF REQUIRED SCOPE OF SERVICES 
OF PATH PROVIDERS. 
Section 522(b) of the Public Health Service Act (42 
U.S.C. 290cc–22(b)) is amended—
(1) by striking paragraphs (4) and (5) and in-
serting the following: 
‘‘(4) community mental health treatment and 
support services; 
‘‘(5) alcohol or drug treatment and support 
services;’’; 
(2) in paragraph (7), by striking subparagraphs 
(A) through (D) and inserting the following: 
‘‘(A) preparing a plan for the provision of 
community mental health services or substance 
abuse services to the eligible homeless individual 
involved, and reviewing such plan not less than 
once every three months to evaluate its effec-
tiveness in assuring long-term stability; 
‘‘(B) providing assistance in obtaining and 
coordinating social and maintenance services for
197
the eligible homeless individuals, including serv-
ices relating to daily living activities, personal 
financial planning, transportation services, ha-
bilitation 
and 
rehabilitation 
services, 
prevocational and vocational services, and hous-
ing services; 
‘‘(C) providing assistance to the eligible 
homeless individual in obtaining income and 
medical support services, including housing as-
sistance, food stamps, supplemental security in-
come, Medicaid, Medicare, and veterans affairs 
assistance, and employment and training pro-
grams; 
‘‘(D) referring the eligible homeless indi-
vidual for such other services as may be appro-
priate and assuring that the service is delivered 
in a timely manner for as long as needed to as-
sure long-term stability; and’’; and 
(3) in paragraph (10), by striking subpara-
graph (B) and inserting the following: 
‘‘(B) planning of housing needs at different 
stages of recovery and stability;’’.
198
SEC. 
652. 
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. 653. 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. 654. 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:
199
‘‘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-
200
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. 655. 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.
201
Subtitle C—Amendments Regard-
ing Ryan White Comprehensive 
AIDS Resources Emergency Act 
of 1990
PART 1—DISCHARGE PLANNING 
SEC. 661. 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. 666. 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:
202
‘‘(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-
203
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).’’.
204
SEC. 667. APPLICATION OF KNOWLEDGE DEVELOPMENT 
FINDINGS TO SERVICE DELIVERY. 
(a) EMERGENCY RELIEF GRANTS.—Paragraph (1) of 
section 2603(b) of the Public Health Service Act (42 
U.S.C. 300ff–13) is amended—
(1) by striking ‘‘and’’ at the end of subpara-
graph (F); 
(2) by striking the period at the end of sub-
paragraph (G) and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(H) demonstrates that resources will be 
allocated to entities that agree to replicate suc-
cessful models of care identified by the Sec-
retary under Section 2691(g).’’. 
(b) CARE GRANTS.—Section 2611 of the Public 
Health Service Act (42 U.S.C. 300ff–14) is amended by 
adding at the end the following: 
‘‘(c) PRIORITY.—In providing assistance under para-
graphs (1), (2), and (3) of section 2612, a State shall give 
priority to entities that agree to replicate successful mod-
els of care identified by the Secretary under Section 
2691(g).’’.
205
PART 3—GRANTEE PLANNING, REPORTING, AND 
CAPACITY BUILDING 
SEC. 671. EXPANSION OF PARTICIPATION IN GRANTEE AND 
CONTRACTOR PLANNING. 
(a) REPRESENTATION ON HIV HEALTH SERVICES 
PLANNING COUNCILS.—Paragraph (2) of section 2602(b) 
of the Public Health Service Act (42 U.S.C. 300ff–12(b)) 
is amended—
(1) in subparagraph (E), by inserting ‘‘, hous-
ing, education, employment, rehabilitation, human 
services, and corrections’’ after ‘‘local public health’’; 
(2) in subparagraph (G), by inserting ‘‘dis-
proportionately affected and’’ before ‘‘historically 
underserved’’; 
(3) in subparagraph (I), by inserting ‘‘, the 
State housing agency, the State mental health agen-
cy, the State substance abuse agency, the State edu-
cational agency, the State employment agency, the 
State rehabilitation agency, the State human serv-
ices agency, the State corrections agency,’’ before 
‘‘and the agency administering the program under 
part B’’; 
(4) in subparagraph (L), by striking ‘‘and’’ at 
the end; 
(5) in subparagraph (M), by striking the period 
at the end and inserting ‘‘; and’’; and
206
(6) by adding at the end the following: 
‘‘(N) grantees under Federal housing, 
homeless assistance, mental health, substance 
abuse, education, employment, rehabilitation, 
social services, youth services, and corrections 
programs; and 
‘‘(O) pharmaceutical manufacturers and 
retailers.’’. 
(b) MEETINGS CONVENED BY STATE.—Paragraph 
(5) of section 2617(b) of the Public Health Service Act 
(42 U.S.C. 200ff–27) is amended—
(1) by striking ‘‘a meeting of individuals with 
HIV disease, representatives of grantees under each 
part under this title, providers, and public agency 
representatives’’; and 
(2) by striking ‘‘; and’’ and inserting ‘‘a meet-
ing of representatives of—
‘‘(A) health care providers, including feder-
ally qualified health centers; 
‘‘(B) community-based organizations serv-
ing affecting populations and AIDS service or-
ganizations; 
‘‘(C) social service and housing providers; 
‘‘(D) mental health and substance abuse 
providers;
207
‘‘(E) local public health, mental health, 
substance abuse, housing, education, employ-
ment, rehabilitation, human services, and cor-
rections agencies; 
‘‘(F) hospital planning agencies or health 
care planning agencies; 
‘‘(G) affected communities, including peo-
ple with HIV disease or AIDS and dispropor-
tionately affected and historically underserved 
groups and subpopulations; 
‘‘(H) non-elected community leaders; 
‘‘(I) State government (including the State 
Medicaid agency, State housing agency, State 
mental health agency, State substance abuse 
agency, State education agency, State employ-
ment agency, State rehabilitation agency, State 
human services agency, and State corrections 
agency); 
‘‘(J) grantees under each part of this title; 
‘‘(K) grantees under other Federal HIV 
programs; and 
‘‘(L) grantees under Federal housing, 
homeless assistance mental health, substance 
abuse, education employment, rehabilitation, so-
208
cial services, youth services, and corrections 
programs; and 
‘‘(M) pharmaceutical manufacturers and 
retailers; and’’. 
SEC. 672. DEVELOPMENT OF KNOWLEDGE TO STRENGTHEN 
PROVIDERS’ CAPACITY TO OFFER HOMELESS-
COMPETENT SERVICES. 
Subsection (e) of section 2691 of the Public Health 
Service Act (42 U.S.C. 300ff–101) is amended—
(1) in paragraph (2), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (3), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(4) programs designed to integrate the deliv-
ery of HIV services with other health, housing, edu-
cational, employment, social, and maintenance serv-
ices in residential settings.’’. 
PART 4—DESIGNATION OF HOMELESS PERSONS 
AS PRIORITY POPULATION 
SEC. 676. PRIORITY FOR PERSONS EXPERIENCING HOME-
LESSNESS. 
(a) EMERGENCY RELIEF GRANTS.—Subsection (b) of 
section 2604 of the Public Health Service Act (42 U.S.C. 
300ff–14) is amended by adding at the end the following:
209
‘‘(5) PRIORITY
FOR
PERSONS
EXPERIENCING 
HOMELESSNESS.—For the purpose of providing 
health and support services to homeless individuals 
with HIV disease (including children, youth, and 
families), the chief elected official of the eligible 
area, in accordance with the established priorities of 
the planning council, shall use, from amounts made 
available for the area through grants under section 
2601(a) for a fiscal year, not less than 8.6 percent 
of such amounts.’’. 
(b) CARE GRANTS.—Section 2611 of the Public 
Health Service Act (42 U.S.C. 300ff–21) is amended by 
adding at the end the following: 
‘‘(c) PRIORITY FOR PERSONS EXPERIENCING HOME-
LESSNESS.—For the purpose of providing health and sup-
port services to individuals experiencing homelessness with 
HIV disease (including children, youth, and families), a 
State shall use, of the funds allocated under this part to 
the State for a fiscal year, not less than 8.6 percent of 
such funds.’’.
210
PART 5—FEDERAL PLAN ON HIV/AIDS AND 
HOMELESSNESS 
SEC. 681. FEDERAL PLAN ON HIV/AIDS AND HOMELESS-
NESS. 
(a) PLAN.—Not later than 1 year after the date of 
the enactment of this Act, the Secretary of Health and 
Human Services (in this section referred to as the ‘‘Sec-
retary’’) shall prepare and submit to the Committee on 
Energy and Commerce of the House of Representatives 
and the Committee on Health, Education, Labor, and 
Pensions of the Senate a plan that with respect to each 
of the factors described in subsection (b)—
(1) describes current Federal, State, and local 
public policies and practices regarding homelessness 
and HIV prevention, treatment, and care; 
(2) identifies administrative and statutory ac-
cess and care barriers and opportunities for home-
less persons with HIV disease; and 
(3) recommends administrative and legislative 
actions that would increase the access of homeless 
persons to HIV health and support services and im-
prove the appropriateness and quality of care home-
less persons receive through such services. 
(b) FACTORS.—The factors described in this sub-
section are as follows:
211
(1) Grantee planning, reporting, and capacity-
building. 
(2) Consumer involvement. 
(3) Designation of priority populations. 
(4) Outreach and enrollment. 
(5) Participant tracking. 
(6) Elimination of regulatory and administra-
tive impediments. 
(7) Provision of appropriate services. 
(8) Discharge planning. 
(9) Outcome measurement. 
(c) CONSULTATION.—In establishing the plan re-
quired under this section, the Secretary shall consult with 
homeless children, youth, families and individuals with 
HIV disease, nonprofit organizations advocating for home-
less persons, homeless health, housing, and support service 
providers, and public agency representatives. 
(d) PLAN IMPLEMENTATION.—Not later than 1 year 
after the date of the enactment of this Act, the Secretary 
shall implement administrative recommendations identi-
fied in subsection (a)(3). 
TITLE VII—ECONOMIC SECURITY 
SEC. 701. SENSE OF CONGRESS REGARDING RIGHT TO A 
LIVING INCOME. 
(a) FINDINGS.—The Congress finds that—
212
(1) more than 25 percent of persons in working 
families in the United States have incomes too low 
to meet their basic needs; 
(2) the average income of a homeless family in 
the United States is 46 percent of the Federal pov-
erty line; 
(3) 42 percent of adults living in shelters are 
employed; 
(4) children in families with incomes above the 
Federal poverty line are healthier; 
(5) children in families with incomes above the 
Federal poverty line are more likely to graduate 
from high school and to have higher incomes as 
adults; 
(6) higher rates of good health and education in 
children will reduce long-term costs for the United 
States; 
(7) approximately 30,000,000 people in the 
United States suffer from food insecurity due to a 
lack of income; 
(8) low-wage employment often leads to housing 
that is unsafe, indecent, and unaffordable; 
(9) any person who works 40 hours a week or 
more should be able to afford the basic necessities 
of life, including housing that is decent and safe;
213
(10) the levels of government benefits are not 
substantial enough to provide for the basic neces-
sities, such as housing, health care, or childcare; 
(11) low-wage workers are at risk of becoming 
homeless; 
(12) supplementary Social Security income 
(SSI) benefits are equal to only 18.5 percent of the 
average median income for a single-person house-
hold; 
(13) the average SSI recipient has a monthly 
income of $551; and 
(14) on average, a person receiving SSI benefits 
needs to spend 98.2 percent of their benefit to af-
ford a one-bedroom apartment. 
(b) SENSE OF CONGRESS.—It is the sense of the 
Congress that—
(1) every person who works 40 hours or more 
per week should receive a wage sufficient to provide 
for safe, decent, and affordable housing, which 
should be ensured through a living wage that is in-
dexed to the local cost of housing; and 
(2) every person who is unable to work or un-
able to obtain work, and therefore receives public 
benefits, should be afforded the same opportunity
214
for safe, decent, and affordable housing through a 
level of benefits that provides a livable income. 
SEC. 
702. 
AUTHORIZATION 
OF 
APPROPRIATIONS 
FOR 
HOMELESS VETERANS REINTEGRATION PRO-
GRAM. 
Section 2021(e)(1) of title 38, United States Code, 
is amended in subparagraphs (C), (D), and (E) by striking 
‘‘$50,000,000’’ each place it appears and inserting 
‘‘$100,000,000’’.
SEC. 703. AVAILABILITY OF FOOD STAMP BENEFITS TO IN-
DIVIDUALS WHO ARE HOMELESS. 
(a) EXPEDITED PROCESSING.—Section 11(e)(9) of 
the Food Stamp Act of 1977 (7 U.S.C. 2020(3)(9)) is 
amended—
(1) in subparagraph (B) by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (C) by adding ‘‘and’’ at 
the end; and 
(3) by adding at the end the following: 
‘‘(D) provide coupons no later then 7 days 
after the date of application to any household 
in which all members are homeless individ-
uals;’’.
215
(b) EXCEPTION TO WORK REQUIREMENT DISQUALI-
FICATION.—Section 6(o)(3) of the Food Stamp Act of 
1977 (7 U.S.C. 2015(o)(3)) is amended—
(1) in subparagraph (D) by striking ‘‘or’’ at the 
end; 
(2) in subparagraph (E) by striking the period 
at the end and inserting ‘‘; or’’; and 
(3) by adding at the end the following: 
‘‘(F) experiencing homelessness.’’. 
(c) DEFINITION.—Section 3(c) of the Food Stamp 
Act of 1977 (7 U.S.C. 2012(c)) is amended in the 2d sen-
tence by inserting before the period at the end the fol-
lowing: ‘‘, and the certification period shall be at least 12 
months if all adult household members are receiving bene-
fits under title II or XVI of the Social Security Act and 
the household as no other income’’. 
(d) COLLECTION OF DATA ON HOMELESS APPLI-
CANTS.—The Food Stamp Act of 1977 (7 U.S.C. 2011 
et seq.) is amended by adding at the end the following: 
‘‘SEC. 28. COLLECTION OF DATA ON HOMELESS HOUSE-
HOLDS. 
‘‘With respect to all applications made after January 
1, 2004, by households to participate in the food stamp 
program and all households that receive food stamp bene-
fits after such date, the Secretary shall collect data,
216
through the application form and by other means, to de-
termine whether the members of such households are 
homeless.’’. 
SEC. 704. AMENDMENTS TO WORKFORCE INVESTMENT ACT. 
(a) STATE WORKFORCE INVESTMENT BOARDS.—
Section 111(b)(1) of the Workforce Investment Act of 
1998 (29 U.S.C. 2821(b)(1)) is amended—
(1) in subparagraph (B), by striking ‘‘and’’; 
(2) in subparagraph (C)(vii) by striking the pe-
riod and inserting ‘‘; and’’; and 
(3) by adding after subparagraph (C) the fol-
lowing: 
‘‘(D) a representative from the State agen-
cy distributing funding under part A of title IV 
of the Social Security Act (42 U.S.C. 601 et 
seq.); 
‘‘(E) a representative from the community 
board as defined in section 401(3) of this Act; 
‘‘(F) representatives of organizations who 
act as advocates for persons experiencing home-
lessness or organizations who provide assistance 
to persons experiencing homelessness; and 
‘‘(G) a person experiencing homelessness 
or has experienced homelessness within 3 years
217
before the date of their appointment to the 
board.’’. 
(b) LOCAL WORKFORCE INVESTMENT BOARDS.—
Section 117(b)(2)(A)) of the Workforce Investment Act 
(29 U.S.C. 2832(b)(2)(A)) is amended—
(1) in clause (v) by striking ‘‘and’’; 
(2) in clause (vi) by striking the period and in-
serting ‘‘; and’’; and 
(3) by adding after clause (vi) the following: 
‘‘(vii) a representative from the local 
agency distributing funding under part A 
of title IV of the Social Security Act (42 
U.S.C. 601 et seq.); 
‘‘(viii) a representative from the com-
munity board as defined in section 401(3) 
of this Act; 
‘‘(ix) representatives of organizations 
who act as advocates for persons experi-
encing homelessness or organizations who 
provide assistance to persons experiencing 
homelessness; and 
‘‘(x) a person experiencing homeless-
ness or has experienced homelessness with-
in 3 years before the date of their appoint-
ment to the board;’’.
218
SEC. 705. HOMEBUILD PROGRAM FOR AFFORDABLE HOUS-
ING CONSTRUCTION AND APPRENTICESHIP. 
(a) IN GENERAL.—Title IV of the Cranston-Gonzalez 
National Affordable Housing Act (42 U.S.C. 12871 et 
seq.) is amended by adding at the end the following new 
subtitle: 
‘‘Subtitle E—Homebuild Program 
for 
Affordable 
Housing 
Con-
struction and Apprenticeship 
‘‘SEC. 471. PURPOSE. 
‘‘It is the purpose of this subtitle to assist people who 
are experiencing homelessness and have experienced sig-
nificant barriers to employment to obtain training nec-
essary to obtain gainful employment as skilled or semi-
skilled residential construction workers. 
‘‘SEC. 472. GRANT AUTHORITY. 
‘‘The Secretary may make grants in accordance with 
this subtitle to applicants selected under section 476 to 
carry out homebuild programs under section 473. 
‘‘SEC. 473. HOMEBUILD PROGRAMS. 
‘‘(a) IN GENERAL.—For purposes of this subtitle, a 
homebuild program is a program that meets the following 
requirements: 
‘‘(1) AFFORDABLE
HOUSING.—The primary 
purpose of the program is to develop, through con-
struction, reconstruction, or rehabilitation, afford-
219
able housing for low- and extremely low-income 
households. 
‘‘(2) EDUCATIONAL
AND
COUNSELING
SERV-
ICES.—The program shall be subject to the same re-
quirements regarding educational services and activi-
ties that a Youthbuild program is subject to under 
section 456(c). 
‘‘(3) TRAINING
AND
APPRENTICESHIP.—The 
program shall provide participants with training or 
apprenticeship in residential construction skills in-
volved in the development of the affordable housing. 
‘‘(4) WAGES
AND
BENEFITS, LABOR
STAND-
ARDS, 
AND
NONDISCRIMINATION.—Sections 142, 
143 and 167 of the Job Training Partnership Act 
(as in effect on the day before the date of enactment 
of the Workforce Investment Act of 1998), relating 
to wages and benefits, labor standards, and non-
discrimination, shall apply to the program as if such 
program was conducted under the Job Training 
Partnership Act (as in effect on the day before the 
date of enactment of the Workforce Investment Act 
of 1998). This paragraph may not be construed to 
prevent a recipient of a grant under this subtitle 
from using funds from non-Federal sources to in-
220
crease wages and benefits under such program, if 
appropriate. 
‘‘(5) PARTICIPANTS.—Participation in the pro-
gram shall be limited only to individuals who—
‘‘(A)(i) are homeless (as such term is de-
fined in section 103 of the McKinney-Vento 
Homeless Assistance Act (42 U.S.C. 11302); 
‘‘(ii) are residing in a homeless shelter, 
transitional shelter, transitional housing facility, 
or permanent supportive housing; 
‘‘(iii) are eligible for and have placed their 
name on the waiting list for public housing or 
rental assistance under section 8 of the United 
States Housing Act of 1937 (42 U.S.C. 1437f) 
and have not received such housing or assist-
ance; or 
‘‘(iv) have been referred for participation 
in the program by a social services program of 
a unit of general local government; 
‘‘(B) are 65 years of age or younger; and 
‘‘(C) have completed, and have evidence of 
such completion of, a job readiness or workforce 
training program of a least 2 weeks duration 
that—
221
‘‘(i) is provided through the one-stop 
delivery system under the Workforce In-
vestment Act of 1998; or 
‘‘(ii) if a program described in clause 
(i) is not available to the individual—
‘‘(I) is certified or provided 
through a public housing authority; or 
‘‘(II) is administered by a non-
profit organization providing housing 
for the homeless and is certified by a 
unit of general local government. 
‘‘(6) LIMITATION ON PARTICIPATION.—
‘‘(A) IN
GENERAL.—The program shall 
limit participation by any individual to the 
longer of—
‘‘(i) 2 years; and 
‘‘(ii) such time as the participant has 
obtained the residential construction skills 
necessary to obtain employment in the pri-
vate residential construction field. 
‘‘(B) EXCEPTION.—The program may pro-
vide that a participant may continue or return 
to work under the program after completion of 
the program pursuant to the limit under sub-
paragraph (A), but only—
222
‘‘(i) pursuant to application by such 
participant for such continuance or return; 
and 
‘‘(ii) if the program provides the full 
amount of such participant’s wages, which 
shall be not less than the wages prevailing 
in the locality, as predetermined by the 
Secretary of Labor pursuant to subchapter 
IV of chapter 13 of title 40, United States 
Code. 
‘‘(7) ADMINISTRATION.—The program shall be 
jointly administered by—
‘‘(A) a labor organization, or an affiliate 
thereof; and 
‘‘(B) a public housing agency or nonprofit 
organization involved in the development of af-
fordable housing. 
‘‘SEC. 474. USE OF GRANT AMOUNTS. 
‘‘(a) ELIGIBLE USES.—Amounts received from a 
grant under this Act may be used for any costs involved 
in carrying out a Homebuild program, including any ac-
tivities specified under subsection (b) of section 454 (relat-
ing to Youthbuild program eligible activities), except 
that—
223
‘‘(1) the limitations under paragraph (2) of 
such subsection on the types of housing developed 
with grant amounts shall not apply to grant 
amounts under this subtitle; 
‘‘(2) the limitation under paragraph (3) of such 
subsection on administrative costs shall apply to 
grant amounts under this subtitle; and 
‘‘(3) the limitation under paragraph (4)(E) of 
such subsection on the duration of support services 
and stipends shall not apply to grant amounts under 
this subtitle. 
‘‘(b) AFFORDABLE HOUSING REQUIREMENT.—Of 
any amounts received from a grant under this subtitle—
‘‘(1) not less than 75 percent shall be used for 
costs related to the development of housing that is 
affordable for extremely low-income households; and 
‘‘(2) the remainder shall be used for costs re-
lated to the development of housing that is afford-
able to low-income households. 
‘‘SEC. 475. HOMEBUILD ADVISORY BOARD. 
‘‘(a) ELIGIBILITY REQUIREMENT.—For an eligible 
entity to be eligible for selection to receive a grant under 
this subtitle, the unit of general local government within 
which the eligible entity will carry out the homebuild pro-
gram shall establish a homebuild advisory board to advise
224
and report regarding activities and progress under 
homebuild programs carried out within the jurisdiction of 
such unit. 
‘‘(b) MEETINGS AND REPORTS.—Each homebuild ad-
visory board shall—
‘‘(1) meet not less than 4 times annually; and 
‘‘(2) submit an annual report to the unit of 
general local government, the applicable eligible enti-
ty, and the Secretary regarding activities and 
progress under homebuild programs carried out 
within the jurisdiction of such unit. 
‘‘(c) MEMBERSHIP.—Each homebuild advisory board 
for a unit of general local government shall consist of 15 
members, who shall include individuals who are—
‘‘(1) officials of the unit of general local govern-
ment; 
‘‘(2) representatives of the faith community; 
‘‘(3) representatives of private entities engaged 
in residential development; 
‘‘(4) representatives of private entities engaged 
in residential construction; 
‘‘(5) officials or members of labor unions; 
‘‘(6) representatives of local social services 
agencies; 
‘‘(7) homeless individuals;
225
‘‘(8) representatives of organizations involved in 
providing affordable housing and assistance for 
homeless individuals; and 
‘‘(9) representatives of academic institutions. 
‘‘SEC. 476. APPLICATIONS AND SELECTION FOR GRANTS. 
‘‘(a) IN GENERAL.—To be eligible for selection to re-
ceive a grant under this subtitle, an eligible entity shall 
submit to the Secretary an application containing—
‘‘(1) a description of the educational and job 
training activities, work opportunities, and other 
services that will be provided to participants in the 
homebuild program; 
‘‘(2) a description of the proposed construction 
or rehabilitation activities to be undertaken and the 
anticipated schedule for carrying out such activities; 
‘‘(3) a description of the manner in which eligi-
ble participants will be recruited and selected; 
‘‘(4) a description of how the proposed project 
will be coordinated with other Federal, State, and 
local activities, including vocational and job training 
programs; 
‘‘(5) assurances that there will be a sufficient 
number of adequately trained supervisory personnel 
on the project;
226
‘‘(6) a detailed budget and description of the 
system of fiscal controls and auditing and account-
ability procedures that will be used to ensure fiscal 
soundness; 
‘‘(7) a description of the membership of the ad-
visory board; and 
‘‘(8) a description of the capacity of the com-
munity to leverage funding from other private and 
public sources. 
‘‘(b) SELECTION CRITERIA.—The Secretary shall se-
lect applicants to receive grants under this subtitle based 
upon selection criteria, which the Secretary shall establish 
and which shall include the following criteria: 
‘‘(1) POTENTIAL FOR SUCCESS.—The extent to 
which the application is likely to succeed, as indi-
cated by such factors as the past experience of an 
applicant with housing rehabilitation or construction, 
education and employment training programs, man-
agement capacity, fiscal reliability, and community 
support. 
‘‘(2) NEED.—To extent to which the applicant 
has need for assistance, as determined by factors 
such as—
227
‘‘(A) the degree of economic distress of the 
community from which participants would be 
recruited, including—
‘‘(i) the extent of poverty; 
‘‘(ii) the extent of unemployment; and 
‘‘(B) the degree of economic distress of the 
locality in which the housing would be rehabili-
tated or constructed, including—
‘‘(i) objective measures of the inci-
dence of homelessness; 
‘‘(ii) the relationship between the sup-
ply of affordable housing for low-income 
persons and the number of such persons in 
the locality; 
‘‘(iii) the extent of housing over-
crowding; and 
‘‘(iv) the extent of poverty. 
‘‘(3) OTHER.—Any other criteria the Secretary 
determines to be reasonably appropriate. 
‘‘SEC. 477. DEFINITIONS. 
‘‘For purposes of this subtitle, the following defini-
tions shall apply: 
‘‘(1) APPLICANT.—The term ‘applicant’ means 
an eligible entity that has submitted an application
228
under section 476 that the Secretary determines 
complies with the requirements under this subtitle. 
‘‘(2) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’ means—
‘‘(A) a public housing agency; 
‘‘(B) a labor union; or 
‘‘(C) a nonprofit organization that is in-
volved in the development of affordable housing 
‘‘(3) EXTREMELY LOW-INCOME HOUSEHOLD.—
The term ‘extremely low-income household’ means a 
household, including an individual or family, that 
has an income that does not exceed 30 percent of 
the median family income for the area, as deter-
mined by the Secretary with adjustments for smaller 
and larger families, except that the Secretary may 
establish income ceilings higher or lower than 30 
percent of the median for the area on the basis of 
the Secretary’s findings that such variations are nec-
essary because of prevailing levels of construction 
costs or fair market rents, or unusually high or low 
household incomes. 
‘‘(4) LABOR UNION.—The term ‘labor union’ 
has the meaning given the term ‘labor organization’ 
in section 2 of the National Labor Relations Act (29 
U.S.C. 152).
229
‘‘(5) LOW-INCOME
HOUSEHOLD.—The term 
‘low-income household’ means a household, including 
an individual or family, that has an income that 
does not exceed 80 percent of the median family in-
come for the area, as determined by the Secretary 
with adjustments for smaller and larger families, ex-
cept that the Secretary may establish income ceilings 
higher or lower than 80 percent of the median for 
the area on the basis of the Secretary’s findings that 
such variations are necessary because of prevailing 
levels of construction costs or fair market rents, or 
unusually high or low household incomes. 
‘‘(6) SECRETARY.—The term ‘Secertary’ means 
the Secretary of Housing and Urban Development. 
‘‘SEC. 478. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There is authorized to be appropriated for grants 
under this subtitle $65,000,000 for fiscal year 2004 and 
such sums as may be necessary for each of fiscal years 
2005, 2006, 2007, and 2008. 
‘‘SEC. 479. REGULATIONS. 
‘‘The Secretary shall issue any regulations necessary 
to carry out this subtitle.’’.
230
SEC. 706. DEPARTMENT OF LABOR APPRENTICESHIP PRO-
GRAM FOR WORKING PEOPLE EXPERIENCING 
HOMELESSNESS. 
(a) GRANT AUTHORITY.—The Secretary of Labor 
may make grants in accordance with this section to appli-
cants selected pursuant to subsection (g) to carry out ap-
prenticeship programs that meet the requirements of this 
section. 
(b) APPRENTICESHIP PROGRAM DEFINED.—For pur-
poses of this section, an apprenticeship program is a pro-
gram—
(1) whose primary purpose is to assist people 
who are experiencing homelessness by providing in-
struction in a skilled trade in a job apprenticeship 
program; and 
(2) that provides a stipend to any person who 
are working and without housing until the such per-
son is employed by the private sector. 
(c) PARTICIPATION.—
(1) IN GENERAL.—Participation in the program 
shall be limited to individuals who—
(A) are homeless (as such term is defined 
in section 103 of the McKinney-Vento Homeless 
Assistance Act (42 U.S.C. 11302)); 
(B) are eligible for or have placed their 
name on a waiting list for public housing or
231
rental assistance under section 8 of the United 
States Housing Act of 1937 (42 U.S.C. 1437f) 
and have not received such housing or assist-
ance; or 
(C) have been referred for participation in 
the program by a social services program of a 
unit of local government; 
(2) LIMITATION ON PARTICIPATION.—
(A) IN
GENERAL.—The program shall 
limit participation by any individual to the 
longer of—
(i) 12 months; or 
(ii) such time as the participant has 
obtained the necessary skills to obtain em-
ployment in the relevant field. 
(B) EXCEPTION.—The program may pro-
vide that a participant may continue or return 
to work under the program after completion of 
the program pursuant to 12 month limit, but 
only—
(i) pursuant to an application by such 
participant for such continuance or return; 
and 
(ii) if the program provides the full 
amount of such participant’s wages, which
232
shall not be less than the wages prevailing 
in the locality, as predetermined by the 
Secretary of Labor pursuant to subchapter 
IV of chapter 13 of title 40, United States 
Code. 
(d) ADMINISTRATION.—The program shall be jointly 
administered by—
(1) the Secretary of Labor, through State and 
local workforce investment systems (established 
under the Workforce Investment Act (29 U.S.C. 
2801 et seq.); 
(2) a labor organization, or an affiliate thereof; 
(3) a public housing agency; and 
(4) a non-profit organization. 
(e) USE OF GRANT AMOUNT.—
(1) ELIGIBILITY
REQUIREMENTS.—A unit of 
local government will pay 50 percent of the salary of 
all program participants who are apprenticing in the 
private or public sector for at least 6 months, but 
no longer than 1 year, in apprenticeship programs. 
(2) ELIGIBLE USES.—Amounts received from a 
grant under this section may be used for any costs 
involved in carrying out an apprenticeship program, 
including the following activities: 
(A) Apprenticeship and job training in—
233
(i) construction of housing and com-
mercial real estate; 
(ii) technical trades; 
(ii) plumbing; 
(iii) automotive; 
(iv) painting; 
(v) electrical; and 
(vi) transportation infrastructure. 
(B) Funding for job training and job 
placement counselors for homeless shelters, 
transitional housing, and permanent supportive 
housing facilities for the purposes of placing 
homeless individuals in permanent jobs. 
(C) Transportation grants to provide bus 
tickets, subway fare, or other transportation 
vouchers to help to cover the costs of transpor-
tation to and from job interviews, the job site, 
and social service visits until the individual is 
employed, and is able to cover the costs of such 
transportation. Where necessary due to lack of 
other means of transportation these grants may 
also cover the cost of needed automobile re-
pairs. 
(f) APPRENTICESHIP PROGRAM ADVISORY BOARD.—