145 
title VII of the McKinney-Vento 
Homeless Assistance Act (42 U.S.C. 
11431 et seq.); and 
‘‘(II) the strategy referred to in 
clause (vi)(II) will take the edu-
cational needs of children into account 
when families are placed in emergency 
or transitional shelter and will, to the 
maximum extent practicable, place 
families with children as close to pos-
sible to their school of origin so as not 
to disrupt such children’s education; 
and 
‘‘(xii)(I) in the case of a collaborative 
applicant, include an exhibit described in 
section 402(f)(1)(B)(iii) and prepared by 
the community board in accordance with 
that section; or 
‘‘(II) in the case of a solo applicant, 
include an exhibit described in section 
402(f)(1)(B)(iii) and prepared by the ap-
plicant. 
‘‘(3) ANNOUNCEMENT OF AWARDS.—The Sec-
retary shall announce, not later than 5 months after 
the last date for the submission of applications de-
146 
scribed in this subsection for a fiscal year, the 
grants awarded under subsection (b) for that fiscal 
year. 
‘‘(4) OBLIGATION, DISTRIBUTION, AND UTILIZA-
TION OF FUNDS.— 
‘‘(A) REQUIREMENTS FOR OBLIGATION.— 
‘‘(i) IN GENERAL.—Not later than 9 
months after the announcement referred to 
in paragraph (3), each recipient or project 
sponsor seeking the obligation of funds for 
a grant announced under paragraph (3) 
shall meet all requirements for the obliga-
tion of those funds, including site control, 
matching funds, and environmental review 
requirements, except as provided in clause 
(ii). 
‘‘(ii) ACQUISITION, REHABILITATION, 
OR
CONSTRUCTION.—Not later than 15 
months after the announcement referred to 
in paragraph (3), each recipient or project 
sponsor seeking the obligation of funds for 
acquisition of housing, rehabilitation of 
housing, or construction of new housing 
for a grant announced under paragraph 
(3) shall meet all requirements for the obli-
147 
gation of those funds, including site con-
trol, matching funds, and environmental 
review requirements. 
‘‘(iii) EXTENSIONS.—At the discretion 
of the Secretary, and in compelling cir-
cumstances, the Secretary may extend the 
date by which a recipient or project spon-
sor shall meet the requirements described 
in clause (i) if the Secretary determines 
that compliance with the requirements was 
delayed due to factors beyond the reason-
able control of the recipient or project 
sponsor. Such factors may include difficul-
ties in obtaining site control for a proposed 
project, completing the process of obtain-
ing secure financing for the project, or 
completing the technical submission re-
quirements for the project. 
‘‘(B) OBLIGATION.—Not later than 45 
days after a recipient or project sponsor meets 
the requirements described in subparagraph 
(A)(i), the Secretary shall obligate the funds for 
the grant involved. 
‘‘(C) DISTRIBUTION.—A recipient that re-
ceives funds through such a grant—
148 
‘‘(i) shall distribute the funds to 
project sponsors (in advance of expendi-
tures by the project sponsors); and 
‘‘(ii) shall distribute the appropriate 
portion of the funds to a project sponsor 
not later than 21 days after receiving a re-
quest for such distribution from the project 
sponsor. 
‘‘(e) SELECTION CRITERIA.—In determining whether 
to award a grant to an applicant under subsection (b), 
the Secretary shall consider, in addition to criteria de-
scribed in section 426(b)— 
‘‘(1) the inclusiveness of the community board 
involved and the process the board administered, if 
applicable; 
‘‘(2) the comprehensiveness and coordination of 
the homelessness prevention, housing, and services 
programs (including discharge planning and service 
termination protocols) within the geographic area 
served by the community board; 
‘‘(3) the extent to which prioritized programs 
meet unmet needs; 
‘‘(4) the capacity of the geographic area to le-
verage funding from other public and private 
sources;
149 
‘‘(5) the long-term strategy of the applicable 
States and units of general local government to com-
bat, prevent, and end homelessness; 
‘‘(6) the performance of the homelessness pre-
vention, housing, and services programs funded in 
the fiscal year prior to the date of submission of the 
application; 
‘‘(7) the need for services in the geographic 
area; 
‘‘(8) the plan by which— 
‘‘(A) access to appropriate permanent 
housing will be secured if the proposed project 
does not include permanent housing; and 
‘‘(B) access to outcome-effective supportive 
services will be secured for residents or con-
sumers involved in the project who are willing 
to use the services; 
‘‘(9) the evaluation plan for evaluations of the 
project, which— 
‘‘(A) will use periodically collected informa-
tion and analysis to determine whether the 
project has resulted in enhanced stability and 
well-being of the residents or consumers served 
by the project;
150 
‘‘(B) will include evaluations obtained di-
rectly from the individuals or families served by 
the project; and 
‘‘(C) will be submitted by the recipient for 
the grant to the community board for review 
and use in assessments, conducted by the board 
consistent with the board’s duty to ensure effec-
tive outcomes that contribute to the goal of pre-
venting and ending homelessness in the geo-
graphic area served by the board; 
‘‘(10) the extent to which the applicable States 
and units of general local government have made 
commitments to and are taking actions to uphold 
the civil rights of homeless families and individuals, 
including removing or repealing any policies or laws 
criminalizing homelessness, and have established 
procedures to document abuses of such civil rights; 
and 
‘‘(11) any other criteria the Secretary deter-
mines to be reasonably appropriate. 
‘‘(f) NOTIFICATION
OF
PRO
RATA
ESTIMATED 
GRANT AMOUNTS.— 
‘‘(1) NOTICE.—The Secretary shall inform each 
community board, at a time concurrent with the re-
lease of the notice of funding availability for the
151 
grants, of the pro rata estimated grant amount 
under this subtitle for the geographic area rep-
resented by the board. 
‘‘(2) AMOUNT.— 
‘‘(A) 
BASIS.—Such 
estimated 
grant 
amount shall be based on a percentage of the 
total funds available, or estimated to be avail-
able, to carry out this subtitle for any fiscal 
year that is equal to the percentage of the total 
amount available for section 106 of the Hous-
ing and Community Development Act of 1974 
(42 U.S.C. 5306) for the prior fiscal year 
that— 
‘‘(i) was allocated to all metropolitan 
cities and urban counties within the geo-
graphic area represented by the Board; or 
‘‘(ii) would have been distributed to 
all counties within such geographic area 
that are not urban counties, if the 30 per-
cent portion of the allocation to the State 
involved (as described in subsection (d)(1) 
of that section 106) for that year had been 
distributed among the counties that are 
not urban counties in the State in accord-
ance with the formula specified in that
152 
subsection (with references in that sub-
section to nonentitlement areas considered 
to be references to those counties). 
‘‘(B) ADJUSTMENT.—In computing the es-
timated grant amount, the Secretary shall ad-
just the estimated grant amount determined 
pursuant to subparagraph (A) to ensure that— 
‘‘(i) 75 percent of the total funds 
available, or estimated to be available, to 
carry out this subtitle for any fiscal year 
are allocated to the metropolitan cities and 
urban counties that received a direct allo-
cation of funds under section 413 for the 
prior fiscal year; and 
‘‘(ii) 25 percent of the total funds 
available, or estimated to be available, to 
carry out this subtitle for any fiscal year 
are allocated— 
‘‘(I) to the metropolitan cities 
and urban counties that did not re-
ceive a direct allocation of funds 
under section 413 for the prior fiscal 
year; and 
‘‘(II) to counties that are not 
urban counties.
153 
‘‘(C) COMBINATIONS OR CONSORTIA.—For 
any community board that represents a com-
bination or consortium of cities or counties, the 
estimated grant amount shall be the sum of the 
estimated grant amounts for the cities or coun-
ties represented by the board. 
‘‘(g) APPEALS.— 
‘‘(1) IN GENERAL.—Not later than 3 months 
after the date of enactment of the Bringing America 
Home Act, the Secretary shall establish a timely ap-
peal procedure for grant amounts awarded or denied 
under this subtitle pursuant to a collaborative appli-
cation or solo application for funding. 
‘‘(2) PROCESS.—The Secretary shall ensure 
that the procedure permits appeals submitted by 
community boards, entities carrying out homeless 
housing and services projects (including emergency 
shelters and homelessness prevention programs), 
homeless planning bodies not designated by the Sec-
retary as community boards, and all other applicants 
under this subtitle. 
‘‘(h) SOLO APPLICANTS.—A solo applicant may sub-
mit an application to the Secretary for a grant under sub-
section (b) and be awarded such grant on the same basis 
as such grants are awarded to other applicants based on
154 
the criteria described in subsection (e). The Secretary may 
award such grants directly to such applicants in a manner 
determined to be appropriate by the Secretary.’’. 
SEC. 432. ELIGIBLE ACTIVITIES. 
The McKinney-Vento Homeless Assistance Act is 
amended by striking section 423 (42 U.S.C. 11383) and 
inserting the following new section: 
‘‘SEC. 423. ELIGIBLE ACTIVITIES. 
‘‘(a) IN GENERAL.—Grants awarded under section 
422 to qualified applicants shall be used only to carry out 
homeless assistance and prevention projects that consist 
of one or more of the following eligible activities: 
‘‘(1) Construction of new housing units to pro-
vide transitional or permanent housing. 
‘‘(2) Acquisition or rehabilitation of a structure 
to provide transitional or permanent housing, other 
than emergency shelter, or to provide supportive 
services. 
‘‘(3) Leasing of property, or portions of prop-
erty, not owned by the recipient or project sponsor 
involved, for use in providing transitional or perma-
nent housing, or providing supportive services. 
‘‘(4) Provision of rental assistance to provide 
transitional or permanent housing to eligible per-
sons. The rental assistance may include tenant-
155 
based, project-based, or independently owned rental 
assistance. 
‘‘(5) Payment of operating costs for housing 
units assisted under this subtitle. 
‘‘(6) Supportive services. 
‘‘(7) Homelessness prevention activities, subject 
to subsection (b). 
‘‘(b) ELIGIBILITY FOR FUNDS FOR HOMELESSNESS 
PREVENTION ACTIVITIES.— 
‘‘(1) APPLICATION REQUIREMENT.—To be eligi-
ble to receive grant funds under section 422 to carry 
out homelessness prevention activities, an applicant 
shall submit an application to the Secretary under 
section 422 that shall include a certification in 
which— 
‘‘(A) the relevant public entities in the geo-
graphic area involved certify compliance with 
paragraph (2); and 
‘‘(B) the publicly funded institutions, fa-
cilities, and systems of care in the geographic 
area certify that the institutions, facilities, and 
systems of care will take, and fund directly, all 
reasonable measures to ensure that the institu-
tions, facilities, and systems of care do not dis-
charge individuals into homelessness.
156 
‘‘(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
157 
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
158 
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.’’.
159 
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);
160 
(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
161 
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 this subtitle, such sums as may 
be necessary shall be designated for the purpose of renew-
ing expiring contracts within the ‘Homeless Assistance 
Grants account’ of the Department of Housing and Urban 
Development. 
‘‘(b) RENEWALS.—Amounts designated for use pur-
suant to subsection (a) shall be available for the renewal 
of contracts funded under this subtitle, or under subtitle 
C or F, for homeless individuals and homeless families. 
The Secretary shall determine whether to renew a contract 
on the basis of demonstrated need for the project and the 
compliance of the entity carrying out the project with ap-
162 
propriate standards of housing quality and habitability 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 
organizations and other project sponsors to fund manage-
ment information system functions, application prepara-
tion, and preparation of annual performance and other 
evaluation reports.
163 
‘‘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 
and determine if such applicant shall receive funding 
under this subtitle.’’.
164 
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 
homeless) shall be considered to include, and to refer to,
165 
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. 
‘‘Sec. 432. Regulations. 
‘‘Sec. 433. Reports to Congress.’’.
166 
TITLE V—HEALTH SECURITY 
Subtitle A—General Provisions 
SEC. 501. 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) 45,000,000 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. 
(6) Health care costs continue to increase, jeop-
ardizing the health security of working families and 
small businesses.
167 
(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; 
(7) addresses the needs of people with special 
health care needs and underserved populations in 
rural and urban areas;
168 
(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. 502. 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; 
(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,
169 
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. 
(b) SENSE OF CONGRESS.—It is the sense of the 
Congress that legislation should be enacted—
170 
(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. 503. 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 2007, and such sums as may 
be necessary for each of the fiscal years 2008 through 
2011.’’. 
(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 
inserting the following: ‘‘there are authorized to be appro-
priated $2,500,000,000 for fiscal year 2007, and such
171 
sums as may be necessary for each of the fiscal years 2008 
through 2011.’’. 
(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 2007, and 
such sums as may be necessary for each of the fiscal years 
2008 through 2011.’’. 
(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 2007, and such sums as may 
be necessary for each of the fiscal years 2008 through 
2011.’’.
172 
Subtitle B—Substance Abuse and 
Mental Health Services Admin-
istration 
PART 1—MAINSTREAM ADDICTION AND MENTAL 
HEALTH SERVICES PROGRAMS 
Subpart A—Discharge Planning 
SEC. 511. 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.’’.
173 
Subpart B—Provision of Appropriate Services 
SEC. 516. 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 522(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.’’.
174 
Subpart C—Grantee Planning, Reporting, and 
Capacity-Building 
SEC. 521. 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.—
175 
‘‘(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