I
103D CONGRESS
1ST SESSION
H. R. 1538
To amend the Public Health Service Act to promote activities for the preven-
tion of additional cases of infection with the virus commonly known
as HIV.
IN THE HOUSE OF REPRESENTATIVES
MARCH 30, 1993
Ms. PELOSI (for herself, Mr. WAXMAN, Mr. MCDERMOTT, Mrs. BYRNE, Mr.
DEUTSCH, Mr. DELUGO, Ms. ESHOO, Mr. EVANS, Mr. FOGLIETTA, Mr.
FRANK of Massachusetts, Mr. HAMBURG, Mr. HOYER, Mr. LEWIS of
Georgia, Mrs. MALONEY, Mr. NADLER, Ms. NORTON, Ms. SCHENK, Mr.
STUDDS, Mrs. UNSOELD, Ms. VELA´ZQUEZ, Mr. YATES, Mr. WASHING-
TON, Mr. COLEMAN, Mr. ENGEL, Mr. BARRETT of Wisconsin, Ms. WOOL-
SEY, Mr. LANTOS, and Mr. HOBSON) introduced the following bill; which
was referred to the Committee on Energy and Commerce
A BILL
To amend the Public Health Service Act to promote activities
for the prevention of additional cases of infection with
the virus commonly known as HIV.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘Comprehensive HIV
Prevention Act of 1993’’.
SEC. 2. ESTABLISHMENT OF CERTAIN AUTHORITIES RE-
GARDING PREVENTION OF INFECTION WITH
HUMAN IMMUNODEFICIENCY VIRUS.
Title XXV of the Public Health Service Act (42
U.S.C. 300ee et seq.) is amended to read as follows:
‘‘TITLE XXV—PREVENTION OF
HIV INFECTION
‘‘PART A—COORDINATION AMONG AGENCIES OF
PUBLIC HEALTH SERVICE
‘‘Subpart I—Public Health Service Generally
‘‘SEC. 2501. AUTHORITY OF ASSISTANT SECRETARY FOR
HEALTH.
‘‘(a) IN GENERAL.—The authority established in this
part for the Secretary shall be carried out by the Secretary
acting through the Assistant Secretary for Health.
‘‘(b) DUTIES.—
‘‘(1) INTERAGENCY COORDINATION.—With re-
spect to activities for the prevention of infection with
the human immunodeficiency virus, the Secretary
shall plan, coordinate, and evaluate such activities
that are conducted or supported by the agencies
specified in paragraph (2).
‘‘(2) DESIGNATED AGENCIES.—The agencies re-
ferred to in paragraph (1) are as follows:
‘‘(A) The Centers for Disease Control and
Prevention.
‘‘(B) The Health Resources and Services
Administration.
‘‘(C) The National Institutes of Health.
‘‘(D) The Substance Abuse and Mental
Health Services Administration.
‘‘(3) CONSULTATIONS.—The Secretary shall
carry out this part (including developing and revis-
ing the plans required in section 2503) in consulta-
tion with the heads of the designated agencies and
with the advisory council established under section
2502.
‘‘SEC. 2502. ADVISORY COUNCIL.
‘‘(a) IN GENERAL.—The Secretary shall establish an
advisory council to be known as the Secretary’s Advisory
Council on HIV Prevention (in this section referred to as
the ‘Advisory Council’). The Advisory Council shall make
recommendations to the Secretary on carrying out this
part, including reviewing and making recommendations on
plans under section 2503.
‘‘(b) COMPOSITION.—
‘‘(1) IN GENERAL.—The Advisory Council shall
be composed of such individuals as the Secretary
may select, subject to paragraphs (2) and (3).
‘‘(2) EX
OFFICIO
MEMBERS.—The heads of
each of the designated agencies (or the designees of
such heads), and the chairs of each of the advisory
councils for such agencies, shall serve as nonvoting
members of the Advisory Council.
‘‘(3) APPOINTED
MEMBERS.—The Secretary
shall appoint to the Advisory Council individuals
who are not officers or employees of the Federal
Government. Of such individuals—
‘‘(A) no fewer than one shall be an individ-
ual who conducts research on HIV prevention
activities;
‘‘(B) no fewer than one shall be an expert
in specific health communications and social
marketing;
‘‘(C) no fewer than one shall be an epi-
demiologist;
‘‘(D) no fewer than one shall be the chief
public health officer of a State;
‘‘(E) no fewer than one shall be the chief
public health officer of a political subdivision;
‘‘(F) no fewer than two shall be represent-
atives of community-based organizations that
carry out HIV prevention activities;
‘‘(G) no fewer than two shall be individuals
with HIV infection; and
‘‘(H) no fewer than two shall be represent-
atives of individuals who are at significant risk
of contracting HIV infection.
‘‘SEC. 2503. COMPREHENSIVE PLAN FOR EXPENDITURE OF
APPROPRIATIONS.
‘‘Subject to the provisions of this section and other
applicable law, the Secretary, in carrying out section 2501,
shall—
‘‘(1) establish, for each designated agency, a
comprehensive plan for the conduct and support of
all HIV prevention activities of the agency (which
plan shall be first established under this paragraph
not later than 12 months after the date of the enact-
ment of the Comprehensive HIV Prevention Act of
1993);
‘‘(2) ensure that each such plan establishes pri-
orities among the HIV prevention activities that the
agency involved is authorized to carry out;
‘‘(3) ensure that each such plan establishes ob-
jectives regarding such activities of the agency, de-
scribes the means for achieving the objectives, and
designates the date by which the objectives are ex-
pected to be achieved;
‘‘(4) ensure that all amounts appropriated for
such activities of the agency are expended in accord-
ance with the plan;
‘‘(5) ensure that the plan is coordinated with
each other plan established under paragraph (1);
‘‘(6) review the plan not less than annually, and
revise the plan as appropriate; and
‘‘(7) ensure that the plan serves as a broad,
binding statement of policies regarding HIV preven-
tion activities of the agency, but does not remove the
responsibility of the head of the agency for the ap-
proval of specific programs or projects, or for other
details of the daily administration of such activities,
in accordance with the plan.
‘‘SEC. 2504. BUDGET REQUESTS.
‘‘(a) REQUESTS OF SECRETARY.—With respect to a
fiscal year, the Secretary shall prepare and submit directly
to the President, for review and transmittal to the Con-
gress, a budget request for carrying out each plan under
section 2503 for the fiscal year, after reasonable oppor-
tunity for comment by the head of the designated agency
for which the plan has been developed and by the advisory
council established under section 2502. The budget esti-
mate shall include an estimate of the number and type
of personnel needs for the designated agencies.
‘‘(b) REQUESTS OF DESIGNATED AGENCIES.—With
respect to a fiscal year, the head of each designated agency
shall, not later than the date specified by the Secretary,
prepare and submit to the Secretary a proposed budget
request for carrying out the plan under section 2503 that
has been developed for the agency. The Secretary shall
consider such request in carrying out subsection (a) with
respect to the agency.
‘‘Subpart II—Intra-Agency Coordination
‘‘SEC. 2511. INDIVIDUAL OFFICES ON PREVENTION.
‘‘(a) IN GENERAL.—
‘‘(1) ADMINISTRATION OF AUTHORITIES.—The
Secretary shall carry out this section acting through
the heads of the designated agencies.
‘‘(2) INDIVIDUAL
OFFICES.—With respect to
each designated agency other than the National In-
stitutes of Health, the head of the agency shall es-
tablish within the agency an office to carry out the
functions described in subsection (b). Such office
shall be headed by a director, who shall be appointed
by the head of the agency.
‘‘(b) FUNCTIONS.—With respect to preparing and
submitting plans under section 2503, and with respect to
any other function established under subpart I for the
heads of designated agencies, the head of each such
agency shall carry out the functions acting through the
Director of the office established under subsection (a) for
the agency (except that such functions of the Director of
the National Institutes of Health shall be carried out by
such Director acting through the Director of the Office
of AIDS Research established under section 2351).
‘‘PART B—PROGRAMS OF CENTERS FOR DISEASE
CONTROL AND PREVENTION
‘‘Subpart I—Certain Authorities
‘‘SEC. 2521. ADMINISTRATOR OF PROGRAMS.
‘‘This part shall be carried out by the Secretary act-
ing through the Director of the Centers for Disease Con-
trol and Prevention.
‘‘Subpart II—Certain Programs
‘‘SEC. 2531. EPIDEMIOLOGY AND SURVEILLANCE.
‘‘(a) IN GENERAL.—The Secretary may, directly or
through the provision of financial assistance, conduct
studies and carry out other activities to assist public and
nonprofit private entities in obtaining epidemiological data
on the human immunodeficiency virus and related mat-
ters. Such activities may include surveillance activities and
other relevant data-collection activities.
‘‘(b) MEETINGS.—For the purpose of improving pro-
grams that carry out HIV prevention activities, the Sec-
retary may hold meetings in order that States, political
subdivisions, the Centers for Disease Control and Preven-
tion, and other entities can exchange information and
ideas.
‘‘(c) FUNDING.—For the purpose of carrying out this
section, there are authorized to be appropriated
$175,000,000 for fiscal year 1994, and such sums as may
be necessary for each of the fiscal years 1995 and 1996.
Amounts appropriated under the preceding sentence are
not available for conferences under section 2532(m).
‘‘SEC. 2532. COMMUNITY-BASED PROGRAM.
‘‘(a) IN GENERAL.—
‘‘(1) AUTHORITY
FOR
FINANCIAL
ASSIST-
ANCE.—The Secretary may provide financial assist-
ance to health departments of States and political
subdivisions for the purpose of operating projects to
carry out the HIV prevention activities described in
paragraph (2) for individuals who are at significant
risk of contracting HIV infection or of transmitting
such infection to other individuals.
‘‘(2) HIV 
COMMUNITY-BASED
ACTIVITIES.—
With respect to individuals described in paragraph
(1), the HIV prevention activities referred to in such
paragraph are such activities that are carried out in
their communities to educate the individuals on the
transmission of the human immunodeficiency virus,
including encouraging the individuals to avoid the
particular behaviors placing the individuals at sig-
nificant risk of contracting HIV infection or of
transmitting such infection to other individuals.
‘‘(b) SEEKING OUT AT-RISK INDIVIDUALS.—The
Secretary may provide financial assistance under sub-
section (a) only if the applicant involved agrees that, in
operating the project for which the assistance is sought,
the applicant will seek out and offer HIV community-
based activities to at-risk individuals .
‘‘(c) ASSESSMENT OF NEED.—
‘‘(1) IN GENERAL.—With respect to the geo-
graphic area in which an applicant for financial as-
sistance under subsection (a) proposes to carry out
a project under such subsection, the Secretary may
provide the assistance only if—
‘‘(A) the applicant has, on the basis of
standards and methodologies established under
paragraph (2), conducted an assessment of the
extent of the need in the geographic area for
the project; and
‘‘(B) the applicant submits the assessment
to the Secretary, together with a description of
the relationship between the assessment and the
proposal of the applicant for such project.
‘‘(2) ISSUANCE
OF
STANDARDS
BY
SEC-
RETARY.—Not later than 90 days after the date of
the enactment of the Comprehensive HIV Prevention
Act of 1993, the Secretary shall establish uniform
standards and methodologies for assessments under
paragraph (1). In developing the standards and
methodologies, the Secretary shall ensure that such
assessments are made on the basis of data that is
readily accessible to, or easily developed by, health
departments of States and political subdivisions.
‘‘(d) 
REQUIREMENTS
REGARDING
PROJECT
AREAS.—
‘‘(1) IN GENERAL.—The Secretary may provide
financial assistance under subsection (a) only if,
with respect to the project involved—
‘‘(A) the applicant involved has designated
the geographic area in which the applicant will
operate the project; and
‘‘(B) the jurisdictions specified in para-
graph (2) have entered into an agreement for
purposes of allocating among such jurisdictions
the HIV community-based activities that are to
be provided with such assistance.
‘‘(2) RELEVANT JURISDICTIONS.—With respect
to a geographic area designated by an applicant pur-
suant to paragraph (1), the jurisdictions referred to
in such paragraph are each of the jurisdictions in
which there is located any portion of the geographic
area.
‘‘(e) PLANNING COUNCILS.—
‘‘(1) STATE COUNCIL.—
‘‘(A) The Secretary may provide financial
assistance under subsection (a) to a State only
if the State agrees to operate a council in ac-
cordance with subparagraphs (B) through (D).
‘‘(B) For purposes of subparagraph (A), a
council is operated in accordance with this sub-
paragraph if the duties of the council are mak-
ing recommendations to the State on the follow-
ing:
‘‘(i) Priorities for the allocation within
the State of funds and services under sub-
section (a).
‘‘(ii) A comprehensive plan for carry-
ing out HIV community-based activities in
the State, including coordination of such
activities with other activities carried out
in the State with respect to the human
immunodeficiency virus.
‘‘(iii) Assessing the efficiency of enti-
ties in carrying out such activities in the
State.
‘‘(C) For purposes of subparagraph (A), a
council is operated in accordance with this sub-
paragraph if, subject to subparagraph (D), the
membership of the council includes representa-
tives of the following entities:
‘‘(i) State or local public health agen-
cies.
‘‘(ii) State or local agencies providing
treatment for substance abuse.
‘‘(iii) Private providers of such treat-
ment.
‘‘(iv) State or local agencies that ad-
minister correctional facilities with respect
to crimes.
‘‘(v) Epidemiologists.
‘‘(vi) Behavioral scientists.
‘‘(vii) Providers of mental health serv-
ices.
‘‘(viii) Community-based organizations
that carry out activities or services relating
to the human immunodeficiency virus for a
diverse cross-section of individuals affected
by HIV infections in the project area in-
volved, and that have demonstrated ties to
the project area.
‘‘(ix) Individuals with HIV infection.
‘‘(x) Communities with a significant
number of at-risk individuals.
‘‘(D) For purposes of subparagraph (A), a
council is operated in accordance with this sub-
paragraph if the membership of the council in-
cludes no fewer than one individual from each
of the councils operated pursuant to paragraph
(2).
‘‘(E) With respect to compliance with sub-
paragraph (A), a council under such subpara-
graph may include members in addition to the
members required in subparagraph (C).
‘‘(2) LOCAL COUNCILS.—
‘‘(A) The Secretary may provide financial
assistance under subsection (a) only if, for the
project area involved, the applicant for the as-
sistance agrees to provide for the operation of
a council in accordance with subparagraphs (B)
and (C).
‘‘(B) For purposes of subparagraph (A), a
council is operated in accordance with this sub-
paragraph if, with respect to the project area
involved, the duties of the council are as fol-
lows:
‘‘(i) To establish priorities for the al-
location within the project area of funds
and services under subsection (a).
‘‘(ii) To provide for a comprehensive
plan for carrying out HIV community-
based activities, which plan is compatible
with any existing State and local plans re-
garding such activities and which plan pro-
vides for the coordination of such activities
with other activities carried out in the
project area with respect to the human
immunodeficiency virus.
‘‘(iii) To assess the efficiency of the
project carried out with the assistance in
rapidly allocating funds to the communities
in the project area that have the greatest
need.
‘‘(C) For purposes of subparagraph (A), a
council is operated in accordance with this sub-
paragraph if the membership of the council in-
cludes representatives of each of the types of
entities specified in paragraph (1)(C).
‘‘(D) With respect to compliance with sub-
paragraph (A), a council under such subpara-
graph may include members in addition to the
members required in subparagraph (C).
‘‘(3) AUTHORITY OF LOCAL COUNCILS.—
‘‘(A) The Secretary may provide financial
assistance under subsection (a) only if the ap-
plicant involved agrees, subject to subparagraph
(B), that the allocation of HIV community-
based activities within a project area under sub-
section (d) will be made in accordance with the
priorities established under paragraph (2)(B)(i)
for the project area.
‘‘(B) In the case of a project under sub-
section (a) that is carried out with financial as-
sistance provided under such subsection to a
State, the requirement established in subpara-
graph (A) is subject to such conditions regard-
ing the use of amounts from the award of such
assistance as the State may establish in accord-
ance with this section.
‘‘(f) TECHNICAL SERVICES ORGANIZATIONS.—
‘‘(1) IN GENERAL.—The Secretary may provide
financial assistance under subsection (a) only if the
applicant involved agrees that, in expending the as-
sistance, the applicant will enter into a contract with
an organization described in paragraph (2) under
which contract the organization provides, for the
project operated with such assistance, the following
services:
‘‘(A) The organization assists in the devel-
opment of all plans for carrying out HIV com-
munity-based activities through the project.
‘‘(B) The organization provides technical
services to the project in carrying out such ac-
tivities.
‘‘(C) The organization, in collaboration
with entities that carry out such activities, de-
velops a methodology for evaluations of whether
and to what extent the project has influenced
individuals to avoid behaviors that place the in-
dividuals at significant risk of contracting HIV
infection or of transmitting such infection to
other individuals.
‘‘(2) APPROVAL OF SECRETARY.—The organiza-
tion referred to in paragraph (1) is an organization
that has been approved by the Secretary as having
the necessary expertise for performing, for the
project involved, the functions specified in such
paragraph.
‘‘(3) REQUIREMENTS
FOR
PROVIDERS.—The
Secretary may provide financial assistance under
subsection (a) only if the applicant involved agrees
to ensure that each entity (including the applicant)
that is to carry out any HIV community-based activ-
ity through the project involved complies with the
following requirements:
‘‘(A) The entity develops a plan for the en-
tity to carry out the HIV community-based ac-
tivities involved, and the plan is developed in
collaboration with the technical services organi-
zation for the project.
‘‘(B) With respect to the evaluations de-
scribed in paragraph (1)(C), the entity under-
goes such an evaluation each year, and the eval-
uation is conducted in accordance with the
methodology developed under such paragraph.
‘‘(4) DESCRIPTION REGARDING COMPLIANCE OF
PROJECT.—The Secretary may provide financial as-
sistance under subsection (a) only if the applicant
involved submits to the Secretary a description of
the manner in which the applicant intends to comply
with the agreements made under this subsection, in-
cluding a specification of the amount of such assist-
ance to be expended for such purposes.
‘‘(g) MAINTENANCE OF EFFORT.—With respect to
HIV prevention activities, the Secretary may provide fi-
nancial assistance under subsection (a) only if the appli-
cant involved agrees to maintain expenditures of non-Fed-
eral amounts for such activities at a level that is not less
than the level of such expenditures maintained by the ap-
plicant for the fiscal year preceding the fiscal year for
which the applicant receives an award of such assistance.
‘‘(h) ASSISTANCE FOR PLANNING OF PROJECTS.—
The Secretary may provide financial assistance to States
and political subdivisions for the purpose of developing
plans to carry out projects under subsection (a).
‘‘(i) APPLICATION FOR ASSISTANCE.—The Secretary
may provide financial assistance under subsection (a) or
(h) only if—
‘‘(1) an application for the assistance is submit-
ted to the Secretary;
‘‘(2) the application is in such form, is made in
such manner, and contains such agreements, assur-
ances, and information as the Secretary determines
to be necessary to carry out the purpose of the as-
sistance involved; and
‘‘(3) in the case of an application for financial
assistance under subsection (a), the application con-
tains—
‘‘(A) the assessment and description re-
quired in subsection (c) (relating to the need
for a project); and
‘‘(B) the description required in subsection
(f)(4) (relating to technical services organiza-
tions).
‘‘(j) MEETINGS.—For the purpose of improving the
program carried out under this section, the Secretary may
hold meetings in order that technical service organiza-
tions, States, political subdivisions, the Centers for Dis-
ease Control and Prevention, and other entities can ex-
change information and ideas.
‘‘(k) DEFINITIONS.—For purposes of this section:
‘‘(1) The term ‘at-risk individual’ means an in-
dividual who is at significant risk of contracting
HIV infection or of transmitting such infection to
other individuals.
‘‘(2) The term ‘HIV community-based activi-
ties’ means the HIV prevention activities described
in subsection (a)(2).
‘‘(3) The term ‘jurisdiction’ means the jurisdic-
tion of a political subdivision.
‘‘(4) The term ‘project area’ means the geo-
graphic area in which a project under subsection (a)
is carried out (or proposed to be carried out) pursu-
ant to a designation under subsection (d).
‘‘(5) The term ‘technical services organization’,
with respect to a project under subsection (a),
means the organization that receives the contract re-
quired in subsection (f)(1) with respect to the
project.
‘‘(l) AUTHORIZATION OF APPROPRIATIONS.—For the
purposes of carrying out this section, there are authorized
to be appropriated $175,000,000 for fiscal year 1994, and
such sums as may be necessary for each of the fiscal years
1995 and 1996. Amounts appropriated under the preced-
ing sentence for fiscal year 1994 shall remain available
until expended.
‘‘SEC. 2533. COUNSELING AND TESTING.
‘‘(a) IN GENERAL.—The Secretary may provide fi-
nancial assistance to States and political subdivisions for
the purpose of—
‘‘(1) counseling individuals on HIV infection;
‘‘(2) testing individuals for such infection, in-
cluding tests to confirm the presence of the disease,
to diagnose the extent of the deficiency in the im-
mune system, and to provide information on appro-
priate therapeutic measures for preventing and
treating the deterioration of the immune system and
information as the Secretary determines to be necessary
to carry out the purpose described in subsection (a).
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated $175,000,000 for fiscal year 1994, and
such sums as may be necessary for each of the fiscal years
1995 and 1996.
‘‘Subpart III—Additional Programs
‘‘SEC. 2541. PUBLIC EDUCATION.
‘‘(a) IN GENERAL.—The Secretary may, directly or
through the provision of financial assistance, carry out ac-
tivities to provide information and education to the public
on the human immunodeficiency virus.
‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated $50,000,000 for fiscal year 1994, and
such sums as may be necessary for each of the fiscal years
1995 and 1996.
‘‘SEC. 2542. SPECIFIC POPULATIONS.
‘‘(a) IN GENERAL.—The Secretary may, directly or
through the provision of financial assistance, carry out
HIV prevention activities with respect to specific popu-
lations identified by the Secretary.
‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated $60,000,000 for fiscal year 1994, and
such sums as may be necessary for each of the fiscal years
1995 and 1996.
‘‘SEC. 2543. PROGRAMS FOR ADOLESCENTS.
‘‘(a) IN GENERAL.—The Secretary may, directly or
through the provision of financial assistance, carry out
HIV prevention activities with respect to adolescents.
‘‘(b) SCHOOL-BASED PROGRAMS.—
‘‘(1) In carrying out subsection (a), the Sec-
retary may assist elementary and secondary schools
and institutions of higher education in operating
programs to carry out HIV prevention activities.
‘‘(2)(A) In carrying out paragraph (1), the Sec-
retary may provide financial assistance to education
and health departments of States and political sub-
divisions, and may provide such assistance to other
public or nonprofit private entities.
‘‘(B) The Secretary may provide financial as-
sistance under subparagraph (A) to an educational
or health department of a political subdivision only
after consultation with the educational or health de-
partment of the State involved.
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated $60,000,000 for fiscal year 1994, and
such sums as may be necessary for each of the fiscal years
1995 and 1996.
‘‘SEC. 2544. RESEARCH; DEMONSTRATION PROJECTS.
‘‘(a) IN GENERAL.—With respect to HIV prevention
activities, the Secretary may, directly or through the provi-
sion of financial assistance, conduct research and carry
out demonstration projects.
‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated $20,000,000 for fiscal year 1994, and
such sums as may be necessary for each of the fiscal years
1995 and 1996.
‘‘SEC. 2545. GENERAL AUTHORITY.
‘‘(a) IN GENERAL.—With respect to HIV prevention
activities, the Secretary may, directly or through the provi-
sion of financial assistance, carry out programs in addition
to the programs otherwise authorized in this part.
‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated such sums as may be necessary for
each of the fiscal years 1994 through 1996.
‘‘Subpart IV—General Provisions
‘‘SEC. 2551. TECHNICAL ASSISTANCE; SUPPLIES AND SERV-
ICES IN LIEU OF FUNDS.
‘‘(a) TECHNICAL ASSISTANCE.—The Secretary may
provide training and technical assistance to applicants for,
and recipients of, financial assistance under this part with
respect to the planning, development, and operation of ac-
tivities under this part. The Secretary may provide such
technical assistance directly or through awards of financial
assistance.
‘‘(b) SUPPLIES AND SERVICES.—
‘‘(1) IN GENERAL.—Upon the request of a re-
cipient of an award under this part, the Secretary
may, subject to paragraph (2), provide supplies,
equipment, and services for the purpose of aiding
the recipient in carrying out the purpose of the
award, and for such purpose, may detail to the re-
cipient any officer or employee of the Department of
Health and Human Services.
‘‘(2) CORRESPONDING
REDUCTION
IN
PAY-
MENTS.—With respect to a request under paragraph
(1), the Secretary shall reduce the amount of pay-
ments under the award involved by an amount equal
to the costs of detailing personnel and the fair mar-
ket value of any supplies, equipment, or services pro-
vided by the Secretary. The Secretary shall, for the
payment of expenses incurred in complying with
such request, expend the amounts withheld.
‘‘PART C—GENERAL PROVISIONS
‘‘SEC. 2591. DEFINITIONS.
‘‘For purposes of this title:
‘‘(1) The term ‘designated agency’ means an
agency specified in section 2501(b)(2).
‘‘(2) The term ‘financial assistance’ means
grants, cooperative agreements, and contracts.
‘‘(3) The term ‘human immunodeficiency virus’
means the etiologic agent for acquired immune defi-
ciency syndrome.
‘‘(4) The term ‘HIV infection’ means infection
with the human immunodeficiency virus.
‘‘(5) The term ‘HIV prevention activities’
means activities for the prevention of HIV infection,
including counseling individuals, educating the pub-
lic, and other appropriate activities. Such term in-
cludes research on the prevention of HIV infection.
‘‘(6) The term ‘political subdivision’ means a
political subdivision of a State.’’.
SEC. 3. EFFECTIVE DATE.
This Act takes effect October 1, 1993, or upon the
date of the enactment of this Act, whichever occurs later.
Æ