I 
119TH CONGRESS 
1ST SESSION H. R. 3409 
To amend the Public Health Service Act to expand and improve health 
care services by health centers and the National Health Service Corps 
for individuals with a developmental disability, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 14, 2025 
Mr. MOULTON (for himself, Mr. FITZPATRICK, Mrs. DINGELL, Mr. MORELLE, 
Mr. TONKO, and Mr. KRISHNAMOORTHI) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to expand and 
improve health care services by health centers and the 
National Health Service Corps for individuals with a 
developmental disability, and for other purposes. 
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 ‘‘Healthcare Extension 
and Accessibility for Developmentally disabled and Under-
served Population Act of 2025’’ or the ‘‘HEADs UP Act 
of 2025’’. 
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SEC. 2. HEALTH CARE SERVICES BY HEALTH CENTERS AND 
NATIONAL HEALTH SERVICE CORPS FOR IN-
DIVIDUALS WITH A DEVELOPMENTAL DIS-
ABILITY. 
(a) INCLUSION WITHIN SPECIAL MEDICALLY UN-
DERSERVED POPULATIONS FOR PURPOSES OF HEALTH 
CENTER DEFINITION.—Section 330(a)(1) of the Public 
Health Service Act (42 U.S.C. 254b(a)(1)) is amended by 
striking ‘‘and residents of public housing,’’ and inserting 
‘‘residents of public housing, and individuals with a devel-
opmental disability’’. 
(b) DEFINITION.—Section 330(b) of the Public 
Health Service Act (42 U.S.C. 254b(a)(1)) is amended by 
adding at the end the following: 
‘‘(4) INDIVIDUALS
WITH
A
DEVELOPMENTAL 
DISABILITY.—In this section, the term ‘individuals 
with a developmental disability’ means individuals 
with a developmental disability as defined in section 
102 of the Developmental Disabilities Assistance 
and Bill of Rights Act of 2000.’’. 
(c) GRANTS FOR SERVICES.— 
(1) AUTHORIZATION.—Section 330 of the Pub-
lic Health Service Act (42 U.S.C. 254b) is amend-
ed— 
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(A) 
by 
redesignating 
subsections 
(j) 
through (r) as subsections (k) through (s), re-
spectively; and 
(B) by inserting after subsection (i) the 
following: 
‘‘(j) INDIVIDUALS WITH A DEVELOPMENTAL DIS-
ABILITY.— 
‘‘(1) IN GENERAL.—The Secretary may award 
grants to existing health centers for the purposes de-
scribed in subsections (e) and (f) to establish or op-
erate new delivery sites for comprehensive primary 
health services, including dental care, to a special 
medically underserved population comprised of indi-
viduals with a developmental disability. 
‘‘(2) REQUIRED SERVICES.—In addition to re-
quired primary health services (as defined in sub-
section (b)(1)), an entity that receives a grant under 
this subsection shall be required to provide special-
ized treatment, as necessary, including specially 
trained dental care services, to individuals with a de-
velopmental disability as a condition of such grant. 
‘‘(3) SUPPLEMENT
NOT
SUPPLANT
REQUIRE-
MENT.—A grant awarded under this subsection shall 
be expended to supplement, and not supplant, the 
expenditures of the health center and the value of in 
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kind contributions for the delivery of services to the 
population described in paragraph (1).’’. 
(2) CONFORMING CHANGE.—Section 330(a)(2) 
of the Public Health Service Act (42 U.S.C. 
254b(a)(2)) is amended by striking ‘‘or (i)’’ and in-
serting ‘‘(i), or (j)’’. 
(d) FUNDING.— 
(1) 
PRESERVING
THE
DISTRIBUTION
OF 
GRANTS.—Subsection (s)(2)(B) (as redesignated) of 
section 330 of the Public Health Service Act (42 
U.S.C. 254b) is amended by striking ‘‘the total 
amount appropriated to carry out this section for 
that fiscal year’’ and inserting ‘‘the total amount ap-
propriated to carry out this section (other than sub-
section (j)) for that fiscal year’’. 
(2) FUNDING
REPORT.—Subsection (s)(3)(A) 
(as redesignated) of section 330 of the Public 
Health Service Act (42 U.S.C. 254b) is amended by 
striking ‘‘and migratory and seasonal agricultural 
workers,’’ and inserting ‘‘migratory and seasonal ag-
ricultural workers, and individuals with a develop-
mental disability,’’. 
(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
Subsection (s) (as redesignated) of section 330 of 
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the Public Health Service Act (42 U.S.C. 254b) is 
amended by adding at the end the following: 
‘‘(7) FUNDING FOR SERVICES FOR INDIVIDUALS 
WITH
A
DEVELOPMENTAL
DISABILITY.—To carry 
out subsection (j), there is authorized to be appro-
priated $15,000,000 for each of fiscal years 2026 
through 2030.’’. 
(e) INCLUSION FOR PURPOSES OF HEALTH PROFES-
SIONAL SHORTAGE AREAS.—Section 332(a)(3) of the 
Public Health Service Act is amended by striking ‘‘and 
residents of public housing (as defined in section 3(b)(1) 
of the United States Housing Act of 1937 (42 U.S.C. 
1437a(b)(1)))’’ and inserting ‘‘residents of public housing 
(as defined in section 3(b)(1) of the United States Hous-
ing Act of 1937 (42 U.S.C. 1437a(b)(1))), and individuals 
with a developmental disability (as defined in section 
330(b))’’. 
Æ 
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