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that follows through ‘‘be carried’’ and inserting ‘‘with funds
appropriated through this Act will be carried’’.
(b) ADDITIONAL REQUIRED AGREEMENTS.—Section
2664(a) of the Public Health Service Act (42 U.S.C. 300ff–
64(a)) is amended—
(1) in paragraph (1)—
(A) in subparagraph (A), by striking ‘‘and’’
at the end;
(B) in subparagraph (B), by striking ‘‘and’’
at the end; and
(C) by adding at the end the following:
‘‘(C) information regarding how the ex-
pected expenditures of the grant are related to
the planning process for localities funded under
part A (including the planning process described
in section 2602) and for States funded under
part B (including the planning process described
in section 2617(b)); and
‘‘(D) a specification of the expected expendi-
tures and how those expenditures will improve
overall client outcomes, as described in the State
plan under section 2617(b);’’;
(2) in paragraph (2), by striking the period and
inserting a semicolon; and
(3) by adding at the end the following:
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‘‘(3) the applicant agrees to provide additional
documentation to the Secretary regarding the process
used to obtain community input into the design and
implementation of activities related to such grant;
and
‘‘(4) the applicant agrees to submit, every 2
years, to the lead State agency under section
2617(b)(4) audits, consistent with Office of Manage-
ment and Budget circular A133, regarding funds ex-
pended in accordance with this title and shall include
necessary client level data to complete unmet need
calculations and Statewide coordinated statements of
need process.’’.
(c) PAYER OF LAST RESORT.—Section 2664(f)(1)(A)
of the Public Health Service Act (42 U.S.C. 300ff–
64(f)(1)(A)) is amended by inserting ‘‘(except for a program
administered by or providing the services of the Indian
Health Service)’’ before the semicolon.
TITLE IV—WOMEN, INFANTS,
CHILDREN, AND YOUTH
SEC. 401. WOMEN, INFANTS, CHILDREN, AND YOUTH.
Part D of title XXVI of the Public Health Service Act
(42 U.S.C. 300ff–71 et seq.) is amended to read as follows:
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‘‘PART D—WOMEN, INFANTS, CHILDREN, AND
YOUTH
‘‘SEC. 2671. GRANTS FOR COORDINATED SERVICES AND AC-
CESS TO RESEARCH FOR WOMEN, INFANTS,
CHILDREN, AND YOUTH.
‘‘(a) IN GENERAL.—The Secretary, acting through the
Administrator of the Health Resources and Services Admin-
istration, shall award grants to public and nonprofit pri-
vate entities (including a health facility operated by or pur-
suant to a contract with the Indian Health Service) for the
purpose of providing family-centered care involving out-
patient or ambulatory care (directly or through contracts)
for women, infants, children, and youth with HIV/AIDS.
‘‘(b) ADDITIONAL SERVICES FOR PATIENTS AND FAMI-
LIES.—Funds provided under grants awarded under sub-
section (a) may be used for the following support services:
‘‘(1) Family-centered care including case man-
agement.
‘‘(2) Referrals for additional services including—
‘‘(A) referrals for inpatient hospital serv-
ices, treatment for substance abuse, and mental
health services; and
‘‘(B) referrals for other social and support
services, as appropriate.
‘‘(3) Additional services necessary to enable the
patient and the family to participate in the program
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established by the applicant pursuant to such sub-
section including services designed to recruit and re-
tain youth with HIV.
‘‘(4) The provision of information and education
on opportunities to participate in HIV/AIDS-related
clinical research.
‘‘(c) COORDINATION
WITH
OTHER
ENTITIES.—A
grant awarded under subsection (a) may be made only if
the applicant provides an agreement that includes the fol-
lowing:
‘‘(1) The applicant will coordinate activities
under the grant with other providers of health care
services under this Act, and under title V of the So-
cial Security Act, including programs promoting the
reduction and elimination of risk of HIV/AIDS for
youth.
‘‘(2) The applicant will participate in the state-
wide coordinated statement of need under part B
(where it has been initiated by the public health agen-
cy responsible for administering grants under part B)
and in revisions of such statement.
‘‘(3) The applicant will every 2 years submit to
the lead State agency under section 2617(b)(4) audits
regarding funds expended in accordance with this
title and shall include necessary client-level data to
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complete unmet need calculations and Statewide co-
ordinated statements of need process.
‘‘(d) ADMINISTRATION; APPLICATION.—A grant may
only be awarded to an entity under subsection (a) if an
application for the grant is submitted to the Secretary and
the application is in such form, is made in such manner,
and contains such agreements, assurances, and information
as the Secretary determines to be necessary to carry out
this section. Such application shall include the following:
‘‘(1) Information regarding how the expected ex-
penditures of the grant are related to the planning
process for localities funded under part A (including
the planning process outlined in section 2602) and for
States funded under part B (including the planning
process outlined in section 2617(b)).
‘‘(2) A specification of the expected expenditures
and how those expenditures will improve overall pa-
tient outcomes, as outlined as part of the State plan
(under section 2617(b)) or through additional out-
come measures.
‘‘(e) ANNUAL REVIEW OF PROGRAMS; EVALUATIONS.—
‘‘(1) REVIEW REGARDING ACCESS TO AND PAR-
TICIPATION IN PROGRAMS.—With respect to a grant
under subsection (a) for an entity for a fiscal year,
the Secretary shall, not later than 180 days after the