125
with the guidelines for improvement in the access to 
and quality of HIV health services. 
‘‘(g) TRAINING
AND
TECHNICAL
ASSISTANCE.—
From the amounts appropriated under subsection (i) for 
a fiscal year, the Secretary may use not more than 5 per-
cent to provide, directly or through contracts with public 
and private entities (which may include grantees under 
subsection (a)), training and technical assistance to assist 
applicants and grantees under subsection (a) in complying 
with the requirements of this section. 
‘‘(h) DEFINITIONS.—In this section: 
‘‘(1) ADMINISTRATIVE
EXPENSES.—The term 
‘administrative expenses’ means funds that are to be 
used by grantees for grant management and moni-
toring activities, including costs related to any staff 
or activity unrelated to services or indirect costs. 
‘‘(2) INDIRECT
COSTS.—The term ‘indirect 
costs’ means costs included in a Federally negotiated 
indirect rate. 
‘‘(3) SERVICES.—The term ‘services’ means—
‘‘(A) services that are provided to clients to 
meet the goals and objectives of the program 
under this section, including the provision of 
professional, diagnostic, and therapeutic serv-
126
ices by a primary care provider or a referral to 
and provision of specialty care; and 
‘‘(B) services that sustain program activity 
and contribute to or help improve services 
under subparagraph (A). 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated, $71,800,000 for each of the fiscal 
years 2007 through 2011.’’. 
SEC. 402. GAO REPORT. 
Not later than 24 months after the date of enactment 
of this Act, the Comptroller General of the Government 
Accountability Office shall conduct an evaluation, and sub-
mit to Congress a report, concerning the funding provided 
for under part D of title XXVI of the Public Health Serv-
ice Act to determine—
(1) how funds are used to provide the adminis-
trative expenses, indirect costs, and services, as de-
fined in section 2671(h) of such title, for individuals 
with HIV/AIDS; 
(2) how funds are used to provide the adminis-
trative expenses, indirect costs, and services, as de-
fined in section 2671(h) of such title, to family 
members of women, infants, children, and youth in-
fected with HIV/AIDS;
127
(3) how funds are used to provide family-cen-
tered care involving outpatient or ambulatory care 
authorized under section 2671(a) of such title; 
(4) how funds are used to provide additional 
services authorized under section 2671(b) of such 
title; and 
(5) how funds are used to help identify HIV-
positive pregnant women and their children who are 
exposed to HIV and connect them with care that can 
improve their health and prevent perinatal trans-
mission. 
TITLE V—GENERAL PROVISIONS 
SEC. 501. GENERAL PROVISIONS. 
Part E of title XXVI of the Public Health Service 
Act (42 U.S.C. 300ff-80 et seq.) is amended to read as 
follows: 
‘‘PART E—GENERAL PROVISIONS 
‘‘SEC. 2681. COORDINATION. 
‘‘(a) REQUIREMENT.—The Secretary shall ensure 
that the Health Resources and Services Administration, 
the Centers for Disease Control and Prevention, the Sub-
stance Abuse and Mental Health Services Administration, 
and the Centers for Medicare & Medicaid Services coordi-
nate the planning, funding, and implementation of Federal 
HIV programs (including all minority AIDS initiatives of
128
the Public Health Service, including under section 2693) 
to enhance the continuity of care and prevention services 
for individuals with HIV/AIDS or those at risk of such 
disease. The Secretary shall consult with other Federal 
agencies, including the Department of Veterans Affairs, 
as needed and utilize planning information submitted to 
such agencies by the States and entities eligible for assist-
ance under this title. 
‘‘(b) REPORT.—The Secretary shall biennially pre-
pare and submit to the appropriate committees of the Con-
gress a report concerning the coordination efforts at the 
Federal, State, and local levels described in this section, 
including a description of Federal barriers to HIV pro-
gram integration and a strategy for eliminating such bar-
riers and enhancing the continuity of care and prevention 
services for individuals with HIV/AIDS or those at risk 
of such disease. 
‘‘(c) INTEGRATION BY STATE.—As a condition of re-
ceipt of funds under this title, a State shall provide assur-
ances to the Secretary that health support services funded 
under this title will be integrated with other such services, 
that programs will be coordinated with other available pro-
grams (including Medicaid), and that the continuity of 
care and prevention services of individuals with HIV/AIDS 
is enhanced.
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‘‘(d) INTEGRATION BY LOCAL OR PRIVATE ENTI-
TIES.—As a condition of receipt of funds under this title, 
a local government or private nonprofit entity shall provide 
assurances to the Secretary that services funded under 
this title will be integrated with other such services, that 
programs will be coordinated with other available pro-
grams (including Medicaid), and that the continuity of 
care and prevention services of individuals with HIV is 
enhanced. 
‘‘SEC. 2682. AUDITS. 
‘‘(a) IN GENERAL.—For fiscal year 2009, and each 
subsequent fiscal year, the Secretary may reduce the 
amounts of grants under this title to a State or political 
subdivision of a State for a fiscal year if, with respect to 
such grants for the second preceding fiscal year, the State 
or subdivision fails to prepare audits in accordance with 
the procedures of section 7502 of title 31, United States 
Code. The Secretary shall annually select representative 
samples of such audits, prepare summaries of the selected 
audits, and submit the summaries to the Congress. 
‘‘(b) POSTING ON THE INTERNET.—All audits that 
the Secretary receives from the State lead agency under 
section 2617(b)(4) shall be posted, in their entirety, on 
the Internet website of the Health Resources and Services 
Administration.