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complications arising from such mutilation. Such
recommendations shall be disseminated to such
schools.
(b) DEFINITION.—For purposes of this section, the
term ‘‘female genital mutilation’’ means the removal or
infibulation (or both) of the whole or part of the clitoris,
the labia minor, or the labia major.
SEC. 2554. EFFECTIVE DATES.
Section 2553 of this Act shall take effect imme-
diately, and the Secretary of Health and Human Services
shall commence carrying it out not later than 90 days
after the date of the enactment of this Act. Section 2552
of this Act shall take effect 180 days after the date of
the enactment of this Act.
Subtitle O—Women and HIV
Outreach and Prevention Act
SEC. 2591. SHORT TITLE.
This subtitle may be cited as the ‘‘Women and HIV
Outreach and Prevention Act’’.
SEC. 2592. PREVENTIVE HEALTH PROGRAMS REGARDING
WOMEN AND HUMAN IMMUNODEFICIENCY
VIRUS.
Title XXV of the Public Health Service Act (42
U.S.C. 300ee et seq.) is amended by adding at the end
the following part:
165
‘‘PART C—PROGRAMS FOR WOMEN
‘‘SEC. 2531. PREVENTIVE HEALTH SERVICES.
‘‘(a) IN GENERAL.—The Secretary may make grants
for the following purposes:
‘‘(1) Providing to women preventive health serv-
ices that are related to acquired immune deficiency
syndrome, including—
‘‘(A) providing prevention education on the
human immunodeficiency virus (in this part re-
ferred to as ‘HIV’), including counseling on all
modes of transmission between individuals, in-
cluding sexual contact, the use of IV drugs, and
maternal-fetal transmission;
‘‘(B) making available voluntary HIV test-
ing services to women; and
‘‘(C) providing effective and close linkages
between testing and care services for women.
‘‘(2) Providing appropriate referrals regarding
the provision of other services to women who are re-
ceiving services pursuant to paragraph (1), includ-
ing, as appropriate, referrals regarding the follow-
ing: treatment for HIV infection; treatment for sub-
stance abuse; mental health services; pregnancy and
childbirth; pediatric care; housing services; public as-
166
sistance; job training; child care; respite care; repro-
ductive health care; and domestic violence.
‘‘(3) Providing follow-up services regarding
such referrals, to the extent practicable.
‘‘(4) Improving referral arrangements for pur-
poses of paragraph (2).
‘‘(5) In the case of a woman receiving services
pursuant to any of paragraphs (1) through (3), pro-
viding to the partner of the woman the services de-
scribed in such paragraphs, as appropriate.
‘‘(6) With respect to the services specified in
paragraphs (1) through (5)—
‘‘(A) providing outreach services to inform
women of the availability of such services; and
‘‘(B) providing training regarding the ef-
fective provision of such services.
‘‘(b) MINIMUM QUALIFICATIONS
OF GRANTEES.—
The Secretary may make a grant under subsection (a)
only if the applicant for the grant is a grantee under sec-
tion 329, section 330, or section 1001, or is another public
or nonprofit private entity that provides health or vol-
untary family planning services to a significant number
of low-income women in a culturally sensitive and lan-
guage-appropriate manner.
167
‘‘(c) CONFIDENTIALITY.—The Secretary may make a
grant under subsection (a) only if the applicant for the
grant agrees to maintain the confidentiality of information
on individuals regarding screenings pursuant to subsection
(a), subject to complying with applicable law.
‘‘(d) APPLICATION FOR GRANT.—The Secretary may
make a grant under subsection (a) only if an application
for the grant is submitted to the Secretary and the appli-
cation is in such form, is made in such manner, and con-
tains such agreements, assurances, and information as the
Secretary determines to be necessary to carry out such
subsection.
‘‘(e) EVALUATIONS AND REPORTS.—
‘‘(1) EVALUATIONS.—The Secretary shall, di-
rectly or through contracts with public or private en-
tities, provide for evaluations of projects carried out
pursuant to subsection (a).
‘‘(2) REPORTS.—Not later than 1 year after the
date on which amounts are first appropriated under
subsection (f), and annually thereafter, the Sec-
retary shall submit to the Congress a report summa-
rizing evaluations carried out under paragraph (1)
during the preceding fiscal year.
‘‘(f) AUTHORIZATIONS OF APPROPRIATIONS.—
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‘‘(1) TITLE
X
CLINICS.—For the purpose of
making grants under subsection (a) to entities that
are grantees under section 1001, and for the pur-
pose of otherwise carrying out this section with re-
spect to such grants, there are authorized to be ap-
propriated $30,000,000 for fiscal year 1997, and
such sums as may be necessary for each of the fiscal
years 1998 and 1999.
‘‘(2) COMMUNITY AND MIGRANT HEALTH CEN-
TERS; OTHER PROVIDERS.—For the purpose of mak-
ing grants under subsection (a) to entities that are
grantees under section 329 or 330, and to other en-
tities described in subsection (b) that are not grant-
ees under section 1001, and for the purpose of oth-
erwise carrying out this section with respect to such
grants, there are authorized to be appropriated
$20,000,000 for fiscal year 1997, and such sums as
may be necessary for each of the fiscal years 1998
and 1999.
‘‘SEC. 2532. PUBLIC EDUCATION.
‘‘(a) IN GENERAL.—The Secretary may make grants
for the purpose of developing and carrying out programs
to provide HIV prevention education to women, including
education on all modes of transmission between individ-
169
uals, including sexual contact, the use of IV drugs, and
maternal-fetal transmission.
‘‘(b) MINIMUM QUALIFICATIONS
OF GRANTEES.—
The Secretary may make a grant under subsection (a)
only if the applicant involved is a public or nonprofit pri-
vate entity that is experienced in carrying out health-relat-
ed activities for women, with a priority given to such enti-
ties that have successfully targeted women of color.
‘‘(c) APPLICATION FOR GRANT.—The Secretary may
make a grant under subsection (a) only if an application
for the grant is submitted to the Secretary and the appli-
cation is in such form, is made in such manner, and con-
tains such agreements, assurances, and information as the
Secretary determines to be necessary to carry out such
subsection.
‘‘(d) PROVISIONS
REGARDING
PLANNING
COUN-
CILS.—In carrying out the mission of the Community HIV
Planning Process, the Secretary shall ensure that women
who represent women’s interests and have expertise on
women’s health, HIV positive women, and their advocates
are included on the Planning Councils, that financial re-
sources are allocated to ensure such representation, and
that Planning Councils use qualitative data based on wom-
en’s experiences.
‘‘(e) EVALUATIONS AND REPORTS.—
170
‘‘(1) EVALUATIONS.—The Secretary shall, di-
rectly or through contracts with public or private en-
tities, provide for evaluations of projects carried out
pursuant to subsection (a).
‘‘(2) REPORTS.—Not later than 1 year after the
date on which amounts are first appropriated under
subsection (e), and annually thereafter, the Sec-
retary shall submit to the Congress a report summa-
rizing evaluations carried out under paragraph (1)
during the preceding fiscal year.
‘‘(f) AUTHORIZATIONS
OF APPROPRIATIONS.—For
the purpose of carrying out this section, there are author-
ized to be appropriated $30,000,000 for fiscal year 1997,
and such sums as may be necessary for each of the fiscal
years 1998 and 1999.’’.
SEC. 2593. TREATMENT OF WOMEN FOR SUBSTANCE
ABUSE.
Subpart 1 of part B of title V of the Public Health
Service Act (42 U.S.C. 290bb et seq.), as amended by sec-
tion 108 of Public Law 102–321 (106 Stat. 336), is
amended by inserting after section 509 the following sec-
tion:
‘‘TREATMENT OF WOMEN FOR SUBSTANCE ABUSE
‘‘SEC. 509A. (a) IN GENERAL.—The Director of the
Center for Substance Abuse Treatment may make awards
171
of grants, cooperative agreements, and contracts for the
purpose of carrying out programs—
‘‘(1) to provide treatment for substance abuse
to women, including but not limited to, women with
dependent children;
‘‘(2) to provide to women who engage in such
abuse counseling on the prevention of infection with,
and the transmission of, the etiologic agent for ac-
quired immune deficiency syndrome; and
‘‘(3) to provide such counseling to women who
are the partners of individuals who engage in such
abuse.
‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out subsection (a), there are author-
ized to be appropriated $20,000,000 for fiscal year 1997,
and such sums as may be necessary for each of the fiscal
years 1998 and 1999.’’.
SEC. 2594. EARLY INTERVENTION SERVICES FOR WOMEN.
Section 2655 of the Public Health Service Act (42
U.S.C. 300ff–55) is amended—
(1) by striking ‘‘For the purpose of’’ and insert-
ing ‘‘(a) IN GENERAL.—For the purpose of’’; and
(2) by adding at the end the following sub-
section:
172
‘‘(b) PROGRAMS FOR WOMEN.—For the purpose of
making grants under section 2651 to provide to women
early intervention services described in such section, and
for the purpose of providing technical assistance under
section 2654(b) with respect to such grants, there are au-
thorized to be appropriated $20,000,000 for fiscal year
1997, and such sums as may be necessary for each of the
fiscal years 1998 and 1999.’’.
Subtitle P—Smoking Prevention
and Cessation in WIC Clinics Act
SEC. 2601. SHORT TITLE.
This subtitle may be cited as the ‘‘Smoking Preven-
tion and Cessation in WIC Clinics Act’’.
SEC. 2602. SMOKING CESSATION DEMONSTRATION PRO-
GRAMS FOR WIC PARTICIPANTS.
Section 17(e) of the Child Nutrition Act of 1966 (42
U.S.C. 1786(e)) is amended—
(1) by redesignating paragraphs (3) (the second
place it appears), (4), and (5) as paragraphs (4)
through (6), respectively; and
(2) by adding at the end the following new
paragraph:
‘‘(7)(A) The State agency shall ensure that each local
agency operating the program under this section—
173
‘‘(i) establishes and carries out an on-site smok-
ing cessation demonstration program for pregnant
participants on a voluntary basis; and
‘‘(ii) educates all participants about the adverse
health effects of cigarette smoking.
‘‘(B) The program described in subparagraph (A)(i)
shall—
‘‘(i) be provided to participants during regular
visits to the clinic;
‘‘(ii) be incorporated into the program under
this section;
‘‘(iii) include a public information and edu-
cation component, which shall include the dissemina-
tion of risk information and materials relating to the
adverse health effects of cigarette smoking during
pregnancy; and
‘‘(iv) include a self-monitoring component,
which shall include—
‘‘(I) one-on-one counseling designed to help
participants quit smoking; and
‘‘(II) the utilization of a process whereby
the participant develops and signs, and a rep-
resentative from the local agency and an indi-
vidual chosen by the participant also sign, a
written statement containing a promise by the
174
participant to quit smoking beginning on a cer-
tain date.
‘‘(C)(i) The State agency shall ensure that each local
agency operating the program under this section submits
to such State agency an annual report containing a de-
scription and evaluation of the program established and
carried out by such local agency, including a description
of the total number of participants receiving services
under such program and the success rate of such partici-
pants in quitting smoking. The State agency shall compile
such reports into 1 annual report and submit such report
to the Secretary.
‘‘(ii) The Secretary shall submit to the Congress an
annual report containing—
‘‘(I) a compilation of the information contained
in the reports received by the Secretary from each
State agency under clause (i); and
‘‘(II) an evaluation of the effectiveness of the
smoking cessation demonstration programs.’’.
Subtitle Q—Comprehensive Fetal
Alcohol Syndrome Prevention Act
SEC. 2651. SHORT TITLE.
This subtitle may be cited as the ‘‘Comprehensive
Fetal Alcohol Syndrome Prevention Act’’.
175
SEC. 2652. PREVENTION OF FETAL ALCOHOL SYNDROME;
PROGRAM OF NATIONAL INSTITUTE ON AL-
COHOL ABUSE AND ALCOHOLISM.
Subpart 14 of part C of title IV of the Public Health
Service Act (42 U.S.C. 285n et seq.) is amended by adding
at the end the following section:
‘‘FETAL ALCOHOL SYNDROME
‘‘SEC. 464K. (a) IN GENERAL.—The Director of the
Institute shall establish a program for the conduct and
support of research and training, the dissemination of
health information, and other programs with respect to
the cause, diagnosis, prevention, and treatment of fetal al-
cohol syndrome and the related condition known as fetal
alcohol effects (which syndrome and effects are referred
to collectively in this section as ‘fetal alcohol conditions’).
‘‘(b) INTERAGENCY COORDINATING COMMITTEE.—
‘‘(1) IN GENERAL.—Subject to paragraph (6),
the Secretary shall establish a committee to be
known as the Interagency Coordinating Committee
on Fetal Alcohol Syndrome (in this subsection re-
ferred to as the ‘Coordinating Committee’).
‘‘(2) DUTIES.—With respect to fetal alcohol
conditions, the Coordinating Committee shall—
‘‘(A) coordinate the activities of the Na-
tional Institutes of Health; and
176
‘‘(B) coordinate the aspects of all Federal
health programs and activities relating to such
conditions in order to assure the adequacy and
technical soundness of such programs and ac-
tivities, and in order to provide for the full com-
munication and exchange of information nec-
essary to maintain adequate coordination of
such programs and activities.
‘‘(3) COMPOSITION.—The Coordinating Com-
mittee shall be composed of—
‘‘(A) the directors of each of the national
research institutes, and the heads of other
agencies of the National Institutes of Health,
that are involved in research on fetal alcohol
conditions; and
‘‘(B) representatives of all other Federal
departments and agencies whose programs in-
volve health functions or responsibilities rel-
evant to such conditions.
‘‘(4) CHAIR.—The Secretary shall designate a
member of the Coordinating Committee to serve as
the chair of the Committee. The Committee shall
meet at the call of the Chair, but not less than four
times a year.
‘‘(5) ANNUAL REPORT.—