IB 
Union Calendar No. 171 
111TH CONGRESS 
1ST SESSION H. R. 3792 
[Report No. 111–305] 
To amend title XXVI of the Public Health Service Act to revise and extend 
the program for providing life-saving care for those with HIV/AIDS. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 13, 2009 
Mr. PALLONE (for himself, Mr. DEAL of Georgia, Mr. WAXMAN, and Mr. 
BARTON of Texas) introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
OCTOBER 20, 2009 
Additional sponsors: Mrs. CHRISTENSEN, Ms. DEGETTE, Ms. CASTOR of Flor-
ida, Mr. GENE GREEN of Texas, Mr. MARKEY of Massachusetts, Ms. 
SUTTON, Ms. MATSUI, Ms. SCHAKOWSKY, Mr. INSLEE, Mr. GONZALEZ, 
Mr. BRALEY of Iowa, Mrs. BONO MACK, Mr. MURPHY of Connecticut, 
Ms. BALDWIN, Ms. ESHOO, Mr. ROGERS of Michigan, Mr. MATHESON, 
Mr. AL GREEN of Texas, and Ms. HARMAN 
OCTOBER 20, 2009 
Committed to the Committee of the Whole House on the State of the Union 
and ordered to be printed 
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A BILL 
To amend title XXVI of the Public Health Service Act to 
revise and extend the program for providing life-saving 
care for those with HIV/AIDS. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; REFERENCES. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Ryan White HIV/AIDS Treatment Extension Act of 
2009’’. 
(b) REFERENCES.—Except as otherwise specified, 
whenever in this Act an amendment is expressed in terms 
of an amendment to a section or other provision, the ref-
erence shall be considered to be made to a section or other 
provision of the Public Health Service Act (42 U.S.C. 201 
et seq.). 
SEC. 2. REAUTHORIZATION OF HIV HEALTH CARE SERV-
ICES PROGRAM. 
(a) ELIMINATION OF SUNSET PROVISION.— 
(1) IN GENERAL.—The Ryan White HIV/AIDS 
Treatment Modernization Act of 2006 (Public Law 
109–415; 120 Stat. 2767) is amended by striking 
section 703. 
(2) EFFECTIVE
DATE.—Paragraph (1) shall 
take effect as if enacted on September 30, 2009. 
(3) 
CONTINGENCY
PROVISIONS.—Notwith-
standing section 703 of the Ryan White HIV/AIDS 
Treatment Modernization Act of 2006 (Public Law 
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109–415; 120 Stat. 2767) and section 139 of the 
Continuing Appropriations Resolution, 2010— 
(A) the provisions of title XXVI of the 
Public Health Service Act (42 U.S.C. 300ff et 
seq.), as in effect on September 30, 2009, are 
hereby revived; and 
(B) the amendments made by this Act to 
title XXVI of the Public Health Service Act (42 
U.S.C. 300ff et seq.) shall apply to such title as 
so revived and shall take effect as if enacted on 
September 30, 2009. 
(b) PART A GRANTS.—Section 2610(a) (42 U.S.C. 
300ff–20(a)) is amended by striking ‘‘and $649,500,000 
for fiscal year 2009’’ and inserting ‘‘$649,500,000 for fis-
cal year 2009, $681,975,000 for fiscal year 2010, 
$716,074,000 for fiscal year 2011, $751,877,000 for fis-
cal year 2012, and $789,471,000 for fiscal year 2013’’. 
(c) PART B GRANTS.—Section 2623(a) (42 U.S.C. 
300ff–32(a)) is amended by striking ‘‘and $1,285,200,000 
for fiscal year 2009’’ and inserting ‘‘$1,285,200,000 for 
fiscal year 2009, $1,349,460,000 for fiscal year 2010, 
$1,416,933,000 for fiscal year 2011, $1,487,780,000 for 
fiscal year 2012, and $1,562,169,000 for fiscal year 
2013’’. 
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(i) by striking ‘‘is authorized’’ and in-
serting ‘‘are authorized’’; and 
(ii) by inserting before the period at 
the end ‘‘, $13,650,000 for fiscal year 
2010, $14,333,000 for fiscal year 2011, 
$15,049,000 for fiscal year 2012, and 
$15,802,000 for fiscal year 2013’’. 
(2) MINORITY AIDS INITIATIVE.—Section 2693 
(42 U.S.C. 300ff–121) is amended— 
(A) in subsection (a), by striking ‘‘and 
$139,100,000 for fiscal year 2009.’’ and insert-
ing ‘‘$139,100,000 for fiscal year 2009, 
$146,055,000 
for 
fiscal 
year 
2010, 
$153,358,000 
for 
fiscal 
year 
2011, 
$161,026,000 
for 
fiscal 
year 
2012, 
and 
$169,077,000 for fiscal year 2013. The Sec-
retary shall develop a formula for the awarding 
of grants under subsections (b)(1)(A) and 
(b)(1)(B) that ensures that funding is provided 
based on the distribution of populations dis-
proportionately impacted by HIV/AIDS.’’; 
(B) in subsection (b)(2)— 
(i) In subparagraph (A)— 
(I) in the matter preceding clause 
(i), by striking ‘‘competitive,’’; and 
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(II) by adding at the end the fol-
lowing: 
‘‘(iv) 
For 
fiscal 
year 
2010, 
$46,738,000. 
‘‘(v) 
For 
fiscal 
year 
2011, 
$49,075,000. 
‘‘(vi) 
For 
fiscal 
year 
2012, 
$51,528,000. 
‘‘(vii) 
For 
fiscal 
year 
2013, 
$54,105,000.’’; 
(ii) in subparagraph (B)— 
(I) in the matter preceding clause 
(i), by striking ‘‘competitive’’; and 
(II) by adding at the end the fol-
lowing: 
‘‘(iv) 
For 
fiscal 
year 
2010, 
$8,763,000. 
‘‘(v) For fiscal year 2011, $9,202,000. 
‘‘(vi) 
For 
fiscal 
year 
2012, 
$9,662,000. 
‘‘(vii) 
For 
fiscal 
year 
2013, 
$10,145,000.’’; 
(iii) in subparagraph (C), by adding 
at the end the following: 
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‘‘(iv) 
For 
fiscal 
year 
2010, 
$61,343,000. 
‘‘(v) 
For 
fiscal 
year 
2011, 
$64,410,000. 
‘‘(vi) 
For 
fiscal 
year 
2012, 
$67,631,000. 
‘‘(vii) 
For 
fiscal 
year 
2013, 
$71,012,000.’’; 
(iv) in subparagraph (D), by striking 
‘‘$18,500,000’’ 
and 
all 
that 
follows 
through the period and inserting the fol-
lowing: ‘‘the following, as applicable: 
‘‘(i) 
For 
fiscal 
year 
2010, 
$20,448,000. 
‘‘(ii) 
For 
fiscal 
year 
2011, 
$21,470,000. 
‘‘(iii) 
For 
fiscal 
year 
2012, 
$22,543,000. 
‘‘(iv) 
For 
fiscal 
year 
2013, 
$23,671,000.’’; 
(v) in subparagraph (E), by striking 
‘‘$8,500,000’’ and all that follows through 
the period and inserting the following: ‘‘the 
following, as applicable: 
‘‘(i) For fiscal year 2010, $8,763,000. 
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‘‘(ii) 
For 
fiscal 
year 
2011, 
$9,201,000. 
‘‘(iii) 
For 
fiscal 
year 
2012, 
$9,662,000. 
‘‘(iv) 
For 
fiscal 
year 
2013, 
$10,144,000.’’; and 
(vi) by adding at the end the fol-
lowing: 
‘‘(g) SYNCHRONIZATION OF MINORITY AIDS INITIA-
TIVE.—For fiscal year 2010 and each subsequent fiscal 
year, the Secretary shall incorporate and synchronize the 
schedule of application submissions and funding avail-
ability under this section with the schedule of application 
submissions and funding availability under the cor-
responding provisions of this title XXVI as follows: 
‘‘(1) The schedule for carrying out subsection 
(b)(1)(A) shall be the same as the schedule applica-
ble to emergency assistance under part A. 
‘‘(2) The schedule for carrying out subsection 
(b)(1)(B) shall be the same as the schedule applica-
ble to care grants under part B. 
‘‘(3) The schedule for carrying out subsection 
(b)(1)(C) shall be the same as the schedule applica-
ble to grants for early intervention services under 
part C. 
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‘‘(4) The schedule for carrying out subsection 
(b)(1)(D) shall be the same as the schedule applica-
ble to grants for services through projects for HIV- 
related care under part D. 
‘‘(5) The schedule for carrying out subsection 
(b)(1)(E) shall be the same as the schedule applica-
ble to grants and contracts for activities through 
education and training centers under section 2692.’’. 
(3) HHS REPORT.—Not later than 6 months 
after the publication of the Government Account-
ability Office Report on the Minority AIDS Initiative 
described in section 2686, the Secretary of Health 
and Human Services shall submit to the appropriate 
committees of Congress a Departmental plan for 
using funding under section 2693 of the Public 
Health Service Act (42 U.S.C. 300ff–93) in all rel-
evant agencies to build capacity, taking into consid-
eration the best practices included in such Report. 
(g) GAO REPORT.—Section 2686 (42 U.S.C. 300ff– 
86) is amended to read as follows: 
‘‘SEC. 2686. GAO REPORT. 
‘‘The Comptroller General of the Government Ac-
countability Office shall, not less than 1 year after the 
date of enactment of the Ryan White HIV/AIDS Treat-
ment Extension Act of 2009, submit to the appropriate 
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