I 
115TH CONGRESS 
2D SESSION 
H. R. 6611 
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 
JULY 26, 2018 
Mr. MOULTON (for himself and Mr. HARPER) 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 2018’’ or the ‘‘HEADs UP Act’’. 
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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 ‘‘or a special medically underserved population 
comprised of migratory and seasonal agricultural workers, 
the homeless, and residents of public housing,’’ and insert-
ing ‘‘or a special medically underserved population com-
prised of migratory and seasonal agricultural workers, the 
homeless, residents of public housing, and individuals with 
a developmental disability’’. 
(b) DEFINITIONS.— 
(1) ADDITIONAL
HEALTH
SERVICES.—Section 
330(b)(2) of the Public Health Service Act (42 
U.S.C. 330(b)(2)) is amended— 
(A) in subparagraph (C), by striking 
‘‘and’’ at the end; 
(B) in subparagraph (D), by striking the 
period at the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following: 
‘‘(E) in the case of health centers receiving 
grants under subsection (j), specially trained 
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dental care services for individuals with a devel-
opmental disability who require specialized 
care.’’. 
(2) INDIVIDUALS WITH A DEVELOPMENTAL DIS-
ABILITY.—Section 330(b) of the Public Health Serv-
ice Act (42 U.S.C. 254b(a)(1)) is amended by add-
ing 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— 
(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.— 
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‘‘(1) IN GENERAL.—The Secretary may award 
grants for the purposes described in subsections (c), 
(e), and (f) for the planning and delivery of services 
to a special medically underserved population com-
prised of individuals with a developmental disability, 
including grants for innovative programs that pro-
vide outreach and comprehensive primary health 
services, including dental care, to individuals with a 
developmental disability including such individuals 
who require specialized care. 
‘‘(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, to individuals with a 
developmental 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 
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. 
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254b(a)(2)) is amended by striking ‘‘or (i)’’ and in-
serting ‘‘(i), or (j)’’. 
(d) FUNDING REPORT.—Section 330(r)(3)(A) of the 
Public Health Service Act (42 U.S.C. 254b(r)(3)(4)) is 
amended by striking ‘‘and migratory and seasonal agricul-
tural workers,’’ and inserting ‘‘migratory and seasonal ag-
ricultural workers, and individuals with a developmental 
disability,’’. 
(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))’’. 
SEC. 3. INCLUSION OF COMPREHENSIVE DENTAL TREAT-
MENT AS REQUIRED PRIMARY HEALTH SERV-
ICES. 
Subclause (I) of section 330(b)(1)(A)(i) of the Public 
Health Service Act (42 U.S.C. 330(b)(1)(A)(i)) is amend-
ed by inserting before the semicolon at the end the fol-
lowing: ‘‘and services related to dentistry that are fur-
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