120 
need calculations and Statewide coordinated state-
ments 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 pro-
gram administered by or providing the services of the In-
dian 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: 
‘‘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 
Administration, shall award grants to public and nonprofit 
private entities (including a health facility operated by or 
pursuant to a contract with the Indian Health Service) 
for the purpose of providing family-centered care involving 
outpatient or ambulatory care (directly or through con-
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tracts) for women, infants, children, and youth with HIV/ 
AIDS. 
‘‘(b) ADDITIONAL SERVICES
FOR PATIENTS
AND 
FAMILIES.—Funds provided under grants awarded under 
subsection (a) may be used for the following support serv-
ices: 
‘‘(1) Family-centered care including case man-
agement. 
‘‘(2) Referrals for additional services includ-
ing— 
‘‘(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 
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 edu-
cation 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 
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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 
agency 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) au-
dits regarding funds expended in accordance with 
this title and shall include necessary client-level data 
to complete unmet need calculations and Statewide 
coordinated 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 informa-
tion as the Secretary determines to be necessary to carry 
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out this section. Such application shall include the fol-
lowing: 
‘‘(1) Information regarding how the expected 
expenditures 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 plan-
ning process outlined in section 2617(b)). 
‘‘(2) A specification of the expected expendi-
tures and how those expenditures will improve over-
all patient outcomes, as outlined as part of the State 
plan (under section 2617(b)) or through additional 
outcome measures. 
‘‘(e) ANNUAL REVIEW
OF PROGRAMS; EVALUA-
TIONS.— 
‘‘(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 end of the fiscal year, provide for the conduct 
and completion of a review of the operation during 
the year of the program carried out under such sub-
section by the entity. The purpose of such review 
shall be the development of recommendations, as ap-
propriate, for improvements in the following: 
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‘‘(A) Procedures used by the entity to allo-
cate opportunities and services under subsection 
(a) among patients of the entity who are 
women, infants, children, or youth. 
‘‘(B) Other procedures or policies of the 
entity regarding the participation of such indi-
viduals in such program. 
‘‘(2) EVALUATIONS.——The Secretary shall, di-
rectly or through contracts with public and private 
entities, provide for evaluations of programs carried 
out pursuant to subsection (a). 
‘‘(f) ADMINISTRATIVE EXPENSES.— 
‘‘(1) LIMITATION.—A grantee may not use 
more than 10 percent of amounts received under a 
grant awarded under this section for administrative 
expenses. 
‘‘(2) CLINICAL
QUALITY
MANAGEMENT
PRO-
GRAM.—A grantee under this section shall imple-
ment a clinical quality management program to as-
sess the extent to which HIV health services pro-
vided to patients under the grant are consistent with 
the most recent Public Health Service guidelines for 
the treatment of HIV/AIDS and related opportun-
istic infection, and as applicable, to develop strate-
gies for ensuring that such services are consistent 
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