‘‘(D) The amount of funds each State re-
ceives under this title and how such funds have 
been allocated among each of the following cat-
egories: 
‘‘(i) Therapeutics. 
‘‘(ii) Primary medical care, including 
medical evaluations and physician services. 
‘‘(iii) Support services, administrative 
costs, and other expenses not included in 
clause (i) or (ii).’’. 
SEC. 14. STATE FLEXIBILITY IN PROVIDING HIV/AIDS CARE. 
(a) IN GENERAL.—Section 2612 of the Public Health 
Service Act (42 U.S.C. 300ff–22), as amended by section 
4, is further amended by adding at the end the following: 
‘‘(f) STATE FLEXIBILITY IN PROVIDING HIV/AIDS 
CARE.—Upon approval by the Secretary, a State may use 
amounts provided under a grant made under this part for 
providing medical assistance to individuals who are eligible 
for assistance under title XIX of the Social Security Act 
(42 U.S.C. 1396 et seq.) and are HIV-positive.’’. 
(b) SUPPLEMENT, NOT SUPPLANT.—Part D of title 
XXVI of the Public Health Service Act (42 U.S.C. 300ff– 
71 et seq.), as amended by sections 5, 8, and 12, is further 
amended by adding at the end the following: 
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‘‘SEC. 2679C. SUPPLEMENT, NOT SUPPLANT STATE MED-
ICAID FUNDING. 
‘‘Funds received by a State under this title shall be 
used to supplement, and not supplant, State funds that 
would otherwise be used for the State share of expendi-
tures under a State plan under title XIX of the Social 
Security Act (42 U.S.C. 1396 et seq.) for providing med-
ical assistance to individuals who are eligible for such as-
sistance and are HIV-positive.’’. 
SEC. 15. PRICES PAID FOR THERAPEUTICS FOR ADAP. 
(a) IN GENERAL.—Section 2616 of the Public Health 
Service Act (42 U.S.C. 300ff–26), as amended by section 
13, is further amended by adding at the end the following: 
‘‘(g) PRICES PAID FOR THERAPEUTICS.—The Ad-
ministrator of the Health Resources and Services Admin-
istration shall routinely analyze and report to Congress 
on the prices for therapeutics paid by programs estab-
lished under this section.’’. 
(b) COORDINATION
OF ALL THERAPEUTIC PUR-
CHASES THROUGH ADAP.—Part D of title XXVI of the 
Public Health Service Act (42 U.S.C. 300ff–71 et seq.), 
as amended by sections 5, 8, 12, and 14, is further amend-
ed by adding at the end the following: 
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‘‘SEC. 2679D. COORDINATION OF ALL THERAPEUTIC PUR-
CHASES THROUGH ADAP. 
‘‘In any purchases of therapeutics to treat HIV dis-
ease pursuant to a program that receives Federal assist-
ance under this title, an entity shall coordinate such pur-
chases through the program described in section 2616 in 
order to ensure that the recipients of the therapeutics are 
receiving the best possible price for the therapeutics.’’. 
SEC. 16. AUTHORIZATION OF APPROPRIATIONS FOR ADAP. 
Section 2616 of the Public Health Service Act (42 
U.S.C. 300ff–26), as amended by sections 13 and 15, is 
further amended by adding at the end the following: 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this sec-
tion— 
‘‘(1) $800,000,000 for fiscal year 2006; 
‘‘(2) $870,000,000 for fiscal year 2007; 
‘‘(3) $940,000,000 for fiscal year 2008; 
‘‘(4) $1,010,000,000 for fiscal year 2009; and 
‘‘(5) $1,080,000,000 for fiscal year 2010.’’. 
SEC. 17. SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE. 
Section 2691 of the Public Health Service Act (42 
U.S.C. 300ff–101) is amended— 
(1) in subsection (a), by striking ‘‘the greater 
of $20,000,000 or 3 percent of such amount appro-
priated under each such part, but not to exceed 
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$25,000,000,’’ and inserting ‘‘not more than 
$15,000,000’’; and 
(2) by adding at the end the following: 
‘‘(h) PILOT
PROGRAMS.—The Secretary, acting 
through the Administrator of the Health Resources and 
Services Administration, shall use funds available under 
this section to conduct not less than 5 pilot programs to 
evaluate various forms of partner notification programs, 
including attitudes of source patients and those being noti-
fied towards such services and the cost effectiveness of 
such programs. 
‘‘(i) STANDARD ELECTRONIC CLIENT INFORMATION 
DATA SYSTEM.—The Secretary, acting through the Ad-
ministrator of the Health Resources and Services Admin-
istration, shall use funds available under this section to 
develop a standard electronic client information data sys-
tem to improve coordination of coverage provided to pa-
tients under programs supported under this title, as well 
as programs under the medicare program under title 
XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) 
and the medicaid program under title XIX of such Act 
(42 U.S.C. 1396 et seq.). 
‘‘(j) STUDY.—The Secretary, acting through the Ad-
ministrator of the Health Resources and Services Admin-
istration, shall use funds available under this section to 
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conduct a study to develop recommendations for best pri-
mary medical care practices for disease management for 
those living with HIV disease or AIDS.’’. 
SEC. 18. HOUSING OPPORTUNITIES FOR PERSONS WITH 
HIV/AIDS. 
(a) HOPWA FORMULA
AMENDMENTS.—Section 
854(c) of the AIDS Housing Opportunity Act (42 U.S.C. 
12903(c)) is amended— 
(1) in paragraph (1)— 
(A) by striking ‘‘The Secretary’’ and in-
serting ‘‘Except as provided in subsection (h), 
the Secretary’’; 
(B) by striking ‘‘cases of acquired im-
munodeficiency syndrome’’ each place that 
terms appears and inserting ‘‘reported living 
cases of HIV disease (as reported to, and con-
firmed as accurate, by the Director of the Cen-
ters for Disease Control and Prevention)’’; 
(C) in subparagraph (B), by striking ‘‘ac-
quired immunodeficiency syndrome’’ and insert-
ing ‘‘reported living cases of HIV disease (as 
reported to, and confirmed as accurate, by the 
Director of the Centers for Disease Control and 
Prevention)’’; and 
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(D) in the undesignated matter following 
subparagraph (B), in the second sentence, by 
striking ‘‘reported to and confirmed by the Di-
rector of the Centers for Disease Control of the 
Public Health Service’’; and 
(2) in paragraph (3), by striking ‘‘acquired im-
munodeficiency syndrome’’ each place that term ap-
pears and inserting ‘‘HIV disease’’. 
(b) TRANSITION FORMULA AND EXCEPTION TO THE 
USE
OF REPORTED HIV DATA.—Section 854 of the 
AIDS Housing Opportunity Act (42 U.S.C. 12903) is 
amended by adding at the end the following: 
‘‘(g) TRANSITION FORMULA.—In applying the for-
mula allocation under subsection (c)(1), the Secretary 
shall— 
‘‘(1) for fiscal year 2007, allocate— 
‘‘(A) 75 percent of any amounts made 
available for allocation, using the formula allo-
cation described in subsection (c), as in effect 
on the day before the date of enactment of the 
Ryan White CARE Act Amendments of 2006; 
and 
‘‘(B) 25 percent of such amounts made 
available for allocation, using the formula allo-
cation described in subsection (c), as amended 
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by the Ryan White CARE Act Amendments of 
2006; 
‘‘(2) for fiscal year 2008, allocate— 
‘‘(A) 25 percent of any amounts made 
available for allocation, using the formula allo-
cation described in subsection (c), as in effect 
on the day before the date of enactment of the 
Ryan White CARE Act Amendments of 2006; 
and 
‘‘(B) 75 percent of such amounts made 
available for allocation, using the formula allo-
cation described in subsection (c), as amended 
by the Ryan White CARE Act Amendments of 
2006; and 
‘‘(3) for fiscal year 2009, and each fiscal year 
thereafter, allocate any amounts made available for 
allocation using the formula allocation described in 
subsection (c), as amended by the Ryan White 
CARE Act Amendments of 2006. 
‘‘(h) EXCEPTION TO THE USE OF REPORTED HIV 
DATA.—Any State or city— 
‘‘(1) that has enacted an HIV reporting system 
that has been confirmed as accurate and reliable by 
the Director of the Centers for Disease Control and 
Prevention prior to October 1, 2000, shall for pur-
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poses of allocating any amounts under subsection (c) 
to that State or city, have such allocation deter-
mined by using the formula allocation described in 
such subsection, as amended by the Ryan White 
CARE Act Amendments of 2006; 
‘‘(2) that has enacted an HIV reporting system 
that has been confirmed as accurate and reliable by 
the Director of the Centers for Disease Control and 
Prevention prior to October 1, 2006, but on or after 
October 1, 2000, shall for purposes of allocating any 
amounts under subsection (c) to that State or city, 
have such allocation determined by using the for-
mula allocation based on the number of cases of 
HIV disease (estimated by the Director of the Cen-
ters for Disease Control and Prevention) instead of 
reported living cases of HIV disease (as reported to, 
and confirmed as accurate, by the Director of the 
Centers for Disease Control and Prevention); and 
‘‘(3) that does not have an HIV reporting sys-
tem that has been confirmed as accurate and reliable 
by the Director of the Centers for Disease Control 
and Prevention prior to October 1, 2006, shall for 
purposes of allocating any amounts under subsection 
(c) to that State or city— 
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‘‘(A) until such time as such State or city 
has enacted an HIV reporting system that has 
been confirmed as accurate and reliable by the 
Director of the Centers for Disease Control and 
Prevention, have such allocation determined by 
using the formula allocation described in such 
subsection as in effect on the day before the 
date of enactment of the Ryan White CARE 
Act Amendments of 2006; and 
‘‘(B) once such State or city has enacted 
an HIV reporting system that has been con-
firmed as accurate and reliable by the Director 
of the Centers for Disease Control and Preven-
tion, have such allocation determined by using 
the formula allocation based on the number of 
cases of HIV disease (estimated by the Director 
of the Centers for Disease Control and Preven-
tion) instead of reported living cases of HIV 
disease (as reported to, and confirmed as accu-
rate, by the Director of the Centers for Disease 
Control and Prevention).’’. 
(c) ALLOCATION REQUIREMENT.—Section 854 of the 
AIDS Housing Opportunity Act (42 U.S.C. 12903) is 
amended by adding at the end the following: 
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‘‘(h) ALLOCATION REQUIREMENT.—The Secretary 
shall ensure that not less than 75 percent of all amounts 
allocated under this section are used for the provision, 
construction, maintenance, or development of housing as-
sistance.’’. 
SEC. 19. ENSURING STABILITY IN INFRASTRUCTURE. 
Section 2618(a)(2)(B)(i) of the Public Health Service 
Act (42 U.S.C. 300ff–28(a)(2)(B)(i)), as redesignated by 
section 6, is amended— 
(1) by striking ‘‘2000’’ each place the term ap-
pears and inserting ‘‘2005’’; 
(2) in subclause (I), by striking ‘‘2001, 99 per-
cent’’ and inserting ‘‘2006, 95 percent’’; 
(3) in subclause (II), by striking ‘‘2002, 98 per-
cent’’ and inserting ‘‘2007, 90 percent’’; 
(4) in subclause (III), by striking ‘‘2003, 97 
percent’’ and inserting ‘‘2008, 85 percent’’; 
(5) in subclause (IV), by striking ‘‘2004, 96 
percent’’ and inserting ‘‘2009, 80 percent’’; and 
(6) in subclause (V), by striking ‘‘2005, 95 per-
cent’’ and inserting ‘‘2010, 75 percent’’. 
SEC. 20. COORDINATION OF GRANTEES. 
Section 2675 of the Public Health Service Act (42 
U.S.C. 300ff–75) is amended by adding at the end the 
following: 
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‘‘(f) COORDINATION OF GRANTEES REQUIREMENT.— 
‘‘(1) IN GENERAL.—The Secretary shall provide 
State AIDS officials with the authority to request 
and obtain all information necessary for States to 
coordinate HIV care and treatment pursuant to this 
title with other federally funded projects to maximize 
efficiency and effectiveness of HIV/AIDS services. 
‘‘(2) COORDINATION OF SERVICES.—As a con-
dition of receipt of funds under this title, an entity 
shall participate in a process established by the 
State in which the entity is located to coordinate 
HIV/AIDS services across the State.’’. 
SEC. 21. TECHNICAL CORRECTIONS. 
Title XXVI of the Public Health Service Act (42 
U.S.C. 300ff–11 et seq.) is amended— 
(1) in section 2604— 
(A) in subsection (b)(2)(A), by striking 
‘‘entities,,’’ and inserting ‘‘entities,’’; and 
(B) in subsection (f)— 
(i) by striking the subsection heading 
and inserting the following: ‘‘ADMINISTRA-
TION’’; and 
(ii) in paragraph (1), by striking ‘‘ad-
ministration,.’’ and inserting ‘‘administra-
tion.’’; 
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(2) in section 2617(b)(6)(B)(iv), by inserting 
‘‘section’’ before ‘‘2615’’; 
(3) in section 2618(a)(3)(B), by striking 
‘‘means,’’ and inserting ‘‘means’’; 
(4) in section 2662(c)(3)(C)(ii), by striking 
‘‘HIV.’’ and inserting ‘‘HIV; and’’; and 
(5) in section 2692(b)(2), by striking ‘‘in sec-
tion the section’’ and inserting ‘‘in the section’’. 
Æ 
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