I
103D CONGRESS
1ST SESSION
H. R. 1022
To establish a program to provide grants to improve the quality and availabil-
ity of comprehensive education, health and social services for at-risk
youth and their families, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
FEBRUARY 18, 1993
Ms. WATERS introduced the following bill; which was referred jointly to the
Committees on Education and Labor and Energy and Commerce
A BILL
To establish a program to provide grants to improve the
quality and availability of comprehensive education,
health and social services for at-risk youth and their
families, 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 ‘‘Comprehensive Serv-
ices for Youth Act of 1993’’.
TITLE 
I—SCHOOL-BASED 
OR
SCHOOL-LINKED 
HEALTH
AND SOCIAL SERVICES CEN-
TER GRANTS
SEC. 101. GRANT PROGRAM.
(a) IN GENERAL.—The Secretary of Health and
Human Services, acting through the Administrator of the
Health Resources and Services Administration, may
award grants to eligible local community partnerships to
coordinate and deliver comprehensive education, health,
and social services to children or youth in school-based,
school-linked or community-based locations.
(b) ELIGIBLE ENTITIES.—
(1) IN GENERAL.—To be eligible to receive a
grant under subsection (a), an entity shall—
(A) be a new or existing local community
partnership which, at a minimum, shall in-
clude—
(i) a local health care provider with
experience in delivering services to adoles-
cents;
(ii) one or more local public schools;
and
(iii) at least one community-based or-
ganization located in the community to be
served that has a history of providing serv-
ices to at-risk youth in that community;
(B) prepare and submit to the Secretary
an application in accordance with subsection
(e), that has been developed and agreed to by
all members of the partnership;
(C) ensure the provision of core services in
accordance with subsection (c); and
(D) meet any other requirements deter-
mined appropriate by the Secretary.
(2) PARTICIPATION.—A partnership described
in paragraph (1)(A) shall, to the maximum extent
feasible, involve broad based community participa-
tion from parents and youth to be served, health and
social service providers, teachers and other public
school and school board personnel, community-based
organizations (particularly those serving minority
youth), youth development and service organizations
and interested business leaders. Such participation
may be through an expanded partnership, or an ad-
visory board to such a partnership.
(3) TARGETING.—A partnership described in
paragraph (1)(A) shall be located in and created to
serve a community in which youth are exposed to a
high risk environment as documented by factors in-
cluding high rates of children in poverty or who lack
access to health care, school dropouts and those re-
tained in grade, alcohol or other drug use, sexually
transmitted diseases including HIV, teen pregnancy,
early parenthood, suicide, community or gang vio-
lence, youth unemployment, and juvenile justice in-
volvement.
(c) USE OF AMOUNTS.—
(1) CORE SERVICES.—
(A) IN
GENERAL.—A local partnership
awarded a grant under subsection (a) shall use
amounts received under such grant to coordi-
nate and deliver core services described in sub-
paragraphs (B) and (C) at a school-based,
school-linked, or community-based location or
locations accessible to, and utilized by, at-risk
children, youth, and their families.
(B) COMPREHENSIVE
HEALTH, MENTAL
HEALTH, AND SOCIAL SERVICES.—With respect
to the delivery of comprehensive health, mental
health, and social services, a partnership shall
ensure that—
(i) at a minimum, health screening
and health care services, counseling and
crisis intervention and referrals are pro-
vided in a single site; and
(ii) health, mental health and social
services which cannot be provided directly
on-site will be secured through contracted
arrangements with community-based pro-
viders and a case management system that
ensures that populations to be served re-
ceive needed services and appropriate fol-
low-up services, including supportive serv-
ices such as the provision of transpor-
tation.
(C) YOUTH
DEVELOPMENT
AND
LIFE
PLANNING.—With respect to youth development
and life planning services, a partnership shall—
(i) provide age appropriate programs
and services that promote the development
of life skills and social competencies which
assist youth in completing school or em-
ployment training, establishing life and ca-
reer goals, and avoiding high risk behav-
iors; and
(ii) provide programs and services
that are designed to prevent HIV and
other sexually transmitted diseases, unin-
tended pregnancies, early parenthood, alco-
hol and other drug use, suicide, community
or gang violence, and other risk-taking be-
haviors that reflect the needs of the popu-
lations identified by the community in the
comprehensive plan of the partnership.
(2) COORDINATION
OF
CORE
SERVICES.—A
partnership awarded a grant under subsection (a)
shall, in meeting the requirements of paragraph (1),
use amounts received under such grant to coordinate
the delivery of existing services of the types de-
scribed in such paragraph to more effectively utilize
available resources prior to adding new resources or
developing new services.
(3) COORDINATION OF CORE SERVICES WITH
ADDITIONAL SERVICES.—A partnership awarded a
grant under subsection (a) may use amounts re-
ceived under such grant to coordinate or co-locate
core services with additional services identified in the
comprehensive plan to enhance the support available
through the partnership service delivery network.
(d) PRIORITY AND TERM OF GRANTS.—
(1) PRIORITY.—In awarding grants under this
subsection the Secretary shall give priority to those
applicants that, through their comprehensive services
plan, demonstrate that—
(A) continuity of access to required core
services for youth will be made available on a
year round basis or beyond traditional school or
service hours, either on site or through a
backup referral system of community-based pro-
viders; and
(B) services to be offered by the partner-
ship will extend beyond the in-school population
and will include the provision of core services to
out-of-school youth, to the extent practicable.
(2) TERM OF GRANTS.—Grants awarded under
subsection (a) shall be for a term of not less than
3, or more than 5, years based on the ability of the
grantee partnership to achieve the goals and objec-
tives identified in the entity’s application. The Sec-
retary may provide 2 year extension awards to those
grantee partnerships that, following the initial 3
year grant period, demonstrate substantial progress
in the integration of comprehensive services, includ-
ing broad based institutional support for collabora-
tion from all members of the partnership, and im-
provement in the health and education outcomes of