I 
109TH CONGRESS 
1ST SESSION H. R. 1471 
To amend the Public Health Service Act to establish a grant program to 
provide supportive services in permanent supportive housing for chron-
ically homeless individuals, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 5, 2005 
Ms. PRYCE of Ohio (for herself, Ms. ESHOO, Mr. GILLMOR, Mr. SIMMONS, Ms. 
ROYBAL-ALLARD, Mr. NEY, Ms. ROS-LEHTINEN, Mr. RAMSTAD, Mr. 
ROGERS of Michigan, Mr. TIBERI, Mr. WAXMAN, Mr. SHAYS, Mr. 
STRICKLAND, Mrs. MYRICK, Mr. DOYLE, Mr. FARR, Ms. KAPTUR, Mr. 
RYAN of Ohio, Mr. MCDERMOTT, Mr. GRIJALVA, Mr. DAVIS of Illinois, 
Mr. TOWNS, Mrs. JONES of Ohio, Mr. VAN HOLLEN, Mr. LINCOLN DIAZ- 
BALART of Florida, Mr. ISSA, and Mr. MARIO DIAZ-BALART of Florida) 
introduced the following bill; which was referred to the Committee on En-
ergy and Commerce 
A BILL 
To amend the Public Health Service Act to establish a grant 
program to provide supportive services in permanent sup-
portive housing for chronically homeless individuals, 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 ‘‘Services for Ending 
Long-Term Homelessness Act’’.
SEC. 2. FINDINGS. 
Congress makes the following findings: 
(1) Nationally, there are approximately 200,000 
to 250,000 people who experience chronic homeless-
ness, including some families with children. Chron-
ically homeless people often live in shelters or on the 
streets for years at a time, experience repeated epi-
sodes of homelessness without achieving housing sta-
bility, or cycle between homelessness, jails, mental 
health facilities, and hospitals. 
(2) The President’s New Freedom Commission 
on Mental Health recommended the development 
and implementation of a comprehensive plan de-
signed to facilitate access to 150,000 units of per-
manent supportive housing for consumers and fami-
lies who are chronically homeless. The Commission 
found that affordable housing alone is insufficient 
for many people with severe mental illness, and that 
flexible, mobile, individualized support services are 
also necessary to support and sustain consumers in 
their housing. 
(3) Congress and the President have set a goal 
of ending chronic homelessness in 10 years. 
(4) Permanent supportive housing is a proven 
and cost effective solution to chronic homelessness. 
A recent study by the University of Pennsylvania
found that each unit of supportive housing for home-
less people with mental illness in New York City re-
sulted in public savings of $16,281 per year in sys-
tems of care such as mental health, human services, 
health care, veterans’ affairs, and corrections. 
(5) Current programs for funding services in 
permanent supportive housing, other than those ad-
ministered by the Department of Housing and 
Urban Development, were not designed to be closely 
coordinated with housing resources, nor were they 
designed to meet the multiple needs of people who 
are chronically homeless. 
SEC. 3. DUTIES OF ADMINISTRATOR OF SUBSTANCE ABUSE 
AND MENTAL HEALTH SERVICES ADMINIS-
TRATION. 
Section 501(d) of the Public Health Service Act (42 
U.S.C. 290aa(d)) is amended— 
(1) in paragraph (17), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (18), by striking the period 
and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(19) collaborate with Federal departments and 
programs that are part of the President’s Inter-
agency Council on Homelessness, particularly the
Department of Housing and Urban Development, 
the Department of Labor, and the Department of 
Veterans Affairs, and with other agencies within the 
Department of Health and Human Services, particu-
larly the Health Resources and Services Administra-
tion, the Administration on Children and Families, 
and the Centers for Medicare and Medicaid Services, 
to design national strategies for providing services in 
supportive housing that will assist in ending chronic 
homelessness and to implement programs that ad-
dress chronic homelessness.’’. 
SEC. 4. GRANTS FOR SERVICES FOR CHRONICALLY HOME-
LESS INDIVIDUALS IN SUPPORTIVE HOUSING. 
Title V of the Public Health Service Act (42 U.S.C. 
290aa et seq.) is amended by adding at the end the fol-
lowing: 
‘‘PART J—GRANTS FOR SERVICES TO END 
CHRONIC HOMELESSNESS 
‘‘SEC. 596. GRANTS FOR SERVICES TO END CHRONIC HOME-
LESSNESS. 
‘‘(a) IN GENERAL.— 
‘‘(1) GRANTS.—The Secretary shall make 
grants to entities described in paragraph (2) for the 
purpose of carrying out projects to provide the serv-
ices described in subsection (d) to chronically home-
less individuals in permanent supportive housing. 
‘‘(2) ELIGIBLE
ENTITIES.—For purposes of 
paragraph (1), an entity described in this paragraph 
is— 
‘‘(A) a State or political subdivision of a 
State, an Indian tribe or tribal organization, or 
a public or nonprofit private entity, including a 
community-based provider of homelessness serv-
ices, health care, housing, or other services im-
portant to individuals experiencing chronic 
homelessness; or 
‘‘(B) a consortium composed of entities de-
scribed in subparagraph (A), which consortium 
includes a public or nonprofit private entity 
that serves as the lead applicant and has re-
sponsibility for coordinating the activities of the 
consortium. 
‘‘(b) PRIORITIES.—In making grants under sub-
section (a), the Secretary shall give priority to applicants 
demonstrating that the applicants— 
‘‘(1) target funds to individuals or families 
who— 
‘‘(A) have been homeless for longer periods 
of time or have experienced more episodes of
homelessness than are required to meet the def-
inition of chronic homelessness under this sec-
tion; 
‘‘(B) have high rates of utilization of emer-
gency public systems of care; or 
‘‘(C) have a history of interactions with 
law enforcement and the criminal justice sys-
tem; 
‘‘(2) have greater funding commitments from 
State or local government agencies responsible for 
overseeing mental health treatment, substance abuse 
treatment, medical care, and employment (including 
commitments to provide Federal funds in accordance 
with subsection (e)(2)(B)(ii)); 
‘‘(3) will provide for an increase in the number 
of units of permanent supportive housing that would 
serve chronically homeless individuals in the commu-
nity as a result of an award of a grant under sub-
section (a); and 
‘‘(4) have demonstrated experience providing 
services to address the mental health and substance 
abuse problems of chronically homeless individuals 
living in permanent supportive housing settings. 
‘‘(c) GEOGRAPHIC DISTRIBUTION.—The Secretary 
shall ensure that consideration is given to geographic dis-
tribution (such as urban and rural areas) in the awarding 
of grants under subsection (a). 
‘‘(d) SERVICES.—The services referred to in sub-
section (a) are the following: 
‘‘(1) Services provided by the grantee or by 
qualified subcontractors that promote recovery and 
self-sufficiency and address barriers to housing sta-
bility, including but not limited to the following: 
‘‘(A) Mental health services, including 
treatment and recovery support services. 
‘‘(B) Substance abuse treatment and re-
covery support services, including counseling, 
treatment planning, recovery coaching, and re-
lapse prevention. 
‘‘(C) Integrated, coordinated treatment 
and recovery support services for co-occurring 
disorders. 
‘‘(D) Health education, including referrals 
for medical and dental care. 
‘‘(E) Services designed to help individuals 
make progress toward self-sufficiency and re-
covery, including benefits advocacy, money 
management, life-skills training, self-help pro-
grams, and engagement and motivational inter-
ventions.
‘‘(F) Parental skills and family support. 
‘‘(G) Case management. 
‘‘(H) Other supportive services that pro-
mote an end to chronic homelessness. 
‘‘(I) Coordination or partnership with 
other agencies, programs, or mainstream bene-
fits to maximize the availability of services and 
resources to meet the needs of chronically 
homeless persons living in supportive housing 
using cost-effective approaches that avoid dupli-
cation. 
‘‘(J) Data collection and measuring per-
formance outcomes as specified in subsection 
(k). 
‘‘(2) Services, as described in paragraph (1), 
that are delivered to individuals and families who 
are chronically homeless and who are scheduled to 
become residents of permanent supportive housing 
within 90 days pending the location or development 
of an appropriate unit of housing. 
‘‘(3) For individuals and families who are oth-
erwise eligible, and who have voluntarily chosen to 
seek other housing opportunities after a period of 
tenancy in supportive housing, services, as described 
in paragraph (1), that are delivered, for a period of
90 days after exiting permanent supportive housing 
or until the individuals have transitioned to com-
prehensive services adequate to meet their current 
needs, provided that the purpose of the services is to 
support the individuals in their choice to transition 
into housing that is responsive to their individual 
needs and preferences. 
‘‘(e) MATCHING FUNDS.— 
‘‘(1) IN GENERAL.—A condition for the receipt 
of a grant under subsection (a) is that, with respect 
to the cost of the project to be carried out by an ap-
plicant pursuant to such subsection, the applicant 
agree as follows: 
‘‘(A) In the case of the initial grant pursu-
ant to subsection (j)(1)(A), the applicant will, 
in accordance with paragraphs (2) and (3), 
make available contributions toward such costs 
in an amount that is not less than $1 for each 
$3 of Federal funds provided in the grant. 
‘‘(B) In the case of a renewal grant pursu-
ant to subsection (j)(1)(B), the applicant will, 
in accordance with paragraphs (2) and (3), 
make available contributions toward such costs 
in an amount that is not less than $1 for each 
$1 of Federal funds provided in the grant.
‘‘(2) SOURCE
OF
CONTRIBUTION.—For pur-
poses of paragraph (1), contributions made by an 
applicant are in accordance with this paragraph if 
made as follows: 
‘‘(A) The contribution is made from funds 
of the applicant or from donations from public 
or private entities. 
‘‘(B) Of the contribution— 
‘‘(i) not less than 80 percent is from 
non-Federal funds; and 
‘‘(ii) not more than 20 percent is from 
Federal funds provided under programs 
that— 
‘‘(I) are not expressly directed at 
services for homeless individuals, but 
whose purposes are broad enough to 
include the provision of a service or 
services described in subsection (d) as 
authorized expenditures under such 
program; and 
‘‘(II) do not prohibit Federal 
funds under the program from being 
used to provide a contribution that is 
required as a condition for obtaining 
Federal funds.
‘‘(3) DETERMINATION
OF
AMOUNT
CONTRIB-
UTED.—Contributions required in paragraph (1) 
may be in cash or in kind, fairly evaluated, including 
plant, equipment, or services. Amounts provided by 
the Federal Government, or services assisted or sub-
sidized to any significant extent by the Federal Gov-
ernment, may not be included in determining the 
amount of non-Federal contributions required in 
paragraph (2)(B)(i). 
‘‘(f) ADMINISTRATIVE EXPENSES.—A condition for 
the receipt of a grant under subsection (a) is that the ap-
plicant involved agree that not more than 10 percent of 
the grant will be expended for administrative expenses 
with respect to the grant. Expenses for data collection and 
measuring performance outcomes as specified in sub-
section (k) shall not be considered as administrative ex-
penses subject to the limitation in this subsection. 
‘‘(g) CERTAIN USES OF FUNDS.—Notwithstanding 
other provisions of this section, a grantee under subsection 
(a) may expend not more than 20 percent of the grant 
to provide the services described in subsection (d) to home-
less individuals who are not chronically homeless. 
‘‘(h) APPLICATION FOR GRANT.—A grant may be 
made under subsection (a) only if an application for the 
grant is submitted to the Secretary and the application