I 
111TH CONGRESS 
1ST SESSION H. R. 1964 
To address HIV/AIDS in the African-American community, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 2, 2009 
Mr. RANGEL introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To address HIV/AIDS in the African-American community, 
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 ‘‘National Black Clergy 
for the Elimination of HIV/AIDS Act of 2009’’. 
SEC. 2. TABLE OF CONTENTS. 
The table of contents of this Act is as follows: 
Sec. 1. Short title. 
Sec. 2. Table of contents. 
Sec. 3. Findings. 
Sec. 4. Definitions applicable throughout Act. 
TITLE I—DEPARTMENT OF HEALTH AND HUMAN SERVICES 
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Sec. 100. Definition. 
Subtitle A—Office of Minority Health 
Sec. 101. Services to reduce HIV/AIDS in African-American community. 
Subtitle B—Substance Abuse and Mental Health Services Administration 
Sec. 111. Grants for substance abuse and mental health services to public 
health agencies and faith-based organizations. 
Sec. 112. Services for HIV/AIDS affected youth who are separated from their 
families. 
Subtitle C—Centers for Disease Control and Prevention 
Sec. 121. Public health intervention and prevention activities. 
Sec. 122. HIV/AIDS prevention and education. 
Sec. 123. Building capacity of communities. 
Sec. 124. National media outreach campaign. 
Subtitle D—National Institutes of Health 
Sec. 131. Research to develop behavioral strategies to reduce transmission of 
HIV/AIDS. 
Sec. 132. Study of biological and behavioral factors. 
Subtitle E—Health Resources and Services Administration 
Sec. 141. Health care professionals treating individuals with HIV/AIDS. 
Subtitle F—Miscellaneous 
Sec. 151. Report on impact of HIV/AIDS in the African-American Community. 
Sec. 152. Study on status of HIV/AIDS epidemic among African-Americans. 
TITLE II—MISCELLANEOUS 
Sec. 201. Sense of Congress on National Black Clergy HIV/AIDS Awareness 
Sunday. 
Sec. 202. Sense of Congress on Federal agencies with responsibility for pre-
venting, testing for, and treating HIV/AIDS. 
Sec. 203. Sense of Congress on Federal Bureau of Prisons procedures for in-
mates with HIV. 
SEC. 3. FINDINGS. 
Congress finds the following: 
(1) It has been estimated that more than 
1,000,000 people in the United States are living 
with HIV/AIDS, and approximately 500,000 of them 
are Black. Blacks are 8 times more likely to have 
AIDS than their White counterparts. Within the 
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Black community, the subpopulation most dispropor-
tionately impacted by HIV/AIDS is Black men who 
have sex with men (MSM) with prevalence rates 
twice those of White MSM. Black women account 
for the majority of new AIDS cases among women 
and are 23 times more likely to be living with AIDS 
than White women and 4 times more likely than 
Latinas. 
(2) On October 7–8, 2007, 186 Black clergy, 
consisting of Baptist, COGIC, Methodist, Protes-
tant, AME, and Pentecostal, together with, medical, 
policy, and AIDS leaders, were brought together by 
the National Black Leadership Commission on 
AIDS (NBLCA), the oldest and largest Black AIDS 
organization of its kind in America, hosted by Time 
Warner, Inc., with other foundation support, to par-
ticipate in the National Black Clergy Conclave On 
HIV/AIDS Policy. 
(3) The attendees included faith leaders across 
traditional, mega, and activist churches representing 
millions of congregant: the National Medical Asso-
ciation (NMA) representing 30,000 African-Amer-
ican physicians; the National Conference of Black 
Mayors; the National Caucus of Black State Legisla-
tors; and the Health Brain Trust of the Congres-
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sional Black Caucus and key African-American HIV/ 
AIDS advocates from across the United States. This 
group developed a plan of action that has become 
the National Black Clergy for the Elimination of 
HIV/AIDS Act to respond to the ‘‘on the ground’’ 
emergency in prevention, care, and treatment for 
AIDS in Black America. 
(4) In August 2007, the NMA, the oldest and 
largest organization representing 30,000 African- 
American physicians, released a consensus report en-
titled ‘‘Addressing The HIV/AIDS Crisis In The Af-
rican American Community: Fact, Fiction and Pol-
icy’’; and specifically called on the next President of 
the United States to declare HIV/AIDS in African- 
American communities a public health emergency 
and worked with NBLCA to organize clergy to advo-
cate for the specific needs of Black physicians, their 
patients, and those at risk in African-American com-
munities; and have pledged to advocate and work 
with clergy to develop, execute, and implement these 
initiatives as a part of their rightful role of leader-
ship in African-American communities and culture. 
(5) The National Conference of Black Mayors 
has pledged to work with clergy, medical, and com-
munity leaders to develop and support these initia-
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tives on a local level and to help them to continue 
to develop a policy agenda leading to the elimination 
of HIV/AIDS. 
(6) The National Caucus of Black State Legis-
lators pledged to take the initiatives herein to their 
body and develop plans of action for Black State 
Legislators to work with local clergy, health depart-
ments, and CBOs to adopt and implement these ini-
tiatives on a national level. 
(7) At their April 2008 annual meeting, the 
National Policy Alliance (NPA), consisting of the 
Joint Center For Political and Economic Studies 
(secretariat) and the National Black Caucus of 
School Board Members, National Black Caucus of 
Local Elected Officials; the Judicial Council of the 
National Bar Association; the National Association 
of Black County Officials; Blacks in Government 
and the CBC; NCBM; WCM, voted unanimously to 
support, endorse, and encourage the passage of the 
National Black Clergy for the Elimination of HIV/ 
AIDS Act and to organize their respective members 
to endorse and support the passage of this bill. 
(8) The World Conference of Black Mayors has 
ratified its support of these initiatives and legisla-
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tion, and pledged to assist the clergy to take them 
internationally. 
(9) The National Black Leadership Commission 
on AIDS, the Balm in Gilead, and the Black AIDS 
Institute have been recognized by the clergy for their 
tradition and history of service and will work with 
clergy to conduct community and policy develop-
ment, linkages to local departments of health and 
other services, infrastructure development, education 
media, and fund development activities. 
(10) Bishop T.D. Jakes of the Potters House 
in Dallas, Texas, and Rev. Calvin O. Butts of the 
Abyssinian Baptist Church in Harlem, New York, 
and chairman of the National Black Leadership 
Commission on AIDS have been recognized as the 
organizers of this group and will help guide and lead 
the development efforts of fellow clergy through this 
process. 
(11) The National Conclave on HIV/AIDS for 
Black Clergy calls upon the President, Congress, 
and corporate America to declare the HIV/AIDS cri-
sis in the African-American community a ‘‘public 
health emergency’’. 
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(12) The Black clergy will aggressively seek to 
have every person under the sphere of their influence 
tested for HIV in order to know the person’s status. 
(13) The Black clergy will promote HIV/AIDS 
awareness to insure that all Black clergy serving in 
their denominations and other congregations are 
equipped to address issues related to this disease in 
a factual and scientifically sound manner. 
(14) The Black clergy will use the ABC/D 
model as a behavioral guideline for prevention initia-
tives: 
(A) A–Abstain. 
(B) B–Be Faithful. 
(C) C–Use Condoms. 
(D) D–Don’t Engage in Risky Behaviors. 
SEC. 4. DEFINITIONS APPLICABLE THROUGHOUT ACT. 
In this Act, the terms ‘‘HIV’’ and ‘‘HIV/AIDS’’ have 
the meanings given to such terms in section 2688 of the 
Public Health Service Act (42 U.S.C. 300ff–88). 
TITLE I—DEPARTMENT OF 
HEALTH AND HUMAN SERVICES 
SEC. 100. DEFINITION. 
In this title, the term ‘‘Secretary’’ means the Sec-
retary of Health and Human Services. 
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Subtitle A—Office of Minority 
Health 
SEC. 101. SERVICES TO REDUCE HIV/AIDS IN AFRICAN- 
AMERICAN COMMUNITY. 
(a) IN GENERAL.—For the purpose of reducing HIV/ 
AIDS in the African-American community, the Secretary, 
acting through the Director of the Office of Minority 
Health, may make grants to public health agencies and 
faith-based organizations to conduct— 
(1) outreach activities related to HIV/AIDS 
prevention and testing activities; 
(2) HIV/AIDS prevention activities; and 
(3) HIV/AIDS testing activities. 
(b) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$50,000,000 for fiscal year 2010, and such sums as may 
be necessary for fiscal years 2011 through 2014. 
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Subtitle B—Substance Abuse and 
Mental Health Services Admin-
istration 
SEC. 111. GRANTS FOR SUBSTANCE ABUSE AND MENTAL 
HEALTH 
SERVICES 
TO 
PUBLIC 
HEALTH 
AGENCIES 
AND 
FAITH-BASED 
ORGANIZA-
TIONS. 
(a) IN GENERAL.—The Secretary, acting though the 
Administrator of the Substance Abuse and Mental Health 
Services Administration, may make grants to public health 
agencies and faith-based organizations to— 
(1) conduct HIV/AIDS and sexually trans-
mitted disease outreach, prevention, and testing ac-
tivities that are targeted to the African-American 
community; and 
(2) in connection with such activities, provide 
substance abuse testing and mental health services 
to members of such community. 
(b) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$100,000,000 for fiscal year 2010, and such sums as may 
be necessary for fiscal years 2011 through 2014. 
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SEC. 112. SERVICES FOR HIV/AIDS AFFECTED YOUTH WHO 
ARE SEPARATED FROM THEIR FAMILIES. 
(a) IN GENERAL.—The Secretary, acting through the 
Administrator of the Substance Abuse and Mental Health 
Services Administration, may make grants to faith- and 
community-based organizations to provide family reunifi-
cation services, mental health counseling, HIV/AIDS and 
sexually transmitted disease testing, and substance abuse 
testing and treatment to youth who— 
(1)(A) have run away from home; 
(B) are homeless; or 
(C) reside in a detention center or foster care; 
and 
(2) are HIV positive or at risk for HIV/AIDS, 
including young men who have sex with men. 
(b) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$5,000,000 for fiscal year 2010, and such sums as may 
be necessary for fiscal years 2011 through 2014. 
Subtitle C—Centers for Disease 
Control and Prevention 
SEC. 121. PUBLIC HEALTH INTERVENTION AND PREVEN-
TION ACTIVITIES. 
(a) IN GENERAL.—For the purpose of reducing HIV/ 
AIDS, sexually transmitted diseases, tuberculosis, and 
viral hepatitis in African-American communities, the Sec-
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retary, acting through the Director of the Centers for Dis-
ease Control and Prevention, may make grants to faith- 
based organizations for public health intervention and pre-
vention activities, including the use of rapid testing in tra-
ditional and nontraditional settings to increase the num-
ber of individuals who know their status at the point of 
care and are put into treatment. 
(b) PARTNERSHIPS.—In carrying out this section, the 
Secretary shall encourage grantees to enter into partner-
ships with public health agencies. 
(c) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$100,000,000 for fiscal year 2010, and such sums as may 
be necessary for fiscal years 2011 through 2014. 
SEC. 122. HIV/AIDS PREVENTION AND EDUCATION. 
(a) PREVENTION ACTIVITIES.—The Secretary, acting 
through the Director of the Centers for Disease Control 
and Prevention, shall expand and intensify HIV/AIDS 
prevention activities in African-American communities. 
Such activities— 
(1) shall be targeted to specific populations; 
(2) shall be comprehensive and accurately based 
on science and research; 
(3) shall include information on abstinence, the 
proper use of condoms, risks associated with unpro-
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tected sex, and the value of sexual delay particularly 
among young adolescents and teenagers. 
(b) EDUCATION.—The Secretary, acting through the 
Director of the Centers for Disease Control and Preven-
tion, shall expand and intensify HIV/AIDS educational ac-
tivities targeting Black women, youth, and men who have 
sex with men. 
(c) COORDINATION.—The Secretary shall carry out 
this section in coordination with public schools of all levels, 
Black organizations, historically Black colleges and uni-
versities, and faith-based organizations and institutions. 
(d) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$100,000,000 for fiscal year 2010, and such sums as may 
be necessary for fiscal years 2011 through 2014. 
SEC. 123. BUILDING CAPACITY OF COMMUNITIES. 
(a) IN GENERAL.—The Secretary, acting through the 
Director of the Centers for Disease Control and Preven-
tion, shall expand funding to eligible entities to build the 
capacity of African-American communities to respond to 
HIV/AIDS. 
(b) EMPHASIS.—In carrying out this section, the Sec-
retary shall emphasize the provision of funding for policy 
development, education, technical assistance, and train-
ing— 
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(1) to national and local faith-based organiza-
tions; and 
(2) to organizations such as the National Black 
Leadership Commission on AIDS, the Black AIDS 
Institute, the Balm In Gilead, the Institute of 
Church Administration and Management of the 
Interdenominational Theological Center, and histori-
cally Black colleges and universities. 
(c) DEFINITION.—In this section, the term ‘‘eligible 
entity’’ means a national or community-based organization 
with a history and tradition of service to African-American 
communities. 
(d) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$25,000,000 for fiscal year 2010, and such sums as may 
be necessary for fiscal years 2011 through 2014. 
SEC. 124. NATIONAL MEDIA OUTREACH CAMPAIGN. 
(a) IN GENERAL.—The Secretary, acting through the 
Director of the Centers for Disease Control and Preven-
tion, shall implement a national media outreach campaign 
that urges all sexually active individuals to be tested for 
and know their HIV/AIDS status. 
(b) REQUIREMENTS.—The national media outreach 
campaign under this section shall— 
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(1) be science-driven and targeted to African- 
American men, women, and youth; and 
(2) give special emphasis to Black women and 
men who have sex with men. 
(c) COORDINATION; CONSULTATION.—The Secretary 
shall carry out this section— 
(1) in coordination with Black media outlets for 
print, electronic, and Web-based media and Black 
media associations, including the National Associa-
tion of Black Owned Broadcasters and the National 
Newspaper Publishers Association; and 
(2) in consultation with an advisory board in-
cluding representatives of the National Medical As-
sociation, faith leaders, elected and appointed offi-
cials, social marketing experts, and business and 
community stakeholders. 
(d) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$10,000,000 for fiscal year 2010, and such sums as may 
be necessary for fiscal years 2011 through 2014. 
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Subtitle D—National Institutes of 
Health 
SEC. 131. RESEARCH TO DEVELOP BEHAVIORAL STRATE-
GIES TO REDUCE TRANSMISSION OF HIV/ 
AIDS. 
(a) IN GENERAL.—The Secretary, acting through the 
Director of the National Institutes of Health, may conduct 
or support culturally competent research to develop evi-
dence-based behavioral strategies to reduce the trans-
mission of HIV/AIDS within the African-American com-
munity. 
(b) PRIORITY.—In carrying out this section, the Sec-
retary shall prioritize research that focuses on populations 
within the African-American community that are at in-
creased risk for HIV/AIDS, including— 
(1) men who have sex with men; and 
(2) women. 
(c) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$10,000,000 for fiscal year 2010, and such sums as may 
be necessary for fiscal years 2011 through 2014. 
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SEC. 132. STUDY OF BIOLOGICAL AND BEHAVIORAL FAC-
TORS. 
(a) IN GENERAL.—The Secretary, acting through the 
Director of the National Center on Minority Health and 
Health Disparities, may make grants for— 
(1) the study of biological and behavioral fac-
tors that lead to increased HIV/AIDS prevalence in 
the African-American community, to be conducted 
by researchers with a history and tradition of service 
to Black communities; and 
(2) behavioral and structural network research 
and interventions, in collaboration with other insti-
tutes and centers of the National Institutes of 
Health, indigenous faith and national and commu-
nity-based organizations with a history and tradition 
of conducting such research for Black communities, 
with a special emphasis on Black women and Black 
men who have sex with men. 
(b) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$100,000,000 for fiscal year 2010, and such sums as may 
be necessary for fiscal years 2011 through 2014. 
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Subtitle E—Health Resources and 
Services Administration 
SEC. 141. HEALTH CARE PROFESSIONALS TREATING INDI-
VIDUALS WITH HIV/AIDS. 
Part E of title VII of the Public Health Service Act 
(42 U.S.C. 294n et seq.) is amended by adding at the end 
the following: 
‘‘Subpart 3—Health Care Professionals Treating 
Individuals With HIV/AIDS 
‘‘SEC. 175. BETTER CARE FOR INDIVIDUALS WITH HIV/AIDS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration and in consultation with the African- 
American church community, may award grants for any 
of the following: 
‘‘(1) Development of curricula for training pri-
mary care providers in HIV/AIDS prevention and 
care. 
‘‘(2) Training health care professionals with ex-
pertise in HIV/AIDS to provide care to individuals 
with HIV/AIDS. 
‘‘(3) Development by grant recipients under 
title XXVI and other persons of policies for pro-
viding culturally relevant and sensitive treatment to 
individuals with HIV/AIDS, with particular empha-
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sis on treatment to African-Americans and children 
with HIV/AIDS. 
‘‘(4) Development and implementation of pro-
grams to increase the use of telemedicine to respond 
to HIV/AIDS-specific health care needs in rural and 
minority communities, with particular emphasis 
given to medically underserved communities and the 
southern States. 
‘‘(5) Creation of faith- and community-based 
certification programs for providers in HIV/AIDS 
care and support services. 
‘‘(6) Establishment of comfort care centers that 
provide mental, emotional, and psycho-social coun-
seling for people with HIV/AIDS and implement ad-
ditional protocols to be carried out in the centers 
that address the needs of children and young adults 
who are infected with the disease and are 
transitioning from childhood to adulthood. 
‘‘(7) Incentive payments to health care pro-
viders supported by the Health Resources and Serv-
ices Administration to implement HIV/AIDS testing 
consistent with the guidelines issued in 2006 by the 
Centers for Disease Control and Prevention entitled 
‘Revised Recommendations for HIV Testing of 
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Adults, Adolescents, and Pregnant Women in 
Health-Care Settings’. 
‘‘(b) DEFINITION.—In this section, the term ‘HIV/ 
AIDS’ has the meaning given to such term in section 
2688. 
‘‘(c) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated $120,000,000 for fiscal year 2010, and such sums 
as may be necessary for fiscal years 2011 through 2014.’’. 
Subtitle F—Miscellaneous 
SEC. 151. REPORT ON IMPACT OF HIV/AIDS IN THE AFRI-
CAN-AMERICAN COMMUNITY. 
(a) IN GENERAL.—The Secretary shall submit to the 
Congress and the President an annual report on the im-
pact of HIV/AIDS in the African-American community. 
(b) CONTENTS.—The report under subsection (a) 
shall include information on the— 
(1) progress that has been made in reducing 
the impact of HIV/AIDS in such community; 
(2) opportunities that exist to make additional 
progress in reducing the impact of HIV/AIDS in 
such community; 
(3) challenges that may impede such additional 
progress; and 
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(4) Federal funding necessary to achieve sub-
stantial reductions in HIV/AIDS in the African- 
American community. 
SEC. 152. STUDY ON STATUS OF HIV/AIDS EPIDEMIC AMONG 
AFRICAN-AMERICANS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall— 
(1) seek to enter into an agreement with the In-
stitute of Medicine to document, in collaboration 
with the W. Montague Cobb/NMA Health Institute 
and other Black policy organizations, all aspects of 
the HIV/AIDS epidemic among African-Americans, 
including the role that historical racial or ethnic bar-
riers play in sustaining the epidemic among African- 
Americans; 
(2) submit a report to the President, the Direc-
tor of the Office of National AIDS Policy Coordina-
tion, the Director of the White House Domestic Pol-
icy Council, the Director of White House Office of 
Faith-Based and Neighborhood Partnerships, key 
Federal agencies, and the relevant committees of the 
Congress on the status of the HIV/AIDS epidemic 
among African-Americans in the United States; and 
(3) include in such report— 
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(A) specific recommendations on the imple-
mentation of Federal policies to reduce the bur-
den of HIV/AIDS in the African-American com-
munity; and 
(B) a special focus on the Black clergy and 
the church as a unique resource in the African- 
American community. 
(b) AUTHORIZATION OF APPROPRIATIONS.— 
(1) IN GENERAL.—To carry out this section, 
there is authorized to be appropriated $2,000,000 
for each of fiscal years 2010 and 2011. 
(2) SPECIAL RULE.—Of the amount of funds 
appropriated to carry out this section for a fiscal 
year— 
(A) 45 percent shall be allocated to the In-
stitutes of Medicine pursuant to the agreement 
entered into under subsection (a)(1); 
(B) 45 percent shall be allocated to the W. 
Montague Cobb/NMA Health Institute pursu-
ant to such agreement; and 
(C) 10 percent shall be allocated for ad-
ministrative costs and other activities under 
this section. 
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TITLE II—MISCELLANEOUS 
SEC. 201. SENSE OF CONGRESS ON NATIONAL BLACK CLER-
GY HIV/AIDS AWARENESS SUNDAY. 
It is the sense of the Congress that— 
(1) there should be established a National 
Black Clergy HIV/AIDS Awareness Sunday on 
which the Congress and the President call on mem-
bers of the Black clergy— 
(A) to become involved at the local commu-
nity level in HIV/AIDS testing, policy, and ad-
vocacy; 
(B) to discuss the HIV/AIDS epidemic 
with their congregations and the community at- 
large; and 
(C) to urge members of their congregations 
to reduce risk factors, practice safe sex and 
other preventive measures, be tested for HIV/ 
AIDS, and seek care when appropriate; and 
(2) an appropriate Sunday should be selected 
for this occasion. 
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SEC. 202. SENSE OF CONGRESS ON FEDERAL AGENCIES 
WITH RESPONSIBILITY FOR PREVENTING, 
TESTING FOR, AND TREATING HIV/AIDS. 
It is the sense of the Congress that all Federal agen-
cies with a responsibility for preventing, testing for, and 
treating HIV/AIDS should— 
(1) adopt policies for prevention, testing, and 
treatment that are consistent with the guidelines 
issued in 2006 by the Centers for Disease Control 
and Prevention, entitled ‘‘Revised Recommendations 
for HIV Testing of Adults, Adolescents, and Preg-
nant Women in Health-Care Settings’’; and 
(2) begin a systemic, aggressive approach to im-
plementing voluntary, routine testing as part of all 
health exams, including in emergency rooms, clinics, 
and private physician offices. 
SEC. 203. SENSE OF CONGRESS ON FEDERAL BUREAU OF 
PRISONS PROCEDURES FOR INMATES WITH 
HIV. 
It is the sense of the Congress that the Federal Bu-
reau of Prisons should implement procedures for— 
(1) voluntary HIV testing as a routine compo-
nent of inmate care; and 
(2) referral to care as a routine component of 
release planning for inmates with HIV/AIDS, includ-
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ing referral to community-based care and faith-based 
institutions. 
Æ 
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