219 
(B) 
CONDITIONS
DESCRIBED.—Section 
2105(c) of the Social Security Act (42 U.S.C. 
1397ee(c)) is amended by adding at the end the 
following: 
‘‘(8) CONDITIONS
FOR
PROVISION
OF
WRAP- 
AROUND
COVERAGE.—For 
purposes 
of 
section 
2110(b)(5), the conditions described in this para-
graph are the following: 
‘‘(A) INCOME
ELIGIBILITY.—The State 
child health plan (whether implemented under 
title XIX or this XXI)— 
‘‘(i) has the highest income eligibility 
standard permitted under this title as of 
January 1, 2002; 
‘‘(ii) subject to subparagraph (B), 
does not limit the acceptance of applica-
tions for children; and 
‘‘(iii) provides benefits to all children 
in the State who apply for and meet eligi-
bility standards. 
‘‘(B) NO WAITING LIST IMPOSED.—With 
respect to children whose family income is at or 
below 200 percent of the poverty line, the State 
does not impose any numerical limitation, wait-
ing list, or similar limitation on the eligibility of
220 
such children for child health assistance under 
such State plan. 
‘‘(C) NO MORE FAVORABLE TREATMENT.— 
The State child health plan may not provide 
more favorable coverage of dental services to 
the children covered under section 2110(b)(5) 
than to children otherwise covered under this 
title.’’. 
(C) STATE OPTION TO WAIVE WAITING PE-
RIOD.—Section 2102(b)(1)(B) of the Social Se-
curity Act (42 U.S.C. 1397bb(b)(1)(B)) is 
amended— 
(i) in clause (i), by striking ‘‘and’’ at 
the end; 
(ii) in clause (ii), by striking the pe-
riod and inserting ‘‘; and’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(iii) at State option, may not apply 
a waiting period in the case of a child de-
scribed in section 2110(b)(5), if the State 
satisfies 
the 
requirements 
of 
section 
2105(c)(8).’’.
221 
(2) APPLICATION OF ENHANCED MATCH UNDER 
MEDICAID.—Section 1905 of the Social Security Act 
(42 U.S.C. 1396d) is amended— 
(A) in subsection (b), in the fourth sen-
tence, by striking ‘‘or subsection (u)(3)’’ and 
inserting ‘‘(u)(3), or (u)(4)’’; and 
(B) in subsection (u)— 
(i) by redesignating paragraph (4) as 
paragraph (5); and 
(ii) by inserting after paragraph (3) 
the following: 
‘‘(4) For purposes of subsection (b), the ex-
penditures described in this paragraph are expendi-
tures for items and services for children described in 
section 2110(b)(5), but only in the case of a State 
that 
satisfies 
the 
requirements 
of 
section 
2105(c)(8).’’. 
(3) APPLICATION OF SECONDARY PAYOR PROVI-
SIONS.—Section 2107(e)(1) of the Social Security 
Act (42 U.S.C. 1397gg(e)(1)) is amended— 
(A) by redesignating subparagraphs (B) 
through (D) as subparagraphs (C) through (E), 
respectively; and 
(B) by inserting after subparagraph (A) 
the following:
222 
‘‘(B) Section 1902(a)(25) (relating to co-
ordination of benefits and secondary payor pro-
visions) with respect to children covered under 
a waiver described in section 2110(b)(5).’’. 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall take effect on January 1, 2006, and 
shall apply to child health assistance and medical assist-
ance provided on or after that date. 
SEC. 452. GRANTS TO IMPROVE THE PROVISION OF DENTAL 
HEALTH SERVICES THROUGH COMMUNITY 
HEALTH CENTERS AND PUBLIC HEALTH DE-
PARTMENTS. 
Part D of title III of the Public Health Service Act 
(42 U.S.C. 254b et seq.) is amended by insert before sec-
tion 330, the following: 
‘‘SEC. 329. GRANT PROGRAM TO EXPAND THE AVAIL-
ABILITY OF SERVICES. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Health Resources and Services Administration, shall 
establish a program under which the Secretary may award 
grants to eligible entities and eligible individuals to expand 
the availability of primary dental care services in dental 
health professional shortage areas or medically under-
served areas. 
‘‘(b) ELIGIBILITY.—
223 
‘‘(1) ENTITIES.—To be eligible to receive a 
grant under this section an entity— 
‘‘(A) shall be— 
‘‘(i) a health center receiving funds 
under section 330 or designated as a Fed-
erally qualified health center; 
‘‘(ii) a county or local public health 
department, if located in a federally-des-
ignated dental health professional shortage 
area; 
‘‘(iii) an Indian tribe or tribal organi-
zation (as defined in section 4 of the In-
dian Self-Determination and Education 
Assistance Act (25 U.S.C. 450b)); 
‘‘(iv) a dental education program ac-
credited by the Commission on Dental Ac-
creditation; or 
‘‘(v) 
a 
community-based 
program 
whose child service population is made up 
of at least 33 percent of children who are 
eligible children, including at least 25 per-
cent of such children being children with 
mental retardation or related develop-
mental disabilities, unless specific docu-
224 
mentation of a lack of need for access by 
this sub-population is established; and 
‘‘(B) shall prepare and submit to the Sec-
retary an application at such time, in such 
manner, and containing such information as the 
Secretary may require, including information 
concerning dental provider capacity to serve in-
dividuals with developmental disabilities. 
‘‘(2) INDIVIDUALS.—To be eligible to receive a 
grant under this section an individual shall— 
‘‘(A) be a dental health professional li-
censed or certified in accordance with the laws 
of State in which such individual provides den-
tal services; 
‘‘(B) prepare and submit to the Secretary 
an application at such time, in such manner, 
and containing such information as the Sec-
retary may require; and 
‘‘(C) provide assurances that— 
‘‘(i) the individual will practice in a 
federally-designated dental health profes-
sional shortage area; or 
‘‘(ii) not less than 25 percent of the 
patients of such individual are—
225 
‘‘(I) receiving assistance under a 
State plan under title XIX of the So-
cial Security Act (42 U.S.C. 1396 et 
seq.); 
‘‘(II) receiving assistance under a 
State plan under title XXI of the So-
cial Security Act (42 U.S.C. 1397aa 
et seq.); or 
‘‘(III) uninsured. 
‘‘(c) USE OF FUNDS.— 
‘‘(1) ENTITIES.—An entity shall use amounts 
received under a grant under this section to provide 
for the increased availability of primary dental serv-
ices in the areas described in subsection (a). Such 
amounts may be used to supplement the salaries of-
fered for individuals accepting employment as den-
tists in such areas. 
‘‘(2) INDIVIDUALS.—A grant to an individual 
under subsection (a) shall be in the form of a 
$1,000 bonus payment for each month in which such 
individual is in compliance with the eligibility re-
quirements of subsection (b)(2)(C). 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—Notwithstanding any other 
amounts appropriated under section 330 for health
226 
centers, there is authorized to be appropriated such 
sums as may be necessary for each of fiscal years 
2007 through 2012 to hire and retain dental 
healthcare providers under this section. 
‘‘(2) USE OF FUNDS.—Of the amount appro-
priated for a fiscal year under paragraph (1), the 
Secretary shall use— 
‘‘(A) not less than 65 percent of such 
amount to make grants to eligible entities; and 
‘‘(B) not more than 35 percent of such 
amount to make grants to eligible individuals.’’. 
SEC. 453. PRIORITY SUBSTANCE ABUSE TREATMENT NEEDS 
OF REGIONAL AND NATIONAL SIGNIFICANCE. 
Section 509 of the Public Health Service Act (42 
U.S.C. 290bb–2) is amended— 
(1) by redesignating subsection (f) as sub-
section (g); and 
(2) by inserting after subsection (d) the fol-
lowing: 
‘‘(f) SPECIAL CONSIDERATION IN DEVELOPING PRO-
GRAM PRIORITIES.—The Secretary shall give special con-
sideration to promoting the integration of substance abuse 
treatment services into primary health care systems and 
the provision of culturally and linguistically appropriate
227 
substance abuse treatment services in health disparity 
populations.’’. 
SEC. 454. FETAL ALCOHOL SYNDROME. 
Subtitle B of title XXIX of the Public Health Service 
Act, as added by section 442, is amended by adding at 
the end the following: 
‘‘SEC. 2922. FETAL ALCOHOL SYNDROME. 
‘‘(a) SURVEILLANCE
AND
IDENTIFICATION
RE-
SEARCH.—The Secretary shall direct the National Center 
for Birth Defects and Developmental Disabilities (referred 
to in this section as the ‘Center’) to— 
‘‘(1) develop a uniform surveillance case defini-
tion for Fetal Alcohol Syndrome (referred to in this 
section as ‘FAS’) and a uniform surveillance defini-
tion for Alcohol Related Neurodevelopmental Dis-
order (referred to in this section as ‘ARND’); 
‘‘(2) develop a comprehensive screening process 
for FAS and ARND to include all age groups; and 
‘‘(3) disseminate the screening process devel-
oped under paragraph (2) to— 
‘‘(A) hospitals, outpatient programs, and 
other healthcare providers; 
‘‘(B) incarceration and detainment facili-
ties; 
‘‘(C) primary and secondary schools;
228 
‘‘(D) social work and child welfare offices; 
‘‘(E) State offices and others providing 
services to individuals with disabilities; and 
‘‘(F) others determined appropriate by the 
Secretary. 
‘‘(b) CLINICAL CHARACTERIZATION OF FAS AND RE-
LATED DISEASES.—The Secretary shall direct the Na-
tional Institute of Alcohol Abuse and Alcoholism to— 
‘‘(1) research methods to quantify the central 
nervous system impairments associated with fetal al-
cohol exposure and to develop clinical diagnostic 
tools for the intellectual and behavioral problems as-
sociated with FAS and related diseases; 
‘‘(2) develop a neurocognitive phenotype for 
FAS and ARND; and 
‘‘(3) include all relevant scientific and clinical 
characterizations of FAS and related diseases in rel-
evant diagnostic codes. 
‘‘(c) COMMUNITY-BASED
AND SUPPORT SERVICES 
COORDINATION GRANTS.—The Secretary shall award 
grants to States, Indian tribes and tribal organizations, 
and nongovernmental organizations for the establishment 
of— 
‘‘(1) pilot projects to identify and implement 
best practices for—
229 
‘‘(A) educating children with fetal alcohol 
spectrum disorders, including— 
‘‘(i) activities and programs designed 
specifically for the identification, treat-
ment, and education of such children; and 
‘‘(ii) 
curricula 
development 
and 
credentialing of teachers, administrators, 
and social workers who implement such 
programs; 
‘‘(B) educating judges, attorneys, child ad-
vocates, law enforcement officers, prison war-
dens, alternative incarceration administrators, 
and incarceration officials on how to treat and 
support individuals suffering from a fetal alco-
hol spectrum disorder within the criminal jus-
tice system, including— 
‘‘(i) programs designed specifically for 
the identification, treatment, and education 
of those with a fetal alcohol spectrum dis-
order; and 
‘‘(ii) 
curricula 
development 
and 
credentialing within justice system for indi-
viduals who implement such programs; and 
‘‘(C) educating adoption or foster care 
agency officials about available and necessary
230 
services for children with fetal alcohol spectrum 
disorders, including— 
‘‘(i) programs designed specifically for 
the identification, treatment, and education 
of those with a fetal alcohol spectrum dis-
order; and 
‘‘(ii) education and training for poten-
tial parents of an adopted child with a 
fetal alcohol spectrum disorder; 
‘‘(2) nationally coordinated systems that inte-
grate transitional services for those affected by pre-
natal alcohol exposure such as housing assistance, 
vocational training and placement, and medication 
monitoring by— 
‘‘(A) providing training and support to 
family services programs, children’s mental 
health programs, and other local efforts; 
‘‘(B) recruiting and training mentors for 
teenagers with a fetal alcohol spectrum dis-
order; and 
‘‘(C) maintaining a clearinghouse including 
all relevant neurobehavioral information needed 
for supporting individuals with a fetal alcohol 
spectrum disorder; and
231 
‘‘(3) programs to disseminate and coordinate 
fetal alcohol spectrum disorder awareness and iden-
tification efforts by community health centers, in-
cluding— 
‘‘(A) education of health professionals re-
garding available support services; and 
‘‘(B) implementation of a tracking system 
targeting the rates of fetal alcohol spectrum 
disorders among individuals from certain racial, 
ethnic, and economic backgrounds. 
‘‘(d) APPLICATION.—To be eligible to receive a grant 
under subsection (g), an entity shall submit to the Sec-
retary an application in such form, in such manner, and 
containing such agreements, assurances, and information 
as the Secretary determines to be necessary to carry out 
this section. 
‘‘(e) BUILDING STATE FASD SYSTEMS.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Administrator of the Substance Abuse 
and Mental Health Services Administration, shall 
award grants, contracts, or cooperative agreements 
to States for the purpose of establishing or expand-
ing statewide programs of surveillance, prevention, 
and treatment of individuals with Fetal Alcohol 
Spectrum Disorders.
232 
‘‘(2) ELIGIBILITY.—To be eligible to receive a 
grant, contract, or cooperative agreement under 
paragraph (1) a State shall— 
‘‘(A) prepare and submit to the Secretary 
an application at such time, in such manner, 
and containing such information as the Sec-
retary may reasonably require; 
‘‘(B) develop and implement a statewide 
strategic plan for preventing and treating Fetal 
Alcohol Spectrum Disorders; 
‘‘(C) consult with public and private non- 
profit entities with relevant expertise on Fetal 
Alcohol Spectrum Disorders within the State, 
including— 
‘‘(i) parent-led groups and other orga-
nizations that support and advocate for in-
dividuals with Fetal Alcohol Spectrum Dis-
orders; and 
‘‘(ii) Indian tribes and tribal organiza-
tions; and 
‘‘(D) designate an individual to serve as 
the coordinator of the State’s Fetal Alcohol 
Spectrum Disorders program.
233 
‘‘(3) STRATEGIC
PLAN.—The statewide stra-
tegic plan prepared under paragraph (2)(B) shall in-
clude— 
‘‘(A) the identification of existing State 
programs and systems that could be used to 
identify and treat individuals with Fetal Alcohol 
Spectrum Disorders and prevent alcohol con-
sumption during pregnancy, such as— 
‘‘(i) programs for the developmentally 
disabled, the mentally ill, and individuals 
with alcohol dependency; 
‘‘(ii) primary and secondary edu-
cational systems; 
‘‘(iii) judicial systems for juveniles 
and adults; 
‘‘(iv) child welfare programs and so-
cial service programs; and 
‘‘(v) other programs or systems the 
State determines to be appropriate; 
‘‘(B) the identification of any barriers for 
individuals with Fetal Alcohol Spectrum Dis-
orders or women at risk for alcohol consump-
tion during pregnancy to access the programs 
identified under subparagraph (A); and
234 
‘‘(C) proposals to eliminate barriers to pre-
vention and treatment programs and coordinate 
the activities of such programs. 
‘‘(4) USE OF FUNDS.—Amounts received under 
a grant, contract, or cooperative agreement under 
paragraph (1) shall be used for one or more of the 
following activities: 
‘‘(A) Establishing a statewide surveillance 
system. 
‘‘(B) Collecting, analyzing and interpreting 
data. 
‘‘(C) Establishing a diagnostic center. 
‘‘(D) Developing, implementing, and evalu-
ating population-based and targeted prevention 
programs for Fetal Alcohol Spectrum Dis-
orders, including public awareness campaigns. 
‘‘(E) Referring individuals with Fetal Alco-
hol Spectrum Disorders to appropriate support 
services. 
‘‘(F) Developing and sharing best practices 
for the prevention, identification, and treatment 
of Fetal Alcohol Spectrum Disorders. 
‘‘(G) Providing training to health care pro-
viders on the prevention, identification, and 
treatment of Fetal Alcohol Spectrum Disorders.
235 
‘‘(H) Disseminating information about 
Fetal Alcohol Spectrum Disorders and the 
availability of support services to families of in-
dividuals with Fetal Alcohol Spectrum Dis-
orders. 
‘‘(I) Other activities determined appro-
priate by the Secretary. 
‘‘(5) MULTI-STATE PROGRAMS.—The Secretary 
shall permit the formation of multi-State Fetal Alco-
hol Spectrum Disorders programs under this sub-
section. 
‘‘(6) OTHER CONTRACTS AND AGREEMENTS.— 
A State may carry out activities under paragraph 
(4) through contacts or cooperative agreements with 
public and private non-profit entities with a dem-
onstrated expertise in Fetal Alcohol Spectrum Dis-
orders. 
‘‘(7) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated to carry out 
this subsection, such sums as may be necessary for 
fiscal years 2006 through 2010. 
‘‘(f) PROMOTING COMMUNITY PARTNERSHIPS.— 
‘‘(1) IN GENERAL.—The Secretary shall award 
grants, contracts, or cooperative agreements to eligi-
ble entities to enable such entities to establish, en-
236 
hance, or improve community partnerships for the 
purpose of collaborating on common objectives and 
integrating the services available to individuals with 
Fetal Alcohol Spectrum Disorders, such as surveil-
lance, prevention, treatment, and provision of sup-
port services. 
‘‘(2) ELIGIBLE ENTITIES.—To be eligible to re-
ceive a grant, contract, or cooperative agreement 
under paragraph (1), an entity shall— 
‘‘(A) be a public or private nonprofit enti-
ty, including— 
‘‘(i) a health care provider or health 
professional; 
‘‘(ii) a primary or secondary school; 
‘‘(iii) a social work or child welfare of-
fice; 
‘‘(iv) an incarceration or detainment 
facility; 
‘‘(v) a parent-led group or other orga-
nization that supports and advocates for 
individuals with Fetal Alcohol Spectrum 
Disorders; 
‘‘(vi) an Indian tribe or tribal organi-
zation;
237 
‘‘(vii) any other entity the Secretary 
determines to be appropriate; or 
‘‘(viii) a consortium of any of the enti-
ties described in clauses (i) through (vii); 
and 
‘‘(B) prepare and submit to the Secretary 
an application at such time, in such manner, 
and containing such information as the Sec-
retary may reasonably require, including assur-
ances that the entity submitting the application 
does, at the time of application, or will, within 
a reasonable amount of time from the date of 
application, include substantive participation of 
a broad range of entities that work with or pro-
vide services for individuals with Fetal Alcohol 
Spectrum Disorders. 
‘‘(3) ACTIVITIES.—An eligible entity shall use 
amounts received under a grant, contract, or cooper-
ative agreement under this subsection shall carry out 
1 or more of the following activities: 
‘‘(A) Identifying and integrating existing 
programs and services available in the commu-
nity for individuals with Fetal Alcohol Spec-
trum Disorders.
238 
‘‘(B) Conducting a needs assessment to 
identify services that are not available in a com-
munity. 
‘‘(C) Developing and implementing com-
munity-based initiatives to prevent, diagnose, 
treat, and provide support services to individ-
uals with Fetal Alcohol Spectrum Disorders. 
‘‘(D) Disseminating information about 
Fetal Alcohol Spectrum Disorders and the 
availability of support services. 
‘‘(E) Developing and implementing a com-
munity-wide public awareness and outreach 
campaign focusing on the dangers of drinking 
alcohol while pregnant. 
‘‘(F) Providing mentoring or other support 
to families of individuals with Fetal Alcohol 
Spectrum Disorders. 
‘‘(G) Other activities determined appro-
priate by the Secretary. 
‘‘(4) AUTHORIZATION
OF
APPROPRIATION.— 
There are authorized to be appropriated to carry out 
this subsection, such sums as may be necessary for 
each of fiscal years 2006 through 2010. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section
239 
(other than subsections (e) and (f)), such sums as may 
be necessary for each of fiscal years 2005 through 2010.’’. 
SEC. 455. HIV/AIDS REDUCTION. 
Subtitle B of title XXIX of the Public Health Service 
Act, as amended by section 454, is amended by adding 
at the end the following: 
‘‘SEC. 2923. HIV/AIDS REDUCTION IN THE MINORITY COM-
MUNITY. 
‘‘(a) EXPANDED FUNDING.—The Secretary, in col-
laboration with the Director of the Office of Minority 
Health, the Director of the Centers for Disease Control 
and Prevention, the Administrator of the Health Re-
sources and Services Administration, and the Adminis-
trator of the Substance Abuse and Mental Health Admin-
istration, shall provide funds and carry out activities to 
expand the Minority HIV/AIDS Initiative. 
‘‘(b) USE OF FUNDS.—The additional funds made 
available under this section may be used, through the Mi-
nority HIV/AIDS Initiative, to support the following ac-
tivities: 
‘‘(1) The provision of technical assistance and 
infrastructure support to reduce HIV/AIDS in mi-
nority populations. 
‘‘(2) To increase minority populations’ access to 
HIV/AIDS prevention and care services.
240 
‘‘(3) To build stronger community programs 
and partnerships to address HIV prevention and the 
healthcare needs of specific minority racial and eth-
nic populations. 
‘‘(c) PRIORITY INTERVENTIONS.—Within the minor-
ity populations referred to in subsection (b), priority in 
conducting intervention services shall be given to— 
‘‘(1) women; 
‘‘(2) youth; 
‘‘(3) men who engage in homosexual activity; 
‘‘(4) persons who engage in intravenous drug 
abuse; 
‘‘(5) homeless individuals; and 
‘‘(6) individuals incarcerated or in the penal 
system. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated $610,000,000 for fiscal year 2005, and 
such sums as may be necessary for each of the fiscal years 
2006 through 2010.’’. 
SEC. 456. SYSTEMS FOR HEART DISEASE AND STROKE. 
Subtitle B of title XXIX of the Public Health Service 
Act, as amended by section 455, is further amended by 
adding at the end the following: