other sites as the Secretary determines to be appro-
priate to provide residents of such housing projects
with access to the services).
‘‘(2) ELDERLY PERSON.—For purposes of this
section, the term ‘elderly person’ has the meaning
given such term in section 3(b)(3)(D) of the United
States 
Housing 
Act 
of 
1937 
(42 
U.S.C.
1437(b)(3)(D)).
‘‘(3) FEDERALLY-ASSISTED HOUSING PROJECTS
FOR THE ELDERLY.—The term ‘Federally-assisted
housing projects for the elderly’ is a Federally-as-
sistance housing project in which the elderly person
constitute at least 25 percent of the residents of the
project.
‘‘(b) MINIMUM QUALIFICATIONS FOR GRANTEES.—
‘‘(1) STATUS AS MEDICAID PROVIDER.—
‘‘(A) Except as provided in subparagraph
(B), the Secretary may make a grant under
subsection (a) only if the applicant for the
grant is a provider of services under the State
plan approved for the State involved under title
XIX of the Social Security Act.
‘‘(B) The requirements established in sub-
paragraph (A) do not apply to an applicant that
provides health services without charge and
does not receive reimbursement for the services
from any third-party payors.
‘‘(2) REQUIRED
CONSULTATIONS.—The Sec-
retary may make a grant under subsection (a) only
if the applicant involved, in preparing the applica-
tion under subsection (j), has consulted with elderly
persons in the community in which services under
the grant are to be provided, with administrators at
Federally-assisted housing projects for the elderly in
the community, and with the area agencies on aging
in the community.
‘‘(c) PREFERENCES IN MAKING GRANTS.—In making
grants under subsection (a), the Secretary shall give pref-
erence to qualified applicants that are experienced in deliv-
ering health care services to medically underserved popu-
lations or in areas in which a significant number of elderly
persons are at risk for health problems.
‘‘(d) AUTHORIZED SERVICES.—
‘‘(1) IN GENERAL.—The Secretary may make a
grant under subsection (a) only if the applicant in-
volved agrees as follows:
‘‘(A) Each of the following services will be
made available under the grant (as medically
appropriate for the child involved):
‘‘(i) Comprehensive health examina-
tions.
‘‘(ii) Health education and prevention
services.
‘‘(iii) Follow-up care and referrals re-
garding routine health problems.
‘‘(B) Services under subparagraph (A) will
include screenings, follow-up care, and referrals
(including referrals for specialty care) regarding
dental, vision, and hearing services, and regard-
ing sexually-transmitted diseases and other
communicable diseases.
‘‘(2) OTHER SERVICES.—In addition to services
specified in paragraph (1), the Secretary may au-
thorize a grantee under subsection (a) to expend the
grant for such additional health or health-related
services for elderly persons as the Secretary deter-
mines to be appropriate.
‘‘(e) CULTURAL CONTEXT OF SERVICES.—The Sec-
retary may make a grant under subsection (a) only if the
applicant involved agrees that services under the grant will
be provided in the language and cultural context most ap-
propriate for the individuals to whom the services are pro-
vided.
‘‘(f) LIMITATION
ON IMPOSITION
OF FEES
FOR
SERVICES.—The Secretary may make a grant under sub-
section (a) only if the applicant involved agrees that, if
a fee is imposed for the provision of services under the
grant, such fee—
‘‘(1) will be made according to a schedule of
fees that is made available to the public;
‘‘(2) will be adjusted to reflect the income and
resources of the elderly persons involved; and
‘‘(3) will not be imposed on any elderly person
with an income of less than 150 percent of the appli-
cable official poverty line (established by the Direc-
tor of the Office of Management and Budget and re-
vised by the Secretary in accordance with section
673(2) of the Omnibus Budget Reconciliation Act of
1981).
‘‘(g) MATCHING FUNDS.—
‘‘(1) IN GENERAL.—With respect to the costs of
the program to be carried out under subsection (a)
by an applicant, the Secretary, subject to paragraph
(3), may make a grant under such subsection only
if the applicant agrees to make available (directly or
through donations from public or private entities)
non-Federal contributions toward such costs in an
amount that is—
‘‘(A) for the first fiscal year for which the
applicant receives such a grant, 10 percent of
such costs;
‘‘(B) for any second such fiscal year, 25
percent of such costs; and
‘‘(C) for any subsequent such fiscal year,
50 percent of such costs.
‘‘(2) DETERMINATION
OF
AMOUNT
CONTRIB-
UTED.—Non-Federal contributions required in para-
graph (1) may be in cash or in kind, fairly evalu-
ated, including plant, equipment, or services.
Amounts provided by the Federal Government, or
services assisted or subsidized to any significant ex-
tent by the Federal Government, may not be in-
cluded in determining the amount of such non-Fed-
eral contributions.
‘‘(3) WAIVER.—The Secretary may for an ap-
plicant waive the requirement of paragraph (1) for
a fiscal year if the Secretary determines that the ap-
plicant will be unable to carry out a program under
subsection (a) otherwise. If the Secretary provides a
waiver under the preceding sentence for a grantee
under subsection (a) for a fiscal year, the Secretary
may make a grant to the applicant for the following
fiscal year only if the Secretary reviews the waiver
to determine whether the waiver should remain in
effect.
‘‘(h) ADDITIONAL
AGREEMENTS.—The Secretary
may make a grant under subsection (a) only if the appli-
cant involved agrees as follows:
‘‘(1) The applicant will maintain the confiden-
tiality of patient records.
‘‘(2) The applicant will establish an ongoing
quality assurance program regarding services pro-
vided under the grant.
‘‘(3) The applicant will not expend more than
10 percent of the grant for administrative expenses
regarding the grant.
‘‘(i) REPORTS TO SECRETARY.—The Secretary may
make a grant under subsection (a) only if the applicant
agrees that, not later than February 1 of the fiscal year
following the fiscal year for which the grant is to be made,
the applicant will submit to the Secretary a report describ-
ing the program carried out by the applicant under the
grant, including provisions on the utilization, cost, and
outcome of services provided under the grant.
‘‘(j) APPLICATION
FOR GRANT; PLAN.—The Sec-
retary may make a grant under subsection (a) only if an
application for the grant is submitted to the Secretary;
the application contains a plan describing the proposal of
the applicant for a program under subsection (a); and the
application is in such form, is made in such manner, and
contains such agreements, assurances, and information as
the Secretary determines to be necessary to carry out this
section.
‘‘(k) EVALUATION OF PROGRAMS.—The Secretary,
directly or through grants or contracts, shall provide for
evaluations of programs carried out under subsection (a),
including the cost-effectiveness and health-effectiveness of
the programs.
‘‘(l) REPORTS TO CONGRESS.—Not later than May
31 of each fiscal year, the Secretary shall submit to the
Congress a report on the programs carried out under sub-
section (a). The report shall include a summary of the
evaluations carried out under subsection (k) for the pre-
ceding fiscal year.
‘‘(m) AUTHORIZATION
OF APPROPRIATIONS.—For
the purpose of carrying out this section, there is author-
ized to be appropriated $500,000,000 for fiscal year 2003,
$550,000,000 for fiscal year 2004, $600,000,000 for fis-
cal year 2005, $650,000,000 for fiscal year 2006, and
$700,000,000 for fiscal year 2007.’’.
Æ