(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Prioritization of evidence-based funding allocations to address the con-
tinuum of HIV care. 
Sec. 3. Promotion of patient-centered care. 
SEC. 2. PRIORITIZATION OF EVIDENCE-BASED FUNDING AL-
LOCATIONS TO ADDRESS THE CONTINUUM 
OF HIV CARE. 
(a) ENSURING FUNDING IS PRIORITIZED FOR AREAS 
WHERE THE HIV EPIDEMIC IS GROWING.—Part E of 
title XXVI of the Public Health Service Act is amended— 
(1) by redesignating section 2689 of such Act 
(42 U.S.C. 300ff–88) as section 2689C; and 
(2) by inserting after section 2688 of such Act 
(42 U.S.C. 300ff–87a) the following: 
‘‘SEC. 2689. GENERAL PROVISIONS ON THE DISTRIBUTION 
OF GRANTS. 
‘‘Not later than September 30, 2014, the Secretary 
shall— 
‘‘(1) submit to Congress a report on whether 
the allocation of funding under the parts of this title 
enables areas where the HIV epidemic is growing to 
meet the need for medical services; and 
‘‘(2) include in such report a plan to ensure 
that— 
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‘‘(A) areas where the HIV epidemic is 
growing are receiving sufficient funding to ex-
pand the provision of core medical services (as 
described in section 2604(c)) to eligible individ-
uals; 
‘‘(B) rural areas with limited public trans-
portation are able to expand the use of medical 
transportation services for eligible individuals in 
need of such services; and 
‘‘(C) the level of funds under parts A and 
B of this title in any State, per living individual 
with HIV/AIDS, does not vary by more than 5 
percent relative to such total level in any other 
State.’’. 
(b) USE OF SERVICES TO ELIMINATE GAPS IN THE 
CONTINUUM OF HIV CARE.— 
(1) USE OF FUNDING FOR PART A.—Section 
2604(c) of the Public Health Service Act (42 U.S.C. 
300ff–14) is amended— 
(A) in paragraph (2)(A)— 
(i) in clause (i), by striking ‘‘and’’ at 
the end; 
(ii) in clause (ii), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
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(iii) by adding at the end the fol-
lowing: 
‘‘(iii) approval of the waiver will posi-
tively contribute to the eligible area’s abil-
ity to ensure that all individuals eligible for 
core medical services under this title have 
been identified and are retained in care.’’; 
(B) in paragraph (3)— 
(i) by striking subparagraph (M); 
(ii) by redesignating subparagraphs 
(A) through (L) as subparagraphs (B) 
through (M), respectively; and 
(iii) by inserting before subparagraph 
(B), as so redesignated, the following: 
‘‘(A) HIV care continuum services de-
scribed in paragraph (4).’’; and 
(C) by adding at the end the following new 
paragraphs: 
‘‘(4) HIV CARE
CONTINUUM
SERVICES.—The 
services referred to in paragraph (3)(A) are as fol-
lows: 
‘‘(A) HIV and sexually transmitted disease 
testing 
services 
described 
in 
section 
2651(e)(1)(B). 
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‘‘(B) HIV linkage to care services de- 
scribed in section 2651(e)(1)(C). 
‘‘(C) Medical case management, including 
care retention services and treatment adherence 
services. 
‘‘(5) MEDICAL HOME.— 
‘‘(A) IN
GENERAL.—The Secretary shall 
ensure that each individual receiving core med-
ical services described in paragraph (3) through 
a grant under this title has an identified ‘med-
ical home’ which includes a primary care team 
led by an experienced HIV medical provider. 
‘‘(B) PRIMARY MEDICAL CARE AND MED-
ICAL CASE MANAGEMENT.—The Secretary shall 
ensure that, wherever possible, individuals re-
ceiving primary medical care and medical case 
management care coordination through a grant 
under this title obtain such care and coordina-
tion through a medical home described in sub-
paragraph (A).’’. 
(2) USE OF FUNDING FOR PART B.—Section 
2612(b) of the Public Health Service Act (42 U.S.C. 
300ff–22(b)) is amended— 
(A) in paragraph (2)(A)— 
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(i) in clause (i), by striking ‘‘and’’ at 
the end; 
(ii) in clause (ii), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(iii) approval of the waiver will posi-
tively contribute to the State’s ability to 
ensure that all individuals eligible for core 
medical services under this title have been 
identified and are retained in care.’’; and 
(B) by striking paragraph (3) and insert-
ing the following: 
‘‘(3) CORE MEDICAL SERVICES.—For the pur-
poses of this subsection, the term ‘core medical serv-
ices’, with respect to an individual infected with 
HIV/AIDS (including co-occurring conditions of the 
individual) has the meaning given to such term in 
section 2604(c)(3). 
‘‘(4) MEDICAL HOME.—Section 2604(c)(5) ap-
plies with respect to core medical services under this 
title to the same extent and in the same manner as 
section 2604(c)(5) applies with respect to core med-
ical services under part A.’’. 
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(3) USE OF FUNDING FOR PART C.—Section 
2651 of the Public Health Service Act (42 U.S.C. 
300ff–51) is amended— 
(A) in subsection (c)(2)(A)— 
(i) in clause (i), by striking ‘‘and’’ at 
the end; 
(ii) in clause (ii), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(iii) that the approval of a waiver 
will positively contribute to the grantee’s 
ability to ensure that all individuals eligible 
for core medical services under this title 
have been identified and are retained in 
care.’’; 
(B) in subsection (c), by striking para-
graph (3) and inserting the following: 
‘‘(3) CORE MEDICAL SERVICES.—For the pur-
poses of this subsection, the term ‘core medical serv-
ices’, with respect to an individual infected with 
HIV/AIDS (including co-occurring conditions of the 
individual) has the meaning given to such term in 
section 2604(c)(3). 
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(E) by amending subsection (e)(2) to read 
as follows: 
‘‘(2) LINKAGE TO CARE SERVICES.—The serv-
ices referred to in paragraph (1)(C) shall assist indi-
viduals with HIV/AIDS in entering HIV medical 
care shortly after a positive HIV test result, and 
may include as appropriate— 
‘‘(A) referrals of individuals with HIV/ 
AIDS to appropriate providers of health and 
support services, including, as appropriate— 
‘‘(i) to entities receiving amounts 
under part A or B for the provision of 
such services; 
‘‘(ii) to biomedical research facilities 
of institutions of higher education that 
offer experimental treatment for such dis-
ease, or to community-based organizations 
or other entities that provide such treat-
ment; or 
‘‘(iii) to grantees under section 2671, 
in the case of a pregnant woman; 
‘‘(B) educating individuals with HIV/AIDS 
at the time of their diagnosis about the benefits 
of HIV medical care for improving personal 
health and preventing HIV transmission; 
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‘‘(C) ensuring individuals with HIV/AIDS 
attend their first doctor visit; 
‘‘(D) coordinating with a medical case 
manager who will develop an HIV care plan; 
‘‘(E) assisting individuals with HIV/AIDS 
to re-engage into HIV medical care if they have 
dropped out of care; and 
‘‘(F) ensuring individuals with HIV/AIDS 
have an identified medical home (as described 
in subsection (c)).’’. 
(c) ENHANCING TREATMENT ADHERENCE THROUGH 
THE PROVISION OF PHARMACEUTICAL SERVICES.—Sec-
tion 2616 of the Public Health Service Act (42 U.S.C. 
300ff–26) is amended by adding at the end the following: 
‘‘(h) 
ENHANCING
TREATMENT
ADHERENCE 
THROUGH THE PROVISION OF PHARMACEUTICAL SERV-
ICES.— 
‘‘(1) EXTENSIVE
PHARMACY
NETWORKS.—In 
providing therapeutics pursuant to this section, a 
State shall offer pharmaceutical services through ex-
tensive pharmacy networks, including specialty phar-
macies and pharmacies that focus on the HIV popu-
lation. 
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‘‘(2) NO SINGLE RETAIL CHAIN.—A pharmacy 
network under paragraph (1) shall not be limited to 
a single retail chain. 
‘‘(3) MAIL ORDER SERVICES.—Pharmaceutical 
services provided pursuant to paragraph (1) may in-
clude mail order services, but only if— 
‘‘(A) such mail order services are optional; 
and 
‘‘(B) the patient continues to be able to 
choose the services of a community or other in- 
person pharmacist instead of mail order serv-
ices.’’. 
SEC. 3. PROMOTION OF PATIENT-CENTERED CARE. 
(a) ESTABLISHMENT
OF
A
PATIENT-CENTERED 
MODEL OF CARE.—Section 2691 of the Public Health 
Service Act (42 U.S.C. 300ff–101) is amended— 
(1) in subsection (a)— 
(A) in paragraph (1), by striking ‘‘and’’ at 
the end; 
(B) in paragraph (2)— 
(i) by striking ‘‘to fund’’ and inserting 
‘‘fund’’; and 
(ii) by striking the period at the end 
and inserting ‘‘; and’’; and 
(C) by adding at the end the following: 
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‘‘(3) fund projects that research and promote 
the utilization of patient-centered models of care.’’; 
(2) in subsection (b)— 
(A) in paragraph (5), by striking ‘‘or’’ at 
the end; 
(B) in paragraph (6), by striking the pe-
riod at the end and inserting ‘‘; or’’; and 
(C) by adding at the end the following: 
‘‘(7) whether the funding will promote the in-
corporation of the principles of patient-centered 
care, as described in subsection (f)(5), into the pro-
vision of support services under this title.’’; and 
(3) by adding at the end the following: 
‘‘(f) 
PATIENT-CENTERED
MODEL
OF
CARE 
PROJECTS.— 
‘‘(1) IN GENERAL.—Of the amount used under 
subsection (a) for a fiscal year, the Secretary shall 
use the greater of $5,000,000 or an amount equal 
to 20 percent of such amount, but not to exceed 
$7,000,000, to award grants to one or more States 
for patient-centered model of care projects. 
‘‘(2) PROJECTS DESCRIBED.—Projects funded 
under this subsection shall— 
‘‘(A) facilitate patient choice in the utiliza-
tion of eligible services by eligible individuals 
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through the use of Ryan White Savings Ac-
counts described in paragraph (3); 
‘‘(B) increase patient knowledge of, and 
participation in, their care plan by facilitating 
greater transparency about providers, care op-
tions, costs, and medical outcomes; and 
‘‘(C) provide for patient-based evaluation 
of service providers. 
‘‘(3) RYAN WHITE SAVINGS ACCOUNTS.— 
‘‘(A) 
IN
GENERAL.—Services 
provided 
under this subsection for eligible individuals 
shall be funded through individual savings ac-
counts— 
‘‘(i) to be known as Ryan White Sav-
ings Accounts; and 
‘‘(ii) to be established and overseen by 
the State receiving the grant for the 
project involved. 
‘‘(B) ACCOUNT
DESCRIPTION.—The Sec-
retary shall ensure that each Ryan White Sav-
ings Account meets the following: 
‘‘(i) Eligible individuals, with appro-
priate coordination with their care pro-
viders, have discretion to choose the eligi-
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ble services to be funded through the Ac-
count. 
‘‘(ii) Each account shall be used ex-
clusively for the purpose of paying for eli-
gible services. 
‘‘(iii) The balance of each Account 
shall remain available for obligation until 
such time as— 
‘‘(I) the individual is no longer 
eligible to receive services; or 
‘‘(II) the project which relates to 
such Account terminates. 
‘‘(iv) If an individual’s Account be-
comes unavailable for obligation because 
the individual is no longer eligible for serv-
ices, or because the project terminates, as 
described in clause (iii), the Secretary shall 
make the remaining balance in the Ac-
count available for other projects under 
this subsection. 
‘‘(4) ELIGIBILITY.—For purposes of this sub-
section: 
‘‘(A) INDIVIDUALS.—An individual is eligi-
ble to participate in a project under this sub-
section and receive services through the project 
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