the populations served relative to baseline commu-
nity indices.
(e) APPLICATION.—
(1) IN GENERAL.—An entity that desires to re-
ceive a grant under subsection (a) shall prepare and
submit an application to the Secretary at such time,
in such manner, and accompanied by such informa-
tion as the Secretary may reasonably require. Such
application shall include a comprehensive services
plan that meets the requirements of paragraph (3)
and the assurances required under paragraph (4). A
copy of such application shall be provided to the
State agencies primarily responsible for health and
education for the particular State involved.
(2) FORMULATION.—In formulating a com-
prehensive services plan under this subsection, an
entity shall document the efforts undertaken by the
entity to obtain broad based community input from
teachers and school personnel, health providers in-
cluding organized medicine, social service providers
including community-based organizations, and par-
ents and at-risk youth to be served in order to—
(A) maximize participation in the needs as-
sessment conducted by the entity;
(B) formulate a service plan that is com-
prehensive and reflective of the needs delineated
by youth and families to be served;
(C) build institutional support for the serv-
ices to be provided under the plan from the
staff and administration of all members of the
partnership and the larger community;
(D) 
encourage 
increased 
collaboration
among a broader range of public and private
providers to improve the quality, availability
and variety of services offered within the part-
nership; and
(E) heighten awareness of the linkage be-
tween access to comprehensive health and social
services and school performance.
(3) CONTENTS OF THE PLAN.—Each plan sub-
mitted under paragraph (1) shall include—
(A) a description of the children or youth
populations to which services will be provided
under the grant and an assessment of their
health, social services, and education needs;
(B) an inventory of existing core services
described in subsection (c) that are being pro-
vided to such populations within the commu-
nity, including subpopulations of youth with
special needs;
(C) an identification of the unmet needs of
such populations, gaps in the system of core
services available, barriers to the utilization of
services, and barriers to the integration of serv-
ices including conflicting regulatory require-
ments and eligibility standards;
(D) a description of the program goals and
objectives and intended outcomes, which may
include increased integration and utilization of
services by the intended populations, and im-
proved health and education indicators for serv-
ice recipients relative to the baseline community
assessments described in subparagraph (A);
(E) a plan for the manner in which data
systems used by members of the partnership
will be coordinated in order to guide local plan-
ning and evaluate the progress made toward
achieving program goals and objectives de-
scribed in subparagraph (D);
(F) a description of the means by which
the entity will coordinate or co-locate services
currently provided by members of the partner-
ship in order to maximize the effectiveness of
existing resources;
(G) a description of the services that will
be directly provided to children or youth popu-
lations with funds provided under this Act as
needed to address identified unmet core service
needs;
(H) a description of how the services will
be coordinated with the on-going educational
activities of the school or schools participating
in the partnership and the role the school nurse
and other student support personnel will play in
the expanded health care services;
(I) a description of the process by which
program decisions will be made within the part-
nership;
(J) an identification of the partnership’s
fiscal agent and the manner in which program
funds received under this section will be dis-
bursed and monitored; and
(K) a description of the strategy for secur-
ing the long term financing necessary to ensure
a continuity of services made available through
the partnership after the termination of the
grant period.
(4) ASSURANCES.—An application submitted
under this section shall contain assurances that—
(A) core services will be provided in a co-
ordinated manner at a single site providing
ready access to the populations to be served,
and if such single site is to be school-based,
that an affirmative school board vote for the
project will be provided;
(B) core services will be targeted to popu-
lations and subpopulations identified in the
comprehensive plan and will be delivered in a
culturally sensitive and linguistically appro-
priate manner;
(C) amounts provided to the applicant
under this section will be used to coordinate ex-
isting services provided by the individual mem-
bers of the partnership before such amounts are
used to provide new services; and
(D) amounts provided to the applicant
under this section and used to deliver services
will be utilized in conformity with the unmet
core service needs as identified in the com-
prehensive plan of the entity.
(f) 
GEOGRAPHIC
DISTRIBUTION.—In 
awarding
grants to qualified applicants under this title, the Sec-
retary shall ensure—
(1) an equitable geographic distribution; and
(2) a distribution to both urban and rural com-
munities in which youth are exposed to a high risk
environment in accordance with section 101(b)(3).
(g) AMOUNT OF GRANT.—The annual amount of a
grant awarded under this title shall not be less than
$100,000 nor more than $300,000, except as provided in
section 102.
(h) FEDERAL SHARE.—
(1) IN GENERAL.—Subject to paragraph (3), a
grant for services awarded under this section may
not exceed—
(A) 90 percent of the total cost of the ac-
tivities to be funded under the program for the
first 2 fiscal years for which the program re-
ceives assistance under this section; and
(B) 75 percent of the total cost of such ac-
tivities for subsequent years for which the pro-
gram receives assistance under this section.
The remainder of such costs shall be made available
as provided in paragraph (2).
(2) FORM OF NON-FEDERAL SHARE.—The non-
Federal share required by paragraph (1) may be in
cash or in-kind, fairly evaluated, including facilities,
equipment, personnel, or services, but may not in-
clude amounts provided by the Federal Government.
In-kind contributions may include space within a
school facility, school personnel, program use of
school transportation systems, outposted health and
social services personnel, and extension of health
provider medical liability insurance.
(3) WAIVER.—The Secretary may waive the re-
quirements of paragraph (1) for any year in accord-
ance with criteria established by regulation. Such
criteria shall include a documented need for the
services provided under this section and an inability
of the grantee to meet the requirements of para-
graph (1) despite a good faith effort.
(i) TRAINING AND TECHNICAL ASSISTANCE.—Enti-
ties that receive assistance under this section shall use 10
percent of the amount of such assistance to provide staff
training and to secure necessary technical assistance. To
the maximum extent feasible, technical assistance should
be sought through local community-based entities. Staff
training should include the training of teachers and other
school personnel necessary to ensure appropriate referral
and utilization of services and school reinforced linkages
between classroom activities and services offered.
SEC. 102. PLANNING GRANTS.
(a) IN GENERAL.—The Secretary, acting through the
Administrator of the Health Resources and Services Ad-
ministration, may award 1-year nonrenewable planning
grants to entities described in section 101(b)(1)(A) that
agree to establish a local community partnership for the
purpose of delivering comprehensive services as described
in section 101.
(b) APPLICATION.—To be eligible to receive a grant
under subsection (a), a local community partnership shall
prepare and submit to the Secretary an application, at
such time, in such manner, and containing such informa-
tion as the Secretary may reasonably require. A copy of
such application shall be provided to the State agencies
primarily responsible for health and education in the par-
ticular State involved.
(c) USE OF AMOUNTS.—Amounts provided under a
grant awarded under subsection (a) shall be used to—
(1) assess the education, health, mental health,
and social service needs of children or youth in the
community proposed to be served by the local com-
munity partnership, and the current service delivery
system, to identify unmet needs and barriers to serv-
ices;
(2) develop a plan for the delivery and coordi-
nating of comprehensive education, health and social
services for youth populations to be served in a
school-based, school-linked, or community-based lo-
cation; and
(3) develop program goals and objectives and
intended outcomes and the means by which progress
will be measured.
(d) LIMITATIONS.—
(1) AMOUNT
AVAILABLE
FOR
GRANTS.—Not
more than 10 percent of the amounts appropriated
under section 308(1) shall be used to award plan-
ning grants under subsection (a).
(2) AMOUNT
AVAILABLE
FOR
INDIVIDUAL
GRANTS.—The Secretary shall not award a grant of
more than $50,000 under subsection (a).
TITLE II—STATE AND LOCAL CO-
ORDINATED 
YOUTH 
SERV-
ICES GRANTS
SEC. 201. PURPOSE.
It is the purpose of this title to award grants to city-
wide or countywide consortia, or to a State entity, with
a demonstrated commitment to the coordination and deliv-
ery of comprehensive education, health and social services
to in-school and out-of-school youth on a citywide, county-
wide or statewide basis through a system of school-based,
school-linked, and community-based comprehensive youth
services centers.
Subtitle A—Local Consortia Grants
SEC. 211. COORDINATION AND SERVICE DELIVERY GRANTS.
(a) IN GENERAL.—The Secretary, acting through the
Administrator of the Health Resources and Services Ad-
ministration, may award grants to eligible consortia to en-
able such consortia to provide comprehensive core services
as described in section 231(a).
(b) ELIGIBLE CONSORTIA.—
(1) IN GENERAL.—To be eligible to receive a
grant under subsection (a), a consortia—
(A) shall be a new or existing collaborating
group of entities whose membership includes
representatives from the local health depart-
ment, the local educational agency, health and
social services providers and community-based
organizations located in the service delivery
area that have a history of providing service to
at-risk youth (including minority youth, school
drop outs, adolescent parents, and runaway or
homeless youth), youth development organiza-
tions, juvenile justice personnel, and parents
and the at-risk youth to be served;
(B) shall consist of members who have
demonstrated a financial or organizational com-
mitment to providing comprehensive education,
health, and social services to at-risk youth
through an integrated service delivery network
directed by the consortia; and
(C) shall prepare and submit to the Sec-
retary an application in accordance with section
231(b).
(2) DEFINITION.—For purposes of paragraph
(1):
(A) The term ‘‘financial commitment’’
means an identification of locally controlled fi-
nancial resources, including those obtained
through individual or joint application with
other public and private funding sources, to be
dedicated to the planning, coordination and de-
livery of comprehensive services to at-risk youth
by the consortia.
(B) The term ‘‘organizational commit-
ment’’ means—
(i) an identification of existing institu-
tional and in-kind resources that each
member of the consortia will dedicate to
the goals and objectives of the consortia;
(ii) an assurance that the training
and technical assistance necessary for
teachers and other frontline service provid-
ers to increase their knowledge, expertise,
and willingness to work collaboratively will
be provided;
(iii) a commitment to participate in
providing the data necessary to guide the
joint planning, implementation, and ongo-
ing monitoring consortia activities; and
(iv) with respect to the local edu-
cational agency, an affirmative vote by the
local school board on participation in the
consortia.
Subtitle B—Statewide Youth
Services Center Grants
SEC. 221. STATEWIDE COORDINATION AND SERVICE DELIV-
ERY GRANTS.
(a) IN GENERAL.—The Secretary, acting through the
Administrator of the Health Resources and Services Ad-
ministration, may award grants to eligible States to enable
such State to provide the core services described in sub-
section 231(a) through the awarding of grants to local
community partnerships or consortia.
(b) ELIGIBLE STATES.—
(1) IN GENERAL.—To be eligible to receive a
grant under subsection (a), a State shall—
(A) provide assurances that a memoran-
dum of understanding or written cooperative
agreement has been entered into by the State
agencies responsible for education, health and
social services concerning the planned delivery
of comprehensive youth services;
(B) have a demonstrated financial and or-
ganizational commitment to providing com-
prehensive and co-located health, education, and
social services to at-risk youth through the
awarding of grants to local communities;
(C) currently support the coordinated de-
livery of such services through a system of
school-based, school-linked, or community-based
comprehensive youth services centers;
(D) provide documentation that services
are prioritized among communities that have
health and social indices that indicate a high
risk environment for youth, including high rates
of children in poverty or who lack access to
health care, teen pregnancy and early parent-
hood, sexually transmitted diseases including
HIV, school dropouts, community or gang vio-
lence, alcohol or other drug use, youth unem-
ployment and juvenile justice involvement; and
(E) prepare and submit to the Secretary
an application in accordance with section
231(b).
(2) DEFINITIONS.—For the purposes of para-
graph (1):
(A) The term ‘‘demonstrated financial
commitment’’ means the investment of State-
controlled financial and other resources avail-
able to States for the purposes of planning, co-
ordinating, and delivering comprehensive serv-
ices to youth in the most recent fiscal year.
(B) The term ‘‘demonstrated organiza-
tional commitment’’ means—
(i) an administrative mechanism in
place under which a statewide system of
local partnerships is implemented among
education and public and private health
and social service providers for collabora-
tion in the joint planning, coordination,
and delivery of comprehensive services to
youth populations; and
(ii) a defined strategic plan for the
manner in which the State provides tech-
nical assistance and training to localities
for the development of the collaborative
partnerships as described in clause (i).
Subtitle C—Provisions Relating to
Both Local and Statewide Grant
Programs
SEC. 231. USE OF AMOUNTS AND APPLICATION.
(a) USE OF AMOUNTS.—
(1) CORE SERVICES.—
(A) IN
GENERAL.—A consortia or State
entity awarded a grant under section 211 or
221 shall use amounts received under such
grant to coordinate and deliver core services de-
scribed in subparagraphs (B) and (C) through
a system of school-based, school-linked, or com-
munity-based youth centers, to serve in-school
and out-of-school youth and their families;
(B) COMPREHENSIVE
HEALTH, MENTAL
HEALTH, AND SOCIAL SERVICES.—With respect
to the delivery of comprehensive health, mental
health, and social services, a consortia or entity
shall ensure that—
(i) at a minimum, health screening
and health care services, counseling and
crisis intervention and referrals are pro-
vided on-site; and
(ii) health, mental health and social
services which cannot be provided directly
on-site will be secured through referrals to
community-based providers under contrac-
tual arrangements and a case management
system that ensures that youth receive
needed services and appropriate follow-up
services, including supportive services such
as the provision of transportation.
(C) YOUTH
DEVELOPMENT
AND
LIFE
PLANNING.—With respect to youth development
and life planning services, a consortia or entity
shall—
(i) provide programs and services that
promote the development of life skills and
social competencies which assist youth in
completing school or employment training
by helping them to establish life and career
goals and avoid high risk behaviors; and
(ii) provide programs and services
that are designed to prevent HIV and
other sexually transmitted diseases, unin-
tended pregnancy, early parenthood, alco-
hol and other drug use, suicide, community
or gang violence, and other adolescent risk
taking behaviors that reflect the needs of
the youth populations identified by the
community in the comprehensive plan of
the partnership.
(2) COORDINATION
AND
DELIVERY
OF
CORE
SERVICES.—An entity awarded a grant under this
title shall, in meeting the requirements of paragraph
(1), use amounts received under such grant to co-
ordinate and co-locate the delivery of existing core
services of the types described in such paragraph
into a broader system of health and social services
centers accessible to in-school or out-of-school youth
to more effectively utilize available resources prior to
adding new resources or developing new services.
(3) COORDINATION OF CORE SERVICES WITH
EDUCATION AND TRAINING SERVICES FOR OUT-OF-
SCHOOL YOUTH.—An entity awarded a grant under
this title shall use amounts received under such
grant to provide outreach services to out-of-school
youth (including adolescent parents and runaway
and homeless youth) and to coordinate core services
with alternative education and job training and
placement opportunities for such youth.
(4) COORDINATION OF CORE SERVICES WITH
ADDITIONAL SERVICES.—An entity awarded a grant
under this title may use amounts received under
such grant to coordinate and co-locate core services
with additional services in order to enhance the sup-
port available to at-risk youth and their families
through the service delivery network.
(5) EXPANSION OF CORE SERVICES TO FEEDER
SCHOOLS.—An entity awarded a grant under this
title may use amounts received under such grant to
expand the coordination and delivery of core services
to those elementary schools whose students will at-
tend secondary schools currently providing core serv-
ices.
(b) APPLICATION.—
(1) IN GENERAL.—A consortia or State entity
that desires to receive a grant under this title shall
prepare and submit an application to the Secretary
at such time, in such manner, and accompanied by
such information as the Secretary may reasonably
require. Such application shall include a comprehen-