147
(b) REQUIREMENT OF SUFFICIENT ALLOCATION OF
RESOURCES OF INSTITUTES.—Section 402(b) of the Pub-
lic Health Service Act (42 U.S.C. 282(b)) is amended—
(1) in paragraph (13), by striking ‘‘and’’ after
the semicolon at the end;
(2) in paragraph (14), by striking the period at
the end and inserting ‘‘; and’’; and
(3) by inserting after paragraph (14) the fol-
lowing new paragraph:
‘‘(15) after consultation with the Director of
the Office of Primary Care and Prevention Re-
search, shall ensure that resources of the National
Institutes of Health are sufficiently allocated for
projects on primary care and prevention research
that are identified under section 486E(b).’’.
Subtitle D—School-Related Health
Services
SEC. 731. AUTHORIZATIONS OF APPROPRIATIONS.
(a) FUNDING FOR SCHOOL-RELATED HEALTH SERV-
ICES.—For the purpose of carrying out this subtitle, there
are authorized to be appropriated $100,000,000 for fiscal
year 
2002, 
$275,000,000 
for 
fiscal 
year 
2003,
$350,000,000 for fiscal year 2004, and $400,000,000 for
each of the fiscal years 2005 and 2006.
148
(b) RELATION TO OTHER FUNDS.—The authoriza-
tions of appropriations established in subsection (a) are
in addition to any other authorizations of appropriations
that are available for the purpose described in such sub-
section.
SEC. 732. ELIGIBILITY FOR DEVELOPMENT AND OPER-
ATION GRANTS.
(a) IN GENERAL.—Entities eligible to apply for and
receive grants under section 734 or 735 are the following:
(1) State health agencies that apply on behalf
of local community partnerships and other commu-
nities in need of health services for school-aged chil-
dren within the State.
(2) Local community partnerships in States in
which health agencies have not applied.
(b) LOCAL COMMUNITY PARTNERSHIPS.—
(1) IN GENERAL.—A local community partner-
ship under subsection (a)(2) is an entity that, at a
minimum, includes—
(A) a local health care provider with expe-
rience in delivering services to school-aged chil-
dren;
(B) one or more local public schools; and
(C) at least one community based organi-
zation located in the community to be served
149
that has a history of providing services to
school-aged children in the community who are
at-risk.
(2) PARTICIPATION.—A partnership described
in paragraph (1) shall, to the maximum extent fea-
sible, involve broad based community participation
from parents and adolescent children to be served,
health and social service providers, teachers and
other public school and school board personnel, de-
velopment and service organizations for adolescent
children, and interested business leaders. Such par-
ticipation may be evidenced through an expanded
partnership, or an advisory board to such partner-
ship.
(c) DEFINITIONS REGARDING CHILDREN.—For pur-
poses of this subtitle:
(1) The term ‘‘adolescent children’’ means
school-aged children who are adolescents.
(2) The term ‘‘school-aged children’’ means in-
dividuals who are between the ages of 4 and 19 (in-
clusive).
SEC. 733. PREFERENCES.
(a) IN GENERAL.—In making grants under sections
734 and 735, the Secretary shall give preference to appli-
cants whose communities to be served show the most sub-
150
stantial level of need for such services among school-aged
children, as measured by indicators of community health
including the following:
(1) High levels of poverty.
(2) The presence of a medically underserved
population.
(3) The presence of a health professional short-
age area.
(4) High rates of indicators of health risk
among school-aged children, including a high propor-
tion of such children receiving services through the
Individuals with Disabilities Education Act, adoles-
cent pregnancy, sexually transmitted disease (includ-
ing infection with the human immunodeficiency
virus), preventable disease, communicable disease,
intentional and unintentional injuries, community
and gang violence, unemployment among adolescent
children, juvenile justice involvement, and high rates
of drug and alcohol exposure.
(b) LINKAGE TO COMMUNITY HEALTH CENTERS.—
In making grants under sections 734 and 735, the Sec-
retary shall give preference to applicants that demonstrate
a linkage to community health centers.
151
SEC. 734. GRANTS FOR DEVELOPMENT OF PROJECTS.
(a) IN GENERAL.—The Secretary may make grants
to State health agencies or to local community partner-
ships to develop school health service sites.
(b) USE OF FUNDS.—A project for which a grant
may be made under subsection (a) may include but not
be limited to the cost of the following:
(1) Planning for the provision of school health
services.
(2) Recruitment, compensation, and training of
health and administrative staff.
(3) The development of agreements, and the ac-
quisition and development of equipment and infor-
mation services, necessary to support information
exchange between school health service sites and
health plans, health providers, and other entities au-
thorized to collect information under this Act.
(4) Other activities necessary to assume oper-
ational status.
(c) APPLICATION FOR GRANT.—
(1) IN GENERAL.—Applicants shall submit ap-
plications in a form and manner prescribed by the
Secretary.
(2) APPLICATIONS
BY
STATE
HEALTH
AGEN-
CIES.—
152
(A) In the case of applicants that are State
health agencies, the application shall contain
assurances that the State health agency is ap-
plying for funds—
(i) on behalf of at least one local com-
munity partnership; and
(ii) on behalf of at least one other
community identified by the State as in
need of the services funded under this sub-
title but without a local community part-
nership.
(B) In the case of the communities identi-
fied in applications submitted by State health
agencies that do not yet have local community
partnerships (including the community identi-
fied under subparagraph (A)(ii)), the State
shall describe the steps that will be taken to aid
the communities in developing a local commu-
nity partnership.
(C) A State applying on behalf of local
community partnerships and other communities
may retain not more than 10 percent of grants
awarded under this subtitle for administrative
costs.
153
(d) CONTENTS OF APPLICATION.—In order to receive
a grant under this section, an applicant must include in
the application the following information:
(1) An assessment of the need for school health
services in the communities to be served, using the
latest available health data and health goals and ob-
jectives established by the Secretary.
(2) A description of how the applicant will de-
sign the proposed school health services to reach the
maximum number of school-aged children who are
at risk.
(3) An explanation of how the applicant will in-
tegrate its services with those of other health and
social service programs within the community.
(4) A description of a quality assurance pro-
gram which complies with standards that the Sec-
retary may prescribe.
(e) NUMBER OF GRANTS.—Not more than one plan-
ning grant may be made to a single applicant. A planning
grant may not exceed two years in duration.
SEC. 735. GRANTS FOR OPERATION OF PROJECTS.
(a) IN GENERAL.—The Secretary may make grants
to State health agencies or to local community partner-
ships for the cost of operating school health service sites.
154
(b) USE OF GRANT.—The costs for which a grant
may be made under this section include but are not limited
to the following:
(1) The cost of furnishing health services that
are not otherwise covered under this Act or by any
other public or private insurer.
(2) The cost of furnishing services whose pur-
pose is to increase the capacity of individuals to uti-
lize available health services, including transpor-
tation, community and patient outreach, patient
education, translation services, and such other serv-
ices as the Secretary determines to be appropriate in
carrying out such purpose.
(3) Training, recruitment and compensation of
health professionals and other staff.
(4) Outreach services to school-aged children
who are at risk and to the parents of such children.
(5) Linkage of individuals to health plans, com-
munity health services and social services.
(6) Other activities deemed necessary by the
Secretary.
(c) APPLICATION FOR GRANT.—Applicants shall sub-
mit applications in a form and manner prescribed by the
Secretary. In order to receive a grant under this section,
155
an applicant must include in the application the following
information:
(1) A description of the services to be furnished
by the applicant.
(2) The amounts and sources of funding that
the applicant will expend, including estimates of the
amount of payments the applicant will receive from
sources other than the grant.
(3) Such other information as the Secretary de-
termines to be appropriate.
(d) ADDITIONAL CONTENTS OF APPLICATION.—In
order to receive a grant under this section, an applicant
must meet the following conditions:
(1) The applicant furnishes the following serv-
ices:
(A) Diagnosis and treatment of simple ill-
nesses and minor injuries.
(B) Preventive health services, including
health screenings.
(C) Services provided for the purpose de-
scribed in subsection (b)(2).
(D) Referrals and followups in situations
involving illness or injury.
(E) Health and social services, counseling
services, and necessary referrals, including re-
156
ferrals regarding mental health and substance
abuse.
(F) Such other services as the Secretary
determines to be appropriate.
(2) The applicant is a participating provider in
the State’s program for medical assistance under
title XIX of the Social Security Act.
(3) The applicant does not impose charges on
students or their families for services (including col-
lection of any cost-sharing for services under the
comprehensive benefit package that otherwise would
be required).
(4) The applicant has reviewed and will periodi-
cally review the needs of the population served by
the applicant in order to ensure that its services are
accessible to the maximum number of school-aged
children in the area, and that, to the maximum ex-
tent possible, barriers to access to services of the ap-
plicant are removed (including barriers resulting
from the area’s physical characteristics, its eco-
nomic, social and cultural grouping, the health care
utilization patterns of such children, and available
transportation).
(5) In the case of an applicant which serves a
population that includes a substantial proportion of
157
individuals of limited English speaking ability, the
applicant has developed a plan to meet the needs of
such population to the extent practicable in the lan-
guage and cultural context most appropriate to such
individuals.
(6) The applicant will provide non-Federal con-
tributions toward the cost of the project in an
amount determined by the Secretary.
(7) The applicant will operate a quality assur-
ance program consistent with section 734(d).
(e) DURATION OF GRANT.—A grant under this sec-
tion shall be for a period determined by the Secretary.
(f) REPORTS.—A recipient of funding under this sec-
tion shall provide such reports and information as are re-
quired in regulations of the Secretary.
SEC. 736. FEDERAL ADMINISTRATIVE COSTS.
Of the amounts made available under section 731, the
Secretary may reserve not more than 5 percent for admin-
istrative expenses regarding this subtitle.
SEC. 737. DEFINITIONS.
For purposes of this subtitle:
(1) The term ‘‘adolescent children’’ has the
meaning given such term in section 732(c).
(2) The term ‘‘at risk’’ means at-risk with re-
spect to health.
158
(3) The term ‘‘community health center’’ has
the meaning given such term in section 330 of the
Public Health Service Act.
(4) The term ‘‘health professional shortage
area’’ means a health professional shortage area des-
ignated under section 332 of the Public Health Serv-
ice Act.
(5) The term ‘‘medically underserved popu-
lation’’ has the meaning given such term in section
330 of the Public Health Service Act.
(6) The term ‘‘school-aged children’’ has the
meaning given such term in section 732(c).
TITLE VIII—FINANCING PROVI-
SIONS; 
AMERICAN 
HEALTH
SECURITY TRUST FUND
SEC. 800. AMENDMENT OF 1986 CODE; SECTION 15 NOT TO
APPLY.
(a) AMENDMENT OF 1986 CODE.—Except as other-
wise expressly provided, whenever in this title an amend-
ment or repeal is expressed in terms of an amendment
to, or repeal of, a section or other provision, the reference
shall be considered to be made to a section or other provi-
sion of the Internal Revenue Code of 1986.
(b) SECTION 15 NOT TO APPLY.—The amendments
made by subtitle B shall not be treated as a change in