coordinate and collaborate with other entities in
service delivery.
(b) THIRD YEAR SUBMISSIONS.—At the end of the
third fiscal year for which a grant is awarded to an entity
under this Act, the entity shall submit, as part of the re-
port required under subsection (a), an analysis of the
progress that has been made in—
(1) achieving the program goals, objectives and
intended outcomes as outlined in the comprehensive
services plan; and
(2) improving the health and education out-
comes of the youth served relative to baseline com-
munity indices.
SEC. 305. MAINTENANCE OF EFFORT.
The Secretary may not make a grant to an applicant
under this Act unless such applicant agrees to maintain
the expenditures of the applicant for the purposes for
which the grant is awarded at a level equal to not less
than the level of such expenditures maintained by the ap-
plicant for the year preceding the fiscal year for which
the applicant is applying to receive the grant.
SEC. 306. DEFINITIONS.
As used in this Act:
(1) SECRETARY.—The term ‘‘Secretary’’ means
the Secretary of Health and Human Services.
(2) CHILD.—The term ‘‘child’’ means an indi-
vidual between the ages of 5 and 10.
(3) YOUTH.—The term ‘‘youth’’ means individ-
uals between the ages 10 and 21.
(4) 
AT-RISK
YOUTH.—The 
term 
‘‘at-risk
youth’’ shall have the meaning given such term in
guidelines utilized by the Centers for Disease Con-
trol.
SEC. 307. AUTHORIZATION OF APPROPRIATIONS.
There are authorized to be appropriated to carry out
this Act, $2,000,000,000 for fiscal year 1994 and such
sums as may be necessary for each of the fiscal years 1995
through 1998. Of the amounts appropriated for each fiscal
year—
(1) 45 percent of such amount shall be made
available to carry out title I;
(2) 45 percent of such amount shall be made
available to carry out title II; and
(3) 10 percent of such amount shall be made
available to carry out section 401.
TITLE 
IV—FEDERAL 
COORDI-
NATED YOUTH SERVICES INI-
TIATIVES
SEC. 401. SPECIAL PROJECTS OF A NATIONAL SIGNIFI-
CANCE.
(a) IN GENERAL.—The Secretary, acting through the
Administrator of the Health Resources and Services Ad-
ministration, shall establish and administer a special
projects of national significance program to award direct
grants to public and nonprofit private entities to enable
such entities to fund model programs designed to integrate
health and social services, including HIV prevention, pro-
vided to special populations at risk as defined in sub-
section (c).
(b) GRANTS.—The Secretary shall award grants
under subsection (a) based on the—
(1) need to provide health and social services,
including HIV prevention services, to meet the spe-
cial needs of subpopulations of youth living in high
risk environments who may otherwise not be pro-
vided with assistance under this Act;
(2) need to assess the effectiveness of a particu-
lar prevention or service model or collaboration
strategy; and
(3) potential replicability of the proposed activ-
ity in other localities.
(c) SPECIAL PROJECTS.—Special projects of a na-
tional significance to be funded under subsection (a) may
include those projects that are designed to target—
(1) runaway, homeless, or street youth;
(2) immigrant or migrant youth;
(3) youth involved in the juvenile justice sys-
tem;
(4) youth involved in the foster care system;
(5) youth involved in gangs;
(6) youth with a history of substance abuse;
(7) youth with HIV disease;
(8) adolescent parents; and
(9) Native American youth.
SEC. 402. FEDERAL COUNCIL ON CHILDREN, YOUTH, AND
FAMILIES.
Section 918(k) of the Augustus F. Hawkins Human
Services Reauthorization Act of 1990 (42 U.S.C.
12314(k)) is amended—
(1) in paragraph (3), by striking out ‘‘and’’ at
the end thereof;
(2) in paragraph (4), by striking out the period
and inserting in lieu thereof a semicolon; and
(3) by adding at the end thereof the following
new paragraphs:
‘‘(6) identify program regulations, practices,
and eligibility requirements that impede coordination
and collaboration and make recommendations for
their modifications or elimination;
‘‘(7) develop recommendations for creating
jointly funded programs, unified assessments, eligi-
bility, and application procedures, and confidentiality
protections that facilitate appropriate information-
sharing; and
‘‘(8) make recommendations to Congress con-
cerning legislative action needed to facilitate the co-
ordination of education, health and social services
for in school and out of school youth.’’.
SEC. 403. EVALUATION AND REPORT TO CONGRESS.
(a) REPORT TO CONGRESS.—The Secretary shall pre-
pare and submit to the appropriate committees of Con-
gress a biannual report concerning the implementation of
this Act. Such report shall include a summary of the data
provided in the annual reports submitted to the Secretary
under section 304, and an assessment of the progress
achieved by grantees under this Act in stabilizing and im-
proving participant outcomes and reducing adverse con-
sequences of adolescent risk taking behaviors and the ab-
sence of necessary services in the communities served
under this Act.
(b) EVALUATION.—
(1) IN GENERAL.—Not later than 54 months
after the date of enactment of this Act, the Sec-
retary shall, through the awarding of grants and
contracts to independent entities with expertise in
adolescent health and youth development, provide an
evaluation of the programs funded under this Act to
the appropriate committees of Congress. A rep-
resentative subset of grantees under each title shall
be selected with an equitable geographic distribution,
and urban and rural representation. The evaluation
process shall commence not later than 12 months
after the date of enactment of this Act, with data
to be collected under subparagraphs (B), (C), (D),
and (E), at yearly intervals. The evaluation report
shall be conducted by individuals who are not di-
rectly involved in the administration of the programs
funded under this Act. The final evaluation report
shall include—
(A) the program goals and objectives iden-
tified in the comprehensive services plans of
grantees, and the degree to which they reflect
(F) the process by which broad based
input was achieved in the formulation of com-
prehensive services plans on an ongoing basis;
(G) the methods by which coordination of
services was undertaken administratively among
agencies and providers, the degree to which
service coordination was achieved, and the bar-
riers that impeded the coordination of services;
and
(H) the sustainability of local partnerships,
consortia, and State comprehensive service de-
livery networks at the completion of the Federal
grant period.
(2) APPROPRIATIONS.—The Secretary shall use
amounts made available under section 2711 of the
Public Health Service Act to conduct the evaluation
under this section.
Æ
HR 1022 IH——2
HR 1022 IH——3
HR 1022 IH——4