578 
(3) LIMITATION.—As a condition of receiving 
assistance through this subsection, eligible State and 
local entities, State and local public health depart-
ments, and eligible nongovernmental organizations 
shall agree— 
(A) not to place any unique or additional 
burdens on people living with HIV/AIDS solely 
as a result of their HIV status; and 
(B) that if the entity, department, or orga-
nization promulgates any laws, policies, regula-
tions, or judicial decisions regarding people liv-
ing with HIV/AIDS, such actions shall dem-
onstrate a public health-oriented, evidence- 
based, medically accurate, and contemporary 
understanding of— 
(i) the multiple factors that lead to 
HIV transmission; 
(ii) the relative risk of HIV trans-
mission routes; 
(iii) the current health implications of 
living with HIV; 
(iv) the associated benefits of treat-
ment and support services for people living 
with HIV; and 
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00578
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS
579 
(v) the impact of punitive HIV-spe-
cific laws and policies on public health, on 
people living with or affected by HIV, and 
on their families and communities. 
(4) REPORT.—No later than 1 year after the 
date of the enactment of this Act, and annually 
thereafter, the Attorney General and the Secretary 
of Health and Human Services, acting jointly, shall 
transmit to Congress and make publicly available a 
report describing, for each State, the impact and ef-
fectiveness of the assistance provided through this 
Act. Each such report shall include— 
(A) a detailed description of the progress 
each State has made, if any, in implementing 
the best practice recommendations developed 
under subsection (c)(2)(C) as a result of the as-
sistance provided under this subsection, and 
based on the performance goals and indicators 
established as part of the monitoring and eval-
uation system in subsection (c)(4); 
(B) a brief summary of any outreach ef-
forts undertaken during the prior year by the 
Attorney General and the Secretary of Health 
and Human Services to encourage States to 
seek assistance under this subsection in order 
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00579
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS
580 
to implement the best practice recommenda-
tions developed under subsection (c)(2)(C); 
(C) a summary of how assistance provided 
through this subsection is being utilized by eli-
gible State and local entities, State and local 
public health departments, and eligible non-
governmental organizations and, if applicable, 
any contractors, including with respect to non-
governmental organizations, the type of tech-
nical assistance provided, and an evaluation of 
the impact of such assistance on eligible State 
and local entities; and 
(D) a summary and description of eligible 
State and local entities, State and local public 
health departments, and eligible nongovern-
mental 
organizations 
receiving 
assistance 
through this subsection, including if applicable, 
a summary and description of any contractors 
selected to assist in implementing such assist-
ance. 
(5) DEFINITIONS.—For the purposes of this 
subsection: 
(A) ELIGIBLE
STATE
AND
LOCAL
ENTI-
TIES.—The term ‘‘eligible State and local enti-
ties’’ means the relevant individuals, offices, or 
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00580
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS
581 
organizations that directly participate in the de-
velopment, dissemination, or implementation of 
State laws, policies, regulations, or judicial deci-
sions, including— 
(i) State governments, including State 
attorneys general, State departments of 
justice, and State National Guards, or 
their equivalents; 
(ii) State judicial and court systems, 
including trial courts, appellate courts, 
State supreme courts and courts of appeal, 
and State correctional facilities, or their 
equivalents; and 
(iii) local governments, including city 
and county governments, district attorneys, 
and local law enforcement departments, or 
their equivalents. 
(B) STATE AND LOCAL PUBLIC HEALTH 
DEPARTMENTS.—The term ‘‘State and local 
public health departments’’ means the fol-
lowing: 
(i) State public health departments, or 
their equivalents, including the chief officer 
of such departments and infectious disease 
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00581
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS
582 
and communicable disease specialists with-
in such departments. 
(ii) Local public health departments, 
or their equivalents, including city and 
county public health departments, the chief 
officer of such departments, and infectious 
disease and communicable disease special-
ists within such departments. 
(iii) Public health departments or offi-
cials, or their equivalents, within State or 
local correctional facilities. 
(iv) Public health departments or offi-
cials, or their equivalents, within State Na-
tional Guards. 
(v) Any other recognized State or 
local public health organization or entity 
charged with carrying out official State or 
local public health duties. 
(C) ELIGIBLE NONGOVERNMENTAL ORGA-
NIZATIONS.—The term ‘‘eligible nongovern-
mental organizations’’ means the following: 
(i) Nongovernmental organizations, 
including trade organizations or associa-
tions that represent— 
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00582
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS
583 
(I) State attorneys general, or 
their equivalents; 
(II) State public health officials, 
or their equivalents; 
(III) State judicial and court offi-
cers, including judges, district attor-
neys, prosecutors, defense attorneys, 
law enforcement, and correctional offi-
cers; 
(IV) State National Guards; 
(V) people living with HIV/AIDS; 
(VI) legal advocacy and HIV/ 
AIDS service organizations that work 
with people living with HIV/AIDS; 
and 
(VII) nongovernmental health or-
ganizations that work on behalf of 
people living with HIV/AIDS. 
(ii) Nongovernmental organizations, 
including trade organizations or associa-
tions that demonstrate a public-health ori-
ented, evidence-based, medically accurate, 
and contemporary understanding of— 
(I) the multiple factors that lead 
to HIV transmission; 
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00583
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS
665 
treatments have not helped. Arthritis damage is the 
most common reason to need hip replacement. 
(14) The odds of a family practice physician 
recommending TKA to a male patient with moderate 
arthritis are twice that of a female patient, while the 
odds of an orthopaedic surgeon recommending TKA 
to a male patient with moderate arthritis are 22 
times that of a female patient. 
(15) African-Americans with doctor-diagnosed 
arthritis have a higher prevalence of severe pain at-
tributable to arthritis, compared with Whites (34.0 
percent versus 22.6 percent). African-Americans, 
compared to Whites, report a higher proportion of 
work limitations (39.5 percent versus 28.0 percent) 
and a higher prevalence of arthritis-attributable 
work limitation (6.6 percent versus 4.6 percent). 
(16) Hispanics are 50 percent more likely than 
non-Hispanic Whites to report needing assistance 
with at least one instrumental activity of daily living 
and to have difficulty walking. 
(17) African-Americans and Hispanics were 1.3 
times more likely to have activity limitation, 1.6 
times more likely to have work limitations, and 1.9 
times more likely to have severe joint pain than 
Whites. 
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00665
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS