I
104TH CONGRESS
2D SESSION
H. R. 3174
To amend the Public Health Service Act to provide for programs regarding
women and the human immunodeficiency virus.
IN THE HOUSE OF REPRESENTATIVES
MARCH 27, 1996
Mrs. MORELLA introduced the following bill; which was referred to the
Committee on Commerce
A BILL
To amend the Public Health Service Act to provide for
programs 
regarding 
women 
and 
the 
human
immunodeficiency virus.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘Women and HIV Out-
reach and Prevention Act’’.
SEC. 2. PREVENTIVE HEALTH PROGRAMS REGARDING
WOMEN AND HUMAN IMMUNODEFICIENCY
VIRUS.
Title XXV of the Public Health Service Act (42
U.S.C. 300ee et seq.) is amended by adding at the end
the following part:
‘‘PART C—PROGRAMS FOR WOMEN
‘‘SEC. 2531. PREVENTIVE HEALTH SERVICES.
‘‘(a) IN GENERAL.—The Secretary may make grants
for the following purposes:
‘‘(1) Providing to women preventive health serv-
ices that are related to acquired immune deficiency
syndrome, including—
‘‘(A) providing prevention education on the
human immunodeficiency virus (in this part re-
ferred to as ‘HIV’), including counseling on all
modes of transmission between individuals, in-
cluding sexual contact, the use of IV drugs, and
maternal-fetal transmission;
‘‘(B) making available voluntary HIV test-
ing services to women; and
‘‘(C) providing effective and close linkages
between testing and care services for women.
‘‘(2) Providing appropriate referrals regarding
the provision of other services to women who are re-
ceiving services pursuant to paragraph (1), includ-
ing, as appropriate, referrals regarding the follow-
ing: treatment for HIV infection; treatment for sub-
stance abuse; mental health services; pregnancy and
childbirth; pediatric care; housing services; public as-
sistance; job training; child care; respite care; repro-
ductive health care; and domestic violence.
‘‘(3) Providing follow-up services regarding
such referrals, to the extent practicable.
‘‘(4) Improving referral arrangements for pur-
poses of paragraph (2).
‘‘(5) In the case of a woman receiving services
pursuant to any of paragraphs (1) through (3), pro-
viding to the partner of the woman the services de-
scribed in such paragraphs, as appropriate.
‘‘(6) With respect to the services specified in
paragraphs (1) through (5)—
‘‘(A) providing outreach services to inform
women of the availability of such services; and
‘‘(B) providing training regarding the ef-
fective provision of such services.
‘‘(b) MINIMUM QUALIFICATIONS
OF GRANTEES.—
The Secretary may make a grant under subsection (a)
only if the applicant for the grant is a grantee under sec-
tion 329, section 330, or section 1001, or is another public
or nonprofit private entity that provides health or vol-
untary family planning services to a significant number
of low-income women in a culturally sensitive and lan-
guage-appropriate manner.
‘‘(c) CONFIDENTIALITY.—The Secretary may make a
grant under subsection (a) only if the applicant for the
grant agrees to maintain the confidentiality of information
on individuals regarding screenings pursuant to subsection
(a), subject to complying with applicable law.
‘‘(d) APPLICATION FOR GRANT.—The Secretary may
make a grant under subsection (a) only if an application
for the grant is submitted to the Secretary and the appli-
cation is in such form, is made in such manner, and con-
tains such agreements, assurances, and information as the
Secretary determines to be necessary to carry out such
subsection.
‘‘(e) EVALUATIONS AND REPORTS.—
‘‘(1) EVALUATIONS.—The Secretary shall, di-
rectly or through contracts with public or private en-
tities, provide for evaluations of projects carried out
pursuant to subsection (a).
‘‘(2) REPORTS.—Not later than 1 year after the
date on which amounts are first appropriated under
subsection (f), and annually thereafter, the Sec-
retary shall submit to the Congress a report summa-
rizing evaluations carried out under paragraph (1)
during the preceding fiscal year.
‘‘(f) AUTHORIZATIONS OF APPROPRIATIONS.—
‘‘(1) TITLE
X
CLINICS.—For the purpose of
making grants under subsection (a) to entities that
are grantees under section 1001, and for the pur-
pose of otherwise carrying out this section with re-
spect to such grants, there are authorized to be ap-
propriated $30,000,000 for fiscal year 1997, and
such sums as may be necessary for each of the fiscal
years 1998 and 1999.
‘‘(2) COMMUNITY AND MIGRANT HEALTH CEN-
TERS; OTHER PROVIDERS.—For the purpose of mak-
ing grants under subsection (a) to entities that are
grantees under section 329 or 330, and to other en-
tities described in subsection (b) that are not grant-
ees under section 1001, and for the purpose of oth-
erwise carrying out this section with respect to such
grants, there are authorized to be appropriated
$20,000,000 for fiscal year 1997, and such sums as
may be necessary for each of the fiscal years 1998
and 1999.
‘‘SEC. 2532. PUBLIC EDUCATION.
‘‘(a) IN GENERAL.—The Secretary may make grants
for the purpose of developing and carrying out programs
to provide HIV prevention education to women, including
education on all modes of transmission between individ-
uals, including sexual contact, the use of IV drugs, and
maternal-fetal transmission.
‘‘(b) MINIMUM QUALIFICATIONS
OF GRANTEES.—
The Secretary may make a grant under subsection (a)
only if the applicant involved is a public or nonprofit pri-
vate entity that is experienced in carrying out health-relat-
ed activities for women, with a priority given to such enti-
ties that have successfully targeted women of color.
‘‘(c) APPLICATION FOR GRANT.—The Secretary may
make a grant under subsection (a) only if an application
for the grant is submitted to the Secretary and the appli-
cation is in such form, is made in such manner, and con-
tains such agreements, assurances, and information as the
Secretary determines to be necessary to carry out such
subsection.
‘‘(d) PROVISIONS
REGARDING
PLANNING
COUN-
CILS.—In carrying out the mission of the Community HIV
Planning Process, the Secretary shall ensure that women
who represent women’s interests and have expertise on
women’s health, HIV positive women, and their advocates
are included on the Planning Councils, that financial re-
sources are allocated to ensure such representation, and
that Planning Councils use qualitative data based on wom-
en’s experiences.
‘‘(e) EVALUATIONS AND REPORTS.—
‘‘(1) EVALUATIONS.—The Secretary shall, di-
rectly or through contracts with public or private en-
tities, provide for evaluations of projects carried out
pursuant to subsection (a).
‘‘(2) REPORTS.—Not later than 1 year after the
date on which amounts are first appropriated under
subsection (e), and annually thereafter, the Sec-
retary shall submit to the Congress a report summa-
rizing evaluations carried out under paragraph (1)
during the preceding fiscal year.
‘‘(e) AUTHORIZATIONS
OF APPROPRIATIONS.—For
the purpose of carrying out this section, there are author-
ized to be appropriated $30,000,000 for fiscal year 1997,
and such sums as may be necessary for each of the fiscal
years 1998 and 1999.’’.
SEC. 3. TREATMENT OF WOMEN FOR SUBSTANCE ABUSE.
Subpart 1 of part B of title V of the Public Health
Service Act (42 U.S.C. 290bb et seq.), as amended by sec-
tion 108 of Public Law 102-321 (106 Stat. 336), is
amended by inserting after section 509 the following sec-
tion: