SEC. 252. NATIONAL PROGRAM FOR TUBERCULOSIS ELIMI-
NATION. 
Section 317E of the Public Health Service Act (42 
U.S.C. 247b–6) is amended—
(1) by striking the heading for the section and 
inserting the following: 
‘‘NATIONAL PROGRAM FOR TUBERCULOSIS 
ELIMINATION’’; 
(2) by amending subsection (b) to read as fol-
lows: 
‘‘(b) RESEARCH, DEMONSTRATION PROJECTS, EDU-
CATION, AND TRAINING.—With respect to the prevention, 
control, and elimination of tuberculosis, the Secretary 
may, directly or through grants to public or nonprofit pri-
vate entities, carry out the following: 
‘‘(1) Research, with priority given to research 
concerning—
‘‘(A) diagnosis and treatment of latent in-
fection of tuberculosis; 
‘‘(B) strains of tuberculosis resistant to 
drugs; 
‘‘(C) cases of tuberculosis that affect cer-
tain high-risk populations; and 
‘‘(D) clinical trials, including those con-
ducted through the Tuberculosis Trials Consor-
tium.
‘‘(2) Demonstration projects, including for—
‘‘(A) the development of regional capabili-
ties for the prevention, control, and elimination 
of tuberculosis particularly in low-incidence re-
gions; and 
‘‘(B) collaboration with the Immigration 
and Naturalization Service to identify and treat 
immigrants with active or latent tuberculosis in-
fection. 
‘‘(3) Public information and education pro-
grams. 
‘‘(4) Education, training and clinical skills im-
provement activities for health professionals, includ-
ing allied health personnel. 
‘‘(5) Support of model centers to carry out ac-
tivities under paragraphs (2) through (4). 
‘‘(6) Collaboration with international organiza-
tions and foreign countries, including Mexico, in co-
ordination with the United States Agency for Inter-
national Development, in carrying out such activi-
ties, including coordinating activities through the 
Advisory Council for the Elimination of Tuber-
culosis.’’; and 
(3) by striking subsection (g) and inserting the 
following:
‘‘(g) REPORTS.—The Secretary, acting through the 
Director of the Centers for Disease Control and Preven-
tion and in consultation with the Advisory Council for the 
Elimination of Tuberculosis, shall biennially prepare and 
submit to the Committee on Health, Education, Labor, 
and Pensions of the Senate and the Committee on Energy 
and Commerce of the House of Representatives, a report 
on the activities carried out under this section. Each re-
port shall include the opinion of the Council on the extent 
to which its recommendations under section 317E(f)(3) 
regarding tuberculosis have been implemented.’’; and 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated $235,000,000 for fiscal year 2004, and 
such sums as may be necessary for each of the fiscal years 
2005 through 2008.’’. 
SEC. 253. INCLUSION OF INPATIENT HOSPITAL SERVICES 
FOR THE TREATMENT OF TB-INFECTED INDI-
VIDUALS. 
(a) IN GENERAL.—Section 1902(z)(2) of the Social 
Security Act (42 U.S.C. 1396a(z)(2)) is amended by add-
ing at the end the following: 
‘‘(G) Inpatient hospital services.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) takes effect on October 1, 2003.
TITLE III—ACCESS AND 
AFFORDABILITY 
Subtitle A—Dental Health Services 
SEC. 301. GRANTS TO IMPROVE THE PROVISION OF DENTAL 
HEALTH SERVICES THROUGH COMMUNITY 
HEALTH CENTERS AND PUBLIC HEALTH DE-
PARTMENTS. 
Part D of title III of the Public Health Service Act 
(42 U.S.C. 254b et seq.) is amended by inserting before 
section 330, the following: 
‘‘SEC. 329. GRANT PROGRAM TO EXPAND THE AVAIL-
ABILITY OF SERVICES. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Health Resources and Services Administration, shall 
establish a program under which the Secretary may award 
grants to eligible entities and eligible individuals to expand 
the availability of primary dental care services in dental 
health professional shortage areas or medically under-
served areas. 
‘‘(b) ELIGIBILITY.—
‘‘(1) ENTITIES.—To be eligible to receive a 
grant under this section an entity—
‘‘(A) shall be—
‘‘(i) a health center receiving funds 
under section 330 or designated as a Fed-
erally qualified health center; 
‘‘(ii) a county or local public health 
department, if located in a federally-des-
ignated dental health professional shortage 
area; 
‘‘(iii) an Indian tribe or tribal organi-
zation (as defined in section 4 of the In-
dian Self-Determination and Education 
Assistance Act (25 U.S.C. 450b)); or 
‘‘(iv) a dental education program ac-
credited by the Commission on Dental Ac-
creditation; and 
‘‘(B) shall prepare and submit to the Sec-
retary an application at such time, in such 
manner, and containing such information as the 
Secretary may require. 
‘‘(2) INDIVIDUALS.—To be eligible to receive a 
grant under this section an individual shall—
‘‘(A) be a dental health professional li-
censed or certified in accordance with the laws
of State in which such individual provides den-
tal services;
100
‘‘(B) prepare and submit to the Secretary 
an application at such time, in such manner, 
and containing such information as the Sec-
retary may require; and 
‘‘(C) provide assurances that—
‘‘(i) the individual will practice in a 
federally-designated dental health profes-
sional shortage area; and 
‘‘(ii) not less than 33 percent of the 
patients of such individual are—
‘‘(I) receiving assistance under a 
State plan under title XIX of the So-
cial Security Act (42 U.S.C. 1396 et 
seq.); 
‘‘(II) receiving assistance under a 
State plan under title XXI of the So-
cial Security Act (42 U.S.C. 1397aa 
et seq.); or 
‘‘(III) uninsured. 
‘‘(c) USE OF FUNDS.—
‘‘(1) ENTITIES.—An entity shall use amounts 
received under a grant under this section to provide 
for the increased availability of primary dental serv-
ices in the areas described in subsection (a). Such 
amounts may be used to supplement the salaries of-