instruction:
In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
question:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Helping Effective Antibiotics Last 
Act of 2015'' or the ``HEAL Act''.

SEC. 2. APPROVAL OF CERTAIN DRUGS FOR USE IN A WELL-DEFINED POPULATION 
              OF PATIENTS.

    (a) Approval of Certain Antibacterial.--Section 505 of the Federal 
Food, Drug, and Cosmetic Act (21 U.S.C. 355) is amended by adding at 
the end the following:
    ``(x) Approval of Certain Antibacterial Drugs for Use in a Well-
Defined Population of Patients.--
            ``(1) Unmet medical need defined.--In this subsection, the 
        term `unmet medical need' means that the antibacterial drug 
        involved--
                    ``(A) has improved efficacy, as demonstrated in 
                adequate, well-controlled studies in humans, for 
                specific diseases or conditions, where current 
                therapies have been shown to be less effective;
                    ``(B) has clinically meaningful decreased harms, 
                demonstrated in adequate, well-controlled studies in 
                humans, for diseases or conditions, where current 
                therapies have unacceptable adverse effects; or
                    ``(C) has improved convenience, as demonstrated in 
                adequate, well-controlled studies in humans, where 
                improved convenience results in improved effectiveness 
                or decreased harms.
            ``(2) Approval.--Upon receipt of an application under 
        subsection (b) for an antibacterial drug that is intended to 
        treat a serious or life-threatening disease or condition, 
        irrespective of whether the drug is intended to address an 
        unmet medical need, the Secretary--
                    ``(A) may approve the drug under subsection (c) 
                only for treating a well-defined population of 
                patients, and based upon the results of clinical trials 
                inclusive of human subjects representative of such 
                well-defined population;
                    ``(B) in determining whether to grant such 
                approval, shall rely on superior outcomes over 
                available therapies based on direct measures of patient 
                benefits, as demonstrated in adequate, well-controlled 
                studies in the well-defined patient population, such 
                as--
                            ``(i) decreased mortality;
                            ``(ii) irreversible morbidity; or
                            ``(iii) validated surrogate endpoints that 
                        reflect mortality or irreversible morbidity; 
                        and
                    ``(C) shall require the labeling of drugs approved 
                pursuant to this subsection to prominently include in 
                the prescribing information required by section 201.57 
                of title 21, Code of Federal Regulations (or any 
                successor regulation)--
                            ``(i) the population of patients with 
                        respect to which the added benefit over 
                        available therapies is expected as studied in 
                        adequate, well-controlled studies that form the 
                        basis for approval; and
                            ``(ii) the method for identifying members 
                        of that population.
            ``(3) Risk evaluation and mitigation strategy.--The 
        Secretary--
                    ``(A) shall require a risk evaluation and 
                mitigation strategy (REMS) under section 505-1 for each 
                drug approved under this subsection; and
                    ``(B) may include in any such strategy additional 
                elements to assure the safe use of the drug under 
                subsections (e) and (f) of section 505-1.
            ``(4) Rule of construction.--Nothing in this subsection 
        shall be construed to alter the standards of evidence under 
        subsection (c) or (d) (including the substantial evidence 
        standard in subsection (d)). Subsections (c) and (d) and such 
        standards of evidence apply to the review and approval of drugs 
        under this subsection, including whether a drug is safe and 
        effective. Nothing in this subsection shall be construed to 
        limit the authority of the Secretary to approve products 
        pursuant to this Act and the Public Health Service Act as 
        authorized prior to the date of enactment of this subsection.
            ``(5) Effective immediately.--The Secretary shall have the 
        authorities vested in the Secretary by this subsection 
        beginning on the date of enactment of this subsection, 
        irrespective of when and whether the Secretary promulgates 
        final regulations to carry out this subsection.''.
    (b) Licensure of Certain Biological Products.--Section 351(j) of 
the Public Health Service Act (42 U.S.C. 262(j)) is amended--
            (1) by striking ``(j)'' and inserting ``(j)(1)'';
            (2) by inserting ``505(x),'' after ``505(p),''; and
            (3) by adding at the end the following:
    ``(2) In applying section 505(x) of the Federal Food, Drug, and 
Cosmetic Act to the licensure of biological products under this 
section--
            ``(A) references to an antibacterial drug with added 
        benefits over available therapies for a well-defined population 
        that is intended to treat a serious or life-threatening disease 
        or condition shall be construed to refer to biological products 
        with added benefits over available therapies for a well-defined 
        population intended to treat a bacterial infection associated 
        with a serious or life-threatening disease; and
            ``(B) references to an application submitted under section 
        505(b) of such Act and to approval of a drug under section 
        505(c) of such Act shall be construed to refer to an 
        application submitted under subsection (a) of this section and 
        to licensure of a biological product under such subsection (a), 
        respectively.''.
    (c) Monitoring.--Title III of the Public Health Service Act is 
amended by inserting after section 317T (42 U.S.C. 247b-22) the 
following:

``SEC. 317U. MONITORING OF ANTIBACTERIAL DRUG USE, PATIENT OUTCOMES, 
              AND RESISTANCE.

    ``(a) Monitoring.--The Secretary, acting through the Director of 
the Centers for Disease Control and Prevention, shall use the National 
Healthcare Safety Network or another appropriate monitoring system to 
monitor--
            ``(1) changes in patient outcomes such as mortality and 
        irreversible morbidity causally related to antibacterial 
        resistance; and
            ``(2) changes in bacterial resistance to drugs in relation 
        to patient outcomes.
    ``(b) Public Availability of Data.--The Secretary, acting through 
the Director of the Centers for Disease Control and Prevention, shall 
make the data derived from monitoring under this section publicly 
available for the purposes of--
            ``(1) improving the monitoring of important trends in 
        patient outcomes in relation to antibacterial resistance; and
            ``(2) ensuring appropriate stewardship of antibacterial 
        drugs, including those receiving approval or licensure for a 
        well-defined population pursuant to section 505(x) of the 
        Federal Food, Drug, and Cosmetic Act.''.

SEC. 3. SUSCEPTIBILITY TEST INTERPRETIVE CRITERIA FOR MICROBIAL 
              ORGANISMS.

    (a) In General.--Section 511 of the Federal Food, Drug, and 
Cosmetic Act (21 U.S.C. 360a) is amended to read as follows:

``SEC. 511. SUSCEPTIBILITY TEST INTERPRETIVE CRITERIA FOR MICROBIAL 
              ORGANISMS.

    ``(a) In General.--The Secretary shall--
            ``(1) identify upon approval or licensing of antibacterial 
        drugs (including biological products intended to treat a 
        bacterial infection and other types of antimicrobial drugs, as 
        deemed appropriate by the Secretary), including qualified 
        infectious disease products, susceptibility test interpretive 
        criteria for such drugs based upon patient outcomes of 
        mortality and morbidity from adequate and well-controlled 
        studies and such other confirmatory evidence as the Secretary 
        deems necessary; and
            ``(2) update, consistent with subsection (b), such criteria 
        as needed based upon scientific evidence of changes in patient 
        outcomes.
    ``(b) Responding to Changes in Patient Outcomes To Evaluate 
Susceptibility Test Interpretive Criteria.--
            ``(1) In general.--As needed based on evidence related to 
        changes in patient outcomes, the Secretary shall--
                    ``(A) evaluate any new scientific studies on 
                changes in patient outcomes in relation to 
                susceptibility test interpretive criteria; and
                    ``(B) publish on the public Website of the Food and 
                Drug Administration a notice--
                            ``(i) presenting suggested new or updated 
                        interpretive criteria; and
                            ``(ii) if needed, hold a public advisory 
                        committee to discuss scientific evidence 
                        related to changes in interpretative criteria.
            ``(2) Annual compilation of notices.--Each year, the 
        Secretary shall compile the notices published under paragraph 
        (1)(B) noting any changes from prior notices and publish such 
        compilation in the Federal Register.
    ``(c) Definition.--In this section, the term `susceptibility test 
interpretive criteria' means one or more specific values which 
characterize patient outcomes in relation to the degree to which 
bacteria or other microbes are more resistant to treatment as measured 
by patient outcomes.''.
    (b) Conforming Amendment.--Section 1111 of the Food and Drug 
Administration Amendments Act of 2007 (42 U.S.C. 247d-5a; relating to 
identification of clinically susceptible concentrations of 
antimicrobials) is repealed.
    (c) Report to Congress.--Not later than one year after the date of 
enactment of this Act, the Secretary of Health and Human Services shall 
submit to the Committee on Energy and Commerce of the House of 
Representatives and the Committee on Health, Education, Labor, and 
Pensions of the Senate a report on the progress made in implementing 
section 511 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 
360a), as amended by this section.

SEC. 4. REQUIRING DEMONSTRATION OF SUPERIOR OUTCOMES FOR QUALIFIED 
              INFECTIOUS DISEASE PRODUCTS TO RECEIVE AN EXTENDED 
              EXCLUSIVITY PERIOD.

    Section 505E(g) of the Federal Food, Drug, and Cosmetic Act (21 
U.S.C. 355f(g)) is amended by striking ``means an antibacterial or 
antifungal drug for human use intended to treat'' and inserting ``means 
an antibacterial or antifungal drug for human use that is demonstrated 
to produce superior outcomes over available therapies, based on direct 
measures of patient benefits in clinical trials, and that is intended 
to treat''.

SEC. 5. GUIDANCE ON TARGET PRODUCT PROFILES.

    Not later than 18 months after the date of enactment of this Act, 
the Commissioner of Food and Drugs, in consultation with the 
Administrator of the Centers for Medicare & Medicaid Services, the 
Director of the Indian Health Service, the Secretary of Defense, and 
the Secretary of Veterans Affairs, shall issue guidance on the 
development of target product profiles for novel antibacterial drugs 
focused on public health priorities.
answer:
Helping Effective Antibiotics Last Act of 2015 or the HEAL Act This bill amends the Federal Food, Drug, and Cosmetic Act to allow the Food and Drug Administration (FDA) to approve an antibacterial drug or biological product that is intended to treat a serious or life-threatening condition only for treating a well-defined population of patients. To be approved, the antibacterial product must produce superior outcomes over available therapies in the well-defined patient population. A product approved by this pathway must include in its prescribing information the population of patients expected to benefit from using the product and the method for identifying members of that population. The FDA must require each product to have a risk evaluation and mitigation strategy. The Centers for Disease Control and Prevention must monitor changes to bacterial drug resistance and changes to patient outcomes caused by bacterial drug resistance. Upon approval of antibacterial products, the FDA must identify susceptibility test interpretive criteria (the drug concentrations where a type of bacteria is categorized as susceptible, intermediate, or resistant) and update the criteria as needed based upon evidence of changes in patient outcomes.  To be eligible for an exclusivity period extension, a qualified infectious disease product must be demonstrated to produce superior outcomes over available therapies. The FDA must issue guidance on the development of target product profiles for antibacterial drugs.


question:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Community-Based Health Care 
Retraining Act''.

SEC. 2. HEALTH PROFESSIONS TRAINING DEMONSTRATION PROJECT.

    Section 171 of the Workforce Investment Act of 1998 (29 U.S.C. 
2916) is amended by adding at the end the following:
    ``(e) Health Professions Training Demonstration Project.--
            ``(1) Definitions.--In this subsection:
                    ``(A) Covered community.--The term `covered 
                community' means a community or region that--
                            ``(i) has experienced a significant 
                        percentage decline in positions in the 
                        manufacturing or service sectors; and
                            ``(ii) is determined by the Secretary of 
                        Health and Human Services (in consultation with 
                        the medical community) to be an area with a 
                        shortage of health care professionals described 
                        in clause (i) or (ii) of subparagraph (C).
                    ``(B) Covered worker.--The term `covered worker' 
                means an individual who--
                            ``(i)(I) has been terminated or laid off, 
                        or who has received a notice of termination or 
                        layoff, from employment in a manufacturing or 
                        service sector;
                            ``(II)(aa) is eligible for or has exhausted 
                        entitlement to unemployment compensation; or
                            ``(bb) has been employed for a duration 
                        sufficient to demonstrate, to the appropriate 
                        entity at a one-stop center referred to in 
                        section 134(c), attachment to the workforce, 
                        but is not eligible for unemployment 
                        compensation due to insufficient earnings or 
                        having performed services for an employer that 
                        were not covered under a State unemployment 
                        compensation law; and
                            ``(III) is unlikely to return to a previous 
                        industry or occupation; or
                            ``(ii)(I) has been terminated or laid off, 
                        or has received a notice of termination or 
                        layoff, from employment in a manufacturing or 
                        service sector as a result of any permanent 
                        closure of, or any substantial layoff at, a 
                        plant, facility, or enterprise; or
                            ``(II) is employed in a manufacturing or 
                        service sector at a facility at which the 
                        employer has made a general announcement that 
                        such facility will close within 180 days.
                    ``(C) Health care professional.--The term `health 
                care professional'--
                            ``(i) means an individual who is involved 
                        with--
                                    ``(I) the delivery of health care 
                                services, or related services, 
                                pertaining to--
                                            ``(aa) the identification, 
                                        evaluation, and prevention of 
                                        diseases, disorders, or 
                                        injuries; or
                                            ``(bb) home-based or 
                                        community-based long-term care;
                                    ``(II) the delivery of dietary and 
                                nutrition services; or
                                    ``(III) rehabilitation and health 
                                systems management; and
                            ``(ii) with respect to a covered community 
                        to be served through a grant made under 
                        paragraph (3), includes individuals in health 
                        care professions and jobs for which there is a 
                        shortage in the community, as determined by the 
                        Secretary of Health and Human Services (in 
                        consultation with the medical community), 
                        giving consideration to the amount of training 
                        time required to retrain the covered workers 
                        for the health care professions and jobs.
                    ``(D) Tribal college or university.--The term 
                `tribal college or university' means--
                            ``(i) a tribally controlled college or 
                        university, as defined in section 2 of the 
                        Tribally Controlled College or University 
                        Assistance Act of 1978 (25 U.S.C. 1801);
                            ``(ii) Dine College, authorized in the 
                        Navajo Community College Act (25 U.S.C. 640a et 
                        seq.); and
                            ``(iii) any of the 1994 Institutions, as 
                        defined in section 532 of the Equity in 
                        Educational Land-Grant Status Act of 1994 (7 
                        U.S.C. 301 note).
            ``(2) Establishment of project.--In accordance with 
        subsection (b), the Secretary shall establish and carry out a 
        health professions training demonstration project.
            ``(3) Grants.--In carrying out the project, the Secretary, 
        after consultation with the Secretary of Health and Human 
        Services, shall make grants to eligible entities to enable the 
        entities to carry out programs in covered communities to train 
        covered workers for employment as health care professionals. 
        The Secretary shall make each grant in an amount of not less 
        than $100,000 and not more than $500,000.
            ``(4) Eligible entities.--Notwithstanding subsection 
        (b)(2)(B), to be eligible to receive a grant under this 
        subsection to carry out a program in a covered community, an 
        entity shall be a partnership that is--
                    ``(A) under the direction of a local workforce 
                investment board established under section 117 that is 
                serving the covered community; and
                    ``(B) composed of members serving the covered 
                community, such as--
                            ``(i) an institution of higher education 
                        that provides a 4-year program of instruction;
                            ``(ii) an accredited community college;
                            ``(iii) an accredited vocational or 
                        technical school;
                            ``(iv) a tribal college or university;
                            ``(v) a health clinic or hospital;
                            ``(vi) a home-based or community-based 
                        long-term care facility or program; or
                            ``(vii) a health care facility administered 
                        by the Secretary of Veterans Affairs.
            ``(5) Applications.--To be eligible to receive a grant 
        under this subsection, an entity shall submit an application to 
        the Secretary at such time, in such manner, and containing such 
        information as the Secretary may require, including, at a 
        minimum--
                    ``(A) a proposal to use the grant funds to 
                establish or expand a training program in order to 
                train covered workers for employment as health care 
                professionals (including paraprofessionals);
                    ``(B) information demonstrating the need for the 
                training and support services to be provided through 
                the program;
                    ``(C) information describing the manner in which 
                the entity will expend the grant funds, and the 
                activities to be carried out with the funds;
                    ``(D) information demonstrating that the entity 
                meets the requirements of paragraph (4); and
                    ``(E) with respect to training programs carried out 
                by the applicant, information--
                            ``(i) on the graduation rates of the 
                        programs involved;
                            ``(ii) on the retention measures carried 
                        out by the applicant;
                            ``(iii) on the length of time necessary to 
                        complete the training programs of the 
                        applicant; and
                            ``(iv) on the number of qualified covered 
                        workers that are refused admittance into the 
                        training programs because of lack of capacity.
            ``(6) Selection.--In making grants under paragraph (3), the 
        Secretary, after consultation with the Secretary of Health and 
        Human Services, shall--
                    ``(A) consider the information submitted by the 
                eligible entities under paragraph (5)(E); and
                    ``(B) select--
                            ``(i) eligible entities submitting 
                        applications that meet such criteria as the 
                        Secretary of Labor determines to be 
                        appropriate; and
                            ``(ii) among such entities, the eligible 
                        entities serving the covered communities with 
                        the greatest need for the grants and the 
                        greatest potential to benefit from the grants.
            ``(7) Use of funds.--
                    ``(A) In general.--An entity that receives a grant 
                under this subsection shall use the funds made 
                available through the grant for training and support 
                services that meet the needs described in the 
                application submitted under paragraph (5), which may 
                include--
                            ``(i) increasing capacity, subject to 
                        subparagraph (B), at an educational institution 
                        or training center to train individuals for 
                        employment as health professionals, such as 
                        by--
                                    ``(I) expanding a facility, subject 
                                to subparagraph (B);
                                    ``(II) expanding course offerings;
                                    ``(III) hiring faculty;
                                    ``(IV) providing a student loan 
                                repayment program for the faculty;
                                    ``(V) establishing or expanding 
                                clinical education opportunities;
                                    ``(VI) purchasing equipment, such 
                                as computers, books, clinical supplies, 
                                or a patient simulator; or
                                    ``(VII) conducting recruitment; or
                            ``(ii) providing support services for 
                        covered workers participating in the training, 
                        such as--
                                    ``(I) providing tuition assistance;
                                    ``(II) establishing or expanding 
                                distance education programs;
                                    ``(III) providing transportation 
                                assistance; or
                                    ``(IV) providing child care.
                    ``(B) Limitation.--To be eligible to use the funds 
                to expand a facility, the eligible entity shall 
                demonstrate to the Secretary in an application 
                submitted under paragraph (5) that the entity can 
                increase the capacity described in subparagraph (A)(i) 
                of such facility only by expanding the facility.
            ``(8) Funding.--Of the amounts appropriated to, and 
        available at the discretion of, the Secretary or the Secretary 
        of Health and Human Services for programmatic and 
        administrative expenditures, a total of $25,000,000 shall be 
        used to establish and carry out the demonstration project 
        described in paragraph (2) in accordance with this 
        subsection.''.
answer:
Community-Based Health Care Retraining Act - Amends the Workforce Investment Act of 1998 to require the Secretary of Labor to establish and carry out a health professions training demonstration project that awards grants to eligible entities to train certain unemployed workers from the manufacturing or service sector for employment as health care professionals in communities with manufacturing and service sector job loss and health care professional shortages.


question:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Parents as First Teachers Act of 
1997''.

SEC. 2. FINDINGS.

    (a) Findings.--The Congress finds the following:
            (1) New scientific research shows that experiences in the 
        first 3 years of life have a dramatic impact on brain 
        development.
            (2) Experiences in the earliest years of a child's life are 
        critical to their cognitive, emotional, and physical 
        development.
            (3) Nurturing and stimulating children in the first years 
        of life prepare them for the challenges of school and later 
        life.
            (4) According to a Carnegie Corporation publication 
        entitled ``Years of Promise: A Comprehensive Strategy for 
        America's Children,'' kindergarten teachers estimate that 1 out 
        of every 3 children enters the classroom unprepared to meet the 
        challenges of kindergarten.
            (5) Children who receive high quality child care services 
        are less likely to need special education, be retained a grade, 
        or engage in juvenile delinquency or other antisocial behavior 
        as they grow up.
            (6) According to ``The State of America's Children, 
        Yearbook 1997,'' published by the Children's Defense Fund, 
        approximately 7,700,000 children less than 5 years of age are 
        being cared for by someone other than their parents while their 
        mothers work.
            (7) Documented in the 1997 edition of ``Key Facts About 
        Child Care and Early Education: A Briefing Book,'' also 
        published by the Children's Defense Fund, is the fact that 60 
        percent of mothers with children less than 6 years of age, and 
        52 percent of mothers with children less than 1 year of age, 
        are working outside the home.
            (8) Demand for child care services in low-income 
        communities will rise dramatically through 2002 as a result of 
        the enactment of the Personal Responsibility and Work 
        Opportunity Reconciliation Act of 1996 (Public Law 104-193).
    (b) Purposes.--The purposes of this Act are--
            (1) to provide financial assistance to train, to support, 
        and to place as early childhood teaching professionals, parents 
        in families that receive assistance under State programs funded 
        under part A of title IV of the Social Security Act,
            (2) to increase nationwide the number of qualified 
        individuals who provide early childhood education,
            (3) to reduce dependency on assistance under State programs 
        funded under part A of title IV of the Social Security Act, and
            (4) to increase the number of children who receive high 
        quality child care services.

SEC. 3. AUTHORITY TO MAKE GRANTS.

    The Secretary of Health and Human Services may make grants to 
eligible counties to carry out programs--
            (1) to provide to parents in families that receive 
        assistance under State programs funded under part A of title IV 
        of the Social Security Act, training relating to early 
        childhood development and education for the purpose of 
        preparing such parents for obtaining employment as caregivers 
        of high quality child care services, and
            (2) to provide supportive services and job placement 
        services to such parents necessary for their participation in 
        such training and their obtaining such employment at the 
        completion of such training.

SEC. 4. ELIGIBILITY TO RECEIVE GRANTS.

    To be eligible to receive a grant under section 3, a county shall 
submit to the Secretary an application that contains all of the 
following:
            (1) An assurance that the county has established an 
        administrative committee that will administer such program and 
        that includes at least--
                    (A) 1 representative of a county agency that has 
                responsibility for the development of the local work 
                force,
                    (B) 1 representative of a county agency that has 
                responsibility for providing human services to 
                residents of the county,
                    (C) 1 representative of a county agency that has 
                responsibility for providing training and employment 
                services to such residents,
                    (D) 1 representative of a county agency that has 
                supervisory responsibility for public education 
                provided by the county,
                    (E) 1 representative of an institution of higher 
                education that will provide educational services 
                through the program for which such grant is requested, 
                and
                    (F) 1 representative of a center-based child care 
                provider that will participate in such program.
            (2) Information on the identities and qualifications of the 
        members of such committee and on how such committee will 
        administer such program.
            (3) A plan that--
                    (A) contains information describing how parents in 
                families that receive assistance under State programs 
                funded under part A of title IV of the Social Security 
                Act will be selected to participate in such program,
                    (B) identifies the institutions of higher education 
                that will provide educational services and training 
                through such program and specifies with respect to each 
                of such institutions, the course requirements that must 
                be satisfied to complete the education program or 
                training program to be provided,
                    (C) describes the supportive services that will be 
                provided, directly or indirectly, by the county for the 
                benefit of such families to permit such parents to 
                participate in such program, and
                    (D) contains a plan for the job placement of, and 
                follow-up services for a post-employment period not to 
                exceed 13 weeks for, such parents who complete the 
                participation requirements established in such program.
            (4) An assurance that such program will provide to 
        participating parents in families that receive assistance under 
        State programs funded under part A of title IV of the Social 
        Security Act--
                    (A) not less than 228 hours of classroom 
                instruction, and
                    (B) not less than 200 hours of clinical training, 
                of which not less than 63 hours shall consist of 
                experience as a caregiver on the business premises of a 
                center-based child care provider.
            (5) Assurance that such grant will be used only--
                    (A) to provide education and training services, 
                supportive services, job placement services, and post-
                employment follow-up services that satisfy the 
                requirements of such plan,
                    (B) at the option of the county, to pay 
                compensation for the services of an individual employed 
                by the county to manage the implementation of such plan 
                and the operation of such program, and
                    (C) to pay costs incurred by participants in such 
                program to comply with health and safety requirements 
                (including fingerprinting and medical testing) 
                applicable to caregivers employed by center-based child 
                care providers.

SEC. 5. DEFINITIONS.

    For purposes of this Act--
            (1) the term ``caregiver'' means an individual who provides 
        service directly to a child on a person-to-person basis,
            (2) the term ``child'' means an individual who is less than 
        the age of compulsory school attendance,
            (3) the term ``county'' means--
                    (A) a county of a State or a parish in the case of 
                the State of Louisiana, or
                    (B) the District of Columbia, the Commonwealth of 
                Puerto Rico, the Commonwealth of the Northern Mariana 
                Islands, Guam, American Samoa, or the Virgin Islands of 
                the United States,
            (4) the term ``follow-up services'' means services designed 
        to assist individuals to successfully perform their job 
        requirements as a caregiver of high quality child care services 
        during their first employment obtained after their completion 
        of the training received in a program carried out under this 
        section by a county.
            (5) the term ``institution of higher education'' has the 
        meaning given such term in section 1201(a) of the Higher 
        Education Act of 1965 (20 U.S.C. 1141(a)),
            (6) the term ``State'' means any of the several States, and
            (7) the term ``supportive services'' includes child care 
        services for children less than 13 years of age and 
        transportation.

SEC. 6. AUTHORIZATION OF APPROPRIATIONS.

    There are authorized to be appropriated such sums as may be 
necessary for fiscal years 1999, 2000, 2001, 2002, and 2003 to carry 
out this Act.
answer:

Parents as First Teachers Act of 1997 - Authorizes the Secretary of Health and Human Services to make grants to eligible counties to carry out programs to provide:  (1) early childhood development and education training to parents in families that receive assistance under State programs funded under part A (Temporary Assistance for Needy Families) of title IV of the Social Security Act, for the purpose of preparing such parents to obtain employment as caregivers of high quality child care services; and (2) supportive services and job placement services to such parents necessary for their participation in such training and their obtaining such employment at the completion of such training.  Authorizes appropriations.