PoliticalRepoPoliticalRepo

United States · Law · S

S. 2240 (101st)

Ryan White Comprehensive AIDS Resources Emergency Act of 1990

enactedUnited States· United States Congress· EN

Introduced

6 March 1990

Last action

—

Status

Became Public Law No: 101-381.

Sponsors

—

Subjects

Discovery layer

Source updated

21 April 2025

Official sourceDownload fileView documentsShare

Summary

Comprehensive AIDS Resources Emergency Act of 1990 - Title I: HIV Emergency Relief Grant Program - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to award emergency relief grants to any metropolitan statistical area (eligible area) as specified by the Secretary that has reported more than 2000 AIDS cases and that meets other requirements. Requires that the grants be directed to the chief elected official of the city or county that administers the public health agency serving the greatest proportion of individuals with AIDS in the eligible area. Requires the administering local political subdivision (ALPS) to establish a mechanism to allocate funds based on the proportion of AIDS cases and the severity of need of the local political subdivisions. Provides for the establishment of an HIV health services planning council, by each ALPS and its chief elected official, to establish fund allocation priorities and assess fund allocation efficiency. Provides, at specified times, that one-half of funds appropriated for the grants be used for regular grants and one-half be used for supplemental grants. Allows the grants to be used by the grantee to provide assistance to any public or nonprofit hospital, clinic, nursing home, sub-acute care facility, or health center that is providing services to a disproportionate share of low-income individuals and families with HIV disease and is expending resources that exceed reimbursement. Allows a recipient institution to use the amounts to: (1) enhance the quality of services to low income individuals and families with HIV disease; and (2) deliver outpatient and ambulatory care services, including case management, to such individuals and families, including comprehensive treatment and support services. Allows grant amounts to be used to provide direct financial assistance to any public or nonprofit agency, clinic, community based organization, or community health center that has the capacity to provide case managed outpatient health and support services to individuals and families with HIV disease that are critical to prevent unnecessary inpatient hospitalization and to expedite the discharge of the individual to the most medically appropriate level of service. Allows grant amounts to be used to renovate or rehabilitate congregate care housing units, long-term care facilities, and sub-acute care facilities, provided certain conditions, including a requirement of matching local or State funds, are met. Authorizes appropriations. Title II: HIV Care Grants - Directs the Secretary to make grants to States to improve the quality, availability, and organization of care, treatment, and support services for individuals and families with HIV disease. Allows grant funds to be used, with regard to HIV disease, to: (1) establish and operate care consortia; (2) provide home- and community-based care; (3) assist mechanisms that assure the continuity of health insurance; (4) provide therapeutic treatments to low income individuals; and (5) integrate early intervention services with care and support services provided in existing public health and medical care settings. Requires a State, subject to waiver in certain circumstances, to use at least 15 percent of the funds allocated to provide health and support services to infants, children, women, and families with HIV disease. Requires that, to the extent practicable, services under these provisions be provided without regard to the ability of the individual to pay, and that: (1) any charges be pursuant to a public schedule; (2) no charges be imposed on an individual with an income of 200 percent of the poverty line or less; and (3) charges imposed on individuals above such income level be adjusted to reflect their income. Requires the Secretary to use ten percent of the funds appropriated under this title to: (1) provide technical assistance to States; and (2) establish and administer a Special Projects of National Significance Program to make direct grants to States, localities, or community-based organizations to fund special programs for the care and treatment of individuals with HIV disease. Sets forth: (1) award criteria; and (2) permitted goals of recipient programs. Authorizes appropriations. Title III: HIV Disease Health Services Research, Evaluation, and Assessment - Directs the Secretary, through the Agency for Health Care Policy and Research, to establish a program to enable independent research to be conducted by individuals and organizations to develop: (1) a comparative assessment of the impact and cost-effectiveness of major models for organizing treatment and support services; (2) a review of major health services financing mechanisms; (3) an assessment of how point-of-entry procedures for obtaining treatment and services impact cost, quality, and outcome, and the extent to which quality, cost, and outcome can be related to the source of payment; (4) a comprehensive report of financial, regulatory, organizational, and social barriers that serve to limit the delivery of services; (5) a summary concerning major and continuing unmet needs in health care, treatment, early intervention, and support service delivery; and (6) a review and assessment of models for the delivery of services to infants, children, women, and families.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

No timeline events have been ingested for this record yet.

Votes

No vote records are attached yet.

Versions

No version snapshots stored. Document URLs remain at the source.

Documents

11 official files

Sponsors

No sponsors or actors listed by the source.

Related records

No cross-record relationships stored yet.

Sources

PoliticalRepo is an index and interpretation layer, not the authoritative legal source.