Ryan White Comprehensive AIDS Resources Emergency Act of 1990

enactedUnited States· United States Congress· EN

Introduced

6 March 1990

Last action

18 August 1990 · President

Status

Became Public Law No: 101-381.

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.

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Timeline

6 March 1990
Introduced
Read twice and referred to the Committee on Labor and Human Resources.
Source: IntroReferral
6 March 1990
Introduced
Introduced in Senate
Source: IntroReferral
4 April 1990
Reported
Committee on Labor and Human Resources. Ordered to be reported with an amendment in the nature of a substitute favorably.
Source: Committee
24 April 1990
Calendars
Placed on Senate Legislative Calendar under General Orders. Calendar No. 523.
Source: Calendars
24 April 1990
Reported
Committee on Labor and Human Resources. Reported to Senate by Senator Kennedy with an amendment in the nature of a substitute. With written report No. 101-273.
Source: Committee
24 April 1990
Reported
Committee on Labor and Human Resources. Reported to Senate by Senator Kennedy with an amendment in the nature of a substitute. With written report No. 101-273.
Source: Committee
11 May 1990
Floor
Cloture motion on the motion to proceed presented in Senate.
Source: Floor
14 May 1990
Floor
Motion to proceed considered in Senate.
Source: Floor
15 May 1990
Floor
Motion to proceed considered in Senate.
Source: Floor
16 May 1990
Floor
Considered by Senate.
Source: Floor
16 May 1990
Vote
Passed/agreed to in Senate: Passed Senate with an amendment by Yea-Nay Vote. 95-4. Record Vote No: 97.
Source: Floor
21 May 1990
Floor
Message on Senate action sent to the House.
Source: Floor
21 May 1990
Floor
Held at the desk.
Source: Floor
21 May 1990
Floor
Received in the House.
Source: Floor
13 June 1990
Floor
The Speaker reserved the right to appoint conferees at a later time.
Source: Floor
13 June 1990
Passed
On motion that the House insist upon its amendments, and request a conference Agreed to without objection.
Source: ResolvingDifferences
13 June 1990
ResolvingDifferences
Mr. Waxman moved that the House insist upon its amendments, and request a conference.
Source: ResolvingDifferences
13 June 1990
Floor
A similar measure H.R. 4785 was laid on the table without objection.
Source: Floor
13 June 1990
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: Floor
13 June 1990
Passed
The title of the measure was amended. Agreed to without objection.
Source: Floor
13 June 1990
Passed
On passage Passed by voice vote.
Source: Floor
13 June 1990
Passed
Passed/agreed to in House: On passage Passed by voice vote.
Source: Floor
13 June 1990
Passed
The House struck all after the enacting clause and inserted in lieu thereof the provisions of a similar measure H.R. 4785. Agreed to without objection.
Source: Floor
13 June 1990
Floor
The previous question was ordered pursuant to the rule.
Source: Floor
13 June 1990
Floor
Considered under the provisions of rule H. Res. 408.
Source: Floor
14 June 1990
Floor
Message on House action received in Senate and held at desk: House amendments to Senate bill and House requests a conference.
Source: Floor
14 June 1990
Floor
By unanimous consent, the Speaker reserved the authority to make additional appointments of conferees.
Source: Floor
14 June 1990
ResolvingDifferences
The chair appointed conferees: Dingell, Waxman, Rowland (GA), Lent, and Madigan.
Source: ResolvingDifferences
18 June 1990
Passed
Senate agreed to request for conference. Appointed conferees. Kennedy; Pell; Metzenbaum; Dodd; Hatch; Coats; Jeffords.
Source: ResolvingDifferences
18 June 1990
Passed
Senate disagreed to the House amendments by Voice Vote.
Source: Floor
18 June 1990
Passed
Resolving differences -- Senate actions: Senate disagreed to the House amendments by Voice Vote.
Source: NotUsed
19 June 1990
Floor
Message on Senate action sent to the House.
Source: Floor
20 June 1990
ResolvingDifferences
Senate appointed conferee Durenberger in lieu of Coats by unanimous consent.
Source: ResolvingDifferences
21 June 1990
Floor
Message on Senate action sent to the House.
Source: Floor
31 July 1990
ResolvingDifferences
Conference report H. Rept. 101-652 filed. Filed late, pursuant to previous special order.
Source: ResolvingDifferences
31 July 1990
ResolvingDifferences
Conference report filed: Conference report H. Rept. 101-652 filed. Filed late, pursuant to previous special order.
Source: ResolvingDifferences
31 July 1990
Passed
Mr. Waxman asked unanimous consent that managers on the part of the House have until midnight on July 31 to file a conference report on S. 2240. Agreed to without objection.
Source: Committee
31 July 1990
Passed
Conferees agreed to file conference report.
Source: ResolvingDifferences
31 July 1990
Passed
Conference committee actions: Conferees agreed to file conference report.
Source: ResolvingDifferences
4 August 1990
Passed
Conference report agreed to in Senate: Senate agreed to conference report by Voice Vote.
Source: ResolvingDifferences
4 August 1990
Passed
Motions to reconsider laid on the table Agreed to without objection.
Source: ResolvingDifferences
4 August 1990
Passed
On motion to recede from its amendment to the title Agreed to without objection.
Source: ResolvingDifferences
4 August 1990
Passed
Resolving differences -- House actions: On motion to recede from its amendment to the title Agreed to without objection.
Source: NotUsed
4 August 1990
Passed
On agreeing to the conference report Agreed to by voice vote.
Source: ResolvingDifferences
4 August 1990
Passed
Conference report agreed to in House: On agreeing to the conference report Agreed to by voice vote.
Source: ResolvingDifferences
4 August 1990
Floor
The previous question was ordered without objection.
Source: Floor
4 August 1990
Floor
DEBATE - The House proceeded with one hour of debate on the conference report.
Source: Floor
4 August 1990
ResolvingDifferences
Mr. Waxman brought up conference report H.Rept. 101-652 for consideration as a privileged matter.
Source: ResolvingDifferences
4 August 1990
ResolvingDifferences
Conference papers: Senate report and managers' statement message on House action held at the desk in Senate.
Source: ResolvingDifferences
14 August 1990
Floor
Presented to President.
Source: Floor
14 August 1990
President
Presented to President.
Source: President
14 August 1990
Floor
Measure Signed in Senate.
Source: Floor
18 August 1990
Became law
Became Public Law No: 101-381.
Source: President
18 August 1990
Became law
Signed by President.
Source: BecameLaw
18 August 1990
President
Signed by President.
Source: President

Votes

16 May 1990 · Bill Passed · On Passage of the Bill S. 2240 · Bill Passed · Official source

Yes 95 · No 4 · Abstain — · Absent/not voting 1

Showing the first 4 recorded positions. Vote totals above are complete.

Versions

Engrossed Amendment House · — · Download file
Enrolled Bill · — · Download file
Engrossed in Senate · — · Download file
Introduced in Senate · — · Download file
Reported to Senate · — · Download file

Documents

11 official files

Reported to Senate (text)

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Reported to Senate (text)
Reported to Senate · EN
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Introduced in Senate (text)
Introduced in Senate · EN
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Engrossed in Senate (text)
Engrossed in Senate · EN
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Enrolled Bill (text)
Enrolled Bill · EN
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Engrossed Amendment House (text)
Engrossed Amendment House · EN
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Public Law (PDF)
Public Law · EN · 19 August 1990
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Conference report filed in House
summary · EN · 31 July 1990
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Passed House amended
summary · EN · 13 June 1990
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Passed Senate amended
summary · EN · 16 May 1990
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Reported to Senate with amendment(s)
summary · EN · 24 April 1990
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Introduced in Senate
summary · EN · 6 March 1990
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Direct relationships

Legal framework · Ryan White Comprehensive AIDS Resources Emergency Act of 1990 · S. 2240 (101st) · US

Identifier matchPROJECTS_FROM
Same us record 101-s-2240 projected from PoliticalRepo US row.
Ryan White Comprehensive AIDS Resources Emergency Act of 1990

Sources

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Official source: https://www.congress.gov/bill/101st-congress/senate-bill/2240
Open data entity: https://api.congress.gov/v3/bill/101/s/2240
us · 101-s-2240 · source updated 21 April 2025