Ryan White CARE Act Amendments of 2000

Summary

Ryan White CARE Act Amendments of 2000 - Title I: Amendments to HIV Health Care Program - Subtitle A: Purpose; Amendments to Part A (Emergency Relief Grants ) - Amends Public Health Service Act provisions relating to emergency relief for areas with a substantial need for services relating to human immunodeficiency virus (HIV) disease to revise the duties of HIV health services planning councils. Directs the Secretary of Health and Human Services to: (1) develop epidemiologic measures for establishing the number of individuals living with HIV disease (defined as infection with the etiologic agent for acquired immune deficiency syndrome (AIDS), including any condition arising from AIDS) who are not receiving HIV-related health services; and (2) provide advice and technical assistance to planning councils regarding the process for establishing fund allocation priorities. (Sec. 102) Requires the chief elected official of an area that receives an emergency relief grant to establish a quality management program to assess the extent to which medical services provided to patients under the grant are consistent with the most recent Public Health Service guidelines for the treatment of HIV disease and related opportunistic infection and to develop strategies for improvements in the access to and quality of medical services. Allows use of emergency relief grant funds for the program. (Sec. 103) Requires, in order to receive an emergency relief grant, that: (1) the State or private service provider have a participation agreement under titles XIX (Medicaid) and XXI (Children's Health Insurance) of the Social Security Act; and (2) funded entities maintain relationships with area entities that constitute key points of access to the health care system (such as emergency rooms, substance abuse treatment programs, and sexually transmitted disease clinics) for individuals with HIV disease to facilitate early intervention. (Sec. 104) Requires that emergency relief grants be used: (1) for outpatient and ambulatory health services (currently, for outpatient and ambulatory health and support services, including case management) and other specified services; and (2) if the service provider meets specified requirements, for early intervention services. Requires that State and political subdivision grant recipients use the grants to increase funding for HIV-related services specified in provisions relating to outpatient and inpatient services (currently, HIV-related services to individuals with HIV disease). (Sec. 106) Makes permanent the provisions of current law requiring disbursal of 50 percent of the amounts appropriated 60 days after an appropriation for emergency relief grants and grants under provisions relating to grants to improve the quality, availability, and organization of health care and support services for individuals and families with HIV disease becomes available. (Sec. 107) Requires that the amount of a grant to an eligible area be not less than 98 percent of the amount the area received in the preceding fiscal year. (Sec. 108) Requires emergency relief grants to be used for infants, children, and women with HIV disease in the same ratio as each of those populations bears to the general population in that area of individuals with HIV disease. Subtitle B: Amendments to Part B (Care Grant Program ) - Modifies requirements regarding the contents of applications for grants to improve the quality, availability, and organization of health care and support services for individuals and families with HIV disease (care grants), including regarding peer review and quality management. Limits the amount a State may spend on its quality management program. Changes requirements regarding the amount a State that is receiving a small allotment may use for planning, evaluation, and administration. (Sec. 123) Requires, in order to receive a care grant, that funded entities maintain relationships with area entities that constitute key points of access to the health care system (such as emergency rooms, substance abuse treatment programs, and sexually transmitted disease clinics) for individuals with HIV disease to facilitate early intervention. (Sec. 124) Applies to care grants the use conditions and limitations that apply to emergency relief grant use provisions. (Sec. 125) Allows care grants to be used for early intervention services if the service provider meets specified requirements. (Sec. 126) Extends the authorization of appropriations for grants for specified services for pregnant women and newborns. (Sec. 128) Directs the Secretary to make supplemental grants to States for comprehensive services of the type described in care grant provisions to supplement services in areas that are not eligible to receive emergency relief grants. Directs the Secretary to: (1) reserve an amount for States with a metropolitan area that is not eligible for an emergency relief grant and that has 1,000 - 2,000 cases of AIDS; and (2) use 50 percent of any increase in the amount appropriated for emergency relief and care grants to carry out the provisions of this paragraph. (Sec. 129) Requires, in addition to other requirements, that States use therapeutics funds provided from care grants to encourage, support, and enhance adherence to and compliance with treatment regimens, but only if the State is able to provide to all eligible individuals appropriate HIV/AIDS therapeutic regimens as recommended in the most recent Federal treatment guidelines. Mandates supplemental grants to States with a severe need for providing access to AIDS/HIV-related medications for individuals at or below 200 percent of the Federal poverty line. (Sec. 130) Doubles the minimum care grant allotments to States. Adds the Federated States of Micronesia and the Republic of Palau to the definition of "territory of the United States" for determination of care grant allotments. (Sec. 131) Requires care grants to be used for infants, children, and women with HIV disease in the same ratio as each of those populations bears to the general population of that State of individuals with HIV disease. Subtitle C: Amendments to Part C (Early Intervention Services ) - Repeals provisions mandating formula grants for HIV disease early intervention services. (Sec. 142) Allows currently-authorized planning and development grants to be used to expand the capacity, preparedness, and expertise to deliver primary care services to individuals with HIV disease in underserved low-income communities. Increases the limit on the amount of a care grant. (Sec. 143) Extends the authorization of appropriations for early intervention grants. (Sec. 144) Increases the limit on spending for administration (currently, for administration including planning and evaluation) of grants under early intervention provisions. Requires grantees to establish a quality management program to assess: (1) the extent to which medical services funded under title XXVI (HIV Health Care Services Program) of the Public Health Service Act are consistent with the most recent Public Health Service guidelines for the treatment of HIV disease and related opportunistic infections; and (2) whether improvements in access to and quality of medical services are addressed. (Sec. 145) Requires that preference in making early intervention grants be given to serving areas that are not otherwise eligible to receive emergency relief grants. Subtitle D: Amendments to Part D (General Provisions ) - Eliminates requirements that a significant number of women, infants, children, and youth who are patients of the grantee (under provisions mandating grants to provide opportunities for women, infants, children, and youth to be voluntary participants in research of potential benefit to individuals with HIV disease) participate in research projects. Requires grantees to: (1) inform and educate individuals regarding opportunities to participate in HIV/AIDS-related clinical research; and (2) implement a quality management program. Directs the Secretary to examine the distribution and availability of ongoing and appropriate HIV/AIDS- related research to existing sites under provisions amended by this paragraph to enhance and expand voluntary access to HIV-related research, especially in communities that are not reasonably served by the research. Extends the authorization of appropriations to carry out the provisions amended by this paragraph. (Sec. 152) Directs the Secretary to: (1) review the administrative, program support, and direct service-related activities carried out under title XXVI general provisions to ensure that eligible individuals have access to quality, HIV-related health and support services and research opportunities; and (2) determine the relationship between the costs of those activities and the access of eligible individuals to those services and opportunities. (Sec. 153) Authorizes appropriations to carry out: (1) program evaluations; (2) emergency relief grant provisions; and (3) care grant provisions. Subtitle E: Amendments to Part F (Demonstration and Training ) - Extends the authorizations of appropriations to carry out provisions relating to AIDS Education and Training Centers (including schools, centers, and dental schools). Title II: Miscellaneous Provisions - Directs the Secretary to: (1) contract with the Institute of Medicine to conduct a study on appropriate epidemiological measures and their relationship to the financing and delivery of primary care and health-related support services for low-income, uninsured, and under-insured individuals with HIV disease; and (2) report to the appropriate congressional committees regarding how the Institute of Medicine's conclusions and recommendations can be addressed and implemented.

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

Timeline

1. 29 March 2000

   Introduced

   Introduced in Senate

   Source: IntroReferral

2. 29 March 2000

   Introduced

   Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text of measure as introduced: CR S1886-1890)

   Source: IntroReferral

3. 29 March 2000

   Introduced

   Sponsor introductory remarks on measure. (CR S1885-1886)

   Source: IntroReferral

4. 12 April 2000

   Reported

   Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.

   Source: Committee

5. 15 May 2000

   Reported

   Committee on Health, Education, Labor, and Pensions. Reported to Senate by Senator Jeffords with an amendment in the nature of a substitute. With written report No. 106-294.

   Source: Committee

6. 15 May 2000

   Reported

   Committee on Health, Education, Labor, and Pensions. Reported to Senate by Senator Jeffords with an amendment in the nature of a substitute. With written report No. 106-294.

   Source: Committee

7. 15 May 2000

   Calendars

   Placed on Senate Legislative Calendar under General Orders. Calendar No. 548.

   Source: Calendars

8. 6 June 2000

   Reported

   Measure laid before Senate by unanimous consent. (consideration: CR S4589-4599; text of measure as reported in Senate: CR S4589-4593)

   Source: Floor

9. 6 June 2000

   Passed

   Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.(text: CR S4595-4599)

   Source: Floor

10. 7 June 2000

    Introduced

    Referred to the House Committee on Commerce.

    Source: IntroReferral

11. 7 June 2000

    Floor

    Received in the House.

    Source: Floor

12. 7 June 2000

    Floor

    Message on Senate action sent to the House.

    Source: Floor

13. 28 June 2000

    Referred

    Referred to the Subcommittee on Health and Environment.

    Source: Committee

14. 4 October 2000

    Reported

    Rules Committee Resolution H. Res. 611 Reported to House. Rule provides for consideration of S. 2311 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. Measure will be considered read. Bill is closed to amendments.

    Source: Floor

15. 5 October 2000

    Passed

    Senate agreed to House amendments by Unanimous Consent. (consideration: CR S10029-10035)

    Source: ResolvingDifferences

16. 5 October 2000

    Passed

    Rule H. Res. 611 passed House.

    Source: Floor

17. 5 October 2000

    Passed

    Resolving differences -- Senate actions: Senate agreed to House amendments by Unanimous Consent.(consideration: CR S10029-10035)

    Source: NotUsed

18. 5 October 2000

    Passed

    The title of the measure was amended. Agreed to without objection.

    Source: Floor

19. 5 October 2000

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: Floor

20. 5 October 2000

    Vote

    On passage Passed by the Yeas and Nays: 411 - 0 (Roll no. 512).

    Source: Floor

21. 5 October 2000

    Vote

    Passed/agreed to in House: On passage Passed by the Yeas and Nays: 411 - 0 (Roll no. 512).

    Source: Floor

22. 5 October 2000

    Floor

    The previous question was ordered pursuant to the rule.

    Source: Floor

23. 5 October 2000

    Floor

    Rule provides for consideration of S. 2311 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. Measure will be considered read. Bill is closed to amendments.

    Source: Floor

24. 5 October 2000

    Floor

    Considered under the provisions of rule H. Res. 611. (consideration: CR H8818-8847)

    Source: Floor

25. 6 October 2000

    Floor

    Message on Senate action sent to the House.

    Source: Floor

26. 11 October 2000

    Floor

    Presented to President.

    Source: Floor

27. 11 October 2000

    President

    Presented to President.

    Source: President

28. 20 October 2000

    Became law

    Became Public Law No: 106-345.

    Source: President

29. 20 October 2000

    Became law

    Signed by President.

    Source: BecameLaw

30. 20 October 2000

    President

    Signed by President.

    Source: President

Votes

No vote records are attached yet.

Versions

• Enrolled Bill · — · Download file
• Public Law · 20 October 2000 · Download file
• Engrossed Amendment House · 5 October 2000 · Download file
• Referred in House · 7 June 2000 · Download file
• Engrossed in Senate · 6 June 2000 · Download file
• Reported to Senate · 15 May 2000 · Download file
• Introduced in Senate · 29 March 2000 · Download file

Documents

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• Public Law (text)

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• Engrossed Amendment House (text)

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• Passed House amended

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• Referred in House (text)

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• Referred in House (PDF)

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• Engrossed in Senate (text)

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• Passed Senate amended

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• Introduced in Senate (text)

  Introduced in Senate · EN · 29 March 2000

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• Introduced in Senate

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Sponsors

• Sen. Jeffords, James M. [I-VT] · R · Sponsor
• Sen. Kennedy, Edward M. [D-MA] · D · Sponsor
• Sen. Frist, William H. [R-TN] · R · Sponsor
• Sen. Hatch, Orrin G. [R-UT] · R · Sponsor
• Sen. Dodd, Christopher J. [D-CT] · D · Sponsor
• Sen. Enzi, Michael B. [R-WY] · R · Sponsor
• Sen. Harkin, Tom [D-IA] · D · Sponsor
• Sen. Mikulski, Barbara A. [D-MD] · D · Sponsor
• Sen. Bingaman, Jeff [D-NM] · D · Sponsor
• Sen. Wellstone, Paul D. [D-MN] · D · Sponsor
• Sen. Reed, Jack [D-RI] · D · Sponsor
• Sen. Biden, Joseph R., Jr. [D-DE] · D · Sponsor
• Sen. Durbin, Richard J. [D-IL] · D · Sponsor
• Sen. Bennett, Robert F. [R-UT] · R · Cosponsor
• Sen. Lieberman, Joseph I. [ID-CT] · D · Cosponsor
• Sen. Cleland, Max [D-GA] · D · Cosponsor
• Sen. Robb, Charles S. [D-VA] · D · Cosponsor
• Sen. Murray, Patty [D-WA] · D · Cosponsor
• Sen. Sarbanes, Paul S. [D-MD] · D · Cosponsor
• Sen. Gregg, Judd [R-NH] · R · Cosponsor
• Sen. Gorton, Slade [R-WA] · R · Cosponsor
• Sen. Breaux, John B. [D-LA] · D · Cosponsor
• Sen. Kerry, John F. [D-MA] · D · Cosponsor
• Sen. Warner, John [R-VA] · R · Cosponsor
• Sen. Lugar, Richard G. [R-IN] · R · Cosponsor
• Sen. Lautenberg, Frank R. [D-NJ] · D · Cosponsor
• Sen. Chafee, Lincoln [R-RI] · R · Cosponsor
• Sen. Collins, Susan M. [R-ME] · R · Cosponsor
• Sen. Moynihan, Daniel Patrick [D-NY] · D · Cosponsor
• Sen. Schumer, Charles E. [D-NY] · D · Cosponsor
• Sen. Bayh, Evan [D-IN] · D · Cosponsor
• Sen. Inouye, Daniel K. [D-HI] · D · Cosponsor
• Sen. Wyden, Ron [D-OR] · D · Cosponsor
• Sen. Torricelli, Robert G. [D-NJ] · D · Cosponsor
• Sen. Mack, Connie, III [R-FL] · R · Cosponsor
• Sen. Dorgan, Byron L. [D-ND] · D · Cosponsor
• Sen. Edwards, John [D-NC] · D · Cosponsor
• Sen. Thurmond, Strom [R-SC] · R · Cosponsor
• Sen. Graham, Bob [D-FL] · D · Cosponsor
• Sen. Akaka, Daniel K. [D-HI] · D · Cosponsor
• Sen. Bryan, Richard H. [D-NV] · D · Cosponsor
• Sen. Landrieu, Mary L. [D-LA] · D · Cosponsor
• Sen. Feinstein, Dianne [D-CA] · D · Cosponsor
• Sen. Leahy, Patrick J. [D-VT] · D · Cosponsor
• Sen. Hutchison, Kay Bailey [R-TX] · R · Cosponsor
• Sen. Smith, Gordon H. [R-OR] · R · Cosponsor
• Sen. Bond, Christopher S. [R-MO] · R · Cosponsor
• Sen. Santorum, Rick [R-PA] · R · Cosponsor

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Related records

• related to → Ryan White CARE Act Amendments of 2000
• related to → Providing for consideration of the bill (S. 2311) to revise and extend the Ryan White CARE Act programs under title XXVI of the Public Health Service Act, to improve access to health care and the quality of care under such programs, and to provide for the development of increased capacity to provide health care and related support services to individuals and families with HIV disease, and for other purposes.
• amends ← To provide for a complete substitute.
• amends ← An amendment in the nature of a substitute numbered 1 printed in the Congressional Record and made in order as original text in lieu of the existing text pursuant to H. Res. 611.

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