Ryan White CARE Act Amendments of 1996

enactedUnited States· United States Congress· EN

Introduced

28 March 1995

Last action

20 May 1996 · President

Status

Became Public Law No: 104-146.

Summary

Ryan White CARE Reauthorization Act of 1995 - Amends title XXVI (HIV Health Care Services Program) of the Public Health Service Act regarding emergency relief for areas with a substantial need for services. Changes requirements for grants to metropolitan areas having large numbers of cases of acquired immune deficiency syndrome (AIDS). Modifies the composition, chairperson requirements, and duties of local human immunodeficiency virus (HIV) health services planning councils. Revises requirements for supplemental grants. Alters the method for determining the amount of each grant, the mandated uses of the grants, and application requirements. Allows a single application for initial and supplemental grants and authorizes both to be made as a single grant. Mandates (currently, allows) technical assistance. Authorizes planning grants. Amends provisions relating to the care grant program to change the uses of HIV care consortia grants and consortium application requirements. Mandates establishment of a recommended minimum formulary of pharmaceutical drug therapies approved by the Food and Drug Administration. Revises: (1) State duties in using grant funds to provide treatments; (2) State application requirements; and (3) planning, evaluation, and administration requirements. Mandates (currently, allows) technical assistance. Mandates grievance procedures to address allegations of egregious violations of title XXVI. Requires coordination of the planning and implementation of Federal HIV programs by the Health Resources and Services Administration, the Centers for Disease Control and Prevention, and the Substance Abuse and Mental Health Services Administration. Amends early intervention services provisions to: (1) require grant recipients to provide a continuum of primary care; and (2) modify other requirements regarding uses of grant funds. Authorizes planning grants to entities that are not direct primary care providers to enable them to provide HIV primary care services. Authorizes appropriations for early intervention grants. Replaces provisions mandating demonstration grants for research and services for pediatric AIDS patients with provisions mandating grants for primary care for out-patient care and support services to children, youth, women with HIV disease, and the families of those individuals and for facilitating the participation of such individuals in research. Requires procedures for the protection of human subjects. Prohibits conditioning services on research participation. Authorizes appropriations. Reserves a specified portion of the amounts appropriated under other parts of title XXVI to administer a special projects of national significance program to award direct grants for special programs for the care and treatment of individuals with HIV disease. Repeals current provisions relating to special projects of national significance. Replaces provisions of the Public Health Service Act authorizing grants and contracts to train the faculty of specified types of health professions schools regarding providing for the health care needs of individuals with HIV disease with provisions authorizing grants and contracts to train health personnel, including community providers, in the diagnosis, treatment, and prevention of HIV infection and disease. Authorizes appropriations. (Sec. 4) Amends title XXVI provisions relating to emergency relief for areas with a substantial need for services to modify the formula for determining the amount of grants. (Sec. 5) Amends provisions relating to the care grant program to change the formula regarding minimum grant allotments. (Sec. 6) Authorizes appropriations to make grants under title XXVI provisions relating to: (1) emergency relief for areas with a substantial need for services; and (2) the care grant program. Mandates development and implementation of a methodology for adjusting the percentages allocated to those parts. Repeals existing authorizations of appropriations for those parts.

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

Timeline

22 February 1995
Committee
Senate Committee on Labor and Human Resources. Hearings held prior to introduction and/or referral. Hearings printed: S.Hrg. 104-19.
Source: Committee
28 March 1995
Introduced
Read twice and referred to the Committee on Labor and Human Resources.
Source: IntroReferral
28 March 1995
Introduced
Sponsor introductory remarks on measure. (CR S4730-4732)
Source: IntroReferral
28 March 1995
Introduced
Introduced in Senate
Source: IntroReferral
29 March 1995
Reported
Committee on Labor and Human Resources. Ordered to be reported without amendment favorably.
Source: Committee
3 April 1995
Calendars
Placed on Senate Legislative Calendar under General Orders. Calendar No. 47.
Source: Calendars
3 April 1995
Reported
Committee on Labor and Human Resources. Reported to Senate by Senator Kassebaum without amendment. With written report No. 104-25.
Source: Committee
3 April 1995
Reported
Committee on Labor and Human Resources. Reported to Senate by Senator Kassebaum without amendment. With written report No. 104-25.
Source: Committee
21 July 1995
Floor
Measure laid before Senate. (consideration: CR S10476-10481, S10486)
Source: Floor
21 July 1995
Introduced
Sponsor introductory remarks on measure. (CR S10476-10477)
Source: IntroReferral
26 July 1995
Floor
Considered by Senate. (consideration: CR S10697-10699, S10701-10728)
Source: Floor
27 July 1995
Floor
Considered by Senate. (consideration: CR S10747-10754, S10757-10767)
Source: Floor
27 July 1995
Vote
Passed/agreed to in Senate: Passed Senate with amendments by Yea-Nay Vote. 97-3. Record Vote No: 338.
Source: Floor
28 July 1995
Floor
Held at the desk.
Source: Floor
28 July 1995
Floor
Message on Senate action sent to the House.
Source: Floor
28 July 1995
Floor
Received in the House.
Source: Floor
18 September 1995
Floor
A similar measure H.R. 1872 was laid on the table without objection.
Source: Floor
18 September 1995
Passed
The title of the measure was amended to that of similar measure H.R. 1872. Agreed to without objection.
Source: Floor
18 September 1995
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: Floor
18 September 1995
Passed
On passage Passed without objection.
Source: Floor
18 September 1995
Passed
Passed/agreed to in House: On passage Passed without objection.
Source: Floor
18 September 1995
Passed
The House struck all after the enacting clause and inserted in lieu thereof the provisions of a similar measure H.R. 1872. Agreed to without objection.
Source: Floor
18 September 1995
Floor
Considered by unanimous consent. (consideration: CR H9062-9067)
Source: Floor
18 September 1995
Floor
Mr. Bilirakis asked unanimous consent to take from the Speaker's table and consider.
Source: Floor
19 September 1995
Floor
Message on House action received in Senate and at the desk: House amendments to Senate bill.
Source: Floor
13 October 1995
Passed
Senate disagreed to House amendments requested conference and appointed conferees. Kassebaum; Jeffords; Frist; Kennedy; Dodd. (consideration: CR S15176)
Source: ResolvingDifferences
17 October 1995
Floor
Message on Senate action sent to the House.
Source: Floor
7 December 1995
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: ResolvingDifferences
7 December 1995
ResolvingDifferences
The Speaker appointed conferees - from the Committee on Commerce for consideration of the Senate bill and the House amendment, and modifications committed to conference: Bliley, Bilirakis, Coburn, Waxman, and Studds.
Source: ResolvingDifferences
7 December 1995
Passed
On motion that the House insist upon its amendments, and agree to a conference Agreed to without objection. (consideration: CR H14205)
Source: ResolvingDifferences
7 December 1995
ResolvingDifferences
Mr. Bliley asked unanimous consent that the House insist upon its amendments, and agree to a conference.
Source: ResolvingDifferences
27 March 1996
ResolvingDifferences
Conference held.
Source: ResolvingDifferences
27 March 1996
ResolvingDifferences
Conference committee actions: Conference held.
Source: ResolvingDifferences
30 April 1996
ResolvingDifferences
Conference report H. Rept. 104-545 filed. Filed late, pursuant to previous special order. (text of conference report: CR H4287-4299)
Source: ResolvingDifferences
30 April 1996
ResolvingDifferences
Conference report filed: Conference report H. Rept. 104-545 filed. Filed late, pursuant to previous special order.(text of conference report: CR H4287-4299)
Source: ResolvingDifferences
30 April 1996
Passed
Mr. Coburn asked unanimous consent that managers on the part of the House have until midnight on April 30 to file a conference report on S. 641. Agreed to without objection.
Source: Committee
30 April 1996
Passed
Conferees agreed to file conference report.
Source: ResolvingDifferences
30 April 1996
Passed
Conference committee actions: Conferees agreed to file conference report.
Source: ResolvingDifferences
1 May 1996
Vote
On agreeing to the conference report Agreed to by the Yeas and Nays: 402 - 4 (Roll no. 145). (consideration: CR H4366)
Source: ResolvingDifferences
1 May 1996
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: ResolvingDifferences
1 May 1996
Vote
Conference report agreed to in House: On agreeing to the conference report Agreed to by the Yeas and Nays: 402 - 4 (Roll no. 145).(consideration: CR H4366)
Source: ResolvingDifferences
1 May 1996
ResolvingDifferences
The previous question was ordered without objection.
Source: ResolvingDifferences
1 May 1996
Floor
DEBATE - The House proceeded with one hour of debate on the conference report.
Source: Floor
1 May 1996
ResolvingDifferences
Mr. Bilirakis asked unanimous consent for consideration of the conference report, H. Rept. 104-545. (consideration: CR H4355-4367)
Source: ResolvingDifferences
1 May 1996
ResolvingDifferences
Conference papers: Senate report and managers' statement held at the desk in Senate.
Source: ResolvingDifferences
2 May 1996
ResolvingDifferences
Conference papers: message on House action held at the desk in Senate.
Source: ResolvingDifferences
2 May 1996
Passed
Conference report agreed to in Senate: Senate agreed to conference report by Unanimous Consent.(consideration: CR S4649)
Source: ResolvingDifferences
6 May 1996
Floor
Message on Senate action sent to the House.
Source: Floor
8 May 1996
Floor
Presented to President.
Source: Floor
8 May 1996
President
Presented to President.
Source: President
20 May 1996
Became law
Became Public Law No: 104-146.
Source: President
20 May 1996
Became law
Signed by President.
Source: BecameLaw
20 May 1996
President
Signed by President.
Source: President

Votes

27 July 1995 · Bill Passed · On Passage of the Bill S. 641 · Bill Passed · Official source

Yes 97 · No 3 · Abstain — · Absent/not voting 0

Showing the first 8 recorded positions. Vote totals above are complete.

Versions

Enrolled Bill · undated · Official file
Public Law · 21 May 1996 · Official file
Engrossed Amendment House · 18 September 1995 · Official file
Engrossed in Senate · 27 July 1995 · Official file
Reported to Senate · 3 April 1995 · Official file
Introduced in Senate · 28 March 1995 · Official file

Documents

16 official files

Enrolled Bill (text)
Enrolled Bill · EN
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Enrolled Bill (PDF)
Enrolled Bill · EN
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Public Law (text)
Public Law · EN · 21 May 1996
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Public Law (PDF)
Public Law · EN · 21 May 1996
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Conference report filed in House
summary · EN · 30 April 1996
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Engrossed Amendment House (text)
Engrossed Amendment House · EN · 18 September 1995
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Engrossed Amendment House (PDF)
Engrossed Amendment House · EN · 18 September 1995
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Passed House amended
summary · EN · 18 September 1995
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Engrossed in Senate (text)
Engrossed in Senate · EN · 27 July 1995
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Engrossed in Senate (PDF)
Engrossed in Senate · EN · 27 July 1995
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Passed Senate amended
summary · EN · 27 July 1995
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Reported to Senate (text)
Reported to Senate · EN · 3 April 1995
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Reported to Senate (PDF)
Reported to Senate · EN · 3 April 1995
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Introduced in Senate (text)
Introduced in Senate · EN · 28 March 1995
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Introduced in Senate (PDF)
Introduced in Senate · EN · 28 March 1995
View Download Open at official source
Introduced in Senate
summary · EN · 28 March 1995
Open at official source

Related records

related to → Ryan White CARE Act Amendments of 1995

Sources

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

Official source: https://www.congress.gov/bill/104th-congress/senate-bill/641
Open data entity: https://api.congress.gov/v3/bill/104/s/641
us · 104-s-641 · source updated 2 July 2025