USE OF GRANTS.

SEC. 202. USE OF GRANTS. Section 2612 of the Public Health Service Act (42 U.S.C. 300ff–22) is amended— (1) by striking “A State may use” and inserting “(a) In General.—A State may use”; and (2) by adding at the end the following subsections: “(b) Support Services; Outreach.—The purposes for which a grant under this part may be used include delivering or enhancing the following: “(1) Outpatient and ambulatory support services under section 2611(a) (including case management) to the extent that such services facilitate, enhance, support, or sustain the delivery, continuity, or benefits of health services for individuals and families with HIV disease. “(2) Outreach activities that are intended to identify individuals with HIV disease who know their HIV status and are not receiving HIV-related services, and that are— “(A) necessary to implement the strategy under section 2617(b)(4)(B), including activities facilitating the access of such individuals to HIV-related primary care services at entities described in subsection (c)(1); “(B) conducted in a manner consistent with the requirement under section 2617(b)(6)(G) and 2651(b)(2); and “(C) supplement, and do not supplant, such activities that are carried out with amounts appropriated under section 317. “(c) Early Intervention Services.— “(1) In general.—The purposes for which a grant under this part may be used include providing to individuals with HIV disease early intervention services described in section 2651(b)(2), with follow-up referral provided for the purpose of facilitating the access of individuals receiving the services to HIV-related health services. The entities through which such services may be provided under the grant include public health departments, emergency rooms, substance abuse and mental health treatment programs, detoxification centers, detention facilities, clinics regarding sexually transmitted diseases, homeless shelters, HIV disease counseling and testing sites, health care points of entry specified by States or eligible areas, federally qualified health centers, and entities described in section 114 STAT. 13312652(a) that constitute a point of access to services by maintaining referral relationships. “(2) Conditions.—With respect to an entity that proposes to provide early intervention services under paragraph (1), such paragraph applies only if the entity demonstrates to the satisfaction of the State involved that— “(A) Federal, State, or local funds are otherwise inadequate for the early intervention services the entity proposes to provide; and “(B) the entity will expend funds pursuant to such paragraph to supplement and not supplant other funds available to the entity for the provision of early intervention services for the fiscal year involved. “(d) Quality Management.— “(1) Requirement.—Each State that receives a grant under this part shall provide for the establishment of a quality management program to assess the extent to which HIV health 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 as applicable, to develop strategies for ensuring that such services are consistent with the guidelines for improvement in the access to and quality of HIV health services. “(2) Use of funds.—From amounts received under a grant awarded under this part for a fiscal year, the State may (in addition to amounts to which section 2618(b)(5) applies) use for activities associated with the quality management program required in paragraph (1) not more than the lesser of— “(A) 5 percent of amounts received under the grant; or “(B) $3,000,000.”.