GRANTS FOR COORDINATED SERVICES AND ACCESS TO RESEARCH FOR WOMEN, INFANTS, CHILDREN, AND YOUTH.

SEC. 401. GRANTS FOR COORDINATED SERVICES AND ACCESS TO RESEARCH FOR WOMEN, INFANTS, CHILDREN, AND YOUTH. (a) Elimination of Requirement To Enroll Significant Numbers of Women and Children.—Section 2671(b) (42 U.S.C. 300ff–71(b)) is amended— (1) in paragraph (1), by striking subparagraphs (C) and (D) and inserting the following: “(C) The applicant will demonstrate linkages to research and how access to such research is being offered to patients.”; and (2) by striking paragraphs (3) and (4). (b) Information and Education.—Section 2671(d) (42 U.S.C. 300ff–71(d)) is amended by adding at the end the following: “(4) The applicant will provide individuals with information and education on opportunities to participate in HIV/AIDS-related clinical research.”. (c) Quality Management; Administrative Expenses Ceiling.—Section 2671(f) (42 U.S.C. 300ff–71(f)) is amended— (1) by striking the subsection heading and designation and inserting the following: “(f) Administration.— “(1) Application.—”; and (2) by adding at the end the following: “(2) Quality management program.—A grantee under this section shall implement 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.”. (d) Coordination.—Section 2671(g) (42 U.S.C. 300ff–71(g)) is amended by adding at the end the following: “The Secretary acting through the Director of NIH, shall examine the distribution and availability of ongoing and appropriate HIV/AIDS-related research projects to existing sites under this section for purposes of enhancing and expanding voluntary access to HIV-related research, especially within communities that are not reasonably served by such projects. Not later than 12 months after the date of the enactment of the Ryan White CARE Act Amendments of 2000, the Secretary shall prepare and submit to the appropriate committees of Congress a report that describes the findings made by 114 STAT. 1348the Director and the manner in which the conclusions based on those findings can be addressed.”. (e) Administrative Expenses.—Section 2671 of the Public Health Service Act (42 U.S.C. 300ff–71) is amended— (1) by redesignating subsections (i) and (j) as subsections (j) and (k), respectively; and (2) by inserting after subsection (h) the following subsection: “(i) Limitation on Administrative Expenses.— “(1) Determination by secretary.—Not later than 12 months after the date of the enactment of the Ryan White CARE Act Amendments of 2000, the Secretary, in consultation with grantees under this part, shall conduct a review of the administrative, program support, and direct service-related activities that are carried out under this part to ensure that eligible individuals have access to quality, HIV-related health and support services and research opportunities under this part, and to support the provision of such services. “(2) Requirements.— “(A) In general.—Not later than 180 days after the expiration of the 12-month period referred to in paragraph (1) the Secretary, in consultation with grantees under this part, shall determine the relationship between the costs of the activities referred to in paragraph (1) and the access of eligible individuals to the services and research opportunities described in such paragraph. “(B) Limitation.—After a final determination under subparagraph (A), the Secretary may not make a grant under this part unless the grantee complies with such requirements as may be included in such determination.”. (f) Authorization of Appropriations.—Section 2671 of the Public Health Service Act (42 U.S.C. 300ff–71) is amended in subsection (j) (as redesignated by subsection (e)(1) of this section) by striking “fiscal years 1996 through 2000” and inserting “fiscal years 2001 through 2005”.