GENERAL PROVISIONS.

SEC. 501. GENERAL PROVISIONS. Part E of title XXVI of the Public Health Service Act (42 U.S.C. 300ff–80 et seq.) is amended to read as follows:“PART E—GENERAL PROVISIONS“SEC. 2681. COORDINATION.“(a) Requirement.—The Secretary shall ensure that the Health Resources and Services Administration, the Centers for Disease Control and Prevention, the Substance Abuse and Mental Health Services Administration, and the Centers for Medicare & Medicaid 120 STAT. 2813 Services coordinate the planning, funding, and implementation of Federal HIV programs (including all minority AIDS initiatives of the Public Health Service, including under section 2693) to enhance the continuity of care and prevention services for individuals with HIV/AIDS or those at risk of such disease. The Secretary shall consult with other Federal agencies, including the Department of Veterans Affairs, as needed and utilize planning information submitted to such agencies by the States and entities eligible for assistance under this title.“(b) Report.—The Secretary shall biennially prepare and submit to the appropriate committees of the Congress a report concerning the coordination efforts at the Federal, State, and local levels described in this section, including a description of Federal barriers to HIV program integration and a strategy for eliminating such barriers and enhancing the continuity of care and prevention services for individuals with HIV/AIDS or those at risk of such disease.“(c) Integration by State.—As a condition of receipt of funds under this title, a State shall provide assurances to the Secretary that health support services funded under this title will be integrated with other such services, that programs will be coordinated with other available programs (including Medicaid), and that the continuity of care and prevention services of individuals with HIV/AIDS is enhanced.“(d) Integration by Local or Private Entities.—As a condition of receipt of funds under this title, a local government or private nonprofit entity shall provide assurances to the Secretary that services funded under this title will be integrated with other such services, that programs will be coordinated with other available programs (including Medicaid), and that the continuity of care and prevention services of individuals with HIV is enhanced. “SEC. 2682. AUDITS.“(a) In General.—For fiscal year 2009, and each subsequent fiscal year, the Secretary may reduce the amounts of grants under this title to a State or political subdivision of a State for a fiscal year if, with respect to such grants for the second preceding fiscal year, the State or subdivision fails to prepare audits in accordance with the procedures of section 7502 of title 31, United States Code. The Secretary shall annually select representative samples of such audits, prepare summaries of the selected audits, and submit the summaries to the Congress.“(b) Posting on the Internet.—All audits that the Secretary receives from the State lead agency under section 2617(b)(4) shall be posted, in their entirety, on the Internet website of the Health Resources and Services Administration. “SEC. 2683. PUBLIC HEALTH EMERGENCY.“(a) In General.—In an emergency area and during an emergency period, the Secretary shall have the authority to waive such requirements of this title to improve the health and safety of those receiving care under this title and the general public, except that the Secretary may not expend more than 5 percent of the funds allocated under this title for sections 2620 and section 2603(b).“(b) Emergency Area and Emergency Period.—In this section:“(1) Emergency area.—The term ‘emergency area’ means a geographic area in which there exists—120 STAT. 2814 “(A) an emergency or disaster declared by the President pursuant to the National Emergencies Act or the Robert T. Stafford Disaster Relief and Emergency Assistance Act; or“(B) a public health emergency declared by the Secretary pursuant to section 319.“(2) Emergency period.—The term ‘emergency period’ means the period in which there exists—“(A) an emergency or disaster declared by the President pursuant to the National Emergencies Act or the Robert T. Stafford Disaster Relief and Emergency Assistance Act; or“(B) a public health emergency declared by the Secretary pursuant to section 319.“(c) Unobligated Funds.—If funds under a grant under this section are not expended for an emergency in the fiscal year in which the emergency is declared, such funds shall be returned to the Secretary for reallocation under sections 2603(b) and 2620. “SEC. 2684. PROHIBITION ON PROMOTION OF CERTAIN ACTIVITIES. “None of the funds appropriated under this title shall be used to fund AIDS programs, or to develop materials, designed to promote or encourage, directly, intravenous drug use or sexual activity, whether homosexual or heterosexual. Funds authorized under this title may be used to provide medical treatment and support services for individuals with HIV. “SEC. 2685. PRIVACY PROTECTIONS.“(a) In General.—The Secretary shall ensure that any information submitted to, or collected by, the Secretary under this title excludes any personally identifiable information.“(b) Definition.—In this section, the term ‘personally identifiable information’ has the meaning given such term under the regulations promulgated under section 264(c) of the Health Insurance Portability and Accountability Act of 1996. “SEC. 2686. GAO REPORT. “The Comptroller General of the Government Accountability Office shall biennially submit to the appropriate committees of Congress a report that includes a description of Federal, State, and local barriers to HIV program integration, particularly for racial and ethnic minorities, including activities carried out under subpart III of part F, and recommendations for enhancing the continuity of care and the provision of prevention services for individuals with HIV/AIDS or those at risk for such disease. Such report shall include a demonstration of the manner in which funds under this subpart are being expended and to what extent the services provided with such funds increase access to prevention and care services for individuals with HIV/AIDS and build stronger community linkages to address HIV prevention and care for racial and ethnic minority communities. “SEC. 2687. SEVERITY OF NEED INDEX.“(a) Development of Index.—Not later than September 30, 2008, the Secretary shall develop and submit to the appropriate committees of Congress a severity of need index in accordance with subsection (c).120 STAT. 2815“(b) Definition of Severity of Need Index.—In this section, the term ‘severity of need index’ means the index of the relative needs of individuals within a State or area, as identified by a number of different factors, and is a factor or set of factors that is multiplied by the number of living HIV/AIDS cases in a State or area, providing different weights to those cases based on needs. Such factors or set of factors may be different for different components of the provisions under this title.“(c) Requirements for Secretarial Submission.—When the Secretary submits to the appropriate committees of Congress the severity of need index under subsection (a), the Secretary shall provide the following:“(1) Methodology for and rationale behind developing the severity of need index, including information related to the field testing of the severity of need index.“(2) An independent contractor analysis of activities carried out under paragraph (1).“(3) Information regarding the process by which the Secretary received community input regarding the application and development of the severity of need index.“(d) Annual Reports.—If the Secretary fails to submit the severity of need index under subsection (a) in either of fiscal years 2007 or 2008, the Secretary shall prepare and submit to the appropriate committees of Congress a report for such fiscal year—“(1) that updates progress toward having client level data;“(2) that updates the progress toward having a severity of need index, including information related to the methodology and process for obtaining community input; and“(3) that, as applicable, states whether the Secretary could develop a severity of need index before fiscal year 2009. “SEC. 2688. DEFINITIONS. “For purposes of this title:“(1) AIDS.—The term ‘AIDS’ means acquired immune deficiency syndrome.“(2) Co-occurring conditions.—The term ‘co-occurring conditions’ means one or more adverse health conditions in an individual with HIV/AIDS, without regard to whether the individual has AIDS and without regard to whether the conditions arise from HIV.“(3) Counseling.—The term ‘counseling’ means such counseling provided by an individual trained to provide such counseling.“(4) Family-centered care.—The term ‘family-centered care’ means the system of services described in this title that is targeted specifically to the special needs of infants, children, women and families. Family-centered care shall be based on a partnership between parents, professionals, and the community designed to ensure an integrated, coordinated, culturally sensitive, and community-based continuum of care for children, women, and families with HIV/AIDS.“(5) Families with hiv/aids.—The term ‘families with HIV/AIDS’ means families in which one or more members have HIV/AIDS.“(6) HIV.—The term ‘HIV’ means infection with the human immunodeficiency virus.“(7) HIV/AIDS.—120 STAT. 2816“(A) In general.—The term ‘HIV/AIDS’ means HIV, and includes AIDS and any condition arising from AIDS.“(B) Counting of cases.—The term ‘living cases of HIV/AIDS’, with respect to the counting of cases in a geographic area during a period of time, means the sum of—“(i) the number of living non-AIDS cases of HIV in the area; and“(ii) the number of living cases of AIDS in the area.“(C) Non-aids cases.—The term ‘non-AIDS’, with respect to a case of HIV, means that the individual involved has HIV but does not have AIDS.“(8) Human immunodeficiency virus.—The term ‘human immunodeficiency virus’ means the etiologic agent for AIDS.“(9) Official poverty line.—The term ‘official poverty line’ means the poverty line established by the Director of the Office of Management and Budget and revised by the Secretary in accordance with section 673(2) of the Omnibus Budget Reconciliation Act of 1981.“(10) Person.—The term ‘person’ includes one or more individuals, governments (including the Federal Government and the governments of the States), governmental agencies, political subdivisions, labor unions, partnerships, associations, corporations, legal representatives, mutual companies, joint-stock companies, trusts, unincorporated organizations, receivers, trustees, and trustees in cases under title 11, United States Code.“(11) State.—“(A) In general.—The term ‘State’ means each of the 50 States, the District of Columbia, and each of the territories.“(B) Territories.—The term ‘territory’ means each of American Samoa, Guam, the Commonwealth of Puerto Rico, the Commonwealth of the Northern Mariana Islands, the Virgin Islands, the Republic of the Marshall Islands, the Federated States of Micronesia, and Palau.“(12) Youth with hiv.—The term ‘youth with HIV’ means individuals who are 13 through 24 years old and who have HIV/AIDS.” .