Page:United States Statutes at Large Volume 102 Part 4.djvu/119

 PUBLIC LAW 100-607—NOV. 4, 1988

102 STAT. 3089

either directly or through affiliation with a hospital that has experience in treating AIDS patients; and "(iii) case management services to ensure, through existing services and programs whenever possible, appropriate discharge planning for patients; and "(B) technical assistance, to other facilities in the region ' served by such facility, that is directed toward education and training of physicians, nurses, and other health-care professionals in the subacute care and treatment of patients infected with the human immunodeficiency virus. "(2) Services provided under each demonstration project may also include— "(A) hospice services; "(B) outpatient care; and "(C) outreach activities in the surrounding community to hospitals and other health-care facilities that serve patients infected with the human immunodeficiency virus. "(d) The demonstration projects shall be conducted— "(1) during a 4-year period beginning not later than 9 months after the date of enactment of this section; and "(2) at sites that— "(A) are geographically diverse and located in areas that are appropriate for the provision of the required and authorized services; and "(B) have the highest incidence of AIDS cases and the greatest need for subacute-care services. "(e) The Secretary shall evaluate the operations of the demonstration projects and shall submit to the Committee on Energy and Commerce of the House of Representatives and the Committee on Labor and Human Resources of the Senate— "(1) not later than 18 months after the beginning of the first project, a preliminary report that contains— "(A) a description of the sites at which the projects are being conducted and of the services being provided in each project; and "(B) a preliminary evaluation of the experience of the projects in the first 12 months of operation; and "(2) not later than 6 months after the completion of the last project, a final report that contains— "(A) an assessment of the costs of subacute care for patients infected with the human immunodeficiency virus, including a breakdown of all other sources of funding for the care provided to cover subacute care; and "(B) recommendations for appropriate legislative changes. "(f) Each demonstration project shall provide for other research to be carried out at the site of such demonstration project including— "(1) clinical research on the acquired immunodeficiency syndrome, concentrating on research on the neurological manifestations resulting from infection with the human immunodeficiency virus; and "(2) the study of the psychological and mental health issues related to the acquired immunodeficiency syndrome. "(g)(1) To carry out this section, there are authorized to be appropriated $10,000,000 for fiscal year 1988 and such sums as are necessary for each of the fiscal years 1989 through 1991.

Reports.

Research and development.

Appropriation authorization.

�