Page:United States Statutes at Large Volume 104 Part 1.djvu/633

 PUBLIC LAW 101-381—AUG. 18, 1990 104 STAT. 599 "(i) for the most recent fiscal year for which the data is available, have admitted— "(I) not fewer than 250 individuals with acquired immune deficiency syndrome; or "(11) a number of such individuals constituting 20 percent of the number of inpatients of the hospital admitted during such period; "(ii) agree to offer and encourage such services with respect to inpatients of the hospitals; and "(iii) agree that subsections (c) and (d) of section 2644 will apply to the hospitals to the same extent and in the same manner as such subsections apply to entities described in such section; "(B) may expend the grant to provide outreach services to individuals who may have HIV diseeise, or may be at risk of the disease, and who may be unaware of the availability and potential benefits of early treatment of the disease, and to provide outreach services to health care professionals who may be unaware of such availability and potential benefits; and "(C) may, in the case of individuals who seek early intervention services from the grantee, expend the grant— "(i) for case management to provide coordination in the provision of health care services to the individuals and to review the extent of utilization of the services by the individuals; and "(ii) to provide assistance to the individuals regarding establishing the eligibility of the individuals for financial assistance and services under Federal, State, or local programs providing for health services, mental health services, social services, or other appropriate services. "(6) ALLOCATIONS. — "(A) Subject to subparagraphs (B) and (C), the Secretary may not make a grant under subsection (a) unless the State involved agrees— "(i) to expend not less than 35 percent of the grant to provide the early intervention services specified in subparagraphs (A) through (C) of paragraph (2); and "(ii) to expend not less than 35 percent of the grant to provide the early intervention services specified in subparagraphs (D) and (E) of such paragraph. "(B) With respect to compliance with the agreement under subparagraph (A), amounts reserved by a State for fiscal year 1991 for purposes of clauses (i) and (ii) of such subparagraph may be expended to provide the services specified in paragraph (5). "(C) The Secretary shall ensure that, of the amounts appropriated under section 2650 for fiscal year 1991, an amount equal to $130,000,000 is expended to provide the early intervention services specified in subparagraphs (A) through (C) of pargigraph (2). "SEC. 2642. PROVISION OF SERVICES THROUGH MEDICAID PROVIDERS. 42 USC 300ff-42. "(a) IN GENERAL.— Subject to subsection (b), the Secretary may not make a grant under section 2641 to a State unless, in the case of any service described in subsection (b) of such section that is available

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