Page:United States Statutes at Large Volume 114 Part 2.djvu/446

 114 STAT. 1328 PUBLIC LAW 106-345—OCT. 20, 2000 demonstrates to the satisfaction of the chief elected official for the eligible area involved that— "(i) Federal, State, or local funds are otherwise inadequate for the early intervention services the entity proposes to provide; and "(ii) the entity will expend funds pursuant to such subparagraph to supplement and riot supplant other funds available to the entity for the provision of early intervention services for the fiscal year involved.". (c) PRIORITY FOR WOMEN, INFANTS, AND CHILDREN. — Section 2604(b) (42 U.S.C. 300ff-14(b)) of the Public Health Service Act is amended in paragraph (4) (as redesignated by subsection (b)(1) of this section) by amending the paragraph to read as follows: "(4) PRIORITY FOR WOMEN, INFANTS AND CHILDREN.— "(A) IN GENERAL. —For the purpose of providing health and support services to infants, children, youth, and women with HIV disease, including treatment measures to prevent the perinatal transmission of HIV, the chief elected official of an eligible area, in accordance with the established priorities of the planning council, shall for each of such populations in the eligible area use, from the grants made for the area under section 2601(a) for a fiscal year, not less than the percentage constituted by the ratio of the population involved (infants, children, youth, or women in such area) with acquired immune deficiency syndrome to the general population in such area of individuals with such S3nidrome. "(B) WAIVER. —With respect to the population involved, the Secretary may provide to the chief elected official of an eligible area a waiver of the requirement of subparagraph (A) if such official demonstrates to the satisfaction of the Secretary that the population is receiving HIV- related health services through the State medicaid program under title XIX of the Social Security Act, the State children's health insurance program under title XXI of such Act, or other Federal or State programs.". (d) QUALITY MANAGEMENT.— Section 2604 of the Public Health Service Act (42 U.S.C. 300ff-14) is amended— (1) by redesignating subsections (c) through (f) as subsections (d) through (g), respectively; and (2) by inserting after subsection (b) the following: " (c) QUALITY MANAGEMENT.— "(1) REQUIREMENT. — The chief elected official of an eligible area 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 chief elected official of an eligible area may (in addition to amounts to which subsection (f)(1) applies) use for activities associated

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