101st CONGRESS
2d Session
H. R. 3789
AMENDMENT
HR 3789 EAS
In the Senate of the United States,
October 12 (legislative day, October 2), 1990.
Resolved, That the bill from the House of Representatives (H.R. 3789)
entitled `An Act to amend the Stewart B. McKinney Homeless Assistance Act
to extend programs providing urgently needed assistance for the homeless,
and for other purposes' do pass with the following
AMENDMENT:
Strike out all after the enacting clause and insert:
WITH SPECIAL NEEDS

7c343b00145f92d558f14947a4c4e521d61d13234be1b0a7023f834fb7cc0c85

This title may be cited as the `Homelessness Prevention and Community
Revitalization Act of 1990'.

ea7c5bd542b7967cb0a5006d51e530809c8cec8e256894363cfb17f6952030dd

TITLE I

-PROVISION OF COMPREHENSIVE SERVICES TO FAMILIES AND INDIVIDUALS

It is the purpose of this title to--
(1) help create safe, positive environments for families, children and
individuals in low income housing and neighborhoods;
(2) reduce homelessness and institutionalization by making permanent
housing accessible and hospitable to low income families, homeless veterans,
frail elderly and individuals of special needs; and
(3) prevent additional homelessness by providing onsite social services and
case management to families and individuals who are at risk of homelessness
due to income level, illness, mental illness or lack of social and economic
support networks.
Subtitle A--Family Support Centers

ed26a406029ef1a16641e18ee096b9991a9df56abd1f24b0d43e1250175684ca

As used in this subtitle:
(1) ADVISORY COUNCIL- The term `advisory council' means the advisory
council established under section--12(d)(2)(K).
(2) ELIGIBLE AGENCY- The term `eligible agency' means State or local
agencies, a Head Start agency, any community-based organization including
an organization officially designated as a community action agency under
section 210 of the Economic Opportunity Act of 1984 (42 U.S.C. 2790), public
housing agencies as defined in section 3(b)(6) of the United States Housing
Act of 1937, State Housing Finance Agencies, and in addition includes an
institution of higher education, a public hospital, a community development
corporation, a community health center, and other public or private nonprofit
agency or organization specializing in delivering housing or social services.
(3) FAMILY CASE MANAGERS- The term `family case managers' means advisers
operating under the provisions of section 16.
(4) GOVERNMENTALLY SUBSIDIZED HOUSING- The term `governmentally subsidized
housing' means any rental housing that is assisted under any Federal,
State or local program (including a tax credit or tax exempt financing
program) and that serves a population that predominately consists of very
low income families or individuals.
(5) HOMELESS- The term `homeless' has the same meaning given such term
in the subsections (a) and (c) of section 103 of the Stewart B. McKinney
Homeless Assistance Act (42 U.S.C. 11302(a) and (c)).
(6) INTENSIVE AND COMPREHENSIVE SUPPORTIVE SERVICES- The term `intensive
and comprehensive supportive services' means--
(A) in the case of services provided to infants, children and youth,
infant and child primary and health services designed to enhance the
physical, social, emotional, educational and intellectual development
of such infants and children and that shall include, where appropriate,
screening and referral services, child care services, early childhood
development programs, early intervention services for children with, or
at-risk of developmental delays, drop-out prevention services, after-school
activities, job readiness services, education and support services for youth
(including basic skills and literacy services), and nutritional services;
(B) in the case of services provided to parents and other family members,
services designed to better enable parents and other family members to
contribute to their child's healthy development and that shall include, where
appropriate, substance abuse education, counseling and treatment or referral
for treatment, employment counseling and job training as appropriate,
life-skills training and personal financial counseling, education including
basic skills and literacy services, parenting classes, health care and
mental health services, peer counseling and crisis intervention services; and
(C) in the case of services provided by family case managers, needs
assessment and support in accessing and maintaining appropriate public
assistance and social services, referral for substance abuse counseling and
treatment or referral for treatment, family violence counseling services,
violence counseling and peer support services, family advocacy services,
and housing assistance activities including emergency rental or mortgage
assistance payments, housing counseling and eviction or foreclosure
prevention assistance.
(7) LOW INCOME- The term `low income' when applied to families or individuals
means a family or individual income that does not exceed 80 percent of the
median income for an individual or family in the area, as determined by
the Secretary of Housing and Urban Development, except that such Secretary
may establish income ceilings that are higher or lower than 80 percent of
the median for the area on the basis of a finding by such Secretary that
such variations are necessary because of prevailing levels of construction
costs or unusually high or low individual or family incomes.
(8) SECRETARY- The term `Secretary' means the Secretary of Health and
Human Services.
(9) VERY LOW INCOME- The term `very low income' when applied to families
or individuals means a family or individual income that does not exceed
50 percent of the median income for an individual or family in the area,
as determined by the Secretary, except that the Secretary may establish
income ceilings that are higher or lower than 50 percent of the median for
the area on the basis of a finding by the Secretary that such variations
are necessary because of unusually high or low individual or family incomes.

eaff08dd372bd53549fd790fc6c3a6661a5020a691c24913a96196669105af40

(a) AUTHORITY- The Secretary is authorized to make grants to eligible
agencies in rural and urban areas to pay the Federal share of the cost of
programs designed to encourage the provision of intensive and comprehensive
supportive services that will enhance the physical, social, emotional,
educational, and intellectual development of low-income families, especially
those very low-income families who were previously homeless and who are
currently residing in governmentally subsidized housing or who are at risk
of becoming homeless.
(b) AGREEMENTS WITH ELIGIBLE AGENCIES- The Secretary shall enter into
contracts, agreements, or other arrangements with eligible agencies to
carry out the provisions of this section.
(c) CONSIDERATIONS BY SECRETARY- In carrying out the provisions of this
section, the Secretary shall consider--
(1) the capacity of the eligible agency to administer the comprehensive
program for which assistance is sought;
(2) the proximity of the agencies and facilities associated with the program
to the low-income families to be served by the program or the ability of
the agency to provide offsite services;
(3) the ability of the eligible agency to coordinate its activities with
State and local public agencies (such as agencies responsible for education,
employment and training, health and mental health services, substance
abuse services, social services, child care, nutrition, income assistance,
and other relevant services), with public or private non-profit agencies
and organizations that provide assistance to homeless families, and with
appropriate nonprofit private organizations involved in the delivery of
eligible support services;
(4) the management and accounting skills of the eligible agency;
(5) the ability of the eligible agency to use the appropriate Federal,
State, and local programs in carrying out the program; and
(6) the involvement of project participants and community representatives
in the planning and operation of the program.
(d) Requirements-
(1) IN GENERAL- Each eligible agency desiring to receive a grant under
this section shall--
(A) if a planning grant application has been approved for such agency
under section 113(b), have such application on file with the Secretary;
(B) have experience in providing or arranging for the provision of services
such as those required under this section; and
(C) submit an application at such time in such manner and containing or
accompanied by such information, including the information required under
paragraph (2), as the Secretary shall reasonably require.
(2) APPLICATION- Each application submitted under paragraph (1)(C) shall--
(A) identify the population and geographic location to be served by the
program;
(B) provide assurances that services are closely related to the identifiable
needs of the target population;
(C) provide assurances that each program will provide directly or arrange
for the provision of intensive and comprehensive supportive services;
(D) identify the referral providers, agencies, and organizations that the
program will use;
(E) describe the method of furnishing services at offsite locations,
if appropriate;
(F) describe the extent to which the eligible agency, through its program,
will coordinate and expand existing services as well as provide services
not available in the area to be served by the program;
(G) describe how the program will relate to the State and local agencies
providing assistance to homeless families, or providing health, nutritional,
job training, education, social, substance abuse, and income maintenance
services;
(H) provide assurances that the eligible agency will pay the non-Federal
share of the cost of the application for which assistance is sought from
non-Federal sources;
(I) collect and provide data on groups of individuals and geographic areas
served, including types of services to be furnished, estimated cost of
providing comprehensive services on an average per user basis, types and
nature of conditions and needs identified and treated, and such other
information as the Secretary requires;
(J) describe the manner in which the applicant will implement the requirement
of section  14;
(K) provide for the establishment of an advisory council that shall provide
policy and programming guidance to the eligible agency, that shall consist
of not more than 15 members that shall include--
(i) prospective participants in the program,
(ii) representatives of local private industry;
(iii) individuals with expertise in the services the program intends
to offer;
(iv) representatives of the community in which the program will be located;
(v) representatives of local government social service providers;
(vi) representatives of local law enforcement agencies; and
(vii) representatives of the local public housing agency, where appropriate;
(L) describe plans for evaluating the impact of the program;
(M) include such additional assurances, including submitting necessary
reports, as the Secretary may reasonably require;
(N) contain an assurance that if the applicant intends to assess fees for
services provided with assistance under this section, such fees shall be
nominal in relation to the financial situation of the recipient of such
services; and
(O) contain an assurance that amounts received under a grant awarded under
this section shall be used to supplement not supplant Federal, State and
local funds currently utilized to provide services of the type described
in this section.
(e) FAMILY SUPPORT CENTER- Each program that receives assistance under
this section shall establish at least one family support center that shall
operate out, or in the immediate vicinity, of governmentally subsidized
housing. Such centers shall be the primary location for the administration
of the programs and the provision of services under this subtitle.

ee91fe1f540e35ddbaef80a57c9f3d8dadcde86bc3e3e466133e5e5e9be3c271

(a) IN GENERAL- The Secretary is authorized to make planning grants to
eligible agencies to enable such entities to develop and submit plans and
applications for grants under section 112.
(b) PARTICIPATION- Each eligible agency desiring to receive a planning
grant under this section shall submit an application to the Secretary at
such time, in such manner, and containing or accompanied by such information
as the Secretary shall reasonably require. Each such application shall--
(1) describe the capacity of the eligible agency to provide or ensure
the availability of the intensive and comprehensive supportive services
pursuant to this subtitle;
(2) describe the low-income families to be served by the program including
the number to be served and information on the population and geographic
location to be served;
(3) describe how the needs of individuals identified under paragraph (2)
will be met by the program;
(4) describe the intensive and comprehensive supportive services that
program planners intend to address in the development of the plan;
(5) describe the manner in which the program will be operated together
with the involvement of other community groups and public agencies;
(6) specify the agencies that are intended to be contacted and the activities
to be coordinated during the planning phase;
(7) contain assurances that the applicant will establish a planning phase
advisory council, that may become the council required under section
112(d)(2)(K), that shall include--
(A) prospective participants in the program,
(B) individuals with expertise in the services the program intends to offer;
(C) representatives of the community in which the program will be located;
(D) representatives of local government social service providers;
(E) representatives of local law enforcement agencies; and
(F) representatives of local public housing agencies;
(8) describe the capacity of the eligible agency to raise the non-Federal
share of the costs of the program and such other information as the
Secretary may reasonably require;
(9) contain an assurance that the agency will use funds received under
this section to prepare a plan as described in this subsection and submit
such plan in an application for a grant under section 112; and
(10) contain an assurance that amounts received under a grant awarded under
this section shall be used to supplement not supplant Federal, State and
local funds currently utilized to provide services of the type described
in this section.
(c) ADMINISTRATIVE PROVISIONS-
(1) TERM OF GRANT- No planning grant may be for a period longer than 1 year.
(2) MAXIMUM NUMBER OF GRANTS- Not more than 20 planning grants may be made
under this subsection.
(3) PRIORITY- In awarding grants under this section, the Secretary shall
give priority to those applications that demonstrate that the applicant
would not have the financial resources available to prepare a plan and
application for a grant under section 112 unless such applicant receives
a grant under this section.
(d) MAXIMUM AMOUNT OF GRANT- No grant awarded under this section to a
single eligible agency may exceed $50,000.

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The Secretary shall require that agencies that receive a grant under section
112 use not less than 5 percent of such grant to improve the retention and
effectiveness of staff and volunteers through appropriate service delivery
training programs.

0b93ceaa0bbedf51e625bde9b05cccfee1c1542c816df6c0653c09f5d1239658

(a) IN GENERAL- The Secretary shall pay to an eligible agency having an
application approved under section 112 the Federal share of the cost of
the activities described in the application.
(b) FEDERAL SHARE- The Federal share shall be 80 percent for each fiscal
year.
(c) NON-FEDERAL SHARE-
(1) IN GENERAL- The non-Federal share of payments under this section may
be in cash or in kind fairly evaluated, including equipment or services.
(2) PRIVATE CONTRIBUTIONS- Of the non-Federal share, 25 percent of such
amount shall be provided through contributions from private entities.
(d) PAYMENTS- Payments under this subtitle may be made in installments,
and in advance or by way of reimbursement, with necessary adjustments on
account of overpayments or underpayments, as the Secretary may determine.
(e) EQUITABLE CONSIDERATION OF RURAL AREAS- The Secretary shall ensure
that an equitable number of grants are awarded to eligible agencies in
rural areas.

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(a) REQUIREMENT- Each program that receives a grant under section 112 shall
employ, subject to subsection (e), an appropriate number of individuals
with expertise in the provision of intensive and comprehensive supportive
services to serve as family case managers for the program.
(b) NEEDS ASSESSMENT- Each low-income family that desires to receive
services from a program that receives assistance under this subtitle shall
be assessed by a family case manager on such families initial visit to
such program as to their need for services.
(c) CONTINUING FUNCTIONS- Family case managers shall formulate a plan based
on a needs assessment for each family. Such case manager shall carry out
such plan, and remain available to provide such family with counseling
and services, including school advocacy services, to enable such family to
become self-sufficient. In carrying out such plan the case manager shall
conduct monitoring, tracking, and follow-up activities.
(d) SPECIAL SERVICES- Case managers shall provide comprehensive services
as required under the application submitted under section 112, that places
special emphasis on services relating to substance abuse and domestic
violence.
(e) LIMITATION- No family crisis adviser shall carry a caseload of in
excess of 20 families.

96b3d02c5960909e7be4a203c59cd425226c2558b54eabc843c25a75ea181cc8

(a) IN GENERAL- The Secretary shall require that programs that receive
assistance under this subtitle be evaluated, by a third party with
expertise in the types of services to be provided under this subtitle,
on an annual basis.
(b) MATTER TO BE EVALUATED- Evaluations conducted under subsection (a)
shall examine the efficacy of programs receiving assistance under this
subtitle in--
(1) enhancing the living conditions in low income housing and in
neighborhoods;
(2) improving the physical, social, emotional, educational, and intellectual
development of low income children and families served by the program;
(3) increasing the self-sufficiency of families served by the program; and
(4) such other factors that the Secretary may reasonably require.
(c) INFORMATION- Each eligible agency receiving a grant under this subtitle
shall furnish information requested by evaluators in order to carry out
this section.
(d) RESULTS- The results of such evaluations shall be provided to the
eligible agencies conducting the programs to enable such agencies to
improve such programs.

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Not later than October 1, of each fiscal year, the Secretary shall prepare
and submit, to the Committees on Education and Labor, and Banking of the
House of Representatives and the Committees on Labor and Human Resources,
and Banking of the Senate, a report--
(1) concerning the evaluations required under section 117, together with
such recommendations, as the Secretary considers appropriate; and
(2) describing any alternative sources of funding utilized or available
for the provision of services of the type described in this subtitle.

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Nothing in this subtitle shall be construed to modify the Federal selection
preferences described in section 6 of the United States Housing Act of 1937
(42 U.S.C. 1437d) or the authorized policies and procedures of governmental
housing authorities operating under annual assistance contracts pursuant
to such Act with respect to admissions, tenant selection and evictions.

7835f1dff67bb8c02f79492dd69acfa9335e9b969a31d0405d1f0f968e74f876

There are authorized to be appropriated to carry out this subtitle,
$100,000,000 for fiscal year 1991, and such sums as may be necessary in
each of the fiscal years 1992 through 1995.
Subtitle B--Provision of Services to Elderly Individuals and Individuals
with Chronic and Debilitating Illnesses and Conditions

385610a0876f1360d67cb52770f77adcd3e65a3ee424ddf55b2912c975b9add0

Title III of the Public Health Service Act (42 U.S.C. 241 et seq.) is
amended by adding at the end thereof the following new part:
`Part L--Provision of Services to Frail Elderly Individuals and Individuals
with Chronic and Debilitating Illness and Conditions.
`SEC. 399B. DEFINITIONS.
`As used in this part:
`(1) ADVISORY COUNCIL- The term `advisory council' means the advisory
council established under section 399C(d)(2)(K).
`(2) ELIGIBLE AGENCY- The term `eligible agency' means any community-based
organization, State or local agency, community health center, public or
private nonprofit agency or other institution that will provide or arrange
for the provision of appropriate comprehensive services to frail elderly
or seriously ill individuals.
`(3) FRAIL ELDERLY- The term `frail elderly' has the same meaning given
such term in section 602.
`(4) GOVERNMENTALLY SUBSIDIZED HOUSING- The term `governmentally subsidized
housing' means any rental housing that is assisted under any Federal,
State or local program (including a tax credit or tax exempt financing
program) and that serves a population that predominately consists of low
income families or individuals.
`(5) HOMELESS- The term `homeless' has the same meaning given such term in
subsection (a) and (c) of section 103 of the Stewart B. McKinney Homeless
Assistance Act (42 U.S.C. 11302 (a) and (c)).
`(6) LOW INCOME- The term `low income' when applied to families or
individuals means a family or individual income that does not exceed 80
percent of the median income for an individual or family in the area, as
determined by the Secretary of Housing and Urban Development, except that
such Secretary may establish income ceilings that are higher or lower than
80 percent of the median for the area on the basis of a finding by such
Secretary that such variations are necessary because of prevailing levels
of construction costs or unusually high or low individual or family incomes.
`(7) VERY LOW INCOME- The term `very low income' when applied to families
or individuals means a family or individual income that does not exceed
50 percent of the median income for an individual or family in the area,
as determined by the Secretary of Housing and Urban Development, except
that such Secretary may establish income ceilings that are higher or lower
than 50 percent of the median for the area on the basis of a finding by
such Secretary that such variations are necessary because of unusually
high or low individual or family incomes.
`SEC. 399C. GENERAL GRANTS FOR THE PROVISION OF SERVICES.
`(a) AUTHORITY- The Secretary is authorized to make grants to eligible
agencies to pay the Federal share of the cost of programs designed to
encourage the provision of eligible services to low-income elderly or
low-income seriously ill individuals, especially those very low income
elderly or seriously ill individuals who were previously homeless or who
are at risk of becoming homeless or at risk of institutionalization.
`(b) AGREEMENTS WITH ELIGIBLE AGENCIES- The Secretary shall enter into
contracts, agreements, or other arrangements with eligible agencies to
carry out the provisions of this section.
`(c) CONSIDERATIONS BY SECRETARY- In carrying out the provisons of this
section, the Secretary shall consider--
`(1) the capacity of the eligible agency to administer the comprehensive
program for which assistance is sought;
`(2) the proximity of the agencies and facilities associated with the
program to the low-income individuals to be served by the program, or the
ability of the agency to provide offsite services;
`(3) the ability of the eligible agency to coordinate its activities
with State and local public agencies (such as agencies responsible for
health and mental health services, social services, nutrition, and other
relevant services), with public or private nonprofit agencies providing
assistance to homeless individuals and with appropriate nonprofit private
organizations involved in the delivery of eligible support services;
`(4) the management and accounting skills of the eligible agency;
`(5) the ability of the eligible agency to use the appropriate Federal,
State, and local programs in carrying out the program;
`(6) the involvement of program participants and community representatives
in the planning and operation of the program; and
`(7) the demonstrated or potential effectiveness of the eligible agency
in serving the populations or subpopulations intended to be served under
this section.
`(d) Requirements-
`(1) IN GENERAL- Each eligible agency desiring to receive a grant under
this section shall submit an application at such time in such manner and
containing or accompanied by such information, including the information
required under paragraph (2), as the Secretary shall reasonably require.
`(2) APPLICATION- Each application submitted under paragraph (1) shall--
`(A) identify the population and geographic location to be served by
the program;
`(B) provide assurances that services are closely related to the identifiable
needs of the target population;
`(C) provide assurances that each program will provide directly or arrange
for the provision of eligible services of the type described in section 399D;
`(D) identify the referral providers, agencies, and organizations that
the program will use;
`(E) describe the method of furnishing services at offsite locations,
if appropriate;
`(F) describe the extent to which the eligible agency, through its program,
will coordinate and expand existing services as well as provide services
not available in the area to be served by the program;
`(G) describe how the program will relate to the State and local agencies
providing health, nutritional, social, and income maintenance services;
`(H) provide assurances that the eligible agency will pay the non-Federal
share of the cost of the application for which assistance is sought from
non-Federal sources;
`(I) collect and provide data on groups of individuals and geographic
areas served, including types of services to be furnished, estimated cost
of providing comprehensive services on an average per user basis, types
and nature of conditions and needs identified and treated, and such other
information as the Secretary requires;
`(J) describe the manner in which the applicant will implement the
requirement of section 399F;
`(K) provide for the establishment of an advisory council that shall provide
policy and programming guidance to the eligible agency, that shall include-
`(i) prospective participants in the program,
`(ii) individuals with expertise in the services the program intends
to offer;
`(iii) representatives of the community in which the program will be located;
`(iv) representatives of local government social service providers;
`(v) community based organizations with a history of providing service
to participants;
`(vi) representatives of local public housing agencies, where appropriate;
and
`(vii) representatives of local health care professions;
`(L) describe plans for evaluating the impact of the program;
`(M) include such additional assurances, including submitting necessary
reports, as the Secretary may reasonably require;
`(N) contain an assurance that if the applicant intends to assess fees for
services provided with assistance under this section, such fees shall be
nominal in relation to the financial situation of the recipient of such
services: and
`(O) contain an assurance that amounts received under a grant awarded under
this section shall be used to supplement not supplant Federal, State and
local funds currently utilized to provide services of the type described
in this section.
`(e) HOME HEALTH SERVICE PROGRAM- Each recipient that receives assistance
under this section shall establish at least one home health service program
that shall operate out of, or in the immediate vicinity of, governmentally
subsidized housing. Such programs shall be the primary location for the
administration of the programs and the provision of services under this
part. Such programs may operate out of existing family support centers.
`SEC. 399D. PLANNING GRANTS.
`(a) IN GENERAL- The Secretary is authorized to make planning grants to
eligible agencies to enable such entities to develop and submit plans and
applications for grants under section 399C.
`(b) APPLICATION- Each eligible agency desiring to receiving a planning
grant under this section shall submit an application to the Secretary at
such time, in such manner, and containing or accompanied by such information
as the Secretary shall reasonably require including--
`(1) a description of the capacity of the eligible agency to provide or
ensure the availability of services pursuant to this part;
`(2) a description of the low-income frail elderly or low-income seriously
ill individuals to be served by the program including the number to be served
and information on the population and geographic location to be served;
`(3) a description of the needs of individuals identified under paragraph
(2) that will be met by the program;
`(4) a description of the services that program planners intend to address
in the development of the plan;
`(5) a description of the manner in which the program will be operated
together with the involvement of other community groups and public agencies;
`(6) a specification of the agencies that are intended to be contacted
and the activities to be coordinated during the planning phase;
`(7) assurances that the applicant will establish a planning phase advisory
council, that may become the council required under section 399C(d)(2)(K),
that shall include--
`(A) prospective participants in the program,
`(B) individuals with expertise in the services the program intends to offer;
`(C) representatives of the community in which the program will be located;
`(D) representatives of local government social service providers;
`(E) representatives of local public housing agencies, where appropriate;
`(8) a description of the capacity of the eligible agency to raise the
non-Federal share of the costs of the program and such other information
as the Secretary may reasonably require;
`(9) an assurance that the agency will use funds received under this section
to prepare a plan as described in this subsection and submit such plan in
an application for a grant under section 399C; and
`(10) an assurance that amounts received under a grant awarded under this
section shall be used to supplement not supplant State and local funds
currently utilized to provide services of the type described in this section.
`(c) Administrative Provisions-
`(1) TERM OF GRANT. --No planning grant may be for a period longer than
1 year.
`(2) MAXIMUM NUMBER OF GRANTS- Not more than 20 planning grants may be
made under this section.
`(3) PRIORITY- In awarding grants under this section, the Secretary shall
give priority to those applications that demonstrate that the applicant
would not have the financial resources available to prepare a plan and
application for a grant under section 399C unless such applicant receives
a grant under this section.
`(d) MAXIMUM AMOUNT OF GRANT- No grant awarded under this section to a
single eligible agency may exceed $50,000.
`SEC. 399E. ELIGIBLE SERVICES.
`(a) IN GENERAL- Grants awarded under this part shall be used to provide
services of the type described in subsection (b) to low-income frail
elderly or low income seriously ill individuals.
`(b) SERVICES- Agencies receiving grants under this part shall use such
grants to provide comprehensive services, in accordance with the service
plan, that shall include, where appropriate--
`(1) 24-hours nursing supervision services;
`(2) case management services;
`(3) home health care services;
`(4) homemaker services;
`(5) meal provision services;
`(6) attendant services;
`(7) volunteer visiting services;
`(8) adult day care service;
`(9) treatment for substance abuse;
`(10) hospice services;
`(11) post hospitalization respite care services;
`(12) transportation services;
`(13) assistance in accessing and maintaining appropriate public assistance;
`(14) housing assistance activities, including emergency rental or mortgage
assistance payments, housing counseling, and eviction or foreclosure
prevention assistance;
`(15) mental health services; and
`(16) any other services determined appropriate by the Secretary.
`(c) COORDINATION- Programs that receive assistance under this part shall be
coordinated with a local hospital or community health center that regularly
provides emergency medical care services.
`(d) SET-ASIDE FOR ELDERLY- The Secretary shall require that at least
20 percent of the grants made under this part shall be set-aside
for the provision of subsidized housing-based services to elderly
individuals, especially those very low-income elderly individuals who
were previously homeless or who are at risk of becoming homeless or at
risk of institutionalization.
`SEC. 399F. TRAINING AND RETENTION.
`The Secretary shall require that agencies that receive a grant under
section 399C use not less than 5 percent of such grant to improve the
retention and effectiveness of staff and volunteers through appropriate
service delivery training programs.
`SEC. 399G. AMOUNTS OF GRANTS.
`(a) IN GENERAL- The Secretary shall pay to eligible agencies having
applications approved under sections 399C the Federal share of the cost
of the activities described in the application.
`(b) FEDERAL SHARE- The Federal share shall be 80 percent for each fiscal
year.
`(c) Non-Federal share-
`(1) IN GENERAL- The non-Federal share of payments under this section may
be in cash or in kind fairly evaluated, including equipment or services.
`(2) CASH- At least 25 percent of the non-Federal share under paragraph
(1) shall be in the form of cash.
`(d) PAYMENTS- Payments under this part may be made in installments,
and in advance or by way of reimbursement, with necessary adjustments on
account or overpayments of underpayments, as the Secretary may determine.
`(e) EQUITABLE CONSIDERATION OF RURAL AREAS- The Secretary shall ensure
that an equitable number of grants are awarded to eligible agencies in
rural areas.
`SEC. 399H. EVALUATIONS.
`(a) IN GENERAL- The Secretary shall require that programs that receive
assistance under this part are evaluated, by a third party with expertise
in the types of services to be provided under this part, on an annual basis.
`(b) MATTER TO BE EVALUATED- Evaluations conducted under subsection (a) shall
examine the efficacy of programs receiving assistance under this part in--
`(1) enhancing the living conditions for low income frail elderly and
seriously ill individuals;
`(2) improving the opportunity for individuals served by the program to
live independently and to avoid institutionalization; and
`(3) such other factors that the Secretary may reasonably require.
`(c) INFORMATION- Each eligible agency receiving a grant under this part
shall furnish information requested by evaluators in order to carry out
this section.
`(d) RESULTS- The results of such evaluations shall be provided to the
eligible agencies conducting the programs to enable such agencies to
improve such programs.
`SEC. 399I. REPORT.
`Not later than October 1, of each fiscal year, the Secretary shall prepare
and submit, to the Committees on Education and Labor, and Banking of the
House of Representatives and the Committees on Labor and Human Resources,
and Banking of the Senate, a report--
`(1) concerning the evaluations required under section 399H, together
with such recommendations, including recommendations for legislation,
as the Secretary considers appropriate; and
`(2) describing any alternative sources of funding utilized or available
for the provision of services of the type described in this part.
`SEC. 399J. CONSTRUCTION.
`Nothing in this part shall be construed to modify the Federal selection
preferences described in section 6 of the United States Housing Act of 1937
(42 U.S.C. 1437d) or the authorized policies and procedures of governmental
housing authorities operating under annual assistance contracts pursuant
to such Act with respect to admissions, tenant selection and evictions.
`SEC. 399K. AUTHORIZATION OF APPROPRIATIONS.
`There are authorized to be appropriated to carry out this part, $100,000,000
for fiscal year 1991, and such sums as may be necessary in each of the
fiscal years 1992 through 1995.'.
Subtitle C--Projects to Aid the Transition from Homelessness

8cc4dec415241c5572f032a45c0fb0549d716958522ad21d2ac8ff0954cdd2f3

Part C of title V of the Public Health Services Act (42 U.S.C. 290cc et
seq.) is amended to read as follows:
`Part C--Projects to Aid the Transition From Homelessness'.
`SEC. 521. SHORT TITLE.
`This part may be cited as the `Projects to Aid the Transition from
Homelessness (PATH) Act of 1990'.
`SEC. 522. DEFINITIONS.
`As used in this part:
`(1) ELIGIBLE ENTITY- The term `eligible entity' means a State, a
metropolitan city, or an urban county.
`(2) ELIGIBLE HOMELESS INDIVIDUAL- The term `eligible homeless individual'
means an individual, including a veteran, who is--
`(A) afflicted with serious mental illness, alcoholism, substance abuse
or a combination thereof; and
`(B) homeless or at imminent risk of becoming homeless.
`(3) METROPOLITAN CITY- The term `metropolitan city' has the same meaning
given such term in section 102 of the Housing and Community Development
Act of 1974 (42 U.S.C. 5302).
`(4) SERVICE PROVIDER- The term `service provider' includes any general
purpose unit of local government, a city, county, town, township, parish,
village or combination thereof, a public or private non-profit agency
including a veterans' community based service provider, or a community
based organization.
`(5) STATE- The term `State' means each of the several States, the District
of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, Guam,
American Samoa, the Northern Mariana Islands, the Federated States of
Micronesia and Palau.
`(6) URBAN COUNTY- The term `urban county' has the same meaning given such
term in section 102 of the Housing and Community Development Act of 1974.
`SEC. 523. ALLOTMENT.
`(a) IN GENERAL- The Secretary shall utilize amounts appropriated under
section 532 in each fiscal year, to make an allotment to metropolitan
cities, urban counties, and States (for distribution to service providers
in the States) in the same manner as the Secretary of Housing and Urban
Development makes allocations under section 106 of the Housing and Community
Development Act of 1974 (42 U.S.C. 5306), except that the Secretary shall--
`(1) substitute 50 percent for 70 percent in subsection (a) of such section
106; and
`(2) substitute 50 percent for 30 percent in subsection (d) of such
section 106.
`(b) SPECIAL RULES-
`(1) IN GENERAL- If, under the allotment provisions applicable under this
part, any city or urban county would receive an allotment of less than
0.05 percent of the amounts appropriated to carry out this part for any
fiscal year, such amount shall instead be reallotted to the State, except
that any metropolitan city that is located in a State that does not have
counties as local governments, that has a population greater than 40,000
but less than 50,000 as used in determining the fiscal year 1987 community
development block grant program allocation, and that was allocated in excess
of $1,000,000 in community development block grant funds in fiscal year 1987,
shall receive directly the amount allotted to such city under subsection (a).
`(2) MINIMUM- Notwithstanding any other provision of law, the total amount
allotted to each State under this part, including amounts allotted to each
eligible entity within the State, shall not be less than--
`(A) $500,000; or
`(B) the amount of the allotment such State received pursuant to this part
in fiscal year 1990 plus 30 percent of such allotment.
`(3) RATABLE REDUCTION- The Secretary shall ratably reduce the allotments
made pursuant to subsection (a) in order to carry out the provisions of
this subsection.
`(c) ALLOTMENTS TO TERRITORIES- In addition to the other allotments
required in this section, the Secretary shall (for amounts appropriated
under section 532) make allotments under this subtitle to the Virgin
Islands, Guam, American Samoa, the Northern Mariana Islands, the Federated
States of Micronesia and Palau, and any other territory or possession of
the United States, in accordance with an allotment formula established
by the Secretary, but in no case shall the total amount allotted to all
of the territories and possessions exceed 2 percent of the total amount
appropriated under section 532.
`(d) REMAINING AMOUNTS- The Secretary may allocate any unclaimed or
remaining funds to eligible entities determined by the Secretary to be in
need of additional assistance.
`(e) Requirement of Non-Federal Contributions-
`(1) IN GENERAL- The Secretary shall not make an allotment under this
part to an eligible entity unless such entity agrees to make available,
directly or through donations from public or private entities, non-Federal
contributions toward such costs in an amount equal to not less than $1
for each $3 of Federal funds provided under the allotment.
`(2) DETERMINATION OF AMOUNT- Non-Federal contributions required in paragraph
(1) may be in cash or in kind, fairly evaluated, including plant, equipment,
or services. Except as provided in paragraph (3), amounts provided by the
Federal Government, or services assisted or subsidized to any significant
extent by the Federal Government, shall not be included in determining
the amount of such non-Federal contributions.
`(3) SPECIAL RULE- Funds received pursuant to section 106 of the Housing
and Community Development Act of 1974, and the value of any property,
buildings, or housing received and fairly evaluated may be included in
determining the amount of such non-Federal contributions.
`(4) WAIVER- The Secretary may waive the requirements of paragraph (1)
for metropolitan cities and urban counties which are unable to provide
such matching funds.
`(5) PARTICIPATING LOCALITIES- Each State receiving an allotment under this
part shall not require participating localities to provide non-Federal
contributions in excess of the non-Federal contributions described in
paragraph (1).
`SEC. 524. ALLOTMENT APPLICATION.
`(a) Requirement-
`(1) IN GENERAL- Each eligible entity desiring an allotment under section
523 shall submit an application to the Secretary at such time, in such manner
and accompanied by such information as the Secretary may reasonably require.
`(2) APPLICATION PERIOD- The Secretary shall provide for a 90-day period
during which applications may be submitted pursuant to paragraph (1).
`(b) CONTENTS- Each application submitted pursuant to subsection (a) shall--
`(1) describe the activities and services for which the allotment is sought;
`(2) identify existing programs providing services and housing to eligible
homeless individuals and identify gaps in the delivery systems of such
programs;
`(3) include a plan for providing services and housing to eligible homeless
individuals that shall--
`(A) describe the coordinated and comprehensive means of providing services
and housing to homeless individuals; and
`(B) include documentation that suitable housing for eligible homeless
individuals will accompany the provision of services to such individuals;
`(4) describe the source of the non-Federal contributions described in
section 523;
`(5) contain assurances that the non-Federal contributions described in
section 523 will be available at the beginning of the grant period;
`(6) describe any voucher system that may be used to carry out this part; and
`(7) contain such other information or assurances as the Secretary may
reasonably require.
`SEC. 525. REQUIREMENT OF SUBMISSION OF DESCRIPTION OF INTENDED USE OF
GRANT FUNDS.
`(a) IN GENERAL- The Secretary shall not make an allotment under section
523 to an eligible entity for any fiscal year unless--
`(1) the eligible entity submits to the Secretary a description of the
intended use for the fiscal year of the amounts for which the eligible
entity is applying pursuant to such section;
`(2) such description identifies the geographic areas within the eligible
entity in which the greatest numbers of homeless individuals with a need
for mental health, substance abuse, and housing services are located;
`(3) such description provides information relating to the programs
and activities to be supported and services to be provided, including
information relating to coordinating such programs and activities with
any similar programs and activities of public and private entities; and
`(4) the eligible entity agrees that such description will be revised
throughout the year as may be necessary to reflect substantial changes in
the programs and activities assisted by the eligible entity pursuant to
section 523.
`(b) OPPORTUNITY FOR PUBLIC COMMENT- The Secretary shall not make an
allotment under section 523 to an eligible entity for a fiscal year
unless the eligible entity agrees that, in developing and carrying out the
description required in subsection (a), the eligible entity will provide
public notice with respect to the description (including any revisions)
and such opportunities as may be necessary to provide interested persons,
such as family members, consumers, and mental health, substance abuse, and
housing agencies, an opportunity to present comments and recommendations
with respect to the description.
`(c) Relationship to State Comprehensive Mental Health Services Plan-
`(1) IN GENERAL- The Secretary shall not make an allotment under section
523 to an eligible entity unless the services to be provided pursuant to
the description required in subsection (a) are consistent with the State
comprehensive mental health services plan required in subpart 2 of part
B of title XIX.
`(2) SPECIAL RULE- The Secretary shall not make an allotment under section
523 to an eligible entity unless the services to be provided pursuant to
the description required in subsection (a) have been considered in the
preparation of, have been included in, and are consistent with, the State
comprehensive mental health services plan referred to in paragraph (1).
`SEC. 526. USE OF ALLOTMENT.
`(a) Use of Allotment-
`(1) IN GENERAL- Each eligible entity receiving an allotment under section
523 shall use such allotment to pay the Federal share of awarding grants
to or entering into contracts with service providers to enable such service
providers to provide comprehensive services and allowable housing assistance
to homeless individuals in accordance with the provisions of this part.
`(2) SPECIAL CONSIDERATION- Each eligible entity receiving an allotment
under section 523 shall give special consideration to the provision of
services to homeless veterans who are otherwise eligible for services
under this subtitle. In providing such services to homeless veterans,
such eligible entities shall give priority to service providers with a
demonstrated effectiveness in serving homeless veterans.
`(3) FEDERAL SHARE- The Federal share shall be 75 percent.
`(4) SPECIAL RULE- Each eligible entity receiving an allotment under
section 523 shall use at least two-thirds of such allotment to assist
eligible homeless individuals who have--
`(A) a primary diagnosis of a serious mental illness; or
`(B) a diagnosis involving a serious mental illness and substance abuse.
`(5) COORDINATION- Each eligible entity receiving an allotment under
section 523 shall only make grants pursuant to paragraph (1) to service
providers that have the capacity to meet or coordinate the comprehensive
services and housing needs of eligible homeless individuals, including
referral services. Such capacity includes contractual arrangements and
viable referral plans among service providers of mental health, substance
abuse, or housing services so that the comprehensive needs of individuals
who are both mentally ill and substance abusers are met.
`(6) ADMINISTRATIVE EXPENSES- Notwithstanding the provisions of this
subsection, each eligible entity receiving an allotment pursuant to
section 523 may reserve not to exceed 4 percent of such allotment for
administrative expenses.
`(b) SPECIAL RULES- Each eligible entity receiving an allotment under
section 523 shall not award a grant to a service provider that--
`(1) has a policy of excluding individuals from mental health services
due to the existence or suspicion of substance abuse; and
`(2) has a policy of excluding individuals from substance abuse services
due to the existence or suspicion of mental illness.
`(c) SUPPLEMENTATION- Each eligible entity receiving an allotment under
section 523 shall only use such funds to supplement and not supplant
Federal, State and local government funds currently utilized to provide
services of the type described in this part.
`SEC. 527. LOCAL APPLICATION.
`Each service provider desiring a grant pursuant to section 526(a) shall
submit an application to the appropriate eligible entity at such time,
in such manner and accompanied by such information as the eligible entity
may reasonable require.
`SEC. 528. LOCAL USE OF GRANT FUNDS.
`(a) SERVICES- Grants awarded pursuant to section 526(a) shall be used to
provide either on-site or off-site services to eligible homeless individuals,
including homeless veterans. Such services shall include--
`(1) outreach and engagement services;
`(2) screening and diagnostic treatment services;
`(3) habilitation and rehabilitation;
`(4) community mental health services;
`(5) alcohol or drug treatment services;
`(6) staff training, including the training of individuals who work in
shelters, mental health clinics, substance abuse programs, and other sites
where homeless individuals require services;
`(7) case management services, including--
`(A) preparing a plan for the provision of community mental health services
to the eligible homeless individual involved, and reviewing such plan not
less than once every 3 months;
`(B) providing assistance in obtaining and coordinating social and
maintenance services for the eligible homeless individuals, including
services relating to daily living activities, personal financial planning,
transportation services, and habilitation and rehabilitation services,
prevocational and vocational services, and housing services;
`(C) providing assistance to the eligible homeless individual in obtaining
income support services, including housing assistance, food stamps, and
supplemental security income benefits;
`(D) referring the eligible homeless individual for such other services
as may be appropriate; and
`(E) providing representative payee services in accordance with section
1631(a)(2) of the Social Security Act if the eligible homeless individual
is receiving aid under title XVI of such act and if the applicant is
designated by the Secretary to provide such services;
`(8) supportive and supervisory services in residential settings;
`(9) referral to primary health services;
`(10) referral to job training and education programs; and
`(11) referral to other relevant service of housing programs.
`(b) HOUSING- Not to exceed 20 percent of amounts received under a grant
awarded pursuant to section 526(a) may be used for--
`(1) minor renovation, expansion, and repair;
`(2) planning;
`(3) technical assistance in applying for housing assistance;
`(4) improving the coordination of housing services;
`(5) security deposits;
`(6) the costs associated with matching eligible homeless individuals with
appropriate housing situations; and
`(7) one time rental payments to prevent eviction.
`(c) LIMITATIONS- Grants awarded pursuant to section 526(a) shall not
be used--
`(1) to support emergency shelters or construction of housing facilities;
`(2) for inpatient psychiatric treatment costs or inpatient substance
abuse treatment costs; and
`(3) to make cash payments to intended recipients of mental health,
substance abuse, or housing services.
`SEC. 529. COORDINATION.
`(a) IN GENERAL- The Secretary shall provide for coordination among
eligible entities of housing and service strategies used in carrying out
the provisions of this part.
`(b) INFORMATION- In carrying out the provisions of subsection (a) the
Secretary shall make available to eligible entities--
`(1) the information contained in the application and plan submitted
pursuant to section 524; and
`(2) the annual report described in section 531.
`SEC. 530. TECHNICAL ASSISTANCE.
`The Secretary, through the National Institute of Mental Health, the
National Institute of Alcohol Abuse and Alcoholism, and the National
Institute on Drug Abuse, may provide technical assistance to eligible
entities in developing planning and operating programs in accordance with
the provisions of this part.
`SEC. 531. REQUIREMENT OF REPORTS BY STATES.
`(a) IN GENERAL- The Secretary shall not make allotments under section
523 to an eligible entity unless such eligible entity agrees to prepare
and submit to the Secretary an annual report in such form and containing
such information as the Secretary determines (after consultation with
the Comptroller General of the United States, the National Institute of
Mental Health, the National Institute on Alcohol Abuse and Alcoholism,
and the National Institute on Drug Abuse) to be necessary for--
`(1) securing a record and a description of the purposes for which amounts
received under section 523 were expended and of the recipients of such
amounts; and
`(2) determining whether such amounts were expended in accordance with
the provisions of this part.
`(b) AVAILABILITY TO PUBLIC OF REPORTS- The Secretary shall not make
allotments under section 523 to an eligible entity unless such eligible
entity agrees to make copies of the reports described in subsection (a)
available for public inspection.
`(c) EVALUATIONS BY COMPTROLLER GENERAL- The Comptroller General of the
United States in cooperation with the National Institute of Mental Health,
shall evaluate at least once every 3 years the expenditures of grants under
this part by eligible entities in order to ensure that expenditures are
consistent with the provisions of this part, and shall include in such
evaluation recommendations regarding changes needed in program design
or operations.
`SEC. 532. AUTHORIZATION OF APPROPRIATIONS.
`There are authorized to be appropriated $150,000,000 for each of the
fiscal years 1991 through 1995 to carry out this part.'.
Subtitle D--Community Development Corporation Improvement Grants

502f5e83ec76473a70eda99f19409c0efa2bd43a84d097d803f446b50d96f47e

Part 4 of subchapter A of the Community Economic Development Act of 1981
(42 U.S.C. 9814 et seq.) is amended by adding at the end thereof the
following new section:
`SEC. 634. COMMUNITY DEVELOPMENT CORPORATION IMPROVEMENT GRANTS.
`(a) PURPOSE- It is the purpose of this section to provide assistance to
community development corporations to upgrade the management and operating
capacity of such corporations and to enhance the resources available to
enable such corporations to increase their community economic development
activities.
`(b) SKILL ENHANCEMENT GRANTS-
`(1) IN GENERAL- The Secretary of Health and Human Services shall make
grants to community development corporations to enable such corporations
to attain or enhance the business management and development skills of
the individuals that manage such  corporations to enable such corporations
to seek the public and private resources necessary to develop low-income
housing and to develop community economic development projects.
`(2) USE OF FUNDS- Grantees may use funds obtained under this section--
`(A) to purchase training and technical assistance from agencies or
institutions that have experience in the construction, development and
management of low-income housing or experience in community economic
development; or
`(B) to purchase such assistance from other highly successful community
development corporations.
`(c) OPERATING GRANTS-
`(1) IN GENERAL- The Secretary of Health and Human Services shall make grants
to community development corporations to enable such corporations to support
an administrative capability for planning, developing, constructing and
managing low-income housing, and for other community economic development
projects.
`(2) USE OF FUNDS- Of amounts made available in any fiscal year for operating
grants under this subsection, the Secretary of Health and Human Services
shall use--
`(A) 40 percent of such amounts to assist in starting up community
development corporations; and
`(B) 60 percent of such amounts to assist established community development
corporations.
`(3) TERMS AND CONDITIONS- Assistance provided through operating grants
under this subsection shall be of sufficient size and duration, including
multiyear grants where appropriate, to enable a community development
corporation receiving such assistance to have an appreciable impact on
the area or areas to be served.
`(d) GRANTS FOR COMMUNITY DEVELOPMENT CORPORATION EQUITY ACCOUNTS-
`(1) IN GENERAL- The Secretary of Health and Human Services shall make grants
to any nongovernmental, nonprofit entity that is principally involved with
the development, construction or management of low-income housing, or to
community development corporations, to enable such entities to establish
and maintain equity accounts with which corporations may plan, develop,
construct and manage low-income housing.
`(2) TERMS AND CONDITIONS- Assistance provided through equity account
grants under this subsection shall be of sufficient size and duration,
including multiyear grants where appropriate, to enable a community
development corporation receiving such assistance to have an appreciable
impact on the area or areas to be served.
`(e) APPLICATIONS- Community development corporations that desire to receive
assistance under this section shall prepare and submit, to the Secretary of
Health and Human Services, an application at such time, in such form, and
containing such information as the Secretary shall reasonably require. Such
Secretary shall not require project-specific information for applications
for assistance under subsections (b), (c) and (d).
`(f) EQUITABLE CONSIDERATION OF RURAL AREAS- The Secretary shall ensure
that an equitable number of grants are awarded to eligible agencies in
rural areas.
`(g) AUTHORIZATION OF APPROPRIATIONS-
`(1) IN GENERAL- There are authorized to be appropriated to carry out
this section, $50,000,000 for fiscal year 1991, and such sums as may be
necessary in each of the fiscal years 1992 through 1995.
`(2) USE- The Secretary of Health and Human Services shall use--
`(A) 20 percent of the amounts appropriated under paragraph (1) in each
fiscal year to make grants under subsection (b);
`(B) 30 percent of the amounts appropriated under paragraph (1) in each
fiscal year to make grants under subsection (c); and
`(C) 50 percent of the amounts appropriated under paragraph (1) in each
fiscal year to make grants under subsection (d).
`(3) AVAILABILITY- Amounts appropriated under paragraph (1) shall remain
available until expended.
`(h) DEFINITION- As used in this section, the term `community development
corporation' means a nonprofit entity of the type described in this section
and that meets the resident control and governing body requirements of 42
U.S.C. 9807(a)(1).'.
Subtitle E--Public Housing Gateway

f0c4ba15189f327b1b7508188d7637acd1e0ef886770aae8d0fd675b4c6ff822

This subtitle may be cited as the `Public Housing Gateway Act of 1990'.

f2c707b5ee7bb25a23b632406954ada83a8b0631261a5f97cdeccfaaab326fec

The purpose of this subtitle is to establish programs, through public
housing agencies, to increase the abilities and self-sufficiency of young
residents of public housing, increase the prospects for employment of
young residents of public housing, and end generational dependency on
public assistance in public housing, through--
(1) the provision of literacy training, training in basic and employment
skills, and support services through the public housing agencies; and
(2) the employment of residents of public housing and of professional staff
to perform outreach services, including identification of and assistance
to residents who could prosper from education and training programs.

eaea55dd3a3f06546ec5c8ec0d279d3153955d89dbc94b6d1ef16b29d6e72ffa

(a) IN GENERAL- The Secretary of Labor may make grants under this subtitle
to public housing agencies for the utilization of public housing in the
provision of training and services to economically disadvantaged residents
of public housing through gateway programs.
(b) SELECTION OF GRANT RECIPIENTS- The Secretary shall select public
housing agencies to receive grants under subsection (a) and may select
only public housing agencies that meet the following requirements:
(1) PROVISION OF FACILITIES- The public housing agency shall agree to make
available suitable facilities in the public housing projects administered
by the public housing agency, or any facilities provided by a State or
local governmental agency or any private organization or person, for the
provision of training and services under this subtitle.
(2) NEED AND CAPABILITY TO PROVIDE SERVICES- The public housing agency
shall demonstrate to the Secretary the need and ability to provide the
training and services described in section 164(a) to individuals qualified
to receive the training and services under section 165.
(3) PROVISION OF SERVICES TO QUALIFIED INDIVIDUALS- The public housing
agency shall demonstrate to the Secretary that any training and services
to be provided under this subtitle will be provided only to individuals
qualified to receive the training and services under section 165.
(4) PROVISION OF SERVICES TO YOUNG FAMILIES- The public housing agency
shall demonstrate to the Secretary that the training and services to
be provided under this subtitle will be provided to residents of public
housing projects where a significant number of young families receiving
public housing assistance reside.
(5) COOPERATION WITH PRIVATE, NON-PROFIT ORGANIZATIONS, OR COMMUNITY
BASED ORGANIZATIONS- The public housing agency shall demonstrate to
the Secretary the ability to create cooperative working relationships
with private organizations, non-profit organizations, or community based
organizations that are to provide training and services under this subtitle
and are located in the same community as the public housing agency.
(c) Applications for Grants-
(1) IN GENERAL- The Secretary shall prescribe the form and procedures for
public housing agencies to make applications for grants under this section.
(2) PRIORITY- The Secretary shall give priority to applications that
demonstrate significant cooperation and coordination with existing private
organizations, nonprofit organizations, or community based organizations.

b605ec66d22658056d0d1c4c1394ce33e9535cdbdb724181dc425c13a695af52

(a) MANDATORY TRAINING AND SERVICES- Any public housing agency that receives
a grant under section 153 shall use the grant to establish a gateway program
to make available to individuals eligible under section 165 all of the
following training and services, subject to the limitations of section 165:
(1) INFORMATION- The provision of information designed to make individuals
aware of training, employment, education, counseling or the provision of
services offered by the public housing agency, including the training and
services available under this subtitle.
(2) LITERACY TRAINING- Literacy training and bilingual training.
(3) BASIC SKILLS TRAINING- Remedial education and training in basic skills.
(4) DEVELOPMENT OF WORK HABITS- Development of good work habits and other
personal management skills to enable individuals to obtain and retain
employment.
(5) CHILD CARE- Child care services provided free of charge to facilitate
the participation of individuals in other training and services provided
under this section. The child care services shall be designed, to the extent
practicable, to employ and train economically disadvantaged residents of
the public housing project involved, and shall include--
(A) services to provide daytime care for the child dependents who do not
attend school and adult dependents of eligible individuals;
(B) services to provide care after school hours for the child dependents
of eligible individuals; and
(C) irregular, periodic, and evening care for the child dependents of
eligible individuals scheduled to allow the eligible individuals to
participate in the training and services provided under this section.
(b) PERMISSIVE TRAINING AND SERVICES- Public housing agencies that receive
grants under section 163 may make available as part of their gateway
programs to individuals qualified under section 165 literacy training,
training in basic and employment skills, and support services, in addition
to the training and services described in subsection (a) and subject to
the limitations of section 165, including the following:
(1) EMPLOYMENT ASSISTANCE- Assistance in acquiring employment.
(2) EMPLOYMENT COUNSELING- Employment counseling and vocational exploration
services.
(3) DEVELOPMENT OF JOBS- Development of employment positions.
(4) PRIVATE JOB TRAINING- The provision of training in occupations for
which demand is increasing and training in the course of employment,
by private employers or organizations.
(5) OTHER FEDERAL EMPLOYMENT TRAINING OR SERVICES- Training or services
coordinated with other Federal employment-related activities.
(6) HIGH SCHOOL EDUCATION- Assistance in the attainment of certificates
of high school equivalency.
(7) COMPUTER SKILLS TRAINING- Training in computer skills for use in
education, skills training, and employment preparation
(8) TRAINING IN APPLICATION OF SKILLS- Services to help individuals
receiving training and educational assistance to utilize their acquired
skills in the competitive employment market.
(9) TRANSITIONAL ACTIVITIES- Activities designed to provide transition
from education to employment.
(10) DRUG PREVENTION SERVICES- Services to assist individuals with drug
prevention, drug counseling, and drug education programs.
(11) SUPPORT SERVICES- Support services, including child care services in
addition to the services described in subsection (a)(5) and transportation
to training and services not held in public housing projects.

2c12b4a0a387bafd5faa3ebf0dc4c23e2772d0567f47ccb9184d782a46690b28

(a) ELIGIBILITY IN GENERAL- Public housing agencies receiving grants under
this subtitle shall limit participation in training and services provided
under gateway programs to individuals who meet the following requirements:
(1) RESIDENCY- The individual shall be a resident of public housing.
(2) AGE- The individual shall be not more than 25 years of age.
(3) ECONOMIC DISADVANTAGE- The individual shall be economically
disadvantaged.
(4) EDUCATIONAL DISADVANTAGE- The individual shall--
(A) have encountered barriers to employment because of a deficiency in a
basic skill; or
(B) if over 16 years of age or beyond the age of compulsory school attendance
under State law, not have a certificate of graduation from a school providing
secondary education and not have achieved an equivalent level of education.
(b) Limitations on Child Care Services-
(1) ELIGIBILITY- Public housing agencies receiving grants under this
subtitle shall limit the provision of child care services under section
164(a)(5) to the following individuals:
(A) PARTICIPANTS UNDER GATEWAY PROGRAMS- Individuals who are participating
in training or services under a gateway program (not including the provision
of support services), during the participation of the individual in the
training or services.
(B) UNEMPLOYED FORMER PARTICIPANTS UNDER GATEWAY PROGRAMS- Individuals
who have successfully completed participation in training or services
under a gateway program (not including the provision of support services)
and who are not employed, during a period in which the individual searches
for employment after the completion of the training or services, as follows:
(i) COMMENCEMENT- The period shall begin on the completion of the training
or services by the individual.
(ii) TERMINATION- The period shall end on whichever of the following
occurs first:
(I) The expiration of the 3-month period after the completion of the
training or services by the individual.
(II) The commencement of the employment of the individual in a position
not funded by grants made under this subtitle.
(C) EMPLOYED FORMER PARTICIPANTS UNDER GATEWAY PROGRAMS- Individuals who
have successfully completed training or services under a gateway program
(not including the provision of support services) and who are employed in a
position not funded by grants made under this subtitle, during the 12-month
period that begins with commencement of the employment of the individual.
(2) COMPLIANCE WITH STATE AND LOCAL LAWS- A public housing agency that
provides child care services under this subtitle shall ensure that the
child care complies with applicable State and local laws.
(c) LIMITATIONS ON SUPPORT SERVICES- An individual may receive
support services under this subtitle after the individual terminates any
participation in training or services under a gateway program (not including
the provision of support services) only if the individual has completed
the training or services. An individual may not receive support services
later than 18 months after the completion of the training or services by
the individual.
(d) LIMITATION ON NONRESIDENT PERSONNEL- A public housing agency receiving
a grant made under this subtitle shall attempt to employ in positions
relating to the administration and delivery of training and services under
gateway programs residents of the public housing project involved whenever
qualified residents are available.

533a1cb76b2903e679191ddd6e2b6d7b89a60f4f452ddcf8e79e3da88cdb027c

(a) NONCONSIDERATION AS INCOME FOR PARTICIPATING INDIVIDUALS- The earnings
of and benefits to any individual resulting from participation in training
and services under a gateway program shall not be considered as income
for the purposes of determining eligibility for or the amount of public
assistance or determining a limitation on the amount of rent paid by the
individual during the following periods:
(1) PERIOD OF PARTICIPATION UNDER GATEWAY PROGRAM- The period during which
the individual participates in training or services under a gateway program
(not including the provision of support services).
(2) EMPLOYMENT PERIOD- If the individual participating in training or
services under a gateway program (not including the provision of support
services) successfully completes the training or services, a single period,
not to exceed 18 months, as follows:
(A) COMMENCEMENT- The period shall begin on the commencement of employment
of the individual in the first position acquired by the individual after
completion of the training or services that is not funded by a grant under
this subtitle.
(B) TERMINATION- The period shall end on whichever of the following
occurs first--
(i) the expiration of the 18-month period following the commencement of
the period described in subparagraph (A); or
(ii) the individual ceases to continue employment without good cause,
as the Secretary shall determine.
(b) PUBLIC HOUSING OPERATING ASSISTANCE- The use of the facilities of
a public housing agency receiving a grant under this subtitle in the
provision of training or services under a gateway program shall have no
effect on the amount of assistance provided to the public housing agency
under section 9 of the United States Housing Act of 1937 (42 U.S.C. 1437g).

6c31966e73f585478f65656461b99134c9ae8be48b555397d1f5c3bef7c4f108

(a) REVIEW- The Secretary shall review at least annually the compliance
of the public housing agencies receiving grants under this subtitle with
the provisions of this subtitle.
(b) SANCTIONS FOR NONCOMPLIANCE- Whenever the Secretary determines on
the record after opportunity for a hearing that a public housing agency
has failed to comply substantially with the provisions of this subtitle,
the Secretary shall notify the public housing agency that no further grant
payments will be made to the public housing agency under this subtitle until
the public housing agency demonstrates, to the satisfaction of the Secretary,
that the public housing agency will comply. Until the public housing agency
demonstrates as required by this subsection, the Secretary shall not make
further grant payments to the public housing agency under this subtitle.

59b40cbb5bc4310af6b96294bd97f01befd024cf2b386d8e0d6406700da01958

The Secretary shall transmit annually to the President and to the appropriate
Committees of Congress a report containing a detailed statement of the
activities of the public housing agencies receiving grants under this
subtitle and the recommendations for any action the Secretary considers
appropriate. Such reports shall include an evaluation of the effectiveness
of such activities in enhancing the employability of residents of public
housing.

85790ce08dd424f5cfd2d0944c84ca27ac1cc124db69b5657308a1c611d4d45e

As used in this subtitle:
(1) BASIC SKILLS- The term `basic skills' means the rudimentary skills
necessary for an individual to function in daily living, including literacy,
arithmetic skills, and problem-solving.
(2) ECONOMICALLY DISADVANTAGED- The term `economically disadvantaged' has
the meaning given such term in section 4(8) of the Job Training Partnership
Act (29 U.S.C. 1503(8)).
(3) GATEAWAY PROGRAM- The term `gateway program' means a program for the
provision of training and services described in section 164 established
by a public housing agency under a grant made by the Secretary under
this subtitle.
(4) LITERACY- The term `literacy' means the knowledge and skills necessary
to communicate, including reading, writing, speaking, and listening normally
associated with the ability to function at a level greater than the 8th
grade level.
(5) OFFICER- The term `officer' has the meaning given the term in section
2104 of title 5, United States Code.
(6) PUBLIC ASSISTANCE- The term `public assistance' means cash payments,
credits, or other assistance or benefits provided to individuals or families
under Federal law.
(7) PUBLIC HOUSING- The term `public housing' has the meaning given
such term in section 3(b)(1) of the United States Housing Act of 1937
(42 U.S.C. 1437a(b)(1)).
(8) PUBLIC HOUSING AGENCY- The term `public housing agency' has the meaning
given such term in section 3(b)(6) of the United States Housing Act of 1937
(42 U.S.C. 1437a(b)(6)).
(9) SECRETARY- The term `Secretary' means the Secretary of Labor.
(10) SUPPORT SERVICES- The term `support services' means services to
facilitate the participation of residents of public housing in training
and services under gateway programs. The term includes child care services
under section 164(a)(5) and services under section 164(b)(10).

5bfcb2568b7a7b0adcd874d48daad3bbe2ceb8f0f4c75039cecbc489235c0680

The Secretary shall promulgate regulations necessary to carry out this
subtitle.

8ca994a5f21dc9704c29dc73a83b4dde13031eaaeff585663c9f89f243ee8666

There is authorized to be appropriated to carry out this subtitle $50,000,000
for each of the fiscal years 1991 through 1995. Any amount appropriated
under this section shall remain available until expended.
Subtitle F--Homeless Youth Demonstration Projects

b2331d8dbe4c40f9f02eece75d4d93da6c709feaacd9b656c1fe29dfbdbc7273

This subtitle may be cited as the `Homeless Youth Demonstration Project
Act of 1990'.

000b0992d63e74f700b937c11dc33b6c7e34ad1356fb7363a6080447edac2f8e

Subtitle E of title VII of the Stewart B. McKinney Homeless Assistance
Act (42 U.S.C. 11472 et seq.) is amended by adding at the end thereof the
following new section:
`SEC. 763. DEMONSTRATION PROJECTS.
`(a) DEFINITIONS- As used in this section:
`(1) HOMELESS YOUTH- The term `homeless youth' means an individual who is
21 years of age or younger, is in need of services, and lacks a permanent
place of shelter that provides appropriate supervision and care for such
individual or who resides in a group home on a temporary basis.
`(2) SECRETARY- The term `Secretary' means the Secretary of Health and
Human Services.
`(b) Demonstration Projects-
`(1) IN GENERAL- The Secretary shall establish not to exceed three
demonstration projects that are designed to assist private and public
agencies and organizations in working together to provide a network of
comprehensive services, including medical, mental health, health, legal,
social, outreach, and emergency services, to homeless youth.
`(2) Grants-
`(A) IN GENERAL- The Secretary shall award grants to not to exceed three
private, nonprofit organizations with demonstrated success in providing
direct services to homeless youth, in subcontracting for such services,
and in coordinating the provision of such services with other agencies,
as referred to in paragraph (1).
`(B) LOCATION- In awarding grants under subparagraph (A), the Secretary
shall select organizations that are located in urban areas with a high
concentration of out-of-city, out-of-county, and out-of-State homeless youth.
`(C) ABILITY TO PROVIDE SERVICES- To be eligible for a grant under
subparagraph (A), an organization shall demonstrate to the Secretary the
ability of such organization, or another competent organization with which
such organization has a subcontract, to provide a comprehensive network
of each of the services described in paragraph (1).
`(D) PREFERENCE- In awarding grants under subparagraph (A), the Secretary
shall give preference to organizations that would involve a network of
public and private agencies in the delivery of services to homeless youth.
`(3) EVALUATION OF DEMONSTRATION PROJECTS-
`(A) IN GENERAL- The Secretary shall monitor each demonstration project
established under paragraph (1) to determine whether such project is
complying with the requirements of this section.
`(B) Independent evaluator-
`(i) IN GENERAL- The Secretary shall contract with an independent evaluator
to evaluate the process and outcome of each demonstration project established
under paragraph (1), and to make suggestions for the implementation of
other similar demonstration projects in other areas of the country.
`(ii) STABILITY OF HOMELESS YOUTH- The independent evaluator referred to in
clause (i) shall assess the stability of homeless youth that are served by
a demonstration project established under paragraph (1) after such youth
are either reunited with family or settled in a stable environment.
`(4) Eligible youth-
`(A) IN GENERAL- Except as provided for in subparagraph (B), an individual
wishing to receive services under this section shall be not more than 21
years of age.
`(B) EXCEPTION- The Secretary may grant waivers to provide services under
this section to individuals who are 22 through 24 years of age for not
more than 10 percent of the funds awarded for grants under paragraph (2).
`(5) LENGTH OF DEMONSTRATION PROJECTS- Each of the demonstration projects
estimated under paragraph (1) shall not exceed a period of 3 years.
`(6) AUTHORIZATION OF APPROPRIATION-
`(A) IN GENERAL- There is authorized to be appropriated to carry out this
section $2,500,000 for each of the fiscal years 1991, 1992, and 1993.
`(B) INDEPENDENT EVALUATOR- Of the amounts authorized to be appropriated
under subparagraph (A), not to exceed $500,000 shall be utilized for the
contract referred to in paragraph (3)(B).'.
Subtitle G--Plan for Cooperation

762e84f774e3bf9ba17f8eafd89404698b243d465de1aa836f59b94b2e9d9410

(a) IN GENERAL- Not later than the date on which regulations necessary
to carry out subtitle A of this title, part L of title III of the Public
Health Service Act (as added by subtitle B), part C of title V of the Public
Health Service Act (as amended by subtitle C), section 634 of the Community
Economic Development Act of 1981 (as added under subtitle D), or subtitle
E are issued, the Secretary of Health and Human Services, the Secretary of
Labor, the Secretary of Veterans Affairs, and the Secretary of Housing and
Urban Development shall prepare and submit, to the Committees on Education
and Labor, and Banking of the House of Representatives and the Committees
on Labor and Human Resources, and Banking of the Senate, a plan concerning
the programs to be carried out under such subtitle, parts, and section.
(b) CONTENTS- The plan prepared under subsection (a) shall--
(1) describe the method in which the Secretary of Health and Human
Services, the Secretary of Labor, the Secretary of Veterans Affaris, and the
Secretary of Housing and Urban Development shall consult with one another
in implementing and administering the programs described in subsection (a)
and coordinate the implementation of such programs with other relevant
programs and Acts (including the programs established under the Stewart
B. McKinney Homeless Assistance Act, or the amendments made by such Act,
and under Federal housing Acts);
(2) contain an assurance that such Secretaries will consult with one
another on an ongoing and continuous basis in such implementation; and
(3) contain procedures, developed by the Secretary of Housing and Urban
Development, for granting priority in the provision of construction,
rehabilitation or renovation assistance by such Secretary, to applicants
that receive grants under the subtitle, parts, and section referred to in
subsection (a).
AND COMMUNITY SERVICES

cd957106c37c3cf6af549a131d6eb4fcd48ee58130e535fec6db17588b71b8cd

Section 103(b) of the Stewart B. McKinney Homeless Assistance Act (42
U.S.C. 11302(b)) is amended to read as follows:
`(b) INCOME ELIGIBILITY-
`(1) IN GENERAL- A homeless individual shall be eligible for assistance
under any program provided by this Act, only if the individual complies with
the income eligibility requirements otherwise applicable to such program.
`(2) EXCEPTION- Notwithstanding paragraph (1), a homeless individual shall
be eligible for assistance under the Job Training Partnership Act.'.

734b68af0326cc17a9669d065d51d3daa4a7d09bedd611219eb434adbd8be9d6

TITLE II

-STEWART B. McKINNEY HOMELESS HEALTH CARE, EDUCATION, TRAINING,

SERVICE ACT.
(a) PRIMARY HEALTH SERVICES FOR THE HOMELESS- Section 340 of the Public
Health Service Act (42 U.S.C. 256) is amended--
(1) in subsection (e)(1)(B)--
(A) by striking out `(i)'; and
(B) by striking out clause (ii);
(2) in subsection (g), by inserting before the period the following:
`, including violence counseling services where appropriate'; and
(3) in subsection (q)(1), by striking out `and $66,200,000 for fiscal year
1991' and inserting in lieu thereof `$69,000,000 for fiscal year 1991,
$90,000,000 for fiscal year 1992, and $95,000,000 for fiscal year 1993'.
(b) ALCOHOL AND DRUG ABUSE DEMONSTRATION PROJECTS- Section 513(b) of such
Act (42 U.S.C. 290bb-2(b)) is amended by striking out `and such sums as
may be necessary for fiscal year 1991' and inserting in lieu thereof `,
$17,000,000 for fiscal year 1991, and such sums as may be necessary for
each of the fiscal years 1992 and 1993'.
(c) COMMUNITY MENTAL HEALTH SERVICES DEMONSTRATION PROJECTS- Section 612(a)
of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C. 290aa-3 note)
is amended by striking out `and such sums as may be necessary for fiscal year
1991' and inserting in lieu thereof `, $11,500,000 for fiscal year 1991, and
such sums as may be necessary for each of the fiscal years 1992 and 1993'.

307ace57ffb7acd458dd52c434bd6b3a71ba540b2b2fb6a9aa4ad4a4093898f8

HOMELESS ASSISTANCE ACT.
(a) JOB TRAINING FOR THE HOMELESS-
(1) APPLICATIONS- Section 733 of the Stewart B. McKinney Homeless Assistance
Act (42 U.S.C. 11443) is amended--
(A) by inserting `(a) IN GENERAL- ' before `Each applicant';
(B) in subsection (a)(2), by inserting before the semicolon the following:
`or other related programs providing services necessary to address the
multiple needs of homeless individuals';
(C) in subsection (a)(3), by inserting `on the street or' before
`in-shelter'; and
(D) by adding at the end thereof the following new subsection:
`(b) SPECIAL CONSIDERATION-
`(1) IN GENERAL- In awarding grants under this subtitle, the Secretary
of Labor may give special consideration to applicants that will implement
projects that will serve areas of greatest need, including urban and rural
areas, as demonstrated by--
`(A) the large number or concentration of homeless individuals in the
project area relative to other similar areas of jurisdiction;
`(B) the high rates of poverty in the project area as determined by the
census; or
`(C) the lack of available low cost or affordable housing within the
project area, as measured by such indicators as high average local rents
or vacancy rates.
`(2) HOLISTIC SERVICE APPROACH- In awarding grants under this subtitle,
the Secretary of Labor may give special consideration to applicants that
will implement programs that include formal reciprocal referral agreements
with other programs such as substance abuse counseling, local shelters,
and subsidized housing that provide a holistic service approach on an
individual case management basis.'.
(2) AUTHORIZATION OF APPROPRIATIONS- Section 739(a)(1) of such Act (42
U.S.C. 11449(a)(1)) is amended by inserting after `and 1990' the following:
`, $15,000,000 for fiscal year 1991, of which $3,000,000 shall be used to
carry out section 738, $16,500,000 for fiscal year 1992, of which $3,500,000
shall be used to carry out section 738, and $18,000,000 for fiscal year
1993, of which $4,500,000 shall be used to carry out section 738'.
(3) TERMINATION- Section 741 of such Act (42 U.S.C. 11450) is repealed.
(b) AMENDMENTS TO THE EMERGENCY COMMUNITY SERVICES HOMELESS GRANT PROGRAM-
(1) USE OF FUNDS FOR ADMINISTRATIVE COSTS- Section 753(b) of such Act
(42 U.S.C. 11463(b)) is amended--
(A) in paragraph (1)--
(i) by striking out `all' in subparagraph (A), and inserting in lieu thereof
`not less than 95 percent'; and
(ii) by striking out `90 percent' in subparagraph (B), and inserting in
lieu thereof `85 percent'; and
(B) in paragraph (3), by striking out `no amount' and inserting in lieu
thereof `not more than 5 percent of the amounts'.
(2) ELIGIBLE USE OF FUNDS- Section 753(c) of such Act (42 U.S.C. 11463(c))
is amended--
(A) in paragraph (1)--
(i) by inserting `(A)' after `(1)'; and
(ii) by adding at the end thereof the following new subparagraph:
`(B) Renovation or purchase of buildings to be used to provide such
services.'; and
(B) by adding at the end thereof the following new paragraph:
`(5) Provision of, or referral to, violence counseling for homeless children
and individuals, and the provision of violence counseling training to
individuals who work with homeless children and individuals.'.
(3) COMMUNITY SERVICES GRANT PROGRAM- Section 754 of such Act (42
U.S.C. 11464) is amended by inserting after `and 1990' the following:
`, and $50,000,000 for each of the fiscal years 1991 through 1993'.
(4) EFFECTIVE DATE- The amendments made by this subsection shall take
effect on the first day of the first fiscal year beginning after the date
of the enactment of this Act.

a407ee2f951242a27b34cd444b4a490a638c01a12863351a8478b3ca17b522b5

d1f0c2f04f1816f80061fab458980a4a133f4c095940e1bdc5618dc1e21e7c18

Subtitle D of title VII of the Stewart B. McKinney Homeless Assistance
Act (42 U.S.C. 11461 et seq.) is amended by adding at the end thereof the
following new sections:
`SEC. 755. EVALUATION.
`(a) PURPOSE- It is the purpose of this section to develop as rapidly
as practicable, information concerning the organization, impact and
effectiveness of services provided to homeless individuals under programs
administered by the Secretary of Health and Human Services under this
or any other Act, and of the effectiveness of the coordination of such
programs with other Federal or Federally assisted programs that provide
services to homeless individuals, or to those at risk of becoming homeless.
`(b) REQUIREMENT FOR EVALUATION ACTIVITIES- In carrying out the purpose
described in subsection (a), the Secretary shall conduct evaluations that
shall include--
`(1) the use of cost and utilization data collected under the Primary Health
Care for the Homeless Program under section 340 of the Public Health Service
Act to conduct an evaluation, in consultation with organizations receiving
grants under this title and with the national representatives of such
organizations, of the impact of health, case management and referral services
provided by a representative sample of grantees concerning client outcome;
`(2) under part C of title V, an evaluation of the need for and availability
of services for individuals who are homeless or at risk of becoming
homeless that have a serious mental illness or substance abuse problem,
with special attention paid to the service needs of the dually diagnosed;
`(3) an evaluation to identify and document replicable, community-wide
programs that provide integrated, comprehensive services that result in
service delivery models which prevent homelessness or lead to the successful
relocation of the homeless into permanent housing; and
`(4) an identification through the evaluation conducted under this subsection
of those areas where services are lacking.
`SEC. 756. REPORT BY THE SECRETARY.
`Not later than 12 months after the date of the enactment of this section,
the Secretary of Health and Human Services shall--
`(1) complete, in consultation with appropriate members of the Interagency
Council on the Homeless, a study of the extent to which Federal laws,
regulations, or policies are inappropriately or inadvertently hindering
Federal facilities (such as cafeterias in the facilities of the Department
of Defense and Department of Veterans' Affairs) from making available
to programs or entities serving the homeless prepared food that is not
consumed; and
`(2) prepare and submit, to the appropriate Committees of Congress, a
report containing the findings made as a result of the study conducted under
paragraph (1), including any recommendations with respect to administrative
and legislative initiatives that would permit Federal facilities to make
available to entities serving the homeless such excess prepared food.'.

d2fc3d308a5df675b8ae1d569e5b783dae0192294c6fb215dd50765d6aa593cc

OR FAMILIES AT RISK OF HOMELESSNESS.
(a) FINDINGS- Congress finds that--
(1) homelessness is a growing national tragedy;
(2) as many as one-third of the homeless people in the United States are
members of families with children;
(3) families represent the fastest growing segment of the homeless
population;
(4) homelessness too often results in the placements of children into
out-of-home care, or delays the reunification of such children with their
parents; and
(5) strong coordination between child welfare agencies and housing
authorities can protect homeless children or children at risk of becoming
homeless from abuse and neglect and help prevent the unnecessary separation
of children from their families.
(b) AMENDMENT- The Child Abuse Prevention and Treatment Act (42 U.S.C. 5101
et seq.) (as amended by Public Law 101-126) is amended by adding at the
end thereof the following new title:
`TITLE III--CERTAIN PREVENTIVE SERVICES REGARDING CHILDREN OF HOMELESS
FAMILIES OR FAMILIES AT RISK OF HOMELESSNESS
`SEC. 301. DEMONSTRATION GRANTS FOR PREVENTION OF INAPPROPRIATE SEPARATION
FROM FAMILY AND FOR PREVENTION OF CHILD ABUSE AND NEGLECT.
`(a) ESTABLISHMENT OF PROGRAM- The Secretary may make grants to entities
described in subsection (b)(1) for the purpose of assisting such entities
in demonstrating, with respect to children whose families are homeless or
at risk of becoming homeless, the effectiveness of activities undertaken
to prevent--
`(1) the inappropriate separation of such children from their families
on the basis of homelessness or other problems regarding the availability
and conditions of housing for such families; and
`(2) the abuse and neglect of such children.
`(b) MINIMUM QUALIFICATIONS OF GRANTEES-
`(1) IN GENERAL- The entities referred to in subsection (a) are State
and local agencies that provide services in geographic areas described in
paragraph (2), and that have authority--
`(A) for removing children, temporarily or permanently, from the custody
of the parents (or other legal guardians) of such children and placing
such children in foster care or other out-of-home care; or
`(B) in the case of youths not less than 16 years of age for whom such
a placement has been made, for assisting such youths in preparing to
be discharged from such care into circumstances of providing for their
own support.
`(2) ELIGIBLE GEOGRAPHIC AREAS- The geographic areas referred to in paragraph
(1) are geographic areas in which homelessness and other housing problems
are--
`(A) threatening the well-being of children; and
`(B)(i) contributing to the placement of children in out-of-home care;
`(ii) preventing the reunification of children with their families; or
`(iii) in the case of youths not less than 16 years of age who have been
placed in out-of-home care, preventing such youths from being discharged
from such care into circumstances of providing their own support without
adequate living arrangements.
`(3) COOPERATION WITH APPROPRIATE PUBLIC AND PRIVATE ENTITIES- The Secretary
shall not make a grant under subsection (a) unless the agency involved has
entered into agreements with appropriate entities in the geographic area
involved (including child welfare agencies, public housing agencies, and
appropriate public and nonprofit private entities that provide services to
homeless families) regarding the joint planning, coordination and delivery
of services under the grant.
`(c) Requirement of Matching Funds-
`(1) IN GENERAL- The Secretary shall not make a grant under subsection
(a) unless the agency involved agrees that, with respect to the costs to
be incurred by such agency in carrying out the purpose described in such
subsection, the agency will make available (directly or through donations
from public or private entities) non-Federal contributions toward such
costs in an amount equal to not less than $1 for each $4 of Federal funds
provided in such grant.
`(2) DETERMINATION OF AMOUNT OF NON-FEDERAL CONTRIBUTION- Non-Federal
contributions required under paragraph (1) may be in cash or in kind, fairly
evaluated, including plant, equipment, or services. Amounts provided by the
Federal Government, or services assisted or subsidized to any significant
extent by the Federal Government, shall not be included in determining
the amount of such non-Federal contributions.
`(d) DURATION OF ASSISTANCE- The period during which payments are made
to an agency from a grant under subsection (a) shall not exceed 3 fiscal
years. The Secretary shall not make payments for the second or third fiscal
year of the grant unless the Secretary determines that, for the preceding
fiscal year, the agency has complied with each of the agreements on which
the grant is conditioned.
`SEC. 302. PROVISIONS WITH RESPECT TO CARRYING OUT PURPOSE OF DEMONSTRATION
GRANTS.
`(a) Joint Training of Appropriate Service Personnel-
`(1) IN GENERAL- The Secretary shall not make a grant under section 301(a)
unless the agency involved agrees to establish, with respect to the subjects
described in paragraph (2), a program for joint training concerning such
subjects, for appropriate personnel of child welfare agencies, public
housing agencies, and appropriate public and private entities that provide
services to homeless families.
`(2) SPECIFICATION OF TRAINING SUBJECTS- The subjects referred to in
paragraph (1) are--
`(A) the relationship between homelessness, and other housing problems,
and the initial and prolonged placement of children in out-of-home care;
`(B) the housing-related needs of families with children who are at risk
of placement in out-of-home care; and
`(C) resources (including housing-related assistance) that are available to
prevent the initial or prolonged placement in out-of-home care of children
whose families are homeless or who have other housing problems.
`(b) ADDITIONAL AUTHORIZED ACTIVITIES- In addition to activities authorized
in subsection (a), a grantee under section 301(a) may expend grant funds
for--
`(1) the hiring of additional personnel to provide assistance in obtaining
appropriate housing--
`(A) to families whose children are at imminent risk of placement in
out-of-home care or who are awaiting the return of children placed in such
care; and
`(B) to youth who are preparing to be discharged from such care into
circumstances of providing for their own support;
`(2) training and technical assistance for the personnel of shelters and
other programs for homeless families (including domestic violence shelters)
to assist such programs--
`(A) in the prevention and identification of child abuse and neglect among
the families the programs served; and
`(B) in obtaining appropriate resources for families who need social
services, including respite care, and support;
`(3) the provision of emergency housing-related assistance necessary to
prevent the placement of children in out-of-home care, to facilitate the
reunification of children with their families, and to enable the discharge
of youths not less than 16 years of age from such care, including assistance
in meeting the costs of--
`(A) rent or utility arrears to prevent an eviction or termination of
utility services;
`(B) security and utility deposits, first month's rent, and basic
furnishings; and
`(C) other housing-related assistance;
`(4) the provision to families, and to youths not less than 16 years
of age who are preparing to be discharged from such care, of temporary
rent subsidies necessary to prevent the initial or prolonged placement of
children in out-of-home care, which subsidies are provided in an amount
not exceeding 70 percent of the local fair market rental value and are
provided for a period not to exceed 180 days;
`(5) the development and dissemination of informational materials to
advise homeless families with children and others who are seeking housing
of resources and programs available to assist them; and
`(6) other activities, if authorized by the Secretary, that are necessary
to address housing problems that result in the inappropriate initial or
prolonged placement of children in out-of-home care.
`SEC. 303. ADDITIONAL REQUIRED AGREEMENTS.
`(a) REPORTS TO SECRETARY- The Secretary shall not make a grant under
section 301(a) unless the agency involved agrees that such agency will--
`(1) annually prepare and submit to the Secretary a report describing the
specific activities carried out by the agency under the grant; and
`(2) include in the report submitted under paragraph (1), the results of
an evaluation of the extent to which such activities have been effective
in carrying out the purpose described in such section, including the effect
of such activities regarding--
`(A) the incidence of placements of children in out-of-home care;
`(B) the reunification of children with their families; and
`(C) in the case of youths not less than 16 years of age who have been
placed in out-of-home care, the discharge of such youths from such care
into circumstances of providing for their own support with adequate living
arrangements.
`(b) EVALUATION BY THE SECRETARY- The Secretary shall conduct evaluations
to determine the effectiveness of demonstration programs supported under
section 301(a) in--
`(1) strengthening coordination between child welfare agencies, housing
authorities, and programs for homeless families;
`(2) preventing placements of children into out-of-home care due to
homelessness or other housing problems;
`(3) facilitating the reunification of children with their families; and
`(4) in the case of youths not less than 16 years old who have been placed
in out-of-home care, preventing such youth from being discharged from such
care into circumstances of providing their own support without adequate
living arrangements.
`(c) REPORT TO CONGRESS- Not later than March 1, 1993, the Secretary shall
prepare and submit to the appropriate committees of Congress a report that
contains a description of the activities carried out under this title,
and an assessment of the effectiveness of the programs established under
this title in preventing initial and prolonged separation of children
from their families due to homelessness and other housing problems. At a
minimum the report shall contain--
`(1) information describing the localities in which activities are conducted;
`(2) information describing the specific activities undertaken with grant
funds and, where relevant, the numbers of families and children assisted
by such activities;
`(3) information concerning the nature of the joint training conducted
with grant funds; and
`(4) information concerning the impact of programs supported with grant
funds on--
`(A) the incidence of the placement of children into out-of-home care;
`(B) the reunification of children with their families; and
`(C) in the case of youths not less than 16 years of age who have been
placed in out-of-home care, the discharge of such youths from such care
into circumstances of providing for their own support with adequate living
arrangements.
`(d) RESTRICTION ON USE OF GRANT- The Secretary may not make a grant under
section 301(a) unless the agency involved agrees that the agency will not
expend the grant to purchase or improve real property.
`SEC. 304. DESCRIPTION OF INTENDED USES OF GRANT.
`The Secretary shall not make a grant under section 301(a) unless--
`(1) the agency involved submits to the Secretary a description of the
purposes for which the agency intends to expend the grant;
`(2) with respect to the entities with which the agency has made agreements
pursuant to section 301(b)(1), such entities have assisted the agency in
preparing the description required in paragraph (1); and
`(3) the description includes a statement of the methods that the agency
will utilize in conducting the evaluations required in section 303(a)(2).
`SEC. 305. REQUIREMENT OF SUBMISSION OF APPLICATION.
`The Secretary shall not make a grant under section 301(a) unless an
application for the grant is submitted to the Secretary, the application
contains the description of intended uses required in section 304, and
the application is in such form, is made in such manner, and contains such
agreements, assurances, and information as the Secretary determines to be
necessary to carry out this title.
`SEC. 306. AUTHORIZATION OF APPROPRIATIONS.
`(a) IN GENERAL- For the purpose of carrying out this title, there are
authorized to be appropriated $25,000,000 for each of the fiscal years
1991 through 1993.
`(b) AVAILABILITY OF APPROPRIATIONS- Amounts appropriated under subsection
(a) shall remain available until expended.'.
(c) TECHNICAL AND CONFORMING AMENDMENT- The Child Abuse and Prevention Act
(42 U.S.C. 5101 et seq.) is amended in the table of contents in section
101(b) by adding at the end thereof the following new items:
`TITLE III--CERTAIN PREVENTIVE SERVICES REGARDING CHILDREN OF HOMELESS
FAMILIES OR FAMILIES AT RISK OF HOMELESSNESS
`Sec. 301. Demonstration grants for prevention of inappropriate separation
from family and for prevention of child abuse and neglect.
`Sec. 302. Provisions with respect to carrying out purpose of demonstration
grants.
`Sec. 303. Additional required agreements.
`Sec. 304. Description of intended uses of grant.
`Sec. 305. Requirement of submission of application.
`Sec. 306. Authorization of appropriations.'.

3c46152cf9b20e60f449d86131a64bf3d2ae1dfbf36b8a22bca048f06bd3edc7

THE HOMELESS.
Section 202(a)(15) of the Stewart B. McKinney Homeless Assistance Act
(42 U.S.C. 11312(a)(15)) is amended to read as follows:
`(15) The Secretary of Veterans Affairs, or the designee of the Secretary.'.

181239846e0733c0c293cdc45d446beecd1841978d313a97b2f9ee93783067b8

TITLE III

-HOMELESS

(a) IN GENERAL--Section 501 of the Stewart B. McKinney Homeless Assistance
Act (42 U.S.C. 11411 is amended to read as follows:
`SEC. 501. USE OF UNUTILIZED AND UNDERUTILIZED PUBLIC BUILDING AND REAL
PROPERTY TO ASSIST THE HOMELESS.
`(a) IDENTIFICATION OF SUITABLE PROPERTY- The Secretary of Housing and
Urban Development shall, on a quarterly basis, collect information about
Federal public buildings and other Federal real properties (including
fixtures) that are excess or surplus or are described as unutilized or
underutilized in surveys by the heads of landholding agencies under section
202(b)(2) of the Federal Property and Administrative Services Act of 1949
(40 U.S.C. 483(b)(2)). No later than 25 days after receiving a request
from the Secretary, the head of each landholding agency shall provide such
information to the Secretary. No later than 30 days after collecting such
information, the Secretary shall identify which of those buildings and
properties are suitable for use to assist the homeless.
`(b) AVAILABILITY OF PROPERTY- (1) The Secretary shall immediately notify
each Federal agency with respect to any property of that agency that the
Secretary has identified under subsection (a) of this section. No later than
30 days after receipt of such a notice, the Administrator, with respect
to excess property, or the appropriate head of the landholding agency,
with respect to underutilized or unutilized property, shall transmit to
the Secretary the agency's response which shall include--
`(A) in the case of underutilized or unutilized property--
`(i) a statement of intention to declare the property excess to the
agency's needs;
`(ii) a statement of intention to make the property available for use to
assist the homeless; or
`(iii) a statement of the reasons the property cannot be declared excess
property of the agency or make available for use to assist the homeless;
`(B) in the case of excess property--
`(i) a statement that there is no other compelling Federal need for the
property and, therefore, the property will be determined surplus; or
`(ii) a statement of the other compelling Federal need for the property
and, therefore, the property is not presently available for use to assist
the homeless.
`(2) All surplus property determined suitable under subsection (a) shall
be available for application for use to assist the homeless in accordance
with the provisions of this section.
`(3) The Secretary shall maintain a written public record of--
`(A) the determinations of the Secretary and the reasons for such
determinations under this subsection; and
`(B) the responses of landholding agencies to such determinations.
`(c) PUBLICATION OF PROPERTIES- (1)(A) No later than 15 days after the last
day of the 30-day period provided for under subsection (b)(1), the Secretary
shall publish in the Federal Register a list of all property reviewed by
the Secretary, which shall include all suitable property that is available
for application under subsection (b) for use to assist the homeless.
`(B) Each publication of property shall include a description and location
of the property (including the address and zip code) and the current
classification of such property.
`(C) The Secretary shall make available upon request all information
regardless of format about all property reviewed and determined to be
unsuitable, including the reasons such properties were determined unsuitable.
`(D) The Secretary shall publish separately, on an annual basis, all
property determined to be suitable, but reported to be unavailable, and
the reasons such properties were unavailable.
`(2) No later than 15 days after the last day of the 30-day period provided
for under subsection (b)(1), the Secretary shall transmit a copy of the
complete list to the Interagency Council on the Homeless. The Council shall
immediately distribute to all State and regional homeless coordinators
area relevant portions of the list.
`(3) The Secretary, the Administrator, and the Secretary of Health and
Human Services shall make such efforts as necessary to ensure the widest
possible dissemination of the information on such list.
`(4) The Secretary shall establish a toll-free number to provide the public
with specific information about property on the list.
`(5) The Secretary shall make readily available to the public upon request
all information regardless of format in the possession of the Department of
Housing and Urban Development about the properties under this subsection,
including environmental assessment data. The Secretary shall maintain
a current list of agency contacts for making referrals of inquires for
information about specific properties.
`(6)(A) On December 31 of each year, the head of each landholding agency
shall report to the Secretary the current availability status of each
property controlled by the agency, that--
`(i) was included in a list published by the Secretary under paragraph
(1)(A)(i); and
`(ii) remains available for application for use as a facility to assist the
homeless or has become available for application during the preceding year.
`(B) No later than February 15 each year, the Secretary shall publish in the
Federal Register a list of all properties reported under subparagraph (A)
for the preceding year, and the current classification of such properties
as excess, surplus, unutilized, or underutilized.
`(d) HOLDING PERIOD- (1) Properties published as suitable and available
for application shall not be available for any other purpose for a period
of 45 days beginning on the date of such publication.
`(2) Once written notice of intent to apply for a property is received,
within the 45-day period described under paragraph (1), for the utilization
of any such property by representatives of the homeless, such property may
not be made available for any other purpose, until the Secretary of Health
and Human Services or other landholding agencies have completed action on
the application.
`(3) Excess, surplus, unutilized and underutilized properties determined
unsuitable may not be made available for any other purpose for 15 days after
the determination of unsuitability to allow for review of the determination
at the request of the representative of the homeless.
`(4) Written notice of intent to apply for a property may also be filed
at any time after the 45-day period described under paragraph (1) has
expired. In such case the application shall be approved and the property
assigned to the Secretary of Health and Human Services for disposal for
use to assist the homeless, only if the property remains available. If
the property remains available, the use to assist the homeless shall be
given priority consideration over competing disposal opportunities under
section 203 of the Federal Property and Administrative Services Act of 1949
(40 U.S.C. 484) and the provisions of subsection (f)(3) shall apply.'
`(e) USE OF PROPERTY TO ASSIST THE HOMELESS- (1) Representatives of the
homeless may submit an application to the Secretary of Health and Human
Services for any property that is suitable and available for application
included in a list published under subsection (c)(1)(A)(i), for use to
assist the homeless.
`(2) No later than 90 days after the submission of written notice of intent
to apply for a property, an applicant shall submit a complete application
to the Secretary of Health and Human Services. The Secretary of Health
and Human Services shall, with the concurrence of the Administrator for
surplus property and the head of the appropriate landholding agency for
unutilized or underutilized property, grant reasonable extensions.
`(3) No later than 25 days after receipt of a completed application, the
Secretary of Health and Human Services shall review, make all determinations,
and complete all actions on the application. The Secretary of Health
and Human Services all maintain a written record of all actions taken in
response to an application.
`(4) The Secretary, the Administrator, and the heads of landholding
agencies shall immediately take such actions as may be necessary to make
property immediately available to representatives of the homeless whose
applications are approved by the Secretary of Health and Human Services
under this paragraph.
`(f) MAKING PROPERTY AVAILABLE TO REPRESENTATIVES OF THE HOMELESS- (1)
Subject to the provisions of this subsection, properties for which the
Secretary of Health and Human Services has approved applications for homeless
use shall be made immediately available to representatives of the homeless.
`(2) Unutilized or underutilized property shall be made immediately available
by the appropriate landholding agency to the approved applicant by lease or
permit, for a term of not less than 1 year, unless the applicant requests
a shorter term.
`(3)(A) In disposing of surplus property for deed or lease under section
203 of the Federal Property and Administrative Services Act of 1949
(40 U.S.C. 484), the Administrator and the Secretary of Health and Human
Services shall give priority consideration to uses to assist the homeless
under subsection (k)(5) of such section.
`(B) Surplus property shall be made immediately available to the Secretary
of Health and Human Services upon request of assignment for immediate
provision to the approved applicant in accordance with section 203(k)(5)
of such Act, unless the Administrator or the Secretary of Health and Human
Services determines that a competing request under section 203 of such
Act of the property is so meritorious and compelling as to outweigh the
needs of the homeless.
`(C) Whenever the Administrator or the Secretary of Health and Human
Services makes a determination under subparagraph (B), the Administrator
or the Secretary of Health and Human Services shall transmit to the
appropriate committees of the Congress an explanatory statement detailing
the need satisifed by conveyance of the surplus property and the reasons
for determining that such need was so meritorious and compelling as to
outweigh the needs of the homeless.
`(4) For properties made available by lease to representatives of
the homeless prior to the date of enactment of the Stewart B. McKinney
Homeless Assistance Amendments of 1990, the Secretary of Health and Human
Services may, upon written request by the representative, convey by deed
such property to the representative under section 203(k) of the Federal
Property and Administrative Services Act of 1949 (40 U.S.C. 484(k)). The
lease term shall not be affected if a deed is not granted.
`(g) RECORDS- The Secretary shall maintain a written public record of--
`(1) the reasons for determinations of the Secretary under this section; and
`(2) the responses of landholding agencies to those determinations.
`(h) DEFINITIONS- For purposes of this section--
`(1) the term `Administrator' means the Administrator of General Services;
`(2) the terms `excess property' and `surplus property' have the same
meaning as such terms are defined under section 3 of the Federal Property
and Administrative Services Act of 1949 (40 U.S.C. 472);
`(3) the term `landholding agency' means a Federal department or agency
with statutory authority to control real property including, with respect
to excess and surplus real property, the Administrator of General Services;
`(4) the term `representative of the homeless' means a State or local
government agency, or private nonprofit organization, which provides
services to the homeless; and
`(5) the term `Secretary' means the Secretary of Housing and Urban
Development, except as otherwise provided.'.
(b) AMENDMENT TO THE FEDERAL PROPERTY AND ADMINISTRATIVE SERVICE ACT OF
1949- Section 203(k) of the Federal Property and Administrative Services
Act of 1949 (40 U.S.C. 484(k)) is amended by adding at the end thereof
the following new paragraph:
`(5) The Administrator shall assign to the Secretary of Health and
Human Services for disposal by lease or deed such surplus real property,
incuding buildings and fixtures situated thereon, as is recommended by the
Secretary of Health and Human Services as being needed for used to assist
the homeless. Notwithstanding any other provision of this subsection, all
assignments and transfers of real property under this paragraph shall be in
accordance with section 501 of the Stewart B. McKinney Homeless Assistance
Act (42 U.S.C. 11411).'.
(c) UNUTILIZED AND UNDERUTILIZED PROPERTY- For purposes of section 501
of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C. 11411)
(as amended by subsection (a) of this Act) the term `unutilized and
underutilized property' shall have the same meaning as such term before
the date of the enactment of this Act under such section 501.
(d) PROMULGATION OF REGULATIONS- No later than 60 days after the date
of the enactment of this Act, the Administrator of General Services, the
Secretary of Health and Human Services, and the Secretary of Housing and
Urban Development shall promulgate regulations implementing the provisions
of this section.

494f11d79d7d4e58703d339039a195e2489eea54ccd0b845d9cb460200785e7e

The General Accounting Office shall conduct a study of the methodology
and procedures used by the Bureau of the Census in counting the number of
homeless persons for the decennial census conducted pursuant to title 13,
United States Code, to determine the accuracy of such count, and report
to the Congress.

ce946fe08dd0578be28c2a05a2008e0a7aa4082f7fd943c429ac827cdd937d36

Notwithstanding any other provision of law, the Act entitled `An Act
relating to the rate of wages for laborers and mechanics employed on
public buildings of the United States and the District of Columbia by
contractors and subcontractors, and for other purposes', approved March
3, 1931 (40 U.S.C. 276(a)), commonly known as the Davis-Bacon Act, as
well as the Service Contract Act of 1965 (41 U.S.C. 356), and any other
similar provision of Federal law, shall not be required with respect to
any homeless individual employed in connection with a project, which is or
will be his or her primary nighttime residence and which is constructed,
improved, or otherwise assisted under the provisions of this Act or any
amendment made by this Act.

7b0e6d3be7fa01f85aee20279ca0ec7d7052a17cbb74706621c99036ddc38c8a

This title may be cited as the `Primary Pediatric Outreach and Care for
Disadvantaged Children Act of 1990'.

14e779482ac59d6d3252e25a8add114d298f8f43ee366224e58acafb5c931200

TITLE IV

-PRIMARY PEDIATRIC OUTREACH AND CARE FOR DISADVANTAGED CHILDREN

Part C of title III of the Public Health Service Act (42 U.S.C. 248 et
seq.) is amended by adding at the end thereof the following new section:
`SEC. 328. PRIMARY PEDIATRIC CARE FOR DISADVANTAGED CHILDREN PROGRAM.
`(a) DEFINITIONS- As used in this section:
`(1) PRIMARY PEDIATRIC CARE- The term `primary pediatric care' means--
`(A) preventive care including anticipating guidance, appropriate early
treatment, immunizations, and other services designed to promote health and
prevent disease, which should include a comprehensive health examination
that involves services identical to those required under early and periodic
screening, diagnosis and treatment programs under sections 1902(a)(43)
and 1905(a)(4)(B) of the Social Security Act;
`(B) acute illness care, including diagnosis and early treatment of illnesses
in order to prevent complications or the development of chronic disorders;
`(C) evaluations conducted to detect physical abuse, sexual abuse, or
neglect of children; and
`(D) continuing care of individuals suffering from certain chronic diseases
of disabling conditions.
`(2) OUTREACH- The term `outreach' means--
`(A) the intensive identification of isolated and vulnerable children; and
`(B) the undertaking of comprehensive assessments and referrals for purposes
of providing immediate direct care and access to health care systems.
`(b) AUTHORITY- The Secretary may make grants to, and enter into contracts
with, public and nonprofit private organizations, agencies, and institutions,
to pay part or all of the costs of establishing programs designed to provide
high quality primary pediatric care to economically disadvantaged children
under the age of 19 who, on the date of enactment of this section, do not
have access to such care as a result of geographic, cultural, financial,
and other barriers, for the purposes described in subsection (c), or for
operating such programs, or both.
`(c) ELIGIBLE ACTIVITIES- A recipient shall use funds available under this
section for as many of the following as practicable--
`(1) child outpatient facilities or, where appropriate, mobile medical
units, staffed by physicians, nurse practitioners, and other health care
providers to provide primary care services;
`(2) an extensive followup system to ensure maximum consultative and
referral visits for comprehensive health needs;
`(3) prenatal care;
`(4) substance abuse detection and preventive and therapeutic counseling;
`(5) evaluation and treatment services for behavioral and emotional
disorders either directly or through referrals to appropriate specialists;
`(6) a health service program for children in foster care;
`(7) a program to provide medical services and community referrals to
runaway and homeless youth;
`(8) a program to provide continuous, comprehensive care for children
with special medical needs, particularly children with disabilities and
chronic illness;
`(9) formal linkages with facilities providing necessary referral or
ancillary services, including hospital outpatient and inpatient care,
community health centers, educational institutions, Head Start programs,
and social welfare and child abuse programs; and
`(10) methods of data collection (through the use of computerized systems to
the extent feasible), including statistics concerning children and families
and the specifics of the health care needs of such children and families
which should enable the tracking of families and promote a continuum of
health care.
`(d) AUTHORIZATION OF APPROPRIATIONS- There are authorized to be appropriated
to carry out this section, $10,000,000 for fiscal year 1991, and such sums
as are necessary for each succeeding fiscal year.'.
Attest:
Secretary.
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f8a6f20f8466b1f28af777e2f2c41a30aa83319cad60534980c3bb1bb0bf673b

Stewart B. McKinney Homeless Assistance Amendments Act of 1990

Other Sections

TITLE I

TITLE II

TITLE III

TITLE IV

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