42 U.S.C. § 300ff–71 — Grants for coordinated services and access to research for women, infants, children, and youth

(a) In general — HRSA's Administrator must award grants to public and nonprofit private entities (including a health facility run by or under contract with the Indian Health Service) to provide family-centered outpatient or ambulatory care, directly or through contracts or agreements, for women, infants, children, and youth with HIV/AIDS. (b) Additional services for patients and families — Grant funds may be used for: family-centered care, including case management; referrals for additional services, including inpatient hospital care, substance-abuse treatment, and mental health services, as well as other social and support services as appropriate; additional services needed to let the patient and family take part in the program, including services designed to recruit and retain youth with HIV; and information and education on opportunities to take part in HIV/AIDS-related clinical research. (c) Coordination with other entities — A grant may only be made if the applicant agrees to: coordinate its activities with other health-care providers under this chapter and under Title V of the Social Security Act, including programs that reduce or eliminate HIV/AIDS risk for youth; take part in the statewide coordinated statement of need under Part B, where the public health agency running Part B has started one, and in later revisions of it; and, every two years, submit to the State's lead agency (under section 300ff–27(b)(4)) audits of funds spent under this subchapter, including client-level data needed for unmet-need calculations and the statewide coordinated statement of need process. (d) Administration; application — A grant may only be awarded if the entity submits an application in whatever form, manner, and with whatever agreements, assurances, and information the Secretary determines necessary. The application must include: how the planned spending fits the Part A and Part B planning processes (sections 300ff–12 and 300ff–27(b)); and how that spending will improve overall patient outcomes, as described in the State plan under section 300ff–27(b) or through other outcome measures. (e) Annual review of programs; evaluations — Within 180 days after the end of each fiscal year, the Secretary must review how a grantee's program ran that year, aiming to recommend improvements to how the entity allocates opportunities and services among its women, infant, child, or youth patients, and to its other procedures for their participation. The Secretary must also arrange, directly or through contracts, for evaluations of these programs generally. (f) Administrative expenses — A grantee cannot spend more than 10 percent of its grant on administrative expenses, and must run a clinical quality management program assessing whether the HIV health services it funds match the most recent federal treatment guidelines and working to improve access to and quality of those services. (g) Training and technical assistance — From the money appropriated under (j) for a fiscal year, the Secretary may spend up to 5 percent, directly or through contracts with public and private entities (which may include grantees themselves), on training and technical assistance to help applicants and grantees meet this section's requirements. (h) Definitions — "Administrative expenses" means funds grantees use for grant management and monitoring activities, including staff or activities unrelated to services, or indirect costs. "Indirect costs" means costs covered under a federally negotiated indirect rate. "Services" means the professional, diagnostic, and therapeutic care — and referrals for it — that meet the program's goals, plus activities that sustain that program or improve those services. (i) Application to primary care services — Nothing in this part requires using these funds for primary care services when payment for them is available from other sources, including under Medicare, Medicaid, or CHIP. (j) Authorization of appropriations — Congress authorized $71,800,000 a year for fiscal years 2007 through 2009, then $75,390,000 for 2010, $79,160,000 for 2011, $83,117,000 for 2012, and $87,273,000 for 2013.