,i #aacth ,,congress #ast ,session ,h4 ,r4 #beii ,,in ,,the ,,house ,,of ,,representatives ,june #bh1 #bjac ,ms4 ,lee of ,california 7for herself1 ,ms4 ,clarke1 ,mr4 ,rangel1 ,ms4 ,wilson of ,florida1 ,mr4 ,serrano1 ,ms4 ,norton1 ,ms4 ,jackson ,lee1 ,mr4 ,ellison1 ,mr4 ,lewis1 and ,ms4 ,waters7 introduced the following bill2 which was referred to the ,committee on the ,judiciary1 and in addition to the ,committees on ,energy and ,commerce and ,financial ,services1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to reduce the spread of sexually transmitted infections in correctional facilities1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,justice for the ,unprotected against ,sexually ,transmitted ,infections among the ,confined and ,exposed ,act or the ,,justice ,act4 #b4 ,table of contents ,the table of contents of this ,act is as follows3 ,sec4 #a4 ,short title4 ,sec4 #b4 ,table of contents4 ,sec4 #c4 ,findings4 ,sec4 #d4 ,authority to allow community organizations to provide ,,sti counseling1 ,,sti prevention education1 and sexual barrier protection devices in ,federal correctional facilities4 ,sec4 #e4 ,sense of ,congress regarding distribution of sexual barrier protection devices in ,state prison systems4 ,sec4 #f4 ,automatic enrollment or reinstatement of ,medicaid benefits4 ,sec4 #g4 ,survey of and report on correctional and immigration detention facility programs aimed at reducing the spread of ,s,t,is4 ,sec4 #h4 ,strategy4 ,sec4 #i4 ,eligibility of persons discharged from correctional facilities for ,mc,kinney-,vento ,act housing assistance4 ,sec4 #aj4 ,definitions4 ,sec4 #aa4 ,appropriations4 #c4 ,findings ,the ,congress makes the following findings3 7#a7 ,according to the ,bureau of ,justice ,statistics 7,,bjs71 #b1bci1hjj persons were incarcerated in ,state or ,federal prisons or local jails in the ,united ,states as of the end of #bjaa4 ,additionally1 one in every #cd ,united ,states residents was on probation1 in jail or prison1 or on parole4 ,during #bjaa1 the ,department of ,homeland ,security 7,,dhs7 confined an additional #fdb1jjj people4 ,,dhs held #dbi1jjj of them in immigration detention facilities4 7#b7 ,in #bjaj1 #fj percent of incarcerated persons were racial or ethnic minorities4 ,in #bjaa1 ,african-,americans males ages #ah to #ai were imprisoned at more than #i times the rate of their ,white counterparts4 ,african-,american men are incarcerated at a rate more than #f times that of ,white males1 and #b4f times that of ,hispanic males1 despite similar rates of criminal activity4 7#c7 ,there is a disproportionately high rate of ,,hiv_/,,aids among incarcerated persons1 especially among minorities4 ,rates of ,,hiv diagnoses among persons tested in prisons in #bjjd were higher in ,african-,americans and ,hispanics than ,whites4 ,approximately #a in #g people living with ,,hiv will pass through the prison system each year4 7#d7 ,in #bjaj1 the ,,aids-related death rate among prisoners was more than #d times higher among ,african-,americans compared to ,whites4 7#e7 ,studies suggest that other sexually transmitted infections 7,s,t,is71 such as gonorrhea1 chlamydia1 syphilis1 genital herpes1 viral hepatitis1 and human papillomavirus1 also exist at a higher rate among incarcerated persons than in the general population4 ,according to the ,centers for ,disease ,control and ,prevention1 #af percent to #da percent of incarcerated persons have been infected with hepatitis ,c 7compared to #a percent to #a4e percent of the general population71 and #ab percent to #ce percent of incarcerated persons are chronically infected with hepatitis ,c4 7#f7 ,many correctional facilities in the ,united ,states do not provide comprehensive testing and treatment programs to reduce the spread of ,s,t,is4 ,according to ,,bjs surveys from #bjje1 only #iif of the #a1hba ,federal and ,state correctional facilities 7i4e41 #ed4g percent7 provided ,,hiv_/,,aids counseling programs4 7#g7 ,individuals who are enrolled in ,medicaid prior to incarceration1 including those who are pending disposition and have not had a trial yet1 face a suspension of their benefits upon incarceration1 and in some ,states a termination of their ,medicaid eligibility4 ,the ,federal ,government encourages ,states to automatically re-enroll incarcerated persons on ,medicaid upon their release from a correctional facility1 unless the ,state reaches a determination that the individual is no longer eligible for reasons other than their prior incarceration4 7#h7 ,formerly incarcerated individuals who are newly released from correctional facilities often face delays in the resumption of their ,medicaid benefits which may exacerbate any health issues which they face4 7#i7 ,incarcerated individuals living with ,,hiv_/,,aids who are eligible for ,medicaid would benefit from prompt and automatic enrollment upon their release in order to ensure their continued ability to access health services1 including antiretroviral treatment4 7#aj7 ,correctional facilities lack a uniform system of ,,sti testing and reporting4 ,establishing a uniform data collection system would assist in developing and targeting counseling and treatment programs for incarcerated persons and can help reduce the spread of ,s,t,is4 7#aa7 ,although ,congress has acted to reduce the spread of sexual violence in correctional facilities by enacting the ,national ,prison ,rape ,elimination ,act 7,,prea7 of #bjjc1 ,,bjs reported that approximately #d4d percent of incarcerated persons in prisons and #c4a percent of persons in jail reported experiencing one or more incidents of sexual victimization by another incarcerated person or correctional facility staff in the previous year4 7#ab7 ,according to ,,cdc1 incarcerated persons do engage in sexual intercourse4 ,the ,,cdc finds that correct and consistent male or female condom use effectively reduces the risk of ,,hiv and ,,sti transmission and recommends ,,hiv education and counseling in prisons4 7#ac7 ,despite the effectiveness of condoms in reducing the spread of ,,hiv_/,,aids and ,s,t,is1 the ,bureau of ,prisons does not recommend their use in correctional facilities4 7#ad7 ,the distribution of condoms in correctional facilities is currently legal in certain parts of the ,united ,states and the world4 ,the ,states of ,vermont and ,mississippi and the ,district of ,columbia allow condom distribution programs in their correctional facilities4 ,the cities of ,new ,york1 ,san ,francisco1 ,los ,angeles1 ,washington1 ,,dc1 and ,philadelphia also allow condom distribution in their correctional facilities4 ,however1 these ,states and cities operate less than #a percent of all correctional facilities4 7#ae7 ,the ,american ,public ,health ,association1 ,national ,commission on ,correctional ,health ,care 7,,ncchc71 ,human ,rights ,watch1 the ,united ,nations ,joint ,program on ,,hiv_/,,aids1 the ,united ,nations ,office of ,drugs and ,crime1 ,,unaids1 and the ,world ,health ,organization have endorsed the effectiveness of condom distribution programs in correctional facilities4 ,the ,global ,commission on ,,hiv and the ,law further recognizes that the lack of condoms exacerbates transmission risk4 #d4 ,authority to allow community organizations to provide ,,sti counseling1 ,,sti prevention education1 and sexual barrier protection devices in ,federal correctional facilities 7a7 ,directive to ,attorney ,general ,not later than #cj days after the date of enactment of this ,act1 the ,attorney ,general shall direct the ,bureau of ,prisons to allow community organizations to distribute sexual barrier protection devices and to engage in ,,sti counseling and ,,sti prevention education in ,federal correctional facilities4 ,these activities shall be subject to all relevant ,federal laws and regulations which govern visitation in correctional facilities4 7b7 ,information requirement ,any community organization permitted to distribute sexual barrier protection devices under subsection 7a7 must ensure that the persons to whom the devices are distributed are informed about the proper use and disposal of sexual barrier protection devices in accordance with established public health practices4 ,any community organization conducting ,,sti counseling or ,,sti prevention education under subsection 7a7 must offer comprehensive sex education4 7c7 ,possession of device protected ,no ,federal correctional facility may1 because of the possession or use of a sexual barrier protection device-- 7#a7 take adverse action against an incarcerated person2 or 7#b7 consider possession or use as evidence of prohibited activity for the purpose of any ,federal correctional facility administrative proceeding4 7d7 ,implementation ,the ,attorney ,general and ,bureau of ,prisons shall implement this section according to established public health practices in a manner that protects the health1 safety1 and privacy of incarcerated persons and of correctional facility staff4 #e4 ,sense of ,congress regarding distribution of sexual barrier protection devices in ,state prison systems ,it is the sense of ,congress that ,states should allow for the legal distribution of sexual barrier protection devices in ,state correctional facilities to reduce the prevalence and spread of ,s,t,is in those facilities4 #f4 ,automatic enrollment or reinstatement of ,medicaid benefits 7a7 ,in general ,section #aijb7;e7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7e77 is amended-- 7#a7 by redesignating the paragraph 7#ad7 added by section #c7;c7 of ,public ,law #aaa-bee as paragraph 7#ae72 and 7#b7 by adding at the end the following new paragraph3 7#af7 ,enrollment of ex-offenders 7,a7 ,automatic enrollment or reinstatement 7i7 ,in general ,the ,state plan shall provide for the automatic enrollment or reinstatement of enrollment of an eligible individual-- 7,i7 if such individual is scheduled to be released from a public institution due to the completion of sentence1 not less than #cj days prior to the scheduled date of the release2 and 7,,ii7 if such individual is to be released from a public institution on parole or on probation1 as soon as possible after the date on which the determination to release such individual was made1 and before the date such individual is released4 7ii7 ,exception ,if a ,state makes a determination that an individual is not eligible to be enrolled under the ,state plan-- 7,i7 on or before the date by which the individual would be enrolled under clause 7i71 such clause shall not apply to such individual2 or 7,,ii7 after such date1 the ,state may terminate the enrollment of such individual4 7,b7 ,relationship of enrollment to payment for services 7i7 ,in general ,subject to subparagraph 7,a77ii71 an eligible individual who is enrolled1 or whose enrollment is reinstated1 under subparagraph 7,a7 shall be eligible for medical assistance that is provided after the date that the eligible individual is released from the public institution4 7ii7 ,relationship to payment prohibition for inmates ,no provision of this paragraph may be construed to permit payment for care or services for which payment is excluded under subparagraph 7,a7 following paragraph 7#bi7 of section #aije7;a74 7,c7 ,treatment of continuous eligibility 7i7 ,suspension for inmates ,any period of continuous eligibility under this title shall be suspended on the date an individual enrolled under this title becomes an inmate of a public institution 7except as a patient of a medical institution74 7ii7 ,determination of remaining period ,notwithstanding any changes to ,state law related to continuous eligibility during the time that an individual is an inmate of a public institution 7except as a patient of a medical institution71 subject to clause 7iii71 with respect to an eligible individual who was subject to a suspension under subclause 7,i71 on the date that such individual is released from a public institution the suspension of continuous eligibility under such subclause shall be lifted for a period that is equal to the time remaining in the period of continuous eligibility for such individual on the date that such period was suspended under such subclause4 7iii7 ,exception ,if a ,state makes a determination that an individual is not eligible to be enrolled under the ,state plan-- 7,i7 on or before the date that the suspension of continuous eligibility is lifted under clause 7ii71 such clause shall not apply to such individual2 or 7,,ii7 after such date1 the ,state may terminate the enrollment of such individual4 7,d7 ,automatic enrollment or reinstatement of enrollment defined ,for purposes of this paragraph1 the term automatic enrollment or reinstatement of enrollment means that the ,state determines eligibility for medical assistance under the ,state plan without a program application from1 or on behalf of1 the eligible individual1 but an individual may only be automatically enrolled in the ,state ,medicaid plan if the individual affirmatively consents to being enrolled through affirmation in writing1 by telephone1 orally1 through electronic signature1 or through any other means specified by the ,secretary4 7,e7 ,eligible individual defined ,for purposes of this paragraph1 the term eligible individual means an individual who is an inmate of a public institution 7except as a patient in a medical institution7-- 7i7 who was enrolled under the ,state plan for medical assistance immediately before becoming an inmate of such an institution2 or 7ii7 is diagnosed with human immunodeficiency virus4 4 7b7 ,supplemental ,funding for ,state ,implementation of ,automatic ,reinstatement of ,medicaid ,benefits 7#a7 ,in general ,subject to paragraph 7#f71 for each ,state for which the ,secretary of ,health and ,human ,services has approved an application under paragraph 7#c71 the ,federal matching payments 7including payments based on the ,federal medical assistance percentage7 made to such ,state under section #aijc of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7 shall be increased by #e percentage points for payments to the ,state for the activities permitted under paragraph 7#b7 for a period of one year4 7#b7 ,use of funds ,a ,state may only use increased matching payments authorized under paragraph 7#a7-- 7,a7 to strengthen the ,state's enrollment and administrative resources for the purpose of improving processes for enrolling 7or reinstating the enrollment of7 eligible individuals 7as such term is defined in section #aijb7;e77#ae77;,e7 of the ,social ,security ,act1 as added by subsection 7a772 and 7,b7 for medical assistance 7as such term is defined in section #aije7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a777 provided to such eligible individuals4 7#c7 ,application and agreement ,the ,secretary may only make payments to a ,state in the increased amount if-- 7,a7 the ,state has amended the ,state plan under section #aijb of the ,social ,security ,act to incorporate the requirements of subsection 7e77#ae7 of such section1 as so added2 7,b7 the ,state has submitted an application to the ,secretary that includes a plan for implementing such requirements under the ,state's amended ,state plan before the end of the #ij-;day period beginning on the date that the ,state receives increased matching payments under paragraph 7#a72 7,c7 the ,state's application meets the satisfaction of the ,secretary2 and 7,d7 the ,state enters an agreement with the ,secretary that states that-- 7i7 the ,state will only use the increased matching funds for the uses permitted under paragraph 7#b72 and 7ii7 at the end of the period under paragraph 7#a71 the ,state will submit to the ,secretary1 and make publicly available1 a report that contains the information required under paragraph 7#d74 7#d7 ,required report information ,the information that is required in the report under paragraph 7#c77;,d77ii7 includes-- 7,a7 the results of an evaluation of the impact of the implementation of the requirements of section #aijb7;e77#ae7 of the ,social ,security ,act on improving the ,state's processes for enrolling of individuals who are released for public institutions into the ,medicaid program2 7,b7 the number of individuals who were automatically enrolled 7or whose enrollment is reinstated7 under such section during the period under paragraph 7#a72 and 7,c7 any other information that is required by the ,secretary4 7#e7 ,increase in cap on ,medicaid payments to territories ,subject to paragraph 7#f71 the amounts otherwise determined for ,puerto ,rico1 the ,united ,states ,virgin ,islands1 ,guam1 the ,northern ,mariana ,islands1 and ,american ,samoa under subsections 7f7 and 7g7 of section #aajh of the ,social ,security ,act 7#db ,u4,s4,c4 #acjh7 shall each be increased by the necessary amount to allow for the increase in the ,federal matching payments under paragraph 7#a71 but only for the period under such paragraph for such ,state4 ,in the case of such an increase for a territory1 subsection 7a77#a7 of such section #aajh shall be applied without regard to any increase in payment made to the territory under part ,e of title ,,iv of such ,act that is attributable to the increase in ,federal medical assistance percentage effected under paragraph 7#a7 for the territory4 7#f7 ,limitations 7,a7 ,timing ,with respect to a ,state1 at the end of the period under paragraph 7#a71 no increased matching payments may be made to such ,state under this subsection4 7,b7 ,maintenance of eligibility 7i7 ,in general ,subject to clause 7ii71 a ,state is not eligible for an increase in its ,federal matching payments under paragraph 7#a71 or an increase in an amount under paragraph 7#e71 if eligibility standards1 methodologies1 or procedures under its ,state plan under title ,,xix of the ,social ,security ,act 7including any waiver under such title or under section #aaae of such ,act 7#db ,u4,s4,c4 #acae77 are more restrictive than the eligibility standards1 methodologies1 or procedures1 respectively1 under such plan 7or waiver7 as in effect on the date of enactment of this ,act4 7ii7 ,state reinstatement of eligibility permitted ,a ,state that has restricted eligibility standards1 methodologies1 or procedures under its ,state plan under title ,,xix of the ,social ,security ,act 7including any waiver under such title or under section #aaae of such ,act 7#db ,u4,s4,c4 #acae77 after the date of the enactment of this ,act1 is no longer ineligible under clause 7i7 beginning with the first calendar quarter in which the ,state has reinstated eligibility standards1 methodologies1 or procedures that are no more restrictive than the eligibility standards1 methodologies1 or procedures1 respectively1 under such plan 7or waiver7 as in effect on such date4 7,c7 ,no waiver authority ,the ,secretary may not waive the application of this subsection under section #aaae of the ,social ,security ,act or otherwise4 7,d7 ,limitation of matching payments to #ajj percent ,in no case shall an increase in ,federal matching payments under this subsection result in ,federal matching payments that exceed #ajj percent4 7#g7 ,state defined ,in this subsection1 the term ,state has the meaning given such term for purposes of title ,,xix of the ,social ,security ,act4 7c7 ,effective date 7#a7 ,in general ,except as provided in paragraph 7#b71 the amendments made by subsection 7a7 shall take effect #ahj days after the date of the enactment of this ,act and shall apply to services furnished on or after such date4 7#b7 ,rule for changes requiring ,state legislation ,in the case of a ,state plan for medical assistance under title ,,xix of the ,social ,security ,act which the ,secretary of ,health and ,human ,services determines requires ,state legislation 7other than legislation appropriating funds7 in order for the plan to meet the additional requirements imposed by the amendments made by this subsection1 the ,state plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet these additional requirements before the first day of the first calendar quarter beginning after the close of the first regular session of the ,state legislature that begins after the date of the enactment of this ,act4 ,for purposes of the previous sentence1 in the case of a ,state that has a #b-year legislative session1 each year of such session shall be deemed to be a separate regular session of the ,state legislature4 #g4 ,survey of and report on correctional and immigration detention facility programs aimed at reducing the spread of ,s,t,is 7a7 ,survey ,the ,attorney ,general and the ,secretary of ,homeland ,security1 after consulting with the ,secretary of ,health and ,human ,services1 ,state officials1 and community organizations1 shall1 to the maximum extent practicable1 conduct a survey of all ,federal and ,state correctional facilities and immigration detention facilities1 no later than #ahj days after the date of enactment of this ,act and annually thereafter for #e years1 to determine the following3 7#a7 ,prevention education offered ,the type of prevention education1 information1 or training offered to incarcerated persons and detainees and staff of correctional and immigration detention facilities regarding sexual violence and the spread of ,s,t,is1 including whether such education1 information1 or training-- 7,a7 constitutes comprehensive sex education2 7,b7 is compulsory for new incarcerated persons and detainees and for new staff2 and 7,c7 is offered on an ongoing basis4 7#b7 ,access to sexual barrier protection devices ,whether incarcerated persons and detainees can-- 7,a7 possess sexual barrier protection devices2 7,b7 purchase sexual barrier protection devices2 7,c7 purchase sexual barrier protection devices at a reduced cost2 and 7,d7 obtain sexual barrier protection devices without cost4 7#c7 ,incidence of sexual violence ,the incidence of sexual violence and assault committed by incarcerated persons and detainees1 and by staff of correctional and immigration detention facilities4 7#d7 ,counseling1 treatment1 and supportive services ,whether the correctional or immigration detention facility requires incarcerated persons and detainees to participate in counseling1 treatment1 and supportive services related to ,s,t,is1 or whether it offers such programs to incarcerated persons and detainees4 7#e7 ,,sti testing ,whether the correctional or immigration detention facility tests incarcerated persons and detainees for ,s,t,is or gives them the option to undergo such testing-- 7,a7 at intake2 7,b7 on a regular basis2 and 7,c7 prior to release4 7#f7 ,,sti test results ,the number of incarcerated persons and detainees who are tested for ,s,t,is and the outcome of such tests at each correctional or immigration detention facility1 disaggregated to include results for-- 7,a7 the type of sexually transmitted infection tested for2 7,b7 the race and ethnicity of individuals tested2 7,c7 the age of individuals tested2 and 7,d7 the gender of individuals tested4 7#g7 ,pre-release referral policy ,whether incarcerated persons and detainees are informed prior to release about ,,sti-related services or other health services in their communities1 including free and low-cost counseling and treatment options4 7#h7 ,pre-release referrals made ,the number of referrals to community-based organizations or public health facilities offering ,,sti-related or other health services provided to incarcerated persons and detainees prior to release1 and the type of counseling or treatment for which the referral was made4 7#i7 ,reinstatement of medicaid benefits ,whether the correctional facility assists incarcerated persons that were enrolled in the ,state ,medicaid program prior to their incarceration1 in reinstating their enrollment upon release and whether such individuals receive referrals as provided by paragraph 7#h7 to entities that accept the ,state ,medicaid program1 including if applicable-- 7,a7 the number of such individuals1 including those diagnosed with the human immunodeficiency virus1 that have been reinstated2 7,b7 a list of obstacles to reinstating enrollment or to making determinations of eligibility for reinstatement1 if any2 and 7,c7 the number of individuals denied enrollment4 7#aj7 ,other actions taken ,whether the correctional or immigration detention facility has taken any other action1 in conjunction with community organizations or otherwise1 to reduce the prevalence and spread of ,s,t,is in that facility4 7b7 ,privacy ,in conducting the survey under subsection 7a71 the ,attorney ,general and the ,secretary of ,homeland ,security shall not request or retain the identity of any person who has sought or been offered counseling1 treatment1 testing1 or prevention education information regarding an ,,sti 7including information about sexual barrier protection devices71 or who has tested positive for an ,,sti4 7c7 ,report ,the ,attorney ,general and the ,secretary of ,homeland ,security shall transmit to ,congress and make publicly available the results of the survey required under subsection 7a71 both for the ,nation as a whole and disaggregated as to each ,state and each correctional facility or immigration detention facility4 ,to the maximum extent possible1 the ,attorney ,general and the ,secretary of ,homeland ,security shall issue the first report no later than #a year after the date of enactment of this ,act and shall issue reports annually thereafter for #e years4 #h4 ,strategy 7a7 ,directive to ,attorney ,general ,the ,attorney ,general1 in consultation with the ,secretary of ,health and ,human ,services1 ,state officials1 and community organizations1 shall develop and implement a #e-year strategy to reduce the prevalence and spread of ,s,t,is in ,federal and ,state correctional facilities4 ,to the maximum extent possible1 the strategy shall be developed1 transmitted to ,congress1 and made publicly available no later than #ahj days after the transmission of the first report required under section #g7;c7 of this ,act4 7b7 ,contents of strategy ,the strategy shall include the following3 7#a7 ,prevention education ,a plan for improving prevention education1 information1 and training offered to incarcerated persons and correctional facility staff1 including information and training on sexual violence and the spread of ,s,t,is1 and comprehensive sex education4 7#b7 ,sexual barrier protection device access ,a plan for expanding access to sexual barrier protection devices in correctional facilities4 7#c7 ,sexual violence reduction ,a plan for reducing the incidence of sexual violence among incarcerated persons and correctional facility staff1 developed in consultation with the ,national ,prison ,rape ,elimination ,commission4 7#d7 ,counseling and supportive services ,a plan for expanding access to counseling and supportive services related to ,s,t,is in correctional facilities4 7#e7 ,testing ,a plan for testing incarcerated persons for ,s,t,is during intake1 during regular health exams1 and prior to release1 and that-- 7,a7 is conducted in accordance with guidelines established by the ,centers for ,disease ,control and ,prevention2 7,b7 includes pretest counseling2 7,c7 requires that incarcerated persons are notified of their option to decline testing at any time2 7,d7 requires that incarcerated persons are confidentially notified of their test results in a timely manner2 and 7,e7 ensures that incarcerated persons testing positive for ,s,t,is receive posttest counseling1 care1 treatment1 and supportive services4 7#f7 ,treatment ,a plan for ensuring that correctional facilities have the necessary medicine and equipment to treat and monitor ,s,t,is and for ensuring that incarcerated persons living with or testing positive for ,s,t,is receive and have access to care and treatment services4 7#g7 ,strategies for demographic groups ,a plan for developing and implementing culturally appropriate1 sensitive1 and specific strategies to reduce the spread of ,s,t,is among demographic groups heavily impacted by ,s,t,is4 7#h7 ,discharge and return to society ,a plan to improve pre-release discharge planning for inmates1 especially those with ,,hiv_/,,aids1 to access essential services4 7#i7 ,linkages with communities and facilities ,a plan for establishing and strengthening linkages to local communities and health facilities that-- 7,a7 provide counseling1 testing1 care1 and treatment services2 7,b7 may receive persons recently released from incarceration who are living with ,s,t,is2 and 7,c7 accept payment through the ,state ,medicaid program4 7#aj7 ,enrollment in ,state ,medicaid programs ,plans to ensure that incarcerated persons who were-- 7,a7 enrolled in their ,state ,medicaid program prior to incarceration in a correctional facility are automatically re-enrolled in such program upon their release2 and 7,b7 not enrolled in their ,state ,medicaid program prior to incarceration1 but who are diagnosed with the human immunodeficiency virus while incarcerated in a correctional facility1 are automatically enrolled in such program upon their release4 7#aa7 ,other plans ,any other plans developed by the ,attorney ,general for reducing the spread of ,s,t,is or improving the quality of health care in correctional facilities4 7#ab7 ,monitoring system ,a monitoring system that establishes performance goals related to reducing the prevalence and spread of ,s,t,is in correctional facilities and which1 where feasible1 expresses such goals in quantifiable form4 7#ac7 ,monitoring system performance indicators ,performance indicators that measure or assess the achievement of the performance goals described in paragraph 7#ab74 7#ad7 ,cost estimate ,a detailed estimate of the funding necessary to implement the strategy at the ,federal and ,state levels for all #e years1 including the amount of funds required by community organizations to implement the parts of the strategy in which they take part4 7c7 ,report ,the ,attorney ,general shall transmit to ,congress and make publicly available an annual progress report regarding the implementation and effectiveness of the strategy described in subsection 7a74 ,the progress report shall include an evaluation of the implementation of the strategy using the monitoring system and performance indicators provided for in paragraphs 7#ab7 and 7#ac7 of subsection 7b74 #i4 ,eligibility of persons discharged from correctional facilities for ,mc,kinney-,vento ,act housing assistance ,section #dja of the ,mc,kinney-,vento ,homeless ,assistance ,act 7#db ,u4,s4,c4 #aacfj7 is amended-- 7#a7 by redesignating paragraphs 7#i7 through 7#cc7 as paragraphs 7#aj7 through 7#cd71 respectively2 and 7#b7 by inserting after paragraph 7#h7 the following new paragraph3 7#i7 ,homeless ,notwithstanding section #ajc7;d71 the terms homeless1 homeless individual1 and homeless person include an individual who-- 7,a7 is being released from any prison1 penitentiary1 adult detention facility1 juvenile detention facility1 jail1 or other facility to which persons may be sent after conviction of a crime or act of juvenile delinquency within any ,state2 and 7,b7 has been diagnosed with any sexually transmitted infection 7as such term is defined in section #aj of the ,,justice ,act74 4 #aj4 ,definitions ,for the purposes of this ,act3 7#a7 ,community ,organization ,the term community organization means a public health care facility or a nonprofit organization which provides health- or ,,sti-related services according to established public health standards4 7#b7 ,comprehensive sex education ,the term comprehensive sex education means a program that-- 7,a7 includes age- and developmentally appropriate1 culturally and linguistically relevant information on a broad set of topics related to sexuality including human development1 relationships1 decisionmaking1 communication1 abstinence1 contraception1 and disease and pregnancy prevention2 7,b7 provides students with opportunities for developing skills as well as learning information2 7,c7 is inclusive of lesbian1 gay1 bisexual1 transgender1 and heterosexual young people2 and 7,d7 aims to-- 7i7 provide scientifically accurate and realistic information about human sexuality2 7ii7 provide opportunities for individuals to understand their own1 their families'1 and their communities' values1 attitudes1 and insights about sexuality2 7iii7 help individuals develop healthy relationships and interpersonal skills2 and 7iv7 help individuals exercise responsibility regarding sexual relationships1 which includes addressing abstinence1 pressures to become prematurely involved in sexual intercourse1 and the use of contraception and other sexual health measures4 7#c7 ,correctional ,facility ,the term correctional facility means any prison1 penitentiary1 adult detention facility1 juvenile detention facility1 jail1 or other facility to which persons may be sent after conviction of a crime or act of juvenile delinquency within the ,united ,states4 7#d7 ,detainee ,the term detainee means any person held by the ,department of ,homeland ,security whether in criminal or civil confinement4 7#e7 ,immigration detention facility ,the term immigration detention facility means a confinement facility operated by or pursuant to contract with ,u4,s4 ,immigration and ,customs ,enforcement 7,,ice7 that routinely holds persons pending resolution or completion of immigration removal operations or processes1 including facilities that are operated by ,,ice1 facilities that provide detention services under a contract awarded by ,,ice1 or facilities used by ,,ice pursuant to an ,intergovernmental ,service ,agreement4 7#f7 ,incarcerated ,person ,the term incarcerated person means any person who is serving a sentence in a correctional facility after conviction of a crime4 7#g7 ,sexually ,transmitted ,infection ,the term sexually transmitted infection or ,,sti means any disease or infection that is commonly transmitted through sexual activity1 including ,,hiv_/,,aids1 gonorrhea1 chlamydia1 syphilis1 genital herpes1 viral hepatitis1 and human papillomavirus4 7#h7 ,sexual ,barrier ,protection ,device ,the term sexual barrier protection device-- 7,a7 means any ,food and ,drug ,administration-approved physical device which has not been tampered with and which reduces the probability of ,,sti transmission or infection between sexual partners1 including female condoms1 male condoms1 and dental dams2 and 7,b7 includes water-based lubricants that have been shown to reduce the probability of condom breakage4 7#i7 ,state ,the term ,state includes the ,district of ,columbia1 ,american ,samoa1 the ,commonwealth of the ,northern ,mariana ,islands1 ,guam1 ,puerto ,rico1 and the ,united ,states ,virgin ,islands4 #aa4 ,appropriations 7a7 ,in general ,there are authorized to be appropriated such sums as may be necessary to carry out this ,act for each of the fiscal years #bjad through #bjbj4 7b7 ,availability of funds ,amounts made available under subsection 7a7 are authorized to remain available until expended4