,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #beii  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #bh1 #bjac ,ms4 
,lee ( ,cali=nia 7= h]self1 ,ms4 ,cl>ke1
 ,mr4 ,rangel1 ,ms4 ,wilson ( ,florida1 
,mr4 ,s]rano1 ,ms4 ,norton1 ,ms4        
,jackson ,lee1 ,mr4 ,ellison1 ,mr4      
,lewis1 & ,ms4 ,wat]s7 introduc$ !      
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ! ,judici>y1 & 9 addition 
to ! ,committees on ,en]gy & ,comm]ce & 
,f9ancial ,s]vices1 = a p]iod to be     
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to r$uce ! spread (
 sexually transmitt$ infections 9       
correctional facilities1 & = o!r        
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,ju/ice = ! ,unprotect$    
aga9/ ,sexually ,transmitt$ ,infections 
among ! ,conf9$ & ,expos$ ,act or !     
,,ju/ice ,act4  #b4 ,table ( cont5ts ,! 
table ( cont5ts ( ?is ,act is z foll[s3 
,sec4 #a4 ,%ort title4 ,sec4 #b4 ,table 

( cont5ts4 ,sec4 #c4 ,f9d+s4 ,sec4 #d4  
,au?ority to all[ community             
organizations to provide ,,/i c\nsel+1  
,,/i prev5tion education1 & sexual b>ri]
 protection devices 9 ,f$]al            
correctional facilities4 ,sec4 #e4 ,s5se
 ( ,congress reg>d+ di/ribution ( sexual
 b>ri] protection devices 9 ,/ate prison
 sy/ems4 ,sec4 #f4 ,automatic enrollm5t 
or re9/atem5t ( ,m$icaid b5efits4 ,sec4 
#g4 ,survey ( & report on correctional &
 immigration det5tion facility programs 
aim$ at r$uc+ ! spread ( ,s,t,is4 ,sec4 
#h4 ,/rategy4 ,sec4 #i4 ,eligibility (  
p]sons dis*>g$ f correctional facilities
 = ,mc,kinney-,v5to ,act h\s+ assi/ance4
 ,sec4 #aj4 ,def9itions4 ,sec4 #aa4     
,appropriations4  #c4 ,f9d+s ,!         
,congress makes ! foll[+ f9d+s3  7#a7   
,accord+ to ! ,bureau ( ,ju/ice         
,/ati/ics 7,,bjs71 #b1bci1hjj p]sons 7  
inc>c]at$ 9 ,/ate or ,f$]al prisons or  
local jails 9 ! ,unit$ ,/ates z ( ! end 
( #bjaa4 ,additionally1 "o 9 e #cd      
,unit$ ,/ates resid5ts 0 on probation1 9

 jail or prison1 or on p>ole4 ,dur+     
#bjaa1 ! ,dep>tm5t ( ,homel& ,security  
7,,dhs7 conf9$ an additional #fdb1jjj p4
 ,,dhs held #dbi1jjj ( !m 9 immigration 
det5tion facilities4  7#b7 ,9 #bjaj1 #fj
 p]c5t ( inc>c]at$ p]sons 7 racial or   
e?nic m9orities4 ,9 #bjaa1              
,african-,am]icans males ages #ah to #ai
 7 imprison$ at m ?an #i times ! rate ( 
_! ,:ite c\nt]p>ts4 ,african-,am]ican m5
 are inc>c]at$ at a rate m ?an #f times 
t ( ,:ite males1 & #b4f times t (       
,hispanic males1 despite simil> rates ( 
crim9al activity4  7#c7 ,!re is a       
disproportionately high rate (          
,,hiv_/,,aids among inc>c]at$ p]sons1   
especially among m9orities4 ,rates (    
,,hiv diagnoses among p]sons te/$ 9     
prisons 9 #bjjd 7 high] 9               
,african-,am]icans & ,hispanics ?an     
,:ites4 ,approximately #a 9 #g p liv+ ) 
,,hiv w pass ?r\gh ! prison sy/em ea*   
ye>4  7#d7 ,9 #bjaj1 ! ,,aids-relat$    
dea? rate among prison]s 0 m ?an #d     
times high] among ,african-,am]icans    

comp>$ to ,:ites4  7#e7 ,/udies sugge/ t
 o!r sexually transmitt$ infections     
7,s,t,is71 su* z gonorrhea1 *lamydia1   
syphilis1 g5ital h]pes1 viral hepatitis1
 & human papillomavirus1 also exi/ at a 
high] rate among inc>c]at$ p]sons ?an 9 
! g5]al population4 ,accord+ to ! ,c5t]s
 = ,disease ,control & ,prev5tion1 #af  
p]c5t to #da p]c5t ( inc>c]at$ p]sons h 
be5 infect$ ) hepatitis ,c 7comp>$ to #a
 p]c5t to #a4e p]c5t ( ! g5]al          
population71 & #ab p]c5t to #ce p]c5t ( 
inc>c]at$ p]sons are *ronically infect$ 
) hepatitis ,c4  7#f7 ,_m correctional  
facilities 9 ! ,unit$ ,/ates d n provide
 compreh5sive te/+ & treatm5t programs  
to r$uce ! spread ( ,s,t,is4 ,accord+ to
 ,,bjs surveys f #bjje1 only #iif ( !   
#a1hba ,f$]al & ,/ate correctional      
facilities 7i4e41 #ed4g p]c5t7 provid$  
,,hiv_/,,aids c\nsel+ programs4  7#g7   
,individuals :o are enroll$ 9 ,m$icaid  
prior to inc>c]ation1 includ+ ^? :o are 
p5d+ disposition & h n _h a trial yet1  
face a susp5sion ( _! b5efits ^u        

inc>c]ation1 & 9 "s ,/ates a t]m9ation (
 _! ,m$icaid eligibility4 ,! ,f$]al     
,gov]nm5t enc\rages ,/ates to           
automatically re-enroll inc>c]at$ p]sons
 on ,m$icaid ^u _! release f a          
correctional facility1 unless ! ,/ate   
rea*es a det]m9ation t ! individual is  
no long] eligible = reasons o!r ?an _!  
prior inc>c]ation4  7#h7 ,=m]ly         
inc>c]at$ individuals :o are newly      
releas$ f correctional facilities (t5   
face delays 9 ! resumption ( _! ,m$icaid
 b5efits :i* may exac]bate any heal?    
issues :i* !y face4  7#i7 ,inc>c]at$    
individuals liv+ ) ,,hiv_/,,aids :o are 
eligible = ,m$icaid w\ld b5efit f prompt
 & automatic enrollm5t ^u _! release 9  
ord] to ensure _! cont9u$ ability to    
access heal? s]vices1 includ+           
antiretroviral treatm5t4  7#aj7         
,correctional facilities lack a uni=m   
sy/em ( ,,/i te/+ & report+4 ,e/abli%+ a
 uni=m data collection sy/em w\ld assi/ 
9 develop+ & t>get+ c\nsel+ & treatm5t  
programs = inc>c]at$ p]sons & c help    

r$uce ! spread ( ,s,t,is4  7#aa7 ,al?\gh
 ,congress has act$ to r$uce ! spread ( 
sexual viol5ce 9 correctional facilities
 by enact+ ! ,national ,prison ,rape    
,elim9ation ,act 7,,prea7 ( #bjjc1 ,,bjs
 report$ t approximately #d4d p]c5t (   
inc>c]at$ p]sons 9 prisons & #c4a p]c5t 
( p]sons 9 jail report$ exp]i5c+ "o or m
 incid5ts ( sexual victimization by     
ano!r inc>c]at$ p]son or correctional   
facility /aff 9 ! previ\s ye>4  7#ab7   
,accord+ to ,,cdc1 inc>c]at$ p]sons d   
engage 9 sexual int]c\rse4 ,! ,,cdc f9ds
 t correct & consi/5t male or female    
condom use effectively r$uces ! risk (  
,,hiv & ,,/i transmission & recomm5ds   
,,hiv education & c\nsel+ 9 prisons4    
7#ac7 ,despite ! effectiv5ess ( condoms 
9 r$uc+ ! spread ( ,,hiv_/,,aids &      
,s,t,is1 ! ,bureau ( ,prisons does n    
recomm5d _! use 9 correctional          
facilities4  7#ad7 ,! di/ribution (     
condoms 9 correctional facilities is    
curr5tly legal 9 c]ta9 p>ts ( ! ,unit$  
,/ates & ! _w4 ,! ,/ates ( ,v]mont &    

,mississippi & ! ,di/rict ( ,columbia   
all[ condom di/ribution programs 9 _!   
correctional facilities4 ,! cities (    
,new ,york1 ,san ,francisco1 ,los       
,angeles1 ,wa%+ton1 ,,dc1 &             
,philadelphia also all[ condom          
di/ribution 9 _! correctional           
facilities4 ,h[ev]1 ^! ,/ates & cities  
op]ate less ?an #a p]c5t ( all          
correctional facilities4  7#ae7 ,!      
,am]ican ,public ,heal? ,association1   
,national ,commission on ,correctional  
,heal? ,c>e 7,,nc*c71 ,human ,rights    
,wat*1 ! ,unit$ ,nations ,jo9t ,program 
on ,,hiv_/,,aids1 ! ,unit$ ,nations     
,(fice ( ,drugs & ,crime1 ,,unaids1 & ! 
,_w ,heal? ,organization h endors$ !    
effectiv5ess ( condom di/ribution       
programs 9 correctional facilities4 ,!  
,global ,commission on ,,hiv & ! ,law   
fur!r recognizes t ! lack ( condoms     
exac]bates transmission risk4  #d4      
,au?ority to all[ community             
organizations to provide ,,/i c\nsel+1  
,,/i prev5tion education1 & sexual b>ri]

 protection devices 9 ,f$]al            
correctional facilities  7a7 ,directive 
to ,attorney ,g5]al ,n lat] ?an #cj days
 aft] ! date ( enactm5t ( ?is ,act1 !   
,attorney ,g5]al %all direct ! ,bureau (
 ,prisons to all[ community             
organizations to di/ribute sexual b>ri] 
protection devices & to engage 9 ,,/i   
c\nsel+ & ,,/i prev5tion education 9    
,f$]al correctional facilities4 ,^!     
activities %all be subject to all       
relevant ,f$]al laws & regulations :i*  
gov]n visitation 9 correctional         
facilities4  7b7 ,in=mation requirem5t  
,any community organization p]mitt$ to  
di/ribute sexual b>ri] protection       
devices "u subsection 7a7 mu/ ensure t !
 p]sons to :om ! devices are di/ribut$  
are in=m$ ab\t ! prop] use & disposal ( 
sexual b>ri] protection devices 9       
accordance ) e/abli%$ public heal?      
practices4 ,any community organization  
conduct+ ,,/i c\nsel+ or ,,/i prev5tion 
education "u subsection 7a7 mu/ (f]     
compreh5sive sex education4  7c7        

,possession ( device protect$ ,no ,f$]al
 correctional facility may1 because ( ! 
possession or use ( a sexual b>ri]      
protection device--  7#a7 take adv]se   
action aga9/ an inc>c]at$ p]son2 or     
7#b7 consid] possession or use z evid5ce
 ( prohibit$ activity = ! purpose ( any 
,f$]al correctional facility            
adm9i/rative proce$+4  7d7              
,implem5tation ,! ,attorney ,g5]al &    
,bureau ( ,prisons %all implem5t ?is    
section accord+ to e/abli%$ public heal?
 practices 9 a mann] t protects ! heal?1
 safety1 & privacy ( inc>c]at$ p]sons & 
( correctional facility /aff4  #e4 ,s5se
 ( ,congress reg>d+ di/ribution ( sexual
 b>ri] protection devices 9 ,/ate prison
 sy/ems ,x is ! s5se ( ,congress t      
,/ates %\ld all[ = ! legal di/ribution (
 sexual b>ri] protection devices 9 ,/ate
 correctional facilities to r$uce !     
preval5ce & spread ( ,s,t,is 9 ^?       
facilities4  #f4 ,automatic enrollm5t or
 re9/atem5t ( ,m$icaid b5efits  7a7 ,9  
g5]al ,section #aijb7;e7 ( ! ,social    

,security ,act 7#db ,u4,s4,c4           
#acif;a7e77 is am5d$--  7#a7 by         
r$esignat+ ! p>agraph 7#ad7 add$ by     
section #c7;c7 ( ,public ,law #aaa-bee z
 p>agraph 7#ae72 &  7#b7 by add+ at !   
end ! foll[+ new p>agraph3  7#af7       
,enrollm5t ( ex-(f5d]s  7,a7 ,automatic 
enrollm5t or re9/atem5t  7i7 ,9 g5]al ,!
 ,/ate plan %all provide = ! automatic  
enrollm5t or re9/atem5t ( enrollm5t ( an
 eligible individual--  7,i7 if su*     
individual is s*$ul$ to be releas$ f a  
public in/itution due to ! completion ( 
s5t5ce1 n less ?an #cj days prior to !  
s*$ul$ date ( ! release2 &  7,,ii7 if   
su* individual is to be releas$ f a     
public in/itution on p>ole or on        
probation1 z soon z possible aft] ! date
 on :i* ! det]m9ation to release su*    
individual 0 made1 & be=e ! date su*    
individual is releas$4  7ii7 ,exception 
,if a ,/ate makes a det]m9ation t an    
individual is n eligible to be enroll$  
"u ! ,/ate plan--  7,i7 on or be=e !    
date by :i* ! individual w\ld be enroll$

 "u clause 7i71 su* clause %all n apply 
to su* individual2 or  7,,ii7 aft] su*  
date1 ! ,/ate may t]m9ate ! enrollm5t ( 
su* individual4  7,b7 ,relation%ip (    
enrollm5t to paym5t = s]vices  7i7 ,9   
g5]al ,subject to subp>agraph 7,a77ii71 
an eligible individual :o is enroll$1 or
 ^: enrollm5t is re9/at$1 "u subp>agraph
 7,a7 %all be eligible = m$ical         
assi/ance t is provid$ aft] ! date t !  
eligible individual is releas$ f !      
public in/itution4  7ii7 ,relation%ip to
 paym5t prohibition = inmates ,no       
provision ( ?is p>agraph may be con/ru$ 
to p]mit paym5t = c>e or s]vices = :i*  
paym5t is exclud$ "u subp>agraph 7,a7   
foll[+ p>agraph 7#bi7 ( section         
#aije7;a74  7,c7 ,treatm5t ( cont9u\s   
eligibility  7i7 ,susp5sion = inmates   
,any p]iod ( cont9u\s eligibility "u ?is
 title %all be susp5d$ on ! date an     
individual enroll$ "u ?is title becomes 
an inmate ( a public in/itution 7except 
z a pati5t ( a m$ical in/itution74  7ii7
 ,det]m9ation ( rema9+ p]iod ,not)/&+   

any *anges to ,/ate law relat$ to       
cont9u\s eligibility dur+ ! "t t an     
individual is an inmate ( a public      
in/itution 7except z a pati5t ( a m$ical
 in/itution71 subject to clause 7iii71 )
 respect to an eligible individual :o 0 
subject to a susp5sion "u subclause     
7,i71 on ! date t su* individual is     
releas$ f a public in/itution !         
susp5sion ( cont9u\s eligibility "u su* 
subclause %all be lift$ = a p]iod t is  
equal to ! "t rema9+ 9 ! p]iod (        
cont9u\s eligibility = su* individual on
 ! date t su* p]iod 0 susp5d$ "u su*    
subclause4  7iii7 ,exception ,if a ,/ate
 makes a det]m9ation t an individual is 
n eligible to be enroll$ "u ! ,/ate     
plan--  7,i7 on or be=e ! date t !      
susp5sion ( cont9u\s eligibility is     
lift$ "u clause 7ii71 su* clause %all n 
apply to su* individual2 or  7,,ii7 aft]
 su* date1 ! ,/ate may t]m9ate !        
enrollm5t ( su* individual4  7,d7       
,automatic enrollm5t or re9/atem5t (    
enrollm5t def9$ ,= purposes ( ?is       

p>agraph1 ! t]m automatic enrollm5t or  
re9/atem5t ( enrollm5t means t ! ,/ate  
det]m9es eligibility = m$ical assi/ance 
"u ! ,/ate plan )\t a program           
application f1 or on behalf (1 !        
eligible individual1 b an individual may
 only be automatically enroll$ 9 ! ,/ate
 ,m$icaid plan if ! individual          
affirmatively cons5ts to be+ enroll$    
?r\gh affirmation 9 writ+1 by telephone1
 orally1 ?r\gh electronic signature1 or 
?r\gh any o!r means specifi$ by !       
,secret>y4  7,e7 ,eligible individual   
def9$ ,= purposes ( ?is p>agraph1 ! t]m 
eligible individual means an individual 
:o is an inmate ( a public in/itution   
7except z a pati5t 9 a m$ical           
in/itution7--  7i7 :o 0 enroll$ "u !    
,/ate plan = m$ical assi/ance imm$iately
 be=e becom+ an inmate ( su* an         
in/itution2 or  7ii7 is diagnos$ ) human
 immunodefici5cy virus4  4  7b7         
,supplem5tal ,fund+ = ,/ate             
,implem5tation ( ,automatic ,re9/atem5t 
( ,m$icaid ,b5efits  7#a7 ,9 g5]al      

,subject to p>agraph 7#f71 = ea* ,/ate =
 :i* ! ,secret>y ( ,heal? & ,human      
,s]vices has approv$ an application "u  
p>agraph 7#c71 ! ,f$]al mat*+ paym5ts   
7includ+ paym5ts bas$ on ! ,f$]al m$ical
 assi/ance p]c5tage7 made to su* ,/ate  
"u section #aijc ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #acif;b7 %all be    
increas$ by #e p]c5tage po9ts = paym5ts 
to ! ,/ate = ! activities p]mitt$ "u    
p>agraph 7#b7 = a p]iod ( "o ye>4  7#b7 
,use ( funds ,a ,/ate may only use      
increas$ mat*+ paym5ts au?oriz$ "u      
p>agraph 7#a7--  7,a7 to /r5g!n !       
,/ate's enrollm5t & adm9i/rative        
res\rces = ! purpose ( improv+ processes
 = enroll+ 7or re9/at+ ! enrollm5t (7   
eligible individuals 7z su* t]m is def9$
 9 section #aijb7;e77#ae77;,e7 ( !      
,social ,security ,act1 z add$ by       
subsection 7a772 &  7,b7 = m$ical       
assi/ance 7z su* t]m is def9$ 9 section 
#aije7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acif;d7a777 provid$ to  
su* eligible individuals4  7#c7         

,application & agreem5t ,! ,secret>y may
 only make paym5ts to a ,/ate 9 !       
increas$ am\nt if--  7,a7 ! ,/ate has   
am5d$ ! ,/ate plan "u section #aijb ( ! 
,social ,security ,act to incorporate ! 
requirem5ts ( subsection 7e77#ae7 ( su* 
section1 z s add$2  7,b7 ! ,/ate has    
submitt$ an application to ! ,secret>y t
 includes a plan = implem5t+ su*        
requirem5ts "u ! ,/ate's am5d$ ,/ate    
plan be=e ! end ( ! #ij-;day p]iod      
beg9n+ on ! date t ! ,/ate receives     
increas$ mat*+ paym5ts "u p>agraph 7#a72
  7,c7 ! ,/ate's application meets !    
satisfaction ( ! ,secret>y2 &  7,d7 !   
,/ate ent]s an agreem5t ) ! ,secret>y t 
/ates t--  7i7 ! ,/ate w only use !     
increas$ mat*+ funds = ! uses p]mitt$ "u
 p>agraph 7#b72 &  7ii7 at ! end ( !    
p]iod "u p>agraph 7#a71 ! ,/ate w submit
 to ! ,secret>y1 & make publicly        
available1 a report t conta9s !         
in=mation requir$ "u p>agraph 7#d74     
7#d7 ,requir$ report in=mation ,!       
in=mation t is requir$ 9 ! report "u    

p>agraph 7#c77;,d77ii7 includes--  7,a7 
! results ( an evaluation ( ! impact ( !
 implem5tation ( ! requirem5ts ( section
 #aijb7;e77#ae7 ( ! ,social ,security   
,act on improv+ ! ,/ate's processes =   
enroll+ ( individuals :o are releas$ =  
public in/itutions into ! ,m$icaid      
program2  7,b7 ! numb] ( individuals :o 
7 automatically enroll$ 7or ^: enrollm5t
 is re9/at$7 "u su* section dur+ ! p]iod
 "u p>agraph 7#a72 &  7,c7 any o!r      
in=mation t is requir$ by ! ,secret>y4  
7#e7 ,increase 9 cap on ,m$icaid paym5ts
 to t]ritories ,subject to p>agraph     
7#f71 ! am\nts o!rwise det]m9$ = ,pu]to 
,rico1 ! ,unit$ ,/ates ,virg9 ,isl&s1   
,guam1 ! ,nor!rn ,m>iana ,isl&s1 &      
,am]ican ,samoa "u subsections 7f7 & 7g7
 ( section #aajh ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #acjh7 %all ea* be  
increas$ by ! necess>y am\nt to all[ = !
 increase 9 ! ,f$]al mat*+ paym5ts "u   
p>agraph 7#a71 b only = ! p]iod "u su*  
p>agraph = su* ,/ate4 ,9 ! case ( su* an
 increase = a t]ritory1 subsection      

7a77#a7 ( su* section #aajh %all be     
appli$ )\t reg>d to any increase 9      
paym5t made to ! t]ritory "u "p ,e (    
title ,,iv ( su* ,act t is attributable 
to ! increase 9 ,f$]al m$ical assi/ance 
p]c5tage effect$ "u p>agraph 7#a7 = !   
t]ritory4  7#f7 ,limitations  7,a7 ,tim+
 ,) respect to a ,/ate1 at ! end ( !    
p]iod "u p>agraph 7#a71 no increas$     
mat*+ paym5ts may be made to su* ,/ate  
"u ?is subsection4  7,b7 ,ma9t5ance (   
eligibility  7i7 ,9 g5]al ,subject to   
clause 7ii71 a ,/ate is n eligible = an 
increase 9 its ,f$]al mat*+ paym5ts "u  
p>agraph 7#a71 or an increase 9 an am\nt
 "u p>agraph 7#e71 if eligibility /&>ds1
 me?odologies1 or proc$ures "u its ,/ate
 plan "u title ,,xix ( ! ,social        
,security ,act 7includ+ any waiv] "u su*
 title or "u section #aaae ( su* ,act   
7#db ,u4,s4,c4 #acae77 are m re/rictive 
?an ! eligibility /&>ds1 me?odologies1  
or proc$ures1 respectively1 "u su* plan 
7or waiv]7 z 9 effect on ! date (       
enactm5t ( ?is ,act4  7ii7 ,/ate        

re9/atem5t ( eligibility p]mitt$ ,a     
,/ate t has re/rict$ eligibility /&>ds1 
me?odologies1 or proc$ures "u its ,/ate 
plan "u title ,,xix ( ! ,social         
,security ,act 7includ+ any waiv] "u su*
 title or "u section #aaae ( su* ,act   
7#db ,u4,s4,c4 #acae77 aft] ! date ( !  
enactm5t ( ?is ,act1 is no long]        
ineligible "u clause 7i7 beg9n+ ) ! fir/
 cal5d> qu>t] 9 :i* ! ,/ate has re9/at$ 
eligibility /&>ds1 me?odologies1 or     
proc$ures t are no m re/rictive ?an !   
eligibility /&>ds1 me?odologies1 or     
proc$ures1 respectively1 "u su* plan 7or
 waiv]7 z 9 effect on su* date4  7,c7   
,no waiv] au?ority ,! ,secret>y may n   
waive ! application ( ?is subsection "u 
section #aaae ( ! ,social ,security ,act
 or o!rwise4  7,d7 ,limitation ( mat*+  
paym5ts to #ajj p]c5t ,9 no case %all an
 increase 9 ,f$]al mat*+ paym5ts "u ?is 
subsection result 9 ,f$]al mat*+ paym5ts
 t exce$ #ajj p]c5t4  7#g7 ,/ate def9$  
,9 ?is subsection1 ! t]m ,/ate has !    
mean+ giv5 su* t]m = purposes ( title   

,,xix ( ! ,social ,security ,act4  7c7  
,effective date  7#a7 ,9 g5]al ,except z
 provid$ 9 p>agraph 7#b71 ! am5dm5ts    
made by subsection 7a7 %all take effect 
#ahj days aft] ! date ( ! enactm5t ( ?is
 ,act & %all apply to s]vices furni%$ on
 or aft] su* date4  7#b7 ,rule = *anges 
requir+ ,/ate legislation ,9 ! case ( a 
,/ate plan = m$ical assi/ance "u title  
,,xix ( ! ,social ,security ,act :i* !  
,secret>y ( ,heal? & ,human ,s]vices    
det]m9es requires ,/ate legislation 7o!r
 ?an legislation appropriat+ funds7 9   
ord] = ! plan to meet ! additional      
requirem5ts impos$ by ! am5dm5ts made by
 ?is subsection1 ! ,/ate plan %all n be 
reg>d$ z fail+ to comply ) ! requirem5ts
 ( su* title solely on ! basis ( its    
failure to meet ^! additional           
requirem5ts be=e ! fir/ day ( ! fir/    
cal5d> qu>t] beg9n+ aft] ! close ( !    
fir/ regul> session ( ! ,/ate           
legislature t beg9s aft] ! date ( !     
enactm5t ( ?is ,act4 ,= purposes ( !    
previ\s s5t5ce1 9 ! case ( a ,/ate t has

 a #b-ye> legislative session1 ea* ye> (
 su* session %all be deem$ to be a      
sep>ate regul> session ( ! ,/ate        
legislature4  #g4 ,survey ( & report on 
correctional & immigration det5tion     
facility programs aim$ at r$uc+ ! spread
 ( ,s,t,is  7a7 ,survey ,! ,attorney    
,g5]al & ! ,secret>y ( ,homel&          
,security1 aft] consult+ ) ! ,secret>y (
 ,heal? & ,human ,s]vices1 ,/ate        
(ficials1 & community organizations1    
%all1 to ! maximum ext5t practicable1   
conduct a survey ( all ,f$]al & ,/ate   
correctional facilities & immigration   
det5tion facilities1 no lat] ?an #ahj   
days aft] ! date ( enactm5t ( ?is ,act &
 annually !reaft] = #e ye>s1 to det]m9e 
! foll[+3  7#a7 ,prev5tion education    
(f]$ ,! type ( prev5tion education1     
in=mation1 or tra9+ (f]$ to inc>c]at$   
p]sons & deta9ees & /aff ( correctional 
& immigration det5tion facilities reg>d+
 sexual viol5ce & ! spread ( ,s,t,is1   
includ+ :e!r su* education1 in=mation1  
or tra9+--  7,a7 con/itutes compreh5sive

 sex education2  7,b7 is compulsory =   
new inc>c]at$ p]sons & deta9ees & = new 
/aff2 &  7,c7 is (f]$ on an ongo+ basis4
  7#b7 ,access to sexual b>ri]          
protection devices ,:e!r inc>c]at$      
p]sons & deta9ees c--  7,a7 possess     
sexual b>ri] protection devices2  7,b7  
pur*ase sexual b>ri] protection devices2
  7,c7 pur*ase sexual b>ri] protection  
devices at a r$uc$ co/2 &  7,d7 obta9   
sexual b>ri] protection devices )\t co/4
  7#c7 ,incid5ce ( sexual viol5ce ,!    
incid5ce ( sexual viol5ce & assault     
committ$ by inc>c]at$ p]sons & deta9ees1
 & by /aff ( correctional & immigration 
det5tion facilities4  7#d7 ,c\nsel+1    
treatm5t1 & supportive s]vices ,:e!r !  
correctional or immigration det5tion    
facility requires inc>c]at$ p]sons &    
deta9ees to p>ticipate 9 c\nsel+1       
treatm5t1 & supportive s]vices relat$ to
 ,s,t,is1 or :e!r x (f]s su* programs to
 inc>c]at$ p]sons & deta9ees4  7#e7 ,,/i
 te/+ ,:e!r ! correctional or           
immigration det5tion facility te/s      

inc>c]at$ p]sons & deta9ees = ,s,t,is or
 gives !m ! option to und]go su* te/+-- 
7,a7 at intake2  7,b7 on a regul> basis2
 &  7,c7 prior to release4  7#f7 ,,/i   
te/ results ,! numb] ( inc>c]at$ p]sons 
& deta9ees :o are te/$ = ,s,t,is & !    
outcome ( su* te/s at ea* correctional  
or immigration det5tion facility1       
disaggregated to include results =--    
7,a7 ! type ( sexually transmitt$       
infection te/$ =2  7,b7 ! race &        
e?nicity ( individuals te/$2  7,c7 ! age
 ( individuals te/$2 &  7,d7 ! g5d] (   
individuals te/$4  7#g7 ,pre-release    
ref]ral policy ,:e!r inc>c]at$ p]sons & 
deta9ees are in=m$ prior to release ab\t
 ,,/i-relat$ s]vices or o!r heal?       
s]vices 9 _! communities1 includ+ free &
 l[-co/ c\nsel+ & treatm5t options4     
7#h7 ,pre-release ref]rals made ,! numb]
 ( ref]rals to community-bas$           
organizations or public heal? facilities
 (f]+ ,,/i-relat$ or o!r heal? s]vices  
provid$ to inc>c]at$ p]sons & deta9ees  
prior to release1 & ! type ( c\nsel+ or 

treatm5t = :i* ! ref]ral 0 made4  7#i7  
,re9/atem5t ( m$icaid b5efits ,:e!r !   
correctional facility assi/s inc>c]at$  
p]sons t 7 enroll$ 9 ! ,/ate ,m$icaid   
program prior to _! inc>c]ation1 9      
re9/at+ _! enrollm5t ^u release & :e!r  
su* individuals receive ref]rals z      
provid$ by p>agraph 7#h7 to entities t  
accept ! ,/ate ,m$icaid program1 includ+
 if applicable--  7,a7 ! numb] ( su*    
individuals1 includ+ ^? diagnos$ ) !    
human immunodefici5cy virus1 t h be5    
re9/at$2  7,b7 a li/ ( ob/acles to      
re9/at+ enrollm5t or to mak+            
det]m9ations ( eligibility = re9/atem5t1
 if any2 &  7,c7 ! numb] ( individuals  
d5i$ enrollm5t4  7#aj7 ,o!r actions tak5
 ,:e!r ! correctional or immigration    
det5tion facility has tak5 any o!r      
action1 9 conjunction ) community       
organizations or o!rwise1 to r$uce !    
preval5ce & spread ( ,s,t,is 9 t        
facility4  7b7 ,privacy ,9 conduct+ !   
survey "u subsection 7a71 ! ,attorney   
,g5]al & ! ,secret>y ( ,homel& ,security

 %all n reque/ or reta9 ! id5tity ( any 
p]son :o has s\ght or be5 (f]$ c\nsel+1 
treatm5t1 te/+1 or prev5tion education  
in=mation reg>d+ an ,,/i 7includ+       
in=mation ab\t sexual b>ri] protection  
devices71 or :o has te/$ positive = an  
,,/i4  7c7 ,report ,! ,attorney ,g5]al &
 ! ,secret>y ( ,homel& ,security %all   
transmit to ,congress & make publicly   
available ! results ( ! survey requir$  
"u subsection 7a71 bo? = ! ,nation z a  
:ole & disaggregat$ z to ea* ,/ate & ea*
 correctional facility or immigration   
det5tion facility4 ,to ! maximum ext5t  
possible1 ! ,attorney ,g5]al & !        
,secret>y ( ,homel& ,security %all issue
 ! fir/ report no lat] ?an #a ye> aft] !
 date ( enactm5t ( ?is ,act & %all issue
 reports annually !reaft] = #e ye>s4    
#h4 ,/rategy  7a7 ,directive to         
,attorney ,g5]al ,! ,attorney ,g5]al1 9 
consultation ) ! ,secret>y ( ,heal? &   
,human ,s]vices1 ,/ate (ficials1 &      
community organizations1 %all develop & 
implem5t a #e-ye> /rategy to r$uce !    

preval5ce & spread ( ,s,t,is 9 ,f$]al & 
,/ate correctional facilities4 ,to !    
maximum ext5t possible1 ! /rategy %all  
be develop$1 transmitt$ to ,congress1 & 
made publicly available no lat] ?an #ahj
 days aft] ! transmission ( ! fir/      
report requir$ "u section #g7;c7 ( ?is  
,act4  7b7 ,cont5ts ( /rategy ,! /rategy
 %all include ! foll[+3  7#a7 ,prev5tion
 education ,a plan = improv+ prev5tion  
education1 in=mation1 & tra9+ (f]$ to   
inc>c]at$ p]sons & correctional facility
 /aff1 includ+ in=mation & tra9+ on     
sexual viol5ce & ! spread ( ,s,t,is1 &  
compreh5sive sex education4  7#b7       
,sexual b>ri] protection device access  
,a plan = exp&+ access to sexual b>ri]  
protection devices 9 correctional       
facilities4  7#c7 ,sexual viol5ce       
r$uction ,a plan = r$uc+ ! incid5ce (   
sexual viol5ce among inc>c]at$ p]sons & 
correctional facility /aff1 develop$ 9  
consultation ) ! ,national ,prison ,rape
 ,elim9ation ,commission4  7#d7 ,c\nsel+
 & supportive s]vices ,a plan = exp&+   

access to c\nsel+ & supportive s]vices  
relat$ to ,s,t,is 9 correctional        
facilities4  7#e7 ,te/+ ,a plan = te/+  
inc>c]at$ p]sons = ,s,t,is dur+ intake1 
dur+ regul> heal? exams1 & prior to     
release1 & t--  7,a7 is conduct$ 9      
accordance ) guidel9es e/abli%$ by !    
,c5t]s = ,disease ,control & ,prev5tion2
  7,b7 includes prete/ c\nsel+2  7,c7   
requires t inc>c]at$ p]sons are notifi$ 
( _! option to decl9e te/+ at any "t2   
7,d7 requires t inc>c]at$ p]sons are    
confid5tially notifi$ ( _! te/ results 9
 a timely mann]2 &  7,e7 ensures t      
inc>c]at$ p]sons te/+ positive = ,s,t,is
 receive po/te/ c\nsel+1 c>e1 treatm5t1 
& supportive s]vices4  7#f7 ,treatm5t ,a
 plan = ensur+ t correctional facilities
 h ! necess>y m$ic9e & equipm5t to treat
 & monitor ,s,t,is & = ensur+ t         
inc>c]at$ p]sons liv+ ) or te/+ positive
 = ,s,t,is receive & h access to c>e &  
treatm5t s]vices4  7#g7 ,/rategies =    
demographic gr\ps ,a plan = develop+ &  
implem5t+ culturally appropriate1       

s5sitive1 & specific /rategies to r$uce 
! spread ( ,s,t,is among demographic    
gr\ps heavily impact$ by ,s,t,is4  7#h7 
,dis*>ge & return to society ,a plan to 
improve pre-release dis*>ge plann+ =    
inmates1 especially ^? ) ,,hiv_/,,aids1 
to access ess5tial s]vices4  7#i7       
,l9kages ) communities & facilities ,a  
plan = e/abli%+ & /r5g!n+ l9kages to    
local communities & heal? facilities t--
  7,a7 provide c\nsel+1 te/+1 c>e1 &    
treatm5t s]vices2  7,b7 may receive     
p]sons rec5tly releas$ f inc>c]ation :o 
are liv+ ) ,s,t,is2 &  7,c7 accept      
paym5t ?r\gh ! ,/ate ,m$icaid program4  
7#aj7 ,enrollm5t 9 ,/ate ,m$icaid       
programs ,plans to ensure t inc>c]at$   
p]sons :o 7--  7,a7 enroll$ 9 _! ,/ate  
,m$icaid program prior to inc>c]ation 9 
a correctional facility are             
automatically re-enroll$ 9 su* program  
^u _! release2 &  7,b7 n enroll$ 9 _!   
,/ate ,m$icaid program prior to         
inc>c]ation1 b :o are diagnos$ ) ! human
 immunodefici5cy virus :ile inc>c]at$ 9 

a correctional facility1 are            
automatically enroll$ 9 su* program ^u  
_! release4  7#aa7 ,o!r plans ,any o!r  
plans develop$ by ! ,attorney ,g5]al =  
r$uc+ ! spread ( ,s,t,is or improv+ !   
quality ( heal? c>e 9 correctional      
facilities4  7#ab7 ,monitor+ sy/em ,a   
monitor+ sy/em t e/abli%es p]=mance     
goals relat$ to r$uc+ ! preval5ce &     
spread ( ,s,t,is 9 correctional         
facilities & :i*1 :]e feasible1         
expresses su* goals 9 quantifiable =m4  
7#ac7 ,monitor+ sy/em p]=mance          
indicators ,p]=mance indicators t       
measure or assess ! a*ievem5t ( !       
p]=mance goals describ$ 9 p>agraph      
7#ab74  7#ad7 ,co/ e/imate ,a detail$   
e/imate ( ! fund+ necess>y to implem5t !
 /rategy at ! ,f$]al & ,/ate levels =   
all #e ye>s1 includ+ ! am\nt ( funds    
requir$ by community organizations to   
implem5t ! p>ts ( ! /rategy 9 :i* !y    
take "p4  7c7 ,report ,! ,attorney      
,g5]al %all transmit to ,congress & make
 publicly available an annual progress  

report reg>d+ ! implem5tation &         
effectiv5ess ( ! /rategy describ$ 9     
subsection 7a74 ,! progress report %all 
include an evaluation ( ! implem5tation 
( ! /rategy us+ ! monitor+ sy/em &      
p]=mance indicators provid$ = 9         
p>agraphs 7#ab7 & 7#ac7 ( subsection    
7b74  #i4 ,eligibility ( p]sons dis*>g$ 
f correctional facilities =             
,mc,kinney-,v5to ,act h\s+ assi/ance    
,section #dja ( ! ,mc,kinney-,v5to      
,homeless ,assi/ance ,act 7#db ,u4,s4,c4
 #aacfj7 is am5d$--  7#a7 by r$esignat+ 
p>agraphs 7#i7 ?r\gh 7#cc7 z p>agraphs  
7#aj7 ?r\gh 7#cd71 respectively2 &  7#b7
 by ins]t+ aft] p>agraph 7#h7 ! foll[+  
new p>agraph3  7#i7 ,homeless ,not)/&+  
section #ajc7;d71 ! t]ms homeless1      
homeless individual1 & homeless p]son   
include an individual :o--  7,a7 is be+ 
releas$ f any prison1 p5it5ti>y1 adult  
det5tion facility1 juv5ile det5tion     
facility1 jail1 or o!r facility to :i*  
p]sons may be s5t aft] conviction ( a   
crime or act ( juv5ile del9qu5cy )9 any 

,/ate2 &  7,b7 has be5 diagnos$ ) any   
sexually transmitt$ infection 7z su* t]m
 is def9$ 9 section #aj ( ! ,,ju/ice    
,act74  4  #aj4 ,def9itions ,= !        
purposes ( ?is ,act3  7#a7 ,community   
,organization ,! t]m community          
organization means a public heal? c>e   
facility or a nonpr(it organization :i* 
provides heal?- or ,,/i-relat$ s]vices  
accord+ to e/abli%$ public heal? /&>ds4 
7#b7 ,compreh5sive sex education ,! t]m 
compreh5sive sex education means a      
program t--  7,a7 includes age- &       
developm5tally appropriate1 culturally &
 l+ui/ically relevant in=mation on a    
broad set ( topics relat$ to sexuality  
includ+ human developm5t1 relation%ips1 
decisionmak+1 communication1 ab/95ce1   
contraception1 & disease & pregnancy    
prev5tion2  7,b7 provides /ud5ts )      
opportunities = develop+ skills z well z
 le>n+ in=mation2  7,c7 is inclusive (  
lesbian1 gay1 bisexual1 transg5d]1 &    
het]osexual "y p2 &  7,d7 aims to--  7i7
 provide sci5tifically accurate &       

reali/ic in=mation ab\t human sexuality2
  7ii7 provide opportunities =          
individuals to und]/& _! own1 _!        
families'1 & _! communities' values1    
attitudes1 & insights ab\t sexuality2   
7iii7 help individuals develop heal?y   
relation%ips & int]p]sonal skills2 &    
7iv7 help individuals ex]cise           
responsibility reg>d+ sexual            
relation%ips1 :i* includes address+     
ab/95ce1 pressures to become prematurely
 involv$ 9 sexual int]c\rse1 & ! use (  
contraception & o!r sexual heal?        
measures4  7#c7 ,correctional ,facility 
,! t]m correctional facility means any  
prison1 p5it5ti>y1 adult det5tion       
facility1 juv5ile det5tion facility1    
jail1 or o!r facility to :i* p]sons may 
be s5t aft] conviction ( a crime or act 
( juv5ile del9qu5cy )9 ! ,unit$ ,/ates4 
7#d7 ,deta9ee ,! t]m deta9ee means any  
p]son held by ! ,dep>tm5t ( ,homel&     
,security :e!r 9 crim9al or civil       
conf9em5t4  7#e7 ,immigration det5tion  
facility ,! t]m immigration det5tion    

facility means a conf9em5t facility     
op]at$ by or pursuant to contract )     
,u4,s4 ,immigration & ,cu/oms ,en=cem5t 
7,,ice7 t r\t9ely holds p]sons p5d+     
resolution or completion ( immigration  
removal op]ations or processes1 includ+ 
facilities t are op]at$ by ,,ice1       
facilities t provide det5tion s]vices "u
 a contract aw>d$ by ,,ice1 or          
facilities us$ by ,,ice pursuant to an  
,int]gov]nm5tal ,s]vice ,agreem5t4  7#f7
 ,inc>c]at$ ,p]son ,! t]m inc>c]at$     
p]son means any p]son :o is s]v+ a      
s5t5ce 9 a correctional facility aft]   
conviction ( a crime4  7#g7 ,sexually   
,transmitt$ ,infection ,! t]m sexually  
transmitt$ infection or ,,/i means any  
disease or infection t is commonly      
transmitt$ ?r\gh sexual activity1       
includ+ ,,hiv_/,,aids1 gonorrhea1       
*lamydia1 syphilis1 g5ital h]pes1 viral 
hepatitis1 & human papillomavirus4  7#h7
 ,sexual ,b>ri] ,protection ,device ,!  
t]m sexual b>ri] protection device--    
7,a7 means any ,food & ,drug            

,adm9i/ration-approv$ physical device   
:i* has n be5 tamp]$ ) & :i* r$uces !   
probability ( ,,/i transmission or      
infection betwe5 sexual p>tn]s1 includ+ 
female condoms1 male condoms1 & d5tal   
dams2 &  7,b7 includes wat]-bas$        
lubricants t h be5 %[n to r$uce !       
probability ( condom breakage4  7#i7    
,/ate ,! t]m ,/ate includes ! ,di/rict (
 ,columbia1 ,am]ican ,samoa1 !          
,commonweal? ( ! ,nor!rn ,m>iana ,isl&s1
 ,guam1 ,pu]to ,rico1 & ! ,unit$ ,/ates 
,virg9 ,isl&s4  #aa4 ,appropriations    
7a7 ,9 g5]al ,!re are au?oriz$ to be    
appropriat$ su* sums z may be necess>y  
to c>ry out ?is ,act = ea* ( ! fiscal   
ye>s #bjad ?r\gh #bjbj4  7b7            
,availability ( funds ,am\nts made      
available "u subsection 7a7 are au?oriz$
 to rema9 available until exp5d$4