,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #bdag  ,,in ,,the ,,house ,,of  
,,representatives  ,april #cj1 #bjai,mr4
 ,moulton 7for himself and ,mr4         
,fitzpatrick7 introduced the following  
bill2 which was referred to the         
,committee on ,energy and ,commerce  ,a 
,,bill  ,to amend the ,public ,health   
,service ,act to expand and improve     
health care services by health centers  
and the ,national ,health ,service      
,corps for individuals with a           
developmental disability1 and for other 
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,healthcare         
,extension and ,accessibility for       
,developmentally disabled and           
,underserved ,population ,act of #bjai  
or the ,h,e,a,ds ,,up ,act4  #b4 ,health
 care services by health centers and    
,national ,health ,service ,corps for   
individuals with a developmental        
disability  7a7 ,inclusion within       
special medically underserved           
populations for purposes of health      

center definition ,section #ccj7;a77#a7 
of the ,public ,health ,service ,act    
7#db ,u4,s4,c4 #bed;b7a77#a77 is amended
 by striking or a special medically     
underserved population comprised of     
migratory and seasonal agricultural     
workers1 the homeless1 and residents of 
public housing1 and inserting or a      
special medically underserved population
 comprised of migratory and seasonal    
agricultural workers1 the homeless1     
residents of public housing1 and        
individuals with a developmental        
disability4  7b7 ,definitions  7#a7     
,additional health services ,section    
#ccj7;b77#b7 of the ,public ,health     
,service ,act 7#db ,u4,s4,c4            
#ccj7;b77#b77 is amended-- 7,a7 in      
subparagraph 7,c71 by striking and at   
the end2  7,b7 in subparagraph 7,d71 by 
striking the period at the end and      
inserting 2 and2 and  7,c7 by adding at 
the end the following3  7,e7 in the case
 of health centers receiving grants     
under subsection 7j71 specially trained 

dental care services for individuals    
with a developmental disability who     
require specialized care4  4  7#b7      
,individuals with a developmental       
disability ,section #ccj7;b7 of the     
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bed;b7a77#a77 is amended by  
adding at the end the following3  7#d7  
,individuals with a developmental       
disability ,in this section1 the term   
individuals with a developmental        
disability means individuals with a     
developmental disability as defined in  
section #ajb of the ,developmental      
,disabilities ,assistance and ,bill of  
,rights ,act of #bjjj4  4  7c7 ,grants  
for services  7#a7 ,authorization       
,section #ccj of the ,public ,health    
,service ,act 7#db ,u4,s4,c4 #bed;b7 is 
amended-- 7,a7 by redesignating         
subsections 7j7 through 7r7 as          
subsections 7k7 through 7s71            
respectively2 and  7,b7 by inserting    
after subsection 7i7 the following3  7j7
 ,individuals with a developmental      

disability  7#a7 ,in general ,the       
,secretary may award grants for the     
purposes described in subsections 7c71  
7e71 and 7f7 for the planning and       
delivery of services to a special       
medically underserved population        
comprised of individuals with a         
developmental disability1 including     
grants for innovative programs that     
provide outreach and comprehensive      
primary health services1 including      
dental care1 to individuals with a      
developmental disability including such 
individuals who require specialized     
care4  7#b7 ,required services ,in      
addition to required primary health     
services 7as defined in subsection      
7b77#a771 an entity that receives a     
grant under this subsection shall be    
required to provide specialized         
treatment1 as necessary1 to individuals 
with a developmental disability as a    
condition of such grant4  7#c7          
,supplement not supplant requirement ,a 
grant awarded under this subsection     

shall be expended to supplement1 and not
 supplant1 the expenditures of the      
health center and the value of in kind  
contributions for the delivery of       
services to the population described in 
paragraph 7#a74  4  7#b7 ,conforming    
change ,section #ccj7;a77#b7 of the     
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bed;b7a77#b77 is amended by  
striking or 7i7 and inserting 7i71 or   
7j74  7d7 ,funding report ,section      
#ccj7r77#c77;,a7 of the ,public ,health 
,service ,act 7#db ,u4,s4,c4            
#bed;b7r77#c77d77 is amended by striking
 and migratory and seasonal agricultural
 workers1 and inserting migratory and   
seasonal agricultural workers1 and      
individuals with a developmental        
disability14  7e7 ,inclusion for        
purposes of health professional shortage
 areas ,section #ccb7;a77#c7 of the     
,public ,health ,service ,act is amended
 by striking and residents of public    
housing 7as defined in section          
#c7;b77#a7 of the ,united ,states       

,housing ,act of #aicg 7#db ,u4,s4,c4   
#adcg;a7b77#a777 and inserting residents
 of public housing 7as defined in       
section #c7;b77#a7 of the ,united       
,states ,housing ,act of #aicg 7#db     
,u4,s4,c4 #adcg;a7b77#a7771 and         
individuals with a developmental        
disability 7as defined in section       
#ccj7;b774  #c4 ,inclusion of           
comprehensive dental treatment as       
required primary health services        
,subclause 7,i7 of section              
#ccj7;b77#a77;,a77i7 of the ,public     
,health ,service ,act 7#db ,u4,s4,c4    
#ccj7;b77#a77;,a77i77 is amended by     
inserting before the semicolon at the   
end the following3 and services related 
to dentistry that are furnished by      
dentists and where appropriate dental   
hygienists4