,i #aag? ,,congress #a/ ,session ,h4 ,r4 #efje ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,octob] #ae1 #bjba,mrs4 ,watson ,coleman 7= h]self1 ,ms4 ,lee ( ,cali=nia1 ,mr4 ,jones1 ,mr4 ,s*iff1 ,mrs4 ,c>olyn ,b4 ,maloney ( ,new ,york1 ,mr4 ,rask91 ,mr4 ,coh51 ,ms4 ,g>cia ( ,texas1 ,mr4 ,takano1 ,mr4 ,cicill9e1 ,mr4 ,/anton1 ,ms4 ,moore ( ,wiscons91 ,ms4 ,williams ( ,georgia1 ,ms4 ,port]1 ,ms4 ,scanlon1 ,mr4 ,tonko1 ,mr4 ,wel*1 ,mr4 ,higg9s ( ,new ,york1 ,ms4 ,norton1 ,mr4 ,johnson ( ,georgia1 ,ms4 ,bass1 ,ms4 ,lois ,frankel ( ,florida1 ,mr4 ,pocan1 ,ms4 ,ku/]1 ,mr4 ,espaillat1 ,mr4 ,meeks1 ,ms4 ,tlaib1 ,ms4 ,/rickl&1 ,mr4 ,pappas1 & ,ms4 ,velzquez7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to e/abli% a grant program t provides grants to ,/ates1 ,indian ,tribal gov]nm5ts1 ,f$]ally qualifi$ heal? c5t]s1 rural heal? cl9ics1 local gov]nm5ts1 & community-bas$ organizations to e/abli% & support ,pr,e,p programs1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,pr,e,p ,assi/ance ,program ,act4 #b4 ,pre-exposure prophylaxis program grant 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a program t provides grants to ,/ates1 ,indian ,tribal gov]nm5ts1 ,f$]ally qualifi$ heal? c5t]s1 rural heal? cl9ics1 local gov]nm5ts1 & community-bas$ organizations to e/abli% & support ,pr,e,p programs4 7b7 ,applications ,to be eligible to receive a grant "u subsection 7a71 a ,/ate1 ,indian ,tribal gov]nm5t1 ,f$]ally qualifi$ heal? c5t]1 rural heal? cl9ic1 local gov]nm5t1 or community-bas$ organization %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require1 includ+ a description ( h[ any am\nts aw>d$ %all be us$4 7c7 ,am\nt ,any grant provid$ to a ,/ate1 ,indian ,tribal gov]nm5t1 ,f$]ally qualifi$ heal? c5t]1 rural heal? cl9ic1 local gov]nm5t1 or community-bas$ organization "u ?is section may n exce$ #aj1jjj1jjj4 7d7 ,use ( funds 7#a7 ,9 g5]al ,any ,/ate1 ,indian ,tribal gov]nm5t1 ,f$]ally qualifi$ heal? c5t]1 rural heal? cl9ic1 local gov]nm5t1 or community-bas$ organization t is aw>d$ an am\nt "u subsection 7a7 %all use su* am\nt = exp5ses associat$ ) e/abli%+ a ,pr,e,p program or support+ an exi/+ ,pr,e,p program4 7#b7 ,eligible exp5ses ,! ,secret>y %all publi% a li/ ( eligible exp5ses associat$ ) e/abli%+ a ,pr,e,p program or support+ an exi/+ ,pr,e,p program & ?is li/ %all include-- 7,a7 cl9ic & laboratory fees2 7,b7 (fice visits2 7,c7 ,pr,e,p m$ication2 7,d7 blood & ur9e te/+ z requir$ 9 association ) ! use ( ,pr,e,p m$ication2 7,e7 sexually transmitt$ disease te/+ 9 accordance ) guidel9es issu$ by ! ,c5t]s = ,disease ,control & ,prev5tion2 7,f7 adh]5ce s]vices & c\nsel+2 7,g7 outrea* activities direct$ t[>d assi/+ heal? pr(essionals to become eligible to prescribe pre-exposure prophylaxis m$ications 9 ! ,/ate or ,indian ,tribal gov]nm5t :]e ! program is op]at+2 7,h7 outrea* activities direct$ t[>d physicians t provide education ab\t ,pr,e,p2 & 7,i7 o!r simil> items or s]vices4 7e7 ,paym5t = s]vices ,an individual t receives a s]vice or item f a ,pre,p program e/abli%$ or support$ us+ am\nts "u ?is section may n be requir$ to provide paym5t = su* s]vice or item4 7f7 ,mat*+ 7#a7 ,9 g5]al ,except ) respect to an ,indian ,tribal gov]nm5t1 a grantee "u ?is section %all contribute1 to ! ,pr,e,p program e/abli%$ or support$ by ! grant1 an am\nt equal to n less ?an #aj p]c5t ( ! am\nt ( ! grant4 7#b7 ,exception ,! ,secret>y may waive ! requirem5t "u p>agraph 7#a7 = ,f$]ally qualifi$ heal? c5t]s1 rural heal? cl9ics1 & community-bas$ organizations if ! ,secret>y det]m9es su* a waiv] is necess>y4 7g7 ,report to ,congress ,! ,secret>y %all1 9 ea* ( ! fir/ #e ye>s beg9n+ #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 submit to ,congress1 & make public on ! ,int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 a report on ! impact ( grants provid$ to ,/ates1 ,indian ,tribal gov]nm5ts1 ,f$]ally qualifi$ heal? c5t]s1 rural heal? cl9ics1 local gov]nm5ts1 & community-bas$ organizations "u ?is ,act4 7h7 ,au?orization ( ,appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is ,act #djj1jjj1jjj = ea* ( ! fir/ #e fiscal ye>s beg9n+ aft] ! date ( ! enactm5t ( ?is ,act4 7i7 ,def9itions ,9 ?is ,act3 7#a7 ,community-bas$ organization ,! t]m community-bas$ organization means a nonpr(it or private organization t-- 7,a7 repres5ts a community or significant segm5ts ( a community2 7,b7 provides heal? c>e or heal?-relat$ s]vices to high-risk or high-ne$ individuals 9 a community2 & 7,c7 demon/rates effectiv5ess ) respect to su* heal? c>e or heal?-relat$ s]vices4 7#b7 ,f$]ally qualifi$ heal? c5t] ,! t]m ,f$]ally qualifi$ heal? c5t] has ! mean+ giv5 ! t]m 9 section #ahfa7;aa7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa774 7#c7 ,indian ,tribal gov]nm5t ,! t]m ,indian ,tribal gov]nm5t means ! gov]n+ body ( any ,indian or ,alaska ,native tribe1 b&1 nation1 pueblo1 village1 or community t ! ,secret>y ( ! ,int]ior ackn[l$ges to exi/ z an ,indian tribe "u ! ,f$]ally ,recogniz$ ,indian ,tribe ,li/ ,act ( #aiid 7#be ,u4,s4,c4 #dgi;a et seq474 7#d7 ,pr,e,p program ,! t]m ,pr,e,p program means a program design$ to provide pre-exposure prophylaxis & pre-exposure prophylaxis- relat$ s]vices to individuals4 7#e7 ,pre-exposure prophylaxis ,! t]m pre-exposure prophylaxis means any m$ication approv$ by ! ,f$]al ,drug ,adm9i/ration & design$ to prev5t individuals at risk ( contract+ human immunodefici5cy virus 7,,hiv7 f contract+ human immunodefici5cy virus 7,,hiv74 7#f7 ,rural heal? cl9ic ,! t]m rural heal? cl9ic has ! mean+ give su* t]m 9 section #ahfa7;aa7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa774 7#g7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#h7 ,/ate ,! t]m ,/ate means ea* ,/ate ( ! ,unit$ ,/ates1 ! ,di/rict ( ,columbia1 ,pu]to ,rico1 ! ,virg9 ,isl&s1 ,guam1 ,am]ican ,samoa1 & ! ,commonweal? ( ! ,nor!rn ,m>iana ,isl&s4