,,ii #aai? ,,congress #a/ ,session ,s4 #aida ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,june #d1 #bjbe,mr4 ,cassidy 7= himself & ,mr4 ,van ,holl57 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to require ! ,secret>y ( ,heal? & ,human ,s]vices to c>ry out activities to elim9ate hepatitis ,c virus 9 ! ,unit$ ,/ates4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,cure ,hepatitis ,c ,act ( #bjbe4 #b4 ,def9itions ,9 ?is ,act3 7#a7 ,correctional facility ,! t]m correctional facility has ! mean+ giv5 t t]m 9 section #ija ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajbea74 7#b7 ,hepatitis ,c treatm5t ,! t]m hepatitis ,c treatm5t means a direct act+ antiviral drug approv$ "u section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7 = ! treatm5t ( hepatitis ,c virus infection4 7#c7 ,indian heal? program ,! t]m ,indian heal? program has ! mean+ giv5 ! t]m 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc74 7#d7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#e7 ,/ate ,! t]m ,/ate means-- 7,a7 ea* ( ! sev]al ,/ates ( ! ,unit$ ,/ates2 7,b7 ! ,di/rict ( ,columbia2 7,c7 ! ,commonweal? ( ,pu]to ,rico2 7,d7 ,guam2 7,e7 ,am]ican ,samoa2 7,f7 ! ,commonweal? ( ! ,nor!rn ,m>iana ,isl&s2 7,g7 ! ,f$]at$ ,/ates ( ,micronesia2 7,h7 ! ,republic ( ! ,m>%all ,isl&s2 7,i7 ! ,republic ( ,palau2 & 7,j7 ! ,unit$ ,/ates ,virg9 ,isl&s4 7#f7 ,/ate or local correctional sy/em ,! t]m ,/ate or local correctional sy/em means a dep>tm5t1 ag5cy1 or o!r in/rum5tality ( a ,/ate or unit ( local gov]nm5t 7z su* t]m is def9$ 9 section #ija ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajbea77 t op]ates or contracts = ! op]ation ( #a or m correctional facilities4 #c4 ,hepatitis ,c ,elim9ation ,program 7a7 ,e/abli%m5t ,n lat] ?an #ij days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all e/abli% a program1 to be kn[n z ! ,hepatitis ,c ,elim9ation ,program 7ref]r$ to 9 ?is section z ! ,program71 "u :i* ! ,secret>y %all coord9ate activities "u ?is ,act = ! purposes ( elim9at+ hepatitis ,c virus4 7b7 ,/rategy & implem5tation plan ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all issue a national /rategy & implem5tation plan to c>ry out activities "u ?is ,act1 includ+-- 7#a7 a description ( priority populations t exp]i5ce high] rates ( hepatitis ,c virus infection & relat$ adv]se heal? outcomes2 7#b7 an inv5tory ( all relevant ,f$]al /rategies1 plans1 policies1 & programs relat+ to hepatitis ,c virus1 includ+ an assessm5t ( any gaps )91 or areas ( duplication betwe51 su* /rategies1 plans1 policies1 & programs2 7#c7 specific goals1 objectives1 & /rategies to improve ! prev5tion1 detection1 & treatm5t ( hepatitis ,c virus 9 ord] to a*ieve ! goals ( ! ,program2 & 7#d7 p]=mance metrics to assess progress t[>d a*iev+ ea* goal1 /rategy1 & objective id5tifi$ "u p>agraph 7#c74 7c7 ,advisory committee 7#a7 ,9 g5]al ,! ,secret>y %all e/abli% an advisory committee to advise ! ,secret>y ) respect to ! ,program4 7#b7 ,memb]%ip ,! advisory committee e/abli%$ "u p>agraph 7#a7 %all be compos$ (-- 7,a7 individuals ) liv$ exp]i5ce ) hepatitis ,c virus2 7,b7 cl9icians2 7,c7 ,/ate & local public heal? (ficials2 7,d7 ph>maci/s2 7,e7 repres5tatives ( drug & diagno/ic te/ manufactur]s2 7,f7 repres5tatives ( heal? plans & heal? insurance issu]s2 & 7,g7 o!rs individuals engag$ 9 ! ,program4 7d7 ,int]ag5cy work+ gr\p 7#a7 ,9 g5]al ,! ,secret>y %all e/abli% an int]ag5cy work+ gr\p to support ! developm5t1 implem5tation1 evaluation1 & improvem5t ( ! ,program4 7#b7 ,memb]%ip ,! int]ag5cy work+ gr\p %all include ! foll[+ individuals or _! designees3 7,a7 ,! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7,b7 ,! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration4 7,c7 ,! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices4 7,d7 ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use4 7,e7 ,! ,director ( ! ,indian ,heal? ,s]vice4 7,f7 ,! ,commission] ( ,food & ,drugs4 7,g7 ,! ,assi/ant ,secret>y = ,heal?4 7,h7 ,! ,director ( ! ,bureau ( ,prisons4 7,i7 ,! heads ( su* o!r relevant ,f$]al dep>tm5ts & ag5cies1 z ! ,secret>y designates4 7e7 ,hepatitis ,c da%bo>d ,! ,secret>y %all e/abli% & ma9ta9 a publicly available da%bo>d = purposes ( monitor+ progress t[>d a*iev+ ! goals ( ! ,program1 includ+ p]=mance metrics e/abli%$ pursuant to subsection 7b77#d74 7f7 ,/akehold] engagem5t ,9 c>ry+ out ?is ,act1 ! ,secret>y %all consult ) all relevant /akehold]s1 :i* may include ?r\gh public meet+s1 publication ( notices 9 ! ,f$]al ,regi/]1 & o!r /rategies4 7g7 ,reports ,n lat] ?an #ij days aft] ! date ( issuance ( ! /rategy & implem5tation plan "u subsection 7b71 & annually !reaft] until ,septemb] #cj1 #bjcb1 ! ,secret>y %all submit to ! ,committees on ,f9ance1 ,heal?1 ,education1 ,labor1 & ,p5sions & ,appropriations ( ! ,s5ate & ! ,committees on ,en]gy & ,comm]ce1 ,ways & ,means1 & ,appropriations ( ! ,h\se ( ,repres5tatives a report t describes ! progress ( activities c>ri$ out "u ?is ,act & ! am5dm5ts made by ?is ,act4 #d4 ,provision ( ,hepatitis ,c treatm5ts to c]ta9 populations 7a7 ,def9itions ,9 ?is section3 7#a7 ,cov]$ population ,! t]m cov]$ population means ! population ( individuals det]m9$ "u subsection 7b77#b74 7#b7 ,m9imum ess5tial cov]age ,! t]m m9imum ess5tial cov]age means heal? insurance cov]age "u a public or private plan t con/itutes m9imum ess5tial cov]age "u section #ejjj;,a7f77#a7 ( ! ,int]nal ,rev5ue ,code ( #aihf4 7#c7 ,p>ticipat+ ,/ate or local correctional sy/em ,! t]m p>ticipat+ ,/ate or local correctional sy/em means a ,/ate or local correctional sy/em t opts to p>ticipate 9 ! program "u subsection 7b77#c77;,a74 7#d7 ,program ,! t]m program means ! subscription program = hepatitis ,c treatm5ts e/abli%$ "u subsection 7b77#a74 7#e7 ,regi/]$ ph>macy2 regi/]$ site ( disp5s+ ,! t]ms regi/]$ ph>macy & regi/]$ site ( disp5s+ mean a ph>macy or site ( disp5s+1 respectively1 t ent]s into an agreem5t ) ! ,secret>y "u subsection 7b77#e77;,b74 7b7 ,subscription program = pur*ase ( hepatitis c treatm5ts = cov]$ populations 7#a7 ,e/abli%m5t 7,a7 ,9 g5]al ,! ,secret>y %all e/abli% a subscription program = hepatitis ,c treatm5ts "u :i*-- 7i7 ! ,secret>y-- 7,i7 %all ent] into agreem5ts ) #a or m drug manufactur]s = ! pur*ase ( hepatitis ,c treatm5ts "u a subscription model describ$ 9 p>agraph 7#d72 & 7,,ii7 %all provide = ! di/ribution ( hepatitis ,c treatm5ts pur*as$ "u su* agreem5ts among regi/]$ ph>macies & regi/]$ sites ( disp5s+1 p>ticipat+ ,/ate & local correctional sy/ems1 ! ,bureau ( ,prisons1 & facilities ( ! ,indian ,heal? ,s]vice1 9 accordance ) p>agraph 7#e72 & 7ii7 ea* individual )9 ! cov]$ population1 9 receiv+ hepatitis ,c treatm5ts t 7 pur*as$ "u su* an agreem5t1 is entitl$ to receive ! treatm5ts )\t co/-%>+4 7,b7 ,program prohibition 7i7 ,9 g5]al ,heal? c>e provid]s1 ph>macies1 & sites ( disp5s+ %all n utilize any o!r ,f$]al drug disc\nt program1 includ+ ! drug disc\nt program "u section #cdj;,b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bef;b71 ) respect to hepatitis ,c treatm5ts obta9$ ?r\gh ! program4 7ii7 ,en=cem5t ,to ensure compliance ) clause 7i71 ! ,secret>y %all-- 7,i7 ensure t relevant data1 includ+ data on heal? c>e provid]s1 ph>macies1 manufactur]s1 & sites ( disp5s+ p>ticipat+ 9 ! program1 is available = adm9i/ration ( ! drug disc\nt program "u su* section #cdj;,b2 7,,ii7 provide necess>y res\rces1 f ! am\nts made available to ! ,secret>y "u ?is section1 to c>ry out program audit1 ov]sight1 & adm9i/rative activities2 7,,iii7 supplem5t exi/+ audit guidance issu$ pursuant to section #cdj;,b7a77#e77;,c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bef;b7a77#e77;,c77 to give notice to relevant heal? c>e provid]s1 ph>macies1 & sites ( disp5s+ relat$ to ! prohibition & its en=cem5t2 & 7,,iv7 audit1 at ! ,secret>y's exp5se1 ! records ( any p>ticipat+ heal? c>e provid] or regi/]$ ph>macy or regi/]$ site ( disp5s+ to ensure compliance ) ! requirem5ts "u ?is subsection4 7,c7 ,effect ,no?+ 9 ?is p>agraph %all prohibit a cov]$ entity 7z def9$ 9 section #cdj;,b7a77#d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bef;b7a77#d777 t receives hepatitis ,c treatm5ts "u ! program f pur*as+ hepatitis ,c treatm5ts pursuant to an agreem5t "u section #cdj;,b7a77#a7 ( su* ,act 7#db ,u4,s4,c4 #bef;b7a77#a771 provid$ t su* cov]$ entity complies ) section 7,b77i74 7#b7 ,cov]$ population 7,a7 ,9 g5]al ,subject to subp>agraph 7,b71 ! cov]$ population ( individuals entitl$ to receive hepatitis ,c treatm5t "u ! program 9 accordance ) p>agraph 7#a77;,a77ii7 is compos$ ( individuals :o h be5 diagnos$ ) hepatitis ,c infection & :o-- 7i7 subject to p>agraph 7#c77;,a7-- 7,i7 are enroll$ 9 m$ical assi/ance "u a ,/ate ,m$icaid program t is p>ticipat+ 9 ! program2 7,,ii7 are enroll$ 9 *ild heal? assi/ance or pregnancy-relat$ assi/ance "u a ,/ate ,,*ip program t is p>ticipat+ 9 ! program2 or 7,,iii7 7aa7 are conf9$ 9 a correctional facility op]at$ by or on behalf ( a p>ticipat+ ,/ate or local correctional sy/em2 or 7bb7 7 conf9$ 9 a correctional facility op]at$ by or on behalf ( a p>ticipat+ ,/ate or local correctional sy/em1 & :o1 at ! "t ( release f conf9em5t1 _h />t$ b n complet$ a c\rse ( hepatitis ,c treatm5t2 7ii7 7,i7 are conf9$ 9 a facility op]at$ by or on behalf ( ! ,bureau ( ,prisons2 or 7,,ii7 7 conf9$ 9 a facility op]at$ by or on behalf ( ! ,bureau ( ,prisons1 & :o1 at ! "t ( release f conf9em5t1 _h />t$ b n complet$ a c\rse ( hepatitis ,c treatm5t2 7iii7 are )\t m9imum ess5tial cov]age2 or 7iv7 receive heal? c>e s]vices ?r\gh an ,indian heal? program4 7,b7 ,requirem5ts 7i7 ,m$icaid & *ip ,9 ! case ( an individual describ$ 9 subclause 7,i7 or 7,,ii7 ( subp>agraph 7,a77i71 ! ,/ate ,m$icaid or ,,*ip program1 z applicable1 %all coord9ate ) regi/]$ ph>macies & regi/]$ sites ( disp5s+ to v]ify su* individual's enrollm5t 9 ! ,/ate ,m$icaid program or ,/ate ,,*ip program1 z applicable1 be=e ! disp5s+ ( a hepatitis ,c treatm5t to ! individual 9 accordance ) p>agraph 7#a77;,a77ii74 7ii7 ,bureau ( prisons ,! ,director ( ! ,bureau ( ,prisons %all issue a policy reg>d+ det]m9+ :i* individuals 9 ! cu/ody ( ! ,bureau ( ,prisons are eligible to receive hepatitis ,c treatm5t 9 accordance ) p>agraph 7#a77;,a77ii74 7iii7 ,individuals )\t m9imum ess5tial cov]age 7,i7 ,9 g5]al ,9 ! case ( an individual describ$ 9 subp>agraph 7,a77iii71 a heal? c>e provid] designat$ "u subclause 7,,ii7 %all-- 7aa7 assess :e!r su* individual qualifies z an individual )\t m9imum ess5tial cov]age2 & 7bb7 if su* individual qualifies z an individual )\t m9imum ess5tial cov]age1 au?orize su* individual to receive hepatitis ,c treatm5t 9 accordance ) p>agraph 7#a77;,a77ii74 7,,ii7 ,designation ( heal? c>e provid]s ,! ,secret>y1 9 consultation ) ,/ate public heal? dep>tm5ts1 %all designate heal? c>e provid]s = purposes ( subclause 7,i74 7,,iii7 ,li/ ,= purposes ( v]ify+ :e!r an individual is au?oriz$ "u subclause 7,i77bb71 ! ,secret>y %all ma9ta91 & make available to regi/]$ ph>macies & regi/]$ sites ( disp5s+ t are disp5s+ hepatitis ,c treatm5t "u ! program1 a li/ ( heal? c>e provid]s designat$ "u subclause 7,,ii74 7,,iv7 ,guidance ,! ,secret>y %all issue guidance = heal? c>e provid]s designat$ "u subclause 7,,ii7 to make det]m9ations "u subclause 7,i77aa7 bas$ on relevant be/ practices f ! program "u title ,,xxvi ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;ff-#aa et seq42 commonly ref]r$ to z ! ,ryan ,:ite ,,hiv_/,,aids ,program7 & ! program "u section #aibh ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifs2 commonly ref]r$ to z ! ,vacc9es = ,*ildr5 program74 7iv7 ,indian heal? s]vice ,! ,director ( ! ,indian ,heal? ,s]vice %all issue a policy reg>d+ det]m9+ :i* individuals describ$ 9 subp>agraph 7,a77iv7 are eligible to receive hepatitis ,c treatm5t 9 accordance ) p>agraph 7#a77;,a77ii74 7#c7 ,program p>ticipation 7,a7 ,9 g5]al ,ea* ,/ate ,m$icaid or ,,*ip ag5cy or ,/ate or local correctional sy/em t seeks to p>ticipate 9 ! program %all-- 7i7 = ! applicable cov]$ population describ$ 9 subclauses 7,i7 ?r\gh 7,,iii7 ( p>agraph 7#b77;,a77i71 opt into ! program by notify+ ! ,secret>y by ! end ( su* reasonable p]iod z ! ,secret>y may e/abli%2 7ii7 submit to ! ,secret>y a lett] ( int5t = p>ticipation = ! #e-ye> t]m ( ! agreem5t ent]$ into "u p>agraph 7#d72 7iii7 agree to n impose prior au?orization requirem5ts = scre5+ & treatm5t = hepatitis ,c virus ) respect to hepatitis ,c treatm5ts obta9$ pursuant to ! program2 7iv7 9 ! case ( a ,/ate or local correctional sy/em1 agree to provide to individuals describ$ 9 p>agraph 7#b77;,a77i77,,iii71 ^u release f conf9em5t-- 7,i7 ! rema9d] ( ! c\rse ( hepatitis ,c treatm5t2 & 7,,ii7 a ref]ral to ongo+ c>e2 & 7v7 agree to su* o!r conditions relat+ to p>ticipation 9 ! program z ! ,secret>y may e/abli%4 7,b7 ,requir$ p>ticipation ,! ,bureau ( ,prisons & ! ,indian ,heal? ,s]vice %all p>ticipate 9 ! program4 7,c7 ,correctional facilities op]at$ on behalf ( p>ticipat+ /ate or local correctional sy/ems ,a ,/ate or local correctional sy/em t seeks to p>ticipate 9 ! program %all agree to provide hepatitis ,c treatm5t to an individual 9 ! cov]$ population :o is or 0 conf9$ 9 a correctional facility op]at$ by or on behalf ( ! ,/ate or local correctional sy/em4 7#d7 ,procurem5t ( hepatitis c drugs 7,a7 ,9 g5]al ,! ,secret>y %all ent] into an agreem5t ) #a or m drug manufactur]s = ! pur*ase ( hepatitis ,c treatm5ts "u a subscription model describ$ 9 subp>agraph 7,b74 7,b7 ,subscription model describ$ ,"u a subscription model describ$ 9 ?is subp>agraph1 ! ,secret>y %all ent] into an agreem5t "u :i* #a or m drug manufactur]s agree to provide z _m units ( hepatitis ,c treatm5t z ! ,secret>y requires = ! t]m ( ! agreem5t = an am\nt specifi$ 9 ! agreem5t1 to be paid annually = ! t]m ( ! agreem5t4 7,c7 ,t]m ,! t]m ( an agreem5t "u subp>agraph 7,a7 %all be #e ye>s4 7,d7 ,solicitation ( bids 7i7 ,9 g5]al ,subject to clause 7ii71 9 seek+ to ent] into an agreem5t "u subp>agraph 7,a71 ! ,secret>y %all-- 7,i7 use competitive proc$ures to solicit bids f drug manufactur]s to provide #ajj p]c5t ( ! hepatitis ,c treatm5ts = ! cov]$ population1 z specifi$ by ! ,secret>y "u clause 7iii72 & 7,,ii7 select #a or m drug manufactur]s ^: bid or bids repres5t ! be/ value to ! ,f$]al ,gov]nm5t1 z det]m9$ by ! ,secret>y4 7ii7 ,aw>d+ multiple agreem5ts ,9 select+ drug manufactur]s ) :i* to ent] into an agreem5t "u clause 7i71 ! ,secret>y may ent] into an agreem5t )-- 7,i7 a s+le drug manufactur] to provide #ajj p]c5t ( ! hepatitis ,c treatm5ts = ! cov]$ population1 = ! total am\nt specifi$ 9 ! bid submitt$ by ! drug manufactur]2 or 7,,ii7 7aa7 ! drug manufactur] ) ! be/ bid1 z det]m9$ by ! ,secret>y1 to provide #gj p]c5t ( ! hepatitis ,c treatm5ts = ! cov]$ population1 = an am\nt t is #gj p]c5t ( ! total am\nt specifi$ 9 ! bid submitt$ by ! drug manufactur]2 & 7bb7 ! drug manufactur] ) ! second-be/ bid1 z det]m9$ by ! ,secret>y1 to provide #cj p]c5t ( ! hepatitis ,c treatm5ts = ! cov]$ population1 = an am\nt t is #cj p]c5t ( ! total am\nt specifi$ 9 ! bid submitt$ by ! drug manufactur] describ$ 9 item 7aa74 7iii7 ,requir$ in=mation ,prior to beg9n+ ! contract+ process "u ?is p>agraph1 & 9 any case n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all specify ! cov]$ population1 & a reasonable e/imate ( ! size ( t population1 to support ! developm5t ( bids by int]e/$ drug manufactur]s "u ?is subp>agraph4 7#e7 ,di/ribution ( hepatitis c drugs to program p>ticipants 7,a7 ,9 g5]al ,9 provid+ = di/ribution ( hepatitis ,c treatm5ts procur$ pursuant to #a or m agreem5ts "u p>agraph 7#d71 ! ,secret>y may-- 7i7 provide 9 su* an agreem5t t ! drug manufactur] %all-- 7,i7 di/ribute1 or provide = ! di/ribution (1 su* hepatitis ,c treatm5ts to regi/]$ ph>macies & regi/]$ sites ( disp5s+1 ,/ate & local correctional sy/ems1 ! ,indian ,heal? ,s]vice1 & ! ,bureau ( ,prisons2 7,,ii7 provide data ab\t di/ribution 9 ! =m & mann] prescrib$ by ! ,secret>y2 & 7,,iii7 meet su* o!r conditions relat+ to su* di/ribution z are prescrib$ by ! ,secret>y2 or 7ii7 ent] into a sep>ate agreem5t = ! di/ribution ( su* hepatitis ,c treatm5ts to regi/]$ ph>macies & regi/]$ sites ( disp5s+1 ,/ate & local correctional sy/ems1 ! ,indian ,heal? ,s]vice1 & ! ,bureau ( ,prisons4 7,b7 ,regi/]$ ph>macies & regi/]$ sites ( disp5s+ ,a retail ph>macy or site ( disp5s+ t seeks to receive hepatitis ,c treatm5ts "u subp>agraph 7,a7 %all become a regi/]$ ph>macy or regi/]$ site ( disp5s+ by ent]+ into an agreem5t ) ! ,secret>y "u :i* su* retail ph>macy or site ( disp5s+ %all agree-- 7i7 to disp5se hepatitis ,c treatm5ts to individuals describ$ 9 clauses 7i77,i71 7i77,,ii71 & 7iii7 ( p>agraph 7#b77;,a72 & 7ii7 to su* conditions z ! ,secret>y may e/abli% = ! program4 7,c7 ,advance /ock ,9 provid+ = ! di/ribution ( hepatitis ,c treatm5ts "u an agreem5t ent]$ into "u p>agraph 7#d71 ! ,secret>y %all provide = ! provision ( advance /ock ( su* hepatitis ,c treatm5ts to regi/]$ ph>macies1 regi/]$ sites ( disp5s+1 p>ticipat+ ,/ate & local correctional sy/ems1 facilities ( ! ,bureau ( ,prisons1 & facilities ( ! ,indian ,heal? ,s]vice ) high volumes ( pati5ts 9 ne$ ( hepatitis ,c treatm5ts1 z det]m9$ by ! ,secret>y4 7,d7 ,disp5s+ fees ,! ,secret>y %all pay1 bas$ on cu/om>y & usual fees = ! region1 reasonable disp5s+ fees to regi/]$ ph>macies t disp5se hepatitis ,c treatm5ts to individuals )9 ! cov]$ population4 7,e7 ,requirem5t to use exi/+ inv5tory ,regi/]$ sites ( disp5s+1 p>ticipat+ ,/ate & local correctional sy/ems1 facilities ( ! ,bureau ( ,prisons1 & facilities ( ! ,indian ,heal? ,s]vice %all use unexpir$1 on-h& inv5tory ( previ\sly pur*as$ hepatitis ,c treatm5ts1 if any1 be=e disp5s+ hepatitis ,c treatm5ts receiv$ "u subp>agraph 7,a7 to individuals )9 ! cov]$ population4 7c7 ,exclusion f m$icaid be/ price & av]age manufactur] price calculation ,section #aibg ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#h7 is am5d$-- 7#a7 9 subsection 7c77#a77;,c77i7-- 7,a7 9 subclause 7,v71 by /rik+ 2 & & ins]t+ a semicolon2 7,b7 9 subclause 7,,vi71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new subclause3 7,,vii7 any prices *>g$ "u ! subscription program = hepatitis ,c treatm5ts e/abli%$ "u section #d7;b7 ( ! ,cure ,hepatitis ,c ,act ( #bjbe4 2 & 7#b7 9 subsection 7k77#a77;,b77i7-- 7,a7 9 subclause 7,,iv71 by ins]t+ a semicolon at ! end2 7,b7 9 subclause 7,,vii71 by /rik+ 2 & & ins]t+ a semicolon2 7,c7 9 subclause 7,,viii71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,d7 by add+ at ! end ! foll[+ new subclause3 7,,ix7 any prices *>g$ "u ! subscription program = hepatitis ,c treatm5ts e/abli%$ "u section #d7;b7 ( ! ,cure ,hepatitis ,c ,act ( #bjbe4 4 7d7 ,fund+ ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$1 & !re is appropriat$1 to ! ,secret>y1 out ( any am\nts 9 ! ,treasury n o!rwise appropriat$1 #e1ejj1jjj1jjj = fiscal ye> #bjbe1 to rema9 available ?r\gh fiscal ye> #bjca4 #e4 ,public heal? activities to support hepatitis c elim9ation 7a7 ,/ate aw>ds 7#a7 ,def9ition ( cov]$ individual ,9 ?is subsection1 ! t]m cov]$ individual means an individual )9 ! cov]$ population 7z def9$ 9 section #d7;a77 :o is at increas$ risk ( hepatitis ,c virus infection4 7#b7 ,aw>ds 7,a7 ,9 g5]al ,! ,secret>y %all make grants to1 or ent] into contracts or coop]ative agreem5ts )1 ,/ates &1 z appropriate1 political subdivisions ( ,/ates1 = purposes ( facilitat+ access to hepatitis ,c virus scre5+1 diagnosis1 treatm5t1 & relat$ wrap>\nd s]vices = cov]$ individuals4 7,b7 ,designat$ lead entities ,a ,/ate or political subdivision ( a ,/ate receiv+ an aw>d "u subp>agraph 7,a7 may designate a lead entity1 su* z an in/itution ( high] education1 t demon/rates ! capacity to fulfill ! requirem5ts ( ! aw>d1 to manage ! aw>d4 7#c7 ,use ( funds ,a ,/ate or political subdivision ( a ,/ate t receives an aw>d "u p>agraph 7#b77;,a7 %all use funds receiv$ pursuant to su* aw>d-- 7,a7 to improve outrea* to cov]$ individuals1 :i* may include activities to increase aw>5ess ( ! risks ( hepatitis ,c virus & ! availability ( curative treatm5ts2 7,b7 to increase rates ( scre5+ =1 diagnosis (1 & treatm5t ( hepatitis ,c virus among cov]$ individuals2 7,c7 to support ! coord9ation & provision ( appropriate heal? c>e & social s]vices to cov]$ individuals to improve heal? outcomes relat+ to hepatitis ,c virus infection2 & 7,d7 improve1 z appropriate1 o!r public heal? capacities & capabilities relat+ to hepatitis ,c virus prev5tion1 detection1 diagnosis1 treatm5t1 & outbreak prep>$ness & response4 7#d7 ,applications 7,a7 ,9 g5]al ,a ,/ate or political subdivision ( a ,/ate seek+ to receive an aw>d "u p>agraph 7#b77;,a7 %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7,b7 ,aw>ds to o!r entities ,9 ! case ( a ,/ate t does n submit an application = an aw>d "u subp>agraph 7,a71 ! ,secret>y may make an aw>d to an entity )9 su* ,/ate1 su* z an in/itution ( high] education1 t demon/rates ! capacity to fulfill ! requirem5ts ( ! aw>d4 7#e7 ,p>tn]%ips ,a ,/ate or political subdivision ( a ,/ate or an entity describ$ 9 p>agraph 7#d77;,b7 t receives an aw>d "u ?is subsection %all c>ry out ! activities describ$ 9 p>agraph 7#c7 ?r\gh p>tn]%ips ) entities locat$ 9 su* ,/ate or political subdivision ( a ,/ate1 includ+ ?r\gh subaw>ds to public & private entities su* z-- 7,a7 local public heal? dep>tm5ts2 7,b7 community-bas$ organizations2 & 7,c7 heal? c>e provid]s & heal? c>e facilities4 7#f7 ,allocation =mula 7,a7 ,9 g5]al ,! ,secret>y %all e/abli% a =mula to allocate funds "u ?is subsection among ,/ates & political subdivisions ( ,/ates4 7,b7 ,consid]ations ,9 e/abli%+ ! =mula "u subp>agraph 7,a71 ! ,secret>y %all consid]-- 7i7 ! relative incid5ce ( hepatitis ,c virus1 & morbidity & mortality associat$ ) hepatitis ,c virus )9 ea* ,/ate2 & 7ii7 ! anticipat$ cov]$ population 7z def9$ 9 section #d7;a771 )9 ea* ,/ate4 7b7 ,o!r aw>ds 7#a7 ,9 g5]al ,! ,secret>y %all make grants1 or ent] into contracts or coop]ative agreem5ts1 9 accordance ) p>agraphs 7#d7 ?r\gh 7#h74 7#b7 ,use ( funds ,funds receiv$ pursuant to an aw>d "u p>agraph 7#a7 may be us$ by ! recipi5t to c>ry out ! activities describ$ 9 subp>agraphs 7,a7 ?r\gh 7,d7 ( subsection 7a77#c71 z applicable1 9 addition to applicable activities describ$ 9 p>agraphs 7#d7 ?r\gh 7#h74 7#c7 ,coord9ation ,! ,secret>y %all ensure t aw>ds made "u p>agraph 7#a7 are coord9at$ ) ! activities ( ! ,hepatitis ,c ,elim9ation ,program e/abli%$ "u section #c7;a74 7#d7 ,opioid treatm5t programs & c]tifi$ community behavioral heal? cl9ics ,! ,secret>y %all make aw>ds describ$ 9 p>agraph 7#a7 to opioid treatm5t programs & c]tifi$ community behavioral heal? cl9ics1 z det]m9$ eligible by ! ,secret>y1 to support hepatitis ,c virus te/+ & treatm5t at su* programs & cl9ics4 7#e7 ,tribal areas ,! ,secret>y %all make aw>ds describ$ 9 p>agraph 7#a7 to ,indian heal? programs & heal? facilities locat$ 9 ,tribal areas = hepatitis ,c virus te/+1 l9kage to c>e1 & treatm5t4 7#f7 ,community heal? c5t]s ,! ,secret>y %all make aw>ds describ$ 9 p>agraph 7#a7 to heal? c5t]s eligible = aw>ds "u section #ccj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bde;b7-- 7,a7 to exp& access to hepatitis ,c virus te/+1 case managem5t1 & treatm5t2 & 7,b7 to build capacity-- 7i7 to track anticipat$ ref]rals = hepatitis ,c treatm5t = pati5ts )9 ! t>get population ( ! heal? c5t]2 & 7ii7 to provide hepatitis ,c treatm5t to individuals )9 ! cov]$ population 7z def9$ 9 section #d7;a774 7#g7 ,correctional facilities 7,a7 ,9 g5]al ,! ,secret>y %all make aw>ds describ$ 9 p>agraph 7#a7 to entities describ$ 9 subp>agraph 7,b7 to provide diagno/ic te/+ & treatm5t to individuals 9 ,/ate & local correctional sy/ems & to facilitate cont9u$ c>e = individuals :o began receiv+ hepatitis ,c treatm5t :ile 9 cu/ody & :o require cont9u$ hepatitis ,c treatm5t aft] be+ releas$ f cu/ody4 7,b7 ,recipi5ts ,! ,secret>y may make aw>ds "u ?is p>agraph to ,/ate1 local1 or t]ritorial heal? dep>tm5ts1 ,/ate or local correctional sy/ems1 & community-bas$ organizations4 7#h7 ,ryan :ite cl9ics 7,a7 ,9 g5]al ,! ,secret>y %all e/abli% a pilot program "u :i* ! ,secret>y %all make aw>ds describ$ 9 p>agraph 7#a7 to n m ?an #be eligible entities = ! purposes ( provid+ c>e at facilities t receive fund+ "u title ,,xxvi ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;ff-#aa et seq47 to individuals infect$ ) hepatitis ,c virus1 )\t reg>d to :e!r su* infection is a co-occurr+ condition 7z def9$ 9 section #bfhi ( su* ,act 7#db ,u4,s4,c4 #cjj;ff-#hh774 7,b7 ,eligible entities ,to be eligible to receive an aw>d "u ! pilot program e/abli%$ "u subp>agraph 7,a71 an entity %all be a recipi5t ( an aw>d "u "p ,a1 ,b1 or ,c ( title ,,xxvi ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;ff-#aa et seq474 7,c7 ,requirem5ts ,an eligible entity t receives an aw>d "u ?is p>agraph %all use ! aw>d funds to provide core m$ical s]vices & support s]vices relevant to individuals ) hepatitis ,c virus4 7c7 ,te*nical assi/ance ,! ,secret>y1 9 consultation ) ! heads ( o!r relevant ,f$]al ag5cies1 %all provide te*nical assi/ance to ,/ates & o!r eligible entities seek+ aw>ds "u ?is section4 7d7 ,coord9ation ,! ,secret>y %all issue guidance to ,/ates reg>d+ ensur+ t-- 7#a7 pati5ts 9 ne$ ( ! c>e ( a speciali/ = hepatitis ,c managem5t are appropriately ref]r$ = specialty s]vices2 7#b7 exi/+ hepatitis ,b virus scre5+1 vacc9ation s]vices1 programs1 & activities are coord9at$ ) activities c>ri$ out "u ?is section to support l9kage to c>e = pati5ts ) hepatitis ,b virus2 & 7#c7 activities c>ri$ out "u ?is section are coord9at$ ) o!r exi/+ ,f$]al ef=ts relat+ to hepatitis ,c prev5tion1 su* z treatm5t = opioid use disord]1 c>ri$ out by ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,dep>tm5t ( ,vet]ans ,affairs1 & ! ,dep>tm5t ( ,def5se4 7e7 ,hepatitis c po9t-(-,c>e te/+ 7#a7 ,po9t-(-c>e te/+ ,! ,secret>y may-- 7,a7 ent] into agreem5ts ) v5dors = ! purpose ( pur*as+ & di/ribut+ 9 vitro diagno/ic po9t-(-c>e te/s to facilitate hepatitis ,c virus diagnosis & treatm5t2 7,b7 provide = ! di/ribution ( hepatitis ,c 9 vitro diagno/ic po9t-(-c>e te/s to entities receiv+ an aw>d "u subsections 7a7 & 7b72 & 7,c7 set conditions1 includ+ report+ & effective use requirem5ts1 = entities receiv+ hepatitis ,c 9 vitro diagno/ic po9t-(-c>e te/s "u ?is subsection4 7#b7 ,diagno/ic te/ developm5t ,( ! am\nts made available to c>ry out ?is section1 ! ,secret>y may use n m ?an #bj1jjj1jjj to support developm5t ( diagno/ic po9t-(-c>e te/s to facilitate hepatitis ,c diagnosis & treatm5t1 includ+ po9t-(-c>e hepatitis ,b te/s to facilitate timely hepatitis ,c treatm5t4 7f7 ,provid] tra9+ network ,! ,secret>y1 9 consultation ) ! int]ag5cy work+ gr\p e/abli%$ "u section #c7;d71 %all aw>d #a or m contracts to eligible public or private entities to e/abli% a national network to provide tra9+ & te*nical assi/ance on implem5t+ hepatitis ,c prev5tion1 diagno/ic te/+1 c>e1 coord9ation1 & treatm5t 9 support ( ! ,hepatitis ,c ,elim9ation ,program e/abli%$ "u section #c7;a74 7g7 ,public aw>5ess & education 7#a7 ,9 g5]al ,! ,secret>y %all c>ry out a national public aw>5ess & education campaign relat+ to hepatitis ,c virus treatm5t & ! activities c>ri$ out "u ?is ,act4 7#b7 ,mat]ials ,9 c>ry+ out p>agraph 7#a71 ! ,secret>y %all-- 7,a7 tailor in=mation to priority populations = hepatitis ,c virus2 & 7,b7 consult ) ! advisory committee e/abli%$ "u section #c7;c74 #f4 ,fund+ 7a7 ,9 g5]al ,to c>ry out sections #c & #e1 !re is au?oriz$ to be appropriat$1 & !re is appropriat$1 to ! ,secret>y1 out ( any am\nts 9 ! ,treasury n o!rwise appropriat$1 #d1bhc1jjj1jjj = fiscal ye> #bjbe1 to rema9 available ?r\gh fiscal ye> #bjca4 7b7 ,adm9i/rative exp5ses ,( ! am\nt made available "u p>agraph 7#a71 ! ,secret>y may n use m ?an #e p]c5t = adm9i/rative exp5ses ( ! ,hepatitis ,c ,elim9ation ,program e/abli%$ "u section #c7;a74 7c7 ,bureau ( prisons ,( ! am\nt appropriat$ "u subsection 7a71 ! ,secret>y %all transf] #be1jjj1jjj to ! ,director ( ! ,f$]al ,bureau ( ,prisons = purposes ( exp5ses ( ! ,bureau ( ,prisons to c>ry out sections #c & #e4 #g4 ,increas+ access to treatm5ts = hepatitis ,c 9 ! ,m$ic>e program 7a7 ,9 g5]al ,section #ahfj;,d-#b ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajb7;b77 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a77;,a71 by /rik+ & 7#i7 & ins]t+ 1 7#i71 & 7#aj72 7,b7 9 p>agraph 7#b77;,a71 by /rik+ & 7#i7 & ins]t+ 1 7#i71 & 7#aj72 & 7,c7 by add+ at ! end ! foll[+ new p>agraph3 7#aj7 ,elim9ation ( co/-%>+ = direct act+ antivirals = ! treatm5t ( hepatitis c 7,a7 ,9 g5]al ,= plan ye>s #bjbg ?r\gh #bjca1 subject to subp>agraph 7,b71 ) respect to a cov]$ "p ,d drug t is a direct act+ antiviral = ! treatm5t ( hepatitis ,c-- 7i7 ! d$uctible "u p>agraph 7#a7 %all n apply2 & 7ii7 !re %all be no co9surance or o!r co/-%>+ "u ?is "p ) respect to su* drug4 7,b7 ,au?ority to delay implem5tation ,if ! ,secret>y det]m9es t x is n feasible to implem5t subp>agraph 7,a7 = plan ye> #bjbg1 subp>agraph 7,a7 %all be appli$ by sub/itut+ #bjbh = #bjbg4 2 & 7#b7 9 subsection 7c71 by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,treatm5t ( co/-%>+ = direct act+ antivirals = ! treatm5t ( hepatitis c ,! cov]age is provid$ 9 accordance ) subsection 7b77#aj74 4 7b7 ,con=m+ am5dm5ts to co/-,%>+ = l[-,income individuals ,section #ahfj;,d-#ad7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aad7;a77 is am5d$-- 7#a7 9 p>agraph 7#a77;,d71 9 ea* ( clauses 7ii7 & 7iii71 by /rik+ p>agraph 7#f7 & ins]t+ p>agraphs 7#f7 & 7#g72 & 7#b7 by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,no application ( co/-%>+ or d$uctible = direct act+ antivirals = ! treatm5t ( hepatitis c 7,a7 ,9 g5]al ,= plan ye>s #bjbg ?r\gh #bjca1 subject to subp>agraph 7,b71 ) respect to a cov]$ "p ,d drug t is a direct act+ antiviral = ! treatm5t ( hepatitis ,c-- 7i7 ! d$uctible "u section #ahfj;,d-#b7;b77#a7 %all n apply2 & 7ii7 !re %all be no co/-%>+ "u ?is section ) respect to su* drug4 7,b7 ,au?ority to delay implem5tation ,if ! ,secret>y det]m9es t x is n feasible to implem5t subp>agraph 7,a7 = plan ye> #bjbg1 subp>agraph 7,a7 %all be appli$ by sub/itut+ #bjbh = #bjbg4 4 #h4 ,o!r matt]s 7a7 ,application ( provisions ,am\nts appropriat$ pursuant to ?is ,act & ! am5dm5ts made by ?is ,act %all be subject to ! requirem5ts conta9$ 9 ,public ,law #aah-dg = funds provid$ "u division ,d ( su* ,public ,law4 7b7 ,rule ( con/ruction ,no?+ 9 ?is ,act %all sup]s$e section #daf ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hef74 #i4 ,rulemak+ au?ority ,! ,secret>y may issue regulations to c>ry out ?is ,act4 #aj4 ,use ( funds ,not)/&+ section #d7;b77#b71 ! am\nts appropriat$ pursuant to ?is ,act & ! am5dm5ts made by ?is ,act may only be us$ to c>ry out ! provisions ( ?is ,act ) respect to an individual :o is-- 7#a7 a citiz5 ( ! ,unit$ ,/ates2 or 7#b7 7,a7 an ali5 lawfully admitt$ = p]man5t resid5ce 7z def9$ 9 section #aja7;a7 ( ! ,immigration & ,nationality ,act 7#h ,u4,s4,c4 #aaja7;a7772 7,b7 an ali5 p>ol$ into ! ,unit$ ,/ates "u section #bab7;d77#e7 ( ! ,immigration & ,nationality ,act 7#h ,u4,s4,c4 #aahb7;d77#e77 = a p]iod ( n less ?an #a ye>2 7,c7 a refugee admitt$ to ! ,unit$ ,/ates "u section #bjg ( ! ,immigration & ,nationality ,act 7#h ,u4,s4,c4 #aaeg72 7,d7 an ali5 grant$ asylum "u section #bjh ( ! ,immigration & ,nationality ,act 7#h ,u4,s4,c4 #aaeh72 7,e7 an ali5 entrant ref]r$ to 9 section #eja7;e7 ( ! ,refugee ,education ,assi/ance ,act ( #aihj 7#h ,u4,s4,c4 #aebb note2 ,public ,law #if-dbb72 7,f7 an ali5 admitt$ to ! ,unit$ ,/ates z an immigrant "u section #ehd ( ! ,=eign ,op]ations1 ,export ,f9anc+1 & ,relat$ ,programs ,appropriations ,act1 #aihh 7#h ,u4,s4,c4 #aaja note2 ,public ,law #ajj-bjb72 7,g7 an ali5 admitt$ to ! ,unit$ ,/ates z a special immigrant describ$ 9 section #aja7;a77#bg7 ( ! ,immigration & ,nationality ,act 7#h ,u4,s4,c4 #aaja7;a77#bg77 pursuant to-- 7i7 section #ajei ( ! ,national ,def5se ,au?orization ,act = ,fiscal ,ye> #bjjf 7#h ,u4,s4,c4 #aaja note2 ,public ,law #aji-afc72 7ii7 section #abdd ( ! ,refugee ,crisis 9 ,iraq ,act ( #bjjg 7#h ,u4,s4,c4 #aaeg note2 ,public ,law #aaj-aha72 or 7iii7 section #fjb ( ! ,afghan ,allies ,protection ,act ( #bjji 7#h ,u4,s4,c4 #aaja note2 ,public ,law #aaa-h72 7,h7 a citiz5 or national ( ,afghani/an 7or a p]son ) no nationality :o la/ habitually resid$ 9 ,afghani/an7 describ$ 9 section #bejb ( ! ,afghani/an ,supplem5tal ,appropriations ,act1 #bjbb 7#h ,u4,s4,c4 #aaja note2 ,public ,law #aag-dc72 7,i7 a citiz5 or national ( ,ukra9e 7or a p]son ) no nationality :o la/ habitually resid$ 9 ,ukra9e7 describ$ 9 section #dja7;a7 ( ! ,additional ,ukra9e ,supplem5tal ,appropriations ,act1 #bjbb 7#h ,u4,s4,c4 #aaja note2 ,public ,law #aag-abh72 7,j7 an ali5 :o is a victim ( a sev]e =m ( traffick+ 9 p]sons 7z def9$ 9 section #ajg7;b77#a77;,c7 ( ! ,traffick+ ,victims ,protection ,act ( #bjjj 7#bb ,u4,s4,c4 #gaje7;b77#a77;,c7772 7,k7 an ali5 :o ent]$ ! ,unit$ ,/ates z an unaccompani$ ali5 *ild 7z def9$ 9 section #dfb7;g7 ( ! ,homel& ,security ,act ( #bjjb 7#f ,u4,s4,c4 #bgi7;g777 :o-- 7i7 is a special immigrant "u section #aja7;a77#bg77;,j7 ( ! ,immigration & ,nationality ,act 7#h ,u4,s4,c4 #aaja7;a77#bg77;,j772 7ii7 on ! date on :i* a dep5d5cy ord] describ$ 9 t section 0 made-- 7,i7 0 9 ! cu/ody ( ! ,secret>y ( ,heal? & ,human ,s]vices z an unaccompani$ ali5 *ild2 or 7,,ii7 0 receiv+ s]vices "u section #eja7;a7 ( ! ,refugee ,education ,assi/ance ,act ( #aihj 7#h ,u4,s4,c4 #aebb note2 ,public ,law #if-dbb72 or 7iii7 an ali5 :o ent]$ ! ,unit$ ,/ates z an unaccompani$ ali5 *ild 7z def9$ 9 section #dfb7;g7 ( ! ,homel& ,security ,act ( #bjjb 7#f ,u4,s4,c4 #bgi7;g777 & has be5 grant$ nonimmigrant /atus "u section #aja7;a77#ae77,u7 ( ! ,immigration & ,nationality ,act 7#h ,u4,s4,c4 #aaja7;a77#ae77,u772 7,l7 an individual :o lawfully resides 9 ! ,unit$ ,/ates 9 accordance ) a ,compact ( ,free ,association describ$ 9 section #djb7;b77#b77;,g7 ( ! ,p]sonal ,responsibility & ,"w ,opportunity ,reconciliation ,act ( #aiif 7#h ,u4,s4,c4 #afab7;b77#b77;,g772 7,m7 an ali5 describ$ 9 section #dca7;c7 ( ! ,p]sonal ,responsibility & ,"w ,opportunity ,reconciliation ,act ( #aiif 7#h ,u4,s4,c4 #afda7;c772 7,n7 an ali5 grant$ conditional entry "u subsection 7a77#g7 ( section #bjc ( ! ,immigration & ,nationality ,act 7#h ,u4,s4,c4 #aaec7 7z 9 effect on ,m>* #ca1 #aihj72 7,o7 an ali5 grant$ )hold+ ( deportation "u subsection 7h7 ( section #bdc ( ! ,immigration & ,nationality ,act 7#h ,u4,s4,c4 #abec7 7z 9 effect on ! day be=e ! effective date ( section #cjg ( ! ,illegal ,immigration ,re=m & ,immigrant ,responsibility ,act ( #aiif 7division ,c ( ,public ,law #ajd-bjh2 #aaj ,/at4 #cjji-edf772 7,p7 an ali5 grant$ )hold+ ( removal "u section #bda7;b77#c7 ( ! ,immigration & ,nationality ,act 7#h ,u4,s4,c4 #abca7;b77#c772 or 7,q7 det]m9$ by ! ,secret>y ( ,heal? & ,human ,s]vices1 ?r\gh notice & comm5t rulemak+1 to be eligible = s]vices "u ?is ,act or ! am5dm5ts made by ?is ,act4