There are 5 versions of this bill. View text

Click the check-box to add or remove the section, click the text link to scroll to that section.
Titles Actions Overview All Actions Cosponsors Committees Related Bills Subjects Latest Summary All Summaries

Titles (6)

Short Titles

Short Titles as Enacted

Ryan White Comprehensive AIDS Resources Emergency Act of 1990

Short Titles - House of Representatives

Short Titles as Passed House

AIDS Prevention Act of 1990

Short Titles - Senate

Short Titles as Passed Senate

Ryan White Comprehensive AIDS Resources Emergency Act of 1990

Short Titles as Reported to Senate

Comprehensive AIDS Resources Emergency Act of 1990

Short Titles as Introduced

Comprehensive AIDS Resources Emergency Act of 1990

Official Titles

Official Titles - Senate

Official Titles as Introduced

A bill to amend the Public Health Service Act to provide grants to improve the quality and availability of care for individuals and families with HIV disease, and for other purposes.


Actions Overview (13)

Date Actions Overview
08/18/1990Became Public Law No: 101-381.
08/18/1990Signed by President.
08/14/1990Presented to President.
08/04/1990Conference report agreed to in Senate: Senate agreed to conference report by Voice Vote.
08/04/1990Resolving differences -- House actions: On motion to recede from its amendment to the title Agreed to without objection.
08/04/1990Conference report agreed to in House: On agreeing to the conference report Agreed to by voice vote.
07/31/1990Conference report filed: Conference report H. Rept. 101-652 filed. Filed late, pursuant to previous special order.
07/31/1990Conference committee actions: Conferees agreed to file conference report.
06/18/1990Resolving differences -- Senate actions: Senate disagreed to the House amendments by Voice Vote.
06/13/1990Passed/agreed to in House: On passage Passed by voice vote.
05/16/1990Passed/agreed to in Senate: Passed Senate with an amendment by Yea-Nay Vote. 95-4. Record Vote No: 97.
04/24/1990Committee on Labor and Human Resources. Reported to Senate by Senator Kennedy with an amendment in the nature of a substitute. With written report No. 101-273.
03/06/1990Introduced in Senate

All Actions (80)

Date Chamber All Actions
08/18/1990Became Public Law No: 101-381.
08/18/1990Signed by President.
08/14/1990SenatePresented to President.
08/14/1990SenateMeasure Signed in Senate.
08/04/1990SenateSenate agreed to conference report by Voice Vote.
08/04/1990SenateConference papers: message on House action held at the desk in Senate.
08/04/1990-12:57amHouseMotions to reconsider laid on the table Agreed to without objection.
08/04/1990-12:57amHouseOn motion to recede from its amendment to the title Agreed to without objection.
08/04/1990-12:57amHouseOn agreeing to the conference report Agreed to by voice vote.
08/04/1990-12:56amHouseThe previous question was ordered without objection.
08/04/1990-12:37amHouseDEBATE - The House proceeded with one hour of debate on the conference report.
08/04/1990-12:37amHouseMr. Waxman brought up conference report H.Rept. 101-652 for consideration as a privileged matter.
08/04/1990SenateConference papers: Senate report and managers' statement message on House action held at the desk in Senate.
07/31/1990-11:58pmHouseConference report H. Rept. 101-652 filed. Filed late, pursuant to previous special order.
07/31/1990HouseMr. Waxman asked unanimous consent that managers on the part of the House have until midnight on July 31 to file a conference report on S. 2240. Agreed to without objection.
07/31/1990-3:07pmConferees agreed to file conference report.
Action By: Joint
06/21/1990SenateMessage on Senate action sent to the House.
06/20/1990SenateSenate appointed conferee Durenberger in lieu of Coats by unanimous consent.
06/19/1990SenateMessage on Senate action sent to the House.
06/18/1990SenateSenate agreed to request for conference. Appointed conferees. Kennedy; Pell; Metzenbaum; Dodd; Hatch; Coats; Jeffords.
06/18/1990SenateSenate disagreed to the House amendments by Voice Vote.
06/14/1990SenateMessage on House action received in Senate and held at desk: House amendments to Senate bill and House requests a conference.
06/14/1990-5:41pmHouseBy unanimous consent, the Speaker reserved the authority to make additional appointments of conferees.
06/14/1990-5:41pmHouseThe chair appointed conferees: Dingell, Waxman, Rowland (GA), Lent, and Madigan.
06/13/1990-4:13pmHouseThe Speaker reserved the right to appoint conferees at a later time.
06/13/1990-4:12pmHouseOn motion that the House insist upon its amendments, and request a conference Agreed to without objection.
06/13/1990-4:12pmHouseMr. Waxman moved that the House insist upon its amendments, and request a conference.
06/13/1990-4:12pmHouseA similar measure H.R. 4785 was laid on the table without objection.
06/13/1990-4:12pmHouseMotion to reconsider laid on the table Agreed to without objection.
06/13/1990-4:12pmHouseThe title of the measure was amended. Agreed to without objection.
06/13/1990-4:12pmHouseOn passage Passed by voice vote.
06/13/1990-4:11pmHouseThe House struck all after the enacting clause and inserted in lieu thereof the provisions of a similar measure H.R. 4785. Agreed to without objection.
06/13/1990-4:11pmHouseThe previous question was ordered pursuant to the rule.
06/13/1990-4:11pmHouseConsidered under the provisions of rule H. Res. 408.
05/21/1990SenateMessage on Senate action sent to the House.
05/21/1990-12:03pmHouseHeld at the desk.
05/21/1990-12:02pmHouseReceived in the House.
05/16/1990SenatePassed Senate with an amendment by Yea-Nay Vote. 95-4. Record Vote No: 97.
05/16/1990SenateThe committee substitute as amended agreed to by Voice Vote.
05/16/1990SenateS.Amdt.1630 Amendment SP 1630 agreed to in Senate by Voice Vote.
05/16/1990SenateS.Amdt.1630 Proposed by Senator Coats. To remove the provision relating to the waiver of the infants and women set-aside requirement.
05/16/1990SenateS.Amdt.1629 Amendment SP 1629 agreed to in Senate by Voice Vote.
05/16/1990SenateS.Amdt.1629 Proposed by Senator Nickles. To make various technical corrections in the Prison Testing Act.
05/16/1990SenateS.Amdt.1628 Amendment SP 1628 agreed to in Senate by Voice Vote.
05/16/1990SenateS.Amdt.1628 Proposed by Senator Hatch. To provide resources to the Food and Drug Administration to assure a safe supply of blood and blood products.
05/16/1990SenateS.Amdt.1627 Amendment SP 1627 agreed to in Senate by Yea-Nay Vote. 99-0. Record Vote No: 96.
05/16/1990SenateS.Amdt.1626 Amendment SP 1626 not agreed to in Senate by Yea-Nay Vote. 47-52. Record Vote No: 95.
05/16/1990SenateS.Amdt.1627 Proposed by Senator Kennedy. To condition the receipt of grants on the provision of assurances by State officials that State laws are adequate to protected donated blood.
05/16/1990SenateS.Amdt.1626 Proposed by Senator Helms. To make it unlawful for any individual to knowingly donate, or sell, or to attempt to donate or sell blood, semen, tissues, organs, or other bodily fluids under certain circumstances.
05/16/1990SenateS.Amdt.1625 Amendment SP 1625 agreed to in Senate by Yea-Nay Vote. 98-0. Record Vote No: 94.
05/16/1990SenateS.Amdt.1624 Amendment SP 1624 not agreed to in Senate by Yea-Nay Vote. 28-70. Record Vote No: 93.
05/16/1990SenateS.Amdt.1625 Proposed by Senator Kennedy. To prohibit the use of funds for needle distribution programs.
05/16/1990SenateS.Amdt.1624 Proposed by Senator Helms. To prohibit the use of funds made available under this Act for the distribution of needles or bleach for cleaning needles.
05/16/1990SenateConsidered by Senate.
05/15/1990SenateS.Amdt.1620 Amendment SP 1620 agreed to in Senate by Voice Vote.
05/15/1990SenateS.Amdt.1621 Amendment SP 1621 agreed to in Senate by Voice Vote.
05/15/1990SenateS.Amdt.1621 Proposed by Senator Hatch for Senator Kennedy to Amendment SP 1620. To change the short title to the "Ryan White Comprehensive AIDS Resources Emergency Act of 1990".
05/15/1990SenateS.Amdt.1620 Proposed by Senator Hatch. To amend the title.
05/15/1990SenateS.Amdt.1618 Amendment SP 1618 agreed to in Senate by Voice Vote.
05/15/1990SenateS.Amdt.1619 Amendment SP 1619 agreed to in Senate by Voice Vote.
05/15/1990SenateS.Amdt.1619 Proposed by Senator Kennedy to Amendment SP 1618. To facilitate treatment and notification of individuals with HIV disease and their families.
05/15/1990SenateS.Amdt.1618 Proposed by Senator Mikulski. Relating to the requirement of reporting and partner notification with respect to cases of infection.
05/15/1990SenateS.Amdt.1616 Amendment SP 1616 not agreed to in Senate by Yea-Nay Vote. 33-65. Record Vote No: 92.
05/15/1990SenateS.Amdt.1617 Amendment SP 1617 agreed to in Senate by Voice Vote.
05/15/1990SenateS.Amdt.1617 Proposed by Senator Hatch. Of a clarifying nature.
05/15/1990SenateS.Amdt.1616 Proposed by Senator Wallop. To amend title II to allow the use of funds for chronic illnesses in States with fewer than 100 aids cases.
05/15/1990SenateS.Amdt.1615 Amendment SP 1615 agreed to in Senate by Voice Vote.
05/15/1990SenateS.Amdt.1615 Proposed by Senator Simpson. To provide for establishment of an intravenous drug abuse waiver that shall apply to certain ADAMHA block grant requirements.
05/15/1990SenateS.Amdt.1614 Amendment SP 1614 agreed to in Senate by Voice Vote.
05/15/1990SenateS.Amdt.1614 Proposed by Senator McCain. To amend Title II of the Comprehensive AIDS Resources Emergency Act of 1990 to ensure that Native Americans too would be eligible to receive health care and support services under this bill.
05/15/1990SenateMeasure laid before Senate by motion.
05/15/1990SenateCloture on the motion to proceed invoked in Senate by Yea-Nay Vote. 95-3. Record Vote No: 91.
05/15/1990SenateMotion to proceed considered in Senate.
05/14/1990SenateMotion to proceed considered in Senate.
05/11/1990SenateMotion to proceed to consideration of measure made in Senate.
05/11/1990SenateCloture motion on the motion to proceed presented in Senate.
04/24/1990SenatePlaced on Senate Legislative Calendar under General Orders. Calendar No. 523.
04/24/1990SenateCommittee on Labor and Human Resources. Reported to Senate by Senator Kennedy with an amendment in the nature of a substitute. With written report No. 101-273.
04/04/1990SenateCommittee on Labor and Human Resources. Ordered to be reported with an amendment in the nature of a substitute favorably.
03/06/1990SenateRead twice and referred to the Committee on Labor and Human Resources.

Cosponsors (66)

* = Original cosponsor
CosponsorDate Cosponsored
Sen. Hatch, Orrin G. [R-UT]* 03/06/1990
Sen. Cranston, Alan [D-CA]* 03/06/1990
Sen. Hatfield, Mark O. [R-OR]* 03/06/1990
Sen. Bentsen, Lloyd M. [D-TX]* 03/06/1990
Sen. Wilson, Pete [R-CA]* 03/06/1990
Sen. Moynihan, Daniel Patrick [D-NY]* 03/06/1990
Sen. D'Amato, Alfonse [R-NY]* 03/06/1990
Sen. Adams, Brock [D-WA]* 03/06/1990
Sen. Chafee, John H. [R-RI]* 03/06/1990
Sen. Kerry, John F. [D-MA]* 03/06/1990
Sen. Simon, Paul [D-IL]* 03/06/1990
Sen. Sarbanes, Paul S. [D-MD]* 03/06/1990
Sen. Riegle, Donald W., Jr. [D-MI]* 03/06/1990
Sen. Inouye, Daniel K. [D-HI]* 03/06/1990
Sen. Johnston, J. Bennett [D-LA]* 03/06/1990
Sen. Dodd, Christopher J. [D-CT]* 03/06/1990
Sen. Lautenberg, Frank R. [D-NJ]* 03/06/1990
Sen. Metzenbaum, Howard M. [D-OH]* 03/06/1990
Sen. Glenn, John H., Jr. [D-OH]* 03/06/1990
Sen. Pell, Claiborne [D-RI]* 03/06/1990
Sen. Bradley, Bill [D-NJ]* 03/06/1990
Sen. Gore, Albert, Jr. [D-TN]* 03/06/1990
Sen. Mikulski, Barbara A. [D-MD]* 03/06/1990
Sen. Lieberman, Joseph I. [D-CT]* 03/06/1990
Sen. Specter, Arlen [R-PA]* 03/06/1990
Sen. Matsunaga, Spark M. [D-HI] 04/02/1990
Sen. Graham, Bob [D-FL] 04/02/1990
Sen. Packwood, Bob [R-OR] 04/02/1990
Sen. Wirth, Timothy [D-CO] 04/02/1990
Sen. Burdick, Quentin N. [D-ND] 04/02/1990
Sen. Mitchell, George J. [D-ME] 04/02/1990
Sen. Levin, Carl [D-MI] 04/19/1990
Sen. Kohl, Herb [D-WI] 04/19/1990
Sen. Bingaman, Jeff [D-NM] 04/19/1990
Sen. Sasser, Jim [D-TN] 04/19/1990
Sen. Jeffords, James M. [R-VT] 04/19/1990
Sen. Dole, Robert J. [R-KS] 04/23/1990
Sen. Cohen, William S. [R-ME] 04/25/1990
Sen. Fowler, Wyche, Jr. [D-GA] 04/25/1990
Sen. Warner, John [R-VA] 04/25/1990
Sen. Kassebaum, Nancy Landon [R-KS] 04/26/1990
Sen. Breaux, John B. [D-LA] 04/26/1990
Sen. Lugar, Richard G. [R-IN] 04/26/1990
Sen. Danforth, John C. [R-MO] 04/26/1990
Sen. Mack, Connie, III [R-FL] 04/26/1990
Sen. Durenberger, Dave [R-MN] 04/26/1990
Sen. Biden, Joseph R., Jr. [D-DE] 04/26/1990
Sen. Reid, Harry [D-NV] 04/30/1990
Sen. Rockefeller, John D., IV [D-WV] 04/30/1990
Sen. DeConcini, Dennis [D-AZ] 04/30/1990
Sen. Gorton, Slade [R-WA] 04/30/1990
Sen. Kerrey, J. Robert [D-NE] 04/30/1990
Sen. Heinz, John [R-PA] 04/30/1990
Sen. McCain, John [R-AZ] 04/30/1990
Sen. Coats, Daniel [R-IN] 04/30/1990
Sen. Robb, Charles S. [D-VA] 04/30/1990
Sen. Conrad, Kent [D-ND] 04/30/1990
Sen. Bryan, Richard H. [D-NV] 04/30/1990
Sen. Harkin, Tom [D-IA] 04/30/1990
Sen. Bumpers, Dale [D-AR] 04/30/1990
Sen. Leahy, Patrick J. [D-VT] 05/02/1990
Sen. Boren, David L. [D-OK] 05/02/1990
Sen. Daschle, Thomas A. [D-SD] 05/09/1990
Sen. Pryor, David H. [D-AR] 05/15/1990
Sen. Simpson, Alan K. [R-WY] 05/15/1990
Sen. Nunn, Sam [D-GA] 05/16/1990

Committees (1)

Committees, subcommittees and links to reports associated with this bill are listed here, as well as the nature and date of committee activity and Congressional report number.

Committee / Subcommittee Date Activity Reports
Senate Labor and Human Resources03/06/1990 Referred to
04/04/1990 Markup by
04/24/1990 Reported by S.Rept 101-273

A related bill may be a companion measure, an identical bill, a procedurally-related measure, or one with text similarities. Bill relationships are identified by the House, the Senate, or CRS, and refer only to same-congress measures.


Latest Summary (5)

There are 5 summaries for S.2240. View summaries

Shown Here:
Conference report filed in House (07/31/1990)

Ryan White Comprehensive AIDS Resources Emergency Act of 1990 - Title I: HIV Emergency Relief Grant Program - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, through the Administrator of the Health Resources and Services Administration, to make grants in any metropolitan area that has reported and confirmed more than 2,000 acquired immune deficiency syndrome (AIDS) cases or a per capita incidence of at least 0.0025 (eligible area). Requires that the grants be directed to the chief elected official of the city or urban county that administers the public health agency serving the greatest number of individuals with AIDS in the eligible area. Requires that official to establish: (1) through intergovernmental agreements, an administrative mechanism to allocate funds and services; and (2) an HIV health services planning council. Allows the official to establish the council directly or by designating an existing entity to serve as the council.

Provides, at specified times, that one-half of funds appropriated for the grants be used for regular grants and one-half be used for supplemental grants.

Requires that grant funds be used for: (1) outpatient and ambulatory health and support services, including case management and comprehensive treatment services; and (2) inpatient case management services that prevent unnecessary hospitalization or that expedite discharge.

Requires the chief official, in providing assistance, to give priority to entities currently participating in Health Resources and Services Administration HIV health care demonstration projects.

Allows, if the council finds there is a personnel shortage, up to ten percent of the grant funds to be used for recruiting, training, and paying compensation of services of personnel, for entities that provide HIV-related care or services to a disproportionate share of low-income individuals and families with HIV disease, incur uncompensated costs, and meet other requirements.

Requires that services covered by Medicaid be provided by providers with Medicaid provider status.

Specifies information and assurances which must be included in a grant application.

Limits (in some cases prohibits) the imposition of fees for services under the grants.

Authorizes appropriations.

Title II: HIV Care Grants - Directs the Secretary, subject to the availability of appropriations, to make grants to States to improve the quality, availability, and organization of health care and support services for individuals and families with HIV disease. Allows the grants to be used: (1) to establish and operate HIV care consortia within areas most affected by HIV disease to provide a comprehensive continuum of care; (2) to provide home- and community-based care services; (3) to provide assistance to assure the continuity of health insurance coverage; and (4) to provide treatments that have been determined to prolong life or prevent serious deterioration of health. Requires that at least 15 percent of the funds be used for health and support services to infants, children, women, and families with HIV disease. Details, for each of the four categories of grants, the uses of funds, the assurances and information required in the application, and certain priorities. Limits (in some cases prohibits) the imposition of fees for services under the grants. Requires non-Federal matching funds in specified ratios.

Directs the Secretary to use up to ten percent of specified amounts to establish and administer a special projects of national significance program, awarding grants based on the need to assess the effectiveness of a particular care and treatment model, the innovative nature of the activity, and the potential replicability of the activity. Details permissive uses for the funds and sets forth a formula for determining the amount of a grant.

Authorizes appropriations to make the grants provided for in this title.

Title III: Early Intervention Services - Directs the Secretary, through the Director of the Centers for Disease Control, to make an allotment for each State each fiscal year to provide, with respect to HIV disease, the following outpatient early intervention services: (1) counseling individuals; (2) testing individuals, including tests to confirm the presence of the disease, to diagnose the extent of the deficiency in the immune system, to provide information on therapeutic measures for preventing and treating the deterioration of the immune system and for preventing and treating conditions arising from the disease; (3) referrals; (4) other clinical and diagnostic services, and periodic medical evaluations; and (5) therapeutic measures.

Allows a State to provide the services directly or through other entities. Lists optional services. Requires States to earmark certain percentages of the grants for certain services. Requires that services covered by Medicaid be provided by providers with Medicaid provider status. Requires matching non-Federal funds in a specified ratio.

Requires that an entity receiving grant funds that regularly provides treatment for sexually transmitted diseases, regularly provides intravenous substance abuse treatment, is a family planning clinic, or provides treatment for tuberculosis offer and encourage the early intervention services to individuals it serves.

Requires a State grant recipient to: (1) encourage individuals in the State receiving a transfusion of whole blood or a blood-clotting factor between January 1, 1978, and April 1, 1985, to receive early intervention services; and (2) inform such individuals of public health facilities in the geographic area that provide such services. Declares that these requirements do not mandate individual notifications.

Requires that a State grant recipient mandate that any entity carrying out testing for HIV disease confidentially report to the State public health officer information sufficient to: (1) perform statistical and epidemiological analyses of the incidence of the disease; (2) perform statistical and epidemiological analyses of the demographic characteristics of individuals with the disease; and (3) assess the adequacy of early intervention services. Requires a State grant recipient to require that the State public health officer, to the extent appropriate in the determination of the officer, carry out a program of partner notification with respect to cases of HIV disease. Declares that these reporting and partner notification provisions do not require or prohibit a State from providing that identifying information concerning individuals with HIV disease is required to be submitted to the State.

Prohibits a grant to a State unless its chief executive officer determines that the criminal laws of the State are adequate to prosecute any HIV infected individual who knowingly and intentionally exposes a nonconsenting individual to HIV through a donation of blood, semen, or breast milk, through sexual activity, or through sharing of a hypodermic needle. Makes the existence of a criminal law of general application, which can be applied to such conduct, sufficient for compliance.

Sets forth a formula for determination of the amounts of allotments.

Requires a State to submit to the Secretary a comprehensive plan for the organization and delivery of the early intervention services.

Authorizes appropriations for the allotments to States.

Authorizes the Secretary, through the Administrator of the Health Resources and Services Administration, to make grants with respect to HIV disease, for these early intervention services: (1) counseling individuals; (2) testing individuals, including tests to confirm the presence of the disease, to diagnose the extent of the deficiency in the immune system, to provide information on therapeutic measures for preventing and treating the deterioration of the immune system and for preventing and treating conditions arising from the disease; (3) referrals; (4) other clinical and diagnositc services, and periodic medical evaluations; and (5) therapeutic measures.

Allows a grantee to provide the services directly or through other entities. Lists optional services. Requires that grant recipients be migrant health centers, community health centers, grantees under provisions relating to health services for the homeless, grantees (other than States) under provisions relating to family planning, comprehensive hemophilia diagnostic and treatment centers, Federally-qualified health centers under specified provisions of the Social Security Act, or nonprofit private entities that provide comprehensive primary care services to populations at risk of HIV disease. Requires that services covered by Medicaid be provided by providers with Medicaid provider status. Sets forth certain preferences in making the grants. Requires grants regarding early intervention services for individuals with hemophilia to be made through the network of comprehensive hemophilia diagnostic and treatment centers.

Authorizes appropriations.

Requires information regarding the receipt of early intervention services to be kept confidential in a manner not inconsistent with applicable law.

Requires written informed consent prior to testing. Allows: (1) use of a pseudonym in signing a consent form; and (2) consent to be given orally when an individual is to undergo testing without providing any identifying information.

Requires counseling before testing and, for both individuals with negative and individuals with positive results, after testing. Allows counseling without testing.

Requires that testing by grant recipients be carried out in accordance with the requirements of this Act regarding confidentiality, informed consent, and counseling regardless of whether the testing is carried out with Federal funds.

Requires that, to the extent permitted under State law, grant recipients offer substantial opportunities for an individual to undergo counseling and testing without giving any identifying information or using a pseudonym.

Prohibits requiring an individual to undergo testing as a condition to receiving other health services unless the testing is medically indicated in the provision of the health services sought by an individual.

Limits (in some cases prohibits) the imposition of fees for services provided for in this title.

Prohibits the counseling programs from being designed to promote or encourage, directly, intravenous drug abuse or sexual activity, homosexual or heterosexual. Requires them to: (1) be designed to reduce exposure to and transmission of HIV disease by providing accurate information; and (2) provide information on the health risks of promiscuous sexual activity and intravenous drug abuse.

Amends the Prison Testing Act of 1988 to: (1) transfer all provisions relating to testing of State prisoners to the Public Health Service Act; and (2) authorize appropriations to carry out such provisions. Replaces all except the authorization of appropriations with provisions authorizing the Secretary to make grants to States for early intervention services to individuals sentenced by the State to imprisonment. Requires that such individuals be informed of: (1) the prisoner testing requirements under this Act; and (2) the results of the testing. Requires non-Federal matching funds.

Mandates that States require testing of prisoners upon entering the State penal system and during the 30-day period before release. Sets forth requirements regarding disclosure of test results to prison employees, spouses of prisoners, and victims of rape and aggravated sexual assault. Requires confidentiality of test results except for such persons and except for disclosures as medically necessary.

Allows the prison grants only to those prisons for which the State public health officer has determined that the provision of such services is appropriate with respect to the public health and safety.

Applies provisions of this Act relating to informed consent, counseling, and other matters to the prison grants.

Title IV: General Provisions, Reports and Evaluations - Subtitle A: General Provisions - Directs the Secretary, through the Administrator of the Health Resources and Services Administration and the Director of the National Institutes of Health, to make demonstration grants for: (1) clinical research on therapies for pediatric patients and pregnant women with HIV disease; and (2) outpatient health care for such patients and their families. Requires that applicants: (1) have entered into a cooperative agreement or contract with a biomedical research entity for assistance in designing and conducting the research protocol; and (2) agree to provide the data developed in the research to the Director. Authorizes the Secretary, through the Director, to assist grantees in designing and conducting the protocols. Requires the Secretary, through the Director, to analyze the data submitted. Requires grantees to provide, for the pediatric patient and the family of the patient: (1) case management; (2) referrals; and (3) such transportation, child care, and other incidental services as necessary to enable participation in the program. Authorizes appropriations.

Directs the Secretary to: (1) develop and make available to personnel at blood banks and facilities that produce blood products materials and information on measures to protect the safety of the blood supply; and (2) develop and implement a training program to increase the number of Department of Health and Human Services employees qualified to inspect such blood banks and facilities. Authorizes appropriations.

Directs the Secretary, through the Agency for Health Care Policy and Research, to establish a program to enable independent research to be conducted regarding: (1) the impact and cost-effectiveness of major models for organizing and delivering HIV-related services; (2) private sector financing for HIV-related health and support services; (3) how different points-of-entry affect cost, quality, and outcome; and (4) major and continuing unmet needs. Authorizes appropriations.

Subtitle B: Emergency Response Employees - Directs the Secretary to make grants to States and their political subdivisions to assist in the implementation of Federal law mandating the dissemination of guidelines to emergency response employees (EREs) regarding reducing the risk in the workplace of becoming infected with the etiologic agent for AIDS and circumstances under which exposure may occur. Authorizes appropriations.

Directs the Secretary to develop and disseminate: (1) a list of life-threatening infectious diseases to which EREs may be exposed, including those that are routinely transmitted through airborne or aerosolized means; (2) guidelines describing the circumstances in which EREs may be exposed; and (3) guidelines describing the manner in which medical facilities should make determinations under these provisions.

Provides for: (1) routine notification of a designated officer by a medical facility that determines that a victim of an emergency who was transported by EREs has an airborne infectious disease; (2) initiation by an ERE of an examination of circumstances to determine whether the ERE may have been exposed to an infectious disease; and (3) procedures for notification of a designated officer and notification of an ERE of exposure.

Requires the public health officer of each State to designate one official or officer of each employer of EREs in the State to receive notification and make requests.

Authorizes the Secretary to commence a civil suit to obtain temporary or permanent injunctive relief for any violation of these provisions. Directs the Secretary to establish an administrative process for encouraging EREs to provide information to the Secretary regarding violations of these provisions.

Makes certain of these provisions relating to EREs inapplicable in a State if the chief executive officer certifies that the law of the State is in substantial compliance.

Subtitle C: Miscellaneous Provisions - Requires that any State that received a waiver for FY 1989 under specified provisions of the Public Health Service Act relating to alcohol, drug abuse, and mental health services block grants be granted a waiver for FY 1990 and 1991.

Prohibits funds made available in this Act, or an amendment made by this Act, from being used to provide individuals with hypodermic needles or syringes so that the individuals may use illegal drugs.