Final Report of the Subcommittee on Domestic Trafficking

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II. International VictimsA. International victims who are minors (under 18):Federal statutory language related to each HRSA program does not limit <strong>the</strong> provision <strong>of</strong>services to minor, international victims <strong>of</strong> domestic trafficking. Many HRSA programsgenerally specify that <strong>the</strong>y are <strong>the</strong> ‘payer <strong>of</strong> last resort’ but this language is not intendedto limit <strong>the</strong> provision <strong>of</strong> services to certain populations.B. International victims who are adults:Federal statutory language related to each HRSA program does not limit <strong>the</strong> provision <strong>of</strong>services to adult, international victims <strong>of</strong> domestic trafficking. Many HRSA programsgenerally specify that <strong>the</strong>y are <strong>the</strong> ‘payer <strong>of</strong> last resort’ but this language is not intendedto limit <strong>the</strong> provision <strong>of</strong> services to certain populations.Health Resources and Services Administration (HRSA)As <strong>the</strong> Nation’s Access Agency, HRSA focuses on uninsured, underserved, and special needspopulations in its goals and program activities. Goals include: 1) improve access to healthcare;2) improve health outcomes; 3) improve <strong>the</strong> quality <strong>of</strong> healthcare; 4) eliminate health disparities;5) improve public health and healthcare systems; and 6) enhance <strong>the</strong> ability <strong>of</strong> <strong>the</strong> healthcare systemto respond to public health emergencies.The majority <strong>of</strong> HRSA programs in which domestic or international victims may seek healthservices are administered by four <strong>of</strong> five HRSA Bureaus.I. Bureau <strong>of</strong> Primary Health Care (BPHC)BPHC programs support innovations and expanded access to health care services in <strong>the</strong> Nation'smedically underserved areas and improve <strong>the</strong> health status <strong>of</strong> medically underserved populations.Programs are generally categorized by type and by population served.• Health Center Programs include:• Community Health Centers• Federal Tort Claims Act and Health Centers• FQHC Look-Alikes• Healthy Communities Access Program (HCAP) [Note: Not appropriated in 2006]• Health Care for Specific Populations include:• Hansen's Disease• Health Care for <strong>the</strong> Homeless• Migrant and Farmworker Health• Public Housing Primary Care• Radiation Exposure Clinics• Black Lung ClinicsII. HIV/AIDS BureauThe Ryan White Comprehensive AIDS Resources Emergency (CARE) Act funds primary careand support services for individuals living with HIV disease who lack health insurance and32
financial resources for <strong>the</strong>ir care. While ambulatory health care and support services are <strong>the</strong>primary focus <strong>of</strong> <strong>the</strong> legislation, training, technical assistance, and demonstration projects arealso funded. Specific HRSA CARE Act programs include:• Title I: emergency assistance to Eligible Metropolitan Areas most severely affected by<strong>the</strong> HIV/AIDS epidemic.• Title II: block/formula grants to all 59 States and territories. Title II also funds <strong>the</strong> AIDSDrug Assistance Program. Funds may be used for: ambulatory or home-based healthcare; insurance coverage; medications; Support services; Outreach to HIV-positiveindividuals who know <strong>the</strong>ir HIV status; early intervention services; and an HIV CareConsortia, which assess needs and contracts for services.• Title III Early Intervention Services (EIS): comprehensive primary healthcare forindividuals with HIV disease. Services include risk-reduction counseling, antibodytesting, case management, clinical care, attention to o<strong>the</strong>r health problems that occurfrequently with HIV infection, including tuberculosis and substance abuse.• Title IV <strong>of</strong> <strong>the</strong> Social Security Act: provides primary and specialty medical care,psychosocial services, access to clinical trials, outreach, case management and carecoordination for women, infants, children and youth living with or at risk for HIVdisease.III. Healthcare Systems Bureau (HSB)HSB programs that fund health services include:• Coordination <strong>of</strong> national organ and tissue donation activities• National Vaccine Injury Compensation Program• Smallpox Vaccine Injury Compensation Program• Healthcare Preparedness• Trauma-Emergency Medical Services• National Bioterrorism Hospital Preparedness Program• Emergency System for Advance Registration <strong>of</strong> Volunteer Health Pr<strong>of</strong>essionals• 340B Drug Pricing ProgramIV. Maternal and Child Health Bureau (MCHB)MCHB partners with States, communities, public-private partners, and families to streng<strong>the</strong>n <strong>the</strong>maternal and child health (MCH) infrastructure, ensure <strong>the</strong> availability and use <strong>of</strong> medicalhomes, and build knowledge and human resources to ensure continued improvement in <strong>the</strong>health, safety, and well-being <strong>of</strong> <strong>the</strong> MCH population. MCHB provides leadership to improveaccess to comprehensive, culturally sensitive, quality health care for all pregnant women, infants,children, adolescents, and <strong>the</strong>ir families, including women <strong>of</strong> reproductive age, fa<strong>the</strong>rs, andchildren with special healthcare needs. MCHBs three major programs include:• Maternal and Child Health Services [state] Block Grant (Title V <strong>of</strong> <strong>the</strong> Social SecurityAct): Funds to all 59 States and jurisdictions to design and implement a wide range <strong>of</strong>MCH programs that meet national and state needs. Specific initiatives may vary byStates/jurisdictions; all programs work to do <strong>the</strong> following:• Reduce infant mortality and incidence <strong>of</strong> handicapping conditions amongchildren.33
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Final Report of the Subcommittee on Domestic Trafficking

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