,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #efcc  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #ah1 #bjad  
,mr4 ,pascrell introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to au?orize      
grants = ! support ( c>egiv]s4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,9-,home ,c>egiv] ,assessm5t ,res\rces &
 ,education ,act or ! ,9-,home ,,c>e    
,act4  #b4 ,f9d+s ,congress f9ds !      
foll[+3  7#a7 ,m ?an #fe1jjj1jjj unpaid 
c>egiv]s provide c>e = a *ronically ill1
 disabl$1 or ag$ family memb] or fri5d  
dur+ any giv5 ye>4  7#b7 ,sixty-six     
p]c5t ( unpaid c>egiv]s are wom54 ,m ?an
 #cg p]c5t ( c>egiv]s live ) *ildr5 or  
gr&*ildr5 :o are "u #ah ye>s old4  7#c7 
,unpaid family c>egiv]s sp5d an av]age (
 #bj h\rs p] week c>+ = _! lov$ ones1 & 
#ac p]c5t ( family c>egiv]s provide #dj 
or m h\rs ( c>e p] week4  7#d7          
,?irty-six p]c5t ( c>egiv]s c>e = a     
p>5t4  7#e7 ,f\rte5 p]c5t ( c>egiv]s c>e
 = a special ne$s *ild1 includ+ an      

e/imat$ #af1hjj1jjj c>egiv]s :o c>e =   
special ne$s *ildr5 :o are "u #ah ye>s  
old4  7#f7 ,9 #bjjg1 ! av]age c>egiv] = 
someone #ej ye>s or old] sp5t #e1eca p] 
ye> on out-(-pocket c>egiv+ exp5ses1 :i*
 is m ?an #aj p]c5t ( ! m$ian income = a
 family c>egiv] = t ye>4 ,=ty-sev5 p]c5t
 ( work+ c>egiv]s h us$ up all or mo/ ( 
_! sav+s due to c>egiv+ exp5ses4  7#g7  
,sev5ty-?ree p]c5t ( c>egiv]s :o provide
 c>e = an individual ov] ! age ( #ah are
 curr5tly work+ or h work$ :ile provid+ 
c>e4 ,sixty-six p]c5t ( su* c>egiv]s h  
_h to make "s modifications to _! "w    
s*$ule1 f arriv+ late to "w to leav+ _! 
job entirely4 ,"o 9 #e c>egiv]s h _h to 
take "t (f f "w4  7#h7 ,fifty-?ree p]c5t
 ( c>egiv]s h exp]i5c$ a decl9e 9 _!    
heal? z a result ( c>egiv+1 :i* has     
affect$ _! ability to provide c>e4  7#i7
 ,=ty-six p]c5t ( c>egiv]s p]=m m$ical  
or nurs+ tasks = pati5ts ) multiple     
physical & *ronic conditions4 ,( ^!     
c>egiv]s1 #gh p]c5t 7 9 *>ge ( manag+ a 
pati5t's m$ications1 adm9i/]+ fluids1 or

 adm9i/]+ injections4  7#aj7 ,ne>ly #bj 
p]c5t ( c>egiv]s :o assi/$ ) m$ication  
managem5t & #cc p]c5t :o assi/$ ) *ang+ 
dress+s or b&ages receiv$ no tra9+ ab\t 
h[ to p]=m ^! tasks4  7#aa7 ,! va/      
majority 7#gh p]c5t7 ( c>egiv]s indicat$
 !y ne$ m support relat$ to c>egiv+4    
7#ab7 ,home visit+ programs are         
co/-effective & h be5 prov5 to improve  
outcomes = *ildr5 & p>5ts 9 diff]5t     
doma9s rang+ f *ild developm5t to family
 viol5ce4  #c4 ,purposes ,! purposes (  
?is ,act are--  7#a7 to improve !       
ability ( unpaid c>egiv]s to c>e =      
individuals 9 ! home2 &  7#b7 to        
increase opportunities = individuals :o 
are 9 ne$ ( c>e to rema9 at home & r$uce
 or po/pone ! ne$ = su* individuals to  
receive c>e at an in/itution4  #d4      
,c>egiv] grants ,subp>t ,,iv ( "p ,d (  
title ,,iii ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #bee et seq47 is    
am5d$ by add+ at ! end ! foll[+3        
#cci;,a4 ,c>egiv] grants  7a7 ,9 ,g5]al 
,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator 

( ! ,adm9i/ration = ,community ,liv+1   
%all aw>d #c-ye> grants1 on a           
competitive basis1 to eligible          
organizations to c>ry out home visit+   
programs = unpaid c>egiv]s4  7b7        
,def9itions ,9 ?is section3  7#a7       
,c>egiv] ,! t]m c>egiv] means an unpaid 
family memb]1 fo/] p>5t1 or o!r unpaid  
adult :o provides 9-home monitor+1      
managem5t1 sup]vision1 or treatm5t ( a  
*ild or adult ) a special ne$1 su* z a  
disease1 disability1 or ! frailties (   
old age4  7#b7 ,c>egiv] assessm5t ,! t]m
 c>egiv] assessm5t means an assessm5t t 
includes talk+ directly to c>egiv]s to  
bett] und]/& _! ne$s1 problems1         
res\rces1 & /r5g?s4  7#c7 ,*ild or adult
 ) a special ne$ ,! t]m *ild or adult ) 
a special ne$ means an individual = :om 
c>e or sup]vision is requir$ to--  7,a7 
meet ! basic ne$s ( ! individual2  7,b7 
prev5t physical self-injury or injury to
 o!rs2 or  7,c7 avoid placem5t 9 an     
in/itutional facility4  7#d7 ,eligible  
organization ,! t]m eligible            

organization means--  7,a7 a local      
gov]nm5t ag5cy2  7,b7 a heal? c>e       
entity2 or  7,c7 any o!r nonpr(it or    
community organization1  t c provide !  
s]vices describ$ 9 subsection 7f74  7c7 
,coord9ation ,9 c>ry+ out ?is section1 !
 ,secret>y %all coord9ate--  7#a7 ) !   
heads ( ! ,national ,family ,c>egiv]    
,support ,program ( ! ,adm9i/ration on  
,ag+ & o!r programs )9 ! ,dep>tm5t (    
,heal? & ,human ,s]vices 7su* z !       
,lifespan ,respite ,c>e ,program71 to   
ensure coord9ation ( c>egiv] s]vices =  
c>egiv]s ( *ildr5 or adults ) special   
ne$s2 &  7#b7 ) ! ,director ( ! ,c5t]s =
 ,m$ic>e  ,m$icaid ,s]vices to avoid    
duplicative s]vices & paym5ts4  7d7     
,application ,an eligible organization t
 desires a grant "u ?is section %all    
submit an application at su* "t1 9 su*  
mann]1 & conta9+ su* in=mation z !      
,secret>y may require1 includ+1 at a    
m9imum--  7#a7 an outrea* plan t        
id5tifies h[ ! eligible organization w  
asc]ta9 :i* c>egiv]s 9 ! community--    

7,a7 are mo/ 9 ne$ ( support &          
education1 p>ticul>ly c>egiv]s :o h _h  
no tra9+ & provide complex *ronic c>e   
activities or p]=m m$ical or nurs+ tasks
 9 addition to assi/+ ) activities (    
daily liv+2  7,b7 are c>+ = individuals 
:o are at ! greate/ risk ( ne$+         
in/itutional c>e2 &  7,c7 desire to     
p>ticipate 9 ! c>egiv] home visit+      
program2  7#b7 a description ( ! s]vices
 t ! eligible organization w provide    
directly us+ grant funds1 & a           
description ( ! s]vices t ! eligible    
organization w use grant funds to       
provide ?r\gh contracts or ref]rals2    
7#c7 a description ( h[ ! eligible      
organization w id5tify gaps 9 ! s]vices 
t c>egiv]s & *ildr5 or adults ) a       
special ne$ :o receive c>e f a c>egiv] 9
 ! community are receiv+2  7#d7 a       
description ( h[ ! eligible organization
 c provide--  7,a7 an initial visit to  
c>egiv]s 9 ord] to complete a c>egiv]   
assessm5t1 includ+ a description ( !    
eligible organization's exp]tise 9      

conduct+ c>egiv] assessm5ts2  7,b7      
education & tra9+ to help ! c>egiv] le>n
 h[ to be/ c>e = a *ild or adult ) a    
special ne$1 by an individual ) exp]tise
 9 ! tasks = :i* ! c>egiv] requires     
education & tra9+1 includ+ education &  
tra9+ reg>d+1 z applicable--  7i7       
m$ication managem5t2  7ii7 w\nd c>e2    
7iii7 nutrition & food prep>ation =     
special diets2  7iv7 falls prev5tion2   
7v7 managem5t ( depression1 anxiety1    
/ress1 & o!r behavioral heal?           
conditions1 includ+ ways to m9imize     
negative m5tal heal? effects2  7vi7     
assi/ance ) activities ( daily liv+2    
7vii7 ways to engage o!r family memb]s 9
 provid+ c>e2  7viii7 ways to id5tify & 
utilize available community res\rces2 & 
7ix7 abuse & neglect prev5tion2 &  7,c7 
recomm5dations = home modifications or  
physical environm5tal *anges t w improve
 ! heal? or quality ( life ( a *ild or  
adult ) a special ne$ :o is receiv+ c>e 
f a c>egiv]2  7#e7 a description ( !    
eligible organization's ability to      

provide1 or ref] c>egiv]s to local      
res\rces or programs ( ! ,dep>tm5t (    
,heal? & ,human ,s]vices t w provide--  
7,a7 physical & m5tal heal? c>e1 includ+
 home heal? c>e & long-t]m support      
s]vices2  7,b7 transportation2  7,c7    
home modification s]vices2  7,d7 respite
 c>e2  7,e7 adult day c>e2  7,f7 support
 gr\ps2 &  7,g7 legal assi/ance2  7#f7 a
 description ( ! eligible organization's
 ability to coord9ate ) o!r ,/ate &     
community-bas$ ag5cies2  7#g7 a         
description ( ! eligible organization's 
und]/&+ ( c>egiv] issues--  7,a7 across 
age gr\ps2 &  7,b7 includ+ disabilities 
& *ronic conditions t affect !          
populations t ! eligible organization w 
s]ve2  7#h7 a description ( ! capacity (
 ! eligible organization to engage      
c>egiv]s1 family memb]s1 & *ildr5 or    
adults ) a special ne$ :o receive c>e f 
a c>egiv]2 &  7#i7 ) respect to !       
population ( c>egiv]s to :om c>egiv]    
visits or s]vices w be provid$1 or = :om
 work]s & volunte]s w be recruit$ &     

tra9$1 a description (--  7,a7 !        
population ( c>egiv]s2  7,b7 ! ext5t &  
nature ( ! ne$s ( t population2 &  7,c7 
exi/+ c>egiv] s]vices = t population1   
includ+ ! numb] ( c>egiv]s s]v$ & !     
ext5t ( unmet ne$4  7e7 ,priority ,9    
aw>d+ grants "u ?is section1 ! ,secret>y
 %all give priority to eligible         
organizations t--  7#a7 ! ,secret>y     
det]m9es %[ ! greate/ likelihood (      
implem5t+ or enhanc+ c>egiv] home visit+
 s]vices = ! greate/ numb] ( p2  7#b7 w 
all[ c>egiv]s to contact ! eligible     
organization by phone1 email1 or two-way
 int]active video aft] home visits h    
end$ or if a c>egiv] has que/ions or    
conc]ns2  7#c7 h a prov5 record (       
c>egiv] support2  7#d7 w use            
evid5ce-bas$ programs2 or  7#e7 w       
provide mat*+ funds or c demon/rate t ! 
program fund$ by a grant "u ?is section 
w be su/a9able aft] grant funds are no  
long] provid$4  7f7 ,au?oriz$ activities
 ,an eligible organization receiv+ a    
grant "u ?is section %all use grant     

funds to--  7#a7 conduct an initial home
 visit = ea* c>egiv] p>ticipat+ 9 !     
program1 dur+ :i* a repres5tative f !   
eligible organization :o has exp]tise 9 
c>e managem5t & c>egiv+ w p]=m a c>egiv]
 assessm5t & det]m9e :at foll[-up       
s]vices may b5efit ! c>egiv] & ! *ild or
 adult ) a special ne$ :o receives c>e f
 ! c>egiv]2  7#b7 conduct home visits = 
! purpose ( c>egiv] education & tra9+2  
7#c7 provide1 or provide ref]rals =1 !  
s]vices describ$ 9 subsection 7d77#e72  
7#d7 provide an assessm5t & ref]ral =   
physical & m5tal heal? s]vices = !      
c>egiv] & = ! *ild or adult ) a special 
ne$ :o receives c>e f ! c>egiv]1 z ne$$2
 &  7#e7 c>ry out any o!r activities t  
are describ$ 9 ! grant application      
submitt$ "u subsection 7d74  7g7        
,te*nical assi/ance c5t] ,! ,secret>y   
%all e/abli% or contract to e/abli% a   
te*nical assi/ance c5t] ?r\gh :i* !     
,secret>y %all--  7#a7 provide models = 
programs fund$ by grants "u ?is section2
  7#b7 provide tra9+ = grantees2  7#c7  

answ] que/ions f grantees2 &  7#d7      
facilitate an ex*ange ( in=mation among 
grantees1 & betwe5 grantees & o!r       
programs )9 ! ,dep>tm5t ( ,heal? &      
,human ,s]vices1 includ+ ?r\gh use ( !  
,te*nical ,assi/ance ,ex*ange ( !       
,adm9i/ration = ,community ,liv+1 9 ord]
 to maximize ! use ( exi/+ res\rces &   
s]vices = c>egiv]s & to avoid !         
duplication ( su* s]vices4  7h7         
,evaluation  7#a7 ,9 ,g5]al ,n lat] ?an 
#a ye> aft] ! date ( enactm5t ( ?is     
section1 & annually !reaft]1 ! ,secret>y
 %all evaluate ! success ( ! grant      
program c>ri$ out "u ?is section1 bas$  
on crit]ia t ! ,secret>y may develop =  
su* evaluation4  7#b7 ,optional cont5ts 
( evaluation ,! evaluation describ$ 9   
p>agraph 7#a7 may include an evaluation 
(--  7,a7 ! ext5t to :i* *ildr5 or      
adults ) a special ne$ :o are c>$ = by a
 p>ticipat+ c>egiv] h--  7i7 a r$uction 
9 ! pot5tial numb] ( hospitalizations2  
7ii7 a r$uction 9 ! pot5tial numb] (    
in/itutionalizations2  7iii7 co/        

r$uctions across ! heal? c>e sy/em2     
7iv7 improv$ c>e2 &  7v7 improv$ quality
 ( life 7includ+ a r$uction ( /ress &   
anxiety & improv$ relation%ips & mood72 
&  7,b7 ! ext5t to :i* p>ticipat+       
c>egiv]s h improv$ quality ( life       
7includ+ a r$uction ( /ress & anxiety & 
improv$ heal?1 relation%ips1 & mood74   
7i7 ,reports & ,recomm5dations ,n lat]  
?an #a ye> be=e ! expiration ( ! grants 
aw>d$ "u ?is section1 ! ,secret>y %all  
prep>e & submit a report to ,congress t 
includes recomm5dations1 bas$ on !      
evaluation describ$ 9 subsection 7h71   
ab\t--  7#a7 *anges to ! grant program  
"u ?is section2  7#b7 ! pot5tial = exp&+
 ! numb] & scope ( c>egiv] home visit+  
program grants di/ribut$ by ! ,secret>y2
 &  7#c7 ext5d+ ! l5g? ( ! grant        
program4  7j7 ,au?orization (           
appropriations ,!re are au?oriz$ to be  
appropriat$ to c>ry out ?is section su* 
sums z may be necess>y4  4