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II
113th CONGRESS
2d Session
S. 2842
IN THE SENATE OF THE UNITED STATES
September 17 (legislative day, September 16), 2014
Mr. Casey introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions
A BILL
To amend the Public Health Service Act to establish a Caregiver Corps program.
1.
Short title
This Act may be cited as the
Caregiver Corps Act of 2014.
2.
Findings and purpose
(a)
Findings
Congress makes the following findings:
(1) As of 2013, more than 43,000,000 Americans are age 65 or older. More than 75 percent of such
individuals live with chronic conditions which require assistance that
helps them to live in a home- or community-based setting. In 2012, almost
38,000,000 Americans of all ages reported having one or more disabilities.
(2) As of 2012, there were over 800,000 home health aides assisting older adults in their homes with
activities of daily living and some light housekeeping tasks such as
changing linens and preparing food. Direct care workers are critical as
families and friends strive to provide quality care for individuals in
the community.
(3) Estimates suggest that there are 52,000,000 to 65,000,000 informal caregivers helping to provide
care to
adults with disabilities and illnesses. These caregivers help with a range
of tasks but more time is spent on tasks such as shopping, food
preparation, housekeeping, and laundry, and less time is spent on
activities of daily living such as feeding, dressing, grooming, walking,
bathing, and assistance toileting.
(4) Over 60 percent of all informal caregivers work either full- or part-time. Even with the growing
number of
direct care workers available, there is a shortage in the number of people
available to help support individuals who need extra assistance to remain
in the community.
(5) Only 12 percent of informal caregivers report having used a respite service. Respite is a means of
giving
the caregiver a break from their caregiving duties. Respite comes in many
forms and may include having the individual attend an adult day program
outside the home or having a friendly visitor serve as a companion and
provide light assistance while the caregiver takes a
break.
(6) Respite volunteer programs exist in many communities. There is a range of ways that these programs
offer incentives to the volunteers. Some programs use a time-banking or
service-exchange approach as an incentive to engage volunteers, while
other programs access funds from private and public sources to offer
modest stipends to volunteers.
(b)
Purpose
It is the purpose of this Act to establish a Caregiver Corps program to foster the creation of
community-based Corps programs that provide for volunteer
community service opportunities to address the shortage of assistance
available for older adults and individuals with disabilities.
3.
Establishment of Caregiver Corps program
Part P of title III of the Public Health Service Act (42 U.S.C. 280g et seq.) is amended by adding
at the end
the following:
399V–6.
Caregiver Corps
(a)
Contract for establishment of Caregiver Corps program
(1)
In general
The Secretary shall enter into a contract with a nonprofit entity for the development of an online
toolkit and guidance providing for the establishment and implementation of
Caregiver Corps (referred to in this section as Corps) volunteer programs in local communities.
(2)
Requirements
The toolkit and guidance developed under paragraph (1) shall be based on best practice methods from
existing private and public sector volunteer programs and
include—
(A) guidance on the recruitment, screening, and training of Corps volunteers;
(B) guidance on recommended processes for administering and evaluating the performance of local Corps
programs;
(C) guidance on options for securing start-up and operational funding for local Corps programs;
(D) sources for obtaining ongoing technical assistance; and
(E) guidance on how communities can promote larger community involvement and cultivate partnerships and
connections between local Corps programs.
(3)
Grants
The Secretary may award grants to public and private nonprofit entities for the operation of local
Corps programs under subsection (b) in accordance with this section.
(b)
Requirements of Caregiver Corps programs
(1)
Local Caregiver Corps programs
(A)
Eligibility
To be eligible to be a local Corps program for purposes of this section, an entity shall be—
(i) an area agency on aging;
(ii) a time-banking or volunteer organizing agency;
(iii) a college or university;
(iv) a State, county, or local government; or
(v) any other entity determined to be appropriate by the Secretary.
(B)
Duties and activities
A local Corps program shall—
(i) conduct screening and criminal history background checks of Corps volunteers;
(ii) provide in-person orientation and training for Corps volunteers;
(iii) develop and monitor volunteer assignments, which shall include selecting the adults to be served by
Corps volunteers, matching volunteers to assignments, and supervising the
volunteers;
(iv) assist in the provision of appropriate volunteer recognition;
(v) maintain records and prepare reports as required by the Secretary; and
(vi) carry out any other activities determined appropriate by the Secretary.
(2)
Caregiver Corps volunteers
(A)
Eligibility
(i)
In general
To be eligible to serve as a volunteer for a local Corps program, an individual shall—
(I) be at least 18 years of age and willing to accept supervision as required by the local Corps
program;
(II) consent to a criminal background check; and
(III) meet such other requirements as the local Corps program shall require.
(ii)
Limitation
Eligibility to be a volunteer for a local Corps program shall not be restricted on the basis of
education, employment experience, citizenship, race, color, creed, belief,
gender, sexual orientation, national origin, disability, or political
affiliation.
(B)
Terms of service
(i)
In general
An individual may serve as a full- or part-time volunteer for an initial period of not to exceed 2
years.
(ii)
Limitation
An individual who serves as a volunteer for a local Corps program shall not be considered to be
an employee of the local Corps program for purposes of the application of
any Federal
or State employment-related law.
(C)
Functions
(i)
In general
A Corps volunteer shall—
(I) provide assistance to an older individual or an individual with disabilities who needs
additional services to remain in the
community;
(II) provide assistance to give an informal caregiver respite from his or her caregiving duties;
(III) serve as a companion to older individuals and individuals with disabilities;
(IV) provide assistance for which such volunteer is qualified, as determined by the local Corps program;
and
(V) not provide personal care or administer prescription medications.
(ii)
Individuals to be served
To be eligible to obtain Corps volunteer services, an individual shall be an adult aged 65 or
older, or an individual eligible for Social Security Disability Insurance,
who is in need of assistance
to achieve and maintain their highest level of independent living.
(iii)
Required service to individuals
The activities of a Corps volunteer shall involve person-to-person relationships with the
individuals being served and shall not include the provision of any
service to the local Corps program involved.
(3)
Direct benefits
A local Corps program—
(A) shall provide for appropriate recognition of Corps volunteers; and
(B) may, at the discretion of the local Corps program, provide compensation to a Corps volunteer, in
the manner
determined appropriate by the local Corps program, which may include
stipends, tuition
incentives or academic credit, or the banking of volunteer hours for use
against future needs for assistance.
(4)
Reporting
Not less than annually, a local Corps program shall submit to the Secretary a report that
contains, with respect to the year for which the report is prepared—
(A) aggregate data on the number of Corps volunteers trained, the number of Corps volunteers providing
service, the number of hours of service provided, and the number of
individuals being served; and
(B) data to inform the Secretary and local communities of any system and consumer outcome impacts of
the local Corps program.
(c)
Authorization of appropriations
There is authorized to be appropriated to carry out this section, such sums as may be necessary.
.