,,iii  #aacth ,,congress  #ast ,session 
,s4 ,,res4 #abh  ,,in ,,the ,,senate    
,,of ,,the ,,united ,,states  ,may #f1  
#bjac ,mr4 ,harkin 7for himself1 ,mrs4  
,murray1 and ,mrs4 ,gillibrand7         
submitted the following resolution2     
which was referred to the ,committee on 
,health1 ,education1 ,labor1 and        
,pensions  ,,resolution  ,expressing the
 sense of the ,senate that supporting   
seniors and individuals with            
disabilities is an important            
responsibility of the ,united ,states1  
and that a comprehensive approach to    
expanding and supporting a strong home  
care workforce and making long-term     
services and supports affordable and    
accessible in communities is necessary  
to uphold the right of seniors and      
individuals with disabilities in the    
,united ,states to a dignified quality  
of life4  ,whereas the aging of the baby
 boom generation will cause the number  
of individuals in the ,united ,states   
who are #fe years of age or older to    

increase from #dj1jjj1jjj to #gj1jjj1jjj
 during the next #b decades2 ,whereas   
#ab1jjj1jjj adults1 nearly half of whom 
are under #fe years of age1 need        
long-term services and supports due to  
functional limitations2 ,whereas the    
decision of the ,supreme ,court in      
,olmstead v4 ,l4,c41 #ebg ,u4,s4 #eha   
7#aiii71 mandates the end of unnecessary
 segregation of individuals with        
disabilities in institutions1 and       
requires that individuals with          
disabilities receive services in the    
most integrated setting appropriate to  
their needs2 ,whereas the vast majority 
of individuals in the ,united ,states   
prefer to receive long-term services and
 supports in their homes so that they   
may continue to live independently and  
with dignity2 ,whereas the costs of     
long-term services and supports for     
seniors and individuals with            
disabilities are high2 ,whereas the     
great expense of long-term services and 
supports can affect all individuals1    

regardless of income2 ,whereas #gj      
percent of individuals who are #fe years
 of age or older will need some form of 
long-term services and supports2        
,whereas the number of individuals who  
need long-term services and supports is 
projected to grow from #ab1jjj1jjj to   
#bg1jjj1jjj by #bjej2 ,whereas there are
 approximately #c1bjj1jjj workers in the
 direct care workforce1 leaving a huge  
gap between the services needed and the 
size of the current workforce2 ,whereas 
the ,united ,states is experiencing a   
jobs crisis1 as #be1jjj1jjj individuals 
are unemployed or underemployed2        
,whereas home care is one of the fastest
 growing industries in the ,united      
,states economy1 providing critical     
daily care1 services1 and supports to   
millions of individuals and families    
across the country2 ,whereas an         
estimated #a1hjj1jjj additional home    
care workers will be needed during the  
next decade to serve the growing        
population of seniors and individuals   

with disabilities2 ,whereas the quality 
of home care jobs is poor1 with low     
wages1 few benefits1 high turnover1 and 
a high level of job stress and hazards2 
,whereas home care and personal         
assistance workers earn a median hourly 
wage of #i4ec1 and nearly half of such  
workers live in households that also    
rely on public assistance2 ,whereas     
approximately #ee percent of home care  
workers work part-time1 and             
approximately #dd percent of those      
part-time workers would prefer to work  
more hours2 ,whereas nearly #ba percent 
of the individuals who provide home care
 services were born outside the ,united 
,states2 ,whereas a stabilized home care
 workforce would lead to improved       
continuity and quality of long-term     
services and supports2 ,whereas the     
issue of long-term services and supports
 is a critical issue for women1 as #gj  
percent of individuals who need such    
care are women #fe years of age or      
older1 #ij percent of paid caregivers   

are women1 and #he percent of family    
members and friends who informally      
provide care are women who often have to
 leave the paid workforce to provide    
such care1 and thus are at a financial  
disadvantage during their working years 
and face a reduction in ,social         
,security benefits when they retire2 and
 ,whereas a comprehensive approach that 
focuses on job creation and job quality1
 workforce training1 pathways to        
citizenship and career advancement1 and 
support for individuals and families is 
necessary to build a strong home care   
workforce and make quality long-term    
services and supports affordable and    
accessible for all individuals in the   
,united ,states3 ,now1 therefore1 be it 
,that it is the sense of the ,senate    
that a comprehensive approach to        
expanding and supporting a strong home  
care workforce and making long-term     
services and supports affordable and    
accessible in communities is necessary  
to uphold the right of seniors and      

individuals with disabilities in the    
,united ,states to a dignified quality  
of life4