,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #ciac  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #c1 #bjae    
,mr4 ,langev9 7= himself & ,mr4 ,h>p]7  
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d title ,,xxix ( !       
,public ,heal? ,s]vice ,act to          
reau?orize ! program "u su* title relat+
 to lifespan respite c>e4  #a4 ,%ort    
title ,?is ,act may be cit$ z !         
,lifespan ,respite ,c>e ,reau?orization 
,act ( #bjae4  #b4 ,f9d+s ,congress f9ds
 ! foll[+3  7#a7 ,!re are an e/imat$    
#dc1jjj1jjj family c>egiv]s nationwide t
 provide c>e = lov$ ones ) *ronic1      
disabl+ heal? conditions across !       
lifespan4  7#b7 ,! economic value (     
uncomp5sat$ family c>egiv+ to ! ,unit$  
,/ates economy 0 e/imat$ at             
#dgj1jjj1jjj1jjj 9 #bjac1 m ?an total   
,m$icaid sp5d+ ( #ddi1jjj1jjj1jjj1      
includ+ bo? ,f$]al & ,/ate contributions
 = m$ical & long-t]m c>e 9 ! same ye>4  
7#c7 ,:ile c>+ = ! ag+ population rema9s

 a gr[+ conc]n1 m ?an half ( c>e        
recipi5ts are "u age #ge1 & almo/       
"o-?ird are "u age #ej4  7#d7 ,respite  
provides tempor>y relief to c>egiv]s f !
 ongo+ responsibility ( c>+ =           
individuals ( all ages ) special ne$s4  
7#e7 ,respite c>e is "o ( ! mo/ commonly
 reque/$ c>egiv] support s]vices4  7#f7 
,respite has be5 %[n to provide family  
c>egiv]s ) ! relief necess>y to ma9ta9  
_! own heal?1 balance "w & family1 bol/]
 family /ability1 keep m>riages intact1 
& avoid or delay m co/ly nurs+ home or  
fo/] c>e placem5ts4  7#g7 ,delay+ nurs+ 
home1 in/itutional1 or fo/] c>e placem5t
 ( j "o individual = sev]al mon?s c save
 ,m$icaid1 *ild welf>e1 or o!r gov]nm5t 
programs t5s ( ?\s&s ( doll>s4  7#h7 ,! 
,lifespan ,respite ,c>e ,act ( #bjjf 0  
orig9ally enact$ to improve ! deliv]y & 
quality ( respite c>e s]vices available 
to families across all age & disability 
gr\ps by e/abli%+ coord9at$ lifespan    
respite sy/ems4  7#i7 ,?irty-?ree ,/ates
 & ! ,di/rict ( ,columbia h receiv$     

grants "u ! ,lifespan ,respite ,c>e ,act
 ( #bjjf to improve ! availability &    
quality ( respite s]vices across !      
lifespan4  7#aj7 ,= ! ,nation's w\nd$   
s]vicememb]s & vet]ans ) traumatic bra9 
injuries & o!r conditions1 respite      
sy/ems c\ld be an integral lifel9e =    
families 9 _! new roles z lifelong      
family c>egiv]s4  7#aa7 ,! ,dep>tm5t (  
,vet]ans ,affairs & ,congress h bo?     
ackn[l$g$ ! unique *all5ges fac+        
c>egiv]s ( return+ s]vicememb]s &       
vet]ans1 z well z ! ne$ = increas$      
c>egiv] s]vices4  7#ab7 ,! increas$     
utilization (1 & co/s to1 long-t]m c>e  
sy/ems requires ! cont9u$ developm5t (  
coord9at$ family support s]vices l      
lifespan respite c>e4  #c4              
,reau?orization ( lifespan respite c>e  
program  7a7 ,data collection & report+ 
,section #bijd ( ! ,public ,heal?       
,s]vice ,act 7#db ,u4,s4,c4 #bij;ii-#c7 
is am5d$ to read z foll[s3  #bijd4 ,data
 collection & report+ ,ea* eligible     
,/ate ag5cy aw>d$ a grant or coop]ative 

agreem5t "u section #bijb %all collect1 
ma9ta91 & report su* data & records at  
su* times1 9 su* =m1 & 9 su* mann] z !  
,secret>y may require to enable !       
,secret>y--  7#a7 to monitor ,/ate      
adm9i/ration ( programs & activities    
fund$ pursuant to su* grant or          
coop]ative agreem5t2 &  7#b7 to         
evaluate1 & to comp>e effectiv5ess on a 
,/ate-by-,/ate basis1 ( programs &      
activities fund$ pursuant to section    
#bijb4  4  7b7 ,fund+ ,section #bije ( !
 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #cjj;ii-#d7 is am5d$ by /rik+ 
to c>ry out ?is title & all t foll[s &  
ins]t+ to c>ry out ?is title #ae1jjj1jjj
 = ea* ( fiscal ye>s #bjaf ?r\gh #bjbj44