#aaeth ,,congress #ast ,session ,s4 #ajbh ,,an ,,act ,to provide for the establishment and maintenance of a ,family ,caregiving ,strategy1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,recognize1 ,assist1 ,include1 ,support1 and ,engage ,family ,caregivers ,act of #bjag or the ,,raise ,family ,caregivers ,act4 #b4 ,definitions ,in this ,act3 7#a7 ,advisory ,council ,the term ,advisory ,council means the ,family ,caregiving ,advisory ,council convened under section #d4 7#b7 ,family caregiver ,the term family caregiver means an adult family member or other individual who has a significant relationship with1 and who provides a broad range of assistance to1 an individual with a chronic or other health condition1 disability1 or functional limitation4 7#c7 ,secretary ,the term ,secretary means the ,secretary of ,health and ,human ,services4 7#d7 ,strategy ,the term ,strategy means the ,family ,caregiving ,strategy set forth under section #c4 #c4 ,family ,caregiving ,strategy 7a7 ,in general ,the ,secretary1 in consultation with the heads of other appropriate ,federal agencies1 shall develop jointly with the ,advisory ,council and submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,special ,committee on ,aging of the ,senate1 the ,committee on ,education and the ,workforce of the ,house of ,representatives1 and the ,state agencies responsible for carrying out family caregiver programs1 and make publically available on the internet website of the ,department of ,health and ,human ,services1 a ,family ,caregiving ,strategy4 7b7 ,contents ,the ,strategy shall identify recommended actions that ,federal 7under existing ,federal programs71 ,state1 and local governments1 communities1 health care providers1 long-term services and supports providers1 and others are taking1 or may take1 to recognize and support family caregivers in a manner that reflects their diverse needs1 including with respect to the following3 7#a7 ,promoting greater adoption of person- and family-centered care in all health and long-term services and supports settings1 with the person receiving services and supports and the family caregiver 7as appropriate7 at the center of care teams4 7#b7 ,assessment and service planning 7including care transitions and coordination7 involving family caregivers and care recipients4 7#c7 ,information1 education and training supports1 referral1 and care coordination1 including with respect to hospice care1 palliative care1 and advance planning services4 7#d7 ,respite options4 7#e7 ,financial security and workplace issues4 7#f7 ,delivering services based on the performance1 mission1 and purpose of a program while eliminating redundancies4 7c7 ,duties of the ,secretary ,the ,secretary 7or the ,secretary's designee71 in carrying out subsection 7a71 shall oversee the following3 7#a7 ,collecting and making publicly available information1 submitted by the ,advisory ,council under section #d7;d7 to the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,special ,committee on ,aging of the ,senate1 the ,committee on ,education and the ,workforce of the ,house of ,representatives1 and the ,state agencies responsible for carrying out family caregiver programs1 and made publically available by the ,secretary1 including evidence-based or promising practices and innovative models 7both domestic and foreign7 regarding the provision of care by family caregivers or support for family caregivers4 7#b7 ,coordinating and assessing existing ,federal ,government programs and activities to recognize and support family caregivers while ensuring maximum effectiveness and avoiding unnecessary duplication4 7#c7 ,providing technical assistance1 as appropriate1 such as disseminating identified best practices and information sharing based on reports provided under section #d7;d71 to ,state or local efforts to support family caregivers4 7d7 ,initial strategy2 updates ,the ,secretary shall-- 7#a7 not later than #ah months after the date of enactment of this ,act1 develop1 publish1 and submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,special ,committee on ,aging of the ,senate1 the ,committee on ,education and the ,workforce of the ,house of ,representatives1 and the ,state agencies responsible for carrying out family caregiver programs1 an initial ,strategy incorporating the items addressed in the ,advisory ,council's initial report under section #d7;d7 and other relevant information1 including best practices1 for recognizing and supporting family caregivers2 and 7#b7 biennially update1 republish1 and submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,special ,committee on ,aging of the ,senate1 the ,committee on ,education and the ,workforce of the ,house of ,representatives1 and the ,state agencies responsible for carrying out family caregiver programs the ,strategy1 taking into account the most recent annual report submitted under section #d7;d77#a7-- 7,a7 to reflect new developments1 challenges1 opportunities1 and solutions2 and 7,b7 to review progress based on recommendations for recognizing and supporting family caregivers in the ,strategy and1 based on the results of such review1 recommend priority actions for improving the implementation of such recommendations1 as appropriate4 7e7 ,process for public input ,the ,secretary shall establish a process for public input to inform the development of1 and updates to1 the ,strategy1 including a process for the public to submit recommendations to the ,advisory ,council and an opportunity for public comment on the proposed ,strategy4 7f7 ,no preemption ,nothing in this ,act preempts any authority of a ,state or local government to recognize or support family caregivers4 7g7 ,rule of construction ,nothing in this ,act shall be construed to permit the ,secretary 7through regulation1 guidance1 grant criteria1 or otherwise7 to-- 7#a7 mandate1 direct1 or control the allocation of ,state or local resources2 7#b7 mandate the use of any of the best practices identified in the reports required under this ,act2 or 7#c7 otherwise expand the authority of the ,secretary beyond that expressly provided to the ,secretary in this ,act4 #d4 ,family ,caregiving ,advisory ,council 7a7 ,convening ,the ,secretary shall convene a ,family ,caregiving ,advisory ,council to advise and provide recommendations1 including identified best practices1 to the ,secretary on recognizing and supporting family caregivers4 7b7 ,membership 7#a7 ,in general ,the members of the ,advisory ,council shall consist of-- 7,a7 the appointed members under paragraph 7#b72 and 7,b7 the ,federal members under paragraph 7#c74 7#b7 ,appointed members ,in addition to the ,federal members under paragraph 7#c71 the ,secretary shall appoint not more than #ae voting members of the ,advisory ,council who are not representatives of ,federal departments or agencies and who shall include at least one representative of each of the following3 7,a7 ,family caregivers4 7,b7 ,older adults with long-term services and supports needs4 7,c7 ,individuals with disabilities4 7,d7 ,health care and social service providers4 7,e7 ,long-term services and supports providers4 7,f7 ,employers4 7,g7 ,paraprofessional workers4 7,h7 ,state and local officials4 7,i7 ,accreditation bodies4 7,j7 ,veterans4 7,k7 ,as appropriate1 other experts and advocacy organizations engaged in family caregiving4 7#c7 ,federal members ,the ,federal members of the ,advisory ,council1 who shall be nonvoting members1 shall consist of the following3 7,a7 ,the ,administrator of the ,centers for ,medicare ,medicaid ,services 7or the ,administrator's designee74 7,b7 ,the ,administrator of the ,administration for ,community ,living 7or the ,administrator's designee who has experience in both aging and disability74 7,c7 ,the ,secretary of ,veterans ,affairs 7or the ,secretary's designee74 7,d7 ,the heads of other ,federal departments or agencies 7or their designees71 including relevant departments or agencies that oversee labor and workforce1 economic1 government financial policies1 community service1 and other impacted populations1 as appointed by the ,secretary or the ,chair of the ,advisory ,council4 7#d7 ,diverse representation ,the ,secretary shall ensure that the membership of the ,advisory ,council reflects the diversity of family caregivers and individuals receiving services and supports4 7c7 ,meetings ,the ,advisory ,council shall meet quarterly during the #a-year period beginning on the date of enactment of this ,act and at least three times during each year thereafter4 ,meetings of the ,advisory ,council shall be open to the public4 7d7 ,advisory ,council annual reports 7#a7 ,in general ,not later than #ab months after the date of enactment of this ,act1 and annually thereafter1 the ,advisory ,council shall submit to the ,secretary1 the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,special ,committee on ,aging of the ,senate1 the ,committee on ,education and the ,workforce of the ,house of ,representatives1 and the ,state agencies responsible for carrying out family caregiver programs1 and make publically available on the internet website of the ,department of ,health and ,human ,services1 a report concerning the development1 maintenance1 and updating of the ,strategy1 including a description of the outcomes of the recommendations and any priorities included in the initial report pursuant to paragraph 7#b71 as appropriate4 7#b7 ,initial report ,the ,advisory ,council's initial report under paragraph 7#a7 shall include-- 7,a7 an inventory and assessment of all federally funded efforts to recognize and support family caregivers and the outcomes of such efforts1 including analyses of the extent to which federally funded efforts are reaching family caregivers and gaps in such efforts2 7,b7 recommendations-- 7i7 to improve and better coordinate ,federal programs and activities to recognize and support family caregivers1 as well as opportunities to improve the coordination of such ,federal programs and activities with ,state programs2 and 7ii7 to effectively deliver services based on the performance1 mission1 and purpose of a program while eliminating redundancies1 avoiding unnecessary duplication and overlap1 and ensuring the needs of family caregivers are met2 7,c7 the identification of challenges faced by family caregivers1 including financial1 health1 and other challenges1 and existing approaches to address such challenges2 and 7,d7 an evaluation of how family caregiving impacts the ,medicare program1 the ,medicaid program1 and other ,federal programs4 7e7 ,nonapplicability of ,,faca ,the ,federal ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 shall not apply to the ,advisory ,council4 #e4 ,funding ,no additional funds are authorized to be appropriated to carry out this ,act4 ,this ,act shall be carried out using funds otherwise authorized4 #f4 ,sunset provision ,the authority and obligations established by this ,act shall terminate on the date that is #e years after the date of enactment of this ,act4 ,passed the ,senate ,september #bf1 #bjag4 ,secretary