,,ii ,cal5d> ,no4 #cdc #aae? ,,congress 
#b;d ,session  ,s4 #ajia  ,,9 ,,!       
,,s5ate ,,( ,,! ,,unit$ ,,/ates  ,may   
#aj1 #bjag,ms4 ,coll9s 7= h]self1 ,mr4  
,casey1 ,mrs4 ,capito1 ,mr4 ,nelson1    
,ms4 ,w>r51 ,ms4 ,baldw91 ,mr4 ,man*91  
,ms4 ,heitkamp1 ,ms4 ,hassan1 ,mr4      
,br[n1 ,ms4 ,smi?1 ,mr4 ,"y1 ,ms4       
,murk[ski1 & ,mr4 ,scott7 introduc$ !   
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,m>* #ab1           
#bjah,report$ by ,mr4 ,alex&]1 ) an     
amendment,strike out all aft] ! enact+  
clause & ins]t ! "p pr9t$ 9 italic  ,a  
,,bill  ,to e/abli% a ,f$]al ,task ,=ce 
to ,support ,gr&p>5ts ,rais+ ,gr&*ildr54
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,support+ ,gr&p>5ts ,rais+          
,gr&*ildr5 ,act4  #b4 ,f9d+s ,congress  
f9ds ! foll[+3 7#a7 ,m ?an #hj p]c5t (  
,am]icans ov] ! age ( #fe are gr&p>5ts &
 m ?an #b1ejj1jjj gr&p>5ts 9 ! ,unit$   
,/ates are ! prim>y c>etak] ( _!        
gr&*ildr54 ,exp]ts report t su* numb]s  

are increas+ z ! opioid epidemic exp&s4 
7#b7 ,gr&p>5ts' lives are enhanc$ by c>+
 = _! gr&*ildr52 ! ov]:elm+ majority (  
gr&p>5ts report exp]i5c+ significant    
b5efits 9 s]v+ z _! gr&*ildr5's prim>y  
c>egiv]s4  7#c7 ,provid+ full-"t c>e to 
_! gr&*ildr5 may increase gr&p>5ts'     
likelihood ( exp]i5c+ physical illness &
 m5tal heal? problems & decrease _!     
ability to save = retirem5t4  7#d7      
,gr&p>5ts rais+ gr&*ildr5 may face      
difficulty enroll+ _! gr&*ildr5 9 s*ool1
 m$ical c>e1 & ,f$]al assi/ance s]vices4
  7#e7 ,! ,old] ,am]icans ,act ( #aife  
7#db ,u4,s4,c4 #cjja et seq47 includes  
s]vices t support gr&families1 includ+ !
 ,national ,family ,c>egiv] ,support    
,program4  7#f7 ,gr&p>5ts w\ld b5efit f 
bett] coord9ation & in=mation ab\t      
res\rces available to support !m 9 _!   
c>egiv+ responsibilities4  #c4 ,f$]al   
,task ,=ce to ,support ,gr&p>5ts ,rais+ 
,gr&*ildr5  7a7 ,e/abli%m5t ,!re is     
e/abli%$ a ,f$]al ,task ,=ce to ,support
 ,gr&p>5ts ,rais+ ,gr&*ildr5 7ref]r$ to 

9 ?is section z ! ,task ,=ce74  7b7     
,memb]%ip  7#a7 ,9 g5]al ,! ,task ,=ce  
%all be compos$ ( ! foll[+ memb]s1 or _!
 designee3 7,a7 ,! ,secret>y ( ,heal? & 
,human ,s]vices4  7,b7 ,! ,attorney     
,g5]al4  7,c7 ,! ,adm9i/rator ( !       
,adm9i/ration = ,community ,liv+4  7,d7 
,! ,director ( ! ,c5t]s = ,disease      
,control & ,prev5tion4  7,e7 ,!         
,assi/ant ,secret>y = ,m5tal ,heal? &   
,sub/ance ,use4  7,f7 ,! ,assi/ant      
,secret>y = ! ,adm9i/ration = ,*ildr5 & 
,families4  7,g7 ,! head ( ea* ,f$]al   
dep>tm5t1 ag5cy1 or o!r gov]nm5tal      
entity id5tifi$ by ! ,secret>y ( ,heal? 
& ,human ,s]vices z hav+                
responsibilities1 or adm9i/]+ programs1 
relat+ to curr5t issues affect+ gr&p>5ts
 or o!r relatives rais+ *ildr5 9 _! c>e4
  7#b7 ,lead ag5cy ,! ,dep>tm5t ( ,heal?
 & ,human ,s]vices %all be ! lead ag5cy 
= ! ,task ,=ce4  7#c7 ,requirem5t ,ea*  
memb] ( ! ,task ,=ce %all be an (fic] or
 employee ( ! ,f$]al ,gov]nm5t4  7c7    
,duties  7#a7 ,9 g5]al  7,a7 ,in=mation 

,! ,task ,=ce %all id5tify1 promote1    
coord9ate1 & dissem9ate in=mation       
publicly ab\t ,f$]al in=mation1         
res\rces1 & be/ practices available1 on 
! date ( ! det]m9ation1 to help gr&p>5ts
 or o!r relatives rais+ *ildr5 9 _! c>e 
meet ! heal?1 educational1 nutritional1 
& o!r ne$s ( ! *ildr5 9 _! c>e z well z 
ma9ta9 _! own physical & m5tal heal? &  
emotional well-be+1 includ+ ^? rais+    
*ildr5 9 _! c>e z a result ( ! opioid   
epidemic4  7,b7 ,native ,am]icans ,9    
c>ry+ out ! duties describ$ 9           
subp>agraph 7,a71 ! ,task ,=ce %all     
ensure t ! ne$s ( memb]s ( ,native      
,am]ican tribes are address$4  7#b7     
,report  7,a7 ,9 g5]al ,n lat] ?an #ahj 
days aft] ! date ( enactm5t ( ?is ,act1 
! ,task ,=ce %all submit a report to !  
,special ,committee on ,ag+ & !         
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate t         
includes--  7i7 be/ practices1 res\rces1
 & o!r useful in=mation = gr&p>5ts & o!r
 relatives rais+ *ildr5 9 _! c>e2 &     

7ii7 an id5tification ( ! gaps 9 ne$s ( 
gr&p>5ts & o!r relatives rais+ *ildr5 9 
_! c>e4  7,b7 ,foll[-up report ,n lat]  
?an ! date t is #b ye>s aft] ! date !   
report "u subp>agraph 7,a7 is submitt$1 
! ,task ,=ce %all submit a foll[-up     
report to ! ,special ,committee on ,ag+ 
& ! ,committee on ,heal?1 ,education1   
,labor1 & ,p5sions ( ! ,s5ate t includes
 ! in=mation describ$ 9 subp>agraph     
7,a74  7#c7 ,process = public input ,!  
,task ,=ce %all e/abli% a process =     
public input to in=m ! developm5t (1 &  
updates to1 ! be/ practices1 res\rces1 &
 o!r useful in=mation & ! gaps 9 ne$s   
describ$ 9 p>agraph 7#b71 includ+ a     
process = ! public to submit            
recomm5dations to ! ,task ,=ce & an     
opportunity = public comm5t4  7d7       
,sunset ,! ,task ,=ce %all t]m9ate on ! 
date t is #e ye>s aft] ! date ( enactm5t
 ( ?is ,act4  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,support+ ,gr&p>5ts     
,rais+ ,gr&*ildr5 ,act4  #b4 ,f$]al     
,task ,=ce to ,support ,gr&p>5ts ,rais+ 

,gr&*ildr5  7a7 ,e/abli%m5t ,!re is     
e/abli%$ a ,f$]al ,task ,=ce to ,support
 ,gr&p>5ts ,rais+ ,gr&*ildr5 7ref]r$ to 
9 ?is section z ! ,task ,=ce74  7b7     
,old] relative c>egiv] ,9 ?is section1 !
 t]m old] relative c>egiv] has ! mean+  
giv5 ! t]m "u section #cgb7;a77#c7 ( !  
,national ,family ,c>egiv] ,support 7#db
 ,u4,s4,c4 #cjcjs7a77#c774  7c7         
,memb]%ip  7#a7 ,9 g5]al ,! ,task ,=ce  
%all be compos$ ( ! foll[+ memb]s1 or _!
 designee3 7,a7 ,! ,secret>y ( ,heal? & 
,human ,s]vices4  7,b7 ,! ,attorney     
,g5]al4  7,c7 ,! ,adm9i/rator ( !       
,adm9i/ration = ,community ,liv+4  7,d7 
,! ,director ( ! ,c5t]s = ,disease      
,control & ,prev5tion4  7,e7 ,!         
,assi/ant ,secret>y = ,m5tal ,heal? &   
,sub/ance ,use4  7,f7 ,! ,assi/ant      
,secret>y = ! ,adm9i/ration = ,*ildr5 & 
,families4  7,g7 ,! ,director ( !       
,indian ,heal? ,s]vice4  7,h7 ,!        
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices4  7,i7 ,! head ( ea*  
,f$]al dep>tm5t1 ag5cy1 or o!r          

gov]nm5tal entity id5tifi$ by !         
,secret>y ( ,heal? & ,human ,s]vices z  
hav+ responsibilities1 or adm9i/]+      
programs1 relat+ to ! curr5t heal?1     
educational1 nutritional1 & o!r ne$s &  
curr5t issues affect+ old] relative     
c>egiv]s1 includ+ gr&p>5ts1 rais+ *ildr5
 9 _! c>e4  7,j7 ,a gr&p>5t rais+ a     
gr&*ild or gr&*ildr5 z well z ano!r old]
 relative c>egiv] ( *ildr54  7#b7 ,lead 
ag5cy ,! ,dep>tm5t ( ,heal? & ,human    
,s]vices %all be ! lead ag5cy = ! ,task 
,=ce4  7d7 ,duties  7#a7 ,9 g5]al  7,a7 
,in=mation ,! ,task ,=ce %all id5tify1  
coord9ate1 & dissem9ate in=mation       
publicly ab\t ,f$]al in=mation1         
res\rces1 & be/ practices available1 on 
! date ( ! det]m9ation1 to help old]    
relative c>egiv]s1 includ+ gr&p>5ts1    
rais+ *ildr5 9 _! c>e1 includ+ ^? rais+ 
*ildr5 9 _! c>e z a result ( ! opioid   
crisis1 meet ! heal?1 educational1      
nutritional1 & o!r ne$s ( ! *ildr5 9 _! 
c>e z well z ma9ta9 _! own physical &   
m5tal heal? & emotional well-be+4  7,b7 

,native ,am]icans ,9 c>ry+ out ! duties 
describ$ 9 subp>agraph 7,a71 ! ,task    
,=ce %all ensure t ! ne$s ( ,native     
,am]icans 7z def9$ 9 section #ajb ( !   
,old] ,am]icans ,act ( #aife 7#db       
,u4,s4,c4 #cjjb77 are consid]$4  7#b7   
,report  7,a7 ,9 g5]al ,n lat] ?an #cfj 
days aft] ! date ( enactm5t ( ?is ,act1 
! ,task ,=ce %all submit a report to !  
,special ,committee on ,ag+1 !          
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions1 & ! ,committee on   
,f9ance ( ! ,s5ate & ! ,committee on    
,education & ! ,work=ce1 ! ,committee on
 ,en]gy & ,comm]ce1 & ! ,committee on   
,ways & ,means ( ! ,h\se (              
,repres5tatives t includes--  7i7 be/   
practices1 res\rces1 & o!r useful       
in=mation = old] relative c>egiv]s1     
includ+ gr&p>5ts1 rais+ *ildr5 9 _! c>e2
 &  7ii7 an id5tification ( ! gaps 9    
ne$s ( old] relative c>egiv]s1 includ+  
gr&p>5ts1 rais+ *ildr5 9 _! c>e4  7,b7  
,f9al report ,n lat] ?an #d ye>s aft] ! 
date ( enactm5t ( ?is ,act1 ! ,task ,=ce

 %all submit a f9al report to ! ,special
 ,committee on ,ag+1 ! ,committee on    
,heal?1 ,education1 ,labor1 & ,p5sions1 
& ! ,committee on ,f9ance ( ! ,s5ate & !
 ,committee on ,education & ! ,work=ce1 
! ,committee on ,en]gy & ,comm]ce1 & !  
,committee on ,ways & ,means ( ! ,h\se (
 ,repres5tatives t includes ! f9al f9d+s
 ( ! ,task ,=ce1 recomm5dations = future
 actions to address issues fac$ by old] 
relative c>egiv]s1 includ+ gr&p>5ts1    
rais+ *ildr5 9 _! c>e1 & any o!r useful 
in=mation4  7#c7 ,process = public input
 ,! ,task ,=ce %all e/abli% a process = 
public input to in=m ! id5tification (1 
& updates to1 ! be/ practices1 res\rces1
 & o!r useful in=mation & ! gaps 9 ne$s 
describ$ 9 p>agraph 7#b71 includ+ a     
process = ! public to submit            
recomm5dations to ! ,task ,=ce & an     
opportunity = public comm5t4  7e7       
,sunset ,! ,task ,=ce %all t]m9ate on ! 
date t is #e ye>s aft] ! date ( enactm5t
 ( ?is ,act4  7f7 ,nonapplicability (   
,,faca ,! ,f$]al ,advisory ,committee   

,act 7#e ,u4,s4,c4 ,app47 %all n apply  
to ! ,task ,=ce4  7g7 ,fund+ ,no        
additional funds are au?oriz$ to be     
appropriat$ to c>ry out ?is section4 ,! 
,task ,=ce %all be c>ri$ out ) funds    
o!rwise appropriat$4  ,m>* #ab1         
#bjah,report$ ) an am5dm5t