,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #hicf  ,,in ,,the ,,house ,,of  
,,representatives  ,december #aj1       
#bjbj,mrs4 ,dingell introduced the      
following bill2 which was referred to   
the ,committee on ,energy and ,commerce 
,a ,,bill  ,to amend title ,,xix of the 
,social ,security ,act to provide       
enhanced ,federal matching payments for 
homecare worker training programs1 and  
for other purposes4  #a4 ,short title   
,this ,act may be cited as the ,homecare
 ,worker ,training ,improvement ,act of 
#bjbj4  #b4 ,medicaid funding for       
homecare worker training programs       
,section #aijc of the ,social ,security 
,act 7#db ,u4,s4,c4 #acif;b7 is         
amended-- 7#a7 in subsection 7a77#b71 by
 adding at the end the following new    
subparagraph3  7,f7 for calendar        
quarters beginning on or after ,january 
#a1 #bjba1 amount equal to #ge percent  
of so much of the sums expended during  
such quarter for homecare worker        
training programs described in          

subsection 7bb7 7including the costs for
 eligible homecare workers 7as defined  
in such subsection7 to complete such    
programs72 plus  2 and  7#b7 by adding  
at the end the following new subsection3
  7bb7 ,homecare worker training        
programs  7#a7 ,in general ,a homecare  
worker training program described in    
this subsection is a program approved by
 the ,state under which eligible        
homecare workers are provided with--    
7,a7 training in the core training      
competencies for personal or homecare   
aides described in section              
#bjjh7;b77#c77;,a72 and  7,b7           
opportunities for education1 training1  
and career advancement4  7#b7 ,eligible 
homecare worker ,the term eligible      
homecare worker means a personal or     
homecare aide 7as such term is defined  
in section #bjjh7;b77#f77;,c77 who--    
7,a7 has at least #cj percent of the    
worker's patient volume 7as estimated in
 accordance with a methodology          
established by the ,secretary7          

attributable to individuals who are     
receiving medical assistance under this 
title2 or  7,b7 is employed by an agency
 that is a provider of personal or      
homecare services that has at least #cj 
percent of the agency's patient volume  
7as so estimated7 attributable to such  
individuals4  4