,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #hicf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,decemb] #aj1         
#bjbj,mrs4 ,d+ell introduc$ ! foll[+    
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce  ,a ,,bill  ,to am5d  
title ,,xix ( ! ,social ,security ,act  
to provide enhanc$ ,f$]al mat*+ paym5ts 
= homec>e work] tra9+ programs1 & = o!r 
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,homec>e ,work] ,tra9+     
,improvem5t ,act ( #bjbj4  #b4 ,m$icaid 
fund+ = homec>e work] tra9+ programs    
,section #aijc ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;b7 is am5d$-- 
7#a7 9 subsection 7a77#b71 by add+ at ! 
end ! foll[+ new subp>agraph3  7,f7 =   
cal5d> qu>t]s beg9n+ on or aft] ,janu>y 
#a1 #bjba1 am\nt equal to #ge p]c5t ( s 
mu* ( ! sums exp5d$ dur+ su* qu>t] =    
homec>e work] tra9+ programs describ$ 9 
subsection 7bb7 7includ+ ! co/s =       
eligible homec>e work]s 7z def9$ 9 su*  
subsection7 to complete su* programs72  
plus  2 &  7#b7 by add+ at ! end !      

foll[+ new subsection3  7bb7 ,homec>e   
work] tra9+ programs  7#a7 ,9 g5]al ,a  
homec>e work] tra9+ program describ$ 9  
?is subsection is a program approv$ by !
 ,/ate "u :i* eligible homec>e work]s   
are provid$ )-- 7,a7 tra9+ 9 ! core     
tra9+ compet5cies = p]sonal or homec>e  
aides describ$ 9 section                
#bjjh7;b77#c77;,a72 &  7,b7             
opportunities = education1 tra9+1 & c>e]
 advancem5t4  7#b7 ,eligible homec>e    
work] ,! t]m eligible homec>e work]     
means a p]sonal or homec>e aide 7z su*  
t]m is def9$ 9 section                  
#bjjh7;b77#f77;,c77 :o-- 7,a7 has at    
lea/ #cj p]c5t ( ! work]'s pati5t volume
 7z e/imat$ 9 accordance ) a me?odology 
e/abli%$ by ! ,secret>y7 attributable to
 individuals :o are receiv+ m$ical      
assi/ance "u ?is title2 or  7,b7 is     
employ$ by an ag5cy t is a provid] (    
p]sonal or homec>e s]vices t has at lea/
 #cj p]c5t ( ! ag5cy's pati5t volume 7z 
s e/imat$7 attributable to su*          
individuals4  4