,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #ccgf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #c1 #bjbj,mr4     
,he9ri* introduc$ ! foll[+ bill2 :i* 0  
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title ,,xx 
( ! ,social ,security ,act to provide   
l[-income individuals ) opportunities to
 ent] & foll[ a c>e] pa?way 9 ! heal?   
pr(essions1 to ext5d & exp& demon/ration
 projects1 & = o!r purposes4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,pa?ways
 to ,heal? ,c>e]s ,act4  #b4 ,pa?ways to
 ,heal? ,c>e]s ,act  7a7 ,ext5sion ?r\gh
 fiscal ye> #bjbj ( fund+ = demon/ration
 projects ,to address heal? pr(essions  
work=ce ne$s  7#a7 ,9 g5]al ,section    
#bjjh7;c77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acig;g7c77#a77 is am5d$
 by /rik+ #bjai4 & ins]t+ #bjbj1 & to   
provide te*nical assi/ance & cov]       
adm9i/rative co/s associat$ ) implem5t+ 
! successor to ?is section #ae1jjj1jjj =
 fiscal ye> #bjbj44  7#b7 ,availability 
( o!r funds ,^u ! date ( ! enactm5t (   

?is section1 am\nts exp5d$ pursuant to  
any o!r prior law mak+ am\nts available 
= fiscal ye> #bjbj = activities au?oriz$
 by section #bjjh ( ! ,social ,security 
,act1 %all be *>g$ to ! appropriation   
made by subsection 7c77#a7 ( su* section
 #bjjh = fiscal ye> #bjbj 7n includ+ !  
am\nt = te*nical assi/ance &            
adm9i/rative co/s74  7b7 ,c>e] pa?ways  
?r\gh heal? pr(ession opportunity grants
 ,effective ,octob] #a1 #bjbj1 section  
#bjjh ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acig;g7 is am5d$ to read z   
foll[s3  #bjjh4 ,c>e] pa?ways ?r\gh     
heal? pr(ession opportunity grants  7a7 
,application requirem5ts ,an eligible   
entity desir+ a grant "u ?is section = a
 project %all submit to ! ,secret>y an  
application = ! grant1 t includes !     
foll[+3 7#a7 ,a description ( h[ !      
applicant w use a c>e] pa?ways approa*  
to tra9 eligible individuals = heal?    
pr(essions t pay well or w put eligible 
individuals on a c>e] pa? to an         
occupation t pays well1 "u ! project4   

7#b7 ,a description ( ! adult basic     
education & lit]acy activities1 "w      
read9ess activities1 tra9+ activities1 &
 case managem5t & c>e] coa*+ s]vices t !
 applicant w use to assi/ eligible      
individuals to ga9 "w exp]i5ce1         
connection to employ]s1 & job placem5t1 
& a description ( ! plan = recruit+1    
hir+1 & tra9+ /aff to provide ! case    
managem5t1 m5tor+1 & c>e] coa*+ s]vices1
 "u ! project directly or ?r\gh local   
gov]nm5tal1 appr5tice%ip1 educational1  
or *>itable in/itutions4  7#c7 ,9 ! case
 ( an application = a grant "u ?is      
section = a demon/ration project        
describ$ 9 subsection                   
7c77#b77;,b77i77,i7-- 7,a7 a            
demon/ration t ! ,/ate 9 :i* !          
demon/ration project is to be conduct$  
has 9 effect policies or laws t p]mit   
c]ta9 alli$ heal? & behavioral heal? c>e
 cr$5tials to be aw>d$ to p ) c]ta9     
arre/ or conviction records 7:i*        
policies or laws %all include appeals   
processes1 waiv]s1 c]tificates1 & o!r   

opportunities to demon/rate             
rehabilitation to obta9 cr$5tials1      
lic5sure1 & approval to "w 9 ! propos$  
heal? c>e]s71 & a plan describ$ 9 !     
application t w use a c>e] pa?way to    
assi/ p>ticipants ) su* a record 9      
acquir+ cr$5tials1 lic5s+1 & employm5t 9
 ! specifi$ c>e]s2  7,b7 a discussion ( 
h[ ! project or future /rategic hir+    
decisions w demon/rate ! exp]i5ce &     
exp]tise ( ! project 9 work+ ) job      
seek]s :o h arre/ or conviction records 
or employ]s ) exp]i5ce work+ ) p ) arre/
 or conviction records2  7,c7 an        
id5tification ( promis+ innovations or  
be/ practices t c be us$ to provide !   
tra9+2  7,d7 a pro( ( concept or        
demon/ration t ! applicant has done     
suffici5t rese>* on work=ce %ortage or  
9-dem& jobs = :i* p ) c]ta9 types (     
arre/ or conviction records c be hir$2  
7,e7 a plan = recruit+ /ud5ts :o are    
eligible individuals into ! project2 &  
7,f7 a plan = provid+ po/-employm5t     
support & ongo+ tra9+ z "p ( a c>e]     

pa?way "u ! project4  7#d7 ,9 ! case (  
an application = a grant "u ?is section 
= a demon/ration project describ$ 9     
subsection 7c77#b77;,b77i77,,ii7-- 7,a7 
a description ( ! p>tn]%ips1 /rategic   
/aff hir+ decisions1 tailor$ program    
activities1 or o!r programmatic elem5ts 
( ! project1 su* z tra9+ plans = d\las &
 o!r community heal? work]s & tra9+     
plans = midwives & o!r alli$ heal?      
pr(essions1 t are design$ to support a  
c>e] pa?way 9 pregnancy1 bir?1 or       
po/-p>tum s]vices2 &  7,b7 a            
demon/ration t ! ,/ate 9 :i* !          
demon/ration project is to be conduct$  
recognizes d\las or midwives1 z ! case  
may be4  7#e7 ,a demon/ration t !       
applicant has exp]i5ce work+ ) l[-income
 populations1 or a description ( ! plan 
( ! applicant to "w ) a p>tn]           
organization t has ! exp]i5ce4  7#f7 ,a 
plan = provid+ po/-employm5t support &  
ongo+ tra9+ z "p ( a c>e] pa?way "u !   
project4  7#g7 ,a description ( !       
support s]vices t ! applicant w provide 

"u ! project1 includ+ a plan = h[ *ild  
c>e & transportation support s]vices w  
be gu>ante$ &1 if ! applicant w provide 
a ca% /ip5d or wage supplem5t1 h[ !     
/ip5d or supplem5t w\ld be calculat$ &  
di/ribut$4  7#h7 ,a c]tification by !   
applicant t ! project developm5t        
includ$-- 7,a7 consultation ) a local   
work=ce developm5t bo>d e/abli%$ "u     
section #ajg ( ! ,work=ce ,innovation & 
,opportunity ,act2  7,b7 consid]ation ( 
appr5tice%ip & pre-appr5tice%ip models  
regi/]$ "u ! ,act ( ,augu/ #af1 #aicg   
7also kn[n z ! ,national ,appr5tice%ip  
,act72  7,c7 consid]ation ( c>e] pa?way 
programs 9 ! ,/ate 9 :i* ! project is to
 be conduct$2 &  7,d7 a review ( ! ,/ate
 plan "u section #ajb or #ajc ( !       
,work=ce ,innovation & ,opportunity     
,act4  7#i7 ,a description ( !          
availability & relevance ( rec5t labor  
m>ket in=mation & o!r p]t95t evid5ce (  
9-dem& jobs or work] %ortages4  7#aj7 ,a
 c]tification t ! applicant w directly  
provide or contract = ! tra9+ s]vices   

describ$ 9 ! application4  7#aa7 ,a     
commitm5t by ! applicant t1 if ! grant  
is made to ! applicant1 ! applicant w-- 
7,a7 dur+ ! plann+ p]iod = ! project1   
provide ! ,secret>y ) any in=mation ne$$
 by ! ,secret>y to e/abli% adequate data
 report+ & adm9i/rative /ructure = !    
project2  7,b7 hire a p]son to direct ! 
project n lat] ?an ! end ( ! plann+     
p]iod applicable to ! project2  7,c7    
accept all te*nical assi/ance (f]$ by ! 
,secret>y ) respect to ! grant2  7,d7   
p>ticipate 9 su* 9-p]son grantee        
conf]5ces z are regul>ly s*$ul$ by !    
,secret>y2  7,e7 provide all data       
requir$ by ! ,secret>y "u subsection    
7g72 &  7,f7 notify ! local disabl$     
vet]ans' outrea* program speciali/s "u  
section #dajc;,a ( title #ch1 ,unit$    
,/ates ,code1 & ! local vet]ans'        
employm5t repres5tatives "u section     
#dajd ( su* title1 ( ! grantee's outrea*
 plan = adv]tis+ tra9+ opportunities to 
pot5tial p>ticipants 9 ! project4  7b7  
,pref]5ces 9 consid]+ applications ,9   

consid]+ applications = a grant "u ?is  
section1 ! ,secret>y %all give pref]5ce 
to-- 7#a7 applications submitt$ by      
applicants to :om a grant 0 made "u ?is 
section or any pr$ecessor to ?is        
section2  7#b7 applications submitt$ by 
applicants :o h bus9ess & community     
p>tn]s 9 ea* ( ! foll[+ categories3 7,a7
 ,/ate & local gov]nm5t ag5cies & social
 s]vice provid]s1 includ+ a ,/ate or    
local entity t adm9i/]s a ,/ate program 
fund$ "u "p ,a ( ?is title2  7,b7       
in/itutions ( high] education1          
appr5tice%ip programs1 & local work=ce  
developm5t bo>ds e/abli%$ "u section    
#ajg ( ! ,work=ce ,innovation &         
,opportunity ,act2 &  7,c7 heal? c>e    
employ]s1 heal? c>e indu/ry or sector   
p>tn]%ips1 labor unions1 &              
labor-managem5t p>tn]%ips2  7#c7        
applications t include opportunities =  
m5tor+ or pe] support1 & make c>e] coa*+
 available1 z "p ( ! case managem5t     
plan2  7#d7 applications :i* describe a 
project t w s]ve a rural area 9 :i*--   

7,a7 ! community 9 :i* ! individuals to 
be enroll$ 9 ! project reside is locat$2
  7,b7 ! project w be conduct$2 or  7,c7
 an employ] p>tn]%ip t has committ$ to  
hir+ individuals :o successfully        
complete all activities "u ! project is 
locat$2  7#e7 applications t include a  
commitm5t to provid+ project p>ticipants
 ) a ca% /ip5d or wage supplem5t2 &     
7#f7 applications :i* h an em]g5cy ca%  
fund to assi/ project p>ticipants       
f9ancially 9 em]g5cy situations4  7c7   
,grants  7#a7 ,competitive grants  7,a7 
,grant au?ority  7i7 ,9 g5]al ,!        
,secret>y1 9 consultation ) ! ,secret>y 
( ,labor & ! ,secret>y ( ,education1 may
 make a grant 9 accordance ) ?is        
p>agraph to an eligible entity ^:       
application = ! grant is approv$ by !   
,secret>y1 to conduct a project design$ 
to tra9 l[-income individuals = alli$   
heal? pr(essions1 heal? in=mation       
te*nology1 physicians assi/ants1 nurs+  
assi/ants1 regi/]$ nurse1 advanc$       
practice nurse1 & o!r pr(essions        

consid]$ "p ( a heal? c>e c>e] pa?way   
model4  7ii7 ,gu>antee ( grantees 9 ea* 
/ate & ! di/rict ( columbia ,= ea* grant
 cycle1 ! ,secret>y %all aw>d a grant "u
 ?is p>agraph to at lea/ #b eligible    
entities 9 ea* ,/ate t is n a t]ritory1 
to ! ext5t !re are a suffici5t numb] (  
applications submitt$ by ! entities t   
meet ! requirem5ts applicable ) respect 
to su* a grant4 ,if1 = a grant cycle1   
!re are few] ?an #b su* eligible        
entities 9 a ,/ate1 ! ,secret>y %all    
include t in=mation 9 ! report requir$  
by subsection 7g77#b7 t cov]s ! fiscal  
ye>4  7,b7 ,gu>antee ( grants = indian  
populations ,f ! am\nt res]v$ "u        
subsection 7i77#b77;,b7 = ea* fiscal    
ye>1 ! ,secret>y %all aw>d a grant "u   
?is p>agraph to at lea/ #aj eligible    
entities t are an ,indian tribe1 a      
tribal organization1 or a tribal college
 or univ]sity1 to ! ext5t !re are a     
suffici5t numb] ( applications submitt$ 
by ! entities t meet ! requirem5ts      
applicable ) respect to su* a grant4    

7,c7 ,gu>antee ( grantees 9 ! t]ritories
 ,f ! am\nt res]v$ "u subsection        
7i77#b77;,c7 = ea* fiscal ye>1 !        
,secret>y %all aw>d a grant "u ?is      
p>agraph to at lea/ #b eligible entities
 t are locat$ 9 a t]ritory1 to ! ext5t  
!re are a suffici5t numb] ( applications
 submitt$ by ! entities t meet !        
requirem5ts applicable ) respect to su* 
a grant4  7#b7 ,grants = demon/ration   
projects  7,a7 ,grant au?ority ,!       
,secret>y1 9 consultation ) ! ,secret>y 
( ,labor & ! ,secret>y ( ,education 7&1 
) respect to demon/ration projects ( !  
type describ$ 9 subp>agraph 7,b77i77,i71
 ! ,attorney ,g5]al7 %all make a grant 9
 accordance ) ?is subsection to an      
eligible entity ^: application = ! grant
 is approv$ by ! ,secret>y1 to conduct a
 demon/ration project t meets !         
requirem5ts ( subp>agraph 7,b74  7,b7   
,requirem5ts ,! requirem5ts ( ?is       
subp>agraph are ! foll[+3 7i7 ,type (   
project ,! demon/ration project %all be 
( #a ( ! foll[+ types3 7,i7 ,individuals

 ) arre/ or conviction records          
demon/ration ,! demon/ration project    
%all be ( a type design$ to provide     
education & tra9+ = eligible individuals
 ) arre/ or conviction records to ent] &
 foll[ a c>e] pa?way 9 ! heal?          
pr(essions ?r\gh occupations t pay well 
& are expect$ to exp]i5ce a labor       
%ortage or be 9 high dem&4  7,,ii7      
,pregnancy & *ildbir? c>e] pa?way       
demon/ration ,! demon/ration project    
%all be ( a type design$ to provide     
education & tra9+ = eligible individuals
 to ent] & foll[ a c>e] pa?way 9 ! field
 ( pregnancy1 *ildbir?1 or po/-p>tum1 9 
a ,/ate t recognizes d\las or midwives &
 t provides paym5t = s]vices provid$ by 
d\las or midwives1 z ! case may be1 "u  
private or public heal? insurance plans4
  7ii7 ,duration ,! demon/ration project
 %all be conduct$ = n less ?an #e ye>s4 
7,c7 ,m9imum allocation ( funds = ea*   
type ( demon/ration project  7i7        
,individuals ) arre/ or conviction      
records demon/rations ,n less ?an #be   

p]c5t ( ! am\nts made available = grants
 "u ?is p>agraph %all be us$ to make    
grants = demon/ration projects ( ! type 
describ$ 9 subp>agraph 7,b77i77,i74     
7ii7 ,pregnancy & *ildbir? c>e] pa?way  
demon/rations ,n less ?an #be p]c5t ( ! 
am\nts made available = grants "u ?is   
p>agraph %all be us$ to make grants =   
demon/ration projects ( ! type describ$ 
9 subp>agraph 7,b77i77,,ii74  7#c7      
,grant cycle ,! grant cycle "u ?is      
section %all be n less ?an #e ye>s1 ) a 
plann+ p]iod ( n m ?an ! fir/ #ab mon?s 
( ! grant cycle4 ,dur+ ! plann+ p]iod1 !
 am\nt ( ! grant %all be 9 su* less]    
am\nt z ! ,secret>y det]m9es            
appropriate4  7d7 ,use ( grant  7#a7 ,9 
g5]al ,an entity to :i* a grant is made 
"u ?is section %all use ! grant 9       
accordance ) ! approv$ application = !  
grant4  7#b7 ,support to be provid$     
7,a7 ,requir$ support ,a project = :i* a
 grant is made "u ?is section %all      
include ! foll[+3 7i7 ,an assessm5t =   
adult basic skill compet5cy1 & provision

 ( adult basic skills education if      
necess>y = l[]-skill$ eligible          
individuals to enroll 9 ! project & g on
 to ent] & complete po/-second>y tra9+1 
?r\gh means includ+ ! foll[+3 7,i7      
,e/abli%+ a network ( p>tn]s t (f]      
pre-tra9+ activities = project          
p>ticipants :o ne$ to improve basic     
academic skills or ,engli% language     
pr(ici5cy be=e ent]+ a heal?            
occupational tra9+ c>e] pa?way program4 
7,,ii7 ,(f]+ res\rces to enable project 
p>ticipants to cont9ue advanc+ adult    
basic skill pr(ici5cy :ile enroll$ 9 a  
c>e] pa?way program4  7,,iii7 ,emb$d+   
adult basic skill ma9t5ance z "p ( ongo+
 po/-graduation c>e] coa*+ & m5tor+4    
7ii7 ,a gu>antee t *ild c>e is an       
available & af=dable support s]vice =   
project p>ticipants ?r\gh means su* z ! 
foll[+3 7,i7 ,ref]ral to1 & assi/ance )1
 enrollm5t 9 a subsidiz$ *ild c>e       
program4  7,,ii7 ,direct paym5t to a    
*ild c>e provid] if a slot 9 a subsidiz$
 *ild c>e program is n available or     

reasonably accessible4  7,,iii7 ,paym5t 
( co-paym5ts or associat$ fees = *ild   
c>e4  7iii7 ,case managem5t plans t     
include c>e] coa*+ 7) ! option to (f]   
appropriate pe] support & m5tor+        
opportunities to help develop s(t skills
 & social capital71 :i* may be (f]$ on  
an ongo+ basis be=e1 dur+1 & aft]       
initial tra9+ z "p ( a c>e] pa?way      
model4  7iv7 ,a plan to provide project 
p>ticipants ) transportation ?r\gh means
 su* z ! foll[+3 7,i7 ,ref]ral to1 &    
assi/ance ) enrollm5t 91 a subsidiz$    
transportation program4  7,,ii7 ,if a   
subsidiz$ transportation program is n   
reasonably available1 direct paym5ts to 
subsidize transportation co/s4  ,=      
purposes ( ?is clause1 ! t]m            
transportation includes public transit1 
or gasol9e = a p]sonal vehicle if public
 transit is n reasonably accessible or  
available4  7v7 ,9 ! case ( a           
demon/ration project ( ! type describ$ 9
 subsection 7c77#b77;,b77i77,i71 access 
to legal assi/ance = project p>ticipants

 = ! purpose ( address+ arre/ or        
conviction records & associat$ work=ce  
b>ri]s4  7,b7 ,all[$ support ,! goods & 
s]vices provid$ "u a project = :i* a    
grant is made "u ?is section may include
 ! foll[+3 7i7 ,a ca% /ip5d t is at lea/
 mon?ly4  7ii7 ,a res]ve fund = f9ancial
 assi/ance to project p>ticipants 9     
em]g5cy situations4  7iii7 ,tuition1 &  
tra9+ mat]ials su* z books1 s(tw>e1     
uni=ms1 %oes1 & hair nets4  7iv7 ,9-k9d 
res\rce donations su* z int]view clo?+ &
 conf]5ce att5dance fees4  7v7          
,assi/ance ) access+ & complet+ high    
s*ool equival5cy or adult basic         
education c\rses z necess>y to a*ieve   
success 9 ! project & make progress t[>d
 c>e] goals4  7vi7 ,assi/ance ) programs
 & activities1 includ+ legal assi/ance1 
deem$ necess>y to address arre/ or      
conviction records z an employm5t b>ri]4
  7vii7 ,o!r support s]vices z deem$    
necess>y = family well-be+1 success 9 ! 
project1 & progress t[>d c>e] goals4    
7,c7 ,treatm5t ( support = purposes (   

means-te/$ programs ,any goods or       
s]vices provid$ to an eligible          
individual p>ticipat+ 9 a project = :i* 
a grant is made "u ?is section %all n be
 consid]$ income1 & %all n be tak5 into 
acc\nt = purposes ( det]m9+ !           
eligibility ( ! individual =1 or am\nt (
 b5efits to be provid$ to ! individual1 
"u any means-te/$ program4  7#c7 ,tra9+ 
,! numb] ( h\rs ( tra9+ provid$ to an   
eligible individual "u a project = :i* a
 grant is made "u ?is section1 = a      
recogniz$ po/second>y cr$5tial1 includ+ 
an indu/ry-recogniz$ cr$5tial1 :i* is   
aw>d$ 9 recognition ( atta9m5t (        
measurable te*nical or occupational     
skills necess>y to ga9 employm5t or     
advance )9 an occupation 7includ+ a     
c]tificate aw>d$ by a local work=ce     
developm5t bo>d e/abli%$ "u section #ajg
 ( ! ,work=ce ,innovation & ,opportunity
 ,act71 %all be-- 7,a7 n less ?an !     
numb] ( h\rs ( tra9+ requir$ =          
c]tification 9 t level ( skill by !     
,/ate 9 :i* ! project is conduct$2 or   

7,b7 if !re is no su* requirem5t1 su*   
numb] ( h\rs ( tra9+ z ! ,secret>y f9ds 
is necess>y to a*ieve t skill level4    
7#d7 ,income limitation ,an entity to   
:i* a grant is made "u ?is section %all 
n use ! grant to provide support to a   
p]son :o is n an eligible individual4   
7#e7 ,inclusion ( ,,tanf recipi5ts ,9 ! 
case ( a project = :i* a grant is made  
"u ?is section t is conduct$ 9 a ,/ate t
 has a program fund$ "u "p ,a ( title   
,,iv1 at lea/ #aj p]c5t ( ! eligible    
individuals to :om support is provid$ "u
 ! project %all meet ! income           
eligibility requirem5ts "u t ,/ate      
program1 )\t reg>d to :e!r ! individuals
 receive b5efits or s]vices directly "u 
t ,/ate program4  7#f7 ,prohibition ,an 
entity to :i* a grant is made "u ?is    
section %all n use ! grant = purposes ( 
ent]ta9m5t1 except t case managem5t &   
c>e] coa*+ s]vices may include          
celebrations ( specific c>e]-bas$       
mile/ones su* z complet+ a seme/]1      
graduation1 or job placem5t4  7e7       

,te*nical assi/ance  7#a7 ,9 g5]al ,!   
,secret>y %all provide te*nical         
assi/ance-- 7,a7 to assi/ eligible      
entities 9 apply+ = grants "u ?is       
section2  7,b7 t is tailor$ to meet !   
ne$s ( grantees at ea* /age ( !         
adm9i/ration ( projects = :i* grants are
 made "u ?is section2  7,c7 t is tailor$
 to meet ! specific ne$s ( ,indian      
tribes1 tribal organizations1 & tribal  
colleges & univ]sities2  7,d7 t is      
tailor$ to meet ! specific ne$s ( !     
t]ritories2  7,e7 t is tailor$ to meet !
 specific ne$s ( eligible entities 9    
c>ry+ out demon/ration projects = :i* a 
grant is made "u ?is section2 &  7,f7 to
 facilitate ! ex*ange ( in=mation among 
eligible entities reg>d+ be/ practices &
 promis+ practices us$ 9 ! projects4    
7#b7 ,cont9uation ( pe] te*nical        
assi/ance conf]5ces ,! ,secret>y %all   
cont9ue to hold pe] te*nical assi/ance  
conf]5ces = entities to :i* a grant is  
made "u ?is section or 0 made "u !      
imm$iate pr$ecessor ( ?is section4  7f7 

,evaluation ( demon/ration projects     
7#a7 ,9 g5]al ,! ,secret>y %all1 by     
grant1 contract1 or int]ag5cy agreem5t1 
conduct rigor\s & well-design$          
evaluations ( ! demon/ration projects = 
:i* a grant is made "u ?is section4     
7#b7 ,requirem5t applicable to          
individuals ) arre/ or conviction       
records demon/ration ,9 ! case ( a      
project ( ! type describ$ 9 subsection  
7c77#b77;,b77i77,i71 ! evaluation %all  
include id5tification ( successful      
activities = creat+ opportunities =     
develop+ & su/a9+1 p>ticul>ly ) respect 
to l[-income individuals ) arre/ or     
conviction records1 a heal? pr(essions  
work=ce t has accessible entry po9ts1 t 
meets high /&>ds = education1 tra9+1    
c]tification1 & pr(essional developm5t1 
& t provides increas$ wages & af=dable  
b5efits1 includ+ heal? c>e cov]age1 t   
are responsive to ! ne$s ( ! work=ce4   
7#c7 ,requirem5t applicable to pregnancy
 & *ildbir? c>e] pa?way demon/ration ,9 
! case ( a project ( ! type describ$ 9  

subsection 7c77#b77;,b77i77,,ii71 !     
evaluation %all include id5tification ( 
successful activities = creat+          
opportunities = develop+ & su/a9+1      
p>ticul>ly ) respect to l[-income       
individuals & o!r entry-level work]s1 a 
c>e] pa?way t has accessible entry      
po9ts1 t meets high /&>ds = education1  
tra9+1 c]tification1 & pr(essional      
developm5t1 & t provides increas$ wages 
& af=dable b5efits1 includ+ heal? c>e   
cov]age1 t are responsive to ! ne$s ( ! 
bir?1 pregnancy1 & po/-p>tum work=ce4   
7#d7 ,rule ( int]pretation ,evaluations 
conduct$ pursuant to ?is subsection may 
include a r&omiz$ controll$ trial1 b ?is
 subsection %all n be int]pret$ to      
require an evaluation to include su* a  
trial4  7g7 ,reports  7#a7 ,to !        
,secret>y ,an eligible entity aw>d$ a   
grant to conduct a project "u ?is       
section %all submit int]im reports to ! 
,secret>y on ! activities c>ri$ out "u !
 project1 &1 on ! conclusion ( !        
project1 a f9al report on ! activities4 

,ea* su* report %all include data on    
p>ticipant outcomes relat$ to e>n+s1    
employm5t 9 heal? pr(essions1 graduation
 rate1 graduation timel9ess1 cr$5tial   
atta9m5t1 p>ticipant demographics1 & o!r
 data specifi$ by ! ,secret>y4  7#b7 ,to
 ! ,congress ,dur+ ea* ,congress1 !     
,secret>y %all submit to ! ,committee on
 ,ways & ,means ( ! ,h\se (             
,repres5tatives & ! ,committee on       
,f9ance ( ! ,s5ate a report-- 7,a7 on ! 
demographics ( ! p>ticipants 9 !        
projects = :i* a grant is made "u ?is   
section2  7,b7 on ! rate ( :i* project  
p>ticipants complet$ all activities "u !
 projects2  7,c7 on ! employm5t         
cr$5tials acquir$ by project            
p>ticipants2  7,d7 on ! employm5t (     
project p>ticipants on completion (     
activities "u ! projects1 & ! e>n+s (   
project p>ticipants at entry into       
employm5t2  7,e7 on be/ practices &     
promis+ practices us$ 9 ! projects2     
7,f7 on ! nature ( any te*nical         
assi/ance provid$ to grantees "u ?is    

section2  7,g7 on1 ) respect to ! p]iod 
s9ce ! p]iod cov]$ 9 ! mo/ rec5t prior  
report submitt$ "u ?is p>agraph-- 7i7 ! 
numb] ( applications submitt$ "u ?is    
section1 ) a sep>ate /atem5t ( ! numb] (
 applications ref]r$ to 9 subsection    
7b77#e72  7ii7 ! numb] ( applications t 
7 approv$1 ) a sep>ate /atem5t ( ! numb]
 ( su* applications ref]r$ to 9         
subsection 7b77#e72 &  7iii7 a          
description ( h[ grants 7 made 9 any    
case describ$ 9 ! la/ s5t5ce (          
subsection 7c77#a77;,a77ii72 &  7,h7 t  
includes an assessm5t ( ! effectiv5ess (
 ! projects ) respect to address+ heal? 
pr(essions work=ce %ortages or 9-dem&   
jobs4  7h7 ,def9itions ,9 ?is section3  
7#a7 ,alli$ heal? pr(ession ,! t]m alli$
 heal? pr(ession has ! mean+ giv5 9     
section #gii;,b7#e7 ( ! ,public ,heal?  
,s]vice ,act4  7#b7 ,c>e] pa?way ,! t]m 
c>e] pa?way has ! mean+ giv5 t t]m 9    
section #c7g7 ( ! ,work=ce ,innovation &
 ,opportunity ,act4  7#c7 ,d\la ,! t]m  
d\la means an individual :o-- 7,a7 is   

c]tifi$ by an organization t has be5    
e/abli%$ = n less ?an #e ye>s & t       
requires ! completion ( cont9u+         
education to ma9ta9 ! c]tification1 to  
provide non-m$ical advice1 in=mation1   
emotional support1 & physical com=t to  
an individual dur+ ! individual's       
pregnancy1 *ildbir?1 & po/-p>tum p]iod2 
&  7,b7 ma9ta9s ! c]tification by       
complet+ ! requir$ cont9u+ education4   
7#d7 ,eligible entity ,! t]m eligible   
entity means any ( ! foll[+ entities t  
demon/rates 9 an application submitt$ "u
 ?is section t ! entity has ! capacity  
to fully develop & adm9i/] ! project    
describ$ 9 ! application3 7,a7 ,a local 
work=ce developm5t bo>d e/abli%$ "u     
section #ajg ( ! ,work=ce ,innovation & 
,opportunity ,act4  7,b7 ,a ,/ate or    
t]ritory1 a political subdivision ( a   
,/ate or t]ritory1 or an ag5cy ( a      
,/ate1 t]ritory1 or su* a political     
subdivision1 includ+ a ,/ate or local   
entity t adm9i/]s a ,/ate program fund$ 
"u "p ,a ( ?is title4  7,c7 ,an ,indian 

tribe1 a tribal organization1 or a      
tribal college or univ]sity4  7,d7 ,an  
in/itution ( high] education 7z def9$ 9 
! ,high] ,education ,act ( #aife74  7,e7
 ,a hospital 7z def9$ 9 section         
#ahfa7;e774  7,f7 ,a high-quality skill$
 nurs+ facility4  7,g7 ,a ,f$]ally      
qualifi$ heal? c5t] 7z def9$ 9 section  
#ahfa7;aa77#d774  7,h7 ,a nonpr(it      
organization describ$ 9 section         
#eja7;c77#c7 ( ! ,int]nal ,rev5ue ,code 
( #aihf1 a labor organization1 or an    
entity ) %>$ labor-managem5t ov]sight1 t
 has a demon/rat$ hi/ory ( provid+ heal?
 pr(ession tra9+ to eligible            
individuals4  7,i7 ,9 ! case ( a        
demon/ration project ( ! type provid$ = 
9 subsection 7c77#b77;,b77i77,,ii7 ( ?is
 section1 an entity recogniz$ by a      
,/ate1 ,indian tribe1 or tribal         
organization z qualifi$ to tra9 d\las or
 midwives1 if midwives or d\las1 z !    
case may be1 are p]mitt$ to practice 9 !
 ,/ate involv$4  7,j7 ,an opioid        
treatm5t program 7z def9$ 9 section     

#ahfa7;jjj77#b771 & o!r high quality    
compreh5sive addiction c>e provid]s4    
7#e7 ,eligible individual ,! t]m        
eligible individual means an individual 
^: family income does n exce$ #bjj p]c5t
 ( ! ,f$]al pov]ty level4  7#f7 ,f$]al  
pov]ty level ,! t]m ,f$]al pov]ty level 
means ! pov]ty l9e 7z def9$ 9 section   
#fgc7b7 ( ! ,omnibus ,budget            
,reconciliation ,act ( #aiha1 includ+   
any revision requir$ by su* section     
applicable to a family ( ! size         
involv$74  7#g7 ,indian tribe2 tribal   
organization ,! t]ms ,indian tribe &    
tribal organization h ! mean+ giv5 !    
t]ms 9 section #d ( ! ,indian           
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #dej;b74 
7#h7 ,in/itution ( high] education ,!   
t]m in/itution ( high] education has !  
mean+ giv5 ! t]m 9 section #aja or      
#ajb7;a77#a77;,b7 ( ! ,high] ,education 
,act ( #aife4  7#i7 ,t]ritory ,! t]m    
t]ritory means ! ,commonweal? ( ,pu]to  
,rico1 ! ,unit$ ,/ates ,virg9 ,isl&s1   

,guam1 ! ,nor!rn ,m>iana ,isl&s1 &      
,am]ican ,samoa4  7#aj7 ,tribal college 
or univ]sity ,! t]m tribal college or   
univ]sity has ! mean+ giv5 ! t]m 9      
section #caf7;b7 ( ! ,high] ,education  
,act ( #aife4  7i7 ,fund+  7#a7 ,9 g5]al
 ,out ( any funds 9 ! ,treasury ( !     
,unit$ ,/ates n o!rwise appropriat$1 !re
 are appropriat$ to ! ,secret>y to c>ry 
out ?is section #dbe1jjj1jjj = ea* (    
fiscal ye>s #bjba ?r\gh #bjbe4  7#b7    
,allocation ( funds ,( ! am\nt          
appropriat$ = a fiscal ye> "u p>agraph  
7#a7 ( ?is subsection-- 7,a7 #ge p]c5t  
%all be available = grants "u subsection
 7c77#a77;,a72  7,b7 #d p]c5t %all be   
res]v$ = grants "u subsection           
7c77#a77;,b72  7,c7 #e p]c5t %all be    
res]v$ = grants "u subsection           
7c77#a77;,c72  7,d7 #f p]c5t %all be    
available = demon/ration project grants 
"u subsection 7c77#b72  7,e7 #f p]c5t1  
plus all am\nts ref]r$ to 9 subp>agraphs
 7,a7 ?r\gh 7,d7 ( ?is p>agraph t rema9 
unus$ aft] all grant aw>ds are made = ! 

fiscal ye>1 %all be available = !       
provision ( te*nical assi/ance &        
associat$ /aff+2 &  7,f7 #d p]c5t %all  
be available = /udy+ ! effects ( !      
demon/ration & non-demon/ration projects
 = :i* a grant is made "u ?is section1 &
 = associat$ /aff+1 = ! purpose (       
support+ ! rigor\s evaluation ( !       
demon/ration projects1 & support+ !     
cont9u$ /udy ( ! %ort-1 m$ium-1 &       
long-t]m effects ( all su* projects1    
includ+ ! effectiv5ess ( new or add$    
elem5ts ( ! non-demon/ration projects4  
7j7 ,nonapplicability ( prec$+ sections 
( ?is subtitle  7#a7 ,9 g5]al ,except z 
provid$ 9 p>agraph 7#b71 ! prec$+       
sections ( ?is subtitle %all n apply to 
a grant aw>d$ "u ?is section4  7#b7     
,exception = c]ta9 limitations on use ( 
grants ,section #bjje7;a7 7o!r ?an      
p>agraphs 7#b71 7#c71 7#e71 7#f71 &     
7#h77 %all apply to a grant aw>d$ "u ?is
 section to ! same ext5t & 9 ! same     
mann] z su* section applies to paym5ts  
to ,/ates "u ?is subtitle4  4