,,ii  #aafth ,,congress  #b;d ,session  
,s4 #cefg  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,march #bb1    
#bjbj,mrs4 ,shaheen 7for herself1 ,ms4  
,baldwin1 ,ms4 ,hassan1 ,ms4 ,harris1   
,mr4 ,reed1 and ,mr4 ,durbin7 introduced
 the following bill2 which was read     
twice and referred to the ,committee on 
,finance  ,a ,,bill  ,to provide ,state 
funding to ensure that essential workers
 can access child care4  #a4 ,short     
title ,this ,act may be cited as the    
,helping ,health ,care ,workers ,afford 
,child and ,elder ,care ,act4  #b4      
,state funding to ensure that essential 
workers can access child care  7a7      
,increase in funding  7#a7 ,in general  
,the amount specified in subsection 7c7 
of section #bjjc of the ,social         
,security ,act for purposes of          
subsections 7a7 and 7b7 of such section 
is deemed to be #f1gjj1jjj1jjj for      
fiscal year #bjbj1 of which             
#e1jjj1jjj1jjj shall be obligated by    
,states during calendar year #bjbj in   

accordance with subsection 7b7 of this  
section4  7#b7 ,appropriation ,out of   
any money in the ,treasury of the       
,united ,states not otherwise           
appropriated1 there are appropriated    
#e1jjj1jjj1jjj for fiscal year #bjbj to 
carry out this section4  7b7 ,rules     
governing use of additional funds  7#a7 
,in general ,funds are used in          
accordance with this subsection if--    
7,a7 the funds are used for-- 7i7 child 
care services for a child of an         
essential worker2 or  7ii7 daytime care 
services or other adult protective      
services for an individual who-- 7,i7 is
 a dependent1 or a member of the        
household of1 an essential worker2 and  
7,,ii7 requires the services2  7,b7 the 
funds are provided to reimburse an      
essential worker for the cost of        
obtaining the services 7including child 
care services obtained on or after the  
date the ,secretary of ,health and      
,human ,services declared a public      
health emergency pursuant to section    

#cai of the ,public ,health ,service    
,act on ,january #ca1 #bjbj1 entitled   
,determination that a ,public ,health   
,emergency ,exists ,nationwide as the   
,result of the #bjai ,novel             
,coronavirus71 to a provider of child   
care services1 or to establish a        
temporary child care facility operated  
by a ,state or local government2  7,c7  
eligibility for the funds or services1  
and the amount of funds or services     
provided1 is not conditioned on a means 
test2  7,d7 the funds are used subject  
to the limitations in section #bjje of  
the ,social ,security ,act1 except that1
 for purposes of this subparagraph-- 7i7
 paragraphs 7#c71 7#e71 and 7#h7 of     
section #bjje7;a7 of such ,act shall not
 apply2 and  7ii7 7,i7 the limitation in
 section #bjje7;a77#g7 of such ,act     
shall not apply with respect to any     
standard which the ,state involved      
determines would impede the ability of  
the ,state to provide emergency         
temporary care to a child1 dependent1 or

 household member referred to in        
subparagraph 7,a7 of this paragraph2 and
  7,,ii7 if the ,state determines that  
such a standard would be so impeding1   
the ,state shall report the             
determination to the ,secretary1        
separately from the annual report to the
 ,secretary by the ,state2  7,e7 the    
funds are used to supplement1 not       
supplant1 ,state general revenue funds  
for child care assistance2 and  7,f7 the
 funds are not used for child care costs
 that are-- 7i7 covered by funds        
provided under the ,child ,care and     
,development ,block ,grant ,act of #aiij
 or section #dah of the ,social         
,security ,act2 or  7ii7 reimbursable by
 the ,federal ,emergency ,management    
,agency4  7#b7 ,essential worker defined
 ,in paragraph 7#a71 the term essential 
worker means-- 7,a7 a health sector     
employee1 including but not limited to a
 licensed nurse1 clinical nurse         
assistant1 medical nurse assistant1     
nurse practitioner1 physician assistant1

 physician1 home health aide1 laboratory
 technician1 or other licensed health   
care professionals as determined        
appropriate by the ,secretary of ,health
 and ,human ,services2  7,b7 an         
emergency response worker2  7,c7 a      
sanitation worker2  7,d7 a worker at a  
business which a ,state or local        
government official has determined must 
remain open to serve the public during  
the emergency referred to in paragraph  
7#a77;,b72 and  7,e7 any other worker   
who cannot telework1 and whom the ,state
 deems to be essential during the       
emergency referred to in paragraph      
7#a77;,b74