,,ii #aafth ,,congress #b;d ,session ,s4 #didj ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,december #a1 #bjbj,mr4 ,king introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to amend subtitle ,a of title ,,xx of the ,social ,security ,act to authorize direct support worker career advancement demonstration projects1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,career ,advancement for ,direct ,support ,aid ,workers ,act or the ,,cadsaw ,act4 #b4 ,direct support worker career advancement demonstration projects 7a7 ,in general ,section #bjjh of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;g7 is amended-- 7#a7 by adding at the end the following new subsection3 7e7 ,direct support worker career advancement demonstration projects 7#a7 ,in general ,the ,secretary1 in consultation with the ,secretary of ,labor1 shall award1 from the amount appropriated under paragraph 7#d71 grants to eligible entities to conduct demonstration projects that are designed to provide eligible individuals with opportunities for education1 training1 and career advancement as a personal or home care aide1 home health aide1 or nursing assistant4 7#b7 ,definitions ,in this subsection3 7,a7 ,eligible entity ,the term eligible entity has the meaning given such term in subsection 7a74 7,b7 ,eligible individual ,the term eligible individual means an individual-- 7i7 whose income does not exceed #bjj percent of the poverty line 7as defined in section #baaj7;c77#e77 applicable to a family of the size involved2 and 7ii7 who is employed as a personal or home care aide who-- 7,i7 has at least #cj percent patient volume 7as estimated in accordance with a methodology established by the ,secretary7 attributable to individuals who are receiving medical assistance under title ,,xix2 or 7,,ii7 is employed by an agency that is a provider of personal or home care services that has at least #cj percent of the agency's patient volume 7as so estimated7 attributable to such individuals4 7,c7 ,personal or home care aide ,the term personal or home care aide has the meaning given such term in subsection 7b74 7#c7 ,requirements 7,a7 ,prioritization of projects that support rural areas1 underserved areas1 and women and ,black and ,latinx individuals ,the ,secretary shall ensure that not less than half of the demonstration projects supported by grants awarded under this subsection support-- 7i7 eligible individuals in rural areas 7as defined in section #bjjg7;f77#e772 7ii7 eligible individuals in underserved urban areas 7including urban health professional shortage areas 7as defined in section #ccb of the ,public ,health ,service ,act772 or 7iii7 eligible individuals who are women1 who are ,black or ,latinx individuals1 or who belong to other underserved and diverse populations such as ,asian1 ,pacific ,islander1 ,native ,american1 or ,alaska ,native communities4 7,b7 ,amount of grant ,in no case shall the ,secretary award an eligible entity a grant to conduct a demonstration project under this subsection in an amount that exceeds #gej1jjj for each year that the entity conducts such project4 7,c7 ,reports 7i7 ,interim reports ,an eligible entity awarded a grant to conduct a demonstration project under this subsection shall submit interim reports to the ,secretary on the activities carried out under the project and a final report on such activities upon the conclusion of the entities' participation in the project4 7ii7 ,evaluation ,the ,administrator of the ,health ,resources and ,services ,administration shall evaluate the demonstration projects conducted under this subsection4 ,such evaluation shall include identification of successful activities for creating opportunities for developing and sustaining1 particularly with respect to low-income individuals and long-term workers1 a health or human services professions workforce that has accessible opportunities for career advancement1 that meets high standards for education1 training1 certification1 and professional development1 that provides increased wages and affordable benefits1 including health care coverage1 that are responsive to the workforce's needs1 and that is responsive to the needs of diverse racial and ethnic communities4 7iii7 ,report to ,congress ,not later than #a year after the demonstration projects conducted under this subsection conclude1 the ,secretary shall submit a final report to ,congress on such demonstration projects that includes-- 7,i7 the result of the evaluation conducted under clause 7ii72 and 7,,ii7 such recommendations for legislation or administrative actions as the ,secretary deems appropriate4 7iv7 ,additional report ,not later than #a year after the demonstration projects conducted under this subsection conclude1 the ,secretary shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,education and ,labor of the ,house of ,representatives and make publicly available1 a report on the activities and results of such projects4 ,such report shall describe-- 7,i7 the number and geographic distribution of the grants awarded under this subsection2 7,,ii7 the participation of underrepresented and economically disadvantaged participants in demonstration projects conducted under this subsection2 and 7,,iii7 recommendations for program revisions to achieve the desired program outcome4 7#d7 ,appropriation ,out of any funds in the ,treasury not otherwise appropriated1 there are appropriated to the ,secretary to carry out this subsection #e1jjj1jjj for each of fiscal years #bjba1 #bjbb1 and #bjbc4 4 7b7 ,incentive payments for home health services furnished by home health aides who complete certain training ,section #ahcd of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7 is amended by adding at the end the following new subsection3 7x7 ,incentive payments for home health services furnished by home health aides who complete certain training ,in the case of home health services furnished on or after ,october #a1 #bjbj1 by a home health aide who has successfully completed education or training under a ,direct ,support ,worker ,career ,advancement demonstration project under section #bjjh7;e71 in addition to the amount of payment that would otherwise be made for such services under this part1 there also shall be paid an amount equal to #be percent of the payment amount for the service under this part4 4