,,ii #aaf? ,,congress #b;d ,session ,s4 #didj ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,decemb] #a1 #bjbj,mr4 ,k+ introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to am5d subtitle ,a ( title ,,xx ( ! ,social ,security ,act to au?orize direct support work] c>e] advancem5t demon/ration projects1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,c>e] ,advancem5t = ,direct ,support ,aid ,work]s ,act or ! ,,cadsaw ,act4 #b4 ,direct support work] c>e] advancem5t demon/ration projects 7a7 ,9 g5]al ,section #bjjh ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;g7 is am5d$-- 7#a7 by add+ at ! end ! foll[+ new subsection3 7e7 ,direct support work] c>e] advancem5t demon/ration projects 7#a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,secret>y ( ,labor1 %all aw>d1 f ! am\nt appropriat$ "u p>agraph 7#d71 grants to eligible entities to conduct demon/ration projects t are design$ to provide eligible individuals ) opportunities = education1 tra9+1 & c>e] advancem5t z a p]sonal or home c>e aide1 home heal? aide1 or nurs+ assi/ant4 7#b7 ,def9itions ,9 ?is subsection3 7,a7 ,eligible entity ,! t]m eligible entity has ! mean+ giv5 su* t]m 9 subsection 7a74 7,b7 ,eligible individual ,! t]m eligible individual means an individual-- 7i7 ^: income does n exce$ #bjj p]c5t ( ! pov]ty l9e 7z def9$ 9 section #baaj7;c77#e77 applicable to a family ( ! size involv$2 & 7ii7 :o is employ$ z a p]sonal or home c>e aide :o-- 7,i7 has at lea/ #cj p]c5t pati5t volume 7z e/imat$ 9 accordance ) a me?odology e/abli%$ by ! ,secret>y7 attributable to individuals :o are receiv+ m$ical assi/ance "u title ,,xix2 or 7,,ii7 is employ$ by an ag5cy t is a provid] ( p]sonal or home c>e s]vices t has at lea/ #cj p]c5t ( ! ag5cy's pati5t volume 7z s e/imat$7 attributable to su* individuals4 7,c7 ,p]sonal or home c>e aide ,! t]m p]sonal or home c>e aide has ! mean+ giv5 su* t]m 9 subsection 7b74 7#c7 ,requirem5ts 7,a7 ,prioritization ( projects t support rural areas1 und]s]v$ areas1 & wom5 & ,black & ,lat9x individuals ,! ,secret>y %all ensure t n less ?an half ( ! demon/ration projects support$ by grants aw>d$ "u ?is subsection support-- 7i7 eligible individuals 9 rural areas 7z def9$ 9 section #bjjg7;f77#e772 7ii7 eligible individuals 9 und]s]v$ urban areas 7includ+ urban heal? pr(essional %ortage areas 7z def9$ 9 section #ccb ( ! ,public ,heal? ,s]vice ,act772 or 7iii7 eligible individuals :o are wom51 :o are ,black or ,lat9x individuals1 or :o belong to o!r und]s]v$ & div]se populations su* z ,asian1 ,pacific ,isl&]1 ,native ,am]ican1 or ,alaska ,native communities4 7,b7 ,am\nt ( grant ,9 no case %all ! ,secret>y aw>d an eligible entity a grant to conduct a demon/ration project "u ?is subsection 9 an am\nt t exce$s #gej1jjj = ea* ye> t ! entity conducts su* project4 7,c7 ,reports 7i7 ,int]im reports ,an eligible entity aw>d$ a grant to conduct a demon/ration project "u ?is subsection %all submit int]im reports to ! ,secret>y on ! activities c>ri$ out "u ! project & a f9al report on su* activities ^u ! conclusion ( ! entities' p>ticipation 9 ! project4 7ii7 ,evaluation ,! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration %all evaluate ! demon/ration projects conduct$ "u ?is subsection4 ,su* evaluation %all include id5tification ( successful activities = creat+ opportunities = develop+ & su/a9+1 p>ticul>ly ) respect to l[-income individuals & long-t]m work]s1 a heal? or human s]vices pr(essions work=ce t has accessible opportunities = c>e] advancem5t1 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 ! work=ce's ne$s1 & t is responsive to ! ne$s ( div]se racial & e?nic communities4 7iii7 ,report to ,congress ,n lat] ?an #a ye> aft] ! demon/ration projects conduct$ "u ?is subsection conclude1 ! ,secret>y %all submit a f9al report to ,congress on su* demon/ration projects t includes-- 7,i7 ! result ( ! evaluation conduct$ "u clause 7ii72 & 7,,ii7 su* recomm5dations = legislation or adm9i/rative actions z ! ,secret>y deems appropriate4 7iv7 ,additional report ,n lat] ?an #a ye> aft] ! demon/ration projects conduct$ "u ?is subsection conclude1 ! ,secret>y %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,education & ,labor ( ! ,h\se ( ,repres5tatives & make publicly available1 a report on ! activities & results ( su* projects4 ,su* report %all describe-- 7,i7 ! numb] & geographic di/ribution ( ! grants aw>d$ "u ?is subsection2 7,,ii7 ! p>ticipation ( und]repres5t$ & economically disadvantag$ p>ticipants 9 demon/ration projects conduct$ "u ?is subsection2 & 7,,iii7 recomm5dations = program revisions to a*ieve ! desir$ program outcome4 7#d7 ,appropriation ,out ( any funds 9 ! ,treasury n o!rwise appropriat$1 !re are appropriat$ to ! ,secret>y to c>ry out ?is subsection #e1jjj1jjj = ea* ( fiscal ye>s #bjba1 #bjbb1 & #bjbc4 4 7b7 ,inc5tive paym5ts = home heal? s]vices furni%$ by home heal? aides :o complete c]ta9 tra9+ ,section #ahcd ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7x7 ,inc5tive paym5ts = home heal? s]vices furni%$ by home heal? aides :o complete c]ta9 tra9+ ,9 ! case ( home heal? s]vices furni%$ on or aft] ,octob] #a1 #bjbj1 by a home heal? aide :o has successfully complet$ education or tra9+ "u a ,direct ,support ,work] ,c>e] ,advancem5t demon/ration project "u section #bjjh7;e71 9 addition to ! am\nt ( paym5t t w\ld o!rwise be made = su* s]vices "u ?is "p1 !re also %all be paid an am\nt equal to #be p]c5t ( ! paym5t am\nt = ! s]vice "u ?is "p4 4