,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #didb  ,,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 fund additional projects t focus on 
compet5cy-bas$ tra9+ = p]sonal or home  
c>e aides1 & = o!r purposes4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,mollie 
,baldw9 ,upskill+ ( ,p]sonal & ,home    
,c>e ,aides ,act4  #b4 ,expansion (     
heal? & human s]vices pr(essions work=ce
 projects ,section #bjjh ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acig;g7  
is am5d$ by add+ at ! end ! foll[+ new  
subsection3  7e7 ,expansion ( heal? &   
human s]vices pr(essions work=ce        
projects  7#a7 ,au?ority to aw>d grants 
,! ,secret>y1 9 consultation ) !        
,secret>y ( ,labor1 %all aw>d grants to 
eligible entities to conduct projects-- 
7,a7 t employ upskill+ tra9+ models t   
focus on compet5cy-bas$ tra9+ =-- 7i7   

p]sonal or home c>e aides 7z def9$ 9    
subsection 7b772  7ii7 direct support   
pr(essionals2  7iii7 home heal? aides2 &
  7iv7 nurs+ assi/ants2 &  7,b7 t are   
design$ to provide eligible individuals 
) ! opportunity to obta9 education &    
tra9+ = positions z p]sonal or home c>e 
aides 7z s def9$71 direct support       
pr(essionals1 home heal? aides1 or nurs+
 assi/ants t pay a liv+ wage & are      
expect$ to ei!r exp]i5ce labor %ortages 
or be 9 high dem&2 &  7,c7 = :i* grants 
7 aw>d$ "u subsection 7a74  7#b7        
,selection ( projects  7,a7 ,requirem5ts
 = eligible entities ,an eligible entity
 seek+ to receive a grant "u ?is        
subsection to conduct a project %all    
demon/rate-- 7i7 t ! eligible entity has
 successfully conduct$ ! project 9 !    
pa/2 &  7ii7 t ! project implem5ts !    
core tra9+ compet5cies = p]sonal or home
 c>e aides describ$ 9 subsection        
7b77#c77;,a74  7,b7 ,priority = rural   
areas & und]s]v$ urban areas  7i7 ,9    
g5]al ,9 aw>d+ grants "u ?is subsection1

 ! ,secret>y %all give priority to      
projects t support-- 7,i7 rural areas 7z
 def9$ 9 section #bjjg7;f772 or  7,,ii7 
und]s]v$ urban areas 7includ+ urban     
heal? pr(essional %ortage areas 7z def9$
 9 section #ccb ( ! ,public ,heal?      
,s]vice ,act774  7ii7 ,?re%old =        
prioritiz$ projects ,9 aw>d+ grants "u  
?is subsection1 ! ,secret>y %all ensure 
t n less ?an #ej p]c5t ( ! grants aw>d$ 
"u ?is subsection %all be = projects    
describ$ 9 clause 7i74  7#c7 ,reports & 
evaluation  7,a7 ,eligible entities ,an 
eligible entity aw>d$ a grant to exp& a 
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  7,b7 ,evaluation ,!         
,secret>y %all1 by grant1 contract1 or  
int]ag5cy agreem5t1 evaluate ! 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 & o!r entry-level work]s1 a 
heal? & human s]vices 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 ! work=ce's ne$s1 & t 
is responsive to ! ne$s ( div]se racial 
& e?nic communities4  7,c7 ,report to   
,congress ,! ,secret>y %all submit      
int]im reports &1 bas$ on ! evaluation  
conduct$ "u subp>agraph 7,b71 a f9al    
report to ,congress on ! projects       
conduct$ "u ?is subsection4  7#d7       
,def9itions ,any t]m us$ 9 ?is          
subsection t is also us$ 9 subsection   
7a7 %all h ! same mean+ = purposes ( ?is
 subsection z su* t]m has 9 su*         
subsection 7a74  7#e7 ,fund+ ,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 #bjba    
?r\gh #bjca4  4