,,ii  #aafth ,,congress  #b;d ,session  
,s4 #didc  ,,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 title ,,xix of the    
,social ,security ,act to provide       
enhanced ,federal matching payments for 
direct support worker training programs1
 and for other purposes4  #a4 ,short    
title ,this ,act may be cited as the    
,direct ,support ,worker ,training      
,reimbursement ,act4  #b4 ,medicaid     
funding for direct support worker       
training programs ,section #aijc of the 
,social ,security ,act 7#db ,u4,s4,c4   
#acif;b7 is amended-- 7#a7 in subsection
 7a77#b71 by adding at the end the      
following new subparagraph3  7,f7 for   
calendar quarters beginning on or after 
,january #a1 #bjba1 an amount equal to  
#ge percent of so much of the sums      
expended during such quarter for direct 
support worker training programs        

described in subsection 7bb7 7including 
the costs for eligible direct support   
workers 7as defined in such subsection7 
to complete such programs72 plus  2 and 
7#b7 by adding at the end the following 
new subsection3  7bb7 ,direct support   
worker training programs  7#a7 ,in      
general ,a direct support worker        
training program described in this      
subsection is a program approved by the 
,state under which eligible homecare    
workers are provided with-- 7,a7        
training in the core training           
competencies for personal or home care  
aides described in section              
#bjjh7;b77#c77;,a72 and  7,b7           
opportunities for education1 training1  
and career advancement4  7#b7 ,eligible 
direct support worker ,the term eligible
 direct support worker means a personal 
or home care aide 7as such term is      
defined in section #bjjh7;b77#f77;,c771 
a direct support worker1 a home health  
aide1 a nursing assistant1 or a direct  
support professional who-- 7,a7 has at  

least #cj percent of the worker's direct
 support client volume 7as estimated in 
accordance with a methodology           
established by the ,secretary7          
attributable to individuals who are     
receiving medical assistance under this 
title2 or  7,b7 is employed by an agency
 that is a provider of direct support   
services that has at least #cj percent  
of the agency's direct support client   
volume 7as so estimated7 attributable to
 such individuals4  4