,,ii  #aafth ,,congress  #ast ,session  
,s4 #iie  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,april #b1 #bjai,ms4
 ,collins introduced the following bill2
 which was read twice and referred to   
the ,committee on ,health1 ,education1  
,labor1 and ,pensions  ,a ,,bill  ,to   
amend title ,,xxix of the ,public       
,health ,service ,act to reauthorize the
 program under such title relating to   
lifespan respite care4  #a4 ,short title
 ,this ,act may be cited as the         
,lifespan ,respite ,care                
,reauthorization ,act of #bjai4  #b4    
,findings ,congress finds the following3
  7#a7 ,there are an estimated          
#dc1jjj1jjj family caregivers nationwide
 that provide care for loved ones with  
chronic1 disabling health conditions    
across the lifespan4  7#b7 ,the economic
 value of uncompensated family          
caregiving to the ,united ,states       
economy was estimated at                
#dgj1jjj1jjj1jjj in #bjac1 more than    
total ,medicaid spending of             

#ddi1jjj1jjj1jjj1 including both        
,federal and ,state contributions for   
medical and long-term care in the same  
year4  7#c7 ,while caring for the aging 
population remains a growing concern1   
more than half of care recipients are   
under age #ge1 and almost one-third are 
under age #ej4  7#d7 ,respite provides  
temporary relief to caregivers from the 
ongoing responsibility of caring for    
individuals of all ages with special    
needs4  7#e7 ,respite care is one of the
 most commonly requested caregiver      
support services4  7#f7 ,respite has    
been shown to provide family caregivers 
with the relief necessary to maintain   
their own health1 balance work and      
family1 bolster family stability1 keep  
marriages intact1 and avoid or delay    
more costly nursing home or foster care 
placements4  7#g7 ,delaying nursing     
home1 institutional1 or foster care     
placement of just one individual for    
several months can save ,medicaid1 child
 welfare1 or other government programs  

tens of thousands of dollars4  7#h7 ,the
 ,lifespan ,respite ,care ,act of #bjjf 
7,public ,law #aji-ddb7 was originally  
enacted to improve the delivery and     
quality of respite care services        
available to families across all age and
 disability groups by establishing      
coordinated lifespan respite systems4   
7#i7 ,thirty-seven ,states and the      
,district of ,columbia have received    
grants under the ,lifespan ,respite     
,care ,act of #bjjf to improve the      
availability and quality of respite     
services across the lifespan4  7#aj7    
,for the ,nation's wounded              
servicemembers and veterans with        
traumatic brain injuries and other      
conditions1 respite systems could be an 
integral lifeline for families in their 
new roles as lifelong family caregivers4
  7#aa7 ,the ,department of ,veterans   
,affairs and ,congress have both        
acknowledged the unique challenges      
facing caregivers of returning          
servicemembers and veterans1 as well as 

the need for increased caregiver        
services4  7#ab7 ,the increased         
utilization of1 and costs to1 long-term 
care systems requires the continued     
development of coordinated family       
support services like lifespan respite  
care4  #c4 ,reauthorization of lifespan 
respite care program  7a7 ,data         
collection and reporting ,section #bijd 
of the ,public ,health ,service ,act    
7#db ,u4,s4,c4 #bij;ii-#c7 is amended to
 read as follows3  #bijd4 ,data         
collection and reporting ,each eligible 
,state agency awarded a grant or        
cooperative agreement under section     
#bijb shall collect1 maintain1 and      
report such data and records at such    
times1 in such form1 and in such manner 
as the ,secretary may require to enable 
the ,secretary--  7#a7 to monitor ,state
 administration of programs and         
activities funded pursuant to such grant
 or cooperative agreement2 and  7#b7 to 
evaluate1 and to compare effectiveness  
on a ,state-by-,state basis1 of programs

 and activities funded pursuant to      
section #bijb4  4  7b7 ,funding ,section
 #bije of the ,public ,health ,service  
,act 7#db ,u4,s4,c4 #cjj;ii-#d7 is      
amended by striking paragraphs 7#a7     
through 7#e7 and inserting the          
following3  7#a7 #bj1jjj1jjj for fiscal 
year #bjbj2  7#b7 #cj1jjj1jjj for fiscal
 year #bjba2  7#c7 #dj1jjj1jjj for      
fiscal year #bjbb2  7#d7 #ej1jjj1jjj for
 fiscal year #bjbc2 and  7#e7           
#fj1jjj1jjj for fiscal year #bjbd4  4