,,ii ,calendar ,no4 #bhc #aafth ,,congress #ast ,session ,s4 #iie ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,april #b1 #bjai,ms4 ,collins 7for herself and ,ms4 ,baldwin7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,november #e1 #bjai,reported by ,mr4 ,alexander1 with an amendment,strike out all after the enacting clause and insert the part printed in italic ,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programs tens of thousands of dollars4 7#h7 ,the ,lifespan ,respite ,care ,act of #bjjf 7,public ,law #aji-ddb7 was originally enacted to improve the delivery and quality of respite care services available to families across all age and disability groups by establishing coordinated lifespan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 #a4 ,short title ,this ,act may be cited as the ,lifespan ,respite ,care ,reauthorization ,act of #bjai4 #b4 ,reauthorization of lifespan respite care program 7a7 ,data collection and reporting ,section #bijd of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;ii-#c7 is amended to read as follows3 #bijd4 ,data collection and reporting 7a7 ,in general ,each ,state agency awarded a grant or cooperative agreement under section #bijb shall report such data1 information1 and metrics as the ,secretary may require for purposes of-- 7#a7 evaluating ,state programs and activities funded pursuant to such grant or cooperative agreement1 including any results pursuant to section #bijb7;d77#b77;,b77xii72 and 7#b7 identifying effective programs and activities funded pursuant to section #bijb4 7b7 ,report ,not later than ,october #a1 #bjbc1 the ,secretary shall submit a report to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives regarding the outcomes of the programs and activities funded pursuant to section #bijb1 including any effective programs and activities identified4 4 7b7 ,funding ,section #bije of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;ii-#d7 is amended by striking title and all that follows through the period and inserting title1 #aj1jjj1jjj for each of fiscal years #bjbj through fiscal year #bjbd44 ,november #e1 #bjai,reported with an amendment