,,ii #aag? ,,congress #a/ ,session ,s4 #bcdd ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,july #ad1 #bjba,mr4 ,ka9e 7= himself1 ,mr4 ,casey1 ,ms4 ,hassan1 ,ms4 ,duckwor?1 ,mr4 ,re$1 ,mr4 ,wyd51 ,mrs4 ,gillibr&1 & ,ms4 ,ros57 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to aw>d grants = ! creation1 recruitm5t1 tra9+ & education1 ret5tion1 & advancem5t ( ! direct c>e work=ce & to aw>d grants to support family c>egiv]s4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,support+ ,our ,direct ,c>e ,work=ce & ,family ,c>egiv]s ,act4 #b4 ,def9itions ,9 ?is ,act3 7#a7 ,appr5tice%ip program ,! t]m appr5tice%ip program means an appr5tice%ip program regi/]$ "u ! ,act ( ,augu/ #af1 #aicg 7commonly kn[n z ! ,national ,appr5tice%ip ,act2 #ej ,/at4 #ffd1 *apt] #ffc2 #bi ,u4,s4,c4 #ej et seq471 includ+ any requirem5t1 /&>d1 or rule promulgat$ "u su* ,act4 7#b7 ,community college ,! t]m community college means a public in/itution ( high] education at :i* ! highe/ degree t is pr$om9antly aw>d$ to /ud5ts is an associate's degree1 includ+ ,tribal ,colleges or ,univ]sities receiv+ grants "u section #caf ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajei;c7 t (f] a #b-ye> program = completion ( su* degree & ,/ate public in/itutions ( high] education t (f] su* a #b-ye> program4 7#c7 ,direct c>e pr(essional ,! t]m direct c>e pr(essional-- 7,a7 means an individual :o1 9 ex*ange = comp5sation1 provides s]vices to a p]son ) a disability or an old] individual t promotes ! indep5d5ce ( su* p]son or individual1 includ+-- 7i7 s]vices t enhance ! indep5d5ce & community inclusion = su* p]son or individual1 includ+ travel+ ) su* p]son or individual or att5d+ & assi/+ su* p]son or individual :ile visit+ fri5ds & family1 %opp+1 or socializ+2 7ii7 s]vices su* z coa*+ & support+ su* p]son or individual 9 communicat+ ne$s1 a*iev+ self-expression1 pursu+ p]sonal goals1 liv+ indep5d5tly1 & p>ticipat+ actively 9 employm5t or volunt>y roles 9 ! community2 7iii7 s]vices su* z provid+ assi/ance ) activities ( daily liv+ 7su* z fe$+1 ba?+1 toilet+1 & ambulation7 & ) tasks su* z meal prep>ation1 %opp+1 light h\sekeep+1 & laundry2 7iv7 s]vices t support su* p]son or individual at home1 "w1 s*ool1 or 9 any o!r community sett+2 or 7v7 s]vices t promote heal? & wellness1 includ+ s*$ul+ & tak+ su* p]son or individual to heal? c>e appo9tm5ts1 communicat+ ) heal? & alli$ heal? pr(essionals adm9i/]+ m$ications1 implem5t+ heal? & behavioral heal? int]v5tions & treatm5t plans1 monitor+ & record+ heal? /atus & progress2 & 7,b7 may include-- 7i7 a direct support pr(essional support+ p ) intellectual & developm5tal disabilities2 7ii7 a home & community-bas$ s]vices manag] or direct support pr(essional manag]2 7iii7 a self-direct$ c>e work]2 7iv7 a p]sonal c>e s]vice work]2 7v7 a direct c>e work]1 z def9$ 9 section #gii;,b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #biep72 or 7vi7 any o!r position or job relat$ to ! home c>e or direct c>e work=ce1 su* z positions or jobs 9 respite c>e or palliative c>e1 z det]m9$ by ! ,secret>y1 9 consultation ) ! ,c5t] = ,m$ic>e ,m$icaid ,s]vices & ! ,secret>y ( ,labor4 7#d7 ,direct c>e work=ce ,! t]m direct c>e work=ce means ! broad work=ce ( direct c>e pr(essionals4 7#e7 ,family c>egiv] ,! t]m family c>egiv] has ! mean+ giv5 su* t]m 9 section #b ( ! ,,raise ,family ,c>egiv]s ,act 7#db ,u4,s4,c4 #cjcjs note2 ,public ,law #aae-aai7 & includes paid & unpaid family c>egiv]s4 7#f7 ,eligible entity ,! t]m eligible entity means an entity-- 7,a7 t is-- 7i7 a ,/ate2 7ii7 a labor organization1 jo9t labor-managem5t organization1 or employ] ( direct c>e pr(essionals2 7iii7 a nonpr(it entity ) exp]i5ce 9 ag+1 disability1 or support+ ! rights & int]e/s (1 tra9+ (1 or educat+ direct c>e pr(essionals or family c>egiv]s2 7iv7 an ,indian ,tribe1 ,tribal organization1 or ,urban ,indian organization2 7v7 a community college or o!r in/itution ( high] education2 or 7vi7 a consortium ( entities li/$ 9 any ( clauses 7i7 ?r\gh 7v72 7,b7 t agrees to include1 z applicable ) respect to ! type ( grant ! entity is seek+ "u ?is ,act & ! activities support$ ?r\gh su* grant1 old] individuals1 p ) disabilities1 direct c>e pr(essionals1 & family c>egiv]s1 z advisors & tra9]s 9 su* activities2 & 7,c7 t agrees to consult ) ! ,/ate ,m$icaid ag5cy ( ! ,/ate 7or ea* ,/ate7 s]v$ by ! grant on ! grant activities1 to ! ext5t t su* ag5cy 7or ea* su* ag5cy7 is n ! eligible entity4 7#g7 ,employ] ,! t]ms employ & employ] h ! mean+s giv5 ! t]ms 9 section #c ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #bjc et seq474 7#h7 ,indian ,tribe2 ,tribal organization ,! t]ms ,indian ,tribe & ,tribal organization h ! mean+s giv5 su* t]ms 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 7#i7 ,in/itution ( high] education ,! t]m in/itution ( high] education means-- 7,a7 an in/itution ( high] education def9$ 9 section #aja ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja72 or 7,b7 an in/itution ( high] education def9$ 9 section #ajb7;a77#a77;,b7 ( su* ,act 7#bj ,u4,s4,c4 #ajjb7;a77#a77;,b774 7#aj7 ,old] individual ,! t]m old] individual means an individual :o is #fj ye>s ( age or old]4 7#aa7 ,p]son ) a disability ,! t]m p]son ) disability means an individual ) a disability1 z def9$ 9 section #c ( ! ,am]icans ) ,disabilities ,act ( #aiij 7#db ,u4,s4,c4 #abajb74 7#ab7 ,project p>ticipant ,! t]m project p>ticipant means an individual p>ticipat+ 9 a project or activity assi/$ ) a grant "u ?is ,act1 includ+ 7z applicable = ! category ( ! grant7 a direct c>e pr(essional1 or an individual tra9+ to be su* a pr(essional1 or a family c>egiv]4 7#ac7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,adm9i/rator = ,community ,liv+4 7#ad7 ,self-direct$ c>e pr(essional ,! t]m self-direct$ c>e pr(essional means a direct c>e pr(essional :o is employ$ by an individual :o is an old] individual1 a p]son ) a disability1 or a repres5tative ( su* old] individual or p]son ) a disability1 & su* old] individual or p]son ) a disability has ! decision-mak+ au?ority ov] c]ta9 supports & s]vices provid$ by ! direct c>e pr(essional & takes direct responsibility to manage ^? supports & s]vices4 7#ae7 ,supportive s]vices ,! t]m supportive s]vices means s]vices t are necess>y to enable an individual to p>ticipate 9 activities assi/$ ) a grant "u ?is ,act1 su* z transportation1 *ild c>e1 dep5d5t c>e1 h\s+1 workplace accommodations1 employee b5efits su* z paid sick leave & *ild c>e1 workplace heal? & safety protections1 wages & ov]time pay1 & ne$s-relat$ paym5ts4 7#af7 ,urban indian organization ,! t]m urban ,indian organization has ! mean+ giv5 ! t]m 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc74 7#ag7 ,work=ce innovation & opportunity act t]ms ,! t]ms c>e] pa?way1 c>e] plann+1 9-dem& indu/ry sector or occupation1 individual ) a b>ri] to employm5t1 local bo>d1 on-!-job tra9+1 recogniz$ po/second>y cr$5tial1 region1 & ,/ate bo>d h ! mean+s giv5 su* t]ms 9 section #c ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cajb74 7#ah7 ,"w-bas$ le>n+ ,! t]m "w-bas$ le>n+ has ! mean+ giv5 ! t]m 9 section #c ( ! ,c>l ,d4 ,p]k9s ,c>e] & ,te*nical ,education ,act ( #bjjf 7#bj ,u4,s4,c4 #bcjb74 #c4 ,au?ority to e/abli% a te*nical assi/ance c5t] = build+ ! direct c>e work=ce 7a7 ,program au?oriz$ ,! ,secret>y %all e/abli% a national te*nical assi/ance c5t] 7ref]r$ to 9 ?is section z ! ,c5t]7 =1 9 consultation ) ! ,secret>y ( ,labor1 ! ,secret>y ( ,education1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 & ! heads ( o!r entities z necess>y-- 7#a7 support+ direct c>e work=ce creation1 tra9+ & education1 recruitm5t1 ret5tion1 & advancem5t2 & 7#b7 support+ family c>egiv]s & activities ( family c>egiv]s z a critical "p ( ! support team = old] individuals or p ) disabilities4 7b7 ,advisory c\ncil ,! ,secret>y %all conv5e an advisory c\ncil to provide recomm5dations to ! ,c5t] ) respect to ! duties ( ! ,c5t] "u ?is section & may engage individuals & entities describ$ 9 p>agraphs 7#c77;,b71 & 7#ab71 ( section #e7;b7 7)\t reg>d to a specific project describ$ 9 su* p>agraphs7 = s]vice on ! advisory c\ncil4 7c7 ,activities ,! ,c5t] may-- 7#a7 develop recomm5dations = tra9+ & education curricula = direct c>e pr(essionals1 :i* su* recomm5dations may include recomm5dations = curricula = high] education1 po/second>y cr$5tials1 & programs ) community colleges2 7#b7 develop le>n+ & dissem9ation /rategies to-- 7,a7 engage ,/ates & o!r entities 9 activities support$ "u ?is ,act & be/ practices2 & 7,b7 di/ribute f9d+s f activities support$ by grants "u ?is ,act2 7#c7 develop recomm5dations = tra9+ & education curricula & o!r /rategies = support+ family c>egiv]s2 7#d7 explore ! national data gaps1 work=ce %ortage areas1 & data collection /rategies = direct c>e pr(essionals & make recomm5dations to ! ,director ( ! ,(fice ( ,managem5t & ,budget = an occupation category 9 ! ,/&>d ,occupational ,classification sy/em = direct support pr(essionals z a heal?c>e support occupation2 7#e7 recomm5d c>e] developm5t & advancem5t opportunities = direct c>e pr(essionals1 :i* may include occupational frameworks1 national /&>ds1 recruitm5t campaigns1 pre-appr5tice%ip & on-!-job tra9+ opportunities1 appr5tice%ip programs1 c>e] ladd]s or pa?ways1 specializations or c]tifications1 or o!r activities2 & 7#f7 develop /rategies = assi/+ ) report+ & evaluation ( grant activities "u section #g4 #d4 ,au?ority to aw>d grants 7a7 ,grants 7#a7 ,9 g5]al ,n lat] ?an #ab mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y1 9 consultation ) ! ,c5t] = ,m$ic>e ,m$icaid ,s]vices1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ,education1 %all aw>d grants describ$ 9 p>agraph 7#b7 to eligible entities4 ,a grant aw>d$ "u ?is section may be 9 m ?an #a category describ$ 9 su* p>agraph4 7#b7 ,categories ( grants ,! categories ( grants describ$ 9 ?is p>agraph are ea* ( ! foll[+3 7,a7 ,direct c>e pr(essional grants ,grants to eligible entities to create & c>ry out projects = ! purposes ( recruit+1 reta9+1 or provid+ advancem5t opportunities = direct c>e pr(essionals :o are n describ$ 9 subp>agraph 7,b7 or 7,c71 includ+ ?r\gh education or tra9+ programs = su* pr(essionals or individuals seek+ to become su* pr(essionals4 7,b7 ,direct c>e pr(essional manag]s grants ,grants to eligible entities to create & c>ry out projects = ! purposes ( recruit+1 reta9+1 or provid+ advancem5t opportunities = direct c>e pr(essionals :o are manag]s or sup]visory /aff t h coa*+1 tra9+1 manag]ial1 sup]visory1 or o!r ov]sight responsibilities1 includ+ ?r\gh education or tra9+ programs = su* pr(essionals or individuals seek+ to become su* pr(essionals4 7,c7 ,self-direct$ c>e pr(essionals grants ,grants to eligible entities to create & c>ry out projects = ! purposes ( recruit+1 reta9+1 or provid+ advancem5t opportunities = self-direct$ c>e pr(essionals1 includ+ ?r\gh education or tra9+ programs = su* pr(essionals or individuals seek+ to become su* pr(essionals4 7,d7 ,family c>egiv] grants ,grants to eligible entities to create & c>ry out projects = provid+ support to paid or unpaid family c>egiv]s ?r\gh educational1 tra9+1 or o!r res\rces1 includ+ res\rces = c>egiv] self-c>e or educational or tra9+ res\rces = individuals newly 9 a c>egiv+ role or seek+ additional support 9 ! role ( a family c>egiv]4 7#c7 ,projects = advancem5t opportunities ,n less ?an #cj p]c5t ( projects assi/$ ) grants "u ?is ,act %all be projects to provide c>e] pa?ways t (f] opportunities = pr(essional developm5t & advancem5t opportunities to direct c>e pr(essionals4 7b7 ,treatm5t ( cont9uation activities ,an eligible entity t c>ries out activities describ$ 9 subsection 7a77#b7 prior to receipt ( a grant "u ?is ,act may use su* grant to cont9ue c>ry+ out su* activities1 &1 9 us+ su* grant to cont9ue su* activities1 %all be treat$ z an eligible entity c>ry+ out a project ?r\gh a grant "u ?is ,act4 #e4 ,project plans 7a7 ,9 g5]al ,an eligible entity seek+ a grant "u ?is ,act %all submit to ! ,secret>y a project plan = ea* project to be develop$ & c>ri$ out 7or = activities to be cont9u$ z describ$ 9 section #d7;b77 ) ! grant at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7b7 ,cont5ts ,a project plan submitt$ by an eligible entity "u subsection 7a7 %all include a description ( in=mation det]m9$ relevant by ! ,secret>y = purposes ( ! category ( ! grant & ! activities to be c>ri$ out ?r\gh ! grant4 ,su* in=mation may include 7z applicable7 ! foll[+3 7#a7 ,demographic in=mation reg>d+ ! population 9 ! ,/ate or relevant geographic area1 includ+ a description ( ! populations likely to ne$ long-t]m c>e s]vices1 su* z p ) disabilities & old] individuals4 7#b7 ,projections ( unmet ne$ = s]vices provid$ by direct c>e pr(essionals bas$ on enrollm5t wait+ li/s "u home & community-bas$ waiv]s "u section #aaae ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acae7 or section #aiae7;c7 ( su* ,act 7#db ,u4,s4,c4 #acifn7c77 & o!r relevant data to ! ext5t practicable & feasible1 su* z direct c>e work=ce vacancy rates1 crude sep>ation rates1 & ! numb] ( direct c>e pr(essionals1 includ+ su* pr(essionals :o are manag]s or sup]visors1 9 ! region4 7#c7 ,an advisory committee to advise ! eligible entity on activities to be c>ri$ out ?r\gh ! grant4 ,su* advisory committee-- 7,a7 may be compris$ ( entities li/$ 9 p>agraph 7#ab72 & 7,b7 %all include-- 7i7 old] individuals or p]sons ) a disability2 7ii7 organizations repres5t+ ! rights & int]e/s ( p receiv+ s]vices by ! direct c>e pr(essionals or family c>egiv]s t>get$ by ! project2 7iii7 individuals :o are direct c>e pr(essionals or family c>egiv]s t>get$ by ! project & organizations repres5t+ ! rights & int]e/s ( direct c>e pr(essionals or family c>egiv]s2 7iv7 z applicable1 employ]s ( individuals describ$ 9 clause 7iii7 & labor organizations repres5t+ su* individuals2 7v7 repres5tatives ( ! ,/ate ,m$icaid ag5cy1 ! ,/ate ag5cy def9$ 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb71 ! ,/ate developm5tal disabilities (fice1 & ! ,/ate m5tal heal? ag5cy1 9 ! ,/ate 7or ea* ,/ate7 to be s]v$ by ! project2 & 7vi7 repres5tatives reflect+ div]se racial1 cultural1 e?nic1 geographic1 socioeconomic1 & g5d] id5tity & sexual ori5tation p]spectives4 7#d7 ,curr5t or project$ job op5+s =1 or relevant labor m>ket in=mation relat$ to1 ! direct c>e pr(essionals t>get$ by ! project 9 ! ,/ate or region to be s]v$ by ! project1 & ! geographic scope ( ! work=ce to be s]v$ by ! project4 7#e7 ,specific ef=ts & /rategies t ! project w und]take to r$uce b>ri]s to recruitm5t1 ret5tion1 or advancem5t ( ! direct c>e pr(essionals t>get$ by ! project1 includ+ an assurance t su* ef=ts w include-- 7,a7 an assessm5t ( ! wages or o!r comp5sation or b5efits necess>y to recruit & reta9 ! direct c>e pr(essionals t>get$ by ! project2 7,b7 a description ( ! project's project$ comp5sation or b5efits = ! direct c>e pr(essionals t>get$ by ! project at ! ,/ate or local level1 includ+ a comp>ison ( su* project$ comp5sation or b5efits to regional & national comp5sation or b5efits & a description ( h[ wages & b5efits receiv$ by project p>ticipants w be impact$ by ! p>ticipation 9 & completion ( ! project2 & 7,c7 a description ( ! project$ impact ( workplace safety issues on ! recruitm5t & ret5tion ( direct c>e pr(essionals t>get$ by ! project1 includ+ ! availability ( p]sonal protective equipm5t4 7#f7 ,9 ! case ( a project (f]+ an education or tra9+ program = direct c>e pr(essionals1 a description ( su* program 7includ+ h[ ! core compet5cies id5tifi$ by ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices w be incorporat$1 curricula1 models1 & /&>ds us$ "u ! program1 & any associat$ recogniz$ po/second>y cr$5tials = :i* ! program provides prep>ation1 z applicable71 :i* %all include an assurance t su* program w provide to ea* project p>ticipant 9 su* program-- 7,a7 relevant tra9+ reg>d+ ! rights ( recipi5ts ( home & community bas$ s]vices1 includ+ _! rights to-- 7i7 receive s]vices 9 integrat$ sett+s t provide access to ! broad] community2 7ii7 ex]cise self-det]m9ation2 7iii7 be free f all =ms ( abuse1 neglect1 or exploitation2 & 7iv7 p]son-c5t]$ plann+ & practices1 includ+ p>ticipation 9 plann+ activities2 7,b7 relevant tra9+ to ensure t ea* project p>ticipant has ! necess>y skills to recognize abuse & und]/& _! obligations ) reg>d to report+ & respond+ to abuse appropriately 9 accordance ) relevant ,f$]al & ,/ate law2 7,c7 relevant tra9+ reg>d+ ! provision ( culturally compet5t & disability compet5t supports to recipi5ts ( s]vices provid$ by ! direct c>e pr(essionals t>get$ by ! project2 7,d7 an appr5tice%ip program1 "w-bas$ le>n+1 or on-!-job tra9+ opportunities2 7,e7 sup]vision or m5tor+2 & 7,f7 = any on-!-job tra9+ portion ( ! program1 a progressively increas+1 cle>ly def9$ s*$ule ( wages to be paid to ea* su* p>ticipant t-- 7i7 is consi/5t ) skill ga9s or atta9m5t ( a recogniz$ po/second>y cr$5tial receiv$ z a result ( p>ticipation 9 or completion ( su* program2 & 7ii7 ensures ! entry wage is n less ?an ! great] (-- 7,i7 ! m9imum wage requir$ "u section #f7;a7 ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #bjf7;a772 or 7,,ii7 ! applicable wage requir$ by o!r applicable ,f$]al or ,/ate law1 or a collective b>ga9+ agreem5t4 7#g7 ,any o!r innovative models or processes ! eligible entity w implem5t to support ! ret5tion & c>e] advancem5t ( ! direct c>e pr(essionals t>get$ by ! project4 7#h7 ,! supportive s]vices & b5efits to be provid$ to ! project p>ticipants 9 ord] to support ! employm5t1 ret5tion1 or c>e] advancem5t ( ! direct c>e pr(essionals t>get$ by ! project4 7#i7 ,h[ ! eligible entity w make use ( c>e] plann+ to support ! id5tification ( advancem5t opportunities & c>e] pa?ways = ! direct c>e pr(essionals 9 ! ,/ate or region to be s]v$ by ! project4 7#aj7 ,h[ ! eligible entity w collect & submit to ! ,secret>y work=ce data & outcomes ( ! project4 7#aa7 ,h[ ! project-- 7,a7 w-- 7i7 provide adequate & safe equipm5t & facilities = tra9+ & sup]vision1 includ+ a safe "w environm5t free f discrim9ation1 :i* may include ! provision ( p]sonal protective equipm5t & o!r necess>y equipm5t to prev5t ! spread ( infecti\s disease among ! direct c>e pr(essionals t>get$ by ! project & recipi5ts ( s]vices provid$ by su* pr(essionals2 7ii7 incorporate remote tra9+ & education opportunities or te*nology-support$ opportunities2 7iii7 = tra9+ & education curricula1 incorporate evid5c$-support$ practices = adult le>n]s & univ]sal design = le>n+ & ensure recipi5ts ( s]vices provid$ by ! direct c>e pr(essionals or family c>egiv]s t>get$ by ! project p>ticipate 9 ! developm5t & implem5tation ( su* tra9+ & education curricula2 7iv7 use outrea*1 recruitm5t1 & ret5tion /rategies design$ to rea* & reta9 a div]se work=ce2 7v7 incorporate me?ods to monitor satisfaction ) project activities = project p>ticipants & individuals receiv+ s]vices f su* p>ticipants2 7vi7 incorporate evid5ce-support$ practices = family c>egiv] engagem5t2 & 7vii7 incorporate core compet5cies id5tifi$ by ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 & 7,b7 may incorporate cont9u+ education programs & specialty tra9+1 ) a specific focus on-- 7i7 trauma-in=m$ c>e2 7ii7 behavioral heal?1 includ+ co-occurr+ behavioral heal? conditions & intellectual or developm5tal disabilities2 7iii7 ,alzheim]'s & dem5tia c>e2 7iv7 *ronic disease managem5t2 & 7v7 ! use ( supportive or assi/ive te*nology4 7#ab7 ,h[ ! eligible entity w consult on ! implem5tation ( ! project1 or coord9ate ! project )1 ea* ( ! foll[+ entities1 to ! ext5t t ea* su* entity is n ! eligible entity3 7,a7 ,! ,/ate ,m$icaid ag5cy1 ,/ate ag5cy def9$ 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb71 & ! ,/ate developm5tal disabilities (fice = ! ,/ate 7or ea* ,/ate7 to be s]v$ by ! project4 7,b7 ,! local bo>d & ,/ate bo>d = ea* region1 or ,/ate1 to be s]v$ by ! project4 7,c7 ,9 ! case ( a project t c>ries out an education or tra9+ program1 a nonpr(it organization ) demon/rat$ exp]i5ce 9 ! developm5t or deliv]y ( curricula or c\rsework4 7,d7 ,a nonpr(it organization1 includ+ a labor organization1 t fo/]s ! pr(essional developm5t & collective engagem5t ( ! direct c>e pr(essionals t>get$ by ! project4 7,e7 ,area ag5cies on ag+1 z def9$ 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb74 7,f7 ,c5t]s = indep5d5t liv+1 z describ$ 9 "p ,c ( title ,,vii ( ! ,rehabilitation ,act ( #aigc 7#bi ,u4,s4,c4 #gif;f et seq474 7,g7 ,! ,/ate ,c\ncil on ,developm5tal ,disabilities 7z su* t]m is us$ 9 subtitle ,b ( title ,i ( ! ,developm5tal ,disabilities ,assi/ance & ,bill ( ,rights ,act ( #bjjj 7#db ,u4,s4,c4 #aejba et seq477 = ! ,/ate 7or ea* ,/ate7 to be s]v$ by ! project4 7,h7 ,ag+ & ,disability ,res\rce ,c5t]s 7z def9$ 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb774 7,i7 ,a nonpr(it ,/ate provid] association t repres5ts provid]s :o employ ! direct c>e pr(essionals t>get$ by ! project1 :]e su* associations exi/4 7,j7 ,an entity t employs ! direct c>e pr(essionals t>get$ by ! project4 7,k7 ,univ]sity ,c5t]s = ,excell5ce 9 ,developm5tal ,disabilities ,education1 ,rese>*1 & ,s]vices support$ "u subtitle ,d ( title ,i ( ! ,developm5tal ,disabilities ,assi/ance & ,bill ( ,rights ,act ( #bjjj 7#db ,u4,s4,c4 #aejfa et seq474 7,l7 ,! ,/ate protection & advocacy sy/em describ$ 9 section #adc ( su* ,act 7#db ,u4,s4,c4 #aejdc7 ( ! ,/ate 7or ea* ,/ate7 to be s]v$ by ! project4 7,m7 ,direct c>e pr(essionals or direct c>e work=ce organizations repres5t+ und]s]v$ communities1 includ+ communities ( color4 7#ac7 ,h[ ! eligible entity w consult ?r\gh\t ! project )-- 7,a7 individuals employ$ or work+ z ! direct c>e pr(essionals or family c>egiv]s t>get$ by ! project2 7,b7 repres5tatives ( su* pr(essionals or c>egiv]s2 7,c7 individuals assi/$ by su* pr(essionals or c>egiv]s2 7,d7 ! families ( su* pr(essionals or c>egiv]s2 & 7,e7 individuals receiv+ education or tra9+ to become su* pr(essionals or c>egiv]s4 7#ad7 ,outrea* ef=ts to individuals = p>ticipation 9 su* project1 includ+ t>get$ outrea* ef=ts to-- 7,a7 individuals :o are recipi5ts ( assi/ance "u a ,/ate program fund$ "u "p ,a ( title ,,iv ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fja et seq47 or individuals :o are eligible = su* assi/ance2 & 7,b7 individuals ) b>ri]s to employm5t4 7c7 ,consid]ations ,9 select+ eligible entities to receive a grant "u ?is ,act1 ! ,secret>y %all ensure-- 7#a7 equitable geographic & demographic div]sity1 includ+ by select+ recipi5ts s]v+ rural areas & select+ recipi5ts s]v+ urban areas2 & 7#b7 t select$ eligible entities w s]ve areas :]e ! occupation ( direct c>e pr(essional1 or a relat$ occupation1 is an 9-dem& indu/ry sector or occupation4 #f4 ,uses ( funds2 supplem5t1 n supplant 7a7 ,uses ( funds 7#a7 ,9 g5]al ,ea* eligible entity receiv+ a grant "u ?is ,act %all use ! funds ( su* grant to c>ry out at lea/ #a project describ$ 9 section #d7;a77#b74 7#b7 ,adm9i/rative co/s ,ea* eligible entity receiv+ a grant "u ?is ,act %all n use m ?an #e p]c5t ( ! funds ( su* grant = co/s associat$ ) ! adm9i/ration ( activities "u ?is ,act4 7#c7 ,direct support ,ea* eligible entity receiv+ a grant "u ?is ,act %all use n less ?an #e p]c5t ( ! funds ( su* grant to provide direct f9ancial b5efits or supportive s]vices to direct c>e pr(essionals to support ! f9ancial ne$s ( su* p>ticipants dur+ ! duration ( ! project activities4 7b7 ,supplem5t1 n supplant ,an eligible entity receiv+ a grant "u ?is ,act %all use su* grant only to supplem5t1 & n supplant1 ! am\nt ( funds t1 9 ! abs5ce ( su* grant1 w\ld be available to address ! recruitm5t1 tra9+ & education1 ret5tion1 & advancem5t ( direct c>e pr(essionals or provide support = family c>egiv]s1 9 ! ,/ate or region s]v$ by ! eligible entity4 7c7 ,prohibition ,no am\nts made available "u ?is ,act may be us$ = any activity t is subject to ! report+ requirem5ts set =? 9 section #bjc7;a7 ( ! ,labor-,managem5t ,report+ & ,disclosure ,act ( #aiei 7#bi ,u4,s4,c4 #dcc7;a774 #g4 ,evaluations & reports2 te*nical assi/ance 7a7 ,report+ requirem5ts by grant recipi5ts 7#a7 ,9 g5]al ,an eligible entity receiv+ a grant "u ?is ,act %all coop]ate ) ! ,secret>y & annually provide a report to ! ,secret>y t includes any relevant data reque/$ by ! ,secret>y 9 a mann] specifi$ by ! ,secret>y4 7#b7 ,cont5ts ,! data reque/$ by ! ,secret>y = an annual report may include any ( ! foll[+ 7z det]m9$ relevant by ! ,secret>y ) respect to ! category ( ! grant & ea* project support$ ?r\gh ! grant73 7,a7 ,! numb] ( individuals & ! demographics ( ^! individuals s]v$ by ea* project support$ by ! grant1 includ+-- 7i7 ! numb] ( individuals recruit$ ?r\gh ea* su* project to be employ$ z a direct c>e pr(essional2 7ii7 ! numb] ( individuals :o ?r\gh ea* su* project atta9$ employm5t z a direct c>e pr(essional2 & 7iii7 ! numb] ( individuals :o enroll$ 9 ea* su* project & )drew or 7 t]m9at$ f ea* su* project )\t complet+ tra9+ or atta9+ employm5t z a direct c>e pr(essional4 7,b7 ,! numb] ( family c>egiv]s p>ticipat+ 9 an education or tra9+ program ?r\gh ea* project support$ by ! grant4 7,c7 ,! numb] ( project p>ticipants :o ?r\gh ea* su* project p>ticipat$ 9 & complet$-- 7i7 "w-bas$ le>n+2 7ii7 on-!-job tra9+2 7iii7 an appr5tice%ip program2 or 7iv7 a pr(essional developm5t or m5tor+ program4 7,d7 7i7 ,o!r s]vices1 b5efits1 or supports 7o!r ?an ! s]vices1 b5efits1 or supports describ$ 9 subp>agraph 7,c77 provid$ ?r\gh ea* su* project to assi/ 9 ! recruitm5t1 ret5tion1 or advancem5t ( direct c>e pr(essionals 7includ+ ?r\gh education or tra9+ = su* pr(essionals or individuals seek+ to become su* pr(essionals72 7ii7 ! numb] ( individuals :o access$ su* s]vices1 b5efits1 or supports2 & 7iii7 ! impact ( su* s]vices1 b5efits1 or supports4 7,e7 ,! crude sep>ation & vacancy rates ( direct c>e pr(essionals1 & su* rates = ^? pr(essionals :o are manag]s or sup]visors1 9 ! geographic region = a numb] ( ye>s be=e ! grant 0 aw>d$1 z det]m9$ by ! ,secret>y1 & annually !reaft] = ! duration ( ! grant p]iod4 7,f7 ,h[ ea* project support$ by ! grant assess$ satisfaction ) respect to-- 7i7 project p>ticipants assi/$ by ! project2 7ii7 individuals receiv+ s]vices deliv]$ by project p>ticipants1 includ+-- 7,i7 any impact on ! heal? or heal? outcomes ( su* individuals2 & 7,,ii7 any impact on ! ability ( individuals to transition to or rema9 9 ! community 9 an environm5t t meets ! crit]ia e/abli%$ 9 ! section #dda4cja7;c77#d7 ( title #db1 ,code ( ,f$]al ,regulations 7or successor regulations72 & 7iii7 employ]s ( su* project p>ticipants4 7,g7 ,! p]=mance ( ! eligible entity ) respect to ! indicators ( p]=mance on unsubsidiz$ employm5t1 m$ian e>n+s1 cr$5tial atta9m5t1 measurable skill ga9s1 & employ] satisfaction4 7,h7 ,any o!r in=mation ) respect to outcomes ( ! project z det]m9$ by ! ,secret>y4 7b7 ,annual report to ,congress by ,secret>y ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 & ea* ye> !reaft] until all projects support$ ?r\gh a grant "u ?is ,act are complet$1 ! ,secret>y %all prep>e & submit to ,congress an annual report on ! progress ( ea* project support$ ?r\gh a grant "u ?is ,act & ! activities ( ! te*nical assi/ance c5t] e/abli%$ "u section #c4 7c7 ,,gao report ,n lat] ?an #a ye> aft] ! date on :i* all projects support$ ?r\gh a grant "u ?is ,act are complet$1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy & submit to ,congress a report includ+-- 7#a7 an assessm5t ( h[ ! te*nical assi/ance c5t] e/abli%$ "u section #c & ! projects support$ ?r\gh a grant "u ?is ,act assi/$ 9 ! creation1 recruitm5t1 tra9+ & education1 ret5tion1 & advancem5t ( ! direct c>e work=ce or 9 provid+ support = family c>egiv]s2 & 7#b7 recomm5dations = su* legislative or adm9i/rative actions ne$$ = improv+ ! assi/ance describ$ 9 p>agraph 7#a71 z ! ,comptroll] ,g5]al det]m9es appropriate4 7d7 ,indep5d5t evaluations ,n lat] ?an #f mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all ent] into a contract ) an indep5d5t entity to provide indep5d5t evaluations ( activities support$ by grants "u ?is ,act & activities ( ! te*nical assi/ance c5t] e/abli%$ "u section #c4 #h4 ,au?orization ( appropriations 7a7 ,9 g5]al ,!re are au?oriz$ to be appropriat$-- 7#a7 = ! e/abli%m5t & activities ( ! te*nical assi/ance c5t] "u section #c1 #b1jjj1jjj = ea* ( fiscal ye>s #bjbb ?r\gh #bjbf2 & 7#b7 = grants "u section #d1 #a1jjj1jjj1jjj = fiscal ye> #bjbb4 7b7 ,availability ,am\nts made available "u ?is ,act %all rema9 available until ,septemb] #cj1 #bjca4