,,ii  #aag? ,,congress  #a/ ,session    
,s4 #cahi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #d1 #bjba,mr4 
,he9ri* 7= himself1 ,mr4 ,wyd51 ,mr4    
,lujn1 ,mr4 ,murphy1 ,mr4 ,blum5?al1 &  
,ms4 ,ros57 introduc$ ! foll[+ bill2 :i*
 0 read twice & ref]r$ to ! ,committee  
on ,f9ance  ,a ,,bill  ,to am5d title   
,,xx ( ! ,social ,security ,act to      
provide a pa?way to heal? c>e]s ?r\gh   
heal? pr(ession opportunity grants4  #a4
 ,%ort title ,?is ,act may be cit$ z !  
,pa?ways to ,heal? ,c>e]s ,act4  #b4    
,pa?ways to ,heal? ,c>e]s ,effective    
,octob] #a1 #bjba1 title ,,xx ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acig-acign-#ac7 is am5d$ by add+ at !  
end ! foll[+3  ,d ,c>e] pa?ways ?r\gh   
heal? pr(ession opportunity grants      
#bjga4 ,c>e] pa?ways ?r\gh heal?        
pr(ession opportunity grants  7a7       
,application requirem5ts ,an eligible   
entity desir+ a grant "u ?is section = a
 project %all submit to ! ,secret>y an  
application = ! grant1 t includes !     

foll[+3 7#a7 ,a description ( h[ !      
applicant w use a c>e] pa?ways approa*  
to tra9 eligible individuals = heal?    
pr(essions t w put eligible individuals 
on a c>e] pa? to an occupation t pays   
well1 "u ! project4  7#b7 ,a description
 ( ! adult basic education & lit]acy    
activities1 "w read9ess activities1     
tra9+ activities1 & case managem5t &    
c>e] coa*+ s]vices t ! applicant w use  
to assi/ eligible individuals to ga9 "w 
exp]i5ce1 connection to employ]s1 & job 
placem5t1 & a description ( ! plan =    
recruit+1 hir+1 & tra9+ /aff to provide 
! case managem5t1 m5tor+1 & c>e] coa*+  
s]vices1 "u ! project directly or ?r\gh 
local gov]nm5tal1 appr5tice%ip1         
educational1 or *>itable in/itutions4   
7#c7 ,a demon/ration t ! applicant has  
exp]i5ce work+ ) l[-income populations1 
or a description ( ! plan ( ! applicant 
to "w ) a p>tn] organization t has !    
exp]i5ce4  7#d7 ,a plan = provid+       
po/-employm5t support & ongo+ tra9+ z "p
 ( a c>e] pa?way "u ! project4  7#e7 ,a 

description ( ! support s]vices t !     
applicant w provide "u ! project1       
includ+ a plan = h[ *ild c>e &          
transportation support s]vices w be     
gu>ante$ &1 if ! applicant w provide a  
ca% /ip5d or wage supplem5t1 h[ ! /ip5d 
or supplem5t w\ld be calculat$ &        
di/ribut$4  7#f7 ,a c]tification by !   
applicant t ! project developm5t        
includ$-- 7,a7 consultation or commitm5t
 to consult ) a local work=ce developm5t
 bo>d2  7,b7 consid]ation ( regi/]$     
appr5tice%ip & pre-appr5tice%ip models2 
7,c7 consid]ation ( c>e] pa?way programs
 9 ! ,/ate 9 :i* ! project is to be     
conduct$2 &  7,d7 a review ( ! ,/ate    
plan "u section #ajb or #ajc ( !        
,work=ce ,innovation & ,opportunity     
,act4  7#g7 ,a description ( !          
availability & relevance ( rec5t labor  
m>ket in=mation & o!r p]t95t evid5ce (  
9-dem& jobs or work] %ortages4  7#h7 ,a 
c]tification t ! applicant w directly   
provide or contract = ! tra9+ s]vices   
describ$ 9 ! application4  7#i7 ,a      

commitm5t by ! applicant t1 if ! grant  
is made to ! applicant1 ! applicant w-- 
7,a7 dur+ ! plann+ p]iod = ! project1   
provide ! ,secret>y ) any in=mation ne$$
 by ! ,secret>y to e/abli% adequate data
 report+ & adm9i/rative /ructure = !    
project2  7,b7 hire a p]son to direct ! 
project n lat] ?an ! end ( ! plann+     
p]iod applicable to ! project2  7,c7    
accept all te*nical assi/ance (f]$ by ! 
,secret>y ) respect to ! grant2  7,d7   
p>ticipate 9 pe] te*nical assi/ance     
conf]5ces z are regul>ly s*$ul$ by !    
,secret>y2 &  7,e7 provide all data     
requir$ by ! ,secret>y "u subsection    
7g74  7b7 ,additional application elem5t
 ,9 consid]+ applications = a grant "u  
?is section1 ! ,secret>y %all require   
qualifi$ applicants to h at lea/ #a ( ! 
foll[+ application elem5ts-- 7#a7       
applications submitt$ by applicants to  
:om a grant 0 made "u ?is section or any
 pr$ecessor to ?is section2  7#b7       
applications submitt$ by applicants :o h
 bus9ess & community p>tn]s 9 ea* ( !   

foll[+ categories3 7,a7 ,/ate & local   
gov]nm5t ag5cies & social s]vice        
provid]s1 includ+ a ,/ate or local      
entity t adm9i/]s a ,/ate program fund$ 
"u "p ,a ( ?is title2  7,b7 in/itutions 
( high] education1 appr5tice%ip         
programs1 & local work=ce developm5t    
bo>ds2 &  7,c7 heal? c>e employ]s1 heal?
 c>e indu/ry or sector p>tn]%ips1 labor 
unions1 & labor-managem5t p>tn]%ips2    
7#c7 applications t include             
opportunities = m5tor+ or pe] support1 &
 make c>e] coa*+ available1 z "p ( !    
case managem5t plan2  7#d7 applications 
:i* describe a project t w s]ve a rural 
area 9 :i*-- 7,a7 ! community 9 :i* !   
individuals to be enroll$ 9 ! project   
reside is locat$2  7,b7 ! project w be  
conduct$2 or  7,c7 an employ] p>tn]%ip t
 has committ$ to hir+ individuals :o    
successfully complete all activities "u 
! project is locat$2  7#e7 applications 
t include a commitm5t to provid+ project
 p>ticipants ) a ca% /ip5d or wage      
supplem5t2 &  7#f7 applications :i* h an

 em]g5cy ca% fund to assi/ project      
p>ticipants f9ancially 9 em]g5cy        
situations4  7c7 ,grants  7#a7          
,competitive grants  7,a7 ,grant        
au?ority  7i7 ,9 g5]al ,! ,secret>y %all
 make a grant 9 accordance ) ?is        
p>agraph to an eligible entity ^:       
application = ! grant is approv$ by !   
,secret>y1 to conduct a project design$ 
to tra9 l[-income individuals = alli$   
heal? pr(essions1 heal? in=mation       
te*nology1 physician assi/ants1 nurs+   
assi/ants1 regi/]$ nurse1 advanc$       
practice nurse1 & o!r pr(essions        
consid]$ "p ( a heal? c>e c>e] pa?way   
model4  7ii7 ,gu>antee ( grantees 9 ea* 
/ate & ! di/rict ( columbia ,= ea* grant
 cycle1 ! ,secret>y %all aw>d a grant "u
 ?is p>agraph to at lea/ #b eligible    
entities 9 ea* ,/ate t is n a t]ritory1 
to ! ext5t !re are a suffici5t numb] (  
applications t h a high likelihood (    
success & t are submitt$ by ! entities t
 meet ! requirem5ts applicable ) respect
 to su* a grant4 ,if1 = a grant cycle1  

!re are few] ?an #b su* eligible        
entities 9 a ,/ate t h submitt$         
applications ) a high likelihood (      
success1 ! ,secret>y %all id5tify       
qualifi$ eligible applicants locat$     
else:]e1 t are o!rwise approv$ b        
un-fund$1 & issue a ,sub/itution (      
,grant & tailor$ te*nical assi/ance4 ,9 
! prec$+ s5t5ce1 ! t]m issue a          
,sub/itution ( ,grant means1 9 a case 9 
:i* an approv$ grantee does n complete  
its full project p]iod1 or 9 :i* !re are
 few] ?an #b qualifi$ grantees p] ,/ate 
) a high likelihood ( success1 sub/itute
 an applicant locat$ 9 ano!r ,/ate t 0  
approv$ b un-fund$ dur+ ! competition = 
! aw>d = ! aw>d recipi5t4  7,b7         
,gu>antee ( grants = indian populations 
,! ,secret>y %all aw>d a grant "u ?is   
p>agraph to at lea/ #aj eligible        
entities t are an ,indian tribe1 a      
tribal organization1 or a tribal college
 or univ]sity1 to ! ext5t !re are a     
suffici5t numb] ( applications submitt$ 
by ! entities t meet ! requirem5ts      

applicable ) respect to su* a grant4    
7,c7 ,gu>antee ( grantees 9 ! t]ritories
 ,! ,secret>y %all aw>d a grant "u ?is  
p>agraph to at lea/ #b eligible entities
 t are locat$ 9 a t]ritory1 to ! ext5t  
!re are a suffici5t numb] ( applications
 submitt$ by ! entities t meet !        
requirem5ts applicable ) respect to su* 
a grant4  7#b7 ,grant cycle ,! grant    
cycle "u ?is section %all be n less ?an 
#e ye>s1 ) a plann+ p]iod ( n m ?an !   
fir/ #ab mon?s ( ! grant cycle4 ,dur+ ! 
plann+ p]iod1 ! am\nt ( ! grant %all be 
9 su* less] am\nt z ! ,secret>y det]m9es
 appropriate4  7d7 ,use ( grant  7#a7 ,9
 g5]al ,an entity to :i* a grant is made
 "u ?is section %all use ! grant 9      
accordance ) ! approv$ application = !  
grant4  7#b7 ,support to be provid$     
7,a7 ,requir$ support ,a project = :i* a
 grant is made "u ?is section %all      
include ! foll[+3 7i7 ,an assessm5t =   
adult basic skill compet5cy1 & provision
 ( adult basic skills education if      
necess>y = l[]-skill$ eligible          

individuals to enroll 9 ! project & g on
 to ent] & complete po/-second>y tra9+1 
?r\gh means includ+ ! foll[+3 7,i7      
,e/abli%+ a network ( p>tn]s t (f]      
pre-tra9+ activities = project          
p>ticipants :o ne$ to improve basic     
academic skills or ,engli% language     
pr(ici5cy be=e ent]+ a heal?            
occupational tra9+ c>e] pa?way program4 
7,,ii7 ,(f]+ res\rces to enable project 
p>ticipants to cont9ue advanc+ adult    
basic skill pr(ici5cy :ile enroll$ 9 a  
c>e] pa?way program4  7,,iii7 ,emb$d+   
adult basic skill ma9t5ance z "p ( ongo+
 po/-graduation c>e] coa*+ & m5tor+4    
7ii7 ,a gu>antee t *ild c>e is an       
available & af=dable support s]vice =   
project p>ticipants ?r\gh means su* z ! 
foll[+3 7,i7 ,ref]ral to1 & assi/ance )1
 enrollm5t 9 a subsidiz$ *ild c>e       
program4  7,,ii7 ,direct paym5t to a    
*ild c>e provid] if a slot 9 a subsidiz$
 *ild c>e program is n available or     
reasonably accessible4  7,,iii7 ,paym5t 
( co-paym5ts or associat$ fees = *ild   

c>e4  7iii7 ,case managem5t plans t     
include c>e] coa*+ 7) ! option to (f]   
appropriate pe] support & m5tor+        
opportunities to help develop s(t skills
 & social capital71 :i* may be (f]$ on  
an ongo+ basis be=e1 dur+1 & aft]       
initial tra9+ z "p ( a c>e] pa?way      
model4  7iv7 ,a plan to provide project 
p>ticipants ) transportation ?r\gh means
 su* z ! foll[+3 7,i7 ,ref]ral to1 &    
assi/ance ) enrollm5t 91 a subsidiz$    
transportation program4  7,,ii7 ,if a   
subsidiz$ transportation program is n   
reasonably available1 direct paym5ts to 
subsidize transportation co/s4  ,=      
purposes ( ?is clause1 ! t]m            
transportation includes public transit1 
or gasol9e = a p]sonal vehicle if public
 transit is n reasonably accessible or  
available4  7,b7 ,all[$ support ,! goods
 & s]vices provid$ "u a project = :i* a 
grant is made "u ?is section may include
 ! foll[+3 7i7 ,a ca% /ip5d4  7ii7 ,a   
res]ve fund = f9ancial assi/ance to     
project p>ticipants 9 em]g5cy           

situations4  7iii7 ,tuition1            
c]tification exam fees1 & tra9+ mat]ials
 su* z books1 s(tw>e1 uni=ms1 %oes1     
connection to ! int]net1 hair nets1 &   
p]sonal protective equipm5t4  7iv7      
,9-k9d res\rce donations su* z int]view 
clo?+ & conf]5ce att5dance fees4  7v7   
,assi/ance ) access+ & complet+ high    
s*ool equival5cy or adult basic         
education c\rses z necess>y to a*ieve   
success 9 ! project & make progress t[>d
 c>e] goals4  7vi7 ,assi/ance ) programs
 & activities1 includ+ legal assi/ance1 
deem$ necess>y to address arre/ or      
conviction records z an employm5t b>ri]4
  7vii7 ,o!r support s]vices z deem$    
necess>y = family well-be+1 success 9 ! 
project1 & progress t[>d c>e] goals4    
7#c7 ,tra9+ ,! numb] ( h\rs ( tra9+     
provid$ to an eligible individual "u a  
project = :i* a grant is made "u ?is    
section1 = a recogniz$ po/second>y      
cr$5tial 7includ+ an indu/ry-recogniz$  
cr$5tial1 & a c]tificate aw>d$ by a     
local work=ce developm5t bo>d71 :i* is  

aw>d$ 9 recognition ( atta9m5t (        
measurable te*nical or occupational     
skills necess>y to ga9 employm5t or     
advance )9 an occupation1 %all be-- 7,a7
 n less ?an ! numb] ( h\rs ( tra9+      
requir$ = c]tification 9 t level ( skill
 by ! ,/ate 9 :i* ! project is conduct$2
 or  7,b7 if !re is no su* requirem5t1  
su* numb] ( h\rs ( tra9+ z ! ,secret>y  
f9ds is necess>y to a*ieve t skill      
level4  7#d7 ,inclusion ( ,,tanf        
recipi5ts ,9 ! case ( a project = :i* a 
grant is made "u ?is section t is       
conduct$ 9 a ,/ate t has a program fund$
 "u "p ,a ( title ,,iv1 at lea/ #aj     
p]c5t ( ! eligible individuals to :om   
support is provid$ "u ! project %all    
meet ! income eligibility requirem5ts "u
 t ,/ate program1 )\t reg>d to :e!r !   
individuals receive b5efits or s]vices  
directly "u t ,/ate program4  7#e7      
,income limitation ,an entity to :i* a  
grant is made "u ?is section %all n use 
! grant to provide support to a p]son :o
 is n an eligible individual4  7#f7     

,prohibition ,an entity to :i* a grant  
is made "u ?is section %all n use !     
grant = purposes ( ent]ta9m5t1 except t 
case managem5t & c>e] coa*+ s]vices may 
include celebrations ( specific         
c>e]-bas$ mile/ones su* z complet+ a    
seme/]1 graduation1 or job placem5t4    
7e7 ,te*nical assi/ance  7#a7 ,9 g5]al  
,! ,secret>y %all provide te*nical      
assi/ance-- 7,a7 to assi/ eligible      
entities 9 apply+ = grants "u ?is       
section2  7,b7 t is tailor$ to meet !   
ne$s ( grantees at ea* /age ( !         
adm9i/ration ( projects = :i* grants are
 made "u ?is section2  7,c7 t is tailor$
 to meet ! specific ne$s ( ,indian      
tribes1 tribal organizations1 & tribal  
colleges & univ]sities2  7,d7 t is      
tailor$ to meet ! specific ne$s ( !     
t]ritories2  7,e7 t is tailor$ to meet !
 specific ne$s ( applicants1 eligible   
entities1 & grantees1 9 c>ry+ out       
d$icat$ c>e] pa?way projects pursuant to
 subsections 7h7 & 7i72 &  7,f7 to      
facilitate ! ex*ange ( in=mation among  

eligible entities reg>d+ be/ practices &
 promis+ practices us$ 9 ! projects4    
7#b7 ,cont9uation ( pe] te*nical        
assi/ance conf]5ces ,! ,secret>y %all   
cont9ue to hold pe] te*nical assi/ance  
conf]5ces = entities to :i* a grant is  
made "u ?is section or 0 made "u !      
imm$iate pr$ecessor ( ?is section4 ,!   
prec$+ s5t5ce %all n be int]pret$ to    
require any su* conf]5ce to be held 9   
p]son4  7f7 ,evaluation ( d$icat$ c>e]  
pa?ways  7#a7 ,9 g5]al ,! ,secret>y     
%all1 by grant1 contract1 or int]ag5cy  
agreem5t1 conduct rigor\s & well-design$
 evaluations ( ! d$icat$ c>e] pa?way    
projects c>ri$ out pursuant to          
subsections 7h7 & 7i74  7#b7 ,requirem5t
 applicable to second *ance c>e] pa?way 
,9 ! case ( a project ( ! type describ$ 
9 subsection 7i71 ! evaluation %all     
include id5tification ( successful      
activities = creat+ opportunities =     
develop+ & su/a9+1 p>ticul>ly ) respect 
to l[-income individuals ) arre/ or     
conviction records1 a heal? 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 ! ne$s ( ! work=ce4   
7#c7 ,requirem5t applicable to mat]nal  
mortality c>e] pa?way ,9 ! case ( a     
project ( ! type describ$ 9 subsection  
7h71 ! 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 c>e] pa?way 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 ! ne$s ( ! bir?1          
pregnancy1 & po/-p>tum work=ce4  7g7    
,reports ,z a condition ( fund+1 an     
eligible entity aw>d$ a grant to conduct
 a project "u ?is section %all submit   

int]im reports to ! ,secret>y on !      
activities c>ri$ out "u ! project1 &1 on
 ! conclusion ( ! project1 a f9al report
 on ! activities4  7h7 ,mat]nal         
mortality c>e] pa?way  7#a7 ,grant      
au?ority ,! ,secret>y %all aw>d grants 9
 accordance ) ?is subsection to eligible
 entities to conduct c>e] pa?way        
projects = ! purpose ( provid+ education
 = pr(essions su* z d\las1 lactation    
consultants1 *ildbir? educators1 infant 
massage !rapi/s1 newborn c>e speciali/s1
 midwives1 & o!r community heal? work]  
pr(essions1 = individuals to ent] &     
foll[ a d$icat$ c>e] pa?way 9 ! field ( 
pregnancy1 *ildbir?1 or po/-p>tum       
s]vices 9 a ,/ate t recognizes d\las or 
midwives z heal? c>e provid]s & t       
provides paym5t = s]vices provid$ by    
d\las or midwives1 z ! case may be1 "u !
 ,/ate plan approv$ "u title ,,xix4     
7#b7 ,duration ,a grant aw>d$ "u ?is    
subsection %all h ! same grant cycle z  
is provid$ 9 subsection 7c77#b71 & z a  
condition ( fund+ ! grantee %all comply 

) all data report+ requirem5ts associat$
 ) ! grant cycle4  7#c7 ,application    
requirem5ts ,an entity seek+ a grant "u 
?is subsection = a project %all submit  
to ! ,secret>y an application = ! grant1
 t includes ! foll[+3 7,a7 ,a           
description ( ! p>tn]%ips1 /rategic /aff
 hir+ decisions1 tailor$ program        
activities1 or o!r programmatic elem5ts 
( ! project t are design$ to support a  
/rong c>e] pa?way 9 pregnancy1 bir?1 or 
po/-p>tum s]vices4  7,b7 ,a demon/ration
 t ! ,/ate 9 :i* ! project is to be     
conduct$ recognizes & p]mits d\las &    
midwives to practice 9 ! ,/ate4  7,c7 ,a
 demon/ration t ! applicant has exp]i5ce
 work+ ) l[-income populations1 or a    
description ( ! plan ( ! applicant to "w
 ) a p>tn] t has ! exp]i5ce4  7#d7      
,support to be provid$ ,! recipi5t ( a  
grant "u ?is subsection = a project %all
 provide requir$ supportive s]vices     
describ$ 9 subsection 7d77#b77;,a7 to   
project p>ticipants :o ne$ ! s]vices1 & 
may exp5d ! fund+ on eligible supportive

 s]vices describ$ 9 subsection          
7d77#b77;,b74  7i7 ,second *ance c>e]   
pa?way  7#a7 ,grant au?ority ,!         
,secret>y %all aw>d grants 9 accordance 
) ?is subsection to eligible entities to
 conduct c>e] pa?way projects = !       
purpose ( provid+ education & tra9+ =   
eligible individuals ) arre/ or         
conviction records to ent] & foll[ a    
c>e] pa?way 9 ! heal? pr(essions ?r\gh  
occupations t are expect$ to exp]i5ce a 
labor %ortage or be 9 high dem&4  7#b7  
,duration ,a grant aw>d$ "u ?is         
subsection %all h ! same grant cycle z  
is provid$ 9 subsection 7c77#b71 & z a  
condition ( fund+ ! grantee %all comply 
) all data report+ requirem5ts associat$
 ) ! grant cycle4  7#c7 ,application    
requirem5ts ,an entity seek+ a grant "u 
?is subsection = a project %all submit  
to ! ,secret>y an application = ! grant1
 t includes ! foll[+3 7,a7 ,a           
demon/ration t ! ,/ate 9 :i* ! project  
is to be conduct$ has 9 effect policies 
or laws t p]mit c]ta9 alli$ heal? &     

behavioral heal? c>e cr$5tials to be    
aw>d$ to p ) c]ta9 arre/ or conviction  
records 7:i* policies or laws %all      
include appeals processes & o!r         
opportunities to demon/rate             
rehabilitation to obta9 lic5sure &      
approval to "w 9 ! propos$ heal? c>e]s71
 & a plan describ$ 9 ! application :i* w
 use a legally p]mitt$ c>e] pa?way to   
tra9 p ) su* a record to be tra9$ &     
employ$ 9 su* a c>e]4  7,b7 ,a          
discussion ( h[ ! project or future     
/rategic hir+ decisions w demon/rate !  
exp]i5ce & exp]tise ( ! project 9 work+ 
) job seek]s :o h arre/ or conviction   
records or employ]s ) exp]i5ce work+ ) p
 ) arre/ or conviction records4  7,c7 ,a
 demon/ration t ! applicant has exp]i5ce
 work+ ) l[-income populations1 or a    
description ( ! plan ( ! applicant to "w
 ) a p>tn] t has ! exp]i5ce4  7,d7 ,an  
id5tification ( promis+ innovations or  
be/ practices t c be us$ to provide !   
tra9+4  7,e7 ,a pro( ( concept or       
demon/ration t ! applicant has done     

suffici5t rese>* on work=ce %ortage or  
9-dem& jobs = :i* p ) c]ta9 types (     
crim9al records c be hir$4  7,f7 ,a plan
 = recruit+ /ud5ts :o are eligible      
individuals into ! project4  7,g7 ,a    
plan = provid+ po/-employm5t support &  
ongo+ tra9+ z "p ( a c>e] pa?way "u !   
project4  7#d7 ,support to be provid$   
7,a7 ,requir$ support ,a recipi5t ( a   
grant "u ?is subsection = a project %all
 provide-- 7i7 access to legal assi/ance
 = project p>ticipants = ! purpose (    
address+ arre/ or conviction records &  
associat$ work=ce b>ri]s2  7ii7         
assi/ance ) programs & activities deem$ 
necess>y to address arre/ or conviction 
records z an employm5t b>ri]2 &  7iii7  
requir$ supportive s]vices describ$ 9   
subsection 7d77#b77;,a7 to p>ticipants  
:o ne$ ! s]vices1 & may exp5d funds on  
eligible supportive s]vices describ$ 9  
subsection 7d77#b77;,b74  7j7           
,def9itions ,9 ?is section3 7#a7 ,alli$ 
heal? pr(ession ,! t]m alli$ heal?      
pr(ession has ! mean+ giv5 9 section    

#gii;,b7#e7 ( ! ,public ,heal? ,s]vice  
,act4  7#b7 ,c>e] pa?way ,! t]m c>e]    
pa?way has ! mean+ giv5 t t]m 9 section 
#c7g7 ( ! ,work=ce ,innovation &        
,opportunity ,act4  7#c7 ,d\la ,! t]m   
d\la means an individual :o-- 7,a7 is   
c]tifi$ by an organization t has be5    
e/abli%$ = n less ?an #e ye>s & t       
requires ! completion ( cont9u+         
education to ma9ta9 ! c]tification1 to  
provide non-m$ical advice1 in=mation1   
emotional support1 & physical com=t to  
an individual dur+ ! individual's       
pregnancy1 *ildbir?1 & po/-p>tum p]iod2 
&  7,b7 ma9ta9s ! c]tification by       
complet+ ! requir$ cont9u+ education4   
7#d7 ,eligible entity ,! t]m eligible   
entity means any ( ! foll[+ entities t  
demon/rates 9 an application submitt$ "u
 ?is section t ! entity has ! capacity  
to fully develop & adm9i/] ! project    
describ$ 9 ! application3 7,a7 ,a local 
work=ce developm5t bo>d e/abli%$ "u     
section #ajg ( ! ,work=ce ,innovation & 
,opportunity ,act4  7,b7 ,a ,/ate or    

t]ritory1 a political subdivision ( a   
,/ate or t]ritory1 or an ag5cy ( a      
,/ate1 t]ritory1 or su* a political     
subdivision1 includ+ a ,/ate or local   
entity t adm9i/]s a ,/ate program fund$ 
"u "p ,a ( ?is title4  7,c7 ,an ,indian 
tribe1 a tribal organization1 or a      
tribal college or univ]sity4  7,d7 ,an  
in/itution ( high] education 7z def9$ 9 
! ,high] ,education ,act ( #aife74  7,e7
 ,a hospital 7z def9$ 9 section         
#ahfa7;e774  7,f7 ,a high-quality skill$
 nurs+ facility4  7,g7 ,a ,f$]ally      
qualifi$ heal? c5t] 7z def9$ 9 section  
#ahfa7;aa77#d774  7,h7 ,a nonpr(it      
organization describ$ 9 section         
#eja7;c77#c7 ( ! ,int]nal ,rev5ue ,code 
( #aihf1 a labor organization1 or an    
entity ) %>$ labor-managem5t ov]sight1 t
 has a demon/rat$ hi/ory ( provid+ heal?
 pr(ession tra9+ to eligible            
individuals4  7,i7 ,9 ! case ( a project
 ( ! type provid$ = 9 subsection 7h7 (  
?is section1 an entity recogniz$ by a   
,/ate1 ,indian tribe1 or tribal         

organization z qualifi$ to tra9 d\las or
 midwives1 if midwives or d\las1 z !    
case may be1 are p]mitt$ to practice 9 !
 ,/ate involv$4  7,j7 ,an opioid        
treatm5t program 7z def9$ 9 section     
#ahfa7;jjj77#b771 & o!r high quality    
compreh5sive addiction c>e provid]s4    
7#e7 ,eligible individual ,! t]m        
eligible individual means an individual 
^: family income does n exce$ #bjj p]c5t
 ( ! ,f$]al pov]ty level4  7#f7 ,f$]al  
pov]ty level ,! t]m ,f$]al pov]ty level 
means ! pov]ty l9e 7z def9$ 9 section   
#fgc7b7 ( ! ,omnibus ,budget            
,reconciliation ,act ( #aiha1 includ+   
any revision requir$ by su* section     
applicable to a family ( ! size         
involv$74  7#g7 ,indian tribe2 tribal   
organization ,! t]ms ,indian tribe &    
tribal organization h ! mean+ giv5 !    
t]ms 9 section #d ( ! ,indian           
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #dej;b74 
7#h7 ,in/itution ( high] education ,!   
t]m in/itution ( high] education has !  

mean+ giv5 ! t]m 9 section #aja or      
#ajb7;a77#a77;,b7 ( ! ,high] ,education 
,act ( #aife4  7#i7 ,t]ritory ,! t]m    
t]ritory means ! ,commonweal? ( ,pu]to  
,rico1 ! ,unit$ ,/ates ,virg9 ,isl&s1   
,guam1 ! ,nor!rn ,m>iana ,isl&s1 &      
,am]ican ,samoa4  7#aj7 ,tribal college 
or univ]sity ,! t]m tribal college or   
univ]sity has ! mean+ giv5 ! t]m 9      
section #caf7;b7 ( ! ,high] ,education  
,act ( #aife4  7k7 ,fund+ ,9 addition to
 am\nts o!rwise available1 !re is       
appropriat$ to ! ,secret>y-- 7#a7       
#cah1gej1jjj = grants "u subsection     
7c77#a77;,a7 = ea* ( fiscal ye>s #bjbb  
?r\gh #bjbf2  7#b7 #ag1jjj1jjj = grants 
"u subsection 7c77#a77;,b7 = ea* (      
fiscal ye>s #bjbb ?r\gh #bjbf2  7#c7    
#ba1bej1jjj = grants "u subsection      
7c77#a77;,c7 = ea* ( fiscal ye>s #bjbb  
?r\gh #bjbf2  7#d7 #be1ejj1jjj =        
projects conduct$ "u subsections 7h7 &  
7i7 = ea* ( fiscal ye>s #bjbc ?r\gh     
#bjbf2  7#e7 #be1ejj1jjj1 plus all      
am\nts ref]r$ to 9 p>agraphs 7#a7 ?r\gh 

7#d7 ( ?is subsection t rema9 unus$ aft]
 all grant aw>ds are made = ! fiscal    
ye>1 = ea* ( fiscal ye>s #bjbb ?r\gh    
#bjbf1 = ! provision ( te*nical         
assi/ance & adm9i/ration2 &  7#f7       
#ag1jjj1jjj = ea* ( fiscal ye>s #bjbb   
?r\gh #bjbf = /udy+ ! effects ( !       
projects = :i* a grant is made "u ?is   
section1 & = adm9i/ration1 = ! purpose (
 support+ ! rigor\s evaluation ( !      
projects1 & support+ ! cont9u$ /udy ( ! 
%ort-1 m$ium-1 & long-t]m effects ( all 
su* projects1 includ+ ! effectiv5ess (  
new or add$ elem5ts ( ! projects4  4