,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #fhce  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #ad1         
#bjbc,ms4 ,/rickl& 7= h]self1 ,mr4      
,/eil1 & ,ms4 ,ku/]7 introduc$ ! foll[+ 
bill2 :i* 0 ref]r$ to ! ,committee on   
,education & ! ,work=ce  ,a ,,bill  ,to 
am5d ! ,old] ,am]icans ,act ( #aife to  
e/abli% a grant program =               
multig5]ational activities = long-t]m   
c>e facilities4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,c>e ,across       
,g5]ations ,act4  #b4 ,competitive grant
 program = ! fund+ ( multig5]ational    
programs 9 long-t]m c>e facilities ,"p  
,a ( title ,,iv ( ! ,old] ,am]icans ,act
 ( #aife 7#db ,u4,s4,c4 #cjcb et seq47  
is am5d$ by add+ at ! end ! foll[+3     
#dbc4 ,competitive grant program = !    
fund+ ( multig5]ational programs 9      
long-t]m c>e facilities  7a7 ,e/abli%m5t
 ( grant program ,! ,assi/ant ,secret>y 
%all aw>d grants1 on a competitive      
basis1 to eligible entities to-- 7#a7   
op]ate a qualifi$ *ild c>e facility )9 !

 long-t]m c>e facility or contract ) a  
qualifi$ *ild c>e facility2  7#b7       
coord9ate multig5]ational activities    
betwe5 ! integrat$ qualifi$ *ild c>e    
facility & long-t]m c>e facility2 &     
7#c7 build a new1 or exp& an exi/+1     
long-t]m c>e facility op]at$ by !       
eligible entity = any ( ! purposes      
describ$ 9 p>agraph 7#a7 or 7#b74  7b7  
,application ,an entity seek+ a grant "u
 ?is section %all submit an application 
to ! ,assi/ant ,secret>y at su* "t1 9   
su* mann]1 & accompani$ by su* in=mation
 z ! ,assi/ant ,secret>y may reasonably 
require2 & 9 accordance ! requirem5ts   
specifi$ 9 subsection 7g74  7c7         
,evaluation & report  7#a7 ,evaluation  
,ea* eligible entity receiv+ a grant "u 
?is section %all evaluate-- 7,a7 !      
effectiv5ess ( ! entity 9 op]at+ a      
qualifi$ *ild c>e facility )9 an        
long-t]m c>e facility z requir$ "u      
subsection 7a77#a72  7,b7 ! effectiv5ess
 ( ! multig5]ational activities         
coord9at$ "u subsection 7a77#b72 &  7,c7

 ! impact on old] individuals & *ildr5 (
 ! #ad co-location & multig5]ational    
activities c>ri$ out by ! entity4  7#b7 
,report ,ea* eligible entity receiv+ a  
grant "u ?is section %all1 n lat] ?an #f
 mon?s aft] ! expiration ( ! p]iod = :i*
 ! grant is 9 effect1 submit a report to
 ! ,assi/ant ,secret>y conta9+ !        
evaluation "u p>agraph 7#a74  7d7       
,report to congress ,n lat] ?an #f mon?s
 aft] ! ,assi/ant ,secret>y receives all
 reports requir$ "u subsection 7c77#b71 
! ,assi/ant ,secret>y %all prep>e &     
submit to ! ,committee on ,education &  
,labor ( ! ,h\se ( ,repres5tatives & !  
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate a report t
 assesses ! evaluations conta9$ 9 !     
reports requir$ "u subsection 7c77#b74  
,! report requir$ ( ! ,assi/ant         
,secret>y "u ?is subsection %all        
include1 at a m9imum-- 7#a7 ! names &   
addresses ( all eligible entities t     
receiv$ grants "u ?is section2  7#b7 a  
description ( ! me?ods su* eligible     

entities us$ 9 op]at+ qualifi$ *ild c>e 
facilities )9 long-t]m c>e facilities z 
requir$ "u subsection 7a77#a72  7#c7 a  
description ( ! me?ods su* eligible     
entities us$ 9 coord9at+ multig5]ational
 activities requir$ "u subsection       
7a77#b72  7#d7 a /rategy = dissem9at+ ! 
f9d+s result+ f ! projects c>ri$ out    
?r\gh grants "u ?is section2 &  7#e7 any
 policy *ange recomm5dations relat+ to  
op]at+ qualifi$ *ild c>e facilities )9  
long-t]m c>e facilities4  7e7           
,def9itions ,z us$ 9 ?is section3 7#a7  
,eligible entity ,! t]m eligible entity 
means an organization op]at+ an long-t]m
 c>e facility t submits an application  
meet+ ! requirem5ts "u subsection 7b74  
7#b7 ,long-t]m c>e facility ,! t]m      
long-t]m c>e facility means-- 7,a7 any  
skill$ nurs+ facility1 z def9$ 9 section
 #ahai7;a7 ( ! ,social ,security ,act   
7#db ,u4,s4,c4 #acie;i-#c7;a772  7,b7   
any nurs+ facility1 z def9$ 9 section   
#aiai7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acifr7a772  7,c7 a bo>d 

& c>e facility2 &  7,d7 any o!r adult   
c>e home1 includ+ an assi/$ liv+        
facility1 simil> to a facility or       
in/itution describ$ 9 subp>agraphs 7,a7 
?r\gh 7,c74  7#c7 ,multig5]ational      
activity ,! t]m multig5]ational activity
 %all h ! mean+ giv5 su* t]m 9 section  
#dag7;h77#a74  7#d7 ,qualifi$ *ild c>e  
facility ,! t]m qualifi$ *ild c>e       
facility means a facility-- 7,a7 !      
pr9cipal use ( :i* is to provide *ild   
c>e assi/ance2 &  7,b7 t meets !        
requirem5ts ( all applicable laws &     
regulations ( ! ,/ate or local gov]nm5t 
9 :i* ! facility is locat$1 includ+ )   
respect to ! lic5s+ ( ! facility z a    
*ild c>e facility4  7f7 ,grant p]iods   
,ea* grant aw>d$ "u subsection 7a7 %all 
be = a p]iod ( n less ?an #cf mon?s4    
7g7 ,additional requirem5ts ,an         
application submitt$ by an eligible     
entity pursuant to subsection 7b7 %all  
include a c]tification t1 = purposes (  
infection control & prev5tion1 su*      
entity-- 7#a7 conducts a scre5+ process 

= all visitors ( su* entity2 &  7#b7 is 
9 compliance ) all applicable /ate &    
local sanitation & infection control    
requirem5ts4  4