,i #aah? ,,congress #b;d ,session ,h4 ,r4 #gibi ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,april #aj1 #bjbd,mr4 ,hors=d 7= himself & ,mr4 ,davis ( ,ill9ois7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,ways & ,means ,a ,,bill ,to am5d title ,,xx ( ! ,social ,security ,act to provide = nurs+ home work] tra9+ grants4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,nurs+ ,home ,work=ce ,support & ,expansion ,act ( #bjbd4 #b4 ,nurs+ home work] tra9+ grants ,section #bjda ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acigm7 is am5d$ to read z foll[s3 #bjda4 ,nurs+ home work] tra9+ grants 7a7 ,9 g5]al 7#a7 ,/ate entitlem5t 7,a7 ,9 g5]al ,ea* ,/ate %all be entitl$ to receive f ! ,secret>y = ea* fiscal ye> specifi$ 9 subsection 7e77#a7 a grant 9 an am\nt equal to ! am\nt allott$ to ! ,/ate "u subp>agraph 7,b74 7,b7 ,/ate allotm5ts 7i7 ,9 g5]al ,subject to clauses 7ii7 & 7iii71 ! am\nt allott$ to a ,/ate "u ?is subp>agraph = a fiscal ye> %all be-- 7,i7 ! numb] ( ,/ate resid5ts :o h atta9$ #fe ye>s ( age or are "u a disability 7z def9$ 9 section #baf7;i77#a771 z det]m9$ by ! ,secret>y us+ ! mo/ rec5t v]sion ( ! ,am]ican ,community ,survey publi%$ by ! ,bureau ( ! ,c5sus or a successor data set2 divid$ by 7,,ii7 ! total numb] ( su* resid5ts ( all ,/ates4 7ii7 ,limitation ,! am\nt allott$ to a ,/ate "u ?is subp>agraph = a fiscal ye> %all be n less ?an #j4be p]c5t ( ! available am\nt = ! fiscal ye>4 7iii7 ,adju/m5t ( /ate allotm5ts ,subject to clause 7ii71 ! ,secret>y %all proportionately increase or decrease ! am\nts allott$ "u ?is subp>agraph = a fiscal ye> z necess>y to ensure t ! available am\nt = ! fiscal ye> is allott$ among ! ,/ates4 7iv7 ,r$et]m9ations 7,i7 ,frequ5cy ,! ,secret>y %all make ! det]m9ation ref]r$ to 9 clause 7i77,i7 e #e ye>s4 7,,ii7 ,limitation ,subject to clause 7ii71 ! am\nt allott$ to a ,/ate "u ?is subp>agraph1 on ! basis ( su* a det]m9ation1 = a fiscal ye> aft] fiscal ye> #bjbi %all be-- 7aa7 n less ?an #ij p]c5t ( ! am\nt ( ! grant made to ! ,/ate "u ?is subp>agraph = ! !n prec$+ fiscal ye>2 & 7bb7 n m ?an #aaj p]c5t ( ! am\nt ref]r$ to 9 item 7aa74 7#b7 ,grants to ,indian tribes & tribal organizations 7,a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,secret>y ( ! ,int]ior1 %all make grants 9 accordance ) ?is section to ,indian tribes & tribal organizations :o op]ate at lea/ #a eligible sett+4 7,b7 ,grant =mula ,! ,secret>y1 9 consultation ) ! ,secret>y ( ! ,int]ior1 %all devise a =mula = di/ribut+ among ,indian tribes & tribal organizations ! am\nt requir$ to be res]v$ by subsection 7e77#a7 = ea* fiscal ye>4 7#c7 ,sub-grants ,a ,/ate1 ,indian tribe1 or tribal organization to :i* an am\nt is paid "u ?is section may use ! am\nt to make sub-grants to local organizations1 includ+ community organizations1 local non-pr(its1 eld] rights & ju/ice gr\ps1 & work=ce developm5t bo>ds = any purpose describ$ 9 p>agraph 7#a7 or 7#b7 ( subsection 7b74 7b7 ,use ( funds 7#a7 ,requir$ uses ,a ,/ate to :i* an am\nt is paid "u ?is section %all use ! am\nt to-- 7,a7 provide wage subsidies to eligible individuals2 7,b7 provide /ud5t loan repaym5t or tuition assi/ance to eligible individuals = a degree or c]tification 9 a field relevant to _! position ref]r$ to 9 subsection 7f77#b72 7,c7 gu>antee af=dable & accessible *ild c>e = eligible individuals1 includ+ help ) ref]rals1 co-pays1 or o!r direct assi/ance2 & 7,d7 provide assi/ance :]e necess>y ) obta9+ appropriate transportation1 includ+ public transportation if available1 or gas money if public transportation is unavailable or impractical bas$ on "w h\rs or location4 7#b7 ,au?oriz$ uses ,a ,/ate to :i* an am\nt is paid "u ?is section may use ! am\nt to-- 7,a7 e/abli% a res]ve fund = f9ancial assi/ance to eligible individuals 9 em]g5cy situations2 7,b7 provide 9-k9d res\rce donations1 su* z int]view clo?+ & conf]5ce att5dance fees2 7,c7 provide assi/ance ) programs & activities1 includ+ legal assi/ance1 deem$ necess>y to address arre/ or conviction records t are an employm5t b>ri]2 7,d7 support employ]s op]at+ an eligible sett+ 9 ! ,/ate 9 provid+ employees ) n less ?an #b weeks ( paid leave p] ye>2 or 7,e7 provide o!r support s]vices ! ,secret>y deems necess>y to all[ = successful recruitm5t & ret5tion ( work]s4 7#c7 ,provision ( funds only = ! b5efit ( eligible individuals 9 eligible sett+s ,a ,/ate to :i* an am\nt is paid "u ?is section may provide ! am\nt to only an eligible individual or a p>tn] organization s]v+ an eligible individual4 7#d7 ,nonsupplantation ,a ,/ate to :i* an am\nt is paid "u ?is section %all n use ! am\nt to supplant ! exp5diture ( any ,/ate funds = recruit+ or reta9+ employees 9 an eligible sett+4 7#e7 ,obligation deadl9e ,a ,/ate1 ,indian tribe1 or tribal organization %all remit to ! ,secret>y = reallotm5t "u ?is section any am\nt paid "u ?is section = a fiscal ye> t is n obligat$ )9 #b ye>s aft] ! end ( ! fiscal ye>4 7c7 ,adm9i/ration ,a ,/ate to :i* a grant is made "u ?is section %all res]ve n m ?an #aj p]c5t ( ! grant to-- 7#a7 adm9i/] subgrants 9 accordance ) ?is section2 7#b7 provide te*nical assi/ance & support = apply+ = & access+ su* a subgrant opportunity2 7#c7 publicize ! availability ( ! subgrants2 7#d7 c>ry out activities to increase ! supply ( eligible individuals2 & 7#e7 provide te*nical assi/ance to help subgrantees f9d & tra9 individuals to provide ! s]vices = :i* !y are contract$4 7d7 ,reports 7#a7 ,/ate reports ,n less frequ5tly ?an annually1 ea* ,/ate to :i* a grant has be5 made "u ?is section %all transmit to ! ,secret>y a writt5 report describ+ ! activities und]tak5 by ! ,/ate pursuant to ?is section dur+ ! p]iod cov]$ by ! report1 :i* %all include-- 7,a7 ! total am\nt exp5d$ 9 ! ,/ate = ea* type ( use describ$ 9 p>agraph 7#a7 or 7#b7 ( subsection 7b72 7,b7 ! total numb] ( non-,/ate organizations 9 ! ,/ate to :i* grant funds 7 provid$1 & ! am\nt s provid$ to ea* su* organization2 7,c7 ! *ange 9 ! numb] ( individuals work+ 9 ea* job category describ$ 9 subsection 7f77#b7 9 an eligible sett+ 9 ! ,/ate2 7,d7 ! av]age duration ( employm5t = ea* su* job category2 7,e7 ! av]age annual wage ( work]s 9 ea* job category describ$ 9 subsection 7f77#b7 9 an eligible sett+ 9 ! ,/ate2 7,f7 ! av]age am\nt ( paid "t (f to :i* a work] 9 ea* job category describ$ 9 subsection 7f77#b7 9 an eligible sett+ 9 ! ,/ate is entitl$ by _! contract2 & 7,g7 su* o!r data elem5ts z ! ,secret>y deems relevant4 7#b7 ,report to ! ,congress ,n lat] ?an #c ye>s aft] ! date ( ! enactm5t ( ?is section1 & e #d ye>s !reaft]1 ! ,secret>y %all submit to ! ,congress a writt5 report outl9+ h[ ! ,/ates h us$ ! grants made "u ?is section dur+ ! p]iod cov]$ by ! report1 :i* %all include-- 7,a7 ! total am\nt exp5d$ 9 ea* ,/ate = ea* type ( use describ$ 9 p>agraph 7#a7 or 7#b7 ( subsection 7b72 7,b7 ! total numb] ( non-,/ate organizations 9 ea* ,/ate to :i* grant funds 7 provid$1 & ! am\nt s provid$ to ea* su* organization2 7,c7 ! *ange 9 ! numb] ( individuals work+ 9 ea* job category describ$ 9 subsection 7f77#b7 9 an eligible sett+2 7,d7 ! av]age duration ( employm5t = ea* su* job category1 by ,/ate2 7,e7 ! av]age annual wage ( work]s 9 ea* job category describ$ 9 subsection 7f77#b7 9 an eligible sett+2 7,f7 ! av]age am\nt ( paid "t (f to :i* a work] 9 ea* job category describ$ 9 subsection 7f77#b7 9 an eligible sett+ is entitl$ by _! contract2 & 7,g7 su* o!r data elem5ts z ! ,secret>y deems relevant4 7e7 ,appropriation ,out ( any funds 9 ! ,treasury n o!rwise appropriat$1 !re is appropriat$ to ! ,secret>y #djj1jjj1jjj = ea* ( fiscal ye>s #bjbe ?r\gh #bjbh to c>ry out ?is section1 ( :i* #b p]c5t %all be res]v$ = grants to ,indian tribes & tribal organizations4 7f7 ,def9itions ,9 ?is section3 7#a7 ,available am\nt ,! t]m available am\nt means1 ) respect to a fiscal ye>1 ! am\nt specifi$ 9 subsection 7e7 t rema9s aft] ! res]vation requir$ by su* subsection = ! fiscal ye>1 plus all am\nts remitt$ to ! ,secret>y "u subsection 7b77#e7 t h n be5 reallott$ "u subsection 7a77#a77;,b77iii74 7#b7 ,eligible individual ,! t]m eligible individual means an individual :o-- 7,a7 7i7 is a qualifi$ home heal? aide1 z def9$ 9 section #dhd4hj7;a7 ( title #db1 ,code ( ,f$]al ,regulations2 7ii7 is a nurse aide approv$ by ! ,/ate z meet+ ! requirem5ts ( sections #dhc4aej ?r\gh #dhc4aed ( su* title1 & is li/$ 9 good /&+ on ! ,/ate nurse aide regi/ry2 7iii7 is a p]sonal c>e aide approv$ by ! ,/ate1 & furni%es p]sonal c>e s]vices1 z def9$ 9 section #ddj4afg ( su* title2 7iv7 is a qualifi$ hospice aide1 z def9$ 9 section #dah4gf ( su* title2 7v7 is a lic5s$ practical nurse or a lic5s$ or c]tifi$ social work]2 or 7vi7 is receiv+ tra9+ to be c]tifi$ or lic5s$ z su* an aide1 nurse1 or social work]2 & 7,b7 provides 7or1 9 ! case ( a tra9ee1 int5ds to provide7 s]vices z su* an aide1 nurse1 or social work] 9 an eligible sett+4 7#c7 ,eligible sett+ ,! t]m eligible sett+ means-- 7,a7 a skill$ nurs+ facility1 z def9$ 9 section #ahai2 7,b7 a nurs+ facility1 z def9$ 9 section #aiai2 7,c7 a home heal? ag5cy1 z def9$ 9 section #ahia2 7,d7 a facility approv$ to deliv] home or community-bas$ s]vices au?oriz$ "u ,/ate options describ$ 9 subsection 7c7 or 7i7 ( section #aiae or1 z relevant1 demon/ration projects au?oriz$ "u section #aaae2 7,e7 a hospice1 z def9$ 9 section #ahad2 or 7,f7 a tribal assi/$ liv+ facility4 7#d7 ,tribal organization ,! t]m tribal organization has ! mean+ giv5 ! t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 4