,,ii #aah? ,,congress #b;d ,session ,s4 #dgcf ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,july #bc1 #bjbd ,mr4 ,m>key introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to am5d ! ,old] ,am]icans ,act ( #aife to develop & exp& integrat$ c>egiv] support s]vices = family c>egiv]s1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,respite ,c>e ,& ,res\rces = ,ev]yone ,act or ! ,respite ,,c>e ,act4 #b4 ,c>egiv] support ,title ,,iv ( ! ,old] ,am]icans ,act ( #aife is am5d$ by ins]t+ aft] section #dad 7#db ,u4,s4,c4 #cjcb;c7 ! foll[+3 #dae4 ,c>egiv] support 7a7 ,grants ,! ,assi/ant ,secret>y may make grants to eligible entities = ! developm5t or expansion ( integrat$ c>egiv] support s]vices1 ?r\gh :i* a provid] provides1 at ! same "t & integrat$ sett+1 respite c>e to assi/ family c>egiv]s & o!r supportive s]vices or support s]vices describ$ 9 section #cgc7;b7 = family c>egiv]s4 7b7 ,eligible entity ,to be eligible to receive a grant "u subsection 7a71 an entity %all be a ,/ate or local gov]nm5t ag5cy1 a nonpr(it organization1 an area ag5cy on ag+1 ! provid] ( a multipurpose s5ior c5t]1 an in/itution ( high] education1 or a ,tribal organization4 7c7 ,application ,to be eligible to receive a grant "u subsection 7a71 an entity %all submit an application to ! ,assi/ant ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,assi/ant ,secret>y may require4 7d7 ,use ( funds ,an eligible entity receiv+ a grant "u subsection 7a7 %all use ! grant funds1 consi/5t ) subsection 7e7-- 7#a7 to develop or exp& integrat$ c>egiv] support s]vices 9 ord] to provide respite c>e at ! same "t & integrat$ sett+ z supportive s]vices or support s]vices describ$ 9 section #cgc7;b7 = family c>egiv]s2 & 7#b7 to provide s]vices describ$ 9 p>agraph 7#a7 9 a mann] t is accessible1 z appropriate = ! family c>egiv] or ! c>e recipi5t1 z ! case may be1 includ+ provid+ ! s]vices-- 7,a7 ?r\gh assi/ive te*nology2 7,b7 9 an accessible language2 7,c7 = c>egiv]s = :om ,engli% is n _! prim>y language1 ?r\gh translation or int]pretation s]vices2 & 7,d7 9 an accessible =mat1 includ+ =mats compatible ) ,am]ican ,sign ,language & multiple languages4 7e7 ,direct or indirect provision ,an eligible entity receiv+ su* a grant may use ! grant funds directly1 or indirectly by contract ) a heal? c>e provid] or *ild c>e provid]1 to provide respite c>e4 7f7 ,def9itions ,9 ?is section3 7#a7 ,c>egiv] support s]vices ,! t]m c>egiv] support s]vices means s]vices1 provid$ = a family c>egiv]1 t are-- 7,a7 supportive s]vices2 or 7,b7 support s]vices describ$ 9 section #cgc7;b74 7#b7 ,*ild c>e provid] 7,a7 ,9 g5]al ,! t]m *ild c>e provid] means a c5t]-bas$ *ild c>e provid]1 a family *ild c>e provid]1 or o!r provid] ( *ild c>e s]vices = comp5sation t-- 7i7 is lic5s$ to provide *ild c>e s]vices "u ,/ate law applicable to ! *ild c>e s]vices x provides or1 9 ! case ( an ,indian ,tribe or ,tribal organization1 meets ! rules set by ! ,secret>y ( ,heal? & ,human ,s]vices2 7ii7 p>ticipates 9 ! ,/ate's ti]$ sy/em = recogniz+ & support+ ! quality ( *ild c>e s]vices1 or1 9 ! case ( an ,indian ,tribe or ,tribal organization1 meets ! rules set by ! ,secret>y1 on su* s*$ule z ! ,secret>y may provide2 & 7iii7 satisfies ! ,/ate & local requirem5ts1 includ+ ^? requirem5ts describ$ 9 section #feh;,e7c77#b77;,i7 ( ! ,*ild ,c>e & ,developm5t ,block ,grant ,act ( #aiij 7#db ,u4,s4,c4 #iheh;c7c77#b77;,i771 applicable to ! *ild c>e s]vices x provides4 7,b7 ,family *ild c>e provid] ,9 subp>agraph 7,a71 ! t]m family *ild c>e provid] means "o or m individuals :o provide *ild c>e s]vices1 9 a private resid5ce o!r ?an ! resid5ces ( ! *ildr5 involv$1 = less ?an #bd h\rs p] day p] *ild1 or = #bd h\rs p] day p] *ild due to ! nature ( ! "w ( ! p>5t involv$4 7#c7 ,family c>egiv] ,! t]m family c>egiv]-- 7,a7 means-- 7i7 an adult family memb]1 or ano!r individual1 :o is an in=mal provid] ( 9-home & community c>e to an old] individual or to an individual ( any age ) ,alzheim]'s disease or a relat$ disord] ) neurological & organic bra9 dysfunction2 or 7ii7 an old] relative c>egiv]2 & 7,b7 does n include an individual provid+ c>e ^: prim>y relation%ip ) ! individual receiv+ ! c>e is bas$ on a f9ancial or pr(essional agreem5t4 7#d7 ,heal? c>e provid] ,! t]m heal? c>e provid] means a heal? c>e provid]1 z def9$ 9 section #cjjj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;jj7 or a ,f$]ally qualifi$ heal? c5t]1 z def9$ 9 section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex74 7#e7 ,indian tribe1 tribal organization ,! t]ms ,indian ,tribe & ,tribal organization h ! mean+s giv5 ! t]ms ,indian tribe & tribal organization1 respectively1 9 section #feh,p ( su* ,act 7#db ,u4,s4,c4 #ihehn74 7#f7 ,old] relative c>egiv] ,! t]m old] relative c>egiv]-- 7,a7 means a c>egiv] :o-- 7i7 is age #ee or old]2 & 7ii7 lives )1 is ! in=mal provid] ( 9-home & community c>e to1 & is ! prim>y c>egiv] =1 a *ild or an individual ) a disability2 7,b7 9 ! case ( a c>egiv] = a *ild-- 7i7 is ! gr&p>5t1 /epgr&p>5t1 or o!r relative 7o!r ?an ! p>5t7 by blood1 m>riage1 or adoption1 ( ! *ild2 7ii7 is ! prim>y c>egiv] ( ! *ild because ! biological or adoptive p>5ts are unable or unwill+ to s]ve z ! prim>y c>egiv]s ( ! *ild2 & 7iii7 has a legal relation%ip to ! *ild1 su* z legal cu/ody1 adoption1 or gu>dian%ip1 or is rais+ ! *ild in=mally2 & 7,c7 9 ! case ( a c>egiv] = an individual ) a disability1 is ! p>5t1 gr&p>5t1 or o!r relative by blood1 m>riage1 or adoption1 ( ! individual ) a disability4 7#g7 ,respite c>e ,! t]m respite c>e means c>e1 :i* may include heal? c>e & *ild c>e1 = a c>e recipi5t ( a family c>egiv]4 4