,i #aai? ,,congress #b;d ,session ,h4 ,r4 #heda ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,april #bh1 #bjbf,mrs4 ,d+ell 7= h]self & ,ms4 ,matsui7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ,education & ,work=ce1 ,ways & ,means1 ! ,judici>y1 ,h\se ,adm9i/ration1 & ,ov]sight & ,gov]nm5t ,re=m1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to support ! direct c>e pr(essional work=ce1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,9 g5]al ,?is ,act may be cit$ z ! ,long-,t]m ,c>e ,work=ce ,support ,act4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4 ,sec4 #b4 ,f9d+s & purposes4 ,sec4 #c4 ,def9itions4 ,,title ,i--,improv+ ,reimbursem5t ,sec4 #aja4 ,additional support = ,m$icaid long-t]m c>e s]vices provid$ by direct c>e pr(essionals4 ,sec4 #ajb4 ,additional support = ,m$icaid long-t]m c>e s]vices & direct c>e pr(essionals4 ,sec4 #ajc4 ,mak+ p]man5t ! ,/ate option to ext5d protection "u ,m$icaid = recipi5ts ( home & community-bas$ s]vices aga9/ sp\sal impov]i%m5t4 ,sec4 #ajd4 ,p]man5t ext5sion ( money foll[s ! p]son rebalanc+ demon/ration4 ,,title ,,ii--,tra9+1 ,recruitm5t1 ,c>e] ,advancem5t1 & ,work] ,supports ,subtitle ,a--,improv+ ,work=ce ,tra9+ ,*apt] #a--;,grants = ,support+ ! ,direct ,c>e ,pr(essional ,work=ce ,sec4 #bja4 ,def9itions4 ,sec4 #bjb4 ,au?ority to aw>d grants4 ,sec4 #bjc4 ,project plans4 ,sec4 #bjd4 ,uses ( funds2 supplem5t1 n supplant4 ,*apt] #b--,o!r work=ce tra9+ grants ,sec4 #bje4 ,work=ce inve/m5t activities grants = dome/ic work]s4 ,sec4 #bjf4 ,direct c>e pr(essional c>e] advancem5t demon/ration projects4 ,sec4 #bjg4 ,pa?ways to heal? c>e]s4 ,sec4 #bjh4 ,increas+ work=ce div]sity 9 alli$ heal? pr(essionals & direct support pr(essionals4 ,subtitle ,b--,improv+ ,work=ce ,recruitm5t ,sec4 #baa4 ,te*nical assi/ance c5t] = build+ ! direct c>e pr(essional work=ce4 ,sec4 #bab4 ,report on ef=ts to enhance ! direct c>e pr(essional work=ce4 ,sec4 #bac4 ,compreh5sive g]iatric education4 ,sec4 #bad4 ,review ( ! availability & quality ( appr5tice%ip programs 9 long-t]m c>e sett+s4 ,sec4 #bae4 ,rural heal? work=ce grant program4 ,subtitle ,c--,provid+ c>e] advancem5t opportunities2 assessm5t ( work] well-be+ ,sec4 #bba4 ,assessm5t ( direct c>e pr(essional well-be+4 ,sec4 #bbb4 ,national ,direct ,c>e ,pr(essional ,tra9+ ,/&>ds ,commission4 ,subtitle ,d--,increas+ supports = ! exi/+ direct c>e pr(essional work=ce ,sec4 #bca4 ,m5tal heal? s]vices4 ,sec4 #bcb4 ,dissem9ation ( be/ practices ) respect to m5tal heal? ( direct c>e pr(essionals4 ,sec4 #bcc4 ,education & aw>5ess initiative enc\rag+ use ( m5tal heal? & sub/ance use disord] s]vices by direct c>e pr(essionals4 ,sec4 #bcd4 ,direct c>e pr(essional tra9+ grants4 ,sec4 #bce4 ,cr$it = c]ta9 heal? c>e pr(essionals4 ,sec4 #bcf4 ,direct ,c>e ,pr(essional ,work=ce ,equity ,te*nical ,assi/ance ,c5t]4 ,,title ,,iii--,work=ce labor protections ,subtitle ,a--,long-t]m ,c>e ,work=ce ,wage ,!ft ,prev5tion & ,wage ,recov]y ,act ,sec4 #cja4 ,def9itions4 ,sec4 #cjb4 ,direct c>e pr(essional work=ce wage !ft prev5tion & wage recov]y grant program4 ,subtitle ,b--,direct c>e pr(essional rights ,sec4 #caa4 ,def9itions4 ,sec4 #cab4 ,writt5 agreem5ts4 ,sec4 #cac4 ,fair s*$ul+ practices4 ,sec4 #cad4 ,"r to reque/ & receive tempor>y *anges to s*$ul$ "w h\rs due to p]sonal ev5ts4 ,sec4 #cae4 ,privacy4 ,sec4 #caf4 ,breaks = meals & re/4 ,sec4 #cag4 ,prohibit$ acts4 ,sec4 #cah4 ,en=cem5t au?ority4 ,sec4 #cai4 ,effect on exi/+ employm5t b5efits & o!r laws4 ,subtitle ,c--,workplace ,viol5ce ,prev5tion = ,heal? ,c>e & ,social ,s]vices ,work]s ,act ,sec4 #cba4 ,workplace ,viol5ce ,prev5tion ,/&>d4 ,sec4 #cbb4 ,scope & application4 ,sec4 #cbc4 ,requirem5ts = ,workplace ,viol5ce ,prev5tion ,/&>d4 ,sec4 #cbd4 ,rules ( con/ruction4 ,sec4 #cbe4 ,def9itions4 ,sec4 #cbf4 ,application ( ! ,workplace ,viol5ce ,prev5tion ,/&>d to c]ta9 facilities receiv+ ,m$ic>e funds4 ,subtitle ,d--,improv+ access to job b5efits ,sec4 #cca4 ,def9itions4 ,sec4 #ccb4 ,paid sick "t4 ,sec4 #ccc4 ,notice requirem5t4 ,sec4 #ccd4 ,prohibit$ acts4 ,sec4 #cce4 ,en=cem5t au?ority4 ,sec4 #ccf4 ,education & outrea*4 ,sec4 #ccg4 ,effect on exi/+ employm5t b5efits4 ,sec4 #cch4 ,enc\ragem5t ( m g5]\s leave policies4 ,sec4 #cci4 ,regulations4 ,sec4 #cci;,a4 ,effective date4 ,sec4 #cci;,b4 ,collection ( data & fur!r /udy4 ,,title ,,iv--,national ,direct ,c>e ,pr(essional ,comp5sation ,/rategy ,sec4 #dja4 ,def9itions4 ,sec4 #djb4 ,national ,direct ,c>e ,pr(essional ,comp5sation ,/rategy4 ,sec4 #djc4 ,national ,direct ,c>e ,pr(essional ,comp5sation ,advisory ,c\ncil4 ,sec4 #djd4 ,sunset provision4 ,,title ,v--,improv+ ov]sight & acc\ntability ,sec4 #eja4 ,evaluation ( implem5tation & outcomes4 #b4 ,f9d+s & purposes 7a7 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,! ne>ly #e1jjj1jjj direct c>e pr(essionals 9 ! ,unit$ ,/ates play a vital role 9 support+ ! heal?1 well-be+1 & indep5d5ce ( old] individuals & p ) disabilities4 7#b7 ,! ,unit$ ,/ates faces a gr[+ crisis 9 its direct c>e pr(essional work=ce at ! same "t t dem& = s]vices is ris+ at unprec$5t$ rates4 7#c7 ,!re w be an e/imat$ #i1cjj1jjj total direct c>e pr(essional job op5+s f #bjba to #bjca1 includ+ new jobs to support ! gr[+ numb] ( p :o ne$ c>e & to fill ! jobs ( su* pr(essionals leav+ ! direct c>e pr(essional work=ce4 7#d7 ,work=ce turnov] & %ortages h a direct impact on old] individuals1 p ) disabilities1 & _! families :o suff] because !y _c get ! high-quality c>e t !y ne$ & des]ve4 7#e7 ,! m$ian h\rly wage = all direct c>e pr(essionals 9 #bjbb 0 only #ae4dc1 ) home c>e work]s e>n+ ! lea/4 7#f7 ,"o 9 #h direct c>e pr(essionals live 9 pov]ty & ?ree qu>t]s e>n less ?an ! av]age liv+ wage 9 _! ,/ate4 7#g7 ,=ty-six p]c5t ( direct c>e pr(essionals rely on public assi/ance1 su* z ,m$icaid1 food & nutrition assi/ance1 or ca% assi/ance4 7#h7 ,direct c>e pr(essionals report high levels ( burn\t & pr(essional fatigue f _! physically & emotionally dem&+ "w1 lack ( respect = ! ess5tial1 skill$ c>e !y provide1 & la/+ trauma f battl+ ! ,,covid-#ai p&emic1 all ( :i* fur!r drives high turnov]4 7#i7 ,! long-t]m c>e indu/ry is /ruggl+ to hire & reta9 direct c>e pr(essionals1 ) a national turnov] rate betwe5 #gg to ne>ly #ajj p]c5t4 7#aj7 ,n9ety-two p]c5t ( nurs+ home respond5ts & ne>ly #gj p]c5t ( assi/$ liv+ facilities survey$ report significant or sev]e work=ce %ortages4 7#aa7 ,m ?an half ( nurs+ homes survey$ 9 #bjbb report$ t !y limit$ new pati5t admissions due to /aff+ %ortages4 7#ab7 ,a survey ( ,/ate home & community-bas$ s]vices 7ref]r$ to 9 ?is section z ,,hcbs7 programs %[$ t e ,/ate reports a %ortage ( work]s1 & 9 #dc ,/ates1 "s ,,hcbs provid]s h clos$ p]man5tly4 7#ac7 ,! l[-quality ( direct c>e pr(essional jobs reflects & p]petuates ! racial & g5d] inequities fac$ by direct c>e pr(essionals1 :o are disproportionately wom51 immigrants1 & p ( color4 7#ad7 ,ef=ts to support ! direct c>e pr(essional work=ce h focus$ on specific c>e sett+s1 ev5 ?\gh ^! issues are widespread across ! long-t]m c>e l&scape & direct c>e pr(essionals across sett+s face simil> *all5ges ( l[ wages1 few b5efits1 limit$ tra9+ & support1 work] exploitation1 & a lack ( mean+ful c>e] ladd]s4 7#ae7 ,/abiliz+1 gr[+1 & support+ ! direct c>e pr(essional work=ce across ! cont9uum ( long-t]m c>e is ess5tial to ensur+ a /rong1 qualifi$ pipel9e ( work]s1 & improv+ ! lives ( direct c>e pr(essionals & ! old] individuals1 p ) disabilities1 & ! families & communities t !y support4 7b7 ,purposes ,! purposes ( ?is ,act are z foll[s3 7#a7 ,to increase ! capacity ( ! direct c>e pr(essional work=ce to ensure t old] individuals1 p ) disabilities1 & _! families receive ! s]vices !y ne$ 9 ! sett+s ( _! *oice z !y des]ve to live heal?y1 indep5d5t lives4 7#b7 ,to increase comp5sation s t direct c>e pr(essionals are paid a liv+ wage & h access to ess5tial job b5efits1 & s t direct c>e pr(essional jobs are good jobs4 7#c7 ,to ensure t direct c>e pr(essionals are treat$ ) respect1 provid$ ) a safe work+ environm5t1 protect$ f exploitation1 & fairly comp5sat$ = ! skill$ "w !y d4 7#d7 ,to improve access to & quality ( long-t]m c>e1 includ+ collect+ mean+ful & actionable data on ! direct c>e pr(essional work=ce & ! p !y support4 7#e7 ,to elim9ate ! race1 g5d]1 sexual ori5tation1 age1 & g5d] id5tity disp>ities t exi/ across ! direct c>e pr(essional work=ce4 7#f7 ,to /r5g!n ! direct c>e pr(essional work=ce 9 ord] to support ! #ec1jjj1jjj unpaid family c>egiv]s :o are (t5 provid+ complex s]vices & supports to _! lov$ ones :o are old] individuals & p ) disabilities 9 _! homes1 communities1 & resid5tial sett+s4 #c4 ,def9itions ,9 ?is ,act3 7#a7 ,activities ( daily liv+ ,! t]m activities ( daily liv+ means basic1 p]sonal1 ev]yday activities1 includ+ tasks su* z eat+1 toilet+1 groom+1 dress+1 ba?+1 & transf]r+4 7#b7 ,ag+ & disability res\rce c5t] ,! t]m ,ag+ & ,disability ,res\rce ,c5t] has ! mean+ giv5 su* t]m 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb74 7#c7 ,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#d7 ,appropriate committees ( ,congress ,! t]m appropriate committees ( ,congress means-- 7,a7 ! ,committee on ,f9ance ( ! ,s5ate2 7,b7 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate2 7,c7 ! ,special ,committee on ,ag+ ( ! ,s5ate2 7,d7 ! ,committee on ,ways & ,means ( ! ,h\se ( ,repres5tatives2 7,e7 ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives2 & 7,f7 ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives4 7#e7 ,area ag5cy on ag+ ,! t]m area ag5cy on ag+ has ! mean+ giv5 su* t]m 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb74 7#f7 ,assi/$ liv+ facility ,! t]m assi/$ liv+ facility means an adult c>e facility t-- 7,a7 is a resid5tial c>e sett+ lic5s$ & regulat$ by ! ,/ate 9 :i* ! facility is locat$ 7or1 if !re is no ,/ate law provid+ = su* lic5s+ & regulation by ! ,/ate1 by ! municipality or o!r political subdivision 9 :i* ! facility is locat$72 7,b7 7i7 makes available to resid5ts supportive s]vices to assi/ ! resid5ts 9 c>ry+ out activities ( daily liv+2 7ii7 provides #bd-;h\r on-site monitor+1 p]sonal c>e plann+1 food s]vices1 & p]sonal c>e2 & 7iii7 may make available to resid5ts home heal? c>e s]vices1 su* z nurs+ & !rapy2 & 7,c7 provides dwell+ units = resid5ts1 ea* ( :i* may conta9 a full kit*51 b$room1 & ba?room1 & :i* includes common rooms & o!r facilities appropriate = ! provision ( supportive s]vices to ! resid5ts ( ! facility4 7#g7 ,c]tifi$ nurs+ assi/ant ,! t]m c]tifi$ nurs+ assi/ant means a nurse aide :o has complet$ a ,/ate-approv$ tra9+ & compet5cy evaluation program4 7#h7 ,comm]ce ,except z provid$ 9 section #cca1 ! t]m comm]ce has ! mean+ giv5 su* t]m 9 section #c ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #bjc74 7#i7 ,community or te*nical college ,! t]m community or te*nical 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#aj7 ,developm5tal disability ,! t]m developm5tal disability has ! mean+ giv5 su* t]m 9 section #ajb ( ! ,developm5tal ,disabilities ,assi/ance & ,bill ( ,rights ,act ( #bjjj 7#db ,u4,s4,c4 #aejjb74 7#aa7 ,direct c>e pr(essional ,! t]m direct c>e pr(essional means-- 7,a7 a p]sonal or home c>e aide2 7,b7 a home & community-bas$ s]vices work]2 7,c7 a direct support pr(essional2 7,d7 a c]tifi$ nurs+ assi/ant2 7,e7 a nurse aide or nurs+ assi/ant2 7,f7 a respite c>e provid]2 7,g7 a paid family c>egiv]2 7,h7 a home heal? aide2 7,i7 a private duty nurse2 or 7,j7 any o!r individual provid+ relevant s]vices 7z det]m9$ by ! ,secret>y ( ,heal? & ,human ,s]vices7 = comp5sation1 9 ! c\rse ( ! pr(ession ( su* individual1 at a long-t]m c>e sett+ to a resid5t ( su* sett+4 7#ab7 ,direct c>e pr(essional manag] ,! t]m direct c>e pr(essional manag] means a p]son :o is a manag]1 or sup]visory /aff1 ) coa*+1 tra9+1 manag]ial1 sup]visory1 or o!r ov]sight responsibilities ( direct c>e pr(essionals4 7#ac7 ,direct c>e pr(essional work=ce ,! t]m direct c>e pr(essional work=ce means ! broad work=ce ( direct c>e pr(essionals across all long-t]m c>e sett+s4 7#ad7 ,disability ,! t]m disability1 except z provid$ 9 p>agraph 7#aj71 has ! mean+ giv5 su* t]m 9 section #c ( ! ,am]icans ) ,disabilities ,act ( #aiij 7#db ,u4,s4,c4 #abajb74 7#ae7 ,dome/ic p>tn] 7,a7 ,9 g5]al ,! t]m dome/ic p>tn]1 ) respect to an individual1 means ano!r individual ) :om ! individual is 9 a committ$ relation%ip4 7,b7 ,committ$ relation%ip def9$ ,! t]m committ$ relation%ip = purposes ( subp>agraph 7,a7-- 7i7 means a relation%ip betwe5 #b individuals1 ea* at lea/ #ah ye>s ( age1 9 :i* bo? individuals %>e responsibility = a significant measure ( ea* o!r's common welf>e2 & 7ii7 includes any su* relation%ip betwe5 #b individuals1 includ+ individuals ( ! same sex1 t is grant$ legal recognition by a ,/ate or political subdivision ( a ,/ate z a m>riage or analog\s relation%ip1 includ+ a civil union or dome/ic p>tn]%ip4 7#af7 ,employ ,! t]m employ has ! mean+ giv5 ! t]m 9 section #c ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #bjc74 7#ag7 ,employee2 employ] ,except z provid$ 9 section #cca1 ! t]ms employee & employ] h ! mean+s giv5 su* t]ms 9 section #c ( su* ,act4 7#ah7 ,home & community-bas$ s]vices ,! t]m home & community-bas$ s]vices means any ( ! foll[+ 7:e!r provid$ on a fee-=-s]vice1 risk1 or o!r basis73 7,a7 ,home heal? c>e s]vices au?oriz$ "u p>agraph 7#g7 ( section #aije7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a774 7,b7 ,p]sonal c>e s]vices au?oriz$ "u p>agraph 7#bd7 ( su* section4 7,c7 ,,pace s]vices au?oriz$ "u p>agraph 7#bf7 ( su* section4 7,d7 ,home & community-bas$ s]vices au?oriz$ "u subsections 7b71 7c71 7i71 7j71 & 7k7 ( section #aiae ( su* ,act 7#db ,u4,s4,c4 #acifn71 su* s]vices au?oriz$ "u a waiv] "u section #aaae ( su* ,act 7#db ,u4,s4,c4 #acae71 & su* s]vices provid$ ?r\gh cov]age au?oriz$ "u section #aicg ( su* ,act 7#db ,u4,s4,c4 #acifu-#g74 7,e7 ,case managem5t s]vices au?oriz$ "u section #aije7;a77#ai7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77#ai77 & section #aiae7;g7 ( su* ,act 7#db ,u4,s4,c4 #acifn7g774 7,f7 ,rehabilitative s]vices1 includ+ ^? relat$ to behavioral heal?1 describ$ 9 section #aije7;a77#ac7 ( su* ,act 7#db ,u4,s4,c4 #acif;d7a77#ac774 7,g7 ,su* o!r s]vices specifi$ by ! ,secret>y ( ,heal? & ,human ,s]vices4 7#ai7 ,home & community-bas$ s]vices sett+ ,! t]m home & community-bas$ s]vices sett+ means a sett+ :]e home & community-bas$ s]vices au?oriz$ "u ,/ate options describ$ 9 subsection 7c7 or 7i7 ( section #aiae ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifn7 or1 z relevant1 demon/ration projects au?oriz$ "u section #aaae ( su* ,act 7#db ,u4,s4,c4 #acae71 are provid$ to individuals enroll$ = m$ical assi/ance "u a ,/ate plan "u title ,,xix 7or "u a waiv] ( su* a plan74 7#bj7 ,home & community-bas$ s]vices work] ,! t]m home & community-bas$ s]vices work]-- 7,a7 means an individual :o provides home & community-bas$ s]vices = comp5sation2 & 7,b7 may include individuals describ$ 9 subp>agraph 7,a7 :o are physical !rapi/s1 occupational !rapi/s1 or spee* or language !rapi/s4 7#ba7 ,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#bb7 ,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#bc7 ,in/rum5tal activities ( daily liv+ ,! t]m in/rum5tal activities ( daily liv+ means tasks t are n necess>y = fundam5tal function+1 b all[ an individual to live indep5d5tly 9 a community ( daily liv+4 ,su* tasks include-- 7,a7 h\sekeep+ & room clean+2 7,b7 meal prep>ation2 7,c7 tak+ m$ications2 7,d7 laundry2 7,e7 transportation2 7,f7 %opp+ = groc]ies1 clo?+1 or o!r items2 7,g7 manag+ communications1 su* z us+ ! telephone2 7,h7 manag+ f9ances2 7,i7 writ+ lett]s2 & 7,j7 obta9+ appo9tm5ts4 7#bd7 ,local educational ag5cy ,! t]m local educational ag5cy has ! mean+ giv5 ! t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#be7 ,long-t]m c>e s]vices ,! t]m long-t]m c>e s]vices means any s]vices provid$ by a direct c>e pr(essional 9 a long-t]m c>e sett+4 7#bf7 ,long-t]m c>e sett+ ,! t]m long-t]m c>e sett+ means-- 7,a7 a nurs+ home2 7,b7 a home & community-bas$ s]vices sett+2 7,c7 an assi/$ liv+ facility2 7,d7 an int]m$iate c>e facility2 7,e7 a ,/ate home1 z def9$ 9 section #aja7ai7 ( title #ch1 ,unit$ ,/ates ,code2 7,f7 a ,tribal nurs+ home op]at$ pursuant to an ,indian heal? program 7z def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc772 7,g7 a private home2 7,h7 a respite sett+2 or 7,i7 any o!r sett+ 9 :i* an individual provides relevant s]vices 7z det]m9$ by ! ,secret>y ( ,heal? & ,human ,s]vices71 9 ! c\rse ( ! pr(ession ( su* individual1 to a resid5t ( su* sett+4 7#bg7 ,m$icaid program ,! t]m ,m$icaid program means1 ) respect to a ,/ate1 ! ,/ate program "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 7includ+ any waiv] or demon/ration "u su* title or "u section #aaae ( su* ,act 7#db ,u4,s4,c4 #acae7 relat+ to su* title74 7#bh7 ,nurse aide ,! t]m nurse aide has ! mean+ giv5 su* t]m 9 section #aiai7;b77#e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr7b77#e774 7#bi7 ,nurs+ assi/ant ,! t]m nurs+ assi/ant means an individual :o provides or assi/s ) ! basic c>e or support ( a pati5t "u ! direction ( onsite lic5s$ nurs+ /aff1 :i* may include p]=m+ duties su* z-- 7,a7 monitor+ ( ! heal? /atus1 fe$+1 ba?+1 dress+1 groom+1 toilet+1 or ambulation ( pati5ts or resid5ts 9 a heal? facility or nurs+ home2 & 7,b7 m$ication adm9i/ration & o!r heal?-relat$ tasks ( pati5ts 9 a heal? facility or nurs+ home4 7#cj7 ,nurs+ home ,! t]m nurs+ home means-- 7,a7 a nurs+ facility z def9$ 9 section #aiai7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr7a772 or 7,b7 a skill$ nurs+ facility z def9$ 9 section #ahai7;a7 ( su* ,act 7#db ,u4,s4,c4 #acie;i-#c7;a774 7#ca7 ,old] individual ,! t]m old] individual has ! mean+ giv5 ! t]m 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb74 7#cb7 ,p]sonal or home c>e aide 7,a7 ,9 g5]al ,! t]m p]sonal or home c>e aide means an individual :o helps old] individuals & p ) s]i\s illness1 physical disability1 cognitive impairm5t 7includ+ ,alzheim]'s disease or o!r dem5tias1 a developm5tal disability1 or ano!r disability involv+ a m5tal impairm5t7 to live 9 _! own home or a resid5tial c>e facility 7su* z a nurs+ home1 assi/$ liv+ facility1 or any o!r facility ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es appropriate t is n describ$ 9 subp>agraph 7,b77i77 by provid+ p]sonal c>e s]vices = comp5sation4 7,b7 ,p]sonal c>e s]vices ,= purposes ( subp>agraph 7,a71 ! t]m p]sonal c>e s]vices means assi/ance or s]vices-- 7i7 provid$ to an individual :o is n an inpati5t or resid5t ( a hospital or in/itution = m5tal disease2 & 7ii7 t enable ! recipi5t to accompli% activities ( daily liv+ or in/rum5tal activities ( daily liv+4 7#cc7 ,second>y s*ool ,! t]m second>y s*ool has ! mean+ giv5 su* t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#cd7 ,self-direct$ c>e pr(essional ,! t]m self-direct$ c>e pr(essional 7also kn[n z an indep5d5t provid]7-- 7,a7 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]vices2 & 7,b7 includes paid family c>egiv]s4 7#ce7 ,/ate ,! t]m ,/ate1 except z o!rwise provid$ 9 ?is ,act1 has ! mean+ giv5 su* t]m = purposes ( title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 7#cf7 ,/ate educational ag5cy ,! t]m ,/ate educational ag5cy has ! mean+ giv5 ! t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#cg7 ,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#ch7 ,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$5tial1 region1 & ,/ate bo>d h ! mean+s giv5 su* t]ms 9 section #c ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cajb74 7#ci7 ,"w-bas$ le>n+ ,! t]m "w-bas$ le>n+ has ! mean+ giv5 su* t]m 9 section #c ( ! ,c>l ,d4 ,p]k9s ,c>e] & ,te*nical ,education ,act ( #bjjf 7#bj ,u4,s4,c4 #bcjb74 ,i ,improv+ ,reimbursem5t #aja4 ,additional support = ,m$icaid long-t]m c>e s]vices provid$ by direct c>e pr(essionals ,section #aije ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is am5d$-- 7#a7 9 subsection 7b71 by /rik+ & 7ii7 & ins]t+ 7ii71 & 7kk72 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7kk7 ,additional support = long-,t]m c>e s]vices provid$ by direct c>e pr(essionals 7#a7 ,9 g5]al ,not)/&+ subsections 7b7 & 7ff71 9 ! case ( a ,/ate t satisfies ! conditions describ$ 9 p>agraph 7#b71 = ea* fiscal qu>t] dur+ ! p]iod ( fiscal ye>s #bjbf ?r\gh #bjce1 ! ,f$]al m$ical assi/ance p]c5tage o!rwise det]m9$ = su* ,/ate "u su* subsection 7b7 or 7ff7 %all1 aft] ! application ( any o!r increase to ! ,f$]al m$ical assi/ance p]c5tage = ! ,/ate & qu>t] applicable "u any o!r provision ( law1 be increas$ by #aj p]c5tage po9ts 7b n to exce$ #ie p]c5t7 ) respect to am\nts exp5d$ by ! ,/ate = m$ical assi/ance = long-t]m c>e s]vices t are provid$ by direct c>e pr(essionals dur+ su* qu>t]4 7#b7 ,requirem5ts ,z a condition = receipt ( ! increase "u p>agraph 7#a7 to ! ,f$]al m$ical assi/ance p]c5tage det]m9$ = a ,/ate1 ! ,/ate %all submit to ! ,secret>y1 at su* "t & 9 su* mann] z specifi$ by ! ,secret>y1 an application t includes1 9 addition to su* o!r in=mation z ! ,secret>y %all require-- 7,a7 a description ( :i* activities describ$ 9 p>agraph 7#d7 t a ,/ate plans to implem5t & a description ( h[ x plans to implem5t su* activities2 7,b7 assurances t all ,f$]al funds attributable to ! increase "u p>agraph 7#a7 w be-- 7i7 exp5d$ by ! ,/ate 9 accordance ) ?is subsection n lat] ?an ,septemb] #cj1 #bjcg2 & 7ii7 us$-- 7,i7 to implem5t ! activities describ$ 9 p>agraph 7#d72 7,,ii7 to supplem5t1 & n supplant1 ! level ( ,/ate funds exp5d$ = long-t]m c>e s]vices provid$ by direct c>e pr(essionals "u ! ,/ate plan 7or "u a waiv] ( su* plan7 z ( ! date ( enactm5t ( ?is subsection2 & 7,,iii7 to increase reimbursem5t rates = long-t]m c>e s]vices provid$ by direct c>e pr(essionals "u ! ,/ate plan 7or "u a waiv] ( su* plan7 to a level t w support recruitm5t & ret5tion ( a suffici5t work=ce to provide su* s]vices "u ! ,/ate plan 7or waiv]72 7,c7 assurances t ! ,/ate w use a portion ( ! ,f$]al funds attributable to ! increase "u p>agraph 7#a7 to ensure great] s]vice capacity1 includ+ r$uc+ wait+ li/s & improv+ comp5sation1 b5efits1 work+ conditions1 & tra9+ = direct c>e pr(essionals & direct c>e manag]s2 & 7,d7 assurances t ! ,/ate w conduct adequate ov]sight & ensure ! validity ( su* data z may be requir$ by ! ,secret>y4 7#c7 ,approval ( application ,n lat] ?an #ij days aft] ! date ( submission ( an application ( a ,/ate "u p>agraph 7#b71 ! ,secret>y %all c]tify if ! application is complete4 ,^u c]tification t an application ( a ,/ate is complete1 ! application %all be deem$ to be approv$ = purposes ( ?is section4 7#d7 ,activities to improve ! direct c>e pr(essional work=ce 7,a7 ,9 g5]al ,a ,/ate %all "w ) community p>tn]s su* z ,area ,ag5cies on ,ag+1 c5t]s = indep5d5t liv+1 z describ$ 9 "p ,c ( title ,,vii ( ! ,rehabilitation ,act ( #aigc1 nonpr(it long-t]m c>e s]vices provid]s1 & o!r entities to implem5t "s or all ( ! purposes describ$ 9 subp>agraph 7,b74 7,b7 ,focus$ areas ( improvem5t ,! purposes describ$ 9 ?is p>agraph1 ) respect to a ,/ate1 are ! foll[+3 7i7 ,to increase rates = s]vice provid] ag5cies t employ direct c>e pr(essionals 7includ+ indep5d5t provid]s 9 a self-direct$ or consum]-direct$ model7 to provide long-t]m c>e s]vices "u ! ,/ate plan 7or "u a waiv] ( su* plan71 provid$ t any s]vice provid] ag5cy or individual t receives paym5t "u su* an increas$ rate increases ! comp5sation x pay its direct c>e pr(essionals4 7ii7 ,to provide paid sick leave1 paid family leave1 & paid m$ical leave = direct c>e pr(essionals4 7iii7 ,to provide haz>d pay1 ov]time pay1 & %ift diff]5tial pay = direct c>e pr(essionals4 7iv7 ,to improve /ability ( direct c>e pr(essional jobs1 includ+ consi/5t h\rs1 s*$ul+1 pay1 & b5efit eligibility4 7v7 ,to provide home & community-bas$ s]vices to individuals :o are on wait+ li/s = programs approv$ "u sections #aaae or #aiae4 7vi7 ,to pur*ase em]g5cy supplies & equipm5t1 :i* may include items n typically cov]$ "u ! ,/ate plan 7or "u a waiv] ( su* plan71 su* z p]sonal protective equipm5t1 necess>y to enhance access to s]vices & to protect ! heal? & well-be+ ( direct c>e pr(essionals4 7vii7 ,to pay = ! travel ( direct c>e pr(essionals to conduct _! job responsibilities4 7viii7 ,to recruit new direct c>e pr(essionals4 7ix7 ,to pay = tra9+ = direct c>e pr(essionals1 includ+ appr5tice%ip programs4 7x7 ,to pay = assi/ive te*nologies1 /aff+1 & tra9+ to facilitate eligible individuals' communication1 & o!r co/s incurr$ 9 ord] to facilitate community integration & ensure an individual's p]son-c5t]$ s]vice plan is fully implem5t$4 7xi7 ,to prep>e in=mation & public heal? & educational mat]ials 9 accessible =mats 7includ+ =mats accessible to p ) l[ lit]acy or intellectual disabilities ab\t prev5tion1 treatm5t1 recov]y1 & o!r aspects ( communicable diseases & ?reats to ! heal? ( individuals :o are enroll$ = m$ical assi/ance "u ! ,/ate plan 7or "u a waiv] ( su* plan771 _! families1 & ! g5]al community s]v$ by ag5cies describ$ 9 clause 7i74 7xii7 ,to protect ! heal? & safety ( direct c>e pr(essionals dur+ public heal? em]g5cies & natural disa/]s4 7xiii7 ,to pay = int]pret]s to assi/ 9 provid+ long-t]m c>e s]vices to individuals "u ! ,/ate plan 7or "u a waiv] ( su* plan7 & to in=m ! g5]al public ab\t communicable diseases & o!r public heal? ?reats4 7xiv7 ,to pay = o!r exp5ses deem$ appropriate by ! ,secret>y to enhance1 exp&1 or /r5g!n long-t]m c>e s]vices "u ! ,/ate plan 7or "u a waiv] ( su* plan74 7#e7 ,report+ requirem5ts 7,a7 ,/ate report+ requirem5ts ,n lat] ?an ,decemb] #ca1 #bjbh1 & e #b ye>s !reaft] until ,decemb] #ca1 #bjdj1 any ,/ate ) respect to :i* an application is approv$ by ! ,secret>y pursuant to p>agraph 7#c7 %all submit a report to ! ,secret>y t conta9s ! foll[+ in=mation3 7i7 ,activities & programs t 7 fund$ us+ ,f$]al funds attributable to ! increase to ! ,f$]al m$ical assi/ance p]c5tage ( ! ,/ate "u p>agraph 7#a74 7ii7 ,! numb] ( individuals enroll$ "u ! ,/ate plan 7or "u a waiv] ( su* plan7 :o 7 s]v$ by su* activities & programs4 7iii7 ,a detail$ acc\nt+ ( all sp5d+ ( funds attributable to ! increase to ! ,f$]al m$ical assi/ance p]c5tage ( ! ,/ate "u p>agraph 7#a7 by ! ,/ate & by any provid]s ) :om ! ,/ate ent]$ into contracts or agreem5ts to fulfill ! requirem5ts ( ?is subsection4 7,b7 ,non-application ( ! pap]work r$uction act ,*apt] #ce ( title #dd1 ,unit$ ,/ates ,code 7commonly ref]r$ to z ! ,pap]work ,r$uction ,act ( #aiie71 %all n apply to ! provisions ( ?is subsection4 7#f7 ,en=cem5t 7,a7 ,9 g5]al ,if ! ,secret>y det]m9es t a ,/ate ) respect to :i* an application is approv$ pursuant to p>agraph 7#c7 has fail$ to comply ) ! requirem5ts ( ?is subsection 7includ+ ! requirem5t t all ,f$]al funds attributable to ! increase to ! ,f$]al m$ical assi/ance p]c5tage ( ! ,/ate "u p>agraph 7#a7 be sp5t 9 accordance ) p>agraph 7#d77 = any qu>t] dur+ ! p]iod ( fiscal ye>s describ$ 9 p>agraph 7#a71 ! ,secret>y may r$uce ! numb] ( p]c5tage po9ts by :i* ! ,f$]al m$ical assi/ance p]c5tage = ! ,/ate & qu>t] w\ld o!rwise be increas$ "u p>agraph 7#a7 = su* qu>t]4 7,b7 ,p5alty bas$ on sev]ity ( failure ,! ,secret>y %all impose r$uctions "u ?is p>agraph bas$ on ! degree to :i* a ,/ate has fail$ to comply ) ! requirem5ts ( ?is subsection4 7#g7 ,evaluation ,n lat] ?an #bjbh & annually until #bjcg1 ! ,secret>y1 9 conjunction ) ! ,secret>y ( ,labor1 %all evaluate ! implem5tation & outcomes ( ?is subsection on ! availability ( /aff to cov] %ifts 9 all long-t]m c>e sett+s s]v+1 work] cr$5tials & skills1 & work] comp5sation ?r\gh a contract ) an ext]nal evaluator :o has exp]i5ce ) evaluation relat$ to p ) disabilities & old] individuals4 7#h7 ,def9itions ,9 ?is subsection3 7,a7 ,direct c>e pr(essional ,! t]m direct c>e pr(essional has ! mean+ giv5 su* t]m 9 section #c ( ! ,long-,t]m ,c>e ,work=ce ,support ,act4 7,b7 ,home & community-bas$ s]vices ,! t]m home & community-bas$ s]vices means any ( ! foll[+3 7i7 ,home heal? c>e s]vices au?oriz$ "u p>agraph 7#g7 ( subsection 7a74 7ii7 ,p]sonal c>e s]vices au?oriz$ "u p>agraph 7#bd7 ( su* subsection4 7iii7 ,,pace s]vices au?oriz$ "u p>agraph 7#bf7 ( su* subsection4 7iv7 ,home & community-bas$ s]vices au?oriz$ "u subsections 7b71 7c71 7i71 7j71 & 7k7 ( section #aiae1 su* s]vices au?oriz$ "u a waiv] "u section #aaae1 & su* s]vices ?r\gh cov]age au?oriz$ "u section #aicg4 7v7 ,case managem5t s]vices au?oriz$ "u subsection 7a77#ai7 ( ?is section & section #aiae7;g74 7vi7 ,rehabilitative s]vices1 includ+ ^? relat$ to behavioral heal?1 describ$ 9 subsection 7a77#ac7 ( ?is section4 7vii7 ,su* o!r s]vices specifi$ by ! ,secret>y4 4 #ajb4 ,additional support = ,m$icaid long-t]m c>e s]vices & direct c>e pr(essionals 7a7 ,9 g5]al ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 %all aw>d grants to ,/ates = ! purpose ( support+ & /r5g!n+ s]vices provid$ by direct c>e pr(essionals across direct c>e sett+s & improv+ recruitm5t1 comp5sation1 & ret5tion ( ! direct c>e pr(essional work=ce4 7b7 ,application ,n lat] ?an #f mon?s aft] ! date ( enactm5t ( ?is ,act1 ea* ,/ate t seeks to receive a grant "u ?is section %all submit an application1 9 su* =m & mann] z ! ,secret>y %all require1 to ! ,secret>y t includes-- 7#a7 in=mation on h[ ! ,/ate w use grant funds to improve long-t]m c>e s]vices & ! recruitm5t1 comp5sation1 & ret5tion ( direct c>e pr(essionals 9 a mann] t maximizes ! indep5d5ce ( p ) disabilities & old] individuals1 limits unnecess>y in/itutionalization1 & supports p liv+ 9 resid5tial sett+s2 7#b7 specifies ! proportion ( grant funds t ! ,/ate plans to sp5d on activities to support long-t]m pr(essional c>e work]s 9 nurs+ homes1 home heal? sett+s1 & home & community-bas$ s]vices sett+s1 respectively2 7#c7 a plan = su/a9+ ! "w at ! conclusion ( ! grant p]iod2 & 7#d7 su* o!r in=mation z ! ,secret>y %all require4 7c7 ,grant ,am\nts ,! ,secret>y %all aw>d ea* ,/ate t submits an application to ! ,secret>y t meets ! requirem5ts ( subsection 7b7 a #e-ye> grant 9 an am\nt t be>s ! same proportion to ! am\nt appropriat$ "u subsection 7e7 z-- 7#a7 ! numb] ( individuals :o are enroll$ = m$ical assi/ance "u ! ,m$icaid program ( ! ,/ate involv$ 7z det]m9$ by ! ,secret>y us+ ! mo/ rec5t data available z ( ! date ( enactm5t ( ?is ,act72 be>s to 7#b7 ! total numb] ( individuals :o are enroll$ = m$ical assi/ance "u ! ,m$icaid programs ( all ,/ates t submit to ! ,secret>y an application t meets ! requirem5ts ( subsection 7b74 7d7 ,use ( grant funds 7#a7 ,9 g5]al ,a ,/ate t receives a grant "u ?is section %all use ! funds ( su* grant 9 accordance ) ! requirem5ts ( ?is subsection4 7#b7 ,supplem5t1 n supplant ,a ,/ate %all use funds f a grant aw>d$ "u ?is section to supplem5t1 & n supplant1 ! level ( ,/ate funds exp5d$ = s]vices 9 long-t]m c>e sett+s ?r\gh programs 9 effect z ( ,janu>y #a1 #bjbf4 7#c7 ,requir$ implem5tation ( c]ta9 activities ,! ,/ate %all use funds f a grant aw>d$ "u ?is section to implem5t & evaluate1 or supplem5t ! implem5tation (1 activities 7:i* %all include ! activities describ$ 9 p>agraph 7#d77 to enhance1 exp&1 or /r5g!n long-t]m c>e s]vices & to improve comp5sation to ! work=ce t provides su* s]vices4 7#d7 ,activities to /r5g!n & exp& ! direct c>e pr(essional work=ce 7,a7 ,9 g5]al ,! ,/ate /r5g!ns & exp&s ! direct c>e pr(essional work=ce t provides s]vices across long-t]m c>e sett+s by-- 7i7 adopt+ a sal>y review process to ensure t ! rates payable = long-t]m c>e s]vices "u ! ,/ate ,m$icaid program are suffici5t to ensure access to su* s]vices "u su* program2 7ii7 requir+ t a p]c5tage ( all paym5ts = long-t]m c>e s]vices t are made "u ! ,/ate ,m$icaid program1 includ+ base paym5ts & supplem5tal paym5ts1 improve comp5sation1 b5efits1 work+ conditions1 & tra9+ = direct c>e pr(essionals & direct c>e manag]s2 & 7iii7 updat+1 develop+1 & adopt+ qualification /&>ds & tra9+ opportunities = ! cont9uum ( direct c>e pr(essionals1 includ+ programs = indep5d5t direct c>e pr(essionals & ag5cy direct c>e pr(essionals1 z well z unique programs4 7,b7 ,paym5t rates ,9 c>ry+ out subp>agraph 7,a77i71 ! ,/ate %all-- 7i7 address insuffici5t paym5t rates "u ! ,/ate ,m$icaid program = deliv]y ( long-t]m c>e s]vices ) an emphasis on support+ ! recruitm5t & ret5tion ( direct c>e pr(essionals2 7ii7 update paym5t rates "u ! ,/ate ,m$icaid program = long-t]m c>e s]vices1 includ+ home & community-bas$ s]vices1 nurs+ home s]vices1 skill$ nurs+ facility s]vices1 & int]m$iate c>e facility s]vices at lea/ e #b ye>s ?r\gh a transp>5t process involv+ mean+ful input f /akehold]s1 9 :i* ! majority ( /akehold]s are recipi5ts ( su* s]vices1 families1 direct c>e pr(essionals1 family c>egiv]s1 *os5 repres5tatives ( direct c>e work]s1 ag+1 disability1 & work=ce advocates1 long-t]m c>e provid]s1 & may also include heal? plans2 & 7iii7 ensure t1 ) respect to any increases 9 ! paym5t rates "u ! ,/ate ,m$icaid program = long-t]m c>e s]vices-- 7,i7 at a m9imum1 increases 9 ! paym5t rates = long-t]m c>e s]vices are proportionately pass$ ?r\gh to direct c>e pr(essionals & direct c>e pr(essional manag]s :o provide su* s]vices & 9 a mann] t is det]m9$ ) input f ! /akehold]s describ$ 9 clause 7ii72 7,,ii7 su* paym5t rate increases are incorporat$ into paym5t rates = su* s]vices provid$ "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 by a manag$ c>e entity 7z def9$ 9 section #aicb7;a77#a77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifu-#b7;a77#a77;,b77 or a prepaid inpati5t heal? plan or prepaid ambulatory heal? plan1 z def9$ 9 section #dch4b ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulation771 "u a contract ) ! ,/ate2 7,,iii7 su* paym5t rate increases are appropriately di/ribut$ across sett+s1 populations1 & s]vices s z to promote indep5d5ce ( p ) disabilities & old] individuals1 n result 9 increas$ in/itutionalization1 & assi/s 9 ! facilitation ( rebalanc+ ! ,m$icaid program t[>ds ! lea/ re/rictive sett+s appropriate = individuals receiv+ s]vices2 & 7,,iv7 su* paym5t rate increases are prioritiz$ t[>d home & community-bas$ s]vice work]s 9 ,/ates t h a wait+ li/ = home & community bas$ s]vices & h be5 det]m9$ by ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vice to h inadequate capacity = su* s]vices4 7e7 ,appropriation ,!re is appropriat$ to ! ,secret>y = aw>d+ grants "u ?is section an am\nt equal to #ajj1jjj1jjj1jjj4 7f7 ,evaluation ( impact on ,,hcbs wait+ li/s ,! ,secret>y %all evaluate ! implem5tation & outcomes ( ?is title on ,/ate ,m$icaid program wait+ li/s = home & community-bas$ s]vices ?r\gh a contract ) an ext]nal evaluator :o has exp]i5ce ) evaluation relat$ to p ) disabilities & old] individuals4 #ajc4 ,mak+ p]man5t ! ,/ate option to ext5d protection "u ,m$icaid = recipi5ts ( home & community-bas$ s]vices aga9/ sp\sal impov]i%m5t 7a7 ,9 g5]al ,section #aibd7;h77#a77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#e7;h77#a77;,a77 is am5d$ by /rik+ is describ$ 9 section #aijb7;a77#aj77;,a77ii77,,vi7 & ins]t+ ! foll[+3 is eligible = m$ical assi/ance = home & community-bas$ s]vices provid$ "u subsection 7c71 7d71 or 7i7 ( section #aiae1 "u a waiv] approv$ "u section #aaae1 or :o is eligible = su* m$ical assi/ance by reason ( be+ det]m9$ eligible "u section #aijb7;a77#aj77;,c7 or by reason ( section #aijb7;f7 or o!rwise on ! basis ( a r$uction ( income bas$ on co/s incurr$ = m$ical or o!r rem$ial c>e1 or :o is eligible = m$ical assi/ance = home & community-bas$ att5dant s]vices & supports "u section #aiae7k74 7b7 ,con=m+ am5dm5t ,section #bdjd ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #acifr-#e note7 is am5d$ by /rik+ ,septemb] #cj1 #bjbg & ins]t+ ! date ( enactm5t ( ! ,long-,t]m ,c>e ,work=ce ,support ,act4 #ajd4 ,p]man5t ext5sion ( money foll[s ! p]son rebalanc+ demon/ration 7a7 ,9 g5]al ,subsection 7h77#a7 ( section #fjga ( ! ,deficit ,r$uction ,act ( #bjje 7#db ,u4,s4,c4 #acif;a note7 is am5d$-- 7#a7 9 subp>agraph 7,k71 by /rik+ 2 & & ins]t+ a semicolon2 7#b7 9 subp>agraph 7,l71 by /rik+ ?r\gh #bjbg4 & ins]t+ ?r\gh #bjbf2 &2 & 7#c7 by add+ at ! end ! foll[+ new subp>agraph3 7,m7 #ejj1jjj1jjj = ea* fiscal ye> aft] fiscal ye> #bjbf4 4 7b7 ,r$i/ribution ( unexp5d$ grant aw>ds ,subsection 7e77#b7 ( section #fjga ( ! ,deficit ,r$uction ,act ( #bjje 7#db ,u4,s4,c4 #acif;a note7 is am5d$ by add+ at ! end ! foll[+ new s5t5ce3 ,any portion ( a ,/ate grant aw>d = a fiscal ye> "u ?is section t is unexp5d$ by ! ,/ate at ! end ( ! f\r? succe$+ fiscal ye> %all be resc9d$ by ! ,secret>y & add$ to ! appropriation = ! fif? succe$+ fiscal ye> = grants "u ?is section44 ,,ii ,tra9+1 ,recruitm5t1 ,c>e] ,advancem5t1 & ,work] ,supports ,a ,improv+ ,work=ce ,tra9+ #a ,grants = ,support+ ! ,direct ,c>e ,pr(essional ,work=ce #bja4 ,def9itions ,9 ?is *apt]3 7#a7 ,eligible entity ,! t]m eligible entity means an entity-- 7,a7 t is-- 7i7 a ,/ate2 7ii7 a labor organization1 jo9t labor-managem5t organization1 or employ] ( direct c>e pr(essionals2 7iii7 a nonpr(it entity ) exp]i5ce 9 ag+1 disability1 or support+ ! rights & int]e/s (1 ! tra9+ (1 or educat+ direct c>e pr(essionals2 7iv7 an ,indian ,tribe1 ,tribal organization1 or ,urban ,indian organization2 7v7 a community or te*nical college or o!r in/itution ( high] education2 or 7vi7 a consortium ( entities li/$ 9 any ( clauses 7i7 ?r\gh 7v72 7,b7 t agrees1 z applicable ) respect to ! type ( grant ! entity is seek+ "u ?is *apt] & ! activities support$ ?r\gh su* grant1 to include z advisors & tra9]s 9 su* activities-- 7i7 old] individuals2 7ii7 p ) disabilities2 7iii7 direct c>e pr(essionals2 & 7iv7 family memb]s ( su* individuals1 p]sons1 or pr(essionals2 & 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#b7 ,project p>ticipant ,! t]m project p>ticipant means an individual p>ticipat+ 9 a project or activity assi/$ ) a grant "u ?is *apt]1 includ+ 7z applicable = ! category ( ! grant7 a direct c>e pr(essional or an individual tra9+ to be su* a pr(essional4 7#c7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#d7 ,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 *apt]1 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 #bjb4 ,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 ) ! ,adm9i/rator ( ! ,c5t]s = ,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(essionals 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,b71 7,c71 or 7,d71 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(essional manag]s1 includ+ ?r\gh education or tra9+ programs = su* manag]s or individuals seek+ to become su* manag]s4 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 ,home & community-bas$ s]vices grants ,grants to eligible entities to create & c>ry out projects to recruit1 reta91 or provide advancem5t opportunities = home & community-bas$ s]vices work]s provid+ s]vices & supports to old] individuals1 or p ) disabilities1 :o are eligible = cov]age "u a ,/ate ,m$icaid program4 7#c7 ,projects = advancem5t opportunities ,n less ?an #cj p]c5t ( projects assi/$ ) grants "u ?is *apt] %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 *apt] 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 *apt]4 #bjc4 ,project plans 7a7 ,9 g5]al ,an eligible entity seek+ a grant "u ?is *apt] %all submit to ! ,secret>y a project plan = ea* project to be develop$ & c>ri$ out 7includ+ = activities to be cont9u$ z describ$ 9 section #bjb7;b77 ) ! grant4 ,su* project plan %all be submitt$ 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 ! ,/ate1 city or municipality1 or region to be s]v$ by ! project1 includ+ a description ( ! populations likely to ne$ s]vices provid$ by direct c>e pr(essionals1 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 pr(essional work=ce vacancy rates & crude sep>ation rates & ! numb] ( direct c>e pr(essionals1 includ+ su* pr(essionals :o are manag]s or sup]visors1 9 ! ,/ate or region to be s]v$ by ! project4 7#c7 ,an advisory committee to advise ! eligible entity on activities to be c>ri$ out ?r\gh ! grant4 ,su* advisory committee-- 7,a7 %all include-- 7i7 old] individuals & p ) disabilities receiv+ s]vices f ! direct c>e pr(essionals t>get$ by ! project2 7ii7 organizations repres5t+ ! rights & int]e/s ( p receiv+ s]vices by ! direct c>e pr(essionals t>get$ by ! project2 7iii7 individuals :o are direct c>e pr(essionals t>get$ by ! project & organizations repres5t+ ! rights & int]e/s ( su* direct c>e pr(essionals2 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 p>5ts or c>egiv]s ( *ildr5 ) disabilities or *ronic conditions2 & 7vii7 repres5tatives reflect+ div]se racial1 cultural1 e?nic1 geographic1 socioeconomic1 & g5d] id5tity & sexual ori5tation p]spectives2 & 7,b7 may include any o!r individuals or entities li/$ 9 p>agraph 7#ab74 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$5tials = :i* ! program provides prep>ation1 z applicable71 :i* %all include an assurance t su* program w provide to ea* project p>ticipant 9 su* program-- 7,a7 relevant tra9+ reg>d+ ! rights ( recipi5ts ( long-t]m c>e s]vices1 includ+ _! rights to-- 7i7 receive s]vices 9 integrat$ 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 m9imum wage requir$ by o!r applicable ,f$]al or ,/ate law1 or a collective b>ga9+ agreem5t2 & 7iii7 does n use a c]tificate "u section #ad7;c7 ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #bad7;c774 7#g7 ,any o!r innovative models or processes ! eligible entity w implem5t to support ! ret5tion & c>e] advancem5t ( ! direct c>e pr(essionals t>get$ 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 direct c>e pr(essional 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 evid5ce-support$ practices = adult le>n]s & univ]sal design = le>n+ & ensure recipi5ts ( s]vices provid$ by ! direct c>e pr(essionals 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 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?2 7iii7 developm5tal disabilities or o!r disabilities involv+ m5tal impairm5t2 7iv7 co-occurr+ behavioral heal? conditions & a disability describ$ 9 clause 7iii72 7v7 ,alzheim]'s & dem5tia c>e2 7vi7 infection prev5tion & control measures2 7vii7 *ronic disease managem5t2 7viii7 age-relat$ conditions2 & 7ix7 ! use ( supportive or assi/ive te*nology4 7#ab7 ,h[ ! eligible entity w consult ?r\gh\t ! implem5tation ( ! project1 or coord9ate ! project )1 ea* ( ! foll[+3 7,a7 ,old] individuals & p ) disabilities4 7,b7 ,! ,/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,c7 ,! local bo>d & ,/ate bo>d = ea* region1 or ,/ate1 to be s]v$ by ! project4 7,d7 ,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,e7 ,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,f7 ,organizations repres5t+ ! rights & int]e/s ( p receiv+ s]vices by ! direct c>e pr(essionals t>get$ by ! project4 7,g7 ,area ag5cies on ag+4 7,h7 ,c5t]s = indep5d5t liv+1 z describ$ 9 "p ,c ( *apt] ,i ( title ,,vii ( ! ,rehabilitation ,act ( #aigc 7#bi ,u4,s4,c4 #gif;f et seq474 7,i7 ,! ,/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,j7 ,ag+ & ,disability ,res\rce ,c5t]s4 7,k7 ,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,l7 ,an entity t employs ! direct c>e pr(essionals t>get$ by ! project4 7,m7 ,univ]sity ,c5t]s = ,excell5ce 9 ,developm5tal ,disabilities ,education1 ,rese>*1 & ,s]vice support$ "u subtitle ,d ( title ,i ( ! ,developm5tal ,disabilities ,assi/ance & ,bill ( ,rights ,act ( #bjjj 7#db ,u4,s4,c4 #aejfa et seq474 7,n7 ,! ,/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,o7 ,direct c>e pr(essionals1 & direct c>e pr(essional work=ce organizations1 repres5t+ und]s]v$ communities1 includ+ communities ( color4 7,p7 ,individuals employ$ or work+ z ! direct c>e pr(essionals t>get$ by ! project4 7,q7 ,repres5tatives ( su* pr(essionals4 7,r7 ,individuals receiv+ s]vices f su* pr(essionals4 7,s7 ,! families ( su* pr(essionals4 7,t7 ,! families ( individuals receiv+ s]vices f su* pr(essionals4 7,u7 ,individuals receiv+ education or tra9+ to become su* pr(essionals4 7#ac7 ,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 ) a b>ri] to employm5t4 7c7 ,consid]ations ,9 select+ eligible entities to receive a grant "u ?is *apt]1 ! ,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 #bjd4 ,uses ( funds2 supplem5t1 n supplant 7a7 ,uses ( funds 7#a7 ,9 g5]al ,ea* eligible entity receiv+ a grant "u ?is *apt] %all use ! funds ( su* grant to c>ry out at lea/ #a project describ$ 9 section #bjb7;a77#b74 7#b7 ,adm9i/rative co/s ,ea* eligible entity receiv+ a grant "u ?is *apt] %all n use m ?an #e p]c5t ( ! funds ( su* grant = co/s associat$ ) ! adm9i/ration ( activities "u ?is *apt]4 7#c7 ,direct support ,ea* eligible entity receiv+ a grant "u ?is *apt] %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$s ( su* p>ticipants dur+ ! duration ( ! project activities4 7b7 ,supplem5t1 n supplant ,an eligible entity receiv+ a grant "u ?is *apt] %all use su* grant only to supplem5t1 & n supplant1 ! am\nt ( funds t1 9 ! abs5ce ( su* grant1 w\ld be available to address ! recruitm5t1 tra9+ & education1 ret5tion1 & advancem5t ( direct c>e pr(essionals1 9 ! ,/ate or region s]v$ by ! eligible entity4 7c7 ,prohibition ,no am\nts made available "u ?is *apt] 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 7d7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ = grants "u section #bjb1 #ejj1jjj1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj4 #b ,o!r work=ce tra9+ grants #bje4 ,work=ce inve/m5t activities grants = dome/ic work]s 7a7 ,def9itions ,9 ?is section3 7#a7 ,dome/ic s]vices ,! t]m dome/ic s]vices-- 7,a7 means s]vices-- 7i7 ( a h\sehold nature2 7ii7 provid$ 9 int]/ate comm]ce2 & 7iii7 p]=m$ by an individual 9 or ab\t a private home 7p]man5t or tempor>y72 & 7,b7 includes s]vices p]=m$ by individuals su* z companions1 h\sekeep]s1 nurses1 home heal? aides1 or p]sonal or home c>e aides4 7#b7 ,dome/ic work] ,! t]m dome/ic work]-- 7,a7 means1 except z provid$ 9 subp>agraph 7,b71 an individual1 includ+ an employee1 :o is comp5sat$ directly or indirectly = ! p]=mance ( dome/ic s]vices2 & 7,b7 does n include-- 7i7 an individual :o is a family memb]1 fri5d1 neighbor1 or p>5t ( a *ild & :o provides *ild c>e = ! *ild 9 ! *ild's home2 & 7ii7 any employee describ$ 9 section #ac7;a77#ae7 ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #bac7;a77#ae774 7#c7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,labor1 9 consultation ) ! ,secret>y ( ,education & ! ,secret>y ( ,heal? & ,human ,s]vices4 7#d7 ,supportive s]vices2 tra9+ s]vices2 work=ce inve/m5t activities ,! t]ms supportive s]vices1 tra9+ s]vices1 & work=ce inve/m5t activities h ! mean+s giv5 ! t]ms 9 section #c ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cajb74 7b7 ,national grant program = dome/ic work]s ,e #c ye>s1 ! ,secret>y %all1 on a competitive basis1 make grants to1 or ent] into contracts )1 eligible entities to c>ry out ! activities describ$ 9 subsection 7d74 ,! ,secret>y %all make ! grants1 or ent] into ! contracts1 = p]iods ( #d ye>s4 7c7 ,eligibility 7#a7 ,eligible entities ,to be eligible to receive a grant or ent] into a contract "u ?is section1 an entity-- 7,a7 %all h exp]i5ce work+ ) old] individuals or p ) disabilities2 & 7,b7 %all be-- 7i7 7,i7 a nonpr(it organization t is describ$ 9 p>agraph 7#c71 7#e71 or 7#f7 ( section #eja7;c7 ( ! ,int]nal ,rev5ue ,code ( #aihf1 & exempt f taxation "u section #eja7;a7 ( su* ,code2 7,,ii7 an organization ) a bo>d ( directors1 at lea/ "o-half ( ! memb]s ( :i* is compris$ (-- 7aa7 dome/ic work]s2 or 7bb7 repres5tatives ( an organization ( su* work]s1 includ+ su* work]s :o are direct c>e pr(essionals1 :i* organization is indep5d5t f all bus9esses1 organizations1 corporations1 or individuals t w\ld pursue any f9ancial int]e/ 9 conflict ) t ( ! work]s2 7,,iii7 an organization t is indep5d5t z describ$ 9 subclause 7,,ii77bb72 & 7,,iv7 an organization t has exp]tise 9 dome/ic "w & ! work=ce ( dome/ic work]s1 includ+ su* work]s :o are direct c>e pr(essionals2 7ii7 an eligible provid] ( tra9+ s]vices li/$ pursuant to section #abb7;d7 ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #caeb7;d772 or 7iii7 an entity t c>ries out an appr5tice%ip program4 7#b7 ,program plan 7,a7 ,9 g5]al ,to be eligible to receive a grant or ent] into a contract "u ?is section1 an entity describ$ 9 p>agraph 7#a7 %all submit to ! ,secret>y ( ,labor a plan t describes a #d-ye> /rategy = meet+ ! ne$s ( dome/ic work]s1 includ+ su* work]s :o are direct c>e pr(essionals1 9 ! area to be s]v$ by su* entity4 7,b7 ,cont5ts ,su* plan %all-- 7i7 describe ! dome/ic work] population1 :i* %all include dome/ic work]s :o provide long-t]m c>e s]vices1 to be s]v$ & id5tify ! ne$s ( su* population to be s]v$ = work=ce inve/m5t activities & relat$ assi/ance1 :i* may include employm5t & supportive s]vices2 7ii7 id5tify ! mann] 9 :i* c>e] pa?ways to be provid$ w /r5g!n ! ability ( ! dome/ic work]s to be s]v$ to obta9 or reta9 employm5t & to improve wages or work+ conditions1 includ+ improv$ employm5t /&>ds & opportunities 9 ! field ( dome/ic "w2 7iii7 specifically address h[ ! fund+ provid$ ?r\gh ! grant or contract = s]vices "u ?is section to dome/ic work]s w improve wages & skills = dome/ic work]s 9 a way t helps meet ! ne$ to recruit work]s = & reta9 work]s 9 9-dem& occupations or c>e]s2 & 7iv7 provide an assurance t ! work=ce inve/m5t activities & relat$ assi/ance c>ri$ out "u ?is section w include relevant tra9+ = dome/ic work]s :o are direct c>e pr(essionals1 includ+-- 7,i7 tra9+ reg>d+ ! rights ( recipi5ts ( long-t]m c>e s]vices1 includ+ ! rights ( su* recipi5ts to-- 7aa7 receive s]vices 9 integrat$ sett+s t provide access to ! broad] community2 7bb7 ex]cise self-det]m9ation2 7cc7 be free f all =ms ( abuse1 neglect1 or exploitation2 & 7dd7 receive p]son-c5t]$ plann+ & practices1 includ+ ?r\gh ! p>ticipation ( su* recipi5ts 9 plann+ activities2 7,,ii7 tra9+ to ensure t ea* p>ticipant ( su* tra9+ has ! necess>y skills to recognize abuse & und]/& _! obligations ) reg>d to report+ & respond+ to abuse appropriately 9 accordance ) relevant ,f$]al & ,/ate law2 & 7,,iii7 tra9+ reg>d+ ! provision ( culturally compet5t & disability-compet5t supports to recipi5ts ( long-t]m c>e s]vices4 7#c7 ,aw>ds & adm9i/ration ,! grants & contracts "u ?is subsection %all be aw>d$ by ! ,secret>y us+ full & op5 competitive proc$ures & %all be adm9i/]$ by ! ,secret>y4 7d7 ,au?oriz$ activities ,funds made available "u ?is section %all be us$ to c>ry out work=ce inve/m5t activities & provide relat$ assi/ance = dome/ic work]s1 includ+ su* work]s :o are direct c>e pr(essionals1 :i* may include-- 7#a7 outrea*1 employm5t1 tra9+ s]vices1 educational assi/ance1 digital lit]acy assi/ance1 ,engli% language & lit]acy in/ruction1 work] safety tra9+1 supportive s]vices1 s*ool drop\t prev5tion & recov]y activities1 individual c>e] s]vices1 & c>e] pa?ways2 7#b7 foll[-up s]vices = ^? individuals plac$ 9 employm5t2 7#c7 developm5t or education z ne$$ by dome/ic work]s1 includ+ dome/ic work]s :o are direct c>e pr(essionals2 7#d7 cu/omiz$ c>e] & te*nical education 9 occupations t w lead to high] wages1 enhanc$ b5efits1 & long-t]m employm5t 9 dome/ic "w or ano!r area2 & 7#e7 ! creation or ma9t5ance ( employm5t & tra9+-relat$ placem5t s]vices1 includ+ digital placem5t s]vices4 7e7 ,fund+ allocation ,f ! funds appropriat$ & made available to c>ry out ?is section1 ! ,secret>y %all res]ve n m ?an #a p]c5t = discretion>y purposes relat$ to c>ry+ out ?is section1 su* z provid+ te*nical assi/ance to eligible entities4 7f7 ,eligible provid] p]=mance reports ,ea* eligible entity %all prep>e p]=mance reports to report on outcomes a*iev$ by ! programs ( work=ce inve/m5t activities & relat$ assi/ance c>ri$ out "u ?is section4 ,! p]=mance report = an eligible entity %all include1 ) respect to ea* su* program 7ref]r$ to 9 ?is subsection z a program ( /udy7 ( su* entity-- 7#a7 in=mation specify+ ! levels ( p]=mance a*iev$ ) respect to ! prim>y indicators ( p]=mance describ$ 9 subclauses 7,i7 ?r\gh 7,v7 ( section #aaf7;b77#b77;,a77i7 ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cada7;b77#b77;,a77i77 ) respect to all individuals engag+ 9 ! program ( /udy2 7#b7 ! total numb] ( individuals exit+ f ! program ( /udy2 7#c7 ! total numb] ( p>ticipants :o receiv$ tra9+ s]vices ?r\gh ! program2 7#d7 ! total numb] ( p>ticipants :o exit$ f tra9+ s]vices1 disaggregat$ by ! type ( entity t provid$ ! tra9+ s]vices1 dur+ ! mo/ rec5t program ye> & ! #c prec$+ program ye>s2 7#e7 ! av]age co/ p] p>ticipant = ! p>ticipants :o receiv$ tra9+ s]vices1 disaggregat$ by ! type ( entity t provid$ ! tra9+ s]vices1 dur+ ! mo/ rec5t program ye> & ! #c prec$+ program ye>s2 & 7#f7 in=mation on indicators specifi$ by ! ,secret>y conc]n+ ! impact ( ! tra9+ s]vices on ! wages1 skills1 recruitm5t1 & ret5tion ( p>ticipants4 7g7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj4 #bjf4 ,direct c>e pr(essional c>e] advancem5t demon/ration projects 7a7 ,9 g5]al ,section #bjjh ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;g7 is am5d$-- 7#a7 by add+ at ! end ! foll[+ new subsection3 7e7 ,direct c>e pr(essional c>e] advancem5t demon/ration projects 7#a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,secret>y ( ,labor1 %all aw>d1 f ! am\nt appropriat$ "u p>agraph 7#d71 grants to eligible entities to conduct demon/ration projects t are design$ to provide eligible individuals ) opportunities = education1 tra9+1 & c>e] advancem5t z a direct c>e pr(essional1 includ+ z a p]sonal or home c>e aide1 home heal? aide1 or nurs+ aide or assi/ant4 7#b7 ,def9itions ,9 ?is subsection3 7,a7 ,eligible entity ,! t]m eligible entity has ! mean+ giv5 su* t]m 9 subsection 7a74 7,b7 ,eligible individual ,! t]m eligible individual means an individual-- 7i7 ^: income does n exce$ #bjj p]c5t ( ! pov]ty l9e 7z def9$ 9 section #baaj7;c77#e77 applicable to a family ( ! size involv$2 & 7ii7 :o is employ$ z a direct c>e pr(essional :o-- 7,i7 has at lea/ #cj p]c5t pati5t volume 7z e/imat$ 9 accordance ) a me?odology e/abli%$ by ! ,secret>y7 attributable to individuals :o are receiv+ m$ical assi/ance "u title ,,xix2 or 7,,ii7 is employ$ by an ag5cy t is a provid] ( p]sonal or home c>e s]vices t has at lea/ #cj p]c5t ( ! ag5cy's pati5t volume 7z s e/imat$7 attributable to su* individuals4 7,c7 ,direct c>e pr(essional ,! t]m direct c>e pr(essional has ! mean+ giv5 su* t]m 9 section #c ( ! ,long-,t]m ,c>e ,work=ce ,support ,act4 7#c7 ,requirem5ts 7,a7 ,prioritization ( projects t support rural areas1 und]s]v$ areas1 & wom51 individuals f communities ( color1 & individuals ) disabilities ,! ,secret>y %all ensure t n less ?an half ( ! demon/ration projects support$ by grants aw>d$ "u ?is subsection support-- 7i7 eligible individuals 9 rural areas 7z def9$ 9 section #bjjg7;f77#e772 7ii7 eligible individuals 9 und]s]v$ urban areas 7includ+ urban heal? pr(essional %ortage areas 7z def9$ 9 section #ccb ( ! ,public ,heal? ,s]vice ,act72 7iii7 eligible individuals :o are wom51 :o are f communities ( color1 or :o belong to o!r und]s]v$ & div]se populations su* z ,asian1 ,pacific ,isl&]1 ,native ,am]ican1 or ,alaska ,native communities2 & 7iv7 eligible individuals ) disabilities4 7,b7 ,am\nt ( grant ,9 no case %all ! ,secret>y aw>d an eligible entity a grant to conduct a demon/ration project "u ?is subsection 9 an am\nt t exce$s #gej1jjj = ea* ye> t ! entity conducts su* project4 7,c7 ,reports 7i7 ,int]im reports ,an eligible entity aw>d$ a grant to conduct a demon/ration project "u ?is subsection %all submit int]im reports to ! ,secret>y on ! activities c>ri$ out "u ! project & a f9al report on su* activities ^u ! conclusion ( ! entities' p>ticipation 9 ! project4 7ii7 ,evaluation ,! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration %all evaluate ! demon/ration projects conduct$ "u ?is subsection4 ,su* evaluation %all include id5tification ( successful activities = creat+ opportunities = develop+ & su/a9+1 p>ticul>ly ) respect to l[-income individuals & direct c>e pr(essionals1 a heal? or human s]vices pr(essions work=ce t has accessible opportunities = c>e] advancem5t1 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 ! work=ce's ne$s1 & t is responsive to ! ne$s ( div]se racial & e?nic communities4 7iii7 ,report to ,congress ,n lat] ?an #a ye> aft] ! demon/ration projects conduct$ "u ?is subsection conclude1 ! ,secret>y %all submit a f9al report to ,congress on su* demon/ration projects t includes-- 7,i7 ! result ( ! evaluation conduct$ "u clause 7ii72 7,,ii7 recomm5dations = be/ practices2 & 7,,iii7 su* recomm5dations = legislation or adm9i/rative actions z ! ,secret>y deems appropriate4 7iv7 ,additional report ,n lat] ?an #a ye> aft] ! demon/ration projects conduct$ "u ?is subsection conclude1 ! ,secret>y %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,special ,committee on ,ag+ ( ! ,s5ate & ! ,committee on ,education & ! ,work=ce & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & make publicly available1 a report on ! activities & results ( su* projects4 ,su* report %all describe-- 7,i7 ! numb] & geographic di/ribution ( ! grants aw>d$ "u ?is subsection2 7,,ii7 ! p>ticipation ( und]repres5t$ & economically disadvantag$ p>ticipants 9 demon/ration projects conduct$ "u ?is subsection2 & 7,,iii7 recomm5dations = program revisions to a*ieve ! desir$ program outcome4 7#d7 ,appropriation ,out ( any funds 9 ! ,treasury n o!rwise appropriat$1 !re are appropriat$ to ! ,secret>y to c>ry out ?is subsection #aj1jjj1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj4 4 7b7 ,inc5tive paym5ts = long-,t]m c>e s]vices furni%$ by direct c>e pr(essionals :o complete c]ta9 tra9+ ,section #ahcd ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7aa7 ,inc5tive paym5ts = direct c>e s]vices furni%$ by direct c>e pr(essionals :o complete c]ta9 tra9+ ,9 ! case ( long-t]m c>e s]vices furni%$ on or aft] ,octob] #a1 #bjbf1 by a direct c>e pr(essional :o has successfully complet$ education or tra9+ "u a demon/ration project "u section #bjjh7;e71 9 addition to ! am\nt ( paym5t t w\ld o!rwise be made = su* s]vices "u ?is "p1 !re also %all be paid an am\nt equal to #be p]c5t ( ! paym5t am\nt = ! s]vice "u ?is "p to be paid to ! direct c>e pr(essional4 4 #bjg4 ,pa?ways to heal? c>e]s ,effective ,octob] #a1 #bjbf1 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(essions1 includ+ direct c>e pr(essionals1 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 managem5t1 c>e] coa*+1 & m5tor+ support 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 elem5ts3 7#a7 ,applications submitt$ by applicants to :om a grant 0 made "u ?is section or any pr$ecessor to ?is section4 7#b7 ,applications submitt$ 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 title4 7,b7 ,in/itutions ( high] education1 appr5tice%ip programs1 & local work=ce developm5t bo>ds4 7,c7 ,heal? c>e employ]s1 home & community-bas$ s]vices ag5cies1 heal? c>e indu/ry or sector p>tn]%ips1 labor unions1 & labor-managem5t p>tn]%ips4 7#c7 ,applications t include opportunities = m5tor+ or pe] support1 & make c>e] coa*+ available1 z "p ( ! case managem5t plan4 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$4 7#e7 ,applications t include a commitm5t to provid+ project p>ticipants ) a ca% /ip5d or wage supplem5t4 7#f7 ,applications submitt$ by applicants :o are s]v+ or situat$ 9 communities ( color & o!r und]s]v$ communities4 7#g7 ,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 lic5s$ practical_/vocational nurse1 regi/]$ nurse1 advanc$ practice nurse1 direct c>e pr(essionals1 & 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 = 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$d+ adult basic skill ma9t5ance z "p ( ongo+ po/-graduation c>e] coa*+ & m5tor+4 7ii7 ,a gu>antee t *ild c>e & transportation are available & af=dable support s]vices = project p>ticipants ?r\gh means su* z ! foll[+3 7,i7 ,ref]ral to1 & assi/ance )1 enrollm5t 9 a subsidiz$ *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>e & transportation4 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 7,b7 ,transportation ,= purposes ( ?is p>agraph1 ! t]m transportation includes public transit1 or gasol9e = a p]sonal vehicle if public transit is n reasonably accessible or available4 7,c7 ,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 ,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 subsection 7h72 & 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 subsection 7h74 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$s ( ! work=ce4 7g7 ,reports ,z a condition ( fund+1 an eligible entity aw>d$ 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 ,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$4 7,f7 ,a plan = recruit+ /ud5ts :o are eligible individuals into ! project4 7,g7 ,a plan = provid+ po/-employm5t support & ongo+ tra9+ z "p ( a c>e] pa?way "u ! project4 7#d7 ,support to be provid$ ,a recipi5t ( a grant "u ?is subsection = a project %all provide-- 7,a7 access to legal assi/ance = project p>ticipants = ! purpose ( address+ arre/ or conviction records & associat$ work=ce b>ri]s2 7,b7 assi/ance ) programs & activities deem$ necess>y to address arre/ or conviction records z an employm5t b>ri]2 & 7,c7 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 7i7 ,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 ,direct c>e pr(essional ,! t]m direct c>e pr(essional has ! mean+ giv5 su* t]m 9 section #c ( ! ,long-,t]m ,c>e ,work=ce ,support ,act4 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 ,an opioid treatm5t program 7z def9$ 9 section #ahfa7;jjj77#b771 & o!r compreh5sive addiction c>e provid]s4 7,j7 ,a home & community-bas$ s]vices provid] ag5cy4 7#e7 ,eligible individual ,! t]m eligible individual means an individual ^: family income does n exce$ #bjj p]c5t ( ! ,f$]al pov]ty level & has n be5 *>g$ ) or convict$ ( a viol5t crime or f9ancial fraud 7z det]m9$ by ! ,secret>y74 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 7j7 ,evaluation ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 conjunction ) ! ,secret>y ( ,labor1 %all evaluate ! implem5tation & outcomes ( ?is section on ! adoption ( paid leave by long-t]m c>e s]vices provid]s & ! recruitm5t & ret5tion ( direct c>e pr(essionals ?r\gh a contract ) an ext]nal evaluator :o has exp]i5ce ) evaluation ( labor practices & p ) disabilities & old] individuals4 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 #bjbf ?r\gh #bjcj2 7#b7 #ag1jjj1jjj = grants "u subsection 7c77#a77;,b7 = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj2 7#c7 #ba1bej1jjj = grants "u subsection 7c77#a77;,c7 = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj2 7#d7 #be1ejj1jjj = projects conduct$ "u subsection 7h7 = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj2 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 #bjbf ?r\gh #bjcj1 = ! provision ( te*nical assi/ance & adm9i/ration2 & 7#f7 #ag1jjj1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj = /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 #bjh4 ,increas+ work=ce div]sity 9 alli$ heal? pr(essionals & direct support pr(essionals ,title ,,vii ( ! ,public ,heal? ,s]vice ,act is am5d$-- 7#a7 by r$esignat+ "p ,g 7#db ,u4,s4,c4 #bie;j et seq47 z "p ,h2 & 7#b7 by ins]t+ aft] "p ,f 7#db ,u4,s4,c4 #bie;h et seq47 ! foll[+ new "p3 ,g ,increas+ work=ce div]sity 9 alli$ heal? pr(essionals & direct c>e pr(essionals #ghc4 ,s*ol>%ips & /ip5ds 7a7 ,9 g5]al ,! ,secret>y may aw>d grants & contracts to eligible entities to increase educational opportunities 9 ! pr(essions ( physical !rapy1 occupational !rapy1 respiratory !rapy1 audiology1 spee*-language pa?ology1 & direct c>e pr(essionals = eligible individuals by-- 7#a7 provid+ /ud5t s*ol>%ips or /ip5ds1 includ+ =-- 7,a7 completion ( an accel]at$ degree program2 7,b7 completion ( an associate's1 ba*elor's1 ma/]'s1 or doctoral degree program2 & 7,c7 entry by a diploma or associate's degree practition] into a bridge or degree completion program2 7#b7 provid+ assi/ance = completion ( pr]equisite c\rses or o!r prep>ation necess>y = acceptance = enrollm5t 9 ! eligible entity2 7#c7 c>ry+ out activities to increase ! ret5tion ( /ud5ts 9 #a or m programs 9 ! pr(essions ( physical !rapy1 occupational !rapy1 respiratory !rapy1 audiology1 spee*-language pa?ology1 & direct c>e pr(essionals2 & 7#d7 build+ or /r5g!n+ c>e] pipel9e programs1 includ+ ^? = high s*ool /ud5ts1 old] work]s & retirees1 vet]ans1 & o!r displac$ work]s4 7b7 ,consid]ation ( recomm5dations ,9 c>ry+ out subsection 7a71 ! ,secret>y %all take into consid]ation ! recomm5dations ( national organizations repres5t+ ! pr(essions ( physical !rapy1 occupational !rapy1 respiratory !rapy1 audiology1 spee*-language pa?ology1 & direct c>e pr(essionals1 includ+ ! ,am]ican ,physical ,!rapy ,association1 ! ,am]ican ,occupational ,!rapy ,association1 ! ,am]ican ,spee*-,language-,he>+ ,association1 ! ,am]ican ,association = ,respiratory ,c>e1 ! ,am]ican ,academy ( ,audiology1 ! ,academy ( ,doctors ( ,audiology1 & ! ,national ,alliance = ,direct ,support ,pr(essionals4 7c7 ,requir$ in=mation & conditions = aw>d recipi5ts 7#a7 ,9 g5]al ,! ,secret>y may require recipi5ts ( aw>ds "u ?is section to report to ! ,secret>y conc]n+ ! annual admission1 ret5tion1 & graduation rates = eligible individuals 9 programs ( ! recipi5t lead+ to a degree 9 any ( ! pr(essions ( physical !rapy1 occupational !rapy1 respiratory !rapy1 audiology1 spee*-language pa?ology1 & direct c>e pr(essionals4 7#b7 ,fall+ rates ,if any ( ! rates report$ by a recipi5t "u p>agraph 7#a7 fall bel[ ! av]age = su* recipi5t ov] ! #b ye>s prec$+ ! ye> cov]$ by ! report1 ! recipi5t %all provide ! ,secret>y ) plans = imm$iately improv+ su* rates4 7#c7 ,ineligibility ,a recipi5t describ$ 9 p>agraph 7#b7 %all be ineligible = cont9u$ fund+ "u ?is section if ! plan ( ! recipi5t fails to improve ! rates )9 ! #a-ye> p]iod beg9n+ on ! date su* plan is implem5t$4 7d7 ,evaluation 7#a7 ,9 g5]al ,9 accordance ) p>agraph 7#b71 ! ,secret>y1 9 conjunction ) ! ,secret>y ( ,labor1 %all evaluate ! implem5tation & outcomes ( ?is section on ! recruitm5t & ret5tion 9 long-t]m c>e sett+s ( c]tifi$ nurs+ assi/ants1 physical !rapi/s1 occupational !rapi/s1 audiologi/s1 spee*-language pa?ologi/s1 respiratory !rapi/s1 direct support pr(essionals1 & any o!r direct c>e pr(essionals det]m9$ by ! ,secret>y4 7#b7 ,ext]nal evaluator ,! ,secret>y %all conduct ! evaluation "u p>agraph 7#a7 ?r\gh a contract ) an ext]nal evaluator :o has exp]i5ce ) evaluation relat$ to p ) disabilities & old] individuals4 7e7 ,def9itions ,9 ?is section3 7#a7 ,direct c>e pr(essional2 disability ,! t]ms direct c>e pr(essional & disability h ! mean+s giv5 su* t]ms 9 section #c ( ! ,long-,t]m ,c>e ,work=ce ,support ,act4 7#b7 ,eligible entity ,! t]m eligible entity means an education program t-- 7,a7 is accr$it$ by-- 7i7 ! ,c\ncil on ,academic ,accr$itation 9 ,audiology & ,spee*-,language ,pa?ology or ! ,accr$itation ,commission = ,audiology ,education2 7ii7 ! ,commission on ,accr$itation 9 ,physical ,!rapy ,education2 7iii7 ! ,accr$itation ,c\ncil = ,occupational ,!rapy ,education2 7iv7 ! ,commission on ,accr$itation = ,respiratory ,c>e2 or 7v7 ! ,national ,alliance = ,direct ,support ,pr(essionals ,c]tification ,program2 & 7,b7 is c>ry+ out a program = recruit+ & reta9+ /ud5ts und]repres5t$ 9 ! pr(essions ( physical !rapy1 occupational !rapy1 respiratory !rapy1 audiology1 spee*-language pa?ology1 & direct c>e pr(essionals 7includ+ racial or e?nic m9orities1 /ud5ts ) disabilities1 or /ud5ts f disadvantag$ backgr\nds74 7#c7 ,eligible individual ,! t]m eligible individual means an individual :o-- 7,a7 is a memb] ( a class ( p]sons :o are und]repres5t$ 9 ! pr(essions ( physical !rapy1 occupational !rapy1 respiratory !rapy1 audiology1 spee*-language pa?ology1 & direct c>e pr(essionals1 includ+-- 7i7 individuals :o are racial or e?nic m9orities2 or 7ii7 individuals :o are f disadvantag$ backgr\nds2 7,b7 has a f9ancial ne$ = a s*ol>%ip or /ip5d2 & 7,c7 is enroll$ 7or accept$ = enrollm5t7 at a physical !rapy1 occupational !rapy1 respiratory !rapy1 audiology1 spee*-language pa?ology1 or direct c>e pr(essionals program z a full-"t /ud5t at an eligible entity4 7#d7 ,individualiz$ education program ,! t]m individualiz$ education program has ! mean+ giv5 su* t]m 9 section #fjb ( ! ,individuals ) ,disabilities ,education ,act4 7#e7 ,long-t]m c>e sett+ ,! t]m long-t]m c>e sett+ has ! mean+ giv5 su* t]m 9 section #c ( ! ,long-,t]m ,c>e ,work=ce ,support ,act4 7#f7 ,old] individual ,! t]m old] individual has ! mean+ giv5 su* t]m 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife4 7f7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj4 4 ,b ,improv+ ,work=ce ,recruitm5t #baa4 ,te*nical assi/ance c5t] = build+ ! direct c>e pr(essional work=ce 7a7 ,grant program au?oriz$ 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 %all aw>d a grant1 on a competitive basis1 to an eligible p>tn]%ip describ$ 9 subsection 7b7 to create a national te*nical assi/ance c5t] 7ref]r$ to 9 ?is section z ! ,c5t]7 = support+ direct c>e pr(essional work=ce creation1 tra9+ & education1 recruitm5t1 ret5tion1 & advancem5t1 includ+ ?r\gh ! activities "u subsection 7c74 7#b7 ,consultation ,! ,c5t] %all c>ry out activities "u ?is section 9 consultation ) ! ,secret>y ( ,labor1 ! ,secret>y ( ,education1 ! ,secret>y ( ,vet]ans ,affairs1 ! ,adm9i/rator ( ! ,adm9i/ration = ,community ,liv+1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 & ! heads ( o!r entities z necess>y4 7b7 ,eligible p>tn]%ips 7#a7 ,9 g5]al ,an eligible p>tn]%ip describ$ 9 ?is subsection is a p>tn]%ip ( #c or m ( ! foll[+3 7,a7 ,an in/itution ( high] education4 7,b7 ,a disability-l$ organization4 7,c7 ,an organization focus+ on old] individuals4 7,d7 ,an organization focus+ on direct c>e pr(essionals4 7,e7 ,an organization t repres5ts s]vice provid] ag5cies t employ direct c>e pr(essionals4 7,f7 ,an organization1 includ+ a labor organization1 t fo/]s pr(essional developm5t4 7,g7 ,a ,univ]sity ,c5t] = ,excell5ce 9 ,developm5tal ,disabilities ,education1 ,rese>*1 & ,s]vice support$ "u subtitle ,d ( title ,i ( ! ,developm5tal ,disabilities ,assi/ance & ,bill ( ,rights ,act ( #bjjj 7#db ,u4,s4,c4 #aejfa et seq474 7,h7 ,an ag5cy implem5t+ a ,/ate protection & advocacy sy/em describ$ 9 section #adc ( su* ,act 7#db ,u4,s4,c4 #aejdc74 7,i7 ,a ,/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 seq4774 7,j7 ,an organization repres5t+ a c5t] = indep5d5t liv+1 z describ$ 9 "p ,c ( title ,,vii ( ! ,rehabilitation ,act ( #aigc 7#bi ,u4,s4,c4 #gif;f et seq474 7,k7 ,an organization repres5t+ vet]ans4 7,l7 ,an organization repres5t+ p>5ts or c>egiv]s ( *ildr5 ) disabilities or *ronic conditions4 7,m7 ,any o!r entity ! ,secret>y designates z important to improv+ ! direct c>e pr(essional work=ce4 7#b7 ,applications ,to be eligible = a grant "u ?is section1 an eligible p>tn]%ip describ$ 9 p>agraph 7#a7 %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 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$5tials1 & programs ) community & te*nical colleges2 7#b7 develop le>n+ & dissem9ation /rategies to-- 7,a7 engage ,/ates & o!r entities 9 activities support$ "u ?is section & be/ practices = support+ ! direct c>e pr(essional work=ce2 & 7,b7 di/ribute f9d+s f activities support$ by ! grant "u ?is section2 7#c7 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 c>e pr(essionals z a heal?c>e support occupation2 & 7#d7 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] pa?ways1 specializations or c]tifications1 educational in=mation ab\t c>e] opportunities 9 long-t]m c>e sett+s1 or o!r activities4 7d7 ,advisory c\ncil 7#a7 ,9 g5]al ,! ,secret>y %all conv5e an advisory c\ncil to provide recomm5dations to ! ,c5t] ) respect to ! duties ( ! ,c5t] "u ?is section & may engage individuals describ$ 9 p>agraph 7#b7 = s]vice on ! advisory c\ncil4 7#b7 ,individuals ,! individuals describ$ 9 ?is p>agraph include-- 7,a7 old] individuals & p ) disabilities2 7,b7 organizations repres5t+ ! rights & int]e/s ( p receiv+ s]vices f direct c>e pr(essionals2 7,c7 individuals :o are direct c>e pr(essionals & organizations repres5t+ ! rights & int]e/s ( direct c>e pr(essionals2 7,d7 z applicable1 employ]s ( individuals describ$ 9 subp>agraph 7,c7 & labor organizations repres5t+ su* individuals2 7,e7 repres5tatives ( ,/ate ,m$icaid ag5cies1 ,/ate ag5cies def9$ 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb71 ,/ate developm5tal disabilities (fices1 & ,/ate m5tal heal? ag5cies2 7,f7 repres5tatives reflect+ div]se racial1 cultural1 e?nic1 geographic1 socioeconomic1 & g5d] id5tity & sexual ori5tation p]spectives2 7,g7 repres5tatives ( local bo>ds & ,/ate bo>ds2 7,h7 a nonpr(it organization ) demon/rat$ exp]i5ce 9 ! developm5t or deliv]y ( curricula or c\rsework2 7,i7 a nonpr(it organization1 includ+ a labor organization1 t fo/]s ! pr(essional developm5t & collective engagem5t ( direct c>e pr(essionals2 7,j7 area ag5cies on ag+2 7,k7 c5t]s = indep5d5t liv+1 z describ$ 9 "p ,c ( title ,,vii ( ! ,rehabilitation ,act ( #aigc 7#bi ,u4,s4,c4 #gif;f et seq472 7,l7 repres5tatives ( ,/ate ,c\ncils 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 seq4772 7,m7 repres5tatives ( ,ag+ & ,disability ,res\rce ,c5t]s2 7,n7 repres5tatives ( nonpr(it ,/ate provid] associations t repres5ts provid]s :o employ direct c>e pr(essionals2 7,o7 repres5tatives ( entities t employ direct c>e pr(essionals2 7,p7 repres5tatives ( ,univ]sity ,c5t]s = ,excell5ce 9 ,developm5tal ,disabilities ,education1 ,rese>*1 & ,s]vice support$ "u subtitle ,d ( title ,i ( ! ,developm5tal ,disabilities ,assi/ance & ,bill ( ,rights ,act ( #bjjj 7#db ,u4,s4,c4 #aejfa et seq472 7,q7 repres5tatives ( ,/ate protection & advocacy sy/ems describ$ 9 section #adc ( su* ,act 7#db ,u4,s4,c4 #aejdc72 & 7,r7 repres5tatives ( direct c>e pr(essional organizations repres5t+ und]s]v$ communities1 includ+ communities ( color4 7e7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ #aj1jjj1jjj to c>ry out ?is section = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj4 #bab4 ,report on ef=ts to enhance ! direct c>e pr(essional work=ce ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! appropriate committees ( ,congress1 a report t conta9s an assessm5t ( ! programs & activities ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices relat$ to enhanc+ ! direct c>e pr(essional work=ce1 includ+ ! ext5t to :i* programs & activities au?oriz$ "u titles ,,vii & ,,viii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bib et seq42 #db ,u4,s4,c4 #bif et seq47 address-- 7#a7 increas+ nurs+ faculty :o are tra9$ 9 g]iatric nurs+2 7#b7 increas+ individuals prep>+ = c>e]s 9 or advanc$ degrees 9 g]iatric nurs+ or long-t]m c>e2 7#c7 increas+ direct c>e pr(essionals2 7#d7 ! ext5t to :i* ! ,dep>tm5t coord9ates ) o!r ,f$]al dep>tm5ts reg>d+ programs design$ to improve ! direct c>e pr(essional work=ce2 & 7#e7 recomm5dations = be/ practices4 #bac4 ,compreh5sive g]iatric education ,section #hfe ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bih7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ ! eld]ly & ins]t+ old] individuals2 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a71 by /rik+ ! eld]ly & ins]t+ old] individuals2 7,b7 9 p>agraph 7#b71 by /rik+ treatm5t & all t foll[s & ins]t+ heal? c>e ne$s ( old] individuals22 & 7,c7 9 p>agraph 7#e71 by /rik+ ! eld]ly population & ins]t+ old] individuals2 7#c7 9 subsection 7d7-- 7,a7 9 ! head+1 by /rik+ ,eligible ,entity & ins]t+ ,def9itions2 7,b7 by /rik+ ,= purposes ( ?is section1 ! t]m & ins]t+ 8,= purposes ( ?is section3 7#a7 ,eligible entity ,! t]m 2 & 7,c7 by add+ at ! end ! foll[+3 7#b7 ,old] individual ,! t]m old] individual has ! mean+ giv5 su* t]m 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife4 2 & 7#d7 9 subsection 7e71 by /rik+ ye>s & all t foll[s & ins]t+ ye>s #bjbf ?r\gh #bjcj44 #bad4 ,review ( ! availability & quality ( appr5tice%ip programs 9 long-t]m c>e sett+s ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,labor1 9 coord9ation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 %all submit a report to ! appropriate committees ( ,congress t-- 7#a7 id5tifies ! ext5t ( vacancies at employ]s t employ direct c>e pr(essionals at ! ,/ate & local levels )9 ! direct c>e pr(essional work=ce1 includ+ ) respect to vacancies ( direct c>e pr(essionals2 7#b7 review exi/+ appr5tice%ip programs 9 ! direct c>e pr(essional work=ce2 7#c7 provide recomm5dations on ! design ( appr5tice%ip programs 9 ! direct c>e pr(essional work=ce1 includ+ ab\t pot5tial fund+ opportunities1 pot5tial appr5tice%ip program sponsors1 & a national compet5cy-bas$ occupational framework2 & 7#d7 id5tify opportunities = coord9ation ) o!r ,/ate & local entities1 includ+ ,/ate educational ag5cies1 local educational ag5cies1 c>e] & te*nical education programs1 in/itutions ( high] education1 ,/ate ag5cies ) responsibility = adm9i/]+ a ,/ate ,m$icaid program1 & labor managem5t organizations1 to create appr5tice%ip programs & o!r ways to incorporate associate & ba*elor's degrees 9 appr5tice%ip programs4 #bae4 ,rural heal? work=ce grant program ,"p ,d ( title ,,vii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bid et seq47 is am5d$ by add+ at ! end ! foll[+3 #gfj;,a4 ,rural heal? work=ce grant program 7a7 ,def9itions ,9 ?is section3 7#a7 ,c>l ,d4 ,p]k9s ,c>e] & ,te*nical ,education ,act def9itions ,! t]ms c>e] & te*nical education1 c>e] guidance & academic c\nsel+1 & program ( /udy h ! mean+s giv5 ! t]ms 9 section #c ( ! ,c>l ,d4 ,p]k9s ,c>e] & ,te*nical ,education ,act ( #bjjf4 7#b7 ,,esea def9itions ,! t]ms elem5t>y s*ool1 local educational ag5cy1 & second>y s*ool h ! mean+s giv5 ! t]ms 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife4 7#c7 ,in/itution ( high] education ,! t]m in/itution ( high] education has ! mean+ giv5 ! t]m 9 section #ajb ( ! ,high] ,education ,act ( #aife4 7#d7 ,long-t]m ,c>e ,work=ce ,support ,act ,! t]ms direct c>e pr(essional & direct c>e pr(essional work=ce h ! mean+s giv5 su* t]ms 9 section #c ( ! ,long-,t]m ,c>e ,work=ce ,support ,act4 7#e7 ,work=ce innovation & opportunity act def9itions ,! t]ms c>e] pa?way1 indu/ry or sector p>tn]%ip1 & local bo>d h ! mean+s giv5 ! t]ms 9 section #c ( ! ,work=ce ,innovation & ,opportunity ,act4 7b7 ,au?orization ( grants 7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration & 9 consultation ) ! ,secret>y ( ,education1 %all aw>d grants on a competitive basis to eligible entities to develop c>e] exploration programs align$ to c>e] & te*nical education programs ( /udy to br+ aw>5ess to elem5t>y s*ool & second>y s*ool /ud5ts 9 und]s]v$ rural communities ab\t heal? c>e pr(essions c>e]s & provide *ildr5 & y\? und]s]v$ rural community heal? c>e exp]i5ces relat$ to su* c>e]s4 7#b7 ,grant am\nt ,ea* grant aw>d$ "u ?is section %all be 9 an am\nt t is n m ?an #bej1jjj p] ye>4 7#c7 ,grant p]iod ,ea* grant aw>d$ "u ?is section %all be = a p]iod n to exce$ #e ye>s4 7c7 ,eligible entities 7#a7 ,9 g5]al ,to be eligible to receive a grant "u ?is section1 an entity %all meet ! foll[+ requirem5ts3 7,a7 ,be a consortium consi/+ ( a local educational ag5cy & at lea/ #b ( ! foll[+3 7i7 ,an in/itution ( high] education t provides a recogniz$ po/second>y cr$5tial 9 heal? c>e4 7ii7 ,a heal? c>e practice1 facility1 or provid] organization4 7iii7 ,a ,/ate1 ,indian ,tribe or ,tribal organization1 or a local gov]nm5tal entity4 7iv7 ,a local bo>d4 7v7 ,an indu/ry or sector p>tn]%ip4 7vi7 ,a nonpr(it organization repres5t+ ! int]e/s ( und]s]v$ rural communities & rural heal? c>e4 7vii7 ,an area heal? education c5t]4 7viii7 ,a rural heal? cl9ic4 7ix7 ,any o!r entity z det]m9$ appropriate by ! ,secret>y4 7,b7 ,submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation t ! ,secret>y may require1 includ+ a plan = ! long-t]m track+ ( p>ticipants support$ by ! grant "u ?is section4 7#b7 ,mat*+ funds ,9 ord] to ensure ! in/itutional commitm5t ( an entity to a program support$ by a grant "u ?is section1 to be eligible to receive su* a grant1 ! ,secret>y may require ! entity seek+ su* grant to agree to make available 7directly or ?r\gh contributions f ,/ate1 c\nty or municipal gov]nm5ts1 or ! public or private sector7 recurr+ non-,f$]al contributions 9 ca% or 9 k9d 7includ+ plant1 equipm5t1 or s]vices7 t[>ds ! co/s ( op]at+ ! program 9 an am\nt t is equal to n less ?an #ej p]c5t ( ! total co/s ( op]at+ su* program4 7d7 ,priority ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give priority to eligible entities t-- 7#a7 include 9 its consortium-- 7,a7 an entity t has demon/rat$ alignm5t ) a ,/ate plan or local application develop$ "u ! ,c>l ,d4 ,p]k9s ,c>e] & ,te*nical ,education ,act ( #bjjf2 7,b7 a high-ne$ local educational ag5cy1 z def9$ 9 section #bjj ( ! ,high] ,education ,act ( #aife1 or a local educational ag5cy eligible to receive assi/ance "u "p ,b ( title ,v ( ! ,elem5t>y & ,second>y ,education ,act ( #aife2 7,c7 an in/itution ( high] education at :i* at lea/ #cj p]c5t ( ! enroll$ /ud5ts are ,f$]al ,pell ,grant recipi5ts2 7,d7 a m9ority-s]v+ in/itution ( high] education describ$ 9 any ( p>agraphs 7#a7 ?r\gh 7#g7 ( section #cga7;a7 ( ! ,high] ,education ,act ( #aife2 or 7,e7 a local educational ag5cy t s]ves ! greate/ numb] ( /ud5ts2 & 7#b7 provide a plan to su/a9 ! program fund$ "u ! grant beyond ! p]iod ( ! grant4 7e7 ,use ( funds2 requirem5ts ,an eligible entity receiv+ a grant "u ?is section %all use ! grant funds to e/abli%1 improve1 or exp& an und]s]v$ rural community tra9+ program = elem5t>y s*ool /ud5ts & second>y s*ool /ud5ts t meets ! foll[+ requirem5ts3 7#a7 ,c>ry+ out program plann+1 includ+-- 7,a7 developm5t & support ( a coord9at+ body to organize1 adm9i/]1 & ov]see ! activities ( ! consortium2 7,b7 conduct+ a ne$s analysis us+ data1 includ+ community demographics1 work=ce e/imates1 & capacity ( tra9+ programs to direct "w ( ! consortium2 & 7,c7 develop+ a regional articulation plan t b5efits /ud5ts ) respect to r$uc+ b>ri]s to program entry1 r$uc+ "t to graduation1 & l[] co/ tra9+ options4 7#b7 ,c>ry+ out age-appropriate education activities & promotion ( ! program t align ) section #ace7;b77#a7 ( ! ,c>l ,d4 ,p]k9s ,c>e] & ,te*nical ,education ,act ( #bjjf1 includ+-- 7,a7 engag+ /ud5ts 9 und]s]v$ rural communities 9 elem5t>y s*ool = exposure to heal? c>e] work=ce opportunities1 & includ+ direct c>e pr(essionals 9 educational opportunities z practicable2 7,b7 expos+ second>y s*ool /ud5ts 9 und]s]v$ rural communities to heal? c>e] work=ce opportunities available 9 _! communities1 includ+ by provid+ c>e] guidance & academic c\nsel+ on su* opportunities2 7,c7 develop+ /rategies to address resili5cy & m5tal heal? among elem5t>y s*ool & second>y s*ool /ud5ts 9 und]s]v$ rural communities int]e/$ 9 heal? c>e pr(essions c>e]s 9 su* communities2 7,d7 provid+ age-appropriate m5tor+1 academic enri*m5t1 or support = elem5t>y s*ool & second>y s*ool /ud5ts 9 und]s]v$ rural communities1 c>ri$ out by heal? c>e pr(essionals or pe]s2 7,e7 enroll+ second>y s*ool /ud5ts 7includ+ ^? 9 und]s]v$ rural communities7 9 heal? c>e c>e] & te*nical education programs ( /udy or c>e] pa?ways 9 und]s]v$ rural communities2 7,f7 develop+ & enroll+ ( second>y s*ool /ud5ts 9 pre- & y\?-appr5tice%ips or summ] programs t provide cl9ical or o!r heal? c>e pr(essions focus$ exp]i5ces 9 und]s]v$ rural communities2 7,g7 provid+ f9ancial supplem5tal support = /ud5t transportation to1 & h\s+ at1 ! program site1 z appropriate2 & 7,h7 su* o!r activities z ! ,secret>y det]m9es appropriate4 7#c7 ,ea* su* program %all be c>ri$ out = a t]m ( n less ?an #e ye>s4 7f7 ,te*nical assi/ance ,! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration %all1 directly or indirectly1 provide te*nical assi/ance to grant recipi5ts = purposes ( c>ry+ out ! programs describ$ 9 subsection 7e74 7g7 ,report+ 7#a7 ,annual report+ by recipi5ts 7,a7 ,9 g5]al ,an eligible entity receiv+ a grant "u ?is section %all submit an annual report to ! ,secret>y on ! progress ( ! program support$ by su* grant1 bas$ on crit]ia ! ,secret>y det]m9es appropriate1 includ+ ! program selection ( /ud5ts :o p>ticipat$ 9 ! program4 7,b7 ,cont5ts ,ea* report requir$ "u subp>agraph 7,a7 %all include any data reque/$ by ! ,secret>y1 :i* may include1 z appropriate1 ! numb] ( p>ticipants & ! demographics ( su* p>ticipants s]v$ by ! program support$ by ! grant1 includ+ ! numb] ( p>ticipants :o enroll$ 9 ! program & )drew prior to completion ( ! program4 7#b7 ,reports to congress 7,a7 ,annual reports ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is section1 & annually !reaft] until all programs support$ ?r\gh a grant "u ?is section are complet$1 ! ,secret>y %all prep>e & submit to ,congress a report t includes ! progress ( ea* program support$ by a grant "u ?is section & ! *all5ges exp]i5c$ by grantees ) respect to su* programs4 7,b7 ,grant cycle f9al report ,n lat] ?an ,septemb] #cj1 #bjca1 ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration %all submit a report to ,congress on ! lessons le>n$ ?r\gh ! programs support$ by grants "u ?is section & t bas$ on su* lessons id5tifies be/ practices = c>e] exploration programs ) a focus on und]s]v$ rural communities & ! direct c>e pr(essional work=ce4 7h7 ,regulations ,! ,secret>y %all1 by regulation1 def9e ! t]m und]s]v$ rural community = purposes ( ?is section4 7i7 ,supplem5t n supplant ,any eligible entity receiv+ funds "u ?is section %all use su* funds to supplem5t1 n supplant1 any o!r ,f$]al1 ,/ate1 & local funds t w\ld o!rwise be exp5d$ by su* entity to c>ry out ! activities describ$ 9 ?is section4 7j7 ,evaluation 7#a7 ,9 g5]al ,! ,secret>y1 9 conjunction ) ! ,secret>y ( ,labor1 %all evaluate ! implem5tation & outcomes ( ?is section on ! recruitm5t ( second>y s*ool /ud5ts resid+ 9 und]s]v$ rural communities ent]+ pr(essions ( direct c>e pr(essionals4 7#b7 ,ext]nal evaluator ,! ,secret>y %all conduct ! evaluation "u p>agraph 7#a7 ?r\gh a contract ) an ext]nal evaluator :o has exp]i5ce ) evaluation relat$ to work=ce developm5t & p ) disabilities & old] individuals4 7k7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj4 4 ,c ,provid+ c>e] advancem5t opportunities2 assessm5t ( work] well-be+ #bba4 ,assessm5t ( direct c>e pr(essional well-be+ 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 9 coord9ation ) ! ,director ( ! ,national ,in/itute = ,occupational ,safety & ,heal? ( ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 & ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 %all-- 7#a7 n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 develop a rese>*-bas$ tool = assess+ direct c>e pr(essional well-be+1 z describ$ 9 subsection 7b72 & 7#b7 n less frequ5tly ?an bi5nially1 collect data on work] well-be+ us+ ! tool develop$ pursuant to p>agraph 7#a7 & make su* data publicly available z describ$ 9 subsection 7c74 7b7 ,assessm5t tool ,! tool = ! assessm5t ( direct c>e pr(essional well-be+ develop$ "u subsection 7a77#a7 %all-- 7#a7 include ! use ( an anonym\s1 validat$ survey ( direct c>e pr(essionals2 7#b7 at a m9imum1 assess & include ! views ( su* pr(essionals on-- 7,a7 workplace policies & culture1 includ+ mean+ful engagem5t ( su* pr(essionals2 7,b7 workplace physical environm5t & safety2 7,c7 circum/ances outside ( "w = su* pr(essionals2 & 7,d7 ! physical & m5tal heal? /atus ( su* pr(essionals2 & 7#c7 be develop$ ) input f direct c>e pr(essionals1 old] individuals1 p ) disabilities1 & family memb]s ( old] individuals & p ) disabilities4 7c7 ,public availability ( aggregate data & ! assessm5t tool ,! ,secret>y %all-- 7#a7 make available1 ?r\gh a publicly available data repository1 aggregat$ & de-id5tifi$ data collect$ by ! assessm5t ( direct c>e pr(essional well-be+ "u subsection 7a72 7#b7 make ! assessm5t tool develop$ "u subsection 7a77#a7 publicly available 9 a =mat t all[s employ]s1 rese>*]s1 & o!r entities to volunt>ily use & adm9i/] su* assessm5t = purposes ( us+ in=mation collect$ by ! assessm5t to improve ! well-be+ ( direct c>e pr(essionals2 & 7#c7 conduct outrea* to employ]s1 rese>*]s1 & o!r relevant entities to increase aw>5ess ( ! availability ( ! tool = ! assessm5t ( ! well-be+ ( direct c>e pr(essionals4 7d7 ,burd5 on p>ticipants ,9 develop+ ! assessm5t tool "u subsection 7a77#a71 ! ,secret>y %all m9imize ! burd5 ( ! data collection process on direct c>e pr(essionals4 7e7 ,confid5tiality ,! ,secret>y %all ensure t ! assessm5t tool develop$ "u subsection 7a77#a71 ! process ( data collection "u subsection 7a71 & ! publicly available data "u subsection 7c77#a71 d n involve ! collection or disclosure ( any individually id5tifiable in=mation reg>d+ ! direct c>e pr(essionals :o are be+ assess$4 7f7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ to require t ! assessm5t tool develop$ "u subsection 7a77#a7 or ! data collect$ ?r\gh su* tool be us$ = purposes ( quality measurem5t or paym5t sy/ems "u ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq47 or a ,/ate ,m$icaid program4 7g7 ,report ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 & bi5nially !reaft]1 ! ,secret>y %all-- 7#a7 submit to ,congress a report on ! f9d+s ( ! assessm5t "u subsection 7a71 includ+ any recomm5dations to address direct c>e pr(essional well-be+2 & 7#b7 make su* report publicly available on ! website ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7h7 ,def9ition ( well-,be+ ,= purposes ( ?is section1 ! t]m well-be+1 ) respect to a direct c>e pr(essional1 means ! quality ( life ) respect to ! heal? & "w-relat$ environm5t ( su* pr(essional z relat$ to organizational & psy*osocial factors4 7i7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to ! ,secret>y to c>ry out ?is section #f1jjj1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjca4 #bbb4 ,national ,direct ,c>e ,pr(essional ,tra9+ ,/&>ds ,commission 7a7 ,e/abli%m5t 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% ! ,national ,direct ,c>e ,pr(essional ,tra9+ ,/&>ds ,commission 7ref]r$ to 9 ?is section z ! ,commission7 to advise ! ,secret>y on-- 7,a7 develop+ national direct c>e pr(essional tra9+ /&>ds describ$ 9 p>agraph 7#b7 to recomm5d to ,/ates to implem5t2 & 7,b7 provid+ support = ,/ates 9 implem5t+ su* /&>ds4 7#b7 ,/&>ds ,! /&>ds "u ?is subsection %all be-- 7,a7 compet5cy-bas$2 7,b7 indu/ry-recogniz$2 & 7,c7 portable across sett+s & ,/ates4 7#c7 ,memb]%ip ,! ,commission %all include repres5tatives f ! foll[+3 7,a7 ,an organization repres5t+ old] individuals4 7,b7 ,an organization l$ by p ) disabilities4 7,c7 ,an organization repres5t+ ! rights & int]e/s ( p receiv+ s]vices f direct c>e pr(essionals4 7,d7 ,an organization 7o!r ?an a labor organization7 repres5t+ direct c>e pr(essionals4 7,e7 ,labor organizations repres5t+ direct c>e pr(essionals4 7,f7 ,an organization repres5t+ ,/ate ,m$icaid ag5cies1 ,/ate ag5cies def9$ 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb71 ,/ate developm5tal disabilities (fices1 & ,/ate m5tal heal? ag5cies4 7,g7 ,an organization repres5t+ local bo>ds & ,/ate bo>ds4 7,h7 ,an organization repres5t+ area ag5cies on ag+4 7,i7 ,an organization repres5t+ 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,j7 ,an organization repres5t+ ,/ate ,c\ncils 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 seq4774 7,k7 ,an organization repres5t+ ,ag+ & ,disability ,res\rce ,c5t]s4 7,l7 ,an organization repres5t+ nonpr(it ,/ate provid] associations4 7,m7 ,an organization repres5t+ entities t employ direct c>e pr(essionals4 7,n7 ,an organization repres5t+ ,univ]sity ,c5t]s = ,excell5ce 9 ,developm5tal ,disabilities ,education1 ,rese>*1 & ,s]vice support$ "u subtitle ,d ( title ,i ( ! ,developm5tal ,disabilities ,assi/ance & ,bill ( ,rights ,act ( #bjjj 7#db ,u4,s4,c4 #aejfa et seq474 7,o7 ,an organization repres5t+ ,/ate protection & advocacy sy/ems describ$ 9 section #adc ( su* ,act 7#db ,u4,s4,c4 #aejdc74 7,p7 ,repres5tatives ( direct c>e pr(essional organizations repres5t+ und]s]v$ communities1 includ+ communities ( color4 7,q7 ,repres5tatives reflect+ div]se racial1 cultural1 e?nic1 geographic1 socioeconomic1 & g5d] id5tity & sexual ori5tation p]spectives4 7#d7 ,p]iod ( appo9tm5t2 vacancies 7,a7 ,9 g5]al ,a memb] ( ! ,commission %all be appo9t$ = ! life ( ! ,commission4 7,b7 ,vacancies ,a vacancy 9 ! ,commission-- 7i7 %all n affect ! p[]s ( ! ,commission2 & 7ii7 %all be fill$ 9 ! same mann] z ! orig9al appo9tm5t4 7#e7 ,meet+s 7,a7 ,initial meet+ ,n lat] ?an #ahj days aft] ! date on :i* all memb]s ( ! ,commission h be5 appo9t$1 ! ,commission %all hold ! fir/ meet+ ( ! ,commission4 7,b7 ,frequ5cy ,! ,commission %all meet at ! call ( ! ,*airp]son4 7,c7 ,quorum ,a majority ( ! memb]s ( ! ,commission %all con/itute a quorum1 b a less] numb] ( memb]s may hold he>+s4 7#f7 ,*airp]son & vice *airp]son ,! ,commission %all select a ,*airp]son & ,vice ,*airp]son f among ! memb]s ( ! ,commission4 7b7 ,duties 7#a7 ,/udy ,! ,commission %all conduct a ?or\gh /udy ( all matt]s relat+ to direct c>e pr(essional tra9+ /&>ds4 7#b7 ,recomm5dations ,! ,commission %all develop recomm5dations on-- 7,a7 national tra9+ /&>ds = direct c>e pr(essionals t meet ! requirem5ts "u subsection 7a77#b72 & 7,b7 me?ods = support+ ,/ates 9 implem5t+ su* /&>ds4 7#c7 ,report ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,commission %all submit to ! ,secret>y & ! appropriate committees ( ,congress a report t conta9s a detail$ /atem5t ( ! f9d+s & conclusions ( ! ,commission1 toge!r ) ! recomm5dations ( ! ,commission = su* legislation & adm9i/rative actions z ! ,commission consid]s appropriate4 7c7 ,p[]s ( ,commission 7#a7 ,he>+s ,! ,commission may hold su* he>+s1 sit & act at su* times & places1 take su* te/imony1 & receive su* evid5ce z ! ,commission consid]s advisable to c>ry out ?is section4 7#b7 ,in=mation f ,f$]al ag5cies 7,a7 ,9 g5]al ,! ,commission may secure directly f a ,f$]al dep>tm5t or ag5cy su* in=mation z ! ,commission consid]s necess>y to c>ry out ?is section4 7,b7 ,furni%+ in=mation ,on reque/ ( ! ,*airp]son ( ! ,commission1 ! head ( ! dep>tm5t or ag5cy %all furni% ! in=mation to ! ,commission4 7#c7 ,po/al s]vices ,! ,commission may use ! ,unit$ ,/ates mails 9 ! same mann] & "u ! same conditions z o!r dep>tm5ts & ag5cies ( ! ,f$]al ,gov]nm5t4 7#d7 ,gifts ,! ,commission may accept1 use1 & dispose ( gifts or donations ( s]vices or prop]ty4 7d7 ,commission p]sonnel matt]s 7#a7 ,comp5sation ( memb]s ,a memb] ( ! ,commission :o is n an (fic] or employee ( ! ,f$]al ,gov]nm5t %all be comp5sat$ at a rate equal to ! daily equival5t ( ! annual rate ( basic pay prescrib$ = level ,,iv ( ! ,executive ,s*$ule "u section #ecae ( title #e1 ,unit$ ,/ates ,code1 = ea* day 7includ+ travel "t7 dur+ :i* ! memb] is engag$ 9 ! p]=mance ( ! duties ( ! ,commission4 7#b7 ,travel exp5ses ,a memb] ( ! ,commission %all be all[$ travel exp5ses1 includ+ p] diem 9 lieu ( subsi/5ce1 at rates au?oriz$ = employees ( ag5cies "u sub*apt] ,i ( *apt] #eg ( title #e1 ,unit$ ,/ates ,code1 :ile away f _! homes or regul> places ( bus9ess 9 ! p]=mance ( s]vices = ! ,commission4 7#c7 ,/aff 7,a7 ,9 g5]al ,! ,*airp]son ( ! ,commission may1 )\t reg>d to ! civil s]vice laws 7includ+ regulations71 appo9t & t]m9ate an executive director & su* o!r additional p]sonnel z may be necess>y to enable ! ,commission to p]=m its duties1 except t ! employm5t ( an executive director %all be subject to confirmation by ! ,commission4 7,b7 ,comp5sation ,! ,*airp]son ( ! ,commission may fix ! comp5sation ( ! executive director & o!r p]sonnel )\t reg>d to *apt] #ea & sub*apt] ,,iii ( *apt] #ec ( title #e1 ,unit$ ,/ates ,code1 relat+ to classification ( positions & ,g5]al ,s*$ule pay rates1 except t ! rate ( pay = ! executive director & o!r p]sonnel may n exce$ ! rate payable = level ,v ( ! ,executive ,s*$ule "u section #ecaf ( t title4 7#d7 ,detail ( gov]nm5t employees ,a ,f$]al ,gov]nm5t employee may be detail$ to ! ,commission )\t reimbursem5t1 & su* detail %all be )\t int]ruption or loss ( civil s]vice /atus or privilege4 7#e7 ,procurem5t ( tempor>y & int]mitt5t s]vices ,! ,*airp]son ( ! ,commission may procure tempor>y & int]mitt5t s]vices "u section #caji7;b7 ( title #e1 ,unit$ ,/ates ,code1 at rates = individuals t d n exce$ ! daily equival5t ( ! annual rate ( basic pay prescrib$ = level ,v ( ! ,executive ,s*$ule "u section #ecaf ( t title4 7e7 ,t]m9ation ( commission ,! ,commission %all t]m9ate #ij days aft] ! date on :i* ! ,commission submits ! report requir$ "u subsection 7b77#c74 7f7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #ejj1jjj = fiscal ye> #bjbf1 to rema9 available1 )\t fiscal ye> limitation1 until exp5d$4 ,d ,increas+ supports = ! exi/+ direct c>e pr(essional work=ce #bca4 ,m5tal heal? s]vices 7a7 ,programs ,to promote m5tal heal? among direct c>e pr(essionals 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all aw>d grants1 contracts1 or coop]ative agreem5ts to eligible entities to e/abli% or enhance evid5ce-bas$ or evid5ce-in=m$ programs d$icat$ to improv+ m5tal heal? & resili5cy = direct c>e pr(essionals4 7#b7 ,eligibility ,to be eligible to receive an aw>d "u ?is subsection1 an entity %all be-- 7,a7 a ,/ate2 7,b7 a labor organization1 jo9t labor managem5t organization1 or employ] ( direct c>e pr(essionals2 7,c7 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(essionals2 or 7,d7 an ,indian ,tribe1 ,tribal organization1 or ,urban ,indian organization4 7#c7 ,use ( funds ,a recipi5t ( an aw>d "u ?is subsection %all use funds receiv$ ?r\gh ! aw>d to implem5t & evaluate a new program or enhance an exi/+ program to promote m5tal heal? among direct c>e pr(essionals1 :i* may include-- 7,a7 improv+ aw>5ess among direct c>e pr(essionals ab\t risk factors =1 & signs (1 suicide & m5tal heal? or sub/ance use disord]s1 9 accordance ) evid5ce-bas$ or evid5ce-in=m$ practices2 7,b7 e/abli%+ new1 or enhanc+ exi/+1 evid5ce-bas$ or evid5ce-in=m$ programs = prev5t+ suicide & improv+ m5tal heal? & resili5cy among direct c>e pr(essionals2 7,c7 e/abli%+ new1 or enhanc+ exi/+1 pe]-support programs = direct c>e pr(essionals2 or 7,d7 provid+-- 7i7 m5tal heal? c>e2 7ii7 foll[-up s]vices or c>e by a lic5s$ or c]tifi$ m5tal heal? pr(essional 7includ+ by means ( teleheal?72 or 7iii7 a ref]ral = su* s]vices or c>e by su* a pr(essional1 z appropriate4 7#d7 ,priority ,9 aw>d+ grants1 contracts1 & coop]ative agreem5ts "u ?is subsection1 ! ,secret>y %all give priority to an eligible entity 9-- 7,a7 a rural area2 or 7,b7 an area :]e ! numb] ( direct c>e pr(essional vacancies1 9 ! ye> ( ! application1 is great] ?an #cj p]c5t ( ! total numb] ( direct c>e pr(essional positions 9 ! area4 7b7 ,tra9+ grants 7#a7 ,9 g5]al ,! ,secret>y may e/abli% a program to aw>d grants to eligible entities to support ! inclusion1 9 direct c>e pr(essional prep>ation programs & 9 tra9+1 cont9u+ education1 or pr(essional developm5t programs = direct c>e pr(essionals1 ( evid5ce-bas$ or evid5ce-in=m$ /rategies-- 7,a7 to address m5tal & sub/ance use disord]s ( direct c>e pr(essionals2 & 7,b7 to improve m5tal heal? & resili5cy among direct c>e pr(essionals4 7#b7 ,eligibility ,to be eligible to receive a grant "u ?is subsection1 an entity %all be-- 7,a7 an in/itution ( high] education2 7,b7 a ,/ate or local gov]nm5t2 7,c7 an ,indian ,tribe or ,tribal organization2 7,d7 a public or private nonpr(it entity det]m9$ appropriate by ! ,secret>y2 or 7,e7 a consortia ( entities describ$ 9 any ( subp>agraphs 7,a7 ?r\gh 7,d71 includ+ su* entities promot+ multidiscipl9>y approa*es4 7c7 ,grant t]ms ,a grant1 contract1 or coop]ative agreem5t aw>d$ "u subsection 7a7 or 7b7 %all be = a p]iod ( #c ye>s4 7d7 ,application submission ,an entity seek+ an aw>d "u subsection 7a7 or 7b7 %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & accompani$ by su* in=mation z ! ,secret>y may require4 7e7 ,annual report ,an entity receiv+ an aw>d "u subsection 7a7 or 7b7 %all submit to ! ,secret>y an annual report evaluat+ ! activities support$ by ! aw>d4 7f7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #bj1jjj1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj4 #bcb4 ,dissem9ation ( be/ practices ) respect to m5tal heal? ( direct c>e pr(essionals ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7#a7 id5tify evid5ce-bas$ or evid5ce-in=m$ be/ practices-- 7,a7 = prev5t+ suicide & improv+ m5tal heal? & resili5cy among direct c>e pr(essionals2 & 7,b7 = tra9+ direct c>e pr(essionals 9 appropriate /rategies to promote _! m5tal heal?2 & 7#b7 dissem9ate ^? be/ practices to ! appropriate committees ( ,congress4 #bcc4 ,education & aw>5ess initiative enc\rag+ use ( m5tal heal? & sub/ance use disord] s]vices by direct c>e pr(essionals 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 9 consultation ) relevant /akehold]s1 includ+ m$ical pr(essional associations1 %all e/abli% a national evid5ce-bas$ or evid5ce-in=m$ education & aw>5ess initiative-- 7#a7 ) ! goal ( prev5t+ suicide1 m5tal heal? conditions1 & sub/ance use disord]s ( direct c>e pr(essionals1 to-- 7,a7 enc\rage direct c>e pr(essionals to seek support & c>e = _! m5tal heal? or sub/ance use conc]ns2 7,b7 help su* pr(essionals id5tify risk factors associat$ ) suicide & m5tal heal? conditions2 & 7,c7 help su* pr(essionals le>n h[ be/ to respond to su* risk factors2 & 7#b7 to address /igma associat$ ) seek+ m5tal heal? & sub/ance use disord] s]vices4 7b7 ,report+ ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all provide to ! appropriate committees ( ,congress an update on ! activities & outcomes ( ! initiative "u subsection 7a71 includ+ a description ( quantitative & qualitative metrics us$ to evaluate su* activities & outcomes4 #bcd4 ,direct c>e pr(essional tra9+ grants ,section #bjda ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acigm7 is am5d$ to read z foll[s3 #bjda4 ,direct c>e pr(essional 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 7e7 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 7ii71 7iii71 & 7iv7 ! am\nt allott$ to a ,/ate "u ?is subp>agraph = a fiscal ye> %all be equal to ! product (-- 7,i7 ! available am\nt = ! fiscal ye>2 & 7,,ii7 ! ratio (-- 7aa7 ! numb] ( ,/ate resid5ts :o h atta9$ #fj 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 7bb7 ! 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,,ii77aa7 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> #bjcj %all be-- 7aa7 n less ?an #ij p]c5t ( ! am\nt ( ! grant made to ! ,/ate "u ?is subp>agraph = ! 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 7e7 = 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 ,/ate1 ,indian tribe1 or tribal organization 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#b77;,a72 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 ,/ate1 ,indian tribe1 or tribal organization 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 ! ,/ate1 ,indian tribe1 or tribal organization 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 ,/ate1 ,indian tribe1 or tribal organization 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 ,/ate1 ,indian tribe1 or tribal organization to :i* an am\nt is paid "u ?is section %all n use ! am\nt to supplant ! exp5diture ( any ,/ate or tribal 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 ,/ate1 ,indian tribe1 or tribal organization 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$4 7d7 ,reports 7#a7 ,/ate reports ,n less frequ5tly ?an annually1 ea* ,/ate1 ,indian tribe1 or tribal organization to :i* a grant has be5 made "u ?is section %all transmit to ! ,secret>y a writt5 report describ+ ! activities und]tak5 by ! ,/ate pursuant to ?is section dur+ ! p]iod cov]$ 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#b77;,a7 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#b77;,a7 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#b77;,a7 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 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,special ,committee on ,ag+ ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce & ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives a writt5 report outl9+ h[ ! grant recipi5ts h us$ ! grants made "u ?is section dur+ ! p]iod cov]$ by ! report1 :i* %all include-- 7,a7 ! total am\nt exp5d$ by ea* ,/ate1 ,indian tribe1 or tribal organization = ea* type ( use describ$ 9 p>agraph 7#a7 or 7#b7 ( subsection 7b72 7,b7 ! total numb] ( non-,/ate or non-tribal organizations 9 ea* ,/ate1 ,indian tribe1 or tribal organization to :i* grant funds 7 provid$1 & ! am\nt s provid$ to ea* su* non-,/ate or non-tribal organization2 7,c7 ! *ange 9 ! numb] ( individuals work+ 9 ea* job category describ$ 9 subsection 7f77#b77;,a7 9 an eligible sett+2 7,d7 ! av]age duration ( employm5t = ea* su* job category1 by ,/ate1 ,indian tribe1 or tribal organization2 7,e7 ! av]age annual wage ( work]s 9 ea* job category describ$ 9 subsection 7f77#b77;,a7 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#b77;,a7 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 #bjbf ?r\gh #bjcj 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 7vi7 is receiv+ tra9+ to be c]tifi$ or lic5s$ z su* an aide1 nurse1 or social work]2 or 7vii7 is any o!r direct c>e pr(essional2 & 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 sett+ 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 7,f7 ano!r long-t]m c>e sett+2 or 7,g7 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 #bce4 ,cr$it = c]ta9 heal? c>e pr(essionals 7a7 ,9 g5]al ,subp>t ,c ( "p ,,iv ( sub*apt] ,a ( *apt] #a ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by ins]t+ aft] section #cf ! foll[+ new section3 #cf;,a4 ,cr$it = c]ta9 heal? c>e pr(essionals 7a7 ,all[ance ( cr$it ,9 ! case ( an individual :o is a heal? c>e pr(essional describ$ 9 subsection 7b7 ) respect to ! taxable ye>1 !re %all be all[$ a cr$it ( #e1jjj aga9/ ! tax impos$ by ?is subtitle = su* taxable ye>4 7b7 ,heal? c>e pr(essionals describ$ ,a heal? c>e pr(essional describ$ 9 ?is subsection1 ) respect to any taxable ye>1 is any individual :o1 at any "t dur+ su* taxable ye>1 is-- 7#a7 a practition]1 z def9$ 9 section #ahdb7;b77#ah77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieu7b77#ah77;,c771 provid+ s]vices = comp5sation z su* practition] 9 a long-t]m c>e sett+1 7#b7 a c]tifi$ nurs+ assi/ant provid+ s]vices = comp5sation z su* assi/ant 9 a long-t]m c>e sett+1 7#c7 a lic5s$ practical nurse1 or regi/]$ pr(essional nurse1 provid+ s]vices = comp5sation z su* a nurse 9 a long-t]m c>e sett+1 7#d7 a home heal? aide provid+ s]vices = comp5sation z su* aide 9 a long-t]m c>e sett+1 7#e7 a p]sonal or home c>e aide provid+ s]vices = comp5sation z su* aide 9 a long-t]m c>e sett+1 or 7#f7 a direct c>e pr(essional1 :o is n o!rwise describ$ 9 any ( p>agraphs 7#a7 ?r\gh 7#e71 provid+ s]vices = comp5sation z su* pr(essional 9 a long-t]m c>e sett+4 7c7 ,def9itions ,= purposes ( ?is section1 ! t]ms direct c>e pr(essional1 long-t]m c>e sett+1 & p]sonal or home c>e aide h ! mean+s giv5 su* t]ms 9 section #c ( ! ,long-,t]m ,c>e ,work=ce ,support ,act4 4 7b7 ,con=m+ am5dm5ts 7#a7 ,section #fbaa7;b77#d77;,a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by ins]t+ 1 #cf;,a aft] #cf4 7#b7 ,! table ( section = subp>t ,c ( "p ,,iv ( sub*apt] ,a ( *apt] #a su* ,code is am5d$ by am5d+ by ins]t+ aft] ! item relat+ to section #cf ! foll[+ new item3 ,sec4 #cf;,a4 ,cr$it = c]ta9 heal? c>e pr(essionals4 4 7c7 ,effective date ,! am5dm5ts made by ?is section %all apply to taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjbd4 #bcf4 ,direct ,c>e ,pr(essional ,work=ce ,equity ,te*nical ,assi/ance ,c5t] 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 9 consultation ) ! ,secret>y ( ,labor1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 & ! heads ( o!r entities z necess>y1 %all e/abli% a national te*nical assi/ance c5t] to-- 7#a7 address inequities & disp>ities fac+ ! direct c>e pr(essional work=ce2 & 7#b7 ensure t long-t]m c>e sett+s are meet+ ! unique demographic1 cultural1 & l+ui/ic ne$s ( ! community 9 :i* su* sett+s are situat$ & ! community ( work]s )9 su* sett+s4 7b7 ,activities ,! ,c5t] may-- 7#a7 ma9ta9 a c5traliz$ onl9e hub ( equity-focus$ direct c>e pr(essional work=ce res\rces2 7#b7 conduct /udies & develop tra9+s & res\rces on ! inequities fac+ direct c>e pr(essionals & enhanc+ div]sity1 equity1 inclusion1 & accessibility among long-t]m c>e sett+s2 7#c7 develop equity-specific tools & res\rces to support ,/ate & local gov]nm5ts 9 build+ an equitable direct c>e pr(essional work=ce2 7#d7 design & in=m int]v5tions 9 ! direct c>e pr(essional work=ce t r$uce disp>ities & promote equity )9 ! direct c>e pr(essional work=ce2 7#e7 conv5e exp]ts 9 ! direct c>e pr(essional work=ce1 includ+ direct c>e pr(essionals1 to develop equity-bas$ res\rces2 & 7#f7 collaborate ) organizations repres5t+ p ) disabilities1 old] individuals1 p ( color1 wom51 immigrants1 & ,,lgbt communities1 & o!rs z det]m9$ by ! ,secret>y4 7c7 ,report+ ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all provide to ! appropriate committees ( ,congress an update on ! activities & outcomes ( ! initiative "u subsection 7a74 7d7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ to ! ,secret>y #aj1jjj1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj4 ,,iii ,work=ce labor protections ,a ,long-t]m ,c>e ,work=ce ,wage ,!ft ,prev5tion & ,wage ,recov]y ,act #cja4 ,def9itions ,9 ?is subtitle3 7#a7 ,adm9i/rator ,! t]m ! ,adm9i/rator means ! ,adm9i/rator ( ! ,wage & ,h\r ,division ( ! ,dep>tm5t ( ,labor4 7#b7 ,community p>tn] ,! t]m community p>tn] means any /akehold] ) a commitm5t to en=c+ wage & h\r laws & prev5t+ abuses ( su* laws1 includ+ any-- 7,a7 ,/ate dep>tm5t ( labor2 7,b7 attorney g5]al ( a ,/ate or o!r simil> au?oriz$ (ficial ( a political subdivision !re(2 7,c7 law en=cem5t ag5cy2 7,d7 consulate2 7,e7 employee or advocate ( employees1 includ+ a labor organization1 community- & fai?-bas$ organization1 bus9ess association1 disability organization1 old] individual organization1 or nonpr(it legal aid organization2 7,f7 academic in/itution t plans1 coord9ates1 & implem5ts programs & activities to prev5t wage & h\r violations & recov] unpaid wages1 damages1 & p5alties2 or 7,g7 any municipal ag5cy responsible = ! en=cem5t ( local wage & h\r laws4 7#c7 ,community p>tn]%ip ,! t]m community p>tn]%ip means a p>tn]%ip betwe5-- 7,a7 a work+ gr\p consi/+ ( community p>tn]s2 & 7,b7 ! ,dep>tm5t ( ,labor4 7#d7 ,cov]$ employee ,! t]m cov]$ employee means a direct c>e pr(essional work+ 9 a long-t]m c>e sett+4 7#e7 ,cov]$ employ] ,! t]m cov]$ employ] means an employ] :o employs cov]$ employees to "w 9 or provide s]vices 9 a long-t]m c>e sett+4 7#f7 ,eligible entity ,! t]m eligible entity means an entity t is any ( ! foll[+3 7,a7 ,a nonpr(it organization1 includ+ su* an organization t is a community-bas$ organization1 fai?-bas$ organization1 disability organization1 old] individuals organization1 or labor organization1 t provides s]vices & support to employees1 includ+ assi/+ su* employees 9 recov]+ unpaid wages4 7,b7 ,an employ]4 7,c7 ,a bus9ess association4 7,d7 ,an in/itution ( high] education1 z def9$ 9 section #aja ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja74 7,e7 ,a p>tn]%ip betwe5 any ( ! entities describ$ 9 subp>agraphs 7,a7 ?r\gh 7,d74 7#g7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,labor4 7#h7 ,/rategic en=cem5t ,! t]m /rategic en=cem5t means ! process by :i* ! ,secret>y-- 7,a7 t>gets highly noncompliant indu/ries1 z id5tifi$ by ! ,secret>y1 us+ indu/ry-specific /ructures to influ5ce1 & ultimately re=m1 networks ( int]connect$ employ]s2 7,b7 analyzes regulatory regimes "u :i* specific indu/ries op]ate2 & 7,c7 modifies ! en=cem5t approa* ( su* regulatory regimes 9 ord] to ensure ! greate/ impact4 7#i7 ,wage & h\r law ,! t]m wage & h\r law means any ,f$]al law en=c$ by ! ,wage & ,h\r ,division ( ! ,dep>tm5t ( ,labor1 includ+ any provision ( ?is ,act en=c$ by su* division4 7#aj7 ,wage & h\r violation ,! t]m wage & h\r violation ref]s to any violation ( a ,f$]al law en=c$ by ! ,wage & ,h\r ,division ( ! ,dep>tm5t ( ,labor1 includ+ any provision ( ?is ,act en=c$ by su* division4 #cjb4 ,direct c>e pr(essional work=ce wage !ft prev5tion & wage recov]y grant program 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator1 %all provide grants to eligible entities to assi/ su* entities 9 enhanc+ ! en=cem5t ( wage & h\r laws1 9 accordance ) ?is section & consi/5t ) ! purposes ( ?is ,act4 7b7 ,grants ,a grant provid$ "u ?is section %all be design$ to-- 7#a7 support an eligible entity 9 e/abli%+ & support+ ! activities describ$ 9 subsection 7c77#a72 & 7#b7 develop community p>tn]%ips to exp& & improve coop]ative ef=ts betwe5 en=cem5t ag5cies & memb]s ( ! community to-- 7,a7 prev5t & r$uce wage & h\r violations2 & 7,b7 assi/ cov]$ employees 9 recov]+ back pay = any su* violations4 7c7 ,use ( funds 7#a7 ,p]missible activities ,! grants describ$ 9 ?is section %all assi/ eligible entities 9 e/abli%+ & support+ activities t include-- 7,a7 dissem9at+ in=mation & conduct+ outrea* & tra9+ to educate cov]$ employees ab\t _! rights "u wage & h\r laws2 7,b7 conduct+ educational tra9+ = cov]$ employ]s ab\t _! obligations "u wage & h\r laws2 7,c7 conduct+ ori5tations & tra9+s jo9tly ) (ficials ( ! ,wage & ,h\r ,division ( ! ,dep>tm5t ( ,labor2 7,d7 provid+ assi/ance to cov]$ employees 9 fil+ claims ( wage & h\r violations2 7,e7 assi/+ en=cem5t ag5cies 9 conduct+ inve/igations1 includ+ 9 ! collection ( evid5ce & recov]+ back pay2 7,f7 monitor+ compliance ) wage & h\r laws2 7,g7 p]=m+ jo9t visitations to worksites t violate wage & h\r laws ) (ficials f ! ,wage & ,h\r ,division ( ! ,dep>tm5t ( ,labor2 7,h7 e/abli%+ networks = education1 communication1 & p>ticipation 9 ! workplace & community2 7,i7 evaluat+ ! effectiv5ess ( programs design$ to prev5t wage & h\r violations & en=ce wage & h\r laws2 7,j7 recruit+ & hir+ ( /aff & volunte]s2 7,k7 production & dissem9ation ( outrea* & tra9+ mat]ials2 7,l7 creation ( a phone1 %ort message s]vice1 web1 or o!r te*nology-bas$ communication = report+ cov]$ employee em]g5cies1 wage !ft1 or labor violations1 seek+ em]g5cy s]vices1 or seek+ support or guidance 9 lieu ( em]g5cy s]vices2 & 7,m7 any o!r activities z ! ,secret>y may reasonably prescribe ?r\gh notice & comm5t rulemak+4 7#b7 ,prohibit$ activities ,not)/&+ p>agraph 7#a71 an eligible entity receiv+ a grant "u ?is section may n use ! grant funds = any purpose reasonably prohibit$ by ! ,secret>y ?r\gh notice & comm5t rulemak+4 7d7 ,t]m ( grants ,ea* grant made "u ?is section %all be available = exp5diture = a p]iod t is n to exce$ #c ye>s4 7e7 ,applications 7#a7 ,9 g5]al ,an eligible entity seek+ a grant "u ?is section %all submit an application = su* grant to ! ,secret>y 9 accordance ) ?is subsection4 7#b7 ,p>tn]%ips ,9 ! case ( an eligible entity t is a p>tn]%ip describ$ 9 section #cja7d77;,e71 ! eligible entity may submit a jo9t application t designates a s+le entity z ! lead entity = purposes ( receiv+ & disburs+ funds4 7#c7 ,cont5ts ,an application "u ?is subsection %all include-- 7,a7 a description ( a plan = ! program t ! eligible entity proposes to c>ry out ) a grant "u ?is section1 includ+ a long-t]m /rategy & detail$ implem5tation plan t reflects expect$ p>ticipation (1 & p>tn]%ip )1 community p>tn]s2 7,b7 in=mation on ! preval5ce ( wage & h\r violations 9 ea* community or ,/ate ( ! eligible entity2 7,c7 in=mation on any indu/ry or geographic area t>get$ by ! plan = su* program2 7,d7 in=mation on ! type ( outrea* & relation%ip build+ t w be conduct$ "u su* program2 7,e7 in=mation on ! tra9+ & education t w be provid$ to cov]$ employees & cov]$ employ]s "u su* program2 & 7,f7 ! me?od by :i* ! eligible entity w measure results ( su* program4 7f7 ,selection 7#a7 ,competitive basis ,9 accordance ) ?is subsection1 ! ,secret>y %all1 on a competitive basis1 select grant recipi5ts f among eligible entities t h submitt$ an application "u subsection 7e74 7#b7 ,priority ,9 select+ grant recipi5ts "u p>agraph 7#a71 ! ,secret>y %all give priority to eligible entities t-- 7,a7 s]ve cov]$ employees 9 ! long-t]m c>e indu/ry or geographic area t is mo/ highly at risk = noncompliance ) wage & h\r violations1 z id5tifi$ by ! ,secret>y2 & 7,b7 demon/rate pa/ & ongo+ "w to prev5t wage & h\r violations or to recov] unpaid wages4 7#c7 ,o!r consid]ations ,9 select+ grant recipi5ts "u p>agraph 7#a71 ! ,secret>y %all also consid]-- 7,a7 ! preval5ce ( ongo+ community support = ea* eligible entity1 includ+ f9ancial & o!r contributions2 & 7,b7 ! eligible entity's pa/ & ongo+ p>tn]%ips ) o!r organizations4 7g7 ,memor&a ( und]/&+ 7#a7 ,9 g5]al ,n lat] ?an #fj days aft] receiv+ a grant "u ?is section1 ! grant recipi5t %all negotiate & f9alize ) ! ,secret>y a memor&um ( und]/&+ t sets =? specific goals1 objectives1 /rategies1 & activities t w be c>ri$ out "u ! grant by su* recipi5t ?r\gh a community p>tn]%ip4 7#b7 ,signatures ,a repres5tative ( ! grant recipi5t 7or1 9 ! case ( a grant recipi5t t is an eligible entity describ$ 9 section #cja7d77;,e71 a repres5tative ( ea* entity t composes ! grant recipi5t7 & ! ,secret>y %all sign ! memor&um ( und]/&+ "u ?is subsection4 7#c7 ,revisions ,! memor&um ( und]/&+ "u ?is subsection %all be review$ & revis$ by ! grant recipi5t & ! ,secret>y ea* ye> ( ! duration ( ! grant4 7h7 ,p]=mance evaluations 7#a7 ,9 g5]al ,ea* grant recipi5t "u ?is section %all develop proc$ures = report+1 monitor+1 measur+1 & evaluat+ ! activities ( ea* program or project fund$ "u ?is section4 7#b7 ,guidel9es ,! proc$ures requir$ "u p>agraph 7#a7 %all be 9 accordance ) guidel9es e/abli%$ by ! ,secret>y4 7i7 ,revocation or susp5sion ( fund+ ,if ! ,secret>y det]m9es t a recipi5t ( a grant "u ?is section is n 9 compliance ) ! t]ms & requirem5ts ( ! memor&um ( und]/&+ "u subsection 7g71 ! ,secret>y may revoke or susp5d 79 :ole or 9 "p7 ! fund+ ( ! grant4 7j7 ,use ( compon5ts 7#a7 ,9 g5]al ,9 addition to ! ,wage & ,h\r ,division1 ! ,secret>y 7act+ ?r\gh ! ,adm9i/rator7 may use any division or ag5cy ( ! ,dep>tm5t ( ,labor 9 c>ry+ out ?is subtitle4 7#b7 ,consultation ) ,,hhs ,! ,secret>y may consult ) ! ,secret>y ( ,heal? & ,human ,s]vices 7act+ ?r\gh ! ,adm9i/rator = ,community ,liv+7 to c>ry out ?is subtitle4 7k7 ,evaluation ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 conjunction ) ! ,secret>y ( ,labor1 %all evaluate ! implem5tation & outcomes ( ?is section on ! occurr5ce ( wage & h\r violations ?r\gh a contract ) an ext]nal evaluator :o has exp]i5ce ) evaluation ( labor regulations & long-t]m c>e s]vices4 7l7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is subtitle #ej1jjj1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj1 to rema9 available until exp5d$4 ,b ,direct c>e pr(essional rights #caa4 ,def9itions 7a7 ,fair labor /&>ds act def9itions ,9 ?is subtitle-- 7#a7 ! t]ms ent]prise1 ent]prise engag$ 9 comm]ce or 9 ! production ( goods = comm]ce1 & p]son h ! mean+s giv5 su* t]ms 9 section #c ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #bjc72 & 7#b7 ! t]m regul> rate has ! mean+ giv5 su* t]m 9 section #g7;e7 ( su* ,act 7#bi ,u4,s4,c4 #bjg7;e774 7b7 ,o!r def9itions ,9 ?is subtitle3 7#a7 ,*ild ,! t]m *ild-- 7,a7 means an individual :o is "u #ah ye>s ( age2 & 7,b7 includes an individual describ$ 9 subp>agraph 7,a7 :o is-- 7i7 a biological1 fo/]1 or adopt$ *ild2 7ii7 a /ep*ild2 7iii7 a *ild ( a dome/ic p>tn]2 7iv7 a legal w>d2 or 7v7 a *ild ( a p]son /&+ 9 loco p>5tis4 7#b7 ,cov]$ entity ,! t]m cov]$ entity-- 7,a7 means any p]son or ag5cy :o provides comp5sation directly or indirectly to a direct c>e pr(essional = ! p]=mance ( long-t]m c>e s]vices2 & 7,b7 includes-- 7i7 a p]son act+ directly or indirectly 9 ! int]e/ ( ! entity 9 relation to a direct c>e pr(essional2 7ii7 an employ] ( a direct c>e pr(essional2 & 7iii7 an ag5cy t contracts ) an ag5cy to provide direct c>e pr(essionals4 7#c7 ,m$icaid ,,hcbs-eligible old] individual ,! t]m ,m$icaid ,,hcbs-eligible old] individual means an individual :o-- 7,a7 is #fj ye>s ( age or old]2 & 7,b7 is eligible = & enroll$ = m$ical assi/ance = any ( ! foll[+ s]vices 7:e!r provid$ on a fee-=-s]vice1 risk1 or o!r basis7 "u a ,/ate ,m$icaid program1 & includes an individual :o becomes eligible = m$ical assi/ance "u a ,/ate ,m$icaid program :5 remov$ f a wait+ li/3 7i7 ,home heal? c>e s]vices au?oriz$ "u p>agraph 7#g7 ( section #aije7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a774 7ii7 ,p]sonal c>e s]vices au?oriz$ "u p>agraph 7#bd7 ( su* section4 7iii7 ,,pace s]vices au?oriz$ "u p>agraph 7#bf7 ( su* section4 7iv7 ,home & community-bas$ s]vices au?oriz$ "u subsections 7b71 7c71 7i71 7j71 & 7k7 ( section #aiae ( su* ,act 7#db ,u4,s4,c4 #acifn71 su* s]vices au?oriz$ "u a waiv] "u section #aaae ( su* ,act 7#db ,u4,s4,c4 #acae71 & su* s]vices provid$ ?r\gh cov]age au?oriz$ "u section #aicg ( su* ,act 7#db ,u4,s4,c4 #acifu-#g74 7v7 ,case managem5t s]vices au?oriz$ "u section #aije7;a77#ai7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77#ai77 & section #aiae7;g7 ( su* ,act 7#db ,u4,s4,c4 #acifn7g774 7vi7 ,rehabilitative s]vices1 includ+ ^? relat$ to behavioral heal?1 describ$ 9 section #aije7;a77#ac7 ( su* ,act 7#db ,u4,s4,c4 #acif;d7a77#ac774 7vii7 ,su* o!r s]vices specifi$ by ! ,secret>y ( ,heal? & ,human ,s]vices4 7#d7 ,on-call %ift ,! t]m on-call %ift means any "t a cov]$ entity expects a direct c>e pr(essional to-- 7,a7 be available to "w2 & 7,b7 wait to contact1 or be contact$ by1 ! cov]$ entity1 or a designee ( ! entity1 to det]m9e :e!r ! direct c>e pr(essional %all report to "w dur+ su* "t4 7#e7 ,p>5t ,! t]m p>5t1 ) respect to a direct c>e pr(essional1 means-- 7,a7 a biological1 fo/]1 or adoptive p>5t ( a direct c>e pr(essional2 7,b7 a /epp>5t ( a direct c>e pr(essional2 7,c7 p>5t-9-law ( a direct c>e pr(essional2 7,d7 p>5t ( a dome/ic p>tn] ( a direct c>e pr(essional2 or 7,e7 a legal gu>dian or o!r p]son :o /ood 9 loco p>5tis to ! direct c>e pr(essional :5 ! work] 0 a *ild4 7#f7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,labor4 7#g7 ,%>$ liv+ arrangem5t ,! t]m %>$ liv+ arrangem5t means a liv+ arrangem5t involv+-- 7,a7 n m ?an #b individuals :o are a p]son ) a disability or a ,m$icaid ,,hcbs-eligible old] individual1 except if #a or m ( ! individuals are relat$ to ea* o!r 7by blood or a close association t is equival5t to a family relation%ip72 7,b7 an individual provid+ s]vices = comp5sation & liv+ 9 ! private home ( ! recipi5t ( su* s]vices2 7,c7 an individual receiv+ fund+ ?r\gh a ,/ate ,m$icaid program or ano!r publicly fund$ program2 7,d7 a /ip5d or room & bo>d z ! prim>y =m ( paym5t = ! individual provid+ su* s]vices2 & 7,e7 ! individual receiv+ su* s]vices hav+ ! f9al decision reg>d+ :o is ! provid] ( su* s]vices liv+ ) ! individual1 ?r\gh a consum]-driv5 mat*+ process t includes relation%ip build+1 p]son-c5t]$ plann+ z def9$ by ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 & an assessm5t ( individual compatibility4 7#h7 ,sp\se ,! t]m sp\se has ! mean+ giv5 su* t]m by ! m>riage laws ( ! ,/ate 9 :i* ! m>riage 0 celebrat$4 #cab4 ,writt5 agreem5ts 7a7 ,cov]$ direct c>e pr(essional ,9 ?is section1 ! t]m cov]$ direct c>e pr(essional means any direct c>e pr(essional to :om ! cov]$ entity expects to provide comp5sation = ! p]=mance ( long-t]m c>e s]vices by ! cov]$ direct c>e pr(essional = n less ?an #h h\rs p] week4 7b7 ,requirem5t ,ea* cov]$ entity %all provide a writt5 agreem5t 9 accordance ) ?is section to ea* cov]$ direct c>e pr(essional :o is provid$ comp5sation1 directly or indirectly1 by ! cov]$ entity = ! p]=mance ( long-t]m c>e s]vices4 7c7 ,writt5 agreem5t requirem5ts 7#a7 ,9 g5]al ,a writt5 agreem5t requir$ "u ?is section %all-- 7,a7 be sign$ & dat$ by ! cov]$ direct c>e pr(essional & ! cov]$ entity2 7,b7 be writt5 9 a language easily & fully und]/ood by ! cov]$ direct c>e pr(essional & ! cov]$ entity1 :i* may be 9 multiple languages if ! cov]$ direct c>e pr(essional & ! entity d n easily & fully und]/& ! same language2 & 7,c7 include ! cont5ts describ$ 9 subsection 7d74 7#b7 ,copy ,a copy ( ! writt5 agreem5t requir$ "u ?is section %all be provid$ to ! cov]$ direct c>e pr(essional n lat] ?an #e cal5d> days aft] ! date on :i* ! cov]$ direct c>e pr(essional is hir$ by ! cov]$ entity4 7d7 ,cont5ts ( ! writt5 agreem5t 7#a7 ,9 g5]al ,! cont5ts describ$ 9 ?is subsection %all include ea* ( ! foll[+3 7,a7 ,! full "n1 address1 & contact in=mation ( ! cov]$ entity1 includ+1 z appropriate1 any do+ bus9ess z "n ( ! entity & ! "n ( ea* individual ( ! entity :o w be do+ bus9ess ) ! cov]$ direct c>e pr(essional4 7,b7 ,! address = ! location :]e ! cov]$ direct c>e pr(essional w be provid+ long-t]m c>e s]vices = ! cov]$ entity4 7,c7 ,all responsibilities to be p]=m$ by ! cov]$ direct c>e pr(essional = ! cov]$ entity1 & ! regul>ity 9 :i* su* responsibilities are to be p]=m$4 7,d7 ,! regul> rate ( pay ( ! cov]$ direct c>e pr(essional = any "w week1 includ+ any ov]time comp5sation due4 7,e7 ,! day ( ! week :5 ! cov]$ direct c>e pr(essional w be paid4 7,f7 ,! requir$ work+ h\rs = any "w week1 includ+-- 7i7 ! "t ( day & day ( week ! "w ( ! cov]$ direct c>e pr(essional beg9s2 7ii7 meal & re/ breaks describ$ 9 section #caf2 7iii7 "t (f2 7iv7 ! "w s*$ule ( ! cov]$ direct c>e pr(essional at ! "t ( hire1 includ+-- 7,i7 ! "t ( day & ! days ( ! week ! cov]$ direct c>e pr(essional w be expect$ to "w ea* week = ! cov]$ entity2 or 7,,ii7 if ! "t ( day or ! days ( ! week t ! cov]$ direct c>e pr(essional w be expect$ to "w = ! cov]$ entity w v>y f week to week1 in=mation reg>d+ a good fai? e/imate ( ! days & h\rs = :i* ! cov]$ direct c>e pr(essional w be expect$ to "w = ! entity ea* week1 includ+1 at m9imum-- 7aa7 ! av]age numb] ( h\rs ! cov]$ direct c>e pr(essional w be expect$ to "w = ! entity ea* week dur+ a typical #ij-;day p]iod2 7bb7 :e!r ! cov]$ direct c>e pr(essional c expect to "w any on-call %ifts = ! entity2 7cc7 a subset ( days ! cov]$ direct c>e pr(essional c typically expect to "w 7or to be s*$ul$ z (f f "w7 = ! entity2 & 7dd7 ! am\nt ( notice t ! entity w provide to ! cov]$ direct c>e pr(essional 9 advance ( s*$ul$ "w h\rs 7z def9$ 9 section #cac7;a771 :i* %all n be less ?an #gb h\rs be=e su* s*$ul$ "w h\rs are to beg9 7except dur+ a p]iod describ$ 9 subp>agraph 7,a7 ( section #cac7;e77#a71 9 a case describ$ 9 subp>agraph 7,b7 ( su* section1 or 9 ! case ( a %>$ liv+ arrangem5t71 & ! mann] 9 :i* su* notice %all be provid$2 7v7 ! report+ "t pay policy describ$ 9 section #cac7;c72 & 7vi7 ! "r to reque/ & receive a *ange to s*$ul$ "w h\rs due to p]sonal ev5ts z describ$ 9 section #cad4 7,g7 ,if applicable1 any policies ( ! cov]$ entity ) respect to ! cov]$ direct c>e pr(essional = pay+ = or provid+ reimbursem5t =-- 7i7 heal? insurance2 7ii7 transportation1 meals1 or lodg+2 & 7iii7 any fees or co/s associat$ ) ! long-t]m c>e s]vices provid$ by ! cov]$ direct c>e pr(essional = ! entity4 7,h7 ,if applicable1 any policies ( ! cov]$ entity ) respect to ! cov]$ direct c>e pr(essional =-- 7i7 annual or o!r pay increases2 7ii7 sev]ance pay2 & 7iii7 provid+ mat]ials or equipm5t relat$ to ! p]=mance ( long-t]m c>e s]vices by ! cov]$ direct c>e pr(essional1 includ+ 7if applicable7 any clean+ supplies provid$ by ! entity4 7,i7 ,in=mation ab\t policies1 proc$ures1 & equipm5t relat$ to safety & em]g5cies4 7,j7 ,! policy ( ! cov]$ entity p]ta9+ to notice ( t]m9ation ( ! cov]$ direct c>e pr(essional by ! entity4 7,k7 ,9 ! case ( a cov]$ direct c>e pr(essional :o resides 9 ! h\sehold ( ! p]son = :om ! cov]$ direct c>e pr(essional provides long-t]m c>e s]vices-- 7i7 ! circum/ances "u :i* ! cov]$ entity may ent] ! designat$ liv+ space ( ! cov]$ direct c>e pr(essional2 7ii7 ! circum/ances "u :i* ! cov]$ direct c>e pr(essional1 9 a %>$ liv+ arrangem5t1 may ent] ! designat$ liv+ space ( ! cov]$ entity2 & 7iii7 a description ( c]ta9 circum/ances ! cov]$ entity det]m9es z cause =-- 7,i7 imm$iate t]m9ation ( ! cov]$ direct c>e pr(essional2 & 7,,ii7 removal ( ! cov]$ direct c>e pr(essional f ! h\sehold ( ! p]son = :om ! cov]$ direct c>e pr(essional provides long-t]m c>e s]vices n lat] ?an #dh h\rs aft] notice ( ! t]m9ation4 7,l7 ,any additional b5efits af=d$ to ! cov]$ direct c>e pr(essional by ! cov]$ entity4 7,m7 ,! process = ! cov]$ direct c>e pr(essional to raise or address grievances ) respect to1 or brea*es (1 ! writt5 agreem5t4 7,n7 ,! process us$ by ! cov]$ entity to *ange any policy describ$ 9 subp>agraphs 7,a7 ?r\gh 7,m71 includ+ address+ additional comp5sation if responsibilities are add$ to ^? describ$ 9 subp>agraph 7,c71 aft] ! date on :i* ! writt5 agreem5t is provid$ to ! cov]$ direct c>e pr(essional4 7#b7 ,prohibitions ,a writt5 agreem5t requir$ "u ?is section may n-- 7,a7 conta9-- 7i7 a m&atory pre-dispute arbitration agreem5t = claims made by a cov]$ direct c>e pr(essional aga9/ a cov]$ entity reg>d+ ! legal rights ( ! cov]$ direct c>e pr(essional2 or 7ii7 a nondisclosure agreem5t or noncompete agreem5t limit+ ! ability ( ! cov]$ direct c>e pr(essional to seek comp5sation = p]=m+ long-t]m c>e s]vices aft] ! cov]$ direct c>e pr(essional ceases to receive comp5sation f ! cov]$ entity = ! p]=mance ( long-t]m c>e s]vices2 & 7,b7 be con/ru$ to waive ! rights or protections ( a cov]$ direct c>e pr(essional "u ,f$]al1 ,/ate1 or local law4 7e7 ,tim+ 7#a7 ,initial agreem5t ,a cov]$ entity %all provide a writt5 agreem5t requir$ "u ?is section-- 7,a7 to ea* cov]$ direct c>e pr(essional hir$ aft] ! date ( enactm5t ( ?is ,act1 prior to ! fir/ day ! cov]$ direct c>e pr(essional p]=ms long-t]m c>e s]vices = ! entity2 & 7,b7 to ea* cov]$ direct c>e pr(essional hir$ on or prior to ! date ( enactm5t ( ?is ,act1 #ij days aft] su* date ( enactm5t4 7#b7 ,subsequ5t agreem5ts ,n lat] ?an #cj cal5d> days aft] ! date on :i* a cov]$ entity makes a *ange to a writt5 agreem5t provid$ to a cov]$ direct c>e pr(essional "u ?is section1 ! entity %all provide ! cov]$ direct c>e pr(essional ) an updat$ agreem5t 9 accordance ) ?is section4 7f7 ,records ,a cov]$ entity t is requir$ to provide a writt5 agreem5t "u ?is section to a cov]$ direct c>e pr(essional %all reta9 su* agreem5t = a p]iod ( n less ?an #c ye>s f ! date on :i* ! cov]$ direct c>e pr(essional is no long] work+ = ! entity4 7g7 ,model writt5 agreem5ts 7#a7 ,9 g5]al ,n lat] ?an #f mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all e/abli% & make available templates = model writt5 agreem5ts "u ?is section4 7#b7 ,requirem5ts ,a model writt5 agreem5t requir$ "u p>agraph 7#a7 %all-- 7,a7 be available 9 multiple languages commonly und]/ood by cov]$ direct c>e pr(essionals1 includ+ all languages 9 :i* ! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,wage & ,h\r ,division1 translates ! basic in=mation fact %eet publi%$ by ! ,adm9i/rator2 & 7,b7 n include any agreem5t describ$ 9 subsection 7d77#b77;,a74 #cac4 ,fair s*$ul+ practices 7a7 ,def9itions ,9 ?is section3 7#a7 ,cov]$ direct c>e pr(essional ,! t]m cov]$ direct c>e pr(essional has ! mean+ giv5 ! t]m 9 section #cab7;a74 7#b7 ,s*$ul$ "w h\rs ,! t]m s*$ul$ "w h\rs means ! h\rs on a specifi$ day dur+ :i* a direct c>e pr(essional is1 ?r\gh a writt5 agreem5t or s*$ule1 requir$ by a cov]$ entity to p]=m long-t]m c>e s]vices = ! entity & = :i* ! direct c>e pr(essional w receive comp5sation = su* s]vices4 7b7 ,requirem5t = notice ( cov]$ direct c>e pr(essional ,9 ! case ( a cov]$ direct c>e pr(essional1 ! cov]$ entity %all provide ! cov]$ direct c>e pr(essional notice ( ! s*$ul$ "w h\rs ( su* cov]$ direct c>e pr(essional ?r\gh-- 7#a7 a writt5 agreem5t describ$ 9 subclause 7,i7 ( section #cab7;d77#a77;,f77iv7 reg>d+ a s*$ule ( ! "t ( day & ! days ( ! week ! cov]$ direct c>e pr(essional is expect$ to "w = ! cov]$ entity ea* week2 or 7#b7 a s*$ule agre$ ^u by ! cov]$ entity & ! cov]$ direct c>e pr(essional provid$ 9 ! am\nt ( "t specifi$ 9 accordance ) a writt5 agreem5t describ$ 9 subclause 7,,ii7 ( su* section1 reg>d+ a good fai? e/imate ( ! "t ( day & ! days ( ! week t ! cov]$ direct c>e pr(essional is expect$ to "w = ! entity4 7c7 ,requirem5ts = *anges to s*$ul$ "w h\rs & report+ "t pay ,a cov]$ entity %all-- 7#a7 communicate 9 writ+ 7:i* may be 9 an electronic =m7 any *ange to ! s*$ul$ "w h\rs ( a direct c>e pr(essional1 includ+ any on-call %ifts1 n less ?an #gb h\rs be=e ! direct c>e pr(essional is s*$ul$ to beg9 "w2 & 7#b7 pay a direct c>e pr(essional-- 7,a7 ! regul> rate ( pay ( ! direct c>e pr(essional = any s*$ul$ "w h\rs ! direct c>e pr(essional does n "w due to ! cov]$ entity cancel+ or r$uc+ ! s*$ul$ "w h\rs ( ! direct c>e pr(essional aft] ! direct c>e pr(essional arrives to "w = ! s*$ul$ "w h\rs2 or 7,b7 at a rate ( #a_/b ( ! regul> rate ( pay ( ! direct c>e pr(essional = any s*$ul$ "w h\rs ! direct c>e pr(essional does n "w due to ! cov]$ entity cancel+ or r$uc+ ! s*$ul$ "w h\rs ( ! direct c>e pr(essional at a "t t is less ?an #gb h\rs prior to ! comm5cem5t ( su* s*$ul$ "w h\rs1 unless ! entity-- 7i7 is an individual ) a disability rely+ on ! direct c>e pr(essional = disability supports & s]vices 7or an entity support+ an individual ) a disability72 & 7ii7 reque/s ! direct c>e pr(essional to cons5t to "w alt]native1 equival5t s*$ul$ "w h\rs )9 a #g-;day p]iod & ! direct c>e pr(essional cons5ts to "w su* alt]native1 equival5t h\rs4 7d7 ,"r ,to decl9e s*$ule *anges 7#a7 ,9 g5]al ,9 ! case ( a cov]$ direct c>e pr(essional1 if a cov]$ entity wi%es to include "w h\rs 9 ! s*$ul$ "w h\rs ( su* cov]$ direct c>e pr(essional t are id5tifi$ z h\rs 9 :i* ! cov]$ direct c>e pr(essional c typically expect to be s*$ul$ z (f f "w 9 accordance ) ! writt5 agreem5t "u section #cab7;d77#a77;,f77iv77,i7 or are id5tifi$ z h\rs outside ( ! good fai? e/imate "u section #cab7;d77#a77;,f77iv77,,ii77cc71 ! hir+ entity %all obta9 ! writt5 cons5t ( ! work] to "w su* h\rs prior to ! comm5cem5t ( su* "w4 7#b7 ,cons5t ,! cons5t requir$ "u p>agraph 7#a7 may be transmitt$ electronically to ! cov]$ entity4 7e7 ,exceptions 7#a7 ,9 g5]al ,not)/&+ any provision 9 ?is section1 ! requirem5ts "u subsection 7c7 %all n apply-- 7,a7 dur+ any p]iod 9 :i* ! op]ations ( ! cov]$ entity _c beg9 or cont9ue due to-- 7i7 a fire1 flood1 or o!r natural disa/]2 7ii7 a major disa/] or em]g5cy decl>$ by ! ,presid5t "u section #dja or #eja1 respectively1 ( ! ,rob]t ,t4 ,/af=d ,disa/] ,relief & ,em]g5cy ,assi/ance ,act 7#db ,u4,s4,c4 #eagj1 #eaia7 or a /ate ( em]g5cy decl>$ by a ,gov]nor ( a ,/ate or *ief (ficial ( a unit ( local gov]nm5t2 or 7iii7 a sev]e wea!r condition t poses a ?reat to work] safety2 or 7,b7 9 a case 9 :i*-- 7i7 ! direct c>e pr(essional volunt>ily reque/$ 9 writ+ a *ange to ! s*$ul$ "w h\rs ( ! direct c>e pr(essional2 or 7ii7 ! cov]$ entity *anges ! s*$ul$ "w h\rs ( a direct c>e pr(essional due to-- 7,i7 a m$ical em]g5cy requir+ em]g5cy m$ical treatm5t or hospitalization2 7,,ii7 ! risk ( contagion or a qu>ant9e requirem5t relat$ to a public heal? em]g5cy decl>$ by ! ,secret>y ( ,heal? & ,human ,s]vices "u section #cai ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d72 or 7,,iii7 necess>y cov]age = an individual if ! heal? & safety ( t individual w\ld be compromis$ if ! direct c>e pr(essional did n /ay to provide support4 7#b7 ,%>$ liv+ arrangem5t ,not)/&+ any provision 9 ?is section1 ! requirem5ts "u ?is section %all n apply to a %>$ liv+ arrangem5t4 7f7 ,effective date ,?is section %all take effect on ! date t is #b ye>s aft] ! date ( enactm5t ( ?is ,act4 #cad4 ,"r to reque/ & receive tempor>y *anges to s*$ul$ "w h\rs due to p]sonal ev5ts 7a7 ,def9itions ,9 ?is section3 7#a7 ,cov]$ direct c>e pr(essional ,! t]m cov]$ direct c>e pr(essional has ! mean+ giv5 ! t]m 9 section #cab7;a74 7#b7 ,dome/ic viol5ce ,! t]m dome/ic viol5ce has ! mean+ giv5 ! t]m 9 section #cca4 7#c7 ,p]sonal ev5t ,! t]m p]sonal ev5t1 ) respect to a cov]$ direct c>e pr(essional1 means-- 7,a7 an ev5t result+ 9 ! ne$ ( ! cov]$ direct c>e pr(essional to s]ve z a c>egiv] = an individual relat$ to ! cov]$ direct c>e pr(essional by blood or aff9ity or ^: close association ) ! cov]$ direct c>e pr(essional is ! equival5t ( a family relation%ip2 7,b7 an ev5t result+ f ! obligation ( a cov]$ direct c>e pr(essional to att5d a legal proce$+ or he>+ = subsi/5ce b5efits1 includ+ b5efits "u ! supplem5tal nutrition assi/ance program e/abli%$ "u ! ,food & ,nutrition ,act ( #bjjh 7#g ,u4,s4,c4 #bjaa et seq47 or "u a ,/ate program = tempor>y assi/ance = ne$y families e/abli%$ "u "p ,a ( title ,,iv ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fja et seq471 to :i* ! cov]$ direct c>e pr(essional1 or an individual relat$ to ! cov]$ direct c>e pr(essional z describ$ 9 subp>agraph 7,a71 is a p>ty or witness2 or 7,c7 any circum/ance t w\ld con/itute a basis = p]missible use ( safe "t1 or family1 m$ical1 or sick leave1 z det]m9$ bas$ on ! policy ( ! cov]$ entity4 7#d7 ,safe "t ,! t]m safe "t1 ) respect to a cov]$ direct c>e pr(essional1 means an abs5ce f "w ( ! cov]$ direct c>e pr(essional result+ f dome/ic viol5ce1 sexual assault1 or /alk+1 if ! abs5ce is to-- 7,a7 seek m$ical att5tion = ! cov]$ direct c>e pr(essional or a *ild1 p>5t1 sp\se1 or dome/ic p>tn] ( ! cov]$ direct c>e pr(essional1 or any o!r individual relat$ to ! cov]$ direct c>e pr(essional by blood or aff9ity ^: close association ) ! cov]$ direct c>e pr(essional is ! equival5t ( a family relation%ip1 9 ord] to recov] f physical or psy*ological injury or disability caus$ by dome/ic viol5ce1 sexual assault1 or /alk+2 7,b7 obta91 or assi/ a *ild1 p>5t1 sp\se1 dome/ic p>tn]1 or o!r individual describ$ 9 subp>agraph 7,a7 9 obta9+1 s]vices f a victim s]vices organization2 7,c7 obta91 or assi/ a *ild1 p>5t1 sp\se1 dome/ic p>tn]1 or o!r individual describ$ 9 subp>agraph 7,a7 9 obta9+1 psy*ological or o!r c\nsel+2 7,d7 seek relocation = ! cov]$ direct c>e pr(essional or a *ild1 p>5t1 sp\se1 dome/ic p>tn]1 or o!r individual describ$ 9 subp>agraph 7,a72 or 7,e7 take legal action1 includ+ prep>+ = or p>ticipat+ 9 any civil or crim9al legal proce$+ relat$ to or result+ f dome/ic viol5ce1 sexual assault1 or /alk+1 ( ! cov]$ direct c>e pr(essional or a *ild1 p>5t1 sp\se1 dome/ic p>tn]1 or o!r individual describ$ 9 subp>agraph 7,a74 7#e7 ,s*$ul$ "w h\rs ,! t]m s*$ul$ "w h\rs has ! mean+ giv5 su* t]m 9 section #cac7;a71 except t ref]5ces 9 su* section to ! t]m direct c>e pr(essional %all be deem$ to be a ref]5ce to ! t]m cov]$ direct c>e pr(essional4 7#f7 ,sexual assault2 /alk+ ,! t]ms sexual assault & /alk+ h ! mean+s giv5 su* t]ms 9 section #cca4 7#g7 ,tempor>y *ange ,! t]m tempor>y *ange1 ) respect to a *ange 9 ! s*$ul$ "w h\rs ( a cov]$ direct c>e pr(essional1 means a limit$ alt]ation 9 ! h\rs or dates t1 or locations :]e1 a cov]$ direct c>e pr(essional is s*$ul$ to "w1 includ+ ?r\gh us+ paid "t (f1 trad+ or %ift+ "w h\rs1 or us+ %ort-t]m unpaid leave4 7b7 ,reque/ 7#a7 ,9 g5]al ,9 accordance ) ?is subsection1 = ea* cal5d> ye>1 a cov]$ entity %all1 ^u reque/ ( a cov]$ direct c>e pr(essional1 grant to ! cov]$ direct c>e pr(essional n less ?an-- 7,a7 #b reque/s = a tempor>y *ange1 cov]+ n m ?an #a bus9ess day p] reque/1 to ! s*$ul$ "w h\rs ( ! cov]$ direct c>e pr(essional due to a p]sonal ev5t2 or 7,b7 #a reque/ = a tempor>y *ange1 cov]+ n m ?an #b bus9ess days1 to ! s*$ul$ "w h\rs ( ! cov]$ direct c>e pr(essional due to a p]sonal ev5t4 7#b7 ,notification ( reque/ 7,a7 ,9 g5]al ,a cov]$ direct c>e pr(essional :o reque/s a tempor>y *ange to ! s*$ul$ "w h\rs ( ! cov]$ direct c>e pr(essional due to a p]sonal ev5t "u ?is subsection %all-- 7i7 notify ! cov]$ entity1 or direct sup]visor1 ( su* cov]$ direct c>e pr(essional1 z soon z ! cov]$ direct c>e pr(essional becomes aw>e ( ! ne$ = ! tempor>y *ange & in=m ! entity or sup]visor t ! *ange is due to a p]sonal ev5t2 7ii7 make a proposal = ! tempor>y *ange to ! s*$ul$ "w h\rs ( ! cov]$ direct c>e pr(essional1 unless ! cov]$ direct c>e pr(essional seeks leave )\t pay2 & 7iii7 subject to subp>agraph 7,b71 n be requir$ to initially submit ! reque/ 9 writ+4 7,b7 ,writt5 record 7i7 ,9 g5]al ,a cov]$ direct c>e pr(essional t reque/s a tempor>y *ange to ! s*$ul$ "w h\rs ( ! cov]$ direct c>e pr(essional "u ?is subsection & does n initially submit a reque/ = su* *ange 9 writ+ %all1 z soon z practicable & n lat] ?an #b bus9ess days aft] date on :i* ! cov]$ direct c>e pr(essional returns to "w foll[+ ! conclusion ( ! tempor>y *ange to ! s*$ul$ "w h\rs1 submit a writt5 record ( su* reque/ indicat+-- 7,i7 ! date = :i* ! *ange 0 reque/$2 & 7,,ii7 t ! reque/ 0 made due to a p]sonal ev5t4 7ii7 ,electronic means ,a cov]$ entity may require t a record "u ?is subp>agraph be submitt$ 9 electronic =m if cov]$ direct c>e pr(essionals ( ! entity commonly use an electronic =m to reque/ & manage leave & s*$ule *anges4 7c7 ,response ,a cov]$ entity :o receives a reque/ "u subsection 7b7 = a tempor>y *ange to ! s*$ul$ "w h\rs ( a cov]$ direct c>e pr(essional due to a p]sonal ev5t %all respond z soon z practicable4 ,su* entity %all n be initially requir$ to respond to su* reque/ 9 writ+4 ,if su* entity does n initially respond to ! reque/$ s*$ule *ange 9 writ+1 ! entity %all1 z soon z practicable & n lat] ?an #a week aft] ! reque/$ s*$ule *ange1 provide ! direct c>e pr(essional ) a writt5 record ( ! response to ! reque/$ s*$ule *ange4 7d7 ,effective date ,?is section %all take effect on ! date t is #b ye>s aft] ! date ( enactm5t ( ?is ,act4 #cae4 ,privacy 7a7 ,9 g5]al ,a cov]$ entity %all n-- 7#a7 monitor or record a direct c>e pr(essional :ile su* direct c>e pr(essional is-- 7,a7 us+ re/room or ba?+ facilities2 7,b7 9 ! private liv+ qu>t]s ( ! direct c>e pr(essional2 or 7,c7 engag+ 9 any activities associat$ ) ! dress+1 undress+1 or *ang+ ( clo!s ( ! direct c>e pr(essional2 7#b7 subject to subsection 7b71 re/rict or int]f]e )1 or monitor1 ! private communications ( su* direct c>e pr(essional2 or 7#c7 take possession ( any docum5ts or o!r p]sonal effects ( su* direct c>e pr(essional4 7b7 ,private communications ,a cov]$ entity may-- 7#a7 p]mit ! use ( private communication 9 nonem]g5cy situations1 only z preapprov$ by ea* individual's p]son-c5t]$ plann+ team2 7#b7 re/rict1 int]f]e )1 or monitor ! private communications ( a direct c>e pr(essional if ! entity has a reasonable belief t su* communications significantly int]f]e ) ! direct c>e pr(essional's p]=mance ( expect$ duties or violate ! conditions agre$ ^u 9 ! individual's p]son-c5t]$ plan2 & 7#c7 e/abli% reasonable re/rictions on ! private communications ( a direct c>e pr(essional :ile su* direct c>e pr(essional is p]=m+ "w = ! entity4 7c7 ,relation to o!r laws ,?is section %all n preclude liability "u any o!r law4 7d7 ,def9ition ( private communications ,9 ?is section1 ! t]m private communications means any communication ?r\gh telephone or int]net s]vices1 includ+ s5d+ & receiv+ communications by text message1 social m$ia1 electronic mail1 & telephone1 ) an entity or individual o!r ?an ! cov]$ entity4 #caf4 ,breaks = meals & re/ 7a7 ,meal breaks 7#a7 ,9 g5]al ,except z provid$ 9 subsection 7c71 a cov]$ entity %all n require a direct c>e pr(essional to "w m ?an #e h\rs = su* hir+ entity )\t an un9t]rupt$ meal break ( n less ?an #cj m9utes4 ,! numb] ( h\rs work$ by a direct c>e pr(essional = purposes ( ?is p>agraph %all be calculat$ )\t reg>d to any re/ break ! direct c>e pr(essional takes & to :i* ! direct c>e pr(essional has a "r "u subsection 7b74 7#b7 ,rate ( pay ,a cov]$ entity %all pay a direct c>e pr(essional = a meal break "u p>agraph 7#a7 at ! regul> rate ( pay ( ! direct c>e pr(essional1 unless ! direct c>e pr(essional is reliev$ ( all duty = n less ?an #cj m9utes dur+ ! meal break & is p]mitt$ to leave ! "w site dur+ su* break4 7#c7 ,paid meal break ,except z provid$ 9 subsection 7c71 = any paid meal break requir$ "u p>agraph 7#b71 a cov]$ entity-- 7,a7 %all provide a reasonable opportunity = a direct c>e pr(essional to take su* break = a p]iod ( un9t]rupt$ "t t is n less ?an #cj m9utes2 & 7,b7 %all n imp$e or disc\rage a direct c>e pr(essional f tak+ su* meal break4 7b7 ,re/ breaks 7#a7 ,9 g5]al ,except z provid$ 9 subsection 7c71 = e #d h\rs ( "w t a direct c>e pr(essional is s*$ul$ to p]=m = a cov]$ entity1 ! entity %all all[ ! direct c>e pr(essional a re/ break ( n less ?an #aj un9t]rupt$ m9utes 9 :i* ! direct c>e pr(essional is reliev$ ( all duties relat$ to provid+ long-t]m c>e s]vices to ! entity4 ,! entity %all all[ su* re/ break to occur dur+ ! fir/ #c h\rs ( consecutive "w p]=m$ by ! direct c>e pr(essional = ! entity4 7#b7 ,rate ( pay ,a cov]$ entity %all pay a direct c>e pr(essional = ! times sp5t by ! direct c>e pr(essional = a re/ break "u p>agraph 7#a7 at ! regul> rate ( pay ( ! direct c>e pr(essional4 ,! hir+ entity %all n imp$e or disc\rage a direct c>e pr(essional f tak+ su* break4 7c7 ,exceptions 7#a7 ,9 g5]al ,subject to p>agraphs 7#b7 & 7#d71 a cov]$ entity may provide an on duty-meal break or on duty re/ break1 only 9 lieu ( an un9t]rupt$ meal or re/ break o!rwise requir$ "u subsection 7a7 or 7b71 & only 9 ! case 9 :i* reliev+ ! direct c>e pr(essional ( all duties w\ld compromise ! heal? or safety ( ! individual receiv+ c>e4 7#b7 ,on-duty breaks 7,a7 ,def9ition ( on-duty ,9 ?is subsection1 ! t]m on-duty1 ) respect to a meal break "u subsection 7a7 or a re/ break "u subsection 7b71 means su* a break 9 :i* ! direct c>e pr(essional-- 7i7 is n reliev$ ( all duties ( ! direct c>e pr(essional = ! cov]$ entity2 & 7ii7 may1 to ! ext5t possible giv5 ! duties ( ! direct c>e pr(essional = ! cov]$ entity1 engage 9 p]sonal activities1 su* z re/+1 eat+ a meal1 dr9k+ a bev]age1 mak+ a p]sonal telephone call1 or mak+ o!r p]sonal *oices4 7,b7 ,au?orization 7i7 ,9 g5]al ,9 a case describ$ 9 p>agraph 7#a71 ! direct c>e pr(essional may /ill take an on-duty meal or re/ break "u subsection 7a7 or 7b71 respectively1 if-- 7,i7 ! nature ( ! "w prev5ts a direct c>e pr(essional f be+ reliev$ ( all duties requir$ ( ! direct c>e pr(essional = ! cov]$ entity2 7,,ii7 ! direct c>e pr(essional & ! cov]$ entity agree to su* an on-duty meal or re/ break 9 a writt5 agreem5t describ$ 9 clause 7ii72 & 7,,iii7 ! t]ms ( su* on-duty meal or re/ break are consi/5t ) ! t]ms ( an applicable collective b>ga9+ agreem5t1 if "o exi/s4 7ii7 ,writt5 agreem5t ,! writt5 agreem5t "u clause 7i7-- 7,i7 %all be volunt>y & n a condition ( hire1 cont9u$ employm5t1 s*$ul+1 or assignm5t2 7,,ii7 %all n waive1 r$uce1 or conflict ) any rights provid$ "u a collective b>ga9+ agreem5t applicable to ! direct c>e pr(essional or applicable ,/ate or local law2 & 7,,iii7 %all be sep>ately execut$ & n incorporat$ into a g5]al employm5t agreem5t4 7iii7 ,revokability ,a direct c>e pr(essional may revoke an agreem5t "u clause 7i7 at any "t )\t prior notice to ! cov]$ entity4 7#c7 ,%>$ liv+ arrangem5t ,! requirem5ts "u ?is section %all n apply 9 ! case ( a %>$ liv+ arrangem5t4 7#d7 ,rule ( con/ruction ,no?+ 9 ?is subsection %all be con/ru$ to-- 7,a7 sup]s$e1 preempt1 or waive any provision ( ,/ate or local law t provides meal or re/ p]iod protections t are equal to or great] ?an ! protections provid$ "u ?is section2 or 7,b7 p]mit a deviation f requirem5ts ( ?is section except pursuant to a collective b>ga9+ agreem5t t expressly addresses meal & re/ p]iods & provides protections t are equal to or great] ?an ^? provid$ "u ?is section4 #cag4 ,prohibit$ acts 7a7 ,int]f]5ce ) rights ,x %all be unlawful = any p]son to int]f]e )1 re/ra91 or d5y ! ex]cise (1 or ! attempt to ex]cise1 any "r provid$ "u ?is subtitle1 includ+-- 7#a7 dis*>g+ or 9 any mann] discrim9at+ aga9/ 7includ+ retaliat+ aga9/7 any direct c>e pr(essional =-- 7,a7 ex]cis+1 or attempt+ to ex]cise1 any "r provid$ "u ?is subtitle2 or 7,b7 engag+ 9 conc]t$ activities = ! purpose ( collective b>ga9+ or mutual aid or protection1 reg>dless ( :e!r su* activities are ) direct c>e pr(essionals ( diff]5t employ]s or direct c>e pr(essionals at diff]5t worksites2 & 7#b7 discrim9at+ aga9/ any direct c>e pr(essional by us+ ! ex]cise ( a "r provid$ "u ?is subtitle z a negative factor 9 an employm5t action1 su* z an action involv+ hir+1 promotion1 or *ang+ "w h\rs or numb] ( %ifts1 or a discipl9>y action4 7b7 ,retaliation protection ,x %all be unlawful = any cov]$ entity to dis*>ge1 demote1 susp5d1 r$uce ! "w h\rs (1 take any o!r adv]se employm5t action aga9/1 ?reat5 to take an adv]se employm5t action aga9/1 or 9 any o!r mann] discrim9ate aga9/ a direct c>e pr(essional ) respect to comp5sation1 t]ms1 conditions1 or privileges ( employm5t because ! direct c>e pr(essional 7or any p]son act+ pursuant to ! reque/ ( ! direct c>e pr(essional71 :e!r at ! initiative ( ! direct c>e pr(essional or 9 ! ord9>y c\rse ( ! direct c>e pr(essional's duties-- 7#a7 opposes any practice made unlawful "u ?is subtitle2 7#b7 ass]ts any claim or "r "u ?is subtitle2 7#c7 assi/s a direct c>e pr(essional 9 ass]t+ su* claim or "r2 7#d7 in=ms any direct c>e pr(essional ab\t ?is subtitle2 7#e7 reque/s a *ange to ! writt5 agreem5t describ$ 9 section #cab2 7#f7 reque/s a *ange 9 s*$ul$ "w h\rs describ$ 9 section #cad1 or any o!r s*$ule *ange1 )\t reg>d to ! eligibility ( su* direct c>e pr(essional to receive any su* *ange2 7#g7 7,a7 files an action1 or in/itutes or causes to be in/itut$ any proce$+1 "u or relat$ to ?is subtitle2 7,b7 gives1 or is ab\t to give1 any in=mation 9 connection ) any inquiry or proce$+ relat+ to any "r provid$ "u ?is subtitle2 or 7,c7 te/ifies1 or is ab\t to te/ify1 9 any inquiry or proce$+ relat+ to any "r provid$ "u ?is subtitle2 & 7#h7 engages 9 conc]t$ activities = ! purpose ( collective b>ga9+ or mutual aid or protection1 reg>dless ( :e!r su* activities are ) direct c>e pr(essionals ( diff]5t employ]s or direct c>e pr(essionals at diff]5t worksites4 7c7 ,immigration-,relat$ actions z discrim9ation ,= purposes ( subsections 7a7 & 7b71 discrim9ation ) respect to comp5sation1 t]ms1 conditions1 or privileges ( employm5t occurs if a p]son und]takes any ( ! foll[+ activities 7unless su* activity is legal conduct und]tak5 at ! express & specific direction or reque/ ( ! ,f$]al ,gov]nm5t73 7#a7 ,report+1 or ?reat5+ to report1 ! citiz5%ip or immigration /atus ( a direct c>e pr(essional1 or ! suspect$ citiz5%ip or immigration /atus ( a family memb] ( su* an individual1 to a ,f$]al1 ,/ate1 or local ag5cy4 7#b7 ,reque/+ m or diff]5t docum5ts ?an ^? requir$ "u section #bgd;,a7b7 ( ! ,immigration & ,nationality ,act 7#h ,u4,s4,c4 #acbd;a7b771 or refus+ to honor docum5ts t on _! face appe> to be g5u9e4 7#c7 ,us+ ! ,f$]al ,e-,v]ify sy/em to *eck employm5t /atus 9 a mann] n requir$ "u section #bgd;,a7b7 ( ! ,immigration & ,nationality ,act 7#h ,u4,s4,c4 #acbd;a7b77 or any memor&um gov]n+ use ( ! ,e-,v]ify sy/em4 7#d7 ,fil+1 or ?reat5+ to file1 a false police report relat+ to ! immigration /atus ( a direct c>e pr(essional1 or a family memb] ( a direct c>e pr(essional4 7#e7 ,contact+1 or ?reat5+ to contact1 immigration au?orities relat+ to ! immigration /atus ( a direct c>e pr(essional1 or a family memb] ( a direct c>e pr(essional4 7d7 ,presumption ( retaliation 7#a7 ,9 g5]al ,= ! purposes ( subsections 7a7 & 7b71 pro( t a p]son dis*>g$ an individual1 or discrim9at$ aga9/ an individual ) respect to comp5sation1 t]ms1 conditions1 or privileges ( employm5t1 )9 #ij days ( ! individual involv$ ass]t+ any claim or "r "u ?is subtitle1 or assi/+ any o!r individual 9 ass]t+ su* a claim or "r1 %all raise a presumption t ! dis*>ge or discrim9ation 0 9 retaliation z prohibit$ "u subsection 7a7 or 7b71 z ! case may be4 7#b7 ,rebuttal ,! presumption "u p>agraph 7#a7 may be rebutt$ by cle> & conv9c+ evid5ce t su* dis*>ge or discrim9ation 0 tak5 = ano!r p]missible reason4 #cah4 ,en=cem5t au?ority 7a7 ,9 g5]al 7#a7 ,application ,9 ?is subsection-- 7,a7 ! t]m cov]$ entity means a cov]$ entity describ$ 9 subsection 7e77#a77;,a72 & 7,b7 ! t]m direct c>e pr(essional means a direct c>e pr(essional describ$ 9 subsection 7e77#d77;,a74 7#b7 ,inve/igative au?ority 7,a7 ,9 g5]al ,to ensure compliance ) ! provisions ( ?is subtitle1 or any regulation or ord] issu$ "u ?is subtitle1 ! ,secret>y %all h ! inve/igative au?ority provid$ "u section #aa7;a7 ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #baa7;a771 ) respect to cov]$ entities1 direct c>e pr(essionals1 & o!r individuals affect$4 7,b7 ,obligation to keep & pres]ve records ,a cov]$ entity %all make1 keep1 & pres]ve records p]ta9+ to compliance ) ?is subtitle 9 accordance ) section #aa7;c7 ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #baa7;c77 & 9 accordance ) regulations prescrib$ by ! ,secret>y4 7,c7 ,requir$ submissions g5]ally limit$ to an annual basis ,! ,secret>y %all n require "u ?is p>agraph a cov]$ entity to submit to ! ,secret>y any books or records m ?an once dur+ any #ab-mon? p]iod1 unless ! ,secret>y-- 7i7 has reasonable cause to believe !re may exi/ a violation ( ?is subtitle1 includ+ any regulation or ord] issu$ "u ?is subtitle2 or 7ii7 is inve/igat+ a *>ge "u p>agraph 7#d74 7,d7 ,subpo5a au?ority ,= ! purposes ( any inve/igation "u ?is p>agraph1 ! ,secret>y %all h ! subpo5a au?ority provid$ "u section #i ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #bji74 7#c7 ,civil action by direct c>e pr(essionals 7,a7 ,"r ( action ,an action to recov] ! damages or equitable relief prescrib$ 9 subp>agraph 7,b7 may be ma9ta9$ aga9/ a cov]$ entity by "o or m direct c>e pr(essionals1 or a repres5tative = & on behalf ( ! direct c>e pr(essionals & any o!r direct c>e pr(essionals t may be simil>ly situat$4 7,b7 ,liability ,a cov]$ entity t violates ?is subtitle %all be liable to a direct c>e pr(essional aggriev$ by ! violation1 except z provid$ 9 subp>agraphs 7,c7 & 7,d71 =-- 7i7 damages equal to-- 7,i7 ! am\nt (-- 7aa7 any wages1 sal>y1 employm5t b5efits1 or o!r comp5sation d5i$ or lo/ by reason ( ! violation2 or 7bb7 9 a case 9 :i* wages1 sal>y1 employm5t b5efits1 or o!r comp5sation h n be5 d5i$ or lo/1 any actual monet>y losses su/a9$1 or ! co/s reasonably relat$ to damage to or loss ( prop]ty1 or any o!r injury to ! p]son1 reputation1 "*1 or feel+s1 su/a9$ by a direct c>e pr(essional z a direct result ( ! violation1 or any injury to ano!r p]son su/a9$ z a direct result ( ! violation1 by ! cov]$ entity2 7,,ii7 ! int]e/ on ! am\nt describ$ 9 subclause 7,i7 calculat$ at ! prevail+ rate2 7,,iii7 an additional am\nt z liquidat$ damages2 & 7,,iv7 su* o!r legal relief z may be appropriate2 7ii7 su* equitable relief z may be appropriate1 includ+ employm5t1 re9/atem5t1 & promotion2 & 7iii7 a reasonable attorney's fee1 reasonable exp]t witness fees1 & o!r co/s ( ! action4 7,c7 ,meal & re/ breaks ,9 ! case ( a violation ( section #caf1 ! cov]$ entity involv$ %all be liable "u subp>agraph 7,b7-- 7i7 = ! am\nt ( damages describ$ 9 subclauses 7,i71 7,,ii71 & 7,,iii7 ( subp>agraph 7,b77i72 & 7ii7 "u subp>agraph 7,b77i77,,iv71 = ea* su* violation1 = an am\nt equal to #a h\r ( pay at ! direct c>e pr(essional's regul> rate ( comp5sation 7b n m ?an #b h\rs ( su* pay = ea* workday = :i* ! cov]$ entity is 9 violation ( su* section74 7,d7 ,writt5 agreem5ts ,9 ! case ( a violation ( section #cab1 ! cov]$ entity involv$ %all be liable1 "u subp>agraph 7,b77i77,i71 = an am\nt equal to #e1jjj4 7,e7 ,v5ue ,an action "u ?is p>agraph may be ma9ta9$ 9 any ,f$]al or ,/ate c\rt ( compet5t jurisdiction4 7#d7 ,action by ! secret>y 7,a7 ,adm9i/rative action 7i7 ,9 g5]al ,subject to clause 7ii71 & subp>agraphs 7,c7 & 7,d7 ( p>agraph 7#c71 ! ,secret>y %all receive1 inve/igate1 & attempt to resolve compla9ts ( violations ( ?is subtitle 9 ! same mann] t ! ,secret>y receives1 inve/igates1 & attempts to resolve compla9ts ( violations ( sections #f1 #g1 & #ae7;a77#c7 ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #bjf1 #bjg1 & #bae7;a77#c771 includ+ ! ,secret>y's au?ority to sup]vise paym5t ( wages & comp5sation "u section #af7;c7 ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #baf7;c774 7ii7 ,violations g5]ally ,! ,secret>y may assess a civil p5alty aga9/ a cov]$ entity t violates any section ( ?is subtitle-- 7,i7 ( n m ?an #ae1jjj = any fir/ violation ( any su* section by su* cov]$ entity2 & 7,,ii7 ( n m ?an #be1jjj = any subsequ5t violation ( any su* section by su* cov]$ entity4 7,b7 ,adm9i/rative review ,any aggriev$ direct c>e pr(essional :o takes exception to an ord] issu$ by ! ,secret>y "u subp>agraph 7,a7 may reque/ review ( & a decision reg>d+ su* ord] by an adm9i/rative law judge4 ,9 review+ ! ord]1 ! adm9i/rative law judge may hold an adm9i/rative he>+ conc]n+ ! ord]1 9 accordance ) ! requirem5ts ( sections #eed1 #eef1 & #eeg ( title #e1 ,unit$ ,/ates ,code4 ,su* he>+ %all be conduct$ exp$iti\sly4 ,if no aggriev$ direct c>e pr(essional reque/s su* review )9 #fj days aft] ! ord] is issu$ "u subp>agraph 7,a71 ! ord] %all be consid]$ to be a f9al ord] t is n subject to judicial review4 7,c7 ,civil action ,! ,secret>y may br+ an action 9 any c\rt ( compet5t jurisdiction to recov] am\nts describ$ 9 p>agraph 7#c77;,b7 on behalf ( a direct c>e pr(essional aggriev$ by a violation ( ?is subtitle4 7,d7 ,sums recov]$ 7i7 ,9 g5]al ,any sums recov]$ by ! ,secret>y "u subp>agraph 7,c7 %all be held 9 a special deposit acc\nt & %all be paid1 on ord] ( ! ,secret>y1 directly to ea* direct c>e pr(essional aggriev$ by ! violation = :i* ! action 0 br\ght4 ,any su* sums n paid to a direct c>e pr(essional because ( inability to d s )9 a p]iod ( #c ye>s %all be deposit$ into ! ,treasury ( ! ,unit$ ,/ates z a miscellane\s receipt4 7ii7 ,civil p5alty ,any sums recov]$ by ! ,secret>y "u subp>agraph 7,a77ii7 %all be deposit$ into ! g5]al fund ( ! ,treasury ( ! ,unit$ ,/ates z a miscellane\s receipt4 7#e7 ,limitation 7,a7 ,9 g5]al ,except z provid$ 9 subp>agraph 7,b71 an action may be br\ght "u p>agraph 7#c71 7#d71 or 7#f7 n lat] ?an #b ye>s aft] ! date ( ! la/ ev5t con/itut+ ! alleg$ violation = :i* ! action is br\ght4 7,b7 ,willful violation ,9 ! case ( an action br\ght = a willful violation ( ?is subtitle1 su* action may be br\ght n lat] ?an #c ye>s aft] ! date ( ! la/ ev5t con/itut+ ! alleg$ violation = :i* su* action is br\ght4 7,c7 ,comm5cem5t ,an action %all be consid]$ comm5c$ "u p>agraph 7#c71 7#d71 or 7#f7 = ! purposes ( ?is p>agraph on ! date on :i* ! compla9t is fil$ "u su* p>agraph 7#c71 7#d71 or 7#f74 7#f7 ,action = injunction ,! di/rict c\rts ( ! ,unit$ ,/ates toge!r ) ! ,di/rict ,c\rt ( ! ,virg9 ,isl&s & ! ,di/rict ,c\rt ( ,guam %all h jurisdiction1 = cause %[n1 9 an action br\ght by a direct c>e pr(essional or ! ,secret>y-- 7,a7 to re/ra9 violations ( ?is subtitle1 includ+ ! )hold+ ( a writt5 agreem5t f a direct c>e pr(essional z requir$ "u section #cab1 or ( any )hold+ ( paym5t ( wages1 sal>y1 employm5t b5efits1 or o!r comp5sation1 plus int]e/1 f\nd by ! c\rt to be due to a direct c>e pr(essional "u ?is subtitle2 or 7,b7 to aw>d su* o!r equitable relief z may be appropriate1 includ+ employm5t1 re9/atem5t1 & promotion1 = a violation ( ?is subtitle4 7#g7 ,solicitor ( labor ,! ,solicitor ( ,labor may appe> = & repres5t ! ,secret>y on any litigation br\ght "u p>agraph 7#d7 or 7#f74 7#h7 ,gov]nm5t ,acc\ntability ,(fice & ,libr>y ( ,congress ,not)/&+ any o!r provision ( ?is subsection1 9 ! case ( ! ,gov]nm5t ,acc\ntability ,(fice & ! ,libr>y ( ,congress1 ! au?ority ( ! ,secret>y ( ,labor "u ?is subsection %all be ex]cis$ respectively by ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates & ! ,libr>ian ( ,congress4 7b7 ,employees cov]$ by ,congressional ,acc\ntability ,act ( #aiie ,! p[]s1 rem$ies1 & proc$ures provid$ 9 ! ,congressional ,acc\ntability ,act ( #aiie 7#b ,u4,s4,c4 #acja et seq47 to ! ,bo>d 7z def9$ 9 section #aja ( t ,act 7#b ,u4,s4,c4 #acja771 or any p]son1 alleg+ a violation ( section #bjb7;a77#a7 ( t ,act 7#b ,u4,s4,c4 #acab7;a77#a77 %all be ! p[]s1 rem$ies1 & proc$ures ?is ,act provides to t ,bo>d1 or any p]son1 alleg+ an unlawful employm5t practice 9 violation ( ?is subtitle aga9/ a direct c>e pr(essional describ$ 9 subsection 7e77#d77;,b74 7c7 ,employees cov]$ by *apt] #e ( title #c1 ,unit$ ,/ates ,code ,! p[]s1 rem$ies1 & proc$ures provid$ 9 *apt] #e ( title #c1 ,unit$ ,/ates ,code1 to ! ,presid5t1 ! ,m]it ,sy/ems ,protection ,bo>d1 or any p]son1 alleg+ a violation ( section #dab7;a77#a7 ( t title1 %all be ! p[]s1 rem$ies1 & proc$ures ?is ,act provides to ! ,presid5t1 t ,bo>d1 or any p]son1 respectively1 alleg+ an unlawful employm5t practice 9 violation ( ?is subtitle aga9/ a direct c>e pr(essional describ$ 9 subsection 7e77#d77;,c74 7d7 ,employees cov]$ by *apt] #fc ( title #e1 ,unit$ ,/ates ,code ,! p[]s1 rem$ies1 & proc$ures provid$ 9 title #e1 ,unit$ ,/ates ,code1 to an employ+ ag5cy1 provid$ 9 *apt] #ab ( t title to ! ,m]it ,sy/ems ,protection ,bo>d1 or provid$ 9 t title to any p]son1 alleg+ a violation ( *apt] #fc ( t title1 %all be ! p[]s1 rem$ies1 & proc$ures ?is ,act provides to t ag5cy1 t ,bo>d1 or any p]son1 respectively1 alleg+ an unlawful employm5t practice 9 violation ( ?is subtitle aga9/ a direct c>e pr(essional describ$ 9 subsection 7e77#d77;,d74 7e7 ,def9ition ,9 section #cag & ?is section1 except z o!rwise provid$ 9 ?is subsection3 7#a7 ,cov]$ entity ,not)/&+ section #caa1 ! t]m cov]$ entity means a cov]$ entity-- 7,a7 z def9$ 9 section #caa7;b7 except t a ref]5ce 9 t section to a p]son or an employ] %all be consid]$ to be a ref]5ce to an employ] describ$ 9 clause 7i7 or 7ii7 ( subp>agraph 7,a71 & subp>agraph 7,b71 ( p>agraph 7#b72 7,b7 z def9$ 9 section #caa7;b7 except t a ref]5ce 9 t section to a p]son or an employ] %all be consid]$ to be a ref]5ce to an employ] describ$ 9 subp>agraphs 7,a77iii7 & 7,b7 ( p>agraph 7#b72 7,c7 z def9$ 9 section #caa7;b7 except t a ref]5ce 9 t section to a p]son or an employ] %all be consid]$ to be a ref]5ce to an employ] describ$ 9 subp>agraphs 7,a77iv7 & 7,b7 ( p>agraph 7#b72 & 7,d7 z def9$ 9 section #caa7;b7 except t a ref]5ce 9 t section to a p]son or an employ] %all be consid]$ to be a ref]5ce to an employ] describ$ 9 subp>agraphs 7,a77v7 & 7,b7 ( p>agraph 7#b74 7#b7 ,employ] ,not)/&+ section #caa1 = purposes ( p>agraph 7#a71 ! t]m employ] means a p]son :o is-- 7,a7 7i7 any p]son :o is n cov]$ "u ano!r clause ( ?is subp>agraph2 7ii7 an entity employ+ a ,/ate employee describ$ 9 section #cjd7;a7 ( ! ,gov]nm5t ,employee ,rights ,act ( #aiia2 7iii7 an employ+ (fice1 z def9$ 9 section #aja ( ! ,congressional ,acc\ntability ,act ( #aiie2 7iv7 an employ+ (fice1 z def9$ 9 section #daa7;c7 ( title #c1 ,unit$ ,/ates ,code2 or 7v7 an employ+ ag5cy cov]$ "u sub*apt] ,v ( *apt] #fc ( title #e1 ,unit$ ,/ates ,code2 & 7,b7 engag$ 9 comm]ce or ! production ( goods = comm]ce or is an ent]prise engag$ 9 comm]ce or 9 ! production ( goods = comm]ce4 7#c7 ,employm5t ,not)/&+ section #c1 ! t]m employm5t includes "w z a direct c>e pr(essional4 7#d7 ,direct c>e pr(essional ,not)/&+ section #c1 ! t]m direct c>e pr(essional means-- 7,a7 direct c>e pr(essional 7z def9$ 9 su* section7 :o is comp5sat$ = ! p]=mance ( long-t]m c>e s]vices by an entity describ$ 9 p>agraph 7#a77;,a72 7,b7 direct c>e pr(essional 7z def9$ 9 su* section7 :o is comp5sat$ = ! p]=mance ( long-t]m c>e s]vices by an entity describ$ 9 p>agraph 7#a77;,b72 7,c7 direct c>e pr(essional 7z def9$ 9 su* section7 :o is comp5sat$ = ! p]=mance ( long-t]m c>e s]vices by an entity describ$ 9 p>agraph 7#a77;,c72 & 7,d7 direct c>e pr(essional 7z def9$ 9 su* section7 :o is comp5sat$ = ! p]=mance ( long-t]m c>e s]vices by an entity describ$ 9 p>agraph 7#a77;,d74 #cai4 ,effect on exi/+ employm5t b5efits & o!r laws 7a7 ,9 g5]al ,no?+ 9 ?is subtitle %all-- 7#a7 sup]s$e a provision 9 a collective b>ga9+ agreem5t2 7#b7 be con/ru$ to dim9i% ! obligation ( a cov]$ entity to comply ) any contract1 collective b>ga9+ agreem5t1 or employm5t b5efit program or plan t provides great] rights or b5efits to direct c>e pr(essionals ?an ! rights e/abli%$ "u ?is subtitle2 or 7#c7 be con/ru$ to disc\rage or prev5t a cov]$ entity f adopt+ a contract1 collective b>ga9+ agreem5t1 or employm5t b5efit program or plan t provides great] rights or b5efits to direct c>e pr(essionals ?an ! rights e/abli%$ "u ?is subtitle4 7b7 ,o!r laws ,no?+ 9 ?is subtitle %all-- 7#a7 affect ! obligation ( a cov]$ entity to provide a reasonable accommodation 9 ! =m ( a *ange to ! "w s*$ule ( a direct c>e pr(essional requir$ "u any o!r law1 or to o!rwise comply ) any o!r law2 7#b7 preempt1 limit1 or o!rwise affect ! applicability ( any ,/ate or local law t provides comp>able or sup]ior b5efits = direct c>e pr(essionals to ! requirem5ts "u ?is subtitle2 or 7#c7 dim9i% ! rights1 privileges1 or rem$ies ( any direct c>e pr(essional "u any ,f$]al or ,/ate law or "u any collective b>ga9+ agreem5t4 7c7 ,no waiv]s ,! rights & rem$ies 9 ?is subtitle may n be waiv$ by a direct c>e pr(essional ?r\gh any agreem5t1 policy1 or =m1 or z a condition ( employm5t4 ,c ,workplace ,viol5ce ,prev5tion = ,heal? ,c>e & ,social ,s]vices ,work]s ,act #cba4 ,workplace ,viol5ce ,prev5tion ,/&>d 7a7 ,int]im f9al /&>d 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,labor %all issue an int]im f9al /&>d on workplace viol5ce prev5tion-- 7,a7 to require c]ta9 employ]s 9 ! heal? c>e & social s]vice sectors1 & c]ta9 employ]s 9 sectors t conduct activities simil> to ! activities 9 ! heal? c>e & social s]vice sectors1 to develop & implem5t a compreh5sive workplace viol5ce prev5tion plan & c>ry out o!r activities or requirem5ts describ$ 9 section #cbc to protect heal? c>e work]s1 social s]vice work]s1 & o!r p]sonnel f workplace viol5ce2 7,b7 t %all1 at a m9imum1 be bas$ on ! ,guidel9es = ,prev5t+ ,workplace ,viol5ce = ,heal?c>e & ,social ,s]vice ,work]s publi%$ by ! ,occupational ,safety & ,heal? ,adm9i/ration ( ! ,dep>tm5t ( ,labor 9 #bjae & adh]e to ! requirem5ts ( ?is subtitle2 & 7,c7 t provides = a p]iod det]m9$ appropriate by ! ,secret>y1 n to exce$ #a ye>1 dur+ :i* ! ,secret>y %all prioritize te*nical assi/ance & advice consi/5t ) section #ba7;d7 ( ! ,occupational ,safety & ,heal? ,act ( #aigj 7#bi ,u4,s4,c4 #fgj7;d77 to employ]s subject to ! /&>d ) respect to compliance ) ! /&>d4 7#b7 ,inapplicable provisions ( law & executive ord] ,! foll[+ provisions ( law & ,executive ord]s %all n apply to ! issuance ( ! int]im f9al /&>d "u ?is subsection3 7,a7 ,! requirem5ts applicable to occupational safety & heal? /&>ds "u section #f7;b7 ( ! ,occupational ,safety & ,heal? ,act ( #aigj 7#bi ,u4,s4,c4 #fee7;b774 7,b7 ,! requirem5ts ( *apt]s #e & #f ( title #e1 ,unit$ ,/ates ,code4 7,c7 ,sub*apt] ,i ( *apt] #ce ( title #dd1 ,unit$ ,/ates ,code 7commonly ref]r$ to z ! ,pap]work ,r$uction ,act74 7,d7 ,executive ,ord] ,no4 #abhff 7#eh ,f$4 ,reg4 #eagce2 relat+ to regulatory plann+ & review71 z am5d$4 7#c7 ,notice & comm5t ,not)/&+ p>agraph 7#b77;,b71 ! ,secret>y %all1 prior to issu+ ! int]im f9al /&>d "u ?is subsection1 provide notice 9 ! ,f$]al ,regi/] ( ! int]im f9al /&>d & a #cj-;day p]iod = public comm5t4 7#d7 ,effective date ( int]im /&>d ,! int]im f9al /&>d %all-- 7,a7 take effect on a date t is n lat] ?an #cj days aft] issuance1 except t su* int]im f9al /&>d may include a reasonable phase-9 p]iod = ! implem5tation ( requir$ eng9e]+ controls t take effect aft] su* date2 7,b7 be en=c$ 9 ! same mann] & to ! same ext5t z any /&>d promulgat$ "u section #f7;b7 ( ! ,occupational ,safety & ,heal? ,act ( #aigj 7#bi ,u4,s4,c4 #fee7;b772 & 7,c7 be 9 effect until ! f9al /&>d describ$ 9 subsection 7b7 becomes effective & en=ceable4 7#e7 ,failure to promulgate ,if an int]im f9al /&>d describ$ 9 p>agraph 7#a7 is n issu$ n lat] ?an #a ye> ( ! date ( enactm5t ( ?is ,act1 ! provisions ( section #cbc %all be 9 effect & en=c$ 9 ! same mann] & to ! same ext5t z any /&>d promulgat$ "u section #f7;b7 ( ! ,occupational ,safety & ,heal? ,act ( #aigj 7#bi ,u4,s4,c4 #fee7;b77 until su* provisions are sup]s$$ 9 :ole by an int]im f9al /&>d issu$ by ! ,secret>y t meets ! requirem5ts ( p>agraph 7#a74 7b7 ,f9al /&>d 7#a7 ,propos$ /&>d ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,labor %all1 pursuant to section #f ( ! ,occupational ,safety & ,heal? ,act ( #aigj 7#bi ,u4,s4,c4 #fee71 promulgate a propos$ /&>d on workplace viol5ce prev5tion-- 7,a7 = ! purposes describ$ 9 subsection 7a77#a77;,a72 & 7,b7 t %all include1 at a m9imum1 requirem5ts conta9$ 9 ! int]im f9al /&>d requir$ "u subsection 7a74 7#b7 ,f9al /&>d ,n lat] ?an #db mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all issue a f9al /&>d on su* propos$ /&>d t %all-- 7,a7 provide no less protection ?an any workplace viol5ce /&>d adopt$ by a ,/ate plan t has be5 approv$ by ! ,secret>y "u section #ah ( ! ,occupational ,safety & ,heal? ,act ( #aigj 7#bi ,u4,s4,c4 #ffg71 provid$ ! ,secret>y f9ds t ! f9al /&>d is feasible on ! basis ( ! be/ available evid5ce2 & 7,b7 be effective & en=ceable 9 ! same mann] & to ! same ext5t z any /&>d promulgat$ "u section #f7;b7 ( ! ,occupational ,safety & ,heal? ,act ( #aigj 7#bi ,u4,s4,c4 #fee7;b774 #cbb4 ,scope & application ,9 ?is subtitle3 7#a7 ,cov]$ facility 7,a7 ,9 g5]al ,! t]m cov]$ facility means ! foll[+3 7i7 ,any hospital1 includ+ any specialty hospital1 9-pati5t or outpati5t sett+1 or cl9ic op]at+ )9 a hospital lic5se1 or any sett+ t provides outpati5t s]vices4 7ii7 ,any resid5tial treatm5t facility1 includ+ any nurs+ home1 skill$ nurs+ facility1 hospice facility1 ,alzheim]'s & dem5tia c>e facility1 or o!r long-t]m c>e facility4 7iii7 ,any nonresid5tial treatm5t or s]vice sett+4 7iv7 ,any m$ical treatm5t or social s]vice sett+ or cl9ic at a correctional or det5tion facility4 7v7 ,any community c>e sett+1 includ+ a community-bas$ resid5tial facility1 gr\p home1 & m5tal heal? cl9ic4 7vi7 ,any psy*iatric treatm5t facility4 7vii7 ,any drug abuse or sub/ance use disord] treatm5t c5t]4 7viii7 ,any indep5d5t free/&+ em]g5cy c5t]4 7ix7 ,any assi/$ liv+ facility4 7x7 ,any facility describ$ 9 clauses 7i7 ?r\gh 7ix7 op]at$ by a ,f$]al ,gov]nm5t ag5cy & requir$ to comply ) occupational safety & heal? /&>ds pursuant to "p #aifj ( title #bi1 ,code ( ,f$]al ,regulations 7z su* "p is 9 effect on ! date ( enactm5t ( ?is ,act74 7xi7 ,any o!r facility ! ,secret>y det]m9es %\ld be cov]$ "u ! /&>ds promulgat$ "u section #cba4 7,b7 ,exclusion ,! t]m cov]$ facility does n include an (fice ( a physician1 d5ti/1 podiatri/1 or any o!r heal? practition] t is n physically locat$ )9 a cov]$ facility describ$ 9 clauses 7i7 ?r\gh 7xi7 ( subp>agraph 7,a74 7#b7 ,cov]$ s]vices 7,a7 ,9 g5]al ,! t]m cov]$ s]vice means ! foll[+ s]vices & op]ations3 7i7 ,any s]vices & op]ations provid$ 9 any field "w sett+1 includ+ home heal? c>e1 home-bas$ hospice1 & home-bas$ social "w4 7ii7 ,any em]g5cy s]vices & transport1 includ+ su* s]vices provid$ by firefight]s & em]g5cy respond]s4 7iii7 ,any s]vices describ$ 9 clauses 7i7 & 7ii7 p]=m$ by a ,f$]al ,gov]nm5t ag5cy & requir$ to comply ) occupational safety & heal? /&>ds pursuant to "p #aifj ( title #bi1 ,code ( ,f$]al ,regulations 7z su* "p is 9 effect on ! date ( enactm5t ( ?is ,act74 7iv7 ,any o!r s]vices & op]ations ! ,secret>y det]m9es %\ld be cov]$ "u ! /&>ds promulgat$ "u section #cba4 7,b7 ,exclusion ,! t]m cov]$ s]vice does n include *ild day c>e s]vices4 7#c7 ,cov]$ employ] 7,a7 ,9 g5]al ,! t]m cov]$ employ] includes a p]son 7includ+ a contractor1 a subcontractor1 a tempor>y s]vice firm1 or an employee leas+ entity7 t employs an individual to "w at a cov]$ facility or to p]=m cov]$ s]vices4 7,b7 ,exclusion ,! t]m cov]$ employ] does n include an individual :o privately employs1 9 ! individual's resid5ce1 a p]son to p]=m cov]$ s]vices = ! individual or a family memb] ( ! individual or an individual :o receives home & community-bas$ s]vices ?r\gh a self-direct$ or p>ticipant-direct$ ,m$icaid waiv]4 7#d7 ,cov]$ employee ,! t]m cov]$ employee includes an individual employ$ by a cov]$ employ] to "w at a cov]$ facility or to p]=m cov]$ s]vices4 #cbc4 ,requirem5ts = ,workplace ,viol5ce ,prev5tion ,/&>d ,ea* /&>d describ$ 9 section #cba %all include1 at a m9imum1 ! foll[+3 7#a7 ,workplace viol5ce prev5tion plan ,n lat] ?an #f mon?s aft] ! date ( promulgation ( ! int]im f9al /&>d "u section #cba7;a71 or #ah mon?s aft] ! date ( enactm5t ( ?is ,act 9 a case describ$ 9 section #cba7;a77#e71 a cov]$ employ] %all develop1 implem5t1 & ma9ta9 an effective writt5 workplace viol5ce prev5tion plan 79 ?is section ref]r$ to z ! ,plan7 = cov]$ employees at ea* cov]$ facility & = cov]$ employees p]=m+ a cov]$ s]vice on behalf ( su* employ]1 :i* meets ! foll[+3 7,a7 ,plan developm5t ,ea* ,plan-- 7i7 %all be develop$ & implem5t$ ) ! mean+ful p>ticipation ( direct c>e pr(essionals1 o!r employees1 & employee repres5tatives1 = all aspects ( ! ,plan2 7ii7 %all be tailor$ & specific to conditions & haz>ds = ! cov]$ facility or ! cov]$ s]vice1 includ+ pati5t-specific risk factors & risk factors specific to ea* "w area or unit2 7iii7 %all include pati5t-c5t]$1 relation%ip-bas$1 trauma-in=m$1 recov]y-ori5t$ practices t are evid5ce-bas$2 7iv7 %all be suitable = ! size1 complexity1 & type ( op]ations at ! cov]$ facility or = ! cov]$ s]vice1 & rema9 9 effect at all times2 & 7v7 may be 9 consultation ) /akehold]s or exp]ts :o specialize 9 workplace viol5ce prev5tion1 em]g5cy response1 or o!r relat$ areas ( exp]tise = all relevant aspects ( ! ,plan4 7,b7 ,plan cont5t ,ea* ,plan %all include proc$ures & me?ods = ! foll[+3 7i7 ,id5tification ( ! individual 7includ+ ! individual's role ) respect to ! cov]$ employ]7 responsible = implem5tation ( ! ,plan4 7ii7 ,) respect to ea* "w area & unit at ! cov]$ facility or :ile cov]$ employees are p]=m+ ! cov]$ s]vice1 risk assessm5t & id5tification ( workplace viol5ce risks & haz>ds to employees expos$ to su* risks & haz>ds 7includ+ environm5tal risk factors & pati5t-specific risk factors71 & protective factors associat$ ) viol5ce1 :i* %all be-- 7,i7 in=m$ by pa/ viol5t incid5ts specific to su* cov]$ facility or su* cov]$ s]vice2 & 7,,ii7 conduct$ )1 at a m9imum-- 7aa7 direct c>e pr(essionals2 7bb7 :]e applicable1 ! repres5tatives ( su* work]s2 & 7cc7 ! employ]4 7iii7 ,haz>d prev5tion1 eng9e]+ controls1 or "w practice controls to correct haz>ds1 9 a timely mann]1 apply+ indu/rial hygi5e pr9ciples ( ! hi]>*y ( controls1 :i*-- 7,i7 may include security & al>m sy/ems1 adequate exit r\tes1 monitor+ sy/ems1 b>ri] protection1 e/abli%$ areas = pati5ts & cli5ts1 light+1 entry proc$ures1 /aff+ & work+ 9 teams1 & sy/ems to id5tify & flag cli5ts ) a hi/ory ( viol5ce2 & 7,,ii7 %all ensure t employ]s correct1 9 a timely mann]1 haz>ds id5tifi$ 9 any viol5t incid5t inve/igation describ$ 9 p>agraph 7#b7 & any annual report describ$ 9 p>agraph 7#e74 7iv7 ,report+1 incid5t response1 & po/-incid5t inve/igation proc$ures1 includ+ proc$ures-- 7,i7 = employees to report workplace viol5ce risks1 haz>ds1 & incid5ts2 7,,ii7 = employ]s to respond to reports ( workplace viol5ce2 7,,iii7 = employ]s to p]=m a po/-incid5t inve/igation & debrief+ ( all reports ( workplace viol5ce ) ! p>ticipation ( employees & _! repres5tatives2 7,,iv7 to provide m$ical c>e or fir/ aid to affect$ employees2 & 7,v7 to provide employees ) in=mation ab\t available trauma & relat$ c\nsel+4 7v7 ,proc$ures = em]g5cy response1 includ+ proc$ures = ?reats ( mass casualties & proc$ures = incid5ts involv+ a fire>m or a dang]\s weapon4 7vi7 ,proc$ures = communicat+ ) & tra9+ ! cov]$ employees on workplace viol5ce haz>ds1 ?reats1 & "w practice controls1 ! employ]'s plan1 & proc$ures = confront+1 respond+ to1 & report+ workplace viol5ce ?reats1 incid5ts1 & conc]ns1 & employee rights4 7vii7 ,proc$ures =-- 7,i7 ensur+ ! coord9ation ( risk assessm5t ef=ts1 ,plan developm5t1 & implem5tation ( ! ,plan ) o!r employ]s :o h employees :o "w at ! cov]$ facility or :o are p]=m+ ! cov]$ s]vice2 & 7,,ii7 det]m9+ :i* cov]$ employ] or cov]$ employ]s %all be responsible = implem5t+ & comply+ ) ! provisions ( ! /&>d applicable to ! work+ conditions ov] :i* su* employ]s h control4 7viii7 ,proc$ures = conduct+ ! annual evaluation "u p>agraph 7#f74 7,c7 ,availability ( plan ,ea* ,plan %all be made available at all times to ! cov]$ employees :o are cov]$ "u su* ,plan4 7#b7 ,viol5t incid5t inve/igation 7,a7 ,9 g5]al ,z soon z practicable aft] a workplace viol5ce incid5t1 risk1 or haz>d ( :i* a cov]$ employ] has k1 ! employ] %all conduct an inve/igation ( su* incid5t1 risk1 or haz>d "u :i* ! employ] %all-- 7i7 review ! circum/ances ( ! incid5t1 risk1 or haz>d1 & :e!r any controls or measures implem5t$ pursuant to ! ,plan ( ! employ] 7 effective2 & 7ii7 solicit input f involv$ employees1 _! repres5tatives1 & sup]visors ab\t ! cause ( ! incid5t1 risk1 or haz>d1 & :e!r fur!r corrective measures 7includ+ sy/em-level factors7 c\ld h prev5t$ ! incid5t1 risk1 or haz>d4 7,b7 ,docum5tation ,a cov]$ employ] %all docum5t ! f9d+s1 recomm5dations1 & corrective measures tak5 = ea* inve/igation conduct$ "u ?is p>agraph4 7#c7 ,tra9+ & education ,) respect to ! cov]$ employees cov]$ "u a ,plan ( a cov]$ employ]1 ! employ] %all provide tra9+ & education to su* employees :o may be expos$ to workplace viol5ce haz>ds & risks1 :i* meet ! foll[+ requirem5ts3 7,a7 ,annual tra9+ & education %all include in=mation on ! ,plan1 includ+ id5tifi$ workplace viol5ce haz>ds1 "w practice control measures1 report+ proc$ures1 recordkeep+ requirem5ts1 response proc$ures1 anti-retaliation policies1 & employee rights4 7,b7 ,additional haz>d recognition tra9+ %all be provid$ = sup]visors & manag]s to ensure !y-- 7i7 c recognize high-risk situations2 & 7ii7 d n assign employees to situations t pr$ictably compromise ! safety ( su* employees4 7,c7 ,additional tra9+ %all be provid$ = ea* su* cov]$ employee ^: job circum/ances h *ang$1 )9 a reasonable timeframe aft] su* *ange4 7,d7 ,additional tra9+ %all be provid$ = ea* su* cov]$ employee ^: job circum/ances require work+ ) victims ( torture1 traffick+1 or dome/ic viol5ce4 7,e7 ,applicable tra9+ %all be provid$ "u ?is p>agraph = ea* new cov]$ employee prior to ! employee's job assignm5t4 7,f7 ,all tra9+ %all provide su* employees opportunities to ask que/ions1 give fe$back on tra9+1 & reque/ additional in/ruction1 cl>ification1 or o!r foll[-up4 7,g7 ,all tra9+ %all be provid$ 9-p]son & by an individual ) k ( workplace viol5ce prev5tion & ( ! ,plan1 except t any annual tra9+ describ$ 9 subp>agraph 7,a7 provid$ to an employee aft] ! fir/ ye> su* tra9+ is provid$ to su* employee may be conduct$ by live video if 9-p]son tra9+ is impracticable4 7,h7 ,all tra9+ %all be appropriate 9 cont5t & vocabul>y to ! language1 educational level1 & lit]acy ( su* cov]$ employees4 7#d7 ,recordkeep+ & access to plan records 7,a7 ,9 g5]al ,ea* cov]$ employ] %all-- 7i7 ma9ta9 = n less ?an #e ye>s-- 7,i7 records relat$ to ea* ,plan ( ! employ]1 includ+ workplace viol5ce risk & haz>d assessm5ts1 & id5tification1 evaluation1 correction1 & tra9+ proc$ures2 7,,ii7 a viol5t incid5t log describ$ 9 subp>agraph 7,b7 = record+ all workplace viol5ce incid5ts2 & 7,,iii7 records ( all incid5t inve/igations z requir$ "u p>agraph 7#b77;,b72 & 7ii7 7,i7 make su* records & logs available1 ^u reque/1 to cov]$ employees & _! repres5tatives = exam9ation & copy+ 9 accordance ) section #aiaj4ajbj ( title #bi1 ,code ( ,f$]al ,regulations 7z su* section is 9 effect on ! date ( enactm5t ( ?is ,act71 & 9 a mann] consi/5t ) ,,hipaa privacy regulations 7def9$ 9 section #aahj7;b77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;d-#i7;b77#c777 & "p #b ( title #db1 ,code ( ,f$]al ,regulations 7z su* "p is 9 effect on ! date ( enactm5t ( ?is ,act72 & 7,,ii7 ensure t any su* records & logs t may be copi$1 transmitt$ electronically1 or o!rwise remov$ f ! employ]'s control = purposes ( ?is clause omit any elem5t ( p]sonal id5tify+ in=mation suffici5t to all[ id5tification ( any pati5t1 resid5t1 cli5t1 or o!r individual alleg$ to h committ$ a viol5t incid5t 7includ+ ! individual's "n1 address1 electronic mail address1 telephone numb]1 or social security numb]1 or o!r in=mation t1 alone or 9 comb9ation ) o!r publicly available in=mation1 reveals su* individual's id5tity74 7,b7 ,viol5t incid5t log description ,ea* viol5t incid5t log %all-- 7i7 be ma9ta9$ by a cov]$ employ] = ea* cov]$ facility controll$ by ! employ] & = ea* cov]$ s]vice be+ p]=m$ by a cov]$ employee on behalf ( su* employ]2 7ii7 be bas$ on a template develop$ by ! ,secret>y n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act2 7iii7 include1 at a m9imum1 a description (-- 7,i7 ! viol5t incid5t 7includ+ environm5tal risk factors pres5t at ! "t ( ! incid5t72 7,,ii7 ! date1 "t1 & location ( ! incid5t1 & ! names & job titles ( involv$ employees2 7,,iii7 ! nature & ext5t ( injuries to cov]$ employees2 7,,iv7 a classification ( ! p]petrator :o committ$ ! viol5ce1 includ+ :e!r ! p]petrator 0-- 7aa7 a pati5t1 cli5t1 resid5t1 or cu/om] ( a cov]$ employ]2 7bb7 a family or fri5d ( a pati5t1 cli5t1 resid5t1 or cu/om] ( a cov]$ employ]2 7cc7 a /rang]2 7dd7 a c[ork]1 sup]visor1 or manag] ( a cov]$ employee2 7ee7 a p>tn]1 sp\se1 p>5t1 or relative ( a cov]$ employee2 or 7ff7 any o!r appropriate classification2 7,v7 ! type ( viol5t incid5t 7su* z type #a viol5ce1 type #b viol5ce1 type #c viol5ce1 or type #d viol5ce72 & 7,,vi7 h[ ! incid5t 0 abat$2 7iv7 n lat] ?an #g days aft] ! employ] le>ns ( su* incid5t1 conta9 a record ( ea* viol5t incid5t1 :i* is updat$ to ensure complet5ess ( su* record2 7v7 be ma9ta9$ = n less ?an #e ye>s2 & 7vi7 9 ! case ( a viol5t incid5t involv+ a privacy conc]n case1 protect ! id5tity ( employees 9 a mann] consi/5t ) section #aijd4bi7;b7 ( title #bi1 ,code ( ,f$]al ,regulations 7z su* section is 9 effect on ! date ( enactm5t ( ?is ,act74 7,c7 ,annual summ>y 7i7 ,cov]$ employ]s ,ea* cov]$ employ] %all prep>e & submit to ! ,secret>y an annual summ>y ( ea* viol5t incid5t log = ! prec$+ cal5d> ye> t %all-- 7,i7 ) respect to ea* cov]$ facility1 & ea* cov]$ s]vice1 = :i* su* a log has be5 ma9ta9$1 include-- 7aa7 ! total numb] ( viol5t incid5ts2 7bb7 ! numb] ( recordable injuries relat$ to su* incid5ts2 & 7cc7 ! total numb] ( h\rs work$ by ! cov]$ employees = su* prec$+ ye>2 7,,ii7 be complet$ on a =m provid$ by ! ,secret>y2 7,,iii7 be po/$ = #ij days beg9n+ ,febru>y #a ( ea* ye> 9 a mann] consi/5t ) ! requirem5ts ( "p #aijd ( title #bi1 ,code ( ,f$]al ,regulations 7z su* "p is 9 effect on ! date ( enactm5t ( ?is ,act71 relat+ to ! po/+ ( summ>ies ( injury & illness logs2 7,,iv7 be locat$ 9 a conspicu\s place or places :]e notices to employees are cu/om>ily po/$2 & 7,v7 n be alt]$1 defac$1 or cov]$ by o!r mat]ial4 7ii7 ,secret>y ,n lat] ?an #a ye> aft] ! promulgation ( ! int]im f9al /&>d "u section #cba7;a71 or #b ye>s aft] ! date ( enactm5t ( ?is ,act 9 a case describ$ 9 section #cba7;a77#e71 ! ,secret>y %all make available a plat=m = ! electronic submission ( annual summ>ies requir$ "u ?is subp>agraph4 7#e7 ,annual report 7,a7 ,report to ,secret>y ,n lat] ?an ,febru>y #ae ( ea* ye>1 ea* cov]$ employ] %all report to ! ,secret>y1 on a =m provid$ by ! ,secret>y1 ! frequ5cy1 quantity1 & sev]ity ( workplace viol5ce1 & any incid5t response & po/-incid5t inve/igation 7includ+ abatem5t measures7 = ! incid5ts set =? 9 ! annual summ>y ( ! viol5t incid5t log describ$ 9 p>agraph 7#d77;,c74 7,b7 ,report to ,congress ,n lat] ?an #ahj days aft] ,febru>y #ae ( ea* ye>1 ! ,secret>y %all submit to ,congress a summ>y ( ! reports receiv$ "u subp>agraph 7,a74 ,! cont5ts ( ! summ>y ( ! ,secret>y to ,congress %all n disclose any confid5tial in=mation4 7#f7 ,annual evaluation ,ea* cov]$ employ] %all conduct an annual writt5 evaluation1 conduct$ ) ! full1 active p>ticipation ( cov]$ employees & employee repres5tatives1 (-- 7,a7 ! implem5tation & effectiv5ess ( ! ,plan1 includ+ a review ( ! viol5t incid5t log2 & 7,b7 compliance ) tra9+ requir$ by ea* /&>d describ$ 9 section #cba1 & specifi$ 9 ! ,plan4 7#g7 ,plan updates ,ea* cov]$ employ] %all incorporate *anges to ! ,plan1 9 a mann] consi/5t ) p>agraph 7#a77;,a77i7 & bas$ on f9d+s f ! mo/ rec5t annual evaluation conduct$ "u p>agraph 7#f71 z appropriate4 7#h7 ,anti-retaliation 7,a7 ,policy ,ea* cov]$ employ] %all adopt a policy prohibit+ any p]son 7includ+ an ag5t ( ! employ]7 f ! discrim9ation or retaliation describ$ 9 subp>agraph 7,b74 7,b7 ,prohibition ,no cov]$ employ] %all discrim9ate or retaliate aga9/ any employee =-- 7i7 report+ a workplace viol5ce incid5t1 ?reat1 or conc]n to1 or seek+ assi/ance or int]v5tion ) respect to su* incid5t1 ?reat1 or conc]n f1 ! employ]1 law en=cem5t1 local em]g5cy s]vices1 or a local1 ,/ate1 or ,f$]al ,gov]nm5t ag5cy2 or 7ii7 ex]cis+ any o!r rights "u ?is section4 7,c7 ,en=cem5t ,?is p>agraph %all be en=c$ 9 ! same mann] & to ! same ext5t z any /&>d promulgat$ "u section #f7;b7 ( ! ,occupational ,safety & ,heal? ,act ( #aigj 7#bi ,u4,s4,c4 #fee7;b774 #cbd4 ,rules ( con/ruction ,not)/&+ section #ah ( ! ,occupational ,safety & ,heal? ,act ( #aigj 7#bi ,u4,s4,c4 #ffg7-- 7#a7 no?+ 9 ?is subtitle %all be con/ru$ to curtail or limit au?ority ( ! ,secret>y "u any o!r provision ( ! law2 7#b7 ! rights1 privileges1 or rem$ies ( cov]$ employees %all be 9 addition to ! rights1 privileges1 or rem$ies provid$ "u any ,f$]al or ,/ate law1 or any collective b>ga9+ agreem5t2 7#c7 no?+ 9 ?is subtitle %all be con/ru$ to limit or prev5t heal? c>e work]s1 social s]vice work]s1 & o!r p]sonnel f report+ viol5t incid5ts to appropriate law en=cem5t2 & 7#d7 no?+ 9 ?is ,act %all be con/ru$ to limit or dim9i% any protections 9 relevant ,f$]al1 ,/ate1 or local law relat$ to-- 7,a7 dome/ic viol5ce2 7,b7 /alk+2 7,c7 dat+ viol5ce2 or 7,d7 sexual assault4 #cbe4 ,def9itions ,9 ?is subtitle3 7#a7 ,al>m ,! t]m al>m means a me*anical1 electrical1 or electronic device t does n rely ^u an employee's vocalization 9 ord] to al]t o!rs4 7#b7 ,dang]\s weapon ,! t]m dang]\s weapon means an in/rum5t capable ( inflict+ dea? or s]i\s bodily injury1 )\t reg>d to :e!r su* in/rum5t 0 design$ = t purpose4 7#c7 ,eng9e]+ controls 7,a7 ,9 g5]al ,! t]m eng9e]+ controls means an aspect ( ! built space or a device t removes a haz>d f ! workplace or creates a b>ri] betwe5 a cov]$ employee & ! haz>d4 7,b7 ,inclusions ,= purposes ( r$uc+ workplace viol5ce haz>ds1 ! t]m eng9e]+ controls includes electronic access controls to employee occupi$ areas1 weapon detectors 7in/all$ or h&held71 enclos$ work/ations ) %att]-resi/ant glass1 deep s]vice c\nt]s1 sep>ate rooms or areas = high-risk pati5ts1 locks on doors1 remov+ access to or secur+ items t c\ld be us$ z weapons1 furniture affix$ to ! floor1 opaque glass 9 pati5t rooms 7:i* protects privacy1 b all[s ! heal? c>e provid] to see :]e ! pati5t is be=e ent]+ ! room71 clos$-circuit television monitor+ & video record+1 sight-aids1 & p]sonal al>m devices4 7#d7 ,environm5tal risk factors 7,a7 ,9 g5]al ,! t]m environm5tal risk factors means factors 9 ! cov]$ facility or area 9 :i* a cov]$ s]vice is p]=m$ t may contribute to ! likelihood or sev]ity ( a workplace viol5ce incid5t4 7,b7 ,cl>ification ,environm5tal risk factors may be associat$ ) ! specific task be+ p]=m$ or ! "w area1 su* z work+ 9 an isolat$ area1 poor illum9ation or block$ visibility1 & lack ( physical b>ri]s betwe5 individuals & p]sons at risk ( committ+ workplace viol5ce4 7#e7 ,pati5t-specific risk factors ,! t]m pati5t-specific risk factors means factors specific to a pati5t t may increase ! likelihood or sev]ity ( a workplace viol5ce incid5t1 includ+-- 7,a7 a pati5t's treatm5t & m$ication /atus1 & hi/ory ( viol5ce & use ( drugs or alcohol2 & 7,b7 any conditions or disease processes ( ! pati5t t may cause ! pati5t to exp]i5ce confusion or disori5tation1 be nonresponsive to in/ruction1 behave unpr$ictably1 or engage 9 disruptive1 ?reat5+1 or viol5t behavior4 7#f7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,labor4 7#g7 ,?reat ( viol5ce ,! t]m ?reat ( viol5ce means a /atem5t or conduct t-- 7,a7 causes an individual to fe> = su* individual's safety because !re is a reasonable possibility ! individual might be physically injur$2 & 7,b7 s]ves no legitimate purpose4 7#h7 ,type #a viol5ce ,! t]m type #a viol5ce-- 7,a7 means workplace viol5ce direct$ at a cov]$ employee at a cov]$ facility or :ile p]=m+ a cov]$ s]vice by an individual :o has no legitimate bus9ess at ! cov]$ facility or ) respect to su* cov]$ s]vice2 & 7,b7 includes viol5t acts by any individual :o ent]s ! cov]$ facility or worksite :]e a cov]$ s]vice is be+ p]=m$ ) ! int5t to commit a crime4 7#i7 ,type #b viol5ce ,! t]m type #b viol5ce means workplace viol5ce direct$ at a cov]$ employee by cu/om]s1 cli5ts1 pati5ts1 /ud5ts1 inmates1 or any individual = :om a cov]$ facility provides s]vices or = :om ! employee p]=ms cov]$ s]vices4 7#aj7 ,type #c viol5ce ,! t]m type #c viol5ce means workplace viol5ce direct$ at a cov]$ employee by a pres5t or =m] employee1 sup]visor1 or manag]4 7#aa7 ,type #d viol5ce ,! t]m type #d viol5ce means workplace viol5ce direct$ at a cov]$ employee by an individual :o is n an employee1 b has or is kn[n to h _h a p]sonal relation%ip ) su* employee1 or ) a cu/om]1 cli5t1 pati5t1 /ud5t1 inmate1 or any individual = :om a cov]$ facility provides s]vices or = :om ! employee p]=ms cov]$ s]vices4 7#ab7 ,"w practice controls 7,a7 ,9 g5]al ,! t]m "w practice controls means proc$ures & rules t are us$ to effectively r$uce workplace viol5ce haz>ds4 7,b7 ,inclusions ,! t]m "w practice controls includes-- 7i7 assign+ & plac+ suffici5t numb]s ( /aff to r$uce pati5t-specific type #b viol5ce haz>ds2 7ii7 provision ( d$icat$ & available safety p]sonnel su* z security gu>ds2 7iii7 employee tra9+ on workplace viol5ce prev5tion me?ods & te*niques to de-escalate & m9imize viol5t behavior2 & 7iv7 employee tra9+ on proc$ures = response 9 ! ev5t ( a workplace viol5ce incid5t & = po/-incid5t response4 7#ac7 ,workplace viol5ce 7,a7 ,9 g5]al ,! t]m workplace viol5ce means any act ( viol5ce or ?reat ( viol5ce1 )\t reg>d to int5t1 t occurs at a cov]$ facility or :ile a cov]$ employee p]=ms a cov]$ s]vice4 7,b7 ,exclusions ,! t]m workplace viol5ce does n include lawful acts ( self-def5se or lawful acts ( def5se ( o!rs4 7,c7 ,inclusions ,! t]m workplace viol5ce includes-- 7i7 ! ?reat or use ( physical =ce aga9/ a cov]$ employee t results 9 or has a high likelihood ( result+ 9 injury1 psy*ological trauma1 or /ress1 )\t reg>d to :e!r ! cov]$ employee su/a9s an injury1 psy*ological trauma1 or /ress2 & 7ii7 an incid5t involv+ ! ?reat or use ( a fire>m or a dang]\s weapon1 includ+ ! use ( common objects z weapons1 )\t reg>d to :e!r ! employee su/a9s an injury1 psy*ological trauma1 or /ress4 #cbf4 ,application ( ! ,workplace ,viol5ce ,prev5tion ,/&>d to c]ta9 facilities receiv+ ,m$ic>e funds 7a7 ,9 g5]al ,section #ahff ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc7 is am5d$-- 7#a7 9 subsection 7a77#a7-- 7,a7 9 subp>agraph 7,x71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,y71 by /rik+ ! p]iod at ! end & ins]t+ 1 &2 & 7,c7 by ins]t+ aft] subp>agraph 7,y7 ! foll[+ new subp>agraph3 7,z7 9 ! case ( hospitals t are n o!rwise subject to ! ,occupational ,safety & ,heal? ,act ( #aigj 7or a ,/ate occupational safety & heal? plan t is approv$ "u section #ah7;b7 ( su* ,act7 & skill$ nurs+ facilities t are n o!rwise subject to su* ,act 7or su* a ,/ate occupational safety & heal? plan71 to comply ) ! ,workplace ,viol5ce ,prev5tion ,/&>d 7z promulgat$ "u section #cba ( ! ,long-,t]m ,c>e ,work=ce ,support ,act74 2 & 7#b7 9 subsection 7b77#d7-- 7,a7 9 subp>agraph 7,a71 by ins]t+ & a hospital or skill$ nurs+ facility t fails to comply ) ! requirem5t ( subsection 7a77#a77,z7 7relat+ to ! ,workplace ,viol5ce ,prev5tion ,/&>d7 aft] ,bloodborne ,pa?og5s /&>d72 & 7,b7 9 subp>agraph 7,b7-- 7i7 by /rik+ 7a77#a77,u7 & ins]t+ 7a77#a77,v72 & 7ii7 by ins]t+ 7or1 9 ! case ( a failure to comply ) ! requirem5t ( subsection 7a77#a77,z71 = a violation ( ! ,workplace ,viol5ce ,prev5tion /&>d ref]r$ to 9 su* subsection by a hospital or skill$ nurs+ facility1 z applicable1 t is subject to ! provisions ( su* ,act7 be=e ! p]iod at ! end4 7b7 ,effective date ,! am5dm5ts made by subsection 7a7 %all apply beg9n+ on ! date t is #a ye> aft] ! date ( issuance ( ! int]im f9al /&>d on workplace viol5ce prev5tion requir$ "u section #cba4 ,d ,improv+ access to job b5efits #cca4 ,def9itions ,9 ?is subtitle3 7#a7 ,*ild ,! t]m *ild means a biological1 fo/]1 or adopt$ *ild1 a /ep*ild1 a *ild ( a dome/ic p>tn]1 a legal w>d1 or a *ild ( a p]son /&+ 9 loco p>5tis4 7#b7 ,comm]ce2 indu/ry or activity affect+ comm]ce ,! t]ms comm]ce & indu/ry or activity affect+ comm]ce mean any activity1 bus9ess1 or indu/ry 9 comm]ce or 9 :i* a labor dispute w\ld h9d] or ob/ruct comm]ce or ! free fl[ ( comm]ce1 & include comm]ce & any indu/ry affect+ comm]ce1 z def9$ 9 p>agraphs 7#a7 & 7#c7 ( section #eja ( ! ,labor ,managem5t ,relations ,act1 #aidg 7#bi ,u4,s4,c4 #adb 7#a7 & 7#c774 7#c7 ,cov]$ direct c>e pr(essional ,! t]m cov]$ direct c>e pr(essional means an employee :o is employ$ z a direct c>e pr(essional by an employ]4 7#d7 ,dome/ic viol5ce ,! t]m dome/ic viol5ce has ! mean+ giv5 ! t]m 9 section #djjjb7;a7 ( ! ,viol5ce ,aga9/ ,wom5 ,act ( #aiid 7#cd ,u4,s4,c4 #abbia7;a771 except t ! ref]5ce 9 su* section to ! t]m jurisdiction receiv+ grant fund+ %all be deem$ to mean ! jurisdiction 9 :i* ! victim lives or ! jurisdiction 9 :i* ! employ] involv$ is locat$4 ,su* t]m also includes dat+ viol5ce1 z t t]m is def9$ 9 su* section4 7#e7 ,employee ,! t]m employee means an individual :o is an employee1 z def9$ 9 section #c7;e7 ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #bjc7;e771 except t a ref]5ce 9 su* section to an employ] %all be consid]$ to be a ref]5ce to an employ] describ$ 9 p>agraph 7#f74 7#f7 ,employ] 7,a7 ,9 g5]al ,! t]m employ]-- 7i7 means a p]son :o is engag$ 9 comm]ce or 9 any indu/ry or activity affect+ comm]ce :o employs #a or m employees2 7ii7 includes-- 7,i7 any p]son :o acts1 directly or indirectly1 9 ! int]e/ ( an employ] to any ( ! employees ( su* employ]2 & 7,,ii7 any successor 9 int]e/ ( su* an employ]2 & 7iii7 does n include any public ag5cy4 7,b7 ,def9itions ,= purposes ( ?is subp>agraph3 7i7 ,employee ,! t]m employee has ! mean+ giv5 su* t]m 9 section #c ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #bjc74 7ii7 ,p]son ,! t]m p]son has ! mean+ giv5 su* t]m 9 section #c ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #bjc74 7iii7 ,public ag5cy ,! t]m public ag5cy has ! mean+ giv5 su* t]m 9 section #c ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #bjc74 7,c7 ,pr$ecessors ,any ref]5ce 9 ?is p>agraph to an employ] %all include a ref]5ce to any pr$ecessor ( su* employ]4 7#g7 ,employm5t b5efits ,! t]m employm5t b5efits means all b5efits provid$ or made available to employees by an employ]1 includ+ gr\p life insurance1 heal? insurance1 disability insurance1 sick leave1 annual leave1 educational b5efits1 & p5sions1 reg>dless ( :e!r su* b5efits are provid$ by a practice or writt5 policy ( an employ] or ?r\gh an employee b5efit plan1 z def9$ 9 section #c7c7 ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #ajjb7c774 7#h7 ,heal? c>e provid] ,! t]m heal? c>e provid] means a provid] :o-- 7,a7 7i7 is a doctor ( m$ic9e or o/eopa?y :o is au?oriz$ to practice m$ic9e or surg]y 7z appropriate7 by ! ,/ate 9 :i* ! doctor practices2 or 7ii7 is any o!r p]son det]m9$ by ! ,secret>y to be capable ( provid+ heal? c>e s]vices2 & 7,b7 is n employ$ by an employ] = :om ! provid] issues c]tification "u ?is subtitle4 7#i7 ,paid sick "t ,! t]m paid sick "t means an increm5t ( comp5sat$ leave t-- 7,a7 c be-- 7i7 e>n$ by an employee = use dur+ an abs5ce f employm5t = a reason describ$ 9 any p>agraph ( section #ccb7;b72 or 7ii7 provid$ by an employ] dur+ a public heal? em]g5cy = use dur+ an abs5ce f employm5t = a reason describ$ 9 any p>agraph ( section #ccb7;b72 & 7,b7 is comp5sat$ at a rate t is n less ?an ! greate/ (-- 7i7 ! employee's regul> rate ( pay2 7ii7 ! wage rate describ$ 9 section #f7;a77#a7 ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #bjf7;a77#a772 or 7iii7 ! m9imum wage rate provid$ = 9 ! applicable ,/ate or local law = ! ,/ate or locality 9 :i* ! employee is employ$4 7#aj7 ,p>5t ,! t]m p>5t means a biological1 fo/]1 or adoptive p>5t ( an employee1 a /epp>5t ( an employee1 p>5t-9-law1 p>5t ( a dome/ic p>tn]1 or a legal gu>dian or o!r p]son :o /ood 9 loco p>5tis to an employee :5 ! employee 0 a *ild4 7#aa7 ,public heal? em]g5cy ,! t]m public heal? em]g5cy means a public heal? em]g5cy decl>$ by ! ,secret>y ( ,heal? & ,human ,s]vices = a jurisdiction1 or by a ,/ate public heal? (ficial ) au?ority to decl>e su* an em]g5cy = ! ,/ate or jurisdiction )9 ! ,/ate4 7#ab7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,labor4 7#ac7 ,sexual assault ,! t]m sexual assault has ! mean+ giv5 ! t]m 9 section #djjjb7;a7 ( ! ,viol5ce ,aga9/ ,wom5 ,act ( #aiid 7#cd ,u4,s4,c4 #abbia7;a774 7#ad7 ,sp\se ,! t]m sp\se1 ) respect to an employee1 has ! mean+ giv5 su* t]m by ! m>riage laws ( ! ,/ate 9 :i* ! m>riage 0 celebrat$4 7#ae7 ,/alk+ ,! t]m /alk+ has ! mean+ giv5 ! t]m 9 section #djjjb7;a7 ( ! ,viol5ce ,aga9/ ,wom5 ,act ( #aiid 7#cd ,u4,s4,c4 #abbia7;a774 7#af7 ,victim s]vices organization ,! t]m victim s]vices organization means a nonpr(it1 nongov]nm5tal organization t provides assi/ance to victims ( dome/ic viol5ce1 sexual assault1 or /alk+ or advocates = su* victims1 includ+ a rape crisis c5t]1 an organization c>ry+ out a dome/ic viol5ce1 sexual assault1 or /alk+ prev5tion or treatm5t program1 an organization op]at+ a %elt] or provid+ c\nsel+ s]vices1 or a legal s]vices organization or o!r organization provid+ assi/ance ?r\gh ! legal process4 #ccb4 ,paid sick "t 7a7 ,e>n+ ( paid sick "t 7#a7 ,9 g5]al ,subject to subsection 7c71 an employ] %all provide ea* cov]$ direct c>e pr(essional employ$ by ! employ] n less ?an #a h\r ( e>n$ paid sick "t = e #cj h\rs work$1 to be us$ z describ$ 9 subsection 7b74 ,an employ] %all n be requir$ to p]mit a cov]$ direct c>e pr(essional to e>n1 "u ?is subsection1 m ?an #ef h\rs ( paid sick "t 9 a ye>1 unless ! employ] *ooses to set a high] limit4 7#b7 ,exempt cov]$ direct c>e pr(essionals 7,a7 ,9 g5]al ,except z provid$ 9 subp>agraph 7,b71 = purposes ( ?is subsection1 a cov]$ direct c>e pr(essional :o is exempt f ov]time requirem5ts "u section #ac7;a77#a7 ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #bac7;a77#a77 %all be deem$ to "w #dj h\rs 9 ea* workweek4 7,b7 ,%ort] normal workweek ,if ! normal workweek ( su* a cov]$ direct c>e pr(essional is less ?an #dj h\rs1 ! cov]$ direct c>e pr(essional %all e>n paid sick "t "u ?is subsection bas$ ^u t normal workweek4 7#c7 ,dates = beg9n+ to e>n paid sick "t & use 7,a7 ,9 g5]al ,except z provid$ 9 subp>agraph 7,b7 & ! second s5t5ce ( p>agraph 7#h71 cov]$ direct c>e pr(essionals %all beg9 to e>n paid sick "t "u ?is section at ! comm5cem5t ( _! employm5t4 ,except z provid$ 9 su* subp>agraph & su* s5t5ce1 a cov]$ direct c>e pr(essional %all be entitl$ to use ! e>n$ paid sick "t beg9n+ on ! #fj? cal5d> day foll[+ comm5cem5t ( ! cov]$ direct c>e pr(essional's employm5t4 ,aft] t #fj? cal5d> day1 ! cov]$ direct c>e pr(essional may use ! paid sick "t z ! "t is e>n$4 ,an employ] may1 at ! discretion ( ! employ]1 loan paid sick "t to a cov]$ direct c>e pr(essional = use by su* cov]$ direct c>e pr(essional 9 advance ( ! cov]$ direct c>e pr(essional e>n+ su* sick "t z provid$ 9 ?is section & may p]mit use be=e ! #fj? day ( employm5t4 7,b7 ,public heal? em]g5cy ,subp>agraph 7,a7 %all n apply ) respect to additional paid sick "t provid$ "u subsection 7c74 ,9 ! ev5t ( a public heal? em]g5cy1 a cov]$ direct c>e pr(essional may imm$iately use ! additional or accru$ paid sick "t describ$ 9 subsection 7c71 reg>dless ( h[ long ! cov]$ direct c>e pr(essional has be5 employ$ by an employ]4 7#d7 ,c>ryov] 7,a7 ,9 g5]al ,except z provid$ 9 subp>agraph 7,b71 paid sick "t e>n$ "u ?is section %all c>ry ov] f #a ye> to ! next4 7,b7 ,con/ruction ,except z provid$ 9 subsection 7c71 ?is subtitle %all n be con/ru$ to require an employ] to p]mit a cov]$ direct c>e pr(essional to e>n m ?an #ef h\rs ( e>n$ paid sick "t at a giv5 "t4 7#e7 ,employ]s ) exi/+ policies ,any employ] ) a paid leave policy :o makes available an am\nt ( paid leave t is suffici5t to meet ! requirem5ts ( ?is section & t may be us$ = ! same purposes & "u ! same conditions z ! purposes & conditions describ$ 9 ?is section %all n be requir$ to p]mit a cov]$ direct c>e pr(essional to e>n additional paid sick "t "u ?is section4 7#f7 ,con/ruction ,no?+ 9 ?is section %all be con/ru$ z requir+ f9ancial or o!r reimbursem5t to a cov]$ direct c>e pr(essional f an employ] ^u ! cov]$ direct c>e pr(essional's t]m9ation1 resignation1 retirem5t1 or o!r sep>ation f employm5t = e>n$ paid sick "t t has n be5 us$4 7#g7 ,re9/atem5t ,if a cov]$ direct c>e pr(essional is sep>at$ f employm5t ) an employ] & is rehir$1 )9 #ab mon?s aft] t sep>ation1 by ! same employ]1 ! employ] %all re9/ate ! cov]$ direct c>e pr(essional's previ\sly e>n$ paid sick "t4 ,! cov]$ direct c>e pr(essional %all be entitl$ to use ! e>n$ paid sick "t & e>n additional paid sick "t at ! recomm5cem5t ( employm5t ) ! employ]4 7#h7 ,prohibition ,an employ] may n require1 z a condition ( provid+ paid sick "t "u ?is subtitle1 t ! cov]$ direct c>e pr(essional involv$ se>* = or f9d a replacem5t to cov] ! h\rs dur+ :i* ! cov]$ direct c>e pr(essional is us+ paid sick "t4 7b7 ,uses ,paid sick "t e>n$ "u ?is section may be us$ by a cov]$ direct c>e pr(essional = any ( ! foll[+3 7#a7 ,an abs5ce result+ f a physical or m5tal illness1 injury1 or m$ical condition ( ! cov]$ direct c>e pr(essional4 7#b7 ,an abs5ce result+ f obta9+ pr(essional m$ical diagnosis or c>e1 or prev5tive m$ical c>e1 = ! cov]$ direct c>e pr(essional4 7#c7 ,an abs5ce result+ f ! closure ( a cov]$ direct c>e pr(essional's place ( employm5t by ord] ( a ,f$]al or ,/ate public (ficial ) jurisdiction1 or at ! employ]'s discretion1 due to a public heal? em]g5cy4 7#d7 ,an abs5ce because a ,f$]al or ,/ate public (ficial ) jurisdiction or a heal? c>e provid] has det]m9$ t ! cov]$ direct c>e pr(essional's pres5ce 9 ! community may jeop>dize ! heal? ( o!rs because ( ! cov]$ direct c>e pr(essional's exposure to a communicable disease dur+ a public heal? em]g5cy1 reg>dless ( :e!r ! cov]$ direct c>e pr(essional has actually contract$ ! communicable disease4 7#e7 ,an abs5ce = ! purpose ( c>+ = a *ild1 a p>5t1 a sp\se1 a dome/ic p>tn]1 or any o!r individual relat$ by blood or aff9ity ^: close association ) ! cov]$ direct c>e pr(essional is ! equival5t ( a family relation%ip-- 7,a7 :o is a *ild1 if ! *ild's s*ool or place ( c>e has be5 clos$ by ord] ( a ,f$]al or ,/ate public (ficial ) jurisdiction or at ! discretion ( ! s*ool or place ( c>e due to a public heal? em]g5cy1 includ+ if a s*ool or entity op]at+ ! place ( c>e is physically clos$ b is provid+ education or c>e to ! *ild remotely2 or 7,b7 because a ,f$]al or ,/ate public (ficial ) jurisdiction or a heal? c>e provid] has det]m9$ t ! pres5ce 9 ! community ( ! p]son receiv+ c>e may jeop>dize ! heal? ( o!rs because ( ! p]son's exposure to a communicable disease dur+ a public heal? em]g5cy1 reg>dless ( :e!r ! p]son has actually contract$ ! communicable disease4 7#f7 ,an abs5ce = ! purpose ( c>+ = a *ild1 a p>5t1 a sp\se1 a dome/ic p>tn]1 or any o!r individual relat$ by blood or aff9ity ^: close association ) ! cov]$ direct c>e pr(essional is ! equival5t ( a family relation%ip-- 7,a7 :o has any ( ! conditions or ne$s = diagnosis or c>e describ$ 9 p>agraph 7#a7 or 7#b72 7,b7 :o is a *ild1 if ! cov]$ direct c>e pr(essional is requir$ to att5d a s*ool meet+ or a meet+ at a place :]e ! *ild is receiv+ c>e necessitat$ by ! *ild's heal? condition or disability2 or 7,c7 :o is o!rwise 9 ne$ ( c>e4 7#g7 ,an abs5ce result+ f dome/ic viol5ce1 sexual assault1 or /alk+1 if ! "t is to-- 7,a7 seek m$ical att5tion = ! cov]$ direct c>e pr(essional or ! cov]$ direct c>e pr(essional's *ild1 p>5t1 sp\se1 dome/ic p>tn]1 or an individual relat$ to ! cov]$ direct c>e pr(essional z describ$ 9 p>agraph 7#f71 to recov] f physical or psy*ological injury or disability caus$ by dome/ic viol5ce1 sexual assault1 or /alk+2 7,b7 obta9 or assi/ a relat$ p]son describ$ 9 p>agraph 7#f7 9 obta9+ s]vices f a victim s]vices organization2 7,c7 obta9 or assi/ a relat$ p]son describ$ 9 p>agraph 7#f7 9 obta9+ psy*ological or o!r c\nsel+2 7,d7 seek relocation2 or 7,e7 take legal action1 includ+ prep>+ = or p>ticipat+ 9 any civil or crim9al legal proce$+ relat$ to or result+ f dome/ic viol5ce1 sexual assault1 or /alk+4 7c7 ,additional paid sick "t = public heal? em]g5cy 7#a7 ,additional paid sick "t ,on ! date ( a decl>ation ( a public heal? em]g5cy by ! ,secret>y ( ,heal? & ,human ,s]vices "u section #cai ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d7 or a major disa/] or em]g5cy decl>$ by ! ,presid5t "u section #dja or #eja1 respectively1 ( ! ,rob]t ,t4 ,/af=d ,disa/] ,relief & ,em]g5cy ,assi/ance ,act 7#db ,u4,s4,c4 #eagj1 #eaia71 an employ] 9 ! jurisdiction involv$ %all provide ea* cov]$ direct c>e pr(essional ( ! employ] 9 t jurisdiction ) additional paid sick "t1 9 addition to any am\nt ( paid sick "t accru$ by ! cov]$ direct c>e pr(essional "u subsection 7a7 7includ+ paid leave ref]r$ to 9 subsection 7a77#d774 7#b7 ,am\nt ( paid sick "t ,9 receiv+ additional paid sick "t "u p>agraph 7#a71 ! cov]$ direct c>e pr(essional %all receive-- 7,a7 = a full-"t sal>i$ cov]$ direct c>e pr(essional1 a specifi$ am\nt ( paid sick "t t is suffici5t to provide ! cov]$ direct c>e pr(essional ) #ad cont9u\s days away f "w )\t a r$uction 9 pay2 & 7,b7 = a "p-"t or h\rly cov]$ direct c>e pr(essional1 a specifi$ am\nt ( paid sick "t equal to ! numb] ( h\rs t ! cov]$ direct c>e pr(essional 0 s*$ul$ to "w or1 if n s s*$ul$1 regul>ly works 9 a #ad-;day p]iod4 7#c7 ,use ( leave ,! additional sick "t & accru$ sick "t describ$ 9 ?is subsection %all be available = imm$iate use by ! cov]$ direct c>e pr(essional = ! purposes describ$ 9 any p>agraph ( subsection 7b7 beg9n+ on ! date a public heal? em]g5cy is decl>$1 reg>dless ( h[ long ! cov]$ direct c>e pr(essional has be5 employ$ by an employ]4 7#d7 ,sequ5c+ ,dur+ ! public heal? em]g5cy1 a cov]$ direct c>e pr(essional may fir/ use ! additional sick "t = ^? purposes4 ,! cov]$ direct c>e pr(essional may !n use ! accru$ sick "t dur+ ! public heal? em]g5cy1 or reta9 ! accru$ sick "t = use aft] ! public heal? em]g5cy4 ,an employ] may n require a cov]$ direct c>e pr(essional to use ! accru$ sick "t1 or any o!r paid leave provid$ by ! employ] to ! cov]$ direct c>e pr(essional1 be=e us+ ! additional sick "t4 7#e7 ,p]iods ,a cov]$ direct c>e pr(essional may take ! additional sick "t on ! s*$ule t meets ! cov]$ direct c>e pr(essional's ne$s1 consi/5t ) subsection 7b71 includ+ tak+ ! additional sick "t int]mitt5tly or on a r$uc$ leave s*$ule1 & an employ] may n require a cov]$ direct c>e pr(essional to take ! additional sick "t 9 a s+le p]iod or on any o!r s*$ule specifi$ by ! employ]4 7d7 ,s*$ul+ ,a cov]$ direct c>e pr(essional %all make a reasonable ef=t to s*$ule a p]iod ( paid sick "t "u subsection 7a7 9 a mann] t does n unduly disrupt ! op]ations ( ! employ]4 7e7 ,proc$ures 7#a7 ,9 g5]al ,paid sick "t %all be provid$ ^u ! oral or writt5 reque/ ( a cov]$ direct c>e pr(essional4 ,su* reque/ %all-- 7,a7 include ! expect$ duration ( ! p]iod ( su* "t2 & 7,b7 7i7 9 a case 9 :i* ! ne$ = su* p]iod ( "t is =eseeable at lea/ #g days 9 advance ( su* p]iod1 be provid$ at lea/ #g days 9 advance ( su* p]iod2 & 7ii7 o!rwise1 be provid$ z soon z practicable aft] ! cov]$ direct c>e pr(essional is aw>e ( ! ne$ = su* p]iod4 7#b7 ,c]tification 9 g5]al 7,a7 ,provision 7i7 ,9 g5]al ,subject to subp>agraphs 7,c7 & 7,d71 an employ] may require t a reque/ = paid sick "t "u ?is section = a purpose describ$ 9 p>agraph 7#a71 7#b71 or 7#f7 ( subsection 7b7 be support$ by a c]tification issu$ by ! heal? c>e provid] ( ! cov]$ direct c>e pr(essional or ( an individual describ$ 9 subsection 7b77#f71 z appropriate1 if ! p]iod ( su* "t cov]s m ?an #c consecutive workdays4 7ii7 ,timel9ess ,! cov]$ direct c>e pr(essional %all provide a copy ( su* c]tification to ! employ] 9 a timely mann]1 n lat] ?an #cj days aft] ! fir/ day ( ! p]iod ( "t4 ,! employ] %all n delay ! comm5cem5t ( ! p]iod ( "t on ! basis t ! employ] has n yet receiv$ ! c]tification4 7,b7 ,suffici5t c]tification 7i7 ,9 g5]al ,a c]tification provid$ "u subp>agraph 7,a7 %all be suffici5t if x /ates-- 7,i7 ! date on :i* ! p]iod ( "t w be ne$$2 7,,ii7 ! probable duration ( ! p]iod ( "t2 7,,iii7 ! appropriate m$ical facts )9 ! k ( ! heal? c>e provid] reg>d+ ! condition involv$1 subject to clause 7ii72 & 7,,iv7 7aa7 = purposes ( paid sick "t "u subsection 7b77#a71 a /atem5t t abs5ce f "w is m$ically necess>y2 7bb7 = purposes ( su* "t "u subsection 7b77#b71 ! dates on :i* te/+ = a m$ical diagnosis or c>e is expect$ to be giv5 & ! duration ( su* te/+ or c>e2 & 7cc7 = purposes ( su* "t "u subsection 7b77#f71 9 ! case ( "t to c>e = someone :o is n a *ild1 a /atem5t t c>e is ne$$ = an individual describ$ 9 su* subsection1 & an e/imate ( ! am\nt ( "t t su* c>e is ne$$ = su* individual4 7ii7 ,limitation ,9 issu+ a c]tification "u subp>agraph 7,a71 a heal? c>e provid] %all make reasonable ef=ts to limit ! m$ical facts describ$ 9 clause 7i77,,iii7 t are disclos$ 9 ! c]tification to ! m9imum necess>y to e/abli% a ne$ = ! cov]$ direct c>e pr(essional to use paid sick "t4 7,c7 ,public heal? em]g5cies ,no c]tification or o!r docum5tation may be requir$ "u ?is subtitle by an employ] dur+ any public heal? em]g5cy4 7,d7 ,regulations ,regulations prescrib$ "u section #cci %all specify ! mann] 9 :i* a cov]$ direct c>e pr(essional :o does n h heal? insurance %all provide a c]tification = purposes ( ?is p>agraph4 7,e7 ,confid5tiality & nondisclosure 7i7 ,protect$ heal? in=mation ,no?+ 9 ?is subtitle %all be con/ru$ to require a heal? c>e provid] to disclose in=mation 9 violation ( section #aagg ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;d-#f7 or ! regulations promulgat$ pursuant to section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif 7#db ,u4,s4,c4 #acbj;d-#b note74 7ii7 ,heal? in=mation records ,if an employ] possesses heal? in=mation ab\t a cov]$ direct c>e pr(essional1 a cov]$ direct c>e pr(essional's *ild1 p>5t1 sp\se1 dome/ic p>tn]1 or an individual relat$ to ! cov]$ direct c>e pr(essional z describ$ 9 subsection 7b77#f71 su* in=mation %all-- 7,i7 be ma9ta9$ on a sep>ate =m & 9 a sep>ate file f o!r p]sonnel in=mation2 7,,ii7 be treat$ z a confid5tial m$ical record2 & 7,,iii7 n be disclos$ except to ! affect$ cov]$ direct c>e pr(essional or ) ! p]mission ( ! affect$ cov]$ direct c>e pr(essional4 7#c7 ,c]tification 9 ! case ( dome/ic viol5ce1 sexual assault1 or /alk+ 7,a7 ,9 g5]al ,an employ] may require t a reque/ = paid sick "t "u ?is section = a purpose describ$ 9 subsection 7b77#g7 be support$ by any "o ( ! foll[+3 7i7 ,a police report indicat+ t ! cov]$ direct c>e pr(essional1 or a memb] ( ! cov]$ direct c>e pr(essional's family describ$ 9 subsection 7b77#g71 0 a victim ( dome/ic viol5ce1 sexual assault1 or /alk+4 7ii7 ,a c\rt ord] protect+ or sep>at+ ! cov]$ direct c>e pr(essional or a memb] ( ! cov]$ direct c>e pr(essional's family describ$ 9 subsection 7b77#g7 f ! p]petrator ( an act ( dome/ic viol5ce1 sexual assault1 or /alk+1 or o!r evid5ce f ! c\rt or prosecut+ attorney t ! cov]$ direct c>e pr(essional or a memb] ( ! cov]$ direct c>e pr(essional's family describ$ 9 subsection 7b77#g7 has appe>$ 9 c\rt or is s*$ul$ to appe> 9 c\rt 9 a proce$+ relat$ to dome/ic viol5ce1 sexual assault1 or /alk+4 7iii7 ,o!r docum5tation sign$ by a cov]$ direct c>e pr(essional or volunte] work+ = a victim s]vices organization1 an attorney1 a police (fic]1 a m$ical pr(essional1 a social work]1 an antiviol5ce c\nselor1 or a memb] ( ! cl]gy1 affirm+ t ! cov]$ direct c>e pr(essional or a memb] ( ! cov]$ direct c>e pr(essional's family describ$ 9 subsection 7b77#g7 is a victim ( dome/ic viol5ce1 sexual assault1 or /alk+4 7,b7 ,requirem5ts ,! requirem5ts ( p>agraph 7#b7 %all apply to c]tifications "u ?is p>agraph1 except t-- 7i7 subclauses 7,,iii7 & 7,,iv7 ( subp>agraph 7,b77i7 & subp>agraph 7,b77ii7 ( su* p>agraph %all n apply2 7ii7 ! c]tification %all /ate ! reason t ! leave is requir$ ) ! facts to be disclos$ limit$ to ! m9imum necess>y to e/abli% a ne$ = ! cov]$ direct c>e pr(essional to be abs5t f "w1 & ! cov]$ direct c>e pr(essional %all n be requir$ to expla9 ! details ( ! dome/ic viol5ce1 sexual assault1 or /alk+ involv$2 & 7iii7 ) respect to confid5tiality "u subp>agraph 7,e7 ( su* p>agraph1 any in=mation provid$ to ! employ] "u ?is p>agraph %all be confid5tial1 except to ! ext5t t any disclosure ( su* in=mation is-- 7,i7 reque/$ or cons5t$ to 9 writ+ by ! cov]$ direct c>e pr(essional2 or 7,,ii7 o!rwise requir$ by applicable ,f$]al or ,/ate law4 7,c7 ,specification ( docum5tation ,an employ] may n specify :i* ( ! =ms ( docum5tation describ$ 9 clause 7i71 7ii71 or 7iii7 ( subp>agraph 7,a7 is requir$ to be provid$ 9 ord] to satisfy ! requirem5t "u su* subp>agraph4 #ccc4 ,notice requirem5t 7a7 ,9 g5]al ,ea* employ] %all notify ea* cov]$ direct c>e pr(essional employ$ by ! employ] & include 9 any employee h&book ! in=mation-- 7#a7 describ+ paid sick "t available to cov]$ direct c>e pr(essionals "u ?is subtitle2 7#b7 p]ta9+ to ! fil+ ( an action "u ?is subtitle2 7#c7 on ! details ( ! notice requirem5t = a =eseeable p]iod ( "t "u section #ccb7;e77#a77;,b77i72 & 7#d7 t describes-- 7,a7 ! protections t a cov]$ direct c>e pr(essional has 9 ex]cis+ rights "u ?is subtitle2 & 7,b7 h[ ! cov]$ direct c>e pr(essional c contact ! ,secret>y if any ( ! rights are violat$4 7b7 ,po/+ ( notice ,ea* employ] %all po/ & keep po/$ a notice1 to be prep>$ or approv$ 9 accordance ) proc$ures specifi$ 9 regulations prescrib$ "u section #cci1 sett+ =? exc]pts f1 or summ>ies (1 ! p]t95t provisions ( ?is subtitle includ+ ! in=mation describ$ 9 p>agraphs 7#a7 ?r\gh 7#d7 ( subsection 7a74 7c7 ,location ,! notice describ$ "u subsection 7b7 %all be po/$-- 7#a7 9 conspicu\s places on ! premises ( ! employ]1 :]e notices to employees 7includ+ applicants7 are cu/om>ily po/$2 or 7#b7 9 employee h&books4 7d7 ,violation2 p5alty ,any employ] :o willfully violates ! po/+ requirem5ts ( ?is section %all be subject to a civil f9e 9 an am\nt n to exce$ #ajj = ea* sep>ate (f5se4 #ccd4 ,prohibit$ acts 7a7 ,int]f]5ce ) rights 7#a7 ,ex]cise ( rights ,x %all be unlawful = any employ] to int]f]e )1 re/ra91 or d5y ! ex]cise (1 or ! attempt to ex]cise1 any "r provid$ "u ?is subtitle1 includ+-- 7,a7 dis*>g+ or discrim9at+ aga9/ 7includ+ retaliat+ aga9/7 any individual1 includ+ a job applicant1 = ex]cis+1 or attempt+ to ex]cise1 any "r provid$ "u ?is subtitle2 7,b7 us+ ! tak+ ( paid sick "t "u ?is subtitle z a negative factor 9 an employm5t action1 su* z hir+1 promotion1 r$uc+ h\rs or numb] ( %ifts1 or a discipl9>y action2 or 7,c7 c\nt+ ! paid sick "t "u a no-fault att5dance policy or any o!r abs5ce-control policy4 7#b7 ,discrim9ation ,x %all be unlawful = any employ] to dis*>ge or 9 any o!r mann] discrim9ate aga9/ 7includ+ retaliat+ aga9/7 any individual1 includ+ a job applicant1 = oppos+ any practice made unlawful by ?is subtitle4 7b7 ,int]f]5ce ) proce$+s or inquiries ,x %all be unlawful = any p]son to dis*>ge or 9 any o!r mann] discrim9ate aga9/ 7includ+ retaliat+ aga9/7 any individual1 includ+ a job applicant1 because su* individual-- 7#a7 has fil$ an action1 or has in/itut$ or caus$ to be in/itut$ any proce$+1 "u or relat$ to ?is subtitle2 7#b7 has giv51 or is ab\t to give1 any in=mation 9 connection ) any inquiry or proce$+ relat+ to any "r provid$ "u ?is subtitle2 or 7#c7 has te/ifi$1 or is ab\t to te/ify1 9 any inquiry or proce$+ relat+ to any "r provid$ "u ?is subtitle4 7c7 ,con/ruction ,no?+ 9 ?is section %all be con/ru$ to /ate or imply t ! scope ( ! activities prohibit$ by section #aje ( ! ,family & ,m$ical ,leave ,act ( #aiic 7#bi ,u4,s4,c4 #bfae7 is less ?an ! scope ( ! activities prohibit$ by ?is section4 #cce4 ,en=cem5t au?ority 7a7 ,inve/igative au?ority 7#a7 ,9 g5]al ,to ensure compliance ) ! provisions ( ?is subtitle1 or any regulation or ord] issu$ "u ?is subtitle1 ! ,secret>y %all h1 subject to p>agraph 7#c71 ! inve/igative au?ority provid$ "u section #aa7;a7 ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #baa7;a771 ) respect to employ]s1 cov]$ direct c>e pr(essionals1 & o!r individuals affect$ by an employ]4 7#b7 ,obligation to keep & pres]ve records ,an employ] %all make1 keep1 & pres]ve records p]ta9+ to compliance ) ?is subtitle 9 accordance ) section #aa7;c7 ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #baa7;c77 & 9 accordance ) regulations prescrib$ by ! ,secret>y4 7#c7 ,requir$ submissions g5]ally limit$ to an annual basis ,! ,secret>y %all n require1 "u ! au?ority ( ?is subsection1 an employ] to submit to ! ,secret>y any books or records m ?an once dur+ any #ab-mon? p]iod1 unless ! ,secret>y has reasonable cause to believe !re may exi/ a violation ( ?is subtitle or any regulation or ord] issu$ pursuant to ?is subtitle1 or is inve/igat+ a *>ge pursuant to subsection 7c74 7#d7 ,subpo5a au?ority ,= ! purposes ( any inve/igation provid$ = 9 ?is subsection1 ! ,secret>y %all h ! subpo5a au?ority provid$ = "u section #i ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #bji74 7b7 ,civil action by cov]$ direct c>e pr(essionals or individuals 7#a7 ,"r ( action ,an action to recov] ! damages or equitable relief prescrib$ 9 p>agraph 7#a7 may be ma9ta9$ aga9/ any employ] 9 any ,f$]al or ,/ate c\rt ( compet5t jurisdiction by a cov]$ direct c>e pr(essional or individual or a repres5tative = & on behalf (-- 7,a7 ! cov]$ direct c>e pr(essional or individual2 or 7,b7 ! cov]$ direct c>e pr(essional or individual & o!rs simil>ly situat$4 7#b7 ,liability ,any employ] :o violates section #ccd 7includ+ a violation relat+ to rights provid$ "u section #ccb7 %all be liable to any cov]$ direct c>e pr(essional or individual affect$-- 7,a7 = damages equal to-- 7i7 ! am\nt (-- 7,i7 any wages1 sal>y1 employm5t b5efits1 or o!r comp5sation d5i$ or lo/ by reason ( ! violation2 or 7,,ii7 9 a case 9 :i* wages1 sal>y1 employm5t b5efits1 or o!r comp5sation h n be5 d5i$ or lo/1 any actual monet>y losses su/a9$ z a direct result ( ! violation up to a sum equal to #ef h\rs ( wages or sal>y = ! cov]$ direct c>e pr(essional or individual1 or ! specifi$ p]iod describ$ 9 section #ccb7;c77#c71 or a comb9ation ( ^? h\rs & t p]iod1 z ! case may be2 7ii7 ! int]e/ on ! am\nt describ$ 9 clause 7i7 calculat$ at ! prevail+ rate2 & 7iii7 an additional am\nt z liquidat$ damages2 & 7,b7 = su* equitable relief z may be appropriate1 includ+ employm5t1 re9/atem5t1 & promotion4 7#c7 ,fees & co/s ,! c\rt 9 an action "u ?is subsection %all1 9 addition to any judgm5t aw>d$ to ! pla9tiff1 all[ a reasonable attorney's fee1 reasonable exp]t witness fees1 & o!r co/s ( ! action to be paid by ! def5dant4 7c7 ,action by ! ,secret>y 7#a7 ,adm9i/rative action ,! ,secret>y %all receive1 inve/igate1 & attempt to resolve compla9ts ( violations ( section #ccd 7includ+ a violation relat+ to rights provid$ "u section #ccb7 9 ! same mann] t ! ,secret>y receives1 inve/igates1 & attempts to resolve compla9ts ( violations ( sections #f & #g ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #bjf & #bjg74 7#b7 ,civil action ,! ,secret>y may br+ an action 9 any c\rt ( compet5t jurisdiction to recov] ! damages describ$ 9 subsection 7b77#b77;,a74 7#c7 ,sums recov]$ ,any sums recov]$ by ! ,secret>y pursuant to p>agraph 7#b7 %all be held 9 a special deposit acc\nt & %all be paid1 on ord] ( ! ,secret>y1 directly to ea* cov]$ direct c>e pr(essional or individual affect$4 ,any su* sums n paid to a cov]$ direct c>e pr(essional or individual affect$ because ( inability to d s )9 a p]iod ( #c ye>s %all be deposit$ into ! ,treasury ( ! ,unit$ ,/ates z miscellane\s receipts4 7d7 ,limitation 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 an action may be br\ght "u subsection 7b71 7c71 or 7e7 n lat] ?an #b ye>s aft] ! date ( ! la/ ev5t con/itut+ ! alleg$ violation = :i* ! action is br\ght4 7#b7 ,willful violation ,9 ! case ( an action br\ght = a willful violation ( section #ccd 7includ+ a willful violation relat+ to rights provid$ "u section #ccb71 su* action may be br\ght n lat] ?an #c ye>s aft] ! la/ ev5t con/itut+ ! alleg$ violation = :i* su* action is br\ght4 7#c7 ,comm5cem5t ,9 det]m9+ :5 an action is comm5c$ "u subsection 7b71 7c71 or 7e7 = ! purposes ( ?is subsection1 x %all be consid]$ to be comm5c$ on ! date :5 ! compla9t is fil$4 7e7 ,action = injunction by ,secret>y ,! di/rict c\rts ( ! ,unit$ ,/ates %all h jurisdiction1 = cause %[n1 9 an action br\ght by ! ,secret>y-- 7#a7 to re/ra9 violations ( section #ccd 7includ+ a violation relat+ to rights provid$ "u section #ccb71 includ+ ! re/ra9t ( any )hold+ ( paym5t ( wages1 sal>y1 employm5t b5efits1 or o!r comp5sation1 plus int]e/1 f\nd by ! c\rt to be due to cov]$ direct c>e pr(essionals or individuals eligible "u ?is subtitle2 or 7#b7 to aw>d su* o!r equitable relief z may be appropriate1 includ+ employm5t1 re9/atem5t1 & promotion4 7f7 ,solicitor ( labor ,! ,solicitor ( ,labor may appe> = & repres5t ! ,secret>y on any litigation br\ght "u subsection 7c7 or 7e74 #ccf4 ,education & outrea* 7a7 ,9 g5]al ,! ,secret>y may conduct a public aw>5ess campaign to educate & in=m ! public ( ! requirem5ts = paid sick "t requir$ by ?is subtitle4 7b7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to ! ,secret>y #bj1jjj1jjj to c>ry out su* campaign4 #ccg4 ,effect on exi/+ employm5t b5efits 7a7 ,m protective ,no?+ 9 ?is subtitle %all be con/ru$ to dim9i% ! obligation ( an employ] to comply ) any contract1 collective b>ga9+ agreem5t1 or any employm5t b5efit program or plan t provides great] paid sick leave or o!r leave rights to cov]$ direct c>e pr(essionals or individuals ?an ! rights e/abli%$ "u ?is subtitle4 7b7 ,less protective ,! rights e/abli%$ = cov]$ direct c>e pr(essionals "u ?is subtitle %all n be dim9i%$ by any contract1 collective b>ga9+ agreem5t1 or any employm5t b5efit program or plan4 #cch4 ,enc\ragem5t ( m g5]\s leave policies ,no?+ 9 ?is subtitle %all be con/ru$-- 7#a7 to disc\rage employ]s f adopt+ or reta9+ leave policies m g5]\s ?an policies t comply ) ! requirem5ts ( ?is subtitle2 or 7#b7 to disc\rage or prev5t an employ] f adopt+ a contract1 collective b>ga9+ agreem5t1 or employm5t b5efit program or plan t provides great] "r or b5efits to cov]$ direct c>e pr(essionals ?an ! rights e/abli%$ "u ?is subtitle4 #cci4 ,regulations 7a7 ,9 g5]al ,subject to subsection 7b71 n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all prescribe su* regulations z are necess>y to c>ry out ?is subtitle4 7b7 ,imm$iate compliance ,! rights & responsibilities specifi$ 9 ?is subtitle %all take effect on ! date ( enactm5t ( ?is ,act & employ]s & o!r p]sons subject to ^? responsibilities %all comply imm$iately1 )\t reg>d :e!r regulations h be5 prescrib$ "u ?is section4 #cci;,a4 ,effective date ,if a public heal? em]g5cy 0 decl>$ be=e & rema9s 9 effect on ! date ( enactm5t ( ?is ,act1 = purposes ( ?is subtitle1 includ+ section #ccb7;c71 ! public heal? em]g5cy %all be consid]$ to h be5 decl>$ on ! date ( enactm5t ( ?is ,act4 #cci;,b4 ,collection ( data & fur!r /udy 7a7 ,compilation ( in=mation ,! ,commission] ( ! ,bureau ( ,labor ,/ati/ics %all-- 7#a7 collect data on-- 7,a7 ! am\nt ( paid & unpaid sick "t available to cov]$ direct c>e pr(essionals by occupation & type ( employm5t e/abli%m5t2 & 7,b7 an e/imate ( ! av]age sick "t us$ by cov]$ direct c>e pr(essionals accord+ to occupation & ! type ( cov]$ direct c>e pr(essional2 & 7#b7 annually report t data to ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates4 7b7 ,,gao /udy ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all-- 7#a7 conduct a /udy to evaluate ! implem5tation ( ?is subtitle-- 7,a7 t includes an e/imation ( ! access ( cov]$ direct c>e pr(essionals to paid sick "t1 ! aw>5ess ( cov]$ direct c>e pr(essionals ( rights "u ?is ,act1 & ! exp]i5ces ( employ]s 9 comply+ ) ?is subtitle2 & 7,b7 t takes into acc\nt access1 aw>5ess1 & exp]i5ces ( cov]$ direct c>e pr(essionals by race1 e?nicity1 g5d]1 disability1 occupation1 & any o!r *>act]i/ic det]m9$ by ! ,secret>y2 & 7#b7 n lat] ?an #e ye>s aft] ! date ( enactm5t ( ?is ,act1 submit ! report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,special ,committee on ,ag+ ( ! ,s5ate & ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives4 ,,iv ,national ,direct ,c>e ,pr(essional ,comp5sation ,/rategy #dja4 ,def9itions ,9 ?is title3 7#a7 ,advisory ,c\ncil ,! t]m ,advisory ,c\ncil means ! ,national ,direct ,c>e ,pr(essional ,comp5sation ,advisory ,c\ncil conv5$ "u section #djc4 7#b7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#c7 ,/rategy ,! t]m ,/rategy means ! ,national ,direct ,c>e ,pr(essional ,comp5sation ,/rategy set =? "u section #djb4 #djb4 ,national ,direct ,c>e ,pr(essional ,comp5sation ,/rategy 7a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! heads ( o!r appropriate ,f$]al ag5cies1 %all develop jo9tly ) ! ,advisory ,c\ncil & submit to ! appropriate committees ( ,congress1 & ! ,/ate ag5cies responsible = c>ry+ out direct c>e pr(essional programs1 & make publicly available on ! int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 a ,national ,direct ,c>e ,pr(essional ,comp5sation ,/rategy4 7b7 ,cont5ts 7#a7 ,9 g5]al ,! ,/rategy %all id5tify recomm5d$ actions t ! ,f$]al ,gov]nm5t 7"u exi/+ ,f$]al programs71 ,/ate & local gov]nm5ts1 communities1 heal? c>e provid]s1 includ+ direct c>e pr(essionals & o!rs1 are tak+1 or may take1 to provide direct c>e pr(essionals a livable wage1 includ+ recomm5dations on-- 7,a7 h[ to calculate ! fair co/ ( labor provid$ by direct c>e pr(essionals2 7,b7 h[ ,/ate ,m$icaid ag5cies1 manag$ c>e organizations1 & o!r public pay]s %\ld e/abli% policies & proc$ures to ensure ! direct c>e pr(essional work=ce is comp5sat$ at ! full co/ ( _! labor2 7,c7 h[ to set cle> expectations = employ]s ( direct c>e pr(essionals ) respect to comp5sation = su* pr(essionals2 & 7,d7 h[ to ensure additional tra9+ & c]tification is ti$ to increas$ comp5sation = su* pr(essionals4 7#b7 ,consid]ations ,! recomm5dations "u p>agraph 7#a7 %all take into acc\nt-- 7,a7 ! p>ticul> *all5ges ( ! direct c>e pr(essional work=ce1 includ+-- 7i7 ! l>gely "p-"t nature ( ! "w2 7ii7 ! mobile or transi5t nature ( positions 9 ! direct c>e pr(essional work=ce2 7iii7 prec>ity due to race1 e?nicity1 sexual ori5tation1 g5d] id5tity1 & immigration /atus2 & 7iv7 any decrease 9 public b5efits t direct c>e pr(essionals may exp]i5ce foll[+ an increase 9 wages2 & 7,b7 /rategies = wage enhancem5t = direct c>e pr(essionals4 7c7 ,duties ( ! ,secret>y ,! ,secret>y1 9 c>ry+ out subsection 7a71 %all ov]see ! foll[+3 7#a7 ,collect+ & mak+ publicly available in=mation submitt$ by ! ,advisory ,c\ncil "u section #djc7;e7 to ! appropriate committees ( ,congress1 & ! ,/ate ag5cies responsible = c>ry+ out direct c>e pr(essional programs1 includ+ evid5ce-bas$ or promis+ practices & innovative models 7bo? dome/ic & =eign7 reg>d+ comp5sation = direct c>e pr(essionals4 7#b7 ,coord9at+ & assess+ exi/+ ,f$]al ,gov]nm5t programs & activities to comp5sate direct c>e pr(essionals :ile ensur+ maximum effectiv5ess & avoid+ unnecess>y duplication4 7#c7 ,provid+ te*nical assi/ance1 z appropriate1 su* z dissem9at+ id5tifi$ be/ practices & in=mation %>+ bas$ on reports provid$ "u section #djc7;e71 to ,/ate or local ef=ts to comp5sate direct c>e pr(essionals4 7d7 ,initial /rategy2 updates ,! ,secret>y %all-- 7#a7 n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 develop1 publi%1 & submit to ! appropriate committees ( ,congress1 & ! ,/ate ag5cies responsible = c>ry+ out direct c>e pr(essional programs1 an initial ,/rategy incorporat+ ! items address$ 9 ! ,advisory ,c\ncil's initial report "u section #djc7;e7 & o!r relevant in=mation1 includ+ be/ practices1 = comp5sat+ direct c>e pr(essionals2 & 7#b7 bi5nially update1 republi%1 & submit to ! appropriate committees ( ,congress & ! ,/ate ag5cies responsible = c>ry+ out direct c>e pr(essional programs ! ,/rategy1 tak+ into acc\nt ! mo/ rec5t annual report submitt$ "u section #djc7;e77#a7-- 7,a7 to reflect new developm5ts1 *all5ges1 opportunities1 & solutions2 & 7,b7 to review progress bas$ on recomm5dations = comp5sat+ direct c>e pr(essionals 9 ! ,/rategy &1 bas$ on ! results ( su* review1 recomm5d priority actions = improv+ ! implem5tation ( su* recomm5dations1 z appropriate4 7e7 ,process = public input ,! ,secret>y %all e/abli% a process = public input to in=m ! developm5t (1 & updates to1 ! ,/rategy1 includ+ a process = ! public to submit recomm5dations to ! ,advisory ,c\ncil & an opportunity = public comm5t on ! propos$ ,/rategy4 7f7 ,no preemption ,no?+ 9 ?is title preempts any au?ority ( a ,/ate or local gov]nm5t to comp5sate direct c>e pr(essionals4 7g7 ,rule ( con/ruction ,no?+ 9 ?is title %all be con/ru$ to p]mit ! ,secret>y 7?r\gh regulation1 guidance1 grant crit]ia1 or o!rwise7 to-- 7#a7 m&ate1 direct1 or control ! allocation ( ,/ate or local res\rces2 7#b7 m&ate ! use ( any ( ! be/ practices id5tifi$ 9 ! reports requir$ "u ?is title2 or 7#c7 o!rwise exp& ! au?ority ( ! ,secret>y beyond t expressly provid$ to ! ,secret>y 9 ?is title4 7h7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ = ! advisory committee #ajj1jjj = ea* ( ye>s #bjbf ?r\gh #bjcj4 #djc4 ,national ,direct ,c>e ,pr(essional ,comp5sation ,advisory ,c\ncil 7a7 ,conv5+ ,! ,secret>y %all conv5e a ,national ,direct ,c>e ,pr(essional ,comp5sation ,advisory ,c\ncil to advise & provide recomm5dations1 includ+ id5tifi$ be/ practices1 to ! ,secret>y on comp5sat+ direct c>e pr(essionals4 7b7 ,memb]%ip 7#a7 ,9 g5]al ,! memb]s ( ! ,advisory ,c\ncil %all consi/ (-- 7,a7 ! appo9t$ memb]s "u p>agraph 7#b72 & 7,b7 ! ,f$]al memb]s "u p>agraph 7#c74 7#b7 ,appo9t$ memb]s ,9 addition to ! ,f$]al memb]s "u p>agraph 7#c71 ! ,secret>y %all appo9t n m ?an #ae vot+ memb]s ( ! ,advisory ,c\ncil :o are n repres5tatives ( ,f$]al dep>tm5ts or ag5cies & :o %all include at lea/ #a repres5tative ( ea* ( ! foll[+3 7,a7 ,direct c>e pr(essionals4 7,b7 ,old] individuals eligible = long-t]m c>e s]vices "u a ,/ate ,m$icaid program4 7,c7 ,p ) disabilities4 7,d7 ,heal? c>e & social s]vice provid]s4 7,e7 ,employ]s ( direct c>e pr(essionals4 7,f7 ,/ate & local (ficials responsible = direct c>e pr(essional policies 9 _! jurisdictions4 7,g7 ,accr$itation bodies responsible = accr$it+ direct c>e pr(essionals4 7,h7 ,vet]ans :o are old] individuals or p ) disabilities4 7,i7 ,organizations repres5t+ work]s1 includ+ labor organizations4 7,j7 ,z appropriate1 o!r exp]ts 9 direct c>e & advocacy organizations = ! direct c>e pr(essional work=ce4 7#c7 ,f$]al memb]s ,! ,f$]al memb]s ( ! ,advisory ,c\ncil1 :o %all be nonvot+ memb]s1 %all consi/ ( ! foll[+3 7,a7 ,! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices 7or ! ,adm9i/rator's designee74 7,b7 ,! ,adm9i/rator ( ! ,adm9i/ration = ,community ,liv+ 7or ! ,adm9i/rator's designee :o has exp]i5ce 9 bo? ag+ & disability74 7,c7 ,! ,secret>y ( ,vet]ans ,affairs 7or ! ,secret>y's designee74 7,d7 ,! ,secret>y ( ,labor 7or ! ,secret>y's designee74 7,e7 ,! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration 7or ! ,adm9i/rator's designee74 7,f7 ,! heads ( o!r ,f$]al dep>tm5ts or ag5cies 7or _! designees71 includ+ relevant dep>tm5ts or ag5cies t ov]see labor & work=ce1 economic1 gov]nm5t f9ancial policies1 community s]vice1 & o!r impact$ populations1 z appo9t$ by ! ,secret>y or ! ,*air ( ! ,advisory ,c\ncil4 7#d7 ,div]se repres5tation ,! ,secret>y %all ensure t ! memb]%ip ( ! ,advisory ,c\ncil reflects ! div]sity ( direct c>e pr(essionals & individuals eligible = long-t]m c>e s]vices "u a ,/ate ,m$icaid program4 7c7 ,meet+s ,! ,advisory ,c\ncil %all meet qu>t]ly dur+ ! #a-ye> p]iod beg9n+ on ! date ( enactm5t ( ?is ,act & at lea/ #c times dur+ ea* ye> !reaft]4 ,meet+s ( ! ,advisory ,c\ncil %all be op5 to ! public4 7d7 ,non-,f$]al memb] comp5sation 7#a7 ,comp5sation ( memb]s ,a memb] ( ! ,advisory ,c\ncil :o is n an (fic] or employee ( ! ,f$]al ,gov]nm5t %all be comp5sat$ at a rate equal to ! daily equival5t ( ! annual rate ( basic pay prescrib$ = level ,,iv ( ! ,executive ,s*$ule "u section #ecae ( title #e1 ,unit$ ,/ates ,code1 = ea* day 7includ+ travel "t7 dur+ :i* ! memb] is engag$ 9 ! p]=mance ( ! duties ( ! ,commission4 7#b7 ,travel exp5ses ,a memb] ( ! ,advisory ,c\ncil :o is n an (fic] or employee ( ! ,f$]al ,gov]nm5t %all be all[$ travel exp5ses1 includ+ p] diem 9 lieu ( subsi/5ce1 at rates au?oriz$ = employees ( ag5cies "u sub*apt] ,i ( *apt] #eg ( title #e1 ,unit$ ,/ates ,code1 :ile away f _! homes or regul> places ( bus9ess 9 ! p]=mance ( s]vices = ! ,commission4 7#c7 ,*ild c>e ,a memb] ( ! ,advisory ,c\ncil :o is n an (fic] or employee ( ! ,f$]al ,gov]nm5t %all be p]mitt$ exp5ses = *ild c>e dur+ ! p]iod = :i* !y are requir$ to meet ) ! ,advisory ,c\ncil or travel to & f meet+s ( ! ,advisory ,c\ncil4 7#d7 ,te*nology support ,a memb] ( ! ,advisory ,c\ncil :o is n an (fic] or employee ( ! ,f$]al ,gov]nm5t %all be p]mitt$ exp5ses = te*nology necess>y to p>ticipate 9 activities ( ! ,advisory ,c\ncil4 7e7 ,advisory ,c\ncil annual reports 7#a7 ,9 g5]al ,n lat] ?an #ab mon?s aft] ! date ( enactm5t ( ?is ,act1 & annually !reaft]1 ! ,advisory ,c\ncil %all submit to ! ,secret>y1 ! appropriate committees ( ,congress1 & ! ,/ate ag5cies responsible = c>ry+ out direct c>e pr(essional programs1 & make publicly available on ! int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 a report conc]n+ ! developm5t1 ma9t5ance1 & updat+ ( ! ,/rategy1 includ+ a description ( ! outcomes ( ! recomm5dations & any priorities includ$ 9 ! initial report pursuant to p>agraph 7#b71 z appropriate4 7#b7 ,initial report ,! ,advisory ,c\ncil's initial report "u p>agraph 7#a7 %all include-- 7,a7 an inv5tory & assessm5t ( all f$]ally fund$ ef=ts to comp5sate direct c>e pr(essionals & ! outcomes ( su* ef=ts1 includ+ analyses ( ! ext5t to :i* f$]ally fund$ ef=ts are rea*+ direct c>e pr(essionals & gaps 9 su* ef=ts2 7,b7 recomm5dations-- 7i7 to improve & bett] coord9ate ,f$]al programs & activities to comp5sate direct c>e pr(essionals1 z well z opportunities to improve ! coord9ation ( su* ,f$]al programs & activities ) ,/ate programs2 & 7ii7 to effectively deliv] s]vices bas$ on ! p]=mance1 mission1 & purpose ( a program :ile elim9at+ r$undancies1 avoid+ unnecess>y duplication & ov]lap1 & ensur+ ! ne$s ( direct c>e pr(essionals are met2 7,c7 ! id5tification ( *all5ges fac$ by direct c>e pr(essionals1 includ+ f9ancial1 heal?1 & o!r *all5ges1 & exi/+ approa*es to address su* *all5ges2 & 7,d7 an evaluation ( h[ ! /atus ( ! direct c>e pr(essional work=ce affects ! ,m$ic>e program1 ! ,m$icaid program1 & o!r ,f$]al programs4 7f7 ,nonapplicability ( ,f$]al ,advisory ,committee ,act ,*apt] #aj ( title #e1 ,unit$ ,/ates ,code1 %all n apply to ! ,advisory ,c\ncil4 #djd4 ,sunset provision ,! au?ority & obligations e/abli%$ by ?is title %all t]m9ate on ! date t is #aj ye>s aft] ! date ( enactm5t ( ?is ,act4 ,v ,improv+ ov]sight & acc\ntability #eja4 ,evaluation ( implem5tation & outcomes 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 conjunction ) ! ,secret>y ( ,labor1 %all evaluate ! implem5tation & outcomes ( ?is ,act 9 ! aggregate ?r\gh a contract ) an ext]nal evaluator :o has exp]i5ce 9 evaluat+-- 7#a7 home & community-bas$ s]vices2 7#b7 disability programs2 7#c7 programs = old] individuals2 7#d7 nurs+ homes & int]m$iate c>e facilities2 & 7#e7 heal? c>e work=ce programs1 includ+ direct c>e pr(essional work=ce programs4 7b7 ,evaluation crit]ia ,! ext]nal evaluator %all docum5t & evaluate ! implem5tation & outcomes ( ?is ,act1 & ! am5dm5ts made by ?is ,act1 includ+ outcomes bas$ on-- 7#a7 ! impact on work=ce creation1 tra9+1 education1 recruitm5t1 ret5tion1 pr(essional developm5t1 & advancem5t ( ! direct c>e pr(essional work=ce1 includ+ direct c>e pr(essionals f l[-income families2 7#b7 ! economic effects1 includ+ ! impact on comp5sation & b5efits1 on ! direct c>e pr(essional work=ce2 7#c7 ! impact on work+ conditions1 includ+ s*$ul+ flexibility & /ability1 = direct c>e pr(essionals2 7#d7 ! impact ( work=ce inve/m5t activities1 includ+ supportive s]vices1 on recruitm5t1 wages1 b5efits1 & advancem5t ( direct c>e pr(essionals2 7#e7 ! impact on burn\t1 attrition1 & /ability ( ! direct c>e pr(essional work=ce2 7#f7 ! impact on vacancy rates & crude sep>ation rates ( ! direct c>e pr(essional work=ce2 7#g7 ! economic effects on-- 7,a7 individuals enroll$ = m$ical assi/ance "u a ,/ate ,m$icaid program2 7,b7 p ) disabilities & old] individuals receiv+ long-t]m c>e s]vices1 includ+ home & community-bas$ s]vices2 & 7,c7 ! families ( any su* individuals or p]sons describ$ 9 subp>agraph 7,a7 or 7,b72 7#h7 ! impact on ! capacity ( ,/ates to ensure ! deliv]y ( long-t]m c>e s]vices & on ! co/s to ! ,m$ic>e & ,m$icaid programs2 7#i7 ! capacity ( ! direct c>e pr(essional work=ce to provide s]vices = individuals ne$+ long-t]m c>e s]vices or *anges 9 access1 availability1 & quality ( long-t]m c>e s]vices2 7#aj7 ! impact on ,/ate wait+ li/s = home & community-bas$ s]vices2 7#aa7 ! impact on m5tal heal? outcomes1 includ+ sub/ance use disord]s & suicidality1 among direct c>e pr(essionals2 7#ab7 promis+ practices id5tifi$ by activities au?oriz$ or conduct$ pursuant to ?is ,act1 or ! am5dm5ts made by ?is ,act2 & 7#ac7 any o!r factor z det]m9$ appropriate by ! ,secret>y ( ,heal? & ,human ,s]vices4 7c7 ,fiscal analysis ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 conjunction ) ! ,secret>y ( ,labor1 %all contract ) an indep5d5t ext]nal evaluator to track sp5d+ by ,/ates & provid]s ( fund+ provid$ to ,/ates "u sections #aja & #ajb 7includ+ ! am5dm5ts made by su* sections74 ,! evaluator %all-- 7#a7 collect sp5d+ data f ea* ,/ate receiv+ funds "u su* sections2 7#b7 analyze ! data to det]m9e :at p]c5tage ( fund+ "u su* sections 0 exp5d$ to improve wages & b5efits ( direct c>e pr(essionals1 disaggregat$ by subcategories ( direct c>e pr(essionals describ$ 9 section #c7aa72 7#c7 beg9n+ #b ye>s aft] ! date ( enactm5t ( ?is ,act1 & e ye> !reaft] ?r\gh fiscal ye> #bjdj-- 7,a7 publi% an annual report ( ,/ate sp5d+ & ! analyses conduct$ "u p>agraph 7#b72 & 7,b7 provide all su* reports to ! appropriate committees ( ,congress2 & 7#d7 %>e ! data describ$ 9 p>agraph 7#a7 ) rese>*]s to enc\rage fur!r analysis4 7d7 ,dissem9ation ( evaluation f9d+s ,! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7#a7 dissem9ate ! f9d+s f ! evaluations conduct$ "u ?is section1 & f any o!r evaluation conduct$ "u ?is ,act or an am5dm5t made by ?is ,act1 to-- 7,a7 all ,/ate ,m$icaid ag5cies2 & 7,b7 ! appropriate committees ( ,congress2 & 7#b7 make all su* f9d+s publicly available 9 an accessible electronic =mat & any o!r accessible =mat det]m9$ appropriate by ! ,secret>y4