,,ii  #aaith ,,congress  #ast ,session  
,s4 #bgfb  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #aj1
 #bjbe,ms4 ,rosen 7for herself and ,mr4 
,boozman7 introduced the following bill2
 which was read twice and referred to   
the ,committee on ,health1 ,education1  
,labor1 and ,pensions  ,a ,,bill  ,to   
establish a commission on long-term     
care4  #a4 ,short title ,this ,act may  
be cited as the ,supporting ,our        
,seniors ,act4  #b4 ,commission on      
,long-,term ,care  7a7 ,in general      
,there is established a commission to be
 known as the ,commission on ,long-,term
 ,care 7referred to in this section as  
the ,commission74  7b7 ,membership  7#a7
 ,composition  7,a7 ,members ,the       
,commission shall be composed of #ab    
members1 of whom-- 7i7 #f shall be      
appointed by the ,president2  7ii7 #b   
shall be appointed by the ,speaker of   
the ,house of ,representatives2  7iii7  
#a shall be appointed by the minority   
leader of the ,house of                 

,representatives2  7iv7 #b shall be     
appointed by the majority leader of the 
,senate2 and  7v7 #a shall be appointed 
by the minority leader of the ,senate4  
7,b7 ,qualifications ,each member       
appointed under subparagraph 7,a7 shall 
have experience in one or more of the   
following areas3 7i7 ,palliative care4  
7ii7 ,hospice care4  7iii7 ,home and    
community-based services delivery4  7iv7
 ,labor and workforce development4  7v7 
,aging and geriatrics4  7vi7 ,advocating
 for the disability community4  7vii7   
,long-term care insurance4  7viii7      
,advocating for patients and caregivers4
  7ix7 ,senior housing1 including varied
 levels of assistance ranging from      
independent living to nursing           
facilities4  7,c7 ,diversity of         
qualifications  7i7 ,in general ,in     
making appointments to the ,commission  
under subparagraph 7,a71 the ,president 
and the congressional leaders shall make
 every effort to select individuals     
whose qualifications are not already    

represented by other members of the     
,commission4  7ii7 ,representation of   
all qualification areas ,if no member of
 the ,commission has experience in an   
area identified in subparagraph 7,b71   
the ,secretary of ,health and ,human    
,services shall appoint an agency       
detailee or stakeholder representative  
who has experience in such area to be   
present for all meetings of the         
,commission4  7#b7 ,date of appointments
 ,the appointments of the members of the
 ,commission shall be made not later    
than #ij days after the date of         
enactment of this ,act4  7#c7 ,member   
terms2 vacancies  7,a7 ,member terms    
,members shall be appointed to the      
,commission for terms of #f years 7in   
the case of members appointed by the    
,president7 and #d years 7in the case of
 all other members74 ,there shall be no 
limitation on the number of terms a     
member may be appointed for4  7,b7      
,vacancies ,any vacancy in the          
,commission shall not affect its powers1

 but shall be filled in the same manner 
as the original appointment4  7#d7      
,chairperson ,the ,president shall      
select a ,chairperson for the           
,commission from among its members4  7c7
 ,meetings  7#a7 ,initial meeting ,not  
later than #fj days after the date on   
which a majority of the members of the  
,commission have been appointed1 the    
,commission shall hold its first        
meeting4  7#b7 ,meetings ,the           
,commission shall meet at the call of   
the ,chairperson4  7#c7 ,quorum ,a      
majority of the members of the          
,commission shall constitute a quorum1  
but a lesser number of members may hold 
hearings4  7d7 ,duties of the           
,commission  7#a7 ,in general ,the      
,commission shall not later than #a year
 after the date of enactment of this    
,act1 and on a yearly basis thereafter1 
submit policy recommendations to        
,congress1 the ,president1 appropriate  
,federal agencies1 and the public with  
respect to the following3 7,a7          

,long-term care coverage for the        
non-,medicaid eligible population4  7,b7
 ,considerations for aging in place4    
7,c7 ,financing options for long-term   
care for low- and middle-income         
individuals4  7,d7 ,caregiver supports  
and workforce stability and             
preparedness4  7,e7 ,access to          
comprehensive care1 including geriatric 
care as appropriate1 coordination of    
medical and personal care needs1 and    
access to palliative care as needed1    
including both concurrently with        
curative treatment for serious illness  
or injury and as hospice end-of-life    
care4  7,f7 ,affordability of services4 
7,g7 ,considerations for children and   
non-senior adults with disabilities4    
7,h7 ,support for adult children caring 
for aging parents1 including through    
health benefits1 tax credits1 and other 
tax incentives for caregivers who are   
not able to claim their parents as      
dependents for tax purposes4  7,i7      
,integrating meals1 access to basic     

services1 and wraparound community      
services4  7,j7 ,reducing               
hospitalization costs through increased 
access to home-based services1 including
 with options through the ,medicare and 
,medicaid programs4  7#b7 ,interaction  
with outside groups ,in developing the  
recommendations under paragraph 7#a71   
the ,commission shall regularly consult 
with-- 7,a7 a wide variety of           
stakeholder groups2  7,b7 the ,medicare 
,payment ,advisory ,commission and the  
,medicaid and ,,chip ,payment and       
,access ,commission2 and  7,c7 ,state   
and county aging agencies4  7#c7        
,federal agency response ,not later than
 #f months after the submission of a    
report required under paragraph 7#a71   
any ,federal agency that is affected by 
a recommendation described in the report
 shall submit to ,congress a report     
containing the response of the ,federal 
agency to the recommendation and the    
plans of the ,federal agency to address 
the recommendation4  7e7 ,powers of the 

,commission  7#a7 ,in general ,the      
,commission may hold such hearings1 sit 
and act at such times and places1 take  
such testimony1 and receive such        
evidence as the ,commission considers   
advisable to carry out this ,act4 ,the  
,commission shall have the authority to 
exercise these powers via video         
conference or other remote technology as
 it determines to be appropriate4  7#b7 
,information from federal agencies ,the 
,commission may secure directly from any
 ,federal department or agency such     
information as the ,commission considers
 necessary to carry out this ,act4 ,upon
 request of the ,chairperson of the     
,commission1 the head of such department
 or agency shall furnish such           
information to the ,commission4  7#c7   
,postal services ,the ,commission may   
use the ,united ,states mails in the    
same manner and under the same          
conditions as other departments and     
agencies of the ,federal ,government4   
7#d7 ,gifts ,the ,commission may accept1

 use1 and dispose of gifts or donations 
of services or property so long as such 
gifts or donations are publicly         
disclosed4  7f7 ,commission personnel   
matters  7#a7 ,travel expenses ,the     
members of the ,commission shall be     
allowed travel expenses1 including per  
diem in lieu of subsistence1 at rates   
authorized for employees of agencies    
under subchapter ,i of chapter #eg of   
title #e1 ,united ,states ,code1 while  
away from their homes or regular places 
of business in the performance of       
services for the ,commission4  7#b7     
,staff  7,a7 ,in general ,the           
,chairperson of the ,commission may1    
without regard to the civil service laws
 and regulations1 appoint and terminate 
an executive director and such other    
additional personnel as may be necessary
 to enable the ,commission to perform   
its duties4 ,the employment of an       
executive director shall be subject to  
confirmation by the ,commission4  7,b7  
,compensation ,the ,chairperson of the  

,commission may fix the compensation of 
the executive director and other        
personnel without regard to chapter #ea 
and subchapter ,,iii of chapter #ec of  
title #e1 ,united ,states ,code1        
relating to classification of positions 
and ,general ,schedule pay rates1 except
 that the rate of pay for the executive 
director and other personnel may not    
exceed the rate payable for level ,v of 
the ,executive ,schedule under section  
#ecaf of such title4  7#c7 ,detail of   
government employees ,at the discretion 
of the relevant agency1 any ,federal    
,government employee may be detailed to 
the ,commission without reimbursement1  
and such detail shall be without        
interruption or loss of civil service   
status or privilege4  7#d7 ,procurement 
of temporary and intermittent services  
,the ,chairperson of the ,commission may
 procure temporary and intermittent     
services under section #caji7;b7 of     
title #e1 ,united ,states ,code1 at     
rates for individuals that do not exceed

 the daily equivalent of the annual rate
 of basic pay prescribed for level ,v of
 the ,executive ,schedule under section 
#ecaf of such title4  7g7 ,termination  
of the ,commission ,the ,commission     
shall terminate on the date that is #aj 
years after the date of enactment of    
this ,act4  #c4 ,authorization of       
appropriations ,there are authorized to 
be appropriated such sums as are        
necessary to carry out this ,act4