,,ii  #aai? ,,congress  #a/ ,session    
,s4 #bgfb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #aj1         
#bjbe,ms4 ,ros5 7= h]self & ,mr4        
,boozman7 introduc$ ! foll[+ bill2 :i* 0
 read twice & ref]r$ to ! ,committee on 
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to e/abli% a commission on  
long-t]m c>e4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,support+ ,our ,s5iors 
,act4  #b4 ,commission on ,long-,t]m    
,c>e  7a7 ,9 g5]al ,!re is e/abli%$ a   
commission to be kn[n z ! ,commission on
 ,long-,t]m ,c>e 7ref]r$ to 9 ?is       
section z ! ,commission74  7b7 ,memb]%ip
  7#a7 ,composition  7,a7 ,memb]s ,!    
,commission %all be compos$ ( #ab       
memb]s1 ( :om-- 7i7 #f %all be appo9t$  
by ! ,presid5t2  7ii7 #b %all be appo9t$
 by ! ,speak] ( ! ,h\se (               
,repres5tatives2  7iii7 #a %all be      
appo9t$ by ! m9ority lead] ( ! ,h\se (  
,repres5tatives2  7iv7 #b %all be       
appo9t$ by ! majority lead] ( ! ,s5ate2 
&  7v7 #a %all be appo9t$ by ! m9ority  

lead] ( ! ,s5ate4  7,b7 ,qualifications 
,ea* memb] appo9t$ "u subp>agraph 7,a7  
%all h exp]i5ce 9 "o or m ( ! foll[+    
areas3 7i7 ,palliative c>e4  7ii7       
,hospice c>e4  7iii7 ,home &            
community-bas$ s]vices deliv]y4  7iv7   
,labor & work=ce developm5t4  7v7 ,ag+ &
 g]iatrics4  7vi7 ,advocat+ = !         
disability community4  7vii7 ,long-t]m  
c>e insurance4  7viii7 ,advocat+ =      
pati5ts & c>egiv]s4  7ix7 ,s5ior h\s+1  
includ+ v>i$ levels ( assi/ance rang+ f 
indep5d5t liv+ to nurs+ facilities4     
7,c7 ,div]sity ( qualifications  7i7 ,9 
g5]al ,9 mak+ appo9tm5ts to !           
,commission "u subp>agraph 7,a71 !      
,presid5t & ! congressional lead]s %all 
make e ef=t to select individuals ^:    
qualifications are n already repres5t$  
by o!r memb]s ( ! ,commission4  7ii7    
,repres5tation ( all qualification areas
 ,if no memb] ( ! ,commission has       
exp]i5ce 9 an area id5tifi$ 9           
subp>agraph 7,b71 ! ,secret>y ( ,heal? &
 ,human ,s]vices %all appo9t an ag5cy   

detailee or /akehold] repres5tative :o  
has exp]i5ce 9 su* area to be pres5t =  
all meet+s ( ! ,commission4  7#b7 ,date 
( appo9tm5ts ,! appo9tm5ts ( ! memb]s ( 
! ,commission %all be made n lat] ?an   
#ij days aft] ! date ( enactm5t ( ?is   
,act4  7#c7 ,memb] t]ms2 vacancies  7,a7
 ,memb] t]ms ,memb]s %all be appo9t$ to 
! ,commission = t]ms ( #f ye>s 79 ! case
 ( memb]s appo9t$ by ! ,presid5t7 & #d  
ye>s 79 ! case ( all o!r memb]s74 ,!re  
%all be no limitation on ! numb] ( t]ms 
a memb] may be appo9t$ =4  7,b7         
,vacancies ,any vacancy 9 ! ,commission 
%all n affect its p[]s1 b %all be fill$ 
9 ! same mann] z ! orig9al appo9tm5t4   
7#d7 ,*airp]son ,! ,presid5t %all select
 a ,*airp]son = ! ,commission f among   
its memb]s4  7c7 ,meet+s  7#a7 ,initial 
meet+ ,n lat] ?an #fj days aft] ! date  
on :i* a majority ( ! memb]s ( !        
,commission h be5 appo9t$1 ! ,commission
 %all hold its fir/ meet+4  7#b7 ,meet+s
 ,! ,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  7d7 ,duties ( ! ,commission
  7#a7 ,9 g5]al ,! ,commission %all n   
lat] ?an #a ye> aft] ! date ( enactm5t (
 ?is ,act1 & on a ye>ly basis !reaft]1  
submit policy recomm5dations to         
,congress1 ! ,presid5t1 appropriate     
,f$]al ag5cies1 & ! public ) respect to 
! foll[+3 7,a7 ,long-t]m c>e cov]age = !
 non-,m$icaid eligible population4  7,b7
 ,consid]ations = ag+ 9 place4  7,c7    
,f9anc+ options = long-t]m c>e = l[- &  
middle-income individuals4  7,d7        
,c>egiv] supports & work=ce /ability &  
prep>$ness4  7,e7 ,access to            
compreh5sive c>e1 includ+ g]iatric c>e z
 appropriate1 coord9ation ( m$ical &    
p]sonal c>e ne$s1 & access to palliative
 c>e z ne$$1 includ+ bo? concurr5tly )  
curative treatm5t = s]i\s illness or    
injury & z hospice end-(-life c>e4  7,f7
 ,af=dability ( s]vices4  7,g7          
,consid]ations = *ildr5 & non-s5ior     
adults ) disabilities4  7,h7 ,support = 

adult *ildr5 c>+ = ag+ p>5ts1 includ+   
?r\gh heal? b5efits1 tax cr$its1 & o!r  
tax inc5tives = c>egiv]s :o are n able  
to claim _! p>5ts z dep5d5ts = tax      
purposes4  7,i7 ,integrat+ meals1 access
 to basic s]vices1 & wrap>\nd community 
s]vices4  7,j7 ,r$uc+ hospitalization   
co/s ?r\gh increas$ access to home-bas$ 
s]vices1 includ+ ) options ?r\gh !      
,m$ic>e & ,m$icaid programs4  7#b7      
,int]action ) outside gr\ps ,9 develop+ 
! recomm5dations "u p>agraph 7#a71 !    
,commission %all regul>ly consult )--   
7,a7 a wide v>iety ( /akehold] gr\ps2   
7,b7 ! ,m$ic>e ,paym5t ,advisory        
,commission & ! ,m$icaid & ,,*ip ,paym5t
 & ,access ,commission2 &  7,c7 ,/ate & 
c\nty ag+ ag5cies4  7#c7 ,f$]al ag5cy   
response ,n lat] ?an #f mon?s aft] !    
submission ( a report requir$ "u        
p>agraph 7#a71 any ,f$]al ag5cy t is    
affect$ by a recomm5dation describ$ 9 ! 
report %all submit to ,congress a report
 conta9+ ! response ( ! ,f$]al ag5cy to 
! recomm5dation & ! plans ( ! ,f$]al    

ag5cy to address ! recomm5dation4  7e7  
,p[]s ( ! ,commission  7#a7 ,9 g5]al ,! 
,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 ,act4 ,! ,commission %all h !   
au?ority to ex]cise ^! p[]s via video   
conf]5ce or o!r remote te*nology z x    
det]m9es to be appropriate4  7#b7       
,in=mation f f$]al ag5cies ,!           
,commission may secure directly f any   
,f$]al dep>tm5t or ag5cy su* in=mation z
 ! ,commission consid]s necess>y to c>ry
 out ?is ,act4 ,^u reque/ ( ! ,*airp]son
 ( ! ,commission1 ! head ( su* dep>tm5t 
or ag5cy %all furni% su* 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]ty
 s long z su* gifts or donations are    

publicly disclos$4  7f7 ,commission     
p]sonnel matt]s  7#a7 ,travel exp5ses ,!
 memb]s ( ! ,commission %all be all[$   
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#b7 ,/aff  7,a7 ,9   
g5]al ,! ,*airp]son ( ! ,commission may1
 )\t reg>d to ! civil s]vice laws &     
regulations1 appo9t & t]m9ate an        
executive director & su* o!r additional 
p]sonnel z may be necess>y to enable !  
,commission to p]=m its duties4 ,!      
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*$ule "u section #ecaf ( 
su* title4  7#c7 ,detail ( gov]nm5t     
employees ,at ! discretion ( ! relevant 
ag5cy1 any ,f$]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#d7 ,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*$ule "u section #ecaf (   
su* title4  7g7 ,t]m9ation ( !          
,commission ,! ,commission %all t]m9ate 
on ! date t is #aj ye>s aft] ! date (   
enactm5t ( ?is ,act4  #c4 ,au?orization 
( appropriations ,!re are au?oriz$ to be
 appropriat$ su* sums z are necess>y to 

c>ry out ?is ,act4