,,ii #aaith ,,congress #ast ,session ,s4 #cbca ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,november #bj1 #bjbe,mr4 ,markey 7for himself1 ,mrs4 ,gillibrand1 and ,mr4 ,kim7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,older ,americans ,act of #aife to develop and expand integrated caregiver support services for family caregivers1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,respite ,care and ,resources for ,everyone ,act or the ,respite ,,care ,act4 #b4 ,caregiver support ,title ,,iv of the ,older ,americans ,act of #aife is amended by inserting after section #dad 7#db ,u4,s4,c4 #cjcb;c7 the following3 #dae4 ,caregiver support 7a7 ,grants ,the ,assistant ,secretary may make grants to eligible entities for the development or expansion of integrated caregiver support services1 through which a provider provides1 at the same time and integrated setting1 respite care to assist family caregivers and other supportive services or support services described in section #cgc7;b7 for family caregivers4 7b7 ,eligible entity ,to be eligible to receive a grant under subsection 7a71 an entity shall be a ,state or local government agency1 a nonprofit organization1 an area agency on aging1 the provider of a multipurpose senior center1 an institution of higher education1 or a ,tribal organization4 7c7 ,application ,to be eligible to receive a grant under subsection 7a71 an entity shall submit an application to the ,assistant ,secretary at such time1 in such manner1 and containing such information as the ,assistant ,secretary may require4 7d7 ,use of funds ,an eligible entity receiving a grant under subsection 7a7 shall use the grant funds1 consistent with subsection 7e7-- 7#a7 to develop or expand integrated caregiver support services in order to provide respite care at the same time and integrated setting as supportive services or support services described in section #cgc7;b7 for family caregivers2 and 7#b7 to provide services described in paragraph 7#a7 in a manner that is accessible1 as appropriate for the family caregiver or the care recipient1 as the case may be1 including providing the services-- 7,a7 through assistive technology2 7,b7 in an accessible language2 7,c7 for caregivers for whom ,english is not their primary language1 through translation or interpretation services2 and 7,d7 in an accessible format1 including formats compatible with ,american ,sign ,language and multiple languages4 7e7 ,direct or indirect provision ,an eligible entity receiving such a grant may use the grant funds directly1 or indirectly by contract with a health care provider or child care provider1 to provide respite care4 7f7 ,definitions ,in this section3 7#a7 ,caregiver support services ,the term caregiver support services means services1 provided for a family caregiver1 that are-- 7,a7 supportive services2 or 7,b7 support services described in section #cgc7;b74 7#b7 ,child care provider 7,a7 ,in general ,the term child care provider means a center-based child care provider1 a family child care provider1 or other provider of child care services for compensation that-- 7i7 is licensed to provide child care services under ,state law applicable to the child care services it provides or1 in the case of an ,indian ,tribe or ,tribal organization1 meets the rules set by the ,secretary of ,health and ,human ,services2 7ii7 participates in the ,state's tiered system for recognizing and supporting the quality of child care services1 or1 in the case of an ,indian ,tribe or ,tribal organization1 meets the rules set by the ,secretary1 on such schedule as the ,secretary may provide2 and 7iii7 satisfies the ,state and local requirements1 including those requirements described in section #feh;,e7c77#b77;,i7 of the ,child ,care and ,development ,block ,grant ,act of #aiij 7#db ,u4,s4,c4 #iheh;c7c77#b77;,i771 applicable to the child care services it provides4 7,b7 ,family child care provider ,in subparagraph 7,a71 the term family child care provider means one or more individuals who provide child care services1 in a private residence other than the residences of the children involved1 for less than #bd hours per day per child1 or for #bd hours per day per child due to the nature of the work of the parent involved4 7#c7 ,family caregiver ,the term family caregiver-- 7,a7 means-- 7i7 an adult family member1 or another individual1 who is an informal provider of in-home and community care to an older individual or to an individual of any age with ,alzheimer's disease or a related disorder with neurological and organic brain dysfunction2 or 7ii7 an older relative caregiver2 and 7,b7 does not include an individual providing care whose primary relationship with the individual receiving the care is based on a financial or professional agreement4 7#d7 ,health care provider ,the term health care provider means a health care provider1 as defined in section #cjjj of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;jj7 or a ,federally qualified health center1 as defined in section #ahfa of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex74 7#e7 ,indian tribe1 tribal organization ,the terms ,indian ,tribe and ,tribal organization have the meanings given the terms ,indian tribe and tribal organization1 respectively1 in section #feh,p of such ,act 7#db ,u4,s4,c4 #ihehn74 7#f7 ,older relative caregiver ,the term older relative caregiver-- 7,a7 means a caregiver who-- 7i7 is age #ee or older2 and 7ii7 lives with1 is the informal provider of in-home and community care to1 and is the primary caregiver for1 a child or an individual with a disability2 7,b7 in the case of a caregiver for a child-- 7i7 is the grandparent1 stepgrandparent1 or other relative 7other than the parent7 by blood1 marriage1 or adoption1 of the child2 7ii7 is the primary caregiver of the child because the biological or adoptive parents are unable or unwilling to serve as the primary caregivers of the child2 and 7iii7 has a legal relationship to the child1 such as legal custody1 adoption1 or guardianship1 or is raising the child informally2 and 7,c7 in the case of a caregiver for an individual with a disability1 is the parent1 grandparent1 or other relative by blood1 marriage1 or adoption1 of the individual with a disability4 7#g7 ,respite care ,the term respite care means care1 which may include health care and child care1 for a care recipient of a family caregiver4 4