,,ii  #aai? ,,congress  #a/ ,session    
,s4 #cbcd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #bj1 #bjbe,mr4
 ,m>key 7= himself1 ,ms4 ,klobu*>1 &    
,mr4 ,kim7 introduc$ ! foll[+ bill2 :i* 
0 read twice & ref]r$ to ! ,committee on
 ,heal?1 ,education1 ,labor1 & ,p5sions 
,a ,,bill  ,to am5d ! ,old] ,am]icans   
,act ( #aife to e/abli% a pilot program 
= family c>egiv]s = individuals )       
,alzheim]'s disease or a relat$ disord] 
) neurological & organic bra9           
dysfunction4  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,conv5i5t ,c>e =        
,c>egiv]s ,act4  #b4 ,pilot program =   
family c>egiv]s = individuals )         
,alzheim]'s disease or a relat$ disord] 
) neurological & organic bra9           
dysfunction ,title ,,iv ( ! ,old]       
,am]icans ,act ( #aife is am5d$ by      
ins]t+ aft] section #dad 7#db ,u4,s4,c4 
#cjcb;c7 ! foll[+3  #dae4 ,pilot program
 = family c>egiv]s = individuals )      
,alzheim]'s disease or a relat$ disord] 
) neurological & organic bra9           

dysfunction  7a7 ,def9itions ,9 ?is     
section3 7#a7 ,family c>egiv] = an      
individual ) ,alzheim]'s disease or a   
relat$ disord] ) neurological & organic 
bra9 dysfunction ,! t]m family c>egiv] =
 an individual ) ,alzheim]'s disease or 
a relat$ disord] ) neurological &       
organic bra9 dysfunction-- 7,a7 means an
 adult family memb]1 or ano!r           
individual1 :o is an in=mal provid] (   
9-home & community c>e to an individual 
( any age :o is an individual )         
,alzheim]'s disease or a relat$ disord] 
) neurological & organic bra9           
dysfunction2 &  7,b7 does n include an  
individual1 provid+ c>e to an individual
 ) ,alzheim]'s disease or a relat$      
disord] ) neurological & organic bra9   
dysfunction1 ^: prim>y relation%ip ) !  
indivdual is bas$ on a f9ancial or      
pr(essional agreem5t4  7#b7 ,qualifi$   
entity ,! t]m qualifi$ entity means--   
7,a7 an area ag5cy on ag+2  7,b7 a      
multipurpose s5ior c5t]2  7,c7 an       
in/itution ( high] education2 or  7,d7 a

 tribal organization4  7b7 ,pilot       
program  7#a7 ,9 g5]al ,! ,assi/ant     
,secret>y1 9 consultation ) ! ,secret>y 
( ,h\s+ & ,urban ,developm5t & !        
,assi/ant ,secret>y ( ,comm]ce =        
,economic ,developm5t1 %all e/abli% &   
c>ry out a pilot program to assi/ family
 c>egiv]s = individuals ) ,alzheim]'s   
disease or a relat$ disord] )           
neurological & organic bra9 dysfunction 
to access heal? c>e s]vices & o!r       
supports 9 ord] to improve ! heal?      
outcomes ( ! family c>egiv]s & !        
individuals4  7#b7 ,projects  7,a7 ,9   
g5]al ,9 c>ry+ out ! program1 !         
,assi/ant ,secret>y %all make grants to 
qualifi$ entities meet+ ! requirem5ts "u
 subsection 7c7 to c>ry out projects t  
assi/ family c>egiv]s = individuals )   
,alzheim]'s disease or a relat$ disord] 
) neurological & organic bra9           
dysfunction 9 address+ ! heal? c>e ne$s 
( su* c>egiv]s & individuals by (f]+    
evid5ce-in=m$1 or evid5ce-bas$1 heal?   
c>e s]vices & o!r supports to su*       

c>egiv]s & individuals at ! same "t & ! 
same location4  7,b7 ,accessibility ,ea*
 qualifi$ entity receiv+ a grant "u ?is 
section %all c>ry out a project describ$
 9 subp>agraph 7,a7 9 an easily         
accessible space & 9 accordance )       
applicable requirem5ts "u ! ,am]icans ) 
,disabilities ,act ( #aiij 7#db         
,u4,s4,c4 #abaja et seq474  7c7         
,application ,to be eligible to receive 
a grant "u ?is section1 a qualifi$      
entity %all submit an application at su*
 "t & 9 su* mann] z ! ,assi/ant         
,secret>y may require1 includ+-- 7#a7   
in=mation on h[ ! entity locat$ an      
appropriate space describ$ 9 subsection 
7b77#b77;,b7 to c>ry out a project1     
includ+ any consid]ation ( a conv]t$    
retail mall or o!r accessible space )   
proximity to public transportation &    
ample p>k+1 & any collaboration ) a     
,/ate or local economic developm5t      
organization to id5tify t appropriate   
space2  7#b7 an assurance t ! entity--  
7,a7 w coop]ate ) ef=ts 9 :i* !         

,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices w submit data to !    
,assi/ant ,secret>y on ! paym5t         
indicators describ$ 9 subsection        
7e77#a72 &  7,b7 w submit data to !     
,assi/ant ,secret>y on ! heal?          
indicators describ$ 9 subsection        
7e77#b72 &  7#c7 a description ( h[ !   
entity w %>e in=mation on family        
c>egiv]s ( individuals ) ,alzheim]'s    
disease or a relat$ disord] )           
neurological & organic bra9 dysfunction1
 & su* individuals1 among provid]s 9 !  
project4  7d7 ,use ( funds ,a qualifi$  
entity t receives a grant "u ?is section
 may use ! grant funds to provide-- 7#a7
 cognitive heal? scre5+s2  7#b7 family  
consultations & o!r c>e consultations2  
7#c7 education2  7#d7 family c>egiv]    
support gr\ps2  7#e7 conv]sation gr\ps =
 individuals ) ,alzheim]'s disease or a 
relat$ disord] ) neurological & organic 
bra9 dysfunction2  7#f7 specializ$      
b]eavem5t s]vices2  7#g7 ongo+ support  
by phone or p]son-to-p]son conf]5c+2    

7#h7 insurance support2 &  7#i7 social &
 cultural activities4  7e7 ,outcome data
 ,a qualifi$ entity t receives a grant  
"u ?is section = a project %all-- 7#a7  
on ! date ( ! enrollm5t ( ! family      
c>egiv] ( an individual ) ,alzheim]'s   
disease or a relat$ disord] )           
neurological & organic bra9 dysfunction1
 & su* individual1 9 ! project1 notify !
 ,adm9i/rator ( ! ,c5t]s = ,m$ic>e      
,m$icaid ,s]vices ( ! enrollm5t & reque/
 t ! ,adm9i/rator s5d to ! ,assi/ant    
,secret>y-- 7,a7 an e/imat$ am\nt on an 
indicator consi/+ ( ! paym5ts made by ! 
,c5t]s1 ?r\gh programs "u ! jurisdiction
 ( ! ,c5t]s1 on behalf ( ! c>egiv] &    
individual dur+ ! la/ full fiscal ye>   
prec$+ ! enrollm5t2 &  7,b7 n lat] ?an  
#fj days aft] ea* fiscal ye> = :i* !    
c>egiv] & individual are enroll$ 9 !    
project1 a calculat$ am\nt on t paym5t  
indicator = t fiscal ye>2  7#b7 7,a7    
submit to ! ,assi/ant ,secret>y1 aft] ! 
fir/ appo9tm5ts ( ! family c>egiv] ( an 
individual ) ,alzheim]'s disease or a   

relat$ disord] ) neurological & organic 
bra9 dysfunction1 & ! individual1 ) !   
project1 initial data on heal?          
indicators ( ! c>egiv] & individual     
consi/+ (-- 7i7 *ole/]ol levels2  7ii7  
body mass index2  7iii7 weight2  7iv7   
glucose levels2  7v7 self-report$ data1 
includ+ data on emotional /ress1        
physical /ra91 lonel9ess1 & feel+s (    
isolation2 &  7vi7 su* o!r heal?        
indicators z ! ,assi/ant ,secret>y may  
e/abli%2 &  7,b7 submit to ! ,assi/ant  
,secret>y1 n lat] ?an #fj days aft] ea* 
fiscal ye> = :i* ! c>egiv] & individual 
are s enroll$1 subsequ5t data on ! heal?
 indicators4  7f7 ,report ,n lat] ?an   
#abj days aft] ea* su* fiscal ye>1 !    
,assi/ant ,secret>y %all prep>e & submit
 to ! ,committee on ,heal?1 ,education1 
,labor1 & ,p5sions ( ! ,s5ate1 !        
,special ,committee on ,ag+ ( ! ,s5ate1 
! ,committee on ,education & ,work=ce ( 
! ,h\se ( ,repres5tatives1 ! ,committee 
on ,en]gy & ,comm]ce ( ! ,h\se (        
,repres5tatives1 & ! ,adm9i/rator ( !   

,c5t]s = ,m$ic>e  ,m$icaid ,s]vices1 a  
report conta9+ in=mation on ! outcome   
data collect$ "u subsection 7e71 includ+
 ! diff]5ces betwe5 ! e/imat$ &         
calculat$ am\nts on ! paym5t indicators 
report$ "u subsection 7e77#a7 & !       
diff]5ces betwe5 ! initial & subsequ5t  
data on ! heal? indicators report$ "u   
subsection 7e77#b74  7g7 ,adm9i/ration  
,! ,assi/ant ,secret>y %all "w ) !      
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices to develop ! indicator
 describ$ 9 subsection 7e77#a71 & means 
( collect+ data on t indicator4  4