I 

117TH CONGRESS 

1ST SESSION H. R. 2999 

To award grants for the recruitment, retention, and advancement of direct 

care workers. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 4, 2021 

Mr. SCOTT of Virginia (for himself, Ms. WILD, and Mrs. LEE of Nevada) introduced the following bill; which was referred to the Committee on Education and Labor, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in 

each case for consideration of such provisions as fall within the jurisdiction of the committee concerned 

A BILL 

To award grants for the recruitment, retention, and 

advancement of direct care workers. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Direct Creation, Ad5 vancement, and Retention of Employment Opportunity 

6 Act’’ or the ‘‘Direct CARE Opportunity Act’’. 

7 SEC. 2. FINDINGS. 

8 Congress finds the following: 


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1 (1) Nearly 20,000,000 adults in the United 

2 States require assistance completing self-care and 

3 other daily tasks due to physical, cognitive, develop4 mental, or behavioral conditions. This number in5 cludes about 17,000,000 individuals living in the 

6 community, 1,500,000 residing in nursing homes, 

7 and nearly 1,000,000 in residential care. The num8 ber of people needing this type of assistance is ex9 pected to rise as the percentage of the population 

10 that is over age 65 increases dramatically in the 

11 coming decades. 

12 (2) The assistance of direct care workers allows 

13 older individuals and individuals with disabilities to 

14 live with dignity and safety, and to exercise their 

15 right to live independently in their own homes and 

16 communities, in keeping with what is most appro17 priate for their needs and preferences. Older individ18 uals and individuals with disabilities may also par19 ticipate in the direct care workforce, further sup20 porting their ability to live independently. 

21 (3) According to PHI, direct care workers pro22 vide most of the paid, hands-on care for older indi23 viduals and individuals with disabilities. 

24 (4) From 2014 to 2024, home care occupations 

25 are projected to add more jobs than any other single 


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1 occupation, with an additional 633,100 new jobs. 

2 Home care is also among the top 10 fastest-growing 

3 occupations, and with the projected growth in the 

4 population over age 65, this may underestimate the 

5 number of home care workers that will be needed to 

6 provide care for this growing population. 

7 (5) Many direct care workers lack access to a 

8 career pathway or advanced training opportunities. 

9 This limits their ability to build competency and ex10 pertise in their field that, when gained, may lead to 

11 an increase in their earning capacity. According to 

12 PHI, more than half of home care workers have 

13 completed no formal education beyond high school, 

14 making high-quality, transferable training essential 

15 to success on the job. 

16 (6) As of 2018, the median wage for direct care 

17 workers is $12.27 per hour and wages and earnings 

18 for home care workers are even lower in rural areas. 

19 Because of low wages, variable work hours, and the 

20 inability to access workplace-based benefits, 44 per21 cent of such workers live in low-income households, 

22 and 15 percent of the workers from such households 

23 live below the poverty line. Nearly half of direct care 

24 workers rely on some form of public assistance to 

25 support themselves and their families. 


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1 (7) According to PHI, the direct care workforce 

2 is primarily comprised of low income women and 

3 people of color. Approximately 9 in 10 direct care 

4 workers are women, more than half are women of 

5 color, and one quarter of direct care workers are im6 migrants. 

7 (8) The direct care workforce is plagued with 

8 high turnover, low job satisfaction, and workforce 

9 shortages. These conditions can contribute to re10 duced quality of care and threaten the availability of 

11 supports for older individuals and individuals with 

12 disabilities. 

13 (9) Because of the nature of the work, direct 

14 care workers suffer from disproportionately high 

15 rates of injury. In 2016, the injury rate for nursing 

16 assistants was 337 per 10,000 as compared to 100 

17 per 10,000 for other occupations. 

18 (10) Training has been shown to reduce worker 

19 turnover, reduce rates of injury, and lead to in20 creased job satisfaction. 

21 (11) The Institute of Medicine found that to 

22 ensure that the United States is prepared to meet 

23 the health care needs of older individuals during the 

24 21st century, it is essential that the capacity of the 

25 direct care workforce be enhanced in both the numVerDate Sep 11 2014 23:37 Jun 18, 2021 Jkt 019200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H2999.IH H2999

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1 ber of workers available and their ability to meet 

2 their own health care and quality of life needs. 

3 SEC. 3. DEFINITIONS. 

4 In this Act: 

5 (1) APPRENTICESHIP PROGRAM.—The term 

6 ‘‘apprenticeship program’’ means an apprenticeship 

7 program registered under the Act of August 16, 

8 1937 (commonly known as the ‘‘National Appren9 ticeship Act’’; 50 Stat. 664, chapter 663; 29 U.S.C. 

10 50 et seq.), including any requirement, standard, or 

11 rule promulgated under such Act, as such require12 ment, standard, or rule was in effect on January 1, 

13 2020. 

14 (2) DIRECT CARE WORKER.—The term ‘‘direct 

15 care worker’’ has the meaning given the term in sec16 tion 799B of the Public Health Service Act (42 

17 U.S.C. 295p). 

18 (3) ELIGIBLE ENTITY.—The term ‘‘eligible enti19 ty’’ means— 

20 (A) a State; 

21 (B) a nonprofit organization, a labor orga22 nization, a joint labor-management organiza23 tion, or an employer— 


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1 (i) with an established record of re2 cruiting or providing training to direct care 

3 workers; or 

4 (ii) that establishes a training pro5 gram in consultation with an organization 

6 with an established record of providing 

7 training to direct care workers; 

8 (C) a local board; 

9 (D) an entity carrying out an apprentice10 ship program; 

11 (E) an Indian tribe or tribal organization; 

12 or 

13 (F) a consortium of entities listed in sub14 paragraph (A), (B), (C), (D), or (E) that may 

15 also include an institution of higher education. 

16 (4) EMPLOY; EMPLOYER.—The terms ‘‘employ’’ 

17 and ‘‘employer’’ have the meanings given the terms 

18 in section 3 of the Fair Labor Standards Act (29 

19 U.S.C. 203 et seq.). 

20 (5) INDIAN TRIBE; TRIBAL ORGANIZATION.— 

21 The terms ‘‘Indian tribe’’ and ‘‘tribal organization’’ 

22 have the meanings given such terms in section 4 of 

23 the Indian Self-Determination and Education Assist24 ance Act (25 U.S.C. 5304). 


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1 (6) INSTITUTION OF HIGHER EDUCATION.—The 

2 term ‘‘institution of higher education’’ has the 

3 meaning given the term in section 101 of the Higher 

4 Education Act of 1965 (20 U.S.C. 1001). 

5 (7) PROJECT PARTICIPANT.—The term ‘‘project 

6 participant’’ means an individual participating in a 

7 project assisted with a grant under this Act, includ8 ing a direct care worker or an individual training to 

9 be such a worker. 

10 (8) SECRETARY.—The term ‘‘Secretary’’ means 

11 the Secretary of Labor, except as otherwise specified 

12 in this Act. 

13 (9) STATE.—The term ‘‘State’’ has the mean14 ing given the term in section 3 of the Carl D. Per15 kins Career and Technical Education Act of 2006 

16 (20 U.S.C. 2302). 

17 (10) SUPPORTIVE SERVICES.—The term ‘‘sup18 portive services’’ means services such as transpor19 tation, child care, dependent care, housing, and 

20 needs-related payments, that are necessary to enable 

21 an individual to participate in a project assisted with 

22 a grant under this Act. 

23 (11) WORKFORCE INNOVATION AND OPPOR24 TUNITY ACT TERMS.—The terms ‘‘career pathway’’, 

25 ‘‘career planning’’, ‘‘in-demand industry sector or 


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1 occupation’’, ‘‘individual with a barrier to employ2 ment’’, ‘‘individual with a disability’’, ‘‘local board’’, 

3 ‘‘older individual’’, ‘‘one-stop center’’, ‘‘on-the-job 

4 training’’, ‘‘recognized postsecondary credential’’, 

5 ‘‘region’’, and ‘‘State board’’ have the meanings 

6 given such terms in section 3 of the Workforce Inno7 vation and Opportunity Act (29 U.S.C. 3102). 

8 (12) WORK-BASED LEARNING.—The term 

9 ‘‘work-based learning’’ has the meaning given the 

10 term in section 3 of the Carl D. Perkins Career and 

11 Technical Education Act of 2006 (20 U.S.C. 2302). 

12 SEC. 4. AUTHORITY TO AWARD GRANTS; DURATION. 

13 (a) AUTHORITY TO AWARD GRANTS.— 

14 (1) IN GENERAL.—Not later than 12 months 

15 after the date of enactment of this Act, the Sec16 retary, in consultation with the Secretary of Health 

17 and Human Services, shall award grants to eligible 

18 entities to develop and carry out projects for pur19 poses of recruiting, retaining, or providing advance20 ment opportunities to direct care workers. 

21 (2) PROJECTS FOR ADVANCEMENT OPPORTUNI22 TIES.—Not less than 30 percent of projects assisted 

23 with grants under this Act for a fiscal year shall be 

24 projects to provide advancement opportunities to di25 rect care workers. 


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1 (b) TREATMENT OF CONTINUATION ACTIVITIES.— 

2 An eligible entity that carries out activities for purposes 

3 of recruiting, retaining, or providing advancement oppor4 tunities to direct care workers prior to receipt of a grant 

5 under this Act may use such grant to continue carrying 

6 out such activities, and shall be treated as an eligible enti7 ty carrying out a project described in subsection (a)(1). 

8 (c) DURATION.—A grant under this Act shall be for 

9 not less than 5 years. 

10 SEC. 5. PROJECT PLANS; CONSULTATION. 

11 (a) PROJECT PLANS.— 

12 (1) IN GENERAL.—To receive a grant under 

13 this Act, an eligible entity shall submit to the Sec14 retary a project plan for each project to be developed 

15 and carried out (or for activities to be continued) 

16 with the grant at such time and in such manner as 

17 the Secretary may determine, and which shall con18 tain the information described in paragraph (2). 

19 (2) CONTENTS.—A project plan submitted by 

20 an eligible entity under paragraph (1) shall include 

21 a description of each of the following: 

22 (A) Demographic information regarding 

23 the population in the State or relevant geo24 graphic area, including a description of the pop25 ulations likely to need long-term care services, 


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1 such as people with significant disabilities and 

2 the aging population. 

3 (B) Projections of unmet need for direct 

4 care services based on enrollment waiting lists 

5 under home and community-based waivers 

6 under section 1115 of the Social Security Act 

7 (42 U.S.C. 1315) or section 1915(c) of such 

8 Act (42 U.S.C. 1396n(c)) and other relevant 

9 data to the extent practicable and feasible. 

10 (C) Current or projected job openings for, 

11 or relevant labor market information related to, 

12 direct care workers in the State or region to be 

13 served by the project, and the geographic scope 

14 of the workforce to be served by the project. 

15 (D) Specific efforts and strategies that the 

16 project will undertake to reduce barriers to re17 cruitment, retention, or advancement of direct 

18 care workers, including an assurance that such 

19 efforts and strategies will— 

20 (i) be undertaken in consultation with 

21 the individuals served by the entities de22 scribed in subsection (b); and 

23 (ii) include— 

24 (I) an assessment of the wages or 

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1 essary to recruit and retain direct 

2 care workers; and 

3 (II) a description of the project’s 

4 projected wages and other compensa5 tion or benefits for direct care work6 ers at the State or local level, includ7 ing a comparison of such projected 

8 wages to regional and national wages. 

9 (E) In the case of a project offering an 

10 education and training program, a description 

11 of such program (including any curricula, mod12 els, and standards used under the program, and 

13 any associated recognized postsecondary creden14 tials for which the program provides prepara15 tion, as applicable), which shall include an as16 surance that such program will provide to each 

17 project participant in such program— 

18 (i) relevant training regarding the 

19 rights of recipients of direct care services, 

20 including their rights to— 

21 (I) receive services in the most 

22 integrated setting; 

23 (II) exercise self-determination; 

24 and 


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1 (III) be free from physical, sex2 ual, and financial abuse; 

3 (ii) relevant training regarding the 

4 provision of culturally competent services 

5 to recipients of direct care; 

6 (iii) an apprenticeship program, work7 based learning, or on-the-job training op8 portunities; 

9 (iv) supervision or mentoring; and 

10 (v) for the on-the-job training portion 

11 of the program, a progressively increasing, 

12 clearly defined schedule of wages to be 

13 paid to each such participant that— 

14 (I) is consistent with skill gains 

15 or attainment of a recognized postsec16 ondary credential received as a result 

17 of participation in or completion of 

18 such program; and 

19 (II) ensures the entry wage is not 

20 less than the greater of— 

21 (aa) the minimum wage re22 quired under section 6(a) of the 

23 Fair Labor Standards Act of 

24 1938 (29 U.S.C. 206(a)); or 


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1 (bb) the applicable wage re2 quired by other applicable Fed3 eral or State law, or a collective 

4 bargaining agreement. 

5 (F) If applicable, any other innovative 

6 models or processes the eligible entity will im7 plement to support the retention and career ad8 vancement of direct care workers. 

9 (G) The supportive services and benefits to 

10 be provided to project participants to support 

11 the retention and career advancement of em12 ployment of direct care workers. 

13 (H) How the eligible entity will make use 

14 of career planning to support the identification 

15 of advancement opportunities and career path16 ways for direct care workers in the State or re17 gion to be served by the project. 

18 (I) How the eligible entity will collect and 

19 submit to the Secretary workforce data and 

20 outcomes of the project. 

21 (J) How the project will provide adequate 

22 and safe equipment, and facilities for training 

23 and supervision, which— 

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1 essary equipment to prevent the spread of 

2 infectious disease among workers and re3 cipients of services; and 

4 (ii) will include— 

5 (I) a safe work environment free 

6 from discrimination; and 

7 (II) adequate training for men8 tors and qualified instructors to en9 sure compliance with this subpara10 graph, including any equipment that 

11 may be provided under clause (i). 

12 (K) How the eligible entity will consult on 

13 the implementation of the project, or coordinate 

14 the project with, the entities described in sub15 section (b). 

16 (L) An assurance that the eligible entity 

17 will take such steps necessary to reduce or 

18 eliminate costs to project participants for any 

19 benefit or service provided under the project. 

20 (M) How the eligible entity will consult 

21 with individuals employed as direct care work22 ers, representatives of such workers, individuals 

23 assisted by such workers, and the families of 

24 such individuals throughout the project. 


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1 (N) Outreach efforts to individuals for par2 ticipation in such project, including targeted 

3 outreach efforts to— 

4 (i) individuals who are recipients of 

5 assistance under a State program funded 

6 under part A of title IV of the Social Secu7 rity Act (42 U.S.C. 601 et seq.) or individ8 uals who are eligible for such assistance; 

9 and 

10 (ii) individuals with barriers to em11 ployment. 

12 (3) CONSIDERATIONS.—In selecting eligible en13 tities to receive a grant under this Act, the Secretary 

14 shall— 

15 (A) ensure— 

16 (i) equitable geographic and demo17 graphic diversity, including among rural 

18 and urban areas; and 

19 (ii) that selected eligible entities will 

20 serve areas where direct care, or a related 

21 occupation, is an in-demand industry sec22 tor or occupation; and 

23 (B) give priority to eligible entities pro24 posing to predominantly serve the individuals 


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1 described in clauses (i) and (ii) of paragraph 

2 (2)(N). 

3 (b) CONSULTATION.—Each eligible entity receiving a 

4 grant under this Act shall consult on the implementation 

5 of each project assisted with such grant, or coordinate the 

6 project with— 

7 (1) each applicable State board or local board; 

8 and 

9 (2) to the extent practicable— 

10 (A) institutions of higher education in the 

11 State or local areas to be served by the project; 

12 (B) the State Apprenticeship Agency rec13 ognized under the Act of August 16, 1937 

14 (commonly known as the ‘‘National Apprentice15 ship Act’’; 50 Stat. 664, chapter 663; 29 

16 U.S.C. 50 et seq.), for the State or region to be 

17 served by the eligible entity or, if no such agen18 cy has been recognized in the State or region, 

19 the Office of Apprenticeship of the Department 

20 of Labor; 

21 (C) one-stop centers in the State or local 

22 areas to be served by the project; 

23 (D) the State agency responsible for ad24 ministering the State plan under title XIX of 

25 the Social Security Act (42 U.S.C. 1396 et 


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1 seq.) (or waiver of the plan), or the State agen2 cy with primary responsibility for providing 

3 services and supports for individuals with intel4 lectual disabilities and individuals with develop5 mental disabilities; 

6 (E) in the case of a project that carries out 

7 an education and training program, a nonprofit 

8 organization with demonstrated experience in 

9 the development or delivery of curricula or 

10 coursework; 

11 (F) an organization that fosters the profes12 sional development and collective engagement of 

13 direct care workers, including labor organiza14 tions or joint labor-management organizations; 

15 (G) a nonprofit organization with expertise 

16 in identifying and addressing the care needs of 

17 older individuals and individuals with disabil18 ities and their caregivers (including area agen19 cies on aging, as defined in section 102 of the 

20 Older Americans Act of 1965 (42 U.S.C. 3002), 

21 and centers for independent living, as described 

22 in part C of title VII of the Rehabilitation Act 

23 of 1973 (29 U.S.C. 796f et seq.)); 

24 (H) the State Developmental Disability 

25 Council (as such term is used in subtitle B of 


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1 title I of the Developmental Disabilities Assist2 ance and Bill of Rights Act of 2000 (42 U.S.C. 

3 15021 et seq.); 

4 (I) Aging and Disability Resource Centers 

5 (as defined in section 102 of the Older Ameri6 cans Act of 1965 (42 U.S.C. 3002)); 

7 (J) a nonprofit State provider association 

8 that represents providers who employ direct 

9 care workers, where such associations exist; and 

10 (K) an entity that employs direct care 

11 workers. 

12 SEC. 6. USES OF FUNDS; SUPPLEMENT, NOT SUPPLANT. 

13 (a) USES OF FUNDS.— 

14 (1) IN GENERAL.—Each eligible entity receiving 

15 a grant under this Act shall use such funds to carry 

16 out at least 1 project or to continue activities com17 menced prior to receipt of such grant that— 

18 (A) develop and implement a strategy for 

19 the recruitment, retention, or advancement of 

20 direct care workers, which includes the activi21 ties described in section 5(a)(2); and 

22 (B) provide compensation to each project 

23 participant for any training received under the 

24 project or activities. 


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1 (2) ADMINISTRATIVE COSTS.—Each eligible en2 tity receiving a grant under this Act shall not use 

3 more than 5 percent of the funds of such grant for 

4 costs associated with the administration of activities 

5 under this Act. 

6 (3) DIRECT SUPPORT.—Each eligible entity re7 ceiving a grant under this Act shall use not less than 

8 5 percent of the funds of such grant to provide di9 rect financial assistance, such as supportive services, 

10 to project participants to support the financial needs 

11 of such individuals to enter, remain enrolled in, and 

12 complete the project (or activities) assisted with such 

13 grant. 

14 (b) SUPPLEMENT, NOT SUPPLANT.—An eligible enti15 ty receiving a grant under this Act shall use such grant 

16 only to supplement, and not supplant, the amount of funds 

17 that, in the absence of such grant, would be available to 

18 address the recruitment, retention, or advancement of di19 rect care workers in the State or region served by the eligi20 ble entity. 

21 SEC. 7. EVALUATIONS AND REPORTS. 

22 (a) REPORTS.— 

23 (1) ELIGIBLE ENTITIES.— 

24 (A) IN GENERAL.—Each eligible entity re25 ceiving a grant under this Act shall submit to 


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1 the Secretary and the Secretary of Health and 

2 Human Services, with respect to each project 

3 assisted with such grant— 

4 (i) for each year of the grant period, 

5 an annual report on the progress and out6 comes of the project; and 

7 (ii) not later 6 months after the com8 pletion of such project, a final report on 

9 the progress and outcomes of the project. 

10 (B) DISAGGREGATION.—Each report sub11 mitted under paragraph (A) shall— 

12 (i) include the information described 

13 in subparagraph (C); and 

14 (ii) disaggregate such information in 

15 the manner described in subparagraph 

16 (D). 

17 (C) CONTENTS.—Each report submitted 

18 under subparagraph (A) shall include each of 

19 the following: 

20 (i) The number of project partici21 pants, including— 

22 (I) the number of such partici23 pants who completed an education 

24 and training program offered by such 

25 project, disaggregated by the type of 


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1 education and training completed (in2 cluding work-based learning, on-the3 job training, an apprenticeship pro4 gram, and a professional development 

5 or mentoring program); and 

6 (II) the number of such partici7 pants who— 

8 (aa) completed an education 

9 and training program offered by 

10 such project; and 

11 (bb) attained employment as 

12 a direct care worker after partici13 pating in such project. 

14 (ii) The number of individuals or fam15 ilies assisted by project participants. 

16 (iii) Other services, benefits, or sup17 ports (other than the services, benefits, or 

18 supports described in clause (i)) provided 

19 to assist in the recruitment, retention, or 

20 advancement of direct care workers, the 

21 number of individuals who accessed such 

22 services, benefits, or supports, and the im23 pact of such services, benefits, or supports. 

24 (iv) How the project assessed satisfac25 tion with respect to— 


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1 (I) project participants assisted 

2 by the project; 

3 (II) individuals receiving services 

4 delivered by project participants, in5 cluding— 

6 (aa) any impact on the 

7 health or health outcomes of such 

8 individuals; and 

9 (bb) any impact on the abil10 ity of individuals to transition to 

11 or remain in the community in 

12 an environment that meets the 

13 criteria established in the section 

14 441.301(c)(4) of title 42, Code of 

15 Federal Regulations (or successor 

16 regulations); and 

17 (III) employers of such project 

18 participants, as determined in accord19 ance with section 116(b)(2)(A)(i)(VI) 

20 of the Workforce Innovation and Op21 portunity Act (29 U.S.C. 

22 3141(b)(2)(A)(i)(VI)). 

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1 dian earnings, credential attainment, meas2 urable skill gains, and employer satisfac3 tion, as described under section 

4 116(b)(2)(A)(i) of the Workforce Innova5 tion and Opportunity Act (29 U.S.C. 

6 3141(b)(2)(A)(i)). 

7 (vi) Any other information with re8 spect to outcomes of the project, including 

9 outcomes related to cost savings achieved 

10 by the project based on increased access to 

11 an environment described in clause 

12 (v)(II)(bb) and cost savings related to re13 duced emergency care or hospitalizations. 

14 (D) DISAGGREGATION.—The information 

15 described under subparagraph (C) shall be 

16 disaggregated by race, ethnicity, sex, and age in 

17 accordance with section 116(d)(2)(B) of the 

18 Workforce Innovation and Opportunity Act (29 

19 U.S.C. 3141(d)(2)), by each population listed in 

20 section 3(24) of the Workforce Innovation and 

21 Opportunity Act (29 U.S.C. 3102(24)), and by 

22 the individuals described in clauses (i) and (ii) 

23 of section 5(a)(2)(N). 

24 (2) REVIEW AND REPORTS.— 


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1 (A) ANNUAL PERFORMANCE REVIEW.— 

2 The Secretary shall annually conduct a per3 formance review of each project carried out by 

4 an eligible entity receiving a grant under this 

5 Act, including— 

6 (i) the performance of the project with 

7 respect to the indicators of performance 

8 described in paragraph (1)(C)(vi), and 

9 disaggregated in the manner described in 

10 paragraph (1)(D); and 

11 (ii) the efficacy of the project plan 

12 submitted under section 5(a)— 

13 (I) for recruiting, retaining, or 

14 providing advancement opportunities 

15 for direct care workers; and 

16 (II) on the methods used to re17 cruit, retain, or provide advancement 

18 opportunities to direct care workers. 

19 (B) REPORT TO CONGRESS.—Not later 

20 than 1 year after the completion of each project 

21 assisted with a grant under this Act, the Sec22 retary shall prepare and submit to Congress, 

23 and make publicly available, a report con24 taining— 


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1 (i) the progress and outcomes of the 

2 project as identified in the final report sub3 mitted by the eligible entity under para4 graph (1)(A)(ii); 

5 (ii) an analysis of the workforce sup6 ply, current and projected shortages, and 

7 distribution of direct care workers at the 

8 national, regional, and State levels; and 

9 (iii) recommendations for such legisla10 tive or administrative action, as the Sec11 retary determines appropriate. 

12 (3) GAO REPORT.—Not later than 1 year after 

13 the completion of each project assisted with a grant 

14 under this Act, the Comptroller General of the 

15 United States shall conduct a study and submit to 

16 Congress a report including— 

17 (A) an assessment of how the project as18 sisted in the recruitment, retention, or advance19 ment of direct care workers; and 

20 (B) recommendations for such legislative 

21 or administrative actions, as the Comptroller 

22 General determines appropriate. 

23 (b) TECHNICAL ASSISTANCE.—Not later than 5 

24 months after the date of enactment of this Act, the Sec25 retary shall provide technical assistance to eligible entities 


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1 receiving a grant under this Act, for purposes of compli2 ance with subsection (a)(1) of this section, on— 

3 (1) the disaggregation requirements of section 

4 116(d)(2)(B) of the Workforce Innovation and Op5 portunity Act (29 U.S.C. 3141(d)(2)); and 

6 (2) the data collection requirements of section 

7 116(b)(2)(A)(i) of such Act (29 U.S.C. 

8 3141(b)(2)(A)(i)). 

9 SEC. 8. AUTHORIZATION OF APPROPRIATIONS. 

10 There are authorized to be appropriated 

11 $300,000,000 to carry out this Act for each of fiscal years 

12 2022 through 2027. 

Æ 


pbinns on DSKJLVW7X2PROD with BILLS