IV 
112TH CONGRESS 
2D SESSION 
H. RES. 759 
Expressing the sense of the House of Representatives that supporting seniors 
and individuals with disabilities is an important responsibility of the 
United States, and that a comprehensive approach to expanding and 
supporting a strong home care workforce and making long-term services 
and supports affordable and accessible in communities is necessary to 
uphold the right of seniors and individuals with disabilities in the United 
States to a dignified quality of life. 
IN THE HOUSE OF REPRESENTATIVES 
AUGUST 2, 2012 
Ms. SCHAKOWSKY (for herself, Mr. GEORGE MILLER of California, Ms. MAT-
SUI, Ms. LINDA T. SA´NCHEZ of California, and Mr. GUTIERREZ) sub-
mitted the following resolution; which was referred to the Committee on 
Energy and Commerce 
RESOLUTION 
Expressing the sense of the House of Representatives that 
supporting seniors and individuals with disabilities is an 
important responsibility of the United States, and that 
a comprehensive approach to expanding and supporting 
a strong home care workforce and making long-term 
services and supports affordable and accessible in com-
munities is necessary to uphold the right of seniors and 
individuals with disabilities in the United States to a 
dignified quality of life. 
Whereas the aging of the baby boom generation will cause 
the number of individuals in the United States who are 
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•HRES 759 IH 
65 years of age or older to increase from 40,000,000 to 
70,000,000 during the next 2 decades; 
Whereas 12,000,000 adults, nearly half of whom are under 
65 years of age, need long-term services and supports 
due to functional limitations; 
Whereas the decision of the Supreme Court in Olmstead v. 
L.C., 527 U.S. 581 (1999), mandates the end of unnec-
essary segregation of individuals with disabilities in insti-
tutions, and requires that individuals with disabilities re-
ceive services in the most integrated setting appropriate 
to their needs; 
Whereas the vast majority of individuals in the United States 
prefer to receive long-term services and supports in their 
homes so that they may continue to live independently 
and with dignity; 
Whereas the costs of long-term services and supports for sen-
iors and individuals with disabilities are high; 
Whereas the great expense of long-term services and supports 
can affect all individuals, regardless of income; 
Whereas 70 percent of individuals who are 65 years of age 
or older will need some form of long-term services and 
supports; 
Whereas the number of individuals who need long-term serv-
ices and supports is projected to grow from 12,000,000 
to 27,000,000 by 2050; 
Whereas there are approximately 3,000,000 workers in the 
direct care workforce, leaving a huge gap between the 
services needed and the size of the current workforce; 
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•HRES 759 IH 
Whereas the United States is experiencing a jobs crisis, as 
25,000,000 individuals are unemployed or under-
employed; 
Whereas home care is one of the fastest growing industries 
in the United States economy, providing critical daily 
care, services, and supports to millions of individuals and 
families across the country; 
Whereas an estimated 1,800,000 additional home care work-
ers will be needed during the next decade to serve the 
growing population of seniors and individuals with dis-
abilities; 
Whereas the quality of home care jobs is poor, with low 
wages, few benefits, high turnover, and a high level of job 
stress and hazards; 
Whereas home care and personal assistance workers earn a 
median hourly wage of $9.40, and nearly half of such 
workers live in households that also rely on public assist-
ance; 
Whereas approximately 58 percent of home care workers 
work part-time, and approximately 40 percent of those 
part-time workers would prefer to work more hours; 
Whereas nearly 23 percent of the individuals who provide 
home care services were born outside the United States; 
Whereas a stabilized home care workforce would lead to im-
proved continuity and quality of long-term services and 
supports; 
Whereas the issue of long-term services and supports is a 
critical issue for women, as 70 percent of individuals who 
need such care are women 65 years of age or older, 90 
percent of paid caregivers are women, and 85 percent of 
family members and friends who informally provide care 
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are women who often have to leave the paid workforce to 
provide such care, and thus are at a financial disadvan-
tage during their working years and face a reduction in 
Social Security benefits when they retire; and 
Whereas a comprehensive approach that focuses on job cre-
ation and job quality, workforce training, pathways to 
citizenship and career advancement, and support for indi-
viduals and families is necessary to build a strong home 
care workforce and make quality long-term services and 
supports affordable and accessible for all individuals in 
the United States: Now, therefore, be it 
Resolved, That it is the sense of the House of Rep-
resentatives that a comprehensive approach to expanding 
and supporting a strong home care workforce and making 
long-term services and supports affordable and accessible 
in communities is necessary to uphold the right of seniors 
and individuals with disabilities in the United States to 
a dignified quality of life. 
Æ 
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