(42 U.S.C. 1437g(d)) is amended by adding at the end 
the following new paragraph: 
‘‘(4) LOAN GUARANTEES.— 
‘‘(A) AUTHORITY.—The Secretary may, 
upon such terms and conditions as the Sec-
retary may prescribe, guarantee and make com-
mitments to guarantee notes or other obliga-
tions issued by public housing agencies for the 
purposes of financing— 
‘‘(i) the rehabilitation of public hous-
ing owned by the agency; or 
‘‘(ii) the modernization, through en-
ergy efficiency improvements, of public 
housing units owned by the agency. 
‘‘(B) LIMITATION.—A guarantee under 
this paragraph may be used to assist a public 
housing agency in obtaining financing only if 
the housing agency provides evidence sufficient, 
in the determination of the Secretary, to dem-
onstrate that— 
‘‘(i) it is not able to finance the im-
provements without such a guarantee; or 
‘‘(ii) the use of such a guarantee will 
result in substantially lower financing costs 
or interest rate. 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00076
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
‘‘(C) TERMS.—Notes or other obligations 
guaranteed pursuant to this section shall be in 
such form and denominations, have such matu-
rities, and be subject to such conditions as may 
be prescribed by regulations issued by the Sec-
retary. The term of such loan guarantee shall 
not exceed 20 years. 
‘‘(D) USE OF CAPITAL FUNDS.—Funds al-
located to an issuer pursuant to section 9(d) 
may be used for payment of principal and inter-
est due (including such servicing, underwriting, 
or other costs as may be specified in regulations 
of the Secretary) on notes or other obligations 
guaranteed pursuant to this paragraph. 
‘‘(E) REPAYMENT.— 
‘‘(i) CONTRACT; PLEDGE.—To ensure 
the repayment of notes or other obligations 
guaranteed under this paragraph and 
charges incurred under this paragraph and 
as a condition for receiving such guaran-
tees, the Secretary shall require the issuer 
of any such note or obligation to— 
‘‘(I) enter into a contract, in a 
form acceptable to the Secretary, for 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00077
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
repayment of notes or other obliga-
tions so guaranteed; and 
‘‘(II) pledge any grant or alloca-
tion for which the issuer is or may be-
come eligible under this Act for the 
repayment of notes or other obliga-
tions so guaranteed. 
‘‘(ii) CREDITING
OF
GRANTS.—The 
Secretary may, notwithstanding any other 
provision of this Act, apply grants pledged 
pursuant to clause (i)(II) of this subpara-
graph to any repayments due the United 
States as a result of such guarantees. 
‘‘(F) FULL FAITH AND CREDIT.—The full 
faith and credit of the United States is pledged 
to the payment of all guarantees made under 
this paragraph. Any such guarantee made by 
the Secretary shall be conclusive evidence of the 
eligibility of the obligations for such guarantee 
with respect to principal and interest, and the 
validity of any such guarantee so made shall be 
incontestable in the hands of a holder of the 
guaranteed obligations. 
‘‘(G) AMOUNT.—Subject only to the ab-
sence of qualified requests for guarantees and 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00078
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
to the availability of amounts to cover the costs 
(as such term is defined in section 502 of the 
Federal Credit Reform Act of 1990 (2 U.S.C. 
661a)), as are provided in advance in appro-
priation Acts, the Secretary shall enter into 
commitments to guarantee notes and obliga-
tions under this paragraph having an aggregate 
principal amount of $500,000,000 each for fis-
cal years 2011, 2012, and 2013.’’. 
(b) UTILITY AND WASTE MANAGEMENT COST SAV-
INGS.—Subparagraph (C) of section 9(e)(2) of the United 
States Housing Act of 1937 (42 U.S.C. 1437g(e)(2)(C)) 
is amended— 
(1) by striking the subparagraph designation 
and heading and all that follows through ‘‘Contracts 
described in clause (i)’’ in clause (ii) and inserting 
the following: 
‘‘(C) TREATMENT OF UTILITY AND WASTE 
MANAGEMENT COST SAVINGS.— 
‘‘(i) IN GENERAL.—The treatment of 
utility and waste management costs under 
the formula shall provide that a public 
housing agency shall receive the full finan-
cial benefit from any reduction in the cost 
of utilities or waste management resulting 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00079
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
from energy conservation improvements in 
one or more of its public housing projects, 
subject to the following: 
‘‘(I) 
THIRD
PARTY
CON-
TRACTS.—In the case of energy con-
servation 
improvements 
in 
public 
housing undertaken pursuant to a 
contract with a third party, such con-
tracts’’; 
(2) in clauses (iii) and (iv), by striking ‘‘clause 
(i)’’ each place such term appears and inserting 
‘‘subclause (I)’’; 
(3) in clause (iv), by striking ‘‘the date of the 
enactment of this clause’’ and inserting ‘‘December 
26, 2007,’’; 
(4) by redesignating clauses (iii) and (iv) as 
subclauses (II) and (III), respectively, and realigning 
such subclauses, as so redesignated, so as to be in-
dented 8 ems from the left margin; and 
(5) by adding at the end the following new 
clauses: 
‘‘(ii) 
FINANCING
OF
IMPROVE-
MENTS.—Energy 
conservation 
improve-
ments may be undertaken pursuant to a 
contract for the improvements only, and 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00080
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
the public housing agency may finance 
such improvements for a period of up to 
20 years. A public housing agency may 
pledge operating assistance under this sub-
section as security for such financings in 
an amount not to exceed the lesser of— 
‘‘(I) the amount of the debt serv-
ice, plus such appropriate debt service 
coverage factor as the Secretary may 
establish; and 
‘‘(II) the amount of the reason-
ably anticipated utility cost savings 
resulting from the improvements, as 
determined by the Secretary. 
The Secretary may also permit the pledg-
ing of the installed equipment related to 
such improvements. 
‘‘(iii) FREEZE OF CONSUMPTION LEV-
ELS.— 
‘‘(I) IN
GENERAL.—A public 
housing agency may elect to be paid 
for its utility costs, including utility 
allowances, under the formula for a 
period, at the discretion of the agency, 
of not longer than 20 years based on 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00081
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
the agency’s average annual consump-
tion during the 3-years period pre-
ceding the year in which the election 
is made (in this clause referred to as 
the ‘consumption base level’. 
‘‘(II) INITIAL
ADJUSTMENTS
IN 
CONSUMPTION
BASE
LEVEL.—The 
Secretary shall make an initial one- 
time adjustment in the consumption 
base level to account for differences in 
the heating degree day average over 
the most recent 20-year period com-
pared to the average in the consump-
tion base level. 
‘‘(III) ONGOING
ADJUSTMENTS 
IN CONSUMPTION BASE LEVEL.—The 
Secretary shall make adjustments in 
the consumption base level to account 
for an increase or reduction in units, 
a change in fuel source, a change in 
resident-controlled 
electricity 
con-
sumption, or for such other reasons as 
the Secretary considers appropriate. 
‘‘(IV) THIRD PARTIES.—A public 
housing agency making an election 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00082
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
under subclause (I) may use, but shall 
not be required to use, the services of 
a third party in its energy conserva-
tion program. The agency shall have 
the sole discretion to determine the 
source, terms, and conditions of any 
financing used for its program.’’. 
(c) REQUIREMENTS FOR PROPERTIES WITH HOUS-
ING TAX CREDITS.—Section 9 of the United States Hous-
ing Act of 1937 (42 U.S.C. 1437g) is amended by adding 
at the end the following new subsection: 
‘‘(n) REQUIREMENTS FOR PROPERTIES WITH HOUS-
ING TAX CREDITS.—Public housing agencies that utilize 
tax credits under section 42 of the Internal Revenue Code 
of 1986 for rental housing units that are currently or for-
merly assisted under subsection (d) or (e) with respect to 
such units shall provide for— 
‘‘(1) an option for the public housing agency to 
purchase limited partnership interests in a property 
containing such units after the tax compliance pe-
riod under section 42; 
‘‘(2) a provision to give a public housing agency 
an active role in property management decisions of 
such housing; or 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00083
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
‘‘(3) such other provision or provisions as the 
Secretary may establish to ensure the preservation 
of the interest of the public housing agency in the 
property.’’. 
SEC. 303. CAPITAL FUND FLEXIBILITY. 
(a) NEW DEVELOPMENT FLEXIBILITY.—Subsection 
(g) of section 9 of the United States Housing Act of 1937 
(42 U.S.C. 1437g(g)) is amended by striking paragraph 
(3). 
(b) REHABILITATION FLEXIBILITY.—Subsection (d) 
of section 9 of the United States Housing Act of 1937 
(42 U.S.C. 1437g(d)) is amended by adding at the end 
the following new paragraph: 
‘‘(4) USE FOR UNITS NOT INCLUDED IN FOR-
MULA.—A public housing agency may use amounts 
provided under this subsection for the purposes 
specified in subparagraphs (A), (C), (I), and (K) of 
paragraph (1) for public housing dwelling units not 
included in the formula established pursuant to 
paragraph (2), but only if— 
‘‘(A) the agency agrees— 
‘‘(i) to continue to operate and main-
tain any housing assisted with such funds 
under the current terms and conditions for 
a period not shorter than the 30-year pe-
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00084
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
riod that begins on the latest date on 
which modernization using such amounts 
was completed; or 
‘‘(ii) to return any amounts provided 
under this paragraph to the Secretary; and 
‘‘(B) the agency certifies to the Secretary 
that dwelling units owned and operated by the 
public housing agency that are included in the 
formula established pursuant to paragraph (2) 
are being maintained and the funds amounts 
being used under this authority will not be 
needed for such maintenance.’’. 
SEC. 304. GRANTS FOR CONVERSION OF PUBLIC HOUSING 
PROJECTS TO ASSISTED LIVING FACILITIES. 
Title I of the United States Housing Act of 1937 (42 
U.S.C. 1437 et seq.) is amended by adding at the end 
the following new section: 
‘‘SEC. 37. GRANTS FOR CONVERSION OF PUBLIC HOUSING 
PROJECTS TO ASSISTED LIVING FACILITIES. 
‘‘(a) AUTHORITY.—The Secretary may make grants 
in accordance with this section to public housing agencies 
for use for activities designed to convert dwelling units in 
eligible projects described in subsection (b) to assisted liv-
ing facilities for elderly persons. 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00085
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
‘‘(b) ELIGIBLE PROJECTS.—An eligible project de-
scribed in this subsection is a public housing project (or 
a portion thereof) that has been designated under section 
7 for occupancy only by elderly persons. 
‘‘(c) APPLICATIONS.—Applications for grants under 
this section shall be submitted to the Secretary in accord-
ance with such procedures as the Secretary shall establish. 
Such applications shall contain— 
‘‘(1) a description of the proposed conversion 
activities for which a grant under this section is re-
quested; 
‘‘(2) a statement of the amount of the grant re-
quested; 
‘‘(3) a description of the resources that are ex-
pected to be made available, if any, in conjunction 
with the grant under this section; and 
‘‘(4) such other information or certifications 
that the Secretary determines to be necessary or ap-
propriate. 
‘‘(d) FUNDING FOR SERVICES.—The Secretary may 
not make a grant under this section unless the application 
contains sufficient evidence, in the determination of the 
Secretary, of firm commitments for the funding of services 
to be provided in the assisted living facility. 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00086
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
‘‘(e) SELECTION CRITERIA.—The Secretary shall se-
lect applications for grants under this section based upon 
selection criteria, which shall be established by the Sec-
retary and shall include— 
‘‘(1) the extent to which the conversion is likely 
to provide assisted living facilities that are needed or 
are expected to be needed by the categories of elder-
ly persons that the assisted living facility is intended 
to serve; 
‘‘(2) the extent to which the public housing 
agency is not able to fund the conversion activities 
from existing financial resources, as evidenced by 
the agency’s financial records; 
‘‘(3) the extent to which the agency has evi-
denced community support for the conversion, by 
such indicators as letters of support from the local 
community for the conversion and financial contribu-
tions from public and private sources; 
‘‘(4) the extent to which the applicant dem-
onstrates a strong commitment to promoting the au-
tonomy and independence of the elderly persons that 
the assisted living facility is intended to serve; 
‘‘(5) the quality, completeness, and managerial 
capability of providing the services which the as-
sisted living facility intends to provide to elderly 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00087
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
residents, especially in such areas as meals, 24-hour 
staffing, and on-site health care; and 
‘‘(6) such other criteria as the Secretary deter-
mines to be appropriate to ensure that funds made 
available under this section are used effectively. 
‘‘(f) DEFINITION.—For the purposes of this section, 
the term ‘assisted living facility’ has the meaning given 
such term in section 232(b) of the National Housing Act 
(12 U.S.C. 1715w(b)). 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated for providing grants 
under this section such sums as may be necessary for each 
of fiscal years 2011, 2012, 2013, 2014, and 2015.’’. 
TITLE IV—PILOT PROGRAM TO 
TRAIN 
PUBLIC 
HOUSING 
RESIDENTS 
TO 
PROVIDE 
HOME-BASED HEALTH SERV-
ICES 
SEC. 401. SHORT TITLE. 
This title may be cited as the ‘‘Together We Care 
Act of 2010’’. 
SEC. 402. FINDINGS AND PURPOSE. 
(a) FINDINGS.—The Congress finds the following: 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00088
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
(1) The ‘‘baby boom’’ generation will require 
health care attention that will exceed the current 
supply of health care providers. 
(2) There is a shortage of training programs 
specializing in health care and long-term services 
that focus on home care instead of institutionalized 
care. 
(3) Although the need for home-based health 
services transcends all income levels, the availability 
of such services is more limited for residents of pub-
lic housing. 
(4) 
Estimates 
indicate 
that 
there 
are 
44,000,000 caregivers in the United States pro-
viding unpaid care to at least one adult, representing 
22,900,000 households. 
(5) Of working persons providing unpaid care, 
62 percent have had to make adjustments to work 
schedules or leave employment. 
(6) Many low-income families in the United 
States are placed in an untenable position of choos-
ing between work and caregiving responsibilities at 
home. 
(7) Many residents of public housing in the 
United States are aging and in need of care. 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00089
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
(8) The Department of Housing and Urban De-
velopment estimates the percentage of households 
assisted by the Department that are elderly house-
holds is 35 percent in New York, 33 percent in Bos-
ton, 35 percent in Chicago, 24 percent in Cleveland, 
40 percent in Los Angeles, and 20 percent in Puerto 
Rico. 
(9) New service programs are needed to provide 
home-based health services to residents of public 
housing and to provide job training and job place-
ment for persons receiving assistance from the De-
partment of Housing and Urban Development need-
ing employment. 
(10) The Department of Housing and Urban 
Development should establish a home-based health 
services pilot program to meet the challenges of the 
increasing number of elderly persons and persons 
with disabilities in public housing, which would si-
multaneously create an opportunity to train job 
seekers in a trade that provides home-based health 
services. 
(b) PURPOSES.—The purposes of this title are— 
(1) to give flexibility to the Department of 
Housing and Urban Development and other entities 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00090
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
to establish training programs in home-based health 
services for public housing residents; and 
(2) to provide needed home care options to el-
derly and disabled public housing residents (includ-
ing elderly and disabled veterans who are public 
housing residents) and elderly and disabled residents 
of federally-assisted rental housing to allow them to 
remain in their homes and their communities. 
SEC. 403. PILOT GRANT PROGRAM TO TRAIN PUBLIC HOUS-
ING 
RESIDENTS 
TO 
PROVIDE 
COVERED 
HOME-BASED HEALTH SERVICES. 
Section 34 of the United States Housing Act of 1937 
(42 U.S.C. 1437z–6) is amended by adding at the end 
the following new subsections: 
‘‘(f) PILOT GRANT PROGRAM TO TRAIN PUBLIC 
HOUSING RESIDENTS TO PROVIDE COVERED HOME- 
BASED HEALTH SERVICES.— 
‘‘(1) ESTABLISHMENT OF PILOT GRANT PRO-
GRAM.—The Secretary, in consultation with the Sec-
retary of Health and Human Services, shall estab-
lish a competitive grant program to make grants to 
eligible entities under paragraph (2) for use for the 
training of public housing residents as home health 
aides and as providers of home-based health services 
(including as personal and home care aides) to en-
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00091
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
able such residents to provide covered home-based 
health services to— 
‘‘(A) residents of public housing who are 
elderly or disabled, or both (including elderly 
and disabled veterans who are residents of pub-
lic housing); and 
‘‘(B) subject to the criteria set forth pur-
suant to paragraph (3), residents of federally- 
assisted rental housing who are elderly or dis-
abled, or both. 
‘‘(2) ELIGIBLE ENTITIES.—A grant under this 
subsection may be made only to an entity that— 
‘‘(A) is a public housing agency or other 
unit of State or local government (including an 
agency of such unit), community health center, 
home care provider organization, faith-based or-
ganization, labor organization, or other organi-
zation determined to be qualified by the Sec-
retary; and 
‘‘(B) demonstrates to the satisfaction of 
the Secretary that it has established, or pro-
vides such assurances that it will establish, an 
employment training program to train public 
housing residents to provide covered home- 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00092
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
based health services that complies with regula-
tions that the Secretary shall issue. 
‘‘(3) 
RESIDENTS
OF
FEDERALLY-ASSISTED 
RENTAL
HOUSING.—The Secretary may set forth 
criteria under which an entity receiving funding 
under this subsection may train public housing resi-
dents to provide covered home-based health services 
to elderly and disabled residents of federally-assisted 
rental housing. 
‘‘(4) APPLICATION.—To be eligible for a grant 
under this subsection an eligible entity under para-
graph (2) shall submit to the Secretary an applica-
tion at such time, in such manner, and containing 
such information as the Secretary shall require. 
‘‘(5) COMPETITIVE GRANT AWARDS.— 
‘‘(A) GENERAL
CRITERIA
FOR
SELEC-
TION.—The Secretary shall establish policies 
and procedures for reviewing and approving 
funding for eligible entities through a competi-
tive process taking into consideration— 
‘‘(i) with respect to the service area in 
which public housing residents trained 
under an employment training program de-
scribed in paragraph (2)(B) will provide 
covered home-based health services— 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00093
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
‘‘(iii) one employment training pro-
gram described in paragraph (2)(B) that 
primarily serves an Indian population; and 
‘‘(iv) one employment training pro-
gram described in paragraph (2)(B) that 
primarily serves a population in the Com-
monwealth of Puerto Rico, the United 
States Virgin Islands, Guam, American 
Samoa, or the Commonwealth of the 
Northern Mariana Islands. 
‘‘(6) USE OF GRANT FUNDS.—An entity receiv-
ing funding under this subsection may use such 
funds— 
‘‘(A) to establish (or maintain) and carry- 
out an employment training program to train 
public housing residents to provide covered 
home-based health care services to elderly and 
disabled public housing residents and elderly 
and disabled residents of federally-assisted rent-
al housing; 
‘‘(B) for the transportation expenses of 
public housing residents in training under such 
an employment training program; 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00095
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
‘‘(C) for the child care expenses of public 
housing residents in training under such an em-
ployment training program; 
‘‘(D) for the administrative expenses of 
carrying out such an employment training pro-
gram; and 
‘‘(E) for any other activity the Secretary 
determines appropriate. 
‘‘(7) REPORT TO CONGRESS.—Not later than 
24 months after the date of the enactment of the 
Together We Care Act of 2010, the Secretary shall 
submit to Congress a report on the use and impact 
of the grant program established by this subsection. 
The report shall include— 
‘‘(A) a review of the effectiveness of the 
program in— 
‘‘(i) providing jobs for public housing 
residents; 
‘‘(ii) meeting the unmet health and 
long-term care needs of elderly and dis-
abled residents of public housing and elder-
ly and disabled residents of federally-as-
sisted rental housing; and 
‘‘(iii) enabling the provision of quality 
care; and 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00096
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
‘‘(B) any recommendations the Secretary 
determines appropriate regarding the grant pro-
gram. 
‘‘(8) DEFINITIONS.—As used in this subsection, 
subsection (g), and subsection (h): 
‘‘(A) HOME-BASED
HEALTH
SERVICES.— 
The term ‘home-based health services’ means 
health care and long-term services provided to 
an individual in a place of residence used as 
such individual’s home and includes— 
‘‘(i) home health services described in 
section 1861(m) of the Social Security Act 
(42 U.S.C. 1395x(m)); 
‘‘(ii) personal care services described 
in section 1905(a)(24) of such Act (42 
U.S.C. 1396d(a)(24)); and 
‘‘(iii) home-based services which may 
be covered under a waiver under subsection 
(c) or (d) of section 1915 of such Act (42 
U.S.C. 1396n). 
‘‘(B) HOME
HEALTH
AIDE.—The term 
‘home health aide’ has the meaning given the 
term in section 1891(a)(3)(E) of the Social Se-
curity Act (42 U.S.C. 1395bbb(a)(3)(E)). 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00097
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
‘‘(C) 
COVERED.—The 
term 
‘covered’ 
means, with respect to home-based health serv-
ices, such services— 
‘‘(i) for which medical assistance is 
available under a State plan under title 
XIX of the Social Security Act; or 
‘‘(ii) for which financial assistance is 
available under subsection (g). 
‘‘(D) 
FEDERALLY-ASSISTED
RENTAL 
HOUSING.—The term ‘federally-assisted rental 
housing’ means— 
‘‘(i) housing assisted under section 
202 of the Housing Act of 1959 (12 
U.S.C. 1701q); 
‘‘(ii) housing assisted under section 
515 of the Housing Act of 1949 (42 
U.S.C. 1485); 
‘‘(iii) housing assisted under section 8 
of the United States Housing Act of 1937 
(42 U.S.C. 1437f) (including project-based 
and tenant-based assistance); 
‘‘(iv) housing assisted under the block 
grant program under the Native American 
Housing Assistance and Self-Determina-
tion Act of 1996 (25 U.S.C. 4101 et seq.); 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00098
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
‘‘(v) housing financed by a mortgage 
insured under section 221(d)(3) of the Na-
tional 
Housing 
Act 
(12 
U.S.C. 
1715l(d)(3)) or held by the Secretary, a 
State, or State agency; and 
‘‘(vi) housing assisted under section 
811 of the Cranston-Gonzalez National Af-
fordable Housing Act (42 U.S.C. 8013). 
‘‘(9) INAPPLICABILITY
OF
PREVIOUS
SUB-
SECTIONS.—Subsections (a) through (e) shall not 
apply to this subsection, subsection (g), and sub-
section (h). 
‘‘(10) RULE
OF
CONSTRUCTION.—This sub-
section and subsection (g) may not be construed as 
affecting any requirement under State law for train-
ing, licensure, or any other certification as a home 
health aide or as a provider of any home-based 
health service under this subsection and subsection 
(g). 
‘‘(11) REGULATIONS.—Not later than 6 months 
after the date of enactment of the Together We Care 
Act of 2010, the Secretary shall issue regulations to 
carry out this subsection. 
‘‘(12) AUTHORIZATION OF APPROPRIATIONS.— 
There are authorized to be appropriated $2,500,000 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00099
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
100 
for each of the fiscal years 2011, 2012, and 2013, 
for grants under this subsection. 
‘‘(g) FINANCIAL
ASSISTANCE
FOR
HOME-BASED 
HEALTH SERVICES IN CERTAIN JURISDICTIONS.— 
‘‘(1) FINANCIAL ASSISTANCE.—The Secretary, 
in consultation with the Secretary of Health and 
Human Services, may provide financial assistance 
under this subsection to entities receiving grant 
funds under the pilot program established under 
subsection (f) that provide training for public hous-
ing residents as home health aides and as providers 
of home-based health services and provide (or pay 
for) such services for use only for their costs in pro-
viding (or paying for) such services to— 
‘‘(A) residents of public housing who are 
elderly or disabled, or both (including elderly or 
disabled veterans who are residents of public 
housing); or 
‘‘(B) at the discretion of the Secretary, 
residents of federally-assisted rental housing 
who are elderly or disabled, or both. 
‘‘(2) REQUIREMENTS.— 
‘‘(A) LOCATION.—Assistance under para-
graph (1) may be provided only for services fur-
nished in locations in which medical assistance 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00100
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
101 
for home-based health services is not available 
under a State plan under title XIX of the So-
cial Security Act. 
‘‘(B) TRAINED
PUBLIC
HOUSING
RESI-
DENTS.—Assistance under paragraph (1) may 
be used only for costs of services described in 
paragraph (1) that are provided by public hous-
ing residents trained by an entity receiving 
grant funds under the pilot program established 
under subsection (f). 
‘‘(3) ELIGIBILITY.—To be eligible for financial 
assistance under this subsection an entity shall— 
‘‘(A) provide such assurances as the Sec-
retary shall require that it will use the funds 
only as provided in paragraphs (1) and (2); 
‘‘(B) submit to the Secretary an applica-
tion at such time, in such manner, and con-
taining such information as the Secretary re-
quires; and 
‘‘(C) comply with such other terms and 
conditions as the Secretary shall establish to 
carry out this subsection. 
‘‘(4) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated $2,500,000 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00101
Fmt 6652
Sfmt 6201
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS
102 
for each of the fiscal years 2011, 2012, and 2013, 
for financial assistance under this subsection. 
‘‘(h) IMPACT OF INCOME ON ELIGIBILITY FOR HOUS-
ING BENEFITS.—For any resident of public housing who 
is trained as a home health aide or as a provider of home- 
based health services pursuant to the program under sub-
section (f), any income received by such resident for pro-
viding covered home-based health services shall apply to-
wards eligibility for benefits under Federal housing pro-
grams as follows: 
‘‘(1) No income received shall apply for the 12 
months after the completion of the training of such 
resident. 
‘‘(2) Twenty-five percent of income received 
shall apply for the period that is 12 to 24 months 
after the completion of the training of such resident. 
‘‘(3) Fifty percent of income received shall 
apply for the period that is 24 to 36 months after 
the completion of the training of such resident. 
‘‘(4) One hundred percent of income received 
shall apply for any period that begins after 36 
months after the completion of the training of such 
resident.’’. 
Æ 
VerDate Mar 15 2010 
00:10 Jul 24, 2010
Jkt 089200
PO 00000
Frm 00102
Fmt 6652
Sfmt 6301
E:\BILLS\H5814.IH
H5814
pwalker on DSK8KYBLC1PROD with BILLS