I 
111TH CONGRESS 
1ST SESSION H. R. 1721 
To amend the Public Health Service Act to help individuals with functional 
impairments and their families pay for services and supports that they 
need to maximize their functionality and independence and have choices 
about community participation, education, and employment, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 25, 2009 
Mr. PALLONE (for himself, Mr. DINGELL, and Mr. KENNEDY) introduced the 
following bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committees on Ways and Means, Rules, 
and the Budget, 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 amend the Public Health Service Act to help individuals 
with functional impairments and their families pay for 
services and supports that they need to maximize their 
functionality and independence and have choices about 
community participation, education, and employment, 
and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Community Living As-
sistance Services and Supports Act’’ or the ‘‘CLASS Act’’. 
SEC. 2. PURPOSES. 
The purposes of this Act are as follows: 
(1) To provide individuals with functional limi-
tations with tools that will allow them to maintain 
their personal and financial independence and live in 
the community through a new financing strategy for 
community living assistance services and supports. 
(2) To establish an infrastructure that will help 
address America’s community living assistance serv-
ices and supports needs. 
(3) To alleviate burdens on family caregivers. 
SEC. 3. TABLE OF CONTENTS. 
The table of contents for this Act is as follows: 
Sec. 1. Short title. 
Sec. 2. Purposes. 
Sec. 3. Table of contents. 
TITLE I—COMMUNITY LIVING ASSISTANCE SERVICES AND 
SUPPORTS 
Sec. 101. Establishment of national voluntary insurance program for pur-
chasing community living assistance services and support. 
TITLE II—AMENDMENTS TO THE INTERNAL REVENUE CODE OF 
1986 
Sec. 201. Above-the-line deduction for premium costs. 
Sec. 202. Credit for premium costs of CLASS enrollees with low-income. 
Sec. 203. Credit for costs of employers who elect to automatically enroll em-
ployees and withhold class premiums from wages. 
Sec. 204. Long-term care insurance includible in cafeteria plans. 
TITLE III—EFFECTIVE DATE 
Sec. 301. Effective date. 
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TITLE 
I—COMMUNITY 
LIVING 
ASSISTANCE SERVICES AND 
SUPPORTS 
SEC. 101. ESTABLISHMENT OF NATIONAL VOLUNTARY IN-
SURANCE PROGRAM FOR PURCHASING COM-
MUNITY LIVING ASSISTANCE SERVICES AND 
SUPPORT. 
(a) ESTABLISHMENT OF PROGRAM.— 
(1) IN GENERAL.—The Public Health Service 
Act (42 U.S.C. 201 et seq.) is amended by adding 
at the end the following: 
‘‘TITLE XXXI—COMMUNITY LIV-
ING 
ASSISTANCE 
SERVICES 
AND SUPPORTS 
‘‘SEC. 3101. DEFINITIONS. 
‘‘In this title: 
‘‘(1) ACTIVE ENROLLEE.—The term ‘active en-
rollee’ means an individual who is enrolled in the 
CLASS program in accordance with section 3102 
and who has paid any premiums due to maintain 
such enrollment in accordance with section 3103. 
‘‘(2) ACTIVELY AT WORK.—The term ‘actively 
at work’ means an individual who— 
‘‘(A) is reporting for work at the individ-
ual’s usual place of employment or at another 
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location to which the individual’s employer re-
quires the individual to travel (or in the case of 
an individual who is a member of the uniformed 
services, is on active duty and is physically able 
to perform the duties of the individual’s posi-
tion); 
‘‘(B) is able to perform all the usual and 
customary duties of the individual’s employment 
on the individual’s regular work schedule; and 
‘‘(C) is not absent from work due to sick-
ness, injury, annual leave, sick leave or any 
other leave. 
‘‘(3) ACTIVITIES OF DAILY LIVING.—The term 
‘activities of daily living’ means each of the following 
activities specified in section 7702B(c)(2)(B) of the 
Internal Revenue Code of 1986: 
‘‘(A) Eating. 
‘‘(B) Toileting. 
‘‘(C) Transferring. 
‘‘(D) Bathing. 
‘‘(E) Dressing. 
‘‘(F) Continence. 
‘‘(4) CLASS PROGRAM.—The term ‘CLASS 
program’ means the program established under this 
title. 
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