care settings for services financed through title 
XVIII or XIX of the Social Security Act (Medicare 
or Medicaid, respectively); 
(3) enable the Centers for Medicare & Medicaid 
Services (and any other agency designated by the 
Secretary) to provide guidance to States concerning 
the adequacy and quality of the States’ reporting of 
data, waiver and renewal applications, and any pro-
visions of or modifications to State plans regarding 
the direct care workforce, including by revising any 
data reporting forms and systems to ensure uniform 
and consistent State reporting; and 
(4) include, at a minimum, the collection of di-
rect care workforce data (which may be based on 
payroll data, taking into account services provided 
by agency or contract staff) on— 
(A) schedule (both location and hours); 
(B) turnover; 
(C) tenure; 
(D) wages; 
(E) benefits; and 
(F) vacancies. 
(b) ADVISORY COUNCIL ON DIRECT CARE WORK-
FORCE.— 
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(1) ESTABLISHMENT.—The Secretary, in con-
sultation with the Secretary of the Labor, shall es-
tablish a National Advisory Council on the Direct 
Care Workforce (referred to in this section as the 
‘‘Council’’) that shall be composed members to be 
appointed by the Secretary. 
(2) DUTIES.—The Council shall consult with, 
advise, and make recommendations to the Secretary 
with respect to the Secretary’s administration of the 
program established under subsection (a). 
(3) ADMINISTRATIVE PROVISIONS.—Members of 
the Council shall serve a term no longer than 5 
years and be representative of diverse public and pri-
vate sector expertise and interests, including rep-
resentation from individuals with unique expertise 
on topics related to direct care services or the direct 
care workforce (including at least 1 individual with 
experience in providing direct care services in an in-
stitutional or facility-based setting and 1 individual 
with experience in providing such services in a home 
or community-based setting), and from officials from 
the Department of Health and Human Services, the 
Department of Labor, and others as the Secretary 
determines appropriate. 
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(c) REPORTS.—Not later than 3 years after the date 
of the enactment of this section, and periodically there-
after, as determined by the Secretary, the Secretary shall 
prepare and submit to the appropriate committees of Con-
gress a report that— 
(1) analyzes the existing direct care workforce 
data infrastructure; 
(2) analyzes the current and projected needs for 
the direct care workforce, including information on 
turnover and retention of workers; 
(3) makes recommendations for new or addi-
tional uniform data elements across regions and 
States that is necessary to track supply, demand, 
and workforce shortages related to the population 
served by direct care workers; 
(4) makes recommendations for improvement in 
the competency, education, and training standards 
for direct care workers; and 
(5) includes any other topics requested by the 
Secretary. 
SEC. 5. DIRECT CARE WORKER RECRUITMENT, RETENTION, 
AND EDUCATION GRANT PROGRAM. 
(a) GRANTS AUTHORIZED.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services shall award grants to States and 
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other eligible entities to improve the recruitment, re-
tention, and education of the direct care workforce. 
(2) TYPES OF GRANTS.—Of the amounts au-
thorized under subsection (k), the Secretary shall 
award grants as follows: 
(A) $100,000 for the period of fiscal years 
2011 through 2013 to each State to assist the 
State in developing its State direct care work-
force plan. 
(B) The remainder of such amounts to 
States and other eligible entities on a competi-
tive basis for the purposes described in sub-
section (b). 
(b) USE OF FUNDS.—An eligible entity receiving a 
grant under this subsection (a)(2)(B) may use the grant 
to— 
(1) expand and upgrade training programs and 
infrastructure for direct care workers; 
(2) implement or improve systems for the moni-
toring of and collection of data relating to the direct 
care workforce; 
(3) establish or expand recruitment and reten-
tion programs for direct care workers, including ini-
tiatives which improve the wages and benefits of-
fered such workers; and 
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(4) develop or expand programs that promote 
the role of direct care workers in new cost-effective 
models of providing care to people with chronic 
health conditions, disabilities, and other extended 
support needs, and include approaches such as re-
mote monitoring, wellness, and prevention. 
(c) GRANT PERIOD.—The Secretary may award 
grants under this section for periods of not more than 3 
years. The Secretary may extend the period of a grant 
under this section. Each such extension shall be for a pe-
riod of not more than 3 years. 
(d) APPLICATION.— 
(1) IN GENERAL.—To apply for a grant under 
this section, an eligible entity shall submit an appli-
cation to the Secretary in such form, in such man-
ner, and containing such information as the Sec-
retary may require. 
(2) CONTENTS.—At a minimum, the Secretary 
shall require each such application to outline how 
the eligible entity will establish baseline measures 
and benchmarks that meet the Secretary’s require-
ments to evaluate program outcomes. 
(e) UNIFORM BASELINE MEASURES.—The Secretary 
shall require each grantee to establish uniform baseline 
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