‘‘(D) articulating a plan for identifying 
and tracking cost savings gained from imple-
mentation of the project and for achieving long- 
term financial sustainability; and 
‘‘(E) articulating a plan for evaluating the 
project, encompassing workforce outcomes, care 
outcomes, and cost outcomes. 
‘‘(2) AMOUNT AND TERM.— 
‘‘(A) 
TOTAL
AMOUNT.—The 
amount 
awarded under paragraph (1) for all grants 
shall not exceed $600,000. 
‘‘(B) TERM.—Activities carried out under 
a grant awarded under paragraph (1) shall be 
completed not later than 1 year after the grant 
is awarded. 
‘‘(f) IMPLEMENTATION
AWARDS
UNDER
DEM-
ONSTRATION PROGRAM.— 
‘‘(1) IN GENERAL.—Each eligible entity may re-
ceive a grant for implementation activities related to 
the demonstration project to be carried out by the 
entity, if the Secretary determines the entity— 
‘‘(A) has successfully carried out the ac-
tivities under the grant awarded under sub-
section (e); 
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‘‘(B) offers a feasible plan for long-term fi-
nancial sustainability; 
‘‘(C) has constructed a meaningful model 
of advancement for direct-care workers; and 
‘‘(D) aims to provide training to a sizeable 
number of direct-care workers and to serve a 
sizeable number of older adults and people with 
disabilities. 
‘‘(2) USE OF FUNDS.—The implementation ac-
tivities described under paragraph (1) shall in-
clude— 
‘‘(A) training of all care team members in 
accordance with the design of the demonstra-
tion project; and 
‘‘(B) evaluating the competency of all staff 
based on project design. 
‘‘(3) EVALUATION AND REPORT.— 
‘‘(A) EVALUATION.—Each recipient of a 
grant under paragraph (1), in consultation with 
an independent evaluation contractor, shall 
evaluate— 
‘‘(i) the impact of training and de-
ployment of direct-care workers in ad-
vanced roles, as described in this section, 
within each participating entity on out-
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comes, such as direct-care worker job satis-
faction and turnover, beneficiary and fam-
ily caregiver satisfaction with services, rate 
of hospitalization of beneficiaries, and ad-
ditional measures determined by the Sec-
retary; 
‘‘(ii) the impact of such training and 
deployment on the long-term services and 
supports delivery system and resources; 
‘‘(iii) statement of the potential of the 
use of direct-care workers in advanced 
roles to lower cost and improve quality of 
care; and 
‘‘(iv) long-term financial sustainability 
of the model used under the grant and the 
impact of such model on quality of care. 
‘‘(B) REPORTS.—Not later than 180 days 
after completion of the demonstration program 
under this section, each recipient of a grant 
under paragraph (1) shall submit to the Sec-
retary a report on the implementation of activi-
ties conducted under the demonstration project, 
including— 
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‘‘(i) the outcomes, performance bench-
marks, and lessons learned from the 
project; 
‘‘(ii) a statement of cost savings 
gained from implementation of the project 
and how the cost savings have been rein-
vested to improve direct-care job quality 
and quality of care; and 
‘‘(iii) results of the evaluation con-
ducted under subparagraph (A) with re-
spect to such activities, together with such 
recommendations for legislation or admin-
istrative action for expansion of the dem-
onstration program under this section on a 
broader scale as the Secretary determines 
appropriate. 
‘‘(4) AMOUNT AND TERM.— 
‘‘(A) 
TOTAL
AMOUNT.—The 
amount 
awarded under paragraph (1) for all grants 
shall not exceed $2,900,000. 
‘‘(B) TERM.—Activities carried out under 
a grant awarded under paragraph (1) shall be 
completed not later than 3 years after the grant 
is awarded.’’. 
Æ 
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