I 
117TH CONGRESS 
2D SESSION 
H. R. 6770 
To improve access to the Program of All-Inclusive Care for the Elderly, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 18, 2022 
Mrs. DINGELL (for herself and Mr. BLUMENAUER) introduced the following 
bill; which was referred to the Committee on Energy and Commerce, and 
in addition to the Committee on Ways and Means, for a period to be sub-
sequently determined by the Speaker, in each case for consideration of 
such provisions as fall within the jurisdiction of the committee concerned 
A BILL 
To improve access to the Program of All-Inclusive Care 
for the Elderly, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Program of All-Inclu-
sive Care for the Elderly Plus Act’’ or the ‘‘PACE Plus 
Act’’. 
SEC. 2. PACE EXPANSION GRANT PROGRAM. 
(a) DEFINITIONS.—In this section: 
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(1) AREA AGENCY ON AGING.—The term ‘‘area 
agency on aging’’ has the meaning given that term 
in section 102 of the Older Americans Act of 1965 
(42 U.S.C. 3002). 
(2) CMS.—The term ‘‘CMS’’ means the Cen-
ters for Medicare & Medicaid Services. 
(3) FOR-PROFIT
PACE
PROVIDER.—The term 
‘‘for-profit PACE provider’’ means a PACE provider 
that is operated by an entity that is not a public en-
tity or a private, nonprofit entity organized for char-
itable purposes under section 501(c)(3) of the Inter-
nal Revenue Code of 1986. 
(4) PACE PILOT SITE.—The term ‘‘PACE pilot 
site’’ means a PACE provider that— 
(A) has been approved to provide services 
in a geographic service area that is, in whole or 
in part, a rural area or an underserved urban 
area; and 
(B) has received a grant under subsection 
(b). 
(5) PACE PROGRAM.—The term ‘‘PACE pro-
gram’’ has the meaning given that term in sections 
1894(a)(2) and 1934(a)(2) of the Social Security 
Act (42 U.S.C. 1395eee(a)(2); 1396u–4(a)(2)). 
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(6) PACE PROVIDER.—The term ‘‘PACE pro-
vider’’ has the meaning given that term in section 
1894(a)(3) or 1934(a)(3) of the Social Security Act 
(42 U.S.C. 1395eee(a)(3); 1396u–4(a)(3)). 
(7) RURAL AREA.—The term ‘‘rural area’’ has 
the 
meaning 
given 
that 
term 
in 
section 
1886(d)(2)(D) of the Social Security Act (42 U.S.C. 
1395ww(d)(2)(D)). 
(8) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
(9) UNDERSERVED
URBAN
AREA.—The term 
‘‘underserved urban area’’ means an urban health 
professional shortage area (as such term is defined 
in section 332 of the Public Health Service Act (42 
U.S.C. 254e)). 
(b) SITE DEVELOPMENT ASSISTANCE PROGRAM.— 
(1) SITE DEVELOPMENT ASSISTANCE.— 
(A) IN GENERAL.—The Secretary shall es-
tablish a process and criteria to award grants 
to qualified PACE providers that have been ap-
proved to serve a rural area or an underserved 
urban area. 
(B) REQUIREMENTS
FOR
PARTICIPATING 
PACE PROVIDERS.—To be eligible for a grant 
under subparagraph (A), a PACE provider shall 
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