IV 
111TH CONGRESS 
1ST SESSION 
H. RES. 271 
Recognizing the need to support the development and enforcement of a 
well-informed national long-term care strategy to solve the problems 
of cost, quality, and access to long-term care in the home and community, 
and the imperativeness of including long-term care in the comprehensive 
health care reform agenda. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 19, 2009 
Mr. HASTINGS of Florida (for himself, Mrs. CHRISTENSEN, Ms. LEE of Cali-
fornia, Mr. WEXLER, Mr. MCGOVERN, Ms. CORRINE BROWN of Florida, 
Mr. CONYERS, Mr. COURTNEY, Ms. CASTOR of Florida, Mr. GRIJALVA, 
Ms. KAPTUR, Mr. MEEKS of New York, Mr. WELCH, and Mr. FRANK of 
Massachusetts) submitted the following resolution; which was referred to 
the Committee on Energy and Commerce, and in addition to the Commit-
tees on Financial Services, Ways and Means, and Education and Labor, 
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 
RESOLUTION 
Recognizing the need to support the development and en-
forcement of a well-informed national long-term care 
strategy to solve the problems of cost, quality, and access 
to long-term care in the home and community, and the 
imperativeness of including long-term care in the com-
prehensive health care reform agenda. 
Whereas well over 9.4 million adults receive long-term care 
in the United States; 
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•HRES 271 IH 
Whereas long-term care refers to a broad range and network 
of health and social services that are used by persons who 
cannot care for themselves because of a physical, cog-
nitive, or mental disability, or a combination thereof; 
Whereas long-term care may involve assisting an individual 
with dressing, bathing, transportation, and medication 
management or therapeutic and medical services; 
Whereas 80 percent of long-term care now occurs in the 
home and is accompanied by community services such as 
Adult Day Care Programs, home-delivered meals pro-
grams, mental health services, and training programs for 
family caregivers; 
Whereas many informal caregivers are in the ‘‘sandwich gen-
eration’’, which are middle-age people who are simulta-
neously caring for children and older family members; 
Whereas family caregivers sometimes endure emotional and 
physical stress, and make significant financial and career 
sacrifices to provide long-term care; 
Whereas the vast majority of the ‘‘sandwich generation’’ and 
caregivers of all ages are women; 
Whereas most long-term care health workers are also women; 
Whereas home health aides are largely low-income women of 
color with families, and perform a variety of medical and 
personal services that are vital to long-term care; 
Whereas home health aides are not subject to national stand-
ards or covered by the Fair Labor Standards Act, which 
contributes to variations in competency, education, and 
staff shortages; 
Whereas the number of people who are in need of long-term 
care is expected to grow due to the Nation’s large aging 
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