(D) providing habilitation services or other 
supports. 
(4) ELIGIBLE ENTITY.—The term ‘‘eligible enti-
ty’’ means an entity that is— 
(A) a State; 
(B) a labor organization or a joint labor- 
management organization; 
(C) a nonprofit organization with experi-
ence in aging, disability, supporting the rights 
and interests of direct care workers, or training 
or educating direct care workers; 
(D) an Indian Tribe or Tribal organiza-
tion; 
(E) an urban Indian organization; 
(F) a State board or local board; 
(G) a nonprofit or governmental organiza-
tion— 
(i) with expertise in identifying and 
addressing the care needs of older individ-
uals and individuals with disabilities and 
their caregivers; and 
(ii) which may include one or more of 
the following— 
(I) an area agency on aging (as 
defined in section 102 of the Older 
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Americans Act of 1965 (42 U.S.C. 
3002)); 
(II) a center for independent liv-
ing (as described in part C of title VII 
of the Rehabilitation Act of 1973 (29 
U.S.C. 796f et seq.)); or 
(III) an Aging and Disability Re-
source Center (as defined in section 
102 of the Older Americans Act of 
1965 (42 U.S.C. 3002)); 
(H) a partnership between or among— 
(i)(I) an institution of higher edu-
cation; or 
(II) an area career and technical edu-
cation school; and 
(ii)(I) an entity described in any of 
subparagraphs (A) through (G); or 
(II) a consortium described in sub-
paragraph (I); or 
(I) a consortium of entities listed in any of 
subparagraphs (A) through (G). 
(5) EMPLOY; EMPLOYER.—The terms ‘‘employ’’ 
and ‘‘employer’’ have the meanings given the terms 
in section 3 of the Fair Labor Standards Act (29 
U.S.C. 203 et seq.). 
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(6) INDIAN
TRIBE; TRIBAL
ORGANIZATION.— 
The terms ‘‘Indian tribe’’ and ‘‘tribal organization’’ 
have the meanings given such terms in section 4 of 
the Indian Self-Determination and Education Assist-
ance Act (25 U.S.C. 5304). 
(7) INDIVIDUAL
WITH
A
SIGNIFICANT
DIS-
ABILITY.—The term ‘‘individual with a significant 
disability’’ has the meaning given the term in section 
7 of the Rehabilitation Act of 1973 (29 U.S.C. 705). 
(8) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the 
meaning given the term in section 101 of the Higher 
Education Act of 1965 (20 U.S.C. 1001) or section 
102(a)(1)(B) 
of 
such 
Act 
(20 
U.S.C. 
1002(a)(1)(B)). 
(9) SECRETARY; SECRETARY OF LABOR.—The 
terms ‘‘Secretary’’ and ‘‘Secretary of Labor’’ means 
the Secretary of Labor, acting through the Assistant 
Secretary for Employment and Training. 
(10) SECRETARY
OF
HEALTH
AND
HUMAN 
SERVICES.—The term ‘‘Secretary of Health and 
Human Services’’ means the Secretary of Health 
and Human Services, acting through the Adminis-
trator for the Administration for Community Living. 
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(11) STATE.—The term ‘‘State’’ has the mean-
ing given the term in section 3 of the Carl D. Per-
kins Career and Technical Education Act of 2006 
(20 U.S.C. 2302). 
(12) SUPPORTIVE SERVICES.—The term ‘‘sup-
portive services’’ means services such as transpor-
tation, child care, dependent care, food, housing, and 
needs-related payments, that are necessary to enable 
an individual to participate in a strategy to be fund-
ed with a grant under this Act. 
(13) WORKFORCE
INNOVATION
AND
OPPOR-
TUNITY ACT TERMS.—The terms ‘‘area career and 
technical education school’’, ‘‘career pathway’’, ‘‘ca-
reer planning’’, ‘‘eligible youth’’, ‘‘in-demand indus-
try sector or occupation’’, ‘‘individual with a barrier 
to employment’’, ‘‘individual with a disability’’, 
‘‘local board’’, ‘‘older individual’’, ‘‘one-stop center’’, 
‘‘on-the-job training’’, ‘‘recognized postsecondary 
credential’’, ‘‘region’’, and ‘‘State board’’ have the 
meanings given such terms in section 3 of the Work-
force Innovation and Opportunity Act (29 U.S.C. 
3102). 
(14) 
WORK-BASED
LEARNING.—The 
term 
‘‘work-based learning’’ has the meaning given the 
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term in section 3 of the Carl D. Perkins Career and 
Technical Education Act of 2006 (20 U.S.C. 2302). 
SEC. 4. AUTHORITY TO AWARD GRANTS; DURATION. 
(a) AUTHORITY TO AWARD GRANTS.—Not later than 
12 months after the date of enactment of this Act, from 
the amounts appropriated under section 10(a) (and not 
reserved under paragraph (2) of such section), the Sec-
retary of Labor in consultation with the Secretary of 
Health and Human Services, shall award grants to eligible 
entities to assist such entities in developing and imple-
menting strategies for the recruitment, retention, or ad-
vancement of direct care workers. 
(b) INTERAGENCY COOPERATION.— 
(1) IN GENERAL.—To receive assistance from 
the Secretary of Health and Human Services in ad-
ministering or awarding grants, or providing tech-
nical assistance under this Act, the Secretary of 
Labor may— 
(A) enter into an agreement with the Sec-
retary of Health and Human Services; 
(B) transfer to the Secretary of Health 
and Human Services a portion of the amounts 
appropriated under section 10(a); or 
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(C) receive from the Secretary of Health 
and Human Services a portion of the amounts 
appropriated under section 10(b). 
(2) PROCEDURES
AND
CRITERIA.—An agree-
ment entered into under paragraph (1)— 
(A) shall specify whether the procedures of 
the Secretary of Labor or the Secretary of 
Health and Human Services, or whether a sin-
gle set of criteria developed by both Secretaries, 
shall be used to administer or award grants, or 
provide technical assistance, under this Act; 
and 
(B) may require that applicants for a 
grant under this Act submit a single application 
for joint review by the Secretary of Labor and 
the Secretary of Health and Human Services. 
(c) DURATION.—A grant under this Act shall be for 
not less than 5 years. 
SEC. 5. APPLICATIONS; CONSULTATION. 
(a) APPLICATIONS.— 
(1) IN GENERAL.—An eligible entity seeking a 
grant under this Act shall submit to the Secretary 
an application at such time, in such manner, and 
containing such information as the Secretary, in 
consultation with the Secretary of Health and 
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Human Services, may require, which shall include 
the information listed in paragraph (2). 
(2) 
CONTENTS.—An 
application 
submitted 
under paragraph (1) by an eligible entity seeking a 
grant under this Act shall include each of the fol-
lowing: 
(A) Information with respect to the State 
or geographic area to be served by such grant, 
including the following: 
(i) Demographic information regard-
ing the population, including a description 
of the populations likely to need direct care 
services, such as the aging population and 
individuals with significant disabilities. 
(ii) Projections of unmet need for di-
rect care services, which may include, en-
rollment on waiting lists under home and 
community-based waivers under section 
1115 of the Social Security Act (42 U.S.C. 
1315) or section 1915(c) of such Act (42 
U.S.C. 1396n(c)), demand for long-term 
care provided through the Department of 
Veterans Affairs, demand for services pro-
vided under title III of the Older Ameri-
cans Act of 1965 (42 U.S.C. 3021 et seq.), 
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and other relevant data to the extent prac-
ticable. 
(iii) Current and projected job open-
ings for direct care workers and relevant 
labor market information related to such 
workers, and the geographic scope of the 
workforce to be served. 
(B) A description of each specific strategy 
that the eligible entity will develop and imple-
ment using the grant to reduce barriers to re-
cruitment, retention, or advancement of direct 
care workers, including— 
(i) a description of how the eligible 
entity will consult and coordinate with the 
entities described in subsection (b) on the 
development and implementation of the 
strategy; and 
(ii) an assurance that the eligible enti-
ty will implement the strategy in consulta-
tion with— 
(I) individuals receiving direct 
care services, including the aging pop-
ulation and individuals with disabil-
ities; and 
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(II) individuals performing direct 
care services, which may include fam-
ily caregivers. 
(C) In the case in which a strategy de-
scribed in subparagraph (B) will include the 
provision of wages (or other compensation or 
benefits) to direct care workers (or individuals 
training to become such workers) participating 
in activities carried out under the strategy— 
(i) an assurance that the provision of 
such wages will result in a wage for such 
workers that is not less than the greater 
of— 
(I) the minimum wage required 
under section 6(a) of the Fair Labor 
Standards Act of 1938 (29 U.S.C. 
206(a)); or 
(II) the applicable wage required 
by other applicable Federal or State 
law, or a collective bargaining agree-
ment; and 
(ii) an assessment of the wages (or 
other compensation or benefits) necessary 
to recruit, retain, or advance direct care 
workers. 
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(D) An assurance that the eligible entity 
will take such steps as may be necessary to re-
duce or eliminate barriers, including financial 
barriers, to recipients of direct care services or 
other benefits provided by any individual who is 
participating in an activity carried out under 
the strategy. 
(E) An assurance that the eligible entity 
will not charge any participant of such an activ-
ity who is a direct care worker or an individual 
training to be such a worker for any education, 
training, or supportive services or other benefits 
provided under the activity. 
(F) A description of any supportive serv-
ices and other benefits that will be provided by 
such grant to enable individuals to participate 
in any of the activities to be carried out under 
the strategy. 
(G) An assurance that the eligible entity 
will provide adequate and safe equipment or fa-
cilities for the training and supervision of direct 
care workers participating in any activity car-
ried out under the strategy, including an assur-
ance that the eligible entity will provide— 
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(i) a safe work environment (which 
may include the provision of personal pro-
tective equipment and other necessary 
equipment to prevent the spread of infec-
tious disease among workers and recipients 
of direct care services); 
(ii) a work environment that is free 
from discrimination, retaliation, and vio-
lence; and 
(iii) adequate training for mentors 
and qualified instructors to ensure compli-
ance with this subparagraph, including any 
equipment that may be provided under 
clause (i). 
(H) In the case of an eligible entity that 
will use the grant to offer an education and 
training 
program 
described 
in 
section 
6(a)(2)(A)— 
(i) a description of such program, in-
cluding any curricula, models, and stand-
ards used under the program, and any as-
sociated recognized postsecondary creden-
tials for which the program provides prepa-
ration, as applicable, and the training serv-
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ices, if any, provided under the program; 
and 
(ii) an assurance that such program 
will meet the applicable requirements 
under section 6(a)(2)(A). 
(I) In the case of an eligible entity that 
will use such grant for the provision of the ca-
reer planning described in section 6(a)(2)(C), a 
description of such career planning and how 
such career planning will meet the requirements 
of section 6(a)(2)(C). 
(J) In the case of an eligible entity that 
will use such grant to develop or implement an 
innovative model or process to support the re-
tention and career advancement of direct care 
workers, a description of such model or process. 
(K) A description of the outreach efforts 
that the eligible entity will use to identify indi-
viduals who may benefit from participating in 
an activity to be carried out under a strategy 
described in subparagraph (B), including tar-
geted outreach efforts to— 
(i) individuals who are recipients of 
assistance under a State program funded 
under part A of title IV of the Social Secu-
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rity Act (42 U.S.C. 601 et seq.) or individ-
uals who are eligible for such assistance; 
and 
(ii) individuals with barriers to em-
ployment. 
(L) How the eligible entity will collect and 
submit to the Secretary workforce data and 
outcomes of each strategy funded under such 
grant, including for purposes of evaluating or 
reviewing the strategy under section 7. 
(3) CONSIDERATIONS.—In selecting eligible en-
tities to receive a grant under this Act, the Secretary 
shall— 
(A) ensure— 
(i) to the extent practicable based on 
the applications submitted under this sub-
section, equitable geographic and demo-
graphic diversity, including among rural 
and urban areas; and 
(ii) that selected eligible entities will 
serve areas where direct care work, or a re-
lated occupation, is an in-demand industry 
sector or occupation; and 
(B) give priority to eligible entities pro-
posing to predominantly serve the individuals 
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described in clauses (i) and (ii) of paragraph 
(2)(K). 
(b) CONSULTATION.—Each eligible entity receiving a 
grant under this Act shall consult on the development and 
implementation of any strategy for the recruitment, reten-
tion, or advancement of direct care workers to be funded 
with such grant, and coordinate the implementation of 
such strategy with— 
(1) each applicable State board or local board; 
and 
(2) to the extent practicable— 
(A) institutions of higher education in the 
State or local areas to be served by the grant; 
(B) the State Apprenticeship Agency rec-
ognized under the Act of August 16, 1937 
(commonly known as the ‘‘National Apprentice-
ship Act’’; 50 Stat. 664, chapter 663; 29 
U.S.C. 50 et seq.), for the State or region to be 
served by the grant or, if no such agency has 
been recognized in the State or region, the Of-
fice of Apprenticeship of the Department of 
Labor; 
(C) the State agency responsible for ad-
ministering the State plan under title XIX of 
the Social Security Act (42 U.S.C. 1396 et 
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seq.) (or waiver of the plan), or the State agen-
cy with primary responsibility for providing 
services and supports for individuals with intel-
lectual disabilities and individuals with develop-
mental disabilities; 
(D) in the case of an eligible entity that 
uses the grant to carry out an education and 
training 
program 
described 
in 
section 
6(a)(2)(A), a nonprofit organization with dem-
onstrated experience in the development or de-
livery of curricula or coursework; 
(E) an organization that fosters the profes-
sional development and collective engagement of 
direct care workers, including labor organiza-
tions or joint labor-management organizations; 
(F) a nonprofit or governmental organiza-
tion described in section 3(4)(G); 
(G) the State Developmental Disability 
Council (as such term is used in subtitle B of 
title I of the Developmental Disabilities Assist-
ance and Bill of Rights Act of 2000 (42 U.S.C. 
15021 et seq.); 
(H) a nonprofit State provider association 
that represents providers who employ direct 
care workers, where such associations exist; and 
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(I) an entity that employs direct care 
workers. 
SEC. 6. USES OF FUNDS; ADMINISTRATIVE COSTS; SUPPLE-
MENT, NOT SUPPLANT. 
(a) USES OF FUNDS.— 
(1) IN GENERAL.—Each eligible entity receiving 
a grant under this Act shall use such grant to de-
velop and implement a strategy for the recruitment, 
retention, or advancement of direct care workers by 
carrying out at least one of the activities described 
in paragraph (2). 
(2) ACTIVITIES.—The activities described in 
this paragraph are as follows: 
(A) Developing and implementing an edu-
cation and training program that— 
(i) shall provide each program partici-
pant relevant training regarding the rights 
of recipients of direct care services, includ-
ing the rights of such recipients to— 
(I) receive such services in the 
most integrated setting; 
(II) exercise self-determination; 
and 
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(III) be free from physical, sex-
ual, and financial abuse, and discrimi-
nation; 
(ii) may include any of the following 
training services, which are provided pri-
marily in-person and not online— 
(I) training on the in-demand 
skills and competencies of direct care 
occupations, including the provision of 
culturally competent services to recipi-
ents of direct care; or 
(II) an apprenticeship program, 
work-based 
learning, 
experiential 
learning, or on-the-job training oppor-
tunities; and 
(iii) in the case in which such pro-
gram includes on-the-job training, shall 
provide a progressively increasing, clearly 
defined schedule of wages to be paid to 
participants of such training that— 
(I) is consistent with skill gains 
or attainment of a recognized postsec-
ondary credential to be received as a 
result of participation in or comple-
tion of such program; and 
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(II) ensures that the wage for 
such participants is not less than the 
greater of— 
(aa) the minimum wage re-
quired under section 6(a) of the 
Fair Labor Standards Act of 
1938 (29 U.S.C. 206(a)); or 
(bb) the applicable wage re-
quired by other applicable Fed-
eral or State law, or a collective 
bargaining agreement. 
(B) In the case of an eligible entity de-
scribed in section 3(3)(H), developing and im-
plementing a career pathway program that 
leads to higher wages and benefits for partici-
pating direct care workers, which shall in-
clude— 
(i) the planning and implementation 
of the career pathways program between 
employers who hire such participants and 
such eligible entity; 
(ii) the development and expansion of 
new or existing programs that utilize ca-
reer pathway design elements, and which 
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may include the development and expan-
sion of— 
(I) dual-enrollment approaches 
for secondary students or eligible 
youth seeking to participate in a ca-
reer pathway program; 
(II) multiple entry and exit 
points into pathways for participants; 
(III) sequenced, connected cur-
ricula, and the establishment of 
stackable credentials; or 
(IV) supports that help working 
students and other nontraditional and 
adult 
student 
populations 
persist 
along pathways and attain recognized 
postsecondary credentials; 
(iii) the provision of training services 
as described in subparagraph (A)(ii); 
(iv) the provision of supportive serv-
ices; or 
(v) any other evidence-based activities 
identified by the eligible entity or employer 
partners as necessary to support the devel-
opment or implementation of such career 
pathway program. 
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(C) Providing career planning to support 
the identification of advancement opportunities 
and career pathways for direct care workers, in 
coordination with employers, in the State or re-
gion to be served by the grant. 
(D) Providing wages (or other compensa-
tion or benefits), supportive services, mentoring, 
or other career supports to direct care workers 
(or individuals training to be such workers), 
which provided alone, or in combination with 
any of the activities listed in this paragraph, fa-
cilitates the recruitment, retention, or advance-
ment of such workers. 
(E) Any other activity that the Secretary 
determines appropriate for implementing a 
strategy for the recruitment, retention, or ad-
vancement of direct care workers. 
(3) CONTINUATION
OF
EXISTING
STRATE-
GIES.—An eligible entity receiving a grant under 
this Act may use such grant to continue to imple-
ment a strategy for the recruitment, retention, or 
advancement of direct care workers, if such a strat-
egy was being implemented by an eligible entity as 
of the first day on which the grant program under 
this Act is announced in the Federal Register. 
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(b) ADMINISTRATIVE COSTS.—Each eligible entity 
receiving a grant under this Act may not use more than 
7 percent of the funds of such grant for costs associated 
with the administration of the strategies implemented 
using the grant, and the evaluations and reports of such 
strategies under section 7. 
(c) SUPPLEMENT, NOT SUPPLANT.—An eligible enti-
ty receiving a grant under this Act shall use such grant 
only to supplement, and not supplant, the amount of funds 
that, in the absence of such grant, would be available for 
the recruitment, retention, or advancement of direct care 
workers in the State or region served by the grant. 
SEC. 7. EVALUATIONS AND REPORTS. 
(a) ELIGIBLE ENTITIES.— 
(1) IN GENERAL.—Each eligible entity receiving 
a grant under this Act shall submit to the Secretary 
of Labor and the Secretary of Health and Human 
Services, with respect to each strategy for the re-
cruitment, retention, or advancement of direct care 
workers funded with such grant— 
(A) for each year of the grant period, an 
annual report on the progress and outcomes of 
the strategy; and 
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(B) not later 6 months after the comple-
tion of such strategy, a final report on the 
progress and outcomes of the strategy. 
(2) CONTENTS.—Each report submitted under 
paragraph (1) by an eligible entity receiving a grant 
under this Act shall include each of the following, 
which shall be disaggregated in accordance with 
paragraph (3): 
(A) A description of each strategy funded 
by the grant, including— 
(i) the number of individuals who are 
direct care workers or training to be direct 
care workers who participated in the activi-
ties carried out under such strategy; 
(ii) a description of each activity car-
ried out under such strategy; and 
(iii) the outcomes of such strategy, in-
cluding the number of individuals or fami-
lies receiving direct care services or other 
benefits provided by participants of any 
such activities. 
(B) In the case of such a strategy that in-
cludes an education and training program— 
(i) the number of participants in such 
program who complete such program, 
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disaggregated by the type of education and 
training completed (including work-based 
learning, on-the-job training, an appren-
ticeship program, and a professional devel-
opment or mentoring program); 
(ii) the number of such participants 
who complete such program and who at-
tain employment as a direct care worker 
after 
participating 
in 
such 
program, 
disaggregated in accordance with clause 
(i); and 
(iii) the submission of the data nec-
essary (as defined by the Secretary of 
Labor) to measure employment outcomes 
for each such program with respect to the 
indicators of performance on unsubsidized 
employment, median earnings, credential 
attainment, measurable skill gains, and 
employer satisfaction, as determined in ac-
cordance with subclauses (I) through (VI), 
respectively, of section 116(b)(2)(A)(i) of 
the Workforce Innovation and Opportunity 
Act (29 U.S.C. 3141(b)(2)(A)(i)). 
(C) In the case of such a strategy that in-
cludes the provision of supportive services— 
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pbinns on DSKJLVW7X2PROD with $$_JOB
(i) the number of participants of such 
strategy who— 
(I) needed supportive services 
and received such services; and 
(II) needed supportive services 
and did not receive such services; and 
(ii) a description of the supportive 
services provided. 
(D) How the eligible entity evaluates satis-
faction with respect to— 
(i) participants of an activity carried 
out under the strategy funded by such 
grant; 
(ii) individuals receiving direct care 
services or other benefits provided by such 
participants, including— 
(I) any impact on the health or 
health outcomes of such individuals; 
and 
(II) any impact on the ability of 
individuals to transition to or remain 
in the community in an environment 
that meets the criteria established in 
section 441.301(c)(4) of title 42, Code 
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of Federal Regulations (or successor 
regulations); and 
(iii) employers of such participants, as 
determined in accordance with section 
116(b)(2)(A)(i)(VI) of the Workforce Inno-
vation and Opportunity Act (29 U.S.C. 
3141(b)(2)(A)(i)(VI)). 
(3) DISAGGREGATION.— 
(A) IN
GENERAL.—Subject to subpara-
graph (B), the information described in para-
graph (2) shall be disaggregated— 
(i) by race, disability, ethnicity, sex, 
and age; 
(ii) by each subpopulation listed in 
subparagraphs (A) through (N) of section 
3(24) of the Workforce Innovation and Op-
portunity Act (29 U.S.C. 3102(24)); and 
(iii) by the individuals described in 
clauses (i) and (ii) of section 5(a)(2)(K). 
(B) EXCEPTIONS.—The disaggregation de-
scribed in clause (i), (ii), or (iii) of subpara-
graph (A) shall not be required in a case in 
which the number of individuals in a category 
or subpopulation is insufficient to yield statis-
tically reliable information or the results would 
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