‘‘(i) ability to work with other State 
and community-based agencies; 
‘‘(ii) understanding of respite care 
and family caregiver issues across all age 
groups, disabilities, and chronic conditions; 
and 
‘‘(iii) capacity to ensure meaningful 
involvement of family members, family 
caregivers, and care recipients; 
‘‘(B) with respect to the population of fam-
ily caregivers to whom respite care information 
or services will be provided or for whom respite 
care workers and volunteers will be recruited 
and trained, a description of—
‘‘(i) the population of family care-
givers; 
‘‘(ii) the extent and nature of the res-
pite care needs of that population; 
‘‘(iii) existing respite care services for 
that population, including numbers of fam-
ily caregivers being served and extent of 
unmet need; 
‘‘(iv) existing methods or systems to 
coordinate respite care information and
services to the population at the State and 
local level and extent of unmet need; 
‘‘(v) how respite care information dis-
semination and coordination, respite care 
services, respite care worker and volunteer 
recruitment and training programs, or 
training programs for family caregivers 
that assist such family caregivers in mak-
ing informed decisions about respite care 
services will be provided using grant or co-
operative agreement funds; 
‘‘(vi) a plan for administration, col-
laboration, and coordination of the pro-
posed respite care activities with other re-
lated services or programs offered by pub-
lic or private, nonprofit entities, including 
area agencies on aging; 
‘‘(vii) how the population, including 
family caregivers, care recipients, and rel-
evant public or private agencies, will par-
ticipate in the planning and implementa-
tion of the proposed respite care activities; 
‘‘(viii) how the proposed respite care 
activities will make use, to the maximum 
extent feasible, of other Federal, State,
and local funds, programs, contributions, 
other forms of reimbursements, personnel, 
and facilities; 
‘‘(ix) respite care services available to 
family caregivers in the eligible State agen-
cy’s State or locality, including unmet 
needs and how the eligible State agency’s 
plan for use of funds will improve the co-
ordination and distribution of respite care 
services for family caregivers of children 
and adults with special needs; 
‘‘(x) the criteria used to identify fam-
ily caregivers eligible for respite care serv-
ices; 
‘‘(xi) how the quality and safety of 
any respite care services provided will be 
monitored, including methods to ensure 
that respite care workers and volunteers 
are appropriately screened and possess the 
necessary skills to care for the needs of the 
care recipient in the absence of the family 
caregiver; and 
‘‘(xii) the results expected from pro-
posed respite care activities and the proce-
dures to be used for evaluating those re-
sults; 
‘‘(C) assurances that, where appropriate, 
the eligible State agency will have a system for 
maintaining the confidentiality of care recipient 
and family caregiver records; and 
‘‘(D) a memorandum of agreement regard-
ing the joint responsibility for the eligible State 
agency’s lifespan respite program between—
‘‘(i) the eligible State agency; and 
‘‘(ii) a public or private nonprofit 
statewide respite coalition or organization. 
‘‘(e) PRIORITY; CONSIDERATIONS.—When awarding 
grants or cooperative agreements under this section, the 
Secretary shall—
‘‘(1) give priority to eligible State agencies that 
the Secretary determines show the greatest likeli-
hood of implementing or enhancing lifespan respite 
care statewide; and 
‘‘(2) give consideration to eligible State agencies 
that are building or enhancing the capacity of their 
long-term care systems to respond to the comprehen-
sive needs, including respite care needs, of their resi-
dents.
‘‘(f) USE OF GRANT OR COOPERATIVE AGREEMENT 
FUNDS.—
‘‘(1) IN GENERAL.—
‘‘(A) REQUIRED USES OF FUNDS.—Each 
eligible State agency awarded a grant or coop-
erative agreement under this section shall use 
all or part of the funds—
‘‘(i) to develop or enhance lifespan 
respite care at the State and local levels; 
‘‘(ii) to provide respite care services 
for family caregivers caring for children or 
adults; 
‘‘(iii) to train and recruit respite care 
workers and volunteers; 
‘‘(iv) to provide information to care-
givers about available respite and support 
services; and 
‘‘(v) to assist caregivers in gaining ac-
cess to such services. 
‘‘(B) OPTIONAL USES OF FUNDS.—Each 
eligible State agency awarded a grant or coop-
erative agreement under this section may use 
part of the funds for—
‘‘(i) training programs for family 
caregivers to assist such family caregivers
in making informed decisions about respite 
care services; 
‘‘(ii) other services essential to the 
provision of respite care as the Secretary 
may specify; or 
‘‘(iii) training and education for new 
caregivers. 
‘‘(2) 
SUBCONTRACTS.—Each 
eligible 
State 
agency awarded a grant or cooperative agreement 
under this section may carry out the activities de-
scribed in paragraph (1) directly or by grant to, or 
contract with, public or private entities. 
‘‘(3) MATCHING FUNDS.—
‘‘(A) IN GENERAL.—With respect to the 
costs of the activities to be carried out under 
paragraph (1), a condition for the receipt of a 
grant or cooperative agreement under this sec-
tion is that the eligible State agency agrees to 
make available (directly or through donations 
from public or private entities) non-Federal 
contributions toward such costs in an amount 
that is not less than 25 percent of such costs. 
‘‘(B) DETERMINATION
OF
AMOUNT
CON-
TRIBUTED.—Non-Federal 
contributions 
re-
quired by subparagraph (A) may be in cash or
in kind, fairly evaluated, including plant, equip-
ment, or services. Amounts provided by the 
Federal Government, or services assisted or 
subsidized to any significant extent by the Fed-
eral Government, may not be included in deter-
mining the amount of such non-Federal con-
tributions. 
‘‘(g) TERM OF GRANTS OR COOPERATIVE AGREE-
MENTS.—
‘‘(1) IN GENERAL.—The Secretary shall award 
grants or cooperative agreements under this section 
for terms that do not exceed 5 years. 
‘‘(2) RENEWAL.—The Secretary may renew a 
grant or cooperative agreement under this section at 
the end of the term of the grant or cooperative 
agreement determined under paragraph (1). 
‘‘(h) MAINTENANCE
OF
EFFORT.—Funds made 
available under this section shall be used to supplement 
and not supplant other Federal, State, and local funds 
available for respite care services. 
‘‘SEC. 2903. NATIONAL LIFESPAN RESPITE RESOURCE CEN-
TER. 
‘‘(a) ESTABLISHMENT.—The Secretary may award a 
grant or cooperative agreement to a public or private non-
profit entity to establish a National Resource Center on
Lifespan Respite Care (referred to in this section as the 
‘center’). 
‘‘(b) PURPOSES
OF
THE
CENTER.—The center 
shall—
‘‘(1) maintain a national database on lifespan 
respite care; 
‘‘(2) provide training and technical assistance 
to State, community, and nonprofit respite care pro-
grams; and 
‘‘(3) provide information, referral, and edu-
cational programs to the public on lifespan respite 
care. 
‘‘SEC. 2904. REPORT. 
‘‘Not later than January 1, 2009, the Secretary shall 
report to the Congress on the activities undertaken under 
this title. Such report shall evaluate—
‘‘(1) the number of States that have lifespan 
respite care programs; 
‘‘(2) the demographics of the caregivers receiv-
ing respite care services through grants or coopera-
tive agreements under this title; and 
‘‘(3) the effectiveness of entities receiving 
grants or cooperative agreements under this title.
‘‘SEC. 2905. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There are authorized to be appropriated to carry out 
this title—
‘‘(1) $30,000,000 for fiscal year 2007; 
‘‘(2) $40,000,000 for fiscal year 2008; 
‘‘(3) $53,330,000 for fiscal year 2009; 
‘‘(4) $71,110,000 for fiscal year 2010; and 
‘‘(5) $94,810,000 for fiscal year 2011.’’. 
SEC. 3. GAO REPORT ON LIFESPAN RESPITE CARE PRO-
GRAMS. 
Not later than January 1, 2011,
the Comptroller 
General of the United States shall conduct an evaluation 
and submit a report to the Congress on the effectiveness 
of lifespan respite programs, including an analysis of cost 
benefits and improved efficiency in service delivery. 
Passed the House of Representatives December 6, 
2006. 
Attest:
Clerk.
109TH CONGRESS 
2D SESSION 
H. R. 3248
AN ACT 
To amend the Public Health Service Act to estab-
lish a program to assist family caregivers in ac-
cessing affordable and high-quality respite care, 
and for other purposes.