[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[S. 2338 Introduced in Senate (IS)]

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114th CONGRESS
  1st Session
                                S. 2338

 To award grants to States for the development of innovative long-term 
                    services and supports programs.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                            December 1, 2015

  Ms. Hirono introduced the following bill; which was read twice and 
  referred to the Committee on Health, Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
 To award grants to States for the development of innovative long-term 
                    services and supports programs.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Living Independently for Extended 
Time Act'' or the ``LIFETIME Act''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) The number of Americans over age 65 or living with a 
        disability is growing, and over 70 percent of these individuals 
        will need some form of long-term services and supports, with a 
        majority of individuals preferring home and community-based 
        care.
            (2) This is a major demographic shift and provides an 
        opportunity for innovative solutions in long-term services and 
        supports.
            (3) Developing programs to facilitate high-quality 
        independent community-based living, create and improve jobs, 
        and address and improve upon gaps in existing systems will be 
        essential to providing necessary services and supports to these 
        individuals and families.
            (4) It is imperative that Congress act to address the 
        looming long-term services and supports crisis.

SEC. 3. PURPOSE.

    It is the purpose of this Act to establish a grant program to 
provide incentives to States for the development of solutions to the 
increased need of individuals for long-term services and supports and 
to increase State support and systems in long-term care.

SEC. 4. ESTABLISHMENT OF LONG-TERM SERVICES AND SUPPORTS INNOVATION 
              GRANT PROGRAM.

    (a) State Planning Grants.--
            (1) In general.--Not later than 90 days after the date on 
        which grant announcements are made under subsection (d), the 
        Secretary of Health and Human Services (referred to in this Act 
        as the ``Secretary'') shall award grants to eligible States to 
        enable such States to develop innovative programs to meet the 
        unique need for long-term services and supports in the State.
            (2) Eligibility.--To be eligible to receive a grant under 
        paragraph (1), a State shall--
                    (A) submit to the Secretary an application, at such 
                time, in such manner, and containing such information 
                as the Secretary may require;
                    (B) demonstrate to the Secretary that the State 
                will work in conjunction with both public and private 
                long-term services and supports stakeholder groups 
                described in paragraph (3) to develop a coordinated 
                statewide long-term services and supports program for 
                the State that is not duplicative of other programs 
                providing such services and supports in the State; and
                    (C) provide assurances that the State will, not 
                later than 1 year after the date on which the grant is 
                awarded, submit to the Secretary a comprehensive plan 
                for the implementation of innovative long-term services 
                and supports program in the State, which shall include 
                the utilization of existing State or local frameworks.
            (3) Stakeholder groups.--Stakeholder groups described in 
        this paragraph shall be groups that--
                    (A) represent the interests of--
                            (i) consumers of long-term services and 
                        supports and related insurance products, as 
                        well as their representatives;
                            (ii) older adults;
                            (iii) individuals with cognitive or 
                        functional limitations;
                            (iv) family caregivers for individuals 
                        described in clause (i), (ii), or (iii);
                            (v) the health care workforce who directly 
                        provide long-term services and supports;
                            (vi) private long-term services and 
                        supports insurance providers;
                            (vii) employers;
                            (viii) State insurance departments;
                            (ix) area agency on aging or State agency 
                        on aging;
                            (x) direct care workforce; and
                            (xi) State Medicaid agencies;
                    (B) have demonstrated experience in dealing with 
                issues related to long-term services and supports, 
                health care policy, and public and private insurance; 
                and
                    (C) represent the health care interests and needs 
                of a variety of geographic areas and demographic 
                groups.
    (b) State Implementation Grants.--
            (1) In general.--The Secretary shall award grants to 
        eligible States to enable such States to implement the 
        comprehensive plans submitted under subsection (a)(2)(C) to 
        meet the long-term services and supports needs of such States.
            (2) Eligibility.--To be eligible to receive a grant under 
        paragraph (1), a State shall--
                    (A) submit to the Secretary an application, at such 
                time, in such manner, and containing such information 
                as the Secretary may require;
                    (B) have submitted a comprehensive plan under 
                subsection (a)(2)(C) that has been approved by the 
                Secretary or, if the State has not applied for a grant 
                under subsection (a), submit a plan (that is similar to 
                the plans required under subsection (a)(2)(C)) to the 
                Secretary for the implementation of new, or continued 
                operation of existing, long-term services and supports 
                activities;
                    (C) provide assurances that the State will provide 
                long-term services and supports under the grant to 
                individuals who demonstrate a need for such services 
                regardless of age;
                    (D) provide assurances that the State will provide 
                matching funds in accordance with paragraph (3); and
                    (E) submit to the Secretary progress and outcomes 
                reports containing uniform data as determined 
                appropriate by the Secretary.
            (3) Matching requirement.--To be eligible to receive a 
        grant under paragraph (1), a State shall agree, with respect to 
        the costs to be incurred by the State in implementing the 
        comprehensive plan under subsection (a)(2)(C), to make 
        available non-Federal contributions (in cash or in-kind) toward 
        such costs in an amount equal to not less than $1 for each $4 
        of Federal funds provided under the grant. Such contributions 
        may be made directly or through donations from public or 
        private entities.
            (4) Preference.--In awarding grants under paragraph (1), 
        the Secretary shall give preference to States that 
        demonstrate--
                    (A) the activities to be carried out under the 
                grant will enhances access to quality, affordable long-
                term services and supports for consumers; and
                    (B) the sustainability and scalability of the 
                program to be carried out under the grant beyond the 
                grant period.
            (5) Limitation.--A State shall not use in excess of 5 
        percent of the amount awarded under a grant under paragraph (1) 
        for the administrative expenses associated with carrying out 
        activities under the grant.
    (c) Technical Assistance and Outcomes Data.--The Secretary may use 
not to exceed 5 percent of the amount appropriated for each fiscal year 
under subsection (f) to--
            (1) provide technical assistance to States in carrying out 
        programs under this section; and
            (2) collect and disseminate data, including from the 
        reports submitted by the States under subsection (b)(2)(D), on 
        improvements to long-term services and supports provided in the 
        States and the effect that grants under this section had on the 
        availability of such services and supports.
    (d) Grant Announcements.--Not later than 1 year after the date of 
enactment of this Act, the Secretary shall announce the opportunity to 
apply for the initial series of grants under this section. Not later 
than 2 years after such date, the Secretary shall announce the 
opportunity to apply for the remaining grants under this section.
    (e) Report.--Not later than 1 year after the date on which grants 
are awarded under subsection (b), and annually thereafter, the 
Secretary shall submit to Congress a report on the activities carried 
out under grants under this section, including a description of 
improvements to long-term services and supports provided in the States 
and the effect that grants under this section had on the availability 
of such services and supports.
    (f) Appropriations.--
            (1) In general.--There is authorized to be appropriated--
                    (A) to award grants under subsection (a), 
                $50,000,000, to be used during the first fiscal year 
                for which such grants are awarded; and
                    (B) to award grants under subsection (b), 
                $250,000,000, to be available until expended.
            (2) Additional amounts.--In addition to amounts 
        appropriated under paragraph (1)(B) for a fiscal year, the 
        Secretary may use any amounts appropriated under paragraph 
        (1)(A) and remaining unexpended after fiscal year 2015 to award 
        grants under subsection (b).
    (g) Definition.--In this Act, the term ``long-term services and 
supports'' means the services and supports described in section 321(a) 
of the Older Americans Act of (42 U.S.C. 3030d(a) et seq.).
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