[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 995 Reported in Senate (RS)]

<DOC>





                                                       Calendar No. 283
116th CONGRESS
  1st Session
                                 S. 995

To amend title XXIX of the Public Health Service Act to reauthorize the 
      program under such title relating to lifespan respite care.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             April 2, 2019

  Ms. Collins (for herself and Ms. Baldwin) introduced the following 
  bill; which was read twice and referred to the Committee on Health, 
                     Education, Labor, and Pensions

                            November 5, 2019

              Reported by Mr. Alexander, with an amendment
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

_______________________________________________________________________

                                 A BILL


 
To amend title XXIX of the Public Health Service Act to reauthorize the 
      program under such title relating to lifespan respite care.

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

<DELETED>SECTION 1. SHORT TITLE.</DELETED>

<DELETED>    This Act may be cited as the ``Lifespan Respite Care 
Reauthorization Act of 2019''.</DELETED>

<DELETED>SEC. 2. FINDINGS.</DELETED>

<DELETED>    Congress finds the following:</DELETED>
        <DELETED>    (1) There are an estimated 43,000,000 family 
        caregivers nationwide that provide care for loved ones with 
        chronic, disabling health conditions across the 
        lifespan.</DELETED>
        <DELETED>    (2) The economic value of uncompensated family 
        caregiving to the United States economy was estimated at 
        $470,000,000,000 in 2013, more than total Medicaid spending of 
        $449,000,000,000, including both Federal and State 
        contributions for medical and long-term care in the same 
        year.</DELETED>
        <DELETED>    (3) While caring for the aging population remains 
        a growing concern, more than half of care recipients are under 
        age 75, and almost one-third are under age 50.</DELETED>
        <DELETED>    (4) Respite provides temporary relief to 
        caregivers from the ongoing responsibility of caring for 
        individuals of all ages with special needs.</DELETED>
        <DELETED>    (5) Respite care is one of the most commonly 
        requested caregiver support services.</DELETED>
        <DELETED>    (6) Respite has been shown to provide family 
        caregivers with the relief necessary to maintain their own 
        health, balance work and family, bolster family stability, keep 
        marriages intact, and avoid or delay more costly nursing home 
        or foster care placements.</DELETED>
        <DELETED>    (7) Delaying nursing home, institutional, or 
        foster care placement of just one individual for several months 
        can save Medicaid, child welfare, or other government programs 
        tens of thousands of dollars.</DELETED>
        <DELETED>    (8) The Lifespan Respite Care Act of 2006 (Public 
        Law 109-442) was originally enacted to improve the delivery and 
        quality of respite care services available to families across 
        all age and disability groups by establishing coordinated 
        lifespan respite systems.</DELETED>
        <DELETED>    (9) Thirty-seven States and the District of 
        Columbia have received grants under the Lifespan Respite Care 
        Act of 2006 to improve the availability and quality of respite 
        services across the lifespan.</DELETED>
        <DELETED>    (10) For the Nation's wounded servicemembers and 
        veterans with traumatic brain injuries and other conditions, 
        respite systems could be an integral lifeline for families in 
        their new roles as lifelong family caregivers.</DELETED>
        <DELETED>    (11) The Department of Veterans Affairs and 
        Congress have both acknowledged the unique challenges facing 
        caregivers of returning servicemembers and veterans, as well as 
        the need for increased caregiver services.</DELETED>
        <DELETED>    (12) The increased utilization of, and costs to, 
        long-term care systems requires the continued development of 
        coordinated family support services like lifespan respite 
        care.</DELETED>

<DELETED>SEC. 3. REAUTHORIZATION OF LIFESPAN RESPITE CARE 
              PROGRAM.</DELETED>

<DELETED>    (a) Data Collection and Reporting.--Section 2904 of the 
Public Health Service Act (42 U.S.C. 290ii-3) is amended to read as 
follows:</DELETED>

<DELETED>``SEC. 2904. DATA COLLECTION AND REPORTING.</DELETED>

<DELETED>    ``Each eligible State agency awarded a grant or 
cooperative agreement under section 2902 shall collect, maintain, and 
report such data and records at such times, in such form, and in such 
manner as the Secretary may require to enable the Secretary--</DELETED>
        <DELETED>    ``(1) to monitor State administration of programs 
        and activities funded pursuant to such grant or cooperative 
        agreement; and</DELETED>
        <DELETED>    ``(2) to evaluate, and to compare effectiveness on 
        a State-by-State basis, of programs and activities funded 
        pursuant to section 2902.''.</DELETED>
<DELETED>    (b) Funding.--Section 2905 of the Public Health Service 
Act (42 U.S.C. 300ii-4) is amended by striking paragraphs (1) through 
(5) and inserting the following:</DELETED>
        <DELETED>    ``(1) $20,000,000 for fiscal year 2020;</DELETED>
        <DELETED>    ``(2) $30,000,000 for fiscal year 2021;</DELETED>
        <DELETED>    ``(3) $40,000,000 for fiscal year 2022;</DELETED>
        <DELETED>    ``(4) $50,000,000 for fiscal year 2023; 
        and</DELETED>
        <DELETED>    ``(5) $60,000,000 for fiscal year 
        2024.''.</DELETED>

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Lifespan Respite Care 
Reauthorization Act of 2019''.

SEC. 2. REAUTHORIZATION OF LIFESPAN RESPITE CARE PROGRAM.

    (a) Data Collection and Reporting.--Section 2904 of the Public 
Health Service Act (42 U.S.C. 300ii-3) is amended to read as follows:

``SEC. 2904. DATA COLLECTION AND REPORTING.

    ``(a) In General.--Each State agency awarded a grant or cooperative 
agreement under section 2902 shall report such data, information, and 
metrics as the Secretary may require for purposes of--
            ``(1) evaluating State programs and activities funded 
        pursuant to such grant or cooperative agreement, including any 
        results pursuant to section 2902(d)(2)(B)(xii); and
            ``(2) identifying effective programs and activities funded 
        pursuant to section 2902.
    ``(b) Report.--Not later than October 1, 2023, the Secretary shall 
submit a report to the Committee on Health, Education, Labor, and 
Pensions of the Senate and the Committee on Energy and Commerce of the 
House of Representatives regarding the outcomes of the programs and 
activities funded pursuant to section 2902, including any effective 
programs and activities identified.''.
    (b) Funding.--Section 2905 of the Public Health Service Act (42 
U.S.C. 300ii-4) is amended by striking ``title'' and all that follows 
through the period and inserting ``title, $10,000,000 for each of 
fiscal years 2020 through fiscal year 2024.''.
                                                       Calendar No. 283

116th CONGRESS

  1st Session

                                 S. 995

_______________________________________________________________________

                                 A BILL

To amend title XXIX of the Public Health Service Act to reauthorize the 
      program under such title relating to lifespan respite care.

_______________________________________________________________________

                            November 5, 2019

                       Reported with an amendment