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S. 1028 — what changed

Recognize, Assist, Include, Support, and Engage Family Caregivers Act of 2017

From Reported in Senate to Engrossed in Senate. 4 sections amended and 1 added between Reported in Senate and Engrossed in Senate.

Sec. 2 Definitions

In this Act:

(1)
Advisory Council— The term Advisory Council means the Family Caregiving Advisory Council convened under section 4.
(2)
Family caregiver— The term family caregiver means an adult family member or other individual who has a significant relationship with, and who provides a broad range of assistance to, an individual with a chronic or other health condition, disability, or functional limitation.
(3)
Secretary— The term Secretary means the Secretary of Health and Human Services.
(4)
changed Strategy— The term Strategy means the National Family Caregiving Strategy established, maintained, and updated set forth under section 3.

Sec. 3 Family Caregiving Strategy

(a)
changed In general— The Secretary, in consultation with the heads of other appropriate Federal agencies, shall develop, maintain, develop jointly with the Advisory Council and periodically update submit to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate, the Committee on Education and the Workforce of the House of Representatives, and the State agencies responsible for carrying out family caregiver programs, and make publically available on the internet website of the Department of Health and Human Services, a National Family Caregiving Strategy.
(b)
changed Contents— The Strategy shall identify specific recommended actions that Federal, Federal (under existing Federal programs), State, and local governments, communities, health care, care providers, long-term services and supports and other providers, employers, and others can take are taking, or may take, to recognize and support family caregivers in a manner that reflects their diverse needs, including with respect to the following:
(1)
Promoting greater adoption of person- and family-centered care in all health and long-term services and supports settings, with the person receiving services and supports and the family caregiver (as appropriate) at the center of care teams.
(2)
Assessment and service planning (including care transitions and coordination) involving family caregivers and care recipients.
(3)
changed Training Information, education and other supports.training supports, referral, and care coordination, including with respect to hospice care, palliative care, and advance planning services.
(4)
removed Information, education, referral, and care coordination, including hospice, palliative care, and advance planning services.
(4)
renumbered was (3)(7) Respite options.
(5)
added Financial security and workplace issues.
(6)
changed Financial security.Delivering services based on the performance, mission, and purpose of a program while eliminating redundancies.
(7)
removed Workplace policies and supports that allow family caregivers to remain in the workforce.
(c)
changed Responsibilities Duties of the Secretary— The Secretary, Secretary (or the Secretary's designee), in carrying out this section, subsection (a), shall be responsible for oversee the following:
(1)
changed Collecting and making publicly available information, submitted by the Advisory Council under section 4(d) to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate, the Committee on Education and the Workforce of the House of Representatives, and the State agencies responsible for carrying out family caregiver programs, and made publically available by the Secretary, including evidence-based or promising practices and innovative models (both domestically domestic and internationally) foreign) regarding the provision of care by family caregivers or support for family caregivers.
(2)
changed Coordinating and assessing existing Federal Government programs and activities to recognize and support family caregivers while ensuring maximum effectiveness and avoiding unnecessary duplication.
(3)
changed Providing technical assistance, as appropriate, such as disseminating identified best practices and information sharing, sharing based on reports provided under section 4(d), to State or local efforts, as appropriate, efforts to support family caregivers.
(4)
removed Addressing disparities in recognizing and supporting family caregivers and meeting the needs of the diverse family caregiving population.
(5)
removed Assessing all Federal programs regarding family caregivers, including with respect to funding levels.
(d)
Initial strategy; updates— The Secretary shall—
(1)
changed not later than 18 months after the date of enactment of this Act, develop, publish, and submit to Congress the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate, the Committee on Education and the Workforce of the House of Representatives, and the State agencies responsible for carrying out family caregiver programs, an initial Strategy incorporating the items addressed in the Advisory Council's initial report in under section 4(d)(2) 4(d) and other priority actions relevant information, including best practices, for recognizing and supporting family caregivers; and
(2)
changed not less than every 2 years, biennially update, republish, and submit to Congress the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate, the Committee on Education and the Workforce of the House of Representatives, and the State agencies responsible for carrying out family caregiver programs the Strategy, taking into account the most recent annual report submitted under section 4(d)(1)—
(A)
to reflect new developments, challenges, opportunities, and solutions; and
(B)
changed to assess review progress based on recommendations for recognizing and supporting family caregivers in implementation of the Strategy and, based on the results of such assessment, review, recommend priority actions for improving the implementation of such implementation.recommendations, as appropriate.
(e)
Process for public input— The Secretary shall establish a process for public input to inform the development of, and updates to, the Strategy, including a process for the public to submit recommendations to the Advisory Council and an opportunity for public comment on the proposed Strategy.
(f)
No preemption— Nothing in this Act preempts any authority of a State or local government to recognize or support family caregivers.
(g)
added Rule of construction— Nothing in this Act shall be construed to permit the Secretary (through regulation, guidance, grant criteria, or otherwise) to—
(1)
added mandate, direct, or control the allocation of State or local resources;
(2)
added mandate the use of any of the best practices identified in the reports required under this Act; or
(3)
added otherwise expand the authority of the Secretary beyond that expressly provided to the Secretary in this Act.

Sec. 4 Family Caregiving Advisory Council

(a)
changed Convening— The Secretary shall convene a Family Caregiving Advisory Council to advise and provide advice recommendations, including identified best practices, to the Secretary on recognizing and supporting family caregivers.
(b)
Membership—
(1)
In general— The members of the Advisory Council shall consist of—
(A)
the appointed members under paragraph (2); and
(B)
the Federal members under paragraph (3).
(2)
changed Appointed members— In addition to the Federal members under paragraph (3), the Secretary shall appoint not more than 15 voting members of the Advisory Council who are not representatives of Federal departments or agencies and who shall include at least one representative of each of the following:
(A)
Family caregivers.
(B)
changed Older adults with long-term services and supports needs, including older adults facing disparities.needs.
(C)
Individuals with disabilities.
(D)
removed Advocates for family caregivers, older adults with long-term services and supports needs, and individuals with disabilities.
(D)
renumbered was (3)(3)(7) Health care and social service providers.
(E)
renumbered was (3)(3)(8) Long-term services and supports providers.
(F)
renumbered was (3)(3)(9) Employers.
(G)
renumbered was (3)(3)(10) Paraprofessional workers.
(H)
renumbered was (3)(3)(11) State and local officials.
(I)
renumbered was (3)(3)(12) Accreditation bodies.
(K)
removed Relevant industries.
(J)
renumbered was (3)(3)(14) Veterans.
(K)
added As appropriate, other experts and advocacy organizations engaged in family caregiving.
(M)
removed As appropriate, other experts in family caregiving.
(3)
Federal members— The Federal members of the Advisory Council, who shall be nonvoting members, shall consist of the following:
(A)
The Administrator of the Centers for Medicare & Medicaid Services (or the Administrator's designee).
(B)
The Administrator of the Administration for Community Living (or the Administrator's designee who has experience in both aging and disability).
(C)
removed The Assistant Secretary for the Administration for Children and Families (or the Assistant Secretary's designee).
(C)
renumbered was (3)(4)(6) The Secretary of Veterans Affairs (or the Secretary's designee).
(D)
added The heads of other Federal departments or agencies (or their designees), including relevant departments or agencies that oversee labor and workforce, economic, government financial policies, community service, and other impacted populations, as appointed by the Secretary or the Chair of the Advisory Council.
(E)
removed The Secretary of Labor (or the Secretary's designee).
(F)
removed The Secretary of the Treasury (or the Secretary's designee).
(G)
removed The National Coordinator for Health Information Technology (or the National Coordinator's designee).
(H)
removed The Administrator of the Small Business Administration (or the Administrator's designee).
(I)
removed The Chief Executive Officer of the Corporation for National and Community Service (or the Chief Executive Officer's designee).
(J)
removed The heads of other Federal departments or agencies (or their designees), as appointed by the Secretary or the Chair of the Advisory Council.
(4)
Diverse representation— The Secretary shall ensure that the membership of the Advisory Council reflects the diversity of family caregivers and individuals receiving services and supports.
(c)
Meetings— The Advisory Council shall meet quarterly during the 1-year period beginning on the date of enactment of this Act and at least three times during each year thereafter. Meetings of the Advisory Council shall be open to the public.
(d)
Advisory Council annual reports—
(1)
changed In general— Not later than 12 months after the date of enactment of this Act, and annually thereafter, the Advisory Council shall submit to the Secretary Secretary, the Committee on Health, Education, Labor, and Congress Pensions and the Special Committee on Aging of the Senate, the Committee on Education and the Workforce of the House of Representatives, and the State agencies responsible for carrying out family caregiver programs, and make publically available on the internet website of the Department of Health and Human Services, a report concerning the development, maintenance, and updating of the Strategy and the implementation thereof, Strategy, including a description of the outcomes of the recommendations and any priorities under included in the initial report pursuant to paragraph (2), as appropriate. Such report shall be made publicly available by the Advisory Council.appropriate.
(2)
Initial report— The Advisory Council's initial report under paragraph (1) shall include—
(A)
an inventory and assessment of all federally funded efforts to recognize and support family caregivers and the outcomes of such efforts, including analyses of the extent to which federally funded efforts are reaching family caregivers and gaps in such efforts;
(B)
changed recommendations for priority actions—recommendations—
(i)
changed to improve and better coordinate Federal programs and activities to recognize and support family caregivers, as well as opportunities to improve the coordination of such Federal programs and activities with State programs; and
(ii)
changed to effectively deliver services based on the performance, mission, and purpose of a program while eliminating redundancies redundancies, avoiding unnecessary duplication and overlap, and ensuring the needs of family caregivers are met;
(C)
changed recommendations to reduce the financial impact and other challenges identification of caregiving on challenges faced by family caregivers; caregivers, including financial, health, and other challenges, and existing approaches to address such challenges; and
(D)
changed an evaluation of how family caregiving impacts the Medicare program, and the Medicaid program, and other Federal programs.
(e)
Nonapplicability of FACA— The Federal Advisory Committee Act (5 U.S.C. App.) shall not apply to the Advisory Council.

Sec. 5 Funding

changed The authority and obligations established by No additional funds are authorized to be appropriated to carry out this Act. This Act shall terminate on the date that is 5 years after the date of enactment of this Act.be carried out using funds otherwise authorized.

Sec. 6 Sunset provision

added

added The authority and obligations established by this Act shall terminate on the date that is 5 years after the date of enactment of this Act.