text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Home-Based Health Services Training 
  and Employment Act of 2012''.
  
  SEC. 2. FINDINGS AND PURPOSE.
  
      (a) Findings.--The Congress finds the following:
              (1) The ``baby boom'' generation will require health care 
          attention that will exceed the current supply of health care 
          providers.
              (2) There is a shortage of training programs specializing 
          in health care and long-term services that focus on home care 
          instead of institutionalized care.
              (3) Although the need for home-based health services 
          transcends all income levels, the availability of such services 
          is more limited for residents of public housing.
              (4) Estimates indicate that there are 44,000,000 caregivers 
          in the United States providing unpaid care to at least one 
          adult, representing 22,900,000 households.
              (5) Of working persons providing unpaid care, 62 percent 
          have had to make adjustments to work schedules or leave 
          employment.
              (6) Many low-income families in the United States are 
          placed in an untenable position of choosing between work and 
          caregiving responsibilities at home.
              (7) Many residents of public housing in the United States 
          are aging and in need of care.
              (8) The Department of Housing and Urban Development 
          estimates the percentage of households assisted by the 
          Department that are elderly households is 35 percent in New 
          York, 33 percent in Boston, 35 percent in Chicago, 24 percent 
          in Cleveland, 40 percent in Los Angeles, and 20 percent in 
          Puerto Rico.
              (9) New service programs are needed to provide home-based 
          health services to residents of public housing and to provide 
          job training and job placement for persons receiving assistance 
          from the Department of Housing and Urban Development needing 
          employment.
              (10) The Department of Housing and Urban Development should 
          establish a home-based health services pilot program to meet 
          the challenges of the increasing number of elderly persons and 
          persons with disabilities in public housing, which would 
          simultaneously create an opportunity to train job seekers in a 
          trade that provides home-based health services.
      (b) Purposes.--The purposes of this Act are--
              (1) to give flexibility to the Department of Housing and 
          Urban Development and other entities to establish training 
          programs in home-based health services for public housing 
          residents; and
              (2) to provide needed home care options to elderly and 
          disabled public housing residents (including elderly and 
          disabled veterans who are public housing residents) and elderly 
          and disabled residents of federally-assisted rental housing to 
          allow them to remain in their homes and their communities.
  
  SEC. 3. PILOT GRANT PROGRAM TO TRAIN PUBLIC HOUSING RESIDENTS TO 
                PROVIDE COVERED HOME-BASED HEALTH SERVICES.
  
      Section 34 of the United States Housing Act of 1937 (42 U.S.C. 
  1437z-6) is amended by adding at the end the following new subsections:
      ``(f) Pilot Grant Program To Train Public Housing Residents To 
  Provide Covered Home-Based Health Services.--
              ``(1) Establishment of pilot grant program.--The Secretary, 
          in consultation with the Secretary of Health and Human 
          Services, shall establish a competitive grant program to make 
          grants to eligible entities under paragraph (2) for use for the 
          training of public housing residents as home health aides and 
          as providers of home-based health services (including as 
          personal and home care aides) to enable such residents to 
          provide covered home-based health services to--
                      ``(A) residents of public housing who are elderly 
                  or disabled, or both (including elderly and disabled 
                  veterans who are residents of public housing); and
                      ``(B) subject to the criteria set forth pursuant to 
                  paragraph (3), residents of federally-assisted rental 
                  housing who are elderly or disabled, or both.
              ``(2) Eligible entities.--A grant under this subsection may 
          be made only to an entity that--
                      ``(A) is a public housing agency or other unit of 
                  State or local government (including an agency of such 
                  unit), community health center, home care provider 
                  organization, faith-based organization, labor 
                  organization, or other organization determined to be 
                  qualified by the Secretary; and
                      ``(B) demonstrates to the satisfaction of the 
                  Secretary that it has established, or provides such 
                  assurances that it will establish, an employment 
                  training program to train public housing residents to 
                  provide covered home-based health services that 
                  complies with regulations that the Secretary shall 
                  issue.
              ``(3) Residents of federally-assisted rental housing.--The 
          Secretary may set forth criteria under which an entity 
          receiving funding under this subsection may train public 
          housing residents to provide covered home-based health services 
          to elderly and disabled residents of federally-assisted rental 
          housing.
              ``(4) Application.--To be eligible for a grant under this 
          subsection an eligible entity under paragraph (2) shall submit 
          to the Secretary an application at such time, in such manner, 
          and containing such information as the Secretary shall require.
              ``(5) Competitive grant awards.--
                      ``(A) General criteria for selection.--The 
                  Secretary shall establish policies and procedures for 
                  reviewing and approving funding for eligible entities 
                  through a competitive process taking into 
                  consideration--
                              ``(i) with respect to the service area in 
                          which public housing residents trained under an 
                          employment training program described in 
                          paragraph (2)(B) will provide covered home-
                          based health services--
                                      ``(I) the percentage of residents 
                                  age 62 and older;
                                      ``(II) the percentage of disabled 
                                  residents; and
                                      ``(III) the percentage of 
                                  unemployed or underemployed residents;
                              ``(ii) the ability of an eligible entity to 
                          provide training that leads to the provision of 
                          quality care;
                              ``(iii) the record of the quality of care 
                          of an eligible entity; and
                              ``(iv) such other criteria as determined by 
                          the Secretary.
                      ``(B) Geographic consideration.--In awarding 
                  grants, the Secretary shall consider a geographic mix 
                  of a variety of eligible entities so that the grant 
                  program will include at least--
                              ``(i) one employment training program 
                          described in paragraph (2)(B) that primarily 
                          serves an urban population;
                              ``(ii) one employment training program 
                          described in paragraph (2)(B) that primarily 
                          serves a rural population;
                              ``(iii) one employment training program 
                          described in paragraph (2)(B) that primarily 
                          serves an Indian population; and
                              ``(iv) one employment training program 
                          described in paragraph (2)(B) that primarily 
                          serves a population in the Commonwealth of 
                          Puerto Rico, the United States Virgin Islands, 
                          Guam, American Samoa, or the Commonwealth of 
                          the Northern Mariana Islands.
              ``(6) Use of grant funds.--An entity receiving funding 
          under this subsection may use such funds--
                      ``(A) to establish (or maintain) and carry-out an 
                  employment training program to train public housing 
                  residents to provide covered home-based health care 
                  services to elderly and disabled public housing 
                  residents and elderly and disabled residents of 
                  federally-assisted rental housing;
                      ``(B) for the transportation expenses of public 
                  housing residents in training under such an employment 
                  training program;
                      ``(C) for the child care expenses of public housing 
                  residents in training under such an employment training 
                  program;
                      ``(D) for the administrative expenses of carrying 
                  out such an employment training program; and
                      ``(E) for any other activity the Secretary 
                  determines appropriate.
              ``(7) Report to congress.--Not later than 24 months after 
          the date of the enactment of the Home-Based Health Services 
          Training and Employment Act of 2012, the Secretary shall submit 
          to Congress a report on the use and impact of the grant program 
          established by this subsection. The report shall include--
                      ``(A) a review of the effectiveness of the program 
                  in--
                              ``(i) providing jobs for public housing 
                          residents;
                              ``(ii) meeting the unmet health and long-
                          term care needs of elderly and disabled 
                          residents of public housing and elderly and 
                          disabled residents of federally-assisted rental 
                          housing; and
                              ``(iii) enabling the provision of quality 
                          care; and
                      ``(B) any recommendations the Secretary determines 
                  appropriate regarding the grant program.
              ``(8) Definitions.--As used in this subsection, subsection 
          (g), and subsection (h):
                      ``(A) Home-based health services.--The term `home-
                  based health services' means health care and long-term 
                  services provided to an individual in a place of 
                  residence used as such individual's home and includes--
                              ``(i) home health services described in 
                          section 1861(m) of the Social Security Act (42 
                          U.S.C. 1395x(m));
                              ``(ii) personal care services described in 
                          section 1905(a)(24) of such Act (42 U.S.C. 
                          1396d(a)(24)); and
                              ``(iii) home-based services which may be 
                          covered under a waiver under subsection (c) or 
                          (d) of section 1915 of such Act (42 U.S.C. 
                          1396n).
                      ``(B) Home health aide.--The term `home health 
                  aide' has the meaning given the term in section 
                  1891(a)(3)(E) of the Social Security Act (42 U.S.C. 
                  1395bbb(a)(3)(E)).
                      ``(C) Covered.--The term `covered' means, with 
                  respect to home-based health services, such services--
                              ``(i) for which medical assistance is 
                          available under a State plan under title XIX of 
                          the Social Security Act; or
                              ``(ii) for which financial assistance is 
                          available under subsection (g).
                      ``(D) Federally-assisted rental housing.--The term 
                  `federally-assisted rental housing' means--
                              ``(i) housing assisted under section 202 of 
                          the Housing Act of 1959 (12 U.S.C. 1701q);
                              ``(ii) housing assisted under section 515 
                          of the Housing Act of 1949 (42 U.S.C. 1485);
                              ``(iii) housing assisted under section 8 of 
                          the United States Housing Act of 1937 (42 
                          U.S.C. 1437f) (including project-based and 
                          tenant-based assistance);
                              ``(iv) housing assisted under the block 
                          grant program under the Native American Housing 
                          Assistance and Self-Determination Act of 1996 
                          (25 U.S.C. 4101 et seq.);
                              ``(v) housing financed by a mortgage 
                          insured under section 221(d)(3) of the National 
                          Housing Act (12 U.S.C. 1715l(d)(3)) or held by 
                          the Secretary, a State, or State agency; and
                              ``(vi) housing assisted under section 811 
                          of the Cranston-Gonzalez National Affordable 
                          Housing Act (42 U.S.C. 8013).
              ``(9) Inapplicability of previous subsections.--Subsections 
          (a) through (e) shall not apply to this subsection, subsection 
          (g), and subsection (h).
              ``(10) Rule of construction.--This subsection and 
          subsection (g) may not be construed as affecting any 
          requirement under State law for training, licensure, or any 
          other certification as a home health aide or as a provider of 
          any home-based health service under this subsection and 
          subsection (g).
              ``(11) Regulations.--Not later than 6 months after the date 
          of enactment of the Home-Based Health Services Training and 
          Employment Act of 2012, the Secretary shall issue regulations 
          to carry out this subsection.
      ``(g) Financial Assistance for Home-Based Health Services in 
  Certain Jurisdictions.--
              ``(1) Financial assistance.--The Secretary, in consultation 
          with the Secretary of Health and Human Services, may provide 
          financial assistance under this subsection to entities 
          receiving grant funds under the pilot program established under 
          subsection (f) that provide training for public housing 
          residents as home health aides and as providers of home-based 
          health services and provide (or pay for) such services for use 
          only for their costs in providing (or paying for) such services 
          to--
                      ``(A) residents of public housing who are elderly 
                  or disabled, or both (including elderly or disabled 
                  veterans who are residents of public housing); or
                      ``(B) at the discretion of the Secretary, residents 
                  of federally-assisted rental housing who are elderly or 
                  disabled, or both.
              ``(2) Requirements.--
                      ``(A) Location.--Assistance under paragraph (1) may 
                  be provided only for services furnished in locations in 
                  which medical assistance for home-based health services 
                  is not available under a State plan under title XIX of 
                  the Social Security Act.
                      ``(B) Trained public housing residents.--Assistance 
                  under paragraph (1) may be used only for costs of 
                  services described in paragraph (1) that are provided 
                  by public housing residents trained by an entity 
                  receiving grant funds under the pilot program 
                  established under subsection (f).
              ``(3) Eligibility.--To be eligible for financial assistance 
          under this subsection an entity shall--
                      ``(A) provide such assurances as the Secretary 
                  shall require that it will use the funds only as 
                  provided in paragraphs (1) and (2);
                      ``(B) submit to the Secretary an application at 
                  such time, in such manner, and containing such 
                  information as the Secretary requires; and
                      ``(C) comply with such other terms and conditions 
                  as the Secretary shall establish to carry out this 
                  subsection.
      ``(h) Impact of Income on Eligibility for Housing Benefits.--For 
  any resident of public housing who is trained as a home health aide or 
  as a provider of home-based health services pursuant to the program 
  under subsection (f), any income received by such resident for 
  providing covered home-based health services shall apply towards 
  eligibility for benefits under Federal housing programs as follows:
              ``(1) No income received shall apply for the 12 months 
          after the completion of the training of such resident.
              ``(2) Twenty-five percent of income received shall apply 
          for the period that is 12 to 24 months after the completion of 
          the training of such resident.
              ``(3) Fifty percent of income received shall apply for the 
          period that is 24 to 36 months after the completion of the 
          training of such resident.
              ``(4) One-hundred percent of income received shall apply 
          for any period that begins after 36 months after the completion 
          of the training of such resident.''.
target: Home-Based Health Services Training and Employment Act of 2012 - Amends the United States Housing Act of 1937 to direct the Secretary of Housing and Urban Development (HUD) to establish a pilot program to make grants on a competitive basis to eligible entities for the training of public housing residents as home health aides and providers of home-based health services to enable them to provide covered home-based health services (i.e., services for which medical assistance is available under a state Medicaid plan or for which financial assistance is available under this Act) to residents of: (1) public housing who are elderly, disabled, or both; and (2) federally-assisted rental housing who are elderly, disabled, or both, subject to criteria that the Secretary may establish.
  
  Authorizes the use of grant funds: (1) to establish or maintain and carry out a program to train public housing residents to provide covered home-based health care services to elderly and disabled public housing residents and to elderly and disabled residents of federally-assisted rental housing, (2) for the transportation and child care expenses of public housing residents in training, and (3) for the administrative expenses of carrying out such a program.
  
  Provides that for any resident of public housing who is trained as a home health aide or as a provider of home-based health services under the program, any income received for providing covered home-based health services shall apply towards eligibility for benefits under federal housing programs as specified, based on length of time following completion of the training.
feat_title: To establish a pilot program to train public housing residents as home health aides and in home-based health services to enable such residents to provide covered home-based health services to residents of public housing and residents of federally-assisted rental housing, who are elderly and disabled, and for other purposes.