Page:United States Statutes at Large Volume 96 Part 2.djvu/696

 96 STAT. 2058

Appropriation authorization. Report to congressional committees.

42 USC 1395x. Report and recommendations to Congress. 42 USC 255 note. 42 USC 255 note.

PUBLIC LAW 97-414—JAN. 4, 1983

priate training programs for paraprofessionals (including homemaker home health aides) to provide home health services. "(2) Any program established with a grant or contract under this subsection to train homemaker home health aides shall— "(A) extend for at least forty hours, and consist of classroom instruction and at least twenty hours (in the aggregate) of ^ • supervised clinical instruction directed toward preparing stu- dents to deliver home health services; "(B) be carried out under appropriate professional supervision and be designed to train students to maintain or enhance the personal care of an individual in his home in a manner which promotes the functional independence of the individual; and "(C) include training in— "(i) personal care services designed to assist an individual in the activities of daily living such as bathing, exercising, personal grooming, and getting in and out of bed; and "(ii) household care services such as maintaining a safe living environment, light housekeeping, and assisting in providing good nutrition (by the purchasing and preparation of food). "(3) In making grants and entering into contracts under this subsection, special consideration shall be given to entities which establish or will establish programs to provide training for persons fifty years of age and older who wish to become paraprofessionals (including homemaker home health aides) to provide home health services. "(4) Applications for grants and contracts under this subsection shall be in such form and contain such information as the Secretary shall prescribe. "(5) There are authorized to be appropriated for grants and contracts under this subsection $2,000,000 for each of the fiscal years ending September 30, 1983, and September 30, 1984. "(c) The Secretary shall report to the Committee on Labor and Human Resources of the Senate and the Committee on Energy and Commerce of the House of Representatives on or before January 1, 1984, with respect to— "(1) the impact of grants made and contracts entered into under subsections (a) and (b) (as such subsections were in effect prior to October 1, 1981); "(2) the need to continue grants and loans under subsections (a) and (b) (as such subsections are in effect on the day after the j^. date of enactment of the Orphan Drug Act); and "(3) the extent to which standards have been applied to the training of personnel who provide home health services. "(d) For purposes of this section, the term 'home health services' has the meaning prescribed for the term by section 1861(m) of the Social Security Act.". (b) The Secretary shall report the results of studies currently evaluating home and community based health services, and any recommendations for legislative action which might improve the provision of such services, to the Congress prior to January 1, 1985. (c) The Secretary of Health and Human Services shall compile and analyze the results of significant studies carried out by any public or private entity, group, or individual, relating to current and alternative reimbursement methodologies for home health services. The Secretary shall make recommendations with respect to such reimbursement methodologies as they might be applied in health care

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