Federal
Social Security Caregiver Credit Act of 2019
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I
116TH CONGRESS
1ST SESSION H. R. 4126
To amend title II of the Social Security Act to credit individuals serving
as caregivers of dependent relatives with deemed wages for up to five
years of such service, and to support State medical training programs
for caregivers.
IN THE HOUSE OF REPRESENTATIVES
JULY 30, 2019
Mrs. LOWEY introduced the following bill; which was referred to the Com-
mittee on Ways and Means, and in addition to the Committee on Energy
and Commerce, for a period to be subsequently determined by the Speak-
er, in each case for consideration of such provisions as fall within the ju-
risdiction of the committee concerned
A BILL
To amend title II of the Social Security Act to credit individ-
uals serving as caregivers of dependent relatives with
deemed wages for up to five years of such service, and
to support State medical training programs for care-
givers.
Be it enacted by the Senate and House of Representa-
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tives of the United States of America in Congress assembled,
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SECTION 1. SHORT TITLE.
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This Act may be cited as the ‘‘Social Security Care-
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giver Credit Act of 2019’’.
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SEC. 2. FINDINGS AND SENSE OF THE HOUSE OF REP-
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RESENTATIVES.
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(a) FINDINGS.—Congress finds that:
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(1) Caregiving is an essential element of family
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life and a vital service for children, the ill, the dis-
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abled, and the elderly.
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(2) The establishment of a caregiver credit
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would bolster the economic prospects of unpaid care-
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givers and would provide them with vital retirement
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security.
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(3) The 2018 Annual Report of the Board of
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Trustees of the Federal Old-Age and Survivors In-
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surance and Federal Disability Insurance Trust
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Funds concluded that the combined Trust Funds
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will be able to pay scheduled benefits in full until
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2034.
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(b) SENSE OF THE HOUSE OF REPRESENTATIVES.—
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It is the sense of House of Representatives that the United
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States Congress must address the unfair exclusion of pro-
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fessional and hardworking home care providers who are
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not eligible to receive Social Security or Medicare because
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they provide paid care to a family member with a disability
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under programs operated at the State and local level for
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general health and welfare protection.
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SEC. 3. DEEMED WAGES FOR CAREGIVERS OF DEPENDENT
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RELATIVES.
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(a) IN GENERAL.—Title II of the Social Security Act
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is amended by adding after section 234 (42 U.S.C. 434)
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the following new section:
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‘‘DEEMED WAGES FOR CAREGIVERS OF DEPENDENT
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RELATIVES
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‘‘SEC. 235. (a) DEFINITIONS.—For purposes of this
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section—
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‘‘(1)(A) Subject to subparagraph (B), the term
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‘qualifying month’ means, in connection with an in-
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dividual, any month—
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‘‘(i) beginning after the date which is 60
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months prior to the date of the enactment of
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the Social Security Caregiver Credit Act of
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2019; and
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‘‘(ii) during which such individual was en-
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gaged for not less than 80 hours in providing
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care to a dependent relative without monetary
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compensation.
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‘‘(B) The term ‘qualifying month’ does not in-
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clude any month ending after the date on which
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such individual attains retirement age (as defined in
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section 216(l)).
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‘‘(2) The term ‘dependent relative’ means, in
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connection with an individual—
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‘‘(A) a child, grandchild, niece, or nephew
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(of such individual or such individual’s spouse
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or domestic partner), or a child to which the in-
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dividual or the individual’s spouse or domestic
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partner is standing in loco parentis, who is
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under the age of 12; or
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‘‘(B) a child, grandchild, niece, or nephew
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(of such individual or such individual’s spouse
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or domestic partner), a child to which the indi-
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vidual or the individual’s spouse or domestic
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partner is standing in loco parentis, a parent,
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grandparent, sibling, aunt, or uncle (of such in-
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dividual or his or her spouse or domestic part-
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ner), or such individual’s spouse or domestic
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partner, if such child, grandchild, niece, neph-
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ew, parent, grandparent, sibling, aunt, uncle,
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spouse, or domestic partner is a chronically de-
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pendent individual.
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‘‘(3)(A) The term ‘chronically dependent indi-
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vidual’ means an individual who—
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‘‘(i) is dependent on a daily basis on verbal
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reminding, physical cueing, supervision, or
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other assistance provided to the individual by
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another person in the performance of at least
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two of the activities of daily living (described in
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subparagraph (B)) or instrumental activities of
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daily living (described in subparagraph (C));
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and
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‘‘(ii) without the assistance described in
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clause (i), could not perform such activities of
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daily living or instrumental activities of daily
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living.
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‘‘(B) The ‘activities of daily living’ referred to
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in subparagraph (A) means basic personal everyday
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activities, including—
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‘‘(i) eating;
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‘‘(ii) bathing;
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‘‘(iii) dressing;
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‘‘(iv) toileting; and
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‘‘(v) transferring in and out of a bed or in
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and out of a chair.
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‘‘(C) The ‘instrumental activities of daily living’
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referred to in subparagraph (A) means activities re-
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lated to living independently in the community, in-
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cluding—
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‘‘(i) meal planning and preparation;
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‘‘(ii) managing finances;
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‘‘(iii) shopping for food, clothing, or other
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essential items;
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‘‘(iv)
performing
essential
household
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chores;
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‘‘(v) communicating by phone or other
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form of media; and
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‘‘(vi) traveling around and participating in
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the community.
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‘‘(b) DEEMED WAGES OF CAREGIVER.—(1)(A) For
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purposes of determining entitlement to and the amount
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of any monthly benefit for any month after December
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2019, or entitlement to and the amount of any lump-sum
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death payment in the case of a death after such month,
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payable under this title on the basis of the wages and self-
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employment income of any individual, and for purposes
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of section 216(i)(3), such individual shall be deemed to
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have been paid during each qualifying month (in addition
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to wages or self-employment income actually paid to or
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derived by such individual during such month) at an
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amount per month equal to—
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‘‘(i) in the case of a qualifying month during
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which no wages or self-employment income were ac-
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tually paid to or derived by such individual, 50 per-
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cent of the national average wage index (as defined
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in section 209(k)(1)) for the second calendar year
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preceding the calendar year in which such month oc-
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curs; and
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‘‘(ii) in the case of any other qualifying month,
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the excess of the amount determined under clause (i)
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over 1⁄2 of the wages or self-employment income ac-
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tually paid to or derived by such individual during
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such month.
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‘‘(B) In any case in which there are more than 60
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qualifying months for an individual, only the last 60 of
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such months shall be taken into account for purposes of
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this section.
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‘‘(2) Paragraph (1) shall not be applicable in the case
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of any monthly benefit or lump-sum death payment if a
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larger such benefit or payment, as the case may be, would
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be payable without its application.
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‘‘(3) Any assistance or support services provided to
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caregivers under section 1720G of title 38, United States
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Code, shall not be considered wages or self-employment
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income for the purposes of determining entitlement to and
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the amount of any monthly benefit payable under this sub-
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section.
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‘‘(c) RULES AND REGULATIONS.—
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‘‘(1) Not later than one year after the date of
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the enactment of this section, the Commissioner of
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Social Security shall promulgate such regulations as
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are necessary to carry out this section and to pre-
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vent fraud and abuse with respect to the benefits
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under this section, including regulations establishing
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procedures for the application and certification re-
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quirements described in paragraph (2).
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‘‘(2) A qualifying month shall not be taken into
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account under this section with respect to an indi-
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vidual unless—
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‘‘(A) the individual submits to the Com-
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missioner of Social Security an application for
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benefits under this section that includes—
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‘‘(i) the name and identifying infor-
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mation of the dependent relative with re-
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spect to whom the individual was engaged
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in providing care during such month;
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‘‘(ii) if the dependent relative is not a
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child under the age of 12, documentation
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from the physician of the dependent rel-
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ative explaining why the dependent relative
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is a chronically dependent individual; and
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‘‘(iii) such other information as the
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Commissioner may require to verify the
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status of the dependent relative; and
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‘‘(B) for every qualifying month or period
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of up to 12 consecutive qualifying months that
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occurs after the first period of 12 consecutive
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qualifying months, the individual certifies, in
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such form and manner as the Commissioner
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shall require, that the information provided in
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the individual’s application for benefits under
3
this section has not changed.’’.
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(b) CONFORMING AMENDMENT.—Section 209(k)(1)
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of such Act (42 U.S.C. 409(k)(1)) is amended—
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(1) by striking ‘‘and’’ before ‘‘230(b)(2)’’ the
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first time it appears; and
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(2) by inserting ‘‘and 235(b)(1)(A)(i),’’ after
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‘‘1977),’’.
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SEC. 4. PROMOTING STATE PROGRAMS TO PROVIDE MED-
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ICAL TRAINING TO CAREGIVERS.
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(a) IN GENERAL.—The Secretary of Health and
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Human Services is authorized to make grants to States
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to support State programs that provide medical training
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to individuals who provide care to dependent relatives
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without monetary compensation.
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(b) AUTHORIZATION
OF APPROPRIATIONS.—There
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are authorized to be appropriated such sums as may be
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necessary to carry out this section.
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Æ
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