Sponsors (2)
The bill strengthens training and local supports so more people can be cared for safely at home—potentially reducing institutional care and some costs—while shifting time, financial, and administrative burdens onto unpaid caregivers, local providers, and taxpayers and leaving sustainability risks from short‑term, competitive grants.
Family caregivers (parents, relatives) will receive in‑home assessments, evidence‑based training, and supports that improve their ability to provide safe care at home.
People with chronic conditions, seniors, and Medicaid beneficiaries are more likely to remain at home longer, which can reduce hospitalizations and institutional (nursing home) stays.
Grants and technical assistance will build local community capacity (respite, home modifications, transportation, mental‑health referrals), improving access to nonclinical supports for families and low‑income households.
Unpaid family caregivers may face increased out‑of‑pocket time and financial burdens because the bill emphasizes shifting care to homes without guaranteed direct financial support for caregivers.
Greater emphasis on home‑based care risks straining informal caregivers and local community services if funding and formal supports are insufficient, potentially harming care quality and caregiver well‑being.
Short, competitive grant awards (three years) and limited funding windows risk leaving many communities—especially smaller or rural ones—without sustained services after grants end.
Based on analysis of 3 sections of legislative text.
Creates a competitive 3-year HHS grant program to fund in-home caregiver assessments, home visits, and evidence-based training for family caregivers.
Introduced November 20, 2025 by Cory Anthony Booker · Last progress November 20, 2025
Creates a competitive, three-year federal grant program to fund home-visiting and in-home assessment programs that train and support family caregivers so more care recipients can stay at home and avoid institutional or hospital care. Grants are run by HHS through the Administration for Community Living and require coordination with existing caregiver and respite programs, VA, and CMS to align services and reduce duplication. Grantees must apply using Secretary-prescribed forms and submit a family caregiver home visiting program plan that explains outreach to identify high-need caregivers, which services will be provided directly or by referral/contract, how service gaps will be found, and how the program will deliver initial in-home caregiver assessments plus evidence-based education and training on hands-on medical and daily care topics.