; and (2) to increase opportunities for individuals who are in need of care to remain at home and reduce or postpone the need for such individuals to receive care at an institution or hospital. 4. Caregiver grants Subpart IV of part D of title III of the Public Health Service Act ( 42 U.S.C. 255 et seq.) is amended by adding at the end the following: 339A. Caregiver grants (a) In General The Secretary, acting through the Administrator of the Administration for Community Living, shall award 3-year grants, on a competitive basis, to eligible organizations to carry out home visiting programs for unpaid caregivers. (b) Definitions In this section: (1) Caregiver The term caregiver means an unpaid family member, foster parent, or other unpaid adult who provides consistent in-home monitoring, management, supervision, or treatment of a child or adult with a special need, such as a disease, disability, or the frailties of old age. (2) Caregiver assessment The term caregiver assessment means an assessment that includes talking directly to caregivers to better understand their needs, problems, resources, and strengths. (3) Child or adult with a special need The term child or adult with a special need means an individual for whom care or supervision is required to— (A) meet the basic needs of the individual; (B) prevent physical self-injury or injury to others; or (C) avoid placement in an institutional facility. (4) Eligible organization The term eligible organization means— (A) a local government agency; (B) a health care entity