care. Three in five caregivers have had to make some modifications to their work schedule, from arriving late to work to leaving their job entirely. Almost half of employed caregivers have had to take time off from work. (10) Fifty-three percent of caregivers have experienced a decline in their health as a result of caregiving, which has affected their ability to provide care. Thirty-five percent of caregivers report having difficulty finding time for oneself, and 29 percent report difficulty managing emotional and physical stress or balancing work and family responsibilities. (11) Forty-six percent of caregivers of adults perform medical or nursing tasks for patients with multiple physical and chronic conditions. Of these caregivers, 78 percent were in charge of managing a patient's medications, administering fluids, or administering injections. (12) Nearly 20 percent of caregivers of adults who assisted with medication management and 33 percent who assisted with changing dressings or bandages received no training about how to perform these tasks. (13) The vast majority of caregivers (84 percent) indicated they need more support related to caregiving. (14) Home visiting programs are cost-effective and have been proven to improve outcomes for children and parents in different domains ranging from child development to family violence. 3. Purposes The purposes of this Act are— (1) to improve the ability of unpaid caregivers to care for individuals in the home