I 115th CONGRESS 1st Session H. R. 3461 IN THE HOUSE OF REPRESENTATIVES July 27, 2017 Mr. Cartwright introduced the following bill; which was referred to the Committee on Education and the Workforce A BILL To amend the Older Americans Act of 1965 to develop and test an expanded and advanced role for direct care workers who provide long-term services and supports to older individuals in efforts to coordinate care and improve the efficiency of service delivery.