1. Short title This Act may be cited as the Improving Care for Vulnerable Older Citizens and People with Disabilities through Workforce Advancement Act of 2020 . 2. Findings Congress finds the following: (1) As of 2016, more than 49,000,000 Americans were age 65 or older. By 2030, the Census Bureau projects that one in five Americans will be 65 or older. More than 75 percent of older Americans suffer from chronic conditions which require person-centered, coordinated care that helps them to live in a home- or community-based setting. In 2012, the Government Accountability Office (GAO) found that 34 percent of Americans who are age 60 or older reported needing assistance performing activities of daily living. According to a 2015 GAO report, between 67 and 78 percent of older adults who likely need home-based care receive limited or no help with their difficulties. (2) Direct-care workers (referred to in this section as DCWs ) provide an estimated 70 to 80 percent of the paid hands-on long-term care and personal assistance received by elders and people with disabilities or other chronic conditions in the United States. These workers help their clients bathe, dress, and negotiate a range of other daily tasks. They are a lifeline for those they serve, as well as for families and friends struggling to provide high-quality care. (3) Eldercare and disability services positions account for nearly one-third of the 18,000,000 health care jobs in the United States. The direct-care workforce alone accounts for nearly 4,500,000 jobs and is expected to add more than 1,300,000 new positions within the next decade. (4) The majority of DCWs are now employed in home- and community-based settings, and not in institutional settings such as nursing care facilities or hospitals. In 2018, DCWs providing home-based care already outnumbered DCWs in nursing homes by more than 4 to 1. (5) A 2008 Institute of Medicine report, entitled Re-tooling for an Aging America: Building the Health Care Workforce , called for new models of care