may reduce the number of percentage points by which the Federal medical assistance percentage for the State and quarter would otherwise be increased under paragraph (1) for such quarter. (B) Penalty based on severity of failure The Secretary shall impose reductions under this paragraph based on the degree to which a State has failed to comply with the requirements of this subsection. (7) Evaluation Not later than 2027 and annually until 2036, the Secretary, in conjunction with the Secretary of Labor, shall evaluate the implementation and outcomes of this subsection on the availability of staff to cover shifts in all long-term care settings serving, worker credentials and skills, and worker compensation through a contract with an external evaluator who has experience with evaluation related to people with disabilities and older individuals. (8) Definitions In this subsection: (A) Direct care professional The term direct care professional has the meaning given such term in section 3 of the Long-Term Care Workforce Support Act. (B) Home and community-based services The term home and community-based services means any of the following: (i) Home health care services authorized under paragraph (7) of subsection (a). (ii) Personal care services authorized under paragraph (24) of such subsection. (iii) PACE services authorized under paragraph (26) of such subsection. (iv) Home and community-based services authorized under subsections (b), (c), (i), (j), and (k) of section 1915, such services authorized under a waiver under section 1115, and such services through coverage authorized under section 1937. (v) Case management services authorized under subsection (a)(19) of this section and section 1915(g). (vi) Rehabilitative services, including those related to behavioral health, described in subsection (a)(13) of this section. (vii) Such other services specified by the Secretary. . 102. Additional support for Medicaid long-term care services and direct care professionals (a) In general Not later than 18 months after the