; (10) the impact on State waiting lists for home and community-based services; (11) the impact on mental health outcomes, including substance use disorders and suicidality, among direct care professionals; (12) promising practices identified by activities authorized or conducted pursuant to this Act, or the amendments made by this Act; and (13) any other factor as determined appropriate by the Secretary of Health and Human Services. (c) Fiscal analysis The Secretary of Health and Human Services, in conjunction with the Secretary of Labor, shall contract with an independent external evaluator to track spending by States and providers of funding provided to States under sections 101 and 102 (including the amendments made by such sections). The evaluator shall— (1) collect spending data from each State receiving funds under such sections; (2) analyze the data to determine what percentage of funding under such sections was expended to improve wages and benefits of direct care professionals, disaggregated by subcategories of direct care professionals described in section 3(11); (3) beginning 2 years after the date of enactment of this Act, and every year thereafter through fiscal year 2039— (A) publish an annual report of State spending and the analyses conducted under paragraph (2); and (B) provide all such reports to the appropriate committees of Congress; and (4) share the data described in paragraph (1) with researchers to encourage further analysis. (d) Dissemination of evaluation findings The Secretary of Health and Human Services shall— (1) disseminate the findings from the evaluations conducted under this section, and from any other evaluation conducted under this Act or an amendment made by this Act, to— (A) all State Medicaid agencies; and (B) the appropriate committees of Congress; and (2) make all such findings publicly available in an accessible electronic format and any other accessible format determined appropriate by the Secretary.