PolicyBrief
S. 3231
119th CongressNov 20th 2025
Respite CARE Act
IN COMMITTEE

The Respite CARE Act establishes grants for organizations to create or expand integrated caregiver support services that combine respite care with other essential support services for family caregivers.

Edward "Ed" Markey
D

Edward "Ed" Markey

Senator

MA

LEGISLATION

Respite CARE Act Creates New Grants to Fund Integrated Caregiver Support Services

The newly proposed Respite CARE Act aims to tackle the massive, often invisible, burden carried by family caregivers across the country. Essentially, this part of the bill amends the Older Americans Act to create a new federal grant program. These grants, administered by the Assistant Secretary, will fund organizations that want to start or expand integrated caregiver support services, focusing on providing respite care simultaneously with other necessary support services. The core idea is to make sure that when a caregiver finally gets a break (respite care), they also get access to resources like counseling or training, all in one streamlined visit.

The Integrated Approach: More Than Just a Break

For anyone who has ever been a primary caregiver—whether for an aging parent, a relative with Alzheimer's, or a child with a disability—you know the grind is relentless. The grant program is specifically designed to address this burnout by funding integrated caregiver support services. This means an eligible organization, like a local Area Agency on Aging or a nonprofit, must combine respite care (a temporary break for the caregiver) with other support services defined under Section 373(b) of the Older Americans Act. Think of it this way: instead of just dropping off a loved one for a few hours, the caregiver can use that time right there to attend a support group, get financial planning advice, or learn new care techniques—all at the same location.

Making Services Truly Accessible

One of the most important requirements for receiving these grants is a mandate for accessibility. The bill is clear that services must be accessible to diverse populations. This includes providing services through assistive technology, in accessible language, and offering translation or interpretation services for caregivers whose primary language isn't English. For the busy family caregiver who speaks Spanish or needs materials in American Sign Language, this is a huge deal, ensuring that vital resources aren't locked behind language barriers or inaccessible formats.

Who Gets the Money and Who Provides the Care?

Grant eligibility is broad, covering State and local government agencies, nonprofits, Tribal organizations, and even institutions of higher education. This diversity means that funding could flow to established social service networks or academic programs focused on elder care research. Interestingly, the bill allows the grant recipient to provide the actual respite care directly or indirectly, often by contracting with licensed health care providers or licensed child care providers. This flexibility is key, especially in rural areas where a nonprofit might receive the grant but needs to contract with a trusted local provider to deliver the actual hands-on care.

The Fine Print: Potential Hurdles

While the goal is clearly beneficial, the bill does introduce a few administrative complexities. For instance, the definition of a qualified “child care provider” is quite detailed, referencing external standards like the State's tiered quality recognition system. This might inadvertently exclude smaller, informal care providers who offer excellent service but haven't navigated the complex state licensing systems yet. Additionally, the process for applying for these grants is left entirely up to the Assistant Secretary, who determines "when and how" applications are submitted. This discretion could mean delays or administrative roadblocks, which can be frustrating for organizations eager to expand services immediately. Ultimately, the Respite CARE Act is a focused effort to ease the strain on family caregivers by funding comprehensive, accessible support—a welcome step for the millions of people balancing work, family, and the heavy responsibility of caring for a loved one.