110 HR 1783 IH: Elder Justice
U.S. House of Representatives
2007-03-29
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
1.Short title; table of
contents
(a)This Act may be cited
as the Elder Justice
Act
.
(b)The table of contents of this Act is as follows:
Sec. 1. Short title; table of contents.
Sec. 2. Findings.
Sec. 3. Purposes.
Title I—Department of Health and Human Services
Sec. 101. Definitions.
Sec. 102. Elder Justice.
Part A—Block grants to states for social services
Part B—Elder Justice
Sec. 2011. Definitions.
Sec. 2012. General provisions.
Subpart 1—National Coordination of Elder Justice Activities and
Research
Chapter I—Elder Justice Coordinating Council and Advisory Board
on Elder Abuse, Neglect, and Exploitation
Sec. 2021. Elder Justice Coordinating Council.
Sec. 2022. Advisory Board on Elder Abuse, Neglect, and
Exploitation.
Sec. 2023. Research protections.
Sec. 2024. Authorization of appropriations.
Chapter II—Elder abuse, neglect, and exploitation forensic
centers
Sec. 2031. Establishment and support of elder abuse, neglect,
and Exploitation forensic Centers.
Subpart 2—Programs to Promote Elder Justice
Sec. 2041. Enhancement of long-term care.
Sec. 2042. Adult protective services functions and grant
programs.
Sec. 2043. Long-term care ombudsman program grants and
training.
Sec. 2044. Provision of information regarding, and evaluations
of, elder justice programs.
Sec. 2045. Report.
Sec. 1150A. Reporting to law enforcement of crimes occurring in
federally funded long-Term care facilities.
Sec. 1150B. Ensuring safety of residents when federally funded
Long-Term care facilities close.
Title II—Department of Justice
Sec. 201. Model State laws and practices.
Sec. 202. Elder justice plan and strategy.
Sec. 203. Victim advocacy grants.
Sec. 204. Supporting local prosecutors in elder justice
matters.
Sec. 205. Supporting State prosecutors in elder justice
matters.
Sec. 206. Increased support for Federal cases involving elder
justice.
Sec. 207. Supporting law enforcement in elder justice
matters.
Sec. 208. Evaluations.
Title III—Tax provisions
Sec. 301. Long-Term care facility worker employment tax
credit.
2.Congress finds the following:
(1)The proportion of
the United States population age 60 years or older will drastically increase in
the next 30 years as more than 76,000,000 baby boomers approach retirement and
old age.
(2)Each year,
anywhere between 500,000 and 5,000,000 elders in the United States are abused,
neglected, or exploited.
(3)Elder abuse,
neglect, and exploitation have no boundaries, and cross all racial, social
class, gender, and geographic lines.
(4)Victims of elder
abuse, neglect, and exploitation are not only subject to injury from
mistreatment and neglect, they are also 3.1 times more likely than elders who
were not victims of elder abuse, neglect, and exploitation to die at an earlier
age than expected.
(5)There is a general
dearth of data as to the nature and scope of elder abuse, neglect, and
exploitation. In recognition of the need to improve data collection efforts
with respect to elder abuse, neglect, and exploitation, Congress required the
Secretary of Health and Human Services to conduct a study by the end of 2008 on
establishing a uniform national database on elder abuse under section 405 of
title IV of Division C of the Tax Relief and Health Care Act of 2006 (Public
Law 109–432).
(6)Despite the dearth
of data in the field, experts agree that most cases of elder abuse, neglect,
and exploitation are never reported and that abuse, neglect, and exploitation
shorten a victim’s life, often triggering a downward spiral of an otherwise
productive, self-sufficient elder’s life. Programs addressing other difficult
issues such as domestic violence and child abuse and neglect have demonstrated
the need for a multifaceted law, combining public health, social service, and
law enforcement approaches.
(7)For over 20 years,
Congress has been presented with facts and testimony calling for a coordinated
Federal effort to combat elder abuse, neglect, and exploitation.
(8)The Federal
Government has been slow to respond to the needs of victims of elder abuse,
neglect, and exploitation or to undertake prevention efforts.
(9)No Federal law has
been enacted that adequately and comprehensively addresses the issues of elder
abuse, neglect, and exploitation and there are very limited resources available
to those in the field that directly deal with the issues.
(10)Differences in
State laws and practices in the areas of elder abuse, neglect, and exploitation
lead to significant disparities in prevention, protective and social services,
treatment systems, and law enforcement, and lead to other inequities.
(11)The Federal
Government has played an important role in promoting research, training, public
safety, and data collection, and the identification, development, and
dissemination of promising health care, social, and protective services, and
law enforcement practices, relating to child abuse and neglect, domestic
violence, and violence against women. The Federal Government should promote
similar efforts and protections relating to elder abuse, neglect, and
exploitation.
(12)The Federal
Government should provide leadership and assist States and communities in their
efforts to protect elders in the United States by—
(A)promoting
coordinated planning among all levels of government;
(B)generating and
sharing knowledge relevant to protecting elders;
(C)providing
leadership to combat the abuse, neglect, and exploitation of the Nation’s
elders; and
(D)providing
resources to States and communities to promote elder justice.
(13)The problem of
elder abuse, neglect, and exploitation requires a comprehensive approach
that—
(A)integrates the
work of health, legal, and social service agencies and organizations;
(B)emphasizes the
need for prevention, reporting, investigation, assessment, treatment, and
prosecution of elder abuse, neglect, and exploitation at all levels of
government;
(C)ensures that
sufficient numbers of properly trained personnel with specialized knowledge are
in place to—
(i)treat, assess, and
provide services relating to elder abuse, neglect, and exploitation; and
(ii)carry out elder
protection duties;
(D)is sensitive to
ethnic and cultural diversity;
(E)recognizes the
role of mental health, disability, dementia, substance abuse, medication
mismanagement, and family dysfunction problems in increasing and exacerbating
elder abuse, neglect, and exploitation; and
(F)balances elders’
right to self-determination with society’s responsibility to protect
elders.
(14)The human,
social, and economic cost of elder abuse, neglect, and exploitation is high and
includes unnecessary expenditures of funds from many public programs.
(15)The failure to
coordinate activities relating to, and comprehensively prevent and treat, elder
abuse, neglect, and exploitation threatens the future and well-being of
millions of elders in the United States.
(16)All elements of
society in the United States have a shared responsibility in responding to a
national problem of elder abuse, neglect, and exploitation.
3.The purposes of this Act are as
follows:
(1)To enhance the
social security of the Nation by ensuring adequate public-private
infrastructure and resolving to prevent, detect, treat, understand, and
intervene in, and where appropriate, aid in the prosecution of, elder abuse,
neglect, and exploitation.
(2)To bring a
comprehensive approach to preventing and combating elder abuse, neglect, and
exploitation, a long invisible problem that afflicts the most vulnerable among
the aging population of the United States.
(3)To raise the issue
of elder abuse, neglect, and exploitation to national attention, and to create
the infrastructure at the Federal, State, and local levels, to ensure that
individuals and organizations on the front lines, who are fighting elder abuse,
neglect, and exploitation with scarce resources and fragmented systems, have
the resources and information needed to carry out their fight.
(4)To bring a
comprehensive multidisciplinary approach to elder justice.
(5)To set in motion
research and data collection to fill gaps in knowledge about elder abuse,
neglect, and exploitation.
(6)To
supplement the activities of service providers and programs, to enhance
training, and to leverage scarce resources efficiently, in order to ensure that
elder justice receives the attention it deserves as the Nation’s population
ages.
(7)To recognize and
address the role of mental health, disability, dementia, substance abuse,
medication mismanagement, and family dysfunction problems in increasing and
exacerbating elder abuse, neglect, and exploitation.
(8)To create short-
and long-term strategic plans for the development and coordination of elder
justice research, programs, studies, training, and other efforts
nationwide.
(9)To promote
collaborative efforts and diminish overlap and gaps in efforts in developing
the important field of elder justice.
(10)To honor and
respect the right of all individuals with diminished capacity to decisionmaking
autonomy, self-determination, and dignity of choice.
(11)To respect the
wishes of individuals with diminished capacity and their family members in
providing supportive services and care plans intended to protect elders from
abuse, neglect (including self-neglect), and exploitation.
<enum>I</enum><header>Department of
Health and Human Services</header>
<section id="H78F2F97E68454C6B9152AFB83C6824AE"><enum>101.</enum><header>Definitions</header><text display-inline="no-display-inline">Except as otherwise specifically provided,
any term that is defined in section 2011 of the <act-name parsable-cite="SSA">Social Security Act</act-name> (as added by section 102(a))
and is used in this title has the meaning given such term by such
section.</text>
</section><section id="HB5798C24870847699155457584A73BBB"><enum>102.</enum><header>Elder
Justice</header>
<subsection id="HC04165CAC0524FCCB059353D22D31DAF"><enum>(a)</enum><header>Elder
justice</header>
<paragraph id="HC854ED4FD24B48ADA5D6FEA3F2243797"><enum>(1)</enum><header>In
General</header><text>Title XX of the <act-name parsable-cite="SSA">Social
Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1397">42 U.S.C. 1397 et seq.</external-xref>) is amended—</text>
<subparagraph id="H0B0830C18B30422C9F87CA4F79880056"><enum>(A)</enum><text>in the title
heading, by inserting <quote><header-in-text level="title" style="OLC">and
elder justice</header-in-text></quote> after <quote><header-in-text level="title" style="OLC">social services</header-in-text></quote>;</text>
</subparagraph><subparagraph id="H1A147FC933094A1EB8FB612EB5141E3F"><enum>(B)</enum><text>by inserting
before section 2001 the following:</text>
<quoted-block display-inline="no-display-inline" id="H59AD655A005A40718F5204D09E25E8C" style="traditional">
<part id="HEFD48A755D914B68AE28BFD9A14585B7"><enum>A</enum><header>Block grants to
states for social
services</header>
</part><after-quoted-block>;</after-quoted-block></quoted-block>
<continuation-text continuation-text-level="subparagraph">and</continuation-text></subparagraph><subparagraph id="HDD90784EF9AF4717B3537D30FFB86E3E"><enum>(C)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="HC944B34951554C16928F999D19065F21" other-style="education" style="other">
<part id="HF0A1BB758C54414AA507C2E977008E82"><enum>B</enum><header>Elder
Justice</header>
<section id="H4ACD5DC9243240E9B016052DEE8E81A7"><enum>2011.</enum><header>Definitions</header>
<subsection id="id59D5279F28F44B86BD59D04044B63E66"><enum></enum><text display-inline="yes-display-inline">In this part:</text>
<paragraph id="HBC8D92C6E2A2424F82111D73B104C060"><enum>(1)</enum><header>Abuse</header><text>The
term <term>abuse</term> means the knowing infliction of physical or
psychological harm or the knowing deprivation of goods or services that are
necessary to meet essential needs or to avoid physical or psychological
harm.</text>
</paragraph><paragraph id="HA86EA4B9B4C84B0FB6AF99B167C56854"><enum>(2)</enum><header>Adult protective
services</header><text>The term <term>adult protective services</term> means
such services provided to adults as the Secretary may specify and includes
services such as—</text>
<subparagraph id="HA0B791D4199A4AE785E41B8499D6B79"><enum>(A)</enum><text>disseminating
reports of adult abuse, neglect, or exploitation;</text>
</subparagraph><subparagraph id="HFCBD38BF550A4F3C94996DD431AD4EA6"><enum>(B)</enum><text>investigating the
reports described in subparagraph (A);</text>
</subparagraph><subparagraph id="H3C04AF37905C4AECBF1EC8BAAB400B8"><enum>(C)</enum><text>case planning,
monitoring, evaluation, and other case work and services; and</text>
</subparagraph><subparagraph id="H0EC0390EB6F044FB9F5C538124AD5DB0"><enum>(D)</enum><text>providing,
arranging for, or facilitating the provision of medical, social service,
economic, legal, housing, law enforcement, or other protective, emergency, or
support services.</text>
</subparagraph></paragraph><paragraph id="HCC3F8AB4C863499F82E7F68560139F06"><enum>(3)</enum><header>Caregiver</header><text>The
term <term>caregiver</term> means an individual who has the responsibility for
the care of an elder, either voluntarily, by contract, by receipt of payment
for care, or as a result of the operation of law, and means a family member or
other individual who provides (on behalf of such individual or of a public or
private agency, organization, or institution) compensated or uncompensated care
to an elder who needs supportive services in any setting.</text>
</paragraph><paragraph id="H3E141030335A4382A5542E12A132F120"><enum>(4)</enum><header>Direct
care</header><text>The term <term>direct care</term> means care by an employee
or contractor who provides assistance or long-term care services to a
recipient.</text>
</paragraph><paragraph id="H20A4D965332242FA954ECEE461CED700"><enum>(5)</enum><header>Elder</header><text>The
term <term>elder</term> means an individual age 60 or older.</text>
</paragraph><paragraph id="H6AB2EAFDD80940A5B92269DBB4C52D54"><enum>(6)</enum><header>Elder
justice</header><text>The term <term>elder justice</term> means—</text>
<subparagraph id="HFC591A5B770449549DDD007268C0E7EC"><enum>(A)</enum><text>from a societal
perspective, efforts to—</text>
<clause id="HF22465BBC8DB4CE095BD9E3165949EBF"><enum>(i)</enum><text>prevent, detect,
treat, intervene in, and prosecute elder abuse, neglect, and exploitation;
and</text>
</clause><clause id="HDB24340797C14F76BED715C3A47942E6"><enum>(ii)</enum><text>protect elders
with diminished capacity while maximizing their autonomy; and</text>
</clause></subparagraph><subparagraph id="H56315914CE164915B32F856364FB3DE8"><enum>(B)</enum><text>from an individual
perspective, the recognition of an elder’s rights, including the right to be
free of abuse, neglect, and exploitation.</text>
</subparagraph></paragraph><paragraph id="HC030A674E3804DE5AB691000C6B471E8"><enum>(7)</enum><header>Eligible
entity</header><text>The term <term>eligible entity</term> means a State or
local government agency, Indian tribe or tribal organization, or any other
public or private entity that is engaged in and has expertise in issues
relating to elder justice or in a field necessary to promote elder justice
efforts.</text>
</paragraph><paragraph id="HD6AACCEB68D94EEE8433FCACDED4DE7F"><enum>(8)</enum><header>Exploitation</header><text>The
term <term>exploitation</term> means the fraudulent or otherwise illegal,
unauthorized, or improper act or process of an individual, including a
caregiver or fiduciary, that uses the resources of an elder for monetary or
personal benefit, profit, or gain, or that results in depriving an elder of
rightful access to, or use of, benefits, resources, belongings, or
assets.</text>
</paragraph><paragraph commented="no" id="HF60E1672DF65467FBE3D08A907345949"><enum>(9)</enum><header>Fiduciary</header><text>The
term <term>fiduciary</term>—</text>
<subparagraph commented="no" id="H3A610A5E566643CFB0D94DE911166E72"><enum>(A)</enum><text>means a person or
entity with the legal responsibility—</text>
<clause commented="no" id="H07484D6B9A1C403F8C488F55F81F0888"><enum>(i)</enum><text>to make decisions
on behalf of and for the benefit of another person; and</text>
</clause><clause commented="no" id="HEEFE078A3716410FBA9EC3CBEDBA0472"><enum>(ii)</enum><text>to act in good
faith and with fairness; and</text>
</clause></subparagraph><subparagraph commented="no" id="H8E0311F57B264EC180144495EF7DACA1"><enum>(B)</enum><text>includes a
trustee, a guardian, a conservator, an executor, an agent under a financial
power of attorney or health care power of attorney, or a representative
payee.</text>
</subparagraph></paragraph><paragraph id="HB53D38F843664E708100E0C0D65822A3"><enum>(10)</enum><header>Grant</header><text>The
term <term>grant</term> includes a contract, cooperative agreement, or other
mechanism for providing financial assistance.</text>
</paragraph><paragraph id="H06B6CAB4097F4DA8AEE56D8272BAD77C"><enum>(11)</enum><header>Guardianship</header><text>The
term <term>guardianship</term> means—</text>
<subparagraph id="H13D69D5846234A5385C07CFCB6205597"><enum>(A)</enum><text>the process by
which a State court determines that an adult individual lacks capacity to make
decisions about self-care and property, and appoints another individual or
entity known as a guardian, as a conservator, or by a similar term, as a
surrogate decisionmaker;</text>
</subparagraph><subparagraph id="H1EB2EC48AEC2457AA8E878FCF4496FD7"><enum>(B)</enum><text>the manner in
which the court-appointed surrogate decisionmaker carries out duties to the
individual and the court; or</text>
</subparagraph><subparagraph id="H9CEC3A0451E44B228CE9B3963FE368B2"><enum>(C)</enum><text>the manner in
which the court exercises oversight of the surrogate decisionmaker.</text>
</subparagraph></paragraph><paragraph id="HE0F62C63AC5A494AB15E08FDF408004C"><enum>(12)</enum><header>Indian
tribe</header>
<subparagraph id="HBC83EBDEA13547F0BDF97D719973714F"><enum>(A)</enum><header>In
general</header><text>The term <term>Indian tribe</term> has the meaning given
such term in section 4 of the Indian Self-Determination and Education
Assistance Act (<external-xref legal-doc="usc" parsable-cite="usc/25/450b">25 U.S.C. 450b</external-xref>).</text>
</subparagraph><subparagraph id="H694CF3F5B3F14C39B1F7CC4A21905C"><enum>(B)</enum><header>Inclusion of
Pueblo and Rancheria</header><text>The term <term>Indian tribe</term> includes
any Pueblo or Rancheria.</text>
</subparagraph></paragraph><paragraph commented="no" id="H6FECF790C301498B9BFE2FCFF2CD5187"><enum>(13)</enum><header>Law
enforcement</header><text>The term <term>law enforcement</term> means the full
range of potential responders to elder abuse, neglect, and exploitation
including—</text>
<subparagraph commented="no" id="HA54BE987D7E04E8499208FF6D8DBF5C"><enum>(A)</enum><text>police, sheriffs,
detectives, public safety officers, and corrections personnel;</text>
</subparagraph><subparagraph commented="no" id="H0BC50A0BA89C498AB0AD2CB1E33EB00"><enum>(B)</enum><text>prosecutors;</text>
</subparagraph><subparagraph commented="no" id="H26D202834AE64335B4F84C55CD94D99"><enum>(C)</enum><text>medical
examiners;</text>
</subparagraph><subparagraph commented="no" id="HA484C293C6CA4873B2D5B31CC1D0830"><enum>(D)</enum><text>investigators;
and</text>
</subparagraph><subparagraph commented="no" id="H5E54362276A94863812838696FE065E6"><enum>(E)</enum><text>coroners.</text>
</subparagraph></paragraph><paragraph id="HB6221F99CC934B0BB500888BF6282E89"><enum>(14)</enum><header>Long-term
care</header>
<subparagraph id="H65CA438E53334660A4BBDF00B7E9281C"><enum>(A)</enum><header>In
general</header><text>The term <term>long-term care</term> means supportive and
health services specified by the Secretary for individuals who need assistance
because the individuals have a loss of capacity for self-care due to illness,
disability, or vulnerability.</text>
</subparagraph><subparagraph id="H2140055D1B754393A7FF30D4BB6B28D"><enum>(B)</enum><header>Loss of capacity
for self-care</header><text>For purposes of subparagraph (A), the term
<term>loss of capacity for self-care</term> means an inability to engage in 1
or more activities of daily living, including eating, dressing, bathing, and
management of one’s financial affairs.</text>
</subparagraph></paragraph><paragraph id="H285814C236244361BC6888FF71CB9B5E"><enum>(15)</enum><header>Long-term care
facility</header><text>The term <term>long-term care facility</term> means a
residential care provider that arranges for, or directly provides, long-term
care.</text>
</paragraph><paragraph id="H3EA04EEDC92E424EA773DB4333CF8EF"><enum>(16)</enum><header>Neglect</header><text>The
term <term>neglect</term> means—</text>
<subparagraph id="HBA5030BFC16E4D20B80055B8DDF3B939"><enum>(A)</enum><text>the failure of a
caregiver or fiduciary to provide the goods or services that are necessary to
maintain the health or safety of an elder; or</text>
</subparagraph><subparagraph id="H3238D456750944E7BA207EAC74AE0151"><enum>(B)</enum><text>self-neglect.</text>
</subparagraph></paragraph><paragraph id="HEDD213FF9CFD47C7BAA89149F7455FD6"><enum>(17)</enum><header>Nursing
facility</header>
<subparagraph id="H4E8E53FE698F4CCEBCAB8B1C58F43256"><enum>(A)</enum><header>In
general</header><text>The term <term>nursing facility</term> has the meaning
given such term under section 1919(a).</text>
</subparagraph><subparagraph id="HB2481418BABE41AEA799FEBF03465F4"><enum>(B)</enum><header>Inclusion of
skilled nursing facility</header><text>The term <term>nursing facility</term>
includes a skilled nursing facility (as defined in section 1819(a))</text>
</subparagraph></paragraph><paragraph id="HF4C110CCE676481788E38DF068800676"><enum>(18)</enum><header>Self-neglect</header><text>The
term <term>self-neglect</term> means an adult’s inability, due to physical or
mental impairment or diminished capacity, to perform essential self-care tasks
including—</text>
<subparagraph id="H152A4429BF3B463A90F270767CE67109"><enum>(A)</enum><text>obtaining
essential food, clothing, shelter, and medical care;</text>
</subparagraph><subparagraph id="HE751F3A438CC4CC2911D703887E812A7"><enum>(B)</enum><text>obtaining goods
and services necessary to maintain physical health, mental health, or general
safety; or</text>
</subparagraph><subparagraph id="H40F7138986264843B6ADFFEAED18B5C7"><enum>(C)</enum><text>managing one’s own
financial affairs.</text>
</subparagraph></paragraph><paragraph id="H3C0050DDB13B4DC9AD2B80E69639B09B"><enum>(19)</enum><header>Serious bodily
injury</header>
<subparagraph id="H4071FD2CD8A24B2391A0047C1569AB5C"><enum>(A)</enum><header>In
general</header><text>The term <term>serious bodily injury</term> means an
injury—</text>
<clause id="H7BEC993FFFBF49789FC3B113597492C"><enum>(i)</enum><text>involving extreme
physical pain;</text>
</clause><clause id="H6EB676E55C024B2AA0CE4FA4D01058A"><enum>(ii)</enum><text>involving
substantial risk of death;</text>
</clause><clause id="H1B68A1DD3EE6453BABF2059914798728"><enum>(iii)</enum><text>involving
protracted loss or impairment of the function of a bodily member, organ, or
mental faculty; or</text>
</clause><clause id="HEAB9E64CBA9B444E8B24EA6E733CA4D6"><enum>(iv)</enum><text>requiring medical
intervention such as surgery, hospitalization, or physical
rehabilitation.</text>
</clause></subparagraph><subparagraph id="H463331401EF44C3A8D24AAF1F392E8F4"><enum>(B)</enum><header>Criminal sexual
abuse</header><text>Serious bodily injury shall be considered to have occurred
if the conduct causing the injury is conduct described in section 2241
(relating to aggravated sexual abuse) or 2242 (relating to sexual abuse) of
title 18, United States Code, or any similar offense under State law.</text>
</subparagraph></paragraph><paragraph id="H1B9CF993CA0F417895EF4662E4D3D167"><enum>(20)</enum><header>Social</header><text>The
term <term>social</term>, when used with respect to a service, includes adult
protective services.</text>
</paragraph><paragraph id="H5EFA22E31423454B865C2D8DA38C336D"><enum>(21)</enum><header>State legal
assistance developer</header><text>The term <term>State legal assistance
developer</term> means an individual described in section 731 of the
<act-name parsable-cite="OAA65">Older Americans Act of 1965</act-name>.</text>
</paragraph><paragraph id="H90434282007D4E80AE3CB913F34E1584"><enum>(22)</enum><header>State long-term
care ombudsman</header><text>The term <term>State Long-Term Care
Ombudsman</term> means the State Long-Term Care Ombudsman described in section
712(a)(2) of the <act-name parsable-cite="OAA65">Older Americans Act of
1965</act-name>.</text>
</paragraph></subsection></section><section display-inline="no-display-inline" id="HFDEE10CF325D4664A6A7026EB614436" section-type="subsequent-section"><enum>2012.</enum><header>General
provisions</header>
<subsection id="idCCD35978E88448F9A6A364DFBE2B6972"><enum>(a)</enum><header>Protection of
Privacy</header><text display-inline="yes-display-inline">In pursuing
activities under this part, the Secretary shall ensure the protection of
individual health privacy consistent with the regulations promulgated under
section 264(c) of the <act-name parsable-cite="HIPAA">Health Insurance
Portability and Accountability Act of 1996</act-name> and applicable State and
local privacy regulations.</text>
</subsection><subsection id="H3620F0EF6A8A463799A588B2087756B"><enum>(b)</enum><header>Rule of
construction</header><text>Nothing in this part shall be construed to interfere
with or abridge an elder’s right to practice his or her religion through
reliance on prayer alone for healing when this choice—</text>
<paragraph id="H9EBE20B58AA24AF098F9A78E495323FD"><enum>(1)</enum><text>is
contemporaneously expressed, either orally or in writing, with respect to a
specific illness or injury which the elder has at the time of the decision by
an elder who is competent at the time of the decision;</text>
</paragraph><paragraph id="H5F976283781F43EC0087A0A4C7631768"><enum>(2)</enum><text>is previously set
forth in a living will, health care proxy, or other advance directive document
that is validly executed and applied under State law; or</text>
</paragraph><paragraph id="H5CC3EB1E269044F88C001988174C7715"><enum>(3)</enum><text>may be
unambiguously deduced from the elder’s life history.</text>
</paragraph></subsection></section><subpart id="HEAC23B2CEF1A4FE485B2F3CF28F9D2AD"><enum>1</enum><header>National
Coordination of Elder Justice Activities and Research</header>
<chapter id="HE40F36A4ABFD4348A7DFEF3687E16347"><enum>I</enum><header>Elder Justice
Coordinating Council and Advisory Board on Elder Abuse, Neglect, and
Exploitation</header>
<section id="HDA58E4354F8449E6A69FC0DD64B33700"><enum>2021.</enum><header>Elder Justice
Coordinating Council</header>
<subsection id="id5ACEBC98F8D84F7089F8587D0FD373CE"><enum>(a)</enum><header>Establishment</header><text>There
is established within the Office of the Secretary an Elder Justice Coordinating
Council (in this section referred to as the <quote>Council</quote>).</text>
</subsection><subsection id="H0562002C482341BC84071748BBF36511"><enum>(b)</enum><header>Membership</header>
<paragraph id="H14B8C885299F4251ADF00A4759885D3"><enum>(1)</enum><header>In
general</header><text>The Council shall be composed of the following
members:</text>
<subparagraph id="H196F4A61CBBE4BB099F42111B6D617B6"><enum>(A)</enum><text>The Secretary (or
the Secretary’s designee).</text>
</subparagraph><subparagraph id="H963FB4F4015E4148ADBA46BF7EC52C8D"><enum>(B)</enum><text>The Attorney
General (or the Attorney General’s designee).</text>
</subparagraph><subparagraph id="HD36D02FF04F8443189FB091D56B6F8B3"><enum>(C)</enum><text>The head of each
Federal department or agency or other governmental entity identified by the
Chair referred to in subsection (d) as having responsibilities, or
administering programs, relating to elder abuse, neglect, and
exploitation.</text>
</subparagraph></paragraph><paragraph id="H36877FA4DE964EC098058691CADE87A7"><enum>(2)</enum><header>Requirement</header><text>Each
member of the Council shall be an officer or employee of the Federal
Government.</text>
</paragraph></subsection><subsection id="H141954B2D5B2464793542328BBD05B00"><enum>(c)</enum><header>Vacancies</header><text>Any
vacancy in the Council shall not affect its powers, but shall be filled in the
same manner as the original appointment was made.</text>
</subsection><subsection id="HA5E8516310E24ACFB589E8629241BF85"><enum>(d)</enum><header>Chair</header><text>The
member described in subsection (b)(1)(A) shall be Chair of the Council.</text>
</subsection><subsection id="H974D9B80742F468E847D69EB57F1511D"><enum>(e)</enum><header>Meetings</header><text>The
Council shall meet at least 2 times per year, as determined by the
Chair.</text>
</subsection><subsection id="H81F1C9FED0EE4970BEB17F11943DE541"><enum>(f)</enum><header>Duties</header>
<paragraph id="H12985026052848C9B7592174FAC1F33C"><enum>(1)</enum><header>In
general</header><text>The Council shall make recommendations to the Secretary
for the coordination of activities of the Department of Health and Human
Services, the Department of Justice, and other relevant Federal, State, local,
and private agencies and entities, relating to elder abuse, neglect, and
exploitation and other crimes against elders.</text>
</paragraph><paragraph id="H9C3CB743D9D2438DA447F9D3E017278D"><enum>(2)</enum><header>Report</header><text>Not
later than the date that is 2 years after the date of enactment of the Elder
Justice Act and every 2 years thereafter, the Council shall submit to the
Committee on Finance of the Senate and the Committee on Ways and Means and the
Committee on Energy and Commerce of the House of Representatives a report
that—</text>
<subparagraph id="H545135220EDE435E97C225E578F49262"><enum>(A)</enum><text>describes the
activities and accomplishments of, and challenges faced by—</text>
<clause id="H5C59288B9D424D118F007FD309BCB0A8"><enum>(i)</enum><text>the Council;
and</text>
</clause><clause id="HE3E42FCE3F854E54A315CE43D7B16800"><enum>(ii)</enum><text>the entities
represented on the Council; and</text>
</clause></subparagraph><subparagraph id="H87CF3F22953D4FB69CF72184B9921738"><enum>(B)</enum><text>makes such
recommendations for legislation, model laws, or other action as the Council
determines to be appropriate.</text>
</subparagraph></paragraph></subsection><subsection id="H573EFC14127D441BA8D7D35E8CF03C15"><enum>(g)</enum><header>Powers of the
Council</header>
<paragraph id="HF647CB2AE040477893059767BB003955"><enum>(1)</enum><header>Information from
federal agencies</header><text>Subject to the requirements of section 2012(a),
the Council may secure directly from any Federal department or agency such
information as the Council considers necessary to carry out this section. Upon
request of the Chair of the Council, the head of such department or agency
shall furnish such information to the Council.</text>
</paragraph><paragraph id="H328070EE9BF04E32822D7E90D2382C0"><enum>(2)</enum><header>Postal
services</header><text>The Council may use the United States mails in the same
manner and under the same conditions as other departments and agencies of the
Federal Government.</text>
</paragraph></subsection><subsection id="HA10EFD7429474BE20024515C4D3FAB67"><enum>(h)</enum><header>Travel
Expenses</header><text>The members of the Council shall not receive
compensation for the performance of services for the Council. The members shall
be allowed travel expenses, including per diem in lieu of subsistence, at rates
authorized for employees of agencies under subchapter I of chapter 57 of title
5, United States Code, while away from their homes or regular places of
business in the performance of services for the Council. Notwithstanding
<external-xref legal-doc="usc" parsable-cite="usc/31/1342">section 1342</external-xref> of title 31, United States Code, the Secretary may accept the
voluntary and uncompensated services of the members of the Council.</text>
</subsection><subsection id="HC16AAC5D234D4DEDBFE95EA2640D133"><enum>(i)</enum><header>Detail of
Government Employees</header><text>Any Federal Government employee may be
detailed to the Council without reimbursement, and such detail shall be without
interruption or loss of civil service status or privilege.</text>
</subsection><subsection id="HC4BB4EBF48AC488AAB1E7C80479C8117"><enum>(j)</enum><header>Status as
Permanent Council</header><text>Section 14 of the
<act-name parsable-cite="FACA">Federal Advisory Committee Act</act-name> (5
U.S.C. App.) shall not apply to the Council.</text>
</subsection></section><section id="HD76592A7F6404E7E8E43BE00DB94CB5"><enum>2022.</enum><header>Advisory Board
on Elder Abuse, Neglect, and Exploitation</header>
<subsection id="id44AFC242FF10469F92E6C6A917CD58F4"><enum>(a)</enum><header>Establishment</header><text>There
is established a board to be known as the <quote>Advisory Board on Elder Abuse,
Neglect, and Exploitation</quote> (in this section referred to as the
<quote>Advisory Board</quote>) to create short- and long-term multidisciplinary
strategic plans for the development of the field of elder justice and to make
recommendations to the Elder Justice Coordinating Council established under
section 2021.</text>
</subsection><subsection id="HA1E55C1C8C974602A3919D56C1CE09F"><enum>(b)</enum><header>Composition</header><text>The
Advisory Board shall be composed of 27 members appointed by the Secretary from
among members of the general public who are individuals with experience and
expertise in elder abuse, neglect, and exploitation prevention, detection,
treatment, intervention, or prosecution.</text>
</subsection><subsection id="H50B213C2ACC64817AC8505D001D13F5"><enum>(c)</enum><header>Solicitation of
Nominations</header><text>The Secretary shall publish a notice in the Federal
Register soliciting nominations for the appointment of members of the Advisory
Board under subsection (b).</text>
</subsection><subsection id="H1472E4A8588943B3BA519DA7A448A158"><enum>(d)</enum><header>Terms</header>
<paragraph id="H22BFB65182D243F095ACE18047B226C5"><enum>(1)</enum><header>In
general</header><text>Each member of the Advisory Board shall be appointed for
a term of 3 years, except that, of the members first appointed—</text>
<subparagraph id="H74236597FB7F4E32B124134CC9C3B3E"><enum>(A)</enum><text>9 shall be
appointed for a term of 3 years;</text>
</subparagraph><subparagraph id="H2759E9127C9A4D1891D28E6B8833EDEF"><enum>(B)</enum><text>9 shall be
appointed for a term of 2 years; and</text>
</subparagraph><subparagraph id="H8D5D301A2CF84894AB9298DA3D7BB815"><enum>(C)</enum><text>9 shall be
appointed for a term of 1 year.</text>
</subparagraph></paragraph><paragraph id="H3CC21139B4E644B0884CD19F396F2FA2"><enum>(2)</enum><header>Vacancies</header>
<subparagraph id="H7A49726B05654E8BBE76062094D6489D"><enum>(A)</enum><header>In
general</header><text>Any vacancy on the Advisory Board shall not affect its
powers, but shall be filled in the same manner as the original appointment was
made.</text>
</subparagraph><subparagraph id="HA48B5D0542DD4511ADA2F18F6EBFC58D"><enum>(B)</enum><header>Filling
unexpired term</header><text>An individual chosen to fill a vacancy shall be
appointed for the unexpired term of the member replaced.</text>
</subparagraph></paragraph><paragraph id="H980245CC37904B77809440ECD7CA700"><enum>(3)</enum><header>Expiration of
terms</header><text>The term of any member shall not expire before the date on
which the member’s successor takes office.</text>
</paragraph></subsection><subsection id="H3AF56A9CF6E54782BBC758A40266C964"><enum>(e)</enum><header>Election of
Officers</header><text>The Advisory Board shall elect a Chair and Vice Chair
from among its members. The Advisory Board shall elect its initial Chair and
Vice Chair at its initial meeting.</text>
</subsection><subsection id="HBFC3AE85A1D7498496EA38EAB9DF8D56"><enum>(f)</enum><header>Duties</header>
<paragraph id="H64BBEB44E9F74EEDBED9EFA443EA488E"><enum>(1)</enum><header>Enhance
communication on promoting quality of, and preventing abuse and neglect in,
Long-Term care</header><text>The Advisory Board shall develop collaborative and
innovative approaches to improve the quality of, including preventing abuse and
neglect in, long-term care.</text>
</paragraph><paragraph id="HE9D594065B5C48E6BE5610E4B46EC200"><enum>(2)</enum><header>Collaborative
efforts to develop consensus around the management of certain quality-related
factors</header>
<subparagraph id="H30AC87FF1CAA4301A7B0487ED671BBC"><enum>(A)</enum><header>In
general</header><text>The Advisory Board shall establish multidisciplinary
panels to address, and develop consensus on, subjects relating to improving the
quality of long-term care. At least 1 such panel shall address, and develop
consensus on, methods for managing resident-to-resident abuse in long-term
care.</text>
</subparagraph><subparagraph id="HC6F70C9941B84CB9938FCBD5701269F"><enum>(B)</enum><header>Activities
conducted</header><text>The multidisciplinary panels established under
subparagraph (A) shall examine relevant research and data, identify best
practices with respect to the subject of the panel, determine the best way to
carry out those best practices in a practical and feasible manner, and
determine an effective manner of distributing information on such
subject.</text>
</subparagraph></paragraph><paragraph id="H22A44382FC654C2BA0C3DC02B117CEE8"><enum>(3)</enum><header>Report</header><text>Not
later than the date that is 18 months after the date of enactment of the Elder
Justice Act, and annually thereafter, the Advisory Board shall prepare and
submit to the Elder Justice Coordinating Council, the Committee on Finance of
the Senate, and the Committee on Ways and Means and the Committee on Energy and
Commerce of the House of Representatives a report containing—</text>
<subparagraph id="HCB9783B85BE8401CA900596DFF11A5C"><enum>(A)</enum><text>information on the
status of Federal, State, and local public and private elder justice
activities;</text>
</subparagraph><subparagraph id="H16F2FF4B6D214AFD94D2FE2D072235C4"><enum>(B)</enum><text>recommendations
(including recommended priorities) regarding—</text>
<clause id="HBC6ABAB36331485DA775212C26318037"><enum>(i)</enum><text>elder justice
programs, research, training, services, practice, enforcement, and
coordination;</text>
</clause><clause id="HACC3EC57388A481591F8C7F000B5E5B5"><enum>(ii)</enum><text>coordination
between entities pursuing elder justice efforts and those involved in related
areas that may inform or overlap with elder justice efforts, such as activities
to combat violence against women and child abuse and neglect; and</text>
</clause><clause id="HA5EB63CD9EA946CEB900ECF9A3F50836"><enum>(iii)</enum><text>activities
relating to adult fiduciary systems, including guardianship and other fiduciary
arrangements;</text>
</clause></subparagraph><subparagraph id="H5DDFA7AF22BA480F91D5038971DFD7BF"><enum>(C)</enum><text>recommendations
for specific modifications needed in Federal and State laws (including
regulations) or for programs, research, and training to enhance prevention,
detection, and treatment (including diagnosis) of, intervention in (including
investigation of), and prosecution of elder abuse, neglect, and
exploitation;</text>
</subparagraph><subparagraph id="HC321753ADD6842DFA11CEDC715622D04"><enum>(D)</enum><text>recommendations on
methods for the most effective coordinated national data collection with
respect to elder justice, and elder abuse, neglect, and exploitation;
and</text>
</subparagraph><subparagraph id="H6B942B42DD9E4A3F97587D589CCA44F0"><enum>(E)</enum><text>recommendations
for a multidisciplinary strategic plan to guide the effective and efficient
development of the field of elder justice.</text>
</subparagraph></paragraph></subsection><subsection id="H55CC0B9361DC4E70B2A78845B88E5F4F"><enum>(g)</enum><header>Powers of the
Advisory Board</header>
<paragraph id="HF084BB7E9A4149508F13D6FF09231735"><enum>(1)</enum><header>Information from
federal agencies</header><text>Subject to the requirements of section 2012(a),
the Advisory Board may secure directly from any Federal department or agency
such information as the Advisory Board considers necessary to carry out this
section. Upon request of the Chair of the Advisory Board, the head of such
department or agency shall furnish such information to the Advisory
Board.</text>
</paragraph><paragraph id="HAC350ED054024274A2510024C654AE3E"><enum>(2)</enum><header>Sharing of data
and reports</header><text>The Advisory Board may request from any entity
pursuing elder justice activities under the Elder Justice Act or an amendment
made by that Act, any data, reports, or recommendations generated in connection
with such activities.</text>
</paragraph><paragraph id="H6EB02B9D0E904FD49CF0664FD7EB186C"><enum>(3)</enum><header>Postal
services</header><text>The Advisory Board may use the United States mails in
the same manner and under the same conditions as other departments and agencies
of the Federal Government.</text>
</paragraph></subsection><subsection id="H897449CF42DB412C99EABAEBFA2589D8"><enum>(h)</enum><header>Travel
Expenses</header><text>The members of the Advisory Board shall not receive
compensation for the performance of services for the Advisory Board. The
members shall be allowed travel expenses for up to 4 meetings per year,
including per diem in lieu of subsistence, at rates authorized for employees of
agencies under subchapter I of <external-xref legal-doc="usc-chapter" parsable-cite="usc-chapter/5/57">chapter 57</external-xref> of title 5, United States Code, while
away from their homes or regular places of business in the performance of
services for the Advisory Board. Notwithstanding <external-xref legal-doc="usc" parsable-cite="usc/31/1342">section 1342</external-xref> of title 31,
United States Code, the Secretary may accept the voluntary and uncompensated
services of the members of the Advisory Board.</text>
</subsection><subsection id="HA133F1E67CEC442A98F019C2C6AAFD"><enum>(i)</enum><header>Detail of
Government Employees</header><text>Any Federal Government employee may be
detailed to the Advisory Board without reimbursement, and such detail shall be
without interruption or loss of civil service status or privilege.</text>
</subsection><subsection id="H8DBA27263FA4459EA8DF59DB143B33EC"><enum>(j)</enum><header>Status as
Permanent Advisory Committee</header><text>Section 14 of the
<act-name parsable-cite="FACA">Federal Advisory Committee Act</act-name> (5
U.S.C. App.) shall not apply to the advisory board.</text>
</subsection></section><section id="HCADAEFC9B2084EB688E4078340E26433"><enum>2023.</enum><header>Research
protections</header>
<subsection id="idDC27E755E481416EA7434D272582107A"><enum>(a)</enum><header>Guidelines</header><text>The
Secretary shall promulgate guidelines to assist researchers working in the area
of elder abuse, neglect, and exploitation, with issues relating to human
subject protections.</text>
</subsection><subsection id="H152E3EE2C22F46F597F7C27430EE29CF"><enum>(b)</enum><header>Definition of
legally authorized representative for application of
regulations</header><text>For purposes of the application of subpart A of part
46 of title 45, Code of Federal Regulations, to research conducted under this
chapter the term <term>legally authorized representative</term> means, unless
otherwise provided by law, the individual or judicial or other body authorized
under the applicable law to consent to medical treatment on behalf of another
person.</text>
</subsection></section><section id="H16CB465CF82A450C851D7263D833CD47"><enum>2024.</enum><header>Authorization
of appropriations</header>
<subsection id="idB552BE2699A743B898B69DF4610CAEC8"><enum></enum><text display-inline="yes-display-inline">There are authorized to be appropriated to
carry out this chapter—</text>
<paragraph id="HE1147F25B6834B10AD8C2EABC0E9B465"><enum>(1)</enum><text>for fiscal year
2008, $6,500,000; and</text>
</paragraph><paragraph id="HD76FE120F4BA4BC7A087B9CBB112591D"><enum>(2)</enum><text>for each of fiscal
years 2009 through 2011, $7,000,000.</text>
</paragraph></subsection></section></chapter><chapter id="H884F08E394E4453A922249DD7D9904BE"><enum>II</enum><header>Elder abuse,
neglect, and exploitation forensic centers</header>
<section id="HFC9A2358F9AA4B56A9000371C09FF7AB"><enum>2031.</enum><header>Establishment
and support of elder abuse, neglect, and Exploitation forensic Centers</header>
<subsection id="id49508DD092BF46EDA23519E7C8C63A9D"><enum>(a)</enum><header>In
general</header><text>The Secretary, in consultation with the Attorney General,
shall make grants to eligible entities to establish and operate stationary and
mobile forensic centers, to develop forensic expertise regarding, and provide
services relating to, elder abuse, neglect, and exploitation.</text>
</subsection><subsection id="HA9BB109CFC0F43B0B1B712BE4DD1C39B"><enum>(b)</enum><header>Stationary
forensic centers</header><text>The Secretary shall make 4 of the grants
described in subsection (a) to institutions of higher education with
demonstrated expertise in forensics or commitment to preventing or treating
elder abuse, neglect, or exploitation, to establish and operate stationary
forensic centers.</text>
</subsection><subsection id="HD72A9D0722DA4207AE986109FD973F00"><enum>(c)</enum><header>Mobile
centers</header><text>The Secretary shall make 6 of the grants described in
subsection (a) to appropriate entities to establish and operate mobile forensic
centers.</text>
</subsection><subsection id="HB5A6A4956AF64232B19FAE252FAF29B8"><enum>(d)</enum><header>Authorized
Activities</header>
<paragraph id="HD98EF946988B4595B195B2B1EAA8CB00"><enum>(1)</enum><header>Development of
forensic markers and methodologies</header><text>An eligible entity that
receives a grant under this section shall use funds made available through the
grant to assist in determining whether abuse, neglect, or exploitation occurred
and whether a crime was committed and to conduct research to describe and
disseminate information on—</text>
<subparagraph id="H17E337023B34448C8D005028E255B0E3"><enum>(A)</enum><text>forensic markers
that indicate a case in which elder abuse, neglect, or exploitation may have
occurred; and</text>
</subparagraph><subparagraph id="H4F4FA67AEA4841BCB1ECFD73A60128FB"><enum>(B)</enum><text>methodologies for
determining, in such a case, when and how health care, emergency service,
social and protective services, and legal service providers should intervene
and when the providers should report the case to law enforcement
authorities.</text>
</subparagraph></paragraph><paragraph id="H0CD525ABA70B4E2F84C4B60062FAEA44"><enum>(2)</enum><header>Development of
forensic expertise</header><text>An eligible entity that receives a grant under
this section shall use funds made available through the grant to develop
forensic expertise regarding elder abuse, neglect, and exploitation in order to
provide medical and forensic evaluation, therapeutic intervention, victim
support and advocacy, case review, and case tracking.</text>
</paragraph><paragraph id="H66AEA4D4FB53497F9D1F65D7C707A993"><enum>(3)</enum><header>Collection of
evidence</header><text>The Secretary, in coordination with the Attorney
General, shall use data made available by grant recipients under this section
to develop the capacity of geriatric health care professionals and law
enforcement to collect forensic evidence, including collecting forensic
evidence relating to a potential determination of elder abuse, neglect, or
exploitation.</text>
</paragraph></subsection><subsection id="HA3BC28276528442C8D3D60DF623000F4"><enum>(e)</enum><header>Application</header><text>To
be eligible to receive a grant under this section, an entity shall submit an
application to the Secretary at such time, in such manner, and containing such
information as the Secretary may require.</text>
</subsection><subsection id="HF87EF437EA64482A95011E59BB32E439"><enum>(f)</enum><header>Authorization of
Appropriations</header><text>There are authorized to be appropriated to carry
out this section—</text>
<paragraph id="HE38C40E05B664CA0AEA1CB0FC3BF557"><enum>(1)</enum><text>for fiscal year
2008, $4,000,000;</text>
</paragraph><paragraph id="HCB9FA5D61A5041BF975CDBF3CB7B3D33"><enum>(2)</enum><text>for fiscal year
2009, $6,000,000; and</text>
</paragraph><paragraph id="H41EB6C8D84904538A76701C2F9F1D51"><enum>(3)</enum><text>for each of fiscal
years 2010 and 2011, $8,000,000.</text>
</paragraph></subsection></section></chapter></subpart><subpart id="H54ACD34D066349C8AB08AACD568954E6"><enum>2</enum><header>Programs to
Promote Elder Justice</header>
<section id="H035F276869634F54A46D82096C85CFA1"><enum>2041.</enum><header>Enhancement of
long-term care</header>
<subsection id="idC36A68AFD4BD4823A66D383842219074"><enum>(a)</enum><header>Grants and
Incentives for Long-Term Care Staffing</header>
<paragraph id="H40F442ED5CE04B388BF67426A8B2FD09"><enum>(1)</enum><header>In
general</header><text>The Secretary shall carry out activities, including
activities described in paragraphs (2) and (3), to provide incentives for
individuals to train for, seek, and maintain employment providing direct care
in a long-term care facility.</text>
</paragraph><paragraph id="H80AA965E4FDE4FDC9E006E314F06B83C"><enum>(2)</enum><header>Specific
programs to enhance training, recruitment, and retention of staff</header>
<subparagraph id="H41B8229DDC7F4EE89E30DC235ECF0400"><enum>(A)</enum><header>Coordination
with secretary of labor to recruit and train long-term care
staff</header><text>The Secretary shall coordinate activities under this
subsection with the Secretary of Labor in order to provide incentives for
individuals to train for and seek employment providing direct care in a
long-term care facility.</text>
</subparagraph><subparagraph id="H8C2AA3AD5C114A56BDF9388556803332"><enum>(B)</enum><header>Career ladders
and wage or benefit increases to increase staffing in long-term care
facilities</header>
<clause id="H47AC37026F824C26B038EAAE0059E882"><enum>(i)</enum><header>In
general</header><text>The Secretary shall make grants to long-term care
facilities to carry out programs through which the facilities—</text>
<subclause id="H81A5D1B3FA754673BE6C1890FFFDB576"><enum>(I)</enum><text>offer, to
employees who provide direct care to residents of a long-term care facility,
continuing training and varying levels of certification, based on observed
clinical care practices and the amount of time the employees spend providing
direct care; and</text>
</subclause><subclause id="H3D1AEA419D2B407A9875C7FB04AAD82F"><enum>(II)</enum><text>provide, or make
arrangements to provide, bonuses or other increased compensation or benefits to
employees who achieve certification under such a program.</text>
</subclause></clause><clause id="HA02DA95C1D1745BBA8DEFC00F2DD3DAC"><enum>(ii)</enum><header>Application</header><text>To
be eligible to receive a grant under this subparagraph, a long-term care
facility shall submit an application to the Secretary at such time, in such
manner, and containing such information as the Secretary may require (which may
include evidence of consultation with the State in which the long-term care
facility is located with respect to carrying out activities funded under the
grant).</text>
</clause><clause id="H76F92C3ABD414542A13CB6003733D0F6"><enum>(iii)</enum><header>Authority to
limit number of applicants</header><text>Nothing in this subparagraph shall be
construed as prohibiting the Secretary from limiting the number of applicants
for a grant under this subparagraph.</text>
</clause></subparagraph></paragraph><paragraph id="H662E20684D994008A5243E2521E6C07"><enum>(3)</enum><header>Specific programs
to improve management practices</header>
<subparagraph id="H646CFD3F2EC2440CA4E020DEC3C715CB"><enum>(A)</enum><header>In
general</header><text>The Secretary shall make grants to long-term care
facilities to enable the facilities to provide training and technical
assistance to eligible employees.</text>
</subparagraph><subparagraph id="H94A4DC8D432D426A00B390EA5BB78C21"><enum>(B)</enum><header>Authorized
activities</header><text>A long-term care facility that receives a grant under
subparagraph (A) shall use funds made available through the grant to provide
training and technical assistance to eligible employees regarding management
practices using methods that are demonstrated to promote retention of
individuals who provide direct care to residents of the long-term care
facility, such as—</text>
<clause id="HE0CE1E111AD94220B1D82E09D7D478AA"><enum>(i)</enum><text>the establishment
of standard human resource policies that reward high performance, including
policies that provide for improved wages and benefits on the basis of job
reviews;</text>
</clause><clause id="HD3DF73FB48DA49D7A4BDBA6B51F03583"><enum>(ii)</enum><text>the establishment
of motivational and thoughtful work organization practices;</text>
</clause><clause id="HA18C288B90404EFEA06F820075AE83E9"><enum>(iii)</enum><text>the creation of
a workplace culture that respects and values caregivers and their needs;</text>
</clause><clause id="H5ACE0A967688454CB68D53FE1DF4FA6"><enum>(iv)</enum><text>the promotion of a
workplace culture that respects the rights of residents of a long-term care
facility and results in improved care for the residents; and</text>
</clause><clause id="HDC340525C4BC449EB346465E26D111F2"><enum>(v)</enum><text>the establishment
of other programs that promote the provision of high quality care, such as a
continuing education program that provides additional hours of training,
including on-the-job training, for employees who are certified nurse
aides.</text>
</clause></subparagraph><subparagraph id="H1AFAC84E45AF49E6AA11056FDE553F"><enum>(C)</enum><header>Application</header><text>To
be eligible to receive a grant under this paragraph, a long-term care facility
shall submit an application to the Secretary at such time, in such manner, and
containing such information as the Secretary may require (which may include
evidence of consultation with the State in which the long-term care facility is
located with respect to carrying out activities funded under the grant).</text>
</subparagraph><subparagraph id="H8DE0CE9A70124335BE1E9CC9662BD799"><enum>(D)</enum><header>Authority to
limit number of applicants</header><text>Nothing in this paragraph shall be
construed as prohibiting the Secretary from limiting the number of applicants
for a grant under this paragraph.</text>
</subparagraph><subparagraph id="HA52DB2A668AE4E18A0423844D7F964DB"><enum>(E)</enum><header>Eligible
employee defined</header><text>In this paragraph, the term <term>eligible
employee</term> means an individual who establishes or implements management
practices applicable with respect to individuals who provide direct care to
residents of a long-term care facility and includes administrators, directors
of nursing, staff developers, and charge nurses.</text>
</subparagraph></paragraph><paragraph id="H316E17157F2248938704AFD69DAAC03"><enum>(4)</enum><header>Accountability
measures</header><text>The Secretary shall develop accountability measures to
ensure that the activities conducted using funds made available under this
subsection benefit eligible employees and increase the stability of the
long-term care workforce.</text>
</paragraph></subsection><subsection id="H62FF96B113D54A84B21B36165FA1F849"><enum>(b)</enum><header>Informatics
Systems Grant Program</header>
<paragraph id="H43D4D6AD69884B67B2A5CC8F2075D72D"><enum>(1)</enum><header>Grants
authorized</header><text>The Secretary is authorized to make grants to
long-term care facilities for the purpose of assisting such entities in
offsetting the costs related to purchasing, leasing, developing, and
implementing standardized clinical health care informatics systems designed to
improve patient safety and reduce adverse events and health care complications
resulting from medication errors.</text>
</paragraph><paragraph id="H69A47AB2CE384843BDAA2FAF9ECF057"><enum>(2)</enum><header>Use of grant
funds</header><text>Funds provided under grants under this subsection may be
used for any of the following:</text>
<subparagraph id="H36B0527897584F6FA7FB111C6CBBFFDA"><enum>(A)</enum><text>Purchasing,
leasing, and installing computer software and hardware, including handheld
computer technologies.</text>
</subparagraph><subparagraph id="H54CB3B3DB3B948F888A418AFA300AB9E"><enum>(B)</enum><text>Making
improvements to existing computer software and hardware.</text>
</subparagraph><subparagraph id="H79288FDEEB6B45CAB2FBB44C1340783"><enum>(C)</enum><text>Making upgrades and
other improvements to existing computer software and hardware to enable
e-prescribing.</text>
</subparagraph><subparagraph id="H585B7CE8AE91467EA170B17588D25147"><enum>(D)</enum><text>Providing
education and training to eligible long-term care facility staff on the use of
technology to implement the electronic transmission of prescription and patient
information.</text>
</subparagraph></paragraph><paragraph id="HF3A8408BB30444579235E4CC7FDF1796"><enum>(3)</enum><header>Application</header><text>To
be eligible to receive a grant under this subsection, a long-term care facility
shall submit an application to the Secretary at such time, in such manner, and
containing such information as the Secretary may require (which may include
evidence of consultation with the State in which the long-term care facility is
located with respect to carrying out activities funded under the grant).</text>
</paragraph><paragraph id="H14D79914C3AE48418F1878A4DB589B95"><enum>(4)</enum><header>Authority to
limit number of applicants</header><text>Nothing in this subsection shall be
construed as prohibiting the Secretary from limiting the number of applicants
for a grant under this subsection.</text>
</paragraph><paragraph id="H8EAD9551DA6743C5BB05A6003EE7B8E5"><enum>(5)</enum><header>Accountability
measures</header><text>The Secretary shall develop accountability measures to
ensure that the activities conducted using funds made available under this
subsection help improve patient safety and reduce adverse events and health
care complications resulting from medication errors.</text>
</paragraph></subsection><subsection commented="no" id="H8D5EFD5967EA4B69B7F8C7A585F310E0"><enum>(c)</enum><header>Inclusion of
adjudicated crimes on nursing home compare website</header><text>Not later than
1 year after the date of enactment of the Elder Justice Act, the Secretary
shall ensure that the Department of Health and Human Services includes, as part
of the information provided for comparison of nursing facilities on the
official Internet website of the Federal Government for Medicare beneficiaries
(commonly referred to as the <quote>Nursing Home Compare</quote> Medicare
website), the number of adjudicated instances of criminal violations by a
nursing facility or crimes committed by an employee of a nursing
facility—</text>
<paragraph commented="no" id="H2A647536C23049CAA3D072BC3F189BC0"><enum>(1)</enum><text>that were
committed inside of the facility; and</text>
</paragraph><paragraph commented="no" id="H8C403AADC63C4646A7EECD3542D2253F"><enum>(2)</enum><text>with respect to
such instances of violations or crimes committed outside of the facility, that
were the violations or crimes of elder abuse, neglect, and exploitation,
criminal sexual abuse of an elder, or other violations or crimes that resulted
in the serious bodily injury of an elder.</text>
</paragraph></subsection><subsection commented="no" id="HA1D68D6C034A446A813DEE109075F62D"><enum>(d)</enum><header>Development of
consumer rights information page on nursing home compare
website</header><text>Not later than 1 year after the date of enactment of the
Elder Justice Act, the Secretary shall ensure that the Department of Health and
Human Services, as part of the information provided for comparison of nursing
facilities on the Nursing Home Compare Medicare website develops and includes a
consumer rights information page that contains links to descriptions of, and
information with respect to, the following:</text>
<paragraph commented="no" id="H3205B7A2DA2E41B5ACB0D271E1D578F3"><enum>(1)</enum><text>The documentation
on nursing facilities that is available to the public.</text>
</paragraph><paragraph commented="no" id="H1E73585C71524AA0B546EB40876D9F5"><enum>(2)</enum><text>General information
and tips on choosing a nursing facility that meets the needs of the
individual.</text>
</paragraph><paragraph commented="no" id="HDDC6030A784548B7B4F3C1D39B48B071"><enum>(3)</enum><text>General
information on consumer rights with respect to nursing facilities.</text>
</paragraph><paragraph commented="no" id="HFEC49E439190427DBFBF4C5C86F2C140"><enum>(4)</enum><text>The nursing
facility survey process (on a national and State-specific basis).</text>
</paragraph><paragraph commented="no" id="H202F870188744390ACE1D22A6587D6B"><enum>(5)</enum><text>On a State-specific
basis, the services available through the State long-term care ombudsman for
such State.</text>
</paragraph></subsection><subsection id="HD6F6BCA26F1F489EA3E1CD99ACA2D412"><enum>(e)</enum><header>Development and
Adoption of Standards for Transactions Involving Clinical Data by Long-Term
Care Facilities</header>
<paragraph id="HECA36FE3CF4B47F880191B7C5F3B58A1"><enum>(1)</enum><header>Standards</header><text>The
Secretary shall develop and adopt uniform open electronic standards for
transactions involving clinical data by long-term care facilities. Such
standards shall include messaging and nomenclature standards.</text>
</paragraph><paragraph id="H5E1CF7DD4B344B4700B68EA91E164F47"><enum>(2)</enum><header>Compatibility
with other standards</header><text>The standards developed and adopted under
paragraph (1) shall be compatible with standards established under part C of
title XI, standards established under subsections (b)(2)(B)(i) and (e)(4) of
section 1860D–4, and with general health information technology
standards.</text>
</paragraph><paragraph id="H74A1549E7BC64B2EA6A5181776EC5525"><enum>(3)</enum><header>Electronic
submission of data to the secretary</header>
<subparagraph id="HD5DD60891336416189B0835F5F987BED"><enum>(A)</enum><header>In
general</header><text>Not later than 10 years after the date of enactment of
the Elder Justice Act, the Secretary shall have procedures in place to accept
the optional electronic submission of clinical data by long-term care
facilities pursuant to the standards developed and adopted under paragraph
(1).</text>
</subparagraph><subparagraph id="HE903B3B8189C45C48FDF337D69892470"><enum>(B)</enum><header>Rule of
construction</header><text>Nothing in this subsection shall be construed to
require a long-term care facility to submit clinical data electronically to the
Secretary.</text>
</subparagraph></paragraph></subsection><subsection id="H28D579F1D46447B68C408406B000B176"><enum>(f)</enum><header>Regulations</header><text>The
Secretary shall promulgate regulations to carry out subsections (c), (d), and
(e) of this section. Such regulations shall require a State, as a condition of
the receipt of funds under this part, to conduct such data collection and
reporting as the Secretary determines are necessary to satisfy the requirements
of such subsections.</text>
</subsection><subsection id="H10760AE40442412DA2BFA3F22DE3DDAA"><enum>(g)</enum><header>Authorization of
Appropriations</header><text>There are authorized to be appropriated to carry
out this section—</text>
<paragraph id="H9D9C9CD5898B4AE2BE19FC98EA4BA5D6"><enum>(1)</enum><text>for fiscal year
2008, $20,000,000;</text>
</paragraph><paragraph id="HC2650D25A0AC4763A1E26F899000CB90"><enum>(2)</enum><text>for fiscal year
2009, $17,500,000; and</text>
</paragraph><paragraph id="H25E87A9A475C4F2EA904243CE6945F00"><enum>(3)</enum><text>for each of fiscal
years 2010 and 2011, $15,000,000.</text>
</paragraph></subsection></section><section id="H74510B8ECF214E4D00B8C6AF8E1BA2A7"><enum>2042.</enum><header>Adult
protective services functions and grant programs</header>
<subsection id="id50656426054447108232A913DB94F30E"><enum>(a)</enum><header>Secretarial
responsibilities</header>
<paragraph id="HC1E6E32B8C0D4CBC8C99B8A0ACE1BF3"><enum>(1)</enum><header>In
general</header><text>The Secretary shall ensure that the Department of Health
and Human Services—</text>
<subparagraph id="HD4A05B5368F142BA8DC383009DF9D4F8"><enum>(A)</enum><text>provides funding
authorized by this subpart to State and local adult protective services offices
that investigate reports of the abuse, neglect, and exploitation of
elders;</text>
</subparagraph><subparagraph id="HA629A6878DEA4500A5ACF6AA89764F85"><enum>(B)</enum><text>collects and
disseminates data annually relating to the abuse, exploitation, and neglect of
elders in coordination with the Department of Justice;</text>
</subparagraph><subparagraph id="H921E3614A48B41A5887756AA063278EF"><enum>(C)</enum><text>develops and
disseminates information on best practices regarding, and provides training on,
carrying out adult protective services;</text>
</subparagraph><subparagraph id="HDA7203D21EB54280B6A5A265BE54A4F4"><enum>(D)</enum><text>conducts research
related to the provision of adult protective services; and</text>
</subparagraph><subparagraph id="HF8291E9C5E094C61B945EE29C9AEEB5E"><enum>(E)</enum><text>provides technical
assistance to States and other entities that provide or fund the provision of
adult protective services, including through grants made under subsections (b)
and (c).</text>
</subparagraph></paragraph><paragraph id="H3F021748B34545D28F0853E17E5755B"><enum>(2)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this subsection, $3,000,000 for fiscal year 2008 and $4,000,000 for each of
fiscal years 2009 through 2011.</text>
</paragraph></subsection><subsection id="H41E02DF4FFB54B32A0772387D0AB82DE"><enum>(b)</enum><header>Grants to
enhance the provision of adult protective services</header>
<paragraph id="H5E458D86F2B74B9399F0D54D575E40"><enum>(1)</enum><header>Establishment</header><text>There
is established an adult protective services grant program under which the
Secretary shall annually award grants to States in the amounts calculated under
paragraph (2) for the purposes of enhancing adult protective services provided
by States and local units of government.</text>
</paragraph><paragraph id="H972CD6D56C844AF19371EAAAD4667CAA"><enum>(2)</enum><header>Amount of
payment</header>
<subparagraph id="HBA127C11FABA4A848DA2F69D07AF95E5"><enum>(A)</enum><header>In
general</header><text>Subject to the availability of appropriations and
subparagraphs (B) and (C), the amount paid to a State for a fiscal year under
the program under this subsection shall equal the amount appropriated for that
year to carry out this subsection multiplied by the percentage of the total
number of elders who reside in the United States who reside in that
State.</text>
</subparagraph><subparagraph id="H79AB13ABB91141539B55F9E078B8E3EE"><enum>(B)</enum><header>Guaranteed
minimum payment amount</header>
<clause id="HEF780E17C3384CFF80595FAF1FDDB6D7"><enum>(i)</enum><header>50
states</header><text>Subject to clause (ii), if the amount determined under
subparagraph (A) for a State for a fiscal year is less than 0.75 percent of the
amount appropriated for such year, the Secretary shall increase such determined
amount so that the total amount paid under this subsection to the State for the
year is equal to 0.75 percent of the amount so appropriated.</text>
</clause><clause id="H1B8FE7BE6827471998EF18B4B63C26D1"><enum>(ii)</enum><header>Territories</header><text>In
the case of a State other than 1 of the 50 States, clause (i) shall be applied
as if each reference to <quote>0.75</quote> were a reference to
<quote>0.1</quote>.</text>
</clause></subparagraph><subparagraph id="H5884A97C877044469531F454B39E13D7"><enum>(C)</enum><header>Pro rata
reductions</header><text>The Secretary shall make such pro rata reductions to
the amounts described in subparagraph (A) as are necessary to comply with the
requirements of subparagraph (B).</text>
</subparagraph></paragraph><paragraph id="H9FECC6635C7D4719AEFA816F82A8C3EC"><enum>(3)</enum><header>Authorized
activities</header>
<subparagraph id="H9B763C17EDDD44E400C0B6BF00B882ED"><enum>(A)</enum><header>Adult protective
services</header><text>Funds made available pursuant to this subsection may
only be used by States and local units of government to provide adult
protective services and may not be used for any other purpose.</text>
</subparagraph><subparagraph id="HF5A3F18A798845E08748384325736CFD"><enum>(B)</enum><header>Use by
agency</header><text>Each State receiving funds pursuant to this subsection
shall provide such funds to the agency or unit of State government having legal
responsibility for providing adult protective services within the State.</text>
</subparagraph><subparagraph id="HAA44B74711F746459FF2B6E6B341FCFB"><enum>(C)</enum><header>Supplement not
supplant</header><text>Each State or local unit of government shall use funds
made available pursuant to this subsection to supplement and not supplant other
Federal, State, and local public funds expended to provide adult protective
services in the State.</text>
</subparagraph></paragraph><paragraph id="H03CB40068571419BB3A576F1005B5500"><enum>(4)</enum><header>State
reports</header><text>Each State receiving funds under this subsection shall
submit to the Secretary, at such time and in such manner as the Secretary may
require, a report on the number of elders served by the grants awarded under
this subsection.</text>
</paragraph><paragraph id="H27738D709C5D4A07A184008BCF048321"><enum>(5)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this subsection, $100,000,000 for each of fiscal years 2008 through
2011.</text>
</paragraph></subsection><subsection id="HC51D74A9CD374F3A981E002352FEE6F4"><enum>(c)</enum><header>State
Demonstration Programs</header>
<paragraph id="H1953F0E7B2F342FD9CEEBE79A7B5CC37"><enum>(1)</enum><header>Establishment</header><text>The
Secretary shall award grants to States for the purposes of conducting
demonstration programs in accordance with paragraph (2).</text>
</paragraph><paragraph id="HA657F292F5F34F8D874D32FBEE9F14B5"><enum>(2)</enum><header>Demonstration
programs</header><text>Funds made available pursuant to this subsection may be
used by States and local units of government to conduct demonstration programs
that test—</text>
<subparagraph id="HA36CC97514BA43A087DDD2D00D64BA"><enum>(A)</enum><text>training modules
developed for the purpose of detecting or preventing elder abuse;</text>
</subparagraph><subparagraph id="HB515BA936B9646D5A4B95EE0C41826F5"><enum>(B)</enum><text>methods to detect
or prevent financial exploitation of elders;</text>
</subparagraph><subparagraph id="H7676267060B24E16811F1C14AB76FB5F"><enum>(C)</enum><text>methods to detect
elder abuse;</text>
</subparagraph><subparagraph id="HEB83F25400964D1BB3717E98F3A68EC8"><enum>(D)</enum><text>whether training
on elder abuse forensics enhances the detection of elder abuse by employees of
the State or local unit of government; or</text>
</subparagraph><subparagraph id="H74A8ACB68DCB49C2861CB793ABF2B076"><enum>(E)</enum><text>other matters
relating to the detection or prevention of elder abuse.</text>
</subparagraph></paragraph><paragraph id="H63783FEC549744B8AF70CE5DB6E75EEB"><enum>(3)</enum><header>Application</header><text>To
be eligible to receive a grant under this subsection, a State shall submit an
application to the Secretary at such time, in such manner, and containing such
information as the Secretary may require.</text>
</paragraph><paragraph id="HF1D344D072B1424E836C00C46D98B044"><enum>(4)</enum><header>State
reports</header><text>Each State that receives funds under this subsection
shall submit a report to the Secretary at such time, in such manner, and
containing such information as the Secretary may require on the results of the
demonstration program conducted by the State using funds made available under
this subsection.</text>
</paragraph><paragraph id="HE5562AB39D434FA9BF86B3D434D45B57"><enum>(5)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this subsection, $25,000,000 for each of fiscal years 2008 through
2011.</text>
</paragraph></subsection></section><section id="H3952A6A61F334E31BE30DBFB69CE2484"><enum>2043.</enum><header>Long-term care
ombudsman program grants and training</header>
<subsection id="id33D2341C89F94A66BBBCF8705688E365"><enum>(a)</enum><header>Grants to
support the long-term care ombudsman program</header>
<paragraph id="H15D74E8B2FD34E9FA310635B5900B56E"><enum>(1)</enum><header>In
general</header><text>The Secretary shall make grants to eligible entities with
relevant expertise and experience in abuse and neglect in long-term care
facilities or long-term care ombudsman programs and responsibilities, for the
purpose of—</text>
<subparagraph id="H79771E6ACD964BCCA4BE81F6EFAA9A2"><enum>(A)</enum><text>improving the
capacity of State long-term care ombudsman programs to respond to and resolve
complaints about abuse and neglect;</text>
</subparagraph><subparagraph id="HE3962B66F53C4446BE8D323E62FDB44B"><enum>(B)</enum><text>conducting pilot
programs with State long-term care ombudsman offices or local ombudsman
entities; and</text>
</subparagraph><subparagraph id="H648A19A0A8F148D6BD43DB52A2C7C3F4"><enum>(C)</enum><text>providing support
for such State long-term care ombudsman programs and such pilot programs (such
as through the establishment of a national long-term care ombudsman resource
center).</text>
</subparagraph></paragraph><paragraph id="H3D3B3B093F0C44DCB39DD85FD5B6B62"><enum>(2)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this subsection—</text>
<subparagraph id="H95E05B186DBE42D5BCFEDD2D40F725C3"><enum>(A)</enum><text>for fiscal year
2008, $5,000,000;</text>
</subparagraph><subparagraph id="H8F61BC5F0F5A4849BDED3B127832037C"><enum>(B)</enum><text>for fiscal year
2009, $7,500,000; and</text>
</subparagraph><subparagraph id="H0C8489E04F254F72BCB0D6506672E821"><enum>(C)</enum><text>for each of fiscal
years 2010 and 2011, $10,000,000.</text>
</subparagraph></paragraph></subsection><subsection id="H8BCE6BBFA50945E1A81CD5F97492EDEC"><enum>(b)</enum><header>Ombudsman
training programs</header>
<paragraph id="HEB74B4EA801F494394DE3E0071CBB55B"><enum>(1)</enum><header>In
general</header><text>The Secretary shall establish programs to provide and
improve ombudsman training with respect to elder abuse, neglect, and
exploitation for national organizations and State long-term care ombudsman
programs.</text>
</paragraph><paragraph id="HD0086A24D9C74DD7BC240056E8A8F84F"><enum>(2)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this subsection, for each of fiscal years 2008 through 2011,
$10,000,000.</text>
</paragraph></subsection></section><section id="HCD73260477E54ABFB87EA5C9055B0329"><enum>2044.</enum><header>Provision of
information regarding, and evaluations of, elder justice programs</header>
<subsection id="id37E65B23D8424B12A0D2CA96C2F6E1CF"><enum>(a)</enum><header>Provision of
Information</header><text>To be eligible to receive a grant under this part, an
applicant shall agree—</text>
<paragraph id="H26C569523E1744E9B6F903A76D700430"><enum>(1)</enum><text>except as provided
in paragraph (2), to provide the eligible entity conducting an evaluation under
subsection (b) of the activities funded through the grant with such information
as the eligible entity may require in order to conduct such evaluation;
or</text>
</paragraph><paragraph id="HBB1D7BF857054C51BC8FF782001E48B9"><enum>(2)</enum><text>in the case of an
applicant for a grant under section 2041(b), to provide the Secretary with such
information as the Secretary may require to conduct an evaluation or audit
under subsection (c).</text>
</paragraph></subsection><subsection id="HE37448FD1D1D49E10042FA16CDA1A505"><enum>(b)</enum><header>Use of Eligible
Entities To Conduct Evaluations</header>
<paragraph id="H59918C83F25244B4A6E9F8EA00D9C019"><enum>(1)</enum><header>Evaluations
required</header><text>Except as provided in paragraph (2), the Secretary
shall—</text>
<subparagraph id="H64C77BDA439A42F08262E4AA0017B239"><enum>(A)</enum><text>reserve a portion
(not less than 2 percent) of the funds appropriated with respect to each
program carried out under this part; and</text>
</subparagraph><subparagraph id="H4F90447A9B37426184D55EF7D762368"><enum>(B)</enum><text>use the funds
reserved under subparagraph (A) to provide assistance to eligible entities to
conduct evaluations of the activities funded under each program carried out
under this part.</text>
</subparagraph></paragraph><paragraph id="H2681536A1BA548668970BB6C96B33DDF"><enum>(2)</enum><header>Informatics
systems grant program not included</header><text>The provisions of this
subsection shall not apply to the informatics systems grant program under
section 2041(b).</text>
</paragraph><paragraph id="H8A7238AAB02A4A84A879AB110125531E"><enum>(3)</enum><header>Authorized
activities</header><text>A recipient of assistance described in paragraph
(1)(B) shall use the funds made available through the assistance to conduct a
validated evaluation of the effectiveness of the activities funded under a
program carried out under this part.</text>
</paragraph><paragraph id="HB49C4AB2E9874A3091E5515C00AC7BA4"><enum>(4)</enum><header>Applications</header><text>To
be eligible to receive assistance under paragraph (1)(B), an entity shall
submit an application to the Secretary at such time, in such manner, and
containing such information as the Secretary may require, including a proposal
for the evaluation.</text>
</paragraph><paragraph id="H8347643B91AA4C0CB2007DF090AFBB36"><enum>(5)</enum><header>Reports</header><text>Not
later than a date specified by the Secretary, an eligible entity receiving
assistance under paragraph (1)(B) shall submit to the Secretary, the Committee
on Ways and Means and the Committee on Energy and Commerce of the House of
Representatives, and the Committee on Finance of the Senate a report containing
the results of the evaluation conducted using such assistance together with
such recommendations as the entity determines to be appropriate.</text>
</paragraph></subsection><subsection id="HF67F412E15744466ACA9CA329FBF99DB"><enum>(c)</enum><header>Evaluations and
Audits of Informatics Systems Grant Program by the Secretary</header>
<paragraph id="HA73A5DF8F60B4824AEC80852A1166660"><enum>(1)</enum><header>Evaluations</header><text>The
Secretary shall conduct an evaluation of the activities funded under the
informatics systems grant program under section 2041(b). Such evaluation shall
include an evaluation of whether the funding provided under the grant is
expended only for the purposes for which it is made.</text>
</paragraph><paragraph id="HE85622B6386C4DABA9706F9895371306"><enum>(2)</enum><header>Audits</header><text>The
Secretary shall conduct appropriate audits of grants made under section
2041(b).</text>
</paragraph></subsection></section><section id="H8EC47BDCFF27458D928BFCF8BA883DEA"><enum>2045.</enum><header>Report</header>
<subsection id="id5105A23E850040378E9E0317EECA9AD3"><enum></enum><text display-inline="yes-display-inline">Not later than October 1, 2011, the
Secretary shall submit to the Elder Justice Coordinating Council, the Committee
on Ways and Means and the Committee on Energy and Commerce of the House of
Representatives, and the Committee on Finance of the Senate a report—</text>
<paragraph id="HAD72E5BCE2CB429399B2AC15BC1BBEF3"><enum>(1)</enum><text>compiling,
summarizing, and analyzing the information contained in the State reports
submitted under subsections (b)(4) and (c)(4) of section 2042; and</text>
</paragraph><paragraph id="H9F40B305606947BF8C1800EBFB8B8EC5"><enum>(2)</enum><text>containing such
recommendations for legislative or administrative action as the Secretary
determines to be
appropriate.</text>
</paragraph></subsection></section></subpart></part><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" id="H23EE9764964C4B919E5C4421544374A3"><enum>(2)</enum><header>Option for State
plan under program for temporary assistance for needy families</header>
<subparagraph commented="no" id="H033C398480B14711965396B7697715CD"><enum>(A)</enum><header>In
general</header><text>Section 402(a)(1)(B) of the Social Security Act (42
U.S.C. 602(a)(1)(B)) is amended by adding at the end the following new
clause:</text>
<quoted-block display-inline="no-display-inline" id="H3213856132A645FB9400D00D8FF4D61" style="OLC">
<clause commented="no" id="H1D8D846EA3A0440389F922C962A9AB51"><enum>(v)</enum><text>The document shall
indicate whether the State intends to assist individuals to train for, seek,
and maintain employment—</text>
<subclause commented="no" id="H7052C8B7F8CD4C8398F1D2274BBC3DAF"><enum>(I)</enum><text>providing direct
care in a long-term care facility (as such terms are defined under section
2011); or</text>
</subclause><subclause commented="no" id="HCC6E06AD7F194DF4B588C2ADDCE81000"><enum>(II)</enum><text>in other
occupations related to elder care determined appropriate by the State for which
the State identifies an unmet need for service personnel,</text>
</subclause><continuation-text continuation-text-level="clause">and, if so,
shall include an overview of such
assistance.</continuation-text></clause><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph><subparagraph commented="no" id="H51C06B71615443F7BCB230389ACC8B"><enum>(B)</enum><header>Effective
date</header><text>The amendment made by subparagraph (A) shall take effect on
October 1, 2008.</text>
</subparagraph></paragraph></subsection><subsection id="H28445F7ABC21471B8CFE431B8A83DDB"><enum>(b)</enum><header>Protecting
residents of long-term care facilities</header>
<paragraph id="H405B783707764591AF17CC925EBD19E"><enum>(1)</enum><header>National training
institute for surveyors</header>
<subparagraph id="H6C9244E666244D46B0004C6647298C74"><enum>(A)</enum><header>In
general</header><text>The Secretary of Health and Human Services shall enter
into a contract with an entity for the purpose of establishing and operating a
National Training Institute for Federal and State surveyors. Such Institute
shall provide and improve the training of surveyors with respect to
investigating allegations of abuse, neglect, and misappropriation of property
in programs and long-term care facilities that receive payments under title
XVIII or XIX of the Social Security Act.</text>
</subparagraph><subparagraph id="H45174C433CF747A183B6006511FACC77"><enum>(B)</enum><header>Activities
carried out by the Institute</header><text>The contract entered into under
subparagraph (A) shall require the Institute established and operated under
such contract to carry out the following activities:</text>
<clause id="H2D8FF9474C2D4054B034B3001577A7F4"><enum>(i)</enum><text>Assess the extent
to which State agencies use specialized surveyors for the investigation of
reported allegations of abuse, neglect, and misappropriation of property in
such programs and long-term care facilities.</text>
</clause><clause id="HC3C52AEE966246348EE431DB5D00C5B5"><enum>(ii)</enum><text>Evaluate how the
competencies of surveyors may be improved to more effectively investigate
reported allegations of such abuse, neglect, and misappropriation of property,
and provide feedback to Federal and State agencies on the evaluations
conducted.</text>
</clause><clause id="HF7BAF0DD0E3A4071A1AA964F23E3DCBB"><enum>(iii)</enum><text>Provide a
national program of training, tools, and technical assistance to Federal and
State surveyors on investigating reports of such abuse, neglect, and
misappropriation of property.</text>
</clause><clause id="H0500F639C5EA4B81BB1482EDBAEF1BAE"><enum>(iv)</enum><text>Develop and
disseminate information on best practices for the investigation of such abuse,
neglect, and misappropriation of property.</text>
</clause><clause id="HF7CDB686E3074A9F91006494FD44E47C"><enum>(v)</enum><text>Assess the
performance of State complaint intake systems, in order to ensure that the
intake of complaints occurs 24 hours per day, 7 days a week (including
holidays).</text>
</clause><clause id="H31C91119B447447E990684A199BEA36C"><enum>(vi)</enum><text>To
the extent approved by the Secretary of Health and Human Services, provide a
national 24 hours per day, 7 days a week (including holidays), back-up system
to State complaint intake systems in order to ensure optimum national
responsiveness to complaints of such abuse, neglect, and misappropriation of
property.</text>
</clause><clause id="H822AA67894F14A69A27B9C9D3336CC90"><enum>(vii)</enum><text>Analyze and
report annually on the following:</text>
<subclause id="H4847032DBE1344C2A79C1D5286EBEC10"><enum>(I)</enum><text>The total number
and sources of complaints of such abuse, neglect, and misappropriation of
property.</text>
</subclause><subclause id="H74ECF6CE67794826A096DE19A3DB9784"><enum>(II)</enum><text>The extent to
which such complaints are referred to law enforcement agencies.</text>
</subclause><subclause id="H17EBE7F12DAD441496EC7FC99768952C"><enum>(III)</enum><text>General results
of Federal and State investigations of such complaints.</text>
</subclause></clause><clause id="HD1E6C6D3F2604E639184BB6B15121C1F"><enum>(viii)</enum><text>Conduct a
national study of the cost to State agencies of conducting complaint
investigations of skilled nursing facilities and nursing facilities under
sections 1819 and 1919, respectively, of the Social Security Act (42 U.S.C.
1395i–3; 1396r), and making recommendations to the Secretary of Health and
Human Services with respect to options to increase the efficiency and
cost-effectiveness of such investigations.</text>
</clause></subparagraph><subparagraph id="HFCF56595A787403BB1E5E6F2DDF2B04"><enum>(C)</enum><header>Authorization</header><text>There
are authorized to be appropriated to carry out this paragraph, for the period
of fiscal years 2008 through 2011, $12,000,000.</text>
</subparagraph></paragraph><paragraph id="H2190B25BC6334FC69C37BDE7E131961C"><enum>(2)</enum><header>Grants to State
survey agencies</header>
<subparagraph id="HD4AB5808690E4EB39D93EF5C062180AC"><enum>(A)</enum><header>In
general</header><text>The Secretary of Health and Human Services shall make
grants to State agencies that perform surveys of skilled nursing facilities or
nursing facilities under sections 1819 or 1919, respectively, of the Social
Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395i-3">42 U.S.C. 1395i–3</external-xref>; 1395r).</text>
</subparagraph><subparagraph id="HD82543C124514063836275CF782E40A0"><enum>(B)</enum><header>Use of
funds</header><text>A grant awarded under subparagraph (A) shall be used for
the purpose of designing and implementing complaint investigations systems
that—</text>
<clause id="HC3984C5E78E1473BA5B810C9EBCEF812"><enum>(i)</enum><text>promptly
prioritize complaints in order to ensure a rapid response to the most serious
and urgent complaints;</text>
</clause><clause id="H911AD7B280C54D9694F7F30768DDDC"><enum>(ii)</enum><text>respond to
complaints with optimum effectiveness and timeliness; and</text>
</clause><clause id="H551E8BE75FD04170A005973F0010AC17"><enum>(iii)</enum><text>optimize the
collaboration between local authorities, consumers, and providers,
including—</text>
<subclause id="H05567A0E7413477C97918CB80291AC8D"><enum>(I)</enum><text>such State
agency;</text>
</subclause><subclause id="H49D074F2474E4BDEA7A5AEB837452953"><enum>(II)</enum><text>the State
Long-Term Care Ombudsman;</text>
</subclause><subclause id="HD67D977A1C1C4F6A967F85D99899C88C"><enum>(III)</enum><text>local law
enforcement agencies;</text>
</subclause><subclause id="HDA2EF7A479AF409A977E3FF9ADFE05CE"><enum>(IV)</enum><text>advocacy and
consumer organizations;</text>
</subclause><subclause id="H34F8ABE8EA614761A4D5A342234266AB"><enum>(V)</enum><text>State aging
units;</text>
</subclause><subclause id="H1C437445138C4E948EFE710230D0728E"><enum>(VI)</enum><text>Area Agencies on
Aging; and</text>
</subclause><subclause id="H71772EF0BF814B01A9EF9BEA28D011AE"><enum>(VII)</enum><text>other
appropriate entities.</text>
</subclause></clause></subparagraph><subparagraph id="HDB14FF93EC374829A9CD90D1BBB86C40"><enum>(C)</enum><header>Authorization</header><text>There
are authorized to be appropriated to carry out this paragraph, for each of
fiscal years 2008 through 2011, $5,000,000.</text>
</subparagraph></paragraph><paragraph id="H7653B5681CDB43E19BC7821936A4DB1F"><enum>(3)</enum><header>Reporting of
crimes and ensuring safety of residents when federally funded long-Term Care
Facilities close</header><text>Part A of title XI of the
<act-name parsable-cite="SSA">Social Security Act</act-name> (42 U.S.C. 1301 et
seq.) is amended by adding at the end the following new sections:</text>
<quoted-block display-inline="no-display-inline" id="HBA02F8C5180A48AF9EE490ECCBEAED" style="traditional">
<section id="HA2BC4398D15A4ABFBD004DB36B893D3"><enum>1150A.</enum><header>Reporting to law enforcement of crimes occurring in
federally funded long-Term care facilities</header><subsection commented="no" display-inline="yes-display-inline" id="HDC504E9C6EC1447B88C96377B37E6054"><enum>(a)</enum><header>Determination and
Notification</header>
<paragraph id="HD935039ADFA2441C9894386BEA43D81C"><enum>(1)</enum><header>Determination</header><text>The
owner or operator of each long-term care facility that receives Federal funds
under this Act shall annually determine whether the facility received at least
$10,000 in such Federal funds during the preceding year.</text>
</paragraph><paragraph id="HB6E4C3A8776D4AACB7562C348791DEE1"><enum>(2)</enum><header>Notification</header><text>If
the owner or operator determines under paragraph (1) that the facility received
at least $10,000 in such Federal funds during the preceding year, such owner or
operator shall annually notify each covered individual (as defined in paragraph
(3)) of that individual’s obligation to comply with the reporting requirements
described in subsection (b).</text>
</paragraph><paragraph id="H6F400EF7A7CB4BB783B35CEA4EB5951D"><enum>(3)</enum><header>Covered
individual defined</header><text>In this section, the term <term>covered
individual</term> means each individual who is an owner, operator, employee,
manager, agent, or contractor of a long-term care facility that is the subject
of a determination described in paragraph (1).</text>
</paragraph></subsection><subsection id="H087A022F82BE43B4956F4EC357085995"><enum>(b)</enum><header>Reporting
Requirements</header>
<paragraph id="H8DFDA9C90EDC46BDA1028DEC068289C3"><enum>(1)</enum><header>In
general</header><text>Each covered individual shall report to the Secretary and
1 or more law enforcement entities for the political subdivision in which the
facility is located any reasonable suspicion of a crime (as defined by the law
of the applicable political subdivision) against any individual who is a
resident of, or is receiving care from, the facility.</text>
</paragraph><paragraph id="H8838D3187CFD44D4929477F66E32453"><enum>(2)</enum><header>Timing</header><text>If
the events that cause the suspicion—</text>
<subparagraph id="HDD1D92CE071445F1A0A328DB4281E772"><enum>(A)</enum><text>result in serious
bodily injury, the individual shall report the suspicion immediately, but not
later than 2 hours after forming the suspicion; and</text>
</subparagraph><subparagraph id="H95FACC8A6694482A9834BDC1704DA819"><enum>(B)</enum><text>do not result in
serious bodily injury, the individual shall report the suspicion not later than
24 hours after forming the suspicion.</text>
</subparagraph></paragraph></subsection><subsection id="HFCCC55870EC04ACA8E3CD5FA061F56FB"><enum>(c)</enum><header>Penalties</header>
<paragraph id="H8053E3C7B2824160ADDB046E2E36C04E"><enum>(1)</enum><header>In
general</header><text>If a covered individual violates subsection (b)—</text>
<subparagraph id="H323BC2EB88B84C609E008CDBE3C52609"><enum>(A)</enum><text>the covered
individual shall be subject to a civil money penalty of not more than $200,000;
or</text>
</subparagraph><subparagraph id="H5B357113EB8445C8B11145D7809C7165"><enum>(B)</enum><text>the Secretary
shall classify the covered individual as an excluded individual, for a period
of not more than 3 years.</text>
</subparagraph></paragraph><paragraph id="HF4389764C07C45DA9BDC106B25541728"><enum>(2)</enum><header>Increased
harm</header><text>If a covered individual violates subsection (b) and the
violation exacerbates the harm to the victim of the crime or results in harm to
another individual—</text>
<subparagraph id="HFCAD9B2DA45B4ADCB9A529325396CF59"><enum>(A)</enum><text>the covered
individual shall be subject to a civil money penalty of not more than $300,000;
and</text>
</subparagraph><subparagraph id="H0C24A843C82F4386ADBF0079DB4EB53"><enum>(B)</enum><text>the Secretary shall
classify the covered individual as an excluded individual, for a period of not
more than 3 years.</text>
</subparagraph></paragraph><paragraph id="H2AFD64AECE2541F9A954979E37DD81A2"><enum>(3)</enum><header>Excluded
individual</header><text>During any period for which a covered individual is
classified as an excluded individual under paragraph (1)(B) or (2)(B), a
long-term care facility that employs such individual shall be ineligible to
receive Federal funds under this Act.</text>
</paragraph><paragraph id="H9FA49258ECFD486FADA357AC9CE72116"><enum>(4)</enum><header>Extenuating
circumstances</header>
<subparagraph id="H2E762E9F36BB46F08D5F351002B19757"><enum>(A)</enum><header>In
general</header><text>The Secretary may take into account the financial burden
on providers with underserved populations in determining any penalty to be
imposed under this subsection.</text>
</subparagraph><subparagraph id="HD146D57539BE46EFAE9F1714EDD31539"><enum>(B)</enum><header>Underserved
population defined</header><text>In this paragraph, the term <term>underserved
population</term> means the population of an area designated by the Secretary
as an area with a shortage of elder justice programs or a population group
designated by the Secretary as having a shortage of such programs. Such areas
or groups designated by the Secretary may include—</text>
<clause id="HF9461BF40B444D1FA2800014A60182C9"><enum>(i)</enum><text>areas or groups
that are geographically isolated (such as isolated in a rural area);</text>
</clause><clause id="H347FF74CB8B14794A5C5007509545E47"><enum>(ii)</enum><text>racial and ethnic
minority populations; and</text>
</clause><clause id="H61C3548C40C24FDFABE050F77C3DE5EA"><enum>(iii)</enum><text>populations
underserved because of special needs (such as language barriers, disabilities,
alien status, or age).</text>
</clause></subparagraph></paragraph></subsection><subsection id="H525113176B6F44038516EF1400007F9F"><enum>(d)</enum><header>Additional
Penalties for Retaliation</header>
<paragraph id="H5278F48C094A4A7C8512F429AF9170B6"><enum>(1)</enum><header>In
general</header><text>A long-term care facility may not—</text>
<subparagraph id="H8DAFE962AC244AB8AC5FC2F00DB5E03"><enum>(A)</enum><text>discharge, demote,
suspend, threaten, harass, or deny a promotion or other employment-related
benefit to an employee, or in any other manner discriminate against an employee
in the terms and conditions of employment because of lawful acts done by the
employee; or</text>
</subparagraph><subparagraph id="HD2221D4A28AD432EBB651F8B368BDEEC"><enum>(B)</enum><text>file a complaint
or a report against a nurse or other employee with the appropriate State
professional disciplinary agency because of lawful acts done by the nurse or
employee,</text>
</subparagraph><continuation-text continuation-text-level="paragraph">for making
a report, causing a report to be made, or for taking steps in furtherance of
making a report pursuant to subsection (b)(1).</continuation-text></paragraph><paragraph id="H32F92195D024433BB2E579EBF81DC65C"><enum>(2)</enum><header>Penalties for
retaliation</header><text>If a long-term care facility violates subparagraph
(A) or (B) of paragraph (1) the facility shall be subject to a civil money
penalty of not more than $200,000 or the Secretary may classify the entity as
an excluded entity for a period of 2 years pursuant to section 1128(b), or
both.</text>
</paragraph><paragraph id="H70D28137720D4CAAAC1E41F743594CD0"><enum>(3)</enum><header>Requirement to
post notice</header><text>Each long-term care facility shall post conspicuously
in an appropriate location a sign (in a form specified by the Secretary)
specifying the rights of employees under this section. Such sign shall include
a statement that an employee may file a complaint with the Secretary against a
long-term care facility that violates the provisions of this subsection and
information with respect to the manner of filing such a complaint.</text>
</paragraph></subsection><subsection id="HA16A02CF5E7C481FA17BF7774515BC54"><enum>(e)</enum><header>Procedure</header><text>The
provisions of section 1128A (other than subsections (a) and (b) and the second
sentence of subsection (f)) shall apply to a civil money penalty under this
section in the same manner as such provisions apply to a penalty or proceeding
under section 1128A(a).</text>
</subsection><subsection id="H1205153F47654C94BA417E30B80022D3"><enum>(f)</enum><header>Definitions</header><text>In
this section, the terms <term>elder justice</term>, <term>long-term care
facility</term>, and <term>law enforcement</term> have the meanings given those
terms in section 2011.</text>
</subsection></section><section id="HB441A21DC10849A4008105ED061E4800"><enum>1150B.</enum><header>Ensuring safety of residents when
federally funded Long-Term care facilities close</header><subsection commented="no" display-inline="yes-display-inline" id="H6AE1E7455AB942A1956410EFB7018D40"><enum>(a)</enum><header>In general</header>
<paragraph id="HAB55B5D2327044B0906CB4D5576D4A8"><enum>(1)</enum><header>Notification of
Facility Closure</header><text display-inline="yes-display-inline">Subject to
paragraph (2), if the owner or operator determines under section 1150A(a)(1)
that a long-term care facility received at least $10,000 in Federal funds under
this Act during the preceding year, the owner or operator of the facility
shall—</text>
<subparagraph id="H2BCD95A84DA54E0AA7DDF3846F77A39B"><enum>(A)</enum><text>submit to the
Secretary and the appropriate State regulatory agency written notification of
an impending closure not later than the date that is 60 days prior to the date
of such closure;</text>
</subparagraph><subparagraph id="HE47EE02299F540BBB1008C60C09ED422"><enum>(B)</enum><text>include in the
notice a plan for the transfer and adequate relocation of the residents of the
facility prior to closure, including assurances that the residents will be
transferred to the most appropriate facility in terms of quality, services, and
location; and</text>
</subparagraph><subparagraph id="H7F1E55C72EB74D8D948E9E529957D0F6"><enum>(C)</enum><text>not later than 10
days after the facility closure, submit to the Secretary and the appropriate
State agency information identifying where residents of the closed facility
were transferred and on what date.</text>
</subparagraph></paragraph><paragraph id="H792DD439AE4940F0BACD3F3172E1E0FB"><enum>(2)</enum><header>Exception where
the Secretary has issued a termination notice</header><text>In the case of a
long-term care facility described in paragraph (1) for which the Secretary has
issued a termination notice for the facility to close by not later than 15 days
after the issuance of such notice, the Secretary shall establish requirements
for the notification, transfer, and adequate relocation of residents within an
appropriate timeframe.</text>
</paragraph></subsection><subsection id="HD8001E5876FB45F380D001E7296C3E"><enum>(b)</enum><header>Sanctions</header><text>Any
person owning or operating a long-term care facility that fails to comply with
the requirements of subsection (a) shall be subject to—</text>
<paragraph id="H0DFC545829F343CF9D62A0EB75C9A783"><enum>(1)</enum><text>a civil monetary
penalty of up to $1,000,000;</text>
</paragraph><paragraph id="H9D627A76EF4C46918565576DB93BFB68"><enum>(2)</enum><text>exclusion from
participation in the programs under this Act (in accordance with the procedures
of section 1128); and</text>
</paragraph><paragraph id="HFA3948CBAAA945D4AA139FA008CEE2A9"><enum>(3)</enum><text>any other
applicable civil monetary penalties and assessments.</text>
</paragraph></subsection><subsection id="H365577F5D52C4D5EBF007D6C78F9BCE4"><enum>(c)</enum><header>Procedure</header><text>The
provisions of section 1128A (other than subsections (a) and (b) and the second
sentence of subsection (f)) shall apply to a civil money penalty or assessment
under this section in the same manner as such provisions apply to a penalty or
proceeding under section 1128A(a).</text>
</subsection><subsection id="H5BB315ACBB914F99BDAEE398A3D5E5A4"><enum>(d)</enum><header>Definition</header><text>In
this section, the term <term>long-term care facility</term> has the meaning
given that term in section
2011.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HA4A2C263F8E44D0C84BBD43BAFA4841"><enum>(4)</enum><header>Report to
Congress on pilot program for national and state background checks on direct
patient access employees of long-term care facilities or
providers</header><text>Not later than the date that is 6 months after the
completion of the pilot program for national and State background checks on
direct patient access employees of long-term care facilities or providers
established under section 307 of the Medicare Prescription Drug, Improvement,
and Modernization Act of 2003 (<external-xref legal-doc="usc" parsable-cite="usc/42/1395aa">42 U.S.C. 1395aa</external-xref> note), the Secretary shall
submit to the Committee on Finance of the Senate and the Committee on Ways and
Means and the Committee on Energy and Commerce of the House of Representatives
a report containing the results of the evaluation required under subsection (e)
of such section of such Act, together with recommendations for such legislation
and administrative action as the Secretary determines appropriate.</text>
</paragraph></subsection><subsection id="H8D832D8529D34F04A6B29B2C40F48667"><enum>(c)</enum><header>National nurse
aide registry</header>
<paragraph id="H747BBA9B9ABA4F288852D786F92E6DE9"><enum>(1)</enum><header>Definition of
nurse aide</header><text>In this subsection, the term <term>nurse aide</term>
has the meaning given that term in sections 1819(b)(5)(F) and 1919(b)(5)(F) of
the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395i-3">42 U.S.C. 1395i–3(b)(5)(F)</external-xref>; 1396r(b)(5)(F)).</text>
</paragraph><paragraph id="HDB74D117B6E44A07AA79BCFD32F5DF75"><enum>(2)</enum><header>Study and
report</header>
<subparagraph id="HFC892DB4EDF447C2846429A1F2CDED17"><enum>(A)</enum><header>In
general</header><text>The Secretary, in consultation with appropriate
government agencies and private sector organizations, shall conduct a study on
establishing a national nurse aide registry.</text>
</subparagraph><subparagraph id="HF1DBED68F6864000992838378FEB9681"><enum>(B)</enum><header>Areas
evaluated</header><text>The study conducted under this subsection shall include
an evaluation of—</text>
<clause id="HDD0EE687AAC44BC6B3B1FD481D5309CC"><enum>(i)</enum><text>who
should be included in the registry;</text>
</clause><clause id="H92B28A379FD04A9899DC4E8BB5F61EC9"><enum>(ii)</enum><text>how
such a registry would comply with Federal and State privacy laws and
regulations;</text>
</clause><clause id="HD365EF4A8845460B99305FC7F769EA69"><enum>(iii)</enum><text>how data would
be collected for the registry;</text>
</clause><clause id="H3923F4A685D446689D878E7E53B95736"><enum>(iv)</enum><text>what entities and
individuals would have access to the data collected;</text>
</clause><clause id="H2B0DED99FB664A6AB780C41E1C2DA500"><enum>(v)</enum><text>how
the registry would provide appropriate information regarding violations of
Federal and State law by individuals included in the registry;</text>
</clause><clause id="HB53FFAA78134407094C516DA4BFD4BA"><enum>(vi)</enum><text>how
the functions of a national nurse aide registry would be coordinated with the
pilot program for national and State background checks on direct patient access
employees of long-term care facilities or providers established under section
307 of the Medicare Prescription Drug, Improvement, and Modernization Act of
2003 (<external-xref legal-doc="public-law" parsable-cite="pl/108/173">Public Law 108–173</external-xref>); and</text>
</clause><clause id="HBCEF572F072A4DE88D627D00C3F54785"><enum>(vii)</enum><text>how the
information included in State nurse aide registries developed and maintained
under sections 1819(e)(2) and 1919(e)(2) of the Social Security Act (42 U.S.C.
1395i–3(e)(2); 1396r(e)(2)(2)) would be provided as part of a national nurse
aide registry.</text>
</clause></subparagraph><subparagraph id="HE381CE8F83D34083983E4D00B595DD1"><enum>(C)</enum><header>Considerations</header><text>In
conducting the study and preparing the report required under this subsection,
the Secretary shall take into consideration the findings and conclusions of
relevant reports and other relevant resources, including the following:</text>
<clause id="H63E79016C4A84E75B8954697E272BCA7"><enum>(i)</enum><text>The
Department of Health and Human Services Office of Inspector General Report,
Nurse Aide Registries: State Compliance and Practices (February 2005).</text>
</clause><clause id="H03BF0EA647BE4AE49DB30037E0AAEA56"><enum>(ii)</enum><text>The
General Accounting Office (now known as the Government Accountability Office)
Report, Nursing Homes: More Can Be Done to Protect Residents from Abuse (March
2002).</text>
</clause><clause id="HBFE5FBA64E2C423D8FB978117948883E"><enum>(iii)</enum><text>The Department
of Health and Human Services Office of the Inspector General Report, Nurse Aide
Registries: Long-Term Care Facility Compliance and Practices (July
2005).</text>
</clause><clause id="H0B42337810C94132AAEAD8F8ED991CE"><enum>(iv)</enum><text>The
Department of Health and Human Services Health Resources and Services
Administration Report, Nursing Aides, Home Health Aides, and Related Health
Care Occupations—National and Local Workforce Shortages and Associated Data
Needs (2004)(in particular with respect to chapter 7 and appendix F).</text>
</clause><clause id="H13F973BE10F84DF28F908C8D64F50040"><enum>(v)</enum><text>The
2001 Report to CMS from the School of Rural Public Health, Texas A&M
University, Preventing Abuse and Neglect in Nursing Homes: The Role of Nurse
Aide Registries.</text>
</clause><clause id="HFAD8C999C8E445E0B8F7CB7E3452FB00"><enum>(vi)</enum><text>Information
included in State nurse aide registries developed and maintained under sections
1819(e)(2) and 1919(e)(2) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395i-3">42 U.S.C. 1395i–3(e)(2)</external-xref>;
1396r(e)(2)(2)).</text>
</clause></subparagraph><subparagraph id="HEA7A107AADA4467CAEC118DDF07836FE"><enum>(D)</enum><header>Report</header><text>Not
later than 18 months after the date of enactment of this Act, the Secretary
shall submit a report to the Elder Justice Coordinating Council, the Committee
on Finance of the Senate, and the Committee on Ways and Means and the Committee
on Energy and Commerce of the House of Representatives containing the findings
and recommendations of the study conducted under this paragraph.</text>
</subparagraph><subparagraph id="H3660CB58BC37423887C7BD08E7E702C5"><enum>(E)</enum><header>Funding
limitation</header><text>Funding for the study conducted under this subsection
shall not exceed $500,000.</text>
</subparagraph></paragraph><paragraph id="HC179046A6F614F73989479C6BE00BF3F"><enum>(3)</enum><header>Congressional
action</header><text>After receiving the report submitted by the Secretary
under paragraph (2)(D), the Committee on Finance of the Senate and the
Committee on Ways and Means and the Committee on Energy and Commerce of the
House of Representatives shall, as they deem appropriate, take action based on
the recommendations contained in the report.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H1333428B0D0F4E8EB72892A0EC169104"><enum>(4)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated such sums
as are necessary for the purpose of carrying out this subsection.</text>
</paragraph></subsection><subsection id="H3AEBB0D1DC13418DB100DE4C600328E1"><enum>(d)</enum><header>Conforming
amendments</header>
<paragraph id="H76B63B0C53754800976EE12419970081"><enum>(1)</enum><header>Title
XX</header><text>Title XX of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1397">42 U.S.C. 1397 et seq.</external-xref>),
as amended by section 102(a), is amended—</text>
<subparagraph id="HEAF6D4157C2D478CBD4C4D773E136133"><enum>(A)</enum><text>in the heading of
section 2001, by striking <quote><header-in-text level="section" style="traditional">title</header-in-text></quote> and inserting
<quote><header-in-text level="section" style="traditional">part</header-in-text></quote>; and</text>
</subparagraph><subparagraph id="HB993857A3EA64314005E8DDEE53BB051"><enum>(B)</enum><text>in part A, by
striking <quote>this title</quote> each place it appears and inserting
<quote>this part</quote>.</text>
</subparagraph></paragraph><paragraph id="H643E40C6F1A44C1ABBDB4967B57898A"><enum>(2)</enum><header>Title
IV</header><text>Title IV of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/601">42 U.S.C. 601 et seq.</external-xref>) is
amended—</text>
<subparagraph id="H38AED9ED7B7A4334897D118CA316E38F"><enum>(A)</enum><text>in section
404(d)—</text>
<clause id="H7F1007FE4C8C4EF7A6C1EA87701613A5"><enum>(i)</enum><text>in
paragraph (1)(A), by striking <quote>Title</quote> and inserting <quote>Part A
of title</quote>;</text>
</clause><clause display-inline="no-display-inline" id="H7DD5DD9179F6423D9003634F9FF74F2F"><enum>(ii)</enum><text>in paragraphs
(2)(A) and (3)(B), by inserting <quote>part A of</quote> before <quote>title
XX</quote> each place it appears;</text>
</clause><clause id="H1BD2374199CE4B85B3005451A5275E66"><enum>(iii)</enum><text>in
the heading of paragraph (2), by inserting <quote><header-in-text level="paragraph" style="OLC">part a of</header-in-text></quote> before
<quote><header-in-text level="paragraph" style="OLC">title
xx</header-in-text></quote>; and</text>
</clause><clause id="H83AB26D9898C426EB4E5A4FF9D40A5CE"><enum>(iv)</enum><text>in
the heading of paragraph (3)(B), by inserting <quote><header-in-text level="subparagraph" style="OLC">part a of</header-in-text></quote> before
<quote><header-in-text level="subparagraph" style="OLC">title
xx</header-in-text></quote>; and</text>
</clause></subparagraph><subparagraph id="HAA55422CED0C4A289C165964FC3B32DB"><enum>(B)</enum><text>in sections
422(b), 471(a)(4), 472(h)(1), and 473(b)(2), by inserting <quote>part A
of</quote> before <quote>title XX</quote> each place it appears.</text>
</subparagraph></paragraph><paragraph id="H03CC296A30D04E48BA2C3FBE3745055F"><enum>(3)</enum><header>Title
XI</header><text>Title XI of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1301">42 U.S.C. 1301 et seq.</external-xref>)
is amended—</text>
<subparagraph id="HBEEA9A360ADD487CBFF5351BBDC2FD03"><enum>(A)</enum><text>in section
1128(h)(3)—</text>
<clause id="H080F15490BF14430AB6265B60059CAB"><enum>(i)</enum><text>by
inserting <quote>part A of</quote> before <quote>title XX</quote>; and</text>
</clause><clause id="H751C7D0AE046439B006E34395034234C"><enum>(ii)</enum><text>by
striking <quote>such title</quote> and inserting <quote>such part</quote>;
and</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H9EA8AF4ACD1D40C9837F18E8913D0065"><enum>(B)</enum><text>in section
1128A(i)(1), by inserting <quote>part A of</quote> before <quote>title
XX</quote>.</text>
</subparagraph></paragraph></subsection></section><enum>II</enum><header>Department of
Justice</header>
<section id="H33CE19D1A0C244CE8BD660C0D8E700E"><enum>201.</enum><header>Model State laws
and practices</header>
<subsection id="H04D6ABAB18D14C2297E5B667D7B65000"><enum>(a)</enum><header>In
general</header><text>The Attorney General, after consultation with the
Secretary of Health and Human Services, shall carry out the following
duties:</text>
<paragraph id="HB3E8A54F00AF40B7BB2DBC45DAEFD6F7"><enum>(1)</enum><header>Study</header><text>Conduct
a study of State laws and practices relating to elder abuse, neglect, and
exploitation.</text>
</paragraph><paragraph id="H0FA74418C38A491BBB1C2780E79CA973"><enum>(2)</enum><header>Report to Elder
Justice Resource Center</header><text display-inline="yes-display-inline">Prepare and submit a report or periodic
reports containing the findings of the study conducted under
<internal-xref idref="HB3E8A54F00AF40B7BB2DBC45DAEFD6F7" legis-path="201.(a)(1)">paragraph (1)</internal-xref> to the Elder Justice
Coordinating Council and the Advisory Board of Elder Abuse, Neglect, and
Exploitation (established under Title XX of the <act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1397">42 U.S.C. 1397 et seq.</external-xref>), as
amended by this Act). Such report or reports shall be made available to the
public.</text>
</paragraph><paragraph id="HF30E243C739D4565A0AE5782BB9B0055"><enum>(3)</enum><header>Report to
Congress</header><text>Not later than 2 years after the date of enactment of
this Act, submit to the Chairman and Ranking Member of the Special Committee on
Aging of the Senate, and the Speaker and Minority leader of the House of
Representatives, a report that contains—</text>
<subparagraph id="H004505FFBC8341F1B0DA304313D7003B"><enum>(A)</enum><text>a comprehensive
description of State laws and practices relating to elder abuse, neglect, and
exploitation;</text>
</subparagraph><subparagraph id="H34349A323E814452AF82223F80B6B6CE"><enum>(B)</enum><text>a comprehensive
analysis of the effectiveness of such State laws and practices; and</text>
</subparagraph><subparagraph id="H5964CE3348424A00B47DA1A89103013E"><enum>(C)</enum><text>recommendations—</text>
<clause id="HFCF3FC50C6F64F9993581B00793E50F7"><enum>(i)</enum><text>for
model State laws and practices relating to elder abuse, neglect, and
exploitation; and</text>
</clause><clause id="HBA058B3D9A334390BBACB7A184DFCA1"><enum>(ii)</enum><text>with
respect to the definitions referred to in
<internal-xref idref="H8F983E6FBE4548D989DC43004CC8BE30" legis-path="201.(b)(1)">subsection (b)(1)</internal-xref>.</text>
</clause></subparagraph></paragraph></subsection><subsection id="HA5812A0B3B2E4C5894749251FDD9F5A"><enum>(b)</enum><header>State laws and
practices</header><text>In conducting the study under
<internal-xref idref="H04D6ABAB18D14C2297E5B667D7B65000" legis-path="201.(a)">subsection (a)</internal-xref>, the Attorney General shall
examine State laws and practices on issues including—</text>
<paragraph id="H8F983E6FBE4548D989DC43004CC8BE30"><enum>(1)</enum><text>the definition
of—</text>
<subparagraph id="HE2D82863F66A4506B060658C00D2C7F4"><enum>(A)</enum><text><quote>elder</quote>;</text>
</subparagraph><subparagraph id="H5071CE4AE2B74558AA6B87C53CA36700"><enum>(B)</enum><text><quote>abuse</quote>;</text>
</subparagraph><subparagraph id="H3965318E5F964D659600A900A11E16ED"><enum>(C)</enum><text><quote>neglect</quote>;</text>
</subparagraph><subparagraph id="H131B3AF7C9B34AFABAA006DFE1EC62DF"><enum>(D)</enum><text><quote>exploitation</quote>;
and</text>
</subparagraph><subparagraph id="HC8086B66D86C4344A681A92D7817A7BB"><enum>(E)</enum><text>such related terms
the Attorney General determines to be appropriate;</text>
</subparagraph></paragraph><paragraph id="H965A9BB7DC1C45438BBB786D006B276E"><enum>(2)</enum><text>mandatory
reporting laws, with respect to—</text>
<subparagraph id="H64727EF8B243496493AF8433E123778"><enum>(A)</enum><text>who is a mandated
reporter;</text>
</subparagraph><subparagraph id="HD873E459841E4596AD3091DE1C090090"><enum>(B)</enum><text>to whom must they
report and within what time frame; and</text>
</subparagraph><subparagraph id="HF785577F7C1142D58DC739BA61FE2EB8"><enum>(C)</enum><text>any consequences
for not reporting;</text>
</subparagraph></paragraph><paragraph id="HE5C21DEBC88A4634B63900003955F427"><enum>(3)</enum><text>evidentiary,
procedural, sentencing, choice of remedies, and data retention issues relating
to pursuing cases relating to elder abuse, neglect, and exploitation;</text>
</paragraph><paragraph id="HB9587FDD9E2545EDB574EAF557A5E228"><enum>(4)</enum><text>laws requiring
immediate reporting of all nursing home deaths to the county coroner or to some
other individual or entity;</text>
</paragraph><paragraph id="HD309DA3C6B404B09AF85B1D97EF788BD"><enum>(5)</enum><text>fiduciary laws,
including guardianship and power of attorney laws;</text>
</paragraph><paragraph id="HA4D261F7FD3F45F6853C721871619000"><enum>(6)</enum><text>laws that permit
or encourage banks and bank employees to prevent and report suspected elder
abuse, neglect, and exploitation;</text>
</paragraph><paragraph id="H1FA7E2A7A776491380E71350004D6CA9"><enum>(7)</enum><text>laws that may
impede research on elder abuse, neglect, and exploitation;</text>
</paragraph><paragraph id="HFF5FA49EB73246F493DA8C3E9CC2B03F"><enum>(8)</enum><text>practices relating
to the enforcement of laws relating to elder abuse, neglect, and exploitation;
and</text>
</paragraph><paragraph id="H7196B2843BAE4334B31C269BD0F4EB4C"><enum>(9)</enum><text>practices relating
to other aspects of elder justice.</text>
</paragraph></subsection><subsection id="H72E81BD2A6AF45FAA1E563FEF15F80F3"><enum>(c)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this section—</text>
<paragraph id="HC454321730144B7500A0A4662F9728F5"><enum>(1)</enum><text>$1,000,000 for
fiscal year 2008; and</text>
</paragraph><paragraph id="H1CE33A55C1CC4040AADCB50BF3627D4"><enum>(2)</enum><text>$2,000,000 for each
of the fiscal years 2009 through 2014.</text>
</paragraph></subsection></section><section id="H99CBE57528B94F00B9DE53372C5D09B4"><enum>202.</enum><header>Elder justice
plan and strategy</header>
<subsection id="HBF9DEE569973474AADADA51E16A0A6F7"><enum>(a)</enum><header>Duties of the
Attorney General</header><text>The Attorney General shall—</text>
<paragraph id="H751D52DCBF7F4C4B85DBAAB00E17B47"><enum>(1)</enum><text>develop objectives,
priorities, policies, and a long-term plan for elder justice programs and
activities relating to prevention, detection, training, treatment, evaluation,
intervention, research, and improvement of the elder justice system in the
United States;</text>
</paragraph><paragraph id="HC5C3C21826CE42A8836B5B49AB00B2A"><enum>(2)</enum><text>implement the
overall policies and a strategy to carry out the plan described in
<internal-xref idref="H751D52DCBF7F4C4B85DBAAB00E17B47" legis-path="202.(a)(1)">paragraph (1)</internal-xref>;</text>
</paragraph><paragraph id="H65D5E035AC1C476B9F81E6D9DDA9776"><enum>(3)</enum><text>hire personnel to
assist in carrying out the policies, programs, and administrative activities
related to the duties under paragraphs (1) and (2); and</text>
</paragraph><paragraph id="H1EC9A4A24DFD43D8A171DBD71F63BB73"><enum>(4)</enum><text display-inline="yes-display-inline">coordinate activities with the Elder
Justice Coordinating Council and the Advisory Board of Elder Abuse, Neglect,
and Exploitation (established under Title XX of the
<act-name parsable-cite="SSA">Social Security Act</act-name> (42 U.S.C. 1397 et
seq.), as amended by this Act).</text>
</paragraph></subsection><subsection id="HFC709ADA29814173ADABD38F9E03AFB4"><enum>(b)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this section $3,000,000 for each of the fiscal years 2008 through
2014.</text>
</subsection></section><section id="HF148DFE80A6E435300FDBDE8EF71CB39"><enum>203.</enum><header>Victim advocacy
grants</header>
<subsection id="H2D5DCA08A0F34AC7B1935F8C4568433F"><enum>(a)</enum><header>Grants
authorized</header><text>The Attorney General, after consultation with the
Secretary of Health and Human Services, may award grants to eligible entities
to study the special needs of victims of elder abuse, neglect, and
exploitation.</text>
</subsection><subsection id="H7E231F4C9DE74F3E98A2BE7C7ECA5CE6"><enum>(b)</enum><header>Authorized
activities</header><text>Funds awarded pursuant to
<internal-xref idref="H2D5DCA08A0F34AC7B1935F8C4568433F" legis-path="203.(a)">subsection (a)</internal-xref> shall be used for pilot
programs that—</text>
<paragraph id="H8D84E6F771EF4B9A91EFF9867355ED8E"><enum>(1)</enum><text>develop programs,
provide training to health care, social, and protective services providers, law
enforcement, fiduciaries (including guardians), judges and court personnel, and
victim advocates; and</text>
</paragraph><paragraph id="HB43010C2F47D4F688EA65646D0B5B7DF"><enum>(2)</enum><text>examine special
approaches designed to meet the needs of victims of elder abuse, neglect, and
exploitation.</text>
</paragraph></subsection><subsection id="H435A0D4D189D4D14A74FB39BFBC0B53B"><enum>(c)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this section—</text>
<paragraph id="H416541BF28AF4F1AB5E7A3E9B25B7A"><enum>(1)</enum><text>$2,500,000 for
fiscal year 2008; and</text>
</paragraph><paragraph id="H8651A3351D304F94A17DBD06DDDFC47E"><enum>(2)</enum><text>$3,000,000 for
each of the fiscal years 2009 through 2014.</text>
</paragraph></subsection></section><section id="HEA7A5BA7616B4A1AB8C8B47004DE88B"><enum>204.</enum><header>Supporting local
prosecutors in elder justice matters</header>
<subsection id="HB9FA13C904FF4AD0B7F2EA14CD6471A4"><enum>(a)</enum><header>Grants
authorized</header><text>The Attorney General, after consultation with the
Secretary of Health and Human Services, shall award grants to provide training,
technical assistance, policy development, multidisciplinary coordination, and
other types of support to local prosecutors handling elder justice-related
cases, including—</text>
<paragraph id="HC0568BFFCD57496AAA49CF8BD03B7FB5"><enum>(1)</enum><text>funding specially
designated elder justice positions or units; or</text>
</paragraph><paragraph id="HD8E05F8479C849419D7039138523E84"><enum>(2)</enum><text>funding the
creation of a Center for the Prosecution of Elder Abuse, Neglect, and
Exploitation by the American Prosecutor Research Institute of the National
District Attorneys Association, or any other similarly situated entity, to
advise and support local prosecutors nationwide in their pursuit of cases
involving elder abuse, neglect, and exploitation.</text>
</paragraph></subsection><subsection id="H72EA5AF2F17B4897A464DCB0234F8C15"><enum>(b)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this section—</text>
<paragraph id="H850B29FD08B74D2AAD3305B7585237CF"><enum>(1)</enum><text>$3,000,000 for
fiscal year 2008; and</text>
</paragraph><paragraph id="HE44F047A6A4542DEB57F12F7D69CF2EA"><enum>(2)</enum><text>$4,00,000 for each
of the fiscal years 2009 through 2014.</text>
</paragraph></subsection></section><section id="H157EB610DC9E44869BA9ADA5B6D81E07"><enum>205.</enum><header>Supporting
State prosecutors in elder justice matters</header>
<subsection id="HC67AB0ADA3154983BAB4483DBE440000"><enum>(a)</enum><header>In
general</header><text>The Attorney General shall, after consultation with the
Secretary of Health and Human Services, award grants to provide training,
technical assistance, multidisciplinary coordination, policy development, and
other types of support to State prosecutors, including employees of State
Attorneys General and Medicaid Fraud Control Units handling elder
justice-related matters.</text>
</subsection><subsection id="HC8537393AFF34433ACCEA125F41778B"><enum>(b)</enum><header>Creating
specialized positions</header><text>Grants under this section may be made
for—</text>
<paragraph id="H9E456D48233E4C6DB15C4B38F1FC433D"><enum>(1)</enum><text>the establishment
of specially designated elder justice positions or units; or</text>
</paragraph><paragraph id="H8D032B62BD6F4D4DBD485BFABDE3710"><enum>(2)</enum><text>the creation of a
position to coordinate elder justice-related cases, training, technical
assistance, and policy development for State prosecutors, by the National
Association of Attorneys General or any other similarly situated entity.</text>
</paragraph></subsection><subsection id="H66A0649842774F69945952572C3E18FD"><enum>(c)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this section—</text>
<paragraph id="H8DE69A5AFE424717A348695F31C580D6"><enum>(1)</enum><text>$3,000,000 for
fiscal year 2008; and</text>
</paragraph><paragraph id="H50E37E13077F4C119E10C0EA808DC4A9"><enum>(2)</enum><text>$4,000,000 for
each of the fiscal years 2009 through 2014.</text>
</paragraph></subsection></section><section id="H9277D2DFF91B42F2BA59B3B111CB4CB3"><enum>206.</enum><header>Increased
support for Federal cases involving elder justice</header>
<subsection id="H44CB3B581C9E46BB904D757B5726A6C8"><enum>(a)</enum><header>Support and
assistance</header>
<paragraph id="HBC2349C0532A4B6897232F607DD588AD"><enum>(1)</enum><header>In
general</header><text>The Attorney General shall establish procedures to ensure
that the Department of Justice dedicates resources to investigating and
prosecuting cases relating to elder justice.</text>
</paragraph><paragraph id="H3778A5785187455A81C8422DB5CC6224"><enum>(2)</enum><header>Additional
staff</header><text>The Attorney General shall hire additional Federal
prosecutors and make funding available to Federal prosecutors to hire
nurse-investigators or other experts needed to identify, assist with, or pursue
cases relating to elder justice.</text>
</paragraph><paragraph commented="no" id="H4EABF83FF4954DA0A165632CE8D06BBA"><enum>(3)</enum><header>Resource
Group</header><text>The Attorney General may fund, through the Executive Office
of United States Attorneys, a Resource Group to assist prosecutors throughout
the Nation in investigating and prosecuting failure of care and other cases
relating to elder justice matters.</text>
</paragraph></subsection><subsection id="HA67455950A274BCEB5F040C9056B7988"><enum>(b)</enum><header>Office of
Inspector General</header><text display-inline="yes-display-inline">The Office
of Inspector General of the Department of Health and Human Services shall hire
nurse-investigators and other experts to investigate and pursue failure of care
allegations.</text>
</subsection><subsection id="H4D3285BABEAA48D98E59392F69F120CD"><enum>(c)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this section—</text>
<paragraph id="H3DC6902C1E4847DDA4FAD6DBD947BC8"><enum>(1)</enum><text>$3,000,000 for
fiscal year 2008; and</text>
</paragraph><paragraph id="H8B734D511F2C4A9F9042D5BB7B61BF7E"><enum>(2)</enum><text>$4,000,000 for
each of the fiscal years 2009 through 2014.</text>
</paragraph></subsection></section><section id="HA20C692132A54BA2B574A679036ECCE7"><enum>207.</enum><header>Supporting law
enforcement in elder justice matters</header>
<subsection id="H41FE993D3F73462D8E41574BCAA3E284"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">The Attorney General
shall, after consultation with the Secretary of Health and Human Services,
award grants to provide training, technical assistance, multidisciplinary
coordination, policy development, and other types of support to police,
sheriffs, detectives, public safety officers, corrections personnel, and other
front line law enforcement responders who handle elder justice-related matters,
to fund specially designated elder justice positions or units designed to
support front line law enforcement in elder justice matters.</text>
</subsection><subsection id="HB6E3229709FC4A2F94A88E8920A09DCA"><enum>(b)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this section—</text>
<paragraph id="H1370361A733544C094CAF9A9CDBB80A8"><enum>(1)</enum><text>$6,000,000 for
fiscal year 2008; and</text>
</paragraph><paragraph id="H11923D50F1124DEB00F9D10000FA4B77"><enum>(2)</enum><text>$8,000,000 for
each of the fiscal years 2009 through 2014.</text>
</paragraph></subsection></section><section id="H8589B10CC8A04E2A80A7EC071D891EF"><enum>208.</enum><header>Evaluations</header>
<subsection id="HD7D290CA77794F25B1F1F660102F5D54"><enum>(a)</enum><header>Grants under
this title</header>
<paragraph id="H88E114F5514B49929E341E7677E49B28"><enum>(1)</enum><header>In
general</header><text>In carrying out the grant programs under this title, the
Attorney General shall—</text>
<subparagraph id="H59FDA0BB5370436DA3FB3741FA02304B"><enum>(A)</enum><text display-inline="yes-display-inline">require each recipient of a grant to use a
portion of the funds made available through the grant to conduct a validated
evaluation of the effectiveness of the activities carried out through the grant
by such recipient; or</text>
</subparagraph><subparagraph id="HA1C824368AC940678FFF6EBE692C1E94"><enum>(B)</enum><text display-inline="yes-display-inline">as the Attorney General considers
appropriate, use a portion of the funds available under this title for a grant
program under this title to provide assistance to an eligible entity to conduct
a validated evaluation of the effectiveness of the activities carried out
through such grant program by each of the grant recipients.</text>
</subparagraph></paragraph><paragraph id="H7B917D49CFD74AAA88795B39007DA5A5"><enum>(2)</enum><header>Applications</header>
<subparagraph id="H2881DBC01DFC40BCADFC25E57E56C7C5"><enum>(A)</enum><header>Submission</header><text>To
be eligible to receive a grant under this title, an entity shall submit an
application to the Attorney General at such time, in such manner, and
containing such information as the Attorney General may require, which shall
include—</text>
<clause id="H500E3295C4494E7695EAF6DBC5CC5624"><enum>(i)</enum><text>a
proposal for the evaluation required in accordance with
<internal-xref idref="H59FDA0BB5370436DA3FB3741FA02304B" legis-path="208.(a)(1)(A)">paragraph (1)(A)</internal-xref>; and</text>
</clause><clause id="HD48F87B2260A4F318521E065F959DAF0"><enum>(ii)</enum><text display-inline="yes-display-inline">the amount of assistance under
<internal-xref idref="HA1C824368AC940678FFF6EBE692C1E94" legis-path="208.(a)(1)(B)">paragraph (1)(B)</internal-xref> the entity is
requesting, if any.</text>
</clause></subparagraph><subparagraph id="H84F0A29180B243208F9FC37C7E7136FD"><enum>(B)</enum><header>Review and
assistance</header>
<clause id="H35977AEEF1CF4B9A8C66D59FD4349671"><enum>(i)</enum><header>In
general</header><text display-inline="yes-display-inline">An employee of the
Department of Justice, after consultation with an employee of the Department of
Health and Human Services and a nongovernmental member of the Advisory Board of
Elder Abuse, Neglect, and Exploitation (established under Title XX of the
<act-name parsable-cite="SSA">Social Security Act</act-name> (42 U.S.C. 1397 et
seq.), as amended by this Act) with expertise in evaluation methodology, shall
review each application described in
<internal-xref idref="H2881DBC01DFC40BCADFC25E57E56C7C5" legis-path="208.(a)(2)(A)">subparagraph (A)</internal-xref> and determine
whether the methodology described in the proposal under
<internal-xref idref="H500E3295C4494E7695EAF6DBC5CC5624" legis-path="208.(a)(2)(A)(i)">subparagraph (A)(i)</internal-xref> is adequate
to gather meaningful information.</text>
</clause><clause id="HF43E59FEB73148D2B63733F7F490B659"><enum>(ii)</enum><header>Denial</header><text display-inline="yes-display-inline">If the reviewing employee determines the
methodology described in such proposal is inadequate, the reviewing employee
shall recommend that the Attorney General deny the application for the grant,
or make recommendations for how the application should be amended.</text>
</clause><clause id="H39C4326FC9284188AB4BC932D7E6C057"><enum>(iii)</enum><header>Notice to
applicant</header><text>If the Attorney General denies the application on the
basis of such proposal, the Attorney General shall inform the applicant of the
reasons the application was denied, and offer assistance to the applicant in
modifying the proposal.</text>
</clause></subparagraph></paragraph></subsection><subsection id="H85394B0043ED440BBE46C5DF62BC742"><enum>(b)</enum><header>Other
grants</header><text>The Attorney General shall make grants to appropriate
entities to conduct validated evaluations of grant activities to reduce elder
abuse, neglect, and exploitation that are funded by Federal funds not provided
under this title.</text>
</subsection><subsection id="HADDF0A0326F9427FBDD6A72CA015E290"><enum>(c)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this section $7,000,000 for each of the fiscal years 2008 through
2014.</text>
</subsection></section><enum>III</enum><header>Tax
provisions</header>
<section id="HD1104562D8DB4F5093176E7B61E4DEA"><enum>301.</enum><header>Long-Term care
facility worker employment tax credit</header>
<subsection id="H1E16EED689B84AD3BE51499631739794"><enum>(a)</enum><header>Work opportunity
tax credit</header>
<paragraph id="H593F6D35C6E64E3EBFC8755780AD6CC4"><enum>(1)</enum><header>In
general</header><text><external-xref legal-doc="usc" parsable-cite="usc/26/51">Section 51(d)(1)</external-xref> of the Internal Revenue Code of 1986
(relating to members of targeted groups) is amended by striking
<quote>or</quote> at the end of subparagraph (H), by striking the period at the
end of subparagraph (I) and inserting <quote>or</quote>, and by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="H4A5359B72313442187694684F5EC07CF" style="OLC">
<subparagraph id="HF8D72D43B5C94CF68C095287A8A436A1"><enum>(J)</enum><text>a qualified
long-term care facility
worker.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph id="HDEB4FF0050294BFAACEFA00007E147C"><enum>(2)</enum><header>Qualified
long-Term care facility worker</header><text>Section 51(d) of such Code is
amended by redesignating paragraphs (11) through (13) as paragraphs (12)
through (15), respectively, and by inserting after paragraph (10) the
following:</text>
<quoted-block display-inline="no-display-inline" id="HBBF7AEF982CF492BB58B9B168E002080" style="OLC">
<paragraph id="H72228E6E790744F4AA2B7B2D252C8526"><enum>(11)</enum><header>Qualified
long-Term care facility worker</header><text>The term <term>qualified long-term
care facility worker</term> means any individual who—</text>
<subparagraph id="HC9C81645A6AF4D75936936FFF9247D82"><enum>(A)</enum><text>is hired by a
long-term care facility (as defined in paragraph (18) of section 2201 of the
Social Security Act); and</text>
</subparagraph><subparagraph id="HCAABC3F9C0F846ADAE8F7144C71158C0"><enum>(B)</enum><text>is certified by
the designated local agency as being qualified to provide long-term care (as
defined in paragraph (17) of such section
2201).</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="HDD1A9BD339344A9C93F8AC1907E567A5"><enum>(b)</enum><header>Effective
date</header><text>The amendments made by subsection (a) shall apply to
individuals who begin work for an employer after the date of the enactment of
this Act.</text>
</subsection></section>