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. Analysis, report, and recommendations related to elder justice programs.
Sec. 202. Victim advocacy grants.
Sec. 203. Supporting local prosecutors and courts in elder justice matters.
Sec. 204. Supporting State prosecutors and courts in elder justice matters.
Sec. 205. Supporting law enforcement in elder justice matters.
Sec. 206. Evaluations.
Sec. 207. Reauthorization of the Missing Alzheimer's Disease Patient Alert Program.
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="HEE83EBFD6EF447A892597C81E2DFD52A"><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="H08D400C55C954D07B5E42D6722C384F8"><enum>102.</enum><header>Elder justice</header>
<subsection id="HB29457258C0B4F168AF6575586221FD5"><enum>(a)</enum><header>Elder justice</header>
<paragraph id="H8D06A46BC25B43C1B8AE7CF25FC9B3FA"><enum>(1)</enum><header>In General</header><text>Title XX of the <act-name parsable-cite="SSA">Social Security Act</act-name> (42 U.S.C. 1397 et seq.) is amended—</text>
<subparagraph id="H2C860472C96B4F8DAD5C2EDA0850EE09"><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="HA16493D189FB41D4A5CD270D10BBB3B0"><enum>(B)</enum><text>by inserting before section 2001 the following:</text>
<quoted-block display-inline="no-display-inline" id="HBB47EAE12CBE42DF88E5C8A560A63DCB" style="traditional">
<part id="HA3C86DE1F1964662AF72712022681709"><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="H7AD611D1E6A642D29DD67C7F19BDFA9F"><enum>(C)</enum><text>by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="H8D8D6BFF0EC147BDB0D0ADD6B68C5459" other-style="education" style="other">
<part id="H07C3E51D2EFD431FA6F93C28B0C1BB01"><enum>B</enum><header>Elder Justice</header>
<section id="HFE0CDC6B1B2E41B9B6523E2AF3DCD34E"><enum>2011.</enum><header>Definitions</header><text display-inline="no-display-inline">In this part:</text>
<paragraph id="H248C39B9F9AC490BA69740B69385FFC0"><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="H9C43E7466D07479B8981801A160398BE"><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="HDA5E86273F014D5AA4757A956CECA28D"><enum>(A)</enum><text>disseminating reports of adult abuse, neglect, or exploitation;</text> </subparagraph>
<subparagraph id="H27C77116D7B146B0AF04BDC29D92EAF8"><enum>(B)</enum><text>investigating the reports described in subparagraph (A);</text> </subparagraph>
<subparagraph id="H312D3105AC984BDF84BA93702E6FBB3F"><enum>(C)</enum><text>case planning, monitoring, evaluation, and other case work and services; and</text> </subparagraph>
<subparagraph id="H4F64A8FFC4AF492ABABC3A9D204B1FDE"><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="HF183EA8124D54AE585BB30D2FBB2DBCF"><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="HFBFEE4F2E64F4F9B89F583AD287EE5E8"><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="HA79BFF2139E8422B98B85BE767D47A2E"><enum>(5)</enum><header>Elder</header><text>The term <term>elder</term> means an individual age 60 or older.</text> </paragraph>
<paragraph id="H32EF7CEFD5E04C4EBF746BF858BE5679"><enum>(6)</enum><header>Elder justice</header><text>The term <term>elder justice</term> means—</text>
<subparagraph id="HBCEE055243B5448F8A9D80F961A22FB1"><enum>(A)</enum><text>from a societal perspective, efforts to—</text>
<clause id="H8C8CAAF111B7499EBBF7CEED68B22990"><enum>(i)</enum><text>prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation; and</text> </clause>
<clause id="H0C4411809D2F48ACB471A41A57CF13C1"><enum>(ii)</enum><text>protect elders with diminished capacity while maximizing their autonomy; and</text> </clause></subparagraph>
<subparagraph id="H281A3BE517D24DC3A0FC82EFFF7ADF5C"><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="H1988A248DF594B5A86E6BF1AEE219AC9"><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="HB1E2661BF4BF49DB9CBCE98A507B5ECA"><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="HE94A61FB89654C358FDF2BA47D105CE6"><enum>(9)</enum><header>Fiduciary</header><text>The term <term>fiduciary</term>—</text>
<subparagraph commented="no" id="HC29FD71AD0D34F05B8655992D86BACA1"><enum>(A)</enum><text>means a person or entity with the legal responsibility—</text>
<clause commented="no" id="H8662F835920E4A7E98FBF4E927BC8B2B"><enum>(i)</enum><text>to make decisions on behalf of and for the benefit of another person; and</text> </clause>
<clause commented="no" id="H0D383F25726C43458A4E80C02769FBE3"><enum>(ii)</enum><text>to act in good faith and with fairness; and</text> </clause></subparagraph>
<subparagraph commented="no" id="H6FD6FF191895405A813279CA1913E7DD"><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="H534FB5EA22604B8283D6A70C32F3DD5C"><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="H2CAA37AF21EC42C3AE7C663E1EEDC7AC"><enum>(11)</enum><header>Guardianship</header><text>The term <term>guardianship</term> means—</text>
<subparagraph id="H332F175ABA6C4B07B75667D95AC367FB"><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="H86CBBF04FFA142459A04C242C84DB768"><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="H3BC286E668544168B46A56FD54AA79E1"><enum>(C)</enum><text>the manner in which the court exercises oversight of the surrogate decisionmaker.</text> </subparagraph></paragraph>
<paragraph id="H4BEF6BF10B1542C99D4A618785390E73"><enum>(12)</enum><header>Indian tribe</header>
<subparagraph id="HF10BD3F2883F4636811E215B69FB5A62"><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 (25 U.S.C. 450b).</text> </subparagraph>
<subparagraph id="H71641F1BA5EC4C5FAF9B87EB0B6AB990"><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="H3F1785C3CA924C8DB46C188F3E4BA123"><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="H97F7E34FBEBE4D1E9B6D0B464C43EDD3"><enum>(A)</enum><text>police, sheriffs, detectives, public safety officers, and corrections personnel;</text> </subparagraph>
<subparagraph commented="no" id="H03C20719C2AD44B5ABFED04DF63FC531"><enum>(B)</enum><text>prosecutors;</text> </subparagraph>
<subparagraph commented="no" id="H5A1494BF1A7F407DA4B19AFEB440D986"><enum>(C)</enum><text>medical examiners;</text> </subparagraph>
<subparagraph commented="no" id="HA0D6BC15F6834FC28196CF3C4EFAC6CB"><enum>(D)</enum><text>investigators; and</text> </subparagraph>
<subparagraph commented="no" id="HCC2919B909DD4CEDA7498B15435BBE1B"><enum>(E)</enum><text>coroners.</text> </subparagraph></paragraph>
<paragraph id="H7F02C20F2D9E460094366B2479D2D131"><enum>(14)</enum><header>Long-term care</header>
<subparagraph id="H02F7E774432B4F35AA05A0DE60ED0014"><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="H20DF2E40255A4A84990317393199F99B"><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="HF4A4D3451E374A4BB4A228F5E386F40D"><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="HCC8DC96B0BDF4DCBB20BC405D7F6EC2D"><enum>(16)</enum><header>Neglect</header><text>The term <term>neglect</term> means—</text>
<subparagraph id="HF5E66C2A33AD41A0AE4F1153BB641F9D"><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="H7161E2DE785A4E9E9AEE5AE74EA40075"><enum>(B)</enum><text>self-neglect.</text> </subparagraph></paragraph>
<paragraph id="HBFC51E090C544F8C941B3694BFAA06B2"><enum>(17)</enum><header>Nursing facility</header>
<subparagraph id="HC2685DA63F0C41B2A91FD13B930B0C27"><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="HC131DAB2C2F4466E92C9F9492608EB16"><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="HEB9D461F1DA54CA4BB83EA52328CF15C"><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="H6B63524350E647A7A0558700C5200AB6"><enum>(A)</enum><text>obtaining essential food, clothing, shelter, and medical care;</text> </subparagraph>
<subparagraph id="H984C8E072E6C429F9EDDA33330099D8D"><enum>(B)</enum><text>obtaining goods and services necessary to maintain physical health, mental health, or general safety; or</text> </subparagraph>
<subparagraph id="H30E1FB67F8624690852E7B4E989271E6"><enum>(C)</enum><text>managing one’s own financial affairs.</text> </subparagraph></paragraph>
<paragraph id="HE248794183C14A38BF78077BD009EEA7"><enum>(19)</enum><header>Serious bodily injury</header>
<subparagraph id="H61B400F4E56243ABBB52F660F61E446D"><enum>(A)</enum><header>In general</header><text>The term <term>serious bodily injury</term> means an injury—</text>
<clause id="H9D8538A404B64BC2BE03287C99827582"><enum>(i)</enum><text>involving extreme physical pain;</text> </clause>
<clause id="H248FFC4F076D462AA493A137F1BF89B4"><enum>(ii)</enum><text>involving substantial risk of death;</text> </clause>
<clause id="H1C8CB26B7105443EB8DB16E54B659D75"><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="H891E5AF573024CB89F880E198D6C2B76"><enum>(iv)</enum><text>requiring medical intervention such as surgery, hospitalization, or physical rehabilitation.</text> </clause></subparagraph>
<subparagraph id="HFEA82E7E8A4B4E5DA34A0745CFD13356"><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="H8B1A30A213714C85ACDD3C03380DEC49"><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="HA648730B55A04F9491C0790EC479A4AA"><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="H1DD3BC754EE94079ACEF62E4D67EABFB"><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></section>
<section display-inline="no-display-inline" id="H391F013BE09746528410DD29D4048180" section-type="subsequent-section"><enum>2012.</enum><header>General provisions</header>
<subsection id="HAA7690CDB84A4135AF0D0BB1E53DBC15"><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="H1842EA11CE82453392A00651F7D6E24A"><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="H506E71829CF2430CB522E3BE8FEB85ED"><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="H069394F60C514F7DBE9C46D6616DCC97"><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="HC914A05117B94FD1AABC0687C3F005D4"><enum>(3)</enum><text>may be unambiguously deduced from the elder’s life history.</text> </paragraph></subsection></section>
<subpart id="H41D95F3F0A4A4F559EE7175FF032E58D"><enum>1</enum><header>National Coordination of Elder Justice Activities and Research</header>
<chapter id="H8E4B807FDBD64A389629A1A0EFC534D7"><enum>I</enum><header>Elder Justice Coordinating Council and Advisory Board on Elder Abuse, Neglect, and Exploitation</header>
<section id="H7B2EBA764FD04E95895EC4683C6F9778"><enum>2021.</enum><header>Elder Justice Coordinating Council</header>
<subsection id="H4C8CEF533E9C4F479D9679E0586FF3CF"><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="HAD6A81D8D9BC4637B37510D5F315EB6E"><enum>(b)</enum><header>Membership</header>
<paragraph id="H8754EC10AF444A188265B3256F3771EF"><enum>(1)</enum><header>In general</header><text>The Council shall be composed of the following members:</text>
<subparagraph id="H069E023C70C146D0B8EFF5D777857984"><enum>(A)</enum><text>The Secretary (or the Secretary’s designee).</text> </subparagraph>
<subparagraph id="H62D565A8CFE748DFAC6381D7D799D7CC"><enum>(B)</enum><text>The Attorney General (or the Attorney General’s designee).</text> </subparagraph>
<subparagraph id="H2E66C3E96D21400BB402AA66083BCD63"><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="HD489730ECCE9432ABD75CDB9BCF1E897"><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="H74E5E4EC78F24EA488E7B6DEF7D1220B"><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="HC9187FCDD0A54920B13A2FCFE3E4FA67"><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="HB7B24F3F0F8B4CBFA9D0323A48B3124B"><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="H64E653D41D9F49DEBCBE78EAB2855914"><enum>(f)</enum><header>Duties</header>
<paragraph id="H88B7083B3ED142569A93F41F01E6B260"><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="H10FB577A974445FB80B987CA6BEA1384"><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="H74DAB0238ED74F8D98F1FFCA9957E000"><enum>(A)</enum><text>describes the activities and accomplishments of, and challenges faced by—</text>
<clause id="H744DE0AEBBB941D19783764530DCC2F2"><enum>(i)</enum><text>the Council; and</text> </clause>
<clause id="H88E845C3E5B44464AB36DEA87F3BDBD0"><enum>(ii)</enum><text>the entities represented on the Council; and</text> </clause></subparagraph>
<subparagraph id="HB78FBB6C7B63435B8EBA7801A25A5E18"><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="H10BE4D4D361A475AA73440DA991CA91E"><enum>(g)</enum><header>Powers of the Council</header>
<paragraph id="H05FF323EC49C4B4ABF5EA9C9A3A18CF1"><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="HE6C6722B74F242148922C43C861C3D4B"><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="HF88171A41CF04928974D1048CE663AB9"><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 section 1342 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="HB0043B1AAFA84F1B8B13ABA41AE77233"><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="HCCB410B40B754C20BE495DEF693D77BF"><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="H510E7491048446789BC311A039B5F830"><enum>2022.</enum><header>Advisory Board on Elder Abuse, Neglect, and Exploitation</header>
<subsection id="H16E65DD28A2743178043423630FAF950"><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="H740801E0A7714DF1A958B98FF5CA607D"><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="H071CBACD617A4688B5B6C39A18CE8EBF"><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="HADFBC0726AFE470B8EBCCAAD3B04EE79"><enum>(d)</enum><header>Terms</header>
<paragraph id="HC6C5F1D0F27547989F6AB1E16C89120F"><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="H223E16BAED194FFC8F9620DE9D0A083D"><enum>(A)</enum><text>9 shall be appointed for a term of 3 years;</text> </subparagraph>
<subparagraph id="HE72C3EE1112D423D90EB943307D3B663"><enum>(B)</enum><text>9 shall be appointed for a term of 2 years; and</text> </subparagraph>
<subparagraph id="HA3B0B65A4A684992B06E116AA8F8B0D4"><enum>(C)</enum><text>9 shall be appointed for a term of 1 year.</text> </subparagraph></paragraph>
<paragraph id="H5761F1304B9E47909477D8EF3AB03529"><enum>(2)</enum><header>Vacancies</header>
<subparagraph id="HC7E22A4E33B44C99B4D48A452F8D597C"><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="HDE2C3BC56AB3453FA30D808AFC0F3483"><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="H18A603B14D2C45C688D0C4979EC2E402"><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="HD359B4AF65144FCAA2A738E203485FE8"><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="H8352695D9B7046EFBB009A161984D783"><enum>(f)</enum><header>Duties</header>
<paragraph id="H1EC4FA4E30AF4343988BEF095BE279B9"><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="H2F4C5724F6BD41C8A16F4FC42D8A0478"><enum>(2)</enum><header>Collaborative efforts to develop consensus around the management of certain quality-related factors</header>
<subparagraph id="HC184B7FA51364A4FB8BF996BD1561E33"><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="HBDA39DDEE1C54C53BCFC5562C56201AF"><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="H18A6B57F26D8430F8076FDF1FFF11CE3"><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="H06CB58DA6EB44365B2E43B83169F1DCC"><enum>(A)</enum><text>information on the status of Federal, State, and local public and private elder justice activities;</text> </subparagraph>
<subparagraph id="HF6B16A6110BD447B8A7B1AD358DE359B"><enum>(B)</enum><text>recommendations (including recommended priorities) regarding—</text>
<clause id="HE970B82975804F978B88B2B534A50B00"><enum>(i)</enum><text>elder justice programs, research, training, services, practice, enforcement, and coordination;</text> </clause>
<clause id="H057356AD7A1646998956DBE6AB704081"><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="HA7C0C60BFA6C45CB985DB315F8F4746A"><enum>(iii)</enum><text>activities relating to adult fiduciary systems, including guardianship and other fiduciary arrangements;</text> </clause></subparagraph>
<subparagraph id="H938589376D154A589E486C902091D9FD"><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="HC0240D0D211C493787ED084C6E185298"><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="H3A1DACDF762B474893D710E69D3FD16E"><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="H2D97F7514C714772AD1A77D24E52D074"><enum>(g)</enum><header>Powers of the Advisory Board</header>
<paragraph id="HA6F8D39B9C5642E5B143E5EEEAD267A3"><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="H83B203C441AF471D973532987536509B"><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="HB12B512DF2E340B9AC3E2C7A2587530A"><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="H2B347E47570444519915A18C2B49A9A3"><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 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 Advisory Board. Notwithstanding section 1342 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="H50B09B76CD9947ADACDEFA369BC57E24"><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="HC41A36B8B20A4C42B51DB97E6F0116DA"><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="H1E976217331843A5828847EAEFB4B824"><enum>2023.</enum><header>Research protections</header>
<subsection id="HFE0FFD48B2B042C287417CD5CADDE55A"><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="H9E84D72BE759489DAD81E171C023268A"><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="HCE0CE3F88E2C4FB7B9FB308892CBFB71"><enum>2024.</enum><header display-inline="yes-display-inline">Authorization of appropriations</header><text display-inline="no-display-inline">There are authorized to be appropriated to carry out this chapter—</text>
<paragraph id="H919BA00B5F1F41B2BE06475C3156C0DF"><enum>(1)</enum><text>for fiscal year 2010, $6,500,000; and</text> </paragraph>
<paragraph id="HB4E27CDFCC344741B379E67D708BE941"><enum>(2)</enum><text>for each of fiscal years 2011 through 2012, $7,000,000.</text> </paragraph></section></chapter>
<chapter id="HAE1C49EEB6EA4747A377EFD2938B5BE2"><enum>II</enum><header>Elder abuse, neglect, and exploitation forensic centers</header>
<section id="HE1BBEB909AE443CB980719FD581C497E"><enum>2031.</enum><header>Establishment and support of elder abuse, neglect, and exploitation forensic centers</header>
<subsection id="HCE80EC58C39D461087BF564EABCC663D"><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="HB60853834FF648C699F5A4E4C2162624"><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="H2C13F149C32B46FE9D146868005700FE"><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="H49BA3BA0960D4A25B1376DF89C063CC8"><enum>(d)</enum><header>Authorized Activities</header>
<paragraph id="HBFDD30AFB36A42F9A96346068F2171E8"><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="HFFDAA03431ED40DE988E0E7B5777C60F"><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="H9B1A739EF25B4255B31EE66FF0C4263B"><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="H45767683B9C047A386692BBC51FEB395"><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="H921114EB31D14C3BAC0406CD5035233C"><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="HE17FB73E2F0943618C20F4B84B568F1A"><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="HCE6ABB950E0D4ACA88975F4CBAB07929"><enum>(f)</enum><header>Authorization of Appropriations</header><text>There are authorized to be appropriated to carry out this section—</text>
<paragraph id="H808993007E074F8EB85398C9F25692E9"><enum>(1)</enum><text>for fiscal year 2010, $4,000,000;</text> </paragraph>
<paragraph id="H0A7F9878C23446D69E7C4BDC0A3339B8"><enum>(2)</enum><text>for fiscal year 2011, $6,000,000; and</text> </paragraph>
<paragraph id="HB9B0081088EA415C8AD04205EAE2242D"><enum>(3)</enum><text>for each of fiscal years 2012 and 2013, $8,000,000.</text> </paragraph></subsection></section></chapter></subpart>
<subpart id="H9DBDC7C9CCEC47BD9EF8C4A35DAD8E80"><enum>2</enum><header>Programs To Promote Elder Justice</header>
<section id="H617D3FD061624171AA2FA0900142780E"><enum>2041.</enum><header>Enhancement of long-term care</header>
<subsection id="H3D58DD42C70F41AEA8ABF6E0033581C0"><enum>(a)</enum><header>Grants and Incentives for Long-Term Care Staffing</header>
<paragraph id="H16FA3F31E80D4B11B94AB5CBD77A2972"><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="H8D9704406B724A76934B09FCFA34721F"><enum>(2)</enum><header>Specific programs to enhance training, recruitment, and retention of staff</header>
<subparagraph id="H84F89DBD0EB648CFBA5EF4850C8DA553"><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="HFA431106BB1642A5AF81625242C06859"><enum>(B)</enum><header>Career ladders and wage or benefit increases to increase staffing in long-term care facilities</header>
<clause id="H8775EE061B1945C0A8F0972AE6BF24AC"><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="H82448CACC287491186464574087D920D"><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="HAD2B6198B47B4ECE87BCBB0FE3103A95"><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="H87A22A4556494942A7ED4604A15109B5"><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="HAF0F766DA7FA4B5B94077D29A0758D8C"><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="HF0BBA3643C6B493EB70E5755388416EE"><enum>(3)</enum><header>Specific programs to improve management practices</header>
<subparagraph id="H9A0DA305145F4905BBB581F9A2C41675"><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="H3BC5FBAB5D844E73AA698F3FB04CDDFF"><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="H1CBCB5890FEF4399A15A1838772F0882"><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="H38EE49557FEC408992C9EFFAAFC53642"><enum>(ii)</enum><text>the establishment of motivational and thoughtful work organization practices;</text> </clause>
<clause id="HDCF8F436328E45FFAB4927F7C3B0A89F"><enum>(iii)</enum><text>the creation of a workplace culture that respects and values caregivers and their needs;</text> </clause>
<clause id="H13FFADCA43D84C58A5F9AB1181F72EA9"><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="HD3DE217CC0E74B9FAC021C309E2CB4CF"><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="HFED8A7FA26DF41EF8EFCC0A901B5F7EB"><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="H6C4FE16213604F3580E933299171228F"><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="HE9C38428C4A3497BA9BFB0F33B717017"><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="HF7AC16A904184CEDB2C1911D62F91446"><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="H0BD9E9BD023E4BD588379C1D769DBAA1"><enum>(b)</enum><header>Informatics Systems Grant Program</header>
<paragraph id="HB2ECF69388194688924F3144BB0D7A8A"><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="H014FBEB084FB4FA1BCB915685AD6465B"><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="H2FA72AF9DA9B407DB2BB276B60403B04"><enum>(A)</enum><text>Purchasing, leasing, and installing computer software and hardware, including handheld computer technologies.</text> </subparagraph>
<subparagraph id="H53C7749FBA6949F3B3311F8CF60F5B5F"><enum>(B)</enum><text>Making improvements to existing computer software and hardware.</text> </subparagraph>
<subparagraph id="HF404729F4ED94DB79102D82929CA5621"><enum>(C)</enum><text>Making upgrades and other improvements to existing computer software and hardware to enable e-prescribing.</text> </subparagraph>
<subparagraph id="H928B266975C74D0E9FF834D78495ED49"><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="HAECC57D8F86348C1AB3288BE878D525D"><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="HDD4EF3D51DB64EB09C4970D79FAB0D1C"><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="H475BBD0C400745E69707E5D4F1785FA9"><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="H254604C8E49641A492C730A4FBD6D0BC"><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="HDD64E5995D974DA1BAAA8382A490C0DB"><enum>(1)</enum><text>that were committed inside of the facility; and</text> </paragraph>
<paragraph commented="no" id="HE069221D0E394D5E9D01C027BA215F47"><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="HCF8655E9369C406499CB13646D58A2D6"><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="H1CB999F6DA0C4940A480228814813A94"><enum>(1)</enum><text>The documentation on nursing facilities that is available to the public.</text> </paragraph>
<paragraph commented="no" id="H9530C0C216554AED8BAD136F3EC3D0EE"><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="HAD4CA64B4E0540C08281452F8EAFEB30"><enum>(3)</enum><text>General information on consumer rights with respect to nursing facilities.</text> </paragraph>
<paragraph commented="no" id="H93D4F3FF353E4248AFBDDF075AA6567A"><enum>(4)</enum><text>The nursing facility survey process (on a national and State-specific basis).</text> </paragraph>
<paragraph commented="no" id="H03CA9C694B304ADF87A7466D2A91C222"><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="HD5935664915240C18854FD25439F9CAE"><enum>(e)</enum><header>Development and Adoption of Standards for Transactions Involving Clinical Data by Long-Term Care Facilities</header>
<paragraph id="H7837E5C3FDD54732BEF6A32EAF2D854B"><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="H18CFFC4FC7EE471690123A6B168746C2"><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="H2BBEC497A0904640B6CFDDFA5722B867"><enum>(3)</enum><header>Electronic submission of data to the secretary</header>
<subparagraph id="HA45F6EE6A54442FD84C91D06490B6423"><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="H690A1FCC42AA4D6AB0689D48F06404C9"><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="H0F35A7D707D34CA0B645EC824A91AC28"><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="HF0D60DFCF1BF4A21B0E6F0B505ECCDB9"><enum>(g)</enum><header>Authorization of Appropriations</header><text>There are authorized to be appropriated to carry out this section—</text>
<paragraph id="H9FF5D33F5544413F9F6F902F6D61A929"><enum>(1)</enum><text>for fiscal year 2010, $20,000,000;</text> </paragraph>
<paragraph id="H70EECE5E2A46441F9B6F447437FF3B39"><enum>(2)</enum><text>for fiscal year 2011, $17,500,000; and</text> </paragraph>
<paragraph id="HF987560A5ECE45E99EA7156542DAE3AF"><enum>(3)</enum><text>for each of fiscal years 2012 and 2013, $15,000,000.</text> </paragraph></subsection></section>
<section id="H1EA2B81197854E4E809D9407B83B0115"><enum>2042.</enum><header>Adult protective services functions and grant programs</header>
<subsection id="H5449C04FA583488FA90D224B90FFF90A"><enum>(a)</enum><header>Secretarial responsibilities</header>
<paragraph id="H6D70D716F9AD4239BD446B0EA23C101D"><enum>(1)</enum><header>In general</header><text>The Secretary shall ensure that the Department of Health and Human Services—</text>
<subparagraph id="H965724EE421A4D45865557E3A3F3F681"><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="H7EDF6E96781F4417A4F5B3B8FC2375E4"><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="H40F2582C324A448FA369647B1F70CD28"><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="HBECDD0AC46CD459A986D3B4D13471982"><enum>(D)</enum><text>conducts research related to the provision of adult protective services; and</text> </subparagraph>
<subparagraph id="H7A78B79EE07E4E4895676189639FC2B7"><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="HB64114B413B24051BC31232628D2E035"><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 2010 and $4,000,000 for each of fiscal years 2011 through 2013.</text> </paragraph></subsection>
<subsection id="HBBC4464F373446C4B68AC1A5A4B03058"><enum>(b)</enum><header>Grants To enhance the provision of adult protective services</header>
<paragraph id="HEE9695FC429740F89766F200392EEF64"><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="HB30BD86A1C9F4F208FA828A0A4443EFE"><enum>(2)</enum><header>Amount of payment</header>
<subparagraph id="H14555E94DF5143638E75D3B0E6E74A9C"><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="HEED1C7266B984C5A8ED398893229FCDE"><enum>(B)</enum><header>Guaranteed minimum payment amount</header>
<clause id="HEBB16D3718B84F73AF4CCCCCC4593DE2"><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="HC1F31950B6484E88A825337DAFE29DAE"><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="H8EDEB68C69D24C69B68BB8E24A00AA6C"><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="HEA8BC3DCC2DA4289AAF32EE105F0D91F"><enum>(3)</enum><header>Authorized activities</header>
<subparagraph id="HA607CBBC071044CF826A835D5B435E14"><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="H39EE32A5923048769C25D9E707452FC3"><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="H30983840DE284F4784CCBD8665787CF5"><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="HB96FFCD158EF49B7982AFE5DF7646A18"><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="H0059079AB8E645E3B626E245C2ED6718"><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 2010 through 2013.</text> </paragraph></subsection>
<subsection id="H9D1BA2CB813643A8A02267948BCB5A17"><enum>(c)</enum><header>State Demonstration Programs</header>
<paragraph id="HD1AD6828E4F24AA4AAEC4FE7538F24E4"><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="H3E32D085E022447BAE52E1208904536F"><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="HFC39C0ED9F044440B3BBECC4BB0459CE"><enum>(A)</enum><text>training modules developed for the purpose of detecting or preventing elder abuse;</text> </subparagraph>
<subparagraph id="HAA5397197F8A4FBDAA86DA7978BD45B4"><enum>(B)</enum><text>methods to detect or prevent financial exploitation of elders;</text> </subparagraph>
<subparagraph id="H90F52D843D6F484DBC23AA51E86F48EA"><enum>(C)</enum><text>methods to detect elder abuse;</text> </subparagraph>
<subparagraph id="H8135B34DD4694968A6039A0B19D23A1F"><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="H08956805D64C4ECE8005CF29B5C8CD45"><enum>(E)</enum><text>other matters relating to the detection or prevention of elder abuse.</text> </subparagraph></paragraph>
<paragraph id="HEE13E21F31E14E1D827D294FF00E9632"><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="H8E0B2148CA1C4D8D9D7EC54C6F097A54"><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="H5225744AABE34A37818EFE03EB305D8F"><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 2010 through 2013.</text> </paragraph></subsection></section>
<section id="H76F8EE0AA9FB4F0BB89397A20B377649"><enum>2043.</enum><header>Long-term care ombudsman program grants and training</header>
<subsection id="H2AB06E77E99040069C3FAF3823ED8001"><enum>(a)</enum><header>Grants To support the long-term care ombudsman program</header>
<paragraph id="HCC5EFEAD4626470CAABA1BE608C45B4F"><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="H8DBFBBAB65A34324BAD304B643E7342A"><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="H5A984742E35A471F86A8E1562A69C85F"><enum>(B)</enum><text>conducting pilot programs with State long-term care ombudsman offices or local ombudsman entities; and</text> </subparagraph>
<subparagraph id="HC65EBA628F064C96A3BAC022BBDFB788"><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="H59632179605E4405A793D0FDC752418B"><enum>(2)</enum><header>Authorization of appropriations</header><text>There are authorized to be appropriated to carry out this subsection—</text>
<subparagraph id="H6E2DFC7B05734625B1EB3982F662D643"><enum>(A)</enum><text>for fiscal year 2010, $5,000,000;</text> </subparagraph>
<subparagraph id="HEB58F66B983349ECB2777EC9B70D1E4F"><enum>(B)</enum><text>for fiscal year 2011, $7,500,000; and</text> </subparagraph>
<subparagraph id="HC0A3EA6BB57D46F6B175C6446575C88B"><enum>(C)</enum><text>for each of fiscal years 2012 and 2013, $10,000,000.</text> </subparagraph></paragraph></subsection>
<subsection id="H52AC935B208D48E88F6D6F99D57AAC2C"><enum>(b)</enum><header>Ombudsman training programs</header>
<paragraph id="H26283C24A5C44F14BC2723398D479091"><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="H324EF16890724E899B3241E7AC40B40E"><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 2010 through 2013, $10,000,000.</text> </paragraph></subsection></section>
<section id="H4773F4E7202446E7A3C880A93DF215D4"><enum>2044.</enum><header>Provision of information regarding, and evaluations of, elder justice programs</header>
<subsection id="H7EE9AB08126D4B68A4C83729AE85AE20"><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="HD8B979B140DD41BCAD678BB312BFD060"><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="H9BC6D1A1367B4B7D92120A3A6DE1AC87"><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="HEADA4DC9A7854B8EBA08C3DE980D367B"><enum>(b)</enum><header>Use of Eligible Entities To Conduct Evaluations</header>
<paragraph id="H3EB973E494D8450E92D9DE66837FEB2D"><enum>(1)</enum><header>Evaluations required</header><text>Except as provided in paragraph (2), the Secretary shall—</text>
<subparagraph id="H43945D74CEAB4B6FA99BEA29147CE7A4"><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="HB3686C16AFF84BCFAF8D3353D3B44A8B"><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="HE8146AAFD8CB46D194EFBD30E1116E13"><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="H036CF3507548478B977B592A16CCDA6A"><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="HEB6EEB4156BE4574A083E3956787441B"><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="H2FE276F426A048EAA1EB5EFB2A612D02"><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="HC7573FFEB83C480E80B8194680F34B1B"><enum>(c)</enum><header>Evaluations and Audits of Informatics Systems Grant Program by the Secretary</header>
<paragraph id="H8B0711ADBAD848719FCB92C6FC8BC872"><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="H683DA5B2890940889F660D8FC1D9EF1B"><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="HB92B35EB5E944015BEA04952AE58D935"><enum>2045.</enum><header>Report</header><text display-inline="no-display-inline">Not later than October 1, 2013, 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="H6DE510CB757548398CABB3A9DB86B5EF"><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="HE71565624AE545089E90515E2A67C6E2"><enum>(2)</enum><text>containing such recommendations for legislative or administrative action as the Secretary determines to be appropriate.</text> </paragraph></section></subpart></part><after-quoted-block>.</after-quoted-block></quoted-block> </subparagraph></paragraph>
<paragraph commented="no" id="H4EDEB05EAD7E45C49FA27ADDCDECAB5D"><enum>(2)</enum><header>Option for State plan under program for temporary assistance for needy families</header>
<subparagraph commented="no" id="H14E90195A1A247888FBD1560891F4757"><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="HB99D4769303946DF9C17C93C5B9502BE" style="OLC">
<clause commented="no" id="H18091D8D63D544F98955CD83E6E7119E"><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="H221888CAEA2F4C4684E7DA8F0122C505"><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="HA55E8570A4A345389AFFA8D8C252341D"><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="H03B05553D29C411B886CF1EA2F0F7E0B"><enum>(B)</enum><header>Effective date</header><text>The amendment made by subparagraph (A) shall take effect on October 1, 2010.</text> </subparagraph></paragraph></subsection>
<subsection id="H8ADC545A31AB4626BAB52FB9B7BAB700"><enum>(b)</enum><header>Protecting residents of long-term care facilities</header>
<paragraph id="H2D055EA759194E47AE5154A9885B2217"><enum>(1)</enum><header>National training institute for surveyors</header>
<subparagraph id="H14B46380A55640E5863B03CD4C5A3963"><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="H73C6556D740D453EB6D05240B54B90B4"><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="HC31994E459084549BA6ACD26391A997B"><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="HF3529AB93E274A4BAA375DD0FBE1DAC7"><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="HF16B6A9CDC5449478E2ACE2133F83F23"><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="HBCDF11505B1D45D5B381C8426963B35B"><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="H6DE6BE9381384BFD81922F639DA79D61"><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="HFB6158B2DC9D41F89A9279A811AF5480"><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="HB9829FF9B16C45D5B2D3122C54CD5FD5"><enum>(vii)</enum><text>Analyze and report annually on the following:</text>
<subclause id="H7B2F0FEA58274B5F842D4AABC5A1249A"><enum>(I)</enum><text>The total number and sources of complaints of such abuse, neglect, and misappropriation of property.</text> </subclause>
<subclause id="H31553A6B57DE486FB078D926058BEC17"><enum>(II)</enum><text>The extent to which such complaints are referred to law enforcement agencies.</text> </subclause>
<subclause id="H3FB76913E62B4E6E82213436E4F1138B"><enum>(III)</enum><text>General results of Federal and State investigations of such complaints.</text> </subclause></clause>
<clause id="H7084A77E99694018BAE1606B24ED6F80"><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="H1059F98AE3194095B68F7058421E9992"><enum>(C)</enum><header>Authorization</header><text>There are authorized to be appropriated to carry out this paragraph, for the period of fiscal years 2010 through 2013, $12,000,000.</text> </subparagraph></paragraph>
<paragraph id="HEC28F126977345BA9163C32BC219E271"><enum>(2)</enum><header>Grants to State survey agencies</header>
<subparagraph id="HE5F65D3BD2A94E19A659CE6B6A22A748"><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 (42 U.S.C. 1395i–3, 1395r).</text> </subparagraph>
<subparagraph id="HBB2EC61EC225483D83497A47CEDA2574"><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="H99EF42B0230E4C92A2852E76D41639F8"><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="H88AC964207084FB49AE18102CFBBBD66"><enum>(ii)</enum><text>respond to complaints with optimum effectiveness and timeliness; and</text> </clause>
<clause id="H1CB13F6C011449BBAFC46B18B5EE746A"><enum>(iii)</enum><text>optimize the collaboration between local authorities, consumers, and providers, including—</text>
<subclause id="H0DDE2EEB109F468A88DFC5F944C9530C"><enum>(I)</enum><text>such State agency;</text> </subclause>
<subclause id="H5A4028DA8817469192018FE50788F746"><enum>(II)</enum><text>the State Long-Term Care Ombudsman;</text> </subclause>
<subclause id="H42B09233BEDF4943A7151C3CFA3010CA"><enum>(III)</enum><text>local law enforcement agencies;</text> </subclause>
<subclause id="HC58DBBDD178141838ABDBC750B657017"><enum>(IV)</enum><text>advocacy and consumer organizations;</text> </subclause>
<subclause id="H43F7A7E96EB64D56900A579937873EB4"><enum>(V)</enum><text>State aging units;</text> </subclause>
<subclause id="H7DFFC1744CDC4865A429EF1A07B8EF80"><enum>(VI)</enum><text>Area Agencies on Aging; and</text> </subclause>
<subclause id="HD53122FDF9F44674BFDACAD93BDC18FD"><enum>(VII)</enum><text>other appropriate entities.</text> </subclause></clause></subparagraph>
<subparagraph id="H40E3F0102E084856AB9BDE3BD1EB0D35"><enum>(C)</enum><header>Authorization</header><text>There are authorized to be appropriated to carry out this paragraph, for each of fiscal years 2010 through 2013, $5,000,000.</text> </subparagraph></paragraph>
<paragraph id="H5964AAC96F1D4D56B915CB4F989DAC6D"><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="H8069C6860AEC465D9AAAF2C625106453" style="traditional">
<section id="H77486E1130B24255A533364F9130F6A8"><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="H8D8CF582D7844364BD1D33D8719C6D71"><enum>(a)</enum><header>Determination and Notification</header>
<paragraph id="H82390A60F8844575971810D1B6892414"><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="HDFCD1E543E604430988F0E9791858DE8"><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="H45601BC2C9424F8C9FDF6343E6A508F3"><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="HAFD1B06250844D0FA2CA9E6D9A3FF29E"><enum>(b)</enum><header>Reporting Requirements</header>
<paragraph id="H7F41735005B5446B8316DCC1F1973F34"><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="H9DFE2CD0E3934C43A9551E4108DEF40E"><enum>(2)</enum><header>Timing</header><text>If the events that cause the suspicion—</text>
<subparagraph id="H604C5B9B3569443E85F953C80E4506B0"><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="H4501B75E211B42C2846D7DC1B8F44952"><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="HA7394FD0B1314DEC9ACB97A906883955"><enum>(c)</enum><header>Penalties</header>
<paragraph id="H6BCF9BBFFE244381A8C1BCF735ABA0C3"><enum>(1)</enum><header>In general</header><text>If a covered individual violates subsection (b)—</text>
<subparagraph id="H01B629F08DA749CCA8624C8D0543C957"><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="H16A6813117BD4C09AF5054509554A453"><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="HDAD5255DAE294C45A1217EC45E4EBA23"><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="H2D54FDEE3C95412A98A3F8932B4B5086"><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="HBFE3DB02E72C46C8A0869E77975A2329"><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="H447D32E4FE8D4CA8B5C50863DC44EBE0"><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="H55D2B9A879094809937C761B91E680FF"><enum>(4)</enum><header>Extenuating circumstances</header>
<subparagraph id="HEA0ED936B06746EF8698BDCBA9B3CC02"><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="H3CA349B731C84B29BB6D8AF288F57AB7"><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="HB6BF5B3FBD614E44B6832EDCA059FD34"><enum>(i)</enum><text>areas or groups that are geographically isolated (such as isolated in a rural area);</text> </clause>
<clause id="HA2F2804C35EE43B5A1946F7DA879D404"><enum>(ii)</enum><text>racial and ethnic minority populations; and</text> </clause>
<clause id="H8BA99B2550A94515954055D4D825086C"><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="H01975C2D75D04708BC953BCCF0B246AB"><enum>(d)</enum><header>Additional Penalties for Retaliation</header>
<paragraph id="H2A2B65C00002457088F93581C528E5A7"><enum>(1)</enum><header>In general</header><text>A long-term care facility may not—</text>
<subparagraph id="H544CDDCA0F074D8B8944215B4269C67A"><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="H1275A2B8FA18492DBA15BAF11DCB61A5"><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="H3392DC54032F429D8F84829037CA091A"><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="H0AB053EAEF3A47FC882F89AA2E74296D"><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="H6885328DC1934C0CB3BEC26A7D8E5891"><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="HAB7828698214440FB755CEBE5A1806FD"><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="H50E01CCD8AFB47BBBA84DD814E9A7784"><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="HE77756FF2CAF4559BF3629006D5C0E00"><enum>(a)</enum><header>In general</header>
<paragraph id="HCEC69660C3664B8D8AE37F32EB495EC2"><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="H952C54417DBA47ABA3426252C028AE80"><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="H79A00D6440FA4BFAB4319E8B4E6FE1C5"><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="HE2D51066A3C3451D92BF8EB54DABDCB5"><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="H093568C4A7764FE588E031B6551D46FD"><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="H2FC64925591243738E33D94FBF64BD7F"><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="HC54A2160117D40A6B773486C5BD656F5"><enum>(1)</enum><text>a civil monetary penalty of up to $1,000,000;</text> </paragraph>
<paragraph id="H600566FB10AD45A99753B50DE6FBB2CD"><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="H726A2FF889AF4D67B7F2C12744E4E1B3"><enum>(3)</enum><text>any other applicable civil monetary penalties and assessments.</text> </paragraph></subsection>
<subsection id="HBACC0F9478034C1BAAE8743030BF66AC"><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="H08F8288B1D434778B0383AFEACA165AB"><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></subsection>
<subsection id="H60F8484FAF5247F68DCA435F70B3FDD9"><enum>(c)</enum><header>National nurse aide registry</header>
<paragraph id="H9E4C5E4372F14E868494D8B27A3ED572"><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 (42 U.S.C. 1395i–3(b)(5)(F), 1396r(b)(5)(F)).</text> </paragraph>
<paragraph id="H882279A5FD1B47A7B188F9147D1A12A7"><enum>(2)</enum><header>Study and report</header>
<subparagraph id="HB9D26DDA04A7466BB17EE2DB582D1106"><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="H3567D639639E45A080C95297A753EE0C"><enum>(B)</enum><header>Areas evaluated</header><text>The study conducted under this subsection shall include an evaluation of—</text>
<clause id="H40661AD50D8D457BBB6C2336A72F3767"><enum>(i)</enum><text>who should be included in the registry;</text> </clause>
<clause id="H29DF48E965434E928FA831B69BD68284"><enum>(ii)</enum><text>how such a registry would comply with Federal and State privacy laws and regulations;</text> </clause>
<clause id="H2C1454CCF069473FBA0C423166612196"><enum>(iii)</enum><text>how data would be collected for the registry;</text> </clause>
<clause id="H02622975D52F42FEBC7490D93DD9ABF1"><enum>(iv)</enum><text>what entities and individuals would have access to the data collected;</text> </clause>
<clause id="HC94B0C77CD5C4BD29238439A45305D0C"><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="H246BD0B82AF64AE2A0C8BE5059B59E10"><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 (Public Law 108–173); and</text> </clause>
<clause id="HCC6D9FB2500E4E21A72687F8F0EC8821"><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="H90E4D157169A4DECAF72E6CAF1338693"><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="HFEA58AF6B26144DD95C5784E2043F628"><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="H9EFEFFBA35E84BD8A604952657B35208"><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="HC34E3B3800614C1EAFF1E5B28D0CD81F"><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="H4BD9EF2D5F75460CA0A2A1D7FE1320C6"><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="HC98EC9F0A9D948A19632F086CD0599E4"><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="H6E432BEA704A435782F5E32D1787430D"><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 (42 U.S.C. 1395i–3(e)(2), 1396r(e)(2)(2)).</text> </clause></subparagraph>
<subparagraph id="H8950F35363FE4CDDACCFC27BBD4A4D9C"><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="H09938772096F472D937179624CE53BD2"><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="HDE814388DDCE4E268D63F4C979A91B78"><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="HDB580E067BE143FD89404E307FBC9375"><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="H4D25C64CD7814614809D21E4AF068246"><enum>(d)</enum><header>Conforming amendments</header>
<paragraph id="HCEAA0AB253194D36BF8A65F3B7D335A4"><enum>(1)</enum><header>Title XX</header><text>Title XX of the Social Security Act (42 U.S.C. 1397 et seq.), as amended by section 102(a), is amended—</text>
<subparagraph id="H3FFD6A4F3F574603A20CC6D4B6558B25"><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="H84822C606BFE4C29915E862B15A44A93"><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="H8790A46438BB46A99B597D4CD6446F34"><enum>(2)</enum><header>Title IV</header><text>Title IV of the Social Security Act (42 U.S.C. 601 et seq.) is amended—</text>
<subparagraph id="HE11C3F70B6D344F599B5850A7F24A0BA"><enum>(A)</enum><text>in section 404(d)—</text>
<clause id="H3DA18D295CDA4FD3A5134F4BFDE37BC0"><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="HEDB4DEEDDB8B468C84D551D4EE7BEFD7"><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="H8ED33A87FC9E4905954E1EE63B91E8B0"><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="HE79CD20CD4BE44B3819E7C5D8C809597"><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="H7E182688A4724FB983C104276A5B3097"><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="HB71E33C67C744664BD0B2E5D95EED6F3"><enum>(3)</enum><header>Title XI</header><text>Title XI of the Social Security Act (42 U.S.C. 1301 et seq.) is amended—</text>
<subparagraph id="H235379EAD5BD4310B70EBDA413EA939D"><enum>(A)</enum><text>in section 1128(h)(3)—</text>
<clause id="HEC20499603094C8AB13A0993C2F3E706"><enum>(i)</enum><text>by inserting <quote>part A of</quote> before <quote>title XX</quote>; and</text> </clause>
<clause id="H25370DB9B76B4387B663CBFD1EB2E548"><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="H7155C6A480C544D88117B8C0937C903C"><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 display-inline="no-display-inline" id="H634225A9A2D3404A9308F177E676F19F"><enum>201.</enum><header>Analysis, report, and recommendations related to elder justice programs</header>
<subsection id="HF1D666D108534F17A2EB6839E034ADF6"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">The Attorney General, in consultation with the Secretary of Health and Human Services, shall carry out the following:</text>
<paragraph id="H2C5CFCE60CE141F4AB8732C476737B33"><enum>(1)</enum><header>Study</header><text display-inline="yes-display-inline">Conduct a study of laws and practices relating to elder abuse, neglect, and exploitation, which shall include—</text>
<subparagraph id="H926BA0FE4A444FE194654D458F058575"><enum>(A)</enum><text>a comprehensive description of State laws and practices relating to elder abuse, neglect, and exploitation;</text> </subparagraph>
<subparagraph id="H42E4DF64C7754B09A4643EEAD44C8E1C"><enum>(B)</enum><text>a comprehensive analysis of the effectiveness of such State laws and practices; and</text> </subparagraph>
<subparagraph id="HF12AF44005E04A4395897C17F6603D26"><enum>(C)</enum><text display-inline="yes-display-inline">an examination of State laws and practices relating to specific elder abuse, neglect, and exploitation issues, including—</text>
<clause display-inline="no-display-inline" id="H29E0C791D7B94934B9E0DBA05C21D473"><enum>(i)</enum><text>the definition of—</text>
<subclause id="H6C32356E82B94978A81FCEDDD94E3DF8"><enum>(I)</enum><text><quote>elder</quote>;</text> </subclause>
<subclause id="H45642C821B194BC89A34D2000CE7B0D2"><enum>(II)</enum><text><quote>abuse</quote>;</text> </subclause>
<subclause id="HC68205BFE6D14AA4A61A3E437E7B1E0C"><enum>(III)</enum><text><quote>neglect</quote>;</text> </subclause>
<subclause id="HFF30EB3992A0496399D4A01291EC83BF"><enum>(IV)</enum><text><quote>exploitation</quote>; and</text> </subclause>
<subclause id="HECC542C5D4F74295AF227611E057CFFF"><enum>(V)</enum><text>such related terms the Attorney General determines to be appropriate;</text> </subclause></clause>
<clause id="H8FEBFA38D1684736B8A997AA4F3B8380"><enum>(ii)</enum><text>mandatory reporting laws, with respect to—</text>
<subclause id="H6A1E10390BB94ECA997C5DECB1B18ABB"><enum>(I)</enum><text>who is a mandated reporter;</text> </subclause>
<subclause id="H34F7BF3037BB47E5A48939EEEB31975D"><enum>(II)</enum><text>to whom must they report and within what time frame; and</text> </subclause>
<subclause id="H28A112EFF82E4BB687D299ED3B4381AB"><enum>(III)</enum><text>any consequences for not reporting;</text> </subclause></clause>
<clause id="HC7A52C8E80724DD298388015BE120028"><enum>(iii)</enum><text>evidentiary, procedural, sentencing, choice of remedies, and data retention issues relating to pursuing cases relating to elder abuse, neglect, and exploitation;</text> </clause>
<clause id="H8CFE1656F3E345E89C8157AAE83C8E3F"><enum>(iv)</enum><text>laws requiring reporting of all nursing home deaths to the county coroner or to some other individual or entity;</text> </clause>
<clause display-inline="no-display-inline" id="H8CCF8C43D7F94B4C94497758F00C5BF6"><enum>(v)</enum><text>fiduciary laws, including guardianship and power of attorney laws;</text> </clause>
<clause id="H6CED378192AC4370867C4B68E3234AB4"><enum>(vi)</enum><text>laws that permit or encourage banks and bank employees to prevent and report suspected elder abuse, neglect, and exploitation;</text> </clause>
<clause id="HA458A74517AD45D0B1FC7AE19DAFC820"><enum>(vii)</enum><text display-inline="yes-display-inline">laws relating to fraud and related activities in connection with mail, telemarketing, or the Internet;</text> </clause>
<clause id="H8D747E1C97D645FD97E515F2C94E5FAD"><enum>(viii)</enum><text>laws that may impede research on elder abuse, neglect, and exploitation;</text> </clause>
<clause id="H330A9C24628842888C6D818EFF9A79BF"><enum>(ix)</enum><text>practices relating to the enforcement of laws relating to elder abuse, neglect, and exploitation; and</text> </clause>
<clause id="HA07FF80F34C349018B1CA117BCD8E25C"><enum>(x)</enum><text>practices relating to other aspects of elder justice.</text> </clause></subparagraph></paragraph>
<paragraph id="HD202C12AE9BA43198D43A8ADF0FCE82D"><enum>(2)</enum><header>Development of plan</header><text>Develop objectives, priorities, policies, and a long-term plan for elder justice programs and activities relating to—</text>
<subparagraph display-inline="no-display-inline" id="HE4221FC676784C86B5646BC84F6FC694"><enum>(A)</enum><text>prevention and detection of elder abuse, neglect, and exploitation;</text> </subparagraph>
<subparagraph id="HE0794308A0254A3FAD95816538CFD8E3"><enum>(B)</enum><text display-inline="yes-display-inline">intervention and treatment for victims of elder abuse, neglect, and exploitation;</text> </subparagraph>
<subparagraph id="HB0446A634D8D49CAB19C43DD077BF46C"><enum>(C)</enum><text>training, evaluation, and research related to elder justice programs and activities; and</text> </subparagraph>
<subparagraph id="H26D9660D0C994CCABAE35E819C8105DB"><enum>(D)</enum><text>improvement of the elder justice system in the United States.</text> </subparagraph></paragraph>
<paragraph id="HEEEE5BF48FDE495498D1CE16E131BC04"><enum>(3)</enum><header>Report</header><text display-inline="yes-display-inline">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, the Speaker and minority leader of the House of Representatives, and the Secretary of Health and Human Services, and make available to the States, a report that contains—</text>
<subparagraph display-inline="no-display-inline" id="HFEBDAB854DAB4790B7CAD81D84AD5824"><enum>(A)</enum><text>the findings of the study conducted under <internal-xref idref="H2C5CFCE60CE141F4AB8732C476737B33" legis-path="201.(a)(1)">paragraph (1)</internal-xref>;</text> </subparagraph>
<subparagraph id="H8E09F97166E044CCA3C4AB033A6D6929"><enum>(B)</enum><text display-inline="yes-display-inline">a description of the objectives, priorities, policies, and a long-term plan developed under <internal-xref idref="HD202C12AE9BA43198D43A8ADF0FCE82D" legis-path="201.(a)(2)">paragraph (2)</internal-xref>; and</text> </subparagraph>
<subparagraph id="H3160D47B5DC94F8386422678D3985ACF"><enum>(C)</enum><text>a list, description, and analysis of the best practices used by States to develop, implement, maintain, and improve elder justice systems, based on such findings.</text> </subparagraph></paragraph></subsection>
<subsection commented="no" id="H2D9BA398A96C435E968EB8E6692F0E6E"><enum>(b)</enum><header>GAO Recommendations</header><text>Not later than 18 months after the date of enactment of this Act, the Comptroller General shall review existing Federal programs and initiatives in the Federal criminal justice system relevant to elder justice and shall submit to Congress—</text>
<paragraph commented="no" id="H9D9A9EAB64E34A7DAFAAB0A896D3563C"><enum>(1)</enum><text>a report on such programs and initiatives; and</text> </paragraph>
<paragraph commented="no" id="H447C54FED6204DF297EFD092DD01880D"><enum>(2)</enum><text>any recommendations the Comptroller General determines are appropriate to improve elder justice in the United States.</text> </paragraph></subsection>
<subsection id="H172B775AFC564879BDF3F5982C9239A1"><enum>(c)</enum><header>Authorization of appropriations</header><text>There are authorized to be appropriated to carry out this section $6,000,000 for each of the fiscal years 2010 through 2016.</text> </subsection></section>
<section id="H7612022EC0694B2FB7131130EF422DAE"><enum>202.</enum><header>Victim advocacy grants</header>
<subsection id="H31F124E09F114E71ABA7128720BE18E0"><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="H2E51D2EB49324A4796B69E1837165548"><enum>(b)</enum><header>Authorized activities</header><text>Funds awarded pursuant to <internal-xref idref="H31F124E09F114E71ABA7128720BE18E0" legis-path="202.(a)">subsection (a)</internal-xref> shall be used for pilot programs that—</text>
<paragraph id="H58A0046FB9D949199A588365508C854A"><enum>(1)</enum><text>develop programs for and 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="H522997F9EAC34284858AE0718D39CE6F"><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="H74B58C4C9CC545DF8A3827412E14AD4C"><enum>(c)</enum><header>Authorization of appropriations</header><text display-inline="yes-display-inline">There are authorized to be appropriated to carry out this section $3,000,000 for each of the fiscal years 2010 through 2016.</text> </subsection></section>
<section id="HAFF32F3654874FBD884458F3414E4D88"><enum>203.</enum><header>Supporting local prosecutors and courts in elder justice matters</header>
<subsection id="HF8C0266C112048D998149E2936DDD694"><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 and courts handling elder justice-related cases, including—</text>
<paragraph id="H602DD41437DE4812BB2E84FB8532BBE4"><enum>(1)</enum><text>funding specially designated elder justice positions or units; and</text> </paragraph>
<paragraph id="HD410E352C98646C08AE639404C2EE301"><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 and courts nationwide in their pursuit of cases involving elder abuse, neglect, and exploitation.</text> </paragraph></subsection>
<subsection id="H653696FE4445467B9DE0CDE24046B208"><enum>(b)</enum><header>Authorization of appropriations</header><text display-inline="yes-display-inline">There are authorized to be appropriated to carry out this section $6,000,000 for each of the fiscal years 2010 through 2016.</text> </subsection></section>
<section id="H2A94821D8942424F86EAB80B46AB3CCA"><enum>204.</enum><header>Supporting State prosecutors and courts in elder justice matters</header>
<subsection id="H5C8D1453B94E4FE4AC0B4CDB6D93B7F2"><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 State prosecutors and courts, employees of State Attorneys General, and Medicaid Fraud Control Units handling elder justice-related matters.</text> </subsection>
<subsection id="H36707B9ADD0A491FA426AA6F47B3E9E2"><enum>(b)</enum><header>Creating specialized positions</header><text>Grants under this section may be made for—</text>
<paragraph id="H77F0C900EC554D57B3B0721FB2DB9633"><enum>(1)</enum><text>the establishment of specially designated elder justice positions or units; and</text> </paragraph>
<paragraph id="H0E1ECE8C973E499D9F403B006533DBA6"><enum>(2)</enum><text>the creation of a position to coordinate elder justice-related cases, training, technical assistance, and policy development for State prosecutors and courts, by the National Association of Attorneys General or any other similarly situated entity.</text> </paragraph></subsection>
<subsection id="H175FDF6A27584BEAB015AB75315F6F04"><enum>(c)</enum><header>Authorization of appropriations</header><text display-inline="yes-display-inline">There are authorized to be appropriated to carry out this section $6,000,000 for each of the fiscal years 2010 through 2016.</text> </subsection></section>
<section id="H5FD9008579F74471AB8046D99ED7EF62"><enum>205.</enum><header>Supporting law enforcement in elder justice matters</header>
<subsection id="HA93D42BD53154798B67BAF5EBE3328C1"><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, the Postmaster General, and the Chief Postal Inspector for the United States Postal Inspection Service, 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="H752ACA21E3714D238B5B8EEE1A0D0BD4"><enum>(b)</enum><header>Authorization of appropriations</header><text display-inline="yes-display-inline">There are authorized to be appropriated to carry out this section $8,000,000 for each of the fiscal years 2010 through 2016.</text> </subsection></section>
<section id="H2AA7D94039EF4AD6A767EC5BBE280AC0"><enum>206.</enum><header>Evaluations</header>
<subsection id="H14D6357B004B41D3BFD3E34F9EBE975B"><enum>(a)</enum><header>Grants under this title</header>
<paragraph id="H979CAAABBCFF492984828E49DAC3B9B5"><enum>(1)</enum><header>In general</header><text>In carrying out the grant programs under this title, the Attorney General shall—</text>
<subparagraph id="H6A85D710918C444B8A943CB5945273AF"><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="HCB2931B2D3A14865BB737696A7555E7E"><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="H300ED18AB5684DAF8F26FCD4AFCE9D48"><enum>(2)</enum><header>Applications</header>
<subparagraph id="HCAC09B8C266A49AD836BC9C4922D2FC5"><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="H1CD4F0E2BF0E4AC1AF4E60DC6EED8AFD"><enum>(i)</enum><text>a proposal for the evaluation required in accordance with <internal-xref idref="H6A85D710918C444B8A943CB5945273AF" legis-path="207.(a)(1)(A)">paragraph (1)(A)</internal-xref>; and</text> </clause>
<clause id="H1D8BAADE5C8D4D939A31A32373E5DF42"><enum>(ii)</enum><text display-inline="yes-display-inline">the amount of assistance under <internal-xref idref="HCB2931B2D3A14865BB737696A7555E7E" legis-path="207.(a)(1)(B)">paragraph (1)(B)</internal-xref> the entity is requesting, if any.</text> </clause></subparagraph>
<subparagraph id="HB35152B991C9410B84F90D3C6FA0303A"><enum>(B)</enum><header>Review and assistance</header>
<clause id="H8BE1BC214B6F46458A33130E7226E08A"><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="HCAC09B8C266A49AD836BC9C4922D2FC5" legis-path="207.(a)(2)(A)">subparagraph (A)</internal-xref> and determine whether the methodology described in the proposal under <internal-xref idref="H1CD4F0E2BF0E4AC1AF4E60DC6EED8AFD" legis-path="207.(a)(2)(A)(i)">subparagraph (A)(i)</internal-xref> is adequate to gather meaningful information.</text> </clause>
<clause id="HA2207D1479A446B1B1A3F2910A66DDF1"><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="H861795F8B1A84D63A126BF856E60FED6"><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="HAC896D3D69C946F39EA47B3FD99AB28C"><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="H7628489827824FFC814FD99CFDFEC531"><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 2010 through 2016.</text> </subsection></section>
<section id="H87CC65CFE3244C53967673E44A18C559"><enum>207.</enum><header>Reauthorization of the Missing Alzheimer's Disease Patient Alert Program</header><text display-inline="no-display-inline">Section 240001 of the Violent Crime Control and Law Enforcement Act of 1994 (42 U.S.C. 14181) is amended—</text>
<paragraph id="H0E50B43C45754B519DE2D1EBAFBF16D8"><enum>(1)</enum><text>by amending subsection (a) to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="H8B8A3D70BE5F46498FADDFBA9EFC0AB7" style="OLC">
<subsection id="H4331CF3A37E3404BBF86D23D14AA0977"><enum>(a)</enum><header>Grant</header><text display-inline="yes-display-inline">Subject to the availability of appropriations to carry out this section, the Attorney General, through the Bureau of Justice Assistance and in consultation with the Secretary of Health and Human Services, shall award competitive grants to States, units of local government, and nonprofit organizations to assist such States, units, and organizations, respectively, in paying for the costs of planning, designing, establishing, and operating locally based, proactive programs to protect and locate missing patients with Alzheimer's disease and related dementias and other missing elderly individuals.</text> </subsection><after-quoted-block>;</after-quoted-block></quoted-block> </paragraph>
<paragraph id="H2D96E6889B7B4DE9ABD7E64BA53518CB"><enum>(2)</enum><text>in subsection (b)—</text>
<subparagraph id="HCF78B43C0D4A4CEB8246DE2F9EB75F62"><enum>(A)</enum><text>by inserting <quote>competitive</quote> after <quote>to receive a</quote>; and</text> </subparagraph>
<subparagraph id="HD1EED6C0670F4C1791545EF0D31F0524"><enum>(B)</enum><text>by adding at the end the following new sentence: <quote>The Attorney General shall periodically solicit applications for grants under this section by publishing a request for applications in the Federal Register and by posting such a request on the website of the Department of Justice.</quote>;</text> </subparagraph></paragraph>
<paragraph display-inline="no-display-inline" id="H729DFDFC3B1A419A889E9C2CFB03739E"><enum>(3)</enum><text>by amending subsection (c) to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="HDD69A3B789A6451684647309B267DBC1" style="OLC">
<subsection id="H9CEDE97C16B740359F62523536BDE9CB"><enum>(c)</enum><header>Preference</header><text display-inline="yes-display-inline">In awarding grants under subsection (a), the Attorney General shall give preference to nonprofit organizations that have a direct link to patients, and families of patients, with Alzheimer’s disease and related dementias.</text> </subsection><after-quoted-block>; and</after-quoted-block></quoted-block> </paragraph>
<paragraph id="H71D2580967A3469B9E3322B894F4BDA8"><enum>(4)</enum><text>by amending subsection (d) to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="H868C54F5436F4610B712C1FB1F9A8A3B" style="OLC">
<subsection id="H545152EAEA3C4272B88B96B37B4ECFF8"><enum>(d)</enum><header>Authorization of appropriations</header><text display-inline="yes-display-inline">There are authorized to be appropriated to carry out this section $5,000,000 for each of the fiscal years 2010 through 2016.</text> </subsection><after-quoted-block>.</after-quoted-block></quoted-block> </paragraph></section>
<enum>III</enum><header>Tax provisions</header>
<section id="HC7623B52033A47848507BD761C1A3049"><enum>301.</enum><header>Long-term care facility worker employment tax credit</header>
<subsection id="H53AAEF20142545BCAA9DC1E57E97BCBF"><enum>(a)</enum><header>Work opportunity tax credit</header>
<paragraph id="H055B862D06164B7696C697C69BC81B79"><enum>(1)</enum><header>In general</header><text>Section 51(d)(1) 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="H35C9BE11128D44BABE06236DE9BB0336" style="OLC">
<subparagraph id="H90C0C8B84F8746E68718635576A160E0"><enum>(J)</enum><text>a qualified long-term care facility worker.</text> </subparagraph><after-quoted-block>.</after-quoted-block></quoted-block> </paragraph>
<paragraph id="HDB53D7EFBEC64DA89870BCE25DA66491"><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 (14) as paragraphs (12) through (15), respectively, and by inserting after paragraph (10) the following:</text>
<quoted-block display-inline="no-display-inline" id="H2C4E61D5FCA346E6BEBD7B30417F5FB5" style="OLC">
<paragraph id="H081CD3A611FE413DA21CB68C48C6CD6B"><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="H2354357AE4EE4863B191529C2F1B855D"><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="HBF1D4D01802E4DDC8BAE26F5A6BE52D0"><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="HCFF5AE76A4FE463AA1F4512A607190B4"><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>