<enum>XXII</enum><header>Long-term services and supports</header> <section id="HC0B9A82594974BDFBB01594E62F0F6B2"><enum>2201.</enum><header>Definitions</header><text display-inline="no-display-inline">Except as otherwise provided, the terms used in this title have the meanings given the terms in section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002).</text> </section><subtitle id="HABFD578CD83F4024B3122AAB18DFB221"><enum>A</enum><header>Single-entry point system program</header> <section id="H6894364F9088479588A41A6D96A71639"><enum>2211.</enum><header>State single-entry point systems</header> <subsection id="HBB1EAF048C8E41DE940FDC1DEEAC2A71"><enum>(a)</enum><header>Definitions</header><text>In this title:</text> <paragraph id="H66C4C436BAF448F78BA4B9B1F6D108E2"><enum>(1)</enum><header>Long-term services and supports</header><text>The term <term>long-term services and supports</term> means any service (including a disease prevention and health promotion service, an in-home service, or a case management service), care, or item (including an assistive device) that is—</text> <subparagraph id="H8AA90300AEDF4063B0AC5CE7CBE54243"><enum>(A)</enum><text>intended to assist individuals in coping with, and, to the extent practicable, compensating for, functional impairment in carrying out activities of daily living;</text> </subparagraph><subparagraph id="HC66259737F3B4EE58746FE78D3E7024C"><enum>(B)</enum><text>furnished at home, in a community care setting, including a small community care setting (as defined in section 1929(g)(1)) and a large community care setting (as defined in section 1929(h)(1)), or in a long-term care facility; and</text> </subparagraph><subparagraph id="HC5F59531BF4640A194A672CF6FB9585D"><enum>(C)</enum><text>not furnished to diagnose, treat, or cure a medical disease or condition.</text> </subparagraph></paragraph><paragraph id="H73EA77879E2143BB909DAF09E6BE5001"><enum>(2)</enum><header>Single-entry point system</header><text>The term <term>single-entry point system</term> means any coordinated system for providing—</text> <subparagraph id="H2EF5495C4FC04545B9F28FCD95D2B452"><enum>(A)</enum><text>comprehensive information to consumers and caregivers on the full range of available public and private long-term services and supports, options, service providers, and resources, including information on the availability of integrated long-term care, including consumer directed care options;</text> </subparagraph><subparagraph id="HB554090CEF234CB4A5602E5B05FF0428"><enum>(B)</enum><text>personal counseling to assist individuals in assessing their existing or anticipated long-term care needs, and developing and implementing a plan for long-term care designed to meet their specific needs and circumstances; and</text> </subparagraph><subparagraph id="HB31E53A045F9473388704EFE90C8FFF9"><enum>(C)</enum><text>consumers and caregivers access to the range of publicly supported and privately supported long-term services and supports that are available.</text> </subparagraph></paragraph></subsection><subsection id="H48B76546DB35451394CACF5748E99660"><enum>(b)</enum><header>Program</header><text>The Secretary shall establish and carry out a single-entry point system program. In carrying out the program, the Secretary shall make grants to States, from allotments described in subsection (c), to pay for the Federal share of the cost of establishing State single-entry point systems.</text> </subsection><subsection id="H34C1F52D985849B3B29470C5047F3CDD"><enum>(c)</enum><header>Allotments</header> <paragraph id="HF8F0C77821264E9DBA5FA2C0808E4CB4"><enum>(1)</enum><header>Allotments to Indian tribes and territories</header> <subparagraph id="H07A9C133BD4F4861BA6C418C5D4E56BA"><enum>(A)</enum><header>Reservation</header><text>The Secretary shall reserve from the funds made available under subsection (g)—</text> <clause id="H60B00CBE133642DA9B7EE08E588F1582"><enum>(i)</enum><text>for fiscal year 2010, $1,962,456; and</text> </clause><clause id="HC8CAA7C2C75F4B3A99BA26213ECB81FC"><enum>(ii)</enum><text>for each subsequent fiscal year, $1,962,456, increased by the percentage increase in the Consumer Price Index for All Urban Consumers, between October of the fiscal year preceding the subsequent fiscal year and October 2007.</text> </clause></subparagraph><subparagraph id="H6A0798A610FE450E8BB88136D63F1FAE"><enum>(B)</enum><header>Allotments</header><text>The Secretary shall use the funds reserved under subparagraph (A) to make allotments to—</text> <clause id="HED1D6687C25544BFBDEB512A0C50BD1B"><enum>(i)</enum><text>Indian tribes; and</text> </clause><clause commented="no" display-inline="no-display-inline" id="H14D858737AA0491585ED7C08863614B3"><enum>(ii)</enum><text>Guam, American Samoa, the Commonwealth of the Northern Mariana Islands, the Commonwealth of Puerto Rico, and the United States Virgin Islands.</text> </clause></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="HEA6BA7A4EDCB4D2195FF1238B70F29E8"><enum>(2)</enum><header>Allotments to States</header> <subparagraph id="H6F06A25015474C0F8EDF432A147314C2"><enum>(A)</enum><header>In general</header> <clause id="H3F732430356F450EB575C547736CF0F0"><enum>(i)</enum><header>Amount</header><text>The Secretary shall allot to each eligible State for a fiscal year the sum of the fixed amount determined under subparagraph (B), and the allocation determined under subparagraph (C), for the State.</text> </clause><clause id="H067C612FFF324C549951220ADA478B34"><enum>(ii)</enum><header>Subgrants to area agencies on aging</header> <subclause id="H0ADE44664D4942D682EDE11E9367DB56"><enum>(I)</enum><header>In general</header><text>Each State agency receiving an allotment under clause (i) shall use such allotment to make subgrants to area agencies on aging that can demonstrate performance capacity to carry out activities described in this section whether such area agency on aging carries out the activities directly or through contract with an aging network or disability entity. An area agency on aging desiring a subgrant shall establish or designate a collaborative board to ensure meaningful involvement of stakeholders in the development, planning, implementation, and evaluation of a single-entry point system consistent with the following:</text> <item id="H22B0D0EC87374EE1B4131D1D31F92B22"><enum>(aa)</enum><text>The collaborative board shall be composed of—</text> <subitem id="HA1FE83DD862F4FD7842E9D67FBDE6F13"><enum>(AA)</enum><text>individuals representing all populations served by the agency’s single-entry point system, including older adults and individuals from diverse backgrounds who have a disability or a chronic condition requiring long-term support;</text> </subitem><subitem id="HE688A711ECE64D3C9BDEF2968BF2DB3E"><enum>(BB)</enum><text>a representative from the local center for independent living (as defined in section 702 of the Rehabilitation Act of 1973 (29 U.S.C. 796a)), and representatives from other organizations that provide services to the individuals served by the system and those who advocate on behalf of such individuals; and</text> </subitem><subitem id="H3D6088EFF90E433294C9EF4992893DD6"><enum>(CC)</enum><text>representatives of the government and non-governmental agencies that are affected by the system.</text> </subitem></item><item id="H15639BEEC8FB4FEEA3B38C5A0B7B0208"><enum>(bb)</enum><text>The agency shall work in conjunction with the collaborative board on—</text> <subitem id="H4588B64964AF4D2B9AAD4DBAF6B3ACB0"><enum>(AA)</enum><text>the design and operations of the single-entry point system;</text> </subitem><subitem id="H880778105C7E4649A22AF055FA657436"><enum>(BB)</enum><text>stakeholder input; and</text> </subitem><subitem id="H81905D25534B407AB41F841BB59B399A"><enum>(CC)</enum><text>other program and policy development issues related to the single-entry point system.</text> </subitem></item><item id="H6551610830324544B184DFC3F0521778"><enum>(cc)</enum><text>An advisory board established under the Real Choice Systems Change Program or for an existing single-entry point system may be used to carry out the activities of a collaborative board under this subclause if such advisory board meets the requirements under item (aa).</text> </item></subclause><subclause id="HCBD8838287774E65A825BA3348EBB44C"><enum>(II)</enum><header>Subgrants to other entities</header><text>A State agency may make subgrants described in subclause (I) to other qualified aging network or disability entities only if the area agency on aging chooses not to apply for a subgrant or is not able to demonstrate performance capacity to carry out the activities described in this section.</text> </subclause><subclause commented="no" id="HE2E0A63F4DD34AE99DA7FE9918AF33A1"><enum>(III)</enum><header>Subgrantee recipient subgrants</header><text>An administrator of a single-entry point system established by a State receiving an allotment under clause (i) shall make any necessary subgrants to key partners involved in developing, planning, or implementing the single-entry point system. Such partners may include centers for independent living (as defined in section 702 of the Rehabilitation Act of 1973 (29 U.S.C. 796a)).</text> </subclause></clause></subparagraph><subparagraph id="H1632BE243DBF4D058AAE081CF22CF545"><enum>(B)</enum><header>Fixed amounts for States</header> <clause id="H1ED99529F6414416AEB8389F9F4AD32E"><enum>(i)</enum><header>Reservation</header><text>The Secretary shall reserve from the funds made available under subsection (g)—</text> <subclause id="H4B0581DEDC3546C897670D99AD5FC0AD"><enum>(I)</enum><text>for fiscal year 2010, $15,759,000; and</text> </subclause><subclause commented="no" display-inline="no-display-inline" id="HED09D7936D2D4A65BFF09030ECC50627"><enum>(II)</enum><text>for each subsequent fiscal year, $15,759,000, increased by the percentage increase in the Consumer Price Index for All Urban Consumers, between October of the fiscal year preceding the subsequent fiscal year and October 2007.</text> </subclause></clause><clause commented="no" display-inline="no-display-inline" id="H2BF2C9A6577A4B449530B7E5854038D6"><enum>(ii)</enum><header>Fixed amounts</header><text>The Secretary shall use the funds reserved under clause (i) to provide equal fixed amounts to the States.</text> </clause></subparagraph><subparagraph id="H9851002FD70745448EA0A632E79C223B"><enum>(C)</enum><header>Allocation for States</header><text>The Secretary shall allocate to each eligible State for a fiscal year an amount that bears the same relationship to the funds made available under subsection (g) (and not reserved under paragraph (1) or subparagraph (B)) for that fiscal year as the number of persons who are either older individuals or individuals with disabilities in that State bears to the number of such persons or individuals in all the States.</text> </subparagraph><subparagraph id="H1DAE7678D7E144689AC6C8B586D683CD"><enum>(D)</enum><header>Determination of number of persons</header> <clause id="H505E0D8E1CD54CB9A75549CC876E3D53"><enum>(i)</enum><header>Older individuals</header><text>The number of older individuals in any State and in all States shall be determined by the Secretary on the basis of the most recent data available from the Bureau of the Census, and other reliable demographic data satisfactory to the Secretary.</text> </clause><clause id="HFB40788DA0344212A3FDD4B878072BE7"><enum>(ii)</enum><header>Individuals with disabilities</header><text>The number of individuals with disabilities in any State and in all States shall be determined by the Secretary on the basis of the most recent data available from the American Community Survey, and other reliable demographic data satisfactory to the Secretary, on individuals who have a sensory disability, physical disability, mental disability, self-care disability, go-outside-home disability, or employment disability.</text> </clause></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H242C0723EDF14393ADFBCC5A3AFC3664"><enum>(3)</enum><header>Eligibility</header><text>In addition to the States determined by the Secretary to be eligible for a grant under this section, a State that receives a Federal grant for an aging and disability resource center is eligible for a grant under this section.</text> </paragraph><paragraph id="HA37546ADEEAE4144A78FB34312FA96F5"><enum>(4)</enum><header>Definition</header><text>In this subsection, the term <quote>State</quote> shall not include any jurisdiction described in paragraph (1)(B)(ii).</text> </paragraph></subsection><subsection id="H9E38F991482644728A864671981AF4B1"><enum>(d)</enum><header>Applications</header> <paragraph id="H74B0FD396CF24B7884A85AC8D00532E2"><enum>(1)</enum><header>In general</header><text>To be eligible to receive an initial grant under this section, a State agency shall, after consulting and coordinating with consumers, other stakeholders, centers for independent living in the State, if any, and area agencies on aging in the State, if any, submit an application to the Secretary at such time, in such manner, and containing the following information:</text> <subparagraph id="HC2F6FE2B140142EC989D4F53C76BFDD3"><enum>(A)</enum><text>Evidence of substantial involvement of stakeholders and agencies in the State that are administering programs that will be the subject of referrals.</text> </subparagraph><subparagraph id="H54DB6B14010B440587BD98B9BCF57D86"><enum>(B)</enum><text>The applicant’s plan for providing—</text> <clause id="H88FD5A8397DE45EB995E102751CA5647"><enum>(i)</enum><text>comprehensive information on the full range of available public and private long-term services and supports options, providers, and resources, including building awareness of the single-entry point system as a resource;</text> </clause><clause id="H3D4E23250F9D4C478B410FB766BF8A09"><enum>(ii)</enum><text>objective, neutral, and personal information, counseling, and assistance to individuals and their caregivers in assessing their existing or anticipated long-term care needs, and developing and implementing a plan for long-term care to meet their needs;</text> </clause><clause id="HCF38F31836A04AA8AB2328DA719DB1C5"><enum>(iii)</enum><text>for eligibility screening and referral for services;</text> </clause><clause id="H7694E72D847D48B3BF209B4B4AAF0B21"><enum>(iv)</enum><text>for stakeholder input;</text> </clause><clause id="H51C1090B3FC24CCAA69768D911415D7C"><enum>(v)</enum><text>for a management information system; and</text> </clause><clause id="H792982BD90A64762B030F4217B7DE904"><enum>(vi)</enum><text>for an evaluation of the effectiveness of the single-entry point system.</text> </clause></subparagraph><subparagraph id="H18BAA394F9D04AC3BE996C0415443A76"><enum>(C)</enum><text>A specification of the period of the grant request, which shall include not less than 3 consecutive fiscal years in the 5-fiscal-year-period beginning with fiscal year 2010.</text> </subparagraph><subparagraph id="H8A2F2C793E504862A8841DEE7B7001EB"><enum>(D)</enum><text>Such other information as the Secretary determines appropriate.</text> </subparagraph></paragraph><paragraph id="H7C87C59C081D449DA90D350CBCFDC255"><enum>(2)</enum><header>Application for continuation</header> <subparagraph id="H818A7335A7274604A95A03E4F27430EE"><enum>(A)</enum><header>In general</header><text>A State that receives an initial grant under this section shall apply, after consulting and coordinating with the area agencies on aging, for a continuation of the initial grant, which includes a description of any significant changes to the information provided in the initial application and such data concerning performance measures related to the requirements in the initial application as the Secretary shall require.</text> </subparagraph><subparagraph id="H0C6C44B3A5434305B94E926DCE148D1A"><enum>(B)</enum><header>Effect</header><text>The requirement under subparagraph (A) shall be in effect through fiscal year 2020.</text> </subparagraph></paragraph></subsection><subsection id="HD4FA2D3C6AC441699644289240EEEFEF"><enum>(e)</enum><header>Use of funds</header> <paragraph id="H49E530A6C5384EA2BCF7E5989ACDA8C8"><enum>(1)</enum><header>In general</header><text>A State that receives a grant under this section shall use the funds made available through the grant to—</text> <subparagraph id="H0A761A6921204BE4A71356FAA40AE91C"><enum>(A)</enum><text>establish a State single-entry point system, to enable older individuals and individuals with disabilities and their caregivers to obtain resources concerning long-term services and supports options; and</text> </subparagraph><subparagraph id="HE3313FA07DE045F9A9E873C99D59D893"><enum>(B)</enum><text>provide information on, access to, and assistance regarding long-term services and supports.</text> </subparagraph></paragraph><paragraph id="H614C36D5F6554A1BAEE950998CF69E05"><enum>(2)</enum><header>Services</header><text>In particular, the State single-entry point system shall be the referral source to—</text> <subparagraph id="H8B3A8C8B965A4457AE39F2387E6459E2"><enum>(A)</enum><text>provide information about long-term care planning and available long-term services and supports through a variety of media (such as websites, seminars, and pamphlets);</text> </subparagraph><subparagraph id="HC7E43ED39F08480E951B8B37635AB057"><enum>(B)</enum><text>provide assistance with making decisions about long-term services and supports and determining the most appropriate services through options counseling, future financial planning, and case management;</text> </subparagraph><subparagraph id="H21D26EE62DB14D329D7BE85C676149F8"><enum>(C)</enum><text>provide streamlined access to and assistance with applying for federally funded long-term care benefits (including medical assistance under title XIX, Medicare skilled nursing facility services, services under title III of the Older Americans Act of 1965 (42 U.S.C. 3021 et seq.), the services of Aging and Disability Resource Centers), and State-funded and privately funded long-term care benefits, through efforts to shorten and simplify the eligibility processes for older individuals and individuals with disabilities;</text> </subparagraph><subparagraph id="HD1E668EB37064F65A750173FD403B28F"><enum>(D)</enum><text>provide referrals to the State evidence-based disease prevention and health promotion programs under subtitle B;</text> </subparagraph><subparagraph id="HB656737D45DD4360AEE4C528262B8714"><enum>(E)</enum><text>allocate the State funds available under subtitle C and carry out the State enhanced nursing home diversion program under subtitle C; and</text> </subparagraph><subparagraph id="H6B183FB2D3634C5D8703AA9997065772"><enum>(F)</enum><text>and provide information about, other services available in the State that may assist an individual to remain in the community, including the Medicare and Medicaid programs, the State health insurance assistance program, the supplemental nutrition assistance program established under the <act-name parsable-cite="FSA77">Food and Nutrition Act of 2008</act-name> (7 U.S.C. 2011 et seq.), and the Low-Income Home Energy Assistance Program under the Low-Income Home Energy Assistance Act of 1981 (42 U.S.C. 8621 et seq.), and such other services, as the State shall include.</text> </subparagraph></paragraph><paragraph id="H2C3EC84E0D22480F9B9EDF08BB47A92B"><enum>(3)</enum><header>Collaborative arrangements</header> <subparagraph id="H98C1A57C807248018A9F3688929E4185"><enum>(A)</enum><header>Center for independent living</header><text>Each entity receiving an allotment under subsection (c) shall involve in the planning and implementation of the single-entry point system the local center for independent living (as defined in section 702 of the Rehabilitation Act of 1973 (29 U.S.C. 796a)), which provides information, referral, assistance, or services to individuals with disabilities.</text> </subparagraph><subparagraph id="H92009839DFBB4E2FBFCA92F447597840"><enum>(B)</enum><header>Other entities</header><text>To the extent practicable, the State single-entry point system shall enter into collaborative arrangements with aging and disability programs, service providers, agencies, the direct care work force, and other entities in order to ensure that information about such services may be made available to individuals accessing the State single-entry point system.</text> </subparagraph></paragraph></subsection><subsection id="H36840FA668B4439D841BB904CD03EA51"><enum>(f)</enum><header>Federal share</header> <paragraph id="H6570079FBB8841E9B8F8DFACE93D6C2C"><enum>(1)</enum><header>In general</header><text>The Federal share of the cost described in subsection (b) shall be 75 percent.</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="H29141D08568948958289586F9F7F474D"><enum>(2)</enum><header>Non-Federal share</header><text>The State may provide the non-Federal share of the cost in cash or in-kind, fairly evaluated, including plant, equipment, or services. The State may provide the non-Federal share from State, local, or private sources.</text> </paragraph></subsection><subsection id="HDB41D92B8C8E4338A47F57924853DBC1"><enum>(g)</enum><header>Funding</header> <paragraph id="H7B81C5DF17F5480190356321E05D7808"><enum>(1)</enum><header>In general</header><text>The Secretary shall use amounts made available under paragraph (2) to make the grants described in subsection (b).</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="HB2E8762BC62C4803B7C74D8B7BACE327"><enum>(2)</enum><header display-inline="yes-display-inline">Funding</header><text display-inline="yes-display-inline">There are authorized to be appropriated to carry out this section—</text> <subparagraph commented="no" display-inline="no-display-inline" id="H45C2FDD58B4A427F855E74AF3A45C4AB"><enum>(A)</enum><text display-inline="yes-display-inline">$30,900,000 for fiscal year 2010;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HD30B9CF90F9B43C89700D636B4F84FE1"><enum>(B)</enum><text display-inline="yes-display-inline">$38,264,000 for fiscal year 2011;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H439111BD46DC4C519734279E54C9EACF"><enum>(C)</enum><text display-inline="yes-display-inline">$48,410,000 for fiscal year 2012;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HB8A52DE225474F458F24B534C1722E4C"><enum>(D)</enum><text display-inline="yes-display-inline">$53,560,000 for fiscal year 2013;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H0CF723513B2344C18D5AA8DE0BB52CEA"><enum>(E)</enum><text display-inline="yes-display-inline">$63,860,000 for fiscal year 2014;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H5D65A1A4090C4AA38A5E68218B0DDD3F"><enum>(F)</enum><text display-inline="yes-display-inline">$69,010,000 for fiscal year 2015;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HDC8F78ADA4E34BE9A4E3CAD7BFDF1F91"><enum>(G)</enum><text display-inline="yes-display-inline">$74,160,000 for fiscal year 2016;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H42EAE18139A041CD96AF6DC786A19EB7"><enum>(H)</enum><text display-inline="yes-display-inline">$79,310,000 for fiscal year 2017;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H68B9ACD7322E477CB137D149B578A3D4"><enum>(I)</enum><text display-inline="yes-display-inline">$84,460,000 for fiscal year 2018;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HFB0F572A6EDC48B5ACFF67CBDE2FB47A"><enum>(J)</enum><text display-inline="yes-display-inline">$89,610,000 for fiscal year 2019; and</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H79E2A1CF7A41481397CC389994F72A9F"><enum>(K)</enum><text display-inline="yes-display-inline">$95,790,000 for fiscal year 2020.</text> </subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H11B7FE7B0B044CAABFC940EA47953822"><enum>(3)</enum><header>Availability</header><text>Funds appropriated under paragraph (2) shall remain available until expended.</text> </paragraph></subsection></section></subtitle><subtitle id="HAC34102EF5844834B707A1EF068257AC"><enum>B</enum><header>Healthy living program</header> <section id="H8706A2F862E64BCC81BA714615A47A50"><enum>2221.</enum><header>Evidence-based disease prevention and health promotion programs</header> <subsection id="HDD4922E82D364436ACB9836F79AE0FD3"><enum>(a)</enum><header>Program</header><text>The Secretary shall establish and carry out a healthy living program. In carrying out the program, the Secretary shall make grants to State agencies, from allotments described in subsection (b), to pay for the Federal share of the cost of carrying out evidence-based disease prevention and health promotion programs.</text> </subsection><subsection id="HF8F15A417AAE45AF825A2A08A4F3DAE7"><enum>(b)</enum><header>Allotments</header> <paragraph id="H7BD277460FDD47568F044B491999F895"><enum>(1)</enum><header>Allotments to Indian tribes and territories</header> <subparagraph id="HEB9135341E194AC8A92C2FA110F55CA6"><enum>(A)</enum><header>Reservation</header><text>The Secretary shall reserve from the funds made available under subsection (g)—</text> <clause id="HEB59135087A24774AC3DE21DDA5FC023"><enum>(i)</enum><text>for fiscal year 2010, $1,500,952; and</text> </clause><clause id="HBA1A79B58A6644179B53705C3759FE38"><enum>(ii)</enum><text>for each subsequent fiscal year, $1,500,952, increased by the percentage increase in the Consumer Price Index for All Urban Consumers, between October of the fiscal year preceding the subsequent fiscal year and October 2007.</text> </clause></subparagraph><subparagraph id="HF50467AF34784CEAB6F3CEFEFEE9921A"><enum>(B)</enum><header>Allotments</header><text>The Secretary shall use the reserved funds under subparagraph (A) to make allotments to—</text> <clause id="H50336B938E154CD4B73A59C6A8C1F013"><enum>(i)</enum><text>Indian tribes; and</text> </clause><clause commented="no" display-inline="no-display-inline" id="HF5FDAC44BC574D458C71260B74744226"><enum>(ii)</enum><text>Guam, American Samoa, the Commonwealth of the Northern Mariana Islands, the Commonwealth of Puerto Rico, and the United States Virgin Islands.</text> </clause></subparagraph></paragraph><paragraph id="H42A4F26D90C747A1944AF7038AA5EE6C"><enum>(2)</enum><header>In general</header> <subparagraph id="H45A454E907C54B709C4B7105A21F2D1A"><enum>(A)</enum><header>Amounts</header> <clause id="H45F6A737661546A6BD3FCA4F868EC777"><enum>(i)</enum><header>In general</header><text>Except as provided in paragraph (3), the Secretary shall allot to each eligible State for a fiscal year an amount that bears the same relationship to the funds made available under this section and not reserved under paragraph (1) for that fiscal year as the number of older individuals in the State bears to the number of older individuals in all the States.</text> </clause><clause id="H9590EBE508CD44ADA9025B475D435518"><enum>(ii)</enum><header>Older individuals</header><text>The number of older individuals in any State and in all States shall be determined by the Secretary on the basis of the most recent data available from the Bureau of the Census, and other reliable demographic data satisfactory to the Secretary.</text> </clause></subparagraph><subparagraph id="HD797F7E80D5A4D50AB4472CB318736D8"><enum>(B)</enum><header>Subgrants</header> <clause id="HCF9C60074DBD49FCB022E51D06A3C833"><enum>(i)</enum><header>In general</header><text>Each State agency that receives an amount under subparagraph (A) shall award subgrants to area agencies on aging that can demonstrate performance capacity to carry out activities under this section whether such area agency on aging carries out the activities directly or through contract with an aging network entity.</text> </clause><clause id="H94A4D4CD64E94848B1F541509217E73E"><enum>(ii)</enum><header>Subgrants to other entities</header><text>A State agency may make subgrants described in clause (i) to other qualified aging network entities only if the area agency on aging chooses not to apply for a subgrant or is not able to demonstrate performance capacity to carry out the activities described in this section.</text> </clause></subparagraph></paragraph><paragraph id="HFC4376B62C82460B835A3095421BEE3D"><enum>(3)</enum><header>Minimum allotment</header><text>No State shall receive an allotment under this section for a fiscal year that is less than 0.5 percent of the funds made available to carry out this section for that fiscal year and not reserved under paragraph (1).</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="H0A83CF20D0BD4792B2ECF16B798719C1"><enum>(4)</enum><header>Eligibility</header><text>In addition to the States determined by the Secretary to be eligible for a grant under this section, a State that receives a Federal grant for evidence-based disease prevention is eligible for a grant under this section.</text> </paragraph></subsection><subsection id="H44893E24513C402BBC2F238A1954F394"><enum>(c)</enum><header>Applications</header><text>To be eligible to receive a grant under this section, a State agency shall, after consulting and coordinating with consumers, other stakeholders, and area agencies on aging in the State, if any, submit an application to the Secretary at such time, in such manner, and containing the following information:</text> <paragraph id="H9D6BFE263DCF459696B3675DA2A798DF"><enum>(1)</enum><text>A description of the evidence-based disease prevention and health promotion program.</text> </paragraph><paragraph id="H7EED3B26DA1645B1864756C1FD6EBBF2"><enum>(2)</enum><text>Sufficient information to demonstrate that the infrastructure exists to support the program.</text> </paragraph><paragraph id="HD922CA63189E4E60898918D5AC0AE5BF"><enum>(3)</enum><text>A specification of the period of the grant request, which shall include not less than 3 consecutive fiscal years in the 5 fiscal year period beginning with fiscal year 2010.</text> </paragraph><paragraph id="H8412D02306DE4CFF92899E4443BCB8AF"><enum>(4)</enum><text>Such other information as the Secretary determines appropriate.</text> </paragraph></subsection><subsection id="H3D5DA920E14B4060836B1686807C78C2"><enum>(d)</enum><header>Application for continuation</header> <paragraph id="HB4281F1A98FE4BBDA41CF9CF8EF8FC02"><enum>(1)</enum><header>In general</header><text>A State that receives an initial grant under this section shall apply, after consulting and coordinating with the area agencies on aging, for a continuation of the initial grant, which application shall include—</text> <subparagraph id="HB33E1B032FA64330864E12EAD3B90715"><enum>(A)</enum><text>a description of any significant changes to the information provided in the initial application; and</text> </subparagraph><subparagraph id="H90D3D7133B80410ABB8F9F619CFFE474"><enum>(B)</enum><text>such data concerning performance measures related to the requirements in the initial application as the Secretary shall require.</text> </subparagraph></paragraph><paragraph id="H9D26F66FA61F4099B9AAE50285F5CB59"><enum>(2)</enum><header>Effect</header><text>The requirement under paragraph (1) shall be in effect through fiscal year 2020.</text> </paragraph></subsection><subsection id="HB7EE4E501EC14003804A9063BD34AE11"><enum>(e)</enum><header>Use of funds</header><text display-inline="yes-display-inline">A State that receives a grant under this section shall use the funds made available through the grant to carry out—</text> <paragraph id="HFF332162F5554403A124FEA21916EC22"><enum>(1)</enum><text>an evidence-based chronic disease self-management program;</text> </paragraph><paragraph id="H8E2E7582158E4E90AE1C7A6B991527CC"><enum>(2)</enum><text>an evidence-based falls prevention program; or</text> </paragraph><paragraph id="H5AEEA697A3C34600A3050BADC4F3302C"><enum>(3)</enum><text>another evidence-based disease prevention and health promotion program.</text> </paragraph></subsection><subsection id="H0699908A405641D9B9761349F6AF0AD7"><enum>(f)</enum><header>Federal share</header> <paragraph id="H68D6A2D3A2F54882856806D581F7CD3B"><enum>(1)</enum><header>In general</header><text>The Federal share of the cost described in subsection (a) shall be 85 percent.</text> </paragraph><paragraph id="H89EA01BBEEAA4D188D61ED093573C826"><enum>(2)</enum><header>Non-Federal share</header><text>The State may provide the non-Federal share of the cost in cash or in-kind, fairly evaluated, including plant, equipment, or services. The State may provide the non-Federal share from State, local, or private sources.</text> </paragraph></subsection><subsection id="H6E120DC780984D74936622E4C7DD1D72"><enum>(g)</enum><header>Funding</header> <paragraph id="H72804EA75C4142E899A6F305CD94882D"><enum>(1)</enum><header>In general</header><text>The Secretary shall use amounts made available under paragraph (2) to make the grants described in subsection (a).</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="H6E8EAD540BA647B7936B60D55DF1A9E7"><enum>(2)</enum><header display-inline="yes-display-inline">Funding</header><text display-inline="yes-display-inline">There are authorized to be appropriated to carry out this section—</text> <subparagraph commented="no" display-inline="no-display-inline" id="H9C7CA32F21FC48A2944CDB4720D6C538"><enum>(A)</enum><text display-inline="yes-display-inline">$36,050,000 for fiscal year 2010;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HA76D8919F23E40F4B942DDFAFD1FBF5E"><enum>(B)</enum><text display-inline="yes-display-inline">$41,200,000 for fiscal year 2011;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H9DB6B9B89C7648A8B318AF6BC327C995"><enum>(C)</enum><text display-inline="yes-display-inline">$56,650,000 for fiscal year 2012;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HD74EEE326670425D9A7C20253F1750C8"><enum>(D)</enum><text display-inline="yes-display-inline">$77,250,000 for fiscal year 2013;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HEF5EACF8574A4DCF813328AF7EFC8DB7"><enum>(E)</enum><text display-inline="yes-display-inline">$92,700,000 for fiscal year 2014;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H88FC2E60D2F74EF6AE3D812B6B5A8740"><enum>(F)</enum><text display-inline="yes-display-inline">$103,000,000 for fiscal year 2015;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H1A40E36FA4DA4678BFC29B2850DCB160"><enum>(G)</enum><text display-inline="yes-display-inline">$118,450,000 for fiscal year 2016;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H72A8EEB92AE84A23802FEB64A53F2CA5"><enum>(H)</enum><text display-inline="yes-display-inline">$133,900,000 for fiscal year 2017;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HA3DEFF6791D146D49088D745F6148EC4"><enum>(I)</enum><text display-inline="yes-display-inline">$149,350,000 for fiscal year 2018;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HD0C7BA4B5FC64FECBDC52026F1059BF8"><enum>(J)</enum><text display-inline="yes-display-inline">$157,590,000 for fiscal year 2019; and</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H17F33CDC834B449E9ED59A4255032DFD"><enum>(K)</enum><text display-inline="yes-display-inline">$173,040,000 for fiscal year 2020.</text> </subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="HBFBF47111A594D9EBFA8CD0FC72EA735"><enum>(3)</enum><header>Availability</header><text display-inline="yes-display-inline">Funds appropriated under paragraph (2) shall remain available until expended.</text> </paragraph></subsection></section></subtitle><subtitle id="HA168F3BD392E49FCA9864CC301306C75"><enum>C</enum><header>Diversion Programs</header> <section id="H47F5D58C64BA46A69D1F1FB46A61F4E5"><enum>2231.</enum><header>Enhanced nursing home diversion programs</header> <subsection id="HB00B8A754E904AA4A3B1FA7D5D4EC8F7"><enum>(a)</enum><header>Definition</header><text>In this section:</text> <paragraph id="H1FBC7998185B4A608048E29E503763E7"><enum>(1)</enum><header>Low-income senior</header><text>The term <term>low-income senior</term> means an individual who—</text> <subparagraph id="H01380533F3024660917707CB673C7F46"><enum>(A)</enum><text>is age 75 or older; and</text> </subparagraph><subparagraph id="H296B5ED00C8E47DF9834927BF3322730"><enum>(B)</enum><text>is from a household with a household income that is not less than 150 percent, and not more than 300 percent, of the poverty line.</text> </subparagraph></paragraph><paragraph id="H48B97F05B5E947DABDD5701F9A7FF0CB"><enum>(2)</enum><header>Nursing home</header><text>The term <term>nursing home</term> means—</text> <subparagraph id="H6FD51B0D241D4D198A620613CC6EF0C3"><enum>(A)</enum><text>a skilled nursing facility, as defined in section 1819(a); or</text> </subparagraph><subparagraph id="HDDFB6E19EEA5429E8CC1381A2B8AEB67"><enum>(B)</enum><text>a nursing facility, as defined in section 1919(a).</text> </subparagraph></paragraph></subsection><subsection id="H74ADFEEEA38B40C49D1EDCC55A5DE6DF"><enum>(b)</enum><header>Program</header> <paragraph id="H51255257B68048EDBF5759814C09D0FD"><enum>(1)</enum><header>In general</header><text>The Secretary shall establish and carry out a diversion program. In carrying out the program, the Secretary shall make grants to States, from allotments described in subsection (c), to pay for the Federal share of the cost of carrying out enhanced nursing home diversion programs.</text> </paragraph><paragraph id="HE2B15783A3F148678CA104D528F3C1F0"><enum>(2)</enum><header>Cohorts</header><text>The Secretary shall make the grants to—</text> <subparagraph id="HCC280AFBB37C4CF8809FC9F52DEDC493"><enum>(A)</enum><text>a first year cohort consisting of one-third of the States, for fiscal year 2010;</text> </subparagraph><subparagraph id="H4FEE3337873C41098BA3CBCC1870148F"><enum>(B)</enum><text>a second year cohort consisting of the cohort described in subparagraph (A) and an additional one-third of the States, for fiscal year 2011; and</text> </subparagraph><subparagraph id="H918478A07D3E455B9E55BDFB1908B8E3"><enum>(C)</enum><text>a third year cohort consisting of all the eligible States, for fiscal year 2012 and each subsequent fiscal year.</text> </subparagraph></paragraph><paragraph id="HD91B6663E6E84175917B9652EC998321"><enum>(3)</enum><header>Readiness</header><text>In determining whether to include an eligible State in the first year, second year, or third year and subsequent year cohort, the Secretary shall consider the readiness of the State to carry out an enhanced nursing home diversion program under this section. Readiness shall be determined based on a consideration of the following factors:</text> <subparagraph id="HC8D8F1525C8D4D1AAD1B22039B7EF1A8"><enum>(A)</enum><text>Availability of a comprehensive array of home and community-based services.</text> </subparagraph><subparagraph id="HCF0957DECAAF48CEB7E9F49E61D022AA"><enum>(B)</enum><text>Sufficient home and community-based services provider capacity.</text> </subparagraph><subparagraph id="HF6A800AD15104981872115A99AF04EEE"><enum>(C)</enum><text>Availability of housing.</text> </subparagraph><subparagraph id="H063BDE973BD142B081E6833577D055AA"><enum>(D)</enum><text>Availability of supports for consumer-directed services, including whether a fiscal intermediary is in place.</text> </subparagraph><subparagraph id="HAB0E61B4EEE24C4B984D616D301B6E6C"><enum>(E)</enum><text>Ability to perform timely eligibility determinations and assessment for services.</text> </subparagraph><subparagraph id="H20552AE6EA3144458B044F565233387E"><enum>(F)</enum><text>Existence of a quality assessment and improvement program for home and community-based services.</text> </subparagraph><subparagraph id="HEF1CB7BE4B9B4394A3A059E775C589D6"><enum>(G)</enum><text>Such other factors as the Secretary determines appropriate.</text> </subparagraph></paragraph></subsection><subsection id="H547524E3A874450792B5625E0AB49792"><enum>(c)</enum><header>Allotments</header> <paragraph id="H736B0773663149779B4E43492D3C115E"><enum>(1)</enum><header>In general</header> <subparagraph id="HFCEFAECB7F604DC9B8A36AC267334748"><enum>(A)</enum><header>Amount</header><text>The Secretary shall allot to an eligible State (within the applicable cohort) for a fiscal year an amount that bears the same relationship to the funds made available under subsection (i) for that fiscal year as the number of low-income seniors in the State bears to the number of low-income seniors within States in the applicable cohort for that fiscal year.</text> </subparagraph><subparagraph id="H9740BB184BD644A1BF90CD556CFF67A4"><enum>(B)</enum><header>Low-income seniors</header><text>The number of low-income seniors in any State and in all States shall be determined by the Secretary on the basis of the most recent data available from the American Community Survey, and other reliable demographic data satisfactory to the Secretary.</text> </subparagraph></paragraph><paragraph id="HFB40D0C5397C43FE8B3AE49558317FC7"><enum>(2)</enum><header>Eligibility</header><text>In addition to the States determined by the Secretary to be eligible for a grant under this section, a State that receives a Federal grant for a nursing home diversion is eligible for a grant under this section.</text> </paragraph></subsection><subsection id="id273494B2BD75488F9C335CD40B08B5C7"><enum>(d)</enum><header>Applications</header><text>To be eligible to receive a grant under this section, a State agency shall, after consulting and coordinating with consumers, other stakeholders, and area agencies on aging in the State, if any, submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require, including a specification of the period of the grant request, which shall include not less than 3 consecutive fiscal years in the 5 fiscal year period beginning with the fiscal year prior to the year of application.</text> </subsection><subsection id="HF654A084E1CD4629BCEDD38991F5C444"><enum>(e)</enum><header>Application for continuation</header> <paragraph id="HC98EB8E7AAE94EC9BE865243572DF802"><enum>(1)</enum><header>In general</header><text>A State that receives an initial grant under this section shall apply, after consulting and coordinating with the area agencies on aging, for a continuation of the initial grant, which application shall include—</text> <subparagraph id="H97E9762E0AC14C57B44EDDA236B9F716"><enum>(A)</enum><text>a description of any significant changes to the information provided in the initial application; and</text> </subparagraph><subparagraph id="H5C277100618D4B35BF46C4D0A3D419CF"><enum>(B)</enum><text>such data concerning performance measures related to the requirements in the initial application as the Secretary shall require.</text> </subparagraph></paragraph><paragraph id="H0E613ECDE61142749EA0AB1C2CF62DE0"><enum>(2)</enum><header>Effect</header><text>The requirement under paragraph (1) shall be in effect through fiscal year 2020.</text> </paragraph></subsection><subsection id="H436B81E3CB914BA3A002F5F7F00491CE"><enum>(f)</enum><header>Use of funds</header> <paragraph id="HF626966BE9024EAD884AB7A398FAF51E"><enum>(1)</enum><header>In general</header><text>A State that receives a grant under this section shall carry out the following:</text> <subparagraph id="HEEDC43613C514356839BBCBBAB354674"><enum>(A)</enum><text>Use the funds made available through the grant to carry out an enhanced nursing home diversion program that enables eligible individuals to avoid admission into nursing homes by enabling the individuals to obtain alternative long-term services and supports and remain in their communities.</text> </subparagraph><subparagraph id="H5085A210737A4CB99008A29B6E72A20E"><enum>(B)</enum><text>Award subgrants to area agencies on aging that can demonstrate performance capacity to carry out activities under this section whether such area agency on aging carries out the activities directly or through contract with an aging network entity. A State may make subgrants to other qualified aging network entities only if the area agency on aging chooses not to apply for a subgrant or is not able to demonstrate performance capacity to carry out the activities described in this section.</text> </subparagraph></paragraph><paragraph id="HDDB31BE34A814CE69AA65B1E2287664A"><enum>(2)</enum><header>Case management</header> <subparagraph id="H0CE8743C52DA443CA3569603186B6FDF"><enum>(A)</enum><header>In general</header><text>The State, through the State single-entry point system established under subtitle A, shall provide for case management services to the eligible individuals.</text> </subparagraph><subparagraph id="H9A2000755C894F9CA57964446E5DFCD5"><enum>(B)</enum><header>Use of existing services</header><text>In carrying out subparagraph (A), the State agency or area agency on aging may utilize existing case management services delivery networks if—</text> <clause id="H67D8D8C6952E4E4FA44D657F8F3A6D9E"><enum>(i)</enum><text>the networks have adequate safeguards against potential conflicts of interest; and</text> </clause><clause id="HA942C250B84E45999D350121244E6F3E"><enum>(ii)</enum><text>the State agency or area agency on aging includes a description of such safeguards in the grant application.</text> </clause></subparagraph><subparagraph id="H85FCD2467CFD4838BB3BE15C2F433B5F"><enum>(C)</enum><header>Care plan</header><text>The State shall provide for development of a care plan for each eligible individual served, in consultation with the eligible individual and their caregiver, as appropriate. In developing the care plan, the State shall explain the option of consumer directed care and assist an individual, who so requests, with developing a consumer-directed care plan that shall include arranging for support services and funding. Such assistance shall include providing information and outreach to individuals in the hospital, in a nursing home for post-acute care, or undergoing changes in their health status or caregiver situation.</text> </subparagraph></paragraph></subsection><subsection id="H4726936F81DB4513A2E625BE3779B103"><enum>(g)</enum><header>Eligible individuals</header><text display-inline="yes-display-inline">In this section, the term <quote>eligible individual</quote> means an individual—</text> <paragraph id="HC07A9EDB78304821A23AED49DD101857"><enum>(1)</enum><text>who has been determined by the State to be at high functional risk of nursing home placement, as defined by the State agency in the State agency's grant application;</text> </paragraph><paragraph id="H70E2BBF8E653442B96B23F09913CE670"><enum>(2)</enum><text>who is not eligible for medical assistance under title XIX; and</text> </paragraph><paragraph id="H27EF5BAECF23437C8E7FED0DABCFBDD6"><enum>(3)</enum><text>who meets the income and asset eligibility requirements established by the State and included in such State’s grant application for approval by the Secretary.</text> </paragraph></subsection><subsection id="H529988BF1F984A9E96ECD79122750A30"><enum>(h)</enum><header>Federal share</header> <paragraph id="HF144F53C1CC14A1D8A24DE4F71AF2BD5"><enum>(1)</enum><header>In general</header><text>The Federal share of the cost described in subsection (b) shall be, for a State and for a fiscal year, the sum of—</text> <subparagraph id="HFE5B3D0D1B2A45C6B59ABF1BE75A6D2E"><enum>(A)</enum><text>the Federal medical assistance percentage applicable to the State for the year under section 1905(b); and</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HEEA48D79830B4E489657D1835A83EC6A"><enum>(B)</enum><text>5 percentage points.</text> </subparagraph></paragraph><paragraph id="H91B7DEE7F6BD44EFAA38CDAB70B2AA88"><enum>(2)</enum><header>Non-Federal share</header><text>The State may provide the non-Federal share of the cost in cash or in-kind, fairly evaluated, including plant, equipment, or services. The State may provide the non-Federal share from State, local, or private sources.</text> </paragraph></subsection><subsection id="HEA19C41E10484250AA6F430DE168DC01"><enum>(i)</enum><header>Funding</header> <paragraph id="H97DA707BA3C7465592B8E84887A91E6F"><enum>(1)</enum><header>In general</header><text>The Secretary shall use amounts made available under paragraph (2) to make the grants described in subsection (b).</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="HA014007FEFB54EFD8BF7E6CD2162C7F7"><enum>(2)</enum><header display-inline="yes-display-inline">Funding</header><text display-inline="yes-display-inline">There are authorized to be appropriated to carry out this section—</text> <subparagraph id="H0D87164F87B74E50880EAD0E08651F70"><enum>(A)</enum><text>$111,825,137 for fiscal year 2010;</text> </subparagraph><subparagraph id="H982E803D62F0475DB163EBBE81E6FF44"><enum>(B)</enum><text>$337,525,753 for fiscal year 2011;</text> </subparagraph><subparagraph id="H1E7FD3D1DC5E4BD0902A4109A00BC26D"><enum>(C)</enum><text>$650,098,349 for fiscal year 2012;</text> </subparagraph><subparagraph id="HE6E51AB9AF1E4EACA4ECCB9C96096B1D"><enum>(D)</enum><text>$865,801,631 for fiscal year 2013;</text> </subparagraph><subparagraph id="H0A82B77E37604DAAA1A4D23B28457B24"><enum>(E)</enum><text>$988,504,887 for fiscal year 2014;</text> </subparagraph><subparagraph id="HDC39C8C530D447A8B4F4BD1CCFCA621C"><enum>(F)</enum><text>$1,124,547,250 for fiscal year 2015;</text> </subparagraph><subparagraph id="HD38F2666B3204F438557FC5B43345AF7"><enum>(G)</enum><text>$1,276,750,865 for fiscal year 2016;</text> </subparagraph><subparagraph id="H4865B120761C49F897992F412E2044CD"><enum>(H)</enum><text>$1,364,488,901 for fiscal year 2017;</text> </subparagraph><subparagraph id="H4AD92532632644199E4A4A6E76B402D8"><enum>(I)</enum><text>$1,466,769,052 for fiscal year 2018;</text> </subparagraph><subparagraph id="HF5F818A064F344A1B059A7D9FEC2496E"><enum>(J)</enum><text>$1,712,755,702 for fiscal year 2019; and</text> </subparagraph><subparagraph id="H306308433B8446689DBAA97B28BCBA25"><enum>(K)</enum><text>$1,712,755,702 for fiscal year 2020.</text> </subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H464114D257D8486D973D9241E5804881"><enum>(3)</enum><header>Availability</header><text display-inline="yes-display-inline">Funds appropriated under paragraph (2) shall remain available until expended.</text> </paragraph></subsection></section></subtitle><subtitle id="H72FFAE64813B4B5D80396BD4CA01E253"><enum>D</enum><header>Administration, evaluation, and technical assistance</header> <section id="H85599DB4FEA843EC856100065C7C01D0"><enum>2241.</enum><header>Administration, evaluation, and technical assistance</header> <subsection id="HF86E9CF7215B40568549E10EC1F84A85"><enum>(a)</enum><header>Administration and expenses</header><text>For purposes of carrying out this title, there are authorized to be appropriated for administration and expenses—</text> <paragraph id="H8816B97D84A0452DA89DB0911FD0DBEF"><enum>(1)</enum><text>of the area agencies on aging—</text> <subparagraph id="HBA47BB5C4E7A4E97982F0090BD59FED4"><enum>(A)</enum><text>$16,825,895 for fiscal year 2010;</text> </subparagraph><subparagraph id="H0144F570E22B49D49C8DF2C9141097F7"><enum>(B)</enum><text>$39,246,141 for fiscal year 2011;</text> </subparagraph><subparagraph id="HD282C397E012448C9C7399BF6B3993D3"><enum>(C)</enum><text>$50,766,948 for fiscal year 2012;</text> </subparagraph><subparagraph id="H3EF0962E14AD4C44BB18D4ABB69490A9"><enum>(D)</enum><text>$66,999,101 for fiscal year 2013;</text> </subparagraph><subparagraph id="H628890FF2D0F4E7DB78E60FB9F5780CE"><enum>(E)</enum><text>$76,979,152 for fiscal year 2014;</text> </subparagraph><subparagraph id="HEE9B7299FF0841A6A50FCC812E24B04F"><enum>(F)</enum><text>$87,163,513 for fiscal year 2015;</text> </subparagraph><subparagraph id="H9D9F9EE92C294AA2953E35D1811D59B2"><enum>(G)</enum><text>$98,780,562 for fiscal year 2016;</text> </subparagraph><subparagraph id="H020A5E5561F6452CBD64FD9FC50CCF2A"><enum>(H)</enum><text>$106,063,792 for fiscal year 2017;</text> </subparagraph><subparagraph id="HB2E28BF886F242978F494F9A5305F653"><enum>(I)</enum><text>$114,324,642 for fiscal year 2018;</text> </subparagraph><subparagraph id="HBD03E016FB044296AC41674AD9F2A600"><enum>(J)</enum><text>$123,312,948 for fiscal year 2019; and</text> </subparagraph><subparagraph id="H4500D65D25F34CE8A5413BF72FB63E49"><enum>(K)</enum><text>$133,215,845 for fiscal year 2020;</text> </subparagraph></paragraph><paragraph id="H13CB2538B4B746E6A351B085781A38DD"><enum>(2)</enum><text>of the State agencies—</text> <subparagraph id="HA5451063C05C4453B65D0108D454588C"><enum>(A)</enum><text>$8,412,948 for fiscal year 2010;</text> </subparagraph><subparagraph id="HF440DADB45794C8A873F9C93DBBCC843"><enum>(B)</enum><text>$19,623,071 for fiscal year 2011;</text> </subparagraph><subparagraph id="H90A24D6B176A4C0B8B8BB628633E4A8B"><enum>(C)</enum><text>$25,383,474 for fiscal year 2012;</text> </subparagraph><subparagraph id="HDCE89312D49A4D8C804881F8D66C35B1"><enum>(D)</enum><text>$33,499,551 for fiscal year 2013;</text> </subparagraph><subparagraph id="HF953BF39A0F344BF84D86BA456BCF450"><enum>(E)</enum><text>$38,489,576 for fiscal year 2014;</text> </subparagraph><subparagraph id="H821488DDE76E42B1BCC4626068036122"><enum>(F)</enum><text>$43,581,756 for fiscal year 2015;</text> </subparagraph><subparagraph id="H54E474664377443E8AC001ABFB08EE45"><enum>(G)</enum><text>$49,390,281 for fiscal year 2016;</text> </subparagraph><subparagraph id="H270F5ADC9A4A443894A5370A69372D5D"><enum>(H)</enum><text>$53,031,896 for fiscal year 2017;</text> </subparagraph><subparagraph id="HD796BA62ADF04B48A098EA8A590BE775"><enum>(I)</enum><text>$57,162,321 for fiscal year 2018;</text> </subparagraph><subparagraph id="H8C4C1308C78F4CFFB3DA0DB86AC25CFB"><enum>(J)</enum><text>$61,656,474 for fiscal year 2019; and</text> </subparagraph><subparagraph id="HA27D40087CCA42ECBB7B02C51DCBAA36"><enum>(K)</enum><text>$66,607,923 for fiscal year 2020; and</text> </subparagraph></paragraph><paragraph id="H2B0B11860ABC48CCBBD5A8C1285275EC"><enum>(3)</enum><text>of the Administration—</text> <subparagraph id="H9271C1ED6D6A41EE800C29D8C996345B"><enum>(A)</enum><text>$2,103,237 for fiscal year 2010;</text> </subparagraph><subparagraph id="HE5283B3091D546A3B5E4DEFC5D549F81"><enum>(B)</enum><text>$4,905,768 for fiscal year 2011;</text> </subparagraph><subparagraph id="H442351F4EB344FF3984FE6BD5C22B29C"><enum>(C)</enum><text>$6,345,868 for fiscal year 2012;</text> </subparagraph><subparagraph id="HFFACC16BC26F487D85EE515EB081424D"><enum>(D)</enum><text>$8,374,888 for fiscal year 2013;</text> </subparagraph><subparagraph id="H784FCBF9E57743DB9A23653F57D3C228"><enum>(E)</enum><text>$9,622,394 for fiscal year 2014;</text> </subparagraph><subparagraph id="HE1D0E73A9A76420F88EDB5BD8D4884B6"><enum>(F)</enum><text>$10,895,439 for fiscal year 2015;</text> </subparagraph><subparagraph id="H28DC5E6C8D2E476CA2194E2CAA218971"><enum>(G)</enum><text>$12,347,570 for fiscal year 2016;</text> </subparagraph><subparagraph id="H2E2E1EC761164933A8EA452B0FD4BAB1"><enum>(H)</enum><text>$13,257,974 for fiscal year 2017;</text> </subparagraph><subparagraph id="H7C100507249446358C0324DDDE35ABC2"><enum>(I)</enum><text>$14,290,580 for fiscal year 2018;</text> </subparagraph><subparagraph id="H2490C456ED984E67A66854590164594F"><enum>(J)</enum><text>$15,414,118 for fiscal year 2019; and</text> </subparagraph><subparagraph id="H84C1C40C77D648E3B6B93C39C59EEA66"><enum>(K)</enum><text>$16,651,981 for fiscal year 2020.</text> </subparagraph></paragraph></subsection><subsection id="HC07CC711651B49BE8A5767323CE1EBE3"><enum>(b)</enum><header>Evaluation and technical assistance</header> <paragraph id="HDD8E0DDD622B4F2AA8511ECBB75C3A0D"><enum>(1)</enum><header>Conditions to receipt of grant</header><text>In awarding grants under this title, the Secretary shall condition receipt of the grant for the second and subsequent grant years on a satisfactory determination that the State agency is meeting benchmarks specified in the grant agreement for each grant awarded under this title.</text> </paragraph><paragraph id="H9958A5B0A5364557831ABAE5894BB7BB"><enum>(2)</enum><header>Evaluations</header><text>The Secretary shall measure and evaluate, either directly or through grants or contracts, the impact of the programs authorized under this title. Not later than June 1 of the year that is 6 years after the year of the date of enactment of the <short-title>Project 2020: Building on the Promise of Home and Community-Based Services Act of 2009</short-title> and every 2 years thereafter, the Secretary shall—</text> <subparagraph id="H4B783DFDDCF64A718449D420B3BEBB1C"><enum>(A)</enum><text>compile the reports of the measures and evaluations of the grantees;</text> </subparagraph><subparagraph id="H280A595114DD42E88B1C1AADBDF414D3"><enum>(B)</enum><text>establish benchmarks to show progress toward savings; and</text> </subparagraph><subparagraph id="HCFD5307FAF8E4E3C826E9645938CAFAC"><enum>(C)</enum><text>present a compilation of the information under this paragraph to Congress.</text> </subparagraph></paragraph><paragraph id="H68A394189D844064A4C57DD887BA6EB2"><enum>(3)</enum><header>Technical assistance grants</header><text>The Secretary shall award technical assistance grants, including State specific grants whenever practicable, to carry out the programs authorized under this title.</text> </paragraph><paragraph id="HF839866170C34B9B8323C3025518FE3A"><enum>(4)</enum><header>Transfer</header><text>There are authorized to be appropriated for such evaluation and technical assistance under this subsection—</text> <subparagraph id="H8AC11B6F8C7B424994542FFE357D6ACE"><enum>(A)</enum><text>$4,206,474 for fiscal year 2010;</text> </subparagraph><subparagraph id="HD654044B026347B4809C6E3ED7E4C856"><enum>(B)</enum><text>$9,811,535 for fiscal year 2011;</text> </subparagraph><subparagraph id="H97D3C243602845DE9DCA2072375F039A"><enum>(C)</enum><text>$8,461,158 for fiscal year 2012;</text> </subparagraph><subparagraph id="HD4E5D618E676432AB451D81455311322"><enum>(D)</enum><text>$11,166,517 for fiscal year 2013;</text> </subparagraph><subparagraph id="H08C63D768A7C435493EF6A80D3BC36B2"><enum>(E)</enum><text>$12,829,859 for fiscal year 2014;</text> </subparagraph><subparagraph id="H54547B2A52244C74BC968775EBF37D8C"><enum>(F)</enum><text>$14,527,252 for fiscal year 2015;</text> </subparagraph><subparagraph id="H0AC6B4FEABDE41518D87B9A49E91B659"><enum>(G)</enum><text>$16,463,427 for fiscal year 2016;</text> </subparagraph><subparagraph id="H131D24B9B9D6417AACFA90A3C7086E60"><enum>(H)</enum><text>$17,677,299 for fiscal year 2017;</text> </subparagraph><subparagraph id="HE82B2F4E088B4898AE0D38A11136930E"><enum>(I)</enum><text>$19,054,107 for fiscal year 2018;</text> </subparagraph><subparagraph id="H088F539664984DAC945E28B91BE3CF8D"><enum>(J)</enum><text>$20,552,158 for fiscal year 2019; and</text> </subparagraph><subparagraph id="HBFACB87B7BA34C8684993BA0DD33F308"><enum>(K)</enum><text>$22,202,641 for fiscal year 2020.</text> </subparagraph></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="HED0E2D8E637F4377B3FD6CB26CECB072"><enum>(c)</enum><header>Availability</header><text display-inline="yes-display-inline">Funds appropriated under this section shall remain available until expended.</text> </subsection></section></subtitle>

Long-term services and supports

The Social Security Act (42 U.S.C. 301 et seq.) is amended by adding at the end the following: