1.This Act may be cited as
the Home Care Consumer Bill of Rights
Act
.
<enum>I</enum><header>Home
care bill of rights</header>
<section id="ID3ee97bfcd2564316a0607ab20ce91fdf"><enum>101.</enum><header>Administration
on aging</header><text display-inline="no-display-inline">Section 201(e)(2) of
the Older Americans Act of 1965 (42 U.S.C. 3011(e)(2)) is amended—</text>
<paragraph id="idFD02405E4EC644C796C0AF606025FDA3"><enum>(1)</enum><text display-inline="yes-display-inline">in subparagraph (A), by striking
<quote>and</quote> at the end;</text>
</paragraph><paragraph id="id7296EDF99AB14FD690670BDDF8DA8ED6"><enum>(2)</enum><text>in subparagraph
(B), by striking the period and inserting <quote>; and</quote>; and</text>
</paragraph><paragraph id="idE298F62568C3402CA8DB113875C51A37"><enum>(3)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="idFDA57FEC7C304179904B536E86D0E942" style="OLC">
<subparagraph id="ID902bd1c48cd7406f8fa273ee0a01ce99" indent="up1"><enum>(C)</enum><text>to establish best practices for
State-based enforcement of a Home Care Consumer Bill of Rights through a Plan
for Enforcement, as such Bill and Plan are outlined in section 705, not later
than 6 months after the date of enactment of the Home Care Consumer Bill of
Rights Act, and to make those best practices available to States, and to the
public through the National Center on Elder Abuse;</text>
</subparagraph><subparagraph id="IDf039e778cd6f44a0918502c7c8d4673c" indent="up1"><enum>(D)</enum><text>to assist States with the development
of Home Care Consumer Bills of Rights and Plans for Enforcement, to support the
shift from institutional care to home and community-based long-term services
and supports and ensure that home care consumers, as defined in section 736,
have basic protections as outlined in subsections (b) and (c) of section
705;</text>
</subparagraph><subparagraph id="IDd2311fe685cc4e8d8a12944d5bfadb9e" indent="up1"><enum>(E)</enum><text>to develop a process for review and
approval of States’ Home Care Consumer Bills of Rights and Plans for
Enforcement, not later than 6 months after the date of enactment of the Home
Care Consumer Bill of Rights Act; and</text>
</subparagraph><subparagraph id="ID41352c9d9add4e5abacc412d6c0f81ea" indent="up1"><enum>(F)</enum><text>to review and approve States’ Home
Care Consumer Bills of Rights and Plans for Enforcement through that
process.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="idC38689EE03034796B26DF8BABAE1E525"><enum>102.</enum><header>Additional
State plan requirements</header>
<subsection id="idB9F1307E387F4BD3BCE155A8FDC3A9A9"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Section 705 of the
Older Americans Act of 1965 (42 U.S.C. 3058d) is amended—</text>
<paragraph id="id493B5BBB6BAC40E3B181741817A1C147"><enum>(1)</enum><text>in subsection
(a)—</text>
<subparagraph id="idED2F0A0D7B4D4BEAAB40D717AF932D56"><enum>(A)</enum><text>in paragraph (6),
by striking <quote>and</quote> at the end;</text>
</subparagraph><subparagraph id="id868196D6B2B041ED831AC201DAD2C67F"><enum>(B)</enum><text>in paragraph (7),
by striking the period and inserting <quote>; and</quote>; and</text>
</subparagraph><subparagraph id="idF881637786684D5382E13C2928FFDE92"><enum>(C)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id377F87C74E9C4D0AB1188F5576B334A0" style="OLC">
<paragraph id="ID74b15bc7704449c48edfab641acaa60f"><enum>(8)</enum><text>subject to
section 102(b) of the <short-title>Home Care Consumer Bill
of Rights Act</short-title>, an assurance—</text>
<subparagraph id="id5423D676FCD544DE85A921E3B2207026"><enum>(A)</enum><text>that the State
has a Home Care Consumer Bill of Rights and a Plan for Enforcement of such a
Bill, developed in accordance with the procedures described under paragraph (2)
and as approved by the Assistant Secretary, and include a copy of the Bill and
Plan; or</text>
</subparagraph><subparagraph id="id4F5F58A4A2514BFA87BE409BB1C74FC2"><enum>(B)</enum><text>at the discretion
of the Assistant Secretary, in the event the State does not have an approved
Home Care Consumer Bill of Rights and Plan for Enforcement, that the State has
an alternative such as a proposal for developing and submitting for approval a
Home Care Consumer Bill of Rights and Plan for
Enforcement.</text>
</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="idF1B183FAC1074708AD92BF23428AD1AE"><enum>(2)</enum><text>by redesignating
subsection (b) as subsection (d);</text>
</paragraph><paragraph id="idFFEEB694853F47E3B88B3749620BCF3A"><enum>(3)</enum><text>by inserting
after subsection (a) the following:</text>
<quoted-block display-inline="no-display-inline" id="id46693D483B864F2BA8048306F52C2042" style="OLC">
<subsection id="id3C0CD9A99C5E40379D51C740C921A714"><enum>(b)</enum><header>Home Care
Consumer Bill of Rights</header><text>The Home Care Consumer Bill of Rights
referred to in subsection (a)(8) shall, at a minimum—</text>
<paragraph id="ID31ccc985627348938fccb78d9af0dcd0"><enum>(1)</enum><text>address a home
care consumer’s right to basic safety by—</text>
<subparagraph id="ID613b214e43d04c05b68971a8310bd301"><enum>(A)</enum><text>affirming that
home care consumers are protected from physical, sexual, mental, and verbal
abuse, neglect, and exploitation, including financial exploitation;</text>
</subparagraph><subparagraph id="ID5c9e6e494d59478d834930f7d85cf6c0"><enum>(B)</enum><text>affirming that
home care consumers are served by providers who are properly trained and are
providing home care services within their scope of practice and the scope of
their certification or licensure (if such a certification or licensure is
required by the applicable State);</text>
</subparagraph><subparagraph id="IDf11c3fb0cb874e8caff7c46e9e651acf"><enum>(C)</enum><text>affirming that
such providers maintain the confidentiality of all personal, financial, and
medical information of home care consumers; and</text>
</subparagraph><subparagraph id="IDfa66567fedfc4f54b7663924215f4bf0"><enum>(D)</enum><text>affirming that
providers respect the personal property of home care consumers, and in the
event of consumer reports of theft or loss, investigate and report back to the
consumer the results of the investigation;</text>
</subparagraph></paragraph><paragraph id="ID9ddebc9f5e4a46e0bfa7ce4f5b8d5143"><enum>(2)</enum><text>address a home
care consumer’s right to access information by—</text>
<subparagraph id="IDc2a2309e456f435094c58a29120f6381"><enum>(A)</enum><text>affirming that
home care consumers are informed of their rights under this subsection and
subsection (c) within 2 weeks after the start of home care services, and about
the entities the consumers may contact if their rights are violated, including
the name and contact information for State and local agencies responsible for
enforcing the Home Care Consumer Bill of Rights;</text>
</subparagraph><subparagraph id="ID3c602f13f5bf41d0bff4ee7ccd87e8a9"><enum>(B)</enum><text>affirming that
home care consumers—</text>
<clause id="id41ABB3A81B9D4EDB840822A85840E617"><enum>(i)</enum><text>are informed of
the cost of home care services prior to receiving those services, whether the
cost of those services are covered under health insurance, long-term care
insurance, or other private and public programs, and any charges the consumer
will be expected to pay; and</text>
</clause><clause id="idA64437E1F6A6439E8C028CFBF3178140"><enum>(ii)</enum><text>are given
advance notice of any changes to those costs or services; and</text>
</clause></subparagraph><subparagraph id="IDa0d4599c7fdb49528f95c920c628cd70"><enum>(C)</enum><text>affirming that
home care consumers have access to information about the availability of the
home care services provided in the community involved and have the ability to
choose among home care services and providers of home care services available
in the community;</text>
</subparagraph></paragraph><paragraph id="ID5e926410eaf840c3b071a26223c2b0df"><enum>(3)</enum><text>address a home
care consumer’s right to choice, participation, and self-determination
by—</text>
<subparagraph id="ID2886cf719771435c8df730600b879f95"><enum>(A)</enum><text>affirming that
home care consumers can participate in the planning of their home care
services, including making choices about aspects of their care and services
that are important to them, choosing providers and schedules to the extent
practicable, receiving reasonable accommodation of their needs and preferences,
and involving anyone they chose to participate with them in that
planning;</text>
</subparagraph><subparagraph id="ID745aa9e4966c4c04b1329c6cc167868b"><enum>(B)</enum><text>affirming that
home care consumers are provided with sufficient information to make informed
decisions, are fully informed in advance about any proposed changes in care and
services, and are involved in the decisionmaking process regarding those
changes; and</text>
</subparagraph><subparagraph id="IDf99bcd3d529147c6a42d4d9ab7be574f"><enum>(C)</enum><text>affirming that
home care consumers can refuse services and receive an explanation of the
consequences of doing so;</text>
</subparagraph></paragraph><paragraph id="ID8925644998304909bbe8717c19bb62bd"><enum>(4)</enum><text>address a home
care consumer’s right to receive care and services provided in a way that
promotes each consumer’s dignity and individuality;</text>
</paragraph><paragraph id="IDe30af6b2189240d5b2bd1ce2855c4b8e"><enum>(5)</enum><text>address a home
care consumer’s right to redress grievances by—</text>
<subparagraph id="ID5bb0aecd59ab48ca96312ada451bc1ae"><enum>(A)</enum><text>affirming that
home care consumers are able to voice grievances about the quality of their
home care services, the number of hours of service, and violations of their
rights, receive prompt responses to those concerns, and are informed about the
entities the consumers may contact to state those grievances in order to have
the grievances addressed in an appropriate and timely manner, and without
retaliation; and</text>
</subparagraph><subparagraph id="ID5d0f0d8313b34988b28cfc06f0edb411"><enum>(B)</enum><text>affirming that
home care consumers are able to assert their rights under this subsection and
subsection (c) without retaliation;</text>
</subparagraph></paragraph><paragraph commented="no" id="idB27A2E702C2542D39D03F0516FDAD9A9"><enum>(6)</enum><text>address the role
and responsibilities that fiduciaries may have in securing the rights of home
care consumers affirmed under the Home Care Consumer Bill of Rights; and</text>
</paragraph><paragraph id="ID3e6a2eb872e440e08ae1f18def2e3dc6"><enum>(7)</enum><text>meet any other
guidelines determined to be appropriate by the Assistant Secretary.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id805F365081F5425C8655DF518E33234E"><enum>(c)</enum><header display-inline="yes-display-inline">Plan for enforcement</header><text display-inline="yes-display-inline">In developing the Plan for Enforcement
referred to in subsection (a)(8), the State shall take into account the best
practices established under section 201(e)(2)(C). The Plan shall include a
description of how State entities with a role in protecting older individuals,
such as home care services licensing agencies, adult protective services
agencies, the Office of the State Long-Term Care Ombudsman (if the office has
jurisdiction over home and community-based long-term care), local law
enforcement agencies, and other entities determined to be appropriate by the
Assistant Secretary, will coordinate activities to enforce the Home Care
Consumer Bill of Rights.</text>
</subsection><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph id="idA0A8E3E5E6C047BC9DEDFF47A3FBB52D"><enum>(4)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id331F27EE687844C1935C46B8B94B8ECC" style="OLC">
<subsection id="id2213C3D10A594B1C889E1E20867D498C"><enum>(e)</enum><header>Definition</header><text>In
this section, the term <term>home care consumer</term> and <term>home care
services</term> have the meanings given the terms in section
736.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection commented="no" id="id52BAC38DDD3346628AF74A57C1B72CFB"><enum>(b)</enum><header>Application of
requirement To submit State home care consumer bill of rights and plan for
enforcement</header>
<paragraph commented="no" id="id83DE26EF0F2A40BA8129F833A46398DC"><enum>(1)</enum><header>In
general</header><text>The requirement for a State to provide an assurance, and
either a Home Care Consumer Bill of Rights and a Plan for Enforcement of such
Bill or an alternative, under paragraph (8) of section 705(a) of the Older
Americans Act of 1965 (as added by subsection (a)) shall apply to States
beginning on the date (referred to in this subsection as the <term>application
date</term>) that is 1 year after the date of the establishment of best
practices under section 201(e)(2)(C) of such Act (as added by section
101).</text>
</paragraph><paragraph commented="no" id="idBA4AC9EA48114484B342180528910908"><enum>(2)</enum><header>First
submission after application date</header><text>A State shall comply with
paragraph (8) of section 705(a) of the Older Americans Act of 1965 (as added by
subsection (a)) in whichever of the following 2 submissions occurs first with
respect to such State after the application date described under paragraph
(1):</text>
<subparagraph commented="no" id="id702E8A88CD0343C980D91A6099A4EA5E"><enum>(A)</enum><text>The submission of
a new State plan under section 307 of the Older Americans Act of 1965 (42
U.S.C. 3027).</text>
</subparagraph><subparagraph commented="no" id="id69000DA5F67B45E892EEBEC8089F4257"><enum>(B)</enum><text>The submission of
an annual revision to a State plan submitted under such section 307.</text>
</subparagraph></paragraph><paragraph commented="no" id="id2C0BC3191D504F4CB78FB362027B2FB1"><enum>(3)</enum><header>Ongoing
submissions</header><text>After complying with paragraph (8) of section 705(a)
of the Older Americans Act of 1965 (as added by subsection (a)) in a submission
in accordance with paragraph (2) of this subsection, a State shall comply with
such paragraph (8) in each new State plan submitted under section 307 of the
Older Americans Act of 1965 (42 U.S.C. 3027).</text>
</paragraph></subsection></section><section id="idD611E1B0EF57410DA74EB950DB36383E"><enum>103.</enum><header>Prevention of
elder abuse, neglect, and exploitation</header><text display-inline="no-display-inline">Section 721(b) of the Older Americans Act of
1965 (42 U.S.C. 3058i(b)) is amended—</text>
<paragraph id="id705077B66130414CA50F01B4E3BC389D"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (11), by striking
<quote>and</quote> at the end;</text>
</paragraph><paragraph id="id1A1A43A67D44425D9CF693E1A4A627CD"><enum>(2)</enum><text>in paragraph
(12), by striking the period and inserting <quote>; and</quote>; and</text>
</paragraph><paragraph id="id18B49B800764455BADCDE41F109E0042"><enum>(3)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id6B2B7D4FCA864B949A23C487848113E3" style="OLC">
<paragraph id="IDb0beea9d03444aec8896137add2a6ddd"><enum>(13)</enum><text>developing a
State Home Care Consumer Bill of Rights and Plan for Enforcement (as described
in section 705) to protect home care consumers (as defined in section 736) from
abuse, neglect, and
exploitation.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="idE9B2CEF598F3447284009815366B224C"><enum>104.</enum><header>National adult
protective services resource center</header><text display-inline="no-display-inline">Section 201 of the Older Americans Act of
1965 (42 U.S.C. 3011) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id7134B6F81D1F44259BB0AE590987598F" style="OLC">
<subsection id="id94AAC6BABE5F4DE6AA06EC860D825662"><enum>(g)</enum><paragraph commented="no" display-inline="yes-display-inline" id="idAE5BAD55BD0E45829723A999A56D67DD"><enum>(1)</enum><text display-inline="yes-display-inline">The Assistant Secretary shall, by grant or
contract with a national nonprofit entity, establish a National Adult
Protective Services Resource Center (referred to in this subsection as the
<term>Center</term>). The purposes of the Center are to improve the capacity of
State and local adult protective services programs to respond effectively to
abuse, neglect, and exploitation of vulnerable adults, including home care
consumers and residents of long-term care facilities, and to coordinate with
the Home Care Ombudsman Program and Long-Term Care Ombudsman Program to protect
home care consumers and residents most effectively.</text>
</paragraph><paragraph id="idDED9B45E4C764F77930F4F24A38973B0" indent="up1"><enum>(2)</enum><text display-inline="yes-display-inline">The nonprofit entity awarded a grant or
contract under this subsection shall have expertise in, and representation by,
State and local adult protective services programs.</text>
</paragraph><paragraph id="id110065E119E546C3B30D3A02172A2A2F" indent="up1"><enum>(3)</enum><text>The Center shall—</text>
<subparagraph id="idA3956F9F3F0A45DAB05898D52806524F"><enum>(A)</enum><text>collect and disseminate information
regarding, and increase public awareness of, the role of adult protective
services programs in investigating the abuse, neglect (including self-neglect),
and exploitation of vulnerable adults, including home care consumers and
residents of long-term care facilities, and in intervening to protect the
consumers and residents from abuse;</text>
</subparagraph><subparagraph id="id88B9D9059FEA47C0BAD921ECC1DABF95"><enum>(B)</enum><text>develop, distribute, and provide
training and technical assistance for adult protective services program
investigators and supervisors investigating the abuse, neglect (including
self-neglect), and exploitation of vulnerable adults, including home care
consumers and residents of long-term care facilities, and intervening to
protect the consumers and residents from further abuse;</text>
</subparagraph><subparagraph id="id740CD8F3FD954AC19EE4A6B9EC13BA4B"><enum>(C)</enum><text>develop, distribute, and provide
training to home care and long-term care professionals and others on
recognizing, reporting (including regarding mandatory reporting requirements),
and responding to the abuse, neglect (including self-neglect), and financial
exploitation of vulnerable adults, including home care consumers and residents
of long-term care facilities;</text>
</subparagraph><subparagraph id="idB9FC4E71F1CE4D589D7D10B1F5048705"><enum>(D)</enum><text>compile and disseminate reports on
research and best practices for adult protective services programs and other
programs on effective responses to the abuse, neglect (including self-neglect),
and exploitation of vulnerable adults, including home care consumers and
residents of long-term care facilities;</text>
</subparagraph><subparagraph id="idE90B513AD127463CB3E40F097B69525E"><enum>(E)</enum><text>work with the National Ombudsman
Resource Center and State and local home care ombudsman programs and long-term
care ombudsman programs to develop and disseminate training, practice
standards, and policies regarding—</text>
<clause id="idAC7F5C4B1A124664BA3567FBD14244A5"><enum>(i)</enum><text>the roles and responsibilities of
adult protective services and ombudsman programs;</text>
</clause><clause id="id4DF74341FC6A47B7BA6D4602C56A0BB5"><enum>(ii)</enum><text>confidentiality and abuse
reporting issues and protocols; and</text>
</clause><clause id="id124127B48AB24979B3A6D8854DA21710"><enum>(iii)</enum><text>effective ways to maximize the
resources of adult protective services programs for the benefit of home care
consumers and residents of long-term care facilities; and</text>
</clause></subparagraph><subparagraph id="idE918CA52D6B846F4B49B6DFAF8E19649"><enum>(F)</enum><text>establish a data system to collect
information on the abuse, neglect (including self-neglect), and exploitation of
home care consumers and residents of long-term care facilities and to measure
the effectiveness of the activities carried out by the Center.</text>
</subparagraph></paragraph><paragraph id="id88AA3EFAC8CC4A47AE177EE10659A0F9" indent="up1"><enum>(4)</enum><text>In this subsection, the terms
<term>home care consumer</term> and <term>home care ombudsman program</term>
have the meanings given the terms in section
736.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>II</enum><header>State home care
ombudsman programs</header>
<section id="id3A752182415840069F79A6BB27209698" section-type="subsequent-section"><enum>201.</enum><header>Program</header><text display-inline="no-display-inline">Section 701 of the Older Americans Act of
1965 (42 U.S.C. 3058) is amended by inserting <quote>and grants</quote> after
<quote>allotments</quote>.</text>
</section><section id="id542940C0EA4C4FCC8BAD82860813B27B"><enum>202.</enum><header>Authorization
of appropriations</header><text display-inline="no-display-inline">Chapter 1 of
subtitle A of title VII of the Older Americans Act of 1965 is amended by
inserting after section 702 (42 U.S.C. 3058a) the following:</text>
<quoted-block display-inline="no-display-inline" id="id9FC1BCBE7AF04DB5BDE4707D352C1051" style="OLC">
<section id="id5CBAE35C6FDF44E0ACC878CF150EB6D1"><enum>702A.</enum><header>Authorization
of appropriations for State home care ombudsman program</header><text display-inline="no-display-inline">There are authorized to be appropriated to
carry out chapter 5 such sums as may be necessary for fiscal year 2012 and each
subsequent fiscal
year.</text>
</section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="idA4EF72E9031C460886F4868C4B2D37F9"><enum>203.</enum><header>Grants</header><text display-inline="no-display-inline">Section 703 of the Older Americans Act of
1965 (42 U.S.C. 3058b) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id589D3A34248C4691A62DA35B1917B53F" style="OLC">
<subsection id="ID07b87f142b1e44e4aa6f201880d29758"><enum>(d)</enum><header>Grants for
State home care ombudsman programs</header>
<paragraph id="idDF033490B5B2460299D8B81081E98C2D"><enum>(1)</enum><header>In
general</header><text>The Assistant Secretary shall use funds made available
under section 702A to award grants, on a competitive basis, to States for State
Home Care Ombudsman Programs.</text>
</paragraph><paragraph id="id9EF46973AFC74EA0A8E9CE9F9D855E1F"><enum>(2)</enum><header>Considerations</header><text>In
selecting States to receive the grants, the Assistant Secretary shall
consider—</text>
<subparagraph id="IDc4c6824771fd41fe95805bd91c9caa52"><enum>(A)</enum><text>a State’s current
financial support (as of the date of consideration) for home care ombudsman
services;</text>
</subparagraph><subparagraph id="IDd765be8e8cc340099796e38f01a45215"><enum>(B)</enum><text>a State’s
commitment to preventing conflict of interest between providers of home care
services and providers of home care ombudsman services; and</text>
</subparagraph><subparagraph id="ID3d93b2e6d68d48eca30fa440c4ebe9dc"><enum>(C)</enum><text>other criteria
determined by the Assistant Secretary.</text>
</subparagraph></paragraph><paragraph id="idBDC160019F064BADBC3FA8BA90347D4E"><enum>(3)</enum><header>Priorities</header><text>In
selecting States to receive the grants, the Assistant Secretary may give first
priority to States that are providing home care ombudsman services to home care
consumers on the date of enactment of section 737, and seek to enhance the home
care ombudsman programs through which the States provide the
services.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="idF229B5C33DB04CE1BDD60AD9B1B4A34B"><enum>204.</enum><header>Eligibility</header>
<subsection id="idC3F0AC18AF8F4CE0ABD7A9B783262C96"><enum>(a)</enum><header>Organization</header><text>Section
704 of the Older Americans Act of 1965 (42 U.S.C. 3058c) is amended, in the
matter preceding paragraph (1), by inserting <quote>or grants</quote> after
<quote>allotments</quote>.</text>
</subsection><subsection id="idF3430272C18A464CB2CFF146D0FE2BAC"><enum>(b)</enum><header>Additional
requirements</header><text>Section 705(a) of the Older Americans Act of 1965
(42 U.S.C. 3058d(a)) is amended—</text>
<paragraph id="id295E52C3247141998EF10024B48F2CF8"><enum>(1)</enum><text>in the matter
preceding paragraph (1), by inserting <quote>or grant</quote> after
<quote>allotment</quote>; and</text>
</paragraph><paragraph id="id78F77357292C47FDBA2EC79BC0E98E9C"><enum>(2)</enum><text>in paragraph (4),
by striking <quote>enactment of this subtitle</quote> and inserting
<quote>enactment of the chapter</quote>.</text>
</paragraph></subsection></section><section id="id9CCA59CEA68941A5A20C0368226C8D83"><enum>205.</enum><header>State Home
Care Ombudsman Programs</header><text display-inline="no-display-inline">Subtitle A of title VII of the Older
Americans Act of 1965 (42 U.S.C. 3058 et seq.) is amended by adding at the end
the following:</text>
<quoted-block display-inline="no-display-inline" id="id5ED9E4B6B79045DDA3E9322D7FC68DB5" style="OLC">
<chapter id="id59E952ECD53242EE80BD612D3035C598"><enum>5</enum><header>State Home Care
Ombudsman Programs</header>
<section id="idB7DBDAAEC24C4355A3869285D8A820B6"><enum>736.</enum><header>Definitions</header><text display-inline="no-display-inline">In this chapter:</text>
<paragraph id="id1520E38702334AA0AADCB2A2D29AF624"><enum>(1)</enum><header>Home care
consumer</header><text>The term <term>home care consumer</term> means a person
who receives services in the person’s home or community to promote independence
and reduce the necessity for residence in a long-term care facility, which may
include—</text>
<subparagraph id="idB0F2B387B25B4C488587318C31CCCD96"><enum>(A)</enum><text>home care
services provided through this Act, the Medicare program under title XVIII of
the Social Security Act (42 U.S.C. 1395 et seq.), the Medicaid program under
title XIX of the Social Security Act (42 U.S.C. 1396 et seq.), or another
public or private funding source; or</text>
</subparagraph><subparagraph id="id7C7F5BE84D9E4AD2A7F30909414BF3B9"><enum>(B)</enum><text>home care
services determined to be appropriate by a State operating a State Home Care
Ombudsman Program.</text>
</subparagraph></paragraph><paragraph id="id2F26B58DCB78445BAE6668593E826D1E"><enum>(2)</enum><header>Home care
ombudsman program</header><text>The term <term>home care ombudsman
program</term> means a State Home Care Ombudsman Program described in section
737(a)(1).</text>
</paragraph><paragraph id="idEEF5A34348884EFD897201A3652D1B7F"><enum>(3)</enum><header>Home care
ombudsman representative</header><text>The term <term>home care ombudsman
representative</term> includes an employee or volunteer who represents an
entity designated under section 737(a)(5)(A) and who is individually designated
by the Ombudsman.</text>
</paragraph><paragraph id="id34BFA776356D4EA3B49D3A2AAA40C270"><enum>(4)</enum><header>Home care
services</header><text>The term <term>home care services</term> means home and
community-based services to promote independence and reduce the necessity for
residence in a long-term care facility, including personal care services
designed to assist an individual in the activities of daily living such as
bathing, exercising, personal grooming, and getting in and out of bed.</text>
</paragraph><paragraph id="id0BB57A7F82014835BCC3421B51ED41D9"><enum>(5)</enum><header>Local home care
Ombudsman entity</header><text>The term <term>local home care Ombudsman
entity</term> means an entity designated under section 737(a)(5)(A) to carry
out the duties described in section 737(a)(5)(B) with respect to a planning and
service area or other substate area.</text>
</paragraph><paragraph id="id85C7DF38350F4FDBB92465E6A86918B1"><enum>(6)</enum><header>Office;
Ombudsman</header><text>The terms <term>Office</term> and
<term>Ombudsman</term>, used without further modification, have the meanings
given the terms in section 711.</text>
</paragraph></section><section id="id9B5515D53F0B46FC8BC89C3581843C24"><enum>737.</enum><header>Program</header>
<subsection id="ID954df68f70e445b5bd6b0a772a7dc2e6"><enum>(a)</enum><header>Establishment</header>
<paragraph id="IDd016bfee07a0483d974c494534544353"><enum>(1)</enum><header>In
general</header><text>In order to be eligible to receive a grant under section
703(d) from funds appropriated under section 702A and made available to carry
out this chapter, a State agency shall, in accordance with this section, agree
to carry out a State Home Care Ombudsman Program within the Office of the State
Long-Term Care Ombudsman.</text>
</paragraph><paragraph id="IDa3a3942be61041888a42fa911e5fdf4f"><enum>(2)</enum><header>Home care
ombudsman program</header><text>The home care ombudsman program shall be
carried out by the Ombudsman.</text>
</paragraph><paragraph id="IDedf29c89f24f454ea8ca6db099e5ee8b"><enum>(3)</enum><header>Functions</header><text>In
carrying out the home care ombudsman program, the Ombudsman, personally or
through representatives of the home care ombudsman program—</text>
<subparagraph id="id22088069E77540849ED40F9DC2757F6C"><enum>(A)</enum><text>shall identify,
investigate, and resolve complaints that—</text>
<clause id="ID618d6bbd1340464ab334097d10f1296d"><enum>(i)</enum><text>are made by, or
on behalf of, home care consumers;</text>
</clause><clause id="ID3667b9a0dece434a83d7bed7896221f1"><enum>(ii)</enum><text>relate to
action, inaction, or decisions, that may adversely affect the health, safety,
welfare, or rights of home care consumers (including the welfare and rights of
home care consumers with respect to the appointment and activities of guardians
and representative payees), of—</text>
<subclause id="ID2d0a6f729aeb4989b62c1f15f4b47c2b"><enum>(I)</enum><text>entities
responsible for determining eligibility for home care services, such as State
and local governments; and</text>
</subclause><subclause id="ID90553343e72e4563836f12ed3149fb4c"><enum>(II)</enum><text>entities
responsible for determining availability of home care services, such as managed
care organizations; or</text>
</subclause></clause><clause id="ID4efb40394fe7468b93b84e4dc37000db"><enum>(iii)</enum><text>relate to
action, inaction, or decisions, regarding informing home care consumers about
their eligibility for, or the availability of, home care services, of—</text>
<subclause id="ID16c6059aed3348e0b1f3d4b137665f3d"><enum>(I)</enum><text>providers, or
representatives of providers, of home care services;</text>
</subclause><subclause id="ID36c715092f314dd385f2be83c4b0a895"><enum>(II)</enum><text>public
agencies;</text>
</subclause><subclause id="IDcccbfef24c8e4a628fb149d5f544dd59"><enum>(III)</enum><text>health and
social service agencies; and</text>
</subclause><subclause id="ID9bea92b21e7a44308ec58e6b82080e7d"><enum>(IV)</enum><text>entities
providing consumer-directed services under a consumer-directed program;</text>
</subclause></clause></subparagraph><subparagraph id="IDc4ac3590ea0d4dc5bc668c673fc1ee11"><enum>(B)</enum><text>shall provide
services to protect the health, safety, welfare, and rights of home care
consumers;</text>
</subparagraph><subparagraph id="ID02ef12aef6794ba281156a52cb0ba0a4"><enum>(C)</enum><text>shall inform home
care consumers about means of obtaining services provided by providers or
agencies described in subparagraph (A)(ii) or services described in
subparagraph (B);</text>
</subparagraph><subparagraph id="id6D0C61CDF2E1493F89F96F01A13AA086"><enum>(D)</enum><text>shall, in
conjunction with other entities, such as area agencies on aging, conduct public
education about the home care ombudsman program and its services, including the
rights of home care workers to report concerns to the ombudsman in order to
protect the health, safety, welfare, and rights of home care consumers;</text>
</subparagraph><subparagraph id="IDbb1824f4d8764251a58fad7427febaf8"><enum>(E)</enum><text>shall ensure that
home care consumers and complainants receive timely responses from
representatives of the home care ombudsman program to complaints;</text>
</subparagraph><subparagraph id="IDe19ca430455b4332bf2e84ba3b4c91c1"><enum>(F)</enum><text>shall represent
the interests of home care consumers before governmental agencies and seek
administrative, legal, and other remedies to protect the health, safety,
welfare, and rights of the home care consumers, including issues related to the
sufficiency of the home care workforce and its availability to meet the needs
of home care consumers;</text>
</subparagraph><subparagraph id="IDd858ecad2b6e4bf3833c2cb1dcd15f09"><enum>(G)</enum><text>shall provide
administrative and technical assistance to entities designated under paragraph
(5) to assist the entities in participating in the home care ombudsman
program;</text>
</subparagraph><subparagraph id="ID8b881200befb43a9a183ccd6d025faf1"><enum>(H)</enum><text>shall provide for
training representatives of the home care ombudsman program;</text>
</subparagraph><subparagraph id="ID1a37390eeba740b09db4f7f87deeb9f2"><enum>(I)</enum><text>shall—</text>
<clause id="id43D0CBD950AC4947880A1CEDB468AA1F"><enum>(i)</enum><text>promote the
development of citizen organizations, to participate in the home care ombudsman
program;</text>
</clause><clause id="ID189ae185414545928254d3f1d0b4ce9b"><enum>(ii)</enum><text>analyze, comment
on, and monitor the development and implementation of Federal, State, and local
laws, regulations, and other governmental policies and actions, that pertain to
the health, safety, welfare, and rights of home care consumers, with respect to
the adequacy of home care services in the State, including issues related to
the sufficiency of the home care workforce and its availability to meet the
needs of home care consumers;</text>
</clause><clause id="ID7bb999390c38490c9b29bc636cdfafb0"><enum>(iii)</enum><text>recommend any
changes in such laws, regulations, policies, and actions as the Ombudsman
determines to be appropriate; and</text>
</clause><clause id="ID2783fc1c7d9a47bd9de7bce0d8a3d411"><enum>(iv)</enum><text>facilitate
public comment on the laws, regulations, policies, and actions; and</text>
</clause></subparagraph><subparagraph id="ID971d9ba6d1df4440aa6592c1fe312be8"><enum>(J)</enum><text>shall carry out
other activities as the Assistant Secretary determines to be
appropriate.</text>
</subparagraph></paragraph><paragraph id="ID428f25ecbf5a475da2a32312e2b24b2a"><enum>(4)</enum><header>Contracts and
arrangements</header>
<subparagraph id="ID990af27fd354435397fd4b46188953df"><enum>(A)</enum><header>In
general</header>
<clause id="id5E87F5BD64244C309C21127752C783F3"><enum>(i)</enum><header>Agencies and
organizations</header><text>Except as provided in subparagraph (B), the State
agency shall carry out the home care ombudsman program, directly, or by
contract or other arrangement with any public agency or nonprofit private
organization.</text>
</clause><clause id="id2B50541B72514BC494A18BB9814DD970"><enum>(ii)</enum><header>Area agencies
on aging</header><text>The State agency shall determine whether to enter into
contracts or arrangements with area agencies on aging to carry out the home
care ombudsman program, based on the structure of the State's existing (as of
the date of the determination) long-term care ombudsman program and the
potential for conflicts of interest in the home and community-based services
system in the State. A State agency may carry out a home care ombudsman program
through area agencies on aging in the State, if the area agencies on
aging—</text>
<subclause id="IDabeff24a1ed744a891ac1ccd7f69c029"><enum>(I)</enum><text>have existing (as
of the date of the determination) consumer protection systems in place to
prevent such conflicts of interest; or</text>
</subclause><subclause id="ID11a94bd46cf94df5a0286269474e1ec2"><enum>(II)</enum><text>establish
adequate procedures to prevent conflicts of interest under the program.</text>
</subclause></clause></subparagraph><subparagraph id="IDaac6a6dc867442eda92e70e42a1b713e"><enum>(B)</enum><header>Licensing and
certification organizations; associations</header><text>The State agency may
not enter into the contract or other arrangement described in subparagraph (A)
with—</text>
<clause id="ID1262736ef9f647e9909bbb786ea0d6df"><enum>(i)</enum><text>an agency or
organization that is responsible for licensing or certifying home care services
in the State; or</text>
</clause><clause id="ID0534a6d3fc444a3984d1a5274d81709d"><enum>(ii)</enum><text>an association
(or an affiliate of such an association) of providers of home care
services.</text>
</clause></subparagraph></paragraph><paragraph id="IDf4f2adcddce7440e9c7b2b096f02fb35"><enum>(5)</enum><header>Designation of
local home care ombudsman entities and home care ombudsman
representatives</header>
<subparagraph id="ID0018447db39f40898ccda617d74eeeec"><enum>(A)</enum><header>Designation</header><text>In
carrying out the duties of the Office, the Ombudsman may designate an entity as
a local home care Ombudsman entity (and, in doing so, the Ombudsman shall, if a
local Ombudsman entity has already been designated, designate such local
Ombudsman entity as the local home care Ombudsman entity), and may designate an
employee or volunteer to represent the entity.</text>
</subparagraph><subparagraph id="ID19fdb7e4514147008ce06ed1521f07da"><enum>(B)</enum><header>Duties</header><text>An
individual so designated, in accordance with the policies and procedures
established by the Ombudsman and the State agency—</text>
<clause id="ID6abcc1e0e8f147f3999ed0f1c103ff46"><enum>(i)</enum><text>shall provide
services to protect the health, safety, welfare, and rights of home care
consumers;</text>
</clause><clause id="IDe17f22f786c04dbda8be0fdfea3449c9"><enum>(ii)</enum><text>shall ensure
that home care consumers in the service area of the entity have timely
responses to complaints and requests for assistance;</text>
</clause><clause id="ID09cdc2067aad4979864324a0e39da2ea"><enum>(iii)</enum><text>shall identify,
investigate, and resolve complaints made by or on behalf of home care consumers
that relate to action, inaction, or decisions, that may adversely affect the
health, safety, welfare, or rights of home care consumers;</text>
</clause><clause id="IDaf4353503b834317bc8fba3655ade0f8"><enum>(iv)</enum><text>shall represent
the interests of home care consumers before government agencies and seek
administrative, legal, and other remedies to protect the health, safety,
welfare, and rights of home care consumers;</text>
</clause><clause id="ID7ac7350bcfc44fa8beb7e665ee178864"><enum>(v)</enum><text>shall—</text>
<subclause id="ID4c676756bb2040408b650ce75e0c250d"><enum>(I)</enum><text>review, and if
necessary, comment on any existing and proposed laws, regulations, and other
government policies and actions, that pertain to the rights and well-being of
home care consumers; and</text>
</subclause><subclause id="ID7f4d9bdaa6254cbfbcb9c1382498cc70"><enum>(II)</enum><text>facilitate the
ability of the public to comment on the laws, regulations, policies, and
actions; and</text>
</subclause></clause><clause id="idF2BFCE93BC754B2193BBE40B8504738D"><enum>(vi)</enum><text>shall make
referrals for services to protect and provide for the health, safety,
educational needs, welfare, and rights of family or household members
(including children) of home care consumers; and</text>
</clause><clause id="ID3f13b7c6bdd64045a27c3a103ad27d98"><enum>(vii)</enum><text>shall carry out
other activities that the Ombudsman determines to be appropriate.</text>
</clause></subparagraph><subparagraph id="ID593f9f1908c44f37a19a9ed677374300"><enum>(C)</enum><header>Eligibility for
designation</header><text>Entities eligible to be designated as local home care
Ombudsman entities, and individuals eligible to be designated as home care
ombudsman representatives of such entities, shall—</text>
<clause id="ID5799573468c34be7b4bcc82f0b2c2b2c"><enum>(i)</enum><text>have demonstrated
capability to carry out the duties established in section 712(a)(5)(B);</text>
</clause><clause id="ID933dbf1d3bdb460887fda45293c51a1f"><enum>(ii)</enum><text>be free of
conflicts of interest and not stand to gain financially through an action or
potential action brought on behalf of individuals the Ombudsman serves;
and</text>
</clause><clause id="ID8187186396be45b1af170f77864de3ec"><enum>(iii)</enum><text>meet such
additional requirements as the Ombudsman may specify.</text>
</clause></subparagraph><subparagraph id="ID4fc1bbffbd41438f8cf74154849c2858"><enum>(D)</enum><header>Policies and
procedures</header>
<clause id="ID0b11c490bdb34810a9dec61158d73a0c"><enum>(i)</enum><header>In
general</header><text>The State agency shall establish, in accordance with the
Ombudsman, policies and procedures for monitoring local home care Ombudsman
entities designated to carry out the duties established in section
712(a)(5)(B).</text>
</clause><clause id="IDf75af1416f13483a88b13fa3edf5a9ef"><enum>(ii)</enum><header>Policies</header><text>In
a case in which the entities are grantees or the home care ombudsman
representatives are employees, of area agencies on aging, the State agency
shall develop the policies in consultation with the area agencies on aging. The
policies shall provide for participation and comment by the agencies and for
resolution of concerns with respect to case activity.</text>
</clause><clause id="ID3c46ff9482704105947a35e17952b750"><enum>(iii)</enum><header>Confidentiality
and disclosure</header><text>The State agency shall develop the policies and
procedures in accordance with all provisions of this subtitle regarding
confidentiality and conflict of interest for providers of home care
services.</text>
</clause></subparagraph></paragraph></subsection><subsection id="IDf462057917834b04a88ab23fb8b02d87"><enum>(b)</enum><header>Procedures for
access</header>
<paragraph id="IDb515e01bda2c4aa38157b1615e279e60"><enum>(1)</enum><header>In
general</header><text>The State shall ensure that representatives of the home
care ombudsman program shall have—</text>
<subparagraph id="ID59a93c03bedb4a0d95a2c06147c5528f"><enum>(A)</enum><text>access to home
care consumers and their homes with permission of the home care consumer
involved or a legal representative;</text>
</subparagraph><subparagraph id="ID560c303eb50f45eaa0cc1798fe7d2a56"><enum>(B)</enum><clause commented="no" display-inline="yes-display-inline" id="id51BF3EFF85C94707819641D8C4909E66"><enum>(i)</enum><text>appropriate access to
review all records of a home care consumer, if—</text>
<subclause id="ID3cf6162b6a8a4513a4e63c1438fe19d0" indent="up1"><enum>(I)</enum><text>the representative of the home care
ombudsman program has the permission of the home care consumer, or the legal
representative of the home care consumer; or</text>
</subclause><subclause id="IDac5459d097a94826a0deefb9eeaafcd9" indent="up1"><enum>(II)</enum><text>the home care consumer is unable to
consent to the review and has no legal representative; or</text>
</subclause></clause><clause id="ID854cb417ea0947b491c68ca48162a1c9" indent="up1"><enum>(ii)</enum><text>such access to the records as is
necessary to investigate a complaint if—</text>
<subclause id="ID070951c231324829a6f965cbdbf72f8e"><enum>(I)</enum><text>a legal guardian of the home care
consumer refuses to give the permission;</text>
</subclause><subclause id="ID7055a8cefe59440fac80f8572f462b97"><enum>(II)</enum><text>a representative of the home care
ombudsman program has reasonable cause to believe that the guardian is not
acting in the best interests of the home care consumer; and</text>
</subclause><subclause id="IDe48e228fab954a00a26a03ac4b7308b4"><enum>(III)</enum><text>the representative obtains the approval
of the Ombudsman;</text>
</subclause></clause></subparagraph><subparagraph id="ID73237a94d2b84d76a1e6e8546c7f111b"><enum>(C)</enum><text>access to the
administrative records, policies, and documents, to which home care consumers
have, or the general public has access, of the provider of home care services;
and</text>
</subparagraph><subparagraph id="IDe258d180ed6b4968810b43889551fd15"><enum>(D)</enum><text>access to and, on
request, copies of all licensing and certification records maintained by the
State with respect to the provider of home care services.</text>
</subparagraph></paragraph><paragraph id="ID6c7789b2f5f642b2b95d9d6198ccf182"><enum>(2)</enum><header>Procedures</header><text>The
State agency shall establish procedures to ensure the access described in
paragraph (1).</text>
</paragraph></subsection><subsection id="IDb3ad267802c04689b991787de8f72f16"><enum>(c)</enum><header>Reporting
system</header><text>The State agency shall ensure that the reporting system
established in section 712(c) is equipped to—</text>
<paragraph id="ID8f58a5c1b1434bfe91decece3df964ba"><enum>(1)</enum><text>collect and
analyze data relating to complaints and conditions concerning home care
services and to home care consumers for the purpose of identifying and
resolving significant problems, including complaints concerning—</text>
<subparagraph id="ID734f7ac0ba46410aa04d483f4f8b33e5"><enum>(A)</enum><text>quality of
services;</text>
</subparagraph><subparagraph id="ID9f4c43de5be64fbe8f8b55599e4e302a"><enum>(B)</enum><text>quantity of
services;</text>
</subparagraph><subparagraph id="ID4c82eb909df3444a8f2f8c18899b92ad"><enum>(C)</enum><text>availability of
services; and</text>
</subparagraph><subparagraph id="IDba2e43d276aa49fdab94cf08bee0fafe"><enum>(D)</enum><text>denial,
reduction, and termination of services; and</text>
</subparagraph></paragraph><paragraph id="ID0bf21258c16f49ce9cf86da0235788e1"><enum>(2)</enum><text>submit the data,
on a regular basis, to—</text>
<subparagraph id="IDf99c177791434f5bbae534ba7191be68"><enum>(A)</enum><text>the agency of the
State responsible for licensing or certifying providers of home care services
in the State;</text>
</subparagraph><subparagraph id="ID07cdb2bf136a4b7384fcb325dcccd68f"><enum>(B)</enum><text>other State and
Federal entities that the Ombudsman determines to be appropriate;</text>
</subparagraph><subparagraph id="ID4332f4b0a3584fc59905c644fb8aa4ba"><enum>(C)</enum><text>the Assistant
Secretary; and</text>
</subparagraph><subparagraph id="ID5dd1b34326d54a939231db57f408b3e6"><enum>(D)</enum><text>the National
Ombudsman Resource Center established in section 202(a)(18)(A).</text>
</subparagraph></paragraph></subsection><subsection id="IDd53496ddc28144f6b8cc573fb3dcfd95"><enum>(d)</enum><header>Disclosure</header>
<paragraph id="ID83923352bb7d48b5890caa9c87adebbf"><enum>(1)</enum><header>In
general</header><text>The State agency shall establish procedures for the
disclosure by the Ombudsman or local home care Ombudsman entities of files
maintained by the home care ombudsman program, including records described in
subsection (b)(1) or (c).</text>
</paragraph><paragraph id="ID226b818c82d14625a49b1c2f66872174"><enum>(2)</enum><header>Identity of
complainant or home care consumer</header><text>The procedures described in
paragraph (1) shall—</text>
<subparagraph id="ID80c321b041e44205880cde13a5992cca"><enum>(A)</enum><text>provide that,
subject to subparagraph (B), the files and records described in paragraph (1)
may be disclosed only at the discretion of the Ombudsman (or the person
designated by the Ombudsman to disclose the files and records); and</text>
</subparagraph><subparagraph id="ID867de0f8cc5848b18fd643708cfe3730"><enum>(B)</enum><text>prohibit the
disclosure of the identity of any complainant or home care consumer with
respect to whom the Office maintains such files or records unless—</text>
<clause id="ID13b179f9fe774849afb6c8e27f2cda0a"><enum>(i)</enum><text>the complainant
or home care consumer, or the legal representative of the complainant or home
care consumer, consents to the disclosure and the consent is given in
writing;</text>
</clause><clause id="IDee9ea943c92d4f8aa1ca939455c39f98"><enum>(ii)</enum><subclause commented="no" display-inline="yes-display-inline" id="id514BEEDA04B64186946607DC23D1B78F"><enum>(I)</enum><text>the complainant or home
care consumer gives consent orally; and</text>
</subclause><subclause id="IDad21530f0fa842208317e3a2d7186e9d" indent="up1"><enum>(II)</enum><text>the consent is documented
contemporaneously in a writing made by a representative of the home care
ombudsman program in accordance with such requirements as the State agency
shall establish; or</text>
</subclause></clause><clause id="ID259af784e442458fbdc0cfbd65fd368f"><enum>(iii)</enum><text>the disclosure
is required by court order.</text>
</clause></subparagraph></paragraph></subsection><subsection id="ID3a87a706e3c74d519c9c607f831e361c"><enum>(e)</enum><header>Consultation</header><text>In
planning and carrying out the home care ombudsman program, the State agency
shall consider the views of area agencies on aging, older individuals, and
providers of home care services and demonstrate how the State agency has taken
their views into consideration.</text>
</subsection><subsection id="ID648a4cca633b4e508802a9920f43fe33"><enum>(f)</enum><header>Conflict of
interest</header><text>The State agency shall—</text>
<paragraph id="IDbf89a016700e4d88b5fcd67a26c8031b"><enum>(1)</enum><text>ensure that no
individual, or member of the immediate family of an individual, involved in the
designation of the Ombudsman (whether by appointment or otherwise) or the
designation of an entity designated under subsection (a)(5), is subject to a
conflict of interest;</text>
</paragraph><paragraph id="ID10e1419f5c954acfb35a9b40fd7a2f05"><enum>(2)</enum><text>ensure that no
officer or employee of the Office, home care ombudsman representative of a
local home care Ombudsman entity, or member of the immediate family of the
officer, employee, or home care ombudsman representative, is subject to a
conflict of interest;</text>
</paragraph><paragraph id="ID64c9ffe64f30453b8510fb7b33af0da2"><enum>(3)</enum><text>ensure that the
Ombudsman—</text>
<subparagraph id="ID931067f73ab542f887dd55e29ec588c9"><enum>(A)</enum><text>does not have a
direct involvement in the licensing or certification of a provider of home care
services;</text>
</subparagraph><subparagraph id="IDe103b8fded034fee853014955157c0c1"><enum>(B)</enum><text>does not have an
ownership or investment interest (represented by equity, debt, contract, or
other financial relationship) in a provider of home care services;</text>
</subparagraph><subparagraph id="ID1fcd11e1a2f045b4b4060dc9b5a67b5a"><enum>(C)</enum><text>is not employed
by, or participating in the management of, a provider of home care services;
and</text>
</subparagraph><subparagraph id="ID2327bc6cc4654498a7980bf3a8dd5f27"><enum>(D)</enum><text>does not receive,
or have the right to receive, directly or indirectly, remuneration (in cash or
in-kind) under a compensation arrangement with an owner or operator of a
provider of home care services; and</text>
</subparagraph></paragraph><paragraph id="ID07e81a350d7145c4a103fefc64daa813"><enum>(4)</enum><text>establish, and
specify in writing, mechanisms to identify and remove conflicts of interest
referred to in paragraphs (1) and (2), and to identify and eliminate the
relationships described in subparagraphs (A) through (D) of paragraph (3),
including such mechanisms as—</text>
<subparagraph id="IDc3a0eaa316c642c396ec7f4ea2672981"><enum>(A)</enum><text>the methods by
which the State agency will examine individuals, and immediate family members,
to identify the conflicts; and</text>
</subparagraph><subparagraph id="ID11dc0148c9364d078f91ef3688374ef5"><enum>(B)</enum><text>the actions that
the State agency will require the individuals and such family members to take
to remove such conflicts.</text>
</subparagraph></paragraph></subsection><subsection id="ID629fbc079b3d486d834e532b7b930de0"><enum>(g)</enum><header>Legal
counsel</header><text>The State agency shall ensure that—</text>
<paragraph id="ID9be584412a1f4cfb96bbda3d0356576c"><enum>(1)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id5DAF19D334A740EEA1136CA5DDF643CF"><enum>(A)</enum><text>adequate legal counsel
is available, and is able, without conflict of interest, to—</text>
<clause id="IDb72a06a38eb84b4f9ebfb2b9500c7023" indent="up1"><enum>(i)</enum><text>provide advice and consultation
needed to protect the health, safety, welfare, and rights of home care
consumers; and</text>
</clause><clause id="ID52d6eb76b05c4010aa674f68950e4b59" indent="up1"><enum>(ii)</enum><text>assist the Ombudsman and
representatives of the home care ombudsman program in the performance of the
official duties of the Ombudsman and representatives; and</text>
</clause></subparagraph><subparagraph id="IDf5bae27e43d9401e9db62788ee8e444f" indent="up1"><enum>(B)</enum><text>legal representation is provided to
any representative of the home care ombudsman program against whom suit or
other legal action is brought or threatened to be brought in connection with
the performance of the official duties of the Ombudsman or such a
representative; and</text>
</subparagraph></paragraph><paragraph id="IDfb9c06bd5144483b9046e2b65df54fbe"><enum>(2)</enum><text>the Ombudsman
pursues administrative, legal, and other appropriate remedies on behalf of home
care consumers.</text>
</paragraph></subsection><subsection id="IDca8157af22874c54947ba10aeb114cbe"><enum>(h)</enum><header>Administration</header>
<paragraph id="id2AE52E158EAD4C2385D87E464A0314F4"><enum>(1)</enum><header>Requirements</header><text>The
State agency shall require the Office to—</text>
<subparagraph id="ID75856a016431437e83ce8e27123363a5"><enum>(A)</enum><text>include in its
annual report required in section 712(h)(1)—</text>
<clause id="IDb491ca1d14cd48b8a56e8f8a6624db4f"><enum>(i)</enum><text>a
description of the activities carried out by the Office as they related to the
home care ombudsman program in the year for which the report is
prepared;</text>
</clause><clause id="IDc6ad365674dd462c940b2c12c4c548f7"><enum>(ii)</enum><text>the data and an
analysis of the data collected under subsection (c);</text>
</clause><clause id="IDfefd6f3338c54593809210dc896629be"><enum>(iii)</enum><text>an evaluation
of the problems experienced by, and the complaints made by or on behalf of,
home care consumers;</text>
</clause><clause id="ID2779163776db4253b49f515832950c9f"><enum>(iv)</enum><text>recommendations
for—</text>
<subclause id="ID73ba5f6bb35348fca22973f998f987e0"><enum>(I)</enum><text>improving quality
of the care and life of the home care consumers; and</text>
</subclause><subclause id="ID4153008beade44d68f5a383cc4062f29"><enum>(II)</enum><text>protecting the
health, safety, welfare, and rights of the home care consumers;</text>
</subclause></clause><clause id="IDed9d2dbf78154208932dcfabb5c20ece"><enum>(v)</enum><subclause commented="no" display-inline="yes-display-inline" id="id738302E65F3D411583A8F81B0AA64AB8"><enum>(I)</enum><text>an analysis of the
success of the home care ombudsman program including success in providing
services to home care consumers in communities with high percentages of racial
or ethnic minorities; and</text>
</subclause><subclause id="ID10b3428c937d4f24bc37ce7d28c3ed44" indent="up1"><enum>(II)</enum><text>identification of barriers that prevent
the optimal operation of the home care ombudsman program; and</text>
</subclause></clause><clause id="ID8d2f00647faf48f3839e234c3a5c900f"><enum>(vi)</enum><text>policy,
regulatory, and legislative recommendations to solve identified problems, to
resolve the complaints, to improve the quality of care and life of home care
consumers, to protect the health, safety, welfare, and rights of home care
consumers, and to remove the barriers;</text>
</clause></subparagraph><subparagraph id="IDa0897177e78a49d88119e81f3be51e10"><enum>(B)</enum><text>not later than 2
years after the date of the enactment of this chapter, establish procedures for
the training of the representatives of the home care ombudsman program,
including unpaid volunteers, based on best practices outlined by the Assistant
Secretary in the most recent report submitted under subsection (m)(1), in
consultation with representatives of citizen groups, providers of home care
services, and the home care ombudsman program, that—</text>
<clause id="IDd4d2d22869ba4771bd49388e4ee14b5f"><enum>(i)</enum><text>specify a minimum
number of hours of initial training;</text>
</clause><clause id="IDd260d20c58dd40e99bb2cb5d000e81fe"><enum>(ii)</enum><text>specify the
content of the training, including training relating to—</text>
<subclause id="ID765cbcfc118443b18a2574177e09a6d4"><enum>(I)</enum><text>Federal, State,
and local laws, regulations, and policies, with respect to providers of home
care services in the State;</text>
</subclause><subclause id="ID544565724a114505bbdbf377e4fb8bc4"><enum>(II)</enum><text>investigative
techniques; and</text>
</subclause><subclause id="IDd21e8921f6844bfc932d12f51ca76a24"><enum>(III)</enum><text>such other
matters as the State determines to be appropriate; and</text>
</subclause></clause><clause id="ID9041c82ffa184a7cade9e80aeb3331bf"><enum>(iii)</enum><text>specify an
annual number of hours of in-service training for all designated
representatives;</text>
</clause></subparagraph><subparagraph id="ID64ec87e65975442f947d9f9434bbdb1a"><enum>(C)</enum><text>prohibit any
representative of the home care ombudsman program (other than the Ombudsman)
from carrying out any activity described in subparagraphs (A) through (H) of
subsection (a)(3) unless the representative—</text>
<clause id="IDb7acc2f9006b4fefa4b2d433bb97b863"><enum>(i)</enum><text>has received the
training required under subparagraph (B); and</text>
</clause><clause id="ID8d07a501acfb49bcbefa820a24c3d2d5"><enum>(ii)</enum><text>has been
approved by the Ombudsman as qualified to carry out the activity on behalf of
the Office;</text>
</clause></subparagraph><subparagraph id="ID3e7f1ce59910434f8e3ce0166dbbee77"><enum>(D)</enum><text>coordinate home
care ombudsman services with the protection and advocacy systems for
individuals with developmental disabilities and mental illnesses established
under—</text>
<clause id="ID6e197515b09a4b75bae1ec190a8e412d"><enum>(i)</enum><text>subtitle C of the
Developmental Disabilities Assistance and Bill of Rights Act of 2000 (42 U.S.C.
15041 et seq.); and</text>
</clause><clause id="ID26738addc5964d2890e3eca760473f88"><enum>(ii)</enum><text>the Protection
and Advocacy for Individuals with Mental Illness Act (42 U.S.C. 10801 et
seq.);</text>
</clause></subparagraph><subparagraph id="ID9790c16c6fab416f8f9d28c64efa14a3"><enum>(E)</enum><text>coordinate, to
the greatest extent possible, home care ombudsman services with legal
assistance provided under section 306(a)(2)(C), through adoption of memoranda
of understanding and other means;</text>
</subparagraph><subparagraph id="ID0ca7cdf647d44588a8af44ebb63b27cd"><enum>(F)</enum><text>coordinate
services with State and local law enforcement agencies and courts of competent
jurisdiction; and</text>
</subparagraph><subparagraph id="ID2d55bb7ffb224bf18c6fbdbf2335216e"><enum>(G)</enum><text>permit any local
home care Ombudsman entity to carry out the responsibilities described in
subparagraph (A), (D), or (E).</text>
</subparagraph></paragraph><paragraph id="ID2513e887090c4290b97a70cada0fdeca"><enum>(2)</enum><header>Authorities</header><text>The
State agency shall require the Office to—</text>
<subparagraph id="ID4cdadf3dc548419684fcda3d78944ff9"><enum>(A)</enum><text>analyze, comment
on, and monitor the development and implementation of Federal, State, and local
laws, regulations, and other government policies and actions that pertain to
providers of home care services and those services, and to the health, safety,
welfare, and rights of home care consumers, in the State, and recommend any
changes in such laws, regulations, and policies as the Ombudsman determines to
be appropriate;</text>
</subparagraph><subparagraph id="ID63445a65ecb040eaba5e69e1ba7bf129"><enum>(B)</enum><clause commented="no" display-inline="yes-display-inline" id="id9E2E2DFF6589409C886A7F1F7DCF1851"><enum>(i)</enum><text>provide such
information as the Ombudsman determines to be necessary to public and private
agencies, legislators, and other persons, regarding—</text>
<subclause id="IDfe051c25c23946d48a9b7bbca6a7cd38" indent="up1"><enum>(I)</enum><text>the problems and concerns of older
individuals receiving home care services; and</text>
</subclause><subclause id="ID873a345f789140dba4beb54b13500325" indent="up1"><enum>(II)</enum><text>recommendations related to the problems
and concerns; and</text>
</subclause></clause><clause id="IDf2b8458b92314bfdb854a82c0c4bc11e" indent="up1"><enum>(ii)</enum><text>make available to the public, and
submit to the Assistant Secretary, the chief executive officer of the State,
the State legislature, the State agency responsible for licensing or certifying
providers of home care services, and other appropriate governmental entities,
each report prepared under paragraph (1)(A); and</text>
</clause></subparagraph><subparagraph id="ID072b4f378724483eb5eb31fd0891f3ac"><enum>(C)</enum><text>permit any local
home care Ombudsman entity to carry out the responsibilities described in
subparagraph (A) or (B).</text>
</subparagraph></paragraph></subsection><subsection id="ID350c1626554b48e381136a3aefa2db78"><enum>(i)</enum><header>Liability</header><text>The
State shall ensure that no representative of the home care ombudsman program
will be liable under State law for the good faith performance of official
duties.</text>
</subsection><subsection id="ID0c2ee0c1d0b54425a328e557084410b2"><enum>(j)</enum><header>Noninterference</header><text>The
State shall—</text>
<paragraph id="ID52d63cbec5de479d8d4602a43616ec21"><enum>(1)</enum><text>ensure that
willful interference with representatives of the home care ombudsman program in
the performance of the official duties of the representatives (as defined by
the Assistant Secretary) shall be unlawful;</text>
</paragraph><paragraph id="IDc580a2ff46eb40f69e6df4f12e9fbb95"><enum>(2)</enum><text>prohibit
retaliation and reprisals by a provider of home care services or other entity
with respect to any recipient of home and community-based services, employee,
exclusive representative of an employee, or other person for filing a complaint
with, providing information to, or otherwise cooperating with any
representative of, the home care ombudsman program; and</text>
</paragraph><paragraph id="ID0c335c3e6b7448a2a97efc979776c54f"><enum>(3)</enum><text>provide for
appropriate sanctions with respect to the interference, retaliation, and
reprisals.</text>
</paragraph></subsection><subsection id="ID6a35d4888bc1483eac67b11cced7ddbc"><enum>(k)</enum><header>Coordination
with Adult Protective Services</header>
<paragraph id="id0EB5D072EE4946AA910D1A18D44604F2"><enum>(1)</enum><header>In
general</header><text>The Ombudsman, in carrying out the State Home Care
Ombudsman Program, shall coordinate activities with the National Adult
Protective Services Resource Center and the head of the State’s adult
protective services program in a manner that is consistent with the State’s
existing (as of the date of the coordination) protocols for coordination of
activities between the Ombudsman, in carrying out the State Long-Term Care
Ombudsman Program.</text>
</paragraph><paragraph id="id97EAB4A6588240359851220707641B83"><enum>(2)</enum><header>Establishment
of protocols</header><text>If the protocols described in paragraph (1) do not
exist in the State, the Ombudsman, in conjunction with the head of the State’s
adult protective services program, shall establish protocols to coordinate
activities with the intent of better serving vulnerable adults, which protocols
shall—</text>
<subparagraph id="IDc21a2e05fcc245208ce38bfe30b30125"><enum>(A)</enum><text>clarify the roles
of each program;</text>
</subparagraph><subparagraph id="ID92afaee581dd4546b235da7a363db2c8"><enum>(B)</enum><text>establish
procedures for maintaining a working relationship;</text>
</subparagraph><subparagraph id="ID0b0c075bb30f46a7a70e86251b7fad9f"><enum>(C)</enum><text>outline mutual
expectations; and</text>
</subparagraph><subparagraph id="ID0924eee1cd9c43bd919548bca92c2e71"><enum>(D)</enum><text>establish
procedures for coordinating activities with law enforcement.</text>
</subparagraph></paragraph></subsection><subsection id="IDfdd32971c75b438cb140f3e5dc01573b"><enum>(l)</enum><header>Maintenance of
effort</header><text>A State, in using the funds made available for a fiscal
year through a grant received under section 703(d), shall maintain the
expenditures of the State for home care ombudsman services at a level that is
not less than the level of such expenditures maintained by the State for the
preceding fiscal year.</text>
</subsection><subsection id="ID7d7c66f581f1409da61db540271c8db4"><enum>(m)</enum><header>Evaluation</header><text>The
Assistant Secretary shall—</text>
<paragraph id="ID9457b9844c104f0fa7effc1b0f0b0413"><enum>(1)</enum><text>in conjunction
with the Director of the Office of Long-Term Care Ombudsman Programs and the
heads of other entities determined to be necessary by the Assistant Secretary,
collect and analyze the data required to be submitted under subsection (c) by
the States and within 1 year after receipt of the data, submit a report to
Congress outlining best practices for carrying out a home care ombudsman
program; and</text>
</paragraph><paragraph id="ID836cb9318a564d1aaddeb0c6922faa61"><enum>(2)</enum><text>make the report
available to
States.</text>
</paragraph></subsection></section></chapter><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>III</enum><header>Quality
assurance for home and community-based services</header>
<section id="idCA36387805D54670890ECC93FA867817"><enum>301.</enum><header>Functions of
Assistant Secretary</header><text display-inline="no-display-inline">Section
202(b) of the Older Americans Act of 1965 (42 U.S.C. 3012(b)) is
amended—</text>
<paragraph id="id8946F2E5C8F14991AD8E73789113D478"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (8)—</text>
<subparagraph id="id68660830818A4CCD93F3E4A9A28D0763"><enum>(A)</enum><text display-inline="yes-display-inline">in subparagraph (D), by striking
<quote>and</quote> at the end;</text>
</subparagraph><subparagraph id="id8FC50EFC9D5B4C0099E232A9C169FAE0"><enum>(B)</enum><text display-inline="yes-display-inline">in subparagraph (E) by adding
<quote>and</quote> at the end; and</text>
</subparagraph><subparagraph id="id62FAA0BD7CF2482DB33CC36202A6AD34"><enum>(C)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id2667C48DA8564BB2928B7A3927DBFE0F" style="OLC">
<subparagraph commented="no" id="ID678c87f61a0c446b8752fc8e4837fe07"><enum>(F)</enum><text>to provide
quality assurance information, relating to the standards identified under
paragraph (11)(A), using the methods described in paragraph (11)(B), about home
and community-based long-term care programs, service providers, and resources,
when referring consumers to those programs, providers, or
resources;</text>
</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="idDF822329CE0A492F9329EC8AF9589AAB"><enum>(2)</enum><text>in paragraph
(9)—</text>
<subparagraph id="id7D0EA7B5C18D4BF38F96F0F17B3A47EA"><enum>(A)</enum><text>in the matter
preceding subparagraph (A), by striking <quote>and community-based service
providers</quote> and inserting <quote>community-based service providers, and,
for purposes of subparagraph (C), Aging and Disability Resource
Centers,</quote>;</text>
</subparagraph><subparagraph id="id46CF3562D0D64DC189F8A0AE47CD538C"><enum>(B)</enum><text>in subparagraph
(A), by striking <quote>and</quote> at the end;</text>
</subparagraph><subparagraph id="id6EC7F5420B3B46188B153EF9451BDF25"><enum>(C)</enum><text>subparagraph (B),
by adding <quote>and</quote> at the end; and</text>
</subparagraph><subparagraph id="id5AC78F192057432495DF930E96A1B14A"><enum>(D)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="idA47314CE58B8445AB595C9D7DFC7938F" style="OLC">
<subparagraph id="idC51425AC46854316B6351DA8C6F83F8D"><enum>(C)</enum><text>methods,
consistent with the methods described in paragraph (11)(B), to communicate to
consumers quality assurance information, relating to the standards identified
under paragraph (11)(A), about home and community-based long-term care
programs, service providers, and
resources;</text>
</subparagraph><after-quoted-block>;
</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="id6E9B49739F3F49F18EA5F9CFDF483014"><enum>(3)</enum><text>in paragraph
(10), by striking <quote>and</quote> at the end;</text>
</paragraph><paragraph id="id3C2EB88B651D465EA07B16CDFC8E9114"><enum>(4)</enum><text>by redesignating
paragraph (11) as paragraph (12); and</text>
</paragraph><paragraph id="id99BE95049ADF407D8A2B605F337DD0A2"><enum>(5)</enum><text>by inserting
after paragraph (10) the following:</text>
<quoted-block display-inline="no-display-inline" id="idCA637F38478D4C06B5A0F64776C25364" style="OLC">
<paragraph id="ID77e2f6f08db44f76be1b987f2bc66a48"><enum>(11)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id15A3A9BA92124163BA78D5BD3844AA4E"><enum>(A)</enum><text>identify, in
consultation with States (either directly or by entering into a contract under
this subparagraph and considering the recommendation of the contract recipient)
quality assurance standards for home and community-based long-term care
programs, service providers, and resources that—</text>
<clause id="id9E4DC233A455446F9D347FF6E66984EE" indent="up1"><enum>(i)</enum><text>shall be designed to ensure the
health, safety, and welfare of consumers who are referred to such programs,
service providers, and resources by area agencies on aging, Aging and
Disability Resource Centers, and such other entities as the Assistant Secretary
determines to be appropriate; and</text>
</clause><clause id="idC054CE2E787C4D49876FE833C093C8C3" indent="up1"><enum>(ii)</enum><text>shall be identified after the
Assistant Secretary takes into account, at a minimum, standards for—</text>
<subclause id="id5358D4BD663D4C029BE05EB37A26F51F"><enum>(I)</enum><text>background checks of service
providers;</text>
</subclause><subclause id="idE4E38EA60FC247E483367A280AA20874"><enum>(II)</enum><text>licensure of agencies and certification
and training of service providers;</text>
</subclause><subclause id="idB88BB872F4214A42ADC8FD108F10CC86"><enum>(III)</enum><text>consumer satisfaction regarding
programs, service providers, and resources, in cases in which consumer
satisfaction information is available; and</text>
</subclause><subclause id="idBEEB33C5A2434B21AE11147A7EB93157"><enum>(IV)</enum><text>such additional matters as the Assistant
Secretary determines to be appropriate; and</text>
</subclause></clause></subparagraph><subparagraph id="IDe1e5a8650cc44e79b387fffadd94ab7e" indent="up1"><enum>(B)</enum><text>taking into account the variation in
communication infrastructure development among Aging and Disability Resource
Centers, establish consumer-friendly methods for communicating to consumers,
consistently throughout a State—</text>
<clause id="idC0984D75334F455DAD0987C8BB755441"><enum>(i)</enum><text>quality assurance information
relating to the standards identified under subparagraph (A) about home and
community-based long-term care programs, service providers, and resources to
which such consumers are referred to by area agencies on aging, Aging and
Disability Resource Centers, and such other entities as the Assistant Secretary
determines to be appropriate; and</text>
</clause><clause id="idD7FF6CB533E74474A061FB8A3585A289"><enum>(ii)</enum><subclause commented="no" display-inline="yes-display-inline" id="id991FA3BACD88486E8501B6A092A831A7"><enum>(I)</enum><text>the content of the
State certification or licensure requirements applicable to such home and
community-based long-term care programs, service providers, or resources;
or</text>
</subclause><subclause id="id92B39251AC884DC9BCD4FB0F38C1E7BC" indent="up1"><enum>(II)</enum><text>an explanation that the State does
not have certification or licensure requirements applicable to such home and
community-based long-term care programs, service providers, or resources;
and</text>
</subclause></clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="idBB720AADEB644BD79BAFF77D949CB769"><enum>302.</enum><header>Organization</header><text display-inline="no-display-inline">Section 305(a)(3)(E) of the Older Americans
Act of 1965 (42 U.S.C. 3025(a)(3)(E)) is amended—</text>
<paragraph id="id62F8BF1A73574030B956F66BB9E7FF07"><enum>(1)</enum><text>in the matter
before clause (i), by striking <quote>information relating to</quote>;</text>
</paragraph><paragraph id="idDC4464FD91A64430A7509BB41816C3B2"><enum>(2)</enum><text display-inline="yes-display-inline">in clause (i)—</text>
<subparagraph id="id37DA82B7EB714B2C944E3D649694AD18"><enum>(A)</enum><text display-inline="yes-display-inline">by inserting <quote>information relating
to</quote> after <quote>(i)</quote>; and</text>
</subparagraph><subparagraph id="id5723380EC133477F967E5A8CFEAC9031"><enum>(B)</enum><text display-inline="yes-display-inline">by striking <quote>and</quote> at the
end;</text>
</subparagraph></paragraph><paragraph id="idECDAB2146C13423EB1C8FEF6B0B38535"><enum>(3)</enum><text display-inline="yes-display-inline">in clause (ii)—</text>
<subparagraph id="id03A4FD87A2FA479D86DEC2A2CB4261C8"><enum>(A)</enum><text display-inline="yes-display-inline">by inserting <quote>information relating
to</quote> after <quote>(ii)</quote>; and</text>
</subparagraph><subparagraph id="idF8B00360E83A463FA5A8F49375DFF903"><enum>(B)</enum><text display-inline="yes-display-inline">by striking the period and inserting
<quote>; and</quote>; and</text>
</subparagraph></paragraph><paragraph id="id52B2C9423F394D86A6E26E0BC39517EB"><enum>(4)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="idB38F29BBE5AC4526B336C6230DA851D5" style="OLC">
<clause id="ID7ae4f8066ad24b56abc6a1eb4f1676ab"><enum>(iii)</enum><text>quality
assurance information, relating to the standards identified under section
202(b)(11)(A), about home and community-based long-term care programs, service
providers, and resources, provided through methods described in section
202(b)(11)(B), when the Aging and Disability Resource Centers, area agencies on
aging, and such other entities as the Assistant Secretary determines to be
appropriate, refer consumers to those programs, providers, and resources in the
State.</text>
</clause><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section>