[Congressional Bills 112th Congress]
[From the U.S. Government Publishing Office]
[S. 3562 Introduced in Senate (IS)]

112th CONGRESS
  2d Session
                                S. 3562

  To reauthorize and improve the Older Americans Act of 1965, and for 
                            other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                           September 19, 2012

Mr. Sanders (for himself, Mr. Blumenthal, Mr. Kerry, Ms. Mikulski, Mr. 
  Begich, Mr. Akaka, Mr. Durbin, Mrs. Gillibrand, Ms. Klobuchar, Mr. 
Leahy, Mr. Wyden, Mr. Franken, Mrs. Boxer, Mr. Johnson of South Dakota, 
Mr. Merkley, and Mr. Menendez) introduced the following bill; which was 
 read twice and referred to the Committee on Health, Education, Labor, 
                              and Pensions

_______________________________________________________________________

                                 A BILL


 
  To reauthorize and improve the Older Americans Act of 1965, and for 
                            other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Older Americans Act Amendments of 
2012''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) Older adults are the fastest growing segment of the 
        Nation's population, in the Nation's history.
            (2) Every day, 10,000 Baby Boomers turn 65.
            (3) One in every 5 of those individuals age 65 and older 
        survives on an average of $7,500 a year.
            (4) Older adults haven't seen a cost of living adjustment 
        in Federal benefits, including assistance under the Social 
        Security Act, in more than 2 years and will only see a very 
        slight cost of living adjustment in those benefits for fiscal 
        year 2012.
            (5) Federal funding to support older adults and their 
        caregivers has not kept pace with inflation.
            (6) Only 7 percent of individuals who are food insecure are 
        getting a home-delivered meal.
            (7) The cost of staying in a nursing home is averaging over 
        $77,000 per year.
            (8) The Medicaid program is paying for the majority of 
        nursing home care.
            (9) States are cutting budgets for Medicaid programs, and 
        the cuts sometimes result in nursing homes dropping older 
        adults off at homeless shelters.
            (10) In 2009, the Department of Justice estimated that 14.1 
        percent of noninstitutionalized older adults in the United 
        States had experienced some form of elder abuse in the past 
        year.
            (11) Only 1 in 23.5 cases of abuse of older adults is ever 
        reported due to a lack of screening, awareness, and prevention 
        efforts.
            (12) The mortality rate for older adults who are victims of 
        abuse is 3 times higher than for older adults who are not 
        victims of abuse.
            (13) The annual financial loss by older adults who are 
        victims of financial abuse, due to that abuse, is estimated to 
        be at least $2,900,000,000, and steadily increasing.
            (14) By making significant improvements through the Older 
        Americans Act Amendments of 2012, it is possible to improve the 
        lives of millions of older adults, and ensure that they receive 
        all of the supports and services that they need to stay healthy 
        and active in their homes and communities.

            TITLE I--DECLARATION OF OBJECTIVES; DEFINITIONS

SEC. 101. DECLARATION OF OBJECTIVES.

    Section 101 of the Older Americans Act of 1965 (42 U.S.C. 3001) is 
amended--
            (1) by striking paragraph (1) and inserting the following:
            ``(1) An adequate income and economic security in later 
        life in accordance with the American standard of living.'';
            (2) in paragraph (4), by inserting ``care coordination 
        and'' after ``including'';
            (3) in paragraph (8), by inserting ``and supports, offered 
        in a culturally and linguistically competent manner'' after 
        ``community services.'';
            (4) by striking paragraphs (9) and (10) and inserting the 
        following:
            ``(9) Immediate benefit from proven research knowledge 
        which can sustain and improve health, happiness, and economic 
        security.
            ``(10) Freedom, independence, economic security, and the 
        free exercise of individual initiative for older people in 
        planning and managing their own lives, full participation in 
        the planning and operation of community-based services and 
        programs provided for their benefit, and protection against 
        abuse, neglect, and exploitation.''; and
            (5) by adding at the end the following:
            ``(11) Acquiring high-quality services in a manner that is 
        culturally and linguistically responsive to older individuals 
        and family caregivers.''.

SEC. 102. DEFINITIONS.

    (a) In General.--Section 102 of the Older Americans Act of 1965 (42 
U.S.C. 3002) is amended--
            (1) by amending paragraph (1) to read as follows:
            ``(1) The term `abuse' means the knowing infliction of 
        physical or psychological harm or the knowing deprivation of 
        goods or services that are necessary to meet essential needs or 
        to avoid physical or psychological harm.'';
            (2) by redesignating paragraphs (4) through (14) and (15) 
        through (54) as paragraphs (5) through (15) and (17) through 
        (56), respectively;
            (3) by inserting after paragraph (3) the following:
            ``(4) The term `adult protective services' means such 
        services provided to adults as the Secretary may specify and 
        includes services such as--
                    ``(A) receiving reports of adult abuse, neglect, or 
                exploitation;
                    ``(B) investigating the reports described in 
                subparagraph (A);
                    ``(C) case planning, monitoring, evaluation, and 
                other case work and services; and
                    ``(D) providing, arranging for, or facilitating the 
                provision of medical, social service, economic, legal, 
                housing, law enforcement, or other protective, 
                emergency, or support services.'';
            (4) by striking paragraph (5), as redesignated by paragraph 
        (2) of this subsection, and inserting the following:
            ``(5) The term `Aging and Disability Resource Center' means 
        an entity established by a State as part of the State system of 
        long-term care, that provides a coordinated and integrated 
        system that serves individuals with disabilities and older 
        individuals, including, at a minimum providing--
                    ``(A) comprehensive information on the full range 
                of--
                            ``(i) available public and private long-
                        term care programs, options, service providers, 
                        and resources within a State, and within a 
                        community, including information on the 
                        availability of integrated long-term care; and
                            ``(ii) Federal or State programs that 
                        provide long-term care services and supports 
                        for individuals with disabilities and older 
                        individuals through home and community-based 
                        service programs;
                    ``(B) personal and peer counseling to assist 
                individuals with disabilities and older individuals 
                in--
                            ``(i) assessing their existing or 
                        anticipated long-term care needs and goals, 
                        including needs and goals related to the 
                        availability of home and community-based 
                        services as an alternative to care in a nursing 
                        home or other institutional settings; and
                            ``(ii) developing and implementing a plan 
                        for long-term care, consistent with the desires 
                        of an individual and designed to meet the 
                        individual's specific priorities, goals, needs, 
                        and circumstances;
                    ``(C) access for individuals with disabilities and 
                older individuals to the full range of publicly-
                supported long-term care programs and supports for 
                which individuals described in this subparagraph may be 
                eligible, including home and community-based options, 
                by serving as a convenient point of entry for such 
                programs and supports;
                    ``(D) if an individual with a disability or older 
                individual wants to live or remain in the community, 
                efforts to work in cooperation with centers for 
                independent living (as defined in section 702 of the 
                Rehabilitation Act of 1973 (29 U.S.C. 796a)) and other 
                community-based entities--
                            ``(i) to facilitate the transition of an 
                        individual described in this subparagraph from 
                        a nursing home or other institutional setting 
                        to a home or community-based residence, with 
                        the requisite supports and services; or
                            ``(ii) to provide assistance to an 
                        individual who is at risk for placement in a 
                        nursing home or other institutional setting, or 
                        of re-entering a nursing home or other 
                        institutional setting, so that an individual 
                        described in this subparagraph may remain in 
                        the individual's own home, or in a home or 
                        community-based residence;
                    ``(E) initiatives that involve coordinating State 
                and local partnerships, including those with disability 
                advocacy organizations such as centers for independent 
                living (as so defined) and aging networks such as area 
                agencies on aging, to ensure that individuals with 
                disabilities and older individuals have access to the 
                full array of needed services and opportunities; and
                    ``(F) initiatives that connect, to the greatest 
                extent practicable, individuals with disabilities and 
                older individuals with available long-term care 
                services and supports, including home and community-
                based services and supports, through the development of 
                coordinated systems of information, referral, and 
                access, regardless of an individual's point of entry or 
                initial inquiry, age, income, disability, or advance 
                planning for long-term care services and supports.'';
            (5) in subparagraph (B)(i) of paragraph (12), as 
        redesignated by paragraph (2) of this subsection, by striking 
        ``comprehensive'' and all that follows through 
        ``psychological'' and inserting ``comprehensive person-centered 
        assessment of the older individual (including the physical, 
        psychological, economic,'';
            (6) in paragraph (15), as redesignated by paragraph (1) of 
        this subsection--
                    (A) in subparagraph (C), by inserting ``, their 
                family members,'' before ``and their primary''; and
                    (B) by striking the last sentence;
            (7) by inserting after that paragraph (15) the following:
            ``(16)(A) The term `economic security' means access to the 
        assets, income, and community-based services necessary to 
        provide for adequate and unsubsidized housing, health care, 
        transportation, food, long-term care, and goods and services to 
        meet other basic human needs. Such access shall be measured in 
        a manner that shall be geographically based, and take into 
        account an individual's life circumstances.
            ``(B) The term `economic security and benefits 
        counseling'--
                    ``(i) means a supportive service that provides, to 
                an older individual, a comprehensive assessment of the 
                Federal, State, and community benefits and services for 
                which the individual qualifies, along with assistance 
                in applying for and obtaining the benefits and 
                services; and
                    ``(ii) to the extent appropriate, includes an 
                evaluation of the older individual's--
                            ``(I) economic situation, including income, 
                        assets, and access to pensions or other private 
                        benefits;
                            ``(II) health care and housing needs;
                            ``(III) access to nutrition and nutrition 
                        services;
                            ``(IV) ability to satisfy transportation 
                        needs; and
                            ``(V) long-term care planning.'';
            (8) by amending paragraph (19), as redesignated by 
        paragraph (2) of this subsection, to read as follows:
            ``(19) The term `elder justice' means--
                    ``(A) from a societal perspective, efforts to--
                            ``(i) prevent, detect, treat, intervene in, 
                        and prosecute elder abuse, neglect, and 
                        exploitation; and
                            ``(ii) protect older individuals with 
                        diminished capacity while maximizing their 
                        autonomy; and
                    ``(B) from an individual perspective, the 
                recognition of an older individual's rights, including 
                the right to be free of abuse, neglect, and 
                exploitation.'';
            (9) in paragraph (20), as redesignated by paragraph (2) of 
        this subsection, by striking ``The term `exploitation' means'' 
        and inserting ``The terms `exploitation' and `financial 
        exploitation' mean'';
            (10) in paragraph (25), as redesignated by paragraph (2) of 
        this subsection, by striking ``at or below the poverty line.'' 
        and inserting ``that is not more than 200 percent of the 
        poverty line.'';
            (11) by striking paragraph (26), as redesignated by 
        paragraph (2) of this subsection, and inserting the following:
            ``(26) The term `greatest social need' means need caused by 
        noneconomic factors--
                    ``(A) that--
                            ``(i) restrict the ability of an individual 
                        to perform normal daily tasks; or
                            ``(ii) threaten the capacity of the 
                        individual to live independently; and
                    ``(B) which include--
                            ``(i) physical and mental disabilities;
                            ``(ii) language barriers including limited 
                        English proficiency;
                            ``(iii) cultural, social, or geographic 
                        isolation (such as residence in a rural area), 
                        including isolation caused by racial, minority, 
                        or ethnic status, or status as an LGBT 
                        individual;
                            ``(iv) HIV-positive health status or 
                        Alzheimer's disease or a related disorder with 
                        neurological and organic brain dysfunction;
                            ``(v) greatest health service need, 
                        particularly a need posed by multiple chronic 
                        health conditions or a condition that places an 
                        individual at risk for falls;
                            ``(vi) abuse, neglect (including self-
                        neglect), or financial exploitation, including 
                        factors that are the basis of a referral to 
                        adult protective services;
                            ``(vii) status as a veteran; and
                            ``(viii) status as a Holocaust survivor.'';
            (12) in paragraph (30), as redesignated by paragraph (2) of 
        this subsection--
                    (A) in subparagraph (C), by inserting ``, including 
                opportunities for work and volunteer service in the 
                community'' after ``available''; and
                    (B) in subparagraph (E), by inserting ``, in a 
                culturally and linguistically competent manner,'' 
                before ``the entire community of older individuals'';
            (13) in paragraph (31), as redesignated by paragraph (2) of 
        this subsection, by striking ``information and referral'' and 
        inserting ``information and referral assistance'';
            (14) in paragraph (35), as redesignated by paragraph (2) of 
        this subsection--
                    (A) by redesignating clauses (i) and (ii) of 
                subparagraph (B) as subclauses (I) and (II), 
                respectively, and aligning the margins of the 
                subclauses with the margins of subclause (I) of 
                subparagraph (A)(i) of paragraph (34), as so 
                redesignated;
                    (B) by redesignating subparagraphs (A) and (B) as 
                clauses (i) and (ii), respectively, and aligning the 
                margins of the clauses with the margins of clause (ii) 
                of subparagraph (A) of that paragraph (34);
                    (C) by inserting ``(A)'' before ``The term''; and
                    (D) by adding at the end the following:
            ``(B) The term `integrated legal assistance delivery 
        system' means a collaboratively run, statewide network that is 
        established to provide direct legal assistance, in the most 
        efficient and impactful manner possible, targeted at older 
        individuals with greatest economic need and older individuals 
        with greatest social need (with particular attention to 
        individuals with factors listed in paragraph (26)(B)), in 
        coordination with the legal assistance developer for the State 
        and all State, regional, and local service providers engaged in 
        promoting or supporting elder rights.'';
            (15) in paragraph (36), as redesignated by paragraph (2) of 
        this subsection--
                    (A) in subparagraph (A), by adding ``and'' at the 
                end;
                    (B) in subparagraph (B), by striking ``; and'' at 
                the end and inserting a period; and
                    (C) by striking subparagraph (C);
            (16) in paragraph (37), as redesignated by paragraph (2) of 
        this subsection, by striking ``sections 307(a)(12) and'' and 
        inserting ``the activities carried out under section 
        307(a)(9)'';
            (17) in paragraph (38), as redesignated by paragraph (2) of 
        this subsection, by inserting ``(including elder abuse and 
        neglect screening)'' after ``educational services'';
            (18) in paragraph (50)(B), as redesignated by paragraph (2) 
        of this subsection, by striking ``subparagraphs (A) through (G) 
        of paragraph (8)'' and inserting ``subparagraphs (A) through 
        (I) of paragraph (14)''; and
            (19) by adding at the end the following:
            ``(57)(A) The term `care coordination' means a person- and 
        family-centered, assessment-based, and interdisciplinary 
        approach to meet the needs and preferences of an older 
        individual and a family caregiver while enhancing the 
        capabilities of the older individual (including the ability to 
        self-direct services).
            ``(B) The term `care coordination' means coordination 
        that--
                    ``(i) integrates health care, long-term services 
                and supports, and social support services in a high-
                quality and cost-effective manner in which an 
                individual's needs, preferences, and capabilities are 
                assessed, along with the needs and preferences of a 
                family caregiver;
                    ``(ii) includes, as a core element, the active 
                involvement of the older individual, the family, or a 
                representative appointed by the older individual or 
                legally acting on the individual's behalf, community-
                based service professionals, and health care 
                professionals providing care to the older individual, 
                in the design and implementation of an individualized, 
                individual-centered service and support plan, through 
                which the services and supports will be provided in a 
                manner free from conflicts of interest;
                    ``(iii) integrates services and interventions that 
                are implemented, monitored, and evaluated for 
                effectiveness using an evidence-based process, which 
                typically involves a designated lead care coordinator 
                and involves feedback from the older individual;
                    ``(iv) includes activities that aim simultaneously 
                at meeting individual and family needs and preferences, 
                building on individual capabilities, and improving 
                outcomes and systems of care;
                    ``(v) includes provision of some or all of the 
                services and activities described in clauses (i) 
                through (iv) by trained professionals employed by or 
                under a contract with--
                            ``(I) area agencies on aging;
                            ``(II) Aging and Disability Resource 
                        Centers; or
                            ``(III) other service providers, including 
                        in-home service providers; and
                    ``(vi) is not furnished to directly diagnose, 
                treat, or cure a medical disease or condition.
            ``(58) The term `cultural and linguistic competence' means 
        competence in a set of behaviors, attitudes, and policies that 
        is--
                    ``(A) used by an organization or among 
                professionals; and
                    ``(B) enables effective work in cross-cultural 
                situations.
            ``(59) The term `family caregiver' means an adult family 
        member, or another individual, who is an informal provider of 
        in-home and community care to an older individual or to an 
        individual with Alzheimer's disease or a related disorder with 
        neurological and organic brain dysfunction.
            ``(60) The term `Holocaust survivor' means an individual 
        who--
                    ``(A)(i) lived in a country between 1933 and 1945 
                under a Nazi regime, under Nazi occupation, or under 
                the control of Nazi collaborators; or
                    ``(ii) fled from a country between 1933 and 1945 
                under a Nazi regime, under Nazi occupation, or under 
                the control of Nazi collaborators;
                    ``(B) was persecuted between 1933 and 1945 on the 
                basis of race, religion, physical or mental disability, 
                sexual orientation, political affiliation, ethnicity, 
                or other basis; and
                    ``(C) was a member of a group that was persecuted 
                by the Nazis.
            ``(61) The term `LGBT', used with respect to an individual, 
        means a lesbian, gay, bisexual, or transgender individual.
            ``(62) The term `person-centered', used with respect to a 
        service for an individual, means a service provided with an 
        approach designed to ensure that an outcome reflects the needs, 
        preferences, and situations of the individual.
            ``(63) The term `veteran' has the meaning given the term in 
        section 101 of title 38, United States Code.''.
    (b) Conforming Amendments.--Section 102 of the Older Americans Act 
of 1965 (42 U.S.C. 3002), as redesignated by subsection (a)(2), is 
amended--
            (1) in paragraph (39)(A), by striking ``as defined in 
        paragraph (5)'' and inserting ``as defined in paragraph (28)'';
            (2) in paragraph (40), by striking ``(as defined in 
        paragraph (18)(B))'' and inserting ``(as defined in paragraph 
        (20)(B))''; and
            (3) in paragraph (48)(D), by striking ``(as defined in 
        paragraph (18)(B))'' and inserting ``(as defined in paragraph 
        (20)(B))''.

                   TITLE II--ADMINISTRATION ON AGING

SEC. 201. ESTABLISHMENT OF ADMINISTRATION ON AGING.

    Section 201 of the Older Americans Act of 1965 (42 U.S.C. 3011) is 
amended--
            (1) in subsection (d)(3)--
                    (A) in subparagraph (C)--
                            (i) in clause (i), by striking ``; and'' 
                        and inserting a semicolon;
                            (ii) by redesignating clause (ii) as clause 
                        (iii); and
                            (iii) by inserting after clause (i) the 
                        following:
                            ``(ii) resources needed by State Long-Term 
                        Care Ombudsmen to collect and report program 
                        data through the National Ombudsman Reporting 
                        System, including hardware and software that 
                        meet national standards; and'';
                    (B) in subparagraph (J), by inserting before the 
                semicolon the following: ``, including the 
                effectiveness of such services in meeting the needs of 
                LGBT older individuals''; and
                    (C) in subparagraph (L)--
                            (i) by striking ``Older Americans Act 
                        Amendments of 1992'' and inserting ``Older 
                        Americans Act Amendments of 2012''; and
                            (ii) by striking ``712(h)(4)'' and 
                        inserting ``712(h)(5)'';
            (2) in subsection (e)(2)--
                    (A) in the matter preceding subparagraph (A), by 
                inserting ``, and in coordination with the heads of 
                State adult protective services programs and the State 
                Long-Term Care Ombudsmen'' after ``and services'';
                    (B) in subparagraph (A), by striking ``and'' at the 
                end;
                    (C) in subparagraph (B), by striking the period and 
                inserting a semicolon; and
                    (D) by adding at the end the following:
            ``(C) 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 Older Americans Act Amendments of 2012, and to 
        make those best practices available to States, and to the 
        public through the National Center on Elder Abuse;
            ``(D) 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;
            ``(E) 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 Older Americans Act Amendments of 2012; and
            ``(F) to review and approve States' Home Care Consumer 
        Bills of Rights and Plans for Enforcement through that 
        process.''; and
            (3) by adding at the end the following:
    ``(g) The Assistant Secretary is authorized to designate within the 
Administration a person to have responsibility for addressing issues 
affecting LGBT older individuals.
    ``(h) The Assistant Secretary is authorized to use funds 
appropriated to carry out this Act to implement activities authorized 
under part I of subtitle B of title XX of the Social Security Act (42 
U.S.C. 1397k et seq.), including the establishment of the Advisory 
Board on Elder Abuse, Neglect, and Exploitation, and to convene the 
Elder Justice Coordinating Council.
    ``(i)(1) 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 
`Center'). 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 Long-Term Care Ombudsman Program 
to protect home care consumers and residents most effectively.
    ``(2) The nonprofit entity awarded a grant or contract under this 
subsection shall have expertise in, and representation from, State and 
local adult protective services programs.
    ``(3) The Center shall--
            ``(A) 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;
            ``(B) 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;
            ``(C) 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 exploitation of vulnerable adults, including 
        home care consumers and residents of long-term care facilities;
            ``(D) 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;
            ``(E) work with the National Ombudsman Resource Center and 
        State Long-Term Care Ombudsman programs to develop and 
        disseminate training, practice standards, and policies 
        regarding--
                    ``(i) the roles and responsibilities of adult 
                protective services and ombudsman programs;
                    ``(ii) confidentiality and abuse reporting issues 
                and protocols; and
                    ``(iii) 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
            ``(F) 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.
    ``(4) Not later than 18 months after the date of enactment of the 
Older Americans Act Amendments of 2012, the Director shall--
            ``(A) collect and analyze, from leading national and State 
        experts, the best practices related to screening for elder 
        abuse;
            ``(B) publish a report that describes recommendations 
        regarding such best practices and disseminate such report to 
        all grantees under programs established under this Act and 
        described under this section; and
            ``(C) submit to Congress such report and a description of 
        the dissemination activities under subparagraph (B).
    ``(5) In this subsection, the terms `home care consumer' and `home 
care ombudsman program' have the meanings given the terms in section 
736.''.

SEC. 202. FUNCTIONS OF ASSISTANT SECRETARY.

    Section 202 of the Older Americans Act of 1965 (42 U.S.C. 3012) is 
amended--
            (1) in subsection (a)--
                    (A) in paragraph (5), by inserting ``economic 
                security,'' after ``nutrition,'';
                    (B) in paragraph (7), by inserting ``, including 
                economic security trends among such individuals'' after 
                ``older individuals'';
                    (C) in paragraph (8), by striking ``older 
                individuals'' and inserting ``the health and economic 
                security of older individuals'';
                    (D) in paragraph (14), by inserting ``for working 
                with the Administrator of the Health Resources and 
                Services Administration and the Secretary of Labor to 
                identify and address workforce shortages involving such 
                personnel,'' after ``field of aging,'';
                    (E) by striking paragraph (15) and inserting the 
                following:
            ``(15)(A) as needed, provide technical assistance, training 
        through training packages, and other forms of instruction to 
        entities consisting of State agencies, area agencies on aging, 
        service providers, and community-based organizations, to ensure 
        that the entities develop and implement, in a culturally and 
        linguistically competent manner, programming, services, and 
        outreach for older individuals with greatest economic need and 
        older individuals with greatest social need (with particular 
        attention to providing services to individuals with factors 
        listed in section 102(26)(B) and providing services in areas 
        identified by the Administrator of the Health Resources and 
        Services Administration as having a shortage of professionals 
        trained to care for older individuals and with a focus on 
        strategies that enable older adults to proceed on a path to 
        economic security); and
            ``(B) consult with national and community-based 
        organizations representing minority individuals to develop the 
        capacity of the Administration to provide such technical 
        assistance, training, and instruction.'';
                    (F) in paragraph (16)--
                            (i) in subparagraph (A)(ii), by inserting 
                        ``, and separately specifying the number of 
                        such individuals who are LGBT individuals'' 
                        before the semicolon; and
                            (ii) in subparagraph (C), by striking 
                        ``paragraphs (2) and (5)(A)'' and inserting 
                        ``paragraphs (2) and (4)(A)'';
                    (G) in paragraph (18), by amending subparagraph (B) 
                to read as follows:
                    ``(B) reserve and provide, for the funding of the 
                Center (which may include enabling the Center to 
                collaborate and participate with the Centers for 
                Medicare & Medicaid Services in providing training for 
                State survey agencies with an agreement in effect under 
                section 1864 of the Social Security Act (42 U.S.C. 
                1395aa) or, in the case of States without such an 
                agency, work with the Administrator for the Centers for 
                Medicare & Medicaid Services to improve the 
                investigative processes used by the Center to address 
                complaints by residents of long-term care facilities)--
                            ``(i) for fiscal year 2013, not less than 
                        $2,000,000; and
                            ``(ii) for each subsequent fiscal year, not 
                        less than the sum of--
                                    ``(I) $100,000; and
                                    ``(II) the amount made available 
                                under this subparagraph for the fiscal 
                                year preceding the year for which the 
                                sum is determined;'';
                    (H) by striking paragraph (21) and inserting the 
                following:
            ``(21)(A) establish information and assistance services as 
        priority services for older individuals, and ensure that 
        quality information and assistance services are consistently 
        provided to older individuals;
            ``(B) ensure that there is full collaboration between all 
        governmental information and assistance systems that serve 
        older individuals, whether specialized, crisis intervention, 
        disaster assistance, or other; and
            ``(C) develop and operate, either directly or through 
        contracts, grants, or cooperative agreements, a National 
        Eldercare Locator Service, providing information and assistance 
        services through a nationwide toll free number to identify 
        community resources, including certified, nonprofit financial 
        services for older individuals;'';
                    (I) by striking paragraph (22) and inserting the 
                following:
            ``(22) develop guidelines for area agencies on aging to 
        follow in--
                    ``(A) choosing and evaluating providers of legal 
                assistance with the capacity to work within an 
                integrated legal assistance delivery system; and
                    ``(B) collecting data and reporting to the State 
                agency;'';
                    (J) in paragraph (23), by striking all text 
                following ``developers'' and inserting ``referred to in 
                section 307(a)(13) and section 731;'';
                    (K) by redesignating paragraphs (25) through (28) 
                as paragraphs (26) through (29), respectively;
                    (L) by inserting after paragraph (24) the 
                following:
            ``(25)(A) conduct a planning and feasibility study--
                    ``(i) with the intent of establishing a national 
                database of local service organizations or local senior 
                community service employment programs authorized under 
                title V that offer volunteer placements; and
                    ``(ii) on the capacity, as of the date of the 
                study, of the aging network to manage such a database; 
                and
            ``(B) not later than 2 years after the date of enactment of 
        the Older Americans Act Amendments of 2012, submit to Congress 
        the results of the study conducted under subparagraph (A);'';
                    (M) in paragraph (28), as redesignated by 
                subparagraph (K), by striking ``and'' at the end;
                    (N) in paragraph (29), as redesignated by 
                subparagraph (K), by striking the period and inserting 
                a semicolon; and
                    (O) by adding at the end the following:
            ``(30) conduct studies and collect data to determine the 
        services that are needed by LGBT older individuals;
            ``(31) collaborate and consult with the heads of Federal 
        entities, including the Director of the Centers for Disease 
        Control and Prevention and the Assistant Secretary for 
        Preparedness and Response of the Department of the Health and 
        Human Services, and the Secretary of Homeland Security, as 
        appropriate, to provide technical assistance, training, and 
        other assistance to States and area agencies on aging for the 
        development and revision of emergency preparedness plans; and
            ``(32)(A) encourage, provide technical assistance to and 
        share best practices with, States, area agencies on aging, 
        Aging and Disability Resource Centers, and service providers to 
        carry out outreach and coordinate activities with health care 
        entities in order to assure better care coordination for 
        individuals with multiple chronic illnesses; and
            ``(B) coordinate activities with other Federal agencies 
        that are working to improve care coordination and developing 
        new models and best practices for that coordination.'';
            (2) in subsection (b)--
                    (A) in paragraph (8)--
                            (i) in subparagraph (D)--
                                    (I) by inserting ``, and with 
                                future planning for eligible care 
                                recipients (as defined in section 
                                372(a)) who are individuals with 
                                disabilities described in section 
                                372(a)(2)(B) and who are living with 
                                older relative caregivers (as so 
                                defined)'' after ``needs''; and
                                    (II) by striking ``and'' at the 
                                end; and
                            (ii) by adding at the end the following:
                    ``(F) 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; and
                    ``(G) that may carry out the informal caregiver 
                assessment program described in subsection (i);'';
                    (B) in paragraph (9)--
                            (i) in the matter preceding subparagraph 
                        (A), by striking ``and community-based service 
                        providers'' and inserting ``community-based 
                        service providers, and, for purposes of 
                        subparagraph (C), Aging and Disability Resource 
                        Centers,'';
                            (ii) in subparagraph (A), by striking 
                        ``and'' at the end;
                            (iii) subparagraph (B), by adding ``and'' 
                        at the end; and
                            (iv) by adding at the end the following:
                    ``(C) 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;'';
                    (C) in paragraph (10), by striking ``and'' at the 
                end;
                    (D) by redesignating paragraph (11) as paragraph 
                (12); and
                    (E) by inserting after paragraph (10) the 
                following:
            ``(11)(A) 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--
                    ``(i) 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
                    ``(ii) shall be identified after the Assistant 
                Secretary takes into account, at a minimum, standards 
                for--
                            ``(I) background checks of service 
                        providers;
                            ``(II) licensure of agencies and 
                        certification and training of service 
                        providers;
                            ``(III) consumer satisfaction regarding 
                        programs, service providers, and resources, in 
                        cases in which consumer satisfaction 
                        information is available; and
                            ``(IV) such additional matters as the 
                        Assistant Secretary determines to be 
                        appropriate; and
            ``(B) 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--
                    ``(i) 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
                    ``(ii)(I) 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
                    ``(II) 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'';
            (3) in subsection (e)(2)(B)--
                    (A) in clause (viii), by striking ``and'';
                    (B) by redesignating clause (ix) as clause (x); and
                    (C) by inserting after clause (viii) the following:
                    ``(ix) organizations with expertise on economic 
                security, asset accumulation, and retirement planning; 
                and''; and
            (4) by adding at the end the following:
    ``(g) The Assistant Secretary shall--
            ``(1) ensure, where appropriate, that all programs funded 
        under this Act include appropriate training in the prevention 
        of abuse, neglect, and exploitation and provision of services 
        that address elder justice and exploitation; and
            ``(2) periodically update determinations about the need for 
        and benefit of such training related to prevention of abuse, 
        neglect, and exploitation of older adults.
    ``(h)(1) The Assistant Secretary shall establish and operate the 
National Resource Center for Women and Retirement (in this subsection 
referred to as the `Center').
    ``(2) In operating the Center, the Assistant Secretary shall--
            ``(A) annually compile, publish, and disseminate a summary 
        of recently conducted research on women and retirement 
        security;
            ``(B) develop and maintain an information clearinghouse on 
        all programs (including private programs) showing promise of 
        success for providing retirement and financial information to 
        women;
            ``(C) develop, maintain, and disseminate consumer 
        information and public education materials regarding retirement 
        and financial security for women;
            ``(D) compile, publish, and disseminate training materials 
        for personnel who are engaged or intend to engage in outreach 
        to women, particularly to populations that are traditionally 
        hard to reach with retirement and financial information, such 
        as caregivers, ethnic minorities, and low-income women;
            ``(E) provide technical assistance to State agencies and to 
        other public and nonprofit private agencies and organizations 
        to assist the agencies and organizations described in this 
        subparagraph in planning, improving, developing, and carrying 
        out programs and activities relating to providing women with 
        the necessary financial management tools for secure retirement;
            ``(F) work in collaboration with other national and local 
        organizations serving older individuals to make efficient use 
        of resources related to women and retirement; and
            ``(G) conduct research and demonstration projects regarding 
        the most effective methods and tools to assist women in 
        preparing for secure retirement.
    ``(3)(A) The Assistant Secretary shall carry out paragraph (2) 
through grants or contracts.
    ``(B) The Assistant Secretary shall issue criteria applicable to 
the recipients of funds under this subsection, which shall include 
experience carrying out the activities described in paragraph (2). To 
be eligible to receive a grant or enter into a contract under 
subparagraph (A), an entity shall submit an application to the 
Assistant Secretary at such time, in such manner, and containing such 
information as the Assistant Secretary may require.
    ``(C) The Assistant Secretary shall make available to the Center 
such resources as are necessary for the Center to carry out effectively 
the functions of the Center under this Act, which shall be an amount 
not less than $750,000 for fiscal year 2013. In subsequent fiscal 
years, the Assistant Secretary shall make available to the Center not 
less than the amount of resources made available to the Center under 
this subparagraph for fiscal year 2013.
    ``(i)(1) Aging and Disability Resource Centers implemented under 
subsection (b)(8) may carry out an assessment program with respect to 
informal caregivers and care recipients. Such assessment program shall 
be modeled on the family caregiver assessment program established under 
section 373(b).
    ``(2) For purposes of an informal caregiver assessment carried out 
in accordance with paragraph (1), the following definitions shall 
apply:
            ``(A) The term `care recipient' means--
                    ``(i) an older individual;
                    ``(ii) an individual with a disability; or
                    ``(iii) an individual with a special need.
            ``(B) The term `individual with a special need' means an 
        individual who requires care or supervision to--
                    ``(i) meet the individual's basic needs;
                    ``(ii) prevent physical self-injury or injury to 
                others; or
                    ``(iii) avoid placement in an institutional 
                facility.
            ``(C)(i) Subject to clause (ii), the term `informal 
        caregiver' means an adult family member, or another individual, 
        who is an informal provider of in-home and community care to a 
        care recipient.
            ``(ii) A State that has a State law with an alternate 
        definition of the term `informal caregiver' for purposes of a 
        program described in paragraph (1) may use that definition 
        (with respect to caregivers for care recipients) for purposes 
        of provisions of this Act that relate to that program, if such 
        alternative definition is broader than the definition in clause 
        (i), and subject to approval by the Assistant Secretary.
    ``(j)(1) The Assistant Secretary shall, directly or by grant or 
contract, establish and operate the National Resource Center on 
Lesbian, Gay, Bisexual, and Transgender Aging (in this subsection 
referred to as the `Center').
    ``(2) To address the unique challenges faced by LGBT older adults, 
the Center shall provide national, State, and local organizations, 
including those with a primary mission of serving LGBT individuals, and 
those with a primary mission of serving older adults, with the 
information and technical assistance the organizations need to 
effectively serve LGBT older adults.
    ``(3) The Center shall have 3 primary objectives, consisting of--
            ``(A) educating aging services organizations about the 
        existence and special needs of LGBT older adults;
            ``(B) sensitizing LGBT organizations about the existence 
        and special needs of older adults; and
            ``(C) providing educational resources to LGBT older adults 
        and their caregivers.
    ``(4)(A) To be eligible to receive funds under this subsection, an 
entity--
            ``(i) shall have demonstrated expertise in working with 
        organizations or individuals on issues affecting LGBT 
        individuals;
            ``(ii) shall have documented experience in providing 
        training and technical assistance on a national basis or a 
        formal relationship with an organization that has that 
        experience; and
            ``(iii) shall meet such other criteria as the Assistant 
        Secretary shall issue.
    ``(B) To be eligible to receive funds under this subsection, an 
entity shall submit an application to the Assistant Secretary at such 
time, in such manner, and containing such information as the Assistant 
Secretary may require.
    ``(5) The Assistant Secretary shall make available to the Center on 
an annual basis such resources as are necessary for the Center to carry 
out effectively the functions of the Center under this Act and not less 
than the amount of resources made available to the National Resource 
Center on Lesbian, Gay, Bisexual, and Transgender Aging for fiscal year 
2012.
    ``(6) The Assistant Secretary shall develop and issue operating 
standards and reporting requirements for the Center.''.

SEC. 203. FEDERAL AGENCY CONSULTATION.

    Section 203 of the Older Americans Act of 1965 (42 U.S.C. 3013) is 
amended--
            (1) in subsection (b)--
                    (A) in paragraph (18), by striking ``, and'' and 
                inserting a comma;
                    (B) in paragraph (19), by striking the period at 
                the end and inserting a comma; and
                    (C) by adding at the end the following:
            ``(20) the Patient Protection and Affordable Care Act, 
        including the amendments made by that Act (Public Law 111-148), 
        including programs that increase integration with community 
        health centers, as practicable, and
            ``(21) title XXIX of the Public Health Service Act (42 
        U.S.C. 300ii et seq.).''; and
            (2) in subsection (c)(6)--
                    (A) in subparagraph (A)--
                            (i) in clause (iii)--
                                    (I) by inserting ``and economic'' 
                                after ``demographic''; and
                                    (II) by striking ``and'' at the 
                                end;
                            (ii) in clause (iv), by adding ``and'' at 
                        the end; and
                            (iii) by adding at the end the following:
                    ``(v) identifying and addressing workforce 
                shortages related to services and supports for older 
                individuals, and leveraging the resources of Federal 
                programs that are related to the programs carried out 
                under this Act, to address the shortages;''; and
                    (B) in subparagraph (B)--
                            (i) in the matter preceding clause (i), by 
                        inserting ``economic security,'' after 
                        ``housing,''; and
                            (ii) in clause (i), by inserting ``economic 
                        security,'' after ``housing,'';
                    (C) in subparagraph (D), by inserting ``economic 
                security,'' after ``housing,'';
                    (D) in subparagraph (E), by inserting ``and 
                economic security'' after ``public health'';
                    (E) in subparagraph (F), by striking ``and'' at the 
                end;
                    (F) in subparagraph (G)--
                            (i) in the matter preceding clause (i), by 
                        inserting ``economic security,'' after ``health 
                        care,''; and
                            (ii) in clause (iii), by striking the 
                        period at the end and inserting ``; and''; and
                    (G) by adding at the end the following:
            ``(H)(i) identify model Federal programs to assist older 
        individuals with achieving economic security; and
            ``(ii) propose greater coordination of efforts to provide 
        such assistance, including by creating an inventory of all 
        Federal programs aimed at reducing poverty and increasing the 
        economic security of older adults.''.

SEC. 204. EVALUATION.

    Section 206 of the Older Americans Act of 1965 (42 U.S.C. 3017) is 
amended--
            (1) in subsection (d), by striking ``including, as 
        appropriate, health and nutrition education demonstration 
        projects conducted under section 307(f) the full contents of 
        which shall be'' and inserting ``and the full contents of those 
        summaries and analyses shall be'';
            (2) by redesignating subsections (e) through (g) as 
        subsections (f) through (h), respectively;
            (3) by inserting after paragraph (d) the following:
    ``(e) The Secretary shall prepare and submit to Congress an annual 
report evaluating the impact of area agencies on aging on the economic 
security of older individuals.''; and
            (4) in subsection (h), as redesignated by paragraph (2), by 
        striking ``\1/2\ of''.

SEC. 205. REPORTS.

    Section 207 of the Older Americans Act of 1965 (42 U.S.C. 3018) is 
amended--
            (1) in subsection (a)--
                    (A) in paragraph (2), by striking ``section 
                202(a)(19)'' and inserting ``section 202(a)(16)'';
                    (B) in paragraph (3), by striking ``, with 
                particular attention'' and all that follows through the 
                semicolon and inserting ``(with particular attention to 
                individuals with factors listed in section 
                102(26)(B));''; and
                    (C) in paragraph (4), by striking ``section 
                202(a)(17)'' and inserting ``section 202(a)(14)'';
            (2) in subsection (b)--
                    (A) in paragraph (1)(C), by inserting ``and the 
                adult protection services programs of the States'' 
                after ``of the States''; and
                    (B) in paragraph (3)(A), by striking ``Health Care 
                Finance Administration'' and inserting ``Centers for 
                Medicare & Medicaid Services'';
            (3) in subsection (c)--
                    (A) in paragraph (1), by inserting ``, and 
                separately specify the number of such individuals who 
                are LGBT individuals'' before the semicolon;
                    (B) by redesignating paragraphs (4) and (5) as 
                paragraphs (5) and (6), respectively; and
                    (C) by inserting after paragraph (3) the following:
            ``(4) the effectiveness of such activities in assisting 
        LGBT individuals;''; and
            (4) by adding at the end the following:
    ``(d) The Assistant Secretary shall ensure that--
            ``(1) no individual will be required to provide information 
        regarding the sexual orientation or gender identity of the 
        individual as a condition of participating in activities or 
        receiving services under this Act; and
            ``(2) no agency or other entity providing activities or 
        services under this Act, that receives, for the purposes of 
        this Act, information regarding the sexual orientation or 
        gender identity of an individual will disclose the information 
        in any form that would permit such individual to be identified.
    ``(e) The Assistant Secretary shall develop appropriate protocols, 
demonstrations, tools, or guidance for use by State agencies and area 
agencies on aging, to ensure successful implementation of data 
collection requirements under section 201(d)(3)(J), paragraphs 
(16)(A)(ii) and (30) of section 202(a), subsections (a)(3), (c)(1), and 
(c)(4), and section 307(a)(6), relating to LGBT individuals.
    ``(f) The Assistant Secretary shall determine when such data 
collection requirements shall apply, taking into consideration the 
complexity and importance of each requirement, but each requirement 
shall apply not later than September 30, 2014.''.

SEC. 206. CONFORMING AMENDMENT.

    Section 215(j) of the Older Americans Act of 1965 (42 U.S.C. 3020e-
1(j)) is amended by striking ``section 216'' and inserting ``section 
217''.

SEC. 207. AUTHORIZATION OF APPROPRIATIONS.

    Section 216 of the Older Americans Act of 1965 (42 U.S.C. 3020f) is 
amended--
            (1) in subsection (a), by striking ``2007, 2008, 2009, 
        2010, and 2011'' and inserting ``2013, 2014, 2015, 2016, and 
        2017'';
            (2) in subsection (b)--
                    (A) by striking ``section 202(a)(24)'' and 
                inserting ``section 202(a)(21)''; and
                    (B) by striking ``2007, 2008, 2009, 2010, and 
                2011'' and inserting ``2013, 2014, 2015, 2016, and 
                2017'';
            (3) in subsection (c), by striking ``2007, 2008, 2009, 
        2010, and 2011'' and inserting ``2013, 2014, 2015, 2016, and 
        2017''; and
            (4) by adding at the end the following:
    ``(d) National Adult Protective Services Resource Center.--There 
are authorized to be appropriated to carry out section 201(i) (relating 
to the National Adult Protective Services Resource Center), such sums 
as may be necessary for fiscal years 2013, 2014, 2015, 2016, and 2017.
    ``(e) Advisory Committee To Assess, Coordinate, and Improve Legal 
Assistance Activities.--There is authorized to be appropriated to carry 
out section 216, $300,000 for fiscal year 2013.''.

SEC. 208. ADVISORY COMMITTEE TO ASSESS, COORDINATE, AND IMPROVE LEGAL 
              ASSISTANCE ACTIVITIES.

    (a) In General.--Title II of the Older Americans Act of 1965 is 
amended--
            (1) by redesignating section 216 (42 U.S.C. 3020f) as 
        section 217; and
            (2) by inserting after section 215 (42 U.S.C. 3020e-1) the 
        following:

``SEC. 216. ADVISORY COMMITTEE TO ASSESS, COORDINATE, AND IMPROVE LEGAL 
              ASSISTANCE ACTIVITIES.

    ``(a) Establishment.--There is established an Advisory Committee to 
Assess, Coordinate, and Improve Legal Assistance Activities (referred 
to in this section as the `Committee').
    ``(b) Membership.--
            ``(1) Composition.--The Committee shall be composed of 9 
        members--
                    ``(A) with expertise with existing State legal 
                assistance development programs carried out under 
                section 731 and providers of State legal assistance 
                under subtitle B of title III and title IV; and
                    ``(B) who shall be individuals appointed by the 
                Assistant Secretary--
                            ``(i) 1 of whom shall be a consumer 
                        advocate;
                            ``(ii) 1 of whom shall be a professional 
                        advocate from a State agency or State legal 
                        assistance developer;
                            ``(iii) 4 of whom shall be representatives 
                        from collaborating organizations under the 
                        National Legal Resource Center of the 
                        Administration;
                            ``(iv) 1 of whom shall be from a program 
                        providing legal assistance under part B of 
                        title III; and
                            ``(v) 1 of whom shall be from an area 
                        agency on aging.
            ``(2) Date.--The appointments of the members of the 
        Committee shall be made not later than 9 months after the date 
        of enactment of the Older Americans Act Amendments of 2012.
            ``(3) Period of appointment; vacancies.--Members shall be 
        appointed for the life of the Committee. Any vacancy in the 
        Committee shall not affect its powers, but shall be filled in 
        the same manner as the original appointment.
            ``(4) Chairperson and vice chairperson.--The Committee 
        shall select a Chairperson and Vice Chairperson from among its 
        members.
    ``(c) Initial Meeting.--The Committee shall hold its first meeting 
not later than 9 months after the date of enactment of the Older 
Americans Act Amendments of 2012.
    ``(d) Duties of the Committee.--
            ``(1) Definition.--In this subsection, the term `legal 
        assistance activities' includes--
                    ``(A) legal assistance made available to older 
                individuals with greatest economic need or with 
                greatest social need;
                    ``(B) activities of the National Legal Resource 
                Center carried out under section 420(a);
                    ``(C) State legal assistance developer activities 
                carried out under section 731; and
                    ``(D) any other directly related activity or 
                program as determined appropriate by the Assistant 
                Secretary.
            ``(2) Study.--
                    ``(A) In general.--The Committee shall design, 
                implement, and analyze results of a study of--
                            ``(i) the extent to which State leadership 
                        is provided through the State legal assistance 
                        developer in States to enhance the coordination 
                        and effectiveness of legal assistance 
                        activities across the State;
                            ``(ii) the extent to which--
                                    ``(I) there is data collection and 
                                reporting of information by legal 
                                assistance providers in States;
                                    ``(II) there is uniform statewide 
                                reporting among States; and
                                    ``(III) the value and impact of 
                                services provided by the providers is 
                                being measured at the State or local 
                                level; and
                            ``(iii) the mechanisms to organize and 
                        promote legal assistance activities and 
                        development to best meet the needs of older 
                        individuals with greatest economic need and 
                        greatest social need, with particular attention 
                        to individuals with factors listed in section 
                        102(26)(B).
                    ``(B) Considerations.--In carrying out subparagraph 
                (A)(i), particular attention shall be given to--
                            ``(i) State leadership on targeting limited 
                        legal resources to older individuals with 
                        greatest economic need and greatest social 
                        need, with particular attention to individuals 
                        with factors listed in section 102(26)(B); and
                            ``(ii) State leadership on establishing 
                        priority legal issue areas in accordance with 
                        section 307(a)(11)(E).
            ``(3) Recommendations.--After completion of the study and 
        analysis of study results under paragraph (2), the Committee 
        shall develop recommendations for the establishment of 
        regulations or guidance for--
                    ``(A) enhancing the leadership capacity of the 
                State legal assistance developers to carry out 
                statewide coordinated legal assistance activities, with 
                particular focus on enhancing leadership capacity to--
                            ``(i) target limited legal resources to 
                        older individuals with greatest economic need 
                        and greatest social need, with particular 
                        attention to individuals with factors listed in 
                        section 102(26)(B); and
                            ``(ii) establish priority legal issue areas 
                        in accordance with section 307(a)(11)(E);
                    ``(B) developing a uniform national data collection 
                system to be implemented in all States on legal 
                assistance activities and development;
                    ``(C) State agencies in conducting an assessment of 
                the adequacy of the current funding (as of the date of 
                the assessment) provided through the minimum proportion 
                of the funds received by each area agency on aging in 
                the State to carry out part B that must be expended on 
                legal services (as specified in section 306(a)(2)(C) 
                and section 307(a)(2)(C)); and
                    ``(D) identifying mechanisms for organizing and 
                promoting legal assistance activities to provide the 
                highest quality, impact, and effectiveness to older 
                individuals with greatest economic need and greatest 
                social need, with particular attention to individuals 
                with factors listed in section 102(26)(B).
            ``(4) Report.--Not later than 1 year after the date of the 
        establishment of the Committee, the Committee shall submit to 
        the President, Congress, and the Assistant Secretary a report 
        that contains a detailed statement of the findings and 
        conclusions of the Committee, together with the recommendations 
        described in paragraph (3).
    ``(e) Duties of the Assistant Secretary.--Not later than 180 days 
after receiving the report described in subsection (d)(4), the 
Assistant Secretary shall issue regulations or guidance on the topics 
described in subsection (d)(3), taking into consideration the 
recommendations described in subsection (d)(3).
    ``(f) Powers.--
            ``(1) Information from federal agencies.--The Committee may 
        secure directly from any Federal department or agency such 
        information as the Committee considers necessary to carry out 
        the provisions of this section. Upon request of the Committee, 
        the head of such department or agency shall furnish such 
        information to the Committee.
            ``(2) Postal services.--The Committee may use the United 
        States mails in the same manner and under the same conditions 
        as other departments and agencies of the Federal Government.
    ``(g) Personnel and Administration.--
            ``(1) Travel expenses.--The members of the Committee shall 
        not receive compensation for the performance of services for 
        the Committee, but shall be allowed travel expenses, including 
        per diem in lieu of subsistence, at rates authorized for 
        employees of agencies under subchapter I of chapter 57 of title 
        5, United States Code, while away from their homes or regular 
        places of business in the performance of services for the 
        Committee. Notwithstanding section 1342 of title 31, United 
        States Code, the Secretary may accept the voluntary and 
        uncompensated services of members of the Committee.
            ``(2) Detail of government employees.--Any Federal 
        Government employee may be detailed to the Committee without 
        reimbursement, and such detail shall be without interruption or 
        loss of civil service status or privilege.
            ``(3) Administrative and support services.--The Assistant 
        Secretary shall provide administrative and support services to 
        the Committee.
            ``(4) Procurement of temporary and intermittent services.--
        The Chairman of the Committee may procure temporary and 
        intermittent services under section 3109(b) of title 5, United 
        States Code, at rates for individuals that do not exceed the 
        daily equivalent of the annual rate of basic pay prescribed for 
        level V of the Executive Schedule under section 5316 of such 
        title.
    ``(h) Exemption From Termination Requirements.--Section 14 of the 
Federal Advisory Committee Act shall not apply to the Committee.''.

SEC. 209. CONSUMER PRICE INDEX.

    (a) In General.--The Secretary of Labor, through the Bureau of 
Labor Statistics and in consultation with the Assistant Secretary for 
Aging, shall revise and improve the Experimental Price Index for the 
Elderly published by the Bureau of Labor Statistics (commonly referred 
to as the ``CPI-E'') in order for the CPI-E to be considered a reliable 
measure in determining future cost of living adjustments that impact 
Americans who are 62 years of age or older.
    (b) Revision Requirements.--In carrying out subsection (a), the 
Secretary of Labor shall--
            (1) increase the number of individuals in the United States 
        who are 62 years of age and older (referred to in this section 
        as ``older adults'') sampled in the consumer expenditure survey 
        used to establish the CPI-E;
            (2) establish samples of market-based items, stores, and 
        prices to represent the purchasing patterns of older adults; 
        and
            (3) examine the medical care component, including the cost 
        and usage of prescription drugs, of the CPI-E taking into 
        account that older adults have different illnesses and medical 
        expenses, including oral health medical expenses, than 
        individuals in the United States who are under 62 years of age.
    (c) Report to Congress.--Not later than 2 years after the date of 
enactment of this Act, the Secretary of Labor shall submit to Congress 
a report that describes the revised CPI-E and the activities carried 
out by the Secretary under this section.

SEC. 210. FUNCTIONS WITHIN THE ADMINISTRATION ON AGING TO ASSIST 
              HOLOCAUST SURVIVORS.

    (a) Designation of Individual Within the Administration.--The 
Assistant Secretary on Aging is authorized to designate within the 
Administration on Aging a person who has specialized training, 
background, or experience with Holocaust survivor issues to have 
responsibility for implementing services for older individuals who are 
Holocaust survivors.
    (b) Annual Report to Congress.--The Assistant Secretary on Aging, 
with assistance from the individual designated under subsection (a), 
shall prepare and submit to Congress an annual report on the status and 
needs, including the priority areas of concern, of older individuals 
who are Holocaust survivors.
    (c) Definitions.--In this section, the terms ``older individual'' 
and ``Holocaust survivor'' have the meanings given the terms in section 
102 of the Older Americans Act of 1965 (42 U.S.C. 3002).

      TITLE III--GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING

SEC. 301. PURPOSE; ADMINISTRATION.

    Section 301(a)(2) of the Older Americans Act of 1965 (42 U.S.C. 
3021(a)(2)) is amended--
            (1) in subparagraph (E), by striking ``and'' at the end;
            (2) in subparagraph (F), by striking the period and 
        inserting a semicolon; and
            (3) by adding at the end the following:
            ``(G) Federally qualified health centers, as defined in 
        sections 1861(aa)(4) and 1905(l)(2)(B) of the Social Security 
        Act (42 U.S.C. 1395x(aa)(4), 1396d(l)(2)(B)); and
            ``(H) organizations that serve LGBT individuals.''.

SEC. 302. DEFINITION.

    Section 302 of the Older Americans Act of 1965 (42 U.S.C. 3022) is 
amended--
            (1) by striking paragraph (3); and
            (2) by redesignating paragraph (4) as paragraph (3).

SEC. 303. AUTHORIZATION OF APPROPRIATIONS.

    Section 303 of the Older Americans Act of 1965 (42 U.S.C. 3023) is 
amended--
            (1) in subsection (a), by striking paragraph (1) and 
        inserting the following:
    ``(1) There are authorized to be appropriated to carry out part B 
(relating to supportive services) such sums as may be necessary for 
each of fiscal years 2013, 2014, 2015, 2016, and 2017.'';
            (2) by striking subsection (b) and inserting the following:
    ``(b)(1) There are authorized to be appropriated to carry out 
subpart 1 of part C (relating to congregate nutrition services) such 
sums as may be necessary for each of fiscal years 2013, 2014, 2015, 
2016, and 2017.
    ``(2) There are authorized to be appropriated to carry out subpart 
2 of part C (relating to home delivered nutrition services) such sums 
as may be necessary for fiscal years 2013, 2014, 2015, 2016, and 
2017.'';
            (3) by striking subsection (d) and inserting the following:
    ``(d) There are authorized to be appropriated to carry out part D 
(relating to disease prevention and health promotion services) such 
sums as may be necessary for each of fiscal years 2013, 2014, 2015, 
2016, and 2017.'';
            (4) by striking subsection (e) and inserting the following:
    ``(e)(1) There are authorized to be appropriated to carry out part 
E (relating to family caregiver support) $250,000,000 for each of 
fiscal years 2013 through 2017.
    ``(2) Of the funds appropriated under paragraph (1), not more than 
1 percent of such funds may be reserved to carry out activities 
described in section 411(a)(11).''; and
            (5) by adding at the end the following:
    ``(f) It is the sense of Congress that--
            ``(1) in order to carry out part B (relating to supportive 
        services), the amount appropriated under subsection (a)(1) 
        should be not less than $551,000,000 for fiscal year 2013;
            ``(2) in order to carry out subparts 1 and 2 of part C 
        (relating to nutrition services), the amount appropriated under 
        subsection (b) should be not less than $1,200,000,000 for 
        fiscal year 2013; and
            ``(3) in order to carry out part D (relating to disease 
        prevention and health promotion services), the amount 
        appropriated under subsection (d) should be not less than 
        $32,000,000 for fiscal year 2013.''.

SEC. 304. ALLOTMENTS.

    Section 304(b) of such Act (42 U.S.C. 3024(b)) is amended, in the 
first sentence, by striking ``part B'' and all that follows through 
``part E,'' and inserting ``part B, C, or E''.

SEC. 305. ORGANIZATION.

    Section 305 of the Older Americans Act of 1965 (42 U.S.C. 3025) is 
amended--
            (1) in subsection (a)--
                    (A) in paragraph (2)--
                            (i) in subparagraph (C)--
                                    (I) in clause (i), by striking 
                                ``and'' at the end;
                                    (II) in clause (ii), by adding 
                                ``and'' at the end; and
                                    (III) by adding at the end the 
                                following:
                            ``(iii) the distribution among planning and 
                        service areas of service providers who 
                        specialize in serving populations of older 
                        individuals with greatest social need;''; and
                            (ii) in subparagraph (G)--
                                    (I) by striking clause (ii) and 
                                inserting the following:
                    ``(ii) provide an assurance that the State agency 
                will undertake specific program development, advocacy, 
                and outreach efforts focused on the needs of older 
                individuals with greatest social need (with particular 
                attention to individuals with factors listed in section 
                102(26)(B)) and older individuals with greatest 
                economic need; and''; and
                                    (II) in clause (iii), by striking 
                                ``and'' at the end;
                    (B) in paragraph (3)(E)--
                            (i) in the matter before clause (i), by 
                        striking ``information relating to'';
                            (ii) in clause (i)--
                                    (I) by inserting ``information 
                                relating to'' after ``(i)''; and
                                    (II) by striking ``and'' at the 
                                end;
                            (iii) in clause (ii)--
                                    (I) by inserting ``information 
                                relating to'' after ``(ii)''; and
                                    (II) by striking the period and 
                                inserting ``; and''; and
                            (iv) by adding at the end the following:
                            ``(iii) 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; and''; and
                    (C) by adding at the end the following:
            ``(4) the State agency shall promote the development and 
        implementation of a State system to address the care 
        coordination needs of older individuals with multiple chronic 
        illnesses, and shall work with acute care providers, area 
        agencies on aging, service providers, and Federal agencies to 
        ensure that the system uses best practices and is evaluated on 
        its provision of care coordination.''; and
            (2) in subsection (b)(5)(C)(i)(III), by striking ``planning 
        and services areas'' and inserting ``planning and service 
        areas''.

SEC. 306. AREA PLANS.

    Section 306 of the Older Americans Act of 1965 (42 U.S.C. 3026) is 
amended--
            (1) in subsection (a)--
                    (A) in paragraph (1), by striking ``maintenance, or 
                construction of multipurpose senior centers'' and 
                inserting ``maintenance, modernization, or construction 
                of multipurpose senior centers (which system includes a 
                plan to use the skills and services of older 
                individuals in paid and unpaid work, including 
                multigenerational work and older individual-to-older 
                individual service activities, relating to such 
                maintenance, modernization, or construction, or 
                activities at the centers)'';
                    (B) in paragraph (2)(A)--
                            (i) by striking ``mental health services'' 
                        and inserting ``evidence-based mental health 
                        services, evidence-based chronic condition 
                        self-care management programs, and evidence-
                        based falls prevention programs''; and
                            (ii) by striking ``eligible)'' and 
                        inserting ``eligible and shall include 
                        information on paid and unpaid work 
                        opportunities for older individuals)'';
                    (C) in paragraph (4)(B)(i)(VII) by inserting ``with 
                multiple chronic illnesses or'' after ``older 
                individuals'';
                    (D) in paragraph (6)--
                            (i) in subparagraph (D), by inserting 
                        ``(including acute care providers)'' after 
                        ``service providers'';
                            (ii) in subparagraph (E)(ii), by inserting 
                        ``and Federally qualified health centers, as 
                        defined in sections 1861(aa)(4) and 
                        1905(l)(2)(B) of the Social Security Act (42 
                        U.S.C. 1395x(aa)(4), 1396d(l)(2)(B))'' after 
                        ``203(b)''; and
                            (iii) by adding at the end the following:
                    ``(H)(i) in coordination with the State agency and 
                with the State agency responsible for elder abuse 
                prevention services, increase public awareness of elder 
                abuse and exploitation, and remove barriers to elder 
                abuse education, prevention, investigation, and 
                treatment;
                    ``(ii) coordinate elder justice activities 
                (including screenings) provided by the area agency on 
                aging, community health centers, other public agencies, 
                and nonprofit private organizations;
                    ``(iii) develop standardized, coordinated, and 
                reporting protocols with respect to elder abuse; and
                    ``(iv) report any instances elder abuse in 
                accordance with State law; and
                    ``(I) serve as an advocate in the corresponding 
                planning and service area for evidence-based falls 
                prevention programs and policies for older individuals, 
                and, if possible, enter into partnerships with State 
                government agencies (such as the State health agency 
                and State transportation agency), local agencies, and 
                community-based organizations that implement evidence-
                based falls prevention programs and policies, in order 
                to increase public awareness of and access to in-home 
                and community-based evidence-based falls prevention 
                strategies, services, and programs that aim to improve 
                the health of older individuals and reduce health care 
                costs;'';
                    (E) in paragraph (7)--
                            (i) in subparagraph (B)(iii), by striking 
                        ``placement, to permit such individuals'' and 
                        inserting ``placement, with particular 
                        attention to individuals with factors listed in 
                        section 102(26)(B), to permit such at-risk 
                        individuals'';
                            (ii) in subparagraph (C)--
                                    (I) by inserting ``(including 
                                falls)'' after ``injury''; and
                                    (II) by striking ``and'' at the 
                                end;
                            (iii) in subparagraph (D), by adding 
                        ``and'' at the end; and
                            (iv) by adding at the end the following:
                    ``(E) implementing, through the agency or service 
                providers, evidence-based health promotion, chronic 
                condition self-care management, and falls prevention 
                programs, to assist older individuals and their family 
                caregivers in learning about and making behavioral 
                changes intended to improve health outcomes, reduce the 
                impact of living with multiple chronic health 
                conditions, and reduce health care spending;'';
                    (F) by striking paragraph (9) and inserting the 
                following:
            ``(9) provide assurances that the area agency on aging, in 
        carrying out the State Long-Term Care Ombudsman program 
        described in section 307(a)(9), will--
                    ``(A) provide adequate funding to conduct an 
                effective Ombudsman program in compliance with this 
                Act; and
                    ``(B) expend not less than the total amount of 
                funds appropriated under this Act or made available 
                through other resources, and expended by the agency in 
                fiscal year 2010, in carrying out such a program under 
                this Act;'';
                    (G) in paragraph (16), by striking ``and'' at the 
                end;
                    (H) in paragraph (17)--
                            (i) by inserting ``and revise'' after 
                        ``develop'';
                            (ii) by inserting ``and health'' after 
                        ``State emergency response''; and
                            (iii) by striking the period and inserting 
                        a semicolon; and
                    (I) by adding at the end the following:
            ``(18) include information describing--
                    ``(A) how the area agency on aging will engage in 
                outreach to veterans who are eligible for services 
                under this Act; and
                    ``(B) effective and efficient procedures for the 
                coordination of services provided under this Act with 
                services provided to veterans by the Department of 
                Veterans Affairs and other providers;
            ``(19) describe how the area agency on aging will leverage 
        its position as the primary community-based provider of senior 
        support services to--
                    ``(A) champion the cause of economic security for 
                older individuals among community members, political 
                leaders, businesses, and families;
                    ``(B) concentrate resources of the area agency on 
                aging toward promoting economic security for older 
                individuals at both the individual and community level; 
                and
                    ``(C) serve as a community resource for older 
                individuals who lack the economic, social, or familial 
                supports necessary to age with dignity;
            ``(20) provide assurances that the area agency on aging 
        will--
                    ``(A) identify existing (as of the date of 
                submission of the plan) care coordination programs and 
                systems;
                    ``(B) identify unmet community need for care 
                coordination;
                    ``(C) facilitate the development and implementation 
                of an area-wide system to address the care coordination 
                needs of older individuals with multiple chronic 
                illnesses; and
                    ``(D) work with acute care providers, service 
                providers, and Federal and State agencies to ensure 
                that the system uses best practices in its provision of 
                care coordination;
            ``(21) provide assurances that programming, services, and 
        outreach will be developed and implemented in a culturally and 
        linguistically competent manner, for older individuals with 
        greatest social need;
            ``(22) provide assurances that staff training includes 
        instruction on cultural and linguistic competence in the 
        provision of services to older individuals with greatest social 
        need;
            ``(23) provide assurances that the services of providers 
        who are contractors will be provided in a culturally and 
        linguistically competent manner; and
            ``(24) provide assurances that, to the extent feasible, 
        services provided in response to elder abuse will be provided 
        in a culturally and linguistically competent manner.''; and
            (2) in subsection (b)(3)--
                    (A) in subparagraph (J), by striking ``and'';
                    (B) by redesignating subparagraph (K) as 
                subparagraph (L); and
                    (C) by inserting after subparagraph (J) the 
                following:
                    ``(K) protection from elder abuse, neglect, and 
                exploitation; and''.

SEC. 307. STATE PLANS.

    Section 307(a) of the Older Americans Act of 1965 (42 U.S.C. 
3027(a)) is amended--
            (1) in paragraph (2), by striking subparagraph (A) and 
        inserting the following:
                    ``(A) evaluate, using uniform procedures described 
                in section 202(a)(27), the need for supportive services 
                (including legal assistance pursuant to paragraph (11), 
                information and assistance, care coordination, and 
                transportation services), nutrition services, economic 
                security and benefits counseling, and multipurpose 
                senior centers within the State;'';
            (2) by striking paragraph (9) and inserting the following:
            ``(9) The plan shall provide assurances that the State 
        agency will carry out, through the Office of the State Long-
        Term Care Ombudsman, a State Long-Term Care Ombudsman program 
        in accordance with section 712 and this title, and, in carrying 
        out the program, will--
                    ``(A) provide adequate funding to conduct an 
                effective Ombudsman program in compliance with this 
                Act; and
                    ``(B) expend not less than the total amount of 
                funds appropriated under this Act or made available 
                through other resources, and expended by the agency in 
                fiscal year 2010, in carrying out such a program under 
                this Act.'';
            (3) in paragraph (11), in the matter preceding subparagraph 
        (A), by striking ``legal assistance--'' and inserting ``legal 
        assistance, which shall be provided through an integrated legal 
        assistance delivery system--'';
            (4) in paragraph (12)--
                    (A) by redesignating subparagraphs (B) and (C) as 
                subparagraphs (C) and (D); and
                    (B) by inserting after subparagraph (A) the 
                following:
                    ``(B) that the State will develop and implement 
                standardized protocols for screening and reporting with 
                respect to elder abuse;'';
            (5) by striking paragraph (15) and inserting the following:
            ``(15)(A) The plan shall provide assurances that 
        programming and services will be provided in a culturally and 
        linguistically competent manner to older individuals with 
        greatest social need, and that the State will require the area 
        agency on aging for each planning and service area in which a 
        significant number of older individuals are limited English 
        proficient--
                    ``(i) to utilize in the provision of such 
                programming and services, workers who are fluent in the 
                language spoken by a predominant number of such older 
                individuals who are limited English proficient; and
                    ``(ii) to designate an individual employed by the 
                area agency on aging, or available to such area agency 
                on aging on a full-time basis, whose responsibilities 
                will include--
                            ``(I) taking such action as may be 
                        appropriate to assure that programming, 
                        services, and outreach are developed and 
                        implemented in a culturally and linguistically 
                        competent manner for older individuals with 
                        greatest social need; and
                            ``(II) providing guidance to individuals 
                        engaged in the delivery of services under the 
                        area plan involved to enable such individuals 
                        to deliver the services in a culturally and 
                        linguistically competent manner.
            ``(B) The plan shall provide assurances that, if a 
        substantial number of the older individuals residing in any 
        planning and service area in the State are limited English 
        proficient, then the State will require the area agency on 
        aging for each such planning and service area to utilize, in 
        the delivery of outreach services under section 306(a)(2)(A) in 
        a culturally and linguistically competent manner, the services 
        of workers who are fluent in the language spoken by a 
        predominant number of such older individuals who are limited 
        English proficient.'';
            (6) in paragraph (16)--
                    (A) in subparagraph (A), by striking clauses (i) 
                through (vi) and inserting the following:
                            ``(i) older individuals with greatest 
                        economic need;
                            ``(ii) older individuals with greatest 
                        social need (with particular attention to 
                        individuals with factors listed in section 
                        102(26)(B)); and
                            ``(iii) caregivers of individuals described 
                        in clause (i) or (ii); and''; and
                    (B) in subparagraph (B)--
                            (i) by striking ``through (vi)'' and 
                        inserting ``and (ii)''; and
                            (ii) by striking ``caretakers'' and 
                        inserting ``caregivers'';
            (7) in paragraph (17), by striking ``and develop 
        collaborative programs, where appropriate,'' and inserting ``, 
        ensure care coordination, and (where appropriate) develop 
        collaborative programs,'';
            (8) in paragraph (18), in the matter preceding subparagraph 
        (A), by inserting ``and ensure care coordination that 
        integrates long-term care services and other care services,'' 
        before ``for older'';
            (9) by striking paragraph (20) and inserting the following:
            ``(20) The plan shall provide assurances that special 
        efforts will be made to provide technical assistance to 
        minority providers of services and to providers who specialize 
        in serving populations of older individuals with greatest 
        social need.'';
            (10) in paragraph (23)(A), by striking ``with other State 
        services'' and inserting ``with other Federal and State health 
        care programs and services'';
            (11) in paragraph (28)(B)--
                    (A) by striking clause (i) and inserting the 
                following:
                    ``(i) the projected change in the number of older 
                individuals in the State, and the dispersal and growth 
                in the number of older individuals with greatest social 
                need in each planning and service area in the State;''; 
                and
                    (B) by striking clause (iii) and inserting the 
                following:
                    ``(iii) an analysis of how the programs, policies, 
                and services provided by the State can be improved, 
                including by coordinating with area agencies on aging 
                and by developing the cultural and linguistic 
                competence of persons providing programming and 
                services, and how resource levels can be adjusted to 
                meet the needs of the changing population of older 
                individuals in the State; and'';
            (12) in paragraph (29)--
                    (A) by inserting ``and revise'' after ``develop''; 
                and
                    (B) by inserting ``and health'' after ``local 
                emergency response''; and
            (13) by adding at the end the following:
            ``(31) The plan shall provide assurances that the State 
        agency will, if possible, enter into partnerships with other 
        relevant State government agencies when collaborating with area 
        agencies on aging, local agencies, or community-based 
        organizations described in section 306(a)(6)(I) in order to 
        increase public awareness of and access to in-home and 
        community-based evidence-based falls prevention strategies, 
        services, and programs that aim to improve the health of older 
        individuals and reduce health care costs.
            ``(32) The plan shall include information describing--
                    ``(A) how the State agency will engage in outreach 
                to veterans who are eligible for services under this 
                Act; and
                    ``(B) effective and efficient procedures for the 
                coordination of services provided under this Act with 
                services provided to veterans by the Department of 
                Veterans Affairs and other providers.
            ``(33) The plan shall provide assurances that the area 
        agencies on aging in the State will facilitate the area-wide 
        development and implementation of an area-wide system to 
        address the care coordination needs of older individuals with 
        multiple chronic illnesses, and work with acute care providers, 
        service providers, and other Federal and State agencies to 
        ensure that the system uses best practices and is evaluated on 
        its provision of care coordination.''.

SEC. 308. PLANNING, COORDINATION, EVALUATION, AND ADMINISTRATION OF 
              STATE PLANS.

    Section 308(a)(1) of the Older Americans Act of 1965 (42 U.S.C. 
3028(a)(1)) is amended--
            (1) by striking ``, and the carrying out'' and inserting 
        ``, the carrying out''; and
            (2) by inserting before the period the following: ``, and 
        the modernization of such senior centers''.

SEC. 309. DISASTER RELIEF REIMBURSEMENTS.

    Section 310 of the Older Americans Act of 1965 (42 U.S.C. 3030) is 
amended--
            (1) in the section heading, by inserting ``and planning'' 
        after ``reimbursements''; and
            (2) in subsection (b)(2), by inserting ``section 
        202(a)(29), emergency planning under this section, or'' after 
        ``carry out''.

SEC. 310. CONSUMER CONTRIBUTIONS.

    Section 315 of the Older Americans Act of 1965 (42 U.S.C. 3030c-2) 
is amended--
            (1) in subsection (b)--
                    (A) in paragraph (1), by striking ``185 percent'' 
                and inserting ``200 percent''; and
                    (B) in paragraph (3), by adding at the end the 
                following: ``Contributions under this section shall be 
                used to supplement, and not to supplant, any other 
                funds expended for activities described in this Act.''; 
                and
            (2) in subsection (d)--
                    (A) by striking ``Not later'' and all that follows 
                through ``shall conduct'' and inserting ``Not later 
                than January 1, 2014, and annually thereafter, the 
                Assistant Secretary shall conduct, and submit to the 
                appropriate committees of Congress a report containing 
                the results of,''; and
                    (B) by adding at the end the following: ``The 
                Assistant Secretary shall include in the report an 
                evaluation of the methods used, by the area agencies on 
                aging and service providers under this Act, to ensure 
                that the consumer contributions are used to supplement 
                the services for which the contributions were 
                collected.''.

SEC. 311. STUDY OF NUTRITION PROJECTS.

    Section 317(a)(2) of the Older Americans Act Amendments of 2006 
(Public Law 109-365) is amended--
            (1) in subparagraph (B), by striking ``; and'' and 
        inserting a semicolon;
            (2) in subparagraph (C), by striking the period at the end 
        and inserting ``; and''; and
            (3) by adding at the end the following:
                    ``(D) an analysis of the ability of service 
                providers to obtain viable contracts for special foods 
                necessary to meet a religious requirement, required 
                dietary need, or ethnic consideration.''.

SEC. 312. SUPPORTIVE SERVICES AND SENIOR CENTERS PROGRAM.

    Section 321 of the Older Americans Act of 1965 (42 U.S.C. 3030d) is 
amended--
            (1) in subsection (a)--
                    (A) in paragraph (5)(C), by striking ``and letter 
                writing services'' and inserting ``evidence-based 
                chronic condition self-care management, and letter 
                writing services, and evidence-based falls prevention 
                programs'';
                    (B) in paragraph (7)--
                            (i) by inserting ``evidence-based'' after 
                        ``through''; and
                            (ii) by striking ``and dance-movement 
                        therapy'' and inserting ``dance-movement 
                        therapy, chronic condition self-care 
                        management, and falls prevention'';
                    (C) in paragraph (8)--
                            (i) by inserting ``, screening for elder 
                        abuse and neglect, and falls prevention 
                        screening'' after ``mental health screening''; 
                        and
                            (ii) by striking ``illness, or both,'' and 
                        inserting ``illnesses and injuries'';
                    (D) in paragraph (15), by inserting before the 
                semicolon the following: ``and elder abuse and neglect 
                screening, chronic condition self-care management, and 
                falls prevention services''; and
                    (E) in paragraph (23), by striking ``mental health 
                services'' and inserting ``evidence-based mental 
                health, chronic condition self-care management, elder 
                abuse, neglect, and exploitation prevention, and falls 
                prevention services''; and
            (2) in subsection (b)(1), by inserting ``or modernization'' 
        after ``construction''.

SEC. 313. NUTRITION SERVICES.

    (a) In General.--Section 339(2) of the Older Americans Act of 1965 
(42 U.S.C. 3030g-21(2)) is amended--
            (1) in subparagraph (A), by amending clause (iii) to read 
        as follows:
                            ``(iii) to the maximum extent practicable, 
                        are adjusted and appropriately funded to meet 
                        any special health-related or other dietary 
                        needs of program participants, including needs 
                        based on religious, cultural, or ethnic 
                        requirements,'';
            (2) in subparagraph (J), by striking ``, and'' and 
        inserting a comma;
            (3) in subparagraph (K), by striking the period and 
        inserting a comma; and
            (4) by adding at the end the following:
                    ``(L) encourages individuals who distribute 
                nutrition services under subpart 2 to engage in 
                conversation with homebound older individuals and to be 
                aware of the warning signs of medical emergencies, 
                injury, or abuse in order to reduce isolation and 
                promote well-being,
                    ``(M) encourages individuals who distribute 
                nutrition services under subpart 2 to distribute 
                information on diabetes, elder abuse, neglect, 
                exploitation, and the annual Medicare wellness exam, 
                and
                    ``(N) where feasible, encourages the use of locally 
                grown foods in meal programs and identifies potential 
                partnerships and contracts with local producers and 
                providers of locally grown foods.''.
    (b) Special Rule.--Section 339 of the Older Americans Act of 1965 
(42 U.S.C. 3030g-21) is amended--
            (1) by inserting before ``A State'' the following:
    ``(a) In General.--''; and
            (2) by adding at the end the following:
    ``(b) Transportation.--Funds appropriated to carry out this part 
may be used for transportation costs that can be demonstrated to be 
directly related to the provision of services specified in this 
part.''.

SEC. 314. DISEASE PREVENTION AND HEALTH PROMOTION SERVICES.

    (a) Program.--Section 361 of the Older Americans Act of 1965 (42 
U.S.C. 3030m) is amended--
            (1) in subsection (a), in the first sentence--
                    (A) by inserting ``evidence-based'' after ``to 
                provide'';
                    (B) by inserting ``(through programs such as the 
                programs coordinated through the Sickness Prevention 
                Achieved Through Regional Collaboration program)'' 
                after ``promotion services''; and
                    (C) by inserting before ``or at'' the following: 
                ``at Federally qualified health centers (as defined in 
                sections 1861(aa)(4) and 1905(l)(2)(B) of the Social 
                Security Act (42 U.S.C. 1395x(aa)(4), 
                1396d(l)(2)(B))),'';
            (2) by striking subsection (b); and
            (3) by redesignating subsection (c) as subsection (b).
    (b) Clinical Preventive Services.--Part D of title III of the Older 
Americans Act of 1965 (42 U.S.C. 3030m et seq.) is amended by adding at 
the end the following:

``SEC. 363. CLINICAL PREVENTIVE SERVICES.

    ``(a) Finding.--Congress finds that the clinical preventive 
services described in subsection (c) are covered under the Medicare 
program carried out under title XVIII of the Social Security Act (42 
U.S.C. 1395 et seq.).
    ``(b) Purposes.--The purpose of this section is to increase the 
number of older individuals receiving, at a minimum, the clinical 
preventive services.
    ``(c) Definition.--In this part, the term `disease prevention and 
health promotion services' includes diabetes screening and the clinical 
preventive services consisting of--
            ``(1) provision of influenza vaccines;
            ``(2) provision of pneumococcal vaccines;
            ``(3) breast cancer screening;
            ``(4) cervical cancer screening;
            ``(5) colorectal cancer screening;
            ``(6) hypertension screening; and
            ``(7) cholesterol screening.''.

SEC. 315. NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM.

    (a) Older Relative Caregiver.--Section 372 of such Act (42 U.S.C. 
3030s) is amended--
            (1) in subsection (a)--
                    (A) by striking paragraphs (1) and (2) and 
                inserting the following:
            ``(1) Child.--The term `child' means an individual who is 
        not more than 18 years of age.
            ``(2) Eligible care recipient.--The term `eligible care 
        recipient' means a relative, of a caregiver, who is--
                    ``(A) a child; or
                    ``(B) an individual with a disability who is not 
                less than 19 and not more than 59 years of age.
            ``(3) Older relative caregiver.--
                    ``(A) In general.--The term `older relative 
                caregiver' means a caregiver, as defined in 
                subparagraph (B) or (C), who--
                            ``(i) is 55 years of age or older;
                            ``(ii) lives with, is the informal provider 
                        of in-home and community care to, and is the 
                        primary caregiver for, an eligible care 
                        recipient who is described in subparagraph (B) 
                        or (C), respectively; and
                            ``(iii) is not a family caregiver.
                    ``(B) Caregiver for child.--For purposes of 
                subparagraph (A), the term `caregiver', used with 
                respect to an eligible care recipient who is a child, 
                means an individual who--
                            ``(i) is the grandparent, stepgrandparent, 
                        or other relative (other than the parent) by 
                        blood, marriage, or adoption, of the eligible 
                        care recipient;
                            ``(ii) is the primary caregiver of the 
                        eligible care recipient because the biological 
                        or adoptive parents are unable or unwilling to 
                        serve as the primary caregiver of the eligible 
                        care recipient; and
                            ``(iii) has a legal relationship to the 
                        eligible care recipient, such as legal custody 
                        or guardianship, or is raising the eligible 
                        care recipient informally.
                    ``(C) Caregiver of individual with a disability.--
                For purposes of subparagraph (A), the term `caregiver', 
                used with respect to an eligible care recipient who is 
                an individual with a disability described in paragraph 
                (2)(B) means an individual who is the parent, 
                grandparent, or other relative by blood, marriage, or 
                adoption, of the eligible care recipient.'';
            (2) by striking subsection (b);
            (3) by striking ``(a) In General.--''; and
            (4) by striking ``this subpart:'' and inserting ``this 
        part:''.
    (b) Program.--Section 373 of the Older Americans Act of 1965 (42 
U.S.C. 3030s-1) is amended--
            (1) in subsection (a)(2), by striking ``grandparents or 
        older individuals who are relative caregivers.'' and inserting 
        ``older relative caregivers.'';
            (2) by redesignating subsections (b) through (g) as 
        subsections (c) through (h), respectively;
            (3) by inserting after subsection (a) the following:
    ``(b) Assessment Program of Needs of Family Caregivers.--
            ``(1) In general.--The Assistant Secretary may make grants 
        to States to establish a program, in accordance with the 
        program requirements described in paragraph (5), to assess the 
        needs of family caregivers for targeted support services 
        described in paragraph (5)(C).
            ``(2) Application by states.--Each State seeking a grant 
        under this subsection shall submit an application to the 
        Assistant Secretary at such time, in such manner, and 
        containing such information and assurances as the Assistant 
        Secretary determines appropriate.
            ``(3) Grant amount.--The amount of a grant to a State under 
        this subsection shall be determined according to such 
        methodology as the Assistant Secretary determines appropriate.
            ``(4) Program administration.--A State receiving a grant 
        under this subsection may enter into an agreement with area 
        agencies on aging in the State, or an Aging and Disability 
        Resource Center in the State, to administer the program, using 
        such grant funds.
            ``(5) Program requirements.--
                    ``(A) Standardized assessment.--Assessments under a 
                program established under paragraph (1)--
                            ``(i) shall be conducted by social workers, 
                        care managers, nurses, or other appropriate 
                        professionals; and
                            ``(ii)(I) shall be conducted with a 
                        standardized instrument to identify family 
                        caregiver needs; and
                            ``(II) in a State in which an area agency 
                        on aging or an Aging and Disability Resource 
                        Center is using such an instrument on the date 
                        of enactment of the Older Americans Act 
                        Amendments of 2012, may continue to be 
                        conducted with that instrument.
                    ``(B) Questionnaire.--
                            ``(i) In general.--Subject to clause (ii), 
                        assessments under a program established as 
                        described in paragraph (1) shall include asking 
                        the family caregiver relevant questions in 
                        order to determine whether the family caregiver 
                        would benefit from any targeted support 
                        services described in subparagraph (C).
                            ``(ii) Completion on a voluntary basis.--
                        The answering of questions under clause (i) by 
                        a family caregiver shall be on a voluntary 
                        basis.
                            ``(iii) Addressing diverse caregiver needs 
                        and preferences.--The questionnaire 
                        administered under this subparagraph shall be 
                        designed in a manner that accounts for, and 
                        aims to ascertain, the varying needs and 
                        preferences of family caregivers, based on the 
                        range of their capabilities, caregiving 
                        experience, and other relevant personal 
                        characteristics and circumstances.
                    ``(C) Targeted support services described.--The 
                following targeted support services are described in 
                this subparagraph:
                            ``(i) Information and assistance (including 
                        brochures and online resources for researching 
                        a disease or disability or for learning and 
                        managing a regular caregiving role, new 
                        technologies that can assist family caregivers, 
                        and practical assistance for locating 
                        services).
                            ``(ii) Individual counseling (including 
                        advice and consultation sessions to bolster 
                        emotional support for the family caregiver to 
                        make well-informed decisions about how to cope 
                        with caregiver strain).
                            ``(iii) Support groups, including groups 
                        that provide help for family caregivers to--
                                    ``(I) locate a support group either 
                                locally or online to share experiences 
                                and reduce isolation;
                                    ``(II) make well-informed 
                                caregiving decisions; and
                                    ``(III) reduce isolation.
                            ``(iv) Education and training (including 
                        workshops and other resources available with 
                        information about stress management, self-care 
                        to maintain good physical and mental health, 
                        understanding and communicating with 
                        individuals with dementia, medication 
                        management, normal aging processes, change in 
                        disease and disability, the role of assistive 
                        technologies, and other relevant topics).
                            ``(v) Respite care and emergency back-up 
                        services (including, on a short-term basis, in-
                        home care services that give the family 
                        caregiver a break from providing such care).
                            ``(vi) Chore services (such as house 
                        cleaning) to assist the individual receiving 
                        care.
                            ``(vii) Personal care (including outside 
                        help) to assist the individual receiving care.
                            ``(viii) Legal and financial planning and 
                        consultation (including advice and counseling 
                        regarding long-term care planning, estate 
                        planning, powers of attorney, community 
                        property laws, tax advice, employment leave 
                        advice, advance directives, and end-of-life 
                        care).
                            ``(ix) Transportation (including 
                        transportation to medical appointments) to 
                        assist the individual receiving care.
                            ``(x) Other targeted support services, as 
                        determined appropriate by the State agency and 
                        approved by the Assistant Secretary.
                    ``(D) Referrals.--In the case where a questionnaire 
                completed by a family caregiver under subparagraph (B) 
                indicates that the family caregiver would benefit from 
                1 or more of the targeted support services described in 
                subparagraph (C), the agency administering the program 
                established under paragraph (1) shall provide referrals 
                to the family caregiver for State, local, and private-
                sector caregiver programs and other resources that 
                provide such targeted support services to such 
                caregivers.
                    ``(E) Targeting and timing of assessments.--
                Assessments under the program established under 
                paragraph (1) may be conducted--
                            ``(i) when an individual who is being 
                        assisted by a family caregiver transitions from 
                        one care setting to another;
                            ``(ii) upon referral from a social worker, 
                        care manager, nurse, physician, or other 
                        appropriate professional; or
                            ``(iii) according to circumstances 
                        determined by the State and approved by the 
                        Assistant Secretary.
                    ``(F) Coordination with other assessment.--
                Assessments under the program established under 
                paragraph (1) may be conducted separately or as part 
                of, or in conjunction with, eligibility or other 
                routine assessments of an individual who is being (or 
                is going to be) assisted by a family caregiver.
                    ``(G) Followup services.--As the Assistant 
                Secretary determines appropriate, a State with a 
                program described in paragraph (1) shall conduct 
                followup activities with caregivers who have 
                participated in an assessment under the program to 
                determine the status of the caregivers and whether 
                services were provided.
                    ``(H) Reporting requirement.--Each State with a 
                program described in paragraph (1) shall periodically 
                submit to the Assistant Secretary a report containing 
                information on the number of caregivers assessed under 
                the program, information on the number of referrals 
                made for targeted support services under the program 
                (disaggregated by type of service), demographic 
                information on caregivers assessed under the program, 
                and other information required by the Assistant 
                Secretary.'';
            (4) in subsection (c), as redesignated by paragraph (2)--
                    (A) in paragraph (4), by striking ``and'' at the 
                end;
                    (B) in paragraph (5), by striking the period and 
                inserting ``; and''; and
                    (C) by adding at the end the following:
            ``(6) the efforts of the Ombudsman to facilitate the 
        activities of, and support, the State Long-Term Care Ombudsman 
        program under title VII and this title, and the efforts of the 
        Ombudsman to facilitate the activities of, and support, family 
        and caregiver councils in long-term care facilities.'';
            (5) in subsection (d), as redesignated by paragraph (2)--
                    (A) in paragraph (1)--
                            (i) in the matter preceding subparagraph 
                        (A), by striking ``and grandparents and older 
                        individuals who are relative caregivers,'' and 
                        inserting ``and older relative caregivers,'';
                            (ii) in subparagraph (A), by striking 
                        ``paragraph (1) or (2) of''; and
                            (iii) in subparagraph (B)--
                                    (I) by striking ``subsection (b), 
                                in the case of a caregiver described in 
                                paragraph (1)'' and inserting 
                                ``subsection (c), in the case of a 
                                caregiver described in subsection 
                                (a)(1)''; and
                                    (II) by striking ``section 
                                102(22).'' and inserting ``section 
                                102(24).''; and
                    (B) by striking paragraph (2) and inserting the 
                following:
            ``(2) Priority.--In providing services under this part, the 
        State shall give--
                    ``(A) with respect to family caregivers who provide 
                care for individuals with Alzheimer's disease and 
                related disorders with neurological and organic brain 
                dysfunction, priority to caregivers who provide care 
                for older individuals with such disease or disorder;
                    ``(B) with respect to older relative caregivers, 
                priority to caregivers--
                            ``(i) who provide care for eligible care 
                        recipients described in section 372(a)(2)(B) 
                        who have severe disabilities; but
                            ``(ii) who are not the parents of the 
                        recipients; and
                    ``(C) priority to caregivers who are older 
                individuals with greatest social need (with particular 
                attention to individuals with factors listed in section 
                102(26)(B)), or are older individuals with greatest 
                economic need.'';
            (6) in subsection (e), as redesignated by paragraph (2), by 
        striking ``subsection (b)'' and inserting ``subsection (c)'';
            (7) in subsection (f)(3), as redesignated by paragraph (2), 
        in the second sentence, by striking ``or grandparents or older 
        individuals who are relative caregivers,'' and inserting 
        ``older relative caregivers,'';
            (8) in subsection (g)(1), as redesignated by paragraph 
        (2)--
                    (A) in subparagraph (A), by striking ``for fiscal 
                years 2007, 2008, 2009, 2010, and 2011'' and inserting 
                ``for each of fiscal years 2013 through 2017 and 
                remaining after the reservation described in section 
                303(e)(2) (if elected) is made''; and
                    (B) in subparagraph (B), by striking ``sums 
                appropriated under section 303'' and inserting 
                ``remaining sums described in subparagraph (A)''; and
            (9) in subsection (h), as redesignated by paragraph (2)--
                    (A) in paragraph (2), by striking subparagraph (C) 
                and inserting the following:
                    ``(C) Limitation.--A State may use not more than 10 
                percent of the total Federal and non-Federal share 
                available to the State under this part to provide 
                support services to--
                            ``(i) older relative caregivers who provide 
                        care for children; and
                            ``(ii) older relative caregivers--
                                    ``(I) who provide care for 
                                individuals described in section 
                                372(a)(2)(B); and
                                    ``(II) who are the parents of the 
                                individuals.''; and
                    (B) by adding at the end the following:
            ``(3) Use of funds for ombudsman program.--Amounts made 
        available to a State to carry out the State program under this 
        part may be used to support the Office of the State Long-Term 
        Care Ombudsman, including supporting the development of 
        resident and family councils.''.
    (c) Elimination of Superfluous Subpart Designation.--
            (1) Heading.--Part E of title III of such Act (42 U.S.C. 
        3021 et seq.) is amended by striking the subpart heading for 
        subpart 1.
            (2) Conforming amendments.--Sections 373 (as amended by 
        subsection (b)) and 374 of such Act (42 U.S.C. 3030s-1, 3030s-
        2) are further amended by striking ``this subpart'' in each 
        place it appears and inserting ``this part''.

      TITLE IV--ACTIVITIES FOR HEALTH, INDEPENDENCE, AND LONGEVITY

SEC. 401. GRANT PROGRAMS.

    Section 411 of the Older Americans Act of 1965 (42 U.S.C. 3032) is 
amended--
            (1) in subsection (a)--
                    (A) in the matter preceding paragraph (1), by 
                inserting ``(including the highest court of each 
                State)'' after ``with States'';
                    (B) in paragraph (9)(C), by adding at the end the 
                following: ``, and technical assistance and training to 
                States and area agencies on aging for preparedness for 
                and response to all hazards and emergencies;'';
                    (C) by striking paragraph (11) and inserting the 
                following:
            ``(11) conducting activities of national significance to 
        promote quality and continuous improvement in the support and 
        services provided to individuals with the greatest social need, 
        through activities that include needs assessment, program 
        development and evaluation, training, technical assistance, and 
        research, concerning--
                    ``(A) addressing physical and mental health, 
                disabilities, and health disparities;
                    ``(B) providing long-term care, including in-home 
                and community-based care;
                    ``(C) providing informal care, and formal care in a 
                facility setting;
                    ``(D) providing access to culturally responsive 
                health and human services; and
                    ``(E) addressing other gaps in assistance and 
                issues that the Assistant Secretary determines are of 
                particular importance to older individuals with the 
                greatest social need;'';
                    (D) in paragraph (12), by striking ``; and'' and 
                inserting a semicolon;
                    (E) by redesignating paragraph (13) as paragraph 
                (14); and
                    (F) by inserting after paragraph (12) the 
                following:
            ``(13) in accordance with subsection (c), assessing the 
        fairness, effectiveness, timeliness, safety, integrity, and 
        accessibility of adult guardianship and conservatorship 
        proceedings, including the appointment and the monitoring of 
        the performance of guardians and conservators, and implementing 
        changes deemed necessary as a result of the assessments; and'';
            (2) in subsection (b), by striking ``2007'' and all that 
        follows through ``2011'' and inserting ``2013, 2014, 2015, 
        2016, and 2017''; and
            (3) by inserting at the end the following:
    ``(c) Adult Guardianships and Conservatorships.--
            ``(1) Grants.--
                    ``(A) In general.--In awarding grants or contracts 
                under subsection (a)(13), the Assistant Secretary shall 
                obtain feedback from the State Justice Institute in 
                accordance with subparagraph (B) and may consult with 
                the Attorney General, and such grants or contracts 
                shall otherwise comply with this subsection.
                    ``(B) State justice institute.--The Assistant 
                Secretary shall submit to the State Justice Institute 
                recommendations for the awarding of grants or contracts 
                under subsection (a)(13). The Institute shall have 60 
                days in which to submit to the Assistant Secretary the 
                response of the Institute to such recommendations. The 
                Assistant Secretary shall consider such response prior 
                to awarding such grants or contracts.
            ``(2) Grantees and activities.--Grants may be awarded under 
        subsection (a)(13) to the highest court of each State for the 
        purpose of enabling such court, in collaboration with the State 
        agency and State adult protective services program--
                    ``(A) to conduct assessments of the practices and 
                procedures used to--
                            ``(i) determine whether to impose a full, 
                        limited, or temporary adult guardianship or 
                        conservatorship;
                            ``(ii) select a guardian of a person or 
                        conservator of an estate;
                            ``(iii) review the continued need for a 
                        full, limited, or temporary guardianship or 
                        conservatorship of an adult; and
                            ``(iv) review the performance of guardians 
                        or conservators;
                    ``(B) to implement changes deemed necessary as a 
                result of the assessments; and
                    ``(C) to collect data regarding those practices and 
                procedures and the impact of the necessary changes.
            ``(3) Allotments.--The amount of a grant under subsection 
        (a)(13) shall be determined by the Assistant Secretary, in 
        consultation with the State Justice Institute and the Attorney 
        General (if the Assistant Secretary determines appropriate).
            ``(4) Background checks.--The Assistant Secretary shall set 
        aside 25 percent of amounts made available for grants under 
        this subsection for each fiscal year to enable courts to 
        implement or improve systems to conduct background checks on 
        prospective guardians and conservators. Such systems shall 
        comply with the following requirements:
                    ``(A) At minimum, the background checks shall 
                include national and State criminal background checks, 
                a search of child abuse and adult abuse registries, and 
                a search as to whether the individual has been 
                suspended or disbarred from law, accounting, or other 
                professional licensing for misconduct.
                    ``(B) The court shall consider all of the 
                information obtained from the background check to 
                determine whether such an individual is sufficiently 
                trustworthy to be a guardian or conservator and that 
                the appointment of such individual is in the best 
                interest of the protected person.
                    ``(C) The information obtained from the background 
                check shall only be used for the purpose of determining 
                the suitability of the prospective guardian or 
                conservator for appointment.
            ``(5) Electronic filing.--Funds received pursuant to 
        subsection (a)(13) may be used to implement systems enabling 
        the annual accountings and other required conservatorship and 
        guardianship filings to be completed, filed, and reviewed 
        electronically in order to simplify the filing process for 
        conservators and guardians, and better enable the courts to 
        identify discrepancies and detect fraud and the exploitation of 
        protected persons.
            ``(6) Evaluation and report.--The Assistant Secretary, in 
        consultation with the Attorney General and the State Justice 
        Institute, shall conduct an evaluation of the improvements made 
        by courts to which this subsection applies, and prepare and 
        submit a report concerning such evaluation to Congress within 
        18 months of the date on which the first grant is awarded under 
        subsection (a)(13), and a second report 18 months later, and 
        shall use and distribute the reports and evaluations as the 
        Assistant Secretary, in consultation with the Attorney General 
        and the State Justice Institute, determines appropriate in 
        order to improve guardianships and conservatorships 
        nationwide.''.

SEC. 402. PROTECTION FORM VIOLENCE PROJECTS.

    Section 413(b) of the Older Americans Act of 1965 (42 U.S.C. 
3032b(b)) is amended--
            (1) in paragraph (3), by striking ``or'' after the 
        semicolon at the end;
            (2) in paragraph (4), by striking the period at the end and 
        inserting ``; or''; and
            (3) by adding at the end the following:
            ``(5) research and replicate successful models of elder 
        abuse, neglect, and exploitation prevention and training.''.

SEC. 403. DEMONSTRATION, SUPPORT, AND RESEARCH PROJECTS.

    Section 417(a)(1) of the Older Americans Act of 1965 (42 U.S.C. 
3032(a)(1)) is amended--
            (1) in subparagraph (A)--
                    (A) by striking ``grandparents and other older 
                individuals who are relative caregivers'' and inserting 
                ``older relative caregivers who are''; and
                    (B) by striking ``or'' after the semicolon;
            (2) in subparagraph (B), by striking ``and'' after the 
        semicolon and inserting ``or''; and
            (3) by adding at the end the following:
                    ``(C) engage volunteers in providing support and 
                information to older individuals (and their families or 
                caretakers) who have experienced or are at risk of 
                elder abuse, including physical or emotional abuse, 
                neglect, or exploitation; and''.

SEC. 404. COMMUNITY INNOVATIONS FOR AGING IN PLACE.

    Section 422 of the Older Americans Act of 1965 (42 U.S.C. 3032k) is 
amended by adding at the end the following:
    ``(g) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $5,000,000 for each of fiscal 
years 2013 through 2017.''.

SEC. 405. MULTIPURPOSE SENIOR CENTER MODERNIZATION, TRAINING, AND 
              SUPPORT.

    Part A of title IV of the Older Americans Act of 1965 (42 U.S.C. 
3032 et seq.) is amended by adding at the end the following:

``SEC. 423. MULTIPURPOSE SENIOR CENTER MODERNIZATION, TRAINING, AND 
              SUPPORT.

    ``(a) Program Authorized.--The Assistant Secretary shall award 
grants and enter into contracts with eligible entities to carry out 
projects to--
            ``(1) support and promote modern multipurpose senior center 
        models which yield vibrant, multiservice, multigenerational 
        centers for older individuals, families of older individuals, 
        and others in the community to gain skills, resources, and 
        connections needed to meet the challenges that occur with 
        continuum of care and quality of life;
            ``(2) build an evidence base of modern, replicable 
        practices that allow senior centers to serve a diverse array of 
        older individuals, as well as their families and other 
        caregivers, leveraging innovative partnerships and public and 
        private resources to develop and expand programs; and
            ``(3) mobilize services and leverage resources to support 
        the role of multipurpose senior centers as community focal 
        points, as provided in section 306(a)(3), and for the 
        establishment, construction, maintenance, and operation of 
        centers, as described in sections 303(c)(2) and 306(a)(1), 
        including development of intergenerational shared site models, 
        consistent with the purposes of this Act.
    ``(b) Use of Funds.--An eligible entity shall use funds made 
available under a grant awarded, or a contract entered into, under 
subsection (a) to--
            ``(1) carry out a project described in subsection (a); and
            ``(2) evaluate the project in accordance with subsection 
        (f).
    ``(c) Application.--To be eligible to receive a grant or enter into 
a contract under subsection (a), an eligible entity shall submit an 
application to the Assistant Secretary at such time, in such manner, 
and accompanied by such information as the Assistant Secretary may 
reasonably require.
    ``(d) Eligible Entity.--For purposes of this section, the term 
`eligible entity' means--
            ``(1) a multipurpose senior center that has met national 
        accreditation and fiduciary standards; and
            ``(2) a regional partnership or collaboration of 
        multipurpose senior centers or State association of senior 
        centers in which not less than 2 centers are accredited.
    ``(e) Competitive Grants for Technical Assistance.--
            ``(1) Grants.--The Assistant Secretary shall make a grant, 
        on a competitive basis, to an eligible nonprofit organization 
        described in paragraph (2), to enable the organization to--
                    ``(A) provide training and technical assistance to 
                recipients of grants under this section and other 
                multipurpose senior centers to adopt and tailor 
                evidence-based modernization strategies and practices 
                to respond to the economic and health needs of the 
                diverse and growing aging populations in their own 
                communities; and
                    ``(B) carry out other duties, as determined by the 
                Assistant Secretary.
            ``(2) Eligible nonprofit organization.--To be eligible to 
        receive a grant under this subsection, an organization shall be 
        a nonprofit organization (including a partnership of nonprofit 
        organizations), that--
                    ``(A) has experience and expertise in providing 
                technical assistance to a range of multipurpose senior 
                centers and experience evaluating and reporting on 
                programs; and
                    ``(B) has demonstrated knowledge of and expertise 
                in multipurpose senior center accreditation or other 
                standards of excellence.
            ``(3) Application.--To be eligible to receive a grant under 
        this subsection, an organization (including a partnership of 
        nonprofit organizations) shall submit an application to the 
        Assistant Secretary at such time, in such manner, and 
        containing such information as the Assistant Secretary may 
        require, including an assurance that the organization will 
        submit to the Assistant Secretary such evaluations and reports 
        as the Assistant Secretary may require.
    ``(f) Local Evaluation and Report.--
            ``(1) Evaluation.--Each entity receiving a grant or a 
        contract under subsection (a) to carry out a project described 
        in subsection (a) shall evaluate the project, leadership, and 
        resources for the modernization of multipurpose senior centers 
        to determine--
                    ``(A) the effectiveness of the project in producing 
                innovations and mobilizing resources;
                    ``(B) the impact on older individuals, families of 
                older individuals, and the community being served; and
                    ``(C) the potential for the project to be 
                replicated by other multipurpose senior centers, noting 
                the necessary resources and partnerships and the types 
                of populations and communities best suited for the 
                model.
            ``(2) Report.--The entity described in paragraph (1) shall 
        submit a report to the Assistant Secretary containing the 
        evaluation not later than 6 months after the expiration of the 
        period for which the grant or contract is in effect.
    ``(g) Report to Congress.--Not later than 6 months after the 
Assistant Secretary receives the reports described in subsection 
(f)(2), the Assistant Secretary shall prepare and submit to Congress a 
report that assesses the evaluations and includes, at a minimum--
            ``(1) a description of the nature and operation of the 
        projects funded under this section and other activities 
        conducted in support of such projects;
            ``(2) the findings resulting from the evaluations of the 
        model projects conducted under this section;
            ``(3) a description of recommended best practices of modern 
        multipurpose senior centers;
            ``(4) a strategy for disseminating the findings resulting 
        from the projects described in paragraph (1); and
            ``(5) recommendations for legislative or administrative 
        action, as the Assistant Secretary determines appropriate.''.

SEC. 406. DEMONSTRATION PROGRAM ON CARE COORDINATION AND SERVICE 
              DELIVERY.

    (a) Findings.--Congress finds the following:
            (1) As of 2011, more than 35,000,000 Americans are aged 65 
        or older. Sixty-two percent of them suffer from multiple 
        chronic conditions which require person-centered, coordinated 
        care that helps them to live in a home- or community-based 
        setting. In 2007, 42 percent of Americans age 65 or older 
        reported needing assistance performing instrumental activities 
        of daily living or activities of daily living.
            (2) Direct-care workers (referred to in this subsection as 
        ``DCWs'') provide an estimated 70 to 80 percent of the paid 
        hands-on long-term care and personal assistance received by 
        elders and people with disabilities or other chronic conditions 
        in the United States. These workers help their clients bathe, 
        dress, and negotiate a host of other daily tasks. DCWs are a 
        lifeline for those they serve, as well as for families and 
        friends struggling to provide quality care.
            (3) Eldercare and disability services positions account for 
        nearly one-third of the 15,000,000 health care jobs in the 
        United States. The direct-care workforce alone accounts for 
        more than 3,000,000 jobs, expected to grow to more than 
        4,000,000 by 2018.
            (4) The majority of DCWs are now employed in home and 
        community-based settings, and not in institutional settings 
        such as nursing care facilities or hospitals. By 2018, home and 
        community-based DCWs are likely to outnumber facility workers 
        by nearly 2 to 1.
            (5) A 2008 Institute of Medicine report, entitled ``Re-
        tooling for an Aging America: Building the Health Care 
        Workforce'', called for new models of care delivery and 
        coordination, and dedicated a chapter to the central importance 
        of the direct-care workforce in a ``re-tooled'' eldercare 
        delivery system.
            (6) An Institute of Medicine report on the future of 
        nursing, released in October of 2010, recommended nurses should 
        practice to the full extent of their education and training. 
        The report also states that all health care professionals 
        should work collaboratively in team-based models, and that the 
        goal should be to encourage care models that use every member 
        of the team to the full capacity of his or her training and 
        skills.
            (7) The Patient Protection and Affordable Care Act (Public 
        Law 111-148) emphasizes the need for improving care and 
        lowering costs by better coordination of care and integration 
        of services, particularly for consumers with multiple chronic 
        conditions. This will require developing new models of care for 
        those receiving long-term services and supports.
            (8) A November 2010 focus group of DCWs examined the 
        concept of an advanced role for this workforce. About half of 
        the participants shared that they care for consumers who do not 
        have any family or other unpaid caregivers present, which often 
        requires them to assume an additional role as an advocate, with 
        those consumers often turning to them as a source of trusted 
        information and emotional support. All participants agreed that 
        consumers and family members frequently ask them to undertake 
        tasks that they would like to provide, but for which they have 
        not received proper training.
    (b) Program.--Part A of title IV of the Older Americans Act of 1965 
(42 U.S.C. 3032 et seq.), as amended by section 405, is further amended 
by adding at the end the following:

``SEC. 424. DEMONSTRATION PROGRAM ON CARE COORDINATION AND SERVICE 
              DELIVERY.

    ``(a) Establishment of Demonstration Program.--
            ``(1) In general.--The Assistant Secretary shall carry out 
        a demonstration program in accordance with this section. Under 
        such program, the Assistant Secretary shall award grants to 
        eligible entities to carry out demonstration projects that 
        focus on care coordination and service delivery redesign for 
        older individuals with chronic illness or at risk of 
        institutional placement by--
                    ``(A) designing and testing new models of care 
                coordination and service delivery that thoughtfully and 
                effectively deploy advanced aides to improve efficiency 
                and quality of care for frail older individuals; and
                    ``(B) giving direct-care workers opportunities for 
                career advancement through additional training, an 
                expanded role, and increased compensation.
            ``(2) Direct-care worker.--In this section, the term 
        `direct-care worker' has the meaning given that term in the 
        2010 Standard Occupational Classifications of the Department of 
        Labor for Home Health Aides [31-1011], Psychiatric Aides [31-
        1013], Nursing Assistants [31-1014], and Personal Care Aides 
        [39-9021].
    ``(b) Demonstration Projects.--The demonstration program shall be 
composed of 6 demonstration projects, as follows:
            ``(1) Two demonstration projects shall focus on using the 
        abilities of direct-care workers to promote smooth transitions 
        in care and help to prevent unnecessary hospital readmissions. 
        Under these projects, direct-care workers shall be incorporated 
        as essential members of interdisciplinary care coordination 
        teams.
            ``(2) Two demonstration projects shall focus on maintaining 
        the health and improving the health status of those with 
        multiple chronic conditions and long-term care needs. Under 
        these projects, direct-care workers shall assist in monitoring 
        health status, ensuring compliance with prescribed care, and 
        educating and coaching the older individual involved and any 
        family caregivers.
            ``(3) Two demonstration projects shall focus on training 
        direct-care workers to take on deeper clinical responsibilities 
        related to specific diseases, including Alzheimer's and 
        dementia, congestive heart failure, and diabetes.
    ``(c) Eligible Entity.--In this section, the term `eligible entity' 
means a consortium that consists of--
            ``(1) not less than 1--
                    ``(A) home personal care service provider; or
                    ``(B) area agency on aging; and
            ``(2) not less than 1--
                    ``(A) hospital or health system;
                    ``(B) long-term care and rehabilitation facility;
                    ``(C) labor organization or labor-management 
                partnership;
                    ``(D) community-based aging service provider;
                    ``(E) patient-centered medical home;
                    ``(F) Federally qualified health center;
                    ``(G) managed care entity, including a managed 
                health and long-term care program;
                    ``(H) entity that provides health services 
                training;
                    ``(I) State-based public entity engaged in building 
                new roles and related curricula for direct-care 
                workers; or
                    ``(J) any other entity that the Assistant Secretary 
                deems eligible based on integrated care criteria.
    ``(d) Application.--To be eligible to receive a grant under this 
section, an eligible entity shall submit to the Assistant Secretary an 
application at such time, in such manner, and containing such 
information as the Secretary may require, which shall include--
            ``(1) a description of the care coordination and service 
        delivery models of the entity, detailed on a general, 
        organizational, and staff level;
            ``(2) a description of how the demonstration project 
        carried out by the entity will improve care quality, including 
        specific objectives and anticipated outcomes that will be used 
        to measure success; and
            ``(3) a description of how the coordinated care team 
        approach with an enhanced role for the direct-care worker under 
        the demonstration project will increase efficiency and cost 
        effectiveness compared to past practice.
    ``(e) Planning Awards Under Demonstration Program.--
            ``(1) In general.--Each eligible entity that receives a 
        grant under this section shall receive a grant for planning 
        activities related to the demonstration project to be carried 
        out by the entity, including--
                    ``(A) designing the implementation of the project;
                    ``(B) identifying competencies and developing 
                curricula for the training of participating direct-care 
                workers;
                    ``(C) developing training materials and processes 
                for other members of the interdisciplinary care team;
                    ``(D) articulating a plan for identifying and 
                tracking cost savings gained from implementation of the 
                project and for achieving long-term financial 
                sustainability; and
                    ``(E) articulating a plan for evaluating the 
                project.
            ``(2) Amount and term.--
                    ``(A) Total amount.--The amount awarded under 
                paragraph (1) for all grants shall not exceed $600,000.
                    ``(B) Term.--Activities carried out under a grant 
                awarded under paragraph (1) shall be completed not 
                later than 1 year after the grant is awarded.
    ``(f) Implementation Awards Under Demonstration Program.--
            ``(1) In general.--Each eligible entity may receive a grant 
        for implementation activities related to the demonstration 
        project to be carried out by the entity, if the Assistant 
        Secretary determines the entity--
                    ``(A) has successfully carried out the activities 
                under the grant awarded under subsection (e);
                    ``(B) offers a feasible plan for long-term 
                financial sustainability;
                    ``(C) has constructed a meaningful model of 
                advancement for direct-care workers; and
                    ``(D) aims to provide training to a sizeable number 
                of direct-care workers and to serve a sizeable number 
                of older individuals.
            ``(2) Use of funds.--The implementation activities 
        described under paragraph (1) shall include--
                    ``(A) training of all care team members in 
                accordance with the design of the demonstration 
                project; and
                    ``(B) evaluating the competency of all staff based 
                on project design.
            ``(3) Evaluation and report.--
                    ``(A) Evaluation.--Each recipient of a grant under 
                paragraph (1), in consultation with an independent 
                evaluation contractor, shall--
                            ``(i) evaluate the impact of training and 
                        deployment of direct-care workers in advanced 
                        roles, as described in this section, within 
                        each participating entity on outcomes, such as 
                        direct-care worker job satisfaction and 
                        turnover, beneficiary and family caregiver 
                        satisfaction with services, rate of 
                        hospitalization of beneficiaries, and 
                        additional measures determined by the 
                        Secretary;
                            ``(ii) evaluate the impact of such training 
                        and deployment on the long-term services and 
                        supports delivery system and resources;
                            ``(iii) issue a statement of the potential 
                        of the use of direct-care workers in advanced 
                        roles to lower cost and improve quality of care 
                        in the Medicaid program; and
                            ``(iv) evaluate the long-term financial 
                        sustainability of the model used under the 
                        grant and the impact of such model on quality 
                        of care.
                    ``(B) Reports.--Not later than 180 days after 
                completion of the demonstration program under this 
                section, each recipient of a grant under paragraph (1) 
                shall submit to the Secretary a report on the 
                implementation of activities conducted under the 
                demonstration project, including--
                            ``(i) the outcomes, performance benchmarks, 
                        and lessons learned from the project;
                            ``(ii) a statement of cost savings gained 
                        from implementation of the project and how the 
                        cost savings have been reinvested to improve 
                        direct-care job quality and quality of care; 
                        and
                            ``(iii) results of the evaluation conducted 
                        under subparagraph (A), and the statement of 
                        potential issued under subparagraph (A)(iii), 
                        with respect to such activities, together with 
                        such recommendations for legislation or 
                        administrative action for expansion of the 
                        demonstration program on a broader scale as the 
                        Secretary determines appropriate.
            ``(4) Amount and term.--
                    ``(A) Total amount.--The amount awarded under 
                paragraph (1) for all grants shall not exceed 
                $2,900,000.
                    ``(B) Term.--Activities carried out under a grant 
                awarded under paragraph (1) shall be completed not 
                later than 2 years after the grant is awarded.''.

SEC. 407. LIVABLE COMMUNITIES GRANT PROGRAM.

    Part A of title IV of the Older Americans Act of 1965 (42 U.S.C. 
3032 et seq.), as amended by section 406, is further amended by adding 
at the end the following:

``SEC. 425. LIVABLE COMMUNITIES GRANT PROGRAM.

    ``(a) Definitions.--In this section:
            ``(1) Eligible entity.--The term `eligible entity' means--
                    ``(A) a State;
                    ``(B) an area agency on aging; or
                    ``(C) a tribal or Native Hawaiian organization.
            ``(2) Livable community.--The term `livable community' 
        means a metropolitan, urban, suburban, or rural community in 
        which--
                    ``(A) safe, reliable, and accessible transportation 
                choices exist;
                    ``(B) long-term, affordable, accessible, energy-
                efficient, and conveniently located housing choices 
                exist for people of all ages, incomes, races, and 
                ethnicities;
                    ``(C) the growth of neighborhoods is supported, 
                revitalized, and encouraged, and the cost-effectiveness 
                of infrastructure is maximized;
                    ``(D) economic development and economic 
                competitiveness are promoted;
                    ``(E) the environment and natural resources are 
                preserved;
                    ``(F) agricultural land, rural land, and green 
                space are protected; and
                    ``(G) public health is supported, improving the 
                quality of life for residents of, and workers in, the 
                community.
            ``(3) Tribal or native hawaiian organization.--The term 
        `tribal or Native Hawaiian organization' means an organization 
        that is eligible to receive a grant under title VI.
    ``(b) In General.--The Assistant Secretary shall award grants, from 
allotments made under subsection (c)(1) and as described in subsection 
(c)(2), to eligible entities to pay for the Federal share of the cost 
of assisting communities in preparing for the aging of the population, 
through activities described in subsection (e).
    ``(c) Availability of Funds.--
            ``(1) States and area agencies on aging.--Subject to 
        paragraph (4), from the sums appropriated under subsection (h) 
        for each of fiscal years 2013, 2014, 2015, 2016, and 2017, the 
        Assistant Secretary shall allot funds under this section in the 
        amount of--
                    ``(A) $30,000 to each State; and
                    ``(B) $30,000 to each area agency on aging.
            ``(2) Tribal or native hawaiian organizations.--Subject to 
        paragraph (4), from the sums appropriated under subsection (h) 
        for each of fiscal years 2013, 2014, 2015, 2016, and 2017, the 
        Assistant Secretary shall reserve $1,500,000, and use the 
        reserved funds for grants to tribal or Native Hawaiian 
        organizations.
            ``(3) National resource center.--Subject to paragraph (4), 
        from the sums appropriated under subsection (h) for each of 
        fiscal years 2013, 2014, 2015, 2016, and 2017, the Assistant 
        Secretary shall reserve $3,000,000, and use the reserved funds 
        for a grant to the national organization selected under 
        subsection (f)(1).
            ``(4) Insufficient appropriations.--Notwithstanding 
        paragraphs (1), (2), and (3), if the amount appropriated under 
        subsection (h) for a fiscal year is insufficient for the 
        Assistant Secretary to provide all the allotments described in 
        paragraph (1), and to reserve the amounts described in 
        paragraphs (2) and (3), for that fiscal year, the Secretary 
        shall proportionately reduce the number of allotments made 
        under paragraph (1), and the amount of each reservation 
        described in paragraph (2) or (3) for that fiscal year.
    ``(d) Application.--An eligible entity desiring a grant under this 
section shall submit an application to the Assistant Secretary at such 
time, in such manner, and accompanied by such information as the 
Assistant Secretary may require.
    ``(e) Use of Grant Funds.--An eligible entity may use the funds 
made available through a grant--
            ``(1) to hire a professional planner to help State 
        agencies, local elected officials, local government agencies, 
        tribal or Native Hawaiian organizations, and private and 
        nonprofit organizations to develop policies, programs, and 
        services to foster livable communities for people of all ages;
            ``(2) to assess the aging population; and
            ``(3) to coordinate the activities of State and local 
        agencies in order to meet the needs of older individuals.
    ``(f) National Resource Center.--
            ``(1) In general.--The Assistant Secretary shall make a 
        grant to a national organization, as described in subsection 
        (c)(3), to establish a National Resource Center on Livable 
        Communities for All Ages to provide technical assistance to 
        eligible entities awarded grants under subsection (b).
            ``(2) Criteria for selection.--The national organization 
        selected under paragraph (1) shall have a proven capacity to 
        provide training and technical assistance to support States, 
        area agencies on aging, and tribal or Native Hawaiian 
        organizations, in engaging in community planning activities.
            ``(3) Application.--A national organization desiring the 
        grant under this subsection shall submit an application to the 
        Assistant Secretary at such time, in such manner, and 
        accompanied by such information as the Assistant Secretary may 
        require.
    ``(g) Federal Share.--
            ``(1) In general.--Except as provided in paragraph (2), the 
        Federal share of the cost described in subsection (b) shall be 
        75 percent.
            ``(2) Exceptions.--
                    ``(A) Small and rural communities.--In the case of 
                an eligible entity that is an area agency on aging that 
                serves an area with less than 200,000 in population, 
                the Federal share of the cost described in subsection 
                (b) may be 80 percent.
                    ``(B) Tribal or native hawaiian organizations.--In 
                the case of an eligible entity that is a tribal or 
                Native Hawaiian organization, the Federal share of the 
                cost described in subsection (b) shall be 100 percent.
            ``(3) Non-federal share.--
                    ``(A) In-kind contributions.--For the purpose of 
                this section, the non-Federal share of the cost may be 
                provided in cash or in-kind, fairly evaluated.
                    ``(B) Other federal funding.--An eligible entity 
                may use Federal funds appropriated under this Act and 
                available to carry out section 306, 307, 614, or 624, 
                as the case may be, towards providing the non-Federal 
                share of the cost.
    ``(h) Authorization of Appropriations.--
            ``(1) In general.--There are authorized to be appropriated 
        to carry out this section such sums as may be necessary for 
        fiscal years 2013, 2014, 2015, 2016, and 2017.
            ``(2) Sense of the senate.--It is the sense of the Senate 
        that the amount appropriated under paragraph (1) should be not 
        less than $25,000,000 for fiscal year 2013.''.

SEC. 408. INNOVATION TO IMPROVE TRANSPORTATION FOR OLDER INDIVIDUALS 
              WHO ARE HOLOCAUST SURVIVORS.

    Part A of title IV of the Older Americans Act of 1965 (42 U.S.C. 
3032 et seq.), as amended by section 407, is further amended by adding 
at the end the following:

``SEC. 426. INNOVATION TO IMPROVE TRANSPORTATION FOR OLDER INDIVIDUALS 
              WHO ARE HOLOCAUST SURVIVORS.

    ``(a) In General.--The Assistant Secretary shall award grants or 
contracts to eligible entities to increase and improve transportation 
services, including affordable non-emergency transportation to medical 
appointments and shopping for food and other essential items, to enable 
older individuals to remain in the community, with a preference for 
those older individuals who are Holocaust survivors. The Assistant 
Secretary shall make grants or enter into such contracts for a period 
of not less than 5 years.
    ``(b) Use of Funds.--
            ``(1) In general.--An eligible entity receiving a grant or 
        contract under subsection (a)--
                    ``(A) shall use funds received through such grant 
                or contract to carry out a demonstration project, or to 
                provide technical assistance to assist local transit 
                providers, area agencies on aging, senior centers, and 
                local senior support groups, to encourage and 
                facilitate coordination of Federal, State, and local 
                transportation services and resources for older 
                individuals who are Holocaust survivors; and
                    ``(B) may use funds received through such grant or 
                contract to provide such technical assistance on behalf 
                of, or carry out such a demonstration project for, 
                older individuals.
            ``(2) Specific activities.--In carrying out a demonstration 
        project or providing technical assistance under paragraph (1) 
        the eligible entity may carry out activities that include--
                    ``(A) developing innovative approaches for 
                improving access by older individuals to transportation 
                services, including volunteer driver programs, 
                economically sustainable transportation programs, and 
                programs that allow older individuals to transfer their 
                automobiles to a provider of transportation services in 
                exchange for the services;
                    ``(B) preparing information on transportation 
                options and resources for older individuals and 
                organizations serving such individuals, and 
                disseminating the information by establishing and 
                operating a toll-free telephone number;
                    ``(C) developing models and best practices for 
                providing comprehensive integrated transportation 
                services for older individuals, including services 
                administered by the Secretary of Transportation, by 
                providing ongoing technical assistance to agencies 
                providing services under title III and by assisting in 
                coordination of public and community transportation 
                services; and
                    ``(D) providing special services to link older 
                individuals to transportation services not provided 
                under title III.
    ``(c) Preference.--In awarding grants and entering into contracts 
under subsection (a), the Assistant Secretary shall give preference to 
eligible entities that have previous extensive experience working with 
and conducting assessments of the needs of Holocaust survivors who are 
older individuals.
    ``(d) Consultation.--In selecting grantees under this section, the 
Assistant Secretary shall consult with the individual designated under 
section 210(a) of the Older Americans Act Amendments of 2012 and with 
national organizations with special expertise in serving Holocaust 
survivors who are older individuals.
    ``(e) Eligible Entity.--In this section, the term `eligible entity' 
means an entity that has previous extensive experience working with and 
conducting assessments of the needs of older individuals.''.

SEC. 409. GRANTS OR CONTRACTS TO FACILITATE LOW-INCOME ACCESS TO DENTAL 
              CARE.

    Part A of title IV of the Older Americans Act of 1965, as amended 
by section 408, is further amended by adding at the end the following:

``SEC. 427. GRANTS OR CONTRACTS TO FACILITATE LOW-INCOME ACCESS TO 
              DENTAL CARE.

    ``(a) Definition.--In this section, the term `medically recommended 
dental care' means treatment of an oral disease or other oral 
condition, on the referral of a physician or other health care 
professional, to sustain or improve overall health, prevent 
exacerbation of a co-morbid condition, or as a prerequisite to a 
required medical therapy.
    ``(b) Grants.--The Secretary shall award competitive grants to, or 
enter into contracts with, eligible entities to fund the employment 
costs of professionals who will use grant or contract funds to--
            ``(1) coordinate the provision of medically recommended 
        dental care to eligible individuals by volunteer dentists in a 
        manner consistent with State licensing laws; and
            ``(2) verify the medical, dental, and financial needs of 
        eligible individuals who may be eligible for free medically 
        recommended dental care.
    ``(c) Eligibility.--
            ``(1) Eligible entity.--To be eligible to receive a grant 
        or contract under subsection (b), an entity shall--
                    ``(A) be an entity that is exempt from tax under 
                section 501(c) of the Internal Revenue Code of 1986;
                    ``(B) provide for the participation of eligible 
                individuals in a free dental services program on a 
                national basis; and
                    ``(C) submit to the Secretary an application at 
                such time, in such manner, and containing such 
                information as the Secretary may require.
            ``(2) Eligible individual.--To be eligible to participate 
        in a program described in paragraph (1)(B), an individual shall 
        be--
                    ``(A) an older individual with greatest economic 
                need;
                    ``(B) an older individual or adult individual 
                entitled to benefits under part A, or an individual 
                enrolled in part B, of title XVIII of the Social 
                Security Act (42 U.S.C. 1395 et seq.); or
                    ``(C) an individual enrolled in a State plan under 
                title XIX, or a health plan under title XXI, of such 
                Act (42 U.S.C. 1396 et seq., 1397aa et seq.), or under 
                an approved waiver of either such plan.
    ``(d) Use of Funds.--An entity shall use amounts received under a 
grant or contract under this section to establish, expand, or operate a 
program to coordinate the provision of free medically recommended 
dental care through volunteer dentists to eligible individuals.
    ``(e) Evaluation and Report.--
            ``(1) Evaluation.--Each entity that receives a grant or 
        contract under this section shall evaluate the number of 
        patients served under the grant or contract, and the 
        effectiveness of the program described in subsection (d) in 
        reducing medical expenses associated with the disease or 
        condition for which care described in subsection (d) was 
        provided.
            ``(2) Report.--The entity shall submit a report containing 
        the results of the evaluation to the Assistant Secretary, not 
        later than 6 months after the end of the period of the grant or 
        contract.
    ``(f) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $2,000,000 for each of fiscal 
years 2013 through 2017.''.

SEC. 410. NATIONAL RESOURCE CENTER ON FAMILY CAREGIVING.

    (a) In General.--Part A of title IV of the Older Americans Act of 
1965 (42 U.S.C. 3032 et seq.), as amended by section 409, is further 
amended by adding at the end the following:

``SEC. 428. NATIONAL RESOURCE CENTER ON FAMILY CAREGIVING.

    ``(a) Definitions.--In this section:
            ``(1) Public or private nonprofit entity.--The term `public 
        or private nonprofit entity' means--
                    ``(A) a State, a political subdivision of a State, 
                or an agency or instrumentality of such a State or 
                political subdivision; or
                    ``(B) a nonprofit entity that is described in 
                section 501(c)(3) of the Internal Revenue Code of 1986 
                and exempt from taxation under section 501(a) of such 
                Code.
            ``(2) State.--The term `State' means 1 of the 50 States.
    ``(b) Establishment.--The Secretary of Health and Human Services 
shall award a grant to or enter into a cooperative agreement with a 
public or private nonprofit entity to establish a National Resource 
Center on Family Caregiving (referred to in this section as the 
`Center').
    ``(c) Purposes of National Resource Center.--The Center shall--
            ``(1) identify, develop, and disseminate information on 
        best practices for and evidence-based models of family 
        caregiver support programs;
            ``(2) provide timely information on policy and program 
        updates relating to family caregivers;
            ``(3) partner with related organizations to disseminate 
        practical strategies and tools to support families in their 
        caregiving roles;
            ``(4) convene educational programs and web-based seminars 
        on family caregiver issues and program development; and
            ``(5) provide a comprehensive Internet website with a 
        national searchable database on family caregiver programs and 
        resources in the States.
    ``(d) Authorization.--There is authorized to be appropriated to 
carry out this section $12,000,000 for the period of fiscal years 2013 
through 2017.''.
    (b) Technical Amendments.--
            (1) Section 431(a) of such Act (42 U.S.C. 3033(a)) is 
        amended by striking ``or contract'' the first place it appears 
        and inserting ``or contract (including a cooperative 
        agreement)''.
            (2) Section 432(a) of such Act (42 U.S.C. 3033a(a)) is 
        amended by striking ``and contracts'' and inserting ``and 
        contracts (including cooperative agreements)''.

            TITLE V--COMMUNITY SERVICE SENIOR OPPORTUNITIES

SEC. 501. OLDER AMERICAN COMMUNITY SERVICE EMPLOYMENT PROGRAM.

    Section 502 of the Older Americans Act of 1965 (42 U.S.C. 3056) is 
amended--
            (1) in subsection (a)(1)--
                    (A) by striking ``To foster individual economic 
                self-sufficiency and'' and inserting ``To further the 
                goal of economic security, foster individual economic 
                self-sufficiency, grow local economies, improve the 
                quality of life in local communities, and''; and
                    (B) by striking ``persons who are age 55'' and 
                inserting ``persons who are not economically secure and 
                who are age 55'';
            (2) in subsection (b)--
                    (A) in paragraph (1)--
                            (i) in the matter preceding subparagraph 
                        (A), in the first sentence, by inserting after 
                        ``nonprofit private agencies and 
                        organizations'' the following: ``(which 
                        nonprofit organizations may include eligible 
                        technology organizations)'';
                            (ii) in subparagraph (E)--
                                    (I) by striking ``support for 
                                children,'' and inserting ``support for 
                                adults, children,''; and
                                    (II) by inserting ``, and which may 
                                include support for the health and 
                                safety of older adults and the 
                                prevention and detection of elder 
                                abuse'' after ``families'';
                            (iii) in subparagraph (Q), by striking 
                        ``and'' at the end;
                            (iv) in subparagraph (R), by striking the 
                        period and inserting ``; and''; and
                            (v) by adding at the end the following:
                    ``(S) will, to the maximum extent practicable, 
                achieve the goal described in paragraph (4).''; and
                    (B) by adding at the end the following:
            ``(4) Placement goal.--
                    ``(A) Goal.--In order to maximize the number of 
                older individuals being served, each grantee under this 
                title shall, to the maximum extent practicable, achieve 
                a goal, referred to paragraph (1)(S), of placing not 
                less than 50 percent of the participants in the 
                grantee's project in positions with organizations that 
                assist older adults or in positions with duties that 
                positively impact the lives of older adults.
                    ``(B) Contracts with service providers.--In order 
                to achieve the goal described in subparagraph (A), each 
                such grantee shall enter into a contract or memorandum 
                of understanding with--
                            ``(i) entities from 2 or more categories of 
                        entities, which categories shall consist of--
                                    ``(I) the State Long-Term Care 
                                Ombudsman selected in accordance in 
                                section 712;
                                    ``(II) an area agency on aging;
                                    ``(III) a multipurpose senior 
                                center;
                                    ``(IV) a contractor providing 
                                support services under part B, C, D, or 
                                E of title III; and
                                    ``(V) a transportation service 
                                provider; or
                            ``(ii) an entity approved by the Assistant 
                        Secretary, and the Secretary of Labor.''; and
            (3) in subsection (e)(2)--
                    (A) in subparagraph (E), by striking ``and'' at the 
                end;
                    (B) in subparagraph (F), by striking the period and 
                inserting ``; and''; and
                    (C) by adding at the end the following:
                    ``(G) a project carried, out by an eligible 
                technology organization, that will focus on the 
                provision to eligible individuals of--
                            ``(i) basic and intermediate computer 
                        skills;
                            ``(ii) Internet skills;
                            ``(iii) e-mail skills;
                            ``(iv) word processing and spreadsheet 
                        skills;
                            ``(v) presentation software skills; and
                            ``(vi) any other key skills appropriate for 
                        assisting eligible individuals in entering or 
                        re-entering the workforce.''.

SEC. 502. STATE PLAN.

    Section 503(a)(4)(C) of the Older Americans Act of 1965 (42 U.S.C. 
3056a(a)(4)(C)) is amended by striking clauses (i) through (iv) and 
inserting the following:
                            ``(i) minority and Indian eligible 
                        individuals;
                            ``(ii) eligible individuals with limited 
                        English proficiency;
                            ``(iii) eligible individuals with 
                        disabilities;
                            ``(iv) eligible individuals with greatest 
                        economic need; and
                            ``(v) eligible individuals with greatest 
                        social need;''.

SEC. 503. AUTHORIZATION OF APPROPRIATIONS.

    Section 517(a) of the Older Americans Act of 1965 (42 U.S.C. 
3056o(a)) is amended to read as follows:
    ``(a) Authorization.--
            ``(1) In general.--There are authorized to be appropriated 
        to carry out this title such sums as may be necessary for 
        fiscal years 2013, 2014, 2015, 2016, and 2017.
            ``(2) Sense of congress.--It is the sense of Congress that 
        the amount appropriated under paragraph (1) should not be less 
        than $660,000,000 for fiscal year 2013.''.

SEC. 504. DEFINITIONS.

    Section 518(a) of the Older Americans Act of 1965 (42 U.S.C. 
3056p(a)) is amended--
            (1) by redesignating paragraphs (4) through (8) as 
        paragraphs (5) through (9), respectively; and
            (2) by inserting after paragraph (3) the following:
            ``(4) Eligible technology organization.--The term `eligible 
        technology organization' includes a nonprofit organization 
        that--
                    ``(A) has developed a research-based curriculum 
                specifically designated to help older adults improve 
                their technology skills, such as a curriculum developed 
                through a Broadband Technology Opportunities Program or 
                a Technology Opportunities Program of the Department of 
                Commerce; or
                    ``(B) is an eligible provider of training services 
                identified under section 122 of the Workforce 
                Investment Act of 1998 (29 U.S.C. 2842).''.

SEC. 505. STUDY ON FEASIBILITY OF TRANSFER OF PROGRAM.

    (a) Study.--The Assistant Secretary for Aging of the Department of 
Health and Human Services, and the Secretary of Labor, shall study the 
feasibility of transferring the program carried out under title V of 
the Older Americans Act of 1965 (42 U.S.C. 3056 et seq.) to the 
Administration on Aging.
    (b) Report.--Not later than 2 years after the date of enactment of 
this Act, the Assistant Secretary and the Secretary shall submit a 
report containing the results of the study to the appropriate 
committees of Congress.

                 TITLE VI--GRANTS FOR NATIVE AMERICANS

SEC. 601. TECHNICAL AMENDMENT.

    Section 611 of such Act (42 U.S.C. 3057b) is amended by striking 
``(a)'' in the matter preceding paragraph (1).

SEC. 602. CONFORMING AMENDMENT.

    Section 631(b) of the Older Americans Act of 1965 (42 U.S.C. 3057k-
11(b)) is amended by striking ``subsections (c), (d), and (e)'' and 
inserting ``subsections (d), (e), and (f)''.

SEC. 603. REAUTHORIZATION OF FUNDING FOR GRANTS FOR NATIVE AMERICANS.

    Section 643(2) of the Older Americans Act of 1965 (42 U.S.C. 
3057n(2)) is amended by striking ``part C,'' and all that follows and 
inserting ``part C, $11,000,000 for each of fiscal years 2013 through 
2017.''.

        TITLE VII--VULNERABLE ELDER RIGHTS PROTECTION ACTIVITIES

SEC. 701. ESTABLISHMENT.

    Section 701 of the Older Americans Act of 1965 (42 U.S.C. 3058) is 
amended--
            (1) by inserting ``and grants'' after ``allotments''; and
            (2) by adding at the end the following: ``The Assistant 
        Secretary, to the maximum extent practicable, shall ensure that 
        education and public awareness activities under this title are 
        fully integrated with all service programs under title III 
        (with special emphasis on the nutrition programs, legal 
        services, and information and referral assistance activities), 
        the work of Aging and Disability Resource Centers, and the 
        long-term care ombudsman programs, including programs carried 
        out under title VI.''.

SEC. 702. AUTHORIZATION OF APPROPRIATIONS FOR OMBUDSMAN PROGRAM.

    (a) State Long-Term Care Ombudsman Program.--Section 702 of the 
Older Americans Act of 1965 (42 U.S.C. 3058a) is amended--
            (1) in subsection (a), by striking ``, such sums'' and all 
        that follows and inserting ``, such sums as may be necessary 
        for fiscal years 2013, 2014, 2015, 2016, and 2017.''; and
            (2) by adding at the end the following:
    ``(d) Sense of Congress.--It is the sense of Congress that, in 
order to carry out chapter 2 (relating to State Long-Term Care 
Ombudsman programs), the amount appropriated under subsection (a) 
should be not less than $25,500,000 for fiscal year 2013.''.
    (b) State Home Care Ombudsman Programs.--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:

``SEC. 702A. AUTHORIZATION OF APPROPRIATIONS FOR STATE HOME CARE 
              OMBUDSMAN PROGRAM.

    ``There are authorized to be appropriated to carry out chapter 5 
such sums as may be necessary for fiscal year 2013 and each subsequent 
fiscal year.''.

SEC. 703. GRANTS.

    Section 703 of the Older Americans Act of 1965 (42 U.S.C. 3058b) is 
amended by adding at the end the following:
    ``(d) Grants for State Home Care Ombudsman Programs.--
            ``(1) In general.--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.
            ``(2) Considerations.--In selecting States to receive the 
        grants, the Assistant Secretary shall consider--
                    ``(A) a State's current financial support (as of 
                the date of consideration) for home care ombudsman 
                services;
                    ``(B) a State's commitment to preventing conflict 
                of interest between providers of home care services and 
                providers of home care ombudsman services; and
                    ``(C) other criteria determined by the Assistant 
                Secretary.
            ``(3) Priorities.--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 those services.''.

SEC. 704. ELIGIBILITY.

    Section 704 of the Older Americans Act of 1965 (42 U.S.C. 3058c) is 
amended, in the matter preceding paragraph (1), by inserting ``or 
grants'' after ``allotments''.

SEC. 705. ADDITIONAL STATE PLAN REQUIREMENTS.

    (a) In General.--Section 705 of the Older Americans Act of 1965 (42 
U.S.C. 3058d) is amended--
            (1) in subsection (a)--
                    (A) in the matter preceding paragraph (1), by 
                inserting ``or grant'' after ``allotment'';
                    (B) in paragraph (1), by striking ``requirements of 
                the chapter and this chapter'' and inserting 
                ``requirements of this chapter and this subtitle'';
                    (C) in paragraph (2), by inserting ``family 
                caregivers,'' after ``title VI,'';
                    (D) in paragraph (4), by striking ``enactment of 
                this subtitle'' and inserting ``enactment of the 
                chapter'';
                    (E) in paragraph (6), by striking ``and'' at the 
                end;
                    (F) in paragraph (7), by striking the period and 
                inserting ``; and''; and
                    (G) by adding at the end the following:
            ``(8) subject to section 705(b) of the Older Americans Act 
        Amendments of 2012, an assurance--
                    ``(A) 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 the State shall include a copy of the 
                Bill and Plan; or
                    ``(B) 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.'';
            (2) by redesignating subsection (b) as subsection (d);
            (3) by inserting after subsection (a) the following:
    ``(b) Home Care Consumer Bill of Rights.--The Home Care Consumer 
Bill of Rights referred to in subsection (a)(8) shall, at a minimum--
            ``(1) address a home care consumer's right to basic safety 
        by--
                    ``(A) affirming that home care consumers are 
                protected from physical, sexual, mental, and verbal 
                abuse, neglect, and exploitation;
                    ``(B) 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);
                    ``(C) affirming that such providers maintain the 
                confidentiality of all personal, financial, and medical 
                information of home care consumers; and
                    ``(D) affirming that providers respect the personal 
                property of home care consumers, and in the event of 
                consumer reports of theft or loss, that providers will 
                investigate and report back to the consumer the results 
                of the investigation;
            ``(2) address a home care consumer's right to access 
        information by--
                    ``(A) 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;
                    ``(B) affirming that home care consumers--
                            ``(i) 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
                            ``(ii) are given advance notice of any 
                        changes to those costs or services; and
                    ``(C) 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;
            ``(3) address a home care consumer's right to choice, 
        participation, and self-determination by--
                    ``(A) 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;
                    ``(B) 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
                    ``(C) affirming that home care consumers can refuse 
                services and receive an explanation of the consequences 
                of doing so;
            ``(4) address a home care consumer's right to receive care 
        and services provided in a way that promotes each consumer's 
        dignity and individuality;
            ``(5) address a home care consumer's right to redress 
        grievances by--
                    ``(A) 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
                    ``(B) affirming that home care consumers are able 
                to assert their rights under this subsection and 
                subsection (c) without retaliation;
            ``(6) 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
            ``(7) meet any other guidelines determined to be 
        appropriate by the Assistant Secretary.
    ``(c) Plan for Enforcement.--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.''; and
            (4) by adding at the end the following:
    ``(e) Definition.--In this section, the term `home care consumer' 
and `home care services' have the meanings given the terms in section 
736.''.
    (b) Application of Requirement To Submit State Home Care Consumer 
Bill of Rights and Plan for Enforcement.--
            (1) In general.--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 
        ``application date'') 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 201).
            (2) First submission after application date.--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):
                    (A) The submission of a new State plan under 
                section 307 of the Older Americans Act of 1965 (42 
                U.S.C. 3027).
                    (B) The submission of an annual revision to a State 
                plan submitted under such section 307.
            (3) Ongoing submissions.--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).

SEC. 706. DEFINITIONS.

    Section 711(6) of the Older Americans Act of 1965 (42 U.S.C. 
3058f(6)) is amended by striking ``older individual'' and inserting 
``individual''.

SEC. 707. STATE LONG-TERM CARE OMBUDSMAN PROGRAM.

    Section 712 of the Older Americans Act of 1965 (42 U.S.C. 3058g) is 
amended--
            (1) in subsection (a)--
                    (A) in paragraph (2), by adding at the end the 
                following: ``The Ombudsman shall be responsible for the 
                management, including the fiscal management, of the 
                Office.'';
                    (B) in paragraph (3)--
                            (i) in subparagraph (A), by striking clause 
                        (i) and inserting the following:
                            ``(i) are made by or on behalf of 
                        residents, including residents with limited or 
                        no decisionmaking capacity and who have no 
                        known legal representative, and if such a 
                        resident is unable to provide or refuses 
                        consent for an Ombudsman to work on a complaint 
                        directly involving the resident, the Ombudsman 
                        shall seek evidence to indicate what outcome 
                        the resident would have desired and, in a case 
                        in which such evidence is reliable, shall 
                        assume that the resident wishes to have the 
                        resident's health, safety, welfare, and rights 
                        protected and shall work to accomplish the 
                        desired outcome;'';
                            (ii) in subparagraph (D), by striking 
                        ``regular and timely'' and inserting ``regular, 
                        timely, private, and unimpeded'';
                            (iii) by redesignating subparagraphs (F) 
                        through (I) as subparagraphs (G) through (J);
                            (iv) by inserting after subparagraph (E) 
                        the following:
                    ``(F) collect and analyze data, relating to 
                discrimination against LGBT older individuals on the 
                basis of actual or perceived sexual orientation or 
                gender identity in the admission to, transfer or 
                discharge from, or lack of adequate care provided in 
                long term care settings, and shall include the analyses 
                in the reports;''; and
                            (v) in subparagraph (I), as redesignated by 
                        clause (iii) of this subparagraph--
                                    (I) in clauses (ii) and (iii), by 
                                striking ``and'' at the end;
                                    (II) in clause (iii), by striking 
                                ``provide technical support for'' and 
                                inserting ``actively encourage and 
                                assist in''; and
                                    (III) by adding at the end the 
                                following:
                            ``(iv) identify interventions or devices 
                        that affect the rights and safety of residents, 
                        including the use of chemical and physical 
                        restraints; and
                            ``(v) educate providers, residents, and 
                        families about the danger of those 
                        interventions and devices; and'';
                    (C) in paragraph (4)--
                            (i) in the paragraph header, by striking 
                        ``Contracts and arrangements'' and inserting 
                        ``Organizational placement''; and
                            (ii) by striking subparagraph (B) and 
                        inserting the following:
                    ``(B) Identifying, removing, and remedying 
                organizational conflict.--
                            ``(i) In general.--The State agency may not 
                        operate the Office or carry out the program, 
                        directly, or by contract or other arrangement 
                        with any public agency or nonprofit private 
                        organization, in a case in which there is an 
                        organizational conflict of interest unless such 
                        conflict has been--
                                    ``(I) identified by the State 
                                agency;
                                    ``(II) disclosed by the State 
                                agency to the Assistant Secretary in 
                                writing; and
                                    ``(III) remedied in accordance with 
                                this subparagraph.
                            ``(ii) Reporting by any person or entity.--
                        Any person or entity may identify any potential 
                        or actual organizational conflict of interest 
                        involving the Office and report the conflict to 
                        the Assistant Secretary for review and action 
                        under clause (iii).
                            ``(iii) Action by administration.--In a 
                        case in which a potential or actual 
                        organizational conflict of interest involving 
                        the Office is disclosed or reported to the 
                        Assistant Secretary, the Assistant Secretary 
                        shall require that the State agency--
                                    ``(I) remove the conflict; or
                                    ``(II) submit, and obtain the 
                                approval of the Assistant Secretary 
                                for, an adequate remedial plan that 
                                indicates how the Ombudsman will be 
                                unencumbered in fulfilling all of the 
                                functions specified in paragraph (3).
                    ``(C) Organizational conflict of interest.--In this 
                paragraph, the term `organizational conflict of 
                interest' includes a situation in which the Office is 
                placed in an organization that--
                            ``(i) is responsible for licensing or 
                        certifying long-term care services in the 
                        State;
                            ``(ii) is an association (or an affiliate 
                        of such an association) of long-term care 
                        facilities, or of any other residential 
                        facilities for older individuals;
                            ``(iii) provides long-term care services, 
                        including programs carried out under a Medicaid 
                        waiver approved under section 1115 of the 
                        Social Security Act (42 U.S.C. 1315) or under 
                        subsection (c) or (b) of 1915 of the Social 
                        Security Act (42 U.S.C. 1396n), or under a 
                        Medicaid State plan amendment under subsection 
                        (i) of section 1915 of the Social Security Act 
                        (42 U.S.C. 1396n(i));
                            ``(iv) provides long-term care case 
                        management;
                            ``(v) sets rates for long-term care 
                        services;
                            ``(vi) provides adult protective services;
                            ``(vii) is responsible for eligibility 
                        determinations for the Medicare program carried 
                        out under title XVIII, or the Medicaid program 
                        carried out under title XIX, of the Social 
                        Security Act (42 U.S.C. 1395 et seq., 1396 et 
                        seq.);
                            ``(viii) conducts preadmission screening 
                        for placements in facilities described in 
                        clause (ii); or
                            ``(ix) makes decisions regarding admission 
                        of individuals to such facilities.''; and
                    (D) in paragraph (5)--
                            (i) in subparagraph (A)--
                                    (I) by striking ``In carrying'' and 
                                inserting the following:
                            ``(i) In general.--In carrying''; and
                                    (II) by adding at the end the 
                                following:
                            ``(ii) Relationship with the office.--The 
                        program shall be a unified program under the 
                        Office. Local Ombudsman entities and 
                        representatives shall report to the Ombudsman 
                        on all functions, duties, and programmatic 
                        issues related to the program that are carried 
                        out or addressed by the entities or 
                        representatives. Case and other programmatic 
                        records maintained by representatives, 
                        employees, or volunteers of the local Ombudsman 
                        entity shall be considered to be the property 
                        of the Ombudsman.''; and
                            (ii) in subparagraph (B)(vi), by striking 
                        ``support'' and inserting ``actively encourage 
                        and assist in'';
            (2) in subsection (b)--
                    (A) in paragraph (1)--
                            (i) in subparagraph (A), by striking 
                        ``access'' and inserting ``private and 
                        unimpeded access'';
                            (ii) in subparagraph (B)(i), by striking 
                        ``the medical and social records of a'' and 
                        inserting ``all records concerning a'';
                            (iii) by redesignating subparagraphs (C) 
                        and (D) as subparagraphs (E) and (F), 
                        respectively; and
                            (iv) by inserting after subparagraph (B) 
                        the following:
                    ``(C) such access as is necessary to advocate for a 
                resident's desired outcome to the extent that the 
                resident can express the outcome desired, even if the 
                resident has limited decisionmaking capacity;
                    ``(D) access to the records of a resident with 
                limited decisionmaking capacity in a case in which--
                            ``(i) the access is necessary to 
                        investigate and resolve a complaint described 
                        in subsection (a)(3);
                            ``(ii) a legal guardian of the resident 
                        refuses to give permission for the access;
                            ``(iii) such a representative of the Office 
                        has reasonable cause to believe that the 
                        guardian is not acting in the best interests of 
                        the resident by refusing;
                            ``(iv) the resident has no other known 
                        legal representative; and
                            ``(v) the representative of the Office 
                        obtains the approval of the Ombudsman;''; and
                    (B) by adding at the end the following:
            ``(3) Health oversight agency.--For purposes of section 
        264(c) of the Health Insurance Portability and Accountability 
        Act of 1996 (including regulations issued under that section) 
        (42 U.S.C. 1320d-2 note), the Ombudsman and a representative of 
        the Office shall be considered a `health oversight agency,' so 
        that release of residents' individually identifiable health 
        information to the Ombudsman or representative is not precluded 
        in cases in which the requirements of clause (i) or (ii) of 
        paragraph (1)(B) are otherwise met.'';
            (3) in subsection (c)(2)(D), by striking ``section 
        202(a)(21)'' and inserting ``section 202(a)(18)'';
            (4) in subsection (d)--
                    (A) in paragraph (1), by striking ``files'' and 
                inserting ``information''; and
                    (B) in paragraph (2)--
                            (i) in the paragraph heading, by striking 
                        ``Identity of complainant or resident'' and 
                        inserting ``Procedures'';
                            (ii) in subparagraph (A)--
                                    (I) by striking ``files and 
                                records'' the first place it appears 
                                and inserting ``information (including 
                                files or records)'';
                                    (II) by striking ``disclose'' and 
                                all that follows and inserting 
                                ``disclose such information);''; and
                                    (III) by striking ``and'' at the 
                                end;
                            (iii) in subparagraph (B)--
                                    (I) in the matter preceding clause 
                                (i), by striking ``files or records'' 
                                and inserting ``information'';
                                    (II) in clause (ii), by striking 
                                ``or'' at the end;
                                    (III) by redesignating clause (iii) 
                                as clause (iv);
                                    (IV) by inserting after clause (ii) 
                                the following:
                            ``(iii) in a case in which a resident has 
                        limited decisionmaking capacity--
                                    ``(I) disclosure of the identity of 
                                the resident is necessary to 
                                investigate and resolve a complaint 
                                described in subsection (a)(3);
                                    ``(II) a legal guardian of the 
                                resident refuses to give permission for 
                                the disclosure;
                                    ``(III) a representative of the 
                                Office has reasonable cause to believe 
                                that the guardian is not acting in the 
                                best interests of the resident by 
                                refusing;
                                    ``(IV) the resident has no other 
                                known legal representative; and
                                    ``(V) the representative of the 
                                Office obtains the approval of the 
                                Ombudsman; or''; and
                                    (V) in clause (iv), as redesignated 
                                by subclause (III), by striking the 
                                period and inserting ``; and''; and
                            (iv) by adding at the end the following:
                    ``(C) require that the Ombudsman and 
                representatives of the Office hold all communications 
                with a complainant or resident who is seeking 
                assistance in strict confidence and take all reasonable 
                steps to safeguard the confidentiality of information 
                provided by the complainant or resident.'';
            (5) in subsection (f)(3)--
                    (A) in subparagraph (C), by striking ``facility; 
                and'' and inserting ``facility or a related 
                organization, and has not been employed by such a 
                facility or organization within 2 years before the date 
                of the determination involved;'';
                    (B) in subparagraph (D), by striking ``and'' at the 
                end; and
                    (C) by adding at the end the following:
                    ``(E) does not have management responsibility for, 
                nor operate under the supervision of, an agency with 
                responsibility for adult protective services; and
                    ``(F) does not serve as a guardian or in another 
                fiduciary capacity for residents of long-term care 
                facilities in an official capacity (as opposed to 
                serving as a guardian or fiduciary, for a family 
                member, in a personal capacity); and'';
            (6) in subsection (h)--
                    (A) in paragraph (4), by striking all that precedes 
                ``procedures'' and inserting the following:
            ``(4) strengthen and update'';
                    (B) by redesignating paragraphs (4) through (9) as 
                paragraphs (5) through (10), respectively;
                    (C) by inserting after paragraph (3) the following:
            ``(4) ensure that the Ombudsman attends training provided 
        by the Administration through the National Ombudsman Resource 
        Center established in section 202(a)(18);'';
                    (D) in paragraph (7)(A), as redesignated by 
                subparagraph (B) of this paragraph, by striking 
                ``subtitle C of the'' and inserting ``subtitle C of 
                title I of the''; and
                    (E) in paragraph (10), as redesignated by 
                subparagraph (B) of this paragraph, by striking ``(6), 
                or (7)'' and inserting ``(7), or (8)''; and
            (7) by adding at the end the following:
    ``(k) Ensuring Effective Programs and Residents' Rights.--The State 
agency shall ensure the Office--
            ``(1) provides facility residents with private and 
        unimpeded access to the Office, including access to all records 
        concerning the resident; and
            ``(2) allows all facility residents to receive services 
        from the Office.''.

SEC. 708. PREVENTION OF ELDER ABUSE, NEGLECT, AND EXPLOITATION.

    Section 721 of the Older Americans Act of 1965 (42 U.S.C. 3058i(b)) 
is amended--
            (1) in subsection (b)--
                    (A) in paragraph (2), by striking the semicolon and 
                inserting the following: ``, including education and 
                outreach to professionals including postal carriers, 
                employees of financial institutions, firefighters, 
                meter readers, and other community professionals who 
                are in a position to observe an older individual on a 
                daily or regular basis;'';
                    (B) in paragraph (4), by inserting before the 
                semicolon the following: ``and submit data on the 
                prevalence of elder abuse, neglect, and exploitation 
                for the appropriate database of the Administration or 
                another database specified by the Assistant 
                Secretary'';
                    (C) by redesignating paragraphs (7), (8), (9), 
                (10), (11), and (12), as paragraphs (8), (10), (11), 
                (12), (13), and (14), respectively;
                    (D) by striking paragraph (6) and inserting the 
                following:
            ``(6) conducting specialized abuse sensitivity training for 
        caregivers described in part E of title III;
            ``(7) conducting training for professionals and 
        paraprofessionals, including trainers, in relevant fields on 
        the identification, prevention, and treatment of elder abuse, 
        neglect, and exploitation, with particular focus on prevention 
        and enhancement of self-determination and autonomy;'';
                    (E) in paragraph (8), as redesignated by 
                subparagraph (C) of this paragraph, by inserting before 
                the semicolon the following: ``, including providing 
                intake workers or hotlines that are able to take 
                information or calls directly from older individuals, 
                their family members, and community professionals in 
                the planning and service areas of the older 
                individuals, about elder abuse, neglect, and 
                exploitation'';
                    (F) by inserting after paragraph (8), as 
                redesignated by subparagraph (C) of this paragraph, the 
                following:
            ``(9) conducting appropriate training to ensure cultural 
        sensitivity in the provision of elder rights services, 
        including training in cultural issues associated with abuse;'';
                    (G) in subparagraph (C) of paragraph (11), as 
                redesignated by subparagraph (C) of this paragraph--
                            (i) in clause (ii), by inserting ``, such 
                        as forensic accountants,'' after ``such 
                        personnel''; and
                            (ii) in clause (v), by striking the comma 
                        at the end and inserting ``, including programs 
                        and arrangements that will safeguard victims' 
                        or potential victims' finances, such as daily 
                        money management programs and 
                        conservatorships,'';
                    (H) in paragraph (13), as redesignated by 
                subparagraph (C) of this paragraph--
                            (i) in subparagraph (D), by striking 
                        ``and'' at the end; and
                            (ii) by adding at the end the following:
                    ``(F) supporting and studying innovative practices 
                in local communities, to develop partnerships across 
                disciplines for the prevention, investigation, and 
                prosecution of exploitation;'';
                    (I) in paragraph (14), as redesignated by 
                subparagraph (C) of this paragraph--
                            (i) in subparagraph (B), by striking ``or'' 
                        at the end;
                            (ii) in subparagraph (C), by striking the 
                        period at the end and inserting ``; or''; and
                            (iii) by adding at the end the following:
                    ``(D) older individuals who are Holocaust 
                survivors; and''; and
                    (J) by adding at the end the following:
            ``(15) 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.''.

SEC. 709. STATE LEGAL ASSISTANCE DEVELOPMENT.

    Section 731 of the Older Americans Act of 1965 (42 U.S.C. 3058j) is 
amended by striking ``A State agency'' and all that follows through 
``to ensure--'' and inserting the following:
    ``(a) State Legal Services Developer.--A State agency shall provide 
the services of an individual who shall be known as a State legal 
services developer, who shall promote, and may facilitate, the 
development and operation of an integrated legal assistance delivery 
system for the State. To the maximum extent practicable, the individual 
selected to serve as the developer shall--
            ``(1) agree to serve as the developer on a full-time basis;
            ``(2) have a law degree from an accredited law school or 
        have been admitted to practice law in any jurisdiction in the 
        United States; and
            ``(3) possess other knowledge, skills, training, and 
        education that reflect a comprehensive understanding of legal 
        services for older individuals.
    ``(b) Other Personnel.--In addition to the State legal services 
developer, the State agency shall provide the services of other 
personnel, sufficient to ensure--''.

SEC. 710. STATE HOME CARE OMBUDSMAN PROGRAMS.

    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:

            ``CHAPTER 5--STATE HOME CARE OMBUDSMAN PROGRAMS

``SEC. 736. DEFINITIONS.

    ``In this chapter:
            ``(1) Home care consumer.--The term `home care consumer' 
        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--
                    ``(A) 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
                    ``(B) home care services determined to be 
                appropriate by a State operating a State Home Care 
                Ombudsman Program.
            ``(2) Home care ombudsman program.--The term `home care 
        ombudsman program' means a State Home Care Ombudsman Program 
        described in section 737(a)(1).
            ``(3) Home care ombudsman representative.--The term `home 
        care ombudsman representative' includes an employee or 
        volunteer who represents an entity designated under section 
        737(a)(5)(A) and who is individually designated by the 
        Ombudsman.
            ``(4) Home care services.--The term `home care services' 
        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.
            ``(5) Local home care ombudsman entity.--The term `local 
        home care Ombudsman entity' 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.
            ``(6) Office; ombudsman.--The terms `Office' and 
        `Ombudsman', used without further modification, have the 
        meanings given the terms in section 711.

``SEC. 737. PROGRAM.

    ``(a) Establishment.--
            ``(1) In general.--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.
            ``(2) Home care ombudsman program.--The home care ombudsman 
        program shall be carried out by the Ombudsman.
            ``(3) Functions.--In carrying out the home care ombudsman 
        program, the Ombudsman, personally or through representatives 
        of the home care ombudsman program--
                    ``(A) shall identify, investigate, and resolve 
                complaints that--
                            ``(i) are made by, or on behalf of, home 
                        care consumers;
                            ``(ii) 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--
                                    ``(I) entities responsible for 
                                determining eligibility for home care 
                                services, such as State and local 
                                governments; and
                                    ``(II) entities responsible for 
                                determining availability of home care 
                                services, such as managed care 
                                organizations; or
                            ``(iii) relate to action, inaction, or 
                        decisions, regarding informing home care 
                        consumers about their eligibility for, or the 
                        availability of, home care services, of--
                                    ``(I) providers, or representatives 
                                of providers, of home care services;
                                    ``(II) public agencies;
                                    ``(III) health and social service 
                                agencies; and
                                    ``(IV) entities providing consumer-
                                directed services under a consumer-
                                directed program;
                    ``(B) shall provide services to protect the health, 
                safety, welfare, and rights of home care consumers;
                    ``(C) 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);
                    ``(D) 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;
                    ``(E) shall ensure that home care consumers and 
                complainants receive timely responses from 
                representatives of the home care ombudsman program to 
                complaints;
                    ``(F) 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;
                    ``(G) shall provide administrative and technical 
                assistance to entities designated under paragraph (5) 
                to assist the entities in participating in the home 
                care ombudsman program;
                    ``(H) shall provide for training representatives of 
                the home care ombudsman program;
                    ``(I) shall--
                            ``(i) promote the development of citizen 
                        organizations, to participate in the home care 
                        ombudsman program;
                            ``(ii) 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;
                            ``(iii) recommend any changes in such laws, 
                        regulations, policies, and actions as the 
                        Ombudsman determines to be appropriate; and
                            ``(iv) facilitate public comment on the 
                        laws, regulations, policies, and actions; and
                    ``(J) shall carry out other activities as the 
                Assistant Secretary determines to be appropriate.
            ``(4) Contracts and arrangements.--
                    ``(A) In general.--
                            ``(i) Agencies and organizations.--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.
                            ``(ii) Area agencies on aging.--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--
                                    ``(I) have existing (as of the date 
                                of the determination) consumer 
                                protection systems in place to prevent 
                                such conflicts of interest; or
                                    ``(II) establish adequate 
                                procedures to prevent conflicts of 
                                interest under the program.
                    ``(B) Licensing and certification organizations; 
                associations.--The State agency may not enter into the 
                contract or other arrangement described in subparagraph 
                (A) with--
                            ``(i) an agency or organization that is 
                        responsible for licensing or certifying home 
                        care services in the State; or
                            ``(ii) an association (or an affiliate of 
                        such an association) of providers of home care 
                        services.
            ``(5) Designation of local home care ombudsman entities and 
        home care ombudsman representatives.--
                    ``(A) Designation.--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.
                    ``(B) Duties.--An individual so designated, in 
                accordance with the policies and procedures established 
                by the Ombudsman and the State agency--
                            ``(i) shall provide services to protect the 
                        health, safety, welfare, and rights of home 
                        care consumers;
                            ``(ii) shall ensure that home care 
                        consumers in the service area of the entity 
                        have timely responses to complaints and 
                        requests for assistance;
                            ``(iii) 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;
                            ``(iv) 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;
                            ``(v) shall--
                                    ``(I) 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
                                    ``(II) facilitate the ability of 
                                the public to comment on the laws, 
                                regulations, policies, and actions;
                            ``(vi) 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
                            ``(vii) shall carry out other activities 
                        that the Ombudsman determines to be 
                        appropriate.
                    ``(C) Eligibility for designation.--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--
                            ``(i) have demonstrated capability to carry 
                        out the duties established in section 
                        712(a)(5)(B);
                            ``(ii) 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
                            ``(iii) meet such additional requirements 
                        as the Ombudsman may specify.
                    ``(D) Policies and procedures.--
                            ``(i) In general.--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).
                            ``(ii) Policies.--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.
                            ``(iii) Confidentiality and disclosure.--
                        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.
    ``(b) Procedures for Access.--
            ``(1) In general.--The State shall ensure that 
        representatives of the home care ombudsman program shall have--
                    ``(A) access to home care consumers and their homes 
                with permission of the home care consumer involved or a 
                legal representative;
                    ``(B)(i) appropriate access to review all records 
                of a home care consumer, if--
                            ``(I) 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
                            ``(II) the home care consumer is unable to 
                        consent to the review and has no legal 
                        representative; or
                    ``(ii) such access to the records as is necessary 
                to investigate a complaint if--
                            ``(I) a legal guardian of the home care 
                        consumer refuses to give the permission;
                            ``(II) 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
                            ``(III) the representative obtains the 
                        approval of the Ombudsman;
                    ``(C) 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
                    ``(D) 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.
            ``(2) Procedures.--The State agency shall establish 
        procedures to ensure the access described in paragraph (1).
    ``(c) Reporting System.--The State agency shall ensure that the 
reporting system established in section 712(c) is equipped to--
            ``(1) 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--
                    ``(A) quality of services;
                    ``(B) quantity of services;
                    ``(C) availability of services; and
                    ``(D) denial, reduction, and termination of 
                services; and
            ``(2) submit the data, on a regular basis, to--
                    ``(A) the agency of the State responsible for 
                licensing or certifying providers of home care services 
                in the State;
                    ``(B) other State and Federal entities that the 
                Ombudsman determines to be appropriate;
                    ``(C) the Assistant Secretary; and
                    ``(D) the National Ombudsman Resource Center 
                established in section 202(a)(18)(A).
    ``(d) Disclosure.--
            ``(1) In general.--The State agency shall establish 
        procedures for the disclosure by the Ombudsman or local home 
        care Ombudsman entities of information maintained by the home 
        care ombudsman program, including records described in 
        subsection (b)(1) or (c).
            ``(2) Identity of complainant or home care consumer.--The 
        procedures described in paragraph (1) shall--
                    ``(A) provide that, subject to subparagraph (B), 
                the information (including files or records) described 
                in paragraph (1) may be disclosed only at the 
                discretion of the Ombudsman (or the person designated 
                by the Ombudsman to disclose such information); and
                    ``(B) prohibit the disclosure of the identity of 
                any complainant or home care consumer with respect to 
                whom the Office maintains such information unless--
                            ``(i) 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;
                            ``(ii)(I) the complainant or home care 
                        consumer gives consent orally; and
                            ``(II) 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
                            ``(iii) the disclosure is required by court 
                        order.
    ``(e) Consultation.--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.
    ``(f) Conflict of Interest.--The State agency shall--
            ``(1) 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;
            ``(2) 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;
            ``(3) ensure that the Ombudsman--
                    ``(A) does not have a direct involvement in the 
                licensing or certification of a provider of home care 
                services;
                    ``(B) does not have an ownership or investment 
                interest (represented by equity, debt, contract, or 
                other financial relationship) in a provider of home 
                care services;
                    ``(C) is not employed by, or participating in the 
                management of, a provider of home care services; and
                    ``(D) 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
            ``(4) 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--
                    ``(A) the methods by which the State agency will 
                examine individuals, and immediate family members, to 
                identify the conflicts; and
                    ``(B) the actions that the State agency will 
                require the individuals and such family members to take 
                to remove such conflicts.
    ``(g) Legal Counsel.--The State agency shall ensure that--
            ``(1)(A) adequate legal counsel is available, and is able, 
        without conflict of interest, to--
                    ``(i) provide advice and consultation needed to 
                protect the health, safety, welfare, and rights of home 
                care consumers; and
                    ``(ii) assist the Ombudsman and representatives of 
                the home care ombudsman program in the performance of 
                the official duties of the Ombudsman and 
                representatives; and
            ``(B) 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
            ``(2) the Ombudsman pursues administrative, legal, and 
        other appropriate remedies on behalf of home care consumers.
    ``(h) Administration.--
            ``(1) Requirements.--The State agency shall require the 
        Office to--
                    ``(A) include in its annual report required in 
                section 712(h)(1)--
                            ``(i) 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;
                            ``(ii) the data and an analysis of the data 
                        collected under subsection (c);
                            ``(iii) an evaluation of the problems 
                        experienced by, and the complaints made by or 
                        on behalf of, home care consumers;
                            ``(iv) recommendations for--
                                    ``(I) improving quality of the care 
                                and life of the home care consumers; 
                                and
                                    ``(II) protecting the health, 
                                safety, welfare, and rights of the home 
                                care consumers;
                            ``(v)(I) 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
                            ``(II) identification of barriers that 
                        prevent the optimal operation of the home care 
                        ombudsman program; and
                            ``(vi) 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;
                    ``(B) 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--
                            ``(i) specify a minimum number of hours of 
                        initial training;
                            ``(ii) specify the content of the training, 
                        including training relating to--
                                    ``(I) Federal, State, and local 
                                laws, regulations, and policies, with 
                                respect to providers of home care 
                                services in the State;
                                    ``(II) investigative techniques; 
                                and
                                    ``(III) such other matters as the 
                                State determines to be appropriate; and
                            ``(iii) specify an annual number of hours 
                        of in-service training for all designated 
                        representatives;
                    ``(C) 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--
                            ``(i) has received the training required 
                        under subparagraph (B); and
                            ``(ii) has been approved by the Ombudsman 
                        as qualified to carry out the activity on 
                        behalf of the Office;
                    ``(D) coordinate home care ombudsman services with 
                the protection and advocacy systems for individuals 
                with developmental disabilities and mental illnesses 
                established under--
                            ``(i) subtitle C of the Developmental 
                        Disabilities Assistance and Bill of Rights Act 
                        of 2000 (42 U.S.C. 15041 et seq.); and
                            ``(ii) the Protection and Advocacy for 
                        Individuals with Mental Illness Act (42 U.S.C. 
                        10801 et seq.);
                    ``(E) 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;
                    ``(F) coordinate services with State and local law 
                enforcement agencies and courts of competent 
                jurisdiction; and
                    ``(G) permit any local home care Ombudsman entity 
                to carry out the responsibilities described in 
                subparagraph (A), (D), or (E).
            ``(2) Authorities.--The State agency shall require the 
        Office to--
                    ``(A) 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;
                    ``(B)(i) provide such information as the Ombudsman 
                determines to be necessary to public and private 
                agencies, legislators, and other persons, regarding--
                            ``(I) the problems and concerns of older 
                        individuals receiving home care services; and
                            ``(II) recommendations related to the 
                        problems and concerns; and
                    ``(ii) 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
                    ``(C) permit any local home care Ombudsman entity 
                to carry out the responsibilities described in 
                subparagraph (A) or (B).
    ``(i) Liability.--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.
    ``(j) Noninterference.--The State shall--
            ``(1) 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;
            ``(2) 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
            ``(3) provide for appropriate sanctions with respect to the 
        interference, retaliation, and reprisals.
    ``(k) Coordination With Adult Protective Services.--
            ``(1) In general.--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.
            ``(2) Establishment of protocols.--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--
                    ``(A) clarify the roles of each program;
                    ``(B) establish procedures for maintaining a 
                working relationship;
                    ``(C) outline mutual expectations; and
                    ``(D) establish procedures for coordinating 
                activities with law enforcement.
    ``(l) Maintenance of Effort.--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.
    ``(m) Evaluation.--The Assistant Secretary shall--
            ``(1) 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
            ``(2) make the report available to States.''.

SEC. 711. ESTABLISHMENT OF SENIOR MEDICARE PATROL PROGRAM AS PERMANENT 
              PROGRAM.

    Title VII of the Older Americans Act of 1965 is amended--
            (1) by redesignating subtitle C as subtitle D;
            (2) by redesignating sections 761 through 765 as sections 
        771 through 775, respectively; and
            (3) by adding after subtitle B the following:

              ``Subtitle C--Senior Medicare Patrol Program

``SEC. 761. FINDINGS.

    ``Congress finds the following:
            ``(1) At least 3 percent of all health care spending is 
        lost to fraud each year.
            ``(2) The Medicare Fraud Strike Forces have charged with 
        fraud over 1,000 individuals, who collectively have falsely 
        billed the Centers for Medicare & Medicaid Services for over 
        $2,300,000,000 in Medicare benefits.
            ``(3) Approximately $1.55 is saved for every 1 dollar the 
        government spends on fraud prevention in the Medicare program 
        and Medicaid program.
            ``(4) Due to the SMP program, between the inception of the 
        SMP program in 1996, and 2010--
                    ``(A) 25,300,000 Medicare and Medicaid 
                beneficiaries have been reached through community 
                education programs;
                    ``(B) a total of 72 SMP projects have educated 
                Medicare and Medicaid beneficiaries in 82,968 group 
                sessions and 1,112,887 individual sessions;
                    ``(C) 1,321,222 media airings have occurred and 
                75,062 community outreach education events have been 
                conducted;
                    ``(D) savings to and costs avoided by Medicare, 
                Medicaid, and other programs, and beneficiaries, total 
                over $114,000,000; and
                    ``(E) over 24,000 volunteers have been active in 
                educating Medicare and Medicaid beneficiaries.
            ``(5) Many Medicare and Medicaid beneficiaries who receive 
        help from the SMP program to avoid fraud cannot be tracked by 
        the Office of the Inspector General of the Department of Health 
        and Human Services, so the figures described in paragraphs (1) 
        through (4) are most likely much higher.

``SEC. 762. DEFINITIONS.

    ``In this subtitle:
            ``(1) Beneficiary.--Except as provided in section 761, the 
        term `beneficiary' means an individual entitled to, or enrolled 
        for, benefits under part A of the Medicare program or enrolled 
        for benefits under part B of the Medicare program, including 
        such an individual who is also eligible for medical assistance 
        under the Medicaid program.
            ``(2) Fraud.--The term `fraud' means fraud, waste, and 
        abuse within the meaning of section 1128J of the Social 
        Security Act (42 U.S.C. 1320a-7k).
            ``(3) Medicare program; medicaid program.--The terms 
        `Medicare program' and `Medicaid program' mean the programs 
        carried out under titles XVIII and XIX, respectively, of the 
        Social Security Act (42 U.S.C. 1395 et seq., 1396 et seq.).
            ``(4) SMP.--The term `SMP' means Senior Medicare Patrol.

``SEC. 763. PROGRAM AUTHORIZED.

    ``(a) In General.--The Assistant Secretary shall carry out a 
program for making grants to States with State plans approved under 
section 307. The grants shall enable the States to establish and 
operate State SMP programs, in accordance with this section, to assist 
participants in the SMP programs in empowering and assisting 
beneficiaries, and their families and caregivers, through outreach, 
counseling, and education, to prevent, detect, and report health care 
fraud, errors, and abuse.
    ``(b) Grant Amounts.--
            ``(1) In general.--Except as provided in paragraph (2), 
        each grant made under subsection (a) shall be for an amount 
        equal to $180,000.
            ``(2) Territories.--In the case of the Virgin Islands of 
        the United States, Guam, American Samoa, and the Commonwealth 
        of the Northern Mariana Islands, each such grant shall be for 
        an amount equal to the amount the State received for fiscal 
        year 2012 under the SMP program carried out under titles II and 
        IV.
            ``(3) Study.--The Assistant Secretary shall conduct a study 
        on the benefits and drawbacks of allotting funds to States 
        under a formula, for grants made under subsection (a). The 
        study shall address a formula under which the Assistant 
        Secretary would allot funds to a State based on the number of 
        beneficiaries in the State, or based on the percentage of 
        individuals in the State who are beneficiaries. The Assistant 
        Secretary shall submit to the appropriate committees of 
        Congress a report containing the results of the study.
    ``(c) Use of Funds.--
            ``(1) In general.--Each State that receives such a grant 
        shall use the grant funds to establish and operate a State SMP 
        program.
            ``(2) Activities.--In establishing and operating the 
        program, the State shall--
                    ``(A) provide, directly or by grant or contract, 
                for the services of a State SMP Director and staff 
                sufficient to--
                            ``(i) play a leadership role in State 
                        efforts to prevent, detect, and report fraud 
                        under the Medicare program and Medicaid 
                        program;
                            ``(ii) report to the Assistant Secretary on 
                        State SMP activities described in clause (i), 
                        in such manner as the Assistant Secretary 
                        determines to be appropriate to facilitate 
                        evaluation of the effectiveness of such 
                        activities in achieving such SMP program goals 
                        and standards as the Assistant Secretary shall 
                        issue; and
                            ``(iii) coordinate with the Secretary, the 
                        State Attorney General, State Medicaid fraud 
                        control unit, law enforcement, and consumer 
                        protection entities with respect to efforts to 
                        prevent fraud under the Medicare program and 
                        Medicaid program;
                    ``(B) empower older individuals, through increased 
                awareness and understanding of health care programs, to 
                protect themselves from the economic and health-related 
                consequences of fraud under the Medicare program and 
                Medicaid program;
                    ``(C) work to resolve complaints by beneficiaries 
                of potential fraud in partnership with national and 
                State fraud control or consumer protection entities, 
                including Medicare program contractors, State Medicaid 
                fraud control units, State Attorneys General, the 
                Inspector General of the Department of Health and Human 
                Services, and the Administrator of the Centers for 
                Medicare & Medicaid Services;
                    ``(D) undertake the training of older individuals 
                and other volunteers, so that the trainees are able to 
                conduct outreach to beneficiaries--
                            ``(i) in their communities through 
                        conducting group presentations, exhibiting at 
                        community events, answering calls to SMP help 
                        lines, and providing one-on-one counseling; and
                            ``(ii) in order to teach beneficiaries how 
                        to protect their personal identities, identify 
                        and report errors on their health care bills, 
                        and identify deceptive health care practices, 
                        such as illegal marketing, providing 
                        unnecessary or inappropriate services, and 
                        charging for services that were never provided; 
                        and
                    ``(E) provide any additional activities the State 
                wishes to provide through the State SMP program that 
                will contribute to the overall purpose of empowering 
                and assisting beneficiaries and their families and 
                caregivers, to prevent, detect, and report health care 
                fraud, errors, and abuse.
            ``(3) Eligible entities; priority in selection.--
                    ``(A) In general.--Subject to subparagraph (B), to 
                be eligible to receive a grant or contract under 
                paragraph (2)(A), an entity shall be a State or local 
                government agency, an area agency on aging, a private 
                nonprofit organization, a faith-based organization, or 
                such other entity as the Assistant Secretary determines 
                to be appropriate.
                    ``(B) Priority.--In selecting eligible entities to 
                receive such grants or contracts, a State shall give 
                priority to those entities with demonstrated experience 
                in conducting health care fraud prevention programs.
    ``(d) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this subtitle, such sums as may be necessary 
for each of fiscal years 2013 through 2017.''.

                 TITLE VIII--GERIATRICS AND GERONTOLOGY

SEC. 801. PRIMARY HEALTH SERVICES.

    Section 331(a)(3)(D) of the Public Health Service Act (42 U.S.C. 
254d(a)(3)(D)) is amended by inserting ``geriatrics, gerontology,'' 
after ``pediatrics,''.

                    TITLE IX--CONFORMING AMENDMENTS

SEC. 901. GREATEST ECONOMIC NEED; GREATEST SOCIAL NEED.

    (a) Definitions.--Section 102 of the Older Americans Act of 1965 
(42 U.S.C. 3002) is amended in subparagraph (E)(i) of paragraph (30), 
as redesignated by section 102(a)(2), by inserting after ``social 
need'' the following: ``(with particular attention to individuals with 
factors listed in paragraph (26)(B))''.
    (b) Federal Agency Consultation.--Section 203(a)(3)(A) of the Older 
Americans Act of 1965 (42 U.S.C. 3013(a)(3)(A)) is amended by striking 
``older individuals (with particular attention to low-income older 
individuals, including low-income minority older individuals, older 
individuals with limited English proficiency, and older individuals 
residing in rural areas)'' and inserting ``older individuals, older 
individuals with greatest economic need, older individuals with 
greatest social need (with particular attention to individuals with 
factors listed in section 102(26)(B)),''.
    (c) Evaluation.--Section 206(a) of the Older Americans Act of 1965 
(42 U.S.C. 3017(a)) is amended by striking ``greatest economic need'' 
and all that follows through ``areas),'' and inserting ``greatest 
economic need and unserved older individuals with greatest social need 
(with particular attention to individuals with factors listed in 
section 102(26)(B)),''.
    (d) Reports.--Section 207(c) of the Older Americans Act of 1965 (42 
U.S.C. 3018(c)) is amended in paragraph (6), as redesignated by section 
205(3)(B)--
            (1) by striking ``economic need (including low-income 
        minority individuals and older individuals residing in rural 
        areas)'' and inserting ``economic need''; and
            (2) by striking ``social need (including low-income 
        minority individuals and older individuals residing in rural 
        areas)'' and inserting ``social need (with particular attention 
        to individuals with factors listed in section 102(26)(B))''.
    (e) Appropriate Use of Funds.--Section 212(b)(3) of the Older 
Americans Act of 1965 (42 U.S.C. 3020c(b)(3)) is amended--
            (1) by striking ``social need,'' and inserting ``social 
        need (with particular attention to individuals with factors 
        listed in section 102(26)(B)) or''; and
            (2) by striking ``, or an older'' and all that follows 
        through ``placement''.
    (f) Organization.--Section 305 of the Older Americans Act of 1965 
(42 U.S.C. 3025) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (1)(E)--
                            (i) by striking ``greatest economic need'' 
                        and all that follows through ``rural areas)'' 
                        the first place it appears and inserting 
                        ``greatest economic need''; and
                            (ii) by striking ``greatest social need'' 
                        and all that follows through ``rural areas)'' 
                        and inserting ``greatest social need (with 
                        particular attention to individuals with 
                        factors listed in section 102(26)(B))''; and
                    (B) in paragraph (2)--
                            (i) in subparagraph (C)(ii), as amended by 
                        section 305(1)(A)(i) of this Act, by striking 
                        ``areas'' and all that follows and inserting 
                        ``areas of older individuals with greatest 
                        economic need and older individuals with 
                        greatest social need (with particular attention 
                        to individuals with factors listed in section 
                        102(26)(B)); and''; and
                            (ii) in subparagraph (E), by striking 
                        ``services to'' and all that follows through 
                        ``rural areas)'' and inserting ``services to 
                        older individuals with greatest economic need 
                        and older individuals with greatest social need 
                        (with particular attention to individuals with 
                        factors listed in section 102(26)(B), including 
                        such individuals who are or are alleged victims 
                        of elder abuse, neglect, or exploitation)''; 
                        and
            (2) in subsection (d)(1), by striking ``greatest economic 
        or social need'' and inserting ``greatest economic need and 
        greatest social need (with particular attention to individuals 
        with factors listed in section 102(26)(B))''.
    (g) Area Plans.--Section 306 of the Older Americans Act of 1965 (42 
U.S.C. 3026) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (1)--
                            (i) by striking ``greatest economic need'' 
                        and all that follows through ``rural areas)'' 
                        the first place it appears and inserting 
                        ``greatest economic need''; and
                            (ii) by striking ``greatest social need'' 
                        and all that follows through ``rural areas) 
                        residing in such area,'' and inserting 
                        ``greatest social need (with particular 
                        attention to individuals with factors listed in 
                        section 102(26)(B)) residing in such area,''; 
                        and
                    (B) in paragraph (4)--
                            (i) in subparagraph (A)--
                                    (I) in clause (i)(I), by striking 
                                ``will--'' and all that follows and 
                                inserting ``will set specific 
                                objectives, consistent with State 
                                policy, for providing services to older 
                                individuals with greatest economic 
                                need, older individuals with greatest 
                                social need (with particular attention 
                                to individuals with factors listed in 
                                section 102(26)(B)), and older 
                                individuals at risk for institutional 
                                placement; and'';
                                    (II) in clause (i)(II), by striking 
                                ``items (aa) and (bb) of''; and
                                    (III) in subclauses (I), (II), and 
                                (III) of clause (ii), by striking 
                                ``low-income'' and all that follows 
                                through ``rural areas'' and inserting 
                                ``individuals with greatest economic 
                                need and individuals with greatest 
                                social need (with particular attention 
                                to individuals with factors listed in 
                                section 102(26)(B))''; and
                            (ii) in subparagraph (B)(i)--
                                    (I) in subclause (II), by striking 
                                ``economic need'' and all that follows 
                                through ``rural areas)'' and inserting 
                                ``economic need''; and
                                    (II) in subclause (III), by 
                                striking ``social need'' and all that 
                                follows through ``rural areas)'' and 
                                inserting ``social need (with 
                                particular attention to individuals 
                                with factors listed in section 
                                102(26)(B))''; and
            (2) in subsection (b)(2)(B), by striking ``including 
        individuals'' and all that follows and inserting ``including 
        older individuals with greatest economic need and older 
        individuals with greatest social need (with particular 
        attention to individuals with factors listed in section 
        102(26)(B));''.
    (h) State Plans.--Section 307(a) of the Older Americans Act of 1965 
(42 U.S.C. 3027(a)) is amended--
            (1) in paragraph (4), by striking ``provided to 
        individuals'' and all that follows and inserting ``provided to 
        individuals with greatest economic need and individuals with 
        greatest social need (with particular attention to individuals 
        with factors listed in section 102(26)(B)).'';
            (2) in paragraph (11)(B), by striking ``individuals with 
        the greatest such need;'' and inserting ``individuals with 
        greatest economic need and individuals with greatest social 
        need (with particular attention to individuals with factors 
        listed in section 102(26)(B)),''; and
            (3) in paragraph (28)(B)(ii), by striking ``including 
        individuals'' and all that follows and inserting ``including 
        older individuals with greatest economic need and older 
        individuals with greatest social need (with particular 
        attention to individuals with factors listed in section 
        102(26)(B));''.
    (i) Consumer Contributions.--Section 315 of the Older Americans Act 
of 1965 (42 U.S.C. 3030c-2) is amended--
            (1) in subsection (c)(2), by striking ``participation of'' 
        and all that follows through ``rural areas)'' and inserting 
        ``participation of older individuals with greatest economic 
        need and older individuals with greatest social need (with 
        particular attention to individuals with factors listed in 
        section 102(26)(B))''; and
            (2) in subsection (d), by striking ``(with particular'' and 
        all that follows through ``rural areas)'' and inserting ``, 
        including participation rates for individuals with greatest 
        economic need and individuals with greatest social need (with 
        particular attention to individuals with factors listed in 
        section 102(26)(B))''.
    (j) Demonstration, Support, and Research Projects.--Section 
417(c)(2) of the Older Americans Act of 1965 (42 U.S.C. 3032f(c)(2)) is 
amended by striking ``older individuals and communities'' and all that 
follows and inserting ``communities with greatest need, older 
individuals with greatest economic need, and older individuals with 
greatest social need (with particular attention to individuals with 
factors listed in section 102(26)(B));''.
    (k) Older American Community Service Employment Program.--Section 
502(b)(1)(M) of the Older Americans Act of 1965 (42 U.S.C. 
3056(b)(1)(M)) is amended by striking ``and eligible individuals with 
greatest economic need'' and inserting ``eligible individuals with 
disabilities, eligible individuals with greatest economic need, and 
eligible individuals with greatest social need''.
    (l) Interagency Cooperation.--Section 514 of the Older Americans 
Act of 1965 (42 U.S.C. 3056l) is amended--
            (1) in subsection (c)(1), by striking ``individuals with 
        greatest economic need, individuals with greatest social 
        need,'' and inserting ``individuals with greatest economic 
        need, individuals with greatest social need (with particular 
        attention to individuals with factors listed in section 
        102(26)(B)),''; and
            (2) in subsection (e)(1), by striking ``minority'' and all 
        that follows through ``economic need,'' and inserting 
        ``individuals with greatest economic need, individuals with 
        greatest social need,''.
                                 <all>