1.This Act may be cited as
the Older Americans Act Amendments of
2012
.
2.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.
<enum>I</enum><header>Declaration of
objectives; definitions</header>
<section id="id3E672AA6BB1D4039B35B334CF7D6C267"><enum>101.</enum><header>Declaration of
objectives</header><text display-inline="no-display-inline">Section 101 of the
Older Americans Act of 1965 (42 U.S.C. 3001) is amended—</text>
<paragraph id="id45A90496A83049E29FDCB5FFA7C2721B"><enum>(1)</enum><text display-inline="yes-display-inline">by striking paragraph (1) and inserting the
following:</text>
<quoted-block display-inline="no-display-inline" id="idA75BE44A9F5B4156AB1A99C17CEA02C9" style="OLC">
<paragraph id="idEBCC734AC99A4A22B5BCD62FC195E825"><enum>(1)</enum><text>An adequate
income and economic security in later life in accordance with the American
standard of
living.</text>
</paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="idF9AE3B339C8842D3A34E3BFE8A5A1B2B"><enum>(2)</enum><text>in paragraph (4),
by inserting <quote>care coordination and</quote> after
<quote>including</quote>;</text>
</paragraph><paragraph id="idB746AC12D1CE451DB5765E10B9CB37C6"><enum>(3)</enum><text>in paragraph (8),
by inserting <quote>and supports, offered in a culturally and linguistically
competent manner</quote> after <quote>community services.</quote>;</text>
</paragraph><paragraph id="id9830C4742DA9417CA70E18B73EF67361"><enum>(4)</enum><text>by striking
paragraphs (9) and (10) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id2A1A36928A594B8E8841F6ED878F51C8" style="OLC">
<paragraph id="id159ba0891c7e43a39eb9ca22ec5ff86d"><enum>(9)</enum><text>Immediate benefit
from proven research knowledge which can sustain and improve health, happiness,
and economic security.</text>
</paragraph><paragraph id="idecf66997ec21415daf15cf8a0ce140fb"><enum>(10)</enum><text>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.</text>
</paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph id="id82482D36E2E74EC68B43119760BAF34A"><enum>(5)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="idC15056035A4C4DFF96C8A04D31F2AC6F" style="OLC">
<paragraph id="id1239224BBDD34106B8C14DA3A4399946"><enum>(11)</enum><text>Acquiring
high-quality services in a manner that is culturally and linguistically
responsive to older individuals and family
caregivers.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="id978501E4A06344F8BEC261825935B1C8"><enum>102.</enum><header>Definitions</header>
<subsection id="idA8EA9C4A52BE4E6C9BCFF9A31916DC1A"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Section 102 of the
Older Americans Act of 1965 (42 U.S.C. 3002) is amended—</text>
<paragraph id="idF5B59B1A15E44F70B325137D53431BA7"><enum>(1)</enum><text>by amending
paragraph (1) to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="idEF2C72512CBD4984A86622F050DD4BE0" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="ID1DBC353724F147C781272946A4C370E9"><enum>(1)</enum><text display-inline="yes-display-inline">The term <term>abuse</term> means the
knowing infliction of physical or psychological harm or the knowing deprivation
of goods or services that are necessary to meet essential needs or to avoid
physical or psychological
harm.</text>
</paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="id713B9B7355874B2CB0989D40ABFEC317"><enum>(2)</enum><text>by redesignating
paragraphs (4) through (14) and (15) through (54) as paragraphs (5) through
(15) and (17) through (56), respectively;</text>
</paragraph><paragraph id="id1CC0FA9A045A4339BF672ED46FC0BA6D"><enum>(3)</enum><text display-inline="yes-display-inline">by inserting after paragraph (3) the
following:</text>
<quoted-block display-inline="no-display-inline" id="id4A0F689806F24016A18D12579FB09CEC" style="OLC">
<paragraph id="idBEE1D4CD9DE5423CB87CCB9961E55015"><enum>(4)</enum><text display-inline="yes-display-inline">The term <term>adult protective
services</term> means such services provided to adults as the Secretary may
specify and includes services such as—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="ID48E0F1D1794044009446DF04729CC8D8"><enum>(A)</enum><text>receiving reports
of adult abuse, neglect, or exploitation;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="IDBA3FBBE50A2D4FA5B381EE5E2B53935D"><enum>(B)</enum><text>investigating the
reports described in subparagraph (A);</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID9AC686439AB04B608B2B1A224254328E"><enum>(C)</enum><text>case planning,
monitoring, evaluation, and other case work and services; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="IDBB3F806EF21D41B4BAC4BB5533541B9A"><enum>(D)</enum><text>providing,
arranging for, or facilitating the provision of medical, social service,
economic, legal, housing, law enforcement, or other protective, emergency, or
support services.</text>
</subparagraph></paragraph><after-quoted-block>;
</after-quoted-block></quoted-block>
</paragraph><paragraph id="idE07354936D494C159B346D06EF5B4304"><enum>(4)</enum><text>by striking
paragraph (5), as redesignated by paragraph (2) of this subsection, and
inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id50436C5A77774F028CD2988BB671C0A1" style="OLC">
<paragraph commented="no" id="id8a3230ae5ae34d129655317d1da37d4a"><enum>(5)</enum><text>The term
<term>Aging and Disability Resource Center</term> 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—</text>
<subparagraph commented="no" id="id0ff628e98a714561803e124d7a1b0a56"><enum>(A)</enum><text>comprehensive
information on the full range of—</text>
<clause commented="no" id="idCB2A8522B9A543408EAE8C75CC241FE9"><enum>(i)</enum><text>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</text>
</clause><clause commented="no" id="idA485CE8B184F474AAA1F44281A1C58EA"><enum>(ii)</enum><text>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;</text>
</clause></subparagraph><subparagraph commented="no" id="id4b6a3bf1910049759f1a4658ca819c5d"><enum>(B)</enum><text>personal and peer
counseling to assist individuals with disabilities and older individuals
in—</text>
<clause commented="no" id="id6F15DFAF61054A50804BB9EF2F3A1D21"><enum>(i)</enum><text>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</text>
</clause><clause commented="no" id="idFBFDDCC7BB2F4B518D8B0BC0F4609B43"><enum>(ii)</enum><text>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;</text>
</clause></subparagraph><subparagraph commented="no" id="ide7892846364a43339e2f4a9439c4f406"><enum>(C)</enum><text>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;</text>
</subparagraph><subparagraph commented="no" id="idc704e669d4824b5a990dc358b53252eb"><enum>(D)</enum><text>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—</text>
<clause commented="no" id="id649649fdd2f245ea8a053bd869fa61a6"><enum>(i)</enum><text>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</text>
</clause><clause commented="no" id="idd88700a7f97947c5986b7fb5da3d3a1f"><enum>(ii)</enum><text>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;</text>
</clause></subparagraph><subparagraph commented="no" id="id8629867e984b4f3b97d35d5c9100b8c5"><enum>(E)</enum><text>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</text>
</subparagraph><subparagraph commented="no" id="id2204A8B818C8415BAFF7BD435E3640BA"><enum>(F)</enum><text>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.</text>
</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="id972331235118421D9609E3B90F83E4B9"><enum>(5)</enum><text>in subparagraph
(B)(i) of paragraph (12), as redesignated by paragraph (2) of this subsection,
by striking <quote>comprehensive</quote> and all that follows through
<quote>psychological</quote> and inserting <quote>comprehensive person-centered
assessment of the older individual (including the physical, psychological,
economic,</quote>;</text>
</paragraph><paragraph id="idC3164B681FD94BE7AE5CA3970A884F7C"><enum>(6)</enum><text>in paragraph
(15), as redesignated by paragraph (1) of this subsection—</text>
<subparagraph id="idB27F1E04B7D04699AE224760A8474E87"><enum>(A)</enum><text>in subparagraph
(C), by inserting <quote>, their family members,</quote> before <quote>and
their primary</quote>; and</text>
</subparagraph><subparagraph id="id6A030F5351354DD29331831FE7F4BDAE"><enum>(B)</enum><text>by striking the
last sentence;</text>
</subparagraph></paragraph><paragraph id="idD2ED723339A849668BA447E89BE25B39"><enum>(7)</enum><text>by inserting
after that paragraph (15) the following:</text>
<quoted-block display-inline="no-display-inline" id="idFBC90B20724D41ECB0D5FE122BC0813D" style="OLC">
<paragraph id="id4A8C11953F4E4442BD7FF0968AA82992"><enum>(16)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id601AA93DBA1645E9A20950FA641D4DA7"><enum>(A)</enum><text>The term <term>economic
security</term> 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.</text>
</subparagraph><subparagraph id="id8DEF9E4B24EF44A79C1DD861AC1E6DCF" indent="up1"><enum>(B)</enum><text>The term <term>economic security and
benefits counseling</term>—</text>
<clause id="id479F87BADD4746D8871D0BD3E40B885B"><enum>(i)</enum><text>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</text>
</clause><clause id="id82F48EA269224A978D140780E1BBC6BC"><enum>(ii)</enum><text>to the extent appropriate,
includes an evaluation of the older individual's—</text>
<subclause id="id901439b27d054e4b87b10b6df3f86815"><enum>(I)</enum><text>economic situation, including income,
assets, and access to pensions or other private benefits;</text>
</subclause><subclause id="id954b846bfe284a66948dbfb0b5fba530"><enum>(II)</enum><text>health care and housing needs;</text>
</subclause><subclause id="idfd283eb0d62247d4952a8b0d16abfa9a"><enum>(III)</enum><text>access to nutrition and nutrition
services;</text>
</subclause><subclause id="id42dd9478637448e68a0c4d8c00d41956"><enum>(IV)</enum><text>ability to satisfy transportation needs;
and</text>
</subclause><subclause commented="no" display-inline="no-display-inline" id="idc6c17343a59a4c0cb6a0fc0398399fae"><enum>(V)</enum><text>long-term care
planning.</text>
</subclause></clause></subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="idB289A7D9818F40B59B15F2FB0F7ECA0E"><enum>(8)</enum><text>by amending
paragraph (19), as redesignated by paragraph (2) of this subsection, to read as
follows:</text>
<quoted-block display-inline="no-display-inline" id="id30BDC7ED655C4189AD2E3BB68F11F4F0" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="ID7D2C23B03B3A4A7D8FDCD68BF77FF488"><enum>(19)</enum><text display-inline="yes-display-inline">The term <term>elder justice</term>
means—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="ID23A4125C9DBD4AA48C53578F01C990C6"><enum>(A)</enum><text>from a societal
perspective, efforts to—</text>
<clause id="IDDA6EF8B06A0A426B925FB745505DD81D"><enum>(i)</enum><text>prevent, detect,
treat, intervene in, and prosecute elder abuse, neglect, and exploitation;
and</text>
</clause><clause id="IDD12675F505EE460F8250D71672516475"><enum>(ii)</enum><text>protect older
individuals with diminished capacity while maximizing their autonomy;
and</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID893FF91EF28C47569A288CF4631B8C6A"><enum>(B)</enum><text>from an
individual perspective, the recognition of an older individual's rights,
including the right to be free of abuse, neglect, and
exploitation.</text>
</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="id9D00247E004E4C94A794FCA2571EF1B5"><enum>(9)</enum><text>in paragraph
(20), as redesignated by paragraph (2) of this subsection, by striking
<quote>The term <quote>exploitation</quote> means</quote> and inserting
<quote>The terms <quote>exploitation</quote> and <quote>financial
exploitation</quote> mean</quote>;</text>
</paragraph><paragraph id="id736117BE194C4D909E72673D41FD1285"><enum>(10)</enum><text>in paragraph
(25), as redesignated by paragraph (2) of this subsection, by striking
<quote>at or below the poverty line.</quote> and inserting <quote>that is not
more than 200 percent of the poverty line.</quote>;</text>
</paragraph><paragraph id="idF5496CB08C7E4E85979C202488691EBA"><enum>(11)</enum><text>by striking
paragraph (26), as redesignated by paragraph (2) of this subsection, and
inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="idB1FFFB4439774E4A832A357C8B7CAABB" style="OLC">
<paragraph id="ID983923de9d7d4b428ecd0b8ec1e799ca"><enum>(26)</enum><text>The term
<term>greatest social need</term> means need caused by noneconomic
factors—</text>
<subparagraph id="id94E1A78E186F4D9F97E6D49B83C32941"><enum>(A)</enum><text>that—</text>
<clause id="idB273D011301C4FDFBB0A2D57AEF107FF"><enum>(i)</enum><text>restrict the
ability of an individual to perform normal daily tasks; or</text>
</clause><clause id="idF73FAF8BA6DB4490A17DC64F3F4EA97B"><enum>(ii)</enum><text>threaten the
capacity of the individual to live independently; and</text>
</clause></subparagraph><subparagraph id="idB3267A7D686A4E4D9AB2B46D0CBDEBD2"><enum>(B)</enum><text>which
include—</text>
<clause id="ID76854d2544c442bfad2695d4f8aba439"><enum>(i)</enum><text>physical and
mental disabilities;</text>
</clause><clause id="ID32cbda66532b4cc9b291f824c478d55c"><enum>(ii)</enum><text>language
barriers including limited English proficiency;</text>
</clause><clause id="IDf4edbb5ee388402c88e888c0c0c5d35d"><enum>(iii)</enum><text>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;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="id000FD7BAA5034AFCB9236AFC5696674D"><enum>(iv)</enum><text display-inline="yes-display-inline">HIV-positive health status or Alzheimer's
disease or a related disorder with neurological and organic brain
dysfunction;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="id1012E3AFF3BF4EA5AA6B9AB0E9712543"><enum>(v)</enum><text display-inline="yes-display-inline">greatest health service need, particularly
a need posed by multiple chronic health conditions or a condition that places
an individual at risk for falls;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="idBA6BCD5D47CE42C1B9B25DEF319607B3"><enum>(vi)</enum><text display-inline="yes-display-inline">abuse, neglect (including self-neglect), or
financial exploitation, including factors that are the basis of a referral to
adult protective services;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="idE69F4E62C92F4F8E80119BA230D94E8F"><enum>(vii)</enum><text display-inline="yes-display-inline">status as a veteran; and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="id9E2A57AD15ED4F649BE9136310D5845F"><enum>(viii)</enum><text display-inline="yes-display-inline">status as a Holocaust
survivor.</text>
</clause></subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="id715951CDC0F149CEAFC59DAC449EDDAF"><enum>(12)</enum><text>in paragraph
(30), as redesignated by paragraph (2) of this subsection—</text>
<subparagraph id="id686229E1A20C485BA9FD953A589696D5"><enum>(A)</enum><text>in subparagraph
(C), by inserting <quote>, including opportunities for work and volunteer
service in the community</quote> after <quote>available</quote>; and</text>
</subparagraph><subparagraph id="id0DA76ED1E71E4CE1914365529A2CD3C0"><enum>(B)</enum><text>in subparagraph
(E), by inserting <quote>, in a culturally and linguistically competent
manner,</quote> before <quote>the entire community of older
individuals</quote>;</text>
</subparagraph></paragraph><paragraph id="id78FCC54398D44457AB496B29D3480E7D"><enum>(13)</enum><text>in paragraph
(31), as redesignated by paragraph (2) of this subsection, by striking
<quote>information and referral</quote> and inserting <quote>information and
referral assistance</quote>;</text>
</paragraph><paragraph id="idAA5A880392B94F1397501D6BF80CBA87"><enum>(14)</enum><text>in paragraph
(35), as redesignated by paragraph (2) of this subsection—</text>
<subparagraph id="idA2182BD3428E4E469FFFD6C63E9CB782"><enum>(A)</enum><text>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;</text>
</subparagraph><subparagraph id="id7E5EF63389F74364808D866CE1042780"><enum>(B)</enum><text>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);</text>
</subparagraph><subparagraph id="idACB9920ECBDB441AB00B991F43102E30"><enum>(C)</enum><text>by inserting
<quote>(A)</quote> before <quote>The term</quote>; and</text>
</subparagraph><subparagraph id="id3FC92828AF6643E885CA898850499814"><enum>(D)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id702D870ADDBA418FA8C33A4DF7B0FA9C" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="id7548090032CA44F8BA276569B6B03F3E" indent="up1"><enum>(B)</enum><text display-inline="yes-display-inline">The term <term>integrated legal assistance
delivery system</term> 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.</text>
</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" id="id35D642726D61460691A1F93C647FD91B"><enum>(15)</enum><text>in paragraph
(36), as redesignated by paragraph (2) of this subsection—</text>
<subparagraph commented="no" id="id6E85F8D024AD4470BED60E973EC8D299"><enum>(A)</enum><text>in subparagraph
(A), by adding <quote>and</quote> at the end;</text>
</subparagraph><subparagraph commented="no" id="idB1EF992779B24FCF9174573E9ED3D6EA"><enum>(B)</enum><text>in subparagraph
(B), by striking <quote>; and</quote> at the end and inserting a period;
and</text>
</subparagraph><subparagraph commented="no" id="idE47AECA974834043BF1509997590519B"><enum>(C)</enum><text>by striking
subparagraph (C);</text>
</subparagraph></paragraph><paragraph id="id8733D5676D844F7D95854FC15503F179"><enum>(16)</enum><text>in paragraph
(37), as redesignated by paragraph (2) of this subsection, by striking
<quote>sections 307(a)(12) and</quote> and inserting <quote>the activities
carried out under section 307(a)(9)</quote>;</text>
</paragraph><paragraph commented="no" id="idC88E6317C96D47D9952C3D0D7DAF6F1C"><enum>(17)</enum><text>in paragraph
(38), as redesignated by paragraph (2) of this subsection, by inserting
<quote>(including elder abuse and neglect screening)</quote> after
<quote>educational services</quote>;</text>
</paragraph><paragraph id="idD4E25507248142F0B80CE3B61DE3264E"><enum>(18)</enum><text>in paragraph
(50)(B), as redesignated by paragraph (2) of this subsection, by striking
<quote>subparagraphs (A) through (G) of paragraph (8)</quote> and inserting
<quote>subparagraphs (A) through (I) of paragraph (14)</quote>; and</text>
</paragraph><paragraph commented="no" id="id4F43392620D6480BAD51BC67E438CAC0"><enum>(19)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id5D249D89C81A450ABD0353282AE6C072" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="idAC38A44689C444B38B95D6B1117698D0"><enum>(57)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id036244F3A24943799DF89A9DF5D2AAF3"><enum>(A)</enum><text display-inline="yes-display-inline">The term <term>care coordination</term>
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).</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idEAF8AB4F59934F41A5CB7435AC2FFAD3" indent="up1"><enum>(B)</enum><text display-inline="yes-display-inline">The term <term>care coordination</term>
means coordination that—</text>
<clause commented="no" display-inline="no-display-inline" id="idC97C73BDD18642839126F7C7A309A53F"><enum>(i)</enum><text display-inline="yes-display-inline">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;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="idD037E4A55315498B8C513E67659A9AA6"><enum>(ii)</enum><text display-inline="yes-display-inline">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;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="idBF0BE45B3E1D4883A2B8BC47817AD4B6"><enum>(iii)</enum><text display-inline="yes-display-inline">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;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="id48C9850942FF446280AF7A7B9A8A4F37"><enum>(iv)</enum><text display-inline="yes-display-inline">includes activities that aim simultaneously
at meeting individual and family needs and preferences, building on individual
capabilities, and improving outcomes and systems of care;</text>
</clause><clause id="idadd808c433ac4d429ede714c1633de2d"><enum>(v)</enum><text>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—</text>
<subclause id="id79B7BCA0F0764FE2B191D8F3141C405E"><enum>(I)</enum><text>area agencies on aging;</text>
</subclause><subclause id="idDFE93F5877004AFDA02EDAFFA2FCDE78"><enum>(II)</enum><text>Aging and Disability Resource Centers;
or</text>
</subclause><subclause id="id8FFFDDEA70CC4B718921ABA16D4B35A7"><enum>(III)</enum><text>other service providers, including
in-home service providers; and</text>
</subclause></clause><clause id="idc03c7c304c3942ebbaa8bcce587bb66d"><enum>(vi)</enum><text>is not furnished to directly
diagnose, treat, or cure a medical disease or condition.</text>
</clause></subparagraph></paragraph><paragraph id="id819E751FB4DB47FEABE26BBDCC8F460C"><enum>(58)</enum><text>The term
<term>cultural and linguistic competence</term> means competence in a set of
behaviors, attitudes, and policies that is—</text>
<subparagraph id="id6AC930C65F2A40F996FE77D91AF2C92D"><enum>(A)</enum><text>used by an
organization or among professionals; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id0C00698D206243AFA8CF0D66F7990862"><enum>(B)</enum><text>enables effective
work in cross-cultural situations.</text>
</subparagraph></paragraph><paragraph id="idF18376800FDB435888D7556B62FC3484"><enum>(59)</enum><text display-inline="yes-display-inline">The term <term>family caregiver</term>
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.</text>
</paragraph><paragraph id="H312F28C9EAD443AAACC601FD42BB62C7"><enum>(60)</enum><text>The term
<term>Holocaust survivor</term> means an individual who—</text>
<subparagraph id="H2F5B38716C544407934BCEC362FA7D0D"><enum>(A)</enum><clause commented="no" display-inline="yes-display-inline" id="HC7994DD8FC654F37907301041C52A8E5"><enum>(i)</enum><text>lived in a country
between 1933 and 1945 under a Nazi regime, under Nazi occupation, or under the
control of Nazi collaborators; or</text>
</clause><clause id="H98477EC209A54D5296FA7EDE6249A6EF" indent="up1"><enum>(ii)</enum><text>fled from a country between 1933
and 1945 under a Nazi regime, under Nazi occupation, or under the control of
Nazi collaborators;</text>
</clause></subparagraph><subparagraph id="HB465E3AEC28C45D9B6B7C6AC6E40D590"><enum>(B)</enum><text>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</text>
</subparagraph><subparagraph id="H69A4D46BD3D04CF495AF3D8289A95340"><enum>(C)</enum><text>was a member of a
group that was persecuted by the Nazis.</text>
</subparagraph></paragraph><paragraph id="id0DC60DF8F3D44EBCB829245B77C17574"><enum>(61)</enum><text>The term
<term>LGBT</term>, used with respect to an individual, means a lesbian, gay,
bisexual, or transgender individual.</text>
</paragraph><paragraph id="id1F50F31223C140CD8C58672CDCD31E4C"><enum>(62)</enum><text>The term
<term>person-centered</term>, 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.</text>
</paragraph><paragraph commented="no" id="idB10D57098E1E47B99EF2B9B935DD6660"><enum>(63)</enum><text>The term
<term>veteran</term> has the meaning given the term in section 101 of title 38,
United States
Code.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection commented="no" id="idEEDF3F36751F40378BF1347B0D716719"><enum>(b)</enum><header>Conforming
amendments</header><text>Section 102 of the Older Americans Act of 1965 (42
U.S.C. 3002), as redesignated by subsection (a)(2), is amended—</text>
<paragraph commented="no" id="id67C8E618110E4A898EBD59156071B275"><enum>(1)</enum><text>in paragraph
(39)(A), by striking <quote>as defined in paragraph (5)</quote> and inserting
<quote>as defined in paragraph (28)</quote>;</text>
</paragraph><paragraph commented="no" id="id41E1160B01DD48138B618B9CAE58137E"><enum>(2)</enum><text>in paragraph
(40), by striking <quote>(as defined in paragraph (18)(B))</quote> and
inserting <quote>(as defined in paragraph (20)(B))</quote>; and</text>
</paragraph><paragraph commented="no" id="id7B7E24DC60364DBCA82BD02E31CF1291"><enum>(3)</enum><text>in paragraph
(48)(D), by striking <quote>(as defined in paragraph (18)(B))</quote> and
inserting <quote>(as defined in paragraph (20)(B))</quote>.</text>
</paragraph></subsection></section><enum>II</enum><header>Administration
on aging</header>
<section id="id3FD2DE092A2147D2BAEE2A67CE1DA8CC"><enum>201.</enum><header>Establishment
of Administration on Aging</header><text display-inline="no-display-inline">Section 201 of the Older Americans Act of
1965 (42 U.S.C. 3011) is amended—</text>
<paragraph id="id51FC559EF1DE49999AA67207A4E1D829"><enum>(1)</enum><text>in subsection
(d)(3)—</text>
<subparagraph id="id5E254BCB51054FCCA6970A42C5447F34"><enum>(A)</enum><text>in subparagraph
(C)—</text>
<clause id="idE19212E1C8F349F79AE5A79182F638BC"><enum>(i)</enum><text>in
clause (i), by striking <quote>; and</quote> and inserting a semicolon;</text>
</clause><clause id="id055C12D516E747A491E820E486CC7811"><enum>(ii)</enum><text>by
redesignating clause (ii) as clause (iii); and</text>
</clause><clause id="id5D6B543BEC2D45FDB37A5191C68BB1E9"><enum>(iii)</enum><text>by inserting
after clause (i) the following:</text>
<quoted-block display-inline="no-display-inline" id="idC957874DB9854FCF90B8ED67BB987AED" style="OLC">
<clause id="id41F4FD77E1974C63B18E02D2F428F3A0"><enum>(ii)</enum><text>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</text>
</clause><after-quoted-block>;</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph id="idF492846ACD3547DFB77B2C67EAEDE8A5"><enum>(B)</enum><text>in subparagraph
(J), by inserting before the semicolon the following: <quote>, including the
effectiveness of such services in meeting the needs of LGBT older
individuals</quote>; and</text>
</subparagraph><subparagraph id="id37BBB5DC4CCF40E88F0893B7DAF6E017"><enum>(C)</enum><text>in subparagraph
(L)—</text>
<clause id="id8EECCE4119714B1FBF246D7335D142EF"><enum>(i)</enum><text display-inline="yes-display-inline">by striking <quote>Older Americans Act
Amendments of 1992</quote> and inserting <quote>Older Americans Act Amendments
of 2012</quote>; and</text>
</clause><clause commented="no" id="id8A70C90E9B8C494DBB6F4E5D7CCEAA80"><enum>(ii)</enum><text>by striking
<quote>712(h)(4)</quote> and inserting <quote>712(h)(5)</quote>;</text>
</clause></subparagraph></paragraph><paragraph commented="no" id="id72912F1244FE4A4EA719CCBC379D0551"><enum>(2)</enum><text>in subsection
(e)(2)—</text>
<subparagraph commented="no" id="idF921254D2EBC41758552D8E27A6BC290"><enum>(A)</enum><text>in the matter
preceding subparagraph (A), by inserting <quote>, and in coordination with the
heads of State adult protective services programs and the State Long-Term Care
Ombudsmen</quote> after <quote>and services</quote>;</text>
</subparagraph><subparagraph id="idFD02405E4EC644C796C0AF606025FDA3"><enum>(B)</enum><text display-inline="yes-display-inline">in subparagraph (A), by striking
<quote>and</quote> at the end;</text>
</subparagraph><subparagraph id="id7296EDF99AB14FD690670BDDF8DA8ED6"><enum>(C)</enum><text>in subparagraph
(B), by striking the period and inserting a semicolon; and</text>
</subparagraph><subparagraph id="idE298F62568C3402CA8DB113875C51A37"><enum>(D)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="idF365B0EF1AF04BB39693A26AAEA886F6" style="OLC">
<subparagraph id="id8C865D8742354D55BE87D29D1308C26F" indent="up1"><enum>(C)</enum><text>to establish best practices for
State-based enforcement of a Home Care Consumer Bill of Rights through a Plan
for Enforcement, as such Bill and Plan are outlined in section 705, not later
than 6 months after the date of enactment of the 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;</text>
</subparagraph><subparagraph id="id0ABA609477814FB0B205BD8004DD95BD" indent="up1"><enum>(D)</enum><text>to assist States with the development
of Home Care Consumer Bills of Rights and Plans for Enforcement, to support the
shift from institutional care to home and community-based long-term services
and supports and ensure that home care consumers, as defined in section 736,
have basic protections as outlined in subsections (b) and (c) of section
705;</text>
</subparagraph><subparagraph id="idD2C3F06D8AD44BEB8E089939E744239E" indent="up1"><enum>(E)</enum><text>to develop a process for review and
approval of States’ Home Care Consumer Bills of Rights and Plans for
Enforcement, not later than 6 months after the date of enactment of the Older
Americans Act Amendments of 2012; and</text>
</subparagraph><subparagraph id="idAFCA04A8C11546E2AA40F4189C732CAD" indent="up1"><enum>(F)</enum><text>to review and approve States’ Home
Care Consumer Bills of Rights and Plans for Enforcement through that
process.</text>
</subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" id="id4C156418BF12495BA1570DB4816DC93B"><enum>(3)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id7134B6F81D1F44259BB0AE590987598F" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="id3C65F89855EF4853A16B82A2D7F325F5"><enum>(g)</enum><text display-inline="yes-display-inline">The Assistant Secretary is authorized to
designate within the Administration a person to have responsibility for
addressing issues affecting LGBT older individuals.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="id24881318510245099BCC4FA71E2DB9FB"><enum>(h)</enum><text display-inline="yes-display-inline">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.</text>
</subsection><subsection id="id94AAC6BABE5F4DE6AA06EC860D825662"><enum>(i)</enum><paragraph commented="no" display-inline="yes-display-inline" id="idAE5BAD55BD0E45829723A999A56D67DD"><enum>(1)</enum><text display-inline="yes-display-inline">The Assistant Secretary shall, by grant or
contract with a national nonprofit entity, establish a National Adult
Protective Services Resource Center (referred to in this subsection as the
<term>Center</term>). The purposes of the Center are to improve the capacity of
State and local adult protective services programs to respond effectively to
abuse, neglect, and exploitation of vulnerable adults, including home care
consumers and residents of long-term care facilities, and to coordinate with
the Long-Term Care Ombudsman Program to protect home care consumers and
residents most effectively.</text>
</paragraph><paragraph id="idDED9B45E4C764F77930F4F24A38973B0" indent="up1"><enum>(2)</enum><text display-inline="yes-display-inline">The nonprofit entity awarded a grant or
contract under this subsection shall have expertise in, and representation
from, State and local adult protective services programs.</text>
</paragraph><paragraph id="id110065E119E546C3B30D3A02172A2A2F" indent="up1"><enum>(3)</enum><text>The Center shall—</text>
<subparagraph id="idA3956F9F3F0A45DAB05898D52806524F"><enum>(A)</enum><text>collect and disseminate information
regarding, and increase public awareness of, the role of adult protective
services programs in investigating the abuse, neglect (including self-neglect),
and exploitation of vulnerable adults, including home care consumers and
residents of long-term care facilities, and in intervening to protect the
consumers and residents from abuse;</text>
</subparagraph><subparagraph id="id88B9D9059FEA47C0BAD921ECC1DABF95"><enum>(B)</enum><text>develop, distribute, and provide
training and technical assistance for adult protective services program
investigators and supervisors investigating the abuse, neglect (including
self-neglect), and exploitation of vulnerable adults, including home care
consumers and residents of long-term care facilities, and intervening to
protect the consumers and residents from further abuse;</text>
</subparagraph><subparagraph id="id740CD8F3FD954AC19EE4A6B9EC13BA4B"><enum>(C)</enum><text>develop, distribute, and provide
training to home care and long-term care professionals and others on
recognizing, reporting (including regarding mandatory reporting requirements),
and responding to the abuse, neglect (including self-neglect), and exploitation
of vulnerable adults, including home care consumers and residents of long-term
care facilities;</text>
</subparagraph><subparagraph id="idB9FC4E71F1CE4D589D7D10B1F5048705"><enum>(D)</enum><text>compile and disseminate reports on
research and best practices for adult protective services programs and other
programs on effective responses to the abuse, neglect (including self-neglect),
and exploitation of vulnerable adults, including home care consumers and
residents of long-term care facilities;</text>
</subparagraph><subparagraph id="idE90B513AD127463CB3E40F097B69525E"><enum>(E)</enum><text>work with the National Ombudsman
Resource Center and State Long-Term Care Ombudsman programs to develop and
disseminate training, practice standards, and policies regarding—</text>
<clause id="idAC7F5C4B1A124664BA3567FBD14244A5"><enum>(i)</enum><text>the roles and responsibilities of
adult protective services and ombudsman programs;</text>
</clause><clause id="id4DF74341FC6A47B7BA6D4602C56A0BB5"><enum>(ii)</enum><text>confidentiality and abuse
reporting issues and protocols; and</text>
</clause><clause id="id124127B48AB24979B3A6D8854DA21710"><enum>(iii)</enum><text>effective ways to maximize the
resources of adult protective services programs for the benefit of home care
consumers and residents of long-term care facilities; and</text>
</clause></subparagraph><subparagraph id="idE918CA52D6B846F4B49B6DFAF8E19649"><enum>(F)</enum><text>establish a data system to collect
information on the abuse, neglect (including self-neglect), and exploitation of
home care consumers and residents of long-term care facilities and to measure
the effectiveness of the activities carried out by the Center.</text>
</subparagraph></paragraph><paragraph id="idBFA2C7730CB443879B1A31FD35EA03F8" indent="up1"><enum>(4)</enum><text>Not later than 18 months after the
date of enactment of the Older Americans Act Amendments of 2012, the Director
shall—</text>
<subparagraph id="id0DF0BABFE8A54F078A07E4E4AFC0C9B2"><enum>(A)</enum><text>collect and analyze, from leading
national and State experts, the best practices related to screening for elder
abuse;</text>
</subparagraph><subparagraph id="id4E162C8CF05B43E597C8EFBF9FEEE79A"><enum>(B)</enum><text>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</text>
</subparagraph><subparagraph id="idF1D0AA4082F446E5A89BF88E803B7C29"><enum>(C)</enum><text>submit to Congress such report and a
description of the dissemination activities under subparagraph (B).</text>
</subparagraph></paragraph><paragraph id="id385F34EC6E3A4310BBFB2D6C236F1758" indent="up1"><enum>(5)</enum><text>In this subsection, the terms
<term>home care consumer</term> and <term>home care ombudsman program</term>
have the meanings given the terms in section
736.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section commented="no" id="id7B6C956B59A640AA9C68954CC8FDE62F"><enum>202.</enum><header>Functions of
Assistant Secretary</header><text display-inline="no-display-inline">Section
202 of the Older Americans Act of 1965 (42 U.S.C. 3012) is amended—</text>
<paragraph commented="no" id="id3699DC8CB6024F48B1A8E17255085CDB"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a)—</text>
<subparagraph commented="no" id="id5D732C6CB6AB4F059AED123C4CF39AD9"><enum>(A)</enum><text display-inline="yes-display-inline">in paragraph (5), by inserting
<quote>economic security,</quote> after <quote>nutrition,</quote>;</text>
</subparagraph><subparagraph commented="no" id="id3F33B427830D4CB4827502B4842CE3C7"><enum>(B)</enum><text display-inline="yes-display-inline">in paragraph (7), by inserting <quote>,
including economic security trends among such individuals</quote> after
<quote>older individuals</quote>;</text>
</subparagraph><subparagraph commented="no" id="id1039AFF1FB0C4FC7BDDE5B7905A36AA6"><enum>(C)</enum><text>in paragraph (8),
by striking <quote>older individuals</quote> and inserting <quote>the health
and economic security of older individuals</quote>;</text>
</subparagraph><subparagraph commented="no" id="id25062D86918F42D7B574464BFC5B5215"><enum>(D)</enum><text display-inline="yes-display-inline">in paragraph (14), by inserting <quote>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,</quote> after <quote>field of
aging,</quote>;</text>
</subparagraph><subparagraph commented="no" id="id332C4C0695DD4A738A7EE4F5C6548248"><enum>(E)</enum><text display-inline="yes-display-inline">by striking paragraph (15) and inserting
the following:</text>
<quoted-block display-inline="no-display-inline" id="id6FCA073AD42848BEB295EFE11B8BBD0D" style="OLC">
<paragraph id="id196ee404b2ea4f70aa8b3fb8f84fe068"><enum>(15)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id681A3B8C45974A459DDB81651F36E764"><enum>(A)</enum><text>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</text>
</subparagraph><subparagraph id="id625715FB38264502B2D9F98D06606797" indent="up1"><enum>(B)</enum><text>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.</text>
</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="id288F593CE3E948E4B567AC7E794CF9D3"><enum>(F)</enum><text>in paragraph
(16)—</text>
<clause id="id7CE06B0A77C94467A47A3E943862BB55"><enum>(i)</enum><text>in
subparagraph (A)(ii), by inserting <quote>, and separately specifying the
number of such individuals who are LGBT individuals</quote> before the
semicolon; and</text>
</clause><clause id="id36EA3535E8AE40D4AA6B78AE79E3736C"><enum>(ii)</enum><text>in
subparagraph (C), by striking <quote>paragraphs (2) and (5)(A)</quote> and
inserting <quote>paragraphs (2) and (4)(A)</quote>;</text>
</clause></subparagraph><subparagraph commented="no" id="idD0A63837A3F74E31B4B695335FA7F9F7"><enum>(G)</enum><text display-inline="yes-display-inline">in paragraph (18), by amending subparagraph
(B) to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="id98C66E16BAD243668DB69B071F4F29E4" style="OLC">
<subparagraph commented="no" id="id2779D445366B4A0C99A6ACEE6C64C8D6"><enum>(B)</enum><text>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)—</text>
<clause commented="no" id="idABA517D74DE2446C8EF5D7D3A0AB6663"><enum>(i)</enum><text>for fiscal year
2013, not less than $2,000,000; and</text>
</clause><clause commented="no" id="id12E3695B9DC143F9854368848E7D43C4"><enum>(ii)</enum><text>for each
subsequent fiscal year, not less than the sum of—</text>
<subclause commented="no" id="id7574028C56024D3DB77E487882D4F380"><enum>(I)</enum><text>$100,000;
and</text>
</subclause><subclause commented="no" id="id651A9C1CEBCA4F119277A65964CA671F"><enum>(II)</enum><text>the amount made
available under this subparagraph for the fiscal year preceding the year for
which the sum is
determined;</text>
</subclause></clause></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph commented="no" id="idE67CDEF3022F48BFA80A930A43461FC8"><enum>(H)</enum><text>by striking
paragraph (21) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id2621B737DDDE4459ABCF158D9B914A2C" style="OLC">
<paragraph id="idFC6C764B6DBB4726BF3D3A78FA3ABBA0"><enum>(21)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="idE47ABD7A934C44D9BFCC1E4C6464ACFC"><enum>(A)</enum><text>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;</text>
</subparagraph><subparagraph id="id99D9CE1521D74F5F93E563FD38F57B56" indent="up1"><enum>(B)</enum><text>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</text>
</subparagraph><subparagraph id="id77331AC3810547899B384AE8EEE7D8D3" indent="up1"><enum>(C)</enum><text>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;</text>
</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph commented="no" id="id218F4AB3319A40ABA80DF1A1EE10BCC9"><enum>(I)</enum><text>by striking
paragraph (22) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id1071527017D24DB19F7E5332FCEB0888" style="OLC">
<paragraph commented="no" id="id03946137C1A84D2CA8194BA226555F7F"><enum>(22)</enum><text>develop
guidelines for area agencies on aging to follow in—</text>
<subparagraph commented="no" id="id31F97BA7CA434CD79D6ACEBC4B52AA6F"><enum>(A)</enum><text>choosing and
evaluating providers of legal assistance with the capacity to work within an
integrated legal assistance delivery system; and</text>
</subparagraph><subparagraph commented="no" id="id39DDA841897A4633962B8C409BD4EE57"><enum>(B)</enum><text>collecting data
and reporting to the State
agency;</text>
</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="id0E11EAA0015444BF91F53FE2C408DF89"><enum>(J)</enum><text>in paragraph
(23), by striking all text following <quote>developers</quote> and inserting
<quote>referred to in section 307(a)(13) and section 731;</quote>;</text>
</subparagraph><subparagraph commented="no" id="idE38B0FB5B3DE4BE089A2919CE6C4A7DC"><enum>(K)</enum><text>by redesignating
paragraphs (25) through (28) as paragraphs (26) through (29),
respectively;</text>
</subparagraph><subparagraph commented="no" id="id61E2AC7BDE474426B97026774928E025"><enum>(L)</enum><text>by inserting
after paragraph (24) the following:</text>
<quoted-block display-inline="no-display-inline" id="idDFC90F3361764D0998A7468A7FDA7EA5" style="OLC">
<paragraph commented="no" id="idB00B937EED934EE19B3E933F15508557"><enum>(25)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id6B74EB0DF85845DE9E005F5A7DDE6A07"><enum>(A)</enum><text>conduct a planning and
feasibility study—</text>
<clause commented="no" id="id5C30D4F300914D708CE2909583E59963" indent="up1"><enum>(i)</enum><text>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</text>
</clause><clause commented="no" id="id24E784A1D7F942DE93C44679FCB3135C" indent="up1"><enum>(ii)</enum><text>on the capacity, as of the date of
the study, of the aging network to manage such a database; and</text>
</clause></subparagraph><subparagraph commented="no" id="id6152301F91EE43C89B5365EAC8482F66" indent="up1"><enum>(B)</enum><text>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);</text>
</subparagraph></paragraph><after-quoted-block>; </after-quoted-block></quoted-block>
</subparagraph><subparagraph id="idA2B86288E1EF42F4AC12E7828186B7A6"><enum>(M)</enum><text>in paragraph
(28), as redesignated by subparagraph (K), by striking <quote>and</quote> at
the end;</text>
</subparagraph><subparagraph id="idF5C01E54288B43BEB8DF74F1262CE12A"><enum>(N)</enum><text>in paragraph
(29), as redesignated by subparagraph (K), by striking the period and inserting
a semicolon; and</text>
</subparagraph><subparagraph id="id9A2D3B81AB0844B6BAFAA536D670682F"><enum>(O)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="idB75197FA7D5E4631A22C467ADBC664A4" style="OLC">
<paragraph id="ID858e80d3840041199620e0621870ea2b"><enum>(30)</enum><text>conduct studies
and collect data to determine the services that are needed by LGBT older
individuals;</text>
</paragraph><paragraph id="id6C11C400F34B44DC91832A8711E5BF6C"><enum>(31)</enum><text>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</text>
</paragraph><paragraph id="idf5b947703197499f83b0a23cc5c22c01"><enum>(32)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="idAB96F719BFC64DDD96E4DDB5305EE3E7"><enum>(A)</enum><text>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</text>
</subparagraph><subparagraph id="idE6E060975DE54986AD93A3AC0DC33CFF" indent="up1"><enum>(B)</enum><text>coordinate activities with other
Federal agencies that are working to improve care coordination and developing
new models and best practices for that
coordination.</text>
</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" id="id859C84F7CF774E58832A15161A27BD68"><enum>(2)</enum><text>in subsection
(b)—</text>
<subparagraph id="id8946F2E5C8F14991AD8E73789113D478"><enum>(A)</enum><text display-inline="yes-display-inline">in paragraph (8)—</text>
<clause id="id68660830818A4CCD93F3E4A9A28D0763"><enum>(i)</enum><text display-inline="yes-display-inline">in subparagraph (D)—</text>
<subclause id="id4DC15AE0D8234BA6B1299E1CBDFE2F14"><enum>(I)</enum><text>by inserting
<quote>, 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)</quote> after <quote>needs</quote>; and</text>
</subclause><subclause id="id85DB3078B440428483884CB256AFF5B8"><enum>(II)</enum><text display-inline="yes-display-inline">by striking <quote>and</quote> at the end;
and</text>
</subclause></clause><clause id="id62FAA0BD7CF2482DB33CC36202A6AD34"><enum>(ii)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id2667C48DA8564BB2928B7A3927DBFE0F" style="OLC">
<subparagraph commented="no" id="ID678c87f61a0c446b8752fc8e4837fe07"><enum>(F)</enum><text>to provide
quality assurance information, relating to the standards identified under
paragraph (11)(A), using the methods described in paragraph (11)(B), about home
and community-based long-term care programs, service providers, and resources,
when referring consumers to those programs, providers, or resources; and</text>
</subparagraph><subparagraph commented="no" id="id4B17EAC4BCA44ADAA87A08D2FB5A03B7"><enum>(G)</enum><text>that may carry
out the informal caregiver assessment program described in subsection
(i);</text>
</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph id="idDF822329CE0A492F9329EC8AF9589AAB"><enum>(B)</enum><text>in paragraph
(9)—</text>
<clause id="id7D0EA7B5C18D4BF38F96F0F17B3A47EA"><enum>(i)</enum><text>in
the matter preceding subparagraph (A), by striking <quote>and community-based
service providers</quote> and inserting <quote>community-based service
providers, and, for purposes of subparagraph (C), Aging and Disability Resource
Centers,</quote>;</text>
</clause><clause id="id46CF3562D0D64DC189F8A0AE47CD538C"><enum>(ii)</enum><text>in
subparagraph (A), by striking <quote>and</quote> at the end;</text>
</clause><clause id="id6EC7F5420B3B46188B153EF9451BDF25"><enum>(iii)</enum><text>subparagraph
(B), by adding <quote>and</quote> at the end; and</text>
</clause><clause id="id5AC78F192057432495DF930E96A1B14A"><enum>(iv)</enum><text>by
adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="idA47314CE58B8445AB595C9D7DFC7938F" style="OLC">
<subparagraph id="idC51425AC46854316B6351DA8C6F83F8D"><enum>(C)</enum><text>methods,
consistent with the methods described in paragraph (11)(B), to communicate to
consumers quality assurance information, relating to the standards identified
under paragraph (11)(A), about home and community-based long-term care
programs, service providers, and
resources;</text>
</subparagraph><after-quoted-block>;
</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph id="id6E9B49739F3F49F18EA5F9CFDF483014"><enum>(C)</enum><text>in paragraph
(10), by striking <quote>and</quote> at the end;</text>
</subparagraph><subparagraph id="id3C2EB88B651D465EA07B16CDFC8E9114"><enum>(D)</enum><text>by redesignating
paragraph (11) as paragraph (12); and</text>
</subparagraph><subparagraph id="id99BE95049ADF407D8A2B605F337DD0A2"><enum>(E)</enum><text>by inserting
after paragraph (10) the following:</text>
<quoted-block display-inline="no-display-inline" id="idCA637F38478D4C06B5A0F64776C25364" style="OLC">
<paragraph id="ID77e2f6f08db44f76be1b987f2bc66a48"><enum>(11)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id15A3A9BA92124163BA78D5BD3844AA4E"><enum>(A)</enum><text>identify, in
consultation with States (either directly or by entering into a contract under
this subparagraph and considering the recommendation of the contract recipient)
quality assurance standards for home and community-based long-term care
programs, service providers, and resources that—</text>
<clause id="id9E4DC233A455446F9D347FF6E66984EE" indent="up1"><enum>(i)</enum><text>shall be designed to ensure the
health, safety, and welfare of consumers who are referred to such programs,
service providers, and resources by area agencies on aging, Aging and
Disability Resource Centers, and such other entities as the Assistant Secretary
determines to be appropriate; and</text>
</clause><clause id="idC054CE2E787C4D49876FE833C093C8C3" indent="up1"><enum>(ii)</enum><text>shall be identified after the
Assistant Secretary takes into account, at a minimum, standards for—</text>
<subclause id="id5358D4BD663D4C029BE05EB37A26F51F"><enum>(I)</enum><text>background checks of service
providers;</text>
</subclause><subclause id="idE4E38EA60FC247E483367A280AA20874"><enum>(II)</enum><text>licensure of agencies and certification
and training of service providers;</text>
</subclause><subclause id="idB88BB872F4214A42ADC8FD108F10CC86"><enum>(III)</enum><text>consumer satisfaction regarding
programs, service providers, and resources, in cases in which consumer
satisfaction information is available; and</text>
</subclause><subclause id="idBEEB33C5A2434B21AE11147A7EB93157"><enum>(IV)</enum><text>such additional matters as the Assistant
Secretary determines to be appropriate; and</text>
</subclause></clause></subparagraph><subparagraph id="IDe1e5a8650cc44e79b387fffadd94ab7e" indent="up1"><enum>(B)</enum><text>taking into account the variation in
communication infrastructure development among Aging and Disability Resource
Centers, establish consumer-friendly methods for communicating to consumers,
consistently throughout a State—</text>
<clause id="idC0984D75334F455DAD0987C8BB755441"><enum>(i)</enum><text>quality assurance information
relating to the standards identified under subparagraph (A) about home and
community-based long-term care programs, service providers, and resources to
which such consumers are referred to by area agencies on aging, Aging and
Disability Resource Centers, and such other entities as the Assistant Secretary
determines to be appropriate; and</text>
</clause><clause id="idD7FF6CB533E74474A061FB8A3585A289"><enum>(ii)</enum><subclause commented="no" display-inline="yes-display-inline" id="id991FA3BACD88486E8501B6A092A831A7"><enum>(I)</enum><text>the content of the
State certification or licensure requirements applicable to such home and
community-based long-term care programs, service providers, or resources;
or</text>
</subclause><subclause commented="no" display-inline="no-display-inline" id="id92B39251AC884DC9BCD4FB0F38C1E7BC" indent="up1"><enum>(II)</enum><text>an explanation that the State does
not have certification or licensure requirements applicable to such home and
community-based long-term care programs, service providers, or resources;
and</text>
</subclause></clause></subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" id="idE1C60FFF8C914B72869ADCC44D08C094"><enum>(3)</enum><text>in subsection
(e)(2)(B)—</text>
<subparagraph commented="no" id="idCE594D398E9C493AA1963E943D7780D4"><enum>(A)</enum><text>in clause (viii),
by striking <quote>and</quote>;</text>
</subparagraph><subparagraph commented="no" id="id14A70C653F85465793F5736DCB35D6F0"><enum>(B)</enum><text>by redesignating
clause (ix) as clause (x); and</text>
</subparagraph><subparagraph commented="no" id="idD32ED97C8A2B44C48F636B19B6764FDE"><enum>(C)</enum><text>by inserting
after clause (viii) the following:</text>
<quoted-block display-inline="no-display-inline" id="id300595D69B224EA687DB2FF5627C9901" style="OLC">
<clause commented="no" id="idBD9612048D5A46F0BC05339530823363" indent="up1"><enum>(ix)</enum><text>organizations with expertise on
economic security, asset accumulation, and retirement planning;
and</text>
</clause><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" id="idB2BB93CF0EC54C0DA9096FC56985D355"><enum>(4)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="idFC2435A04CA0459EAEA9362F9CBE8BB5" style="OLC">
<subsection id="idF186765F34D34B01BA94306BBC162D37"><enum>(g)</enum><text>The Assistant
Secretary shall—</text>
<paragraph id="id2904AF2464C24853BC4338EEFC4ACC9B"><enum>(1)</enum><text>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</text>
</paragraph><paragraph id="id69A8DBB2DFBD48639A661DBF76965E5F"><enum>(2)</enum><text>periodically
update determinations about the need for and benefit of such training related
to prevention of abuse, neglect, and exploitation of older adults.</text>
</paragraph></subsection><subsection id="id1d138e2ec0034b90a35e08b233f07710"><enum>(h)</enum><paragraph commented="no" display-inline="yes-display-inline" id="idE3EDD26509DB4EA89BDBB790980FB67A"><enum>(1)</enum><text>The Assistant Secretary
shall establish and operate the National Resource Center for Women and
Retirement (in this subsection referred to as the
<quote>Center</quote>).</text>
</paragraph><paragraph id="id548148575af04a6fa679129cf9b56d91" indent="up1"><enum>(2)</enum><text>In operating the Center, the
Assistant Secretary shall—</text>
<subparagraph id="ida0e4be13c847494893e662507f8b8deb"><enum>(A)</enum><text>annually compile, publish, and
disseminate a summary of recently conducted research on women and retirement
security;</text>
</subparagraph><subparagraph id="idbf9653c52ee14792b665bbef62a11536"><enum>(B)</enum><text>develop and maintain an information
clearinghouse on all programs (including private programs) showing promise of
success for providing retirement and financial information to women;</text>
</subparagraph><subparagraph id="ida8144bc65bc740d48a6da5b93258d1cf"><enum>(C)</enum><text>develop, maintain, and disseminate
consumer information and public education materials regarding retirement and
financial security for women;</text>
</subparagraph><subparagraph id="iddb357addeb4a43bba92b7edc66f0c4e1"><enum>(D)</enum><text>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;</text>
</subparagraph><subparagraph id="ida3acc09198304e4d82524c8ce55ed64e"><enum>(E)</enum><text>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;</text>
</subparagraph><subparagraph id="ida19d6507d29f4a3c88fb78bd8a7e6ad4"><enum>(F)</enum><text>work in collaboration with other
national and local organizations serving older individuals to make efficient
use of resources related to women and retirement; and</text>
</subparagraph><subparagraph id="idf944117532b84575ae126dc0ba67e743"><enum>(G)</enum><text>conduct research and demonstration
projects regarding the most effective methods and tools to assist women in
preparing for secure retirement.</text>
</subparagraph></paragraph><paragraph id="idD7E9A015991F4E7885247252E704E48E" indent="up1"><enum>(3)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id7A4642A01F7C404189521B4DA6D9F7D6"><enum>(A)</enum><text>The Assistant Secretary
shall carry out paragraph (2) through grants or contracts.</text>
</subparagraph><subparagraph id="id6E24DB065236405180E1080AC58E2675" indent="up1"><enum>(B)</enum><text>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.</text>
</subparagraph><subparagraph id="idA790ACD7714E410888714CF08A22E692" indent="up1"><enum>(C)</enum><text>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.</text>
</subparagraph></paragraph></subsection><subsection id="id70A3AE2896534890A6903F0CAADC829F"><enum>(i)</enum><paragraph commented="no" display-inline="yes-display-inline" id="id163D3922C7D54B0395D54A595AB7E930"><enum>(1)</enum><text>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).</text>
</paragraph><paragraph id="id5C69A07252D74E3B96EC4F8A3C6DC89A" indent="up1"><enum>(2)</enum><text>For purposes of an informal caregiver
assessment carried out in accordance with paragraph (1), the following
definitions shall apply:</text>
<subparagraph id="idD01552C0FD0F43C58D23AE61A2C4505C"><enum>(A)</enum><text>The term <term>care recipient</term>
means—</text>
<clause id="idD167F9EA06DA4B6F93B360DFDFEBEF37"><enum>(i)</enum><text>an older individual;</text>
</clause><clause id="id2262F1A4866E4ED89B7220364E7FC069"><enum>(ii)</enum><text>an individual with a disability;
or</text>
</clause><clause id="id4988D44C9D8444638A3AC0A48CEF52AA"><enum>(iii)</enum><text>an individual with a special
need.</text>
</clause></subparagraph><subparagraph id="id5B12360E953143A4A73F9E61E8772EC6"><enum>(B)</enum><text>The term <term>individual with a
special need</term> means an individual who requires care or supervision
to—</text>
<clause id="idB5C6BF8833164C58B7582158B411FABD"><enum>(i)</enum><text>meet the individual's basic
needs;</text>
</clause><clause id="idBCD7556B90AD486F9B566356BFA79B91"><enum>(ii)</enum><text>prevent physical self-injury or
injury to others; or</text>
</clause><clause id="id11B5438D1749423EB0251C4B3C504E35"><enum>(iii)</enum><text>avoid placement in an
institutional facility.</text>
</clause></subparagraph><subparagraph id="idC29DB0601EF24A00870BC5934FDD69A4"><enum>(C)</enum><clause commented="no" display-inline="yes-display-inline" id="id3189991BB78349B59C2A02DF0C5AE3FD"><enum>(i)</enum><text>Subject to clause (ii),
the term <term>informal caregiver</term> means an adult family member, or
another individual, who is an informal provider of in-home and community care
to a care recipient.</text>
</clause><clause id="idE609218B893E446088ABEB796BC03A86" indent="up1"><enum>(ii)</enum><text>A State that has a State law with an
alternate definition of the term <term>informal caregiver</term> 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.</text>
</clause></subparagraph></paragraph></subsection><subsection id="idDC59D9DFE6B044B4B5617A80ACC4B382"><enum>(j)</enum><paragraph commented="no" display-inline="yes-display-inline" id="id1B14BA92CE0F4062A73EE82558513BCC"><enum>(1)</enum><text>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 <quote>Center</quote>).</text>
</paragraph><paragraph id="id0AE93DE0669D470BB7B377FAEF3D4A8C" indent="up1"><enum>(2)</enum><text>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.</text>
</paragraph><paragraph id="idD8E501E8B28341DC86870F7CBFEEDB93" indent="up1"><enum>(3)</enum><text>The Center shall have 3 primary
objectives, consisting of—</text>
<subparagraph id="id9F236248C17A49869FF054870029DE4C"><enum>(A)</enum><text>educating aging services organizations
about the existence and special needs of LGBT older adults;</text>
</subparagraph><subparagraph id="id7888A6A195EE492EAA351AABF146C0CE"><enum>(B)</enum><text>sensitizing LGBT organizations about
the existence and special needs of older adults; and</text>
</subparagraph><subparagraph id="idE8C6AAEBD99446BD80E9BF39CF0CE235"><enum>(C)</enum><text>providing educational resources to
LGBT older adults and their caregivers.</text>
</subparagraph></paragraph><paragraph id="idFFEFBA6BEA2F4E05B9750A137F3FB18A" indent="up1"><enum>(4)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id9F0D6C44EB4E476CABA425FCA21932F7"><enum>(A)</enum><text>To be eligible to
receive funds under this subsection, an entity—</text>
<clause id="id518A1890AFA846DB87D1FEEBE138C8F7" indent="up1"><enum>(i)</enum><text>shall have demonstrated expertise in
working with organizations or individuals on issues affecting LGBT
individuals;</text>
</clause><clause id="id0D370E4E17574A659D1960AAA2101B3C" indent="up1"><enum>(ii)</enum><text>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</text>
</clause><clause id="idC4799CF28F394642869CD63747591051" indent="up1"><enum>(iii)</enum><text>shall meet such other criteria as
the Assistant Secretary shall issue.</text>
</clause></subparagraph><subparagraph id="id1B8FEE80D39C42D88D76B8745C68FC1C" indent="up1"><enum>(B)</enum><text>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.</text>
</subparagraph></paragraph><paragraph id="id0F7B8830F6064BA38D45D53F9EB2177E" indent="up1"><enum>(5)</enum><text>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.</text>
</paragraph><paragraph id="idD50EAE4AEE6349C199932114F1E274B8" indent="up1"><enum>(6)</enum><text>The Assistant Secretary shall develop
and issue operating standards and reporting requirements for the
Center.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section commented="no" id="id17ED4C49EA91418B91933B51CEF97B44"><enum>203.</enum><header>Federal agency
consultation</header><text display-inline="no-display-inline">Section 203 of
the Older Americans Act of 1965 (42 U.S.C. 3013) is amended—</text>
<paragraph commented="no" id="id97AD40B1AEC44D70903ACF20CBF695F6"><enum>(1)</enum><text>in subsection
(b)—</text>
<subparagraph commented="no" id="id71038685B60D41F28097944FB8CA00B4"><enum>(A)</enum><text>in paragraph
(18), by striking <quote>, and</quote> and inserting a comma;</text>
</subparagraph><subparagraph commented="no" id="id43661F43EB804675A6CA4A631CE871CA"><enum>(B)</enum><text>in paragraph
(19), by striking the period at the end and inserting a comma; and</text>
</subparagraph><subparagraph commented="no" id="id85B784E9D11044DA9D85780D0CE73EC7"><enum>(C)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id69C3DD977A7F4766A06E97FD38EB4607" style="OLC">
<paragraph commented="no" id="idF265EC17CD2F47EFAF506B5F48DB5626"><enum>(20)</enum><text>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</text>
</paragraph><paragraph commented="no" id="id59AAFA5A984C4CF797493C256EDD44F5"><enum>(21)</enum><text>title XXIX of
the Public Health Service Act (42 U.S.C. 300ii et
seq.).</text>
</paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" id="idFA184EA0C0BE4026884F585A7A6B929D"><enum>(2)</enum><text>in subsection
(c)(6)—</text>
<subparagraph commented="no" id="idC365788AEE4D4C40AF72F2196C6D5461"><enum>(A)</enum><text>in subparagraph
(A)—</text>
<clause commented="no" id="idF36E78DDF19E4FFDAE53189904BF6DA5"><enum>(i)</enum><text>in clause
(iii)—</text>
<subclause commented="no" id="id91F5E1C86FE04CD6B13C95DB4DF50B51"><enum>(I)</enum><text>by inserting
<quote>and economic</quote> after <quote>demographic</quote>; and</text>
</subclause><subclause commented="no" id="id55C7AAE3711C497F90ADCA208CB656B8"><enum>(II)</enum><text>by striking
<quote>and</quote> at the end;</text>
</subclause></clause><clause commented="no" id="idDAB97D0F96C74D76AAC5479F8CAEC780"><enum>(ii)</enum><text>in clause (iv),
by adding <quote>and</quote> at the end; and</text>
</clause><clause commented="no" id="id32FAC37947FB439DB7B3AB77A075B1B3"><enum>(iii)</enum><text>by adding at
the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id7356E8B59BBF44F0A30C52FAE793B8FA" style="OLC">
<clause commented="no" id="id6D114BCF992E46E6A5D1EB6B2DFC64EA" indent="up1"><enum>(v)</enum><text>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;</text>
</clause><after-quoted-block>;
and</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph commented="no" id="idE8822BB616944DB7947B7B9CDA2737B1"><enum>(B)</enum><text>in subparagraph
(B)—</text>
<clause commented="no" id="idF1107035620A40379823D3E4A014D4FD"><enum>(i)</enum><text>in the matter
preceding clause (i), by inserting <quote>economic security,</quote> after
<quote>housing,</quote>; and</text>
</clause><clause commented="no" id="id7CC339DB362B450A93A421015D2519F9"><enum>(ii)</enum><text>in clause (i),
by inserting <quote>economic security,</quote> after
<quote>housing,</quote>;</text>
</clause></subparagraph><subparagraph commented="no" id="id9DE903A6476B47EDBFD2D0C55C8C386E"><enum>(C)</enum><text>in subparagraph
(D), by inserting <quote>economic security,</quote> after
<quote>housing,</quote>;</text>
</subparagraph><subparagraph commented="no" id="id8ADCC6BD6FD24800BA8A707431C90E7D"><enum>(D)</enum><text>in subparagraph
(E), by inserting <quote>and economic security</quote> after <quote>public
health</quote>;</text>
</subparagraph><subparagraph commented="no" id="id717D2A5EB8044773BD051F1785B8D592"><enum>(E)</enum><text>in subparagraph
(F), by striking <quote>and</quote> at the end;</text>
</subparagraph><subparagraph commented="no" id="idC7B0E6117BD84E099A5808E40038BA91"><enum>(F)</enum><text>in subparagraph
(G)—</text>
<clause commented="no" id="id9111246885D7404EA30991568F28FF4C"><enum>(i)</enum><text>in the matter
preceding clause (i), by inserting <quote>economic security,</quote> after
<quote>health care,</quote>; and</text>
</clause><clause commented="no" id="id951753D4AA9C49F7ADCCCB47F4DCC59D"><enum>(ii)</enum><text>in clause (iii),
by striking the period at the end and inserting <quote>; and</quote>;
and</text>
</clause></subparagraph><subparagraph commented="no" id="id121DA6D5BB36493F914CA85E3FFB8C3D"><enum>(G)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id31B1E0AAC39B4652B685A16B43EF3E14" style="OLC">
<subparagraph commented="no" id="id816A94C4498442ECB55C9385E77656CD" indent="up1"><enum>(H)</enum><clause commented="no" display-inline="yes-display-inline" id="id01CBE4F42FD2422EA9A7C5861FF1148B"><enum>(i)</enum><text>identify model Federal
programs to assist older individuals with achieving economic security;
and</text>
</clause><clause commented="no" id="id7A47D7B74D8C438EBABD57EB88F56448" indent="up1"><enum>(ii)</enum><text>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.</text>
</clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></section><section commented="no" id="id67D89A43BA8A45FA8BCB7D8AE26D99E4"><enum>204.</enum><header>Evaluation</header><text display-inline="no-display-inline">Section 206 of the Older Americans Act of
1965 (42 U.S.C. 3017) is amended—</text>
<paragraph id="idFD10A046A2E943C18B57BA2C7598923F"><enum>(1)</enum><text>in subsection
(d), by striking <quote>including, as appropriate, health and nutrition
education demonstration projects conducted under section 307(f) the full
contents of which shall be</quote> and inserting <quote>and the full contents
of those summaries and analyses shall be</quote>;</text>
</paragraph><paragraph id="id2ED5991C127049DDB17A613B69E5D96A"><enum>(2)</enum><text>by redesignating
subsections (e) through (g) as subsections (f) through (h),
respectively;</text>
</paragraph><paragraph id="id2578A6C3EA3341F294565059D6F7A433"><enum>(3)</enum><text>by inserting
after paragraph (d) the following:</text>
<quoted-block display-inline="no-display-inline" id="id74080DD2596F494086D42E02ACC4B98B" style="OLC">
<subsection id="id4E84C9F9C3EA4AB7A3A444CE32ADCDAD"><enum>(e)</enum><text>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.</text>
</subsection><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" id="idFB9473DBCD994C1E883EF9DCE5302AAD"><enum>(4)</enum><text display-inline="yes-display-inline">in subsection (h), as redesignated by
paragraph (2), by striking <quote><fraction>1/2</fraction> of</quote>.</text>
</paragraph></section><section commented="no" id="id3DFC62C00EFE4A2B9A1CFACFCE6E3D02"><enum>205.</enum><header>Reports</header><text display-inline="no-display-inline">Section 207 of the Older Americans Act of
1965 (42 U.S.C. 3018) is amended—</text>
<paragraph commented="no" id="idB495FEAA677B424CAED8DEE85B33D483"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a)—</text>
<subparagraph id="ID5aafdf209a024dd883c9879e33af952f"><enum>(A)</enum><text>in paragraph (2),
by striking <quote>section 202(a)(19)</quote> and inserting <quote>section
202(a)(16)</quote>;</text>
</subparagraph><subparagraph commented="no" id="id5D8F4CAE3CD04E08B252627F431CE736"><enum>(B)</enum><text display-inline="yes-display-inline">in paragraph (3), by striking <quote>, with
particular attention</quote> and all that follows through the semicolon and
inserting <quote>(with particular attention to individuals with factors listed
in section 102(26)(B));</quote>; and</text>
</subparagraph><subparagraph id="ID41f87ae6bd29460a871286fad2d4bcad"><enum>(C)</enum><text>in paragraph (4),
by striking <quote>section 202(a)(17)</quote> and inserting <quote>section
202(a)(14)</quote>;</text>
</subparagraph></paragraph><paragraph commented="no" id="id84835452954B49EABFF56FE8683E5304"><enum>(2)</enum><text display-inline="yes-display-inline">in subsection (b)—</text>
<subparagraph commented="no" id="idDAF21F0ED8D3485BA4C35B72CE811378"><enum>(A)</enum><text display-inline="yes-display-inline">in paragraph (1)(C), by inserting
<quote>and the adult protection services programs of the States</quote> after
<quote>of the States</quote>; and</text>
</subparagraph><subparagraph id="IDf371e12d581c45958dd455ae71e227af"><enum>(B)</enum><text>in paragraph
(3)(A), by striking <quote>Health Care Finance Administration</quote> and
inserting <quote>Centers for Medicare & Medicaid Services</quote>;</text>
</subparagraph></paragraph><paragraph id="id0D7BB851ED244D9481C9D3288F9B8840"><enum>(3)</enum><text>in subsection
(c)—</text>
<subparagraph id="idC49DD4DA8C244840BC6C22EC4F1D85BB"><enum>(A)</enum><text>in paragraph (1),
by inserting <quote>, and separately specify the number of such individuals who
are LGBT individuals</quote> before the semicolon;</text>
</subparagraph><subparagraph id="idF4310D8862464523901DBFDBAE8F5D57"><enum>(B)</enum><text>by redesignating
paragraphs (4) and (5) as paragraphs (5) and (6), respectively; and</text>
</subparagraph><subparagraph id="id7B3FE19E3D124276AD61B22DCF723163"><enum>(C)</enum><text>by inserting
after paragraph (3) the following:</text>
<quoted-block display-inline="no-display-inline" id="id349938048B764F3BBE5F9AD28911CAA3" style="OLC">
<paragraph id="id4E7ACA658078421090ECE8FA7268E844"><enum>(4)</enum><text>the effectiveness
of such activities in assisting LGBT
individuals;</text>
</paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="id762325ED5A254EE9A39B3FB868BB492A"><enum>(4)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="idB3F91A100AAE4CCA9F986F65EC930E6D" style="OLC">
<subsection id="id37F7C08702724031A0473B68585C6481"><enum>(d)</enum><text>The Assistant
Secretary shall ensure that—</text>
<paragraph id="id2B0CB628B56D4577BD73E02DD54CEF90"><enum>(1)</enum><text>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</text>
</paragraph><paragraph id="id5787C02FDDF141DBA90915EAE348CD06"><enum>(2)</enum><text>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.</text>
</paragraph></subsection><subsection id="idD0D73CBA025B4FE5B6D5E95F0E102710"><enum>(e)</enum><text>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.</text>
</subsection><subsection id="id0A3F7B3EB03E4EB7911DCA429E739B63"><enum>(f)</enum><text>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.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section commented="no" id="id6BA0A9D6A26048C986BE582BA43B092F"><enum>206.</enum><header>Conforming
amendment</header><text display-inline="no-display-inline">Section 215(j) of
the Older Americans Act of 1965 (42 U.S.C. 3020e–1(j)) is amended by striking
<quote>section 216</quote> and inserting <quote>section 217</quote>.</text>
</section><section commented="no" id="id3A0BB863BA4343A69B6CB683D21E0DCC"><enum>207.</enum><header>Authorization
of appropriations</header><text display-inline="no-display-inline">Section 216
of the Older Americans Act of 1965 (42 U.S.C. 3020f) is amended—</text>
<paragraph commented="no" id="id8C0E94BC317144A9A7EBA7720FE3649F"><enum>(1)</enum><text>in subsection
(a), by striking <quote>2007, 2008, 2009, 2010, and 2011</quote> and inserting
<quote>2013, 2014, 2015, 2016, and 2017</quote>;</text>
</paragraph><paragraph commented="no" id="id73EA0D30E3D24C228BB30C07662B65ED"><enum>(2)</enum><text>in subsection
(b)—</text>
<subparagraph id="IDb2a06937d0fe47efb67f2bf09b76128b"><enum>(A)</enum><text>by striking
<quote>section 202(a)(24)</quote> and inserting <quote>section
202(a)(21)</quote>; and</text>
</subparagraph><subparagraph commented="no" id="idF487294D02914A499396CDD901C01D18"><enum>(B)</enum><text>by striking
<quote>2007, 2008, 2009, 2010, and 2011</quote> and inserting <quote>2013,
2014, 2015, 2016, and 2017</quote>;</text>
</subparagraph></paragraph><paragraph commented="no" id="id3DD3AD0786BC4E708BA054E3D4EDF2D4"><enum>(3)</enum><text>in subsection
(c), by striking <quote>2007, 2008, 2009, 2010, and 2011</quote> and inserting
<quote>2013, 2014, 2015, 2016, and 2017</quote>; and</text>
</paragraph><paragraph commented="no" id="id0936D577EB334BD09F8BEE3F146A1C8A"><enum>(4)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id98BD55C58EF94BB081F7CBB7E95615C8" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="ID6c9f65f5c84c4f508e010d0772c9a4e4"><enum>(d)</enum><header display-inline="yes-display-inline">National Adult Protective Services Resource
Center</header><text display-inline="yes-display-inline">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.</text>
</subsection><subsection id="id049BBC4C5E6D4F3C922994F952877DD1"><enum>(e)</enum><header>Advisory
Committee To Assess, Coordinate, and Improve Legal Assistance
Activities</header><text>There is authorized to be appropriated to carry out
section 216, $300,000 for fiscal year
2013.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="ID6326EA886AF4448E8300EEFCA18427A0"><enum>208.</enum><header>Advisory
Committee to Assess, Coordinate, and Improve Legal Assistance
Activities</header>
<subsection id="idA82FC3B5213447F6980B83DB44C64500"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Title II of the Older
Americans Act of 1965 is amended—</text>
<paragraph id="idDC9A7A1CEBB54666B0DCD5F9E8A925C8"><enum>(1)</enum><text>by redesignating
section 216 (42 U.S.C. 3020f) as section 217; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id99EBC30026F6401BA9F600DE023BBE54"><enum>(2)</enum><text>by inserting
after section 215 (42 U.S.C. 3020e–1) the following:</text>
<quoted-block display-inline="no-display-inline" id="idEE3F70929AA2466E9B3FEF999F534498" style="OLC">
<section id="id5D169FACA72B4A04A51808E6DD120304"><enum>216.</enum><header>Advisory
Committee to Assess, Coordinate, and Improve Legal Assistance
Activities</header>
<subsection id="IDFD467BCEA3AA4D48B600D749AD178040"><enum>(a)</enum><header>Establishment</header><text>There
is established an Advisory Committee to Assess, Coordinate, and Improve Legal
Assistance Activities (referred to in this section as the
<quote>Committee</quote>).</text>
</subsection><subsection id="ID72664CA8B4684A54AD73C527866BF3AF"><enum>(b)</enum><header>Membership</header>
<paragraph id="ID33D32B163B914F78AF90CAE0814B6274"><enum>(1)</enum><header>Composition</header><text>The
Committee shall be composed of 9 members—</text>
<subparagraph id="idDB358D1FFDD941BE882F419DC79CE58C"><enum>(A)</enum><text>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</text>
</subparagraph><subparagraph id="ID24f81a2314854ded80cf8311d797e585"><enum>(B)</enum><text>who shall be
individuals appointed by the Assistant Secretary—</text>
<clause id="idC5F15B84AF78491C9A6F373674FF07F3"><enum>(i)</enum><text>1
of whom shall be a consumer advocate;</text>
</clause><clause id="id0043D40BFE534D1E81C9FA43DF97F697"><enum>(ii)</enum><text>1 of whom shall
be a professional advocate from a State agency or State legal assistance
developer;</text>
</clause><clause id="id5DDC8E7A6F3C4069A34690CF7C84C5D5"><enum>(iii)</enum><text>4 of whom shall
be representatives from collaborating organizations under the National Legal
Resource Center of the Administration;</text>
</clause><clause id="id6588F6F1E919438C9BAD7D27F89F3B3F"><enum>(iv)</enum><text>1 of whom shall
be from a program providing legal assistance under part B of title III;
and</text>
</clause><clause id="id9D9FE1750257422EABF793BF399CC127"><enum>(v)</enum><text>1
of whom shall be from an area agency on aging.</text>
</clause></subparagraph></paragraph><paragraph id="IDE9F3972A53F3431BAFE43A6D84F81B9E"><enum>(2)</enum><header>Date</header><text>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.</text>
</paragraph><paragraph id="IDB08894DF76264C169C4978B10289F058"><enum>(3)</enum><header>Period of
appointment; vacancies</header><text>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.</text>
</paragraph><paragraph id="ID94D5D8A124314622AF523E73B59AF9BD"><enum>(4)</enum><header>Chairperson and
vice chairperson</header><text>The Committee shall select a Chairperson and
Vice Chairperson from among its members.</text>
</paragraph></subsection><subsection id="IDDE5797531FB04E4B802FE4DBC6F02B3C"><enum>(c)</enum><header>Initial
meeting</header><text>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.</text>
</subsection><subsection id="ID96F080F70E204EA5A3E9A7FEF1C0B881"><enum>(d)</enum><header>Duties of the
Committee</header>
<paragraph id="ID2A0D088041664985B878621ED725F0D3"><enum>(1)</enum><header>Definition</header><text>In
this subsection, the term <term>legal assistance activities</term>
includes—</text>
<subparagraph id="idEAE17EF4295D4552903C093A7C9B7F9A"><enum>(A)</enum><text>legal assistance
made available to older individuals with greatest economic need or with
greatest social need;</text>
</subparagraph><subparagraph id="id252C885659F44904A892268A183F4DC4"><enum>(B)</enum><text>activities of the
National Legal Resource Center carried out under section 420(a);</text>
</subparagraph><subparagraph id="IDc4b8c6ca01dc4058a74ed83d158ff3a2"><enum>(C)</enum><text>State legal
assistance developer activities carried out under section 731; and</text>
</subparagraph><subparagraph id="idD437FB69BC9147A58EC018688FBB8D20"><enum>(D)</enum><text>any other
directly related activity or program as determined appropriate by the Assistant
Secretary.</text>
</subparagraph></paragraph><paragraph id="id924EDE0513AC4CD08A84D3DC1DC9F3B8"><enum>(2)</enum><header>Study</header>
<subparagraph id="idFF64AED8AEE74E97BD73061F0683AF1B"><enum>(A)</enum><header>In
general</header><text>The Committee shall design, implement, and analyze
results of a study of—</text>
<clause id="ID15be50c804a04fc7a1af8f7db305246a"><enum>(i)</enum><text>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;</text>
</clause><clause id="IDc61638d60c99466293a7ab16a9973544"><enum>(ii)</enum><text>the extent to
which—</text>
<subclause id="id6558D648440F403A97FCF1EA7010121C"><enum>(I)</enum><text>there is data
collection and reporting of information by legal assistance providers in
States;</text>
</subclause><subclause id="idE0D089E452C64B93B43AB1095DC03915"><enum>(II)</enum><text>there is uniform
statewide reporting among States; and</text>
</subclause><subclause id="id33F39DA74DB64ABEAF0BD7D1799FF025"><enum>(III)</enum><text>the value and
impact of services provided by the providers is being measured at the State or
local level; and</text>
</subclause></clause><clause id="IDb41cad219cb14ad48d0d7922b27ee121"><enum>(iii)</enum><text>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).</text>
</clause></subparagraph><subparagraph id="id4D60343048334B7E94283C2077B68715"><enum>(B)</enum><header>Considerations</header><text>In
carrying out subparagraph (A)(i), particular attention shall be given
to—</text>
<clause id="IDbc47fdec85d14c8ba4a09c6158df7ed6"><enum>(i)</enum><text>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</text>
</clause><clause id="IDb05cff1a3430427bb72d9d44385aa61f"><enum>(ii)</enum><text>State leadership
on establishing priority legal issue areas in accordance with section
307(a)(11)(E).</text>
</clause></subparagraph></paragraph><paragraph id="ID878439448DC84F64ACEA3FFFAC58C7D7"><enum>(3)</enum><header>Recommendations</header><text>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—</text>
<subparagraph id="IDfa8dfe1cbfcb4b40b5817efefeaa11db"><enum>(A)</enum><text>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—</text>
<clause id="ID75e826668fb841b4a1f8fca7b3d98525"><enum>(i)</enum><text>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</text>
</clause><clause id="ID786ae4c8e92342bfa8efc7151a154235"><enum>(ii)</enum><text>establish
priority legal issue areas in accordance with section 307(a)(11)(E);</text>
</clause></subparagraph><subparagraph id="ID70a64c5d3a6c4549b32bfed64e88d424"><enum>(B)</enum><text>developing a
uniform national data collection system to be implemented in all States on
legal assistance activities and development;</text>
</subparagraph><subparagraph id="idf7b56701536c48cc89137719ed55862c"><enum>(C)</enum><text>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</text>
</subparagraph><subparagraph id="ID4eae2276a2dd4406a688d206edfb9fea"><enum>(D)</enum><text>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).</text>
</subparagraph></paragraph><paragraph id="IDB54BF4F8ADFC412A994FA62FB988BC8C"><enum>(4)</enum><header>Report</header><text>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).</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="idD35C8219B6A545CA90426764A613D362"><enum>(e)</enum><header display-inline="yes-display-inline">Duties of the Assistant
Secretary</header><text display-inline="yes-display-inline">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).</text>
</subsection><subsection commented="no" id="IDBFC32966825247A6B3152C1E31AB711C"><enum>(f)</enum><header>Powers</header>
<paragraph commented="no" id="IDEEA07BE3799D4088B1C3D80D2B872D72"><enum>(1)</enum><header>Information
from Federal agencies</header><text>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.</text>
</paragraph><paragraph commented="no" id="ID2CBFA1BD6B774392B7B74B562599E13B"><enum>(2)</enum><header>Postal
services</header><text>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.</text>
</paragraph></subsection><subsection id="IDA098BFCAA835459B87870CB7B7D67EAA"><enum>(g)</enum><header>Personnel and
administration</header>
<paragraph id="ID727E11A29415415D888DBF1631255C36"><enum>(1)</enum><header>Travel
expenses</header><text>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.</text>
</paragraph><paragraph id="IDBAC2C5C0AAD2408E94A784B2175CDBC5"><enum>(2)</enum><header>Detail of
government employees</header><text>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.</text>
</paragraph><paragraph id="idD3780A795DD548CEB01A4AC6429814AF"><enum>(3)</enum><header>Administrative
and support services</header><text>The Assistant Secretary shall provide
administrative and support services to the Committee.</text>
</paragraph><paragraph id="ID224BF59C89074FDFA9356D4C2171EA56"><enum>(4)</enum><header>Procurement of
temporary and intermittent services</header><text>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.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="idAB28E6EC754A46A48B1750F827464A27"><enum>(h)</enum><header>Exemption from
termination requirements</header><text>Section 14 of the Federal Advisory
Committee Act shall not apply to the
Committee.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section><section commented="no" id="idB074C3D891B24187AA3EB3960510DBF3"><enum>209.</enum><header>Consumer Price
Index</header>
<subsection commented="no" id="id7FC95E13AA74485989C5034E4B308C67"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">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 <quote>CPI–E</quote>) 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.</text>
</subsection><subsection commented="no" id="id624EFD375900447CA24576F10238CE2F"><enum>(b)</enum><header>Revision
requirements</header><text display-inline="yes-display-inline">In carrying out
subsection (a), the Secretary of Labor shall—</text>
<paragraph commented="no" id="idB1AF3A5D28D643939401CC739A093E2E"><enum>(1)</enum><text display-inline="yes-display-inline">increase the number of individuals in the
United States who are 62 years of age and older (referred to in this section as
<quote>older adults</quote>) sampled in the consumer expenditure survey used to
establish the CPI–E;</text>
</paragraph><paragraph commented="no" id="idC58323DBBCB04F2A89C859DE03A58063"><enum>(2)</enum><text display-inline="yes-display-inline">establish samples of market-based items,
stores, and prices to represent the purchasing patterns of older adults;
and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idAA90BEB04E58451D98801CE0FA022B7E"><enum>(3)</enum><text display-inline="yes-display-inline">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.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id839DC824766043B885ACC54CF6AB7813"><enum>(c)</enum><header>Report to
Congress</header><text>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.</text>
</subsection></section><section id="idBC7CAF65AD304A22A03E3C8A308FE901"><enum>210.</enum><header>Functions
within the Administration on Aging to assist Holocaust survivors</header>
<subsection id="idBC213B107F314BACBD47F71273A69E96"><enum>(a)</enum><header>Designation of
individual within the Administration</header><text>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.</text>
</subsection><subsection id="id4598271388594D60BA8E162B2C8D7B7F"><enum>(b)</enum><header>Annual report
to Congress</header><text>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.</text>
</subsection><subsection id="id59AEA08E320B4F2589CEE4257F0AA1B5"><enum>(c)</enum><header>Definitions</header><text>In
this section, the terms <quote>older individual</quote> and <quote>Holocaust
survivor</quote> have the meanings given the terms in section 102 of the Older
Americans Act of 1965 (42 U.S.C. 3002).</text>
</subsection></section><enum>III</enum><header>Grants for
State and community programs on aging</header>
<section id="id7D5DA0490E0D4E1C9C0105836274D4CA"><enum>301.</enum><header>Purpose;
administration</header><text display-inline="no-display-inline">Section
301(a)(2) of the Older Americans Act of 1965 (42 U.S.C. 3021(a)(2)) is
amended—</text>
<paragraph id="id8E37450FD23647D1947A41EECCF7E348"><enum>(1)</enum><text>in subparagraph
(E), by striking <quote>and</quote> at the end;</text>
</paragraph><paragraph id="id8AD8ADE58C2B4387BFDEF019A51E4031"><enum>(2)</enum><text>in subparagraph
(F), by striking the period and inserting a semicolon; and</text>
</paragraph><paragraph id="id109F2727B8C444E494D983254CA473B6"><enum>(3)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id6A7783D9936D46C4BF4D1054202C470E" style="OLC">
<subparagraph id="idEB0D1CFCF1C8475DB36837D7F2898EA8" indent="up1"><enum>(G)</enum><text>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</text>
</subparagraph><subparagraph id="idB180AA1F64ED4D9AB43356A8A69B2ACE" indent="up1"><enum>(H)</enum><text>organizations that serve LGBT
individuals.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="id74D1FAC375314625B449A0ADB999A08B"><enum>302.</enum><header>Definition</header><text display-inline="no-display-inline">Section 302 of the Older Americans Act of
1965 (42 U.S.C. 3022) is amended—</text>
<paragraph id="id3BC58CD7A8CF419FA92BB7940FE854DD"><enum>(1)</enum><text>by striking
paragraph (3); and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id4EA832B2E673440DB1A772AF71703A5A"><enum>(2)</enum><text>by redesignating
paragraph (4) as paragraph (3).</text>
</paragraph></section><section id="id7AE1C6FA587C4B949670245987FE1C23"><enum>303.</enum><header>Authorization
of appropriations</header><text display-inline="no-display-inline">Section 303
of the Older Americans Act of 1965 (42 U.S.C. 3023) is amended—</text>
<paragraph id="idBBCE8D10F55E4AB595C45D6523B2AA5A"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a), by striking paragraph
(1) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id09BA3043748048F693ED0B7DAA630409" style="OLC">
<paragraph id="id9D5E865C345544FCA66C9788E31FE2B2" indent="up1"><enum>(1)</enum><text>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.</text>
</paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="idEBA5D9E3CAD44C83A3BA4BBF73E95ACC"><enum>(2)</enum><text>by striking
subsection (b) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id7CDF3A040F294EB3B1939FF942563626" style="OLC">
<subsection id="idD5407EF6F29248AEAA778BE790D195E9"><enum>(b)</enum><paragraph commented="no" display-inline="yes-display-inline" id="id604FAAC49B154296A51B3989B00324CB"><enum>(1)</enum><text>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.</text>
</paragraph><paragraph id="id1C282538E7134CF58A86A9BAA884A1AA" indent="up1"><enum>(2)</enum><text>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.</text>
</paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="id46F07D4A4BA14F1CA60B303D6E5EDD0B"><enum>(3)</enum><text>by striking
subsection (d) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id3C8A82FF901242AEA83EE1253A8E62BB" style="OLC">
<subsection id="id1329FA1B5C3D4A87869DAB18E85BAE9C"><enum>(d)</enum><text>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.</text>
</subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="idB3DA550EAB2E496E83106D528991A5EC"><enum>(4)</enum><text>by striking
subsection (e) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id5DDD15435B1243E884680623BE99DFD7" style="OLC">
<subsection id="IDa98044fd759e45119af62ac39355331e"><enum>(e)</enum><paragraph commented="no" display-inline="yes-display-inline" id="id96B1799CF530445A90130316E2533F1E"><enum>(1)</enum><text>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.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDfe0054cab61a403182854e69d9fa0407" indent="up1"><enum>(2)</enum><text>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).</text>
</paragraph></subsection><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph id="idF748D740268B48E696D5A10E6176C7E2"><enum>(5)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id64DF6BDB7E9F43949808F398DA6542B1" style="OLC">
<subsection id="id8B1B5E5346D34BA090A1CFB10667A351"><enum>(f)</enum><text>It is the sense
of Congress that—</text>
<paragraph id="id5A43097441EF4F79B51F139DA898C202"><enum>(1)</enum><text>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;</text>
</paragraph><paragraph id="idAF3BCCBED7764D35B1BD1EA3134816AB"><enum>(2)</enum><text>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</text>
</paragraph><paragraph id="id5857BBEE05CC425F862B1D12CC01D017"><enum>(3)</enum><text>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.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="idE8DBCA17BF3C45278BB8B6BD75F21841"><enum>304.</enum><header>Allotments</header><text display-inline="no-display-inline">Section 304(b) of such Act (42 U.S.C.
3024(b)) is amended, in the first sentence, by striking <quote>part B</quote>
and all that follows through <quote>part E,</quote> and inserting <quote>part
B, C, or E</quote>.</text>
</section><section id="idDA46858E95984489937A76A80E11E508"><enum>305.</enum><header>Organization</header><text display-inline="no-display-inline">Section 305 of the Older Americans Act of
1965 (42 U.S.C. 3025) is amended—</text>
<paragraph id="id7EE97B72C2F344CF986509817F01CD0C"><enum>(1)</enum><text>in subsection
(a)—</text>
<subparagraph id="id5721564FA0DE4927A0B8A46F01C8619F"><enum>(A)</enum><text>in paragraph
(2)—</text>
<clause id="id619F147A8C77494DA45F7352AEB8CC76"><enum>(i)</enum><text>in
subparagraph (C)—</text>
<subclause commented="no" id="id3624A44BF1AF4A28BED0F56AF0AC6945"><enum>(I)</enum><text display-inline="yes-display-inline">in clause (i), by striking
<quote>and</quote> at the end;</text>
</subclause><subclause commented="no" id="idAE773F6262184244B60C57DEE8EDA8DC"><enum>(II)</enum><text>in clause (ii),
by adding <quote>and</quote> at the end; and</text>
</subclause><subclause commented="no" id="id8630AD91BF9B4842A6600172A782F81F"><enum>(III)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id1721095B96D4436487F8F586B8D3EBDF" style="OLC">
<clause id="id0f60665ea7ba4f2284156342dcfa2a97"><enum>(iii)</enum><text>the
distribution among planning and service areas of service providers who
specialize in serving populations of older individuals with greatest social
need;</text>
</clause><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subclause></clause><clause id="idCA3CCFD5C51E4617A48219F64E2B7D06"><enum>(ii)</enum><text>in
subparagraph (G)—</text>
<subclause id="idBFC974B9232A4A8295F2519150022CE4"><enum>(I)</enum><text>by striking
clause (ii) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="idC42B6EC0E18C49F4A1C485FFB10E9275" style="OLC">
<clause id="ID002273e18ebb4001a3669280c718995c" indent="up1"><enum>(ii)</enum><text>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</text>
</clause><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subclause><subclause id="id2B1318647027473C8F6FF4767A594C1E"><enum>(II)</enum><text>in clause (iii),
by striking <quote>and</quote> at the end;</text>
</subclause></clause></subparagraph><subparagraph id="id5C4A70E9057A4AD7AE69E840A329B8C0"><enum>(B)</enum><text>in paragraph
(3)(E)—</text>
<clause id="id62F8BF1A73574030B956F66BB9E7FF07"><enum>(i)</enum><text>in
the matter before clause (i), by striking <quote>information relating
to</quote>;</text>
</clause><clause id="idDC4464FD91A64430A7509BB41816C3B2"><enum>(ii)</enum><text display-inline="yes-display-inline">in clause (i)—</text>
<subclause id="id37DA82B7EB714B2C944E3D649694AD18"><enum>(I)</enum><text display-inline="yes-display-inline">by inserting <quote>information relating
to</quote> after <quote>(i)</quote>; and</text>
</subclause><subclause id="id5723380EC133477F967E5A8CFEAC9031"><enum>(II)</enum><text display-inline="yes-display-inline">by striking <quote>and</quote> at the
end;</text>
</subclause></clause><clause id="idECDAB2146C13423EB1C8FEF6B0B38535"><enum>(iii)</enum><text display-inline="yes-display-inline">in clause (ii)—</text>
<subclause id="id03A4FD87A2FA479D86DEC2A2CB4261C8"><enum>(I)</enum><text display-inline="yes-display-inline">by inserting <quote>information relating
to</quote> after <quote>(ii)</quote>; and</text>
</subclause><subclause id="idF8B00360E83A463FA5A8F49375DFF903"><enum>(II)</enum><text display-inline="yes-display-inline">by striking the period and inserting
<quote>; and</quote>; and</text>
</subclause></clause><clause id="id52B2C9423F394D86A6E26E0BC39517EB"><enum>(iv)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="idB38F29BBE5AC4526B336C6230DA851D5" style="OLC">
<clause id="ID7ae4f8066ad24b56abc6a1eb4f1676ab"><enum>(iii)</enum><text>quality
assurance information, relating to the standards identified under section
202(b)(11)(A), about home and community-based long-term care programs, service
providers, and resources, provided through methods described in section
202(b)(11)(B), when the Aging and Disability Resource Centers, area agencies on
aging, and such other entities as the Assistant Secretary determines to be
appropriate, refer consumers to those programs, providers, and resources in the
State; and</text>
</clause><after-quoted-block>;
and</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph id="id47A8997E0B5D452BB0E2BBB3A6F4B7A1"><enum>(C)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id4af184b36f6445ea9f2990dca45c330c" style="OLC">
<paragraph id="idfafc5d15787c407d8c46c438857dadaa"><enum>(4)</enum><text>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.</text>
</paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="ID6d9c3d65214345ef835670441ded7a9b"><enum>(2)</enum><text>in subsection
(b)(5)(C)(i)(III), by striking <quote>planning and services areas</quote> and
inserting <quote>planning and service areas</quote>.</text>
</paragraph></section><section id="id259FC480196245A79CD1B1275AD850E1"><enum>306.</enum><header>Area
plans</header><text display-inline="no-display-inline">Section 306 of the Older
Americans Act of 1965 (42 U.S.C. 3026) is amended—</text>
<paragraph id="id6A17B8443E3C4E9382C7FEF7D9D127C9"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a)—</text>
<subparagraph id="id1AA9DDE93E6B4B30A6D6B2A6A1D5B194"><enum>(A)</enum><text display-inline="yes-display-inline">in paragraph (1), by striking
<quote>maintenance, or construction of multipurpose senior centers</quote> and
inserting <quote>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)</quote>;</text>
</subparagraph><subparagraph id="idEA1CF4D324B14CA7B8A94F9771AC29E8"><enum>(B)</enum><text>in paragraph
(2)(A)—</text>
<clause id="id5A48AC98C2664372B8A9CF552A4D579E"><enum>(i)</enum><text>by
striking <quote>mental health services</quote> and inserting
<quote>evidence-based mental health services, evidence-based chronic condition
self-care management programs, and evidence-based falls prevention
programs</quote>; and</text>
</clause><clause id="idF31AF3A9BFAF4265A8DCB9F5C822D242"><enum>(ii)</enum><text>by
striking <quote>eligible)</quote> and inserting <quote>eligible and shall
include information on paid and unpaid work opportunities for older
individuals)</quote>;</text>
</clause></subparagraph><subparagraph id="idB08035D06FC040B986ADDC6F5B52451E"><enum>(C)</enum><text>in paragraph
(4)(B)(i)(VII) by inserting <quote>with multiple chronic illnesses or</quote>
after <quote>older individuals</quote>;</text>
</subparagraph><subparagraph id="id11A27408E89441798D244829E472F7BA"><enum>(D)</enum><text>in paragraph
(6)—</text>
<clause id="id1542E68DBF9A4A6184F6EF602BC25FCB"><enum>(i)</enum><text>in
subparagraph (D), by inserting <quote>(including acute care providers)</quote>
after <quote>service providers</quote>;</text>
</clause><clause id="id77ED1F6C62114959BD63A8F1216824F9"><enum>(ii)</enum><text>in
subparagraph (E)(ii), by inserting <quote>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))</quote> after
<quote>203(b)</quote>; and</text>
</clause><clause id="idF8493BB3634F495F8616EE5C41173C7A"><enum>(iii)</enum><text>by adding at
the end the following:</text>
<quoted-block display-inline="no-display-inline" id="idD110B8FCC6DE4FC18A4158D468F982D3" style="OLC">
<subparagraph id="id9D627DF692EF471B8F7C801905B693E8"><enum>(H)</enum><clause commented="no" display-inline="yes-display-inline" id="id57C6C5701E7343369D627D382FBB2ED3"><enum>(i)</enum><text>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;</text>
</clause><clause id="id5B1F00DE5CF74074A26B8E2704375E8A" indent="up1"><enum>(ii)</enum><text>coordinate elder justice
activities (including screenings) provided by the area agency on aging,
community health centers, other public agencies, and nonprofit private
organizations;</text>
</clause><clause id="id321C366FD065424AB04053630F2EC598" indent="up1"><enum>(iii)</enum><text>develop standardized,
coordinated, and reporting protocols with respect to elder abuse; and</text>
</clause><clause id="idF7D1E1AB826549DAA069CE8EC37DF13C" indent="up1"><enum>(iv)</enum><text>report any instances elder abuse
in accordance with State law; and</text>
</clause></subparagraph><subparagraph id="idB31D95F912DE49968D5081982F6604B1"><enum>(I)</enum><text display-inline="yes-display-inline">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;</text>
</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph id="IDb9bc1337424a4f70a1909235728d3102"><enum>(E)</enum><text>in paragraph
(7)—</text>
<clause commented="no" id="H40FFB85F00844A40B3691AADC4B3EA81"><enum>(i)</enum><text>in subparagraph
(B)(iii), by striking <quote>placement, to permit such individuals</quote> and
inserting <quote>placement, with particular attention to individuals with
factors listed in section 102(26)(B), to permit such at-risk
individuals</quote>;</text>
</clause><clause id="idC94FE7CAA67F4BC2819825D93F1490A0"><enum>(ii)</enum><text>in
subparagraph (C)—</text>
<subclause id="id8F27B38A197E4CC7B769F247FD8DE38A"><enum>(I)</enum><text>by inserting
<quote>(including falls)</quote> after <quote>injury</quote>; and</text>
</subclause><subclause id="idC9AA8C0FD7F04955924EA464318512EA"><enum>(II)</enum><text>by striking
<quote>and</quote> at the end;</text>
</subclause></clause><clause id="id285AC1B6EFF04D0592E67316459AE65F"><enum>(iii)</enum><text>in subparagraph
(D), by adding <quote>and</quote> at the end; and</text>
</clause><clause id="id84055C98C9144D259EC9AD658D775CBA"><enum>(iv)</enum><text>by
adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id749BBEFC03B944199541C7ECDEAA3D47" style="OLC">
<subparagraph id="idE4233549EA0145FAAC953C23E1BD36D8"><enum>(E)</enum><text>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;</text>
</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph id="id1A325B72F84542F9A7306787F7A220DC"><enum>(F)</enum><text>by striking
paragraph (9) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id4CCE6E6491F44A50B741E5CE12FC882E" style="OLC">
<paragraph id="id73DFD869F4334C568BD2995E8591C5C7"><enum>(9)</enum><text>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—</text>
<subparagraph id="id07B309C3A7784AEBBD30CB6AB9B84386"><enum>(A)</enum><text>provide adequate
funding to conduct an effective Ombudsman program in compliance with this Act;
and</text>
</subparagraph><subparagraph id="idEF252DECC6904779AD856FEAFE175FC1"><enum>(B)</enum><text>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;</text>
</subparagraph></paragraph><after-quoted-block>; </after-quoted-block></quoted-block>
</subparagraph><subparagraph id="idC22B95E73AE440B3831EA6C1FE5C8F56"><enum>(G)</enum><text>in paragraph
(16), by striking <quote>and</quote> at the end;</text>
</subparagraph><subparagraph id="idD92E70E169EA4F6E997157597116E15A"><enum>(H)</enum><text>in paragraph
(17)—</text>
<clause id="idEDE57AC2212845D2A9AFCB901ECF04E5"><enum>(i)</enum><text>by
inserting <quote>and revise</quote> after <quote>develop</quote>;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="idB4913329DE34430AAEDA310CF3A74E3A"><enum>(ii)</enum><text>by inserting
<quote>and health</quote> after <quote>State emergency response</quote>;
and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="id55B1586D819047029B68C2FABE2ACE15"><enum>(iii)</enum><text>by striking the
period and inserting a semicolon; and</text>
</clause></subparagraph><subparagraph id="idA42B2901424C45B0AF5B23F75B9F5E20"><enum>(I)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="idA458A901FCCB4CACB12714CBD2723086" style="OLC">
<paragraph id="id0E1924FF3E7E4A51BB7A69FDBFEA7A08"><enum>(18)</enum><text>include
information describing—</text>
<subparagraph id="id7187D864CC4147C4A8C1B5B20A285330"><enum>(A)</enum><text>how the area
agency on aging will engage in outreach to veterans who are eligible for
services under this Act; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id56A71430D3DA4DF8A9C5D9C1DDAF6BF8"><enum>(B)</enum><text>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;</text>
</subparagraph></paragraph><paragraph id="idc2744338ac604a62b18477fd253dcec9"><enum>(19)</enum><text>describe how the
area agency on aging will leverage its position as the primary community-based
provider of senior support services to—</text>
<subparagraph id="idd0a8389af6dd43aeb6dccf0581e845a9"><enum>(A)</enum><text>champion the
cause of economic security for older individuals among community members,
political leaders, businesses, and families;</text>
</subparagraph><subparagraph id="id9563561bd4464be68959f88b136efc26"><enum>(B)</enum><text>concentrate
resources of the area agency on aging toward promoting economic security for
older individuals at both the individual and community level; and</text>
</subparagraph><subparagraph id="id02891e9cfe69493e994ee248b3348f92"><enum>(C)</enum><text>serve as a
community resource for older individuals who lack the economic, social, or
familial supports necessary to age with dignity;</text>
</subparagraph></paragraph><paragraph id="idd8982eadc4914d5797e456f923cf390e"><enum>(20)</enum><text>provide
assurances that the area agency on aging will—</text>
<subparagraph id="id685CC818FBAB4C478E949DA448668F8C"><enum>(A)</enum><text>identify existing
(as of the date of submission of the plan) care coordination programs and
systems;</text>
</subparagraph><subparagraph id="idD1A21ED806B54CF686D00A376C1E280A"><enum>(B)</enum><text>identify unmet
community need for care coordination;</text>
</subparagraph><subparagraph id="id8328B6570B364B5486A244585B73BC45"><enum>(C)</enum><text>facilitate the
development and implementation of an area-wide system to address the care
coordination needs of older individuals with multiple chronic illnesses;
and</text>
</subparagraph><subparagraph id="idE546DE2489574A53B4C38C65F92A0217"><enum>(D)</enum><text>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;</text>
</subparagraph></paragraph><paragraph id="id27a4ba4a34fd401bb6ceeff77d5707a6"><enum>(21)</enum><text>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;</text>
</paragraph><paragraph id="idb6a6809aee574be6a7b23a8cc542d5a5"><enum>(22)</enum><text>provide
assurances that staff training includes instruction on cultural and linguistic
competence in the provision of services to older individuals with greatest
social need;</text>
</paragraph><paragraph id="id49b6d31c9bd84f13b5532f49101f5a0c"><enum>(23)</enum><text>provide
assurances that the services of providers who are contractors will be provided
in a culturally and linguistically competent manner; and</text>
</paragraph><paragraph id="id057920d1082e4b2f8c5ad2c5a1e9d936"><enum>(24)</enum><text>provide
assurances that, to the extent feasible, services provided in response to elder
abuse will be provided in a culturally and linguistically competent
manner.</text>
</paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="idFC1FD815AC1B4AFD94435F910021F534"><enum>(2)</enum><text>in subsection
(b)(3)—</text>
<subparagraph id="id7EE0E361D11446B7BD96A72014B57F41"><enum>(A)</enum><text>in subparagraph
(J), by striking <quote>and</quote>;</text>
</subparagraph><subparagraph id="id81336BABEAE14A2483A33F1E4A38669F"><enum>(B)</enum><text>by redesignating
subparagraph (K) as subparagraph (L); and</text>
</subparagraph><subparagraph id="id1F8E3AEAE7F742ACBF06978F7C7AF799"><enum>(C)</enum><text>by inserting
after subparagraph (J) the following:</text>
<quoted-block display-inline="no-display-inline" id="id417C2166EB7A4A63BC0D59B116A6A705" style="OLC">
<subparagraph id="id7B5D72A95AB64A528CFD8E737A03CCF8"><enum>(K)</enum><text>protection from
elder abuse, neglect, and exploitation;
and</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></section><section id="id20578408471041ACA1114934A4E7FCEA"><enum>307.</enum><header>State
plans</header><text display-inline="no-display-inline">Section 307(a) of the
Older Americans Act of 1965 (42 U.S.C. 3027(a)) is amended—</text>
<paragraph id="id3696C370661D4C938D33A5EC45AA17E9"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (2), by striking subparagraph
(A) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id5D76A6E647484E0E8BF64463D4342208" style="OLC">
<subparagraph id="idf5f55b1e342347c7a57def80d5ed31d6"><enum>(A)</enum><text>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;</text>
</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="id5DB341F2FA5C4E1986BAAB35E0655078"><enum>(2)</enum><text display-inline="yes-display-inline">by striking paragraph (9) and inserting the
following:</text>
<quoted-block display-inline="no-display-inline" id="id27D2191DBBC840C4A410357B8A511583" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="ID589670FD71B641BA9F9393BF4FEFBFF7"><enum>(9)</enum><text display-inline="yes-display-inline">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—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id27F637A44DFC4F5BA1F83A61A0F56634"><enum>(A)</enum><text display-inline="yes-display-inline">provide adequate funding to conduct an
effective Ombudsman program in compliance with this Act; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id5B0E82F14DEE4AE99CE159DDA9175DFC"><enum>(B)</enum><text display-inline="yes-display-inline">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.</text>
</subparagraph></paragraph><after-quoted-block>;
</after-quoted-block></quoted-block>
</paragraph><paragraph id="id0C61805D93CC417991E453F7EBD658E4"><enum>(3)</enum><text>in paragraph
(11), in the matter preceding subparagraph (A), by striking <quote>legal
assistance—</quote> and inserting <quote>legal assistance, which shall be
provided through an integrated legal assistance delivery
system—</quote>;</text>
</paragraph><paragraph id="idEE94CE4F3CD44FCAB16E7D56E4025D6C"><enum>(4)</enum><text>in paragraph
(12)—</text>
<subparagraph id="id7081B36A06BF4458AE77017BA90B882A"><enum>(A)</enum><text>by redesignating
subparagraphs (B) and (C) as subparagraphs (C) and (D); and</text>
</subparagraph><subparagraph id="id71049EC8DF33465B864966A157ECCB05"><enum>(B)</enum><text>by inserting
after subparagraph (A) the following:</text>
<quoted-block display-inline="no-display-inline" id="id468A2C83654545CAA0B35DC5D8158652" style="OLC">
<subparagraph id="id7570E1D3A09549CC912CA9216F7164A5"><enum>(B)</enum><text>that the State
will develop and implement standardized protocols for screening and reporting
with respect to elder
abuse;</text>
</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="idD178EBB151C94D43BC4D4BA760E96623"><enum>(5)</enum><text>by striking
paragraph (15) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id75662136A75E404F95CFB17D2DC71ABF" style="OLC">
<paragraph id="id0aea5c9416f64760a9428b9993291228"><enum>(15)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="idC93EFC0C22614A269B88E529E467201A"><enum>(A)</enum><text>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—</text>
<clause id="idd07a749587bd465697a480c5b53596c4" indent="up1"><enum>(i)</enum><text>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</text>
</clause><clause id="id8a27407e67f141aa87f31e3d0e661d3f" indent="up1"><enum>(ii)</enum><text>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—</text>
<subclause id="id458de2ed3fcc4d93aa108d7c908c5f4d"><enum>(I)</enum><text>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</text>
</subclause><subclause id="id226dd0addd024e4d8df9faa5771c23a2"><enum>(II)</enum><text>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.</text>
</subclause></clause></subparagraph><subparagraph id="id0e3e7858de8b4fb0937e7861a28a983a" indent="up1"><enum>(B)</enum><text>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.</text>
</subparagraph></paragraph><after-quoted-block>;
</after-quoted-block></quoted-block>
</paragraph><paragraph id="idEDF18A0B86AC49238D8B215675C57779"><enum>(6)</enum><text>in paragraph
(16)—</text>
<subparagraph id="idF234A4F5004942FDB34AB2EA5EE07A4F"><enum>(A)</enum><text>in subparagraph
(A), by striking clauses (i) through (vi) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="idF65834771F2B4107AAEE0194B4A0923E" style="OLC">
<clause id="id1FE98DB447124799948F6D278B15879C"><enum>(i)</enum><text>older individuals
with greatest economic need;</text>
</clause><clause id="idF2F4A6CFB3394F97835510DDBE0E82E3"><enum>(ii)</enum><text>older
individuals with greatest social need (with particular attention to individuals
with factors listed in section 102(26)(B)); and</text>
</clause><clause id="idF7342CEDB983485F9641B6B5288A1C8D"><enum>(iii)</enum><text>caregivers of
individuals described in clause (i) or (ii);
and</text>
</clause><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="idB60DB4A771D146EEAF63ABC3CC86BD52"><enum>(B)</enum><text>in subparagraph
(B)—</text>
<clause id="id02D632E8AB2C4622A03D0765CFC08F06"><enum>(i)</enum><text>by
striking <quote>through (vi)</quote> and inserting <quote>and (ii)</quote>;
and</text>
</clause><clause id="id64D1D313488B4ABDA502590BC8050E61"><enum>(ii)</enum><text>by
striking <quote>caretakers</quote> and inserting
<quote>caregivers</quote>;</text>
</clause></subparagraph></paragraph><paragraph id="id3011EEAFD2D64E7EA3DF30EB98558B67"><enum>(7)</enum><text>in paragraph
(17), by striking <quote>and develop collaborative programs, where
appropriate,</quote> and inserting <quote>, ensure care coordination, and
(where appropriate) develop collaborative programs,</quote>;</text>
</paragraph><paragraph id="id65EA6007B8B6420F826F38217584C4B2"><enum>(8)</enum><text>in paragraph
(18), in the matter preceding subparagraph (A), by inserting <quote>and ensure
care coordination that integrates long-term care services and other care
services,</quote> before <quote>for older</quote>;</text>
</paragraph><paragraph id="id072F3E0DA9BE46CD853FA5CB83FE420A"><enum>(9)</enum><text>by striking
paragraph (20) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id2EEF89408A58409D9F860C5B25CAAFE4" style="OLC">
<paragraph id="idcfc3a75b723f4fceb0c7690ac05371df"><enum>(20)</enum><text>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.</text>
</paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="id4EE8FD446C684E21827ABC771C23BF9C"><enum>(10)</enum><text>in paragraph
(23)(A), by striking <quote>with other State services</quote> and inserting
<quote>with other Federal and State health care programs and
services</quote>;</text>
</paragraph><paragraph id="id1F5A7DA8555B498788B42DE8B6DFF4FE"><enum>(11)</enum><text>in paragraph
(28)(B)—</text>
<subparagraph id="idB3C289444E594A8BA5E60098EFD5ECB9"><enum>(A)</enum><text>by striking
clause (i) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id48CE07A7A7504F13B02DCAA961C67B7E" style="OLC">
<clause id="idd84f86dacd0648ee8d9a91bfc9747f77" indent="up1"><enum>(i)</enum><text>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;</text>
</clause><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="id737FEC1E49A54F9B8E5B2B6C2CE54206"><enum>(B)</enum><text>by striking
clause (iii) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id311887C67B594DF2B9A993EA09E1C2F6" style="OLC">
<clause id="id108ae9e14ad4433aa839f6c7a5ecb769" indent="up1"><enum>(iii)</enum><text>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</text>
</clause><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="idB41E1641845D47B08BE6615E33562D34"><enum>(12)</enum><text>in paragraph
(29)—</text>
<subparagraph id="idEC618F0F993B4E35883AF22D608317E7"><enum>(A)</enum><text>by inserting
<quote>and revise</quote> after <quote>develop</quote>; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idDFC7CABE0BC443CAB2167ECF1D93838C"><enum>(B)</enum><text>by inserting
<quote>and health</quote> after <quote>local emergency response</quote>;
and</text>
</subparagraph></paragraph><paragraph id="idAA208C368F4D478590FB3FB5526385F8"><enum>(13)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id0F083418A4964EA59DBB24E3997FF0C0" style="OLC">
<paragraph id="id1163F02CFCBE419BB4C1410938E3FF45"><enum>(31)</enum><text>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.</text>
</paragraph><paragraph id="idA13C42B279184E66B7B45703BACA97F9"><enum>(32)</enum><text>The plan shall
include information describing—</text>
<subparagraph id="id47D38D72FDFF4B60968867AB6CF1F56E"><enum>(A)</enum><text>how the State
agency will engage in outreach to veterans who are eligible for services under
this Act; and</text>
</subparagraph><subparagraph id="id17EB2FBABF074B7A8396F9EECD6FA3E9"><enum>(B)</enum><text>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.</text>
</subparagraph></paragraph><paragraph id="idc0b8b086deca40708efe21141d5906f8"><enum>(33)</enum><text>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.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="id10018E281C084FA7BDD9C2B737E9ADC9"><enum>308.</enum><header>Planning,
coordination, evaluation, and administration of State plans</header><text display-inline="no-display-inline">Section 308(a)(1) of the Older Americans Act
of 1965 (42 U.S.C. 3028(a)(1)) is amended—</text>
<paragraph id="id706C6862F8154AA2BA89B201A3156EDE"><enum>(1)</enum><text>by striking
<quote>, and the carrying out</quote> and inserting <quote>, the carrying
out</quote>; and</text>
</paragraph><paragraph id="idC810B8E6EEC744EA9DFC0E470CBB49F4"><enum>(2)</enum><text>by inserting
before the period the following: <quote>, and the modernization of such senior
centers</quote>.</text>
</paragraph></section><section commented="no" id="id1C8195A4BAC0480D8DCE421823FC5BD8"><enum>309.</enum><header>Disaster
Relief Reimbursements</header><text display-inline="no-display-inline">Section
310 of the Older Americans Act of 1965 (42 U.S.C. 3030) is amended—</text>
<paragraph id="id0520C0562739401C8CFDFF1EA55C16E9"><enum>(1)</enum><text>in the section
heading, by inserting <quote><header-in-text level="section" style="appropriations">and planning</header-in-text></quote> after
<quote><header-in-text level="section" style="appropriations">reimbursements</header-in-text></quote>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id8E710A5C87E9470D960F897A948FE090"><enum>(2)</enum><text>in subsection
(b)(2), by inserting <quote>section 202(a)(29), emergency planning under this
section, or</quote> after <quote>carry out</quote>.</text>
</paragraph></section><section id="idAA95B1E82FF44B75B5088D8A3259C325"><enum>310.</enum><header>Consumer
contributions</header><text display-inline="no-display-inline">Section 315 of
the Older Americans Act of 1965 (42 U.S.C. 3030c–2) is amended—</text>
<paragraph id="idB1F64E63E2F84DF5BF816EA4691104C9"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (b)—</text>
<subparagraph id="idBEF498DD23B145EDB1DFD681A02D9BB5"><enum>(A)</enum><text display-inline="yes-display-inline">in paragraph (1), by striking <quote>185
percent</quote> and inserting <quote>200 percent</quote>; and</text>
</subparagraph><subparagraph id="id8A86D4EC66AC453289CF2E1D02EDE89B"><enum>(B)</enum><text>in paragraph (3),
by adding at the end the following: <quote>Contributions under this section
shall be used to supplement, and not to supplant, any other funds expended for
activities described in this Act.</quote>; and</text>
</subparagraph></paragraph><paragraph id="id398A0E5FBB6B445E863A5CE10DBC6D04"><enum>(2)</enum><text>in subsection
(d)—</text>
<subparagraph id="idD4F69C920EA3432C90116E34EC5C957F"><enum>(A)</enum><text>by striking
<quote>Not later</quote> and all that follows through <quote>shall
conduct</quote> and inserting <quote>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,</quote>;
and</text>
</subparagraph><subparagraph id="id996DB1472D0349398A6296D0E7B9EB75"><enum>(B)</enum><text>by adding at the
end the following: <quote>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.</quote>.</text>
</subparagraph></paragraph></section><section id="idE7452BD1967B4F47A82784C4653CF2B6"><enum>311.</enum><header>Study of
nutrition projects</header><text display-inline="no-display-inline">Section
317(a)(2) of the Older Americans Act Amendments of 2006 (Public Law 109–365) is
amended—</text>
<paragraph id="id3EB4836A6977439391DF556B8C8AE052"><enum>(1)</enum><text>in subparagraph
(B), by striking <quote>; and</quote> and inserting a semicolon;</text>
</paragraph><paragraph id="idE7B23A75B7BC45AAB9DB6429D668D5BB"><enum>(2)</enum><text>in subparagraph
(C), by striking the period at the end and inserting <quote>; and</quote>;
and</text>
</paragraph><paragraph id="idBDB113B343894C7BB417F89C836B6E9D"><enum>(3)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id22252357C6044B5199D00473BBA41E90" style="OLC">
<subparagraph id="idC73C038E21FD4C4884EADCE35C767F49"><enum>(D)</enum><text>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.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section commented="no" display-inline="no-display-inline" id="id6122F3AC1C7F45788196A6B984AF48C8"><enum>312.</enum><header>Supportive
services and senior centers program</header><text display-inline="no-display-inline">Section 321 of the Older Americans Act of
1965 (42 U.S.C. 3030d) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idD3985A44163F4450AF64A19C7BA0BF3F"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a)—</text>
<subparagraph commented="no" id="id73CADD59951842809229268F652A5757"><enum>(A)</enum><text display-inline="yes-display-inline">in paragraph (5)(C), by striking <quote>and
letter writing services</quote> and inserting <quote>evidence-based chronic
condition self-care management, and letter writing services, and evidence-based
falls prevention programs</quote>;</text>
</subparagraph><subparagraph commented="no" id="idB0984756B5D94DE6B371E160555497DF"><enum>(B)</enum><text>in paragraph
(7)—</text>
<clause commented="no" id="id21129FA1520D41D1837169A84DFC314F"><enum>(i)</enum><text>by inserting
<quote>evidence-based</quote> after <quote>through</quote>; and</text>
</clause><clause commented="no" id="id3606796165A14156848B9928A0FAD457"><enum>(ii)</enum><text>by striking
<quote>and dance-movement therapy</quote> and inserting <quote>dance-movement
therapy, chronic condition self-care management, and falls
prevention</quote>;</text>
</clause></subparagraph><subparagraph commented="no" id="idA47D9A020B994B2FA77000E085548843"><enum>(C)</enum><text>in paragraph
(8)—</text>
<clause commented="no" id="idBF359587A75C40D791BFEE7AAA4A66B4"><enum>(i)</enum><text>by inserting
<quote>, screening for elder abuse and neglect, and falls prevention
screening</quote> after <quote>mental health screening</quote>; and</text>
</clause><clause commented="no" id="id5DAE81EB577E436B8E48A7596D7FEFCF"><enum>(ii)</enum><text>by striking
<quote>illness, or both,</quote> and inserting <quote>illnesses and
injuries</quote>;</text>
</clause></subparagraph><subparagraph commented="no" id="idD7A0409DC385429798C8D3FF2F48801E"><enum>(D)</enum><text>in paragraph
(15), by inserting before the semicolon the following: <quote>and elder abuse
and neglect screening, chronic condition self-care management, and falls
prevention services</quote>; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id78FFDDF09E9D4EF2823820336941B971"><enum>(E)</enum><text>in paragraph
(23), by striking <quote>mental health services</quote> and inserting
<quote>evidence-based mental health, chronic condition self-care management,
elder abuse, neglect, and exploitation prevention, and falls prevention
services</quote>; and</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idB31692FC9E8B4649B84B80B1856CDEB8"><enum>(2)</enum><text>in subsection
(b)(1), by inserting <quote>or modernization</quote> after
<quote>construction</quote>.</text>
</paragraph></section><section id="id133F8C48A8AD438A88809AC3651B2007"><enum>313.</enum><header>Nutrition
services</header>
<subsection id="id13C34D59EC1041E982C0A5111E35C112"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Section 339(2) of the
Older Americans Act of 1965 (42 U.S.C. 3030g–21(2)) is amended—</text>
<paragraph id="id3AE72735D9F949E59BFF5564BBC9C46E"><enum>(1)</enum><text display-inline="yes-display-inline">in subparagraph (A), by amending clause
(iii) to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="id3C776FCE343C470081A60D29A0A335D7" style="OLC">
<clause id="id50864C66765C43FEA0450CB65367879A"><enum>(iii)</enum><text>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,</text>
</clause><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="idA62E3AFE0B2F4C278689E84AA5CF50D6"><enum>(2)</enum><text>in subparagraph
(J), by striking <quote>, and</quote> and inserting a comma;</text>
</paragraph><paragraph id="id178D5E86AE2349FF9EC53485DC8FC810"><enum>(3)</enum><text>in subparagraph
(K), by striking the period and inserting a comma; and</text>
</paragraph><paragraph id="idE472A592941048B0B65E6AFFC44183C3"><enum>(4)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id08994C4EE9204D17B5D960AB37DDB793" style="OLC">
<subparagraph id="id6320ED2ADE4244A5BD4D7A88BB2F8DC7"><enum>(L)</enum><text>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,</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id986D28E596714D33826A82C9C8909FE7"><enum>(M)</enum><text display-inline="yes-display-inline">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</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id633C10E2C90A4875A4F055DBE8F7E5F5"><enum>(N)</enum><text display-inline="yes-display-inline">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.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="id156C0EF69F3846C79F6461EB711FF436"><enum>(b)</enum><header>Special
Rule</header><text>Section 339 of the Older Americans Act of 1965 (42 U.S.C.
3030g–21) is amended—</text>
<paragraph id="idB125EFFC91FD4B4092A37A108552EF24"><enum>(1)</enum><text>by inserting
before <quote>A State</quote> the following:</text>
<quoted-block display-inline="no-display-inline" id="idBA67A693320E480BA657508BFED7FC6B" style="OLC">
<subsection id="id23BE98180A45476AB9C4D50E12E933CF"><enum>(a)</enum><header>In
general</header>
</subsection><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph id="id8730AADE9E6F449589A9EEDD62731E80"><enum>(2)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id7A8FFE3A7A834309851280AAA00C69DD" style="OLC">
<subsection id="id4332288C69F4490792A523684E186C6C"><enum>(b)</enum><header>Transportation</header><text>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.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section><section commented="no" display-inline="no-display-inline" id="id11AE755050054B5D9A649946CDE7F248"><enum>314.</enum><header>Disease
prevention and health promotion services</header>
<subsection commented="no" display-inline="no-display-inline" id="idDD83C0D0B0C643DA8B5B71B766725B76"><enum>(a)</enum><header>Program</header><text display-inline="yes-display-inline">Section 361 of the Older Americans Act of
1965 (42 U.S.C. 3030m) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id97B6EAE4724B4D9F87FF3F6A5FCB38CD"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a), in the first
sentence—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="idC42816580F7D406C91135F143AAFA0F5"><enum>(A)</enum><text>by inserting
<quote>evidence-based</quote> after <quote>to provide</quote>;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id4268B9C017D24A899388A226194623AC"><enum>(B)</enum><text display-inline="yes-display-inline">by inserting <quote>(through programs such
as the programs coordinated through the Sickness Prevention Achieved Through
Regional Collaboration program)</quote> after <quote>promotion
services</quote>; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id96F57B2586C742C8AAEEF9E57896B461"><enum>(C)</enum><text display-inline="yes-display-inline">by inserting before <quote>or at</quote>
the following: <quote>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))),</quote>;</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idD16FDDC6604E46BAB17094EE9948CE26"><enum>(2)</enum><text display-inline="yes-display-inline">by striking subsection (b); and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id36CF086453804481896596AA4873B1B9"><enum>(3)</enum><text>by redesignating
subsection (c) as subsection (b).</text>
</paragraph></subsection><subsection id="idABBE08C3B6EB4CCD9DE9B1722C640760"><enum>(b)</enum><header>Clinical
preventive services</header><text>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:</text>
<quoted-block display-inline="no-display-inline" id="idE24CB40559BD4EFC908D320CFC48B308" style="OLC">
<section id="idADE51497AE7E49E290136CC2D7390D9B"><enum>363.</enum><header>Clinical
preventive services</header>
<subsection id="id59E03C37C99D488FB6B46BBD6F9BA5E6"><enum>(a)</enum><header>Finding</header><text display-inline="yes-display-inline">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.).</text>
</subsection><subsection id="idCFFD66C5BF1F4705ADE4BE7CC9A10985"><enum>(b)</enum><header>Purposes</header><text display-inline="yes-display-inline">The purpose of this section is to increase
the number of older individuals receiving, at a minimum, the clinical
preventive services.</text>
</subsection><subsection id="idF71430B3E79045E394BD9A84543CD9CB"><enum>(c)</enum><header>Definition</header><text display-inline="yes-display-inline">In this part, the term <term>disease
prevention and health promotion services</term> includes diabetes screening and
the clinical preventive services consisting of—</text>
<paragraph id="ID588259b2987c4610b66c58a550d66379"><enum>(1)</enum><text>provision of
influenza vaccines;</text>
</paragraph><paragraph id="ID1006d541df5f4cf28963a679892c32e0"><enum>(2)</enum><text>provision of
pneumococcal vaccines;</text>
</paragraph><paragraph id="IDd0a01b27bab549ae83c262d243095dfc"><enum>(3)</enum><text>breast cancer
screening;</text>
</paragraph><paragraph id="IDac8dbcb4ee6b4a99a67877c0637fc60c"><enum>(4)</enum><text>cervical cancer
screening;</text>
</paragraph><paragraph id="IDb84095f1dd9c4d73b9e7a37ef7095ff0"><enum>(5)</enum><text>colorectal cancer
screening;</text>
</paragraph><paragraph id="ID68df2a4421af4cac987be07f9b3f6d05"><enum>(6)</enum><text>hypertension
screening; and</text>
</paragraph><paragraph id="ID646cdc61f0a94de39dcda11c3d3bd8c3"><enum>(7)</enum><text>cholesterol
screening.</text>
</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><section commented="no" display-inline="no-display-inline" id="idD78F4A224205473EB9E8A5C5B1D71F86"><enum>315.</enum><header>National
family caregiver support program</header>
<subsection commented="no" id="id2D94D4800E414CCE92FDA30BDB0D17F5"><enum>(a)</enum><header>Older relative
caregiver</header><text display-inline="yes-display-inline">Section 372 of such
Act (42 U.S.C. 3030s) is amended—</text>
<paragraph id="id389970C8FA98469D96412853D1BB0B62"><enum>(1)</enum><text>in subsection
(a)—</text>
<subparagraph id="id05013BAEAA934A63BA77F654F6B18F8B"><enum>(A)</enum><text>by striking
paragraphs (1) and (2) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id8AC39E681B814656AD53C5F61AF75611" style="OLC">
<paragraph id="id61FD1557025D47179986B2591B79CE80"><enum>(1)</enum><header>Child</header><text>The
term <term>child</term> means an individual who is not more than 18 years of
age.</text>
</paragraph><paragraph id="ID09A4A937FB1E4A4181C1EC45A172C980"><enum>(2)</enum><header>Eligible care
recipient</header><text>The term <term>eligible care recipient</term> means a
relative, of a caregiver, who is—</text>
<subparagraph id="idDB30EE6DB78F4AD5821614A502C4B7E6"><enum>(A)</enum><text>a child;
or</text>
</subparagraph><subparagraph id="id11200FEA54D943FF86F9BF1A88F61658"><enum>(B)</enum><text>an individual
with a disability who is not less than 19 and not more than 59 years of
age.</text>
</subparagraph></paragraph><paragraph id="idB5DA7E13ABCF4058ADB28387766C1215"><enum>(3)</enum><header>Older relative
caregiver</header>
<subparagraph id="id63DB07CB010F46349286654C1E902522"><enum>(A)</enum><header>In
general</header><text>The term <term>older relative caregiver</term> means a
caregiver, as defined in subparagraph (B) or (C), who—</text>
<clause id="idAA12471A1CB54DE091F0607EA2F9FBEF"><enum>(i)</enum><text>is 55 years of
age or older;</text>
</clause><clause id="id94288FEDC57744729A5B264267F612BF"><enum>(ii)</enum><text>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</text>
</clause><clause id="id9884D846320C4C9994D19AB4670D8574"><enum>(iii)</enum><text>is not a family
caregiver.</text>
</clause></subparagraph><subparagraph id="id7C8D599E7198403DAAB5BDBED208BECA"><enum>(B)</enum><header>Caregiver for
child</header><text>For purposes of subparagraph (A), the term
<term>caregiver</term>, used with respect to an eligible care recipient who is
a child, means an individual who—</text>
<clause id="id2D36A928AC7F496EB274DD84B7F51205"><enum>(i)</enum><text>is the
grandparent, stepgrandparent, or other relative (other than the parent) by
blood, marriage, or adoption, of the eligible care recipient;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="IDB75164934E8741B99387700A66A62649"><enum>(ii)</enum><text>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</text>
</clause><clause commented="no" display-inline="no-display-inline" id="ID86B56FC457A74972BCF61E144DAF6C98"><enum>(iii)</enum><text>has a legal
relationship to the eligible care recipient, such as legal custody or
guardianship, or is raising the eligible care recipient informally.</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id9A1F270989DA4B429985A514916884D1"><enum>(C)</enum><header>Caregiver of
individual with a disability</header><text>For purposes of subparagraph (A),
the term <term>caregiver</term>, 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.</text>
</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="idAA0F904166494416A404E2CE288F121F"><enum>(2)</enum><text>by striking
subsection (b);</text>
</paragraph><paragraph id="idE36A60C1C64742F9B2877190158359D9"><enum>(3)</enum><text>by striking
<quote>(a) <header-in-text level="subsection" style="OLC">In
general.—</header-in-text></quote>; and</text>
</paragraph><paragraph id="idCCE7B3879F0A43CE848C6850562F4D73"><enum>(4)</enum><text>by striking
<quote>this subpart:</quote> and inserting <quote>this part:</quote>.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="idA884E355AF464FC8BACEFB9CA52B5DDD"><enum>(b)</enum><header>Program</header><text display-inline="yes-display-inline">Section 373 of the Older Americans Act of
1965 (42 U.S.C. 3030s–1) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id0D21F5A77DD94A7F86C3A9B5949BEBB3"><enum>(1)</enum><text>in subsection
(a)(2), by striking <quote>grandparents or older individuals who are relative
caregivers.</quote> and inserting <quote>older relative
caregivers.</quote>;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idB03A503D478A45ABAF13C066CB66086C"><enum>(2)</enum><text>by redesignating
subsections (b) through (g) as subsections (c) through (h),
respectively;</text>
</paragraph><paragraph id="idCADCFE7D9E144735ADC6227750AE46DB"><enum>(3)</enum><text>by inserting
after subsection (a) the following:</text>
<quoted-block display-inline="no-display-inline" id="id105281CB87194F308611BB6C6CC6B62A" style="OLC">
<subsection id="idED0C088431904B1AAE6F631578319D34"><enum>(b)</enum><header>Assessment
program of needs of family caregivers</header>
<paragraph id="idB9AE549E98204AFBB0DB5991BBDAAA97"><enum>(1)</enum><header>In
general</header><text>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).</text>
</paragraph><paragraph id="id90C22F9545C84A5AB2F35C2F4615EFBC"><enum>(2)</enum><header>Application by
States</header><text>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.</text>
</paragraph><paragraph id="id2B16FA40D78E43A3AB59DFBA87D71C84"><enum>(3)</enum><header>Grant
amount</header><text>The amount of a grant to a State under this subsection
shall be determined according to such methodology as the Assistant Secretary
determines appropriate.</text>
</paragraph><paragraph id="id913EDBF54E8D41B1B1983EAD9900206A"><enum>(4)</enum><header>Program
administration</header><text>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.</text>
</paragraph><paragraph id="id78D2D5231E014B2B86B1D7176BD8666C"><enum>(5)</enum><header>Program
Requirements</header>
<subparagraph id="id8AD860957E934E61A10627E80797970F"><enum>(A)</enum><header>Standardized
assessment</header><text>Assessments under a program established under
paragraph (1)—</text>
<clause id="idF575620358DE46B38E05B9EE69A5228B"><enum>(i)</enum><text>shall be
conducted by social workers, care managers, nurses, or other appropriate
professionals; and</text>
</clause><clause id="id7BC179287B4740CE96F54C88FEA4D93A"><enum>(ii)</enum><subclause commented="no" display-inline="yes-display-inline" id="id0B58C7C349824B76B31C322EF5366247"><enum>(I)</enum><text>shall be conducted with
a standardized instrument to identify family caregiver needs; and</text>
</subclause><subclause id="idA53B22B638474A7E8CCB5512F1C08233" indent="up1"><enum>(II)</enum><text>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.</text>
</subclause></clause></subparagraph><subparagraph commented="no" id="id566F4AE8F2B14FDE9EA8A606991AC1C3"><enum>(B)</enum><header>Questionnaire</header>
<clause commented="no" id="idCDC3DE86DBE54AFEB40B3F05BE8D1579"><enum>(i)</enum><header>In
general</header><text>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).</text>
</clause><clause commented="no" id="idD3221BFB898E462A916EA90C46088E9D"><enum>(ii)</enum><header>Completion on
a voluntary basis</header><text>The answering of questions under clause (i) by
a family caregiver shall be on a voluntary basis.</text>
</clause><clause commented="no" id="idAA6EDCF07E314679BA32619755A5FA14"><enum>(iii)</enum><header>Addressing
diverse caregiver needs and preferences</header><text>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.</text>
</clause></subparagraph><subparagraph commented="no" id="idF7B20245E58E464E9C820B284A26DEB7"><enum>(C)</enum><header>Targeted
support services described</header><text>The following targeted support
services are described in this subparagraph:</text>
<clause commented="no" id="ID6b1fb1b621e746218f034dff99a82227"><enum>(i)</enum><text>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).</text>
</clause><clause commented="no" id="ID1319bf75d5e4484d8b9f8dc50e55717a"><enum>(ii)</enum><text>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).</text>
</clause><clause commented="no" id="IDc4607c6bef6945dbb4f8c6b034f7aee1"><enum>(iii)</enum><text>Support groups,
including groups that provide help for family caregivers to—</text>
<subclause commented="no" id="idC3CB1C580B3F45E09736ECA467200493"><enum>(I)</enum><text>locate a support
group either locally or online to share experiences and reduce
isolation;</text>
</subclause><subclause commented="no" id="idAA7C4340153A40838A0A4E7F3B8C2673"><enum>(II)</enum><text>make
well-informed caregiving decisions; and</text>
</subclause><subclause commented="no" id="idA81DCBA757A44E7690A40F3736A948A1"><enum>(III)</enum><text>reduce
isolation.</text>
</subclause></clause><clause commented="no" id="ID695a5702a7734eddaff0f0c7de6379d7"><enum>(iv)</enum><text>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).</text>
</clause><clause commented="no" id="id9B0BF06926EE48B381201DD8741A4887"><enum>(v)</enum><text>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).</text>
</clause><clause commented="no" id="ID21c6d3a2b4cb4ebf8db6904f8fda0016"><enum>(vi)</enum><text>Chore services
(such as house cleaning) to assist the individual receiving care.</text>
</clause><clause commented="no" id="ID31d68e518c62487e96d392e12b0df72c"><enum>(vii)</enum><text>Personal care
(including outside help) to assist the individual receiving care.</text>
</clause><clause commented="no" id="id3E22865931654232872C43DF45AA6659"><enum>(viii)</enum><text>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).</text>
</clause><clause commented="no" id="IDeb5b143021fc40b08491d288941ee0c7"><enum>(ix)</enum><text>Transportation
(including transportation to medical appointments) to assist the individual
receiving care.</text>
</clause><clause commented="no" id="ID2b9ef107019d45f8bf0783a00dd1cb9e"><enum>(x)</enum><text>Other targeted
support services, as determined appropriate by the State agency and approved by
the Assistant Secretary.</text>
</clause></subparagraph><subparagraph commented="no" id="idF705276F4D784AB7BED7F4109B88B6CB"><enum>(D)</enum><header>Referrals</header><text>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.</text>
</subparagraph><subparagraph id="idCC4A0EF1DEDF49F088CC358F7DBC0182"><enum>(E)</enum><header>Targeting and
timing of assessments</header><text>Assessments under the program established
under paragraph (1) may be conducted—</text>
<clause id="id8EC7566176F8468099646E053EBFC119"><enum>(i)</enum><text>when an
individual who is being assisted by a family caregiver transitions from one
care setting to another;</text>
</clause><clause id="id5900103D1E4844B0AF2A49059F5A3B32"><enum>(ii)</enum><text>upon referral
from a social worker, care manager, nurse, physician, or other appropriate
professional; or</text>
</clause><clause id="IDee71493eb472466ea24b4e7e585968a0"><enum>(iii)</enum><text>according to
circumstances determined by the State and approved by the Assistant
Secretary.</text>
</clause></subparagraph><subparagraph id="idC8D7A94CCD09411D81B73B592FDEF34F"><enum>(F)</enum><header>Coordination
with other assessment</header><text>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.</text>
</subparagraph><subparagraph id="id59B4769697114DB4B200A01600BC66E7"><enum>(G)</enum><header>Followup
services</header><text>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.</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID9d5667acfd394d41abbb336d3c87c000"><enum>(H)</enum><header>Reporting
requirement</header><text>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.</text>
</subparagraph></paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="idDDFD40D486AC4380B0D7E9C3A85935DC"><enum>(4)</enum><text>in subsection
(c), as redesignated by paragraph (2)—</text>
<subparagraph id="id44D4DC2A9C1C49838B1A5295FF0E0B1F"><enum>(A)</enum><text>in paragraph (4),
by striking <quote>and</quote> at the end;</text>
</subparagraph><subparagraph id="idFE8C55730A31488C969ED867ECE19673"><enum>(B)</enum><text>in paragraph (5),
by striking the period and inserting <quote>; and</quote>; and</text>
</subparagraph><subparagraph id="id9F28085B7ACF4938BE0EF4EE2391CF39"><enum>(C)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="idB26BA9F5FF4E44BF8B3362BDC1E72D9A" style="OLC">
<paragraph id="ID075892d694e240609461faef996b79a3"><enum>(6)</enum><text>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.</text>
</paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idBD48E2767CC14B00B4F950B086A9067D"><enum>(5)</enum><text display-inline="yes-display-inline">in subsection (d), as redesignated by
paragraph (2)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="idCFD653CBA83F486684AEEA66E7EEA7C5"><enum>(A)</enum><text display-inline="yes-display-inline">in paragraph (1)—</text>
<clause id="ID1332d8a9dfc64a20b4f1fe1cc2288cad"><enum>(i)</enum><text>in
the matter preceding subparagraph (A), by striking <quote>and grandparents and
older individuals who are relative caregivers,</quote> and inserting <quote>and
older relative caregivers,</quote>;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="ID85f8390b618544178e133414766d1b89"><enum>(ii)</enum><text>in subparagraph
(A), by striking <quote>paragraph (1) or (2) of </quote>; and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="idB9651D79D1D249099E0CBA819146DB5C"><enum>(iii)</enum><text>in subparagraph
(B)—</text>
<subclause commented="no" display-inline="no-display-inline" id="idF22B64A0CD5A46E3A864CFD99A69AE3C"><enum>(I)</enum><text display-inline="yes-display-inline">by striking <quote>subsection (b), in the
case of a caregiver described in paragraph (1)</quote> and inserting
<quote>subsection (c), in the case of a caregiver described in subsection
(a)(1)</quote>; and</text>
</subclause><subclause commented="no" display-inline="no-display-inline" id="idC9A5427EB0654C2CB1B4DD6501DFC7CC"><enum>(II)</enum><text display-inline="yes-display-inline">by striking <quote>section 102(22).</quote>
and inserting <quote>section 102(24).</quote>; and</text>
</subclause></clause></subparagraph><subparagraph id="idD9E5AB219668484B86573A3472AF0B88"><enum>(B)</enum><text>by striking
paragraph (2) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id4B9AD6508FE54C539891D4E3E08367C6" style="OLC">
<paragraph id="ID3274b6f5666645308a1e97c6f0f9b2de"><enum>(2)</enum><header>Priority</header><text>In
providing services under this part, the State shall give—</text>
<subparagraph id="ID92ee4b625c4941918dc9dc55fb8baa60"><enum>(A)</enum><text>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;</text>
</subparagraph><subparagraph id="ID2694b533c9c142399791fb4e73320818"><enum>(B)</enum><text>with respect to
older relative caregivers, priority to caregivers—</text>
<clause id="idC966FA037AA14105BB05D316E8E7EF52"><enum>(i)</enum><text>who provide care
for eligible care recipients described in section 372(a)(2)(B) who have severe
disabilities; but</text>
</clause><clause id="id2EEF1452FB644E69AE35CD495C8981F8"><enum>(ii)</enum><text>who are not the
parents of the recipients; and</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID2f544107eb224d12ae5e99989736e890"><enum>(C)</enum><text>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.</text>
</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id8C0FACF90D924CBB914B99BF47891887"><enum>(6)</enum><text>in subsection
(e), as redesignated by paragraph (2), by striking <quote>subsection
(b)</quote> and inserting <quote>subsection (c)</quote>;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id918F952FA46D4DABA23AA7FBBDA7233B"><enum>(7)</enum><text>in subsection
(f)(3), as redesignated by paragraph (2), in the second sentence, by striking
<quote>or grandparents or older individuals who are relative
caregivers,</quote> and inserting <quote>older relative
caregivers,</quote>;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id258BE54952FB4564A82AE245C8D5ECE2"><enum>(8)</enum><text>in subsection
(g)(1), as redesignated by paragraph (2)—</text>
<subparagraph id="idA5F92DFFFDB447BB809BF8B43456D7B6"><enum>(A)</enum><text>in subparagraph
(A), by striking <quote>for fiscal years 2007, 2008, 2009, 2010, and
2011</quote> and inserting <quote>for each of fiscal years 2013 through 2017
and remaining after the reservation described in section 303(e)(2) (if elected)
is made</quote>; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id6E02167432BA40848AFD27EA41C64736"><enum>(B)</enum><text>in subparagraph
(B), by striking <quote>sums appropriated under section 303</quote> and
inserting <quote>remaining sums described in subparagraph (A)</quote>;
and</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id343A22B2B9C946F6BEC6394E70030A83"><enum>(9)</enum><text>in subsection
(h), as redesignated by paragraph (2)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id640A318BD2A7469190FAF37EA62EBFA4"><enum>(A)</enum><text>in paragraph (2),
by striking subparagraph (C) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id9DE2EC158DFD47B091855A6313AC4282" style="OLC">
<subparagraph id="ID054c08d443b044659684f8906bed54ba"><enum>(C)</enum><header>Limitation</header><text>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—</text>
<clause id="ID2509c38c33784ded9d30f226b3e787ce"><enum>(i)</enum><text>older relative
caregivers who provide care for children; and</text>
</clause><clause commented="no" id="IDec33750b4314425cbedb8f8e0d85db5f"><enum>(ii)</enum><text>older relative
caregivers—</text>
<subclause commented="no" id="idC3CE24224E7D45F9A59C03B3421A4E2B"><enum>(I)</enum><text>who provide care
for individuals described in section 372(a)(2)(B); and</text>
</subclause><subclause commented="no" id="id5DE9664F6B5440D6B7647A84E4DC5161"><enum>(II)</enum><text>who are the
parents of the individuals.</text>
</subclause></clause></subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idFAD483FD2D524EF5B8315AFB91639CFD"><enum>(B)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id5DFD825EE0DE4470A7A3216FBBDEAD3A" style="OLC">
<paragraph id="id2B952A3A660547C18FA3AFDA03B537B5"><enum>(3)</enum><header>Use of funds
for ombudsman program</header><text>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.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection><subsection id="ID6fafe0fbf47543a98db1e9ae106cfb19"><enum>(c)</enum><header>Elimination of
superfluous subpart designation</header>
<paragraph id="IDbf8a3b85dde24c0c8f6422e452c34429"><enum>(1)</enum><header>Heading</header><text>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.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID867b03eb078f438e8e099e942de336f3"><enum>(2)</enum><header>Conforming
amendments</header><text>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
<quote>this subpart</quote> in each place it appears and inserting <quote>this
part</quote>.</text>
</paragraph></subsection></section><enum>IV</enum><header>Activities for
health, independence, and longevity</header>
<section id="id918E3B7FF8E1443AAC37A2C14135A2CD"><enum>401.</enum><header>Grant
programs</header><text display-inline="no-display-inline">Section 411 of the
Older Americans Act of 1965 (42 U.S.C. 3032) is amended—</text>
<paragraph id="IDf047755ce467407ab805b510c9fdf9c1"><enum>(1)</enum><text>in subsection
(a)—</text>
<subparagraph id="id48903f83-ac83-4377-9b8c-15b3b3a0cc60"><enum>(A)</enum><text>in the matter
preceding paragraph (1), by inserting <quote>(including the highest court of
each State)</quote> after <quote>with States</quote>;</text>
</subparagraph><subparagraph id="id3320BAF9EDEE4C44872735331AD4B5D5"><enum>(B)</enum><text>in paragraph
(9)(C), by adding at the end the following: <quote>, and technical assistance
and training to States and area agencies on aging for preparedness for and
response to all hazards and emergencies;</quote>;</text>
</subparagraph><subparagraph id="id3626437950DA41C99BF937CD5819C09C"><enum>(C)</enum><text>by striking
paragraph (11) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="idEE94E7EC0F57427780F78CA18BC600E7" style="OLC">
<paragraph id="ID21182795ace5475da4dae24b5b3f4516"><enum>(11)</enum><text>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—</text>
<subparagraph id="id1576738f72bb44ea8dfd061accf02fac"><enum>(A)</enum><text>addressing
physical and mental health, disabilities, and health disparities;</text>
</subparagraph><subparagraph id="idcceb1dcefc2d4f9c991a65abdf2c986a"><enum>(B)</enum><text>providing
long-term care, including in-home and community-based care;</text>
</subparagraph><subparagraph id="idff89e42162214b04adaddb498a6034f5"><enum>(C)</enum><text>providing
informal care, and formal care in a facility setting;</text>
</subparagraph><subparagraph id="idc8893ab9523447b286bb337d130b1479"><enum>(D)</enum><text>providing access
to culturally responsive health and human services; and</text>
</subparagraph><subparagraph id="iddebc108dc6734e3bb0dec65154c95e0d"><enum>(E)</enum><text>addressing other
gaps in assistance and issues that the Assistant Secretary determines are of
particular importance to older individuals with the greatest social
need;</text>
</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="id66A06CB93D6C43AA8182CD3A9BDA364D"><enum>(D)</enum><text>in paragraph
(12), by striking <quote>; and</quote> and inserting a semicolon;</text>
</subparagraph><subparagraph id="id275FE4493FD94A09808A7CBECAD97396"><enum>(E)</enum><text>by redesignating
paragraph (13) as paragraph (14); and</text>
</subparagraph><subparagraph id="id2446620CD0CE4FA1807CC21ADDA94EEA"><enum>(F)</enum><text>by inserting
after paragraph (12) the following:</text>
<quoted-block display-inline="no-display-inline" id="id0448AA4C286F44E5B698BFD49F3A32A3" style="OLC">
<paragraph id="id6797f39a-44b4-4fad-aae2-ee185c5d36bd"><enum>(13)</enum><text>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</text>
</paragraph><after-quoted-block>; </after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idA852522DB9A84854B62A455C9B5F5C25"><enum>(2)</enum><text>in subsection
(b), by striking <quote>2007</quote> and all that follows through
<quote>2011</quote> and inserting <quote>2013, 2014, 2015, 2016, and
2017</quote>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id61DD85C1254545939E22A43220B155C8"><enum>(3)</enum><text>by inserting at
the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id8BE110C1DE1F430C85B609CB4901B784" style="OLC">
<subsection id="ide645d54b-1153-48e1-8287-d5117e3dd0f3"><enum>(c)</enum><header>Adult
guardianships and conservatorships</header>
<paragraph id="idDC4A778BBC8A4E11820DB3C203963CF4"><enum>(1)</enum><header>Grants</header>
<subparagraph id="id5fe84163-5208-46e2-b22c-d1a1f23c538b"><enum>(A)</enum><header>In
general</header><text>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.</text>
</subparagraph><subparagraph id="id5259D910CF104E339E7B3631C15E29E7"><enum>(B)</enum><header>State Justice
Institute</header><text>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.</text>
</subparagraph></paragraph><paragraph id="idE220B1C34A4A4A439A9CBA89BDEC6AF8"><enum>(2)</enum><header>Grantees and
activities</header><text>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—</text>
<subparagraph id="ided0783a1-587e-423a-b68e-9de9b003caea"><enum>(A)</enum><text>to conduct
assessments of the practices and procedures used to—</text>
<clause id="id9adc4af0-3202-4515-b18e-20945648503c"><enum>(i)</enum><text>determine
whether to impose a full, limited, or temporary adult guardianship or
conservatorship;</text>
</clause><clause id="id6b667fdd-3a62-4b1a-ae8d-c8839bc1aaf1"><enum>(ii)</enum><text>select a
guardian of a person or conservator of an estate;</text>
</clause><clause id="idf705d47a-1e5e-4d09-95bd-c699afb48ee0"><enum>(iii)</enum><text>review the
continued need for a full, limited, or temporary guardianship or
conservatorship of an adult; and</text>
</clause><clause id="id1d095f58-6deb-4aa5-b891-ee0f9c16bc49"><enum>(iv)</enum><text>review the
performance of guardians or conservators;</text>
</clause></subparagraph><subparagraph id="id31738f95-3c6e-4cfd-b372-e50df5b90e3f"><enum>(B)</enum><text>to implement
changes deemed necessary as a result of the assessments; and</text>
</subparagraph><subparagraph id="id890392ec-0f2f-4b79-b1c4-8223138e2ea8"><enum>(C)</enum><text>to collect
data regarding those practices and procedures and the impact of the necessary
changes.</text>
</subparagraph></paragraph><paragraph id="id342bbbd2-8b8d-4f76-90d2-47ac0f42d02f"><enum>(3)</enum><header>Allotments</header><text>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).</text>
</paragraph><paragraph id="idC81FAEDDB67B4ED28DCB89B877A8634D"><enum>(4)</enum><header>Background
checks</header><text display-inline="yes-display-inline">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:</text>
<subparagraph id="id608595e4af4c40428eda60140b3a66fb"><enum>(A)</enum><text>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.</text>
</subparagraph><subparagraph id="id21e74df8be1b4b2eb56808cd15a5e6a0"><enum>(B)</enum><text>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.</text>
</subparagraph><subparagraph id="id377bae6bc21b4c91bbdf6bd165c235fe"><enum>(C)</enum><text>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.</text>
</subparagraph></paragraph><paragraph id="id80b9d801666440b8ab6f4ab2c015bb15"><enum>(5)</enum><header>Electronic
filing</header><text display-inline="yes-display-inline">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.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id84D97EB6B8BE45638F6AFE9EBF0234D9"><enum>(6)</enum><header display-inline="yes-display-inline">Evaluation and report</header><text display-inline="yes-display-inline">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.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="id45D72D0388864E48B1F594A7CB2262B0"><enum>402.</enum><header>Protection
form violence projects</header><text display-inline="no-display-inline">Section
413(b) of the Older Americans Act of 1965 (42 U.S.C. 3032b(b)) is
amended—</text>
<paragraph id="id29C518A7AC4E41AA8C63BDC328A9D1EB"><enum>(1)</enum><text>in paragraph (3),
by striking <quote>or</quote> after the semicolon at the end;</text>
</paragraph><paragraph id="id6456835A27A14FFBADF99086AF04D559"><enum>(2)</enum><text>in paragraph (4),
by striking the period at the end and inserting <quote>; or</quote>; and</text>
</paragraph><paragraph id="idA2598813E34D41E0AAE0C96C8D695823"><enum>(3)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id474DD0F44BD742528475E8C3CED8A2FF" style="OLC">
<paragraph id="idBC89A6C1743E48BF8F19E67B59418AB1"><enum>(5)</enum><text>research and
replicate successful models of elder abuse, neglect, and exploitation
prevention and
training.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="id3146E70EE1CB42AD96BDEFF82BD536EA"><enum>403.</enum><header>Demonstration,
support, and research projects</header><text display-inline="no-display-inline">Section 417(a)(1) of the Older Americans Act
of 1965 (42 U.S.C. 3032(a)(1)) is amended—</text>
<paragraph id="idD3C4F25EAEE94DB0AEEB05231A0B4CF1"><enum>(1)</enum><text>in subparagraph
(A)—</text>
<subparagraph id="id2C11E5F9428B4A71BC36D63DFB764062"><enum>(A)</enum><text>by striking
<quote>grandparents and other older individuals who are relative
caregivers</quote> and inserting <quote>older relative caregivers who
are</quote>; and</text>
</subparagraph><subparagraph id="id9EAEADC150154629B72D1187AAB338AE"><enum>(B)</enum><text>by striking
<quote>or</quote> after the semicolon;</text>
</subparagraph></paragraph><paragraph id="id25B000296F09469DAC79009403F846E7"><enum>(2)</enum><text>in subparagraph
(B), by striking <quote>and</quote> after the semicolon and inserting
<quote>or</quote>; and</text>
</paragraph><paragraph id="id19F01CB35F6E4CD5B6D5333D09DEC6C1"><enum>(3)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="idE598E013A0344E459AEEE364EF8348D9" style="OLC">
<subparagraph id="idD066C6BD9CA245F1BCAA3AA4A2C3CF8F"><enum>(C)</enum><text>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</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="idEE7B60EE7CE64D58BA289A1CC069D664"><enum>404.</enum><header>Community
innovations for aging in place</header><text display-inline="no-display-inline">Section 422 of the Older Americans Act of
1965 (42 U.S.C. 3032k) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="idA1F050A2ABA64BA38660BE0F9C951A2A" style="OLC">
<subsection id="idD8B5446713F4427BAD0087A085D87083"><enum>(g)</enum><header>Authorization
of appropriations</header><text>There is authorized to be appropriated to carry
out this section $5,000,000 for each of fiscal years 2013 through
2017.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="ID585c1bd7455e47efb7cf7f9d064133b3"><enum>405.</enum><header>Multipurpose
senior center modernization, training, and support</header><text display-inline="no-display-inline">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:</text>
<quoted-block display-inline="no-display-inline" id="idB08E7C75E0CF4890B7072191293BF975" style="OLC">
<section id="idE36C90C841AC4DEEB728D68C5CE681C2"><enum>423.</enum><header>Multipurpose
senior center modernization, training, and support</header>
<subsection id="ID96f5b1f4333942769b471383fd313300"><enum>(a)</enum><header>Program
authorized</header><text>The Assistant Secretary shall award grants and enter
into contracts with eligible entities to carry out projects to—</text>
<paragraph id="ID7108bb93e35946608011048f6c302de2"><enum>(1)</enum><text>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;</text>
</paragraph><paragraph id="IDbac515b039904a388d7c292ffae86cb2"><enum>(2)</enum><text>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</text>
</paragraph><paragraph id="ID5274617d35614e62a56d89efd0feda0d"><enum>(3)</enum><text>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.</text>
</paragraph></subsection><subsection id="ID3a71e67b1005468a9c2ae4ab1ea4f2c4"><enum>(b)</enum><header>Use of
funds</header><text>An eligible entity shall use funds made available under a
grant awarded, or a contract entered into, under subsection (a) to—</text>
<paragraph id="ID032bcb723c744f5ebb80d6ed81c56ff0"><enum>(1)</enum><text>carry out a
project described in subsection (a); and</text>
</paragraph><paragraph id="ID4895ad9e257e43aeb47a9b005af091d1"><enum>(2)</enum><text>evaluate the
project in accordance with subsection (f).</text>
</paragraph></subsection><subsection id="ID5b83c339ea2846dcb46cf4d380717413"><enum>(c)</enum><header>Application</header><text>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.</text>
</subsection><subsection id="ID469df9d3e42f47f992ff2f83f6286420"><enum>(d)</enum><header>Eligible
entity</header><text>For purposes of this section, the term <term>eligible
entity</term> means—</text>
<paragraph id="ID7a30bea4f3a8429d971bbfd05515227a"><enum>(1)</enum><text>a multipurpose
senior center that has met national accreditation and fiduciary standards;
and</text>
</paragraph><paragraph id="ID2de8789dde674c419ce74d0aa9d775e8"><enum>(2)</enum><text>a regional
partnership or collaboration of multipurpose senior centers or State
association of senior centers in which not less than 2 centers are
accredited.</text>
</paragraph></subsection><subsection id="ID8e9b12e5a812431cae5fe6d04b7e6753"><enum>(e)</enum><header>Competitive
grants for technical assistance</header>
<paragraph id="ID6b43e1a7b9ba41edad19fbdfdcdfc983"><enum>(1)</enum><header>Grants</header><text>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—</text>
<subparagraph id="IDd0c9203bc0214200b02d18af17c15d76"><enum>(A)</enum><text>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</text>
</subparagraph><subparagraph id="ID7d16dfe292ce424592dd732fffbb3a16"><enum>(B)</enum><text>carry out other
duties, as determined by the Assistant Secretary.</text>
</subparagraph></paragraph><paragraph id="ID81bdc147919a45ac854508e1149de26e"><enum>(2)</enum><header>Eligible
nonprofit organization</header><text>To be eligible to receive a grant under
this subsection, an organization shall be a nonprofit organization (including a
partnership of nonprofit organizations), that—</text>
<subparagraph id="ID54cfa99c5ea047feb90409bfa3108988"><enum>(A)</enum><text>has experience
and expertise in providing technical assistance to a range of multipurpose
senior centers and experience evaluating and reporting on programs; and</text>
</subparagraph><subparagraph id="ID6616a2243aa14d46983b749d6643d43c"><enum>(B)</enum><text>has demonstrated
knowledge of and expertise in multipurpose senior center accreditation or other
standards of excellence.</text>
</subparagraph></paragraph><paragraph id="ID3ecd28c727bd43e7a204be0182d59b22"><enum>(3)</enum><header>Application</header><text>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.</text>
</paragraph></subsection><subsection id="ID682c1feecc0e4c628382af3cb649544a"><enum>(f)</enum><header>Local
evaluation and report</header>
<paragraph id="IDba94e4520abb432fbf89ec760c76dd82"><enum>(1)</enum><header>Evaluation</header><text>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—</text>
<subparagraph id="IDf34a33935c3f4bcf8bc01a2c82d20db1"><enum>(A)</enum><text>the effectiveness
of the project in producing innovations and mobilizing resources;</text>
</subparagraph><subparagraph id="ID1d34ecacfcbd49ea939acf29253abf67"><enum>(B)</enum><text>the impact on
older individuals, families of older individuals, and the community being
served; and</text>
</subparagraph><subparagraph id="ID061b2efdcd34446f9b4001049872ef47"><enum>(C)</enum><text>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.</text>
</subparagraph></paragraph><paragraph id="IDd3b96fc71e78492ea053bd8a88a20915"><enum>(2)</enum><header>Report</header><text>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.</text>
</paragraph></subsection><subsection id="ID7f797fc3fedb43a29f4302ee2d5431da"><enum>(g)</enum><header>Report to
Congress</header><text>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—</text>
<paragraph id="ID7fa0e0cf99a341c0b4407b7e44444642"><enum>(1)</enum><text>a description of
the nature and operation of the projects funded under this section and other
activities conducted in support of such projects;</text>
</paragraph><paragraph id="ID57796f7d041d4d28ad015a20e8c52056"><enum>(2)</enum><text>the findings
resulting from the evaluations of the model projects conducted under this
section;</text>
</paragraph><paragraph id="IDdd004c6aa6414c7f90a5763aff4838ac"><enum>(3)</enum><text>a description of
recommended best practices of modern multipurpose senior centers;</text>
</paragraph><paragraph id="IDdd64902a243942388d59613fa1286a50"><enum>(4)</enum><text>a strategy for
disseminating the findings resulting from the projects described in paragraph
(1); and</text>
</paragraph><paragraph id="IDd5a1fe76d92c454ebc4dac72dbbe8f26"><enum>(5)</enum><text>recommendations
for legislative or administrative action, as the Assistant Secretary determines
appropriate.</text>
</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="id21A3EF81F3ED44D49D470BA5F68DFF5E"><enum>406.</enum><header>Demonstration
program on care coordination and service delivery</header>
<subsection id="idA4428C0BAA084CAAB2B90E25C5680022"><enum>(a)</enum><header>Findings</header><text display-inline="yes-display-inline">Congress finds the following:</text>
<paragraph id="ID593616b13bbf4d56b4d27046bf1df237"><enum>(1)</enum><text>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.</text>
</paragraph><paragraph id="ID51069004e82d44e1b3c85b35d32f2854"><enum>(2)</enum><text>Direct-care
workers (referred to in this subsection as <term>DCWs</term>) 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.</text>
</paragraph><paragraph id="IDfe515f8183dd443dac7fe64965f0f4a4"><enum>(3)</enum><text>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.</text>
</paragraph><paragraph id="ID8d8d371dd5214a0397d51987f825abd0"><enum>(4)</enum><text>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.</text>
</paragraph><paragraph id="ID1f7291c6101f4e35b424c96e04e57371"><enum>(5)</enum><text>A 2008 Institute
of Medicine report, entitled <quote>Re-tooling for an Aging America: Building
the Health Care Workforce</quote>, called for new models of care delivery and
coordination, and dedicated a chapter to the central importance of the
direct-care workforce in a <quote>re-tooled</quote> eldercare delivery
system.</text>
</paragraph><paragraph id="ID5f035ceda2bb474d8a1ca08957d19ab6"><enum>(6)</enum><text>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.</text>
</paragraph><paragraph id="ID84d7371573984fd6835b98cad709daca"><enum>(7)</enum><text>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.</text>
</paragraph><paragraph id="IDd295771e05ea4382982e6a84f3d94985"><enum>(8)</enum><text>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.</text>
</paragraph></subsection><subsection id="id69800CBEC8BD4142BBFA9FC46CAA10B7"><enum>(b)</enum><header>Program</header><text>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:</text>
<quoted-block display-inline="no-display-inline" id="idF7528470154743C9AB99549C018EB9C2" style="OLC">
<section id="id91ABD2D6CAE5421AAAA25FF7802107FA"><enum>424.</enum><header>Demonstration
program on care coordination and service delivery</header>
<subsection id="idDA19ED70A9234F1295818729E102715B"><enum>(a)</enum><header>Establishment
of demonstration program</header>
<paragraph id="idB513F76D578348E691C7054E581A505A"><enum>(1)</enum><header>In
general</header><text>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—</text>
<subparagraph id="id96CA473F17D8460DAA5C6901178C2E58"><enum>(A)</enum><text>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</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id940AB693247942F69B022370F0FBD125"><enum>(B)</enum><text>giving
direct-care workers opportunities for career advancement through additional
training, an expanded role, and increased compensation.</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id9CB2DCB1422045C9B9D43826AA6DAE2E"><enum>(2)</enum><header>Direct-care
worker</header><text>In this section, the term <term>direct-care worker</term>
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].</text>
</paragraph></subsection><subsection id="id93AEA66D37EC4E689864980D766991F5"><enum>(b)</enum><header>Demonstration
projects</header><text>The demonstration program shall be composed of 6
demonstration projects, as follows:</text>
<paragraph id="idB927D5AAC6DB4C15BD3C375DE0C5868E"><enum>(1)</enum><text>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.</text>
</paragraph><paragraph id="ID92f87374fd6b46c79d668857a79ded0d"><enum>(2)</enum><text>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.</text>
</paragraph><paragraph id="IDa38e73cc66c648d3af0183fd55fd0a68"><enum>(3)</enum><text>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.</text>
</paragraph></subsection><subsection id="id6E4505EDF79D4EC19C1473EF537B0289"><enum>(c)</enum><header>Eligible
entity</header><text>In this section, the term <term>eligible entity</term>
means a consortium that consists of—</text>
<paragraph id="id96DAD921906A4B839E5279FDF3855682"><enum>(1)</enum><text>not less than
1—</text>
<subparagraph id="idA74EB823E6EE4B8C991767F63845C2FE"><enum>(A)</enum><text>home personal
care service provider; or</text>
</subparagraph><subparagraph id="idC2FC741664EE4F3B9FDF7E7E1102013C"><enum>(B)</enum><text>area agency on
aging; and</text>
</subparagraph></paragraph><paragraph id="idA0DE101D7BD847BD9832D7C9972D0BD5"><enum>(2)</enum><text>not less than
1—</text>
<subparagraph id="idE55D58A50DB34992A6757A06432CED6A"><enum>(A)</enum><text>hospital or
health system;</text>
</subparagraph><subparagraph id="id0A9D9D5F247448E2872382FE4AE88DE7"><enum>(B)</enum><text>long-term care
and rehabilitation facility;</text>
</subparagraph><subparagraph id="id6BBA2258271542D0885A3F78EDF77AA1"><enum>(C)</enum><text>labor
organization or labor-management partnership;</text>
</subparagraph><subparagraph id="idC819F4D0C08D46FEA846BDA0388659EB"><enum>(D)</enum><text>community-based
aging service provider;</text>
</subparagraph><subparagraph id="id4FFFF48CD83A4369A859E09607C7A952"><enum>(E)</enum><text>patient-centered
medical home;</text>
</subparagraph><subparagraph id="id5963F174EFF642B690406449BC20C009"><enum>(F)</enum><text>Federally
qualified health center;</text>
</subparagraph><subparagraph id="id1B25FF858F6B4493800C6BDE2DED4373"><enum>(G)</enum><text>managed care
entity, including a managed health and long-term care program;</text>
</subparagraph><subparagraph id="id1288D389378B4733AF1EB77C530FF8DB"><enum>(H)</enum><text>entity that
provides health services training;</text>
</subparagraph><subparagraph id="idE08727BB556C47D1AA3FACDACF726354"><enum>(I)</enum><text>State-based
public entity engaged in building new roles and related curricula for
direct-care workers; or</text>
</subparagraph><subparagraph id="id4C4D51A0EBEA4D45BFC0C41260A03C8C"><enum>(J)</enum><text>any other entity
that the Assistant Secretary deems eligible based on integrated care
criteria.</text>
</subparagraph></paragraph></subsection><subsection id="idB670DBF25E594980B0CCDDF208E477BE"><enum>(d)</enum><header>Application</header><text>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—</text>
<paragraph id="id77828229ED844261B40396F00DEA5ABC"><enum>(1)</enum><text>a description of
the care coordination and service delivery models of the entity, detailed on a
general, organizational, and staff level;</text>
</paragraph><paragraph id="id719655DF04AF423BB1E86B2B9C5FF5E0"><enum>(2)</enum><text>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</text>
</paragraph><paragraph id="id04B725938D0D46DA94B1C6E370C505BF"><enum>(3)</enum><text>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.</text>
</paragraph></subsection><subsection id="idC7FF63ACC8474EE6AB8A10C9CFF1F1AC"><enum>(e)</enum><header>Planning awards
under demonstration program</header>
<paragraph id="idEE7DDDEC49C049F1989F099639357413"><enum>(1)</enum><header>In
general</header><text>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—</text>
<subparagraph id="ID3e046b5ccee14af2aa102481ec0a4c55"><enum>(A)</enum><text>designing the
implementation of the project;</text>
</subparagraph><subparagraph id="id279936757544485690C01BD26CD4DBF7"><enum>(B)</enum><text>identifying
competencies and developing curricula for the training of participating
direct-care workers;</text>
</subparagraph><subparagraph id="id26F0E4F5FE36493EA050D4C8DFB68981"><enum>(C)</enum><text>developing
training materials and processes for other members of the interdisciplinary
care team;</text>
</subparagraph><subparagraph id="idD406E3F631554E2887860700DDDD7813"><enum>(D)</enum><text>articulating a
plan for identifying and tracking cost savings gained from implementation of
the project and for achieving long-term financial sustainability; and</text>
</subparagraph><subparagraph id="IDb4cbf05928fc44b0a23928d4b52a4044"><enum>(E)</enum><text>articulating a
plan for evaluating the project.</text>
</subparagraph></paragraph><paragraph id="id06FB0766DE264DA9B6412124425701C3"><enum>(2)</enum><header>Amount and
term</header>
<subparagraph id="id614E29CD287E443DBCDFD88DA7783D22"><enum>(A)</enum><header>Total
amount</header><text>The amount awarded under paragraph (1) for all grants
shall not exceed $600,000.</text>
</subparagraph><subparagraph id="id707AD1560E154FB7993755FED37F23ED"><enum>(B)</enum><header>Term</header><text>Activities
carried out under a grant awarded under paragraph (1) shall be completed not
later than 1 year after the grant is awarded.</text>
</subparagraph></paragraph></subsection><subsection id="id5899F49D9382474BBF1CF4479EFAC3F1"><enum>(f)</enum><header>Implementation
awards under demonstration program</header>
<paragraph id="id1E1E9316D1FB4427903648D26787AA5E"><enum>(1)</enum><header>In
general</header><text>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—</text>
<subparagraph id="id6E9C9C0C0F4C491DAF6FE11C04E6DDCA"><enum>(A)</enum><text>has successfully
carried out the activities under the grant awarded under subsection (e);</text>
</subparagraph><subparagraph id="id373D5B60DAC245C18E0005AE578A1392"><enum>(B)</enum><text>offers a feasible
plan for long-term financial sustainability;</text>
</subparagraph><subparagraph id="id0FEE547EA2EE4027A141952A2D55E1BE"><enum>(C)</enum><text>has constructed a
meaningful model of advancement for direct-care workers; and</text>
</subparagraph><subparagraph id="idF08AF882483045CB9903964CE0763F9F"><enum>(D)</enum><text>aims to provide
training to a sizeable number of direct-care workers and to serve a sizeable
number of older individuals.</text>
</subparagraph></paragraph><paragraph id="idF47BDC89924540108917D7B1F7162BEE"><enum>(2)</enum><header>Use of
funds</header><text>The implementation activities described under paragraph (1)
shall include—</text>
<subparagraph id="ID20073b381e6a469189e8fc342dd14aa9"><enum>(A)</enum><text>training of all
care team members in accordance with the design of the demonstration project;
and</text>
</subparagraph><subparagraph id="idF91E156CEAAB47688BCE067F0759C89B"><enum>(B)</enum><text>evaluating the
competency of all staff based on project design.</text>
</subparagraph></paragraph><paragraph id="id02B037412FC84D26BFE7E6BB2A2971AA"><enum>(3)</enum><header>Evaluation and
report</header>
<subparagraph id="idFE87D344761749A1BB146A6DEF69A64B"><enum>(A)</enum><header>Evaluation</header><text>Each
recipient of a grant under paragraph (1), in consultation with an independent
evaluation contractor, shall—</text>
<clause id="ID74f12464f9e248f1afb6ad09701b3eb4"><enum>(i)</enum><text>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;</text>
</clause><clause id="idADA6FFB5B4C44301A5DAD99576532732"><enum>(ii)</enum><text>evaluate the
impact of such training and deployment on the long-term services and supports
delivery system and resources;</text>
</clause><clause id="id2044AE3271B74895BBDDB4EFA6D73623"><enum>(iii)</enum><text>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</text>
</clause><clause id="id2A61A133FDAB4DB798ECCF2B03202886"><enum>(iv)</enum><text>evaluate the
long-term financial sustainability of the model used under the grant and the
impact of such model on quality of care.</text>
</clause></subparagraph><subparagraph id="ID5050355153ef4eed825e3734dcf1e9d4"><enum>(B)</enum><header>Reports</header><text>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—</text>
<clause id="idF09FBAFA8AB14B2D8343C1C69817E897"><enum>(i)</enum><text>the outcomes,
performance benchmarks, and lessons learned from the project;</text>
</clause><clause id="idD8A01B52E5994B719866556D17BF8556"><enum>(ii)</enum><text>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</text>
</clause><clause id="idB37576D7BD1142B8B923645E4DABFF3A"><enum>(iii)</enum><text>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.</text>
</clause></subparagraph></paragraph><paragraph id="id559F56A835AF42D3B818497544F2047E"><enum>(4)</enum><header>Amount and
term</header>
<subparagraph id="idE6FAC9399CDF4649B4ED31C0C02FC78A"><enum>(A)</enum><header>Total
amount</header><text>The amount awarded under paragraph (1) for all grants
shall not exceed $2,900,000.</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id16CACA26EFA34E798A64E080EEAF6792"><enum>(B)</enum><header>Term</header><text>Activities
carried out under a grant awarded under paragraph (1) shall be completed not
later than 2 years after the grant is
awarded.</text>
</subparagraph></paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><section id="id92DC4D4D1145449BA0E815D19CE70929"><enum>407.</enum><header>Livable
communities grant program</header><text display-inline="no-display-inline">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:</text>
<quoted-block display-inline="no-display-inline" id="id003FB036CD474FF5AAFE4594F1AC22CC" style="OLC">
<section id="id74B8F30BA3EA4EC298B89BCAC13F6961"><enum>425.</enum><header>Livable
communities grant program</header>
<subsection id="id1412AFABCE03472CB00DEE121973F8CA"><enum>(a)</enum><header>Definitions</header><text>In
this section:</text>
<paragraph id="idD49D59975D69426C899514D336DC9C06"><enum>(1)</enum><header>Eligible
entity</header><text>The term <term>eligible entity</term> means—</text>
<subparagraph id="idA8233C7A9DEC431B880CA9503221A197"><enum>(A)</enum><text>a State;</text>
</subparagraph><subparagraph id="idE63F4D279F7742E799EE69A04DE135E3"><enum>(B)</enum><text>an area agency on
aging; or</text>
</subparagraph><subparagraph id="id332140E45ACA415BB434191E8A0E3A55"><enum>(C)</enum><text>a tribal or
Native Hawaiian organization.</text>
</subparagraph></paragraph><paragraph commented="no" id="idEF91E467EF4D48A0ABC1F7AE20DB777A"><enum>(2)</enum><header>Livable
community</header><text>The term <term>livable community</term> means a
metropolitan, urban, suburban, or rural community in which—</text>
<subparagraph commented="no" id="id2862EE16479E4457BAD4F68BA6E7B7C9"><enum>(A)</enum><text>safe, reliable,
and accessible transportation choices exist;</text>
</subparagraph><subparagraph commented="no" id="id4F928D03FF4842958B41736B3EA420CB"><enum>(B)</enum><text>long-term,
affordable, accessible, energy-efficient, and conveniently located housing
choices exist for people of all ages, incomes, races, and ethnicities;</text>
</subparagraph><subparagraph commented="no" id="id97EC29839C1E4B42B2019FA4BFCDFD1C"><enum>(C)</enum><text>the growth of
neighborhoods is supported, revitalized, and encouraged, and the
cost-effectiveness of infrastructure is maximized;</text>
</subparagraph><subparagraph commented="no" id="idC5108A853E1E43D9879B7EC836612984"><enum>(D)</enum><text>economic
development and economic competitiveness are promoted;</text>
</subparagraph><subparagraph commented="no" id="id714BD57BB90442769E4D8518ADDE5701"><enum>(E)</enum><text>the environment
and natural resources are preserved;</text>
</subparagraph><subparagraph commented="no" id="id685D91CE55CF43309D9D0997C79E31DA"><enum>(F)</enum><text>agricultural
land, rural land, and green space are protected; and</text>
</subparagraph><subparagraph commented="no" id="id234AAFD940DA4FBE93BF6E8F12FEE7A2"><enum>(G)</enum><text>public health is
supported, improving the quality of life for residents of, and workers in, the
community.</text>
</subparagraph></paragraph><paragraph commented="no" id="idF883468E694F401384690C4E0AA81B3F"><enum>(3)</enum><header>Tribal or
native hawaiian organization</header><text>The term <term>tribal or Native
Hawaiian organization</term> means an organization that is eligible to receive
a grant under title VI.</text>
</paragraph></subsection><subsection id="idC78E15DC45444D29A303D1FB49FF32BF"><enum>(b)</enum><header>In
general</header><text>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).</text>
</subsection><subsection id="id2BBB7965112C45EEADB761938CC68544"><enum>(c)</enum><header>Availability of
funds</header>
<paragraph id="ID6f9c0efa72534d84b70340c5ff973c03"><enum>(1)</enum><header>States and area
agencies on aging</header><text>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—</text>
<subparagraph id="IDdebe335ade5744d79a79f9f46ee010cd"><enum>(A)</enum><text>$30,000 to each
State; and</text>
</subparagraph><subparagraph id="ID5258b7ec9629459ea837487afc7283bc"><enum>(B)</enum><text>$30,000 to each
area agency on aging.</text>
</subparagraph></paragraph><paragraph id="IDc889def59f674729bbc1c378ca6a1023"><enum>(2)</enum><header>Tribal or
native hawaiian organizations</header><text>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.</text>
</paragraph><paragraph id="idF53C967EBCB547EBB886B8F29C76BB01"><enum>(3)</enum><header>National
Resource Center</header><text>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).</text>
</paragraph><paragraph id="id931CD9A70B1E4CE8BDED4B2B97814254"><enum>(4)</enum><header>Insufficient
appropriations</header><text>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.</text>
</paragraph></subsection><subsection id="id50D4EC45F25947F4ABAFE6DFCE803C1B"><enum>(d)</enum><header>Application</header><text>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.</text>
</subsection><subsection id="idB33FB2354C6942DB9E0EE2D47672D3DB"><enum>(e)</enum><header>Use of grant
funds</header><text>An eligible entity may use the funds made available through
a grant—</text>
<paragraph id="ID9f009f32f49c4a868b8d1ec0d02a958d"><enum>(1)</enum><text>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;</text>
</paragraph><paragraph id="IDdb2939afa1004026826d1ae723f02f7c"><enum>(2)</enum><text>to assess the
aging population; and</text>
</paragraph><paragraph id="ID5b99c0f9774446ad9121f8f48949ffa1"><enum>(3)</enum><text>to coordinate the
activities of State and local agencies in order to meet the needs of older
individuals.</text>
</paragraph></subsection><subsection id="idA6C64EFFA2064D8DBED1897734DAB3F7"><enum>(f)</enum><header>National
Resource Center</header>
<paragraph id="idEBF69424457145EDB72DC6D1D6D68871"><enum>(1)</enum><header>In
general</header><text>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).</text>
</paragraph><paragraph id="id0A2D925030C14EF8B14BE802DB2EC508"><enum>(2)</enum><header>Criteria for
selection</header><text>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.</text>
</paragraph><paragraph id="id39A1653FE6724C8DBD12D8D24B2C4712"><enum>(3)</enum><header>Application</header><text>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.</text>
</paragraph></subsection><subsection id="IDaf296b6fd8844cbcb136aaebc5ad4b99"><enum>(g)</enum><header>Federal
share</header>
<paragraph id="ID479947d00eee4c659ec5bf81b8cb0c30"><enum>(1)</enum><header>In
general</header><text>Except as provided in paragraph (2), the Federal share of
the cost described in subsection (b) shall be 75 percent.</text>
</paragraph><paragraph id="ID2cd0a9c1264e4634ae457de979c5c70e"><enum>(2)</enum><header>Exceptions</header>
<subparagraph id="ID5386a25fa2034efd853cd2e6ade36801"><enum>(A)</enum><header>Small and rural
communities</header><text>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.</text>
</subparagraph><subparagraph id="ID11417959c13c4312a80202d4d0d5812d"><enum>(B)</enum><header>Tribal or
native hawaiian organizations</header><text>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.</text>
</subparagraph></paragraph><paragraph id="IDdbb7a3d105634522b7c8b154bb207757"><enum>(3)</enum><header>Non-Federal
share</header>
<subparagraph id="IDda28b4ab00894158b96fcf9095181607"><enum>(A)</enum><header>In-kind
contributions</header><text>For the purpose of this section, the non-Federal
share of the cost may be provided in cash or in-kind, fairly evaluated.</text>
</subparagraph><subparagraph id="IDb3a56a1743a74fc6a07e8a375dc8eda5"><enum>(B)</enum><header>Other Federal
funding</header><text>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.</text>
</subparagraph></paragraph></subsection><subsection id="id37650AD344224A50B5200021850754E1"><enum>(h)</enum><header>Authorization
of appropriations</header>
<paragraph id="idD7610469AC2D412A8ACF81D7F6E7A6DD"><enum>(1)</enum><header>In
general</header><text>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.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id016AFE104D864352990EEE15A3B69B89"><enum>(2)</enum><header>Sense of the
Senate</header><text>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.</text>
</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="H1F023B41500C4873A40072E49ECE35E1"><enum>408.</enum><header>Innovation to
improve transportation for older individuals who are Holocaust
survivors</header><text display-inline="no-display-inline">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:</text>
<quoted-block display-inline="no-display-inline" id="HAD39B250C6394EBF97DE968ECBCB29F1" style="OLC">
<section id="HAF31D3AB356E46648AC0DDE885407841"><enum>426.</enum><header>Innovation to
improve transportation for older individuals who are Holocaust
survivors</header>
<subsection id="H46998C210FF84BADA407C65B1589F19F"><enum>(a)</enum><header>In
general</header><text>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.</text>
</subsection><subsection id="H7F91D9AE757F482284153460632F3CFB"><enum>(b)</enum><header>Use of
funds</header>
<paragraph id="H83F5FEB0316C43CE85E40CB490AC5E48"><enum>(1)</enum><header>In
general</header><text>An eligible entity receiving a grant or contract under
subsection (a)—</text>
<subparagraph id="id9491902F3581465091F029941A33249E"><enum>(A)</enum><text>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</text>
</subparagraph><subparagraph id="idA86B44B38B6948178F58424AD937E8C9"><enum>(B)</enum><text>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.</text>
</subparagraph></paragraph><paragraph id="H5997766595D64A50AC2A9124E9229B13"><enum>(2)</enum><header>Specific
activities</header><text>In carrying out a demonstration project or providing
technical assistance under paragraph (1) the eligible entity may carry out
activities that include—</text>
<subparagraph id="H2710CCCA4E844618845CE2EF82415C13"><enum>(A)</enum><text>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;</text>
</subparagraph><subparagraph id="H491B3E2396034F3AB0962C88D65E76E6"><enum>(B)</enum><text>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;</text>
</subparagraph><subparagraph id="H14FDC5B564324D8C847BD014BBF61360"><enum>(C)</enum><text>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</text>
</subparagraph><subparagraph id="H50D2FEF015FF4A16B29442171FA16B8C"><enum>(D)</enum><text>providing special
services to link older individuals to transportation services not provided
under title III.</text>
</subparagraph></paragraph></subsection><subsection id="H896BB225ED784241B385964A74CD979E"><enum>(c)</enum><header>Preference</header><text>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.</text>
</subsection><subsection id="H5FDC8A142C2D4DBDB2066E973326A107"><enum>(d)</enum><header>Consultation</header><text>In
selecting grantees under this section, the Assistant Secretary shall consult
with the individual designated under section 210(a) of the
<short-title>Older Americans Act Amendments of
2012</short-title> and with national organizations with special expertise in
serving Holocaust survivors who are older individuals.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="H6203127FCF4745AA85345BA7D0A2FDB1"><enum>(e)</enum><header>Eligible
entity</header><text>In this section, the term <quote>eligible entity</quote>
means an entity that has previous extensive experience working with and
conducting assessments of the needs of older
individuals.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="idE7813D3F3619410BA8823CC5D6149D02"><enum>409.</enum><header>Grants or
contracts to facilitate low-income access to dental care</header><text display-inline="no-display-inline">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:</text>
<quoted-block display-inline="no-display-inline" id="idA08BA9600C824FDEB58BD27FCC8038A9" style="OLC">
<section id="id0539E61ECFD84FE98100FE7A94366589"><enum>427.</enum><header>Grants or
contracts to facilitate low-income access to dental care</header>
<subsection id="idB028EEF740F94437A06E509746178927"><enum>(a)</enum><header>Definition</header><text>In
this section, the term <term>medically recommended dental care</term> 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.</text>
</subsection><subsection id="idE8142EEC62DD40A4BC1FE85560670F5A"><enum>(b)</enum><header>Grants</header><text>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—</text>
<paragraph id="id5FDEDD8F737545F5BD7397F79E10E10E"><enum>(1)</enum><text>coordinate the
provision of medically recommended dental care to eligible individuals by
volunteer dentists in a manner consistent with State licensing laws; and</text>
</paragraph><paragraph id="idC6EED4AF89CE4B0B8014243FB8448F1E"><enum>(2)</enum><text>verify the
medical, dental, and financial needs of eligible individuals who may be
eligible for free medically recommended dental care.</text>
</paragraph></subsection><subsection id="id139EB52C62314C67877BB74328023A75"><enum>(c)</enum><header>Eligibility</header>
<paragraph id="id3A5C650769964A5CA6754A2CED7129DD"><enum>(1)</enum><header>Eligible
entity</header><text>To be eligible to receive a grant or contract under
subsection (b), an entity shall—</text>
<subparagraph id="idD99C7008D847478082C1D67241CC8EDB"><enum>(A)</enum><text>be an entity that
is exempt from tax under section 501(c) of the Internal Revenue Code of
1986;</text>
</subparagraph><subparagraph id="id129E3575AA8A48E2B2FAE12E954CFF56"><enum>(B)</enum><text>provide for the
participation of eligible individuals in a free dental services program on a
national basis; and</text>
</subparagraph><subparagraph id="id3742A855F9E148FBB03E50A0A949542E"><enum>(C)</enum><text>submit to the
Secretary an application at such time, in such manner, and containing such
information as the Secretary may require.</text>
</subparagraph></paragraph><paragraph id="id5EF99AC075BF4356A5F0C99999C8BF8C"><enum>(2)</enum><header>Eligible
individual</header><text>To be eligible to participate in a program described
in paragraph (1)(B), an individual shall be—</text>
<subparagraph id="idF14CDC2FF0F74BBD86FBE7B22776C539"><enum>(A)</enum><text>an older
individual with greatest economic need;</text>
</subparagraph><subparagraph id="idEDAF13278AB04F168C0EF810D532C5DA"><enum>(B)</enum><text>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</text>
</subparagraph><subparagraph id="id26445C1654B642AF8963BEC2333A89A1"><enum>(C)</enum><text>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.</text>
</subparagraph></paragraph></subsection><subsection id="id5B92966535D54473B78E5A674E3688CA"><enum>(d)</enum><header>Use of
funds</header><text>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.</text>
</subsection><subsection id="idDF57CCF1EF9540B6AEE7F83484110D6D"><enum>(e)</enum><header>Evaluation and
report</header>
<paragraph id="id093AB9C1022042A09B3B93D6BC73DE1F"><enum>(1)</enum><header>Evaluation</header><text>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.</text>
</paragraph><paragraph id="id64E1F3FA41C24CBB97F5FED7E90920A2"><enum>(2)</enum><header>Report</header><text>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.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id4B405C214D214286AD39A3C5EB00D48E"><enum>(f)</enum><header>Authorization
of appropriations</header><text>There is authorized to be appropriated to carry
out this section, $2,000,000 for each of fiscal years 2013 through
2017.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section commented="no" display-inline="no-display-inline" id="id5EC63F56479E4F478FBC8E11932DC3AC" section-type="subsequent-section"><enum>410.</enum><header display-inline="yes-display-inline">National Resource Center on Family
Caregiving</header>
<subsection commented="no" display-inline="no-display-inline" id="id75DEF0E5AED34C719399A1C38E6B3F89"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">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:</text>
<quoted-block display-inline="no-display-inline" id="id36FA294ACE4442B28A90064BB8E31761" style="OLC">
<section commented="no" display-inline="no-display-inline" id="idF2EE448258C8421FAED4CC1FFEC3B083" section-type="subsequent-section"><enum>428.</enum><header display-inline="yes-display-inline">National resource center on family
caregiving</header>
<subsection commented="no" display-inline="no-display-inline" id="idD710E3A9A9724A719EB9708F5B91FAFC"><enum>(a)</enum><header display-inline="yes-display-inline">Definitions</header><text display-inline="yes-display-inline">In this section:</text>
<paragraph commented="no" display-inline="no-display-inline" id="id2E5144483FDC4D0F986720DA34551C21"><enum>(1)</enum><header display-inline="yes-display-inline">Public or private nonprofit
entity</header><text display-inline="yes-display-inline">The term <term>public
or private nonprofit entity</term> means—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="idB687C23F5EB34EC19406AE48BE4ECFBA"><enum>(A)</enum><text display-inline="yes-display-inline">a State, a political subdivision of a
State, or an agency or instrumentality of such a State or political
subdivision; or</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id8DA6D015532E4821ADDA545C3DE94D86"><enum>(B)</enum><text display-inline="yes-display-inline">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.</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id4BDB0F0005D240E6BF7A88101BAF1DA8"><enum>(2)</enum><header display-inline="yes-display-inline">State</header><text display-inline="yes-display-inline">The term <term>State</term> means 1 of the
50 States.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id3B664A22F51D499B82134CCEBA9D9A3F"><enum>(b)</enum><header display-inline="yes-display-inline">Establishment</header><text display-inline="yes-display-inline">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 <quote>Center</quote>).</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="id045A474679E046B9933AEEEC3EBC7834"><enum>(c)</enum><header display-inline="yes-display-inline">Purposes of National Resource
Center</header><text display-inline="yes-display-inline">The Center
shall—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id5025A2FDF0B94F628E86DBB8FEB7B856"><enum>(1)</enum><text display-inline="yes-display-inline">identify, develop, and disseminate
information on best practices for and evidence-based models of family caregiver
support programs;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id84AF6FA1E50A4346A850AC923C239FDF"><enum>(2)</enum><text display-inline="yes-display-inline">provide timely information on policy and
program updates relating to family caregivers;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id095F84BDE117429E9E0BEE0EF043E3BF"><enum>(3)</enum><text display-inline="yes-display-inline">partner with related organizations to
disseminate practical strategies and tools to support families in their
caregiving roles;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id62E2F03A9C844F74BAFBC39282ED839C"><enum>(4)</enum><text display-inline="yes-display-inline">convene educational programs and web-based
seminars on family caregiver issues and program development; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id9B2AD4BBD1294E8984CA3BB778283B33"><enum>(5)</enum><text display-inline="yes-display-inline">provide a comprehensive Internet website
with a national searchable database on family caregiver programs and resources
in the States.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id33B4832A2099411FA65D0E5412DB672D"><enum>(d)</enum><header display-inline="yes-display-inline">Authorization</header><text display-inline="yes-display-inline">There is authorized to be appropriated to
carry out this section $12,000,000 for the period of fiscal years 2013 through
2017.</text>
</subsection></section><after-quoted-block>. </after-quoted-block></quoted-block>
</subsection><subsection commented="no" display-inline="no-display-inline" id="id790E2C0167C14CE2A8917469DFBFE7DC"><enum>(b)</enum><header display-inline="yes-display-inline">Technical amendments</header>
<paragraph commented="no" display-inline="no-display-inline" id="id59DCA5B4B609493484DBCD2E7AB6274F"><enum>(1)</enum><text display-inline="yes-display-inline">Section 431(a) of such Act (42 U.S.C.
3033(a)) is amended by striking <quote>or contract</quote> the first place it
appears and inserting <quote>or contract (including a cooperative
agreement)</quote>.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idFD29438F344D4E2B8676CA65C079160C"><enum>(2)</enum><text display-inline="yes-display-inline">Section 432(a) of such Act (42 U.S.C.
3033a(a)) is amended by striking <quote>and contracts</quote> and inserting
<quote>and contracts (including cooperative agreements)</quote>.</text>
</paragraph></subsection></section><enum>V</enum><header>Community service
senior opportunities</header>
<section commented="no" id="idEE4E89AE3FF942DBA1BC84A7E7648CFC"><enum>501.</enum><header>Older american
community service employment program</header><text display-inline="no-display-inline">Section 502 of the Older Americans Act of
1965 (42 U.S.C. 3056) is amended—</text>
<paragraph commented="no" id="id994E32DC54104C3581222BA0AA58290D"><enum>(1)</enum><text>in subsection
(a)(1)—</text>
<subparagraph commented="no" id="idD5D0AC146C6040DDBB36D3AFB1F8964D"><enum>(A)</enum><text>by striking
<quote>To foster individual economic self-sufficiency and</quote> and inserting
<quote>To further the goal of economic security, foster individual economic
self-sufficiency, grow local economies, improve the quality of life in local
communities, and</quote>; and</text>
</subparagraph><subparagraph commented="no" id="idB33D291BB9DD4040BDFDC6AFD1CE4165"><enum>(B)</enum><text>by striking
<quote>persons who are age 55</quote> and inserting <quote>persons who are not
economically secure and who are age 55</quote>;</text>
</subparagraph></paragraph><paragraph commented="no" id="id45DF8938C94F445FBC7E409C9A161AA2"><enum>(2)</enum><text>in subsection
(b)—</text>
<subparagraph commented="no" id="id4D047253D9184D03A8CD64C5E32AAD09"><enum>(A)</enum><text>in paragraph
(1)—</text>
<clause commented="no" id="idA3A7044F445F43DBA05CB81AA3F8DB4C"><enum>(i)</enum><text display-inline="yes-display-inline">in the matter preceding subparagraph (A),
in the first sentence, by inserting after <quote>nonprofit private agencies and
organizations</quote> the following: <quote>(which nonprofit organizations may
include eligible technology organizations)</quote>;</text>
</clause><clause commented="no" id="id59BD669B663D4835AC997EA486EDCE34"><enum>(ii)</enum><text display-inline="yes-display-inline">in subparagraph (E)—</text>
<subclause commented="no" id="id38A806E2D3714A50B01D6301C6477AA9"><enum>(I)</enum><text display-inline="yes-display-inline">by striking <quote>support for
children,</quote> and inserting <quote>support for adults, children,</quote>;
and</text>
</subclause><subclause commented="no" id="id28851FF6C4B44BE5AAB90A6AA28075F3"><enum>(II)</enum><text>by inserting
<quote>, and which may include support for the health and safety of older
adults and the prevention and detection of elder abuse</quote> after
<quote>families</quote>;</text>
</subclause></clause><clause commented="no" id="id42AEFBF4DA1443E9A321FF36B4B65587"><enum>(iii)</enum><text>in subparagraph
(Q), by striking <quote>and</quote> at the end;</text>
</clause><clause commented="no" id="id3FC68B4BAD534944BAD7E0E5F66C8224"><enum>(iv)</enum><text>in subparagraph
(R), by striking the period and inserting <quote>; and</quote>; and</text>
</clause><clause commented="no" id="idC625F4CA81EF4A3F856B69E37307252E"><enum>(v)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id91FF74DC6390433CAA17CB5E5F7FA551" style="OLC">
<subparagraph commented="no" id="id4B7E1CA4FF8D4272BD17AD36FD9224AF"><enum>(S)</enum><text>will, to the
maximum extent practicable, achieve the goal described in paragraph
(4).</text>
</subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph commented="no" id="id91746AD196424FEF823F3BCC9A31E7C2"><enum>(B)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id5E7331C5734B40D587DCE4ED4B440BA1" style="OLC">
<paragraph id="id61382574041440608ACDC2FAA5FFA311"><enum>(4)</enum><header>Placement
goal</header>
<subparagraph id="idFC31B8FB44A3487D8894B5C254A235D8"><enum>(A)</enum><header>Goal</header><text>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.</text>
</subparagraph><subparagraph id="idB6DA187BCC234E938ECBD0DEF3095F24"><enum>(B)</enum><header>Contracts with
service providers</header><text>In order to achieve the goal described in
subparagraph (A), each such grantee shall enter into a contract or memorandum
of understanding with—</text>
<clause id="id48B7CC144B2D4F9BA74172865E04E3AB"><enum>(i)</enum><text>entities from 2
or more categories of entities, which categories shall consist of—</text>
<subclause id="idD632D78DC1B343EC95615CFDBE003102"><enum>(I)</enum><text>the State
Long-Term Care Ombudsman selected in accordance in section 712;</text>
</subclause><subclause id="IDcac05c97208c4d16be9a477fa25e2bc2"><enum>(II)</enum><text>an area agency
on aging;</text>
</subclause><subclause id="ID22d4c22e638c4605802089f3e5e0898e"><enum>(III)</enum><text>a multipurpose
senior center;</text>
</subclause><subclause id="ID2eadfa2f8f574013a840383b722b5160"><enum>(IV)</enum><text>a contractor
providing support services under part B, C, D, or E of title III; and</text>
</subclause><subclause commented="no" id="IDbf0fdab453f146e499a8b691d934f00c"><enum>(V)</enum><text>a transportation
service provider; or</text>
</subclause></clause><clause commented="no" display-inline="no-display-inline" id="id69228DFBE5EF4AF79C39EB8F0D97D7F1"><enum>(ii)</enum><text>an entity
approved by the Assistant Secretary, and the Secretary of
Labor.</text>
</clause></subparagraph></paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" id="idB06959E9B61240188BD6D5E6BBD284AC"><enum>(3)</enum><text>in subsection
(e)(2)—</text>
<subparagraph commented="no" id="id6514FDF0FBC346A5BDB54146308E1ED5"><enum>(A)</enum><text>in subparagraph
(E), by striking <quote>and</quote> at the end;</text>
</subparagraph><subparagraph commented="no" id="idC6B71BBD23564910BB34328747D1C895"><enum>(B)</enum><text>in subparagraph
(F), by striking the period and inserting <quote>; and</quote>; and</text>
</subparagraph><subparagraph commented="no" id="id375DE23F59FC42B2A71CBFD7D33BC778"><enum>(C)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="idF876C7939755432A808E17D247920A2D" style="OLC">
<subparagraph commented="no" id="idF8E41282BD7D4E6FA1EFA8DD301ADA6D"><enum>(G)</enum><text>a project
carried, out by an eligible technology organization, that will focus on the
provision to eligible individuals of—</text>
<clause commented="no" id="id5908C46C654A4AD38940E80D57EC3B57"><enum>(i)</enum><text>basic and
intermediate computer skills;</text>
</clause><clause commented="no" id="idDDC3AB18390B450FBA1B4FFAC74F7828"><enum>(ii)</enum><text>Internet
skills;</text>
</clause><clause commented="no" id="idAD66EE34E0164C73AA94E6F7B3826F5B"><enum>(iii)</enum><text>e-mail
skills;</text>
</clause><clause commented="no" id="id896AC40A564E470E986F1865EF1BC701"><enum>(iv)</enum><text>word processing
and spreadsheet skills;</text>
</clause><clause commented="no" id="id31DFD4CDF2C94BD686199FB5A0B45E0E"><enum>(v)</enum><text>presentation
software skills; and</text>
</clause><clause commented="no" id="idAB7EE9E2EA894321B983D86B51A6CAB0"><enum>(vi)</enum><text>any other key
skills appropriate for assisting eligible individuals in entering or
re-entering the
workforce.</text>
</clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></section><section id="id25667CE0E83041929F133CCCABF035AC"><enum>502.</enum><header>State
plan</header><text display-inline="no-display-inline">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:</text>
<quoted-block display-inline="no-display-inline" id="id595ED3B71C52466B8EE45D8CBA04DD30" style="OLC">
<clause id="id8C629399A9FF4255A4483F00E8A4EAB7"><enum>(i)</enum><text>minority and
Indian eligible individuals;</text>
</clause><clause id="id1715A78103784FE2B96F3E260C7879E9"><enum>(ii)</enum><text>eligible
individuals with limited English proficiency;</text>
</clause><clause id="id767E129B8A4449CC86D11965B3D66046"><enum>(iii)</enum><text>eligible
individuals with disabilities;</text>
</clause><clause id="id8725A634D4C14C84AB293E8C18A7CDE9"><enum>(iv)</enum><text>eligible
individuals with greatest economic need; and</text>
</clause><clause id="id3BB7694F86654D1285BC1A926A496C7B"><enum>(v)</enum><text>eligible
individuals with greatest social need;</text>
</clause><after-quoted-block>.
</after-quoted-block></quoted-block>
</section><section commented="no" id="id919E0FF0AE8E442D95D369969D72DBE1"><enum>503.</enum><header>Authorization
of appropriations</header><text display-inline="no-display-inline">Section
517(a) of the Older Americans Act of 1965 (42 U.S.C. 3056o(a)) is amended to
read as follows:</text>
<quoted-block display-inline="no-display-inline" id="idF1B123AE3FC24E789FF068B551302D34" style="OLC">
<subsection commented="no" id="id8B8F46D7589841C38C8AEC4BD6D6CDB1"><enum>(a)</enum><header>Authorization</header>
<paragraph commented="no" id="id9600C2C866DB4FA0A19EB296E0AF63B8"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">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.</text>
</paragraph><paragraph commented="no" id="idCE6FF4B498304E0FAE936AD017272A3F"><enum>(2)</enum><header>Sense of
Congress</header><text display-inline="yes-display-inline">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.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section commented="no" id="id845B83B2548D4FF7BD13FEE3EA87E7EB"><enum>504.</enum><header>Definitions</header><text display-inline="no-display-inline">Section 518(a) of the Older Americans Act of
1965 (42 U.S.C. 3056p(a)) is amended—</text>
<paragraph commented="no" id="id4A04FDE09A9140BAB4D6F3EFF2EBA5F8"><enum>(1)</enum><text display-inline="yes-display-inline">by redesignating paragraphs (4) through (8)
as paragraphs (5) through (9), respectively; and</text>
</paragraph><paragraph commented="no" id="id45B3126B646C4555B577A3FEF3139C6B"><enum>(2)</enum><text display-inline="yes-display-inline">by inserting after paragraph (3) the
following:</text>
<quoted-block display-inline="no-display-inline" id="idD068D2754B164C63A12771CDB383836F" style="OLC">
<paragraph commented="no" id="idEC93B958586D40E39EFAC518ED4917A8"><enum>(4)</enum><header>Eligible
technology organization</header><text>The term <term>eligible technology
organization</term> includes a nonprofit organization that—</text>
<subparagraph commented="no" id="id45773B0B97A3483A826287DC06DD4572"><enum>(A)</enum><text>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</text>
</subparagraph><subparagraph commented="no" id="id240F97D4A2174292BF595DA8888AE48F"><enum>(B)</enum><text>is an eligible
provider of training services identified under section 122 of the Workforce
Investment Act of 1998 (29 U.S.C.
2842).</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="idFC65FB8A39E74BDE98EA11F07181769D"><enum>505.</enum><header>Study on
feasibility of transfer of program</header>
<subsection id="idFD3DB2669974409FA6903EC17FE83B96"><enum>(a)</enum><header>Study</header><text>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.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="id7B9594646086416B8F460C514AA75EE7"><enum>(b)</enum><header>Report</header><text>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.</text>
</subsection></section><enum>VI</enum><header>Grants for
native americans</header>
<section id="ID7961b98689a445b0bda6ca4e7d22ece3"><enum>601.</enum><header>Technical
amendment</header><text display-inline="no-display-inline">Section 611 of such
Act (42 U.S.C. 3057b) is amended by striking <quote>(a)</quote> in the matter
preceding paragraph (1).</text>
</section><section id="idFEDBD6840A5C4944B80B9302F3558A13"><enum>602.</enum><header>Conforming
amendment</header><text display-inline="no-display-inline">Section 631(b) of
the Older Americans Act of 1965 (42 U.S.C. 3057k–11(b)) is amended by striking
<quote>subsections (c), (d), and (e)</quote> and inserting <quote>subsections
(d), (e), and (f)</quote>.</text>
</section><section id="ID8ac40a3d9b784cf08d319b84f67fa2b8"><enum>603.</enum><header>Reauthorization
of funding for grants for Native Americans</header><text display-inline="no-display-inline">Section 643(2) of the Older Americans Act of
1965 (42 U.S.C. 3057n(2)) is amended by striking <quote>part C,</quote> and all
that follows and inserting <quote>part C, $11,000,000 for each of fiscal years
2013 through 2017.</quote>.</text>
</section><enum>VII</enum><header>Vulnerable
elder rights protection activities</header>
<section id="idFC42B405CD3C4825AAC7B74D73C2EA52"><enum>701.</enum><header>Establishment</header><text display-inline="no-display-inline">Section 701 of the Older Americans Act of
1965 (42 U.S.C. 3058) is amended—</text>
<paragraph id="idB87C8BC0D03245C395D3BDC37463E931"><enum>(1)</enum><text>by inserting
<quote>and grants</quote> after <quote>allotments</quote>; and</text>
</paragraph><paragraph id="idBD0AECF5B63C4F489A3CD15DB5AF4DD6"><enum>(2)</enum><text display-inline="yes-display-inline">by adding at the end the following:
<quote>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.</quote>.</text>
</paragraph></section><section id="id1FC46183310C48C0ABEB34AEA7807430"><enum>702.</enum><header>Authorization
of Appropriations for Ombudsman Program</header>
<subsection id="id28B639105F2B45C1868D64C71A36B0BA"><enum>(a)</enum><header>State long-Term
care ombudsman program</header><text display-inline="yes-display-inline">Section 702 of the Older Americans Act of
1965 (42 U.S.C. 3058a) is amended—</text>
<paragraph id="id4B584218176342608E5719F71135F23C"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a), by striking <quote>,
such sums</quote> and all that follows and inserting <quote>, such sums as may
be necessary for fiscal years 2013, 2014, 2015, 2016, and 2017.</quote>;
and</text>
</paragraph><paragraph id="idB42F617753D54DB09DFAAFC75E76AC23"><enum>(2)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id856DE52E7308497B8FA561FDADBCB6D9" style="OLC">
<subsection id="id5881A8727D6B4AC8B1921DED5EAC7BBA"><enum>(d)</enum><header>Sense of
Congress</header><text>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.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="id7445F7F3C46440778B72275892F166A0"><enum>(b)</enum><header>State home care
ombudsman programs</header><text>Chapter 1 of subtitle A of title VII of the
Older Americans Act of 1965 is amended by inserting after section 702 (42
U.S.C. 3058a) the following:</text>
<quoted-block display-inline="no-display-inline" id="id9FC1BCBE7AF04DB5BDE4707D352C1051" style="OLC">
<section id="id5CBAE35C6FDF44E0ACC878CF150EB6D1"><enum>702A.</enum><header>Authorization
of appropriations for State home care ombudsman program</header><text display-inline="no-display-inline">There are authorized to be appropriated to
carry out chapter 5 such sums as may be necessary for fiscal year 2013 and each
subsequent fiscal
year.</text>
</section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><section id="idA4EF72E9031C460886F4868C4B2D37F9"><enum>703.</enum><header>Grants</header><text display-inline="no-display-inline">Section 703 of the Older Americans Act of
1965 (42 U.S.C. 3058b) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id589D3A34248C4691A62DA35B1917B53F" style="OLC">
<subsection id="ID07b87f142b1e44e4aa6f201880d29758"><enum>(d)</enum><header>Grants for
State home care ombudsman programs</header>
<paragraph id="idDF033490B5B2460299D8B81081E98C2D"><enum>(1)</enum><header>In
general</header><text>The Assistant Secretary shall use funds made available
under section 702A to award grants, on a competitive basis, to States for State
Home Care Ombudsman Programs.</text>
</paragraph><paragraph id="id9EF46973AFC74EA0A8E9CE9F9D855E1F"><enum>(2)</enum><header>Considerations</header><text>In
selecting States to receive the grants, the Assistant Secretary shall
consider—</text>
<subparagraph id="IDc4c6824771fd41fe95805bd91c9caa52"><enum>(A)</enum><text>a State’s current
financial support (as of the date of consideration) for home care ombudsman
services;</text>
</subparagraph><subparagraph id="IDd765be8e8cc340099796e38f01a45215"><enum>(B)</enum><text>a State’s
commitment to preventing conflict of interest between providers of home care
services and providers of home care ombudsman services; and</text>
</subparagraph><subparagraph id="ID3d93b2e6d68d48eca30fa440c4ebe9dc"><enum>(C)</enum><text>other criteria
determined by the Assistant Secretary.</text>
</subparagraph></paragraph><paragraph id="idBDC160019F064BADBC3FA8BA90347D4E"><enum>(3)</enum><header>Priorities</header><text>In
selecting States to receive the grants, the Assistant Secretary may give first
priority to States that are providing home care ombudsman services to home care
consumers on the date of enactment of section 737, and seek to enhance the home
care ombudsman programs through which the States provide those
services.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="idF229B5C33DB04CE1BDD60AD9B1B4A34B"><enum>704.</enum><header>Eligibility</header><text display-inline="no-display-inline">Section 704 of the Older Americans Act of
1965 (42 U.S.C. 3058c) is amended, in the matter preceding paragraph (1), by
inserting <quote>or grants</quote> after <quote>allotments</quote>.</text>
</section><section id="idC38689EE03034796B26DF8BABAE1E525"><enum>705.</enum><header>Additional
State plan requirements</header>
<subsection id="idB9F1307E387F4BD3BCE155A8FDC3A9A9"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Section 705 of the
Older Americans Act of 1965 (42 U.S.C. 3058d) is amended—</text>
<paragraph id="id493B5BBB6BAC40E3B181741817A1C147"><enum>(1)</enum><text>in subsection
(a)—</text>
<subparagraph id="id295E52C3247141998EF10024B48F2CF8"><enum>(A)</enum><text>in the matter
preceding paragraph (1), by inserting <quote>or grant</quote> after
<quote>allotment</quote>;</text>
</subparagraph><subparagraph id="ID8ff45a0f666345c3ae3dcf0b712832af"><enum>(B)</enum><text>in paragraph (1),
by striking <quote>requirements of the chapter and this chapter</quote> and
inserting <quote>requirements of this chapter and this subtitle</quote>;</text>
</subparagraph><subparagraph id="idE328F2350BC644CBA2A50C0D16C1CDFD"><enum>(C)</enum><text>in paragraph (2),
by inserting <quote>family caregivers,</quote> after <quote>title
VI,</quote>;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id78F77357292C47FDBA2EC79BC0E98E9C"><enum>(D)</enum><text>in paragraph (4),
by striking <quote>enactment of this subtitle</quote> and inserting
<quote>enactment of the chapter</quote>;</text>
</subparagraph><subparagraph id="idED2F0A0D7B4D4BEAAB40D717AF932D56"><enum>(E)</enum><text>in paragraph (6),
by striking <quote>and</quote> at the end;</text>
</subparagraph><subparagraph id="id868196D6B2B041ED831AC201DAD2C67F"><enum>(F)</enum><text>in paragraph (7),
by striking the period and inserting <quote>; and</quote>; and</text>
</subparagraph><subparagraph id="idF881637786684D5382E13C2928FFDE92"><enum>(G)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id377F87C74E9C4D0AB1188F5576B334A0" style="OLC">
<paragraph id="ID74b15bc7704449c48edfab641acaa60f"><enum>(8)</enum><text>subject to
section 705(b) of the Older Americans Act Amendments of 2012, an
assurance—</text>
<subparagraph id="id5423D676FCD544DE85A921E3B2207026"><enum>(A)</enum><text>that the State
has a Home Care Consumer Bill of Rights and a Plan for Enforcement of such a
Bill, developed in accordance with the procedures described under paragraph (2)
and as approved by the Assistant Secretary, and the State shall include a copy
of the Bill and Plan; or</text>
</subparagraph><subparagraph id="id4F5F58A4A2514BFA87BE409BB1C74FC2"><enum>(B)</enum><text>at the discretion
of the Assistant Secretary, in the event the State does not have an approved
Home Care Consumer Bill of Rights and Plan for Enforcement, that the State has
an alternative such as a proposal for developing and submitting for approval a
Home Care Consumer Bill of Rights and Plan for
Enforcement.</text>
</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="idF1B183FAC1074708AD92BF23428AD1AE"><enum>(2)</enum><text>by redesignating
subsection (b) as subsection (d);</text>
</paragraph><paragraph id="idFFEEB694853F47E3B88B3749620BCF3A"><enum>(3)</enum><text>by inserting
after subsection (a) the following:</text>
<quoted-block display-inline="no-display-inline" id="id46693D483B864F2BA8048306F52C2042" style="OLC">
<subsection id="id3C0CD9A99C5E40379D51C740C921A714"><enum>(b)</enum><header>Home Care
Consumer Bill of Rights</header><text>The Home Care Consumer Bill of Rights
referred to in subsection (a)(8) shall, at a minimum—</text>
<paragraph id="ID31ccc985627348938fccb78d9af0dcd0"><enum>(1)</enum><text>address a home
care consumer’s right to basic safety by—</text>
<subparagraph id="ID613b214e43d04c05b68971a8310bd301"><enum>(A)</enum><text>affirming that
home care consumers are protected from physical, sexual, mental, and verbal
abuse, neglect, and exploitation;</text>
</subparagraph><subparagraph id="ID5c9e6e494d59478d834930f7d85cf6c0"><enum>(B)</enum><text>affirming that
home care consumers are served by providers who are properly trained and are
providing home care services within their scope of practice and the scope of
their certification or licensure (if such a certification or licensure is
required by the applicable State);</text>
</subparagraph><subparagraph id="IDf11c3fb0cb874e8caff7c46e9e651acf"><enum>(C)</enum><text>affirming that
such providers maintain the confidentiality of all personal, financial, and
medical information of home care consumers; and</text>
</subparagraph><subparagraph id="IDfa66567fedfc4f54b7663924215f4bf0"><enum>(D)</enum><text>affirming that
providers respect the personal property of home care consumers, and in the
event of consumer reports of theft or loss, that providers will investigate and
report back to the consumer the results of the investigation;</text>
</subparagraph></paragraph><paragraph id="ID9ddebc9f5e4a46e0bfa7ce4f5b8d5143"><enum>(2)</enum><text>address a home
care consumer’s right to access information by—</text>
<subparagraph id="IDc2a2309e456f435094c58a29120f6381"><enum>(A)</enum><text>affirming that
home care consumers are informed of their rights under this subsection and
subsection (c) within 2 weeks after the start of home care services, and about
the entities the consumers may contact if their rights are violated, including
the name and contact information for State and local agencies responsible for
enforcing the Home Care Consumer Bill of Rights;</text>
</subparagraph><subparagraph id="ID3c602f13f5bf41d0bff4ee7ccd87e8a9"><enum>(B)</enum><text>affirming that
home care consumers—</text>
<clause id="id41ABB3A81B9D4EDB840822A85840E617"><enum>(i)</enum><text>are informed of
the cost of home care services prior to receiving those services, whether the
cost of those services are covered under health insurance, long-term care
insurance, or other private and public programs, and any charges the consumer
will be expected to pay; and</text>
</clause><clause id="idA64437E1F6A6439E8C028CFBF3178140"><enum>(ii)</enum><text>are given
advance notice of any changes to those costs or services; and</text>
</clause></subparagraph><subparagraph id="IDa0d4599c7fdb49528f95c920c628cd70"><enum>(C)</enum><text>affirming that
home care consumers have access to information about the availability of the
home care services provided in the community involved and have the ability to
choose among home care services and providers of home care services available
in the community;</text>
</subparagraph></paragraph><paragraph id="ID5e926410eaf840c3b071a26223c2b0df"><enum>(3)</enum><text>address a home
care consumer’s right to choice, participation, and self-determination
by—</text>
<subparagraph id="ID2886cf719771435c8df730600b879f95"><enum>(A)</enum><text>affirming that
home care consumers can participate in the planning of their home care
services, including making choices about aspects of their care and services
that are important to them, choosing providers and schedules to the extent
practicable, receiving reasonable accommodation of their needs and preferences,
and involving anyone they chose to participate with them in that
planning;</text>
</subparagraph><subparagraph id="ID745aa9e4966c4c04b1329c6cc167868b"><enum>(B)</enum><text>affirming that
home care consumers are provided with sufficient information to make informed
decisions, are fully informed in advance about any proposed changes in care and
services, and are involved in the decisionmaking process regarding those
changes; and</text>
</subparagraph><subparagraph id="IDf99bcd3d529147c6a42d4d9ab7be574f"><enum>(C)</enum><text>affirming that
home care consumers can refuse services and receive an explanation of the
consequences of doing so;</text>
</subparagraph></paragraph><paragraph id="ID8925644998304909bbe8717c19bb62bd"><enum>(4)</enum><text>address a home
care consumer’s right to receive care and services provided in a way that
promotes each consumer’s dignity and individuality;</text>
</paragraph><paragraph id="IDe30af6b2189240d5b2bd1ce2855c4b8e"><enum>(5)</enum><text>address a home
care consumer’s right to redress grievances by—</text>
<subparagraph id="ID5bb0aecd59ab48ca96312ada451bc1ae"><enum>(A)</enum><text>affirming that
home care consumers are able to voice grievances about the quality of their
home care services, the number of hours of service, and violations of their
rights, receive prompt responses to those concerns, and are informed about the
entities the consumers may contact to state those grievances in order to have
the grievances addressed in an appropriate and timely manner, and without
retaliation; and</text>
</subparagraph><subparagraph id="ID5d0f0d8313b34988b28cfc06f0edb411"><enum>(B)</enum><text>affirming that
home care consumers are able to assert their rights under this subsection and
subsection (c) without retaliation;</text>
</subparagraph></paragraph><paragraph commented="no" id="idB27A2E702C2542D39D03F0516FDAD9A9"><enum>(6)</enum><text>address the role
and responsibilities that fiduciaries may have in securing the rights of home
care consumers affirmed under the Home Care Consumer Bill of Rights; and</text>
</paragraph><paragraph id="ID3e6a2eb872e440e08ae1f18def2e3dc6"><enum>(7)</enum><text>meet any other
guidelines determined to be appropriate by the Assistant Secretary.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id805F365081F5425C8655DF518E33234E"><enum>(c)</enum><header display-inline="yes-display-inline">Plan for enforcement</header><text display-inline="yes-display-inline">In developing the Plan for Enforcement
referred to in subsection (a)(8), the State shall take into account the best
practices established under section 201(e)(2)(C). The Plan shall include a
description of how State entities with a role in protecting older individuals,
such as home care services licensing agencies, adult protective services
agencies, the Office of the State Long-Term Care Ombudsman (if the office has
jurisdiction over home and community-based long-term care), local law
enforcement agencies, and other entities determined to be appropriate by the
Assistant Secretary, will coordinate activities to enforce the Home Care
Consumer Bill of Rights.</text>
</subsection><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph id="idA0A8E3E5E6C047BC9DEDFF47A3FBB52D"><enum>(4)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id331F27EE687844C1935C46B8B94B8ECC" style="OLC">
<subsection id="id2213C3D10A594B1C889E1E20867D498C"><enum>(e)</enum><header>Definition</header><text>In
this section, the term <term>home care consumer</term> and <term>home care
services</term> have the meanings given the terms in section
736.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection commented="no" id="id52BAC38DDD3346628AF74A57C1B72CFB"><enum>(b)</enum><header>Application of
requirement To submit State home care consumer bill of rights and plan for
enforcement</header>
<paragraph commented="no" id="id83DE26EF0F2A40BA8129F833A46398DC"><enum>(1)</enum><header>In
general</header><text>The requirement for a State to provide an assurance, and
either a Home Care Consumer Bill of Rights and a Plan for Enforcement of such
Bill or an alternative, under paragraph (8) of section 705(a) of the Older
Americans Act of 1965 (as added by subsection (a)) shall apply to States
beginning on the date (referred to in this subsection as the <term>application
date</term>) that is 1 year after the date of the establishment of best
practices under section 201(e)(2)(C) of such Act (as added by section
201).</text>
</paragraph><paragraph commented="no" id="idBA4AC9EA48114484B342180528910908"><enum>(2)</enum><header>First
submission after application date</header><text>A State shall comply with
paragraph (8) of section 705(a) of the Older Americans Act of 1965 (as added by
subsection (a)) in whichever of the following 2 submissions occurs first with
respect to such State after the application date described under paragraph
(1):</text>
<subparagraph commented="no" id="id702E8A88CD0343C980D91A6099A4EA5E"><enum>(A)</enum><text>The submission of
a new State plan under section 307 of the Older Americans Act of 1965 (42
U.S.C. 3027).</text>
</subparagraph><subparagraph commented="no" id="id69000DA5F67B45E892EEBEC8089F4257"><enum>(B)</enum><text>The submission of
an annual revision to a State plan submitted under such section 307.</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id2C0BC3191D504F4CB78FB362027B2FB1"><enum>(3)</enum><header>Ongoing
submissions</header><text>After complying with paragraph (8) of section 705(a)
of the Older Americans Act of 1965 (as added by subsection (a)) in a submission
in accordance with paragraph (2) of this subsection, a State shall comply with
such paragraph (8) in each new State plan submitted under section 307 of the
Older Americans Act of 1965 (42 U.S.C. 3027).</text>
</paragraph></subsection></section><section id="idB4038842FD6A44C39E67B4B54F8029E9"><enum>706.</enum><header>Definitions</header><text display-inline="no-display-inline">Section 711(6) of the Older Americans Act of
1965 (42 U.S.C. 3058f(6)) is amended by striking <quote>older
individual</quote> and inserting <quote>individual</quote>.</text>
</section><section id="id8C854CC3A78F4C429798885FD8D55E19"><enum>707.</enum><header>State
Long-Term Care Ombudsman program</header><text display-inline="no-display-inline">Section 712 of the Older Americans Act of
1965 (42 U.S.C. 3058g) is amended—</text>
<paragraph id="id587AACBB8FAA4DE1B441C55A059176E8"><enum>(1)</enum><text>in subsection
(a)—</text>
<subparagraph id="idFFE5A8E9E3BB41EFA93C8D78604AEA33"><enum>(A)</enum><text>in paragraph (2),
by adding at the end the following: <quote>The Ombudsman shall be responsible
for the management, including the fiscal management, of the
Office.</quote>;</text>
</subparagraph><subparagraph id="idDCFBC0AAF6F64F898C32F8AB2A451F58"><enum>(B)</enum><text>in paragraph
(3)—</text>
<clause id="id50F371F721BB49A193E29D15AFBC8F97"><enum>(i)</enum><text>in
subparagraph (A), by striking clause (i) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="idEB5C1D8ED1B340FE9CAF5A0BC84E1590" style="OLC">
<clause id="idab09757a2d464f62b64d10f87e6515f1"><enum>(i)</enum><text>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;</text>
</clause><after-quoted-block>;</after-quoted-block></quoted-block>
</clause><clause id="id93FB43C4D2FA4496A867451E3981AFDD"><enum>(ii)</enum><text>in
subparagraph (D), by striking <quote>regular and timely</quote> and inserting
<quote>regular, timely, private, and unimpeded</quote>;</text>
</clause><clause id="id0AD1B95B602449AD83DF0F74E8C22032"><enum>(iii)</enum><text>by
redesignating subparagraphs (F) through (I) as subparagraphs (G) through
(J);</text>
</clause><clause id="id02C8299332E847CA88E15399BAEFA923"><enum>(iv)</enum><text>by
inserting after subparagraph (E) the following:</text>
<quoted-block display-inline="no-display-inline" id="id724AFEF7B42C4FFB8E52202BB70330AE" style="OLC">
<subparagraph id="id994B2A0F56AE4A55A35B15A2894F7767"><enum>(F)</enum><text>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;</text>
</subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</clause><clause id="id9DE446B4BD1E41369B827D8B2677F066"><enum>(v)</enum><text>in
subparagraph (I), as redesignated by clause (iii) of this subparagraph—</text>
<subclause id="id5CE1918718C245F0A4048ED3A223F088"><enum>(I)</enum><text>in clauses (ii)
and (iii), by striking <quote>and</quote> at the end;</text>
</subclause><subclause id="id27C10432A4B64B1794DF6410A9857FA1"><enum>(II)</enum><text>in clause (iii),
by striking <quote>provide technical support for</quote> and inserting
<quote>actively encourage and assist in</quote>; and</text>
</subclause><subclause id="id74574DB6CA804CE196C45FAFEA7F364E"><enum>(III)</enum><text>by adding at
the end the following:</text>
<quoted-block display-inline="no-display-inline" id="idBA246022CA89444A8063DFCF90074A6C" style="OLC">
<clause id="idB0BC7933BB984DA89DCFAD57AFC4CA80"><enum>(iv)</enum><text>identify
interventions or devices that affect the rights and safety of residents,
including the use of chemical and physical restraints; and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="id24EFB5A423A743898B616223D041ECA4"><enum>(v)</enum><text>educate
providers, residents, and families about the danger of those interventions and
devices;
and</text>
</clause><after-quoted-block>;</after-quoted-block></quoted-block>
</subclause></clause></subparagraph><subparagraph id="idFA673455539142069FC72E8F218F9845"><enum>(C)</enum><text>in paragraph
(4)—</text>
<clause id="id951B2B553AE44E1F8A3B02AF26EA018C"><enum>(i)</enum><text>in
the paragraph header, by striking <quote><header-in-text level="paragraph" style="OLC">Contracts and arrangements</header-in-text></quote> and inserting
<quote><header-in-text level="paragraph" style="OLC">Organizational
placement</header-in-text></quote>; and</text>
</clause><clause id="id92691714354E405B8235D0B45850402A"><enum>(ii)</enum><text>by
striking subparagraph (B) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id1B0D8D498D464875AD08B0826E2AEF11" style="OLC">
<subparagraph id="ID76f15a84f369473a8a59b48b2eb04d63"><enum>(B)</enum><header>Identifying,
removing, and remedying organizational conflict</header>
<clause id="id6E5A564DBC044635985FA4529484360B"><enum>(i)</enum><header>In
general</header><text>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—</text>
<subclause id="ID0a390d4bdd2249e6beb6bc39b83aab8c"><enum>(I)</enum><text>identified by the
State agency;</text>
</subclause><subclause id="ID02c976ebdb114de9a7014897314fafc2"><enum>(II)</enum><text>disclosed by the
State agency to the Assistant Secretary in writing; and</text>
</subclause><subclause id="ID142e20114de840f78512e05be23c183d"><enum>(III)</enum><text>remedied in
accordance with this subparagraph.</text>
</subclause></clause><clause id="idF6C0FD8B4CC14731AB3437F38668AC9E"><enum>(ii)</enum><header>Reporting by
any person or entity</header><text>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).</text>
</clause><clause id="IDfab177d76c364c09bd56e6277f746d1f"><enum>(iii)</enum><header>Action by
administration</header><text>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—</text>
<subclause id="id75B4E5BB59C4429FB73B8E8B65D575F0"><enum>(I)</enum><text>remove the
conflict; or</text>
</subclause><subclause id="id718437346F554645A921469D8AF7EA10"><enum>(II)</enum><text>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).</text>
</subclause></clause></subparagraph><subparagraph id="IDd3d2d40f2dc94ac0801f322d3690d122"><enum>(C)</enum><header>Organizational
conflict of interest</header><text>In this paragraph, the term
<term>organizational conflict of interest</term> includes a situation in which
the Office is placed in an organization that—</text>
<clause id="ID237042c785c34026a0069e73aebe8fe8"><enum>(i)</enum><text>is responsible
for licensing or certifying long-term care services in the State;</text>
</clause><clause id="ID131b52727265422bbd6729180d4e5bef"><enum>(ii)</enum><text>is an
association (or an affiliate of such an association) of long-term care
facilities, or of any other residential facilities for older
individuals;</text>
</clause><clause id="ID3d64ea76729c430fba4b68c9647faedd"><enum>(iii)</enum><text>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));</text>
</clause><clause id="ID095de2e482c14fe7bac982a1a42ca614"><enum>(iv)</enum><text>provides
long-term care case management;</text>
</clause><clause id="ID1f7c19669f4e480fbe96212b8e907d49"><enum>(v)</enum><text>sets rates for
long-term care services;</text>
</clause><clause id="ID73a5950dc6154f59b383f24078fb19d1"><enum>(vi)</enum><text>provides adult
protective services;</text>
</clause><clause id="IDf9dd602df03a43e59538ff3f653ed48b"><enum>(vii)</enum><text>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.);</text>
</clause><clause id="ID8aa9d1e12d414b0c860dc97821d4ac86"><enum>(viii)</enum><text>conducts
preadmission screening for placements in facilities described in clause (ii);
or</text>
</clause><clause id="ID2c43955ba96d407483f499893df4f780"><enum>(ix)</enum><text>makes decisions
regarding admission of individuals to such
facilities.</text>
</clause></subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph id="idCAB721C2EF3D44108AE0DE82C0D46A74"><enum>(D)</enum><text>in paragraph
(5)—</text>
<clause id="id87735FA8D84C4791A6FE8461818ADE98"><enum>(i)</enum><text>in
subparagraph (A)—</text>
<subclause id="id6067B55890F14EFAAD2C03689D7C1E1D"><enum>(I)</enum><text>by striking
<quote>In carrying</quote> and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id21A26F27C7B04E8992F0F23CB1CF85EC" style="OLC">
<clause id="idE6BA064EDFCD42B2BF4A9D6C6672A2CD"><enum>(i)</enum><header>In
general</header><text>In carrying</text>
</clause><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subclause><subclause id="id199AF3E07D264AD59CEA4FC53A5E4966"><enum>(II)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="idD9047993AE9549729BC24D89106B81E1" style="OLC">
<clause id="ID83c87b9875994d089fad9b6d812e6ca7"><enum>(ii)</enum><header>Relationship
with the office</header><text>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.</text>
</clause><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subclause></clause><clause id="id292DE233B3B44B32B9A61778C03B0B71"><enum>(ii)</enum><text>in
subparagraph (B)(vi), by striking <quote>support</quote> and inserting
<quote>actively encourage and assist in</quote>;</text>
</clause></subparagraph></paragraph><paragraph id="idA1CC0AA921F44D11B40B90412ECF8549"><enum>(2)</enum><text>in subsection
(b)—</text>
<subparagraph id="id306DB8591D21453A977BAE51EA3C490A"><enum>(A)</enum><text>in paragraph
(1)—</text>
<clause id="id01E8B4508673425F859F7A7A129F76D3"><enum>(i)</enum><text>in
subparagraph (A), by striking <quote>access</quote> and inserting
<quote>private and unimpeded access</quote>;</text>
</clause><clause id="id97FD4A972956438993F8C338680621EA"><enum>(ii)</enum><text>in
subparagraph (B)(i), by striking <quote>the medical and social records of
a</quote> and inserting <quote>all records concerning a</quote>;</text>
</clause><clause id="id432253A0E854435A9196D4B28DA053E0"><enum>(iii)</enum><text>by
redesignating subparagraphs (C) and (D) as subparagraphs (E) and (F),
respectively; and</text>
</clause><clause id="id1A8F9CC89E4E4AC5906F7200FCC82EFB"><enum>(iv)</enum><text>by
inserting after subparagraph (B) the following:</text>
<quoted-block display-inline="no-display-inline" id="id27ABE3EFCC174CF492EB57AC0C3E3612" style="OLC">
<subparagraph id="id6406C10FAB27451B8A1F05D3F4160865"><enum>(C)</enum><text>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;</text>
</subparagraph><subparagraph id="id8301DBD0A9A24D34B37AD09C29708428"><enum>(D)</enum><text>access to the
records of a resident with limited decisionmaking capacity in a case in
which—</text>
<clause id="id2A03B830E89E405AB10155C9B5B86060"><enum>(i)</enum><text>the access is
necessary to investigate and resolve a complaint described in subsection
(a)(3);</text>
</clause><clause id="idB0845E87EFB64B9C84EE9EBE267D7880"><enum>(ii)</enum><text>a legal guardian
of the resident refuses to give permission for the access;</text>
</clause><clause id="id7038EAD952074E5D88832AF4DE3F2CB4"><enum>(iii)</enum><text>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;</text>
</clause><clause id="idE75F39BD61D74A28B06288332FA8ABC3"><enum>(iv)</enum><text>the resident has
no other known legal representative; and</text>
</clause><clause id="idB7AE50A0CE45482E8D157B63C8BE451C"><enum>(v)</enum><text>the
representative of the Office obtains the approval of the
Ombudsman;</text>
</clause></subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph id="id15856D03E9014BAA81641F1B51D9ECE0"><enum>(B)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="idA839169C63C9440D803D8FD58E10FC5D" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="idF87A5D3F993B4C22A215FBE0E69F1328"><enum>(3)</enum><header>Health
oversight agency</header><text display-inline="yes-display-inline">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
<quote>health oversight agency,</quote> 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.</text>
</paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="id2AD555DC9B1D4E0090F475C994DE90CC"><enum>(3)</enum><text>in subsection
(c)(2)(D), by striking <quote>section 202(a)(21)</quote> and inserting
<quote>section 202(a)(18)</quote>;</text>
</paragraph><paragraph id="idF24EDCA999F545D7B409524170937F1E"><enum>(4)</enum><text>in subsection
(d)—</text>
<subparagraph id="id137E9918C7624102A3DAF0292E476BE7"><enum>(A)</enum><text>in paragraph (1),
by striking <quote>files</quote> and inserting <quote>information</quote>;
and</text>
</subparagraph><subparagraph id="id417AE364349C4745AE4F2346130C6FD2"><enum>(B)</enum><text>in paragraph
(2)—</text>
<clause id="id51DC261E18104AA6A5C4714C32EADE94"><enum>(i)</enum><text>in
the paragraph heading, by striking <quote><header-in-text level="paragraph" style="OLC">Identity of complainant or resident</header-in-text></quote> and
inserting <quote><header-in-text level="paragraph" style="OLC">Procedures</header-in-text></quote>;</text>
</clause><clause id="idEAF1531C7F3F441AB692F957E970F9C5"><enum>(ii)</enum><text>in
subparagraph (A)—</text>
<subclause id="idA3B8D3A13566406C8C0018CFE67767E6"><enum>(I)</enum><text>by striking
<quote>files and records</quote> the first place it appears and inserting
<quote>information (including files or records)</quote>;</text>
</subclause><subclause id="id6B63FFD90193462D83A9A6A53E876638"><enum>(II)</enum><text>by striking
<quote>disclose</quote> and all that follows and inserting <quote>disclose such
information);</quote>; and</text>
</subclause><subclause id="idF9EBE1746D6F44B3B55229CC8B1EFF02"><enum>(III)</enum><text>by striking
<quote>and</quote> at the end;</text>
</subclause></clause><clause id="id2791B099B8BC4965A7EE9E07472494B1"><enum>(iii)</enum><text>in subparagraph
(B)—</text>
<subclause id="idF3E373EE2AA842EFA9A2E2CC89560230"><enum>(I)</enum><text>in the matter
preceding clause (i), by striking <quote>files or records</quote> and inserting
<quote>information</quote>;</text>
</subclause><subclause id="idE045FAB389014C2AA0DFC731B2C26F7B"><enum>(II)</enum><text>in clause (ii),
by striking <quote>or</quote> at the end;</text>
</subclause><subclause id="id8D6E2F54018C4C3981F78B1C7A6AF927"><enum>(III)</enum><text>by
redesignating clause (iii) as clause (iv);</text>
</subclause><subclause id="idC973C1173C694622ABEA992D4EABF25A"><enum>(IV)</enum><text>by inserting
after clause (ii) the following:</text>
<quoted-block display-inline="no-display-inline" id="idB5B198EBAB2D4CFA99C0443C8053489F" style="OLC">
<clause id="idefb4cfdd9c5a469380a541aaa9369c3c"><enum>(iii)</enum><text>in a case in
which a resident has limited decisionmaking capacity—</text>
<subclause id="id4BDD016E9D7845749988598BDC322D17"><enum>(I)</enum><text>disclosure of the
identity of the resident is necessary to investigate and resolve a complaint
described in subsection (a)(3);</text>
</subclause><subclause id="id4eff6265206b4930af7be74fa3e0c9de"><enum>(II)</enum><text>a legal guardian
of the resident refuses to give permission for the disclosure;</text>
</subclause><subclause id="id371b138ec7b3489691894cf788f15f27"><enum>(III)</enum><text>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;</text>
</subclause><subclause id="id4cdd2bccb1ad46a2ae66e20bc8661f29"><enum>(IV)</enum><text>the resident has
no other known legal representative; and</text>
</subclause><subclause id="id13a239929d444214a0890895524785cd"><enum>(V)</enum><text>the
representative of the Office obtains the approval of the Ombudsman;
or</text>
</subclause></clause><after-quoted-block>; and
</after-quoted-block></quoted-block>
</subclause><subclause id="id4483091DACF24398B9998AEC261C6F98"><enum>(V)</enum><text>in clause (iv),
as redesignated by subclause (III), by striking the period and inserting
<quote>; and</quote>; and</text>
</subclause></clause><clause id="id9F80DAB1485E44DBBA9B8340E19A2D4A"><enum>(iv)</enum><text>by
adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id106200D941AE4D27B327397688BB4C13" style="OLC">
<subparagraph id="id23C035D89C254D519D7A54C60DA044DC"><enum>(C)</enum><text>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.</text>
</subparagraph><after-quoted-block>;
</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph><paragraph id="id8D1C11653C764AEB9ADF5BF89AA31EE0"><enum>(5)</enum><text>in subsection
(f)(3)—</text>
<subparagraph id="idED761D0847F64459A23F5E1D78E1A93A"><enum>(A)</enum><text>in subparagraph
(C), by striking <quote>facility; and</quote> and inserting <quote>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;</quote>;</text>
</subparagraph><subparagraph id="id01AF1C905F264AD398B44233CEEC5978"><enum>(B)</enum><text>in subparagraph
(D), by striking <quote>and</quote> at the end; and</text>
</subparagraph><subparagraph id="id044C65E453504271807798F2F3D47FE4"><enum>(C)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id6A5EF2DE4E7244BD8DB6C3D97F616DE8" style="OLC">
<subparagraph id="IDf567675ebc7f4673915e891a9e308bdd"><enum>(E)</enum><text>does not have
management responsibility for, nor operate under the supervision of, an agency
with responsibility for adult protective services; and</text>
</subparagraph><subparagraph id="ID2368f5325623410f963469b37d973b3f"><enum>(F)</enum><text>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</text>
</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="id339A5FB385B44420ACB20105D1EAA2D0"><enum>(6)</enum><text>in subsection
(h)—</text>
<subparagraph id="id001F7BEAB4AB49C8B2CB222C07E70769"><enum>(A)</enum><text>in paragraph (4),
by striking all that precedes <quote>procedures</quote> and inserting the
following:</text>
<quoted-block display-inline="no-display-inline" id="id3029490242374BCEA6DABE78C94989C6" style="OLC">
<paragraph id="id1667986FEFCF42FFBEFCFEA1C278DD89"><enum>(4)</enum><text>strengthen and
update</text>
</paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="id81E6FA6C99344FD0926CC0B660C28516"><enum>(B)</enum><text>by redesignating
paragraphs (4) through (9) as paragraphs (5) through (10), respectively;</text>
</subparagraph><subparagraph id="idC12C47A4B8E64E9C8DE9C2ADD8DAA621"><enum>(C)</enum><text>by inserting
after paragraph (3) the following:</text>
<quoted-block display-inline="no-display-inline" id="idB88F93E39C33448795E2845FEECE7CC0" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="ID43d982e48dcb484b9516eab129f60492"><enum>(4)</enum><text display-inline="yes-display-inline">ensure that the Ombudsman attends training
provided by the Administration through the National Ombudsman Resource Center
established in section
202(a)(18);</text>
</paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="IDf221d3d1838041ff81e84de45132f7c8"><enum>(D)</enum><text>in paragraph
(7)(A), as redesignated by subparagraph (B) of this paragraph, by striking
<quote>subtitle C of the</quote> and inserting <quote>subtitle C of title I of
the</quote>; and</text>
</subparagraph><subparagraph id="id70CAF5FA2A384D878DDF2BF83D58FD9E"><enum>(E)</enum><text>in paragraph
(10), as redesignated by subparagraph (B) of this paragraph, by striking
<quote>(6), or (7)</quote> and inserting <quote>(7), or (8)</quote>; and</text>
</subparagraph></paragraph><paragraph id="idC7C7D0BAEB2C46A892CAE5E022F23EA3"><enum>(7)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id69C1BD9200324D43A05C258E5DFF0683" style="OLC">
<subsection id="id441F9F5785FF434A9EADCFA45C5F46D3"><enum>(k)</enum><header>Ensuring
effective programs and residents' rights</header><text>The State agency shall
ensure the Office—</text>
<paragraph id="id1B124910283541D0A88AECA035D3FBC3"><enum>(1)</enum><text>provides facility
residents with private and unimpeded access to the Office, including access to
all records concerning the resident; and</text>
</paragraph><paragraph id="id42A473BB5CB04AC683994AC755DF1535"><enum>(2)</enum><text>allows all
facility residents to receive services from the
Office.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="id6217A91AD6C7462AAC9076375EA8F37B"><enum>708.</enum><header>Prevention of
elder abuse, neglect, and exploitation</header><text display-inline="no-display-inline">Section 721 of the Older Americans Act of
1965 (42 U.S.C. 3058i(b)) is amended—</text>
<paragraph id="idC4B3F0EDD8F64E3EBDDE4FBE15363F75"><enum>(1)</enum><text>in subsection
(b)—</text>
<subparagraph id="id1327FBC9F6DC41C38AA671BA540057E8"><enum>(A)</enum><text>in paragraph (2),
by striking the semicolon and inserting the following: <quote>, 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;</quote>;</text>
</subparagraph><subparagraph id="id3768B5B1E8084344BC4F32C0ED67A69E"><enum>(B)</enum><text>in paragraph (4),
by inserting before the semicolon the following: <quote>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</quote>;</text>
</subparagraph><subparagraph commented="no" id="idFCD41F8B71564939B5782CFA4B3D24D3"><enum>(C)</enum><text>by redesignating
paragraphs (7), (8), (9), (10), (11), and (12), as paragraphs (8), (10), (11),
(12), (13), and (14), respectively;</text>
</subparagraph><subparagraph commented="no" id="id20E18EFB205641408EA8F829A57D83E7"><enum>(D)</enum><text>by striking
paragraph (6) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id56642B6DFC28478DB1E747699C1791B8" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="ID38B488A6E4CB4A12B4CB147DAF0B3C40"><enum>(6)</enum><text display-inline="yes-display-inline">conducting specialized abuse sensitivity
training for caregivers described in part E of title III;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id6F3337D673D24903A3718387D3B95991"><enum>(7)</enum><text display-inline="yes-display-inline">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;</text>
</paragraph><after-quoted-block>;
</after-quoted-block></quoted-block>
</subparagraph><subparagraph commented="no" id="id2F00A5056293442F91E79315567A3445"><enum>(E)</enum><text>in paragraph (8),
as redesignated by subparagraph (C) of this paragraph, by inserting before the
semicolon the following: <quote>, 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</quote>;</text>
</subparagraph><subparagraph commented="no" id="idD40AAAC858CD4A6AAF8DCDEDEFA84FF5"><enum>(F)</enum><text>by inserting
after paragraph (8), as redesignated by subparagraph (C) of this paragraph, the
following:</text>
<quoted-block display-inline="no-display-inline" id="id7AB57E1036FD4D1A9A45604BB541EBB4" style="OLC">
<paragraph commented="no" id="idA09665F16AE74BF0B36F75661E5AC737"><enum>(9)</enum><text>conducting
appropriate training to ensure cultural sensitivity in the provision of elder
rights services, including training in cultural issues associated with
abuse;</text>
</paragraph><after-quoted-block>;
</after-quoted-block></quoted-block>
</subparagraph><subparagraph commented="no" id="id983752E0993D45F19C37D422F717E4E2"><enum>(G)</enum><text>in subparagraph
(C) of paragraph (11), as redesignated by subparagraph (C) of this
paragraph—</text>
<clause commented="no" id="idAA4AC15DF69F46998FB2D040AE315B71"><enum>(i)</enum><text>in clause (ii),
by inserting <quote>, such as forensic accountants,</quote> after <quote>such
personnel</quote>; and</text>
</clause><clause commented="no" id="id9FA5ECC7248049E5AACB5CF2C0F744ED"><enum>(ii)</enum><text>in clause (v),
by striking the comma at the end and inserting <quote>, including programs and
arrangements that will safeguard victims' or potential victims' finances, such
as daily money management programs and conservatorships,</quote>;</text>
</clause></subparagraph><subparagraph commented="no" id="id705077B66130414CA50F01B4E3BC389D"><enum>(H)</enum><text display-inline="yes-display-inline">in paragraph (13), as redesignated by
subparagraph (C) of this paragraph—</text>
<clause commented="no" id="id3942DB732C90435DA5BE0F506757E85E"><enum>(i)</enum><text display-inline="yes-display-inline">in subparagraph (D), by striking
<quote>and</quote> at the end; and</text>
</clause><clause commented="no" id="id8CABF9C7749E4D12B06AD0F387A5F4E7"><enum>(ii)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id83BFE3534CB542B38F8D135F07BF1ECB" style="OLC">
<subparagraph commented="no" id="id9561699932C345E69F99B3E9C58A2337"><enum>(F)</enum><text>supporting and
studying innovative practices in local communities, to develop partnerships
across disciplines for the prevention, investigation, and prosecution of
exploitation;</text>
</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph commented="no" id="id1A1A43A67D44425D9CF693E1A4A627CD"><enum>(I)</enum><text>in paragraph
(14), as redesignated by subparagraph (C) of this paragraph—</text>
<clause commented="no" id="H82A7541348D542C6A4CF6FE94D1797D1"><enum>(i)</enum><text>in subparagraph
(B), by striking <quote>or</quote> at the end;</text>
</clause><clause commented="no" id="H1807D3D010364FD6AEE9EE6CEE02C143"><enum>(ii)</enum><text>in subparagraph
(C), by striking the period at the end and inserting <quote>; or</quote>;
and</text>
</clause><clause commented="no" id="H3EEA97C0E1AC4BF4AD68CFAFCBB504AF"><enum>(iii)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="HC35D0D5781C74ED9A8B50D6AE6AE57CE" style="traditional">
<subparagraph commented="no" id="H8619C692F65847E090C94978898C4F07"><enum>(D)</enum><text display-inline="yes-display-inline">older individuals who are Holocaust
survivors; and</text>
</subparagraph><after-quoted-block>; and
</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph commented="no" id="id18B49B800764455BADCDE41F109E0042"><enum>(J)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id6B2B7D4FCA864B949A23C487848113E3" style="OLC">
<paragraph commented="no" id="IDb0beea9d03444aec8896137add2a6ddd"><enum>(15)</enum><text>developing a
State Home Care Consumer Bill of Rights and Plan for Enforcement (as described
in section 705) to protect home care consumers (as defined in section 736) from
abuse, neglect, and exploitation.</text>
</paragraph><after-quoted-block>.
</after-quoted-block></quoted-block>
</subparagraph></paragraph></section><section id="id7C2A18D6D60E4F8F9200A8D68C30DAEB"><enum>709.</enum><header>State legal
assistance development</header><text display-inline="no-display-inline">Section
731 of the Older Americans Act of 1965 (42 U.S.C. 3058j) is amended by striking
<quote>A State agency</quote> and all that follows through <quote>to
ensure—</quote> and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="idBAF8AF194A4A41F4AE907D3E311A2F6C" style="OLC">
<subsection id="id15CA32C1896A473394F4949230B55399"><enum>(a)</enum><header>State legal
services developer</header><text display-inline="yes-display-inline">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—</text>
<paragraph id="idD06561422A8344C6B6D958E934504731"><enum>(1)</enum><text>agree to serve as
the developer on a full-time basis;</text>
</paragraph><paragraph commented="no" id="idF167F0423D5947728F85DD6264CABA12"><enum>(2)</enum><text>have a law degree
from an accredited law school or have been admitted to practice law in any
jurisdiction in the United States; and</text>
</paragraph><paragraph commented="no" id="id4F7AC141B929414E85CDE60E334339AF"><enum>(3)</enum><text>possess other
knowledge, skills, training, and education that reflect a comprehensive
understanding of legal services for older individuals.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id90F0EA34FD084E8CA1823C395BF07868"><enum>(b)</enum><header>Other
personnel</header><text>In addition to the State legal services developer, the
State agency shall provide the services of other personnel, sufficient to
ensure—</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="id9CCA59CEA68941A5A20C0368226C8D83"><enum>710.</enum><header>State Home
Care Ombudsman Programs</header><text display-inline="no-display-inline">Subtitle A of title VII of the Older
Americans Act of 1965 (42 U.S.C. 3058 et seq.) is amended by adding at the end
the following:</text>
<quoted-block display-inline="no-display-inline" id="id5ED9E4B6B79045DDA3E9322D7FC68DB5" style="OLC">
<chapter id="id59E952ECD53242EE80BD612D3035C598"><enum>5</enum><header>State Home Care
Ombudsman Programs</header>
<section id="idB7DBDAAEC24C4355A3869285D8A820B6"><enum>736.</enum><header>Definitions</header><text display-inline="no-display-inline">In this chapter:</text>
<paragraph id="id1520E38702334AA0AADCB2A2D29AF624"><enum>(1)</enum><header>Home care
consumer</header><text>The term <term>home care consumer</term> means a person
who receives services in the person’s home or community to promote independence
and reduce the necessity for residence in a long-term care facility, which may
include—</text>
<subparagraph id="idB0F2B387B25B4C488587318C31CCCD96"><enum>(A)</enum><text>home care
services provided through this Act, the Medicare program under title XVIII of
the Social Security Act (42 U.S.C. 1395 et seq.), the Medicaid program under
title XIX of the Social Security Act (42 U.S.C. 1396 et seq.), or another
public or private funding source; or</text>
</subparagraph><subparagraph id="id7C7F5BE84D9E4AD2A7F30909414BF3B9"><enum>(B)</enum><text>home care
services determined to be appropriate by a State operating a State Home Care
Ombudsman Program.</text>
</subparagraph></paragraph><paragraph id="id2F26B58DCB78445BAE6668593E826D1E"><enum>(2)</enum><header>Home care
ombudsman program</header><text>The term <term>home care ombudsman
program</term> means a State Home Care Ombudsman Program described in section
737(a)(1).</text>
</paragraph><paragraph id="idEEF5A34348884EFD897201A3652D1B7F"><enum>(3)</enum><header>Home care
ombudsman representative</header><text>The term <term>home care ombudsman
representative</term> includes an employee or volunteer who represents an
entity designated under section 737(a)(5)(A) and who is individually designated
by the Ombudsman.</text>
</paragraph><paragraph id="id34BFA776356D4EA3B49D3A2AAA40C270"><enum>(4)</enum><header>Home care
services</header><text>The term <term>home care services</term> means home and
community-based services to promote independence and reduce the necessity for
residence in a long-term care facility, including personal care services
designed to assist an individual in the activities of daily living such as
bathing, exercising, personal grooming, and getting in and out of bed.</text>
</paragraph><paragraph id="id0BB57A7F82014835BCC3421B51ED41D9"><enum>(5)</enum><header>Local home care
Ombudsman entity</header><text>The term <term>local home care Ombudsman
entity</term> means an entity designated under section 737(a)(5)(A) to carry
out the duties described in section 737(a)(5)(B) with respect to a planning and
service area or other substate area.</text>
</paragraph><paragraph id="id85C7DF38350F4FDBB92465E6A86918B1"><enum>(6)</enum><header>Office;
Ombudsman</header><text>The terms <term>Office</term> and
<term>Ombudsman</term>, used without further modification, have the meanings
given the terms in section 711.</text>
</paragraph></section><section id="id9B5515D53F0B46FC8BC89C3581843C24"><enum>737.</enum><header>Program</header>
<subsection id="ID954df68f70e445b5bd6b0a772a7dc2e6"><enum>(a)</enum><header>Establishment</header>
<paragraph id="IDd016bfee07a0483d974c494534544353"><enum>(1)</enum><header>In
general</header><text>In order to be eligible to receive a grant under section
703(d) from funds appropriated under section 702A and made available to carry
out this chapter, a State agency shall, in accordance with this section, agree
to carry out a State Home Care Ombudsman Program within the Office of the State
Long-Term Care Ombudsman.</text>
</paragraph><paragraph id="IDa3a3942be61041888a42fa911e5fdf4f"><enum>(2)</enum><header>Home care
ombudsman program</header><text>The home care ombudsman program shall be
carried out by the Ombudsman.</text>
</paragraph><paragraph id="IDedf29c89f24f454ea8ca6db099e5ee8b"><enum>(3)</enum><header>Functions</header><text>In
carrying out the home care ombudsman program, the Ombudsman, personally or
through representatives of the home care ombudsman program—</text>
<subparagraph id="id22088069E77540849ED40F9DC2757F6C"><enum>(A)</enum><text>shall identify,
investigate, and resolve complaints that—</text>
<clause id="ID618d6bbd1340464ab334097d10f1296d"><enum>(i)</enum><text>are made by, or
on behalf of, home care consumers;</text>
</clause><clause id="ID3667b9a0dece434a83d7bed7896221f1"><enum>(ii)</enum><text>relate to
action, inaction, or decisions, that may adversely affect the health, safety,
welfare, or rights of home care consumers (including the welfare and rights of
home care consumers with respect to the appointment and activities of guardians
and representative payees), of—</text>
<subclause id="ID2d0a6f729aeb4989b62c1f15f4b47c2b"><enum>(I)</enum><text>entities
responsible for determining eligibility for home care services, such as State
and local governments; and</text>
</subclause><subclause id="ID90553343e72e4563836f12ed3149fb4c"><enum>(II)</enum><text>entities
responsible for determining availability of home care services, such as managed
care organizations; or</text>
</subclause></clause><clause id="ID4efb40394fe7468b93b84e4dc37000db"><enum>(iii)</enum><text>relate to
action, inaction, or decisions, regarding informing home care consumers about
their eligibility for, or the availability of, home care services, of—</text>
<subclause id="ID16c6059aed3348e0b1f3d4b137665f3d"><enum>(I)</enum><text>providers, or
representatives of providers, of home care services;</text>
</subclause><subclause id="ID36c715092f314dd385f2be83c4b0a895"><enum>(II)</enum><text>public
agencies;</text>
</subclause><subclause id="IDcccbfef24c8e4a628fb149d5f544dd59"><enum>(III)</enum><text>health and
social service agencies; and</text>
</subclause><subclause id="ID9bea92b21e7a44308ec58e6b82080e7d"><enum>(IV)</enum><text>entities
providing consumer-directed services under a consumer-directed program;</text>
</subclause></clause></subparagraph><subparagraph id="IDc4ac3590ea0d4dc5bc668c673fc1ee11"><enum>(B)</enum><text>shall provide
services to protect the health, safety, welfare, and rights of home care
consumers;</text>
</subparagraph><subparagraph id="ID02ef12aef6794ba281156a52cb0ba0a4"><enum>(C)</enum><text>shall inform home
care consumers about means of obtaining services provided by providers or
agencies described in subparagraph (A)(ii) or services described in
subparagraph (B);</text>
</subparagraph><subparagraph id="id6D0C61CDF2E1493F89F96F01A13AA086"><enum>(D)</enum><text>shall, in
conjunction with other entities, such as area agencies on aging, conduct public
education about the home care ombudsman program and its services, including the
rights of home care workers to report concerns to the Ombudsman in order to
protect the health, safety, welfare, and rights of home care consumers;</text>
</subparagraph><subparagraph id="IDbb1824f4d8764251a58fad7427febaf8"><enum>(E)</enum><text>shall ensure that
home care consumers and complainants receive timely responses from
representatives of the home care ombudsman program to complaints;</text>
</subparagraph><subparagraph id="IDe19ca430455b4332bf2e84ba3b4c91c1"><enum>(F)</enum><text>shall represent
the interests of home care consumers before governmental agencies and seek
administrative, legal, and other remedies to protect the health, safety,
welfare, and rights of the home care consumers, including issues related to the
sufficiency of the home care workforce and its availability to meet the needs
of home care consumers;</text>
</subparagraph><subparagraph id="IDd858ecad2b6e4bf3833c2cb1dcd15f09"><enum>(G)</enum><text>shall provide
administrative and technical assistance to entities designated under paragraph
(5) to assist the entities in participating in the home care ombudsman
program;</text>
</subparagraph><subparagraph id="ID8b881200befb43a9a183ccd6d025faf1"><enum>(H)</enum><text>shall provide for
training representatives of the home care ombudsman program;</text>
</subparagraph><subparagraph id="ID1a37390eeba740b09db4f7f87deeb9f2"><enum>(I)</enum><text>shall—</text>
<clause id="id43D0CBD950AC4947880A1CEDB468AA1F"><enum>(i)</enum><text>promote the
development of citizen organizations, to participate in the home care ombudsman
program;</text>
</clause><clause id="ID189ae185414545928254d3f1d0b4ce9b"><enum>(ii)</enum><text>analyze, comment
on, and monitor the development and implementation of Federal, State, and local
laws, regulations, and other governmental policies and actions, that pertain to
the health, safety, welfare, and rights of home care consumers, with respect to
the adequacy of home care services in the State, including issues related to
the sufficiency of the home care workforce and its availability to meet the
needs of home care consumers;</text>
</clause><clause id="ID7bb999390c38490c9b29bc636cdfafb0"><enum>(iii)</enum><text>recommend any
changes in such laws, regulations, policies, and actions as the Ombudsman
determines to be appropriate; and</text>
</clause><clause id="ID2783fc1c7d9a47bd9de7bce0d8a3d411"><enum>(iv)</enum><text>facilitate
public comment on the laws, regulations, policies, and actions; and</text>
</clause></subparagraph><subparagraph id="ID971d9ba6d1df4440aa6592c1fe312be8"><enum>(J)</enum><text>shall carry out
other activities as the Assistant Secretary determines to be
appropriate.</text>
</subparagraph></paragraph><paragraph id="ID428f25ecbf5a475da2a32312e2b24b2a"><enum>(4)</enum><header>Contracts and
arrangements</header>
<subparagraph id="ID990af27fd354435397fd4b46188953df"><enum>(A)</enum><header>In
general</header>
<clause id="id5E87F5BD64244C309C21127752C783F3"><enum>(i)</enum><header>Agencies and
organizations</header><text>Except as provided in subparagraph (B), the State
agency shall carry out the home care ombudsman program, directly, or by
contract or other arrangement with any public agency or nonprofit private
organization.</text>
</clause><clause id="id2B50541B72514BC494A18BB9814DD970"><enum>(ii)</enum><header>Area agencies
on aging</header><text>The State agency shall determine whether to enter into
contracts or arrangements with area agencies on aging to carry out the home
care ombudsman program, based on the structure of the State's existing (as of
the date of the determination) long-term care ombudsman program and the
potential for conflicts of interest in the home and community-based services
system in the State. A State agency may carry out a home care ombudsman program
through area agencies on aging in the State, if the area agencies on
aging—</text>
<subclause id="IDabeff24a1ed744a891ac1ccd7f69c029"><enum>(I)</enum><text>have existing (as
of the date of the determination) consumer protection systems in place to
prevent such conflicts of interest; or</text>
</subclause><subclause id="ID11a94bd46cf94df5a0286269474e1ec2"><enum>(II)</enum><text>establish
adequate procedures to prevent conflicts of interest under the program.</text>
</subclause></clause></subparagraph><subparagraph id="IDaac6a6dc867442eda92e70e42a1b713e"><enum>(B)</enum><header>Licensing and
certification organizations; associations</header><text>The State agency may
not enter into the contract or other arrangement described in subparagraph (A)
with—</text>
<clause id="ID1262736ef9f647e9909bbb786ea0d6df"><enum>(i)</enum><text>an agency or
organization that is responsible for licensing or certifying home care services
in the State; or</text>
</clause><clause id="ID0534a6d3fc444a3984d1a5274d81709d"><enum>(ii)</enum><text>an association
(or an affiliate of such an association) of providers of home care
services.</text>
</clause></subparagraph></paragraph><paragraph id="IDf4f2adcddce7440e9c7b2b096f02fb35"><enum>(5)</enum><header>Designation of
local home care ombudsman entities and home care ombudsman
representatives</header>
<subparagraph id="ID0018447db39f40898ccda617d74eeeec"><enum>(A)</enum><header>Designation</header><text>In
carrying out the duties of the Office, the Ombudsman may designate an entity as
a local home care Ombudsman entity (and, in doing so, the Ombudsman shall, if a
local Ombudsman entity has already been designated, designate such local
Ombudsman entity as the local home care Ombudsman entity), and may designate an
employee or volunteer to represent the entity.</text>
</subparagraph><subparagraph id="ID19fdb7e4514147008ce06ed1521f07da"><enum>(B)</enum><header>Duties</header><text>An
individual so designated, in accordance with the policies and procedures
established by the Ombudsman and the State agency—</text>
<clause id="ID6abcc1e0e8f147f3999ed0f1c103ff46"><enum>(i)</enum><text>shall provide
services to protect the health, safety, welfare, and rights of home care
consumers;</text>
</clause><clause id="IDe17f22f786c04dbda8be0fdfea3449c9"><enum>(ii)</enum><text>shall ensure
that home care consumers in the service area of the entity have timely
responses to complaints and requests for assistance;</text>
</clause><clause id="ID09cdc2067aad4979864324a0e39da2ea"><enum>(iii)</enum><text>shall identify,
investigate, and resolve complaints made by or on behalf of home care consumers
that relate to action, inaction, or decisions, that may adversely affect the
health, safety, welfare, or rights of home care consumers;</text>
</clause><clause id="IDaf4353503b834317bc8fba3655ade0f8"><enum>(iv)</enum><text>shall represent
the interests of home care consumers before government agencies and seek
administrative, legal, and other remedies to protect the health, safety,
welfare, and rights of home care consumers;</text>
</clause><clause id="ID7ac7350bcfc44fa8beb7e665ee178864"><enum>(v)</enum><text>shall—</text>
<subclause id="ID4c676756bb2040408b650ce75e0c250d"><enum>(I)</enum><text>review, and if
necessary, comment on any existing and proposed laws, regulations, and other
government policies and actions, that pertain to the rights and well-being of
home care consumers; and</text>
</subclause><subclause id="ID7f4d9bdaa6254cbfbcb9c1382498cc70"><enum>(II)</enum><text>facilitate the
ability of the public to comment on the laws, regulations, policies, and
actions;</text>
</subclause></clause><clause id="idF2BFCE93BC754B2193BBE40B8504738D"><enum>(vi)</enum><text>shall make
referrals for services to protect and provide for the health, safety,
educational needs, welfare, and rights of family or household members
(including children) of home care consumers; and</text>
</clause><clause id="ID3f13b7c6bdd64045a27c3a103ad27d98"><enum>(vii)</enum><text>shall carry out
other activities that the Ombudsman determines to be appropriate.</text>
</clause></subparagraph><subparagraph id="ID593f9f1908c44f37a19a9ed677374300"><enum>(C)</enum><header>Eligibility for
designation</header><text>Entities eligible to be designated as local home care
Ombudsman entities, and individuals eligible to be designated as home care
ombudsman representatives of such entities, shall—</text>
<clause id="ID5799573468c34be7b4bcc82f0b2c2b2c"><enum>(i)</enum><text>have demonstrated
capability to carry out the duties established in section 712(a)(5)(B);</text>
</clause><clause id="ID933dbf1d3bdb460887fda45293c51a1f"><enum>(ii)</enum><text>be free of
conflicts of interest and not stand to gain financially through an action or
potential action brought on behalf of individuals the Ombudsman serves;
and</text>
</clause><clause id="ID8187186396be45b1af170f77864de3ec"><enum>(iii)</enum><text>meet such
additional requirements as the Ombudsman may specify.</text>
</clause></subparagraph><subparagraph id="ID4fc1bbffbd41438f8cf74154849c2858"><enum>(D)</enum><header>Policies and
procedures</header>
<clause id="ID0b11c490bdb34810a9dec61158d73a0c"><enum>(i)</enum><header>In
general</header><text>The State agency shall establish, in accordance with the
Ombudsman, policies and procedures for monitoring local home care Ombudsman
entities designated to carry out the duties established in section
712(a)(5)(B).</text>
</clause><clause id="IDf75af1416f13483a88b13fa3edf5a9ef"><enum>(ii)</enum><header>Policies</header><text>In
a case in which the entities are grantees or the home care ombudsman
representatives are employees, of area agencies on aging, the State agency
shall develop the policies in consultation with the area agencies on aging. The
policies shall provide for participation and comment by the agencies and for
resolution of concerns with respect to case activity.</text>
</clause><clause id="ID3c46ff9482704105947a35e17952b750"><enum>(iii)</enum><header>Confidentiality
and disclosure</header><text>The State agency shall develop the policies and
procedures in accordance with all provisions of this subtitle regarding
confidentiality and conflict of interest for providers of home care
services.</text>
</clause></subparagraph></paragraph></subsection><subsection id="IDf462057917834b04a88ab23fb8b02d87"><enum>(b)</enum><header>Procedures for
access</header>
<paragraph id="IDb515e01bda2c4aa38157b1615e279e60"><enum>(1)</enum><header>In
general</header><text>The State shall ensure that representatives of the home
care ombudsman program shall have—</text>
<subparagraph id="ID59a93c03bedb4a0d95a2c06147c5528f"><enum>(A)</enum><text>access to home
care consumers and their homes with permission of the home care consumer
involved or a legal representative;</text>
</subparagraph><subparagraph id="ID560c303eb50f45eaa0cc1798fe7d2a56"><enum>(B)</enum><clause commented="no" display-inline="yes-display-inline" id="id51BF3EFF85C94707819641D8C4909E66"><enum>(i)</enum><text>appropriate access to
review all records of a home care consumer, if—</text>
<subclause id="ID3cf6162b6a8a4513a4e63c1438fe19d0" indent="up1"><enum>(I)</enum><text>the representative of the home care
ombudsman program has the permission of the home care consumer, or the legal
representative of the home care consumer; or</text>
</subclause><subclause id="IDac5459d097a94826a0deefb9eeaafcd9" indent="up1"><enum>(II)</enum><text>the home care consumer is unable to
consent to the review and has no legal representative; or</text>
</subclause></clause><clause id="ID854cb417ea0947b491c68ca48162a1c9" indent="up1"><enum>(ii)</enum><text>such access to the records as is
necessary to investigate a complaint if—</text>
<subclause id="ID070951c231324829a6f965cbdbf72f8e"><enum>(I)</enum><text>a legal guardian of the home care
consumer refuses to give the permission;</text>
</subclause><subclause id="ID7055a8cefe59440fac80f8572f462b97"><enum>(II)</enum><text>a representative of the home care
ombudsman program has reasonable cause to believe that the guardian is not
acting in the best interests of the home care consumer; and</text>
</subclause><subclause id="IDe48e228fab954a00a26a03ac4b7308b4"><enum>(III)</enum><text>the representative obtains the approval
of the Ombudsman;</text>
</subclause></clause></subparagraph><subparagraph id="ID73237a94d2b84d76a1e6e8546c7f111b"><enum>(C)</enum><text>access to the
administrative records, policies, and documents, to which home care consumers
have, or the general public has access, of the provider of home care services;
and</text>
</subparagraph><subparagraph id="IDe258d180ed6b4968810b43889551fd15"><enum>(D)</enum><text>access to and, on
request, copies of all licensing and certification records maintained by the
State with respect to the provider of home care services.</text>
</subparagraph></paragraph><paragraph id="ID6c7789b2f5f642b2b95d9d6198ccf182"><enum>(2)</enum><header>Procedures</header><text>The
State agency shall establish procedures to ensure the access described in
paragraph (1).</text>
</paragraph></subsection><subsection id="IDb3ad267802c04689b991787de8f72f16"><enum>(c)</enum><header>Reporting
system</header><text>The State agency shall ensure that the reporting system
established in section 712(c) is equipped to—</text>
<paragraph id="ID8f58a5c1b1434bfe91decece3df964ba"><enum>(1)</enum><text>collect and
analyze data relating to complaints and conditions concerning home care
services and to home care consumers for the purpose of identifying and
resolving significant problems, including complaints concerning—</text>
<subparagraph id="ID734f7ac0ba46410aa04d483f4f8b33e5"><enum>(A)</enum><text>quality of
services;</text>
</subparagraph><subparagraph id="ID9f4c43de5be64fbe8f8b55599e4e302a"><enum>(B)</enum><text>quantity of
services;</text>
</subparagraph><subparagraph id="ID4c82eb909df3444a8f2f8c18899b92ad"><enum>(C)</enum><text>availability of
services; and</text>
</subparagraph><subparagraph id="IDba2e43d276aa49fdab94cf08bee0fafe"><enum>(D)</enum><text>denial,
reduction, and termination of services; and</text>
</subparagraph></paragraph><paragraph id="ID0bf21258c16f49ce9cf86da0235788e1"><enum>(2)</enum><text>submit the data,
on a regular basis, to—</text>
<subparagraph id="IDf99c177791434f5bbae534ba7191be68"><enum>(A)</enum><text>the agency of the
State responsible for licensing or certifying providers of home care services
in the State;</text>
</subparagraph><subparagraph id="ID07cdb2bf136a4b7384fcb325dcccd68f"><enum>(B)</enum><text>other State and
Federal entities that the Ombudsman determines to be appropriate;</text>
</subparagraph><subparagraph id="ID4332f4b0a3584fc59905c644fb8aa4ba"><enum>(C)</enum><text>the Assistant
Secretary; and</text>
</subparagraph><subparagraph id="ID5dd1b34326d54a939231db57f408b3e6"><enum>(D)</enum><text>the National
Ombudsman Resource Center established in section 202(a)(18)(A).</text>
</subparagraph></paragraph></subsection><subsection id="IDd53496ddc28144f6b8cc573fb3dcfd95"><enum>(d)</enum><header>Disclosure</header>
<paragraph id="ID83923352bb7d48b5890caa9c87adebbf"><enum>(1)</enum><header>In
general</header><text>The State agency shall establish procedures for the
disclosure by the Ombudsman or local home care Ombudsman entities of
information maintained by the home care ombudsman program, including records
described in subsection (b)(1) or (c).</text>
</paragraph><paragraph id="ID226b818c82d14625a49b1c2f66872174"><enum>(2)</enum><header>Identity of
complainant or home care consumer</header><text>The procedures described in
paragraph (1) shall—</text>
<subparagraph id="ID80c321b041e44205880cde13a5992cca"><enum>(A)</enum><text>provide that,
subject to subparagraph (B), the 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</text>
</subparagraph><subparagraph id="ID867de0f8cc5848b18fd643708cfe3730"><enum>(B)</enum><text>prohibit the
disclosure of the identity of any complainant or home care consumer with
respect to whom the Office maintains such information unless—</text>
<clause id="ID13b179f9fe774849afb6c8e27f2cda0a"><enum>(i)</enum><text>the complainant
or home care consumer, or the legal representative of the complainant or home
care consumer, consents to the disclosure and the consent is given in
writing;</text>
</clause><clause id="IDee9ea943c92d4f8aa1ca939455c39f98"><enum>(ii)</enum><subclause commented="no" display-inline="yes-display-inline" id="id514BEEDA04B64186946607DC23D1B78F"><enum>(I)</enum><text>the complainant or home
care consumer gives consent orally; and</text>
</subclause><subclause id="IDad21530f0fa842208317e3a2d7186e9d" indent="up1"><enum>(II)</enum><text>the consent is documented
contemporaneously in a writing made by a representative of the home care
ombudsman program in accordance with such requirements as the State agency
shall establish; or</text>
</subclause></clause><clause id="ID259af784e442458fbdc0cfbd65fd368f"><enum>(iii)</enum><text>the disclosure
is required by court order.</text>
</clause></subparagraph></paragraph></subsection><subsection id="ID3a87a706e3c74d519c9c607f831e361c"><enum>(e)</enum><header>Consultation</header><text>In
planning and carrying out the home care ombudsman program, the State agency
shall consider the views of area agencies on aging, older individuals, and
providers of home care services and demonstrate how the State agency has taken
their views into consideration.</text>
</subsection><subsection id="ID648a4cca633b4e508802a9920f43fe33"><enum>(f)</enum><header>Conflict of
interest</header><text>The State agency shall—</text>
<paragraph id="IDbf89a016700e4d88b5fcd67a26c8031b"><enum>(1)</enum><text>ensure that no
individual, or member of the immediate family of an individual, involved in the
designation of the Ombudsman (whether by appointment or otherwise) or the
designation of an entity designated under subsection (a)(5), is subject to a
conflict of interest;</text>
</paragraph><paragraph id="ID10e1419f5c954acfb35a9b40fd7a2f05"><enum>(2)</enum><text>ensure that no
officer or employee of the Office, home care ombudsman representative of a
local home care Ombudsman entity, or member of the immediate family of the
officer, employee, or home care ombudsman representative, is subject to a
conflict of interest;</text>
</paragraph><paragraph id="ID64c9ffe64f30453b8510fb7b33af0da2"><enum>(3)</enum><text>ensure that the
Ombudsman—</text>
<subparagraph id="ID931067f73ab542f887dd55e29ec588c9"><enum>(A)</enum><text>does not have a
direct involvement in the licensing or certification of a provider of home care
services;</text>
</subparagraph><subparagraph id="IDe103b8fded034fee853014955157c0c1"><enum>(B)</enum><text>does not have an
ownership or investment interest (represented by equity, debt, contract, or
other financial relationship) in a provider of home care services;</text>
</subparagraph><subparagraph id="ID1fcd11e1a2f045b4b4060dc9b5a67b5a"><enum>(C)</enum><text>is not employed
by, or participating in the management of, a provider of home care services;
and</text>
</subparagraph><subparagraph id="ID2327bc6cc4654498a7980bf3a8dd5f27"><enum>(D)</enum><text>does not receive,
or have the right to receive, directly or indirectly, remuneration (in cash or
in-kind) under a compensation arrangement with an owner or operator of a
provider of home care services; and</text>
</subparagraph></paragraph><paragraph id="ID07e81a350d7145c4a103fefc64daa813"><enum>(4)</enum><text>establish, and
specify in writing, mechanisms to identify and remove conflicts of interest
referred to in paragraphs (1) and (2), and to identify and eliminate the
relationships described in subparagraphs (A) through (D) of paragraph (3),
including such mechanisms as—</text>
<subparagraph id="IDc3a0eaa316c642c396ec7f4ea2672981"><enum>(A)</enum><text>the methods by
which the State agency will examine individuals, and immediate family members,
to identify the conflicts; and</text>
</subparagraph><subparagraph id="ID11dc0148c9364d078f91ef3688374ef5"><enum>(B)</enum><text>the actions that
the State agency will require the individuals and such family members to take
to remove such conflicts.</text>
</subparagraph></paragraph></subsection><subsection id="ID629fbc079b3d486d834e532b7b930de0"><enum>(g)</enum><header>Legal
counsel</header><text>The State agency shall ensure that—</text>
<paragraph id="ID9be584412a1f4cfb96bbda3d0356576c"><enum>(1)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id5DAF19D334A740EEA1136CA5DDF643CF"><enum>(A)</enum><text>adequate legal counsel
is available, and is able, without conflict of interest, to—</text>
<clause id="IDb72a06a38eb84b4f9ebfb2b9500c7023" indent="up1"><enum>(i)</enum><text>provide advice and consultation
needed to protect the health, safety, welfare, and rights of home care
consumers; and</text>
</clause><clause id="ID52d6eb76b05c4010aa674f68950e4b59" indent="up1"><enum>(ii)</enum><text>assist the Ombudsman and
representatives of the home care ombudsman program in the performance of the
official duties of the Ombudsman and representatives; and</text>
</clause></subparagraph><subparagraph id="IDf5bae27e43d9401e9db62788ee8e444f" indent="up1"><enum>(B)</enum><text>legal representation is provided to
any representative of the home care ombudsman program against whom suit or
other legal action is brought or threatened to be brought in connection with
the performance of the official duties of the Ombudsman or such a
representative; and</text>
</subparagraph></paragraph><paragraph id="IDfb9c06bd5144483b9046e2b65df54fbe"><enum>(2)</enum><text>the Ombudsman
pursues administrative, legal, and other appropriate remedies on behalf of home
care consumers.</text>
</paragraph></subsection><subsection id="IDca8157af22874c54947ba10aeb114cbe"><enum>(h)</enum><header>Administration</header>
<paragraph id="id2AE52E158EAD4C2385D87E464A0314F4"><enum>(1)</enum><header>Requirements</header><text>The
State agency shall require the Office to—</text>
<subparagraph id="ID75856a016431437e83ce8e27123363a5"><enum>(A)</enum><text>include in its
annual report required in section 712(h)(1)—</text>
<clause id="IDb491ca1d14cd48b8a56e8f8a6624db4f"><enum>(i)</enum><text>a
description of the activities carried out by the Office as they related to the
home care ombudsman program in the year for which the report is
prepared;</text>
</clause><clause id="IDc6ad365674dd462c940b2c12c4c548f7"><enum>(ii)</enum><text>the data and an
analysis of the data collected under subsection (c);</text>
</clause><clause id="IDfefd6f3338c54593809210dc896629be"><enum>(iii)</enum><text>an evaluation
of the problems experienced by, and the complaints made by or on behalf of,
home care consumers;</text>
</clause><clause id="ID2779163776db4253b49f515832950c9f"><enum>(iv)</enum><text>recommendations
for—</text>
<subclause id="ID73ba5f6bb35348fca22973f998f987e0"><enum>(I)</enum><text>improving quality
of the care and life of the home care consumers; and</text>
</subclause><subclause id="ID4153008beade44d68f5a383cc4062f29"><enum>(II)</enum><text>protecting the
health, safety, welfare, and rights of the home care consumers;</text>
</subclause></clause><clause id="IDed9d2dbf78154208932dcfabb5c20ece"><enum>(v)</enum><subclause commented="no" display-inline="yes-display-inline" id="id738302E65F3D411583A8F81B0AA64AB8"><enum>(I)</enum><text>an analysis of the
success of the home care ombudsman program including success in providing
services to home care consumers in communities with high percentages of racial
or ethnic minorities; and</text>
</subclause><subclause id="ID10b3428c937d4f24bc37ce7d28c3ed44" indent="up1"><enum>(II)</enum><text>identification of barriers that prevent
the optimal operation of the home care ombudsman program; and</text>
</subclause></clause><clause id="ID8d2f00647faf48f3839e234c3a5c900f"><enum>(vi)</enum><text>policy,
regulatory, and legislative recommendations to solve identified problems, to
resolve the complaints, to improve the quality of care and life of home care
consumers, to protect the health, safety, welfare, and rights of home care
consumers, and to remove the barriers;</text>
</clause></subparagraph><subparagraph id="IDa0897177e78a49d88119e81f3be51e10"><enum>(B)</enum><text>not later than 2
years after the date of the enactment of this chapter, establish procedures for
the training of the representatives of the home care ombudsman program,
including unpaid volunteers, based on best practices outlined by the Assistant
Secretary in the most recent report submitted under subsection (m)(1), in
consultation with representatives of citizen groups, providers of home care
services, and the home care ombudsman program, that—</text>
<clause id="IDd4d2d22869ba4771bd49388e4ee14b5f"><enum>(i)</enum><text>specify a minimum
number of hours of initial training;</text>
</clause><clause id="IDd260d20c58dd40e99bb2cb5d000e81fe"><enum>(ii)</enum><text>specify the
content of the training, including training relating to—</text>
<subclause id="ID765cbcfc118443b18a2574177e09a6d4"><enum>(I)</enum><text>Federal, State,
and local laws, regulations, and policies, with respect to providers of home
care services in the State;</text>
</subclause><subclause id="ID544565724a114505bbdbf377e4fb8bc4"><enum>(II)</enum><text>investigative
techniques; and</text>
</subclause><subclause id="IDd21e8921f6844bfc932d12f51ca76a24"><enum>(III)</enum><text>such other
matters as the State determines to be appropriate; and</text>
</subclause></clause><clause id="ID9041c82ffa184a7cade9e80aeb3331bf"><enum>(iii)</enum><text>specify an
annual number of hours of in-service training for all designated
representatives;</text>
</clause></subparagraph><subparagraph id="ID64ec87e65975442f947d9f9434bbdb1a"><enum>(C)</enum><text>prohibit any
representative of the home care ombudsman program (other than the Ombudsman)
from carrying out any activity described in subparagraphs (A) through (H) of
subsection (a)(3) unless the representative—</text>
<clause id="IDb7acc2f9006b4fefa4b2d433bb97b863"><enum>(i)</enum><text>has received the
training required under subparagraph (B); and</text>
</clause><clause id="ID8d07a501acfb49bcbefa820a24c3d2d5"><enum>(ii)</enum><text>has been
approved by the Ombudsman as qualified to carry out the activity on behalf of
the Office;</text>
</clause></subparagraph><subparagraph id="ID3e7f1ce59910434f8e3ce0166dbbee77"><enum>(D)</enum><text>coordinate home
care ombudsman services with the protection and advocacy systems for
individuals with developmental disabilities and mental illnesses established
under—</text>
<clause id="ID6e197515b09a4b75bae1ec190a8e412d"><enum>(i)</enum><text>subtitle C of the
Developmental Disabilities Assistance and Bill of Rights Act of 2000 (42 U.S.C.
15041 et seq.); and</text>
</clause><clause id="ID26738addc5964d2890e3eca760473f88"><enum>(ii)</enum><text>the Protection
and Advocacy for Individuals with Mental Illness Act (42 U.S.C. 10801 et
seq.);</text>
</clause></subparagraph><subparagraph id="ID9790c16c6fab416f8f9d28c64efa14a3"><enum>(E)</enum><text>coordinate, to
the greatest extent possible, home care ombudsman services with legal
assistance provided under section 306(a)(2)(C), through adoption of memoranda
of understanding and other means;</text>
</subparagraph><subparagraph id="ID0ca7cdf647d44588a8af44ebb63b27cd"><enum>(F)</enum><text>coordinate
services with State and local law enforcement agencies and courts of competent
jurisdiction; and</text>
</subparagraph><subparagraph id="ID2d55bb7ffb224bf18c6fbdbf2335216e"><enum>(G)</enum><text>permit any local
home care Ombudsman entity to carry out the responsibilities described in
subparagraph (A), (D), or (E).</text>
</subparagraph></paragraph><paragraph id="ID2513e887090c4290b97a70cada0fdeca"><enum>(2)</enum><header>Authorities</header><text>The
State agency shall require the Office to—</text>
<subparagraph id="ID4cdadf3dc548419684fcda3d78944ff9"><enum>(A)</enum><text>analyze, comment
on, and monitor the development and implementation of Federal, State, and local
laws, regulations, and other government policies and actions that pertain to
providers of home care services and those services, and to the health, safety,
welfare, and rights of home care consumers, in the State, and recommend any
changes in such laws, regulations, and policies as the Ombudsman determines to
be appropriate;</text>
</subparagraph><subparagraph id="ID63445a65ecb040eaba5e69e1ba7bf129"><enum>(B)</enum><clause commented="no" display-inline="yes-display-inline" id="id9E2E2DFF6589409C886A7F1F7DCF1851"><enum>(i)</enum><text>provide such
information as the Ombudsman determines to be necessary to public and private
agencies, legislators, and other persons, regarding—</text>
<subclause id="IDfe051c25c23946d48a9b7bbca6a7cd38" indent="up1"><enum>(I)</enum><text>the problems and concerns of older
individuals receiving home care services; and</text>
</subclause><subclause id="ID873a345f789140dba4beb54b13500325" indent="up1"><enum>(II)</enum><text>recommendations related to the problems
and concerns; and</text>
</subclause></clause><clause id="IDf2b8458b92314bfdb854a82c0c4bc11e" indent="up1"><enum>(ii)</enum><text>make available to the public, and
submit to the Assistant Secretary, the chief executive officer of the State,
the State legislature, the State agency responsible for licensing or certifying
providers of home care services, and other appropriate governmental entities,
each report prepared under paragraph (1)(A); and</text>
</clause></subparagraph><subparagraph id="ID072b4f378724483eb5eb31fd0891f3ac"><enum>(C)</enum><text>permit any local
home care Ombudsman entity to carry out the responsibilities described in
subparagraph (A) or (B).</text>
</subparagraph></paragraph></subsection><subsection id="ID350c1626554b48e381136a3aefa2db78"><enum>(i)</enum><header>Liability</header><text>The
State shall ensure that no representative of the home care ombudsman program
will be liable under State law for the good faith performance of official
duties.</text>
</subsection><subsection id="ID0c2ee0c1d0b54425a328e557084410b2"><enum>(j)</enum><header>Noninterference</header><text>The
State shall—</text>
<paragraph id="ID52d63cbec5de479d8d4602a43616ec21"><enum>(1)</enum><text>ensure that
willful interference with representatives of the home care ombudsman program in
the performance of the official duties of the representatives (as defined by
the Assistant Secretary) shall be unlawful;</text>
</paragraph><paragraph id="IDc580a2ff46eb40f69e6df4f12e9fbb95"><enum>(2)</enum><text>prohibit
retaliation and reprisals by a provider of home care services or other entity
with respect to any recipient of home and community-based services, employee,
exclusive representative of an employee, or other person for filing a complaint
with, providing information to, or otherwise cooperating with any
representative of, the home care ombudsman program; and</text>
</paragraph><paragraph id="ID0c335c3e6b7448a2a97efc979776c54f"><enum>(3)</enum><text>provide for
appropriate sanctions with respect to the interference, retaliation, and
reprisals.</text>
</paragraph></subsection><subsection id="ID6a35d4888bc1483eac67b11cced7ddbc"><enum>(k)</enum><header>Coordination
with Adult Protective Services</header>
<paragraph id="id0EB5D072EE4946AA910D1A18D44604F2"><enum>(1)</enum><header>In
general</header><text>The Ombudsman, in carrying out the State Home Care
Ombudsman Program, shall coordinate activities with the National Adult
Protective Services Resource Center and the head of the State’s adult
protective services program in a manner that is consistent with the State’s
existing (as of the date of the coordination) protocols for coordination of
activities between the Ombudsman, in carrying out the State Long-Term Care
Ombudsman Program.</text>
</paragraph><paragraph id="id97EAB4A6588240359851220707641B83"><enum>(2)</enum><header>Establishment
of protocols</header><text>If the protocols described in paragraph (1) do not
exist in the State, the Ombudsman, in conjunction with the head of the State’s
adult protective services program, shall establish protocols to coordinate
activities with the intent of better serving vulnerable adults, which protocols
shall—</text>
<subparagraph id="IDc21a2e05fcc245208ce38bfe30b30125"><enum>(A)</enum><text>clarify the roles
of each program;</text>
</subparagraph><subparagraph id="ID92afaee581dd4546b235da7a363db2c8"><enum>(B)</enum><text>establish
procedures for maintaining a working relationship;</text>
</subparagraph><subparagraph id="ID0b0c075bb30f46a7a70e86251b7fad9f"><enum>(C)</enum><text>outline mutual
expectations; and</text>
</subparagraph><subparagraph id="ID0924eee1cd9c43bd919548bca92c2e71"><enum>(D)</enum><text>establish
procedures for coordinating activities with law enforcement.</text>
</subparagraph></paragraph></subsection><subsection id="IDfdd32971c75b438cb140f3e5dc01573b"><enum>(l)</enum><header>Maintenance of
effort</header><text>A State, in using the funds made available for a fiscal
year through a grant received under section 703(d), shall maintain the
expenditures of the State for home care ombudsman services at a level that is
not less than the level of such expenditures maintained by the State for the
preceding fiscal year.</text>
</subsection><subsection id="ID7d7c66f581f1409da61db540271c8db4"><enum>(m)</enum><header>Evaluation</header><text>The
Assistant Secretary shall—</text>
<paragraph id="ID9457b9844c104f0fa7effc1b0f0b0413"><enum>(1)</enum><text>in conjunction
with the Director of the Office of Long-Term Care Ombudsman Programs and the
heads of other entities determined to be necessary by the Assistant Secretary,
collect and analyze the data required to be submitted under subsection (c) by
the States and within 1 year after receipt of the data, submit a report to
Congress outlining best practices for carrying out a home care ombudsman
program; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID836cb9318a564d1aaddeb0c6922faa61"><enum>(2)</enum><text>make the report
available to
States.</text>
</paragraph></subsection></section></chapter><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section commented="no" id="ID972f958c403d4b9d995d29854dbb6328"><enum>711.</enum><header>Establishment
of Senior Medicare Patrol Program as Permanent Program</header><text display-inline="no-display-inline">Title VII of the Older Americans Act of 1965
is amended—</text>
<paragraph commented="no" id="id06F28BC9ABD84EE1BCE003FE1BD8861A"><enum>(1)</enum><text display-inline="yes-display-inline">by redesignating subtitle C as subtitle
D;</text>
</paragraph><paragraph commented="no" id="id1D1E5DA030F243F2A0D47CBAE1D3087A"><enum>(2)</enum><text>by redesignating
sections 761 through 765 as sections 771 through 775, respectively; and</text>
</paragraph><paragraph commented="no" id="id506491F3A2E84E13A3555B93572DD82E"><enum>(3)</enum><text>by adding after
subtitle B the following:</text>
<quoted-block display-inline="no-display-inline" id="id5E0B8C3C807D42FE97F19EF4E9CE7EAF" style="OLC">
<subtitle commented="no" id="id53B1DCDD4DBD4831A509B40AFFE283AB"><enum>C</enum><header>Senior Medicare
Patrol Program</header>
<section commented="no" id="ID4c86af37f28b439e983714510956566a"><enum>761.</enum><header>Findings</header><text display-inline="no-display-inline">Congress finds the following:</text>
<paragraph commented="no" id="ID6f9e17cba8964980978dcb0fcda119a8"><enum>(1)</enum><text>At least 3
percent of all health care spending is lost to fraud each year.</text>
</paragraph><paragraph commented="no" id="IDa425a067be1e42509c56daf06e58082f"><enum>(2)</enum><text>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.</text>
</paragraph><paragraph commented="no" id="IDff5d3c4d5d204fefa9f3b51e05253a26"><enum>(3)</enum><text>Approximately
$1.55 is saved for every 1 dollar the government spends on fraud prevention in
the Medicare program and Medicaid program.</text>
</paragraph><paragraph commented="no" id="ID2ef2b61490cf4e2cbd389c5f1a1e64a0"><enum>(4)</enum><text>Due to the SMP
program, between the inception of the SMP program in 1996, and 2010—</text>
<subparagraph commented="no" id="IDcf51cd49f9a446fc8d2c2233474c1ff5"><enum>(A)</enum><text>25,300,000
Medicare and Medicaid beneficiaries have been reached through community
education programs;</text>
</subparagraph><subparagraph commented="no" id="ID2c302919dc0b41959a19bf1e5ca6ab21"><enum>(B)</enum><text>a total of 72 SMP
projects have educated Medicare and Medicaid beneficiaries in 82,968 group
sessions and 1,112,887 individual sessions;</text>
</subparagraph><subparagraph commented="no" id="ID52a046a7967a4029ae4c9d41547d05c1"><enum>(C)</enum><text>1,321,222 media
airings have occurred and 75,062 community outreach education events have been
conducted;</text>
</subparagraph><subparagraph commented="no" id="id9DBF73F3926B4848911DC973F44DABA3"><enum>(D)</enum><text>savings to and
costs avoided by Medicare, Medicaid, and other programs, and beneficiaries,
total over $114,000,000; and</text>
</subparagraph><subparagraph commented="no" id="ID2e7904f3393e4fdf9b6425b9564ae2c1"><enum>(E)</enum><text>over 24,000
volunteers have been active in educating Medicare and Medicaid
beneficiaries.</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID19f78eb958794a8ebbd491eed302a5f7"><enum>(5)</enum><text>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.</text>
</paragraph></section><section commented="no" id="idC67923B205CB43639205C57554A43175"><enum>762.</enum><header>Definitions</header><text display-inline="no-display-inline">In this subtitle:</text>
<paragraph commented="no" id="id05CF25E87FCC46AD94F355BC5AF7FC42"><enum>(1)</enum><header>Beneficiary</header><text>Except
as provided in section 761, the term <term>beneficiary</term> 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.</text>
</paragraph><paragraph commented="no" id="id1EFF3BC7F9D14B068DBF8094A2B35E91"><enum>(2)</enum><header>Fraud</header><text>The
term <term>fraud</term> means fraud, waste, and abuse within the meaning of
section 1128J of the Social Security Act (42 U.S.C. 1320a–7k).</text>
</paragraph><paragraph commented="no" id="idD6A6EEEAF1ED487CBB07D4A8C6DE4D77"><enum>(3)</enum><header>Medicare
program; Medicaid program</header><text display-inline="yes-display-inline">The
terms <term>Medicare program</term> and <term>Medicaid program</term> 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.).</text>
</paragraph><paragraph commented="no" id="idE558C911AEA14E179C46A7586760C3F3"><enum>(4)</enum><header>SMP</header><text display-inline="yes-display-inline">The term <term>SMP</term> means Senior
Medicare Patrol.</text>
</paragraph></section><section commented="no" id="id6759C3C977504256AE8EE1DEE304A93A"><enum>763.</enum><header>Program
authorized</header>
<subsection commented="no" id="idCFD6FD32C2414E8CB89CDA86722F64C3"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">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.</text>
</subsection><subsection commented="no" id="idB2D89C21A04D47F49D29D8F998115D85"><enum>(b)</enum><header>Grant
amounts</header>
<paragraph commented="no" id="idBD687B0E7BD245359D2F5A224D788076"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">Except as provided in
paragraph (2), each grant made under subsection (a) shall be for an amount
equal to $180,000.</text>
</paragraph><paragraph commented="no" id="idB4BEE733C71344D6AEE2CE71F862FFE3"><enum>(2)</enum><header>Territories</header><text>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.</text>
</paragraph><paragraph commented="no" id="id5C90B944BF344ADEA0D3B842B8E7A3B4"><enum>(3)</enum><header>Study</header><text>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.</text>
</paragraph></subsection><subsection commented="no" id="idC2C02FD2AC8B45C8A755A2E6F142EC3C"><enum>(c)</enum><header>Use of
funds</header>
<paragraph commented="no" id="idC6D0706DCC6742F5B6E3D2786D566B6A"><enum>(1)</enum><header>In
general</header><text>Each State that receives such a grant shall use the grant
funds to establish and operate a State SMP program.</text>
</paragraph><paragraph commented="no" id="idB345298D77DE4131BA27D7F55F4AE5BC"><enum>(2)</enum><header>Activities</header><text>In
establishing and operating the program, the State shall—</text>
<subparagraph commented="no" id="idE5BD99634428488AA0A35C0FCC583FFA"><enum>(A)</enum><text display-inline="yes-display-inline">provide, directly or by grant or contract,
for the services of a State SMP Director and staff sufficient to—</text>
<clause commented="no" id="idBC24ECDE3E8A4C94A1F6CB2624DDED99"><enum>(i)</enum><text>play a leadership
role in State efforts to prevent, detect, and report fraud under the Medicare
program and Medicaid program;</text>
</clause><clause commented="no" id="id0CD2CB82ADCD441F9D961AB7224A3503"><enum>(ii)</enum><text>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</text>
</clause><clause commented="no" display-inline="no-display-inline" id="idEEF0503A5F19415892A7F73A7E6AC14E"><enum>(iii)</enum><text>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;</text>
</clause></subparagraph><subparagraph commented="no" id="IDa20a6fd8c19845679b71b36994b52a1b"><enum>(B)</enum><text>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;</text>
</subparagraph><subparagraph commented="no" id="idD3C2910B845040E8A639AAFDFBFCB7F1"><enum>(C)</enum><text>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;</text>
</subparagraph><subparagraph commented="no" id="idF23F3C5C8755405BAD58AFB3E1E0E881"><enum>(D)</enum><text>undertake the
training of older individuals and other volunteers, so that the trainees are
able to conduct outreach to beneficiaries—</text>
<clause commented="no" id="id2787F7CCC0FB4CE3B3FD5187E1714526"><enum>(i)</enum><text>in their
communities through conducting group presentations, exhibiting at community
events, answering calls to SMP help lines, and providing one-on-one counseling;
and</text>
</clause><clause commented="no" id="id678EEF99218E4408883574DEC2115F38"><enum>(ii)</enum><text>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</text>
</clause></subparagraph><subparagraph commented="no" id="IDda59f150df574d92ac2b016df6a12d4e"><enum>(E)</enum><text>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.</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idD604B90F01B04ABFB88A6D7CBE77FDF1"><enum>(3)</enum><header>Eligible
entities; priority in selection</header>
<subparagraph commented="no" display-inline="no-display-inline" id="id93AE1A0136884FF884847B17B0556156"><enum>(A)</enum><header>In
general</header><text>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.</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id6D6B12FA164D4BC4B9F1946831ABD1D1"><enum>(B)</enum><header>Priority</header><text>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.</text>
</subparagraph></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id21D0279187D2402D9EF9C6FD3BC23793"><enum>(d)</enum><header>Authorization
of appropriations</header><text>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.</text>
</subsection></section></subtitle><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><enum>VIII</enum><header>Geriatrics and
gerontology</header>
<section id="idD07CD1BABEE945A19AF0E7AA05DECA46"><enum>801.</enum><header>Primary health
services</header><text display-inline="no-display-inline">Section 331(a)(3)(D)
of the Public Health Service Act (42 U.S.C. 254d(a)(3)(D)) is amended by
inserting <quote>geriatrics, gerontology,</quote> after
<quote>pediatrics,</quote>.</text>
</section><enum>IX</enum><header>Conforming
amendments</header>
<section id="id70B438FC7D724FBABB6276D528BF6A27"><enum>901.</enum><header>Greatest
economic need; greatest social need</header>
<subsection id="id8C44999B79464878BB4DBDF588C65321"><enum>(a)</enum><header>Definitions</header><text>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 <term>social need</term> the following: <quote>(with particular
attention to individuals with factors listed in paragraph
(26)(B))</quote>.</text>
</subsection><subsection id="idCE7C2568AF6F4BA1B21EAFF46EA88A2A"><enum>(b)</enum><header>Federal agency
consultation</header><text>Section 203(a)(3)(A) of the Older Americans Act of
1965 (42 U.S.C. 3013(a)(3)(A)) is amended by striking <quote>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)</quote> and
inserting <quote>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)),</quote>.</text>
</subsection><subsection id="id2D41CA1E31E6469B95B8D282BD92A7B8"><enum>(c)</enum><header>Evaluation</header><text>Section
206(a) of the Older Americans Act of 1965 (42 U.S.C. 3017(a)) is amended by
striking <quote>greatest economic need</quote> and all that follows through
<quote>areas),</quote> and inserting <quote>greatest economic need and unserved
older individuals with greatest social need (with particular attention to
individuals with factors listed in section 102(26)(B)),</quote>.</text>
</subsection><subsection id="id8E00F068BF9B4DB892DB1F4910ED8911"><enum>(d)</enum><header>Reports</header><text>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)—</text>
<paragraph id="id53ACBEED8F384A4DA39B0C91E3BC82A0"><enum>(1)</enum><text>by striking
<quote>economic need (including low-income minority individuals and older
individuals residing in rural areas)</quote> and inserting <quote>economic
need</quote>; and</text>
</paragraph><paragraph commented="no" id="id1ACFDD64BB0C430585912E788532D136"><enum>(2)</enum><text>by striking
<quote>social need (including low-income minority individuals and older
individuals residing in rural areas)</quote> and inserting <quote>social need
(with particular attention to individuals with factors listed in section
102(26)(B))</quote>.</text>
</paragraph></subsection><subsection commented="no" id="id454371BAF3F844E390FE0BF2EEB5B6C8"><enum>(e)</enum><header>Appropriate use
of funds</header><text>Section 212(b)(3) of the Older Americans Act of 1965 (42
U.S.C. 3020c(b)(3)) is amended—</text>
<paragraph commented="no" id="id3C5830A9378044789CD196D1E797B913"><enum>(1)</enum><text>by striking
<quote>social need,</quote> and inserting <quote>social need (with particular
attention to individuals with factors listed in section 102(26)(B)) or</quote>;
and</text>
</paragraph><paragraph commented="no" id="id60A2976BF3BC49539B2BA9998254741F"><enum>(2)</enum><text>by striking
<quote>, or an older</quote> and all that follows through
<quote>placement</quote>.</text>
</paragraph></subsection><subsection commented="no" id="id1DB0A9A1B0DE4144868A1FDDA41D7A3E"><enum>(f)</enum><header>Organization</header><text>Section
305 of the Older Americans Act of 1965 (42 U.S.C. 3025) is amended—</text>
<paragraph commented="no" id="idF78C14187CE64D3BA9AC57ED7E6648F0"><enum>(1)</enum><text>in subsection
(a)—</text>
<subparagraph id="idA6CBCC6CF86147668957E7C7F60D9143"><enum>(A)</enum><text>in paragraph
(1)(E)—</text>
<clause id="id6173587F92FD4FEFA9CF12BAFB8F9CEB"><enum>(i)</enum><text>by
striking <quote>greatest economic need</quote> and all that follows through
<quote>rural areas)</quote> the first place it appears and inserting
<quote>greatest economic need</quote>; and</text>
</clause><clause id="id6000806B2E3742E0977A28FE56E4FD2A"><enum>(ii)</enum><text>by
striking <quote>greatest social need</quote> and all that follows through
<quote>rural areas)</quote> and inserting <quote>greatest social need (with
particular attention to individuals with factors listed in section
102(26)(B))</quote>; and</text>
</clause></subparagraph><subparagraph commented="no" id="id65D5D3CF43AF479886A75B73A713B659"><enum>(B)</enum><text>in paragraph
(2)—</text>
<clause id="idB48729BC3808490BBE72706D8DE5CA59"><enum>(i)</enum><text>in
subparagraph (C)(ii), as amended by section 305(1)(A)(i) of this Act, by
striking <quote>areas</quote> and all that follows and inserting <quote>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</quote>; and</text>
</clause><clause id="idF26CBD2664F2400E961E0EDE6864284C"><enum>(ii)</enum><text>in
subparagraph (E), by striking <quote>services to</quote> and all that follows
through <quote>rural areas)</quote> and inserting <quote>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)</quote>; and</text>
</clause></subparagraph></paragraph><paragraph commented="no" id="idBEBFE4F0369E45F685E73F404AFA2F42"><enum>(2)</enum><text>in subsection
(d)(1), by striking <quote>greatest economic or social need</quote> and
inserting <quote>greatest economic need and greatest social need (with
particular attention to individuals with factors listed in section
102(26)(B))</quote>.</text>
</paragraph></subsection><subsection commented="no" id="id886A217CB55F45048994649D4F4472BB"><enum>(g)</enum><header>Area
plans</header><text>Section 306 of the Older Americans Act of 1965 (42 U.S.C.
3026) is amended—</text>
<paragraph commented="no" id="id302EB30D85674F4C85B0F6D4684DBD8F"><enum>(1)</enum><text>in subsection
(a)—</text>
<subparagraph commented="no" id="idA62F6F8619EF44DE90483E95E24428EE"><enum>(A)</enum><text>in paragraph
(1)—</text>
<clause commented="no" id="idFD90DDBE740D4A348EC9E549B3E61950"><enum>(i)</enum><text>by striking
<quote>greatest economic need</quote> and all that follows through <quote>rural
areas)</quote> the first place it appears and inserting <quote>greatest
economic need</quote>; and</text>
</clause><clause commented="no" id="id6630DE2C582A4839B5542D9F2CD25219"><enum>(ii)</enum><text>by striking
<quote>greatest social need</quote> and all that follows through <quote>rural
areas) residing in such area,</quote> and inserting <quote>greatest social need
(with particular attention to individuals with factors listed in section
102(26)(B)) residing in such area,</quote>; and</text>
</clause></subparagraph><subparagraph commented="no" id="id09D4AB9E378A4E41B3C8DDA2A18E7121"><enum>(B)</enum><text>in paragraph
(4)—</text>
<clause commented="no" id="id6CBAFF08185E428BB81F0D2309DD12DE"><enum>(i)</enum><text>in subparagraph
(A)—</text>
<subclause commented="no" id="idD7FD0BC4B1E44BF89912E5FE809230DD"><enum>(I)</enum><text>in clause (i)(I),
by striking <quote>will—</quote> and all that follows and inserting <quote>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</quote>;</text>
</subclause><subclause commented="no" id="id2696011CA5494AE7824A82FF2BC36BA4"><enum>(II)</enum><text>in clause
(i)(II), by striking <quote>items (aa) and (bb) of</quote>; and</text>
</subclause><subclause commented="no" id="id1EE25E8C6E9342A5B8CB77A3B3D6CF23"><enum>(III)</enum><text>in subclauses
(I), (II), and (III) of clause (ii), by striking <quote>low-income</quote> and
all that follows through <quote>rural areas</quote> and inserting
<quote>individuals with greatest economic need and individuals with greatest
social need (with particular attention to individuals with factors listed in
section 102(26)(B))</quote>; and</text>
</subclause></clause><clause commented="no" id="id03E7C047266B4F2E85D1935C887CE270"><enum>(ii)</enum><text>in subparagraph
(B)(i)—</text>
<subclause commented="no" id="id49899F2FB2B54FDC862DD3CEF99F521E"><enum>(I)</enum><text>in subclause
(II), by striking <quote>economic need</quote> and all that follows through
<quote>rural areas)</quote> and inserting <quote>economic need</quote>;
and</text>
</subclause><subclause commented="no" id="id3F25B93FD916455CA63737A15632C857"><enum>(II)</enum><text>in subclause
(III), by striking <quote>social need</quote> and all that follows through
<quote>rural areas)</quote> and inserting <quote>social need (with particular
attention to individuals with factors listed in section 102(26)(B))</quote>;
and</text>
</subclause></clause></subparagraph></paragraph><paragraph commented="no" id="idDACE6AF63B9B4177BB81AD3C7ADE0D2E"><enum>(2)</enum><text>in subsection
(b)(2)(B), by striking <quote>including individuals</quote> and all that
follows and inserting <quote>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));</quote>.</text>
</paragraph></subsection><subsection commented="no" id="id545FCAA294E445CDBA9DE5CDF7D1A8DC"><enum>(h)</enum><header>State
plans</header><text display-inline="yes-display-inline">Section 307(a) of the
Older Americans Act of 1965 (42 U.S.C. 3027(a)) is amended—</text>
<paragraph commented="no" id="id4D5422BE12C742E09A59D08DA3B07C1C"><enum>(1)</enum><text>in paragraph (4),
by striking <quote>provided to individuals</quote> and all that follows and
inserting <quote>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)).</quote>;</text>
</paragraph><paragraph commented="no" id="id76155A9FE6A74E03932159866E23155A"><enum>(2)</enum><text>in paragraph
(11)(B), by striking <quote>individuals with the greatest such need;</quote>
and inserting <quote>individuals with greatest economic need and individuals
with greatest social need (with particular attention to individuals with
factors listed in section 102(26)(B)),</quote>; and</text>
</paragraph><paragraph commented="no" id="idE566171BB20B4F3AAAEAFA9AD6E97D67"><enum>(3)</enum><text>in paragraph
(28)(B)(ii), by striking <quote>including individuals</quote> and all that
follows and inserting <quote>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));</quote>.</text>
</paragraph></subsection><subsection commented="no" id="id5CFDB124533B4376A57A426A07AB3A79"><enum>(i)</enum><header>Consumer
contributions</header><text>Section 315 of the Older Americans Act of 1965 (42
U.S.C. 3030c–2) is amended—</text>
<paragraph commented="no" id="idA9D6226DB04541029EA7BE0A1CB763D6"><enum>(1)</enum><text>in subsection
(c)(2), by striking <quote>participation of</quote> and all that follows
through <quote>rural areas)</quote> and inserting <quote>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))</quote>; and</text>
</paragraph><paragraph commented="no" id="id598B8E77EB9A4A06A71DCFD2A57F9DA2"><enum>(2)</enum><text>in subsection
(d), by striking <quote>(with particular</quote> and all that follows through
<quote>rural areas)</quote> and inserting <quote>, 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))</quote>.</text>
</paragraph></subsection><subsection commented="no" id="id470AA3DFAC60449F9B323D01D9CC1FD9"><enum>(j)</enum><header>Demonstration,
support, and research projects</header><text>Section 417(c)(2) of the Older
Americans Act of 1965 (42 U.S.C. 3032f(c)(2)) is amended by striking
<quote>older individuals and communities</quote> and all that follows and
inserting <quote>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));</quote>.</text>
</subsection><subsection commented="no" id="idEF07F4D5616B47B292889140A2EF1CB1"><enum>(k)</enum><header>Older American
community service employment program</header><text>Section 502(b)(1)(M) of the
Older Americans Act of 1965 (42 U.S.C. 3056(b)(1)(M)) is amended by striking
<quote>and eligible individuals with greatest economic need</quote> and
inserting <quote>eligible individuals with disabilities, eligible individuals
with greatest economic need, and eligible individuals with greatest social
need</quote>.</text>
</subsection><subsection commented="no" id="id63B91AA5586748B2ACD3C918C60AB21E"><enum>(l)</enum><header>Interagency
cooperation</header><text>Section 514 of the Older Americans Act of 1965 (42
U.S.C. 3056l) is amended—</text>
<paragraph id="idE9C1A94F7F2C414785E2726792DB1877"><enum>(1)</enum><text>in subsection
(c)(1), by striking <quote>individuals with greatest economic need, individuals
with greatest social need,</quote> and inserting <quote>individuals with
greatest economic need, individuals with greatest social need (with particular
attention to individuals with factors listed in section 102(26)(B)),</quote>;
and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id71FB76119D5F4626A788F859A79C07E2"><enum>(2)</enum><text>in subsection
(e)(1), by striking <quote>minority</quote> and all that follows through
<quote>economic need,</quote> and inserting <quote>individuals with greatest
economic need, individuals with greatest social need,</quote>.</text>
</paragraph></subsection></section>