[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4122 Introduced in House (IH)]

113th CONGRESS
  2d Session
                                H. R. 4122

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


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           February 28, 2014

   Ms. Bonamici (for herself, Mr. Hinojosa, and Mr. George Miller of 
 California) introduced the following bill; which was referred to the 
                Committee on Education and the Workforce

_______________________________________________________________________

                                 A BILL


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

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Older Americans Act Reauthorization 
Act of 2014''.

SEC. 2. OBJECTIVES.

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

SEC. 3. DEFINITIONS.

    Section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002) is 
amended--
            (1) by striking paragraph (1) and inserting the following:
            ``(1) The term `abuse' means the knowing infliction of 
        physical or psychological harm or the knowing deprivation of 
        goods or services that are necessary to meet essential needs or 
        to avoid physical or psychological harm.'';
            (2) by striking paragraph (3) and inserting the following:
            ``(3) The term `adult protective services' means such 
        services provided to adults as the Secretary may specify and 
        includes services such as--
                    ``(A) receiving reports of adult abuse, neglect, or 
                exploitation;
                    ``(B) investigating the reports described in 
                subparagraph (A);
                    ``(C) case planning, monitoring, evaluation, and 
                other casework and services; and
                    ``(D) providing, arranging for, or facilitating the 
                provision of medical, social service, economic, legal, 
                housing, law enforcement, or other protective, 
                emergency, or support services.'';
            (3) by striking paragraph (4) and inserting the following:
            ``(4) The term `Aging and Disability Resource Center' means 
        an entity, network, or consortium established by a State as 
        part of the State system of long-term care, to provide a 
        coordinated and integrated system for older individuals and 
        individuals with disabilities (as defined in section 3 of the 
        Americans with Disabilities Act of 1990 (42 U.S.C. 12102)), and 
        the caregivers of older individuals and individuals with 
        disabilities, that provides--
                    ``(A) comprehensive information on the full range 
                of available public and private long-term care 
                programs, options, service providers, and resources 
                within a community, including information on the 
                availability of integrated long-term care services, and 
                Federal or State programs that provide long-term care 
                services and supports through home and community-based 
                service programs;
                    ``(B) person-centered counseling to assist 
                individuals in assessing their existing or anticipated 
                long-term care needs and goals, and developing and 
                implementing a person-centered plan for long-term care 
                that is consistent with the desires of such an 
                individual and designed to meet the individual's 
                specific needs, goals, and circumstances;
                    ``(C) access for individuals to the full range of 
                publicly-supported long-term care services and supports 
                for which the individuals may be eligible, including 
                home and community-based service options, by serving as 
                a convenient point of entry for such programs and 
                supports; and
                    ``(D) in cooperation with area agencies on aging, 
                centers for independent living described in part C of 
                title VII of the Rehabilitation Act of 1973 (29 U.S.C. 
                796f et seq.), and other community-based entities, 
                information and referrals regarding available home and 
                community-based services for individuals who are at 
                risk for residing in, or who reside in, institutional 
                settings, so that the individuals have the choice to 
                remain in or to return to the community.'';
            (4) in paragraph (14)(B), by inserting ``oral health,'' 
        after ``bone density,'';
            (5) by amending paragraph (17) to read as follows:
            ``(17) The term `elder justice' means--
                    ``(A) from a societal perspective, efforts to--
                            ``(i) prevent, detect, treat, intervene in, 
                        and prosecute elder abuse, neglect, and 
                        exploitation; and
                            ``(ii) protect older individuals with 
                        diminished capacity while maximizing their 
                        autonomy; and
                    ``(B) from an individual perspective, the 
                recognition of an older individual's rights, including 
                the right to be free of abuse, neglect, and 
                exploitation.'';
            (6) in paragraph (18)(A), by striking ``term `exploitation' 
        means'' and inserting ``terms `exploitation' and `financial 
        exploitation' mean'';
            (7) in paragraph (24)--
                    (A) in subparagraph (B), by striking ``and'' at the 
                end;
                    (B) in subparagraph (C), by striking the period at 
                the end and inserting ``; and''; and
                    (C) by adding at the end the following:
                    ``(D) status as an LGBT individual.'';
            (8) by redesignating paragraphs (34) through (54) as 
        paragraphs (36) through (56), respectively;
            (9) by redesignating paragraphs (13) through (33) as 
        paragraphs (14) through (34), respectively;
            (10) by inserting after paragraph (12) the following:
            ``(13) The term `cultural and linguistic competence' means 
        competence in a set of behaviors, attitudes, and policies 
        that--
                    ``(A) is used by an organization or among 
                professionals; and
                    ``(B) enables effective work in cross-cultural 
                situations.''; and
            (11) by inserting after paragraph (34), as so redesignated 
        the following:
            ``(35) The term `LGBT', used with respect to an individual, 
        means a lesbian, gay, bisexual, or transgender individual.''.

SEC. 4. ADMINISTRATION ON AGING.

    (a) Best Practices.--Section 201 of the Older Americans Act of 1965 
(42 U.S.C. 3011) is amended--
            (1) in subsection (d)(3)--
                    (A) in subparagraph (J), by inserting before the 
                semicolon the following: ``, including the 
                effectiveness of such services in meeting the needs of 
                LGBT older individuals'';
                    (B) in subparagraph (K), by striking ``and'' at the 
                end;
                    (C) in subparagraph (L)--
                            (i) by striking ``Older Americans Act 
                        Amendments of 1992'' and inserting ``Older 
                        Americans Act Reauthorization Act of 2014''; 
                        and
                            (ii) by striking ``712(h)(4).'' and 
                        inserting ``712(h)(5); and''; and
                    (D) by adding at the end the following:
            ``(M) collect and analyze best practices related to 
        responding to elder abuse, neglect, and exploitation in long-
        term care facilities, and publish a report of such best 
        practices.''; and
            (2) in subsection (e)(2)--
                    (A) in the matter preceding subparagraph (A), by 
                inserting ``, and in coordination with the heads of 
                State adult protective services programs and the 
                Director of the Office of Long-Term Care Ombudsman 
                Programs'' after ``and services''; and
                    (B) in subparagraph (A)(iv) by inserting 
                ``(including data and statistics on the incidence and 
                prevalence of elder abuse, neglect, and exploitation)'' 
                after ``exploitation''.
    (b)  Functions of Assistant Secretary.--Section 202 of the Older 
Americans Act of 1965 (42 U.S.C. 3012) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (5), by inserting ``health and 
                economic'' before ``needs of older individuals'';
                    (B) in paragraph (7), by inserting ``health and 
                economic'' before ``welfare'';
                    (C) in paragraph (14), by inserting ``(including 
                the Health Resources and Services Administration)'' 
                after ``other agencies'';
                    (D) by amending paragraph (15) to read as follows:
            ``(15)(A) as needed, provide technical assistance, training 
        through training packages, and other forms of instruction to 
        entities consisting of State agencies, area agencies on aging, 
        service providers, and community-based organizations, to ensure 
        that the entities develop and implement, in a culturally and 
        linguistically competent manner, programming, services, and 
        outreach for older individuals with greatest economic need and 
        older individuals with greatest social need, with particular 
        attention to and specific objectives for providing services to 
        low-income minority individuals and older individuals residing 
        in rural areas; and
            ``(B) consult with national and community-based 
        organizations representing minority individuals to develop the 
        capacity of the Administration to provide such technical 
        assistance, training, and instruction.'';
                    (E) in paragraph (16)(A)(ii), by inserting ``, and 
                separately specifying the number of such individuals 
                who are LGBT individuals'' before the semicolon;
                    (F) in paragraph (27), by striking ``and'' at the 
                end;
                    (G) in paragraph (28), by striking the period and 
                inserting a semicolon; and
                    (H) by adding at the end the following:
            ``(29) provide information and technical assistance to 
        States, area agencies on aging, and service providers, in 
        collaboration with relevant Federal agencies, on providing 
        efficient, person-centered transportation services, including 
        across geographic boundaries;
            ``(30) identify model programs and provide information and 
        technical assistance to States, area agencies on aging, and 
        service providers (including providers operating multipurpose 
        senior centers), to support the modernization of multipurpose 
        senior centers;
            ``(31) provide technical assistance to and share best 
        practices with States, area agencies on aging, and Aging and 
        Disability Resource Centers, on how to collaborate and 
        coordinate services with health care entities, such as 
        Federally-qualified health centers, as defined in section 
        1905(l)(2)(B) of the Social Security Act (42 U.S.C. 
        1396d(l)(2)(B)), in order to improve care coordination for 
        individuals with multiple chronic illnesses;
            ``(32) conduct studies and collect data to determine the 
        services that are needed by LGBT older individuals; and
            ``(33) ensure through regulation (or other communications 
        with programs carried out under this Act) and through oversight 
        that all programs funded through this Act where staff, 
        including volunteers, come into direct contact with older 
        adults, have received appropriate training in elder abuse 
        prevention and detection, and to regularly evaluate the need 
        for and benefit of such training related to abuse, neglect, and 
        exploitation of older adults.'';
            (2) in subsection (b)--
                    (A) in paragraph (5)--
                            (i) in subparagraph (B), by striking 
                        ``and'' after the semicolon;
                            (ii) in subparagraph (C), by inserting 
                        ``and'' after the semicolon; and
                            (iii) by adding at the end the following:
                    ``(D) when feasible, developing, in consultation 
                with States and national organizations, a consumer-
                friendly tool to assist older individuals and their 
                families in choosing home and community-based services, 
                with a particular focus on ways for consumers to assess 
                how providers protect the health, safety, welfare, and 
                rights, including the rights provided under section 
                314, of older individuals;''; and
                    (B) in paragraph (8)--
                            (i) in subparagraph (B), by inserting ``to 
                        identify and articulate goals of care and'' 
                        after ``individuals'';
                            (ii) in subparagraph (D)--
                                    (I) by inserting ``respond to or'' 
                                before ``plan''; and
                                    (II) by striking ``future long-term 
                                care needs; and'' and inserting ``long-
                                term care needs;'';
                            (iii) in subparagraph (E), by adding 
                        ``and'' at the end; and
                            (iv) by adding at the end the following:
                    ``(F) to provide information and referrals 
                regarding available home and community-based services 
                for individuals who are at risk for residing in, or who 
                reside in, institutional settings, so that the 
                individuals have the choice to remain in or to return 
                to the community;''; and
            (3) by adding at the end the following:
    ``(g) The Assistant Secretary shall 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 the exploitation of older 
individuals.
    ``(h)(1) The Assistant Secretary shall establish and operate a 
National Resource Center for Women and Retirement (referred to in this 
subsection as the `Center').
    ``(2) 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 $279,000 for fiscal year 2014. 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 paragraph for fiscal year 2014.
    ``(i) The Assistant Secretary shall, directly or by grant or 
contract, establish and operate a National Adult Protective Services 
Resource Center.
    ``(j)(1) The Assistant Secretary shall, directly or by grant or 
contract, establish and operate the National Resource Center on 
Lesbian, Gay, Bisexual, and Transgender Aging.
    ``(2) The Assistant Secretary shall develop and issue operating 
standards and reporting requirements for the Center established under 
paragraph (1).
    ``(3) 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 for fiscal year 2014. 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 paragraph for fiscal year 2014.''.
    (c) Reports.--Section 207 of the Older Americans Act of 1965 (42 
U.S.C. 3018) is amended--
            (1) in subsection (a)(3), by inserting ``LGBT 
        individuals,'' after ``low-income individuals,'';
            (2) in subsection (c)--
                    (A) in paragraph (1), by inserting ``, and 
                separately specify the number of such individuals who 
                are LGBT individuals'' before the semicolon;
                    (B) by redesignating paragraphs (4) and (5) as 
                paragraphs (5) and (6), respectively; and
                    (C) by inserting after paragraph (3) the following:
            ``(4) the effectiveness of such activities in assisting 
        LGBT individuals;''; and
            (3) by adding at the end the following:
    ``(d) The Assistant Secretary shall ensure that--
            ``(1) no individual will be required to provide information 
        regarding the sexual orientation or gender identity of the 
        individual as a condition of participating in activities or 
        receiving services under this Act; and
            ``(2) no agency or other entity providing activities or 
        services under this Act, that receives, for the purposes of 
        this Act, information regarding the sexual orientation or 
        gender identity of an individual will disclose the information 
        in any form that would permit such individual to be identified.
    ``(e) The Assistant Secretary shall develop appropriate protocols, 
demonstrations, tools, or guidance for use by State agencies and area 
agencies on aging, to ensure successful implementation of data 
collection requirements under section 201(d)(3)(J), paragraphs 
(16)(A)(ii) and (29) of section 202(a), subsections (a)(3), (c)(1), and 
(c)(4), and section 307(a)(6), relating to LGBT individuals.
    ``(f) The Assistant Secretary shall determine when such data 
collection requirements shall apply, taking into consideration the 
complexity and importance of each requirement, but each requirement 
shall apply not later than 1 year after the date of enactment of the 
Older Americans Act Reauthorization Act of 2014.''.
    (d) Authorization of Appropriations.--Section 216 of the Older 
Americans Act of 1965 (42 U.S.C. 3020f) is amended--
            (1) in subsection (a), by striking ``2007, 2008, 2009, 
        2010, and 2011'' and inserting ``2014, 2015, 2016, 2017, and 
        2018'';
            (2) in subsection (b)--
                    (A) by striking ``202(a)(24)'' and inserting 
                ``202(a)(21)''; and
                    (B) by striking ``2007, 2008, 2009, 2010, and 
                2011'' and inserting ``2014, 2015, 2016, 2017, and 
                2018''; and
            (3) in subsection (c), by striking ``2007, 2008, 2009, 
        2010, and 2011'' and inserting ``2014, 2015, 2016, 2017, and 
        2018''.
    (e) Advisory Committee To Assess, Coordinate, and Improve Legal 
Assistance Activities.--
            (1) Advisory committee.--Title II of the Older Americans 
        Act of 1965 (42 U.S.C. 3011-3020f) is amended--
                    (A) by redesignating section 216 as section 217; 
                and
                    (B) by inserting after section 215 the following:

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

    ``(a) Establishment.--There is established an Advisory Committee to 
Assess, Coordinate, and Improve Legal Assistance Activities (referred 
to in this section as the `Committee').
    ``(b) Membership; Duties.--The Assistant Secretary shall appoint 
members to the Committee and determine the activities of the Committee 
(which shall include the study and report described in subsection (c)).
    ``(c) Study; Report.--The Committee shall conduct a study on the 
legal services activities assistance system for older individuals. 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 such study, including the Committee's 
recommendations improving the legal services activities assistance 
system for older individuals.
    ``(d) Regulations.--Not later than 180 days after receiving the 
report described in subsection (c), the Assistant Secretary shall issue 
regulations or guidance taking into consideration the recommendations 
of the Committee.
    ``(e) Definition.--In this subsection, the term `legal assistance 
activities' includes--
            ``(1) legal assistance made available to older individuals 
        with greatest economic need or with greatest social need;
            ``(2) activities of the National Legal Resource Center 
        carried out under section 420(a);
            ``(3) State legal assistance developer activities carried 
        out under section 731; and
            ``(4) any other directly related activity or program as 
        determined appropriate by the Assistant Secretary.''.
            (2) Conforming amendment.--Section 215(j) of the Older 
        Americans Act of 1965 (42 U.S.C. 3020e-1(j)) is amended by 
        striking ``section 216'' and inserting ``section 217''.
            (3) Authorization of appropriations.--Section 217 of the 
        Older Americans Act of 1965 (42 U.S.C. 3020f), as so 
        redesignated by subsection (c), is amended by adding at the end 
        the following:
    ``(d) Advisory Committee To Assess, Coordinate, and Improve Legal 
Assistance Activities.--There is authorized to be appropriated to carry 
out section 216 $300,000 for each of the fiscal years 2014, 2015, 2016, 
2017, and 2018.''.

SEC. 5. STATE AND COMMUNITY PROGRAMS ON AGING.

    (a) Authorization of Appropriations.--Section 303 of the Older 
Americans Act of 1965 (42 U.S.C. 3023) is amended--
            (1) in subsection (a)(1), by striking ``fiscal years 2007'' 
        and all that follows and inserting ``each of the fiscal years 
        2014 through 2018.'';
            (2) in subsection (b)--
                    (A) in paragraph (1), by striking ``fiscal years 
                2007'' and all that follows and inserting ``each of the 
                fiscal years 2014 through 2018.''; and
                    (B) in paragraph (2), by striking ``fiscal years 
                2007'' and all that follows and inserting ``each of the 
                fiscal years 2014 through 2018.'';
            (3) in subsection (d), by striking ``fiscal years 2007'' 
        and all that follows and inserting ``each of the fiscal years 
        2014 through 2018.''; and
            (4) in subsection (e)(2), by striking ``2011'' and 
        inserting ``2011 and each of the fiscal years 2014 through 
        2018''.
    (b) Conforming Amendment.--Section 304(b) of the Older Americans 
Act of 1965 (42 U.S.C. 3024(b)) is amended by striking ``subpart 1 
of''.
    (c) Planning and Service Areas.--Section 305(b)(5)(C)(i)(III) of 
the Older Americans Act of 1965 (42 U.S.C. 3025(b)(5)(C)(i)(III)) is 
amended by striking ``planning and services areas'' and inserting 
``planning and service areas''.
    (d) Area Plans.--Section 306 of the Older Americans Act of 1965 (42 
U.S.C. 3026) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (1), by striking ``establishment, 
                maintenance, or construction of multipurpose senior 
                centers,'' and inserting ``establishment, maintenance, 
                modernization, or construction of multipurpose senior 
                centers (including a plan to use the skills and 
                services of older individuals in paid and unpaid work, 
                including multigenerational and older individual to 
                older individual work),''; and
                    (B) in paragraph (6)--
                            (i) in subparagraph (G), by adding ``and'' 
                        at the end; and
                            (ii) by adding at the end the following:
                    ``(H) in coordination with the State agency and 
                with the State agency responsible for elder abuse 
                prevention services, increase public awareness of elder 
                abuse, neglect, and exploitation, and remove barriers 
                to education, prevention, investigation, and treatment 
                of elder abuse, neglect, and exploitation, as 
                appropriate;''; and
            (2) in subsection (b)(3)--
                    (A) in subparagraph (J), by striking ``and'' at the 
                end;
                    (B) by redesignating subparagraph (K) as 
                subparagraph (L); and
                    (C) by inserting after subparagraph (J) the 
                following:
                    ``(K) protection from elder abuse, neglect, and 
                exploitation; and''.
    (e) Nutrition Services Incentive Program.--Section 311(e) of the 
Older Americans Act of 1965 (42 U.S.C. 3030a(e)) is amended by striking 
``fiscal year 2007'' and all that follows and inserting ``each of the 
fiscal years 2014 through 2018.''.
    (f) Supportive Services.--Section 321 of the Older Americans Act of 
1965 (42 U.S.C. 3030d) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (1), by striking ``or referral 
                services'' and inserting ``referral, chronic condition 
                self-care management, or falls prevention services'';
                    (B) in paragraph (8), by striking ``(including'' 
                and all that follows and inserting the following: 
                ``(including mental and behavioral health screening and 
                falls prevention services screening) to detect or 
                prevent (or both) illnesses and injuries that occur 
                most frequently in older individuals;'' and
                    (C) in paragraph (15), by inserting before the 
                semicolon the following: ``, and screening for elder 
                abuse, neglect, and exploitation'';
            (2) in subsection (b)(1), by inserting ``or modernization'' 
        after ``construction'';
            (3) in subsection (c), by inserting before the period the 
        following: ``, and pursue opportunities for the development of 
        intergenerational shared site models for programs or projects, 
        consistent with the purposes of this Act''; and
            (4) by adding at the end the following:
    ``(e) In this section, the term `adult child with a disability' 
means a child who--
            ``(1) is age 18 or older;
            ``(2) is financially dependent on an older individual who 
        is a parent of the child; and
            ``(3) has a disability.''.
    (g) Home Delivered Nutrition Services Program.--Section 336(1) of 
the Older Americans Act of 1965 (42 U.S.C. 3030f(1)) is amended by 
striking ``canned'' and all that follows through ``meals'' and 
inserting ``canned, or fresh foods and, as appropriate, supplemental 
foods and any additional meals''.
    (h) Nutrition Services.--Section 339 of the Older Americans Act of 
1965 (42 U.S.C. 3030g-21) is amended--
            (1) in paragraph (1), by striking ``solicit'' and inserting 
        ``utilize''; and
            (2) in paragraph (2)--
                    (A) in subparagraph (J)--
                            (i) by striking ``if appropriate''; and
                            (ii) by striking ``and'' at the end;
                    (B) in subparagraph (K), by striking the period and 
                inserting ``, and''; and
                    (C) by adding at the end the following:
                    ``(L) where feasible, encourages the use of organic 
                or locally grown foods in meal programs and identifies 
                potential partnerships and contracts with local 
                producers and providers of organic or locally grown 
                foods.''.
    (i) Evidence-Based Disease Prevention and Health Promotion Services 
Program.--Part D of title III of the Older Americans Act of 1965 (42 
U.S.C. 3030m et seq.) is amended--
            (1) in the part heading, by inserting ``Evidence-Based'' 
        before ``Disease''; and
            (2) in section 361(a), by inserting ``evidence-based'' 
        after ``to provide''.
    (j) Older Relative Caregivers.--
            (1) Technical amendment.--Part E of title III of the Older 
        Americans Act of 1965 (42 U.S.C. 3030s et seq.) is amended by 
        striking the subpart heading for subpart 1.
            (2) Definitions.--Section 372 of such Act (42 U.S.C. 3030s) 
        is amended--
                    (A) in subsection (a)--
                            (i) in paragraph (1), by striking ``or who 
                        is an individual with a disability''; and
                            (ii) by striking paragraph (2) and 
                        inserting the following:
            ``(2) Individual with a disability.--The term `individual 
        with a disability' means an individual with a disability, as 
        defined in section 3 of the Americans with Disabilities Act of 
        1990 (42 U.S.C. 12102), who is not less than age 18 and not 
        more than age 59.
            ``(3) Older relative caregiver.--The term `older relative 
        caregiver' means a caregiver who--
                    ``(A)(i) is age 55 or older; and
                    ``(ii) lives with, is the informal provider of in-
                home and community care to, and is the primary 
                caregiver for, a child or an individual with a 
                disability;
                    ``(B) in the case of a caregiver for a child--
                            ``(i) is the grandparent, stepgrandparent, 
                        or other relative (other than the parent) by 
                        blood, marriage, or adoption, of the child;
                            ``(ii) is the primary caregiver of the 
                        child because the biological or adoptive 
                        parents are unable or unwilling to serve as the 
                        primary caregivers of the child; and
                            ``(iii) has a legal relationship to the 
                        child, such as legal custody, adoption, or 
                        guardianship, or is raising the child 
                        informally; and
                    ``(C) in the case of a caregiver for an individual 
                with a disability, is the parent, grandparent, or other 
                relative by blood, marriage, or adoption, of the 
                individual with a disability.''; and
                    (B) in subsection (b)--
                            (i) by striking ``subpart'' and all that 
                        follows through ``family caregivers'' and 
                        inserting ``part, for family caregivers'';
                            (ii) by striking ``; and'' and inserting a 
                        period; and
                            (iii) by striking paragraph (2).
    (k) National Family Caregiver Support Program.--Section 373 of the 
Older Americans Act of 1965 (42 U.S.C. 3030s-1) is amended--
            (1) in subsection (a)(2), by striking ``grandparents or 
        older individuals who are relative caregivers.'' and inserting 
        ``older relative caregivers.'';
            (2) in subsection (c)--
                    (A) in paragraph (1), in the matter preceding 
                subparagraph (A), by striking ``grandparents and older 
                individuals who are relative caregivers, and who'' and 
                inserting ``older relative caregivers, who''; and
                    (B) in paragraph (2)(B), by striking ``to older 
                individuals providing care to individuals with severe 
                disabilities, including children with severe 
                disabilities'' and inserting ``to older relative 
                caregivers of children with severe disabilities, or 
                individuals with disabilities who have severe 
                disabilities'';
            (3) in subsection (e)(3), by striking ``grandparents or 
        older individuals who are relative caregivers'' and inserting 
        ``older relative caregivers'';
            (4) in subsection (f)(1)(A), by striking ``for fiscal years 
        2007, 2008, 2009, 2010, and 2011'' and inserting ``for a fiscal 
        year''; and
            (5) in subsection (g)(2)(C), by striking ``grandparents and 
        older individuals who are relative caregivers of a child who is 
        not more than 18 years of age'' and inserting ``older relative 
        caregivers''.
    (l) Conforming Amendment.--Part E of title III is amended by 
striking ``this subpart'' each place it appears and inserting ``this 
part''.

SEC. 6. ACTIVITIES FOR HEALTH, INDEPENDENCE, AND LONGEVITY.

    (a) Grant Programs.--Section 411 of the Older Americans Act of 1965 
(42 U.S.C. 3032) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (12), by striking ``and'' at the 
                end;
                    (B) by redesignating paragraph (13) as paragraph 
                (14); and
                    (C) by inserting after paragraph (12) the 
                following:
            ``(13) continuing support for program integrity initiatives 
        concerning the Medicare program under title XVIII of the Social 
        Security Act (42 U.S.C. 1395 et seq.) that train senior 
        volunteers to prevent and identify health care fraud and abuse; 
        and''; and
            (2) in subsection (b), by striking ``for fiscal years 
        2007'' and all that follows through ``2011'' and inserting 
        ``for each of the fiscal years 2014 through 2018''.
    (b) Native American Programs.--Section 418(b) of the Older 
Americans Act of 1965 (42 U.S.C. 3032g(b)) is amended by striking ``a 
national meeting to train'' and inserting ``national trainings for''.
    (c) Legal Assistance for Older Americans.--Section 420(c) of the 
Older Americans Act of 1965 (42 U.S.C. 3032i(c)) is amended by striking 
``national''.
    (d) Conforming Amendment.--Section 417(a)(1)(A) of the Older 
Americans Act of 1965 (42 U.S.C. 3032f(a)(1)(A)) is amended by striking 
``grandparents and other older individuals who are relative 
caregivers'' and inserting ``older relative caregivers (as defined in 
section 372)''.

SEC. 7. NATIONAL RESOURCE CENTER ON FAMILY CAREGIVING.

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

``SEC. 423. NATIONAL RESOURCE CENTER ON FAMILY CAREGIVING.

    ``(a) Establishment.--The Secretary of Health and Human Services 
shall award a grant to or enter into a cooperative agreement with a 
public or private nonprofit entity to establish a National Resource 
Center on Family Caregiving (referred to in this section as the 
`Center').
    ``(b) Development.--The Assistant Secretary shall develop and issue 
operating standards and reporting requirements for the Center 
established under subsection (a).
    ``(c) Authorization.--There is authorized to be appropriated to 
carry out this section, $2,000,000 for each of the fiscal years 2014 
through 2018.''.

SEC. 8. MULTIPURPOSE SENIOR CENTER MODERNIZATION, TRAINING, AND 
              SUPPORT.

    Part A of title IV of the Older Americans Act of 1965 (42 U.S.C. 
3032-3032k), as amended by section 7, is amended by adding at the end 
the following:

``SEC. 424. MULTIPURPOSE SENIOR CENTER MODERNIZATION, TRAINING, AND 
              SUPPORT.

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

SEC. 9. COMMUNITY SERVICE SENIOR OPPORTUNITIES.

    Section 517(a) of the Older Americans Act of 1965 (42 U.S.C. 
3056o(a)) is amended by striking ``fiscal years 2007, 2008, 2009, 2010, 
and 2011'' and inserting ``each of the fiscal years 2014 through 
2018''.

SEC. 10. GRANTS FOR NATIVE AMERICANS.

    Section 643(2) of the Older Americans Act of 1965 (42 U.S.C. 
3057n(2)) is amended by striking ``fiscal year 2011'' and inserting 
``each of the fiscal years 2014 through 2018''.

SEC. 11. VULNERABLE ELDER RIGHTS PROTECTION ACTIVITIES.

    (a) Ombudsman Definitions.--Section 711(6) of the Older Americans 
Act of 1965 (42 U.S.C. 3058f(6)) is amended by striking ``older''.
    (b) Ombudsman Programs.--Section 712 of the Older Americans Act of 
1965 (42 U.S.C. 3058g) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (2), by adding at the end the 
                following: ``The Ombudsman shall be responsible for the 
                management, including the fiscal management, of the 
                Office.'';
                    (B) in paragraph (3)--
                            (i) in subparagraph (A), by striking clause 
                        (i) and inserting the following:
                            ``(i) are made by, or on behalf of, 
                        residents, including residents with limited or 
                        no decisionmaking capacity and who have no 
                        known legal representative, and if such a 
                        resident is unable to communicate 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 communicated (and, in the 
                        absence of evidence to the contrary, shall 
                        assume that the resident wishes to have the 
                        resident's health, safety, welfare, and rights 
                        protected) and shall work to accomplish that 
                        outcome; and'';
                            (ii) in subparagraph (D), by striking 
                        ``regular and timely'' and inserting ``regular, 
                        timely, private, and unimpeded'';
                            (iii) in subparagraph (H)(iii)--
                                    (I) by inserting ``, actively 
                                encourage, and assist in'' after 
                                ``provide technical support for''; and
                                    (II) by striking ``and'' after the 
                                semicolon;
                            (iv) by redesignating subparagraph (I) as 
                        subparagraph (K); and
                            (v) by inserting after subparagraph (H) the 
                        following:
                    ``(I) when feasible, continue to carry out the 
                functions described in this section on behalf of 
                residents transitioning from a long-term care facility 
                to a home care setting;
                    ``(J) collect and analyze data, relating to 
                discrimination against LGBT older individuals on the 
                basis of actual or perceived sexual orientation or 
                gender identity in the admission to, transfer or 
                discharge from, or lack of adequate care provided in 
                long-term care settings, and shall include the analyses 
                in the reports; and''; and
                    (C) in paragraph (5)(B)--
                            (i) in clause (vi)--
                                    (I) by inserting ``, actively 
                                encourage, and assist in'' after 
                                ``support''; and
                                    (II) by striking ``and'' after the 
                                semicolon;
                            (ii) by redesignating clause (vii) as 
                        clause (viii); and
                            (iii) by inserting after clause (vi) the 
                        following:
                            ``(vii) identify, investigate, and resolve 
                        complaints described in clause (iii) that are 
                        made by or on behalf of residents with limited 
                        or no decisionmaking capacity and who have no 
                        known legal representative, and if such a 
                        resident is unable to communicate 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 communicated (and, in the 
                        absence of evidence to the contrary, shall 
                        assume that the resident wishes to have the 
                        resident's health, safety, welfare, and rights 
                        protected) and shall work to accomplish that 
                        outcome; and'';
            (2) in subsection (b)--
                    (A) in paragraph (1)--
                            (i) in subparagraph (A), by striking 
                        ``access'' and inserting ``private and 
                        unimpeded access''; and
                            (ii) in subparagraph (B)--
                                    (I) in clause (i)--
                                            (aa) in the matter 
                                        preceding subclause (I), by 
                                        striking ``the medical and 
                                        social records of a'' and 
                                        inserting ``all files, records, 
                                        and other information 
                                        concerning a''; and
                                            (bb) in subclause (II), by 
                                        striking ``to consent'' and 
                                        inserting ``to communicate 
                                        consent''; and
                                    (II) in clause (ii), in the matter 
                                before subclause (I), by striking ``the 
                                records'' and inserting ``the files, 
                                records, and information''; and
                    (B) by adding at the end the following:
            ``(3) Health oversight agency.--For purposes of section 
        264(c) of the Health Insurance Portability and Accountability 
        Act of 1996 (including regulations issued under that section) 
        (42 U.S.C. 1320d-2 note), the Ombudsman and a representative of 
        the Office shall be considered a `health oversight agency,' so 
        that release of residents' individually identifiable health 
        information to the Ombudsman or representative is not precluded 
        in cases in which the requirements of clause (i) or (ii) of 
        paragraph (1)(B), or the requirements of paragraph (1)(D), are 
        otherwise met.'';
            (3) in subsection (d)--
                    (A) in paragraph (1), by striking ``files'' and 
                inserting ``files, records, and other information''; 
                and
                    (B) in paragraph (2)--
                            (i) in subparagraph (A)--
                                    (I) by striking ``files and 
                                records'' each place such term appears 
                                and inserting ``files, records, and 
                                other information''; and
                                    (II) by striking ``and'' after the 
                                semicolon;
                            (ii) in subparagraph (B)--
                                    (I) by striking ``files or 
                                records'' and inserting ``files, 
                                records, or other information''; and
                                    (II) in clause (iii), by striking 
                                the period at the end and inserting ``; 
                                and''; and
                            (iii) by adding at the end the following:
                    ``(C) notwithstanding subparagraph (B), ensure that 
                the Ombudsman may disclose information as needed in 
                order to best serve residents with limited or no 
                decisionmaking capacity who have no known legal 
                representative and are unable to communicate consent, 
                in order for the Ombudsman to carry out the functions 
                and duties described in paragraphs (3)(A) and (5)(B) of 
                subsection (a).'';
            (4) by striking subsection (f) and inserting the following:
    ``(f) Conflict of Interest.--
            ``(1) Individual conflict of interest.--The State agency 
        shall--
                    ``(A) 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;
                    ``(B) ensure that no officer or employee of the 
                Office, representative of a local Ombudsman entity, or 
                member of the immediate family of the officer, 
                employee, or representative, is subject to a conflict 
                of interest; and
                    ``(C) ensure that the Ombudsman--
                            ``(i) does not have a direct involvement in 
                        the licensing or certification of a long-term 
                        care facility or of a provider of a long-term 
                        care service;
                            ``(ii) does not have an ownership or 
                        investment interest (represented by equity, 
                        debt, or other financial relationship) in a 
                        long-term care facility or a long-term care 
                        service;
                            ``(iii) is not employed by, or 
                        participating in the management of, a long-term 
                        care facility or a related organization, and 
                        has not been employed by such a facility or 
                        organization within 1 year before the date of 
                        the determination involved;
                            ``(iv) 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 long-term care facility;
                            ``(v) does not have management 
                        responsibility for, or operate under the 
                        supervision of an individual with management 
                        responsibility for, adult protective services; 
                        and
                            ``(vi) 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).
            ``(2) Organizational conflict of interest.--
                    ``(A) In general.--The State agency shall comply 
                with subparagraph (B)(i) in a case in which the Office 
                poses an organizational conflict of interest, including 
                a situation in which the Office is placed in an 
                organization that--
                            ``(i) is responsible for licensing, 
                        certifying, or surveying long-term care 
                        services in the State;
                            ``(ii) is an association (or an affiliate 
                        of such an association) of long-term care 
                        facilities, or of any other residential 
                        facilities for older individuals;
                            ``(iii) provides long-term care services, 
                        including programs carried out under a Medicaid 
                        waiver approved under section 1115 of the 
                        Social Security Act (42 U.S.C. 1315) or under 
                        subsection (b) or (c) of section 1915 of the 
                        Social Security Act (42 U.S.C. 1396n), or under 
                        a Medicaid State plan amendment under 
                        subsection (i), (j), or (k) of section 1915 of 
                        the Social Security Act (42 U.S.C. 1396n);
                            ``(iv) provides long-term care case 
                        management;
                            ``(v) sets rates for long-term care 
                        services;
                            ``(vi) provides adult protective services;
                            ``(vii) is responsible for eligibility 
                        determinations for the Medicaid program carried 
                        out under title XIX of the Social Security Act 
                        (42 U.S.C. 1396 et seq.);
                            ``(viii) conducts preadmission screening 
                        for placements in facilities described in 
                        clause (ii); or
                            ``(ix) makes decisions regarding admission 
                        or discharge of individuals to or from such 
                        facilities.
                    ``(B) Identifying, removing, and remedying 
                organizational conflict.--
                            ``(i) In general.--The State agency may not 
                        operate the Office or carry out the program, 
                        directly, or by contract or other arrangement 
                        with any public agency or nonprofit private 
                        organization, in a case in which there is an 
                        organizational conflict of interest (within the 
                        meaning of subparagraph (A)) unless such 
                        conflict of interest has been--
                                    ``(I) identified by the State 
                                agency;
                                    ``(II) disclosed by the State 
                                agency to the Assistant Secretary in 
                                writing; and
                                    ``(III) remedied in accordance with 
                                this subparagraph.
                            ``(ii) Action by assistant secretary.--In a 
                        case in which a potential or actual 
                        organizational conflict of interest (within the 
                        meaning of subparagraph (A)) involving the 
                        Office is disclosed or reported to the 
                        Assistant Secretary by any person or entity, 
                        the Assistant Secretary shall require that the 
                        State agency, in accordance with the policies 
                        and procedures established by the State agency 
                        under subsection (a)(5)(D)(iii)--
                                    ``(I) remove the conflict; or
                                    ``(II) submit, and obtain the 
                                approval of the Assistant Secretary 
                                for, an adequate remedial plan that 
                                indicates how the Ombudsman will be 
                                unencumbered in fulfilling all of the 
                                functions specified in subsection 
                                (a)(3).''; and
            (5) in subsection (h)--
                    (A) in paragraph (3)(A)(i), by striking ``older'';
                    (B) in paragraph (4), by striking all that precedes 
                ``procedures'' and inserting the following:
            ``(4) strengthen and update'';
                    (C) by redesignating paragraphs (4) through (9) as 
                paragraphs (5) through (10), respectively;
                    (D) by inserting after paragraph (3) the following:
            ``(4) ensure that the Ombudsman or a designee participates 
        in training provided by the National Ombudsman Resource Center 
        established in section 202(a)(18);'';
                    (E) in paragraph (6)(A), as so redesignated by 
                subparagraph (C) of this paragraph, by striking 
                ``paragraph (4)'' and inserting ``paragraph (5)'';
                    (F) in paragraph (7)(A), as so redesignated by 
                subparagraph (C) of this paragraph, by striking 
                ``subtitle C of the'' and inserting ``subtitle C of 
                title I of the''; and
                    (G) in paragraph (10), as so redesignated by 
                subparagraph (C) of this paragraph, by striking ``(6), 
                or (7)'' and inserting ``(7), or (8)''.
    (c) Ombudsman Regulations.--Section 713 of the Older Americans Act 
of 1965 (42 U.S.C. 3058h) is amended--
            (1) in paragraph (1), by striking ``paragraphs (1) and (2) 
        of section 712(f)'' and inserting ``subparagraphs (A) and (B) 
        of section 712(f)(1)''; and
            (2) in paragraph (2), by striking ``subparagraphs (A) 
        through (D) of section 712(f)(3)'' and inserting ``clauses (i) 
        through (vi) of section 712(f)(1)(C)''.
    (d) Prevention of Elder Abuse, Neglect, and Exploitation.--Section 
721 of the Older Americans Act of 1965 (42 U.S.C. 3058i) is amended--
            (1) in subsection (b)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``(including financial exploitation)'';
                    (B) by redesignating paragraphs (5) through (12) as 
                paragraphs (6) through (13), respectively;
                    (C) by inserting after paragraph (4) the following:
            ``(5) promoting the submission of data on elder abuse, 
        neglect, and exploitation for the appropriate database of the 
        Administration or another database specified by the Assistant 
        Secretary;'';
                    (D) in paragraph (10)(C), as redesignated by 
                subparagraph (B)--
                            (i) in clause (ii), by inserting ``, such 
                        as forensic specialists,'' after ``such 
                        personnel''; and
                            (ii) in clause (v), by inserting before the 
                        comma the following: ``, including programs and 
                        arrangements that protect against financial 
                        exploitation''; and
                    (E) in paragraph (12), as redesignated by 
                subparagraph (B)--
                            (i) in subparagraph (D), by striking 
                        ``and'' at the end; and
                            (ii) by adding at the end the following:
                    ``(F) supporting and studying innovative practices 
                in communities to develop partnerships across 
                disciplines for the prevention, investigation, and 
                prosecution of abuse, neglect, and exploitation; and''; 
                and
            (2) in subsection (e)(2), in the matter preceding 
        subparagraph (A)--
                    (A) by striking ``subsection (b)(9)(B)(i)'' and 
                inserting ``subsection (b)(10)(B)(i)''; and
                    (B) by striking ``subsection (b)(9)(B)(ii)'' and 
                inserting ``subsection (b)(10)(B)(ii)''.

SEC. 12. BEHAVIORAL HEALTH.

    The Older Americans Act of 1965 (42 U.S.C. 3011 et seq.) is 
amended--
            (1) in section 102--
                    (A) in paragraph (14)(G), by inserting ``and 
                behavioral'' after ``mental'';
                    (B) in paragraph (36), by inserting ``and 
                behavioral'' after ``mental''; and
                    (C) in paragraph (47)(B), by inserting ``and 
                behavioral'' after ``mental'';
            (2) in section 201(f)(1), by inserting ``and behavioral'' 
        after ``mental'';
            (3) in section 202(a)(5), by inserting ``and behavioral'' 
        after ``mental'';
            (4) in section 306(a)--
                    (A) in paragraph (2)(A), by inserting ``and 
                behavioral'' after ``mental''; and
                    (B) in paragraph (6)(F), by striking ``mental 
                health services'' each place such term appears and 
                inserting ``mental and behavioral health services''; 
                and
            (5) in section 321(a)--
                    (A) in paragraph (1), as amended by section 4(f), 
                by inserting ``and behavioral'' after ``mental'';
                    (B) in paragraph (14)(B), by inserting ``and 
                behavioral'' after ``mental''; and
                    (C) in paragraph (23), by inserting ``and 
                behavioral'' after ``mental''.

SEC. 13. STUDY ON TRANSPORTATION SERVICES.

    (a) Study.--
            (1) In general.--Because access to transportation services 
        is critical for millions of older individuals in the United 
        States, to allow them to maintain independence, health, and 
        quality of life, the Comptroller General of the United States 
        shall conduct a study of transportation services for older 
        individuals.
            (2) Contents.--In conducting the study, the Comptroller 
        General--
                    (A) shall identify challenges and barriers 
                affecting the aging network in providing, accessing, or 
                coordinating efficient and effective transportation 
                services, including challenges and barriers in 
                coordinating services with Federal agencies and 
                programs such as the Department of Transportation and 
                the Medicaid program under title XIX of the Social 
                Security Act (42 U.S.C. 1396 et seq.); and
                    (B) shall examine any Federal program requirements 
                that may result in challenges or barriers to the 
                coordination of transportation services within the 
                aging network at the local level.
    (b) Report.--Not later than 18 months after the date of enactment 
of this Act, the Comptroller General shall issue a report. The report 
shall contain a detailed description of the findings and conclusions of 
the study, including any recommendations for administrative and other 
changes to enhance transportation services provided by the aging 
network. The Comptroller General shall submit the report to the 
Committee on Education and the Workforce of the House of 
Representatives and the Committee on Health, Education, Labor, and 
Pensions of the Senate.

SEC. 14. GUIDANCE ON SERVING HOLOCAUST SURVIVORS.

    (a) In General.--Because the services under the Older Americans Act 
of 1965 (42 U.S.C. 3001 et seq.) are critical to meeting the urgent 
needs of Holocaust survivors to age in place with dignity, comfort, 
security, and quality of life, the Assistant Secretary for Aging shall 
issue guidance to States, that shall be applicable to States, area 
agencies on aging, and providers of services for older individuals, 
with respect to serving Holocaust survivors, including guidance on 
promising practices for conducting outreach to that population. In 
developing the guidance, the Assistant Secretary for Aging shall 
consult with experts and organizations serving Holocaust survivors, and 
shall take into account the possibility that the needs of Holocaust 
survivors may differ based on geography.
    (b) Contents.--The guidance shall include the following:
            (1) How nutrition service providers may meet the special 
        health-related or other dietary needs of participants in 
        programs under the Older Americans Act of 1965, including needs 
        based on religious, cultural, or ethnic requirements.
            (2) How transportation service providers may address the 
        urgent transportation needs of Holocaust survivors.
            (3) How State long-term care ombudsmen may address the 
        unique needs of residents of long-term care facilities for whom 
        institutional settings may produce sights, sounds, smells, 
        emotions, and routines, that can induce panic, anxiety, and 
        retraumatization as a result of experiences from the Holocaust.
            (4) How supportive services providers may consider the 
        unique needs of Holocaust survivors.
            (5) How other services provided under that Act, as 
        determined by the Assistant Secretary for Aging, may serve 
        Holocaust survivors.
    (c) Date of Issuance.--The guidance described in subsection (a) 
shall be issued not later than 180 days after the date of enactment of 
this Act.
                                 <all>