[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[S. 1028 Introduced in Senate (IS)]

113th CONGRESS
  1st Session
                                S. 1028

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


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                              May 23, 2013

Mr. Sanders (for himself, Ms. Klobuchar, Ms. Warren, Ms. Baldwin, Mrs. 
   Boxer, Mr. Merkley, Mr. Blumenthal, Mr. Franken, Mr. Schatz, Mr. 
 Johnson of South Dakota, Mr. Cardin, Mrs. Gillibrand, Mr. Leahy, Mr. 
 Casey, and Mr. Nelson) introduced the following bill; which was read 
 twice and referred to the Committee on Health, Education, Labor, and 
                                Pensions

_______________________________________________________________________

                                 A BILL


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

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

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Older Americans 
Act Amendments of 2013''.
    (b) Table of Contents.--

Sec. 1. Short title; table of contents.
Sec. 2. Findings.
            TITLE I--DECLARATION OF OBJECTIVES; DEFINITIONS

Sec. 101. Declaration of objectives.
Sec. 102. Definitions.
                   TITLE II--ADMINISTRATION ON AGING

Sec. 201. Establishment of Administration on Aging.
Sec. 202. Functions of Assistant Secretary.
Sec. 203. Federal agency consultation.
Sec. 204. Evaluation.
Sec. 205. Reports.
Sec. 206. Conforming amendments.
Sec. 207. Authorization of appropriations.
Sec. 208. Advisory Committee to Assess, Coordinate, and Improve Legal 
                            Assistance Activities.
Sec. 209. Consumer Price Index.
Sec. 210. Sense of the Senate regarding appropriation levels.
      TITLE III--GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING

Sec. 301. Purpose; administration.
Sec. 302. Definition.
Sec. 303. Authorization of appropriations.
Sec. 304. Allotments.
Sec. 305. Organization.
Sec. 306. Area plans.
Sec. 307. State plans.
Sec. 308. Planning, coordination, evaluation, and administration of 
                            State plans.
Sec. 309. Nutrition services incentive program.
Sec. 310. Consumer contributions.
Sec. 311. Supportive services and senior centers program.
Sec. 312. Nutrition services.
Sec. 313. Disease prevention and health promotion services.
Sec. 314. National family caregiver support program.
      TITLE IV--ACTIVITIES FOR HEALTH, INDEPENDENCE, AND LONGEVITY

Sec. 401. Grant programs.
Sec. 402. Community innovations for aging in place.
Sec. 403. Multipurpose senior center modernization, training, and 
                            support.
Sec. 404. Demonstration program on care coordination and service 
                            delivery.
Sec. 405. Grants or contracts to facilitate low-income access to dental 
                            care.
Sec. 406. National Resource Center on Family Caregiving.
Sec. 407. Conforming amendment.
            TITLE V--COMMUNITY SERVICE SENIOR OPPORTUNITIES

Sec. 501. Older American Community Service Employment Program.
Sec. 502. Interagency cooperation.
Sec. 503. Authorization of appropriations.
Sec. 504. Study on feasibility of transfer of program.
                 TITLE VI--GRANTS FOR NATIVE AMERICANS

Sec. 601. Technical amendment.
Sec. 602. Conforming amendment.
Sec. 603. Reauthorization of funding for grants for Native Americans.
        TITLE VII--VULNERABLE ELDER RIGHTS PROTECTION ACTIVITIES

Sec. 701. Establishment.
Sec. 702. Authorization of appropriations.
Sec. 703. Grants.
Sec. 704. Eligibility.
Sec. 705. Additional State plan requirements.
Sec. 706. Definitions.
Sec. 707. State Long-Term Care Ombudsman program.
Sec. 708. Prevention of elder abuse, neglect, and exploitation.
Sec. 709. State legal assistance development.
Sec. 710. State Home Care Ombudsman Programs.
                 TITLE VIII--GERIATRICS AND GERONTOLOGY

Sec. 801. Primary health services.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) Older adults are the fastest growing segment of the 
        Nation's population.
            (2) Every day, 10,000 Baby Boomers turn 65.
            (3) One in 5 of those individuals age 65 and older survives 
        on an average of $7,500 a year.
            (4) Federal funding to support older adults and their 
        caregivers has not kept pace with inflation.
            (5) Only 7 percent of individuals who are food insecure get 
        a home-delivered meal.
            (6) For every reported incident of elder abuse, neglect, 
        exploitation, or self-neglect, approximately 25 go unreported.
            (7) By making significant improvements through the Older 
        Americans Act Amendments of 2013, it is possible to improve the 
        lives of millions of older adults, and ensure that they receive 
        the supports and services that they need to stay healthy and 
        active in their homes and communities.

            TITLE I--DECLARATION OF OBJECTIVES; DEFINITIONS

SEC. 101. DECLARATION OF OBJECTIVES.

    Section 101 of the Older Americans Act of 1965 (42 U.S.C. 3001) is 
amended--
            (1) by striking paragraph (1) and inserting the following:
            ``(1) An adequate income and economic security in later 
        life in accordance with the American standard of living.'';
            (2) in paragraph (4), by inserting ``care coordination 
        and'' after ``including'';
            (3) 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
            (4) by adding at the end the following:
            ``(11) Acquiring high-quality services in a manner that is 
        culturally and linguistically responsive to older individuals 
        and family caregivers.''.

SEC. 102. DEFINITIONS.

    (a) In General.--Section 102 of the Older Americans Act of 1965 (42 
U.S.C. 3002) is amended--
            (1) by amending paragraph (1) to read as follows:
            ``(1) The term `abuse' means the knowing infliction of 
        physical or psychological harm or the knowing deprivation of 
        goods or services that are necessary to meet essential needs or 
        to avoid physical or psychological harm.'';
            (2) by redesignating paragraphs (4) through (14) and (15) 
        through (54) as paragraphs (5) through (15) and (17) through 
        (56), respectively;
            (3) by inserting after paragraph (3) the following:
            ``(4) The term `adult protective services' means such 
        services provided to adults as the Secretary may specify and 
        includes services such as--
                    ``(A) receiving reports of adult abuse, neglect, or 
                exploitation;
                    ``(B) investigating the reports described in 
                subparagraph (A);
                    ``(C) case planning, monitoring, evaluation, and 
                other case work and services; and
                    ``(D) providing, arranging for, or facilitating the 
                provision of services, such as medical, social, 
                economic, legal, housing, law enforcement, or other 
                protective, emergency, or support services.'';
            (4) in subparagraph (B)(i) of paragraph (12), as 
        redesignated by paragraph (2) of this subsection, by striking 
        ``comprehensive'' and all that follows through 
        ``psychological,'' and inserting ``comprehensive person-
        centered assessment of the older individual (including the 
        physical, psychological, economic,'';
            (5) in subparagraph (C) of paragraph (15), as redesignated 
        by paragraph (1) of this subsection, by inserting ``, their 
        family members,'' before ``and their primary'';
            (6) by inserting after that paragraph (15) the following:
            ``(16)(A) The term `economic security' means access to the 
        assets, income, and community-based services necessary to 
        provide for adequate and unsubsidized housing, health care, 
        transportation, food and adequate nutrition, long-term care, 
        and goods and services to meet other basic human needs. Such 
        access shall be measured in a manner that shall be 
        geographically based, and take into account an individual's 
        life circumstances.
            ``(B) The term `economic security and benefits counseling' 
        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 
        benefits and services.'';
            (7) by amending paragraph (19), as redesignated by 
        paragraph (2) of this subsection, to read as follows:
            ``(19) The term `elder justice' means--
                    ``(A) from a societal perspective, efforts to--
                            ``(i) prevent, detect, treat, intervene in, 
                        and prosecute elder abuse, neglect, and 
                        exploitation; and
                            ``(ii) protect older individuals with 
                        diminished capacity while maximizing their 
                        autonomy; and
                    ``(B) from an individual perspective, the 
                recognition of an older individual's rights, including 
                the right to be free of abuse, neglect, and 
                exploitation.'';
            (8) in paragraph (20)(A), as redesignated by paragraph (2) 
        of this subsection, by striking ``The term `exploitation' 
        means'' and inserting ``The terms `exploitation' and `financial 
        exploitation' mean'';
            (9) in paragraph (25), as redesignated by paragraph (2) of 
        this subsection, by striking ``at or below the poverty line.'' 
        and inserting ``that is not more than 200 percent of the 
        poverty line.'';
            (10) by striking paragraph (26), as redesignated by 
        paragraph (2) of this subsection, and inserting the following:
            ``(26) The term `greatest social need' means need caused by 
        noneconomic factors--
                    ``(A) that--
                            ``(i) restrict the ability of an individual 
                        to perform normal daily tasks; or
                            ``(ii) threaten the capacity of the 
                        individual to live independently; and
                    ``(B) which include--
                            ``(i) physical and mental disabilities;
                            ``(ii) language barriers including limited 
                        English proficiency;
                            ``(iii) cultural, social, or geographic 
                        isolation (such as residence in a rural area), 
                        including isolation caused by racial, minority, 
                        or ethnic status, or status as an LGBT 
                        individual;
                            ``(iv) HIV-positive health status or 
                        Alzheimer's disease or a related disorder with 
                        neurological and organic brain dysfunction;
                            ``(v) greatest health service need, 
                        particularly a need posed by multiple chronic 
                        health conditions or a condition that places an 
                        individual at risk for falls;
                            ``(vi) abuse, neglect (including self-
                        neglect), or financial exploitation, including 
                        factors that are the basis of a referral to 
                        adult protective services;
                            ``(vii) status as a veteran; and
                            ``(viii) status as a Holocaust survivor.'';
            (11) in paragraph (30), as redesignated by paragraph (2) of 
        this subsection--
                    (A) in subparagraph (C), by inserting ``, including 
                opportunities for paid work and volunteer service in 
                the community'' after ``available''; and
                    (B) in subparagraph (E)--
                            (i) in the matter preceding clause (i), by 
                        inserting ``, in a culturally and 
                        linguistically competent manner,'' before ``the 
                        entire community of older individuals''; and
                            (ii) in clause (i), by inserting after 
                        ``social need'' the following: ``(with 
                        particular attention to individuals with 
                        factors listed in paragraph (26)(B))'';
            (12) in paragraph (31), as redesignated by paragraph (2) of 
        this subsection, by striking ``information and referral'' and 
        inserting ``information and referral assistance'';
            (13) in paragraph (35), as redesignated by paragraph (2) of 
        this subsection--
                    (A) by redesignating clauses (i) and (ii) of 
                subparagraph (B) as subclauses (I) and (II), 
                respectively, and aligning the margins of the 
                subclauses with the margins of subclause (I) of 
                subparagraph (A)(i) of paragraph (34), as so 
                redesignated;
                    (B) by redesignating subparagraphs (A) and (B) as 
                clauses (i) and (ii), respectively, and aligning the 
                margins of the clauses with the margins of clause (ii) 
                of subparagraph (A) of that paragraph (34);
                    (C) by inserting ``(A)'' before ``The term''; and
                    (D) by adding at the end the following:
            ``(B) The term `integrated legal assistance delivery 
        system' means a collaboratively run, statewide network that is 
        established to provide direct legal assistance, in the most 
        efficient and impactful manner possible, targeted at older 
        individuals with greatest economic need and older individuals 
        with greatest social need (with particular attention to 
        individuals with factors listed in paragraph (26)(B)), in 
        coordination with the legal assistance developer for the State 
        and all State, regional, and local service providers engaged in 
        promoting or supporting elder rights.'';
            (14) in paragraph (36), as redesignated by paragraph (2) of 
        this subsection--
                    (A) in subparagraph (A), by adding ``and'' at the 
                end;
                    (B) in subparagraph (B), by striking ``; and'' at 
                the end and inserting a period; and
                    (C) by striking subparagraph (C);
            (15) in paragraph (37), as redesignated by paragraph (2) of 
        this subsection, by striking ``sections 307(a)(12) and'' and 
        inserting ``the activities carried out under section 
        307(a)(9)'';
            (16) in paragraph (38), as redesignated by paragraph (2) of 
        this subsection, by inserting ``(including elder abuse and 
        neglect screening)'' after ``educational services'';
            (17) in paragraph (50)(B), as redesignated by paragraph (2) 
        of this subsection, by striking ``subparagraphs (A) through (G) 
        of paragraph (8)'' and inserting ``subparagraphs (A) through 
        (I) of paragraph (14)''; and
            (18) by adding at the end the following:
            ``(57) The term `care coordination' means a person- and 
        family-centered, assessment-based, and interdisciplinary 
        approach, to meet the needs and preferences of an older 
        individual and a family caregiver while enhancing the 
        capabilities of the older individual (including the ability to 
        self-direct services), that integrates health care, long-term 
        services and supports, and social services in a high-quality 
        and cost-effective manner.
            ``(58) The term `cultural and linguistic competence' means 
        competence in a set of behaviors, attitudes, and policies that 
        is--
                    ``(A) used by an organization or among 
                professionals; and
                    ``(B) enables effective work in cross-cultural 
                situations.
            ``(59) The term `family caregiver' means an adult family 
        member, or another individual, who is an informal provider of 
        in-home and community care to an older individual or to an 
        individual with Alzheimer's disease or a related disorder with 
        neurological and organic brain dysfunction.
            ``(60) The term `Holocaust survivor' means an individual 
        who--
                    ``(A) lived in or fled from, between 1933 and 1945, 
                a country under a Nazi regime, under Nazi occupation, 
                or under the control of Nazi collaborators;
                    ``(B) was persecuted between 1933 and 1945 on the 
                basis of race, religion, physical or mental disability, 
                sexual orientation, political affiliation, ethnicity, 
                or other basis; and
                    ``(C) was a member of a group that was persecuted 
                by the Nazis.
            ``(61) The term `LGBT', used with respect to an individual, 
        means a lesbian, gay, bisexual, or transgender individual.
            ``(62) The term `person-centered', used with respect to a 
        service for an individual, means a service provided with an 
        approach designed to ensure that an outcome reflects the needs, 
        preferences, and situations of the individual.
            ``(63) The term `veteran' has the meaning given the term in 
        section 101 of title 38, United States Code.''.
    (b) Conforming Amendments.--Section 102 of the Older Americans Act 
of 1965 (42 U.S.C. 3002), as redesignated by subsection (a)(2), is 
amended--
            (1) in paragraph (39)(A), by striking ``as defined in 
        paragraph (5)'' and inserting ``as defined in paragraph (28)'';
            (2) in paragraph (40), by striking ``(as defined in 
        paragraph (18)(B))'' and inserting ``(as defined in paragraph 
        (20)(B))''; and
            (3) in paragraph (48)(D), by striking ``(as defined in 
        paragraph (18)(B))'' and inserting ``(as defined in paragraph 
        (20)(B))''.

                   TITLE II--ADMINISTRATION ON AGING

SEC. 201. ESTABLISHMENT OF ADMINISTRATION ON AGING.

    Section 201 of the Older Americans Act of 1965 (42 U.S.C. 3011) is 
amended--
            (1) in subsection (d)(3)--
                    (A) in subparagraph (K), by striking ``; and'' and 
                inserting a semicolon;
                    (B) in subparagraph (L)--
                            (i) by striking ``Older Americans Act 
                        Amendments of 1992'' and inserting ``Older 
                        Americans Act Amendments of 2013''; and
                            (ii) by striking ``712(h)(4).'' and 
                        inserting ``712(h)(5); and''; and
                    (C) by adding at the end the following:
                    ``(M) collect and analyze best practices related to 
                screening for elder abuse and publish a report of such 
                best practices.'';
            (2) in subsection (e)(2)--
                    (A) in the matter preceding subparagraph (A), by 
                inserting ``, and in coordination with the heads of 
                State adult protective services programs and the State 
                Long-Term Care Ombudsmen'' after ``and services'';
                    (B) in subparagraph (A), by striking ``and'' at the 
                end;
                    (C) in subparagraph (B), by striking the period and 
                inserting ``; and''; and
                    (D) by adding at the end the following:
                    ``(C) to assist States with the development of Home 
                Care Consumer Bills of Rights and Plans for 
                Enforcement, to ensure that home care consumers, as 
                defined in section 736, have basic protections as 
                outlined in subsections (b) and (c) of section 705.''; 
                and
            (3) by adding at the end the following:
    ``(g) 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 continue the 
work of the Elder Justice Coordinating Council.''.

SEC. 202. FUNCTIONS OF ASSISTANT SECRETARY.

    Section 202 of the Older Americans Act of 1965 (42 U.S.C. 3012) is 
amended--
            (1) in subsection (a)--
                    (A) in paragraph (5), by inserting ``economic 
                security,'' after ``nutrition,'';
                    (B) in paragraph (7), by inserting ``, including 
                economic security trends among such individuals'' after 
                ``older individuals'';
                    (C) in paragraph (8), by striking ``older 
                individuals'' and inserting ``the health and economic 
                security of older individuals'';
                    (D) in paragraph (14), by inserting ``for working 
                with the Administrator of the Health Resources and 
                Services Administration and the Secretary of Labor to 
                identify and address workforce shortages involving such 
                personnel,'' after ``field of aging,'';
                    (E) by striking paragraph (15) and inserting the 
                following:
            ``(15)(A) as needed, provide technical assistance, training 
        through training packages, and other forms of instruction to 
        entities consisting of State agencies, area agencies on aging, 
        service providers, and community-based organizations, to ensure 
        that the entities develop and implement, in a culturally and 
        linguistically competent manner, programming, services, and 
        outreach for older individuals with greatest economic need and 
        older individuals with greatest social need (with particular 
        attention to providing services to individuals with factors 
        listed in section 102(26)(B); and
            ``(B) consult with national and community-based 
        organizations representing minority individuals to develop the 
        capacity of the Administration to provide such technical 
        assistance, training, and instruction.'';
                    (F) in paragraph (16)(C), by striking ``paragraphs 
                (2) and (5)(A)'' and inserting ``paragraphs (2) and 
                (4)(A)'';
                    (G) in paragraph (18), by amending subparagraph (B) 
                to read as follows:
                    ``(B) make available to the Center--
                            ``(i) for fiscal year 2014, not less than 
                        $2,000,000; and
                            ``(ii) for each subsequent fiscal year, not 
                        less than the amount made available under this 
                        subparagraph for fiscal year 2014.'';
                    (H) by striking paragraph (22) and inserting the 
                following:
            ``(22) develop guidelines for area agencies on aging to 
        follow in choosing and evaluating providers of legal assistance 
        with the capacity to work within an integrated legal assistance 
        delivery system;'';
                    (I) in paragraph (23), by striking all text 
                following ``developers'' and inserting ``referred to in 
                section 307(a)(13) and section 731;'';
                    (J) in paragraph (27), by striking ``and'' at the 
                end;
                    (K) in paragraph (28), by striking the period and 
                inserting a semicolon; and
                    (L) by adding at the end the following:
            ``(29)(A) encourage, provide technical assistance to and 
        share best practices with, States, area agencies on aging, 
        Aging and Disability Resource Centers, and service providers to 
        carry out outreach and coordinate activities with health care 
        entities, such as Federally qualified health centers, in order 
        to assure better care coordination for individuals with 
        multiple chronic illnesses; and
            ``(B) coordinate activities with other Federal agencies 
        that are working to improve care coordination and developing 
        new models and best practices for that coordination.'';
            (2) in subsection (b)--
                    (A) in paragraph (8)--
                            (i) in subparagraph (D)--
                                    (I) by inserting ``, and with 
                                future planning for eligible care 
                                recipients (as defined in section 
                                372(a)) who are individuals with 
                                disabilities described in section 
                                372(a)(2)(B) and who are living with 
                                older relative caregivers (as so 
                                defined)'' after ``needs''; and
                                    (II) by striking ``and'' at the 
                                end;
                            (ii) in subparagraph (E), by striking the 
                        semicolon at the end and inserting ``; and''; 
                        and
                            (iii) by adding at the end the following:
                    ``(F) to provide information relating to the 
                quality measures 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;'';
                    (B) in paragraph (10), by striking ``and'' at the 
                end;
                    (C) by redesignating paragraph (11) as paragraph 
                (12); and
                    (D) by inserting after paragraph (10) the 
                following:
            ``(11) 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 measures for home and community-based long-term care 
        programs, service providers, and resources that--
                    ``(A) protect the health, safety, and welfare of 
                consumers who are referred to such programs; and
                    ``(B) shall be identified after the Assistant 
                Secretary takes into account, at a minimum, information 
                regarding--
                            ``(i) background checks of service 
                        providers;
                            ``(ii) licensure of agencies and 
                        certification and training of service 
                        providers; and
                            ``(iii) consumer satisfaction regarding 
                        programs, service providers, and resources, in 
                        cases in which consumer satisfaction 
                        information is available; and'';
            (3) in subsection (e)(2)(B)--
                    (A) in clause (viii), by striking ``and'';
                    (B) by redesignating clause (ix) as clause (x); and
                    (C) by inserting after clause (viii) the following:
                    ``(ix) organizations with expertise on economic 
                security, asset accumulation, and retirement planning; 
                and''; and
            (4) by adding at the end the following:
    ``(g) The Assistant Secretary shall 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)(1) Aging and Disability Resource Centers implemented under 
subsection (b)(8) may carry out an assessment program, with respect to 
informal caregivers and care recipients, that shall be modeled on the 
family caregiver assessment program established under section 373(b).
    ``(2) For purposes of an informal caregiver assessment carried out 
in accordance with paragraph (1), the following definitions shall 
apply:
            ``(A) The term `care recipient' means--
                    ``(i) an older individual;
                    ``(ii) an individual with a disability; or
                    ``(iii) an individual with a special need.
            ``(B) The term `informal caregiver' means an adult family 
        member, or another individual, who is an informal provider of 
        in-home and community care to a care recipient.
    ``(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.
    ``(k) The Assistant Secretary shall, directly or by grant or 
contract, establish and operate a National Adult Protective Services 
Resource Center.''.

SEC. 203. FEDERAL AGENCY CONSULTATION.

    Section 203 of the Older Americans Act of 1965 (42 U.S.C. 3013) is 
amended--
            (1) in subsection (a)(3)(A), by striking ``older 
        individuals (with particular attention to low-income older 
        individuals, including low-income minority older individuals, 
        older individuals with limited English proficiency, and older 
        individuals residing in rural areas)'' and inserting ``older 
        individuals, older individuals with greatest economic need, 
        older individuals with greatest social need (with particular 
        attention to individuals with factors listed in section 
        102(26)(B)),'';
            (2) in subsection (b)--
                    (A) in paragraph (18), by striking ``, and'' and 
                inserting a comma;
                    (B) in paragraph (19), by striking the period at 
                the end and inserting ``, and''; and
                    (C) by adding at the end the following:
            ``(20) the Patient Protection and Affordable Care Act, 
        including the amendments made by that Act (Public Law 111-148), 
        including programs that increase integration with community 
        health centers, as practicable.''; and
            (3) in subsection (c)(6)--
                    (A) in subparagraph (A)--
                            (i) in clause (iii)--
                                    (I) by inserting ``and economic'' 
                                after ``demographic''; and
                                    (II) by striking ``and'' at the 
                                end;
                            (ii) in clause (iv), by adding ``and'' at 
                        the end; and
                            (iii) by adding at the end the following:
                    ``(v) identifying and addressing workforce 
                shortages related to services and supports for older 
                individuals, and leveraging the resources of Federal 
                programs that are related to the programs carried out 
                under this Act, to address the shortages;'';
                    (B) in subparagraph (B)--
                            (i) in the matter preceding clause (i), by 
                        inserting ``economic security,'' after 
                        ``housing,''; and
                            (ii) in clause (i), by inserting ``economic 
                        security,'' after ``housing,'';
                    (C) in subparagraph (D), by inserting ``economic 
                security,'' after ``housing,'';
                    (D) in subparagraph (E), by inserting ``and 
                economic security'' after ``public health'';
                    (E) in subparagraph (F), by striking ``and'' at the 
                end;
                    (F) in subparagraph (G)--
                            (i) in the matter preceding clause (i), by 
                        inserting ``economic security,'' after ``health 
                        care,''; and
                            (ii) in clause (iii), by striking the 
                        period at the end and inserting ``; and''; and
                    (G) by adding at the end the following:
            ``(H)(i) identify model Federal programs to assist older 
        individuals with achieving economic security; and
            ``(ii) propose greater coordination of efforts to provide 
        such assistance, including by creating an inventory of all 
        Federal programs aimed at reducing poverty and increasing the 
        economic security of older adults.''.

SEC. 204. EVALUATION.

    Section 206 of the Older Americans Act of 1965 (42 U.S.C. 3017) is 
amended--
            (1) in subsection (a), by striking ``greatest economic 
        need'' and all that follows through ``areas),'' and inserting 
        ``greatest economic need and unserved older individuals with 
        greatest social need (with particular attention to individuals 
        with factors listed in section 102(26)(B)),'';
            (2) in subsection (c), by striking ``minority individuals'' 
        and all that follows through ``disabilities'' and inserting 
        ``individuals with greatest economic need and greatest social 
        need (with particular attention to individuals with factors 
        listed in section 102(26)(B))'';
            (3) in subsection (d), by striking ``including, as 
        appropriate, health and nutrition education demonstration 
        projects conducted under section 307(f) the full contents of 
        which shall be'' and inserting ``and the full contents of those 
        summaries and analyses shall be'';
            (4) by redesignating subsections (e) through (g) as 
        subsections (f) through (h), respectively;
            (5) by inserting after paragraph (d) the following:
    ``(e) The Secretary shall prepare and submit to Congress an annual 
report evaluating the impact of the programs and services provided 
under this Act on the economic security of older individuals.''; and
            (6) in subsection (h), as redesignated by paragraph (2), by 
        striking ``\1/2\ of''.

SEC. 205. REPORTS.

    Section 207 of the Older Americans Act of 1965 (42 U.S.C. 3018) is 
amended--
            (1) in subsection (a)--
                    (A) in paragraph (2), by striking ``section 
                202(a)(19)'' and inserting ``section 202(a)(16)'';
                    (B) in paragraph (3), by striking ``, with 
                particular attention'' and all that follows through the 
                semicolon and inserting ``(with particular attention to 
                individuals with factors listed in section 
                102(26)(B));''; and
                    (C) in paragraph (4), by striking ``section 
                202(a)(17)'' and inserting ``section 202(a)(14)'';
            (2) in subsection (b)--
                    (A) in paragraph (1)(C), by inserting ``and the 
                adult protection services programs of the States'' 
                after ``of the States''; and
                    (B) in paragraph (3)(A), by striking ``Health Care 
                Finance Administration'' and inserting ``Centers for 
                Medicare & Medicaid Services'';
            (3) in subsection (c)(5)--
                    (A) by striking ``economic need (including low-
                income minority individuals and older individuals 
                residing in rural areas)'' and inserting ``economic 
                need''; and
                    (B) by striking ``social need (including low-income 
                minority individuals and older individuals residing in 
                rural areas)'' and inserting ``social need (with 
                particular attention to individuals with factors listed 
                in section 102(26)(B))''; and
            (4) by adding at the end the following:
    ``(d) The Assistant Secretary shall ensure that 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.''.

SEC. 206. CONFORMING AMENDMENTS.

    (a) Appropriate Use of Funds.--Section 212(b)(3) of the Older 
Americans Act of 1965 (42 U.S.C. 3020c(b)(3)) is amended--
            (1) by striking ``social need,'' and inserting ``social 
        need (with particular attention to individuals with factors 
        listed in section 102(26)(B)) or''; and
            (2) by striking ``, or an older'' and all that follows 
        through ``placement''.
    (b) Administrative Expenses.--Section 215(j) of the Older Americans 
Act of 1965 (42 U.S.C. 3020e-1(j)) is amended by striking ``section 
216'' and inserting ``section 217''.

SEC. 207. AUTHORIZATION OF APPROPRIATIONS.

    Section 216 of the Older Americans Act of 1965 (42 U.S.C. 3020f) is 
amended--
            (1) in subsection (a), by striking ``2007, 2008, 2009, 
        2010, and 2011'' and inserting ``2014, 2015, 2016, 2017, and 
        2018'';
            (2) in subsection (b)--
                    (A) by striking ``section 202(a)(24)'' and 
                inserting ``section 202(a)(21)''; and
                    (B) by striking ``2007, 2008, 2009, 2010, and 
                2011'' and inserting ``2014, 2015, 2016, 2017, and 
                2018'';
            (3) in subsection (c), by striking ``2007, 2008, 2009, 
        2010, and 2011'' and inserting ``2014, 2015, 2016, 2017, and 
        2018''; and
            (4) by adding at the end the following:
    ``(d) National Adult Protective Services Resource Center.--There 
are authorized to be appropriated to carry out section 201(i) (relating 
to the National Adult Protective Services Resource Center), such sums 
as may be necessary for fiscal years 2014, 2015, 2016, 2017, and 2018.
    ``(e) Advisory Committee To Assess, Coordinate, and Improve Legal 
Assistance Activities.--There is authorized to be appropriated to carry 
out section 216, not less than $300,000 for fiscal year 2014.''.

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

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

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

    ``(a) Establishment.--There is established an Advisory Committee to 
Assess, Coordinate, and Improve Legal Assistance Activities (referred 
to in this section as the `Committee').
    ``(b) Membership; 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.''.

SEC. 209. CONSUMER PRICE INDEX.

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

SEC. 210. SENSE OF THE SENATE REGARDING APPROPRIATION LEVELS.

    Title II of the Older Americans Act of 1965 (42 U.S.C. 3011 et 
seq.), as amended by section 208, is further amended by adding at the 
end the following:

``SEC. 218. SENSE OF THE SENATE REGARDING APPROPRIATION LEVELS.

    ``It is the sense of the Senate that the amount appropriated under 
this Act should be not less than $2,675,000,000 for fiscal year 2014 
and each subsequent year.''.

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

SEC. 301. PURPOSE; ADMINISTRATION.

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

SEC. 302. DEFINITION.

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

SEC. 303. AUTHORIZATION OF APPROPRIATIONS.

    Section 303 of the Older Americans Act of 1965 (42 U.S.C. 3023) is 
amended--
            (1) in subsection (a), by striking paragraph (1) and 
        inserting the following:
    ``(1) There are authorized to be appropriated to carry out part B 
(relating to supportive services) such sums as may be necessary for 
each of fiscal years 2014 through 2018.'';
            (2) by striking subsection (b) and inserting the following:
    ``(b)(1) There are authorized to be appropriated to carry out 
subpart 1 of part C (relating to congregate nutrition services) such 
sums as may be necessary for each of fiscal years 2014 through 2018.
    ``(2) There are authorized to be appropriated to carry out subpart 
2 of part C (relating to home delivered nutrition services) such sums 
as may be necessary for fiscal years 2014 through 2018.'';
            (3) by striking subsection (d) and inserting the following:
    ``(d) There are authorized to be appropriated to carry out part D 
(relating to disease prevention and health promotion services) such 
sums as may be necessary for each of fiscal years 2014 through 2018.''; 
and
            (4) by striking subsection (e) and inserting the following:
    ``(e) There are authorized to be appropriated to carry out part E 
(relating to family caregiver support) such sums as may be necessary 
for each of fiscal years 2014 through 2018.''.

SEC. 304. ALLOTMENTS.

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

SEC. 305. ORGANIZATION.

    Section 305 of the Older Americans Act of 1965 (42 U.S.C. 3025) is 
amended--
            (1) in subsection (a)--
                    (A) in paragraph (1)(E)--
                            (i) by striking ``greatest economic need'' 
                        and all that follows through ``rural areas)'' 
                        the first place it appears and inserting 
                        ``greatest economic need''; and
                            (ii) by striking ``greatest social need'' 
                        and all that follows through ``rural areas)'' 
                        and inserting ``greatest social need (with 
                        particular attention to individuals with 
                        factors listed in section 102(26)(B))''; and
                    (B) in paragraph (2)--
                            (i) in subparagraph (C)(ii), by striking 
                        ``areas'' and all that follows and inserting 
                        ``areas of older individuals with greatest 
                        economic need and older individuals with 
                        greatest social need (with particular attention 
                        to individuals with factors listed in section 
                        102(26)(B)); and'';
                            (ii) in subparagraph (E), by striking 
                        ``services to'' and all that follows through 
                        ``rural areas)'' and inserting ``services to 
                        older individuals with greatest economic need 
                        and older individuals with greatest social need 
                        (with particular attention to individuals with 
                        factors listed in section 102(26)(B)''; and
                            (iii) in subparagraph (G), by striking 
                        clause (ii) and inserting the following:
                            ``(ii) provide an assurance that the State 
                        agency will undertake specific program 
                        development, advocacy, and outreach efforts 
                        focused on the needs of older individuals with 
                        greatest social need (with particular attention 
                        to individuals with factors listed in section 
                        102(26)(B)) and older individuals with greatest 
                        economic need; and'';
            (2) in subsection (b)(5)(C)(i)(III), by striking ``planning 
        and services areas'' and inserting ``planning and service 
        areas''; and
            (3) in subsection (d)(1), by striking ``greatest economic 
        or social need'' and inserting ``greatest economic need and 
        greatest social need (with particular attention to individuals 
        with factors listed in section 102(26)(B))''.

SEC. 306. AREA PLANS.

    Section 306 of the Older Americans Act of 1965 (42 U.S.C. 3026) is 
amended--
            (1) in subsection (a)--
                    (A) in paragraph (1)--
                            (i) by striking ``maintenance, or 
                        construction of multipurpose senior centers'' 
                        and inserting ``maintenance, modernization, or 
                        construction of multipurpose senior centers 
                        (which system includes a plan to use the skills 
                        and services of older individuals in paid and 
                        unpaid work, including multigenerational work 
                        and older individual-to-older individual 
                        service activities, relating to such 
                        maintenance, modernization, or construction, or 
                        activities at the centers)'';
                            (ii) by striking ``greatest economic need'' 
                        and all that follows through ``rural areas)'' 
                        the first place it appears and inserting 
                        ``greatest economic need''; and
                            (iii) by striking ``greatest social need'' 
                        and all that follows through ``rural areas) 
                        residing in such area,'' and inserting 
                        ``greatest social need (with particular 
                        attention to individuals with factors listed in 
                        section 102(26)(B)) residing in such area,'';
                    (B) in paragraph (2)(A)--
                            (i) by striking ``mental health services'' 
                        and inserting ``evidence-based behavioral 
                        health services, evidence-based chronic 
                        condition self-care management programs, and 
                        evidence-based falls prevention programs''; and
                            (ii) by striking ``eligible)'' and 
                        inserting ``eligible and shall include 
                        information on paid and unpaid work 
                        opportunities for older individuals, as 
                        available)'';
                    (C) in paragraph (4)--
                            (i) in subparagraph (A)--
                                    (I) in clause (i)(I), by striking 
                                ``will--'' and all that follows and 
                                inserting ``will set specific 
                                objectives, consistent with State 
                                policy, for providing services to older 
                                individuals with greatest economic 
                                need, older individuals with greatest 
                                social need (with particular attention 
                                to individuals with factors listed in 
                                section 102(26)(B)), and older 
                                individuals at risk for institutional 
                                placement; and'';
                                    (II) in clause (i)(II), by striking 
                                ``items (aa) and (bb) of''; and
                                    (III) in subclauses (I), (II), and 
                                (III) of clause (ii), by striking 
                                ``low-income'' and all that follows 
                                through ``rural areas'' and inserting 
                                ``individuals with greatest economic 
                                need and individuals with greatest 
                                social need (with particular attention 
                                to individuals with factors listed in 
                                section 102(26)(B))''; and
                            (ii) in subparagraph (B)(i)--
                                    (I) in subclause (II), by striking 
                                ``economic need'' and all that follows 
                                through ``rural areas)'' and inserting 
                                ``economic need'';
                                    (II) in subclause (III), by 
                                striking ``social need'' and all that 
                                follows through ``rural areas)'' and 
                                inserting ``social need (with 
                                particular attention to individuals 
                                with factors listed in section 
                                102(26)(B))''; and
                                    (III) in subclause (VII), by 
                                inserting ``with multiple chronic 
                                illnesses or'' after ``older 
                                individuals'';
                    (D) in paragraph (6)--
                            (i) in subparagraph (D), by inserting 
                        ``(including acute care providers)'' after 
                        ``service providers'';
                            (ii) in subparagraph (E)(ii), by inserting 
                        ``and Federally qualified health centers, as 
                        defined in sections 1861(aa)(4) and 
                        1905(l)(2)(B) of the Social Security Act (42 
                        U.S.C. 1395x(aa)(4), 1396d(l)(2)(B))'' after 
                        ``203(b)''; and
                            (iii) by adding at the end the following:
                    ``(H) 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 elder abuse education, prevention, investigation, 
                and treatment; and
                    ``(I) serve as an advocate in the corresponding 
                planning and service area for evidence-based falls 
                prevention programs and policies for older individuals 
                and, if possible, enter into partnerships with State 
                government agencies (such as the State health agency 
                and State transportation agency), local agencies, and 
                community-based organizations that implement evidence-
                based falls prevention programs and policies;'';
                    (E) in paragraph (7)--
                            (i) in subparagraph (B)(iii), by striking 
                        ``placement, to permit such individuals'' and 
                        inserting ``placement, with particular 
                        attention to individuals with factors listed in 
                        section 102(26)(B), to permit such at-risk 
                        individuals'';
                            (ii) in subparagraph (C)--
                                    (I) by inserting ``(including 
                                falls)'' after ``injury''; and
                                    (II) by striking ``and'' at the 
                                end; and
                            (iii) in subparagraph (D), by adding 
                        ``and'' at the end;
                    (F) by striking paragraph (9) and inserting the 
                following:
            ``(9) provide assurances that the area agency on aging, in 
        carrying out the State Long-Term Care Ombudsman program 
        described in section 307(a)(9), will--
                    ``(A) provide adequate funding to carry out an 
                effective Ombudsman program in compliance with this 
                Act; and
                    ``(B) expend to carry out the program not less than 
                the total amount of funds appropriated under this Act 
                or made available through other resources, and expended 
                by the agency in fiscal year 2010, in carrying out such 
                a program under this Act;'';
                    (G) in paragraph (16), by striking ``and'' at the 
                end;
                    (H) in paragraph (17)--
                            (i) by inserting ``and revise'' after 
                        ``develop'';
                            (ii) by inserting ``and health'' after 
                        ``State emergency response''; and
                            (iii) by striking the period and inserting 
                        ``; and''; and
                    (I) by adding at the end the following:
            ``(18) include information describing--
                    ``(A) how the area agency on aging will engage in 
                outreach to veterans who are eligible for services 
                under this Act; and
                    ``(B) effective and efficient procedures for the 
                coordination of services provided under this Act with 
                services provided to veterans by the Department of 
                Veterans Affairs and other providers.''; and
            (2) in subsection (b)--
                    (A) in paragraph (2)(B), by striking ``including 
                individuals'' and all that follows and inserting 
                ``including older individuals with greatest economic 
                need and older individuals with greatest social need 
                (with particular attention to individuals with factors 
                listed in section 102(26)(B));''; and
                    (B) in paragraph (3)--
                            (i) in subparagraph (J), by striking 
                        ``and'';
                            (ii) by redesignating subparagraph (K) as 
                        subparagraph (L); and
                            (iii) by inserting after subparagraph (J) 
                        the following:
                    ``(K) protection from elder abuse, neglect, and 
                exploitation; and''.

SEC. 307. STATE PLANS.

    Section 307(a) of the Older Americans Act of 1965 (42 U.S.C. 
3027(a)) is amended--
            (1) in paragraph (2), by striking subparagraph (A) and 
        inserting the following:
                    ``(A) evaluate, using uniform procedures described 
                in section 202(a)(26), the need for supportive services 
                (including legal assistance pursuant to paragraph (11), 
                information and assistance services, care coordination, 
                and transportation services), nutrition services, 
                economic security and benefits counseling, and 
                multipurpose senior centers within the State;'';
            (2) in paragraph (4), by striking ``provided to 
        individuals'' and all that follows and inserting ``provided to 
        individuals with greatest economic need and individuals with 
        greatest social need (with particular attention to individuals 
        with factors listed in section 102(26)(B)).'';
            (3) by striking paragraph (9) and inserting the following:
            ``(9) The plan shall provide assurances that the State 
        agency will carry out, through the Office of the State Long-
        Term Care Ombudsman, a State Long-Term Care Ombudsman program 
        in accordance with section 712 and this title, and, in carrying 
        out the program, will--
                    ``(A) provide adequate funding to carry out an 
                effective Ombudsman program in compliance with this 
                Act; and
                    ``(B) expend to carry out the program 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.'';
            (4) in paragraph (11)--
                    (A) in the matter preceding subparagraph (A), by 
                striking ``legal assistance--'' and inserting ``legal 
                assistance, which shall be provided through an 
                integrated legal assistance delivery system--''; and
                    (B) in subparagraph (B), by striking ``individuals 
                with the greatest such need;'' and inserting 
                ``individuals with greatest economic need and 
                individuals with greatest social need (with particular 
                attention to individuals with factors listed in section 
                102(26)(B)),'';
            (5) by striking paragraph (15) and inserting the following:
            ``(15) 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.'';
            (6) in paragraph (16)--
                    (A) in subparagraph (A), by striking clauses (i) 
                through (vi) and inserting the following:
                            ``(i) older individuals with greatest 
                        economic need;
                            ``(ii) older individuals with greatest 
                        social need (with particular attention to 
                        individuals with factors listed in section 
                        102(26)(B)); and
                            ``(iii) caregivers of individuals described 
                        in clause (i) or (ii); and''; and
                    (B) in subparagraph (B)--
                            (i) by striking ``through (vi)'' and 
                        inserting ``and (ii)''; and
                            (ii) by striking ``caretakers'' and 
                        inserting ``caregivers'';
            (7) in paragraph (23)(A), by striking ``with other State 
        services'' and inserting ``with other Federal and State health 
        care programs and services'';
            (8) in paragraph (28)(B)--
                    (A) by striking clause (i) and inserting the 
                following:
                            ``(i) the projected change in the number of 
                        older individuals in the State, and information 
                        indicating the dispersal and growth in the 
                        number of older individuals with greatest 
                        social need in each planning and service area 
                        in the State;''; and
                    (B) in clause (ii), by striking ``including 
                individuals'' and all that follows and inserting 
                ``including older individuals with greatest economic 
                need and older individuals with greatest social need 
                (with particular attention to individuals with factors 
                listed in section 102(26)(B));''; and
            (9) by adding at the end the following:
            ``(31) The plan shall include information describing--
                    ``(A) how the State agency will engage in outreach 
                to veterans who are eligible for services under this 
                Act; and
                    ``(B) effective and efficient procedures for the 
                coordination of services provided under this Act with 
                services provided to veterans by the Department of 
                Veterans Affairs and other providers.
            ``(32) The plan shall include an assurance that the State 
        has made efforts to train relevant staff to recognize the 
        common signs and symptoms of possible dementia.''.

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

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

SEC. 309. NUTRITION SERVICES INCENTIVE PROGRAM.

    Section 311(e) of the Older Americans Act of 1973 (42 U.S.C. 
3030a(e)) is amended by striking ``fiscal year 2007'' and all that 
follows and inserting ``each of fiscal years 2014 through 2018''.

SEC. 310. CONSUMER CONTRIBUTIONS.

    Section 315 of the Older Americans Act of 1965 (42 U.S.C. 3030c-2) 
is amended--
            (1) in subsection (b)--
                    (A) in paragraph (1), by striking ``185 percent'' 
                and inserting ``200 percent''; and
                    (B) in paragraph (3), by adding at the end the 
                following: ``Contributions under this section shall be 
                used to supplement, and not to supplant, any other 
                funds expended for activities described in this Act.'';
            (2) in subsection (c)(2), by striking ``participation of'' 
        and all that follows through ``rural areas)'' and inserting 
        ``participation of older individuals with greatest economic 
        need and older individuals with greatest social need (with 
        particular attention to individuals with factors listed in 
        section 102(26)(B))''; and
            (3) in subsection (d)--
                    (A) by striking ``Not later'' and all that follows 
                through ``shall conduct'' and inserting ``Not later 
                than January 1, 2015, and annually thereafter, the 
                Assistant Secretary shall conduct, and submit to the 
                appropriate committees of Congress a report containing 
                the results of,''; and
                    (B) by striking ``(with particular'' and all that 
                follows through ``rural areas)'' and inserting ``, 
                including participation rates for individuals with 
                greatest economic need and individuals with greatest 
                social need (with particular attention to individuals 
                with factors listed in section 102(26)(B))''.

SEC. 311. SUPPORTIVE SERVICES AND SENIOR CENTERS PROGRAM.

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

SEC. 312. NUTRITION SERVICES.

    (a) In General.--Section 339 of the Older Americans Act of 1965 (42 
U.S.C. 3030g-21) is amended--
            (1) in paragraph (1)--
                    (A) by striking ``solicit'' and inserting 
                ``utilize''; and
                    (B) by inserting ``, to help achieve development of 
                evidenced-based and cost-effective nutrition services'' 
                after ``nutritional services''; and
            (2) in paragraph (2)--
                    (A) in subparagraph (A), by amending clause (iii) 
                to read as follows:
                            ``(iii) to the maximum extent practicable, 
                        are adjusted and appropriately funded to meet 
                        any special health-related or other dietary 
                        needs of program participants, including needs 
                        based on religious, cultural, or ethnic 
                        requirements,'';
                    (B) in subparagraph (J), by striking ``and'' at the 
                end;
                    (C) in subparagraph (K), by striking the period and 
                inserting ``; and''; and
                    (D) by adding at the end the following:
                    ``(L) where feasible, encourages the use of locally 
                grown foods in meal programs and identifies potential 
                partnerships and contracts with local producers and 
                providers of locally grown foods.''.
    (b) Special Rule.--Section 339 of the Older Americans Act of 1965 
(42 U.S.C. 3030g-21) is amended--
            (1) by inserting before ``A State'' the following:
    ``(a) In General.--''; and
            (2) by adding at the end the following:
    ``(b) Transportation.--Funds appropriated to carry out this part 
may be used for transportation costs that can be demonstrated to be 
directly related to the provision of services specified in this 
part.''.

SEC. 313. DISEASE PREVENTION AND HEALTH PROMOTION SERVICES.

    (a) Program.--Section 361 of the Older Americans Act of 1965 (42 
U.S.C. 3030m) is amended--
            (1) in subsection (a), in the first sentence--
                    (A) by inserting ``evidence-based'' after ``to 
                provide'';
                    (B) by inserting ``(including cognitive health 
                promotion services)'' after ``health promotion 
                services''; and
                    (C) by inserting before ``or at'' the following: 
                ``at Federally qualified health centers (as defined in 
                sections 1861(aa)(4) and 1905(l)(2)(B) of the Social 
                Security Act (42 U.S.C. 1395x(aa)(4), 
                1396d(l)(2)(B))),''.
            (2) Clinical preventive services.--Part D of title III of 
        the Older Americans Act of 1965 (42 U.S.C. 3030m et seq.) is 
        amended by adding at the end the following:

``SEC. 363. CLINICAL PREVENTIVE SERVICES.

    ``Congress finds that--
            ``(1) there are clinical preventive services (as defined in 
        a manner consistent with the recommendations of the U.S. 
        Preventive Services Task Force) covered under the Medicare 
        program carried out under title XVIII of the Social Security 
        Act (42 U.S.C. 1395 et seq.); and
            ``(2) older adults should receive the clinical preventive 
        services described in paragraph (1).''.

SEC. 314. NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM.

    (a) Older Relative Caregiver.--Section 372 of such Act (42 U.S.C. 
3030s) is amended--
            (1) in subsection (a)--
                    (A) by striking ``this subpart:'' and inserting 
                ``this part:''; and
                    (B) by striking paragraphs (1) and (2) and 
                inserting the following:
            ``(1) Child.--The term `child' means an individual who is 
        not more than 18 years of age.
            ``(2) Eligible care recipient.--The term `eligible care 
        recipient' means a relative, of an older relative caregiver, 
        who is--
                    ``(A) a child; or
                    ``(B) an individual with a disability who is not 
                less than 19 and not more than 59 years of age.
            ``(3) Older relative caregiver.--
                    ``(A) In general.--The term `older relative 
                caregiver' means a caregiver, as defined in 
                subparagraph (B) or (C), who--
                            ``(i) is 55 years of age or older; and
                            ``(ii) lives with, is the informal provider 
                        of in-home and community care to, and is the 
                        primary caregiver for, an eligible care 
                        recipient who is described in subparagraph (B) 
                        or (C), respectively.
                    ``(B) Caregiver for child.--For purposes of 
                subparagraph (A), the term `caregiver', used with 
                respect to an eligible care recipient who is a child, 
                means an individual who--
                            ``(i) is the grandparent, stepgrandparent, 
                        or other relative (other than the parent) by 
                        blood, marriage, or adoption, of the eligible 
                        care recipient;
                            ``(ii) is the primary caregiver of the 
                        eligible care recipient because the biological 
                        or adoptive parents are unable or unwilling to 
                        serve as the primary caregiver of the eligible 
                        care recipient; and
                            ``(iii) has a legal relationship to the 
                        eligible care recipient, such as legal custody 
                        or guardianship, or is raising the eligible 
                        care recipient informally.
                    ``(C) Caregiver of individual with a disability.--
                For purposes of subparagraph (A), the term `caregiver', 
                used with respect to an eligible care recipient who is 
                an individual with a disability described in paragraph 
                (2)(B) means an individual who is the parent, 
                grandparent, or other relative by blood, marriage, or 
                adoption, of the eligible care recipient.''; and
            (2) in subsection (b)(2)--
                    (A) by striking ``grandparents or older individuals 
                who are relative caregivers'' and inserting ``older 
                relative caregivers''; and
                    (B) by striking ``children'' and inserting 
                ``eligible care recipients''.
    (b) Program.--Section 373 of the Older Americans Act of 1965 (42 
U.S.C. 3030s-1) is amended--
            (1) in subsection (a)(2), by striking ``grandparents or 
        older individuals who are relative caregivers.'' and inserting 
        ``older relative caregivers.'';
            (2) by redesignating subsections (b) through (g) as 
        subsections (c) through (h), respectively;
            (3) by inserting after subsection (a) the following:
    ``(b) Assessment Program of Needs of Family Caregivers.--
            ``(1) In general.--The Assistant Secretary may make grants 
        to States to establish a program, in accordance with the 
        program requirements described in paragraph (4), to assess the 
        needs of family caregivers for targeted support services.
            ``(2) Application by states.--Each State seeking a grant 
        under this subsection shall submit an application to the 
        Assistant Secretary at such time, in such manner, and 
        containing such information and assurances as the Assistant 
        Secretary determines appropriate.
            ``(3) Program administration.--A State receiving a grant 
        under this subsection may enter into an agreement with area 
        agencies on aging in the State, or an Aging and Disability 
        Resource Center in the State, to administer the program, using 
        such grant funds.
            ``(4) Program requirements.--
                    ``(A) Voluntary questionnaire.--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.
                    ``(B) Referrals.--In the case where a questionnaire 
                completed by a family caregiver under subparagraph (A) 
                indicates that the family caregiver would benefit from 
                1 or more targeted support services, the agency 
                administering the program established under paragraph 
                (1) shall provide referrals to the family caregiver for 
                State, local, nonprofit, and private-sector caregiver 
                programs and other resources that provide such targeted 
                support services to such caregivers.
                    ``(C) Reporting requirement.--Each State with a 
                program described in paragraph (1) shall periodically 
                submit to the Assistant Secretary a report containing 
                information on the number of caregivers assessed under 
                the program, information on the number of referrals 
                made for targeted support services under the program 
                (disaggregated by type of service), demographic 
                information on caregivers assessed under the program, 
                and other information required by the Assistant 
                Secretary.'';
            (4) in subsection (c), as redesignated by paragraph (2)--
                    (A) in paragraph (4), by striking ``and'' at the 
                end;
                    (B) in paragraph (5), by striking the period and 
                inserting ``; and''; and
                    (C) by adding at the end the following:
            ``(6) the efforts of the Ombudsman to facilitate the 
        activities of, and support, the State Long-Term Care Ombudsman 
        program under title VII and this title, and the efforts of the 
        Ombudsman to facilitate the activities of, and support, family 
        and caregiver councils in long-term care facilities.'';
            (5) in subsection (d), as redesignated by paragraph (2)--
                    (A) in paragraph (1)--
                            (i) in the matter preceding subparagraph 
                        (A), by striking ``and grandparents and older 
                        individuals who are relative caregivers,'' and 
                        inserting ``and older relative caregivers,'';
                            (ii) in subparagraph (A), by striking 
                        ``paragraph (1) or (2) of''; and
                            (iii) in subparagraph (B)--
                                    (I) by striking ``subsection (b), 
                                in the case of a caregiver described in 
                                paragraph (1)'' and inserting 
                                ``subsection (c), in the case of a 
                                caregiver described in subsection 
                                (a)(1)''; and
                                    (II) by striking ``section 
                                102(22).'' and inserting ``section 
                                102(24).''; and
                    (B) in paragraph (2)--
                            (i) in subparagraph (A)--
                                    (I) by inserting ``(with particular 
                                attention to individuals with factors 
                                listed in section 102(26)(B))'' after 
                                ``social need''; and
                                    (II) by striking ``economic need'' 
                                and all that follows and inserting 
                                ``economic need; and'';
            (6) in subsection (e), as redesignated by paragraph (2), by 
        striking ``subsection (b)'' and inserting ``subsection (c)'';
            (7) in subsection (f)(3), as redesignated by paragraph (2), 
        in the second sentence, by striking ``or grandparents or older 
        individuals who are relative caregivers,'' and inserting 
        ``older relative caregivers,'';
            (8) in subsection (g)(1), as redesignated by paragraph 
        (2)--
                    (A) in subparagraph (A), by striking ``for fiscal 
                years 2007, 2008, 2009, 2010, and 2011'' and inserting 
                ``for each of fiscal years 2014 through 2018''; and
                    (B) in subparagraph (B), by striking ``under 
                section 303'' and inserting ``under section 303(e)''; 
                and
            (9) in subsection (h), as redesignated by paragraph (2)--
                    (A) in paragraph (2), by striking subparagraph (C) 
                and inserting the following:
                    ``(C) Limitation.--A State may use not more than 10 
                percent of the total Federal and non-Federal share 
                available to the State under this part to provide 
                support services to--
                            ``(i) older relative caregivers who provide 
                        care for children; and
                            ``(ii) older relative caregivers--
                                    ``(I) who provide care for 
                                individuals described in section 
                                372(a)(2)(B); and
                                    ``(II) who are the parents of the 
                                individuals.''; and
                    (B) by adding at the end the following:
            ``(3) Use of funds for ombudsman program.--Amounts made 
        available to a State to carry out the State program under this 
        part may be used to support the Office of the State Long-Term 
        Care Ombudsman, including supporting the development of 
        resident and family councils.''.
    (c) Elimination of Superfluous Subpart Designation.--
            (1) Heading.--Part E of title III of such Act (42 U.S.C. 
        3030s et seq.) is amended by striking the subpart heading for 
        subpart 1.
            (2) Conforming amendments.--Sections 373 (as amended by 
        subsection (b)) and 374 of such Act (42 U.S.C. 3030s-1, 3030s-
        2) are further amended by striking ``this subpart'' in each 
        place it appears and inserting ``this part''.

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

SEC. 401. GRANT PROGRAMS.

    Section 411 of the Older Americans Act of 1965 (42 U.S.C. 3032) is 
amended--
            (1) in subsection (a)--
                    (A) in paragraph (12), by striking ``; and'' and 
                inserting a semicolon;
                    (B) by redesignating paragraph (13) as paragraph 
                (14); and
                    (C) by inserting after paragraph (12) the 
                following:
            ``(13) supporting programs that enable the mobility and 
        self-sufficiency of older individuals with the greatest 
        economic need and older individuals with the greatest social 
        need by providing transportation services and resources; and''; 
        and
            (2) in subsection (b), by striking ``for fiscal years 
        2007'' and all that follows through ``2011'' and inserting 
        ``for each of fiscal years 2014 through 2018''.

SEC. 402. COMMUNITY INNOVATIONS FOR AGING IN PLACE.

    Section 422 of the Older Americans Act of 1965 (42 U.S.C. 3032k) is 
amended by adding at the end the following:
    ``(g) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $5,000,000 for each of fiscal 
years 2014 through 2018.''.

SEC. 403. MULTIPURPOSE SENIOR CENTER MODERNIZATION, TRAINING, AND 
              SUPPORT.

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

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

    ``(a) Program Authorized.--The Assistant Secretary shall award 
grants and enter into contracts with eligible entities to carry out 
projects to--
            ``(1) support and promote modern multipurpose senior center 
        models which yield vibrant, multiservice, multigenerational 
        centers for older individuals, families of older individuals, 
        and others in the community to gain skills, resources, and 
        connections needed to meet the challenges that occur with 
        continuum of care and quality of life;
            ``(2) build an evidence base of modern, replicable 
        practices that allow senior centers to serve a diverse array of 
        older individuals, as well as their families and other 
        caregivers, leveraging innovative partnerships and public and 
        private resources to develop and expand programs; and
            ``(3) mobilize services and leverage resources to support 
        the role of multipurpose senior centers as community focal 
        points, as provided in section 306(a)(3), and for the 
        establishment, construction, maintenance, and operation of 
        centers, as described in sections 303(c)(2) and 306(a)(1), 
        including development of intergenerational shared site models, 
        consistent with the purposes of this Act.
    ``(b) Use of Funds.--An eligible entity shall use funds made 
available under a grant awarded, or a contract entered into, under 
subsection (a) to--
            ``(1) carry out a project described in subsection (a); and
            ``(2) evaluate the project in accordance with subsection 
        (e).
    ``(c) Eligible Entity.--For purposes of this section, the term 
`eligible entity' means--
            ``(1) a multipurpose senior center that has met national 
        accreditation and fiduciary standards; and
            ``(2) a regional partnership or collaboration of 
        multipurpose senior centers or State association of senior 
        centers in which not less than 2 centers are accredited.
    ``(d) 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.
    ``(e) 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.
            ``(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.
    ``(f) Report to Congress.--Not later than 6 months after the 
Assistant Secretary receives the reports described in subsection 
(e)(2), the Assistant Secretary shall prepare and submit to Congress a 
report that describes the results of the evaluations.''.

SEC. 404. DEMONSTRATION PROGRAM ON CARE COORDINATION AND SERVICE 
              DELIVERY.

    Part A of title IV of the Older Americans Act of 1965 (42 U.S.C. 
3032 et seq.), as amended by section 403, is further amended by adding 
at the end the following:

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

    ``(a) Establishment of Demonstration Program.--
            ``(1) In general.--The Assistant Secretary shall carry out 
        a demonstration program in accordance with this section. The 
        Assistant Secretary shall award grants to eligible entities (as 
        determined by the Secretary) to implement demonstration 
        projects that focus on care coordination and service delivery 
        redesign for older individuals with chronic illness or at risk 
        of institutional placement by--
                    ``(A) designing and testing new models of care 
                coordination and service delivery that thoughtfully and 
                effectively deploy advanced aides to improve efficiency 
                and quality of care for frail older individuals; and
                    ``(B) giving direct-care workers opportunities for 
                career advancement through additional training, an 
                expanded role, and increased compensation.
            ``(2) Direct-care worker.--In this section, the term 
        `direct-care worker' has the meaning given that term in the 
        2010 Standard Occupational Classifications of the Department of 
        Labor for Home Health Aides [31-1011], Psychiatric Aides [31-
        1013], Nursing Assistants [31-1014], and Personal Care Aides 
        [39-9021].
    ``(b) Planning and Implementation Awards Under the Program.--
            ``(1) In general.--Each eligible entity that receives a 
        grant under this section shall receive a grant for planning and 
        implementation activities related to the demonstration project 
        to be carried out by the entity.
            ``(2) Amount.--The amount awarded under paragraph (1) for 
        all grants--
                    ``(A) for planning activities, shall not exceed 
                $600,000; and
                    ``(B) for implementation activities, shall not 
                exceed $2,900,000.
            ``(3) Terms.--Planning activities carried out under a grant 
        awarded under paragraph (1) shall be completed not later than 1 
        year after the grant is awarded. Implementation activities 
        carried out under such a grant shall be completed not later 
        than 2 years after the grant is awarded.
            ``(4) Evaluation and report.--Each recipient of a grant 
        under paragraph (1), in consultation with an independent 
        evaluation contractor, shall conduct an evaluation and submit 
        to the Secretary a report on the implementation of activities 
        conducted under the demonstration project, including such 
        information as the Secretary may require.''.

SEC. 405. GRANTS OR CONTRACTS TO FACILITATE LOW-INCOME ACCESS TO DENTAL 
              CARE.

    Part A of title IV of the Older Americans Act of 1965, as amended 
by section 404, is further amended by adding at the end the following:

``SEC. 425. GRANTS OR CONTRACTS TO FACILITATE LOW-INCOME ACCESS TO 
              DENTAL CARE.

    ``(a) Definition.--In this section, the term `medically recommended 
dental care' means treatment of an oral disease or other oral 
condition, on the referral of a physician or other health care 
professional, to sustain or improve overall health, prevent 
exacerbation of a co-morbid condition, or as a prerequisite to a 
required medical therapy.
    ``(b) Grants.--The Secretary shall award competitive grants to, or 
enter into contracts with, eligible entities to fund the employment 
costs of professionals who will use grant or contract funds to--
            ``(1) coordinate the provision of medically recommended 
        dental care to eligible individuals by volunteer dentists in a 
        manner consistent with State licensing laws; and
            ``(2) verify the medical, dental, and financial needs of 
        eligible individuals who may be eligible for free medically 
        recommended dental care.
    ``(c) Eligibility.--
            ``(1) Eligible entity.--To be eligible to receive a grant 
        or contract under subsection (b), an entity shall be a 
        nonprofit organization that provides for the participation of 
        eligible individuals in a free dental services program on a 
        national basis.
            ``(2) Eligible individual.--To be eligible to participate 
        in a program described in paragraph (1), individuals shall be 
        those with greatest economic need and individuals with greatest 
        social need (with particular attention to individuals with 
        factors listed in section 102(26)(B)).
    ``(d) Use of Funds.--An entity shall use amounts received under a 
grant or contract under this section to establish, expand, or operate a 
program to coordinate the provision of free medically recommended 
dental care through volunteer dentists to eligible individuals.
    ``(e) Evaluation and Report.--
            ``(1) Evaluation.--Each entity that receives a grant or 
        contract under this section shall evaluate the number of 
        patients served under the grant or contract, and the 
        effectiveness of the program described in subsection (d) in 
        reducing medical expenses associated with the disease or 
        condition for which care described in subsection (d) was 
        provided.
            ``(2) Report.--The entity shall submit a report containing 
        the results of the evaluation to the Assistant Secretary, not 
        later than 6 months after the end of the period of the grant or 
        contract.
    ``(f) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $2,000,000 for each of fiscal 
years 2014 through 2018.''.

SEC. 406. NATIONAL RESOURCE CENTER ON FAMILY CAREGIVING.

    Part A of title IV of the Older Americans Act of 1965 (42 U.S.C. 
3032 et seq.), as amended by section 405, is further amended by adding 
at the end the following:

``SEC. 426. 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 fiscal years 2014 
through 2018.''.

SEC. 407. CONFORMING AMENDMENT.

    Section 417(c)(2) of the Older Americans Act of 1965 (42 U.S.C. 
3032f(c)(2)) is amended by striking ``older individuals and 
communities'' and all that follows and inserting ``communities with 
greatest need, older individuals with greatest economic need, and older 
individuals with greatest social need (with particular attention to 
individuals with factors listed in section 102(26)(B));''.

            TITLE V--COMMUNITY SERVICE SENIOR OPPORTUNITIES

SEC. 501. OLDER AMERICAN COMMUNITY SERVICE EMPLOYMENT PROGRAM.

    Section 502 of the Older Americans Act of 1965 (42 U.S.C. 3056) is 
amended--
            (1) in subsection (a)(1)--
                    (A) by striking ``To foster individual economic 
                self-sufficiency and'' and inserting ``To further the 
                goal of economic security, foster individual economic 
                self-sufficiency, grow local economies, improve the 
                quality of life in local communities, and''; and
                    (B) by striking ``persons who are age 55'' and 
                inserting ``persons who are not economically secure and 
                who are age 55''; and
            (2) in subsection (b)(1)--
                    (A) in subparagraph (E), by striking ``support for 
                children,'' and inserting ``support for adults, 
                children,''; and
                    (B) in subparagraph (M), by striking ``and eligible 
                individuals with greatest economic need'' and inserting 
                ``eligible individuals with disabilities, eligible 
                individuals with greatest economic need, and eligible 
                individuals with greatest social need''.

SEC. 502. INTERAGENCY COOPERATION.

    Section 514 of the Older Americans Act of 1965 (42 U.S.C. 3056l) is 
amended--
            (1) in subsection (c)(1), by striking ``individuals with 
        greatest economic need, individuals with greatest social 
        need,'' and inserting ``individuals with greatest economic 
        need, individuals with greatest social need (with particular 
        attention to individuals with factors listed in section 
        102(26)(B)),''; and
            (2) in subsection (e)(1), by striking ``minority'' and all 
        that follows through ``economic need,'' and inserting 
        ``individuals with greatest economic need, individuals with 
        greatest social need,''.

SEC. 503. AUTHORIZATION OF APPROPRIATIONS.

    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 fiscal years 2014 through 2018''.

SEC. 504. STUDY ON FEASIBILITY OF TRANSFER OF PROGRAM.

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

                 TITLE VI--GRANTS FOR NATIVE AMERICANS

SEC. 601. TECHNICAL AMENDMENT.

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

SEC. 602. CONFORMING AMENDMENT.

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

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

    Section 643(2) of the Older Americans Act of 1965 (42 U.S.C. 
3057n(2)) is amended by striking ``part C,'' and all that follows and 
inserting ``part C, not less than $8,400,000 for each of fiscal years 
2014 through 2018.''.

        TITLE VII--VULNERABLE ELDER RIGHTS PROTECTION ACTIVITIES

SEC. 701. ESTABLISHMENT.

    Section 701 of the Older Americans Act of 1965 (42 U.S.C. 3058) is 
amended--
            (1) by inserting ``and grants'' after ``allotments''; and
            (2) by adding at the end the following: ``The Assistant 
        Secretary, to the maximum extent practicable, shall ensure that 
        education and public awareness activities under this title are 
        fully integrated with programs under this Act.''.

SEC. 702. AUTHORIZATION OF APPROPRIATIONS.

    Chapter 1 of subtitle A of title VII of the Older Americans Act of 
1965 is amended by inserting after section 702 (42 U.S.C. 3058a) the 
following:

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

    ``There are authorized to be appropriated to carry out chapter 5 
such sums as may be necessary for fiscal year 2014 and each subsequent 
fiscal year.''.

SEC. 703. GRANTS.

    Section 703 of the Older Americans Act of 1965 (42 U.S.C. 3058b) is 
amended by adding at the end the following:
    ``(d) Grants for State Home Care Ombudsman Programs.--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.''.

SEC. 704. ELIGIBILITY.

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

SEC. 705. ADDITIONAL STATE PLAN REQUIREMENTS.

    Section 705 of the Older Americans Act of 1965 (42 U.S.C. 3058d) is 
amended--
            (1) in subsection (a)--
                    (A) in the matter preceding paragraph (1), by 
                inserting ``or grant'' after ``allotment'';
                    (B) in paragraph (1), by striking ``requirements of 
                the chapter and this chapter'' and inserting 
                ``requirements of this chapter and this subtitle'';
                    (C) in paragraph (2), by inserting ``family 
                caregivers,'' after ``title VI,'';
                    (D) in paragraph (4), by striking ``enactment of 
                this subtitle'' and inserting ``enactment of the 
                chapter'';
                    (E) in paragraph (6), by striking ``and'' at the 
                end;
                    (F) in paragraph (7), by striking the period and 
                inserting ``; and''; and
                    (G) by adding at the end the following:
            ``(8) an assurance that the State has--
                    ``(A) a Home Care Consumer Bill of Rights and a 
                Plan for Enforcement of such a Bill, developed in 
                accordance with the procedures described under 
                paragraph (2) and as approved by the Assistant 
                Secretary, and the State shall include a copy of the 
                Bill and Plan; or
                    ``(B) a waiver of subparagraph (A) from the 
                Assistant Secretary and a proposal for developing and 
                submitting for approval a Home Care Consumer Bill of 
                Rights and Plan for Enforcement.'';
            (2) by redesignating subsection (b) as subsection (d);
            (3) by inserting after subsection (a) the following:
    ``(b) Home Care Consumer Bill of Rights.--The Home Care Consumer 
Bill of Rights referred to in subsection (a)(8) shall, at a minimum--
            ``(1) address a home care consumer's right to basic safety;
            ``(2) address a home care consumer's right to access 
        information about the cost of home care services prior to 
        receiving those services;
            ``(3) address a home care consumer's right to choice, 
        participation, and self-determination;
            ``(4) address a home care consumer's right to redress 
        grievances; and
            ``(5) meet any other guidelines determined to be 
        appropriate by the Assistant Secretary.
    ``(c) Plan for Enforcement.--The Plan for Enforcement referred to 
in subsection (a)(8) shall include a description of how State entities 
with a role in protecting older individuals will coordinate activities 
to enforce the Home Care Consumer Bill of Rights.''; and
            (4) by adding at the end the following:
    ``(e) Definition.--In this section, the term `home care consumer' 
and `home care services' have the meanings given the terms in section 
736.''.

SEC. 706. DEFINITIONS.

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

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

    Section 712 of the Older Americans Act of 1965 (42 U.S.C. 3058g) is 
amended--
            (1) in subsection (a)--
                    (A) in paragraph (2), by adding at the end the 
                following: ``The Ombudsman shall be responsible for the 
                management, including the fiscal management, of the 
                Office.'';
                    (B) in paragraph (3)--
                            (i) in subparagraph (A), by striking clause 
                        (i) and inserting the following:
                            ``(i) are made by or on behalf of 
                        residents, including residents with limited or 
                        no decisionmaking capacity and who have no 
                        known legal representative, and if such a 
                        resident is unable to 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 desired (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 the 
                        desired outcome;'';
                            (ii) in subparagraph (D), by striking 
                        ``regular and timely'' and inserting ``regular, 
                        timely, private, and unimpeded''; and
                            (iii) in subparagraph (H)(iii), by striking 
                        ``provide technical support for'' and inserting 
                        ``actively encourage and assist in'';
                    (C) in paragraph (4)--
                            (i) in the paragraph header, by striking 
                        ``Contracts and arrangements'' and inserting 
                        ``Organizational placement''; and
                            (ii) by striking subparagraph (B) and 
                        inserting the following:
                    ``(B) Identifying, removing, and remedying 
                organizational conflict.--
                            ``(i) In general.--The State agency may not 
                        operate the Office or carry out the program, 
                        directly, or by contract or other arrangement 
                        with any public agency or nonprofit private 
                        organization, in a case in which there is an 
                        organizational conflict of interest unless such 
                        conflict has been--
                                    ``(I) identified by the State 
                                agency;
                                    ``(II) disclosed by the State 
                                agency to the Assistant Secretary in 
                                writing; and
                                    ``(III) remedied in accordance with 
                                this subparagraph.
                            ``(ii) Action by administration.--In a case 
                        in which a potential or actual organizational 
                        conflict of interest involving the Office is 
                        disclosed or reported to the Assistant 
                        Secretary by any person or entity, the 
                        Assistant Secretary shall require that the 
                        State agency--
                                    ``(I) remove the conflict; or
                                    ``(II) submit, and obtain the 
                                approval of the Assistant Secretary 
                                for, an adequate remedial plan that 
                                indicates how the Ombudsman will be 
                                unencumbered in fulfilling all of the 
                                functions specified in paragraph (3).
                    ``(C) Organizational conflict of interest.--In this 
                paragraph, the term `organizational conflict of 
                interest' includes a situation in which the Office is 
                placed in an organization that--
                            ``(i) is responsible for licensing or 
                        certifying long-term care services in the 
                        State;
                            ``(ii) is an association (or an affiliate 
                        of such an association) of long-term care 
                        facilities, or of any other residential 
                        facilities for older individuals;
                            ``(iii) provides long-term care services, 
                        including programs carried out under a Medicaid 
                        waiver approved under section 1115 of the 
                        Social Security Act (42 U.S.C. 1315) or under 
                        subsection (c) or (b) of 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 Medicare program carried 
                        out under title XVIII, or the Medicaid program 
                        carried out under title XIX, of the Social 
                        Security Act (42 U.S.C. 1395 et seq., 1396 et 
                        seq.);
                            ``(viii) conducts preadmission screening 
                        for placements in facilities described in 
                        clause (ii); or
                            ``(ix) makes decisions regarding admission 
                        of individuals to such facilities.''; and
                    (D) in paragraph (5)(B)(vi), by striking 
                ``support'' and inserting ``actively encourage and 
                assist in'';
            (2) in subsection (b)--
                    (A) in paragraph (1)--
                            (i) in subparagraph (A), by striking 
                        ``access'' and inserting ``private and 
                        unimpeded access'';
                            (ii) in subparagraph (B)(i)--
                                    (I) in the matter preceding 
                                subclause (I), by striking ``the 
                                medical and social records of a'' and 
                                inserting ``all records concerning a''; 
                                and
                                    (II) in subclause (II), by striking 
                                ``to consent'' and inserting ``to 
                                communicate consent'';
                            (iii) by redesignating subparagraphs (C) 
                        and (D) as subparagraphs (E) and (F), 
                        respectively; and
                            (iv) by inserting after subparagraph (B) 
                        the following:
                    ``(C) such access as is necessary to advocate for a 
                resident's desired outcome to the extent that the 
                resident can express the outcome desired, even if the 
                resident is unable to communicate consent;
                    ``(D) access to the records of a resident who is 
                unable to communicate consent in a case in which--
                            ``(i) the access is necessary to 
                        investigate and resolve a complaint described 
                        in subsection (a)(3);
                            ``(ii) a legal guardian of the resident 
                        refuses to give permission for the access;
                            ``(iii) a representative of the Office has 
                        reasonable cause to believe that the guardian 
                        is not acting in the best interests of the 
                        resident by refusing;
                            ``(iv) the resident has no other known 
                        legal representative; and
                            ``(v) the representative of the Office 
                        obtains the approval of the Ombudsman;''; and
                    (B) by adding at the end the following:
            ``(3) Health oversight agency.--For purposes of section 
        264(c) of the Health Insurance Portability and Accountability 
        Act of 1996 (including regulations issued under that section) 
        (42 U.S.C. 1320d-2 note), the Ombudsman and a representative of 
        the Office shall be considered a `health oversight agency,' so 
        that release of residents' individually identifiable health 
        information to the Ombudsman or representative is not precluded 
        in cases in which the requirements of clause (i) or (ii) of 
        paragraph (1)(B), or the requirements of paragraph (1)(D) are 
        otherwise met.'';
            (3) in subsection (c)(2)(D), by striking ``section 
        202(a)(21)'' and inserting ``section 202(a)(18)'';
            (4) in subsection (d)--
                    (A) in paragraph (1), by striking ``files'' and 
                inserting ``information''; and
                    (B) in paragraph (2)--
                            (i) in subparagraph (A), by striking 
                        ``files and records'' each place such term 
                        appears and inserting ``information''; and
                            (ii) in subparagraph (B), by striking 
                        ``files or records'' and inserting 
                        ``information'';
            (5) in subsection (f)(3)--
                    (A) in subparagraph (C), by striking ``facility; 
                and'' and inserting ``facility or a related 
                organization, and has not been employed by such a 
                facility or organization within 2 years before the date 
                of the determination involved;'';
                    (B) in subparagraph (D), by striking ``and'' at the 
                end; and
                    (C) by adding at the end the following:
                    ``(E) does not have management responsibility for, 
                or operate under the supervision of, an agency with 
                responsibility for adult protective services; and
                    ``(F) does not serve as a guardian or in another 
                fiduciary capacity for residents of long-term care 
                facilities in an official capacity (as opposed to 
                serving as a guardian or fiduciary, for a family 
                member, in a personal capacity); and'';
            (6) in subsection (h)--
                    (A) in paragraph (4), by striking all that precedes 
                ``procedures'' and inserting the following:
            ``(4) strengthen and update'';
                    (B) by redesignating paragraphs (4) through (9) as 
                paragraphs (5) through (10), respectively;
                    (C) by inserting after paragraph (3) the following:
            ``(4) ensure that the Ombudsman or a designee attends 
        training provided by the Administration through the National 
        Ombudsman Resource Center established in section 202(a)(18);'';
                    (D) in paragraph (7)(A), as redesignated by 
                subparagraph (B) of this paragraph, by striking 
                ``subtitle C of the'' and inserting ``subtitle C of 
                title I of the''; and
                    (E) in paragraph (10), as redesignated by 
                subparagraph (B) of this paragraph, by striking ``(6), 
                or (7)'' and inserting ``(7), or (8)''; and
            (7) by adding at the end the following:
    ``(k) Ensuring Effective Programs and Residents' Rights.--The State 
agency shall ensure the Office--
            ``(1) provides long-term care facility residents with 
        private and unimpeded access to the Office, including access to 
        all records concerning the resident; and
            ``(2) allows all long-term care facility residents to 
        receive services from the Office.''.

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

    Section 721(b) of the Older Americans Act of 1965 (42 U.S.C. 
3058i(b)) is amended--
            (1) in paragraph (2), by striking the semicolon and 
        inserting the following: ``, including education and outreach 
        to professionals including postal carriers, employees of 
        financial institutions, firefighters, meter readers, and other 
        community professionals who are in a position to observe an 
        older individual on a daily or regular basis;'';
            (2) in paragraph (4), by inserting before the semicolon the 
        following: ``and submit data on the prevalence of elder abuse, 
        neglect, and exploitation for the appropriate database of the 
        Administration or another database specified by the Assistant 
        Secretary'';
            (3) by redesignating paragraphs (8) through (12) as 
        paragraphs (9) through (13), respectively;
            (4) by inserting after paragraph (7) the following:
            ``(8) conducting appropriate training to ensure cultural 
        sensitivity in the provision of elder rights services, 
        including training in cultural issues associated with abuse;'';
            (5) in subparagraph (C) of paragraph (10), as redesignated 
        by paragraph (3) of this section--
                    (A) in clause (ii), by inserting ``, such as 
                forensic accountants,'' after ``such personnel''; and
                    (B) in clause (v), by striking the comma at the end 
                and inserting ``, including programs and arrangements 
                that will safeguard victims' or potential victims' 
                finances, such as daily money management programs and 
                conservatorships,'';
            (6) in paragraph (12), as redesignated by paragraph (3) of 
        this section--
                    (A) in subparagraph (D), by striking ``and'' at the 
                end; and
                    (B) by adding at the end the following:
                    ``(F) supporting and studying innovative practices 
                in local communities, to develop partnerships across 
                disciplines for the prevention, investigation, and 
                prosecution of exploitation;'';
            (7) in paragraph (13), as redesignated by paragraph (3) of 
        this section--
                    (A) in subparagraph (B), by striking ``or'' at the 
                end;
                    (B) in subparagraph (C), by striking the period at 
                the end and inserting ``; or''; and
                    (C) by adding at the end the following:
                    ``(D) older individuals who are Holocaust 
                survivors; and''; and
            (8) by adding at the end the following:
            ``(14) developing a State Home Care Consumer Bill of Rights 
        and Plan for Enforcement (as described in section 705) to 
        protect home care consumers (as defined in section 736) from 
        abuse, neglect, and exploitation.''.

SEC. 709. STATE LEGAL ASSISTANCE DEVELOPMENT.

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

SEC. 710. STATE HOME CARE OMBUDSMAN PROGRAMS.

    Subtitle A of title VII of the Older Americans Act of 1965 (42 
U.S.C. 3058 et seq.) is amended by adding at the end the following:

            ``CHAPTER 5--STATE HOME CARE OMBUDSMAN PROGRAMS

``SEC. 736. DEFINITIONS.

    ``In this chapter:
            ``(1) Home care consumer.--The term `home care consumer' 
        means a person who receives services in the person's home or 
        community, which may include 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.
            ``(2) Home care ombudsman program.--The term `home care 
        ombudsman program' means a State Home Care Ombudsman Program 
        described in section 737(a)(1).
            ``(3) Home care services.--The term `home care services' 
        means home and community-based services, 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.

``SEC. 737. PROGRAM.

    ``(a) Establishment.--
            ``(1) In general.--In order to be eligible to receive a 
        grant under section 703(d) from funds appropriated under 
        section 702A and made available to carry out this chapter, a 
        State agency shall, in accordance with this section, agree to 
        carry out a State Home Care Ombudsman Program within the Office 
        of the State Long-Term Care Ombudsman.
            ``(2) Home care ombudsman program.--The home care ombudsman 
        program shall be carried out by the State Long-Term Care 
        Ombudsman. The Ombudsman and other entities carrying out the 
        home care ombudsman program shall have authorities, 
        requirements, and functions with respect to that program, and 
        home care services provided and home care consumers served 
        under that program, that are equivalent (as determined by the 
        Secretary) to the authorities, requirements, and functions the 
        Ombudsman and other entities have in carrying out the State 
        Long-Term Care Ombudsman Program under chapter 2, and long-term 
        care provided and long-term care consumers served under that 
        program.
    ``(b) Maintenance of Effort.--A State, in using the funds made 
available for a fiscal year through a grant received under section 
703(d), shall maintain the expenditures of the State for home care 
ombudsman services at a level that is not less than the level of such 
expenditures maintained by the State for the preceding fiscal year.
    ``(c) Evaluation.--The Assistant Secretary shall--
            ``(1) in conjunction with the Director of the Office of 
        Long-Term Care Ombudsman Programs and the heads of other 
        entities determined to be necessary by the Assistant Secretary, 
        collect from the States and analyze data from the home care 
        ombudsman programs relating to complaints and conditions 
        concerning home care services and home care consumers and 
        within 1 year after receipt of the data, submit a report to 
        Congress outlining best practices for carrying out a home care 
        ombudsman program; and
            ``(2) make the report available to States.''.

                 TITLE VIII--GERIATRICS AND GERONTOLOGY

SEC. 801. PRIMARY HEALTH SERVICES.

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