[Congressional Record Volume 162, Number 44 (Monday, March 21, 2016)]
[House]
[Pages H1472-H1480]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]




            OLDER AMERICANS ACT REAUTHORIZATION ACT OF 2015

  Mr. CURBELO of Florida. Mr. Speaker, I move to suspend the rules and 
pass the bill (S. 192) to reauthorize the Older Americans Act of 1965, 
and for other purposes, as amended.
  The Clerk read the title of the bill.
  The text of the bill is as follows:

                                 S. 192

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

     SECTION 1. SHORT TITLE.

       This Act may be cited as the ``Older Americans Act 
     Reauthorization Act of 2016''.

     SEC. 2. DEFINITIONS.

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

     SEC. 3. ADMINISTRATION ON AGING.

       (a) Best Practices.--Section 201 of the Older Americans Act 
     of 1965 (42 U.S.C. 3011) is amended--
       (1) in subsection (d)(3)--
       (A) in subparagraph (H), by striking ``202(a)(21)'' and 
     inserting ``202(a)(18)'';
       (B) in subparagraph (K), by striking ``and'' at the end;
       (C) in subparagraph (L)--
       (i) by striking ``Older Americans Act Amendments of 1992'' 
     and inserting ``Older Americans Act Reauthorization Act of 
     2016''; and
       (ii) by striking ``712(h)(4).'' and inserting ``712(h)(5); 
     and''; and
       (D) by adding at the end the following:
       ``(M) collect and analyze best practices related to 
     responding to elder abuse, neglect, and exploitation in long-
     term care facilities, and publish a report of such best 
     practices.''; and
       (2) in subsection (e)(2), in the matter preceding 
     subparagraph (A), by inserting ``, and in coordination with 
     the heads of State adult protective services programs and the 
     Director of the Office of Long-Term Care Ombudsman Programs'' 
     after ``and services''.
       (b) Training.--Section 202 of the Older Americans Act of 
     1965 (42 U.S.C. 3012) is amended--
       (1) in subsection (a)--
       (A) in paragraph (5), by inserting ``health and economic'' 
     before ``needs of older individuals'';
       (B) in paragraph (7), by inserting ``health and economic'' 
     before ``welfare'';
       (C) in paragraph (14), by inserting ``(including the Health 
     Resources and Services Administration)'' after ``other 
     agencies'';
       (D) in paragraph (27), by striking ``and'' at the end;
       (E) in paragraph (28), by striking the period and inserting 
     a semicolon; and
       (F) by adding at the end the following:
       ``(29) provide information and technical assistance to 
     States, area agencies on aging, and service providers, in 
     collaboration with relevant Federal agencies, on providing 
     efficient, person-centered transportation services, including 
     across geographic boundaries;
       ``(30) identify model programs and provide information and 
     technical assistance to States, area agencies on aging, and 
     service providers (including providers operating multipurpose 
     senior centers), to support the modernization of multipurpose 
     senior centers; and
       ``(31) provide technical assistance to and share best 
     practices with States, area agencies on aging, and Aging and 
     Disability Resource Centers, on how to collaborate and 
     coordinate services with health care entities, such as 
     Federally-qualified health centers, as defined in section 
     1905(l)(2)(B) of the Social Security Act (42 U.S.C. 
     1396d(l)(2)(B)), in order to improve care coordination for 
     individuals with multiple chronic illnesses.'';
       (2) in subsection (b)--
       (A) in paragraph (5)--
       (i) in subparagraph (B), by striking ``and'' after the 
     semicolon;
       (ii) in subparagraph (C), by inserting ``and'' after the 
     semicolon; and
       (iii) by adding at the end the following:
       ``(D) when feasible, developing, in consultation with 
     States and national organizations, a consumer-friendly tool 
     to assist older individuals and their families in choosing 
     home and community-based services, with a particular focus on 
     ways for consumers to assess how providers protect the 
     health, safety, welfare, and rights, including the rights 
     provided under section 314, of older individuals;'';
       (B) in paragraph (8)--
       (i) in subparagraph (B), by inserting ``to identify and 
     articulate goals of care and'' after ``individuals'';
       (ii) in subparagraph (D)--

       (I) by inserting ``respond to or'' before ``plan''; and
       (II) by striking ``future long-term care needs; and'' and 
     inserting ``long-term care needs;'';

       (iii) in subparagraph (E), by adding ``and'' at the end; 
     and
       (iv) by adding at the end the following:
       ``(F) to provide information and referrals regarding 
     available home and community-based services for individuals 
     who are at risk for residing in, or who reside in, 
     institutional settings, so that the individuals have the 
     choice to remain in or to return to the community;''; and
       (3) by adding at the end the following:
       ``(g) The Assistant Secretary shall, as appropriate, ensure 
     that programs authorized 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.''.
       (c) Authorization of Appropriations.--Section 205 of the 
     Older Americans Act of 1965 (42 U.S.C.3016) is amended by 
     striking subsection (c).

[[Page H1473]]

       (d) Reports.--Section 207(a) of the Older Americans Act of 
     1965 (42 U.S.C. 3018(a)) is amended--
       (1) in paragraph (2), by striking ``202(a)(19)'' and 
     inserting ``202(a)(16)''; and
       (2) in paragraph (4), by striking ``202(a)(17)'' and 
     inserting ``202(a)(14)''.
       (e) 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 ``such sums'' and all 
     that follows through the period at the end, and inserting 
     ``$40,063,000 for each of the fiscal years 2017, 2018, and 
     2019.'';
       (2) by amending subsection (b) to read as follows:
       ``(b) There are authorized to be appropriated--
       ``(1) to carry out section 202(a)(21) (relating to the 
     National Eldercare Locator Service), $2,088,758 for fiscal 
     year 2017, $2,132,440 for fiscal year 2018, and $2,176,121 
     for fiscal year 2019;
       ``(2) to carry out section 215, $1,904,275 for fiscal year 
     2017, $1,944,099 for fiscal year 2018, and $1,983,922 for 
     fiscal year 2019;
       ``(3) to carry out section 202 (relating to Elder Rights 
     Support Activities under this title), $1,312,904 for fiscal 
     year 2017, $1,340,361 for fiscal year 2018, and $1,367,817 
     for fiscal year 2019; and
       ``(4) to carry out section 202(b) (relating to the Aging 
     and Disability Resource Centers), $6,271,399 for fiscal year 
     2017, $6,402,551 for fiscal year 2018, and $6,533,703 for 
     fiscal year 2019.''; and
       (3) by striking subsection (c).

     SEC. 4. STATE AND COMMUNITY PROGRAMS ON AGING.

       (a) Authorization of Appropriations.--Section 303 of the 
     Older Americans Act of 1965 (42 U.S.C. 3023) is amended--
       (1) in subsection (a)(1), by striking ``such sums'' and all 
     that follows through the period at the end, and inserting 
     ``$356,717,276 for fiscal year 2017, $364,456,847 for fiscal 
     year 2018, and $372,196,069 for fiscal year 2019.'';
       (2) in subsection (b)--
       (A) in paragraph (1), by striking ``such sums'' and all 
     that follows through the period at the end, and inserting 
     ``$459,937,586 for fiscal year 2017, $469,916,692 for fiscal 
     year 2018, and $479,895,348 for fiscal year 2019.''; and
       (B) in paragraph (2), by striking ``such sums'' and all 
     that follows through the period at the end, and inserting 
     ``$232,195,942 for fiscal year 2017, $237,233,817 for fiscal 
     year 2018, and $242,271,465 for fiscal year 2019.'';
       (3) in subsection (d), by striking ``such sums'' and all 
     that follows through the period at the end, and inserting 
     ``$20,361,334 for fiscal year 2017, $20,803,107 for fiscal 
     year 2018, and $21,244,860 for fiscal year 2019.'';
       (4) in subsection (e)--
       (A) by striking ``(1)'' and all that follows through 
     ``(2)''; and
       (B) by striking ``$166,500,000'' and all that follows 
     through the period at the end, and inserting ``$154,336,482 
     for fiscal year 2017, $157,564,066 for fiscal year 2018, and 
     $160,791,658 for fiscal year 2019.''
       (b) Allotment.--Section 304 of the Older Americans Act of 
     1965 (42 U.S.C. 3024) is amended--
       (1) in subsection (a)(3), by striking subparagraph (D) and 
     inserting the following:
       ``(D)(i) For each of fiscal years 2017 through 2019, no 
     State shall be allotted an amount that is less than 99 
     percent of the amount allotted to such State for the previous 
     fiscal year.
       ``(ii) For fiscal year 2020 and each subsequent fiscal 
     year, no State shall be allotted an amount that is less than 
     100 percent of the amount allotted to such State for fiscal 
     year 2019.''; and
       (2) in subsection (b), by striking ``subpart 1 of''.
       (c) Planning and Service Areas.--Section 
     305(b)(5)(C)(i)(III) of the Older Americans Act of 1965 (42 
     U.S.C. 3025(b)(5)(C)(i)(III)) is amended by striking 
     ``planning and services areas'' and inserting ``planning and 
     service areas''.
       (d) Area Plans.--Section 306 of the Older Americans Act of 
     1965 (42 U.S.C. 3026) is amended--
       (1) in subsection (a)--
       (A) in paragraph (1), by striking ``establishment, 
     maintenance, or construction of multipurpose senior 
     centers,'' and inserting ``establishment, maintenance, 
     modernization, or construction of multipurpose senior centers 
     (including a plan to use the skills and services of older 
     individuals in paid and unpaid work, including 
     multigenerational and older individual to older individual 
     work),''; and
       (B) in paragraph (6)--
       (i) in subparagraph (G), by adding ``and'' at the end; and
       (ii) by adding at the end the following:
       ``(H) in coordination with the State agency and with the 
     State agency responsible for elder abuse prevention services, 
     increase public awareness of elder abuse, neglect, and 
     exploitation, and remove barriers to education, prevention, 
     investigation, and treatment of elder abuse, neglect, and 
     exploitation, as appropriate;''; and
       (2) in subsection (b)(3)--
       (A) in subparagraph (J), by striking ``and'' at the end;
       (B) by redesignating subparagraph (K) as subparagraph (L); 
     and
       (C) by inserting after subparagraph (J) the following:
       ``(K) protection from elder abuse, neglect, and 
     exploitation; and''.
       (e) State Plans.--Section 307(a)(2)(A) of the Older 
     Americans Act of 1965 (42 U.S.C. 3027(a)(2)(A)) is amended by 
     striking ``202(a)(29)'' and inserting ``202(a)(26)''.
       (f) Nutrition Services Incentive Program.--Section 311(e) 
     of the Older Americans Act of 1965 (42 U.S.C. 3030a(e)) is 
     amended by striking ``such sums'' and all that follows 
     through the period at the end, and inserting ``$164,055,664 
     for fiscal year 2017, $167,486,502 for fiscal year 2018, and 
     $170,917,349 for fiscal year 2019.''.
       (g) Supportive Services.--Section 321 of the Older 
     Americans Act of 1965 (42 U.S.C. 3030d) is amended--
       (1) in subsection (a)--
       (A) in paragraph (1), by striking ``or referral services'' 
     and inserting ``referral, chronic condition self-care 
     management, or falls prevention services'';
       (B) in paragraph (8), by striking ``(including'' and all 
     that follows and inserting the following: ``(including mental 
     and behavioral health screening and falls prevention services 
     screening) to detect or prevent (or both) illnesses and 
     injuries that occur most frequently in older individuals;'' 
     and
       (C) in paragraph (15), by inserting before the semicolon 
     the following: ``, and screening for elder abuse, neglect, 
     and exploitation'';
       (2) in subsection (b)(1), by inserting ``or modernization'' 
     after ``construction'';
       (3) in subsection (c), by inserting before the period the 
     following: ``, and pursue opportunities for the development 
     of intergenerational shared site models for programs or 
     projects, consistent with the purposes of this Act''; and
       (4) by adding at the end the following:
       ``(e) In this section, the term `adult child with a 
     disability' means a child who--
       ``(1) is age 18 or older;
       ``(2) is financially dependent on an older individual who 
     is a parent of the child; and
       ``(3) has a disability.''.
       (h) Home Delivered Nutrition Services Program.--Section 
     336(1) of the Older Americans Act of 1965 (42 U.S.C. 
     3030f(1)) is amended by striking ``canned'' and all that 
     follows through ``meals'' and inserting ``canned, or fresh 
     foods and, as appropriate, supplemental foods, and any 
     additional meals''.
       (i) Nutrition Services.--Section 339 of the Older Americans 
     Act of 1965 (42 U.S.C. 3030g-21) is amended
       (1) in paragraph (1), by striking ``solicit'' and inserting 
     ``utilize''; and
       (2) in paragraph (2)--
       (A) in subparagraph (J), by striking ``and'' at the end;
       (B) in subparagraph (K), by striking the period and 
     inserting ``, and''; and
       (C) by adding at the end the following:
       ``(L) where feasible, encourages the use of locally grown 
     foods in meal programs and identifies potential partnerships 
     and contracts with local producers and providers of locally 
     grown foods.''.
       (j) Evidence-Based Disease Prevention and Health Promotion 
     Services Program.--Part D of title III of the Older Americans 
     Act of 1965 (42 U.S.C. 3030m et seq.) is amended--
       (1) in the part heading, by inserting ``Evidence-Based'' 
     before ``Disease''; and
       (2) in section 361(a), by inserting ``evidence-based'' 
     after ``to provide''.
       (k) Older Relative Caregivers.--
       (1) Technical amendment.--Part E of title III of the Older 
     Americans Act of 1965 (42 U.S.C. 3030s et seq.) is amended by 
     striking the subpart heading for subpart 1.
       (2) Definitions.--Section 372 of such Act (42 U.S.C. 3030s) 
     is amended--
       (A) in subsection (a)--
       (i) in paragraph (1), by striking ``or who is an individual 
     with a disability''; and
       (ii) by striking paragraph (2) and inserting the following:
       ``(2) Individual with a disability.--The term `individual 
     with a disability' means an individual with a disability, as 
     defined in section 3 of the Americans with Disabilities Act 
     of 1990 (42 U.S.C. 12102), who is not less than age 18 and 
     not more than age 59.
       ``(3) Older relative caregiver.--The term `older relative 
     caregiver' means a caregiver who--
       ``(A)(i) is age 55 or older; and
       ``(ii) lives with, is the informal provider of in-home and 
     community care to, and is the primary caregiver for, a child 
     or an individual with a disability;
       ``(B) in the case of a caregiver for a child--
       ``(i) is the grandparent, stepgrandparent, or other 
     relative (other than the parent) by blood, marriage, or 
     adoption, of the child;
       ``(ii) is the primary caregiver of the child because the 
     biological or adoptive parents are unable or unwilling to 
     serve as the primary caregivers of the child; and
       ``(iii) has a legal relationship to the child, such as 
     legal custody, adoption, or guardianship, or is raising the 
     child informally; and
       ``(C) in the case of a caregiver for an individual with a 
     disability, is the parent, grandparent, or other relative by 
     blood, marriage, or adoption, of the individual with a 
     disability.''; and
       (B) in subsection (b)--
       (i) by striking ``subpart'' and all that follows through 
     ``family caregivers'' and inserting ``part, for family 
     caregivers'';
       (ii) by striking ``; and'' and inserting a period; and
       (iii) by striking paragraph (2).
       (l) National Family Caregiver Support Program.--Section 373 
     of the Older Americans Act of 1965 (42 U.S.C. 3030s-1) is 
     amended--
       (1) in subsection (a)(2), by striking ``grandparents or 
     older individuals who are relative caregivers.'' and 
     inserting ``older relative caregivers.'';
       (2) in subsection (c)--

[[Page H1474]]

       (A) in paragraph (1), in the matter preceding subparagraph 
     (A), by striking ``grandparents and older individuals who are 
     relative caregivers, and who'' and inserting ``older relative 
     caregivers, who''; and
       (B) in paragraph (2)(B), by striking ``to older individuals 
     providing care to individuals with severe disabilities, 
     including children with severe disabilities'' and inserting 
     ``to older relative caregivers of children with severe 
     disabilities, or individuals with disabilities who have 
     severe disabilities'';
       (3) in subsection (e)(3), by striking ``grandparents or 
     older individuals who are relative caregivers'' and inserting 
     ``older relative caregivers'';
       (4) in subsection (f)(1)(A), by striking ``for fiscal years 
     2007, 2008, 2009, 2010, and 2011'' and inserting ``for a 
     fiscal year''; and
       (5) in subsection (g)(2)(C), by striking ``grandparents and 
     older individuals who are relative caregivers of a child who 
     is not more than 18 years of age'' and inserting ``older 
     relative caregivers''.
       (m) Conforming Amendment.--Part E of title III is amended 
     by striking ``this subpart'' each place it appears and 
     inserting ``this part''.

     SEC. 5. ACTIVITIES FOR HEALTH, INDEPENDENCE, AND LONGEVITY.

       (a) Grant Programs.--Section 411 of the Older Americans Act 
     of 1965 (42 U.S.C. 3032) is amended--
       (1) in subsection (a)--
       (A) in paragraph (12), by striking ``and'' at the end;
       (B) by redesignating paragraph (13) as paragraph (14); and
       (C) by inserting after paragraph (12) the following:
       ``(13) continuing support for program integrity initiatives 
     concerning the Medicare program under title XVIII of the 
     Social Security Act (42 U.S.C. 1395 et seq.) that train 
     senior volunteers to prevent and identify health care fraud 
     and abuse; and'';
       (2) in subsection (b), by striking ``out'' and all that 
     follows through the period at the end, and inserting the 
     following:
     ``out--
       ``(1) aging network support activities under this section, 
     $6,216,054 for fiscal year 2017, $6,346,048 for fiscal year 
     2018, and $6,476,043 for fiscal year 2019; and
       ``(2) elder rights support activities under this section, 
     $10,856,828 for fiscal year 2017, $11,083,873 for fiscal year 
     2018, and $11,310,919 for fiscal year 2019.''.
       (b) Native American Programs.--Section 418(b) of the Older 
     Americans Act of 1965 (42 U.S.C. 3032g(b)) is amended by 
     striking ``a national meeting to train'' and inserting 
     ``national trainings for''.
       (c) Legal Assistance for Older Americans.--Section 420(c) 
     of the Older Americans Act of 1965 (42 U.S.C. 3032i(c)) is 
     amended by striking ``national''.
       (d) Repeals.--Sections 415, 419, and 421 of the Older 
     Americans Act of 1965 (42 U.S.C. 3032d, 3032h, 3032j) are 
     repealed.
       (e) Conforming Amendment.--Section 417(a)(1)(A) of the 
     Older Americans Act of 1965 (42 U.S.C. 3032f(a)(1)(A)) is 
     amended by striking ``grandparents and other older 
     individuals who are relative caregivers'' and inserting 
     ``older relative caregivers (as defined in section 372)''.

     SEC. 6. AMENDMENTS TO COMMUNITY SERVICE SENIOR OPPORTUNITIES 
                   ACT.

       (a) Older American Community Service Employment Program.--
     Section 502 of the Community Service Senior Opportunities Act 
     (42 U.S.C. 3056) is amended--
       (1) in subsection (b)(1)--
       (A) in subparagraph (C)(ii), by striking ``513(a)(2)(D)'' 
     and inserting ``513(a)(2)(E)''; and
       (B) in subparagraph (N)(i) by striking ``Workforce 
     Investment Act of 1998 (29 U.S.C. 2801 et seq.)'' and 
     inserting ``Workforce Innovation and Opportunity Act (29 
     U.S.C. 3101 et seq.)'';
       (2) in subsection (d)--
       (A) by inserting ``and the local workforce development 
     board'' after ``service area''; and
       (B) by striking ``and'' after ``State agency'' and 
     inserting ``, the local workforce development board, and''; 
     and
       (3) in subsection (e)(3), by inserting ``, with the State 
     workforce development board and local workforce development 
     board,'' after ``aging''.
       (b) Administration.--Section 503 of the Community Service 
     Senior Opportunities Act (42 U.S.C. 3056a) is amended--
       (1) in subsection (a)--
       (A) by redesignating paragraphs (6), (7), and (8) as 
     paragraphs (7), (8), and (9), respectively;
       (B) in paragraph (3), by striking ``paragraph (7)'' and 
     inserting ``paragraph (8)'';
       (C) in paragraph (4), by striking subparagraph (F) and 
     inserting the following:
       ``(F) how the activities of grantees in the State under 
     this title will be coordinated with activities carried out in 
     the State under title I of the Workforce Innovation and 
     Opportunity Act (29 U.S.C. 3111 et seq.) and other related 
     programs (referred to in this subparagraph as `WIOA and 
     related activities'), and how the State will reduce 
     unnecessary duplication between the activities carried out 
     under this title and the WIOA and related activities.''; and
       (D) by inserting after paragraph (5) the following:
       ``(6) Combined state plan.--In lieu of the plan described 
     in paragraph (1), a State may develop and submit a combined 
     State plan in accordance with section 103 of the Workforce 
     Innovation and Opportunity Act (29 U.S.C. 3113). For a State 
     that obtains approval of such a combined State plan, that 
     section 103 shall apply in lieu of this subsection and a 
     reference in any other provision of this title (other than 
     this subsection) to a State plan shall be considered to be a 
     reference to that combined State plan.''; and
       (2) in subsection (b)(2)(B)(i), by striking ``Workforce 
     Investment Act of 1998'' and inserting ``Workforce Innovation 
     and Opportunity Act''.
       (c) Coordination.--The heading of section 511 of the 
     Community Service Senior Opportunities Act (42 U.S.C. 3056i) 
     is amended by striking ``workforce investment act of 1998'' 
     and inserting ``workforce innovation and opportunity act''.
       (d) Performance.--Section 513 of the Community Service 
     Senior Opportunities Act (42 U.S.C. 3056k) is amended--
       (1) in subsection (a)--
       (A) in the subsection heading, by striking ``and 
     Indicators'';
       (B) in paragraph (1)--
       (i) in the paragraph heading, by striking ``and 
     indicators''; and
       (ii) by striking ``and additional indicators of 
     performance'' each place it appears;
       (C) in paragraph (2)--
       (i) in subparagraph (A)--

       (I) by striking ``(A)'' and all that follows through 
     ``The'' and inserting ``(a) composition of measures.--The''; 
     and
       (II) by striking clause (ii);

       (ii) by striking subparagraph (B);
       (iii) in subparagraph (C)--

       (I) by striking ``(C)'' and inserting ``(B)''; and
       (II) in the first sentence, by striking ``(A)(i)'' and 
     inserting ``(A)''; and
       (III) by striking the second sentence; and

       (iv) by striking subparagraphs (D) and (E) and inserting 
     the following:
       ``(C) Agreement on expected levels of performance.--
       ``(i) First 2 years.--Each grantee shall reach agreement 
     with the Secretary on levels of performance for each measure 
     described in subparagraph (A)(i), for each of the first 2 
     program years covered by the grant agreement. In reaching the 
     agreement, the grantee and the Secretary shall take into 
     account the expected levels proposed by the grantee and the 
     factors described in subparagraph (D). The levels agreed to 
     shall be considered to be the expected levels of performance 
     for the grantee for such program years.
       ``(ii) Third and fourth year.--Each grantee shall reach 
     agreement with the Secretary, prior to the third program year 
     covered by the grant agreement, on levels of performance for 
     each measure described in subparagraph (A), for each of the 
     third and fourth program years so covered. In reaching the 
     agreement, the grantee and the Secretary shall take into 
     account the expected levels proposed by the grantee and the 
     factors described in subparagraph (D). The levels agreed to 
     shall be considered to be the expected levels of performance 
     for the grantee for such program years.
       ``(D) Factors.--In reaching the agreements described in 
     subparagraph (B), each grantee and the Secretary shall--
       ``(i) take into account how the levels involved compare 
     with the expected levels of performance established for other 
     grantees;
       ``(ii) ensure that the levels involved are adjusted, using 
     an objective statistical model based on the model established 
     by the Secretary in accordance with section 
     116(a)(3)(A)(viii)) of the Workforce Investment and 
     Opportunity Act (29 U.S.C. 3141(a)(3)(A)(viii)); and
       ``(iii) take into account the extent to which the levels 
     involved promote continuous improvement in performance 
     accountability on the core measures and ensure optimal return 
     on the investment of Federal funds.
       ``(E) Adjustments based on economic conditions and 
     individuals served during the program year.--The Secretary 
     shall, in accordance with the objective statistical model 
     developed pursuant to subparagraph (D)(ii), adjust the 
     expected levels of performance for a program year for 
     grantees, to reflect the actual economic conditions and 
     characteristics of participants in the corresponding projects 
     during such program year.''; and
       (D) in paragraph (3), by striking ``and to report 
     information on the additional indicators of performance'';
       (2) in subsection (b)--
       (A) in paragraph (1)--
       (i) in the matter preceding subparagraph (A), by striking 
     ``(a)(2)(A)(i)'' and inserting ``(a)(2)(A)''; and
       (ii) by striking subparagraphs (B) through (E) and 
     inserting the following:
       ``(B) the percentage of project participants who are in 
     unsubsidized employment during the second quarter after exit 
     from the project;
       ``(C) the percentage of project participants who are in 
     unsubsidized employment during the fourth quarter after exit 
     from the project;
       ``(D) the median earnings of project participants who are 
     in unsubsidized employment during the second quarter after 
     exit from the project;
       ``(E) indicators of effectiveness in serving employers, 
     host agencies, and project participants; and
       ``(F) the number of eligible individuals served, including 
     the number of participating individuals described in 
     subsection (a)(3)(B)(ii) or (b)(2) of section 518.'';
       (B) by striking paragraph (2);

[[Page H1475]]

       (C) by redesignating paragraph (3) as paragraph (2); and
       (D) in paragraph (2), as so redesignated, by striking 
     ``paragraphs (1) and (2)'' and inserting ``paragraph (1)'';
       (3) in subsection (c)--
       (A) by striking ``shall--'' and all that follows through 
     ``annually evaluate'' and inserting ``shall annually 
     evaluate'';
       (B) by striking ``(a)(2)(C)'' and inserting ``(a)(2)(B)'';
       (C) by striking ``(a)(2)(D)); and'' and inserting 
     ``(a)(2)(E)).''; and
       (D) by striking paragraph (2);
       (4) in subsection (d)--
       (A) in paragraph (1)--
       (i) in subparagraph (A)--

       (I) by striking ``2007'' and inserting ``2016'';
       (II) in clause (i)--

       (aa) by striking ``(a)(2)(C)'' and inserting ``(a)(2)(B)'';
       (bb) by striking ``(a)(2)(D)'' and inserting ``(a)(2)(E)''; 
     and
       (cc) by striking ``described'' and all that follows and 
     inserting a period;

       (III) by striking clause (ii); and
       (IV) by striking ``2006'' and all that follows through 
     ``(i) met'' and inserting ``2016, met''; and

       (ii) in subparagraph (B)--

       (I) in clause (i), by striking ``(A)(i); or'' at the end 
     and inserting ``(A),'';
       (II) by striking clause (ii);
       (III) by striking ``2006--'' and all that follows through 
     ``(i) failed'' and inserting ``2016, failed''; and
       (IV) by striking ``and achieve the applicable percentage'';

       (B) in paragraph (2)--
       (i) in subparagraph (A)--

       (I) by striking ``(a)(2)(C)'' and inserting ``(a)(2)(B)''; 
     and
       (II) by striking ``(a)(2)(D)'' and inserting ``(a)(2)(E)''; 
     and

       (ii) in subparagraph (B)(iii)--

       (I) by striking ``(beginning with program year 2007)''; and
       (II) by adding at the end the following:

       ``(iv) Use of core indicators.--For purposes of assessing 
     grantee performance under this subparagraph before program 
     year 2017, the Secretary shall use the core indicators of 
     performance in effect at the time of the award and the most 
     recent corresponding expected levels of performance.'';
       (C) in paragraph (3)--
       (i) in subparagraph (A)--

       (I) by striking ``(a)(2)(C)'' and inserting ``(a)(2)(B)''; 
     and
       (II) by striking ``(a)(2)(D)'' and inserting ``(a)(2)(E)''; 
     and

       (ii) in subparagraph (B)(iii), by striking ``(beginning 
     with program year 2007)''; and
       (D) by amending paragraph (4) to read as follows:
       ``(4) Special rule for implementation.--The Secretary shall 
     implement the core measures of performance described in this 
     section not later than December 31, 2017.''; and
       (5) by amending subsection (e) to read as follows:
       ``(e) Impact on Grant Competition.--Effective on January 1, 
     2018, the Secretary may not publish a notice announcing a 
     grant competition under this title, or solicit proposals for 
     grants, until the day on which the Secretary implements the 
     core measures of performance.''.
       (e) Competitive Requirements.--Section 514(c)(4) of the 
     Community Service Senior Opportunities Act (42 U.S.C. 
     3056l(c)(4)) is amended--
       (1) by striking ``and addressing additional indicators of 
     performance''; and
       (2) by striking ``and additional indicators of 
     performance''.
       (f) Authorization of Appropriations.--Section 517 of the 
     Older Americans Act of 1965 (42 U.S.C. 3056o) is amended--.
       (1) in subsection (a), by striking ``such sums'' and all 
     that follows through the period at the end, and inserting 
     ``$445,189,405 for fiscal year 2017, $454,499,494 for fiscal 
     year 2018, and $463,809,605 for fiscal year 2019.''; and
       (2) in subsection (b)--
       (A) in the 1st sentence--
       (i) by inserting ``Federal'' after ``available for''; and
       (ii) by striking ``July'' and inserting ``April''; and
       (B) by inserting after the 1st sentence the following:
     ``Such amounts obligated to grantees shall be available for 
     obligation and expenditure by grantees during the program 
     year that begins on July 1 of the calendar year immediately 
     following the beginning of the fiscal year in which the 
     amounts are appropriated and that ends on June 30 of the 
     following calendar year.''.
       (g) Definitions.--Section 518(a) of the Community Service 
     Senior Opportunities Act (42 U.S.C. 3056p(a)) is amended--
       (1) by redesignating paragraphs (5) through (8) as 
     paragraphs (6) through (9), respectively; and
       (2) by inserting after paragraph (4) the following:
       ``(5) Local workforce development board; state workforce 
     development board.--The terms `local workforce development 
     board' and `State workforce development board' have the 
     meanings given the terms `local board' and `State board', 
     respectively, in section 3 of the Workforce Innovation and 
     Opportunity Act (29 U.S.C. 3102).''.

     SEC. 7. GRANTS FOR NATIVE AMERICANS.

       Section 643 of the Older Americans Act of 1965 (42 U.S.C. 
     3057n) is amended--
       (1) in paragraph (1), by striking ``such sums'' and all 
     that follows through the semicolon, and inserting 
     ``$31,934,018 for fiscal year 2017, $32,601,843 for fiscal 
     year 2018, and $33,269,670 for fiscal year 2019;''; and
       (2) in paragraph (2), by striking ``such sums'' and all 
     that follows through the period at the end, and inserting 
     ``$7,718,566 for fiscal year 2017, $7,879,982 for fiscal year 
     2018, and $8,041,398 for fiscal year 2019.''.

     SEC. 8. VULNERABLE ELDER RIGHTS PROTECTION ACTIVITIES.

       (a) Authorization of Appropriations.--Section 702 of the 
     Older Americans Act of 1965 (42 U.S.C. 3058a) is amended--
       (1) in subsection (a), by striking ``such sums'' and all 
     that follows through the period at the end, and inserting 
     ``$16,280,630 for fiscal year 2017, $16,621,101 for fiscal 
     year 2018, and $16,961,573 for fiscal year 2019.'';
       (2) by striking subsection (b) and inserting the following:
       ``(b) Other Programs.--There are authorized to be 
     appropriated to carry out chapters 3 and 4, $4,891,876 for 
     fiscal year 2017, $4,994,178 for fiscal year 2018, and 
     $5,096,480 for fiscal year 2019.''; and
       (3) by striking subsection (c).
       (b) Ombudsman Definitions.--Section 711(6) of the Older 
     Americans Act of 1965 (42 U.S.C. 3058f(6)) is amended by 
     striking ``older''.
       (c) Ombudsman Programs.--Section 712 of the Older Americans 
     Act of 1965 (42 U.S.C. 3058g) is amended--
       (1) in subsection (a)--
       (A) in paragraph (2), by adding at the end the following: 
     ``The Ombudsman shall be responsible for the management, 
     including the fiscal management, of the Office.'';
       (B) in paragraph (3)--
       (i) in subparagraph (A), by striking clause (i) and 
     inserting the following:
       ``(i) are made by, or on behalf of, residents, including 
     residents with limited or no decisionmaking capacity and who 
     have no known legal representative, and if such a resident is 
     unable to communicate consent for an Ombudsman to work on a 
     complaint directly involving the resident, the Ombudsman 
     shall seek evidence to indicate what outcome the resident 
     would have communicated (and, in the absence of evidence to 
     the contrary, shall assume that the resident wishes to have 
     the resident's health, safety, welfare, and rights protected) 
     and shall work to accomplish that outcome; and'';
       (ii) in subparagraph (D), by striking ``regular and 
     timely'' and inserting ``regular, timely, private, and 
     unimpeded'';
       (iii) in subparagraph (H)(iii)--

       (I) by inserting ``, actively encourage, and assist in'' 
     after ``provide technical support for''; and
       (II) by striking ``and'' after the semicolon;

       (iv) by redesignating subparagraph (I) as subparagraph (J); 
     and
       (v) by inserting after subparagraph (H) the following:
       ``(I) when feasible, continue to carry out the functions 
     described in this section on behalf of residents 
     transitioning from a long-term care facility to a home care 
     setting; and'';
       (C) in paragraph (5)(B)--
       (i) in clause (vi)--

       (I) by inserting ``, actively encourage, and assist in'' 
     after ``support''; and
       (II) by striking ``and'' after the semicolon;

       (ii) by redesignating clause (vii) as clause (viii); and
       (iii) by inserting after clause (vi) the following:
       ``(vii) identify, investigate, and resolve complaints 
     described in clause (iii) that are made by or on behalf of 
     residents with limited or no decisionmaking capacity and who 
     have no known legal representative, and if such a resident is 
     unable to communicate consent for an Ombudsman to work on a 
     complaint directly involving the resident, the Ombudsman 
     shall seek evidence to indicate what outcome the resident 
     would have communicated (and, in the absence of evidence to 
     the contrary, shall assume that the resident wishes to have 
     the resident's health, safety, welfare, and rights protected) 
     and shall work to accomplish that outcome; and'';
       (2) in subsection (b)--
       (A) in paragraph (1)--
       (i) in subparagraph (A), by striking ``access'' and 
     inserting ``private and unimpeded access''; and
       (ii) in subparagraph (B)--

       (I) in clause (i)--

       (aa) in the matter preceding subclause (I), by striking 
     ``the medical and social records of a'' and inserting ``all 
     files, records, and other information concerning a''; and
       (bb) in subclause (II), by striking ``to consent'' and 
     inserting ``to communicate consent''; and

       (II) in clause (ii), in the matter before subclause (I), by 
     striking ``the records'' and inserting ``the files, records, 
     and information''; and

       (B) by adding at the end the following:
       ``(3) Health oversight agency.--For purposes of section 
     264(c) of the Health Insurance Portability and Accountability 
     Act of 1996 (including regulations issued under that section) 
     (42 U.S.C. 1320d-2 note), the Ombudsman and a representative 
     of the Office shall be considered a `health oversight 
     agency,' so that release of residents' individually 
     identifiable health information to the Ombudsman or 
     representative is not precluded in cases in which the 
     requirements of clause (i) or (ii) of paragraph (1)(B), or 
     the requirements of paragraph (1)(D), are otherwise met.'';

[[Page H1476]]

       (3) in subsection (c)(2)(D), by striking ``202(a)(21)'' and 
     inserting ``202(a)(18)'';
       (4) in subsection (d)--
       (A) in paragraph (1), by striking ``files'' and inserting 
     ``files, records, and other information''; and
       (B) in paragraph (2)--
       (i) in subparagraph (A)--

       (I) by striking ``files and records'' each place such term 
     appears and inserting ``files, records, and other 
     information''; and
       (II) by striking ``and'' after the semicolon;

       (ii) in subparagraph (B)--

       (I) by striking ``files or records'' and inserting ``files, 
     records, or other information''; and
       (II) in clause (iii), by striking the period at the end and 
     inserting ``; and''; and

       (iii) by adding at the end the following:
       ``(C) notwithstanding subparagraph (B), ensure that the 
     Ombudsman may disclose information as needed in order to best 
     serve residents with limited or no decisionmaking capacity 
     who have no known legal representative and are unable to 
     communicate consent, in order for the Ombudsman to carry out 
     the functions and duties described in paragraphs (3)(A) and 
     (5)(B) of subsection (a).''; and
       (5) by striking subsection (f) and inserting the following:
       ``(f) Conflict of Interest.--
       ``(1) Individual conflict of interest.--The State agency 
     shall--
       ``(A) ensure that no individual, or member of the immediate 
     family of an individual, involved in the designation of the 
     Ombudsman (whether by appointment or otherwise) or the 
     designation of an entity designated under subsection (a)(5), 
     is subject to a conflict of interest;
       ``(B) ensure that no officer or employee of the Office, 
     representative of a local Ombudsman entity, or member of the 
     immediate family of the officer, employee, or representative, 
     is subject to a conflict of interest; and
       ``(C) ensure that the Ombudsman--
       ``(i) does not have a direct involvement in the licensing 
     or certification of a long-term care facility or of a 
     provider of a long-term care service;
       ``(ii) does not have an ownership or investment interest 
     (represented by equity, debt, or other financial 
     relationship) in a long-term care facility or a long-term 
     care service;
       ``(iii) is not employed by, or participating in the 
     management of, a long-term care facility or a related 
     organization, and has not been employed by such a facility or 
     organization within 1 year before the date of the 
     determination involved;
       ``(iv) does not receive, or have the right to receive, 
     directly or indirectly, remuneration (in cash or in kind) 
     under a compensation arrangement with an owner or operator of 
     a long-term care facility;
       ``(v) does not have management responsibility for, or 
     operate under the supervision of an individual with 
     management responsibility for, adult protective services; and
       ``(vi) does not serve as a guardian or in another fiduciary 
     capacity for residents of long-term care facilities in an 
     official capacity (as opposed to serving as a guardian or 
     fiduciary for a family member, in a personal capacity).
       ``(2) Organizational conflict of interest.--
       ``(A) In general.--The State agency shall comply with 
     subparagraph (B)(i) in a case in which the Office poses an 
     organizational conflict of interest, including a situation in 
     which the Office is placed in an organization that--
       ``(i) is responsible for licensing, certifying, or 
     surveying long-term care services in the State;
       ``(ii) is an association (or an affiliate of such an 
     association) of long-term care facilities, or of any other 
     residential facilities for older individuals;
       ``(iii) provides long-term care services, including 
     programs carried out under a Medicaid waiver approved under 
     section 1115 of the Social Security Act (42 U.S.C. 1315) or 
     under subsection (b) or (c) of section 1915 of the Social 
     Security Act (42 U.S.C. 1396n), or under a Medicaid State 
     plan amendment under subsection (i), (j), or (k) of section 
     1915 of the Social Security Act (42 U.S.C. 1396n);
       ``(iv) provides long-term care case management;
       ``(v) sets rates for long-term care services;
       ``(vi) provides adult protective services;
       ``(vii) is responsible for eligibility determinations for 
     the Medicaid program carried out under title XIX of the 
     Social Security Act (42 U.S.C. 1396 et seq.);
       ``(viii) conducts preadmission screening for placements in 
     facilities described in clause (ii); or
       ``(ix) makes decisions regarding admission or discharge of 
     individuals to or from such facilities.
       ``(B) Identifying, removing, and remedying organizational 
     conflict.--
       ``(i) In general.--The State agency may not operate the 
     Office or carry out the program, directly, or by contract or 
     other arrangement with any public agency or nonprofit private 
     organization, in a case in which there is an organizational 
     conflict of interest (within the meaning of subparagraph (A)) 
     unless such conflict of interest has been--

       ``(I) identified by the State agency;
       ``(II) disclosed by the State agency to the Assistant 
     Secretary in writing; and
       ``(III) remedied in accordance with this subparagraph.

       ``(ii) Action by assistant secretary.--In a case in which a 
     potential or actual organizational conflict of interest 
     (within the meaning of subparagraph (A)) involving the Office 
     is disclosed or reported to the Assistant Secretary by any 
     person or entity, the Assistant Secretary shall require that 
     the State agency, in accordance with the policies and 
     procedures established by the State agency under subsection 
     (a)(5)(D)(iii)--

       ``(I) remove the conflict; or
       ``(II) submit, and obtain the approval of the Assistant 
     Secretary for, an adequate remedial plan that indicates how 
     the Ombudsman will be unencumbered in fulfilling all of the 
     functions specified in subsection (a)(3).''; and

       (6) in subsection (h)--
       (A) in paragraph (3)(A)(i), by striking ``older'';
       (B) in paragraph (4), by striking all that precedes 
     ``procedures'' and inserting the following:
       ``(4) strengthen and update'';
       (C) by redesignating paragraphs (4) through (9) as 
     paragraphs (5) through (10), respectively;
       (D) by inserting after paragraph (3) the following:
       ``(4) ensure that the Ombudsman or a designee participates 
     in training provided by the National Ombudsman Resource 
     Center established in section 202(a)(18);'';
       (E) in paragraph (6)(A), as redesignated by subparagraph 
     (C) of this paragraph, by striking ``paragraph (4)'' and 
     inserting ``paragraph (5)'';
       (F) in paragraph (7)(A), as redesignated by subparagraph 
     (C) of this paragraph, by striking ``subtitle C of the'' and 
     inserting ``subtitle C of title I of the''; and
       (G) in paragraph (10), as redesignated by subparagraph (C) 
     of this paragraph, by striking ``(6), or (7)'' and inserting 
     ``(7), or (8)''.
       (d) Ombudsman Regulations.--Section 713 of the Older 
     Americans Act of 1965 (42 U.S.C. 3058h) is amended--
       (1) in paragraph (1), by striking ``paragraphs (1) and (2) 
     of section 712(f)'' and inserting ``subparagraphs (A) and (B) 
     of section 712(f)(1)''; and
       (2) in paragraph (2), by striking ``subparagraphs (A) 
     through (D) of section 712(f)(3)'' and inserting ``clauses 
     (i) through (vi) of section 712(f)(1)(C)''.
       (e) Prevention of Elder Abuse, Neglect, and Exploitation.--
     Section 721 of the Older Americans Act of 1965 (42 U.S.C. 
     3058i) is amended--
       (1) in subsection (b)--
       (A) in the matter preceding paragraph (1), by striking 
     ``(including financial exploitation)'';
       (B) by redesignating paragraphs (5) through (12) as 
     paragraphs (6) through (13), respectively;
       (C) by inserting after paragraph (4) the following:
       ``(5) promoting the submission of data on elder abuse, 
     neglect, and exploitation for the appropriate database of the 
     Administration or another database specified by the Assistant 
     Secretary;'';
       (D) in paragraph (10)(C), as redesignated by subparagraph 
     (B) of this paragraph--
       (i) in clause (ii), by inserting ``, such as forensic 
     specialists,'' after ``such personnel''; and
       (ii) in clause (v), by inserting before the comma the 
     following: ``, including programs and arrangements that 
     protect against financial exploitation''; and
       (E) in paragraph (12), as redesignated by subparagraph (B) 
     of this paragraph--
       (i) in subparagraph (D), by striking ``and'' at the end; 
     and
       (ii) by adding at the end the following:
       ``(F) supporting and studying innovative practices in 
     communities to develop partnerships across disciplines for 
     the prevention, investigation, and prosecution of abuse, 
     neglect, and exploitation; and''; and
       (2) in subsection (e)(2), in the matter preceding 
     subparagraph (A)--
       (A) by striking ``subsection (b)(9)(B)(i)'' and inserting 
     ``subsection (b)(10)(B)(i)''; and
       (B) by striking ``subsection (b)(9)(B)(ii)'' and inserting 
     ``subsection (b)(10)(B)(ii)''.

     SEC. 9. BEHAVIORAL HEALTH.

       The Older Americans Act of 1965 is amended--
       (1) in section 102 (42 U.S.C. 3002)--
       (A) in paragraph (14)(G), by inserting ``and behavioral'' 
     after ``mental'';
       (B) in paragraph (36), by inserting ``and behavioral'' 
     after ``mental''; and
       (C) in paragraph (47)(B), by inserting ``and behavioral'' 
     after ``mental'';
       (2) in section 201(f)(1) (42 U.S.C. 3011(f)(1)), by 
     inserting ``and behavioral'' after ``mental'';
       (3) in section 202(a)(5) (42 U.S.C. 3012(a)(5)), by 
     inserting ``and behavioral'' after ``mental'';
       (4) in section 306(a) (42 U.S.C. 3026(a))--
       (A) in paragraph (2)(A), by inserting ``and behavioral'' 
     after ``mental''; and
       (B) in paragraph (6)(F), by striking ``mental health 
     services'' each place such term appears and inserting 
     ``mental and behavioral health services''; and
       (5) in section 321(a) (42 U.S.C. 3030d)--
       (A) in paragraph (1), as amended by section 4(g), by 
     inserting ``and behavioral'' after ``mental'';
       (B) in paragraph (14)(B), by inserting ``and behavioral'' 
     after ``mental''; and
       (C) in paragraph (23), by inserting ``and behavioral'' 
     after ``mental''.

[[Page H1477]]

  


     SEC. 10. GUIDANCE ON SERVING HOLOCAUST SURVIVORS.

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

  The SPEAKER pro tempore. Pursuant to the rule, the gentleman from 
Florida (Mr. Curbelo) and the gentlewoman from Oregon (Ms. Bonamici) 
each will control 20 minutes.
  The Chair recognizes the gentleman from Florida.


                             General Leave

  Mr. CURBELO of Florida. Mr. Speaker, I ask unanimous consent that all 
Members may have 5 legislative days in which to revise and extend their 
remarks and include extraneous material on S. 192.
  The SPEAKER pro tempore. Is there objection to the request of the 
gentleman from Florida?
  There was no objection.
  Mr. CURBELO of Florida. Mr. Speaker, I yield myself such time as I 
may consume.
  I rise today in strong support of S. 192, the Older Americans Act 
Reauthorization Act of 2015.
  Mr. Speaker, for decades, the Older Americans Act has been a vital 
resource for the Nation's seniors. It established and has sustained a 
number of services, including nutrition services, family caregiver 
support, community service employment, and elder abuse prevention.
  These and other services have allowed seniors to stay active and 
independent. They have helped them live healthy, independent lives in 
their homes and their communities, and in many cases, they have enabled 
older Americans to remain out of institutional care.
  This bill updates and improves the law to ensure it continues to 
serve a senior population that has changed significantly since the 
Older Americans Act was first enacted more than 50 years ago.
  One of the hallmarks of the original law--and something that this 
reauthorization maintains and strengthens--is the flexibility it 
provides States and local entities to serve the specific needs of 
seniors in their communities. This bipartisan legislation maintains 
that strong commitment to State and local control and makes a number of 
commonsense reforms to the law.
  For example, the bill includes specific measures to better protect 
seniors from abuse and neglect. Among those measures is a provision to 
strengthen a program designed to investigate and resolve complaints 
from residents of nursing home facilities and other adult care homes. 
It also clarifies responsibilities related to the development and 
implementation of programs related to the health and economic welfare 
of older individuals.
  The bill also continues support for Senior Medicare Patrol, a program 
that helps train senior volunteers to prevent and identify healthcare 
fraud and abuse. Congress should continue to fund this important 
initiative because it is good for seniors and it helps save taxpayer 
dollars by protecting the integrity of healthcare programs.
  Additionally, this legislation improves alignment between existing 
programs designed to provide employment and community service 
opportunities to older Americans. It simplifies and clarifies how 
services are funded and includes responsible and defined authorization 
levels.
  These are just a few of the important changes and updates this bill 
makes, in addition to the many vital services it continues, to help 
seniors age with dignity and independence.
  I urge my colleagues to support the reauthorization of the Older 
Americans Act.
  I reserve the balance of my time.
  Ms. BONAMICI. Mr. Speaker, I yield myself such time as I may consume.
  I want to start by thanking Chairman Kline and Ranking Member Scott 
for working to bring this important legislation to the floor today. 
Reauthorizing the Older Americans Act has been one of my top 
priorities. Over the years, I have sponsored legislation to strengthen 
essential programs that help keep seniors healthy and independent. 
Seniors in Oregon and across the country know how important the Older 
Americans Act programs are, so I have met with them to discuss ideas 
for improving the law, and I have advocated for funding for Older 
Americans Act programs and services.
  All along, my colleagues on both sides of the aisle have been 
committed to reauthorizing this important law.
  On behalf of seniors across the country, I thank my colleagues for 
their support for this legislation before the House--a 3-year 
reauthorization of the Older Americans Act.
  I also want to thank the advocacy community and service delivery 
groups for their ongoing support for a strong, bipartisan 
reauthorization. Backing from a wide range of groups that are dedicated 
to the well-being of America's seniors helped make possible the 
legislation we are considering today.
  Every day in our country, about 10,000 people turn 65. As the 
population of older adults continues to grow, we have a responsibility, 
as policymakers, to reevaluate and bolster the programs that keep 
seniors healthy, active, and engaged in their communities. The 
legislation we are considering will help older Americans from all 
backgrounds lead meaningful lives with dignity by continuing to support 
the delivery of health, transportation, and nutrition services to 
seniors in every State.
  This legislation includes modest increases in authorization levels, 
building on the amounts appropriated in the Fiscal Year 2016 Omnibus 
Appropriations Act. Investments for currently funded Older Americans 
Act programs are overdue and will help meet the growing demand placed 
on these programs and services.
  Increasing investments in programs like Meals on Wheels, which serves 
thousands of seniors, many of whom are homebound or low-income, will 
allow more adults to stay in their homes, where they can remain 
connected to their communities and avoid costlier long-term care.
  For many adults, the hot meal they get from Meals on Wheels is the 
only one they will get that day. The volunteers who deliver the meal 
may provide their only social interaction, which is important for all 
seniors, but especially for those in isolated or rural areas.
  Significantly, this legislation provides tools to curb both financial 
and physical elder abuse by promoting proven strategies for responding 
to elder abuse, neglect, and exploitation.
  According to the Elder Justice Coalition, there are more than 6 
million victims of elder abuse every year--roughly 1 out of every 10 
people over age 60. According to the National Center on Elder Abuse, 
victims of elder financial abuse lose an estimated $2.9 billion a year, 
and too often they lose their entire life savings. I am pleased that 
this legislation continues to address the problem of elder abuse and 
takes steps to make sure older adults are not robbed of their resources 
or denied the dignity they deserve.
  In addition, my colleague from Florida has expressed support for the 
Senior Medicare Patrol, a program that helps train senior volunteers to 
prevent and identify healthcare fraud and

[[Page H1478]]

abuse. I want to reiterate support for this program and note that the 
Education and the Workforce Committee supports full funding for this 
important initiative, which should not come at the expense of funding 
other programs.
  The Senior Medicare Patrol saves taxpayer dollars by protecting the 
integrity of healthcare programs. The return on investment for Older 
Americans Act programs is undeniable, and this is certainly the case 
for Senior Medicare Patrol as well.
  Americans are living longer, more productive lives, and our policies 
need to keep pace. Older adults should not have to struggle to afford 
reliable transportation, nutritious food, and high-quality supportive 
services. Congress will need to continue to invest in and modernize 
services for seniors so all older adults, including LGBT elders and 
older individuals from diverse racial and ethnic backgrounds, have 
access to programs that keep them healthy and engaged in their 
communities.
  This legislation is an important step forward. I am glad that 
Congress is coming together today with bipartisan support to recognize 
the valuable role that Older Americans Act programs play across the 
country. These programs work. Reauthorizing them means that America's 
seniors and their caregivers will continue to receive the services, 
resources, and support they need.
  Mr. Speaker, the reauthorization we are considering today is an 
important way to recognize that in the United States of America, our 
seniors--our parents and grandparents across the country--deserve to 
live healthy, fulfilling lives and live them with dignity.
  I, again, thank Ranking Member Scott and Chairman Kline for their 
leadership. I also want to thank the hardworking staff on both sides of 
the aisle for their dedication to improving the lives of all Americans.
  I reserve the balance of my time.
  Mr. CURBELO of Florida. Mr. Speaker, I yield 4 minutes to the 
gentleman from Minnesota (Mr. Kline), the distinguished chairman of the 
Committee on Education and the Workforce, who has worked tirelessly on 
this reauthorization.
  Mr. KLINE. Mr. Speaker, I thank the gentleman for yielding the time.
  I rise today in strong support of this legislation reauthorizing the 
Older Americans Act.
  Since it was first enacted, this act has been a vital resource for 
America's seniors and their caregivers. Through a wide range of 
services, it has helped older individuals enjoy their independence and 
stay active, both in their homes and in their communities.
  However, much has changed in the last 50 years. Today, Americans are 
living longer, and the senior population is significantly larger and 
more independent than it once was. What hasn't changed is the 
responsibility we have to take care of our seniors. That is why, in 
addition to continuing the vital support established by the Older 
Americans Act, this reauthorization makes a number of important 
improvements to ensure the law is still providing the kind of help 
American seniors need.
  First, it provides better protections for our most vulnerable 
seniors. The bill promotes best practices for responding to abuse, 
neglect, and exploitation, strengthens protections for all residents of 
long-term care facilities, and improves the coordination of activities 
between State and local aging offices.
  Other important updates include measures to streamline and improve 
how the programs under the law are administered. Too often taxpayer 
dollars go to programs that are outdated, ineffective, or simply not 
being used as they could be. That is why this bill streamlines programs 
and makes improvements to ensure program coordination and efficiency.
  The legislation also makes changes to nutrition services programs to 
account for geographic changes in the senior population.
  Furthermore, the bill better aligns job training services for older 
Americans with the broader workforce development system. In 2014, 
Congress passed the Workforce Innovation and Opportunity Act to provide 
a more efficient, streamlined workforce training system that would help 
put Americans back to work. This legislation builds on that law by 
providing seniors access to a less confusing and more seamless 
workforce development system.
  These are just some of the things this bill does to better serve 
those individuals the law is intended to support. We have made a 
commitment to help those who want and deserve to enjoy independence and 
contribute to their communities as they grow older. This bill will help 
ensure that we are not only honoring that commitment, but that we are 
honoring it well.
  In closing, I want to thank my colleagues--Representatives Carlos 
Curbelo, Virginia Foxx, Suzanne Bonamici, and Ruben Hinojosa--for their 
continued leadership on this issue and in helping move this important 
piece of legislation forward. We are grateful for their efforts.
  I urge my colleagues to support the legislation.
  Ms. BONAMICI. Mr. Speaker, I yield 4 minutes to the gentleman from 
Virginia (Mr. Scott), the ranking member of the Committee on Education 
and the Workforce.
  Mr. SCOTT of Virginia. Mr. Speaker, I rise in support of the 
legislation today, which provides for a 3-year reauthorization of the 
Older Americans Act.
  Mr. Speaker, the Committee on Education and the Workforce has been 
committed to seeing this legislation through. I want to particularly 
thank, on our side, the ranking member of the subcommittee, Mr. 
Hinojosa, and Representative Bonamici. I want to thank them and 
Chairman Kline, Representative Curbelo, and all of the members of our 
committee, for making the passage of this bill a reality.
  As ranking member of the Committee on Education and the Workforce, I 
have the privilege of working on legislation that affects Americans 
throughout their lives, from childhood into advanced age. The Older 
Americans Act was first passed 50 years ago as part of President 
Johnson's War on Poverty to help older Americans live in dignity and 
stay connected to their communities by receiving essential social and 
nutrition services.

                              {time}  1630

  Today, the commitment to our Nation's seniors is more important than 
ever. One in 10 Americans over the age of 65 lives in poverty, and 
older Americans are also working longer--some because they want to but 
many because they have to so that they can secure their financial 
futures in the face of retirement insecurity. The spectrum of services 
provided through the Older Americans Act, in conjunction with Medicare, 
Medicaid, and Social Security, ensures that our Nation's older 
Americans are not left behind in their golden years.
  The Pew Research Center reports that the elderly population is 
expected to double by 2015, and without meaningful investments in 
services for our seniors, too many Americans who have worked hard all 
of their lives will be left struggling in their later years.
  Unfortunately, since 2009, the Older Americans Act's funding has 
actually dropped. Failing to invest in the Older Americans Act is bad 
for seniors, and it is bad for our country. Providing our seniors with 
health services, nutrition, and the supportive services they need makes 
them less likely to suffer illness or injury, less likely to incur 
expensive hospital visits, and more likely to live independently. These 
investments bring dignity to the lives of our seniors, and they, 
ultimately, will result in a significant savings to taxpayers.
  I am proud that we were able to agree on increased funding for these 
important programs. Had our investments in these programs kept up with 
inflation and the growing population, the funding levels would have 
actually been higher, but, thankfully, we can finally say that we are 
moving in the right direction.
  Vice President Hubert Humphrey once stated that the moral test of 
government is how that government treats those who are in the dawn of 
life, our children; those who are in the twilight of life, our elderly; 
and those who are in the shadows of life. It is my hope that, by 
protecting and enhancing the Federal statutes to support our older 
Americans, we will be passing this test.
  Again, I thank my colleagues for their support of this legislation.
  Mr. CURBELO of Florida. Mr. Speaker, I reserve the balance of my 
time.

[[Page H1479]]

  

  Ms. BONAMICI. Mr. Speaker, I yield 3 minutes to the gentleman from 
the great State of Oregon (Mr. DeFazio).
  Mr. DeFAZIO. I thank the gentlewoman for yielding and for her work, 
and thank the subcommittee chair and chair regarding this issue.
  Mr. Speaker, I might be the only Member of Congress who has ever 
worked under the Older Americans Act. Another young man and I--
obviously, many years ago--started the first Senior Companion Program 
in region 6, the Pacific Northwest.
  These employment programs are fabulous. There are two things that we 
need to keep in mind for seniors. The first is the vulnerability of 
many: the economic vulnerability, the nutritional vulnerability, their 
medical vulnerability, and the needs that have to be served there. The 
other is that a lot of people are retired--over the age of 60--who 
still have a tremendous amount to contribute to this country.
  Through the Older Americans Act and these Senior Community Service 
Employment Programs, we are, actually, utilizing their talents. The 
particular program I ran employed 60 low-income seniors to go out and 
work in the community with other even more vulnerable seniors, who were 
in their homes, in order to try and keep them in their homes, to keep 
them independent--a better quality of life for them and a heck of a 
savings for the taxpayer--because nobody can afford nursing homes in 
America except the richest among us. Inevitably, when seniors have to 
go into nursing homes, they are going to end up on Medicaid at some 
point, which is very expensive. So, if we can keep them at home, they 
are happier, and we save money.
  On the other vulnerabilities, nutritional vulnerability is the 
largest bulk. The single largest category under the Older Americans Act 
goes to the nutrition programs, which are the senior Congregate Meal 
sites and the Meals on Wheels. I would urge anybody who is not 
particularly familiar with these programs to go to one or the other and 
see how important this is to so many millions of older Americans every 
year. Often, the only time they will see other people in a day is if 
they are at the senior Congregate Meal sites or if they are at home and 
someone shows up with Meals on Wheels. I have delivered Meals on Wheels 
and have seen seniors, basically, just cry to be getting a little bit 
of attention at home and getting a meal that will get them through the 
day.
  The SPEAKER pro tempore. The time of the gentleman has expired.
  Ms. BONAMICI. I yield the gentleman an additional 30 seconds.
  Mr. DeFAZIO. It is wonderful that we are reauthorizing this, but the 
funding levels are inadequate. If you look at it over time, the senior 
population has grown dramatically, and those in need have grown 
dramatically; yet the funding, if you look back 10 years or so, in 
adjusted dollars, is actually less today. It is great we are 
reauthorizing it, but we do need to look for more funding.
  Mr. CURBELO of Florida. Mr. Speaker, I reserve the balance of my 
time.
  Ms. BONAMICI. Mr. Speaker, I yield 2 minutes to the gentleman from 
California (Mr. Peters).
  Mr. PETERS. Mr. Speaker, in San Diego and across the country, seniors 
depend on the programs for health care, for meals, and for other 
essential services that are included in the Older Americans Act. These 
programs help ensure that our seniors age successfully and with 
dignity.
  Serving Seniors, which is here today from San Diego to support the 
reauthorization of the Older Americans Act, will be able to continue to 
provide meals and other services to seniors at the Gary and Mary West 
Center. Meals-on-Wheels of Greater San Diego will have the certainty 
that it needs to keep delivering meals to seniors in their homes, and 
the County of San Diego will have more resources and information to 
combat elder abuse.

  Together, we will continue to hold senior scam seminars in San Diego 
to equip members of our senior community with the tools they need to 
avoid being scammed. For many seniors, an important part of aging with 
dignity is having the support of caregivers in their families. 
Improving the National Family Caregiver Support Program will continue 
to give these caregivers a network of information and services to care 
for their loved ones.
  As an active member of the House Seniors Task Force, I am committed 
to protecting the viability of Medicare and Social Security, which 
seniors have earned over lifetimes of hard work. By preventing Medicare 
fraud and abuse, this legislation will save on long-term costs and help 
keep Medicare viable.
  I urge my colleagues to stand up for seniors and support the passage 
of the bipartisan Older Americans Act. I thank leadership on both sides 
of the aisle for working on this.
  Mr. CURBELO of Florida. Mr. Speaker, I reserve the balance of my 
time.
  Ms. BONAMICI. Mr. Speaker, I yield myself the balance of my time.
  In the United States, its population of older adults is projected to 
increase from approximately 57 million people, who were aged 60 and 
older in 2010, to about 76 million older adults by our next census in 
2020. Despite the rapid rise in the population of seniors and the 
growing strain that has been placed on important services for older 
individuals, Congress allowed the Older Americans Act to expire in 
2011. Fortunately, today, the House has the opportunity to pass a 
reauthorization of the Older Americans Act, and it is not a moment too 
soon.
  This legislation increases the Federal investment in Older Americans 
Act programs, which serve millions of seniors in towns, in cities, and 
in rural areas across the United States. Reauthorizing these programs 
means that older adults will continue to receive nutritious meals, 
legal assistance, preventative health care, and other essential 
services that make it possible for them to live independently and to 
age with dignity.
  I agree with my colleague from Oregon (Mr. DeFazio) that, if one 
hasn't been to one of these programs, one should definitely go and 
spend some time with the people who are receiving these services. It is 
very meaningful. It changes their lives.
  I also thank my friend and colleague from Florida (Mr. Curbelo) as 
well as Ranking Member Scott and Chairman Kline for their commitment to 
America's seniors.
  I ask all of my colleagues to join me in supporting this bipartisan 
measure to reauthorize the Older Americans Act.
  Mr. Speaker, I yield back the balance of my time.
  Mr. CURBELO of Florida. Mr. Speaker, I yield myself the balance of my 
time.
  The important services that are provided by the Older Americans Act 
help us to achieve a goal that we can all get behind--that of 
supporting the country's seniors in helping them maintain the active, 
productive lives they desire. As I see it, that is not just a goal--it 
is our responsibility. The seniors we are talking about are veterans, 
parents, grandparents, teachers, caregivers, laborers, job creators. 
They are individuals who have worked hard all of their lives, who have 
helped this country grow and expand, and who, in a lot of ways, have 
supported many of us throughout our own lives.
  It is now on us to help support them in their senior years. This 
reauthorization will do just that, which is why it has support from 
Members on both sides of the aisle and from nearly 50 groups, including 
the AARP, the National Association of Area Agencies on Aging, Meals on 
Wheels America, and the National Association of States United for Aging 
and Disabilities.
  It will enable older Americans to remain independent, to continue 
contributing to their communities, and to remain in their homes with 
their families and among their friends. Many seniors are fortunate 
enough to have loved ones who are already helping them stay active and 
who are already looking out for their best interests. Unfortunately, 
there are many seniors who are not so fortunate. This bipartisan bill 
will help those individuals live out their years with dignity whether 
they are in their homes or in long-term care facilities. I believe that 
is an effort we can all support.
  I thank Chairman Kline, Ranking Member Scott, and my friend and 
colleague from Oregon (Ms. Bonamici). This is a wonderful model for 
bipartisan work--for working together--to help vulnerable people in our 
country.
  Mr. Speaker, I yield back the balance of my time.
  Mr. SMITH of New Jersey. Mr. Speaker, I rise today in support of the 
House Amendment

[[Page H1480]]

to S. 192, the Older Americans Act Reauthorization Act of 2015. It has 
been nearly ten years since Congress last reauthorized the Older 
Americans Act (OAA), making today's amendment and the reforms in the 
underlying bill long overdue.
  Last year marked the 50th Anniversary of the OAA and its many social 
services and programs that continue to provide a critical safety net 
for seniors around the country. This includes supportive services, 
nutrition services--whether at group sites or home-delivered programs 
such as ``meals on wheels''--family caregiver support, community 
service employment, and services to protect seniors from and prevent 
abuse, neglect, and exploitation.
  In New Jersey, the Department of Human Services Division of Aging 
Services uses OAA funds to serve more than 500,000 individuals. From 
2000 to 2010, New Jersey saw a 15 percent increase in individuals age 
60 and older, representing 19 percent of the state population. By 2030, 
it is projected that those 60 and older will represent over 25 percent 
of the state population, making OAA services and programs more critical 
than ever.
  Among many reforms, S. 192 contains provisions to reduce elder abuse, 
neglect, and exploitation in long term facilities, improve federal 
collaboration with state and local agencies and service providers on 
the modernization of senior centers, and improve care coordination for 
those with multiple chronic conditions with services through health 
care entities such as Federally Qualified Health Centers (FQHCs).
  It reforms funding allocations to ensure that money follows the 
person, helping maximize the number of seniors reached by the OAA's 
services and programs. It permits state grant programs to begin 
providing support services for chronic condition self-care management 
and falls prevention. It also requires states to utilize a dietician in 
its nutrition projects and encourage the use of locally grown foods--as 
well as partnerships and contracts with local producers and providers--
in meal programs.
  The ad-hoc means of funding these programs over the last several 
years has made them less secure and efficient. As our population ages, 
it is imperative that we preserve access to these and other services 
that enable senior citizens to live healthy and productive lives, and 
give seniors the security and confidence they need when planning for 
their future medical care and financial security. Today's vote will 
protect and improve OAA's vital programs to assist and protect older 
Americans, allowing them to maintain their independence and quality of 
life during retirement.
  Ms. JACKSON LEE. Mr. Speaker, I rise in strong support of S. 192, the 
``Older Americans Act Reauthorization Act of 2015,'' which amends the 
Older Americans Act of 1965 (OAA), to require the Director of the 
Office of Long-Term Care Ombudsman Programs to collect and analyze best 
practices to prevent and respond to elder abuse, neglect, and 
exploitation in long-term care facilities, and to publish a report to 
document best practices to achieve these goals.
  S. 192 also requires the administration to provide information and 
technical assistance to State and local agencies on aging as well as 
service providers.
  S. 192 also mandates the development of a consumer-friendly tool to 
assist older individuals and their families in choosing home and 
community-based services, with a particular focus on ways for consumers 
to assess how providers protect the health, safety, welfare, and rights 
of older individuals.
  S. 192 directs the administration to ensure that programs authorized 
under the OAA include training in the prevention of abuse, neglect, and 
exploitation and provision of services that address elder justice and 
exploitation of older individuals.
  S. 192 also reauthorizes appropriations for specified supportive 
services, congregate nutrition services, home delivered nutrition 
services, disease prevention, health promotion services, and family 
caregiver support.
  Mr. Speaker, S. 192 will increase public awareness of elder abuse, 
neglect, and exploitation, and remove barriers to education, 
prevention, investigation, and treatment of elder abuse, neglect, and 
exploitation.
  Mr. Speaker, it has been noted often that the moral test of 
government is how it treats those in the dawn of life, our children; 
those in the shadows of life, the sick and infirm; and those in the 
twilight of life, the elderly.
  I urge my colleagues to support S. 192 because it makes a significant 
contribution to meeting our obligations to our senior citizens who have 
done so much to make our country great.
  Mr. HINOJOSA. Mr. Speaker, I rise today in strong support of the 
House amendment to S. 192, Older Americans Act Reauthorization Act of 
2015, which passed by unanimous consent in the Senate. I commend my 
chairman, Mr. Kline, and Ranking Member Scott for their leadership and 
bringing this bill to the floor.
  Mr. Speaker, about one (1) in every seven (7) Americans or 14 percent 
of the population is considered an ``Older American''--aged 65 or 
older. As more ``baby boomers'' enter retirement, it is critical for 
Congress to update this law as the major vehicle for the delivery of 
social and nutritional programs for older persons and their 
caregivers--and to help seniors maintain their independence and 
dignity.
  According to a national survey of Older Americans Act participants, 
91 percent indicated that the home-delivery nutrition program helped 
them stay in their own home. Additionally, 60 percent of participants 
indicated that a single home-delivered meal provided one-half or more 
of their total food for the day.
  In my Congressional District, access to these transportation services 
is sometimes the only way our seniors can go to the doctor's office or 
to the grocery store. I am pleased that this bill also provides 
community service employment, adult day care, respite care, 
transportation services, legal assistance, long-term care and a range 
of programs protecting the rights of vulnerable seniors from fraud and 
exploitation.
  For these reasons, Mr. Speaker, I strongly urge my colleagues on both 
sides of the aisle to vote for the House amendment to S. 192. America's 
seniors deserve nothing less.
  The SPEAKER pro tempore. The question is on the motion offered by the 
gentleman from Florida (Mr. Curbelo) that the House suspend the rules 
and pass the bill, S. 192, as amended.
  The question was taken; and (two-thirds being in the affirmative) the 
rules were suspended and the bill, as amended, was passed.
  A motion to reconsider was laid on the table.

                          ____________________