,i #aacth ,,congress #b;d ,session ,h4 ,r4 #ebjj ,,in ,,the ,,house ,,of ,,representatives ,july #bd1 #bjad ,ms4 ,schwartz 7for herself1 ,mr4 ,deutch1 ,ms4 ,roybal-,allard1 and ,mr4 ,grayson7 introduced the following bill2 which was referred to the ,committee on ,education and the ,workforce ,a ,,bill ,to amend the ,older ,americans ,act of #aife to define care coordination1 include care coordination as a fully restorative service1 and detail the care coordination functions of the ,assistant ,secretary1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,care ,coordination for ,older ,americans ,act of #bjad4 #b4 ,declaration of objectives ,section #aja7d7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja7d77 is amended by inserting care coordination and after including4 #c4 ,definitions ,section #ajb of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb7 is amended by adding at the end the following3 7#ee7 7,a7 ,the term care coordination means a person- and family-centered1 assessment-based1 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 7including the ability to self-direct services74 7,b7 ,the term care coordination means coordination that-- 7i7 integrates health care1 long-term services and supports1 housing1 and social support services in a high-quality and cost-effective manner in which an individual's needs1 preferences1 and capabilities are assessed1 along with the needs and preferences of a family caregiver2 7ii7 includes1 as a core element1 the active involvement of the older individual1 the family1 or a representative appointed by the older individual or legally acting on the individual's behalf1 community-based service professionals1 and health care professionals providing care to the older individual1 in the design and implementation of an individualized1 individual-centered service and support plan1 through which the services and supports will be provided in a manner free from conflicts of interest2 7iii7 integrates services and interventions that are implemented1 monitored1 and evaluated for effectiveness using an evidence-based process1 which typically involves a designated lead care coordinator and involves feedback from the older individual2 7iv7 includes activities that aim simultaneously at meeting individual and family needs and preferences1 building on individual capabilities1 and improving outcomes and systems of care2 7v7 includes provision of some or all of the services and activities described in clauses 7i7 through 7iv7 by trained professionals employed by or under a contract with-- 7,i7 area agencies on aging2 7,,ii7 ,aging and ,disability ,resource ,centers2 or 7,,iii7 other service providers1 including in-home service providers2 and 7vi7 is not furnished to directly diagnose1 treat1 or cure a medical disease or condition4 4 #d4 ,functions of the ,assistant ,secretary ,section #bjb7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjab7;a77 is amended-- 7#a7 in paragraph 7#bg71 by striking and at the end2 7#b7 in paragraph 7#bh71 by striking the period and inserting 2 and2 and 7#c7 by adding at the end the following3 7#bi7 7,a7 encourage1 provide technical assistance to1 and share best practices with1 ,states1 area agencies on aging1 ,aging and ,disability ,resource ,centers1 and service providers to carry out outreach and coordinate activities with health care entities in order to assure better care coordination for individuals with multiple chronic illnesses2 and 7,b7 coordinate activities with other ,federal agencies that are working to improve care coordination and developing new models and best practices4 4 #e4 ,organization ,section #cje7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjbe7;g77 is amended-- 7#a7 in paragraph 7#b71 by striking and at the end2 7#b7 in paragraph 7#c71 by striking the period and inserting 2 and2 and 7#c7 by adding at the end the following3 7#d7 the ,state agency shall promote the development and implementation of a ,state system to address the care coordination needs of older individuals with multiple chronic illnesses1 and shall work with acute care providers1 area agencies on aging1 service providers1 and ,federal agencies to ensure that the system uses best practices and is evaluated on its provision of care coordination4 4 #f4 ,area plans ,section #cjf7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjbf7;a77 is amended-- 7#a7 in paragraph 7#d77;,b77i77,,vii7 by inserting with multiple chronic illnesses or after older individuals2 7#b7 in paragraph 7#f77;,d71 by inserting 7including acute care providers7 after service providers2 7#c7 in paragraph 7#af71 by striking and at the end2 7#d7 in paragraph 7#ag7 by striking the period and inserting 2 and2 and 7#e7 by adding at the end the following3 7#ah7 provide assurances that the area agency on aging will-- 7,a7 identify existing 7as of the date of submission of the plan7 care coordination programs and systems2 7,b7 identify unmet community need for care coordination2 7,c7 facilitate the development and implementation of an area-wide system to address the care coordination needs of older individuals with multiple chronic illnesses2 and 7,d7 work with acute care providers1 service providers1 and ,federal and ,state agencies to ensure that the system uses best practices in its provision of care coordination4 4 #g4 ,state plans ,section #cjg7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjbg7;a77 is amended-- 7#a7 in paragraph 7#b77;,a71 by inserting care coordination1 after information and assistance12 7#b7 in paragraph 7#ag71 by striking and develop collaborative programs1 where appropriate1 and inserting 1 ensure care coordination1 and 7where appropriate7 develop collaborative programs12 7#c7 in paragraph 7#ah71 in the matter preceding subparagraph 7,a71 by inserting and ensure care coordination that integrates long-term care services and other care services1 before for older2 7#d7 in paragraph 7#bc71 by striking with other ,state services and inserting with other ,federal and ,state health care programs and services2 and 7#e7 by adding at the end the following3 7#ca7 ,the plan shall provide assurances that the area agencies on aging in the ,state will facilitate the area-wide development and implementation of an area-wide system to address the care coordination needs of older individuals with multiple chronic illnesses1 and work with acute care providers1 service providers1 and other ,federal and ,state agencies to ensure that the system uses best practices and is evaluated on its provision of care coordination4 4