,i #aac? ,,congress #b;d ,session ,h4 ,r4 #ebjj ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,july #bd1 #bjad ,ms4 ,s*w>tz 7= h]self1 ,mr4 ,deut*1 ,ms4 ,roybal-,all>d1 & ,mr4 ,grayson7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,education & ! ,work=ce ,a ,,bill ,to am5d ! ,old] ,am]icans ,act ( #aife to def9e c>e coord9ation1 include c>e coord9ation z a fully re/orative s]vice1 & detail ! c>e coord9ation functions ( ! ,assi/ant ,secret>y1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,c>e ,coord9ation = ,old] ,am]icans ,act ( #bjad4 #b4 ,decl>ation ( objectives ,section #aja7d7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja7d77 is am5d$ by ins]t+ c>e coord9ation & aft] includ+4 #c4 ,def9itions ,section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb7 is am5d$ by add+ at ! end ! foll[+3 7#ee7 7,a7 ,! t]m c>e coord9ation means a p]son- & family-c5t]$1 assessm5t-bas$1 & int]discipl9>y approa* to meet ! ne$s & pref]5ces ( an old] individual & a family c>egiv] :ile enhanc+ ! capabilities ( ! old] individual 7includ+ ! ability to self-direct s]vices74 7,b7 ,! t]m c>e coord9ation means coord9ation t-- 7i7 integrates heal? c>e1 long-t]m s]vices & supports1 h\s+1 & social support s]vices 9 a high-quality & co/-effective mann] 9 :i* an individual's ne$s1 pref]5ces1 & capabilities are assess$1 along ) ! ne$s & pref]5ces ( a family c>egiv]2 7ii7 includes1 z a core elem5t1 ! active involvem5t ( ! old] individual1 ! family1 or a repres5tative appo9t$ by ! old] individual or legally act+ on ! individual's behalf1 community-bas$ s]vice pr(essionals1 & heal? c>e pr(essionals provid+ c>e to ! old] individual1 9 ! design & implem5tation ( an individualiz$1 individual-c5t]$ s]vice & support plan1 ?r\gh :i* ! s]vices & supports w be provid$ 9 a mann] free f conflicts ( int]e/2 7iii7 integrates s]vices & int]v5tions t are implem5t$1 monitor$1 & evaluat$ = effectiv5ess us+ an evid5ce-bas$ process1 :i* typically involves a designat$ lead c>e coord9ator & involves fe$back f ! old] individual2 7iv7 includes activities t aim simultane\sly at meet+ individual & family ne$s & pref]5ces1 build+ on individual capabilities1 & improv+ outcomes & sy/ems ( c>e2 7v7 includes provision ( "s or all ( ! s]vices & activities describ$ 9 clauses 7i7 ?r\gh 7iv7 by tra9$ pr(essionals employ$ by or "u a contract )-- 7,i7 area ag5cies on ag+2 7,,ii7 ,ag+ & ,disability ,res\rce ,c5t]s2 or 7,,iii7 o!r s]vice provid]s1 includ+ 9-home s]vice provid]s2 & 7vi7 is n furni%$ to directly diagnose1 treat1 or cure a m$ical disease or condition4 4 #d4 ,functions ( ! ,assi/ant ,secret>y ,section #bjb7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjab7;a77 is am5d$-- 7#a7 9 p>agraph 7#bg71 by /rik+ & at ! end2 7#b7 9 p>agraph 7#bh71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#bi7 7,a7 enc\rage1 provide te*nical assi/ance to1 & %>e be/ practices )1 ,/ates1 area ag5cies on ag+1 ,ag+ & ,disability ,res\rce ,c5t]s1 & s]vice provid]s to c>ry out outrea* & coord9ate activities ) heal? c>e entities 9 ord] to assure bett] c>e coord9ation = individuals ) multiple *ronic illnesses2 & 7,b7 coord9ate activities ) o!r ,f$]al ag5cies t are work+ to improve c>e coord9ation & develop+ new models & be/ practices4 4 #e4 ,organization ,section #cje7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbe7;g77 is am5d$-- 7#a7 9 p>agraph 7#b71 by /rik+ & at ! end2 7#b7 9 p>agraph 7#c71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#d7 ! ,/ate ag5cy %all promote ! developm5t & implem5tation ( a ,/ate sy/em to address ! c>e coord9ation ne$s ( old] individuals ) multiple *ronic illnesses1 & %all "w ) acute c>e provid]s1 area ag5cies on ag+1 s]vice provid]s1 & ,f$]al ag5cies to ensure t ! sy/em uses be/ practices & is evaluat$ on its provision ( c>e coord9ation4 4 #f4 ,area plans ,section #cjf7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbf7;a77 is am5d$-- 7#a7 9 p>agraph 7#d77;,b77i77,,vii7 by ins]t+ ) multiple *ronic illnesses or aft] old] individuals2 7#b7 9 p>agraph 7#f77;,d71 by ins]t+ 7includ+ acute c>e provid]s7 aft] s]vice provid]s2 7#c7 9 p>agraph 7#af71 by /rik+ & at ! end2 7#d7 9 p>agraph 7#ag7 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#e7 by add+ at ! end ! foll[+3 7#ah7 provide assurances t ! area ag5cy on ag+ w-- 7,a7 id5tify exi/+ 7z ( ! date ( submission ( ! plan7 c>e coord9ation programs & sy/ems2 7,b7 id5tify unmet community ne$ = c>e coord9ation2 7,c7 facilitate ! developm5t & implem5tation ( an area-wide sy/em to address ! c>e coord9ation ne$s ( old] individuals ) multiple *ronic illnesses2 & 7,d7 "w ) acute c>e provid]s1 s]vice provid]s1 & ,f$]al & ,/ate ag5cies to ensure t ! sy/em uses be/ practices 9 its provision ( c>e coord9ation4 4 #g4 ,/ate plans ,section #cjg7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbg7;a77 is am5d$-- 7#a7 9 p>agraph 7#b77;,a71 by ins]t+ c>e coord9ation1 aft] in=mation & assi/ance12 7#b7 9 p>agraph 7#ag71 by /rik+ & develop collaborative programs1 :]e appropriate1 & ins]t+ 1 ensure c>e coord9ation1 & 7:]e appropriate7 develop collaborative programs12 7#c7 9 p>agraph 7#ah71 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ & ensure c>e coord9ation t integrates long-t]m c>e s]vices & o!r c>e s]vices1 be=e = old]2 7#d7 9 p>agraph 7#bc71 by /rik+ ) o!r ,/ate s]vices & ins]t+ ) o!r ,f$]al & ,/ate heal? c>e programs & s]vices2 & 7#e7 by add+ at ! end ! foll[+3 7#ca7 ,! plan %all provide assurances t ! area ag5cies on ag+ 9 ! ,/ate w facilitate ! area-wide developm5t & implem5tation ( an area-wide sy/em to address ! c>e coord9ation ne$s ( old] individuals ) multiple *ronic illnesses1 & "w ) acute c>e provid]s1 s]vice provid]s1 & o!r ,f$]al & ,/ate ag5cies to ensure t ! sy/em uses be/ practices & is evaluat$ on its provision ( c>e coord9ation4 4