,i #aacth ,,congress #b;d ,session ,h4 ,r4 #eeae ,,in ,,the ,,house ,,of ,,representatives ,september #ag1 #bjad ,mr4 ,king of ,new ,york 7for himself1 ,mr4 ,bishop of ,new ,york1 ,mr4 ,grayson1 ,ms4 ,kaptur1 ,mr4 ,honda1 ,mr4 ,blumenauer1 ,ms4 ,schakowsky1 ,mr4 ,grijalva1 ,ms4 ,michelle ,lujan ,grisham of ,new ,mexico1 and ,mr4 ,cohen7 introduced the following bill2 which was referred to the ,committee on ,ways and ,means1 and in addition to the ,committees on the ,judiciary1 ,energy and ,commerce1 and ,education and the ,workforce1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to reauthorize the ,elder ,justice ,act of #bjji4 #a4 ,short title ,this ,act may be cited as the ,elder ,justice ,reauthorization ,act4 #b4 ,findings ,congress finds the following3 7#a7 ,according to the ,american ,journal of ,public ,health1 at least #aj percent of older ,americans experience elder abuse4 7#b7 ,victims of elder financial abuse are estimated to lose at least #b4i billion a year4 7#c7 ,victims of elder abuse are three times more likely to end up in a hospital and four times more likely to end up in a nursing home than nonvictims4 7#d7 ,adult protective services which operate in all #ej ,states to help prevent elder abuse and investigate cases have no dedicated ,federal funding or any designated ,federal agency home4 7#e7 ,underreporting of elder abuse cases1 especially financial abuse1 remains a major issue combined with a dearth of comprehensive and reliable data which collectively leads to a vast underestimation of the real amount of elder abuse in the ,nation4 7#f7 ,differences in ,state laws and practices in the areas of abuse1 neglect1 and exploitation of older adults lead to significant disparities in prevention1 protective and social services1 treatment systems1 and law enforcement1 and lead to other inequities4 7#g7 ,starting with the #aigd enactment of the ,child ,abuse ,prevention and ,treatment ,act1 the ,federal ,government has played an important role in promoting research1 training1 public safety1 data collection1 the identification1 development1 and dissemination of promising health care1 social1 and protective services1 and law enforcement practices1 relating to child abuse and neglect1 domestic violence1 and violence against women4 ,the ,federal ,government should promote similar efforts and protections relating to elder abuse1 neglect1 and exploitation4 7#h7 ,the ,federal ,government should provide leadership to assist ,states and communities in their efforts to prevent elder abuse1 including the promotion of coordinated planning between all levels of government and nongovernment entities and generating and sharing knowledge relevant to protecting elders4 7#i7 ,the problem of elder abuse1 neglect1 and exploitation requires a comprehensive approach that-- 7,a7 recognizes the statutory role of ,state and local adult protective services and long-term care ombudsman programs to respond to elder abuse2 7,b7 integrates the work of health1 legal1 and social service agencies and organizations2 7,c7 emphasizes the need for prevention1 detection1 reporting1 investigation1 assessment and treatment1 and prosecution of elder abuse1 neglect1 and exploitation at all levels of government2 7,d7 ensures that sufficient numbers of properly trained personnel with specialized knowledge are in place to treat1 assess1 and provide services related to elder abuse1 neglect1 and exploitation1 and carry out elder protection duties2 7,e7 ensures there is cultural competency to address the unique needs of a diverse older adult population with respect to elder abuse2 and 7,f7 balances an elder's right to self-determination with society's responsibility to protect elders4 7#aj7 ,the future well-being of millions of older adults may be challenged by elder abuse and a coordinated and comprehensive ,federal response is needed4 ,elder abuse prevention is a sound investment that can produce savings to the ,medicare and ,medicaid programs in the future4 7#aa7 ,a victim of elder abuse is never the same after being victimized4 #c4 ,reauthorization of the ,elder ,justice ,act of #bjji 7a7 ,amendments to the ,social ,security ,act 7#a7 ,each of the following provisions of the ,social ,security ,act is amended by striking #bjad and inserting #bjai3 7,a7 ,section #bjbd7b7 7#db ,u4,s4,c4 #acigk-#c7b774 7,b7 ,section #bjdb7;a77#b7 7#db ,u4,s4,c4 #acigm-#a7;a77#b774 7,c7 ,section #bjdb7;b77#e7 7#db ,u4,s4,c4 #acigm-#a7;b77#e774 7,d7 ,section #bjdb7;c77#e7 7#db ,u4,s4,c4 #acigm-#a7;c77#e774 7,e7 ,section #bjdc7;b77#b7 7#db ,u4,s4,c4 #acigm-#b7;b77#b774 7#b7 ,each of the following provisions of the ,social ,security ,act is amended by striking and #bjad and inserting through #bjai3 7,a7 ,section #bjca7;f77#c7 7#db ,u4,s4,c4 #acigl7f77#c774 7,b7 ,section #bjda7;d77#c7 7#db ,u4,s4,c4 #acigm7d77#c774 7,c7 ,section #bjdc7;a77#b77;,c7 7#db ,u4,s4,c4 #acigm-#b7;a77#b77;,c774 7#c7 ,section #bjde of the ,social ,security ,act 7#db ,u4,s4,c4 #acigm-#d7 is amended by striking ,october #a1 #bjad and inserting #b years after the completion of grants made to ,states under section #bjdb4 7b7 ,amendments to the ,patient ,protection and ,affordable ,care ,act ,section #fgjc7;b7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #acie;i-#c;a7b77 is amended in each of paragraphs 7#a77;,c7 and 7#b77;,c71 by striking #bjad and inserting #bjai4