,,ii  #aac? ,,congress  #a/ ,session    
,s4 #ajai  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #bb1 #bjac ,mr4   
,blum5?al 7= himself1 ,mr4 ,begi*1 ,mr4 
,casey1 ,mr4 ,:iteh\se1 ,mr4 ,frank51 & 
,mr4 ,rockefell]7 introduc$ ! foll[+    
bill2 :i* 0 read twice & ref]r$ to !    
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,old] ,am]icans ,act ( #aife to       
au?orize ,f$]al assi/ance to ,/ate adult
 protective s]vices programs1 & = o!r   
purposes4  #a4 ,%ort title2 f9d+s  7a7  
,%ort title ,?is ,act may be cit$ z !   
,eld] ,protection & ,abuse ,prev5tion   
,act4  7b7 ,f9d+s ,congress f9ds !      
foll[+3  7#a7 ,9 #bjji1 ! ,dep>tm5t (   
,ju/ice e/imat$ t #ad4a p]c5t (         
non-in/itutionaliz$ old] adults 9 !     
,unit$ ,/ates _h exp]i5c$ "s =m ( eld]  
abuse 9 ! pa/ ye>4  7#b7 ,only #a 9     
#bc4e cases ( eld] abuse is ev] report$ 
due to a lack ( scre5+1 aw>5ess1 &      
prev5tion ef=ts4  7#c7 ,! mortality rate
 ( old] adults :o are victims ( abuse is

 #c times high] ?an old] adults t are n 
victims ( abuse4  7#d7 ,! annual        
f9ancial loss by victims ( eld] f9ancial
 abuse is e/imat$ to be at lea/         
#b1ijj1jjj1jjj1 & /eadily increas+4  #b4
 ,adult protective s]vices2 def9itions  
,section #ajb ( ! ,old] ,am]icans ,act (
 #aife 7#db ,u4,s4,c4 #cjjb7 is am5d$-- 
7#a7 by am5d+ p>agraph 7#a7 to read z   
foll[s3  7#a7 ,abuse ,! t]m abuse means 
! kn[+ infliction ( physical or         
psy*ological h>m or ! kn[+ deprivation (
 goods or s]vices t are necess>y to meet
 ess5tial ne$s or to avoid physical or  
psy*ological h>m4  2  7#b7 by r$esignat+
 p>agraphs 7#d7 ?r\gh 7#ed7 z p>agraphs 
7#e7 ?r\gh 7#ee72  7#c7 by ins]t+ aft]  
p>agraph 7#c71 ! foll[+3  7#d7 ,adult   
protective s]vices ,! t]m adult         
protective s]vices means su* s]vices    
provid$ to adults z ! ,secret>y may     
specify & includes s]vices su* z--  7,a7
 receiv+ reports ( adult abuse1 neglect1
 or exploitation2  7,b7 inve/igat+ !    
reports describ$ 9 subp>agraph 7,a72    

7,c7 case plann+1 monitor+1 evaluation1 
& o!r case "w & s]vices2 &  7,d7        
provid+1 arrang+ =1 or facilitat+ !     
provision ( m$ical1 social s]vice1      
economic1 legal1 h\s+1 law en=cem5t1 or 
o!r protective1 em]g5cy1 or support     
s]vices4  2  7#d7 by am5d+ p>agraph     
7#ah71 z s r$esignat$1 to read z foll[s3
  7#ah7 ,eld] ju/ice ,! t]m eld] ju/ice 
means--  7,a7 f a societal p]spective1  
ef=ts to--  7i7 prev5t1 detect1 treat1  
int]v5e 91 & prosecute eld] abuse1      
neglect1 & exploitation2 &  7ii7 protect
 old] individuals ) dim9i%$ capacity    
:ile maximiz+ _! autonomy2 &  7,b7 f an 
individual p]spective1 ! recognition (  
an old] individual's rights1 includ+ !  
"r to be free ( abuse1 neglect1 &       
exploitation4  2  7#e7 9 p>agraph 7#ai71
 z s r$esignat$1 by /rik+ ,! t]m        
exploitation means & ins]t+ ,! t]ms     
exploitation & f9ancial exploitation    
mean2  7#f7 9 p>agraph 7#be71 z s       
r$esignat$--  7,a7 9 subp>agraph 7,b71  
by /rik+ &2  7,b7 9 subp>agraph 7,c71 by

 /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 
7,c7 by add+ at ! end ! foll[+3  7,d7   
abuse1 neglect 7includ+ self-neglect71  
f9ancial exploitation1 includ+ factors t
 are ! basis ( a ref]ral to adult       
protective s]vices4  2  7#g7 9 p>agraph 
7#bi77;,c71 z s r$esignat$1 by ins]t+ 1 
includ+ opportunities = "w & volunte]   
s]vice 9 ! community aft] available2    
7#h7 9 p>agraph 7#cj71 z s r$esignat$1  
by /rik+ in=mation & ref]ral & ins]t+   
in=mation & ref]ral assi/ance2 &  7#i7 9
 p>agraph 7#cg71 z s r$esignat$1 by     
ins]t+ 7includ+ eld] abuse & neglect    
scre5+7 aft] educational s]vices4  #c4  
,coord9ation ( eld] ju/ice activities   
7a7 ,use ( funds ,section #bja ( ! ,old]
 ,am]icans ,act ( #aife 7#db ,u4,s4,c4  
#cjaa7 is am5d$ by add+ at ! end !      
foll[+3  7g7 ,! ,assi/ant ,secret>y is  
au?oriz$ to use funds appropriat$ to    
c>ry out ?is ,act to implem5t activities
 au?oriz$ "u "p ,i ( subtitle ,b ( title
 ,,xx ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acigk et seq471 includ+ !    

e/abli%m5t ( ! ,advisory ,bo>d on ,eld] 
,abuse1 ,neglect1 & ,exploitation & !   
cont9uation ( ! "w ( ! ,eld] ,ju/ice    
,coord9at+ ,c\ncil4  4  7b7 ,assurance (
 appropriate tra9+ = /aff ,section #bjb 
( ! ,old] ,am]icans ,act ( #aife 7#db   
,u4,s4,c4 #cjab7 is am5d$ by add+ at !  
end ! foll[+3  7g7 ,! ,assi/ant         
,secret>y %all--  7#a7 ensure1 :]e      
appropriate1 t all programs fund$ "u ?is
 ,act include appropriate tra9+ 9       
prev5tion & provision ( s]vices t       
address eld] ju/ice & exploitation2 &   
7#b7 p]iodically update ! ne$ = & b5efit
 ( su* tra9+ relat$ to prev5tion (      
abuse1 neglect1 & exploitation ( old]   
adults4  4  7c7 ,in=mation & assi/ance  
s]vices ,section #bjb7;a77#ba7 ( ! ,old]
 ,am]icans ,act ( #aife 7#db ,u4,s4,c4  
#cjab7;a77#ba77 is am5d$ to read z      
foll[s3  7#ba7 7,a7 e/abli% in=mation & 
assi/ance s]vices z priority s]vices =  
old] individuals1 & ensure t quality    
in=mation & assi/ance s]vices are       
consi/5tly provid$ to old] individuals2 

7,b7 ensure t !re is full collaboration 
betwe5 all gov]nm5tal in=mation &       
assi/ance sy/ems t s]ve old]            
individuals1 :e!r specializ$1 crisis    
int]v5tion1 disa/] assi/ance1 or o!rs2 &
  7,c7 develop & op]ate1 ei!r directly  
or ?r\gh contracts1 grants1 or          
coop]ative agreem5ts1 a ,national       
,eld]c>e ,locator ,s]vice1 provid+      
in=mation & assi/ance s]vices ?r\gh a   
nationwide toll free numb] to id5tify   
community res\rces = old] individuals2  
4  7d7 ,integration ( titles ,section   
#gja ( ! ,old] ,am]icans ,act ( #aife   
7#db ,u4,s4,c4 #cjeh7 is am5d$ by add+  
at ! end ! foll[+3 ,! ,assi/ant         
,secret>y1 to ! maximum ext5t           
practicable1 %all ensure !re be full    
integration ( education & public aw>5ess
 activities "u ?is title ) all s]vice   
programs "u title ,,iii ) special       
emphasis on ! nutrition programs1 legal 
s]vices1 in=mation & ref]ral assi/ance  
activities1 ! "w ( ag+ & disability     
res\rce c5t]s1 & ! long-t]m c>e         

ombudsman programs1 includ+ programs    
c>ri$ out "u title ,,vi44  #d4          
,coord9ation ( national adult protective
 s]vices res\rce c5t] ) eld] abuse &    
exploitation prev5tion ,subsection      
7e77#b7 ( section #bja ( ! ,old]        
,am]icans ,act ( #aife 7#db ,u4,s4,c4   
#cjaa7 is am5d$ 9 ! matt] prec$+        
subp>agraph 7,a7 by ins]t+ 1 & 9        
coord9ation ) ,/ate ,directors ( !      
,adult ,protective ,s]vices ,programs & 
,/ate ,directors ( ! ,(fice ( ,long-,t]m
 ,c>e ,ombudsman ,programs aft] &       
s]vices4  #e4 ,national adult protective
 s]vices res\rce c5t]  7a7 ,9 g5]al     
,section #bja ( ! ,old] ,am]icans ,act (
 #aife 7#db ,u4,s4,c4 #cjaa71 z am5d$ by
 section #c1 is fur!r am5d$ by add+ at !
 end ! foll[+3  7h7 7#a7 ,! ,assi/ant   
,secret>y %all1 by grant or contract ) a
 national nonpr(it entity1 e/abli% a    
,national ,adult ,protective ,s]vices   
,res\rce ,c5t] 7ref]r$ to 9 ?is         
subsection z ! ,c5t]74 ,! purposes ( !  
,c5t] are to improve ! capacity ( ,/ate 

& local adult protective s]vices        
programs to respond effectively to      
abuse1 neglect1 & exploitation (        
vuln]able adults1 includ+ home c>e      
consum]s & resid5ts ( long-t]m c>e      
facilities1 & to coord9ate ) !          
,long-,t]m ,c>e ,ombudsman ,program to  
protect home c>e consum]s & resid5ts mo/
 effectively4  7#b7 ,! nonpr(it entity  
aw>d$ a grant or contract "u ?is        
subsection %all h exp]tise 91 &         
repres5tation by1 ,/ate & local adult   
protective s]vices programs4  7#c7 ,!   
,c5t] %all--  7,a7 collect & dissem9ate 
in=mation reg>d+1 & increase public     
aw>5ess (1 ! role ( adult protective    
s]vices programs 9 inve/igat+ ! abuse1  
neglect 7includ+ self-neglect71 &       
exploitation ( vuln]able adults1 includ+
 home c>e consum]s & resid5ts ( long-t]m
 c>e facilities1 & 9 int]v5+ to protect 
! consum]s & resid5ts f abuse2  7,b7    
develop1 di/ribute1 & provide tra9+ &   
te*nical assi/ance = adult protective   
s]vices program inve/igators &          

sup]visors inve/igat+ ! abuse1 neglect  
7includ+ self-neglect71 & exploitation (
 vuln]able adults1 includ+ home c>e     
consum]s & resid5ts ( long-t]m c>e      
facilities1 & int]v5+ to protect !      
consum]s & resid5ts f fur!r abuse2  7,c7
 develop1 di/ribute1 & provide tra9+ to 
home c>e & long-t]m c>e pr(essionals &  
o!rs on recogniz+1 report+ 7includ+     
reg>d+ m&atory report+ requirem5ts71 &  
respond+ to ! abuse1 neglect 7includ+   
self-neglect71 & f9ancial exploitation (
 vuln]able adults1 includ+ home c>e     
consum]s & resid5ts ( long-t]m c>e      
facilities2  7,d7 compile & dissem9ate  
reports on rese>* & be/ practices =     
adult protective s]vices programs & o!r 
programs on effective responses to !    
abuse1 neglect 7includ+ self-neglect71 &
 exploitation ( vuln]able adults1       
includ+ home c>e consum]s & resid5ts (  
long-t]m c>e facilities2  7,e7 "w ) !   
,national ,ombudsman ,res\rce ,c5t] &   
long-t]m c>e ombudsman programs to      
develop & dissem9ate tra9+1 practice    

/&>ds1 & policies reg>d+--  7i7 ! roles 
& responsibilities ( adult protective   
s]vices & ombudsman programs2  7ii7     
confid5tiality & abuse report+ issues & 
protocols2 &  7iii7 effective ways to   
maximize ! res\rces ( adult protective  
s]vices programs = ! b5efit ( home c>e  
consum]s & resid5ts ( long-t]m c>e      
facilities2 &  7,f7 e/abli% a data sy/em
 to collect in=mation on ! abuse1       
neglect 7includ+ self-neglect71 &       
exploitation ( home c>e consum]s &      
resid5ts ( long-t]m c>e facilities & to 
measure ! effectiv5ess ( ! activities   
c>ri$ out by ! ,c5t]4  7#d7 ,n lat] ?an 
#ah mon?s aft] ! date ( enactm5t ( !    
,eld] ,protection & ,abuse ,prev5tion   
,act1 ! ,director %all--  7,a7 collect &
 analyze1 f lead+ national & ,/ate      
exp]ts1 ! be/ practices relat$ to scre5+
 = eld] abuse2  7,b7 publi% a report t  
describes recomm5dations reg>d+ su* be/ 
practices & dissem9ate su* report to all
 grantees "u programs e/abli%$ "u ?is   
,act & describ$ "u ?is section2 &  7,c7 

submit to ,congress su* report & a      
description ( ! dissem9ation activities 
"u subp>agraph 7,b74  7#e7 ,9 ?is       
subsection1 ! t]m home c>e consum] means
 a p]son :o receives s]vices 9 ! p]son's
 home or community to promote indep5d5ce
 & r$uce ! necessity = resid5ce 9 a     
long-t]m c>e facility1 :i* may include  
home c>e s]vices provid$ ?r\gh ?is ,act1
 ! ,m$ic>e program "u title ,,xviii ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq471 ! ,m$icaid program "u   
title ,,xix ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acif et seq471 or ano!r 
public or private fund+ s\rce4  4  7b7  
,au?orization ( appropriations ,section 
#baf ( ! ,old] ,am]icans ,act is am5d$  
by add+ at ! end ! foll[+3  7d7         
,national ,adult ,protective ,s]vices   
,res\rce ,c5t] ,!re are au?oriz$ to be  
appropriat$ to c>ry out section #bja7;h7
 7relat+ to ! ,national ,adult          
,protective ,s]vices ,res\rce ,c5t]71   
su* sums z may be necess>y = fiscal ye>s
 #bjad1 #bjae1 #bjaf1 #bjag1 & #bjah4  4

  #f4 ,inclusion ( adult protective     
s]vices programs 9 congressional reports
 ,section #bjg7;b77#a77;,c7 ( ! ,old]   
,am]icans ,act ( #aife 7#db ,u4,s4,c4   
#cjah7;b77#a77;,c77 is am5d$ by ins]t+ &
 ! adult protective s]vices programs ( !
 ,/ates aft] ( ! ,/ates4  #g4           
,prev5tion1 assessm5t1 & response to    
eld] abuse  7a7 ,pref]5ces ,section     
#cje7;a77#b77;,e7 ( ! ,old] ,am]icans   
,act ( #aife 7#db ,u4,s4,c4             
#cjbe7;a77#b77;,e77 is am5d$ by ins]t+  
old] individuals :o are or are alleg$   
victims ( eld] abuse1 neglect1 or       
exploitation1 aft] pr(ici5cy14  7b7     
,area plans ,section #cjf ( ! ,old]     
,am]icans ,act ( #aife 7#db ,u4,s4,c4   
#cjbf7 is am5d$--  7#a7 9 subsection    
7a77#f7--  7,a7 9 subp>agraph 7,g71 by  
ins]t+ & at ! end2 &  7,b7 by add+ at ! 
end ! foll[+3  7,h7 7i7 9 coord9ation ) 
! ,/ate ag5cy & ) ! ,/ate ag5cy         
responsible = eld] abuse prev5tion      
s]vices1 increase public aw>5ess ( eld] 
abuse & f9ancial exploitation1 remove   

b>ri]s to eld] abuse education1         
prev5tion1 inve/igation1 & treatm5t2    
7ii7 coord9ate eld] ju/ice activities   
7includ+ scre5+s7 provid$ by ! area     
ag5cy on ag+1 community heal? c5t]s1 o!r
 public ag5cies1 & nonpr(it private     
organizations2  7iii7 develop /&>diz$1  
coord9at$1 & report+ protocols ) respect
 to eld] abuse2 &  7iv7 report any      
in/ances ( eld] abuse 9 accordance )    
,/ate law4  2 &  7#b7 9 subsection      
7b77#c7--  7,a7 9 subp>agraph 7,j71 by  
/rik+ &2  7,b7 by r$esignat+ subp>agraph
 7,k7 z subp>agraph 7,l72 &  7,c7 by    
ins]t+ aft] subp>agraph 7,j7 ! foll[+3  
7,k7 protection f eld] abuse1 neglect1 &
 f9ancial exploitation2 &  4  7c7 ,/ate 
plans ,section #cjg7;a77#ab7 is am5d$-- 
7#a7 by r$esignat+ subp>agraphs 7,b7 &  
7,c7 z subp>agraphs 7,c7 & 7,d72 &  7#b7
 by ins]t+ aft] subp>agraph 7,a7 !      
foll[+3  7,b7 t ! ,/ate w develop &     
implem5t /&>diz$ protocols = scre5+ &   
report+ ) respect to eld] abuse2  4  7d7
 ,supportive s]vices ,section #cba7;a7 (

 ! ,old] ,am]icans ,act ( #aife 7#db    
,u4,s4,c4 #cjcj;d7a77 is am5d$--  7#a7 9
 p>agraph 7#a71 by ins]t+ eld] abuse &  
neglect scre5+1 aft] m5tal heal?712     
7#b7 9 p>agraph 7#h71 by ins]t+ 1 eld]  
abuse1 & neglect aft] m5tal heal?2 &    
7#c7 9 p>agraph 7#bc71 by ins]t+ 1 eld] 
abuse1 neglect1 & f9ancial exploitation 
aft] m5tal heal?4  7e7 ,nutrition       
,section #cci7b7 ( ! ,old] ,am]icans    
,act ( #aife 7#db ,u4,s4,c4             
#cjcj;g-#ba7b77 is am5d$--  7#a7 9      
subp>agraph 7,j71 by /rik+ 1 & & ins]t+ 
a comma2  7#b7 9 subp>agraph 7,k71 by   
/rik+ ! p]iod at ! end & ins]t+ 1 &2 &  
7#c7 by add+ at ! end ! foll[+3  7,l7   
enc\rages individuals :o di/ribute      
nutrition s]vices "u subp>t #b to       
di/ribute in=mation on diabetes1 eld]   
abuse1 neglect1 f9ancial exploitation1 &
 ! annual ,m$ic>e wellness exam4  4  #h4
 ,abuse prev5tion education & tra9+  7a7
 ,activities = heal?1 indep5d5ce1 &     
longevity  7#a7 ,old] individuals'      
protection f viol5ce projects ,section  

#dac7;b7 ( ! ,old] ,am]icans ,act (     
#aife 7#db ,u4,s4,c4 #cjcb;b7b77 is     
am5d$--  7,a7 9 p>agraph 7#c71 by /rik+ 
or aft] ! semicolon at ! end2  7,b7 9   
p>agraph 7#d71 by /rik+ ! p]iod at ! end
 & ins]t+ 2 or2 &  7,c7 by add+ at ! end
 ! foll[+3  7#e7 rese>* & replicate     
successful models ( eld] abuse1 neglect1
 & exploitation prev5tion & tra9+4  4   
7#b7 ,demon/ration1 support1 & rese>*   
projects ,section #dag7;a77#a7 ( ! ,old]
 ,am]icans ,act ( #aife 7#db ,u4,s4,c4  
#cjcb;f7a77#a77 is am5d$--  7,a7 9      
subp>agraph 7,a71 by /rik+ or aft] !    
semicolon2  7,b7 9 subp>agraph 7,b71 by 
/rik+ & aft] ! semicolon & ins]t+ or2 & 
7,c7 by add+ at ! end ! foll[+3  7,c7   
engage volunte]s :o are old] ?an #ej    
ye>s ( age 9 provid+ support & in=mation
 to old] adults 7& _! families or       
c>etak]s7 :o h exp]i5c$ or are at risk (
 eld] abuse1 includ+ physical1          
emotional1 or f9ancial abuse1 neglect1  
or exploitation &2  4  7b7 ,community   
s]vice s5ior opportunities ,section     

#ejb7;b77#a77;,e7 ( ! ,old] ,am]icans   
,act ( #aife 7#db ,u4,s4,c4             
#cjef7;b77#a77;,e77 is am5d$ by ins]t+ 1
 & = ! heal? & safety (1 & prev5tion &  
detection ( eld] abuse =1 old] adults   
aft] families4  7c7 ,allotm5ts =        
vuln]able eld] rights protection        
activities  7#a7 ,/ate plan requirem5ts 
,section #gje7;a77#b7 ( ! ,old]         
,am]icans ,act ( #aife 7#db ,u4,s4,c4   
#cjeh;d7a77#b77 is am5d$ by ins]t+      
family c>egiv]s1 aft] title ,,vi14  7#b7
 ,/ate long-t]m c>e ombudsman program   
7,a7 ,support ( ,(fice "u ! ,national   
,family ,c>egiv] ,support ,program      
,section #cgc7;g7 ( ! ,old] ,am]icans   
,act ( #aife 7#db ,u4,s4,c4             
#cjcjs-#a7;g77 is am5d$ by add+ at ! end
 ! foll[+3  7#c7 ,use ( funds =         
ombudsman program ,am\nts made available
 to a ,/ate to c>ry out ! ,/ate program 
"u ?is subp>t may be us$ to support !   
,(fice ( ! ,/ate ,long-,t]m ,c>e        
,ombudsman1 includ+ support+ !          
developm5t ( resid5t & family c\ncils4  

4  7,b7 ,ensur+ effective programs &    
resid5ts' rights ,section #gab ( ! ,old]
 ,am]icans ,act ( #aife 7#db ,u4,s4,c4  
#cjeh;g7 is am5d$ by add+ at ! end !    
foll[+3  7k7 ,ensur+ effective programs 
& resid5ts' rights ,! ,/ate ag5cy %all  
ensure ! ,(fice--  7#a7 provides        
facility resid5ts ) private & unimp$$   
access to ! ,(fice1 includ+ access to   
all records conc]n+ ! resid5t2 &  7#b7  
all[s all facility resid5ts to receive  
s]vices f ! ,(fice4  4  7#c7 ,prev5tion 
( eld] abuse1 neglect1 & exploitation   
,section #gba7;b7 ( ! ,old] ,am]icans   
,act ( #aife 7#db ,u4,s4,c4 #cjeh;i7b77 
is am5d$--  7,a7 by r$esignat+ p>agraphs
 7#g71 7#h71 7#i71 7#aj71 7#aa71 &      
7#ab71 z p>agraphs 7#h71 7#aj71 7#aa71  
7#ab71 7#ac71 & 7#ad71 respectively2    
7,b7 by /rik+ p>agraph 7#f7 & ins]t+ !  
foll[+3  7#f7 conduct+ specializ$ abuse 
s5sitivity tra9+ = c>egiv]s describ$ 9  
"p ,e ( title ,,iii2  7#g7 conduct+     
tra9+ = pr(essionals & p>apr(essionals 9
 relevant fields on ! id5tification1    

prev5tion1 & treatm5t ( eld] abuse1     
neglect1 & exploitation1 ) p>ticul>     
focus on prev5tion & enhancem5t (       
self-det]m9ation & autonomy2  2 &  7,c7 
by ins]t+ aft] p>agraph 7#h71 z         
r$esignat$ by subp>agraph 7,b71 !       
foll[+3  7#i7 conduct+ appropriate tra9+
 to ensure cultural s5sitivity 9 !      
provision ( eld] rights s]vices1 includ+
 tra9+ 9 cultural issues associat$ )    
abuse2  4