,,ii #aac? ,,congress #a/ ,session ,s4 #ajbh ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,may #bc1 #bjac ,mr4 ,s&]s 7= himself1 ,ms4 ,klobu*>1 ,ms4 ,w>r51 ,ms4 ,baldw91 ,mrs4 ,box]1 ,mr4 ,m]kley1 ,mr4 ,blum5?al1 ,mr4 ,frank51 ,mr4 ,s*atz1 ,mr4 ,johnson ( ,s\? ,dakota1 ,mr4 ,c>d91 ,mrs4 ,gillibr&1 ,mr4 ,leahy1 ,mr4 ,casey1 & ,mr4 ,nelson7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to reau?orize & improve ! ,old] ,am]icans ,act ( #aife1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,old] ,am]icans ,act ,am5dm5ts ( #bjac4 7b7 ,table ( cont5ts ,sec4 #a4 ,%ort title2 table ( cont5ts4 ,sec4 #b4 ,f9d+s4 ,,title ,i--,decl>ation ( objectives2 def9itions ,sec4 #aja4 ,decl>ation ( objectives4 ,sec4 #ajb4 ,def9itions4 ,,title ,,ii--,adm9i/ration on ag+ ,sec4 #bja4 ,e/abli%m5t ( ,adm9i/ration on ,ag+4 ,sec4 #bjb4 ,functions ( ,assi/ant ,secret>y4 ,sec4 #bjc4 ,f$]al ag5cy consultation4 ,sec4 #bjd4 ,evaluation4 ,sec4 #bje4 ,reports4 ,sec4 #bjf4 ,con=m+ am5dm5ts4 ,sec4 #bjg4 ,au?orization ( appropriations4 ,sec4 #bjh4 ,advisory ,committee to ,assess1 ,coord9ate1 & ,improve ,legal ,assi/ance ,activities4 ,sec4 #bji4 ,consum] ,price ,index4 ,sec4 #baj4 ,s5se ( ! ,s5ate reg>d+ appropriation levels4 ,,title ,,iii--,grants = /ate & community programs on ag+ ,sec4 #cja4 ,purpose2 adm9i/ration4 ,sec4 #cjb4 ,def9ition4 ,sec4 #cjc4 ,au?orization ( appropriations4 ,sec4 #cjd4 ,allotm5ts4 ,sec4 #cje4 ,organization4 ,sec4 #cjf4 ,area plans4 ,sec4 #cjg4 ,/ate plans4 ,sec4 #cjh4 ,plann+1 coord9ation1 evaluation1 & adm9i/ration ( ,/ate plans4 ,sec4 #cji4 ,nutrition s]vices inc5tive program4 ,sec4 #caj4 ,consum] contributions4 ,sec4 #caa4 ,supportive s]vices & s5ior c5t]s program4 ,sec4 #cab4 ,nutrition s]vices4 ,sec4 #cac4 ,disease prev5tion & heal? promotion s]vices4 ,sec4 #cad4 ,national family c>egiv] support program4 ,,title ,,iv--,activities = heal?1 indep5d5ce1 & longevity ,sec4 #dja4 ,grant programs4 ,sec4 #djb4 ,community innovations = ag+ 9 place4 ,sec4 #djc4 ,multipurpose s5ior c5t] mod]nization1 tra9+1 & support4 ,sec4 #djd4 ,demon/ration program on c>e coord9ation & s]vice deliv]y4 ,sec4 #dje4 ,grants or contracts to facilitate l[-income access to d5tal c>e4 ,sec4 #djf4 ,national ,res\rce ,c5t] on ,family ,c>egiv+4 ,sec4 #djg4 ,con=m+ am5dm5t4 ,,title ,v--,community s]vice s5ior opportunities ,sec4 #eja4 ,old] ,am]ican ,community ,s]vice ,employm5t ,program4 ,sec4 #ejb4 ,int]ag5cy coop]ation4 ,sec4 #ejc4 ,au?orization ( appropriations4 ,sec4 #ejd4 ,/udy on feasibility ( transf] ( program4 ,,title ,,vi--,grants = native am]icans ,sec4 #fja4 ,te*nical am5dm5t4 ,sec4 #fjb4 ,con=m+ am5dm5t4 ,sec4 #fjc4 ,reau?orization ( fund+ = grants = ,native ,am]icans4 ,,title ,,vii--,vuln]able eld] rights protection activities ,sec4 #gja4 ,e/abli%m5t4 ,sec4 #gjb4 ,au?orization ( appropriations4 ,sec4 #gjc4 ,grants4 ,sec4 #gjd4 ,eligibility4 ,sec4 #gje4 ,additional ,/ate plan requirem5ts4 ,sec4 #gjf4 ,def9itions4 ,sec4 #gjg4 ,/ate ,long-,t]m ,c>e ,ombudsman program4 ,sec4 #gjh4 ,prev5tion ( eld] abuse1 neglect1 & exploitation4 ,sec4 #gji4 ,/ate legal assi/ance developm5t4 ,sec4 #gaj4 ,/ate ,home ,c>e ,ombudsman ,programs4 ,,title ,,viii--,g]iatrics & g]ontology ,sec4 #hja4 ,prim>y heal? s]vices4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,old] adults are ! fa/e/ gr[+ segm5t ( ! ,nation's population4 7#b7 ,e day1 #aj1jjj ,baby ,boom]s turn #fe4 7#c7 ,"o 9 #e ( ^? individuals age #fe & old] survives on an av]age ( #g1ejj a ye>4 7#d7 ,f$]al fund+ to support old] adults & _! c>egiv]s has n kept pace ) inflation4 7#e7 ,only #g p]c5t ( individuals :o are food insecure get a home-deliv]$ meal4 7#f7 ,= e report$ incid5t ( eld] abuse1 neglect1 exploitation1 or self-neglect1 approximately #be g unreport$4 7#g7 ,by mak+ significant improvem5ts ?r\gh ! ,old] ,am]icans ,act ,am5dm5ts ( #bjac1 x is possible to improve ! lives ( millions ( old] adults1 & ensure t !y receive ! supports & s]vices t !y ne$ to /ay heal?y & active 9 _! homes & communities4 ,i ,decl>ation ( objectives2 def9itions #aja4 ,decl>ation ( objectives ,section #aja ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja7 is am5d$-- 7#a7 by /rik+ p>agraph 7#a7 & ins]t+ ! foll[+3 7#a7 ,an adequate income & economic security 9 lat] life 9 accordance ) ! ,am]ican /&>d ( liv+4 2 7#b7 9 p>agraph 7#d71 by ins]t+ c>e coord9ation & aft] includ+2 7#c7 by /rik+ p>agraphs 7#i7 & 7#aj7 & ins]t+ ! foll[+3 7#i7 ,imm$iate b5efit f prov5 rese>* k :i* c su/a9 & improve heal?1 happ9ess1 & economic security4 7#aj7 ,fre$om1 indep5d5ce1 economic security1 & ! free ex]cise ( individual initiative = old] individuals 9 plann+ & manag+ _! own lives1 full p>ticipation 9 ! plann+ & op]ation ( community-bas$ s]vices & programs provid$ = _! b5efit1 & protection aga9/ abuse1 neglect1 & exploitation4 2 & 7#d7 by add+ at ! end ! foll[+3 7#aa7 ,acquir+ high-quality s]vices 9 a mann] t is culturally & l+ui/ically responsive to old] individuals & family c>egiv]s4 4 #ajb4 ,def9itions 7a7 ,9 g5]al ,section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb7 is am5d$-- 7#a7 by am5d+ p>agraph 7#a7 to read z foll[s3 7#a7 ,! t]m abuse means ! kn[+ infliction ( physical or psy*ological h>m or ! kn[+ deprivation ( goods or s]vices t are necess>y to meet ess5tial ne$s or to avoid physical or psy*ological h>m4 2 7#b7 by r$esignat+ p>agraphs 7#d7 ?r\gh 7#ad7 & 7#ae7 ?r\gh 7#ed7 z p>agraphs 7#e7 ?r\gh 7#ae7 & 7#ag7 ?r\gh 7#ef71 respectively2 7#c7 by ins]t+ aft] p>agraph 7#c7 ! foll[+3 7#d7 ,! t]m adult protective s]vices means su* s]vices provid$ 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 ( s]vices1 su* z m$ical1 social1 economic1 legal1 h\s+1 law en=cem5t1 or o!r protective1 em]g5cy1 or support s]vices4 2 7#d7 9 subp>agraph 7,b77i7 ( p>agraph 7#ab71 z r$esignat$ by p>agraph 7#b7 ( ?is subsection1 by /rik+ compreh5sive & all t foll[s ?r\gh psy*ological1 & ins]t+ compreh5sive p]son-c5t]$ assessm5t ( ! old] individual 7includ+ ! physical1 psy*ological1 economic12 7#e7 9 subp>agraph 7,c7 ( p>agraph 7#ae71 z r$esignat$ by p>agraph 7#a7 ( ?is subsection1 by ins]t+ 1 _! family memb]s1 be=e & _! prim>y2 7#f7 by ins]t+ aft] t p>agraph 7#ae7 ! foll[+3 7#af7 7,a7 ,! t]m economic security means access to ! assets1 income1 & community-bas$ s]vices necess>y to provide = adequate & unsubsidiz$ h\s+1 heal? c>e1 transportation1 food & adequate nutrition1 long-t]m c>e1 & goods & s]vices to meet o!r basic human ne$s4 ,su* access %all be measur$ 9 a mann] t %all be geographically bas$1 & take into acc\nt an individual's life circum/ances4 7,b7 ,! t]m economic security & b5efits c\nsel+ means a supportive s]vice t provides1 to an old] individual1 a compreh5sive assessm5t ( ! ,f$]al1 ,/ate1 & community b5efits & s]vices = :i* ! individual qualifies1 along ) assi/ance 9 apply+ = & obta9+ b5efits & s]vices4 2 7#g7 by am5d+ p>agraph 7#ai71 z r$esignat$ by p>agraph 7#b7 ( ?is subsection1 to read z foll[s3 7#ai7 ,! 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#h7 9 p>agraph 7#bj77;,a71 z r$esignat$ by p>agraph 7#b7 ( ?is subsection1 by /rik+ ,! t]m exploitation means & ins]t+ ,! t]ms exploitation & f9ancial exploitation mean2 7#i7 9 p>agraph 7#be71 z r$esignat$ by p>agraph 7#b7 ( ?is subsection1 by /rik+ at or bel[ ! pov]ty l9e4 & ins]t+ t is n m ?an #bjj p]c5t ( ! pov]ty l9e42 7#aj7 by /rik+ p>agraph 7#bf71 z r$esignat$ by p>agraph 7#b7 ( ?is subsection1 & ins]t+ ! foll[+3 7#bf7 ,! t]m greate/ social ne$ means ne$ caus$ by noneconomic factors-- 7,a7 t-- 7i7 re/rict ! ability ( an individual to p]=m normal daily tasks2 or 7ii7 ?reat5 ! capacity ( ! individual to live indep5d5tly2 & 7,b7 :i* include-- 7i7 physical & m5tal disabilities2 7ii7 language b>ri]s includ+ limit$ ,engli% pr(ici5cy2 7iii7 cultural1 social1 or geographic isolation 7su* z resid5ce 9 a rural area71 includ+ isolation caus$ by racial1 m9ority1 or e?nic /atus1 or /atus z an ,,lgbt individual2 7iv7 ,,hiv-positive heal? /atus or ,alzheim]'s disease or a relat$ disord] ) neurological & organic bra9 dysfunction2 7v7 greate/ heal? s]vice ne$1 p>ticul>ly a ne$ pos$ by multiple *ronic heal? conditions or a condition t places an individual at risk = falls2 7vi7 abuse1 neglect 7includ+ self-neglect71 or f9ancial exploitation1 includ+ factors t are ! basis ( a ref]ral to adult protective s]vices2 7vii7 /atus z a vet]an2 & 7viii7 /atus z a ,holocau/ survivor4 2 7#aa7 9 p>agraph 7#cj71 z r$esignat$ by p>agraph 7#b7 ( ?is subsection-- 7,a7 9 subp>agraph 7,c71 by ins]t+ 1 includ+ opportunities = paid "w & volunte] s]vice 9 ! community aft] available2 & 7,b7 9 subp>agraph 7,e7-- 7i7 9 ! matt] prec$+ clause 7i71 by ins]t+ 1 9 a culturally & l+ui/ically compet5t mann]1 be=e ! entire community ( old] individuals2 & 7ii7 9 clause 7i71 by ins]t+ aft] social ne$ ! foll[+3 7) p>ticul> att5tion to individuals ) factors li/$ 9 p>agraph 7#bf77;,b772 7#ab7 9 p>agraph 7#ca71 z r$esignat$ by p>agraph 7#b7 ( ?is subsection1 by /rik+ in=mation & ref]ral & ins]t+ in=mation & ref]ral assi/ance2 7#ac7 9 p>agraph 7#ce71 z r$esignat$ by p>agraph 7#b7 ( ?is subsection-- 7,a7 by r$esignat+ clauses 7i7 & 7ii7 ( subp>agraph 7,b7 z subclauses 7,i7 & 7,,ii71 respectively1 & align+ ! m>g9s ( ! subclauses ) ! m>g9s ( subclause 7,i7 ( subp>agraph 7,a77i7 ( p>agraph 7#cd71 z s r$esignat$2 7,b7 by r$esignat+ subp>agraphs 7,a7 & 7,b7 z clauses 7i7 & 7ii71 respectively1 & align+ ! m>g9s ( ! clauses ) ! m>g9s ( clause 7ii7 ( subp>agraph 7,a7 ( t p>agraph 7#cd72 7,c7 by ins]t+ 7,a7 be=e ,! t]m2 & 7,d7 by add+ at ! end ! foll[+3 7,b7 ,! t]m integrat$ legal assi/ance deliv]y sy/em means a collaboratively run1 /atewide network t is e/abli%$ to provide direct legal assi/ance1 9 ! mo/ effici5t & impactful mann] possible1 t>get$ at old] individuals ) greate/ economic ne$ & old] individuals ) greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 p>agraph 7#bf77;,b771 9 coord9ation ) ! legal assi/ance develop] = ! ,/ate & all ,/ate1 regional1 & local s]vice provid]s engag$ 9 promot+ or support+ eld] rights4 2 7#ad7 9 p>agraph 7#cf71 z r$esignat$ by p>agraph 7#b7 ( ?is subsection-- 7,a7 9 subp>agraph 7,a71 by add+ & at ! end2 7,b7 9 subp>agraph 7,b71 by /rik+ 2 & at ! end & ins]t+ a p]iod2 & 7,c7 by /rik+ subp>agraph 7,c72 7#ae7 9 p>agraph 7#cg71 z r$esignat$ by p>agraph 7#b7 ( ?is subsection1 by /rik+ sections #cjg7;a77#ab7 & & ins]t+ ! activities c>ri$ out "u section #cjg7;a77#i72 7#af7 9 p>agraph 7#ch71 z r$esignat$ by p>agraph 7#b7 ( ?is subsection1 by ins]t+ 7includ+ eld] abuse & neglect scre5+7 aft] educational s]vices2 7#ag7 9 p>agraph 7#ej77;,b71 z r$esignat$ by p>agraph 7#b7 ( ?is subsection1 by /rik+ subp>agraphs 7,a7 ?r\gh 7,g7 ( p>agraph 7#h7 & ins]t+ subp>agraphs 7,a7 ?r\gh 7,i7 ( p>agraph 7#ad72 & 7#ah7 by add+ at ! end ! foll[+3 7#eg7 ,! t]m c>e coord9ation means a p]son- & family-c5t]$1 assessm5t-bas$1 & int]discipl9>y approa*1 to meet ! ne$s & pref]5ces ( an old] individual & a family c>egiv] :ile enhanc+ ! capabilities ( ! old] individual 7includ+ ! ability to self-direct s]vices71 t integrates heal? c>e1 long-t]m s]vices & supports1 & social s]vices 9 a high-quality & co/-effective mann]4 7#eh7 ,! t]m cultural & l+ui/ic compet5ce means compet5ce 9 a set ( behaviors1 attitudes1 & policies t is-- 7,a7 us$ by an organization or among pr(essionals2 & 7,b7 enables effective "w 9 cross-cultural situations4 7#ei7 ,! t]m family c>egiv] means an adult family memb]1 or ano!r individual1 :o is an in=mal provid] ( 9-home & community c>e to an old] individual or to an individual ) ,alzheim]'s disease or a relat$ disord] ) neurological & organic bra9 dysfunction4 7#fj7 ,! t]m ,holocau/ survivor means an individual :o-- 7,a7 liv$ 9 or fl$ f1 betwe5 #aicc & #aide1 a c\ntry "u a ,nazi regime1 "u ,nazi occupation1 or "u ! control ( ,nazi collaborators2 7,b7 0 p]secut$ betwe5 #aicc & #aide on ! basis ( race1 religion1 physical or m5tal disability1 sexual ori5tation1 political affiliation1 e?nicity1 or o!r basis2 & 7,c7 0 a memb] ( a gr\p t 0 p]secut$ by ! ,nazis4 7#fa7 ,! t]m ,,lgbt1 us$ ) respect to an individual1 means a lesbian1 gay1 bisexual1 or transg5d] individual4 7#fb7 ,! t]m p]son-c5t]$1 us$ ) respect to a s]vice = an individual1 means a s]vice provid$ ) an approa* design$ to ensure t an outcome reflects ! ne$s1 pref]5ces1 & situations ( ! individual4 7#fc7 ,! t]m vet]an has ! mean+ giv5 ! t]m 9 section #aja ( title #ch1 ,unit$ ,/ates ,code4 4 7b7 ,con=m+ am5dm5ts ,section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb71 z r$esignat$ by subsection 7a77#b71 is am5d$-- 7#a7 9 p>agraph 7#ci77;,a71 by /rik+ z def9$ 9 p>agraph 7#e7 & ins]t+ z def9$ 9 p>agraph 7#bh72 7#b7 9 p>agraph 7#dj71 by /rik+ 7z def9$ 9 p>agraph 7#ah77;,b77 & ins]t+ 7z def9$ 9 p>agraph 7#bj77;,b772 & 7#c7 9 p>agraph 7#dh77;,d71 by /rik+ 7z def9$ 9 p>agraph 7#ah77;,b77 & ins]t+ 7z def9$ 9 p>agraph 7#bj77;,b774 ,,ii ,adm9i/ration on ag+ #bja4 ,e/abli%m5t ( ,adm9i/ration on ,ag+ ,section #bja ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjaa7 is am5d$-- 7#a7 9 subsection 7d77#c7-- 7,a7 9 subp>agraph 7,k71 by /rik+ 2 & & ins]t+ a semicolon2 7,b7 9 subp>agraph 7,l7-- 7i7 by /rik+ ,old] ,am]icans ,act ,am5dm5ts ( #aiib & ins]t+ ,old] ,am]icans ,act ,am5dm5ts ( #bjac2 & 7ii7 by /rik+ #gab7;h77#d74 & ins]t+ #gab7;h77#e72 &2 & 7,c7 by add+ at ! end ! foll[+3 7,m7 collect & analyze be/ practices relat$ to scre5+ = eld] abuse & publi% a report ( su* be/ practices4 2 7#b7 9 subsection 7e77#b7-- 7,a7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ 1 & 9 coord9ation ) ! heads ( ,/ate adult protective s]vices programs & ! ,/ate ,long-,t]m ,c>e ,ombudsm5 aft] & s]vices2 7,b7 9 subp>agraph 7,a71 by /rik+ & at ! end2 7,c7 9 subp>agraph 7,b71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,d7 by add+ at ! end ! foll[+3 7,c7 to assi/ ,/ates ) ! developm5t ( ,home ,c>e ,consum] ,bills ( ,rights & ,plans = ,en=cem5t1 to ensure t home c>e consum]s1 z def9$ 9 section #gcf1 h basic protections z outl9$ 9 subsections 7b7 & 7c7 ( section #gje4 2 & 7#c7 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 & ,exploitation1 & to cont9ue ! "w ( ! ,eld] ,ju/ice ,coord9at+ ,c\ncil4 4 #bjb4 ,functions ( ,assi/ant ,secret>y ,section #bjb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjab7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#e71 by ins]t+ economic security1 aft] nutrition12 7,b7 9 p>agraph 7#g71 by ins]t+ 1 includ+ economic security tr5ds among su* individuals aft] old] individuals2 7,c7 9 p>agraph 7#h71 by /rik+ old] individuals & ins]t+ ! heal? & economic security ( old] individuals2 7,d7 9 p>agraph 7#ad71 by ins]t+ = work+ ) ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration & ! ,secret>y ( ,labor to id5tify & address work=ce %ortages involv+ su* p]sonnel1 aft] field ( ag+12 7,e7 by /rik+ p>agraph 7#ae7 & ins]t+ ! foll[+3 7#ae7 7,a7 z ne$$1 provide te*nical assi/ance1 tra9+ ?r\gh tra9+ packages1 & o!r =ms ( in/ruction to entities consi/+ ( ,/ate ag5cies1 area ag5cies on ag+1 s]vice provid]s1 & community-bas$ organizations1 to ensure t ! entities develop & implem5t1 9 a culturally & l+ui/ically compet5t mann]1 programm+1 s]vices1 & outrea* = old] individuals ) greate/ economic ne$ & old] individuals ) greate/ social ne$ 7) p>ticul> att5tion to provid+ s]vices to individuals ) factors li/$ 9 section #ajb7bf77;,b72 & 7,b7 consult ) national & community-bas$ organizations repres5t+ m9ority individuals to develop ! capacity ( ! ,adm9i/ration to provide su* te*nical assi/ance1 tra9+1 & in/ruction4 2 7,f7 9 p>agraph 7#af77;,c71 by /rik+ p>agraphs 7#b7 & 7#e77;,a7 & ins]t+ p>agraphs 7#b7 & 7#d77;,a72 7,g7 9 p>agraph 7#ah71 by am5d+ subp>agraph 7,b7 to read z foll[s3 7,b7 make available to ! ,c5t]-- 7i7 = fiscal ye> #bjad1 n less ?an #b1jjj1jjj2 & 7ii7 = ea* subsequ5t fiscal ye>1 n less ?an ! am\nt made available "u ?is subp>agraph = fiscal ye> #bjad4 2 7,h7 by /rik+ p>agraph 7#bb7 & ins]t+ ! foll[+3 7#bb7 develop guidel9es = area ag5cies on ag+ to foll[ 9 *oos+ & evaluat+ provid]s ( legal assi/ance ) ! capacity to "w )9 an integrat$ legal assi/ance deliv]y sy/em2 2 7,i7 9 p>agraph 7#bc71 by /rik+ all text foll[+ develop]s & ins]t+ ref]r$ to 9 section #cjg7;a77#ac7 & section #gca22 7,j7 9 p>agraph 7#bg71 by /rik+ & at ! end2 7,k7 9 p>agraph 7#bh71 by /rik+ ! p]iod & ins]t+ a semicolon2 & 7,l7 by add+ at ! end ! foll[+3 7#bi7 7,a7 enc\rage1 provide te*nical assi/ance to & %>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 entities1 su* z ,f$]ally qualifi$ heal? c5t]s1 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/ practices = t coord9ation4 2 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#h7-- 7i7 9 subp>agraph 7,d7-- 7,i7 by ins]t+ 1 & ) future plann+ = eligible c>e recipi5ts 7z def9$ 9 section #cgb7;a77 :o are individuals ) disabilities describ$ 9 section #cgb7;a77#b77;,b7 & :o are liv+ ) old] relative c>egiv]s 7z s def9$7 aft] ne$s2 & 7,,ii7 by /rik+ & at ! end2 7ii7 9 subp>agraph 7,e71 by /rik+ ! semicolon at ! end & ins]t+ 2 &2 & 7iii7 by add+ at ! end ! foll[+3 7,f7 to provide in=mation relat+ to ! quality measures id5tifi$ "u p>agraph 7#aa77;,a71 us+ ! me?ods describ$ 9 p>agraph 7#aa77;,b71 ab\t home & community-bas$ long-t]m c>e programs1 s]vice provid]s1 & res\rces1 :5 ref]r+ consum]s to ^? programs1 provid]s1 or res\rces2 2 7,b7 9 p>agraph 7#aj71 by /rik+ & at ! end2 7,c7 by r$esignat+ p>agraph 7#aa7 z p>agraph 7#ab72 & 7,d7 by ins]t+ aft] p>agraph 7#aj7 ! foll[+3 7#aa7 id5tify1 9 consultation ) ,/ates 7ei!r directly or by ent]+ into a contract "u ?is subp>agraph & consid]+ ! recomm5dation ( ! contract recipi5t7 quality measures = home & community-bas$ long-t]m c>e programs1 s]vice provid]s1 & res\rces t-- 7,a7 protect ! heal?1 safety1 & welf>e ( consum]s :o are ref]r$ to su* programs2 & 7,b7 %all be id5tifi$ aft] ! ,assi/ant ,secret>y takes into acc\nt1 at a m9imum1 in=mation reg>d+-- 7i7 backgr\nd *ecks ( s]vice provid]s2 7ii7 lic5sure ( ag5cies & c]tification & tra9+ ( s]vice provid]s2 & 7iii7 consum] satisfaction reg>d+ programs1 s]vice provid]s1 & res\rces1 9 cases 9 :i* consum] satisfaction in=mation is available2 & 2 7#c7 9 subsection 7e77#b77;,b7-- 7,a7 9 clause 7viii71 by /rik+ &2 7,b7 by r$esignat+ clause 7ix7 z clause 7x72 & 7,c7 by ins]t+ aft] clause 7viii7 ! foll[+3 7ix7 organizations ) exp]tise on economic security1 asset accumulation1 & retirem5t plann+2 & 2 & 7#d7 by add+ at ! end ! foll[+3 7g7 ,! ,assi/ant ,secret>y %all ensure1 :]e appropriate1 t all programs fund$ "u ?is ,act include appropriate tra9+ 9 ! prev5tion ( abuse1 neglect1 & exploitation & provision ( s]vices t address eld] ju/ice & ! exploitation ( old] individuals4 7h7 7#a7 ,! ,assi/ant ,secret>y %all e/abli% & op]ate a ,national ,res\rce ,c5t] = ,wom5 & ,retirem5t 7ref]r$ to 9 ?is subsection z ! ,c5t]74 7#b7 ,! ,assi/ant ,secret>y %all make available to ! ,c5t] su* res\rces z are necess>y = ! ,c5t] to c>ry out effectively ! functions ( ! ,c5t] "u ?is ,act1 :i* %all be an am\nt n less ?an #bgi1jjj = fiscal ye> #bjad4 ,9 subsequ5t fiscal ye>s1 ! ,assi/ant ,secret>y %all make available to ! ,c5t] n less ?an ! am\nt ( res\rces made available to ! ,c5t] "u ?is p>agraph = fiscal ye> #bjad4 7i7 7#a7 ,ag+ & ,disability ,res\rce ,c5t]s implem5t$ "u subsection 7b77#h7 may c>ry out an assessm5t program1 ) respect to in=mal c>egiv]s & c>e recipi5ts1 t %all be model$ on ! family c>egiv] assessm5t program e/abli%$ "u section #cgc7;b74 7#b7 ,= purposes ( an in=mal c>egiv] assessm5t c>ri$ out 9 accordance ) p>agraph 7#a71 ! foll[+ def9itions %all apply3 7,a7 ,! t]m c>e recipi5t means-- 7i7 an old] individual2 7ii7 an individual ) a disability2 or 7iii7 an individual ) a special ne$4 7,b7 ,! t]m in=mal c>egiv] means an adult family memb]1 or ano!r individual1 :o is an in=mal provid] ( 9-home & community c>e to a c>e recipi5t4 7j7 7#a7 ,! ,assi/ant ,secret>y %all1 directly or by grant or contract1 e/abli% & op]ate ! ,national ,res\rce ,c5t] on ,lesbian1 ,gay1 ,bisexual1 & ,transg5d] ,ag+4 7#b7 ,! ,assi/ant ,secret>y %all develop & issue op]at+ /&>ds & report+ requirem5ts = ! ,c5t] e/abli%$ "u p>agraph 7#a74 7#c7 ,! ,assi/ant ,secret>y %all make available to ! ,c5t] su* res\rces z are necess>y = ! ,c5t] to c>ry out effectively ! functions ( ! ,c5t] "u ?is ,act = fiscal ye> #bjad4 ,9 subsequ5t fiscal ye>s1 ! ,assi/ant ,secret>y %all make available to ! ,c5t] n less ?an ! am\nt ( res\rces made available to ! ,c5t] "u ?is p>agraph = fiscal ye> #bjad4 7k7 ,! ,assi/ant ,secret>y %all1 directly or by grant or contract1 e/abli% & op]ate a ,national ,adult ,protective ,s]vices ,res\rce ,c5t]4 4 #bjc4 ,f$]al ag5cy consultation ,section #bjc ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjac7 is am5d$-- 7#a7 9 subsection 7a77#c77;,a71 by /rik+ old] individuals 7) p>ticul> att5tion to l[-income old] individuals1 includ+ l[-income m9ority old] individuals1 old] individuals ) limit$ ,engli% pr(ici5cy1 & old] individuals resid+ 9 rural areas7 & ins]t+ old] individuals1 old] individuals ) greate/ economic ne$1 old] individuals ) greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b7712 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#ah71 by /rik+ 1 & & ins]t+ a comma2 7,b7 9 p>agraph 7#ai71 by /rik+ ! p]iod at ! end & ins]t+ 1 &2 & 7,c7 by add+ at ! end ! foll[+3 7#bj7 ! ,pati5t ,protection & ,af=dable ,c>e ,act1 includ+ ! am5dm5ts made by t ,act 7,public ,law #aaa-adh71 includ+ programs t increase integration ) community heal? c5t]s1 z practicable4 2 & 7#c7 9 subsection 7c77#f7-- 7,a7 9 subp>agraph 7,a7-- 7i7 9 clause 7iii7-- 7,i7 by ins]t+ & economic aft] demographic2 & 7,,ii7 by /rik+ & at ! end2 7ii7 9 clause 7iv71 by add+ & at ! end2 & 7iii7 by add+ at ! end ! foll[+3 7v7 id5tify+ & address+ work=ce %ortages relat$ to s]vices & supports = old] individuals1 & lev]ag+ ! res\rces ( ,f$]al programs t are relat$ to ! programs c>ri$ out "u ?is ,act1 to address ! %ortages2 2 7,b7 9 subp>agraph 7,b7-- 7i7 9 ! matt] prec$+ clause 7i71 by ins]t+ economic security1 aft] h\s+12 & 7ii7 9 clause 7i71 by ins]t+ economic security1 aft] h\s+12 7,c7 9 subp>agraph 7,d71 by ins]t+ economic security1 aft] h\s+12 7,d7 9 subp>agraph 7,e71 by ins]t+ & economic security aft] public heal?2 7,e7 9 subp>agraph 7,f71 by /rik+ & at ! end2 7,f7 9 subp>agraph 7,g7-- 7i7 9 ! matt] prec$+ clause 7i71 by ins]t+ economic security1 aft] heal? c>e12 & 7ii7 9 clause 7iii71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,g7 by add+ at ! end ! foll[+3 7,h7 7i7 id5tify model ,f$]al programs to assi/ old] individuals ) a*iev+ economic security2 & 7ii7 propose great] coord9ation ( ef=ts to provide su* assi/ance1 includ+ by creat+ an inv5tory ( all ,f$]al programs aim$ at r$uc+ pov]ty & increas+ ! economic security ( old] adults4 4 #bjd4 ,evaluation ,section #bjf ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjag7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ greate/ economic ne$ & all t foll[s ?r\gh areas71 & ins]t+ greate/ economic ne$ & uns]v$ old] individuals ) greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b7712 7#b7 9 subsection 7c71 by /rik+ m9ority individuals & all t foll[s ?r\gh disabilities & ins]t+ individuals ) greate/ economic ne$ & greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b772 7#c7 9 subsection 7d71 by /rik+ includ+1 z appropriate1 heal? & nutrition education demon/ration projects conduct$ "u section #cjg7;f7 ! full cont5ts ( :i* %all be & ins]t+ & ! full cont5ts ( ^? summ>ies & analyses %all be2 7#d7 by r$esignat+ subsections 7e7 ?r\gh 7g7 z subsections 7f7 ?r\gh 7h71 respectively2 7#e7 by ins]t+ aft] p>agraph 7d7 ! foll[+3 7e7 ,! ,secret>y %all prep>e & submit to ,congress an annual report evaluat+ ! impact ( ! programs & s]vices provid$ "u ?is ,act on ! economic security ( old] individuals4 2 & 7#f7 9 subsection 7h71 z r$esignat$ by p>agraph 7#b71 by /rik+ #a_/b (4 #bje4 ,reports ,section #bjg ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjah7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#b71 by /rik+ section #bjb7;a77#ai7 & ins]t+ section #bjb7;a77#af72 7,b7 9 p>agraph 7#c71 by /rik+ 1 ) p>ticul> att5tion & all t foll[s ?r\gh ! semicolon & ins]t+ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b7722 & 7,c7 9 p>agraph 7#d71 by /rik+ section #bjb7;a77#ag7 & ins]t+ section #bjb7;a77#ad72 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a77;,c71 by ins]t+ & ! adult protection s]vices programs ( ! ,/ates aft] ( ! ,/ates2 & 7,b7 9 p>agraph 7#c77;,a71 by /rik+ ,heal? ,c>e ,f9ance ,adm9i/ration & ins]t+ ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 7#c7 9 subsection 7c77#e7-- 7,a7 by /rik+ economic ne$ 7includ+ l[-income m9ority individuals & old] individuals resid+ 9 rural areas7 & ins]t+ economic ne$2 & 7,b7 by /rik+ social ne$ 7includ+ l[-income m9ority individuals & old] individuals resid+ 9 rural areas7 & ins]t+ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b772 & 7#d7 by add+ at ! end ! foll[+3 7d7 ,! ,assi/ant ,secret>y %all ensure t no individual w be requir$ to provide in=mation reg>d+ ! sexual ori5tation or g5d] id5tity ( ! individual z a condition ( p>ticipat+ 9 activities or receiv+ s]vices "u ?is ,act4 4 #bjf4 ,con=m+ am5dm5ts 7a7 ,appropriate use ( funds ,section #bab7;b77#c7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbj;c7b77#c77 is am5d$-- 7#a7 by /rik+ social ne$1 & ins]t+ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b77 or2 & 7#b7 by /rik+ 1 or an old] & all t foll[s ?r\gh placem5t4 7b7 ,adm9i/rative exp5ses ,section #bae7;j7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbj;e-#a7;j77 is am5d$ by /rik+ section #baf & ins]t+ section #bag4 #bjg4 ,au?orization ( appropriations ,section #baf ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbj;f7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ #bjjg1 #bjjh1 #bjji1 #bjaj1 & #bjaa & ins]t+ #bjad1 #bjae1 #bjaf1 #bjag1 & #bjah2 7#b7 9 subsection 7b7-- 7,a7 by /rik+ section #bjb7;a77#bd7 & ins]t+ section #bjb7;a77#ba72 & 7,b7 by /rik+ #bjjg1 #bjjh1 #bjji1 #bjaj1 & #bjaa & ins]t+ #bjad1 #bjae1 #bjaf1 #bjag1 & #bjah2 7#c7 9 subsection 7c71 by /rik+ #bjjg1 #bjjh1 #bjji1 #bjaj1 & #bjaa & ins]t+ #bjad1 #bjae1 #bjaf1 #bjag1 & #bjah2 & 7#d7 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;i7 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 7e7 ,advisory ,committee ,to ,assess1 ,coord9ate1 & ,improve ,legal ,assi/ance ,activities ,!re is au?oriz$ to be appropriat$ to c>ry out section #baf1 n less ?an #cjj1jjj = fiscal ye> #bjad4 4 #bjh4 ,advisory ,committee to ,assess1 ,coord9ate1 & ,improve ,legal ,assi/ance ,activities ,title ,,ii ( ! ,old] ,am]icans ,act ( #aife is am5d$-- 7#a7 by r$esignat+ section #baf 7#db ,u4,s4,c4 #cjbj;f7 z section #bag2 & 7#b7 by ins]t+ aft] section #bae 7#db ,u4,s4,c4 #cjbj;e-#a7 ! foll[+3 #baf4 ,advisory ,committee to ,assess1 ,coord9ate1 & ,improve ,legal ,assi/ance ,activities 7a7 ,e/abli%m5t ,!re is e/abli%$ an ,advisory ,committee to ,assess1 ,coord9ate1 & ,improve ,legal ,assi/ance ,activities 7ref]r$ to 9 ?is section z ! ,committee74 7b7 ,memb]%ip2 duties ,! ,assi/ant ,secret>y %all appo9t memb]s to ! ,committee & det]m9e ! activities ( ! ,committee 7:i* %all include ! /udy & report describ$ 9 subsection 7c774 7c7 ,/udy2 report ,! ,committee %all conduct a /udy on ! legal s]vices activities assi/ance sy/em = old] individuals4 ,n lat] ?an #a ye> aft] ! date ( ! e/abli%m5t ( ! ,committee1 ! ,committee %all submit to ! ,presid5t1 ,congress1 & ! ,assi/ant ,secret>y a report t conta9s a detail$ /atem5t ( ! f9d+s & conclusions ( su* /udy1 includ+ ! ,committee's recomm5dations improv+ ! legal s]vices activities assi/ance sy/em = old] individuals4 7d7 ,regulations ,n lat] ?an #ahj days aft] receiv+ ! report describ$ 9 subsection 7c71 ! ,assi/ant ,secret>y %all issue regulations or guidance tak+ into consid]ation ! recomm5dations ( ! ,committee4 7e7 ,def9ition ,9 ?is subsection1 ! t]m legal assi/ance activities includes-- 7#a7 legal assi/ance made available to old] individuals ) greate/ economic ne$ or ) greate/ social ne$2 7#b7 activities ( ! ,national ,legal ,res\rce ,c5t] c>ri$ out "u section #dbj7;a72 7#c7 ,/ate legal assi/ance develop] activities c>ri$ out "u section #gca2 & 7#d7 any o!r directly relat$ activity or program z det]m9$ appropriate by ! ,assi/ant ,secret>y4 4 #bji4 ,consum] ,price ,index 7a7 ,9 g5]al ,! ,secret>y ( ,labor1 ?r\gh ! ,bureau ( ,labor ,/ati/ics & 9 consultation ) ! ,assi/ant ,secret>y = ,ag+1 %all revise & improve ! ,exp]im5tal ,price ,index = ! ,eld]ly publi%$ by ! ,bureau ( ,labor ,/ati/ics 7commonly ref]r$ to z ! ,,cpi-,e7 9 ord] = ! ,,cpi-,e to be consid]$ a reliable measure 9 det]m9+ future co/ ( liv+ adju/m5ts t impact ,am]icans :o are #fb ye>s ( age or old]4 7b7 ,revision requirem5ts ,9 c>ry+ out subsection 7a71 ! ,secret>y ( ,labor %all-- 7#a7 increase ! numb] ( individuals 9 ! ,unit$ ,/ates :o are #fb ye>s ( age & old] 7ref]r$ to 9 ?is section z old] adults7 sampl$ 9 ! consum] exp5diture survey us$ to e/abli% ! ,,cpi-,e2 7#b7 e/abli% samples ( m>ket-bas$ items1 /ores1 & prices to repres5t ! pur*as+ patt]ns ( old] adults2 & 7#c7 exam9e ! m$ical c>e compon5t1 includ+ ! co/ & usage ( prescription drugs1 ( ! ,,cpi-,e tak+ into acc\nt t old] adults h diff]5t illnesses & heal? c>e exp5ses1 includ+ d5tal exp5ses1 ?an individuals 9 ! ,unit$ ,/ates :o are "u #fb ye>s ( age4 7c7 ,report to ,congress ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,labor %all submit to ,congress a report t describes ! revis$ ,,cpi-,e & ! activities c>ri$ out by ! ,secret>y "u ?is section4 #baj4 ,s5se ( ! ,s5ate reg>d+ appropriation levels ,title ,,ii ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjaa et seq471 z am5d$ by section #bjh1 is fur!r am5d$ by add+ at ! end ! foll[+3 #bah4 ,s5se ( ! ,s5ate reg>d+ appropriation levels ,x is ! s5se ( ! ,s5ate t ! am\nt appropriat$ "u ?is ,act %\ld be n less ?an #b1fge1jjj1jjj = fiscal ye> #bjad & ea* subsequ5t ye>4 4 ,,iii ,grants = /ate & community programs on ag+ #cja4 ,purpose2 adm9i/ration ,section #cja7;a77#b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjba7;a77#b77 is am5d$-- 7#a7 9 subp>agraph 7,e71 by /rik+ & at ! end2 7#b7 9 subp>agraph 7,f71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7,g7 ,f$]ally qualifi$ heal? c5t]s1 z def9$ 9 sections #ahfa7;aa77#d7 & #aije7l77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa77#d71 #acif;d7l77#b77;,b774 4 #cjb4 ,def9ition ,section #cjb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbb7 is am5d$-- 7#a7 by /rik+ p>agraph 7#c72 & 7#b7 by r$esignat+ p>agraph 7#d7 z p>agraph 7#c74 #cjc4 ,au?orization ( appropriations ,section #cjc ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbc7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ p>agraph 7#a7 & ins]t+ ! foll[+3 7#a7 ,!re are au?oriz$ to be appropriat$ to c>ry out "p ,b 7relat+ to supportive s]vices7 su* sums z may be necess>y = ea* ( fiscal ye>s #bjad ?r\gh #bjah4 2 7#b7 by /rik+ subsection 7b7 & ins]t+ ! foll[+3 7b7 7#a7 ,!re are au?oriz$ to be appropriat$ to c>ry out subp>t #a ( "p ,c 7relat+ to congregate nutrition s]vices7 su* sums z may be necess>y = ea* ( fiscal ye>s #bjad ?r\gh #bjah4 7#b7 ,!re are au?oriz$ to be appropriat$ to c>ry out subp>t #b ( "p ,c 7relat+ to home deliv]$ nutrition s]vices7 su* sums z may be necess>y = fiscal ye>s #bjad ?r\gh #bjah4 2 7#c7 by /rik+ subsection 7d7 & ins]t+ ! foll[+3 7d7 ,!re are au?oriz$ to be appropriat$ to c>ry out "p ,d 7relat+ to disease prev5tion & heal? promotion s]vices7 su* sums z may be necess>y = ea* ( fiscal ye>s #bjad ?r\gh #bjah4 2 & 7#d7 by /rik+ subsection 7e7 & ins]t+ ! foll[+3 7e7 ,!re are au?oriz$ to be appropriat$ to c>ry out "p ,e 7relat+ to family c>egiv] support7 su* sums z may be necess>y = ea* ( fiscal ye>s #bjad ?r\gh #bjah4 4 #cjd4 ,allotm5ts ,section #cjd7;b7 ( su* ,act 7#db ,u4,s4,c4 #cjbd7;b77 is am5d$1 9 ! fir/ s5t5ce1 by /rik+ "p ,b & all t foll[s ?r\gh "p ,e1 & ins]t+ "p ,b1 ,c1 or ,e4 #cje4 ,organization ,section #cje ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbe7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#a77;,e7-- 7i7 by /rik+ greate/ economic ne$ & all t foll[s ?r\gh rural areas7 ! fir/ place x appe>s & ins]t+ greate/ economic ne$2 & 7ii7 by /rik+ greate/ social ne$ & all t foll[s ?r\gh rural areas7 & ins]t+ greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b772 & 7,b7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,c77ii71 by /rik+ areas & all t foll[s & ins]t+ areas ( old] individuals ) greate/ economic ne$ & old] individuals ) greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b772 &2 7ii7 9 subp>agraph 7,e71 by /rik+ s]vices to & all t foll[s ?r\gh rural areas7 & ins]t+ s]vices to old] individuals ) greate/ economic ne$ & old] individuals ) greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b72 & 7iii7 9 subp>agraph 7,g71 by /rik+ clause 7ii7 & ins]t+ ! foll[+3 7ii7 provide an assurance t ! ,/ate ag5cy w und]take specific program developm5t1 advocacy1 & outrea* ef=ts focus$ on ! ne$s ( old] individuals ) greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b77 & old] individuals ) greate/ economic ne$2 & 2 7#b7 9 subsection 7b77#e77;,c77i77,,iii71 by /rik+ plann+ & s]vices areas & ins]t+ plann+ & s]vice areas2 & 7#c7 9 subsection 7d77#a71 by /rik+ greate/ economic or social ne$ & ins]t+ greate/ economic ne$ & greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b774 #cjf4 ,area plans ,section #cjf ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbf7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#a7-- 7i7 by /rik+ ma9t5ance1 or con/ruction ( multipurpose s5ior c5t]s & ins]t+ ma9t5ance1 mod]nization1 or con/ruction ( multipurpose s5ior c5t]s 7:i* sy/em includes a plan to use ! skills & s]vices ( old] individuals 9 paid & unpaid "w1 includ+ multig5]ational "w & old] individual-to-old] individual s]vice activities1 relat+ to su* ma9t5ance1 mod]nization1 or con/ruction1 or activities at ! c5t]s72 7ii7 by /rik+ greate/ economic ne$ & all t foll[s ?r\gh rural areas7 ! fir/ place x appe>s & ins]t+ greate/ economic ne$2 & 7iii7 by /rik+ greate/ social ne$ & all t foll[s ?r\gh rural areas7 resid+ 9 su* area1 & ins]t+ greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b77 resid+ 9 su* area12 7,b7 9 p>agraph 7#b77;,a7-- 7i7 by /rik+ m5tal heal? s]vices & ins]t+ evid5ce-bas$ behavioral heal? s]vices1 evid5ce-bas$ *ronic condition self-c>e managem5t programs1 & evid5ce-bas$ falls prev5tion programs2 & 7ii7 by /rik+ eligible7 & ins]t+ eligible & %all include in=mation on paid & unpaid "w opportunities = old] individuals1 z available72 7,c7 9 p>agraph 7#d7-- 7i7 9 subp>agraph 7,a7-- 7,i7 9 clause 7i77,i71 by /rik+ w-- & all t foll[s & ins]t+ w set specific objectives1 consi/5t ) ,/ate policy1 = provid+ s]vices to old] individuals ) greate/ economic ne$1 old] individuals ) greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b771 & old] individuals at risk = in/itutional placem5t2 &2 7,,ii7 9 clause 7i77,,ii71 by /rik+ items 7aa7 & 7bb7 (2 & 7,,iii7 9 subclauses 7,i71 7,,ii71 & 7,,iii7 ( clause 7ii71 by /rik+ l[-income & all t foll[s ?r\gh rural areas & ins]t+ individuals ) greate/ economic ne$ & individuals ) greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b772 & 7ii7 9 subp>agraph 7,b77i7-- 7,i7 9 subclause 7,,ii71 by /rik+ economic ne$ & all t foll[s ?r\gh rural areas7 & ins]t+ economic ne$2 7,,ii7 9 subclause 7,,iii71 by /rik+ social ne$ & all t foll[s ?r\gh rural areas7 & ins]t+ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b772 & 7,,iii7 9 subclause 7,,vii71 by ins]t+ ) multiple *ronic illnesses or aft] old] individuals2 7,d7 9 p>agraph 7#f7-- 7i7 9 subp>agraph 7,d71 by ins]t+ 7includ+ acute c>e provid]s7 aft] s]vice provid]s2 7ii7 9 subp>agraph 7,e77ii71 by ins]t+ & ,f$]ally qualifi$ heal? c5t]s1 z def9$ 9 sections #ahfa7;aa77#d7 & #aije7l77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa77#d71 #acif;d7l77#b77;,b77 aft] #bjc7;b72 & 7iii7 by add+ at ! end ! foll[+3 7,h7 9 coord9ation ) ! ,/ate ag5cy & ) ! ,/ate ag5cy responsible = eld] abuse prev5tion s]vices1 increase public aw>5ess ( eld] abuse1 neglect1 & exploitation1 & remove b>ri]s to eld] abuse education1 prev5tion1 inve/igation1 & treatm5t2 & 7,i7 s]ve z an advocate 9 ! correspond+ plann+ & s]vice area = evid5ce-bas$ falls prev5tion programs & policies = old] individuals &1 if possible1 ent] into p>tn]%ips ) ,/ate gov]nm5t ag5cies 7su* z ! ,/ate heal? ag5cy & ,/ate transportation ag5cy71 local ag5cies1 & community-bas$ organizations t implem5t evid5ce-bas$ falls prev5tion programs & policies2 2 7,e7 9 p>agraph 7#g7-- 7i7 9 subp>agraph 7,b77iii71 by /rik+ placem5t1 to p]mit su* individuals & ins]t+ placem5t1 ) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b71 to p]mit su* at-risk individuals2 7ii7 9 subp>agraph 7,c7-- 7,i7 by ins]t+ 7includ+ falls7 aft] injury2 & 7,,ii7 by /rik+ & at ! end2 & 7iii7 9 subp>agraph 7,d71 by add+ & at ! end2 7,f7 by /rik+ p>agraph 7#i7 & ins]t+ ! foll[+3 7#i7 provide assurances t ! area ag5cy on ag+1 9 c>ry+ out ! ,/ate ,long-,t]m ,c>e ,ombudsman program describ$ 9 section #cjg7;a77#i71 w-- 7,a7 provide adequate fund+ to c>ry out an effective ,ombudsman program 9 compliance ) ?is ,act2 & 7,b7 exp5d to c>ry out ! program n less ?an ! total am\nt ( funds appropriat$ "u ?is ,act or made available ?r\gh o!r res\rces1 & exp5d$ by ! ag5cy 9 fiscal ye> #bjaj1 9 c>ry+ out su* a program "u ?is ,act2 2 7,g7 9 p>agraph 7#af71 by /rik+ & at ! end2 7,h7 9 p>agraph 7#ag7-- 7i7 by ins]t+ & revise aft] develop2 7ii7 by ins]t+ & heal? aft] ,/ate em]g5cy response2 & 7iii7 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,i7 by add+ at ! end ! foll[+3 7#ah7 include in=mation describ+-- 7,a7 h[ ! area ag5cy on ag+ w engage 9 outrea* to vet]ans :o are eligible = s]vices "u ?is ,act2 & 7,b7 effective & effici5t proc$ures = ! coord9ation ( s]vices provid$ "u ?is ,act ) s]vices provid$ to vet]ans by ! ,dep>tm5t ( ,vet]ans ,affairs & o!r provid]s4 2 & 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#b77;,b71 by /rik+ includ+ individuals & all t foll[s & ins]t+ includ+ old] individuals ) greate/ economic ne$ & old] individuals ) greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b7722 & 7,b7 9 p>agraph 7#c7-- 7i7 9 subp>agraph 7,j71 by /rik+ &2 7ii7 by r$esignat+ subp>agraph 7,k7 z subp>agraph 7,l72 & 7iii7 by ins]t+ aft] subp>agraph 7,j7 ! foll[+3 7,k7 protection f eld] abuse1 neglect1 & exploitation2 & 4 #cjg4 ,/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#b71 by /rik+ subp>agraph 7,a7 & ins]t+ ! foll[+3 7,a7 evaluate1 us+ uni=m proc$ures describ$ 9 section #bjb7;a77#bf71 ! ne$ = supportive s]vices 7includ+ legal assi/ance pursuant to p>agraph 7#aa71 in=mation & assi/ance s]vices1 c>e coord9ation1 & transportation s]vices71 nutrition s]vices1 economic security & b5efits c\nsel+1 & multipurpose s5ior c5t]s )9 ! ,/ate2 2 7#b7 9 p>agraph 7#d71 by /rik+ provid$ to individuals & all t foll[s & ins]t+ provid$ to individuals ) greate/ economic ne$ & individuals ) greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b7742 7#c7 by /rik+ p>agraph 7#i7 & ins]t+ ! foll[+3 7#i7 ,! plan %all provide assurances t ! ,/ate ag5cy w c>ry out1 ?r\gh ! ,(fice ( ! ,/ate ,long-,t]m ,c>e ,ombudsman1 a ,/ate ,long-,t]m ,c>e ,ombudsman program 9 accordance ) section #gab & ?is title1 &1 9 c>ry+ out ! program1 w-- 7,a7 provide adequate fund+ to c>ry out an effective ,ombudsman program 9 compliance ) ?is ,act2 & 7,b7 exp5d to c>ry out ! program n less ?an ! total am\nt ( funds appropriat$ "u ?is ,act or made available ?r\gh o!r res\rces1 & exp5d$ by ! ag5cy 9 fiscal ye> #bjaj1 9 c>ry+ out su* a program "u ?is ,act4 2 7#d7 9 p>agraph 7#aa7-- 7,a7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ legal assi/ance-- & ins]t+ legal assi/ance1 :i* %all be provid$ ?r\gh an integrat$ legal assi/ance deliv]y sy/em--2 & 7,b7 9 subp>agraph 7,b71 by /rik+ individuals ) ! greate/ su* ne$2 & ins]t+ individuals ) greate/ economic ne$ & individuals ) greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b7712 7#e7 by /rik+ p>agraph 7#ae7 & ins]t+ ! foll[+3 7#ae7 ,! plan %all provide assurances t programm+ & s]vices w be provid$ 9 a culturally & l+ui/ically compet5t mann] to old] individuals ) greate/ social ne$4 2 7#f7 9 p>agraph 7#af7-- 7,a7 9 subp>agraph 7,a71 by /rik+ clauses 7i7 ?r\gh 7vi7 & ins]t+ ! foll[+3 7i7 old] individuals ) greate/ economic ne$2 7ii7 old] individuals ) greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b772 & 7iii7 c>egiv]s ( individuals describ$ 9 clause 7i7 or 7ii72 & 2 & 7,b7 9 subp>agraph 7,b7-- 7i7 by /rik+ ?r\gh 7vi7 & ins]t+ & 7ii72 & 7ii7 by /rik+ c>etak]s & ins]t+ c>egiv]s2 7#g7 9 p>agraph 7#bc77;,a71 by /rik+ ) o!r ,/ate s]vices & ins]t+ ) o!r ,f$]al & ,/ate heal? c>e programs & s]vices2 7#h7 9 p>agraph 7#bh77;,b7-- 7,a7 by /rik+ clause 7i7 & ins]t+ ! foll[+3 7i7 ! project$ *ange 9 ! numb] ( old] individuals 9 ! ,/ate1 & in=mation indicat+ ! disp]sal & gr[? 9 ! numb] ( old] individuals ) greate/ social ne$ 9 ea* plann+ & s]vice area 9 ! ,/ate2 2 & 7,b7 9 clause 7ii71 by /rik+ includ+ individuals & all t foll[s & ins]t+ includ+ old] individuals ) greate/ economic ne$ & old] individuals ) greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b7722 & 7#i7 by add+ at ! end ! foll[+3 7#ca7 ,! plan %all include in=mation describ+-- 7,a7 h[ ! ,/ate ag5cy w engage 9 outrea* to vet]ans :o are eligible = s]vices "u ?is ,act2 & 7,b7 effective & effici5t proc$ures = ! coord9ation ( s]vices provid$ "u ?is ,act ) s]vices provid$ to vet]ans by ! ,dep>tm5t ( ,vet]ans ,affairs & o!r provid]s4 7#cb7 ,! plan %all include an assurance t ! ,/ate has made ef=ts to tra9 relevant /aff to recognize ! common signs & symptoms ( possible dem5tia4 4 #cjh4 ,plann+1 coord9ation1 evaluation1 & adm9i/ration ( /ate plans ,section #cjh7;a77#a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbh7;a77#a77 is am5d$-- 7#a7 by /rik+ ?is ,act1 & & ins]t+ ?is ,act12 & 7#b7 by ins]t+ be=e ! p]iod ! foll[+3 1 & ! mod]nization ( su* s5ior c5t]s4 #cji4 ,nutrition s]vices inc5tive program ,section #caa7;e7 ( ! ,old] ,am]icans ,act ( #aigc 7#db ,u4,s4,c4 #cjcj;a7e77 is am5d$ by /rik+ fiscal ye> #bjjg & all t foll[s & ins]t+ ea* ( fiscal ye>s #bjad ?r\gh #bjah4 #caj4 ,consum] contributions ,section #cae ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcj;c-#b7 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a71 by /rik+ #ahe p]c5t & ins]t+ #bjj p]c5t2 & 7,b7 9 p>agraph 7#c71 by add+ at ! end ! foll[+3 ,contributions "u ?is section %all be us$ to supplem5t1 & n to supplant1 any o!r funds exp5d$ = activities describ$ 9 ?is ,act42 7#b7 9 subsection 7c77#b71 by /rik+ p>ticipation ( & all t foll[s ?r\gh rural areas7 & ins]t+ p>ticipation ( old] individuals ) greate/ economic ne$ & old] individuals ) greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b772 & 7#c7 9 subsection 7d7-- 7,a7 by /rik+ ,n lat] & all t foll[s ?r\gh %all conduct & ins]t+ ,n lat] ?an ,janu>y #a1 #bjae1 & annually !reaft]1 ! ,assi/ant ,secret>y %all conduct1 & submit to ! appropriate committees ( ,congress a report conta9+ ! results (12 & 7,b7 by /rik+ 7) p>ticul> & all t foll[s ?r\gh rural areas7 & ins]t+ 1 includ+ p>ticipation rates = individuals ) greate/ economic ne$ & individuals ) greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b774 #caa4 ,supportive s]vices & s5ior c5t]s program ,section #cba ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcj;d7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#e77;,c71 by /rik+ & lett] writ+ s]vices & ins]t+ evid5ce-bas$ *ronic condition self-c>e managem5t1 lett] writ+ s]vices1 & evid5ce-bas$ falls prev5tion programs2 7,b7 9 p>agraph 7#h7-- 7i7 by ins]t+ 1 scre5+ = eld] abuse & neglect1 & falls prev5tion scre5+ aft] m5tal heal? scre5+2 & 7ii7 by /rik+ illness1 or bo?1 & ins]t+ illnesses & injuries2 & 7,c7 9 p>agraph 7#ae71 by ins]t+ be=e ! semicolon ! foll[+3 & eld] abuse & neglect scre5+1 *ronic condition self-c>e managem5t1 & falls prev5tion s]vices2 & 7#b7 9 subsection 7b77#a71 by ins]t+ or mod]nization aft] con/ruction4 #cab4 ,nutrition s]vices 7a7 ,9 g5]al ,section #cci ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcj;g-#ba7 is am5d$-- 7#a7 9 p>agraph 7#a7-- 7,a7 by /rik+ solicit & ins]t+ utilize2 & 7,b7 by ins]t+ 1 to help a*ieve developm5t ( evid5c$-bas$ & co/-effective nutrition s]vices aft] nutritional s]vices2 & 7#b7 9 p>agraph 7#b7-- 7,a7 9 subp>agraph 7,a71 by am5d+ clause 7iii7 to read z foll[s3 7iii7 to ! maximum ext5t practicable1 are adju/$ & appropriately fund$ to meet any special heal?-relat$ or o!r diet>y ne$s ( program p>ticipants1 includ+ ne$s bas$ on religi\s1 cultural1 or e?nic requirem5ts1 2 7,b7 9 subp>agraph 7,j71 by /rik+ & at ! end2 7,c7 9 subp>agraph 7,k71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,d7 by add+ at ! end ! foll[+3 7,l7 :]e feasible1 enc\rages ! use ( locally gr[n foods 9 meal programs & id5tifies pot5tial p>tn]%ips & contracts ) local produc]s & provid]s ( locally gr[n foods4 4 7b7 ,special rule ,section #cci ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcj;g-#ba7 is am5d$-- 7#a7 by ins]t+ be=e ,a ,/ate ! foll[+3 7a7 ,9 g5]al 2 & 7#b7 by add+ at ! end ! foll[+3 7b7 ,transportation ,funds appropriat$ to c>ry out ?is "p may be us$ = transportation co/s t c be demon/rat$ to be directly relat$ to ! provision ( s]vices specifi$ 9 ?is "p4 4 #cac4 ,disease prev5tion & heal? promotion s]vices 7a7 ,program ,section #cfa ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcjm7 is am5d$-- 7#a7 9 subsection 7a71 9 ! fir/ s5t5ce-- 7,a7 by ins]t+ evid5ce-bas$ aft] to provide2 7,b7 by ins]t+ 7includ+ cognitive heal? promotion s]vices7 aft] heal? promotion s]vices2 & 7,c7 by ins]t+ be=e or at ! foll[+3 at ,f$]ally qualifi$ heal? c5t]s 7z def9$ 9 sections #ahfa7;aa77#d7 & #aije7l77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa77#d71 #acif;d7l77#b77;,b77714 7#b7 ,cl9ical prev5tive s]vices ,"p ,d ( title ,,iii ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcjm et seq47 is am5d$ by add+ at ! end ! foll[+3 #cfc4 ,cl9ical prev5tive s]vices ,congress f9ds t-- 7#a7 !re are cl9ical prev5tive s]vices 7z def9$ 9 a mann] consi/5t ) ! recomm5dations ( ! ,u4,s4 ,prev5tive ,s]vices ,task ,=ce7 cov]$ "u ! ,m$ic>e program c>ri$ out "u title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq472 & 7#b7 old] adults %\ld receive ! cl9ical prev5tive s]vices describ$ 9 p>agraph 7#a74 4 #cad4 ,national family c>egiv] support program 7a7 ,old] relative c>egiv] ,section #cgb ( su* ,act 7#db ,u4,s4,c4 #cjcjs7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 by /rik+ ?is subp>t3 & ins]t+ ?is "p32 & 7,b7 by /rik+ p>agraphs 7#a7 & 7#b7 & ins]t+ ! foll[+3 7#a7 ,*ild ,! t]m *ild means an individual :o is n m ?an #ah ye>s ( age4 7#b7 ,eligible c>e recipi5t ,! t]m eligible c>e recipi5t means a relative1 ( an old] relative c>egiv]1 :o is-- 7,a7 a *ild2 or 7,b7 an individual ) a disability :o is n less ?an #ai & n m ?an #ei ye>s ( age4 7#c7 ,old] relative c>egiv] 7,a7 ,9 g5]al ,! t]m old] relative c>egiv] means a c>egiv]1 z def9$ 9 subp>agraph 7,b7 or 7,c71 :o-- 7i7 is #ee ye>s ( age or old]2 & 7ii7 lives )1 is ! in=mal provid] ( 9-home & community c>e to1 & is ! prim>y c>egiv] =1 an eligible c>e recipi5t :o is describ$ 9 subp>agraph 7,b7 or 7,c71 respectively4 7,b7 ,c>egiv] = *ild ,= purposes ( subp>agraph 7,a71 ! t]m c>egiv]1 us$ ) respect to an eligible c>e recipi5t :o is a *ild1 means an individual :o-- 7i7 is ! gr&p>5t1 /epgr&p>5t1 or o!r relative 7o!r ?an ! p>5t7 by blood1 m>riage1 or adoption1 ( ! eligible c>e recipi5t2 7ii7 is ! prim>y c>egiv] ( ! eligible c>e recipi5t because ! biological or adoptive p>5ts are unable or unwill+ to s]ve z ! prim>y c>egiv] ( ! eligible c>e recipi5t2 & 7iii7 has a legal relation%ip to ! eligible c>e recipi5t1 su* z legal cu/ody or gu>dian%ip1 or is rais+ ! eligible c>e recipi5t in=mally4 7,c7 ,c>egiv] ( individual ) a disability ,= purposes ( subp>agraph 7,a71 ! t]m c>egiv]1 us$ ) respect to an eligible c>e recipi5t :o is an individual ) a disability describ$ 9 p>agraph 7#b77;,b7 means an individual :o is ! p>5t1 gr&p>5t1 or o!r relative by blood1 m>riage1 or adoption1 ( ! eligible c>e recipi5t4 2 & 7#b7 9 subsection 7b77#b7-- 7,a7 by /rik+ gr&p>5ts or old] individuals :o are relative c>egiv]s & ins]t+ old] relative c>egiv]s2 & 7,b7 by /rik+ *ildr5 & ins]t+ eligible c>e recipi5ts4 7b7 ,program ,section #cgc ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcjs-#a7 is am5d$-- 7#a7 9 subsection 7a77#b71 by /rik+ gr&p>5ts or old] individuals :o are relative c>egiv]s4 & ins]t+ old] relative c>egiv]s42 7#b7 by r$esignat+ subsections 7b7 ?r\gh 7g7 z subsections 7c7 ?r\gh 7h71 respectively2 7#c7 by ins]t+ aft] subsection 7a7 ! foll[+3 7b7 ,assessm5t program ( ne$s ( family c>egiv]s 7#a7 ,9 g5]al ,! ,assi/ant ,secret>y may make grants to ,/ates to e/abli% a program1 9 accordance ) ! program requirem5ts describ$ 9 p>agraph 7#d71 to assess ! ne$s ( family c>egiv]s = t>get$ support s]vices4 7#b7 ,application by /ates ,ea* ,/ate seek+ a grant "u ?is subsection %all submit an application to ! ,assi/ant ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation & assurances z ! ,assi/ant ,secret>y det]m9es appropriate4 7#c7 ,program adm9i/ration ,a ,/ate receiv+ a grant "u ?is subsection may ent] into an agreem5t ) area ag5cies on ag+ 9 ! ,/ate1 or an ,ag+ & ,disability ,res\rce ,c5t] 9 ! ,/ate1 to adm9i/] ! program1 us+ su* grant funds4 7#d7 ,program requirem5ts 7,a7 ,volunt>y que/ionnaire ,assessm5ts "u a program e/abli%$ z describ$ 9 p>agraph 7#a7 %all include ask+ ! family c>egiv] relevant que/ions 9 ord] to det]m9e :e!r ! family c>egiv] w\ld b5efit f any t>get$ support s]vices4 7,b7 ,ref]rals ,9 ! case :]e a que/ionnaire complet$ by a family c>egiv] "u subp>agraph 7,a7 indicates t ! family c>egiv] w\ld b5efit f #a or m t>get$ support s]vices1 ! ag5cy adm9i/]+ ! program e/abli%$ "u p>agraph 7#a7 %all provide ref]rals to ! family c>egiv] = ,/ate1 local1 nonpr(it1 & private-sector c>egiv] programs & o!r res\rces t provide su* t>get$ support s]vices to su* c>egiv]s4 7,c7 ,report+ requirem5t ,ea* ,/ate ) a program describ$ 9 p>agraph 7#a7 %all p]iodically submit to ! ,assi/ant ,secret>y a report conta9+ in=mation on ! numb] ( c>egiv]s assess$ "u ! program1 in=mation on ! numb] ( ref]rals made = t>get$ support s]vices "u ! program 7disaggregat$ by type ( s]vice71 demographic in=mation on c>egiv]s assess$ "u ! program1 & o!r in=mation requir$ by ! ,assi/ant ,secret>y4 2 7#d7 9 subsection 7c71 z r$esignat$ by p>agraph 7#b7-- 7,a7 9 p>agraph 7#d71 by /rik+ & at ! end2 7,b7 9 p>agraph 7#e71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+3 7#f7 ! ef=ts ( ! ,ombudsman to facilitate ! activities (1 & support1 ! ,/ate ,long-,t]m ,c>e ,ombudsman program "u title ,,vii & ?is title1 & ! ef=ts ( ! ,ombudsman to facilitate ! activities (1 & support1 family & c>egiv] c\ncils 9 long-t]m c>e facilities4 2 7#e7 9 subsection 7d71 z r$esignat$ by p>agraph 7#b7-- 7,a7 9 p>agraph 7#a7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ & gr&p>5ts & old] individuals :o are relative c>egiv]s1 & ins]t+ & old] relative c>egiv]s12 7ii7 9 subp>agraph 7,a71 by /rik+ p>agraph 7#a7 or 7#b7 (2 & 7iii7 9 subp>agraph 7,b7-- 7,i7 by /rik+ subsection 7b71 9 ! case ( a c>egiv] describ$ 9 p>agraph 7#a7 & ins]t+ subsection 7c71 9 ! case ( a c>egiv] describ$ 9 subsection 7a77#a72 & 7,,ii7 by /rik+ section #ajb7bb74 & ins]t+ section #ajb7bd742 & 7,b7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,a7-- 7,i7 by ins]t+ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b77 aft] social ne$2 & 7,,ii7 by /rik+ economic ne$ & all t foll[s & ins]t+ economic ne$2 &2 7#f7 9 subsection 7e71 z r$esignat$ by p>agraph 7#b71 by /rik+ subsection 7b7 & ins]t+ subsection 7c72 7#g7 9 subsection 7f77#c71 z r$esignat$ by p>agraph 7#b71 9 ! second s5t5ce1 by /rik+ or gr&p>5ts or old] individuals :o are relative c>egiv]s1 & ins]t+ old] relative c>egiv]s12 7#h7 9 subsection 7g77#a71 z r$esignat$ by p>agraph 7#b7-- 7,a7 9 subp>agraph 7,a71 by /rik+ = fiscal ye>s #bjjg1 #bjjh1 #bjji1 #bjaj1 & #bjaa & ins]t+ = ea* ( fiscal ye>s #bjad ?r\gh #bjah2 & 7,b7 9 subp>agraph 7,b71 by /rik+ "u section #cjc & ins]t+ "u section #cjc7;e72 & 7#i7 9 subsection 7h71 z r$esignat$ by p>agraph 7#b7-- 7,a7 9 p>agraph 7#b71 by /rik+ subp>agraph 7,c7 & ins]t+ ! foll[+3 7,c7 ,limitation ,a ,/ate may use n m ?an #aj p]c5t ( ! total ,f$]al & non-,f$]al %>e available to ! ,/ate "u ?is "p to provide support s]vices to-- 7i7 old] relative c>egiv]s :o provide c>e = *ildr52 & 7ii7 old] relative c>egiv]s-- 7,i7 :o provide c>e = individuals describ$ 9 section #cgb7;a77#b77;,b72 & 7,,ii7 :o are ! p>5ts ( ! individuals4 2 & 7,b7 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 "p may be us$ to support ! ,(fice ( ! ,/ate ,long-,t]m ,c>e ,ombudsman1 includ+ support+ ! developm5t ( resid5t & family c\ncils4 4 7c7 ,elim9ation ( sup]flu\s subp>t designation 7#a7 ,head+ ,"p ,e ( title ,,iii ( su* ,act 7#db ,u4,s4,c4 #cjcjs et seq47 is am5d$ by /rik+ ! subp>t head+ = subp>t #a4 7#b7 ,con=m+ am5dm5ts ,sections #cgc 7z am5d$ by subsection 7b77 & #cgd ( su* ,act 7#db ,u4,s4,c4 #cjcjs-#a1 #cjcjs-#b7 are fur!r am5d$ by /rik+ ?is subp>t 9 ea* place x appe>s & ins]t+ ?is "p4 ,,iv ,activities = heal?1 indep5d5ce1 & longevity #dja4 ,grant programs ,section #daa ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcb7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#ab71 by /rik+ 2 & & ins]t+ a semicolon2 7,b7 by r$esignat+ p>agraph 7#ac7 z p>agraph 7#ad72 & 7,c7 by ins]t+ aft] p>agraph 7#ab7 ! foll[+3 7#ac7 support+ programs t enable ! mobility & self-suffici5cy ( old] individuals ) ! greate/ economic ne$ & old] individuals ) ! greate/ social ne$ by provid+ transportation s]vices & res\rces2 & 2 & 7#b7 9 subsection 7b71 by /rik+ = fiscal ye>s #bjjg & all t foll[s ?r\gh #bjaa & ins]t+ = ea* ( fiscal ye>s #bjad ?r\gh #bjah4 #djb4 ,community innovations = ag+ 9 place ,section #dbb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcbk7 is am5d$ by add+ at ! end ! foll[+3 7g7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #e1jjj1jjj = ea* ( fiscal ye>s #bjad ?r\gh #bjah4 4 #djc4 ,multipurpose s5ior c5t] mod]nization1 tra9+1 & support ,"p ,a ( title ,,iv ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcb et seq47 is am5d$ by add+ at ! end ! foll[+3 #dbc4 ,multipurpose s5ior c5t] mod]nization1 tra9+1 & support 7a7 ,program au?oriz$ ,! ,assi/ant ,secret>y %all aw>d grants & ent] into contracts ) eligible entities to c>ry out projects to-- 7#a7 support & promote mod]n multipurpose s5ior c5t] models :i* yield vibrant1 multis]vice1 multig5]ational c5t]s = old] individuals1 families ( old] individuals1 & o!rs 9 ! community to ga9 skills1 res\rces1 & connections ne$$ to meet ! *all5ges t occur ) cont9uum ( c>e & quality ( life2 7#b7 build an evid5ce base ( mod]n1 replicable practices t all[ s5ior c5t]s to s]ve a div]se array ( old] individuals1 z well z _! families & o!r c>egiv]s1 lev]ag+ innovative p>tn]%ips & public & private res\rces to develop & exp& programs2 & 7#c7 mobilize s]vices & lev]age res\rces to support ! role ( multipurpose s5ior c5t]s z community focal po9ts1 z provid$ 9 section #cjf7;a77#c71 & = ! e/abli%m5t1 con/ruction1 ma9t5ance1 & op]ation ( c5t]s1 z describ$ 9 sections #cjc7;c77#b7 & #cjf7;a77#a71 includ+ developm5t ( int]g5]ational %>$ site models1 consi/5t ) ! purposes ( ?is ,act4 7b7 ,use ( funds ,an eligible entity %all use funds made available "u a grant aw>d$1 or a contract ent]$ into1 "u subsection 7a7 to-- 7#a7 c>ry out a project describ$ 9 subsection 7a72 & 7#b7 evaluate ! project 9 accordance ) subsection 7e74 7c7 ,eligible entity ,= purposes ( ?is section1 ! t]m eligible entity means-- 7#a7 a multipurpose s5ior c5t] t has met national accr$itation & fiduci>y /&>ds2 & 7#b7 a regional p>tn]%ip or collaboration ( multipurpose s5ior c5t]s or ,/ate association ( s5ior c5t]s 9 :i* n less ?an #b c5t]s are accr$it$4 7d7 ,competitive grants = te*nical assi/ance 7#a7 ,grants ,! ,assi/ant ,secret>y %all make a grant1 on a competitive basis1 to an eligible nonpr(it organization describ$ 9 p>agraph 7#b71 to enable ! organization to-- 7,a7 provide tra9+ & te*nical assi/ance to recipi5ts ( grants "u ?is section & o!r multipurpose s5ior c5t]s to adopt & tailor evid5ce-bas$ mod]nization /rategies & practices to respond to ! economic & heal? ne$s ( ! div]se & gr[+ ag+ populations 9 _! own communities2 & 7,b7 c>ry out o!r duties1 z det]m9$ by ! ,assi/ant ,secret>y4 7#b7 ,eligible nonpr(it organization ,to be eligible to receive a grant "u ?is subsection1 an organization %all be a nonpr(it organization 7includ+ a p>tn]%ip ( nonpr(it organizations71 t-- 7,a7 has exp]i5ce & exp]tise 9 provid+ te*nical assi/ance to a range ( multipurpose s5ior c5t]s & exp]i5ce evaluat+ & report+ on programs2 & 7,b7 has demon/rat$ k ( & exp]tise 9 multipurpose s5ior c5t] accr$itation or o!r /&>ds ( excell5ce4 7e7 ,local evaluation & report 7#a7 ,evaluation ,ea* entity receiv+ a grant or a contract "u subsection 7a7 to c>ry out a project describ$ 9 subsection 7a7 %all evaluate ! project1 lead]%ip1 & res\rces = ! mod]nization ( multipurpose s5ior c5t]s4 7#b7 ,report ,! entity describ$ 9 p>agraph 7#a7 %all submit a report to ! ,assi/ant ,secret>y conta9+ ! evaluation n lat] ?an #f mon?s aft] ! expiration ( ! p]iod = :i* ! grant or contract is 9 effect4 7f7 ,report to ,congress ,n lat] ?an #f mon?s aft] ! ,assi/ant ,secret>y receives ! reports describ$ 9 subsection 7e77#b71 ! ,assi/ant ,secret>y %all prep>e & submit to ,congress a report t describes ! results ( ! evaluations4 4 #djd4 ,demon/ration program on c>e coord9ation & s]vice deliv]y ,"p ,a ( title ,,iv ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcb et seq471 z am5d$ by section #djc1 is fur!r am5d$ by add+ at ! end ! foll[+3 #dbd4 ,demon/ration program on c>e coord9ation & s]vice deliv]y 7a7 ,e/abli%m5t ( demon/ration program 7#a7 ,9 g5]al ,! ,assi/ant ,secret>y %all c>ry out a demon/ration program 9 accordance ) ?is section4 ,! ,assi/ant ,secret>y %all aw>d grants to eligible entities 7z det]m9$ by ! ,secret>y7 to implem5t demon/ration projects t focus on c>e coord9ation & s]vice deliv]y r$esign = old] individuals ) *ronic illness or at risk ( in/itutional placem5t by-- 7,a7 design+ & te/+ new models ( c>e coord9ation & s]vice deliv]y t ?\ghtfully & effectively deploy advanc$ aides to improve effici5cy & quality ( c>e = frail old] individuals2 & 7,b7 giv+ direct-c>e work]s opportunities = c>e] advancem5t ?r\gh additional tra9+1 an exp&$ role1 & increas$ comp5sation4 7#b7 ,direct-c>e work] ,9 ?is section1 ! t]m direct-c>e work] has ! mean+ giv5 t t]m 9 ! #bjaj ,/&>d ,occupational ,classifications ( ! ,dep>tm5t ( ,labor = ,home ,heal? ,aides #ca-ajaa1 ,psy*iatric ,aides #ca-ajac1 ,nurs+ ,assi/ants #ca-ajad1 & ,p]sonal ,c>e ,aides #ci-ijba4 7b7 ,plann+ & implem5tation aw>ds "u ! program 7#a7 ,9 g5]al ,ea* eligible entity t receives a grant "u ?is section %all receive a grant = plann+ & implem5tation activities relat$ to ! demon/ration project to be c>ri$ out by ! entity4 7#b7 ,am\nt ,! am\nt aw>d$ "u p>agraph 7#a7 = all grants-- 7,a7 = plann+ activities1 %all n exce$ #fjj1jjj2 & 7,b7 = implem5tation activities1 %all n exce$ #b1ijj1jjj4 7#c7 ,t]ms ,plann+ activities c>ri$ out "u a grant aw>d$ "u p>agraph 7#a7 %all be complet$ n lat] ?an #a ye> aft] ! grant is aw>d$4 ,implem5tation activities c>ri$ out "u su* a grant %all be complet$ n lat] ?an #b ye>s aft] ! grant is aw>d$4 7#d7 ,evaluation & report ,ea* recipi5t ( a grant "u p>agraph 7#a71 9 consultation ) an indep5d5t evaluation contractor1 %all conduct an evaluation & submit to ! ,secret>y a report on ! implem5tation ( activities conduct$ "u ! demon/ration project1 includ+ su* in=mation z ! ,secret>y may require4 4 #dje4 ,grants or contracts to facilitate l[-income access to d5tal c>e ,"p ,a ( title ,,iv ( ! ,old] ,am]icans ,act ( #aife1 z am5d$ by section #djd1 is fur!r am5d$ by add+ at ! end ! foll[+3 #dbe4 ,grants or contracts to facilitate l[-income access to d5tal c>e 7a7 ,def9ition ,9 ?is section1 ! t]m m$ically recomm5d$ d5tal c>e means treatm5t ( an oral disease or o!r oral condition1 on ! ref]ral ( a physician or o!r heal? c>e pr(essional1 to su/a9 or improve ov]all heal?1 prev5t exac]bation ( a co-morbid condition1 or z a pr]equisite to a requir$ m$ical !rapy4 7b7 ,grants ,! ,secret>y %all aw>d competitive grants to1 or ent] into contracts )1 eligible entities to fund ! employm5t co/s ( pr(essionals :o w use grant or contract funds to-- 7#a7 coord9ate ! provision ( m$ically recomm5d$ d5tal c>e to eligible individuals by volunte] d5ti/s 9 a mann] consi/5t ) ,/ate lic5s+ laws2 & 7#b7 v]ify ! m$ical1 d5tal1 & f9ancial ne$s ( eligible individuals :o may be eligible = free m$ically recomm5d$ d5tal c>e4 7c7 ,eligibility 7#a7 ,eligible entity ,to be eligible to receive a grant or contract "u subsection 7b71 an entity %all be a nonpr(it organization t provides = ! p>ticipation ( eligible individuals 9 a free d5tal s]vices program on a national basis4 7#b7 ,eligible individual ,to be eligible to p>ticipate 9 a program describ$ 9 p>agraph 7#a71 individuals %all be ^? ) greate/ economic ne$ & individuals ) greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b774 7d7 ,use ( funds ,an entity %all use am\nts receiv$ "u a grant or contract "u ?is section to e/abli%1 exp&1 or op]ate a program to coord9ate ! provision ( free m$ically recomm5d$ d5tal c>e ?r\gh volunte] d5ti/s to eligible individuals4 7e7 ,evaluation & report 7#a7 ,evaluation ,ea* entity t receives a grant or contract "u ?is section %all evaluate ! numb] ( pati5ts s]v$ "u ! grant or contract1 & ! effectiv5ess ( ! program describ$ 9 subsection 7d7 9 r$uc+ m$ical exp5ses associat$ ) ! disease or condition = :i* c>e describ$ 9 subsection 7d7 0 provid$4 7#b7 ,report ,! entity %all submit a report conta9+ ! results ( ! evaluation to ! ,assi/ant ,secret>y1 n lat] ?an #f mon?s aft] ! end ( ! p]iod ( ! grant or contract4 7f7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #b1jjj1jjj = ea* ( fiscal ye>s #bjad ?r\gh #bjah4 4 #djf4 ,national res\rce c5t] on family c>egiv+ ,"p ,a ( title ,,iv ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcb et seq471 z am5d$ by section #dje1 is fur!r am5d$ by add+ at ! end ! foll[+3 #dbf4 ,national ,res\rce ,c5t] on ,family ,c>egiv+ 7a7 ,e/abli%m5t ,! ,secret>y ( ,heal? & ,human ,s]vices %all aw>d a grant to or ent] into a coop]ative agreem5t ) a public or private nonpr(it entity to e/abli% a ,national ,res\rce ,c5t] on ,family ,c>egiv+ 7ref]r$ to 9 ?is section z ! ,c5t]74 7b7 ,developm5t ,! ,assi/ant ,secret>y %all develop & issue op]at+ /&>ds & report+ requirem5ts = ! ,c5t] e/abli%$ "u subsection 7a74 7c7 ,au?orization ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #b1jjj1jjj = ea* ( fiscal ye>s #bjad ?r\gh #bjah4 4 #djg4 ,con=m+ am5dm5t ,section #dag7;c77#b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcb;f7c77#b77 is am5d$ by /rik+ old] individuals & communities & all t foll[s & ins]t+ communities ) greate/ ne$1 old] individuals ) greate/ economic ne$1 & old] individuals ) greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b7724 ,v ,community s]vice s5ior opportunities #eja4 ,old] am]ican community s]vice employm5t program ,section #ejb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjef7 is am5d$-- 7#a7 9 subsection 7a77#a7-- 7,a7 by /rik+ ,to fo/] individual economic self-suffici5cy & & ins]t+ ,to fur!r ! goal ( economic security1 fo/] individual economic self-suffici5cy1 gr[ local economies1 improve ! quality ( life 9 local communities1 &2 & 7,b7 by /rik+ p]sons :o are age #ee & ins]t+ p]sons :o are n economically secure & :o are age #ee2 & 7#b7 9 subsection 7b77#a7-- 7,a7 9 subp>agraph 7,e71 by /rik+ support = *ildr51 & ins]t+ support = adults1 *ildr512 & 7,b7 9 subp>agraph 7,m71 by /rik+ & eligible individuals ) greate/ economic ne$ & ins]t+ eligible individuals ) disabilities1 eligible individuals ) greate/ economic ne$1 & eligible individuals ) greate/ social ne$4 #ejb4 ,int]ag5cy coop]ation ,section #ead ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjefl7 is am5d$-- 7#a7 9 subsection 7c77#a71 by /rik+ individuals ) greate/ economic ne$1 individuals ) greate/ social ne$1 & ins]t+ individuals ) greate/ economic ne$1 individuals ) greate/ social ne$ 7) p>ticul> att5tion to individuals ) factors li/$ 9 section #ajb7bf77;,b7712 & 7#b7 9 subsection 7e77#a71 by /rik+ m9ority & all t foll[s ?r\gh economic ne$1 & ins]t+ individuals ) greate/ economic ne$1 individuals ) greate/ social ne$14 #ejc4 ,au?orization ( appropriations ,section #eag7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjefo7a77 is am5d$ by /rik+ fiscal ye>s #bjjg1 #bjjh1 #bjji1 #bjaj1 & #bjaa & ins]t+ ea* ( fiscal ye>s #bjad ?r\gh #bjah4 #ejd4 ,/udy on feasibility ( transf] ( program 7a7 ,/udy ,! ,assi/ant ,secret>y = ,ag+ ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 & ! ,secret>y ( ,labor1 %all /udy ! feasibility ( transf]r+ ! program c>ri$ out "u title ,v ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjef et seq47 to ! ,adm9i/ration on ,ag+4 7b7 ,report ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,assi/ant ,secret>y & ! ,secret>y %all submit a report conta9+ ! results ( ! /udy to ! appropriate committees ( ,congress4 ,,vi ,grants = native am]icans #fja4 ,te*nical am5dm5t ,section #faa ( su* ,act 7#db ,u4,s4,c4 #cjeg;b7 is am5d$ by /rik+ 7a7 9 ! matt] prec$+ p>agraph 7#a74 #fjb4 ,con=m+ am5dm5t ,section #fca7;b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjegk-#aa7;b77 is am5d$ by /rik+ subsections 7c71 7d71 & 7e7 & ins]t+ subsections 7d71 7e71 & 7f74 #fjc4 ,reau?orization ( fund+ = grants = ,native ,am]icans ,section #fdc7b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjegn7#b77 is am5d$ by /rik+ "p ,c1 & all t foll[s & ins]t+ "p ,c1 n less ?an #h1djj1jjj = ea* ( fiscal ye>s #bjad ?r\gh #bjah44 ,,vii ,vuln]able eld] rights protection activities #gja4 ,e/abli%m5t ,section #gja ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeh7 is am5d$-- 7#a7 by ins]t+ & grants aft] allotm5ts2 & 7#b7 by add+ at ! end ! foll[+3 ,! ,assi/ant ,secret>y1 to ! maximum ext5t practicable1 %all ensure t education & public aw>5ess activities "u ?is title are fully integrat$ ) programs "u ?is ,act44 #gjb4 ,au?orization ( appropriations ,*apt] #a ( subtitle ,a ( title ,,vii ( ! ,old] ,am]icans ,act ( #aife is am5d$ by ins]t+ aft] section #gjb 7#db ,u4,s4,c4 #cjeh;a7 ! foll[+3 #gjb;,a4 ,au?orization ( appropriations = ,/ate ,home ,c>e ,ombudsman ,program ,!re are au?oriz$ to be appropriat$ to c>ry out *apt] #e su* sums z may be necess>y = fiscal ye> #bjad & ea* subsequ5t fiscal ye>4 4 #gjc4 ,grants ,section #gjc ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeh;b7 is am5d$ by add+ at ! end ! foll[+3 7d7 ,grants = ,/ate home c>e ombudsman programs ,! ,assi/ant ,secret>y %all use funds made available "u section #gjb;,a to aw>d grants1 on a competitive basis1 to ,/ates = ,/ate ,home ,c>e ,ombudsman ,programs4 4 #gjd4 ,eligibility ,section #gjd ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeh;c7 is am5d$1 9 ! matt] prec$+ p>agraph 7#a71 by ins]t+ or grants aft] allotm5ts4 #gje4 ,additional ,/ate plan requirem5ts ,section #gje ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeh;d7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by ins]t+ or grant aft] allotm5t2 7,b7 9 p>agraph 7#a71 by /rik+ requirem5ts ( ! *apt] & ?is *apt] & ins]t+ requirem5ts ( ?is *apt] & ?is subtitle2 7,c7 9 p>agraph 7#b71 by ins]t+ family c>egiv]s1 aft] title ,,vi12 7,d7 9 p>agraph 7#d71 by /rik+ enactm5t ( ?is subtitle & ins]t+ enactm5t ( ! *apt]2 7,e7 9 p>agraph 7#f71 by /rik+ & at ! end2 7,f7 9 p>agraph 7#g71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,g7 by add+ at ! end ! foll[+3 7#h7 an assurance t ! ,/ate has-- 7,a7 a ,home ,c>e ,consum] ,bill ( ,rights & a ,plan = ,en=cem5t ( su* a ,bill1 develop$ 9 accordance ) ! proc$ures describ$ "u p>agraph 7#b7 & z approv$ by ! ,assi/ant ,secret>y1 & ! ,/ate %all include a copy ( ! ,bill & ,plan2 or 7,b7 a waiv] ( subp>agraph 7,a7 f ! ,assi/ant ,secret>y & a proposal = develop+ & submitt+ = approval a ,home ,c>e ,consum] ,bill ( ,rights & ,plan = ,en=cem5t4 2 7#b7 by r$esignat+ subsection 7b7 z subsection 7d72 7#c7 by ins]t+ aft] subsection 7a7 ! foll[+3 7b7 ,home ,c>e ,consum] ,bill ( ,rights ,! ,home ,c>e ,consum] ,bill ( ,rights ref]r$ to 9 subsection 7a77#h7 %all1 at a m9imum-- 7#a7 address a home c>e consum]'s "r to basic safety2 7#b7 address a home c>e consum]'s "r to access in=mation ab\t ! co/ ( home c>e s]vices prior to receiv+ ^? s]vices2 7#c7 address a home c>e consum]'s "r to *oice1 p>ticipation1 & self-det]m9ation2 7#d7 address a home c>e consum]'s "r to r$ress grievances2 & 7#e7 meet any o!r guidel9es det]m9$ to be appropriate by ! ,assi/ant ,secret>y4 7c7 ,plan = en=cem5t ,! ,plan = ,en=cem5t ref]r$ to 9 subsection 7a77#h7 %all include a description ( h[ ,/ate entities ) a role 9 protect+ old] individuals w coord9ate activities to en=ce ! ,home ,c>e ,consum] ,bill ( ,rights4 2 & 7#d7 by add+ at ! end ! foll[+3 7e7 ,def9ition ,9 ?is section1 ! t]m home c>e consum] & home c>e s]vices h ! mean+s giv5 ! t]ms 9 section #gcf4 4 #gjf4 ,def9itions ,section #gaa7f7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeh;f7#f77 is am5d$ by /rik+ old] individual & ins]t+ individual4 #gjg4 ,/ate ,long-,t]m ,c>e ,ombudsman program ,section #gab ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeh;g7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#b71 by add+ at ! end ! foll[+3 ,! ,ombudsman %all be responsible = ! managem5t1 includ+ ! fiscal managem5t1 ( ! ,(fice42 7,b7 9 p>agraph 7#c7-- 7i7 9 subp>agraph 7,a71 by /rik+ clause 7i7 & ins]t+ ! foll[+3 7i7 are made by or on behalf ( resid5ts1 includ+ resid5ts ) limit$ or no decisionmak+ capacity & :o h no kn[n legal repres5tative1 & if su* a resid5t is unable to communicate cons5t = an ,ombudsman to "w on a compla9t directly involv+ ! resid5t1 ! ,ombudsman %all seek evid5ce to indicate :at outcome ! resid5t w\ld h desir$ 7&1 9 ! abs5ce ( evid5ce to ! contr>y1 %all assume t ! resid5t wi%es to h ! resid5t's heal?1 safety1 welf>e1 & rights protect$7 & %all "w to accompli% ! desir$ outcome2 2 7ii7 9 subp>agraph 7,d71 by /rik+ regul> & timely & ins]t+ regul>1 timely1 private1 & unimp$$2 & 7iii7 9 subp>agraph 7,h77iii71 by /rik+ provide te*nical support = & ins]t+ actively enc\rage & assi/ 92 7,c7 9 p>agraph 7#d7-- 7i7 9 ! p>agraph head]1 by /rik+ ,contracts & arrangem5ts & ins]t+ ,organizational placem5t2 & 7ii7 by /rik+ subp>agraph 7,b7 & ins]t+ ! foll[+3 7,b7 ,id5tify+1 remov+1 & rem$y+ organizational conflict 7i7 ,9 g5]al ,! ,/ate ag5cy may n op]ate ! ,(fice or c>ry out ! program1 directly1 or by contract or o!r arrangem5t ) any public ag5cy or nonpr(it private organization1 9 a case 9 :i* !re is an organizational conflict ( int]e/ unless su* conflict has be5-- 7,i7 id5tifi$ by ! ,/ate ag5cy2 7,,ii7 disclos$ by ! ,/ate ag5cy to ! ,assi/ant ,secret>y 9 writ+2 & 7,,iii7 rem$i$ 9 accordance ) ?is subp>agraph4 7ii7 ,action by adm9i/ration ,9 a case 9 :i* a pot5tial or actual organizational conflict ( int]e/ involv+ ! ,(fice is disclos$ or report$ to ! ,assi/ant ,secret>y by any p]son or entity1 ! ,assi/ant ,secret>y %all require t ! ,/ate ag5cy-- 7,i7 remove ! conflict2 or 7,,ii7 submit1 & obta9 ! approval ( ! ,assi/ant ,secret>y =1 an adequate rem$ial plan t indicates h[ ! ,ombudsman w be un5cumb]$ 9 fulfill+ all ( ! functions specifi$ 9 p>agraph 7#c74 7,c7 ,organizational conflict ( int]e/ ,9 ?is p>agraph1 ! t]m organizational conflict ( int]e/ includes a situation 9 :i* ! ,(fice is plac$ 9 an organization t-- 7i7 is responsible = lic5s+ or c]tify+ long-t]m c>e s]vices 9 ! ,/ate2 7ii7 is an association 7or an affiliate ( su* an association7 ( long-t]m c>e facilities1 or ( any o!r resid5tial facilities = old] individuals2 7iii7 provides long-t]m c>e s]vices1 includ+ programs c>ri$ out "u a ,m$icaid waiv] approv$ "u section #aaae ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acae7 or "u subsection 7c7 or 7b7 ( section #aiae ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifn71 or "u a ,m$icaid ,/ate plan am5dm5t "u subsection 7i71 7j71 or 7k7 ( section #aiae ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifn72 7iv7 provides long-t]m c>e case managem5t2 7v7 sets rates = long-t]m c>e s]vices2 7vi7 provides adult protective s]vices2 7vii7 is responsible = eligibility det]m9ations = ! ,m$ic>e program c>ri$ out "u title ,,xviii1 or ! ,m$icaid program c>ri$ out "u title ,,xix1 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq41 #acif et seq472 7viii7 conducts preadmission scre5+ = placem5ts 9 facilities describ$ 9 clause 7ii72 or 7ix7 makes decisions reg>d+ admission ( individuals to su* facilities4 2 & 7,d7 9 p>agraph 7#e77;,b77vi71 by /rik+ support & ins]t+ actively enc\rage & assi/ 92 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a7-- 7i7 9 subp>agraph 7,a71 by /rik+ access & ins]t+ private & unimp$$ access2 7ii7 9 subp>agraph 7,b77i7-- 7,i7 9 ! matt] prec$+ subclause 7,i71 by /rik+ ! m$ical & social records ( a & ins]t+ all records conc]n+ a2 & 7,,ii7 9 subclause 7,,ii71 by /rik+ to cons5t & ins]t+ to communicate cons5t2 7iii7 by r$esignat+ subp>agraphs 7,c7 & 7,d7 z subp>agraphs 7,e7 & 7,f71 respectively2 & 7iv7 by ins]t+ aft] subp>agraph 7,b7 ! foll[+3 7,c7 su* access z is necess>y to advocate = a resid5t's desir$ outcome to ! ext5t t ! resid5t c express ! outcome desir$1 ev5 if ! resid5t is unable to communicate cons5t2 7,d7 access to ! records ( a resid5t :o is unable to communicate cons5t 9 a case 9 :i*-- 7i7 ! access is necess>y to inve/igate & resolve a compla9t describ$ 9 subsection 7a77#c72 7ii7 a legal gu>dian ( ! resid5t refuses to give p]mission = ! access2 7iii7 a repres5tative ( ! ,(fice has reasonable cause to believe t ! gu>dian is n act+ 9 ! be/ int]e/s ( ! resid5t by refus+2 7iv7 ! resid5t has no o!r kn[n legal repres5tative2 & 7v7 ! repres5tative ( ! ,(fice obta9s ! approval ( ! ,ombudsman2 2 & 7,b7 by add+ at ! end ! foll[+3 7#c7 ,heal? ov]sight ag5cy ,= purposes ( section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif 7includ+ regulations issu$ "u t section7 7#db ,u4,s4,c4 #acbj;d-#b note71 ! ,ombudsman & a repres5tative ( ! ,(fice %all be consid]$ a heal? ov]sight ag5cy1 s t release ( resid5ts' individually id5tifiable heal? in=mation to ! ,ombudsman or repres5tative is n preclud$ 9 cases 9 :i* ! requirem5ts ( clause 7i7 or 7ii7 ( p>agraph 7#a77;,b71 or ! requirem5ts ( p>agraph 7#a77;,d7 are o!rwise met4 2 7#c7 9 subsection 7c77#b77;,d71 by /rik+ section #bjb7;a77#ba7 & ins]t+ section #bjb7;a77#ah72 7#d7 9 subsection 7d7-- 7,a7 9 p>agraph 7#a71 by /rik+ files & ins]t+ in=mation2 & 7,b7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,a71 by /rik+ files & records ea* place su* t]m appe>s & ins]t+ in=mation2 & 7ii7 9 subp>agraph 7,b71 by /rik+ files or records & ins]t+ in=mation2 7#e7 9 subsection 7f77#c7-- 7,a7 9 subp>agraph 7,c71 by /rik+ facility2 & & ins]t+ facility or a relat$ organization1 & has n be5 employ$ by su* a facility or organization )9 #b ye>s be=e ! date ( ! det]m9ation involv$22 7,b7 9 subp>agraph 7,d71 by /rik+ & at ! end2 & 7,c7 by add+ at ! end ! foll[+3 7,e7 does n h managem5t responsibility =1 or op]ate "u ! sup]vision (1 an ag5cy ) responsibility = adult protective s]vices2 & 7,f7 does n s]ve z a gu>dian or 9 ano!r fiduci>y capacity = resid5ts ( long-t]m c>e facilities 9 an (ficial capacity 7z oppos$ to s]v+ z a gu>dian or fiduci>y1 = a family memb]1 9 a p]sonal capacity72 & 2 7#f7 9 subsection 7h7-- 7,a7 9 p>agraph 7#d71 by /rik+ all t prec$es proc$ures & ins]t+ ! foll[+3 7#d7 /r5g!n & update 2 7,b7 by r$esignat+ p>agraphs 7#d7 ?r\gh 7#i7 z p>agraphs 7#e7 ?r\gh 7#aj71 respectively2 7,c7 by ins]t+ aft] p>agraph 7#c7 ! foll[+3 7#d7 ensure t ! ,ombudsman or a designee att5ds tra9+ provid$ by ! ,adm9i/ration ?r\gh ! ,national ,ombudsman ,res\rce ,c5t] e/abli%$ 9 section #bjb7;a77#ah72 2 7,d7 9 p>agraph 7#g77;,a71 z r$esignat$ by subp>agraph 7,b7 ( ?is p>agraph1 by /rik+ subtitle ,c ( ! & ins]t+ subtitle ,c ( title ,i ( !2 & 7,e7 9 p>agraph 7#aj71 z r$esignat$ by subp>agraph 7,b7 ( ?is p>agraph1 by /rik+ 7#f71 or 7#g7 & ins]t+ 7#g71 or 7#h72 & 7#g7 by add+ at ! end ! foll[+3 7k7 ,ensur+ effective programs & resid5ts' rights ,! ,/ate ag5cy %all ensure ! ,(fice-- 7#a7 provides long-t]m c>e facility resid5ts ) private & unimp$$ access to ! ,(fice1 includ+ access to all records conc]n+ ! resid5t2 & 7#b7 all[s all long-t]m c>e facility resid5ts to receive s]vices f ! ,(fice4 4 #gjh4 ,prev5tion ( eld] abuse1 neglect1 & exploitation ,section #gba7;b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeh;i7b77 is am5d$-- 7#a7 9 p>agraph 7#b71 by /rik+ ! semicolon & ins]t+ ! foll[+3 1 includ+ education & outrea* to pr(essionals includ+ po/al c>ri]s1 employees ( f9ancial in/itutions1 firefight]s1 met] read]s1 & o!r community pr(essionals :o are 9 a position to obs]ve an old] individual on a daily or regul> basis22 7#b7 9 p>agraph 7#d71 by ins]t+ be=e ! semicolon ! foll[+3 & submit data on ! preval5ce ( eld] abuse1 neglect1 & exploitation = ! appropriate database ( ! ,adm9i/ration or ano!r database specifi$ by ! ,assi/ant ,secret>y2 7#c7 by r$esignat+ p>agraphs 7#h7 ?r\gh 7#ab7 z p>agraphs 7#i7 ?r\gh 7#ac71 respectively2 7#d7 by ins]t+ aft] p>agraph 7#g7 ! foll[+3 7#h7 conduct+ appropriate tra9+ to ensure cultural s5sitivity 9 ! provision ( eld] rights s]vices1 includ+ tra9+ 9 cultural issues associat$ ) abuse2 2 7#e7 9 subp>agraph 7,c7 ( p>agraph 7#aj71 z r$esignat$ by p>agraph 7#c7 ( ?is section-- 7,a7 9 clause 7ii71 by ins]t+ 1 su* z =5sic acc\ntants1 aft] su* p]sonnel2 & 7,b7 9 clause 7v71 by /rik+ ! comma at ! end & ins]t+ 1 includ+ programs & arrangem5ts t w safegu>d victims' or pot5tial victims' f9ances1 su* z daily money managem5t programs & cons]vator%ips12 7#f7 9 p>agraph 7#ab71 z r$esignat$ by p>agraph 7#c7 ( ?is section-- 7,a7 9 subp>agraph 7,d71 by /rik+ & at ! end2 & 7,b7 by add+ at ! end ! foll[+3 7,f7 support+ & /udy+ innovative practices 9 local communities1 to develop p>tn]%ips across discipl9es = ! prev5tion1 inve/igation1 & prosecution ( exploitation2 2 7#g7 9 p>agraph 7#ac71 z r$esignat$ by p>agraph 7#c7 ( ?is section-- 7,a7 9 subp>agraph 7,b71 by /rik+ or at ! end2 7,b7 9 subp>agraph 7,c71 by /rik+ ! p]iod at ! end & ins]t+ 2 or2 & 7,c7 by add+ at ! end ! foll[+3 7,d7 old] individuals :o are ,holocau/ survivors2 & 2 & 7#h7 by add+ at ! end ! foll[+3 7#ad7 develop+ a ,/ate ,home ,c>e ,consum] ,bill ( ,rights & ,plan = ,en=cem5t 7z describ$ 9 section #gje7 to protect home c>e consum]s 7z def9$ 9 section #gcf7 f abuse1 neglect1 & exploitation4 4 #gji4 ,/ate legal assi/ance developm5t ,section #gca ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeh;j7 is am5d$ by /rik+ ,a ,/ate ag5cy & all t foll[s ?r\gh to ensure-- & ins]t+ ! foll[+3 7a7 ,/ate legal s]vices develop] ,a ,/ate ag5cy %all provide ! s]vices ( an individual :o %all be kn[n z a ,/ate legal s]vices develop]1 :o %all promote1 & may facilitate1 ! developm5t & op]ation ( an integrat$ legal assi/ance deliv]y sy/em = ! ,/ate4 ,to ! maximum ext5t practicable1 ! individual select$ to s]ve z ! develop] %all-- 7#a7 agree to s]ve z ! develop] on a full-"t basis2 7#b7 h a law degree f an accr$it$ law s*ool or h be5 admitt$ to practice law 9 any jurisdiction 9 ! ,unit$ ,/ates2 & 7#c7 possess o!r k1 skills1 tra9+1 & education t reflect a compreh5sive und]/&+ ( legal s]vices = old] individuals4 7b7 ,o!r p]sonnel ,9 addition to ! ,/ate legal s]vices develop]1 ! ,/ate ag5cy %all provide ! s]vices ( o!r p]sonnel1 suffici5t to ensure-- 4 #gaj4 ,/ate ,home ,c>e ,ombudsman ,programs ,subtitle ,a ( title ,,vii ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeh et seq47 is am5d$ by add+ at ! end ! foll[+3 #e ,/ate ,home ,c>e ,ombudsman ,programs #gcf4 ,def9itions ,9 ?is *apt]3 7#a7 ,home c>e consum] ,! t]m home c>e consum] means a p]son :o receives s]vices 9 ! p]son's home or community1 :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 7#b7 ,home c>e ombudsman program ,! t]m home c>e ombudsman program means a ,/ate ,home ,c>e ,ombudsman ,program describ$ 9 section #gcg7;a77#a74 7#c7 ,home c>e s]vices ,! t]m home c>e s]vices means home & community-bas$ s]vices1 includ+ p]sonal c>e s]vices design$ to assi/ an individual 9 ! activities ( daily liv+ su* z ba?+1 ex]cis+1 p]sonal groom+1 & gett+ 9 & out ( b$4 #gcg4 ,program 7a7 ,e/abli%m5t 7#a7 ,9 g5]al ,9 ord] to be eligible to receive a grant "u section #gjc7;d7 f funds appropriat$ "u section #gjb;,a & made available to c>ry out ?is *apt]1 a ,/ate ag5cy %all1 9 accordance ) ?is section1 agree to c>ry out a ,/ate ,home ,c>e ,ombudsman ,program )9 ! ,(fice ( ! ,/ate ,long-,t]m ,c>e ,ombudsman4 7#b7 ,home c>e ombudsman program ,! home c>e ombudsman program %all be c>ri$ out by ! ,/ate ,long-,t]m ,c>e ,ombudsman4 ,! ,ombudsman & o!r entities c>ry+ out ! home c>e ombudsman program %all h au?orities1 requirem5ts1 & functions ) respect to t program1 & home c>e s]vices provid$ & home c>e consum]s s]v$ "u t program1 t are equival5t 7z det]m9$ by ! ,secret>y7 to ! au?orities1 requirem5ts1 & functions ! ,ombudsman & o!r entities h 9 c>ry+ out ! ,/ate ,long-,t]m ,c>e ,ombudsman ,program "u *apt] #b1 & long-t]m c>e provid$ & long-t]m c>e consum]s s]v$ "u t program4 7b7 ,ma9t5ance ( ef=t ,a ,/ate1 9 us+ ! funds made available = a fiscal ye> ?r\gh a grant receiv$ "u section #gjc7;d71 %all ma9ta9 ! exp5ditures ( ! ,/ate = home c>e ombudsman s]vices at a level t is n less ?an ! level ( su* exp5ditures ma9ta9$ by ! ,/ate = ! prec$+ fiscal ye>4 7c7 ,evaluation ,! ,assi/ant ,secret>y %all-- 7#a7 9 conjunction ) ! ,director ( ! ,(fice ( ,long-,t]m ,c>e ,ombudsman ,programs & ! heads ( o!r entities det]m9$ to be necess>y by ! ,assi/ant ,secret>y1 collect f ! ,/ates & analyze data f ! home c>e ombudsman programs relat+ to compla9ts & conditions conc]n+ home c>e s]vices & home c>e consum]s & )9 #a ye> aft] receipt ( ! data1 submit a report to ,congress outl9+ be/ practices = c>ry+ out a home c>e ombudsman program2 & 7#b7 make ! report available to ,/ates4 4 ,,viii ,g]iatrics & g]ontology #hja4 ,prim>y heal? s]vices ,section #cca7;a77#c77;,d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;d7a77#c77;,d77 is am5d$ by ins]t+ g]iatrics1 g]ontology1 aft] p$iatrics14