,,ii  #aac? ,,congress  #b;d ,session   
,s4 #bgfc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #ca1 #bjad ,mr4  
,m]kley 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 create a collaborative  
network ) a s+le po9t ( entry = s]vices 
& supports1 to improve programs to      
prev5t eld] f9ancial exploitation1 to   
create a community c>e wrap-ar\nd       
support demon/ration program1 & to      
create a national campaign to raise     
aw>5ess ( ! ag+ network & promote       
advance integrat$ long-t]m c>e plann+1 &
 = o!r purposes4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,old] ,am]icans    
,community ,access ,revitalization &    
,education ,act or ! ,old] ,am]icans    
,,c>e ,act4  #b4 ,def9itions  7a7 ,ag+ &
 ,disability ,res\rce ,c5t]  7#a7 ,9    
g5]al ,section #ajb7d7 ( ! ,old]        
,am]icans ,act ( #aife 7#db ,u4,s4,c4   
#cjjb7d77 is am5d$ to read z foll[s3    

7#d7 ,! t]m ,ag+ & ,disability ,res\rce 
,c5t] means a collaborative network t   
has a no wrong door s+le entry po9t     
sy/em 7z describ$ 9 section             
#ajbjb7;c77#e77;,a7 ( ! ,pati5t         
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #acif;d note2 ref]r$ to       
individually 9 ?is ,act z a no wrong    
door sy/em77 & a compreh5sive &         
integrat$ program t--  7,a7 is e/abli%$ 
by ! ,/ate ag5cy & adm9i/]$ z id5tifi$  
by ! ,/ate 9 ! ,/ate plan describ$ 9    
section #cjg z "p ( a ,/ate sy/em (     
integrat$ long-t]m c>e = individuals )  
disabilities & old] individuals2  7,b7  
is plann$ & implem5t$ 9 a mann] t       
involves =mal p>tn]%ips1 e/abli%$ betwe5
 ag+ & disability ag5cies &             
organizations--  7i7 t are e/abli%$ s t 
individuals ( all ages ) ne$s =         
integrat$ long-t]m c>e1 c be prop]ly    
rea*$ & s]v$ )9 _! communities1 :ile    
maximiz+ self-direction2 &  7ii7 ea* (  
:i* is compris$ (--  7,i7 ! ,/ate ag5cy 
& area ag5cies on ag+ at ! ,/ate & local

 levels1 respectively2 &  7,,ii7 ,/ate &
 local disability ag5cies &             
organizations1 includ+ ,/ate indep5d5t  
liv+ c\ncils & c5t]s = indep5d5t liv+1  
entities s]v+ individuals )             
developm5tal1 physical1 m5tal1 or       
cognitive disabilities1 consum]s1       
advocates1 & o!r entities & individuals2
  7,c7 provides a coord9at$ sy/em =     
provid+--  7i7 an approa* = provid+     
access1 in=mation1 ref]rals1 & assi/ance
 t is p]son-c5t]$1 is a no wrong door   
sy/em1 goes beyond provid+ access1      
in=mation1 ref]rals1 & assi/ance        
available "u or coord9at$ ?r\gh ?is     
,act1 & s]ves all individuals reg>dless 
( age1 income1 disability1 or /ate (    
long-t]m c>e s]vices & supports plann+2 
7ii7 compreh5sive in=mation on ! full   
range ( available public & private      
programs ( heal? & integrat$ long-t]m   
c>e1 & options c\nsel+1 s]vice provid]s1
 & res\rces = su* programs1 )9 a        
community & )9 a ,/ate1 includ+         
in=mation on ! availability ( integrat$ 

long-t]m c>e2  7iii7 p]sonal & pe]      
c\nsel+ to assi/ individuals 9 assess+  
_! exi/+ or anticipat$ ne$s & goals =   
integrat$ long-t]m c>e1 & assi/+ !      
individuals 9 develop+ & implem5t+ a    
plan = integrat$ long-t]m c>e1 consi/5t 
) _! desires & design$ to meet _!       
specific priorities1 goals1 ne$s1 &     
circum/ances2 &  7iv7 an approa* t      
supplem5ts consum] access to ! full     
range ( publicly support$ programs (    
integrat$ long-t]m c>e1 includ+         
home-bas$ & community-bas$ options1 =   
:i* consum]s may be eligible2 &  7,d7   
builds on b does n replace ! roles &    
responsibilities ( entities 9 ! ,/ate   
ag+ network to support p seek+ access to
 community liv+ opportunities1 z        
specifi$ 9 ?is ,act1 or ( o!r ag+ &     
disability ag5cies & organizations4  4  
7#b7 ,te*nical am5dm5t ,section #ajb7a7 
( ! ,old] ,am]icans ,act ( #aife 7#db   
,u4,s4,c4 #cjjb7a77 is am5d$ by ins]t+ 1
 except :5 us$ z "p ( ! t]m f9ancial    
abuse1 be=e means4  7b7 ,,lgbt          

individuals  7#a7 ,9 g5]al ,section #ajb
 ( ! ,old] ,am]icans ,act ( #aife 7#db  
,u4,s4,c4 #cjjb7 is am5d$-- 7,a7 9      
p>agraph 7#bd7--  7i7 9 subp>agraph     
7,b71 by /rik+ & at ! end2  7ii7 9      
subp>agraph 7,c71 by /rik+ ! p]iod &    
ins]t+ 2 &2 &  7iii7 by add+ at ! end ! 
foll[+3  7,d7 /atus z an ,,lgbt         
individual4  2  7,b7 by r$esignat+--    
7i7 p>agraphs 7#cf7 ?r\gh 7#ed7 z       
p>agraphs 7#ch7 ?r\gh 7#ef71            
respectively2 &  7ii7 p>agraphs 7#cd7 & 
7#ce7 z p>agraphs 7#ce7 & 7#cf71        
respectively2  7,c7 by ins]t+ aft]      
p>agraph 7#cc7 ! foll[+3  7#cd7 ,! t]m  
,,lgbt1 us$ ) respect to an individual1 
means a lesbian1 gay1 bisexual1 or      
transg5d] individual4  2 &  7,d7 by     
ins]t+ aft] p>agraph 7#cf71 z s         
r$esignat$1 ! foll[+3  7#cg7 ,! t]m     
m9ority1 us$ ) respect to an individual1
 includes a lesbian1 gay1 bisexual1 or  
transg5d] individual4  4  7#b7 ,con=m+  
am5dm5t ,section #bae7;e77#a77;,j7 ( !  
,old] ,am]icans ,act ( #aife 7#db       

,u4,s4,c4 #cjbj;e-#a7;e77#a77;,j77 is   
am5d$ by /rik+ m9orities & ins]t+       
m9ority individuals4  #c4 ,creation (   
national campaign to raise aw>5ess ( !  
ag+ network & promote advance integrat$ 
long-t]m c>e plann+  7a7 ,9 g5]al       
,section #bjb7;b7 ( ! ,old] ,am]icans   
,act ( #aife 7#db ,u4,s4,c4 #cjab7;b77  
is am5d$ by /rik+ p>agraph 7#f7 & ins]t+
 ! foll[+3  7#f7 promote1 ?r\gh a       
coord9at$ public education & outrea*    
campaign c>ri$ out by ! ,national       
,eld]c>e ,locator ,s]vice describ$ 9    
subsection 7a77#ba7 & 9 coord9ation )   
o!r appropriate ,f$]al ag5cies--  7,a7  
enhanc$ aw>5ess by ! public ( !         
importance ( plann+ 9 advance =         
integrat$ long-t]m c>e2 &  7,b7 !       
availability ( national1 ,/ate1 & local 
in=mation & res\rces to assi/ 9 su*     
plann+1 z well z ! exi/5ce ( area       
ag5cies on ag+ & o!r ag+ s]vice provid]s
 to provide direct assi/ance ) su*      
plann+2  4  7b7 ,au?orization (         
,appropriations ,section #baf ( ! ,old] 

,am]icans ,act ( #aife 7#db ,u4,s4,c4   
#cjbj;f7 is am5d$--  7#a7 by r$esignat+ 
subsection 7c7 z subsection 7d72 &  7#b7
 by ins]t+ aft] subsection 7b7 ! foll[+3
  7c7 ,national campaign ,!re is        
au?oriz$ to be appropriat$ to c>ry out  
section #bjb7;b77#f71 #c1jjj1jjj = ea* (
 fiscal ye>s #bjae ?r\gh #bjai4  4  #d4 
,no wrong door networks ,section        
#bjb7;b77#h7 ( ! ,old] ,am]icans ,act ( 
#aife 7#db ,u4,s4,c4 #bjab7;b77#h77 is  
am5d$--  7#a7 9 ! matt] prec$+          
subp>agraph 7,a71 by /rik+ ,ag+ &       
,disability ,res\rce ,c5t]s-- & ins]t+  
networks1 su* z ,ag+ & ,disability      
,res\rce ,c5t]s1 t are built on         
in=mation1 ref]ral1 & assi/ance programs
 run by ag+ & disability ag5cies & are  
collaborative networks ) no wrong door  
sy/ems--2  7#b7 9 subp>agraphs 7,a71    
7,c71 & 7,d71 by /rik+ long-t]m c>e ea* 
place x appe>s & ins]t+ integrat$       
long-t]m c>e2  7#c7 9 subp>agraph 7,a71 
by /rik+ community-bas$ c>e & ins]t+    
community-bas$ c>e s]vices & supports2 &

  7#d7 9 subp>agraph 7,b71 by /rik+ _!  
c>e & ins]t+ _! c>e s]vices & supports4 
#e4 ,supportive s]vices & s5ior c5t]s   
program ,section #cba7;b77#a7 ( ! ,old] 
,am]icans ,act ( #aife 7#db ,u4,s4,c4   
#cjcj;d7b77#a77 is am5d$ by ins]t+ or   
mod]nization aft] con/ruction4  #f4     
,pilot project on s]vices = recipi5ts ( 
f$]ally assi/$ h\s+ ,"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 ,pilot   
project on s]vices = recipi5ts ( f$]ally
 assi/$ h\s+  7a7 ,def9ition ,9 ?is     
section1 ! t]m f$]ally assi/$ h\s+      
means--  7#a7 multifamily h\s+ f9anc$1  
insur$1 or subsidiz$ by ! ,rural ,h\s+  
,s]vice ( ! ,dep>tm5t ( ,agriculture or 
by ! ,dep>tm5t ( ,h\s+ & ,urban         
,developm5t2 or  7#b7 h\s+ provid$ "u ! 
,l[ ,income ,h\s+ ,tax ,cr$it program   
c>ri$ out "u section #db ( ! ,int]nal   
,rev5ue ,code ( #aihf4  7b7 ,fund+ ,!   
,assi/ant ,secret>y may provide fund+ = 
a s]vice provid$ "u ?is ,act 7includ+   

title ,v7 packag$ & t>get$ = resid5ts ( 
f$]ally assi/$ h\s+4 ,! ,assi/ant       
,secret>y may provide su* fund+ = a     
p]iod ( #b ye>s4  7c7 ,recipi5ts ,!     
,assi/ant ,secret>y %all provide fund+  
made available "u subsection 7b7 ?r\gh  
area ag5cies on ag+1 o!r entities       
approv$ by ! ,assi/ant ,secret>y1 or    
designees ( ! ag5cies or entities1 to   
n-=-pr(it own]s or manag]s ( ! h\s+4    
7d7 ,evaluations & reports  7#a7        
,evaluations ,ea* ag5cy1 entity1 or     
designee t receives fund+ "u ?is section
 %all evaluate ! effectiv5ess ( !       
s]vices provid$ ?r\gh ! fund+4  7#b7    
,reports ,! ag5cy1 entity1 or designee  
%all1 n lat] ?an #ij days aft] ! end ( !
 fund+ p]iod1 prep>e & submit to !      
,assi/ant ,secret>y a report conta9+ !  
results ( ! evaluation4  7e7            
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ to c>ry out  
?is section su* sums z may be necess>y =
 ea* ( fiscal ye>s #bjae ?r\gh #bjag4   
,su* sums %all rema9 available ?r\gh    

fiscal ye> #bjah = ! purpose ( c>ry+ out
 ! evaluations & reports "u subsection  
7d74  4  #g4 ,community c>e wrap-ar\nd  
support demon/ration program ,"p ,a (   
title ,,iv ( ! ,old] ,am]icans ,act (   
#aife 7#db ,u4,s4,c4 #cjcb et seq471 z  
am5d$ by section #f1 is fur!r am5d$ by  
add+ at ! end ! foll[+3  #dbd4          
,community c>e wrap-ar\nd support       
demon/ration program  7a7 ,def9itions   
7#a7 ,community c>e wrap-ar\nd support  
p>tn]%ip ,! t]m community c>e wrap-ar\nd
 support p>tn]%ip means a p>tn]%ip t--  
7,a7 c>ries out a program t s]ves n few]
 ?an #cj eligible old] individuals2     
7,b7 includes--  7i7 a designat$ c>e    
coord9ator1 :o may be a nurse1 regi/]$  
dietitian1 case manag]1 heal? coa*1 or  
social work]1 f an eligible entity & :o1
 9 consultation ) a prim>y c>e physician
 or ano!r relevant speciali/ describ$ 9 
clause 7ii71 w be responsible =         
coord9at+ s]vices & supports (f]$ "u    
title ,,iii = an old] individual2 &     
7ii7 a consult+ prim>y c>e physician1 or

 o!r relevant speciali/1 receiv+        
comp5sation = p>ticipation 9 ! p>tn]%ip 
9 a mann] det]m9$ by ! ,assi/ant        
,secret>y2 &  7,c7 may include an       
individual--  7i7 :o is li/$ 9 ! plan = 
! community c>e wrap-ar\nd support      
p>tn]%ip describ$ 9 subsection 7c77#b72 
7ii7 = :om ! eligible old] individual   
gives cons5t to p>ticipate 9 ! community
 c>e wrap-ar\nd support p>tn]%ip1 z t   
p>tn]%ip relates to ! eligible old]     
individual2 &  7iii7 ^: relation%ip to !
 old] individual is t (--  7,i7 a family
 memb]1 close p]sonal fri5d1 or unpaid  
designat$ c>egiv]2  7,,ii7 a legal or   
f9ancial advisor2  7,,iii7 a home c>e   
provid]2  7,,iv7 a provid] (            
transportation2  7,v7 a regi/]$         
dietitian2 or  7,,vi7 a rehabilitation  
pr(essional4  7#b7 ,eligible entity ,!  
t]m eligible entity means--  7,a7 an    
area ag5cy on ag+2  7,b7 a home or      
community-bas$ provid] ( ! activities   
describ$ 9 subsection 7d7 7su* z a home 
c>e ag5cy1 or entity op]at+ a s5ior c5t]

 or adult day c>e facility72 or  7,c7   
ano!r qualifi$ entity ! ,assi/ant       
,secret>y det]m9es to be appropriate to 
c>ry out ! activities describ$ 9        
subsection 7d74  7#c7 ,eligible old]    
individual ,! t]m eligible old]         
individual means an old] individual :o--
  7,a7 is age #fe or old]2  7,b7 :o is  
eligible to receive assi/ance "u ?is    
,act2  7,c7 :o elects to enroll 9 !     
demon/ration program1 z describ$ 9      
subsection 7e72 &  7,d7 :o--  7i7 has   
difficulty complet+ #b or m activities (
 daily liv+2  7ii7 has _h at lea/ "o    
nonelective hospital admission )9 ! pa/ 
#ab mon?s2  7iii7 has receiv$ acute or  
subacute rehabilitation s]vices )9 ! pa/
 #ab mon?s2 or  7iv7 meets su* o!r      
crit]ia z ! ,assi/ant ,secret>y det]m9es
 to be appropriate4  7b7 ,program       
au?oriz$  7#a7 ,9 ,g5]al ,! ,assi/ant   
,secret>y %all e/abli% a demon/ration   
program 7ref]r$ to 9 ?is section z !    
demon/ration program & to be commonly   
kn[n z ! community c>e initiative7 ?r\gh

 :i* ! ,assi/ant ,secret>y %all make    
grants to eligible entities 9 ord] to   
enable su* eligible entities to--  7,a7 
e/abli% community c>e wrap-ar\nd support
 p>tn]%ips2 &  7,b7 support ! p>tn]%ips1
 enabl+ ! p>tn]%ips to c>ry out !       
activities describ$ 9 subsection 7d74   
7#b7 ,duration ,ea* grant aw>d$ "u ?is  
section %all be = a p]iod ( #b ye>s4    
7c7 ,application  7#a7 ,9 ,g5]al ,ea*   
eligible entity desir+ a grant "u ?is   
section %all submit an application to ! 
,assi/ant ,secret>y at su* "t1 9 su*    
mann]1 & accompani$ by su* in=mation z !
 ,assi/ant ,secret>y may reasonably     
require4  7#b7 ,cont5ts ,! application  
describ$ 9 ?is subsection %all include1 
at a m9imum--  7,a7 a plan describ+ !   
individuals1 z li/$ 9 subsection        
7a77#a77;,c71 t w1 ^u cons5t ( an       
eligible old] individual1 p>ticipate 9 !
 community c>e wrap-ar\nd support       
p>tn]%ip z t p>tn]%ip relates to !      
eligible old] individual2  7,b7 a cle>  
description (--  7i7 ! protocols !      

eligible entity w implem5t to id5tify ! 
ne$s ( old] individuals receiv+ s]vices 
& supports ?r\gh ! p>tn]%ip2  7ii7 !    
range ( int]v5tion & supportive s]vices 
& supports t ! eligible entity w        
implem5t2 &  7iii7 prelim9>y evid5ce ( !
 efficacy or effectiv5ess ( ! approa* ! 
eligible entity proposes to use 9       
provid+ s]vices & supports ?r\gh !      
p>tn]%ip2 &  7,c7 an assurance t !      
p>tn]%ip w collect ! in=mation det]m9$  
by ! ,assi/ant ,secret>y "u subsection  
7h77#a74  7d7 ,use ( funds ,an eligible 
entity t receives a grant "u ?is section
 %all use ! grant funds to e/abli% a    
community c>e wrap-ar\nd support        
p>tn]%ip & support ! p>tn]%ip1 includ+  
requir+ ! p>tn]%ip to--  7#a7 connect   
ea* p>ticipant ) ! community c>e        
wrap-ar\nd support p>tn]%ip2  7#b7      
assess ea* eligible old] individual us+ 
a /&>diz$ assessm5t in/rum5t1 su* z a   
compreh5sive assessm5t report+          
evaluation2  7#c7 e/abli% longitud9al   
c>e plans = ea* eligible old]           

individual2 &  7#d7 provide             
compreh5sive1 coord9at$1 & cont9u\s     
virtual or 9-p]son access to ! s]vices &
 supports (f]$ "u ?is ,act1 tailor$ to !
 specific ne$s ( ! old] individual      
involv$1 :i* may include "o or m ( !    
foll[+3  7,a7 ,m$ication managem5t4     
7,b7 ,m$ical nutrition !rapy ) a regi/]$
 dietitian = individuals requir+ diet>y 
modification = *ronic disease managem5t4
  7,c7 ,limit$ environm5tal             
modifications1 su* z safety equipm5t =  
%[]+1 ba?+1 or toilet+ or in/allation ( 
safety1 heal?1 & wellness monitor+      
te*nologies = an eligible old]          
individual4  7,d7 ,nutritional & diet>y 
supports1 :i* may include nutrition     
c\nsel+1 education1 & ! deliv]y ( meals 
to ! home or assi/ance ) pur*as+        
groc]ies 9 ord] to--  7i7 assure an     
appropriate diet consi/5t ) ! m$ical    
ne$s1 cultural backgr\nd1 & fai?        
traditions ( an eligible old]           
individual2 &  7ii7 id5tify             
opportunities = socialization )9 ! home 

or ! community ( an eligible old]       
individual 9 ord] to enhance ! ability  
to p>ticipate 9 heal?y nutritional      
habits4  7,e7 ,transportation 9 ord] to 
meet ! m$ical & social ne$s ( an        
eligible old] individual4  7,f7         
,psy*osocial supports to prev5t         
isolation & ! pot5tial = depression &   
cognitive decl9e1 :i* (t5 accompany !   
lack ( human int]action4  7,g7          
,opportunities = ex]cise1 z tol]able &  
appropriate1 to prev5t fur!r physical   
decl9e t may lead to prev5table         
disability4  7,h7 ,opportunities =      
enjoym5t ?r\gh activities or            
int]actions1 9 p]son or virtually1 t    
enhance an eligible old] individual's   
life1 relation%ips1 well-be+1 or s5se ( 
productivity1 includ+ provid+ !         
opportunities ?r\gh ! use ( te*nology   
products4  7e7 ,election ,to p>ticipate 
,! ,assi/ant ,secret>y %all det]m9e &   
c>ry out an appropriate me?od ( ensur+ t
 eligible old] individuals h agre$ to   
enroll 9 a community c>e wrap-ar\nd     

support p>tn]%ip program4 ,enrollm5t 9 !
 demon/ration program %all be volunt>y4 
7f7 ,compliance ) o!r laws  7#a7        
,regulations ,not)/&+ any provision (   
?is section1 ea* eligible entity receiv+
 a grant "u ?is section %all ensure t ! 
activities c>ri$ out "u ! grant comply )
 ! regulations promulgat$ pursuant to   
section #bfd7;c7 ( ! ,heal? ,insurance  
,portability & ,acc\ntability ,act (    
#aiif 7#db ,u4,s4,c4 #acbj;d-#b note71 !
 ,heal? ,in=mation ,te*nology =         
,economic & ,cl9ical ,heal? ,act 7title 
,,xiii ( division ,a & title ,,iv (     
division ,b ( ,public ,law #aaa-e71 & ! 
am5dm5ts made by su* ,act4  7#b7        
,guidance ,! ,assi/ant ,secret>y %all   
ensure t ! activities c>ri$ out "u ?is  
section are consi/5t ) ! guidance issu$ 
by ! ,secret>y on ,june #f1 #bjad1 =    
implem5t+ /&>ds = p]son-c5t]$ plann+ &  
self-direction 9 home & community-bas$  
s]vices programs1 "u section #bdjb7;a7 (
 ! ,pati5t ,protection & ,af=dable ,c>e 
,act 7#db ,u4,s4,c4 #acifn note74  7g7  

,p>tn]%ip ,in=mation ,collection  7#a7  
,dur+ ! fir/ ye> ( ! demon/ration       
program  7,a7 ,9 g5]al ,dur+ ! fir/ ye> 
( ! demon/ration program1 ! community   
c>e wrap-ar\nd support p>tn]%ip1 ?r\gh !
 designat$ c>e coord9ator describ$ 9    
subsection 7a77#a77;,b77i71 %all ma9ta9 
a record = ea* eligible old] individual 
:o is s]v$ ?r\gh ! demon/ration program4
 ,su* record %all include detail$       
in=mation ab\t ! s]vices & supports     
provid$ to ! eligible old] individual   
?r\gh ! demon/ration program & %all be  
incorporat$ into ! electronic heal?     
record ( ! eligible old] individual4    
7,b7 ,cont5ts ,! ,assi/ant ,secret>y    
%all det]m9e ! in=mation to be collect$ 
9 ea* record describ$ 9 subp>agraph     
7,a71 :i* may include in=mation on !    
types ( s]vices & supports provid$1     
ref]rals1 memb]s ( ! community c>e      
wrap-ar\nd support p>tn]%ip1 & an impact
 /atem5t on ! heal? ( ! eligible old]   
individual s]v$4  7#b7 ,dur+ ! second   
ye> ( ! demon/ration program ,dur+ !    

second ye> ( ! demon/ration program1 9  
addition to ma9ta9+ ! record describ$ 9 
p>agraph 7#a71 ! designat$ c>e          
coord9ator describ$ 9 subsection        
7a77#a77;,b77i7 %all ensure t1 ?r\gh !  
record describ$ 9 p>agraph 7#a71 !      
community c>e wrap-ar\nd support        
p>tn]%ip is able to--  7,a7 det]m9e gaps
 9 ! provision ( s]vices t c assi/ 9 !  
provision ( compreh5sive heal? &        
wellness c>e = ! eligible old]          
individual2  7,b7 connect ! eligible    
old] individual to s]vices "u ?is ,act t
 w address any su* gaps2 &  7,c7 subject
 to ! cons5t ( ! eligible old]          
individual1 make appo9tm5ts = ! eligible
 old] individual to receive ne$$ s]vices
 & ensure t su* p>ticipant's prim>y c>e 
physician & c>egiv] receive notice ( !  
ne$s4  7h7 ,det]m9ation ( !             
,demon/ration ,program effect on pati5t 
outcomes  7#a7 ,transf] ( in=mation ,ea*
 eligible entity %all collect1 f ea*    
community c>e wrap-ar\nd p>tn]%ip       
support$ by ! eligible entity1 & report 

to ! ,assi/ant ,secret>y 79 su* =m &    
mann]1 & at su* frequ5cy1 z %all be     
specifi$ by ! ,assi/ant ,secret>y7 su*  
data z ! ,assi/ant ,secret>y det]m9es to
 be appropriate to monitor & analyze !  
demon/ration program4  7#b7 ,indep5d5t  
analysis ( ! demon/ration program ,!    
,assi/ant ,secret>y %all ent] into an   
agreem5t ) an entity to conduct an      
indep5d5t analysis1 9 consultation ) !  
,adm9i/rator = ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices1 & make a det]m9ation 
( :e!r ! activities describ$ 9          
subsection 7d7 result 9--  7,a7 a r$uc$ 
numb] ( hospital days 7o!r ?an days an  
eligible old] individual elects to rema9
 9 ! hospital72  7,b7 r$uc$ hospital    
readmissions = eligible old]            
individuals2  7,c7 r$uc$ em]g5cy room   
visits = eligible old] individuals2     
7,d7 improv$ heal? outcomes comm5surate1
 9 ea* individual case1 ) ! eligible    
old] individual's /age ( *ronic illness2
  7,e7 improv$ effici5cy ( c>e1 su* z a 
r$uction ( duplicative diagno/ic &      

laboratory te/s1 = eligible old]        
individuals2  7,f7 a r$uc$ co/ ( heal?  
c>e s]vices2  7,g7 improv$ or ma9ta9$   
nutrition /atus1 to manage *ronic       
disease2  7,h7 any delay ( entry (      
eligible old] individuals into          
in/itutional c>e2 &  7,i7 any o!r       
outcomes measures ! ,assi/ant ,secret>y 
det]m9es to be appropriate4  7#c7       
,impact /udy  7,a7 ,evaluation ,!       
,assi/ant ,secret>y1 9 consultation ) ! 
,adm9i/rator = ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices & us+ ! in=mation &   
data collect$ "u ?is subsection &       
subsection 7g71 %all conduct an         
evaluation ( ! demon/ration program1    
includ+ comp>+ ! well-be+ & co/s ( c>e (
 p>ticipants 9 a community c>e          
wrap-ar\nd support p>tn]%ip program1 to 
! well-be+ & su* co/s = pati5ts :o h n  
p>ticipat$ 9 su* a program1 to det]m9e !
 impact ( ! additional s]vices &        
supports provid$ ?r\gh su* a program &  
%all prep>e f9d+s f ! evaluation4  7,b7 
,det]m9ation on expansion ,bas$ on !    

evaluation conduct$ "u subp>agraph 7,a7 
& ! indep5d5t analysis conduct$ "u      
p>agraph 7#b71 ! ,assi/ant ,secret>y1 9 
consultation ) ! ,adm9i/rator = ! ,c5t]s
 = ,m$ic>e  ,m$icaid ,s]vices1 %all     
det]m9e :e!r expansion ( ! demon/ration 
program is appropriate4 ,if s1 !        
,assi/ant ,secret>y1 9 consultation )   
su* ,adm9i/rator1 %all prep>e a plan    
specify+--  7i7 :e!r ! exp&$ program    
%\ld involve a great] numb] ( grants to 
eligible entities1 = community c>e      
wrap-ar\nd support p>tn]%ip programs    
bas$ on subsections 7a7 ?r\gh 7g72  7ii7
 :e!r ! exp&$ program %\ld involve      
grants to regional1 /atewide1 or        
multi-,/ate comb9ations ( eligible      
entities to engage correspond+ community
 c>e wrap-ar\nd support p>tn]%ips 9     
correspond+ areas1 = su* programs bas$  
on subsections 7a7 ?r\gh 7g72 &  7iii7  
:e!r ! exp&$ program %\ld be c>ri$ out  
?r\gh ! ,adm9i/ration on ,ag+ & ! ,c5t] 
= ,m$ic>e & ,m$icaid ,innovation4  7#d7 
,report to ,congress ,n lat] ?an #a ye> 

aft] ! end ( ! demon/ration program1 !  
,assi/ant ,secret>y %all submit to      
,congress a report conta9+ ! f9d+s1 !   
results ( ! indep5d5t analysis1 !       
det]m9ation1 & any plan1 prep>$ "u      
p>agraphs 7#a7 ?r\gh 7#c74  7#e7 ,exp&$ 
program ,subject to ! availability (    
appropriations1 if ! report conta9s a   
plan prep>$ "u p>agraph 7#c77;,b71 !    
,assi/ant ,secret>y may implem5t ! exp&$
 program1 9 accordance ) ! plan1 n soon]
 ?an #f mon?s aft] submission ( !       
report4  7i7 ,implem5tation date ,n lat]
 ?an ,janu>y #a1 #bjae1 ! ,assi/ant     
,secret>y %all issue a reque/ =         
proposals to c>ry out ?is section4  7j7 
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ to c>ry out  
?is section su* sums z may be necess>y =
 ea* ( fiscal ye>s #bjae ?r\gh #bjai4  4
  #h4 ,prev5tion ( eld] abuse1 neglect1 
& exploitation  7a7 ,int]v5tion or      
devices ,section #gab7;a77#c77;,h7 ( !  
,old] ,am]icans ,act ( #aife 7#db       
,u4,s4,c4 #cjeh;g7a77#c77;,h77 is       

am5d$--  7#a7 9 clauses 7ii7 & 7iii71 by
 /rik+ & at ! end2  7#b7 9 clause 7iii71
 by /rik+ provide te*nical support = &  
ins]t+ actively enc\rage & assi/ 92 &   
7#c7 by add+ at ! end ! foll[+3  7iv7   
id5tify int]v5tions or devices 7includ+ 
adult b$ rails7 t affect ! rights &     
safety ( resid5ts1 includ+ ! use (      
*emical & physical re/ra9ts2 &  7v7     
educate provid]s1 resid5ts1 & families  
ab\t ! dang] ( ^? int]v5tions & devices2
 &  4  7b7 ,use ( allotm5ts ,section    
#gba7;e77#b7 ( ! ,old] ,am]icans ,act ( 
#aife 7#db ,u4,s4,c4 #cjeh;i7e77#b77 is 
am5d$1 9 ! matt] prec$+ subp>agraph     
7,a71 by /rik+ report & all t foll[s    
?r\gh subsection 7b77#i77;,b77ii71 &    
ins]t+ report describ$ 9 subsection 7b7 
or a relat$ ref]ral4  #i4 ,prev5tion (  
f9ancial abuse1 fraud1 & o!r f9ancial   
exploitation  7a7 ,au?orization (       
appropriations ,section #gjb ( ! ,old]  
,am]icans ,act ( #aife 7#db ,u4,s4,c4   
#cjeh;a7 is am5d$--  7#a7 9 subsection  
7c71 by /rik+ *apt] #d & ins]t+ *apt]   

#e2 &  7#b7 by ins]t+ aft] subsection   
7b7 ! foll[+3  7c7 ,prev5tion ( f9ancial
 abuse1 fraud1 & o!r f9ancial           
exploitation ,!re are au?oriz$ to be    
appropriat$ to c>ry out *apt] #d1 su*   
sums z may be necess>y = ea* fiscal ye>4
  4  7b7 ,program ,subtitle ,a ( title  
,,vii ( ! ,old] ,am]icans ,act ( #aife  
7#db ,u4,s4,c4 #cjeh et seq47 is am5d$--
  7#a7 by r$esignat+ *apt] #d & section 
#gca z *apt] #e & section #gcf1         
respectively2 &  7#b7 by ins]t+ aft]    
*apt] #c ! foll[+3  #d ,programs =      
prev5tion ( f9ancial abuse1 fraud1 & o!r
 f9ancial exploitation  #gca4 ,prev5tion
 ( f9ancial abuse1 fraud1 & o!r f9ancial
 exploitation  7a7 ,e/abli%m5t ,9 ord]  
to be eligible to receive an allotm5t "u
 section #gjc f funds appropriat$ "u    
section #gjb & made available to c>ry   
out ?is *apt]1 a ,/ate ag5cy %all1 9    
accordance ) ?is section1 & 9           
consultation ) area ag5cies on ag+1     
develop & enhance programs to address   
eld] abuse1 neglect1 & exploitation     

7includ+ f9ancial abuse1 fraud1 & o!r   
f9ancial exploitation74  7b7 ,use (     
allotm5ts ,! ,/ate ag5cy %all use an    
allotm5t describ$ 9 subsection 7a7 to   
c>ry out1 ?r\gh ! programs describ$ 9   
subsection 7a71 activities to develop1  
/r5g!n1 & c>ry out programs = !         
prev5tion1 detection1 assessm5t1 &      
treatm5t (1 int]v5tion 91 inve/igation  
(1 & response to eld] abuse1 neglect1 & 
exploitation 7includ+ f9ancial abuse1   
fraud1 & o!r f9ancial exploitation71    
includ+ activities t--  7#a7 fund       
programs t focus on outrea* & education 
to old] individuals & _! families &     
support networks1 on eld] abuse1        
neglect1 & exploitation 7includ+        
f9ancial abuse1 fraud1 & o!r f9ancial   
exploitation72  7#b7 promote & enhance  
programs1 su* z ! ,gatekeep] program1 t 
tra9 po/al c>ri]s1 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> basis--  7,a7 to     

id5tify signs ( eld] abuse1 neglect1 &  
exploitation 7includ+ f9ancial abuse1   
fraud1 & o!r f9ancial exploitation72 &  
7,b7 to report su* signs to ! ,/ate     
ag5cy responsible = adult protective    
s]vices or an area ag5cy on ag+2  7#c7  
create a position = a /atewide          
coord9ator on eld] abuse1 neglect1 &    
exploitation 7includ+ f9ancial abuse1   
fraud1 & o!r f9ancial exploitation71 )9 
ea* ,/ate ag5cy responsible = adult     
protective s]vices or law en=cem5t1 to  
act z a liaison ) v>i\s f9ancial        
in/itutions includ+ ! ,/ate ag5cy       
responsible = consum] protection2  7#d7 
provide fund+ to ,/ates & area ag5cies  
on ag+ = tra9]s :o are able to conduct  
outrea* & education = old] individuals 9
 _! natural liv+ environm5t on--  7,a7  
id5tify+ signs ( eld] abuse1 neglect1 & 
exploitation 7includ+ f9ancial abuse1   
fraud1 & o!r f9ancial exploitation72    
7,b7 h[ to respond to practices describ$
 9 subp>agraph 7,a72 &  7,c7 h[ to get  
help f local res\rces2  7#e7 fund       

programs t capture data1 & p]=m data    
analysis1 on ! preval5ce ( eld] abuse1  
neglect1 & exploitation 7includ+        
f9ancial abuse1 fraud1 & o!r f9ancial   
exploitation7 at ! ,/ate & national     
level2  7#f7 provide intake work]s or   
hotl9es t are able to take calls        
directly f old] individuals1 _! family  
memb]s1 & community pr(essionals 9 _!   
plann+ & s]vice areas1 ab\t eld] abuse1 
neglect1 & exploitation 7includ+        
f9ancial abuse1 fraud1 & o!r f9ancial   
exploitation72  7#g7 provide fund+ to   
,/ates & area ag5cies on ag+ = ! s]vices
 ( =5sic acc\ntants to track & id5tify  
eld] abuse1 neglect1 & exploitation     
7includ+ f9ancial abuse1 fraud1 & o!r   
f9ancial exploitation72  7#h7 fund      
programs & arrangem5t t w safegu>d      
victims' or pot5tial victims' f9ances1  
su* z daily money managem5t programs &  
cons]vator%ips2 &  7#i7 fund pilot      
programs to te/ innovative practices 9  
local communities1 to develop p>tn]%ips 
across discipl9es = ! prev5tion1        

inve/igation1 & prosecution ( eld]      
abuse1 neglect1 & exploitation 7includ+ 
f9ancial abuse1 fraud1 & o!r f9ancial   
exploitation74  4  7c7 ,con=m+ am5dm5t  
,section #bjb7;a77#bc7 ( ! ,old]        
,am]icans ,act ( #aife 7#db ,u4,s4,c4   
#cjab7;a77#bc77 is am5d$ by /rik+       
sections #cjg7;a77#ah7 & #gca7;b77#b7 & 
ins]t+ section #cjg7;a77#ac7 & section  
#gcf4