,,ii #aac? ,,congress #a/ ,session ,s4 #iih ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,may #ba1 #bjac ,mr4 ,frank5 7= himself & ,mr4 ,blum5?al7 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 e/abli% a ,home ,c>e ,consum] ,bill ( ,rights1 to e/abli% ,/ate ,home ,c>e ,ombudsman ,programs1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,home ,c>e ,consum] ,bill ( ,rights ,act4 ,i ,home c>e bill ( rights #aja4 ,adm9i/ration on ag+ ,section #bja7;e77#b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjaa7;e77#b77 is am5d$-- 7#a7 9 subp>agraph 7,a71 by /rik+ & at ! end2 7#b7 9 subp>agraph 7,b71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7,c7 to e/abli% be/ practices = ,/ate-bas$ en=cem5t ( a ,home ,c>e ,consum] ,bill ( ,rights ?r\gh a ,plan = ,en=cem5t1 z su* ,bill & ,plan are outl9$ 9 section #gje1 n lat] ?an #f mon?s aft] ! date ( enactm5t ( ! ,home ,c>e ,consum] ,bill ( ,rights ,act1 & to make ^? be/ practices available to ,/ates1 & to ! public ?r\gh ! ,national ,c5t] on ,eld] ,abuse2 7,d7 to assi/ ,/ates ) ! developm5t ( ,home ,c>e ,consum] ,bills ( ,rights & ,plans = ,en=cem5t1 to support ! %ift f in/itutional c>e to home & community-bas$ long-t]m s]vices & supports & ensure t home c>e consum]s1 z def9$ 9 section #gcf1 h basic protections z outl9$ 9 subsections 7b7 & 7c7 ( section #gje2 7,e7 to develop a process = review & approval ( ,/ates' ,home ,c>e ,consum] ,bills ( ,rights & ,plans = ,en=cem5t1 n lat] ?an #f mon?s aft] ! date ( enactm5t ( ! ,home ,c>e ,consum] ,bill ( ,rights ,act2 & 7,f7 to review & approve ,/ates' ,home ,c>e ,consum] ,bills ( ,rights & ,plans = ,en=cem5t ?r\gh t process4 4 #ajb4 ,additional ,/ate plan requirem5ts 7a7 ,9 g5]al ,section #gje ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeh;d7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#f71 by /rik+ & at ! end2 7,b7 9 p>agraph 7#g71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+3 7#h7 subject to section #ajb7;b7 ( ! ,home ,c>e ,consum] ,bill ( ,rights ,act1 an assurance-- 7,a7 t ! ,/ate has a ,home ,c>e ,consum] ,bill ( ,rights & a ,plan = ,en=cem5t ( su* a ,bill1 develop$ 9 accordance ) ! proc$ures describ$ "u p>agraph 7#b7 & z approv$ by ! ,assi/ant ,secret>y1 & include a copy ( ! ,bill & ,plan2 or 7,b7 at ! discretion ( ! ,assi/ant ,secret>y1 9 ! ev5t ! ,/ate does n h an approv$ ,home ,c>e ,consum] ,bill ( ,rights & ,plan = ,en=cem5t1 t ! ,/ate has an alt]native su* z 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 safety by-- 7,a7 affirm+ t home c>e consum]s are protect$ f physical1 sexual1 m5tal1 & v]bal abuse1 neglect1 & exploitation1 includ+ f9ancial exploitation2 7,b7 affirm+ t home c>e consum]s are s]v$ by provid]s :o are prop]ly tra9$ & are provid+ home c>e s]vices )9 _! scope ( practice & ! scope ( _! c]tification or lic5sure 7if su* a c]tification or lic5sure is requir$ by ! applicable ,/ate72 7,c7 affirm+ t su* provid]s ma9ta9 ! confid5tiality ( all p]sonal1 f9ancial1 & m$ical in=mation ( home c>e consum]s2 & 7,d7 affirm+ t provid]s respect ! p]sonal prop]ty ( home c>e consum]s1 & 9 ! ev5t ( consum] reports ( !ft or loss1 inve/igate & report back to ! consum] ! results ( ! inve/igation2 7#b7 address a home c>e consum]'s "r to access in=mation by-- 7,a7 affirm+ t home c>e consum]s are in=m$ ( _! rights "u ?is subsection & subsection 7c7 )9 #b weeks aft] ! />t ( home c>e s]vices1 & ab\t ! entities ! consum]s may contact if _! rights are violat$1 includ+ ! "n & contact in=mation = ,/ate & local ag5cies responsible = en=c+ ! ,home ,c>e ,consum] ,bill ( ,rights2 7,b7 affirm+ t home c>e consum]s-- 7i7 are in=m$ ( ! co/ ( home c>e s]vices prior to receiv+ ^? s]vices1 :e!r ! co/ ( ^? s]vices are cov]$ "u heal? insurance1 long-t]m c>e insurance1 or o!r private & public programs1 & any *>ges ! consum] w be expect$ to pay2 & 7ii7 are giv5 advance notice ( any *anges to ^? co/s or s]vices2 & 7,c7 affirm+ t home c>e consum]s h access to in=mation ab\t ! availability ( ! home c>e s]vices provid$ 9 ! community involv$ & h ! ability to *oose among home c>e s]vices & provid]s ( home c>e s]vices available 9 ! community2 7#c7 address a home c>e consum]'s "r to *oice1 p>ticipation1 & self-det]m9ation by-- 7,a7 affirm+ t home c>e consum]s c p>ticipate 9 ! plann+ ( _! home c>e s]vices1 includ+ mak+ *oices ab\t aspects ( _! c>e & s]vices t are important to !m1 *oos+ provid]s & s*$ules to ! ext5t practicable1 receiv+ reasonable accommodation ( _! ne$s & pref]5ces1 & involv+ anyone !y *ose to p>ticipate ) !m 9 t plann+2 7,b7 affirm+ t home c>e consum]s are provid$ ) suffici5t in=mation to make in=m$ decisions1 are fully in=m$ 9 advance ab\t any propos$ *anges 9 c>e & s]vices1 & are involv$ 9 ! decisionmak+ process reg>d+ ^? *anges2 & 7,c7 affirm+ t home c>e consum]s c refuse s]vices & receive an explanation ( ! consequ5ces ( do+ s2 7#d7 address a home c>e consum]'s "r to receive c>e & s]vices provid$ 9 a way t promotes ea* consum]'s dignity & individuality2 7#e7 address a home c>e consum]'s "r to r$ress grievances by-- 7,a7 affirm+ t home c>e consum]s are able to voice grievances ab\t ! quality ( _! home c>e s]vices1 ! numb] ( h\rs ( s]vice1 & violations ( _! rights1 receive prompt responses to ^? conc]ns1 & are in=m$ ab\t ! entities ! consum]s may contact to /ate ^? grievances 9 ord] to h ! grievances address$ 9 an appropriate & timely mann]1 & )\t retaliation2 & 7,b7 affirm+ t home c>e consum]s are able to ass]t _! rights "u ?is subsection & subsection 7c7 )\t retaliation2 7#f7 address ! role & responsibilities t fiduci>ies may h 9 secur+ ! rights ( home c>e consum]s affirm$ "u ! ,home ,c>e ,consum] ,bill ( ,rights2 & 7#g7 meet any o!r guidel9es det]m9$ to be appropriate by ! ,assi/ant ,secret>y4 7c7 ,plan = en=cem5t ,9 develop+ ! ,plan = ,en=cem5t ref]r$ to 9 subsection 7a77#h71 ! ,/ate %all take into acc\nt ! be/ practices e/abli%$ "u section #bja7;e77#b77;,c74 ,! ,plan %all include a description ( h[ ,/ate entities ) a role 9 protect+ old] individuals1 su* z home c>e s]vices lic5s+ ag5cies1 adult protective s]vices ag5cies1 ! ,(fice ( ! ,/ate ,long-,t]m ,c>e ,ombudsman 7if ! (fice has jurisdiction ov] home & community-bas$ long-t]m c>e71 local law en=cem5t ag5cies1 & o!r entities det]m9$ to be appropriate by ! ,assi/ant ,secret>y1 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 7b7 ,application ( requirem5t ,to submit ,/ate home c>e consum] bill ( rights & plan = en=cem5t 7#a7 ,9 g5]al ,! requirem5t = a ,/ate to provide an assurance1 & ei!r a ,home ,c>e ,consum] ,bill ( ,rights & a ,plan = ,en=cem5t ( su* ,bill or an alt]native1 "u p>agraph 7#h7 ( section #gje7;a7 ( ! ,old] ,am]icans ,act ( #aife 7z add$ by subsection 7a77 %all apply to ,/ates beg9n+ on ! date 7ref]r$ to 9 ?is subsection z ! application date7 t is #a ye> aft] ! date ( ! e/abli%m5t ( be/ practices "u section #bja7;e77#b77;,c7 ( su* ,act 7z add$ by section #aja74 7#b7 ,fir/ submission aft] application date ,a ,/ate %all comply ) p>agraph 7#h7 ( section #gje7;a7 ( ! ,old] ,am]icans ,act ( #aife 7z add$ by subsection 7a77 9 :i*ev] ( ! foll[+ #b submissions occurs fir/ ) respect to su* ,/ate aft] ! application date describ$ "u p>agraph 7#a73 7,a7 ,! submission ( a new ,/ate plan "u section #cjg ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbg74 7,b7 ,! submission ( an annual revision to a ,/ate plan submitt$ "u su* section #cjg4 7#c7 ,ongo+ submissions ,aft] comply+ ) p>agraph 7#h7 ( section #gje7;a7 ( ! ,old] ,am]icans ,act ( #aife 7z add$ by subsection 7a77 9 a submission 9 accordance ) p>agraph 7#b7 ( ?is subsection1 a ,/ate %all comply ) su* p>agraph 7#h7 9 ea* new ,/ate plan submitt$ "u section #cjg ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbg74 #ajc4 ,prev5tion ( eld] abuse1 neglect1 & exploitation ,section #gba7;b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeh;i7b77 is am5d$-- 7#a7 9 p>agraph 7#aa71 by /rik+ & at ! end2 7#b7 9 p>agraph 7#ab71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#ac7 develop+ a ,/ate ,home ,c>e ,consum] ,bill ( ,rights & ,plan = ,en=cem5t 7z describ$ 9 section #gje7 to protect home c>e consum]s 7z def9$ 9 section #gcf7 f abuse1 neglect1 & exploitation4 4 #ajd4 ,national adult protective s]vices res\rce c5t] ,section #bja ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjaa7 is am5d$ by add+ at ! end ! foll[+3 7g7 7#a7 ,! ,assi/ant ,secret>y %all1 by grant or contract ) a national nonpr(it entity1 e/abli% a ,national ,adult ,protective ,s]vices ,res\rce ,c5t] 7ref]r$ to 9 ?is subsection z ! ,c5t]74 ,! purposes ( ! ,c5t] are to improve ! capacity ( ,/ate & local adult protective s]vices programs to respond effectively to abuse1 neglect1 & exploitation ( vuln]able adults1 includ+ home c>e consum]s & resid5ts ( long-t]m c>e facilities1 & to coord9ate ) ! ,home ,c>e ,ombudsman ,program & ,long-,t]m ,c>e ,ombudsman ,program to protect home c>e consum]s & resid5ts mo/ effectively4 7#b7 ,! nonpr(it entity aw>d$ a grant or contract "u ?is subsection %all h exp]tise 91 & repres5tation by1 ,/ate & local adult protective s]vices programs4 7#c7 ,! ,c5t] %all-- 7,a7 collect & dissem9ate in=mation reg>d+1 & increase public aw>5ess (1 ! role ( adult protective s]vices programs 9 inve/igat+ ! abuse1 neglect 7includ+ self-neglect71 & exploitation ( vuln]able adults1 includ+ home c>e consum]s & resid5ts ( long-t]m c>e facilities1 & 9 int]v5+ to protect ! consum]s & resid5ts f abuse2 7,b7 develop1 di/ribute1 & provide tra9+ & te*nical assi/ance = adult protective s]vices program inve/igators & sup]visors inve/igat+ ! abuse1 neglect 7includ+ self-neglect71 & exploitation ( vuln]able adults1 includ+ home c>e consum]s & resid5ts ( long-t]m c>e facilities1 & int]v5+ to protect ! consum]s & resid5ts f fur!r abuse2 7,c7 develop1 di/ribute1 & provide tra9+ to home c>e & long-t]m c>e pr(essionals & o!rs on recogniz+1 report+ 7includ+ reg>d+ m&atory report+ requirem5ts71 & respond+ to ! abuse1 neglect 7includ+ self-neglect71 & f9ancial exploitation ( vuln]able adults1 includ+ home c>e consum]s & resid5ts ( long-t]m c>e facilities2 7,d7 compile & dissem9ate reports on rese>* & be/ practices = adult protective s]vices programs & o!r programs on effective responses to ! abuse1 neglect 7includ+ self-neglect71 & exploitation ( vuln]able adults1 includ+ home c>e consum]s & resid5ts ( long-t]m c>e facilities2 7,e7 "w ) ! ,national ,ombudsman ,res\rce ,c5t] & ,/ate & local home c>e ombudsman programs & long-t]m c>e ombudsman programs to develop & dissem9ate tra9+1 practice /&>ds1 & policies reg>d+-- 7i7 ! roles & responsibilities ( adult protective s]vices & ombudsman programs2 7ii7 confid5tiality & abuse report+ issues & protocols2 & 7iii7 effective ways to maximize ! res\rces ( adult protective s]vices programs = ! b5efit ( home c>e consum]s & resid5ts ( long-t]m c>e facilities2 & 7,f7 e/abli% a data sy/em to collect in=mation on ! abuse1 neglect 7includ+ self-neglect71 & exploitation ( home c>e consum]s & resid5ts ( long-t]m c>e facilities & to measure ! effectiv5ess ( ! activities c>ri$ out by ! ,c5t]4 7#d7 ,9 ?is subsection1 ! t]ms home c>e consum] & home c>e ombudsman program h ! mean+s giv5 ! t]ms 9 section #gcf4 4 ,,ii ,/ate home c>e ombudsman programs #bja4 ,program ,section #gja ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeh7 is am5d$ by ins]t+ & grants aft] allotm5ts4 #bjb4 ,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 #bjc4 ,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 7#a7 ,9 g5]al ,! ,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 7#b7 ,consid]ations ,9 select+ ,/ates to receive ! grants1 ! ,assi/ant ,secret>y %all consid]-- 7,a7 a ,/ate's curr5t f9ancial support 7z ( ! date ( consid]ation7 = home c>e ombudsman s]vices2 7,b7 a ,/ate's commitm5t to prev5t+ conflict ( int]e/ betwe5 provid]s ( home c>e s]vices & provid]s ( home c>e ombudsman s]vices2 & 7,c7 o!r crit]ia det]m9$ by ! ,assi/ant ,secret>y4 7#c7 ,priorities ,9 select+ ,/ates to receive ! grants1 ! ,assi/ant ,secret>y may give fir/ priority to ,/ates t are provid+ home c>e ombudsman s]vices to home c>e consum]s on ! date ( enactm5t ( section #gcg1 & seek to enhance ! home c>e ombudsman programs ?r\gh :i* ! ,/ates provide ! s]vices4 4 #bjd4 ,eligibility 7a7 ,organization ,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 7b7 ,additional requirem5ts ,section #gje7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeh;d7a77 is am5d$-- 7#a7 9 ! matt] prec$+ p>agraph 7#a71 by ins]t+ or grant aft] allotm5t2 & 7#b7 9 p>agraph 7#d71 by /rik+ enactm5t ( ?is subtitle & ins]t+ enactm5t ( ! *apt]4 #bje4 ,/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 community to promote indep5d5ce & r$uce ! necessity = resid5ce 9 a long-t]m c>e facility1 :i* may include-- 7,a7 home c>e s]vices provid$ ?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\rce2 or 7,b7 home c>e s]vices det]m9$ to be appropriate by a ,/ate op]at+ a ,/ate ,home ,c>e ,ombudsman ,program4 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 ombudsman repres5tative ,! t]m home c>e ombudsman repres5tative includes an employee or volunte] :o repres5ts an entity designat$ "u section #gcg7;a77#e77;,a7 & :o is individually designat$ by ! ,ombudsman4 7#d7 ,home c>e s]vices ,! t]m home c>e s]vices means home & community-bas$ s]vices to promote indep5d5ce & r$uce ! necessity = resid5ce 9 a long-t]m c>e facility1 includ+ p]sonal c>e s]vices design$ to assi/ an individual 9 ! activities ( daily liv+ su* z ba?+1 ex]cis+1 p]sonal groom+1 & gett+ 9 & out ( b$4 7#e7 ,local home c>e ,ombudsman entity ,! t]m local home c>e ,ombudsman entity means an entity designat$ "u section #gcg7;a77#e77;,a7 to c>ry out ! duties describ$ 9 section #gcg7;a77#e77;,b7 ) respect to a plann+ & s]vice area or o!r sub/ate area4 7#f7 ,(fice2 ,ombudsman ,! t]ms ,(fice & ,ombudsman1 us$ )\t fur!r modification1 h ! mean+s giv5 ! t]ms 9 section #gaa4 #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 ! ,ombudsman4 7#c7 ,functions ,9 c>ry+ out ! home c>e ombudsman program1 ! ,ombudsman1 p]sonally or ?r\gh repres5tatives ( ! home c>e ombudsman program-- 7,a7 %all id5tify1 inve/igate1 & resolve compla9ts t-- 7i7 are made by1 or on behalf (1 home c>e consum]s2 7ii7 relate to action1 inaction1 or decisions1 t may adv]sely affect ! heal?1 safety1 welf>e1 or rights ( home c>e consum]s 7includ+ ! welf>e & rights ( home c>e consum]s ) respect to ! appo9tm5t & activities ( gu>dians & repres5tative payees71 (-- 7,i7 entities responsible = det]m9+ eligibility = home c>e s]vices1 su* z ,/ate & local gov]nm5ts2 & 7,,ii7 entities responsible = det]m9+ availability ( home c>e s]vices1 su* z manag$ c>e organizations2 or 7iii7 relate to action1 inaction1 or decisions1 reg>d+ in=m+ home c>e consum]s ab\t _! eligibility =1 or ! availability (1 home c>e s]vices1 (-- 7,i7 provid]s1 or repres5tatives ( provid]s1 ( home c>e s]vices2 7,,ii7 public ag5cies2 7,,iii7 heal? & social s]vice ag5cies2 & 7,,iv7 entities provid+ consum]-direct$ s]vices "u a consum]-direct$ program2 7,b7 %all provide s]vices to protect ! heal?1 safety1 welf>e1 & rights ( home c>e consum]s2 7,c7 %all in=m home c>e consum]s ab\t means ( obta9+ s]vices provid$ by provid]s or ag5cies describ$ 9 subp>agraph 7,a77ii7 or s]vices describ$ 9 subp>agraph 7,b72 7,d7 %all1 9 conjunction ) o!r entities1 su* z area ag5cies on ag+1 conduct public education ab\t ! home c>e ombudsman program & its s]vices1 includ+ ! rights ( home c>e work]s to report conc]ns to ! ombudsman 9 ord] to protect ! heal?1 safety1 welf>e1 & rights ( home c>e consum]s2 7,e7 %all ensure t home c>e consum]s & compla9ants receive timely responses f repres5tatives ( ! home c>e ombudsman program to compla9ts2 7,f7 %all repres5t ! int]e/s ( home c>e consum]s be=e gov]nm5tal ag5cies & seek adm9i/rative1 legal1 & o!r rem$ies to protect ! heal?1 safety1 welf>e1 & rights ( ! home c>e consum]s1 includ+ issues relat$ to ! suffici5cy ( ! home c>e work=ce & its availability to meet ! ne$s ( home c>e consum]s2 7,g7 %all provide adm9i/rative & te*nical assi/ance to entities designat$ "u p>agraph 7#e7 to assi/ ! entities 9 p>ticipat+ 9 ! home c>e ombudsman program2 7,h7 %all provide = tra9+ repres5tatives ( ! home c>e ombudsman program2 7,i7 %all-- 7i7 promote ! developm5t ( citiz5 organizations1 to p>ticipate 9 ! home c>e ombudsman program2 7ii7 analyze1 comm5t on1 & monitor ! developm5t & implem5tation ( ,f$]al1 ,/ate1 & local laws1 regulations1 & o!r gov]nm5tal policies & actions1 t p]ta9 to ! heal?1 safety1 welf>e1 & rights ( home c>e consum]s1 ) respect to ! adequacy ( home c>e s]vices 9 ! ,/ate1 includ+ issues relat$ to ! suffici5cy ( ! home c>e work=ce & its availability to meet ! ne$s ( home c>e consum]s2 7iii7 recomm5d any *anges 9 su* laws1 regulations1 policies1 & actions z ! ,ombudsman det]m9es to be appropriate2 & 7iv7 facilitate public comm5t on ! laws1 regulations1 policies1 & actions2 & 7,j7 %all c>ry out o!r activities z ! ,assi/ant ,secret>y det]m9es to be appropriate4 7#d7 ,contracts & arrangem5ts 7,a7 ,9 g5]al 7i7 ,ag5cies & organizations ,except z provid$ 9 subp>agraph 7,b71 ! ,/ate ag5cy %all c>ry out ! home c>e ombudsman program1 directly1 or by contract or o!r arrangem5t ) any public ag5cy or nonpr(it private organization4 7ii7 ,area ag5cies on ag+ ,! ,/ate ag5cy %all det]m9e :e!r to ent] into contracts or arrangem5ts ) area ag5cies on ag+ to c>ry out ! home c>e ombudsman program1 bas$ on ! /ructure ( ! ,/ate's exi/+ 7z ( ! date ( ! det]m9ation7 long-t]m c>e ombudsman program & ! pot5tial = conflicts ( int]e/ 9 ! home & community-bas$ s]vices sy/em 9 ! ,/ate4 ,a ,/ate ag5cy may c>ry out a home c>e ombudsman program ?r\gh area ag5cies on ag+ 9 ! ,/ate1 if ! area ag5cies on ag+-- 7,i7 h exi/+ 7z ( ! date ( ! det]m9ation7 consum] protection sy/ems 9 place to prev5t su* conflicts ( int]e/2 or 7,,ii7 e/abli% adequate proc$ures to prev5t conflicts ( int]e/ "u ! program4 7,b7 ,lic5s+ & c]tification organizations2 associations ,! ,/ate ag5cy may n ent] into ! contract or o!r arrangem5t describ$ 9 subp>agraph 7,a7 )-- 7i7 an ag5cy or organization t is responsible = lic5s+ or c]tify+ home c>e s]vices 9 ! ,/ate2 or 7ii7 an association 7or an affiliate ( su* an association7 ( provid]s ( home c>e s]vices4 7#e7 ,designation ( local home c>e ombudsman entities & home c>e ombudsman repres5tatives 7,a7 ,designation ,9 c>ry+ out ! duties ( ! ,(fice1 ! ,ombudsman may designate an entity z a local home c>e ,ombudsman entity 7&1 9 do+ s1 ! ,ombudsman %all1 if a local ,ombudsman entity has already be5 designat$1 designate su* local ,ombudsman entity z ! local home c>e ,ombudsman entity71 & may designate an employee or volunte] to repres5t ! entity4 7,b7 ,duties ,an individual s designat$1 9 accordance ) ! policies & proc$ures e/abli%$ by ! ,ombudsman & ! ,/ate ag5cy-- 7i7 %all provide s]vices to protect ! heal?1 safety1 welf>e1 & rights ( home c>e consum]s2 7ii7 %all ensure t home c>e consum]s 9 ! s]vice area ( ! entity h timely responses to compla9ts & reque/s = assi/ance2 7iii7 %all id5tify1 inve/igate1 & resolve compla9ts made by or on behalf ( home c>e consum]s t relate to action1 inaction1 or decisions1 t may adv]sely affect ! heal?1 safety1 welf>e1 or rights ( home c>e consum]s2 7iv7 %all repres5t ! int]e/s ( home c>e consum]s be=e gov]nm5t ag5cies & seek adm9i/rative1 legal1 & o!r rem$ies to protect ! heal?1 safety1 welf>e1 & rights ( home c>e consum]s2 7v7 %all-- 7,i7 review1 & if necess>y1 comm5t on any exi/+ & propos$ laws1 regulations1 & o!r gov]nm5t policies & actions1 t p]ta9 to ! rights & well-be+ ( home c>e consum]s2 & 7,,ii7 facilitate ! ability ( ! public to comm5t on ! laws1 regulations1 policies1 & actions2 7vi7 %all make ref]rals = s]vices to protect & provide = ! heal?1 safety1 educational ne$s1 welf>e1 & rights ( family or h\sehold memb]s 7includ+ *ildr57 ( home c>e consum]s2 & 7vii7 %all c>ry out o!r activities t ! ,ombudsman det]m9es to be appropriate4 7,c7 ,eligibility = designation ,entities eligible to be designat$ z local home c>e ,ombudsman entities1 & individuals eligible to be designat$ z home c>e ombudsman repres5tatives ( su* entities1 %all-- 7i7 h demon/rat$ capability to c>ry out ! duties e/abli%$ 9 section #gab7;a77#e77;,b72 7ii7 be free ( conflicts ( int]e/ & n /& to ga9 f9ancially ?r\gh an action or pot5tial action br\ght on behalf ( individuals ! ,ombudsman s]ves2 & 7iii7 meet su* additional requirem5ts z ! ,ombudsman may specify4 7,d7 ,policies & proc$ures 7i7 ,9 g5]al ,! ,/ate ag5cy %all e/abli%1 9 accordance ) ! ,ombudsman1 policies & proc$ures = monitor+ local home c>e ,ombudsman entities designat$ to c>ry out ! duties e/abli%$ 9 section #gab7;a77#e77;,b74 7ii7 ,policies ,9 a case 9 :i* ! entities are grantees or ! home c>e ombudsman repres5tatives are employees1 ( area ag5cies on ag+1 ! ,/ate ag5cy %all develop ! policies 9 consultation ) ! area ag5cies on ag+4 ,! policies %all provide = p>ticipation & comm5t by ! ag5cies & = resolution ( conc]ns ) respect to case activity4 7iii7 ,confid5tiality & disclosure ,! ,/ate ag5cy %all develop ! policies & proc$ures 9 accordance ) all provisions ( ?is subtitle reg>d+ confid5tiality & conflict ( int]e/ = provid]s ( home c>e s]vices4 7b7 ,proc$ures = access 7#a7 ,9 g5]al ,! ,/ate %all ensure t repres5tatives ( ! home c>e ombudsman program %all h-- 7,a7 access to home c>e consum]s & _! homes ) p]mission ( ! home c>e consum] involv$ or a legal repres5tative2 7,b7 7i7 appropriate access to review all records ( a home c>e consum]1 if-- 7,i7 ! repres5tative ( ! home c>e ombudsman program has ! p]mission ( ! home c>e consum]1 or ! legal repres5tative ( ! home c>e consum]2 or 7,,ii7 ! home c>e consum] is unable to cons5t to ! review & has no legal repres5tative2 or 7ii7 su* access to ! records z is necess>y to inve/igate a compla9t if-- 7,i7 a legal gu>dian ( ! home c>e consum] refuses to give ! p]mission2 7,,ii7 a repres5tative ( ! home c>e ombudsman program has reasonable cause to believe t ! gu>dian is n act+ 9 ! be/ int]e/s ( ! home c>e consum]2 & 7,,iii7 ! repres5tative obta9s ! approval ( ! ,ombudsman2 7,c7 access to ! adm9i/rative records1 policies1 & docum5ts1 to :i* home c>e consum]s h1 or ! g5]al public has access1 ( ! provid] ( home c>e s]vices2 & 7,d7 access to &1 on reque/1 copies ( all lic5s+ & c]tification records ma9ta9$ by ! ,/ate ) respect to ! provid] ( home c>e s]vices4 7#b7 ,proc$ures ,! ,/ate ag5cy %all e/abli% proc$ures to ensure ! access describ$ 9 p>agraph 7#a74 7c7 ,report+ sy/em ,! ,/ate ag5cy %all ensure t ! report+ sy/em e/abli%$ 9 section #gab7;c7 is equipp$ to-- 7#a7 collect & analyze data relat+ to compla9ts & conditions conc]n+ home c>e s]vices & to home c>e consum]s = ! purpose ( id5tify+ & resolv+ significant problems1 includ+ compla9ts conc]n+-- 7,a7 quality ( s]vices2 7,b7 quantity ( s]vices2 7,c7 availability ( s]vices2 & 7,d7 d5ial1 r$uction1 & t]m9ation ( s]vices2 & 7#b7 submit ! data1 on a regul> basis1 to-- 7,a7 ! ag5cy ( ! ,/ate responsible = lic5s+ or c]tify+ provid]s ( home c>e s]vices 9 ! ,/ate2 7,b7 o!r ,/ate & ,f$]al entities t ! ,ombudsman det]m9es to be appropriate2 7,c7 ! ,assi/ant ,secret>y2 & 7,d7 ! ,national ,ombudsman ,res\rce ,c5t] e/abli%$ 9 section #bjb7;a77#ah77;,a74 7d7 ,disclosure 7#a7 ,9 g5]al ,! ,/ate ag5cy %all e/abli% proc$ures = ! disclosure by ! ,ombudsman or local home c>e ,ombudsman entities ( files ma9ta9$ by ! home c>e ombudsman program1 includ+ records describ$ 9 subsection 7b77#a7 or 7c74 7#b7 ,id5tity ( compla9ant or home c>e consum] ,! proc$ures describ$ 9 p>agraph 7#a7 %all-- 7,a7 provide t1 subject to subp>agraph 7,b71 ! files & records describ$ 9 p>agraph 7#a7 may be disclos$ only at ! discretion ( ! ,ombudsman 7or ! p]son designat$ by ! ,ombudsman to disclose ! files & records72 & 7,b7 prohibit ! disclosure ( ! id5tity ( any compla9ant or home c>e consum] ) respect to :om ! ,(fice ma9ta9s su* files or records unless-- 7i7 ! compla9ant or home c>e consum]1 or ! legal repres5tative ( ! compla9ant or home c>e consum]1 cons5ts to ! disclosure & ! cons5t is giv5 9 writ+2 7ii7 7,i7 ! compla9ant or home c>e consum] gives cons5t orally2 & 7,,ii7 ! cons5t is docum5t$ contemporane\sly 9 a writ+ made by a repres5tative ( ! home c>e ombudsman program 9 accordance ) su* requirem5ts z ! ,/ate ag5cy %all e/abli%2 or 7iii7 ! disclosure is requir$ by c\rt ord]4 7e7 ,consultation ,9 plann+ & c>ry+ out ! home c>e ombudsman program1 ! ,/ate ag5cy %all consid] ! views ( area ag5cies on ag+1 old] individuals1 & provid]s ( home c>e s]vices & demon/rate h[ ! ,/ate ag5cy has tak5 _! views into consid]ation4 7f7 ,conflict ( int]e/ ,! ,/ate ag5cy %all-- 7#a7 ensure t no individual1 or memb] ( ! imm$iate family ( an individual1 involv$ 9 ! designation ( ! ,ombudsman 7:e!r by appo9tm5t or o!rwise7 or ! designation ( an entity designat$ "u subsection 7a77#e71 is subject to a conflict ( int]e/2 7#b7 ensure t no (fic] or employee ( ! ,(fice1 home c>e ombudsman repres5tative ( a local home c>e ,ombudsman entity1 or memb] ( ! imm$iate family ( ! (fic]1 employee1 or home c>e ombudsman repres5tative1 is subject to a conflict ( int]e/2 7#c7 ensure t ! ,ombudsman-- 7,a7 does n h a direct involvem5t 9 ! lic5s+ or c]tification ( a provid] ( home c>e s]vices2 7,b7 does n h an own]%ip or inve/m5t int]e/ 7repres5t$ by equity1 debt1 contract1 or o!r f9ancial relation%ip7 9 a provid] ( home c>e s]vices2 7,c7 is n employ$ by1 or p>ticipat+ 9 ! managem5t (1 a provid] ( home c>e s]vices2 & 7,d7 does n receive1 or h ! "r to receive1 directly or indirectly1 remun]ation 79 ca% or 9-k9d7 "u a comp5sation arrangem5t ) an own] or op]ator ( a provid] ( home c>e s]vices2 & 7#d7 e/abli%1 & specify 9 writ+1 me*anisms to id5tify & remove conflicts ( int]e/ ref]r$ to 9 p>agraphs 7#a7 & 7#b71 & to id5tify & elim9ate ! relation%ips describ$ 9 subp>agraphs 7,a7 ?r\gh 7,d7 ( p>agraph 7#c71 includ+ su* me*anisms z-- 7,a7 ! me?ods by :i* ! ,/ate ag5cy w exam9e individuals1 & imm$iate family memb]s1 to id5tify ! conflicts2 & 7,b7 ! actions t ! ,/ate ag5cy w require ! individuals & su* family memb]s to take to remove su* conflicts4 7g7 ,legal c\nsel ,! ,/ate ag5cy %all ensure t-- 7#a7 7,a7 adequate legal c\nsel is available1 & is able1 )\t conflict ( int]e/1 to-- 7i7 provide advice & consultation ne$$ to protect ! heal?1 safety1 welf>e1 & rights ( home c>e consum]s2 & 7ii7 assi/ ! ,ombudsman & repres5tatives ( ! home c>e ombudsman program 9 ! p]=mance ( ! (ficial duties ( ! ,ombudsman & repres5tatives2 & 7,b7 legal repres5tation is provid$ to any repres5tative ( ! home c>e ombudsman program aga9/ :om suit or o!r legal action is br\ght or ?reat5$ to be br\ght 9 connection ) ! p]=mance ( ! (ficial duties ( ! ,ombudsman or su* a repres5tative2 & 7#b7 ! ,ombudsman pursues adm9i/rative1 legal1 & o!r appropriate rem$ies on behalf ( home c>e consum]s4 7h7 ,adm9i/ration 7#a7 ,requirem5ts ,! ,/ate ag5cy %all require ! ,(fice to-- 7,a7 include 9 its annual report requir$ 9 section #gab7;h77#a7-- 7i7 a description ( ! activities c>ri$ out by ! ,(fice z !y relat$ to ! home c>e ombudsman program 9 ! ye> = :i* ! report is prep>$2 7ii7 ! data & an analysis ( ! data collect$ "u subsection 7c72 7iii7 an evaluation ( ! problems exp]i5c$ by1 & ! compla9ts made by or on behalf (1 home c>e consum]s2 7iv7 recomm5dations =-- 7,i7 improv+ quality ( ! c>e & life ( ! home c>e consum]s2 & 7,,ii7 protect+ ! heal?1 safety1 welf>e1 & rights ( ! home c>e consum]s2 7v7 7,i7 an analysis ( ! success ( ! home c>e ombudsman program includ+ success 9 provid+ s]vices to home c>e consum]s 9 communities ) high p]c5tages ( racial or e?nic m9orities2 & 7,,ii7 id5tification ( b>ri]s t prev5t ! optimal op]ation ( ! home c>e ombudsman program2 & 7vi7 policy1 regulatory1 & legislative recomm5dations to solve id5tifi$ problems1 to resolve ! compla9ts1 to improve ! quality ( c>e & life ( home c>e consum]s1 to protect ! heal?1 safety1 welf>e1 & rights ( home c>e consum]s1 & to remove ! b>ri]s2 7,b7 n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is *apt]1 e/abli% proc$ures = ! tra9+ ( ! repres5tatives ( ! home c>e ombudsman program1 includ+ unpaid volunte]s1 bas$ on be/ practices outl9$ by ! ,assi/ant ,secret>y 9 ! mo/ rec5t report submitt$ "u subsection 7m77#a71 9 consultation ) repres5tatives ( citiz5 gr\ps1 provid]s ( home c>e s]vices1 & ! home c>e ombudsman program1 t-- 7i7 specify a m9imum numb] ( h\rs ( initial tra9+2 7ii7 specify ! cont5t ( ! tra9+1 includ+ tra9+ relat+ to-- 7,i7 ,f$]al1 ,/ate1 & local laws1 regulations1 & policies1 ) respect to provid]s ( home c>e s]vices 9 ! ,/ate2 7,,ii7 inve/igative te*niques2 & 7,,iii7 su* o!r matt]s z ! ,/ate det]m9es to be appropriate2 & 7iii7 specify an annual numb] ( h\rs ( 9-s]vice tra9+ = all designat$ repres5tatives2 7,c7 prohibit any repres5tative ( ! home c>e ombudsman program 7o!r ?an ! ,ombudsman7 f c>ry+ out any activity describ$ 9 subp>agraphs 7,a7 ?r\gh 7,h7 ( subsection 7a77#c7 unless ! repres5tative-- 7i7 has receiv$ ! tra9+ requir$ "u subp>agraph 7,b72 & 7ii7 has be5 approv$ by ! ,ombudsman z qualifi$ to c>ry out ! activity on behalf ( ! ,(fice2 7,d7 coord9ate home c>e ombudsman s]vices ) ! protection & advocacy sy/ems = individuals ) developm5tal disabilities & m5tal illnesses e/abli%$ "u-- 7i7 subtitle ,c ( ! ,developm5tal ,disabilities ,assi/ance & ,bill ( ,rights ,act ( #bjjj 7#db ,u4,s4,c4 #aejda et seq472 & 7ii7 ! ,protection & ,advocacy = ,individuals ) ,m5tal ,illness ,act 7#db ,u4,s4,c4 #ajhja et seq472 7,e7 coord9ate1 to ! greate/ ext5t possible1 home c>e ombudsman s]vices ) legal assi/ance provid$ "u section #cjf7;a77#b77;,c71 ?r\gh adoption ( memor&a ( und]/&+ & o!r means2 7,f7 coord9ate s]vices ) ,/ate & local law en=cem5t ag5cies & c\rts ( compet5t jurisdiction2 & 7,g7 p]mit any local home c>e ,ombudsman entity to c>ry out ! responsibilities describ$ 9 subp>agraph 7,a71 7,d71 or 7,e74 7#b7 ,au?orities ,! ,/ate ag5cy %all require ! ,(fice to-- 7,a7 analyze1 comm5t on1 & monitor ! developm5t & implem5tation ( ,f$]al1 ,/ate1 & local laws1 regulations1 & o!r gov]nm5t policies & actions t p]ta9 to provid]s ( home c>e s]vices & ^? s]vices1 & to ! heal?1 safety1 welf>e1 & rights ( home c>e consum]s1 9 ! ,/ate1 & recomm5d any *anges 9 su* laws1 regulations1 & policies z ! ,ombudsman det]m9es to be appropriate2 7,b7 7i7 provide su* in=mation z ! ,ombudsman det]m9es to be necess>y to public & private ag5cies1 legislators1 & o!r p]sons1 reg>d+-- 7,i7 ! problems & conc]ns ( old] individuals receiv+ home c>e s]vices2 & 7,,ii7 recomm5dations relat$ to ! problems & conc]ns2 & 7ii7 make available to ! public1 & submit to ! ,assi/ant ,secret>y1 ! *ief executive (fic] ( ! ,/ate1 ! ,/ate legislature1 ! ,/ate ag5cy responsible = lic5s+ or c]tify+ provid]s ( home c>e s]vices1 & o!r appropriate gov]nm5tal entities1 ea* report prep>$ "u p>agraph 7#a77;,a72 & 7,c7 p]mit any local home c>e ,ombudsman entity to c>ry out ! responsibilities describ$ 9 subp>agraph 7,a7 or 7,b74 7i7 ,liability ,! ,/ate %all ensure t no repres5tative ( ! home c>e ombudsman program w be liable "u ,/ate law = ! good fai? p]=mance ( (ficial duties4 7j7 ,non9t]f]5ce ,! ,/ate %all-- 7#a7 ensure t willful int]f]5ce ) repres5tatives ( ! home c>e ombudsman program 9 ! p]=mance ( ! (ficial duties ( ! repres5tatives 7z def9$ by ! ,assi/ant ,secret>y7 %all be unlawful2 7#b7 prohibit retaliation & reprisals by a provid] ( home c>e s]vices or o!r entity ) respect to any recipi5t ( home & community-bas$ s]vices1 employee1 exclusive repres5tative ( an employee1 or o!r p]son = fil+ a compla9t )1 provid+ in=mation to1 or o!rwise coop]at+ ) any repres5tative (1 ! home c>e ombudsman program2 & 7#c7 provide = appropriate sanctions ) respect to ! int]f]5ce1 retaliation1 & reprisals4 7k7 ,coord9ation ) ,adult ,protective ,s]vices 7#a7 ,9 g5]al ,! ,ombudsman1 9 c>ry+ out ! ,/ate ,home ,c>e ,ombudsman ,program1 %all coord9ate activities ) ! ,national ,adult ,protective ,s]vices ,res\rce ,c5t] & ! head ( ! ,/ate's adult protective s]vices program 9 a mann] t is consi/5t ) ! ,/ate's exi/+ 7z ( ! date ( ! coord9ation7 protocols = coord9ation ( activities betwe5 ! ,ombudsman1 9 c>ry+ out ! ,/ate ,long-,t]m ,c>e ,ombudsman ,program4 7#b7 ,e/abli%m5t ( protocols ,if ! protocols describ$ 9 p>agraph 7#a7 d n exi/ 9 ! ,/ate1 ! ,ombudsman1 9 conjunction ) ! head ( ! ,/ate's adult protective s]vices program1 %all e/abli% protocols to coord9ate activities ) ! int5t ( bett] s]v+ vuln]able adults1 :i* protocols %all-- 7,a7 cl>ify ! roles ( ea* program2 7,b7 e/abli% proc$ures = ma9ta9+ a work+ relation%ip2 7,c7 outl9e mutual expectations2 & 7,d7 e/abli% proc$ures = coord9at+ activities ) law en=cem5t4 7l7 ,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$+ fiscal ye>4 7m7 ,evaluation ,! ,assi/ant ,secret>y %all-- 7#a7 9 conjunction ) ! ,director ( ! ,(fice ( ,long-,t]m ,c>e ,ombudsman ,programs & ! heads ( o!r entities det]m9$ to be necess>y by ! ,assi/ant ,secret>y1 collect & analyze ! data requir$ to be submitt$ "u subsection 7c7 by ! ,/ates & )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 ,,iii ,quality measures = home & community-bas$ s]vices #cja4 ,functions ( ,assi/ant ,secret>y ,section #bjb7;b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjab7;b77 is am5d$-- 7#a7 9 p>agraph 7#h7-- 7,a7 9 subp>agraph 7,d71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,e7 by add+ & at ! end2 & 7,c7 by add+ at ! end ! foll[+3 7,f7 to provide in=mation1 relat+ to ! quality measures id5tifi$ "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#i7-- 7,a7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ & community-bas$ s]vice provid]s & ins]t+ community-bas$ s]vice provid]s1 &1 = purposes ( subp>agraph 7,c71 ,ag+ & ,disability ,res\rce ,c5t]s12 7,b7 9 subp>agraph 7,a71 by /rik+ & at ! end2 7,c7 subp>agraph 7,b71 by add+ & at ! end2 & 7,d7 by add+ at ! end ! foll[+3 7,c7 me?ods1 consi/5t ) ! me?ods describ$ 9 p>agraph 7#aa77;,b71 to communicate to consum]s quality in=mation1 relat+ to ! measures id5tifi$ "u p>agraph 7#aa77;,a71 ab\t home & community-bas$ long-t]m c>e programs1 s]vice provid]s1 & res\rces2 2 7#c7 9 p>agraph 7#aj71 by /rik+ & at ! end2 7#d7 by r$esignat+ p>agraph 7#aa7 z p>agraph 7#ab72 & 7#e7 by ins]t+ aft] p>agraph 7#aj7 ! foll[+3 7#aa7 7,a7 id5tify1 9 consultation ) ,/ates 7ei!r directly or by ent]+ into a contract "u ?is subp>agraph & consid]+ ! recomm5dation ( ! contract recipi5t7 measures ( quality = home & community-bas$ long-t]m c>e programs1 s]vice provid]s1 & res\rces t-- 7i7 %all be design$ to ensure ! heal?1 safety1 & welf>e ( consum]s :o are ref]r$ to su* programs1 s]vice provid]s1 & res\rces by area ag5cies on ag+1 ,ag+ & ,disability ,res\rce ,c5t]s1 & su* o!r entities z ! ,assi/ant ,secret>y det]m9es to be appropriate2 & 7ii7 %all be id5tifi$ aft] ! ,assi/ant ,secret>y takes into acc\nt1 at a m9imum1 in=mation reg>d+-- 7,i7 backgr\nd *ecks ( s]vice provid]s2 7,,ii7 lic5sure ( ag5cies & c]tification & tra9+ ( s]vice provid]s2 7,,iii7 consum] satisfaction reg>d+ programs1 s]vice provid]s1 & res\rces1 9 cases 9 :i* consum] satisfaction in=mation is available2 & 7,,iv7 su* additional matt]s z ! ,assi/ant ,secret>y det]m9es to be appropriate2 & 7,b7 tak+ into acc\nt ! v>iation 9 communication infra/ructure developm5t among ,ag+ & ,disability ,res\rce ,c5t]s1 e/abli% consum]-fri5dly me?ods = communicat+ to consum]s1 consi/5tly ?r\gh\t a ,/ate-- 7i7 quality in=mation relat+ to ! measures id5tifi$ "u subp>agraph 7,a7 ab\t home & community-bas$ long-t]m c>e programs1 s]vice provid]s1 & res\rces to :i* su* consum]s are ref]r$ to by area ag5cies on ag+1 ,ag+ & ,disability ,res\rce ,c5t]s1 & su* o!r entities z ! ,assi/ant ,secret>y det]m9es to be appropriate2 & 7ii7 7,i7 ! cont5t ( ! ,/ate c]tification or lic5sure requirem5ts applicable to su* home & community-bas$ long-t]m c>e programs1 s]vice provid]s1 or res\rces2 or 7,,ii7 an explanation t ! ,/ate does n h c]tification or lic5sure requirem5ts applicable to su* home & community-bas$ long-t]m c>e programs1 s]vice provid]s1 or res\rces2 & 4 #cjb4 ,organization ,section #cje7;a77#c77;,e7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbe7;a77#c77;,e77 is am5d$-- 7#a7 9 ! matt] be=e clause 7i71 by /rik+ in=mation relat+ to2 7#b7 9 clause 7i7-- 7,a7 by ins]t+ in=mation relat+ to aft] 7i72 & 7,b7 by /rik+ & at ! end2 7#c7 9 clause 7ii7-- 7,a7 by ins]t+ in=mation relat+ to aft] 7ii72 & 7,b7 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#d7 by add+ at ! end ! foll[+3 7iii7 quality in=mation1 relat+ to ! measures id5tifi$ "u section #bjb7;b77#aa77;,a71 ab\t home & community-bas$ long-t]m c>e programs1 s]vice provid]s1 & res\rces1 provid$ ?r\gh me?ods describ$ 9 section #bjb7;b77#aa77;,b71 :5 ! ,ag+ & ,disability ,res\rce ,c5t]s1 area ag5cies on ag+1 & su* o!r entities z ! ,assi/ant ,secret>y det]m9es to be appropriate1 ref] consum]s to ^? programs1 provid]s1 & res\rces 9 ! ,/ate4 4