,,ii #aacth ,,congress #ast ,session ,s4 #iii ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #ba1 #bjac ,mr4 ,cardin 7for himself1 ,mr4 ,kirk1 ,ms4 ,mikulski1 and ,mr4 ,nelson7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,older ,americans ,act of #aife to provide social service agencies with the resources to provide services to meet the urgent needs of ,holocaust survivors to age in place with dignity1 comfort1 security1 and quality of life4 #a4 ,short title2 table of contents 7a7 ,short title ,this ,act may be cited as the ,responding to ,urgent needs of ,survivors of the ,holocaust ,act or the ,,rush ,act4 7b7 ,table of contents ,the table of contents for this ,act is as follows3 ,sec4 #a4 ,short title2 table of contents4 ,sec4 #b4 ,purposes4 ,sec4 #c4 ,findings4 ,,title ,i--,responding to the needs of holocaust survivors ,subtitle ,a--,definition1 grants1 and other programs ,sec4 #aja4 ,definition4 ,sec4 #ajb4 ,organization4 ,sec4 #ajc4 ,area plans4 ,sec4 #ajd4 ,state plans4 ,sec4 #aje4 ,consumer contributions4 ,sec4 #ajf4 ,program authorized4 ,sec4 #ajg4 ,prevention of elder abuse1 neglect1 and exploitation4 ,subtitle ,b--,functions within administration for community living ,to assist holocaust survivors ,sec4 #aaa4 ,designation of individual within the administration4 ,sec4 #aab4 ,annual report to congress4 ,,title ,,ii--,nutrition services for all older individuals ,sec4 #bja4 ,nutrition services4 ,,title ,,iii--,transportation ,sec4 #cja4 ,transportation services and resources4 #b4 ,purposes ,the purposes of this ,act are-- 7#a7 to include older individuals who are ,holocaust survivors in the list of groups that receive preference for services as defined in section #cje7;a77#b77;,e7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjbe7;a77#b77;,e772 7#b7 to designate within the ,administration on ,aging an individual to have responsibility for older individuals who are ,holocaust survivors2 7#c7 to ensure that the providers of nutrition services through the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq47 can meet the special health-related or other dietary needs of program participants2 and 7#d7 to help meet the urgent transportation needs of ,holocaust survivors4 #c4 ,findings ,congress finds the following3 7#a7 ,during the ,holocaust1 which took place between #aicc and #aide1 an estimated #f1jjj1jjj ,jews1 as well as millions from other targeted groups1 were murdered by the ,nazis and their collaborators4 7#b7 ,the ,united ,states ,holocaust ,memorial ,museum ,encyclopedia estimates that more than #bjj1jjj ,jews found refuge in the ,united ,states from #aicc to #aide1 and estimates that approximately #acg1jjj ,jewish refugees had settled in the ,united ,states from #aide to #aieb4 7#c7 ,jewish refugees continued to immigrate to the ,united ,states from ,europe and countries of the former ,soviet ,union during the subsequent decades4 7#d7 ,according to the ,conference on ,jewish ,material ,claims ,against ,germany's #bjaa ,worldbook3 ,a ,guide to ,claims ,conference ,programs ,worldwide1 the ,estimated ,nazi ,victim ,population in the ,united ,states is #abj1ice1 down from an estimated #abg1cjj in #bjaj4 7#e7 ,according to the ,conference on ,jewish ,material ,claims ,against ,germany's #bjaa ,worldbook3 ,a ,guide to ,claims ,conference ,programs ,worldwide1 of ,nazi victims currently residing in the ,united ,states1 three in five are women1 and the average age of a ,nazi victim is #hj1 but nearly one-quarter are age #he or over4 7#f7 ,holocaust survivors continue to live with the unique mental and physical scars of the unconscionable trauma caused by the ,holocaust1 and while institutionalized settings are beneficial for some1 certain aspects of institutionalization may have particularly adverse effects on ,holocaust survivors4 7#g7 ,for many ,holocaust survivors1 institutionalized settings produce sights1 sounds1 smells1 emotions1 and routines which can induce panic1 anxiety1 and re-traumatization as a result of experiences from the ,holocaust4 7#h7 ,according to ,findings from the ,national ,jewish ,population ,survey #bjjj-ja1 a ,jewish ,federations of ,north ,america ,report produced in ,december #bjjc1 ,nazi victims are more economically and socially vulnerable1 report poorer health and more health problems1 and have somewhat greater social service needs4 ,they also report poorer health and more disabilities that limit daily activities compared to nonvictims4 7#i7 ,low-income ,holocaust survivors are more reliant on social service programs than most other older ,americans1 and proportionally more ,holocaust survivors need services such as personal care1 home-delivered and congregate meals1 transportation1 counseling1 and mental health support to promote health and quality of life4 7#aj7 ,community organizations serving ,holocaust survivors report that approximately two-thirds of ,holocaust survivors live alone1 and living alone is a risk factor for hospitalization and nursing home admission1 poverty1 falls1 depression1 poor nutrition1 social isolation and loneliness which have been associated with poor health outcomes and an increased risk of death4 7#aa7 ,according to ,findings from the ,national ,jewish ,population ,survey #bjjj-ja1 more than half of all ,holocaust survivors who immigrated to the ,united ,states from the former ,soviet ,union after #aife have annual incomes beneath the ,federal poverty threshold and constitute an extremely vulnerable at-risk population in the ,united ,states4 7#ab7 ,community organizations serving ,holocaust survivors report that transportation is vital to help ,holocaust survivors attend medical appointments1 shop and purchase necessary items1 visit family and friends1 and participate in cultural1 recreational1 or social events1 such as congregate meals or religious services4 7#ac7 ,as the general population of older adults increases and public or philanthropic resources remain constant1 providers serving older adults including ,holocaust survivors need additional capacity to cover the needed services4 7#ad7 ,the ,administration for ,community ,living in the ,department of ,health and ,human ,services serves as the ,federal agency responsible for increasing access to community supports1 while focusing attention and resources on the unique needs of older ,americans and people with disabilities across the lifespan4 7#ae7 ,the mission of the ,administration for ,community ,living is to maximize the independence1 well-being1 and health of older adults1 people with disabilities1 and their families and caregivers4 7#af7 ,many social service agencies that receive funding under the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq47 for home-delivered or congregate meals serve diverse seniors with specialized dietary needs based on religious1 cultural1 or ethnic requirements1 and the necessary special meals often cost more than nonspecial meals4 ,i ,responding to the needs of holocaust survivors ,a ,definition1 grants1 and other programs #aja4 ,definition ,section #ajb of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb7 is amended-- 7#a7 in paragraph 7#bd7-- 7,a7 in subparagraph 7,b71 by striking and2 7,b7 in subparagraph 7,c77ii71 by striking the period at the end and inserting 2 and2 and 7,c7 by adding at the end the following3 7,d7 status as a ,holocaust survivor4 2 7#b7 by redesignating paragraphs 7#bf7 through 7#ed7 as paragraphs 7#bg7 through 7#ee72 and 7#c7 by inserting after paragraph 7#be7 the following3 7#bf7 ,the term ,holocaust survivor means an individual who-- 7,a7 7i7 lived in a country between #aicc and #aide under a ,nazi regime1 under ,nazi occupation1 or under the control of ,nazi collaborators2 or 7ii7 fled from a country between #aicc and #aide under a ,nazi regime1 under ,nazi occupation1 or under the control of ,nazi collaborators2 7,b7 was persecuted between #aicc and #aide on the basis of race1 religion1 physical or mental disability1 sexual orientation1 political affiliation1 ethnicity1 or other basis2 and 7,c7 was a member of a group that was persecuted by the ,nazis4 4 #ajb4 ,organization ,section #cje7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjbe7;a77 is amended-- 7#a7 in paragraph 7#a77;,e71 by inserting older individuals who are ,holocaust survivors1 after proficiency1 each place it appears2 and 7#b7 in paragraph 7#b77;,e71 by inserting older individuals who are ,holocaust survivors1 after proficiency14 #ajc4 ,area plans ,section #cjf of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjbf7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in paragraph 7#a71 by inserting older individuals who are ,holocaust survivors1 after proficiency1 each place it appears2 7,b7 in paragraph 7#d7-- 7i7 in subparagraph 7,a7-- 7,i7 in clause 7i77,i77bb71 by inserting older individuals who are ,holocaust survivors1 after proficiency12 and 7,,ii7 in clause 7ii71 by inserting older individuals who are ,holocaust survivors1 after proficiency1 each place it appears2 7ii7 in subparagraph 7,b77i7-- 7,i7 in subclause 7,,vi71 by striking and at the end2 and 7,,ii7 by inserting after subclause 7,,vii7 the following3 7,,viii7 older individuals who are ,holocaust survivors2 and 2 and 7iii7 in subparagraph 7,b77ii71 by striking subclauses 7,i7 through 7,,vi7 and inserting subclauses 7,i7 through 7,,viii72 and 7,c7 in paragraph 7#g77;,b77iii71 by inserting 1 in particular1 older individuals who are ,holocaust survivors1 after placement2 and 7#b7 in subsection 7b77#b77;,b71 by inserting older individuals who are ,holocaust survivors1 after areas14 #ajd4 ,state plans ,section #cjg7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjbg7;a77 is amended-- 7#a7 in paragraph 7#d71 by inserting older individuals who are ,holocaust survivors1 after proficiency12 7#b7 in paragraph 7#af7-- 7,a7 in subparagraph 7,a7-- 7i7 in clause 7v71 by striking and at the end2 and 7ii7 by adding at the end the following3 7vii7 older individuals who are ,holocaust survivors2 and 2 and 7,b7 in subparagraph 7,b71 by striking clauses 7i7 through 7vi7 and inserting clauses 7i7 through 7vii72 and 7#c7 in paragraph 7#bh77;,b77ii71 by inserting older individuals who are ,holocaust survivors1 after areas14 #aje4 ,consumer contributions ,section #cae of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcj;c-#b7 is amended-- 7#a7 in subsection 7c77#b71 by inserting older individuals who are ,holocaust survivors1 after proficiency12 and 7#b7 in subsection 7d71 by inserting older individuals who are ,holocaust survivors1 after proficiency14 #ajf4 ,program authorized ,section #cgc7;c77#b77;,a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcjs-#a7;c77#b77;,a77 is amended by striking individuals7 inserting individuals and older individuals who are ,holocaust survivors74 #ajg4 ,prevention of elder abuse1 neglect1 and exploitation ,section #gba7;b77#ab7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjeh;i7b77#ab77 is amended-- 7#a7 in subparagraph 7,b71 by striking or at the end2 7#b7 in subparagraph 7,c71 by striking the period at the end and inserting 2 or2 and 7#c7 by adding at the end the following3 7,d7 older individuals who are ,holocaust survivors4 4 ,b ,functions within administration for community living ,to assist holocaust survivors #aaa4 ,designation of individual within the administration ,the ,administrator for ,community ,living is authorized to designate within the ,administration for ,community ,living a person who has specialized training1 background1 or experience with ,holocaust survivor issues to have responsibility for implementing services for older individuals who are ,holocaust survivors4 #aab4 ,annual report to congress ,the ,administrator for ,community ,living1 with assistance from the individual designated under section #aaa1 shall prepare and submit to ,congress an annual report on the status and needs1 including the priority areas of concern1 of older individuals 7as defined in section #ajb of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb77 who are ,holocaust survivors4 ,,ii ,nutrition services for all older individuals #bja4 ,nutrition services 7a7 ,in general ,section #cci7b7 of the ,older ,americans ,act of #ajfe 7#db ,u4,s4,c4 #cjcj;g-#ba7b77 is amended-- 7#a7 in subparagraph 7,a71 by amending clause 7iii7 to read as follows3 7iii7 to the maximum extent practicable1 are adjusted and appropriately funded to meet any special health-related or other dietary needs of program participants1 including needs based on religious1 cultural1 or ethnic requirements1 2 7#b7 in subparagraph 7,j71 by striking 1 and and inserting a comma2 7#c7 in subparagraph 7,k71 by striking the period and inserting 1 and2 and 7#d7 by adding at the end the following3 7,l7 encourages and educates individuals who distribute nutrition services under subpart #b to engage in conversation with homebound older individuals and to be aware of the warning signs of medical emergencies1 injury or abuse in order to reduce isolation and promote well-being4 4 7b7 ,study of nutrition projects ,section #cag7;a77#b7 of the ,older ,americans ,act ,amendments of #bjjf 7,public ,law #aji-cfe7 is amended-- 7#a7 in subparagraph 7,b71 by striking 2 and and inserting a semicolon2 7#b7 in subparagraph 7,c71 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7,d7 an analysis of service providers' abilities to obtain viable contracts for special foods necessary to meet a religious requirement1 required dietary need1 or ethnic consideration4 4 ,,iii ,transportation #cja4 ,transportation services and resources ,section #daa7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcb7;a77 is amended-- 7#a7 by redesignating paragraph 7#ac7 as paragraph 7#ad72 7#b7 in paragraph 7#ab71 by striking 2 and and inserting a semicolon2 and 7#c7 by inserting after paragraph 7#ab7 the following3 7#ac7 supporting programs that enable the mobility and self-sufficiency of older individuals with the greatest economic need and older individuals with the greatest social need by providing transportation services and resources2 and 4