,,ii  #aac? ,,congress  #a/ ,session    
,s4 #iii  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,may #ba1 #bjac ,mr4   
,c>d9 7= himself1 ,mr4 ,kirk1 ,ms4      
,mikulski1 & ,mr4 ,nelson7 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       
provide social s]vice ag5cies ) !       
res\rces to provide s]vices to meet !   
urg5t ne$s ( ,holocau/ survivors to age 
9 place ) dignity1 com=t1 security1 &   
quality ( life4  #a4 ,%ort title2 table 
( cont5ts  7a7 ,%ort title ,?is ,act may
 be cit$ z ! ,respond+ to ,urg5t ne$s ( 
,survivors ( ! ,holocau/ ,act or ! ,,ru%
 ,act4  7b7 ,table ( cont5ts ,! table ( 
cont5ts = ?is ,act is z foll[s3  ,sec4  
#a4 ,%ort title2 table ( cont5ts4 ,sec4 
#b4 ,purposes4 ,sec4 #c4 ,f9d+s4 ,,title
 ,i--,respond+ to ! ne$s ( holocau/     
survivors ,subtitle ,a--,def9ition1     
grants1 & o!r programs ,sec4 #aja4      
,def9ition4 ,sec4 #ajb4 ,organization4  

,sec4 #ajc4 ,area plans4 ,sec4 #ajd4    
,/ate plans4 ,sec4 #aje4 ,consum]       
contributions4 ,sec4 #ajf4 ,program     
au?oriz$4 ,sec4 #ajg4 ,prev5tion ( eld] 
abuse1 neglect1 & exploitation4         
,subtitle ,b--,functions )9 adm9i/ration
 = community liv+ ,to assi/ holocau/    
survivors ,sec4 #aaa4 ,designation (    
individual )9 ! adm9i/ration4 ,sec4     
#aab4 ,annual report to congress4       
,,title ,,ii--,nutrition s]vices = all  
old] individuals ,sec4 #bja4 ,nutrition 
s]vices4 ,,title ,,iii--,transportation 
,sec4 #cja4 ,transportation s]vices &   
res\rces4  #b4 ,purposes ,! purposes (  
?is ,act are--  7#a7 to include old]    
individuals :o are ,holocau/ survivors 9
 ! li/ ( gr\ps t receive pref]5ce =     
s]vices z def9$ 9 section               
#cje7;a77#b77;,e7 ( ! ,old] ,am]icans   
,act ( #aife 7#db ,u4,s4,c4             
#cjbe7;a77#b77;,e772  7#b7 to designate 
)9 ! ,adm9i/ration on ,ag+ an individual
 to h responsibility = old] individuals 
:o are ,holocau/ survivors2  7#c7 to    

ensure t ! provid]s ( nutrition s]vices 
?r\gh ! ,old] ,am]icans ,act ( #aife    
7#db ,u4,s4,c4 #cjja et seq47 c meet !  
special heal?-relat$ or o!r diet>y ne$s 
( program p>ticipants2 &  7#d7 to help  
meet ! urg5t transportation ne$s (      
,holocau/ survivors4  #c4 ,f9d+s        
,congress f9ds ! foll[+3  7#a7 ,dur+ !  
,holocau/1 :i* took place betwe5 #aicc &
 #aide1 an e/imat$ #f1jjj1jjj ,jews1 z  
well z millions f o!r t>get$ gr\ps1 7   
murd]$ by ! ,nazis & _! collaborators4  
7#b7 ,! ,unit$ ,/ates ,holocau/         
,memorial ,museum ,encyclop$ia e/imates 
t m ?an #bjj1jjj ,jews f\nd refuge 9 !  
,unit$ ,/ates f #aicc to #aide1 &       
e/imates t approximately #acg1jjj ,jewi%
 refugees _h settl$ 9 ! ,unit$ ,/ates f 
#aide to #aieb4  7#c7 ,jewi% refugees   
cont9u$ to immigrate to ! ,unit$ ,/ates 
f ,europe & c\ntries ( ! =m] ,soviet    
,union dur+ ! subsequ5t decades4  7#d7  
,accord+ to ! ,conf]5ce on ,jewi%       
,mat]ial ,claims ,aga9/ ,g]many's #bjaa 
,worldbook3 ,a ,guide to ,claims        

,conf]5ce ,programs ,worldwide1 !       
,e/imat$ ,nazi ,victim ,population 9 !  
,unit$ ,/ates is #abj1ice1 d[n f an     
e/imat$ #abg1cjj 9 #bjaj4  7#e7 ,accord+
 to ! ,conf]5ce on ,jewi% ,mat]ial      
,claims ,aga9/ ,g]many's #bjaa          
,worldbook3 ,a ,guide to ,claims        
,conf]5ce ,programs ,worldwide1 ( ,nazi 
victims curr5tly resid+ 9 ! ,unit$      
,/ates1 ?ree 9 five are wom51 & ! av]age
 age ( a ,nazi victim is #hj1 b ne>ly   
"o-qu>t] are age #he or ov]4  7#f7      
,holocau/ survivors cont9ue to live ) ! 
unique m5tal & physical sc>s ( !        
unconscionable trauma caus$ by !        
,holocau/1 & :ile in/itutionaliz$ sett+s
 are b5eficial = "s1 c]ta9 aspects (    
in/itutionalization may h p>ticul>ly    
adv]se effects on ,holocau/ survivors4  
7#g7 ,= _m ,holocau/ survivors1         
in/itutionaliz$ sett+s produce sights1  
s\nds1 smells1 emotions1 & r\t9es :i* c 
induce panic1 anxiety1 &                
re-traumatization z a result ( exp]i5ces
 f ! ,holocau/4  7#h7 ,accord+ to ,f9d+s

 f ! ,national ,jewi% ,population       
,survey #bjjj-ja1 a ,jewi% ,f$]ations ( 
,nor? ,am]ica ,report produc$ 9 ,decemb]
 #bjjc1 ,nazi victims are m economically
 & socially vuln]able1 report poor]     
heal? & m heal? problems1 & h some:at   
great] social s]vice ne$s4 ,!y also     
report poor] heal? & m disabilities t   
limit daily activities comp>$ to        
nonvictims4  7#i7 ,l[-income ,holocau/  
survivors are m reliant on social s]vice
 programs ?an mo/ o!r old] ,am]icans1 & 
proportionally m ,holocau/ survivors ne$
 s]vices su* z p]sonal c>e1 home-deliv]$
 & congregate meals1 transportation1    
c\nsel+1 & m5tal heal? support to       
promote heal? & quality ( life4  7#aj7  
,community organizations s]v+ ,holocau/ 
survivors report t approximately        
two-?irds ( ,holocau/ survivors live    
alone1 & liv+ alone is a risk factor =  
hospitalization & nurs+ home admission1 
pov]ty1 falls1 depression1 poor         
nutrition1 social isolation & lonel9ess 
:i* h be5 associat$ ) poor heal?        

outcomes & an increas$ risk ( dea?4     
7#aa7 ,accord+ to ,f9d+s f ! ,national  
,jewi% ,population ,survey #bjjj-ja1 m  
?an half ( all ,holocau/ survivors :o   
immigrat$ to ! ,unit$ ,/ates f ! =m]    
,soviet ,union aft] #aife h annual      
incomes b5ea? ! ,f$]al pov]ty ?re%old & 
con/itute an extremely vuln]able at-risk
 population 9 ! ,unit$ ,/ates4  7#ab7   
,community organizations s]v+ ,holocau/ 
survivors report t transportation is    
vital to help ,holocau/ survivors att5d 
m$ical appo9tm5ts1 %op & pur*ase        
necess>y items1 visit family & fri5ds1 &
 p>ticipate 9 cultural1 recreational1 or
 social ev5ts1 su* z congregate meals or
 religi\s s]vices4  7#ac7 ,z ! g5]al    
population ( old] adults increases &    
public or philan?ropic res\rces rema9   
con/ant1 provid]s s]v+ old] adults      
includ+ ,holocau/ survivors ne$         
additional capacity to cov] ! ne$$      
s]vices4  7#ad7 ,! ,adm9i/ration =      
,community ,liv+ 9 ! ,dep>tm5t ( ,heal? 
& ,human ,s]vices s]ves z ! ,f$]al ag5cy

 responsible = increas+ access to       
community supports1 :ile focus+ att5tion
 & res\rces on ! unique ne$s ( old]     
,am]icans & p ) disabilities across !   
lifespan4  7#ae7 ,! mission ( !         
,adm9i/ration = ,community ,liv+ is to  
maximize ! indep5d5ce1 well-be+1 & heal?
 ( old] adults1 p ) disabilities1 & _!  
families & c>egiv]s4  7#af7 ,_m social  
s]vice ag5cies t receive fund+ "u !     
,old] ,am]icans ,act ( #aife 7#db       
,u4,s4,c4 #cjja et seq47 = home-deliv]$ 
or congregate meals s]ve div]se s5iors )
 specializ$ diet>y ne$s bas$ on         
religi\s1 cultural1 or e?nic            
requirem5ts1 & ! necess>y special meals 
(t5 co/ m ?an nonspecial meals4  ,i     
,respond+ to ! ne$s ( holocau/ survivors
  ,a ,def9ition1 grants1 & o!r programs 
#aja4 ,def9ition ,section #ajb ( ! ,old]
 ,am]icans ,act ( #aife 7#db ,u4,s4,c4  
#cjjb7 is am5d$--  7#a7 9 p>agraph      
7#bd7--  7,a7 9 subp>agraph 7,b71 by    
/rik+ &2  7,b7 9 subp>agraph 7,c77ii71  
by /rik+ ! p]iod at ! end & ins]t+ 2 &2 

&  7,c7 by add+ at ! end ! foll[+3  7,d7
 /atus z a ,holocau/ survivor4  2  7#b7 
by r$esignat+ p>agraphs 7#bf7 ?r\gh     
7#ed7 z p>agraphs 7#bg7 ?r\gh 7#ee72 &  
7#c7 by ins]t+ aft] p>agraph 7#be7 !    
foll[+3  7#bf7 ,! t]m ,holocau/ survivor
 means an individual :o--  7,a7 7i7 liv$
 9 a c\ntry betwe5 #aicc & #aide "u a   
,nazi regime1 "u ,nazi occupation1 or "u
 ! control ( ,nazi collaborators2 or    
7ii7 fl$ f a c\ntry betwe5 #aicc & #aide
 "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  4  #ajb4         
,organization ,section #cje7;a7 ( !     
,old] ,am]icans ,act ( #aife 7#db       
,u4,s4,c4 #cjbe7;a77 is am5d$--  7#a7 9 
p>agraph 7#a77;,e71 by ins]t+ old]      
individuals :o are ,holocau/ survivors1 
aft] pr(ici5cy1 ea* place x appe>s2 &   

7#b7 9 p>agraph 7#b77;,e71 by ins]t+    
old] individuals :o are ,holocau/       
survivors1 aft] pr(ici5cy14  #ajc4 ,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#a71 by ins]t+ old]          
individuals :o are ,holocau/ survivors1 
aft] pr(ici5cy1 ea* place x appe>s2     
7,b7 9 p>agraph 7#d7--  7i7 9           
subp>agraph 7,a7--  7,i7 9 clause       
7i77,i77bb71 by ins]t+ old] individuals 
:o are ,holocau/ survivors1 aft]        
pr(ici5cy12 &  7,,ii7 9 clause 7ii71 by 
ins]t+ old] individuals :o are ,holocau/
 survivors1 aft] pr(ici5cy1 ea* place x 
appe>s2  7ii7 9 subp>agraph 7,b77i7--   
7,i7 9 subclause 7,,vi71 by /rik+ & at !
 end2 &  7,,ii7 by ins]t+ aft] subclause
 7,,vii7 ! foll[+3  7,,viii7 old]       
individuals :o are ,holocau/ survivors2 
&  2 &  7iii7 9 subp>agraph 7,b77ii71 by
 /rik+ subclauses 7,i7 ?r\gh 7,,vi7 &   
ins]t+ subclauses 7,i7 ?r\gh 7,,viii72 &
  7,c7 9 p>agraph 7#g77;,b77iii71 by    

ins]t+ 1 9 p>ticul>1 old] individuals :o
 are ,holocau/ survivors1 aft] placem5t2
 &  7#b7 9 subsection 7b77#b77;,b71 by  
ins]t+ old] individuals :o are ,holocau/
 survivors1 aft] areas14  #ajd4 ,/ate   
plans ,section #cjg7;a7 ( ! ,old]       
,am]icans ,act ( #aife 7#db ,u4,s4,c4   
#cjbg7;a77 is am5d$--  7#a7 9 p>agraph  
7#d71 by ins]t+ old] individuals :o are 
,holocau/ survivors1 aft] pr(ici5cy12   
7#b7 9 p>agraph 7#af7--  7,a7 9         
subp>agraph 7,a7--  7i7 9 clause 7v71 by
 /rik+ & at ! end2 &  7ii7 by add+ at ! 
end ! foll[+3  7vii7 old] individuals :o
 are ,holocau/ survivors2 &  2 &  7,b7 9
 subp>agraph 7,b71 by /rik+ clauses 7i7 
?r\gh 7vi7 & ins]t+ clauses 7i7 ?r\gh   
7vii72 &  7#c7 9 p>agraph               
7#bh77;,b77ii71 by ins]t+ old]          
individuals :o are ,holocau/ survivors1 
aft] areas14  #aje4 ,consum]            
contributions ,section #cae ( ! ,old]   
,am]icans ,act ( #aife 7#db ,u4,s4,c4   
#cjcj;c-#b7 is am5d$--  7#a7 9          
subsection 7c77#b71 by ins]t+ old]      

individuals :o are ,holocau/ survivors1 
aft] pr(ici5cy12 &  7#b7 9 subsection   
7d71 by ins]t+ old] individuals :o are  
,holocau/ survivors1 aft] pr(ici5cy14   
#ajf4 ,program au?oriz$ ,section        
#cgc7;c77#b77;,a7 ( ! ,old] ,am]icans   
,act ( #aife 7#db ,u4,s4,c4             
#cjcjs-#a7;c77#b77;,a77 is am5d$ by     
/rik+ individuals7 ins]t+ individuals & 
old] individuals :o are ,holocau/       
survivors74  #ajg4 ,prev5tion ( eld]    
abuse1 neglect1 & exploitation ,section 
#gba7;b77#ab7 ( ! ,old] ,am]icans ,act (
 #aife 7#db ,u4,s4,c4 #cjeh;i7b77#ab77  
is am5d$--  7#a7 9 subp>agraph 7,b71 by 
/rik+ or at ! end2  7#b7 9 subp>agraph  
7,c71 by /rik+ ! p]iod at ! end & ins]t+
 2 or2 &  7#c7 by add+ at ! end !       
foll[+3  7,d7 old] individuals :o are   
,holocau/ survivors4  4  ,b ,functions  
)9 adm9i/ration = community liv+ ,to    
assi/ holocau/ survivors  #aaa4         
,designation ( individual )9 !          
adm9i/ration ,! ,adm9i/rator =          
,community ,liv+ is au?oriz$ to         

designate )9 ! ,adm9i/ration =          
,community ,liv+ a p]son :o has         
specializ$ tra9+1 backgr\nd1 or exp]i5ce
 ) ,holocau/ survivor issues to h       
responsibility = implem5t+ s]vices =    
old] individuals :o are ,holocau/       
survivors4  #aab4 ,annual report to     
congress ,! ,adm9i/rator = ,community   
,liv+1 ) assi/ance f ! individual       
designat$ "u section #aaa1 %all prep>e &
 submit to ,congress an annual report on
 ! /atus & ne$s1 includ+ ! priority     
areas ( conc]n1 ( old] individuals 7z   
def9$ 9 section #ajb ( ! ,old] ,am]icans
 ,act ( #aife 7#db ,u4,s4,c4 #cjjb77 :o 
are ,holocau/ survivors4  ,,ii          
,nutrition s]vices = all old]           
individuals  #bja4 ,nutrition s]vices   
7a7 ,9 g5]al ,section #cci7b7 ( ! ,old] 
,am]icans ,act ( #ajfe 7#db ,u4,s4,c4   
#cjcj;g-#ba7b77 is am5d$--  7#a7 9      
subp>agraph 7,a71 by am5d+ clause 7iii7 
to read z foll[s3  7iii7 to ! maximum   
ext5t practicable1 are adju/$ &         
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+ 1 & & ins]t+ a comma2    
7#c7 9 subp>agraph 7,k71 by /rik+ !     
p]iod & ins]t+ 1 &2 &  7#d7 by add+ at !
 end ! foll[+3  7,l7 enc\rages &        
educates individuals :o di/ribute       
nutrition s]vices "u subp>t #b to engage
 9 conv]sation ) homeb\nd old]          
individuals & to be aw>e ( ! w>n+ signs 
( m$ical em]g5cies1 injury or abuse 9   
ord] to r$uce isolation & promote       
well-be+4  4  7b7 ,/udy ( nutrition     
projects ,section #cag7;a77#b7 ( ! ,old]
 ,am]icans ,act ,am5dm5ts ( #bjjf       
7,public ,law #aji-cfe7 is am5d$--  7#a7
 9 subp>agraph 7,b71 by /rik+ 2 & &     
ins]t+ a semicolon2  7#b7 9 subp>agraph 
7,c71 by /rik+ ! p]iod at ! end & ins]t+
 2 &2 &  7#c7 by add+ at ! end ! foll[+3
  7,d7 an analysis ( s]vice provid]s'   
abilities to obta9 viable contracts =   
special foods necess>y to meet a        

religi\s requirem5t1 requir$ diet>y ne$1
 or e?nic consid]ation4  4  ,,iii       
,transportation  #cja4 ,transportation  
s]vices & res\rces ,section #daa7;a7 ( !
 ,old] ,am]icans ,act ( #aife 7#db      
,u4,s4,c4 #cjcb7;a77 is am5d$--  7#a7 by
 r$esignat+ p>agraph 7#ac7 z p>agraph   
7#ad72  7#b7 9 p>agraph 7#ab71 by /rik+ 
2 & & ins]t+ a semicolon2 &  7#c7 by    
ins]t+ aft] p>agraph 7#ab7 ! foll[+3    
7#ac7 support+ programs t enable !      
mobility & self-suffici5cy ( old]       
individuals ) ! greate/ economic ne$ &  
old] individuals ) ! greate/ social ne$ 
by provid+ transportation s]vices &     
res\rces2 &  4