,,ii  #aad? ,,congress  #a/ ,session    
,s4 #aegd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #ae1 #bjae ,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 e/abli% a community c>e 
wrap-ar\nd support demon/ration program1
 a pilot project on s]vices = recipi5ts 
( f$]ally assi/$ h\s+1 & a national     
campaign to raise aw>5ess ( ! ag+       
network & to 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 !  
,,c>e ,act4  #b4  ,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    
seq47 is am5d$ by add+ at ! end !       
foll[+3  #dbc4 ,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#b77;,a72  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--  7,a7 :o 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/ #a 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 li/+ !       
individuals1 z describ$ 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$1 :i* may include #a or m ( !    
foll[+3  7,a7 ,m$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 ! prim>y c>e physician &    
c>egiv] ( su* eligible old] individual  
receive notice ( ! ne$s ( su*           
individual4  7h7 ,det]m9ation ( !       
,demon/ration ,program effect on pati5t 
outcomes  7#a7 ,transf] ( in=mation ,ea*
 eligible entity %all collect1 f ea*    
community c>e wrap-ar\nd p>tn]%ip       
support$ 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 !           
det]m9ation is t su* expansion is       

appropriate1 ! ,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 #bjaf1 ! ,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 #bjaf ?r\gh #bjah4  4  #c4  ,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 seq471 z am5d$ by    
section #b1 is fur!r am5d$ by add+ at ! 
end ! foll[+3  #dbd4 ,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 any h\s+ ) respect to :i* a    
cr$it is all[$ "u ! l[-income h\s+ tax  
cr$it "u section #db ( ! ,int]nal       
,rev5ue ,code ( #aihf4  7b7 ,fund+ ,!   
,assi/ant ,secret>y may provide fund+ = 
a s]vice provid$ "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 #bjaf ?r\gh #bjah4   
,su* sums %all rema9 available ?r\gh    
fiscal ye> #bjai = ! purpose ( c>ry+ out
 ! evaluations & reports "u subsection  
7d74  4  #d4 ,national campaign to raise
 aw>5ess ( ! ag+ network & to promote   
advance integrat$ long-t]m c>e plann+   
7a7 ,9 ,g5]al ,section #bjb7;b77#f7 ( ! 
,old] ,am]icans ,act ( #aife 7#db       
,u4,s4,c4 #cjab7;b77#f77 is am5d$ to    
read z foll[s3  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 on ,integrat$ 
,long-,t]m ,c>e ,plann+ ,!re are        
au?oriz$ to be appropriat$ to c>ry out  
section #bjb7;b77#f7 su* sums z may be  
necess>y = ea* ( fiscal ye>s #bjaf ?r\gh
 #bjah4  4