,i #aaf? ,,congress #a/ ,session ,h4 ,r4 #dccd ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #af1 #bjai,ms4 ,bonamici 7= h]self1 ,ms4 ,/efanik1 ,mrs4 ,lee ( ,nevada1 ,mr4 ,com]1 ,ms4 ,wild1 & ,mr4 ,johnson ( ,s\? ,dakota7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,education & ,labor ,a ,,bill ,to am5d ! ,old] ,am]icans ,act ( #aife to au?orize appropriations = fiscal ye>s #bjbj ?r\gh #bjbd1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,dignity 9 ,ag+ ,act ( #bjai4 7b7 ,table ( cont5ts ,! table ( cont5ts ( ?is ,act is ! foll[+3 ,sec4 #a4 ,%ort title2 table ( cont5ts4 ,title ,i--,ensur+ collaboration & promot+ indep5d5ce = old] individuals ,sec4 #aja4 ,p]son-c5t]$1 trauma-in=m$ c>e4 ,sec4 #ajb4 ,vacc9ation4 ,sec4 #ajc4 ,functions ( ,assi/ant ,secret>y4 ,sec4 #ajd4 ,pr(essional /&>ds = nutrition (ficial "u ! ,assi/ant ,secret>y4 ,sec4 #aje4 ,int]ag5cy ,coord9at+ ,committee on ,age-,fri5dly ,communities4 ,sec4 #ajf4 ,te*nical assi/ance on age-fri5dly communities4 ,sec4 #ajg4 ,malnutrition4 ,sec4 #ajh4 ,coord9ation ) res\rce c5t]s4 ,sec4 #aji4 ,arts education4 ,sec4 #aaj4 ,social det]m9ants ( heal?4 ,sec4 #aaa4 ,f$]al coord9ation ( supports & s]vices = liv+ indep5d5tly & safely at home4 ,sec4 #aab4 ,falls prev5tion & *ronic disease self-managem5t education4 ,sec4 #aac4 ,ext5sion ( ,,raise ,family ,c>egiv]s ,act4 ,sec4 #aad4 ,support = socially isolat$ old] ,am]icans4 ,sec4 #aae4 ,increas$ focus ( ,assi/ant ,secret>y on social isolation4 ,sec4 #aaf4 ,advisory c\ncil on social isolation4 ,sec4 #aag4 ,supportive s]vices & s5ior c5t]s4 ,sec4 #aah4 ,demon/ration projects4 ,sec4 #aai4 ,y\ng] onset ,alzheim]'s ,disease4 ,sec4 #abj4 ,priority = ! s5ior community s]vice employm5t program4 ,sec4 #aba4 ,direct c>e work=ce4 ,title ,,ii--,emp[]+ ! ,ag+ ,network to meet ! ne$s ( old] individuals ,sec4 #bja4 ,national ,family ,c>egiv] ,support ,program cap4 ,sec4 #bjb4 ,m9imum fund+ level = ,/ate adm9i/rative exp5ses4 ,sec4 #bjc4 ,culturally appropriate1 m$ically tailor$ meals4 ,sec4 #bjd4 ,bus9ess acum5 provisions & cl>ification reg>d+ outside fund+ = area ag5cies on ag+4 ,sec4 #bje4 ,o!r practices4 ,sec4 #bjf4 ,c>egiv] assessm5ts4 ,sec4 #bjg4 ,rese>* & evaluation4 ,sec4 #bjh4 ,grant program = multig5]ational collaboration4 ,title ,,iii--,/r5g!n+ protections = old] individuals ,sec4 #cja4 ,/ate ,long-,t]m ,c>e ,ombudsman ,program m9imum fund+ & ma9t5ance ( ef=t4 ,sec4 #cjb4 ,/ate long-t]m c>e volunte] ombudsman repres5tatives4 ,sec4 #cjc4 ,cl>ification reg>d+ bo>d & c>e facilities4 ,title ,,iv--,meet+ ! ne$s ( old] ,native ,am]icans ,sec4 #dja4 ,exp&+ supportive s]vices = ,native ,am]ican ag+ programs4 ,sec4 #djb4 ,enhanc+ capacity to support ,native ,am]ican ag+ programs4 ,title ,v--,miscellane\s ,sec4 #eja4 ,assi/ive te*nology4 ,sec4 #ejb4 ,te*nical corrections4 ,sec4 #ejc4 ,au?orization ( appropriations2 uses ( funds4 ,sec4 #ejd4 ,effective date4 ,i ,ensur+ collaboration & promot+ indep5d5ce = old] individuals #aja4 ,p]son-c5t]$1 trauma-in=m$ c>e ,section #aja7b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja7b77 is am5d$ by ins]t+ 7includ+ access to p]son-c5t]$1 trauma-in=m$ c>e7 aft] heal?4 #ajb4 ,vacc9ation ,section #ajb7ad7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb7ad77 is am5d$ -- 7#a7 9 subp>agraph 7,b7 by ins]t+ immunization /atus1 aft] oral heal?11 & 7#b7 9 subp>agraph 7,d7 by ins]t+ infecti\s disease1 & vacc9e prev5table disease1 aft] disease714 #ajc4 ,functions ( ,assi/ant ,secret>y ,section #bjb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjab7 is am5d$-- 7#a7 by am5d+ subsection 7a77#d7 to read z foll[s3 7#d7 adm9i/] ! grants provid$ by ?is ,act b n approve an application submitt$ by an applicant = a grant = a program = :i* su* applicant previ\sly receiv$ a grant unless ! ,assi/ant ,secret>y det]m9es-- 7,a7 ! program = :i* su* application 0 submitt$ is op]at+ effectively to a*ieve its /at$ purpose1 & 7,b7 su* applicant-- 7i7 compli$ ) ! assurances provid$ to ! ,assi/ant ,secret>y ) ! application = su* previ\s grant2 & 7ii7 w comply ) ! assurances provid$ ) ! curr5t submitt$ application4 1 & 7#b7 by add+ at ! end ! foll[+3 7h7 ,! ,assi/ant ,secret>y %all publi%1 on an annual basis1 a li/ ( c5t]s & demon/ration projects fund$ "u ea* title ( ! ,act4 ,! ,assi/ant ,secret>y %all ensure t ?is in=mation is also directly provid$ to ,/ates & area ag5cies on ag+4 4 #ajd4 ,pr(essional /&>ds = nutrition (ficial "u ! ,assi/ant ,secret>y ,section #bje7;a77#b77;,c77ii7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjaf7;a77#b77;,c77ii7 is am5d$ to read z foll[s3 7ii7 be a regi/]$ dietitian or regi/]$ dietician nutritioni/4 4 #aje4 ,int]ag5cy ,coord9at+ ,committee on ,age-,fri5dly ,communities ,section #bjc ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjac7 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 7#ah7 by /rik+ & at ! end1 7,b7 9 subp>agraph 7#ai7 by /rik+ ! p]iod at ! end1 & ins]t+ 2 &1 & 7,c7 by add+ at ! end ! foll[+3 7#bj7 section #cic;,d ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;b-#a;f71 relat+ to safety ( s5iors4 1 & 7#b7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a7-- 7i7 by /rik+ ,ag+ & ins]t+ ,age-,fri5dly ,communities1 & 7ii7 by ins]t+ to support ! ability ( old] individuals to age 9 place & access prev5tive heal? c>e1 promote age-fri5dly communities1 & address ! ability ( old] individuals to access long-t]m c>e supports1 includ+ access to c>egiv]s & home- & community-bas$ s]vices be=e ! p]iod at ! end1 7,b7 9 p>agraph 7#d7 by ins]t+ 1 except t ! #a/ t]m ( a memb] appo9t$ to ! ,int]ag5cy ,coord9at+ ,committee on ,age-,fri5dly ,communities %all beg9 n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ! ,dignity 9 ,ag+ ,act ( #bjai be=e ! p]iod at ! end1 7,c7 9 p>agraph 7#e7 by /rik+ once ea* ye> & ins]t+ semiannually1 7,d7 9 p>agraph 7#f7-- 7i7 9 subp>agraph 7,a7-- 7,i7 9 clause 7iii7 by /rik+ & at ! end1 7,,ii7 9 clause 7iv7 by add+ & at ! end1 & 7,,iii7 by add+ at ! end ! foll[+3 7v7 id5tify+ be/ practices = connect+ old] individuals to s]vices = :i* !y may be eligible2 1 & 7ii7 by am5d+ subp>agraph 7,b77ii7 to read z foll[s3 7ii7 innovations 9 te*nology applications 7includ+ assi/ance te*nology devices & assi/ance te*nology s]vices7 t-- 7,i7 promote safe & accessible indep5d5t liv+ environm5ts2 & 7,,ii7 give old] individuals access to in=mation on available s]vices or help 9 provid+ s]vices to old] individuals2 1 7,e7 9 subp>agraph 7,e7 by /rik+ nongov]nm5tal exp]ts & organizations1 includ+ public heal? int]e/ & rese>* gr\ps & f\ndations & ins]t+ nongov]nm5tal organizations1 academic or rese>* in/itutions1 community-bas$ organizations1 & philan?ropic organizations1 7,f7 by r$esignat+ subp>agraphs 7,e71 7,f71 & 7,f7 z subp>agraphs 7,f71 7,g71 & 7,h71 respectively1 7,g7 by ins]t+ aft] subp>agraph 7,d7 ! foll[+3 7,e7 "w ) ! ,c5t]s = ,disease ,control1 ! ,national ,in/itute on ,ag+1 & ! ,h\s+ & ,urban ,developm5t ,(fice ( ,lead ,haz>d ,control & ,heal?y ,homes1 & o!r ,f$]al ag5cies z appropriate1 to develop recomm5dations1 9 accordance ) p>agraph 7#a71 to r$uce falls among old] individuals t incorporate evid5ce-bas$ falls prev5tion programs & home modifications to r$uce & prev5t falls2 1 & 7,h7 by add+ at ! end ! foll[+3 7#i7 ,9 ?is subsection1 ! t]m age-fri5dly community means a community t-- 7,a7 is tak+ /eps-- 7i7 to include accessible h\s+1 accessible spaces & build+s1 safe & secure pa?s1 v>iable r\te transportation s]vices1 & programs & s]vices design$ to ma9ta9 heal? & well-be+2 7ii7 to respect & include old] individuals 9 social opportunities1 civic p>ticipation1 volunte]ism1 & employm5t2 & 7iii7 to facilitate access to supportive s]vices = old] individuals2 & 7,b7 has a plan 9 place to meet local ne$s = h\s+1 transportation1 civic p>ticipation1 social connect$ness1 & accessible spaces4 4 #ajf4 ,te*nical assi/ance on age-fri5dly communities ,section #bje7;a77#b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjaf7;a77#b77 is am5d$-- 7#a7 by r$esignat+ subp>agraph 7,c7 z subp>agraph 7,d71 & 7#b7 by ins]t+ aft] subp>agraph 7,b7 ! foll[+3 7,c7 ,! ,assi/ant ,secret>y may provide te*nical assi/ance1 includ+ ?r\gh ! regional (fices ( ! ,adm9i/ration1 to ,/ate ag5cies1 area ag5cies on ag+1 local gov]nm5t ag5cies1 or lead]s 9 age-fri5dly communities 7z def9$ 9 section #bjc7;c77#i77 reg>d+-- 7i7 dissem9ation (1 or consid]ation ( ways to implem5t1 be/ practices & recomm5dations f ! ,int]ag5cy ,coord9at+ ,committee on ,age-,fri5dly ,communities e/abli%$ "u section #bjc7;c72 & 7ii7 me?ods = manag+ & coord9at+ exi/+ programs to meet ! ne$s ( gr[+ age-fri5dly communities4 4 #ajg4 ,malnutrition ,! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #bjaa et seq47 is am5d$-- 7#a7 9 section #ajb7ad77;,b7 by ins]t+ 7includ+ scre5+ = malnutrition7 be=e ! semicolon at ! end1 & 7#b7 9 section #ccj7a7 by /rik+ & food insecurity & ins]t+ 1 food insecurity1 & malnutrition4 #ajh4 ,coord9ation ) res\rce c5t]s 7a7 ,area plans ,section #cjf7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbf7;a77 is am5d$-- 7#a7 9 p>agraph 7#af7 by /rik+ & at ! end1 7#b7 9 p>agraph 7#ag7 by /rik+ ! p]iod at ! end1 & 7#c7 by add+ at ! end ! foll[+3 7#ah7 provide assurances t ! area ag5cy on ag+ w collect data to det]m9e ! s]vices t are ne$$ by old] individuals ^: ne$s are ! focus ( all c5t]s fund$ "u title ,,iv & ! effectiv5ess ( su* activities 9 assi/+ ^! individuals4 ,ea* ag5cy plan %all provide assurances t ! area ag5cy on ag+ w use outrea* ef=ts t w id5tify individuals eligible = assi/ance "u ?is ,act1 ) special emphasis on ^? individuals ^: ne$s are ! focus ( all c5t]s fund$ "u title ,,iv4 4 7b7 ,/ate plans ,section #cjg7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbg7 by add+ at ! end ! foll[+3 7#ca7 ,! plan %all provide assurances t ! ,/ate w collect data to det]m9e ! s]vices t are ne$$ by old] individuals ^: ne$s are ! focus ( all c5t]s fund$ "u title ,,iv & ! effectiv5ess ( su* activities 9 assi/+ ^! individuals4 ,ea* ,/ate plan %all provide assurances t ! ,/ate unit on ag+ w use outrea* ef=ts t w id5tify individuals eligible = assi/ance "u ?is ,act1 ) special emphasis on ^? individuals ^: ne$s are ! focus ( all c5t]s fund$ "u title ,,iv 4 #aji4 ,arts education 7a7 ,program design ,section #bjb7;a77#e7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjab7;a77#e77 is am5d$ by ins]t+ cultural exp]i5ces1 activities & s]vices1 includ+ ! arts1 aft] education714 7b7 ,supportive s]vices ,section #cba7;a77#g7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcj;d7a77#g77 is am5d$ by ins]t+ cultural exp]i5ces 7includ+ ! arts71 aft] art !rapy14 #aaj4 ,social det]m9ants ( heal? ,section #cja7;a77#a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjba7;a77#a77 is am5d$-- 7#a7 9 subp>agraph 7,c7 by /rik+ & at ! end1 7#b7 9 subp>agraph 7,d7 by /rik+ ! p]iod at ! end & ins]t+ 2 &1 & 7#c7 by add+ at ! end ! foll[+3 7,e7 address ! social det]m9ants ( heal? ( old] individuals4 4 #aaa4 ,f$]al coord9ation ( supports & s]vices = liv+ indep5d5tly & safely at home ,title ,,ii ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjaa-cjbj7 is am5d$ by ins]t+ aft] section #bjc;,a ! foll[+3 #bjc;,b4 ,f$]al coord9ation ( supports & s]vices = liv+ indep5d5tly & safely at home 7a7 ,initiative ,! ,assi/ant ,secret>y %all c>ry out an initiative "u ?is section to id5tify & dissem9ate in=mation ab\t ,f$]al res\rces to promote falls prev5tion1 home assessm5ts1 & home modifications1 :i* may include 9-home assi/ive te*nology1 to enable old] individuals to live indep5d5tly & safely 9 a home environm5t4 7b7 ,coord9ation ( ,f$]al ef=ts ,9 c>ry+ out ! initiative "u ?is section1 ! ,assi/ant ,secret>y %all coord9ate1 ?r\gh memor&a ( und]/&+1 agreem5ts1 or o!r appropriate means ( coord9ation1 ) all ,f$]al ef=ts & ,f$]al programs 9 effect on ! effective date ( ?is section t support evid5ce-bas$ falls prev5tion1 home assessm5ts1 & home modifications1 :i* may include 9-home assi/ive te*nology1 = old] individuals1 includ+ old] individuals ) disabilities4 7c7 ,reports ,n lat] ?an #a ye> aft] effective date ( ?is section1 & tri5nially !reaft] z ne$$1 ! ,assi/ant ,secret>y %all publi% a report t includes-- 7#a7 an inv5tory ( ! !n curr5t ,f$]al programs t support evid5ce-bas$ falls prev5tion1 home assessm5ts1 & home modifications1 :i* may include 9-home assi/ive te*nology1 = old] individuals2 7#b7 = ! fiscal ye> ( ! report1 /ati/ical data on ! numb] ( old] individuals s]v$ by ea* ,f$]al program describ$ 9 p>agraph 7#a71 includ+ a demographic analysis & ! approximate am\nt ( ,f$]al fund+ inve/$ 9 ea* su* program2 & 7#c7 an evaluation ( ! impact ( ,f$]al programs t support falls prev5tion & home modifications1 :i* may include 9-home assi/ive te*nology1 on heal? /atus & heal? outcomes 9 populations support$ by su* ef=ts & programs4 4 #aab4 ,falls prev5tion & *ronic disease self-managem5t education ,section #daa7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcb7;a77 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#ac7 & 7#ad7 z p>agraphs 7#ae7 & 7#af71 respectively1 & 7#b7 by ins]t+ aft] p>agraph 7#ab7 ! foll[+3 7#ac7 br++ to scale & su/a9+ evid5ce-bas$ falls prev5tion programs t w r$uce ! numb] ( falls1 fe> ( fall+1 & fall-relat$ injuries 9 old] individuals & individuals ) disabilities2 7#ad7 br++ to scale & su/a9+ evid5ce-bas$ *ronic disease self-managem5t programs t emp[] old] individuals & old] individuals ) disabilities to bett] manage _! *ronic conditions2 4 #aac4 ,ext5sion ( ,,raise ,family ,c>egiv]s ,act ,section #f ( ! ,,raise ,family ,c>egiv]s ,act 7,public ,law #aae-aai2 #acb ,/at4 #bg7 is am5d$ by /rik+ #c & ins]t+ #d4 #aad4 ,support = socially isolat$ old] ,am]icans ,section #ajb7ad7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb7ad77 is am5d$-- 7#a7 9 subp>agraph 7,k7 by /rik+ 2 &1 7#b7 by r$esignat+ subp>agraph 7,l7 z subp>agraph 7,m71 & 7#c7 by ins]t+ aft] subp>agraph 7,k7 ! foll[+3 7,l7 scre5+ = ! prev5tion ( social isolation & coord9ation ( supportive s]vices & heal? c>e to address social isolation & lonel9ess2 & 4 #aae4 ,increas$ focus ( ,assi/ant ,secret>y on social isolation ,section #bjb7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjab7;a77 is am5d$-- 7#a7 9 p>agraph 7#cj7 by /rik+ 2 & & ins]t+ a semicolon1 7#b7 9 p>agraph 7#ca7 by /rik+ ! p]iod & ins]t+ 2 &1 & 7#c7 by add+ at ! end ! foll[+3 7#cb7 develop objectives1 priorities1 & a long-t]m plan = support+ ,/ate & local ef=ts involv+ education ab\t1 prev5tion (1 detection (1 & response to social isolation among old] individuals4 4 #aaf4 ,advisory c\ncil on social isolation ,section #bjb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjab7 is am5d$ by add+ at ! end ! foll[+3 7h7 7#a7 ,! ,assi/ant ,secret>y %all conv5e an advisory c\ncil on social isolation ) ag+ network /akehold]s & select memb]s 9 a mann] t ensures geographic div]sity ( ! memb]s-- 7,a7 to review & evaluate ef=ts to address social isolation & lonel9ess among old] individuals2 & 7,b7 to id5tify *all5ges1 solutions1 & be/ practices relat$ to su* ef=ts4 7#b7 ,! advisory c\ncil conv5$ "u p>agraph 7#a7 %all-- 7,a7 ensure consid]ation ( consum]-direct$ c>e models2 & 7,b7 submit a report to ,congress on its f9d+s4 7#c7 ,! ,f$]al ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 %all n apply ) respect to ! advisory c\ncil conv5$ "u p>agraph 7#a74 4 #aag4 ,supportive s]vices & s5ior c5t]s ,section #cba7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcj;d7a77 is am5d$-- 7#a7 9 p>agraph 7#h7 by /rik+ behavioral heal? scre5+ & ins]t+ behavioral heal? scre5+1 scre5+ = social isolation & lonel9ess11 7#b7 9 p>agraph 7#bd7 by /rik+ & at ! end1 7#c7 by r$esignat+ p>agraph 7#be7 z p>agraph 7#bf71 & 7#d7 by ins]t+ aft] p>agraph 7#bd7 ! foll[+3 7#be7 s]vices t promote or support social connectiv5ess & r$uce social isolation2 & 4 #aah4 ,demon/ration projects 7a7 ,demon/rations ,section #daa7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcb7;a771 z am5d$ by section #aab1 is am5d$-- 7#a7 9 p>agraph 7#ae7 by /rik+ & at ! end1 7#b7 by r$esignat+ p>agraph 7#af7 z p>agraph 7#ag71 & 7#c7 by ins]t+ aft] p>agraph 7#ae7 ! foll[+3 7#af7 projects t address social isolation & lonel9ess among old] adults2 & 4 7b7 ,repeal ,section #daf ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcb;e7 is repeal$4 #aai4 ,y\ng] onset ,alzheim]'s ,disease 7a7 ,def9ition ( family c>egiv] ,section #cjb7c7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbb7c77 is am5d$ by ins]t+ ( any age aft] an individual ! #b;d place x appe>s4 7b7 ,def9ition ( resid5t ,section #gaa7f7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeh7f77 is am5d$ by ins]t+ ( any age aft] individual4 #abj4 ,priority = ! s5ior community s]vice employm5t program ,! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq47 is am5d$-- 7#a7 9 section #ejc7;a77#d77;,c7-- 7,a7 9 clause 7iii7 by /rik+ & at ! end1 7,b7 9 clause 7iv7 by add+ & at ! end1 & 7,c7 by add+ at ! end ! foll[+3 7v7 eligible individuals :o h be5 inc>c]at$ or are "u sup]vision foll[+ ! release f prison or jail )9 ! la/ #e ye>s4 1 7#b7 9 #ead7;e77#a7 by ins]t+ old] individuals :o h be5 inc>c]at$ or are "u sup]vision foll[+ ! release f prison or jail aft] ne$11 & 7#c7 9 section #eah-- 7,a7 9 subsection 7a77#c77;,b77ii7-- 7i7 9 clause 7,,iv7 by /rik+ or at ! end1 7ii7 9 clause 7,v7 by /rik+ ! p]iod at ! end & ins]t+ 2 or1 & 7iii7 by add+ at ! end ! foll[+3 7,,vi7 h be5 inc>c]at$ or are "u sup]vision foll[+ ! release f prison or jail )9 ! la/ #e ye>s4 1 & 7,b7 9 subsection 7b77#b7-- 7i7 9 subp>agraph 7,f7 by /rik+ or at ! end1 7ii7 9 subp>agraph 7,g7 by /rik+ ! p]iod at ! end & ins]t+ 2 or1 & 7iii7 by add+ at ! end ! foll[+3 7,h7 has be5 inc>c]at$ or is "u sup]vision foll[+ ! release f prison or jail )9 ! la/ #e ye>s4 4 #aba4 ,direct c>e work=ce 7a7 ,demon/rations ,section #daa7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcb7;a771 z am5d$ by sections #aab & #aah1 is am5d$-- 7#a7 by r$esignat+ p>agraph 7#af7 & 7#ag7 z p>agraphs 7#ag7 & 7#ah71 respectively1 & 7#b7 by ins]t+ aft] p>agraph 7#ae7 ! foll[+3 7#af7 9 coord9ation ) ! ,secret>y ( ,labor1 ! demon/ration ( new /rategies = ! recruitm5t1 ret5tion1 or advancem5t ( direct c>e work]s1 & to solicit1 develop & implem5t /rategies-- 7,a7 to r$uce b>ri]s to entry = a div]se & high-quality direct c>e work=ce1 includ+ provid+ wages1 b5efits1 & advancem5t opportunities ne$$ to attract & reta9 direct c>e work]s2 7,b7 to provide supportive s]vices & c>e] plann+ = direct c>e work]s2 & 7,c7 to support ! advancem5t ( direct c>e work]s ?r\gh education & work=ce developm5t programs t include necess>y cr$5tial or lic5s+ prep>ation1 paid on-!-job tra9+ or "w-bas$ le>n+1 & appropriate safety tra9+4 4 7b7 ,old] ,am]ican community s]vice employm5t program ,section #ejb7;e77#b77;,b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjef7;e77#b77;,b77 is am5d$-- 7#a7 9 clause 7iii7 by /rik+ & at ! end1 7#b7 9 clause 7iv7 by add+ & at ! end1 & 7#c7 by add+ at ! end ! foll[+3 7v7 attract1 reta91 & advance ! direct c>e work=ce1 9 consultation ) ! ,assi/ant ,secret>y1 provid+ = wages & b5efits ne$$ to r$uce b>ri]s = entry = a div]se & high-quality direct c>e work=ce1 supportive s]vices & c>e] plann+1 & paid on-!-job tra9+ or "w-bas$ le>n+1 ) appropriate safety tra9+2 4 ,,ii ,emp[]+ ! ,ag+ ,network to meet ! ne$s ( old] individuals #bja4 ,national ,family ,c>egiv] ,support ,program cap 7a7 ,f$]al %>e ,section #cgc7;g77#b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcjs-#a7;g77#b77 is am5d$ by /rik+ subp>agraph 7,c74 7b7 ,monitor+ ! impact ( ! elim9ation ( ! cap on funds = old] relative c>egiv]s 7#a7 ,report ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft]1 ! ,assi/ant ,secret>y %all submit to ! ,committee on ,education & ,labor ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate a report on ! impact ( ! am5dm5t made by subsection 7a7 to elim9ate ! limitation on funds t ,/ates may allocate to provide support s]vices to old] relative c>egiv]s 9 ! ,national ,family ,c>egiv] ,support ,program e/abli%$ "u "p ,e ( title ,,iii ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcjs-#cjcjs-#b74 ,ea* su* report %all also be made available to ! public4 7#b7 ,cont5ts ,= purposes ( reports requir$ by p>agraph 7#a71 ea* ,/ate t receives an allotm5t "u su* ,national ,family ,c>egiv] ,support ,program = fiscal ye> #bjbj or a subsequ5t fiscal ye> %all report to ! ,assi/ant ,secret>y = ! fiscal ye> involv$ ! am\nt ( funds ( ! total ,f$]al & non-,f$]al %>e allotm5t us$ by ! ,/ate to provide support s]vices = c>egiv] support = old] relative c>egiv]s & family c>egiv]s4 #bjb4 ,m9imum fund+ level = ,/ate adm9i/rative exp5ses ,section #cjh7;b77#b77;,a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbii7;b77#b77;,b77 is am5d$ by /rik+ #ejj1jjj & ins]t+ #gej1jjj4 #bjc4 ,culturally appropriate1 m$ically tailor$ meals ,section #cci7b77;,a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cici;h7#b77;,a77 is am5d$ by ins]t+ 1 includ+ cultural consid]ations & pref]5ces & m$ically tailor$ meals be=e ! comma at ! end4 #bjd4 ,bus9ess acum5 provisions & cl>ification reg>d+ outside fund+ = area ag5cies on ag+ 7a7 ,assi/ance relat+ ,to gr[+ & su/a9+ capacity ,section #bjb7;b77#i7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjab7;b77#i77 is am5d$-- 7#a7 9 subp>agraph 7,a7 by /rik+ & aft] ! semicolon at ! end1 7#b7 9 subp>agraph 7,b7 by ins]t+ & aft] ! semicolon at ! end1 & 7#c7 by add+ at ! end ! foll[+3 7,c7 bus9ess acum51 capacity build+1 organizational developm5t1 innovation1 & o!r me?ods ( gr[+ & su/a9+ ! capacity ( ! ag+ network to s]ve old] individuals & c>egiv]s mo/ effectively2 4 7b7 ,cl>ify+ p>tn]%ips = area ag5cies on ag+ ,section #cjf ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbf7 is am5d$ by add+ at ! end ! foll[+3 7g7 ,no?+ 9 ?is ,act %all re/rict an area ag5cy on ag+ f provid+ s]vices n provid$ or au?oriz$ by ?is ,act1 includ+ ?r\gh-- 7#a7 contracts ) heal? c>e pay]s2 7#b7 consum] private pay programs2 or 7#c7 o!r arrangem5ts ) entities or individuals t increase ! availability ( home & community-bas$ s]vices & supports 9 ! plann+ & s]vice area support$ by ! area ag5cy on ag+4 4 #bje4 ,o!r practices ,section #cae ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcj;c-#b7 is am5d$ by add+ at ! end ! foll[+3 7e7 ,response to area ag5cies on ag+ ,^u reque/ f an area ag5cy on ag+1 ! /ate %all make available any policies or guidance p]ta9+ to policies "u ?is section4 4 #bjf4 ,c>egiv] assessm5ts 7a7 ,def9ition ( c>egiv] assessm5t ,section #cgb7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcjs7a77 is am5d$ by add+ at ! end ! foll[+3 7#d7 ,c>egiv] assessm5t ,! t]m c>egiv] assessm5t means a sy/ematic process ( ga!r+ in=mation ab\t ! situation ( a c>egiv] :o volunt>ily p>ticipates 9 su* process to id5tify ! c>egiv]'s specific ne$s1 b>ri]s1 & exi/+ supports z id5tifi$ by ! c>egiv] t-- 7,a7 provides ! opportunity = ! recogniz$ c>egiv] to p>ticipate 9 su* process2 7,b7 requires direct contact ) ! c>egiv] & is us$ to appropriately t>get & tailor support s]vices to ! c>egiv]'s unique ne$s2 & 7,c7 includes reassessm5t ( su* specific ne$s1 b>ri]s1 & exi/+ supports1 includ+ to accommodate a significant *ange 9 ! c>egiv+ situation1 :i* %all occur on a volunt>y basis ) ! cons5t ( ! c>egiv]4 4 7b7 ,use ( c>egiv] assessm5ts ,section #cgc7;b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcjs-#a7;b77 is am5d$ by ins]t+ may be in=m$ ?r\gh ! use ( c>egiv] assessm5ts & aft] )14 7c7 ,te*nical assi/ance = c>egiv] assessm5ts ,section #cgc ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcjs-#a7 is am5d$ by add+ at ! end ! foll[+3 7h7 ,te*nical assi/ance = c>egiv] assessm5ts ,n lat] ?an #a ye> aft] ! effective date ( ?is subsection1 ! ,assi/ant ,secret>y1 9 consultation ) c>egiv]s1 old] individuals1 individuals ) a disability :o receive c>e f an old] relative c>egiv]1 ! ag+ network1 & o!r exp]ts & /akehold]s1 %all provide te*nical assi/ance to promote & implem5t ! use ( c>egiv] assessm5ts4 ,su* te*nical assi/ance %all include %>+ available tools & templates1 compreh5sive assessm5t protocols1 & be/ practices conc]n+-- 7#a7 conduct+ c>egiv] assessm5ts & reassessm5ts2 7#b7 implem5t+ su* assessm5ts t are consi/5t across a plann+ & s]vice area2 & 7#c7 implem5t+ c>egiv] support s]vice plans1 includ+ ref]rals to & coord9ation ( activities ) relevant ,/ate & local s]vices4 4 7d7 ,report+ on c>egiv] assessm5t ,section #cgc7;e7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcjs-#a7;e77 is am5d$-- 7#a7 9 p>agraph 7#c7 by ins]t+ 1 includ+ c>egiv] assessm5ts us$ 9 ! ,/ate1 aft] me*anisms1 & 7#b7 by add+ at ! end ! foll[+3 7#d7 ,report on c>egiv] assessm5ts 7,a7 ,9 g5]al ,n lat] ?an #c ye>s aft] ! effective date ( ?is p>agraph1 ! ,assi/ant ,secret>y %all issue a report on ! use ( c>egiv] assessm5ts by area ag5cies on ag+1 entities contract+ ) su* ag5cies1 & tribal organizations4 ,su* report %all include-- 7i7 an analysis ( ! curr5t use ( c>egiv] assessm5ts1 includ+ a repository ( c>egiv] assessm5t tools or templates & compreh5sive assessm5t protocols2 7ii7 us+ objective data1 an analysis ( ! impact ( c>egiv] assessm5ts on-- 7,i7 family c>egiv]s & old] relative c>egiv]s2 & 7,,ii7 ! individuals to :om ! c>egiv]s describ$ 9 subclause 7,i7 provide c>e2 7iii7 an analysis ( ! impact ( us+ c>egiv] assessm5ts on ! ag+ network2 7iv7 an analysis ( h[ c>egiv] assessm5ts are be+ us$ to id5tify ! specific ne$s1 b>ri]s1 & exi/+ supports ( family c>egiv]s & old] relative c>egiv]s2 7v7 recomm5dations = us+ c>egiv] assessm5ts1 includ+ 9 rural or und]s]v$ areas2 & 7vi7 fe$back f ,/ate ag5cies & area ag5cies on ag+1 p>ticul>ly 9 rural or und]s]v$ areas1 on ! implem5tation ( c>egiv] assessm5ts4 7,b7 ,submission ,n lat] ?an #f mon?s aft] ! issuance ( ! report "u p>agraph 7#a71 ! ,assi/ant ,secret>y %all submit ! report to ! ,committee on ,education & ,labor ( ! ,h\se ( ,repres5tatives1 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 & ! ,special ,committee on ,ag+ ( ! ,s5ate4 4 #bjg4 ,rese>* & evaluation ,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 %all coord9ate ! rese>* & evaluation functions ( ?is ,act "u a ,national ,rese>*1 ,demon/ration1 & ,evaluation ,c5t] = ! ,ag+ ,network 79 ?is subsection ref]r$ to z ! ,c5t]71 :i* %all be head$ by a director designat$ by ! ,assi/ant ,secret>y f individuals describ$ 9 p>agraph 7#d74 7#b7 ,! purpose ( ! ,c5t] %all be-- 7,a7 to coord9ate rese>*1 rese>* dissem9ation1 evaluation1 demon/ration projects1 & relat$ activities c>ri$ out "u ?is ,act2 7,b7 to provide assessm5t ( ! programs au?oriz$ "u ?is ,act2 & 7,c7 to increase ! repository ( in=mation on evid5ce-bas$ programs & int]v5tions available to ! ag+ network4 ,su* in=mation %all be applicable to exi/+ programs & help 9 ! developm5t ( new evid5ce-bas$ programs & int]v5tions4 7#c7 ,activities ( ! ,c5t] %all include-- 7,a7 conduct+1 promot+1 coord9at+1 & provid+ support =-- 7i7 rese>* & evaluation activities t support ! objectives ( ?is ,act1 includ+-- 7,i7 evaluation ( new & exi/+ programs & int]v5tions au?oriz$ by ?is ,act2 & 7,,ii7 rese>* on & assessm5t ( ! impacts t programs & int]v5tions "u ?is ,act h on ! heal? outcomes1 social det]m9ants ( heal?1 quality ( life1 & indep5d5ce ( individuals s]v$ "u ?is ,act2 7ii7 demon/ration projects t support ! objectives ( ! ,act & activities to br+ effective demon/ration projects to scale ) a prioritization ( projects t address ! ne$s ( und]s]v$ populations2 7iii7 outrea* & dissem9ation ( rese>* f9d+s2 & 7iv7 te*nical assi/ance relat$ to ! activities describ$ 9 ?is subp>agraph4 7#d7 ,! director %all be an individual ) sub/antial k ( & exp]i5ce 9 ag+ & heal? policy1 & rese>* adm9i/ration4 7#e7 ,n lat] ?an ,octob] #a1 #bjbj1 & at #e-ye> int]vals !reaft]1 ! director %all prep>e & publi% 9 ! ,f$]al ,regi/] = public comm5t a draft ( a #e-ye> plan t-- 7,a7 outl9es priorities = rese>*1 rese>* dissem9ation1 evaluation1 & relat$ activities2 7,b7 expla9s ! basis = su* priorities2 & 7,c7 describes h[ ! plan w meet ! ne$s ( und]s]v$ populations4 7#f7 ,! director %all1 z appropriate1 coord9ate ) o!r ,f$]al dep>tm5ts & ag5cies involv$ 9 rese>* 9 ! field ( ag+4 7#g7 ,n lat] ?an ,decemb] #ca1 #bjbj1 & annually !reaft]1 ! director %all prep>e1 & submit to ! ,secret>y1 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 ! ,special ,committee on ,ag+ ( ! ,s5ate1 & ! ,committee on ,education & ,labor ( ! ,h\se ( ,repres5tatives1 a report on ! activities fund$ "u ?is section & title ,,iv4 7#h7 ,! director %all1 z appropriate1 consult ) exp]ts on ag+ rese>* & evaluation & ag+ network /akehold]s on ! implem5tation ( ! activities describ$ "u p>agraph 7#c7 ( ?is subsection4 7#i7 ,! director %all coord9ate all rese>* & evaluation au?orities "u ?is ,act4 4 #bjh4 ,grant program = multig5]ational collaboration ,section #dag ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcb;f7 is am5d$-- 7#a7 by am5d+ subsection 7a7 to read z foll[s3 7a7 ,grants & contracts ,! ,assi/ant ,secret>y %all aw>d grants to1 & ent] into contracts )1 eligible organizations to c>ry out projects-- 7#a7 to provide opportunities = old] individuals to p>ticipate 9 multig5]ational activities & civic engagem5t activities t contribute to ! heal? & wellness ( old] individuals & individuals 9 y\ng] g5]ations by develop+-- 7,a7 mean+ful roles = p>ticipants2 7,b7 reciprocity 9 relation%ip build+2 7,c7 r$uc$ social isolation & improv$ p>ticipant social connect$ness2 7,d7 improv$ economic well-be+ = old] individuals2 7,e7 increas$ lifelong le>n+2 or 7,f7 support = family c>egiv]s by-- 7i7 provid+ support = old] relative c>egiv]s 7z def9$ 9 section #cgb7 rais+ *ildr5 7su* z k9%ip navigator programs72 or 7ii7 involv+ volunte]s :o are old] individuals :o provide support & in=mation to families :o h a *ild ) a disability or *ronic illness1 or o!r families 9 ne$ ( su* family support2 7#b7 to coord9ate multig5]ational activities & civic engagem5t activities1 includ+ multig5]ational nutrition & meal s]vice programs2 7#c7 to promote volunte]ism1 includ+ becom+ a m5tor to "y p2 & 7#d7 to facilitate developm5t ( & p>ticipation 9 multig5]ational activities & civic engagem5t activities4 1 7#b7 by am5d+ subsection 7b7 to read z foll[s3 7b7 ,use ( funds 7#a7 ,9 g5]al ,an eligible organization %all use funds made available "u a grant aw>d$1 or a contract ent]$ into1 "u ?is section to c>ry out a project describ$ 9 subsection 7a74 7#b7 ,provision ( projects ?r\gh grantees ,9 mak+ grants "u ?is section1 ! ,assi/ant ,secret>y %all ensure t aw>ds are made = ! activities & projects describ$ 9 ea* ( p>agraphs 7#a7 & 7#b7 ( subsection 7a74 2 7#c7 9 subsection 7c7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by ins]t+ t s]ves individuals 9 y\ng] g5]ations & old] individuals aft] to c>ry out a project2 7,b7 9 p>agraph 7#a7 by ins]t+ 1 int5t to c>ry out1 or int5t to p>tn] ) local organizations or multis]vice organizations to c>ry out1 aft] record ( c>ry+ out1 7,c7 9 p>agraph 7#c7 by /rik+ 2 & & ins]t+ a semicolon1 7,d7 9 p>agraph 7#d7 by /rik+ ! p]iod at ! end & ins]t+ 2 &1 & 7,e7 by add+ at ! end ! foll[+3 7#e7 eligible organizations propos+ multig5]ational activity projects t utilize %>$ site programs1 su* z collocat$ *ild c>e & long-t]m c>e facilities4 1 7#d7 by am5d+ subsection 7e7 to read z foll[s3 7e7 ,eligible organizations ,organizations eligible to receive a grant or ent] into a contract "u subsection 7a7 %all-- 7#a7 be a ,/ate1 an area ag5cy on ag+1 or an organization t provides opportunities = old] individuals to p>ticipate 9 activities describ$ 9 su* subsection2 & 7#b7 h ! capacity to conduct ! coord9ation1 promotion1 & facilitation describ$ 9 su* subsection ?r\gh ! use ( multig5]ational coord9ators4 1 7#e7 by /rik+ subsection 7g71 7#f7 9 subsection 7h77#b77;,b77i7 by /rik+ individuals f ! g5]ations ) old] individuals & ins]t+ old] individuals1 7#g7 by r$esignat+ subsections 7b7 ?r\gh 7f7 z subsections 7c7 ?r\gh 7g71 respectively1 & 7#h7 by ins]t+ aft] subsection 7a7 ! foll[+3 7b7 ,grant p]iod ,ea* grant aw>d$ or contract made "u subsection 7a7 %all be to c>ry out projects = a p]iod ( n less ?an #cf mon?s4 2 ,,iii ,/r5g!n+ protections = old] individuals #cja4 ,/ate ,long-,t]m ,c>e ,ombudsman ,program m9imum fund+ & ma9t5ance ( ef=t ,! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq47 is am5d$-- 7#a7 9 section #cjf7;a77#i7-- 7,a7 by ins]t+ toge!r ) any o!r funds aft] ,act1 & 7,b7 by /rik+ #bjjj & ins]t+ #bjai1 & 7#b7 9 section #cjg7;a77#i7-- 7,a7 by /rik+ an am\nt & ins]t+ ! total am\nt1 7,b7 by /rik+ #bjjj & ins]t+ #bjai ea* place x appe>s1 & 7,c7 by ins]t+ f all s\rces includ+ aft] receiv$ ea* place x appe>s4 #cjb4 ,/ate long-t]m c>e volunte] ombudsman repres5tatives ,section #gab7;a77#e7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeh;g7a77#e77 is am5d$-- 7#a7 by r$esignat+ subp>agraph 7,d7 z subp>agraph 7,e71 & 7#b7 by ins]t+ aft] subp>agraph 7,c7 ! foll[+3 7,d7 ,volunte] ombudsman repres5tatives ,an individual designat$ z a volunte] ombudsman repres5tative may receive f9ancial support & recognition f ! ,(fice ( ! ,/ate ,long-,t]m ,c>e ,ombudsman ,program = exp5ses incurr$ dur+ s]vice4 4 #cjc4 ,cl>ification reg>d+ bo>d & c>e facilities ,section #ajb7ce77;,c7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb7ce77;,c77 is am5d$ by /rik+ = purposes ( sections #cjg7;a77#ab7 & #gab14 ,,iv ,meet+ ! ne$s ( old] ,native ,am]icans #dja4 ,exp&+ supportive s]vices = ,native ,am]ican ag+ programs ,title ,,vi ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeg et seq47 is am5d$-- 7#a7 9 "p ,d-- 7,a7 by am5d+ section #fdc to read z foll[s3 #fdc4 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is title-- 7#a7 = p>ts ,a & ,b1 #cf1fhi1hcb = fiscal ye> #bjbj1 #ch1hia1bbb = fiscal ye> #bjba1 #da1bbd1fie = fiscal ye> #bjbb1 #dc1fih1agg = fiscal ye> #bjbc1 & #df1cbj1jfg = fiscal ye> #bjbd2 & 7#b7 = "p ,c subject to section #fdd1 #aa1cbd1hed = fiscal ye> #bjbj1 #ab1jjd1cde = fiscal ye> #bjba1 #ab1gbd1fjf = fiscal ye> #bjbb1 #ac1dhh1jhb = fiscal ye> #bjbc1 & #ad1big1cfg = fiscal ye> #bjbd4 1 & 7,b7 by add+ at ! end ! foll[+3 #fdd4 ,fund+ set aside ,( ! funds appropriat$ "u section #fdc7b7 = a fiscal ye>1 #e p]c5t %all be made available to c>ry out "p ,d = su* fiscal ye>4 1 7#b7 by r$esignat+ "p ,d z "p ,e1 & 7#c7 by ins]t+ aft] "p ,c ! foll[+3 ,d ,supportive s]vices = heal?y ag+ & indep5d5ce #fcf4 ,program 7a7 ,9 g5]al ,! ,assi/ant ,secret>y %all c>ry out a demon/ration program = mak+ grants to tribal organizations or ,native ,hawaiians ) applications approv$ "u p>ts ,a & ,b1 to pay = ! ,f$]al %>e ( c>ry+ out tribal programs1 to enable ! tribal organizations to provide a wid] range ( 9-home & community supportive s]vices to enable old] individuals to ma9ta9 _! heal? & indep5d5ce & to avoid long-t]m c>e facility placem5t4 7b7 ,supportive s]vices 7#a7 ,9 g5]al ,subject to p>agraph 7#b71 supportive s]vices describ$ 9 subsection 7a7 may include any ( ! activities describ$ 9 section #cba7;a74 7#b7 ,priority ,! ,assi/ant ,secret>y1 9 mak+ grants "u ?is section1 %all give priority to tribal organizations t w use ! grant funds = supportive s]vices describ$ 9 subsection 7a7 t are = 9-home assi/ance1 transportation1 in=mation & ref]ral1 case managem5t1 heal? & wellness programs1 legal s]vices1 family c>egiv] support s]vices1 & o!r s]vices t directly support ! indep5d5ce ( ! old] individuals s]v$4 4 #djb4 ,enhanc+ capacity to support ,native ,am]ican ag+ programs ,title ,,ii ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjaa et seq47 is am5d$-- 7#a7 9 section #bja7;c77#c77;,h7 by ins]t+ to ensure adequate capacity to deliv] ! s]vices "u su* title1 :i* te*nical assi/ance programs may include program managem5t1 data developm5t & use1 basic bus9ess skills1 grant developm5t1 program & s]vice innovations1 & /aff pr(essional developm5t & c]tification2 be=e ! semicolon at ! end1 & 7#b7 section #baf is am5d$ to read z foll[s3 #baf4 ,au?orization ( appropriations 7a7 ,9 g5]al ,= purposes ( c>ry+ out ?is ,act1 !re are au?oriz$ to be appropriat$ = adm9i/ration1 sal>ies1 & exp5ses ( ! ,adm9i/ration #dd1jda1aga = fiscal ye> #bjbj1 #df1fhd1gja = fiscal ye> #bjba1 #di1dhe1ghc = fiscal ye> #bjbb1 #eb1ded1icj = fiscal ye> #bjbc1 & #ee1fjb1bbf = fiscal ye> #bjbd4 7b7 ,au?orization ( appropriations = programs ,!re are au?oriz$ to be appropriat$-- 7#a7 to c>ry out section #bja7;g71 #bj1jjj1jjj = ea* ( ! fiscal ye>s #bjbj ?r\gh #bjbd2 7#b7 to c>ry out section #bjb7;a77#ba7 7relat+ to ! ,national ,eld]c>e ,locator ,s]vice71 #b1ahf1bbg = fiscal ye> #bjbj1 #b1cag1dja = fiscal ye> #bjba1 #b1def1dde = fiscal ye> #bjbb1 #b1fjc1hcb = fiscal ye> #bjbc1 & #b1gfj1jfb = fiscal ye> #bjbd2 7#c7 to c>ry out section #bae1 #a1iib1dfj = fiscal ye> #bjbj1 #b1aab1jjh = fiscal ye> #bjba1 #b1bch1gbh = fiscal ye> #bjbb1 #b1cgc1jeb = fiscal ye> #bjbc1 & #b1eae1dce = fiscal ye> #bjbd2 7#d7 to c>ry out section #bjb 7relat+ to ,eld] ,rights ,support ,activities "u ?is title71 #a1cge1jaa = fiscal ye> #bjbj1 #a1deg1eaa = fiscal ye> #bjba1 #a1edd1ifb = fiscal ye> #bjbb1 #a1fcg1ffj = fiscal ye> #bjbc1 & #a1gce1iai = fiscal ye> #bjbd2 7#e7 to c>ry out section #bjb7;b7 7relat+ to ! ,ag+ & ,disability ,res\rce ,c5t]s71 #h1gjh1jdc = fiscal ye> #bjbj1 #i1bcj1ebf = fiscal ye> #bjba1 #i1ghd1ceg = fiscal ye> #bjbb1 #aj1cga1dai = fiscal ye> #bjbc1 & #aj1iic1gjd = fiscal ye> #bjbd2 & 7#f7 to c>ry out section #bja7;c77#c77;,h7 7relat+ to pr(essional developm5t & te*nical assi/ance = programs "u title ,,vi71 #ejj1jjj = fiscal ye> #bjbj4 4 ,v ,miscellane\s #eja4 ,assi/ive te*nology ,section #ajb7h77;,b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #bjaa et seq47 is am5d$ by /rik+ #aiih & ins]t+ #bjjd4 #ejb4 ,te*nical corrections ,! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq47 is am5d$-- 7#a7 9 section #aja7cg77;,a7 by /rik+ p>agraph 7#e7 & ins]t+ p>agraph 7#bf71 7#b7 9 section #bjb7;a77#bc7 by /rik+ sections #cjg7;a77#ah7 & #gca7;b77#b7 & ins]t+ sections #cjg7;a77#ac7 & #gca1 7#c7 9 section #bjb7;e77#a77;,a7 by mov+ ! left m>g9 ( clause 7i7 #b ems to ! left1 7#d7 9 sections #bjc7;c77#g71 #bjg7;b77#b77;,b71 & #bae7;i7 by /rik+ ,committee on ,education & ! ,work=ce & ins]t+ ,committee on ,education & ,labor1 7#e7 9 section #bjg7;b77#c77;,a7 by /rik+ ,adm9i/rator ( ! ,heal? ,c>e ,f9ance ,adm9i/ration & ins]t+ ,adm9i/rator ( ! ,c5t]s = ,m$ic>e & ,m$icaid ,s]vices1 7#f7 9 section #cjd7;a77#c77;,c7 by /rik+ t]m & all t foll[s ?r\gh does1 & ins]t+ t]m ,/ate does1 7#g7 9 section #cjf7;a7-- 7,a7 by ins]t+ ! numb] ( old] individuals at risk = in/itutional placem5t resid+ 9 su* area1 aft] areas7 resid+ 9 su* area1 ! la/ place x appe>s1 & 7,b7 9 p>agraph 7#b7 by /rik+ :o are victims ( & ins]t+ )1 7#h7 9 section #cci by /rik+ ,in/itute ( ,m$ic9e ( ! ,national ,academy ( ,sci5ces & ins]t+ ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e1 7#i7 9 section #faa by /rik+ 7a71 & 7#aj7 9 section #fad7;c77#d7 by /rik+ 87#ab70 & ins]t+ 87#aa704 #ejc4 ,au?orization ( appropriations2 uses ( funds 7a7 ,au?orization ( appropriations2 uses ( funds ,section #cjc ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbc7 is am5d$ to read z foll[s3 #cjc4 ,au?orization ( appropriations2 uses ( funds 7a7 7#a7 ,!re are au?oriz$ to be appropriat$ to c>ry out "p ,b 7relat+ to supportive s]vices7 #dac1jaa1ehf = fiscal ye> #bjbj1 #dcg1gib1bha = fiscal ye> #bjba1 #dfd1jei1hah = fiscal ye> #bjbb1 #dia1ijc1djg = fiscal ye> #bjbc1 & #eba1dag1fab = fiscal ye> #bjbd4 7#b7 ,funds appropriat$ "u p>agraph 7#a7 %all be available to c>ry out section #gab4 7b7 7#a7 ,!re are au?oriz$ to be appropriat$ to c>ry out subp>t #a ( "p ,c 7relat+ to congregate nutrition s]vices7 #eca1bgi1ffc = fiscal ye> #bjbj1 #efc1aef1ddc = fiscal ye> #bjba1 #eif1ide1hcj = fiscal ye> #bjbb1 #fcb1gfb1ehj = fiscal ye> #bjbc1 & #fgj1gbh1ccd = fiscal ye> #bjbd4 7#b7 ,!re are au?oriz$ to be appropriat$ to c>ry out subp>t #b ( "p ,c 7relat+ to home deliv]$ nutrition s]vices7 #bfi1egg1afg = fiscal ye> #bjbj1 #bhe1gea1gig = fiscal ye> #bjba1 #cjb1hif1ije = fiscal ye> #bjbb1 #cba1jgj1gai = fiscal ye> #bjbc1 & #cdj1ccd1ifc = fiscal ye> #bjbd4 7c7 ,grants made "u "p ,b1 & subp>ts #a & #b ( "p ,c1 ( ?is title may be us$ = pay+ "p ( ! co/ (-- 7#a7 ! adm9i/ration ( area plans by area ag5cies on ag+ designat$ "u section #cje7;a77#b77;,a71 includ+ ! prep>ation ( area plans on ag+ consi/5t ) section #cjf & ! evaluation ( activities c>ri$ out "u su* plans2 & 7#b7 ! developm5t ( compreh5sive & coord9at$ sy/ems = supportive s]vices1 congregate & home deliv]$ nutrition s]vices "u subp>ts #a & #b ( "p ,c1 ! developm5t & op]ation ( multipurpose s5ior c5t]s1 & ! deliv]y ( legal assi/ance4 7d7 ,!re are au?oriz$ to be appropriat$ to c>ry out "p ,d 7relat+ to disease prev5tion & heal? promotion s]vices7 #bf1fej1gec = fiscal ye> #bjbj1 #bh1bdi1gih = fiscal ye> #bjba1 #bi1idd1ghf = fiscal ye> #bjbb1 #ca1gda1dgc = fiscal ye> #bjbc1 & #cc1fde1ifa = fiscal ye> #bjbd4 7e7 ,!re are au?oriz$ to be appropriat$ to c>ry out "p ,e 7relat+ to family c>egiv] support7 #aid1cca1bfd = fiscal ye> #bjbj1 #bje1iia1adj = fiscal ye> #bjba1 #bah1cej1fji = fiscal ye> #bjbb1 #bca1dea1fde = fiscal ye> #bjbc1 & #bde1cch1gdd = fiscal ye> #bjbd4 4 7b7 ,section #cjd7;a77#c77;,d7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbd7;a77#c77;,d77 is am5d$-- 7#a7 9 clause 7i7 by /rik+ #bjag ?r\gh #bjai & ins]t+ #bjbj ?r\gh #bjbd1 & 7#b7 9 clause 7ii7 by /rik+ #bjbj & ins]t+ #bjbe4 7c7 ,section #caa7;e7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcj;a7e77 is am5d$ to read z foll[s3 7e7 ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section 7o!r ?an subsection 7c77#a77 #aga1fhb1bjj = fiscal ye> #bjbj1 #aha1ihc1acb = fiscal ye> #bjba1 #aib1ijb1abj = fiscal ye> #bjbb1 #bjd1dgf1bdg = fiscal ye> #bjbc1 & #baf1gdd1hbb = fiscal ye> #bjbd4 4 7d7 ,section #daa7;b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcb7;b77 is am5d$ to read z foll[s3 7b7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out-- 7#a7 ag+ network support activities "u ?is section1 #ad1edi1aeg = fiscal ye> #bjbj1 #ae1dbb1ajg = fiscal ye> #bjba1 #af1cdg1dcc = fiscal ye> #bjbb1 #ag1cbh1bgi = fiscal ye> #bjbc1 & #ah1cfg1igf = fiscal ye> #bjbd2 & 7#b7 eld] rights support activities "u ?is section1 #ae1fej1ffg = fiscal ye> #bjbj1 #af1ehi1gjg = fiscal ye> #bjba1 #ag1ehe1jij = fiscal ye> #bjbb1 #ah1fdj1aie = fiscal ye> #bjbc1 & #ai1geh1fjg = fiscal ye> #bjbd4 4 7e7 ,section #eag7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjefo7a77 is am5d$ to read z foll[s3 7a7 ,9 g5]al ,!re are au?oriz$ to be appropriat$ to c>ry out ?is title #dbi1jbj1dhf = fiscal ye> #bjbj1 #ded1gfa1gae = fiscal ye> #bjba1 #dhb1jdg1dah = fiscal ye> #bjbb1 #eaj1igj1bfc = fiscal ye> #bjbc1 & #eda1fbh1dgh = fiscal ye> #bjbd4 4 7f7 ,section #gjb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeh;a7 is am5d$ to read z foll[s3 #gjb4 ,au?orization ( appropriations 7a7 ,ombudsman program ,!re are au?oriz$ to be appropriat$ to c>ry out *apt] #b1 #ah1aaj1jbg = fiscal ye> #bjbj1 #ai1aif1fbi = fiscal ye> #bjba1 #bj1cdh1dbg = fiscal ye> #bjbb1 #ba1efi1ccb = fiscal ye> #bjbc1 & #bb1hfc1dib = fiscal ye> #bjbd4 7b7 ,o!r programs ,!re are au?oriz$ to be appropriat$ to c>ry out *apt]s #c & #d1 #e1aai1bhg = fiscal ye> #bjbj1 #e1dbf1ddd = fiscal ye> #bjba1 #e1geb1jca = fiscal ye> #bjbb1 #f1jig1aec = fiscal ye> #bjbc1 & #f1dfb1ihb = fiscal ye> #bjbd4 4 #ejd4 ,effective date ,?is ,act %all take effect on ,octob] #a1 #bjai4