,,ii ,cal5d> ,no4 #bhj #aaf? ,,congress #a/ ,session ,h4 ,r4 #dccd ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,octob] #bi1 #bjai,receiv$2 read ! fir/ "t ,octob] #cj1 #bjai,read ! second "t & plac$ on ! cal5d> ,,an ,,act ,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 ,falls prev5tion & *ronic disease self-managem5t education4 ,sec4 #aab4 ,ext5sion ( ,,raise ,family ,c>egiv]s ,act4 ,sec4 #aac4 ,support = socially-isolat$ old] ,am]icans4 ,sec4 #aad4 ,increas$ focus ( ,assi/ant ,secret>y on heal? effects associat$ ) social isolation4 ,sec4 #aae4 ,advisory c\ncil on heal? effects associat$ ) social isolation4 ,sec4 #aaf4 ,supportive s]vices & s5ior c5t]s4 ,sec4 #aag4 ,demon/ration projects4 ,sec4 #aah4 ,y\ng] onset ,alzheim]'s ,disease4 ,sec4 #aai4 ,priority = ! s5ior community s]vice employm5t program4 ,sec4 #abj4 ,direct c>e work=ce4 ,sec4 #aba4 ,national res\rce c5t] = old] individuals exp]i5c+ ! long-t]m & adv]se consequ5ces ( trauma4 ,sec4 #abb4 ,national ,res\rce ,c5t] = ,wom5 & ,retirem5t4 ,sec4 #abc4 ,def9ition4 ,sec4 #abd4 ,review ( reports4 ,sec4 #abe4 ,area plans4 ,sec4 #abf4 ,address+ *ronic pa9 managem5t4 ,sec4 #abg4 ,ext5sion ( ! ,support+ ,gr&p>5ts ,rais+ ,gr&*ildr5 ,act4 ,sec4 #abh4 ,scre5+ = suicide risk4 ,sec4 #abi4 ,traumatic bra9 injury4 ,sec4 #acj4 ,address+ public heal? em]g5cies & em]g+ heal? ?reats4 ,sec4 #aca4 ,prev5tion ( sexually transmitt$ diseases4 ,sec4 #acb4 ,ag+ & ,disability ,res\rce ,c5t]4 ,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 ,sec4 #cjd4 ,report on legal hotl9es4 ,sec4 #cje4 ,community outrea*4 ,sec4 #cjf4 ,pr9ciples = p]son-direct$ s]vices & supports dur+ s]i\s illness4 ,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 ,te*nical corrections4 ,sec4 #ejb4 ,au?orization ( appropriations2 uses ( funds4 ,sec4 #ejc4 ,hold h>mless =mula4 ,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$-- 7#a7 9 subp>agraph 7,b7 by ins]t+ immunization /atus1 aft] oral heal?12 & 7#b7 9 subp>agraph 7,d7 by ins]t+ infecti\s disease1 & vacc9e prev5table disease1 aft] disease714 #ajc4 ,functions ( ,assi/ant ,secret>y 7a7 ,review ( applications ,section #bjb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjab7 is am5d$-- 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$ purpose2 & 7,b7 su* applicant compli$ ) ! assurances provid$ to ! ,assi/ant ,secret>y ) ! application = su* previ\s grant2 & 2 & 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 7b7 ,address+ ! ne$s ( old] individuals 9 disa/]s ,section #bjb7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjab7;a77 is am5d$-- 7#a7 9 p>agraph 7#cj7 by /rik+ & at ! end2 7#b7 9 p>agraph 7#ca7 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#cb7 provide te*nical assi/ance to & %>e be/ practices ) ,/ates & area ag5cies on ag+ on h[ to collaborate & coord9ate activities & develop long-range em]g5cy prep>$ness plans ) local & ,/ate em]g5cy response ag5cies1 relief organizations1 local & ,/ate gov]nm5ts1 f$]al ag5cies z appropriate1 & any o!r in/itutions t h responsibility = disa/] relief s]vice deliv]y4 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/]$ dietitian 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$-- 7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 7#ah7 by /rik+ & at ! end2 7,b7 9 subp>agraph 7#ai7 by /rik+ ! p]iod at ! end1 & ins]t+ 1 &2 & 7,c7 by add+ at ! end ! foll[+3 7#bj7 section #cic;,d ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;b-#a;f71 relat+ to safety ( s5iors4 2 & 7#b7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a7-- 7i7 by /rik+ ,ag+ & ins]t+ ,age-,fri5dly ,communities2 & 7ii7 by ins]t+ to support ! ability ( old] individuals to age 9 place1 includ+ ?r\gh ! provision ( homelessness prev5tion s]vices1 support ! ability ( old] individuals to access prev5tive heal? c>e1 promote age-fri5dly communities1 & address ! ability ( old] individuals to access long-t]m c>e supports1 includ+ access to c>egiv]s & home- & community-bas$ s]vices be=e ! p]iod at ! end2 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] ! effective date ( ?is exception be=e ! p]iod at ! end2 7,c7 9 p>agraph 7#e7 by /rik+ once ea* ye> & ins]t+ semiannually2 7,d7 9 p>agraph 7#f7-- 7i7 9 subp>agraph 7,a7-- 7,i7 9 clause 7iii7 by /rik+ & at ! end2 7,,ii7 9 clause 7iv7 by add+ & at ! end2 & 7,,iii7 by add+ at ! end ! foll[+3 7v7 id5tify+ be/ practices = connect+ old] individuals to s]vices = :i* !y may be eligible2 2 7ii7 9 subp>agraph 7,b7-- 7,i7 by ins]t+ transportation1 aft] h\s+1 ! #a/ place x appe>s2 7,,ii7 9 clause 7i7 by /rik+ & at ! end2 7,,iii7 by am5d+ clause 7ii7 to read z foll[s3 7ii7 innovations 9 te*nology applications 7includ+ assi/ive te*nology devices & assi/ive 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] individuals1 includ+ in=mation on transportation s]vices su* z public transit1 on-dem& transportation s]vices1 volunte]-bas$ transportation s]vices1 & o!r private transportation s]vices2 & 2 & 7,,iv7 by add+ at ! end ! foll[+3 7iii7 transportation models t r$uce co/s ( transportation = old] individuals & provide ! ability to s*$ule trips 9 advance & on dem&1 z appropriate2 2 7iii7 9 subp>agraph 7,e7-- 7,i7 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 organizations2 & 7,,ii7 by /rik+ 7,f7 & ins]t+ 7,g72 7iv7 by r$esignat+ subp>agraphs 7,e71 7,f71 & 7,g7 z subp>agraphs 7,f71 7,g71 & 7,h71 respectively2 7v7 by ins]t+ aft] subp>agraph 7,d7 ! foll[+3 7,e7 "w ) ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,national ,in/itute on ,ag+1 ,c5t]s = ,m$ic>e & ,m$icaid ,s]vices1 ! ,h\s+ & ,urban ,developm5t ,(fice ( ,lead ,haz>d ,control & ,heal?y ,homes1 & o!r ,f$]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$uce & prev5t falls2 2 & 7vi7 by add+ at ! end ! foll[+3 7#i7 ,9 ?is subsection1 ! t]m age-fri5dly community means a community t-- 7,a7 is tak+ /eps-- 7i7 to include accessible h\s+1 accessible spaces & build+s1 safe & secure pa?s1 v>iable r\te transportation s]vices1 & programs & s]vices design$ 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 2 & 7#c7 by add+ at ! end ! foll[+3 7d7 ,n lat] ?an #b ye>s aft] ! effective date ( ?is subsection1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy & issue a report t includes-- 7#a7 an inv5tory ( ,f$]al programs1 adm9i/]$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,dep>tm5t ( ,h\s+ & ,urban ,developm5t1 or any o!r ,f$]al ag5cy det]m9$ appropriate by ! ,comptroll] ,g5]al1 t support home assessm5ts & home modifications = old] individuals & individuals ) disabilities1 7#b7 /ati/ical data1 = rec5t fiscal ye>s1 on ! numb] ( old] individuals & individuals ) disabilities s]v$ by ea* ,f$]al program describ$ 9 p>agraph 7#a7 & ! approximate am\nt ( ,f$]al fund+ inve/$ 9 ea* su* program1 7#c7 a demographic analysis ( individuals s]v$ by ea* su* program = rec5t fiscal ye>s1 7#d7 an analysis ( duplication & gaps 9 populations support$ by ! ,f$]al programs describ$ 9 p>agraph 7#a71 7#e7 :at is kn[n ab\t ! impact ( ! ,f$]al programs describ$ 9 p>agraph 7#a7 on heal? /atus & heal? outcomes 9 populations support$ by su* programs1 7#f7 a review ( ,f$]al ef=ts to coord9ate ,f$]al programs exi/+ prior to ! effective date ( ?is subsection t support home assessm5ts & home modifications = old] individuals & individuals ) disabilities & any consid]ations = improv+ coord9ation1 :i* may include an indication ( ! ,f$]al ag5cy or dep>tm5t t is be/ suit$ to coord9ate su* ,f$]al ef=ts1 & 7#g7 in=mation on ! ext5t to :i* consum]-fri5dly res\rces1 su* z a bro*ure1 are available ?r\gh ! ,national ,eld]c>e ,locator ,s]vice e/abli%$ "u section #bjb7;a77#ba71 are accessible to all area ag5cies on ag+1 & conta9 in=mation on home assessm5ts & home modifications = old] individuals attempt+ to live indep5d5tly & safely 9 _! homes & = ! c>egiv]s ( su* individuals4 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,d72 & 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 support = public & private entities 9 build+ p>tn]%ips to promote su* age-fri5dly communities2 7ii7 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 & 7iii7 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 ! end2 & 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 ! end2 7#b7 9 p>agraph 7#ag7 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#ah7 provide assurances t ! area ag5cy on ag+ w collect data to det]m9e-- 7,a7 ! s]vices t are ne$$ by old] individuals ^: ne$s 7 ! focus ( all c5t]s fund$ "u title ,,iv 9 fiscal ye> #bjai2 & 7,b7 ! effectiv5ess ( ! programs1 policies1 & s]vices provid$ by su* area ag5cy on ag+ 9 assi/+ su* individuals2 & 7#ai7 provide assurances t ! area ag5cy on ag+ w use outrea* ef=ts t w id5tify old] individuals eligible = assi/ance "u ?is ,act1 ) special emphasis on ^? old] individuals ^: ne$s 7 ! focus ( all c5t]s fund$ "u title ,,iv 9 fiscal ye> #bjai4 4 7b7 ,/ate plans ,section #cjg7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbg7 is am5d$ by add+ at ! end ! foll[+3 7#ca7 ,! plan %all conta9 an assurance t ! ,/ate %all prep>e & submit to ! ,assi/ant ,secret>y annual reports t describe-- 7,a7 data collect$ to det]m9e ! s]vices t are ne$$ by old] individuals ^: ne$s 7 ! focus ( all c5t]s fund$ "u title ,,iv 9 fiscal ye> #bjai2 7,b7 data collect$ to det]m9e ! effectiv5ess ( ! programs1 policies1 & s]vices provid$ by area ag5cies on ag+ 9 assi/+ su* individuals2 & 7,c7 outrea* ef=ts & o!r activities c>ri$ out to satisfy ! assurances describ$ 9 p>agraphs 7#ah7 & 7#ai7 ( section #cjf7;a74 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$-- 7#a7 9 subp>agraph 7,c7 by /rik+ & at ! end2 7#b7 9 subp>agraph 7,d7 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7,e7 address ! social det]m9ants ( heal? ( old] individuals4 4 #aaa4 ,falls prev5tion & *ronic disease self-managem5t education ,section #daa7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcb7;a77 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#ac7 & 7#ad7 z p>agraphs 7#ae7 & 7#af71 respectively2 & 7#b7 by ins]t+ aft] p>agraph 7#ab7 ! foll[+3 7#ac7 br++ to scale & su/a9+ evid5ce-bas$ falls prev5tion programs t w r$uce ! numb] ( falls1 fe> ( fall+1 & fall-relat$ injuries 9 old] individuals & old] 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 #aab4 ,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 #aac4 ,support = socially-isolat$ old] ,am]icans ,section #ajb7ad7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb7ad77 is am5d$-- 7#a7 9 subp>agraph 7,k7 by /rik+ & at ! end2 7#b7 9 subp>agraph 7,l7 by /rik+ 7,k7 & ins]t+ 7,l72 7#c7 by r$esignat+ subp>agraph 7,l7 z subp>agraph 7,m72 & 7#d7 by ins]t+ aft] subp>agraph 7,k7 ! foll[+3 7,l7 scre5+ = ! prev5tion ( negative heal? effects associat$ ) social isolation & coord9ation ( supportive s]vices & heal? c>e to address negative heal? effects associat$ ) social isolation2 & 4 #aad4 ,increas$ focus ( ,assi/ant ,secret>y on heal? effects associat$ ) social isolation ,section #bjb7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjab7;a771 z am5d$ by section #ajc1 is am5d$-- 7#a7 9 p>agraph 7#ca7 by /rik+ 2 & & ins]t+ a semicolon2 7#b7 9 p>agraph 7#cb7 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#cc7 develop objectives1 priorities1 & a long-t]m plan = support+ ,/ate & local ef=ts involv+ education ab\t1 prev5tion (1 detection (1 & response to negative heal? effects associat$ ) social isolation among old] individuals4 4 #aae4 ,advisory c\ncil on heal? effects associat$ ) social isolation ,section #bjb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjab71 z am5d$ by section #ajc1 is am5d$ by add+ at ! end ! foll[+3 7i7 7#a7 ,! ,assi/ant ,secret>y %all conv5e an advisory c\ncil on negative heal? effects associat$ ) social isolation ) ag+ network /akehold]s1 includ+ c>egiv]s1 & select memb]s 9 a mann] t ensures geographic div]sity ( ! memb]s-- 7,a7 to review & evaluate ef=ts to address negative heal? effects associat$ ) social isolation 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 #aaf4 ,supportive s]vices & s5ior c5t]s ,section #cba7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcj;d7a77 is am5d$-- 7#a7 9 p>agraph 7#bd7 by /rik+ & at ! end2 7#b7 by r$esignat+ p>agraph 7#be7 z p>agraph 7#bf72 & 7#c7 by ins]t+ aft] p>agraph 7#bd7 ! foll[+3 7#be7 s]vices t promote or support social connect$ness & r$uce negative heal? effects associat$ ) social isolation2 & 4 #aag4 ,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 #aaa1 is am5d$-- 7#a7 9 p>agraph 7#ae7 by /rik+ & at ! end2 7#b7 by r$esignat+ p>agraph 7#af7 z p>agraph 7#ag72 & 7#c7 by ins]t+ aft] p>agraph 7#ae7 ! foll[+3 7#af7 projects t address negative heal? effects associat$ ) social isolation among old] adults2 & 4 7b7 ,repeal ,section #daf ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcb;e7 is repeal$4 #aah4 ,y\ng] onset ,alzheim]'s ,disease 7a7 ,def9ition ( family c>egiv] ,section #cjb7c7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbb7c77 is am5d$ by ins]t+ ( any age aft] an individual4 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 #aai4 ,priority = ! s5ior community s]vice employm5t program 7a7 ,priority ,! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq47 is am5d$-- 7#a7 9 section #ejc7;a77#d77;,c7-- 7,a7 9 clause 7iii7 by /rik+ & at ! end2 7,b7 9 clause 7iv7 by add+ & at ! end2 & 7,c7 by add+ at ! end ! foll[+3 7v7 eligible individuals :o h be5 inc>c]at$ )9 ! la/ #e ye>s or are "u sup]vision foll[+ ! release f prison or jail )9 ! la/ #e ye>s2 2 7#b7 9 section #ead7;e77#a7 by ins]t+ old] individuals :o h be5 inc>c]at$ or are "u sup]vision foll[+ ! release f prison or jail1 aft] ne$12 & 7#c7 9 section #eah-- 7,a7 9 subsection 7a77#c77;,b77ii7-- 7i7 9 clause 7,,iv7 by /rik+ or at ! end2 7ii7 9 clause 7,v7 by /rik+ ! p]iod at ! end & ins]t+ 2 or2 & 7iii7 by add+ at ! end ! foll[+3 7,,vi7 h be5 inc>c]at$ )9 ! la/ #e ye>s or are "u sup]vision foll[+ ! release f prison or jail )9 ! la/ #e ye>s4 2 & 7,b7 9 subsection 7b77#b7-- 7i7 9 subp>agraph 7,f7 by /rik+ or at ! end2 7ii7 9 subp>agraph 7,g7 by /rik+ ! p]iod at ! end & ins]t+ 2 or2 & 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 7b7 ,transition p]iod ,?is section %all take effect #a ye> aft] ! date ( ! enactm5t ( ?is ,act4 #abj4 ,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 #aaa & #aag1 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#af7 & 7#ag7 z p>agraphs 7#ag7 & 7#ah71 respectively2 & 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 develop1 & 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$$ to attract or reta9 direct c>e work]s2 7,b7 to provide supportive s]vices & c>e] plann+ = direct c>e work]s2 & 7,c7 to support ! advancem5t ( direct c>e work]s ?r\gh education & work=ce developm5t programs t include necess>y cr$5tial or lic5s+ prep>ation1 paid on-!-job tra9+ or "w-bas$ le>n+1 & appropriate safety tra9+2 4 7b7 ,old] ,am]ican community s]vice employm5t program ,section #ejb7;e77#b77;,b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjef7;e77#b77;,b77 is am5d$-- 7#a7 9 clause 7iii7 by /rik+ & at ! end2 7#b7 9 clause 7iv7 by add+ & at ! end2 & 7#c7 by add+ at ! end ! foll[+3 7v7 attract1 reta91 or advance ! direct c>e work=ce1 9 consultation ) ! ,assi/ant ,secret>y1 provid+ = wages & b5efits ne$$ to r$uce b>ri]s to entry = a div]se & high-quality direct c>e work=ce1 supportive s]vices & c>e] plann+1 & paid on-!-job tra9+ or "w-bas$ le>n+1 ) appropriate safety tra9+2 4 #aba4 ,national res\rce c5t] = old] individuals exp]i5c+ ! long-t]m & adv]se consequ5ces ( trauma ,section #daa7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcb7;a71 z am5d$ by sections #aaa1 #aag1 & #abj1 is am5d$-- 7#a7 9 p>agraph 7#ag7 by /rik+ & at ! end2 7#b7 9 p>agraph 7#ah7 by /rik+ ! p]iod at ! end2 & 7#c7 by add+ at ! end ! foll[+3 7#ai7 ! e/abli%m5t & op]ation ( a national res\rce c5t] t %all-- 7,a7 provide tra9+ & te*nical assi/ance to ag5cies 9 ! ag+ network deliv]+ s]vices to old] individuals exp]i5c+ ! long-t]m & adv]se consequ5ces ( trauma2 7,b7 %>e be/ practices ) ! ag+ network2 & 7,c7 make subgrants to ! ag5cies be/ position$ to advance & improve ! deliv]y ( p]son-c5t]$1 trauma-in=m$ s]vices = old] individuals exp]i5c+ ! long-t]m & adv]se consequ5ces ( trauma4 4 #abb4 ,national ,res\rce ,c5t] = ,wom5 & ,retirem5t ,section #bjb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjab71 z am5d$ by sections #ajc & #aae1 is am5d$ by add+ at ! end ! foll[+3 7j7 7#a7 ,! ,assi/ant ,secret>y %all1 directly or by grant or contract1 op]ate ! ,national ,res\rce ,c5t] = ,wom5 & ,retirem5t 79 ?is subsection ref]r$ to z ! ,c5t]74 7#b7 ,! ,c5t] %all-- 7,a7 provide basic f9ancial managem5t1 retirem5t plann+1 & o!r educational tools t promote f9ancial wellness & help to id5tify & prev5t fraud & eld] exploitation1 & integrate ^! ) in=mation on heal? & long-t]m c>e2 7,b7 annually dissem9ate a summ>y ( outrea* provid$1 includ+ "w to provide us]-fri5dly consum] in=mation & public education mat]ials2 7,c7 develop t>get$ outrea* /rategies2 7,d7 provide te*nical assi/ance to ,/ate ag5cies & to o!r public & nonpr(it private ag5cies & organizations2 & 7,e7 develop p>tn]%ips & collaborations to address program objectives4 4 #abc4 ,def9ition ,section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb7 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#da7 ?r\gh 7#ed7 z p>agraphs 7#db7 ?r\gh 7#ee72 & 7#b7 by ins]t+ aft] p>agraph 7#dj7 ! foll[+3 7#da7 ,! t]m p]son-c5t]$1 trauma-in=m$ :5 us$ ) respect to s]vices means s]vices provid$ ?r\gh an ag+ program t-- 7,a7 use a holi/ic approa* to provid+ s]vices2 7,b7 promote ! dignity1 /r5g? & emp[]m5t ( victims ( trauma2 & 7,c7 incorporate rese>*-bas$ practices bas$ on k ab\t ! role ( trauma 9 trauma victims' lives4 4 #abd4 ,review ( reports ,section #cjh7;b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbh7;b77 is am5d$ by ins]t+ at ! end ! foll[+3 7#h7 ,! ,assi/ant ,secret>y %all review ! reports submitt$ "u section #cjg7;a77#ca7 & include aggregate data 9 ! report requir$ by section #bjg7;a71 includ+ data on-- 7,a7 ! effectiv5ess ( ! programs1 policies1 & s]vices provid$ by area ag5cies on ag+ 9 assi/+ individuals ^: ne$s 7 ! focus ( all c5t]s fund$ "u title ,,iv 9 fiscal ye> #bjai2 & 7,b7 outrea* ef=ts & o!r activities c>ri$ out to satisfy ! assurances describ$ 9 p>agraphs 7#ah7 & 7#ai7 ( section #cjf7;a71 to id5tify su* old] individuals & _! s]vice ne$s4 4 #abe4 ,area plans ,section #cjf7;a77#d7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbf7;a77#d77 is am5d$ 9 subp>agraph 7,b77i77,,vii7 by ins]t+ 81 specifically includ+ survivors ( ! ,holocau/0 aft] 8placem5t04 #abf4 ,address+ *ronic pa9 managem5t ,section #ajb7ad77;,d7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb7ad77 is am5d$ by ins]t+ *ronic pa9 managem5t1 aft] sub/ance abuse r$uction14 #abg4 ,ext5sion ( ! ,support+ ,gr&p>5ts ,rais+ ,gr&*ildr5 ,act ,section #c7;f7 ( ! ,support+ ,gr&p>5ts ,rais+ ,gr&*ildr5 ,act 7,public ,law #aae-aif7 is am5d$ by /rik+ 8#c0 & ins]t+ 8#d04 #abh4 ,scre5+ = suicide risk ,section #ajb7ad77;,g7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb7ad77;,g77 is am5d$ by ins]t+ & scre5+ = suicide risk aft] depression4 #abi4 ,traumatic bra9 injury 7a7 ,section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb71 z am5d$ by section #aac1 is am5d$-- 7#a7 9 p>agraph 7#ad7-- 7,a7 9 p>agraph 7,m7 by /rik+ 7,l7 & ins]t+ 7,m72 7,b7 by r$esignat+ subp>agraphs 7,h7 ?r\gh 7,m7 z subp>agraphs 7,i7 ?r\gh 7,n71 respectively2 & 7,c7 by ins]t+ aft] subp>agraph 7,g7 ! foll[+3 7,h7 scre5+ = fall-relat$ traumatic bra9 injury2 coord9ation ( treatm5t1 rehabilitation1 & relat$ s]vices2 & ref]ral s]vices2 2 & 7#b7 by add+ at ! end ! foll[+3 7#ef7 ,! t]m traumatic bra9 injury has ! mean+ giv5 to x 9 section #cci;,b7d7 ( ! ,public ,heal? ,s]vice ,act4 4 7b7 ,section #cba7;a77#h7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4#cjcj;d7a77#h77 is am5d$-- 7#a7 by /rik+ scre5+ & & ins]t+ scre5+1 scre5+ = negative heal? effects associat$ ) social isolation12 & 7#b7 by /rik+ scre5+7 & ins]t+ scre5+1 & traumatic bra9 injury scre5+74 7c7 ,section #daa7;a77#ab7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcb7;a77#ab77 is am5d$-- 7#a7 by ins]t+ dem5tia1 aft] dysfunction12 7#b7 by /rik+ & ! #b;d place x appe>s2 & 7#c7 by ins]t+ & traumatic bra9 injury be=e ! semicolon at ! end4 #acj4 ,address+ public heal? em]g5cies & em]g+ heal? ?reats ,section #ajb7ad7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb7ad771 z am5d$ by sections #aac & #abi1 is am5d$-- 7#a7 9 subp>agraph 7,m7 by /rik+ & at ! end2 7#b7 9 subp>agraph 7,n7 by /rik+ 7,m7 & ins]t+ 7,n72 7#c7 by r$esignat+ subp>agraphs 7,k71 7,l71 7,m71 & 7,n7 z subp>agraphs 7,l71 7,m71 7,n71 & 7,o7 respectively2 & 7#d7 by ins]t+ aft] subp>agraph 7,j7 ! foll[+3 7,k7 responses to public heal? em]g5cies & em]g+ heal? ?reats2 4 #aca4 ,prev5tion ( sexually transmitt$ diseases ,section #ajb7ad77;,d7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb7ad77;,d771 z am5d$ by section #ajb1 is am5d$ by ins]t+ 8prev5tion ( sexually transmitt$ disease10 aft] 8disease704 #acb4 ,ag+ & ,disability ,res\rce ,c5t] ,section #ajb7d7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb7d77 is am5d$-- 7#a7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ 1 9 collaboration ) 7z appropriate7 area ag5cies on ag+1 c5t]s = indep5d5t liv+ 7z describ$ 9 "p ,c ( title ,,vii ( ! ,rehabilitation ,act ( #aigc 7#bi ,u4,s4,c4 #gif;f et seq4771 & o!r ag+ or disability entities aft] provides2 7#b7 9 subp>agraph 7,b7-- 7,a7 by ins]t+ s]vices1 supports1 & aft] plan = long-t]m2 & 7,b7 by ins]t+ & *oices aft] desires2 & 7#c7 9 subp>agraph 7,d7 by /rik+ 7#bi ,u4,s4,c4 #gif;f et seq471 & o!r community-bas$ entities1 & ins]t+ 1 & o!r community-bas$ entities1 includ+ o!r ag+ or disability entities4 ,,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 #cjbh7;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 7includ+ ne$s bas$ on religi\s1 cultural1 or e?nic requirem5ts7 & 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$-- 7#a7 9 subp>agraph 7,a7 by /rik+ & aft] ! semicolon at ! end2 7#b7 9 subp>agraph 7,b7 by ins]t+ & aft] ! semicolon at ! end2 & 7#c7 by add+ at ! end ! foll[+3 7,c7 bus9ess acum51 capacity build+1 organizational developm5t1 innovation1 & o!r me?ods ( gr[+ & su/a9+ ! capacity ( ! ag+ network to s]ve old] individuals & c>egiv]s mo/ effectively2 4 7b7 ,cl>ify+ p>tn]%ips = area ag5cies on ag+ ,section #cjf ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbf7 is am5d$ 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* process1 :i* may include contact ?r\gh a home visit1 ! ,int]net1 telephone or teleconf]5ce1 or 9-p]son int]action1 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*anisms ! #a/ place x appe>s2 & 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 & 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 subp>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 conduct+1 promot+1 coord9at+1 & provid+ support =-- 7,a7 rese>* & evaluation activities t support ! objectives ( ?is ,act1 includ+-- 7i7 evaluation ( new & exi/+ programs & int]v5tions au?oriz$ by ?is ,act2 & 7ii7 rese>* on & assessm5t ( ! relation%ip betwe5 programs & int]v5tions "u ?is ,act & ! heal? outcomes1 social det]m9ants ( heal?1 quality ( life1 heal? c>e sav+s 7includ+ to ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act & ! ,m$icaid program "u title ,,xix ( su* ,act z practicable71 & indep5d5ce ( individuals s]v$ "u ?is ,act2 7,b7 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 7,c7 outrea* & dissem9ation ( rese>* f9d+s2 & 7,d7 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 %all coord9ate rese>*1 rese>* dissem9ation1 evaluation1 & demon/ration projects1 & relat$ activities ) appropriate ag5cy program /aff1 &1 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 = old] relative 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 2 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$+ p>agraph 7#a71 by ins]t+ t s]ves individuals 9 y\ng] g5]ations & old] individuals aft] to c>ry out a project2 7,b7 9 p>agraph 7#a7 by ins]t+ 1 int5t to c>ry out1 or int5t to p>tn] ) local organizations or multis]vice organizations to c>ry out1 aft] record ( c>ry+ out2 7,c7 9 p>agraph 7#c7 by /rik+ 2 & & ins]t+ a semicolon2 7,d7 9 p>agraph 7#d7 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,e7 by add+ at ! end ! foll[+3 7#e7 eligible organizations propos+ multig5]ational activity projects t utilize %>$ site programs1 su* z collocat$ *ild c>e & long-t]m c>e facilities4 2 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 2 7#e7 by /rik+ subsection 7g72 7#f7 9 subsection 7h77#b77;,b77i7 by /rik+ individuals f ! g5]ations ) old] individuals & ins]t+ old] individuals2 7#g7 by r$esignat+ subsections 7b7 ?r\gh 7f7 z subsections 7c7 ?r\gh 7g71 respectively2 & 7#h7 by ins]t+ aft] subsection 7a7 ! foll[+3 7b7 ,grant p]iod ,ea* grant aw>d$ or contract made "u subsection 7a7 %all be to c>ry out projects = a p]iod ( n less ?an #cf mon?s4 4 ,,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$-- 7#a7 by am5d+ section #cjf7;a77#i7 to read z foll[s3 7#i7 provide assurances t-- 7,a7 ! area ag5cy on ag+1 9 c>ry+ out ! ,/ate ,long-,t]m ,c>e ,ombudsman program "u section #cjg7;a77#i71 w exp5d n less ?an ! total am\nt ( funds appropriat$ "u ?is ,act & exp5d$ by ! ag5cy 9 fiscal ye> #bjai 9 c>ry+ out su* a program "u ?is title2 & 7,b7 funds made available to area ag5cies on ag+ pursuant to section #gab %all be us$ to supplem5t & n supplant o!r ,f$]al1 ,/ate1 & local funds exp5d$ to support activities describ$ 9 section #gab4 2 & 7#b7 by am5d+ section #cjg7;a77#i7 to read z foll[s3 7#i7 ,! plan %all provide assurances t-- 7,a7 ! ,/ate ag5cy w c>ry out1 ?r\gh ! ,(fice ( ! ,/ate ,long-,t]m ,c>e ,ombudsman1 a ,/ate ,long-,t]m ,c>e ,ombudsman program 9 accordance ) section #gab & ?is title1 & w exp5d = su* purpose an am\nt t is n less ?an an am\nt exp5d$ by ! ,/ate ag5cy ) funds receiv$ "u ?is title = fiscal ye> #bjai1 & an am\nt t is n less ?an ! am\nt exp5d$ by ! ,/ate ag5cy ) funds receiv$ "u title ,,vii = fiscal ye> #bjai2 & 7,b7 funds made available to /ate ag5cies pursuant to section #gab %all be us$ to supplem5t & n supplant o!r ,f$]al1 ,/ate1 & local funds exp5d$ to support activities describ$ 9 section #gab4 4 #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,e72 & 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 #cjd4 ,report on legal hotl9es ,n lat] ?an #c ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,assi/ant ,secret>y on ,ag+ %all prep>e & submit to ! ,congress a report conta9+-- 7#a7 in=mation on :i* ,/ates or localities op]ate s5ior legal hotl9es2 7#b7 in=mation on h[ su* hotl9es op]at$ by ,/ates or localities are fund$2 7#c7 in=mation on ! usefulness ( s5ior legal hotl9es 9 ! coord9ation & provision ( legal assi/ance2 & 7#d7 recomm5dations on additional actions t %\ld be tak5 relat$ to s5ior legal hotl9es4 #cje4 ,community outrea* ,section #gba7;b77#ab7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeh;i7b77#ab77 is am5d$-- 7#a7 9 subp>agraph 7,c7 by ins]t+ community outrea* & education1 aft] te*nical assi/ance2 & 7#b7 9 subp>agraph 7,f7-- 7,a7 by /rik+ /udy+ & ins]t+ implem5t+2 & 7,b7 by ins]t+ 1 programs1 & mat]ials aft] practices4 #cjf4 ,pr9ciples = p]son-direct$ s]vices & supports dur+ s]i\s illness 7a7 ,def9itions 7#a7 ,adm9i/rator ,! t]m ,adm9i/rator means ! ,adm9i/rator ( ! ,adm9i/ration = ,community ,liv+4 7#b7 ,area ag5cy on ag+2 ,assi/ant ,secret>y2 ,/ate ag5cy ,! t]ms area ag5cy on ag+1 ,assi/ant ,secret>y1 & ,/ate ag5cy h ! mean+s giv5 ! t]ms 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb74 7#c7 ,cov]$ ag5cy ,! t]m cov]$ ag5cy means-- 7,a7 a ,/ate ag5cy or area ag5cy on ag+2 & 7,b7 a ,f$]al ag5cy o!r ?an ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 & a unit ( t ,dep>tm5t o!r ?an ! ,adm9i/ration on ,ag+1 t ! ,assi/ant ,secret>y det]m9es p]=ms functions = :i* ! pr9ciples are relevant1 & ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices4 7#d7 ,pr9ciples ,! t]m pr9ciples means ! ,pr9ciples = ,p]son-direct$ ,s]vices & ,supports dur+ ,s]i\s ,illness1 issu$ by ! ,adm9i/ration on ,septemb] #a1 #bjag1 or an updat$ set ( su* ,pr9ciples4 7b7 ,dissem9ation ,! ,adm9i/rator %all dissem9ate ! pr9ciples to appropriate /akehold]s )9 ! ag+ network1 z det]m9$ by ! ,assi/ant ,secret>y1 & to cov]$ ag5cies4 ,! cov]$ ag5cies may use ! pr9ciples 9 sett+ priorities = s]vice deliv]y & c>e plans 9 programs c>ri$ out by ! ag5cies4 7c7 ,fe$back ,! ,adm9i/rator %all solicit1 on an ongo+ basis1 fe$back on ! pr9ciples f cov]$ ag5cies1 exp]ts 9 ! fields ( ag+ & dem5tia1 & /akehold]s :o provide or receive disability s]vices4 7d7 ,report ,n less (t5 ?an once1 b n m (t5 ?an annually1 dur+ ! #c ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,adm9i/rator %all prep>e & submit to ,congress a report describ+ ! fe$back receiv$ "u subsection 7c7 & indicat+ if any *anges or updates are ne$$ to ! pr9ciples4 ,,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 #ch1ebd1cbd = fiscal ye> #bjbj1 #dj1hce1ghc = fiscal ye> #bjba1 #dc1bhe1icj = fiscal ye> #bjbb1 #de1hhc1jhf = fiscal ye> #bjbc1 & #dh1fcf1jga = fiscal ye> #bjbd2 & 7#b7 = "p ,c subject to section #fdd1 #aj1ghe1ege = fiscal ye> #bjbj1 #aa1dcb1gaj = fiscal ye> #bjba1 #ab1aah1fgb = fiscal ye> #bjbb1 #ab1hde1gib = fiscal ye> #bjbc1 & #ac1faf1edj = fiscal ye> #bjbd4 2 & 7,b7 by add+ at ! end ! foll[+3 #fdd4 ,fund+ set aside ,( ! funds appropriat$ "u section #fdc7a7 = a fiscal ye>1 n m ?an #e p]c5t %all be made available to c>ry out "p ,d = su* fiscal ye> if = su* fiscal ye>-- 7#a7 ! funds appropriat$ = p>ts ,a & ,b are great] ?an ! funds appropriat$ = su* p>ts = fiscal ye> #bjai2 & 7#b7 ! ,assi/ant ,secret>y makes available = p>ts ,a & ,b n less ?an ! am\nt ( res\rces made available = fiscal ye> #bjai4 2 7#b7 by r$esignat+ "p ,d z "p ,e2 & 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 competitive demon/ration program = mak+ grants to tribal or ,native ,hawaiian organizations ) applications approv$ "u p>ts ,a & ,b1 to pay = ! ,f$]al %>e ( c>ry+ out programs1 to enable ! organizations to build _! capacity 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 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 7c7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ or int]pret$ to prohibit ! provision ( supportive s]vices "u "p ,a or ,b4 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]tification be=e ! semicolon at ! end2 & 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 #dd1jdb1aga = 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 sections #bae & #bjb7;j71 #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> #bjba4 4 ,v ,miscellane\s #eja4 ,te*nical corrections ,! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq47 is am5d$-- 7#a7 9 section #ajb7cg77;,a7 by /rik+ p>agraph 7#e7 & ins]t+ p>agraph 7#bf72 7#b7 9 section #bjb7;a77#bc7 by /rik+ sections #cjg7;a77#ah7 & #gca7;b77#b7 & ins]t+ sections #cjg7;a77#ac7 & #gca2 7#c7 9 section #bjb7;e77#a77;,a7 by mov+ ! left m>g9 ( clause 7i7 #b ems to ! left2 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 & ,labor2 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]vices2 7#f7 9 section #cjd7;a77#c77;,c7 by /rik+ t]m & all t foll[s ?r\gh does1 & ins]t+ t]m ,/ate does2 7#g7 9 section #cjd7;d77#a77;,b7 by /rik+ 7exclud+ & all t foll[s ?r\gh #cjc7;a77#c772 7#h7 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>s2 & 7,b7 9 p>agraph 7#b7 by /rik+ :o are victims ( & ins]t+ )2 7#i7 9 section #cci by /rik+ ,in/itute ( ,m$ic9e ( ! ,national ,academy ( ,sci5ces & ins]t+ ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e2 7#aj7 9 section #faa by /rik+ 7a72 & 7#aa7 9 section #fad7;c77#d7 by /rik+ 87a77#ab70 & ins]t+ 87a77#aa704 #ejb4 ,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 #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 7c7 ,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 7d7 ,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 7e7 ,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 #ejc4 ,hold h>mless =mula 7a7 ,9 g5]al ,section #cjd7;a77#c77;,d7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbd7;a77#c77;,d77 is am5d$ to read z foll[s3 7,d7 7i7 ,9 ?is subp>agraph & p>agraph 7#e73 7,i7 ,! t]m allot means allot "u ?is subsection f a sum appropriat$ "u section #cjc7;a7 or #cjc7;b77#a71 z ! case may be4 7,,ii7 ,! t]m cov]$ fiscal ye> means any ( fiscal ye>s #bjbj ?r\gh #bjbi4 7ii7 ,if ! sum appropriat$ "u section #cjc7;a7 or #cjc7;b77#a7 = a p>ticul> fiscal ye> is less ?an or equal to ! sum appropriat$ "u section #cjc7;a7 or #cjc7;b77#a71 respectively1 = fiscal ye> #bjai1 am\nts %all be allott$ to ,/ates f ! sum appropriat$ = ! p>ticul> ye> 9 accordance ) p>agraphs 7#a7 & 7#b71 & subp>agraphs 7,a7 ?r\gh 7,c7 z applicable1 b no ,/ate %all be allott$ an am\nt t is less ?an-- 7,i7 = fiscal ye> #bjbj1 #ii4ge p]c5t ( ! correspond+ sum appropriat$ = fiscal ye> #bjai2 7,,ii7 = fiscal ye> #bjba1 #ii4ej p]c5t ( t sum2 7,,iii7 = fiscal ye> #bjbb1 #ii4be p]c5t ( t sum2 7,,iv7 = fiscal ye> #bjbc1 #ii4jj p]c5t ( t sum2 7,v7 = fiscal ye> #bjbd1 #ih4ge p]c5t ( t sum2 7,,vi7 = fiscal ye> #bjbe1 #ih4ej p]c5t ( t sum2 7,,vii7 = fiscal ye> #bjbf1 #ih4be p]c5t ( t sum2 7,,viii7 = fiscal ye> #bjbg1 #ih4jj p]c5t ( t sum2 7,,ix7 = fiscal ye> #bjbh1 #ig4ge p]c5t ( t sum2 & 7,x7 = fiscal ye> #bjbi1 #ig4ej p]c5t ( t sum4 7iii7 ,if ! sum appropriat$ "u section #cjc7;a7 or #cjc7;b77#a7 = a p>ticul> cov]$ fiscal ye> is great] ?an ! sum appropriat$ "u section #cjc7;a7 or #cjc7;b77#a71 respectively1 = fiscal ye> #bjai1 ! allotm5ts to ,/ates f ! sum appropriat$ = ! p>ticul> ye> %all be calculat$ z foll[s3 7,i7 ,f ! portion equal to ! correspond+ sum appropriat$ = fiscal ye> #bjai1 am\nts %all be allott$ 9 accordance ) p>agraphs 7#a7 & 7#b71 & subp>agraphs 7,a7 ?r\gh 7,c7 z applicable1 b no ,/ate %all be allott$ an am\nt t is less ?an ! p]c5tage specifi$ 9 clause 7ii71 = t p>ticul> ye>1 ( ! correspond+ sum appropriat$ = fiscal ye> #bjai4 7,,ii7 ,f ! rema9d]1 am\nts %all be allott$ 9 accordance ) p>agraph 7#a71 subp>agraphs 7,a7 ?r\gh 7,c7 z applicable1 & p>agraph 7#b7 to ! ext5t ne$$ to meet ! requirem5ts ( ^? subp>agraphs4 4 7b7 ,repeal ,section #cjd7;a77#c77;,d7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjbd7;a77#c77;,d77 is repeal$ effective ,octob] #a1 #bjbi4 ,pass$ ! ,h\se ( ,repres5tatives ,octob] #bh1 #bjai4;,*]yl ,l4 ,johnson1,cl]k ,octob] #cj1 #bjai,read ! second "t & plac$ on ! cal5d>