,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #bagi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #ah1 #bjai ,mr4  
,c>d9 7= himself1 ,mr4 ,cram]1 & ,ms4   
,ros57 introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,old] ,am]icans   
,act ( #aife to provide social s]vice   
ag5cies ) ! res\rces to provide s]vices 
to meet ! urg5t ne$s ( ,holocau/        
survivors to age 9 place ) dignity1     
com=t1 security1 & quality ( life4  #a4 
,%ort title  7a7 ,%ort title  ,?is ,act 
may be cit$ z ! ,trauma-,in=m$          
,mod]nization ( ,eld]c>e = ,holocau/    
,survivors ,act or ! ,,"t = ,holocau/   
,survivors ,act 4  7b7 ,table ( cont5ts 
,! table ( cont5ts = ?is ,act is z      
foll[s3 ,sec4 #a4 ,%ort title4 ,sec4 #b4
 ,f9d+s4 ,sec4 #c4 ,purposes4 ,title    
,i--,respond+ to ! ,ne$s ( ,holocau/    
,survivors ,subtitle ,a--,def9itions1   
,grants = ,/ate & ,community ,programs1 
& ,o!r ,programs ,sec4 #aja4            

,def9itions4 ,sec4 #ajb4 ,organization4 
,sec4 #ajc4 ,area plans4 ,sec4 #ajd4    
,/ate plans4 ,sec4 #aje4 ,consum]       
contributions4 ,sec4 #ajf4 ,national    
,family ,c>egiv] ,support ,program      
au?oriz$4 ,sec4 #ajg4 ,prev5tion ( eld] 
abuse1 neglect1 & exploitation4         
,subtitle ,b--,functions ,)9            
,adm9i/ration = ,community ,liv+ ,to    
,assi/ ,holocau/ ,survivors ,sec4 #aaa4 
,designation ( individual )9 !          
,adm9i/ration4 ,sec4 #aab4 ,annual      
report to ,congress4 ,sec4 #aac4        
,national ,res\rce ,c5t] = ,old]        
,individuals ,exp]i5c+ ! ,long-,t]m &   
,adv]se ,consequ5ces ( ,trauma4 ,sec4   
#aad4 ,def9itions4 ,title               
,,ii--,nutrition ,s]vices = ,old]       
,individuals ,sec4 #bja4 ,nutrition     
s]vices4 ,title ,,iii--,transportation  
,sec4 #cja4 ,transportation s]vices &   
res\rces4  #b4 ,f9d+s ,congress f9ds !  
foll[+3  7#a7 ,dur+ ! ,holocau/1 :i*    
took place f #aicc ?r\gh #aide1 an      
e/imat$ #f1jjj1jjj ,jews1 z well z      

millions ( victims f o!r t>get$ gr\ps1 7
 murd]$ by ! ,nazis & _! collaborators4 
7#b7 ,m ?an #bjj1jjj ,jews flee+ f      
,nazi-occupi$ t]ritory f\nd refuge 9 !  
,unit$ ,/ates f #aicc ?r\gh #aide1 &    
approximately #acg1jjj additional ,jewi%
 refugees settl$ 9 ! ,unit$ ,/ates f    
#aide ?r\gh #aieb4  7#c7 ,hundr$s (     
?\s&s ( additional ,jewi% refugees      
cont9u$ to immigrate to ! ,unit$ ,/ates 
f ,europe & c\ntries ( ! =m] ,soviet    
,union dur+ ! subsequ5t decades4  7#d7  
,! numb] ( ,holocau/ survivors liv+ 9 ! 
,unit$ ,/ates at ! end ( #bjah 0        
approximately #hj1jjj individuals1 d[n f
 an e/imat$ #abg1jjj 9 #bjaj4  7#e7 ,e  
,holocau/ survivor is n[ at lea/ #gd    
ye>s old1 mo/ are 9 at lea/ _!          
mid-to-late eighties1 & _m are 9 _!     
n9eties & beyond4  7#f7 ,"o-?ird ( all  
,holocau/ survivors 9 ! ,unit$ ,/ates   
live at or bel[ ! (ficial pov]ty ?re%old
 7z def9$ by ! ,bureau ( ! ,c5sus71     
includ+ m ?an half ( ! ,holocau/        
survivors :o emigrat$ f ! c\ntries ( !  

=m] ,soviet ,union4  7#g7 ,holocau/     
survivors cont9ue to live ) ! unique    
m5tal & physical sc>s ( ! unconscionable
 trauma caus$ by ! ,holocau/1 & :ile    
in/itutionaliz$ sett+s are b5eficial =  
"s1 c]ta9 aspects ( in/itutionalization 
may h p>ticul>ly adv]se effects on      
,holocau/ survivors4  7#h7 ,= _m        
,holocau/ survivors1 in/itutionaliz$    
sett+s produce sights1 s\nds1 smells1   
emotions1 & r\t9es t c induce panic1    
anxiety1 & re-traumatization z a result 
( exp]i5ces f ! ,holocau/4  7#i7        
,holocau/ survivors are m economically &
 socially vuln]able1 report poor] heal? 
& m heal? problems1 & h great] social   
s]vice ne$s1 ?an o!r old] individuals4  
7#aj7 ,9 comp>ison to mo/ o!r old]      
individuals1 l[-income ,holocau/        
survivors are m reliant on social s]vice
 programs t provide s]vices su* z       
p]sonal c>e1 provision ( home-deliv]$ & 
congregate meals1 transportation1       
c\nsel+1 & m5tal heal? support to       
promote heal? & quality ( life4  7#aa7  

,community organizations s]v+ ,holocau/ 
survivors report t approximately        
"o-qu>t] ( ,holocau/ survivors live     
alone1 & liv+ alone is a risk factor =  
hospitalization & nurs+ home admission1 
pov]ty1 falls1 depression1 poor         
nutrition1 social isolation1 &          
lonel9ess1 :i* h be5 associat$ ) poor   
heal? outcomes & an increas$ risk (     
dea?4  7#ab7 ,community organizations   
s]v+ ,holocau/ survivors report t       
transportation is vital to help         
,holocau/ survivors att5d m$ical        
appo9tm5ts1 %op & pur*ase necess>y      
items1 visit family & fri5ds1 &         
p>ticipate 9 cultural1 recreational1 or 
social ev5ts1 su* z congregate meals or 
religi\s s]vices4  7#ac7 ,z ! g5]al     
population ( old] individuals increases 
9 ! ,unit$ ,/ates & _m public or        
philan?ropic res\rces rema9 con/ant1    
provid]s s]v+ ,holocau/ survivors ne$   
additional capacity to cov] ne$$        
s]vices4  7#ad7 ,! ,adm9i/ration =      
,community ,liv+ 9 ! ,dep>tm5t ( ,heal? 

& ,human ,s]vices s]ves z ! ,f$]al ag5cy
 responsible = increas+ access to       
community supports =1 focus+ att5tion & 
res\rces on ! unique ne$s (1 old]       
individuals & individuals ) disabilities
 across _! lifespans4  7#ae7 ,! mission 
( ! ,adm9i/ration = ,community ,liv+ is 
to maximize ! indep5d5ce1 well-be+1 &   
heal? ( old] individuals1 individuals ) 
disabilities1 & _! families & c>egiv]s4 
7#af7 ,! ,adm9i/ration = ,community     
,liv+ 9 #bjag issu$ guidance entitl$    
,,acl ,guidance = ,outrea* & ,provid+   
,s]vices = ,holocau/ ,survivors 9       
accordance ) a requirem5t ( ! ,old]     
,am]icans ,act ,reau?orization ,act (   
#bjaf :i* /ates t ! ,assi/ant ,secret>y 
= ,ag+ %all issue guidance to ,/ates1 t 
%all be applicable to ,/ates1 area      
ag5cies on ag+1 & provid]s ( s]vices =  
old] individuals1 ) respect to s]v+     
,holocau/ survivors1 includ+ guidance on
 promis+ practices = conduct+ outrea* to
 t population44  7#ag7 ,_m social s]vice
 ag5cies t receive fund+ "u ! ,old]     

,am]icans ,act ( #aife = home-deliv]$ or
 congregate meals s]ve div]se s5iors1   
includ+ ,holocau/ survivors1 )          
specializ$ diet>y ne$s bas$ on religi\s1
 cultural1 or e?nic requirem5ts1 & !    
necess>y special meals (t5 co/ m ?an o!r
 meals4  #c4 ,purposes ,! purposes ( ?is
 ,act are-- 7#a7 to include old]        
individuals :o are ,holocau/ survivors 9
 ! li/ ( gr\ps t receive pref]5ce1 z    
specifi$ 9 section #cje7;a77#b77;,e7 ( !
 ,old] ,am]icans ,act ( #aife1 = s]vices
 provid$ "u t ,act2  7#b7 to require !  
designation )9 ! ,adm9i/ration =        
,community ,liv+ ( an individual to h   
responsibility = ! provision ( s]vices  
to old] individuals :o are ,holocau/    
survivors2  7#c7 to promote te*nical    
assi/ance & tra9+ = ag5cies t s]ve old] 
individuals exp]i5c+ ! long-t]m & adv]se
 consequ5ces ( trauma2  7#d7 to ensure t
 ! provid]s ( nutrition s]vices ?r\gh ! 
,old] ,am]icans ,act ( #aife c meet !   
special heal?-relat$ or o!r diet>y ne$s 
( program p>ticipants2 &  7#e7 to help  

meet ! urg5t transportation ne$s (      
,holocau/ survivors4  ,i ,respond+ to ! 
,ne$s ( ,holocau/ ,survivors  ,a        
,def9itions1 ,grants = ,/ate &          
,community ,programs1 & ,o!r ,programs  
#aja4 ,def9itions ,section #ajb ( !     
,old] ,am]icans ,act ( #aife 7#db       
,u4,s4,c4 #cjjb7 is am5d$--  7#a7 9     
p>agraph 7#bd7-- 7,a7 9 subp>agraph     
7,b71 by /rik+ &2  7,b7 9 subp>agraph   
7,c77ii71 by /rik+ ! p]iod at ! end &   
ins]t+ 2 &2 &  7,c7 by add+ at ! end !  
foll[+3  7,d7 /atus z a ,holocau/       
survivor4  2  7#b7 by r$esignat+        
p>agraphs 7#bf7 ?r\gh 7#dj7 & p>agraphs 
7#da7 ?r\gh 7#ed7 z p>agraphs 7#bg7     
?r\gh 7#da7 & p>agraphs 7#dc7 ?r\gh     
7#ef71 respectively2  7#c7 by ins]t+    
aft] p>agraph 7#be7 ! foll[+3  7#bf7 ,! 
t]m ,holocau/ survivor means an         
individual :o--  7,a7 7i7 liv$ 9 a      
c\ntry 9 a ye> n e>li] ?an #aicc & n    
lat] ?an #aide "u a ,nazi regime1 "u    
,nazi occupation1 or "u ! control (     
,nazi collaborators2 or  7ii7 fl$ f a   

c\ntry 9 a ye> describ$ 9 clause 7i7 "u 
a ,nazi regime1 "u ,nazi occupation1 or 
"u ! control ( ,nazi collaborators2     
7,b7 0 p]secut$ 9 a ye> describ$ 9      
clause 7i7 on ! basis ( race1 religion1 
physical or m5tal disability1 sexual    
ori5tation1 political affiliation1      
e?nicity1 or o!r basis2 &  7,c7 0 a     
memb] ( a gr\p t 0 p]secut$ by ! ,nazis4
  2 &  7#d7 by ins]t+ aft] p>agraph     
7#da7 ! foll[+3  7#db7 ,! t]m           
p]son-c5t]$1 trauma-in=m$1 us$ ) respect
 to c>e1 means c>e provid$ ?r\gh an ag+ 
program1 policy1 or proc$ure1 t uses a  
holi/ic approa* to s]vice provision t   
promotes ! dignity1 /r5g?1 & emp[]m5t ( 
trauma victims by incorporat+ k ab\t !  
role ( trauma 9 trauma victims' lives4  
4  #ajb4 ,organization ,section #cje7;a7
 ( ! ,old] ,am]icans ,act ( #aife 7#db  
,u4,s4,c4 #cjbe7;a77 is am5d$-- 7#a7 9  
p>agraph 7#a77;,e71 by ins]t+ old]      
individuals :o are ,holocau/ survivors1 
aft] pr(ici5cy1 ea* place x appe>s2 &   
7#b7 9 p>agraph 7#b77;,e71 by ins]t+    

old] individuals :o are ,holocau/       
survivors1 aft] pr(ici5cy14  #ajc4 ,area
 plans ,section #cjf ( ! ,old] ,am]icans
 ,act ( #aife 7#db ,u4,s4,c4 #cjbf7 is  
am5d$--  7#a7 9 subsection 7a7-- 7,a7 9 
p>agraph 7#a71 by ins]t+ old]           
individuals :o are ,holocau/ survivors1 
aft] pr(ici5cy1 ea* place x appe>s2     
7,b7 9 p>agraph 7#d7-- 7i7 9 subp>agraph
 7,a7--  7,i7 9 clause 7i77,i77bb71 by  
ins]t+ old] individuals :o are ,holocau/
 survivors1 aft] pr(ici5cy12 &  7,,ii7 9
 clause 7ii71 by ins]t+ old] individuals
 :o are ,holocau/ survivors1 aft]       
pr(ici5cy1 ea* place x appe>s2  7ii7 9  
subp>agraph 7,b77i7-- 7,i7 9 subclause  
7,,vi71 by /rik+ & at ! end2 &  7,,ii7  
by ins]t+ aft] subclause 7,,vii7 !      
foll[+3  7,,viii7 old] individuals :o   
are ,holocau/ survivors2 &  2 &  7iii7 9
 subp>agraph 7,b77ii71 by /rik+         
subclauses 7,i7 ?r\gh 7,,vi7 & ins]t+   
subclauses 7,i7 ?r\gh 7,,viii72 &  7,c7 
9 p>agraph 7#g77;,b77iii71 by ins]t+ 1 9
 p>ticul>1 old] individuals :o are      

,holocau/ survivors1 aft] placem5t2 &   
7#b7 9 subsection 7b77#b77;,b71 by      
ins]t+ old] individuals :o are ,holocau/
 survivors1 aft] areas14  #ajd4 ,/ate   
plans ,section #cjg7;a7 ( ! ,old]       
,am]icans ,act ( #aife 7#db ,u4,s4,c4   
#cjbg7;a77 is am5d$--  7#a7 9 p>agraph  
7#d71 by ins]t+ old] individuals :o are 
,holocau/ survivors1 aft] pr(ici5cy12   
7#b7 9 p>agraph 7#af7--  7,a7 9         
subp>agraph 7,a7-- 7i7 9 clause 7v71 by 
/rik+ & at ! end2 &  7ii7 by add+ at !  
end ! foll[+3  7vii7 old] individuals :o
 are ,holocau/ survivors2 &  2 &  7,b7 9
 subp>agraph 7,b71 by /rik+ clauses 7i7 
?r\gh 7vi7 & ins]t+ clauses 7i7 ?r\gh   
7vii72 &  7#c7 9 p>agraph               
7#bh77;,b77ii71 by ins]t+ old]          
individuals :o are ,holocau/ survivors1 
aft] areas14  #aje4 ,consum]            
contributions ,section #cae ( ! ,old]   
,am]icans ,act ( #aife 7#db ,u4,s4,c4   
#cjcj;c-#b7 is am5d$-- 7#a7 9 subsection
 7c77#b71 by ins]t+ old] individuals :o 
are ,holocau/ survivors1 aft]           

pr(ici5cy12 &  7#b7 9 subsection 7d71 by
 ins]t+ old] individuals :o are         
,holocau/ survivors1 aft] pr(ici5cy14   
#ajf4 ,national ,family ,c>egiv]        
,support ,program au?oriz$ ,section     
#cgc7;c77#b77;,a7 ( ! ,old] ,am]icans   
,act ( #aife 7#db ,u4,s4,c4             
#cjcjs-#a7;c77#b77;,a77 is am5d$ by     
/rik+ individuals7 & ins]t+ individuals 
& old] individuals :o are ,holocau/     
survivors74  #ajg4 ,prev5tion ( eld]    
abuse1 neglect1 & exploitation ,section 
#gba7;b77#ac7 ( ! ,old] ,am]icans ,act (
 #aife 7#db ,u4,s4,c4 #cjeh;i7b77#ac77  
is am5d$-- 7#a7 9 subp>agraph 7,b71 by  
/rik+ or at ! end2  7#b7 9 subp>agraph  
7,c71 by /rik+ ! p]iod at ! end & ins]t+
 2 or2 &  7#c7 by add+ at ! end !       
foll[+3  7,d7 old] individuals :o are   
,holocau/ survivors4  4  ,b ,functions  
,)9 ,adm9i/ration = ,community ,liv+ ,to
 ,assi/ ,holocau/ ,survivors  #aaa4     
,designation ( individual )9 !          
,adm9i/ration ,! ,adm9i/rator ( !       
,adm9i/ration = ,community ,liv+ is     

au?oriz$ to designate1 )9 !             
,adm9i/ration = ,community ,liv+1 a     
p]son :o has specializ$ tra9+1          
backgr\nd1 or exp]i5ce ) ,holocau/      
survivor issues--  7#a7 to h            
responsibility )9 ! ,adm9i/ration =     
,community ,liv+ = implem5t+ & coord9at+
 s]vices = old] individuals :o are      
,holocau/ survivors2 &  7#b7 to s]ve z a
 liaison on ^? issues1 & ! provision (  
s]vices = ^? individuals1 ) o!r relevant
 ag5cies ( ! ,f$]al ,gov]nm5t4  #aab4   
,annual report to ,congress ,!          
,adm9i/rator1 ) assi/ance f ! individual
 designat$ "u section #aaa1 %all prep>e 
& submit to ,congress an annual report  
on--  7#a7 ! /atus & ne$s1 includ+ !    
priority areas ( conc]n1 ( old]         
individuals :o are ,holocau/ survivors2 
&  7#b7 h[ ! ag+ network is id5tify+ &  
s]v+ old] individuals exp]i5c+ !        
long-t]m & adv]se consequ5ces ( trauma &
 h[ ag5cies )9 ! ag+ network are promot+
 & advanc+ p]son-c5t]$1 trauma-in=m$ c>e
 to old] individuals exp]i5c+ ! long-t]m

 & adv]se consequ5ces ( trauma4  #aac4  
,national ,res\rce ,c5t] = ,old]        
,individuals ,exp]i5c+ ! ,long-,t]m &   
,adv]se ,consequ5ces ( ,trauma  7a7     
,program au?oriz$  7#a7 ,c5t] ,!        
,adm9i/rator %all e/abli% & op]ate a    
,national ,res\rce ,c5t] on ,innovative 
,s]vices & ,supports = ,old]            
,individuals ,exp]i5c+ ! ,long-,t]m &   
,adv]se ,consequ5ces ( ,trauma 7ref]r$  
to 9 ?is section z ! ,c5t]74  7#b7      
,functions ,! ,c5t] %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 ( s]vices = 
old] individuals exp]i5c+ ! long-t]m &  
adv]se consequ5ces ( trauma4  7b7       
,assi/ance ,to c>ry out subsection 7a71 
! ,adm9i/rator %all make grants to or   
ent] into contracts ) "o or m nonpr(it  
organization t are exp]i5c$--  7#a7 9   

provid+ p]son-c5t]$1 trauma-in=m$ c>e2 &
  7#b7 9 provid+ support & te*nical     
assi/ance on a nationwide basis to      
ag5cies )9 ! ag+ network t (f] s]vices  
to old] individuals exp]i5c+ ! long-t]m 
& adv]se consequ5ces ( trauma4  #aad4   
,def9itions ,9 ?is subtitle3 7#a7       
,adm9i/rator ,! t]m ,adm9i/rator means !
 ,adm9i/rator ( ! ,adm9i/ration =       
,community ,liv+4  7#b7 ,o!r t]ms ,!    
t]ms ,holocau/ survivor1 old]           
individual1 & p]son-c5t]$1 trauma-in=m$ 
h ! mean+s giv5 ! t]ms 9 section #ajb ( 
! ,old] ,am]icans ,act ( #aife 7#db     
,u4,s4,c4 #cjjb74  ,,ii ,nutrition      
,s]vices = ,old] ,individuals  #bja4    
,nutrition s]vices  7a7 ,9 g5]al        
,section #cci7b7 ( ! ,old] ,am]icans    
,act ( #ajfe 7#db ,u4,s4,c4             
#cjcj;g-#ba7b77 is am5d$-- 7#a7 9       
subp>agraph 7,a71 by am5d+ clause 7iii7 
to read z foll[s3  7iii7 to ! maximum   
ext5t practicable1 are adju/$ &         
appropriately fund$ to meet any special 
heal?-relat$ diet>y ne$s1 & o!r diet>y  

ne$s ( program p>ticipants 7includ+ ne$s
 bas$ on religi\s1 cultural1 or e?nic   
requirem5ts7 if = ! special heal?-relat$
 or o!r diet>y ne$s involv$ !re is      
suffici5t dem& 9 a community to w>rant  
special meals2  2  7#b7 9 subp>agraph   
7,k71 by /rik+ 1 & & ins]t+ a comma2    
7#c7 9 subp>agraph 7,l71 by /rik+ !     
p]iod & ins]t+ 1 &2 &  7#d7 by add+ at !
 end ! foll[+3  7,m7 enc\rages &        
educates individuals utiliz+ me?odology 
t promotes p]son-c5t]$1 trauma-in=m$ c>e
 :o di/ribute nutrition s]vices "u      
subp>t #b to engage 9 conv]sation )     
homeb\nd old] individuals & to be aw>e (
 ! w>n+ signs ( m$ical em]g5cies1       
injury1 or abuse 9 ord] to r$uce        
isolation & promote well-be+4  4  ,,iii 
,transportation  #cja4 ,transportation  
s]vices & res\rces ,section #daa7;a7 ( !
 ,old] ,am]icans ,act ( #aife 7#db      
,u4,s4,c4 #cjcb7;a77 is am5d$-- 7#a7 by 
r$esignat+ p>agraph 7#ad7 z p>agraph    
7#ae72  7#b7 9 p>agraph 7#ac71 by /rik+ 
2 & & ins]t+ a semicolon2 &  7#c7 by    

ins]t+ aft] p>agraph 7#ac7 ! foll[+3    
7#ad7 conduct+ programs t enable !      
mobility & self-suffici5cy ( old]       
individuals ) greate/ economic ne$ &    
old] individuals ) greate/ social ne$ by
 provid+ transportation s]vices &       
res\rces2 &  4