,,ii #aaf? ,,congress #a/ ,session ,s4 #bfgg ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,octob] #bc1 #bjai,ms4 ,smi? 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 address social isolation & lonel9ess1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,old] ,am]icans ,social ,isolation & ,lonel9ess ,prev5tion ,act4 #b4 ,f9d+s ,congress makes ! foll[+ f9d+s3 7#a7 ,social isolation & lonel9ess are gr[+ problems = old] individuals4 ,accord+ to ! ,,a>p ,f\ndation1 #ce p]c5t ( individuals ag$ #de & old] feel lonely4 ,accord+ to ! ,univ]sity ( ,mi*igan1 = individuals ag$ #ej ?r\gh #hj1 #cd p]c5t feel a lack ( companion%ip & #bg p]c5t feel isolat$ f o!rs4 7#b7 ,social isolation & lonel9ess are heal? risks = old] individuals4 ,accord+ to rese>*]s at ,brigham ,"y ,univ]sity & ! ,univ]sity ( ,nor? ,c>ol9a at ,*apel ,hill1 old] individuals :o are less socially connect$ ?an o!r old] individuals are at a risk ( increas$ mortality comp>able ) ! risks ( smok+1 obesity1 or air pollution4 ,social isolation & lonel9ess leads to negative m5tal & physical heal? outcomes1 includ+ increas$ premature dea? rates ( up to #ej p]c5t4 7#c7 ,social isolation & lonel9ess among old] individuals h economic consequ5ces = ! ,unit$ ,/ates4 ,accord+ to ! ,,a>p ,f\ndation1 ,/an=d1 & ,h>v>d1 sp5d+ "u ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq47 is #acd m p] mon? = ea* socially isolat$ old] individual ?an = ea* old] individual t is n socially isolat$4 7#d7 ,to in=m & support build+ res\rces & infra/ructure to address social isolation & lonel9ess among old] individuals1 exp]ts recomm5d a coord9at$1 broadly focus$ national campaign to raise public aw>5ess ( ! preval5ce ( social isolation & lonel9ess z a public heal? issue ?r\gh rese>* & evaluation ( ef=ts address+ social isolation & lonel9ess4 7#e7 ,! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq47 is a cle> vehicle t (f]s an opportunity to beg9 a national campaign to raise aw>5ess ( social isolation & lonel9ess among old] individuals z a public heal? issue & help det]m9e h[ programs "u t ,act are address+ or c pot5tially address social isolation & lonel9ess & /r5g!n ! ag+ network's response to ! problem ( social isolation & lonel9ess among old] individuals4 #c4 ,address+ social isolation & lonel9ess = old] individuals 7a7 ,support = scre5+ = social isolation & lonel9ess ,section #ajb7ad7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb7ad77 is am5d$-- 7#a7 9 subp>agraph 7,k71 by /rik+ 2 & & ins]t+ a semicolon2 7#b7 by r$esignat+ subp>agraph 7,l7 z subp>agraph 7,m72 & 7#c7 by ins]t+ aft] subp>agraph 7,k7 ! foll[+3 7,l7 scre5+ = ! prev5tion ( social isolation & lonel9ess & coord9ation ( supportive s]vices & heal? c>e to address social isolation & lonel9ess2 & 4 7b7 ,increas$ focus ( ,assi/ant ,secret>y on social isolation & lonel9ess ,section #bjb7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjab7;a77 is am5d$-- 7#a7 9 p>agraph 7#cj71 by /rik+ 2 & & ins]t+ a semicolon2 7#b7 9 p>agraph 7#ca71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#cb7 develop objectives1 priorities1 & a long-t]m plan = support+ ,/ate & local ef=ts involv+ education ab\t1 prev5tion (1 detection (1 & response to social isolation & lonel9ess among old] individuals4 4 7c7 ,advisory c\ncil on social isolation & lonel9ess ,section #bjb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjab7 is am5d$ by add+ at ! end ! foll[+3 7h7 7#a7 ,! ,assi/ant ,secret>y %all conv5e an advisory c\ncil on social isolation & lonel9ess-- 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 ,! ,assi/ant ,secret>y %all-- 7,a7 select z memb]s ( ! advisory c\ncil conv5$ "u p>agraph 7#a7 individuals :o are ag+ network /akehold]s2 & 7,b7 select su* memb]s 9 a mann] to ensure geographic div]sity ( ! memb]s4 7#c7 ,! advisory c\ncil conv5$ "u p>agraph 7#a7 %all-- 7,a7 9 c>ry+ out activities "u subp>agraphs 7,a7 & 7,b7 ( su* p>agraph1 ensure consid]ation ( consum]-direct$ c>e models2 & 7,b7 submit a report to ,congress on ! f9d+s ( ! c\ncil ) respect to su* activities4 7#d7 ,! ,f$]al ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 %all n apply to ! advisory c\ncil conv5$ "u p>agraph 7#a74 4 7d7 ,supportive s]vices & s5ior c5t]s ,section #cba7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcj;d7a77 is am5d$-- 7#a7 9 p>agraph 7#h71 by /rik+ behavioral heal? scre5+ & ins]t+ behavioral heal? scre5+1 scre5+ = social isolation & lonel9ess12 7#b7 9 p>agraph 7#bd71 by /rik+ 2 & & ins]t+ a semicolon2 7#c7 by r$esignat+ p>agraph 7#be7 z p>agraph 7#bf72 & 7#d7 by ins]t+ aft] p>agraph 7#bd7 ! foll[+3 7#be7 s]vices t promote or support social connect$ness & r$uce social isolation & lonel9ess2 & 4 7e7 ,support = public aw>5ess ( social isolation & lonel9ess ,section #daa7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcb7;a77 is am5d$-- 7#a7 9 p>agraph 7#ac71 by /rik+ 2 & & ins]t+ a semicolon2 7#b7 by r$esignat+ p>agraph 7#ad7 z p>agraph 7#ae72 & 7#c7 by ins]t+ aft] p>agraph 7#ac7 ! foll[+3 7#ad7 projects t address social isolation & lonel9ess among old] individuals2 & 4 #d4 ,be/ practices = home- & community-bas$ ombudsm5 7a7 ,9 g5]al ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,assi/ant ,secret>y = ,ag+ %all issue a report updat+ ! be/ practices = home- & community-bas$ ombudsm5 t 7 includ$ 9 ! report entitl$ ,be/ ,practices = ,home & ,community-,bas$ ,ombudsm51 issu$ by ! ,national ,direct ,s]vice ,work=ce ,res\rce ,c5t] ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices & prep>$ by ! ,rese>* & ,tra9+ ,c5t] at ! ,univ]sity ( ,m9nesota & ,! ,lew9 ,gr\p 7,janu>y #bjac74 7b7 ,requirem5ts ,! report requir$ "u subsection 7a7 %all include-- 7#a7 a compreh5sive review ( diff]5t approa*es und]tak5 by long-t]m c>e ombudsman programs provid+ advocacy to individuals receiv+ home- & community-bas$ s]vices2 7#b7 id5tification ( elem5ts or /rategies = effective advocacy to individuals receiv+ home- & community-bas$ s]vices2 7#c7 analysis ( ! /r5g?s & *all5ges ( practices ( ,/ates ) home- & community-bas$ ombudsm52 & 7#d7 recomm5dations = provid+ effective advocacy to individuals receiv+ home- & community-bas$ s]vices4