,,ii #aaf? ,,congress #a/ ,session ,s4 #cjeg ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,decemb] #af1 #bjai,ms4 ,coll9s 7= h]self & ,mr4 ,casey7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to mod]nize ! ,old] ,am]icans ,act ( #aife1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,mod]nization ( ! ,old] ,am]icans ,act ,am5dm5ts4 #b4 ,table ( cont5ts ,! table ( cont5ts ( ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title4,sec4 #b4 ,table ( cont5ts4,sec4 #c4 ,ref]5ces4,sec4 #d4 ,def9itions4,,title ,i--,mod]niz+ def9itions & programs "u ! ,adm9i/ration on ,aging,sec4 #aja4 ,reau?orization4,sec4 #ajb4 ,p]son-c5t]$1 trauma-in=m$ s]vices4,sec4 #ajc4 ,ag+ & ,disability ,res\rce ,c5t]s4,sec4 #ajd4 ,assi/ive te*nology4,sec4 #aje4 ,vacc9ation4,sec4 #ajf4 ,malnutrition4,sec4 #ajg4 ,sexually transmitt$ diseases4,sec4 #ajh4 ,address+ *ronic pa9 managem5t4,sec4 #aji4 ,scre5+ = suicide risk4,sec4 #aaj4 ,address+ public heal? em]g5cies & em]g+ heal? ?reats4,sec4 #aaa4 ,cl>ification reg>d+ bo>d & c>e facilities4,sec4 #aab4 ,p]son-c5t]$1 trauma-in=m$ s]vices4,sec4 #aac4 ,mod]niz+ ! review ( applications & provid+ te*nical assi/ance = disa/]s4,sec4 #aad4 ,notification ( availability ( or updates to policies1 practices1 & proc$ures ?r\gh a uni=m e-=mat4,sec4 #aae4 ,evid5ce-,bas$ program adaptation4,sec4 #aaf4 ,bus9ess acum5 provisions & cl>ification reg>d+ outside fund+ = area ag5cies on ag+4,sec4 #aag4 ,national res\rce c5t] = old] individuals exp]i5c+ ! long-t]m & adv]se consequ5ces ( trauma4,sec4 #aah4 ,national ,res\rce ,c5t] = ,wom5 & ,retirem5t4,sec4 #aai4 ,family c>egiv]s4,sec4 #abj4 ,coord9ation ) ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use & ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4,sec4 #aba4 ,mod]niz+ ! ,int]ag5cy ,coord9at+ ,committee on ,heal?y ,ag+ & ,age-,fri5dly ,communities4,sec4 #abb4 ,pr(essional /&>ds = nutrition (ficial "u ! ,assi/ant ,secret>y4,sec4 #abc4 ,report on social isolation4,sec4 #abd4 ,innovation1 demon/ration1 & evaluation )9 ag+ programs4,,title ,,ii--,improv+ grants = ,/ate & community programs on aging,sec4 #bja4 ,det]m9ants ( heal?4,sec4 #bjb4 ,y\ng] onset ,alzheim]'s disease4,sec4 #bjc4 ,reau?orization4,sec4 #bjd4 ,hold h>mless =mula4,sec4 #bje4 ,outrea* ef=ts4,sec4 #bjf4 ,ma9t5ance ( ef=t = ,/ate ,long-,t]m ,c>e ,ombudsman program4,sec4 #bjg4 ,coord9ation ) res\rce c5t]s4,sec4 #bjh4 ,s5ior legal hotl9es4,sec4 #bji4 ,increase 9 limit on use ( allott$ funds = ,/ate adm9i/rative co/s4,sec4 #baj4 ,improvem5ts to nutrition programs4,sec4 #baa4 ,review ( reports4,sec4 #bab4 ,o!r practices4,sec4 #bac4 ,culturally appropriate1 m$ically tailor$ meals4,sec4 #bad4 ,nutrition s]vices /udy4,sec4 #bae4 ,national ,family ,c>egiv] ,support program4,sec4 #baf4 ,national ,family ,c>egiv] ,support program cap4,,title ,,iii--,mod]niz+ ,activities = ,heal?1 ,indep5d5ce1 & ,longevity,sec4 #cja4 ,reau?orization4,sec4 #cjb4 ,falls prev5tion & *ronic disease self-managem5t education4,sec4 #cjc4 ,te*nical assi/ance & innovation to improve transportation = old] individuals4,sec4 #cjd4 ,grant program = multig5]ational collaboration4,,title ,,iv--,s5ior ,community ,s]vice ,employm5t ,program,sec4 #dja4 ,priority = ! s5ior community s]vice employm5t program4,sec4 #djb4 ,au?orization ( appropriations4,,title ,v--,enhanc+ grants = ,native ,americans,sec4 #eja4 ,reau?orization4,,title ,,vi--,mod]niz+ allotm5ts = vuln]able eld] rights protection activities & o!r programs,sec4 #fja4 ,reau?orization2 vuln]able eld] rights protection activities4,sec4 #fjb4 ,volunte] ,/ate long-t]m c>e ombudsman repres5tatives4,sec4 #fjc4 ,prev5tion ( eld] abuse1 neglect1 & exploitation4,sec4 #fjd4 ,pr9ciples = p]son-direct$ s]vices & supports dur+ s]i\s illness4,sec4 #fje4 ,ext5sion ( ! ,support+ ,gr&p>5ts ,rais+ ,gr&*ildr5 ,act4,sec4 #fjf4 ,be/ practices = home & community-bas$ ombudsm54,sec4 #fjg4 ,s5ior home modification assi/ance initiative4,,title ,,vii--,miscellaneous,sec4 #gja4 ,te*nical corrections4 #c4 ,ref]5ces ,except z o!rwise expressly provid$ 9 ?is ,act1 :]ev] 9 ?is ,act an am5dm5t or repeal is express$ 9 t]ms ( an am5dm5t to1 or a repeal (1 a section or o!r provision1 ! ref]5ce %all be consid]$ to be made to t section or o!r provision ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq474 #d4 ,def9itions ,9 ?is ,act1 ! t]ms area ag5cy on ag+1 ,assi/ant ,secret>y1 greate/ social ne$1 old] individual1 & ,secret>y h ! mean+s giv5 su* t]ms 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb74 ,i ,mod]niz+ def9itions & programs "u ! ,adm9i/ration on ,ag+ #aja4 ,reau?orization ,section #baf 7#db ,u4,s4,c4 #cjbj;f7 is am5d$ to read z foll[s-- #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> #bjbd1 #eh1ich1cfj = fiscal ye> #bjbe1 & #fb1dgd1ffa = fiscal ye> #bjbf4 7b7 ,additional au?orizations ,!re are au?oriz$ to be appropriat$-- 7#a7 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> #bjbd1 #b1ibe1ffe = fiscal ye> #bjbe1 & #c1aja1bjf = fiscal ye> #bjbf2 7#b7 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> #bjbd1 #b1ffg1cfa = fiscal ye> #bjbe1 & #b1hbf1cdc = fiscal ye> #bjbf2 7#c7 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> #bjbd1 #a1hdj1jgd = fiscal ye> #bjbe1 & #a1iej1dgi = fiscal ye> #bjbf2 7#d7 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> #bjbd1 #aa1fec1cbf = fiscal ye> #bjbe1 & #ab1ceb1ebe = fiscal ye> #bjbf4 4 #ajb4 ,p]son-c5t]$1 trauma-in=m$ s]vices ,section #aja7b7 7#db ,u4,s4,c4 #cjja7b77 is am5d$ by ins]t+ 7includ+ access to p]son-c5t]$1 trauma-in=m$ s]vices z appropriate7 aft] heal?4 #ajc4 ,ag+ & ,disability ,res\rce ,c5t]s ,section #ajb7d7 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,d71 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 entities14 #ajd4 ,assi/ive te*nology ,! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq47 is am5d$-- 7#a7 9 section #ajb7h7 7#db ,u4,s4,c4 #cjjb7h771 by add+ at ! end ! foll[+3 7,c7 ,! t]m ,/ate assi/ive te*nology entity means ! ag5cy1 (fice1 or o!r entity designat$ "u subsection 7c77#a7 ( section #d ( ! ,assi/ive ,te*nology ,act ( #aiih 7#bi ,u4,s4,c4 #cjjc7 to c>ry out ,/ate activities "u su* section4 2 7#b7 9 section #cjf 7#db ,u4,s4,c4 #cjbf7-- 7,a7 9 subsection 7a77#f7-- 7i7 9 subp>agraph 7,g71 by /rik+ 2 & & ins]t+ a semicolon2 7ii7 9 subp>agraph 7,h71 by /rik+ appropriate2 & ins]t+ appropriate2 &2 & 7iii7 by add+ at ! end ! foll[+3 7,i7 coord9ate ) ! ,/ate assi/ive te*nology entity to ensure access to1 & acquisition (1 assi/ive te*nology 9 s]v+ old] individuals2 2 & 7,b7 9 subsection 7b77#c7-- 7i7 9 subp>agraph 7,k7-- 7,i7 by align+ ! m>g9s ( ! subp>agraph ) ! m>g9s ( subp>agraph 7,j72 & 7,,ii7 by /rik+ 2 & & ins]t+ a semicolon2 7ii7 by r$esignat+ subp>agraph 7,l7 z subp>agraph 7,m72 & 7iii7 by ins]t+ aft] subp>agraph 7,k7 ! foll[+3 7,l7 assi/ive te*nology devices & s]vices2 & 2 & 7#c7 9 section #daa7;a7 7#db ,u4,s4,c4 #cjcb7;a77-- 7,a7 9 p>agraph 7#b71 by ins]t+ align$ ) evid5ce-bas$ practice aft] appli$ social rese>*2 & 7,b7 9 p>agraph 7#aj71 by ins]t+ consi/5t ) section #ejh ( ! ,rehabilitation ,act ( #aigc 7#bi ,u4,s4,c4 #gid;d7 aft] o!r te*nologies4 #aje4 ,vacc9ation ,section #ajb7ad7 7#db ,u4,s4,c4 #cjjb7ad77 is am5d$-- 7#a7 9 subp>agraph 7,b71 by ins]t+ immunization /atus1 aft] oral heal?12 & 7#b7 9 subp>agraph 7,d71 by ins]t+ infecti\s disease1 & vacc9e-prev5table disease1 aft] c>diovascul> disease714 #ajf4 ,malnutrition ,! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq47 is am5d$-- 7#a7 9 section #ajb7ad77;,b71 z am5d$ by section #aje7a71 by ins]t+ 7includ+ scre5+ = malnutrition7 be=e ! semicolon at ! end2 & 7#b7 9 section #ccj7a71 by /rik+ & food insecurity & ins]t+ 1 food insecurity1 & malnutrition4 #ajg4 ,sexually transmitt$ diseases ,section #ajb7ad77;,d7 7#db ,u4,s4,c4 #cjjb7ad77;,d771 z am5d$ by section #aje7b71 is fur!r am5d$ by ins]t+ prev5tion ( sexually transmitt$ diseases1 aft] vacc9e-prev5table disease14 #ajh4 ,address+ *ronic pa9 managem5t ,section #ajb7ad77;,d7 7#db ,u4,s4,c4 #cjjb7ad77;,d771 z am5d$ by section #ajg1 is fur!r am5d$ by ins]t+ *ronic pa9 managem5t1 aft] sub/ance abuse r$uction14 #aji4 ,scre5+ = suicide risk ,section #ajb7ad77;,g7 7#db ,u4,s4,c4 #cjjb7ad77;,g77 is am5d$ by ins]t+ & scre5+ = suicide risk aft] depression4 #aaj4 ,address+ public heal? em]g5cies & em]g+ heal? ?reats ,section #ajb7ad7 7#db ,u4,s4,c4 #cjjb7ad77 is am5d$-- 7#a7 by r$esignat+ subp>agraphs 7,k7 & 7,l7 z subp>agraphs 7,l7 & 7,m71 respectively2 7#b7 by ins]t+ aft] subp>agraph 7,j7 ! foll[+3 7,k7 responses to public heal? em]g5cies & em]g+ heal? ?reats2 2 & 7#c7 9 subp>agraph 7,m71 z s r$esignat$1 by /rik+ 7,a7 ?r\gh 7,k7 & ins]t+ 7,a7 ?r\gh 7,l74 #aaa4 ,cl>ification reg>d+ bo>d & c>e facilities ,section #ajb7ce77;,c7 7#db ,u4,s4,c4 #cjjb7ce77;,c77 is am5d$ by /rik+ = purposes ( sections #cjg7;a77#ab7 & #gab14 #aab4 ,p]son-c5t]$1 trauma-in=m$ s]vices ,section #ajb 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#ee71 respectively2 & 7#b7 by ins]t+ aft] p>agraph 7#dj7 ! foll[+3 7#da7 ,! t]m p]son-c5t]$1 trauma-in=m$1 ) respect to s]vices1 means s]vices provid$ ?r\gh an ag+ program t-- 7,a7 use a holi/ic approa* to provid+ s]vices or c>e2 7,b7 promote ! dignity1 /r5g?1 & emp[]m5t ( victims ( trauma2 & 7,c7 incorporate evid5ce-bas$ practices bas$ on k ab\t ! role ( trauma 9 trauma victims' lives4 4 #aac4 ,mod]niz+ ! review ( applications & provid+ te*nical assi/ance = disa/]s 7a7 ,review ( applications ,section #bjb 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 ,act1 b n approve an application submitt$ by an applicant = a grant = an activity "u a provision ( ?is ,act = :i* su* applicant previ\sly receiv$ a grant "u su* provision unless ! ,assi/ant ,secret>y det]m9es-- 7,a7 ! activity = :i* su* application 0 submitt$ is be+ op]at$1 or 0 op]at$1 effectively to a*ieve its /at$ purpose2 & 7,b7 su* applicant-- 7i7 has compli$ ) ! assurances provid$ to ! ,assi/ant ,secret>y ) ! application = su* previ\s grant2 & 7ii7 w comply ) ! assurances provid$ ) ! application submitt$ = ! subsequ5t grant4 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 ( ?is ,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$s ( old] individuals 9 disa/]s ,section #bjb7;a7 7#db ,u4,s4,c4 #cjab7;a77 is am5d$-- 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 at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#cb7 provide te*nical assi/ance to1 & %>e be/ practices )1 ,/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 #aad4 ,notification ( availability ( or updates to policies1 practices1 & proc$ures ?r\gh a uni=m e-=mat ,section #bjb7;a7 7#db ,u4,s4,c4 #cjab7;a771 z am5d$ by section #aac7;b71 is fur!r am5d$-- 7#a7 9 p>agraph 7#ca71 by /rik+ 2 & & ins]t+ a semicolon2 7#b7 9 p>agraph 7#cb71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#cc7 provide 7to ! ext5t practicable7 a /&>diz$ notification1 to ,/ate ag5cies1 area ag5cies on ag+1 provid]s ( s]vices "u ?is ,act1 & grantees or contract aw>dees "u ?is ,act1 ?r\gh an electronic =mat 7e-mail or o!r electronic notification71 ( ! availability (1 or updates to1 policies1 practices1 & proc$ures "u ?is ,act4 4 #aae4 ,evid5ce-,bas$ program adaptation 7a7 ,functions ( ! ,assi/ant ,secret>y ,section #bjb 7#db ,u4,s4,c4 #cjab7 is am5d$-- 7#a7 9 subsection 7a77#bh71 by ins]t+ be=e ! semicolon 1 includ+ in=mation & te*nical assi/ance on deliv]y ( su* s]vices 9 diff]5t sett+s2 & 7#b7 9 subsection 7b77#i77;,b71 by ins]t+ be=e ! semicolon 1 includ+ deliv]y ( su* s]vices 9 diff]5t sett+s4 7b7 ,evid5ce-,bas$ disease prev5tion & heal? promotion s]vices ,section #cfa7;a7 7#db ,u4,s4,c4 #cjcjm7a77 is am5d$ 9 ! second s5t5ce by ins]t+ provide te*nical assi/ance on ! deliv]y ( evid5ce-bas$ disease prev5tion & heal? promotion s]vices 9 diff]5t sett+s & = diff]5t populations1 & be=e consult4 #aaf4 ,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 7#db ,u4,s4,c4 #cjab7;b77#i77 is am5d$-- 7#a7 9 subp>agraph 7,a71 by /rik+ & aft] ! semicolon at ! end2 7#b7 9 subp>agraph 7,b71 z am5d$ by section #aae7;a77#b71 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 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 #aag4 ,national res\rce c5t] = old] individuals exp]i5c+ ! long-t]m & adv]se consequ5ces ( trauma ,section #bjb 7#db ,u4,s4,c4 #cjab71 z am5d$ by section #aac7;a77#b71 is fur!r am5d$ by add+ at ! end ! foll[+3 7i7 ,! ,assi/ant ,secret>y %all1 directly or by grant or contract1 op]ate a national res\rce c5t] t-- 7#a7 provides tra9+ & te*nical assi/ance to ag5cies 9 ! ag+ network deliv]+ p]son-c5t]$1 trauma-in=m$ s]vices to old] individuals exp]i5c+ ! long-t]m & adv]se consequ5ces ( trauma2 7#b7 %>es be/ practices ) ! ag+ network2 & 7#c7 makes grants 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 #aah4 ,national ,res\rce ,c5t] = ,wom5 & ,retirem5t ,section #bjb 7#db ,u4,s4,c4 #cjab71 z am5d$ by section #aag1 is fur!r 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 tools1 su* z basic f9ancial managem5t1 retirem5t plann+1 & o!r educational tools1 t promote f9ancial lit]acy & help to id5tify & prev5t fraud & exploitation ( old] individuals :o are wom51 & integrate ^! tools ) in=mation on heal? & long-t]m c>e ( old] individuals2 7,b7 annually dissem9ate to ! ,assi/ant ,secret>y a summ>y ( outrea* provid$ "u ?is subsection1 includ+ ef=ts to provide us]-fri5dly consum] in=mation & public education mat]ials ) respect to ! tools provid$ "u subp>agraph 7,a72 7,c7 develop t>get$ outrea* /rategies to old] individuals :o are wom5 9 provid+ ! tools "u subp>agraph 7,a72 7,d7 provide te*nical assi/ance to ,/ate ag5cies & to o!r public & nonpr(it private ag5cies & organizations 9 provid+ ! tools "u subp>agraph 7,a72 & 7,e7 develop p>tn]%ips & collaborations to address objectives "u ?is subsection4 4 #aai4 ,family c>egiv]s 7a7 ,adm9i/ration ,section #bjb 7#db ,u4,s4,c4 #cjab71 z am5d$ by section #aah1 is fur!r am5d$ by add+ at ! end ! foll[+3 7k7 ,! ,assi/ant ,secret>y %all c>ry out ! ,,raise ,family ,c>egiv]s ,act 7#db ,u4,s4,c4 #cjcjs note74 4 7b7 ,sunset ,section #f ( ! ,,raise ,family ,c>egiv]s ,act 7#db ,u4,s4,c4 #cjcjs note7 is am5d$ by /rik+ #c ye>s & ins]t+ #h ye>s4 7c7 ,con=m+ am5dm5t ,section #b7c7 ( ! ,,raise ,family ,c>egiv]s ,act 7#db ,u4,s4,c4 #cjcjs note7 is am5d$ by ins]t+ act+ ?r\gh ! ,assi/ant ,secret>y = ,ag+ be=e ! p]iod at ! end4 #abj4 ,coord9ation ) ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use & ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion ,! ,assi/ant ,secret>y %all1 9 p]=m+ ! functions ( ! ,adm9i/ration on ,ag+ "u section #bjb7;a77#e7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjab7;a77#e77 relat$ to heal? 7includ+ m5tal & behavioral heal?7 s]vices1 coord9ate ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use & ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion-- 7#a7 9 ! plann+1 developm5t1 implem5tation1 & evaluation ( evid5ce-bas$ policies1 programs1 practices1 & o!r activities p]ta9+ to ! prev5tion ( suicide among old] individuals1 includ+ ! implem5tation ( evid5ce-bas$ suicide prev5tion programs & /rategies id5tifi$ by ! ,national ,c5t] = ,injury ,prev5tion & ,control at ! ,c5t]s = ,disease ,control & ,prev5tion & o!r entities1 z applicable2 & 7#b7 9 provid+ & incorporat+ te*nical assi/ance = ! prev5tion ( suicide among old] individuals1 includ+ te*nical assi/ance relat$ to ! ,suicide ,prev5tion ,te*nical ,assi/ance ,c5t] e/abli%$ "u section #ebj;,c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cd74 #aba4 ,mod]niz+ ! ,int]ag5cy ,coord9at+ ,committee on ,heal?y ,ag+ & ,age-,fri5dly ,communities 7a7 ,f$]al ag5cy consultation ,section #bjc7;c7 7#db ,u4,s4,c4 #cjac7;c77 is am5d$-- 7#a7 9 p>agraph 7#a7-- 7,a7 by /rik+ ! ,f$]al (ficials & ins]t+ o!r ,f$]al (ficials2 7,b7 by /rik+ ,committee on ,ag+ & ins]t+ ,committee on ,heal?y ,ag+ & ,age-,fri5dly ,communities2 & 7,c7 by ins]t+ & ! developm5t ( a national set ( recomm5dations1 9 accordance ) p>agraph 7#f71 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$ heal? s]vices be=e ! p]iod2 7#b7 9 p>agraph 7#d71 by add+ at ! end ! foll[+3 ,! fir/ t]m1 aft] ! date ( enactm5t ( ! ,mod]nization ( ! ,old] ,am]icans ,act ,am5dm5ts1 %all />t n lat] ?an #a ye> aft] su* date ( enactm5t42 7#c7 9 p>agraph 7#f7-- 7,a7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ ,! ,committee %all & ins]t+ ,! recomm5dations describ$ 9 p>agraph 7#a7 may include recomm5dations =2 7,b7 9 subp>agraph 7,a7-- 7i7 by /rik+ %>e in=mation ) & e/abli% an ongo+ sy/em to & ins]t+ ways to2 & 7ii7 by /rik+ = old] individuals & recomm5d improvem5ts & all t foll[s ?r\gh accessibility ( su* programs & s]vices & ins]t+ t impact old] individuals2 7,c7 9 subp>agraph 7,b71 by /rik+ id5tify1 promote1 & implem5t 7z appropriate712 7,d7 9 subp>agraph 7,c7-- 7i7 by ins]t+ ways to be=e collect2 7ii7 by /rik+ old] individuals &2 & 7iii7 by /rik+ ! individuals to ensure & all t foll[s ?r\gh in=mation & ins]t+ old] individuals to ensure t su* in=mation is accessible2 7,e7 9 subp>agraph 7,d71 by /rik+ "w ) & all t foll[s ?r\gh memb] ag5cies to ensure & ins]t+ ways to ensure2 7,f7 9 subp>agraph 7,e71 by /rik+ seek input & all t foll[s ?r\gh f\ndations & ins]t+ seek+ input f & consult+ ) nonpr(it organizations1 academic or rese>* in/itutions1 community-bas$ organizations1 philan?ropic organizations1 or o!r entities support+ age-fri5dly communities2 7,g7 9 subp>agraph 7,f71 by /rik+ id5tify & ins]t+ id5tify+2 & 7,h7 by am5d+ subp>agraph 7,g7 to read z foll[s3 7,g7 ways to improve coord9ation to provide h\s+1 heal? c>e1 & o!r supportive s]vices to old] individuals4 2 7#d7 9 p>agraph 7#g77;,a77i71 by /rik+ s]vices = old] individuals & ins]t+ s]vices t impact old] individuals2 & 7#e7 by add+ at ! end ! foll[+3 7#i7 ,9 ?is subsection1 ! t]m age-fri5dly community means a community t-- 7,a7 is tak+ measurable /eps to-- 7i7 include adequate & accessible h\s+1 public spaces & build+s1 safe & secure pa?s1 v>iable r\te transportation s]vices1 & programs & s]vices design$ to support heal? & well-be+2 7ii7 respect & include old] individuals 9 social opportunities1 civic p>ticipation1 volunte]ism1 & employm5t2 & 7iii7 facilitate access to supportive s]vices = old] individuals2 7,b7 is n an assi/$ liv+ facility or long-t]m c>e facility2 & 7,c7 has a plan 9 place to meet local ne$s = h\s+1 transportation1 civic p>ticipation1 social connect$ness1 & accessible public spaces4 4 7b7 ,adm9i/ration ( ! ,act ,section #bje7;a77#b7 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$1 = purposes ( ?is subp>agraph1 9 section #bjc7;c77#i77 reg>d+-- 7i7 dissem9ation (1 or consid]ation ( ways to implem5t1 be/ practices & recomm5dations f ! ,int]ag5cy ,coord9at+ ,committee on ,heal?y ,ag+ & ,age-,fri5dly ,communities e/abli%$ "u section #bjc7;c72 & 7ii7 me?ods = manag+ & coord9at+ exi/+ programs to meet ! ne$s ( gr[+ age-fri5dly communities4 4 #abb4 ,pr(essional /&>ds = nutrition (ficial "u ! ,assi/ant ,secret>y ,section #bje7;a77#b77;,d77ii7 7#db ,u4,s4,c4 #cjaf7;a77#b77;,d77ii771 z r$esignat$ by section #aba7;b77#a71 is am5d$ to read z foll[s3 7ii7 be a regi/]$ dietitian or regi/]$ dietician nutritioni/4 4 #abc4 ,report on social isolation 7a7 ,prep>ation ( report 7#a7 ,9 g5]al ,! ,secret>y %all1 9 c>ry+ out activities "u section #bjf7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjag7;a771 prep>e a report on programs au?oriz$ by su* ,act 7#db ,u4,s4,c4 #cjja et seq471 & support$ or fund$ by ! ,adm9i/ration on ,ag+1 t include a focus on address+ ! negative impacts associat$ ) social isolation ?r\gh t>get+ old] individuals id5tifi$ 9 greate/ social ne$1 z appropriate4 7#b7 ,impact ,su* report %all id5tify-- 7,a7 :e!r social isolation is be+ adequately address$ "u su* programs1 includ+1 to ! ext5t practicable-- 7i7 ! preval5ce ( social isolation 9 rural areas & 9 urban areas2 7ii7 ! public heal? impacts associat$ ) social isolation2 & 7iii7 ! role ( prev5tive measures or ( s]vices1 includ+ nutrition s]vices1 9 address+ ! negative impacts associat$ ) social isolation among old] individuals2 & 7,b7 public aw>5ess ( & ef=ts to address ! negative public heal? impacts associat$ ) social isolation4 7#c7 ,types ( programs ,su* report %all id5tify :e!r programs describ$ 9 p>agraph 7#a7-- 7,a7 support projects 9 local communities & involve div]se sectors associat$ ) su* communities to decrease ! negative impacts associat$ ) social isolation among old] individuals & c>egiv]s2 7,b7 support outrea* activities to scre5 old] individuals = negative impacts associat$ ) social isolation2 & 7,c7 include a focus on decreas+ ! negative impacts associat$ ) social isolation4 7#d7 ,recomm5dations ,su* report %all1 z appropriate1 include recomm5dations = r$uc+ ! negative impacts associat$ ) social isolation & to address any impacts id5tifi$ "u clauses 7i7 ?r\gh 7iii7 ( subp>agraph 7,a71 & subp>agraph 7,b71 ( p>agraph 7#b74 7b7 ,submission ( report 7#a7 ,int]im /atus report ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all submit an int]im report1 to ! committees ( ! ,s5ate & ( ! ,h\se ( ,repres5tatives ) jurisdiction ov] ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq471 & ! ,special ,committee on ,ag+ ( ! ,s5ate1 on ! /atus ( ! evaluation und]way to develop ! f9al report requir$ "u ?is section4 7#b7 ,f9al report ,n lat] ?an #e ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all submit a f9al report ( ! report requir$ "u ?is section to ! committees ( ! ,s5ate & ( ! ,h\se ( ,repres5tatives ) jurisdiction ov] ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq471 & ! ,special ,committee on ,ag+ ( ! ,s5ate4 #abd4 ,innovation1 demon/ration1 & evaluation )9 ag+ programs 7a7 ,9 g5]al ,section #bjf 7#db ,u4,s4,c4 #cjag7 is am5d$-- 7#a7 by /rik+ ! section head+ & ins]t+ ! foll[+3 #bjf4 ,evaluation 2 7#b7 9 subsection 7a7-- 7,a7 by /rik+ 7a7 ,! ,secret>y & ins]t+ ! foll[+3 7a7 ,9 g5]al 7#a7 ,measur+ & evaluat+ ! impact ( programs ,! ,secret>y 2 & 7,b7 by add+ at ! end ! foll[+3 7#b7 ,innovation1 demon/ration1 & evaluation )9 ag+ programs 7,a7 ,9 g5]al ,! ,secret>y %all be responsible = all activities relat$ to demon/ration & evaluation ( ag+ programs "u ?is ,act4 7,b7 ,evaluation activities ,! ,secret>y %all review1 coord9ate1 & /reaml9e ! evaluation ( programs 7includ+ demon/ration projects7 au?oriz$ by ?is ,act to ensure enhanc$ program outcomes4 ,su* activities %all include-- 7i7 ov]see+ analyses ( data obta9$ 9 connection ) su* programs to evaluate1 :]e feasible1 ! relation%ip ( su* programs to-- 7,i7 ! det]m9ants ( heal? = program p>ticipants2 & 7,,ii7 heal? c>e exp5ditures1 includ+ "u ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq47 & ! ,m$icaid program "u title ,,xix ( su* ,act 7#db ,u4,s4,c4 #acif et seq472 7ii7 dissem9at+ ! f9d+s f evaluations ( programs au?oriz$ by ?is ,act ?r\gh\t ! ag+ network 9 electronic =mat & any o!r =mat det]m9$ appropriate by ! ,secret>y2 7iii7 publicly po/+ ! f9d+s f evaluations ( su* programs 9 an electronic =mat1 includ+ web9> z appropriate2 7iv7 replicat+ successful demon/ration projects "u title ,,iv ( ?is ,act1 includ+ on a national scale z appropriate2 & 7v7 provid+1 directly or ?r\gh grant or contract1 = rese>* on & an evaluation ( programs "u ?is ,act1 :i* %all include1 to ! ext5t practicable1 an analysis ( ! relation%ip ( su* programs1 includ+ demon/ration projects "u title ,,iv ( ?is ,act1 to heal? c>e exp5ditures "u ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act & ,m$icaid program "u title ,,xix ( su* ,act4 7,c7 ,demon/ration projects ,! ,secret>y-- 7i7 %all require select$ demon/ration projects au?oriz$ by title ,,iv aft] ! date ( enactm5t ( ! ,mod]nization ( ! ,old] ,am]icans ,act ,am5dm5ts to be t>get$ to-- 7,i7 address ! det]m9ants ( heal? = program p>ticipants2 7,,ii7 %[ ! relation%ip to heal? c>e exp5ditures1 includ+1 to ! ext5t practicable1 by measur+ a r$uction 9 heal? exp5ditures1 & pres]ve or enhance quality ( c>e furni%$ to individuals1 :i* may include heal? exp5ditures & quality ( c>e "u ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act & ! ,m$icaid program "u title ,,xix ( su* ,act2 & 7,,iii7 conta9 p]=mance /&>ds & measures1 develop$ by ! ,secret>y1 to evaluate :e!r su* demon/ration projects are a*iev+ ! objectives describ$ 9 subclauses 7,i7 & 7,,ii72 & 7ii7 may1 9 select+ demon/ration projects au?oriz$ by title ,,iv aft] ! date ( enactm5t ( ! ,mod]nization ( ! ,old] ,am]icans ,act ,am5dm5ts1 prioritize demon/ration projects involv+-- 7,i7 multig5]ational engagem5t2 7,,ii7 support = c>egiv]s c>+ = individuals ( any age2 7,,iii7 community-bas$ p>tn]%ips2 or 7,,iv7 any o!r activity describ$ 9 title ,,iv t ! ,secret>y det]m9es w a*ieve ! objectives ( ?is subsection4 7,d7 #e-ye> plans ,n lat] ?an ,decemb] #a1 #bjbj1 & e fif? ,decemb] #a !reaft]1 ! ,secret>y1 %all prep>e & publi% 9 ! ,f$]al ,regi/] = public comm5t a draft ( a #e-ye> plan t e/abli%es a framework = evaluat+ programs au?oriz$ by ?is ,act 7o!r ?an demon/ration projects evaluat$ 9 accordance ) subp>agraph 7,c771 includ+ programs au?oriz$ by title ,,iii1 ,v1 ,,vi1 or ,,vii1 & expla9s ! basis = su* framework4 2 7#c7 9 subsection 7b71 by /rik+ 7b7 ,! ,secret>y & ins]t+ ! foll[+3 7b7 ,/&>ds = title ,,iv grants or contracts ,! ,secret>y 2 7#d7 9 subsection 7c71 by /rik+ 7c7 ,9 c>ry+ out & ins]t+ ! foll[+3 7c7 ,consultation ,9 c>ry+ out 2 7#e7 9 subsection 7d71 by /rik+ 7d7 ,! ,secret>y %all & ins]t+ ! foll[+3 7d7 ,summ>ies & analyses ,! ,secret>y %all 2 7#f7 9 subsection 7e71 by /rik+ 7e7 ,! ,secret>y %all & ins]t+ ! foll[+3 7e7 ,prop]ty ( ! ,unit$ ,/ates ,! ,secret>y %all 2 7#g7 9 subsection 7f71 by /rik+ 7f7 ,su* in=mation & ins]t+ ! foll[+3 7f7 ,availability by dep>tm5ts & ag5cies ,su* in=mation 2 & 7#h7 9 subsection 7g71 by /rik+ 7g7 ,f ! total am\nt & ins]t+ ! foll[+3 7g7 ,limitation on fund+ ,f ! total am\nt 4 7b7 ,reports ,section #bjg 7#db ,u4,s4,c4 #cjah7 is am5d$-- 7#a7 9 subsection 7a77#b71 by /rik+ section #bjb7;a77#af7 & ins]t+ sections #bjb7;a77#af7 & #bjf7;a77#b72 & 7#b7 by add+ at ! end ! foll[+3 7d7 ,! ,assi/ant ,secret>y %all1 z "p ( ! annual report submitt$ "u subsection 7a71 prep>e & submit a report on activities c>ri$ out "u section #bjf7;a77#b7 & title ,,iv4 4 7c7 ,innovation1 demon/ration1 & evaluation activities )9 ag+ programs 7#a7 ,head+ ,title ,,iv 7#db ,u4,s4,c4 #cjca et seq47 is am5d$ 9 ! title head+ by /rik+ ,activities = heal?1 indep5d5ce1 & longevity & ins]t+ ,innovation1 demon/ration1 & evaluation )9 ag+ programs4 7#b7 ,purposes ,section #dja 7#db ,u4,s4,c4 #cjca7 is am5d$-- 7,a7 by am5d+ p>agraph 7#a7 to read z foll[s3 7#a7 to ga9 a bett] und]/&+ & k base =-- 7,a7 apprais+ s]vices & facilities = old] individuals2 & 7,b7 develop+ new & m effective & effici5t ways ( improv+ ! lives ( old] individuals2 2 7,b7 9 p>agraph 7#b71 by /rik+ ! semicolon at ! end & ins]t+ 2 &2 7,c7 9 p>agraph 7#c71 by /rik+ 2 & & ins]t+ a p]iod2 & 7,d7 by /rik+ p>agraph 7#d74 7#c7 ,program au?oriz$ ,section #daa7;a77#c7 7#db ,u4,s4,c4 #cjcb7;a77#c77 is am5d$ by /rik+ ?is section & ins]t+ ?is ,act4 ,,ii ,improv+ grants = ,/ate & community programs on ag+ #bja4 ,det]m9ants ( heal? ,section #cja7;a77#a7 7#db ,u4,s4,c4 #cjba7;a77#a77 is am5d$-- 7#a7 9 subp>agraph 7,c71 by /rik+ & at ! end2 7#b7 9 subp>agraph 7,d71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7,e7 measure impacts relat$ to det]m9ants ( heal? ( old] individuals4 4 #bjb4 ,y\ng] onset ,alzheim]'s disease ,! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq47 is am5d$-- 7#a7 9 section #cjb7c7 7#db ,u4,s4,c4 #cjbb7c771 by ins]t+ ( any age aft] an individual2 & 7#b7 9 section #gaa7f7 7#db ,u4,s4,c4 #cjeh;f7#f771 by ins]t+ ( any age aft] individual4 #bjc4 ,reau?orization 7a7 ,grants = ,/ate & community programs on ag+ ,subsections 7a7 ?r\gh 7e7 ( section #cjc 7#db ,u4,s4,c4 #cjbc7 are am5d$ to read z foll[s3 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> #bjbd1 #eeb1gjb1ffi = fiscal ye> #bjbe1 & #ehe1hfd1hbi = fiscal ye> #bjbf4 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> #bjbd1 #gaj1igb1jcd = fiscal ye> #bjbe1 & #gec1fcj1cef = fiscal ye> #bjbf4 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> #bjbd1 #cfj1gee1jfa = fiscal ye> #bjbe1 & #chb1djj1cfd = fiscal ye> #bjbf4 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> #bjbd1 #ce1ffd1gah = fiscal ye> #bjbe1 & #cg1hjd1fja = fiscal ye> #bjbf4 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> #bjbd1 #bfj1jei1jfi = fiscal ye> #bjbe1 & #bge1ffb1fac = fiscal ye> #bjbf4 4 7b7 ,nutrition s]vices inc5tive program ,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> #bjbd1 #bbi1gdi1eaa = fiscal ye> #bjbe1 & #bdc1ecd1dhb = fiscal ye> #bjbf4 4 #bjd4 ,hold h>mless =mula 7a7 ,9 g5]al ,section #cjd7;a77#c77;,d7 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#e7-- 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 be2 & 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> cov]$ 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$$ to meet ! requirem5ts ( ^? subp>agraphs4 4 7b7 ,repeal ,section #cjd7;a77#c77;,d7 7#db ,u4,s4,c4 #cjbd7;a77#c77;,d7 is repeal$1 effective ,octob] #a1 #bjbi4 #bje4 ,outrea* ef=ts ,section #cjf7;a77#d77;,b77i77,,vii7 7#db ,u4,s4,c4 #cjbf7;a77#d77;,b77i77,,vii77 is am5d$ by ins]t+ 1 specifically includ+ survivors ( ! ,holocau/ aft] placem5t4 #bjf4 ,ma9t5ance ( ef=t = ,/ate ,long-,t]m ,c>e ,ombudsman program 7a7 ,area ag5cy on ag+ ,section #cjf7;a77#i7 7#db ,u4,s4,c4 #cjbf7;a77#i77 is am5d$ by /rik+ ,act & exp5d$ by ! ag5cy 9 fiscal ye> #bjjj & ins]t+ ,act & exp5d$ by ! ag5cy 9 fiscal ye> #bjai4 7b7 ,/ate ag5cy ,section #cjg7;a77#i7 7#db ,u4,s4,c4 #cjbg7;a77#i77 is am5d$ by /rik+ n less ?an & all t foll[s & ins]t+ n less ?an ! total am\nt exp5d$ by ! ,/ate ag5cy ) funds receiv$ "u ?is title & title ,,vii = fiscal ye> #bjai44 #bjg4 ,coord9ation ) res\rce c5t]s 7a7 ,area plans ,section #cjf7;a7 7#db ,u4,s4,c4 #cjbf7;a77 is am5d$-- 7#a7 9 p>agraph 7#af71 by /rik+ & at ! end2 7#b7 9 p>agraph 7#ag71 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7#c7 by add+ at ! end ! foll[+3 7#ah7 provide assurances t ! area ag5cy on ag+ w collect data to det]m9e-- 7,a7 ! s]vices t are ne$$ 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 individuals eligible = assi/ance "u ?is ,act1 ) special emphasis on ^? individuals ^: ne$s 7 ! focus ( all c5t]s fund$ "u title ,,iv 9 fiscal ye> #bjai4 4 7b7 ,/ate plans ,section #cjg7;a7 7#db ,u4,s4,c4 #cjbg7;a77 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$$ by old] individuals ^: ne$s 7 ! focus ( all c5t]s fund$ "u title ,,iv 9 fiscal ye> #bjai2 7,b7 data collect$ to det]m9e ! effectiv5ess ( ! programs1 policies1 & s]vices provid$ by area ag5cies on ag+ 9 assi/+ su* individuals2 & 7,c7 outrea* ef=ts & o!r activities c>ri$ out to satisfy ! assurances describ$ 9 p>agraphs 7#ah7 & 7#ai7 ( section #cjf7;a74 4 #bjh4 ,s5ior legal hotl9es ,n lat] ?an #d ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,assi/ant ,secret>y %all prep>e & submit to ,congress a report conta9+-- 7#a7 in=mation on :i* ,/ates or localities op]ate s5ior legal hotl9es2 7#b7 in=mation on h[ su* hotl9es op]at$ by ,/ates or localities are fund$2 7#c7 in=mation ( ! usefulness ( s5ior legal hotl9es 9 ! coord9ation & provision ( legal assi/ance2 & 7#d7 recomm5dations on additional actions t %\ld be tak5 relat$ to s5ior legal hotl9es4 #bji4 ,increase 9 limit on use ( allott$ funds = ,/ate adm9i/rative co/s ,section #cjh7;b77#b77;,a7 7#db ,u4,s4,c4 #cjbh7;b77#b77;,a77 is am5d$ by /rik+ #ejj1jjj & ins]t+ #gej1jjj4 #baj4 ,improvem5ts to nutrition programs ,section #cjh7;b77#d7 7#db ,u4,s4,c4 #cjbh7;b77#d77 is am5d$ by add+ at ! end ! foll[+3 7,d7 ,! ,/ate1 9 consultation ) area ag5cies on ag+1 %all ensure ! process us$ by ! ,/ate 9 transf]r+ funds "u ?is p>agraph 7includ+ requirem5ts relat+ to ! au?ority & tim+ ( su* transf]s7 is simplifi$ & cl>ifi$ to r$uce adm9i/rative b>ri]s & direct limit$ res\rces to ! greate/ nutrition s]vice ne$s at ! community level4 ,su* process %all be modifi$ to attempt to less5 ! adm9i/rative b>ri]s ( su* transf]s1 & help direct limit$ res\rces to :]e !y are ne$$ ! mo/ z ! unmet ne$ = nutrition s]vices gr[s4 4 #baa4 ,review ( reports ,section #cjh7;b7 7#db ,u4,s4,c4 #cjbh7;b77 is am5d$ by add+ 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/+ old] individuals ^: ne$s are ! focus ( all c5t]s fund$ "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$s4 4 #bab4 ,o!r practices 7a7 ,evaluation ,section #cae7;d7 7#db ,u4,s4,c4 #cjcj;c-#b7;d77 is am5d$ by ins]t+ 1 by ,/ate1 aft] a compreh5sive evaluation4 7b7 ,,gao /udy ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy & issue a report t includes-- 7#a7 in=mation-- 7,a7 ab\t1 & a li/ (1 contracts 7implem5t$ by ,/ates or area ag5cies on ag+7 ) heal? c>e organizations1 & ,/ate-implem5t$ co/-%>+ policies by area ag5cies on ag+1 waiv] use & waiv] use policies1 & volunt>y contribution policies1 by ,/ate1 "u title ,,iii ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjba et seq472 & 7,b7 ab\t any negative impacts on l[-income individuals result+ f ! policies & uses describ$ 9 subp>agraph 7,a71 & annual evaluation me?ods & corrective action t ! ,assi/ant ,secret>y is tak+ to rectify su* an impact2 7#b7 in=mation ab\t ! policies describ$ 9 subp>agraph 7,a71 su* z paym5t rates 7includ+ slid+ scales bas$ solely on individual income & ! co/ ( deliv]+ s]vices & :e!r l[-income individuals or o!r populations are exclud$ f co/ %>+ or :e!r specific demographic gr\ps are t>get$ ) co/ %>+71 proc$ures to acc\nt = co/-%>+ paym5ts1 writt5 or o!r educational mat]ials to in=m recipi5ts ab\t co/ %>+ & volunt>y contributions 9 a way t protects access to s]vices1 & ! ext5t to :i* /akehold]s' views are solicit$ reg>d+ co/-%>+ policies2 7#c7 in=mation on ! numb] ( old] individuals pay+ = s]vices "u ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq472 7#d7 policies t ensure t-- 7,a7 l[-income individuals are n burd5$ by co/-%>+ policies2 & 7,b7 co/-%>+ policies d n result 9 ! d5ial ( s]vices due to ! individual's income or ! individual's failure to make a co/-%>+ paym5t2 & 7#e7 recomm5dations to ,congress & v>i\s /akehold]s ab\t ways to cl>ify or improve co/ %>+ or volunt>y contribution policies & implem5tation4 #bac4 ,culturally appropriate1 m$ically tailor$ meals ,section #cci7b77;,a77iii7 7#db ,u4,s4,c4 #cjcj;g-#ba7b77;,a77iii77 is am5d$ by ins]t+ 1 includ+ meals adju/$ = cultural consid]ations & pref]5ces & m$ically tailor$ meals be=e ! comma at ! end4 #bad4 ,nutrition s]vices /udy ,subp>t #c ( "p ,c ( title ,,iii 7#db ,u4,s4,c4 #cjcj;g-#ba et seq47 is am5d$ by add+ at ! end ! foll[+3 #cci;,b4 ,nutrition s]vices impact /udy 7a7 ,/udy 7#a7 ,9 g5]al ,! ,assi/ant ,secret>y %all p]=m a /udy to assess h[ to measure & evaluate ! discrepancy betwe5 available s]vices & ! dem& = su* s]vices 9 ! home deliv]$ nutrition s]vices program & ! congregate nutrition s]vices program "u ?is "p1 :i* %all include assess+ v>i\s me?ods 7su* z ^? t ,/ates use7 to measure & evaluate ! discrepancy 7su* z measurem5t ?r\gh ! l5g? ( waitli/s74 7#b7 ,cont5ts ,9 p]=m+ ! /udy1 ! ,assi/ant ,secret>y %all-- 7,a7 consid] means ( obta9+ in=mation 9 rural & und]s]v$ communities2 & 7,b7 consid] us+ exi/+ tools 7exi/+ z ( ! date ! ,assi/ant ,secret>y beg9s ! /udy7 su* z ! tools develop$ ?r\gh ! ,p]=mance ,outcome ,measurem5t ,project4 7#c7 ,analysis ,! ,assi/ant ,secret>y %all analyze & det]m9e :i* me?ods are ! lea/ burd5some & mo/ effective = measur+ & evaluat+ ! discrepancy describ$ 9 p>agraph 7#a74 7b7 ,recomm5dations 7#a7 ,prep>ation ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,assi/ant ,secret>y %all prep>e recomm5dations-- 7,a7 on h[ to measure & evaluate1 ) ! lea/ burd5 & ! mo/ effectiv5ess1 ! discrepancy describ$ 9 subsection 7a77#a7 7su* z measurem5t ?r\gh ! l5g? ( waitli/s72 & 7,b7 ab\t :e!r /udies simil> to ! /udy describ$ 9 subsection 7a7 %\ld be c>ri$ out = programs c>ri$ out "u ?is ,act1 o!r ?an ?is "p4 7#b7 ,issuance ,! ,assi/ant ,secret>y %all issue ! recomm5dations1 & make ! recomm5dations available z a notification pursuant to section #bjb7;a77#cd7 & to ! committees ( ! ,s5ate & ( ! ,h\se ( ,repres5tatives ) jurisdiction ov] ?is ,act1 & ! ,special ,committee on ,ag+ ( ! ,s5ate4 4 #bae4 ,national ,family ,c>egiv] ,support program 7a7 ,def9itions = ,national ,family ,c>egiv] ,support program ,section #cgb7;a7 7#db ,u4,s4,c4 #cjcjs7a77 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#a7 ?r\gh 7#c7 z p>agraphs 7#b7 ?r\gh 7#d71 respectively2 & 7#b7 by ins]t+ be=e p>agraph 7#b71 z s r$esignat$1 ! foll[+3 7#a7 ,c>egiv] assessm5t ,! t]m c>egiv] assessm5t means a def9$ process ( ga!r+ in=mation to id5tify ! specific ne$s1 b>ri]s to support s]vices1 & exi/+ supports ( a family c>egiv] or old] relative c>egiv]1 z id5tifi$ by ! c>egiv] involv$1 to appropriately t>get recomm5dations = support s]vices describ$ 9 section #cgc7;b74 ,su* assessm5t %all be adm9i/]$ ?r\gh direct contact ) ! c>egiv]1 :i* may include contact ?r\gh a home visit1 ! ,int]net1 telephone or teleconf]5ce1 or 9-p]son int]action4 4 7b7 ,g5]al au?ority ,section #cgc 7#db ,u4,s4,c4 #cjcjs-#a7 is am5d$-- 7#a7 9 subsection 7b71 9 ! matt] prec$+ p>agraph 7#a71 by ins]t+ :i* may be in=m$ ?r\gh ! use ( c>egiv] assessm5ts1 aft] provid$12 7#b7 9 subsection 7e77#c71 9 ! fir/ s5t5ce1 by ins]t+ 1 includ+ c>egiv] assessm5ts us$ 9 ! ,/ate1 aft] me*anisms2 7#c7 by r$esignat+ subsections 7e7 ?r\gh 7g7 z subsections 7f7 ?r\gh 7h71 respectively2 7#d7 by ins]t+ aft] subsection 7d7 ! foll[+3 7e7 ,be/ practices ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,mod]nization ( ! ,old] ,am]icans ,act ,am5dm5ts & e #e ye>s !reaft]1 ! ,assi/ant ,secret>y %all-- 7#a7 id5tify be/ practices relat+ to ! programs c>ri$ out "u ?is section & section #fca1 reg>d+-- 7,a7 ! use ( proc$ures & tools to monitor & evaluate ! p]=mance ( ! programs c>ri$ out "u su* sections2 7,b7 ! use ( evid5ce-bas$ c>egiv] support s]vices2 & 7,c7 any o!r issue det]m9$ relevant by ! ,assi/ant ,secret>y2 & 7#b7 make available1 includ+ on ! website ( ! ,adm9i/ration & pursuant to section #bjb7;a77#cd71 be/ practices describ$ 9 p>agraph 7#a71 to c>ry out ! programs "u ?is section & section #fca4 2 & 7#e7 by add+ at ! end ! foll[+3 7i7 ,activities ( national significance ,! ,assi/ant ,secret>y may aw>d funds au?oriz$ "u ?is section to ,/ates1 public ag5cies1 private nonpr(it ag5cies1 in/itutions ( high] education1 & organizations1 includ+ tribal organizations1 = conduct+ activities ( national significance t-- 7#a7 promote quality & cont9u\s improvem5t 9 ! support provid$ to family c>egiv]s & old] relative c>egiv]s ?r\gh programs c>ri$ out "u ?is section & section #fca2 & 7#b7 include1 ) respect to su* programs1 program evaluation1 tra9+1 te*nical assi/ance1 & rese>*4 7j7 ,te*nical assi/ance = c>egiv] assessm5ts ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,mod]nization ( ! ,old] ,am]icans ,act ,am5dm5ts1 ! ,assi/ant ,secret>y1 9 consultation ) /akehold]s ) appropriate exp]tise &1 z appropriate1 in=m$ by ! /rategy develop$ "u ! ,,raise ,family ,c>egiv]s ,act 7#db ,u4,s4,c4 #cjcjs note71 %all provide te*nical assi/ance to promote & implem5t ! use ( c>egiv] assessm5ts4 ,su* te*nical assi/ance may include %>+ available tools or templates1 compreh5sive assessm5t protocols1 & be/ practices conc]n+-- 7#a7 conduct+ c>egiv] assessm5ts 7includ+ reassessm5ts7 z ne$$2 7#b7 implem5t+ su* assessm5ts t are consi/5t across a plann+ & s]vice area1 z appropriate2 & 7#c7 implem5t+ c>egiv] support s]vice plans1 includ+ conduct+ ref]rals to & coord9ation ( activities ) relevant ,/ate s]vices4 4 7c7 ,report on c>egiv] assessm5ts 7#a7 ,9 g5]al ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,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-- 7,a7 an analysis ( ! curr5t use ( c>egiv] assessm5ts1 z ( ! date ( ! report2 7,b7 an analysis ( ! pot5tial impact ( c>egiv] assessm5ts on-- 7i7 family c>egiv]s & old] relative c>egiv]s2 & 7ii7 ! old] individuals to :om ! c>egiv]s describ$ 9 clause 7i7 provide c>e2 7,c7 an analysis ( ! pot5tial impact ( us+ c>egiv] assessm5ts on ! ag+ network2 7,d7 an analysis ( h[ c>egiv] assessm5ts are be+ us$ to id5tify ! specific ne$s1 b>ri]s to support s]vices1 & exi/+ supports ( family c>egiv]s & old] relative c>egiv]s1 ) p>ticul> consid]ation to support+-- 7i7 a c>egiv] specifi$ 9 ?is subp>agraph :o is c>+ = individuals ) disabilities1 or1 if appropriate1 ) a s]i\s illness2 & 7ii7 c>egiv]s ) disabilities2 7,e7 recomm5dations = fur!r+ ! use ( c>egiv] assessm5ts1 z appropriate1 includ+ 9 rural or und]s]v$ areas2 & 7,f7 recomm5dations = assi/+ ,/ate ag5cies & area ag5cies on ag+1 p>ticul>ly 9 rural or und]s]v$ areas1 9 implem5t+ ! use ( c>egiv] assessm5ts4 7#b7 ,submission ,n lat] ?an #f mon?s aft] ! issuance ( ! report specifi$ 9 p>agraph 7#a71 ! ,assi/ant ,secret>y %all submit ! report to ! committees ( ! ,s5ate & ! ,h\se ( ,repres5tatives ) jurisdiction ov] ?is ,act1 & ! ,special ,committee on ,ag+ ( ! ,s5ate4 7#c7 ,def9itions ,9 ?is subsection-- 7,a7 ! t]ms c>egiv] assessm5t & old] relative c>egiv] h ! mean+s giv5 su* t]ms 9 section #cgb7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcjs7a772 7,b7 ! t]m family c>egiv] has ! mean+ giv5 ! t]m 9 section #cjb ( su* ,act 7#db ,u4,s4,c4 #cjbb72 & 7,c7 ! t]ms ,/ate ag5cy & tribal organization h ! mean+s giv5 ! t]ms 9 section #ajb ( su* ,act 7#db ,u4,s4,c4 #cjjb74 7d7 ,con=m+ am5dm5t ,section #fca7;b7 ( su* ,act 7#db ,u4,s4,c4 #cjegk-#aa7;b77 is am5d$ by /rik+ 7c71 7d71 & 7e7 & ins]t+ 7c71 7d71 & 7f74 #baf4 ,national ,family ,c>egiv] ,support program cap 7a7 ,f$]al %>e ,subsection 7h77#b71 z r$esignat$ by section #bae7;b77#c7 ( ?is ,act1 ( section #cgc 7#db ,u4,s4,c4 #cjcjs-#a7 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 ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,education & ,labor ( ! ,h\se ( ,repres5tatives 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 et seq474 ,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 %>es describ$ 9 section #cgc7;h77#b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcjs-#a7;h77#b77 us$ by ! ,/ate to provide support s]vices = old] relative c>egiv]s & ! am\nt ( su* funds s us$ = family c>egiv]s4 ,,iii ,mod]niz+ ,activities = ,heal?1 ,indep5d5ce1 & ,longevity #cja4 ,reau?orization ,section #daa7;b7 7#db ,u4,s4,c4 #cjcb7;b77 is am5d$ to read z foll[s-- 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> #bjbd1 #ai1dgj1jed = fiscal ye> #bjbe1 & #bj1fch1beg = fiscal ye> #bjbf2 & 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> #bjbd1 #bj1idd1abc = fiscal ye> #bjbe1 & #bb1bjj1ggj = fiscal ye> #bjbf4 4 #cjb4 ,falls prev5tion & *ronic disease self-managem5t education ,section #daa7;a7 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] individuals1 includ+ old] individuals ) disabilities2 7#ad7 br++ to scale & su/a9+ evid5ce-bas$ *ronic disease self-managem5t programs t emp[] old] individuals1 includ+ old] individuals ) disabilities1 to bett] manage _! *ronic conditions2 4 #cjc4 ,te*nical assi/ance & innovation to improve transportation = old] individuals ,section #daf7;b77#b7 7#db ,u4,s4,c4 #cjcb;e7b77#b77 is am5d$-- 7#a7 9 subp>agraph 7,b71 by ins]t+ be=e ! semicolon 1 call c5t]1 website or ,int]net-bas$ portal1 mobile application1 or o!r te*nological tools2 7#b7 9 subp>agraph 7,c71 by /rik+ 2 & & ins]t+ a semicolon2 7#c7 by r$esignat+ subp>agraph 7,d7 z subp>agraph 7,g72 & 7#d7 by ins]t+ aft] subp>agraph 7,c7 ! foll[+3 7,d7 7i7 improv+ ! aggregation1 availability1 & accessibility ( in=mation on options = transportation s]vices = old] individuals1 includ+ in=mation on public transit1 on-dem& transportation s]vices1 volunte]-bas$ transportation s]vices1 & o!r private transportation provid]s2 & 7ii7 provid+ old] individuals ) ! ability to s*$ule trips bo? 9 advance & on dem&1 z appropriate2 7,e7 id5tify+ opportunities to %>e res\rces & r$uce co/s ( transportation s]vices = old] individuals2 7,f7 coord9at+ individualiz$ trip plann+ responses to reque/s f old] individuals = transportation s]vices2 & 4 #cjd4 ,grant program = multig5]ational collaboration ,section #dag 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 to & ent] into contracts ) eligible organizations to c>ry out projects1 s]v+ individuals 9 y\ng] g5]ations & old] individuals1 to-- 7#a7 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;a77 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 coord9ate multig5]ational activities & civic engagem5t activities1 includ+ multig5]ational nutrition & meal s]vice programs2 7#c7 promote volunte]ism1 includ+ by provid+ opportunities = old] individuals to become a m5tor to individuals 9 y\ng] g5]ations2 & 7#d7 facilitate developm5t (1 & p>ticipation 91 multig5]ational activities & civic engagem5t activities4 2 7#b7 by /rik+ subsection 7g72 7#c7 by r$esignat+ subsections 7b7 ?r\gh 7f7 z subsections 7c7 ?r\gh 7g71 respectively2 7#d7 by ins]t+ aft] subsection 7a7 ! foll[+3 7b7 ,grant & contract p]iods ,ea* grant aw>d$ & contract ent]$ into "u subsection 7a7 %all be = a p]iod ( n less ?an #cf mon?s4 2 7#e7 by am5d+ subsection 7c71 z s r$esignat$1 to read z foll[s3 7c7 ,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 aw>d+ grants & ent]+ into contracts "u ?is section1 ! ,assi/ant ,secret>y %all ensure t su* grants & contracts are = ! activities & projects t satisfy ea* requirem5t "u p>agraphs 7#a7 ?r\gh 7#d7 ( subsection 7a74 2 7#f7 9 subsection 7d71 z s r$esignat$-- 7,a7 9 p>agraph 7#a71 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,b7 9 p>agraph 7#c71 by /rik+ 2 & & ins]t+ a semicolon2 7,c7 9 p>agraph 7#d71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,d7 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#g7 by am5d+ subsections 7f7 & 7g71 z s r$esignat$1 to read z foll[s3 7f7 ,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 7g7 ,evaluation 7#a7 ,9 g5]al ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ! ,mod]nization ( ! ,old] ,am]icans ,act ,am5dm5ts1 ! ,assi/ant ,secret>y %all1 ?r\gh data submitt$ by organizations c>ry+ out projects ?r\gh grants or contracts "u ?is section1 evaluate ! activities support$ ?r\gh su* grants & contracts to det]m9e-- 7,a7 ! effectiv5ess ( su* activities2 7,b7 ! impact ( su* activities on ! community be+ s]v$ & ! organization provid+ ! activities2 & 7,c7 ! impact ( su* activities on old] individuals p>ticipat+ 9 su* projects4 7#b7 ,report to ,congress ,n lat] ?an #f mon?s aft] ! ,assi/ant ,secret>y completes ! evaluation "u p>agraph 7#a71 ! ,assi/ant ,secret>y %all prep>e & submit to ! ,speak] ( ! ,h\se ( ,repres5tatives & ! ,presid5t pro tempore ( ! ,s5ate a report t assesses su* evaluation & conta9s1 at a m9imum-- 7,a7 ! names or descriptive titles ( ! projects fund$ "u subsection 7a72 7,b7 a description ( ! nature & op]ation ( su* projects2 7,c7 ! names & addresses ( organizations t conduct$ su* projects2 7,d7 a description ( ! me?ods & success ( su* projects 9 recruit+ old] individuals z employees & z volunte]s to p>ticipate 9 ! projects2 7,e7 a description ( ! success ( ! projects 9 reta9+ old] individuals p>ticipat+ 9 su* projects z employees & z volunte]s2 7,f7 ! rate ( turnov] ( old] individuals :o are employees or volunte]s 9 su* projects2 7,g7 a /rategy = dissem9at+ ! f9d+s result+ f su* projects2 & 7,h7 any policy *ange recomm5dations relat+ to su* projects4 2 & 7#h7 9 subsection 7h77#b77;,b77i71 by /rik+ individuals f ! g5]ations ) old] individuals & ins]t+ old] individuals4 ,,iv ,s5ior ,community ,s]vice ,employm5t ,program #dja4 ,priority = ! s5ior community s]vice employm5t program 7a7 ,9 g5]al ,! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq47 is am5d$-- 7#a7 9 section #ejc7;a77#d77;,c7 7#db ,u4,s4,c4 #cjef;a7a77#d77;,c77-- 7,a7 9 clause 7iii71 by /rik+ & at ! end2 7,b7 9 clause 7iv71 by add+ & at ! end2 & 7,c7 by add+ at ! end ! foll[+3 7v7 eligible individuals :o are (f5d]s2 2 7#b7 9 section #ead7;e77#a7 7#db ,u4,s4,c4 #cjefl7e77#a771 by ins]t+ eligible individuals :o are (f5d]s1 aft] ne$12 & 7#c7 9 section #eah 7#db ,u4,s4,c4 #cjefp7-- 7,a7 9 subsection 7a77#c77;,b77ii7-- 7i7 9 clause 7,,iv71 by /rik+ or at ! end2 7ii7 9 clause 7,v71 by /rik+ ! p]iod at ! end & ins]t+ 2 or2 & 7iii7 by add+ at ! end ! foll[+3 7,,vi7 are (f5d]s4 2 7,b7 9 subsection 7a71 by add+ at ! end ! foll[+3 7#i7 ,(f5d] ,! t]m (f5d] means an eligible individual-- 7,a7 :o is or has be5 subject to any /age ( ! crim9al ju/ice process1 & = :om s]vices "u ?is title may be b5eficial2 or 7,b7 :o requires assi/ance 9 ov]com+ artificial b>ri]s to employm5t result+ f a record ( arre/ or conviction4 2 & 7,c7 9 subsection 7b77#b7-- 7i7 9 subp>agraph 7,f71 by /rik+ or at ! end2 7ii7 9 subp>agraph 7,g71 by /rik+ ! p]iod at ! end & ins]t+ 2 or2 & 7iii7 by add+ at ! end ! foll[+3 7,h7 is an (f5d]4 4 7b7 ,implem5tation ,! ,secret>y ( ,labor %all implem5t ! am5dm5ts made by ?is section n lat] ?an #ab mon?s aft] ! date ( enactm5t ( ?is ,act4 #djb4 ,au?orization ( appropriations ,section #eag7;a7 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> #bjbd1 #egd1abf1ahg = fiscal ye> #bjbe1 & #fjh1egc1geh = fiscal ye> #bjbf4 4 ,v ,enhanc+ grants = ,native ,am]icans #eja4 ,reau?orization ,title ,,vi 7#db ,u4,s4,c4 #cjeg et seq47 is am5d$-- 7#a7 9 "p ,d 7#db ,u4,s4,c4 #cjegl et seq47-- 7,a7 by am5d+ section #fdc 7#db ,u4,s4,c4 #cjegn7 to read z foll[s-- #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> #bjbd1 #ea1eed1bce = fiscal ye> #bjbe1 & #ed1fdg1dhi = fiscal ye> #bjbf2 & 7#b7 = "p ,c1 #aj1ghe1ege = fiscal ye> #bjbj1 #aa1dcb1gaj = fiscal ye> #bjba1 #ab1aah1fgb = fiscal ye> #bjbb1 #ab1hde1gib = fiscal ye> #bjbc1 #ac1faf1edj = fiscal ye> #bjbd1 #ad1dcc1ecb = fiscal ye> #bjbe1 & #ae1bii1edd = fiscal ye> #bjbf4 2 & 7,b7 by add+ at ! end ! foll[+3 #fdd4 ,fund+ set aside ,( ! funds appropriat$ "u section #fdc7a7 = a fiscal ye>1 up to #e p]c5t %all be made available to c>ry out "p ,d = su* fiscal ye>1 provid$ t = su* fiscal ye>-- 7#a7 ! funds appropriat$ = p>ts ,a & ,b are great] ?an ! funds appropriat$ = fiscal ye> #bjai2 & 7#b7 ! ,assi/ant ,secret>y makes available = p>ts ,a & ,b no less ?an ! am\nt ( res\rces made available = fiscal ye> #bjai4 2 7#b7 by r$esignat+ "p ,d1 z s am5d$1 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 may c>ry out a competitive demon/ration program = mak+ grants to tribal organizations or organizations s]v+ ,native ,hawaiians ) applications approv$ "u "p ,a or ,b1 respectively1 to pay = ! ,f$]al %>e ( c>ry+ out programs s]v+ ,indians or ,native ,hawaiians1 to enable ! organizations to build _! capacity to provide a wid] range ( 9-home & community supportive s]vices to enable old] individuals :o are ,indians or ,native ,hawaiians 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 or organizations s]v+ ,native ,hawaiians 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 7#c7 ,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 ,,vi ,mod]niz+ allotm5ts = vuln]able eld] rights protection activities & o!r programs #fja4 ,reau?orization2 vuln]able eld] rights protection activities ,section #gjb 7#db ,u4,s4,c4 #cjeh;a7 is am5d$ by /rik+ subsections 7a7 & 7b7 & ins]t+ ! foll[+3 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> #bjbd1 #bd1bce1cja = fiscal ye> #bjbe1 & #be1fhi1dai = fiscal ye> #bjbf4 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> #bjbd1 #f1hej1gfa = fiscal ye> #bjbe1 & #g1bfa1hjg = fiscal ye> #bjbf4 4 #fjb4 ,volunte] ,/ate long-t]m c>e ombudsman repres5tatives ,section #gab7;a77#e7 7#db ,u4,s4,c4 #cjeh;g7a77#e77 is am5d$ by add+ at ! end ! foll[+3 7,e7 ,rule ( con/ruction = volunte] ombudsman repres5tatives ,no?+ 9 ?is p>agraph %all be con/ru$ z prohibit+ ! program f reimburs+ or o!rwise provid+ f9ancial support to an individual designat$ "u subp>agraph 7,a7 z a volunte] to repres5t a local ,ombudsman entity = any co/s1 su* z transportation co/s1 incurr$ by ! individual 9 s]v+ z su* volunte]4 4 #fjc4 ,prev5tion ( eld] abuse1 neglect1 & exploitation ,section #gba7;b77#ab7 7#db ,u4,s4,c4 #cjeh;i7b77#ab77 is am5d$-- 7#a7 9 subp>agraph 7,c71 by ins]t+ community outrea* & education1 aft] te*nical assi/ance12 & 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 #fjd4 ,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 ,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#c7 ,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 7#d7 ,/ate ag5cy ,! t]m ,/ate ag5cy has ! mean+ giv5 ! t]m 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb74 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 #fje4 ,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 #fjf4 ,be/ practices = home & community-bas$ ombudsm5 ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,assi/ant ,secret>y %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 #fjg4 ,s5ior home modification assi/ance initiative ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,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$]al ag5cy or dep>tm5t det]m9$ appropriate by ! ,comptroll] ,g5]al1 t support evid5ce-bas$ falls prev5tion1 home assessm5ts1 & home modifications = old] individuals & individuals ) disabilities2 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* program2 7#c7 a demographic analysis ( individuals s]v$ by ea* su* program = rec5t fiscal ye>s2 7#d7 an analysis ( duplication & gaps 9 populations support$ by ! ,f$]al programs describ$ 9 p>agraph 7#a72 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* programs2 7#f7 a review ( ,f$]al ef=ts to coord9ate ,f$]al programs exi/+ prior to ! date ( enactm5t ( ?is ,act t support evid5ce-bas$ falls prev5tion1 home assessm5ts1 & 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$]al programs2 & 7#g7 in=mation on ! ext5t to :i* consum]-fri5dly res\rces1 su* z a bro*ure1 are available ?r\gh ! ,national ,eld]c>e ,locator ,s]vice e/abli%$ "u section #bjb7;a77#ba7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjab7;a77#ba771 are accessible to all area ag5cies on ag+1 & conta9 in=mation on evid5ce-bas$ falls prev5tion1 home assessm5ts1 & home modifications = old] individuals attempt+ to live indep5d5tly & safely 9 _! homes & = ! c>egiv]s ( su* individuals4 ,,vii ,miscellane\s #gja4 ,te*nical corrections ,! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq47 is am5d$-- 7#a7 9 section #ajb7cg77;,a7 7#db ,u4,s4,c4 #cjjb7cg77;,a771 by /rik+ p>agraph 7#e7 & ins]t+ p>agraph 7#bf72 7#b7 9 section #bjb7;a77#bc7 7#db ,u4,s4,c4 #cjab7;a77#bc771 by /rik+ sections #cjg7;a77#ah7 & #gca7;b77#b7 & ins]t+ sections #cjg7;a77#ac7 & #gca2 7#c7 9 section #bjb7;e77#a77;,a7 7#db ,u4,s4,c4 #cjab7;e77#a77;,a771 by mov+ ! left m>g9 ( clause 7i7 #b ems to ! left2 7#d7 9 sections #bjc7;c77#g7 7#db ,u4,s4,c4 #cjac7;c77#g771 #bjg7;b77#b77;,b7 7#db ,u4,s4,c4 #cjah7;b77#b77;,b771 & #bae7;i7 7#db ,u4,s4,c4 #cjbj;e-#a7;i771 by /rik+ ,committee on ,education & ! ,work=ce ea* place x appe>s & ins]t+ ,committee on ,education & ,labor2 7#e7 9 section #bjg7;b77#c77;,a7 7#db ,u4,s4,c4 #cjah7;b77#c77;,a771 by /rik+ ,adm9i/rator ( ! ,heal? ,c>e ,f9ance ,adm9i/ration & ins]t+ ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 7#f7 9 section #cjd7;a77#c77;,c7 7#db ,u4,s4,c4 #cjbd7;a77#c77;,c771 by /rik+ t]m & all t foll[s ?r\gh does & ins]t+ t]m ,/ate does2 7#g7 9 section #cjf7;a7 7#db ,u4,s4,c4 #cjbf7;a77-- 7,a7 9 p>agraph 7#a71 by ins]t+ ! numb] ( old] individuals at risk = in/itutional placem5t resid+ 9 su* area1 be=e & ! numb] ( old] individuals :o are ,indians2 & 7,b7 9 p>agraph 7#b77;,b71 by /rik+ :o are victims ( & ins]t+ )2 7#h7 9 section #cci7b77;,a77ii77,i7 7#db ,u4,s4,c4 #cjcj;g-#ba7b77;,a77ii77,i771 by /rik+ ,in/itute ( ,m$ic9e ( ! ,national ,academy ( ,sci5ces & ins]t+ ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e2 7#i7 9 section #faa 7#db ,u4,s4,c4 #cjeg;b71 by /rik+ 7a72 & 7#aj7 9 section #fad7;c77#d7 7#db ,u4,s4,c4 #cjeg;e7c77#d771 by /rik+ 7a77#ab7 & ins]t+ 7a77#aa74