,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #fgbh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #ae1         
#bjbe,mr4 ,v9dman 7= himself & ,mr4     
,g>b>9o7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,ways & ,means
  ,a ,,bill  ,to am5d title ,,xx ( !    
,social ,security ,act to provide grants
 to ,/ates to support l9kages to legal  
s]vices & m$ical legal p>tn]%ips4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,l9k+ ,s5iors to ,ne$$ ,legal ,s]vices  
,act ( #bjbe4  #b4 ,inc5tives = develop+
 & su/a9+ /ructural compet5cy 9 provid+ 
heal? & human s]vices  7a7 ,9 g5]al ,"p 
,,ii ( subtitle ,b ( title ,,xx ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acigm-#e7 is am5d$ by add+ at ! end !  
foll[+3  #bjdg4 ,inc5tives = develop+ & 
su/a9+ /ructural compet5cy 9 provid+    
heal? & human s]vices  7a7 ,grants to   
,/ates ,to support l9kages to legal     
s]vices & m$ical legal p>tn]%ips  7#a7  
,9 g5]al ,)9 #b ye>s aft] ! date ( !    
enactm5t ( ?is section1 ! ,secret>y %all

 e/abli% & adm9i/] a program ( grants to
 ,/ates to support ! adoption (         
evid5ce-bas$ approa*es to e/abli%+ or   
improv+ & ma9ta9+ real-"t l9kages betwe5
 heal? & social s]vices & supports =    
vuln]able eld]s or 9 conjunction )      
au?oriz$ repres5tatives ( vuln]able     
eld]s1 includ+ ?r\gh ! foll[+3 7,a7     
,m$ical-legal p>tn]%ips ,! e/abli%m5t & 
support ( m$ical-legal p>tn]%ips1 !     
incorporation ( ! p>tn]%ips 9 ! eld]    
ju/ice framework & heal? & human s]vices
 safety net1 & ! implem5tation &        
op]ation ( su* a p>tn]%ip by an eligible
 grantee--  7i7 at ! option ( a ,/ate1 9
 conjunction ) an area ag5cy on ag+2    
7ii7 9 a solo provid] practice 9 a heal?
 pr(essional %ortage area 7z def9$ 9    
section #ccb7;a7 ( ! ,public ,heal?     
,s]vice ,act71 a m$ically und]s]v$      
community 7z def9$ 9 section #cii,v (   
su* ,act71 or a rural area 7z def9$ 9   
section #ccj;,j ( su* ,act72  7iii7 9 a 
m9ority-s]v+ in/itution ( high] le>n+ ) 
heal?1 law1 & social s]vices pr(essional

 programs2  7iv7 9 a f$]ally qualifi$   
heal? c5t]1 z describ$ 9 section #ccj ( 
! ,public ,heal? ,s]vice ,act1 or       
look-alike1 z describ$ 9 section        
#aije7l77#b77;,b7 ( ?is ,act2 or  7v7 9 
c]ta9 hospitals t are critical access   
hospitals1 ,m$ic>e-dep5d5t hospitals1   
sole community hospitals1 rural em]g5cy 
hospitals1 or t s]ve a high proportion (
 ,m$ic>e or ,m$icaid pati5ts4  7,b7     
,legal hotl9es developm5t or expansion  
,! provision ( inc5tives to develop1    
enhance1 & integrate plat=ms1 su* z     
legal assi/ance hotl9es1 t help to      
facilitate ! id5tification ( old] adults
 :o c\ld b5efit f l9kages to available  
legal s]vices su* z ^? describ$ 9       
subp>agraph 7,a74  7#b7 ,/ate reports   
,ea* ,/ate to :i* a grant is made "u ?is
 subsection %all submit to ! ,secret>y  
biannual reports on ! activities c>ri$  
out by ! ,/ate pursuant to ?is          
subsection1 :i* %all include assessm5ts 
( ! effectiv5ess ( ! activities )       
respect to-- 7,a7 ! numb] ( unique      

individuals id5tifi$ ?r\gh ! me*anism   
outl9$ 9 p>agraph 7#a77;,b7 :o are      
ref]r$ to s]vices describ$ 9 p>agraph   
7#a77;,a71 & ! av]age "t p]iod associat$
 ) resolv+ issues2  7,b7 ! success rate 
= ref]rals to community-bas$ res\rces2 &
  7,c7 o!r factors det]m9$ relevant by !
 ,secret>y4  7#c7 ,evaluation ,!        
,secret>y %all1 by grant1 contract1 or  
int]ag5cy agreem5t1 evaluate !          
activities conduct$ pursuant to ?is     
subsection1 :i* %all include a comp>ison
 among ! ,/ates4  7#d7 ,report to !     
,congress ,e #d ye>s1 ! ,secret>y %all  
submit to ! ,congress a writt5 report on
 ! activities conduct$ "u ?is           
subsection4  7#e7 ,appropriation ,out ( 
any money 9 ! ,treasury n o!rwise       
appropriat$1 !re are appropriat$ to !   
,secret>y #abe1jjj1jjj = ea* ( fiscal   
ye>s #bjbf ?r\gh #bjbi to c>ry out ?is  
subsection4  7#f7 ,supplem5t n supplant 
,support provid$ to area ag5cies on ag+1
 ,/ate units on ag+1 eligible entities1 
or o!r community-bas$ organizations     

pursuant to ?is subsection %all be us$  
to supplem5t & n supplant any o!r       
,f$]al1 ,/ate1 or local funds exp5d$ to 
provide ! same or comp>able s]vices     
describ$ 9 ?is subsection4  7b7         
,def9itions ,9 ?is section3 7#a7 ,area  
ag5cy on ag+ ,! t]m area ag5cy on ag+   
means an area ag5cy on ag+ designat$ "u 
section #cje ( ! ,old] ,am]icans ,act ( 
#aife4  7#b7 ,community-bas$            
organization ,! t]m community-bas$      
organization includes1 except z o!rwise 
provid$ by ! ,secret>y1 a nonpr(it      
community-bas$ organization1 a          
consortium ( nonpr(it community-bas$    
organizations1 a national nonpr(it      
organization act+ z an int]m$i>y = a    
community-bas$ organization1 or a       
community-bas$ organization t has a     
fiscal sponsor t all[s ! organization to
 function z an organization describ$ 9  
section #eja7;c77#c7 ( ! ,int]nal       
,rev5ue ,code ( #aihf & exempt f        
taxation "u section #eja7;a7 ( su*      
,code4  4  7b7 ,cl>ification t          

m$ical-,legal p>tn]%ips are au?oriz$    
adult protective s]vices activities     
,section #bjaa ( su* ,act 7#db ,u4,s4,c4
 #acig;j7 is am5d$--  7#a7 9 p>agraph   
7#b77;,d71 by ins]t+ 1 includ+ ?r\gh a  
m$ical-legal p>tn]%ip be=e ! p]iod2 &   
7#b7 by r$esignat+ p>agraphs 7#af7 ?r\gh
 7#bb7 z p>agraphs 7#ag7 ?r\gh 7#bc71   
respectively1 & ins]t+ aft] p>agraph    
7#ae7 ! foll[+3  7#af7 ,m$ical-legal    
p>tn]%ip ,! t]m m$ical-legal p>tn]%ip   
means an arrangem5t 9 a heal? c>e or    
social s]vices sett+ :i* integrates     
lawy]s & social work]s to address ! ne$s
 ( an individual pati5t relat$ to social
 det]m9ants ( heal?1 & to help          
cl9icians1 case manag]s1 & social work]s
 address /ructural problems at ! root ( 
_m heal? inequities1 includ+ a          
multidiscipl9>y team integrat$ into su* 
a sett+ to address ! ne$s & e/abli% &   
ma9ta9 /ructural compet5ce )9 cl9icians1
 case manag]s1 & social work]s to be/   
address /ructural problems at ! root (  
_m heal? inequities4  4