,i #aai? ,,congress #b;d ,session ,h4 ,r4 #hjfj ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #bd1 #bjbf,mr4 ,neal 7= himself & ,ms4 ,bonamici7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,ways & ,means1 & 9 addition to ! ,committees on ,en]gy & ,comm]ce1 ,education & ,work=ce1 & ! ,judici>y1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to reau?orize fund+ = programs to prev5t1 inve/igate1 & prosecute eld] abuse1 neglect1 & exploitation1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,eld] ,ju/ice ,reau?orization & ,mod]nization ,act ( #bjbf4 #b4 ,reau?orization ( fund+ = programs to prev5t & inve/igate eld] abuse1 neglect1 & exploitation 7a7 ,nurs+ home work] tra9+ grants ,section #bjda ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acigm7 is am5d$ to read z foll[s3 #bjda4 ,nurs+ home work] tra9+ grants 7a7 ,9 g5]al 7#a7 ,/ate entitlem5t 7,a7 ,9 g5]al ,ea* ,/ate %all be entitl$ to receive f ! ,secret>y = ea* fiscal ye> specifi$ 9 subsection 7e77#a7 a grant 9 an am\nt equal to ! am\nt allott$ to ! ,/ate "u subp>agraph 7,b74 7,b7 ,/ate allotm5ts 7i7 ,9 g5]al ,subject to clauses 7ii7 & 7iii71 ! am\nt allott$ to a ,/ate "u ?is subp>agraph = a fiscal ye> %all be-- 7,i7 ! numb] ( ,/ate resid5ts :o h atta9$ #fe ye>s ( age or h a disability 7z def9$ 9 section #baf7;i77#a771 z det]m9$ by ! ,secret>y us+ ! mo/ rec5t v]sion ( ! ,am]ican ,community ,survey publi%$ by ! ,bureau ( ! ,c5sus or a successor data set2 divid$ by 7,,ii7 ! total numb] ( su* resid5ts ( all ,/ates4 7ii7 ,limitation ,! am\nt allott$ to a ,/ate "u ?is subp>agraph = a fiscal ye> %all be n less ?an #j4be p]c5t ( ! available am\nt = ! fiscal ye>4 7iii7 ,adju/m5t ( ,/ate allotm5ts ,subject to clause 7ii71 ! ,secret>y %all proportionately increase or decrease ! am\nts allott$ "u ?is subp>agraph = a fiscal ye> z necess>y to ensure t ! available am\nt = ! fiscal ye> is allott$ among ! ,/ates4 7iv7 ,r$et]m9ations 7,i7 ,frequ5cy ,! ,secret>y %all make ! det]m9ation ref]r$ to 9 clause 7i77,i7 e #e ye>s4 7,,ii7 ,limitation ,subject to clause 7ii71 ! am\nt allott$ to a ,/ate "u ?is subp>agraph1 on ! basis ( su* a det]m9ation1 = a fiscal ye> aft] fiscal ye> #bjca %all be-- 7aa7 n less ?an #ij p]c5t ( ! am\nt ( ! grant made to ! ,/ate "u ?is subp>agraph = ! !n prec$+ fiscal ye>2 & 7bb7 n m ?an #aaj p]c5t ( ! am\nt ref]r$ to 9 item 7aa74 7#b7 ,grants to ,indian tribes & tribal organizations 7,a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,secret>y ( ! ,int]ior1 %all make grants 9 accordance ) ?is section to ,indian tribes & tribal organizations :o op]ate at lea/ #a eligible sett+4 7,b7 ,grant =mula ,! ,secret>y1 9 consultation ) ! ,secret>y ( ! ,int]ior1 %all devise a =mula = di/ribut+ among ,indian tribes & tribal organizations ! am\nt requir$ to be res]v$ by subsection 7e77#a7 = ea* fiscal ye>4 7#c7 ,sub-grants ,a ,/ate1 ,indian tribe1 or tribal organization to :i* an am\nt is paid "u ?is section may use ! am\nt to make sub-grants to local organizations1 includ+ community organizations1 local nonpr(its1 eld] rights & ju/ice gr\ps1 labor organizations1 jo9t labor-managem5t organizations1 & work=ce developm5t bo>ds = any purpose describ$ 9 p>agraph 7#a7 or 7#b7 ( subsection 7b74 7b7 ,use ( funds 7#a7 ,requir$ uses ,a ,/ate to :i* an am\nt is paid "u ?is section %all use ! am\nt to-- 7,a7 provide wage subsidies to eligible individuals2 7,b7 provide tuition assi/ance to1 & directly pay ! co/ ( applicable lic5s+ exam fees =1 eligible individuals = a degree or c]tification 9 a field relevant to _! position ref]r$ to 9 subsection 7f77#a77;,a72 7,c7 provide1 subsidize1 or facilitate access to *ild c>e = eligible individuals1 includ+ help ) ref]rals1 co-pays1 or o!r direct assi/ance z ne$$2 & 7,d7 provide assi/ance :]e necess>y ) obta9+ appropriate transportation1 includ+ public transportation if available1 or gas money or transit v\*]s = ride %>e1 taxis1 & simil> types ( transportation if public transportation is unavailable or impractical bas$ on "w h\rs or location4 7#b7 ,au?oriz$ uses ,a ,/ate to :i* an am\nt is paid "u ?is section may use ! am\nt to-- 7,a7 e/abli% a res]ve fund = f9ancial assi/ance to eligible individuals 9 em]g5cy situations2 7,b7 provide 9-k9d res\rce donations1 su* z int]view clo?+ & conf]5ce att5dance fees2 7,c7 provide assi/ance ) programs & activities1 includ+ legal assi/ance1 deem$ necess>y to address arre/ or conviction records t are an employm5t b>ri]2 7,d7 support employ]s op]at+ an eligible sett+ 9 ! ,/ate 9 provid+ employees ) n less ?an #b weeks ( paid leave p] ye>2 or 7,e7 provide o!r support s]vices ! ,secret>y deems necess>y to all[ = successful recruitm5t & ret5tion ( work]s4 7#c7 ,provision ( funds only = ! b5efit ( eligible individuals 9 eligible sett+s ,a ,/ate to :i* an am\nt is paid "u ?is section may provide ! am\nt to only an eligible individual or a p>tn] organization s]v+ an eligible individual4 7#d7 ,nonsupplantation ,a ,/ate to :i* an am\nt is paid "u ?is section %all n use ! am\nt to supplant ! exp5diture ( any ,/ate funds = recruit+1 support+1 or reta9+ employees 9 an eligible sett+4 7#e7 ,obligation deadl9e ,a ,/ate1 ,indian tribe1 or tribal organization %all remit to ! ,secret>y = reallotm5t "u ?is section any am\nt paid "u ?is section = a fiscal ye> t is n obligat$ )9 #b ye>s aft] ! end ( ! fiscal ye>4 7c7 ,adm9i/ration ,a ,/ate to :i* a grant is made "u ?is section %all res]ve n m ?an #aj p]c5t ( ! grant to-- 7#a7 adm9i/] subgrants 9 accordance ) ?is section2 7#b7 provide te*nical assi/ance & support = apply+ = & access+ su* a subgrant opportunity2 7#c7 publicize ! availability ( ! subgrants2 7#d7 c>ry out activities to increase ! supply ( eligible individuals2 & 7#e7 provide te*nical assi/ance to help subgrantees f9d & tra9 individuals to provide ! s]vices = :i* !y are contract$4 7d7 ,reports 7#a7 ,/ate reports ,n less frequ5tly ?an annually1 ea* ,/ate to :i* a grant has be5 made "u ?is section %all transmit to ! ,secret>y a writt5 report describ+ ! activities und]tak5 by ! ,/ate pursuant to ?is section dur+ ! p]iod cov]$ by ! report1 :i* %all include a specification (-- 7,a7 ! total am\nt exp5d$ 9 ! ,/ate = ea* type ( use describ$ 9 p>agraph 7#a7 or 7#b7 ( subsection 7b72 7,b7 ! total numb] ( non-,/ate organizations 9 ! ,/ate to :i* grant funds 7 provid$1 & ! am\nt s provid$ to ea* su* organization2 7,c7 ! *ange 9 ! numb] ( individuals work+ 9 ea* job category describ$ 9 subsection 7f77#a77;,a7 9 an eligible sett+ 9 ! ,/ate due to programs or s]vices fund$ ) grants "u ?is section2 7,d7 ! av]age duration ( employm5t = ea* su* job category = individuals receiv+1 or :o previ\sly receiv$1 s]vices or supports f a grant "u ?is section2 7,e7 wages ( work]s 9 ea* job category describ$ 9 subsection 7f77#a77;,a7 9 an eligible sett+ 9 ! ,/ate ) support f grants "u ?is section1 z comp>$ to all o!r work]s 9 ! same eligible sett+ 9 ! ,/ate2 7,f7 ! av]age am\nt ( paid "t (f to :i* a work] 9 ea* job category describ$ 9 subsection 7f77#a77;,a7 9 an eligible sett+ 9 ! ,/ate is entitl$ by _! contract among work]s ) support f a grant "u ?is section1 z comp>$ to all work]s 9 eligible sett+s 9 ! ,/ate2 & 7,g7 su* o!r data elem5ts z ! ,secret>y deems relevant4 7#b7 ,report to ! ,congress ,n lat] ?an #c ye>s aft] ! date ( ! enactm5t ( ?is section1 & e #d ye>s !reaft]1 ! ,secret>y %all submit to ! ,congress a writt5 report outl9+ h[ ! ,/ates h us$ ! grants made "u ?is section dur+ ! p]iod cov]$ by ! report1 :i* %all include-- 7,a7 ! total am\nt exp5d$ 9 ea* ,/ate = ea* type ( use describ$ 9 p>agraph 7#a7 or 7#b7 ( subsection 7b72 7,b7 ! total numb] ( non-,/ate organizations 9 ea* ,/ate to :i* grant funds 7 provid$1 & ! am\nt s provid$ to ea* su* organization2 7,c7 an analysis ( ! data provid$ 9 ! ,/ate reports2 & 7,d7 su* o!r data elem5ts z ! ,secret>y deems relevant4 7e7 ,appropriation ,out ( any funds 9 ! ,treasury n o!rwise appropriat$1 !re is appropriat$ to ! ,secret>y #daj1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjcj to c>ry out ?is section1 ( :i*-- 7#a7 #b p]c5t = ea* fiscal ye> %all be res]v$ = grants to ,indian tribes & tribal organizations2 & 7#b7 #b p]c5t = ea* fiscal ye> %all be res]v$ = adm9i/rative co/s associat$ ) ,f$]al /aff+ = grantmak+ & indep5d5t evaluation activities "u ?is section4 7f7 ,def9itions ,9 ?is section3 7#a7 ,available am\nt ,! t]m available am\nt means1 ) respect to a fiscal ye>1 ! am\nt specifi$ 9 subsection 7e7 t rema9s aft] ! res]vation requir$ by su* subsection = ! fiscal ye>1 plus all am\nts remitt$ to ! ,secret>y "u subsection 7b77#e7 t h n be5 reallott$ "u subsection 7a77#a77;,b77iii74 7#b7 ,eligible individual ,! t]m eligible individual means an individual :o-- 7,a7 7i7 is a qualifi$ home heal? aide1 z def9$ 9 section #dhd4hj7;a7 ( title #db1 ,code ( ,f$]al ,regulations2 7ii7 is a nurse aide approv$ by ! ,/ate z meet+ ! requirem5ts ( sections #dhc4aej ?r\gh #dhc4aed ( su* title1 & is li/$ 9 good /&+ on ! ,/ate nurse aide regi/ry2 7iii7 is a p]sonal c>e aide approv$ by ! ,/ate1 & furni%es p]sonal c>e s]vices1 z def9$ 9 section #ddj4afg ( su* title2 7iv7 is a qualifi$ hospice aide1 z def9$ 9 section #dah4gf ( su* title2 7v7 is a lic5s$ practical nurse or a lic5s$ or c]tifi$ social work]2 or 7vi7 is receiv+ tra9+ to be c]tifi$ or lic5s$ z su* an aide1 nurse1 or social work]2 & 7,b7 provides 7or1 9 ! case ( a tra9ee1 int5ds to provide7 s]vices z su* an aide1 nurse1 or social work] 9 an eligible sett+4 7#c7 ,eligible sett+ ,! t]m eligible sett+ means-- 7,a7 a skill$ nurs+ facility1 z def9$ 9 section #ahai2 7,b7 a nurs+ facility1 z def9$ 9 section #aiai2 7,c7 a home heal? ag5cy1 z def9$ 9 section #ahia2 7,d7 a facility approv$ to deliv] home or community-bas$ s]vices au?oriz$ "u ,/ate options describ$ 9 subsection 7c7 or 7i7 ( section #aiae or1 z relevant1 demon/ration projects au?oriz$ "u section #aaae2 7,e7 a hospice1 z def9$ 9 section #ahad2 or 7,f7 a tribal assi/$ liv+ facility4 7#d7 ,tribal organization ,! t]m tribal organization has ! mean+ giv5 ! t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 4 7b7 ,adult protective s]vices functions & grant programs 7#a7 ,direct fund+2 ,/ate entitlem5t ,section #bjdb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acigm-#a7 is am5d$-- 7,a7 9 subsection 7a71 by /rik+ p>agraph 7#b7 & ins]t+ ! foll[+3 7#b7 ,appropriation ,out ( any money 9 ! ,treasury n o!rwise appropriat$1 !re are appropriat$ to ! ,secret>y #aj1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjcj to c>ry out ?is section4 2 7,b7 9 subsection 7b7-- 7i7 9 p>agraph 7#b71 by /rik+ ! availability ( appropriations &2 & 7ii7 by /rik+ p>agraph 7#e7 & ins]t+ ! foll[+3 7#e7 ,appropriation ,out ( any money 9 ! ,treasury n o!rwise appropriat$1 !re are appropriat$ to ! ,secret>y #ejj1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjcj to c>ry out ?is section4 2 & 7,c7 9 subsection 7c71 by /rik+ p>agraph 7#f7 & ins]t+ ! foll[+3 7#f7 ,appropriation ,out ( any money 9 ! ,treasury n o!rwise appropriat$1 !re are appropriat$ to ! ,secret>y #hj1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjcj to c>ry out ?is section4 4 7#b7 ,/ate entitlem5t2 grants to ,indian tribes & tribal organizations ,section #bjdb ( su* ,act 7#db ,u4,s4,c4 #acigm-#a7 is am5d$-- 7,a7 9 subsection 7a77#a77;,a71 by /rik+ ,/ate & local & ins]t+ ,/ate1 local1 & tribal2 7,b7 9 subsection 7b77#a71 by /rik+ ! ,secret>y %all annually aw>d grants to ,/ates 9 ! am\nts calculat$ "u p>agraph 7#b7 & ins]t+ ea* ,/ate %all be entitl$ to annually receive f ! ,secret>y 9 ! am\nts calculat$ "u p>agraph 7#b71 & ! ,secret>y may annually aw>d to ea* ,indian tribe & tribal organization 9 accordance ) p>agraph 7#c71 grants2 7,c7 9 subsection 7b77#b7-- 7i7 9 ! p>agraph head+1 by ins]t+ = a ,/ate aft] paym5t2 7ii7 by ins]t+ t rema9s aft] ! res]vation "u p>agraph 7#c77;,b7 be=e multipli$2 & 7iii7 9 subp>agraph 7,b77i7-- 7,i7 by ins]t+ t s rema9s aft] su* ye>2 & 7,,ii7 by ins]t+ am\nt s appropriat$ & ins]t+ rema9+ am\nt2 & 7,d7 9 subsection 7b71 by r$esignat+ p>agraphs 7#c7 ?r\gh 7#e7 z p>agraphs 7#d7 ?r\gh 7#f71 respectively1 & ins]t+ aft] p>agraph 7#b7 ! foll[+3 7#c7 ,am\nt ( paym5t to ,indian tribe or tribal organization 7,a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ,indian tribes & tribal organizations1 %all det]m9e ! am\nt ( any grant to be made to ea* ,indian tribe & tribal organization f ! am\nt res]v$ "u subp>agraph 7,b7 ( ?is p>agraph4 ,p>agraphs 7#d7 & 7#e7 %all apply to grantees "u ?is p>agraph 9 ! same mann] 9 :i* ! p>agraphs apply to ,/ates4 7,b7 ,res]vation ( funds ,! ,secret>y %all res]ve #b p]c5t ( ! am\nt made available by subsection 7b77#f7 = ea* fiscal ye> = grants "u ?is p>agraph4 2 7#c7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a71 by /rik+ to ,/ates & ins]t+ to ,/ates1 ,indian tribes1 & tribal organizations2 7,b7 9 p>agraph 7#b7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ & ,indian tribes & tribal organizations aft] gov]nm5t2 & 7ii7 9 subp>agraph 7,d71 by ins]t+ or ,indian tribe or tribal organization1 z ! case may be aft] gov]nm5t2 7,c7 9 p>agraph 7#d71 by ins]t+ or ,indian tribe or tribal organization aft] a ,/ate ! fir/ place x appe>s2 & 7,d7 9 p>agraph 7#e7-- 7i7 by ins]t+ or ,indian tribe or tribal organization aft] ,ea* ,/ate2 & 7ii7 by ins]t+ or ,indian tribe or tribal organization1 z ! case may be aft] ! ,/ate2 & 7#d7 by add+ at ! end ! foll[+3 7d7 ,def9itions ( ,indian tribe & tribal organization ,9 ?is section1 ! t]ms ,indian tribe & tribal organization h ! mean+s giv5 ! t]ms 9 section #dai4 4 7c7 ,long-,t]m c>e ombudsman program grants & tra9+ ,section #bjdc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acigm-#b7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ p>agraph 7#b7 & ins]t+ ! foll[+3 7#b7 ,appropriation ,out ( any money 9 ! ,treasury n o!rwise appropriat$1 !re are appropriat$ to ! ,secret>y to c>ry out ?is subsection-- 7,a7 #bc1jjj1jjj = fiscal ye> #bjbg2 & 7,b7 #cj1jjj1jjj = ea* ( fiscal ye>s #bjbh & #bjbi4 2 & 7#b7 9 subsection 7b71 by /rik+ p>agraph 7#b7 & ins]t+ ! foll[+3 7#b7 ,appropriation ,out ( any money 9 ! ,treasury n o!rwise appropriat$1 !re are appropriat$ to ! ,secret>y #cj1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjcj to c>ry out ?is subsection4 4 7d7 ,inc5tives = develop+ & su/a9+ /ructural compet5cy 9 provid+ heal? & human s]vices 7#a7 ,9 g5]al ,"p ,,ii ( subtitle ,b ( title ,,xx ( ! ,social ,security ,act 7#db ,u4,s4,c4 #cigm-#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$ical-,legal p>tn]%ips 7#a7 ,9 g5]al ,)9 #b ye>s aft] ! date ( ! enactm5t ( ?is section1 ! ,secret>y %all e/abli% & adm9i/] a program ( grants to ,/ates to support ! developm5t or adoption ( approa*es to ma9ta9 or improve l9kages betwe5 heal? s]vices1 human s]vices1 & legal s]vices = old] adults & adults ) disabilities1 includ+ ?r\gh ! foll[+3 7,a7 ,m$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$icaid pati5ts4 7,b7 ,legal hotl9es developm5t or expansion ,! provision ( inc5tives to develop1 enhance1 & integrate plat=ms1 su* z legal assi/ance hotl9es1 t help to facilitate ! id5tification ( old] adults & adults ) disabilities :o c\ld b5efit f l9kages to available legal s]vices su* z ^? describ$ 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 ,report to ! ,congress ,e #d ye>s1 ! ,secret>y %all submit to ! ,congress a writt5 report on ! activities conduct$ "u ?is subsection4 7#d7 ,appropriation ,out ( any money 9 ! ,treasury n o!rwise appropriat$1 !re are appropriat$ to ! ,secret>y #abe1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjcj to c>ry out ?is subsection4 7#e7 ,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 ,grants & tra9+ ,to support area ag5cies on ag+ or o!r community-,bas$ organizations ,to address social isolation among old] adults & adults ) disabilities 7#a7 ,grants ,! ,secret>y %all make grants to eligible area ag5cies on ag+ or o!r community-bas$ organizations = ! purpose (-- 7,a7 conduct+ outrea* to individuals at risk =1 or already exp]i5c+1 social isolation or lonel9ess1 ?r\gh e/abli%$ scre5+ tools or o!r me?ods id5tifi$ by ! ,secret>y2 7,b7 develop+ community-bas$ int]v5tions = ! purposes ( mitigat+ lonel9ess or social isolation 7includ+ indep5d5tly evaluat$ evid5ce-bas$ programs1 develop$ ) multi-/akehold] input = ! purposes ( promot+ social connection1 mitigat+ social isolation or lonel9ess1 or prev5t+ social isolation or lonel9ess7 among at-risk individuals2 7,c7 connect+ at-risk individuals ) community social & cl9ical supports2 & 7,d7 evaluat+ ! effect ( programs develop$ & implem5t$ "u subp>agraphs 7,b7 & 7,c74 7#b7 ,tra9+ 7,a7 ,9 g5]al ,! ,secret>y %all e/abli% programs to provide & improve tra9+ = area ag5cies on ag+ or community-bas$ organizations ) respect to address+ & prev5t+ social isolation & lonel9ess among old] adults & adults ) disabilities4 7,b7 ,prioritization au?ority ,= purposes ( connect+ at-risk individuals ) exi/+ community social & cl9ical supports1 ! ,secret>y may1 9 c>ry+ out subp>agraph 7,a71 prioritize models t incorporate tra9+ & s]vice deliv]y 9 coord9ation ) m$ical-legal p>tn]%ips4 7#c7 ,evaluation ,n lat] ?an #c ye>s aft] ! date ( ! enactm5t ( ?is section & e #c ye>s !reaft]1 ! ,secret>y %all submit to ! ,congress a writt5 report :i* provides-- 7,a7 a discussion ( ! /atus ( implem5t+ ! programs develop$ "u ?is subsection2 & 7,b7 an update on ! indep5d5t rese>* & evaluation be+ conduct$ on ! effects & outcomes ( ! programs4 7#d7 ,appropriation ,out ( any money 9 ! ,treasury n o!rwise appropriat$1 !re are appropriat$ to ! ,secret>y #fc1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjcj to c>ry out ?is subsection4 7#e7 ,coord9ation ,! ,secret>y %all coord9ate ) res\rce c5t]s1 grant programs1 or o!r fund+ me*anisms e/abli%$ "u section #daa7;a77#ah7 ( ! ,old] ,am]icans ,act 7#db ,u4,s4,c4 #cjcb7;a77#ah771 section #dag7;a77#a7 ( su* ,act 7#db ,u4,s4,c4 #cjcb;,f7a77#a771 or o!r programs z det]m9$ by ! ,secret>y4 7c7 ,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 ,social isolation ,! t]m social isolation means objectively be+ alone1 or hav+ few relation%ips or infrequ5t social contact4 7#c7 ,lonel9ess ,! t]m lonel9ess means subjectively feel+ alone1 or ! discrepancy betwe5 "o's desir$ level ( social connection & "o's actual level ( social connection4 7#d7 ,social connection ,! t]m social connection means ! v>iety ( ways "o c connect to o!rs socially1 ?r\gh physical1 behavioral1 social-cognitive1 & emotional *annels4 7#e7 ,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 7#b7 ,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$ical-legal p>tn]%ip means an arrangem5t 9 a heal? c>e or human s]vices sett+ :i* integrates lawy]s & social work]s to address ! ne$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$s & e/abli% & ma9ta9 /ructural compet5ce )9 cl9icians1 case manag]s1 & social work]s to be/ address /ructural problems at ! root ( _m heal? inequities4 4 7e7 ,te*nical am5dm5t ,section #bjaa7ab77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;j7#ab77;,a77 is am5d$ by /rik+ #dej;b & ins]t+ #ecjd4 #c4 ,assessm5t reports 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 & n less frequ5tly ?an once e #b ye>s !reaft]1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit a report to ! ,committee on ,ways & ,means ( ! ,h\se ( ,repres5tatives & ! ,committee on ,f9ance & ! ,special ,committee on ,ag+ ( ! ,s5ate on ! programs1 coord9at+ bodies1 regi/ries1 & activities e/abli%$ or au?oriz$ "u subtitle ,b ( title ,,xx ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acigl et seq47 or section #fgjc7;b7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #acie;i-#c;a7b774 ,ea* su* report %all include-- 7#a7 an update on any ongo+ indep5d5tly conduct$ evaluations ( ! ext5t to :i* su* programs1 coord9at+ bodies1 regi/ries1 & activities h improv$ access to1 & ! quality (1 res\rces available to old] adults1 adults ) disabilities1 & _! c>egiv]s to ultimately prev5t1 detect1 & treat abuse1 neglect1 & exploitation2 & 7#b7 z appropriate1 recomm5dations to ,congress on fund+ levels & policy *anges to help ^! programs1 coord9at+ bodies1 regi/ries1 & activities bett] prev5t1 detect1 & treat abuse1 neglect1 & exploitation ( old] adults & adults ) disabilities4 7b7 ,cl>ification ( ! indep5d5ce ( f$]ally fund$ rese>* & evaluation ,section #bjbc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acigk-#b7 is am5d$ by add+ at ! end ! foll[+3 7c7 ,indep5d5ce ( f$]ally fund$ rese>* & evaluation ,! ,secret>y %all cont9ue to ma9ta9 & support ) adequate /aff+ & res\rces ! ,(fice ( ,p]=mance & ,evaluation at ! ,adm9i/ration = ,community ,liv+1 :i* %all conduct indep5d5t rese>* & evaluation activities associat$ ) ! programs & policies provid$ = 9 ?is subtitle4 ,! rese>* & evaluation activities %all reflect ! rigor1 relevance & utility1 indep5d5ce & objectivity1 transp>5cy1 & e?ical pr9ciples specifi$ 9 ! evaluation policy e/abli%$ = ! ,dep>tm5t ( ,heal? & ,human ,s]vices "u section #cac ( title #e1 ,unit$ ,/ates ,code4 4 7c7 ,appropriation ,out ( any money 9 ! ,treasury n o!rwise appropriat$1 !re are appropriat$ to ! ,secret>y ( ,heal? & ,human ,s]vices #aj1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjcj to c>ry out ?is section4