,,ii #aai? ,,congress #a/ ,session ,s4 #babj ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,june #ah1 #bjbe ,mr4 ,cassidy 7= himself1 ,mr4 ,s&]s1 ,mr4 ,scott ( ,florida1 ,mrs4 ,gillibr&1 ,ms4 ,coll9s1 ,mr4 ,ka9e1 ,mr4 ,mull91 ,mr4 ,m>key1 ,ms4 ,murk[ski1 & ,mr4 ,lujn7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to am5d ! ,old] ,am]icans ,act ( #aife to au?orize appropriations = fiscal ye>s #bjbf ?r\gh #bjcj1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,old] ,am]icans ,act ,reau?orization ,act ( #bjbe4 #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--,/r5g!n+ ! ,ag+ ,network to ,meet ! ,ne$s ( ,old] ,individuals ,sec4 #aja4 ,decl>ation ( objectives4 ,sec4 #ajb4 ,address+ m5tal heal? & sub/ance use disord]s & cognitive impairm5ts ( old] individuals4 ,sec4 #ajc4 ,li/ ( national res\rce c5t]s4 ,sec4 #ajd4 ,aw>5ess ( relevant ,f$]al programs4 ,sec4 #aje4 ,evaluations & surveys4 ,sec4 #ajf4 ,contract+4 ,sec4 #ajg4 ,guidance on reallocation ( fund+ betwe5 area ag5cies on ag+4 ,sec4 #ajh4 ,"r to fir/ refusal4 ,sec4 #aji4 ,area ag5cy on ag+ capabilities4 ,sec4 #aaj4 ,support+ old] individuals ) disabilities ?r\gh improv$ coord9ation4 ,sec4 #aaa4 ,bus9ess acum51 fiscal tra9+1 & te*nical assi/ance4 ,sec4 #aab4 ,enhanc+ access to assi/ive te*nology4 ,sec4 #aac4 ,:ite ,h\se ,conf]5ce on ,ag+4 ,sec4 #aad4 ,te*nical am5dm5ts4 ,,title ,,ii--,improv+ ,heal? ,outcomes & ,enc\rag+ ,indep5d5ce = ,old] ,individuals ,sec4 #bja4 ,disease prev5tion & heal? promotion s]vices4 ,sec4 #bjb4 ,improv+ heal? outcomes4 ,sec4 #bjc4 ,te*nical assi/ance on evid5ce-bas$ programs4 ,sec4 #bjd4 ,enhanc+ multipurpose s5ior c5t]s4 ,sec4 #bje4 ,address+ home modifications4 ,sec4 #bjf4 ,national res\rce c5t] = engag+ old] adults4 ,sec4 #bjg4 ,multig5]ational & civic engagem5t activities4 ,sec4 #bjh4 ,report relat+ to heal? outcomes = old] individuals liv+ ) or ne> family memb]s4 ,sec4 #bji4 ,improv+ broadb& coord9ation & r$uc+ social isolation4 ,,title ,,iii--,enhanc+ ,innovation & ,flexibility 9 ,nutrition ,s]vices ,sec4 #cja4 ,m$ically tailor$ meals4 ,sec4 #cjb4 ,grab-&-g meals4 ,sec4 #cjc4 ,,gao /udy on ,nutrition ,s]vices ,inc5tive ,program4 ,sec4 #cjd4 ,innovations 9 nutrition programs & s]vices4 ,,title ,,iv--,support+ ,family ,c>egiv]s ,sec4 #dja4 ,improv+ ! ,national ,family ,c>egiv] ,support ,program4 ,sec4 #djb4 ,emphasiz+ respite c>e4 ,sec4 #djc4 ,cl>ify+ supportive s]vices4 ,sec4 #djd4 ,direct c>e work=ce res\rce c5t]4 ,sec4 #dje4 ,support+ ,gr&p>5ts ,rais+ ,gr&*ildr5 ,act4 ,sec4 #djf4 ,,raise ,family ,c>egiv]s ,act4 ,,title ,v--,community ,s]vice ,s5ior ,opportunities ,act ,sec4 #eja4 ,improv+ ! ,community ,s]vice ,employm5t ,program4 ,sec4 #ejb4 ,,gao report on alignm5t )9 ! ,community ,s]vice ,employm5t ,program4 ,,title ,,vi--,improv+ ,s]vices = ,native ,eld]s ,sec4 #fja4 ,old] ,am]icans ,tribal ,advisory ,committee4 ,sec4 #fjb4 ,supportive s]vices2 set aside4 ,sec4 #fjc4 ,,gao report on ,tribal s]vices4 ,sec4 #fjd4 ,te*nical am5dm5ts4 ,,title ,,vii--,/r5g!n+ ! ,long-,t]m ,c>e ,ombudsman ,programs & ,eld] ,abuse ,prev5tion ,sec4 #gja4 ,director ( ! ,(fice ( ,long-,t]m ,c>e ,ombudsman ,programs4 ,sec4 #gjb4 ,legal assi/ance tra9+ res\rces relat+ to eld] abuse prev5tion4 ,sec4 #gjc4 ,improv+ tra9+ ( volunte]s "u ! ,/ate ,long-,t]m ,c>e ,ombudsman ,program4 ,sec4 #gjd4 ,report+ on ,/ate ,long-,t]m ,c>e ,ombudsman ,programs4 ,sec4 #gje4 ,/udy on ,/ate ,long-,t]m ,c>e ,ombudsman ,programs4 ,,title ,,viii--,au?orizations ( appropriations ,sec4 #hja4 ,adm9i/ration on ,ag+4 ,sec4 #hjb4 ,grants = ,/ate & community programs on ag+4 ,sec4 #hjc4 ,activities = heal?1 indep5d5ce1 & longevity4 ,sec4 #hjd4 ,community ,s]vice ,s5ior ,opportunities ,act4 ,sec4 #hje4 ,grants = ,native ,am]icans4 ,sec4 #hjf4 ,allotm5ts = eld] rights protection activities4 #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 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 ,/r5g!n+ ! ,ag+ ,network to ,meet ! ,ne$s ( ,old] ,individuals #aja4 ,decl>ation ( objectives ,section #aja 7#db ,u4,s4,c4 #cjja7 is am5d$-- 7#a7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ ( ! foll[+ objectives3 & ins]t+ ( ! objectives (--2 7#b7 9 ea* ( p>agraphs 7#a7 ?r\gh 7#aj71 by am5d+ ! fir/ ^w s t x beg9s ) a l[]case lett]2 7#c7 9 ea* ( p>agraphs 7#a7 ?r\gh 7#h71 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 7#d7 9 ea* ( p>agraphs 7#i7 & 7#aj71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 7#e7 9 p>agraph 7#b71 by ins]t+ to improve heal? outcomes & r$uce heal? c>e exp5ditures aft] economic /atus2 7#f7 by r$esignat+ p>agraphs 7#a7 ?r\gh 7#aj7 z subp>agraphs 7,a7 ?r\gh 7,j71 respectively1 & adju/+ ! m>g9s accord+ly2 7#g7 9 ! matt] prec$+ subp>agraph 7,a7 7z s r$esignat$71 by /rik+ our democratic society1 ! old] p & ins]t+ ! foll[+3 8our democratic society-- 7#a7 ! old] p 2 & 7#h7 by add+ at ! end ! foll[+3 7#b7 ! families ( old] individuals & community-bas$ organizations1 includ+ fai?-bas$ organizations1 also play a vital role 9 support+ & honor+ old] individuals & _! happ9ess1 dignity1 & indep5d5ce4 4 #ajb4 ,address+ m5tal heal? & sub/ance use disord]s & cognitive impairm5ts ( old] individuals ,section #bja7;f7 7#db ,u4,s4,c4 #cjaa7;f77 is am5d$ to read z foll[s3 7f7 7#a7 ,! ,assi/ant ,secret>y may designate an (fic] or employee :o %all be responsible = ! adm9i/ration ( s]vices = m5tal heal? & sub/ance use disord]s & cognitive impairm5ts au?oriz$ "u ?is ,act & s]ve z an effective & visible advocate = ! relat$ ne$s ( old] individuals )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 includ+ by ensur+ t relevant in=mation dissem9at$ & rese>* conduct$ or support$ by ! ,dep>tm5t takes into consid]ation su* s]vices4 7#b7 ,x %all be ! duty ( ! ,assi/ant ,secret>y1 act+ ?r\gh ! individual designat$ "u p>agraph 7#a71 & 9 consultation ) ! heads ( relevant ag5cies )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 includ+ ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 to develop objectives1 priorities1 & a long-t]m plan = support+ ,/ate & local ef=ts "u ?is ,act involv+ education ab\t1 & prev5tion1 detection1 & treatm5t (1 m5tal heal? & sub/ance use disord]s & cognitive impairm5ts1 includ+ age-relat$ dem5tia1 depression1 & ,alzheim]'s disease & relat$ neurological disord]s ) neurological & organic bra9 dysfunction4 7#c7 ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ! ,old] ,am]icans ,act ,reau?orization ,act ( #bjbe1 ! ,assi/ant ,secret>y %all report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 ! ,special ,committee on ,ag+ ( ! ,s5ate1 & ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives on ! activities ( ! (fic] or employee designat$ "u p>agraph 7#a7 9 c>ry+ out ! requirem5ts "u ?is subsection1 includ+ any activities to id5tify & r$uce duplication & gaps across ! ,dep>tm5t 9 su* in=mation dissem9at$ & rese>* conduct$ or support$ by ! ,dep>tm5t4 4 #ajc4 ,li/ ( national res\rce c5t]s ,section #bjb 7#db ,u4,s4,c4 #cjab7 is am5d$-- 7#a7 9 subsection 7d77#d71 by /rik+ ,res\rce ,c5t] on ,eld] ,abuse & ins]t+ ,c5t]2 & 7#b7 by /rik+ subsection 7h7 & ins]t+ ! foll[+3 7h7 7#a7 ,! ,assi/ant ,secret>y %all publi% onl9e 9 a publicly accessible =mat1 on an annual basis1 a li/ ( national res\rce c5t]s & demon/ration projects au?oriz$ "u1 or adm9i/ratively e/abli%$ ?r\gh funds provid$ "u1 ?is ,act4 7#b7 ,! ,assi/ant ,secret>y %all ensure t ! li/ publi%$ pursuant to p>agraph 7#a7-- 7,a7 includes-- 7i7 a description ( ea* su* c5t] & demon/ration project1 includ+ ! project$ goals & activities ( ea* su* c5t] & demon/ration project2 7ii7 a citation to ! /atutory au?orization ( ea* su* c5t] & demon/ration project1 or a citation to ! /atutory au?ority t ! ,assi/ant ,secret>y relies ^u to adm9i/ratively e/abli% ea* su* c5t] & demon/ration project2 7iii7 ! aw>d am\nt = ea* su* c5t] & demon/ration project2 & 7iv7 a summ>y ( any evaluations requir$ "u ?is ,act = ea* su* c5t]1 includ+ a description ( any measures ( effectiv5ess2 & 7,b7 is directly provid$ to ,/ate ag5cies1 area ag5cies on ag+1 & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,special ,committee on ,ag+ ( ! ,s5ate & ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives4 4 #ajd4 ,aw>5ess ( relevant ,f$]al programs ,title ,,ii 7#db ,u4,s4,c4 #cjaa et seq47 is am5d$ by ins]t+ aft] section #bjc;,a 7#db ,u4,s4,c4 #cjac;a7 ! foll[+3 #bjc;,b4 ,aw>5ess ( relevant ,f$]al programs ,9 c>ry+ out section #bjc7;a77#a71 ! ,assi/ant ,secret>y %all coord9ate ) ! heads ( relevant ,f$]al dep>tm5ts & ag5cies to ensure t ! ag+ network & individuals s]v$ "u ?is ,act are aw>e (1 &1 subject to applicable eligibility crit]ia1 h access to1 ,f$]al programs t may advance ! objectives ( ?is ,act1 includ+ programs describ$ 9 section #bjc7;b7 & o!r programs to meet h\s+1 heal? c>e1 & o!r supportive s]vice ne$s to help su* individuals age 9 place4 4 #aje4 ,evaluations & surveys ,section #bjf 7#db ,u4,s4,c4 #cjag7 is am5d$-- 7#a7 by /rik+ subsection 7d7 & ins]t+ ! foll[+3 7d7 7#a7 ,9 c>ry+ out evaluations "u ?is section1 ! ,secret>y %all-- 7,a7 aw>d grants to1 or ent] into contracts )1 public or nonpr(it private organizations or academic or rese>* in/itutions to survey ,/ate ag5cies1 area ag5cies on ag+1 & o!r program & project p>ticipants ab\t ! /r5g?s & weaknesses ( ! programs & projects2 & 7,b7 conduct1 :]e appropriate1 evaluations t comp>e ! effectiv5ess ( relat$ programs 9 a*iev+ common objectives4 7#b7 ,! surveys & evaluations "u p>agraph 7#a7 %all include in=mation on programs1 s]vices1 use & s\rces ( fund+ 7includ+ any transf] ( fund+ betwe5 area ag5cies on ag+71 id5tifi$ unmet ne$ = s]vices & relat$ indicators1 & any o!r *all5ges fac$ by ,/ate ag5cies & area ag5cies on ag+ 9 c>ry+ out ! activities ( ?is ,act4 7#c7 ,! ,secret>y %all1 9 c>ry+ out ! evaluations "u p>agraph 7#a71 consult ) organizations conc]n$ ) old] individuals1 includ+ organizations t repres5t m9ority individuals1 old] individuals resid+ 9 rural areas1 & old] individuals ) disabilities4 2 & 7#b7 9 subsection 7g71 by /rik+ him & ins]t+ ! ,secret>y4 #ajf4 ,contract+ 7a7 ,9 g5]al ,section #bab 7#db ,u4,s4,c4 #cjbj;c7 is am5d$-- 7#a7 9 ! section head+1 by /rik+ & grant au?ority2 7#b7 by /rik+ subsection 7a7 & ins]t+ ! foll[+3 7a7 ,9 g5]al ,subject to subsection 7b71 ?is ,act %all n be con/ru$ to prev5t a recipi5t ( a grant or a contract "u ?is ,act 7o!r ?an title ,v7 f ent]+ into a contract1 comm]cial relation%ip1 or o!r bus9ess arrangem5t 7ref]r$ to 9 ?is section z an agreem5t7 ) a pr(itmak+ organization = ! recipi5t to provide s]vices to individuals or entities n o!rwise receiv+ s]vices "u ?is ,act1 provid$ t-- 7#a7 9 ! case funds provid$ "u ?is ,act are us$ 9 develop+ or c>ry+ out ! agreem5t-- 7,a7 su* agreem5t gu>antees t ! co/ is reimburs$ to ! recipi5t2 7,b7 if su* agreem5t provides = ! provision ( #a or m s]vices1 ( ! type provid$ "u ?is ,act by or on behalf ( su* recipi5t1 to an individual or entity seek+ to receive su* s]vices-- 7i7 ! individuals & entities may only pur*ase su* s]vices at _! fair m>ket rate2 7ii7 all co/s incurr$ by ! recipi5t 9 provid+ su* s]vices 7& n o!rwise reimburs$ "u subp>agraph 7,a771 are reimburs$ to su* recipi5t2 & 7iii7 except 9 ! case ( an agreem5t ) a heal? plan or heal? c>e provid]1 ! recipi5t reports ! rates = provid+ su* s]vices "u su* agreem5t 9 accordance ) subsection 7c7 & ! rates are consi/5t ) ! prevail+ m>ket rate = provision ( su* s]vices 9 ! relevant geographic area z det]m9$ by ! ,/ate ag5cy or area ag5cy on ag+ 7z applicable72 & 7,c7 any am\nt ( paym5t to ! recipi5t "u ! agreem5t t exce$s reimbursem5t "u ?is subsection ( ! recipi5t's co/s is us$ to provide1 or support ! provision (1 s]vices "u ?is ,act2 & 7#b7 subject to subsection 7e71 9 ! case no funds provid$ "u ?is ,act are us$ 9 develop+ or c>ry+ out ! agreem5t-- 7,a7 n lat] ?an #de days aft] ! agreem5t fir/ goes into effect1 & annually !reaft] until ! t]m9ation ( su* agreem5t1 ! recipi5t ( a grant or contract "u ?is ,act %all1 9 writ+-- 7i7 notify ! ,/ate ag5cy (-- 7,i7 ! exi/5ce ( ! agreem5t2 & 7,,ii7 ! s]vices provid$ & populations s]v$ "u ! agreem5t2 & 7ii7 provide assurances to ! ,/ate ag5cy t-- 7,i7 no?+ 9 ! agreem5t-- 7aa7 und]m9es-- 7,,aa7 ! duties ( ! recipi5t "u ?is ,act2 or 7,,bb7 ! provision ( s]vices 9 accordance ) ?is ,act2 or 7bb7 violates any o!r t]ms & conditions ( an aw>d receiv$ by ! recipi5t "u ?is ,act2 & 7,,ii7 any pot5tial real or p]ceiv$ conflict ( int]e/ ) respect to ! agreem5t has be5 prev5t$1 mitigat$1 or o!rwise address$1 includ+ provid+ a description ( any su* conflicts ( int]e/ & a description ( ! actions tak5 to mitigate su* conflicts ( int]e/2 & 7,b7 n lat] ?an #de days aft] ! population or s]vices "u ! agreem5t sub/antially *ange due to an am5dm5t to ! agreem5t1 ! recipi5t %all1 9 writ+-- 7i7 notify ! ,/ate ag5cy ( su* *ange2 & 7ii7 provide ! assurances describ$ 9 subp>agraph 7,a77ii7 ) respect to su* *ange4 2 7#c7 by /rik+ subsection 7b7 & ins]t+ ! foll[+3 7b7 ,ensur+ appropriate use ( funds ,an agreem5t-- 7#a7 describ$ 9 subsection 7a77#a7 may n-- 7,a7 be made )\t ! prior approval ( ! ,/ate ag5cy 7or1 9 ! case ( a grantee "u title ,,vi1 )\t ! prior recomm5dation ( ! ,director ( ! ,(fice = ,am]ican ,indian1 ,alaskan ,native1 & ,native ,hawaiian ,ag+ & ! prior approval ( ! ,assi/ant ,secret>y71 aft] timely submission ( all relevant docum5ts relat$ to ! agreem5t includ+ in=mation on all co/s incurr$2 or 7,b7 directly or indirectly provide =1 or h ! effect (1 pay+1 reimburs+1 subsidiz+1 or o!rwise comp5sat+ an individual or entity 9 an am\nt t exce$s ! fair m>ket value ( ! s]vices subject to su* agreem5t2 & 7#b7 describ$ 9 subsection 7a7 may n-- 7,a7 result 9 ! displacem5t ( s]vices o!rwise available to an old] individual ) greate/ social ne$1 an old] individual ) greate/ economic ne$1 or an old] individual :o is at risk = in/itutional placem5t2 or 7,b7 9 any o!r way compromise1 und]m9e1 or be inconsi/5t ) ! objective ( s]v+ ! ne$s ( old] individuals1 z det]m9$ by ! ,assi/ant ,secret>y4 2 7#d7 by /rik+ subsection 7c7 & ins]t+ ! foll[+3 7c7 ,monitor+ & report+ ,to ensure t any agreem5t describ$ 9 subsection 7a77#a7 complies ) ! requirem5ts ( ?is section & o!r applicable provisions ( ?is ,act1 ! ,assi/ant ,secret>y %all develop & implem5t uni=m monitor+ proc$ures & report+ requirem5ts consi/5t ) ! provisions ( subp>agraphs 7,a7 ?r\gh 7,e7 ( section #cjf7;a77#ac7 9 consultation ) ! ,/ate ag5cies & area ag5cies on ag+4 ,! ,assi/ant ,secret>y %all conduct a review on ! impact ( su* agreem5ts on ! provision ( s]vices "u ?is ,act1 includ+ ! numb] ( agreem5ts p] ,/ate1 summ>ies ( su* agreem5ts1 & ! impact ( su* agreem5ts on access to s]vices consi/5t ) ! goals ( ?is ,act4 ,! ,assi/ant ,secret>y %all annually prep>e & submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 ! ,special ,committee on ,ag+ ( ! ,s5ate1 & ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives ! f9d+s ( su* review4 2 & 7#e7 by /rik+ subsection 7e7 & ins]t+ ! foll[+3 7e7 ,reque/+ additional in=mation = c]ta9 non-,,oaa agreem5ts 7#a7 ,9 g5]al ,9 ! case ( an agreem5t describ$ 9 subsection 7a77#b71 if ! ,/ate ag5cy has a reasonable belief t an agreem5t may violate ! assurances provid$ "u subsection 7a77#b77;,a77ii71 ! ,/ate ag5cy may reque/ additional in=mation f ! recipi5t ( funds "u ?is ,act t is a p>ty to su* agreem5t1 :i* may include a reque/ = a copy ( su* agreem5t4 ,su* recipi5t %all make a good fai? ef=t to address su* reque/ = additional in=mation1 except t su* recipi5t %all n provide agreem5ts or o!r data t are re/rict$ "u ! t]ms ( a non-disclosure agreem5t sign$ by su* recipi5t4 ,if su* recipi5t decl9es to provide a copy ( an agreem5t to a ,/ate ag5cy1 su* recipi5t %all provide a ju/ification to ! ,/ate ag5cy )9 #cj days ( receiv+ su* reque/4 7#b7 ,confid5tiality ,a ,/ate ag5cy %all keep confid5tial1 z requir$ by applicable ,f$]al & ,/ate law1 all in=mation receiv$ "u ?is subsection t is-- 7,a7 a trade secret2 7,b7 comm]cial or f9ancial in=mation2 & 7,c7 in=mation obta9$ f an individual t is privileg$ & confid5tial4 7f7 ,def9itions ,9 ?is section3 7#a7 ,co/ ,! t]m co/ means an exp5se1 includ+ an adm9i/rative exp5se1 incurr$ by a recipi5t 9 develop+ or c>ry+ out an agreem5t describ$ 9 subsection 7a71 :e!r ! recipi5t contribut$ funds1 /aff "t1 or o!r plant1 equipm5t1 or s]vices to meet ! exp5se4 7#b7 ,recipi5t ,! t]m recipi5t means an area ag5cy on ag+ 9 a ,/ate ) multiple plann+ & s]vice areas4 4 7b7 ,area plans ,section #cjf 7#db ,u4,s4,c4 #cjbf7 is am5d$-- 7#a7 9 subsection 7a77#ac7-- 7,a7 9 subp>agraph 7,b77i71 by /rik+ any s]vice to old] individuals & ins]t+ any s]vice "u ?is ,act to old] individuals or c>egiv]s2 & 7,b7 9 subp>agraph 7,e71 by ins]t+ or c>egiv]s "u ?is ,act aft] old] individuals2 & 7#b7 9 subsection 7g71 by ins]t+ 1 except z provid$ "u section #bab7;a77#b71 aft] ,no?+ 9 ?is ,act4 #ajg4 ,guidance on reallocation ( fund+ betwe5 area ag5cies on ag+ 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,assi/ant ,secret>y %all dissem9ate "o-"t guidance to ,/ate ag5cies 7z def9$ 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb77 & area ag5cies on ag+ on circum/ances "u :i* funds appropriat$ pursuant to "p ,b & subp>ts #a & #b ( "p ,c ( title ,,iii ( ! ,old] ,am]icans ,act 7#db ,u4,s4,c4 #cjcj;d et seq41 #db ,u4,s4,c4 #cjcj;e et seq41 #db ,u4,s4,c4 #cjcj;f et seq47 may be appropriate to reallocate betwe5 area ag5cies on ag+ )9 a s+le ,/ate1 ) ! approval ( ! ,/ate ag5cy & ! concurr5ce ( any involv$ area ag5cies on ag+1 )9 a budget ye>4 7b7 ,consid]ations ,9 dissem9at+ ! guidance "u subsection 7a71 ! ,assi/ant ,secret>y may consid] circum/ances t affect ! exp5diture ( ! funds describ$ 9 su* subsection4 #ajh4 ,"r to fir/ refusal ,section #cje7;b77#e77;,b7 7#db ,u4,s4,c4 #cjbe7;b77#e77;,b77 is am5d$ to read z foll[s3 7,b7 ,:5ev] a ,/ate ag5cy designates a new area ag5cy on ag+ aft] ! date ( enactm5t ( ! ,old] ,am]icans ,act ,reau?orization ,act ( #bjbe1 ! ,/ate ag5cy %all give ! "r to fir/ refusal to a unit ( g5]al purpose local gov]nm5t if-- 7i7 su* unit c meet ! requirem5ts ( subsection 7c72 7ii7 7,i7 su* unit has demon/rat$ exp]i5ce adm9i/]+ s]vices = old] individuals2 or 7,,ii7 ! ,/ate ag5cy det]m9es t !re is n ano!r entity eligible "u subsection 7c77#a7 )9 ! plann+ & s]vice area ) su* demon/rat$ exp]i5ce2 & 7iii7 ! b\nd>ies ( su* unit & ! b\nd>ies ( ! plann+ & s]vice area are reasonably contigu\s4 4 #aji4 ,area ag5cy on ag+ capabilities 7a7 ,organization ,section #cje7;c7 7#db ,u4,s4,c4 #cjbe7;c77 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#a7 ?r\gh 7#e7 z subp>agraphs 7,a7 ?r\gh 7,e71 respectively1 & mov+ su* subp>agraphs #b ems to ! "r2 7#b7 by /rik+ %all be & ins]t+ ! foll[+3 8%all-- 7#a7 be-- 2 7#c7 9 subp>agraph 7,e71 z s r$esignat$-- 7,a7 by /rik+ 7b77#e7 & ins]t+ 7b77#e77;,a72 & 7,b7 by ins]t+ & aft] ! semicolon2 & 7#d7 by /rik+ & %all provide assurance1 & all t foll[s ?r\gh ! area plan4 & ins]t+ ! foll[+3 7#b7 provide assurance1 det]m9$ adequate by ! ,/ate ag5cy1 t ! area ag5cy on ag+ w h ! ability1 & ma9ta9 ! capabilities necess>y1 to develop an area plan z requir$ "u section #cjf7;a71 & c>ry out1 directly or ?r\gh contractual or o!r arrangem5ts1 & ov]see activities 9 accordance )-- 7,a7 ! plan )9 ! plann+ & s]vice area2 7,b7 any o!r relevant requirem5ts ( ?is ,act2 7,c7 o!r applicable ,f$]al & ,/ate laws2 & 7,d7 o!r t]ms & conditions ( aw>ds receiv$ "u ?is ,act4 ,9 designat+ an area ag5cy on ag+ )9 ! plann+ & s]vice area or )9 any unit ( g5]al purpose local gov]nm5t designat$ z a plann+ & s]vice area1 ! ,/ate %all give pref]5ce to an e/abli%$ (fice on ag+1 unless ! ,/ate ag5cy f9ds t no su* (fice )9 ! plann+ & s]vice area w h ! capacity to c>ry out ! area plan4 4 7b7 ,plans ,section #cjf7;f77#a7 7#db ,u4,s4,c4 #cjbf7;f77#a77 is am5d$-- 7#a7 by ins]t+ ! assurances requir$ "u section #cje7;c77#b71 aft] ( ?is section12 & 7#b7 by /rik+ ! p]iod at ! end & ins]t+ 1 & if ! ,/ate ag5cy det]m9es1 9 ! discretion ( ! ,/ate ag5cy1 t an area ag5cy on ag+ fail$ 9 #b successive ye>s to comply ) ! requirem5ts "u ?is title1 !n ! ,/ate ag5cy may require ! area ag5cy on ag+ to submit a plan = a #a-ye> p]iod t meets su* requirem5ts1 = subsequ5t ye>s until ! ,/ate ag5cy det]m9es t ! area ag5cy on ag+ is 9 compliance ) su* requirem5ts44 #aaj4 ,support+ old] individuals ) disabilities ?r\gh improv$ coord9ation 7a7 ,area plans ,section #cjf7;a77#e7 7#db ,u4,s4,c4 #cjbf7;a77#e77 is am5d$ by /rik+ ) ag5cies t develop or provide s]vices = individuals ) disabilities & ins]t+ ) entities t develop or provide s]vices = individuals ) disabilities1 :i* may include c5t]s = indep5d5t liv+1 relevant s]vice provid]s1 & o!r community-bas$ organizations1 z appropriate4 7b7 ,support+ old] individuals ) disabilities ?r\gh improv$ coord9ation 7#a7 ,9 g5]al ,! ,adm9i/rator ( ! ,adm9i/ration = ,community ,liv+ ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,adm9i/rator7 %all id5tify-- 7,a7 opportunities to improve coord9ation betwe5 ! ag+ & disability networks1 :i* may include ! =mation ( p>tn]%ips to s]ve individuals eligible = programs "u ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq472 7,b7 lessons le>n$ f disability networks1 includ+ c5t]s = indep5d5t liv+1 ,/ate developm5tal disabilities c\ncils1 univ]sity c5t]s = excell5ce 9 developm5tal disabilities education1 rese>*1 & s]vice1 & ,/ate protection & advocacy ag5cies t c\ld improve op]ations & s]vice deliv]y )9 ! ag+ network2 & 7,c7 any te*nical assi/ance ne$s relat$ to subp>agraphs 7,a7 & 7,b74 7#b7 ,guidance ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,adm9i/rator %all issue guidance to ,/ate ag5cies & area ag5cies on ag+ on /rategies to lev]age disability networks1 includ+ c5t]s = indep5d5t liv+1 ,/ate developm5tal disabilities c\ncils1 univ]sity c5t]s = excell5ce 9 developm5tal disabilities1 education1 rese>*1 & s]vice1 & ,/ate protection & advocacy ag5cies1 z appropriate1 to /r5g!n ! provision ( s]vices "u ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq474 7#c7 ,te*nical assi/ance ,! ,adm9i/rator %all coord9ate across ! ,adm9i/ration = ,community ,liv+ to address any te*nical assi/ance ne$s id5tifi$ "u p>agraph 7#a77;,c7 9 a mann] t does n unnecess>ily duplicate o!r te*nical assi/ance activities c>ri$ out prior to ! date ( enactm5t ( ?is ,act4 7c7 ,def9itions ,section #ajb 7#db ,u4,s4,c4 #cjjb7 is am5d$-- 7#a7 9 p>agraph 7#d71 by /rik+ 7z def9$ 9 section #c ( ! ,am]icans ) ,disabilities ,act ( #aiij 7#db ,u4,s4,c4 #abajb772 7#b7 9 p>agraph 7#ac71 by /rik+ ,! t]m & all t foll[s ?r\gh adju/m5t4 & ins]t+ ,! t]m disability has ! mean+ giv5 su* t]m 9 section #c ( ! ,am]icans ) ,disabilities ,act ( #aiij 7#db ,u4,s4,c4 #abajb742 & 7#c7 9 p>agraph 7#di77;,b71 by /rik+ ( ! major life activities specifi$ 9 subp>agraphs 7,a7 ?r\gh 7,g7 ( p>agraph 7#h7 & ins]t+ major life activities specifi$ 9 section #c7b7 ( ! ,am]icans ) ,disabilities ,act ( #aiij 7#db ,u4,s4,c4 #abajb7b7744 #aaa4 ,bus9ess acum51 fiscal tra9+1 & te*nical assi/ance ,section #cjg7;a7 7#db ,u4,s4,c4 #cjbg7;a77 is am5d$ by add+ at ! end ! foll[+3 7#ca7 ,! plan %all provide assurances t ! ,/ate ag5cy1 to ! ext5t feasible & :5 applicable & appropriate1 provides te*nical assi/ance = area ag5cies on ag+ relat$ to ! developm5t ( bus9ess acum51 s\nd fiscal practices1 capacity build+1 organizational developm5t1 innovation1 & o!r me?ods ( gr[+ & su/a9+ ! capacity ( ! ag+ network to c>ry out activities fund$ "u ?is ,act to s]ve old] individuals & c>egiv]s mo/ effectively4 4 #aab4 ,enhanc+ access to assi/ive te*nology ,section #cjg7;a7 7#db ,u4,s4,c4 #cjbg7;a771 z am5d$ by section #aaa ( ?is ,act1 is fur!r am5d$ by add+ at ! end ! foll[+3 7#cb7 ,! plan %all provide assurances t ! ,/ate w coord9ate s]vices1 to ! ext5t feasible1 ) lead ag5cies designat$ to c>ry out ,/ate assi/ive te*nology programs "u ! ,assi/ive ,te*nology ,act ( #aiih 7#bi ,u4,s4,c4 #cjja et seq47 & ) area ag5cies on ag+ to assi/ eligible old] individuals1 includ+ old] individuals ) disabilities1 9 access+ & acquir+ assi/ive te*nology4 4 #aac4 ,:ite ,h\se ,conf]5ce on ,ag+ ,! ,old] ,am]icans ,act ,am5dm5ts ( #aihg 7#db ,u4,s4,c4 #cjja note2 ,public ,law #ajj-age7 is am5d$ by /rik+ title ,,ii & ins]t+ ! foll[+3 ,,ii ,:ite ,h\se ,conf]5ce on ,ag+ #bja4 ,au?orization ( ! ,conf]5ce 7a7 ,au?ority ,to call conf]5ce ,n e>li] ?an ,janu>y #ba1 #bjbe & n lat] ?an ,decemb] #ca1 #bjbe1 ! ,presid5t %all conv5e ! ,:ite ,h\se ,conf]5ce on ,ag+ 9 ord] to fulfill ! purpose set =? 9 subsection 7c7 & to make fundam5tal policy recomm5dations reg>d+ programs t are important to old] individuals & to ! families & communities ( su* individuals4 7b7 ,plann+ & direction ,! ,conf]5ce describ$ 9 subsection 7a7 %all be plann$ & conduct$ "u ! direction ( ! ,secret>y1 9 coop]ation ) ! ,assi/ant ,secret>y = ,ag+1 ! ,director ( ! ,national ,in/itute on ,ag+1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ! ,social ,security ,adm9i/rator1 & ! heads ( su* o!r ,f$]al ag5cies s]v+ old] individuals z are appropriate4 ,plann+ & conduct+ ! ,conf]5ce includes ! assignm5t ( p]sonnel4 7c7 ,purpose ,! purpose ( ! ,conf]5ce describ$ 9 subsection 7a7 %all be to ga!r individuals repres5t+ ! spectrum ( ?\ght & exp]i5ce 9 ! field ( ag+ to-- 7#a7 evaluate ! mann] 9 :i* ! objectives ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq47 c be met by us+ ! res\rces & tal5ts ( old] individuals1 ( families & communities ( su* individuals1 & ( individuals f ! public & private sectors2 7#b7 evaluate ! mann] 9 :i* ,f$]al policies1 programs1 & activities meet & respond to ! ne$s ( old] individuals1 includ+ an exam9ation ( innovative & fiscally responsible /rategies relat+ to retirem5t security1 c>egiv+1 nutrition & supportive s]vices1 heal? c>e1 eld] ju/ice1 & long-t]m s]vices & supports2 7#c7 be in=m$ by ! "w & recomm5dations ( ! ,int]ag5cy ,coord9at+ ,committee on ,heal?y ,ag+ & ,age-,fri5dly ,communities1 evaluate ! recomm5dations ( ! ,committee1 &1 z appropriate1 sugge/ implem5tation /rategies = su* recomm5dations2 & 7#d7 develop recomm5dations to guide ! ,presid5t1 ,congress1 & ,f$]al ag5cies 9 improv+ ,f$]al programs t s]ve old] individuals1 :i* may relate to ! prev5tion & mitigation ( disease1 injury1 abuse1 social isolation1 lonel9ess1 & economic insecurity1 includ+ food insecurity1 & promotion ( heal?y ag+ 9 place4 7d7 ,conf]5ce p>ticipants & delegates 7#a7 ,p>ticipants ,9 ord] to c>ry out ! purposes ( ?is section1 ! ,conf]5ce %all br+ toge!r-- 7,a7 repres5tatives ( ,f$]al1 ,/ate1 ,tribal1 & local gov]nm5ts2 7,b7 pr(essionals & volunte]s :o are work+ 9 ! field ( ag+2 & 7,c7 repres5tatives ( ! g5]al public1 p>ticul>ly old] individuals4 7#b7 ,selection ( delegates ,! delegates %all be select$ )\t reg>d to political affiliation or pa/ p>tisan activity & %all1 to ! be/ ( ! appo9t+ au?ority's ability1 be repres5tative ( ! spectrum ( ?\ght 9 ! field ( ag+4 ,delegates %all include old] individuals1 individuals :o are pr(essionals 9 ! field ( ag+1 individuals :o are community lead]s1 m9ority individuals1 individuals f rural areas1 l[-income individuals1 & repres5tatives ( ,f$]al1 ,/ate1 ,tribal1 & local gov]nm5ts4 #bjb4 ,conf]5ce adm9i/ration 7a7 ,adm9i/ration ,9 adm9i/]+ ?is section1 ! ,secret>y %all-- 7#a7 consult ) relevant ,/ate1 ,tribal1 & local (ficials1 /akehold]s1 & subject matt] exp]ts 9 plann+ ! ,conf]5ce2 7#b7 reque/ ! coop]ation & assi/ance ( ! heads ( su* o!r ,f$]al dep>tm5ts & ag5cies1 includ+ su* (ficials ( ! ,int]ag5cy ,coord9at+ ,committee on ,heal?y ,ag+ & ,age-,fri5dly ,communities1 z may be appropriate 9 ! c>ry+ out ( ?is section2 7#c7 make available = public comm5t a propos$ ag5da = ! ,conf]5ce1 :i* w reflect to ! greate/ ext5t possible ! major issues fac+ old] individuals1 consi/5t ) ! provisions ( section #bja7;c72 7#d7 prep>e & make available su* backgr\nd mat]ials = ! use ( delegates to ! ,conf]5ce z ! ,secret>y deems necess>y2 & 7#e7 engage su* additional p]sonnel z may be necess>y to c>ry out ! provisions ( ?is section )\t reg>d to provisions ( title #e1 ,unit$ ,/ates ,code1 gov]n+ appo9tm5ts 9 ! competitive s]vice1 & )\t reg>d to *apt] #ea & sub*apt] ,,iii ( *apt] #ec ( su* title1 relat+ to classification & ,g5]al ,s*$ule pay rates4 7b7 ,duties ,! ,secret>y %all1 9 c>ry+ out ! ,secret>y's responsibilities & functions "u ?is section1 & z "p ( ! ,:ite ,h\se ,conf]5ce on ,ag+1 ensure t-- 7#a7 ! ag5da prep>$ "u subsection 7a77#c7 = ! ,conf]5ce is publi%$ 9 ! ,f$]al ,regi/] n lat] ?an #cj days aft] su* ag5da is approv$ by ! ,secret>y2 7#b7 ! p]sonnel engag$ "u subsection 7a77#e7 %all be fairly balanc$ 9 t]ms ( po9ts ( views repres5t$ & %all be appo9t$ )\t reg>d to political affiliation or previ\s p>tisan activities2 7#c7 ! recomm5dations ( ! ,conf]5ce are n inappropriately influ5c$ by any appo9t+ au?ority or by any special int]e/1 b w in/ead be ! result ( ! indep5d5t judgm5t ( ! ,conf]5ce2 & 7#d7 curr5t & adequate /ati/ical data1 includ+ dec5nial c5sus data1 & o!r in=mation on ! well-be+ ( old] individuals 9 ! ,unit$ ,/ates1 are readily available1 9 advance ( ! ,conf]5ce1 to ! delegates ( ! ,conf]5ce1 toge!r ) su* in=mation z may be necess>y to evaluate ,f$]al programs & policies relat+ to ag+4 ,9 c>ry+ out ?is subp>agraph1 ! ,secret>y is au?oriz$ to make grants to1 & ent] into coop]ative agreem5ts )1 public ag5cies & nonpr(it private organizations4 7c7 ,gifts ,! ,secret>y may accept1 on behalf ( ! ,unit$ ,/ates1 gifts 79 ca% or 9 k9d1 includ+ volunt>y & uncomp5sat$ s]vices7 t %all be available to c>ry out ?is title4 ,gifts ( ca% %all be available 9 addition to am\nts appropriat$ to c>ry out ?is title4 ,gifts may be e>m>k$ by ! donor = a specific purpose4 7d7 ,records ,! ,secret>y %all ma9ta9 records reg>d+-- 7#a7 ! s\rces1 am\nts1 & uses ( gifts accept$ "u subsection 7c72 & 7#b7 ! id5tity ( ea* p]son receiv+ assi/ance to c>ry out ?is title1 & ! am\nt ( su* assi/ance receiv$ by ea* su* p]son4 #bjc4 ,report ( ! ,conf]5ce 7a7 ,prelim9>y report ,n lat] ?an #ajj days aft] ! date on :i* ! ,conf]5ce adj\rns1 ! ,secret>y %all publi% & deliv] to ! ,/ates a prelim9>y report on ! ,conf]5ce4 ,comm5ts on ! prelim9>y report ( ! ,conf]5ce %all be accept$ by ! ,secret>y4 7b7 ,f9al report ,n lat] ?an #ahj days aft] ! date on :i* ! ,conf]5ce adj\rns1 ! ,secret>y %all publi% & transmit to ! ,presid5t & to ,congress recomm5dations result+ f ! ,conf]5ce & sugge/ions = any adm9i/rative action & legislation necess>y to implem5t ! recomm5dations conta9$ )9 ! report4 #bjd4 ,def9itions ,9 ?is title3 7#a7 ,conf]5ce ,! t]m ,conf]5ce means ! ,:ite ,h\se ,conf]5ce on ,ag+4 7#b7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#c7 ,/ate ,! t]m ,/ate means any ( ! sev]al ,/ates1 ! ,di/rict ( ,columbia1 ! ,commonweal? ( ,pu]to ,rico1 ,guam1 ,am]ican ,samoa1 ! ,virg9 ,isl&s ( ! ,unit$ ,/ates1 ! ,tru/ ,t]ritory ( ! ,pacific ,isl&s1 or ! ,commonweal? ( ! ,nor!rn ,m>iana ,isl&s4 4 #aad4 ,te*nical am5dm5ts ,! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq47 is am5d$-- 7#a7 9 section #bja7;d77#c77;,j7 7#db ,u4,s4,c4 #cjaa7;d77#c77;,j771 by /rik+ ,speak] ( ! ,h\se ( ,repres5tatives & ! ,presid5t pro tempore ( ! ,s5ate & ins]t+ ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives2 7#b7 9 section #bjb7;b77#h77;,e7 7#db ,u4,s4,c4 #cjab7;b77#h77;,e771 by /rik+ prev5tative heal? b5efits "u ! provisions (1 & am5dm5ts made by1 ! ,m$ic>e ,prescription ,drug1 ,improvem5t1 & ,mod]nization ,act ( #bjjc & ins]t+ prev5tive heal? b5efits "u su* program2 7#c7 9 section #bjc7;c77#g7 7#db ,u4,s4,c4 #cjac7;c77#g77-- 7,a7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ ! ,committee on ,education & ,labor ( ! ,h\se ( ,repres5tatives & ins]t+ ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives2 & 7,b7 9 subp>agraph 7,c71 by /rik+ *airman & ins]t+ *airp]son2 7#d7 9 section #cci 7#db ,u4,s4,c4 #cjcj;g-#ba71 by /rik+ ?is *apt] ea* place x appe>s & ins]t+ ?is "p2 & 7#e7 9 section #dcb7;b77#a7 7#db ,u4,s4,c4 #cjcc;a7b77#a771 by /rik+ ,speak] ( ! ,h\se ( ,repres5tatives & ! ,presid5t pro tempore ( ! ,s5ate & ins]t+ ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives4 ,,ii ,improv+ ,heal? ,outcomes & ,enc\rag+ ,indep5d5ce = ,old] ,individuals #bja4 ,disease prev5tion & heal? promotion s]vices ,section #ajb7ad7 7#db ,u4,s4,c4 #cjjb7ad77 is am5d$-- 7#a7 9 subp>agraph 7,b71 by ins]t+ he>t rate1 respiratory function1 aft] he>+12 7#b7 9 subp>agraph 7,k71 by ins]t+ provid+ be=e in=mation2 7#c7 by r$esignat+ subp>agraphs 7,l71 7,m71 7,n71 & 7,o71 z subp>agraphs 7,m71 7,n71 7,o71 & 7,p71 respectively2 7#d7 by ins]t+ aft] subp>agraph 7,k7 ! foll[+3 7,l7 provid+ in=mation conc]n+ te/+1 diagnosis1 & treatm5t ( infecti\s diseases1 tak+ into consid]ation infecti\s diseases = :i* old] individuals are at increas$ risk ( infection or s]i\s heal? outcomes2 2 & 7#e7 9 subp>agraph 7,p71 z s r$esignat$1 by /rik+ subp>agraphs 7,a7 ?r\gh 7,n7 & ins]t+ subp>agraphs 7,a7 ?r\gh 7,o74 #bjb4 ,improv+ heal? outcomes 7a7 ,rese>* & evaluation activities ,section #bja 7#db ,u4,s4,c4 #cjaa7 is am5d$-- 7#a7 9 subsection 7c77#c77;,b71 by /rik+ 9 behalf & ins]t+ on behalf2 & 7#b7 9 subsection 7g7-- 7,a7 9 p>agraph 7#c77;,a77ii71 by ins]t+ r$uction ( heal? c>e exp5ditures1 aft] quality ( life12 & 7,b7 9 p>agraph 7#g71 by ins]t+ & recomm5dations relat+ to fur!r rese>*1 evaluation1 & demon/ration projects conduct$ "u ?is section aft] title ,,iv4 7b7 ,falls prev5tion programs ,section #daa7;a77#ae7 7#db ,u4,s4,c4 #cjcb7;a77#ae77 is am5d$ to read z foll[s3 7#ae7 br++ to scale & su/a9+ evid5ce-bas$ falls prev5tion programs to r$uce ! numb] ( falls1 fe> ( fall+1 & fall-relat$ injuries affect+ old] individuals1 includ+ old] individuals ) disabilities1 :i* %all-- 7,a7 provide tra9+ & te*nical assi/ance to ! ag+ network2 & 7,b7 %>e be/ practices ) ! ag+ network1 includ+ ! ,ag+ & ,disability ,res\rce ,c5t]s2 4 7c7 ,int]ag5cy ,coord9at+ ,committee on ,heal?y ,ag+ & ,age-,fri5dly ,communities ,section #bjc7;c7 7#db ,u4,s4,c4 #cjac7;c77 is am5d$-- 7#a7 9 p>agraph 7#f77;,b7-- 7,a7 9 clause 7ii71 by /rik+ & aft] ! semicolon2 7,b7 9 clause 7iii71 by ins]t+ & aft] ! semicolon2 & 7,c7 by add+ at ! end ! foll[+3 7iv7 /rategies to address social isolation1 includ+ by promot+ /rong & /able connections across diff]5t g5]ations 9 a family & 9 ! community2 2 & 7#b7 9 p>agraph 7#g71 z am5d$ by section #aad7c7-- 7,a7 9 subp>agraph 7,b71 by /rik+ & at ! end2 7,b7 by r$esignat+ subp>agraph 7,c7 z subp>agraph 7,d72 & 7,c7 by ins]t+ aft] subp>agraph 7,b7 ! foll[+3 7,c7 conta9s an assessm5t ( ! effectiv5ess ( relevant ,f$]al ef=ts & programs1 includ+ implem5tation ( be/ practices describ$ 9 p>agraph 7#f77;,b72 & 4 #bjc4 ,te*nical assi/ance on evid5ce-bas$ programs 7a7 ,te*nical assi/ance ,! ,assi/ant ,secret>y1 at ! reque/ ( a ,/ate ag5cy 7z def9$ 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb77 or area ag5cies on ag+1 may provide te*nical assi/ance on ! requirem5ts ( evid5ce-bas$ programs "u ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq474 7b7 ,consid]ation ,! ,assi/ant ,secret>y may consid] :e!r !re are evid5ce-in=m$ practices1 bas$ on ! be/ available sci5ce1 t may improve heal? outcomes4 #bjd4 ,enhanc+ multipurpose s5ior c5t]s 7a7 ,9 g5]al ,section #bjb7;a77#cj7 7#db ,u4,s4,c4 #cjab7;a77#cj77 is am5d$ by ins]t+ 1 access to s]vices provid$ at multipurpose s5ior c5t]s1 & 7:]e appropriate7 ! e/abli%m5t & ma9t5ance ( multipurpose s5ior c5t]s be=e ! semicolon at ! end4 7b7 ,area ag5cy on ag+ plans ,section #cjf7;a77#b77;,a7 7#db ,u4,s4,c4 #cjbf7;a77#b77;,a77 is am5d$ by ins]t+ 1 includ+ ^? s]vices provid$ at multipurpose s5ior c5t]s1 :]e appropriate be=e ! semicolon at ! end4 7c7 ,/ate plans ,section #cjg7;a77#b77;,a7 7#db ,u4,s4,c4 #cjbg7;a77#b77;,a77 is am5d$ by ins]t+ &1 to ! ext5t feasible1 make su* evaluation public be=e ! semicolon at ! end4 #bje4 ,address+ home modifications 7a7 ,indoor air quality ,section #cfa7;c7 7#db ,u4,s4,c4 #cjcjm7c77 is am5d$ by /rik+ build+s & all t foll[s & ins]t+ build+s & resid5ces :]e old] individuals congregate or live4 7b7 ,wea!rization ,section #cba7;a77#d7 7#db ,u4,s4,c4 #cjcj;d7a77#d77 is am5d$ by /rik+ subp>agraph 7,a7 & ins]t+ 7,a7 to assi/ old] individuals 9 obta9+ & ma9ta9+ adequate h\s+1 includ+ resid5tial repair & r5ovation projects1 & 7if assi/ance = wea!rization projects does n unnecess>ily duplicate o!r ,f$]al assi/ance available7 wea!rization projects1 design$ to enable old] individuals to ma9ta9 _! homes 9 con=mity ) m9imum h\s+ & 7z applicable & appropriate7 o!r relevant /&>ds1 9 ord] to support su* old] individuals 9 ag+ 9 place & ma9ta9+ _! heal?24 #bjf4 ,national res\rce c5t] = engag+ old] adults ,section #daa7;a77#ah7 7#db ,u4,s4,c4 #cjcb7;a77#ah77 is am5d$ by ins]t+ 1 su* z provid+ appropriate tra9+1 res\rces1 & be/ practices to ! ag+ network aft] old] individuals4 #bjg4 ,multig5]ational & civic engagem5t activities ,section #dag 7#db ,u4,s4,c4 #cjcb;f7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ projects1 & all t foll[s ?r\gh to-- & ins]t+ ! foll[+3 projects to s]ve individuals 9 y\ng] g5]ations & old] individuals by develop+1 c>ry+ out1 & promot+ p>ticipation 9 multig5]ational activities to--2 7,b7 9 p>agraph 7#b71 by add+ & at ! end2 7,c7 9 p>agraph 7#c71 by /rik+ opportunities = old] individuals to become a m5tor to individuals 9 y\ng] g5]ations2 & & ins]t+ 8opportunities-- 7,a7 = old] individuals to become m5tors to individuals 9 y\ng] g5]ations2 & 7,b7 at facilities t s]ve old] individuals or individuals 9 y\ng] g5]ations1 at :i* multig5]ational activities might occur4 2 & 7,d7 by /rik+ p>agraph 7#d72 7#b7 9 subsection 7c77#b71 by /rik+ 7#d7 & ins]t+ 7#c72 7#c7 9 subsection 7d7-- 7,a7 by /rik+ p>agraph 7#a72 & 7,b7 by r$esignat+ p>agraphs 7#b7 ?r\gh 7#e7 z p>agraphs 7#a7 ?r\gh 7#d71 respectively2 7#d7 9 subsection 7g7-- 7,a7 9 p>agraph 7#a71 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ ( enactm5t ( ! ,support+ ,old] ,am]icans ,act ( #bjbj1 & ins]t+ on :i* ! fir/ grant is aw>d$ "u ?is section foll[+ ! date ( enactm5t ( ! ,old] ,am]icans ,act ,reau?orization ,act ( #bjbe12 & 7,b7 9 p>agraph 7#b71 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ ! ,speak] ( ! ,h\se ( ,repres5tatives & ! ,presid5t pro tempore ( ! ,s5ate & ins]t+ ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives2 & 7#e7 9 subsection 7h77#a71 by /rik+ or a family support program4 & ins]t+ or a family support program1 or a program at a multipurpose s5ior c5t]1 long-t]m c>e facility1 or any o!r resid5tial facility = old] individuals44 #bjh4 ,report relat+ to heal? outcomes = old] individuals liv+ ) or ne> family memb]s 7a7 ,9 g5]al ,! ,secret>y %all prep>e a report t assesses-- 7#a7 ! heal? outcomes = old] individuals :o live )1 on ! same prop]ty z1 or o!rwise 9 ! community 9 close geographic proximity1 relative to ! area1 to family memb]s2 & 7#b7 ! degree to :i* programs "u ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq47 promote liv+ 9 ! sett+s describ$ 9 p>agraph 7#a71 z appropriate4 7b7 ,inclusion ,! report describ$ "u subsection 7a7 %all include-- 7#a7 an assessm5t ( physical & m5tal heal? outcomes ( old] individuals :o live 9 ! sett+s describ$ 9 subsection 7a77#a7 9 comp>ison to physical & m5tal heal? outcomes ( old] individuals :o d n live 9 su* sett+s2 7#b7 an assessm5t ( ! ext5t to :i* liv+ 9 su* sett+s mitigates social isolation & lonel9ess 9 old] individuals2 & 7#c7 a description ( ! diff]5t types ( su* sett+s & :e!r1 & to :at ext5t1 f9d+s "u p>agraphs 7#a7 & 7#b7 v>y across su* diff]5t types4 7c7 ,submission ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,special ,committee on ,ag+ ( ! ,s5ate & ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives ! report requir$ by subsection 7a74 #bji4 ,improv+ broadb& coord9ation & r$uc+ social isolation 7a7 ,9 g5]al ,! ,assi/ant ,secret>y %all1 z appropriate1 coord9ate ) ! ,assi/ant ,secret>y ( ,comm]ce = ,communications & ,in=mation ( ! ,national ,telecommunications & ,in=mation ,adm9i/ration to ensure t ! ag+ network 7z def9$ 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb77 & o!r relevant /akehold]s are aw>e (1 &1 subject to applicable eligibility crit]ia1 h access to1 ,f$]al programs relat+ to digital lit]acy & ! adoption ( broadb& t may support heal?y ag+ & ag+ 9 place = old] individuals4 7b7 ,report ,n lat] ?an #ij days aft] ! date ( enactm5t ( ?is ,act1 ! ,assi/ant ,secret>y %all prep>e1 & submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions1 ! ,special ,committee on ,ag+1 & ! ,committee on ,comm]ce1 ,sci5ce1 & ,transportation ( ! ,s5ate & ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives1 a report reg>d+ any coord9ation ef=ts c>ri$ out pursuant to subsection 7a74 ,,iii ,enhanc+ ,innovation & ,flexibility 9 ,nutrition ,s]vices #cja4 ,m$ically tailor$ meals 7a7 ,def9itions ,section #ajb7ad7 7#db ,u4,s4,c4 #cjjb7ad77 is am5d$-- 7#a7 9 subp>agraph 7,c71 by ins]t+ 1 :i* may include c\nsel+ relat$ to ! provision ( m$ically tailor$ meals1 aft] c\nsel+2 & 7#b7 9 subp>agraph 7,d71 by ins]t+ 7includ+ f m$ically tailor$ meals7 aft] improv$ nutrition4 7b7 ,adm9i/ration ( nutrition s]vices ,section #bje7;a77#b77;,a7 7#db ,u4,s4,c4 #cjaf7;a77#b77;,a77 is am5d$-- 7#a7 9 clause 7vi71 by ins]t+ 1 includ+ ?r\gh ! use ( innovative approa*es aft] sy/ems2 & 7#b7 9 clause 7viii71 by ins]t+ & innovative int]v5tions aft] includ+ /rategies4 7c7 ,nutrition education ,section #bad7b77;,c7 7#db ,u4,s4,c4 #cjbj;e7#b77;,c77 is am5d$ by ins]t+ 1 includ+ int]v5tions1 aft] o!r activities4 7d7 ,nutrition s]vices purposes ,section #ccj7c7 7#db ,u4,s4,c4 #cjcj;d-#ba7c77 is am5d$ by ins]t+ 1 tailor$ to _! individual m$ical & nutritional ne$s to ! ext5t feasible1 aft] s]vices4 #cjb4 ,grab-&-g meals ,section #cjh7;b77#d7 7#db ,u4,s4,c4 #cjbh7;b77#d77 is am5d$ by add+ at ! end ! foll[+3 7,e7 ,a ,/ate may elect 9 its plan "u section #cjg to all[ use ( n m ?an #be p]c5t ( ! funds receiv$ by su* ,/ate "u subp>t #a ( "p ,c1 calculat$ aft] any transf]s "u subp>agraphs 7,a7 & 7,b7 are complet$1 to make meals available at congregate meal sites or o!r community locations = consumption by old] individuals outside su* sites & locations1 su* z c>ry-out or simil> meals4 ,a ,/ate elect+ to all[ use ( funds "u ! prec$+ s5t5ce %all-- 7i7 ensure t su* all[able use complem5ts ! deliv]y ( s]vices ?r\gh ! congregate meals program "u section #cca2 & 7ii7 notify ! ,assi/ant ,secret>y ( su* election1 includ+ a description ( ! am\nt & p]c5tage ( funds receiv$ by su* ,/ate "u subp>t #a ( "p ,c to be us$ = su* purposes4 4 #cjc4 ,,gao /udy on ,nutrition ,s]vices ,inc5tive ,program 7a7 ,9 g5]al ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy to evaluate ! ,nutrition ,s]vices ,inc5tive ,program "u section #caa 7#db ,u4,s4,c4 #cjcj;a7 7ref]r$ to 9 ?is section z ! ,program74 7b7 ,inclusions ,! /udy "u ?is section-- 7#a7 %all-- 7,a7 include an assessm5t ( h[ ,/ates & ,tribal organizations use fund+ provid$ "u ! ,program1 includ+ ! degree to :i* ,/ates & ,tribal organizations use su* fund+ to procure food products f local or regional produc]s = meals support$ "u ! ,program2 & 7,b7 id5tify any *all5ges or b>ri]s to increas+ ! use ( local & regional produc]s "u ! ,program2 & 7#b7 may make recomm5dations relat$ to improv+ ! effectiv5ess ( ! ,program1 includ+ ) respect to ! use ( local & regional produc]s4 7c7 ,report to ,congress ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,special ,committee on ,ag+ ( ! ,s5ate & ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives a report on ! results ( ! /udy "u ?is section4 #cjd4 ,innovations 9 nutrition programs & s]vices ,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 #cdj4 ,innovations 9 nutrition programs & s]vices 7a7 ,demon/ration ,to r$uce hung]1 food insecurity1 & malnutrition 7#a7 ,9 g5]al ,f funds available "u p>agraph 7#e71 ! ,assi/ant ,secret>y %all make grants1 on a competitive basis1 to eligible entities1 to a*ieve ! purposes ( section #ccj7a7 by develop+1 te/+1 implem5t+1 & evaluat+ innovative local or regional approa*es to improve ! quality1 effectiv5ess1 effici5cy1 & outcomes ( nutrition projects & s]vices describ$ 9 sections #caa1 #cca1 & #ccf4 7#b7 ,eligibility ,9 ord] to be eligible = a grant "u p>agraph 7#a71 an entity %all-- 7,a7 be-- 7i7 a ,/ate ag5cy1 an area ag5cy on ag+1 an ,indian ,tribe1 a ,tribal organization1 or ano!r public or nonpr(it private entity1 includ+ a nutrition s]vice provid]1 a multipurpose s5ior c5t]1 a heal? c>e entity1 or an in/itution ( high] education2 or 7ii7 a p>tn]%ip betwe5 any entities describ$ 9 clause 7i72 & 7,b7 submit an application at su* "t & 9 su* mann] z ! ,assi/ant ,secret>y may require1 includ+-- 7i7 a description ( an innovative approa* ref]r$ to 9 p>agraph 7#a7 t ! entity proposes to implem5t "u ! grant2 7ii7 a plan = evaluat+ ! effectiv5ess1 includ+ co/-effectiv5ess1 ( ! innovative approa* propos$2 & 7iii7 a plan = ! publication ( ! results ( su* evaluation4 7#c7 ,priority ,9 select+ eligible entities = grants "u ?is subsection1 ! ,assi/ant ,secret>y %all give priority to eligible entities propos+ to c>ry out a grant 9 #a or m rural areas4 7#d7 ,report ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,old] ,am]icans ,act ,reau?orization ,act ( #bjbe1 & annually !reaft]1 ! ,assi/ant ,secret>y %all submit a report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,special ,committee on ,ag+ ( ! ,s5ate & ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives describ+ any activities c>ri$ out "u p>agraph 7#a71 an assessm5t ( ! outcomes ( su* activities us+ rigor\s me?odologies1 & recomm5dations = inclusion ( any successful innovative approa*es )9 nutrition programs e/abli%$ "u ?is ,act4 7#e7 ,res]vation ,f ! total ( ! am\nts made available = a fiscal ye> "u p>agraphs 7#a7 & 7#b7 ( section #cjc7;b7 & 9 section #caa7;e71 ! ,assi/ant ,secret>y %all res]ve an am\nt equal to n m ?an #a p]c5t to c>ry out activities describ$ 9 p>agraph 7#a7 ( ?is subsection4 7b7 ,innovative approa*es ,to r$uce hung]1 food insecurity1 & malnutrition 7#a7 ,9 g5]al ,subject to p>agraph 7#f71 9 c>ry+ out nutrition projects e/abli%$ "u ?is ,act1 a ,/ate ag5cy or title ,,vi grantee may implem5t innovative approa*es1 includ+ any applicable approa*es implem5t$ previ\sly by ! ,assi/ant ,secret>y or pursuant to subsection 7a71 t are demon/rat$ to be effective1 to a*ieve ! purposes describ$ 9 section #ccj7a7 by improv+-- 7,a7 ! quality1 composition1 prep>ation1 modality1 deliv]y1 or location ( meals provid$ to old] individuals "u ?is ,act2 or 7,b7 ! effici5cy & effectiv5ess ( di/ribut+1 deliv]+1 or o!rwise mak+ meals available to old] individuals "u ?is ,act4 7#b7 ,waiv] ,at ! reque/ ( a ,/ate ag5cy implem5t+ an approa* "u p>agraph 7#a71 ! ,assi/ant ,secret>y may waive any requirem5ts ( subp>t #a or #b ) respect to su* ,/ate ag5cy if su* requirem5ts imp$e ! ability ( su* ,/ate ag5cy to successfully implem5t su* an approa*4 7#c7 ,flexibility ,! ,secret>y %all provide maximum flexibility to a title ,,vi grantee implem5t+ an approa* "u p>agraph 7#a7 9 ! same mann] z ! ,secret>y provides maximum flexibility 9 accordance ) section #fad7;c77#c74 7#d7 ,sunset ,! au?ority to c>ry out activities describ$ 9 p>agraph 7#a7 %all expire on ,octob] #a1 #bjcj4 7#e7 ,report ,n lat] ?an ,septemb] #cj1 #bjbi1 ! ,assi/ant ,secret>y %all submit a report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,special ,committee on ,ag+ ( ! ,s5ate & ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives describ+ any activities c>ri$ out by ,/ate ag5cies or title ,,vi grantees "u p>agraph 7#a71 an assessm5t ( ! outcomes ( su* activities us+ rigor\s me?odologies1 & recomm5dations = inclusion ( any successful innovative approa*es )9 nutrition programs e/abli%$ "u ?is ,act4 7#f7 ,use ( allotm5t ,if ! am\nt appropriat$ to c>ry out section #caa = a fiscal ye> exce$s ! am\nt appropriat$ to c>ry out section #caa = ! prior fiscal ye> or fiscal ye> #bjbd1 :i*ev] is great]1 a ,/ate ag5cy & title ,,vi grantee 9 receipt ( an allotm5t "u section #caa7;b7 may elect to use ! diff]5ce betwe5 ! allotm5t receiv$ = ! fiscal ye> & ! allotm5t receiv$ = ! prior fiscal ye> or fiscal ye> #bjbd1 :i*ev] is great]1 = activities describ$ 9 p>agraph 7#a74 7#g7 ,rule ( con/ruction ,no?+ 9 ?is subsection %all be con/ru$ z limit+ or prohibit+ ! requirem5ts describ$ 9 section #cci f apply+ to nutrition projects utiliz+ an innovative approa* "u ?is subsection4 4 ,,iv ,support+ ,family ,c>egiv]s #dja4 ,improv+ ! ,national ,family ,c>egiv] ,support ,program 7a7 ,/ate requirem5ts = ,/ate & community programs on ag+ grants ,section #cje7;a77#c77;,e7 7#db ,u4,s4,c4 #cjbe7;a77#c77;,e77 is am5d$-- 7#a7 9 clause 7i71 by /rik+ & at ! end2 7#b7 9 clause 7ii71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7iii7 available supports = family c>egiv]s & old] relative c>egiv]s 7z def9$ 9 section #cgb7;a774 4 7b7 ,area plan requirem5ts ,section #cjf7;a77#g77;,d7 7#db ,u4,s4,c4 #cjbf7;a77#g77;,d77 is am5d$-- 7#a7 9 clause 7i71 by /rik+ & at ! end2 7#b7 9 clause 7ii71 by add+ & aft] ! semicolon2 & 7#c7 by add+ at ! end ! foll[+3 7iii7 available supports = family c>egiv]s & old] relative c>egiv]s 7z def9$ 9 section #cgb7;a772 4 7c7 ,def9itions relat+ to ! ,national ,family ,c>egiv] ,support ,program 7#a7 ,9 g5]al ,section #cgb7;a7 7#db ,u4,s4,c4 #cjcjs7a77 is am5d$-- 7,a7 9 p>agraph 7#a7-- 7i7 9 ! fir/ s5t5ce1 by /rik+ ,! t]m & ins]t+ ! foll[+3 7,a7 ,9 g5]al ,! t]m 2 & 7ii7 9 subp>agraph 7,a7 7z s designat$71 9 ! second s5t5ce-- 7,i7 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 7,,ii7 by /rik+ ,su* assessm5t %all be adm9i/]$ ?r\gh & ins]t+ ! foll[+3 7,b7 ,adm9i/ration ( assessm5ts ,a c>egiv] assessm5t "u subp>agraph 7,a7 %all-- 7i7 be adm9i/]$ ?r\gh 2 & 7,,iii7 by add+ at ! end ! foll[+3 7ii7 take into acc\nt-- 7,i7 l+ui/ic & cultural diff]5ces2 7,,ii7 ! ease = ! c>egiv] to access in=mation1 supports1 or s]vices1 & ! timel9ess ( access to su* in=mation1 supports1 or s]vices2 7,,iii7 b>ri]s to access+ in=mation1 supports1 or s]vices2 7,,iv7 ! availability ( in=mation1 supports1 or s]vices 9 accessible =mats2 & 7,v7 ! quality ( in=mation1 supports1 or s]vices receiv$1 & ! degree to :i* x is helpful to ! c>egiv]4 2 7,b7 by /rik+ p>agraph 7#b7 & ins]t+ ! foll[+3 7#b7 ,*ild or y\? ,! t]m *ild or y\? means an individual :o is n m ?an-- 7,a7 #ah ye>s ( age2 or 7,b7 #bb ye>s ( age1 9 ! case ( an individual :o is enroll$ 9 any =m ( s*ool+ 7includ+ on a "p-"t basis71 includ+-- 7i7 9 high s*ool or second>y s*ool 7z su* t]ms are def9$ 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja772 or 7ii7 9 an in/itution ( high] education 7z def9$ 9 section #ajb ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajjb774 2 & 7,c7 9 p>agraph 7#d77;,b7-- 7i7 9 clause 7i71 by ins]t+ adult aft] or o!r2 & 7ii7 by am5d+ clause 7iii7 to read z foll[s3 7iii7 7,i7 has a legal relation%ip to ! *ild or y\?1 su* z legal cu/ody1 adoption1 or gu>dian%ip1 or is rais+ ! *ild or y\? in=mally2 & 7,,ii7 9 ! case ( a *ild or y\? describ$ 9 p>agraph 7#b77;,b7 :o is #ah ye>s ( age or old]1 _h e/abli%$ su* a legal relation%ip1 or began rais+ su* *ild or y\? in=mally1 prior to ! *ild or y\? rea*+ ! age ( #ah2 & 4 7#b7 ,con=m+ am5dm5ts ,"p ,e ( title ,,iii 7#db ,u4,s4,c4 #cjcjs et seq47 is am5d$-- 7,a7 by ins]t+ or y\? aft] *ild ea* place x appe>s 7o!r ?an 9 sections #cgb7;a77#b7 7z am5d$ by p>agraph 7#a77;,b77 & #cgb7;a77#d77;,b77iii7 7z am5d$ by p>agraph 7#a77;,c77ii7772 & 7,b7 9 section #cgc7;c77#b77;,b7 7#db ,u4,s4,c4 #cjcjs-#a7;c77#b77;,b771 by ins]t+ or y\? aft] *ildr54 7d7 ,program au?oriz$ ,section #cgc 7#db ,u4,s4,c4 #cjcjs-#a7 is am5d$-- 7#a7 9 subsection 7b77#c7-- 7,a7 by ins]t+ :i* may include trauma-in=m$ s]vices1 pe] supports1 aft] individual c\nsel+12 & 7,b7 by ins]t+ eld] abuse prev5tion1 aft] nutrition12 7#b7 9 subsection 7c7-- 7,a7 9 ! subsection head+1 by /rik+ priority & ins]t+ priority2 consid]ation2 & 7,b7 by add+ at ! end ! foll[+3 7#c7 ,consid]ation ,9 provid+ s]vices "u ?is "p1 ! ,/ate %all consid]-- 7,a7 t old] relative c>egiv]s c>+ = multiple *ildr5 or y\? may ne$ great] res\rces & supports2 & 7,b7 ! circum/ances & unique ne$s ( diff]5t types ( c>egiv]s1 includ+ ! ne$s ( *ildr5 or y\? & _! old] relative c>egiv]s ^: families h be5 affect$ by sub/ance use disord]1 includ+ opioid use disord]4 2 7#c7 9 subsection 7e7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ ,n lat] ?an & all t foll[s ?r\gh ! ,assi/ant ,secret>y %all & ins]t+ ,! ,assi/ant ,secret>y %all1 on a regul> basis2 7,b7 9 p>agraph 7#a7-- 7i7 9 subp>agraph 7,b71 by /rik+ & at ! end2 7ii7 by r$esignat+ subp>agraph 7,c7 z subp>agraph 7,d72 & 7iii7 by ins]t+ aft] subp>agraph 7,b7 ! foll[+3 7,c7 ! use ( c>egiv] assessm5ts2 & 2 & 7,c7 9 p>agraph 7#b71 by /rik+ make available & ins]t+ prep>e1 publi%1 & dissem9ate2 7#d7 9 subsection 7i7-- 7,a7 9 p>agraph 7#a71 by ins]t+ 1 :i* may include ! improvem5t ( ! quality & consi/5cy ( c>egiv] assessm5ts & access to o!r in=mation1 supports1 or s]vices aft] section #fca2 & 7,b7 9 p>agraph 7#b71 by ins]t+ 7includ+ outcome measures7 aft] program evaluation2 & 7#e7 9 subsection 7j7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ ,n lat] ?an & all t foll[s ?r\gh %all provide te*nical assi/ance & ins]t+ ,beg9n+ n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,old] ,am]icans ,act ,reau?orization ,act ( #bjbe1 ! ,assi/ant ,secret>y1 9 consultation ) /akehold]s ) appropriate exp]tise &1 z appropriate1 in=m$ by ! mo/ rec5t /rategy develop$ "u ! ,,raise ,family ,c>egiv]s ,act 7#db ,u4,s4,c4 #cjcjs note7 & ! mo/ rec5t report develop$ "u ! ,support+ ,gr&p>5ts ,rais+ ,gr&*ildr5 ,act 7,public ,law #aae-aif2 #acb ,/at4 #aeaa71 %all provide ongo+ te*nical assi/ance2 7,b7 9 p>agraph 7#b71 by /rik+ & at ! end2 7,c7 by r$esignat+ p>agraph 7#c7 z p>agraph 7#d72 & 7,d7 by ins]t+ aft] p>agraph 7#b7 ! foll[+3 7#c7 ! quality & consi/5cy ( c>egiv] assessm5ts us$ across ,/ates2 & 4 #djb4 ,emphasiz+ respite c>e ,section #cba7;a77#ai7 7#db ,u4,s4,c4 #cjcj;d7a77#ai77 is am5d$ to read z foll[s3 7#ai7 s]vices1 :i* may include respite c>e ?r\gh v>i\s models1 design$ to support family memb]s & o!r p]sons provid+ volunt>y c>e to old] individuals t ne$ long-t]m c>e s]vices1 :i* may include old] individuals ) cognitive impairm5ts su* z ,alzheim]'s disease & relat$ disord]s ) neurological & organic bra9 dysfunction2 4 #djc4 ,cl>ify+ supportive s]vices ,section #cba7;a77#ah7 7#db ,u4,s4,c4 #cjcj;d7a77#ah77 is am5d$ by /rik+ m5tally impair$ old] individuals & ins]t+ old] individuals ) cognitive1 physical1 or m5tal impairm5ts4 #djd4 ,direct c>e work=ce res\rce c5t] ,section #daa7;a77#ac7 7#db ,u4,s4,c4 #cjcb7;a77#ac77 is am5d$-- 7#a7 9 subp>agraph 7,b71 by add+ & at ! end2 7#b7 by r$esignat+ subp>agraphs 7,a7 & 7,b7 z clauses 7i7 & 7ii71 respectively1 & adju/+ ! m>g9s accord+ly2 7#c7 9 ! matt] prec$+ clause 7i7 7z s r$esignat$7-- 7,a7 by ins]t+ &1 z appropriate1 ! heads ( o!r relevant ,f$]al dep>tm5ts & ag5cies aft] ,labor2 & 7,b7 by /rik+ work]s1 & ! solicit+1 & ins]t+ ! foll[+3 8work]s1 includ+-- 7,a7 ! solicit+1 2 & 7#d7 by add+ at ! end ! foll[+3 7,b7 ! e/abli%m5t & op]ation ( a national res\rce c5t] t supports ! gr[? & pr(essionalization ( ! direct c>e work=ce necess>y to meet ! ne$s ( old] individuals & individuals ) disabilities1 &1 9 a mann] t does n unnecess>ily duplicate ! activities ( o!r res\rce c5t]s support$ by ! ,assi/ant ,secret>y1 t addresses tra9+ & o!r educational ne$s ( family c>egiv]s1 :i* activities ( ! c5t] may include-- 7i7 ! provision ( tra9+ & te*nical assi/ance1 includ+ ?r\gh ! developm5t & dissem9ation ( educational mat]ials1 to ,/ates1 long-t]m s]vices & supports provid]s1 direct c>e work]s1 & family c>egiv]s2 & 7ii7 promot+ exi/+1 & support+ ! demon/ration ( new1 /rategies = ! recruitm5t1 ret5tion1 c>e] developm5t1 or advancem5t ( direct c>e work]s to r$uce b>ri]s to entry = a div]se & high-quality direct c>e work=ce1 includ+ provid+ wages1 b5efits1 & advancem5t opportunities ne$$ to attract or reta9 direct c>e work]s2 4 #dje4 ,support+ ,gr&p>5ts ,rais+ ,gr&*ildr5 ,act 7a7 ,f9d+s ,! ,support+ ,gr&p>5ts ,rais+ ,gr&*ildr5 ,act 7,public ,law #aae-aif2 #acb ,/at4 #aeaa7 is am5d$ by /rik+ section #b4 7b7 ,def9itions ,! ,support+ ,gr&p>5ts ,rais+ ,gr&*ildr5 ,act is am5d$ by r$esignat+ section #d z section #b & mov+ ! section s z to foll[ section #a4 7c7 ,advisory c\ncil ,section #c ( ! ,support+ ,gr&p>5ts ,rais+ ,gr&*ildr5 ,act is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a7-- 7i7 by r$esignat+ subp>agraphs 7,g7 ?r\gh 7,i7 z subp>agraphs 7,h7 ?r\gh 7,j72 7ii7 by ins]t+ aft] subp>agraph 7,f7 ! foll[+3 7,g7 ,! ,assi/ant ,secret>y = ,heal?4 2 7iii7 9 subp>agraph 7,i71 z s r$esignat$1 by /rik+ ( *ildr52 & 7iv7 9 subp>agraph 7,j71 z s r$esignat$1 by /rik+ relatives & ins]t+ relative c>egiv]s2 & 7,b7 by add+ at ! end ! foll[+3 7#c7 ,limitation on non-,f$]al memb]s ,n m ?an #aj memb]s ( ! ,advisory ,c\ncil may be individuals :o are n ,f$]al (fic]s or employees4 2 7#b7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a7-- 7i7 9 subp>agraph 7,a7-- 7,i7 9 ! matt] prec$+ clause 7i71 by /rik+ relatives & ins]t+ relative c>egiv]s2 & 7,,ii7 9 clause 7i7-- 7aa7 by /rik+ ! heal?1 & ins]t+ ! ne>- & long-t]m heal?1 includ+ m5tal heal?12 & 7bb7 by /rik+ c>e2 & & ins]t+ c>e1 includ+ any ne$s relat$ to ! circum/ances t caus$ su* *ildr5 to be rais$ by a gr&p>5t or old] relative c>egiv]2 &2 & 7ii7 9 subp>agraph 7,b7-- 7,i7 by /rik+ 7,b7 & all t foll[s ?r\gh ,9 & ins]t+ ! foll[+3 7,b7 ,consid]ations ,9 2 & 7,,ii7 by /rik+ ne$s ( ^? affect$ by ! opioid crisis & ins]t+ ne$s & *all5ges ( individuals affect$ by sub/ance use disord]1 includ+ opioid use disord]1 or1 z applicable & appropriate1 ne$s & *all5ges ( individuals relat$ to o!r circum/ances1 :i* may include public heal? em]g5cies2 7,b7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,a71 9 ! matt] prec$+ clause 7i71 by /rik+ enactm5t ( ?is ,act & ins]t+ enactm5t ( ! ,old] ,am]icans ,act ,reau?orization ,act ( #bjbe2 & 7ii7 9 subp>agraph 7,b7-- 7,i7 9 clause 7i7-- 7aa7 by /rik+ relatives & ins]t+ relative c>egiv]s2 & 7bb7 by /rik+ ne$s ( *ildr5 & all t foll[s ?r\gh epidemic2 & ins]t+ ne$s ( *ildr5 & _! old] relative c>egiv]s :o h be5 affect$ by sub/ance use disord]1 includ+ opioid use disord]22 7,,ii7 9 clause 7ii71 by /rik+ & at ! end2 7,,iii7 by r$esignat+ clause 7iii7 z clause 7iv72 & 7,,iv7 by ins]t+ aft] clause 7ii7 ! foll[+3 7iii7 a description ( any activities ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices to evaluate ! effectiv5ess ( supportive s]vices 9 address+ ! ne$s ( *ildr5 & _! old] relative c>egiv]s1 includ+ ^? :o h be5 affect$ by sub/ance use disord]1 includ+ opioid use disord]1 & any relat$ f9d+s2 & 2 7,c7 9 p>agraph 7#c7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a7-- 7,i7 by /rik+ 7#c7 & all t foll[s ?r\gh ,n & ins]t+ ! foll[+3 7#c7 ,foll[-up reports ,n 2 7,,ii7 by /rik+ #b ye>s & ins]t+ #ahj days2 & 7,,iii7 by ins]t+ aft] submitt$1 ! foll[+3 & e #b ye>s !reaft] until ! ,advisory ,c\ncil t]m9ates "u subsection 7f712 & 7,d7 9 p>agraph 7#d7 by /rik+ relatives ea* place x appe>s & ins]t+ relative c>egiv]s2 7#c7 9 subsection 7d71 by /rik+ ! ,f$]al ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app474 & ins]t+ *apt] #aj ( title #e1 ,unit$ ,/ates ,code42 & 7#d7 9 subsection 7f71 by /rik+ t]m9ate & all t foll[s ?r\gh ,act4 & ins]t+ t]m9ate on ,septemb] #cj1 #bjcj44 #djf4 ,,raise ,family ,c>egiv]s ,act 7a7 ,/rategy ,section #c ( ! ,,raise ,family ,c>egiv]s ,act 7#db ,u4,s4,c4 #cjcjs note7 is am5d$-- 7#a7 9 subsection 7c7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by ins]t+ 7or ! ,secret>y's designee7 aft] ,! ,secret>y2 & 7,b7 9 p>agraph 7#a71 by ins]t+ & made publicly available by ! ,secret>y1 aft] c>egiv] programs12 & 7#b7 9 subsection 7d77#b71 by ins]t+ 9 aft] c>egiv] programs4 7b7 ,c\ncil ,section #d7;e7 ( t ,act 7#db ,u4,s4,c4 #cjcjs note7 is am5d$ by /rik+ ,! ,f$]al ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 & ins]t+ ,*apt] #aj ( title #e1 ,unit$ ,/ates ,code14 7c7 ,sunset ext5sion ,section #f ( t ,act 7#db ,u4,s4,c4 #cjcjs note7 is am5d$ by /rik+ t]m9ate & all t foll[s ?r\gh ,act4 & ins]t+ t]m9ate on ,septemb] #cj1 #bjcj44 ,v ,community ,s]vice ,s5ior ,opportunities ,act #eja4 ,improv+ ! ,community ,s]vice ,employm5t ,program 7a7 ,program ,section #ejb7;b77#a7 7#db ,u4,s4,c4 #cjef7;b77#a77 is am5d$-- 7#a7 9 subp>agraph 7,c77ii71 by /rik+ section #eac7;a77#b77;,e7 & ins]t+ section #eac7;a77#b77;,f72 & 7#b7 9 subp>agraph 7,e71 by ins]t+ old] individuals1 aft] y\?14 7b7 ,p]=mance ,section #eac 7#db ,u4,s4,c4 #cjefk7 is am5d$-- 7#a7 9 subsection 7a77#b7-- 7,a7 9 subp>agraph 7,d77iii71 by ins]t+ 1 includ+ t[>d ! long-t]m p]=mance goals det]m9$ by ! ,dep>tm5t ( ,labor "u ! ,gov]nm5t ,p]=mance & ,results ,act ( #aiic 7,public ,law #ajc-fb2 #ajg ,/at4 #bhe7 & ! am5dm5ts made by su* ,act1 aft] core measures2 7,b7 by r$esignat+ subp>agraph 7,e7 z subp>agraph 7,f72 & 7,c7 by ins]t+ aft] subp>agraph 7,d7 ! foll[+3 7,e7 ,bi5nial report ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ! ,old] ,am]icans ,act ,reau?orization ,act ( #bjbe1 & e #b ye>s !reaft] dur+ ! p]iod ( ! program describ$ 9 section #ejb7;a77#a71 ! ,secret>y %all prep>e1 make publicly available1 & submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,special ,committee on ,ag+ ( ! ,s5ate & ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives a report reg>d+ ! me?odology us$ to arrive at ! expect$ levels ( p]=mance describ$ 9 subp>agraph 7,b7 = ea* grantee1 includ+ ! p>ticul> /ati/ical model us$ & o!r factors tak5 into acc\nt1 z describ$ 9 subp>agraph 7,d74 2 7#b7 9 subsection 7b77#a77;,c71 by /rik+ f\r? qu>t] aft] exit f ! project & ins]t+ second qu>t] aft] exit f ! project & rema9 9 unsubsidiz$ employm5t dur+ ! f\r? qu>t] aft] exit f ! project2 7#c7 9 subsection 7c7 & p>agraphs 7#a77;,a71 7#b77;,a71 & 7#c77;,a7 ( subsection 7d71 by /rik+ subsection 7a77#b77;,e7 & ins]t+ subsection 7a77#b77;,f72 & 7#d7 9 subsection 7d7-- 7,a7 9 p>agraph 7#b77;,b77iii71 by add+ at ! end ! foll[+3 ,= grants aw>d$ on or aft] ! date t is #b ye>s aft] ! date ( enactm5t ( ! ,old] ,am]icans ,act ,reau?orization ,act ( #bjbe1 any grantee :o has fail$ to meet ! expect$ levels ( p]=mance = ! #b consecutive ye>s prior to ! subsequ5t grant competition "u section #ead %all n be all[$ to compete 9 ! subsequ5t grant competition "u section #ead foll[+ ! second consecutive ye> ( failure b may compete 9 ! next su* grant competition aft] t subsequ5t competition42 & 7,b7 9 p>agraph 7#c77;,b77iii71 by add+ at ! end ! foll[+3 ,= grants aw>d$ on or aft] ! date t is #b ye>s aft] ! date ( enactm5t ( ! ,old] ,am]icans ,act ,reau?orization ,act ( #bjbe1 if ! ,secret>y det]m9es t ! ,/ate fails to meet ! expect$ levels ( p]=mance describ$ 9 subp>agraph 7,a7 = #b consecutive program ye>s1 ! ,secret>y %all provide = ! conduct by ! ,/ate ( a competition to aw>d ! funds allott$ to ! ,/ate "u section #ejf7;e7 = ! fir/ full program ye> foll[+ ! ,secret>y's det]m9ation44 7c7 ,def9itions & rule 7#a7 ,def9itions ,section #eah7;a77#a77;,a7 7#db ,u4,s4,c4 #cjefp7a77#a77;,a77 is am5d$ to read z foll[s3 7,a7 social1 heal?1 welf>e1 & educational s]vices 7includ+ lit]acy tutor+ & s]vices provid$ by ! ag+ network71 legal & o!r c\nsel+ s]vices & assi/ance 7includ+ tax c\nsel+ & assi/ance & f9ancial c\nsel+71 & libr>y1 recreational1 & o!r simil> s]vices2 4 7#b7 ,rule ,section #eah7;b77#b77;,f7 7#db ,u4,s4,c4 #cjefp7b77#b77;,f77 is am5d$ to read z foll[s3 7,f7 has fail$ to f9d employm5t aft] receiv+ any comb9ation ( tra9+ s]vices or ! foll[+ c>e] s]vices provid$ "u title ,i ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #caaa et seq47-- 7i7 initial or compreh5sive skills assessm5t2 7ii7 labor ex*ange s]vices2 7iii7 provision ( work=ce & labor m>ket in=mation or job se>* assi/ance2 7iv7 developm5t ( an individual employm5t plan2 7v7 gr\p or individual c\nsel+2 7vi7 c>e] plann+2 7vii7 int]n%ip1 "w exp]i5ce1 work=ce prep>ation activities1 or prevocational s]vices2 7viii7 ,engli% language acquisition & integrat$ education & tra9+2 or 7ix7 foll[up s]vices2 4 #ejb4 ,,gao report on alignm5t )9 ! ,community ,s]vice ,employm5t ,program 7a7 ,review ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all complete a review 9 :i* ! ,comptroll] ,g5]al-- 7#a7 evaluates-- 7,a7 ! di/9ct diff]5ces & simil>ities betwe5 ! old] ,am]ican community s]vice employm5t program z au?oriz$ "u title ,v ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjef et seq47 & ! programs c>ri$ out "u title ,i ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #caaa et seq472 & 7,b7 h[ ! programs describ$ 9 subp>agraph 7,a7 s]ve old] individuals 9 seek+ & obta9+ community s]vice employm5t2 7#b7 analyzes ! expect$ levels ( p]=mance describ$ 9 section #eac7;a7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjefk7a771 ! efficacy & impacts ( ! indicators ( p]=mance describ$ 9 section #eac7;b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjefk7b771 & corrective measures describ$ 9 section #eac7;d7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjefk7d77 = ! old] ,am]ican community s]vice employm5t program1 comp>$ ) ! expect$ levels ( p]=mance1 efficacy & impacts ( ! indicators ( p]=mance1 & corrective measures describ$ 9 section #aaf ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #cada7 = programs au?oriz$ "u title ,i ( su* ,act1 includ+ ! efficacy ( ! indicators ( p]=mance describ$ 9 section #eac7;b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjefk7b77 = individuals describ$ 9 subsection 7a77#c77;,b77ii7 or subsection 7b7 ( section #eah ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjefp72 7#c7 develops recomm5dations = any alt]native measures t may bett] measure ! efficacy ( ! old] ,am]ican community s]vice employm5t program z au?oriz$ "u title ,v ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjef et seq47 = individuals describ$ 9 subsection 7a77#c77;,b77ii7 or subsection 7b7 ( section #eah ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjefp7 to a*ieve ! objectives describ$ 9 section #aja ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja72 & 7#d7 evaluates h[ ! ,dep>tm5t ( ,labor coord9ates deliv]y ( s]vices ) ,/ate & national grantees "u title ,v ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjef et seq47 & ) ,/ates & local work=ce developm5t areas "u title ,i ( ! ,work=ce ,innovation & ,opportunity ,act 7#bi ,u4,s4,c4 #caaa et seq47 to s]ve old] individuals4 7b7 ,report to congress ,n lat] ?an #ahj days aft] ! review requir$ "u ?is section is complet$1 ! ,comptroll] ,g5]al %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,special ,committee on ,ag+ ( ! ,s5ate & ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives a report on ! results ( su* review4 ,,vi ,improv+ ,s]vices = ,native ,eld]s #fja4 ,old] ,am]icans ,tribal ,advisory ,committee ,section #bja7;c7 7#db ,u4,s4,c4 #cjaa7;c77 is am5d$ by add+ at ! end ! foll[+3 7#d7 7,a7 ,9 addition to o!r me?ods ( gov]nm5t-to-gov]nm5t consultation betwe5 ! ,adm9i/ration & ,indian ,tribes & conf]r+ ) organizations repres5t+ ,native ,hawaiians1 ! ,assi/ant ,secret>y %all e/abli% an advisory committee1 to be kn[n z ! ,old] ,am]icans ,tribal ,advisory ,committee 7ref]r$ to 9 ?is p>agraph z ! ,committee7 to provide advice & guidance to ! ,assi/ant ,secret>y on matt]s relat+ to ! ne$s ( old] individuals :o are ,native ,am]icans & implem5tation ( relat$ programs & activities "u ?is ,act4 7,b7 ,! ,committee %all be compos$ ( #aa vot+1 non-,f$]al memb]s1 includ+-- 7i7 geographically div]se individuals ) exp]tise on ! range ( issues affect+ ,indian ,tribes1 organizations repres5t+ ,native ,hawaiians1 & old] individuals :o are ,native ,am]icans2 7ii7 n less ?an #a memb] :o is an ,alaska ,native2 & 7iii7 n less ?an #a memb] :o is a ,native ,hawaiian4 7,c7 ,! ,committee %all include non-vot+1 ex (ficio repres5tatives ( relevant ,f$]al dep>tm5ts & ag5cies1 includ+-- 7i7 ! ,adm9i/ration2 7ii7 ! ,indian ,heal? ,s]vice2 7iii7 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 7iv7 ! ,dep>tm5t ( ! ,int]ior2 7v7 ! ,dep>tm5t ( ,labor2 & 7vi7 any o!r ag5cy or (fice ) subject matt] exp]tise t ! ,assi/ant ,secret>y det]m9es appropriate4 7,d7 ,! ,committee %all meet 9 p]son n less frequ5tly ?an twice ea* ye>4 7,e7 ,! ,committee %all coord9ate1 z appropriate1 ) ! ,secret>y's ,tribal ,advisory ,committee ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7,f7 7i7 ,n less frequ5tly ?an once ea* ye>1 ! ,committee %all submit to ! ,assi/ant ,secret>y & make publicly available a report t describes-- 7,i7 ! activities ( ! ,committee dur+ ! previ\s ye>2 & 7,,ii7 recomm5dations = adm9i/rative action1 includ+ ! id5tification ( any /atutory b>ri]s to c>ry+ out su* recomm5dations1 = ! foll[+ ye>4 7ii7 ,n lat] ?an #fj days aft] ! date on :i* ! ,assi/ant ,secret>y receives a report "u clause 7i71 ! ,assi/ant ,secret>y %all submit to ! ,committee a writt5 response to su* report4 7,g7 ,*apt] #aj ( title #e1 ,unit$ ,/ates ,code1 %all n apply to ! ,committee4 7,h7 ,9 e/abli%+1 develop+ proc$ures =1 & op]at+ ! ,committee1 ! ,assi/ant ,secret>y %all-- 7i7 consult ) ,indian ,tribes & conf] ) organizations repres5t+ ,native ,hawaiians2 & 7ii7 take into consid]ation be/ practices ( o!r ,tribal advisory committees op]at$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices be=e ! date ( enactm5t ( ! ,old] ,am]icans ,act ,reau?orization ,act ( #bjbe4 4 #fjb4 ,supportive s]vices2 set aside 7a7 ,supportive s]vices ,section #fcf 7#db ,u4,s4,c4 #cjegk-#ba7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ may & ins]t+ %all1 z practicable12 & 7#b7 9 subsection 7b77#b71 by /rik+ 9-home assi/ance & ins]t+ 9-home s]vices4 7b7 ,fund+ set aside ,section #fdd 7#db ,u4,s4,c4 #cjego7 is am5d$-- 7#a7 by /rik+ ,( & ins]t+ ! foll[+3 7a7 ,9 g5]al ,( 2 & 7#b7 by add+ at ! end ! foll[+3 7b7 ,report ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,old] ,am]icans ,act ,reau?orization ,act ( #bjbe1 ! ,assi/ant ,secret>y %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives1 a report on ! use ( funds "u "p ,d4 ,su* report %all include-- 7#a7 ! total am\nt ( funds made available "u subsection 7a7 to c>ry out "p ,d = ea* fiscal ye>2 7#b7 a li/ ( aw>d recipi5ts "u "p ,d2 & 7#c7 a summ>y ( supportive s]vices = heal?y ag+ & indep5d5ce provid$ "u "p ,d4 4 #fjc4 ,,gao report on ,tribal s]vices ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report t-- 7#a7 evaluates & id5tifies b>ri]s to ,indian ,tribes 7z def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd77 & organizations s]v+ ,native ,hawaiians access+ programs "u title ,,vi ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeg et seq471 & coord9ation ( su* programs "u su* title ,,vi ) programs fund$ "u titles ,,iii & ,,iv ( su* ,act 7#db ,u4,s4,c4 #cjba et seq41 #db ,u4,s4,c4 #cjca et seq471 includ+ by-- 7,a7 e/imat+ ! numb] ( ,native ,am]icans uns]v$ by programs "u su* title ,,vi2 7,b7 id5tify+ ,/ates & area ag5cies on ag+ mak+ grants to ,indian ,tribes "u su* title ,,iii2 & 7,c7 provid+ e/imates ( fund+ necess>y to support programs "u su* title ,,vi = all ,tribal organizations 7z def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd77 & organizations s]v+ ,native ,hawaiians t are n eligible "u su* title ,,vi 7z 9 effect on ! date ( enactm5t ( ?is ,act72 & 7#b7 details h[ grantees "u title ,v ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjef et seq47 are s]v+ old] individuals :o are ,native ,am]icans ) funds receiv$ "u su* title ,v1 includ+ by evaluat+ h[ ! ,secret>y ( ,labor coord9ates ) ,/ate & national grantees "u su* title ,v to s]ve old] individuals :o are ,native ,am]icans4 #fjd4 ,te*nical am5dm5ts ,! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq47 is am5d$-- 7#a7 9 section #ajb 7#db ,u4,s4,c4 #cjjb7-- 7,a7 9 p>agraph 7#bg71 by /rik+ ! t]m ,indian tribe means any tribe & ins]t+ ! t]m ,indian ,tribe means any ,tribe2 & 7,b7 9 p>agraph 7#ef71 by /rik+ ! t]m tribal organization means & ins]t+ ! t]m ,tribal organization means2 7#b7 9 section #dah7;a77#b77f7 7#db ,u4,s4,c4 #cjcb;g7a77#b77f771 by /rik+ ,speak] ( ! ,h\se ( ,repres5tatives & ! ,presid5t pro tempore ( ! ,s5ate & ins]t+ ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives2 7#c7 9 section #fab7;c7 7#db ,u4,s4,c4 #cjeg;c7c77-- 7,a7 by /rik+ t]ms ,indian tribe & tribal organization h & ins]t+ t]ms ,indian ,tribe & ,tribal organization h2 & 7,b7 by /rik+ 7#be ,u4,s4,c4 #dej;b7 & ins]t+ 7#be ,u4,s4,c4 #ecjd72 & 7#d7 by /rik+ tribe1 tribes1 & tribal ea* place su* t]ms appe> & ins]t+ ,tribe1 ,tribes1 & ,tribal1 respectively4 ,,vii ,/r5g!n+ ! ,long-,t]m ,c>e ,ombudsman ,programs & ,eld] ,abuse ,prev5tion #gja4 ,director ( ! ,(fice ( ,long-,t]m ,c>e ,ombudsman ,programs ,section #bja7;d77#b77;,a7 7#db ,u4,s4,c4 #cjaa7;d77#b77;,a77 is am5d$1 9 ! second s5t5ce1 by ins]t+ s]ve on a full-"t basis & aft] %all4 #gjb4 ,legal assi/ance tra9+ res\rces relat+ to eld] abuse prev5tion ,section #bja7;e77#b77;,a7 7#db ,u4,s4,c4 #cjaa7;e77#b77;,a77 is am5d$ by /rik+ clause 7v7 & ins]t+ ! foll[+3 7v7 e/abli%+ an in=mation cle>+h\se to collect1 ma9ta91 & dissem9ate in=mation conc]n+ be/ practices & res\rces = tra9+1 te*nical assi/ance1 & o!r activities1 :i* may include tra9+ res\rces = p>alegals or law /ud5ts :o are "u ! direct sup]vision ( an attorney1 to assi/ ,/ate ,long-,t]m ,c>e ,ombudsman programs1 adult protective s]vices programs1 & o!r legal s]vices relat+ to def5se ( gu>dian%ip1 promotion ( self-det]m9ation1 & ! matt]s describ$ 9 clause 7ii77,i71 & to assi/ ,/ates & communities to c>ry out evid5ce-bas$ programs to prev5t & address eld] abuse1 neglect1 & exploitation2 4 #gjc4 ,improv+ tra9+ ( volunte]s "u ! ,/ate ,long-,t]m ,c>e ,ombudsman ,program ,section #gab 7#db ,u4,s4,c4 #cjeh;g7 is am5d$-- 7#a7 9 subsection 7h77#e7-- 7,a7 9 ! matt] prec$+ subp>agraph 7,a7-- 7i7 by /rik+ ! repres5tatives & ins]t+ ea* type ( repres5tative2 & 7ii7 by ins]t+ types ( be=e unpaid volunte]s2 7,b7 9 subp>agraph 7,a71 by ins]t+ = ea* su* type ( repres5tative be=e ! semicolon at ! end2 7,c7 9 subp>agraph 7,b77iii71 by /rik+ & at ! end2 7,d7 9 subp>agraph 7,c71 by add+ & at ! end2 & 7,e7 by add+ at ! end ! foll[+3 7,d7 ) respect to repres5tatives ( ! ,(fice :o are unpaid volunte]s1 take into consid]ation ! degree to :i* ea* su* type ( unpaid volunte] p]=ms activities requir+ specializ$ tra9+1 ) a goal ( r$uc+ unnecess>y tra9+ requirem5ts = prospective unpaid volunte]s2 2 & 7#b7 by add+ at ! end ! foll[+3 7k7 ,tra9+ requirem5ts = unpaid volunte]s 7#a7 ,9 g5]al ,9 provid+ ! model /&>ds describ$ 9 subsection 7h77#e71 ! ,director ( ! ,(fice ( ,long-,t]m ,c>e ,ombudsman ,programs %all review &1 z necess>y1 update su* model /&>ds on a regul> basis to tailor su* model /&>ds to ! individualiz$ tra9+ ne$s ( ea* type ( repres5tative ( ! ,(fice1 includ+ ea* type ( unpaid volunte]4 7#b7 ,consid]ations ,9 c>ry+ out p>agraph 7#a71 ! ,director ( ! ,(fice ( ,long-,t]m ,c>e ,ombudsman ,programs %all take into consid]ation ! degree to :i* ea* type ( repres5tative ( ! ,(fice p]=ms activities t require specializ$ tra9+1 ) a goal ( r$uc+ unnecess>y tra9+ requirem5ts = unpaid volunte]s4 4 #gjd4 ,report+ on ,/ate ,long-,t]m ,c>e ,ombudsman ,programs ,*apt] #b ( subtitle ,a ( title ,,vii 7#db ,u4,s4,c4 #cjeh;f et seq47 is am5d$ by add+ at ! end ! foll[+3 #gad4 ,reports to ,congress ,ea* ye>1 ! ,assi/ant ,secret>y %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,special ,committee on ,ag+ ( ! ,s5ate & ! ,committee on ,education & ,work=ce ( ! ,h\se ( ,repres5tatives1 & make publicly available1 a report t-- 7#a7 aggregates all reports submitt$ "u section #gab7;h7 = su* ye>2 & 7#b7 provides a summ>y ( ! f9d+s ( su* reports4 4 #gje4 ,/udy on ,/ate ,long-,t]m ,c>e ,ombudsman ,programs 7a7 ,9 g5]al ,! ,assi/ant ,secret>y %all seek to ent] into a contract ) ! ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e 7ref]r$ to 9 ?is section z ! ,national ,academies7 to conduct a /udy on ! ,/ate ,long-,t]m ,c>e ,ombudsman programs c>ri$ out "u ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjja et seq471 includ+ an assessm5t ( ! effectiv5ess ( su* programs & any relat$ *all5ges & recomm5dations4 ,! /udy %all include an assessm5t ( ! curr5t 7z ( ! date on :i* ! contract is ent]$ into7 recomm5d$ /aff-to-b$ ratio = su* programs1 z appropriate4 7b7 ,report ,n lat] ?an #ah mon?s aft] ! date on :i* a contract is ent]$ into "u subsection 7a71 ! ,national ,academies %all publicly issue a report on ! f9d+s ( ! /udy "u ?is section4 ,,viii ,au?orizations ( appropriations #hja4 ,adm9i/ration on ,ag+ ,section #baf 7#db ,u4,s4,c4 #cjbj;f7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ #dc1icg1daj & all t foll[s ?r\gh fiscal ye> #bjbd & ins]t+ #ee1dfi1ifh = fiscal ye> #bjbf1 #eh1jcd1aig = fiscal ye> #bjbg1 #fj1gaf1ifd = fiscal ye> #bjbh1 #fc1ebc1gdg = fiscal ye> #bjbi1 & #ff1dfj1bha = fiscal ye> #bjcj2 & 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a71 by /rik+ #b1ahj1ffj & all t foll[s ?r\gh fiscal ye> #bjbd & ins]t+ #b1gec1jcc = fiscal ye> #bjbf1 #b1hhj1bih = fiscal ye> #bjbg1 #c1jac1ddg = fiscal ye> #bjbh1 #c1aeb1gea = fiscal ye> #bjbi1 & #c1bih1did = fiscal ye> #bjcj2 7,b7 9 p>agraph 7#b71 by /rik+ #a1ihh1jfj & all t foll[s ?r\gh fiscal ye> #bjbd & ins]t+ #b1eji1hhj = fiscal ye> #bjbf1 #b1fbe1ije = fiscal ye> #bjbg1 #b1gdg1bid = fiscal ye> #bjbh1 #b1hgd1bid = fiscal ye> #bjbi1 & #c1jjg1afe = fiscal ye> #bjcj2 7,c7 9 p>agraph 7#c71 by /rik+ #a1cga1gdj & all t foll[s ?r\gh fiscal ye> #bjbd & ins]t+ #a1gca1gij = fiscal ye> #bjbf1 #a1haa1hdf = fiscal ye> #bjbg1 #a1hie1fjc = fiscal ye> #bjbh1 #a1ihc1bcb = fiscal ye> #bjbi1 & #b1jgd1iaa = fiscal ye> #bjcj2 & 7,d7 9 p>agraph 7#d71 by /rik+ #h1fhg1ccj & all t foll[s ?r\gh fiscal ye> #bjbd & ins]t+ #aj1ifg1eed = fiscal ye> #bjbf1 #aa1dgd1eee = fiscal ye> #bjbg1 #ab1jjd1iic = fiscal ye> #bjbh1 #ab1eei1ieb = fiscal ye> #bjbi1 & #ac1adj1efe = fiscal ye> #bjcj4 #hjb4 ,grants = ,/ate & community programs on ag+ 7a7 ,9 g5]al ,section #cjc 7#db ,u4,s4,c4 #cjbc7 is am5d$-- 7#a7 9 subsection 7a77#a71 by /rik+ #dab1jbi1ahj & all t foll[s ?r\gh fiscal ye> #bjbd & ins]t+ #ebj1agg1cdg = fiscal ye> #bjbf1 #edd1bbc1gfb = fiscal ye> #bjbg1 #efi1cha1ghj = fiscal ye> #bjbh1 #eie1gjb1ghe = fiscal ye> #bjbi1 & #fbc1bdj1eda = fiscal ye> #bjcj2 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a71 by /rik+ #ecj1jae1idj & all t foll[s ?r\gh fiscal ye> #bjbd & ins]t+ #ffi1acb1iac = fiscal ye> #bjbf1 #gjj1jfe1adh = fiscal ye> #bjbg1 #gcb1dbg1bih = fiscal ye> #bjbh1 #gff1bhe1dfe = fiscal ye> #bjbi1 & #hja1gjh1hjd = fiscal ye> #bjcj2 & 7,b7 9 p>agraph 7#b71 by /rik+ #bfh1ice1idj & all t foll[s ?r\gh fiscal ye> #bjbd & ins]t+ #cci1ebe1dbh = fiscal ye> #bjbf1 #cee1bbj1ghf = fiscal ye> #bjbg1 #cga1fda1fih = fiscal ye> #bjbh1 #chh1hba1gje = fiscal ye> #bjbi1 & #djf1gie1hii = fiscal ye> #bjcj2 7#c7 9 subsection 7d71 by /rik+ #bf1ehg1cfj & all t foll[s ?r\gh fiscal ye> #bjbd & ins]t+ #cc1efe1ibi = fiscal ye> #bjbf1 #ce1aag1eic = fiscal ye> #bjbg1 #cf1gdj1ihf = fiscal ye> #bjbh1 #ch1dci1dbd = fiscal ye> #bjbi1 & #dj1baf1cgf = fiscal ye> #bjcj2 & 7#d7 9 subsection 7e71 by /rik+ #aic1hfi1jbj & all t foll[s ?r\gh fiscal ye> #bjbd & ins]t+ #bdd1gee1aga = fiscal ye> #bjbf1 #bef1jfi1eeb = fiscal ye> #bjbg1 #bfg1ijf1iff = fiscal ye> #bjbh1 #bhj1bia1eic = fiscal ye> #bjbi1 & #bic1bdh1gbh = fiscal ye> #bjcj4 7b7 ,nutrition s]vices inc5tive program ,section #caa7;e7 7#db ,u4,s4,c4 #cjcj;a7e77 is am5d$ by /rik+ #aga1bgc1hcj & all t foll[s ?r\gh fiscal ye> #bjbd & ins]t+ #baf1bbi1bfd = fiscal ye> #bjbf1 #bbf1bbd1ifh = fiscal ye> #bjbg1 #bcf1fhb1gdg = fiscal ye> #bjbh1 #bdg1fbc1ifa = fiscal ye> #bjbi1 & #bei1jgj1ieh = fiscal ye> #bjcj4 #hjc4 ,activities = heal?1 indep5d5ce1 & longevity ,section #daa7;b7 7#db ,u4,s4,c4 #cjcb7;b77 is am5d$-- 7#a7 9 p>agraph 7#a71 by /rik+ #ad1ead1eej & all t foll[s ?r\gh fiscal ye> #bjbd & ins]t+ #ah1cbd1bhe = fiscal ye> #bjbf1 #ai1aga1cfh = fiscal ye> #bjbg1 #bj1jeg1fji = fiscal ye> #bjbh1 #bj1ihd1hai = fiscal ye> #bjbi1 & #ba1ied1hib = fiscal ye> #bjcj2 & 7#b7 9 p>agraph 7#b71 by /rik+ #ae1fac1ddj & all t foll[s ?r\gh fiscal ye> #bjbd & ins]t+ #ai1gaa1fjh = fiscal ye> #bjbf1 #bj1fbb1hbc = fiscal ye> #bjbg1 #ba1egf1afa = fiscal ye> #bjbh1 #bb1egc1egj = fiscal ye> #bjbi1 & #bc1fag1jhf = fiscal ye> #bjcj4 #hjd4 ,community ,s]vice ,s5ior ,opportunities ,act ,section #eag7;a7 7#db ,u4,s4,c4 #cjefo7a77 is am5d$ by /rik+ #dbh1jjj1jjj & all t foll[s ?r\gh fiscal ye> #bjbd & ins]t+ #edj1cdj1aci = fiscal ye> #bjbf1 #efe1cah1fbg = fiscal ye> #bjbg1 #eia1dea1hjd = fiscal ye> #bjbh1 #fah1gic1jdh = fiscal ye> #bjbi1 & #fdg1cih1bje = fiscal ye> #bjcj4 #hje4 ,grants = ,native ,am]icans ,section #fdc 7#db ,u4,s4,c4 #cjegn7 is am5d$-- 7#a7 9 p>agraph 7#a71 by /rik+ #cg1ajb1efj & all t foll[s ?r\gh fiscal ye> #bjbd & ins]t+ #dg1jbh1dce = fiscal ye> #bjbf1 #di1bjb1dcd = fiscal ye> #bjbg1 #ea1dgf1icb = fiscal ye> #bjbh1 #ec1hef1egd = fiscal ye> #bjbi1 & #ef1cdf1bbj = fiscal ye> #bjcj2 & 7#b7 9 p>agraph 7#b71 by /rik+ #aj1gei1ibj & all t foll[s ?r\gh fiscal ye> #bjbd & ins]t+ #ac1ehd1aea = fiscal ye> #bjbf1 #ad1bab1aaj = fiscal ye> #bjbg1 #ad1hfi1jih = fiscal ye> #bjbh1 #ae1eef1deg = fiscal ye> #bjbi1 & #af1bge1eia = fiscal ye> #bjcj4 #hjf4 ,allotm5ts = eld] rights protection activities ,section #gjb 7#db ,u4,s4,c4 #cjeh;a7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ #ah1jff1iej & all t foll[s ?r\gh fiscal ye> #bjbd & ins]t+ #bb1hji1ajh = fiscal ye> #bjbf1 #bc1hfc1eab = fiscal ye> #bjbg1 #bd1iff1fei = fiscal ye> #bjbh1 #bf1abj1hja = fiscal ye> #bjbi1 & #bg1cbh1big = fiscal ye> #bjcj2 & 7#b7 9 subsection 7b71 by /rik+ #e1ajg1aaj & all t foll[s ?r\gh fiscal ye> #bjbd & ins]t+ #f1ddg1fji = fiscal ye> #bjbf1 #f1gde1ffe = fiscal ye> #bjbg1 #g1jeg1dii = fiscal ye> #bjbh1 #g1chc1gdh = fiscal ye> #bjbi1 & #g1gbe1jgi = fiscal ye> #bjcj4