,,ii  #aaith ,,congress  #ast ,session  
,s4 #bdij  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,july #bi1     
#bjbe,mr4 ,kaine 7for himself and ,mr4  
,kim7 introduced the following bill2    
which was read twice and referred to the
 ,committee on ,health1 ,education1     
,labor1 and ,pensions  ,a ,,bill  ,to   
improve the ,long-,term ,care ,ombudsman
 program4  #a4 ,short title ,this ,act  
may be cited as the ,strengthening      
,advocacy for ,long-,term ,care         
,residents ,act4  #b4 ,improving        
training of volunteers under the ,state 
,long-,term ,care ,ombudsman ,program   
,section #gab of the ,older ,americans  
,act of #aife 7#db ,u4,s4,c4 #cjeh;g7 is
 amended-- 7#a7 in subsection 7h77#e7-- 
7,a7 in the matter preceding            
subparagraph 7,a7-- 7i7 by striking the 
representatives and inserting each type 
of representative2 and  7ii7 by         
inserting types of before unpaid        
volunteers2  7,b7 in subparagraph 7,a71 
by inserting for each such type of      

representative before the semicolon at  
the end2  7,c7 in subparagraph          
7,b77iii71 by striking and at the end2  
7,d7 in subparagraph 7,c71 by adding and
 at the end2 and  7,e7 by adding at the 
end the following3  7,d7 with respect to
 representatives of the ,office who are 
unpaid volunteers1 take into            
consideration the degree to which each  
such type of unpaid volunteer performs  
activities requiring specialized        
training1 with a goal of reducing       
unnecessary training requirements for   
prospective unpaid volunteers2  2 and   
7#b7 by adding at the end the following3
  7k7 ,training requirements for unpaid 
volunteers  7#a7 ,in general ,in        
providing the model standards described 
in subsection 7h77#e71 the ,director of 
the ,office of ,long-,term ,care        
,ombudsman ,programs shall review and1  
as necessary1 update such model         
standards on a regular basis to tailor  
such model standards to the             
individualized training needs of each   

type of representative of the ,office1  
including each type of unpaid volunteer4
  7#b7 ,considerations ,in carrying out 
paragraph 7#a71 the ,director of the    
,office of ,long-,term ,care ,ombudsman 
,programs shall take into consideration 
the degree to which each type of        
representative of the ,office performs  
activities that require specialized     
training1 with a goal of reducing       
unnecessary training requirements for   
unpaid volunteers4  4  #c4 ,director of 
the ,office of ,long-,term ,care        
,ombudsman ,programs ,section           
#bja7;d77#b77;,a7 of the ,older         
,americans ,act of #aife 7#db ,u4,s4,c4 
#cjaa7;d77#b77;,a77 is amended in the   
second sentence by inserting serve on a 
full-time basis and after shall4  #d4   
,study on ,state ,long-,term ,care      
,ombudsman ,programs  7a7 ,in general   
,the ,assistant ,secretary for ,aging   
shall seek to enter into a contract with
 the ,national ,academies of ,sciences1 
,engineering1 and ,medicine 7referred to

 in this section as the ,national       
,academies7 to conduct a study on the   
,state ,long-,term ,care ,ombudsman     
programs carried out under the ,older   
,americans ,act of #aife 7#db ,u4,s4,c4 
#cjja et seq471 including an assessment 
of the effectiveness of such programs   
and any related challenges1 and         
recommendations4 ,the study shall       
include an assessment of the current 7as
 of the date on which the contract is   
entered into7 recommended staff-to-bed  
ratio for such programs1 as appropriate4
  7b7 ,report ,not later than #a year   
after the date on which a contract is   
entered into under subsection 7a71 the  
,national ,academies shall publicly     
issue a report on the findings of such  
study4