,,ii #aaith ,,congress #ast ,session ,s4 #bhcc ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,september #ag 7legislative day1 ,september #af71 #bjbe,mr4 ,king 7for himself and ,mr4 ,rounds7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,older ,americans ,act of #aife to improve falls prevention research and activities1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,stand ,strong ,falls ,prevention ,act4 #b4 ,advisory ,committee on ,falls ,prevention of the ,administration on ,aging ,title ,,ii of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjaa et seq47 is amended by inserting after section #bjc;,a the following3 #bjc;,b4 ,falls ,prevention activities 7a7 ,advisory committee on ,falls ,prevention 7#a7 ,establishment ,there is established an ,advisory ,committee on ,falls ,prevention 7referred to in this section as the ,advisory ,committee7 to advise the ,assistant ,secretary on developing and maintaining the national plan described in paragraph 7#b77;,a7 and carrying out the assessments described in paragraph 7#b77;,c74 ,the ,advisory ,committee shall be headed by a ,chair 7referred to in this section as the ,chair74 7#b7 ,duties of the ,advisory ,committee ,the ,advisory ,committee shall-- 7,a7 be responsible for1 and oversee1 the creation and maintenance of an integrated national plan to address falls prevention1 including through accelerating the development of falls prevention programs1 modalities1 or interventions that aim to prevent falls and reduce the prevalence and severity of injuries resulting from falls2 7,b7 advise and assist the ,assistant ,secretary in providing information and coordination of falls prevention research and services across all ,federal agencies2 7,c7 carry out the assessment under subsection 7b77#b77;,b71 including-- 7i7 an assessment of-- 7,i7 all ,federal efforts and programs related to falls prevention1 including budget requests and approvals2 and 7,,ii7 the progress of the ,united ,states in addressing falls prevention2 and 7,d7 make recommendations1 including implementation steps for priority actions1 based on such assessment4 7#c7 ,membership ,the ,advisory ,committee shall be comprised of the following3 7,a7 ,federal members ,members of the ,advisory ,committee shall include the following3 7i7 ,one representative from each of the following agencies1 appointed by the head of each such agency3 7,i7 ,the ,centers for ,disease ,control and ,prevention4 7,,ii7 ,the ,centers for ,medicare ,medicaid ,services4 7,,iii7 ,the ,indian ,health ,service4 7,,iv7 ,the ,national ,institutes of ,health4 7,v7 ,the ,office of the ,assistant ,secretary for ,health4 7,,vi7 ,the ,national ,science ,foundation4 7,,vii7 ,the ,department of ,veterans ,affairs4 7,,viii7 ,the ,food and ,drug ,administration4 7,,ix7 ,the ,agency for ,healthcare ,research and ,quality4 7,x7 ,the ,department of ,labor4 7,,xi7 ,the ,department of ,housing and ,urban ,development4 7,,xii7 ,the ,office of the ,assistant ,secretary for ,planning and ,evaluation of the ,department of ,health and ,human ,services4 7,,xiii7 ,the ,office of ,rural ,development of the ,department of ,agriculture4 7,,xiv7 ,the ,rehabilitation ,services ,administration of the ,department of ,education4 7,,xv7 ,the ,weatherization ,assistance ,program of the ,department of ,energy4 7ii7 ,one designee to be assigned by the ,assistant ,secretary from other officials described in section #bjc7;c77#b74 7,b7 ,non-,federal members ,members of the ,advisory ,committee shall include #ab expert members from outside the ,federal ,government to be appointed by the ,assistant ,secretary1 including the following3 7i7 ,two consumer advocates with demonstrated experience related to falls prevention4 7ii7 ,two health care providers with falls prevention expertise4 7iii7 ,two representatives of ,state health departments that have implemented programs specifically related to falls prevention4 7iv7 ,two researchers in falls prevention-related research4 7v7 ,two caregivers that have experience with-- 7,i7 patients who fell2 or 7,,ii7 falls prevention4 7vi7 ,two voluntary health association representatives that have demonstrated experience in patient care and research1 including patient services1 referral1 support groups1 care consultation1 education1 and safety services4 7vii7 ,two aging service providers with falls prevention expertise4 7viii7 ,two housing assistance experts that have demonstrated experience with-- 7,i7 research2 7,,ii7 tenant or homeowner assistance2 or 7,,iii7 working with housing nonprofit associations4 7ix7 ,two disability service providers that have experience with assistive technology4 7x7 ,two ,state falls prevention coalition leaders4 7,c7 ,chair ,the ,assistant ,secretary shall appoint one member of the ,advisory ,committee to serve as ,chair4 7,d7 ,period of appointment2 vacancies 7i7 ,in general ,a member of the ,advisory ,committee appointed under subparagraph 7,a7 or 7,b7 shall be appointed for a term of #e years4 7ii7 ,vacancies ,a vacancy in the ,advisory ,committee-- 7,i7 shall not affect the powers of the ,advisory ,committee2 and 7,,ii7 shall be filled in the same manner as the original appointment4 7#d7 ,meetings ,the ,advisory ,committee shall meet every #d months1 beginning #b months after all initial members of the ,advisory ,committee have been appointed4 7#e7 ,initial report 7,a7 ,in general ,not later than #a year after the date on which all initial members of the ,advisory ,committee have been appointed1 the ,advisory ,committee shall provide to the ,assistant ,secretary and ,congress-- 7i7 an initial evaluation of all federally funded efforts in programs related to falls prevention1 including educational programs1 home- and community-based programs1 emergency medical services1 and hospital or health system programs1 and their outcomes2 7ii7 initial recommendations for priority actions to expand1 eliminate1 coordinate1 or condense each such program based on the performance1 mission1 and purpose of each such program2 7iii7 except as provided in subparagraph 7,c71 a recommendation for developing-- 7,i7 under title ,,xviii of the ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq471 a pilot or demonstration program to provide-- 7aa7 coverage under such title for not less than #bj1jjj ,medicare beneficiaries of basic home modifications to reduce falls2 and 7bb7 evidence-based falls prevention programs2 and 7,,ii7 under section #aaae;,a of the ,social ,security ,act 7#db ,u4,s4,c4 #acae;a7-- 7aa7 a broad payment demonstration model to test coverage of basic home modifications to reduce falls2 and 7bb7 evidence-based falls prevention programs2 7iv7 recommendations on how to increase use by providers1 for patients with public or private health insurance plans1 of the falls risk screening1 assessment1 intervention1 and follow-up tool developed through the ,stopping ,elderly ,accidents1 ,deaths1 and ,injuries 7,,steadi7 initiative of the ,centers for ,disease ,control and ,prevention2 and 7v7 7,i7 a report on the status and success of public education and activation campaigns related to falls prevention2 and 7,,ii7 recommendations for improvements for future federally-funded public education and activation campaigns related to falls prevention4 7,b7 ,recommendations for ,medicare pilot or demonstration programs ,the recommendation described in subparagraph 7,a77iii7 may include-- 7i7 a recommendation on how the ,administrator of the ,centers for ,medicare ,medicaid ,services could design1 develop1 and test a payment model under title ,,xviii of the ,social ,security ,act that combines coverage of basic home modifications with services that are furnished by a qualifying provider determined by such ,administrator and are furnished under a health care provider's supervision2 and 7ii7 a recommendation on coverage under title ,,xviii of falls prevention services that are evidence-based 7within the meaning of such term under section #cfa7;a77 to improve patient care1 mitigate mobility and functional deterioration in functional activities1 and lower program expenditures under such title4 7,c7 ,exception ,the recommendation required under subparagraph 7,a77iii7 shall not be required if an ,act of ,congress1 enacted as of the date of enactment of this section1 requires the ,administrator of the ,centers for ,medicare ,medicaid ,services to develop a program or payment model described in such subparagraph4 7#f7 ,powers of ,advisory ,committee 7,a7 ,hearings ,the ,advisory ,committee may hold such hearings1 sit and act at such times and places1 take such testimony1 and receive such evidence as the ,advisory ,committee considers advisable to carry out this subsection4 7,b7 ,information from ,federal agencies 7i7 ,in general ,the ,advisory ,committee may secure directly from a ,federal department or agency such information as the ,advisory ,committee considers necessary to carry out this subsection4 7ii7 ,furnishing information ,on request of the ,chair of the ,advisory ,committee1 the head of the department or agency shall furnish the information to the ,advisory ,committee4 7,c7 ,postal services ,the ,advisory ,committee may use the ,united ,states mails in the same manner and under the same conditions as other departments and agencies of the ,federal ,government4 7,d7 ,gifts ,the ,advisory ,committee may accept1 use1 and dispose of gifts or donations of services or property4 7#g7 ,advisory ,committee personnel matters 7,a7 ,compensation of members ,a member of the ,advisory ,committee who is not an officer or employee of the ,federal ,government shall be compensated at a rate equal to the daily equivalent of the annual rate of basic pay prescribed for level ,,iv of the ,executive ,schedule under section #ecae of title #e1 ,united ,states ,code1 for each day 7including travel time7 during which the member is engaged in the performance of the duties of the ,advisory ,committee4 7,b7 ,travel expenses ,a member of the ,advisory ,committee shall be allowed travel expenses1 including per diem in lieu of subsistence1 at rates authorized for employees of agencies under subchapter ,i of chapter #eg of title #e1 ,united ,states ,code1 while away from their homes or regular places of business in the performance of services for the ,advisory ,committee4 7#h7 ,staff 7,a7 ,in general ,the ,chair of the ,advisory ,committee may1 without regard to the civil service laws 7including regulations71 appoint and terminate an executive director and such other additional personnel as may be necessary to enable the ,advisory ,committee to perform its duties1 except that the employment of an executive director shall be subject to confirmation by the ,advisory ,committee4 7,b7 ,compensation ,the ,chair of the ,advisory ,committee may fix the compensation of the executive director and other personnel without regard to chapter #ea and subchapter ,,iii of chapter #ec of title #e1 ,united ,states ,code1 relating to classification of positions and ,general ,schedule pay rates1 except that the rate of pay for the executive director and other personnel may not exceed the rate payable for level ,v of the ,executive ,schedule under section #ecaf of that title4 7#i7 ,detail of government employees ,a ,federal ,government employee may be detailed to the ,advisory ,committee without reimbursement1 and such detail shall be without interruption or loss of civil service status or privilege4 7#aj7 ,procurement of temporary and intermittent services ,the ,chair of the ,advisory ,committee may procure temporary and intermittent services under section #caji7;b7 of title #e1 ,united ,states ,code1 at rates for individuals that do not exceed the daily equivalent of the annual rate of basic pay prescribed for level ,v of the ,executive ,schedule under section #ecaf of that title4 7#aa7 ,coordination of public education campaigns ,the ,director shall share recommendations developed by the ,advisory ,committee with entities that receive ,federal funding for public education campaigns relating to falls prevention1 including under section #cic;,d7a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;b-#a;f7a774 7#ab7 ,termination ,the ,advisory ,committee shall terminate on the date that is #aj years after the date on which all initial members are appointed4 7b7 ,reports relating to falls prevention 7#a7 ,data sharing ,agencies within the ,department of ,health and ,human ,services1 and other ,federal agencies1 that have data relating to falls prevention shall share such data with the ,assistant ,secretary1 to enable the ,assistant ,secretary to complete the reports under paragraph 7#b74 7#b7 ,regular reports ,the ,assistant ,secretary shall submit to ,congress a report1 not later than #a year after the date of enactment of the ,stand ,strong ,falls ,prevention ,act and every #d years thereafter1 that includes-- 7,a7 an evaluation of all federally funded programs and efforts in falls prevention 7including education programs1 home and community-based programs1 and hospital programs and any such programs or efforts included in budget requests and approvals71 including an evaluation with respect to the outcomes 7including program performance71 mission1 and purpose of such programs related to falls prevention2 7,b7 an assessment of the progress of the ,united ,states in addressing falls prevention1 as reported by the ,advisory ,committee under subsection 7a77#b77;,b72 7,c7 an evaluation of the implementation of any pilot or demonstration program or model recommended under subsection 7a77#e77;,b7 or any other pilot or demonstration program described in such subsection that has otherwise been initiated by the ,administrator of the ,centers for ,medicare ,medicaid ,services2 7,d7 a description of the outcomes of the recommendations of the ,advisory ,committee under subsection 7a77#e71 including priorities1 if necessary1 through an updated national plan under subsection 7a77#b77;,a72 7,e7 recommendations1 based on the evaluations1 assessment1 and outcomes described in subparagraphs 7,a7 through 7,d71 for-- 7i7 priority actions to-- 7,i7 reduce the financial impact of falls on expenditures under the ,medicare program under title ,,xviii of the ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq471 the ,medicaid program under title ,,xix of such ,act 7#db ,u4,s4,c4 #acif et seq471 and other federally funded programs through falls prevention initiatives2 and 7,,ii7 improve health outcomes through such initiatives2 7ii7 priority actions to improve screening1 referral1 and interventions to address falls prevention2 7iii7 expanding pilot or demonstration programs or models described in subsection 7a77#e77;,b7 towards implementation on a nationwide basis in accordance with section #aaae;,a7c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acae;a7c77 by #bjcj2 and 7iv7 steps to implement each recommendation described in this paragraph2 and 7,f7 7i7 a report on the status and success of public education campaigns related to falls prevention2 and 7ii7 recommendations for improvements for future federally-funded public education campaigns related to falls prevention4 7c7 ,funding 7#a7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated such sums as may be necessary for each of fiscal years #bjbf through #bjcj4 7#b7 ,existing amounts ,in addition to any amounts appropriated pursuant to paragraph 7#a71 the ,assistant ,secretary may carry out this section using amounts otherwise made available to the ,assistant ,secretary4 7d7 ,definition ,in this section1 the term falls prevention means prevention of injury from falls that focuses on reducing fall risk factors1 preventing repeat falls1 and preventing falls with injuries4 4