,,ii  #aai? ,,congress  #a/ ,session    
,s4 #bhcc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #ag          
7legislative day1 ,septemb] #af71       
#bjbe,mr4 ,k+ 7= himself & ,mr4 ,r\nds7 
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 improve falls prev5tion 
rese>* & activities1 & = o!r purposes4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,/& ,/rong ,falls ,prev5tion ,act4    
#b4 ,advisory ,committee on ,falls      
,prev5tion ( ! ,adm9i/ration on ,ag+    
,title ,,ii ( ! ,old] ,am]icans ,act (  
#aife 7#db ,u4,s4,c4 #cjaa et seq47 is  
am5d$ by ins]t+ aft] section #bjc;,a !  
foll[+3  #bjc;,b4 ,falls ,prev5tion     
activities  7a7 ,advisory committee on  
,falls ,prev5tion  7#a7 ,e/abli%m5t ,!re
 is e/abli%$ an ,advisory ,committee on 
,falls ,prev5tion 7ref]r$ to 9 ?is      
section z ! ,advisory ,committee7 to    
advise ! ,assi/ant ,secret>y on develop+

 & ma9ta9+ ! national plan describ$ 9   
p>agraph 7#b77;,a7 & c>ry+ out !        
assessm5ts describ$ 9 p>agraph          
7#b77;,c74 ,! ,advisory ,committee %all 
be head$ by a ,*air 7ref]r$ to 9 ?is    
section z ! ,*air74  7#b7 ,duties ( !   
,advisory ,committee ,! ,advisory       
,committee %all-- 7,a7 be responsible =1
 & ov]see1 ! creation & ma9t5ance ( an  
integrat$ national plan to address falls
 prev5tion1 includ+ ?r\gh accel]at+ !   
developm5t ( falls prev5tion programs1  
modalities1 or int]v5tions t aim to     
prev5t falls & r$uce ! preval5ce &      
sev]ity ( injuries result+ f falls2     
7,b7 advise & assi/ ! ,assi/ant         
,secret>y 9 provid+ in=mation &         
coord9ation ( falls prev5tion rese>* &  
s]vices across all ,f$]al ag5cies2  7,c7
 c>ry out ! assessm5t "u subsection     
7b77#b77;,b71 includ+-- 7i7 an assessm5t
 (-- 7,i7 all ,f$]al ef=ts & programs   
relat$ to falls prev5tion1 includ+      
budget reque/s & approvals2 &  7,,ii7 ! 
progress ( ! ,unit$ ,/ates 9 address+   

falls prev5tion2 &  7,d7 make           
recomm5dations1 includ+ implem5tation   
/eps = priority actions1 bas$ on su*    
assessm5t4  7#c7 ,memb]%ip ,! ,advisory 
,committee %all be compris$ ( ! foll[+3 
7,a7 ,f$]al memb]s ,memb]s ( ! ,advisory
 ,committee %all include ! foll[+3 7i7  
,"o repres5tative f ea* ( ! foll[+      
ag5cies1 appo9t$ by ! head ( ea* su*    
ag5cy3 7,i7 ,! ,c5t]s = ,disease        
,control & ,prev5tion4  7,,ii7 ,! ,c5t]s
 = ,m$ic>e  ,m$icaid ,s]vices4  7,,iii7 
,! ,indian ,heal? ,s]vice4  7,,iv7 ,!   
,national ,in/itutes ( ,heal?4  7,v7 ,! 
,(fice ( ! ,assi/ant ,secret>y = ,heal?4
  7,,vi7 ,! ,national ,sci5ce           
,f\ndation4  7,,vii7 ,! ,dep>tm5t (     
,vet]ans ,affairs4  7,,viii7 ,! ,food & 
,drug ,adm9i/ration4  7,,ix7 ,! ,ag5cy =
 ,heal?c>e ,rese>* & ,quality4  7,x7 ,! 
,dep>tm5t ( ,labor4  7,,xi7 ,! ,dep>tm5t
 ( ,h\s+ & ,urban ,developm5t4  7,,xii7 
,! ,(fice ( ! ,assi/ant ,secret>y =     
,plann+ & ,evaluation ( ! ,dep>tm5t (   
,heal? & ,human ,s]vices4  7,,xiii7 ,!  

,(fice ( ,rural ,developm5t ( !         
,dep>tm5t ( ,agriculture4  7,,xiv7 ,!   
,rehabilitation ,s]vices ,adm9i/ration (
 ! ,dep>tm5t ( ,education4  7,,xv7 ,!   
,wea!rization ,assi/ance ,program ( !   
,dep>tm5t ( ,en]gy4  7ii7 ,"o designee  
to be assign$ by ! ,assi/ant ,secret>y f
 o!r (ficials describ$ 9 section        
#bjc7;c77#b74  7,b7 ,non-,f$]al memb]s  
,memb]s ( ! ,advisory ,committee %all   
include #ab exp]t memb]s f outside !    
,f$]al ,gov]nm5t to be appo9t$ by !     
,assi/ant ,secret>y1 includ+ ! foll[+3  
7i7 ,two consum] advocates ) demon/rat$ 
exp]i5ce relat$ to falls prev5tion4     
7ii7 ,two heal? c>e provid]s ) falls    
prev5tion exp]tise4  7iii7 ,two         
repres5tatives ( ,/ate heal? dep>tm5ts t
 h implem5t$ programs specifically      
relat$ to falls prev5tion4  7iv7 ,two   
rese>*]s 9 falls prev5tion-relat$       
rese>*4  7v7 ,two c>egiv]s t h exp]i5ce 
)-- 7,i7 pati5ts :o fell2 or  7,,ii7    
falls prev5tion4  7vi7 ,two volunt>y    
heal? association repres5tatives t h    

demon/rat$ exp]i5ce 9 pati5t c>e &      
rese>*1 includ+ pati5t s]vices1 ref]ral1
 support gr\ps1 c>e consultation1       
education1 & safety s]vices4  7vii7 ,two
 ag+ s]vice provid]s ) falls prev5tion  
exp]tise4  7viii7 ,two h\s+ assi/ance   
exp]ts t h demon/rat$ exp]i5ce )-- 7,i7 
rese>*2  7,,ii7 t5ant or home[n]        
assi/ance2 or  7,,iii7 work+ ) h\s+     
nonpr(it associations4  7ix7 ,two       
disability s]vice provid]s t h exp]i5ce 
) assi/ive te*nology4  7x7 ,two ,/ate   
falls prev5tion coalition lead]s4  7,c7 
,*air ,! ,assi/ant ,secret>y %all appo9t
 "o memb] ( ! ,advisory ,committee to   
s]ve z ,*air4  7,d7 ,p]iod ( appo9tm5t2 
vacancies  7i7 ,9 g5]al ,a memb] ( !    
,advisory ,committee appo9t$ "u         
subp>agraph 7,a7 or 7,b7 %all be appo9t$
 = a t]m ( #e ye>s4  7ii7 ,vacancies ,a 
vacancy 9 ! ,advisory ,committee-- 7,i7 
%all n affect ! p[]s ( ! ,advisory      
,committee2 &  7,,ii7 %all be fill$ 9 ! 
same mann] z ! orig9al appo9tm5t4  7#d7 
,meet+s ,! ,advisory ,committee %all    

meet e #d mon?s1 beg9n+ #b mon?s aft]   
all initial memb]s ( ! ,advisory        
,committee h be5 appo9t$4  7#e7 ,initial
 report  7,a7 ,9 g5]al ,n lat] ?an #a   
ye> aft] ! date on :i* all initial      
memb]s ( ! ,advisory ,committee h be5   
appo9t$1 ! ,advisory ,committee %all    
provide to ! ,assi/ant ,secret>y &      
,congress-- 7i7 an initial evaluation ( 
all f$]ally fund$ ef=ts 9 programs      
relat$ to falls prev5tion1 includ+      
educational programs1 home- &           
community-bas$ programs1 em]g5cy m$ical 
s]vices1 & hospital or heal? sy/em      
programs1 & _! outcomes2  7ii7 initial  
recomm5dations = priority actions to    
exp&1 elim9ate1 coord9ate1 or cond5se   
ea* su* program bas$ on ! p]=mance1     
mission1 & purpose ( ea* su* program2   
7iii7 except z provid$ 9 subp>agraph    
7,c71 a recomm5dation = develop+-- 7,i7 
"u title ,,xviii ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #acie et seq471 a   
pilot or demon/ration program to        
provide-- 7aa7 cov]age "u su* title = n 

less ?an #bj1jjj ,m$ic>e b5efici>ies (  
basic home modifications to r$uce falls2
 &  7bb7 evid5ce-bas$ falls prev5tion   
programs2 &  7,,ii7 "u section #aaae;,a 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acae;a7-- 7aa7 a broad paym5t
 demon/ration model to te/ cov]age (    
basic home modifications to r$uce falls2
 &  7bb7 evid5ce-bas$ falls prev5tion   
programs2  7iv7 recomm5dations on h[ to 
increase use by provid]s1 = pati5ts )   
public or private heal? insurance plans1
 ( ! falls risk scre5+1 assessm5t1      
int]v5tion1 & foll[-up tool develop$    
?r\gh ! ,/opp+ ,eld]ly ,accid5ts1       
,dea?s1 & ,injuries 7,,/eadi7 initiative
 ( ! ,c5t]s = ,disease ,control &       
,prev5tion2 &  7v7 7,i7 a report on !   
/atus & success ( public education &    
activation campaigns relat$ to falls    
prev5tion2 &  7,,ii7 recomm5dations =   
improvem5ts = future f$]ally-fund$      
public education & activation campaigns 
relat$ to falls prev5tion4  7,b7        
,recomm5dations = ,m$ic>e pilot or      

demon/ration programs ,! recomm5dation  
describ$ 9 subp>agraph 7,a77iii7 may    
include-- 7i7 a recomm5dation on h[ !   
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices c\ld design1 develop1 
& te/ a paym5t model "u title ,,xviii ( 
! ,social ,security ,act t comb9es      
cov]age ( basic home modifications )    
s]vices t are furni%$ by a qualify+     
provid] det]m9$ by su* ,adm9i/rator &   
are furni%$ "u a heal? c>e provid]'s    
sup]vision2 &  7ii7 a recomm5dation on  
cov]age "u title ,,xviii ( falls        
prev5tion s]vices t are evid5ce-bas$ 7)9
 ! mean+ ( su* t]m "u section #cfa7;a77 
to improve pati5t c>e1 mitigate mobility
 & functional det]ioration 9 functional 
activities1 & l[] program exp5ditures "u
 su* title4  7,c7 ,exception ,!         
recomm5dation requir$ "u subp>agraph    
7,a77iii7 %all n be requir$ if an ,act (
 ,congress1 enact$ z ( ! date ( enactm5t
 ( ?is section1 requires ! ,adm9i/rator 
( ! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices 
to develop a program or paym5t model    

describ$ 9 su* subp>agraph4  7#f7 ,p[]s 
( ,advisory ,committee  7,a7 ,he>+s ,!  
,advisory ,committee may hold su* he>+s1
 sit & act at su* times & places1 take  
su* te/imony1 & receive su* evid5ce z ! 
,advisory ,committee consid]s advisable 
to c>ry out ?is subsection4  7,b7       
,in=mation f ,f$]al ag5cies  7i7 ,9     
g5]al ,! ,advisory ,committee may secure
 directly f a ,f$]al dep>tm5t or ag5cy  
su* in=mation z ! ,advisory ,committee  
consid]s necess>y to c>ry out ?is       
subsection4  7ii7 ,furni%+ in=mation ,on
 reque/ ( ! ,*air ( ! ,advisory         
,committee1 ! head ( ! dep>tm5t or ag5cy
 %all furni% ! in=mation to ! ,advisory 
,committee4  7,c7 ,po/al s]vices ,!     
,advisory ,committee may use ! ,unit$   
,/ates mails 9 ! same mann] & "u ! same 
conditions z o!r dep>tm5ts & ag5cies ( !
 ,f$]al ,gov]nm5t4  7,d7 ,gifts ,!      
,advisory ,committee may accept1 use1 & 
dispose ( gifts or donations ( s]vices  
or prop]ty4  7#g7 ,advisory ,committee  
p]sonnel matt]s  7,a7 ,comp5sation (    

memb]s ,a memb] ( ! ,advisory ,committee
 :o is n an (fic] or employee ( ! ,f$]al
 ,gov]nm5t %all be comp5sat$ at a rate  
equal to ! daily equival5t ( ! annual   
rate ( basic pay prescrib$ = level ,,iv 
( ! ,executive ,s*$ule "u section #ecae 
( title #e1 ,unit$ ,/ates ,code1 = ea*  
day 7includ+ travel "t7 dur+ :i* ! memb]
 is engag$ 9 ! p]=mance ( ! duties ( !  
,advisory ,committee4  7,b7 ,travel     
exp5ses ,a memb] ( ! ,advisory          
,committee %all be all[$ travel exp5ses1
 includ+ p] diem 9 lieu ( subsi/5ce1 at 
rates au?oriz$ = employees ( ag5cies "u 
sub*apt] ,i ( *apt] #eg ( title #e1     
,unit$ ,/ates ,code1 :ile away f _!     
homes or regul> places ( bus9ess 9 !    
p]=mance ( s]vices = ! ,advisory        
,committee4  7#h7 ,/aff  7,a7 ,9 g5]al  
,! ,*air ( ! ,advisory ,committee may1  
)\t reg>d to ! civil s]vice laws        
7includ+ regulations71 appo9t & t]m9ate 
an executive director & su* o!r         
additional p]sonnel z may be necess>y to
 enable ! ,advisory ,committee to p]=m  

its duties1 except t ! employm5t ( an   
executive director %all be subject to   
confirmation by ! ,advisory ,committee4 
7,b7 ,comp5sation ,! ,*air ( ! ,advisory
 ,committee may fix ! comp5sation ( !   
executive director & o!r p]sonnel )\t   
reg>d to *apt] #ea & sub*apt] ,,iii (   
*apt] #ec ( title #e1 ,unit$ ,/ates     
,code1 relat+ to classification (       
positions & ,g5]al ,s*$ule pay rates1   
except t ! rate ( pay = ! executive     
director & o!r p]sonnel may n exce$ !   
rate payable = level ,v ( ! ,executive  
,s*$ule "u section #ecaf ( t title4     
7#i7 ,detail ( gov]nm5t employees ,a    
,f$]al ,gov]nm5t employee may be detail$
 to ! ,advisory ,committee )\t          
reimbursem5t1 & su* detail %all be )\t  
int]ruption or loss ( civil s]vice /atus
 or privilege4  7#aj7 ,procurem5t (     
tempor>y & int]mitt5t s]vices ,! ,*air (
 ! ,advisory ,committee may procure     
tempor>y & int]mitt5t s]vices "u section
 #caji7;b7 ( title #e1 ,unit$ ,/ates    
,code1 at rates = individuals t d n     

exce$ ! daily equival5t ( ! annual rate 
( basic pay prescrib$ = level ,v ( !    
,executive ,s*$ule "u section #ecaf ( t 
title4  7#aa7 ,coord9ation ( public     
education campaigns ,! ,director %all   
%>e recomm5dations develop$ by !        
,advisory ,committee ) entities t       
receive ,f$]al fund+ = public education 
campaigns relat+ to falls prev5tion1    
includ+ "u section #cic;,d7a7 ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhj;b-#a;f7a774  7#ab7       
,t]m9ation ,! ,advisory ,committee %all 
t]m9ate on ! date t is #aj ye>s aft] !  
date on :i* all initial memb]s are      
appo9t$4  7b7 ,reports relat+ to falls  
prev5tion  7#a7 ,data %>+ ,ag5cies )9 ! 
,dep>tm5t ( ,heal? & ,human ,s]vices1 & 
o!r ,f$]al ag5cies1 t h data relat+ to  
falls prev5tion %all %>e su* data ) !   
,assi/ant ,secret>y1 to enable !        
,assi/ant ,secret>y to complete !       
reports "u p>agraph 7#b74  7#b7 ,regul> 
reports ,! ,assi/ant ,secret>y %all     
submit to ,congress a report1 n lat] ?an

 #a ye> aft] ! date ( enactm5t ( ! ,/&  
,/rong ,falls ,prev5tion ,act & e #d    
ye>s !reaft]1 t includes-- 7,a7 an      
evaluation ( all f$]ally fund$ programs 
& ef=ts 9 falls prev5tion 7includ+      
education programs1 home &              
community-bas$ programs1 & hospital     
programs & any su* programs or ef=ts    
includ$ 9 budget reque/s & approvals71  
includ+ an evaluation ) respect to !    
outcomes 7includ+ program p]=mance71    
mission1 & purpose ( su* programs relat$
 to falls prev5tion2  7,b7 an assessm5t 
( ! progress ( ! ,unit$ ,/ates 9        
address+ falls prev5tion1 z report$ by !
 ,advisory ,committee "u subsection     
7a77#b77;,b72  7,c7 an evaluation ( !   
implem5tation ( any pilot or            
demon/ration program or model recomm5d$ 
"u subsection 7a77#e77;,b7 or any o!r   
pilot or demon/ration program describ$ 9
 su* subsection t has o!rwise be5       
initiat$ by ! ,adm9i/rator ( ! ,c5t]s = 
,m$ic>e  ,m$icaid ,s]vices2  7,d7 a     
description ( ! outcomes ( !            

recomm5dations ( ! ,advisory ,committee 
"u subsection 7a77#e71 includ+          
priorities1 if necess>y1 ?r\gh an updat$
 national plan "u subsection            
7a77#b77;,a72  7,e7 recomm5dations1 bas$
 on ! evaluations1 assessm5t1 & outcomes
 describ$ 9 subp>agraphs 7,a7 ?r\gh     
7,d71 =-- 7i7 priority actions to-- 7,i7
 r$uce ! f9ancial impact ( falls on     
exp5ditures "u ! ,m$ic>e program "u     
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie et seq471 !       
,m$icaid program "u title ,,xix ( su*   
,act 7#db ,u4,s4,c4 #acif et seq471 &   
o!r f$]ally fund$ programs ?r\gh falls  
prev5tion initiatives2 &  7,,ii7 improve
 heal? outcomes ?r\gh su* initiatives2  
7ii7 priority actions to improve scre5+1
 ref]ral1 & int]v5tions to address falls
 prev5tion2  7iii7 exp&+ pilot or       
demon/ration programs or models describ$
 9 subsection 7a77#e77;,b7 t[>ds        
implem5tation on a nationwide basis 9   
accordance ) section #aaae;,a7c7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   

#acae;a7c77 by #bjcj2 &  7iv7 /eps to   
implem5t ea* recomm5dation describ$ 9   
?is p>agraph2 &  7,f7 7i7 a report on ! 
/atus & success ( public education      
campaigns relat$ to falls prev5tion2 &  
7ii7 recomm5dations = improvem5ts =     
future f$]ally-fund$ public education   
campaigns relat$ to falls prev5tion4    
7c7 ,fund+  7#a7 ,au?orization (        
appropriations ,to c>ry out ?is section1
 !re are au?oriz$ to be appropriat$ su* 
sums z may be necess>y = ea* ( fiscal   
ye>s #bjbf ?r\gh #bjcj4  7#b7 ,exi/+    
am\nts ,9 addition to any am\nts        
appropriat$ pursuant to p>agraph 7#a71 !
 ,assi/ant ,secret>y may c>ry out ?is   
section us+ am\nts o!rwise made         
available to ! ,assi/ant ,secret>y4  7d7
 ,def9ition ,9 ?is section1 ! t]m falls 
prev5tion means prev5tion ( injury f    
falls t focuses on r$uc+ fall risk      
factors1 prev5t+ repeat falls1 & prev5t+
 falls ) injuries4  4