,,ii  #aai? ,,congress  #b;d ,session   
,s4 #edff  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #bc1         
#bjbf,mr4 ,k+ introduc$ ! foll[+ bill2  
:i* 0 read twice & ref]r$ to !          
,committee on ,homel& ,security &       
,gov]nm5tal ,affairs  ,a ,,bill  ,to    
au?orize grants to fire dep>tm5ts to    
conduct activities ) ! goals ( r$uc+    
falls among old] adults & r$uc+ response
 "t :5 respond+ to 9-home em]g5cies1 & =
 o!r purposes4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,firefight]s       
,assi/+ ,s5iors ,to ,em]g5cy ,response  
,act or ! ,,fa/] ,act4  #b4 ,f9d+s      
,congress f9ds ! foll[+3 7#a7 ,accord+  
to ! ,c5t]s = ,disease ,control &       
,prev5tion 7,,cdc71 ab\t #ad1jjj1jjj    
falls are report$ ea* ye> nationwide    
among adults age #fe & ov]4  7#b7 ,^!   
falls result 9 #ch1jjj dea?s4  7#c7 ,ea*
 ye>1 approximately #c1jjj1jjj old]     
adults are treat$ 9 em]g5cy dep>tm5ts = 
a fall injury4  7#d7 ,falls are ! top   
cause ( injury & injury-relat$ dea?s =  

adults ov] #fe4  7#e7 ,falls among      
adults ag$ #fe & above result 9 ov]     
#hj1jjj1jjj1jjj p] ye> 9 m$ical exp5ses4
  7#f7 ,m ?an #ie p]c5t ( hip fractures 
are caus$ by fall+4  7#g7 ,falls are !  
mo/ common cause ( traumatic bra9       
injuries4  7#h7 ,accord+ to ! ,national 
,in/itutes ( ,heal? 7,,nih71 ov] #gj    
p]c5t ( falls occur 9 ! home4  7#i7     
,falls c (t5 be prev5t$1 includ+ by     
implem5t+ simple home modifications4    
7#aj7 ,fire dep>tm5t p]sonnel c play an 
important role 9 prev5t+ & respond+ to  
falls4  #c4 ,firefight]s assi/+ s5iors  
to em]g5cy response  7a7 ,def9itions ,9 
?is section3 7#a7 ,adm9i/rator ( ,,fema2
 c>e] fire dep>tm5t2 comb9ation fire    
dep>tm5t2 volunte] fire dep>tm5t ,! t]ms
 ,adm9i/rator ( ,,fema1 c>e] fire       
dep>tm5t1 comb9ation fire dep>tm5t1 &   
volunte] fire dep>tm5t h ! mean+s giv5  
su* t]ms 9 section #cc7;a7 ( ! ,f$]al   
,fire ,prev5tion & ,control ,act ( #aigd
 7#ae ,u4,s4,c4 #bbbi7;a774  7#b7       
,community p>am$ic9e ,! t]m community   

p>am$ic9e means ! op]ation ( fir/       
respond]s1 includ+ firefight]s1 em]g5cy 
m$ical te*nicians 7,e,m,ts71 & p>am$ics1
 9 roles t s]ve to proactively make     
communities1 homes1 & resid5ts saf] &   
prev5t future m$ical em]g5cies4  7#c7   
,fall prev5tion ,! t]m fall prev5tion   
means ! use ( evid5ce-bas$ measures t   
decrease fall risks 9 old] adults4  7#d7
 ,fire s]vice2 local ,! t]ms fire s]vice
 & local h ! mean+s giv5 su* t]ms 9     
section #d ( ! ,f$]al ,fire ,prev5tion &
 ,control ,act ( #aigd 7#ae ,u4,s4,c4   
#bbjc74  7#e7 ,firefight] ,! t]m        
firefight] has ! mean+ giv5 ! t]m       
employee 9 fire protection activities 9 
section #c7y7 ( ! ,fair ,labor ,/&>ds   
,act ( #aich 7#bi ,u4,s4,c4 #bjc7y774   
7#f7 ,/ate ,! t]m ,/ate has ! mean+ giv5
 su* t]m 9 section #b ( ! ,homel&       
,security ,act ( #bjjb 7#f ,u4,s4,c4    
#aja74  7b7 ,fall prev5tion & home      
safety grants  7#a7 ,9 g5]al ,!         
,adm9i/rator ( ,,fema %all make grants  
directly to c>e] fire dep>tm5ts1        

comb9ation fire dep>tm5ts1 & volunte]   
fire dep>tm5ts = ! purpose ( implem5t+  
programs to improve home safety & prev5t
 falls = old] adults1 includ+ ?r\gh fall
 prev5tion programs4  7#b7 ,p]iod (     
p]=mance ,a grant "u ?is subsection %all
 be = a #c-ye> p]iod4  7#c7             
,consid]ation ,9 aw>d+ a grant "u ?is   
subsection1 ! ,adm9i/rator ( ,,fema may 
give pref]5tial consid]ation to         
applications t involve non-,f$]al       
contributions t exce$ ! diff]5ce betwe5 
#ajj p]c5t & ! maximum p]c5tage all[able
 ,f$]al contribution specifi$ 9 p>agraph
 7#e7 = a ye>4  7#d7 ,te*nical assi/ance
 ,! ,adm9i/rator ( ,,fema may provide   
te*nical assi/ance to ,/ates1 units (   
local gov]nm5t1 ,tribal gov]nm5ts1 & o!r
 public entities 9 fur!rance ( !        
purposes ( ?is section4  7#e7           
,limitation on co/s ,! maximum all[able 
,f$]al contribution to ! co/s (         
implem5t+ a program to improve home     
safety & prev5t falls = old] adults "u a
 grant "u ?is subsection may n exce$ !  

foll[+3 7,a7 #ge p]c5t 9 ! fir/ ye> (   
su* grant4  7,b7 #ge p]c5t 9 ! second   
ye> ( su* grant4  7,c7 #ce p]c5t 9 !    
?ird ye> ( su* grant4  7#f7             
,adm9i/ration ,a grant "u ?is subsection
 %all be aw>d$ on a competitive basis   
?r\gh a neutral pe] review process4  7c7
 ,applications  7#a7 ,9 g5]al ,a c>e]   
fire dep>tm5t1 a comb9ation fire        
dep>tm5t1 or a volunte] fire dep>tm5t   
seek+ a grant "u subsection 7b7 %all    
submit an application to ! ,adm9i/rator 
( ,,fema4  7#b7 ,=m ,an application = a 
grant "u subsection 7b7 %all be submitt$
 to ! ,adm9i/rator ( ,,fema 9 su* =m1 & 
conta9+ su* in=mation1 z ! ,adm9i/rator 
( ,,fema may prescribe4  7#c7 ,cont5ts  
,at a m9imum1 ea* application = a grant 
"u subsection 7b7 %all-- 7,a7 expla9 !  
applicant's inability or *all5ges to    
implem5t )\t ,f$]al assi/ance a program 
to improve home safety & prev5t falls = 
old] adults2 &  7,b7 specify long-t]m   
plans = cont9u+ su* a program foll[+ !  
conclusion ( ,f$]al support provid$ "u  

?is section4  7d7 ,all[able use ( funds 
,a grant "u subsection 7b7 %all be us$ =
 any ( ! foll[+ purposes3 7#a7          
,procurem5t & in/allation ( devices1    
includ+ lock boxes1 t c be in/all$ on   
homes 9 ord] to all[ em]g5cy respond]s  
quick] access to a home 9 case ( an     
em]g5cy4  7#b7 ,recruitm5t1 ret5tion1   
sal>ies1 & b5efits ( community p>am$ic9e
 p]sonnel1 includ+ firefight]s1         
p>am$ics1 ,e,m,ts1 social work]s1 case  
manag]s1 adm9i/rators1 or o!r           
pr(essionals = ! purpose ( implem5t+    
programs to improve home safety & prev5t
 falls = old] adults4  7#c7 ,in/allation
 & replacem5t ( smoke detectors &       
batt]ies4  7#d7 ,compilation ( heal?    
in=mation to p]mit em]g5cy respond]s    
ready access to vital heal? data 9 case 
( an em]g5cy4  7#e7 ,m9or home          
modifications to r$uce fall risks1      
includ+ ! foll[+3 7,a7 ,flatt5+ ( rugs4 
7,b7 ,removal ( tripp+ haz>ds4  7,c7    
,in/allation ( h& rails & grab b>s1     
includ+ supplies1 labor1 & insurance4   

7#f7 ,risk assessm5t & reconciliation ( 
m$ications4  7#g7 ,ref]ral to classes1  
m$ical pr(essionals1 & o!r community    
res\rces t educate old] adults on r$uc+ 
fall risks4  7e7 ,rules reg>d+ use (    
funds  7#a7 ,limitation ,funds made     
available "u ?is section to fire        
dep>tm5ts may n be us$ to supplant ,/ate
 or local funds1 or1 9 ! case ( ,tribal 
gov]nm5ts1 funds suppli$ by ! ,bureau ( 
,indian ,affairs1 b %all be us$ to      
increase ! am\nt ( funds t w\ld1 9 !    
abs5ce ( ,f$]al funds receiv$ "u ?is    
section1 be made available f ,/ate or   
local s\rces1 or 9 ! case ( ,tribal     
gov]nm5ts1 f funds suppli$ by ! ,bureau 
( ,indian ,affairs4  7#b7 ,relat+ to    
prior r$uctions ,no grant "u subsection 
7b7 %all be aw>d$ to a municipality or  
o!r recipi5t ^: annual budget at ! "t ( 
! application = fire-relat$ programs &  
em]g5cy response has be5 r$uc$ bel[ #hj 
p]c5t ( ! av]age fund+ level 9 ! #c-ye> 
p]iod imm$iately prec$+ ! date ( !      
application = ! grant4  7#c7 ,p]mitt$   

,funds appropriat$ by ,congress = !     
activities ( any ag5cy ( a ,tribal      
gov]nm5t or ! ,bureau ( ,indian ,affairs
 may be us$ to provide ! non-,f$]al %>e 
( ! co/ ( programs or projects fund$ "u 
?is section4  7f7 ,waiv]s  7#a7 ,9 g5]al
 ,9 a case ( demon/rat$ economic h>d%ip 
( an applicant = a grant "u ?is section1
 ! ,adm9i/rator ( ,,fema may-- 7,a7     
waive ! requirem5ts ( subsection        
7e77#a72 or  7,b7 waive or r$uce !      
application ( subsection 7b77#e7 or     
7e77#b74  7#b7 ,guidel9es  7,a7 ,9 g5]al
 ,! ,adm9i/rator ( ,,fema %all e/abli% &
 publi% guidel9es = det]m9+ :at         
con/itutes economic h>d%ip = purposes ( 
p>agraph 7#a74  7,b7 ,consultation ,9   
develop+ guidel9es "u subp>agraph 7,a71 
! ,adm9i/rator ( ,,fema %all consult )  
individuals :o are-- 7i7 recogniz$ =    
exp]tise 9 em]g5cy m$ical s]vices       
provid$ by fire s]vices1 community      
p>am$ic9e1 fall prev5tion1 or ! economic
 affairs ( ,/ate or local gov]nm5ts2 &  
7ii7 memb]s ( national fire s]vice      

organizations or national organizations 
repres5t+ ! int]e/s ( ,/ate or local    
gov]nm5ts4  7,c7 ,consid]ations ,9      
develop+ guidel9es "u subp>agraph 7,a71 
! ,adm9i/rator ( ,,fema %all consid]1 ) 
respect to relevant communities1 !      
foll[+3 7i7 ,*anges 9 rates (           
unemploym5t f previ\s ye>s4  7ii7 ,:e!r 
! rates ( unemploym5t are curr5tly & h  
consi/5tly exce$$ ! annual national     
av]age rates ( unemploym5t4  7iii7      
,*anges 9 ! p]c5tages ( individuals     
eligible to receive food /amps f previ\s
 ye>s4  7iv7 ,su* o!r factors z !       
,adm9i/rator ( ,,fema consid]s          
appropriate4  7g7 ,p]=mance evaluation  
7#a7 ,9 g5]al ,! ,adm9i/rator ( ,,fema  
%all e/abli% a p]=mance assessm5t sy/em1
 includ+ quantifiable p]=mance metrics1 
to evaluate ! ext5t to :i* grants aw>d$ 
"u subsection 7b7 are fur!r+ ! purposes 
( ?is section4  7#b7 ,submission (      
in=mation ,! ,adm9i/rator ( ,,fema may  
require a grant recipi5t to submit to ! 
,adm9i/rator ( ,,fema any in=mation !   

,adm9i/rator ( ,,fema consid]s          
reasonably necess>y to evaluate !       
implem5tation ( programs to improve home
 safety & prev5t falls = old] adults4   
7h7 ,report ,n lat] ?an #b ye>s aft] !  
date ( enactm5t ( ?is ,act1 !           
,adm9i/rator ( ,,fema %all submit to    
,congress a report on ! exp]i5ce )1 &   
effectiv5ess (1 grants aw>d$ "u         
subsection 7b7 9 meet+ ! objectives (   
?is section4 ,su* report may include any
 recomm5dations ! ,adm9i/rator ( ,,fema 
may h = am5dm5ts to ?is section & relat$
 provisions ( law4  7i7 ,revocation or  
susp5sion ( fund+ ,if ! ,adm9i/rator (  
,,fema det]m9es t a grant recipi5t "u   
?is section is n 9 sub/antial compliance
 ) ! t]ms & requirem5ts ( a grant aw>d$ 
"u subsection 7b71 ! ,adm9i/rator (     
,,fema may revoke or susp5d su* grant1 9
 :ole or 9 "p4  7j7 ,access to docum5ts 
7#a7 ,9 g5]al ,! ,adm9i/rator ( ,,fema  
%all h access = ! purpose ( audit &     
exam9ation to any p]t95t books1         
docum5ts1 pap]s1 or records ( ! recipi5t

 ( a grant "u subsection 7b7 & to !     
p]t95t books1 docum5ts1 pap]s1 or       
records ( ,/ate & local gov]nm5ts1      
p]sons1 bus9esses1 & o!r entities t are 
involv$ 9 programs1 projects1 or        
activities = :i* assi/ance is provid$ "u
 ?is section4  7#b7 ,application        
,p>agraph 7#a7 %all apply ) respect to  
audits & exam9ations conduct$ by !      
,comptroll] ,g5]al ( ! ,unit$ ,/ates or 
by an au?oriz$ repres5tative ( !        
,comptroll] ,g5]al ( ! ,unit$ ,/ates4   
7k7 ,au?orization ( appropriations  7#a7
 ,9 g5]al ,!re are au?oriz$ to be       
appropriat$ = ! purposes ( c>ry+ out ?is
 section1 ! foll[+3 7,a7 #a1jjj1jjj =   
ea* ( fiscal ye>s #bjbf1 #bjbg1 & #bjbh4
  7,b7 #b1jjj1jjj = ea* ( fiscal ye>s   
#bjbi1 #bjcj1 & #bjca4  7,c7 #d1jjj1jjj 
= ea* ( fiscal ye>s #bjcb1 #bjcc1 &     
#bjcd4  7,d7 #g1jjj1jjj = fiscal ye>    
#bjce4  7#b7 ,adm9i/rative exp5ses ,( ! 
am\nts au?oriz$ to be appropriat$       
pursuant to p>agraph 7#a7 = a fiscal    
ye>1 ! ,adm9i/rator ( ,,fema may use n m

 ?an #e p]c5t ( su* am\nts to cov]      
sal>ies & exp5ses & o!r adm9i/rative    
co/s incurr$ by ! ,adm9i/rator ( ,,fema 
to make grants & provide assi/ance "u   
?is section4  7l7 ,sunset ( au?orities  
,?is section %all cease to h =ce or     
effect on ,septemb] #cj1 #bjcf4