Text of US HB 4122 (2014)

I 113TH CONGRESS 2D SESSION H. R. 4122 To reauthorize the Older Americans Act of 1965, and for other purposes. IN THE HOUSE OF REPRESENTATIVES FEBRUARY 28, 2014 Ms. BONAMICI (for herself, Mr. HINOJOSA, and Mr. GEORGE MILLER of Cali- fornia) introduced the following bill; which was referred to the Committee on Education and the Workforce A BILL To reauthorize the Older Americans Act of 1965, and for other purposes. Be it enacted by the Senate and House of Representa- 1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Older Americans Act 4 Reauthorization Act of 2014’’. 5 SEC. 2. OBJECTIVES. 6 Section 101 of the Older Americans Act of 1965 (42 7 U.S.C. 3001) is amended— 8 (1) by amending paragraph (1) to read as fol- 9 lows: 10 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 2 •HR 4122 IH ‘‘(1) An adequate income and economic security 1 in later life in accordance with the American stand- 2 ard of living.’’; 3 (2) in paragraph (4), by inserting ‘‘care coordi- 4 nation and’’ after ‘‘including’’; 5 (3) in paragraph (8), by inserting ‘‘and sup- 6 ports, offered in a culturally and linguistically com- 7 petent manner’’ after ‘‘community services,’’; 8 (4) by striking paragraphs (9) and (10) and in- 9 serting the following: 10 ‘‘(9) Immediate benefit from proven research 11 knowledge which can sustain and improve health, 12 happiness, and economic security. 13 ‘‘(10) Freedom, independence, economic secu- 14 rity, and the free exercise of individual initiative for 15 older individuals in planning and managing their 16 own lives, full participation in the planning and op- 17 eration of community-based services and programs 18 provided for their benefit, and protection against 19 abuse, neglect, and exploitation.’’; and 20 (5) by adding at the end the following: 21 ‘‘(11) Acquiring high-quality services in a man- 22 ner that is culturally and linguistically responsive to 23 older individuals and family caregivers.’’. 24 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 3 •HR 4122 IH SEC. 3. DEFINITIONS. 1 Section 102 of the Older Americans Act of 1965 (42 2 U.S.C. 3002) is amended— 3 (1) by striking paragraph (1) and inserting the 4 following: 5 ‘‘(1) The term ‘abuse’ means the knowing in- 6 fliction of physical or psychological harm or the 7 knowing deprivation of goods or services that are 8 necessary to meet essential needs or to avoid phys- 9 ical or psychological harm.’’; 10 (2) by striking paragraph (3) and inserting the 11 following: 12 ‘‘(3) The term ‘adult protective services’ means 13 such services provided to adults as the Secretary 14 may specify and includes services such as— 15 ‘‘(A) receiving reports of adult abuse, ne- 16 glect, or exploitation; 17 ‘‘(B) investigating the reports described in 18 subparagraph (A); 19 ‘‘(C) case planning, monitoring, evaluation, 20 and other casework and services; and 21 ‘‘(D) providing, arranging for, or facili- 22 tating the provision of medical, social service, 23 economic, legal, housing, law enforcement, or 24 other protective, emergency, or support serv- 25 ices.’’; 26 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 4 •HR 4122 IH (3) by striking paragraph (4) and inserting the 1 following: 2 ‘‘(4) The term ‘Aging and Disability Resource 3 Center’ means an entity, network, or consortium es- 4 tablished by a State as part of the State system of 5 long-term care, to provide a coordinated and inte- 6 grated system for older individuals and individuals 7 with disabilities (as defined in section 3 of the Amer- 8 icans with Disabilities Act of 1990 (42 U.S.C. 9 12102)), and the caregivers of older individuals and 10 individuals with disabilities, that provides— 11 ‘‘(A) comprehensive information on the full 12 range of available public and private long-term 13 care programs, options, service providers, and 14 resources within a community, including infor- 15 mation on the availability of integrated long- 16 term care services, and Federal or State pro- 17 grams that provide long-term care services and 18 supports through home and community-based 19 service programs; 20 ‘‘(B) person-centered counseling to assist 21 individuals in assessing their existing or antici- 22 pated long-term care needs and goals, and de- 23 veloping and implementing a person-centered 24 plan for long-term care that is consistent with 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 5 •HR 4122 IH the desires of such an individual and designed 1 to meet the individual’s specific needs, goals, 2 and circumstances; 3 ‘‘(C) access for individuals to the full 4 range of publicly-supported long-term care serv- 5 ices and supports for which the individuals may 6 be eligible, including home and community- 7 based service options, by serving as a conven- 8 ient point of entry for such programs and sup- 9 ports; and 10 ‘‘(D) in cooperation with area agencies on 11 aging, centers for independent living described 12 in part C of title VII of the Rehabilitation Act 13 of 1973 (29 U.S.C. 796f et seq.), and other 14 community-based entities, information and re- 15 ferrals regarding available home and commu- 16 nity-based services for individuals who are at 17 risk for residing in, or who reside in, institu- 18 tional settings, so that the individuals have the 19 choice to remain in or to return to the commu- 20 nity.’’; 21 (4) in paragraph (14)(B), by inserting ‘‘oral 22 health,’’ after ‘‘bone density,’’; 23 (5) by amending paragraph (17) to read as fol- 24 lows: 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 6 •HR 4122 IH ‘‘(17) The term ‘elder justice’ means— 1 ‘‘(A) from a societal perspective, efforts 2 to— 3 ‘‘(i) prevent, detect, treat, intervene 4 in, and prosecute elder abuse, neglect, and 5 exploitation; and 6 ‘‘(ii) protect older individuals with di- 7 minished capacity while maximizing their 8 autonomy; and 9 ‘‘(B) from an individual perspective, the 10 recognition of an older individual’s rights, in- 11 cluding the right to be free of abuse, neglect, 12 and exploitation.’’; 13 (6) in paragraph (18)(A), by striking ‘‘term ‘ex- 14 ploitation’ means’’ and inserting ‘‘terms ‘exploi- 15 tation’ and ‘financial exploitation’ mean’’; 16 (7) in paragraph (24)— 17 (A) in subparagraph (B), by striking 18 ‘‘and’’ at the end; 19 (B) in subparagraph (C), by striking the 20 period at the end and inserting ‘‘; and’’; and 21 (C) by adding at the end the following: 22 ‘‘(D) status as an LGBT individual.’’; 23 (8) by redesignating paragraphs (34) through 24 (54) as paragraphs (36) through (56), respectively; 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 7 •HR 4122 IH (9) by redesignating paragraphs (13) through 1 (33) as paragraphs (14) through (34), respectively; 2 (10) by inserting after paragraph (12) the fol- 3 lowing: 4 ‘‘(13) The term ‘cultural and linguistic com- 5 petence’ means competence in a set of behaviors, at- 6 titudes, and policies that— 7 ‘‘(A) is used by an organization or among 8 professionals; and 9 ‘‘(B) enables effective work in cross-cul- 10 tural situations.’’; and 11 (11) by inserting after paragraph (34), as so 12 redesignated the following: 13 ‘‘(35) The term ‘LGBT’, used with respect to 14 an individual, means a lesbian, gay, bisexual, or 15 transgender individual.’’. 16 SEC. 4. ADMINISTRATION ON AGING. 17 (a) BEST PRACTICES.—Section 201 of the Older 18 Americans Act of 1965 (42 U.S.C. 3011) is amended— 19 (1) in subsection (d)(3)— 20 (A) in subparagraph (J), by inserting be- 21 fore the semicolon the following: ‘‘, including 22 the effectiveness of such services in meeting the 23 needs of LGBT older individuals’’; 24 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 8 •HR 4122 IH (B) in subparagraph (K), by striking 1 ‘‘and’’ at the end; 2 (C) in subparagraph (L)— 3 (i) by striking ‘‘Older Americans Act 4 Amendments of 1992’’ and inserting 5 ‘‘Older Americans Act Reauthorization Act 6 of 2014’’; and 7 (ii) by striking ‘‘712(h)(4).’’ and in- 8 serting ‘‘712(h)(5); and’’; and 9 (D) by adding at the end the following: 10 ‘‘(M) collect and analyze best practices related 11 to responding to elder abuse, neglect, and exploi- 12 tation in long-term care facilities, and publish a re- 13 port of such best practices.’’; and 14 (2) in subsection (e)(2)— 15 (A) in the matter preceding subparagraph 16 (A), by inserting ‘‘, and in coordination with 17 the heads of State adult protective services pro- 18 grams and the Director of the Office of Long- 19 Term Care Ombudsman Programs’’ after ‘‘and 20 services’’; and 21 (B) in subparagraph (A)(iv) by inserting 22 ‘‘(including data and statistics on the incidence 23 and prevalence of elder abuse, neglect, and ex- 24 ploitation)’’ after ‘‘exploitation’’. 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 9 •HR 4122 IH (b) FUNCTIONS OF ASSISTANT SECRETARY.—Section 1 202 of the Older Americans Act of 1965 (42 U.S.C. 3012) 2 is amended— 3 (1) in subsection (a)— 4 (A) in paragraph (5), by inserting ‘‘health 5 and economic’’ before ‘‘needs of older individ- 6 uals’’; 7 (B) in paragraph (7), by inserting ‘‘health 8 and economic’’ before ‘‘welfare’’; 9 (C) in paragraph (14), by inserting ‘‘(in- 10 cluding the Health Resources and Services Ad- 11 ministration)’’ after ‘‘other agencies’’; 12 (D) by amending paragraph (15) to read 13 as follows: 14 ‘‘(15)(A) as needed, provide technical assist- 15 ance, training through training packages, and other 16 forms of instruction to entities consisting of State 17 agencies, area agencies on aging, service providers, 18 and community-based organizations, to ensure that 19 the entities develop and implement, in a culturally 20 and linguistically competent manner, programming, 21 services, and outreach for older individuals with 22 greatest economic need and older individuals with 23 greatest social need, with particular attention to and 24 specific objectives for providing services to low-in- 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 10 •HR 4122 IH come minority individuals and older individuals re- 1 siding in rural areas; and 2 ‘‘(B) consult with national and community- 3 based organizations representing minority individ- 4 uals to develop the capacity of the Administration to 5 provide such technical assistance, training, and in- 6 struction.’’; 7 (E) in paragraph (16)(A)(ii), by inserting 8 ‘‘, and separately specifying the number of such 9 individuals who are LGBT individuals’’ before 10 the semicolon; 11 (F) in paragraph (27), by striking ‘‘and’’ 12 at the end; 13 (G) in paragraph (28), by striking the pe- 14 riod and inserting a semicolon; and 15 (H) by adding at the end the following: 16 ‘‘(29) provide information and technical assist- 17 ance to States, area agencies on aging, and service 18 providers, in collaboration with relevant Federal 19 agencies, on providing efficient, person-centered 20 transportation services, including across geographic 21 boundaries; 22 ‘‘(30) identify model programs and provide in- 23 formation and technical assistance to States, area 24 agencies on aging, and service providers (including 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 11 •HR 4122 IH providers operating multipurpose senior centers), to 1 support the modernization of multipurpose senior 2 centers; 3 ‘‘(31) provide technical assistance to and share 4 best practices with States, area agencies on aging, 5 and Aging and Disability Resource Centers, on how 6 to collaborate and coordinate services with health 7 care entities, such as Federally-qualified health cen- 8 ters, as defined in section 1905(l)(2)(B) of the So- 9 cial Security Act (42 U.S.C. 1396d(l)(2)(B)), in 10 order to improve care coordination for individuals 11 with multiple chronic illnesses; 12 ‘‘(32) conduct studies and collect data to deter- 13 mine the services that are needed by LGBT older in- 14 dividuals; and 15 ‘‘(33) ensure through regulation (or other com- 16 munications with programs carried out under this 17 Act) and through oversight that all programs funded 18 through this Act where staff, including volunteers, 19 come into direct contact with older adults, have re- 20 ceived appropriate training in elder abuse prevention 21 and detection, and to regularly evaluate the need for 22 and benefit of such training related to abuse, ne- 23 glect, and exploitation of older adults.’’; 24 (2) in subsection (b)— 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00011 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 12 •HR 4122 IH (A) in paragraph (5)— 1 (i) in subparagraph (B), by striking 2 ‘‘and’’ after the semicolon; 3 (ii) in subparagraph (C), by inserting 4 ‘‘and’’ after the semicolon; and 5 (iii) by adding at the end the fol- 6 lowing: 7 ‘‘(D) when feasible, developing, in con- 8 sultation with States and national organiza- 9 tions, a consumer-friendly tool to assist older 10 individuals and their families in choosing home 11 and community-based services, with a particular 12 focus on ways for consumers to assess how pro- 13 viders protect the health, safety, welfare, and 14 rights, including the rights provided under sec- 15 tion 314, of older individuals;’’; and 16 (B) in paragraph (8)— 17 (i) in subparagraph (B), by inserting 18 ‘‘to identify and articulate goals of care 19 and’’ after ‘‘individuals’’; 20 (ii) in subparagraph (D)— 21 (I) by inserting ‘‘respond to or’’ 22 before ‘‘plan’’; and 23 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00012 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 13 •HR 4122 IH (II) by striking ‘‘future long-term 1 care needs; and’’ and inserting ‘‘long- 2 term care needs;’’; 3 (iii) in subparagraph (E), by adding 4 ‘‘and’’ at the end; and 5 (iv) by adding at the end the fol- 6 lowing: 7 ‘‘(F) to provide information and referrals 8 regarding available home and community-based 9 services for individuals who are at risk for re- 10 siding in, or who reside in, institutional set- 11 tings, so that the individuals have the choice to 12 remain in or to return to the community;’’; and 13 (3) by adding at the end the following: 14 ‘‘(g) The Assistant Secretary shall ensure, where ap- 15 propriate, that all programs funded under this Act include 16 appropriate training in the prevention of abuse, neglect, 17 and exploitation and provision of services that address 18 elder justice and the exploitation of older individuals. 19 ‘‘(h)(1) The Assistant Secretary shall establish and 20 operate a National Resource Center for Women and Re- 21 tirement (referred to in this subsection as the ‘Center’). 22 ‘‘(2) The Assistant Secretary shall make available to 23 the Center such resources as are necessary for the Center 24 to carry out effectively the functions of the Center under 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00013 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 14 •HR 4122 IH this Act, which shall be an amount not less than $279,000 1 for fiscal year 2014. In subsequent fiscal years, the Assist- 2 ant Secretary shall make available to the Center not less 3 than the amount of resources made available to the Center 4 under this paragraph for fiscal year 2014. 5 ‘‘(i) The Assistant Secretary shall, directly or by 6 grant or contract, establish and operate a National Adult 7 Protective Services Resource Center. 8 ‘‘(j)(1) The Assistant Secretary shall, directly or by 9 grant or contract, establish and operate the National Re- 10 source Center on Lesbian, Gay, Bisexual, and 11 Transgender Aging. 12 ‘‘(2) The Assistant Secretary shall develop and issue 13 operating standards and reporting requirements for the 14 Center established under paragraph (1). 15 ‘‘(3) The Assistant Secretary shall make available to 16 the Center such resources as are necessary for the Center 17 to carry out effectively the functions of the Center under 18 this Act for fiscal year 2014. In subsequent fiscal years, 19 the Assistant Secretary shall make available to the Center 20 not less than the amount of resources made available to 21 the Center under this paragraph for fiscal year 2014.’’. 22 (c) REPORTS.—Section 207 of the Older Americans 23 Act of 1965 (42 U.S.C. 3018) is amended— 24 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00014 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 15 •HR 4122 IH (1) in subsection (a)(3), by inserting ‘‘LGBT 1 individuals,’’ after ‘‘low-income individuals,’’; 2 (2) in subsection (c)— 3 (A) in paragraph (1), by inserting ‘‘, and 4 separately specify the number of such individ- 5 uals who are LGBT individuals’’ before the 6 semicolon; 7 (B) by redesignating paragraphs (4) and 8 (5) as paragraphs (5) and (6), respectively; and 9 (C) by inserting after paragraph (3) the 10 following: 11 ‘‘(4) the effectiveness of such activities in as- 12 sisting LGBT individuals;’’; and 13 (3) by adding at the end the following: 14 ‘‘(d) The Assistant Secretary shall ensure that— 15 ‘‘(1) no individual will be required to provide in- 16 formation regarding the sexual orientation or gender 17 identity of the individual as a condition of partici- 18 pating in activities or receiving services under this 19 Act; and 20 ‘‘(2) no agency or other entity providing activi- 21 ties or services under this Act, that receives, for the 22 purposes of this Act, information regarding the sex- 23 ual orientation or gender identity of an individual 24 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00015 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 16 •HR 4122 IH will disclose the information in any form that would 1 permit such individual to be identified. 2 ‘‘(e) The Assistant Secretary shall develop appro- 3 priate protocols, demonstrations, tools, or guidance for use 4 by State agencies and area agencies on aging, to ensure 5 successful implementation of data collection requirements 6 under section 201(d)(3)(J), paragraphs (16)(A)(ii) and 7 (29) of section 202(a), subsections (a)(3), (c)(1), and 8 (c)(4), and section 307(a)(6), relating to LGBT individ- 9 uals. 10 ‘‘(f) The Assistant Secretary shall determine when 11 such data collection requirements shall apply, taking into 12 consideration the complexity and importance of each re- 13 quirement, but each requirement shall apply not later than 14 1 year after the date of enactment of the Older Americans 15 Act Reauthorization Act of 2014.’’. 16 (d) AUTHORIZATION OF APPROPRIATIONS.—Section 17 216 of the Older Americans Act of 1965 (42 U.S.C. 18 3020f) is amended— 19 (1) in subsection (a), by striking ‘‘2007, 2008, 20 2009, 2010, and 2011’’ and inserting ‘‘2014, 2015, 21 2016, 2017, and 2018’’; 22 (2) in subsection (b)— 23 (A) by striking ‘‘202(a)(24)’’ and inserting 24 ‘‘202(a)(21)’’; and 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00016 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 17 •HR 4122 IH (B) by striking ‘‘2007, 2008, 2009, 2010, 1 and 2011’’ and inserting ‘‘2014, 2015, 2016, 2 2017, and 2018’’; and 3 (3) in subsection (c), by striking ‘‘2007, 2008, 4 2009, 2010, and 2011’’ and inserting ‘‘2014, 2015, 5 2016, 2017, and 2018’’. 6 (e) ADVISORY COMMITTEE TO ASSESS, COORDINATE, 7 AND IMPROVE LEGAL ASSISTANCE ACTIVITIES.— 8 (1) ADVISORY COMMITTEE.—Title II of the 9 Older Americans Act of 1965 (42 U.S.C. 3011– 10 3020f) is amended— 11 (A) by redesignating section 216 as section 12 217; and 13 (B) by inserting after section 215 the fol- 14 lowing: 15 ‘‘SEC. 216. ADVISORY COMMITTEE TO ASSESS, COORDI- 16 NATE, AND IMPROVE LEGAL ASSISTANCE AC- 17 TIVITIES. 18 ‘‘(a) ESTABLISHMENT.—There is established an Ad- 19 visory Committee to Assess, Coordinate, and Improve 20 Legal Assistance Activities (referred to in this section as 21 the ‘Committee’). 22 ‘‘(b) MEMBERSHIP; DUTIES.—The Assistant Sec- 23 retary shall appoint members to the Committee and deter- 24 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00017 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 18 •HR 4122 IH mine the activities of the Committee (which shall include 1 the study and report described in subsection (c)). 2 ‘‘(c) STUDY; REPORT.—The Committee shall conduct 3 a study on the legal services activities assistance system 4 for older individuals. Not later than 1 year after the date 5 of the establishment of the Committee, the Committee 6 shall submit to the President, Congress, and the Assistant 7 Secretary a report that contains a detailed statement of 8 the findings and conclusions of such study, including the 9 Committee’s recommendations improving the legal services 10 activities assistance system for older individuals. 11 ‘‘(d) REGULATIONS.—Not later than 180 days after 12 receiving the report described in subsection (c), the Assist- 13 ant Secretary shall issue regulations or guidance taking 14 into consideration the recommendations of the Committee. 15 ‘‘(e) DEFINITION.—In this subsection, the term ‘legal 16 assistance activities’ includes— 17 ‘‘(1) legal assistance made available to older in- 18 dividuals with greatest economic need or with great- 19 est social need; 20 ‘‘(2) activities of the National Legal Resource 21 Center carried out under section 420(a); 22 ‘‘(3) State legal assistance developer activities 23 carried out under section 731; and 24 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00018 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 19 •HR 4122 IH ‘‘(4) any other directly related activity or pro- 1 gram as determined appropriate by the Assistant 2 Secretary.’’. 3 (2) CONFORMING AMENDMENT.—Section 215(j) 4 of the Older Americans Act of 1965 (42 U.S.C. 5 3020e–1(j)) is amended by striking ‘‘section 216’’ 6 and inserting ‘‘section 217’’. 7 (3) AUTHORIZATION OF APPROPRIATIONS.— 8 Section 217 of the Older Americans Act of 1965 (42 9 U.S.C. 3020f), as so redesignated by subsection (c), 10 is amended by adding at the end the following: 11 ‘‘(d) ADVISORY COMMITTEE TO ASSESS, COORDI- 12 NATE, AND IMPROVE LEGAL ASSISTANCE ACTIVITIES.— 13 There is authorized to be appropriated to carry out section 14 216 $300,000 for each of the fiscal years 2014, 2015, 15 2016, 2017, and 2018.’’. 16 SEC. 5. STATE AND COMMUNITY PROGRAMS ON AGING. 17 (a) AUTHORIZATION OF APPROPRIATIONS.—Section 18 303 of the Older Americans Act of 1965 (42 U.S.C. 3023) 19 is amended— 20 (1) in subsection (a)(1), by striking ‘‘fiscal 21 years 2007’’ and all that follows and inserting ‘‘each 22 of the fiscal years 2014 through 2018.’’; 23 (2) in subsection (b)— 24 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00019 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 20 •HR 4122 IH (A) in paragraph (1), by striking ‘‘fiscal 1 years 2007’’ and all that follows and inserting 2 ‘‘each of the fiscal years 2014 through 2018.’’; 3 and 4 (B) in paragraph (2), by striking ‘‘fiscal 5 years 2007’’ and all that follows and inserting 6 ‘‘each of the fiscal years 2014 through 2018.’’; 7 (3) in subsection (d), by striking ‘‘fiscal years 8 2007’’ and all that follows and inserting ‘‘each of 9 the fiscal years 2014 through 2018.’’; and 10 (4) in subsection (e)(2), by striking ‘‘2011’’ and 11 inserting ‘‘2011 and each of the fiscal years 2014 12 through 2018’’. 13 (b) CONFORMING AMENDMENT.—Section 304(b) of 14 the Older Americans Act of 1965 (42 U.S.C. 3024(b)) is 15 amended by striking ‘‘subpart 1 of’’. 16 (c) PLANNING AND SERVICE AREAS.—Section 17 305(b)(5)(C)(i)(III) of the Older Americans Act of 1965 18 (42 U.S.C. 3025(b)(5)(C)(i)(III)) is amended by striking 19 ‘‘planning and services areas’’ and inserting ‘‘planning 20 and service areas’’. 21 (d) AREA PLANS.—Section 306 of the Older Ameri- 22 cans Act of 1965 (42 U.S.C. 3026) is amended— 23 (1) in subsection (a)— 24 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00020 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 21 •HR 4122 IH (A) in paragraph (1), by striking ‘‘estab- 1 lishment, maintenance, or construction of multi- 2 purpose senior centers,’’ and inserting ‘‘estab- 3 lishment, maintenance, modernization, or con- 4 struction of multipurpose senior centers (includ- 5 ing a plan to use the skills and services of older 6 individuals in paid and unpaid work, including 7 multigenerational and older individual to older 8 individual work),’’; and 9 (B) in paragraph (6)— 10 (i) in subparagraph (G), by adding 11 ‘‘and’’ at the end; and 12 (ii) by adding at the end the fol- 13 lowing: 14 ‘‘(H) in coordination with the State agency 15 and with the State agency responsible for elder 16 abuse prevention services, increase public 17 awareness of elder abuse, neglect, and exploi- 18 tation, and remove barriers to education, pre- 19 vention, investigation, and treatment of elder 20 abuse, neglect, and exploitation, as appro- 21 priate;’’; and 22 (2) in subsection (b)(3)— 23 (A) in subparagraph (J), by striking ‘‘and’’ 24 at the end; 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00021 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 22 •HR 4122 IH (B) by redesignating subparagraph (K) as 1 subparagraph (L); and 2 (C) by inserting after subparagraph (J) 3 the following: 4 ‘‘(K) protection from elder abuse, neglect, 5 and exploitation; and’’. 6 (e) NUTRITION SERVICES INCENTIVE PROGRAM.— 7 Section 311(e) of the Older Americans Act of 1965 (42 8 U.S.C. 3030a(e)) is amended by striking ‘‘fiscal year 9 2007’’ and all that follows and inserting ‘‘each of the fiscal 10 years 2014 through 2018.’’. 11 (f) SUPPORTIVE SERVICES.—Section 321 of the 12 Older Americans Act of 1965 (42 U.S.C. 3030d) is 13 amended— 14 (1) in subsection (a)— 15 (A) in paragraph (1), by striking ‘‘or refer- 16 ral services’’ and inserting ‘‘referral, chronic 17 condition self-care management, or falls preven- 18 tion services’’; 19 (B) in paragraph (8), by striking ‘‘(includ- 20 ing’’ and all that follows and inserting the fol- 21 lowing: ‘‘(including mental and behavioral 22 health screening and falls prevention services 23 screening) to detect or prevent (or both) ill- 24 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00022 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 23 •HR 4122 IH nesses and injuries that occur most frequently 1 in older individuals;’’ and 2 (C) in paragraph (15), by inserting before 3 the semicolon the following: ‘‘, and screening 4 for elder abuse, neglect, and exploitation’’; 5 (2) in subsection (b)(1), by inserting ‘‘or mod- 6 ernization’’ after ‘‘construction’’; 7 (3) in subsection (c), by inserting before the pe- 8 riod the following: ‘‘, and pursue opportunities for 9 the development of intergenerational shared site 10 models for programs or projects, consistent with the 11 purposes of this Act’’; and 12 (4) by adding at the end the following: 13 ‘‘(e) In this section, the term ‘adult child with a dis- 14 ability’ means a child who— 15 ‘‘(1) is age 18 or older; 16 ‘‘(2) is financially dependent on an older indi- 17 vidual who is a parent of the child; and 18 ‘‘(3) has a disability.’’. 19 (g) HOME DELIVERED NUTRITION SERVICES PRO- 20 GRAM.—Section 336(1) of the Older Americans Act of 21 1965 (42 U.S.C. 3030f(1)) is amended by striking 22 ‘‘canned’’ and all that follows through ‘‘meals’’ and insert- 23 ing ‘‘canned, or fresh foods and, as appropriate, supple- 24 mental foods and any additional meals’’. 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00023 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 24 •HR 4122 IH (h) NUTRITION SERVICES.—Section 339 of the Older 1 Americans Act of 1965 (42 U.S.C. 3030g–21) is amend- 2 ed— 3 (1) in paragraph (1), by striking ‘‘solicit’’ and 4 inserting ‘‘utilize’’; and 5 (2) in paragraph (2)— 6 (A) in subparagraph (J)— 7 (i) by striking ‘‘if appropriate’’; and 8 (ii) by striking ‘‘and’’ at the end; 9 (B) in subparagraph (K), by striking the 10 period and inserting ‘‘, and’’; and 11 (C) by adding at the end the following: 12 ‘‘(L) where feasible, encourages the use of 13 organic or locally grown foods in meal programs 14 and identifies potential partnerships and con- 15 tracts with local producers and providers of or- 16 ganic or locally grown foods.’’. 17 (i) EVIDENCE-BASED DISEASE PREVENTION AND 18 HEALTH PROMOTION SERVICES PROGRAM.—Part D of 19 title III of the Older Americans Act of 1965 (42 U.S.C. 20 3030m et seq.) is amended— 21 (1) in the part heading, by inserting ‘‘EVI- 22 DENCE-BASED’’ before ‘‘DISEASE’’; and 23 (2) in section 361(a), by inserting ‘‘evidence- 24 based’’ after ‘‘to provide’’. 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00024 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 25 •HR 4122 IH (j) OLDER RELATIVE CAREGIVERS.— 1 (1) TECHNICAL AMENDMENT.—Part E of title 2 III of the Older Americans Act of 1965 (42 U.S.C. 3 3030s et seq.) is amended by striking the subpart 4 heading for subpart 1. 5 (2) DEFINITIONS.—Section 372 of such Act (42 6 U.S.C. 3030s) is amended— 7 (A) in subsection (a)— 8 (i) in paragraph (1), by striking ‘‘or 9 who is an individual with a disability’’; and 10 (ii) by striking paragraph (2) and in- 11 serting the following: 12 ‘‘(2) INDIVIDUAL WITH A DISABILITY.—The 13 term ‘individual with a disability’ means an indi- 14 vidual with a disability, as defined in section 3 of the 15 Americans with Disabilities Act of 1990 (42 U.S.C. 16 12102), who is not less than age 18 and not more 17 than age 59. 18 ‘‘(3) OLDER RELATIVE CAREGIVER.—The term 19 ‘older relative caregiver’ means a caregiver who— 20 ‘‘(A)(i) is age 55 or older; and 21 ‘‘(ii) lives with, is the informal provider of 22 in-home and community care to, and is the pri- 23 mary caregiver for, a child or an individual with 24 a disability; 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00025 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 26 •HR 4122 IH ‘‘(B) in the case of a caregiver for a 1 child— 2 ‘‘(i) is the grandparent, 3 stepgrandparent, or other relative (other 4 than the parent) by blood, marriage, or 5 adoption, of the child; 6 ‘‘(ii) is the primary caregiver of the 7 child because the biological or adoptive 8 parents are unable or unwilling to serve as 9 the primary caregivers of the child; and 10 ‘‘(iii) has a legal relationship to the 11 child, such as legal custody, adoption, or 12 guardianship, or is raising the child infor- 13 mally; and 14 ‘‘(C) in the case of a caregiver for an indi- 15 vidual with a disability, is the parent, grand- 16 parent, or other relative by blood, marriage, or 17 adoption, of the individual with a disability.’’; 18 and 19 (B) in subsection (b)— 20 (i) by striking ‘‘subpart’’ and all that 21 follows through ‘‘family caregivers’’ and in- 22 serting ‘‘part, for family caregivers’’; 23 (ii) by striking ‘‘; and’’ and inserting 24 a period; and 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00026 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 27 •HR 4122 IH (iii) by striking paragraph (2). 1 (k) NATIONAL FAMILY CAREGIVER SUPPORT PRO- 2 GRAM.—Section 373 of the Older Americans Act of 1965 3 (42 U.S.C. 3030s–1) is amended— 4 (1) in subsection (a)(2), by striking ‘‘grand- 5 parents or older individuals who are relative care- 6 givers.’’ and inserting ‘‘older relative caregivers.’’; 7 (2) in subsection (c)— 8 (A) in paragraph (1), in the matter pre- 9 ceding subparagraph (A), by striking ‘‘grand- 10 parents and older individuals who are relative 11 caregivers, and who’’ and inserting ‘‘older rel- 12 ative caregivers, who’’; and 13 (B) in paragraph (2)(B), by striking ‘‘to 14 older individuals providing care to individuals 15 with severe disabilities, including children with 16 severe disabilities’’ and inserting ‘‘to older rel- 17 ative caregivers of children with severe disabil- 18 ities, or individuals with disabilities who have 19 severe disabilities’’; 20 (3) in subsection (e)(3), by striking ‘‘grand- 21 parents or older individuals who are relative care- 22 givers’’ and inserting ‘‘older relative caregivers’’; 23 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00027 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 28 •HR 4122 IH (4) in subsection (f)(1)(A), by striking ‘‘for fis- 1 cal years 2007, 2008, 2009, 2010, and 2011’’ and 2 inserting ‘‘for a fiscal year’’; and 3 (5) in subsection (g)(2)(C), by striking ‘‘grand- 4 parents and older individuals who are relative care- 5 givers of a child who is not more than 18 years of 6 age’’ and inserting ‘‘older relative caregivers’’. 7 (l) CONFORMING AMENDMENT.—Part E of title III 8 is amended by striking ‘‘this subpart’’ each place it ap- 9 pears and inserting ‘‘this part’’. 10 SEC. 6. ACTIVITIES FOR HEALTH, INDEPENDENCE, AND 11 LONGEVITY. 12 (a) GRANT PROGRAMS.—Section 411 of the Older 13 Americans Act of 1965 (42 U.S.C. 3032) is amended— 14 (1) in subsection (a)— 15 (A) in paragraph (12), by striking ‘‘and’’ 16 at the end; 17 (B) by redesignating paragraph (13) as 18 paragraph (14); and 19 (C) by inserting after paragraph (12) the 20 following: 21 ‘‘(13) continuing support for program integrity 22 initiatives concerning the Medicare program under 23 title XVIII of the Social Security Act (42 U.S.C. 24 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00028 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 29 •HR 4122 IH 1395 et seq.) that train senior volunteers to prevent 1 and identify health care fraud and abuse; and’’; and 2 (2) in subsection (b), by striking ‘‘for fiscal 3 years 2007’’ and all that follows through ‘‘2011’’ 4 and inserting ‘‘for each of the fiscal years 2014 5 through 2018’’. 6 (b) NATIVE AMERICAN PROGRAMS.—Section 418(b) 7 of the Older Americans Act of 1965 (42 U.S.C. 3032g(b)) 8 is amended by striking ‘‘a national meeting to train’’ and 9 inserting ‘‘national trainings for’’. 10 (c) LEGAL ASSISTANCE FOR OLDER AMERICANS.— 11 Section 420(c) of the Older Americans Act of 1965 (42 12 U.S.C. 3032i(c)) is amended by striking ‘‘national’’. 13 (d) CONFORMING AMENDMENT.—Section 14 417(a)(1)(A) of the Older Americans Act of 1965 (42 15 U.S.C. 3032f(a)(1)(A)) is amended by striking ‘‘grand- 16 parents and other older individuals who are relative care- 17 givers’’ and inserting ‘‘older relative caregivers (as defined 18 in section 372)’’. 19 SEC. 7. NATIONAL RESOURCE CENTER ON FAMILY 20 CAREGIVING. 21 Part A of title IV of the Older Americans Act of 1965 22 (42 U.S.C. 3032–3032k) is amended by adding at the end 23 the following: 24 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00029 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 30 •HR 4122 IH ‘‘SEC. 423. NATIONAL RESOURCE CENTER ON FAMILY 1 CAREGIVING. 2 ‘‘(a) ESTABLISHMENT.—The Secretary of Health 3 and Human Services shall award a grant to or enter into 4 a cooperative agreement with a public or private nonprofit 5 entity to establish a National Resource Center on Family 6 Caregiving (referred to in this section as the ‘Center’). 7 ‘‘(b) DEVELOPMENT.—The Assistant Secretary shall 8 develop and issue operating standards and reporting re- 9 quirements for the Center established under subsection 10 (a). 11 ‘‘(c) AUTHORIZATION.—There is authorized to be ap- 12 propriated to carry out this section, $2,000,000 for each 13 of the fiscal years 2014 through 2018.’’. 14 SEC. 8. MULTIPURPOSE SENIOR CENTER MODERNIZATION, 15 TRAINING, AND SUPPORT. 16 Part A of title IV of the Older Americans Act of 1965 17 (42 U.S.C. 3032–3032k), as amended by section 7, is 18 amended by adding at the end the following: 19 ‘‘SEC. 424. MULTIPURPOSE SENIOR CENTER MODERNIZA- 20 TION, TRAINING, AND SUPPORT. 21 ‘‘(a) PROGRAM AUTHORIZED.—The Assistant Sec- 22 retary shall award grants and enter into contracts with 23 eligible entities to carry out projects to— 24 ‘‘(1) support and promote modern multipurpose 25 senior center models which yield vibrant, multi- 26 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00030 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 31 •HR 4122 IH service, multigenerational centers for older individ- 1 uals, families of older individuals, and others in the 2 community to gain skills, resources, and connections 3 needed to meet the challenges that occur with con- 4 tinuum of care and quality of life; 5 ‘‘(2) build an evidence base of modern, 6 replicable practices that allow senior centers to serve 7 a diverse array of older individuals, as well as their 8 families and other caregivers, leveraging innovative 9 partnerships and public and private resources to de- 10 velop and expand programs; and 11 ‘‘(3) mobilize services and leverage resources to 12 support the role of multipurpose senior centers as 13 community focal points, as provided in section 14 306(a)(3), and for the establishment, construction, 15 maintenance, and operation of centers, as described 16 in sections 303(c)(2) and 306(a)(1), including devel- 17 opment of intergenerational shared site models, con- 18 sistent with the purposes of this Act. 19 ‘‘(b) USE OF FUNDS.—An eligible entity shall use 20 funds made available under a grant awarded, or a contract 21 entered into, under subsection (a) to— 22 ‘‘(1) carry out a project described in subsection 23 (a); and 24 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00031 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 32 •HR 4122 IH ‘‘(2) evaluate the project in accordance with 1 subsection (f). 2 ‘‘(c) APPLICATION.—To be eligible to receive a grant 3 or enter into a contract under subsection (a), an eligible 4 entity shall submit an application to the Assistant Sec- 5 retary at such time, in such manner, and accompanied by 6 such information as the Assistant Secretary may reason- 7 ably require. 8 ‘‘(d) ELIGIBLE ENTITY.—For purposes of this sec- 9 tion, the term ‘eligible entity’ means— 10 ‘‘(1) a multipurpose senior center that has met 11 national accreditation and fiduciary standards; or 12 ‘‘(2) a regional partnership or collaboration of 13 multipurpose senior centers or State association of 14 senior centers in which not less than 2 centers are 15 accredited. 16 ‘‘(e) COMPETITIVE GRANTS FOR TECHNICAL ASSIST- 17 ANCE.— 18 ‘‘(1) GRANTS.—The Assistant Secretary shall 19 make a grant, on a competitive basis, to an eligible 20 nonprofit organization described in paragraph (2), to 21 enable the organization to— 22 ‘‘(A) provide training and technical assist- 23 ance to recipients of grants under this section 24 and other multipurpose senior centers to adopt 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00032 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 33 •HR 4122 IH and tailor evidence-based modernization strate- 1 gies and practices to respond to the economic 2 and health needs of the diverse and growing 3 aging populations in their own communities; 4 and 5 ‘‘(B) carry out other duties, as determined 6 by the Assistant Secretary. 7 ‘‘(2) ELIGIBLE NONPROFIT ORGANIZATION.— 8 To be eligible to receive a grant under this sub- 9 section, an organization shall be a nonprofit organi- 10 zation (including a partnership of nonprofit organi- 11 zations), that— 12 ‘‘(A) has experience and expertise in pro- 13 viding technical assistance to a range of multi- 14 purpose senior centers and experience evalu- 15 ating and reporting on programs; and 16 ‘‘(B) has demonstrated knowledge of and 17 expertise in multipurpose senior center accredi- 18 tation or other standards of excellence. 19 ‘‘(3) APPLICATION.—To be eligible to receive a 20 grant under this subsection, an organization (includ- 21 ing a partnership of nonprofit organizations) shall 22 submit an application to the Assistant Secretary at 23 such time, in such manner, and containing such in- 24 formation as the Assistant Secretary may require, 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00033 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 34 •HR 4122 IH including an assurance that the organization will 1 submit to the Assistant Secretary such evaluations 2 and reports as the Assistant Secretary may require. 3 ‘‘(f) LOCAL EVALUATION AND REPORT.— 4 ‘‘(1) EVALUATION.—Each entity receiving a 5 grant or a contract under subsection (a) to carry out 6 a project described in subsection (a) shall evaluate 7 the project, leadership, and resources for the mod- 8 ernization of multipurpose senior centers to deter- 9 mine— 10 ‘‘(A) the effectiveness of the project in pro- 11 ducing innovations and mobilizing resources; 12 ‘‘(B) the impact on older individuals, fami- 13 lies of older individuals, and the community 14 being served; and 15 ‘‘(C) the potential for the project to be rep- 16 licated by other multipurpose senior centers, 17 noting the necessary resources and partnerships 18 and the types of populations and communities 19 best suited for the model. 20 ‘‘(2) REPORT.—The entity described in para- 21 graph (1) shall submit a report to the Assistant Sec- 22 retary containing the evaluation not later than 6 23 months after the expiration of the period for which 24 the grant or contract is in effect. 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00034 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 35 •HR 4122 IH ‘‘(g) REPORT TO CONGRESS.—Not later than 6 1 months after the Assistant Secretary receives the reports 2 described in subsection (f)(2), the Assistant Secretary 3 shall prepare and submit to Congress a report that as- 4 sesses the evaluations and includes, at a minimum— 5 ‘‘(1) a description of the nature and operation 6 of the projects funded under this section and other 7 activities conducted in support of such projects; 8 ‘‘(2) the findings resulting from the evaluations 9 of the model projects conducted under this section; 10 ‘‘(3) a description of recommended best prac- 11 tices of modern multipurpose senior centers; 12 ‘‘(4) a strategy for disseminating the findings 13 resulting from the projects described in paragraph 14 (1); and 15 ‘‘(5) recommendations for legislative or admin- 16 istrative action, as the Assistant Secretary deter- 17 mines appropriate.’’. 18 SEC. 9. COMMUNITY SERVICE SENIOR OPPORTUNITIES. 19 Section 517(a) of the Older Americans Act of 1965 20 (42 U.S.C. 3056o(a)) is amended by striking ‘‘fiscal years 21 2007, 2008, 2009, 2010, and 2011’’ and inserting ‘‘each 22 of the fiscal years 2014 through 2018’’. 23 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00035 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 36 •HR 4122 IH SEC. 10. GRANTS FOR NATIVE AMERICANS. 1 Section 643(2) of the Older Americans Act of 1965 2 (42 U.S.C. 3057n(2)) is amended by striking ‘‘fiscal year 3 2011’’ and inserting ‘‘each of the fiscal years 2014 4 through 2018’’. 5 SEC. 11. VULNERABLE ELDER RIGHTS PROTECTION ACTIVI- 6 TIES. 7 (a) OMBUDSMAN DEFINITIONS.—Section 711(6) of 8 the Older Americans Act of 1965 (42 U.S.C. 3058f(6)) 9 is amended by striking ‘‘older’’. 10 (b) OMBUDSMAN PROGRAMS.—Section 712 of the 11 Older Americans Act of 1965 (42 U.S.C. 3058g) is 12 amended— 13 (1) in subsection (a)— 14 (A) in paragraph (2), by adding at the end 15 the following: ‘‘The Ombudsman shall be re- 16 sponsible for the management, including the fis- 17 cal management, of the Office.’’; 18 (B) in paragraph (3)— 19 (i) in subparagraph (A), by striking 20 clause (i) and inserting the following: 21 ‘‘(i) are made by, or on behalf of, resi- 22 dents, including residents with limited or 23 no decisionmaking capacity and who have 24 no known legal representative, and if such 25 a resident is unable to communicate con- 26 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00036 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 37 •HR 4122 IH sent for an Ombudsman to work on a com- 1 plaint directly involving the resident, the 2 Ombudsman shall seek evidence to indicate 3 what outcome the resident would have 4 communicated (and, in the absence of evi- 5 dence to the contrary, shall assume that 6 the resident wishes to have the resident’s 7 health, safety, welfare, and rights pro- 8 tected) and shall work to accomplish that 9 outcome; and’’; 10 (ii) in subparagraph (D), by striking 11 ‘‘regular and timely’’ and inserting ‘‘reg- 12 ular, timely, private, and unimpeded’’; 13 (iii) in subparagraph (H)(iii)— 14 (I) by inserting ‘‘, actively en- 15 courage, and assist in’’ after ‘‘provide 16 technical support for’’; and 17 (II) by striking ‘‘and’’ after the 18 semicolon; 19 (iv) by redesignating subparagraph (I) 20 as subparagraph (K); and 21 (v) by inserting after subparagraph 22 (H) the following: 23 ‘‘(I) when feasible, continue to carry out 24 the functions described in this section on behalf 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00037 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 38 •HR 4122 IH of residents transitioning from a long-term care 1 facility to a home care setting; 2 ‘‘(J) collect and analyze data, relating to 3 discrimination against LGBT older individuals 4 on the basis of actual or perceived sexual ori- 5 entation or gender identity in the admission to, 6 transfer or discharge from, or lack of adequate 7 care provided in long-term care settings, and 8 shall include the analyses in the reports; and’’; 9 and 10 (C) in paragraph (5)(B)— 11 (i) in clause (vi)— 12 (I) by inserting ‘‘, actively en- 13 courage, and assist in’’ after ‘‘sup- 14 port’’; and 15 (II) by striking ‘‘and’’ after the 16 semicolon; 17 (ii) by redesignating clause (vii) as 18 clause (viii); and 19 (iii) by inserting after clause (vi) the 20 following: 21 ‘‘(vii) identify, investigate, and resolve 22 complaints described in clause (iii) that are 23 made by or on behalf of residents with lim- 24 ited or no decisionmaking capacity and 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00038 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 39 •HR 4122 IH who have no known legal representative, 1 and if such a resident is unable to commu- 2 nicate consent for an Ombudsman to work 3 on a complaint directly involving the resi- 4 dent, the Ombudsman shall seek evidence 5 to indicate what outcome the resident 6 would have communicated (and, in the ab- 7 sence of evidence to the contrary, shall as- 8 sume that the resident wishes to have the 9 resident’s health, safety, welfare, and 10 rights protected) and shall work to accom- 11 plish that outcome; and’’; 12 (2) in subsection (b)— 13 (A) in paragraph (1)— 14 (i) in subparagraph (A), by striking 15 ‘‘access’’ and inserting ‘‘private and 16 unimpeded access’’; and 17 (ii) in subparagraph (B)— 18 (I) in clause (i)— 19 (aa) in the matter preceding 20 subclause (I), by striking ‘‘the 21 medical and social records of a’’ 22 and inserting ‘‘all files, records, 23 and other information concerning 24 a’’; and 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00039 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 40 •HR 4122 IH (bb) in subclause (II), by 1 striking ‘‘to consent’’ and insert- 2 ing ‘‘to communicate consent’’; 3 and 4 (II) in clause (ii), in the matter 5 before subclause (I), by striking ‘‘the 6 records’’ and inserting ‘‘the files, 7 records, and information’’; and 8 (B) by adding at the end the following: 9 ‘‘(3) HEALTH OVERSIGHT AGENCY.—For pur- 10 poses of section 264(c) of the Health Insurance 11 Portability and Accountability Act of 1996 (includ- 12 ing regulations issued under that section) (42 U.S.C. 13 1320d–2 note), the Ombudsman and a representa- 14 tive of the Office shall be considered a ‘health over- 15 sight agency,’ so that release of residents’ individ- 16 ually identifiable health information to the Ombuds- 17 man or representative is not precluded in cases in 18 which the requirements of clause (i) or (ii) of para- 19 graph (1)(B), or the requirements of paragraph 20 (1)(D), are otherwise met.’’; 21 (3) in subsection (d)— 22 (A) in paragraph (1), by striking ‘‘files’’ 23 and inserting ‘‘files, records, and other informa- 24 tion’’; and 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00040 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 41 •HR 4122 IH (B) in paragraph (2)— 1 (i) in subparagraph (A)— 2 (I) by striking ‘‘files and 3 records’’ each place such term appears 4 and inserting ‘‘files, records, and 5 other information’’; and 6 (II) by striking ‘‘and’’ after the 7 semicolon; 8 (ii) in subparagraph (B)— 9 (I) by striking ‘‘files or records’’ 10 and inserting ‘‘files, records, or other 11 information’’; and 12 (II) in clause (iii), by striking the 13 period at the end and inserting ‘‘; 14 and’’; and 15 (iii) by adding at the end the fol- 16 lowing: 17 ‘‘(C) notwithstanding subparagraph (B), 18 ensure that the Ombudsman may disclose infor- 19 mation as needed in order to best serve resi- 20 dents with limited or no decisionmaking capac- 21 ity who have no known legal representative and 22 are unable to communicate consent, in order for 23 the Ombudsman to carry out the functions and 24 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00041 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 42 •HR 4122 IH duties described in paragraphs (3)(A) and 1 (5)(B) of subsection (a).’’; 2 (4) by striking subsection (f) and inserting the 3 following: 4 ‘‘(f) CONFLICT OF INTEREST.— 5 ‘‘(1) INDIVIDUAL CONFLICT OF INTEREST.— 6 The State agency shall— 7 ‘‘(A) ensure that no individual, or member 8 of the immediate family of an individual, in- 9 volved in the designation of the Ombudsman 10 (whether by appointment or otherwise) or the 11 designation of an entity designated under sub- 12 section (a)(5), is subject to a conflict of inter- 13 est; 14 ‘‘(B) ensure that no officer or employee of 15 the Office, representative of a local Ombudsman 16 entity, or member of the immediate family of 17 the officer, employee, or representative, is sub- 18 ject to a conflict of interest; and 19 ‘‘(C) ensure that the Ombudsman— 20 ‘‘(i) does not have a direct involve- 21 ment in the licensing or certification of a 22 long-term care facility or of a provider of 23 a long-term care service; 24 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00042 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 43 •HR 4122 IH ‘‘(ii) does not have an ownership or 1 investment interest (represented by equity, 2 debt, or other financial relationship) in a 3 long-term care facility or a long-term care 4 service; 5 ‘‘(iii) is not employed by, or partici- 6 pating in the management of, a long-term 7 care facility or a related organization, and 8 has not been employed by such a facility or 9 organization within 1 year before the date 10 of the determination involved; 11 ‘‘(iv) does not receive, or have the 12 right to receive, directly or indirectly, re- 13 muneration (in cash or in kind) under a 14 compensation arrangement with an owner 15 or operator of a long-term care facility; 16 ‘‘(v) does not have management re- 17 sponsibility for, or operate under the su- 18 pervision of an individual with manage- 19 ment responsibility for, adult protective 20 services; and 21 ‘‘(vi) does not serve as a guardian or 22 in another fiduciary capacity for residents 23 of long-term care facilities in an official ca- 24 pacity (as opposed to serving as a guardian 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00043 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 44 •HR 4122 IH or fiduciary for a family member, in a per- 1 sonal capacity). 2 ‘‘(2) ORGANIZATIONAL CONFLICT OF INTER- 3 EST.— 4 ‘‘(A) IN GENERAL.—The State agency 5 shall comply with subparagraph (B)(i) in a case 6 in which the Office poses an organizational con- 7 flict of interest, including a situation in which 8 the Office is placed in an organization that— 9 ‘‘(i) is responsible for licensing, certi- 10 fying, or surveying long-term care services 11 in the State; 12 ‘‘(ii) is an association (or an affiliate 13 of such an association) of long-term care 14 facilities, or of any other residential facili- 15 ties for older individuals; 16 ‘‘(iii) provides long-term care services, 17 including programs carried out under a 18 Medicaid waiver approved under section 19 1115 of the Social Security Act (42 U.S.C. 20 1315) or under subsection (b) or (c) of 21 section 1915 of the Social Security Act (42 22 U.S.C. 1396n), or under a Medicaid State 23 plan amendment under subsection (i), (j), 24 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00044 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 45 •HR 4122 IH or (k) of section 1915 of the Social Secu- 1 rity Act (42 U.S.C. 1396n); 2 ‘‘(iv) provides long-term care case 3 management; 4 ‘‘(v) sets rates for long-term care 5 services; 6 ‘‘(vi) provides adult protective serv- 7 ices; 8 ‘‘(vii) is responsible for eligibility de- 9 terminations for the Medicaid program 10 carried out under title XIX of the Social 11 Security Act (42 U.S.C. 1396 et seq.); 12 ‘‘(viii) conducts preadmission screen- 13 ing for placements in facilities described in 14 clause (ii); or 15 ‘‘(ix) makes decisions regarding ad- 16 mission or discharge of individuals to or 17 from such facilities. 18 ‘‘(B) IDENTIFYING, REMOVING, AND REM- 19 EDYING ORGANIZATIONAL CONFLICT.— 20 ‘‘(i) IN GENERAL.—The State agency 21 may not operate the Office or carry out the 22 program, directly, or by contract or other 23 arrangement with any public agency or 24 nonprofit private organization, in a case in 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00045 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 46 •HR 4122 IH which there is an organizational conflict of 1 interest (within the meaning of subpara- 2 graph (A)) unless such conflict of interest 3 has been— 4 ‘‘(I) identified by the State agen- 5 cy; 6 ‘‘(II) disclosed by the State agen- 7 cy to the Assistant Secretary in writ- 8 ing; and 9 ‘‘(III) remedied in accordance 10 with this subparagraph. 11 ‘‘(ii) ACTION BY ASSISTANT SEC- 12 RETARY.—In a case in which a potential or 13 actual organizational conflict of interest 14 (within the meaning of subparagraph (A)) 15 involving the Office is disclosed or reported 16 to the Assistant Secretary by any person 17 or entity, the Assistant Secretary shall re- 18 quire that the State agency, in accordance 19 with the policies and procedures estab- 20 lished by the State agency under sub- 21 section (a)(5)(D)(iii)— 22 ‘‘(I) remove the conflict; or 23 ‘‘(II) submit, and obtain the ap- 24 proval of the Assistant Secretary for, 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00046 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 47 •HR 4122 IH an adequate remedial plan that indi- 1 cates how the Ombudsman will be 2 unencumbered in fulfilling all of the 3 functions specified in subsection 4 (a)(3).’’; and 5 (5) in subsection (h)— 6 (A) in paragraph (3)(A)(i), by striking 7 ‘‘older’’; 8 (B) in paragraph (4), by striking all that 9 precedes ‘‘procedures’’ and inserting the fol- 10 lowing: 11 ‘‘(4) strengthen and update’’; 12 (C) by redesignating paragraphs (4) 13 through (9) as paragraphs (5) through (10), re- 14 spectively; 15 (D) by inserting after paragraph (3) the 16 following: 17 ‘‘(4) ensure that the Ombudsman or a designee 18 participates in training provided by the National 19 Ombudsman Resource Center established in section 20 202(a)(18);’’; 21 (E) in paragraph (6)(A), as so redesig- 22 nated by subparagraph (C) of this paragraph, 23 by striking ‘‘paragraph (4)’’ and inserting 24 ‘‘paragraph (5)’’; 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00047 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 48 •HR 4122 IH (F) in paragraph (7)(A), as so redesig- 1 nated by subparagraph (C) of this paragraph, 2 by striking ‘‘subtitle C of the’’ and inserting 3 ‘‘subtitle C of title I of the’’; and 4 (G) in paragraph (10), as so redesignated 5 by subparagraph (C) of this paragraph, by 6 striking ‘‘(6), or (7)’’ and inserting ‘‘(7), or 7 (8)’’. 8 (c) OMBUDSMAN REGULATIONS.—Section 713 of the 9 Older Americans Act of 1965 (42 U.S.C. 3058h) is 10 amended— 11 (1) in paragraph (1), by striking ‘‘paragraphs 12 (1) and (2) of section 712(f)’’ and inserting ‘‘sub- 13 paragraphs (A) and (B) of section 712(f)(1)’’; and 14 (2) in paragraph (2), by striking ‘‘subpara- 15 graphs (A) through (D) of section 712(f)(3)’’ and 16 inserting ‘‘clauses (i) through (vi) of section 17 712(f)(1)(C)’’. 18 (d) PREVENTION OF ELDER ABUSE, NEGLECT, AND 19 EXPLOITATION.—Section 721 of the Older Americans Act 20 of 1965 (42 U.S.C. 3058i) is amended— 21 (1) in subsection (b)— 22 (A) in the matter preceding paragraph (1), 23 by striking ‘‘(including financial exploitation)’’; 24 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00048 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 49 •HR 4122 IH (B) by redesignating paragraphs (5) 1 through (12) as paragraphs (6) through (13), 2 respectively; 3 (C) by inserting after paragraph (4) the 4 following: 5 ‘‘(5) promoting the submission of data on elder 6 abuse, neglect, and exploitation for the appropriate 7 database of the Administration or another database 8 specified by the Assistant Secretary;’’; 9 (D) in paragraph (10)(C), as redesignated 10 by subparagraph (B)— 11 (i) in clause (ii), by inserting ‘‘, such 12 as forensic specialists,’’ after ‘‘such per- 13 sonnel’’; and 14 (ii) in clause (v), by inserting before 15 the comma the following: ‘‘, including pro- 16 grams and arrangements that protect 17 against financial exploitation’’; and 18 (E) in paragraph (12), as redesignated by 19 subparagraph (B)— 20 (i) in subparagraph (D), by striking 21 ‘‘and’’ at the end; and 22 (ii) by adding at the end the fol- 23 lowing: 24 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00049 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 50 •HR 4122 IH ‘‘(F) supporting and studying innovative 1 practices in communities to develop partner- 2 ships across disciplines for the prevention, in- 3 vestigation, and prosecution of abuse, neglect, 4 and exploitation; and’’; and 5 (2) in subsection (e)(2), in the matter preceding 6 subparagraph (A)— 7 (A) by striking ‘‘subsection (b)(9)(B)(i)’’ 8 and inserting ‘‘subsection (b)(10)(B)(i)’’; and 9 (B) by striking ‘‘subsection (b)(9)(B)(ii)’’ 10 and inserting ‘‘subsection (b)(10)(B)(ii)’’. 11 SEC. 12. BEHAVIORAL HEALTH. 12 The Older Americans Act of 1965 (42 U.S.C. 3011 13 et seq.) is amended— 14 (1) in section 102— 15 (A) in paragraph (14)(G), by inserting 16 ‘‘and behavioral’’ after ‘‘mental’’; 17 (B) in paragraph (36), by inserting ‘‘and 18 behavioral’’ after ‘‘mental’’; and 19 (C) in paragraph (47)(B), by inserting 20 ‘‘and behavioral’’ after ‘‘mental’’; 21 (2) in section 201(f)(1), by inserting ‘‘and be- 22 havioral’’ after ‘‘mental’’; 23 (3) in section 202(a)(5), by inserting ‘‘and be- 24 havioral’’ after ‘‘mental’’; 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00050 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 51 •HR 4122 IH (4) in section 306(a)— 1 (A) in paragraph (2)(A), by inserting ‘‘and 2 behavioral’’ after ‘‘mental’’; and 3 (B) in paragraph (6)(F), by striking ‘‘men- 4 tal health services’’ each place such term ap- 5 pears and inserting ‘‘mental and behavioral 6 health services’’; and 7 (5) in section 321(a)— 8 (A) in paragraph (1), as amended by sec- 9 tion 4(f), by inserting ‘‘and behavioral’’ after 10 ‘‘mental’’; 11 (B) in paragraph (14)(B), by inserting 12 ‘‘and behavioral’’ after ‘‘mental’’; and 13 (C) in paragraph (23), by inserting ‘‘and 14 behavioral’’ after ‘‘mental’’. 15 SEC. 13. STUDY ON TRANSPORTATION SERVICES. 16 (a) STUDY.— 17 (1) IN GENERAL.—Because access to transpor- 18 tation services is critical for millions of older individ- 19 uals in the United States, to allow them to maintain 20 independence, health, and quality of life, the Comp- 21 troller General of the United States shall conduct a 22 study of transportation services for older individuals. 23 (2) CONTENTS.—In conducting the study, the 24 Comptroller General— 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00051 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 52 •HR 4122 IH (A) shall identify challenges and barriers 1 affecting the aging network in providing, ac- 2 cessing, or coordinating efficient and effective 3 transportation services, including challenges 4 and barriers in coordinating services with Fed- 5 eral agencies and programs such as the Depart- 6 ment of Transportation and the Medicaid pro- 7 gram under title XIX of the Social Security Act 8 (42 U.S.C. 1396 et seq.); and 9 (B) shall examine any Federal program re- 10 quirements that may result in challenges or 11 barriers to the coordination of transportation 12 services within the aging network at the local 13 level. 14 (b) REPORT.—Not later than 18 months after the 15 date of enactment of this Act, the Comptroller General 16 shall issue a report. The report shall contain a detailed 17 description of the findings and conclusions of the study, 18 including any recommendations for administrative and 19 other changes to enhance transportation services provided 20 by the aging network. The Comptroller General shall sub- 21 mit the report to the Committee on Education and the 22 Workforce of the House of Representatives and the Com- 23 mittee on Health, Education, Labor, and Pensions of the 24 Senate. 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00052 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 53 •HR 4122 IH SEC. 14. GUIDANCE ON SERVING HOLOCAUST SURVIVORS. 1 (a) IN GENERAL.—Because the services under the 2 Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) 3 are critical to meeting the urgent needs of Holocaust sur- 4 vivors to age in place with dignity, comfort, security, and 5 quality of life, the Assistant Secretary for Aging shall 6 issue guidance to States, that shall be applicable to States, 7 area agencies on aging, and providers of services for older 8 individuals, with respect to serving Holocaust survivors, 9 including guidance on promising practices for conducting 10 outreach to that population. In developing the guidance, 11 the Assistant Secretary for Aging shall consult with ex- 12 perts and organizations serving Holocaust survivors, and 13 shall take into account the possibility that the needs of 14 Holocaust survivors may differ based on geography. 15 (b) CONTENTS.—The guidance shall include the fol- 16 lowing: 17 (1) How nutrition service providers may meet 18 the special health-related or other dietary needs of 19 participants in programs under the Older Americans 20 Act of 1965, including needs based on religious, cul- 21 tural, or ethnic requirements. 22 (2) How transportation service providers may 23 address the urgent transportation needs of Holo- 24 caust survivors. 25 VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00053 Fmt 6652 Sfmt 6201 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS 54 •HR 4122 IH (3) How State long-term care ombudsmen may 1 address the unique needs of residents of long-term 2 care facilities for whom institutional settings may 3 produce sights, sounds, smells, emotions, and rou- 4 tines, that can induce panic, anxiety, and retrauma- 5 tization as a result of experiences from the Holo- 6 caust. 7 (4) How supportive services providers may con- 8 sider the unique needs of Holocaust survivors. 9 (5) How other services provided under that Act, 10 as determined by the Assistant Secretary for Aging, 11 may serve Holocaust survivors. 12 (c) DATE OF ISSUANCE.—The guidance described in 13 subsection (a) shall be issued not later than 180 days after 14 the date of enactment of this Act. 15 Æ VerDate Mar 15 2010 21:47 Mar 04, 2014 Jkt 039200 PO 00000 Frm 00054 Fmt 6652 Sfmt 6301 E:\BILLS\H4122.IH H4122 mstockstill on DSK4VPTVN1PROD with BILLS