II 

116TH CONGRESS 

2D SESSION S. 4555 

To reauthorize funding for programs to prevent, investigate, and prosecute 

elder abuse, neglect, and exploitation, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

SEPTEMBER 10, 2020 

Mr. WYDEN (for himself and Mr. CASEY) introduced the following bill; which 

was read twice and referred to the Committee on Finance 

A BILL 

To reauthorize funding for programs to prevent, investigate, 

and prosecute elder abuse, neglect, and exploitation, and 

for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Elder Justice Reau5 thorization Act of 2020’’. 


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1 SEC. 2. REAUTHORIZATION OF FUNDING FOR PROGRAMS 

2 TO PREVENT, INVESTIGATE, AND PROSECUTE 

3 ELDER ABUSE, NEGLECT, AND EXPLOI4 TATION. 

5 (a) ELDER ABUSE, NEGLECT, AND EXPLOITATION

6 FORENSIC CENTERS.—Section 2031(f) of the Social Secu7 rity Act (42 U.S.C. 1397l(f)) is amended— 

8 (1) in paragraph (2), by striking ‘‘and’’ after 

9 the semicolon; 

10 (2) in paragraph (3), by striking the period at 

11 the end and inserting a semicolon; and 

12 (3) by adding at the end the following: 

13 ‘‘(4) for fiscal year 2021, $12,000,000; 

14 ‘‘(5) for fiscal year 2022, $18,000,000; and 

15 ‘‘(6) for each of fiscal years 2023 and 2024, 

16 $24,000,000.’’. 

17 (b) GRANTS FOR LONG-TERM CARE STAFFING AND

18 TECHNOLOGY.—Section 2041(d) of the Social Security 

19 Act (42 U.S.C. 1397m(d)) is amended— 

20 (1) in paragraph (2), by striking ‘‘and’’ after 

21 the semicolon; 

22 (2) in paragraph (3), by striking the period at 

23 the end and inserting a semicolon; and 

24 (3) by adding at the end the following: 

25 ‘‘(4) for fiscal year 2021, $60,000,000; 

26 ‘‘(5) for fiscal year 2022, $52,500,000; and 


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1 ‘‘(6) for each of fiscal years 2023 and 2024, 

2 $45,000,000.’’. 

3 (c) ADULT PROTECTIVE SERVICES FUNCTIONS AND

4 GRANT PROGRAMS.—Section 2042 of the Social Security 

5 Act (42 U.S.C. 1397m–1) is amended— 

6 (1) in subsection (a)(2), by striking 

7 ‘‘$3,000,000’’ and all that follows through the pe8 riod and inserting ‘‘$12,000,000 for each of fiscal 

9 years 2021 through 2024.’’; 

10 (2) in subsection (b)(5), by striking 

11 ‘‘$100,000,000’’ and all that follows through the pe12 riod and inserting ‘‘$300,000,000 for each of fiscal 

13 years 2021 through 2024.’’; and 

14 (3) in subsection (c)(6), by striking 

15 ‘‘$25,000,000’’ and all that follows through the pe16 riod and inserting ‘‘$75,000,000 for each of fiscal 

17 years 2021 through 2024.’’. 

18 (d) LONG-TERM CARE OMBUDSMAN PROGRAM

19 GRANTS AND TRAINING.—Section 2043 of the Social Se20 curity Act (42 U.S.C. 1397m–2) is amended— 

21 (1) in subsection (a)(2)— 

22 (A) in subparagraph (B), by striking 

23 ‘‘and’’ after the semicolon; 


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1 (B) in subparagraph (C), by striking the 

2 period at the end and inserting a semicolon; 

3 and 

4 (C) by adding at the end the following: 

5 ‘‘(D) for fiscal year 2021, $15,000,000; 

6 ‘‘(E) for fiscal year 2022, $22,500,000; 

7 and 

8 ‘‘(F) for each of fiscal years 2023 and 

9 2024, $30,000,000.’’; and 

10 (2) in subsection (b)(2), by inserting before the 

11 period the following: ‘‘, and for each of fiscal years 

12 2021 through 2024, $30,000,000’’. 

13 (e) INVESTIGATION SYSTEMS AND TRAINING.—Sec14 tion 6703(b) of the Patient Protection and Affordable 

15 Care Act (42 U.S.C. 1395i–3a(b)) is amended— 

16 (1) in paragraph (1)(C), by striking ‘‘for the 

17 period’’ and all that follows through the period and 

18 inserting ‘‘for each of fiscal years 2021 through 

19 2024, $36,000,000.’’; and 

20 (2) in paragraph (2)(C), by striking ‘‘for each 

21 of fiscal years 2011 through 2014, $5,000,000’’ and 

22 inserting ‘‘for each of fiscal years 2021 through 

23 2024, $15,000,000’’. 


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1 (f) TECHNICAL AMENDMENT.—Section 2011(12)(A) 

2 of the Social Security Act (42 U.S.C. 1397j(12)(A)) is 

3 amended by striking ‘‘450b’’ and inserting ‘‘5304’’. 

4 SEC. 3. INCREASED FUNDING FOR STATES AND INDIAN 

5 TRIBES FOR ADULT PROTECTIVE SERVICES. 

6 (a) INCREASE IN FUNDING FOR SOCIAL SERVICES

7 BLOCK GRANT PROGRAM.— 

8 (1) IN GENERAL.—The amount specified in 

9 subsection (c) of section 2003 of the Social Security 

10 Act for purposes of subsections (a) and (b) of such 

11 section is deemed to be $1,900,000,000 for fiscal 

12 year 2020, of which $200,000,000 shall be obligated 

13 by States during calendar year 2020 in accordance 

14 with subsection (b) of this section. 

15 (2) APPROPRIATION.—Out of any money in the 

16 Treasury of the United States not otherwise appro17 priated, there are appropriated $200,000,000 to 

18 make grants to States under this subsection. 

19 (3) DEADLINE FOR DISTRIBUTION OF

20 FUNDS.—Within 45 days after the date of the enact21 ment of this Act, the Secretary of Health and 

22 Human Services shall distribute the funds made 

23 available by this subsection, which shall be made 

24 available to States (as defined for purposes of title 

25 XX of the Social Security Act in section 1101 of 


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1 such Act (42 U.S.C. 1301)) on an emergency basis 

2 for immediate obligation and expenditure. 

3 (4) SUBMISSION OF REVISED PRE-EXPENDI4 TURE REPORT.—Within 90 days after a State re5 ceives funds made available by this subsection, the 

6 State shall submit to the Secretary of Health and 

7 Human Services a revised pre-expenditure report 

8 pursuant to subtitle A of title XX of the Social Se9 curity Act (42 U.S.C. 1397 et seq.) that describes 

10 how the State plans to administer the funds. 

11 (5) OBLIGATION OF FUNDS BY STATES.—A 

12 State to which funds made available by this sub13 section are distributed shall obligate such funds be14 fore the date that is 120 days after the State re15 ceives such funds. 

16 (6) EXPENDITURE OF FUNDS BY STATES.—A 

17 grantee to which a State (or a subgrantee to which 

18 a grantee) provides funds made available by this 

19 subsection shall expend the funds not later than De20 cember 31, 2021. 

21 (b) RULES GOVERNING USE OF ADDITIONAL

22 FUNDS.—Funds are used in accordance with this sub23 section if— 


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1 (1) the funds are used for adult protective serv2 ices (as defined in section 2011(2) of the Social Se3 curity Act (42 U.S.C. 1397j(2))); 

4 (2) the funds are used subject to the limitations 

5 in section 2005 of the Social Security Act (42 

6 U.S.C. 1397d); and 

7 (3) the funds are used to supplement, not sup8 plant, State general revenue funds for adult protec9 tive services. 

10 (c) FUNDING FOR INDIAN TRIBES AND TRIBAL OR11 GANIZATIONS.— 

12 (1) GRANTS.— 

13 (A) IN GENERAL.—Within 90 days after 

14 the date of the enactment of this Act, the Sec15 retary of Health and Human Services shall 

16 make grants to Indian Tribes and Tribal orga17 nizations (as defined in section 677(e)(1) of the 

18 Community Services Block Grant Act (42 

19 U.S.C. 9911(e)(1))). 

20 (B) AMOUNT OF GRANT.—The amount of 

21 the grant for an Indian Tribe or Tribal organi22 zation shall bear the same ratio to the amount 

23 appropriated by paragraph (3) as the total 

24 amount of grants awarded to the Indian Tribe 

25 or Tribal organization under the Low-Income 


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1 Home Energy Assistance Act of 1981 and the 

2 Community Service Block Grant for fiscal year 

3 2020 bears to the total amount of grants 

4 awarded to all Indian Tribes and Tribal organi5 zations under such Act and such Grant for the 

6 fiscal year. 

7 (2) RULES GOVERNING USE OF FUNDS.—An 

8 entity to which a grant is made under paragraph (1) 

9 shall obligate the funds not later than September 

10 30, 2021, and the funds shall be expended by grant11 ees and subgrantees not later than December 31, 

12 2021, and used in accordance with subsection (b) of 

13 this section (except that paragraph (3) of such sub14 section shall be applied by substituting ‘‘general rev15 enue funds of the Indian Tribe or Tribal organiza16 tion’’ for ‘‘State general revenue funds’’). 

17 (3) REPORTS.— 

18 (A) SUBMISSION OF PRE-EXPENDITURE

19 REPORT AND INTENDED USE PLAN.—Not later 

20 than 90 days after an Indian Tribe or Tribal 

21 organization receives funds made available by 

22 this subsection, the Indian Tribe or Tribal or23 ganization shall submit to the Secretary of 

24 Health and Human Services a report on the in25 tended use of such funds including information 


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1 on the types of activities to be supported and 

2 the categories or characteristics of individuals 

3 to be served. The report shall be subsequently 

4 revised as may be necessary to reflect substan5 tial changes in the activities to be supported or 

6 the categories or characteristics of individuals 

7 to be served. 

8 (B) POST-EXPENDITURE REPORT.—Not 

9 later than January 1, 2022, each Indian Tribe 

10 or Tribal organization that receives funds made 

11 available under this section shall submit to the 

12 Secretary of Health and Human Services a re13 port on the activities supported by such funds. 

14 Such report shall be in such form and contain 

15 such information (including the information de16 scribed in section 2006(c) of the Social Security 

17 Act (42 U.S.C. 1397e(c))) as the Tribe or orga18 nization finds necessary to provide an accurate 

19 description of such activities, to secure a com20 plete record of the purposes for which funds 

21 were spent, and to determine the extent to 

22 which funds were spent in a manner consistent 

23 with the report required by subparagraph (A). 

24 (4) APPROPRIATION.—Out of any money in the 

25 Treasury of the United States not otherwise approVerDate Sep 11 2014 23:53 Sep 10, 2020 Jkt 099200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\S4555.IS S4555

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1 priated, there are appropriated $10,000,000 for 

2 making grants to Indian Tribes and Tribal organiza3 tions under this subsection. 

4 SEC. 4. ASSESSMENT REPORTS. 

5 (a) IN GENERAL.—Not later than 2 years after the 

6 date of enactment of this Act, and not less frequently than 

7 once every 2 years thereafter, the Secretary of Health and 

8 Human Services shall submit a report to the Committee 

9 on Ways and Means of the House of Representatives and 

10 the Committee on Finance of the Senate on the programs, 

11 coordinating bodies, registries, and activities established 

12 or authorized under subtitle B of title XX of the Social 

13 Security Act (42 U.S.C. 1397l et seq.) or section 6703(b) 

14 of the Patient Protection and Affordable Care Act (42 

15 U.S.C. 1395i–3a(b)). Each such report shall assess the ex16 tent to which such programs, coordinating bodies, reg17 istries, and activities have improved access to, and the 

18 quality of, resources available to aging Americans and 

19 their caregivers to ultimately prevent, detect, and treat 

20 abuse, neglect, and exploitation, and shall include, as ap21 propriate, recommendations to Congress on funding levels 

22 and policy changes to help these programs, coordinating 

23 bodies, registries, and activities better prevent, detect, and 

24 treat abuse, neglect, and exploitation of aging Americans. 


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1 (b) AUTHORIZATION.—For each of fiscal years 2021 

2 through 2024, out of any money in the Treasury of the 

3 United States not otherwise appropriated, there are au4 thorized to be appropriated to the Secretary of Health and 

5 Human Services $5,000,000 to carry out this section. 

Æ 


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