Input needed: Proposed Regulations for APS Programs | ACL Administration for Community Living


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- [Program and Policy Areas](/programs)
  - 1. [Column 1 - Programs](/programs)
  1. [\*\*\* COVID-19 \*\*\*](/node/4776)
  2. [ACL A to Z: Programs, Networks, & Focus Areas](/programs/acl-programs-z)
  3. [Overview](/programs)
  4. [Aging and Disability Networks](/programs/aging-and-disability-networks)
  1. [Aging and Disability Resource Centers](/programs/aging-and-disability-networks/aging-and-disability-resource-centers)
  2. [Americans with Disabilities Act National Network](/programs/aging-and-disability-networks/americans-disabilities-act-national-network)
  3. [Area Agencies on Aging](/programs/aging-and-disability-networks/area-agencies-aging)
  4. [Assistive Technology Network](/programs/assistive-technology/assistive-technology)
  5. [Centers for Independent Living](/programs/aging-and-disability-networks/centers-independent-living)
  6. [Protection and Advocacy Systems](/programs/pa-programs)
  7. [Senior Centers and Supportive Services for Older Adults](/programs/community-inclusion-integration-and-access/senior-centers-and-supportive-services-older)
  8. [State Councils on Developmental Disabilities](/programs/aging-and-disability-networks/state-councils-developmental-disabilities)
  9. [State Units on Aging](/programs/aging-and-disability-networks/state-units-aging)
  10. [University Centers for Excellence in Developmental Disabilities](/programs/aging-and-disability-networks/national-network-university)
  5. [Alzheimer’s Disease and Dementia](/programs/support-people-alzheimers-disease/support-people-dementia-including-alzheimers-disease)
  6. [Connecting People to Services](/programs/connecting-people-services)
  1. [Aging and Disability Resource Centers Program/No Wrong Door System](/programs/connecting-people-services/aging-and-disability-resource-centers-programno-wrong-door)
  2. [Medicare Improvements for Patients and Providers Act](/programs/connecting-people-services/medicare-improvements-patients-and)
  3. [State Health Insurance Assistance Program](/programs/connecting-people-services/state-health-insurance-assistance-program-ship)
  7. [Consumer Choice and Control](/programs/consumer-control)
  1. [Person-Centered Planning](/programs/consumer-control/person-centered-planning)
  2. [Supported Decision Making](/programs/consumer-control/supported-decision-making-program)
  3. [Transportation Research and Demonstration Program](/programs/transportation/transportation)
  4. [Veteran Directed Care Program](/programs/veteran-directed-home-and-community-based-services/veteran-directed-home-community-based)
  8. [Data Projects](/programs/research-and-development/data-collection-projects)
  9. [Empowering Advocacy](/programs/empowering-advocacy)
  1. [The President’s Committee for People with Intellectual Disabilities](/programs/empowering-advocacy/presidents-committee-people)
  10. [Employment](/programs/youth-transitions/employment)
  11. [For American Indians, Alaska Natives, and Native Hawaiians](/programs/services-native-americans-oaa-title-vi)
  12. [Health & Wellness](/programs/health-wellness)
  1. [Behavioral Health](/programs/health-wellness/behavioral-health)
  2. [Brain Health](/brain-health)
  3. [Chronic Disease Self-Management](/programs/health-wellness/chronic-disease-self-management-education-programs)
  4. [Falls Prevention](/programs/health-wellness/falls-prevention)
  5. [Health Promotion](/programs/health-wellness/disease-prevention)
  6. [I Can Do It! (ICDI)](/programs/health-wellness/icdi)
  7. [HIV/AIDS](/programs/health-wellness/hivaids)
  8. [Nutrition](/programs/health-wellness/nutrition-services)
  9. [Oral Health](/programs/health-wellness/oral-health)
  13. [Opioid Crisis](/programs/addressing-opioid-crisis)
  14. [Program Evaluations and Reports](/programs/program-evaluations-and-reports)
  15. [Protecting Rights and Preventing Abuse](/programs/protecting-rights-and-preventing-abuse)
  1. [Elder Abuse Prevention](/programs/protecting-rights-and-preventing-abuse/elder-justice)
  2. [Elder Justice Coordinating Council](/programs/elder-justice/elder-justice-coordinating-council-ejcc)
  3. [Help America Vote Act Programs](/programs/community-inclusion-integration-and-access/help-america-vote-act-programs)
  4. [Legal Assistance](/programs/protecting-rights-and-preventing-abuse/legal-help)
  5. [Long-Term Care Ombudsman](/programs/Protecting-Rights-and-Preventing-Abuse/Long-term-Care-Ombudsman-Program)
  6. [For People with Disabilities](/programs/aging-and-disability-networks/state-protection-advocacy-systems)
  7. [Senior Medicare Patrol](/programs/protecting-rights-and-preventing-abuse/senior-medicare-patrol-smp)
  8. [Supporting Adult Protective Services](/programs/elder-justice/supporting-adult-protective-services)
  16. [Research and Development](/programs/research-and-development)
  1. [Advanced Rehabilitation Research and Training (ARRT) Program](/programs/research-and-development/advanced-rehabilitation-research-and)
  2. [Disability and Rehabilitation Research Program](/programs/research-and-development/disability-and-rehabilitation-research)
  3. [Field-Initiated Projects Program Rehabilitation Research](/programs/research-and-development/field-initiated-projects-fip-program)
  4. [Model Systems Program](/programs/research-and-development/model-systems-program)
  5. [NIDILRR Annual Report](/programs/research-and-development/nidilrr-annual-report)
  6. [NIDILRR External Evaluation](/programs/research-and-development/nidilrr-external-evaluation)
  7. [NIDILRR Performance and Evaluation](/programs/research-and-development/nidilrr-performance-and-evaluation)
  8. [Rehabilitation Engineering Research Center Program](/programs/research-and-development/rehabilitation-engineering-research)
  9. [Rehabilitation Research and Training Center (RRTC) Program](/programs/research-and-development/rehabilitation-research-and-training)
  10. [Small Business Innovation Research Program](/programs/research-and-development/small-business-innovation-research-program)
  11. [Switzer Research Fellowship Program](/programs/research-and-development/switzer-research-fellowship-program)
  17. [Retirement Planning and Pension Support](/programs/retirement-planning-support)
  18. [Support to Caregivers](/programs/support-caregivers)
  1. [Lifespan Respite Care Program](/programs/support-caregivers/lifespan-respite-care-program)
  2. [National Family Caregiver Support Program](/programs/support-caregivers/national-family-caregiver-support-program)
  3. [RAISE Family Caregiving Advisory Council](/programs/support-caregivers/raise-family-caregiving-advisory-council)
  4. [Supporting Grandparents Raising Grandchildren](/programs/support-caregivers/supporting-grandparents-raising-grandchildren-0)
  19. [Support for People with Limb Loss, Paralysis and TBI](/programs/post-injury-support)
  1. [Limb Loss Resource Center](/programs/post-injury-support/national-limb-loss-resource-center)
  2. [Paralysis Resource Center](/programs/post-injury-support/paralysis-resource-center-prc)
  3. [Traumatic Brain Injury](/programs/post-injury-support/traumatic-brain-injury-tbi)
  20. [Strengthening the Aging and Disability Networks](/programs/strengthening-aging-and-disability-networks)
  1. [Aging and Disability Evidence-Based Programs and Practices](/programs/strengthening-aging-and-disability-networks/aging-and-disability-evidence-based-programs)
  2. [Diversity & Cultural Competency](/programs/strengthening-aging-and-disability-networks/diversity-and-cultural-competency)
  3. [Duals Demonstration Ombudsman Program Technical Assistance](/programs/strengthening-aging-and-disability-networks/duals-demonstration-ombudsman-program)
  4. [Improving Business Practices](/programs/strengthening-aging-and-disability-networks/improving-business-practices)
  5. [Improving Quality of Services](/programs/strengthening-aging-and-disability-networks/improving-quality-services)
  6. [National Resource Centers](/programs/strengthening-aging-and-disability-networks/national-resource-centers)
  7. [Projects of National Significance](/programs/strengthening-aging-and-disability-networks/projects-national-significance)
  8. [Person-Centered, Trauma-Informed Service](/programs/strengthening-aging-and-disability-networks/advancing-care-holocaust-survivors-older)
  21. [Success Stories](/programs/success-stories)
  22. [Volunteer Opportunities and Civic Engagement](/programs/volunteer-opportunities-and-civic-engagement)
- [Grants](/grants)
  - 1. [Column 1 - Grants](/grants)
  1. [ACL’s Grants Process](/grants)
  2. [Applying for Grants](/grants/applying-grants)
  1. [Application Tips](/grants/applying-grants/application-tips)
  2. [How to Apply](/grants/applying-grants/how-apply)
  3. [Funding Opportunities](/grants/open-opportunities)
  1. [Closed Opportunities](/grants/closed-funding-opportunities)
  4. [Grant Lifecycle](/grants/grant-lifecycle)
  5. [Managing a Grant](/grants/managing-grant)
- [Data, Research & Issues](/aging-and-disability-in-america "Info about older adults, people with disabilities and key aging and disability issues. Includes population data and trends, research findings from ACL's National Institute on Disability, Independent Living and Rehabilitation Research, white papers, more.")
  - 1. [Column 1 - Aging](/aging-and-disability-in-america)
  1. [Overview](/aging-and-disability-in-america)
  2. [Data and Research](/aging-and-disability-in-america/data-and-research)
  1. [ACL Data](https://agid.acl.gov/)
  2. [The State of the States in Developmental Disabilities](/aging-and-disability-in-america/state-states-developmental-disabilities)
  3. [NIDILRR Publications and Resources](/aging-and-disability-in-america/data-and-research/nidilrr-publications-and-resources)
  4. [Profile of Older Americans](/aging-and-disability-in-america/data-and-research/profile-older-americans)
  3. [Issue Briefings and Other Reading](/aging-and-disability-in-america/issue-briefings)
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2. Input needed: Proposed Regulations for APS Programs

# Input needed: Proposed Regulations for APS Programs

## Program and Policy Areas

- Left Nav -

- [\*\*\* COVID-19 \*\*\*](/node/4776)
- [ACL A to Z: Programs, Networks, & Focus Areas](/programs/acl-programs-z)
- [Overview](/programs)
- [Aging and Disability Networks](/programs/aging-and-disability-networks)
  - [Aging and Disability Resource Centers](/programs/aging-and-disability-networks/aging-and-disability-resource-centers)
  - [Americans with Disabilities Act National Network](/programs/aging-and-disability-networks/americans-disabilities-act-national-network)
  - [Area Agencies on Aging](/programs/aging-and-disability-networks/area-agencies-aging)
  - [Assistive Technology Network](/programs/assistive-technology/assistive-technology)
  - [Centers for Independent Living](/programs/aging-and-disability-networks/centers-independent-living)
  - [Protection and Advocacy Systems](/programs/pa-programs)
  - [Senior Centers and Supportive Services for Older Adults](/programs/community-inclusion-integration-and-access/senior-centers-and-supportive-services-older)
  - [State Councils on Developmental Disabilities](/programs/aging-and-disability-networks/state-councils-developmental-disabilities)
  - [State Units on Aging](/programs/aging-and-disability-networks/state-units-aging)
  - [University Centers for Excellence in Developmental Disabilities](/programs/aging-and-disability-networks/national-network-university)
- [Alzheimer’s Disease and Dementia](/programs/support-people-alzheimers-disease/support-people-dementia-including-alzheimers-disease)
- [Connecting People to Services](/programs/connecting-people-services)
  - [Aging and Disability Resource Centers Program/No Wrong Door System](/programs/connecting-people-services/aging-and-disability-resource-centers-programno-wrong-door)
  - [Medicare Improvements for Patients and Providers Act](/programs/connecting-people-services/medicare-improvements-patients-and)
  - [State Health Insurance Assistance Program](/programs/connecting-people-services/state-health-insurance-assistance-program-ship)
- [Consumer Choice and Control](/programs/consumer-control)
  - [Person-Centered Planning](/programs/consumer-control/person-centered-planning)
  - [Supported Decision Making](/programs/consumer-control/supported-decision-making-program)
  - [Transportation Research and Demonstration Program](/programs/transportation/transportation)
  - [Veteran Directed Care Program](/programs/veteran-directed-home-and-community-based-services/veteran-directed-home-community-based)
- [Data Projects](/programs/research-and-development/data-collection-projects)
- [Empowering Advocacy](/programs/empowering-advocacy)
  - [The President’s Committee for People with Intellectual Disabilities](/programs/empowering-advocacy/presidents-committee-people)
  - [President’s Committee for People with Intellectual Disabilities releases 2015 Report to the President](/news-and-events/announcements/presidents-committee-people-intellectual-disabilities-releases-2015)
- [Employment](/programs/youth-transitions/employment)
- [For American Indians, Alaska Natives, and Native Hawaiians](/programs/services-native-americans-oaa-title-vi)
- [Health & Wellness](/programs/health-wellness)
  - [Behavioral Health](/programs/health-wellness/behavioral-health)
  - [Brain Health](/brain-health)
  - [Chronic Disease Self-Management](/programs/health-wellness/chronic-disease-self-management-education-programs)
  - [Falls Prevention](/programs/health-wellness/falls-prevention)
  - [Health Promotion](/programs/health-wellness/disease-prevention)
  - [I Can Do It! (ICDI)](/programs/health-wellness/icdi)
  - [HIV/AIDS](/programs/health-wellness/hivaids)
  - [Nutrition](/programs/health-wellness/nutrition-services)
  - [Oral Health](/programs/health-wellness/oral-health)
- [Opioid Crisis](/programs/addressing-opioid-crisis)
- [Program Evaluations and Reports](/programs/program-evaluations-and-reports)
- [Protecting Rights and Preventing Abuse](/programs/protecting-rights-and-preventing-abuse)
  - [Elder Abuse Prevention](/programs/protecting-rights-and-preventing-abuse/elder-justice)
  - [Draft Voluntary Consensus Guidelines for State APS Systems](/programs/elder-justice/final-voluntary-consensus-guidelines-state-aps-systems)
  - [Elder Abuse Prevention Intervention](/programs/elder-justice/elder-abuse-prevention-intervention-demonstrations)
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  - [National Elder Abuse Incidence Study (1998)](/programs/elder-justice/national-elder-abuse-incidence-study-1998)
  - [Prevention of Elder Abuse, Neglect, and Exploitation (Title VII-A3)](/programs/elder-justice/prevention-elder-abuse-neglect-and-exploitation)
  - [State Grants to Enhance Adult Protective Services](/programs/elder-justice/state-grants-enhance-adult-protective-services)
  - [The National Adult Protective Services Technical Assistance Resource Center](/programs/elder-justice/national-adult-protective-services-technical-assistance-resource-center)
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  - [Long-Term Care Ombudsman](/programs/Protecting-Rights-and-Preventing-Abuse/Long-term-Care-Ombudsman-Program)
  - [LTC Ombudsman National and State Data](/programs/long-term-care-ombudsman/ltc-ombudsman-national-and-state-data)
  - [For People with Disabilities](/programs/aging-and-disability-networks/state-protection-advocacy-systems)
  - [Senior Medicare Patrol](/programs/protecting-rights-and-preventing-abuse/senior-medicare-patrol-smp)
  - [Supporting Adult Protective Services](/programs/elder-justice/supporting-adult-protective-services)
- [Research and Development](/programs/research-and-development)
  - [Advanced Rehabilitation Research and Training (ARRT) Program](/programs/research-and-development/advanced-rehabilitation-research-and)
  - [Disability and Rehabilitation Research Program](/programs/research-and-development/disability-and-rehabilitation-research)
  - [Knowledge Translation Program](/programs/disability-and-rehabilitation-research-program/knowledge-translation-program)
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  - [Model Systems Program](/programs/research-and-development/model-systems-program)
  - [NIDILRR Annual Report](/programs/research-and-development/nidilrr-annual-report)
  - [NIDILRR External Evaluation](/programs/research-and-development/nidilrr-external-evaluation)
  - [NIDILRR Performance and Evaluation](/programs/research-and-development/nidilrr-performance-and-evaluation)
  - [Rehabilitation Engineering Research Center Program](/programs/research-and-development/rehabilitation-engineering-research)
  - [Rehabilitation Research and Training Center (RRTC) Program](/programs/research-and-development/rehabilitation-research-and-training)
  - [Small Business Innovation Research Program](/programs/research-and-development/small-business-innovation-research-program)
  - [Switzer Research Fellowship Program](/programs/research-and-development/switzer-research-fellowship-program)
- [Retirement Planning and Pension Support](/programs/retirement-planning-support)
- [Support to Caregivers](/programs/support-caregivers)
  - [Lifespan Respite Care Program](/programs/support-caregivers/lifespan-respite-care-program)
  - [National Family Caregiver Support Program](/programs/support-caregivers/national-family-caregiver-support-program)
  - [RAISE Family Caregiving Advisory Council](/programs/support-caregivers/raise-family-caregiving-advisory-council)
  - [Supporting Grandparents Raising Grandchildren](/programs/support-caregivers/supporting-grandparents-raising-grandchildren-0)
- [Support for People with Limb Loss, Paralysis and TBI](/programs/post-injury-support)
  - [Limb Loss Resource Center](/programs/post-injury-support/national-limb-loss-resource-center)
  - [Paralysis Resource Center](/programs/post-injury-support/paralysis-resource-center-prc)
  - [Traumatic Brain Injury](/programs/post-injury-support/traumatic-brain-injury-tbi)
- [Strengthening the Aging and Disability Networks](/programs/strengthening-aging-and-disability-networks)
  - [Aging and Disability Evidence-Based Programs and Practices](/programs/strengthening-aging-and-disability-networks/aging-and-disability-evidence-based-programs)
  - [Diversity & Cultural Competency](/programs/strengthening-aging-and-disability-networks/diversity-and-cultural-competency)
  - [Duals Demonstration Ombudsman Program Technical Assistance](/programs/strengthening-aging-and-disability-networks/duals-demonstration-ombudsman-program)
  - [Improving Business Practices](/programs/strengthening-aging-and-disability-networks/improving-business-practices)
  - [Improving Quality of Services](/programs/strengthening-aging-and-disability-networks/improving-quality-services)
  - [National Resource Centers](/programs/strengthening-aging-and-disability-networks/national-resource-centers)
  - [Projects of National Significance](/programs/strengthening-aging-and-disability-networks/projects-national-significance)
  - [Person-Centered, Trauma-Informed Service](/programs/strengthening-aging-and-disability-networks/advancing-care-holocaust-survivors-older)
- [Success Stories](/programs/success-stories)
- [Volunteer Opportunities and Civic Engagement](/programs/volunteer-opportunities-and-civic-engagement)

***The Administration for Community Living is seeking input on a [proposed rule](https://www.federalregister.gov/public-inspection/2023-19516/adult-protective-services-functions-and-grant-programs) to establish the first-ever federal regulations for adult protective services (APS) programs. See below for instructions on submitting comments and registering for a stakeholder webinar, which will be held on Monday, September 18.***

---

APS programs across the country support older adults and adults with disabilities who experience, or who are risk of, abuse, neglect, self-neglect, or financial exploitation. APS programs investigate reports of maltreatment; conduct case planning, monitoring and evaluation; and provide, or connect people to, a variety of medical, social service, economic, legal, housing, law enforcement, and other protective, emergency, or support services. Over the past decade, ACL has led federal efforts to support the critical work of APS programs through a variety of initiatives.

### Summary

The proposed rule aims to improve consistency and quality of APS services across states and support the national network that delivers APS services, with the ultimate goal of better meeting the needs of adults who experience, or are at risk of, maltreatment.  To those ends, the proposed rule:

- Establishes a set of national standards for the operation of APS programs that all state APS systems must meet. These standards formalize – and build upon – the existing Voluntary Consensus Guidelines for State APS Systems.
- Establishes common definitions for the national APS system to improve information sharing, data collection and standardization between and within states.
- Requires state APS systems to develop policies and procedures, consistent with state law, for coordination and sharing of information to facilitate investigations with other entities, such as state long-term care ombudsman, law enforcement agencies, and state Medicaid agencies.
- Requires state policies and procedures to be person-directed and based on concepts of least restrictive alternatives.
- Establishes requirements for data collection, retention, and reporting.
- Establishes requirements for mandatory staff training and ongoing education on core competencies for APS staff and supervisors.

### Key Provisions of the Proposed Rule:

We have created a [plainer-language overview](https://acl.gov/sites/default/files/programs/2023-09/AdultProtectiveServicesRegs.pdf) of some of the core provisions of the proposed rule. It was written to be easier to understand for people without an in-depth understanding of APS or a legal background. It does not include all of the provisions or complete details of the summarized provisions. Please use this document as a tool to navigate the proposed rule; it should not be considered a substitute.

### Input needed

The proposed rule is the culmination of many years of engagement with stakeholders from APS and long-term care ombudsman programs, as well as aging and disability advocates, from across the country. It also reflects input received through several listening sessions, extensive research, and analysis of data from a 2021 survey of 51 APS systems, ACL’s National Adult Maltreatment Reporting System, and policy profiles from APS programs in all states and territories.

### How to Provide Feedback:

ACL seeks feedback from all who are seeking to improve implementation of APS programs. Input from the aging and disability networks, as well as the people served by APS programs, is particularly crucial. Comments can be submitted:

- Using the [online comment form](https://www.federalregister.gov/documents/2023/09/12/2023-19516/adult-protective-services-functions-and-grant-programs#open-comment) at the Federal Register (comments are transferred directly to Regulations.gov)
- By mail to:

  Administration on Aging

  Administration for Community Living

  Department of Health and Human Services

  Attention: Stephanie Whittier Eliason

  330 C Street SW

  Washington, DC 20201

Comments will be accepted for 60 days, starting on September 12.

### Learn more

- On September 18, ACL hosted an [informational webinar](https://www.youtube.com/watch?v=I_ig6yvUDbE&feature=youtu.be) on the proposed rule.
- The [complete proposed rule](https://www.federalregister.gov/public-inspection/2023-19516/adult-protective-services-functions-and-grant-programs) can be found on the website of the Federal Register.
- Highlights of the rule's provisions can be found [in this overview](https://acl.gov/sites/default/files/programs/2023-09/AdultProtectiveServicesRegs.pdf).


*Last modified on 10/17/2023*

## Related Links

[Video: Sept. 18 informational webinar](https://www.youtube.com/watch?v=I_ig6yvUDbE&feature=youtu.be)

[Online form to submit comments](https://www.federalregister.gov/documents/2023/09/12/2023-19516/adult-protective-services-functions-and-grant-programs#open-comment)

[Overview - Proposed APS rule](https://acl.gov/sites/default/files/programs/2023-09/AdultProtectiveServicesRegs.pdf)

[Full text of the proposed rule (Federal Register)](https://www.federalregister.gov/documents/2023/09/12/2023-19516/adult-protective-services-functions-and-grant-programs)