```

[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[S. 1531 Reported in Senate (RS)]

                                                       Calendar No. 667
109th CONGRESS
  2d Session
                                S. 1531

                          [Report No. 109-362]

  To direct the Secretary of Health and Human Services to expand and 
  intensify programs with respect to research and related activities 
                        concerning elder falls.

_______________________________________________________________________

                   IN THE SENATE OF THE UNITED STATES

                             July 28, 2005

   Mr. Enzi (for himself, Ms. Mikulski, Mr. Cochran, Mr. Baucus, Mr. 
    Grassley, Mrs. Murray, Mrs. Dole, Mr. Isakson, and Mr. Durbin) 
introduced the following bill; which was read twice and referred to the 
          Committee on Health, Education, Labor, and Pensions

                            December 5, 2006

 Reported by Mr. Enzi, with an amendment and an amendment to the title
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

_______________________________________________________________________

                                 A BILL

  To direct the Secretary of Health and Human Services to expand and 
  intensify programs with respect to research and related activities 
                        concerning elder falls.

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

<DELETED>SECTION 1. SHORT TITLE.</DELETED>

<DELETED>    This Act may be cited as the ``Keeping Seniors Safe From 
Falls Act of 2005''.</DELETED>

<DELETED>SEC. 2. FINDINGS.</DELETED>

<DELETED>    Congress finds the following:</DELETED>
        <DELETED>    (1) Falls are the leading cause of injury deaths 
        among individuals who are over 65 years of age.</DELETED>
        <DELETED>    (2) In 2002, falls among older adults accounted 
        for 12,800 deaths and 1,640,000 emergency department 
        visits.</DELETED>
        <DELETED>    (3) Hospital admissions for hip fractures among 
        the elderly have increased from 231,000 admissions in 1988 to 
        327,000 in 2001.</DELETED>
        <DELETED>    (4) Annually, more than 80,000 individuals who are 
        over 65 years of age sustain a traumatic brain injury as a 
        result of a fall.</DELETED>
        <DELETED>    (5) The total medical cost of all fall injuries 
        for people age 65 and older was calculated in 2000 to be 
        $19,500,000,000.</DELETED>
        <DELETED>    (6) A national approach to reducing falls among 
        older adults, which focuses on the daily life of senior 
        citizens in residential, institutional, and community settings, 
        is needed.</DELETED>

<DELETED>SEC. 3. AMENDMENTS TO THE PUBLIC HEALTH SERVICE ACT.</DELETED>

<DELETED>    Part J of title III of the Public Health Service Act (42 
U.S.C. 280b et seq.) is amended--</DELETED>
        <DELETED>    (1) by redesignating section 393B (as added by 
        section 1401 of Public Law 106-386) as section 393C and 
        transferring such section so that it appears after section 393B 
        (as added by section 1301 of Public Law 106-310); and</DELETED>
        <DELETED>    (2) by inserting after section 393C (as 
        redesignated by paragraph (1)) the following:</DELETED>

<DELETED>``SEC. 393D. PREVENTION OF FALLS AMONG OLDER ADULTS.</DELETED>

<DELETED>    ``(a) Purposes.--The purposes of this section are--
</DELETED>
        <DELETED>    ``(1) to develop effective public education 
        strategies in a national initiative to reduce falls among older 
        adults in order to educate older adults, family members, 
        employers, caregivers, and others;</DELETED>
        <DELETED>    ``(2) to intensify services and conduct research 
        to determine the most effective approaches to preventing and 
        treating falls among older adults; and</DELETED>
        <DELETED>    ``(3) to require the Secretary to evaluate the 
        effect of falls on health care costs, the potential for 
        reducing falls, and the most effective strategies for reducing 
        health care costs associated with falls.</DELETED>
<DELETED>    ``(b) Public Education.--The Secretary shall--</DELETED>
        <DELETED>    ``(1) oversee and support a national education 
        campaign to be carried out by a nonprofit organization with 
        experience in designing and implementing national injury 
        prevention programs, that is directed principally to older 
        adults, their families, and health care providers, and that 
        focuses on reducing falls among older adults and preventing 
        repeat falls; and</DELETED>
        <DELETED>    ``(2) award grants, contracts, or cooperative 
        agreements to qualified organizations, institutions, or 
        consortia of qualified organizations and institutions, for the 
        purpose of organizing State-level coalitions of appropriate 
        State and local agencies, safety, health, senior citizen, and 
        other organizations to design and carry out local education 
        campaigns, focusing on reducing falls among older adults and 
        preventing repeat falls.</DELETED>
<DELETED>    ``(c) Research.--</DELETED>
        <DELETED>    ``(1) In general.--The Secretary shall--</DELETED>
                <DELETED>    ``(A) conduct and support research to--
                </DELETED>
                        <DELETED>    ``(i) improve the identification 
                        of older adults who have a high risk of 
                        falling;</DELETED>
                        <DELETED>    ``(ii) improve data collection and 
                        analysis to identify fall risk and protective 
                        factors;</DELETED>
                        <DELETED>    ``(iii) design, implement, and 
                        evaluate the most effective fall prevention 
                        interventions;</DELETED>
                        <DELETED>    ``(iv) improve strategies that are 
                        proven to be effective in reducing falls by 
                        tailoring these strategies to specific 
                        populations of older adults;</DELETED>
                        <DELETED>    ``(v) conduct research in order to 
                        maximize the dissemination of proven, effective 
                        fall prevention interventions;</DELETED>
                        <DELETED>    ``(vi) intensify proven 
                        interventions to prevent falls among older 
                        adults;</DELETED>
                        <DELETED>    ``(vii) improve the diagnosis, 
                        treatment, and rehabilitation of elderly fall 
                        victims and those at high risk for falls; 
                        and</DELETED>
                        <DELETED>    ``(viii) assess the risk of falls 
                        occurring in various settings;</DELETED>
                <DELETED>    ``(B) conduct research concerning barriers 
                to the adoption of proven interventions with respect to 
                the prevention of falls among older adults;</DELETED>
                <DELETED>    ``(C) conduct research to develop, 
                implement, and evaluate the most effective approaches 
                to reducing falls among high-risk older adults living 
                in communities and long-term care and assisted living 
                facilities; and</DELETED>
                <DELETED>    ``(D) evaluate the effectiveness of 
                community programs designed to prevent falls among 
                older adults.</DELETED>
        <DELETED>    ``(2) Educational support.--The Secretary, either 
        directly or through awarding grants, contracts, or cooperative 
        agreements to qualified organizations, institutions, or 
        consortia of qualified organizations and institutions, shall 
        provide professional education for physicians and allied health 
        professionals, and aging service providers in fall prevention, 
        evaluation, and management.</DELETED>
<DELETED>    ``(d) Demonstration Projects.--The Secretary shall carry 
out the following:</DELETED>
        <DELETED>    ``(1) Oversee and support demonstration and 
        research projects to be carried out by qualified organizations, 
        institutions, or consortia of qualified organizations and 
        institutions, in the following areas:</DELETED>
                <DELETED>    ``(A) A multistate demonstration project 
                assessing the utility of targeted fall risk screening 
                and referral programs.</DELETED>
                <DELETED>    ``(B) Programs designed for community-
                dwelling older adults that utilize multicomponent fall 
                intervention approaches, including physical activity, 
                medication assessment and reduction when possible, 
                vision enhancement, and home modification 
                strategies.</DELETED>
                <DELETED>    ``(C) Programs that are targeted to new 
                fall victims who are at a high risk for second falls 
                and which are designed to maximize independence and 
                quality of life for older adults, particularly those 
                older adults with functional limitations.</DELETED>
                <DELETED>    ``(D) Private sector and public-private 
                partnerships to develop technologies to prevent falls 
                among older adults and prevent or reduce injuries if 
                falls occur.</DELETED>
        <DELETED>    ``(2)(A) Award grants, contracts, or cooperative 
        agreements to qualified organizations, institutions, or 
        consortia of qualified organizations and institutions, to 
        design, implement, and evaluate fall prevention programs using 
        proven intervention strategies in residential and institutional 
        settings.</DELETED>
        <DELETED>    ``(B) Award 1 or more grants, contracts, or 
        cooperative agreements to 1 or more qualified organizations, 
        institutions, or consortia of qualified organizations and 
        institutions, in order to carry out a multistate demonstration 
        project to implement and evaluate fall prevention programs 
        using proven intervention strategies designed for single and 
        multifamily residential settings with high concentrations of 
        older adults, including--</DELETED>
                <DELETED>    ``(i) identifying high-risk 
                populations;</DELETED>
                <DELETED>    ``(ii) evaluating residential 
                facilities;</DELETED>
                <DELETED>    ``(iii) conducting screening to identify 
                high-risk individuals;</DELETED>
                <DELETED>    ``(iv) providing fall assessment and risk 
                reduction interventions and counseling;</DELETED>
                <DELETED>    ``(v) coordinating services with health 
                care and social service providers; and</DELETED>
                <DELETED>    ``(vi) coordinating post-fall treatment 
                and rehabilitation.</DELETED>
        <DELETED>    ``(3) Award 1 or more grants, contracts, or 
        cooperative agreements to qualified organizations, 
        institutions, or consortia of qualified organizations and 
        institutions, to conduct evaluations of the effectiveness of 
        the demonstration projects described in this 
        subsection.</DELETED>
<DELETED>    ``(e) Study of Effects of Falls on Health Care Costs.--
</DELETED>
        <DELETED>    ``(1) In general.--The Secretary shall conduct a 
        review of the effects of falls on health care costs, the 
        potential for reducing falls, and the most effective strategies 
        for reducing health care costs associated with falls.</DELETED>
        <DELETED>    ``(2) Report.--Not later than 36 months after the 
        date of enactment of the Keeping Seniors Safe From Falls Act of 
        2005, the Secretary shall submit to Congress a report 
        describing the findings of the Secretary in conducting the 
        review under paragraph (1).</DELETED>
<DELETED>    ``(f) Authorization of Appropriations.--In order to carry 
out this section, there are authorized to be appropriated--</DELETED>
        <DELETED>    ``(1) to carry out the national public education 
        provisions described in subsection (b)(1), $3,000,000 for each 
        of fiscal years 2007 through 2009;</DELETED>
        <DELETED>    ``(2) to carry out the State public education 
        campaign provisions of subsection (b)(2), $5,000,000 for each 
        of fiscal years 2007 through 2009;</DELETED>
        <DELETED>    ``(3) to carry out research projects described in 
        subsection (c), $8,000,000 for each of fiscal years 2007 
        through 2009;</DELETED>
        <DELETED>    ``(4) to carry out the demonstration projects 
        described in subsection (d)(1), $4,000,000 for each of fiscal 
        years 2007 through 2009; and</DELETED>
        <DELETED>    ``(5) to carry out the demonstration and research 
        projects described in subsection (d)(2), $5,000,000 for each of 
        fiscal years 2007 through 2009.''.</DELETED>

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Keeping Seniors Safe from Falls and 
Reauthorization of the Traumatic Brain Injury Act''.

SEC. 2. CONFORMING AMENDMENTS RELATING TO RESTRUCTURING.

    Part J of title III of the Public Health Service Act (42 U.S.C. 
280b et seq.) is amended--
            (1) by redesignating the section 393B (42 U.S.C. 280b-1c) 
        relating to the use of allotments for rape prevention 
        education, as section 393A and moving such section so that it 
        follows section 393;
            (2) by redesignating existing section 393A (42 U.S.C. 280b-
        1b) relating to prevention of traumatic brain injury, as 
        section 393B; and
            (3) by redesignating the section 393B (42 U.S.C. 280b-1d) 
        relating to traumatic brain injury registries, as section 393C.

SEC. 3. TRAUMATIC BRAIN INJURY PROGRAMS OF THE CENTERS FOR DISEASE 
              CONTROL AND PREVENTION.

    (a) Prevention of Traumatic Brain Injury.--Clause (ii) of section 
393B(b)(3)(A) of the Public Health Service Act, as so redesignated, (42 
U.S.C. 280b-1b) is amended by striking ``from hospitals and trauma 
centers'' and inserting ``from hospitals and emergency departments''.
    (b) National Program for Traumatic Brain Injury Surveillance and 
Registries.--Section 393C of the Public Health Service Act, as so 
redesignated, (42 U.S.C. 280b et seq.) is amended--
            (1) in the section heading, by inserting ``surveillance 
        and'' after ``national program for traumatic brain injury'';
            (2) by striking ``(a) In General.--''; and
            (3) in the matter preceding paragraph (1), by striking 
        ``may make grants'' and all that follows through ``to collect 
        data concerning--'' and inserting ``may make grants to States 
        or their designees to develop or operate the State's traumatic 
        brain injury surveillance system or registry to determine the 
        incidence and prevalence of traumatic brain injury and related 
        disability, to ensure the uniformity of reporting under such 
        system or registry, to link individuals with traumatic brain 
        injury to services and supports, and to link such individuals 
        with academic institutions to conduct applied research that 
        will support the development of such surveillance systems and 
        registries as may be necessary. A surveillance system or 
        registry under this section shall provide for the collection of 
        data concerning--''.

SEC. 4. STUDY ON TRAUMATIC BRAIN INJURY.

    Part J of title III of the Public Health Service Act (42 U.S.C. 
280b et seq.) is amended by inserting after section 393C the following:

``SEC. 393C-1. STUDY ON TRAUMATIC BRAIN INJURY.

    ``(a) Study.--The Secretary, acting through the Director of the 
Centers for Disease Control and Prevention with respect to paragraph 
(1) and the Director of the National Institutes of Health with respect 
to paragraphs (2) and (3), shall conduct a study with respect to 
traumatic brain injury for the purpose of carrying out the following:
            ``(1) In collaboration with appropriate State and local 
        health-related agencies--
                    ``(A) determining the incidence of traumatic brain 
                injury and prevalence of traumatic brain injury related 
                disability in all age groups in the general population 
                of the United States, including institutional settings, 
                such as nursing homes, correctional facilities, 
                psychiatric hospitals, child care facilities, and 
                residential institutes for people with developmental 
                disabilities; and
                    ``(B) reporting national trends in traumatic brain 
                injury.
            ``(2) Identifying common therapeutic interventions which 
        are used for the rehabilitation of individuals with such 
        injuries, and, subject to the availability of information, 
        including an analysis of--
                    ``(A) the effectiveness of each such intervention 
                in improving the functioning, including return to work 
                or school and community participation, of individuals 
                with brain injuries;
                    ``(B) the comparative effectiveness of 
                interventions employed in the course of rehabilitation 
                of individuals with brain injuries to achieve the same 
                or similar clinical outcome; and
                    ``(C) the adequacy of existing measures of outcomes 
                and knowledge of factors influencing differential 
                outcomes.
            ``(3) Developing practice guidelines for the rehabilitation 
        of traumatic brain injury at such time as appropriate 
        scientific research becomes available.
    ``(b) Dates Certain for Reports.--Not later than 3 years after the 
date of the enactment of the Keeping Seniors Safe from Falls and 
Reauthorization of the Traumatic Brain Injury Act, the Secretary shall 
submit to the Congress a report describing findings made as a result of 
carrying out subsection (a).
    ``(c) Definition.--For purposes of this section, the term 
`traumatic brain injury' means an acquired injury to the brain. Such 
term does not include brain dysfunction caused by congenital or 
degenerative disorders, nor birth trauma, but may include brain 
injuries caused by anoxia due to trauma. The Secretary may revise the 
definition of such term as the Secretary determines necessary.''.

SEC. 5. TRAUMATIC BRAIN INJURY PROGRAMS OF THE NATIONAL INSTITUTES OF 
              HEALTH.

    Section 1261 of the Public Health Service Act (42 U.S.C. 300d-61) 
is amended--
            (1) in subparagraph (D) of subsection (d)(4), by striking 
        ``head brain injury'' and inserting ``brain injury''; and
            (2) in subsection (i), by inserting ``, and such sums as 
        may be necessary for each of fiscal years 2007 through 2010'' 
        before the period at the end.

SEC. 6. TRAUMATIC BRAIN INJURY PROGRAMS OF THE HEALTH RESOURCES AND 
              SERVICES ADMINISTRATION.

    (a) State Grants for Demonstration Projects Regarding Traumatic 
Brain Injury.--Section 1252 of the Public Health Service Act (42 U.S.C. 
300d-52) is amended--
            (1) in subsection (a)--
                    (A) by striking ``may make grants to States'' and 
                inserting ``may make grants to States and American 
                Indian consortia''; and
                    (B) by striking ``health and other services'' and 
                inserting ``rehabilitation and other services'';
            (2) in subsection (b)--
                    (A) in paragraphs (1), (3)(A)(i), (3)(A)(iii), and 
                (3)(A)(iv), by striking the term ``State'' each place 
                such term appears and inserting the term ``State or 
                American Indian consortium''; and
                    (B) in paragraph (2), by striking ``recommendations 
                to the State'' and inserting ``recommendations to the 
                State or American Indian consortium'';
            (3) in subsection (c), by striking the term ``State'' each 
        place such term appears and inserting ``State or American 
        Indian consortium'';
            (4) in subsection (e), by striking ``A State that 
        received'' and all that follows through the period and 
        inserting ``A State or American Indian consortium that received 
        a grant under this section prior to the date of the enactment 
        of the Keeping Seniors Safe from Falls and Reauthorization of 
        the Traumatic Brain Injury Act may complete the activities 
        funded by the grant.'';
            (5) in subsection (f)--
                    (A) in the subsection heading, by inserting ``and 
                American Indian Consortium'' after ``State'';
                    (B) in paragraph (1) in the matter preceding 
                subparagraph (A), paragraph (1)(E), paragraph (2)(A), 
                paragraph (2)(B), paragraph (3) in the matter preceding 
                subparagraph (A), paragraph (3)(E), and paragraph 
                (3)(F), by striking the term ``State'' each place such 
                term appears and inserting ``State or American Indian 
                consortium'';
                    (C) in clause (ii) of paragraph (1)(A), by striking 
                ``children and other individuals'' and inserting 
                ``children, youth, and adults''; and
                    (D) in subsection (h)--
                            (i) by striking ``Not later than 2 years 
                        after the date of the enactment of this 
                        section, the Secretary'' and inserting ``Not 
                        less than bi-annually, the Secretary''; and
                            (ii) by inserting ``section 1253, and 
                        section 1254,'' after ``programs established 
                        under this section,'';
            (6) by amending subsection (i) to read as follows:
    ``(i) Definitions.--For purposes of this section:
            ``(1) The terms `American Indian consortium' and `State' 
        have the meanings given to those terms in section 1253.
            ``(2) The term `traumatic brain injury' means an acquired 
        injury to the brain. Such term does not include brain 
        dysfunction caused by congenital or degenerative disorders, nor 
        birth trauma, but may include brain injuries caused by anoxia 
        due to near drowning. The Secretary may revise the definition 
        of such term as the Secretary determines necessary, after 
        consultation with States and other appropriate public or 
        nonprofit private entities.''; and
            (7) in subsection (j), by inserting ``, and such sums as 
        may be necessary for each of the fiscal years 2007 through 
        2010'' before the period.
    (b) State Grants for Protection and Advocacy Services.--Section 
1253 of the Public Health Service Act (42 U.S.C. 300d-53) is amended--
            (1) in subsections (d) and (e), by striking the term 
        ``subsection (i)'' each place such term appears and inserting 
        ``subsection (l)'';
            (2) in subsection (g), by inserting ``each fiscal year not 
        later than October 1,'' before ``the Administrator shall pay'';
            (3) by redesignating subsections (i) and (j) as subsections 
        (l) and (m), respectively;
            (4) by inserting after subsection (h) the following:
    ``(i) Data Collection.--The Administrator of the Health Resources 
and Services Administration and the Commissioner of the Administration 
on Developmental Disabilities shall enter into an agreement to 
coordinate the collection of data by the Administrator and the 
Commissioner regarding protection and advocacy services.
    ``(j) Training and Technical Assistance.--
            ``(1) Grants.--For any fiscal year for which the amount 
        appropriated to carry out this section is $6,000,000 or 
        greater, the Administrator shall use 2 percent of such amount 
        to make a grant to an eligible national association for 
        providing for training and technical assistance to protection 
        and advocacy systems.
            ``(2) Definition.--In this subsection, the term `eligible 
        national association' means a national association with 
        demonstrated experience in providing training and technical 
        assistance to protection and advocacy systems.
    ``(k) System Authority.--In providing services under this section, 
a protection and advocacy system shall have the same authorities, 
including access to records, as such system would have for purposes of 
providing services under subtitle C of the Developmental Disabilities 
Assistance and Bill of Rights Act of 2000.''; and
            (5) in subsection (l) (as redesignated by this subsection) 
        by striking ``2005'' and inserting ``2010''.

SEC. 7. AMENDMENTS TO THE PUBLIC HEALTH SERVICE ACT RELATING TO ELDER 
              FALLS.

    Part J of title III of the Public Health Service Act (42 U.S.C. 
280b et seq.) is amended by inserting after section 393C-1 (as added by 
section 4) the following:

``SEC. 393D. PREVENTION OF FALLS AMONG OLDER ADULTS.

    ``(a) Public Education.--The Secretary shall--
            ``(1) oversee and support a national education campaign to 
        be carried out by a nonprofit organization with experience in 
        designing and implementing national injury prevention programs, 
        that is directed principally to older adults, their families, 
        and health care providers, and that focuses on reducing falls 
        among older adults and preventing repeat falls; and
            ``(2) award grants, contracts, or cooperative agreements to 
        qualified organizations, institutions, or consortia of 
        qualified organizations and institutions, for the purpose of 
        organizing State-level coalitions of appropriate State and 
        local agencies, safety, health, senior citizen, and other 
        organizations to design and carry out local education 
        campaigns, focusing on reducing falls among older adults and 
        preventing repeat falls.
    ``(b) Research.--
            ``(1) In general.--The Secretary shall--
                    ``(A) conduct and support research to--
                            ``(i) improve the identification of older 
                        adults who have a high risk of falling;
                            ``(ii) improve data collection and analysis 
                        to identify fall risk and protective factors;
                            ``(iii) design, implement, and evaluate the 
                        most effective fall prevention interventions;
                            ``(iv) improve strategies that are proven 
                        to be effective in reducing falls by tailoring 
                        these strategies to specific populations of 
                        older adults;
                            ``(v) conduct research in order to maximize 
                        the dissemination of proven, effective fall 
                        prevention interventions;
                            ``(vi) intensify proven interventions to 
                        prevent falls among older adults;
                            ``(vii) improve the diagnosis, treatment, 
                        and rehabilitation of elderly fall victims and 
                        older adults at high risk for falls; and
                            ``(viii) assess the risk of falls occurring 
                        in various settings;
                    ``(B) conduct research concerning barriers to the 
                adoption of proven interventions with respect to the 
                prevention of falls among older adults;
                    ``(C) conduct research to develop, implement, and 
                evaluate the most effective approaches to reducing 
                falls among high-risk older adults living in 
                communities and long-term care and assisted living 
                facilities; and
                    ``(D) evaluate the effectiveness of community 
                programs designed to prevent falls among older adults.
            ``(2) Educational support.--The Secretary, either directly 
        or through awarding grants, contracts, or cooperative 
        agreements to qualified organizations, institutions, or 
        consortia of qualified organizations and institutions, shall 
        provide professional education for physicians and allied health 
        professionals, and aging service providers in fall prevention, 
        evaluation, and management.
    ``(c) Demonstration Projects.--The Secretary shall carry out the 
following:
            ``(1) Oversee and support demonstration and research 
        projects to be carried out by qualified organizations, 
        institutions, or consortia of qualified organizations and 
        institutions, in the following areas:
                    ``(A) A multistate demonstration project assessing 
                the utility of targeted fall risk screening and 
                referral programs.
                    ``(B) Programs designed for community-dwelling 
                older adults that utilize multicomponent fall 
                intervention approaches, including physical activity, 
                medication assessment and reduction when possible, 
                vision enhancement, and home modification strategies.
                    ``(C) Programs that are targeted to new fall 
                victims who are at a high risk for second falls and 
                which are designed to maximize independence and quality 
                of life for older adults, particularly those older 
                adults with functional limitations.
                    ``(D) Private sector and public-private 
                partnerships to develop technologies to prevent falls 
                among older adults and prevent or reduce injuries if 
                falls occur.
            ``(2)(A) Award grants, contracts, or cooperative agreements 
        to qualified organizations, institutions, or consortia of 
        qualified organizations and institutions, to design, implement, 
        and evaluate fall prevention programs using proven intervention 
        strategies in residential and institutional settings.
            ``(B) Award 1 or more grants, contracts, or cooperative 
        agreements to 1 or more qualified organizations, institutions, 
        or consortia of qualified organizations and institutions, in 
        order to carry out a multistate demonstration project to 
        implement and evaluate fall prevention programs using proven 
        intervention strategies designed for single and multifamily 
        residential settings with high concentrations of older adults, 
        including--
                    ``(i) identifying high-risk populations;
                    ``(ii) evaluating residential facilities;
                    ``(iii) conducting screening to identify high-risk 
                individuals;
                    ``(iv) providing fall assessment and risk reduction 
                interventions and counseling;
                    ``(v) coordinating services with health care and 
                social service providers; and
                    ``(vi) coordinating post-fall treatment and 
                rehabilitation.
            ``(3) Award 1 or more grants, contracts, or cooperative 
        agreements to qualified organizations, institutions, or 
        consortia of qualified organizations and institutions, to 
        conduct evaluations of the effectiveness of the demonstration 
        projects described in this subsection.
    ``(d) Study of Effects of Falls on Health Care Costs.--
            ``(1) In general.--The Secretary shall conduct a review of 
        the effects of falls on health care costs, the potential for 
        reducing falls, and the most effective strategies for reducing 
        health care costs associated with falls.
            ``(2) Report.--Not later than 36 months after the date of 
        enactment of the Keeping Seniors Safe from Falls and 
        Reauthorization of the Traumatic Brain Injury Act, the 
        Secretary shall submit to Congress a report describing the 
        findings of the Secretary in conducting the review under 
        paragraph (1).''.

SEC. 8. AUTHORIZATION OF APPROPRIATIONS.

    Section 394A of the Public Health Service Act (42 U.S.C. 280b-3) is 
amended by striking ``$50,000,000'' and all that follows through the 
period and inserting ``$58,361,000 for fiscal year 2007, and such sums 
as may be necessary for each of fiscal years 2008 through 2010.''.
    Amend the title so as to read: ``A bill to direct the Secretary of 
Health and Human Services to expand and intensify programs with respect 
to research and related activities concerning elder falls and to 
provide for the expansion and improvement of traumatic brain injury 
programs, and for other purposes.''.
                                                       Calendar No. 667

109th CONGRESS

  2d Session

                                S. 1531

                          [Report No. 109-362]

_______________________________________________________________________

                                 A BILL

  To direct the Secretary of Health and Human Services to expand and 
  intensify programs with respect to research and related activities 
                        concerning elder falls.

_______________________________________________________________________

                            December 5, 2006

        Reported with an amendment and an amendment to the title
```