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[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[S. 1562 Reported in Senate (RS)]

                                                       Calendar No. 290
113th CONGRESS
  2d Session
                                S. 1562

To reauthorize the Older Americans Act of 1965, and for other purposes.

_______________________________________________________________________

                   IN THE SENATE OF THE UNITED STATES

                           September 30, 2013

 Mr. Sanders (for himself, Mr. Alexander, Mr. Harkin, Mr. Begich, and 
  Mr. Coons) introduced the following bill; which was read twice and 
  referred to the Committee on Health, Education, Labor, and Pensions

                            January 6, 2014

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

_______________________________________________________________________

                                 A BILL

 
To reauthorize the Older Americans Act of 1965, and for other purposes.

    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 ``Older Americans Act 
Reauthorization Act of 2013''.</DELETED>

<DELETED>SEC. 2. DEFINITIONS.</DELETED>

<DELETED>    Section 102 of the Older Americans Act of 1965 (42 U.S.C. 
3002) is amended--</DELETED>
        <DELETED>    (1) by striking paragraph (1) and inserting the 
        following:</DELETED>
        <DELETED>    ``(1) The term `abuse' means the knowing 
        infliction of physical or psychological harm or the knowing 
        deprivation of goods or services that are necessary to meet 
        essential needs or to avoid physical or psychological 
        harm.'';</DELETED>
        <DELETED>    (2) by striking paragraph (4) and inserting the 
        following:</DELETED>
        <DELETED>    ``(4) The term `Aging and Disability Resource 
        Center' means an entity, network, or consortium established by 
        a State as part of the State system of long-term care, to 
        provide a coordinated and integrated system for older 
        individuals and individuals with disabilities (as defined in 
        section 3 of the Americans with Disabilities Act of 1990 (42 
        U.S.C. 12102)), and the caregivers of older individuals and 
        individuals with disabilities, that provides--</DELETED>
                <DELETED>    ``(A) comprehensive information on the 
                full range of available public and private long-term 
                care programs, options, service providers, and 
                resources within a community, including information on 
                the availability of integrated long-term care services, 
                and Federal or State programs that provide long-term 
                care services and supports through home and community-
                based service programs;</DELETED>
                <DELETED>    ``(B) person-centered counseling to assist 
                individuals in assessing their existing or anticipated 
                long-term care needs and goals, and developing and 
                implementing a person-centered plan for long-term care 
                that is consistent with the desires of such an 
                individual and designed to meet the individual's 
                specific needs, goals, and circumstances;</DELETED>
                <DELETED>    ``(C) access for individuals to the full 
                range of publicly supported long-term care services and 
                supports for which the individuals may be eligible, 
                including home and community-based service options, by 
                serving as a convenient point of entry for such 
                programs and supports; and</DELETED>
                <DELETED>    ``(D) in cooperation with area agencies on 
                aging, centers for independent living described in part 
                C of title VII of the Rehabilitation Act of 1973 (29 
                U.S.C. 796f et seq.), and other community-based 
                entities, information and referrals regarding available 
                home and community-based services for individuals who 
                are at risk for residing in, or who reside in, 
                institutional settings, so that the individuals have 
                the choice to remain in or to return to the 
                community.'';</DELETED>
        <DELETED>    (3) in paragraph (14)(B), by inserting ``oral 
        health,'' after ``bone density,'';</DELETED>
        <DELETED>    (4) by striking paragraph (17) and inserting the 
        following:</DELETED>
        <DELETED>    ``(17) The term `elder justice' means--</DELETED>
                <DELETED>    ``(A) from a societal perspective, efforts 
                to--</DELETED>
                        <DELETED>    ``(i) prevent, detect, treat, 
                        intervene in, and prosecute elder abuse, 
                        neglect, and exploitation; and</DELETED>
                        <DELETED>    ``(ii) protect older individuals 
                        with diminished capacity while maximizing their 
                        autonomy; and</DELETED>
                <DELETED>    ``(B) from an individual perspective, the 
                recognition of an older individual's rights, including 
                the right to be free of abuse, neglect, and 
                exploitation.'';</DELETED>
        <DELETED>    (5) in paragraph (18)(A), by striking ``term 
        `exploitation' means'' and inserting ``terms `exploitation' and 
        `financial exploitation' mean''; and</DELETED>
        <DELETED>    (6) by adding at the end the following:</DELETED>
        <DELETED>    ``(55) The term `adult protective services' means 
        such services provided to adults as the Secretary may specify 
        and includes services such as--</DELETED>
                <DELETED>    ``(A) receiving reports of adult abuse, 
                neglect, or exploitation;</DELETED>
                <DELETED>    ``(B) investigating the reports described 
                in subparagraph (A);</DELETED>
                <DELETED>    ``(C) case planning, monitoring, 
                evaluation, and other casework and services; 
                and</DELETED>
                <DELETED>    ``(D) providing, arranging for, or 
                facilitating the provision of medical, social service, 
                economic, legal, housing, law enforcement, or other 
                protective, emergency, or support 
                services.''.</DELETED>

<DELETED>SEC. 3. ADMINISTRATION ON AGING.</DELETED>

<DELETED>    (a) Best Practices.--Section 201 of the Older Americans 
Act of 1965 (42 U.S.C. 3011) is amended--</DELETED>
        <DELETED>    (1) in subsection (d)(3)--</DELETED>
                <DELETED>    (A) in subparagraph (K), by striking 
                ``and'' at the end;</DELETED>
                <DELETED>    (B) in subparagraph (L)--</DELETED>
                        <DELETED>    (i) by striking ``Older Americans 
                        Act Amendments of 1992'' and inserting ``Older 
                        Americans Act Reauthorization Act of 2013''; 
                        and</DELETED>
                        <DELETED>    (ii) by striking ``712(h)(4).'' 
                        and inserting ``712(h)(5); and''; and</DELETED>
                <DELETED>    (C) by adding at the end the 
                following:</DELETED>
        <DELETED>    ``(M) collect and analyze best practices related 
        to responding to elder abuse, neglect, and exploitation in 
        long-term care facilities, and publish a report of such best 
        practices.''; and</DELETED>
        <DELETED>    (2) in subsection (e)(2), in the matter preceding 
        subparagraph (A), by inserting ``, and in coordination with the 
        heads of State adult protective services programs and the 
        Director of the Office of Long-Term Care Ombudsman Programs'' 
        after ``and services''.</DELETED>
<DELETED>    (b) Training.--Section 202 of the Older Americans Act of 
1965 (42 U.S.C. 3012) is amended--</DELETED>
        <DELETED>    (1) in subsection (a)--</DELETED>
                <DELETED>    (A) in paragraph (5), by inserting 
                ``health and economic'' before ``needs of older 
                individuals'';</DELETED>
                <DELETED>    (B) in paragraph (7), by inserting 
                ``health and economic'' before ``welfare'';</DELETED>
                <DELETED>    (C) in paragraph (14), by inserting 
                ``(including the Health Resources and Services 
                Administration)'' after ``other agencies'';</DELETED>
                <DELETED>    (D) in paragraph (27), by striking ``and'' 
                at the end;</DELETED>
                <DELETED>    (E) in paragraph (28), by striking the 
                period and inserting a semicolon; and</DELETED>
                <DELETED>    (F) by adding at the end the 
                following:</DELETED>
        <DELETED>    ``(29) provide information and technical 
        assistance to States, area agencies on aging, and service 
        providers, in collaboration with relevant Federal agencies, on 
        providing efficient, person-centered transportation services, 
        including across geographic boundaries;</DELETED>
        <DELETED>    ``(30) identify model programs and provide 
        information and technical assistance to States, area agencies 
        on aging, and service providers (including providers operating 
        multipurpose senior centers), to support the modernization of 
        multipurpose senior centers; and</DELETED>
        <DELETED>    ``(31) provide technical assistance to and share 
        best practices with States, area agencies on aging, and Aging 
        and Disability Resource Centers, on how to collaborate and 
        coordinate services with health care entities, such as 
        Federally-qualified health centers, as defined in section 
        1905(l)(2)(B) of the Social Security Act (42 U.S.C. 
        1396d(l)(2)(B)), in order to improve care coordination for 
        individuals with multiple chronic illnesses.'';</DELETED>
        <DELETED>    (2) in subsection (b)--</DELETED>
                <DELETED>    (A) in paragraph (5)--</DELETED>
                        <DELETED>    (i) in subparagraph (B), by 
                        striking ``and'' after the semicolon;</DELETED>
                        <DELETED>    (ii) in subparagraph (C), by 
                        inserting ``and'' after the semicolon; 
                        and</DELETED>
                        <DELETED>    (iii) by adding at the end the 
                        following:</DELETED>
                <DELETED>    ``(D) when feasible, developing, in 
                consultation with States and national organizations, a 
                consumer-friendly tool to assist older individuals and 
                their families in choosing home and community-based 
                services, with a particular focus on ways for consumers 
                to assess how providers protect the health, safety, 
                welfare, and rights, including the rights provided 
                under section 314, of older individuals;''; 
                and</DELETED>
                <DELETED>    (B) in paragraph (8)--</DELETED>
                        <DELETED>    (i) in subparagraph (B), by 
                        inserting ``to identify and articulate goals of 
                        care and'' after ``individuals'';</DELETED>
                        <DELETED>    (ii) in subparagraph (D)--
                        </DELETED>
                                <DELETED>    (I) by inserting ``respond 
                                to or'' before ``plan''; and</DELETED>
                                <DELETED>    (II) by striking ``future 
                                long-term care needs; and'' and 
                                inserting ``long-term care 
                                needs;'';</DELETED>
                        <DELETED>    (iii) in subparagraph (E), by 
                        adding ``and'' at the end; and</DELETED>
                        <DELETED>    (iv) by adding at the end the 
                        following:</DELETED>
                <DELETED>    ``(F) to provide information and referrals 
                regarding available home and community-based services 
                for individuals who are at risk for residing in, or who 
                reside in, institutional settings, so that the 
                individuals have the choice to remain in or to return 
                to the community.''; and</DELETED>
        <DELETED>    (3) by adding at the end the following:</DELETED>
<DELETED>    ``(g) The Assistant Secretary shall, as appropriate, 
ensure that programs authorized under this Act include appropriate 
training in the prevention of abuse, neglect, and exploitation and 
provision of services that address elder justice and the exploitation 
of older individuals.''.</DELETED>
<DELETED>    (c) Authorization of Appropriations.--Section 216 of the 
Older Americans Act of 1965 (42 U.S.C. 3020f) is amended--</DELETED>
        <DELETED>    (1) in subsection (a), by striking ``2007, 2008, 
        2009, 2010, and 2011'' and inserting ``2014, 2015, 2016, 2017, 
        and 2018'';</DELETED>
        <DELETED>    (2) in subsection (b)--</DELETED>
                <DELETED>    (A) by striking ``202(a)(24)'' and 
                inserting ``202(a)(21)''; and</DELETED>
                <DELETED>    (B) by striking ``2007, 2008, 2009, 2010, 
                and 2011'' and inserting ``2014, 2015, 2016, 2017, and 
                2018''; and</DELETED>
        <DELETED>    (3) in subsection (c), by striking ``2007, 2008, 
        2009, 2010, and 2011'' and inserting ``2014, 2015, 2016, 2017, 
        and 2018''.</DELETED>

<DELETED>SEC. 4. STATE AND COMMUNITY PROGRAMS ON AGING.</DELETED>

<DELETED>    (a) Authorization of Appropriations.--Section 303 of the 
Older Americans Act of 1965 (42 U.S.C. 3023) is amended--</DELETED>
        <DELETED>    (1) in subsection (a)(1), by striking ``fiscal 
        years 2007'' and all that follows and inserting ``each of 
        fiscal years 2014 through 2018.'';</DELETED>
        <DELETED>    (2) in subsection (b)--</DELETED>
                <DELETED>    (A) in paragraph (1), by striking ``fiscal 
                years 2007'' and all that follows and inserting ``each 
                of fiscal years 2014 through 2018.''; and</DELETED>
                <DELETED>    (B) in paragraph (2), by striking ``fiscal 
                years 2007'' and all that follows and inserting ``each 
                of fiscal years 2014 through 2018.'';</DELETED>
        <DELETED>    (3) in subsection (d), by striking ``fiscal years 
        2007'' and all that follows and inserting ``each of fiscal 
        years 2014 through 2018.''; and</DELETED>
        <DELETED>    (4) in subsection (e)(2), by striking ``2011'' and 
        inserting ``2011 and each of fiscal years 2014 through 
        2018''.</DELETED>
<DELETED>    (b) Conforming Amendment.--Section 304(b) of the Older 
Americans Act of 1965 (42 U.S.C. 3024(b)) is amended by striking 
``subpart 1 of''.</DELETED>
<DELETED>    (c) Planning and Service Areas.--Section 
305(b)(5)(C)(i)(III) of the Older Americans Act of 1965 (42 U.S.C. 
3025(b)(5)(C)(i)(III)) is amended by striking ``planning and services 
areas'' and inserting ``planning and service areas''.</DELETED>
<DELETED>    (d) Area Plans.--Section 306 of the Older Americans Act of 
1965 (42 U.S.C. 3026) is amended--</DELETED>
        <DELETED>    (1) in subsection (a)--</DELETED>
                <DELETED>    (A) in paragraph (1), by striking 
                ``establishment, maintenance, or construction of 
                multipurpose senior centers,'' and inserting 
                ``establishment, maintenance, modernization, or 
                construction of multipurpose senior centers (including 
                a plan to use the skills and services of older 
                individuals in paid and unpaid work, including 
                multigenerational and older individual to older 
                individual work),''; and</DELETED>
                <DELETED>    (B) in paragraph (6)--</DELETED>
                        <DELETED>    (i) in subparagraph (G), by adding 
                        ``and'' at the end; and</DELETED>
                        <DELETED>    (ii) by adding at the end the 
                        following:</DELETED>
                <DELETED>    ``(H) in coordination with the State 
                agency and with the State agency responsible for elder 
                abuse prevention services, increase public awareness of 
                elder abuse, neglect, and exploitation, and remove 
                barriers to education, prevention, investigation, and 
                treatment of elder abuse neglect, and exploitation 
                education, as appropriate;''; and</DELETED>
        <DELETED>    (2) in subsection (b)(3)--</DELETED>
                <DELETED>    (A) in subparagraph (J), by striking 
                ``and'' at the end;</DELETED>
                <DELETED>    (B) by redesignating subparagraph (K) as 
                subparagraph (L); and</DELETED>
                <DELETED>    (C) by inserting after subparagraph (J) 
                the following:</DELETED>
                <DELETED>    ``(K) protection from elder abuse, 
                neglect, and exploitation; and''.</DELETED>
<DELETED>    (e) Nutrition Services Incentive Program.--Section 311(e) 
of the Older Americans Act of 1965 (42 U.S.C. 3030a(e)) is amended by 
striking ``fiscal year 2007'' and all that follows and inserting ``each 
of fiscal years 2014 through 2018.''.</DELETED>
<DELETED>    (f) Supportive Services.--Section 321 of the Older 
Americans Act of 1965 (42 U.S.C. 3030d) is amended--</DELETED>
        <DELETED>    (1) in subsection (a)--</DELETED>
                <DELETED>    (A) in paragraph (1), by striking ``or 
                referral services'' and inserting ``referral, chronic 
                condition self-care management, or falls prevention 
                services'';</DELETED>
                <DELETED>    (B) in paragraph (8), by striking 
                ``(including'' and all that follows and inserting the 
                following: ``(including mental and behavioral health 
                screening and falls prevention services screening) to 
                detect or prevent (or both) illnesses and injuries that 
                occur most frequently in older individuals;'' 
                and</DELETED>
                <DELETED>    (C) in paragraph (15), by inserting before 
                the semicolon the following: ``, and screening for 
                elder abuse, neglect, and exploitation'';</DELETED>
        <DELETED>    (2) in subsection (b)(1), by inserting ``or 
        modernization'' after ``construction''; and</DELETED>
        <DELETED>    (3) in subsection (c), by inserting before the 
        period the following: ``, and pursue opportunities for the 
        development of intergenerational shared site models for 
        programs or projects, consistent with the purposes of this 
        Act''.</DELETED>
<DELETED>    (g) Home Delivered Nutrition Services Program.--Section 
336(a)(1) of the Older Americans Act of 1965 (42 U.S.C. 3030f(a)(1)) is 
amended by striking ``canned'' and all that follows through ``meals'' 
and inserting ``canned, or fresh foods and, as appropriate, 
supplemental foods, and any additional meals''.</DELETED>
<DELETED>    (h) Nutrition Services.--Section 339 of the Older 
Americans Act of 1965 (42 U.S.C. 3030g-21) is amended--</DELETED>
        <DELETED>    (1) in paragraph (1), by striking ``solicit'' and 
        inserting ``utilize''; and</DELETED>
        <DELETED>    (2) in paragraph (2)--</DELETED>
                <DELETED>    (A) in subparagraph (J), by striking 
                ``and'' at the end;</DELETED>
                <DELETED>    (B) in subparagraph (K), by striking the 
                period and inserting ``; and''; and</DELETED>
                <DELETED>    (C) by adding at the end the 
                following:</DELETED>
                <DELETED>    ``(L) where feasible, encourages the use 
                of locally grown foods in meal programs and identifies 
                potential partnerships and contracts with local 
                producers and providers of locally grown 
                foods.''.</DELETED>
<DELETED>    (i) Evidence-Based Disease Prevention and Health Promotion 
Services Program.--Part D of title III of the Older Americans Act of 
1965 (42 U.S.C. 3030m et seq.) is amended--</DELETED>
        <DELETED>    (1) in the part heading, by inserting ``Evidence-
        Based'' before ``Disease''; and</DELETED>
        <DELETED>    (2) in section 361(a), by inserting ``evidence-
        based'' after ``to provide''.</DELETED>
<DELETED>    (j) Older Relative Caregivers.--</DELETED>
        <DELETED>    (1) Technical amendment.--Part E of title III of 
        the Older Americans Act of 1965 (42 U.S.C. 3030s et seq.) is 
        amended by striking the subpart heading for subpart 
        1.</DELETED>
        <DELETED>    (2) Definitions.--Section 372 of such Act (42 
        U.S.C. 3030s) is amended--</DELETED>
                <DELETED>    (A) in subsection (a)--</DELETED>
                        <DELETED>    (i) in paragraph (1), by striking 
                        ``or who is an individual with a disability''; 
                        and</DELETED>
                        <DELETED>    (ii) by striking paragraph (2) and 
                        inserting the following:</DELETED>
        <DELETED>    ``(2) Individual with a disability.--The term 
        `individual with a disability' means an individual with a 
        disability, as defined in section 3 of the Americans with 
        Disabilities Act of 1990 (42 U.S.C. 12102), who is not less 
        than 18 and not more than 59 years of age.</DELETED>
        <DELETED>    ``(3) Older relative caregiver.--The term `older 
        relative caregiver' means a caregiver who--</DELETED>
                <DELETED>    ``(A)(i) is 55 years of age or older; 
                and</DELETED>
                <DELETED>    ``(ii) lives with, is the informal 
                provider of in-home and community care to, and is the 
                primary caregiver for, a child or an individual with a 
                disability;</DELETED>
                <DELETED>    ``(B) in the case of a caregiver for a 
                child--</DELETED>
                        <DELETED>    ``(i) is the grandparent, 
                        stepgrandparent, or other relative (other than 
                        the parent) by blood, marriage, or adoption, of 
                        the child;</DELETED>
                        <DELETED>    ``(ii) is the primary caregiver of 
                        the child because the biological or adoptive 
                        parents are unable or unwilling to serve as the 
                        primary caregivers of the child; and</DELETED>
                        <DELETED>    ``(iii) has a legal relationship 
                        to the child, such as legal custody, adoption, 
                        or guardianship, or is raising the child 
                        informally; and</DELETED>
                <DELETED>    ``(C) in the case of a caregiver for an 
                individual with a disability, is the parent, 
                grandparent, or other relative by blood, marriage, or 
                adoption, of the individual with a disability.''; 
                and</DELETED>
                <DELETED>    (B) in subsection (b)--</DELETED>
                        <DELETED>    (i) by striking ``subpart'' and 
                        all that follows through ``family caregivers'' 
                        and inserting ``part, for family 
                        caregivers'';</DELETED>
                        <DELETED>    (ii) by striking ``; and'' and 
                        inserting a period; and</DELETED>
                        <DELETED>    (iii) by striking paragraph 
                        (2).</DELETED>
<DELETED>    (k) National Family Caregiver Support Program.--Section 
373 of the Older Americans Act of 1965 (42 U.S.C. 3030s-1) is amended--
</DELETED>
        <DELETED>    (1) in subsection (a)(2), by striking 
        ``grandparents or older individuals who are relative 
        caregivers.'' and inserting ``older relative 
        caregivers.'';</DELETED>
        <DELETED>    (2) in subsection (c)--</DELETED>
                <DELETED>    (A) in paragraph (1), in the matter 
                preceding subparagraph (A), by striking ``grandparents 
                and older individuals who are relative caregivers, and 
                who'' and inserting ``older relative caregivers, who''; 
                and</DELETED>
                <DELETED>    (B) in paragraph (2)(B), by striking ``to 
                older individuals providing care to individuals with 
                severe disabilities, including children with severe 
                disabilities'' and inserting ``to older relative 
                caregivers of children with severe disabilities, or 
                individuals with disabilities who have severe 
                disabilities'';</DELETED>
        <DELETED>    (3) in subsection (e)(3), by striking 
        ``grandparents or older individuals who are relative 
        caregivers'' and inserting ``older relative 
        caregivers'';</DELETED>
        <DELETED>    (4) in subsection (f)(1)(A), by striking ``for 
        fiscal years 2007, 2008, 2009, 2010, and 2011'' and inserting 
        ``for a fiscal year''; and</DELETED>
        <DELETED>    (5) in subsection (g)(2)(C), by striking 
        ``grandparents and older individuals who are relative 
        caregivers of a child who is not more than 18 years of age'' 
        and inserting ``older relative caregivers''.</DELETED>
<DELETED>    (l) Conforming Amendment.--Part E of title III is amended 
by striking ``this subpart'' each place it appears and inserting ``this 
part''.</DELETED>

<DELETED>SEC. 5. ACTIVITIES FOR HEALTH, INDEPENDENCE, AND 
              LONGEVITY.</DELETED>

<DELETED>    (a) Grant Programs.--Section 411 of the Older Americans 
Act of 1965 (42 U.S.C. 3032) is amended--</DELETED>
        <DELETED>    (1) in subsection (a)--</DELETED>
                <DELETED>    (A) in paragraph (12), by striking ``and'' 
                at the end;</DELETED>
                <DELETED>    (B) by redesignating paragraph (13) as 
                paragraph (14); and</DELETED>
                <DELETED>    (C) by inserting after paragraph (12) the 
                following:</DELETED>
        <DELETED>    ``(13) continuing support for program integrity 
        initiatives concerning the Medicare program under title XVIII 
        of the Social Security Act (42 U.S.C. 1395 et seq.) that train 
        senior volunteers to prevent and identify health care fraud and 
        abuse; and''; and</DELETED>
        <DELETED>    (2) in subsection (b), by striking ``for fiscal 
        years 2007'' and all that follows through ``2011'' and 
        inserting ``for each of fiscal years 2014 through 
        2018''.</DELETED>
<DELETED>    (b) Native American Programs.--Section 418(b) of the Older 
Americans Act of 1965 (42 U.S.C. 3032g(b)) is amended by striking ``a 
national meeting to train'' and inserting ``national trainings 
for''.</DELETED>
<DELETED>    (c) Legal Assistance for Older Americans.--Section 420(c) 
of the Older Americans Act of 1965 (42 U.S.C. 3032i(c)) is amended by 
striking ``national''.</DELETED>
<DELETED>    (d) Repeals.--Sections 415, 419, and 421 of the Older 
Americans Act of 1965 (42 U.S.C. 3032d, 3032h, 3032j) is 
repealed.</DELETED>
<DELETED>    (e) Conforming Amendment.--Section 417(a)(1) of the Older 
Americans Act of 1965 (42 U.S.C. 3032f(a)(1)) is amended by striking 
``grandparents and other older individuals who are relative 
caregivers'' and inserting ``older relative caregivers (as defined in 
section 372)''.</DELETED>

<DELETED>SEC. 6. COMMUNITY SERVICE SENIOR OPPORTUNITIES.</DELETED>

<DELETED>    Section 517(a) of the Older Americans Act of 1965 (42 
U.S.C. 3056o(a)) is amended by striking ``fiscal years 2007, 2008, 
2009, 2010, and 2011'' and inserting ``each of fiscal years 2014 
through 2018''.</DELETED>

<DELETED>SEC. 7. GRANTS FOR NATIVE AMERICANS.</DELETED>

<DELETED>    Section 643(2) of the Older Americans Act of 1965 (42 
U.S.C. 3057n(2)) is amended by striking ``fiscal year 2011'' and 
inserting ``each of fiscal years 2014 through 2018''.</DELETED>

<DELETED>SEC. 8. VULNERABLE ELDER RIGHTS PROTECTION 
              ACTIVITIES.</DELETED>

<DELETED>    (a) Ombudsman Definitions.--Section 711(6) of the Older 
Americans Act of 1965 (42 U.S.C. 3058f(6)) is amended by striking 
``older''.</DELETED>
<DELETED>    (b) Ombudsman Programs.--Section 712 of the Older 
Americans Act of 1965 (42 U.S.C. 3058g) is amended--</DELETED>
        <DELETED>    (1) in subsection (a)--</DELETED>
                <DELETED>    (A) in paragraph (2), by adding at the end 
                the following: ``The Ombudsman shall be responsible for 
                the management, including the fiscal management, of the 
                Office.'';</DELETED>
                <DELETED>    (B) in paragraph (3)--</DELETED>
                        <DELETED>    (i) in subparagraph (A), by 
                        striking clause (i) and inserting the 
                        following:</DELETED>
                        <DELETED>    ``(i) are made by, or on behalf 
                        of, residents, including residents with limited 
                        or no decision-making capacity and who have no 
                        known legal representative, and if such a 
                        resident is unable to communicate consent for 
                        an Ombudsman to work on a complaint directly 
                        involving the resident, the Ombudsman shall 
                        seek evidence to indicate what outcome the 
                        resident would have communicated (and, in the 
                        absence of evidence to the contrary, shall 
                        assume that the resident wishes to have the 
                        resident's health, safety, welfare, and rights 
                        protected) and shall work to accomplish that 
                        outcome; and'';</DELETED>
                        <DELETED>    (ii) in subparagraph (D), by 
                        striking ``regular and timely'' and inserting 
                        ``regular, timely, private, and 
                        unimpeded'';</DELETED>
                        <DELETED>    (iii) in subparagraph (H)(iii)--
                        </DELETED>
                                <DELETED>    (I) by inserting ``, 
                                actively encourage, and assist in'' 
                                after ``provide technical support 
                                for''; and</DELETED>
                                <DELETED>    (II) by striking ``and'' 
                                after the semicolon;</DELETED>
                        <DELETED>    (iv) by redesignating subparagraph 
                        (I) as subparagraph (J); and</DELETED>
                        <DELETED>    (v) by inserting after 
                        subparagraph (H) the following:</DELETED>
                <DELETED>    ``(I) when feasible, continue to carry out 
                the functions described in this section on behalf of 
                residents transitioning from a long-term care facility 
                to a home care setting; and''; and</DELETED>
                <DELETED>    (C) in paragraph (5)(B)--</DELETED>
                        <DELETED>    (i) in clause (vi)--</DELETED>
                                <DELETED>    (I) by inserting ``, 
                                actively encourage, and assist in'' 
                                after ``support''; and</DELETED>
                                <DELETED>    (II) by striking ``and'' 
                                after the semicolon;</DELETED>
                        <DELETED>    (ii) by redesignating clause (vii) 
                        as clause (viii); and</DELETED>
                        <DELETED>    (iii) by inserting after clause 
                        (vi) the following:</DELETED>
                        <DELETED>    ``(vii) identify, investigate, and 
                        resolve complaints described in clause (iii) 
                        that are made by or on behalf of residents with 
                        limited or no decision-making capacity and who 
                        have no known legal representative, and if such 
                        a resident is unable to communicate consent for 
                        an Ombudsman to work on a complaint directly 
                        involving the resident, the Ombudsman shall 
                        seek evidence to indicate what outcome the 
                        resident would have communicated (and, in the 
                        absence of evidence to the contrary, shall 
                        assume that the resident wishes to have the 
                        resident's health, safety, welfare, and rights 
                        protected) and shall work to accomplish that 
                        outcome; and'';</DELETED>
        <DELETED>    (2) in subsection (b)--</DELETED>
                <DELETED>    (A) in paragraph (1)--</DELETED>
                        <DELETED>    (i) in subparagraph (A), by 
                        striking ``access'' and inserting ``private and 
                        unimpeded access''; and</DELETED>
                        <DELETED>    (ii) in subparagraph (B)--
                        </DELETED>
                                <DELETED>    (I) in clause (i)--
                                </DELETED>
                                        <DELETED>    (aa) in the matter 
                                        preceding subclause (I), by 
                                        striking ``the medical and 
                                        social records of a'' and 
                                        inserting ``all files, records, 
                                        and other information 
                                        concerning a''; and</DELETED>
                                        <DELETED>    (bb) in subclause 
                                        (II), by striking ``to 
                                        consent'' and inserting ``to 
                                        communicate consent''; 
                                        and</DELETED>
                                <DELETED>    (II) in clause (ii), in 
                                the matter before subclause (I), by 
                                striking ``the records'' and inserting 
                                ``the files, records, and 
                                information''; and</DELETED>
                <DELETED>    (B) by adding at the end the 
                following:</DELETED>
        <DELETED>    ``(3) Health oversight agency.--For purposes of 
        section 264(c) of the Health Insurance Portability and 
        Accountability Act of 1996 (including regulations issued under 
        that section) (42 U.S.C. 1320d-2 note), the Ombudsman and a 
        representative of the Office shall be considered a `health 
        oversight agency,' so that release of residents' individually 
        identifiable health information to the Ombudsman or 
        representative is not precluded in cases in which the 
        requirements of clause (i) or (ii) of paragraph (1)(B), or the 
        requirements of paragraph (1)(D), are otherwise 
        met.'';</DELETED>
        <DELETED>    (3) in subsection (d)--</DELETED>
                <DELETED>    (A) in paragraph (1), by striking 
                ``files'' and inserting ``files, records, and other 
                information''; and</DELETED>
                <DELETED>    (B) in paragraph (2)--</DELETED>
                        <DELETED>    (i) in subparagraph (A)--
                        </DELETED>
                                <DELETED>    (I) by striking ``files 
                                and records'' each place such term 
                                appears and inserting ``files, records, 
                                and other information''; and</DELETED>
                                <DELETED>    (II) by striking ``and'' 
                                after the semicolon;</DELETED>
                        <DELETED>    (ii) in subparagraph (B)--
                        </DELETED>
                                <DELETED>    (I) by striking ``files or 
                                records'' and inserting ``files, 
                                records, or other information''; 
                                and</DELETED>
                                <DELETED>    (II) in clause (iii), by 
                                striking the period at the end and 
                                inserting ``; and''; and</DELETED>
                        <DELETED>    (iii) by adding at the end the 
                        following:</DELETED>
                <DELETED>    ``(C) notwithstanding subparagraph (B), 
                ensure that the Ombudsman may disclose information as 
                needed in order to best serve residents with limited or 
                no decision-making capacity who have no known legal 
                representative and are unable to communicate consent, 
                in order for the Ombudsman to carry out the functions 
                and duties described in paragraphs (3)(A)(i) and 
                (5)(B)(vi) of subsection (a).'';</DELETED>
        <DELETED>    (4) by striking subsection (f) and inserting the 
        following:</DELETED>
<DELETED>    ``(f) Conflict of Interest.--</DELETED>
        <DELETED>    ``(1) Individual conflict of interest.--The State 
        agency shall--</DELETED>
                <DELETED>    ``(A) ensure that no individual, or member 
                of the immediate family of an individual, involved in 
                the designation of the Ombudsman (whether by 
                appointment or otherwise) or the designation of an 
                entity designated under subsection (a)(5), is subject 
                to a conflict of interest;</DELETED>
                <DELETED>    ``(B) ensure that no officer or employee 
                of the Office, representative of a local Ombudsman 
                entity, or member of the immediate family of the 
                officer, employee, or representative, is subject to a 
                conflict of interest; and</DELETED>
                <DELETED>    ``(C) ensure that the Ombudsman--
                </DELETED>
                        <DELETED>    ``(i) does not have a direct 
                        involvement in the licensing or certification 
                        of a long-term care facility or of a provider 
                        of a long-term care service;</DELETED>
                        <DELETED>    ``(ii) does not have an ownership 
                        or investment interest (represented by equity, 
                        debt, or other financial relationship) in a 
                        long-term care facility or a long-term care 
                        service;</DELETED>
                        <DELETED>    ``(iii) is not employed by, or 
                        participating in the management of, a long-term 
                        care facility or a related organization, and 
                        has not been employed by such a facility or 
                        organization within 1 year before the date of 
                        the determination involved;</DELETED>
                        <DELETED>    ``(iv) does not receive, or have 
                        the right to receive, directly or indirectly, 
                        remuneration (in cash or in kind) under a 
                        compensation arrangement with an owner or 
                        operator of a long-term care 
                        facility;</DELETED>
                        <DELETED>    ``(v) does not have management 
                        responsibility for, or operate under the 
                        supervision of an individual with management 
                        responsibility for, adult protective services; 
                        and</DELETED>
                        <DELETED>    ``(vi) does not serve as a 
                        guardian or in another fiduciary capacity for 
                        residents of long-term care facilities in an 
                        official capacity (as opposed to serving as a 
                        guardian or fiduciary for a family member, in a 
                        personal capacity).</DELETED>
        <DELETED>    ``(2) Organizational conflict of interest.--
        </DELETED>
                <DELETED>    ``(A) In general.--The State agency shall 
                comply with subparagraph (B)(i) in a case in which the 
                Office poses an organizational conflict of interest, 
                including a situation in which the Office is placed in 
                an organization that--</DELETED>
                        <DELETED>    ``(i) is responsible for 
                        licensing, certifying or surveying long-term 
                        care services in the State;</DELETED>
                        <DELETED>    ``(ii) is an association (or an 
                        affiliate of such an association) of long-term 
                        care facilities, or of any other residential 
                        facilities for older individuals;</DELETED>
                        <DELETED>    ``(iii) provides long-term care 
                        services, including programs carried out under 
                        a Medicaid waiver approved under section 1115 
                        of the Social Security Act (42 U.S.C. 1315) or 
                        under subsection (c) or (b) of section 1915 of 
                        the Social Security Act (42 U.S.C. 1396n), or 
                        under a Medicaid State plan amendment under 
                        subsection (i), (j), or (k) of section 1915 of 
                        the Social Security Act (42 U.S.C. 
                        1396n);</DELETED>
                        <DELETED>    ``(iv) provides long-term care 
                        case management;</DELETED>
                        <DELETED>    ``(v) sets rates for long-term 
                        care services;</DELETED>
                        <DELETED>    ``(vi) provides adult protective 
                        services;</DELETED>
                        <DELETED>    ``(vii) is responsible for 
                        eligibility determinations for the Medicaid 
                        program carried out under title XIX, of the 
                        Social Security Act (42 U.S.C. 1395 et seq., 
                        1396 et seq.);</DELETED>
                        <DELETED>    ``(viii) conducts preadmission 
                        screening for placements in facilities 
                        described in clause (ii); or</DELETED>
                        <DELETED>    ``(ix) makes decisions regarding 
                        admission or discharge of individuals to or 
                        from such facilities.</DELETED>
                <DELETED>    ``(B) Identifying, removing, and remedying 
                organizational conflict.--</DELETED>
                        <DELETED>    ``(i) In general.--The State 
                        agency may not operate the Office or carry out 
                        the program, directly, or by contract or other 
                        arrangement with any public agency or nonprofit 
                        private organization, in a case in which there 
                        is an organizational conflict of interest 
                        (within the meaning of subparagraph (A)) unless 
                        such conflict of interest has been--</DELETED>
                                <DELETED>    ``(I) identified by the 
                                State agency;</DELETED>
                                <DELETED>    ``(II) disclosed by the 
                                State agency to the Assistant Secretary 
                                in writing; and</DELETED>
                                <DELETED>    ``(III) remedied in 
                                accordance with this 
                                subparagraph.</DELETED>
                        <DELETED>    ``(ii) Action by assistant 
                        secretary.--In a case in which a potential or 
                        actual organizational conflict of interest 
                        (within the meaning of subparagraph (A)) 
                        involving the Office is disclosed or reported 
                        to the Assistant Secretary by any person or 
                        entity, the Assistant Secretary shall require 
                        that the State agency, in accordance with the 
                        policies and procedures established by the 
                        State agency under section 705(a)(5)(D)(iii)--
                        </DELETED>
                                <DELETED>    ``(I) remove the conflict; 
                                or</DELETED>
                                <DELETED>    ``(II) submit, and obtain 
                                the approval of the Assistant Secretary 
                                for, an adequate remedial plan that 
                                indicates how the Ombudsman will be 
                                unencumbered in fulfilling all of the 
                                functions specified in subsection 
                                (a)(3).''; and</DELETED>
        <DELETED>    (5) in subsection (h)--</DELETED>
                <DELETED>    (A) in paragraph (3)(A)(i), by striking 
                ``older'';</DELETED>
                <DELETED>    (B) in paragraph (4), by striking all that 
                precedes ``procedures'' and inserting the 
                following:</DELETED>
        <DELETED>    ``(4) strengthen and update'';</DELETED>
                <DELETED>    (C) by redesignating paragraphs (4) 
                through (9) as paragraphs (5) through (10), 
                respectively;</DELETED>
                <DELETED>    (D) by inserting after paragraph (3) the 
                following:</DELETED>
        <DELETED>    ``(4) ensure that the Ombudsman or a designee 
        participates in training provided by the National Ombudsman 
        Resource Center established in section 202(a)(18);'';</DELETED>
                <DELETED>    (E) in paragraph (6)(A), as redesignated 
                by subparagraph (B) of this paragraph, by striking 
                ``paragraph (4)'' and inserting ``paragraph 
                (5)'';</DELETED>
                <DELETED>    (F) in paragraph (7)(A), as redesignated 
                by subparagraph (B) of this paragraph, by striking 
                ``subtitle C of the'' and inserting ``subtitle C of 
                title I of the''; and</DELETED>
                <DELETED>    (G) in paragraph (10), as redesignated by 
                subparagraph (B) of this paragraph, by striking ``(6), 
                or (7)'' and inserting ``(7), or (8)''.</DELETED>
<DELETED>    (c) Ombudsman Regulations.--Section 713 of the Older 
Americans Act of 1965 (42 U.S.C. 3058h) is amended--</DELETED>
        <DELETED>    (1) in paragraph (1), by striking ``paragraphs (1) 
        and (2) of section 712(f)'' and inserting ``subparagraphs (A) 
        and (B) of section 712(f)(1)''; and</DELETED>
        <DELETED>    (2) in paragraph (2), by striking ``subparagraphs 
        (A) through (D) of section 712(f)(3)'' and inserting ``clauses 
        (i) through (vi) of section 712(f)(1)(C)''.</DELETED>
<DELETED>    (d) Prevention of Elder Abuse, Neglect, and 
Exploitation.--Section 721 of the Older Americans Act of 1965 (42 
U.S.C. 3058i) is amended--</DELETED>
        <DELETED>    (1) in subsection (b)--</DELETED>
                <DELETED>    (A) by redesignating paragraphs (5) 
                through (12) as paragraphs (6) through (13), 
                respectively;</DELETED>
                <DELETED>    (B) by inserting after paragraph (4) the 
                following:</DELETED>
        <DELETED>    ``(5) promoting the submission of data on elder 
        abuse, neglect, and exploitation for the appropriate database 
        of the Administration or another database specified by the 
        Assistant Secretary;'';</DELETED>
                <DELETED>    (C) in paragraph (10)(C), as redesignated 
                by paragraph (1) of this subsection--</DELETED>
                        <DELETED>    (i) in clause (ii), by inserting 
                        ``, such as forensic specialists,'' after 
                        ``such personnel''; and</DELETED>
                        <DELETED>    (ii) in clause (v), by inserting 
                        before the comma the following: ``, including 
                        programs and arrangements that protect against 
                        financial exploitation''; and</DELETED>
                <DELETED>    (D) in paragraph (12), as redesignated by 
                paragraph (1) of this subsection--</DELETED>
                        <DELETED>    (i) in subparagraph (D), by 
                        striking ``and'' at the end; and</DELETED>
                        <DELETED>    (ii) by adding at the end the 
                        following:</DELETED>
                <DELETED>    ``(F) supporting and studying innovative 
                practices in communities to develop partnerships across 
                disciplines for the prevention, investigation, and 
                prosecution of abuse, neglect, and exploitation; and''; 
                and</DELETED>
        <DELETED>    (2) in subsection (e)(2), in the matter preceding 
        subparagraph (A)--</DELETED>
                <DELETED>    (A) by striking ``subsection 
                (b)(9)(B)(i)'' and inserting ``subsection 
                (b)(10)(B)(i)''; and</DELETED>
                <DELETED>    (B) by striking ``subsection 
                (b)(9)(B)(ii)'' and inserting ``subsection 
                (b)(10)(B)(ii)''.</DELETED>

<DELETED>SEC. 9. BEHAVIORAL HEALTH.</DELETED>

<DELETED>    The Older Americans Act of 1965 is amended--</DELETED>
        <DELETED>    (1) in section 102 (42 U.S.C. 3002)--</DELETED>
                <DELETED>    (A) in paragraph (14)(G), by inserting 
                ``and behavioral'' after ``mental'';</DELETED>
                <DELETED>    (B) in paragraph (36), by inserting ``and 
                behavioral'' after ``mental''; and</DELETED>
                <DELETED>    (C) in paragraph (47)(B), by inserting 
                ``and behavioral'' after ``mental'';</DELETED>
        <DELETED>    (2) in section 201(f)(1) (42 U.S.C. 3011(f)(1)), 
        by inserting ``and behavioral'' after ``mental'';</DELETED>
        <DELETED>    (3) in section 202(a)(5) (42 U.S.C. 3012(a)(5)), 
        by inserting ``and behavioral'' after ``mental'';</DELETED>
        <DELETED>    (4) in section 306(a) (42 U.S.C. 3026(a))--
        </DELETED>
                <DELETED>    (A) in paragraph (2)(A), by inserting 
                ``and behavioral'' after ``mental''; and</DELETED>
                <DELETED>    (B) in paragraph (6)(F), by striking 
                ``mental health services'' each place such term appears 
                and inserting ``mental and behavioral health 
                services''; and</DELETED>
        <DELETED>    (5) in section 321(a) (42 U.S.C. 3030d)--
        </DELETED>
                <DELETED>    (A) in paragraph (1), as amended by 
                section 4(f), by inserting ``and behavioral'' after 
                ``mental'';</DELETED>
                <DELETED>    (B) in paragraph (8), as amended by 
                section 4(f), by inserting ``and behavioral'' after 
                ``mental'';</DELETED>
                <DELETED>    (C) in paragraph (14)(B), by inserting 
                ``and behavioral'' after ``mental''; and</DELETED>
                <DELETED>    (D) in paragraph (23), by inserting ``and 
                behavioral'' after ``mental''.</DELETED>

<DELETED>SEC. 10. STUDY ON TRANSPORTATION SERVICES.</DELETED>

<DELETED>    (a) Study.--</DELETED>
        <DELETED>    (1) In general.--Because access to transportation 
        services is critical for millions of older individuals in the 
        United States, to allow them to maintain independence, health, 
        and quality of life, the Comptroller General of the United 
        States shall conduct a study of transportation services for 
        older individuals.</DELETED>
        <DELETED>    (2) Contents.--In conducting the study, the 
        Comptroller General--</DELETED>
                <DELETED>    (A) shall identify challenges and barriers 
                affecting the aging network in providing, accessing, or 
                coordinating efficient and effective transportation 
                services, including challenges and barriers in 
                coordinating services with Federal agencies and 
                programs such as the Department of Transportation and 
                Medicaid program under title XIX of the Social Security 
                Act (42 U.S.C. 1396 et seq.); and</DELETED>
                <DELETED>    (B) shall examine any Federal program 
                requirements that may result in challenges or barriers 
                to the coordination of transportation services within 
                the aging network at the local level.</DELETED>
<DELETED>    (b) Report.--Not later than 18 months after the date of 
enactment of this Act, the Comptroller General shall issue a report. 
The report shall contain a detailed description of the findings and 
conclusions of the study, including any recommendations for 
administrative and other changes to enhance transportation services 
provided by the aging network. The Comptroller General shall submit the 
report to the Committee on Education and the Workforce of the House of 
Representatives and the Committee on Health, Education, Labor, and 
Pensions of the Senate.</DELETED>

<DELETED>SEC. 11. GUIDANCE ON SERVING HOLOCAUST SURVIVORS.</DELETED>

<DELETED>    (a) In General.--Because the services under the Older 
Americans Act of 1965 (42 U.S.C. 3001 et seq.) are critical to meeting 
the urgent needs of Holocaust survivors to age in place with dignity, 
comfort, security, and quality of life, the Assistant Secretary for 
Aging shall issue guidance to States, that shall be applicable to 
States, area agencies on aging, and providers of services for older 
individuals, with respect to serving Holocaust survivors, including 
guidance on promising practices for conducting outreach to that 
population. In developing the guidance, the Assistant Secretary for 
Aging shall consult with experts and organizations serving Holocaust 
survivors, and shall take into account the possibility that the needs 
of Holocaust survivors may differ based on geography.</DELETED>
<DELETED>    (b) Contents.--The guidance shall include the 
following:</DELETED>
        <DELETED>    (1) How nutrition service providers may meet the 
        special health-related or other dietary needs of participants 
        in programs under the Older Americans Act of 1965, including 
        needs based on religious, cultural, or ethnic 
        requirements.</DELETED>
        <DELETED>    (2) How transportation service providers may 
        address the urgent transportation needs of Holocaust 
        survivors.</DELETED>
        <DELETED>    (3) How State long-term care ombudsmen may address 
        the unique needs of residents of long-term care facilities for 
        whom institutional settings may produce sights, sounds, smells, 
        emotions, and routines, that can induce panic, anxiety, and 
        retraumatization as a result of experiences from the 
        Holocaust.</DELETED>
        <DELETED>    (4) How supportive services providers may consider 
        the unique needs of Holocaust survivors.</DELETED>
        <DELETED>    (5) How other services provided under that Act, as 
        determined by the Assistant Secretary for Aging, may serve 
        Holocaust survivors.</DELETED>
<DELETED>    (c) Date of Issuance.--The guidance described in 
subsection (a) shall be issued not later than 180 days after the date 
of enactment of this Act.</DELETED>

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Older Americans Act Reauthorization 
Act of 2014''.

SEC. 2. DEFINITIONS.

    Section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002) is 
amended--
            (1) by striking paragraph (1) and inserting the following:
            ``(1) The term `abuse' means the knowing infliction of 
        physical or psychological harm or the knowing deprivation of 
        goods or services that are necessary to meet essential needs or 
        to avoid physical or psychological harm.'';
            (2) by striking paragraph (3) and inserting the following:
            ``(3) The term `adult protective services' means such 
        services provided to adults as the Secretary may specify and 
        includes services such as--
                    ``(A) receiving reports of adult abuse, neglect, or 
                exploitation;
                    ``(B) investigating the reports described in 
                subparagraph (A);
                    ``(C) case planning, monitoring, evaluation, and 
                other casework and services; and
                    ``(D) providing, arranging for, or facilitating the 
                provision of medical, social service, economic, legal, 
                housing, law enforcement, or other protective, 
                emergency, or support services.'';
            (3) by striking paragraph (4) and inserting the following:
            ``(4) The term `Aging and Disability Resource Center' means 
        an entity, network, or consortium established by a State as 
        part of the State system of long-term care, to provide a 
        coordinated and integrated system for older individuals and 
        individuals with disabilities (as defined in section 3 of the 
        Americans with Disabilities Act of 1990 (42 U.S.C. 12102)), and 
        the caregivers of older individuals and individuals with 
        disabilities, that provides--
                    ``(A) comprehensive information on the full range 
                of available public and private long-term care 
                programs, options, service providers, and resources 
                within a community, including information on the 
                availability of integrated long-term care services, and 
                Federal or State programs that provide long-term care 
                services and supports through home and community-based 
                service programs;
                    ``(B) person-centered counseling to assist 
                individuals in assessing their existing or anticipated 
                long-term care needs and goals, and developing and 
                implementing a person-centered plan for long-term care 
                that is consistent with the desires of such an 
                individual and designed to meet the individual's 
                specific needs, goals, and circumstances;
                    ``(C) access for individuals to the full range of 
                publicly-supported long-term care services and supports 
                for which the individuals may be eligible, including 
                home and community-based service options, by serving as 
                a convenient point of entry for such programs and 
                supports; and
                    ``(D) in cooperation with area agencies on aging, 
                centers for independent living described in part C of 
                title VII of the Rehabilitation Act of 1973 (29 U.S.C. 
                796f et seq.), and other community-based entities, 
                information and referrals regarding available home and 
                community-based services for individuals who are at 
                risk for residing in, or who reside in, institutional 
                settings, so that the individuals have the choice to 
                remain in or to return to the community.'';
            (4) in paragraph (14)(B), by inserting ``oral health,'' 
        after ``bone density,'';
            (5) by striking paragraph (17) and inserting the following:
            ``(17) The term `elder justice' means--
                    ``(A) from a societal perspective, efforts to--
                            ``(i) prevent, detect, treat, intervene in, 
                        and prosecute elder abuse, neglect, and 
                        exploitation; and
                            ``(ii) protect older individuals with 
                        diminished capacity while maximizing their 
                        autonomy; and
                    ``(B) from an individual perspective, the 
                recognition of an older individual's rights, including 
                the right to be free of abuse, neglect, and 
                exploitation.''; and
            (6) in paragraph (18)(A), by striking ``term `exploitation' 
        means'' and inserting ``terms `exploitation' and `financial 
        exploitation' mean''.

SEC. 3. ADMINISTRATION ON AGING.

    (a) Best Practices.--Section 201 of the Older Americans Act of 1965 
(42 U.S.C. 3011) is amended--
            (1) in subsection (d)(3)--
                    (A) in subparagraph (K), by striking ``and'' at the 
                end;
                    (B) in subparagraph (L)--
                            (i) by striking ``Older Americans Act 
                        Amendments of 1992'' and inserting ``Older 
                        Americans Act Reauthorization Act of 2014''; 
                        and
                            (ii) by striking ``712(h)(4).'' and 
                        inserting ``712(h)(5); and''; and
                    (C) by adding at the end the following:
            ``(M) collect and analyze best practices related to 
        responding to elder abuse, neglect, and exploitation in long-
        term care facilities, and publish a report of such best 
        practices.''; and
            (2) in subsection (e)(2), in the matter preceding 
        subparagraph (A), by inserting ``, and in coordination with the 
        heads of State adult protective services programs and the 
        Director of the Office of Long-Term Care Ombudsman Programs'' 
        after ``and services''.
    (b) Training.--Section 202 of the Older Americans Act of 1965 (42 
U.S.C. 3012) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (5), by inserting ``health and 
                economic'' before ``needs of older individuals'';
                    (B) in paragraph (7), by inserting ``health and 
                economic'' before ``welfare'';
                    (C) in paragraph (14), by inserting ``(including 
                the Health Resources and Services Administration)'' 
                after ``other agencies'';
                    (D) in paragraph (27), by striking ``and'' at the 
                end;
                    (E) in paragraph (28), by striking the period and 
                inserting a semicolon; and
                    (F) by adding at the end the following:
            ``(29) provide information and technical assistance to 
        States, area agencies on aging, and service providers, in 
        collaboration with relevant Federal agencies, on providing 
        efficient, person-centered transportation services, including 
        across geographic boundaries;
            ``(30) identify model programs and provide information and 
        technical assistance to States, area agencies on aging, and 
        service providers (including providers operating multipurpose 
        senior centers), to support the modernization of multipurpose 
        senior centers; and
            ``(31) provide technical assistance to and share best 
        practices with States, area agencies on aging, and Aging and 
        Disability Resource Centers, on how to collaborate and 
        coordinate services with health care entities, such as 
        Federally-qualified health centers, as defined in section 
        1905(l)(2)(B) of the Social Security Act (42 U.S.C. 
        1396d(l)(2)(B)), in order to improve care coordination for 
        individuals with multiple chronic illnesses.'';
            (2) in subsection (b)--
                    (A) in paragraph (5)--
                            (i) in subparagraph (B), by striking 
                        ``and'' after the semicolon;
                            (ii) in subparagraph (C), by inserting 
                        ``and'' after the semicolon; and
                            (iii) by adding at the end the following:
                    ``(D) when feasible, developing, in consultation 
                with States and national organizations, a consumer-
                friendly tool to assist older individuals and their 
                families in choosing home and community-based services, 
                with a particular focus on ways for consumers to assess 
                how providers protect the health, safety, welfare, and 
                rights, including the rights provided under section 
                314, of older individuals;'';
                    (B) in paragraph (8)--
                            (i) in subparagraph (B), by inserting ``to 
                        identify and articulate goals of care and'' 
                        after ``individuals'';
                            (ii) in subparagraph (D)--
                                    (I) by inserting ``respond to or'' 
                                before ``plan''; and
                                    (II) by striking ``future long-term 
                                care needs; and'' and inserting ``long-
                                term care needs;'';
                            (iii) in subparagraph (E), by adding 
                        ``and'' at the end; and
                            (iv) by adding at the end the following:
                    ``(F) to provide information and referrals 
                regarding available home and community-based services 
                for individuals who are at risk for residing in, or who 
                reside in, institutional settings, so that the 
                individuals have the choice to remain in or to return 
                to the community;''; and
            (3) by adding at the end the following:
    ``(g) The Assistant Secretary shall, as appropriate, ensure that 
programs authorized under this Act include appropriate training in the 
prevention of abuse, neglect, and exploitation and provision of 
services that address elder justice and the exploitation of older 
individuals.''.
    (c) Authorization of Appropriations.--Section 216 of the Older 
Americans Act of 1965 (42 U.S.C. 3020f) is amended--
            (1) in subsection (a), by striking ``2007, 2008, 2009, 
        2010, and 2011'' and inserting ``2014, 2015, 2016, 2017, and 
        2018'';
            (2) in subsection (b)--
                    (A) by striking ``202(a)(24)'' and inserting 
                ``202(a)(21)''; and
                    (B) by striking ``2007, 2008, 2009, 2010, and 
                2011'' and inserting ``2014, 2015, 2016, 2017, and 
                2018''; and
            (3) in subsection (c), by striking ``2007, 2008, 2009, 
        2010, and 2011'' and inserting ``2014, 2015, 2016, 2017, and 
        2018''.

SEC. 4. STATE AND COMMUNITY PROGRAMS ON AGING.

    (a) Authorization of Appropriations.--Section 303 of the Older 
Americans Act of 1965 (42 U.S.C. 3023) is amended--
            (1) in subsection (a)(1), by striking ``fiscal years 2007'' 
        and all that follows and inserting ``each of fiscal years 2014 
        through 2018.'';
            (2) in subsection (b)--
                    (A) in paragraph (1), by striking ``fiscal years 
                2007'' and all that follows and inserting ``each of 
                fiscal years 2014 through 2018.''; and
                    (B) in paragraph (2), by striking ``fiscal years 
                2007'' and all that follows and inserting ``each of 
                fiscal years 2014 through 2018.'';
            (3) in subsection (d), by striking ``fiscal years 2007'' 
        and all that follows and inserting ``each of fiscal years 2014 
        through 2018.''; and
            (4) in subsection (e)(2), by striking ``2011'' and 
        inserting ``2011 and each of fiscal years 2014 through 2018''.
    (b) Conforming Amendment.--Section 304(b) of the Older Americans 
Act of 1965 (42 U.S.C. 3024(b)) is amended by striking ``subpart 1 
of''.
    (c) Planning and Service Areas.--Section 305(b)(5)(C)(i)(III) of 
the Older Americans Act of 1965 (42 U.S.C. 3025(b)(5)(C)(i)(III)) is 
amended by striking ``planning and services areas'' and inserting 
``planning and service areas''.
    (d) Area Plans.--Section 306 of the Older Americans Act of 1965 (42 
U.S.C. 3026) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (1), by striking ``establishment, 
                maintenance, or construction of multipurpose senior 
                centers,'' and inserting ``establishment, maintenance, 
                modernization, or construction of multipurpose senior 
                centers (including a plan to use the skills and 
                services of older individuals in paid and unpaid work, 
                including multigenerational and older individual to 
                older individual work),''; and
                    (B) in paragraph (6)--
                            (i) in subparagraph (G), by adding ``and'' 
                        at the end; and
                            (ii) by adding at the end the following:
                    ``(H) in coordination with the State agency and 
                with the State agency responsible for elder abuse 
                prevention services, increase public awareness of elder 
                abuse, neglect, and exploitation, and remove barriers 
                to education, prevention, investigation, and treatment 
                of elder abuse, neglect, and exploitation, as 
                appropriate;''; and
            (2) in subsection (b)(3)--
                    (A) in subparagraph (J), by striking ``and'' at the 
                end;
                    (B) by redesignating subparagraph (K) as 
                subparagraph (L); and
                    (C) by inserting after subparagraph (J) the 
                following:
                    ``(K) protection from elder abuse, neglect, and 
                exploitation; and''.
    (e) Nutrition Services Incentive Program.--Section 311(e) of the 
Older Americans Act of 1965 (42 U.S.C. 3030a(e)) is amended by striking 
``fiscal year 2007'' and all that follows and inserting ``each of 
fiscal years 2014 through 2018.''.
    (f) Supportive Services.--Section 321 of the Older Americans Act of 
1965 (42 U.S.C. 3030d) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (1), by striking ``or referral 
                services'' and inserting ``referral, chronic condition 
                self-care management, or falls prevention services'';
                    (B) in paragraph (8), by striking ``(including'' 
                and all that follows and inserting the following: 
                ``(including mental and behavioral health screening and 
                falls prevention services screening) to detect or 
                prevent (or both) illnesses and injuries that occur 
                most frequently in older individuals;'' and
                    (C) in paragraph (15), by inserting before the 
                semicolon the following: ``, and screening for elder 
                abuse, neglect, and exploitation'';
            (2) in subsection (b)(1), by inserting ``or modernization'' 
        after ``construction'';
            (3) in subsection (c), by inserting before the period the 
        following: ``, and pursue opportunities for the development of 
        intergenerational shared site models for programs or projects, 
        consistent with the purposes of this Act''; and
            (4) by adding at the end the following:
    ``(e) In this section, the term `adult child with a disability' 
means a child who--
            ``(1) is age 18 or older;
            ``(2) is financially dependent on an older individual who 
        is a parent of the child; and
            ``(3) has a disability.''.
    (g) Home Delivered Nutrition Services Program.--Section 336(1) of 
the Older Americans Act of 1965 (42 U.S.C. 3030f(1)) is amended by 
striking ``canned'' and all that follows through ``meals'' and 
inserting ``canned, or fresh foods and, as appropriate, supplemental 
foods, and any additional meals''.
    (h) Nutrition Services.--Section 339 of the Older Americans Act of 
1965 (42 U.S.C. 3030g-21) is amended
            (1) in paragraph (1), by striking ``solicit'' and inserting 
        ``utilize''; and
            (2) in paragraph (2)--
                    (A) in subparagraph (J), by striking ``and'' at the 
                end;
                    (B) in subparagraph (K), by striking the period and 
                inserting ``, and''; and
                    (C) by adding at the end the following:
                    ``(L) where feasible, encourages the use of locally 
                grown foods in meal programs and identifies potential 
                partnerships and contracts with local producers and 
                providers of locally grown foods.''.
    (i) Evidence-Based Disease Prevention and Health Promotion Services 
Program.--Part D of title III of the Older Americans Act of 1965 (42 
U.S.C. 3030m et seq.) is amended--
            (1) in the part heading, by inserting ``Evidence-Based'' 
        before ``Disease''; and
            (2) in section 361(a), by inserting ``evidence-based'' 
        after ``to provide''.
    (j) Older Relative Caregivers.--
            (1) Technical amendment.--Part E of title III of the Older 
        Americans Act of 1965 (42 U.S.C. 3030s et seq.) is amended by 
        striking the subpart heading for subpart 1.
            (2) Definitions.--Section 372 of such Act (42 U.S.C. 3030s) 
        is amended--
                    (A) in subsection (a)--
                            (i) in paragraph (1), by striking ``or who 
                        is an individual with a disability''; and
                            (ii) by striking paragraph (2) and 
                        inserting the following:
            ``(2) Individual with a disability.--The term `individual 
        with a disability' means an individual with a disability, as 
        defined in section 3 of the Americans with Disabilities Act of 
        1990 (42 U.S.C. 12102), who is not less than age 18 and not 
        more than age 59.
            ``(3) Older relative caregiver.--The term `older relative 
        caregiver' means a caregiver who--
                    ``(A)(i) is age 55 or older; and
                    ``(ii) lives with, is the informal provider of in-
                home and community care to, and is the primary 
                caregiver for, a child or an individual with a 
                disability;
                    ``(B) in the case of a caregiver for a child--
                            ``(i) is the grandparent, stepgrandparent, 
                        or other relative (other than the parent) by 
                        blood, marriage, or adoption, of the child;
                            ``(ii) is the primary caregiver of the 
                        child because the biological or adoptive 
                        parents are unable or unwilling to serve as the 
                        primary caregivers of the child; and
                            ``(iii) has a legal relationship to the 
                        child, such as legal custody, adoption, or 
                        guardianship, or is raising the child 
                        informally; and
                    ``(C) in the case of a caregiver for an individual 
                with a disability, is the parent, grandparent, or other 
                relative by blood, marriage, or adoption, of the 
                individual with a disability.''; and
                    (B) in subsection (b)--
                            (i) by striking ``subpart'' and all that 
                        follows through ``family caregivers'' and 
                        inserting ``part, for family caregivers'';
                            (ii) by striking ``; and'' and inserting a 
                        period; and
                            (iii) by striking paragraph (2).
    (k) National Family Caregiver Support Program.--Section 373 of the 
Older Americans Act of 1965 (42 U.S.C. 3030s-1) is amended--
            (1) in subsection (a)(2), by striking ``grandparents or 
        older individuals who are relative caregivers.'' and inserting 
        ``older relative caregivers.'';
            (2) in subsection (c)--
                    (A) in paragraph (1), in the matter preceding 
                subparagraph (A), by striking ``grandparents and older 
                individuals who are relative caregivers, and who'' and 
                inserting ``older relative caregivers, who''; and
                    (B) in paragraph (2)(B), by striking ``to older 
                individuals providing care to individuals with severe 
                disabilities, including children with severe 
                disabilities'' and inserting ``to older relative 
                caregivers of children with severe disabilities, or 
                individuals with disabilities who have severe 
                disabilities'';
            (3) in subsection (e)(3), by striking ``grandparents or 
        older individuals who are relative caregivers'' and inserting 
        ``older relative caregivers'';
            (4) in subsection (f)(1)(A), by striking ``for fiscal years 
        2007, 2008, 2009, 2010, and 2011'' and inserting ``for a fiscal 
        year''; and
            (5) in subsection (g)(2)(C), by striking ``grandparents and 
        older individuals who are relative caregivers of a child who is 
        not more than 18 years of age'' and inserting ``older relative 
        caregivers''.
    (l) Conforming Amendment.--Part E of title III is amended by 
striking ``this subpart'' each place it appears and inserting ``this 
part''.

SEC. 5. ACTIVITIES FOR HEALTH, INDEPENDENCE, AND LONGEVITY.

    (a) Grant Programs.--Section 411 of the Older Americans Act of 1965 
(42 U.S.C. 3032) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (12), by striking ``and'' at the 
                end;
                    (B) by redesignating paragraph (13) as paragraph 
                (14); and
                    (C) by inserting after paragraph (12) the 
                following:
            ``(13) continuing support for program integrity initiatives 
        concerning the Medicare program under title XVIII of the Social 
        Security Act (42 U.S.C. 1395 et seq.) that train senior 
        volunteers to prevent and identify health care fraud and abuse; 
        and'';
            (2) in subsection (b), by striking ``for fiscal years 
        2007'' and all that follows through ``2011'' and inserting 
        ``for each of fiscal years 2014 through 2018''.
    (b) Native American Programs.--Section 418(b) of the Older 
Americans Act of 1965 (42 U.S.C. 3032g(b)) is amended by striking ``a 
national meeting to train'' and inserting ``national trainings for''.
    (c) Legal Assistance for Older Americans.--Section 420(c) of the 
Older Americans Act of 1965 (42 U.S.C. 3032i(c)) is amended by striking 
``national''.
    (d) Repeals.--Sections 415, 419, and 421 of the Older Americans Act 
of 1965 (42 U.S.C. 3032d, 3032h, 3032j) are repealed.
    (e) Conforming Amendment.--Section 417(a)(1)(A) of the Older 
Americans Act of 1965 (42 U.S.C. 3032f(a)(1)(A)) is amended by striking 
``grandparents and other older individuals who are relative 
caregivers'' and inserting ``older relative caregivers (as defined in 
section 372)''.

SEC. 6. COMMUNITY SERVICE SENIOR OPPORTUNITIES.

    Section 517(a) of the Older Americans Act of 1965 (42 U.S.C. 
3056o(a)) is amended by striking ``fiscal years 2007, 2008, 2009, 2010, 
and 2011'' and inserting ``each of fiscal years 2014 through 2018''.

SEC. 7. GRANTS FOR NATIVE AMERICANS.

    Section 643(2) of the Older Americans Act of 1965 (42 U.S.C. 
3057n(2)) is amended by striking ``fiscal year 2011'' and inserting 
``each of fiscal years 2014 through 2018''.

SEC. 8. VULNERABLE ELDER RIGHTS PROTECTION ACTIVITIES.

    (a) Ombudsman Definitions.--Section 711(6) of the Older Americans 
Act of 1965 (42 U.S.C. 3058f(6)) is amended by striking ``older''.
    (b) Ombudsman Programs.--Section 712 of the Older Americans Act of 
1965 (42 U.S.C. 3058g) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (2), by adding at the end the 
                following: ``The Ombudsman shall be responsible for the 
                management, including the fiscal management, of the 
                Office.'';
                    (B) in paragraph (3)--
                            (i) in subparagraph (A), by striking clause 
                        (i) and inserting the following:
                            ``(i) are made by, or on behalf of, 
                        residents, including residents with limited or 
                        no decisionmaking capacity and who have no 
                        known legal representative, and if such a 
                        resident is unable to communicate consent for 
                        an Ombudsman to work on a complaint directly 
                        involving the resident, the Ombudsman shall 
                        seek evidence to indicate what outcome the 
                        resident would have communicated (and, in the 
                        absence of evidence to the contrary, shall 
                        assume that the resident wishes to have the 
                        resident's health, safety, welfare, and rights 
                        protected) and shall work to accomplish that 
                        outcome; and'';
                            (ii) in subparagraph (D), by striking 
                        ``regular and timely'' and inserting ``regular, 
                        timely, private, and unimpeded'';
                            (iii) in subparagraph (H)(iii)--
                                    (I) by inserting ``, actively 
                                encourage, and assist in'' after 
                                ``provide technical support for''; and
                                    (II) by striking ``and'' after the 
                                semicolon;
                            (iv) by redesignating subparagraph (I) as 
                        subparagraph (J); and
                            (v) by inserting after subparagraph (H) the 
                        following:
                    ``(I) when feasible, continue to carry out the 
                functions described in this section on behalf of 
                residents transitioning from a long-term care facility 
                to a home care setting; and'';
                    (C) in paragraph (5)(B)--
                            (i) in clause (vi)--
                                    (I) by inserting ``, actively 
                                encourage, and assist in'' after 
                                ``support''; and
                                    (II) by striking ``and'' after the 
                                semicolon;
                            (ii) by redesignating clause (vii) as 
                        clause (viii); and
                            (iii) by inserting after clause (vi) the 
                        following:
                            ``(vii) identify, investigate, and resolve 
                        complaints described in clause (iii) that are 
                        made by or on behalf of residents with limited 
                        or no decisionmaking capacity and who have no 
                        known legal representative, and if such a 
                        resident is unable to communicate consent for 
                        an Ombudsman to work on a complaint directly 
                        involving the resident, the Ombudsman shall 
                        seek evidence to indicate what outcome the 
                        resident would have communicated (and, in the 
                        absence of evidence to the contrary, shall 
                        assume that the resident wishes to have the 
                        resident's health, safety, welfare, and rights 
                        protected) and shall work to accomplish that 
                        outcome; and'';
            (2) in subsection (b)--
                    (A) in paragraph (1)--
                            (i) in subparagraph (A), by striking 
                        ``access'' and inserting ``private and 
                        unimpeded access''; and
                            (ii) in subparagraph (B)--
                                    (I) in clause (i)--
                                            (aa) in the matter 
                                        preceding subclause (I), by 
                                        striking ``the medical and 
                                        social records of a'' and 
                                        inserting ``all files, records, 
                                        and other information 
                                        concerning a''; and
                                            (bb) in subclause (II), by 
                                        striking ``to consent'' and 
                                        inserting ``to communicate 
                                        consent''; and
                                    (II) in clause (ii), in the matter 
                                before subclause (I), by striking ``the 
                                records'' and inserting ``the files, 
                                records, and information''; and
                    (B) by adding at the end the following:
            ``(3) Health oversight agency.--For purposes of section 
        264(c) of the Health Insurance Portability and Accountability 
        Act of 1996 (including regulations issued under that section) 
        (42 U.S.C. 1320d-2 note), the Ombudsman and a representative of 
        the Office shall be considered a `health oversight agency,' so 
        that release of residents' individually identifiable health 
        information to the Ombudsman or representative is not precluded 
        in cases in which the requirements of clause (i) or (ii) of 
        paragraph (1)(B), or the requirements of paragraph (1)(D), are 
        otherwise met.'';
            (3) in subsection (d)--
                    (A) in paragraph (1), by striking ``files'' and 
                inserting ``files, records, and other information''; 
                and
                    (B) in paragraph (2)--
                            (i) in subparagraph (A)--
                                    (I) by striking ``files and 
                                records'' each place such term appears 
                                and inserting ``files, records, and 
                                other information''; and
                                    (II) by striking ``and'' after the 
                                semicolon;
                            (ii) in subparagraph (B)--
                                    (I) by striking ``files or 
                                records'' and inserting ``files, 
                                records, or other information''; and
                                    (II) in clause (iii), by striking 
                                the period at the end and inserting ``; 
                                and''; and
                            (iii) by adding at the end the following:
                    ``(C) notwithstanding subparagraph (B), ensure that 
                the Ombudsman may disclose information as needed in 
                order to best serve residents with limited or no 
                decisionmaking capacity who have no known legal 
                representative and are unable to communicate consent, 
                in order for the Ombudsman to carry out the functions 
                and duties described in paragraphs (3)(A) and (5)(B) of 
                subsection (a).''; and
            (4) by striking subsection (f) and inserting the following:
    ``(f) Conflict of Interest.--
            ``(1) Individual conflict of interest.--The State agency 
        shall--
                    ``(A) ensure that no individual, or member of the 
                immediate family of an individual, involved in the 
                designation of the Ombudsman (whether by appointment or 
                otherwise) or the designation of an entity designated 
                under subsection (a)(5), is subject to a conflict of 
                interest;
                    ``(B) ensure that no officer or employee of the 
                Office, representative of a local Ombudsman entity, or 
                member of the immediate family of the officer, 
                employee, or representative, is subject to a conflict 
                of interest; and
                    ``(C) ensure that the Ombudsman--
                            ``(i) does not have a direct involvement in 
                        the licensing or certification of a long-term 
                        care facility or of a provider of a long-term 
                        care service;
                            ``(ii) does not have an ownership or 
                        investment interest (represented by equity, 
                        debt, or other financial relationship) in a 
                        long-term care facility or a long-term care 
                        service;
                            ``(iii) is not employed by, or 
                        participating in the management of, a long-term 
                        care facility or a related organization, and 
                        has not been employed by such a facility or 
                        organization within 1 year before the date of 
                        the determination involved;
                            ``(iv) does not receive, or have the right 
                        to receive, directly or indirectly, 
                        remuneration (in cash or in kind) under a 
                        compensation arrangement with an owner or 
                        operator of a long-term care facility;
                            ``(v) does not have management 
                        responsibility for, or operate under the 
                        supervision of an individual with management 
                        responsibility for, adult protective services; 
                        and
                            ``(vi) does not serve as a guardian or in 
                        another fiduciary capacity for residents of 
                        long-term care facilities in an official 
                        capacity (as opposed to serving as a guardian 
                        or fiduciary for a family member, in a personal 
                        capacity).
            ``(2) Organizational conflict of interest.--
                    ``(A) In general.--The State agency shall comply 
                with subparagraph (B)(i) in a case in which the Office 
                poses an organizational conflict of interest, including 
                a situation in which the Office is placed in an 
                organization that--
                            ``(i) is responsible for licensing, 
                        certifying, or surveying long-term care 
                        services in the State;
                            ``(ii) is an association (or an affiliate 
                        of such an association) of long-term care 
                        facilities, or of any other residential 
                        facilities for older individuals;
                            ``(iii) provides long-term care services, 
                        including programs carried out under a Medicaid 
                        waiver approved under section 1115 of the 
                        Social Security Act (42 U.S.C. 1315) or under 
                        subsection (b) or (c) of section 1915 of the 
                        Social Security Act (42 U.S.C. 1396n), or under 
                        a Medicaid State plan amendment under 
                        subsection (i), (j), or (k) of section 1915 of 
                        the Social Security Act (42 U.S.C. 1396n);
                            ``(iv) provides long-term care case 
                        management;
                            ``(v) sets rates for long-term care 
                        services;
                            ``(vi) provides adult protective services;
                            ``(vii) is responsible for eligibility 
                        determinations for the Medicaid program carried 
                        out under title XIX of the Social Security Act 
                        (42 U.S.C. 1396 et seq.);
                            ``(viii) conducts preadmission screening 
                        for placements in facilities described in 
                        clause (ii); or
                            ``(ix) makes decisions regarding admission 
                        or discharge of individuals to or from such 
                        facilities.
                    ``(B) Identifying, removing, and remedying 
                organizational conflict.--
                            ``(i) In general.--The State agency may not 
                        operate the Office or carry out the program, 
                        directly, or by contract or other arrangement 
                        with any public agency or nonprofit private 
                        organization, in a case in which there is an 
                        organizational conflict of interest (within the 
                        meaning of subparagraph (A)) unless such 
                        conflict of interest has been--
                                    ``(I) identified by the State 
                                agency;
                                    ``(II) disclosed by the State 
                                agency to the Assistant Secretary in 
                                writing; and
                                    ``(III) remedied in accordance with 
                                this subparagraph.
                            ``(ii) Action by assistant secretary.--In a 
                        case in which a potential or actual 
                        organizational conflict of interest (within the 
                        meaning of subparagraph (A)) involving the 
                        Office is disclosed or reported to the 
                        Assistant Secretary by any person or entity, 
                        the Assistant Secretary shall require that the 
                        State agency, in accordance with the policies 
                        and procedures established by the State agency 
                        under subsection (a)(5)(D)(iii)--
                                    ``(I) remove the conflict; or
                                    ``(II) submit, and obtain the 
                                approval of the Assistant Secretary 
                                for, an adequate remedial plan that 
                                indicates how the Ombudsman will be 
                                unencumbered in fulfilling all of the 
                                functions specified in subsection 
                                (a)(3).''; and
            (5) in subsection (h)--
                    (A) in paragraph (3)(A)(i), by striking ``older'';
                    (B) in paragraph (4), by striking all that precedes 
                ``procedures'' and inserting the following:
            ``(4) strengthen and update'';
                    (C) by redesignating paragraphs (4) through (9) as 
                paragraphs (5) through (10), respectively;
                    (D) by inserting after paragraph (3) the following:
            ``(4) ensure that the Ombudsman or a designee participates 
        in training provided by the National Ombudsman Resource Center 
        established in section 202(a)(18);'';
                    (E) in paragraph (6)(A), as redesignated by 
                subparagraph (B) of this paragraph, by striking 
                ``paragraph (4)'' and inserting ``paragraph (5)'';
                    (F) in paragraph (7)(A), as redesignated by 
                subparagraph (B) of this paragraph, by striking 
                ``subtitle C of the'' and inserting ``subtitle C of 
                title I of the''; and
                    (G) in paragraph (10), as redesignated by 
                subparagraph (B) of this paragraph, by striking ``(6), 
                or (7)'' and inserting ``(7), or (8)''.
    (c) Ombudsman Regulations.--Section 713 of the Older Americans Act 
of 1965 (42 U.S.C. 3058h) is amended--
            (1) in paragraph (1), by striking ``paragraphs (1) and (2) 
        of section 712(f)'' and inserting ``subparagraphs (A) and (B) 
        of section 712(f)(1)''; and
            (2) in paragraph (2), by striking ``subparagraphs (A) 
        through (D) of section 712(f)(3)'' and inserting ``clauses (i) 
        through (vi) of section 712(f)(1)(C)''.
    (d) Prevention of Elder Abuse, Neglect, and Exploitation.--Section 
721 of the Older Americans Act of 1965 (42 U.S.C. 3058i) is amended--
            (1) in subsection (b)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``(including financial exploitation)'';
                    (B) by redesignating paragraphs (5) through (12) as 
                paragraphs (6) through (13), respectively;
                    (C) by inserting after paragraph (4) the following:
            ``(5) promoting the submission of data on elder abuse, 
        neglect, and exploitation for the appropriate database of the 
        Administration or another database specified by the Assistant 
        Secretary;'';
                    (D) in paragraph (10)(C), as redesignated by 
                subparagraph (B) of this paragraph--
                            (i) in clause (ii), by inserting ``, such 
                        as forensic specialists,'' after ``such 
                        personnel''; and
                            (ii) in clause (v), by inserting before the 
                        comma the following: ``, including programs and 
                        arrangements that protect against financial 
                        exploitation''; and
                    (E) in paragraph (12), as redesignated by 
                subparagraph (B) of this paragraph--
                            (i) in subparagraph (D), by striking 
                        ``and'' at the end; and
                            (ii) by adding at the end the following:
                    ``(F) supporting and studying innovative practices 
                in communities to develop partnerships across 
                disciplines for the prevention, investigation, and 
                prosecution of abuse, neglect, and exploitation; and''; 
                and
            (2) in subsection (e)(2), in the matter preceding 
        subparagraph (A)--
                    (A) by striking ``subsection (b)(9)(B)(i)'' and 
                inserting ``subsection (b)(10)(B)(i)''; and
                    (B) by striking ``subsection (b)(9)(B)(ii)'' and 
                inserting ``subsection (b)(10)(B)(ii)''.

SEC. 9. BEHAVIORAL HEALTH.

    The Older Americans Act of 1965 is amended--
            (1) in section 102 (42 U.S.C. 3002)--
                    (A) in paragraph (14)(G), by inserting ``and 
                behavioral'' after ``mental'';
                    (B) in paragraph (36), by inserting ``and 
                behavioral'' after ``mental''; and
                    (C) in paragraph (47)(B), by inserting ``and 
                behavioral'' after ``mental'';
            (2) in section 201(f)(1) (42 U.S.C. 3011(f)(1)), by 
        inserting ``and behavioral'' after ``mental'';
            (3) in section 202(a)(5) (42 U.S.C. 3012(a)(5)), by 
        inserting ``and behavioral'' after ``mental'';
            (4) in section 306(a) (42 U.S.C. 3026(a))--
                    (A) in paragraph (2)(A), by inserting ``and 
                behavioral'' after ``mental''; and
                    (B) in paragraph (6)(F), by striking ``mental 
                health services'' each place such term appears and 
                inserting ``mental and behavioral health services''; 
                and
            (5) in section 321(a) (42 U.S.C. 3030d)--
                    (A) in paragraph (1), as amended by section 4(f), 
                by inserting ``and behavioral'' after ``mental'';
                    (B) in paragraph (14)(B), by inserting ``and 
                behavioral'' after ``mental''; and
                    (C) in paragraph (23), by inserting ``and 
                behavioral'' after ``mental''.

SEC. 10. STUDY ON TRANSPORTATION SERVICES.

    (a) Study.--
            (1) In general.--Because access to transportation services 
        is critical for millions of older individuals in the United 
        States, to allow them to maintain independence, health, and 
        quality of life, the Comptroller General of the United States 
        shall conduct a study of transportation services for older 
        individuals.
            (2) Contents.--In conducting the study, the Comptroller 
        General--
                    (A) shall identify challenges and barriers 
                affecting the aging network in providing, accessing, or 
                coordinating efficient and effective transportation 
                services, including challenges and barriers in 
                coordinating services with Federal agencies and 
                programs such as the Department of Transportation and 
                the Medicaid program under title XIX of the Social 
                Security Act (42 U.S.C. 1396 et seq.); and
                    (B) shall examine any Federal program requirements 
                that may result in challenges or barriers to the 
                coordination of transportation services within the 
                aging network at the local level.
    (b) Report.--Not later than 18 months after the date of enactment 
of this Act, the Comptroller General shall issue a report. The report 
shall contain a detailed description of the findings and conclusions of 
the study, including any recommendations for administrative and other 
changes to enhance transportation services provided by the aging 
network. The Comptroller General shall submit the report to the 
Committee on Education and the Workforce of the House of 
Representatives and the Committee on Health, Education, Labor, and 
Pensions of the Senate.

SEC. 11. GUIDANCE ON SERVING HOLOCAUST SURVIVORS.

    (a) In General.--Because the services under the Older Americans Act 
of 1965 (42 U.S.C. 3001 et seq.) are critical to meeting the urgent 
needs of Holocaust survivors to age in place with dignity, comfort, 
security, and quality of life, the Assistant Secretary for Aging shall 
issue guidance to States, that shall be applicable to States, area 
agencies on aging, and providers of services for older individuals, 
with respect to serving Holocaust survivors, including guidance on 
promising practices for conducting outreach to that population. In 
developing the guidance, the Assistant Secretary for Aging shall 
consult with experts and organizations serving Holocaust survivors, and 
shall take into account the possibility that the needs of Holocaust 
survivors may differ based on geography.
    (b) Contents.--The guidance shall include the following:
            (1) How nutrition service providers may meet the special 
        health-related or other dietary needs of participants in 
        programs under the Older Americans Act of 1965, including needs 
        based on religious, cultural, or ethnic requirements.
            (2) How transportation service providers may address the 
        urgent transportation needs of Holocaust survivors.
            (3) How State long-term care ombudsmen may address the 
        unique needs of residents of long-term care facilities for whom 
        institutional settings may produce sights, sounds, smells, 
        emotions, and routines, that can induce panic, anxiety, and 
        retraumatization as a result of experiences from the Holocaust.
            (4) How supportive services providers may consider the 
        unique needs of Holocaust survivors.
            (5) How other services provided under that Act, as 
        determined by the Assistant Secretary for Aging, may serve 
        Holocaust survivors.
    (c) Date of Issuance.--The guidance described in subsection (a) 
shall be issued not later than 180 days after the date of enactment of 
this Act.
                                                       Calendar No. 290

113th CONGRESS

  2d Session

                                S. 1562

_______________________________________________________________________

                                 A BILL

To reauthorize the Older Americans Act of 1965, and for other purposes.

_______________________________________________________________________

                            January 6, 2014

                       Reported with an amendment
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