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[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[S. 192 Enrolled Bill (ENR)]

        S.192

                     One Hundred Fourteenth Congress

                                 of the

                        United States of America

                          AT THE SECOND SESSION

           Begun and held at the City of Washington on Monday,
           the fourth day of January, two thousand and sixteen

                                 An Act

 
 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,
SECTION 1. SHORT TITLE.
    This Act may be cited as the ``Older Americans Act Reauthorization 
Act of 2016''.
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 (H), by striking ``202(a)(21)'' and 
        inserting ``202(a)(18)'';
            (B) in subparagraph (K), by striking ``and'' at the end;
            (C) in subparagraph (L)--
                (i) by striking ``Older Americans Act Amendments of 
            1992'' and inserting ``Older Americans Act Reauthorization 
            Act of 2016''; and
                (ii) by striking ``712(h)(4).'' and inserting 
            ``712(h)(5); and''; and
            (D) 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 205 of the Older 
Americans Act of 1965 (42 U.S.C.3016) is amended by striking subsection 
(c).
    (d) Reports.--Section 207(a) of the Older Americans Act of 1965 (42 
U.S.C. 3018(a)) is amended--
        (1) in paragraph (2), by striking ``202(a)(19)'' and inserting 
    ``202(a)(16)''; and
        (2) in paragraph (4), by striking ``202(a)(17)'' and inserting 
    ``202(a)(14)''.
    (e) 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 ``such sums'' and all that 
    follows through the period at the end, and inserting ``$40,063,000 
    for each of the fiscal years 2017, 2018, and 2019.'';
        (2) by amending subsection (b) to read as follows:
    ``(b) There are authorized to be appropriated--
        ``(1) to carry out section 202(a)(21) (relating to the National 
    Eldercare Locator Service), $2,088,758 for fiscal year 2017, 
    $2,132,440 for fiscal year 2018, and $2,176,121 for fiscal year 
    2019;
        ``(2) to carry out section 215, $1,904,275 for fiscal year 
    2017, $1,944,099 for fiscal year 2018, and $1,983,922 for fiscal 
    year 2019;
        ``(3) to carry out section 202 (relating to Elder Rights 
    Support Activities under this title), $1,312,904 for fiscal year 
    2017, $1,340,361 for fiscal year 2018, and $1,367,817 for fiscal 
    year 2019; and
        ``(4) to carry out section 202(b) (relating to the Aging and 
    Disability Resource Centers), $6,271,399 for fiscal year 2017, 
    $6,402,551 for fiscal year 2018, and $6,533,703 for fiscal year 
    2019.''; and
        (3) by striking subsection (c).
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 ``such sums'' and all 
    that follows through the period at the end, and inserting 
    ``$356,717,276 for fiscal year 2017, $364,456,847 for fiscal year 
    2018, and $372,196,069 for fiscal year 2019.'';
        (2) in subsection (b)--
            (A) in paragraph (1), by striking ``such sums'' and all 
        that follows through the period at the end, and inserting 
        ``$459,937,586 for fiscal year 2017, $469,916,692 for fiscal 
        year 2018, and $479,895,348 for fiscal year 2019.''; and
            (B) in paragraph (2), by striking ``such sums'' and all 
        that follows through the period at the end, and inserting 
        ``$232,195,942 for fiscal year 2017, $237,233,817 for fiscal 
        year 2018, and $242,271,465 for fiscal year 2019.'';
        (3) in subsection (d), by striking ``such sums'' and all that 
    follows through the period at the end, and inserting ``$20,361,334 
    for fiscal year 2017, $20,803,107 for fiscal year 2018, and 
    $21,244,860 for fiscal year 2019.'';
        (4) in subsection (e)--
            (A) by striking ``(1)'' and all that follows through 
        ``(2)''; and
            (B) by striking ``$166,500,000'' and all that follows 
        through the period at the end, and inserting ``$154,336,482 for 
        fiscal year 2017, $157,564,066 for fiscal year 2018, and 
        $160,791,658 for fiscal year 2019.''
    (b) Allotment.--Section 304 of the Older Americans Act of 1965 (42 
U.S.C. 3024) is amended--
        (1) in subsection (a)(3), by striking subparagraph (D) and 
    inserting the following:
    ``(D)(i) For each of fiscal years 2017 through 2019, no State shall 
be allotted an amount that is less than 99 percent of the amount 
allotted to such State for the previous fiscal year.
    ``(ii) For fiscal year 2020 and each subsequent fiscal year, no 
State shall be allotted an amount that is less than 100 percent of the 
amount allotted to such State for fiscal year 2019.''; and
        (2) in subsection (b), 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) State Plans.--Section 307(a)(2)(A) of the Older Americans Act 
of 1965 (42 U.S.C. 3027(a)(2)(A)) is amended by striking ``202(a)(29)'' 
and inserting ``202(a)(26)''.
    (f) Nutrition Services Incentive Program.--Section 311(e) of the 
Older Americans Act of 1965 (42 U.S.C. 3030a(e)) is amended by striking 
``such sums'' and all that follows through the period at the end, and 
inserting ``$164,055,664 for fiscal year 2017, $167,486,502 for fiscal 
year 2018, and $170,917,349 for fiscal year 2019.''.
    (g) 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.''.
    (h) 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''.
    (i) 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.''.
    (j) 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''.
    (k) 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).
    (l) 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''.
    (m) 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 ``out'' and all that follows 
    through the period at the end, and inserting the following:
``out--
        ``(1) aging network support activities under this section, 
    $6,216,054 for fiscal year 2017, $6,346,048 for fiscal year 2018, 
    and $6,476,043 for fiscal year 2019; and
        ``(2) elder rights support activities under this section, 
    $10,856,828 for fiscal year 2017, $11,083,873 for fiscal year 2018, 
    and $11,310,919 for fiscal year 2019.''.
    (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. AMENDMENTS TO COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT.
    (a) Older American Community Service Employment Program.--Section 
502 of the Community Service Senior Opportunities Act (42 U.S.C. 3056) 
is amended--
        (1) in subsection (b)(1)--
            (A) in subparagraph (C)(ii), by striking ``513(a)(2)(D)'' 
        and inserting ``513(a)(2)(E)''; and
            (B) in subparagraph (N)(i) by striking ``Workforce 
        Investment Act of 1998 (29 U.S.C. 2801 et seq.)'' and inserting 
        ``Workforce Innovation and Opportunity Act (29 U.S.C. 3101 et 
        seq.)'';
        (2) in subsection (d)--
            (A) by inserting ``and the local workforce development 
        board'' after ``service area''; and
            (B) by striking ``and'' after ``State agency'' and 
        inserting ``, the local workforce development board, and''; and
        (3) in subsection (e)(3), by inserting ``, with the State 
    workforce development board and local workforce development 
    board,'' after ``aging''.
    (b) Administration.--Section 503 of the Community Service Senior 
Opportunities Act (42 U.S.C. 3056a) is amended--
        (1) in subsection (a)--
            (A) by redesignating paragraphs (6), (7), and (8) as 
        paragraphs (7), (8), and (9), respectively;
            (B) in paragraph (3), by striking ``paragraph (7)'' and 
        inserting ``paragraph (8)'';
            (C) in paragraph (4), by striking subparagraph (F) and 
        inserting the following:
            ``(F) how the activities of grantees in the State under 
        this title will be coordinated with activities carried out in 
        the State under title I of the Workforce Innovation and 
        Opportunity Act (29 U.S.C. 3111 et seq.) and other related 
        programs (referred to in this subparagraph as `WIOA and related 
        activities'), and how the State will reduce unnecessary 
        duplication between the activities carried out under this title 
        and the WIOA and related activities.''; and
            (D) by inserting after paragraph (5) the following:
        ``(6) Combined state plan.--In lieu of the plan described in 
    paragraph (1), a State may develop and submit a combined State plan 
    in accordance with section 103 of the Workforce Innovation and 
    Opportunity Act (29 U.S.C. 3113). For a State that obtains approval 
    of such a combined State plan, that section 103 shall apply in lieu 
    of this subsection and a reference in any other provision of this 
    title (other than this subsection) to a State plan shall be 
    considered to be a reference to that combined State plan.''; and
        (2) in subsection (b)(2)(B)(i), by striking ``Workforce 
    Investment Act of 1998'' and inserting ``Workforce Innovation and 
    Opportunity Act''.
    (c) Coordination.--The heading of section 511 of the Community 
Service Senior Opportunities Act (42 U.S.C. 3056i) is amended by 
striking ``workforce investment act of 1998'' and inserting ``workforce 
innovation and opportunity act''.
    (d) Performance.--Section 513 of the Community Service Senior 
Opportunities Act (42 U.S.C. 3056k) is amended--
        (1) in subsection (a)--
            (A) in the subsection heading, by striking ``and 
        Indicators'';
            (B) in paragraph (1)--
                (i) in the paragraph heading, by striking ``and 
            indicators''; and
                (ii) by striking ``and additional indicators of 
            performance'' each place it appears;
            (C) in paragraph (2)--
                (i) in subparagraph (A)--

                    (I) by striking ``(A)'' and all that follows 
                through ``The'' and inserting ``(a) composition of 
                measures.--The''; and
                    (II) by striking clause (ii);

                (ii) by striking subparagraph (B);
                (iii) in subparagraph (C)--

                    (I) by striking ``(C)'' and inserting ``(B)''; and
                    (II) in the first sentence, by striking ``(A)(i)'' 
                and inserting ``(A)''; and
                    (III) by striking the second sentence; and

                (iv) by striking subparagraphs (D) and (E) and 
            inserting the following:
            ``(C) Agreement on expected levels of performance.--
                ``(i) First 2 years.--Each grantee shall reach 
            agreement with the Secretary on levels of performance for 
            each measure described in subparagraph (A)(i), for each of 
            the first 2 program years covered by the grant agreement. 
            In reaching the agreement, the grantee and the Secretary 
            shall take into account the expected levels proposed by the 
            grantee and the factors described in subparagraph (D). The 
            levels agreed to shall be considered to be the expected 
            levels of performance for the grantee for such program 
            years.
                ``(ii) Third and fourth year.--Each grantee shall reach 
            agreement with the Secretary, prior to the third program 
            year covered by the grant agreement, on levels of 
            performance for each measure described in subparagraph (A), 
            for each of the third and fourth program years so covered. 
            In reaching the agreement, the grantee and the Secretary 
            shall take into account the expected levels proposed by the 
            grantee and the factors described in subparagraph (D). The 
            levels agreed to shall be considered to be the expected 
            levels of performance for the grantee for such program 
            years.
            ``(D) Factors.--In reaching the agreements described in 
        subparagraph (B), each grantee and the Secretary shall--
                ``(i) take into account how the levels involved compare 
            with the expected levels of performance established for 
            other grantees;
                ``(ii) ensure that the levels involved are adjusted, 
            using an objective statistical model based on the model 
            established by the Secretary in accordance with section 
            116(a)(3)(A)(viii)) of the Workforce Investment and 
            Opportunity Act (29 U.S.C. 3141(a)(3)(A)(viii)); and
                ``(iii) take into account the extent to which the 
            levels involved promote continuous improvement in 
            performance accountability on the core measures and ensure 
            optimal return on the investment of Federal funds.
            ``(E) Adjustments based on economic conditions and 
        individuals served during the program year.--The Secretary 
        shall, in accordance with the objective statistical model 
        developed pursuant to subparagraph (D)(ii), adjust the expected 
        levels of performance for a program year for grantees, to 
        reflect the actual economic conditions and characteristics of 
        participants in the corresponding projects during such program 
        year.''; and
            (D) in paragraph (3), by striking ``and to report 
        information on the additional indicators of performance'';
        (2) in subsection (b)--
            (A) in paragraph (1)--
                (i) in the matter preceding subparagraph (A), by 
            striking ``(a)(2)(A)(i)'' and inserting ``(a)(2)(A)''; and
                (ii) by striking subparagraphs (B) through (E) and 
            inserting the following:
            ``(B) the percentage of project participants who are in 
        unsubsidized employment during the second quarter after exit 
        from the project;
            ``(C) the percentage of project participants who are in 
        unsubsidized employment during the fourth quarter after exit 
        from the project;
            ``(D) the median earnings of project participants who are 
        in unsubsidized employment during the second quarter after exit 
        from the project;
            ``(E) indicators of effectiveness in serving employers, 
        host agencies, and project participants; and
            ``(F) the number of eligible individuals served, including 
        the number of participating individuals described in subsection 
        (a)(3)(B)(ii) or (b)(2) of section 518.'';
            (B) by striking paragraph (2);
            (C) by redesignating paragraph (3) as paragraph (2); and
            (D) in paragraph (2), as so redesignated, by striking 
        ``paragraphs (1) and (2)'' and inserting ``paragraph (1)'';
        (3) in subsection (c)--
            (A) by striking ``shall--'' and all that follows through 
        ``annually evaluate'' and inserting ``shall annually 
        evaluate'';
            (B) by striking ``(a)(2)(C)'' and inserting ``(a)(2)(B)'';
            (C) by striking ``(a)(2)(D)); and'' and inserting 
        ``(a)(2)(E)).''; and
            (D) by striking paragraph (2);
        (4) in subsection (d)--
            (A) in paragraph (1)--
                (i) in subparagraph (A)--

                    (I) by striking ``2007'' and inserting ``2016'';
                    (II) in clause (i)--

                        (aa) by striking ``(a)(2)(C)'' and inserting 
                    ``(a)(2)(B)'';
                        (bb) by striking ``(a)(2)(D)'' and inserting 
                    ``(a)(2)(E)''; and
                        (cc) by striking ``described'' and all that 
                    follows and inserting a period;

                    (III) by striking clause (ii); and
                    (IV) by striking ``2006'' and all that follows 
                through ``(i) met'' and inserting ``2016, met''; and

                (ii) in subparagraph (B)--

                    (I) in clause (i), by striking ``(A)(i); or'' at 
                the end and inserting ``(A),'';
                    (II) by striking clause (ii);
                    (III) by striking ``2006--'' and all that follows 
                through ``(i) failed'' and inserting ``2016, failed''; 
                and
                    (IV) by striking ``and achieve the applicable 
                percentage'';

            (B) in paragraph (2)--
                (i) in subparagraph (A)--

                    (I) by striking ``(a)(2)(C)'' and inserting 
                ``(a)(2)(B)''; and
                    (II) by striking ``(a)(2)(D)'' and inserting 
                ``(a)(2)(E)''; and

                (ii) in subparagraph (B)(iii)--

                    (I) by striking ``(beginning with program year 
                2007)''; and
                    (II) by adding at the end the following:

                ``(iv) Use of core indicators.--For purposes of 
            assessing grantee performance under this subparagraph 
            before program year 2017, the Secretary shall use the core 
            indicators of performance in effect at the time of the 
            award and the most recent corresponding expected levels of 
            performance.'';
            (C) in paragraph (3)--
                (i) in subparagraph (A)--

                    (I) by striking ``(a)(2)(C)'' and inserting 
                ``(a)(2)(B)''; and
                    (II) by striking ``(a)(2)(D)'' and inserting 
                ``(a)(2)(E)''; and

                (ii) in subparagraph (B)(iii), by striking ``(beginning 
            with program year 2007)''; and
            (D) by amending paragraph (4) to read as follows:
        ``(4) Special rule for implementation.--The Secretary shall 
    implement the core measures of performance described in this 
    section not later than December 31, 2017.''; and
        (5) by amending subsection (e) to read as follows:
    ``(e) Impact on Grant Competition.--Effective on January 1, 2018, 
the Secretary may not publish a notice announcing a grant competition 
under this title, or solicit proposals for grants, until the day on 
which the Secretary implements the core measures of performance.''.
    (e) Competitive Requirements.--Section 514(c)(4) of the Community 
Service Senior Opportunities Act (42 U.S.C. 3056l(c)(4)) is amended--
        (1) by striking ``and addressing additional indicators of 
    performance''; and
        (2) by striking ``and additional indicators of performance''.
    (f) Authorization of Appropriations.--Section 517 of the Older 
Americans Act of 1965 (42 U.S.C. 3056o) is amended--
        (1) in subsection (a), by striking ``such sums'' and all that 
    follows through the period at the end, and inserting ``$445,189,405 
    for fiscal year 2017, $454,499,494 for fiscal year 2018, and 
    $463,809,605 for fiscal year 2019.''; and
        (2) in subsection (b)--
            (A) in the 1st sentence--
                (i) by inserting ``Federal'' after ``available for''; 
            and
                (ii) by striking ``July'' and inserting ``April''; and
            (B) by inserting after the 1st sentence the following:
``Such amounts obligated to grantees shall be available for obligation 
and expenditure by grantees during the program year that begins on July 
1 of the calendar year immediately following the beginning of the 
fiscal year in which the amounts are appropriated and that ends on June 
30 of the following calendar year.''.
    (g) Definitions.--Section 518(a) of the Community Service Senior 
Opportunities Act (42 U.S.C. 3056p(a)) is amended--
        (1) by redesignating paragraphs (5) through (8) as paragraphs 
    (6) through (9), respectively; and
        (2) by inserting after paragraph (4) the following:
        ``(5) Local workforce development board; state workforce 
    development board.--The terms `local workforce development board' 
    and `State workforce development board' have the meanings given the 
    terms `local board' and `State board', respectively, in section 3 
    of the Workforce Innovation and Opportunity Act (29 U.S.C. 
    3102).''.
SEC. 7. GRANTS FOR NATIVE AMERICANS.
    Section 643 of the Older Americans Act of 1965 (42 U.S.C. 3057n) is 
amended--
        (1) in paragraph (1), by striking ``such sums'' and all that 
    follows through the semicolon, and inserting ``$31,934,018 for 
    fiscal year 2017, $32,601,843 for fiscal year 2018, and $33,269,670 
    for fiscal year 2019;''; and
        (2) in paragraph (2), by striking ``such sums'' and all that 
    follows through the period at the end, and inserting ``$7,718,566 
    for fiscal year 2017, $7,879,982 for fiscal year 2018, and 
    $8,041,398 for fiscal year 2019.''.
SEC. 8. VULNERABLE ELDER RIGHTS PROTECTION ACTIVITIES.
    (a) Authorization of Appropriations.--Section 702 of the Older 
Americans Act of 1965 (42 U.S.C. 3058a) is amended--
        (1) in subsection (a), by striking ``such sums'' and all that 
    follows through the period at the end, and inserting ``$16,280,630 
    for fiscal year 2017, $16,621,101 for fiscal year 2018, and 
    $16,961,573 for fiscal year 2019.'';
        (2) by striking subsection (b) and inserting the following:
    ``(b) Other Programs.--There are authorized to be appropriated to 
carry out chapters 3 and 4, $4,891,876 for fiscal year 2017, $4,994,178 
for fiscal year 2018, and $5,096,480 for fiscal year 2019.''; and
        (3) by striking subsection (c).
    (b) Ombudsman Definitions.--Section 711(6) of the Older Americans 
Act of 1965 (42 U.S.C. 3058f(6)) is amended by striking ``older''.
    (c) 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 (c)(2)(D), by striking ``202(a)(21)'' and 
    inserting ``202(a)(18)'';
        (4) 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
        (5) 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

        (6) 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 
        (C) of this paragraph, by striking ``paragraph (4)'' and 
        inserting ``paragraph (5)'';
            (F) in paragraph (7)(A), as redesignated by subparagraph 
        (C) 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 (C) 
        of this paragraph, by striking ``(6), or (7)'' and inserting 
        ``(7), or (8)''.
    (d) 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)''.
    (e) 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(g), 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. 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.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.
```