I 

116TH CONGRESS 

1ST SESSION H. R. 4077 

To amend the Older Americans Act of 1965 to provide social service agencies 

with the resources to provide services to meet the urgent needs of 

Holocaust survivors to age in place with dignity, comfort, security, and 

quality of life. 

IN THE HOUSE OF REPRESENTATIVES 

JULY 25, 2019 

Ms. WASSERMAN SCHULTZ (for herself, Ms. SHALALA, Ms. STEFANIK, Mr. 

HASTINGS, Mr. WEBER of Texas, Mr. SUOZZI, Mr. KING of New York, 

Mr. TAKANO, Mr. STIVERS, Ms. WILSON of Florida, Mr. FITZPATRICK, 

Mr. TED LIEU of California, Mr. JOYCE of Ohio, Mr. COHEN, Mrs. RODGERS of Washington, Ms. JAYAPAL, Mr. BACON, Ms. SCHAKOWSKY, Mrs. 

CAROLYN B. MALONEY of New York, Mr. ESPAILLAT, Mr. DEUTCH, Mr. 

GOTTHEIMER, Mr. RASKIN, Ms. WILD, Ms. STEVENS, and Mr. ZELDIN) 

introduced the following bill; which was referred to the Committee on 

Education and Labor 

A BILL 

To amend the Older Americans Act of 1965 to provide 

social service agencies with the resources to provide services to meet the urgent needs of Holocaust survivors 

to age in place with dignity, comfort, security, and quality of life. 

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


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1 SECTION 1. SHORT TITLE. 

2 (a) SHORT TITLE.—This Act may be cited as the 

3 ‘‘Trauma-Informed Modernization of Eldercare for Holo4 caust Survivors Act’’ or the ‘‘TIME for Holocaust Sur5 vivors Act’’. 

6 (b) TABLE OF CONTENTS.—The table of contents for 

7 this Act is as follows: 

Sec. 1. Short title. 

Sec. 2. Findings. 

Sec. 3. Purposes. 

TITLE I—RESPONDING TO THE NEEDS OF HOLOCAUST 

SURVIVORS 

Subtitle A—Definitions, Grants for State and Community Programs, and 

Other Programs 

Sec. 101. Definitions. 

Sec. 102. Organization. 

Sec. 103. Area plans. 

Sec. 104. State plans. 

Sec. 105. Consumer contributions. 

Sec. 106. National Family Caregiver Support Program authorized. 

Sec. 107. Prevention of elder abuse, neglect, and exploitation. 

Subtitle B—Functions Within Administration for Community Living To 

Assist Holocaust Survivors 

Sec. 111. Designation of individual within the Administration. 

Sec. 112. Annual report to Congress. 

Sec. 113. National Resource Center for Older Individuals Experiencing the 

Long-Term and Adverse Consequences of Trauma. 

Sec. 114. Definitions. 

TITLE II—NUTRITION SERVICES FOR OLDER INDIVIDUALS 

Sec. 201. Nutrition services. 

TITLE III—TRANSPORTATION 

Sec. 301. Transportation services and resources. 

8 SEC. 2. FINDINGS. 

9 Congress finds the following: 

10 (1) During the Holocaust, which took place 

11 from 1933 through 1945, an estimated 6,000,000 


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1 Jews, as well as millions of victims from other tar2 geted groups, were murdered by the Nazis and their 

3 collaborators. 

4 (2) More than 200,000 Jews fleeing from Nazi5 occupied territory found refuge in the United States 

6 from 1933 through 1945, and approximately 

7 137,000 additional Jewish refugees settled in the 

8 United States from 1945 through 1952. 

9 (3) Hundreds of thousands of additional Jewish 

10 refugees continued to immigrate to the United 

11 States from Europe and countries of the former So12 viet Union during the subsequent decades. 

13 (4) The number of Holocaust survivors living in 

14 the United States at the end of 2018 was approxi15 mately 80,000 individuals, down from an estimated 

16 127,000 in 2010. 

17 (5) Every Holocaust survivor is now at least 74 

18 years old, most are in at least their mid-to-late 

19 eighties, and many are in their nineties and beyond. 

20 (6) One-third of all Holocaust survivors in the 

21 United States live at or below the official poverty 

22 threshold (as defined by the Bureau of the Census), 

23 including more than half of the Holocaust survivors 

24 who emigrated from the countries of the former So25 viet Union. 


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1 (7) Holocaust survivors continue to live with 

2 the unique mental and physical scars of the uncon3 scionable trauma caused by the Holocaust, and while 

4 institutionalized settings are beneficial for some, cer5 tain aspects of institutionalization may have particu6 larly adverse effects on Holocaust survivors. 

7 (8) For many Holocaust survivors, institutional8 ized settings produce sights, sounds, smells, emo9 tions, and routines that can induce panic, anxiety, 

10 and re-traumatization as a result of experiences 

11 from the Holocaust. 

12 (9) Holocaust survivors are more economically 

13 and socially vulnerable, report poorer health and 

14 more health problems, and have greater social serv15 ice needs, than other older individuals. 

16 (10) In comparison to most other older individ17 uals, low-income Holocaust survivors are more reli18 ant on social service programs that provide services 

19 such as personal care, provision of home-delivered 

20 and congregate meals, transportation, counseling, 

21 and mental health support to promote health and 

22 quality of life. 

23 (11) Community organizations serving Holo24 caust survivors report that approximately one-quar25 ter of Holocaust survivors live alone, and living alone 


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1 is a risk factor for hospitalization and nursing home 

2 admission, poverty, falls, depression, poor nutrition, 

3 social isolation, and loneliness, which have been as4 sociated with poor health outcomes and an increased 

5 risk of death. 

6 (12) Community organizations serving Holo7 caust survivors report that transportation is vital to 

8 help Holocaust survivors attend medical appoint9 ments, shop and purchase necessary items, visit 

10 family and friends, and participate in cultural, rec11 reational, or social events, such as congregate meals 

12 or religious services. 

13 (13) As the general population of older individ14 uals increases in the United States and many public 

15 or philanthropic resources remain constant, pro16 viders serving Holocaust survivors need additional 

17 capacity to cover needed services. 

18 (14) The Administration for Community Living 

19 in the Department of Health and Human Services 

20 serves as the Federal agency responsible for increas21 ing access to community supports for, focusing at22 tention and resources on the unique needs of, older 

23 individuals and individuals with disabilities across 

24 their lifespans. 


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1 (15) The mission of the Administration for 

2 Community Living is to maximize the independence, 

3 well-being, and health of older individuals, individ4 uals with disabilities, and their families and care5 givers. 

6 (16) The Administration for Community Living 

7 in 2017 issued guidance entitled ‘‘ACL Guidance for 

8 Outreach and Providing Services for Holocaust Sur9 vivors’’ in accordance with a requirement of the 

10 Older Americans Act Reauthorization Act of 2016 

11 which states that the Assistant Secretary for Aging 

12 shall ‘‘issue guidance to States, that shall be applica13 ble to States, area agencies on aging, and providers 

14 of services for older individuals, with respect to serv15 ing Holocaust survivors, including guidance on 

16 promising practices for conducting outreach to that 

17 population.’’. 

18 (17) Many social service agencies that receive 

19 funding under the Older Americans Act of 1965 for 

20 home-delivered or congregate meals serve diverse 

21 seniors, including Holocaust survivors, with special22 ized dietary needs based on religious, cultural, or 

23 ethnic requirements, and the necessary special meals 

24 often cost more than other meals. 


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1 SEC. 3. PURPOSES. 

2 The purposes of this Act are— 

3 (1) to include ‘‘older individuals who are Holo4 caust survivors’’ in the list of groups that receive 

5 preference, as specified in section 305(a)(2)(E) of 

6 the Older Americans Act of 1965, for services pro7 vided under that Act; 

8 (2) to require the designation within the Ad9 ministration for Community Living of an individual 

10 to have responsibility for the provision of services to 

11 older individuals who are Holocaust survivors; 

12 (3) to promote technical assistance and training 

13 for agencies that serve older individuals experiencing 

14 the long-term and adverse consequences of trauma; 

15 (4) to ensure that the providers of nutrition 

16 services through the Older Americans Act of 1965 

17 can meet the special health-related or other dietary 

18 needs of program participants; and 

19 (5) to help meet the urgent transportation 

20 needs of Holocaust survivors. 


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1 TITLE I—RESPONDING TO THE 

2 NEEDS OF HOLOCAUST SUR3 VIVORS 

4 Subtitle A—Definitions, Grants for 

5 State and Community Pro6 grams, and Other Programs 

7 SEC. 101. DEFINITIONS. 

8 Section 102 of the Older Americans Act of 1965 (42 

9 U.S.C. 3002) is amended— 

10 (1) in paragraph (24)— 

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

12 ‘‘and’’; 

13 (B) in subparagraph (C)(ii), by striking 

14 the period at the end and inserting ‘‘; and’’; 

15 and 

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

17 ‘‘(D) status as a Holocaust survivor.’’; 

18 (2) by redesignating paragraphs (26) through 

19 (40) and paragraphs (41) through (54) as para20 graphs (27) through (41) and paragraphs (43) 

21 through (56), respectively; 

22 (3) by inserting after paragraph (25) the fol23 lowing: 

24 ‘‘(26) The term ‘Holocaust survivor’ means an 

25 individual who— 


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1 ‘‘(A)(i) lived in a country in a year not 

2 earlier than 1933 and not later than 1945 

3 under a Nazi regime, under Nazi occupation, or 

4 under the control of Nazi collaborators; or 

5 ‘‘(ii) fled from a country in a year de6 scribed in clause (i) under a Nazi regime, under 

7 Nazi occupation, or under the control of Nazi 

8 collaborators; 

9 ‘‘(B) was persecuted in a year described in 

10 clause (i) on the basis of race, religion, physical 

11 or mental disability, sexual orientation, political 

12 affiliation, ethnicity, or other basis; and 

13 ‘‘(C) was a member of a group that was 

14 persecuted by the Nazis.’’; and 

15 (4) by inserting after paragraph (41) the fol16 lowing: 

17 ‘‘(42) The term ‘person-centered, trauma-in18 formed’, used with respect to care, means care pro19 vided through an aging program, policy, or proce20 dure, that uses a holistic approach to service provi21 sion that promotes the dignity, strength, and em22 powerment of trauma victims by incorporating 

23 knowledge about the role of trauma in trauma vic24 tims’ lives.’’. 


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1 SEC. 102. ORGANIZATION. 

2 Section 305(a) of the Older Americans Act of 1965 

3 (42 U.S.C. 3025(a)) is amended— 

4 (1) in paragraph (1)(E), by inserting ‘‘older in5 dividuals who are Holocaust survivors,’’ after ‘‘pro6 ficiency,’’ each place it appears; and 

7 (2) in paragraph (2)(E), by inserting ‘‘older in8 dividuals who are Holocaust survivors,’’ after ‘‘pro9 ficiency,’’. 

10 SEC. 103. AREA PLANS. 

11 Section 306 of the Older Americans Act of 1965 (42 

12 U.S.C. 3026) is amended— 

13 (1) in subsection (a)— 

14 (A) in paragraph (1), by inserting ‘‘older 

15 individuals who are Holocaust survivors,’’ after 

16 ‘‘proficiency,’’ each place it appears; 

17 (B) in paragraph (4)— 

18 (i) in subparagraph (A)— 

19 (I) in clause (i)(I)(bb), by insert20 ing ‘‘older individuals who are Holo21 caust survivors,’’ after ‘‘proficiency,’’; 

22 and 

23 (II) in clause (ii), by inserting 

24 ‘‘older individuals who are Holocaust 

25 survivors,’’ after ‘‘proficiency,’’ each 

26 place it appears; 


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1 (ii) in subparagraph (B)(i)— 

2 (I) in subclause (VI), by striking 

3 ‘‘and’’ at the end; and 

4 (II) by inserting after subclause 

5 (VII) the following: 

6 ‘‘(VIII) older individuals who are 

7 Holocaust survivors; and’’; and 

8 (iii) in subparagraph (B)(ii), by strik9 ing ‘‘subclauses (I) through (VI)’’ and in10 serting ‘‘subclauses (I) through (VIII)’’; 

11 and 

12 (C) in paragraph (7)(B)(iii), by inserting 

13 ‘‘, in particular, older individuals who are Holo14 caust survivors,’’ after ‘‘placement’’; and 

15 (2) in subsection (b)(2)(B), by inserting ‘‘older 

16 individuals who are Holocaust survivors,’’ after 

17 ‘‘areas,’’. 

18 SEC. 104. STATE PLANS. 

19 Section 307(a) of the Older Americans Act of 1965 

20 (42 U.S.C. 3027(a)) is amended— 

21 (1) in paragraph (4), by inserting ‘‘older indi22 viduals who are Holocaust survivors,’’ after ‘‘pro23 ficiency,’’; 

24 (2) in paragraph (16)— 

25 (A) in subparagraph (A)— 


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1 (i) in clause (v), by striking ‘‘and’’ at 

2 the end; and 

3 (ii) by adding at the end the fol4 lowing: 

5 ‘‘(vii) older individuals who are Holo6 caust survivors; and’’; and 

7 (B) in subparagraph (B), by striking 

8 ‘‘clauses (i) through (vi)’’ and inserting 

9 ‘‘clauses (i) through (vii)’’; and 

10 (3) in paragraph (28)(B)(ii), by inserting 

11 ‘‘older individuals who are Holocaust survivors,’’ 

12 after ‘‘areas,’’. 

13 SEC. 105. CONSUMER CONTRIBUTIONS. 

14 Section 315 of the Older Americans Act of 1965 (42 

15 U.S.C. 3030c–2) is amended— 

16 (1) in subsection (c)(2), by inserting ‘‘older in17 dividuals who are Holocaust survivors,’’ after ‘‘pro18 ficiency,’’; and 

19 (2) in subsection (d), by inserting ‘‘older indi20 viduals who are Holocaust survivors,’’ after ‘‘pro21 ficiency,’’. 

22 SEC. 106. NATIONAL FAMILY CAREGIVER SUPPORT PRO23 GRAM AUTHORIZED. 

24 Section 373(c)(2)(A) of the Older Americans Act of 

25 1965 (42 U.S.C. 3030s–1(c)(2)(A)) is amended by strikVerDate Sep 11 2014 21:52 Jul 26, 2019 Jkt 089200 PO 00000 Frm 00012 Fmt 6652 Sfmt 6201 E:\BILLS\H4077.IH H4077

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1 ing ‘‘individuals)’’ and inserting ‘‘individuals and older in2 dividuals who are Holocaust survivors)’’. 

3 SEC. 107. PREVENTION OF ELDER ABUSE, NEGLECT, AND 

4 EXPLOITATION. 

5 Section 721(b)(13) of the Older Americans Act of 

6 1965 (42 U.S.C. 3058i(b)(13)) is amended— 

7 (1) in subparagraph (B), by striking ‘‘or’’ at 

8 the end; 

9 (2) in subparagraph (C), by striking the period 

10 at the end and inserting ‘‘; or’’; and 

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

12 ‘‘(D) older individuals who are Holocaust 

13 survivors.’’. 

14 Subtitle B—Functions Within Ad15 ministration for Community 

16 Living To Assist Holocaust Sur17 vivors 

18 SEC. 111. DESIGNATION OF INDIVIDUAL WITHIN THE AD19 MINISTRATION. 

20 The Administrator of the Administration for Commu21 nity Living is authorized to designate, within the Adminis22 tration for Community Living, a person who has special23 ized training, background, or experience with Holocaust 

24 survivor issues— 


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1 (1) to have responsibility within the Adminis2 tration for Community Living for implementing and 

3 coordinating services for older individuals who are 

4 Holocaust survivors; and 

5 (2) to serve as a liaison on those issues, and the 

6 provision of services for those individuals, with other 

7 relevant agencies of the Federal Government. 

8 SEC. 112. ANNUAL REPORT TO CONGRESS. 

9 The Administrator, with assistance from the indi10 vidual designated under section 111, shall prepare and 

11 submit to Congress an annual report on— 

12 (1) the status and needs, including the priority 

13 areas of concern, of older individuals who are Holo14 caust survivors; and 

15 (2) how the aging network is identifying and 

16 serving older individuals experiencing the long-term 

17 and adverse consequences of trauma and how agen18 cies within the aging network are promoting and ad19 vancing person-centered, trauma-informed care to 

20 older individuals experiencing the long-term and ad21 verse consequences of trauma. 

22 SEC. 113. NATIONAL RESOURCE CENTER FOR OLDER INDI23 VIDUALS EXPERIENCING THE LONG-TERM 

24 AND ADVERSE CONSEQUENCES OF TRAUMA. 

25 (a) PROGRAM AUTHORIZED.— 


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1 (1) CENTER.—The Administrator shall estab2 lish and operate a National Resource Center on In3 novative Services and Supports for Older Individuals 

4 Experiencing the Long-Term and Adverse Con5 sequences of Trauma (referred to in this section as 

6 the ‘‘Center’’). 

7 (2) FUNCTIONS.—The Center shall— 

8 (A) provide training and technical assist9 ance to agencies in the aging network delivering 

10 services to older individuals experiencing the 

11 long-term and adverse consequences of trauma; 

12 (B) share best practices with the aging 

13 network; and 

14 (C) make subgrants to the agencies best 

15 positioned to advance and improve the delivery 

16 of services for older individuals experiencing the 

17 long-term and adverse consequences of trauma. 

18 (b) ASSISTANCE.—To carry out subsection (a), the 

19 Administrator shall make grants to or enter into contracts 

20 with one or more nonprofit organization that are experi21 enced— 

22 (1) in providing person-centered, trauma-in23 formed care; and 

24 (2) in providing support and technical assist25 ance on a nationwide basis to agencies within the 


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1 aging network that offer services to older individuals 

2 experiencing the long-term and adverse consequences 

3 of trauma. 

4 SEC. 114. DEFINITIONS. 

5 In this subtitle: 

6 (1) ADMINISTRATOR.—The term ‘‘Adminis7 trator’’ means the Administrator of the Administra8 tion for Community Living. 

9 (2) OTHER TERMS.—The terms ‘‘Holocaust 

10 survivor’’, ‘‘older individual’’, and ‘‘person-centered, 

11 trauma-informed’’ have the meanings given the 

12 terms in section 102 of the Older Americans Act of 

13 1965 (42 U.S.C. 3002). 

14 TITLE II—NUTRITION SERVICES 

15 FOR OLDER INDIVIDUALS 

16 SEC. 201. NUTRITION SERVICES. 

17 (a) IN GENERAL.—Section 339(2) of the Older 

18 Americans Act of 1065 (42 U.S.C. 3030g–21(2)) is 

19 amended— 

20 (1) in subparagraph (A), by amending clause 

21 (iii) to read as follows: 

22 ‘‘(iii) to the maximum extent prac23 ticable, are adjusted and appropriately 

24 funded to meet any special health-related 

25 dietary needs, and other dietary needs of 


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1 program participants (including needs 

2 based on religious, cultural, or ethnic re3 quirements) if for the special health-related 

4 or other dietary needs involved there is 

5 sufficient demand in a community to war6 rant special meals;’’; 

7 (2) in subparagraph (K), by striking ‘‘, and’’ 

8 and inserting a comma; 

9 (3) in subparagraph (L), by striking the period 

10 and inserting ‘‘, and’’; and 

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

12 ‘‘(M) encourages and educates individuals 

13 utilizing methodology that promotes person-cen14 tered, trauma-informed care who distribute nu15 trition services under subpart 2 to engage in 

16 conversation with homebound older individuals 

17 and to be aware of the warning signs of medical 

18 emergencies, injury, or abuse in order to reduce 

19 isolation and promote well-being.’’. 

20 (b) AUTHORIZATION OF APPROPRIATIONS.—Section 

21 303(b) of the Older Americans Act of 1965 (42 U.S.C. 

22 3023(b)) is amended by adding at the end the following: 

23 ‘‘(3) There is authorized to be appropriated for spe24 cial health related dietary needs and other dietary needs 

25 of program participants (including needs based on reliVerDate Sep 11 2014 21:52 Jul 26, 2019 Jkt 089200 PO 00000 Frm 00017 Fmt 6652 Sfmt 6201 E:\BILLS\H4077.IH H4077

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1 gious, cultural, or ethnic requirements) pursuant to para2 graph (2)(A)(iii) an additional 2 percent of the funds au3 thorized to be appropriated for congregate nutrition serv4 ices in paragraph (1) and home delivered nutrition services 

5 in paragraph (2).’’. 

6 TITLE III—TRANSPORTATION 

7 SEC. 301. TRANSPORTATION SERVICES AND RESOURCES. 

8 Section 411(a) of the Older Americans Act of 1965 

9 (42 U.S.C. 3032(a)) is amended— 

10 (1) by redesignating paragraph (14) as para11 graph (15); 

12 (2) in paragraph (13), by striking ‘‘; and’’ and 

13 inserting a semicolon; and 

14 (3) by inserting after paragraph (13) the fol15 lowing: 

16 ‘‘(14) conducting programs that enable the mo17 bility and self-sufficiency of older individuals with 

18 greatest economic need and older individuals with 

19 greatest social need by providing transportation 

20 services and resources; and’’. 

Æ 


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