I 

113TH CONGRESS 

2D SESSION H. R. 5200 

To amend the Older Americans Act of 1965 to define care coordination, 

include care coordination as a fully restorative service, and detail the 

care coordination functions of the Assistant Secretary, and for other 

purposes. 

IN THE HOUSE OF REPRESENTATIVES 

JULY 24, 2014 

Ms. SCHWARTZ (for herself, Mr. DEUTCH, Ms. ROYBAL-ALLARD, and Mr. 

GRAYSON) introduced the following bill; which was referred to the Committee on Education and the Workforce 

A BILL 

To amend the Older Americans Act of 1965 to define care 

coordination, include care coordination as a fully restorative service, and detail the care coordination functions 

of the Assistant Secretary, and for other purposes. 

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

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Care Coordination for 

5 Older Americans Act of 2014’’. 


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1 SEC. 2. DECLARATION OF OBJECTIVES. 

2 Section 101(4) of the Older Americans Act of 1965 

3 (42 U.S.C. 3001(4)) is amended by inserting ‘‘care coordi4 nation and’’ after ‘‘including’’. 

5 SEC. 3. DEFINITIONS. 

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

7 U.S.C. 3002) is amended by adding at the end the fol8 lowing: 

9 ‘‘(55)(A) The term ‘care coordination’ means a 

10 person- and family-centered, assessment-based, and 

11 interdisciplinary approach to meet the needs and 

12 preferences of an older individual and a family care13 giver while enhancing the capabilities of the older in14 dividual (including the ability to self-direct services). 

15 ‘‘(B) The term ‘care coordination’ means co16 ordination that— 

17 ‘‘(i) integrates health care, long-term serv18 ices and supports, housing, and social support 

19 services in a high-quality and cost-effective 

20 manner in which an individual’s needs, pref21 erences, and capabilities are assessed, along 

22 with the needs and preferences of a family care23 giver; 

24 ‘‘(ii) includes, as a core element, the active 

25 involvement of the older individual, the family, 

26 or a representative appointed by the older indiVerDate Mar 15 2010 23:54 Jul 29, 2014 Jkt 039200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H5200.IH H5200

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1 vidual or legally acting on the individual’s be2 half, community-based service professionals, 

3 and health care professionals providing care to 

4 the older individual, in the design and imple5 mentation of an individualized, individual-cen6 tered service and support plan, through which 

7 the services and supports will be provided in a 

8 manner free from conflicts of interest; 

9 ‘‘(iii) integrates services and interventions 

10 that are implemented, monitored, and evaluated 

11 for effectiveness using an evidence-based proc12 ess, which typically involves a designated lead 

13 care coordinator and involves feedback from the 

14 older individual; 

15 ‘‘(iv) includes activities that aim simulta16 neously at meeting individual and family needs 

17 and preferences, building on individual capabili18 ties, and improving outcomes and systems of 

19 care; 

20 ‘‘(v) includes provision of some or all of 

21 the services and activities described in clauses 

22 (i) through (iv) by trained professionals em23 ployed by or under a contract with— 

24 ‘‘(I) area agencies on aging; 


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1 ‘‘(II) Aging and Disability Resource 

2 Centers; or 

3 ‘‘(III) other service providers, includ4 ing in-home service providers; and 

5 ‘‘(vi) is not furnished to directly diagnose, 

6 treat, or cure a medical disease or condition.’’. 

7 SEC. 4. FUNCTIONS OF THE ASSISTANT SECRETARY. 

8 Section 202(a) of the Older Americans Act of 1965 

9 (42 U.S.C. 3012(a)) is amended— 

10 (1) in paragraph (27), by striking ‘‘and’’ at the 

11 end; 

12 (2) in paragraph (28), by striking the period 

13 and inserting ‘‘; and’’; and 

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

15 ‘‘(29)(A) encourage, provide technical assist16 ance to, and share best practices with, States, area 

17 agencies on aging, Aging and Disability Resource 

18 Centers, and service providers to carry out outreach 

19 and coordinate activities with health care entities in 

20 order to assure better care coordination for individ21 uals with multiple chronic illnesses; and 

22 ‘‘(B) coordinate activities with other Federal 

23 agencies that are working to improve care coordina24 tion and developing new models and best practices.’’. 


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1 SEC. 5. ORGANIZATION. 

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

3 (42 U.S.C. 3025(g)) is amended— 

4 (1) in paragraph (2), by striking ‘‘and’’ at the 

5 end; 

6 (2) in paragraph (3), by striking the period and 

7 inserting ‘‘; and’’; and 

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

9 ‘‘(4) the State agency shall promote the devel10 opment and implementation of a State system to ad11 dress the care coordination needs of older individuals 

12 with multiple chronic illnesses, and shall work with 

13 acute care providers, area agencies on aging, service 

14 providers, and Federal agencies to ensure that the 

15 system uses best practices and is evaluated on its 

16 provision of care coordination.’’. 

17 SEC. 6. AREA PLANS. 

18 Section 306(a) of the Older Americans Act of 1965 

19 (42 U.S.C. 3026(a)) is amended— 

20 (1) in paragraph (4)(B)(i)(VII) by inserting 

21 ‘‘with multiple chronic illnesses or’’ after ‘‘older indi22 viduals’’; 

23 (2) in paragraph (6)(D), by inserting ‘‘(includ24 ing acute care providers)’’ after ‘‘service providers’’; 

25 (3) in paragraph (16), by striking ‘‘and’’ at the 

26 end; 


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1 (4) in paragraph (17) by striking the period 

2 and inserting ‘‘; and’’; and 

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

4 ‘‘(18) provide assurances that the area agency 

5 on aging will— 

6 ‘‘(A) identify existing (as of the date of 

7 submission of the plan) care coordination pro8 grams and systems; 

9 ‘‘(B) identify unmet community need for 

10 care coordination; 

11 ‘‘(C) facilitate the development and imple12 mentation of an area-wide system to address 

13 the care coordination needs of older individuals 

14 with multiple chronic illnesses; and 

15 ‘‘(D) work with acute care providers, serv16 ice providers, and Federal and State agencies to 

17 ensure that the system uses best practices in its 

18 provision of care coordination.’’. 

19 SEC. 7. STATE PLANS. 

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

21 (42 U.S.C. 3027(a)) is amended— 

22 (1) in paragraph (2)(A), by inserting ‘‘care co23 ordination,’’ after ‘‘information and assistance,’’; 

24 (2) in paragraph (17), by striking ‘‘and develop 

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1 serting ‘‘, ensure care coordination, and (where ap2 propriate) develop collaborative programs,’’; 

3 (3) in paragraph (18), in the matter preceding 

4 subparagraph (A), by inserting ‘‘and ensure care co5 ordination that integrates long-term care services 

6 and other care services,’’ before ‘‘for older’’; 

7 (4) in paragraph (23), by striking ‘‘with other 

8 State services’’ and inserting ‘‘with other Federal 

9 and State health care programs and services’’; and 

10 (5) by adding at the end the following: 

11 ‘‘(31) The plan shall provide assurances that 

12 the area agencies on aging in the State will facilitate 

13 the area-wide development and implementation of an 

14 area-wide system to address the care coordination 

15 needs of older individuals with multiple chronic ill16 nesses, and work with acute care providers, service 

17 providers, and other Federal and State agencies to 

18 ensure that the system uses best practices and is 

19 evaluated on its provision of care coordination.’’. 

Æ 


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