II 

113TH CONGRESS 

2D SESSION S. 2763 

To amend the Older Americans Act of 1965 to create a collaborative network 

with a single point of entry for services and supports, to improve programs to prevent elder financial exploitation, to create a community 

care wrap-around support demonstration program, and to create a national campaign to raise awareness of the aging network and promote 

advance integrated long-term care planning, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

JULY 31, 2014 

Mr. MERKLEY introduced the following bill; which was read twice and referred 

to the Committee on Health, Education, Labor, and Pensions 

A BILL 

To amend the Older Americans Act of 1965 to create a 

collaborative network with a single point of entry for 

services and supports, to improve programs to prevent 

elder financial exploitation, to create a community care 

wrap-around support demonstration program, and to create a national campaign to raise awareness of the aging 

network and promote advance integrated long-term care 

planning, 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, 


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Older Americans Com3 munity Access Revitalization and Education Act’’ or the 

4 ‘‘Older Americans CARE Act’’. 

5 SEC. 2. DEFINITIONS. 

6 (a) AGING AND DISABILITY RESOURCE CENTER.— 

7 (1) IN GENERAL.—Section 102(4) of the Older 

8 Americans Act of 1965 (42 U.S.C. 3002(4)) is 

9 amended to read as follows: 

10 ‘‘(4) The term ‘Aging and Disability Resource 

11 Center’ means a collaborative network that has a no 

12 wrong door single entry point system (as described 

13 in section 10202(c)(5)(A) of the Patient Protection 

14 and Affordable Care Act (42 U.S.C. 1396d note; re15 ferred to individually in this Act as a ‘no wrong door 

16 system’)) and a comprehensive and integrated pro17 gram that— 

18 ‘‘(A) is established by the State agency 

19 and administered as identified by the State in 

20 the State plan described in section 307 as part 

21 of a State system of integrated long-term care 

22 for individuals with disabilities and older indi23 viduals; 

24 ‘‘(B) is planned and implemented in a 

25 manner that involves formal partnerships, esVerDate Mar 15 2010 02:35 Aug 14, 2014 Jkt 039200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S2763.IS S2763

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1 tablished between aging and disability agencies 

2 and organizations— 

3 ‘‘(i) that are established so that indi4 viduals of all ages with needs for inte5 grated long-term care, can be properly 

6 reached and served within their commu7 nities, while maximizing self-direction; and 

8 ‘‘(ii) each of which is comprised of— 

9 ‘‘(I) the State agency and area 

10 agencies on aging at the State and 

11 local levels, respectively; and 

12 ‘‘(II) State and local disability 

13 agencies and organizations, including 

14 State independent living councils and 

15 centers for independent living, entities 

16 serving individuals with develop17 mental, physical, mental, or cognitive 

18 disabilities, consumers, advocates, and 

19 other entities and individuals; 

20 ‘‘(C) provides a coordinated system for 

21 providing— 

22 ‘‘(i) an approach for providing access, 

23 information, referrals, and assistance that 

24 is person-centered, is a no wrong door sys25 tem, goes beyond providing access, inforVerDate Mar 15 2010 02:35 Aug 14, 2014 Jkt 039200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S2763.IS S2763

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1 mation, referrals, and assistance available 

2 under or coordinated through this Act, and 

3 serves all individuals regardless of age, in4 come, disability, or state of long-term care 

5 services and supports planning; 

6 ‘‘(ii) comprehensive information on 

7 the full range of available public and pri8 vate programs of health and integrated 

9 long-term care, and options counseling, 

10 service providers, and resources for such 

11 programs, within a community and within 

12 a State, including information on the avail13 ability of integrated long-term care; 

14 ‘‘(iii) personal and peer counseling to 

15 assist individuals in assessing their existing 

16 or anticipated needs and goals for inte17 grated long-term care, and assisting the in18 dividuals in developing and implementing a 

19 plan for integrated long-term care, con20 sistent with their desires and designed to 

21 meet their specific priorities, goals, needs, 

22 and circumstances; and 

23 ‘‘(iv) an approach that supplements 

24 consumer access to the full range of pub25 licly supported programs of integrated 


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1 long-term care, including home-based and 

2 community-based options, for which con3 sumers may be eligible; and 

4 ‘‘(D) builds on but does not replace the 

5 roles and responsibilities of entities in the State 

6 aging network to support people seeking access 

7 to community living opportunities, as specified 

8 in this Act, or of other aging and disability 

9 agencies and organizations.’’. 

10 (2) TECHNICAL AMENDMENT.—Section 102(1) 

11 of the Older Americans Act of 1965 (42 U.S.C. 

12 3002(1)) is amended by inserting ‘‘, except when 

13 used as part of the term ‘financial abuse’,’’ before 

14 ‘‘means’’. 

15 (b) LGBT INDIVIDUALS.— 

16 (1) IN GENERAL.—Section 102 of the Older 

17 Americans Act of 1965 (42 U.S.C. 3002) is amend18 ed— 

19 (A) in paragraph (24)— 

20 (i) in subparagraph (B), by striking 

21 ‘‘and’’ at the end; 

22 (ii) in subparagraph (C), by striking 

23 the period and inserting ‘‘; and’’; and 

24 (iii) by adding at the end the fol25 lowing: 


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1 ‘‘(D) status as an LGBT individual.’’; 

2 (B) by redesignating— 

3 (i) paragraphs (36) through (54) as 

4 paragraphs (38) through (56), respectively; 

5 and 

6 (ii) paragraphs (34) and (35) as para7 graphs (35) and (36), respectively; 

8 (C) by inserting after paragraph (33) the 

9 following: 

10 ‘‘(34) The term ‘LGBT’, used with respect to 

11 an individual, means a lesbian, gay, bisexual, or 

12 transgender individual.’’; and 

13 (D) by inserting after paragraph (36), as 

14 so redesignated, the following: 

15 ‘‘(37) The term ‘minority’, used with respect to 

16 an individual, includes a lesbian, gay, bisexual, or 

17 transgender individual.’’. 

18 (2) CONFORMING AMENDMENT.—Section 

19 215(e)(1)(J) of the Older Americans Act of 1965 

20 (42 U.S.C. 3020e–1(e)(1)(J)) is amended by strik21 ing ‘‘minorities’’ and inserting ‘‘minority individ22 uals’’. 


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1 SEC. 3. CREATION OF NATIONAL CAMPAIGN TO RAISE 

2 AWARENESS OF THE AGING NETWORK AND 

3 PROMOTE ADVANCE INTEGRATED LONG4 TERM CARE PLANNING. 

5 (a) IN GENERAL.—Section 202(b) of the Older 

6 Americans Act of 1965 (42 U.S.C. 3012(b)) is amended 

7 by striking paragraph (6) and inserting the following: 

8 ‘‘(6) promote, through a coordinated public 

9 education and outreach campaign carried out by the 

10 National Eldercare Locator Service described in sub11 section (a)(21) and in coordination with other appro12 priate Federal agencies— 

13 ‘‘(A) enhanced awareness by the public of 

14 the importance of planning in advance for inte15 grated long-term care; and 

16 ‘‘(B) the availability of national, State, and 

17 local information and resources to assist in such 

18 planning, as well as the existence of area agen19 cies on aging and other aging service providers 

20 to provide direct assistance with such plan21 ning;’’. 

22 (b) AUTHORIZATION OF APPROPRIATIONS.—Section 

23 216 of the Older Americans Act of 1965 (42 U.S.C. 

24 3020f) is amended— 

25 (1) by redesignating subsection (c) as sub26 section (d); and 


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1 (2) by inserting after subsection (b) the fol2 lowing: 

3 ‘‘(c) NATIONAL CAMPAIGN.—There is authorized to 

4 be appropriated to carry out section 202(b)(6), 

5 $3,000,000 for each of fiscal years 2015 through 2019.’’. 

6 SEC. 4. NO WRONG DOOR NETWORKS. 

7 Section 202(b)(8) of the Older Americans Act of 

8 1965 (42 U.S.C. 2012(b)(8)) is amended— 

9 (1) in the matter preceding subparagraph (A), 

10 by striking ‘‘Aging and Disability Resource Cen11 ters—’’ and inserting ‘‘networks, such as Aging and 

12 Disability Resource Centers, that are built on infor13 mation, referral, and assistance programs run by 

14 aging and disability agencies and are collaborative 

15 networks with no wrong door systems—’’; 

16 (2) in subparagraphs (A), (C), and (D), by 

17 striking ‘‘long-term care’’ each place it appears and 

18 inserting ‘‘integrated long-term care’’; 

19 (3) in subparagraph (A), by striking ‘‘commu20 nity-based care’’ and inserting ‘‘community-based 

21 care services and supports’’; and 

22 (4) in subparagraph (B), by striking ‘‘their 

23 care’’ and inserting ‘‘their care services and sup24 ports’’. 


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1 SEC. 5. SUPPORTIVE SERVICES AND SENIOR CENTERS PRO2 GRAM. 

3 Section 321(b)(1) of the Older Americans Act of 

4 1965 (42 U.S.C. 3030d(b)(1)) is amended by inserting 

5 ‘‘or modernization’’ after ‘‘construction’’. 

6 SEC. 6. PILOT PROJECT ON SERVICES FOR RECIPIENTS OF 

7 FEDERALLY ASSISTED HOUSING. 

8 Part A of title IV of the Older Americans Act of 1965 

9 (42 U.S.C. 3032 et seq.) is amended by adding at the end 

10 the following: 

11 ‘‘SEC. 423. PILOT PROJECT ON SERVICES FOR RECIPIENTS 

12 OF FEDERALLY ASSISTED HOUSING. 

13 ‘‘(a) DEFINITION.—In this section, the term ‘feder14 ally assisted housing’ means— 

15 ‘‘(1) multifamily housing financed, insured, or 

16 subsidized by the Rural Housing Service of the De17 partment of Agriculture or by the Department of 

18 Housing and Urban Development; or 

19 ‘‘(2) housing provided under the Low Income 

20 Housing Tax Credit program carried out under sec21 tion 42 of the Internal Revenue Code of 1986. 

22 ‘‘(b) FUNDING.—The Assistant Secretary may pro23 vide funding for a service provided under this Act (includ24 ing title V) packaged and targeted for residents of feder25 ally assisted housing. The Assistant Secretary may provide 

26 such funding for a period of 2 years. 


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1 ‘‘(c) RECIPIENTS.—The Assistant Secretary shall 

2 provide funding made available under subsection (b) 

3 through area agencies on aging, other entities approved 

4 by the Assistant Secretary, or designees of the agencies 

5 or entities, to not-for-profit owners or managers of the 

6 housing. 

7 ‘‘(d) EVALUATIONS AND REPORTS.— 

8 ‘‘(1) EVALUATIONS.—Each agency, entity, or 

9 designee that receives funding under this section 

10 shall evaluate the effectiveness of the services pro11 vided through the funding. 

12 ‘‘(2) REPORTS.—The agency, entity, or des13 ignee shall, not later than 90 days after the end of 

14 the funding period, prepare and submit to the As15 sistant Secretary a report containing the results of 

16 the evaluation. 

17 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 

18 are authorized to be appropriated to carry out this section 

19 such sums as may be necessary for each of fiscal years 

20 2015 through 2017. Such sums shall remain available 

21 through fiscal year 2018 for the purpose of carrying out 

22 the evaluations and reports under subsection (d).’’. 


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1 SEC. 7. COMMUNITY CARE WRAP-AROUND SUPPORT DEM2 ONSTRATION PROGRAM. 

3 Part A of title IV of the Older Americans Act of 1965 

4 (42 U.S.C. 3032 et seq.), as amended by section 6, is fur5 ther amended by adding at the end the following: 

6 ‘‘SEC. 424. COMMUNITY CARE WRAP-AROUND SUPPORT 

7 DEMONSTRATION PROGRAM. 

8 ‘‘(a) DEFINITIONS.— 

9 ‘‘(1) COMMUNITY CARE WRAP-AROUND SUP10 PORT PARTNERSHIP.—The term ‘community care 

11 wrap-around support partnership’ means a partner12 ship that— 

13 ‘‘(A) carries out a program that serves not 

14 fewer than 30 eligible older individuals; 

15 ‘‘(B) includes— 

16 ‘‘(i) a designated care coordinator, 

17 who may be a nurse, registered dietitian, 

18 case manager, health coach, or social work19 er, from an eligible entity and who, in con20 sultation with a primary care physician or 

21 another relevant specialist described in 

22 clause (ii), will be responsible for coordi23 nating services and supports offered under 

24 title III for an older individual; and 

25 ‘‘(ii) a consulting primary care physi26 cian, or other relevant specialist, receiving 


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1 compensation for participation in the part2 nership in a manner determined by the As3 sistant Secretary; and 

4 ‘‘(C) may include an individual— 

5 ‘‘(i) who is listed in the plan for the 

6 community care wrap-around support part7 nership described in subsection (c)(2); 

8 ‘‘(ii) for whom the eligible older indi9 vidual gives consent to participate in the 

10 community care wrap-around support part11 nership, as that partnership relates to the 

12 eligible older individual; and 

13 ‘‘(iii) whose relationship to the older 

14 individual is that of— 

15 ‘‘(I) a family member, close per16 sonal friend, or unpaid designated 

17 caregiver; 

18 ‘‘(II) a legal or financial advisor; 

19 ‘‘(III) a home care provider; 

20 ‘‘(IV) a provider of transpor21 tation; 

22 ‘‘(V) a registered dietitian; or 

23 ‘‘(VI) a rehabilitation profes24 sional. 


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1 ‘‘(2) ELIGIBLE ENTITY.—The term ‘eligible en2 tity’ means— 

3 ‘‘(A) an area agency on aging; 

4 ‘‘(B) a home or community-based provider 

5 of the activities described in subsection (d) 

6 (such as a home care agency, or entity oper7 ating a senior center or adult day care facility); 

8 or 

9 ‘‘(C) another qualified entity the Assistant 

10 Secretary determines to be appropriate to carry 

11 out the activities described in subsection (d). 

12 ‘‘(3) ELIGIBLE OLDER INDIVIDUAL.—The term 

13 ‘eligible older individual’ means an older individual 

14 who— 

15 ‘‘(A) is age 65 or older; 

16 ‘‘(B) who is eligible to receive assistance 

17 under this Act; 

18 ‘‘(C) who elects to enroll in the demonstra19 tion program, as described in subsection (e); 

20 and 

21 ‘‘(D) who— 

22 ‘‘(i) has difficulty completing 2 or 

23 more activities of daily living; 


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1 ‘‘(ii) has had at least one nonelective 

2 hospital admission within the past 12 

3 months; 

4 ‘‘(iii) has received acute or subacute 

5 rehabilitation services within the past 12 

6 months; or 

7 ‘‘(iv) meets such other criteria as the 

8 Assistant Secretary determines to be ap9 propriate. 

10 ‘‘(b) PROGRAM AUTHORIZED.— 

11 ‘‘(1) IN GENERAL.—The Assistant Secretary 

12 shall establish a demonstration program (referred to 

13 in this section as the ‘demonstration program’ and 

14 to be commonly known as the ‘community care ini15 tiative’) through which the Assistant Secretary shall 

16 make grants to eligible entities in order to enable 

17 such eligible entities to— 

18 ‘‘(A) establish community care wrap19 around support partnerships; and 

20 ‘‘(B) support the partnerships, enabling 

21 the partnerships to carry out the activities de22 scribed in subsection (d). 

23 ‘‘(2) DURATION.—Each grant awarded under 

24 this section shall be for a period of 2 years. 

25 ‘‘(c) APPLICATION.— 


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1 ‘‘(1) IN GENERAL.—Each eligible entity desir2 ing a grant under this section shall submit an appli3 cation to the Assistant Secretary at such time, in 

4 such manner, and accompanied by such information 

5 as the Assistant Secretary may reasonably require. 

6 ‘‘(2) CONTENTS.—The application described in 

7 this subsection shall include, at a minimum— 

8 ‘‘(A) a plan describing the individuals, as 

9 listed in subsection (a)(1)(C), that will, upon 

10 consent of an eligible older individual, partici11 pate in the community care wrap-around sup12 port partnership as that partnership relates to 

13 the eligible older individual; 

14 ‘‘(B) a clear description of— 

15 ‘‘(i) the protocols the eligible entity 

16 will implement to identify the needs of 

17 older individuals receiving services and 

18 supports through the partnership; 

19 ‘‘(ii) the range of intervention and 

20 supportive services and supports that the 

21 eligible entity will implement; and 

22 ‘‘(iii) preliminary evidence of the effi23 cacy or effectiveness of the approach the 

24 eligible entity proposes to use in providing 


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1 services and supports through the partner2 ship; and 

3 ‘‘(C) an assurance that the partnership will 

4 collect the information determined by the As5 sistant Secretary under subsection (h)(1). 

6 ‘‘(d) USE OF FUNDS.—An eligible entity that receives 

7 a grant under this section shall use the grant funds to 

8 establish a community care wrap-around support partner9 ship and support the partnership, including requiring the 

10 partnership to— 

11 ‘‘(1) connect each participant with the commu12 nity care wrap-around support partnership; 

13 ‘‘(2) assess each eligible older individual using 

14 a standardized assessment instrument, such as a 

15 comprehensive assessment reporting evaluation; 

16 ‘‘(3) establish longitudinal care plans for each 

17 eligible older individual; and 

18 ‘‘(4) provide comprehensive, coordinated, and 

19 continuous virtual or in-person access to the services 

20 and supports offered under this Act, tailored to the 

21 specific needs of the older individual involved, which 

22 may include one or more of the following: 

23 ‘‘(A) Medication management. 


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1 ‘‘(B) Medical nutrition therapy with a reg2 istered dietitian for individuals requiring dietary 

3 modification for chronic disease management. 

4 ‘‘(C) Limited environmental modifications, 

5 such as safety equipment for showering, bath6 ing, or toileting or installation of safety, health, 

7 and wellness monitoring technologies for an eli8 gible older individual. 

9 ‘‘(D) Nutritional and dietary supports, 

10 which may include nutrition counseling, edu11 cation, and the delivery of meals to the home or 

12 assistance with purchasing groceries in order 

13 to— 

14 ‘‘(i) assure an appropriate diet con15 sistent with the medical needs, cultural 

16 background, and faith traditions of an eli17 gible older individual; and 

18 ‘‘(ii) identify opportunities for social19 ization within the home or the community 

20 of an eligible older individual in order to 

21 enhance the ability to participate in 

22 healthy nutritional habits. 

23 ‘‘(E) Transportation in order to meet the 

24 medical and social needs of an eligible older in25 dividual. 


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1 ‘‘(F) Psychosocial supports to prevent iso2 lation and the potential for depression and cog3 nitive decline, which often accompany the lack 

4 of human interaction. 

5 ‘‘(G) Opportunities for exercise, as toler6 able and appropriate, to prevent further phys7 ical decline that may lead to preventable dis8 ability. 

9 ‘‘(H) Opportunities for enjoyment through 

10 activities or interactions, in person or virtually, 

11 that enhance an eligible older individual’s life, 

12 relationships, well-being, or sense of produc13 tivity, including providing the opportunities 

14 through the use of technology products. 

15 ‘‘(e) ELECTION TO PARTICIPATE.—The Assistant 

16 Secretary shall determine and carry out an appropriate 

17 method of ensuring that eligible older individuals have 

18 agreed to enroll in a community care wrap-around support 

19 partnership program. Enrollment in the demonstration 

20 program shall be voluntary. 

21 ‘‘(f) COMPLIANCE WITH OTHER LAWS.— 

22 ‘‘(1) REGULATIONS.—Notwithstanding any pro23 vision of this section, each eligible entity receiving a 

24 grant under this section shall ensure that the activi25 ties carried out under the grant comply with the regVerDate Mar 15 2010 02:35 Aug 14, 2014 Jkt 039200 PO 00000 Frm 00018 Fmt 6652 Sfmt 6201 E:\BILLS\S2763.IS S2763

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1 ulations promulgated pursuant to section 264(c) of 

2 the Health Insurance Portability and Accountability 

3 Act of 1996 (42 U.S.C. 1320d–2 note), the Health 

4 Information Technology for Economic and Clinical 

5 Health Act (title XIII of division A and title IV of 

6 division B of Public Law 111–5), and the amend7 ments made by such Act. 

8 ‘‘(2) GUIDANCE.—The Assistant Secretary shall 

9 ensure that the activities carried out under this sec10 tion are consistent with the guidance issued by the 

11 Secretary on June 6, 2014, for implementing stand12 ards for person-centered planning and self-direction 

13 in home and community-based services programs, 

14 under section 2402(a) of the Patient Protection and 

15 Affordable Care Act (42 U.S.C. 1396n note). 

16 ‘‘(g) PARTNERSHIP INFORMATION COLLECTION.— 

17 ‘‘(1) DURING THE FIRST YEAR OF THE DEM18 ONSTRATION PROGRAM.— 

19 ‘‘(A) IN GENERAL.—During the first year 

20 of the demonstration program, the community 

21 care wrap-around support partnership, through 

22 the designated care coordinator described in 

23 subsection (a)(1)(B)(i), shall maintain a record 

24 for each eligible older individual who is served 

25 through the demonstration program. Such 


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1 record shall include detailed information about 

2 the services and supports provided to the eligi3 ble older individual through the demonstration 

4 program and shall be incorporated into the elec5 tronic health record of the eligible older indi6 vidual. 

7 ‘‘(B) CONTENTS.—The Assistant Secretary 

8 shall determine the information to be collected 

9 in each record described in subparagraph (A), 

10 which may include information on the types of 

11 services and supports provided, referrals, mem12 bers of the community care wrap-around sup13 port partnership, and an impact statement on 

14 the health of the eligible older individual served. 

15 ‘‘(2) DURING THE SECOND YEAR OF THE DEM16 ONSTRATION PROGRAM.—During the second year of 

17 the demonstration program, in addition to maintain18 ing the record described in paragraph (1), the des19 ignated care coordinator described in subsection 

20 (a)(1)(B)(i) shall ensure that, through the record de21 scribed in paragraph (1), the community care wrap22 around support partnership is able to— 

23 ‘‘(A) determine gaps in the provision of 

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1 prehensive health and wellness care for the eli2 gible older individual; 

3 ‘‘(B) connect the eligible older individual to 

4 services under this Act that will address any 

5 such gaps; and 

6 ‘‘(C) subject to the consent of the eligible 

7 older individual, make appointments for the eli8 gible older individual to receive needed services 

9 and ensure that such participant’s primary care 

10 physician and caregiver receive notice of the 

11 needs. 

12 ‘‘(h) DETERMINATION OF THE DEMONSTRATION

13 PROGRAM EFFECT ON PATIENT OUTCOMES.— 

14 ‘‘(1) TRANSFER OF INFORMATION.—Each eligi15 ble entity shall collect, from each community care 

16 wrap-around partnership supported by the eligible 

17 entity, and report to the Assistant Secretary (in 

18 such form and manner, and at such frequency, as 

19 shall be specified by the Assistant Secretary) such 

20 data as the Assistant Secretary determines to be ap21 propriate to monitor and analyze the demonstration 

22 program. 

23 ‘‘(2) INDEPENDENT ANALYSIS OF THE DEM24 ONSTRATION PROGRAM.—The Assistant Secretary 

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1 duct an independent analysis, in consultation with 

2 the Administrator for the Centers for Medicare & 

3 Medicaid Services, and make a determination of 

4 whether the activities described in subsection (d) re5 sult in— 

6 ‘‘(A) a reduced number of hospital days 

7 (other than days an eligible older individual 

8 elects to remain in the hospital); 

9 ‘‘(B) reduced hospital readmissions for eli10 gible older individuals; 

11 ‘‘(C) reduced emergency room visits for eli12 gible older individuals; 

13 ‘‘(D) improved health outcomes commensu14 rate, in each individual case, with the eligible 

15 older individual’s stage of chronic illness; 

16 ‘‘(E) improved efficiency of care, such as a 

17 reduction of duplicative diagnostic and labora18 tory tests, for eligible older individuals; 

19 ‘‘(F) a reduced cost of health care services; 

20 ‘‘(G) improved or maintained nutrition sta21 tus, to manage chronic disease; 

22 ‘‘(H) any delay of entry of eligible older in23 dividuals into institutional care; and 

24 ‘‘(I) any other outcomes measures the As25 sistant Secretary determines to be appropriate. 


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1 ‘‘(3) IMPACT STUDY.— 

2 ‘‘(A) EVALUATION.—The Assistant Sec3 retary, in consultation with the Administrator 

4 for the Centers for Medicare & Medicaid Serv5 ices and using the information and data col6 lected under this subsection and subsection (g), 

7 shall conduct an evaluation of the demonstra8 tion program, including comparing the well9 being and costs of care of participants in a 

10 community care wrap-around support partner11 ship program, to the well-being and such costs 

12 for patients who have not participated in such 

13 a program, to determine the impact of the addi14 tional services and supports provided through 

15 such a program and shall prepare findings from 

16 the evaluation. 

17 ‘‘(B) DETERMINATION ON EXPANSION.— 

18 Based on the evaluation conducted under sub19 paragraph (A) and the independent analysis 

20 conducted under paragraph (2), the Assistant 

21 Secretary, in consultation with the Adminis22 trator for the Centers for Medicare & Medicaid 

23 Services, shall determine whether expansion of 

24 the demonstration program is appropriate. If 

25 so, the Assistant Secretary, in consultation with 


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1 such Administrator, shall prepare a plan speci2 fying— 

3 ‘‘(i) whether the expanded program 

4 should involve a greater number of grants 

5 to eligible entities, for community care 

6 wrap-around support partnership programs 

7 based on subsections (a) through (g); 

8 ‘‘(ii) whether the expanded program 

9 should involve grants to regional, state10 wide, or multi-State combinations of eligi11 ble entities to engage corresponding com12 munity care wrap-around support partner13 ships in corresponding areas, for such pro14 grams based on subsections (a) through 

15 (g); and 

16 ‘‘(iii) whether the expanded program 

17 should be carried out through the Adminis18 tration on Aging and the Center for Medi19 care and Medicaid Innovation. 

20 ‘‘(4) REPORT TO CONGRESS.—Not later than 1 

21 year after the end of the demonstration program, 

22 the Assistant Secretary shall submit to Congress a 

23 report containing the findings, the results of the 

24 independent analysis, the determination, and any 

25 plan, prepared under paragraphs (1) through (3). 


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1 ‘‘(5) EXPANDED PROGRAM.—Subject to the 

2 availability of appropriations, if the report contains 

3 a plan prepared under paragraph (3)(B), the Assist4 ant Secretary may implement the expanded pro5 gram, in accordance with the plan, not sooner than 

6 6 months after submission of the report. 

7 ‘‘(i) IMPLEMENTATION DATE.—Not later than Janu8 ary 1, 2015, the Assistant Secretary shall issue a request 

9 for proposals to carry out this section. 

10 ‘‘(j) AUTHORIZATION OF APPROPRIATIONS.—There 

11 are authorized to be appropriated to carry out this section 

12 such sums as may be necessary for each of fiscal years 

13 2015 through 2019.’’. 

14 SEC. 8. PREVENTION OF ELDER ABUSE, NEGLECT, AND EX15 PLOITATION. 

16 (a) INTERVENTION OR DEVICES.—Section 

17 712(a)(3)(H) of the Older Americans Act of 1965 (42 

18 U.S.C. 3058g(a)(3)(H)) is amended— 

19 (1) in clauses (ii) and (iii), by striking ‘‘and’’ 

20 at the end; 

21 (2) in clause (iii), by striking ‘‘provide technical 

22 support for’’ and inserting ‘‘actively encourage and 

23 assist in’’; and 

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


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1 ‘‘(iv) identify interventions or devices (in2 cluding adult bed rails) that affect the rights 

3 and safety of residents, including the use of 

4 chemical and physical restraints; and 

5 ‘‘(v) educate providers, residents, and fam6 ilies about the danger of those interventions 

7 and devices; and’’. 

8 (b) USE OF ALLOTMENTS.—Section 721(e)(2) of the 

9 Older Americans Act of 1965 (42 U.S.C. 3058i(e)(2)) is 

10 amended, in the matter preceding subparagraph (A), by 

11 striking ‘‘report’’ and all that follows through ‘‘subsection 

12 (b)(9)(B)(ii),’’ and inserting ‘‘report described in sub13 section (b) or a related referral’’. 

14 SEC. 9. PREVENTION OF FINANCIAL ABUSE, FRAUD, AND 

15 OTHER FINANCIAL EXPLOITATION. 

16 (a) AUTHORIZATION OF APPROPRIATIONS.—Section 

17 702 of the Older Americans Act of 1965 (42 U.S.C. 

18 3058a) is amended— 

19 (1) in subsection (c), by striking ‘‘chapter 4’’ 

20 and inserting ‘‘chapter 5’’; and 

21 (2) by inserting after subsection (b) the fol22 lowing: 

23 ‘‘(c) PREVENTION OF FINANCIAL ABUSE, FRAUD, 

24 AND OTHER FINANCIAL EXPLOITATION.—There are auVerDate Mar 15 2010 02:35 Aug 14, 2014 Jkt 039200 PO 00000 Frm 00026 Fmt 6652 Sfmt 6201 E:\BILLS\S2763.IS S2763

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1 thorized to be appropriated to carry out chapter 4, such 

2 sums as may be necessary for each fiscal year.’’. 

3 (b) PROGRAM.—Subtitle A of title VII of the Older 

4 Americans Act of 1965 (42 U.S.C. 3058 et seq.) is amend5 ed— 

6 (1) by redesignating chapter 4 and section 731 

7 as chapter 5 and section 736, respectively; and 

8 (2) by inserting after chapter 3 the following: 

9 ‘‘CHAPTER 4—PROGRAMS FOR PREVEN10 TION OF FINANCIAL ABUSE, FRAUD, 

11 AND OTHER FINANCIAL EXPLOI12 TATION 

13 ‘‘SEC. 731. PREVENTION OF FINANCIAL ABUSE, FRAUD, AND 

14 OTHER FINANCIAL EXPLOITATION. 

15 ‘‘(a) ESTABLISHMENT.—In order to be eligible to re16 ceive an allotment under section 703 from funds appro17 priated under section 702 and made available to carry out 

18 this chapter, a State agency shall, in accordance with this 

19 section, and in consultation with area agencies on aging, 

20 develop and enhance programs to address elder abuse, ne21 glect, and exploitation (including financial abuse, fraud, 

22 and other financial exploitation). 

23 ‘‘(b) USE OF ALLOTMENTS.—The State agency shall 

24 use an allotment described in subsection (a) to carry out, 

25 through the programs described in subsection (a), activiVerDate Mar 15 2010 02:35 Aug 14, 2014 Jkt 039200 PO 00000 Frm 00027 Fmt 6652 Sfmt 6201 E:\BILLS\S2763.IS S2763

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1 ties to develop, strengthen, and carry out programs for 

2 the prevention, detection, assessment, and treatment of, 

3 intervention in, investigation of, and response to elder 

4 abuse, neglect, and exploitation (including financial abuse, 

5 fraud, and other financial exploitation), including activi6 ties that— 

7 ‘‘(1) fund programs that focus on outreach and 

8 education to older individuals and their families and 

9 support networks, on elder abuse, neglect, and ex10 ploitation (including financial abuse, fraud, and 

11 other financial exploitation); 

12 ‘‘(2) promote and enhance programs, such as 

13 the Gatekeeper program, that train postal carriers, 

14 financial institutions, firefighters, meter readers, 

15 and other community professionals who are in a po16 sition to observe an older individual on a daily or 

17 regular basis— 

18 ‘‘(A) to identify signs of elder abuse, ne19 glect, and exploitation (including financial 

20 abuse, fraud, and other financial exploitation); 

21 and 

22 ‘‘(B) to report such signs to the State 

23 agency responsible for adult protective services 

24 or an area agency on aging; 


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1 ‘‘(3) create a position for a statewide coordi2 nator on elder abuse, neglect, and exploitation (in3 cluding financial abuse, fraud, and other financial 

4 exploitation), within each State agency responsible 

5 for adult protective services or law enforcement, to 

6 act as a liaison with various financial institutions in7 cluding the State agency responsible for consumer 

8 protection; 

9 ‘‘(4) provide funding to States and area agen10 cies on aging for trainers who are able to conduct 

11 outreach and education for older individuals in their 

12 natural living environment on— 

13 ‘‘(A) identifying signs of elder abuse, ne14 glect, and exploitation (including financial 

15 abuse, fraud, and other financial exploitation); 

16 ‘‘(B) how to respond to practices described 

17 in subparagraph (A); and 

18 ‘‘(C) how to get help from local resources; 

19 ‘‘(5) fund programs that capture data, and per20 form data analysis, on the prevalence of elder abuse, 

21 neglect, and exploitation (including financial abuse, 

22 fraud, and other financial exploitation) at the State 

23 and national level; 

24 ‘‘(6) provide intake workers or hotlines that are 

25 able to take calls directly from older individuals, 


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1 their family members, and community professionals 

2 in their planning and service areas, about elder 

3 abuse, neglect, and exploitation (including financial 

4 abuse, fraud, and other financial exploitation); 

5 ‘‘(7) provide funding to States and area agen6 cies on aging for the services of forensic accountants 

7 to track and identify elder abuse, neglect, and ex8 ploitation (including financial abuse, fraud, and 

9 other financial exploitation); 

10 ‘‘(8) fund programs and arrangement that will 

11 safeguard victims’ or potential victims’ finances, 

12 such as daily money management programs and 

13 conservatorships; and 

14 ‘‘(9) fund pilot programs to test innovative 

15 practices in local communities, to develop partner16 ships across disciplines for the prevention, investiga17 tion, and prosecution of elder abuse, neglect, and ex18 ploitation (including financial abuse, fraud, and 

19 other financial exploitation).’’. 

20 (c) CONFORMING AMENDMENT.—Section 202(a)(23) 

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

22 3012(a)(23)) is amended by striking ‘‘sections 307(a)(18) 

23 and 731(b)(2)’’ and inserting ‘‘section 307(a)(13) and sec24 tion 736’’. 

Æ 


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