HR 5293 RFS 
grams for which they are eligible, and may in co-
operation with Federal partners, make grants or 
contracts to establish a National Center on Senior 
Benefits Outreach and Enrollment, which shall— 
‘‘(i) maintain and update web-based deci-
sion supports and enrollment tools and inte-
grated, person-centered systems designed to in-
form older individuals about the full range of 
benefits for which they may be eligible; 
‘‘(ii) utilize cost-effective strategies to find 
and enroll those with greatest economic need; 
‘‘(iii) create and support efforts for Aging 
and Disability Resource Centers, and other 
public and private State and community-based 
organizations and coalitions, including faith- 
based organizations, to serve as enrollment ben-
efit centers; 
‘‘(iv) develop and maintain an information 
clearinghouse on best practices and cost-effec-
tive methods for identifying and enrolling lim-
ited income older Americans in benefits for 
which they are eligible; and 
‘‘(v) provide, in collaboration with Federal 
partners administering programs, training and 
VerDate Aug 31 2005 
04:25 Jun 23, 2006
Jkt 049200
PO 00000
Frm 00014
Fmt 6652
Sfmt 6201
E:\BILLS\H5293.RFS
H5293
HMOORE on PROD1PC68 with HMBILLS
HR 5293 RFS 
technical assistance on effective outreach, 
screening, enrollment and follow-up strategies.’’, 
(D) in paragraph (26)— 
(i) in subsection (D)— 
(I) by striking ‘‘gaps in’’, and 
(II) by inserting ‘‘(including serv-
ices that would permit such individ-
uals to receive long-term care in home 
and community-based settings)’’ after 
‘‘individuals’’, and 
(ii) in subsection (E) by striking 
‘‘and’’ at the end, 
(E) in paragraph (27)— 
(i) in subparagraph (B) by adding 
‘‘and’’ at the end, 
(ii) in subparagraph (C) by striking 
the semicolon and inserting a period, and 
(iii) by striking subparagraph (D), 
and 
(F) by adding at the end the following: 
‘‘(28) make available to States, area agencies 
on aging, and service providers information and 
technical assistance to support the provision of evi-
dence-based disease prevention and health promotion 
services.’’, and 
VerDate Aug 31 2005 
04:25 Jun 23, 2006
Jkt 049200
PO 00000
Frm 00015
Fmt 6652
Sfmt 6201
E:\BILLS\H5293.RFS
H5293
HMOORE on PROD1PC68 with HMBILLS
HR 5293 RFS 
(2) by striking subsections (b) and (c), and in-
serting the following: 
‘‘(b) To promote the development and implementa-
tion of comprehensive, coordinated systems at Federal, 
State, and local levels for providing long-term care in 
home and community-based settings, in a manner respon-
sive to the needs and preferences of older individuals and 
their family caregivers, the Assistant Secretary shall, con-
sistent with the applicable provisions of this title— 
‘‘(1) collaborate, coordinate, and consult with 
other Federal agencies and departments responsible 
for formulating and implementing programs, bene-
fits, and services related to providing long-term care, 
and may make grants, contracts, and cooperative 
agreements with funds received from other Federal 
entities; 
‘‘(2) 
conduct 
research 
and 
demonstration 
projects to identify innovative, cost-effective strate-
gies for modifying State systems of long-term care 
to— 
‘‘(A) respond to the needs and preferences 
of older individuals and family caregivers; and 
‘‘(B) target services to individuals at risk 
for institutional placement, to permit such indi-
VerDate Aug 31 2005 
04:25 Jun 23, 2006
Jkt 049200
PO 00000
Frm 00016
Fmt 6652
Sfmt 6201
E:\BILLS\H5293.RFS
H5293
HMOORE on PROD1PC68 with HMBILLS
HR 5293 RFS 
viduals to remain in home and community- 
based care settings; 
‘‘(3) establish criteria and promote the imple-
mentation (through area agencies on aging, service 
providers, and such other entities as the Assistant 
Secretary determines to be appropriate) of evidence- 
based programs to assist older individuals and their 
family caregivers in learning about and making be-
havioral changes intended to reduce the risk of in-
jury, disease, and disability among older individuals; 
‘‘(4) facilitate, in coordination with the Centers 
for Medicare & Medicaid Services, the Cash and 
Counseling National Program Office, and other Fed-
eral entities as appropriate, the provision of long- 
term care in home and community-based settings, 
including the provision of self-directed care models 
that— 
‘‘(A) provide for the assessment of the 
needs and preferences of an individual at risk 
for institutional placement to help such indi-
vidual avoid unnecessary nursing home place-
ment and depletion of income and assets to 
qualify for Medicaid eligibility; 
‘‘(B) respond to the needs and preferences 
of such individual and provide the option for 
VerDate Aug 31 2005 
04:25 Jun 23, 2006
Jkt 049200
PO 00000
Frm 00017
Fmt 6652
Sfmt 6201
E:\BILLS\H5293.RFS
H5293
HMOORE on PROD1PC68 with HMBILLS