‘‘(G) Education and training (including 
workshops and other resources available with 
information about stress management, self-care 
to maintain good physical and mental health, 
understanding and communicating with individ-
uals with dementia, medication management, 
normal aging processes, change in disease and 
disability, the role of assistive technologies, and 
other relevant topics). 
‘‘(H) Legal and financial planning and 
consultation (including advice and counseling 
regarding long-term care planning, estate plan-
ning, powers of attorney, community property 
laws, tax advice, employment leave advice, ad-
vance directives, and end-of-life care). 
‘‘(I) Transportation (including transpor-
tation to medical appointments). 
‘‘(J) Other targeted support services the 
Secretary or the State determines appropriate. 
‘‘(4) REFERRALS.—In the case where a ques-
tionnaire completed by a family caregiver under 
paragraph (2) indicates that the family caregiver 
would benefit from 1 or more of the targeted sup-
port services described in paragraph (3), the State 
shall provide referrals to the family caregiver for 
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local, State, and private-sector family caregiver pro-
grams and other resources that provide such tar-
geted support services.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall apply to medical assistance for home 
and community-based services that is provided on or after 
the date of enactment of this Act. 
TITLE V—STUDIES AND 
REPORTS 
SEC. 501. STUDIES AND REPORTS. 
(a) IOM STUDY AND REPORT ON MENTAL HEALTH 
WORKFORCE NEEDS.— 
(1) STUDY.—Not later than 90 days after the 
date of enactment of this Act, the Secretary of 
Health and Human Services shall enter into a con-
tract with the Institute of Medicine of the National 
Academies (in this section referred to as the ‘‘Insti-
tute’’) under which the Institute shall conduct a 
study on the specific policy, workforce, economic, 
and implementation issues relevant to the mental 
health workforce that need to be addressed to meet 
the current needs of older individuals and the future 
needs of the aging boomer generation. 
(2) REPORT.—Not later than 24 months after 
the effective date of the contract under paragraph 
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(1), the Institute, as part of such contract, shall 
submit a report to the Secretary of Health and 
Human Services and the appropriate committees of 
jurisdiction of Congress containing the results of the 
study conducted under paragraph (1), together with 
recommendations for such legislation and adminis-
trative action as the Institute determines appro-
priate. 
(3) AUTHORIZATION.—There is authorized to 
be appropriated to carry out this subsection, 
$1,200,000 for the period of fiscal years 2011 
through 2012. 
(b) GAO STUDY AND REPORT ON THE NEEDS OF 
THE AGING NETWORK.— 
(1) STUDY.—The Comptroller General of the 
United States (in this section referred to as the 
‘‘Comptroller General’’) shall conduct a study on the 
aging network, focusing on State agencies and area 
agencies on aging (as defined in section 102 of the 
Older Americans Act of 1965 (42 U.S.C. 3002)) to 
determine the current capacity of such network and 
to identify challenges in providing services to older 
adults, including older adults who are low-income 
and older adults with functional disabilities, during 
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the 10-year period beginning on the date of enact-
ment of this Act. 
(2) REPORT.—Not later than 18 months after 
the date of enactment of this Act, the Comptroller 
General shall submit to Congress a report containing 
the results of the study conducted under paragraph 
(1), together with recommendations— 
(A) on the workforce supply and capital re-
sources needed by the aging network in order to 
meet the demand for services by older adults 
during such 10-year period; and 
(B) for such legislation and administrative 
action as the Comptroller General determines 
appropriate. 
(c) GAO STUDY AND REPORT ON THE DIRECT CASE 
WORKFORCE IN LONG-TERM CARE SETTINGS.— 
(1) STUDY.—The Comptroller General shall 
conduct a study on the use of practices to reduce 
turnover and improve retention and tenure of nurse 
aides and home health aides in nursing homes, as-
sisted living facilities, and home health agencies (as 
defined in section 1861(o) of the Social Security Act 
(42 U.S.C. 1395x(o)). Such study shall include an 
analysis of the reasons for the success of such prac-
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tices and how such practices could be replicated in 
other facilities. 
(2) REPORT.—Not later than 18 months after 
the date of enactment of this Act, the Comptroller 
General shall submit to Congress a report containing 
the results of the study conducted under paragraph 
(1), together with recommendations for such legisla-
tion and administrative action as the Comptroller 
General determines appropriate. 
(3) DEFINITIONS.—In this subsection: 
(A) HOME
HEALTH
AIDE.—The term 
‘‘home health aide’’ has the meaning given such 
term in section 1891(a)(3)(E) of the Social Se-
curity Act (42 U.S.C. 1395bbb(a)(3)(E)). 
(B) NURSE AIDE.—The term ‘‘nurse aide’’ 
has the meaning given such term in section 
1819(b)(5)(F) of the Social Security Act (42 
U.S.C. 1395i–3(b)(5)(F)). 
(d) GAO STUDY AND REPORT ON NIH SPENDING 
AND GRANTS.— 
(1) STUDY.—The Comptroller General shall 
conduct a study on spending by the National Insti-
tutes of Health, including the number of grants 
made by the National Institutes of Health, on condi-
tions and illnesses that disproportionately impact the 
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physical and mental health of older individuals. Such 
study shall include an analysis of the number of 
older individuals who are included in clinical trials, 
including clinical trials assessing the prevalence and 
impact of medication-related problems for older 
adults, that are supported by the National Institutes 
of Health. 
(2) REPORT.—Not later than 18 months after 
the date of enactment of this Act, the Comptroller 
General shall submit to Congress a report containing 
the results of the study conducted under paragraph 
(1), together with recommendations for such legisla-
tion and administrative action as the Comptroller 
General determines appropriate. 
Æ 
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