ergy and Commerce of the House of Representatives, and 
the Committee on Finance of the Senate a report— 
‘‘(1) compiling, summarizing, and analyzing the 
information contained in the State reports submitted 
under subsections (b)(4) and (c)(4) of section 2042; 
and 
‘‘(2) containing such recommendations for legis-
lative or administrative action as the Secretary de-
termines to be appropriate.’’. 
(2) OPTION FOR STATE PLAN UNDER PROGRAM 
FOR
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMI-
LIES.— 
(A) IN GENERAL.—Section 402(a)(1)(B) of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
602(a)(1)(B)) is amended by adding at the end 
the following new clause: 
‘‘(v) The document shall indicate 
whether the State intends to assist individ-
uals to train for, seek, and maintain em-
ployment— 
‘‘(I) providing direct care in a 
long-term care facility (as such terms 
are defined under section 2011); or 
‘‘(II) in other occupations related 
to elder care determined appropriate 
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hsrobinson on PROD1PC76 with BILLS
by the State for which the State iden-
tifies an unmet need for service per-
sonnel, 
and, if so, shall include an overview of such 
assistance.’’. 
(B) EFFECTIVE
DATE.—The amendment 
made by subparagraph (A) shall take effect on 
October 1, 2008. 
(b) PROTECTING RESIDENTS OF LONG-TERM CARE 
FACILITIES.— 
(1) NATIONAL TRAINING INSTITUTE FOR SUR-
VEYORS.— 
(A) 
IN
GENERAL.—The 
Secretary 
of 
Health and Human Services shall enter into a 
contract with an entity for the purpose of estab-
lishing and operating a National Training Insti-
tute for Federal and State surveyors. Such In-
stitute shall provide and improve the training of 
surveyors with respect to investigating allega-
tions of abuse, neglect, and misappropriation of 
property in programs and long-term care facili-
ties that receive payments under title XVIII or 
XIX of the Social Security Act. 
(B) ACTIVITIES CARRIED OUT BY THE IN-
STITUTE.—The contract entered into under 
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hsrobinson on PROD1PC76 with BILLS
subparagraph (A) shall require the Institute es-
tablished and operated under such contract to 
carry out the following activities: 
(i) Assess the extent to which State 
agencies use specialized surveyors for the 
investigation of reported allegations of 
abuse, neglect, and misappropriation of 
property in such programs and long-term 
care facilities. 
(ii) Evaluate how the competencies of 
surveyors may be improved to more effec-
tively investigate reported allegations of 
such abuse, neglect, and misappropriation 
of property, and provide feedback to Fed-
eral and State agencies on the evaluations 
conducted. 
(iii) Provide a national program of 
training, tools, and technical assistance to 
Federal and State surveyors on inves-
tigating reports of such abuse, neglect, and 
misappropriation of property. 
(iv) Develop and disseminate informa-
tion on best practices for the investigation 
of such abuse, neglect, and misappropria-
tion of property. 
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(v) Assess the performance of State 
complaint intake systems, in order to en-
sure that the intake of complaints occurs 
24 hours per day, 7 days a week (including 
holidays). 
(vi) To the extent approved by the 
Secretary of Health and Human Services, 
provide a national 24 hours per day, 7 
days a week (including holidays), back-up 
system to State complaint intake systems 
in order to ensure optimum national re-
sponsiveness to complaints of such abuse, 
neglect, and misappropriation of property. 
(vii) Analyze and report annually on 
the following: 
(I) The total number and sources 
of complaints of such abuse, neglect, 
and misappropriation of property. 
(II) The extent to which such 
complaints are referred to law en-
forcement agencies. 
(III) General results of Federal 
and State investigations of such com-
plaints. 
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hsrobinson on PROD1PC76 with BILLS
(viii) Conduct a national study of the 
cost to State agencies of conducting com-
plaint investigations of skilled nursing fa-
cilities and nursing facilities under sections 
1819 and 1919, respectively, of the Social 
Security Act (42 U.S.C. 1395i–3; 1396r), 
and making recommendations to the Sec-
retary of Health and Human Services with 
respect to options to increase the efficiency 
and cost-effectiveness of such investiga-
tions. 
(C) AUTHORIZATION.—There are author-
ized to be appropriated to carry out this para-
graph, for the period of fiscal years 2008 
through 2011, $12,000,000. 
(2) GRANTS TO STATE SURVEY AGENCIES.— 
(A) 
IN
GENERAL.—The 
Secretary 
of 
Health and Human Services shall make grants 
to State agencies that perform surveys of 
skilled nursing facilities or nursing facilities 
under sections 1819 or 1919, respectively, of 
the Social Security Act (42 U.S.C. 1395i–3; 
1395r). 
(B) USE
OF
FUNDS.—A grant awarded 
under subparagraph (A) shall be used for the 
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purpose of designing and implementing com-
plaint investigations systems that— 
(i) promptly prioritize complaints in 
order to ensure a rapid response to the 
most serious and urgent complaints; 
(ii) respond to complaints with opti-
mum effectiveness and timeliness; and 
(iii) optimize the collaboration be-
tween local authorities, consumers, and 
providers, including— 
(I) such State agency; 
(II) the State Long-Term Care 
Ombudsman; 
(III) local law enforcement agen-
cies; 
(IV) advocacy and consumer or-
ganizations; 
(V) State aging units; 
(VI) Area Agencies on Aging; 
and 
(VII) other appropriate entities. 
(C) AUTHORIZATION.—There are author-
ized to be appropriated to carry out this para-
graph, for each of fiscal years 2008 through 
2011, $5,000,000. 
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(3) REPORTING
OF
CRIMES
AND
ENSURING 
SAFETY OF RESIDENTS WHEN FEDERALLY FUNDED 
LONG-TERM
CARE
FACILITIES
CLOSE.—Part A of 
title XI of the Social Security Act (42 U.S.C. 1301 
et seq.) is amended by adding at the end the fol-
lowing new sections: 
‘‘REPORTING TO LAW ENFORCEMENT OF CRIMES OCCUR-
RING IN FEDERALLY FUNDED LONG-TERM CARE FA-
CILITIES 
‘‘SEC. 1150A. (a) DETERMINATION AND NOTIFICA-
TION.— 
‘‘(1) DETERMINATION.—The owner or operator 
of each long-term care facility that receives Federal 
funds under this Act shall annually determine 
whether the facility received at least $10,000 in such 
Federal funds during the preceding year. 
‘‘(2) NOTIFICATION.—If the owner or operator 
determines under paragraph (1) that the facility re-
ceived at least $10,000 in such Federal funds during 
the preceding year, such owner or operator shall an-
nually notify each covered individual (as defined in 
paragraph (3)) of that individual’s obligation to 
comply with the reporting requirements described in 
subsection (b). 
‘‘(3) COVERED INDIVIDUAL DEFINED.—In this 
section, the term ‘covered individual’ means each in-
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dividual who is an owner, operator, employee, man-
ager, agent, or contractor of a long-term care facility 
that is the subject of a determination described in 
paragraph (1). 
‘‘(b) REPORTING REQUIREMENTS.— 
‘‘(1) IN
GENERAL.—Each covered individual 
shall report to the Secretary and 1 or more law en-
forcement entities for the political subdivision in 
which the facility is located any reasonable suspicion 
of a crime (as defined by the law of the applicable 
political subdivision) against any individual who is a 
resident of, or is receiving care from, the facility. 
‘‘(2) TIMING.—If the events that cause the sus-
picion— 
‘‘(A) result in serious bodily injury, the in-
dividual shall report the suspicion immediately, 
but not later than 2 hours after forming the 
suspicion; and 
‘‘(B) do not result in serious bodily injury, 
the individual shall report the suspicion not 
later than 24 hours after forming the suspicion. 
‘‘(c) PENALTIES.— 
‘‘(1) IN GENERAL.—If a covered individual vio-
lates subsection (b)— 
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