‘‘SEC. 399AA–1. RESEARCH. 
‘‘(a) IN GENERAL.—Subject to the availability of ap-
propriations, the Secretary shall—
‘‘(1) conduct and support research to—
‘‘(A) improve the identification of elders 
with a high risk of falls; 
‘‘(B) improve data collection and analysis 
to identify fall risk and protective factors; 
‘‘(C) improve strategies that are proven to 
be effective in reducing subsequent falls by el-
derly fall victims; 
‘‘(D) expand proven interventions to pre-
vent elder falls; 
‘‘(E) improve the diagnosis, treatment, and 
rehabilitation of elderly fall victims; and 
‘‘(F) assess the risk of falls occurring in 
various settings. 
‘‘(2) conduct and support research concerning 
barriers to the adoption of proven interventions with 
respect to the prevention of elder falls (such as 
medication review and vision enhancement); and 
‘‘(3) evaluate the effectiveness of community 
programs to prevent assisted living and nursing 
home falls by elders. 
‘‘(b) ADMINISTRATION.—In carrying out subsection 
(a), the Secretary shall—
‘‘(1) conduct research and surveillance activities 
related to the community-based and populations-
based aspects of elder falls prevention through the 
Director of the Centers for Disease Control and Pre-
vention; 
‘‘(2) conduct research related to elder fall pre-
vention in health care delivery settings and clinical 
treatment and rehabilitation of elderly fall victims 
through the Director of the Agency for Healthcare 
Research and Quality; and 
‘‘(3) ensure the coordination of the activities 
described in paragraphs (1) and (2). 
‘‘(c) GRANTS.—The Secretary shall award grants and 
contracts to qualified organizations and institutions to en-
able such organizations and institutions to provide profes-
sional education for physicians and allied health profes-
sionals in elder fall prevention. In awarding these grants 
and contracts, the Secretary shall give appropriate priority 
to projects that show proven capacity to be self supporting 
within two years after the onset of the project. 
‘‘SEC. 399AA–2. DEMONSTRATION PROJECTS. 
‘‘(a) IN GENERAL.—Subject to the availability of ap-
propriations, the Secretary, acting through the Director 
of the Centers for Disease Control and Prevention and in 
consultation with the Director of the Agency for
Healthcare Research and Quality, shall carry out the fol-
lowing: 
‘‘(1) Oversee and support demonstration and 
research projects to be carried out by the National 
Safety Council in the following areas: 
‘‘(A) A multi-State demonstration project 
assessing the utility of targeted elder-falls risk 
screening and referral programs. 
‘‘(B) Programs targeting newly-discharged 
fall victims who are at a high risk for second 
falls, which shall include, but not be limited to 
modification projects for elders with multiple 
sensory impairments, video and web-enhanced 
fall prevention programs for caregivers in multi-
family housing settings, and development of 
technology to prevent and detect falls. 
‘‘(C) Private sector and public-private 
partnerships, involving home remodeling, home 
design and remodeling (in accordance with ac-
cepted building codes and standards) and nurs-
ing home and hospital patient supervision. 
‘‘(D) Private sector and public-private 
partnerships to develop technology to prevent 
falls and prevent or reduce injuries if falls 
occur.
‘‘(E) Hospital-based geriatric fall preven-
tion and treatment centers. 
‘‘(F) 
Medicaid 
sponsored 
community 
projects for comprehensive geriatric fall preven-
tion of the type recently adopted by the States 
of Pennsylvania, New York, and Florida where-
by 
Medicaid 
elders 
are 
comprehensively 
screened, counseled, referred, case managed, 
and otherwise so treated as to reduce hospital 
admissions for fall related injuries by 60 per-
cent or more. 
‘‘(G) Provide grants to not less than four 
States and to four hospitals to expand the pro-
grams identified in subparagraphs (E) and (F). 
In selecting State grantees under this subpara-
graph, the Secretary shall give appropriate pri-
ority to States that have adopted legislation 
that either—
‘‘(i) adopts Medicaid-sponsored com-
prehensive fall prevention projects; or 
‘‘(ii) requires allied health professional 
licensing boards to provide at least 1 hour 
of continuing education per year on geri-
atric fall prevention.
In all demonstration projects under this paragraph, 
the Secretary shall give appropriate priority to 
projects that show proven capacity to be self sup-
porting within 2 years of the onset of the project. 
‘‘(2)(A) Provide grants and contracts to quali-
fied organizations and institutions to design and 
carry out elder falls prevention programs in residen-
tial and institutional settings. 
‘‘(B) Provide one or more grants to one or 
more qualified applicants in order to carry out a 
multi-State demonstration project to implement 
elder falls prevention programs targeted toward 
multi-family residential settings with high concentra-
tions of elders, including identifying high risk popu-
lations, evaluating residential facilities, conducting 
screening to identify high risk individuals, providing 
pre-fall counseling, coordinating services with health 
care and social service providers and coordinating 
post-fall counseling, treatment, and rehabilitation. 
‘‘(C) Provide one or more grants to qualified 
applicants to conduct evaluations of the effectiveness 
of the demonstration projects in this section. 
‘‘(b) DEFINITION.—For purposes of this section, the 
term ‘Medicaid’ means the program under title XIX of the 
Social Security Act.
‘‘SEC. 399AA–3. AUTHORIZATION OF APPROPRIATIONS. 
‘‘(a) IN GENERAL.—In order to carry out the provi-
sions of this part, there are authorized to be appro-
priated—
‘‘(1) to carry out the national public education 
provisions 
described 
in 
section 
399AA(1), 
$5,000,000 for each of fiscal years 2004 through 
2006; 
‘‘(2) to carry out the State public education 
campaign 
provisions 
of 
section 
399AA(2), 
$4,000,000 for each of fiscal years 2004 through 
2006; 
‘‘(3) to carry out the professional and edu-
cational campaign provision of section 399AA(3), 
$5,000,000 for each of fiscal years 2004 through 
2006; 
‘‘(4) to carry out research projects described in 
section 399AA–1, $5,000,000 for each of fiscal years 
2004 through 2006; 
‘‘(5) to carry out the demonstration projects de-
scribed in section 399AA–2(1), $11,000,000 for 
each of fiscal years 2004 through 2006; and 
‘‘(6) to carry out the demonstration and re-
search projects described in section 399AA–2(2), 
$8,000,000 for each of fiscal years 2004 through 
2006.