I 
116TH CONGRESS 
1ST SESSION H. R. 4077 
To amend the Older Americans Act of 1965 to provide social service agencies 
with the resources to provide services to meet the urgent needs of 
Holocaust survivors to age in place with dignity, comfort, security, and 
quality of life. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 25, 2019 
Ms. WASSERMAN SCHULTZ (for herself, Ms. SHALALA, Ms. STEFANIK, Mr. 
HASTINGS, Mr. WEBER of Texas, Mr. SUOZZI, Mr. KING of New York, 
Mr. TAKANO, Mr. STIVERS, Ms. WILSON of Florida, Mr. FITZPATRICK, 
Mr. TED LIEU of California, Mr. JOYCE of Ohio, Mr. COHEN, Mrs. ROD-
GERS of Washington, Ms. JAYAPAL, Mr. BACON, Ms. SCHAKOWSKY, Mrs. 
CAROLYN B. MALONEY of New York, Mr. ESPAILLAT, Mr. DEUTCH, Mr. 
GOTTHEIMER, Mr. RASKIN, Ms. WILD, Ms. STEVENS, and Mr. ZELDIN) 
introduced the following bill; which was referred to the Committee on 
Education and Labor 
A BILL 
To amend the Older Americans Act of 1965 to provide 
social service agencies with the resources to provide serv-
ices to meet the urgent needs of Holocaust survivors 
to age in place with dignity, comfort, security, and qual-
ity of life. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Trauma-Informed Modernization of Eldercare for Holo-
caust Survivors Act’’ or the ‘‘TIME for Holocaust Sur-
vivors Act’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title. 
Sec. 2. Findings. 
Sec. 3. Purposes. 
TITLE I—RESPONDING TO THE NEEDS OF HOLOCAUST 
SURVIVORS 
Subtitle A—Definitions, Grants for State and Community Programs, and 
Other Programs 
Sec. 101. Definitions. 
Sec. 102. Organization. 
Sec. 103. Area plans. 
Sec. 104. State plans. 
Sec. 105. Consumer contributions. 
Sec. 106. National Family Caregiver Support Program authorized. 
Sec. 107. Prevention of elder abuse, neglect, and exploitation. 
Subtitle B—Functions Within Administration for Community Living To 
Assist Holocaust Survivors 
Sec. 111. Designation of individual within the Administration. 
Sec. 112. Annual report to Congress. 
Sec. 113. National Resource Center for Older Individuals Experiencing the 
Long-Term and Adverse Consequences of Trauma. 
Sec. 114. Definitions. 
TITLE II—NUTRITION SERVICES FOR OLDER INDIVIDUALS 
Sec. 201. Nutrition services. 
TITLE III—TRANSPORTATION 
Sec. 301. Transportation services and resources. 
SEC. 2. FINDINGS. 
Congress finds the following: 
(1) During the Holocaust, which took place 
from 1933 through 1945, an estimated 6,000,000 
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Jews, as well as millions of victims from other tar-
geted groups, were murdered by the Nazis and their 
collaborators. 
(2) More than 200,000 Jews fleeing from Nazi- 
occupied territory found refuge in the United States 
from 1933 through 1945, and approximately 
137,000 additional Jewish refugees settled in the 
United States from 1945 through 1952. 
(3) Hundreds of thousands of additional Jewish 
refugees continued to immigrate to the United 
States from Europe and countries of the former So-
viet Union during the subsequent decades. 
(4) The number of Holocaust survivors living in 
the United States at the end of 2018 was approxi-
mately 80,000 individuals, down from an estimated 
127,000 in 2010. 
(5) Every Holocaust survivor is now at least 74 
years old, most are in at least their mid-to-late 
eighties, and many are in their nineties and beyond. 
(6) One-third of all Holocaust survivors in the 
United States live at or below the official poverty 
threshold (as defined by the Bureau of the Census), 
including more than half of the Holocaust survivors 
who emigrated from the countries of the former So-
viet Union. 
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(7) Holocaust survivors continue to live with 
the unique mental and physical scars of the uncon-
scionable trauma caused by the Holocaust, and while 
institutionalized settings are beneficial for some, cer-
tain aspects of institutionalization may have particu-
larly adverse effects on Holocaust survivors. 
(8) For many Holocaust survivors, institutional-
ized settings produce sights, sounds, smells, emo-
tions, and routines that can induce panic, anxiety, 
and re-traumatization as a result of experiences 
from the Holocaust. 
(9) Holocaust survivors are more economically 
and socially vulnerable, report poorer health and 
more health problems, and have greater social serv-
ice needs, than other older individuals. 
(10) In comparison to most other older individ-
uals, low-income Holocaust survivors are more reli-
ant on social service programs that provide services 
such as personal care, provision of home-delivered 
and congregate meals, transportation, counseling, 
and mental health support to promote health and 
quality of life. 
(11) Community organizations serving Holo-
caust survivors report that approximately one-quar-
ter of Holocaust survivors live alone, and living alone 
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is a risk factor for hospitalization and nursing home 
admission, poverty, falls, depression, poor nutrition, 
social isolation, and loneliness, which have been as-
sociated with poor health outcomes and an increased 
risk of death. 
(12) Community organizations serving Holo-
caust survivors report that transportation is vital to 
help Holocaust survivors attend medical appoint-
ments, shop and purchase necessary items, visit 
family and friends, and participate in cultural, rec-
reational, or social events, such as congregate meals 
or religious services. 
(13) As the general population of older individ-
uals increases in the United States and many public 
or philanthropic resources remain constant, pro-
viders serving Holocaust survivors need additional 
capacity to cover needed services. 
(14) The Administration for Community Living 
in the Department of Health and Human Services 
serves as the Federal agency responsible for increas-
ing access to community supports for, focusing at-
tention and resources on the unique needs of, older 
individuals and individuals with disabilities across 
their lifespans. 
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(15) The mission of the Administration for 
Community Living is to maximize the independence, 
well-being, and health of older individuals, individ-
uals with disabilities, and their families and care-
givers. 
(16) The Administration for Community Living 
in 2017 issued guidance entitled ‘‘ACL Guidance for 
Outreach and Providing Services for Holocaust Sur-
vivors’’ in accordance with a requirement of the 
Older Americans Act Reauthorization Act of 2016 
which states that the Assistant Secretary for Aging 
shall ‘‘issue guidance to States, that shall be applica-
ble to States, area agencies on aging, and providers 
of services for older individuals, with respect to serv-
ing Holocaust survivors, including guidance on 
promising practices for conducting outreach to that 
population.’’. 
(17) Many social service agencies that receive 
funding under the Older Americans Act of 1965 for 
home-delivered or congregate meals serve diverse 
seniors, including Holocaust survivors, with special-
ized dietary needs based on religious, cultural, or 
ethnic requirements, and the necessary special meals 
often cost more than other meals. 
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SEC. 3. PURPOSES. 
The purposes of this Act are— 
(1) to include ‘‘older individuals who are Holo-
caust survivors’’ in the list of groups that receive 
preference, as specified in section 305(a)(2)(E) of 
the Older Americans Act of 1965, for services pro-
vided under that Act; 
(2) to require the designation within the Ad-
ministration for Community Living of an individual 
to have responsibility for the provision of services to 
older individuals who are Holocaust survivors; 
(3) to promote technical assistance and training 
for agencies that serve older individuals experiencing 
the long-term and adverse consequences of trauma; 
(4) to ensure that the providers of nutrition 
services through the Older Americans Act of 1965 
can meet the special health-related or other dietary 
needs of program participants; and 
(5) to help meet the urgent transportation 
needs of Holocaust survivors. 
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