‘‘(B) furnished at home, in a community 
care setting (including a small community care 
setting as defined in subsection (g)(1), and a 
large community care setting as defined in sub-
section (h)(1), of section 1929 of the Social Se-
curity Act (42 U.S.C. 1396t)), or in a long- 
term care facility; and 
‘‘(C) not furnished to prevent, diagnose, 
treat, or cure a medical disease or condition.’’, 
(9) by inserting after paragraph (32), as so re-
designated, the following: 
‘‘(33) The term ‘multivitamin-mineral supple-
ment’ means a dietary supplement that provides at 
least two-third’s of the essential vitamins and min-
erals at 100 percent of the daily value levels as de-
termined by the Food and Drug Administration.’’, 
(10) by inserting after paragraph (40), as so 
redesignated, the following: 
‘‘(41) The term ‘self-directed care’ means an 
approach to providing services (including programs, 
benefits, supports, and technology) under this Act 
intended to an older individual to assist such indi-
vidual with activities of daily living, in which 
‘‘(A) such services (including the amount, 
duration, scope, provider, and location of such 
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services) are planned, budgeted, and purchased 
under the direction and control of such indi-
vidual; 
‘‘(B) such individual is provided with such 
information and assistance as necessary and ap-
propriate to enable such individual to make in-
formed decisions about his or her care options; 
‘‘(C) the needs, capabilities, and pref-
erences of such individual with respect to such 
services, and such individual’s ability to direct 
and control his or her receipt of such services, 
are assessed by the area agency on aging or the 
local provider agency; 
‘‘(D) based on the assessment made under 
subparagraph (C), the area agency on aging de-
velops together with such individual and his or 
her family, caregiver, or legal representative— 
‘‘(i) a plan of services for such indi-
vidual that specifies which services such in-
dividual will be responsible for directing; 
‘‘(ii) a determination of the role of 
family members (and others whose partici-
pation is sought by such individual) in pro-
viding services under such plan; and 
‘‘(iii) a budget for such services; and 
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‘‘(E) the area agency on aging or State 
agency provides for oversight of such individ-
ual’s self-directed receipt of services, including 
steps to ensure the quality of services provided 
and the appropriate use of funds under this 
Act.’’, and 
(11) by inserting after paragraph (47), as so 
redesignated, the following: 
‘‘(48) The term ‘State system of long-term 
care’ means the Federal, State, and local programs 
and activities administered by a State that provide, 
support, or facilitate access to long-term care to in-
dividuals in such State.’’. 
SEC. 3. FUNCTIONS OF THE ASSISTANT SECRETARY. 
Section 202 of the Older Americans Act of 1965 (42 
U.S.C. 3012) is amended— 
(1) in subsection (a)— 
(A) in paragraph (20)— 
(i) by striking ‘‘and area agencies on 
aging’’ and inserting ‘‘, area agencies on 
aging, and service providers’’, 
(ii) by striking ‘‘and benefits’’ and in-
serting ‘‘benefits’’, and 
(iii) by inserting ‘‘benefits under any 
other applicable Federal program, or any 
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other service (including technology and 
internet-based decision support tools) to 
assist consumers to learn about, to receive 
benefits under, and to participate in pro-
grams for which they may be eligible’’ 
after ‘‘(7 U.S.C. 2011 et seq.),’’, 
(B) in paragraph (26)(D)— 
(i) by striking ‘‘gaps in’’, 
(ii) by inserting ‘‘(including services 
that would permit such individuals to re-
ceive long-term care in home and commu-
nity-based settings)’’ after ‘‘individuals’’, 
and 
(iii) by striking ‘‘and’’ at the end, 
(C) in paragraph (27) by striking the pe-
riod at the end and inserting ‘‘; and’’, and 
(D) by addng at the end the following: 
‘‘(28) make available to States information and 
technical assistance to support the provision of dis-
ease prevention and health promotion services.’’, and 
(2) by amending subsection (b) to read as fol-
lows: 
‘‘(b) To promote the development and implementa-
tion of comprehensive, coordinated systems at Federal, 
State, and local levels for providing long-term care in 
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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; 
‘‘(B) target services to individuals at risk 
for institutional placement, to permit such indi-
viduals to remain in home and community- 
based care settings; and 
‘‘(C) establish criteria and promote the im-
plementation (through service providers and 
such other entities as the Assistant Secretary 
determines to be appropriate) of evidence-based 
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