(1) in subsection (a)(3), by inserting ‘‘LGBT 
individuals,’’ after ‘‘low-income individuals,’’; 
(2) in subsection (c)— 
(A) in paragraph (1), by inserting ‘‘, and 
separately specify the number of such individ-
uals who are LGBT individuals’’ before the 
semicolon; 
(B) by redesignating paragraphs (4) and 
(5) as paragraphs (5) and (6), respectively; and 
(C) by inserting after paragraph (3) the 
following: 
‘‘(4) the effectiveness of such activities in as-
sisting LGBT individuals;’’; and 
(3) by adding at the end the following: 
‘‘(d) The Assistant Secretary shall ensure that— 
‘‘(1) no individual will be required to provide in-
formation regarding the sexual orientation or gender 
identity of the individual as a condition of partici-
pating in activities or receiving services under this 
Act; and 
‘‘(2) no agency or other entity providing activi-
ties or services under this Act, that receives, for the 
purposes of this Act, information regarding the sex-
ual orientation or gender identity of an individual 
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will disclose the information in any form that would 
permit such individual to be identified. 
‘‘(e) The Assistant Secretary shall develop appro-
priate protocols, demonstrations, tools, or guidance for use 
by State agencies and area agencies on aging, to ensure 
successful implementation of data collection requirements 
under section 201(d)(3)(J), paragraphs (16)(A)(ii) and 
(29) of section 202(a), subsections (a)(3), (c)(1), and 
(c)(4), and section 307(a)(6), relating to LGBT individ-
uals. 
‘‘(f) The Assistant Secretary shall determine when 
such data collection requirements shall apply, taking into 
consideration the complexity and importance of each re-
quirement, but each requirement shall apply not later than 
1 year after the date of enactment of the Older Americans 
Act Reauthorization Act of 2014.’’. 
(d) AUTHORIZATION OF APPROPRIATIONS.—Section 
216 of the Older Americans Act of 1965 (42 U.S.C. 
3020f) is amended— 
(1) in subsection (a), by striking ‘‘2007, 2008, 
2009, 2010, and 2011’’ and inserting ‘‘2014, 2015, 
2016, 2017, and 2018’’; 
(2) in subsection (b)— 
(A) by striking ‘‘202(a)(24)’’ and inserting 
‘‘202(a)(21)’’; and 
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(B) by striking ‘‘2007, 2008, 2009, 2010, 
and 2011’’ and inserting ‘‘2014, 2015, 2016, 
2017, and 2018’’; and 
(3) in subsection (c), by striking ‘‘2007, 2008, 
2009, 2010, and 2011’’ and inserting ‘‘2014, 2015, 
2016, 2017, and 2018’’. 
(e) ADVISORY COMMITTEE TO ASSESS, COORDINATE, 
AND IMPROVE LEGAL ASSISTANCE ACTIVITIES.— 
(1) ADVISORY
COMMITTEE.—Title II of the 
Older Americans Act of 1965 (42 U.S.C. 3011– 
3020f) is amended— 
(A) by redesignating section 216 as section 
217; and 
(B) by inserting after section 215 the fol-
lowing: 
‘‘SEC. 216. ADVISORY COMMITTEE TO ASSESS, COORDI-
NATE, AND IMPROVE LEGAL ASSISTANCE AC-
TIVITIES. 
‘‘(a) ESTABLISHMENT.—There is established an Ad-
visory Committee to Assess, Coordinate, and Improve 
Legal Assistance Activities (referred to in this section as 
the ‘Committee’). 
‘‘(b) MEMBERSHIP; DUTIES.—The Assistant Sec-
retary shall appoint members to the Committee and deter-
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mine the activities of the Committee (which shall include 
the study and report described in subsection (c)). 
‘‘(c) STUDY; REPORT.—The Committee shall conduct 
a study on the legal services activities assistance system 
for older individuals. Not later than 1 year after the date 
of the establishment of the Committee, the Committee 
shall submit to the President, Congress, and the Assistant 
Secretary a report that contains a detailed statement of 
the findings and conclusions of such study, including the 
Committee’s recommendations improving the legal services 
activities assistance system for older individuals. 
‘‘(d) REGULATIONS.—Not later than 180 days after 
receiving the report described in subsection (c), the Assist-
ant Secretary shall issue regulations or guidance taking 
into consideration the recommendations of the Committee. 
‘‘(e) DEFINITION.—In this subsection, the term ‘legal 
assistance activities’ includes— 
‘‘(1) legal assistance made available to older in-
dividuals with greatest economic need or with great-
est social need; 
‘‘(2) activities of the National Legal Resource 
Center carried out under section 420(a); 
‘‘(3) State legal assistance developer activities 
carried out under section 731; and 
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‘‘(4) any other directly related activity or pro-
gram as determined appropriate by the Assistant 
Secretary.’’. 
(2) CONFORMING AMENDMENT.—Section 215(j) 
of the Older Americans Act of 1965 (42 U.S.C. 
3020e–1(j)) is amended by striking ‘‘section 216’’ 
and inserting ‘‘section 217’’. 
(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
Section 217 of the Older Americans Act of 1965 (42 
U.S.C. 3020f), as so redesignated by subsection (c), 
is amended by adding at the end the following: 
‘‘(d) ADVISORY COMMITTEE TO ASSESS, COORDI-
NATE, AND IMPROVE LEGAL ASSISTANCE ACTIVITIES.— 
There is authorized to be appropriated to carry out section 
216 $300,000 for each of the fiscal years 2014, 2015, 
2016, 2017, and 2018.’’. 
SEC. 5. STATE AND COMMUNITY PROGRAMS ON AGING. 
(a) AUTHORIZATION OF APPROPRIATIONS.—Section 
303 of the Older Americans Act of 1965 (42 U.S.C. 3023) 
is amended— 
(1) in subsection (a)(1), by striking ‘‘fiscal 
years 2007’’ and all that follows and inserting ‘‘each 
of the fiscal years 2014 through 2018.’’; 
(2) in subsection (b)— 
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(A) in paragraph (1), by striking ‘‘fiscal 
years 2007’’ and all that follows and inserting 
‘‘each of the fiscal years 2014 through 2018.’’; 
and 
(B) in paragraph (2), by striking ‘‘fiscal 
years 2007’’ and all that follows and inserting 
‘‘each of the fiscal years 2014 through 2018.’’; 
(3) in subsection (d), by striking ‘‘fiscal years 
2007’’ and all that follows and inserting ‘‘each of 
the fiscal years 2014 through 2018.’’; and 
(4) in subsection (e)(2), by striking ‘‘2011’’ and 
inserting ‘‘2011 and each of the fiscal years 2014 
through 2018’’. 
(b) CONFORMING AMENDMENT.—Section 304(b) of 
the Older Americans Act of 1965 (42 U.S.C. 3024(b)) is 
amended by striking ‘‘subpart 1 of’’. 
(c) PLANNING
AND
SERVICE
AREAS.—Section 
305(b)(5)(C)(i)(III) of the Older Americans Act of 1965 
(42 U.S.C. 3025(b)(5)(C)(i)(III)) is amended by striking 
‘‘planning and services areas’’ and inserting ‘‘planning 
and service areas’’. 
(d) AREA PLANS.—Section 306 of the Older Ameri-
cans Act of 1965 (42 U.S.C. 3026) is amended— 
(1) in subsection (a)— 
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(A) in paragraph (1), by striking ‘‘estab-
lishment, maintenance, or construction of multi-
purpose senior centers,’’ and inserting ‘‘estab-
lishment, maintenance, modernization, or con-
struction of multipurpose senior centers (includ-
ing a plan to use the skills and services of older 
individuals in paid and unpaid work, including 
multigenerational and older individual to older 
individual work),’’; and 
(B) in paragraph (6)— 
(i) in subparagraph (G), by adding 
‘‘and’’ at the end; and 
(ii) by adding at the end the fol-
lowing: 
‘‘(H) in coordination with the State agency 
and with the State agency responsible for elder 
abuse 
prevention 
services, 
increase 
public 
awareness of elder abuse, neglect, and exploi-
tation, and remove barriers to education, pre-
vention, investigation, and treatment of elder 
abuse, neglect, and exploitation, as appro-
priate;’’; and 
(2) in subsection (b)(3)— 
(A) in subparagraph (J), by striking ‘‘and’’ 
at the end; 
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(B) by redesignating subparagraph (K) as 
subparagraph (L); and 
(C) by inserting after subparagraph (J) 
the following: 
‘‘(K) protection from elder abuse, neglect, 
and exploitation; and’’. 
(e) NUTRITION SERVICES INCENTIVE PROGRAM.— 
Section 311(e) of the Older Americans Act of 1965 (42 
U.S.C. 3030a(e)) is amended by striking ‘‘fiscal year 
2007’’ and all that follows and inserting ‘‘each of the fiscal 
years 2014 through 2018.’’. 
(f) SUPPORTIVE SERVICES.—Section 321 of the 
Older Americans Act of 1965 (42 U.S.C. 3030d) is 
amended— 
(1) in subsection (a)— 
(A) in paragraph (1), by striking ‘‘or refer-
ral services’’ and inserting ‘‘referral, chronic 
condition self-care management, or falls preven-
tion services’’; 
(B) in paragraph (8), by striking ‘‘(includ-
ing’’ and all that follows and inserting the fol-
lowing: ‘‘(including mental and behavioral 
health screening and falls prevention services 
screening) to detect or prevent (or both) ill-
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nesses and injuries that occur most frequently 
in older individuals;’’ and 
(C) in paragraph (15), by inserting before 
the semicolon the following: ‘‘, and screening 
for elder abuse, neglect, and exploitation’’; 
(2) in subsection (b)(1), by inserting ‘‘or mod-
ernization’’ after ‘‘construction’’; 
(3) in subsection (c), by inserting before the pe-
riod the following: ‘‘, and pursue opportunities for 
the development of intergenerational shared site 
models for programs or projects, consistent with the 
purposes of this Act’’; and 
(4) by adding at the end the following: 
‘‘(e) In this section, the term ‘adult child with a dis-
ability’ means a child who— 
‘‘(1) is age 18 or older; 
‘‘(2) is financially dependent on an older indi-
vidual who is a parent of the child; and 
‘‘(3) has a disability.’’. 
(g) HOME DELIVERED NUTRITION SERVICES PRO-
GRAM.—Section 336(1) of the Older Americans Act of 
1965 (42 U.S.C. 3030f(1)) is amended by striking 
‘‘canned’’ and all that follows through ‘‘meals’’ and insert-
ing ‘‘canned, or fresh foods and, as appropriate, supple-
mental foods and any additional meals’’. 
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(h) NUTRITION SERVICES.—Section 339 of the Older 
Americans Act of 1965 (42 U.S.C. 3030g–21) is amend-
ed— 
(1) in paragraph (1), by striking ‘‘solicit’’ and 
inserting ‘‘utilize’’; and 
(2) in paragraph (2)— 
(A) in subparagraph (J)— 
(i) by striking ‘‘if appropriate’’; and 
(ii) by striking ‘‘and’’ at the end; 
(B) in subparagraph (K), by striking the 
period and inserting ‘‘, and’’; and 
(C) by adding at the end the following: 
‘‘(L) where feasible, encourages the use of 
organic or locally grown foods in meal programs 
and identifies potential partnerships and con-
tracts with local producers and providers of or-
ganic or locally grown foods.’’. 
(i) EVIDENCE-BASED DISEASE PREVENTION
AND 
HEALTH PROMOTION SERVICES PROGRAM.—Part D of 
title III of the Older Americans Act of 1965 (42 U.S.C. 
3030m et seq.) is amended— 
(1) in the part heading, by inserting ‘‘EVI-
DENCE-BASED’’ before ‘‘DISEASE’’; and 
(2) in section 361(a), by inserting ‘‘evidence- 
based’’ after ‘‘to provide’’. 
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(j) OLDER RELATIVE CAREGIVERS.— 
(1) TECHNICAL AMENDMENT.—Part E of title 
III of the Older Americans Act of 1965 (42 U.S.C. 
3030s et seq.) is amended by striking the subpart 
heading for subpart 1. 
(2) DEFINITIONS.—Section 372 of such Act (42 
U.S.C. 3030s) is amended— 
(A) in subsection (a)— 
(i) in paragraph (1), by striking ‘‘or 
who is an individual with a disability’’; and 
(ii) by striking paragraph (2) and in-
serting the following: 
‘‘(2) INDIVIDUAL
WITH
A
DISABILITY.—The 
term ‘individual with a disability’ means an indi-
vidual with a disability, as defined in section 3 of the 
Americans with Disabilities Act of 1990 (42 U.S.C. 
12102), who is not less than age 18 and not more 
than age 59. 
‘‘(3) OLDER RELATIVE CAREGIVER.—The term 
‘older relative caregiver’ means a caregiver who— 
‘‘(A)(i) is age 55 or older; and 
‘‘(ii) lives with, is the informal provider of 
in-home and community care to, and is the pri-
mary caregiver for, a child or an individual with 
a disability; 
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(4) in subsection (f)(1)(A), by striking ‘‘for fis-
cal years 2007, 2008, 2009, 2010, and 2011’’ and 
inserting ‘‘for a fiscal year’’; and 
(5) in subsection (g)(2)(C), by striking ‘‘grand-
parents and older individuals who are relative care-
givers of a child who is not more than 18 years of 
age’’ and inserting ‘‘older relative caregivers’’. 
(l) CONFORMING AMENDMENT.—Part E of title III 
is amended by striking ‘‘this subpart’’ each place it ap-
pears and inserting ‘‘this part’’. 
SEC. 6. ACTIVITIES FOR HEALTH, INDEPENDENCE, AND 
LONGEVITY. 
(a) GRANT PROGRAMS.—Section 411 of the Older 
Americans Act of 1965 (42 U.S.C. 3032) is amended— 
(1) in subsection (a)— 
(A) in paragraph (12), by striking ‘‘and’’ 
at the end; 
(B) by redesignating paragraph (13) as 
paragraph (14); and 
(C) by inserting after paragraph (12) the 
following: 
‘‘(13) continuing support for program integrity 
initiatives concerning the Medicare program under 
title XVIII of the Social Security Act (42 U.S.C. 
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1395 et seq.) that train senior volunteers to prevent 
and identify health care fraud and abuse; and’’; and 
(2) in subsection (b), by striking ‘‘for fiscal 
years 2007’’ and all that follows through ‘‘2011’’ 
and inserting ‘‘for each of the fiscal years 2014 
through 2018’’. 
(b) NATIVE AMERICAN PROGRAMS.—Section 418(b) 
of the Older Americans Act of 1965 (42 U.S.C. 3032g(b)) 
is amended by striking ‘‘a national meeting to train’’ and 
inserting ‘‘national trainings for’’. 
(c) LEGAL ASSISTANCE FOR OLDER AMERICANS.— 
Section 420(c) of the Older Americans Act of 1965 (42 
U.S.C. 3032i(c)) is amended by striking ‘‘national’’. 
(d) 
CONFORMING
AMENDMENT.—Section 
417(a)(1)(A) of the Older Americans Act of 1965 (42 
U.S.C. 3032f(a)(1)(A)) is amended by striking ‘‘grand-
parents and other older individuals who are relative care-
givers’’ and inserting ‘‘older relative caregivers (as defined 
in section 372)’’. 
SEC. 
7. 
NATIONAL 
RESOURCE 
CENTER 
ON 
FAMILY 
CAREGIVING. 
Part A of title IV of the Older Americans Act of 1965 
(42 U.S.C. 3032–3032k) is amended by adding at the end 
the following: 
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‘‘SEC. 423. NATIONAL RESOURCE CENTER ON FAMILY 
CAREGIVING. 
‘‘(a) ESTABLISHMENT.—The Secretary of Health 
and Human Services shall award a grant to or enter into 
a cooperative agreement with a public or private nonprofit 
entity to establish a National Resource Center on Family 
Caregiving (referred to in this section as the ‘Center’). 
‘‘(b) DEVELOPMENT.—The Assistant Secretary shall 
develop and issue operating standards and reporting re-
quirements for the Center established under subsection 
(a). 
‘‘(c) AUTHORIZATION.—There is authorized to be ap-
propriated to carry out this section, $2,000,000 for each 
of the fiscal years 2014 through 2018.’’. 
SEC. 8. MULTIPURPOSE SENIOR CENTER MODERNIZATION, 
TRAINING, AND SUPPORT. 
Part A of title IV of the Older Americans Act of 1965 
(42 U.S.C. 3032–3032k), as amended by section 7, is 
amended by adding at the end the following: 
‘‘SEC. 424. MULTIPURPOSE SENIOR CENTER MODERNIZA-
TION, TRAINING, AND SUPPORT. 
‘‘(a) PROGRAM AUTHORIZED.—The Assistant Sec-
retary shall award grants and enter into contracts with 
eligible entities to carry out projects to— 
‘‘(1) support and promote modern multipurpose 
senior center models which yield vibrant, multi-
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service, multigenerational centers for older individ-
uals, families of older individuals, and others in the 
community to gain skills, resources, and connections 
needed to meet the challenges that occur with con-
tinuum of care and quality of life; 
‘‘(2) build an evidence base of modern, 
replicable practices that allow senior centers to serve 
a diverse array of older individuals, as well as their 
families and other caregivers, leveraging innovative 
partnerships and public and private resources to de-
velop and expand programs; and 
‘‘(3) mobilize services and leverage resources to 
support the role of multipurpose senior centers as 
community focal points, as provided in section 
306(a)(3), and for the establishment, construction, 
maintenance, and operation of centers, as described 
in sections 303(c)(2) and 306(a)(1), including devel-
opment of intergenerational shared site models, con-
sistent with the purposes of this Act. 
‘‘(b) USE OF FUNDS.—An eligible entity shall use 
funds made available under a grant awarded, or a contract 
entered into, under subsection (a) to— 
‘‘(1) carry out a project described in subsection 
(a); and 
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‘‘(2) evaluate the project in accordance with 
subsection (f). 
‘‘(c) APPLICATION.—To be eligible to receive a grant 
or enter into a contract under subsection (a), an eligible 
entity shall submit an application to the Assistant Sec-
retary at such time, in such manner, and accompanied by 
such information as the Assistant Secretary may reason-
ably require. 
‘‘(d) ELIGIBLE ENTITY.—For purposes of this sec-
tion, the term ‘eligible entity’ means— 
‘‘(1) a multipurpose senior center that has met 
national accreditation and fiduciary standards; or 
‘‘(2) a regional partnership or collaboration of 
multipurpose senior centers or State association of 
senior centers in which not less than 2 centers are 
accredited. 
‘‘(e) COMPETITIVE GRANTS FOR TECHNICAL ASSIST-
ANCE.— 
‘‘(1) GRANTS.—The Assistant Secretary shall 
make a grant, on a competitive basis, to an eligible 
nonprofit organization described in paragraph (2), to 
enable the organization to— 
‘‘(A) provide training and technical assist-
ance to recipients of grants under this section 
and other multipurpose senior centers to adopt 
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and tailor evidence-based modernization strate-
gies and practices to respond to the economic 
and health needs of the diverse and growing 
aging populations in their own communities; 
and 
‘‘(B) carry out other duties, as determined 
by the Assistant Secretary. 
‘‘(2) ELIGIBLE
NONPROFIT
ORGANIZATION.— 
To be eligible to receive a grant under this sub-
section, an organization shall be a nonprofit organi-
zation (including a partnership of nonprofit organi-
zations), that— 
‘‘(A) has experience and expertise in pro-
viding technical assistance to a range of multi-
purpose senior centers and experience evalu-
ating and reporting on programs; and 
‘‘(B) has demonstrated knowledge of and 
expertise in multipurpose senior center accredi-
tation or other standards of excellence. 
‘‘(3) APPLICATION.—To be eligible to receive a 
grant under this subsection, an organization (includ-
ing a partnership of nonprofit organizations) shall 
submit an application to the Assistant Secretary at 
such time, in such manner, and containing such in-
formation as the Assistant Secretary may require, 
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including an assurance that the organization will 
submit to the Assistant Secretary such evaluations 
and reports as the Assistant Secretary may require. 
‘‘(f) LOCAL EVALUATION AND REPORT.— 
‘‘(1) EVALUATION.—Each entity receiving a 
grant or a contract under subsection (a) to carry out 
a project described in subsection (a) shall evaluate 
the project, leadership, and resources for the mod-
ernization of multipurpose senior centers to deter-
mine— 
‘‘(A) the effectiveness of the project in pro-
ducing innovations and mobilizing resources; 
‘‘(B) the impact on older individuals, fami-
lies of older individuals, and the community 
being served; and 
‘‘(C) the potential for the project to be rep-
licated by other multipurpose senior centers, 
noting the necessary resources and partnerships 
and the types of populations and communities 
best suited for the model. 
‘‘(2) REPORT.—The entity described in para-
graph (1) shall submit a report to the Assistant Sec-
retary containing the evaluation not later than 6 
months after the expiration of the period for which 
the grant or contract is in effect. 
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‘‘(g) REPORT
TO CONGRESS.—Not later than 6 
months after the Assistant Secretary receives the reports 
described in subsection (f)(2), the Assistant Secretary 
shall prepare and submit to Congress a report that as-
sesses the evaluations and includes, at a minimum— 
‘‘(1) a description of the nature and operation 
of the projects funded under this section and other 
activities conducted in support of such projects; 
‘‘(2) the findings resulting from the evaluations 
of the model projects conducted under this section; 
‘‘(3) a description of recommended best prac-
tices of modern multipurpose senior centers; 
‘‘(4) a strategy for disseminating the findings 
resulting from the projects described in paragraph 
(1); and 
‘‘(5) recommendations for legislative or admin-
istrative action, as the Assistant Secretary deter-
mines appropriate.’’. 
SEC. 9. COMMUNITY SERVICE SENIOR OPPORTUNITIES. 
Section 517(a) of the Older Americans Act of 1965 
(42 U.S.C. 3056o(a)) is amended by striking ‘‘fiscal years 
2007, 2008, 2009, 2010, and 2011’’ and inserting ‘‘each 
of the fiscal years 2014 through 2018’’. 
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SEC. 10. GRANTS FOR NATIVE AMERICANS. 
Section 643(2) of the Older Americans Act of 1965 
(42 U.S.C. 3057n(2)) is amended by striking ‘‘fiscal year 
2011’’ and inserting ‘‘each of the fiscal years 2014 
through 2018’’. 
SEC. 11. VULNERABLE ELDER RIGHTS PROTECTION ACTIVI-
TIES. 
(a) OMBUDSMAN DEFINITIONS.—Section 711(6) of 
the Older Americans Act of 1965 (42 U.S.C. 3058f(6)) 
is amended by striking ‘‘older’’. 
(b) OMBUDSMAN PROGRAMS.—Section 712 of the 
Older Americans Act of 1965 (42 U.S.C. 3058g) is 
amended— 
(1) in subsection (a)— 
(A) in paragraph (2), by adding at the end 
the following: ‘‘The Ombudsman shall be re-
sponsible for the management, including the fis-
cal management, of the Office.’’; 
(B) in paragraph (3)— 
(i) in subparagraph (A), by striking 
clause (i) and inserting the following: 
‘‘(i) are made by, or on behalf of, resi-
dents, including residents with limited or 
no decisionmaking capacity and who have 
no known legal representative, and if such 
a resident is unable to communicate con-
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sent for an Ombudsman to work on a com-
plaint directly involving the resident, the 
Ombudsman shall seek evidence to indicate 
what outcome the resident would have 
communicated (and, in the absence of evi-
dence to the contrary, shall assume that 
the resident wishes to have the resident’s 
health, safety, welfare, and rights pro-
tected) and shall work to accomplish that 
outcome; and’’; 
(ii) in subparagraph (D), by striking 
‘‘regular and timely’’ and inserting ‘‘reg-
ular, timely, private, and unimpeded’’; 
(iii) in subparagraph (H)(iii)— 
(I) by inserting ‘‘, actively en-
courage, and assist in’’ after ‘‘provide 
technical support for’’; and 
(II) by striking ‘‘and’’ after the 
semicolon; 
(iv) by redesignating subparagraph (I) 
as subparagraph (K); and 
(v) by inserting after subparagraph 
(H) the following: 
‘‘(I) when feasible, continue to carry out 
the functions described in this section on behalf 
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of residents transitioning from a long-term care 
facility to a home care setting; 
‘‘(J) collect and analyze data, relating to 
discrimination against LGBT older individuals 
on the basis of actual or perceived sexual ori-
entation or gender identity in the admission to, 
transfer or discharge from, or lack of adequate 
care provided in long-term care settings, and 
shall include the analyses in the reports; and’’; 
and 
(C) in paragraph (5)(B)— 
(i) in clause (vi)— 
(I) by inserting ‘‘, actively en-
courage, and assist in’’ after ‘‘sup-
port’’; and 
(II) by striking ‘‘and’’ after the 
semicolon; 
(ii) by redesignating clause (vii) as 
clause (viii); and 
(iii) by inserting after clause (vi) the 
following: 
‘‘(vii) identify, investigate, and resolve 
complaints described in clause (iii) that are 
made by or on behalf of residents with lim-
ited or no decisionmaking capacity and 
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who have no known legal representative, 
and if such a resident is unable to commu-
nicate consent for an Ombudsman to work 
on a complaint directly involving the resi-
dent, the Ombudsman shall seek evidence 
to indicate what outcome the resident 
would have communicated (and, in the ab-
sence of evidence to the contrary, shall as-
sume that the resident wishes to have the 
resident’s health, safety, welfare, and 
rights protected) and shall work to accom-
plish that outcome; and’’; 
(2) in subsection (b)— 
(A) in paragraph (1)— 
(i) in subparagraph (A), by striking 
‘‘access’’ 
and 
inserting 
‘‘private 
and 
unimpeded access’’; and 
(ii) in subparagraph (B)— 
(I) in clause (i)— 
(aa) in the matter preceding 
subclause (I), by striking ‘‘the 
medical and social records of a’’ 
and inserting ‘‘all files, records, 
and other information concerning 
a’’; and 
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(bb) in subclause (II), by 
striking ‘‘to consent’’ and insert-
ing ‘‘to communicate consent’’; 
and 
(II) in clause (ii), in the matter 
before subclause (I), by striking ‘‘the 
records’’ and inserting ‘‘the files, 
records, and information’’; and 
(B) by adding at the end the following: 
‘‘(3) HEALTH OVERSIGHT AGENCY.—For pur-
poses of section 264(c) of the Health Insurance 
Portability and Accountability Act of 1996 (includ-
ing regulations issued under that section) (42 U.S.C. 
1320d–2 note), the Ombudsman and a representa-
tive of the Office shall be considered a ‘health over-
sight agency,’ so that release of residents’ individ-
ually identifiable health information to the Ombuds-
man or representative is not precluded in cases in 
which the requirements of clause (i) or (ii) of para-
graph (1)(B), or the requirements of paragraph 
(1)(D), are otherwise met.’’; 
(3) in subsection (d)— 
(A) in paragraph (1), by striking ‘‘files’’ 
and inserting ‘‘files, records, and other informa-
tion’’; and 
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(B) in paragraph (2)— 
(i) in subparagraph (A)— 
(I) 
by 
striking 
‘‘files 
and 
records’’ each place such term appears 
and inserting ‘‘files, records, and 
other information’’; and 
(II) by striking ‘‘and’’ after the 
semicolon; 
(ii) in subparagraph (B)— 
(I) by striking ‘‘files or records’’ 
and inserting ‘‘files, records, or other 
information’’; and 
(II) in clause (iii), by striking the 
period at the end and inserting ‘‘; 
and’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(C) notwithstanding subparagraph (B), 
ensure that the Ombudsman may disclose infor-
mation as needed in order to best serve resi-
dents with limited or no decisionmaking capac-
ity who have no known legal representative and 
are unable to communicate consent, in order for 
the Ombudsman to carry out the functions and 
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duties described in paragraphs (3)(A) and 
(5)(B) of subsection (a).’’; 
(4) by striking subsection (f) and inserting the 
following: 
‘‘(f) CONFLICT OF INTEREST.— 
‘‘(1) INDIVIDUAL
CONFLICT
OF
INTEREST.— 
The State agency shall— 
‘‘(A) ensure that no individual, or member 
of the immediate family of an individual, in-
volved in the designation of the Ombudsman 
(whether by appointment or otherwise) or the 
designation of an entity designated under sub-
section (a)(5), is subject to a conflict of inter-
est; 
‘‘(B) ensure that no officer or employee of 
the Office, representative of a local Ombudsman 
entity, or member of the immediate family of 
the officer, employee, or representative, is sub-
ject to a conflict of interest; and 
‘‘(C) ensure that the Ombudsman— 
‘‘(i) does not have a direct involve-
ment in the licensing or certification of a 
long-term care facility or of a provider of 
a long-term care service; 
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‘‘(ii) does not have an ownership or 
investment interest (represented by equity, 
debt, or other financial relationship) in a 
long-term care facility or a long-term care 
service; 
‘‘(iii) is not employed by, or partici-
pating in the management of, a long-term 
care facility or a related organization, and 
has not been employed by such a facility or 
organization within 1 year before the date 
of the determination involved; 
‘‘(iv) does not receive, or have the 
right to receive, directly or indirectly, re-
muneration (in cash or in kind) under a 
compensation arrangement with an owner 
or operator of a long-term care facility; 
‘‘(v) does not have management re-
sponsibility for, or operate under the su-
pervision of an individual with manage-
ment responsibility for, adult protective 
services; and 
‘‘(vi) does not serve as a guardian or 
in another fiduciary capacity for residents 
of long-term care facilities in an official ca-
pacity (as opposed to serving as a guardian 
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or fiduciary for a family member, in a per-
sonal capacity). 
‘‘(2) ORGANIZATIONAL
CONFLICT
OF
INTER-
EST.— 
‘‘(A) IN
GENERAL.—The State agency 
shall comply with subparagraph (B)(i) in a case 
in which the Office poses an organizational con-
flict of interest, including a situation in which 
the Office is placed in an organization that— 
‘‘(i) is responsible for licensing, certi-
fying, or surveying long-term care services 
in the State; 
‘‘(ii) is an association (or an affiliate 
of such an association) of long-term care 
facilities, or of any other residential facili-
ties for older individuals; 
‘‘(iii) provides long-term care services, 
including programs carried out under a 
Medicaid waiver approved under section 
1115 of the Social Security Act (42 U.S.C. 
1315) or under subsection (b) or (c) of 
section 1915 of the Social Security Act (42 
U.S.C. 1396n), or under a Medicaid State 
plan amendment under subsection (i), (j), 
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or (k) of section 1915 of the Social Secu-
rity Act (42 U.S.C. 1396n); 
‘‘(iv) provides long-term care case 
management; 
‘‘(v) sets rates for long-term care 
services; 
‘‘(vi) provides adult protective serv-
ices; 
‘‘(vii) is responsible for eligibility de-
terminations for the Medicaid program 
carried out under title XIX of the Social 
Security Act (42 U.S.C. 1396 et seq.); 
‘‘(viii) conducts preadmission screen-
ing for placements in facilities described in 
clause (ii); or 
‘‘(ix) makes decisions regarding ad-
mission or discharge of individuals to or 
from such facilities. 
‘‘(B) IDENTIFYING, REMOVING, AND REM-
EDYING ORGANIZATIONAL CONFLICT.— 
‘‘(i) IN GENERAL.—The State agency 
may not operate the Office or carry out the 
program, directly, or by contract or other 
arrangement with any public agency or 
nonprofit private organization, in a case in 
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which there is an organizational conflict of 
interest (within the meaning of subpara-
graph (A)) unless such conflict of interest 
has been— 
‘‘(I) identified by the State agen-
cy; 
‘‘(II) disclosed by the State agen-
cy to the Assistant Secretary in writ-
ing; and 
‘‘(III) remedied in accordance 
with this subparagraph. 
‘‘(ii) ACTION
BY
ASSISTANT
SEC-
RETARY.—In a case in which a potential or 
actual organizational conflict of interest 
(within the meaning of subparagraph (A)) 
involving the Office is disclosed or reported 
to the Assistant Secretary by any person 
or entity, the Assistant Secretary shall re-
quire that the State agency, in accordance 
with the policies and procedures estab-
lished by the State agency under sub-
section (a)(5)(D)(iii)— 
‘‘(I) remove the conflict; or 
‘‘(II) submit, and obtain the ap-
proval of the Assistant Secretary for, 
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an adequate remedial plan that indi-
cates how the Ombudsman will be 
unencumbered in fulfilling all of the 
functions 
specified 
in 
subsection 
(a)(3).’’; and 
(5) in subsection (h)— 
(A) in paragraph (3)(A)(i), by striking 
‘‘older’’; 
(B) in paragraph (4), by striking all that 
precedes ‘‘procedures’’ and inserting the fol-
lowing: 
‘‘(4) strengthen and update’’; 
(C) 
by 
redesignating 
paragraphs 
(4) 
through (9) as paragraphs (5) through (10), re-
spectively; 
(D) by inserting after paragraph (3) the 
following: 
‘‘(4) ensure that the Ombudsman or a designee 
participates in training provided by the National 
Ombudsman Resource Center established in section 
202(a)(18);’’; 
(E) in paragraph (6)(A), as so redesig-
nated by subparagraph (C) of this paragraph, 
by striking ‘‘paragraph (4)’’ and inserting 
‘‘paragraph (5)’’; 
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(4) in section 306(a)— 
(A) in paragraph (2)(A), by inserting ‘‘and 
behavioral’’ after ‘‘mental’’; and 
(B) in paragraph (6)(F), by striking ‘‘men-
tal health services’’ each place such term ap-
pears and inserting ‘‘mental and behavioral 
health services’’; and 
(5) in section 321(a)— 
(A) in paragraph (1), as amended by sec-
tion 4(f), by inserting ‘‘and behavioral’’ after 
‘‘mental’’; 
(B) in paragraph (14)(B), by inserting 
‘‘and behavioral’’ after ‘‘mental’’; and 
(C) in paragraph (23), by inserting ‘‘and 
behavioral’’ after ‘‘mental’’. 
SEC. 13. STUDY ON TRANSPORTATION SERVICES. 
(a) STUDY.— 
(1) IN GENERAL.—Because access to transpor-
tation services is critical for millions of older individ-
uals in the United States, to allow them to maintain 
independence, health, and quality of life, the Comp-
troller General of the United States shall conduct a 
study of transportation services for older individuals. 
(2) CONTENTS.—In conducting the study, the 
Comptroller General— 
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(A) shall identify challenges and barriers 
affecting the aging network in providing, ac-
cessing, or coordinating efficient and effective 
transportation services, including challenges 
and barriers in coordinating services with Fed-
eral agencies and programs such as the Depart-
ment of Transportation and the Medicaid pro-
gram under title XIX of the Social Security Act 
(42 U.S.C. 1396 et seq.); and 
(B) shall examine any Federal program re-
quirements that may result in challenges or 
barriers to the coordination of transportation 
services within the aging network at the local 
level. 
(b) REPORT.—Not later than 18 months after the 
date of enactment of this Act, the Comptroller General 
shall issue a report. The report shall contain a detailed 
description of the findings and conclusions of the study, 
including any recommendations for administrative and 
other changes to enhance transportation services provided 
by the aging network. The Comptroller General shall sub-
mit the report to the Committee on Education and the 
Workforce of the House of Representatives and the Com-
mittee on Health, Education, Labor, and Pensions of the 
Senate. 
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SEC. 14. GUIDANCE ON SERVING HOLOCAUST SURVIVORS. 
(a) IN GENERAL.—Because the services under the 
Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) 
are critical to meeting the urgent needs of Holocaust sur-
vivors to age in place with dignity, comfort, security, and 
quality of life, the Assistant Secretary for Aging shall 
issue guidance to States, that shall be applicable to States, 
area agencies on aging, and providers of services for older 
individuals, with respect to serving Holocaust survivors, 
including guidance on promising practices for conducting 
outreach to that population. In developing the guidance, 
the Assistant Secretary for Aging shall consult with ex-
perts and organizations serving Holocaust survivors, and 
shall take into account the possibility that the needs of 
Holocaust survivors may differ based on geography. 
(b) CONTENTS.—The guidance shall include the fol-
lowing: 
(1) How nutrition service providers may meet 
the special health-related or other dietary needs of 
participants in programs under the Older Americans 
Act of 1965, including needs based on religious, cul-
tural, or ethnic requirements. 
(2) How transportation service providers may 
address the urgent transportation needs of Holo-
caust survivors. 
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(3) How State long-term care ombudsmen may 
address the unique needs of residents of long-term 
care facilities for whom institutional settings may 
produce sights, sounds, smells, emotions, and rou-
tines, that can induce panic, anxiety, and retrauma-
tization as a result of experiences from the Holo-
caust. 
(4) How supportive services providers may con-
sider the unique needs of Holocaust survivors. 
(5) How other services provided under that Act, 
as determined by the Assistant Secretary for Aging, 
may serve Holocaust survivors. 
(c) DATE OF ISSUANCE.—The guidance described in 
subsection (a) shall be issued not later than 180 days after 
the date of enactment of this Act. 
Æ 
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