‘‘Subtitle H—Elder Abuse, Neglect,
and Exploitation, Including Do-
mestic Violence and Sexual As-
sault Against Older Individuals
‘‘SEC. 40801. DEFINITIONS.
‘‘In this subtitle:
‘‘(1) IN GENERAL.—The terms ‘elder abuse, ne-
glect, and exploitation’, ‘domestic violence’, and
‘older individual’ have the meanings given the terms
in section 102 of the Older Americans Act of 1965
(42 U.S.C. 3002).
‘‘(2) SEXUAL ASSAULT.—The term ‘sexual as-
sault’ has the meaning given the term in section
2003 of the Omnibus Crime Control and Safe
Streets Act of 1968 (42 U.S.C. 3796gg–2).
‘‘SEC. 40802. LAW SCHOOL CLINICAL PROGRAMS ON ELDER
ABUSE, NEGLECT, AND EXPLOITATION.
‘‘The Attorney General shall make grants to law
school clinical programs for the purposes of funding the
inclusion of cases addressing issues of elder abuse, neglect,
and exploitation, including domestic violence, and sexual
assault, against older individuals.
‘‘SEC. 40803. TRAINING PROGRAMS FOR LAW ENFORCE-
MENT OFFICERS.
‘‘The Attorney General shall develop curricula and
offer, or provide for the offering of, training programs to
assist law enforcement officers, prosecutors, and relevant
officers of Federal, State, and local courts in recognizing,
addressing, investigating, and prosecuting instances of
elder abuse, neglect, and exploitation, including domestic
violence, and sexual assault, against older individuals.
‘‘SEC. 40804. AUTHORIZATION OF APPROPRIATIONS.
‘‘There are authorized to be appropriated such sums
as may be necessary to carry out this subtitle.’’.
TITLE 
II—FAMILY 
VIOLENCE
PREVENTION AND SERVICES
ACT
SEC. 201. DEFINITIONS.
Section 309 of the Family Violence Prevention and
Services Act (42 U.S.C. 10408) is amended by adding at
the end the following:
‘‘(7) The term ‘elder domestic abuse’ means do-
mestic violence, as defined in section 102 of the
Older Americans Act of 1965 (42 U.S.C. 3002),
against an older individual, as defined in such sec-
tion.’’.
SEC. 202. DOMESTIC ABUSE SERVICES FOR OLDER INDIVID-
UALS.
Section 311(a) of the Family Violence Prevention and
Services Act (42 U.S.C. 10410(a)) is amended—
(1) in paragraph (4), by striking ‘‘and’’ at the
end;
(2) in paragraph (5), by striking the period at
the end and inserting ‘‘; and’’; and
(3) by adding at the end the following:
‘‘(6) work with domestic violence programs to
encourage the development of programs, including
outreach, support groups, and counseling, targeted
to victims of elder domestic abuse.’’.
SEC. 203. STATE GRANTS.
Section 303(a)(2)(C) of the Family Violence Preven-
tion and Services Act (42 U.S.C. 10402(a)(2)(C)) is
amended by inserting ‘‘age,’’ after ‘‘because of ’’.
SEC. 204. DEMONSTRATION GRANTS FOR COMMUNITY INI-
TIATIVES.
Section 318(b)(2)(F) of the Family Violence Preven-
tion and Services Act (42 U.S.C. 10418(b)(2)(F)) is
amended by inserting ‘‘and adult protective services enti-
ties’’ before the semicolon.
TITLE III—OLDER AMERICANS
ACT OF 1965
SEC. 301. DEFINITIONS.
Section 102 of the Older Americans Act of 1965 (42
U.S.C. 3002) is amended by adding at the end the follow-
ing:
‘‘(45) The term ‘domestic violence’ means an
act or threat of violence, not including an act of self
defense, committed—
‘‘(A) by a current or former spouse of the
victim;
‘‘(B) by a person related by blood or mar-
riage to the victim;
‘‘(C) by a person who is cohabiting with or
has cohabited with the victim;
‘‘(D) by a person with whom the victim
shares a child in common;
‘‘(E) by a person who is or has been in the
social relationship of a romantic or intimate na-
ture with the victim; or
‘‘(F) by a person similarly situated to a
spouse of the victim, or by any other person, if
the domestic or family violence laws of the ju-
risdiction of the victim provide for legal protec-
tion of the victim from the person.
‘‘(46) The term ‘sexual assault’ has the mean-
ing given the term in section 2003 of the Omnibus
Crime Control and Safe Streets Act of 1968 (42
U.S.C. 3796gg–2).’’.
SEC. 302. RESEARCH ABOUT THE SEXUAL ASSAULT OF
WOMEN WHO ARE OLDER INDIVIDUALS.
Section 202(d)(3)(C) of the Older Americans Act of
1965 (42 U.S.C. 3012(d)(3)(C)) is amended—
(1) by striking ‘‘and’’ at the end of clause (i);
(2) by striking the period at the end of clause
(ii) and inserting ‘‘; and’’; and
(3) by adding at the end the following:
‘‘(iii) in establishing research priorities under
clause (i), consider the importance of research about
the sexual assault of women who are older individ-
uals.’’.
SEC. 303. STATE LONG-TERM CARE OMBUDSMAN PROGRAM.
Section 303(a)(1) of the Older Americans Act of
1965 (42 U.S.C. 3023(a)(1)) is amended by inserting be-
fore the period the following: ‘‘, except that for grants to
carry out section 321(a)(10), there are authorized to be
appropriated such sums as may be necessary without fiscal
year limitation’’.
SEC. 304. DOMESTIC VIOLENCE SHELTERS AND PROGRAMS
FOR OLDER INDIVIDUALS.
Section 422(b) of the Older Americans Act of 1965
(42 U.S.C. 3035a(b)) is amended—
(1) by striking ‘‘and’’ at the end of paragraph
(11);
(2) by striking the period at the end of para-
graph (12) and inserting a semicolon; and
(3) by adding at the end the following:
‘‘(13) expand access to domestic violence shel-
ters and programs for older individuals and encour-
age the use of senior housing, nursing homes, or
other suitable facilities or services when appropriate
as emergency short-term shelters or measures for
older individuals who are the victims of elder abuse,
including domestic violence, and sexual assault,
against older individuals; and
‘‘(14) promote research on legal, organizational,
or training impediments to providing services to
older individuals through shelters and programs,
such as impediments to provision of the services in
coordination with delivery of health care or senior
services.’’.
SEC. 305. AUTHORIZATION OF APPROPRIATIONS.
(a) OMBUDSMAN PROGRAM.—Section 702(a) of the
Older Americans Act of 1965 (42 U.S.C. 3058a(a)) is
amended to read as follows:
‘‘(a) OMBUDSMAN PROGRAM.—There are authorized
to be appropriated to carry out chapter 2 such sums as
may be necessary without fiscal year limitation.’’.
(b) ELDER ABUSE PREVENTION PROGRAM.—Section
702(b) of the Older Americans Act of 1965 (42 U.S.C.
3058a(b)) is amended to read as follows:
‘‘(b) PREVENTION OF ELDER ABUSE, NEGLECT, AND
EXPLOITATION.—There are authorized to be appropriated
to carry out chapter 3 such sums as may be necessary
without fiscal year limitation.’’.
SEC. 306. COMMUNITY INITIATIVES AND OUTREACH.
Title VII of the Older Americans Act of 1965 (42
U.S.C. 3058 et seq.) is amended—
(1) by redesignating subtitle C as subtitle D;
(2) by redesignating sections 761 through 764
as sections 771 through 774, respectively; and
(3) by inserting after subtitle B the following:
‘‘Subtitle C—Community Initiatives
and Outreach
‘‘SEC. 761. COMMUNITY INITIATIVES TO COMBAT ELDER
ABUSE, NEGLECT, AND EXPLOITATION.
‘‘The Secretary shall make grants to nonprofit pri-
vate organizations to support projects in local commu-
nities, involving diverse sectors of each community, to co-
ordinate activities concerning intervention in and preven-
tion of elder abuse, neglect, and exploitation, including do-
mestic violence, and sexual assault, against older individ-
uals.
‘‘SEC. 762. OUTREACH TO OLDER INDIVIDUALS.
‘‘The Secretary shall make grants to develop and im-
plement outreach programs directed toward assisting older
individuals who are victims of elder abuse, neglect, and
exploitation (including domestic violence, and sexual as-
sault, against older individuals), including programs di-
rected toward assisting the individuals in senior housing
complexes, nursing homes, board and care facilities, and
senior centers.
‘‘SEC. 763. AUTHORIZATION OF APPROPRIATIONS.
‘‘There are authorized to be appropriated to carry out
this subtitle such sums as may be necessary without fiscal
year limitation.’’.
SEC. 307. TRAINING FOR HEALTH PROFESSIONALS ON
SCREENING FOR ELDER ABUSE, NEGLECT,
AND EXPLOITATION.
Section 411 of the Older Americans Act of 1965 (42
U.S.C. 3031) is amended by adding at the end the follow-
ing:
‘‘(f)(1) The Secretary shall, in consultation with the
Assistant Secretary, develop curricula and implement con-
tinuing education training programs for adult protective
service workers, persons carrying out a State Long-Term
Care Ombudsman program, health care providers (includ-
ing home health care providers), social workers, clergy, do-
mestic violence service providers, and other community-
based social service providers in settings, including senior
centers, adult day care facilities, nursing homes, board
and care facilities, and senior housing, to improve their
ability to recognize and address instances of elder abuse,
neglect, and exploitation, including domestic violence, and
sexual assault, against older individuals.
‘‘(2) In carrying out paragraph (1), the Secretary
shall develop and implement separate curricula and train-
ing programs for medical students, physicians, physician
assistants, nurse practitioners, and nurses.
‘‘(3) In carrying out paragraph (1), the Secretary
shall provide information about the curricula and training
programs to entities described in sections 791(c)(2) and
860(f)(2) of the Public Health Service Act (42 U.S.C.
295j(c)(2) and 298b–7(f)(2)) that seek grants or con-
tracts under title VII or VIII of such Act.’’.
TITLE IV—PUBLIC HEALTH
SERVICE ACT
SEC. 401. SHORT TITLE.
This title may be cited as the ‘‘Elder Abuse Identi-
fication and Referral Act of 1998’’.
SEC. 402. ESTABLISHMENT, FOR CERTAIN HEALTH PROFES-
SIONS PROGRAMS, OF PROVISIONS REGARD-
ING IDENTIFICATION AND REFERRAL FOR
ELDER ABUSE AND NEGLECT.
(a) TITLE VII PROGRAMS; PREFERENCES IN FINAN-
CIAL AWARDS.—Section 791 of the Public Health Service
Act (42 U.S.C. 295j) is amended by adding at the end
the following:
‘‘(c) PREFERENCES REGARDING TRAINING IN IDEN-
TIFICATION
AND REFERRAL
OF VICTIMS
OF ELDER
ABUSE AND NEGLECT.—
‘‘(1) IN GENERAL.—In the case of a health pro-
fessions entity specified in paragraph (2), the Sec-
retary shall, in making awards of grants or contracts
under this title, give preference to any such entity
(if otherwise a qualified applicant for the award in-
volved) that has in effect the requirement that, as a
condition of receiving a degree or certificate (as ap-
plicable) from the entity, each student has had sig-
nificant training (such as training conducted in ac-
cordance with curricula or programs authorized
under section 411(f) of the Older Americans Act of
1965 (42 U.S.C. 3031(f))), in carrying out the fol-
lowing functions as a provider of health care:
‘‘(A) Identifying victims of elder abuse and
neglect, including domestic violence, and sexual
assault, against older individuals, and maintain-
ing complete medical records that include docu-
mentation of the examination, treatment given,
and referrals made, and recording the location
and nature of the victim’s injuries.
‘‘(B) Examining and treating such victims,
within the scope of the health professional’s dis-
cipline, training, and practice, including, at a
minimum, providing medical advice regarding
the dynamics and nature of elder abuse and ne-
glect, including domestic violence, and sexual
assault, against older individuals.
‘‘(C) Referring the victims to public and
nonprofit private entities that provide services
for such victims.
‘‘(2) RELEVANT HEALTH PROFESSIONS ENTI-
TIES.—For purposes of paragraph (1), a health pro-
fessions entity specified in this paragraph is any en-
tity that is a school of medicine, a school of osteo-
pathic medicine, a graduate program in mental
health practice, a school of nursing (as defined in
section 298b), a program for the training of physi-
cian assistants, or a program for the training of al-
lied health professionals.
‘‘(3) REPORT TO CONGRESS.—Not later than 2
years after the date of the enactment of the Elder
Abuse Identification and Referral Act of 1998, the
Secretary shall submit to the Committee on Com-
merce of the House of Representatives, and the
Committee on Labor and Human Resources of the
Senate, a report specifying—
‘‘(A) the health professions entities that
are receiving preference under paragraph (1);
‘‘(B) the number of hours of training re-
quired by the entities for purposes of such
paragraph;
‘‘(C) the extent of clinical experience so re-
quired; and
‘‘(D) the types of courses through which
the training is being provided.