SEC. 3. ESTABLISHMENT OF ADULT DAY PROGRAMS. 
(a) SURVEY OF EXISTING ADULT DAY PROGRAMS.— 
(1) IN GENERAL.—Not later than 90 days after 
the date of the enactment of this section, the Assist-
ant Secretary for Aging shall initiate a comprehen-
sive survey of current adult day programs that pro-
vide care and support to individuals living with neu-
rological diseases or conditions such as multiple scle-
rosis, Parkinson’s disease, or traumatic brain injury, 
including any other similar diseases or conditions. 
(2) SURVEY ELEMENTS.—In carrying out the 
survey under paragraph (1), the Assistant Secretary 
for Aging may utilize existing publicly available re-
search on adult day programs, and shall— 
(A) identify ongoing successful adult day 
programs, including by providing a brief de-
scription of how such programs were initially 
established and funded; 
(B) develop a set of best practices to help 
guide the establishment and replication of addi-
tional successful adult day programs, includ-
ing— 
(i) program guidelines; 
(ii) recommendations on the scope of 
services that should be provided (which 
may include rehabilitation therapy, psycho-
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social support, social stimulation and inter-
action, and spiritual, educational, or other 
such services); and 
(iii) performance goals and indicators 
to measure and analyze the outcomes gen-
erated by the services provided and to 
evaluate the overall success of the pro-
gram; and 
(C) evaluate the extent to which the Ad-
ministration on Aging supports adult day pro-
grams, either directly or indirectly, through cur-
rent Federal grant programs. 
(3) REPORT.—Not later than 180 days after 
initiating the survey under paragraph (1), the As-
sistant Secretary for Aging shall produce and make 
publicly available a summary report on the results of 
the survey. Such report shall include each of the ele-
ments described in paragraph (2). 
(b) ESTABLISHMENT OF GRANT PROGRAM.— 
(1) IN GENERAL.—Not later than 90 days after 
producing the report required by subsection (a)(3), 
the Assistant Secretary for Aging shall establish 
within the Administration on Aging a competitive 
grant program for awarding grants annually to eligi-
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ble entities, based on the best practices developed 
under subsection (a), to fund adult day programs. 
(2) ELIGIBLE ENTITIES.—In order to be eligi-
ble for a grant under this subsection, an entity shall 
demonstrate the following: 
(A) Understanding of the special needs of 
people living with neurological diseases or con-
ditions such as multiple sclerosis, Parkinson’s 
disease, traumatic brain injury, or other similar 
diseases or conditions, including their functional 
abilities and the potential complications across 
all types of cases and stages of such diseases or 
conditions. 
(B) Understanding of the issues experi-
enced by family caregivers who assist a family 
member with neurological diseases or conditions 
such as multiple sclerosis, Parkinson’s disease, 
traumatic brain injury, or other similar diseases 
or conditions. 
(C) A capacity to provide the services rec-
ommended by the best practices developed 
under subsection (a). 
(3) ADDITIONAL SELECTION REQUIREMENT.— 
The Assistant Secretary for Aging shall not award 
a grant to an entity under this subsection if the 
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amount of the award would constitute more than 40 
percent of the operating budget of the entity in the 
fiscal year for which funds for the grant are author-
ized to be expended. For purposes of this subsection, 
the fair market value of annual in-kind contributions 
of equipment or services shall be considered as part 
of the operating budget of the entity. 
(4) SELECTION OF GRANT RECIPIENTS.—Not 
later than 90 days after establishing the grant pro-
gram under this subsection, the Assistant Secretary 
for Aging shall award the first annual series of 
grants under the program. In awarding grants under 
this subsection, the Assistant Secretary should en-
sure, to the extent practicable, a diverse geographic 
representation among grant recipients and that, sub-
ject to the availability of appropriations— 
(A) a minimum of 5 entities are selected as 
grant recipients for the first fiscal year for 
which such grants are awarded; 
(B) a minimum of 10 entities are selected 
as grant recipients for the second such fiscal 
year; 
(C) a minimum of 12 entities are selected 
as grant recipients for the third such fiscal 
year; and 
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(D) a minimum of 15 entities are selected 
as grant recipients for the fourth such fiscal 
year. 
(5) REPORT.—No later than 1 year after the 
initial award of grants under this subsection, and 
annually thereafter, the Assistant Secretary for 
Aging shall produce and make publicly available a 
brief summary report on the grant program under 
this section. Each such report shall include the fol-
lowing: 
(A) A description of the adult day pro-
grams receiving funding under this section, in-
cluding the amount of Federal funding awarded 
and the expected outcomes of each program. 
(B) A description of performance goals and 
indicators to monitor the progress of grant re-
cipients in— 
(i) responding to the needs of individ-
uals living with neurological diseases or 
conditions such as multiple sclerosis, Par-
kinson’s disease, traumatic brain injury, or 
other similar diseases or conditions; and 
(ii) assisting the family caregivers of 
such individuals. 
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(C) Any plans for improving oversight and 
management of the grant program. 
(c) DEFINITIONS.—In this Act: 
(1) The term ‘‘adult day program’’ means a 
program that provides comprehensive and effective 
care and support services to individuals living with 
neurological diseases or conditions such as multiple 
sclerosis, Parkinson’s disease, traumatic brain in-
jury, or other similar diseases or conditions that 
may result in a functional or degenerative disability 
and to their family caregivers and that may assist 
participants in ways that— 
(A) maintain or improve their functional 
abilities, or otherwise help them adjust to their 
changing functional abilities; 
(B) prevent the onset of complications as-
sociated with severe forms of the disease or con-
dition; 
(C) promote alternatives to placement in 
nursing homes; 
(D) reduce the strain on family caregivers 
taking care of a family member living with such 
diseases or conditions; 
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(E) focus on supporting the emotional, so-
cial, and intellectual needs of a younger adult 
population; or 
(F) address the needs of veterans living 
with such diseases or conditions. 
(2) The term ‘‘family caregiver’’ means a family 
member or foster parent who provides unpaid assist-
ance (which may include in-home monitoring, man-
agement, supervision, care and treatment, or other 
similar assistance) to another adult family member 
with a special need. 
(d) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, in addition to amounts otherwise made 
available for such purpose, there are authorized to be ap-
propriated, and to remain available until expended, the fol-
lowing: 
(1) $1,000,000 for fiscal year 2012. 
(2) $3,000,000 for fiscal year 2013. 
(3) $6,000,000 for fiscal year 2014. 
(4) $8,000,000 for fiscal year 2015. 
(5) $10,000,000 for fiscal year 2016. 
Æ 
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