HR 5293 RFS 
older individuals residing in rural areas)’’ 
each place it appears and inserting ‘‘(with 
particular attention to low-income older in-
dividuals, low-income minority older indi-
viduals, older individuals with limited 
English proficiency, and older individuals 
residing in rural areas)’’, and 
(ii) by inserting ‘‘the number of older 
individuals at risk for institutional place-
ment residing in such area,’’ after ‘‘indi-
viduals) residing in such area,’’, 
(B) in paragraph (4)— 
(i) in subparagraph (A)— 
(I) by amending clause (i) to 
read as follows: 
‘‘(i) provide assurances that the area agency on 
aging will— 
‘‘(I) set specific objectives, consistent with 
State policy, for providing services to older indi-
viduals with greatest economic need, older indi-
viduals with greatest social need, and older in-
dividuals at risk for institutional placement; 
‘‘(II) include in the area plan specific ob-
jectives for providing services to low-income mi-
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nority older individuals and older individuals re-
siding in rural areas; and 
‘‘(III) include in the area plan proposed 
methods to achieve such objectives;’’, and 
(II) in clause (ii) by inserting 
‘‘(including older individuals with lim-
ited English proficiency)’’ after ‘‘low 
income minority individuals’’ each 
place it appears; and 
(ii) in subparagraph (B)— 
(I) by moving the left margin of 
each of subparagraph (B), clauses (i) 
and (ii), and subclauses (I) through 
(VI) of clause (i), 2 ems to the left, 
(II) in clause (i)— 
(aa) in subclause (V) by 
striking ‘‘and’’ at the end; and 
(bb) by adding at the end 
the following: 
‘‘(VI) older individuals at risk for in-
stitutional placement; and’’, and 
(III) by striking ‘‘(VI)’’ and in-
serting ‘‘(VII)’’, 
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(C) in paragraph (5) by inserting ‘‘and in-
dividuals at risk for institutional placement’’ 
after ‘‘severe disabilities’’, 
(D) in paragraph (6)— 
(i) in subparagraph (C)— 
(I) in clause (i) by striking 
‘‘and’’ at the end, 
(II) in clause (ii) by adding 
‘‘and’’ at the end, and 
(III) by inserting after clause (ii) 
the following: 
‘‘(iii) make use of trained volunteers in 
providing direct services delivered to elderly and 
disabled individuals needing such care and, if 
possible, work in coordination with volunteer 
programs (including programs administered by 
the Corporation for National Service) designed 
to provide training, placement, and stipends for 
volunteers in community service settings.’’, 
(ii) in subparagraph (D)— 
(I) by inserting ‘‘family care-
givers of such individuals,’’ after 
‘‘Act,’’, and 
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(II) by inserting ‘‘service pro-
viders, the business community,’’ after 
‘‘individuals,’’, and 
(iii) by amending subparagraph (F) to 
read as follows: 
‘‘(F) in coordination with the State unit on 
aging and the State agency responsible for 
mental health services, increase public aware-
ness of mental health disorders, remove barriers 
to diagnosis and treatment, and coordinate 
mental health services provided (including men-
tal health screenings) with funds expended by 
the area agency on aging with mental health 
services provided by community health centers 
and by other public agencies and nonprofit pri-
vate organizations;’’, 
(E) by amending paragraph (7) to read as 
follows: 
‘‘(7) provide that the area agency on aging 
shall, consistent with this section, facilitate the area- 
wide development and implementation of a com-
prehensive, coordinated system for providing long- 
term care in home and community-based settings, in 
a manner responsive to the needs and preferences of 
older individuals and their family caregivers, by— 
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‘‘(A) collaborating, coordinating, and con-
sulting with other local public and private agen-
cies and organizations responsible for admin-
istering programs, benefits, and services related 
to providing long-term care; 
‘‘(B) conducting analyses, making rec-
ommendations, and implementing programs 
with respect to strategies for modifying the 
local system of long-term care to better— 
‘‘(i) respond to the needs and pref-
erences of older individuals and family 
caregivers; 
‘‘(ii) facilitate the provision, through 
service providers, of long-term care in 
home and community-based settings; and 
‘‘(iii) target services to older individ-
uals at risk for institutional placement, to 
permit such individuals to remain in home 
and community-based care settings; 
‘‘(C) implement, through the agency or 
service providers, evidence-based programs to 
assist older individuals and their family care-
givers in learning about and making behavioral 
changes intended to reduce the risk of injury, 
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disease, and disability among older individuals; 
and 
‘‘(D) provide for the availability and dis-
tribution (through public education campaigns, 
aging and disability resource centers, and other 
appropriate means) of information relating to— 
‘‘(i) the need to plan in advance for 
long-term care; and 
‘‘(ii) the range of available public and 
private long-term care programs, options, 
and resources;’’, 
(F) by striking paragraph (14) and the 2 
paragraphs (15), 
(G) by redesignating paragraph (16) as 
paragraph (14), and 
(I) by adding at the end the following: 
‘‘(15) provide assurances that funds received 
under this title will be used— 
‘‘(A) in a manner, consistent with para-
graph (4), that gives priority in furnishing ben-
efits and services to older individuals with 
greatest economic need, older individuals with 
greatest social need, and older individuals at 
risk for institutional placement; and 
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‘‘(B) in compliance with the assurances 
specified in paragraph (13) and the limitations 
specified in section 212(b); and 
‘‘(16) provide, to the maximum extent feasible, 
for the furnishing of services under this Act con-
sistent with self-directed care.’’, 
(2) by redesignating subsections (b), (c), (d), 
and (e) as subsections (c), (d), (e), and (f), and 
(3) by inserting after subsection (a) the fol-
lowing: 
‘‘(b)(1) An area agency on aging may include in the 
area plan an assessment of how prepared the planning and 
service area is for any anticipated change in the number 
of older individual during the 10-year period following the 
fiscal year for which the plan is submitted. Such assess-
ment may include— 
‘‘(A) the projected change in the number of 
older individuals in the planning and service area; 
‘‘(B) an analysis of how such change may affect 
such individuals, including such individuals with low 
incomes, such individuals with greatest economic 
need, minority older individuals, older individuals re-
siding in rural areas, and older individuals with lim-
ited English proficiency; 
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‘‘(C) an analysis of how the programs, policies, 
and services provided in the planning and service 
area can be improved, and how resource levels can 
be adjusted, to meet the needs of the changing popu-
lation of older individuals in such area; and 
‘‘(D) an analysis of how the change in the num-
ber of individuals 85 years of age and older is ex-
pected to affect the need for supportive services. 
‘‘(2) An area agency on aging, in cooperation with 
government officials, State agencies, tribal organizations, 
or local entities, may make recommendations to govern-
ment officials in the planning and service area and the 
State, on actions determined by the area agency to build 
the capacity in the planning and service area to meet the 
needs of older individuals for— 
‘‘(A) health and human services; 
‘‘(B) land use; 
‘‘(C) housing; 
‘‘(D) transportation; 
‘‘(E) public safety; 
‘‘(F) workforce and economic development; 
‘‘(G) recreation; 
‘‘(H) education; 
‘‘(I) civic engagement; and 
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