I 
109TH CONGRESS 
2D SESSION 
H. R. 5293 
To amend the Older Americans Act of 1965 to authorize appropriations 
for fiscal years 2007 through 2011, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 4, 2006 
Mr. TIBERI (for himself and Mr. HINOJOSA) introduced the following bill; 
which was referred to the Committee on Education and the Workforce 
A BILL 
To amend the Older Americans Act of 1965 to authorize 
appropriations for fiscal years 2007 through 2011, and 
for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Senior Independence 
Act of 2006’’. 
SEC. 2. DEFINITIONS. 
Section 102 of the Older Americans Act of 1965 (42 
U.S.C. 3002) is amended— 
(1) by amending paragraph (12)(D) to read as 
follows: 
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‘‘(D) evidence-based health promotion pro-
grams, including programs related to the pre-
vention and mitigation of the effects of chronic 
disease (including osteoporosis, hypertension, 
obesity, diabetes, and cardiovascular disease), 
alcohol and substance abuse reduction, smoking 
cessation, weight loss and control, stress man-
agement, falls prevention, physical activity, and 
improved nutrition through the consumption of 
a healthful diet and multivitamin-mineral sup-
plementation;’’, 
(2) in paragraph (29)(E)— 
(A) in clause (i) by striking ‘‘and’’ at the 
end, 
(B) in clause (ii) by striking the period at 
the end and inserting ‘‘; and’’ , and 
(C) by adding at the end the following: 
‘‘(iii) older individuals at risk for in-
stitutional placement.’’, 
(3) by redesignating paragraphs (1) through 
(43) as paragraphs (43), (7), (46), (36), (24), (25), 
(50), (13), (45), (8), (27), (12), (1), (2), (3), (5), 
(6), (10), (23), (34), (11), (14),(15), (16), (18), 
(19), (20), (21), (26), (28), (30), (31) (32), (35), 
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(37), (40), (41), (47), (49), (17), (38), (39), and 
(44), respectively, 
(4) by transferring such paragraphs so as to ar-
range them in numerical order as so redesignated, 
(5) by inserting after paragraph (3), as so re-
designated the following: 
‘‘(4) The term ‘Aging and Disability Resource 
Center’ means a program established by a State as 
part of the State’s system of long-term care, to pro-
vide a coordinated system for providing— 
‘‘(A) comprehensive information on avail-
able public and private long-term care pro-
grams, options, and resources; 
‘‘(B) personal counseling to assist individ-
uals in assessing their existing or anticipated 
long-term care needs, and developing and imple-
menting a plan for long-term care designed to 
meet their specific needs and circumstances; 
and 
‘‘(C) consumer access to the range of pub-
licly-supported long-term care programs for 
which they may be eligible, by serving as a con-
venient point of entry for such programs.’’, 
(6) by inserting after paragraph (8), as so re-
designated, the following: 
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‘‘(9) The term ‘at risk for institutional place-
ment’ means, with respect to an older individual, 
that such individual is unable to perform at least 
two activities of daily living without substantial 
human assistance (including verbal reminding, phys-
ical cuing, or supervision) and is determined by the 
State to be in need of placement in a long-term care 
facility.’’, 
(7) by inserting after paragraph (21), as so re-
designated, the following: 
‘‘(22) The term ‘Hispanic serving institution’ 
has the meaning as defined in section 502 of the 
Higher Education Act of 1965 (20 U.S.C. 1101A).’’, 
(8) by inserting after paragraph (28), as so re-
designated, the following: 
‘‘(29) The term ‘long-term care’ means any 
services, care, or items (including assistive devices)a, 
including disease prevention and health promotion 
services, in-home services, and case management 
service— 
‘‘(A) intended to assist individuals in cop-
ing with, and to the extent practicable com-
pensate for, functional impairments in carrying 
out activities of daily living; 
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