H. R. 3590—670 
‘‘(3) EXPIRATION OF TERMS.—The term of any member shall 
not expire before the date on which the member’s successor 
takes office. 
‘‘(e) ELECTION OF OFFICERS.—The Advisory Board shall elect 
a Chair and Vice Chair from among its members. The Advisory 
Board shall elect its initial Chair and Vice Chair at its initial 
meeting. 
‘‘(f) DUTIES.— 
‘‘(1) ENHANCE COMMUNICATION ON PROMOTING QUALITY OF, 
AND PREVENTING ABUSE, NEGLECT, AND EXPLOITATION IN, LONG- 
TERM CARE.—The Advisory Board shall develop collaborative 
and innovative approaches to improve the quality of, including 
preventing abuse, neglect, and exploitation in, long-term care. 
‘‘(2) COLLABORATIVE
EFFORTS
TO
DEVELOP
CONSENSUS 
AROUND THE MANAGEMENT OF CERTAIN QUALITY-RELATED FAC-
TORS.— 
‘‘(A) IN GENERAL.—The Advisory Board shall establish 
multidisciplinary panels to address, and develop consensus 
on, subjects relating to improving the quality of long-term 
care. At least 1 such panel shall address, and develop 
consensus on, methods for managing resident-to-resident 
abuse in long-term care. 
‘‘(B) ACTIVITIES
CONDUCTED.—The multidisciplinary 
panels established under subparagraph (A) shall examine 
relevant research and data, identify best practices with 
respect to the subject of the panel, determine the best 
way to carry out those best practices in a practical and 
feasible manner, and determine an effective manner of 
distributing information on such subject. 
‘‘(3) REPORT.—Not later than the date that is 18 months 
after the date of enactment of the Elder Justice Act of 2009, 
and annually thereafter, the Advisory Board shall prepare and 
submit to the Elder Justice Coordinating Council, the Com-
mittee on Finance of the Senate, and the Committee on Ways 
and Means and the Committee on Energy and Commerce of 
the House of Representatives a report containing— 
‘‘(A) information on the status of Federal, State, and 
local public and private elder justice activities; 
‘‘(B) recommendations (including recommended prior-
ities) regarding— 
‘‘(i) elder justice programs, research, training, serv-
ices, practice, enforcement, and coordination; 
‘‘(ii) coordination between entities pursuing elder 
justice efforts and those involved in related areas that 
may inform or overlap with elder justice efforts, such 
as activities to combat violence against women and 
child abuse and neglect; and 
‘‘(iii) activities relating to adult fiduciary systems, 
including guardianship and other fiduciary arrange-
ments; 
‘‘(C) recommendations for specific modifications needed 
in Federal and State laws (including regulations) or for 
programs, research, and training to enhance prevention, 
detection, and treatment (including diagnosis) of, interven-
tion in (including investigation of), and prosecution of elder 
abuse, neglect, and exploitation;
H. R. 3590—671 
‘‘(D) recommendations on methods for the most effec-
tive coordinated national data collection with respect to 
elder justice, and elder abuse, neglect, and exploitation; 
and 
‘‘(E) recommendations for a multidisciplinary strategic 
plan to guide the effective and efficient development of 
the field of elder justice. 
‘‘(g) POWERS OF THE ADVISORY BOARD.— 
‘‘(1) INFORMATION FROM FEDERAL AGENCIES.—Subject to the 
requirements of section 2012(a), the Advisory Board may secure 
directly from any Federal department or agency such informa-
tion as the Advisory Board considers necessary to carry out 
this section. Upon request of the Chair of the Advisory Board, 
the head of such department or agency shall furnish such 
information to the Advisory Board. 
‘‘(2) SHARING OF DATA AND REPORTS.—The Advisory Board 
may request from any entity pursuing elder justice activities 
under the Elder Justice Act of 2009 or an amendment made 
by that Act, any data, reports, or recommendations generated 
in connection with such activities. 
‘‘(3) POSTAL SERVICES.—The Advisory Board may use the 
United States mails in the same manner and under the same 
conditions as other departments and agencies of the Federal 
Government. 
‘‘(h) TRAVEL EXPENSES.—The members of the Advisory Board 
shall not receive compensation for the performance of services for 
the Advisory Board. The members shall be allowed travel expenses 
for up to 4 meetings per year, including per diem in lieu of subsist-
ence, at rates authorized for employees of agencies under subchapter 
I of chapter 57 of title 5, United States Code, while away from 
their homes or regular places of business in the performance of 
services for the Advisory Board. Notwithstanding section 1342 of 
title 31, United States Code, the Secretary may accept the voluntary 
and uncompensated services of the members of the Advisory Board. 
‘‘(i) DETAIL OF GOVERNMENT EMPLOYEES.—Any Federal Govern-
ment employee may be detailed to the Advisory Board without 
reimbursement, and such detail shall be without interruption or 
loss of civil service status or privilege. 
‘‘(j) STATUS AS PERMANENT ADVISORY COMMITTEE.—Section 14 
of the Federal Advisory Committee Act (5 U.S.C. App.) shall not 
apply to the advisory board. 
‘‘(k) AUTHORIZATION OF APPROPRIATIONS.—There are authorized 
to be appropriated such sums as are necessary to carry out this 
section. 
‘‘SEC. 2023. RESEARCH PROTECTIONS. 
‘‘(a) GUIDELINES.—The Secretary shall promulgate guidelines 
to assist researchers working in the area of elder abuse, neglect, 
and exploitation, with issues relating to human subject protections. 
‘‘(b) DEFINITION OF LEGALLY AUTHORIZED REPRESENTATIVE FOR 
APPLICATION
OF REGULATIONS.—For purposes of the application 
of subpart A of part 46 of title 45, Code of Federal Regulations, 
to research conducted under this subpart, the term ‘legally author-
ized representative’ means, unless otherwise provided by law, the 
individual or judicial or other body authorized under the applicable 
law to consent to medical treatment on behalf of another person.
H. R. 3590—672 
‘‘SEC. 2024. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There are authorized to be appropriated to carry out this 
subpart— 
‘‘(1) for fiscal year 2011, $6,500,000; and 
‘‘(2) for each of fiscal years 2012 through 2014, $7,000,000. 
‘‘Subpart B—Elder Abuse, Neglect, and 
Exploitation Forensic Centers 
‘‘SEC. 2031. ESTABLISHMENT AND SUPPORT OF ELDER ABUSE, 
NEGLECT, AND EXPLOITATION FORENSIC CENTERS. 
‘‘(a) IN GENERAL.—The Secretary, in consultation with the 
Attorney General, shall make grants to eligible entities to establish 
and operate stationary and mobile forensic centers, to develop 
forensic expertise regarding, and provide services relating to, elder 
abuse, neglect, and exploitation. 
‘‘(b) STATIONARY
FORENSIC
CENTERS.—The Secretary shall 
make 4 of the grants described in subsection (a) to institutions 
of higher education with demonstrated expertise in forensics or 
commitment to preventing or treating elder abuse, neglect, or exploi-
tation, to establish and operate stationary forensic centers. 
‘‘(c) MOBILE CENTERS.—The Secretary shall make 6 of the 
grants described in subsection (a) to appropriate entities to establish 
and operate mobile forensic centers. 
‘‘(d) AUTHORIZED ACTIVITIES.— 
‘‘(1) DEVELOPMENT OF FORENSIC MARKERS AND METHODOLO-
GIES.—An eligible entity that receives a grant under this section 
shall use funds made available through the grant to assist 
in determining whether abuse, neglect, or exploitation occurred 
and whether a crime was committed and to conduct research 
to describe and disseminate information on— 
‘‘(A) forensic markers that indicate a case in which 
elder abuse, neglect, or exploitation may have occurred; 
and 
‘‘(B) methodologies for determining, in such a case, 
when and how health care, emergency service, social and 
protective services, and legal service providers should inter-
vene and when the providers should report the case to 
law enforcement authorities. 
‘‘(2) DEVELOPMENT
OF
FORENSIC
EXPERTISE.—An eligible 
entity that receives a grant under this section shall use funds 
made available through the grant to develop forensic expertise 
regarding elder abuse, neglect, and exploitation in order to 
provide medical and forensic evaluation, therapeutic interven-
tion, victim support and advocacy, case review, and case 
tracking. 
‘‘(3) COLLECTION OF EVIDENCE.—The Secretary, in coordina-
tion with the Attorney General, shall use data made available 
by grant recipients under this section to develop the capacity 
of geriatric health care professionals and law enforcement to 
collect forensic evidence, including collecting forensic evidence 
relating to a potential determination of elder abuse, neglect, 
or exploitation. 
‘‘(e) APPLICATION.—To be eligible to receive a grant under this 
section, an entity shall submit an application to the Secretary
H. R. 3590—673 
at such time, in such manner, and containing such information 
as the Secretary may require. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There are authorized 
to be appropriated to carry out this section— 
‘‘(1) for fiscal year 2011, $4,000,000; 
‘‘(2) for fiscal year 2012, $6,000,000; and 
‘‘(3) for each of fiscal years 2013 and 2014, $8,000,000. 
‘‘PART II—PROGRAMS TO PROMOTE ELDER 
JUSTICE 
‘‘SEC. 2041. ENHANCEMENT OF LONG-TERM CARE. 
‘‘(a) GRANTS AND INCENTIVES FOR LONG-TERM CARE STAFFING.— 
‘‘(1) IN GENERAL.—The Secretary shall carry out activities, 
including activities described in paragraphs (2) and (3), to pro-
vide incentives for individuals to train for, seek, and maintain 
employment providing direct care in long-term care. 
‘‘(2) SPECIFIC PROGRAMS TO ENHANCE TRAINING, RECRUIT-
MENT, AND RETENTION OF STAFF.— 
‘‘(A) COORDINATION
WITH
SECRETARY
OF
LABOR
TO 
RECRUIT AND TRAIN LONG-TERM CARE STAFF.—The Secretary 
shall coordinate activities under this subsection with the 
Secretary of Labor in order to provide incentives for individ-
uals to train for and seek employment providing direct 
care in long-term care. 
‘‘(B) CAREER LADDERS AND WAGE OR BENEFIT INCREASES 
TO INCREASE STAFFING IN LONG-TERM CARE.— 
‘‘(i) IN GENERAL.—The Secretary shall make grants 
to eligible entities to carry out programs through which 
the entities— 
‘‘(I) offer, to employees who provide direct care 
to residents of an eligible entity or individuals 
receiving community-based long-term care from an 
eligible entity, continuing training and varying 
levels of certification, based on observed clinical 
care practices and the amount of time the 
employees spend providing direct care; and 
‘‘(II) provide, or make arrangements to pro-
vide, bonuses or other increased compensation or 
benefits to employees who achieve certification 
under such a program. 
‘‘(ii) APPLICATION.—To be eligible to receive a grant 
under this subparagraph, an eligible entity shall 
submit an application to the Secretary at such time, 
in such manner, and containing such information as 
the Secretary may require (which may include evidence 
of consultation with the State in which the eligible 
entity is located with respect to carrying out activities 
funded under the grant). 
‘‘(iii) 
AUTHORITY
TO
LIMIT
NUMBER
OF 
APPLICANTS.—Nothing in this subparagraph shall be 
construed as prohibiting the Secretary from limiting 
the number of applicants for a grant under this 
subparagraph. 
‘‘(3) SPECIFIC PROGRAMS TO IMPROVE MANAGEMENT PRAC-
TICES.—