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which they may be eligible, by serving as a con-
venient point of entry for such programs.’’, 
(9) by inserting after paragraph (8), as so re-
designated, the following: 
‘‘(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.’’, 
(10) by inserting after paragraph (15), as so 
redesignated, the following: 
‘‘(16) The term ‘elder justice’ means efforts to 
prevent, detect, treat, intervene in, and respond to 
elder abuse, neglect, and exploitation and to protect 
elders with diminished capacity while maximizing 
their autonomy.’’, 
(11) by inserting after paragraph (22), as so 
redesignated, the following: 
‘‘(23) 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).’’, 
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(12) by inserting after paragraph (30), as so 
redesignated, the following: 
‘‘(31) The term ‘long-term care’ means any 
services, care, or items (including assistive devices), 
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; 
‘‘(B) furnished at home, in a community 
care setting (including a small community care 
setting as defined in subsection (g)(1), and a 
large community care setting as defined in sub-
section (h)(1), of section 1929 of the Social Se-
curity Act (42 U.S.C. 1396t)), or in a long- 
term care facility; and 
‘‘(C) not furnished to prevent, diagnose, 
treat, or cure a medical disease or condition.’’, 
(13) by inserting after paragraph (33), as so 
redesignated, the following: 
‘‘(34) The term ‘multivitamin-mineral supple-
ment’ means a dietary supplement that provides at 
least two-third’s of the essential vitamins and min-
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erals at 100 percent of the daily value levels as de-
termined by the Food and Drug Administration.’’, 
(14) by inserting after paragraph (43), as so 
redesignated, the following: 
‘‘(44) The term ‘self-directed care’ means an 
approach to providing services (including programs, 
benefits, supports, and technology) under this Act 
intended to an older individual to assist such indi-
vidual with activities of daily living, in which 
‘‘(A) such services (including the amount, 
duration, scope, provider, and location of such 
services) are planned, budgeted, and purchased 
under the direction and control of such indi-
vidual; 
‘‘(B) such individual is provided with such 
information and assistance as necessary and ap-
propriate to enable such individual to make in-
formed decisions about his or her care options; 
‘‘(C) the needs, capabilities, and pref-
erences of such individual with respect to such 
services, and such individual’s ability to direct 
and control his or her receipt of such services, 
are assessed by the area agency on aging (or 
other agency designated by the area agency on 
aging); 
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