I 
113TH CONGRESS 
2D SESSION 
H. R. 4122 
To reauthorize the Older Americans Act of 1965, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 28, 2014 
Ms. BONAMICI (for herself, Mr. HINOJOSA, and Mr. GEORGE MILLER of Cali-
fornia) introduced the following bill; which was referred to the Committee 
on Education and the Workforce 
A BILL 
To reauthorize the Older Americans Act of 1965, 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 ‘‘Older Americans Act 
Reauthorization Act of 2014’’. 
SEC. 2. OBJECTIVES. 
Section 101 of the Older Americans Act of 1965 (42 
U.S.C. 3001) is amended— 
(1) by amending paragraph (1) to read as fol-
lows: 
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‘‘(1) An adequate income and economic security 
in later life in accordance with the American stand-
ard of living.’’; 
(2) in paragraph (4), by inserting ‘‘care coordi-
nation and’’ after ‘‘including’’; 
(3) in paragraph (8), by inserting ‘‘and sup-
ports, offered in a culturally and linguistically com-
petent manner’’ after ‘‘community services,’’; 
(4) by striking paragraphs (9) and (10) and in-
serting the following: 
‘‘(9) Immediate benefit from proven research 
knowledge which can sustain and improve health, 
happiness, and economic security. 
‘‘(10) Freedom, independence, economic secu-
rity, and the free exercise of individual initiative for 
older individuals in planning and managing their 
own lives, full participation in the planning and op-
eration of community-based services and programs 
provided for their benefit, and protection against 
abuse, neglect, and exploitation.’’; and 
(5) by adding at the end the following: 
‘‘(11) Acquiring high-quality services in a man-
ner that is culturally and linguistically responsive to 
older individuals and family caregivers.’’. 
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SEC. 3. DEFINITIONS. 
Section 102 of the Older Americans Act of 1965 (42 
U.S.C. 3002) is amended— 
(1) by striking paragraph (1) and inserting the 
following: 
‘‘(1) The term ‘abuse’ means the knowing in-
fliction of physical or psychological harm or the 
knowing deprivation of goods or services that are 
necessary to meet essential needs or to avoid phys-
ical or psychological harm.’’; 
(2) by striking paragraph (3) and inserting the 
following: 
‘‘(3) The term ‘adult protective services’ means 
such services provided to adults as the Secretary 
may specify and includes services such as— 
‘‘(A) receiving reports of adult abuse, ne-
glect, or exploitation; 
‘‘(B) investigating the reports described in 
subparagraph (A); 
‘‘(C) case planning, monitoring, evaluation, 
and other casework and services; and 
‘‘(D) providing, arranging for, or facili-
tating the provision of medical, social service, 
economic, legal, housing, law enforcement, or 
other protective, emergency, or support serv-
ices.’’; 
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(3) by striking paragraph (4) and inserting the 
following: 
‘‘(4) The term ‘Aging and Disability Resource 
Center’ means an entity, network, or consortium es-
tablished by a State as part of the State system of 
long-term care, to provide a coordinated and inte-
grated system for older individuals and individuals 
with disabilities (as defined in section 3 of the Amer-
icans with Disabilities Act of 1990 (42 U.S.C. 
12102)), and the caregivers of older individuals and 
individuals with disabilities, that provides— 
‘‘(A) comprehensive information on the full 
range of available public and private long-term 
care programs, options, service providers, and 
resources within a community, including infor-
mation on the availability of integrated long- 
term care services, and Federal or State pro-
grams that provide long-term care services and 
supports through home and community-based 
service programs; 
‘‘(B) person-centered counseling to assist 
individuals in assessing their existing or antici-
pated long-term care needs and goals, and de-
veloping and implementing a person-centered 
plan for long-term care that is consistent with 
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the desires of such an individual and designed 
to meet the individual’s specific needs, goals, 
and circumstances; 
‘‘(C) access for individuals to the full 
range of publicly-supported long-term care serv-
ices and supports for which the individuals may 
be eligible, including home and community- 
based service options, by serving as a conven-
ient point of entry for such programs and sup-
ports; and 
‘‘(D) in cooperation with area agencies on 
aging, centers for independent living described 
in part C of title VII of the Rehabilitation Act 
of 1973 (29 U.S.C. 796f et seq.), and other 
community-based entities, information and re-
ferrals regarding available home and commu-
nity-based services for individuals who are at 
risk for residing in, or who reside in, institu-
tional settings, so that the individuals have the 
choice to remain in or to return to the commu-
nity.’’; 
(4) in paragraph (14)(B), by inserting ‘‘oral 
health,’’ after ‘‘bone density,’’; 
(5) by amending paragraph (17) to read as fol-
lows: 
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‘‘(17) The term ‘elder justice’ means— 
‘‘(A) from a societal perspective, efforts 
to— 
‘‘(i) prevent, detect, treat, intervene 
in, and prosecute elder abuse, neglect, and 
exploitation; and 
‘‘(ii) protect older individuals with di-
minished capacity while maximizing their 
autonomy; and 
‘‘(B) from an individual perspective, the 
recognition of an older individual’s rights, in-
cluding the right to be free of abuse, neglect, 
and exploitation.’’; 
(6) in paragraph (18)(A), by striking ‘‘term ‘ex-
ploitation’ means’’ and inserting ‘‘terms ‘exploi-
tation’ and ‘financial exploitation’ mean’’; 
(7) in paragraph (24)— 
(A) in subparagraph (B), by striking 
‘‘and’’ at the end; 
(B) in subparagraph (C), by striking the 
period at the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following: 
‘‘(D) status as an LGBT individual.’’; 
(8) by redesignating paragraphs (34) through 
(54) as paragraphs (36) through (56), respectively; 
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(9) by redesignating paragraphs (13) through 
(33) as paragraphs (14) through (34), respectively; 
(10) by inserting after paragraph (12) the fol-
lowing: 
‘‘(13) The term ‘cultural and linguistic com-
petence’ means competence in a set of behaviors, at-
titudes, and policies that— 
‘‘(A) is used by an organization or among 
professionals; and 
‘‘(B) enables effective work in cross-cul-
tural situations.’’; and 
(11) by inserting after paragraph (34), as so 
redesignated the following: 
‘‘(35) The term ‘LGBT’, used with respect to 
an individual, means a lesbian, gay, bisexual, or 
transgender individual.’’. 
SEC. 4. ADMINISTRATION ON AGING. 
(a) BEST PRACTICES.—Section 201 of the Older 
Americans Act of 1965 (42 U.S.C. 3011) is amended— 
(1) in subsection (d)(3)— 
(A) in subparagraph (J), by inserting be-
fore the semicolon the following: ‘‘, including 
the effectiveness of such services in meeting the 
needs of LGBT older individuals’’; 
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(B) in subparagraph (K), by striking 
‘‘and’’ at the end; 
(C) in subparagraph (L)— 
(i) by striking ‘‘Older Americans Act 
Amendments of 1992’’ and inserting 
‘‘Older Americans Act Reauthorization Act 
of 2014’’; and 
(ii) by striking ‘‘712(h)(4).’’ and in-
serting ‘‘712(h)(5); and’’; and 
(D) by adding at the end the following: 
‘‘(M) collect and analyze best practices related 
to responding to elder abuse, neglect, and exploi-
tation in long-term care facilities, and publish a re-
port of such best practices.’’; and 
(2) in subsection (e)(2)— 
(A) in the matter preceding subparagraph 
(A), by inserting ‘‘, and in coordination with 
the heads of State adult protective services pro-
grams and the Director of the Office of Long- 
Term Care Ombudsman Programs’’ after ‘‘and 
services’’; and 
(B) in subparagraph (A)(iv) by inserting 
‘‘(including data and statistics on the incidence 
and prevalence of elder abuse, neglect, and ex-
ploitation)’’ after ‘‘exploitation’’. 
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(b) FUNCTIONS OF ASSISTANT SECRETARY.—Section 
202 of the Older Americans Act of 1965 (42 U.S.C. 3012) 
is amended— 
(1) in subsection (a)— 
(A) in paragraph (5), by inserting ‘‘health 
and economic’’ before ‘‘needs of older individ-
uals’’; 
(B) in paragraph (7), by inserting ‘‘health 
and economic’’ before ‘‘welfare’’; 
(C) in paragraph (14), by inserting ‘‘(in-
cluding the Health Resources and Services Ad-
ministration)’’ after ‘‘other agencies’’; 
(D) by amending paragraph (15) to read 
as follows: 
‘‘(15)(A) as needed, provide technical assist-
ance, training through training packages, and other 
forms of instruction to entities consisting of State 
agencies, area agencies on aging, service providers, 
and community-based organizations, to ensure that 
the entities develop and implement, in a culturally 
and linguistically competent manner, programming, 
services, and outreach for older individuals with 
greatest economic need and older individuals with 
greatest social need, with particular attention to and 
specific objectives for providing services to low-in-
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come minority individuals and older individuals re-
siding in rural areas; and 
‘‘(B) consult with national and community- 
based organizations representing minority individ-
uals to develop the capacity of the Administration to 
provide such technical assistance, training, and in-
struction.’’; 
(E) in paragraph (16)(A)(ii), by inserting 
‘‘, and separately specifying the number of such 
individuals who are LGBT individuals’’ before 
the semicolon; 
(F) in paragraph (27), by striking ‘‘and’’ 
at the end; 
(G) in paragraph (28), by striking the pe-
riod and inserting a semicolon; and 
(H) by adding at the end the following: 
‘‘(29) provide information and technical assist-
ance to States, area agencies on aging, and service 
providers, in collaboration with relevant Federal 
agencies, on providing efficient, person-centered 
transportation services, including across geographic 
boundaries; 
‘‘(30) identify model programs and provide in-
formation and technical assistance to States, area 
agencies on aging, and service providers (including 
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providers operating multipurpose senior centers), to 
support the modernization of multipurpose senior 
centers; 
‘‘(31) provide technical assistance to and share 
best practices with States, area agencies on aging, 
and Aging and Disability Resource Centers, on how 
to collaborate and coordinate services with health 
care entities, such as Federally-qualified health cen-
ters, as defined in section 1905(l)(2)(B) of the So-
cial Security Act (42 U.S.C. 1396d(l)(2)(B)), in 
order to improve care coordination for individuals 
with multiple chronic illnesses; 
‘‘(32) conduct studies and collect data to deter-
mine the services that are needed by LGBT older in-
dividuals; and 
‘‘(33) ensure through regulation (or other com-
munications with programs carried out under this 
Act) and through oversight that all programs funded 
through this Act where staff, including volunteers, 
come into direct contact with older adults, have re-
ceived appropriate training in elder abuse prevention 
and detection, and to regularly evaluate the need for 
and benefit of such training related to abuse, ne-
glect, and exploitation of older adults.’’; 
(2) in subsection (b)— 
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(A) in paragraph (5)— 
(i) in subparagraph (B), by striking 
‘‘and’’ after the semicolon; 
(ii) in subparagraph (C), by inserting 
‘‘and’’ after the semicolon; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(D) when feasible, developing, in con-
sultation with States and national organiza-
tions, a consumer-friendly tool to assist older 
individuals and their families in choosing home 
and community-based services, with a particular 
focus on ways for consumers to assess how pro-
viders protect the health, safety, welfare, and 
rights, including the rights provided under sec-
tion 314, of older individuals;’’; and 
(B) in paragraph (8)— 
(i) in subparagraph (B), by inserting 
‘‘to identify and articulate goals of care 
and’’ after ‘‘individuals’’; 
(ii) in subparagraph (D)— 
(I) by inserting ‘‘respond to or’’ 
before ‘‘plan’’; and 
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(II) by striking ‘‘future long-term 
care needs; and’’ and inserting ‘‘long- 
term care needs;’’; 
(iii) in subparagraph (E), by adding 
‘‘and’’ at the end; and 
(iv) by adding at the end the fol-
lowing: 
‘‘(F) to provide information and referrals 
regarding available home and community-based 
services for individuals who are at risk for re-
siding in, or who reside in, institutional set-
tings, so that the individuals have the choice to 
remain in or to return to the community;’’; and 
(3) by adding at the end the following: 
‘‘(g) The Assistant Secretary shall ensure, where ap-
propriate, that all programs funded under this Act include 
appropriate training in the prevention of abuse, neglect, 
and exploitation and provision of services that address 
elder justice and the exploitation of older individuals. 
‘‘(h)(1) The Assistant Secretary shall establish and 
operate a National Resource Center for Women and Re-
tirement (referred to in this subsection as the ‘Center’). 
‘‘(2) The Assistant Secretary shall make available to 
the Center such resources as are necessary for the Center 
to carry out effectively the functions of the Center under 
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this Act, which shall be an amount not less than $279,000 
for fiscal year 2014. In subsequent fiscal years, the Assist-
ant Secretary shall make available to the Center not less 
than the amount of resources made available to the Center 
under this paragraph for fiscal year 2014. 
‘‘(i) The Assistant Secretary shall, directly or by 
grant or contract, establish and operate a National Adult 
Protective Services Resource Center. 
‘‘(j)(1) The Assistant Secretary shall, directly or by 
grant or contract, establish and operate the National Re-
source 
Center 
on 
Lesbian, 
Gay, 
Bisexual, 
and 
Transgender Aging. 
‘‘(2) The Assistant Secretary shall develop and issue 
operating standards and reporting requirements for the 
Center established under paragraph (1). 
‘‘(3) The Assistant Secretary shall make available to 
the Center such resources as are necessary for the Center 
to carry out effectively the functions of the Center under 
this Act for fiscal year 2014. In subsequent fiscal years, 
the Assistant Secretary shall make available to the Center 
not less than the amount of resources made available to 
the Center under this paragraph for fiscal year 2014.’’. 
(c) REPORTS.—Section 207 of the Older Americans 
Act of 1965 (42 U.S.C. 3018) is amended— 
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(iii) by striking paragraph (2). 
(k) NATIONAL FAMILY CAREGIVER SUPPORT PRO-
GRAM.—Section 373 of the Older Americans Act of 1965 
(42 U.S.C. 3030s–1) is amended— 
(1) in subsection (a)(2), by striking ‘‘grand-
parents or older individuals who are relative care-
givers.’’ and inserting ‘‘older relative caregivers.’’; 
(2) in subsection (c)— 
(A) in paragraph (1), in the matter pre-
ceding subparagraph (A), by striking ‘‘grand-
parents and older individuals who are relative 
caregivers, and who’’ and inserting ‘‘older rel-
ative caregivers, who’’; and 
(B) in paragraph (2)(B), by striking ‘‘to 
older individuals providing care to individuals 
with severe disabilities, including children with 
severe disabilities’’ and inserting ‘‘to older rel-
ative caregivers of children with severe disabil-
ities, or individuals with disabilities who have 
severe disabilities’’; 
(3) in subsection (e)(3), by striking ‘‘grand-
parents or older individuals who are relative care-
givers’’ and inserting ‘‘older relative caregivers’’; 
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