‘‘(II) make efforts to identify and 
obtain appropriate materials; and 
‘‘(III) identify and obtain mate-
rials relating to effective methods of 
conducting training and providing 
technical assistance relating to elder 
justice, 
including 
conducting 
the 
training and providing the assistance 
for underserved populations. 
‘‘(ii) INFORMATION
PACKETS.—After 
evaluating the materials described in this 
paragraph, the Library shall compile and 
develop information packets for use by 
groups in various settings including groups 
who are underserved or have other special 
needs. Such information packets shall in-
clude information and materials on train-
ing, technical assistance, and promising 
practices 
targeted 
at 
specific 
topics, 
groups, and settings. 
‘‘(b) COLLECTION OF UNIFORM NATIONAL DATA ON 
ELDER ABUSE, NEGLECT, AND EXPLOITATION.— 
‘‘(1) PURPOSE.—The purpose of this subsection 
is to improve, streamline, and promote uniform col-
lection, maintenance, and dissemination of national
data relating to elder abuse, neglect, and exploi-
tation. 
‘‘(2) PHASE I.—
‘‘(A) IN GENERAL.—Not later than 1 year 
after the date of enactment of the Elder Justice 
Act, the Director of the Centers for Disease 
Control and Prevention (in this subsection re-
ferred to as the ‘Director’), after consultation 
with the Attorney General and working with ex-
perts in relevant disciplines, shall—
‘‘(i) develop a method for collecting 
national data regarding elder abuse, ne-
glect, and exploitation; and 
‘‘(ii) develop uniform national data re-
porting forms adapted to each relevant en-
tity or discipline (such as health, public 
safety, social and protective services, and 
law) reflecting—
‘‘(I) the distinct manner in which 
each discipline receives and maintains 
information; and 
‘‘(II) the sequence and history of 
reports to or involvement of different 
disciplines, independently, or the se-
quence and history of reports from 
one discipline to another over time. 
‘‘(B) FORMS.—The national data reporting 
forms described in subparagraph (A)(ii) shall 
incorporate the definitions of this title, for use 
in determining what is considered a reportable 
event. 
‘‘(3) PHASE II.—
‘‘(A) IN GENERAL.—Not later than 1 year 
after the completion of the activities described 
in paragraph (2), the Director shall ensure that 
the national data reporting forms and data col-
lection methods developed in accordance with 
such paragraph are pilot tested in 6 States de-
termined by the Director. 
‘‘(B) ADJUSTMENTS
TO
THE
FORM
AND 
METHODS.—The Director, after considering the 
results of the pilot testing described in subpara-
graph (A), and after consultation with the At-
torney General and relevant experts shall adjust 
the national data reporting forms and data col-
lection methods as necessary. 
‘‘(4) PHASE III.—
‘‘(A) DISTRIBUTION
OF
NATIONAL
DATA 
REPORTING
FORMS.—After completion of the
adjustment to the national data reporting forms 
under paragraph (3)(B), the Director shall sub-
mit the national data reporting forms along 
with instructions to—
‘‘(i) the heads of the relevant compo-
nents of the Department of Health and 
Human Services, the Department of Jus-
tice, and the Department of the Treasury, 
and such other Federal entities as may be 
appropriate; and 
‘‘(ii) the Governor’s office of each 
State for collection from all relevant State 
entities of data, including health care, so-
cial services, and law enforcement data. 
‘‘(B) DATA COLLECTION GRANTS.—
‘‘(i) AUTHORIZATION.—The Director 
is authorized to award grants to States to 
improve data collection activities relating 
to elder abuse, neglect, and exploitation. 
‘‘(ii) AMOUNT.—The amount of funds 
provided under each grant awarded to a 
State under this subsection shall not ex-
ceed $200,000, to be distributed in accord-
ance with clause (v).
‘‘(iii) APPLICATION.—Each State de-
siring a grant under this subparagraph 
shall submit to the Director an application 
at such time, in such manner, and con-
taining such information as the Director 
may require. 
‘‘(iv) REQUIREMENTS.—Each State 
receiving a grant under this subparagraph 
for a fiscal year is required to report data 
for the calendar year that begins during 
that fiscal year, using the national data re-
porting forms described in subparagraph 
(A). 
‘‘(v) FUNDING.—
‘‘(I) FIRST YEAR.—For the first 
fiscal year in which a State receives 
grant funds under this subsection the 
Director shall initially distribute 50 
percent of such funds. The Director 
shall distribute the remaining funds at 
the end of the calendar year that be-
gins during that fiscal year, if the Di-
rector determines that the State has 
properly reported data required under 
this subsection for the calendar year.
‘‘(II) SUBSEQUENT YEARS.—Ex-
cept as provided in subclause (I), the 
Director shall distribute grant funds 
to a State under this subsection for a 
fiscal year if the Director determines 
that the State properly reported data 
required under this subsection for the 
calendar year that ends during that 
fiscal year. 
‘‘(C) REQUIRED INFORMATION.—Each re-
port submitted under this paragraph shall re-
ceive an identifier beginning with a 2-letter 
State code, and a 2-letter year code, and such 
numbers as the Director determines to be ap-
propriate. Each individual report shall be as-
signed a new identifier, even if a victim de-
scribed in the report is reported to have been 
victimized more than once. If the State submits 
a report for more than one discipline, the State 
shall submit a combined report to avoid double 
counting. The State shall note in each report 
whether an event was ongoing or occurred in 
distinct separate episodes. 
‘‘(5) REPORT.—Not later than 1 year after the 
date of enactment of the Elder Justice Act and an-
nually thereafter, the Director shall prepare and 
submit to the appropriate committees of Congress, 
including to the Special Committee on Aging of the 
Senate, a report regarding activities conducted 
under this subsection. 
‘‘(6) REGULATIONS.—The Secretary shall pro-
mulgate such regulations as are necessary to carry 
out this subsection.
‘‘SEC. 2222. ENHANCING RESEARCH AND TRAINING AND 
STRENGTHENING SERVICES, SYSTEMS, AND 
PREVENTION. 
‘‘(a) GRANTS.—The Secretary may award grants to 
eligible entities for the prevention, detection, assessment, 
and treatment of, intervention in, investigation of, and 
prosecution of elder abuse, neglect, and exploitation in-
cluding—
‘‘(1) physical, psychological, and emotional 
abuse and neglect by family and other in-home care-
givers; 
‘‘(2) physical, psychological, and emotional 
abuse and neglect of residents in institutional and 
other residential care facilities; 
‘‘(3) elder sexual abuse; 
‘‘(4) domestic violence in later life; 
‘‘(5) financial fraud and exploitation; and
‘‘(6) self-neglect. 
‘‘(b) CENTERS OF EXCELLENCE.—
‘‘(1) GRANTS
AUTHORIZED.—The Secretary, 
through the Director of the National Institute on 
Aging, and after consultation with the Director of 
the Centers for Disease Control and Prevention, the 
Director of the Office of Elder Justice in the De-
partment of Health and Human Services, the Direc-
tor of the Office of Elder Justice in the Department 
of Justice, and the members of the advisory board 
established under section 2214, may award grants to 
institutions of higher education and other appro-
priate entities to establish 5 Centers of Excellence 
nationwide that shall specialize in research, clinical 
practice, and training relating to elder abuse, ne-
glect, and exploitation. 
‘‘(2) AUTHORIZED ACTIVITIES.—The Centers of 
Excellence established with funds provided under 
paragraph (1) shall conduct the following activities: 
‘‘(A) Examine potential issues relating to 
the protection of elders who are the subjects of 
research on elder abuse, neglect, and exploi-
tation and provide guidance to other elder 
abuse, neglect, or exploitation researchers re-
garding human subjects, protections, and the
institutional or peer review boards at research 
institutions. 
‘‘(B) After consultation with the Director 
of the National Institute on Aging, and the Di-
rector of the Office of Human Research Protec-
tions, develop and recommend to the Secretary 
guidelines to assist the institutional or peer re-
view boards in the review of research under this 
title. 
‘‘(C) Coordinate activities, to the extent 
feasible, among the Centers and with other re-
searchers of elder abuse, neglect, and exploi-
tation and related areas, and designate 1 such 
Center to lead such coordination. 
‘‘(3) ADDITIONAL ACTIVITIES.—The Centers of 
Excellence established under paragraph (1) may con-
duct activities including the following: 
‘‘(A) Carrying out a study to determine 
the national incidence and prevalence of elder 
abuse, neglect, and exploitation in all settings. 
‘‘(B) Developing uniform, validated screen-
ing tools to assist individuals, families, practi-
tioners, institutions, and communities in detect-
ing ongoing or potential elder abuse, neglect,
and exploitation. The tools that may be devel-
oped include—
‘‘(i) a screening tool to determine 
whether a particular elder is at risk for be-
coming, or is, a victim; 
‘‘(ii) a screening tool to measure 
whether caregivers are at risk of commit-
ting elder abuse, neglect, or exploitation; 
‘‘(iii) a screening tool to measure 
whether families are at risk for elder 
abuse, neglect, and exploitation; and 
‘‘(iv) a screening tool to assess com-
munities, evaluating how each individual 
agency or system relating to elder abuse, 
neglect, or exploitation operates in such a 
community and how all of such agencies or 
systems communicate and operate in rela-
tionship to each other within such commu-
nity. 
‘‘(C) Carrying out various types of inter-
vention research. 
‘‘(D) Identifying steps that can be taken 
(and replicated) to make homes, neighborhoods, 
communities, and facilities safer for elders, and
to enhance their sense of security in all kinds 
of environments. 
‘‘(E) 
Researching 
successful 
fiduciary 
practices and systems to enhance the well-being 
of persons with diminished capacity. 
‘‘(4) 
COLLABORATION
AND
ACCESS
TO 
RECORDS.—In awarding a grant under this sub-
section the Secretary shall—
‘‘(A) consider the potential for collabora-
tion among researchers and other relevant enti-
ties, such as State agencies with statutory re-
sponsibility for adult protective services and 
State Long-Term Care Ombudsmen, that re-
ceive reports of elder abuse, neglect, and exploi-
tation, but that may be restricted from partici-
pating in research as a result of State law, con-
fidentiality requirements, or other provisions; 
and 
‘‘(B) require that each institution of higher 
education desiring a grant under this subsection 
ensure that the researchers working at such in-
stitution will have access to records necessary 
to conduct research in accordance with this sub-
section. 
‘‘(5) EXCELLENCE ADVISORY COMMITTEE.—
‘‘(A) COMMITTEE ESTABLISHED.—There is 
established in the Department of Health and 
Human Services an Excellence Advisory Com-
mittee (in this subsection referred to as the 
‘Committee’). 
‘‘(B) MEMBERSHIP.—The Committee shall 
be composed of individuals appointed by the 
Secretary with a demonstrated interest and ex-
pertise in research, education, and clinical ac-
tivities related to elder abuse, neglect, and ex-
ploitation, or individuals with related experience 
in essential fields such as epidemiology or fo-
rensic pathology, including— 
‘‘(i) representatives from private enti-
ties; and 
‘‘(ii) representatives from Federal and 
State agencies, including—
‘‘(I) researchers; 
‘‘(II) health care practitioners; 
‘‘(III) policy experts; and 
‘‘(IV) other individuals appro-
priate to promote useful research, 
training, and clinical practice. 
‘‘(C) PERIOD
OF
APPOINTMENT; VACAN-
CIES.—Members shall be appointed for terms of
3 years. Any vacancy in the Committee shall 
not affect its powers, but shall be filled in the 
same manner as the original appointment was 
made. 
‘‘(D) DUTIES.—The Committee shall co-
ordinate with the Advisory Board established 
under section 2214 and shall make rec-
ommendations to the Secretary, the Attorney 
General, the Elder Justice Coordinating Council 
established under section 2213, and the Centers 
of Excellence established under this subsection 
concerning—
‘‘(i) facilitating the coordination of the 
activities of the Centers of Excellence es-
tablished under this subsection; 
‘‘(ii) developing procedures and mech-
anisms for data sharing between such Cen-
ters of Excellence; and 
‘‘(iii) ensuring that such Centers of 
Excellence have similar systems and re-
search and reporting procedures in order 
to facilitate the sharing of data. 
‘‘(E) TRAVEL
EXPENSES.—The members 
of the Committee shall not receive compensa-
tion for the performance of services for the
committee, but shall be allowed travel expenses, 
including per diem in lieu of subsistence, 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 per-
formance of services for the Committee. Not-
withstanding section 1342 of title 31, United 
States Code, the Secretary may accept the vol-
untary and uncompensated services of members 
of the Committee. 
‘‘(F) DETAIL OF GOVERNMENT EMPLOY-
EES.—Any Federal Government employee may 
be detailed to the Committee without reim-
bursement, and such detail shall be without 
interruption or loss of civil service status or 
privilege. 
‘‘(G) TERMINATION.—Section 14 of the 
Federal Advisory Committee Act (5 U.S.C. 
App.) shall not apply to the Committee. 
‘‘(c) 
SAFE
HAVEN
AND
LEGAL
ADVOCACY 
GRANTS.—
‘‘(1) SAFE HAVEN GRANTS.—
‘‘(A) GRANTS
AUTHORIZED.—The Sec-
retary may award grants to 6 diverse commu-
nities to examine various types of elder shelters 
(in this paragraph referred to as ‘safe havens’) 
and to test various models for establishing safe 
havens at home or elsewhere. 
‘‘(B) 
AUTHORIZED
ACTIVITIES.—Grant 
funds awarded pursuant to subparagraph (A) 
shall be used to establish safe havens that—
‘‘(i) provide a comprehensive, cul-
turally 
sensitive, 
and 
multidisciplinary 
team response to allegations of elder 
abuse, neglect, or exploitation; 
‘‘(ii) provide a dedicated, elder-friend-
ly setting; 
‘‘(iii) have the capacity to meet the 
needs of elders for care; and 
‘‘(iv) provide various services includ-
ing—
‘‘(I) nursing and forensic evalua-
tion; 
‘‘(II) therapeutic intervention; 
‘‘(III) victim support and advo-
cacy; and 
‘‘(IV) case review and assistance 
to make the elder safer at home or to 
find appropriate placement in safer
environments, including shelters, and, 
in some circumstances long-term care 
facilities, other residential care facili-
ties, and hospitals. 
‘‘(2) LEGAL ADVOCACY GRANTS.—
‘‘(A) GRANTS
AUTHORIZED.—The Sec-
retary, after consultation with the Attorney 
General, may award grants—
‘‘(i) to study the need for community 
resources in order to provide assistance for 
legal and related services for victims of 
elder abuse, neglect, or exploitation; and 
‘‘(ii) to provide assistance for such 
services by awarding grants for demonstra-
tion projects in diverse communities. 
‘‘(B) 
AUTHORIZED
ACTIVITIES.—Grant 
funds awarded pursuant to subparagraph (A) 
shall be used to provide—
‘‘(i) court-appointed advocates; 
‘‘(ii) authorized fiduciaries, including 
public guardians; 
‘‘(iii) monitoring and oversight of fi-
duciaries; 
‘‘(iv) legal services; and
‘‘(v) such other services as the Sec-
retary, after consultation with the Attorney 
General, determines appropriate. 
‘‘(d) GRANTS TO ENHANCE VOLUNTEER SERV-
ICES.—The Secretary, after consultation with the Attor-
ney General, may award grants to nonprofit organizations 
and faith-based organizations to encourage such organiza-
tions to establish or continue volunteer programs that 
focus on the issues of elder abuse, neglect, and exploi-
tation, or that provide related services. 
‘‘(e) MULTIDISCIPLINARY EFFORTS.—
‘‘(1) GRANTS.—The Secretary may award 
grants to fund various multidisciplinary elder justice 
activities, including the following: 
‘‘(A) Supporting and studying team ap-
proaches for bringing a coordinated multidisci-
plinary or interdisciplinary response to elder 
abuse, neglect, and exploitation, including a re-
sponse from individuals in social service, health 
care, public safety, and legal disciplines. 
‘‘(B) Establishing State coordinating coun-
cils modeled after the national Elder Justice 
Coordinating Council established under section 
2213. Such State coordinating councils shall 
identify the individual States’ needs and provide
the national Elder Justice Coordinating Council 
with information and recommendations relating 
to State efforts to combat elder abuse, neglect, 
and exploitation. 
‘‘(C) Providing training, technical assist-
ance, and other methods of support to groups 
carrying out multidisciplinary efforts at the 
State level (referred to in some States as ‘State 
Working Groups’). 
‘‘(D) Broadening and studying various 
models for elder fatality and serious injury re-
view teams, to make recommendations about 
their composition, protocols, functions, timing, 
roles, and responsibilities, with a goal of pro-
ducing models and information that will allow 
for replication based on the needs of other 
States and communities. 
‘‘(E) Carrying out other interdisciplinary 
or multidisciplinary efforts as determined by 
the Secretary to be appropriate. 
‘‘(2) INTRADISCIPLINARY REVIEW.—
‘‘(A) IN GENERAL.—The Director of the 
Centers for Disease Control and Prevention, 
after consultation with the Director of the Of-
fice of Elder Justice in the Department of
Health and Human Services and the Director 
of the Office of Elder Justice in the Depart-
ment of Justice, shall conduct an intensive 
intradisciplinary review of entities that conduct 
elder justice activities in several different com-
munities, examining how the entities address 
elder abuse, neglect, and exploitation issues 
(such as an assessment of various types of 
health care and social service providers, public 
safety agencies, law enforcement agencies, pros-
ecutor offices, and the judiciary). 
‘‘(B) GOAL.—The goals of the study de-
scribed in subparagraph (A) include—
‘‘(i) making an assessment of the 
functioning and effectiveness of each entity 
in a community that conducts elder justice 
activities, and the interdisciplinary commu-
nications and collaborations among such 
entities; and 
‘‘(ii) developing a procedure for com-
munities to conduct a self-assessment to 
assist them in identifying the manner in 
which the entities described in clause (i) in 
such communities respond to elder justice 
issues, the needs of such communities re-
lating to elder justice issues, and ways to 
improve the response systems of such com-
munities for elder abuse, neglect, and ex-
ploitation. 
‘‘(f) TRAINING GRANTS.—
‘‘(1) GRANTS
AUTHORIZED.—The Secretary 
may award grants to groups representing the tar-
geted disciplines described in paragraph (2)(B) to 
train individuals with respect to issues of elder 
abuse, neglect, and exploitation. 
‘‘(2) AUTHORIZED ACTIVITIES.—
‘‘(A) IN GENERAL.—Grant funds awarded 
under paragraph (1) shall be used for training 
within a discipline as well as cross-training ac-
tivities that permit individuals in multiple dis-
ciplines to train together, fostering communica-
tion, coordinating efforts, and ensuring collabo-
ration. 
‘‘(B) 
TARGETED
DISCIPLINES.—Groups 
representing disciplines that will be targeted for 
training through grants awarded under para-
graph (1) include—
‘‘(i) physicians (geriatricians, family 
physicians, internists, emergency physi-
cians, forensic pathologists and medical ex-
aminers, psychiatrists, and other special-
ists), and medical residents, interns, and 
fellows; 
‘‘(ii) nurses and nurse’s aides, includ-
ing geriatric nurse practitioners, directors 
of nursing, and Sexual Abuse Nurse Ex-
aminers (SANE) nurses; 
‘‘(iii) social workers; 
‘‘(iv) public health and safety profes-
sionals including Emergency Medical Serv-
ices professionals; 
‘‘(v) therapists, including creative 
arts, occupational, speech, and physical 
therapists; 
‘‘(vi) State surveyors (who survey 
nursing facilities and other long-term care 
facilities); 
‘‘(vii) long-term care facility and hos-
pital staff; 
‘‘(viii) coroners and funeral home op-
erators; 
‘‘(ix) Federal, State, and local offices 
with responsibility for elder justice or long-
term care matters;
‘‘(x) employees or contractors of State 
and local agencies with responsibility for 
training persons who provide adult protec-
tive services; 
‘‘(xi) State Long-Term Care Ombuds-
men; 
‘‘(xii) victim advocates and advocates 
for elders and individuals with disabilities; 
‘‘(xiii) individuals involved in volun-
teer organizations (including faith-based 
organizations) who are involved in issues of 
elder abuse, neglect, and exploitation; 
‘‘(xiv) police officers, sheriffs, detec-
tives, firefighters, Federal and State inves-
tigators, public safety officers, and correc-
tions personnel; 
‘‘(xv) Federal, State, and local pros-
ecutors, attorneys in private practice in-
volved in elder justice issues, and judges 
and court employees; 
‘‘(xvi) TRIADs (federally recognized 
partnerships of elders, sheriff departments, 
and the American Association of Retired 
Persons); 
‘‘(xvii) elder service officers;
‘‘(xviii) individuals who work with the 
public, including bank personnel, postal 
workers, utility workers, providers of 
home-delivered meals, and others who may 
work with elders; 
‘‘(xix) students in professional and 
paraprofessional schools, internships, fel-
lowships, and other training programs in a 
relevant profession; 
‘‘(xx) fiduciaries, including guardians, 
conservators, and agents under powers of 
attorney; and 
‘‘(xxi) staff and volunteers of domestic 
violence and child abuse and neglect pro-
grams. 
‘‘(g) PILOT PROJECT TO EVALUATE UTILITY OF 
SERVICES TO ELDERS IN NEED.—The Secretary, acting 
through the Director of the Office of Elder Justice in the 
Department of Health and Human Services, and after 
consultation with the Director of the Office of Elder Jus-
tice in the Department of Justice, is authorized to award 
grants to develop and implement pilot projects designed 
to ameliorate gaps in basic elder justice-related health, so-
cial, or protective services, with the goal of identifying
what types of services are most useful to elders in need, 
and in what contexts the services are useful. 
‘‘(h) INCREASING THE NUMBER OF HEALTH CARE 
PROFESSIONALS WITH GERIATRIC TRAINING.—The Sec-
retary shall establish programs to increase—
‘‘(1) the number of health care professionals 
(including physicians, nurses, nursing personnel, so-
cial workers, and therapists) and students in the 
health care professions, who receive education and 
training related to geriatrics; and 
‘‘(2) the number of such professionals who pro-
vide health care related to geriatrics. 
‘‘(i) SPECIAL NEEDS GRANTS.—
‘‘(1) GRANTS
AUTHORIZED.—The Secretary 
may award grants to eligible entities to identify, ad-
dress, and make recommendations on meeting the 
special needs of underserved populations of elders. 
‘‘(2) POPULATIONS
INCLUDED.—The grant 
funds awarded pursuant to paragraph (1) shall be 
used to fund programs including the following: 
‘‘(A) RURAL
SETTINGS.—Programs de-
signed to meet the needs of elders living in 
rural locations, including the needs of their in-
formal caregivers and fiduciaries. The programs 
shall include—
‘‘(i) strategies to decrease isolation; 
‘‘(ii) training for informal caregivers 
and fiduciaries; 
‘‘(iii) activities involving collaboration 
between the entities and local secondary 
schools and institutions of higher education 
to offer classes for credit, focusing on 
training individuals to work with elders 
and caregivers; 
‘‘(iv) training for volunteers to serve 
in rural communities; and 
‘‘(v) strategies on the use of advance 
planning to avoid the need for a guardian 
or other fiduciary. 
‘‘(B) MINORITY POPULATIONS.—Programs 
designed to meet the needs of elders in minority 
populations, including culturally and linguis-
tically appropriate programs. 
‘‘(C) INDIAN TRIBES.—Programs designed 
to provide necessary services to elders who are 
members of Indian tribes including successful 
programs in elder abuse, neglect, and exploi-
tation prevention and treatment that target In-
dian populations. The entities carrying out the 
programs shall deliver services and distribute
educational information on elder abuse, neglect, 
and exploitation to Indian tribes and other pol-
icymakers, health and social service providers, 
law enforcement, and researchers with a par-
ticular interest in elders who are members of 
Indian tribes. 
‘‘(j) PUBLIC AWARENESS GRANTS.—
‘‘(1) GRANTS
AUTHORIZED.—The Secretary 
and the Attorney General, after consultation with 
the advisory board established under section 2214 
and the coordinating council established under sec-
tion 2213, shall jointly award 1 grant to a national 
organization, or 1 or more grants to eligible entities, 
to conduct a national multimedia campaign designed 
to raise awareness about elder abuse, neglect, and 
exploitation. 
‘‘(2) AUTHORIZED
ACTIVITIES.—Grant funds 
awarded under paragraph (1) shall be used for ac-
tivities including the following: 
‘‘(A) Raising public awareness regarding 
financial schemes that target elders. 
‘‘(B) Pilot testing of the effectiveness of 
various types of multimedia campaigns in rais-
ing awareness about—
‘‘(i) the types of elder abuse, neglect, 
and exploitation; 
‘‘(ii) steps to take if an individual sus-
pects elder abuse, neglect, or exploitation 
has occurred; and 
‘‘(iii) ways to prevent elder abuse, ne-
glect, or exploitation. 
‘‘(k) ELDER JUSTICE INNOVATION FUND.—The Sec-
retary and the Attorney General are authorized to jointly 
award grants to individuals or entities working in the elder 
justice field or related fields for research, a demonstration 
project, development or implementation of a promising 
program or practice, or another innovative effort, that 
might not otherwise be funded or pursued in the absence 
of a grant under this subsection. 
‘‘SEC. 2223. STUDIES. 
‘‘(a) ROLES OF ENTITIES RESPONDING TO ELDER 
ABUSE, NEGLECT, AND EXPLOITATION.—
‘‘(1) IN GENERAL.—The Secretary of Health 
and Human Services and the Attorney General shall 
jointly sponsor or conduct a study of the roles and 
responsibilities of government and government-fund-
ed entities responsible for responding to, inves-
tigating, and taking other actions in response to re-
ports of elder abuse, neglect, and exploitation includ-
ing—
‘‘(A) State and local agencies with the re-
sponsibility for adult protective services; 
‘‘(B) the State Long-Term Care Ombuds-
men; 
‘‘(C) law enforcement (including prosecu-
tors); 
‘‘(D) fiduciaries; 
‘‘(E) judges and other court personnel; and 
‘‘(F) such other social and protective serv-
ice, advocacy, and protection organizations as 
the Secretary and the Attorney General deter-
mine to be appropriate. 
‘‘(2) GOALS.—The goals of the study author-
ized in paragraph (1) (which may be conducted in 
distinct sections, if there is overall coordination) 
are—
‘‘(A) to identify gaps in detection of, inves-
tigation of, and intervention in elder abuse, ne-
glect, and exploitation; 
‘‘(B) to improve the response to elder 
abuse, neglect, and exploitation; and 
‘‘(C) to reduce elder victimization and its 
consequences by assessing and improving the
systems created to address reports of the prob-
lems. 
‘‘(3) AUTHORIZED ACTIVITIES.—In conducting 
the study authorized in paragraph (1), the Director 
shall—
‘‘(A) conduct an evaluation of—
‘‘(i) how the social and protective 
service, advocacy, protection, judicial, and 
law enforcement entities and systems are 
operating; 
‘‘(ii) the interplay and allocation of re-
sponsibilities among those entities; 
‘‘(iii) how that allocation differs from 
community to community and State to 
State; and 
‘‘(iv) how those differences impact the 
population intended to be protected by the 
entities and systems; 
‘‘(B) make recommendations on how to 
clarify the roles (at the national level) of enti-
ties such as State agencies with responsibility 
for adult protective services, the State Long-
Term Care Ombudsmen, and other protection 
and advocacy entities to enhance efficiency, 
eliminate gaps in service, and identify con-
flicting mandates and duplication of efforts; 
and 
‘‘(C) evaluate how various communities de-
lineate the roles and responsibilities of the types 
of entities described in subparagraph (A) in 
order to identify and recommend effective mod-
els and methods to duplicate the delineation ef-
forts (such as duplication through memoranda 
of understanding). 
‘‘(b) FAMILY ELDER ABUSE, NEGLECT, AND EX-
PLOITATION STUDY.— 
‘‘(1) IN GENERAL.—The Director of the Cen-
ters for Disease Control and Prevention (in this sub-
section referred to as the ‘Director’), after consulta-
tion with the Director of the Office of Elder Justice 
in the Department of Health and Human Services 
and the Director of the Office of Elder Justice in 
the Department of Justice, shall conduct a study to 
determine the best method to address elder abuse, 
neglect, and exploitation from a public health per-
spective, including examining methods to reduce 
elder abuse, neglect, and exploitation committed by 
family members. 
‘‘(2) COLLABORATION.—The Director, in car-
rying out activities under this subsection, shall col-
laborate with the Director of the National Institute 
on Aging, the Director of the Office of Elder Justice 
in the Department of Health and Human Services, 
the Director of the Office of Elder Justice in the 
Department of Justice, the heads of State agencies 
with responsibility for adult protective services, and 
the heads of such other entities as the Director de-
termines appropriate. 
‘‘SEC. 2224. FORENSIC MARKERS, METHODOLOGIES, AND 
TRAINING. 
‘‘(a) FORENSIC CENTERS.—
‘‘(1) GRANTS.—The Secretary shall make 
grants to appropriate entities to establish and oper-
ate stationary and mobile forensic centers, to de-
velop forensic expertise regarding, and provide serv-
ices relating to, elder abuse, neglect, and exploi-
tation. 
‘‘(2) COORDINATION
AMONG
FORENSIC
CEN-
TERS AND CENTERS OF EXCELLENCE.—The entities 
establishing and operating the forensic centers shall 
coordinate activities on an ongoing basis with the 
Centers 
of 
Excellence 
described 
in 
section 
2222(b)(1) and with the Excellence Advisory Com-
mittee described in section 2222(b)(5). Such coordi-
nation shall include ongoing communication among
the entities, the Centers of Excellence, and the Ex-
cellence Advisory Committee. The entities shall ad-
here to the procedures and mechanisms developed by 
the Excellence Advisory Committee including proce-
dures and mechanisms relating to the sharing of 
data. 
‘‘(3) STATIONARY
FORENSIC
CENTERS.—The 
Secretary shall make 4 of the grants described in 
paragraph (1) to institutions of higher education 
with demonstrated expertise in forensics or commit-
ment to preventing or treating elder abuse, neglect, 
or exploitation, to establish and operate stationary 
forensic centers. The Secretary shall make at least 
2 of the 4 grants to an entity operating a Center of 
Excellence described in section 2222(b)(1) at an in-
stitution of higher education. 
‘‘(4) MOBILE
CENTERS.—The Secretary shall 
make 6 of the grants described in paragraph (1) to 
appropriate entities to establish and operate mobile 
forensic centers. 
‘‘(5) USE OF FUNDS.—
‘‘(A) DEVELOPMENT OF FORENSIC MARK-
ERS AND METHODOLOGIES.—An entity that re-
ceives a grant under this subsection shall use 
funds made available through the grant to as-
sist in the determination of whether abuse or 
neglect occurred, a crime was committed, to 
conduct research to describe and disseminate 
information on—
‘‘(i) forensic markers that indicate a 
case in which elder abuse, neglect, or ex-
ploitation may have occurred; and 
‘‘(ii) methodologies for determining, in 
such a case, when and how health care, 
emergency service, social and protective 
service, and legal service providers should 
intervene and when the providers should 
report the case to law enforcement authori-
ties. 
‘‘(B) APPLICATIONS.—An entity that re-
ceives a grant under this subsection shall use 
funds made available through the grant to de-
velop forensic expertise regarding elder abuse, 
neglect, and exploitation, in order to provide 
medical and forensic evaluation, therapeutic 
intervention, victim support and advocacy, case 
review, and case tracking. 
‘‘(C) COLLECTION OF EVIDENCE.—An en-
tity operating a Center of Excellence described 
in section 2222(b)(1) that receives a grant
under this subsection shall use funds made 
available through the grant to develop the ca-
pacity to collect forensic evidence, including col-
lecting forensic evidence relating to a potential 
determination of elder abuse, neglect, or exploi-
tation. 
‘‘(b) TRAINING TO DEVELOP EXPERTISE IN GERI-
ATRIC FORENSICS.—
‘‘(1) FELLOWSHIP PROGRAMS.—
‘‘(A) IN
GENERAL.—The Secretary shall 
provide fellowships to eligible individuals, to en-
able the individuals to obtain training through 
a standard forensic science training program. 
‘‘(B) ELIGIBLE INDIVIDUALS.—To be eligi-
ble to receive a fellowship under this paragraph, 
an individual shall be a physician who—
‘‘(i) is board certified or board eligible 
in internal medicine or family practice; 
‘‘(ii) has completed a program in geri-
atrics that meets such criteria as the Sec-
retary may prescribe; and 
‘‘(iii) has entered into an agreement 
with the Secretary to provide the team 
training described in subparagraph (C),
after receiving the training described in 
subparagraph (A). 
‘‘(C) TEAM TRAINING.—An individual who 
receives a fellowship under this paragraph shall 
provide training in forensic geriatrics to inter-
disciplinary teams of health care professionals. 
‘‘(2) OTHER PROGRAMS.—The Secretary shall 
establish programs, and make grants to carry out 
the programs, to provide forensic training to experi-
enced geriatricians. 
‘‘Subtitle C—Increasing Security, 
Quality, and Consumer Informa-
tion for Long-Term Care 
‘‘CHAPTER 1—INCREASING SECURITY FOR 
LONG-TERM CARE
‘‘SEC. 2231. REPORTING TO LAW ENFORCEMENT OF CRIMES 
OCCURRING IN FEDERALLY FUNDED LONG-
TERM CARE FACILITIES. 
‘‘(a) DETERMINATION AND NOTIFICATION.—
‘‘(1) DETERMINATION.—Except as provided in 
paragraph (2), the owner or operator of each long-
term care facility that receives Federal funds shall 
annually determine if the facility received an amount 
of Federal funds that was not less than $10,000 
during the past year.
‘‘(2) SINGLE POSITIVE DETERMINATION.—The 
owner or operator shall make the determination for 
a year unless the owner or operator determined that 
the facility received that amount during any previous 
year. 
‘‘(3) NOTIFICATION.—If the owner or operator 
determines that the facility received that amount 
during any year, the owner or operator shall annu-
ally notify each individual described in subsection (b) 
of the obligation to comply with subsection (b). 
‘‘(b) REPORTING REQUIREMENT.—
‘‘(1) IN GENERAL.—Each individual who is an 
owner, operator, employee, manager, agent, or con-
tractor of a long-term care facility that is the sub-
ject of a determination described in subsection (a)(3) 
shall report to 1 or more law enforcement entities 
for the jurisdiction in which the facility is located, 
any reasonable suspicion of a crime (as defined by 
the law of the applicable political subdivision) 
against any person who is a resident of or receiving 
care from the facility. 
‘‘(2) TIMING.—If the events that cause the sus-
picion—
‘‘(A) result in serious bodily injury, the in-
dividual shall report the suspicion immediately,
‘‘(ii) require, as a condition of employ-
ment, that such worker—
‘‘(I) provide a written statement 
disclosing any conviction for a rel-
evant crime; 
‘‘(II) provide a statement signed 
by the worker authorizing the facility 
to request the search and exchange of 
criminal records; 
‘‘(III) provide in person to the 
facility a copy of the worker’s finger-
prints or thumb print, depending 
upon available technology; and 
‘‘(IV) provide any other identi-
fication information the Secretary 
may specify in regulation; and 
‘‘(iii) request through the appropriate 
State agency that the State initiate a State 
and national criminal background check on 
such worker in accordance with the provi-
sions of subsection (e)(6) and submit to 
such State agency the information de-
scribed in subclauses (II) through (IV) of 
clause (ii).