Older Americans Act Reauthorization Act of 2016
PL 114-144 (S.192), enacted 04/19/2016

130 STAT. 334 
PUBLIC LAW 114–144—APR. 19, 2016 
Public Law 114–144 
114th Congress 
An Act 
To reauthorize the Older Americans Act of 1965, and for other purposes. 
Be it enacted by the Senate and House of Representatives of 
the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Older Americans Act Reauthoriza-
tion Act of 2016’’. 
SEC. 2. 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 infliction of phys-
ical or psychological harm or the knowing deprivation of goods 
or services that are necessary to meet essential needs or to 
avoid physical 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, neglect, or exploi-
tation; 
‘‘(B) investigating the reports described in subpara-
graph (A); 
‘‘(C) case planning, monitoring, evaluation, and other 
casework and services; and 
‘‘(D) providing, arranging for, or facilitating the provi-
sion of medical, social service, economic, legal, housing, 
law enforcement, or other protective, emergency, or support 
services.’’; 
(3) by striking paragraph (4) and inserting the following: 
‘‘(4) The term ‘Aging and Disability Resource Center’ means 
an entity, network, or consortium established by a State as 
part of the State system of long-term care, to provide a coordi-
nated and integrated system for older individuals and individ-
uals with disabilities (as defined in section 3 of the Americans 
with Disabilities Act of 1990 (42 U.S.C. 12102)), and the care-
givers 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 commu-
nity, including information on the availability of integrated 
long-term care services, and Federal or State programs 
42 USC 3001 
note. 
Older Americans 
Act 
Reauthorization 
Act of 2016. 
Apr. 19, 2016 
[S. 192] 
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130 STAT. 335 
PUBLIC LAW 114–144—APR. 19, 2016 
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 anticipated long-term care 
needs and goals, and developing and implementing a per-
son-centered plan for long-term care that is consistent with 
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 services and supports for which 
the individuals may be eligible, including home and commu-
nity-based service options, by serving as a convenient point 
of entry for such programs and supports; 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 refer-
rals regarding available home and community-based serv-
ices for individuals who are at risk for residing in, or 
who reside in, institutional 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 striking paragraph (17) and inserting the following: 
‘‘(17) The term ‘elder justice’ means— 
‘‘(A) from a societal perspective, efforts to— 
‘‘(i) prevent, detect, treat, intervene in, and pros-
ecute elder abuse, neglect, and exploitation; and 
‘‘(ii) protect older individuals with diminished 
capacity while maximizing their autonomy; and 
‘‘(B) from an individual perspective, the recognition 
of an older individual’s rights, including the right to be 
free of abuse, neglect, and exploitation.’’; and 
(6) in paragraph (18)(A), by striking ‘‘term ‘exploitation’ 
means’’ and inserting ‘‘terms ‘exploitation’ and ‘financial exploi-
tation’ mean’’. 
SEC. 3. 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 (H), by striking ‘‘202(a)(21)’’ and 
inserting ‘‘202(a)(18)’’; 
(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 Reauthor-
ization Act of 2016’’; and 
(ii) by striking ‘‘712(h)(4).’’ and inserting ‘‘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 exploitation in long-term care facili-
ties, and publish a report of such best practices.’’; and 
(2) in subsection (e)(2), in the matter preceding subpara-
graph (A), by inserting ‘‘, and in coordination with the heads 
Analysis. 
Reports. 
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130 STAT. 336 
PUBLIC LAW 114–144—APR. 19, 2016 
of State adult protective services programs and the Director 
of the Office of Long-Term Care Ombudsman Programs’’ after 
‘‘and services’’. 
(b) TRAINING.—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 eco-
nomic’’ before ‘‘needs of older individuals’’; 
(B) in paragraph (7), by inserting ‘‘health and eco-
nomic’’ before ‘‘welfare’’; 
(C) in paragraph (14), by inserting ‘‘(including the 
Health Resources and Services Administration)’’ after 
‘‘other agencies’’; 
(D) in paragraph (27), by striking ‘‘and’’ at the end; 
(E) in paragraph (28), by striking the period and 
inserting a semicolon; and 
(F) by adding at the end the following: 
‘‘(29) provide information and technical assistance 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 information and 
technical assistance to States, area agencies on aging, and 
service providers (including providers operating multipurpose 
senior centers), to support the modernization of multipurpose 
senior centers; and 
‘‘(31) provide technical assistance to and share best prac-
tices with States, area agencies on aging, and Aging and Dis-
ability Resource Centers, on how to collaborate and coordinate 
services with health care entities, such as Federally-qualified 
health centers, as defined in section 1905(l)(2)(B) of the Social 
Security Act (42 U.S.C. 1396d(l)(2)(B)), in order to improve 
care coordination for individuals with multiple chronic ill-
nesses.’’; 
(2) in subsection (b)— 
(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 following: 
‘‘(D) when feasible, developing, in consultation with 
States and national organizations, 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 providers protect 
the health, safety, welfare, and rights, including the rights 
provided under section 314, of older individuals;’’; 
(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 
(II) by striking ‘‘future long-term care needs; 
and’’ and inserting ‘‘long-term care needs;’’; 
Consultation. 
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130 STAT. 337 
PUBLIC LAW 114–144—APR. 19, 2016 
(iii) in subparagraph (E), by adding ‘‘and’’ at the 
end; and 
(iv) by adding at the end the following: 
‘‘(F) to provide information and referrals regarding 
available home and community-based services for individ-
uals who are at risk for residing in, or who reside in, 
institutional settings, 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, as appropriate, ensure that 
programs authorized 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.’’. 
(c) AUTHORIZATION
OF APPROPRIATIONS.—Section 205 of the 
Older Americans Act of 1965 (42 U.S.C.3016) is amended by striking 
subsection (c). 
(d) REPORTS.—Section 207(a) of the Older Americans Act of 
1965 (42 U.S.C. 3018(a)) is amended— 
(1) in paragraph (2), by striking ‘‘202(a)(19)’’ and inserting 
‘‘202(a)(16)’’; and 
(2) in paragraph (4), by striking ‘‘202(a)(17)’’ and inserting 
‘‘202(a)(14)’’. 
(e) AUTHORIZATION
OF APPROPRIATIONS.—Section 216 of the 
Older Americans Act of 1965 (42 U.S.C. 3020f) is amended— 
(1) in subsection (a), by striking ‘‘such sums’’ and all that 
follows through the period at the end, and inserting 
‘‘$40,063,000 for each of the fiscal years 2017, 2018, and 2019.’’; 
(2) by amending subsection (b) to read as follows: 
‘‘(b) There are authorized to be appropriated— 
‘‘(1) to carry out section 202(a)(21) (relating to the National 
Eldercare Locator Service), $2,088,758 for fiscal year 2017, 
$2,132,440 for fiscal year 2018, and $2,176,121 for fiscal year 
2019; 
‘‘(2) to carry out section 215, $1,904,275 for fiscal year 
2017, $1,944,099 for fiscal year 2018, and $1,983,922 for fiscal 
year 2019; 
‘‘(3) to carry out section 202 (relating to Elder Rights Sup-
port Activities under this title), $1,312,904 for fiscal year 2017, 
$1,340,361 for fiscal year 2018, and $1,367,817 for fiscal year 
2019; and 
‘‘(4) to carry out section 202(b) (relating to the Aging and 
Disability Resource Centers), $6,271,399 for fiscal year 2017, 
$6,402,551 for fiscal year 2018, and $6,533,703 for fiscal year 
2019.’’; and 
(3) by striking subsection (c). 
SEC. 4. STATE AND COMMUNITY PROGRAMS ON AGING. 
(a) AUTHORIZATION
OF APPROPRIATIONS.—Section 303 of the 
Older Americans Act of 1965 (42 U.S.C. 3023) is amended— 
(1) in subsection (a)(1), by striking ‘‘such sums’’ and all 
that follows through the period at the end, and inserting 
‘‘$356,717,276 for fiscal year 2017, $364,456,847 for fiscal year 
2018, and $372,196,069 for fiscal year 2019.’’; 
(2) in subsection (b)— 
(A) in paragraph (1), by striking ‘‘such sums’’ and 
all that follows through the period at the end, and inserting 
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130 STAT. 338 
PUBLIC LAW 114–144—APR. 19, 2016 
‘‘$459,937,586 for fiscal year 2017, $469,916,692 for fiscal 
year 2018, and $479,895,348 for fiscal year 2019.’’; and 
(B) in paragraph (2), by striking ‘‘such sums’’ and 
all that follows through the period at the end, and inserting 
‘‘$232,195,942 for fiscal year 2017, $237,233,817 for fiscal 
year 2018, and $242,271,465 for fiscal year 2019.’’; 
(3) in subsection (d), by striking ‘‘such sums’’ and all that 
follows through the period at the end, and inserting 
‘‘$20,361,334 for fiscal year 2017, $20,803,107 for fiscal year 
2018, and $21,244,860 for fiscal year 2019.’’; 
(4) in subsection (e)— 
(A) by striking ‘‘(1)’’ and all that follows through ‘‘(2)’’; 
and 
(B) by striking ‘‘$166,500,000’’ and all that follows 
through the period at the end, and inserting ‘‘$154,336,482 
for fiscal year 2017, $157,564,066 for fiscal year 2018, 
and $160,791,658 for fiscal year 2019.’’ 
(b) ALLOTMENT.—Section 304 of the Older Americans Act of 
1965 (42 U.S.C. 3024) is amended— 
(1) in subsection (a)(3), by striking subparagraph (D) and 
inserting the following: 
‘‘(D)(i) For each of fiscal years 2017 through 2019, no State 
shall be allotted an amount that is less than 99 percent of the 
amount allotted to such State for the previous fiscal year. 
‘‘(ii) For fiscal year 2020 and each subsequent fiscal year, no 
State shall be allotted an amount that is less than 100 percent 
of the amount allotted to such State for fiscal year 2019.’’; and 
(2) in subsection (b), by striking ‘‘subpart 1 of’’. 
(c) PLANNING AND SERVICE AREAS.—Section 305(b)(5)(C)(i)(III) 
of the Older Americans Act of 1965 (42 U.S.C. 3025(b)(5)(C)(i)(III)) 
is amended by striking ‘‘planning and services areas’’ and inserting 
‘‘planning and service areas’’. 
(d) AREA PLANS.—Section 306 of the Older Americans Act of 
1965 (42 U.S.C. 3026) is amended— 
(1) in subsection (a)— 
(A) in paragraph (1), by striking ‘‘establishment, 
maintenance, or construction of multipurpose senior cen-
ters,’’ and inserting ‘‘establishment, maintenance, mod-
ernization, or construction of multipurpose senior centers 
(including a plan to use the skills and services of older 
individuals 
in 
paid 
and 
unpaid 
work, 
including 
multigenerational and older individual to older individual 
work),’’; and 
(B) in paragraph (6)— 
(i) in subparagraph (G), by adding ‘‘and’’ at the 
end; and 
(ii) by adding at the end the following: 
‘‘(H) in coordination with the State agency and with 
the State agency responsible for elder abuse prevention 
services, increase public awareness of elder abuse, neglect, 
and exploitation, and remove barriers to education, preven-
tion, investigation, and treatment of elder abuse, neglect, 
and exploitation, as appropriate;’’; and 
(2) in subsection (b)(3)— 
(A) in subparagraph (J), by striking ‘‘and’’ at the end; 
(B) by redesignating subparagraph (K) as subpara-
graph (L); and 
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130 STAT. 339 
PUBLIC LAW 114–144—APR. 19, 2016 
(C) by inserting after subparagraph (J) the following: 
‘‘(K) protection from elder abuse, neglect, and exploi-
tation; and’’. 
(e) STATE PLANS.—Section 307(a)(2)(A) of the Older Americans 
Act of 1965 (42 U.S.C. 3027(a)(2)(A)) is amended by striking 
‘‘202(a)(29)’’ and inserting ‘‘202(a)(26)’’. 
(f) NUTRITION SERVICES INCENTIVE PROGRAM.—Section 311(e) 
of the Older Americans Act of 1965 (42 U.S.C. 3030a(e)) is amended 
by striking ‘‘such sums’’ and all that follows through the period 
at the end, and inserting ‘‘$164,055,664 for fiscal year 2017, 
$167,486,502 for fiscal year 2018, and $170,917,349 for fiscal year 
2019.’’. 
(g) SUPPORTIVE SERVICES.—Section 321 of the Older Americans 
Act of 1965 (42 U.S.C. 3030d) is amended— 
(1) in subsection (a)— 
(A) in paragraph (1), by striking ‘‘or referral services’’ 
and inserting ‘‘referral, chronic condition self-care manage-
ment, or falls prevention services’’; 
(B) in paragraph (8), by striking ‘‘(including’’ and all 
that follows and inserting the following: ‘‘(including mental 
and behavioral health screening and falls prevention serv-
ices screening) to detect or prevent (or both) illnesses and 
injuries that occur most frequently in older individuals;’’ 
and 
(C) in paragraph (15), by inserting before the semicolon 
the following: ‘‘, and screening for elder abuse, neglect, 
and exploitation’’; 
(2) in subsection (b)(1), by inserting ‘‘or modernization’’ 
after ‘‘construction’’; 
(3) in subsection (c), by inserting before the period the 
following: ‘‘, and pursue opportunities for the development of 
intergenerational shared site models for programs or projects, 
consistent with the purposes of this Act’’; and 
(4) by adding at the end the following: 
‘‘(e) In this section, the term ‘adult child with a disability’ 
means a child who— 
‘‘(1) is age 18 or older; 
‘‘(2) is financially dependent on an older individual who 
is a parent of the child; and 
‘‘(3) has a disability.’’. 
(h) HOME DELIVERED NUTRITION SERVICES PROGRAM.—Section 
336(1) of the Older Americans Act of 1965 (42 U.S.C. 3030f(1)) 
is amended by striking ‘‘canned’’ and all that follows through 
‘‘meals’’ and inserting ‘‘canned, or fresh foods and, as appropriate, 
supplemental foods, and any additional meals’’. 
(i) NUTRITION SERVICES.—Section 339 of the Older Americans 
Act of 1965 (42 U.S.C. 3030g–21) is amended 
(1) in paragraph (1), by striking ‘‘solicit’’ and inserting 
‘‘utilize’’; and 
(2) in paragraph (2)— 
(A) in subparagraph (J), by striking ‘‘and’’ at the end; 
(B) in subparagraph (K), by striking the period and 
inserting ‘‘, and’’; and 
(C) by adding at the end the following: 
Definition. 
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130 STAT. 340 
PUBLIC LAW 114–144—APR. 19, 2016 
‘‘(L) where feasible, encourages the use of locally grown 
foods in meal programs and identifies potential partner-
ships and contracts with local producers and providers 
of locally grown foods.’’. 
(j) EVIDENCE-BASED DISEASE PREVENTION AND HEALTH PRO-
MOTION SERVICES PROGRAM.—Part D of title III of the Older Ameri-
cans Act of 1965 (42 U.S.C. 3030m et seq.) is amended— 
(1) in the part heading, by inserting ‘‘EVIDENCE-BASED’’ 
before ‘‘DISEASE’’; and 
(2) in section 361(a), by inserting ‘‘evidence-based’’ after 
‘‘to provide’’. 
(k) OLDER RELATIVE CAREGIVERS.— 
(1) TECHNICAL AMENDMENT.—Part E of title III of the Older 
Americans Act of 1965 (42 U.S.C. 3030s et seq.) is amended 
by striking the subpart heading for subpart 1. 
(2) DEFINITIONS.—Section 372 of such Act (42 U.S.C. 3030s) 
is amended— 
(A) in subsection (a)— 
(i) in paragraph (1), by striking ‘‘or who is an 
individual with a disability’’; and 
(ii) by striking paragraph (2) and inserting the 
following: 
‘‘(2) INDIVIDUAL WITH A DISABILITY.—The term ‘individual 
with a disability’ means an individual with a disability, as 
defined in section 3 of the Americans with Disabilities Act 
of 1990 (42 U.S.C. 12102), who is not less than age 18 and 
not more than age 59. 
‘‘(3) OLDER RELATIVE CAREGIVER.—The term ‘older relative 
caregiver’ means a caregiver who— 
‘‘(A)(i) is age 55 or older; and 
‘‘(ii) lives with, is the informal provider of in-home 
and community care to, and is the primary caregiver for, 
a child or an individual with a disability; 
‘‘(B) in the case of a caregiver for a child— 
‘‘(i) is the grandparent, stepgrandparent, or other 
relative (other than the parent) by blood, marriage, 
or adoption, of the child; 
‘‘(ii) is the primary caregiver of the child because 
the biological or adoptive parents are unable or 
unwilling to serve as the primary caregivers of the 
child; and 
‘‘(iii) has a legal relationship to the child, such 
as legal custody, adoption, or guardianship, or is 
raising the child informally; and 
‘‘(C) in the case of a caregiver for an individual with 
a disability, is the parent, grandparent, or other relative 
by blood, marriage, or adoption, of the individual with 
a disability.’’; and 
(B) in subsection (b)— 
(i) by striking ‘‘subpart’’ and all that follows 
through ‘‘family caregivers’’ and inserting ‘‘part, for 
family caregivers’’; 
(ii) by striking ‘‘; and’’ and inserting a period; 
and 
(iii) by striking paragraph (2). 
42 USC 3030m. 
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130 STAT. 341 
PUBLIC LAW 114–144—APR. 19, 2016 
(l) NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM.—Section 
373 of the Older Americans Act of 1965 (42 U.S.C. 3030s–1) is 
amended— 
(1) in subsection (a)(2), by striking ‘‘grandparents or older 
individuals who are relative caregivers.’’ and inserting ‘‘older 
relative caregivers.’’; 
(2) in subsection (c)— 
(A) in paragraph (1), in the matter preceding subpara-
graph (A), by striking ‘‘grandparents and older individuals 
who are relative caregivers, and who’’ and inserting ‘‘older 
relative caregivers, who’’; and 
(B) in paragraph (2)(B), by striking ‘‘to older individ-
uals providing care to individuals with severe disabilities, 
including children with severe disabilities’’ and inserting 
‘‘to older relative caregivers of children with severe disabil-
ities, or individuals with disabilities who have severe 
disabilities’’; 
(3) in subsection (e)(3), by striking ‘‘grandparents or older 
individuals who are relative caregivers’’ and inserting ‘‘older 
relative caregivers’’; 
(4) in subsection (f)(1)(A), by striking ‘‘for fiscal years 2007, 
2008, 2009, 2010, and 2011’’ and inserting ‘‘for a fiscal year’’; 
and 
(5) in subsection (g)(2)(C), by striking ‘‘grandparents and 
older individuals who are relative caregivers of a child who 
is not more than 18 years of age’’ and inserting ‘‘older relative 
caregivers’’. 
(m) CONFORMING AMENDMENT.—Part E of title III is amended 
by striking ‘‘this subpart’’ each place it appears and inserting ‘‘this 
part’’. 
SEC. 5. ACTIVITIES FOR HEALTH, INDEPENDENCE, AND LONGEVITY. 
(a) GRANT PROGRAMS.—Section 411 of the Older Americans 
Act of 1965 (42 U.S.C. 3032) is amended— 
(1) in subsection (a)— 
(A) in paragraph (12), by striking ‘‘and’’ at the end; 
(B) by redesignating paragraph (13) as paragraph (14); 
and 
(C) by inserting after paragraph (12) the following: 
‘‘(13) continuing support for program integrity initiatives 
concerning the Medicare program under title XVIII of the Social 
Security Act (42 U.S.C. 1395 et seq.) that train senior volun-
teers to prevent and identify health care fraud and abuse; 
and’’; 
(2) in subsection (b), by striking ‘‘out’’ and all that follows 
through the period at the end, and inserting the following: 
‘‘out— 
‘‘(1) aging network support activities under this section, 
$6,216,054 for fiscal year 2017, $6,346,048 for fiscal year 2018, 
and $6,476,043 for fiscal year 2019; and 
‘‘(2) elder rights support activities under this section, 
$10,856,828 for fiscal year 2017, $11,083,873 for fiscal year 
2018, and $11,310,919 for fiscal year 2019.’’. 
(b) NATIVE AMERICAN PROGRAMS.—Section 418(b) of the Older 
Americans Act of 1965 (42 U.S.C. 3032g(b)) is amended by striking 
‘‘a national meeting to train’’ and inserting ‘‘national trainings 
for’’. 
42 USC 
3030s–3030s–2. 
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130 STAT. 342 
PUBLIC LAW 114–144—APR. 19, 2016 
(c) LEGAL ASSISTANCE FOR OLDER AMERICANS.—Section 420(c) 
of the Older Americans Act of 1965 (42 U.S.C. 3032i(c)) is amended 
by striking ‘‘national’’. 
(d) REPEALS.—Sections 415, 419, and 421 of the Older Ameri-
cans Act of 1965 (42 U.S.C. 3032d, 3032h, 3032j) are repealed. 
(e) CONFORMING
AMENDMENT.—Section 417(a)(1)(A) of the 
Older Americans Act of 1965 (42 U.S.C. 3032f(a)(1)(A)) is amended 
by striking ‘‘grandparents and other older individuals who are rel-
ative caregivers’’ and inserting ‘‘older relative caregivers (as defined 
in section 372)’’. 
SEC. 6. AMENDMENTS TO COMMUNITY SERVICE SENIOR OPPORTUNI-
TIES ACT. 
(a) OLDER AMERICAN COMMUNITY SERVICE EMPLOYMENT PRO-
GRAM.—Section 502 of the Community Service Senior Opportunities 
Act (42 U.S.C. 3056) is amended— 
(1) in subsection (b)(1)— 
(A) in subparagraph (C)(ii), by striking ‘‘513(a)(2)(D)’’ 
and inserting ‘‘513(a)(2)(E)’’; and 
(B) in subparagraph (N)(i) by striking ‘‘Workforce 
Investment Act of 1998 (29 U.S.C. 2801 et seq.)’’ and 
inserting ‘‘Workforce Innovation and Opportunity Act (29 
U.S.C. 3101 et seq.)’’; 
(2) in subsection (d)— 
(A) by inserting ‘‘and the local workforce development 
board’’ after ‘‘service area’’; and 
(B) by striking ‘‘and’’ after ‘‘State agency’’ and inserting 
‘‘, the local workforce development board, and’’; and 
(3) in subsection (e)(3), by inserting ‘‘, with the State 
workforce development board and local workforce development 
board,’’ after ‘‘aging’’. 
(b) ADMINISTRATION.—Section 503 of the Community Service 
Senior Opportunities Act (42 U.S.C. 3056a) is amended— 
(1) in subsection (a)— 
(A) by redesignating paragraphs (6), (7), and (8) as 
paragraphs (7), (8), and (9), respectively; 
(B) in paragraph (3), by striking ‘‘paragraph (7)’’ and 
inserting ‘‘paragraph (8)’’; 
(C) in paragraph (4), by striking subparagraph (F) 
and inserting the following: 
‘‘(F) how the activities of grantees in the State under 
this title will be coordinated with activities carried out 
in the State under title I of the Workforce Innovation 
and Opportunity Act (29 U.S.C. 3111 et seq.) and other 
related programs (referred to in this subparagraph as 
‘WIOA and related activities’), and how the State will 
reduce unnecessary duplication between the activities car-
ried out under this title and the WIOA and related activi-
ties.’’; and 
(D) by inserting after paragraph (5) the following: 
‘‘(6) COMBINED STATE PLAN.—In lieu of the plan described 
in paragraph (1), a State may develop and submit a combined 
State plan in accordance with section 103 of the Workforce 
Innovation and Opportunity Act (29 U.S.C. 3113). For a State 
that obtains approval of such a combined State plan, that 
section 103 shall apply in lieu of this subsection and a reference 
in any other provision of this title (other than this subsection) 
Applicability. 
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PUBLIC LAW 114–144—APR. 19, 2016 
to a State plan shall be considered to be a reference to that 
combined State plan.’’; and 
(2) in subsection (b)(2)(B)(i), by striking ‘‘Workforce Invest-
ment Act of 1998’’ and inserting ‘‘Workforce Innovation and 
Opportunity Act’’. 
(c) COORDINATION.—The heading of section 511 of the Commu-
nity Service Senior Opportunities Act (42 U.S.C. 3056i) is amended 
by striking ‘‘WORKFORCE INVESTMENT ACT OF 1998’’ and inserting 
‘‘WORKFORCE INNOVATION AND OPPORTUNITY ACT’’. 
(d) PERFORMANCE.—Section 513 of the Community Service 
Senior Opportunities Act (42 U.S.C. 3056k) is amended— 
(1) in subsection (a)— 
(A) in the subsection heading, by striking ‘‘AND INDICA-
TORS’’; 
(B) in paragraph (1)— 
(i) in the paragraph heading, by striking ‘‘AND 
INDICATORS’’; and 
(ii) by striking ‘‘and additional indicators of 
performance’’ each place it appears; 
(C) in paragraph (2)— 
(i) in subparagraph (A)— 
(I) by striking ‘‘(A)’’ and all that follows 
through ‘‘The’’ and inserting ‘‘(A) COMPOSITION OF 
MEASURES.—The’’; and 
(II) by striking clause (ii); 
(ii) by striking subparagraph (B); 
(iii) in subparagraph (C)— 
(I) by striking ‘‘(C)’’ and inserting ‘‘(B)’’; and 
(II) in the first sentence, by striking ‘‘(A)(i)’’ 
and inserting ‘‘(A)’’; and 
(III) by striking the second sentence; and 
(iv) by striking subparagraphs (D) and (E) and 
inserting the following: 
‘‘(C) AGREEMENT ON EXPECTED LEVELS OF PERFORM-
ANCE.— 
‘‘(i) FIRST
2
YEARS.—Each grantee shall reach 
agreement with the Secretary on levels of performance 
for each measure described in subparagraph (A)(i), for 
each of the first 2 program years covered by the grant 
agreement. In reaching the agreement, the grantee 
and the Secretary shall take into account the expected 
levels proposed by the grantee and the factors 
described in subparagraph (D). The levels agreed to 
shall be considered to be the expected levels of perform-
ance for the grantee for such program years. 
‘‘(ii) THIRD AND FOURTH YEAR.—Each grantee shall 
reach agreement with the Secretary, prior to the third 
program year covered by the grant agreement, on levels 
of performance for each measure described in subpara-
graph (A), for each of the third and fourth program 
years so covered. In reaching the agreement, the 
grantee and the Secretary shall take into account the 
expected levels proposed by the grantee and the factors 
described in subparagraph (D). The levels agreed to 
shall be considered to be the expected levels of perform-
ance for the grantee for such program years. 
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PUBLIC LAW 114–144—APR. 19, 2016 
‘‘(D) FACTORS.—In reaching the agreements described 
in subparagraph (B), each grantee and the Secretary 
shall— 
‘‘(i) take into account how the levels involved com-
pare with the expected levels of performance estab-
lished for other grantees; 
‘‘(ii) ensure that the levels involved are adjusted, 
using an objective statistical model based on the model 
established by the Secretary in accordance with section 
116(a)(3)(A)(viii)) of the Workforce Investment and 
Opportunity Act (29 U.S.C. 3141(a)(3)(A)(viii)); and 
‘‘(iii) take into account the extent to which the 
levels involved promote continuous improvement in 
performance accountability on the core measures and 
ensure optimal return on the investment of Federal 
funds. 
‘‘(E) ADJUSTMENTS
BASED
ON
ECONOMIC
CONDITIONS 
AND INDIVIDUALS SERVED DURING THE PROGRAM YEAR.— 
The Secretary shall, in accordance with the objective statis-
tical model developed pursuant to subparagraph (D)(ii), 
adjust the expected levels of performance for a program 
year for grantees, to reflect the actual economic conditions 
and characteristics of participants in the corresponding 
projects during such program year.’’; and 
(D) in paragraph (3), by striking ‘‘and to report 
information on the additional indicators of performance’’; 
(2) in subsection (b)— 
(A) in paragraph (1)— 
(i) in the matter preceding subparagraph (A), by 
striking ‘‘(a)(2)(A)(i)’’ and inserting ‘‘(a)(2)(A)’’; and 
(ii) by striking subparagraphs (B) through (E) and 
inserting the following: 
‘‘(B) the percentage of project participants who are 
in unsubsidized employment during the second quarter 
after exit from the project; 
‘‘(C) the percentage of project participants who are 
in unsubsidized employment during the fourth quarter 
after exit from the project; 
‘‘(D) the median earnings of project participants who 
are in unsubsidized employment during the second quarter 
after exit from the project; 
‘‘(E) indicators of effectiveness in serving employers, 
host agencies, and project participants; and 
‘‘(F) the number of eligible individuals served, including 
the number of participating individuals described in sub-
section (a)(3)(B)(ii) or (b)(2) of section 518.’’; 
(B) by striking paragraph (2); 
(C) by redesignating paragraph (3) as paragraph (2); 
and 
(D) in paragraph (2), as so redesignated, by striking 
‘‘paragraphs (1) and (2)’’ and inserting ‘‘paragraph (1)’’; 
(3) in subsection (c)— 
(A) by striking ‘‘shall—’’ and all that follows through 
‘‘annually 
evaluate’’ 
and 
inserting 
‘‘shall 
annually 
evaluate’’; 
(B) by striking ‘‘(a)(2)(C)’’ and inserting ‘‘(a)(2)(B)’’; 
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PUBLIC LAW 114–144—APR. 19, 2016 
(C) 
by 
striking 
‘‘(a)(2)(D)); 
and’’ 
and 
inserting 
‘‘(a)(2)(E)).’’; and 
(D) by striking paragraph (2); 
(4) in subsection (d)— 
(A) in paragraph (1)— 
(i) in subparagraph (A)— 
(I) by striking ‘‘2007’’ and inserting ‘‘2016’’; 
(II) in clause (i)— 
(aa) by striking ‘‘(a)(2)(C)’’ and inserting 
‘‘(a)(2)(B)’’; 
(bb) by striking ‘‘(a)(2)(D)’’ and inserting 
‘‘(a)(2)(E)’’; and 
(cc) by striking ‘‘described’’ and all that 
follows and inserting a period; 
(III) by striking clause (ii); and 
(IV) by striking ‘‘2006’’ and all that follows 
through ‘‘(i) met’’ and inserting ‘‘2016, met’’; and 
(ii) in subparagraph (B)— 
(I) in clause (i), by striking ‘‘(A)(i); or’’ at the 
end and inserting ‘‘(A),’’; 
(II) by striking clause (ii); 
(III) by striking ‘‘2006—’’ and all that follows 
through ‘‘(i) failed’’ and inserting ‘‘2016, failed’’; 
and 
(IV) by striking ‘‘and achieve the applicable 
percentage’’; 
(B) in paragraph (2)— 
(i) in subparagraph (A)— 
(I) 
by 
striking 
‘‘(a)(2)(C)’’ 
and 
inserting 
‘‘(a)(2)(B)’’; and 
(II) by striking ‘‘(a)(2)(D)’’ and inserting 
‘‘(a)(2)(E)’’; and 
(ii) in subparagraph (B)(iii)— 
(I) by striking ‘‘(beginning with program year 
2007)’’; and 
(II) by adding at the end the following: 
‘‘(iv) USE OF CORE INDICATORS.—For purposes of 
assessing grantee performance under this subpara-
graph before program year 2017, the Secretary shall 
use the core indicators of performance in effect at 
the time of the award and the most recent cor-
responding expected levels of performance.’’; 
(C) in paragraph (3)— 
(i) in subparagraph (A)— 
(I) 
by 
striking 
‘‘(a)(2)(C)’’ 
and 
inserting 
‘‘(a)(2)(B)’’; and 
(II) by striking ‘‘(a)(2)(D)’’ and inserting 
‘‘(a)(2)(E)’’; and 
(ii) in subparagraph (B)(iii), by striking ‘‘(beginning 
with program year 2007)’’; and 
(D) by amending paragraph (4) to read as follows: 
‘‘(4) SPECIAL RULE FOR IMPLEMENTATION.—The Secretary 
shall implement the core measures of performance described 
in this section not later than December 31, 2017.’’; and 
(5) by amending subsection (e) to read as follows: 
‘‘(e) IMPACT
ON GRANT COMPETITION.—Effective on January 
1, 2018, the Secretary may not publish a notice announcing a 
Effective date. 
Deadline. 
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PUBLIC LAW 114–144—APR. 19, 2016 
grant competition under this title, or solicit proposals for grants, 
until the day on which the Secretary implements the core measures 
of performance.’’. 
(e) COMPETITIVE
REQUIREMENTS.—Section 514(c)(4) of the 
Community Service Senior Opportunities Act (42 U.S.C. 3056l(c)(4)) 
is amended— 
(1) by striking ‘‘and addressing additional indicators of 
performance’’; and 
(2) by striking ‘‘and additional indicators of performance’’. 
(f) AUTHORIZATION
OF APPROPRIATIONS.—Section 517 of the 
Older Americans Act of 1965 (42 U.S.C. 3056o) is amended— 
(1) in subsection (a), by striking ‘‘such sums’’ and all that 
follows through the period at the end, and inserting 
‘‘$445,189,405 for fiscal year 2017, $454,499,494 for fiscal year 
2018, and $463,809,605 for fiscal year 2019.’’; and 
(2) in subsection (b)— 
(A) in the 1st sentence— 
(i) by inserting ‘‘Federal’’ after ‘‘available for’’; and 
(ii) by striking ‘‘July’’ and inserting ‘‘April’’; and 
(B) by inserting after the 1st sentence the following: 
‘‘Such amounts obligated to grantees shall be available for obligation 
and expenditure by grantees during the program year that begins 
on July 1 of the calendar year immediately following the beginning 
of the fiscal year in which the amounts are appropriated and 
that ends on June 30 of the following calendar year.’’. 
(g) DEFINITIONS.—Section 518(a) of the Community Service 
Senior Opportunities Act (42 U.S.C. 3056p(a)) is amended— 
(1) by redesignating paragraphs (5) through (8) as para-
graphs (6) through (9), respectively; and 
(2) by inserting after paragraph (4) the following: 
‘‘(5) LOCAL
WORKFORCE
DEVELOPMENT
BOARD; 
STATE 
WORKFORCE DEVELOPMENT BOARD.—The terms ‘local workforce 
development board’ and ‘State workforce development board’ 
have the meanings given the terms ‘local board’ and ‘State 
board’, respectively, in section 3 of the Workforce Innovation 
and Opportunity Act (29 U.S.C. 3102).’’. 
SEC. 7. GRANTS FOR NATIVE AMERICANS. 
Section 643 of the Older Americans Act of 1965 (42 U.S.C. 
3057n) is amended— 
(1) in paragraph (1), by striking ‘‘such sums’’ and all that 
follows through the semicolon, and inserting ‘‘$31,934,018 for 
fiscal year 2017, $32,601,843 for fiscal year 2018, and 
$33,269,670 for fiscal year 2019;’’; and 
(2) in paragraph (2), by striking ‘‘such sums’’ and all that 
follows through the period at the end, and inserting ‘‘$7,718,566 
for fiscal year 2017, $7,879,982 for fiscal year 2018, and 
$8,041,398 for fiscal year 2019.’’. 
SEC. 8. VULNERABLE ELDER RIGHTS PROTECTION ACTIVITIES. 
(a) AUTHORIZATION
OF APPROPRIATIONS.—Section 702 of the 
Older Americans Act of 1965 (42 U.S.C. 3058a) is amended— 
(1) in subsection (a), by striking ‘‘such sums’’ and all that 
follows through the period at the end, and inserting 
‘‘$16,280,630 for fiscal year 2017, $16,621,101 for fiscal year 
2018, and $16,961,573 for fiscal year 2019.’’; 
(2) by striking subsection (b) and inserting the following: 
Definition. 
Time period. 
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‘‘(b) OTHER PROGRAMS.—There are authorized to be appro-
priated to carry out chapters 3 and 4, $4,891,876 for fiscal year 
2017, $4,994,178 for fiscal year 2018, and $5,096,480 for fiscal 
year 2019.’’; and 
(3) by striking subsection (c). 
(b) OMBUDSMAN DEFINITIONS.—Section 711(6) of the Older 
Americans Act of 1965 (42 U.S.C. 3058f(6)) is amended by striking 
‘‘older’’. 
(c) OMBUDSMAN PROGRAMS.—Section 712 of the Older Ameri-
cans Act of 1965 (42 U.S.C. 3058g) is amended— 
(1) in subsection (a)— 
(A) in paragraph (2), by adding at the end the following: 
‘‘The Ombudsman shall be responsible for the management, 
including the fiscal management, of the Office.’’; 
(B) in paragraph (3)— 
(i) in subparagraph (A), by striking clause (i) and 
inserting the following: 
‘‘(i) are made by, or on behalf of, residents, 
including residents with limited or no decisionmaking 
capacity and who have no known legal representative, 
and if such a resident is unable to communicate con-
sent for an Ombudsman to work on a complaint directly 
involving the resident, the Ombudsman shall seek evi-
dence to indicate what outcome the resident would 
have communicated (and, in the absence of evidence 
to the contrary, shall assume that the resident wishes 
to have the resident’s health, safety, welfare, and rights 
protected) and shall work to accomplish that outcome; 
and’’; 
(ii) in subparagraph (D), by striking ‘‘regular and 
timely’’ and inserting ‘‘regular, timely, private, and 
unimpeded’’; 
(iii) in subparagraph (H)(iii)— 
(I) by inserting ‘‘, actively encourage, and 
assist in’’ after ‘‘provide technical support for’’; and 
(II) by striking ‘‘and’’ after the semicolon; 
(iv) by redesignating subparagraph (I) as subpara-
graph (J); and 
(v) by inserting after subparagraph (H) the fol-
lowing: 
‘‘(I) when feasible, continue to carry out the functions 
described in this section on behalf of residents transitioning 
from a long-term care facility to a home care setting; and’’; 
(C) in paragraph (5)(B)— 
(i) in clause (vi)— 
(I) by inserting ‘‘, actively encourage, and 
assist in’’ after ‘‘support’’; and 
(II) by striking ‘‘and’’ after the semicolon; 
(ii) by redesignating clause (vii) as clause (viii); 
and 
(iii) by inserting after clause (vi) the following: 
‘‘(vii) identify, investigate, and resolve complaints 
described in clause (iii) that are made by or on behalf 
of residents with limited or no decisionmaking capacity 
and who have no known legal representative, and if 
such a resident is unable to communicate consent for 
an Ombudsman to work on a complaint directly 
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involving the resident, the Ombudsman shall seek evi-
dence to indicate what outcome the resident would 
have communicated (and, in the absence of evidence 
to the contrary, shall assume that the resident wishes 
to have the resident’s health, safety, welfare, and rights 
protected) and shall work to accomplish that outcome; 
and’’; 
(2) in subsection (b)— 
(A) in paragraph (1)— 
(i) in subparagraph (A), by striking ‘‘access’’ and 
inserting ‘‘private and unimpeded access’’; and 
(ii) in subparagraph (B)— 
(I) in clause (i)— 
(aa) in the matter preceding subclause (I), 
by striking ‘‘the medical and social records 
of a’’ and inserting ‘‘all files, records, and other 
information concerning a’’; and 
(bb) in subclause (II), by striking ‘‘to con-
sent’’ and inserting ‘‘to communicate consent’’; 
and 
(II) in clause (ii), in the matter before sub-
clause (I), by striking ‘‘the records’’ and inserting 
‘‘the files, records, and information’’; and 
(B) by adding at the end the following: 
‘‘(3) HEALTH OVERSIGHT AGENCY.—For purposes of section 
264(c) of the Health Insurance Portability and Accountability 
Act of 1996 (including regulations issued under that section) 
(42 U.S.C. 1320d–2 note), the Ombudsman and a representative 
of the Office shall be considered a ‘health oversight agency,’ 
so that release of residents’ individually identifiable health 
information to the Ombudsman or representative is not pre-
cluded in cases in which the requirements of clause (i) or 
(ii) of paragraph (1)(B), or the requirements of paragraph (1)(D), 
are otherwise met.’’; 
(3) in subsection (c)(2)(D), by striking ‘‘202(a)(21)’’ and 
inserting ‘‘202(a)(18)’’; 
(4) in subsection (d)— 
(A) in paragraph (1), by striking ‘‘files’’ and inserting 
‘‘files, records, and other information’’; and 
(B) in paragraph (2)— 
(i) in subparagraph (A)— 
(I) by striking ‘‘files and records’’ each place 
such term appears and inserting ‘‘files, records, 
and other information’’; and 
(II) by striking ‘‘and’’ after the semicolon; 
(ii) in subparagraph (B)— 
(I) by striking ‘‘files or records’’ and inserting 
‘‘files, records, or other information’’; and 
(II) in clause (iii), by striking the period at 
the end and inserting ‘‘; and’’; and 
(iii) by adding at the end the following: 
‘‘(C) notwithstanding subparagraph (B), ensure that 
the Ombudsman may disclose information as needed in 
order to best serve residents with limited or no decision-
making capacity who have no known legal representative 
and are unable to communicate consent, in order for the 
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Ombudsman to carry out the functions and duties described 
in paragraphs (3)(A) and (5)(B) of subsection (a).’’; and 
(5) by striking subsection (f) and inserting the following: 
‘‘(f) CONFLICT OF INTEREST.— 
‘‘(1) INDIVIDUAL CONFLICT OF INTEREST.—The State agency 
shall— 
‘‘(A) ensure that no individual, or member of the imme-
diate family of an individual, involved in the designation 
of the Ombudsman (whether by appointment or otherwise) 
or the designation of an entity designated under subsection 
(a)(5), is subject to a conflict of interest; 
‘‘(B) ensure that no officer or employee of the Office, 
representative of a local Ombudsman entity, or member 
of the immediate family of the officer, employee, or rep-
resentative, is subject to a conflict of interest; and 
‘‘(C) ensure that the Ombudsman— 
‘‘(i) does not have a direct involvement in the 
licensing or certification of a long-term care facility 
or of a provider of a long-term care service; 
‘‘(ii) does not have an ownership or investment 
interest (represented by equity, debt, or other financial 
relationship) in a long-term care facility or a long- 
term care service; 
‘‘(iii) is not employed by, or participating in the 
management of, a long-term care facility or a related 
organization, and has not been employed by such a 
facility or organization within 1 year before the date 
of the determination involved; 
‘‘(iv) does not receive, or have the right to receive, 
directly or indirectly, remuneration (in cash or in kind) 
under a compensation arrangement with an owner or 
operator of a long-term care facility; 
‘‘(v) does not have management responsibility for, 
or operate under the supervision of an individual with 
management responsibility for, adult protective serv-
ices; and 
‘‘(vi) does not serve as a guardian or in another 
fiduciary capacity for residents of long-term care facili-
ties in an official capacity (as opposed to serving as 
a guardian or fiduciary for a family member, in a 
personal capacity). 
‘‘(2) ORGANIZATIONAL CONFLICT OF INTEREST.— 
‘‘(A) IN GENERAL.—The State agency shall comply with 
subparagraph (B)(i) in a case in which the Office poses 
an organizational conflict of interest, including a situation 
in which the Office is placed in an organization that— 
‘‘(i) is responsible for licensing, certifying, or sur-
veying long-term care services in the State; 
‘‘(ii) is an association (or an affiliate of such an 
association) of long-term care facilities, or of any other 
residential facilities for older individuals; 
‘‘(iii) provides long-term care services, including 
programs carried out under a Medicaid waiver 
approved under section 1115 of the Social Security 
Act (42 U.S.C. 1315) or under subsection (b) or (c) 
of section 1915 of the Social Security Act (42 U.S.C. 
1396n), or under a Medicaid State plan amendment 
Compliance. 
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under subsection (i), (j), or (k) of section 1915 of the 
Social Security Act (42 U.S.C. 1396n); 
‘‘(iv) provides long-term care case management; 
‘‘(v) sets rates for long-term care services; 
‘‘(vi) provides adult protective services; 
‘‘(vii) is responsible for eligibility determinations 
for the Medicaid program carried out under title XIX 
of the Social Security Act (42 U.S.C. 1396 et seq.); 
‘‘(viii) conducts preadmission screening for place-
ments in facilities described in clause (ii); or 
‘‘(ix) makes decisions regarding admission or dis-
charge of individuals to or from such facilities. 
‘‘(B) 
IDENTIFYING, 
REMOVING, 
AND
REMEDYING 
ORGANIZATIONAL CONFLICT.— 
‘‘(i) IN
GENERAL.—The State agency may not 
operate the Office or carry out the program, directly, 
or by contract or other arrangement with any public 
agency or nonprofit private organization, in a case 
in which there is an organizational conflict of interest 
(within the meaning of subparagraph (A)) unless such 
conflict of interest has been— 
‘‘(I) identified by the State agency; 
‘‘(II) disclosed by the State agency to the 
Assistant Secretary in writing; and 
‘‘(III) remedied in accordance with this 
subparagraph. 
‘‘(ii) ACTION BY ASSISTANT SECRETARY.—In a case 
in which a potential or actual organizational conflict 
of interest (within the meaning of subparagraph (A)) 
involving the Office is disclosed or reported to the 
Assistant Secretary by any person or entity, the Assist-
ant Secretary shall require that the State agency, in 
accordance with the policies and procedures established 
by the State agency under subsection (a)(5)(D)(iii)— 
‘‘(I) remove the conflict; or 
‘‘(II) submit, and obtain the approval of the 
Assistant Secretary for, an adequate remedial plan 
that indicates how the Ombudsman will be 
unencumbered in fulfilling all of the functions 
specified in subsection (a)(3).’’; and 
(6) in subsection (h)— 
(A) in paragraph (3)(A)(i), by striking ‘‘older’’; 
(B) in paragraph (4), by striking all that precedes 
‘‘procedures’’ and inserting the following: 
‘‘(4) strengthen and update’’; 
(C) by redesignating paragraphs (4) through (9) as 
paragraphs (5) through (10), respectively; 
(D) by inserting after paragraph (3) the following: 
‘‘(4) ensure that the Ombudsman or a designee participates 
in training provided by the National Ombudsman Resource 
Center established in section 202(a)(18);’’; 
(E) in paragraph (6)(A), as redesignated by subpara-
graph (C) of this paragraph, by striking ‘‘paragraph (4)’’ 
and inserting ‘‘paragraph (5)’’; 
(F) in paragraph (7)(A), as redesignated by subpara-
graph (C) of this paragraph, by striking ‘‘subtitle C of 
the’’ and inserting ‘‘subtitle C of title I of the’’; and 
Plan. 
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(G) in paragraph (10), as redesignated by subparagraph 
(C) of this paragraph, by striking ‘‘(6), or (7)’’ and inserting 
‘‘(7), or (8)’’. 
(d) OMBUDSMAN
REGULATIONS.—Section 713 of the Older 
Americans Act of 1965 (42 U.S.C. 3058h) is amended— 
(1) in paragraph (1), by striking ‘‘paragraphs (1) and (2) 
of section 712(f)’’ and inserting ‘‘subparagraphs (A) and (B) 
of section 712(f)(1)’’; and 
(2) in paragraph (2), by striking ‘‘subparagraphs (A) 
through (D) of section 712(f)(3)’’ and inserting ‘‘clauses (i) 
through (vi) of section 712(f)(1)(C)’’. 
(e) PREVENTION
OF ELDER ABUSE, NEGLECT, AND EXPLOI-
TATION.—Section 721 of the Older Americans Act of 1965 (42 U.S.C. 
3058i) is amended— 
(1) in subsection (b)— 
(A) in the matter preceding paragraph (1), by striking 
‘‘(including financial exploitation)’’; 
(B) by redesignating paragraphs (5) through (12) as 
paragraphs (6) through (13), respectively; 
(C) by inserting after paragraph (4) the following: 
‘‘(5) promoting the submission of data on elder abuse, 
neglect, and exploitation for the appropriate database of the 
Administration or another database specified by the Assistant 
Secretary;’’; 
(D) in paragraph (10)(C), as redesignated by subpara-
graph (B) of this paragraph— 
(i) in clause (ii), by inserting ‘‘, such as forensic 
specialists,’’ after ‘‘such personnel’’; and 
(ii) in clause (v), by inserting before the comma 
the following: ‘‘, including programs and arrangements 
that protect against financial exploitation’’; and 
(E) in paragraph (12), as redesignated by subparagraph 
(B) of this paragraph— 
(i) in subparagraph (D), by striking ‘‘and’’ at the 
end; and 
(ii) by adding at the end the following: 
‘‘(F) supporting and studying innovative practices in 
communities to develop partnerships across disciplines for 
the prevention, investigation, and prosecution of abuse, 
neglect, and exploitation; and’’; and 
(2) in subsection (e)(2), in the matter preceding subpara-
graph (A)— 
(A) by striking ‘‘subsection (b)(9)(B)(i)’’ and inserting 
‘‘subsection (b)(10)(B)(i)’’; and 
(B) by striking ‘‘subsection (b)(9)(B)(ii)’’ and inserting 
‘‘subsection (b)(10)(B)(ii)’’. 
SEC. 9. BEHAVIORAL HEALTH. 
The Older Americans Act of 1965 is amended— 
(1) in section 102 (42 U.S.C. 3002)— 
(A) in paragraph (14)(G), by inserting ‘‘and behavioral’’ 
after ‘‘mental’’; 
(B) in paragraph (36), by inserting ‘‘and behavioral’’ 
after ‘‘mental’’; and 
(C) in paragraph (47)(B), by inserting ‘‘and behavioral’’ 
after ‘‘mental’’; 
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130 STAT. 352 
PUBLIC LAW 114–144—APR. 19, 2016 
(2) in section 201(f)(1) (42 U.S.C. 3011(f)(1)), by inserting 
‘‘and behavioral’’ after ‘‘mental’’; 
(3) in section 202(a)(5) (42 U.S.C. 3012(a)(5)), by inserting 
‘‘and behavioral’’ after ‘‘mental’’; 
(4) in section 306(a) (42 U.S.C. 3026(a))— 
(A) in paragraph (2)(A), by inserting ‘‘and behavioral’’ 
after ‘‘mental’’; and 
(B) in paragraph (6)(F), by striking ‘‘mental health 
services’’ each place such term appears and inserting 
‘‘mental and behavioral health services’’; and 
(5) in section 321(a) (42 U.S.C. 3030d)— 
(A) in paragraph (1), as amended by section 4(g), by 
inserting ‘‘and behavioral’’ after ‘‘mental’’; 
(B) in paragraph (14)(B), by inserting ‘‘and behavioral’’ 
after ‘‘mental’’; and 
(C) in paragraph (23), by inserting ‘‘and behavioral’’ 
after ‘‘mental’’. 
SEC. 10. GUIDANCE ON SERVING HOLOCAUST SURVIVORS. 
(a) IN GENERAL.—Because the services under the Older Ameri-
cans Act of 1965 (42 U.S.C. 3001 et seq.) are critical to meeting 
the urgent needs of Holocaust survivors to age in place with dignity, 
comfort, security, and quality of life, the Assistant Secretary for 
Aging shall issue guidance to States, that shall be applicable to 
States, area agencies on aging, and providers of services for older 
individuals, with respect to serving Holocaust survivors, including 
guidance on promising practices for conducting outreach to that 
population. In developing the guidance, the Assistant Secretary 
for Aging shall consult with experts and organizations serving Holo-
caust survivors, and shall take into account the possibility that 
the needs of Holocaust survivors may differ based on geography. 
(b) CONTENTS.—The guidance shall include the following: 
(1) How nutrition service providers may meet the special 
health-related or other dietary needs of participants in pro-
grams under the Older Americans Act of 1965, including needs 
based on religious, cultural, or ethnic requirements. 
(2) How transportation service providers may address the 
urgent transportation needs of Holocaust survivors. 
(3) How State long-term care ombudsmen may address 
the unique needs of residents of long-term care facilities for 
whom institutional settings may produce sights, sounds, smells, 
emotions, and routines, that can induce panic, anxiety, and 
retraumatization as a result of experiences from the Holocaust. 
(4) How supportive services providers may consider the 
unique needs of Holocaust survivors. 
(5) How other services provided under that Act, as deter-
mined by the Assistant Secretary for Aging, may serve Holo-
caust survivors. 
Consultation. 
Applicability. 
State 
governments. 
42 USC 3001 
note. 
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130 STAT. 353 
PUBLIC LAW 114–144—APR. 19, 2016 
LEGISLATIVE HISTORY—S. 192: 
CONGRESSIONAL RECORD: 
Vol. 161 (2015): July 16, considered and passed Senate. 
Vol. 162 (2016): Mar. 21, considered and passed House, amended. 
Apr. 7, Senate concurred in House amendment. 
(c) DATE OF ISSUANCE.—The guidance described in subsection 
(a) shall be issued not later than 180 days after the date of enact-
ment of this Act. 
Approved April 19, 2016. 
Deadline. 
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