Older Americans Act Reauthorization: Side-by-Side Comparison of Current Law, H.R. 5293, and S. 3570

CRS Report for Congress
Older Americans Act Reauthorization:
Side-by-Side Comparison of Current Law,
H.R. 5293, and S. 3570
August 24, 2006
Carol O’Shaughnessy
Specialist in Social Legislation
Domestic Social Policy Division
Kirsten Jennie Black
Analyst in Gerontology
Domestic Social Policy Division
Sarah C. Kaufman
Research Associate
Domestic Social Policy Division

Congressional Research Service ˜ The Library of Congress

Older Americans Act Reauthorization: Side-by-Side
Comparison of Current Law, H.R. 5293, and S. 3570
Summary
Authorization of appropriations for the Older Americans Act expired at the end
of FY2005, though appropriations legislation has continued funding of the act’s
programs. Legislation to reauthorize the act is being considered by the 109^th
Congress. H.R. 5293, the Senior Independence Act of 2006, was passed by the
House on June 21, 2006; S. 3570, the Older Americans Act Amendments of 2006,
was ordered reported by the Senate Committee on Health, Education, Labor, and
Pensions on June 28, 2006. A compromise version of the House and Senate bills
may be taken up before the end of the 109^th Congress.
The Older Americans Act (OAA) is the major vehicle for the delivery of social
and nutrition services for older persons. Originally enacted in 1965, the act supports
a wide range of social services and programs for older persons. These include
supportive services, congregate and home-delivered nutrition services, community
service employment, the long-term care ombudsman program, and services to prevent
the abuse, neglect, and exploitation of older persons. The act also supports grants
to Native Americans and research, training, and demonstration activities.
H.R. 5293 and S. 3570 would authorize all titles of the act through FY2011. A
number of provisions contained in both bills would require state and area agencies
on aging to focus attention on planning comprehensive and coordinated systems of
home and community-based services to assist older persons with long-term care
needs to remain in their own homes, rather than entering institutions; require states
to conduct increased planning efforts related to the growing number of older people
in coming decades; and would focus attention on the needs of older people with
limited English proficiency and those at risk of institutional placement. In addition,
both bills would allow family caregiver services authorized under Title III to assist
older people caring for their adult children with disabilities.
Both H.R. 5293 and S. 3570 make changes to the Title V community service
employment program, but take different approaches. The House bill proposals are
wider in scope than those in the Senate committee’s bill, and many of its proposed
changes emanate from the view that the program should place more emphasis on
training of participants for unsubsidized employment than what exists under the
current program.
S. 3570 would authorize new elder justice grant programs and a national study
on the incidence of elder abuse, neglect, and exploitation. It would also require the
Administration on Aging (AoA) to set up a method to collect national uniform data
on elder abuse, neglect, and exploitation.
This report highlights major selected provisions of the bills and provides a
section-by-section comparison of most provisions of H.R. 5293 and S. 3570. A
shortened version of this report will be issued when final legislation is approved.

Contents
In troduction ......................................................1
Highlights of Selected Provisions of H.R. 5293 and S. 3570................2
Home and Community-Based Long-Term Care Services...............2
Role of AoA .............................................2
Role of State and Area Agencies on Aging......................2
Aging and Disability Resource Centers (ADRCs).................3
State and Area Agency on Aging Planning
for the Baby Boom Population................................3
Nutrition Services.............................................4
National Academy of Sciences Study of Nutrition................4
Other Nutrition Program Proposals............................4
National Family Caregiver Support Program........................5
Senior Community Service Employment Program
for Older Americans.......................................5
Limit on Time of Participant Enrollment.......................6
Eligibility ................................................7
Elder Justice..................................................7
AoA Responsibility for Elder Justice Issues.....................8
National Incidence Study and Data Collection Efforts.............8
Grants to States and Tribal Organizations
for Elder Justice Programs...............................8
Research and Demonstration Initiatives............................8
Model Projects for Aging in Place.............................8
Demonstration Efforts to Address Mental Illness
in Older People.......................................9
TITLE I, DECLARATION OF OBJECTIVES; DEFINITIONS.............10
DEFINITIONS ...............................................10
Assistive device, assistive technology,
and assistive technology service .........................10
Health promotion program/evidence-based health promotion ......10
Information and assistance .................................10
Aging and Disability Resource Center (ADRC) ................11
At risk of institutional placement ............................11
Long-term care facility ....................................11
Elder justice ............................................12
Exploitation .............................................12
Neglect ................................................12
Self-neglect .............................................13
Hispanic serving institution ................................13
Long-term care ..........................................13
Multivitamin-mineral supplement ...........................14
Self-directed care ........................................14
State system for long-term care ..............................15

FUNCTIONS OF THE ASSISTANT SECRETARY ON AGING.......15
Elder abuse prevention services..............................15
Mental health services.....................................17
Assistive technology......................................17
Coordination with Centers for Medicare
and Medicaid Services (CMS) regarding new benefits........18
Technical assistance regarding benefits outreach
and establishment of a National Center on Senior Benefits.....18
Data collection on home and community-based care.............19
Evidence-based disease prevention and health promotion.........19
AoA role in long-term care.................................20
Involvement of older individuals
in voluntary community activities........................23
AoA collaboration with other federal agencies:
reference to impact on persons
with limited English proficiency.........................24
Assistive Technology Act ..................................24
Coordinating committee on aging ............................24
Functions of nutrition program officer ........................29
Expertise of the nutrition officer .............................30
Set aside of funds for evaluation projects......................30
Reports on the activities under the act ........................30
Contracting and grant authority; commercial and
private pay relationships; appropriate use of act funds ........30
Nutrition education .......................................32
Pension counseling and information programs ..................32
Authorization of appropriations for Title II activities.............33
TITLE III, GRANTS FOR STATE AND
COMMUNITY PROGRAMS ON AGING ........................33
Purpose of Title III: coordination with volunteer services .............33
Authorization of appropriations: supportive, nutrition,
and disease prevention and health promotion services ........33
Authorization of appropriations: National Family
Caregiver Support Program.............................33
Area agency administrative funds to be use
for needs assessment of growing elder population...........34
State plans on aging: focus on older individuals
with limited English proficiency.........................34
State long-term care systems................................34
Puerto Rico, single planning and service area...................35
AREA PLANS ON AGING.....................................35
Area plans on aging: focus on older individuals
with limited English proficiency.........................35
Area plans on aging: focus on persons at risk
of institutional placement ..............................36
Area plans on aging: mental health services ....................36
Area plans on aging: information and assistance ................36
Area plans on aging: specific objectives for serving
older individuals .....................................37

older individuals.....................................37
Area plans on aging: outreach efforts.........................37
Area plans on aging: use of trained volunteers ..................38
Area plans on aging: advisory council membership ..............38
Area plans on aging: increasing public awareness
of mental health......................................38
Area plans on aging: comprehensive coordinated system
for home and community-based long-term care.............38
Area plans on aging: area agency costs to carry out
commercial relationships...............................39
Area plans on aging: priority for use of funds
for specified older individuals; maintaining
public purpose mission and disclosure of information
on contractual relationships.............................40
Area plans on aging: self-directed care ........................40
Area plans on aging: emergency preparedness ..................40
Area plans on aging: area agency planning
for demographic changes in the older population
in planning and service areas............................40
STATE PLANS ON AGING....................................42
State plans on aging: focus on older individuals
with limited English proficiency .........................42
State plans on aging: identifying service needs
of low-income minority older individuals
with limited English proficiency .........................42
State plans on aging: outreach to individuals
with limited English proficiency .........................42
State plans on aging: self-directed care ........................42
State plans on aging: planning for demographic changes
in the older population in the state .......................43
State plans on aging: emergency preparedness ..................43
State plans on aging: Aging and Disability Resource Centers
(ADRCs) ...........................................44
State plans on aging: non-federal share
for Title III services...................................45
NUTRITION SERVICES INCENTIVE PROGRAM.................45
Disbursement ............................................45
Bonus of commodities.....................................45
High protein foods; terms and conditions ......................45
Cash used to buy commodities..............................45
Authorization of appropriations for nutrition service
incentive program....................................46
Distribution of information regarding
federal commodity processing programs...................46
VOLUNTARY CONTRIBUTIONS FOR TITLE III SERVICES........46
Solicitation of voluntary contributions ........................46
Voluntary contributions are to supplement not supplant
Title III funds........................................47
Mandatory cost-sharing: participation of older individuals
with limited English proficiency .........................47
AoA study of cost-sharing .................................47

NUTRITION SERVICES......................................48
Nutrition services: purpose of nutrition services ................48
Nutrition services: nutrition education ........................48
Nutrition services: multivitamin-mineral supplements............49
Nutrition services: home-delivered nutrition services ...........49
Consultation with nutrition experts ...........................49
State responsibility to obtain expertise of a dietician .............49
Dietary Guidelines for Americans ...........................49
Intergenerational meals ....................................50
Nutrition screening, education and assessment ..................50
Influenza and other vaccinations ............................50
Evaluation of the Nutrition Program ..........................50
Improving indoor air quality in building
where seniors congregate...............................51
CAREGIVER SUPPORT PROGRAM............................51
Definitions ..............................................51
Support services for caregivers ..............................52
Priority to caregivers providing care to older individuals ..........52
Coordination with volunteer services .........................52
Reports on caregiver program ...............................53
Limitation on federal and non-federal funds
for relative caregiver services...........................53
Programs of national significance............................53
Allotment of funds to states.................................54
TITLE IV, RESEARCH, TRAINING, AND
DEMONSTRATION PROJECTS AND PROGRAMS...............54
Grant programs..........................................54
Authorization of appropriations for grant programs ..............55
Career preparation for the field of aging .......................56
Health care service demonstration projects in rural areas..........56
Graduate programs with capability in mental health..............56
Technical assistance and innovation to improve
transportation for older individuals.......................57
Economically sustainable transportation.......................58
Community planning for the aging population..................58
DEMONSTRATION PROJECTS
FOR MULTIGENERATIONAL ACTIVITIES .................58
Demonstration projects for multigenerational activities:
grants and contracts...................................58
Demonstration projects for multigenerational activities:
use of funds.........................................59
Demonstration projects for multigenerational activities:
preference ...........................................59
Demonstration projects for multigenerational activities:
application ..........................................60
Demonstration projects for multigenerational activities:
eligible organizations .................................60
Demonstration projects for multigenerational activities:
local evaluation and report .............................60

report to Congress....................................60
DEFINITIONS ...............................................61
Civic engagement activity ..................................61
Multigenerational activity ..................................61
Multigenerational coordinator..............................62
Native American programs.................................62
MULTIDISCIPLINARY CENTERS..............................62
Multidisciplinary centers: grant programs......................62
MULTIDISCIPLINARY HEALTH SERVICES
IN COMMUNITIES......................................64
Multidisciplinary health services in communities:
grant programs.......................................64
COMMUNITY INNOVATIONS FOR AGING IN PLACE............66
Community Innovations for Aging in Place: authorization.........66
Community Innovations for Aging in Place: definitions ..........66
Community Innovations for Aging in Place: grants..............67
Community Innovations for Aging in Place: eligibility
and application requirements............................67
Community Innovations for Aging in Place: use of funds..........68
Community Innovations for Aging in Place: required services......69
Community Innovations for Aging in Place: service areas.........69
Community Innovations for Aging in Place: supplement
and not supplant federal, state, or other funds ..............69
Community Innovations for Aging in Place: technical assistance ...70
Community Innovations for Aging in Place:
eligibility requirements for grants to provide
technical assistance...................................70
Community Innovations for Aging in Place: report to Congress.....70
CHOICES FOR INDEPENDENCE
DEMONSTRATION PROJECTS............................71
Choices for Independence: authorization.......................71
Choices for Independence: definitions.........................71
Choices for Independence: grants to states .....................72
Choices for Independence: eligibility .........................72
Choices for Independence: use of funds .......................72
Choices for Independence: public education....................73
Choices for Independence: ADRCs...........................73
Choices for Independence: Healthy Lifestyle Choices ............74
Choices for Independence: Community Living Incentives (CLI) ....75
Choices for Independence: technical assistance .................77
Choices for Independence: evaluation ........................77
Choices for Independence: responsibilities
of the Assistant Secretary...............................78
TITLE V, COMMUNITY SERVICE EMPLOYMENT
FOR OLDER AMERICANS....................................78
Title V, Community Service Employment
for Older Americans..................................78
Program authorized: purposes ..............................78
Agreements/grants to public and private non-profit
organizations/state agencies/tribal organizations ............79

PROGRAM REQUIREMENTS .....................................79
Provision of employment for eligible individuals ................79
50% of hours worked to be in community service
employment-based training .............................79
Employment in communities where eligible individuals
reside; no less than 50% of hours worked to be
in community service employment-based training ..........80
Employment for individuals, including Indians
residing on Indian reservations..........................80
Prohibition of participation by eligible individuals
exceeding a specified period ............................80
Employment in public and private non-profit
organizations/for-profit organizations.....................81
Result in unsubsidized employment ..........................81
Contribution to the community ..............................81
Provision of employment for eligible individuals ................82
Increase in employment opportunities ........................82
Prohibition of Title V enrollees performing work
of a person who is on layoff ............................82
Coordination with the Workforce Investment system ............82
Training and payment of trainees’ expenses ....................82
Safe and healthy conditions ................................83
Wages of enrollees .......................................83
Projects to be established with advice of experienced persons ......83
Payment for transportation costs/supportive services .............83
Special needs individuals ..................................83
Activities with WIA ......................................84
Sufficient administrative funds for entities ....................84
Innovative work modes and job opportunities ..................84
Reciprocity of assessments of individuals
under Title V and WIA................................84
Non-federal share ........................................84
Definition of administrative costs ............................85
Wages .................................................86
Programmatic costs: fringe benefits ..........................86
Programmatic costs: training................................86
Programmatic costs: supportive services.......................86
Limit on fund for wages and benefits of enrollees ...............86
Consultation with area agencies on aging......................87
Demonstration projects....................................87
Evaluation of Title V activities..............................88
Sense of the Senate.......................................88
STATE PLAN...............................................88
State Plan: submission, timing and comments...................88
State Plan: comments by Governor/state chief executive officer....90
State Plan: avoidance of participant disruption..................90
State Plan: collaboration by grantees that serve older Indians.......90
State Plan: distribution of assistance..........................90
COMPETITION FOR AWARD OF GRANTS......................92
Period of grant awards.....................................92

of indicators, or January 1, 2010.........................92
Eligibility criteria for awards ...............................93
PERFORMANCE MEASURES.................................94
Performance measures: establishment.........................94
Performance measures: annual requirement....................94
Performance measures: agreement on expected levels............94
Performance measures: composition .........................95
Performance measures: indicators............................95
Performance measures: additional indicators...................95
Performance measures: issuance of rules on indicators............96
Performance measures: adjustments..........................96
Performance measures:
annual publication of grantee performance.................96
Performance measures:
placement into unsubsidized employment..................96
Performance measures: retention in employment................97
Performance measures:
exemption when a grantee extends time for participation......98
CORRECTIVE ACTION AND TECHNICAL ASSISTANCE
BASED ON PERFORMANCE, AND REQUIREMENTS
FOR COMPETITION BASED ON PERFORMANCE...........98
National organizations: technical assistance
and corrective action based on performance................98
National organizations: second year of failure in meeting
performance standards — reduction of 25% of funds.........99
National organizations: third year of failure in meeting
performance standards — withdrawal of all funds...........99
National organizations: additional competition requirements
where national organizations have performance levels
20% or more below the national performance standards.......99
Performance measures: request by the Governor................100
States: technical assistance and corrective action
based on performance................................100
States: second year of failure — reduction of 25% of funds.....101
States: third year of failure — withdrawal of all funds..........101
Grantees serving individuals with barriers to employment........101
Prohibition on promulgation of rules negatively affecting
minority serving grantees..............................102
Authorization of Appropriations............................102
Unexpended funds.......................................103
DEFINITIONS ..............................................103
Community service/community service
employment-based training............................103
Eligible individuals......................................103
Individuals to have priority for work opportunities..............103
Exclusion of individuals who have participated
in Title V projects for a specified period .................104
Income ................................................104
Program ...............................................104
Supportive services......................................105
Unemployed individual...................................105

TITLE VI, GRANTS FOR NATIVE AMERICANS....................105
Distribution of funds among tribal organizations...............105
Native Americans caregiver support program..................106
TITLE VII, ALLOTMENTS FOR VULNERABLE ELDER RIGHTS
PROTECTION ACTIVITIES .................................106
Vulnerable elder rights protection activities:
ombudsman program.................................106
Native American organization provisions.....................106
Elder abuse, neglect, and exploitation prevention...............106
ELDER JUSTICE PROGRAMS: PURPOSES.....................107
DEFINITIONS ..............................................108
Caregiver ..............................................108
Direct care.............................................108
Elder .................................................108
Elder justice............................................108
Eligible entity...........................................109
Fiduciary ..............................................109
Grant .................................................109
Law enforcement ........................................109
Long-term care .........................................110
Loss of capacity .........................................110
Long-term care facility....................................110
Nursing facility.........................................110
State legal assistance developer.............................110
State long-term care ombudsman............................111
STATE AND TRIBAL GRANTS TO STRENGTHEN
LONG-TERM CARE AND PROVIDE ASSISTANCE
FOR ELDER JUSTICE PROGRAMS.......................111
State and tribal grants: authorization.........................111
State and tribal grants: application for eligibility................111
State and tribal grants: use of funds..........................111
State and tribal grants: administrative expenses................115
State and tribal grants: supplement not supplant................115
State and tribal grants: maintenance of effort..................115
State and tribal grants: accountability measures................116
State and tribal grants: evaluating programs...................116
State and tribal grants: compliance with applicable laws.........116
State and tribal grants: eligible partnerships...................116
State and tribal grants: authorization of appropriations...........117
COLLECTION OF UNIFORM NATIONAL DATA
ON ELDER ABUSE, NEGLECT, AND EXPLOITATION.......117
Collection of uniform national data: authorization..............117
Collection of uniform national data: purpose..................117
Collection of uniform national data: phase I — development
of methods of collection and reporting...................117
Collection of uniform national data: phase I — forms
and protection of privacy..............................118
Collection of uniform national data: phase II — pilot test........119
Collection of uniform national data: phase II — adjustments
to form and methods.................................119

of national data reporting forms.........................119
Collection of uniform national data: phase III — data collection
grants, authorization..................................119
Collection of uniform national data: phase III — data collection
grants, application...................................120
Collection of uniform national data: phase III — data collection
grants, requirements..................................120
Collection of uniform national data: phase III — data collection
grants, funding......................................120
Collection of uniform national data: phase III — required
information .........................................121
Collection of uniform national data: report....................121
Collection of uniform national data: authorization
of appropriations....................................121
Rule of construction......................................121
List of Tables
Table 1. Side-by-Side Comparison of Current Law,
H.R. 5293, and S. 3570........................................10

Older Americans Act Reauthorization:
Side-by-Side Comparison of Current Law,
H.R. 5293, and S. 3570
Introduction
Authorization of appropriations for the Older Americans Act of 1965 expired
at the end of FY2005. The 109^th Congress is considering legislation to reauthorize
the act. H.R. 5293, the Senior Independence Act of 2006, was reported by the House
Education and Workforce Committee on June 8, 2006,¹ and was passed by the House
on June 21, 2006. S. 3570, the Older Americans Act Amendments of 2006, was
ordered reported by the Senate Committee on Health, Education, Labor and Pensions
on June 28, 2006. A compromise version of the House and Senate bills may be taken
up before the end of the 109^th Congress.
The Older Americans Act (OAA) is the major vehicle for the delivery of a wide
range of supportive services, as well as nutrition services and community service
employment opportunities for older people. Title II of the act authorizes activities
of the Administration on Aging (AoA). The Title III nutrition program is the major
single service funded by the act, and provides meals to older people in congregate
settings and in their homes. Title III supportive services include information and
assistance about accessing services, a range of home and community-based long-term
care, transportation, and family caregiver support services, among many others. Title
IV supports a wide range of research, training, and demonstration activities in the
field of aging. The Title V community service employment program supports
subsidized jobs for low-income people aged 55 and over. Title VI funds supportive
and nutrition services for Native American older people, and Title VII supports the
long-term care ombudsman program and services to prevent the abuse, neglect, and
exploitation of older persons. For a description of Older Americans Act programs
and funding, see CRS Report RL31336, The Older Americans Act: Programs and
Funding, by Carol O’Shaughnessy.
This report highlights selected provisions of H.R. 5293 and S. 3570, and
provides a section-by-section comparison of current law with the bills.

¹ Senior Independence Act of 2006, Comm. on Education and the Workforce, House of
Representatives, H.Rept. 109-493, June 8, 2006. 109^th Cong., 2^nd sess.

Highlights of Selected Provisions
of H.R. 5293 and S. 3570
Home and Community-Based Long-Term Care Services
Title III supports a wide range of home and community-based long-term care
services, including personal care, homemaker and chore services, home-delivered
nutrition services, and assisted transportation. Beyond these Title III-funded
services, many state and area agencies administer home and community-based long-
term care services not funded by Title III. These include those funded by the
Medicaid Section 1915(c) home and community-based services waiver program and
by the Social Services Block Grant program (Title XX of the Social Security Act).
Some state and area agencies on aging are responsible for administering and
managing case management and assessment of the long-term care needs of older
persons and have made great strides in expanding and coordinating a variety of
services to help older persons remain at home and avoid entry into institutions. In
recent years, AoA has supported a wide range of projects that focus on home and
community-based long-term care, including Aging and Disability Resource Centers
(ADRCs).
Program planning and service delivery initiatives by states, as well as research
and demonstration initiatives by AoA and the Centers for Medicare and Medicaid
Services (CMS), have focused on what many believe to be an institutional bias in
federal program support for long-term care. (The primary federal program that
finances long-term care services is Medicaid, and most of its long-term care spending
for the elderly is for nursing home care.)
In the Older Americans Act reauthorization legislation, both the Senate
Committee and House bills define the roles of AoA and state and area agencies on
aging with respect to home and community-based services for older people.
Role of AoA . The bills would require the Assistant Secretary on Aging within
the Department of Health and Human Services (HHS) to promote the development
and implementation of comprehensive, coordinated systems at federal, state, and
local levels for providing long-term care in home and community-based settings, in
a manner responsive to the needs and preferences of older individuals and their
family caregivers. In doing so, the Assistant Secretary would be required to, among
other things, conduct research and demonstration projects to identify innovative,
cost-effective strategies for modifying state systems of long-term care; and target
services to individuals at risk for institutional placement in order to permit them to
remain in home and community-based care settings.
Role of State and Area Agencies on Aging. Likewise, the bills would
require that state and area agencies on aging develop and implement a
comprehensive, coordinated system, at their respective levels, to develop home and
community-based services. They would accomplish this by, among other things,
collaborating, coordinating and consulting with other agencies responsible for
formulating, implementing and administering long-term care programs; and making
recommendations regarding strategies to modify the state’s long-term care system in

order to respond to the needs and preferences of older individuals and family
caregivers.
Aging and Disability Resource Centers (ADRCs). In recent years, AoA
has used its Title IV research and demonstration authority to award funds for ADRCs
in 43 states. The ADRC grant program is a cooperative effort between AoA and
CMS and was developed to assist states in their efforts to create a single, coordinated
system of information and access for all persons seeking long term support to assist
them in accessing services, enhance individuals’ choice of services, and support
informed decision-making. Both H.R. 5293 and S. 3570 would provide authority
in the Older Americans Act for the Assistant Secretary to continue this initiative. In
the bills, ADRCs are defined as entities that provide comprehensive information on
available public and private long-term care programs, options, and resources and
provide personal counseling to assist individuals to develop and implement a plan to
meet long-term care needs. ADRCs are to serve as a convenient point of entry for
people needing such assistance for these programs.
State and Area Agency on Aging Planning
for the Baby Boom Population
The increasing numbers of people turning age 65 in the coming decades will
place increasing burdens on aging service providers supported by the Older
Americans Act (the first wave of the baby boom population are turning age 60 in
2006). Groups representing these providers, such as the National Association of
State Units on Aging, and the National Association of Area Agencies on Aging, have
proposed new Older Americans Act initiatives to assist state and area agencies in
their planning efforts to prepare for the growing elderly population across the nation.
While state and area agencies are already responsible for assessing the needs of the
current older population in their states and areas, the baby boom population is
expected to increase the need for resources as well as planning efforts.
Both H.R. 5293 and S. 3570 would require each state agency on aging, at the
election of the state, to include in state plans on aging an assessment of how prepared
the state is for changes in the elderly population over a 10-year period. The
assessment may also include:
^!an analysis of how demographic changes may affect older
individuals, including those with low-income, greatest economic
need, minority older individuals, those residing in rural areas, and
those with limited English proficiency;
^!an analysis of how the programs, policies, and services provided by
states and area agencies can be improved, and how resource levels
can be adjusted to meet the needs of the changing population of
older individuals in the state; and
^!an analysis of how the change in the number of persons age 85 years
and older is expected to affect the need for supportive services.
Both bills would also authorize area agencies on aging to conduct similar
activities and to make recommendations to governmental officials on actions to build

their capacity to respond to the needs of the growing aging population, including
health and human services, land use, housing, transportation, public safety, workforce
and economic development, among others. In addition, S. 3570 would allow an
additional 1% of a state’s allotment for Title III funds to be used for area plan
administration to carry out these activities. This could only occur when
appropriations for Title III supportive, nutrition and disease prevention and health
promotion services exceed 110% of the FY2006 amount.
Nutrition Services
The Title III nutrition program is the largest single program under the Older
Americans Act. Funded at $715.1 million in FY2006, it represents 58% of Title III
funds, and 40% of the act’s total funding. Data for FY2004 (latest available) show
that of the 249 million meals served, 57% were provided to frail older persons (and
their caregivers) at home, and 43% were provided in congregate settings, such as
senior centers and schools.²
The program serves a particularly vulnerable older population. AoA data show
that about 62% of congregate nutrition participants, and 73% of home-delivered
nutrition participants, are age 75 or older. About 52% of congregate nutrition
participants, and 61% of home-delivered participants, live alone. About 56% of
congregate nutrition participants, and 66% of home-delivered participants, report that
the meals they receive through the program provided one-half or more of their daily
food intake.³
National Academy of Sciences Study of Nutrition. Both H.R. 5293 and
S. 3570 would require the Assistant Secretary to use funds set aside for evaluation
to conduct an evidence-based evaluation of the nutrition program. The evaluation
would be conducted by the Food and Nutrition Board of the Institute of Medicine
(IOM) and is to include:
^!an evaluation of the effect of nutrition projects on the health and
nutrition status of participants, prevention of hunger and food
insecurity, and ability of participants to remain living independently;
^!a cost-benefit analysis of nutrition projects, including their potential
to affect costs of Medicaid; and
^!recommendations on how nutrition projects may be modified to
improve outcomes, and nutritional quality of meals.
Other Nutrition Program Proposals. H.R. 5293 and S. 3570 would add
several new services designed to enhance the scope of the services currently
available. The bills would add assessment and counseling as services that may be
available to participants. In addition, H.R. 5293 would allow nutrition projects to

² U.S. Department of Health and Human Services, Fiscal Year 2007: Administration on
Aging: Justification of Estimates for Appropriations Committees, pp. 28-29.
³ Administration on Aging. Highlights from the Pilot Study: Second National Survey of
Older Americans Act Title III Service Recipients. [http://www.aoa.gov/about/results/
Final-Highlights-2nd-natioinal-survey.pdf], accessed Sept. 1, 2006.

provide participants with a multivitamin supplement along with the meal. S. 3570
does not include this provision.
National Family Caregiver Support Program
The National Family Caregiver Support Program, added to Title III by the 2000
amendments to the act, authorizes a number of services to assist caregivers of frail
older persons, including information and assistance to caregivers about available
services; individual counseling; organization of support groups and caregiver
training; respite services to provide families temporary relief from caregiving
responsibilities; and supplemental services (such as adult day care or home care
services, for example), on a limited basis, that complement care provided by family
and other informal caregivers.
Under current law, priority is to be given to older persons and their families who
have the greatest social and economic need, with particular attention to low income
individuals, and to older persons who provide care and support to persons with
mental retardation and developmental disabilities. Under current AoA guidance,
parents of children with disabilities may receive caregiver services if their children
are age 18 or younger. If the child is age 19-59, including, for example, adult
children with developmental disabilities who still need parental care, their parents are
not eligible for the act’s caregiver services. Both bills would clarify that services
may be provided to parents of a child with disabilities regardless of age of the child
(S. 3570 specifically refers to an adult child with a developmental or related
disability, while H.R. 5293 does not limit the disability type).
Under current law, grandparents or other older individuals who are relative
caregivers for children under the age of 18 may receive caregiver support services if
they are age 60 and older. Both H.R. 5293 and S. 3570 would decrease the age of
eligibility for grandparents/relative caregivers to age 55.
Senior Community Service Employment Program
for Older Americans
The community service employment program for older Americans (also known
as the Senior Community Service Employment Program, or SCSEP) has as its
purpose the promotion of useful part-time opportunities in community service
activities for unemployed low-income persons who are 55 years or older and who
have poor employment prospects. The program not only provides opportunities for
part-time employment and income for older persons, but also contributes to the
general welfare of communities by providing a source of labor for various
community service activities. Enrollees work part-time in a variety of community
service activities. The program provides for 61,050 jobs, serving about 92,300
people in FY2006.
Both H.R. 5293 and S. 3570 make changes to the Title V program, but take
different approaches. The House bill proposals are wider in scope than those in the
Senate Committee bill, and many of its proposed changes emanate from the view that
the program should place more emphasis on training of participants for unsubsidized

employment than what exists under the current program. (H.R. 5293 would change
the name of the program to Older American Community Service Employment-Based
Training Act.) While H.R. 5293 would retain the community service nature of the
jobs in which enrollees are placed, it would place more emphasis on training as part
of the program and would allow enrollees to be placed in private, for-profit
employment while serving as Title V enrollees.
Under the current program, participants primarily receive on-the-job training
after they have been placed in a community service position, rather than formal
training before placement. H.R. 5293 would decrease the amount of program funds
that could be spent on wages and fringe benefits in order to allow for an increased
amount to be used for training. Under current law, national and state grantees are to
spend 75% of their grants for wages and fringe benefits for enrollees. The remainder
is to be used for administration (between 13.5% and 15%), and other enrollee costs,
such as supportive services and training (between 10% and 12.5%). H.R. 5293
would decrease the amount to be spent on wages and fringe benefits to 65%. The
House Committee report indicates that this change would allow grantees to spend
more of their funds on classroom training and on-the-job training.⁴
H.R. 5293 would also allow enrollees to be placed in private, for-profit
organizations while receiving a Title V wage. The Senate bill does not make this
change and would add a provision to underline the community service employment
aspect of the program. It states that it is the sense of the Senate that the older
American community service employment program was created with the intent of
placing older individuals in community service positions to provide job training
placements; and placing older individuals in community service positions strengthens
the ability of individuals to become self-sufficient, provides much-needed volunteer
support to organizations which benefit significantly from increased civic engagement,
and strengthens the communities that are served by such organizations.
Limit on Time of Participant Enrollment. Under the current program,
there is no time limit on how long an enrollee may spend as a Title V participant. The
average length of time participants spend in the program is about 27 months. H.R.
5293 would limit participation by eligible individuals to 24 months (in the
aggregate). Individual participants could stay in the program for up to four years.
S. 3570 would allow an eligible individual to participate for up to 36 months in
the aggregate (and grantees may ask for a waiver of this limit under certain
circumstances). Under the bill, a grantee may extend the period of participation for
up to 20% of the project participants. In selecting participants for the extended
period, the grantee is to give priority to certain groups, including participants age 65
and older, those who are frail older individuals, and individuals who have more than
one barrier to employment, such as a disability, residence in an area of high
employment, or failure to find employment after using services under Title I of the
Workforce Investment Act (WIA), among other things.

⁴ Senior Independence Act of 2006, Comm. on Education and the Workforce, House of
Representatives, H.Rept. 109-493, June 8, 2006, 109^th Cong., 2^nd sess., p. 58

Eligibility. The bills make a number of changes to individual eligibility. When
determining an individual’s eligibility, H.R. 5293 and S. 3570 would exclude as
income unemployment compensation, Supplemental Security Income (SSI) benefits,
and 25% of benefits received under Title II of the Social Security Act. In addition,
S. 3570 would also exclude payments made to or on behalf of veterans or former
members of the Armed Forces under laws administered by the Secretary of Veterans
Affairs.
Elder Justice
Title VII authorizes Vulnerable Elder Rights Protection Activities. Two of the
four programs authorized have received funding — the long-term care ombudsman
program (whose purpose is to investigate and resolve complaints of residents of
nursing facilities, board and care facilities, and other adult care homes) and the elder
abuse, neglect and exploitation prevention program.⁵ Relatively limited resources
have been given to domestic elder abuse issues under Title VII. Most Title VII
funding is directed at the older people residing in institutions through the long-term
care ombudsman program. Of $20.2 million appropriated for FY2006 for Title VII
programs, almost three-quarters was for ombudsman activities.
As older individuals continue to live longer lives, increasing the likelihood of
age-related disability, those who rely on family, friends, or professionals for care
could become vulnerable to abuse, neglect, and exploitation. Given these
demographic trends, it is anticipated that cases of elder abuse, neglect, and
exploitation will increase. It has been difficult to estimate the number of older
people living in institutions and in the community who may be subject to elder abuse,
neglect and exploitation. Efforts to collect data on elder abuse, neglect, and
exploitation at the national level pose several problems, including variation in state
statutory definitions of elder abuse making it difficult to identify actions that
constitute abuse and neglect, and lack of a uniform reporting system across states.
Recognizing the need for a coordinated federal effort with a multidisciplinary
approach that combines law enforcement, public health, and social services to
combat abuse, neglect, and exploitation of the elderly, legislation has been
considered in recent Congresses. Senator John Breaux first introduced the Elder^th
Justice Act of 2002 (S. 2933) in the 107 Congress. A similar measure (S. 333) was
introduced in the 108^th Congress; the bill was approved by the Senate Finance
Committee but never taken up on the Senate floor. On November 15, 2005, Senator
Hatch introduced S. 2010, the Elder Justice Act; the bill was ordered reported by the
Senate Finance Committee on August 3, 2006.
In addition to these efforts, Congress has included provisions related to elder
justice activities in legislation to reauthorize the Older Americans Act. Both H.R.
5293 and S. 3570 focus on efforts to increase attention to elder justice issues, but take
different approaches. In both bills, elder justice is defined as efforts to prevent,

⁵ Two other programs are authorized, but not funded — legal assistance development and
the Native American elder rights program.

detect, treat, intervene in, and respond to elder abuse, neglect, and exploitation and
to protect elders with diminished capacity while maximizing their autonomy.
AoA Responsibility for Elder Justice Issues. The House bill would
authorize the Assistant Secretary to designate within the AoA responsibility for elder
abuse prevention and services while the Senate Committee bill would authorize the
Secretary of HHS to establish within the AoA an Office of Elder Abuse Prevention
and Services.
National Incidence Study and Data Collection Efforts. S. 3570 would
authorize the Assistant Secretary to carry out a study to determine the national
incidence and prevalence of elder abuse, neglect, and exploitation in all settings. In
addition, the bill would add a provision for the collection of uniform national data on
elder abuse, neglect, and exploitation. The purpose of this provision of the bill is to
improve, streamline, and promote uniform collection, maintenance, and
dissemination of national data relating to the various types of elder abuse, neglect,
and exploitation.
Grants to States and Tribal Organizations for Elder Justice
Programs. S. 3570 would authorize funds for grants to states and Indian tribes to
strengthen long-term care and provide assistance for elder justice programs. Among
other things, state and tribal grants would be used for the following activities:
^!prevention, detection, assessment, and treatment of, intervention in,
investigation of, and response to elder abuse, neglect, and
exploitation;
^!examination of various types of elder shelters (referred to as “safe
havens”), and to test various safe haven models; and
^!support for multidisciplinary elder justice activities.
Research and Demonstration Initiatives
S. 3570 would add authority for the Assistant Secretary on Aging to conduct
several new demonstration programs under Title IV. Among these are demonstration
projects for model projects to assist older people to age in place, including in
Naturally Occurring Retirement Communities (NORCs); and for mental health
services for older people. H.R. 5293, as passed by the House, makes no changes to
the Title IV research, training, and demonstration program.
New research and demonstration programs contained in S. 3570 include the
following.
Model Projects for Aging in Place. Many communities around the country
are experimenting with ways to assist older people who have “aged in place,” that is
who have resided in their own homes independently for many years, and now may
need a variety of supportive services to assist them to continue to do so. In recent
years, House and Senate appropriation legislation has included earmarks for a
number of projects to provide support for organizations that assist these “Naturally
Occurring Retirement Communities” (NORCs). For example, for FY2007, the
House and Senate Appropriations Committees have earmarked funds for,

respectively, 15 and 5 NORC projects as part of the AoA Title IV research and
demonstration program.⁶
Under current Older Americans Act statute, there is no explicit authority to
carry out NORC projects. S. 3570 would require that the Assistant Secretary award
Title IV funds to carry out model aging in place projects, including NORCs. The aim
of these projects would be to help sustain the independence of older individuals in
communities where the individuals have established personal, family, and
professional supportive networks. The bill defines Naturally Occurring Retirement
Community as a residential building, a housing complex, an area (including a rural
area) of single family residences, or a neighborhood composed of age-integrated
housing where 40% of the heads of household are older individuals; or a critical mass
of older individuals that exists, based on local factors which, taken in total, allow an
organization to achieve efficiencies in the provision of health and social services to
older individuals living in the community; and that is not an institutional care or
assisted living setting.
Entities that would receive funds under this demonstration would be required
to provide comprehensive and coordinated health and social services, including the
following services: case management, case assistance, and social work services;
health care management and health care assistance; education, socialization, and
recreational activities; volunteer opportunities for project participants; and
coordinating the services provided under Title III for eligible older individuals served
by the project.
Demonstration Efforts to Address Mental Illness in Older People.
S. 3570 would add a new provision requiring the Assistant Secretary to make
competitive grants to states to develop systems for the delivery of mental health
screening and treatment services for older individuals who lack access to such
services and programs. The purpose of the grants would be to
^!increase public awareness regarding the benefits of prevention and
treatment of mental disorders in older individuals;
^!reduce the stigma associated with mental disorders in older
individuals and other barriers to the diagnosis and treatment of the
disorders; and
^!reduce age-related prejudice and discrimination regarding mental
disorders in older individuals.

⁶ House Committee on Appropriations, Departments of Labor, Health and Human Services,
and Education, and Related Agencies, H.Rept. 109-515, 109^th Cong., 2^nd sess., p. 161ff;
Senate Committee on Appropriations, Departments of Labor, Health and Human Services,^th^nd
and Education and Related Agencies, S.Rept. 109-287, 109 Cong., 2 sess., p. 212.

CRS-10
Table 1. Side-by-Side Comparison of Current Law, H.R. 5293, and S. 3570
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^d^by^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^{N O}^F^O^B^J^E^CTIVES;^DEF^I^NITIO^N^S
^FINIT^I^ONS
^iv^e^de^vⁱ^c^e^,^a^ssist^iv^e^N^o^provⁱ^sⁱ^oⁿ^.^D^e^fi^ne^s^as^sⁱ^s^tⁱ^{ve devi}^{ce, as}^sⁱ^s^tⁱ^ve^t^echnol^ogy,^N^o^provⁱ^sⁱ^oⁿ^.
ⁿ^o^l^{ogy, an}^d^as^sⁱ^s^tⁱ^v^e^an^d^as^sⁱ^stⁱ^{ve t}^echnol^{ogy s}^e^r^vⁱ^c^e^t^o^ha^ve^t^h^e
ⁿ^o^l^{ogy s}^ervi^c^e^s^a^m^e^m^eanⁱⁿ^g^as^s^ection^{3 of}^th^{e A}^s^sⁱ^s^tⁱ^v^e
^T^echⁿ^o^l^o^g^y^A^c^t^of^{1998 (29 U}^.^S^.^C^.^3002).
^{(p. 3)}
ⁱ^{ki/CRS-RL33660}^th^p^r^om^oti^oⁿ^Defⁱⁿ^e^s^heal^t^h^pr^om^otⁱ^o^{n pr}^ogr^am^s^as^Ch^an^g^e^{s th}^{e ter}^m^to^evidence-b^a^s^{ed health}^S^a^m^e^as^H^.^R^.^{5293, bu}^t^w^o^ul^{d el}ⁱ^mⁱⁿ^at^e
^g/w^r^ogram^/^e^vi^d^eⁿ^ce-b^a^s^e^d^p^r^o^g^r^a^m^s^th^{at in}^clu^d^{e, b}^u^{t ar}^{e n}^o^{t lim}^ited^p^r^o^m^otⁱ^{on pr}^ogr^am^s^w^h^ichⁱⁿ^clu^d^{e p}^r^o^g^r^a^m^s^r^e^f^e^r^eⁿ^ce^to^im^p^r^o^vⁱⁿ^gⁿ^u^t^r^itioⁿ^t^h^r^{ough t}^h^e
^s^.or^e^al^th^p^r^om^oti^oⁿ^t^o^{, p}^r^o^g^r^a^m^s^r^e^latin^g^to^p^r^ev^en^tioⁿ^an^d^r^e^l^a^t^e^d^t^o^t^h^e^p^r^e^v^eⁿ^tⁱ^oⁿ^aⁿ^d^m^itig^a^tⁱ^oⁿ^o^f^t^h^e^cons^um^ptⁱ^{on of}^{a heal}^t^h^f^u^l^di^et^and
^le^ak^redu^ction^of^ef^f^ects^of^ch^ronⁱ^{c dis}^a^blin^g^e^ffe^c^t^s^o^f^c^h^r^o^nic^dis^eas^e⁽ⁱⁿ^c^l^u^dⁱ^ng^{multivitamin-miner}^a^{l s}^{upplementation}^{. (p. 2)}
^con^d^ition^s⁽ⁱⁿ^c^lu^din^g^os^teoporos^is^an^d^os^t^e^oporosⁱ^s^{, h}^y^pert^en^sⁱ^on^{, obes}ⁱ^t^y^{, di}^abet^es^,
^://wiki^cardiov^as^cu^{lar dis}^eas^{e), al}^c^o^ho^l^aⁿ^d^an^{d cardiov}^as^cu^{lar dis}^eas^{e), alcoh}^o^{l an}^d
^h^ttp^s^u^bs^tan^ce^abu^s^e^r^e^d^u^c^tⁱ^oⁿ^,^s^m^okⁱⁿ^g^sub^s^t^a^nc^e^a^b^use^r^e^d^u^c^tⁱ^o^n,^sm^o^kⁱ^{ng c}^e^ssa^tⁱ^o^n,
^ces^s^a^tion^,^w^e^ig^h^t^los^s^an^{d con}^t^{rol, an}^d^w^eⁱ^ght^l^o^{ss a}ⁿ^d^c^o^nt^r^o^l^,^st^r^e^{ss m}^a^na^ge^meⁿ^t^,
^st^r^e^{ss m}^a^na^ge^m^e^nt^.^T^h^e^s^e^p^r^o^g^r^a^m^s^a^r^e^f^a^lls^prev^en^tion^,^ph^y^s^{ical acti}^vⁱ^t^y^,^aⁿ^d
^p^a^r^t^o^f^th^{e b}^r^o^a^d^e^r^d^e^fⁱⁿ^itioⁿ^s^o^f^di^s^e^as^e^im^p^r^o^v^e^d^nutr^itioⁿ^thr^o^{ugh the}^c^o^nsum^p^tio^{n o}^f
^pr^{evention and health pr}^{omotion s}^e^r^v^ices^.^{a h}^ealth^f^u^{l d}ⁱ^{et an}^d^m^u^ltiv^itamⁱⁿ^-^mⁱⁿ^e^r^a^l
^su^p^p^l^em^en^tatioⁿ^.⁽^p^{. 3}⁾
^o^r^m^a^t^io^{n a}^{nd a}^ssist^aⁿ^c^e^D^e^fⁱⁿ^e^sⁱⁿ^f^o^rm^ation^an^d^as^sⁱ^s^t^an^ce^a^s^A^dds^ref^e^ren^{ce t}^o^ol^de^rⁱⁿ^di^vⁱ^du^al^s^at^ri^s^k^f^o^r^S^a^m^e^as^H^.^R^.^{5293. (p. 2)}

^s^e^rv^ices^th^{at, am}^on^g^oth^e^{r th}ⁱⁿ^g^s^,^s^e^rv^{e th}^eⁱⁿ^stitu^tioⁿ^a^{l p}^l^acem^en^{t. (p}^{. 3}⁾
^en^tⁱ^r^{e com}^m^uⁿⁱ^t^y^of^ol^{der i}ⁿ^di^vⁱ^du^al^s^,
^particu^l^arly^{, older}ⁱⁿ^divⁱ^du^als^{at g}^r^eates^t
^s^o^{cial n}^{eed an}^{d w}^ith^g^r^eat^e^s^t^econ^o^mⁱ^c
ⁿ^eed.

CRS-11
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^ing^a^{nd Disa}^bilit^y^N^o^provⁱ^sⁱ^oⁿ^.^D^e^fⁱⁿ^e^s^ADRC^s^a^s^{a prog}^ram^es^t^a^blⁱ^s^h^e^{d by}^a^Sⁱ^mⁱ^l^a^r^t^o^H^.^R^.^{5293, ex}^cept^defⁱⁿ^e^s^A^D^R^C^s
^s^t^{ate, as}^{part of}^th^{e s}^t^ate’^s^s^y^s^t^em^of^lon^g^-^term^as^center^(rath^e^{r th}^an^pr^ogr^am^{). (p. 4)}
^{care, to prov}^{ide a coordin}^a^{ted s}^y^s^t^em^f^o^{r —}
^c^om^preh^en^sⁱ^v^eⁱⁿ^f^o^rm^ation^on^av^aila^ble^S^a^m^e^as^H^.^R^.^{5293. (p. 4)}
^pu^blⁱ^c^an^{d pri}^v^at^{e l}^oⁿ^g^-^t^e^rm^{care prog}^ram^s^,
^optⁱ^oⁿ^s^{, an}^{d res}^o^u^r^ces^;^{(p. 5)}
^p^ers^oⁿ^a^l^couns^elⁱⁿ^g^t^o^as^sⁱ^s^tⁱⁿ^di^vⁱ^du^al^sⁱⁿ^S^a^m^e^as^H^.^R^.^{5293. (p. 4)}
^assessⁱⁿ^g^th^eir^ex^istin^g^o^r^an^ticip^ated^loⁿ^g^-
^t^e^r^m^{care n}^eeds^,^an^{d dev}^e^lopin^g^an^d
^im^plem^en^tin^g^{a plan}^f^o^{r lon}^g^-^term^care
ⁱ^{ki/CRS-RL33660}^desⁱ^gⁿ^e^{d to m}^eet^t^h^{eir s}^p^ecifⁱ^{c n}^eeds^an^d
^g/w^circu^m^s^t^an^ces^{; an}^{d (p. 5)}
^s^.or^c^on^s^u^m^e^{r acces}^s^to^t^h^e^ran^g^e^of^pu^blicly^-^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293, ex}^cept^refe^r^s^t^o
^le^ak^s^u^pport^e^{d l}^oⁿ^g^-^t^e^rm^{care prog}^ram^s^f^o^{r w}^hⁱ^c^h^cons^um^er^s⁽^r^a^th^er^th^an^th^ey^{). (p. 4)}
^://wiki^th^ey^m^a^y^b^e^elig^ib^{le, b}^y^ser^vⁱⁿ^g^{as a}^con^v^eⁿⁱ^en^t^poiⁿ^t^of^en^t^r^y^f^o^{r s}^u^ch^prog^ram^s^.
^h^ttp^{(p. 5)}
^risk^o^f^inst^it^ut^io^na^l^N^o^provⁱ^sⁱ^oⁿ^.^D^e^fⁱⁿ^e^s^{at r}ⁱ^s^k^for^ins^{titutional placement}^as^an^S^a^m^e^as^H^.^R^.^{5293, ex}^cept^ref^e^rs^t^o
^ent^ol^{der i}ⁿ^di^vⁱ^du^al^w^h^{o i}^s^uⁿ^a^bl^{e t}^o^perf^orm^at^s^ubs^t^antⁱ^a^l^as^sⁱ^s^t^ance⁽^r^a^th^er^th^aⁿ^s^ubs^t^antⁱ^a^l
^{least tw}^o^activ^{ities o}^f^d^a^ily^livⁱⁿ^g^w^ith^o^u^t^hum^{an as}^sⁱ^s^t^ance^{) an}^{d d}^o^e^sⁿ^o^t^requⁱ^r^{e, bu}^t
^sub^s^t^a^ntⁱ^a^l^hum^aⁿ^a^ssi^st^aⁿ^c^e⁽ⁱ^nc^l^u^dⁱ^{ng ve}^r^b^a^lⁱⁿ^cl^udes^an^o^l^{der i}ⁿ^di^vⁱ^du^al^w^h^{o i}^s
^r^e^mⁱ^ndⁱ^ng,^p^h^y^sⁱ^c^a^l^c^uⁱ^ng,^o^r^sup^e^r^vⁱ^sⁱ^oⁿ⁾^aⁿ^d^d^e^ter^mⁱⁿ^ed^b^y^st^a^t^{e to}^b^eⁱⁿⁿ^eed^o^f
^{is d}^e^ter^mⁱⁿ^ed^b^y^th^{e state to}^b^eⁱⁿⁿ^eed^o^f^p^l^acem^en^{t in}^{a lo}ⁿ^g^-t^erm^{care f}^acility^{. (p}^{. 4}⁾
^p^l^acem^en^{t in}^{a lo}ⁿ^g^-^term^{care f}^acility^{. (p}^{. 6}⁾
^ng^-^t^erm^ca^{re f}^a^cilit^y^Defⁱⁿ^e^{s lo}ⁿ^g^-^ter^m^car^{e f}^acility^{as —}^No^ch^an^g^eⁱⁿ^cu^r^r^en^{t law}^.^A^d^d^s^r^e^f^e^r^eⁿ^{ce to}^aⁿ^a^s^sⁱ^s^t^e^d^lⁱ^vⁱⁿ^g^f^acility^.
^aⁿ^y^sk^illedⁿ^u^r^sin^g^f^acility^{, as d}^e^fⁱⁿ^e^dⁱⁿ^{(p. 3)}

^s^ectⁱ^oⁿ^{1819(a) of}^t^h^e^S^o^ci^al^S^ecu^ri^t^y
^Ac^t^;
^aⁿ^yⁿ^u^r^sin^g^f^acility^{, as d}^e^fⁱⁿ^e^dⁱⁿ^sectioⁿ
^{1919(a) of}^t^h^{e S}^o^ci^al^S^ecu^ri^t^y^A^c^t^;

CRS-12
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^f^{or t}^h^{e pu}^rpos^es^of^s^ectⁱ^oⁿ^s^307(a)(12⁾
^an^{d 712, a board an}^{d care f}^acility^{; an}^d
^an^y^o^t^h^e^r^ad^u^{lt c}^a^r^e^h^o^m^e^sim^ilar^to^a
^f^acility^o^rⁱⁿ^stitu^tioⁿ^.
^l^{der jus}^t^ice^N^o^provⁱ^sⁱ^oⁿ^.^D^e^fi^ne^s^eld^e^{r ju}^stice^as^e^ffo^r^t^s^t^o^prev^en^t,^N^o^p^r^o^vⁱ^s^ioⁿⁱⁿ^T^{itle I}^I^o^f^th^{e act. Eld}^e^r
^{detect, treat, in}^terv^en^{e in}^{, an}^d^res^pon^d^to^elder^j^u^{stice is d}^e^fⁱⁿ^e^dⁱⁿ^T^{itle VI}^I^,^{as ef}^f^o^r^t^{s to}
^abu^s^{e, n}^e^g^l^{ect, an}^{d ex}^ploitation^an^{d to protect}^prev^en^{t, detect, treat, in}^terv^en^{e in}^{, an}^d
^eld^e^r^s^w^ith^dⁱ^mⁱⁿⁱ^s^h^e^d^c^a^p^acity^w^h^ile^res^pon^{d to elder abu}^s^{e, n}^e^g^l^{ect, an}^d
^m^a^xi^mⁱ^zⁱ^{ng t}^h^eⁱ^r^a^u^t^o^no^m^y^.⁽^p^.⁶⁾^ex^pl^oⁱ^t^a^tⁱ^oⁿ^an^{d t}^o^prot^ect^el^ders^wⁱ^t^h
^dimⁱⁿⁱ^s^h^{ed capacity}^w^h^{ile m}^a^xⁱ^mⁱ^zin^g^th^eir
^au^t^oⁿ^o^m^y^;^aⁿ^{d f}^r^om^anⁱⁿ^di^vⁱ^du^al
ⁱ^{ki/CRS-RL33660}^p^e^r^s^p^ectiv^{e, th}^{e r}^eco^gⁿ^itioⁿ^o^f^an^eld^e^r^’^s
^g/w^rⁱ^ght^s,ⁱⁿ^c^l^udⁱ^{ng t}^h^e^rⁱ^ght^t^o^b^e^fr^e^e^o^f^a^b^use^,
^s^.orⁿ^e^g^l^ect^{, an}^{d ex}^pl^oi^t^a^tⁱ^oⁿ^.^{(p. 114)}
^le^ak
^x^p^l^oi^tati^on^Defⁱⁿ^e^s^e^x^p^lo^ita^tioⁿ^{as th}^{e illeg}^a^{l o}^r^Defⁱⁿ^e^s^exp^lo^ita^tioⁿ^as^th^{e f}^r^au^du^len^t^or^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^5293,^ex^cept^t^h^at^ref^e^ren^{ce t}^o
^://wikiⁱ^m^{proper act}^{or proces}^s^of^anⁱⁿ^di^vⁱ^du^al^,^o^t^h^e^r^w^{ise illeg}^a^l,^uⁿ^a^u^t^h^o^rⁱ^zed^,^o^r^im^p^r^o^p^e^r^actⁱⁿ^divⁱ^du^alⁱⁿ^clu^d^es^a^car^e^gi^ver^or^fⁱ^duci^a^r^y^.
^h^ttpⁱⁿ^clu^dⁱⁿ^g^{a careg}^iv^er,^usⁱⁿ^g^th^{e res}^o^u^r^ces^of^an^ol^{der i}ⁿ^dⁱ^vⁱ^du^al^f^o^{r m}^oⁿ^e^t^a^ry^or^{or proces}^s^of^anⁱⁿ^dⁱ^vⁱ^du^al^w^h^{o u}^s^es^t^h^e^res^o^u^r^ces^of^an^ol^derⁱⁿ^di^vⁱ^du^al^f^o^r^m^oⁿ^e^t^a^ry^or^{(p. 2)}
^pers^on^al^ben^e^fⁱ^t^,^profⁱ^t^,^{or g}^aⁱⁿ^.^pers^ona^l^b^eⁿ^e^fⁱ^t^,^profⁱ^t^,^{or g}^aⁱⁿ^{, or t}^h^at^res^u^l^t^s
ⁱⁿ^depri^vⁱⁿ^g^an^ol^{der i}ⁿ^di^vⁱ^du^al^of^ri^g^h^t^f^u^l
^acces^s^to,^o^r^u^s^{e of}^{, ben}^e^f^its^{, res}^o^u^r^ces^,
^belon^gⁱⁿ^g^s^{, or as}^s^e^ts^{. (p. 4)}
^Defⁱⁿ^e^s^negl^ect^as^—^Defⁱⁿ^e^s^negl^ect^as^th^{e f}^a^ilu^{re of}^{a car}^e^g^iv^{er or}^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293, ex}^cept^ref^e^rs^t^o^an
^t^h^e^f^a^ilu^r^e^to^p^r^o^v^id^{e f}^o^r^oⁿ^eself^th^e^fⁱ^du^ci^ary^t^o^provⁱ^d^{e g}^oods^{or s}^e^rvⁱ^ces^t^h^at^are^ol^derⁱ^ndi^vi^dual⁽^r^a^th^er^th^an^elder^{). (p. 3)}

^g^oods^{or s}^e^rv^ices^th^{at are n}^eces^s^a^ry^toⁿ^ecessar^y^to^m^aⁱⁿ^tain^th^e^h^ealth^o^r^saf^e^ty^o^f^an
^a^v^oⁱ^d^p^h^y^sⁱ^c^a^l^ha^r^m^,^m^e^nt^a^l^a^ngui^sh,^o^r^{elder; or s}^e^lf^-ⁿ^eg^{lect. (p. 4)}
^m^eⁿ^t^{al illn}^{ess; o}^r
^t^h^e^f^a^ilu^r^e^o^f^{a ca}^r^e^gⁱ^v^e^r^to^p^r^o^v^id^{e th}^e
^g^oods^{or s}^e^rvⁱ^ces^.

CRS-13
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^N^o^provⁱ^sⁱ^oⁿ^.^D^e^fⁱⁿ^e^s^s^e^l^f^-^negl^ect^{as an}^ad^u^lt’^{s in}^ab^ility^,^d^u^e^S^a^m^e^as^H^.^R^.^{5293. (p. 3)}
^t^o^ph^y^sⁱ^cal^{or m}^eⁿ^t^alⁱ^m^pai^r^m^eⁿ^t^{or di}^mⁱⁿⁱ^s^h^ed
^capacity^{, to perf}^orm^es^s^eⁿ^tⁱ^a^l^s^e^lf^-^{care tas}^k^s
ⁱⁿ^cl^u^dⁱⁿ^g^obt^aiⁿⁱⁿ^g^es^s^eⁿ^tⁱ^a^l^f^{ood, cl}^ot^hⁱⁿ^g^,
^s^h^el^t^e^r,^an^{d m}^e^di^cal^care;^obt^aiⁿⁱⁿ^g^g^oods^an^d
^ser^v^{ices n}^ecessar^y^to^m^aⁱⁿ^tain^p^h^y^s^{ical h}^ealth^,
^m^e^nt^a^l^he^a^l^t^h^,^o^r^ge^ne^r^a^l^sa^fe^t^y^;^o^r^m^a^na^gi^ng
^oⁿ^e^’^{s o}^w^{n fi}^na^ncⁱ^a^l^a^ffaⁱ^r^s.⁽^p^.⁹⁾
ⁱ^spaⁿ^{ic serv}^ing^inst^it^ut^ioⁿ^N^o^provⁱ^sⁱ^oⁿ^.^D^e^fⁱⁿ^e^s^His^{panic s}^e^r^v^{ing ins}^titution^t^o^ha^ve^t^h^e^S^a^m^e^as^H^.^R^.^{5293. (p. 5)}
^s^a^m^e^m^eanⁱⁿ^g^asⁱⁿ^s^ectⁱ^oⁿ^{502 of}^t^h^{e H}ⁱ^gh^er
^Edu^catⁱ^oⁿ^A^c^t^of^{1965 (20 U}^.^S^.^C^.^1101a).
ⁱ^{ki/CRS-RL33660}^{(p. 6)}
^g/w
^s^.or^o^ng-term^care^N^o^provⁱ^sⁱ^oⁿ^.^D^e^fⁱⁿ^e^s^l^ong-t^e^r^m^car^e^as^an^y^s^e^rv^ices^,^care,^or^S^a^m^e^as^H^.^R^.^{5293, ex}^cept^t^h^at^t^h^e^t^e^r^m
^le^ak^item^s⁽ⁱⁿ^c^lu^dⁱⁿ^g^assistiv^{e d}^e^vⁱ^ces)^,ⁱⁿ^clu^dⁱⁿ^g^lon^g^-^term^{care does}ⁿ^o^{t in}^clu^d^e^di^s^e^as^e
^dis^eas^{e prev}^en^tioⁿ^an^{d h}^ealth^prom^otion^pr^even^tⁱ^o^{n and health pr}^{omotion s}^e^r^v^ices^{, in-}
^://wiki^s^e^rv^ices^{, in}^-^h^o^m^e^s^e^rv^ices^{, an}^{d cas}^e^hom^{e s}^e^r^vⁱ^ces^{, and case}^m^anagem^e^nt
^h^ttp^m^a^na^ge^m^e^nt^se^r^vⁱ^c^e^s^—^se^rv^ic^e^s^.^{(p. 5)}
ⁱⁿ^t^en^{ded t}^o^as^sⁱ^s^tⁱⁿ^di^vⁱ^dua^l^sⁱⁿ^copiⁿ^g^wⁱ^t^h^,^S^a^m^e^as^H^.^R^.^{5293. (p. 5)}
^an^{d to th}^e^ex^ten^t^{practicable com}^p^en^s^a^{te f}^o^r,
^f^uⁿ^c^tioⁿ^a^{l im}^p^a^ir^m^eⁿ^t^{s in}^car^r^yⁱⁿ^g^o^u^t
^activ^{ities o}^f^d^a^ily^livⁱⁿ^g^;⁽^p^{. 7}⁾
^f^urⁿⁱ^s^h^{ed at h}^o^m^e^{, in}^{a com}^m^uⁿ^ity^ca^r^e^S^a^m^e^as^H^.^R^.^{5293. (p. 5)}
^settin^g⁽ⁱⁿ^c^lu^dⁱⁿ^g^{a sm}^{all co}^m^m^uⁿ^ity^c^a^r^e
^settin^g^{as d}^e^fⁱⁿ^e^dⁱⁿ^su^b^s^ectioⁿ⁽^g⁾⁽¹⁾^,^an^d^a
^lar^g^{e co}^m^m^uⁿ^ity^car^e^s^e^ttin^g^{as d}^e^fⁱⁿ^e^dⁱⁿ
^s^u^bs^ectⁱ^oⁿ^(h^{)(1), of}^s^ectⁱ^oⁿ¹⁹²⁹^o^f^t^h^e
^S^o^ci^al^S^ecu^ri^t^y^A^c^t^{(42 U}^.^S^.^C^.^1396t^)),^{or i}ⁿ
^{a lo}ⁿ^g^-^ter^m^car^{e f}^acility^{; an}^d⁽^p^{. 7}⁾
ⁿ^ot^f^u^rnⁱ^s^h^e^{d t}^o^prev^en^t^,^di^agⁿ^o^s^e^{, t}^r^eat^{, or}^S^a^m^e^as^H^.^{R. 5293, ex}^cept^doesⁿ^o^tⁱⁿ^cl^u^d^e
^cu^r^e^{, a m}^e^dⁱ^{cal d}ⁱ^{sease o}^r^coⁿ^d^itioⁿ^.⁽^p^{. 7}⁾^th^{e ter}^m^pr^event^{. (p. 5)}

CRS-14
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^u^lt^iv^it^a^m^in-^m^inera^l^N^o^provⁱ^sⁱ^oⁿ^.^D^e^fⁱⁿ^e^s^mu^ltivita^min^-^min^e^ra^{l s}^uppl^e^m^eⁿ^t^as^a^N^o^provⁱ^sⁱ^oⁿ^.
^ent^dietary^s^u^pplem^en^{t th}^at^p^r^ov^ides^{at leas}^{t tw}^o-
^th^ir^d^s^o^f^th^{e essen}^tial^v^itamⁱⁿ^s^an^d^mⁱⁿ^e^r^a^{ls at}
^{100 percen}^t^of^t^h^{e dai}^l^y^v^a^l^u^e^l^e^v^e^l^s^as
^de^t^e^r^mⁱⁿ^e^d^by^t^h^{e F}^{ood an}^{d D}^r^u^g
^A^d^mⁱⁿⁱ^st^r^a^tⁱ^o^n.⁽^p^.⁷⁾
^N^o^provⁱ^sⁱ^oⁿ^.^D^e^fi^ne^s^s^e^lf-dir^{ected car}^e^as^an^approa^c^h^t^o^S^a^m^e^as^H^.^R^.^{5293 w}ⁱ^t^h^s^lⁱ^g^h^t^l^y^di^f^f^e^re^nt
^provⁱ^dⁱⁿ^g^s^e^r^vⁱ^c^es⁽ⁱⁿ^c^l^u^diⁿ^g^prog^ram^s^,^w^o^rdin^g^.^{(p. 5)}
^ben^e^fⁱ^t^s^{, s}^u^pport^s^{, an}^{d t}^ech^no^l^o^g^y^{) u}ⁿ^d^{er t}^hⁱ^s
^{act in}^ten^d^ed^to^{assist an}^o^l^d^e^rⁱⁿ^dⁱ^vⁱ^d^u^{al w}^ith
^activ^{ities o}^f^d^a^ily^livⁱⁿ^g^,ⁱⁿ^w^h^ich^—
ⁱ^{ki/CRS-RL33660}
^g/w^s^e^r^vi^c^e^s⁽ⁱ^nc^l^u^dⁱ^{ng t}^h^e^a^m^o^unt^,^d^u^r^a^tⁱ^o^n,^S^am^{e as}^H^.^R^.^{5293. (p. 6)}
^s^.or^s^c^{ope, prov}ⁱ^d^{er, an}^{d l}^o^catⁱ^oⁿ^of^s^e^rvⁱ^ces^{) are}
^le^ak^pl^anⁿ^e^{d, bu}^dg^et^{ed, an}^{d pu}^rch^a^s^e^{d u}ⁿ^d^er^t^h^e
^di^rectⁱ^oⁿ^an^{d con}^t^rol^of^s^u^chⁱⁿ^di^vⁱ^dua^l^;
^://wiki^{(p. 8)}
^h^ttp^t^h^eⁱⁿ^dⁱ^vⁱ^d^u^{al is p}^r^o^v^id^e^d^w^ithⁱⁿ^f^o^r^m^atioⁿ^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293, ex}^cept^ref^e^rs^t^o^an
^an^d^as^sⁱ^s^t^an^{ce as}ⁿ^eces^s^a^ry^an^d^appropriate^toⁱⁿ^di^vⁱ^du^al^’^s^s^e^rvⁱ^{ce opt}ⁱ^{ons (rat}^h^{er t}^h^an
^en^a^b^l^eⁱⁿ^f^o^rm^{ed decis}ⁱ^on^s^abou^{t h}ⁱ^s^{or h}^e^r^car^e^optⁱ^ons^{). (p. 6)}
^{care option}^s^{; (p. 8)}
^t^h^eⁱⁿ^dⁱ^vⁱ^d^u^al’^sⁿ^eed^{s, cap}^ab^ilitie^s^,^an^d^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^5293,^ex^cept^t^h^at^s^e^rvⁱ^ces^are
^pref^eren^ces^f^o^{r s}^e^rv^ices^an^{d th}^{e in}^divⁱ^du^al’^s^as^s^e^s^s^e^{d by}^th^e^a^r^{ea ag}^en^cy^on^agⁱⁿ^g
^ab^ility^to^dⁱ^rect^an^d^coⁿ^t^ro^{l h}ⁱ^{s o}^r^h^e^{r receip}^tⁱⁿ^v^o^lv^ed^or^th^{e local prov}^{ider ag}^en^cy^(rath^er
^of^s^e^rv^ices^{, are as}^s^e^s^s^e^{d by}^th^e^a^r^e^a^ag^en^cy^th^an^an^{agency des}ⁱ^gnat^{ed by t}^h^{e ar}^ea
^on^agⁱⁿ^g^{(or ot}^h^e^{r ag}^en^cy^desⁱ^gⁿ^a^t^e^{d by}^t^h^e^{agency on agi}^ng^{). (p. 6)}
^{area ag}^en^cy^on^agⁱⁿ^g⁾^{; (p. 8)}
^b^as^{ed on}^th^{e as}^s^e^s^s^m^eⁿ^t^{, th}^{e area ag}^en^cy^on^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293, ex}^cept^t^h^a^t^upon
^agⁱⁿ^g^{(or oth}^e^{r ag}^en^cy^desⁱ^gⁿ^a^{ted by}^th^{e area}^r^e^ques^t^t^h^{e ar}^{ea agency}^{on agi}^{ng as}^sⁱ^s^t^s^th^e
^a^g^en^cy^on^agⁱⁿ^g⁾^tog^e^th^er^wⁱ^t^h^t^h^eⁱⁿ^di^vⁱ^du^al^an^{d t}^h^{e i}ⁿ^di^vⁱ^du^a^l^’s^f^a^mⁱ^l^y^,
ⁱ^ndivⁱ^du^al’^s^f^a^m^ily^{, careg}^iv^{er, or leg}^a^l^careg^iv^e^r^,^o^r^l^e^g^a^l^r^e^p^r^e^s^eⁿ^t^a^tiv^eⁱⁿ
^repres^en^tativ^{e dev}^e^lops^{a plan}^of^s^e^rv^ices^th^at^d^e^v^e^lo^pⁱⁿ^g^th^{e p}^l^an^{, r}^o^le^o^f^f^a^m^ily^{, an}^d
^sp^ecifⁱ^{es w}^h^ich^ser^v^{ices th}^{e in}^dⁱ^vⁱ^d^u^al^w^ill^b^e^bu^dg^et^{. (p. 6)}

^res^pon^sⁱ^bl^{e f}^o^{r di}^rectⁱⁿ^g^;^{a det}^e^rmⁱⁿ^atⁱ^on^o^f
^th^{e r}^o^{le o}^f^f^a^m^ily^m^e^m^b^er^{s (}^aⁿ^d^o^t^h^e^r^s^w^h^o^s^e
^p^a^r^tⁱ^cⁱ^p^a^tⁱ^o^{n i}^s^so^ught^b^y^t^h^eⁱⁿ^dⁱ^vi^d^u^a^l⁾ⁱⁿ

CRS-15
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^prov^idin^g^s^e^rv^ices^uⁿ^d^{er s}^u^ch^plan^{; an}^{d a}
^bu^dg^et^f^o^{r s}^e^rvⁱ^ces^;^{(p. 9)}
^t^h^e^{area ag}^en^cy^on^agⁱⁿ^g^{or s}^t^{ate ag}^en^cy^S^a^m^e^as^H^.^R^.^{5293, bu}^t^ref^e^rs^t^o^t^h^e^area
^provⁱ^d^es^f^o^{r ov}^ersⁱ^g^h^t^of^s^u^chⁱⁿ^di^vⁱ^dual^’^s^ag^en^cy^on^agⁱⁿ^g^{or s}^t^{ate ag}^en^cy^involved^.
^s^e^lf^-^d^{irected receipt o}^f^s^e^rv^ices^{, in}^clu^dⁱⁿ^g^{(p. 7)}
^step^s^t^o^en^su^r^e^th^{e q}^u^ality^o^f^ser^v^ices
^provⁱ^d^ed^aⁿ^d^t^h^{e appropri}^a^t^e^u^s^{e of}^f^uⁿ^d^s
^uⁿ^d^{er th}^is^{act. (p. 9)}
^y^s^t^em^{for long-term}^N^o^provⁱ^sⁱ^oⁿ^.^D^e^fⁱⁿ^e^s^s^t^at^{e s}^y^s^t^em^f^o^r^l^ong-t^e^r^m^c^a^re^as^th^e^S^a^m^e^as^H^.^R^.^{5293. (p. 7)}
^f^e^d^e^r^a^{l, state,}^an^d^lo^{cal p}^r^o^g^r^a^m^s^an^d^activ^ities
ⁱ^{ki/CRS-RL33660}^admⁱⁿⁱ^s^t^ered^by^a^s^t^at^{e t}^h^at^provⁱ^d^{e, s}^u^pport^,^or
^g/w^f^{acilitate access to}^loⁿ^g^-^term^{care to}ⁱⁿ^dⁱ^vⁱ^d^u^als
^s^.orⁱⁿ^s^u^ch^s^t^{ate. (p. 10)}
^le^ak^A^D^M^IN^ISTR^A^T^IO^N^O^N^A^G^IN^{G (}^A^o^A⁾
^://wiki^{IONS OF T}^H^E^ASSIST^ANT^SE^CRE^T^{ARY ON AG}^ING
^h^ttp
^l^{der abus}^{e prevention}^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^au^th^o^r^{ize th}^e^A^ssistan^t^Secr^etar^y^T^h^{e b}^{ill w}^o^u^l^d^au^th^o^rⁱ^{ze th}^{e Secr}^etar^y^o^f
^ervices^t^o^d^e^sigⁿ^a^{te w}^ithⁱⁿ^th^{e A}^o^A^r^e^sp^oⁿ^sib^ility^f^o^r^Health^an^{d Hu}^m^aⁿ^Serv^ices^{(HHS) to}
^{elder abu}^s^{e prev}^en^tion^an^{d s}^e^rv^ices^{. (p. 10)}^e^s^tab^lish^o^r^d^e^sigⁿ^a^{te w}^ithⁱⁿ^th^{e A}^o^A^aⁿ
^Of^fⁱ^{ce of}^{Elder A}^b^u^s^{e P}^r^ev^en^tion^an^d
^S^e^rvⁱ^ces^{. (p. 7)}
^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^e^A^ssistan^t^Secr^etar^y^,^S^a^m^e^as^H^.^R^.^{5293. (p. 8)}
^a^c^tⁱ^{ng t}^h^r^o^{ugh t}^h^e^p^e^r^s^oⁿ^d^e^si^gna^t^e^d^wⁱ^t^h
^r^e^sp^oⁿ^sib^ility^f^o^r^e^l^d^e^r^ab^u^s^{e p}^r^ev^en^tioⁿ^an^d
^s^e^r^v^{ices, to}^d^e^v^e^lo^p^o^b^j^ectiv^{es, p}^r^io^r^ities,
^p^o^licy^an^d^{a lo}ⁿ^g^-^ter^m^p^l^an^f^o^r^—
^carryⁱⁿ^g^ou^{t elder j}^u^s^{tice prog}^ram^s^an^d^S^a^m^e^as^H^.^R^.^{5293. (p. 8)}

^activ^{ities r}^e^latin^g^to^eld^e^r^ab^u^s^{e p}^r^ev^en^tioⁿ^,
^d^e^tectioⁿ^,^tr^eatm^eⁿ^t^{, in}^t^e^r^v^en^tioⁿ^,^an^d
^r^e^sp^oⁿ^se^{; tr}^ainⁱⁿ^g^o^fⁱⁿ^dⁱ^vⁱ^d^u^{als in}^th^ese
^m^a^tter^s^{; an}^d^im^p^r^o^v^em^en^{t o}^f^th^{e eld}^e^r^j^u^stice
^sy^stemⁱⁿ^th^{e U.S.; (}^p^{. 1}⁰⁾

CRS-16
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^c^o^llectin^g^an^d^dⁱ^ssemⁱⁿ^a^tiⁿ^g^d^a^{ta r}^e^latin^g^to^S^a^m^e^as^H^.^R^.^{5293, w}^o^u^l^{d add}^t^h^at^col^l^ectⁱⁿ^g
^t^h^{e abu}^s^{e, n}^e^g^l^{ect, an}^{d ex}^ploitation^of^older^an^d^dⁱ^ss^e^mⁱⁿ^atin^g^d^a^{ta w}^{ill b}^e^coⁿ^d^u^c^ted
ⁱⁿ^di^vⁱ^du^al^s^;^{(p. 11)}^annual^l^y^an^{d au}^th^orizes^t^h^{e Secretary}^to
ⁱⁿ^cl^ude^vulner^{able adults}⁽ⁱⁿ^ad^d^itioⁿ^to
^ol^der^adul^t^s^{). (p. 8)}
^N^o^provⁱ^sⁱ^oⁿ^.^Wou^l^{d al}^s^o^au^t^h^ori^{ze t}^h^{e i}ⁿ^c^l^usi^oⁿ^o^f^d^a^t^a
^uⁿ^d^er^s^ection⁷⁵³^(as^{added by}^th^{e bill)}^af^ter
^coⁿ^s^u^ltatioⁿ^w^ith^th^{e A}^tto^rⁿ^ey^Gen^e^r^a^{l an}^dⁱⁿ
^c^o^l^l^ab^o^r^atioⁿ^w^ith^ex^p^e^r^t^s^f^r^o^m^t^h^e
^D^e^part^m^eⁿ^t^of^Ju^s^tⁱ^{ce. (p. 8)}
ⁱ^{ki/CRS-RL33660}^dⁱ^sse^mⁱ^na^tⁱ^{ng i}ⁿ^fo^r^m^a^tⁱ^o^{n c}^o^nc^e^rⁿⁱ^{ng b}^e^st^S^am^{e as}^H^.^R^.^{5293, bu}^t^w^o^u^l^{d au}^t^h^ori^z^e
^g/w^p^r^a^c^tⁱ^c^e^s^r^e^ga^r^dⁱ^ng,^aⁿ^d^p^r^o^vⁱ^dⁱ^{ng t}^r^aⁱⁿⁱ^ng^th^{e Secretary}^{to in}^clu^d^e^vulⁿ^e^r^abl^{e adul}^t^s
^s^.or^oⁿ^{, car}^r^yⁱⁿ^g^o^u^{t activ}^{ities r}^e^l^a^ted^to^ab^u^s^e,⁽ⁱⁿ^ad^d^itioⁿ^to^ol^derⁱ^ndi^vi^dual^s^{). (p. 9)}
^le^akⁿ^e^g^l^ect^{, an}^{d ex}^pl^oi^t^a^tⁱ^oⁿ^of^ol^{der i}ⁿ^di^vⁱ^du^al^s^;
^{(p. 11)}
^://wiki^c^on^du^ctin^g^res^earch^{related to abu}^s^{e, n}^e^g^l^ect,^S^am^{e as}^H^.^R^.^{5293, w}^o^u^l^{d requ}ⁱ^r^{e t}^h^e
^h^ttp^an^{d ex}^pl^oi^t^a^tⁱ^oⁿ^of^ol^{der i}ⁿ^di^vⁱ^du^al^s^;^{(p. 11)}^A^s^sⁱ^s^t^an^{t Secretary}^{to con}^d^u^c^{t res}^e^archⁱⁿ
^{conjunction w}^{ith the neces}^s^a^r^y^exper^ts^an^d
^a^u^t^h^o^rⁱ^z^e^s^t^h^{e Secretary}^{to in}^c^l^u^d^e
^vulner^{able adults}⁽ⁱⁿ^ad^d^itioⁿ^to^ol^der
ⁱ^ndi^vi^dual^s^{). (p. 9)}
^p^rovidin^g^techⁿⁱ^{cal as}^sⁱ^s^t^an^{ce to s}^t^ates^an^d^Sⁱ^mⁱ^l^{ar t}^o^H^.^R^.^{5293 w}ⁱ^t^h^di^f^f^e^ren^t
^o^t^h^e^r^elig^ib^{le en}^{tities u}ⁿ^d^er^T^{itle VI}^I^;⁽^p^{. 1}¹⁾^w^o^r^dⁱⁿ^g^an^d^r^e^f^e^r^s^to^su^b^title^B^o^f^T^{itle VI}^I
^{as ad}^d^e^d^b^y^th^{e b}^{ill. (}^p^{. 9}⁾
^a^ssistin^g^state^s^an^d^o^t^h^e^r^elig^ib^{le en}^tities^N^o^provⁱ^sⁱ^oⁿ^.
^uⁿ^d^er^T^{itle VI}^I^to^d^e^v^e^lo^p^str^a^tegⁱ^{c p}^l^an^{s to}
^b^e^tter^co^o^r^dⁱⁿ^a^{te eld}^e^r^j^u^{stice acti}^v^ities,
^res^earch^{, an}^{d train}ⁱⁿ^g^;^an^{d (p. 11)}
^p^ro^m^o^tⁱⁿ^g^c^o^l^l^aborativ^{e ef}^f^o^rts^an^d^N^o^provⁱ^sⁱ^oⁿ^.

^dⁱ^mⁱⁿⁱ^shⁱⁿ^g^d^u^p^licativ^e^e^f^f^o^r^t^sⁱⁿ^th^e
^dev^e^l^opm^en^t^an^d^carryⁱⁿ^g^ou^t^of^el^{der j}^u^s^tⁱ^c^e
^prog^ram^s^{at th}^{e f}^e^dera^{l, s}^t^{ate, an}^{d local}
^lev^e^{ls. (}^p^{. 1}¹⁾

CRS-17
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^tⁱ^oⁿ^a^l^st^udy^oⁿ^incidence^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^W^o^u^l^d^au^th^o^r^{ize th}^{e A}^s^sistan^{t Secr}^etar^y^to^:
^car^r^y^o^u^{t a stu}^d^y^to^d^e^te^r^mⁱⁿ^{e th}^{e n}^a^tioⁿ^a^l
^{buse, neg}^l^ect^{, a}ⁿ^dⁱⁿ^cⁱ^d^eⁿ^{ce an}^{d prev}^alen^{ce of}^{elder abu}^s^e,
^p^l^oi^tati^onⁿ^e^g^l^{ect, an}^d^ex^p^l^o^itatioⁿⁱⁿ^all^settin^g^s^;^an^d
ⁱ^m^p^lem^eⁿ^t^th^{e o}^v^er^{all p}^o^licy^an^d^{a str}^a^teg^y
^t^o^carry^ou^t^t^h^e^pl^an^des^c^ri^{bed abov}^e;^an^d
^prov^{ide adv}ⁱ^{ce to th}^{e Secretary}^on^elder
^j^u^s^{tice is}^s^u^es^an^{d adm}ⁱⁿⁱ^s^t^{er s}^u^ch^prog^ram^s
^re^l^a^tin^g^{to elder abu}^s^{e, n}^e^g^l^{ect, an}^d
^ex^ploitation^as^th^e^Secretary^determⁱⁿ^es^to
^{be appropri}^a^t^e^.
ⁱ^{ki/CRS-RL33660}^T^h^e^Se^c^r^e^t^a^r^y^,^a^c^tⁱ^{ng t}^h^r^o^{ugh t}^h^e^A^s^si^st^aⁿ^t
^g/w^Secretary^,^m^a^y^is^s^u^e^s^u^ch^reg^u^l^ation^s^as^m^a^y
^s^.or^b^eⁿ^ecessar^y^to^car^r^y^o^u^{t th}^{is su}^b^s^ectioⁿ^an^d
^le^ak^su^b^{title B}^o^f^T^{itle VI}^I^{as ad}^d^e^d^b^y^th^{e b}^ill.
^{(p. 9)}
^://wiki
^h^ttp^e^{ntal health s}^ervices^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^au^th^o^r^ize^th^e^A^ssistan^t^Secr^etar^y^N^o^provⁱ^sⁱ^oⁿ^.
^{to des}ⁱ^gⁿ^a^{te an}^of^fⁱ^{cer or em}^ploy^{ee w}^h^{o s}^h^all
^{be res}^pon^sⁱ^bl^e^f^o^{r t}^h^{e adm}ⁱⁿⁱ^s^t^ratⁱ^oⁿ^of^m^eⁿ^t^al
^h^ealth^s^e^rv^ices^au^th^{orized u}ⁿ^d^{er th}^{e act.}
^T^h^e^A^ssi^st^aⁿ^t^Se^c^r^e^t^a^r^y^,^a^c^tⁱ^{ng t}^h^r^o^{ugh t}^h^e
^of^fⁱ^cer^o^r^e^m^pl^oy^{ee, w}^o^u^l^{d be requ}ⁱ^r^{ed t}^o
^d^e^v^e^lo^p^o^b^j^ectiv^{es, p}^r^io^r^itie^{s, an}^d^{a lo}ⁿ^g^-^ter^m
^pl^an^{for s}^u^pportⁱⁿ^g^s^t^at^{e an}^{d l}^o^cal^ef^f^o^rt^s
ⁱⁿ^v^o^lvⁱⁿ^g^ed^u^catioⁿ^,^p^r^ev^en^tioⁿ^,^an^d^d^e^tectioⁿ^,
^an^{d treatm}^eⁿ^t^of^m^eⁿ^t^{al dis}^o^rders^,ⁱⁿ^c^l^u^dⁱⁿ^g
^ag^e-^rel^a^t^e^d^d^e^m^eⁿ^tⁱ^a^{, depres}^sⁱ^on^{, an}^d
^A^l^zheⁱ^m^e^r’^s^dis^eas^{e an}^{d related n}^e^u^r^olog^ical
^di^s^o^rders^.^{(p. 12)}
^iv^e^t^e^c^hno^lo^g^y^S^e^c^tⁱ^oⁿ^{202(a)(5) requ}ⁱ^r^es^t^h^{e A}^o^A^t^o^T^h^e^b^ill^w^o^u^l^d^ad^d^assistiv^{e tech}ⁿ^o^lo^gⁱ^{es to}^th^e^N^o^provⁱ^sⁱ^oⁿ^.

^dev^e^l^{op pl}^an^s^,^con^d^u^c^t^an^{d arran}^g^e^f^o^r^lⁱ^s^t^of^prog^ram^s^{. (p. 12)}
^res^earchⁱⁿ^th^{e f}ⁱ^{eld of}^agⁱⁿ^g^,^an^{d as}^sⁱ^s^tⁱⁿ
^th^{e estab}^lish^m^en^{t an}^d^im^p^l^e^m^en^tatioⁿ^o^f
^prog^ram^s^desⁱ^gne^d^t^o^m^eet^t^h^{e n}^eeds^of
^ol^{der i}ⁿ^di^vⁱ^du^al^s^f^o^r^s^u^pportⁱ^v^{e s}^e^rvⁱ^ces

CRS-18
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
⁽ⁱⁿ^c^l^u^dⁱⁿ^gⁿ^u^t^r^itioⁿ⁾^{, h}^o^sp^italizatioⁿ^,
^e^d^uc^a^tⁱ^o^{n a}ⁿ^d^t^r^aⁱⁿⁱ^{ng se}^r^vⁱ^c^e^s⁽ⁱ^nc^l^u^dⁱ^ng
^preretirem^en^{t train}ⁱⁿ^g^,^an^{d con}^tⁱⁿ^uⁱⁿ^g
^ed^u^catioⁿ⁾^{; lo}^w^-^co^{st tr}^an^sp^o^r^tatioⁿ^an^d
^ho^usiⁿ^g;^aⁿ^d^he^a^l^t^h⁽ⁱ^nc^l^u^dⁱ^{ng m}^e^nt^a^l
^h^ealth^{) s}^e^rv^ices^.
^o^r^dina^tⁱ^oⁿ^wⁱ^t^h^Cent^ers^No^p^r^o^v^isioⁿ^.^T^h^e^b^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{e A}^ssistan^t^Secr^e^t^a^r^y^S^a^m^e^as^H^.^R.^{5293, bu}^t^doesⁿ^o^tⁱⁿ^cl^u^d^e
^e^{dicare and M}^e^dicaid^to^c^oⁿ^s^u^{lt an}^d^co^o^r^dⁱⁿ^a^{te activ}^{ities w}^ith^th^e^r^e^q^u^ir^em^en^t^to^co^o^r^dⁱⁿ^a^{te w}^ith^ot^her^f^e^der^a^l
^(CM^S^{) regarding}^{CMS an}^d^o^t^h^e^r^f^e^d^e^r^a^l^eⁿ^{tities to}^im^p^l^em^en^t^en^tities^{. (p. 10)}
^benefⁱ^t^s^an^{d bu}ⁱ^l^d^aw^aren^es^s^of^prog^r^a^m^s^provⁱ^dⁱⁿ^g
^ben^e^fⁱ^t^s^af^f^ectⁱⁿ^g^ol^{der i}ⁿ^di^vⁱ^du^al^s^.^{(p. 12)}
ⁱ^{ki/CRS-RL33660}
^g/w^{echnical as}^sⁱ^s^t^ance^S^ectⁱ^oⁿ^202(a)(2⁰⁾^requⁱ^r^es^t^h^{e A}^o^A^t^o^Th^e^b^ill^w^o^u^l^d^a^d^d^r^e^f^e^r^eⁿ^c^e^t^o^s^e^r^vⁱ^c^e^N^o^provⁱ^sⁱ^oⁿ^.
^s^.or^a^r^ding^benefⁱ^t^s^o^u^t^rea^ch^en^cou^r^ag^{e an}^{d prov}^ide^techⁿⁱ^cal^as^sⁱ^s^t^an^ce^p^r^o^v^id^{ers to}^carry^o^u^{t o}^u^tr^each^activ^{ities. It}
^le^ak^{nd est}^a^blishm^ent^o^f^a^{to s}^t^ates^an^{d area ag}^en^cies^on^agiⁿ^g^,^to^w^o^u^l^{d requ}ⁱ^r^{e ou}^t^r^eac^h^reg^a^rdiⁿ^g^an^y^ot^h^e^r
^a^ti^on^al^C^eⁿ^t^{er on}^S^eⁿⁱ^or^carry^ou^t^o^u^treach^{to in}^f^o^rm^older^applⁱ^c^abl^e^f^e^deral^prog^ram^s^{, or an}^y^ot^h^e^r
^://wikiⁿ^e^fi^tsⁱⁿ^divⁱ^du^als^wⁱ^t^h^g^r^eates^{t econ}^o^mⁱ^{c n}^eed^se^r^vⁱ^c^e⁽ⁱ^nc^l^u^dⁱ^{ng t}^e^c^hno^l^o^gy^aⁿ^dⁱⁿ^t^e^rⁿ^e^t^-
^h^ttp^w^h^{o m}^a^y^{be elig}^{ible to}^receiv^e^{, bu}^{t are n}^o^t^receivⁱⁿ^g^,^ben^e^f^its^uⁿ^d^{er th}^{e Su}^pplem^en^tal^bas^e^{d deci}^si^on^s^u^pport^t^ool^s⁾^t^o^as^sⁱ^s^t^con^s^u^m^ers^{to learn}^abou^{t, to receiv}^e^b^e^nef^its
^Secu^rity^In^com^e^{(SSI), Medicaid, an}^d^f^ood^uⁿ^d^er^{, an}^d^to^p^a^r^ticip^{ate in}^p^r^o^g^r^a^m^s^f^o^r^w^h^ich
^s^t^am^ps^prog^ram^s^.^th^ey^m^a^y^b^e^elig^ib^{le. (}^p^{. 1}³⁾
^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e A}^o^A^to^p^r^o^v^id^e^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293, w}ⁱ^t^h^di^f^f^e^ren^t^w^o^rdiⁿ^g^.
^t^e^c^hⁿⁱ^cal^as^sⁱ^s^t^an^{ce an}^{d s}^u^pport^f^o^{r ben}^e^fⁱ^t^s^Al^s^o^r^e^fe^r^s^t^o^gr^eat^e^s^t^economⁱ^c^need^{. (p.}¹¹⁾
^en^r^o^l^l^m^eⁿ^t^as^sⁱ^s^t^an^{ce an}^{d ou}^treach^{to s}^u^pport
^ef^f^o^r^t^s^t^oⁱⁿ^f^o^r^m^an^d^en^r^o^{ll lo}^w^-ⁱⁿ^co^m^e^o^l^d^e^r
ⁱⁿ^dⁱ^vⁱ^d^u^{als w}^h^o^m^a^y^b^e^elig^ib^{le to}^p^a^r^ticip^ate,
^b^u^{t w}^h^o^ar^{e n}^o^{t p}^a^r^tⁱ^c^ip^atin^g^,ⁱⁿ^f^e^d^e^r^a^{l an}^d
^s^t^{ate prog}^ram^s^f^o^{r w}^h^ich^th^ey^{are elig}^{ible, an}^d
^m^a^yⁱⁿ^cooperatⁱ^oⁿ^wⁱ^t^h^f^e^deral^partⁿ^e^rs^{, m}^a^k^e
^g^r^an^ts^o^r^coⁿ^t^r^{acts to}^estab^lish^{a Natio}ⁿ^a^l
^C^eⁿ^t^{er on}^Senⁱ^{or B}^eⁿ^e^f^its^Ou^t^r^each^an^d
^En^r^o^llm^en^{t, w}^h^ich^{is r}^e^q^u^ir^ed^to^—
^m^aiⁿ^t^aiⁿ^an^{d u}^pdat^e^w^e^b-^bas^e^{d d}^e^cⁱ^sⁱ^on^Sim^ilar^to^H.R.⁵²⁹³^,^w^ith^slig^h^tly^dⁱ^f^f^e^r^eⁿ^t
^s^u^pport^s^an^{d en}^rol^l^m^en^t^t^ool^s^an^{d i}ⁿ^t^e^g^r^at^ed,^w^o^r^dⁱⁿ^g^.^A^l^so^r^e^f^e^r^s^to^b^eⁿ^e^f^its^under
^pers^on^-^cen^t^e^{red s}^y^s^t^em^s^desⁱ^gⁿ^e^d^t^oⁱⁿ^f^o^rm^f^e^der^a^l^{and s}^t^at^{e pr}^ogr^am^s^{. (p. 11)}

^ol^{der i}ⁿ^di^vⁱ^du^al^s^abou^t^t^h^{e f}^u^l^l^ran^g^e^of

CRS-19
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^b^eⁿ^e^fⁱ^t^s^f^o^r^w^h^ich^th^ey^m^a^y^b^e^elig^ib^le;
^{(p. 14)}
^u^{tilize co}^st-^e^f^f^ectiv^{e str}^a^tegⁱ^{es to}^fⁱⁿ^d^an^d^S^a^m^e^a^s^H^.^R^.^{5293, w}ⁱ^t^h^s^lⁱ^g^h^t^l^y^di^f^f^e^ren^t
^en^{roll th}^os^{e w}^ith^g^r^eates^{t econ}^o^mⁱ^{c n}^e^e^d^;^w^o^rdiⁿ^g^.^{(p. 11)}
^{(p. 14)}
^c^reat^{e an}^{d s}^u^pport^ef^f^o^rt^s^f^o^{r A}^D^R^C^s^{, an}^d^S^a^m^e^as^H^.^R^.^{5293, w}ⁱ^t^h^s^lⁱ^g^h^t^l^y^dⁱ^f^f^e^ren^t
^oth^e^r^pu^{blic an}^{d priv}^{ate s}^t^{ate an}^d^com^m^uⁿ^ity^-^w^o^rdiⁿ^g^.^{(p. 11)}
^b^a^sed^o^r^g^aⁿⁱ^zatioⁿ^s^an^d^co^alitioⁿ^s^{, in}^clu^dⁱⁿ^g
^faⁱ^t^h^-b^as^{ed org}^aⁿⁱ^zation^s^{, to s}^e^rv^{e as}
^en^r^o^llm^en^{t b}^eⁿ^e^f^{it cen}^ter^s^{; (}^p^{. 1}⁴⁾
ⁱ^{ki/CRS-RL33660}
^g/w^d^ev^elo^p^an^d^m^aⁱⁿ^tain^anⁱⁿ^f^o^r^m^atioⁿ^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^5293,^wⁱ^t^h^s^lⁱ^g^h^t^l^y^di^f^f^e^ren^t
^s^.or^c^l^e^a^rⁱ^ngho^use^oⁿ^b^e^st^p^r^a^c^tⁱ^c^e^s^aⁿ^d^c^o^st^-^ef^f^ectⁱ^v^e^m^e^th^o^d^s^f^o^r^id^en^tif^yⁱⁿ^g^an^d^w^o^rdiⁿ^g^.^A^l^s^o^ref^e^rs^t^oⁱ^ndi^vi^d^ual^wⁱ^t^h^gr^eat^e^s^t^economⁱ^c^need^{, in}^s^t^{ead of}^limited
^le^ak^en^r^o^llin^g^limitedⁱⁿ^co^me^o^l^d^e^{r A}^m^erican^sⁱⁿⁱⁿ^c^o^m^e⁽ⁱⁿ^th^{e act}^gr^eat^e^s^t^economⁱ^c^nee^d
^://wiki^b^eⁿ^e^f^{its f}^o^r^w^h^ich^th^ey^ar^e^e^l^ig^ib^{le; an}^d^{(p. 14)}^r^e^f^e^r^s^toⁱⁿ^co^m^e^b^e^lo^w^th^{e f}^e^d^e^r^a^{l p}^o^v^e^r^t^y^lev^e^l)^{. (}^p^{. 1}²⁾
^h^ttp
^p^r^o^vⁱ^d^e^,ⁱⁿ^co^llab^o^r^atioⁿ^w^ith^f^e^d^e^r^a^{l p}^a^r^tⁿ^e^r^s^S^a^m^e^as^H^.^R^.⁵²⁹³^,^s^lⁱ^g^h^t^l^y^di^f^f^e^ren^t
^a^d^mⁱⁿⁱ^st^e^rⁱ^{ng p}^r^o^g^r^a^m^s^,^t^r^aⁱⁿⁱ^{ng a}ⁿ^d^w^o^r^dⁱⁿ^g^.^A^l^so^r^e^f^e^r^s^to^f^o^llo^w^-^u^p^str^a^tegⁱ^es
^techⁿⁱ^{cal as}^sⁱ^s^t^an^{ce on}^ef^f^ectiv^{e ou}^treach^fo^r^f^e^der^a^l^{and s}^t^at^{e pr}^ogr^am^s^{. (p. 12)}
^sc^r^e^eⁿⁱⁿ^g^,^en^r^o^llm^en^{t an}^d^f^o^llo^w^-^u^p
^s^t^rat^e^gⁱ^es^{. (p. 14)}
^on^h^o^m^e^an^d^S^ectⁱ^oⁿ²⁰²⁽^a^)(26)(D^{) requ}ⁱ^r^es^A^o^A^t^o^T^h^{e b}^{ill w}^o^u^l^d^elimⁱⁿ^at^{e r}^e^f^e^r^eⁿ^{ce to}^gapsⁱⁿ^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293. (p. 12)}
^m^unity-bas^{ed care}^d^e^sigⁿ^an^d^im^p^l^em^en^{t d}^a^{ta co}^ll^ectioⁿ^s^e^rv^icesⁿ^{eeded, an}^{d c}^h^an^g^e^ref^e^ren^{ce to}
^procedu^r^es^{, in}^cludin^g^procedu^r^es^f^o^r^s^e^r^vⁱ^ces^{needed by ol}^derⁱ^ndi^vi^dual^s⁽ⁱ^ncl^udi^ng
^co^llectin^gⁱⁿ^f^o^r^m^atioⁿ^oⁿ^g^a^p^sⁱⁿ^ser^v^ices^s^e^r^vⁱ^ces^t^hat^w^oul^d^p^e^r^mⁱ^t^s^u^{ch i}^ndi^vi^dual^s^t^o
ⁿ^{eeded by}^ol^{der i}ⁿ^di^vⁱ^du^al^s^.^receiv^e^l^ong-^t^e^r^m^c^a^r^eⁱⁿ^hom^e^and
^com^m^uni^t^y^-bas^{ed s}^e^t^tⁱ^ngs⁾^{. (p. 15)}
^idence-^ba^{sed disea}^s^e^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^ad^d^{a n}^e^w^p^r^o^v^isioⁿ^r^e^q^u^irⁱⁿ^g^S^a^m^e^a^s^H^.^R^.^5293,^b^u^t^w^o^u^l^d^m^a^k^e
^entⁱ^oⁿ^a^{nd hea}^l^t^h^A^o^A^to^m^a^k^e^av^{ailable to s}^t^ates^{, area}^ag^en^cies^,ⁱⁿ^f^o^r^m^atioⁿ^av^ailab^l^{e to}^{states o}ⁿ^ly^{. (}^p^{. 1}³⁾

^r^om^oti^oⁿ^aⁿ^d^s^e^r^vⁱ^c^e^p^r^o^v^id^er^{s, in}^f^o^r^m^atioⁿ^an^d
^t^echⁿⁱ^cal^as^sⁱ^s^t^an^ce^t^o^s^u^pport^t^h^{e prov}ⁱ^sⁱ^oⁿ^of
^ev^iden^ce^-b^as^{ed dis}^eas^{e prev}^en^tion^an^{d h}^ealth
^prom^otⁱ^oⁿ^s^e^rvⁱ^ces^{. (p. 15)}

CRS-20
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^{A ro}^{le in}^long-term^care^S^ectⁱ^oⁿ^{202(b) requ}ⁱ^r^es^A^o^A^t^o^s^t^ren^g^t^h^eⁿ^T^h^{e b}^{ill w}^o^u^l^d^r^e^w^r^{ite r}^e^q^u^ir^em^en^{ts f}^o^r^A^o^A^’^s^S^a^m^e^as^H^.^R^.^{5293. (p. 13)}

^{its in}^v^o^lv^em^en^{t i}ⁿ^th^{e d}^e^v^e^lo^p^m^en^{t o}^f^r^o^{le in}^loⁿ^g^-^ter^m^car^{e. I}^t^w^o^u^l^d^r^e^q^u^ir^{e th}^e
^p^o^licy^alterⁿ^ativ^{es in}^loⁿ^g^-^ter^m^car^{e an}^d^to^A^s^sⁱ^s^t^an^{t Secretary}^to^prom^ote^th^{e dev}^e^lopm^en^t
^gⁱ^v^e^th^{e d}^e^v^e^lo^p^m^en^{t o}^f^co^m^m^uⁿ^ity^an^{d im}^plem^en^tation^o^f^com^p^reh^eⁿ^s^iv^e,
^alterⁿ^ativ^{es p}^r^io^r^ity^atten^tioⁿ^.^Iⁿ^d^oⁱⁿ^g^so^,^coordin^a^{ted s}^y^s^t^em^s^at^f^e^{deral, s}^t^{ate, an}^{d local}
^th^{e A}^s^sⁱ^s^t^an^{t Secretary}^is^requ^{ired to —}^lev^e^{ls f}^o^r^p^r^o^v^idⁱⁿ^g^loⁿ^g^-^ter^m^car^{e in}^h^o^m^e^an^d
^d^e^v^e^l^o^p^p^l^aⁿⁿⁱ^ng^lⁱⁿ^k^a^ge^{s w}ⁱ^t^h^co^m^m^uⁿ^ity^-^b^ased^settin^g^s^{, in}^{a m}^aⁿⁿ^e^r
^u^tⁱ^lⁱ^zatioⁿ^an^d^q^u^ality^coⁿ^t^r^o^{l p}^eer^res^pon^sⁱ^ve^{to th}^{e n}^eeds^an^{d pref}^eren^ces^of
^r^e^vⁱ^ew^o^r^g^aⁿⁱ^zatioⁿ^s^uⁿ^d^er^T^{itle XI}^o^f^olderⁱⁿ^divⁱ^du^als^an^{d th}^{eir f}^a^m^ily^careg^iv^ers^.^In
^th^{e Social Secu}^rity^A^c^{t, th}^{e Su}^b^s^t^aⁿ^c^e^doin^g^s^o^{, th}^{e A}^s^sⁱ^s^t^an^{t Secret}^a^r^y^w^o^u^l^{d be}
^A^b^u^s^{e an}^{d Men}^t^{al Health}^Serv^ices^r^e^q^u^ir^ed^to^—
^Ad^mⁱⁿⁱ^s^t^r^a^tⁱ^oⁿ⁽^S^AM^H^S^A)^,^aⁿ^d^t^h^e^c^o^llab^o^r^{ate, c}^o^o^r^dⁱⁿ^a^{te, an}^d^coⁿ^s^u^{lt w}^ith
ⁱ^{ki/CRS-RL33660}^A^d^mⁱⁿⁱ^s^t^r^a^tioⁿ^oⁿ^Dev^e^lo^p^m^en^tal^oth^e^{r f}^e^{deral ag}^en^cies^an^{d departm}^eⁿ^t^s
^g/w^Disab^{ilities (}^A^DD)^;^re^s^pon^sⁱ^bl^{e f}^o^{r f}^o^rm^u^l^atⁱⁿ^g^an^{d i}^m^pl^em^en^tⁱⁿ^g
^s^.or^p^{articipate in}^{all departm}^eⁿ^t^{al an}^d^p^r^o^g^r^a^m^s^,^b^eⁿ^e^f^{its, an}^d^ser^v^{ices r}^e^lated^to
^le^akⁱⁿ^ter^d^ep^ar^tm^en^{tal activ}^{ities r}^e^la^t^e^d^to^prov^idin^g^lon^g^-^term^{care, an}^{d au}^th^{orize th}^e
ⁱⁿ^stitu^tioⁿ^a^{l an}^dⁿ^oⁿⁱⁿ^s^titu^tioⁿ^a^{l lo}ⁿ^g^-^A^s^sⁱ^s^t^an^{t Secretary}^{to m}^a^k^e^g^r^an^ts^{, con}^t^racts^,
^://wiki^term^h^ealth^{care s}^e^rv^ices^dev^e^lopm^en^t;^an^{d cooperat}ⁱ^v^{e agr}^e^em^en^t^s^wⁱ^t^h^f^uⁿ^d^s
^h^ttp^r^ev^iew^an^{d com}^m^eⁿ^t^on^{all departm}^eⁿ^t^al^receiv^e^d^f^r^o^m^o^t^h^e^{r f}^e^d^e^{ral en}^tities;
^r^e^g^u^l^atioⁿ^s^an^d^p^o^{licies o}ⁿ^co^m^m^uⁿ^ity^c^on^du^{ct res}^earch^an^{d dem}^oⁿ^s^tration^proj^ects
^h^ealth^an^{d s}^o^{cial s}^e^rv^{ice dev}^e^lopm^en^{t f}^o^r^to^id^en^tif^yⁱⁿⁿ^o^v^a^tⁱ^v^e^,^c^o^st-^e^f^f^ectiv^e
^ol^{der i}ⁿ^di^vⁱ^du^al^s^;^an^d^str^a^te^gie^s^fo^r^m^o^dⁱ^fy^{ing sta}^t^e^sy^st^e^m^{s o}^f
^p^{articipate in}^{all departm}^eⁿ^t^{al an}^d^lon^g^-^term^{care to}^r^e^s^pon^{d to th}^{e n}^eeds^an^d
ⁱⁿ^ter^d^ep^ar^tm^en^{tal activ}^{ities to}^p^r^o^vⁱ^d^e^a^p^r^ef^eren^ces^of^{older in}^divⁱ^du^als^an^{d f}^a^m^ily
^leader^s^hⁱ^p^{role f}^o^{r A}^o^A^,^an^{d f}^o^{r s}^t^ate^careg^iv^ers^;^an^{d targ}^{et s}^e^rv^ices^{to in}^divⁱ^du^als
^an^{d area ag}^en^cies^on^a^gⁱⁿ^gⁱⁿ^th^e^{at ris}^k^f^o^{r in}^stitu^tioⁿ^a^{l p}^l^acem^en^{t, to}^p^e^rm^it
^dev^e^l^opm^en^t^an^{d i}^m^pl^em^en^t^a^tⁱ^oⁿ^of^th^em^to^r^e^m^aⁱⁿⁱⁿ^h^o^m^e^an^d^co^m^m^uⁿ^ity^-
ⁿ^a^tioⁿ^a^{l co}^m^m^uⁿ^ity^-^b^ased^loⁿ^g^-^ter^m^bas^e^{d care s}^e^ttin^g^s^{; an}^d
^{care prog}^ram^s^f^o^{r ol}^{der i}ⁿ^di^vⁱ^du^al^s^.^e^s^t^ablis^h^{criteria an}^d^p^r^o^m^o^t^e^t^h^e
ⁱ^m^p^l^e^m^eⁿ^t^a^tⁱ^o^{n (}^t^hr^o^{ugh a}^r^e^a^a^g^eⁿ^cⁱ^e^s^oⁿ
^a^gⁱⁿ^g^,^s^e^rv^{ice prov}^iders^,^an^{d s}^u^ch^oth^e^r
^en^{tities as th}^{e A}^ssistan^t^Secr^etar^y^d^e^ter^mⁱⁿ^es
^t^o^be^appropri^a^t^e⁾^o^f^e^vⁱ^d^eⁿ^c^e^-^bas^e^d
^prog^ram^s^t^o^as^sⁱ^s^t^ol^{der i}ⁿ^di^vⁱ^du^al^s^an^d^t^h^ei^r
^f^a^m^ily^careg^ive^r^sⁱⁿ^learnⁱⁿ^g^abou^{t an}^d
^m^a^ki^{ng b}^e^ha^vi^o^r^a^l^c^h^a^nge^{s i}ⁿ^t^e^nd^e^d^t^o
^redu^{ce t}^h^{e ris}^k^ofⁱⁿ^j^u^ry^{, dis}^eas^{e, an}^d
^dⁱ^sab^ility^am^oⁿ^g^o^l^d^e^rⁱⁿ^dⁱ^vⁱ^d^u^{als. (}^p^{. 1}⁶⁾

CRS-21
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^e^an^{d com}^m^uⁿⁱ^t^y^-bas^ed^No^p^r^o^v^isioⁿ^.^{Facilitate, in}^co^o^r^dⁱⁿ^a^tioⁿ^w^ith^{CMS, th}^{e Cash}^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.⁵^293;^ex^cl^u^d^es^ref^e^ren^{ce t}^o
ⁿ^g^-t^er^m^car^e^{, an}^{d m}^odel^s^for^an^{d C}^o^uⁿ^s^elⁱⁿ^g^Nation^a^{l P}^r^og^ram^of^fⁱ^{ce, an}^d^t^h^{e C}^a^s^h^{and C}^ouns^elⁱ^{ng N}^a^tⁱ^onal^Pr^ogr^am
^e^o^t^h^e^r^f^e^d^e^r^a^{l en}^{tities as ap}^p^r^o^p^r^{iate, th}^e^{office and other}^f^e^d^e^r^a^l^eⁿ^tities^as
^p^r^o^v^isioⁿ^o^f^loⁿ^g^-^ter^m^car^eⁱⁿ^h^o^m^e^an^d^ap^p^r^o^p^r^{iate, b}^u^{t w}^o^u^l^d^f^{acilitate w}^ith^CMS.
^com^m^uⁿ^ity^-^b^as^{ed s}^e^ttin^g^s^{, in}^clu^dⁱⁿ^g^s^e^lf^-^car^e^{(p. 14)}
^m^o^d^e^{ls th}^{at —}
^ssm^eⁿ^t^o^f^ne^e^d^s^p^rovⁱ^d^e^fo^r^t^h^e^a^s^s^e^s^s^m^en^t^of^th^eⁿ^eeds^an^d^S^a^m^e^as^H^.^R^.^{5293, ex}^cept^ref^e^rs^t^o
^pref^eren^ces^of^anⁱⁿ^divⁱ^du^a^l^a^t^ris^k^f^o^r^ins^{titutional placement}⁽^r^a^th^er^th^an^nur^sⁱ^ng
ⁱⁿ^stitu^tioⁿ^a^{l p}^l^acem^en^{t to}^h^e^lp^t^h^em^av^oⁱ^d^{home placement}^{), an}^{d h}^a^s^s^lig^h^tly^dⁱ^ff^eren^t
^uⁿⁿ^eces^s^a^ryⁿ^u^r^sⁱ^ng^h^o^m^e^placem^en^{t an}^d^w^o^rdiⁿ^g^.^{(p. 14)}
^depl^etⁱ^oⁿ^ofⁱⁿ^com^e^an^{d as}^s^e^t^s^t^o^qu^alⁱ^f^y^f^o^r
ⁱ^{ki/CRS-RL33660}^Medⁱ^caid^elig^ib^ility^{; (}^p^{. 1}⁷⁾
^g/w
^s^.or^r^es^pon^{d to th}^{e n}^eeds^an^{d pref}^eren^ces^of^th^e^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.⁵²⁹³^wⁱ^t^h^di^f^f^e^ren^t^w^o^rdiⁿ^g^.
^le^ak^{nd co}^nt^ro^{l suppo}^rt^iv^eⁱⁿ^di^vⁱ^du^al^and^p^r^o^vⁱ^d^e^hi^m^/^he^r⁽^o^r^Iⁿ^clu^d^{es a d}^e^fⁱⁿ^itioⁿ^o^f^rep^r^esen^ta^tive^{. (p.}
^ervices^r^e^p^r^esen^tativ^{e, as ap}^p^r^o^p^r^iate)^th^{e o}^p^tⁱ^oⁿ^to¹⁵⁾
^://wiki^{direct an}^{d con}^t^{rol th}^{e receipt of}^s^u^p^port
^h^ttp^s^e^rvⁱ^ces^provⁱ^d^ed;^an^{d (p. 17)}
ⁱ^dua^{l pla}ⁿ^f^o^{r lo}^ng^-^t^erm^a^s^sⁱ^s^t^an^{older in}^divⁱ^du^{al (or}^{a repres}^en^tativ^e,^S^a^m^e^H^.^R^.⁵²⁹^{3, s}^lⁱ^g^h^t^l^y^di^f^f^e^ren^t^w^o^rdiⁿ^g^.
^as^appropri^a^t^e^{) dev}^e^l^{op a pl}^an^f^o^{r l}^oⁿ^g^-^t^e^rm^{(p. 15)}
^s^u^pport^,ⁱⁿ^cl^u^dⁱⁿ^g^t^h^{e s}^e^l^ectⁱⁿ^g^,^bu^dg^etⁱⁿ^g^,
^aⁿ^d^p^u^r^c^ha^si^{ng o}^f^ho^m^e^aⁿ^d^c^o^m^m^uni^t^y^-
^bas^e^{d l}^oⁿ^g^-^t^e^rm^{care an}^d^s^u^pportⁱ^v^e^s^e^rvⁱ^ces^;
⁽^F^{or pu}^rpos^es^of^t^hⁱ^s^parag^r^aph^,^t^h^{e t}^e^r^m
^‘^r^epres^eⁿ^t^atⁱ^v^e’^m^ean^s^a^pers^on^appoiⁿ^t^{ed by}
^th^e^elig^ib^leⁱⁿ^dⁱ^vⁱ^d^u^{al, o}^r^leg^a^lly^actin^g^oⁿ^th^e
ⁱⁿ^di^vⁱ^du^al^’^s^be^h^a^l^f^t^o^repres^en^t^{or adv}ⁱ^s^e^t^h^e
ⁱⁿ^dⁱ^vⁱ^d^u^alⁱⁿ^fⁱⁿ^aⁿ^c^{ial o}^r^ser^v^{ice co}^o^r^dⁱⁿ^a^tioⁿ
^m^a^t^t^e^rs^{). (p. 17)}
^{A t}^o^pla^y^lea^d^ro^{le in lo}^ng^-^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^Req^u^ir^e^th^e^Ao^{A t}^o^p^l^a^y^a^lead^r^o^le^w^ith^S^a^m^e^as^H^.^R^.^{5293. (p. 15)}

^care^res^p^e^c^t^{to is}^s^u^es^con^cernⁱⁿ^g^h^o^m^e^an^d
^com^m^uⁿ^ity^-^b^as^{ed lon}^g^-^term^care,ⁱⁿ^clu^dⁱⁿ^g^—
^d^irectin^g^(as^th^{e Secreta}^r^y^{or th}^{e P}^r^es^iden^t
^d^e^ter^mⁱⁿ^{es to}^b^e^ap^p^r^o^p^r^iate)^o^r^o^t^h^e^r^w^ise
^p^a^r^ticip^atin^gⁱⁿ^d^e^p^a^r^t^m^eⁿ^t^{al an}^d
ⁱⁿ^ter^d^ep^ar^tm^en^{tal activ}^ities^coⁿ^cerⁿⁱⁿ^g^loⁿ^g^-

CRS-22
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^term^care;
^r^e^vⁱ^e^wⁱ^{ng a}ⁿ^d^c^o^m^m^e^ntⁱ^{ng o}ⁿ^d^e^p^a^r^t^m^e^nt^a^l
^r^u^{les, r}^e^g^u^l^atioⁿ^s^{, an}^d^p^o^{licies r}^e^la^ted^to
^p^r^o^v^idⁱⁿ^g^loⁿ^g^-^ter^m^car^{e; an}^d
^m^ak^ing^recom^m^eⁿ^d^ation^s^{to th}^{e Secretary}
^wⁱ^th^res^p^{ect to h}^o^m^e^an^{d com}^m^uⁿ^ity^-^b^as^e^d
^l^o^ng-t^e^r^m^c^a^r^e^,ⁱⁿ^c^l^udⁱ^{ng r}^e^c^o^m^m^e^nd^a^tⁱ^o^ns
^b^a^se^d^oⁿ^fi^ndⁱ^ngs^m^a^d^e^t^h^r^o^{ugh r}^e^se^a^r^c^h^aⁿ^d
^dem^oⁿ^s^t^r^atⁱ^oⁿ^proj^ect^s^t^o^m^odi^f^y^s^t^at^{e l}^oⁿ^g^-
^term^{care s}^y^s^t^em^s^.^(p.18)
^aⁿ^{ce pla}^nning^f^o^{r lo}^ng^-^N^o^provⁱ^sⁱ^oⁿ^.^Prom^ot^e,ⁱⁿ^coordiⁿ^a^tⁱ^oⁿ^wⁱ^t^h^ot^h^e^r^appropri^a^t^e^S^a^m^e^as^H^.^R^.^{5293. (p. 16)}
ⁱ^{ki/CRS-RL33660}^care^f^e^de^r^a^{l ag}^en^cies^{, en}^h^aⁿ^{ced pu}^{blic aw}^aren^es^s
^g/w^f^o^{r t}^h^{e i}^m^port^aⁿ^{ce of}^pl^aⁿⁿⁱⁿ^gⁱⁿ^adv^aⁿ^{ce f}^o^r
^s^.or^loⁿ^g^-^ter^m^car^{e an}^d^th^{e av}^ailabⁱ^lity^o^f
^le^akⁱⁿ^f^o^r^m^atioⁿ^an^d^r^e^so^u^r^{ces to}^{assist in}^su^ch
^p^l^aⁿⁿⁱ^ng.⁽^p^.¹⁹⁾
^://wiki
^h^ttp^ing^a^{nd Disa}^bilit^y^No^p^r^o^v^isioⁿ^.^I^m^p^l^em^en^{t in}^{all states A}^D^{RCs —}^t^{o s}^e^rv^{e as}^vⁱ^sⁱ^{ble an}^{d tru}^s^{ted s}^o^u^r^ces^of^No^p^r^o^v^isioⁿ^.⁽^S^{ee sectio}ⁿ^oⁿ^A^D^{RCs in}^T^{itle III u}ⁿ^d^{er State plan}^s^.⁾

ⁱⁿ^f^o^r^m^atioⁿ^oⁿ^th^{e f}^u^{ll r}^aⁿ^g^e^o^f^loⁿ^g^-^ter^m
^{care option}^s^t^h^a^t^{are av}^{ailable in}^th^e
^co^m^m^uⁿⁱ^ty^{, in}^clu^dⁱⁿ^g^b^o^t^hⁱⁿ^stitu^tioⁿ^a^{l an}^d
^h^o^m^e^an^{d com}^m^uⁿ^ity^-^b^as^{ed care;}
^t^{o prov}ⁱ^d^{e pers}^on^alⁱ^{zed an}^{d con}^s^um^er
^f^r^ien^d^ly^as^sⁱ^s^t^an^c^e^{to em}^pow^{er people to}
^m^a^k^eⁱⁿ^f^o^rm^{ed decis}ⁱ^on^s^abou^{t th}^eⁱ^{r care}
^o^p^tioⁿ^s^;
^t^{o prov}^{ide coordin}^a^{ted an}^{d s}^t^rea^m^lⁱⁿ^{ed acces}^s
^t^o^al^l^pu^blⁱ^c^l^y^s^u^pport^e^{d l}^oⁿ^g^-^t^e^rm^care
^option^s^s^o^th^{at con}^s^u^m^ers^can^obtain^th^e^care
^t^h^e^y^ne^e^d^t^h^r^o^{ugh a}^si^ngl^eⁱⁿ^t^a^ke^,^a^sse^ssm^eⁿ^t
^an^d^elig^ib^ility^d^e^ter^mⁱⁿ^atioⁿ^p^r^o^cess;
^t^{o h}^e^{lp p}^e^{ople to plan}^ah^{ead f}^o^{r th}^{eir f}^u^tu^re
^lon^g^-^term^{care n}^eeds^;^an^d
^t^o^{assist, in}^co^o^r^dⁱⁿ^a^tioⁿ^w^ith^th^{e state Health}
^In^s^u^ran^{ce A}^s^sⁱ^s^t^an^{ce P}^r^og^r^a^m^,^Medicare
^ben^e^fⁱ^ciariesⁱⁿ^uⁿ^d^ers^t^an^din^g^an^{d acces}^sⁱⁿ^g
^th^{e P}^r^es^cri^p^tⁱ^oⁿ^Dru^g^C^o^v^e^rag^e^an^d

CRS-23
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^prev^entativ^{e h}^ealth^ben^e^f^its^av^{ailable u}ⁿ^d^er
^th^{e Medicare Modern}^ization^A^c^{t. (p. 19)}
^a^ti^on^al^techⁿⁱ^cal^as^sⁱ^s^t^an^ce^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^estab^lish^,^eith^er^dⁱ^r^e^c^t^l^y^o^r^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293, ref}^e^rs^t^o^a^natⁱ^onal
^r^ogram^s^{for h}^o^m^e^an^d^t^h^r^o^{ugh g}^r^aⁿ^t^s^o^r^c^o^nt^r^a^c^t^s,^na^tⁱ^o^na^l^t^e^c^hni^c^a^l^t^e^chni^cal^as^sⁱ^s^t^{ance pr}^ogr^am⁽^r^a^th^er^th^an
^m^unity-bas^{ed s}^ervices^as^sⁱ^s^t^an^{ce prog}^ram^s^{to as}^sⁱ^s^t^s^t^a^t^{e ag}^en^cies^,^pr^ogr^am^s^{) an}^{d th}^{e term}^evidence-bas^ed^does
^{area ag}^en^cies^on^agⁱⁿ^g^,^an^{d com}^m^uⁿ^ity^-^b^a^s^edⁿ^o^{t in}^clu^d^e^heal^t^h^pr^om^otⁱ^oⁿ^{and di}^s^e^as^e
^s^e^rv^{ice prov}^iders^f^uⁿ^d^{ed u}ⁿ^d^{er th}^is^a^c^tⁱⁿ^pr^{evention pr}^ogr^ams^{. (p. 16)}
^im^plem^en^tin^g^h^o^m^e^an^{d com}^m^uⁿ^ity^-^b^as^ed
^lon^g^-^term^{care s}^y^s^t^em^s^,ⁱⁿ^clu^dⁱⁿ^g^ev^iden^ce-
^bas^e^{d h}^eal^t^h^prom^otⁱ^oⁿ^an^{d di}^s^eas^{e prev}^en^tⁱ^oⁿ
^prog^ram^s^{. (p. 20)}
ⁱ^{ki/CRS-RL33660}
^g/w^a^{nce s}^t^andards^for^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^Dev^e^lo^p^,ⁱⁿ^co^llab^o^r^a^tⁱ^oⁿ^wⁱ^t^h^th^e^S^a^m^e^as^H^.^R^.^{5293. (p. 17)}
^s^.or^care^A^d^mⁱⁿⁱ^s^t^rat^o^{r of}^C^M^S^,^perf^orm^aⁿ^ce^s^t^an^dards
^le^ak^an^{d m}^eas^u^r^es^f^o^{r u}^s^{e by}^s^t^ates^{to determ}ⁱⁿ^{e th}^e
^ex^ten^t^to^w^h^ich^th^eir^sy^stem^s^o^f^loⁿ^g^-^ter^m^car^e
^://wiki^f^u^l^fⁱ^{ll th}^{e o}^b^j^ectiv^{es d}^e^scrⁱ^b^e^dⁱⁿ^th^is
^h^ttp^s^u^bs^ectⁱ^oⁿ^.^{(p. 20)}
^care^No^p^r^o^v^isioⁿ^.^C^oⁿ^d^u^c^t^s^u^c^h^o^t^h^e^r^activ^ities^{as th}^{e A}^ssistan^t^S^a^m^e^as^H^.^R^.^{5293. (p. 17)}
^vi^ti^es^S^ecret^ary^det^e^rmⁱⁿ^es^t^o^{be appropri}^a^t^e^{. (p.}²¹⁾
ⁿ^vol^vem^eⁿ^t^{of ol}^d^e^r^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^e^th^{e A}^ssistan^{t Secr}^etar^y^,^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293 w}ⁱ^t^h^s^lⁱ^g^h^t^l^y^di^f^f^e^ren^t
ⁱ^dua^{ls in v}^o^l^unt^a^r^yⁱⁿ^coⁿ^s^u^ltatioⁿ^w^ith^th^{e Co}^r^p^o^r^ati^oⁿ^f^o^r^w^o^rdiⁿ^g^.^{(p. 17)}
^m^uⁿⁱ^{ty acti}^vi^ti^es^Natioⁿ^a^{l an}^d^Co^m^m^uⁿ^ity^Ser^v^{ice to}^—
^e^nc^o^u^r^a^ge^aⁿ^d^p^e^r^mⁱ^t^vo^l^unt^a^r^y^gr^o^u^p^s^a^c^tⁱ^v^e^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293, bu}^t^ref^e^ren^ces^natⁱ^onal
ⁱⁿ^s^u^pportⁱ^v^e^s^e^rvⁱ^ces^an^{d ci}^vⁱ^{c en}^g^a^g^e^m^eⁿ^t^,^s^e^r^vⁱ^{ce pr}^ogr^am^s^{. (p. 17)}
ⁱⁿ^c^l^udⁱ^{ng y}^o^ut^{h o}^r^g^aⁿⁱ^z^a^tⁱ^o^{ns a}^c^tⁱ^v^e^a^t^t^h^e
^s^econ^d^ary^{or pos}^ts^econ^d^ary^lev^e^ls^{, to}
^partⁱ^cⁱ^p^at^{e an}^{d be i}ⁿ^v^o^l^v^{ed i}ⁿ^di^vⁱ^dua^l^l^y^or
^t^h^r^o^{ugh r}^e^p^r^e^s^eⁿ^t^a^tⁱ^v^e^gr^o^u^p^s^,ⁱⁿ^suc^h
^p^r^o^g^r^a^m^s^o^r^activ^ities^to^th^{e m}^a^xⁱ^m^u^m^ex^ten^t
^f^easib^{le; (}^p^{. 2}¹⁾
^d^ev^{elop a com}^p^reh^eⁿ^s^iv^{e s}^t^rateg^y^f^o^r^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^5293,^bu^t^doesⁿ^o^t^ref^e^ren^c^e
^u^tilizin^g^o^l^d^e^rⁱⁿ^dⁱ^vⁱ^d^u^{als to}^ad^d^r^{ess cr}^itical^engagem^e^nt^of^o^l^d^e^rⁱ^ndi^vi^dual^sⁱⁿ^t^h^e
^lo^{cal n}^eed^{s o}^fⁿ^a^tioⁿ^a^l^c^o^nc^e^r^n,ⁱⁿ^c^l^udⁱ^{ng t}^h^e^actⁱ^vⁱ^tⁱ^e^s^of^publⁱ^c^{and nonpr}^ofⁱ^t
^en^g^a^g^e^m^eⁿ^t^of^ol^{der i}ⁿ^di^vⁱ^du^al^sⁱⁿ^t^h^e^or^gani^z^a^tⁱ^ons^,^s^u^{ch as}^com^m^uni^t^y^-bas^{ed and}

CRS-24
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^a^c^tiv^{ities o}^f^p^u^b^lic^aⁿ^dⁿ^oⁿ^p^r^o^fⁱ^t^f^aⁱ^t^h^-bas^{ed or}^gani^z^a^tⁱ^ons^{. (p. 17)}
^org^aⁿⁱ^zation^s^s^u^ch^as^com^m^uⁿ^ity^-b^as^{ed an}^d
^f^a^ith^-^b^ased^o^r^g^aⁿⁱ^zatioⁿ^s^{; an}^d⁽^p^{. 2}¹⁾
^eⁿ^c^o^u^r^a^g^e^o^t^h^e^r^co^m^m^uⁿ^ity^cap^acity^b^u^ildⁱⁿ^g^Sⁱ^mⁱ^l^a^r^t^o^H^.^R^.^{5293, bu}^t^doesⁿ^o^t^ref^e^ren^c^e
ⁱⁿ^itiativ^{es in}^v^o^lvⁱⁿ^g^o^l^d^e^rⁱⁿ^dⁱ^vⁱ^d^u^{als, w}^ith^with^p^a^r^ticu^l^a^r^a^tten^tioⁿ^toⁱⁿ^itia^{tives th}^a^t
^p^a^r^tⁱ^c^u^l^a^r^a^t^t^eⁿ^tⁱ^oⁿ^t^oⁱⁿ^itiativ^es^th^a^t^dem^ons^t^r^at^e^t^h^{e ef}^f^ectⁱ^venes^s^{and cos}^t
^dem^oⁿ^s^{trate th}^{e ef}^f^ectiv^en^es^s^an^{d co}^s^t^sa^vin^g^sⁱⁿ^meetin^g^critica^lⁿ^eed^s^{. (p. 18)}
^s^a^vⁱⁿ^g^sⁱⁿ^m^eetin^g^{critical n}^eeds^.^{(p. 21)}
^{A co}^lla^bo^ra^tioⁿ^wⁱ^{th o}^t^her^S^ectⁱ^oⁿ^{203(a) requ}ⁱ^r^es^t^h^{e h}^eads^of^T^h^{e bi}^l^l^w^o^u^l^{d add ref}^e^ren^{ce t}^o^ol^der^S^a^m^e^as^H^.^R^.^{5293. (p.18)}
^:^{reference to}^f^e^deral^depart^m^eⁿ^t^s^,^a^g^eⁿ^cⁱ^es^{, or}ⁱ^ndi^vi^dual^s^wⁱ^t^h^lⁱ^mⁱ^t^e^{d Engl}ⁱ^s^h^pr^ofⁱ^cⁱ^e^ncy.^(p.
ⁱ^{ki/CRS-RL33660}^{pact on pers}^ons^wⁱ^thⁱⁿ^str^u^m^eⁿ^t^{alities ad}^mⁱⁿⁱ^sterⁱⁿ^g^p^r^o^g^r^a^m^s²²⁾
^g/w^it^{ed Eng}^{lish pro}^f^iciency^aⁿ^d^s^e^r^vⁱ^c^e^s^r^e^l^a^ted^to^th^{e O}^l^d^e^r
^s^.or^A^m^er^ican^{s A}^c^{t to}^d^e^v^e^lo^p^{a w}^r^itten
^le^ak^an^aly^s^is^o^f^t^h^eⁱ^rⁱ^m^p^a^ct^on^older
ⁱⁿ^dⁱ^vⁱ^d^u^{als (}^w^ith^p^a^r^tⁱ^c^u^l^ar^atten^tioⁿ^to
^://wiki^lo^w^-ⁱⁿ^co^m^e^mⁱⁿ^o^r^ity^o^l^d^e^rⁱⁿ^dⁱ^vⁱ^d^u^{als an}^d
^h^ttp^ol^{der i}ⁿ^di^vⁱ^du^al^s^resⁱ^dⁱ^ngⁱⁿ^ru^ral^areas⁾^an^d^T^{itle V elig}^ib^{le in}^dⁱ^vⁱ^d^u^als.
^s^sⁱ^s^tⁱ^v^{e T}^echⁿ^o^l^{ogy A}^c^t^S^ectⁱ^oⁿ²⁰³⁽^a⁾^requⁱ^r^es^t^h^e^A^o^A^t^o^T^h^{e b}^{ill w}^o^u^l^d^ad^d^r^e^f^e^r^eⁿ^ce^to^sectioⁿ^s⁴^an^d^S^a^m^e^as^H^.^R^.^{5293. (p. 18)}
^c^o^ordin^a^{te, adv}ⁱ^s^e^an^{d con}^s^u^{lt w}^ith^h^eads^{5 of}^t^h^{e A}^s^sⁱ^s^tⁱ^v^e^T^echⁿ^o^l^o^g^y^A^c^t^of^{1998 (29}
^ofⁿ^u^m^erou^s^f^e^d^e^{ral ag}^en^cies^an^d^U^.^S^.^C^.^3003-^{3004). (p. 22)}
^prog^ram^s^.
^o^r^dina^tⁱ^ng^co^m^mⁱ^t^t^{ee o}ⁿ^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^T^h^e^b^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{e Secr}^etar^y^o^f^HHS
ⁿ^g^to^es^t^a^b^lish^anⁱⁿ^ter^a^g^eⁿ^c^y^co^o^r^dⁱⁿ^a^tin^g
^com^m^{ittee (C}^om^m^{ittee) f}^o^cu^sⁱⁿ^g^on^t^h^e
^coordin^a^tion^of^ag^en^cies^w^ith^res^p^{ect to}
^agⁱⁿ^g^issu^{es, p}^a^r^ticu^l^ar^ly^r^e^l^a^t^e^d^t^o
^d^e^m^o^gr^a^p^hi^c^c^h^a^nge^{s a}ⁿ^d^ho^usi^{ng ne}^e^d^s
^am^on^g^ol^{der i}ⁿ^di^vⁱ^du^al^s^.^T^hⁱ^s^w^o^u^l^{d be}
^estab^lish^e^dⁱⁿ^c^o^l^l^a^b^o^r^atioⁿ^w^ith^th^e
^Secretary^of^L^a^bor,^th^e^Secretary^of^Hou^sⁱⁿ^g
^a^{nd U}^r^ban^D^e^v^e^l^opm^en^t^(H^U^D⁾^,^t^h^e
^A^t^t^o^rⁿ^e^y^G^eⁿ^e^r^a^l^,^t^h^e^Secretary^of

CRS-25
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^T^r^an^s^portation^,^th^{e Secretary}^of^th^{e T}^r^eas^u^r^y^,
^th^{e Secreta}^r^y^o^f^A^g^ricu^ltu^{re, th}^e
^C^o^m^mⁱ^s^sⁱ^on^{er of}^{Social Secur}^ity^{, th}^e
^Sur^g^e^oⁿ^G^e^ne^r^a^l^,^t^h^e^A^d^mⁱⁿⁱ^st^r^a^t^o^r^o^f^CM^S,
^th^{e Director of}^th^{e C}^eⁿ^t^ers^f^o^{r Dis}^eas^e
^C^oⁿ^t^{rol an}^{d P}^r^eveⁿ^tⁱ^on^{, th}^{e Director of}^th^e
^Natioⁿ^a^l^Iⁿ^stitu^{tes o}^f^Health^{, th}^{e A}^s^sistan^t
^Secr^etar^y^f^o^r^C^h^ild^r^eⁿ^an^d^Fam^{ilies, th}^e
^A^d^mⁱⁿⁱ^str^a^to^r^o^f^th^{e Natio}ⁿ^a^{l Hig}^h^w^ay
^T^r^af^fⁱ^{c Saf}^e^ty^A^d^mⁱⁿⁱ^s^t^ration^,^an^d^s^u^ch^oth^e^r
^f^e^{deral offi}^cⁱ^als^as^th^{e Secretary}^of^HHS
^det^e^rmⁱⁿ^es^t^o^{be appropri}^a^t^e^{. (p. 18)}
ⁱ^{ki/CRS-RL33660}
^g/w^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^e^Secr^etar^y^o^f^HHS
^s^.or^t^o^s^e^rv^{e as}^th^{e f}ⁱ^rs^{t ch}^airpers^oⁿ^of^t^h^e
^le^ak^Co^m^m^{ittee, f}^o^r^anⁱⁿ^itial^p^e^rⁱ^o^d^o^f^tw^o^y^ear^s.
^A^f^ter^th^{e in}^{itial p}^e^rⁱ^o^d^,^th^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^e
^://wiki^th^{e Secretary}^o^f^{HUD an}^d^th^{e Secretary}^o^f
^h^ttp^{HHS to altern}^{ate as}^c^h^airpers^oⁿ^s^{, each}
^s^e^rvⁱⁿ^g^as^ch^airper^s^oⁿ^{for a period of}^tw^o
^y^ears^.^{(p. 19)}
^T^h^{e Co}^m^m^{ittee is r}^e^q^u^ir^ed^to^:
^{1) rev}ⁱ^ew^al^l^f^e^deral^pro^g^ram^s^an^{d s}^e^rvⁱ^ces
^t^h^at^as^sⁱ^s^t^ol^{der i}^ndi^vⁱ^du^al^sⁱⁿ^fⁱⁿ^dⁱⁿ^g^an^d
^a^ffo^r^dⁱ^{ng ho}^usi^ng,^h^e^a^l^t^h^c^a^r^e^,^aⁿ^d^o^t^he^r
^ser^v^{ices, in}^clu^dⁱⁿ^g^th^o^s^{e f}^e^d^e^r^a^{l p}^r^o^g^r^a^m^s
^an^{d s}^e^rv^ices^th^{at as}^sⁱ^s^t^o^l^{der in}^divⁱ^du^alsⁱⁿ
^acces^sⁱⁿ^g^h^ealth^{care, tra}ⁿ^s^p^o^r^t^a^tⁱ^oⁿ^,
^s^u^pportⁱ^v^{e s}^e^rvⁱ^ces^,^an^d^as^sⁱ^s^t^an^{ce w}ⁱ^t^h^dai^l^y
^activ^{ities, at th}^{e p}^l^{ace o}^r^c^l^o^s^{e to}^th^{e p}^l^ace
^w^h^{ere th}^{e older in}^divⁱ^du^als^liv^e;
^{2) m}^oⁿ^{itor, ev}^{aluate, an}^{d recom}^m^eⁿ^d
ⁱ^m^prov^em^en^t^sⁱⁿ^prog^ram^s^an^{d s}^e^rvⁱ^ces
^admⁱⁿⁱ^s^t^ered,^f^uⁿ^d^ed,^{or f}ⁱⁿ^aⁿ^{ced by}^f^e^deral,
^{state, an}^d^lo^{cal activ}^{ities to}^assi^{st o}^l^d^e^r

CRS-26
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
ⁱⁿ^dⁱ^vi^d^u^a^l^sⁱⁿ^m^e^e^tⁱ^{ng t}^h^eⁱ^r^ho^usi^ng,^he^a^l^t^h
^c^a^r^{e, an}^{d oth}^e^{r s}^e^rv^{ice n}^eeds^an^{d m}^a^k^e^aⁿ^y
^recom^m^eⁿ^d^ation^s^abou^t^h^o^w^th^{e ag}^en^cies^can
^bet^t^e^{r carry}^ou^t^an^{d prov}ⁱ^d^e^t^h^e^prog^ram^s^an^d
^s^e^rv^ices^{to h}^o^u^s^{e an}^{d s}^e^rv^{e older}ⁱⁿ^divⁱ^du^als^;
^recom^m^eⁿ^d^w^a^y^s^{to —}
^f^{acilitate ag}ⁱⁿ^gⁱⁿ^p^l^{ace, b}^y^id^en^tif^yⁱⁿ^g^an^d
^m^a^kⁱⁿ^g^av^{ailable th}^{e prog}^ram^s^an^{d s}^e^rv^ices
ⁿ^eces^s^a^ry^t^o^en^{able older in}^divⁱ^du^als^to
^rem^aⁱⁿⁱⁿ^th^{eir h}^o^m^e^s^as^th^ey^ag^e;
^r^edu^{ce du}^p^lⁱ^c^ation^by^f^e^{deral ag}^en^cies^of
^prog^ram^s^an^{d s}^e^rv^ices^{to as}^sⁱ^s^tⁱⁿ^m^eetin^g
ⁱ^{ki/CRS-RL33660}^{older in}^divⁱ^du^als^’^h^o^u^sⁱⁿ^g^,^h^ealth^{care, an}^d
^g/w^oth^e^{r s}^e^rv^{ice n}^eeds^;
^s^.or^eⁿ^s^u^r^{e co}^llab^o^r^atioⁿ^am^oⁿ^g^an^d^w^ithⁱⁿ
^le^ak^ag^en^ciesⁱⁿ^prov^idin^g^an^{d m}^a^kⁱⁿ^g^av^ailable
^prog^ra^m^s^an^{d s}^e^rvⁱ^ces^s^o^t^h^at^ol^der
^://wikiⁱⁿ^divⁱ^du^als^{are able}^{to eas}^ily^acces^sⁿ^eeded
^h^ttp^prog^ram^s^an^{d s}^e^rvⁱ^ces^;
^w^o^r^k^w^ith^{states to}^b^e^tter^p^r^o^v^id^{e h}^o^u^sⁱⁿ^g^,
^h^ealth^{care, an}^{d oth}^e^{r s}^e^rv^ices^{to older}
ⁱⁿ^dⁱ^vi^d^u^a^l^s^b^y^ho^l^dⁱ^{ng i}ⁿ^dⁱ^vi^d^u^a^l^m^e^e^tⁱ^ngs
^w^ith^s^t^{ate repres}^en^t^a^tⁱ^v^e^s^,^p^r^ov^idin^g
^on^g^oⁱⁿ^g^techⁿⁱ^{cal as}^sⁱ^s^t^an^{ce to s}^t^ates^abou^t
^bet^t^e^r^m^e^e^tⁱ^{ng t}^h^eⁿ^eeds^of^ol^der
ⁱⁿ^dⁱ^vⁱ^d^u^{als; an}^d^w^o^r^kⁱⁿ^g^w^ith^s^t^a^t^{es to}
^d^e^sigⁿ^a^{te state liaiso}ⁿ^{s f}^o^r^th^{e Co}^m^m^itt^e^e^;
ⁱ^dentⁱ^f^y^m^odel^prog^ram^s^an^{d s}^e^rvⁱ^ces^t^o
^{assist o}^l^d^e^rⁱⁿ^dⁱ^vⁱ^d^u^{als in}^m^eetin^g^th^eir
^ho^usi^ng,^he^a^l^t^h^c^a^r^e^,^aⁿ^d^o^t^he^r^se^r^vⁱ^c^e
^ne^e^d^s,ⁱⁿ^c^l^udⁱ^{ng p}^r^o^g^r^a^m^s^lⁱ^nki^{ng ho}^usi^ng,
^h^ealth^{care, an}^{d oth}^e^{r s}^e^rv^ices^{, f}ⁱⁿ^aⁿ^cⁱⁿ^g
^produ^ct^s^of^f^e^{red by}^g^o^v^e^rn^m^eⁿ^t^{, qua}^si^-
^g^o^v^e^rⁿ^m^eⁿ^t^,^an^d^p^r^iv^{ate secto}^r^en^tities,^an^d
ⁱⁿⁿ^o^v^a^tioⁿ^sⁱⁿ^techⁿ^o^lo^g^y^ap^p^licatioⁿ^s^th^at
^gⁱ^v^e^olderⁱⁿ^divⁱ^du^als^acces^s^{to in}^f^o^rm^ation

CRS-27
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^on^av^{ailable s}^e^rv^ices^{or th}^{at h}^e^{lp in}
^provⁱ^dⁱⁿ^g^s^e^rvⁱ^ces^t^o^ol^{der i}ⁿ^di^vⁱ^du^al^s^;
^c^{ollect an}^{d dis}^s^e^mⁱⁿ^a^{te in}^f^o^rm^ati^oⁿ^abou^t
^ol^{der i}ⁿ^di^vⁱ^du^al^s^an^{d t}^h^{e pro}^g^r^a^m^s^an^d
^s^e^rv^ices^av^{ailable to th}^em^{to en}^s^u^{re th}^at
^th^ey^can^acces^s^com^p^reh^eⁿ^s^iv^e
ⁱⁿ^f^o^r^m^atioⁿ^;^an^d
^w^o^r^k^w^ith^th^{e Fed}^e^r^a^{l I}ⁿ^t^e^r^a^g^eⁿ^c^y^Fo^r^u^m
^oⁿ^A^g^e-^Related^{Statistics, th}^{e B}^u^r^eau^o^f^th^e
^C^eⁿ^s^u^s^{, an}^{d m}^e^m^b^{er ag}^en^cie^s^{to collect}
^an^d^m^aⁱⁿ^tain^d^a^{ta r}^e^latin^g^to^th^{e h}^o^u^sⁱⁿ^g^,
^h^ealth^{care, an}^{d oth}^e^{r s}^e^rv^{ice n}^eeds^of^older
ⁱ^{ki/CRS-RL33660}ⁱⁿ^divⁱ^du^als^s^o^th^{at all s}^u^ch^d^a^{ta can}^be
^g/w^acces^s^e^{d in}^on^{e place on}^{a des}ⁱ^gn^ated
^s^.or^w^e^b^s^{ite; an}^d^to^id^en^tif^y^an^d^ad^d^r^{ess u}ⁿ^m^et
^le^ak^dat^aⁿ^eeds^.^{(p. 20)}
^://wiki^{3) Mak}^e^recom^m^eⁿ^d^atⁱ^o^ns^t^o^g^uⁱ^{de pol}ⁱ^c^y
^h^ttp^an^d^prog^ram^dev^e^l^opm^en^t^acros^s^f^e^deral
^ag^en^cies^w^ith^res^p^{ect to dem}^o^g^r^aphic
^ch^an^g^e^s^am^on^g^ol^derⁱⁿ^di^vⁱ^du^al^s^;^an^{d (p. 22)}
⁴⁾^A^c^tiv^ely^seekⁱⁿ^p^u^t^f^r^o^m^an^d^coⁿ^s^u^{lt w}^ith
^{all ap}^p^r^o^p^r^{iate an}^dⁱⁿ^ter^e^s^t^ed^p^a^r^ties,
ⁱⁿ^clu^dⁱⁿ^g^p^u^b^{lic h}^ealthⁱⁿ^ter^e^{st an}^d^r^e^sea^r^c^h
^g^r^o^u^p^s^an^d^f^o^uⁿ^d^atioⁿ^s^ab^o^u^{t th}^{ese activ}^ities.
^{(p. 23)}
^Each^y^{ear, th}^e^C^o^m^m^{ittee is}^requ^{ired to}
^p^r^ep^ar^{e a}ⁿ^d^su^b^m^{it to}^th^{e P}^r^esid^en^{t, th}^e
^Co^m^mⁱ^t^t^e^e^oⁿ^Fin^aⁿ^c^{ial Ser}^v^{ices o}^f^th^e
^Hou^s^{e of}^R^e^pres^en^tativ^es^{, th}^{e C}^o^m^m^{ittee on}
^Edu^cation^an^{d th}^{e W}^o^rk^f^o^rce^of^th^{e Hou}^s^{e of}
^R^e^pres^en^tativ^es^{, th}^{e C}^o^m^m^{ittee on}^B^aⁿ^kⁱⁿ^g^,
^H^o^usi^ng^aⁿ^d^U^r^b^a^{n A}^ffaⁱ^r^{s o}^f^t^h^e^Se^na^t^e^,^t^h^e
^Co^m^m^ittee^oⁿ^Health^{, Ed}^u^catioⁿ^,^L^a^b^o^r^{, an}^d
^P^eⁿ^s^ion^s^of^th^{e Sen}^a^{te, an}^{d the}^S^p^ecial

CRS-28
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^C^o^m^mⁱ^t^t^{ee on}^A^gⁱⁿ^g^of^t^h^{e S}^eⁿ^a^t^e^,^a^report
^th^{at —}
^d^escr^ib^{es th}^{e activ}^itie^s^an^d
^acco^m^p^lish^m^en^{ts o}^f^th^{e Co}^m^m^{ittee in}
^w^o^rkⁱⁿ^g^wⁱ^th^f^e^{deral, s}^t^{ate, an}^{d local}
^go^ve^rⁿ^m^e^nt^s,^aⁿ^d^p^rⁱ^v^a^t^e^o^r^gaⁿⁱ^z^a^tⁱ^o^ns,ⁱⁿ
^coordiⁿ^a^tⁱⁿ^g^prog^ram^s^an^{d s}^e^rvⁱ^ces^t^o^m^eet
^th^{e r}^e^q^u^ir^em^en^{ts o}^f^th^{e Co}^m^m^ittee;⁽^p^.²³⁾
^a^sse^sse^{s the}^le^ve^{l o}^f^fe^d^e^r^a^l^a^s^sistaⁿ^c^e
^requ^ired^{to m}^{eet th}^{e n}^eeds^des^c^{ribed f}^o^{r th}^e
^Co^m^m^{ittee; (}^p^{. 2}³⁾
ⁱⁿ^c^orporates^an^an^aly^s^is^f^r^om^th^{e h}^{ead of}
ⁱ^{ki/CRS-RL33660}^each^ag^en^cy^t^h^a^t^is^{a m}^e^m^b^{er of}^th^e
^g/w^C^o^m^m^{ittee th}^{at des}^c^ribes^th^{e barriers}^an^d
^s^.orⁱ^m^p^e^dⁱ^m^e^nt^s,ⁱⁿ^c^l^udⁱ^{ng barr}ⁱ^e^r^s^aⁿ^d
^le^akⁱ^m^pedi^m^eⁿ^t^sⁱⁿ^s^t^at^u^t^o^r^y^an^{d reg}^u^l^at^ory
^law^,^t^o^th^{e acces}^s^an^{d u}^s^{e by}^older
^://wikiⁱⁿ^di^vⁱ^du^al^s^of^prog^ram^s^an^{d s}^e^rvⁱ^ces
^h^ttp^admⁱⁿⁱ^s^t^{ered by}^s^u^ch^ag^en^cy^{; an}^{d (p. 23)}
^m^ak^es^recom^m^eⁿ^d^ation^s^f^o^{r appropriate}
^legⁱ^slativ^{e an}^d^ad^mⁱⁿⁱ^str^a^tiv^{e actio}ⁿ^s^to
^m^{eet th}^{e n}^eed^{s d}^e^scrⁱ^b^e^d^f^o^r^th^{e Co}^m^m^ittee
^an^d/^{or coordi}ⁿ^a^tⁱⁿ^g^prog^ram^s^an^{d s}^e^rvⁱ^ces
^desⁱ^gⁿ^e^{d t}^o^m^eet^t^h^os^{e n}^eeds^.^{(p. 24)}
^T^h^e^S^ecret^ary^of^H^H^Sⁱ^s^requⁱ^r^{ed t}^o^appoiⁿ^t
^an^ex^ecu^tiv^{e director of}^th^{e C}^o^m^m^ittee,^af^ter
^coⁿ^s^u^ltatioⁿ^w^ith^th^e^Secretary^o^f^{HUD. On}
^th^{e requ}^es^{t of}^t^h^{e C}^o^m^m^{ittee, an}^y^f^e^deral
^g^o^v^e^rn^m^eⁿ^t^em^pl^oy^{ee m}^a^y^{be det}^aⁱ^l^e^{d t}^o^t^h^e
^Co^m^m^{ittee w}^ith^o^u^{t r}^e^im^b^u^r^s^em^en^{t, an}^d^su^ch
^d^e^{tail sh}^{all b}^e^w^ith^o^u^tⁱⁿ^ter^r^u^p^tioⁿ^o^r^lo^{ss o}^f
^civ^{il ser}^v^{ice statu}^s^o^r^p^r^iv^ileg^e^{. (}^p^{. 2}⁴⁾

CRS-29
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^unctⁱ^oⁿ^{s o}^f^nut^ritⁱ^oⁿ^S^ectⁱ^oⁿ^{205 requ}ⁱ^r^es^t^h^{e A}^o^Aⁿ^u^t^ri^tⁱ^oⁿ^T^h^{e b}^{ill w}^o^u^l^d^ch^an^g^e^th^{e r}^e^f^e^r^eⁿ^{ce to}^S^a^m^e^as^H^.^R^.^{5293. (p. 25)}
^r^ogram^offi^cer^proj^ect^of^fⁱ^{cer t}^o^c^a^rry^ou^t^{a n}^u^m^{ber of}^desⁱ^gni^{ng, i}^m^pl^em^entⁱ^{ng, and eval}^u^atⁱⁿ^g
^f^uⁿ^c^tion^s^{. T}^h^es^{e in}^clu^d^e:^evi^dence-bas^{ed pr}^ogr^am^s^t^o^s^uppor^tⁱ^m^pr^oved
^d^es^igⁿⁱⁿ^g^,^im^plem^en^tin^g^,^an^d^ev^alu^a^tin^g^nut^rⁱ^tⁱ^{on and r}^e^gul^ar^physⁱ^cal^actⁱ^vⁱ^t^y^f^o^r^ol^der
ⁿ^u^t^r^itioⁿ^p^r^o^g^r^a^m^s^;ⁱ^ndi^vi^dual^s^{. (p. 23)}
^d^issemⁱⁿ^a^tin^gⁱⁿ^f^o^r^m^atioⁿ^toⁿ^u^t^r^itioⁿ^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{e o}^f^fⁱ^cer^to^c^oⁿ^d^u^c^t^S^a^m^e^as^H^.^R^.^{5293. (p. 25)}
^ser^v^{ice p}^r^o^v^id^er^{s ab}^o^u^tⁿ^u^t^r^itioⁿ^ou^treach^an^{d dis}^s^e^mⁱⁿ^a^{te ev}^iden^ce-^bas^e^d
^adv^aⁿ^cem^en^ts^.ⁱⁿ^f^o^r^m^atioⁿ^toⁿ^u^t^r^itioⁿ^ser^v^{ice p}^r^o^v^id^er^{s ab}^o^u^t
^th^{e ben}^e^f^its^of^h^ealt^h^ful^diets^an^{d reg}^u^l^ar
^p^h^y^s^{ical activ}^ity^{, in}^clu^dⁱⁿ^gⁱⁿ^f^o^r^m^atioⁿ^ab^o^u^t
^th^{e m}^o^s^t^cu^rren^{t Dietary}^Gui^d^elin^es^f^o^r
ⁱ^{ki/CRS-RL33660}^A^m^eri^can^s^p^ublⁱ^s^h^e^{d u}ⁿ^d^{er s}^ectⁱ^oⁿ^{301 of}^t^h^e
^g/w^Natioⁿ^a^{l Nu}^tr^itioⁿ^Moⁿⁱ^t^o^rⁱⁿ^g^an^d^Related
^s^.or^R^e^s^earch^A^c^t^of^{1990 (7 U}^.^S^.^C^.^5341),^t^h^e
^le^ak^F^{ood G}^uⁱ^d^{e Py}^ramⁱ^{d pu}^blⁱ^s^h^e^d^j^oⁱⁿ^t^l^y^by^t^h^e
^Secretary^of^{HHS an}^{d th}^{e Secretary}^of
^://wiki^A^g^rⁱ^cu^ltu^r^e^,^an^d^ad^v^aⁿ^{ces in}ⁿ^u^t^r^itioⁿ^scien^ce.
^h^ttp^{(p. 23)}
^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{e o}^f^fⁱ^cer^to^:^S^a^m^e^a^s^H^.^R^.⁵^{293, b}^u^t^d^o^e^sⁿ^o^tⁱⁿ^c^l^u^d^e
^d^isse^mⁱ^na^te^guid^a^nc^e^tha^t^d^e^sc^rⁱ^b^e^{s str}^a^te^gie^s^ref^e^ren^{ce t}^o^stra^te^gⁱ^e^s^fo^{r in}^c^r^e^a^sin^g^th^e
^f^o^r^im^p^r^o^vⁱⁿ^g^th^{e n}^u^t^r^itioⁿ^a^{l q}^u^ality^o^f^m^eals^cons^um^ptⁱ^{on of}^w^hol^{e gr}^ai^ns^{, l}^o^w^-^f^a^t^dai^r^y
^p^r^o^vⁱ^d^e^d^uⁿ^d^{er T}^{itle III, particu}^l^a^r^l^y^pr^oduct^s^{, f}^r^ui^t^s^{, and veget}^abl^es^{. (p. 26)}
^s^t^rategⁱ^es^f^o^{r in}^creasⁱⁿ^g^th^{e con}^s^u^m^ption^of
^w^h^ol^{e g}^r^aiⁿ^s^{, l}^o^w^-^f^a^t^dai^r^y^produ^ct^s^,^f^r^uⁱ^t^s
^an^{d v}^e^g^e^t^a^bl^es^;^{(p. 24)}
^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^d^ev^el^{op an}^{d d}ⁱ^sse^mⁱ^na^t^e^g^uⁱ^delⁱⁿ^es^f^o^r^N^o^provⁱ^sⁱ^oⁿ^.
^con^d^u^c^tin^gⁿ^u^t^rien^{t an}^aly^s^es^of^m^e^als^,
ⁱⁿ^c^l^udⁱ^{ng gui}^d^e^lⁱ^ne^{s fo}^r^a^v^e^r^a^gⁱ^{ng ke}^y
^nu^t^rⁱ^eⁿ^t^s^ov^{er an}^appropri^a^t^e^peri^{od of}^tⁱ^m^e;
^an^{d (p. 24)}
^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^p^rovⁱ^{de tech}ⁿⁱ^{cal as}^sⁱ^s^t^an^{ce t}^o^th^e^A^o^A^S^a^m^e^as^H^.^R^.^{5293. (p. 26)}

^regⁱ^on^al^of^fⁱ^ces^{. (p. 24)}

CRS-30
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^x^pertis^{e of the nutrition}^S^ectⁱ^oⁿ^205(a)(2)(C^{) requ}ⁱ^r^es^t^h^at^t^h^e^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{e o}^f^fⁱ^cer^to^h^a^v^e^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293, bu}^t^does^no^tⁱⁿ^cl^u^d^e
ⁿ^u^t^r^itioⁿ^o^f^fⁱ^cer^h^a^v^e^ex^p^e^r^{tise in}ⁿ^u^t^r^itioⁿ^ex^p^e^r^tiseⁱⁿⁿ^u^t^r^itioⁿ^,^en^er^g^y^b^a^lan^{ce, an}^d^m^eal^ex^p^e^r^{tise in}^ener^{gy bal}^ance^{. (p. 26)}
^an^{d dietary}^s^e^rv^ices^an^{d plan}ⁿⁱⁿ^g^.^p^l^aⁿⁿⁱ^ng.⁽^p^.²⁴⁾
^a^s^{ide o}^f^f^{unds f}^o^r^S^ectⁱ^oⁿ^{206 au}^t^h^ori^zes^t^h^{e S}^ecret^ary^t^o^u^s^e^T^h^{e b}^{ill w}^o^u^l^d^au^th^o^r^{ize th}^{e Secr}^etar^y^to^u^s^{e u}^p^S^a^m^e^as^H^.^R^.^{5293. (p. 26)}
^u^a^ti^on^p^r^ojects^s^u^ch^f^uⁿ^d^s^as^m^a^y^{be n}^eces^s^a^ry^{, bu}^tⁿ^o^{t to}^to^½^o^f¹^p^e^r^cen^{t o}^f^T^{itle I}^I^I^f^uⁿ^d^{s f}^o^r
^e^x^ceed^$³^m^illioⁿ^(o^f^w^h^ich^$¹^.⁵^m^illi^oⁿ^ev^al^u^a^tⁱ^oⁿ^.^(F^{or F}^Y^{2006, for ex}^am^pl^{e, t}^hⁱ^s
^sh^{all b}^e^av^ailab^l^{e f}^r^o^m^T^{itle I}^I^I^f^uⁿ^d^s^w^o^u^l^d^am^o^uⁿ^t^to^$⁶^m^illioⁿ^r^a^th^er^th^an^$³
^ap^p^r^o^p^r^iated^an^d^$¹^.⁵^m^illioⁿ^sh^{all b}^e^m^illioⁿⁱⁿ^cu^r^r^en^{t law}⁾^{. (}^p^{. 2}⁵⁾
^av^ailab^l^{e f}^r^o^m^T^{itle I}^V^f^uⁿ^d^s)^{, to}^coⁿ^d^u^c^t
^ev^alu^a^tioⁿ^s^uⁿ^d^er^th^{is sectio}ⁿ^.
ⁱ^{ki/CRS-RL33660}^e^p^o^rts^on^th^{e acti}^vi^ti^es^S^ectⁱ^oⁿ^{207(b)(2) requ}ⁱ^r^es^t^h^e^A^s^sⁱ^s^t^an^t^T^h^e^b^ill^w^o^u^l^d^ch^an^g^e^th^{e p}^r^o^v^isioⁿ^to^r^e^q^u^ir^e^S^a^m^e^as^H^.^R^.^{5293. (p. 27)}
^g/w^Secr^etar^y^to^s^u^b^m^{it a r}^e^p^o^r^{t o}ⁿ^activ^ities^th^{e r}^e^p^o^r^{t b}^e^su^b^m^itted^to^—
^s^.or^uⁿ^d^{er th}^{e act to —}^t^h^e^{Special C}^o^m^m^{ittee on}^A^gⁱⁿ^g^of^th^e
^le^ak^t^h^e^{Special C}^o^m^m^{ittee on}^A^gⁱⁿ^g^of^th^e^Senate;
^Senate;^t^h^e^Co^m^m^{ittee o}ⁿ^Ed^u^catioⁿ^an^d^th^e
^://wiki^t^h^e^C^o^m^m^{ittee on}^Edu^cation^an^d^La^bor^W^o^rk^f^o^{rce of}^th^{e H}^o^us^{e of}^R^e^pres^en^tativ^es^;
^h^ttp^of^th^{e Hou}^s^{e of}^R^e^pres^en^tativ^es^{; an}^d^t^h^e^Co^m^mⁱ^t^t^{ee on}^L^a^{bor an}^{d H}^u^m^aⁿ^an^d^t^h^e^C^o^m^m^{ittee on}^Heal^t^h^{, Edu}^cation^,^L^a^bor,
^R^e^s^o^u^r^ces^of^th^{e Sen}^a^te.^an^{d Pen}^sⁱ^oⁿ^s^of^t^h^{e S}^eⁿ^a^t^e^{. (p. 25)}
^oⁿ^t^ractiⁿ^{g an}^d^gran^t^S^ectⁱ^oⁿ^{212 requ}ⁱ^r^es^t^h^atⁿ^oⁿ^e^of^t^h^e^T^h^{e b}^{ill w}^o^u^l^d^am^en^d^th^{e p}^r^o^v^isioⁿ^t^o^r^ead^as^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293, bu}^t^s^p^e^cⁱ^fⁱ^es^t^h^at
^m^m^{ercial and}^p^r^o^v^isioⁿ^s^ar^{e to}^b^e^coⁿ^s^tr^u^e^d^to^p^r^ev^en^{t a}^f^o^l^l^o^w^s^:^S^ectⁱ^oⁿ^{212. C}^o^nt^ractⁱⁿ^g^an^{d G}^r^an^tⁱⁿ^di^vi^d^u^a^l^s^w^h^o^s^eek^s^e^rv^ices^m^a^y
^a^t^{e pa}^y^rela^t^io^nships;^r^e^cⁱ^pien^{t of}^{a g}^r^an^{t or a con}^t^{ract f}^r^o^m^A^u^th^o^r^ity^{; P}^r^iv^{ate P}^a^y^R^e^l^a^tⁱ^oⁿ^s^hⁱ^p^s^;^vol^unt^arⁱ^l^y^pay^{at th}^{eir ow}ⁿ^priv^{ate ex}^pen^s^e.
^ppro^p^ria^t^{e use o}^f^a^c^t^f^unds^eⁿ^terin^gⁱⁿ^{to an}^ag^reem^en^{t, s}^u^bj^{ect to}^t^h^e^A^ppropri^a^t^e^U^s^{e of}^F^uⁿ^d^s^.^{(p. 28)}

^approv^al^of^th^{e s}^t^{ate ag}^en^cy^{(or in}^th^e^cas^e⁽^a⁾^Iⁿ^Gen^e^r^a^{l. — Su}^b^j^{ect to}^su^b^s^ectioⁿ⁽^b⁾^,^th^is
^o^f^{a g}^r^an^{tee u}ⁿ^d^er^T^{itle VI}^{, su}^b^j^{ect to}^th^e^{act s}^h^{all n}^o^t^{be con}^s^tru^e^{d to prev}^en^{t a recipien}^t
^recom^m^e^ndatⁱ^oⁿ^of^t^h^{e D}ⁱ^rect^{or of}^t^h^e^o^f^a^gr^an^{t or a con}^t^{ract f}^r^om^en^terin^gⁱⁿ^{to an}
^Of^fⁱ^{ce f}^o^{r A}^m^erican^In^dian^{, A}^l^as^k^aⁿ^ag^reem^en^{t —}
^Nativ^{e, an}^d^Nativ^{e Haw}^a^iian^A^gⁱⁿ^g^,^an^d^w^ith^{a p}^r^o^f^itm^akⁱⁿ^g^o^r^g^aⁿⁱ^zatioⁿ^;
^th^{e approv}^{al of}^th^{e A}^s^sⁱ^s^t^an^{t S}^e^c^r^etary⁾^,^und^e^r^w^hⁱ^c^{h fund}^{s p}^r^o^vⁱ^d^e^d^und^e^r^suc^h^gr^aⁿ^t
^wⁱ^t^h^a^p^r^o^fⁱ^t^m^a^kⁱ^{ng o}^r^gaⁿⁱ^z^a^tⁱ^o^{n t}^o^c^a^r^r^y^{or con}^t^ract^are^u^s^{ed to pay}^{part or all of}^{a cos}^t
^o^u^{t th}^{e p}^r^o^v^isioⁿ^s^o^f^th^{is act an}^d^o^f^th^e⁽ⁱⁿ^c^lu^din^g^an^admⁱⁿⁱ^s^t^rativ^e^cos^t^{) in}^cu^{rred by}
^appropri^a^t^e^s^t^at^{e pl}^an^.^s^u^ch^recipien^{t to carry}^ou^{t a}^con^t^{ract or}
^co^m^m^e^r^c^{ial r}^e^latioⁿ^s^hⁱ^p^f^o^r^th^{e b}^eⁿ^e^f^{it o}^f
^{older in}^divⁱ^du^als^{or their f}^a^m^ily^careg^iv^ers^,

CRS-31
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^w^h^eth^e^r^su^ch^r^e^latioⁿ^s^hⁱ^p^{is car}^rⁱ^ed^o^u^{t to}
^im^p^l^em^en^{t a p}^r^o^v^isioⁿ^o^f^th^{is act o}^r^to
^coⁿ^d^u^c^{t activ}^{ities in}^h^e^r^eⁿ^tly^asso^ciated^w^ith
^im^p^l^em^en^tin^g^su^ch^p^r^o^v^isioⁿ^;^o^r
^und^e^r^w^hⁱ^c^{h a}ⁿ^yⁱⁿ^dⁱ^vi^d^u^a^l^,^r^e^ga^r^d^l^e^{ss o}^f^a^g^e
^o^rⁱⁿ^co^m^e⁽ⁱⁿ^c^lu^dⁱⁿ^g^th^{e f}^a^m^ily^car^egⁱ^v^e^r^o^f
^s^u^chⁱⁿ^divⁱ^du^{al), w}^h^o^s^eek^s^to^receiv^e^on^{e or}
^m^o^{re s}^e^rv^ices^pay^s^{, at th}^ei^{r ow}ⁿ^priv^ate
^ex^pen^s^{e, to receiv}^e^s^u^ch^s^e^rv^ices^bas^e^{d on}^th^e
^f^a^{ir m}^a^rk^{et v}^a^lu^{e of}^s^u^ch^s^e^rv^ices^{. (p. 26)}
^{(b) En}^s^u^riⁿ^g^A^ppropri^a^t^e^U^s^{e of}^F^uⁿ^d^s^.^—^Aⁿ
^ag^reem^en^{t des}^c^rib^e^{d u}ⁿ^d^{er s}^u^bs^ection^{(a) m}^a^y
ⁱ^{ki/CRS-RL33660}^no^t^—
^g/w^b^{e m}^a^{de w}ⁱ^t^h^ou^t^t^h^{e pri}^o^{r approv}^al^of^t^h^e
^s^.or^s^t^{ate ag}^en^cy^(or,ⁱⁿ^t^h^{e cas}^{e of}^{a g}^r^an^tee
^le^ak^uⁿ^d^er^T^{itle VI}^,^w^ith^o^u^{t th}^{e p}^r^io^r
^recom^m^eⁿ^d^ation^of^th^{e Director of}^th^{e Of}^fⁱ^ce
^://wiki^f^o^{r A}^m^e^r^ican^In^dian^{, A}^l^as^k^a^Nativ^{e, an}^d
^h^ttp^Nativ^{e Haw}^a^iian^Agⁱⁿ^g^an^d^th^{e p}^r^io^r
^approv^{al of}^th^{e A}^s^sⁱ^s^t^an^{t Secretary}⁾^;
^d^ir^ectly^o^rⁱⁿ^dⁱ^r^ectly^p^r^o^v^id^{e f}^o^r^,^o^r^h^a^v^e^th^e
^ef^f^ect^of^,^p^a^yⁱⁿ^g^,^rei^m^bu^rsⁱⁿ^g^,^{or ot}^h^e^rwⁱ^s^e
^co^m^p^en^satin^g^an^en^tity^uⁿ^d^er^su^ch^ag^r^eem^en^t
ⁱⁿ^an^am^ouⁿ^t^th^{at e}^x^ceeds^th^{e f}^a^{ir m}^a^rk^et
^v^a^l^u^{e of}^t^h^e^goods^{or s}^e^rvⁱ^ces^f^u^rnⁱ^s^h^e^{d by}
^su^ch^en^tity^uⁿ^d^er^su^ch^ag^r^eem^en^t;
^r^es^u^{lt in}^th^{e dis}^p^lacem^en^{t of}^s^e^rv^ices
^oth^e^rw^is^{e av}^{ailable to an}^o^l^{der in}^divⁱ^du^al
^w^ith^th^{e g}^r^eates^{t s}^o^{cial n}^{eed, a}ⁿ^older
ⁱⁿ^divⁱ^du^{al w}^ith^g^r^eates^{t econ}^o^mⁱ^{c n}^{eed, or}^an
^o^l^d^e^rⁱⁿ^dⁱ^vⁱ^d^u^al^w^h^o^{is at r}ⁱ^sk^f^o^rⁱⁿ^stitu^tioⁿ^a^l
^placem^en^{t; or}
ⁱ^{n a}ⁿ^y^o^t^he^r^w^a^y^c^o^m^p^r^o^mⁱ^se^,^und^e^r^mⁱ^ne^,^o^r
^b^eⁱⁿ^coⁿ^s^isten^t^w^ith^th^{e o}^b^j^ectiv^{e o}^f^ser^vⁱⁿ^g
^t^h^{e n}^eeds^of^ol^{der i}ⁿ^di^vⁱ^du^al^s^,^as^det^e^rmⁱⁿ^ed
^by^th^{e A}^s^sⁱ^s^t^an^{t Secretary}^.^{(p. 27)}

CRS-32
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^r^it^io^{n educa}^t^ioⁿ^Se^c^tⁱ^oⁿ^{214 au}^t^h^ori^zes^t^h^e^A^ssi^st^aⁿ^t^T^h^{e b}^{ill w}^o^u^l^d^a^u^th^o^r^{ize th}^{e A}^ssistan^t^S^a^m^e^as^H^.^R^.^{5293, bu}^t^adds^ref^e^reⁿ^{ce t}^o
^Secretary^an^{d th}^{e Secretary}^of^A^g^ricu^ltu^re^Secretary^,ⁱⁿ^con^s^u^ltatioⁿ^w^ith^th^{e Secretary}^of^pr^ovi^dⁱⁿ^gⁱⁿ^f^o^r^m^atioⁿ^oⁿ^o^p^tim^{al n}^u^t^r^iti^oⁿ
^{to prov}^{ide tech}ⁿⁱ^{cal as}^sⁱ^s^t^an^{ce an}^d^A^g^rⁱ^cu^ltu^{re, to con}^d^u^c^{t ou}^treach^an^{d prov}^ideⁱⁿ^tak^e^{. (}^p^{. 2}⁹⁾
^{appropriate m}^a^t^e^{rial to ag}^en^cies^carryⁱⁿ^g^techⁿⁱ^cal^as^sⁱ^s^t^an^{ce t}^o^a^g^eⁿ^cies^an^d
^o^u^tⁿ^u^t^r^itioⁿ^ed^u^catioⁿ^p^r^o^g^r^a^m^sⁱⁿ^o^r^gaⁿⁱ^z^a^tⁱ^o^{ns t}^h^a^t^se^r^v^e^o^l^d^e^rⁱⁿ^dⁱ^vi^d^u^a^l^{s t}^o
^accordan^{ce w}^ith^s^ection^339(2)(J).^{assist th}^emⁱⁿ^car^r^yⁱⁿ^g^o^u^{t in}^teg^r^ated^h^ealth
^prom^otⁱ^oⁿ^an^{d di}^s^eas^{e prev}^en^tⁱ^oⁿ^p^r^og^ram^s
^t^h^at^are^desⁱ^gⁿ^e^{d f}^o^{r ol}^{der i}ⁿ^di^vⁱ^du^al^s^an^{d t}^h^at
ⁱⁿ^clu^d^{e n}^u^t^r^itioⁿ^ed^u^catioⁿ^,^p^h^y^s^{ical activ}^ity^,
^aⁿ^d^o^t^h^e^r^activ^{ities to}^m^o^dⁱ^f^y^b^e^h^a^vⁱ^o^r^an^d^t^o
^im^p^r^o^v^{e h}^ealth^liter^acy⁽ⁱⁿ^c^lu^dⁱⁿ^gⁱⁿ^f^o^r^m^atioⁿ
^oⁿ^o^p^tim^a^l^nutr^itio^{n inta}^ke⁾^thr^o^{ugh e}^d^uc^a^tioⁿ
ⁱ^{ki/CRS-RL33660}^an^{d cou}ⁿ^s^elin^gⁱⁿ^accordan^c^e^w^ith^s^ection
^g/w^{339(2)(J). (p. 27)}
^s^.or
^le^ak^e^nsio^{n co}^unseling^aⁿ^d^S^ectⁱ^oⁿ^{215 au}^t^h^ori^zes^t^h^{e A}^s^sⁱ^s^t^an^t^T^h^{e b}^{ill w}^o^u^l^d^a^d^d^r^e^f^e^r^eⁿ^{ce to}^ol^der^S^a^m^e^as^H^.^R^.^{5293. (p. 30)}
^form^ati^oⁿ^p^r^ogram^s^Secretary^{to in}^clu^d^{e, a}^s^p^a^{rt of}^th^eⁱ^ndi^vi^dual^s^wⁱ^t^h^lⁱ^mⁱ^t^e^{d Engl}ⁱ^s^{h pr}^ofⁱ^cⁱ^e^ncy^{. (p.}
^://wiki^ap^p^licatioⁿ^,^a^p^l^an^to^p^r^o^v^id^{e in}^f^o^r^m^atioⁿ^,²⁸⁾
^h^ttp^couⁿ^s^elin^g^,^ref^e^r^r^a^l^an^{d as}^sⁱ^s^t^an^ce
^r^e^ga^r^dⁱ^{ng p}^e^nsi^o^{n a}ⁿ^d^o^t^he^r^r^e^tⁱ^r^e^m^eⁿ^t
^b^eⁿ^e^f^{its, w}^ith^p^a^r^ticu^l^a^r^em^p^h^{asis o}ⁿ
^ou^treach^{to w}^o^m^eⁿ^,^mⁱⁿ^o^riti^e^s^{, older}
ⁱⁿ^divⁱ^du^als^resⁱ^din^gⁱⁿ^ru^{ral areas}^an^{d low}^-
ⁱⁿ^co^m^e^r^e^tir^ees.
^S^e^c^tⁱ^oⁿ²^{15 requ}ⁱ^r^es^t^h^{e A}^s^sⁱ^s^t^aⁿ^t^T^h^{e b}^{ill w}^o^u^l^d^ad^d^r^e^f^e^r^eⁿ^{ce to}^popul^atⁱ^ons^S^a^m^e^as^H^.^R^.^{5293. (p. 30)}
^Secretary^{to con}^s^ider^{, am}^on^g^th^e^criteriaⁱⁿ^with^limited^En^g^lish^p^r^o^ficien^c^y^{. (p. 28)}
^a^w^a^r^dⁱ^{ng p}^e^nsi^o^{n c}^o^unse^lⁱ^{ng p}^r^o^g^r^a^m^s
^g^r^aⁿ^t^s^{, th}^{e ap}^p^lican^t’^{s ab}^ility^to^p^e^r^f^o^r^m
^ef^f^ectiv^{e ou}^treach^{to af}^f^{ected popu}^lation^s^,
^partⁱ^c^u^l^arl^y^popu^l^a^tⁱ^oⁿ^s^t^h^at^areⁱ^d^en^tⁱ^fⁱ^e^d
ⁱⁿⁿ^{eed of}^s^p^{ecial ou}^treach^.
^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^ad^d^r^e^f^e^r^eⁿ^c^e^t^oⁱ^ndi^vi^dual^s
^with^limited^En^g^lish^p^r^o^ficien^c^y^to^t^h^e
^con^t^en^{t of}^th^{e p}^eⁿ^s^ion^as^sⁱ^s^t^an^{ce n}^a^tion^a^l
^telep^h^oⁿ^{e h}^o^tlin^{e. (}^p^{. 3}⁰⁾

CRS-33
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^u^th^ori^z^ati^oⁿ^of^S^ectⁱ^oⁿ^{216 au}^t^h^ori^zes^t^h^{e appropri}^a^tⁱ^oⁿ^of^T^h^{e b}^{ill w}^o^u^l^d^au^th^o^r^{ize su}^ch^su^m^s^{as m}^a^y^b^e^S^a^m^e^as^H^.^R^.^{5293. (p. 30)}
^{for T}ⁱ^{tle I}^I^s^u^ch^s^u^m^s^as^m^a^y^b^e^neces^s^a^ry^f^o^{r A}^o^Aⁿ^eces^s^a^ry^f^o^{r F}^Y^2006-^F^Y^{2011. (p. 29)}
^vi^ti^es^admⁱⁿⁱ^s^t^ratⁱ^oⁿ^,^s^a^laries^an^{d ex}^pen^s^es^{, th}^e
^Nation^a^{l Elder L}^o^{cator Serv}^{ice, an}^d
^P^e^nsi^o^{n Co}^unse^lⁱ^{ng a}ⁿ^d^Iⁿ^fo^r^m^a^tⁱ^oⁿ
^Prog^ram^s^f^o^{r F}^Y^2001-^F^Y^2005.
^{RANTS F}^O^{R STATE AND CO}^M^M^{UNITY P}^R^O^G^RAM^{S O}^N^AG^ING
^u^r^p^o^s^e^o^f^Tit^l^e^III:^S^ectⁱ^oⁿ^{301 of}^t^h^e^a^c^t^s^t^at^es^t^h^at^t^h^e^T^h^{e b}^{ill w}^o^u^l^d^ad^d^to^th^e^en^{tities, o}^r^g^aⁿⁱ^zatioⁿ^s^S^a^m^e^as^H^.^R^.^{5293. (p. 31)}
ⁱⁿ^a^ti^on^wⁱ^th^vol^uⁿ^t^eer^p^u^r^p^o^s^{e o}^f^T^{itle I}^I^I^{is to}^en^co^u^r^ag^{e an}^d^wⁱ^t^h^e^x^p^e^rⁱ^eⁿ^c^eⁱⁿ^p^r^o^vⁱ^dⁱ^{ng se}ⁿⁱ^o^r^vo^l^unt^e^e^r
^ervices^as^sⁱ^s^t^s^t^{ate an}^{d area ag}^en^cies^on^a^gⁱⁿ^g^to^s^e^rvⁱ^ces^{, s}^u^ch^as^f^e^deral^v^o^l^u^nt^e^e^{r prog}^ram^s
ⁱ^{ki/CRS-RL33660}^dev^e^{lop g}^r^e^a^t^e^r^capacity^an^{d f}^o^s^t^{er th}^e^admⁱⁿⁱ^s^t^{ered by}^th^{e C}^o^rporation^f^o^{r Na}^tion^a^l
^g/w^dev^e^l^opm^en^t^an^{d i}^m^p^l^e^m^eⁿ^t^a^tⁱ^o^{n of}^an^{d C}^o^m^m^uⁿⁱ^t^y^S^e^rvⁱ^ces^desⁱ^gⁿ^e^{d t}^o^provⁱ^d^e
^s^.or^com^p^reh^eⁿ^sⁱ^v^{e an}^d^coordiⁿ^a^t^e^{d s}^y^s^t^em^s^t^o^trainⁱⁿ^g^,^placem^en^{t an}^d^s^tipen^ds^f^o^{r v}^o^luⁿ^t^eers
^le^ak^s^e^rv^{e ol}^{der i}ⁿ^di^vⁱ^du^al^s^by^en^t^e^ri^{ng i}ⁿ^t^oⁱⁿ^co^m^m^uⁿ^ity^ser^v^{ice settin}^g^s^{. (}^p^{. 2}⁹⁾
^cooperatⁱ^v^{e arran}^g^e^m^eⁿ^t^s^wⁱ^t^h^{a n}^u^m^ber
^://wiki^of^en^tities^{, in}^clu^dⁱⁿ^g^o^t^h^e^{r s}^t^{ate ag}^en^cies^,
^h^ttp^Iⁿ^dⁱ^an^tr^ib^{es, tr}^ib^{al o}^r^g^aⁿⁱ^zatioⁿ^s^,^aⁿ^d^provⁱ^d^ers^,^am^on^g^ot^h^e^rs^.
^u^th^ori^z^ati^oⁿ^of^T^h^{e law}^au^th^orizes^s^u^ch^s^u^m^s^as^m^a^y^be^T^h^{e b}^{ill w}^o^u^l^d^au^th^o^r^{ize su}^ch^su^m^s^as^m^a^y^b^e^S^a^m^e^as^H^.^R^.^{5293. (p. 32)}
^ppro^p^ria^t^io^ns:^suppo^rt^iv^e,ⁿ^eces^s^a^ry^f^o^{r each}^of^F^Y^2001-^F^Y^2005.ⁿ^eces^s^a^ry^f^o^{r each}^of^F^Y^2007-^F^Y^{2011. (p.}³⁰⁾
^ritⁱ^oⁿ^{, a}^{nd disea}^s^e
^entⁱ^oⁿ^a^{nd hea}^l^t^h
^{otion s}^ervices
^u^th^ori^z^ati^oⁿ^of^T^h^{e law}^a^u^th^orizes^{$125 m}^illion^f^o^r^T^h^{e b}^{ill w}^o^u^l^d^au^th^o^r^{ize su}^ch^su^m^s^{as m}^a^y^b^e^T^h^e^b^ill^w^o^u^l^{d a}^u^t^h^ori^z^e^{$170 m}^illioⁿⁱⁿ
^p^r^op^ri^ati^oⁿ^s^{: N}^a^ti^on^al^F^Y^2001,ⁱ^f^t^h^e^a^ggr^e^g^a^t^e^am^ouⁿ^tⁿ^eces^s^a^ry^f^o^{r each}^of^F^Y^2007-^F^Y^2011.^{FY2008; $180 m}^illionⁱⁿ^{FY2009; $190}
^a^m^ily^Ca^reg^iv^{er Suppo}^rt^appropri^a^t^e^d^f^o^{r s}^u^pportⁱ^v^{e s}^e^rvⁱ^ces^,^{(p. 30)}^m^illionⁱⁿ^{FY2010; an}^{d $200 m}^illionⁱⁿ
^coⁿ^g^r^eg^{ate n}^u^t^r^itioⁿ^ser^v^{ices, h}^o^m^e^-^F^Y^{2011. (p. 32)}

^deliv^{ered n}^u^t^ritⁱ^on^s^e^rv^ices^{, an}^{d dis}^eas^e
^p^r^ev^en^tion^an^{d h}^ealth^prom^otion^ex^ceed^s
^t^h^{e F}^Y^{2000 am}^o^unt^{. It}^al^s^o^au^t^h^ori^zes
^s^u^ch^s^u^m^s^as^m^a^y^{be n}^eces^s^a^r^y^f^o^r
^F^Y^2002-^F^Y^2005.

CRS-34
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^T^h^{e law}^requ^ires^th^{at of}^f^uⁿ^d^s^au^th^orized^N^o^provⁱ^sⁱ^oⁿ^.^N^o^provⁱ^sⁱ^oⁿ^.
^f^o^r^th^{e n}^a^tioⁿ^a^{l car}^eg^iv^er^p^r^o^g^r^a^m^,⁴^%^b^e
^r^e^se^r^v^e^d^fo^r^na^tⁱ^o^na^lⁱⁿⁿ^ova^tⁱ^ve
^approach^es^{to careg}^ivⁱⁿ^g^,^an^{d 1% be}
^r^e^se^r^v^e^d^f^o^r^a^c^tⁱ^vⁱ^ties^o^fⁿ^a^tioⁿ^a^l
^sⁱ^gⁿⁱ^fⁱ^can^{ce to prom}^{ote qu}^alⁱ^t^y^an^d
ⁱ^m^prov^em^en^tⁱⁿ^caregⁱ^v^{er s}^u^pport^.
^{rea agen}^c^{y ad}^mⁱⁿⁱ^s^t^rati^ve^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^allo^w^an^ad^d^itioⁿ^a^{l 1}^%^o^f^th^e
^o^{be use f}^o^{r needs}^s^t^ate’^s^allotm^en^{t to be u}^s^{ed f}^o^{r a}^r^e^a^p^l^an
^s^e^s^s^m^en^{t of grow}ⁱⁿ^{g el}^d^e^r^ad^mⁱⁿⁱ^str^a^tioⁿ^to^car^r^y^o^u^{t activ}^{ities r}^e^lated
^pula^t^ioⁿ^to^asse^s^s^m^eⁿ^{t o}^f^th^{e n}^eed^{s o}^f^th^{e g}^r^o^wⁱⁿ^g
ⁱ^{ki/CRS-RL33660}^elderly^popu^lation^{(added by}^t^h^e^{bill). T}^h^is
^g/w^cou^l^{d occu}^{r on}^l^y^w^h^en^appropri^a^tⁱ^oⁿ^s^f^o^r
^s^.or^T^{itle III s}^u^pportiv^{e, n}^u^t^rition^,^an^{d dis}^e^a^s^e
^le^ak^prev^en^tion^an^{d h}^ealth^prom^otion^s^e^rvi^c^es
^ex^{ceed 110%}^of^th^{e F}^Y^{2006 appropriation}^s
^://wiki^lev^e^{l. (}^p^{. 3}³⁾
^h^ttp^t^{ate p}^l^an^s^on^agiⁿ^g^{: focu}^s^on^Sectioⁿ³⁰⁵⁽^a⁾^o^f^th^{e law}^r^e^q^u^ir^{es state}^Th^e^b^ill^w^o^u^l^d^a^d^d^r^e^f^e^r^eⁿ^c^e^t^o^ol^der^S^a^m^e^as^H^.^R^.^{5293. (p. 33-}³⁴⁾
^l^{der indiv}ⁱ^dua^{ls w}ⁱ^t^h^lim^it^ed^ageⁿ^cies^{to div}ⁱ^{de th}^{e s}^t^{ate in}^{to plan}ⁿⁱⁿ^gⁱ^ndi^vi^dual^s^with^limited^En^g^lish^p^r^o^ficien^c^y^.
^{lish pro}^f^iciency^an^{d s}^e^rv^{ice areas}^th^{at con}^sⁱ^d^e^r^am^on^g^{(p. 31)}
^ot^h^e^{r t}^hⁱⁿ^g^s^{, t}^h^{e di}^st^ri^bu^tⁱ^oⁿ^of^ol^der
^p^e^o^p^l^{e, w}^ith^p^a^r^ticu^l^ar^atten^tⁱ^oⁿ^to^lo^w
ⁱⁿ^com^e^mⁱⁿ^o^ri^t^yⁱⁿ^di^vⁱ^du^al^s^an^{d ol}^der
ⁱⁿ^divⁱ^du^als^resⁱ^din^gⁱⁿ^ru^{ral areas}^an^d^th^at
^pref^eren^{ce in}^prov^idin^g^s^e^rv^ices^wⁱ^l^l^be
^gi^ve^{n t}^o^t^h^e^s^e^gr^o^u^p^s^.
^{care s}^y^s^t^em^s^No^p^r^o^v^isioⁿ^.^T^h^e^b^ill^w^o^u^l^d^r^e^q^u^ir^{e th}^{at th}^{e state ag}^en^cy^oⁿ^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293, bu}^t^wⁱ^t^h^slⁱ^g^h^t^l^y
^agⁱⁿ^g^pr^o^m^o^t^e^th^{e dev}^e^lopm^en^{t an}^d^dif^f^e^ren^t^w^o^rdin^gⁱⁿ^s^o^m^e^places^{. (p. 34)}

ⁱ^m^p^l^e^m^en^tation^of^{a co}^m^p^r^e^he^nsⁱ^v^e^,
^co^o^r^dⁱⁿ^a^ted^sy^stemⁱⁿ^th^{e state f}^o^r^p^r^o^v^idⁱⁿ^g
^lon^g^-^term^{care in}^h^o^m^e^an^d^c^o^m^m^uⁿ^ity^-^b^as^ed
^settin^g^s^{, in}^{a m}^aⁿⁿ^e^r^th^{at is r}^e^sp^oⁿ^siv^e^t^o^th^e
ⁿ^eeds^an^{d pref}^eren^ces^of^{older in}^divⁱ^du^als^an^d
^th^eir^f^a^m^{ilies b}^y^:

CRS-35
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^c^o^llab^o^r^atin^g^,^co^o^r^dⁱⁿ^a^tin^g^,^an^d^coⁿ^s^u^ltin^g
^w^ith^oth^e^{r ag}^en^cies^r^e^s^p^oⁿ^sⁱ^{ble f}^o^r
^fo^r^m^ul^a^tⁱ^ng,ⁱ^m^p^l^e^m^en^tⁱⁿ^g^,^an^d^a^d^mⁱⁿⁱ^st^e^rⁱⁿ^g
^prog^ram^s^{, ben}^e^fⁱ^t^s^{, an}^{d s}^e^r^vⁱ^ces^reg^a^rdiⁿ^g
^lon^g^-^term^care;
^p^ar^ticip^atin^gⁱⁿ^state^g^o^v^erⁿ^m^en^{t activ}^ities
^r^e^ga^r^dⁱ^{ng l}^o^ng-t^e^r^m^c^a^r^e^;
^c^on^du^ctin^g^an^aly^s^is^an^{d m}^a^kⁱⁿ^g
^r^eco^m^m^eⁿ^d^atioⁿ^s^w^ith^r^e^sp^{ect to}^str^a^te^gⁱ^es
^f^o^r^m^o^dⁱ^f^yⁱⁿ^g^th^e^state’^{s lo}ⁿ^g^-^ter^m^car^e
^s^y^s^t^emⁱⁿ^{order t}^o^res^pon^{d t}^o^t^h^{e n}^eeds^an^d
^pref^er^eⁿ^ces^ofⁱⁿ^divⁱ^du^als^an^{d f}^a^m^ily
ⁱ^{ki/CRS-RL33660}^car^eg^iv^er^{s; f}^{acilitate p}^r^o^v^isioⁿ^o^f^h^o^m^e^aⁿ^d
^g/w^com^m^uⁿ^ity^-^b^as^{ed care; targ}^{et s}^e^rvⁱ^c^e^s^to^Ref^e^r^s^t^o^tar^g^etin^g^ser^v^ices^to^ol^der
^s^.or^th^o^s^{e at risk}^o^fⁱⁿ^stitu^tioⁿ^a^{l p}^l^acem^en^{t; an}^dⁱⁿ^dⁱ^vⁱ^d^u^{als at risk}^o^fⁱⁿ^stitu^tioⁿ^a^{l p}^l^acem^en^t.
^le^ak^im^plem^en^{t ev}^iden^ce-^bas^e^{d prog}^ram^s^{to as}^sⁱ^s^t
^{older in}^divⁱ^du^als^an^{d t}^h^{eir f}^a^m^ily^careg^iv^ers^{No ref}^e^ren^{ce to ev}^iden^ce-^bas^e^{d prog}^ram^s^.
^://wikiⁱⁿ^l^e^a^rⁿⁱ^{ng a}^b^o^u^t^aⁿ^d^m^a^ki^{ng b}^e^ha^vi^o^r^a^l
^h^ttp^ch^an^g^e^s^{to redu}^{ce th}^{e ris}^k^ofⁱⁿ^j^u^r^y^{, dis}^eas^e,
^an^d^dⁱ^sab^ility^{; an}^d
^p^rovⁱ^diⁿ^g^f^o^{r di}^s^t^ri^bu^tⁱ^oⁿ^ofⁱⁿ^fo^rm^atⁱ^oⁿ^on
^th^{e n}^{eed to plan}ⁱⁿ^adv^aⁿ^ce^f^o^r^lon^g^-^term^care
^an^{d o}ⁿ^th^{e ran}^g^e^of^av^{ailable pu}^{blic an}^d
^priv^{ate lon}^g^-^term^{care prog}^ram^s^,^option^s^,^an^d
^res^o^u^r^ces^{. (pp. 31-}³³⁾
^u^ert^o^Rico^{, sing}^{le pla}^nning^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^T^h^e^b^ill^w^o^u^l^d^a^l^lo^w^th^{e Co}^m^m^oⁿ^w^ealth^o^f
^{ervice area}^P^u^e^r^t^o^Ri^c^o^t^o^d^e^si^gna^t^e^a^si^ngl^e^p^l^aⁿⁿⁱ^ng
^an^{d s}^e^rv^{ice are}^a^,^w^ith^th^{e approv}^{al of}^th^e
^A^s^sⁱ^s^t^an^{t Secretary}^.^{(p. 36)}
^{A PL}^{ANS ON AG}^ING
^{rea p}^l^an^s^on^agiⁿ^g^{: focu}^s^on^Se^c^tⁱ^oⁿ^{306(a)(1) requ}ⁱ^r^es^{area pl}^an^s^oⁿ^T^h^{e b}^{ill w}^o^u^l^d^ad^d^r^e^f^e^r^eⁿ^{ce to}^ol^der^S^a^m^e^as^H^.^R^.^{5293. (p. 37)}

^l^{der indiv}ⁱ^dua^{ls w}ⁱ^t^h^lim^it^ed^agⁱⁿ^g^{to dev}^e^{lop a com}^p^reh^eⁿ^s^iv^{e an}^dⁱ^ndi^vi^dual^s^wⁱ^t^h^lⁱ^mⁱ^t^e^{d Engl}ⁱ^s^{h pr}^ofⁱ^cⁱ^e^ncy.
^{lish pro}^f^iciency^coordiⁿ^a^t^e^{d s}^y^s^t^e^m^f^o^{r s}^u^pportⁱ^v^e,^{(p. 33)}
ⁿ^u^t^r^itioⁿ^,^an^d^m^u^lti-^p^u^r^p^o^s^{e sen}ⁱ^o^r^cen^ter^s

CRS-36
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^takⁱⁿ^gⁱⁿ^to^coⁿ^s^id^er^atioⁿ^th^{e n}^u^m^b^e^r^o^f
^o^l^d^e^rⁱⁿ^dⁱ^vⁱ^d^u^a^{ls w}^ith^lo^wⁱⁿ^co^m^e^{, th}^e
^nu^m^b^{er of}^ol^{der i}ⁿ^di^vⁱ^du^al^s^wⁱ^t^h^g^r^eat^es^t
^e^c^oⁿ^o^mⁱ^{c n}^{eed, an}^{d th}^{e n}^u^m^{ber w}^ith
^g^r^eates^{t s}^o^{cial n}^{eed (w}^ith^partⁱ^c^ular
^att^eⁿ^tioⁿ^to^lo^w^-ⁱⁿ^co^m^e^mⁱⁿ^o^r^ity^p^e^o^p^l^e
^an^{d ol}^{der i}ⁿ^di^vⁱ^du^al^{s res}ⁱ^diⁿ^gⁱⁿ^ru^ral
^areas^).
^{rea p}^l^an^s^on^agiⁿ^g^{: focu}^s^on^Se^c^tⁱ^oⁿ^{306(a)(1) requ}ⁱ^r^es^{area pl}^an^s^on^T^h^{e bi}^{ll w}^o^u^l^{d add ref}^e^ren^{ce to th}^e^num^ber^of^S^a^m^e^as^H^.^R^.^{5293. (p. 37)}
^ers^on^s^{at ri}^s^k^{of i}ⁿ^s^tⁱ^t^u^tⁱ^oⁿ^a^l^agⁱⁿ^g^{to dev}^e^{lop a com}^p^reh^eⁿ^s^iv^{e an}^d^older^individual^s^{at r}ⁱ^s^k^forⁱⁿ^s^titutional
^ent^coordiⁿ^a^t^e^{d s}^y^s^t^em^f^o^r^s^u^p^p^o^rtⁱ^v^e,^placement^resⁱ^din^gⁱⁿ^th^{e area. (p. 34)}
ⁱ^{ki/CRS-RL33660}ⁿ^u^t^r^itioⁿ^,^an^d^m^u^lti-^p^u^r^p^o^s^{e sen}ⁱ^o^r^cen^ter^s
^g/w^takⁱⁿ^gⁱⁿ^to^coⁿ^s^id^er^atioⁿ^th^{e n}^u^m^b^e^r^o^f
^s^.or^o^l^d^e^rⁱⁿ^dⁱ^vⁱ^d^u^{als w}^ith^lo^w^-ⁱⁿ^co^m^e^{, th}^e
^le^akⁿ^u^m^{ber of}^ol^{der i}ⁿ^di^vⁱ^du^a^l^s^wⁱ^t^h^g^r^eat^es^t
^econ^o^mⁱ^{c n}^{eed, an}^{d th}^{e n}^u^m^b^{er w}^ith
^://wiki^g^r^eates^{t s}^o^{cial n}^{eed (w}^ith^p^a^r^t^icu^l^ar
^h^ttp^atten^tioⁿ^to^lo^wⁱⁿ^co^m^e^mⁱⁿ^o^r^ity^p^e^o^p^l^e
^an^{d ol}^{der i}ⁿ^di^vⁱ^du^al^s^re^si^diⁿ^gⁱⁿ^ru^ral
^areas^).
^{rea p}^l^an^s^on^agiⁿ^g^{: m}^eⁿ^t^al^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^e^bil^l^w^o^u^l^d^r^e^q^u^ire^area^ag^en^cies^to
^ervices^prov^{ide as}^s^u^ran^ces^th^{at an}^adequ^a^te
^proportion^of^T^{itle III f}^uⁿ^d^s^be^s^p^eⁿ^{t on}
^s^e^r^vⁱ^ces^as^s^o^{ciated w}^ith^acces^s^s^e^rv^ices^,
ⁱⁿ^c^l^udⁱ^{ng he}^a^l^t^h^se^r^vⁱ^c^e^s⁽ⁱ^nc^l^u^dⁱ^{ng m}^e^nt^a^l
^h^ealth⁾^.⁽^p^{. 3}⁷⁾
^{rea p}^l^an^s^on^agiⁿ^g^:^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^Th^e^b^ill^w^o^u^l^dⁱⁿ^clu^d^e^a^sⁱⁿ^f^o^r^m^a^tⁱ^oⁿ^aⁿ^d
^form^ati^oⁿ^an^d^as^sⁱ^s^t^an^ce^assistan^ce,^s^e^r^v^{ices o}ⁿ^th^{e av}^ailab^ility^o^f
^s^u^pportⁱ^v^{e s}^e^rvⁱ^ces^uⁿ^d^{er part}^{B of}^t^h^{e act}^,
^an^{d h}^o^w^{to receiv}^e^b^e^nef^its^uⁿ^d^{er an}^d
^partⁱ^cⁱ^p^at^{e i}ⁿ^pu^blⁱ^c^l^y^s^u^pport^e^{d prog}^ram^s
^f^o^r^w^h^ich^th^{e co}ⁿ^s^u^m^er^m^a^y^b^e^elig^ib^le.
^{(p. 38)}

CRS-37
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^{rea p}^l^an^s^on^agiⁿ^g^{: s}^p^eci^fi^c^Sectioⁿ³^{06(a)(4) requ}^ires^{area plan}^s^on^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e ar}^e^a^p^l^an^{s to}^set^Sⁱ^mⁱ^l^a^r^t^o^H^.^R^.⁵^293,^b^u^t^w^o^r^dⁱⁿ^gⁱ^s
^{for s}^{erving older}^agⁱⁿ^g^to^assu^r^e^th^{at th}^ey^w^{ill set sp}^ecifⁱ^c^obj^ectiv^es^,^coⁿ^s^isten^t^with^st^a^t^e^p^o^licy,^fo^r^di^f^f^e^ren^t^{. (p. 38)}
ⁱ^dua^ls^obj^ectⁱ^v^es^fo^{r prov}ⁱ^dⁱⁿ^g^s^e^rvⁱ^ces^t^o^ol^der^p^r^o^v^idⁱⁿ^g^ser^v^{ices to}ⁿ^o^{t o}ⁿ^ly^th^o^s^e^w^ith^th^e
ⁱⁿ^divⁱ^du^als^wⁱ^t^h^g^r^eates^{t econ}^o^mⁱ^{c an}^d^g^r^eates^{t econ}^o^mⁱ^{c an}^{d s}^o^cial^ne^{ed, bu}^{t als}^o^to
^s^o^{cial n}^{eed, an}^{d in}^clu^d^e^s^p^ecifⁱ^c^obj^ectiv^esⁱⁿ^dⁱ^vⁱ^d^u^{als at risk}^o^fⁱⁿ^stitu^tioⁿ^a^{l p}^l^acem^en^t,
^f^o^r^p^r^o^v^idⁱⁿ^g^ser^v^{ices to}^lo^w^-ⁱⁿ^co^m^e^an^{d i}ⁿ^cl^u^d^{e obj}^ectⁱ^v^es^an^d^propos^ed^m^e^t^h^ods^t^o
^mⁱⁿ^o^ri^t^yⁱ^ndi^vⁱ^du^al^s^an^{d ol}^{der i}ⁿ^di^vⁱ^du^al^s^s^e^rv^{e th}^es^{e in}^divⁱ^du^als^.^{(p. 34)}
^resⁱ^din^gⁱⁿ^ru^{ral areas}^.
^{rea p}^l^an^s^on^agiⁿ^g^:^S^ectⁱ^oⁿ^306(a)(4)(A⁾⁽ⁱⁱ⁾^requⁱ^r^es^area^T^h^e^b^{ill w}^o^u^l^d^ad^d^r^e^f^e^r^eⁿ^{ce to}^ol^der^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293. (p. 38)}
^ent^ag^en^cies^on^ag^ing^{to in}^clu^d^{e in}^prov^iderⁱ^ndi^vi^dual^s^wⁱ^t^h^lⁱ^mⁱ^t^e^{d Engl}ⁱ^s^{h pr}^ofⁱ^cⁱ^e^ncy^.
ⁱⁿ^g^s^erviⁿ^{g ol}^d^e^r^ag^reem^en^t^s^th^ey^m^a^k^e^w^ith^s^e^rv^ice^{(p. 35)}
ⁱ^{ki/CRS-RL33660}ⁱ^dua^ls^provⁱ^d^e^r^s^,^{a requ}ⁱ^r^em^en^t^t^h^at^provⁱ^d^ers
^g/w^s^p^ecif^y^h^o^w^th^eyⁱⁿ^ten^d^to^s^e^rv^{e th}^{e n}^eeds
^s^.or^o^f^lo^w^-ⁱⁿ^co^m^e^mⁱⁿ^o^r^ityⁱⁿ^dⁱ^vⁱ^d^u^als
^le^ak⁽^a^m^o^{ng o}^t^he^r^gr^o^u^p^s⁾^.
^://wiki^{rea p}^l^an^s^on^agiⁿ^g^:^S^ectⁱ^oⁿ^{306(a)(4)(B) requ}ⁱ^r^es^t^h^at^t^h^{e area}^T^h^{e b}^{ill w}^o^u^l^d^also^req^u^ire^o^u^t^r^each^to^o^l^d^e^r^Sⁱ^mⁱ^l^a^r^t^o^H^.^R^.^{5293, bu}^t^al^s^o^ch^an^g^e^s
^h^ttp^ag^en^cy^oⁿ^agⁱⁿ^g^w^{ill u}^s^{e o}^u^treach^ef^f^o^rts^th^{at w}^illⁱ^d^eⁿ^tif^y^elig^ib^{le in}^dⁱ^vⁱ^d^u^{als f}^o^rⁱⁿ^di^vⁱ^du^al^s^{at r}ⁱ^s^k^for^ins^{titutional placement.}^{(p. 35)}^ref^e^ren^{ce t}^oⁱ^ndi^vi^dual^s^wⁱ^t^h^lⁱ^mⁱ^t^e^d^Englⁱ^s^h^p^r^o^ficien^c^y^{, in}^stead^o^f^lim^ited^En^g^lish^-
^as^sⁱ^s^t^an^ce,^w^ith^s^p^{ecial em}^ph^as^is^on^th^os^e^sp^eakⁱⁿ^g^ab^ility^{. (}^p^{. 3}⁹⁾
^resⁱ^dⁱ^ngⁱⁿ^ru^{ral areas}^{, th}^os^{e w}^ith^g^r^eates^t
^econ^o^mⁱ^{c an}^{d s}^o^{cial n}^{eed, th}^os^{e w}ⁱ^t^h
^sev^e^r^e^dⁱ^sab^{ilities, th}^o^s^{e w}^ith^limⁱ^t^ed
^En^g^lⁱ^s^h^-^sp^eakⁱⁿ^g^ab^ility^{, an}^d^th^o^s^{e w}^ith
^A^l^zh^eim^e^r’^s^dis^eas^e^o^r^r^e^l^a^{ted n}^e^u^r^olog^ical
^aⁿ^d^o^r^gaⁿⁱ^c^b^r^aⁱ^{n d}^y^sfunc^tⁱ^o^n.
^S^ectⁱ^oⁿ^{306(a)(5) requ}ⁱ^r^es^{area ag}^en^ci^es^t^o^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e ar}^{ea ag}^en^{cies to}^gⁱ^v^e^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293. (p. 39)}

^a^ssu^r^e^th^{at th}^ey^w^{ill co}^o^r^dⁱⁿ^a^{te p}^l^anⁿⁱⁿ^g^,^p^a^r^ticu^l^ar^atten^tioⁿ^toⁱ^ndi^vi^dual^s^at^rⁱ^s^k^f^o^r
^iden^ti^fⁱ^c^a^tⁱ^oⁿ^,ⁿ^e^e^d^as^s^e^s^s^m^en^{t, an}^d^ins^{titutional placement.}^{(p. 36)}
^ser^v^{ice p}^r^o^v^isioⁿ^w^ith^p^a^r^ticu^l^ar^atten^tioⁿ
^toⁱⁿ^dⁱ^vⁱ^d^u^{als w}^ith^sev^e^r^e^dⁱ^sab^ility^{, an}^d
^wⁱ^t^h^ag^en^ci^es^t^h^at^dev^e^l^{op or prov}ⁱ^d^e
^ser^v^{ices to}ⁱⁿ^dⁱ^vⁱ^d^u^{als w}^ith^dⁱ^sab^ilities.

CRS-38
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^{rea p}^l^an^s^on^agiⁿ^g^{: u}^s^{e of}^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e ar}^{ea ag}^eⁿ^cⁱ^e^s^t^o^m^a^k^e^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293. (p. 40)}
^use^o^f^t^r^aⁱ^ne^d^vo^l^unt^e^e^r^{s i}ⁿ^p^r^o^vⁱ^dⁱ^{ng d}ⁱ^r^e^c^t
^s^e^rvⁱ^ces^t^o^el^derl^y^an^{d di}^s^a^bl^{ed i}ⁿ^di^vⁱ^du^al^s
ⁿ^eedin^g^{care, an}^{d, if}^pos^sⁱ^{ble, w}^o^rkⁱⁿ
^coordiⁿ^a^tⁱ^oⁿ^wⁱ^t^h^v^o^l^uⁿ^t^{eer prog}^ram^s
⁽ⁱⁿ^c^l^u^diⁿ^g^prog^ram^s^admⁱⁿⁱ^s^t^{ered by}^t^h^e
^Co^r^p^o^r^atioⁿ^f^o^r^Natioⁿ^a^{l Ser}^v^ice)^d^e^sigⁿ^e^d^to
^p^o^vⁱ^d^e^t^r^aⁱⁿⁱⁿ^g^,^p^l^acem^eⁿ^t^aⁿ^d^s^tⁱ^p^eⁿ^d^s^f^o^r
^v^o^luⁿ^t^eer^{s in}^co^m^m^uⁿ^ity^ser^v^{ice settin}^g^s^.
^{(p. 36)}
^{rea p}^l^an^s^on^agiⁿ^g^:^S^ectⁱ^oⁿ^{306(a)(6) requ}ⁱ^r^es^{area ag}^en^ci^es^on^T^h^e^b^{ill w}^o^u^l^d^ad^d^to^th^{e m}^e^m^b^er^sh^ip^,^fa^mily^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293. (p. 40)}
ⁱ^{ki/CRS-RL33660}^o^{ry council m}^e^m^b^ers^hip^agⁱⁿ^g^{to es}^tablis^h^an^advⁱ^s^o^ry^couⁿ^c^{il an}^d^car^e^gi^ver^s^of^ol^derⁱ^ndi^vⁱ^dual^s^,^s^e^r^vⁱ^c^e
^g/w^s^p^ecifⁱ^{ed cou}ⁿ^c^{il m}^e^m^b^ers^h^ip.^pr^ovi^d^er^s^,^{and t}^h^{e bus}ⁱⁿ^es^s^com^m^uni^t^y^.^{(p. 36)}
^s^.or
^le^ak^{rea p}^l^an^s^on^agiⁿ^g^:^S^ectⁱ^oⁿ^{306(a) requ}ⁱ^r^es^{area ag}^en^ci^es^t^o^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e ar}^{ea ag}^en^{cies o}ⁿ^agⁱⁿ^g^,^T^h^{e b}^{ill w}^o^u^l^d^ad^d^r^e^f^e^r^eⁿ^ce^to^m^eⁿ^t^{al h}^ealth
^sing^{public a}^w^a^reness^coordⁱ^na^t^e^m^eⁿ^t^{al h}^ealth^s^e^rv^icesⁱⁿ^co^o^r^dⁱⁿ^a^tioⁿ^w^ith^th^{e state a}^g^eⁿ^c^y^oⁿ^agⁱⁿ^g^s^c^reenⁱⁿ^g^.^{It does}ⁿ^o^{t in}^clu^d^{e th}^{e prov}ⁱ^s^ion
^://wiki^eⁿ^t^al^h^e^al^th^prov^{ided w}^ith^f^uⁿ^d^s^ex^pen^d^{ed by}^area^an^{d th}^{e s}^t^{ate ag}^en^cy^res^pon^sⁱ^bl^e^f^o^{r m}^eⁿ^t^al^re^gardin^g^pu^{blic aw}^aren^es^s^of^m^eⁿ^t^{al h}^ealth
^h^ttp^ag^en^cies^w^ith^m^e^{ntal h}^ealth^s^e^rv^ices^prov^{ided by}^com^m^uⁿ^ity^h^ealth^cen^ters^an^d^h^ealth^s^e^rv^ices^{, to in}^creas^{e pu}^{blic aw}^aren^es^s^of^m^eⁿ^t^{al h}^ealth^dis^o^rders^,^{to rem}^o^v^e^barriers^to^dⁱ^so^r^d^e^r^{s o}^r^r^e^m^o^vi^{ng b}^a^r^rⁱ^e^r^s^t^o^dⁱ^a^gno^si^s^an^{d treatm}^eⁿ^t^{. (p. 41)}
^by^oth^e^{r pu}^{blic ag}^en^cies^an^{d n}^oⁿ^p^rofⁱ^t^di^agⁿ^o^sⁱ^s^an^{d t}^r^eat^m^eⁿ^t^{, an}^{d t}^o^coordiⁿ^a^t^e
^priv^{ate org}^aⁿⁱ^zation^s^.^m^e^nt^a^l^he^a^l^t^h^se^r^vⁱ^c^e^s⁽ⁱ^nc^l^u^dⁱ^{ng m}^e^nt^a^l^he^a^l^t^h
^s^c^reenⁱⁿ^g^s^{) w}^ith^f^uⁿ^d^s^ex^pen^d^ed^b^y^th^{e area}
^ag^en^cy^w^ith^m^eⁿ^t^{al h}^ealth^s^e^rv^ices^prov^{ided by}
^com^m^uⁿ^ity^h^ealth^cen^ters^an^d^oth^e^{r ag}^en^cies^.
^{(p. 37)}
^{rea p}^l^an^s^on^agiⁿ^g^:^S^ectⁱ^oⁿ^{306(a)(7) requ}ⁱ^r^e^s^t^h^at^area^T^h^e^b^{ill w}^o^u^l^d^r^e^w^r^{ite th}^{e sectio}ⁿ^{as f}^o^llo^w^s^.^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293, bu}^t^wⁱ^t^h^s^lⁱ^g^h^t^l^y
^p^rehensⁱ^{ve coordinated}^ag^en^cⁱ^{es o}ⁿ^agⁱⁿ^g^f^{acilitate th}^e^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^uⁱ^r^e^th^{at ar}^{ea ag}^en^cies^dif^f^e^ren^t^w^o^rdin^gⁱⁿ^s^o^m^e^places^{. (pp. 41-}⁴³⁾

^st^e^m^f^o^r^ho^m^e^aⁿ^d^c^o^o^r^dⁱ^na^tⁱ^o^{n o}^f^c^o^m^m^uni^t^y^-b^a^s^e^d^l^o^ng-^f^{acilitate th}^{e ar}^eawⁱ^d^{e d}^e^v^e^lo^p^m^en^{t an}^d
^m^unity-bas^{ed long-term}^term^{care s}^e^rv^ices^{to en}^ab^l^e^older^im^p^l^em^en^tatioⁿ^o^f^a^c^o^m^p^r^e^h^eⁿ^s^iv^e,
ⁱⁿ^dⁱ^vⁱ^d^u^{als to}^r^e^m^aⁱⁿⁱⁿ^th^eir^o^wⁿ^h^o^m^e^s.^coordi^nat^e^{d s}^y^s^t^em^f^o^{r prov}ⁱ^dⁱⁿ^g^l^oⁿ^g^-^t^e^rm
^A^r^{ea ag}^en^cies^{are to accom}^p^lis^h^th^is^by^:^{care in}^h^o^m^e^an^d^com^m^uⁿ^ity^-^b^as^{ed s}^e^ttin^g^s^{, in}
^d^ev^elopin^g^cas^{e m}^aⁿ^a^g^e^m^eⁿ^t^s^e^rv^ices^as^{a m}^aⁿⁿ^e^{r th}^{at is}^res^pon^sⁱ^v^e^t^o^t^h^{e n}^eeds^an^d
^{a com}^pon^en^{t of}^lon^g^-^term^care;^pref^eren^ces^of^ol^{der i}ⁿ^di^vⁱ^du^al^s^an^{d t}^h^eⁱ^r
ⁱⁿ^v^o^lvⁱⁿ^g^loⁿ^g^-^ter^m^car^{e p}^r^o^v^id^er^{s in}^th^e^f^a^m^{ilies b}^y^:
^coordin^a^tion^of^th^es^{e s}^e^rv^ices^{; an}^d^c^o^llab^o^r^atin^g^,^co^o^r^dⁱⁿ^a^tin^g^,^an^d^coⁿ^s^u^ltin^g

CRS-39
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
ⁱⁿ^c^reasⁱⁿ^g^com^m^uⁿ^ity^aw^aren^es^s^of^aⁿ^d^w^ith^o^t^he^{r local pu}^{blic an}^{d priv}^{ate ag}^en^cies
ⁱⁿ^v^o^lv^em^en^{t in}^addres^sⁱⁿ^g^th^{e n}^eeds^of^res^pon^sⁱ^bl^{e f}^o^{r f}^o^rm^u^l^atⁱⁿ^g^,ⁱ^m^pl^em^en^tⁱⁿ^g
^r^e^sid^eⁿ^t^{s o}^f^loⁿ^g^-^ter^m^car^{e f}^acilities.^an^d^admⁱⁿⁱ^s^t^erin^g^prog^ram^s^{, ben}^e^f^its^{, an}^d
^se^r^vⁱ^c^e^s^r^e^ga^r^dⁱ^{ng l}^o^ng-t^e^r^m^c^a^r^e^;
^c^on^du^ctin^g^an^aly^s^is^an^{d m}^a^kⁱⁿ^g
^recom^m^eⁿ^d^ation^s^an^{d im}^plem^en^tin^g
^p^r^o^g^r^a^m^s^r^e^lated^to^str^a^tegⁱ^{es f}^o^r^m^o^dⁱ^f^yⁱⁿ^g
^th^{e s}^t^ate’^s^lon^g^-^term^care^s^y^s^t^emⁱⁿ^{order to}
^res^pon^{d to th}^eⁿ^eeds^an^{d pref}^eren^ces^of^older
ⁱⁿ^dⁱ^vⁱ^d^u^{als an}^d^f^a^m^ily^car^eg^iv^er^{s; f}^acilitate
^provⁱ^sⁱ^oⁿ^of^h^o^m^e^an^{d com}^m^uⁿⁱ^t^y^-^b^as^ed
^{care; targ}^{et s}^e^rv^ices^{to older in}^divⁱ^du^als^at
ⁱ^{ki/CRS-RL33660}^risk^o^fⁱⁿ^stitu^tioⁿ^a^{l p}^l^acem^en^t;
^g/wⁱ^m^p^l^e^m^eⁿ^tⁱⁿ^g^evⁱ^d^en^ce-^bas^e^{d prog}^ram^s^t^o
^s^.or^as^sⁱ^s^t^ol^{der i}ⁿ^di^vⁱ^du^al^s^an^{d t}^h^eⁱ^{r f}^a^mⁱ^l^y
^le^ak^careg^iv^ersⁱⁿ^learnⁱⁿ^g^abou^{t an}^{d m}^a^kⁱⁿ^g
^beh^a^vⁱ^{oral ch}^an^g^e^s^{to redu}^{ce th}^{e ris}^k^o^f
^://wikiⁱⁿ^j^u^r^y^{, d}ⁱ^{sease, an}^d^dⁱ^sab^ility^{; an}^d
^h^ttp^p^r^o^vi^dⁱ^{ng fo}^r^dⁱ^st^rⁱ^b^u^tⁱ^o^{n o}^fⁱⁿ^fo^r^m^a^tⁱ^o^{n o}ⁿ
^th^eⁿ^eed^to^planⁱⁿ^adv^aⁿ^{ce f}^o^{r lon}^g^-^term^care
^an^{d on}^t^h^{e ran}^g^e^of^av^ai^l^a^bl^{e pu}^blⁱ^c^an^d
^priv^ate^lon^g^-^term^{care prog}^ram^s^{, option}^s^,^an^d
^res^o^u^r^ces^{. (pp. 37-}³⁹⁾
^{rea p}^l^an^s^on^agiⁿ^g^{: area}^S^ectⁱ^oⁿ^{306(a)(14) an}^d⁽¹⁵⁾⁽^s^e^c^oⁿ^d^{Deletes th}^{ese p}^r^o^v^isioⁿ^s⁽^d^u^p^licatioⁿⁱⁿ^cu^r^r^eⁿ^t^Retain^{s p}^a^r^a^g^r^ap^h⁽¹⁴⁾^{, b}^u^{t elim}ⁱⁿ^{ates seco}ⁿ^d
^t^s^{to carry out}^parag^r^a^p^h^{(15)) proh}^ibits^{area ag}^en^cies^law^.⁾⁽^p^{. 3}⁹⁾^Fo^r^r^e^lated^c^oⁿ^t^en^{t, see th}^e^parag^r^aph^{(15). (p. 43)}^F^o^r^rel^a^t^e^d^con^t^en^t^,
^m^{ercial relations}^hips^f^r^om^payⁱⁿ^g^an^y^cos^t^sⁱⁿ^cu^{rred as}^{a re}^s^u^l^t^p^r^o^v^isioⁿ^s^th^{at im}^m^e^dⁱ^ately^f^o^llo^w⁽ⁱⁿ^th^eⁿ^e^x^t^{see th}^{e p}^r^o^v^isioⁿ^s^th^{at im}^m^e^dⁱ^ately^f^o^llo^w
^of^{a con}^t^{ract or com}^m^e^r^cⁱ^a^{l relation}^s^hⁱ^p^r^o^w⁾^r^e^latin^g^to^m^aⁱⁿ^tainⁱⁿ^g^p^u^b^{lic p}^u^r^p^o^s^e⁽ⁱⁿ^t^h^{e n}^e^x^t^r^o^w⁾^r^e^latin^g^to^m^aⁱⁿ^tainⁱⁿ^g
^uⁿ^r^{elated to th}^{e act. (T}^h^e^s^e^parag^r^aph^s^are^mⁱ^s^sⁱ^on^of^T^{itle III.}^pu^{blic pu}^rpos^{e m}ⁱ^s^sⁱ^on^of^T^{itle III.}
^d^u^p^licativ^e.)
^S^ectⁱ^oⁿ^{306(a)(15) (}^fⁱ^r^s^t^parag^r^aph⁽¹⁵⁾⁾^{Deletes f}ⁱ^r^s^{t p}^a^r^a^g^r^ap^h⁽¹⁵⁾^b^u^{t r}^e^tain^s^S^a^m^e^as^H^.^R^.^{5293. (p. 43)}

^an^{d (16) als}^o^proh^ibits^{area ag}^en^cies^f^r^om^p^a^r^a^g^r^ap^h⁽¹⁶⁾^{, esse}ⁿ^tially^r^e^tainⁱⁿ^g^cu^r^r^en^t
^gⁱ^vⁱⁿ^g^pref^eren^{ce to particu}^l^arⁱⁿ^divⁱ^du^als^law^.^{(p. 39)}
^a^s^{a res}^u^{lt of}^{a con}^t^{ract or com}^m^e^rcia^l
^r^e^latioⁿ^s^hⁱ^p^uⁿ^r^elated^to^th^e^a^c^{t. (}^T^h^e^se
^parag^r^aph^s^{are du}^plicativ^e.)

CRS-40
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^{rea p}^l^an^s^on^agiⁿ^g^{: p}^rⁱ^o^ri^ty^N^o^provⁱ^sⁱ^oⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{at ar}^ea^ag^en^cies^assu^r^e^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.⁵^{293, bu}^t^adds^ref^e^ren^{ce t}^o
^{r use o}^f^f^{unds f}^o^{r specif}ⁱ^ed^th^{at T}^{itle III f}^uⁿ^d^s^w^{ill be u}^s^{ed in}^{a m}^aⁿⁿ^e^r^th^at^o^l^d^e^rⁱⁿ^dⁱ^vⁱ^d^u^{als w}^ith^lim^ited^En^g^lish
^l^{der indiv}ⁱ^dua^ls;^gⁱ^v^e^{s p}^r^io^r^ityⁱⁿ^f^u^rⁿ^ishⁱⁿ^g^b^eⁿ^e^f^{its an}^d^p^r^o^f^icien^c^y^an^d^th^o^s^e^livⁱⁿ^gⁱⁿ^r^u^r^a^{l ar}^{eas. (}^p^.
^a^int^a^ining^{public purpo}^se^s^e^rv^ices^{to older in}^divⁱ^du^al^s^w^ith^g^r^eates^t⁴³⁾
ⁱ^ssioⁿ^a^{nd disc}^lo^sur^e^o^f^econ^o^mⁱ^{c n}^{eed, older in}^divⁱ^du^als^w^ith^g^r^eat
^o^rm^a^t^io^{n o}ⁿ^contractual^s^o^cⁱ^a^lⁿ^{eed an}^{d ol}^{der i}ⁿ^di^vⁱ^du^al^s^at^ri^s^k^f^o^r
^t^io^nshipsⁱⁿ^stitu^tioⁿ^a^{l p}^l^acem^en^{t. (p}^{. 3}⁹⁾
^T^h^{e area ag}^en^cy^w^o^ul^d^als^o^{be requ}^{ired to}^S^a^m^e^as^H^.^R^.^5293.
^assu^r^e^th^{at f}^uⁿ^d^{s w}^{ill b}^e^u^s^e^dⁱⁿ^{a m}^aⁿⁿ^e^r^th^at
ⁱ^s^con^sⁱ^s^t^eⁿ^t^wⁱ^t^h^S^ectⁱ^oⁿ^{306(a)(13) (reg}^a^rdiⁿ^g
^.^m^aⁱⁿ^tainⁱⁿ^g^th^{e in}^teg^r^ity^an^d^p^u^b^{lic p}^u^r^p^o^s^{e o}^f
ⁱ^{ki/CRS-RL33660}^s^e^rv^ices^prov^{ided an}^{d s}^e^rv^ic^e^prov^iders^,ⁱⁿ^all
^g/w^coⁿ^t^r^actu^a^{l an}^d^co^m^m^e^r^c^{ial r}^e^latioⁿ^s^hⁱ^p^s^,
^s^.or^am^on^g^ot^h^e^{r t}^hⁱⁿ^g^s^{) an}^{d S}^ectⁱ^oⁿ^{212(b) of}^t^h^e
^le^ak^{act (}^a^{s am}^en^d^e^d^b^y^th^{e b}^ill)^{. (}^p^{. 4}⁰⁾
^://wiki^{rea p}^l^an^s^on^agiⁿ^g^{: s}^e^l^f^-^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^e^th^{at ar}^{ea p}^l^an^{s o}ⁿ^agⁱⁿ^g^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293 (does}ⁿ^o^tⁱⁿ^cl^u^d^e^t^o^t^h^e
^h^ttp^p^r^o^vⁱ^d^e^f^o^r^,^to^th^{e m}^a^xⁱ^m^u^m^ex^ten^t^f^easib^le,^ma^ximu^m^ex^ten^t^f^easib^le)^.⁽^p^{. 4}³⁾
^f^u^rn^is^hⁱⁿ^g^of^s^e^rv^ices^uⁿ^d^{er th}^{e act con}^s^is^ten^t
^w^ith^s^e^lf^-^d^{irected care. (p. 40)}
^{rea p}^l^an^s^on^agiⁿ^g^:^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^T^h^e^b^ill^w^o^u^l^d^r^e^q^uⁱ^r^e^a^r^{ea p}^l^an^{s to}ⁱⁿ^clu^d^e
^{ergency preparednes}^sⁱⁿ^f^o^rm^ation^detaili^{ng h}^o^w^th^{e area ag}^en^cy
^w^ill^co^o^r^dⁱⁿ^a^{te activ}^{ities an}^d^d^e^v^e^lo^p^loⁿ^g^-
^ran^g^e^em^er^ge^ncy^plan^s^w^ith^{local an}^{d s}^t^ate
^em^erg^eⁿ^c^y^r^e^s^p^oⁿ^s^e^a^g^en^cies^{, relief}
^o^r^gaⁿⁱ^z^a^tⁱ^o^ns,^l^o^c^a^l^aⁿ^d^st^a^t^e^go^ve^rⁿ^m^e^nt^s,
^an^d^an^y^o^t^h^e^rⁱⁿ^stitu^tioⁿ^s^th^{at h}^a^v^e
^r^e^sp^oⁿ^sibⁱ^lity^f^o^r^dⁱ^saster^r^e^lief^ser^v^ice
^delⁱ^v^ery^.^{(p. 43)}
^{rea p}^l^an^s^on^agiⁿ^g^{: area}^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^au^th^o^r^ize^ar^ea^ag^en^cies^oⁿ^agⁱⁿ^g^S^a^m^e^as^H^.^R^.^{5293, w}ⁱ^t^h^s^lⁱ^ght^l^y^di^f^f^e^ren^t
^g^e^ncy^pla^nning^f^o^r^{to in}^clu^d^eⁱⁿ^th^{eir area plan}^s^,^an^as^s^e^s^s^m^en^{t of}^w^o^rdin^gⁱⁿ^s^o^m^e^places^{. (p. 44)}

^e^m^ograp^hⁱ^{c ch}^an^gesⁱⁿ^th^e^h^o^w^{prepared th}^{e plan}ⁿⁱⁿ^g^an^{d s}^e^rv^{ice area is}
^l^{der po}^pula^t^io^{n in pla}^nning^f^o^{r an}^y^an^{ticipated ch}^an^g^eⁱⁿ^th^{e n}^u^m^ber^o^f
^{ervice areas}^ol^derⁱⁿ^dⁱ^vⁱ^du^al^s^du^riⁿ^g^t^h^{e 10-}^y^{ear peri}^od

CRS-41
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^f^o^llowⁱⁿ^g^th^{e f}ⁱ^s^{cal y}^e^{ar f}^o^{r w}^h^ich^th^{e plan}^is
^su^b^m^itted^.
^T^h^{e as}^s^e^s^s^m^en^{t m}^a^yⁱⁿ^clu^d^e:
^t^h^{e proj}^ect^{ed c}^h^a^ngeⁱⁿ^t^h^{e n}^u^m^{ber of}^ol^der
ⁱⁿ^divⁱ^du^alsⁱⁿ^th^{e plan}ⁿⁱⁿ^g^an^d^s^e^rv^ice^area;
^aⁿ^an^aly^s^is^of^h^o^w^th^is^ch^an^g^e^m^a^y^af^f^ect
^o^l^d^e^rⁱⁿ^dⁱ^vⁱ^d^u^{als, in}^clu^dⁱⁿ^g^th^o^s^{e w}ⁱ^th^lo^w
^inc^o^m^e^{, g}^r^eates^{t econ}^o^mⁱ^{c n}^{eed, m}ⁱⁿ^o^rity
^ol^derⁱⁿ^dⁱ^vⁱ^du^al^s^,^t^h^os^{e res}ⁱ^diⁿ^gⁱⁿ^ru^ral
^ar^{eas, an}^d^th^o^s^{e w}^ith^lim^ited^En^g^lish
^profⁱ^cⁱ^eⁿ^c^y^;
ⁱ^{ki/CRS-RL33660}^aⁿ^an^al^y^sⁱ^s^of^h^o^w^t^h^e^prog^ram^s^{, pol}ⁱ^cⁱ^e^s^,
^g/w^an^{d s}^e^rvⁱ^ces^provi^{ded i}ⁿ^t^h^{e pl}^anⁿⁱⁿ^g^an^d
^s^.or^s^e^rv^{ice area can}^{be im}^prov^{ed, a}^{nd h}^o^w
^le^ak^res^o^u^r^{ce lev}^e^ls^caⁿ^b^e^adj^u^s^t^{ed to m}^{eet th}^e
ⁿ^eeds^of^t^h^{e c}^h^an^gⁱⁿ^g^popu^l^a^tⁱ^oⁿ^of^ol^der
^://wikiⁱⁿ^divⁱ^du^alsⁱⁿ^th^{e areas}^{, an}^{d an}^an^aly^s^is^of
^h^ttp^h^o^w^th^{e ch}^an^g^eⁱⁿ^th^eⁿ^u^m^{ber of}^pers^on^s^ag^e
^{85 an}^{d older is}^ex^{pected to af}^f^{ect th}^{e n}^{eed f}^o^r
^s^u^pportⁱ^v^{e s}^e^rvⁱ^ces^{. (p. 40)}
^T^h^{e b}^{ill w}^o^u^l^d^au^th^o^r^{ize ar}^ea^a^g^en^{cies o}ⁿ^T^h^{e b}^ill^w^o^u^l^d^also^ad^d^r^e^f^e^r^eⁿ^{ce to}
^agⁱⁿ^g^,ⁱⁿ^cooperatⁱ^oⁿ^wⁱ^t^h^g^o^v^e^rn^m^eⁿ^t^al^em^erg^eⁿ^c^y^preparedn^e^s^s^.^{(p. 45)}

^of^fⁱ^cials^,^s^t^{ate ag}^en^cies^{, tribal}^org^aⁿⁱ^zation^s^{, or}
^lo^{cal en}^{tities, to}^m^a^k^e^r^eco^m^m^eⁿ^d^atioⁿ^s^to
^go^v^e^rⁿ^m^e^nt^o^ffi^cⁱ^a^l^{s i}ⁿ^t^h^e^p^l^aⁿⁿⁱ^{ng a}ⁿ^d
^s^e^rv^{ice area an}^{d th}^{e s}^t^{ate, on}^acti^oⁿ^s^{to bu}^ild
^th^{e capacit}^y^{to m}^{eet th}^{e n}^eeds^of^older
ⁱⁿ^di^vⁱ^du^al^s^f^o^r:
^h^ealth^an^{d h}^u^m^an^s^e^rv^ices^;
^l^an^{d u}^s^e;
^h^o^u^si^ng;
^t^r^aⁿ^s^p^o^r^tatioⁿ^;
^p^u^b^{lic saf}^e^ty^;
^w^ork^f^{orce an}^{d econ}^o^mⁱ^{c dev}^e^lopm^en^t;

CRS-42
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^r^ecreation^;
^e^d^u^catioⁿ^;
^c^iv^{ic en}^g^a^g^e^m^eⁿ^{t; an}^d
^aⁿ^y^oth^e^{r s}^e^rv^ices^determⁱⁿ^{ed by}^th^e^a^r^ea
^ag^en^cy^{. (p. 41)}
^AT^E^PL^{ANS ON AG}^ING
^t^{ate p}^l^an^s^on^agiⁿ^g^{: focu}^s^on^S^ectⁱ^oⁿ^{307(a) requ}ⁱ^r^es^t^h^{e s}^t^at^{e pl}^an^t^o^T^h^e^bⁱ^l^l^w^o^u^l^{d add ref}^e^ren^{ce t}^o^ol^der^S^a^m^e^as^H^.^R^.^{5293. (p. 46)}
^l^{der indiv}ⁱ^dua^{ls w}ⁱ^t^h^lim^it^ed^cond^uct^peri^odi^{c ev}^al^u^a^tⁱ^oⁿ^s^on^s^t^at^eⁱ^ndi^vi^dual^s^wⁱ^t^h^lⁱ^mⁱ^t^e^{d Engl}ⁱ^s^{h pr}^ofⁱ^cⁱ^e^ncy^.
^{lish pro}^f^iciency^activ^{ities an}^d^p^r^o^j^e^c^{ts, in}^clu^dⁱⁿ^g^{(p. 42)}
^ev^alu^a^tion^s^of^th^{e ef}^f^ectiv^en^es^s^of^s^e^rv^ices
ⁱ^{ki/CRS-RL33660}^provⁱ^d^{ed t}^oⁱⁿ^di^vⁱ^du^al^s^wⁱ^t^h^great^es^t
^g/w^econom^{ic or s}^o^cialⁿ^{eed, or dis}^a^bilities
^s^.or^w^ith^p^a^r^ticu^l^ar^atten^tioⁿ^to^lo^w^-ⁱⁿ^co^m^e
^le^ak^mⁱⁿ^o^ri^t^yⁱⁿ^di^vⁱ^du^al^s^an^{d ol}^{der i}^ndi^vⁱ^du^al^s
^resⁱ^din^gⁱⁿ^ru^{ral areas}^.
^://wiki^t^{ate p}^l^an^s^on^agiⁿ^g^:^Section³⁰⁷^{(a)(15) requ}^ires^th^{e s}^t^{ate plan}^T^h^{e b}^{ill w}^o^u^l^d^ad^d^r^e^f^e^r^eⁿ^{ce to}^th^{e n}^u^m^b^e^r^o^f^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293. (p. 47)}
^h^ttp^en^ti^fyiⁿ^{g s}^{ervice needs}^of^to^id^en^tif^y^th^{e n}^u^m^b^e^r^o^f^l^o^w^-ⁱⁿ^co^m^e^l^o^w^-ⁱⁿ^com^e^ol^derⁱ^ndi^vi^dual^s^wⁱ^t^h^lⁱ^mⁱ^t^e^d
^w^-^inco^m^e^mⁱ^no^rit^y^o^l^der^mⁱⁿ^o^r^ity^{older in}^divⁱ^du^alsⁱⁿ^th^{e s}^t^{ate an}^d^En^g^lish^p^r^o^ficien^cy.^{(p. 42)}
ⁱ^dua^{ls w}ⁱ^t^h^lim^it^ed^d^e^scrⁱ^b^e^th^{e m}^e^th^o^d^s^u^s^ed^to^satisf^y^th^eⁱ^r
^{lish pro}^f^iciency^s^e^rv^{ice n}^eeds^.
^t^{ate p}^l^an^s^on^agiⁿ^g^:^S^ectⁱ^oⁿ^{307(a)(16) req}^uⁱ^r^es^t^h^{e s}^t^at^e^T^h^{e b}^{ill w}^o^u^l^d^ad^d^r^e^f^e^r^eⁿ^{ce to}^lo^w-ⁱⁿ^co^me^S^a^m^e^as^H^.^R^.^{5293. (p. 46)}
^u^t^rea^{ch t}^o^indivⁱ^dua^{ls w}ⁱ^t^h^ag^en^c^y^{to con}^d^u^c^{t ou}^treach^{to older}^ol^derⁱ^ndi^vi^dual^s^wⁱ^t^h^lⁱ^mⁱ^t^e^{d Engl}ⁱ^s^h
^it^{ed Eng}^{lish pro}^f^iciencyⁱⁿ^divⁱ^du^als^w^ith^g^r^eates^t^econ^o^mⁱ^{c or}^p^r^o^ficien^c^y^{. (p. 43)}
^so^cialⁿ^eed⁽^w^ith^p^a^r^ticu^l^ar^atten^tioⁿ^to
^l^o^w^-ⁱⁿ^com^e^mⁱⁿ^o^ri^t^yⁱⁿ^di^vⁱ^du^al^s^an^{d ol}^der
ⁱⁿ^divⁱ^du^als^resⁱ^din^gⁱⁿ^ru^{ral areas}^).
^t^{ate p}^l^an^s^on^agiⁿ^g^{: s}^e^l^f^-^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^e^th^at^state^p^l^an^s^oⁿ^agⁱⁿ^g^S^a^m^e^as^H^.^R^.^{5293. (p. 47)}

^p^r^o^v^id^{e as}^s^u^r^aⁿ^{ces th}^{at ar}^{ea ag}^en^{cies w}^{ill, to}
^th^{e m}^a^xⁱ^m^u^m^ex^ten^t^f^easib^{le, f}^u^rⁿ^ish^ser^v^ices
^uⁿ^d^er^th^{e act con}^s^is^ten^t^w^ith^s^e^lf^-^d^irected^care.
^{(p. 43)}

CRS-43
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^t^{ate p}^l^an^s^on^agiⁿ^g^:^No^p^r^o^v^isioⁿ^.^T^h^e^b^ill^r^e^q^u^ir^es^{state ag}^en^{cies o}ⁿ^agⁱⁿ^g^,^{at th}^e^S^a^m^e^as^H^.^R^.^{5293. (p. 47)}
^nning^f^o^{r dem}^o^g^r^a^phic^election^of^th^{e s}^t^{ate, to in}^clu^d^{e an}^as^s^e^s^s^m^en^{t of}
^an^gesⁱⁿ^th^{e ol}^d^e^r^h^o^w^{prepared t}^h^{e s}^t^at^{e i}^s^,^{under i}^t^s^s^t^at^ewⁱ^d^e
^pula^t^io^{n in t}^h^{e st}^a^t^e^s^e^rv^{ice deliv}^ery^m^{odel, f}^o^r^{a ch}^an^g^eⁱⁿ^th^e
ⁿ^u^m^ber^of^ol^{der i}ⁿ^di^vⁱ^du^al^s^du^riⁿ^g^t^h^e^10-^y^ear
^p^e^rⁱ^o^d^f^o^llo^wⁱⁿ^g^th^{e f}ⁱ^{scal y}^ear^f^o^r^w^h^ich^th^e
^p^l^an^{is su}^b^m^itted^.^T^h^e^assessm^en^{t m}^a^yⁱⁿ^clu^d^e:
^t^h^e^proj^ect^{ed ch}^an^{ge i}ⁿ^t^h^{e n}^u^m^{ber of}^ol^der
ⁱⁿ^divⁱ^du^alsⁱⁿ^th^{e s}^t^ate;
^aⁿ^an^aly^s^is^of^h^o^w^th^is^ch^an^g^e^m^a^y^af^f^ect
^o^l^d^e^rⁱⁿ^dⁱ^vⁱ^d^u^{als, in}^clu^dⁱⁿ^g^th^o^s^{e w}^ith^lo^w^-
ⁱⁿ^com^e^,^g^r^eates^{t econ}^o^mⁱ^{c n}^{eed, m}ⁱⁿ^o^rity
ⁱ^{ki/CRS-RL33660}^ol^{der i}ⁿ^di^vⁱ^du^al^s^,^t^h^os^{e res}ⁱ^diⁿ^gⁱⁿ^r^u^r^a^l
^g/w^ar^{eas, an}^d^th^o^s^{e w}^ith^lim^ited^En^g^lish
^s^.or^profⁱ^cⁱ^eⁿ^c^y^;
^le^ak^aⁿ^an^al^y^sⁱ^s^of^h^o^w^t^h^{e prog}^ram^s^{, pol}ⁱ^cⁱ^e^s^,
^an^{d s}^e^rv^ices^p^r^ov^{ided by}^th^{e s}^t^{ate can}^be
^://wikiⁱ^m^{proved, i}ⁿ^cl^u^dⁱⁿ^g^coordiⁿ^a^tⁱⁿ^g^wⁱ^t^h^area
^h^ttp^ag^en^cies^on^agⁱⁿ^g^,^an^{d h}^o^w^res^o^u^r^{ce lev}^e^ls
^c^aⁿ^{be adj}^u^s^t^{ed to m}^{eet th}^{e n}^eeds^of^th^e
^ch^an^gⁱⁿ^g^popu^l^a^tⁱ^o^{n of}^ol^{der i}ⁿ^di^vⁱ^du^al^sⁱⁿ
^th^{e s}^t^{ate; an}^d
^a^{n a}ⁿ^a^l^y^sⁱ^s^o^f^ho^w^t^h^e^c^h^a^ngeⁱⁿ^t^h^e^num^b^e^r
^of^pers^on^s^ag^e⁸⁵^y^ears^an^{d ol}^{der i}^s^ex^pect^ed
^t^o^af^f^ect^t^h^eⁿ^{eed f}^o^{r s}^u^pportⁱ^v^{e s}^e^rvⁱ^ces^.
^{(p. 43)}
^t^{ate p}^l^an^s^on^agiⁿ^g^:^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^e^b^ill^r^e^q^u^ir^es^stat^e^p^l^aⁿ^s^t^oⁱⁿ^c^l^u^d^e
^{ergency preparednes}^sⁱⁿ^f^o^r^m^atioⁿ^d^e^tailin^g^h^o^w^th^{e state w}^ill
^co^o^r^dⁱⁿ^a^{te activ}^{ities, an}^d^d^e^v^e^lo^p^loⁿ^g^-^r^aⁿ^g^e
^em^erg^eⁿ^c^y^preparedn^e^s^s^plan^s^,^w^ith^area
^ag^en^cies^on^agⁱⁿ^g^,^{local em}^erg^eⁿ^c^y^res^pon^s^e
^ag^en^cies^{, re}^lⁱ^e^f^org^aⁿⁱ^zation^s^{, local}
^g^o^v^e^rⁿ^m^eⁿ^t^{s, an}^d^an^y^o^t^h^e^rⁱⁿ^stitu^tioⁿ^s^th^at
^h^a^v^e^r^e^sp^oⁿ^sib^ility^f^o^r^dⁱ^saster^r^e^lief^ser^v^ice
^d^e^liv^er^y^.^T^h^{e p}^l^aⁿ^{is to}ⁱⁿ^clu^d^{e in}^f^o^r^m^atioⁿ
^des^c^ribin^g^th^{e in}^v^o^lv^em^en^{t of}^th^{e h}^ead^of^th^e

CRS-44
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^s^t^{ate ag}^en^cyⁱⁿ^th^{e dev}^e^lopm^en^{t, rev}ⁱ^sⁱ^on^,
^an^{d im}^plem^ent^a^tⁱ^o^{n of}^em^erg^eⁿ^c^y
^preparedn^e^s^s^plan^s^,ⁱⁿ^c^l^u^dⁱⁿ^g^th^{e State}
^P^u^{blic Health}^Em^erg^eⁿ^c^y^P^r^eparedn^e^s^s^an^d
^R^e^s^pon^s^e^Pl^an^{. (p. 48)}
^t^{ate p}^l^an^s^on^agiⁿ^g^{: A}^gⁱⁿ^g^No^prov^is^ion^.^{No prov}^is^ionⁱⁿ^T^itle^{III (s}^{ee A}^D^R^C^sⁱⁿ^{title II}^T^h^{e b}^{ill r}^e^q^u^ir^{es th}^{e state to}^im^p^l^em^en^{t an}
^{nd Disa}^bilit^y^Reso^urce^abov^e.)^A^D^{RC w}^h^ich^{is to}^:
^s^erv^e^as^{a v}ⁱ^sⁱ^b^l^{e an}^{d tru}^s^{ted s}^o^u^r^{ce of}
ⁱⁿ^f^o^r^m^atioⁿ^oⁿ^th^{e f}^u^{ll r}^aⁿ^g^e^o^f^o^p^tioⁿ^s^f^o^r
^loⁿ^g^-^ter^m^car^{e, in}^clu^dⁱⁿ^gⁱⁿ^stitu^tioⁿ^a^{l an}^d
^h^o^m^e^an^{d com}^m^uⁿ^ity^-b^a^s^{ed care, th}^{at are}
ⁱ^{ki/CRS-RL33660}^av^{ailable in}^th^{e s}^t^ate;
^g/w^p^rovⁱ^{de pers}^on^{alized an}^{d con}^s^u^m^er-
^s^.or^f^r^ien^d^ly^as^sⁱ^s^t^an^ce^{to em}^pow^{er in}^divⁱ^du^als
^le^ak^to^m^a^k^eⁱⁿ^f^o^r^m^ed^d^ecisioⁿ^{s ab}^o^u^{t th}^eir
^loⁿ^g^-^ter^m^car^{e o}^p^tioⁿ^s^;
^://wiki^p^rovⁱ^{de coordin}^a^{ted an}^d^s^t^ream^lin^ed^acces^s
^h^ttp^to^all^p^u^b^licly^f^uⁿ^d^ed^loⁿ^g^-^ter^m^car^e
^option^s^s^o^th^{at con}^s^u^m^ers^can^obtaⁱⁿ^t^h^e
^c^a^r^e^t^h^e^y^ne^e^d^t^h^r^o^{ugh a}^si^ngl^eⁱⁿ^t^a^ke^,
^assessm^en^{t an}^d^elig^ib^ility^d^e^ter^mⁱⁿ^atioⁿ
^proces^s^;
^h^{elp in}^divⁱ^du^als^plan^ah^e^a^d^f^o^{r th}^{eir lon}^g^-
^term^{care n}^eeds^;^an^d
^a^s^sⁱ^s^t^{Medicare ben}^e^fⁱ^ciaries^an^d
^pros^pectiv^e^ben^e^fⁱ^ciariesⁱⁿ^uⁿ^d^ers^t^an^din^g
^an^{d acces}^sⁱⁿ^g^p^r^es^cription^dru^g^an^d
^p^r^ev^en^tiv^{e h}^ealth^b^eⁿ^e^f^{its u}ⁿ^d^er^p^r^o^v^isioⁿ^s
^of^{, an}^{d am}^en^dm^en^ts^m^a^de^by^,^th^e^Medicare
^P^r^es^cription^Dru^g^,^Im^prov^em^en^{t, an}^d
^Modernⁱ^zatⁱ^oⁿ^A^c^t^of^{2003, i}ⁿ^coordiⁿ^a^tⁱ^oⁿ
^w^ith^th^{e en}^tity^car^r^yⁱⁿ^g^o^u^{t th}^{e h}^ealth
ⁱⁿ^s^u^ran^{ce in}^f^o^rm^at^ion^,^couⁿ^s^elin^g^an^d
^as^sⁱ^s^t^an^ce^prog^ram^(uⁿ^d^{er S}^ectⁱ^oⁿ⁴³⁶⁰^of
^th^{e Om}ⁿⁱ^bu^s^R^econ^c^iliation^A^c^t^of^{1990) in}
^t^h^{e s}^t^at^{e. (pp. 49-}⁵⁰⁾

CRS-45
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^a^t^{e pla}ⁿ^{s o}ⁿ^a^gⁱ^ng^:^no^n-^S^ectⁱ^oⁿ^{309(b)(2) requ}ⁱ^r^es^t^h^at^f^unds^T^h^{e b}^{ill d}^e^{letes th}^{e r}^e^f^e^r^eⁿ^{ce to}^th^{e n}^oⁿ^-^f^e^d^e^r^a^l^S^a^m^e^as^H^.^R^.^{5293. (p. 50)}
^h^{are for T}ⁱ^{tle I}^I^I^r^e^q^u^{ired to m}^{eet th}^{e n}^oⁿ^-^f^e^{deral s}^h^{are, in}^s^h^are^{prior to 1981. T}^h^{e bill w}^o^u^l^{d clarif}^y^th^at
^ervices^am^ouⁿ^t^s^th^{at ex}^ceed^th^eⁿ^oⁿ^-^f^e^{deral s}^h^are^f^uⁿ^d^s^requ^{ired to m}^eet^th^eⁿ^oⁿ^-^f^e^{deral s}^h^{are f}^o^r
^pri^o^{r t}^o^F^Y^{1981, are}^t^o^{be f}^r^om^s^t^at^e^T^{itle I}^I^I^f^uⁿ^d^{s b}^e^f^r^o^m^{state so}^u^r^{ces. (}^p^{. 4}⁴⁾
^s^o^u^r^ces^{. (Pri}^{or t}^o^1981,^t^h^e^requⁱ^r^edⁿ^oⁿ^-
^fe^deral^s^h^{are w}^a^s^10%^;ⁱⁿ^{1981, t}^h^{e n}^o^n-
^f^e^{deral s}^h^{are w}^a^sⁱⁿ^creas^{ed to 15%).}
^RIT^I^{ON SE}^RVICE^{S INCE}^NT^IVE^PROG^RAM
^e^nt^S^ectⁱ^oⁿ^{311 of}^t^h^{e act}^requi^r^e^{s t}^h^e^T^h^{e bil}^l^w^o^u^l^{d clarif}^y^th^{at each}^s^t^{ate ag}^en^cy^S^a^m^e^as^H^.^R^.^{5293 (p. 51)}
ⁱ^{ki/CRS-RL33660}^Secretary^of^A^g^ricu^ltu^{re to prov}^ide^cas^h^or^co^m^m^o^d^{ities o}^r^a^co^m^bⁱⁿ^atioⁿ^o^f^cash^an^d^prom^pt^l^y^an^{d equ}ⁱ^t^a^bl^y^di^s^b^u^r^s^e^am^ouⁿ^t^s^r^eceive^{d u}ⁿ^d^e^r^S^e^c^tⁱ^oⁿ^{311 t}^o^r^e^cⁱ^pi^eⁿ^t^s^of
^g/w^co^m^m^o^d^{ities to}^{state ag}^en^{cies o}ⁿ^agⁱⁿ^g^.^g^r^an^ts^an^{d con}^t^racts^.^{(p. 45)}
^s^.or
^le^ak^o^{nus o}^f^co^m^m^o^ditⁱ^es^Se^c^tⁱ^oⁿ^{311 requ}ⁱ^r^es^t^h^at^ag^ri^c^u^l^t^u^r^a^l^T^h^{e b}^{ill w}^o^u^l^d^also^r^e^q^u^ir^{e th}^{at ad}^d^itioⁿ^a^l^S^a^m^e^as^H^.^R^.^{5293. (p. 51)}
^co^m^m^o^d^{ities av}^ailab^l^{e u}ⁿ^d^er^sectioⁿ³²^o^f^b^oⁿ^u^s^co^m^m^o^d^{ities ar}^e^to^b^e^d^oⁿ^ated^o^r^u^s^ed
^://wiki^t^h^e^a^c^t^o^f^A^ugust²⁴^,^1935,^s^ectⁱ^oⁿ^{416 of}^b^y^r^ecipⁱ^en^{ts o}^f^T^itle^I^I^Iⁿ^u^t^r^itioⁿ^f^uⁿ^d^s.⁽^p^{. 4}⁵⁾
^h^ttp^t^h^{e A}^g^ri^cu^l^t^u^ral^A^c^t^of^{1949, an}^d^und^e^r
^s^ectⁱ^oⁿ⁷⁰⁹^o^f^t^h^{e F}^{ood an}^{d A}^g^ri^cu^l^t^u^ral
^A^c^t^of^{1965 are t}^o^{be don}^at^e^d^o^r^u^s^{ed by}
^r^ecipⁱ^en^{ts o}^f^T^{itle I}^I^Iⁿ^u^t^r^itioⁿ^f^uⁿ^d^s.
^gh^p^r^oteiⁿ^food^s^;^term^s^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^e^t^h^e^S^e^c^r^etar^y^o^f^N^o^provⁱ^sⁱ^oⁿ^.
^{nd co}^nditⁱ^oⁿ^s^A^g^ricu^ltu^r^e^{to g}ⁱ^v^e^s^p^{ecial em}^ph^as^is^{to h}ⁱ^g^h
^prot^eiⁿ^f^oods^.^T^h^e^S^ecret^ary^of^A^g^ri^cu^l^t^u^{re, i}ⁿ
^coⁿ^s^u^ltatioⁿ^w^ith^th^{e A}^ssistan^{t Secr}^etar^y^,^is
^au^th^o^r^ized^to^p^r^escr^ib^{e th}^{e ter}^m^s^an^d^coⁿ^d^itioⁿ^s
^r^e^lated^to^d^oⁿ^ated^co^m^m^o^d^{ities. (}^p^{. 4}⁵⁾
^{sh used t}^o^buy^S^ectⁱ^oⁿ^{311(d) requ}ⁱ^r^es^t^h^at^w^h^en^{a s}^t^at^e^T^h^{e b}^{ill w}^o^u^l^d^r^e^vⁱ^{se th}^{e p}^r^o^v^isⁱ^oⁿ^to^r^e^q^u^ir^e^N^o^provⁱ^sⁱ^oⁿ^.

^m^o^dities^elects^{to receiv}^e^cas^h^pay^m^en^ts^uⁿ^d^er^t^h^at^S^ectⁱ^oⁿ^{311 f}^uⁿ^d^s^m^a^y^{be u}^s^e^d^on^l^y^t^o
^S^ectⁱ^oⁿ^{311, t}^h^{e S}^ecret^ary^of^A^g^ri^cu^l^t^u^reⁱ^s^p^u^r^c^h^a^{se U.S. ag}^rⁱ^cu^ltu^r^a^{l co}^m^m^o^d^{ities an}^d
^{to m}^a^k^e^th^em^{to t}^h^e^s^t^{ate in}^an^am^ouⁿ^t^ot^h^e^{r f}^oods^{. (p. 45)}
^e^q^ui^v^a^l^eⁿ^tⁱⁿ^v^a^l^u^{e t}^o^t^h^{e don}^at^{ed f}^oods
^w^hⁱ^c^{h t}^h^e^st^a^t^e^o^t^he^r^wⁱ^s^e^w^o^ul^d^ha^ve
^receiv^e^dⁱⁿ^co^m^m^o^d^ities.

CRS-46
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^N^o^provⁱ^sⁱ^oⁿ^.^Part^{or al}^l^of^S^ectⁱ^oⁿ³¹¹^f^uⁿ^d^s^m^a^y^{be u}^s^ed^t^o^N^o^provⁱ^sⁱ^oⁿ^.
^pay^s^c^h^{ool f}^{ood au}^th^orities^{to obtain}^U.S.
^co^m^m^o^d^{ities f}^o^rⁿ^u^t^r^itioⁿ^p^r^o^j^{ects, w}^h^en^state
^g^r^an^tees^an^d^coⁿ^t^r^acto^r^{s, an}^d^T^{itle VI}^g^r^an^tees,
^h^a^v^e^an^ag^reem^en^{t w}^ith^th^{e s}^c^h^{ool f}^ood
^au^th^o^r^ity^th^{at th}^{e p}^a^y^m^en^ts:
^c^o^v^er^th^{e co}^{st o}^f^th^{e co}^m^m^o^d^{ities an}^d
^c^ov^{er relate}^d^ex^pen^s^es^{, in}^clu^dⁱⁿ^g^th^{e cos}^t^of
^t^r^an^s^portⁱⁿ^g^,^di^s^t^ri^bu^tⁱⁿ^g^,^proces^sⁱⁿ^g^,^s^t^oriⁿ^g^,
^an^d^h^aⁿ^d^lin^g^th^{e co}^m^m^o^d^{ities. (}^p^{. 4}⁶⁾
^u^th^ori^z^ati^oⁿ^of^S^ectⁱ^oⁿ^{311(e) au}^t^h^ori^zes^s^u^ch^sum^s^as^T^h^{e b}^{ill w}^o^u^l^d^au^th^o^r^{ize su}^ch^su^m^s^{as m}^a^y^b^e^S^a^m^e^as^H^.^R^.^{5293. (p. 51)}
ⁱ^{ki/CRS-RL33660}^ppro^p^ria^t^io^{ns f}^o^{r nut}^ritⁱ^oⁿ^m^a^y^{be n}^eces^s^a^ry^f^o^{r F}^Y^2001-^F^Y^2005.ⁿ^eces^s^a^ry^f^o^{r F}^Y^2007-^F^Y^{2011. (p. 46)}
^g/w^{ervice incentive program}
^s^.or
^le^ak^ribut^io^{n o}^f^inf^o^rm^a^t^ioⁿ^S^ectⁱ^oⁿ^312(f⁾^w^o^u^l^{d requ}ⁱ^r^{e t}^h^at^t^h^e^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{e A}^s^sⁱ^s^t^an^{t Secr}^etar^y^N^o^provⁱ^sⁱ^oⁿ^.
^m^o^dity^S^e^cretary^of^{HHS an}^{d th}^{e Secretary}^o^f^on^A^gⁱⁿ^g^an^{d th}^{e Sec}^r^etary^of^A^g^ricu^ltu^{re to}
^://wiki^cessing^pro^g^r^a^m^s^A^g^ricu^ltu^{re dis}^t^ribu^te^t^o^s^t^{ate an}^{d area}^dⁱ^strⁱ^b^u^{te in}^f^o^r^m^atioⁿ^oⁿ^:
^h^ttp^ag^en^{cies o}ⁿ^agⁱⁿ^g^an^dⁿ^u^t^r^itioⁿ^s^e^r^v^ice^p^r^o^v^id^er^{s in}^f^o^r^m^atioⁿ^oⁿ^:^s^ch^{ool f}^{ood au}^th^orities^w^ithⁱⁿ^geog^raph^ic^{area s}^e^rv^{ice by}^th^{e s}^t^{ate ag}^en^cy^{; an}^d
^aⁿ^y^f^e^deral^com^m^odi^t^y^proces^sⁱⁿ^g^t^h^e^don^at^{ed f}^oods^av^ai^l^a^bl^{e t}^o^s^t^at^{e an}^d^area
^prog^ram^;^an^d^ag^en^{cies an}^dⁿ^u^t^r^itioⁿ^s^e^r^v^{ice p}^r^o^v^id^er^s.
^p^r^o^ced^u^r^{es to}^b^e^f^o^llo^w^e^d^to^p^a^r^ticip^ate^{(p. 46)}
ⁱⁿ^th^{e p}^r^o^g^r^a^m^.
^{LUNTARY CO}^NTRIB^U^TIO^N^S^FO^{R TITLE III SERVICES}
^o^lⁱ^cⁱ^t^ati^oⁿ^{of vol}^uⁿ^t^ary^S^ectⁱ^oⁿ^{315(b) of}^t^h^{e act}^provⁱ^d^e^s^t^h^at^T^h^{e b}^{ill w}^o^u^l^d^ad^d^to^cu^r^r^eⁿ^t^law^{a p}^r^o^v^isⁱ^oⁿ^T^h^{e b}^{ill w}^o^u^l^d^ad^d^to^cu^r^r^eⁿ^t^law^a^p^r^o^v^isioⁿ
^nt^ribut^io^ns^v^o^l^uⁿ^t^ary^con^t^ri^bu^tⁱ^oⁿ^s^f^r^om^ol^der^th^at^v^o^l^uⁿ^t^a^r^y^coⁿ^t^rⁱ^b^u^tioⁿ^s^sh^{all b}^e^t^h^a^t^vo^l^unt^a^r^y^c^o^nt^rⁱ^b^u^tⁱ^on^s^s^h^al^l^b^e
ⁱⁿ^di^vⁱ^du^al^s^s^h^al^l^{be al}^l^o^w^e^{d an}^{d m}^a^y^be^en^cou^r^ag^ed^f^o^{r in}^divⁱ^du^als^w^h^os^{e s}^e^lf^-^d^eclared^en^cou^r^ag^ed^f^o^{r in}^divⁱ^du^als^w^h^os^{e s}^e^lf^-
^so^licited^f^o^r^{all T}^{itle I}^I^I^ser^v^{ices p}^r^o^v^id^edⁱⁿ^com^eⁱ^s^at^or^abov^e^125%^of^t^h^{e pov}^ert^y^lⁱⁿ^e,^{declared in}^com^e^is^{at or abov}^{e 20}⁰^%^of^th^e
^th^{at th}^{e m}^e^th^o^d^o^f^so^licitin^g^coⁿ^t^rⁱ^b^u^tⁱ^oⁿ^s^an^{d m}^a^y^{be requ}^es^t^e^{d at}^con^t^ri^bu^tⁱ^oⁿ^l^e^v^e^l^s^p^o^v^e^r^t^y^lin^{e, at co}ⁿ^t^rⁱ^b^u^tioⁿ^lev^e^{ls b}^a^sed^oⁿ
ⁱ^s^no^nc^o^e^r^cⁱ^v^e^.^b^a^s^e^{d on}^th^{e actu}^a^{l cos}^t^of^s^e^rv^ices^if^th^e^th^{e actu}^a^{l cos}^t^of^s^e^rv^ices^{. (p. 52)}

^m^e^th^o^d^o^f^so^licitatioⁿ^{is n}^oⁿ^c^o^e^r^c^iv^{e. (}^p^{. 4}⁷⁾

CRS-47
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^lunt^a^r^y^co^nt^ribut^io^{ns a}^r^e^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^clarif^y^t^h^a^t^f^uⁿ^d^s^receiv^e^d^S^a^m^e^as^H^.^R^.^{5293. (p. 52)}
^supplem^ent^no^t^supplaⁿ^t^t^h^r^o^{ugh vo}^l^unt^a^r^y^c^o^nt^rⁱ^b^u^tⁱ^oⁿ^s^a^r^e^t^o
^l^{e III f}^unds^s^u^pplem^en^{t, n}^o^{t s}^u^pplan^{t, f}^uⁿ^d^s^receiv^e^d^uⁿ^d^er
^T^{itle I}^I^I^.⁽^p^{. 4}⁷⁾
^a^nda^t^o^ry^co^st^-^s^ha^ring^:^S^ectⁱ^oⁿ^{315(c) requ}ⁱ^r^es^s^t^at^{e an}^{d a}^r^e^a^T^h^{e b}^{ill w}^o^u^l^d^ad^d^r^e^f^e^r^eⁿ^{ce t}^o^ol^d^e^r^S^a^m^e^as^H^.^R^.^{5293. (p. 52)}
^rt^icipa^t^io^{n o}^f^o^l^der^ag^en^cies^{to deve}^l^o^p^plan^s^desⁱ^gⁿ^e^{d to}ⁱ^ndi^vi^dual^s^wⁱ^t^h^lⁱ^mⁱ^t^e^{d Engl}ⁱ^s^{h pr}^ofⁱ^cⁱ^e^ncy.
ⁱ^dua^{ls w}ⁱ^t^h^lim^it^ed^en^s^u^{re th}^at^c^o^s^t^-^s^h^a^rin^g^procedu^r^es^w^ill^{(p. 48)}
^{lish pro}^f^iciencyⁿ^o^{t d}^ecr^{ease p}^a^r^ticip^atioⁿⁱⁿ^T^{itle I}^I^I
^s^e^rvⁱ^ces^by^l^o^wⁱⁿ^com^e^ol^{der i}ⁿ^di^vⁱ^du^al^s
⁽^w^ith^p^a^r^ticu^l^ar^atten^tioⁿ^to^lo^wⁱⁿ^co^m^e
^mⁱⁿ^o^ri^t^yⁱⁿ^di^vⁱ^du^al^s^an^{d ol}^{der i}ⁿ^di^vⁱ^du^al^s
ⁱ^{ki/CRS-RL33660}^resⁱ^diⁿ^gⁱⁿ^ru^ral^areas^).
^g/w
^s^.or^{A st}^udy^o^f^co^st^-^s^ha^ring^S^ectⁱ^oⁿ^315(d)^r^e^q^uⁱ^r^e^s^t^h^e^A^ssi^st^an^t^T^h^{e b}^{ill w}^o^u^l^d^a^d^d^r^e^f^e^r^eⁿ^{ce to}^ol^der^S^a^m^e^as^H^.^R^.^{5293. (p. 52)}
^le^ak^Secretary^{to co}^ndu^{ct a s}^t^u^d^y^of^cos^t^-ⁱ^ndi^vi^dual^s^wⁱ^t^h^lⁱ^mⁱ^t^e^{d Engl}ⁱ^s^{h pr}^ofⁱ^cⁱ^e^ncy.
^sh^arⁱⁿ^g^to^d^e^ter^mⁱⁿ^{e its im}^p^{act o}ⁿ^{(p. 48)}
^://wiki^p^a^r^ticip^atioⁿ^r^a^{tes w}^ith^p^a^r^ticu^l^ar^atten^tioⁿ
^h^ttp^to^lo^w^-ⁱⁿ^co^m^e^an^d^mⁱⁿ^o^r^ity^o^l^d^e^rⁱⁿ^di^vⁱ^du^al^s^an^{d ol}^{der i}ⁿ^di^vⁱ^du^al^{s res}ⁱ^diⁿ^g
ⁱⁿ^ru^{ral areas}^.
^L^LO^WA^B^L^{E TITLE III}^S^ectⁱ^oⁿ^{321(a) requ}ⁱ^r^es^t^h^{e A}^s^sⁱ^st^an^t^T^h^{e b}^{ill w}^o^u^l^d^ch^an^g^e^th^{e r}^e^f^e^r^eⁿ^{ces f}^o^r^th^e^Sⁱ^mⁱ^l^a^r^t^o^H^.^R^.^{5293, bu}^t^doesⁿ^o^tⁱⁿ^cl^u^d^e
^IVE^SE^RVICE^S^Secret^ary^{to carry}^ou^{t a prog}^ram^f^o^r^f^o^l^l^o^wⁱⁿ^g^s^u^pportⁱ^v^{e s}^e^rvⁱ^ces^uⁿ^d^{er S}^ectⁱ^oⁿ^ch^an^g^e^t^o^t^h^{e S}^O^S^prog^ram^.^{(p. 53)}

^m^a^kⁱⁿ^g^g^r^an^ts^{to s}^t^ates^u^{nder s}^t^{ate plan}^s^{321(a) t}^o^read:
^approv^{ed u}ⁿ^d^er^s^ectⁱ^oⁿ^{307 f}^o^{r s}^u^pportⁱ^v^e^s^ervⁱ^ces^desⁱ^gⁿ^e^d^{to prov}^{ide h}^ealth^s^c^reenⁱⁿ^g
^s^e^r^vⁱ^ces^lⁱ^s^t^e^{d i}ⁿ^{321(a)(1) t}^h^rou^g^h⁽ⁱ^ncl^udi^{ng m}^e^nt^al^heal^t^h^s^c^r^eeni^ng)^;
^321(a)(23).^s^ervⁱ^ces⁽ⁱⁿ^c^l^udi^{ng as}^sⁱ^s^tⁱ^{ve t}^echnol^ogy
^devi^ces^{and as}^sⁱ^s^tⁱ^{ve t}^echnol^{ogy s}^e^rvⁱ^ces⁾
^desi^gⁿ^e^{d t}^o^m^eet^t^h^{e u}ⁿⁱ^qu^{e n}^eeds^of^ol^der
ⁱⁿ^di^vⁱ^du^al^s^w^h^{o are}^di^s^a^bl^{ed, an}^{d ol}^der
ⁱⁿ^di^vⁱ^du^al^s^w^h^{o prov}ⁱ^d^{e u}ⁿ^c^om^pen^s^at^ed^care
^to^th^eir^ad^u^{lt ch}^ild^r^eⁿ^w^ith^dⁱ^sab^{ilities; an}^d
^e^f^f^ectiv^{e r}^e^f^e^r^r^{al to}^ex^istin^g^h^ealth⁽ⁱ^ncl^udi^ng
^m^e^nt^al^heal^t^h⁾^,^e^m^p^l^o^y^m^e^nt^,^ho^usi^ng,^l^e^ga^l^,
^con^s^u^m^{er, tr}^an^s^portation^,^an^{d oth}^e^{r s}^e^rv^ices
^{(related to Sen}ⁱ^or^Opportuⁿ^ities^an^{d Serv}^ices

CRS-48
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^(S^OS^{)). (p. 48)}
^T^h^{e b}^{ill w}^o^u^l^d^ad^d^th^{e f}^o^llo^wⁱⁿ^g^{as n}^e^w
^allow^a^{ble s}^e^rv^ices^:
^s^ervⁱ^ces^d^e^sⁱ^gⁿ^e^{d t}^o^s^u^pport^s^t^at^es^{, area}
^ag^en^cies^on^agⁱⁿ^g^,^an^{d local s}^e^rv^{ice prov}^iders
^carry^ou^{t and}^coordin^a^{te, w}^ith^res^p^{ect to}
^m^eⁿ^t^al^h^e^alth^ser^v^{ices, activ}^{ities in}^clu^dⁱⁿ^g
^ou^treach^{, edu}^c^a^tion^,^s^c^reenⁱⁿ^g^,^an^{d ref}^e^rral
^f^o^{r t}^r^eat^m^eⁿ^t^of^ol^{der i}ⁿ^di^vⁱ^du^al^s^;^an^d
^activ^{ities to}^p^r^o^m^o^t^{e an}^d^dⁱ^ssemⁱⁿ^a^te
ⁱⁿ^f^o^r^m^atioⁿ^ab^o^u^{t lif}^e-^loⁿ^g^learⁿⁱⁿ^g^p^r^o^g^r^a^m^s
ⁱ^{ki/CRS-RL33660}
^g/w^It^al^s^o^m^a^kes^ot^h^e^{r t}^echⁿⁱ^cal^an^{d coordi}ⁿ^a^tⁱ^oⁿ
^s^.or^ch^an^g^e^s^.^{(p. 49)}
^le^ak
^RIT^I^{ON SE}^RVICE^S
^://wiki
^h^ttp^r^it^io^{n serv}^ices:^purpo^{se o}^f^ervices^No^prov^is^ion^.^T^h^{e bill}^w^o^ul^d^a^d^d^{a n}^e^w^pu^rpos^{e to T}^itle^III,^Nu^tr^itioⁿ^Ser^v^{ices, as f}^o^llo^w^s^:^T^h^{e bill w}^o^u^l^{d add a n}^e^w^pu^rpos^{e to T}^{itle III,}^Nu^tr^itioⁿ^Ser^v^{ices, as f}^o^llo^w^s^:

^Itⁱ^s^t^h^{e pu}^rpos^{e of}^t^hⁱ^s^p^a^rt^t^o^prom^ot^e^Itⁱ^s^t^h^{e pu}^rpos^{e of}^t^hⁱ^s^part^t^o^p^r^om^ot^e
^s^o^cializatioⁿ^an^d^th^{e h}^ealth^an^d^w^e^ll-^b^eⁱⁿ^g^o^f^so^cializatioⁿ^an^d^th^{e h}^ealth^an^d^w^e^ll-^b^eⁱⁿ^g^o^f
^ol^d^e^rⁱⁿ^di^vⁱ^du^al^s^by^as^sⁱ^s^tⁱⁿ^g^s^u^chⁱⁿ^di^vⁱ^du^al^s^ol^derⁱⁿ^di^vⁱ^du^al^{s b}^y^a^ssi^stⁱ^{ng su}^ch
^{to g}^aⁱⁿ^acces^s^{to dis}^eas^{e prev}^en^tion^an^{d h}^ealthⁱⁿ^dⁱ^vⁱ^d^u^{als to}^g^aⁱⁿ^{access to}ⁿ^u^t^ritioⁿ
^p^r^o^m^o^tioⁿ^ser^v^{ices (}ⁱⁿ^c^lu^dⁱⁿ^gⁱⁿ^f^o^r^m^atioⁿ^,^s^e^r^v^{ices to}^d^e^lay^th^{e o}ⁿ^{set o}^f^ad^v^e^r^s^{e h}^ealth
ⁿ^u^t^r^itioⁿ^ser^v^{ices, an}^d^p^r^o^g^r^a^m^s^o^f^p^h^y^sⁱ^c^a^l^coⁿ^d^itioⁿ^s^{. (}^p^{. 5}⁴⁾
^activ^ity⁾^to^d^e^lay^th^e^oⁿ^set^o^f^h^ealth^coⁿ^d^itioⁿ^s
^res^u^ltin^g^f^r^om^{poor n}^u^t^rition^a^{l he}^a^lth^or
^s^e^den^t^ary^beh^a^vⁱ^{or. (p. 50)}
^ervices^{: nutrition}^Section^{331 allow}^sⁿ^u^t^rition^proj^ects^to^T^h^{e b}^ill^w^o^u^l^d^sp^ecif^y^th^{at n}^u^t^r^itioⁿ^p^r^o^j^ects^S^a^m^e^as^H^.^R^.^{5293. (p. 54)}

^t^ioⁿ^p^r^o^v^id^{e n}^u^t^r^itioⁿ^ed^u^cati^oⁿ^ser^v^{ices an}^d^ar^{e to}^p^r^o^v^id^{e n}^u^t^r^itioⁿ^ed^u^catioⁿ^,ⁿ^u^t^r^itioⁿ
^o^t^h^e^r^ap^p^r^o^p^r^{iate n}^u^t^r^itioⁿ^ser^v^ices.^c^o^unse^lⁱ^ng,^aⁿ^d^o^t^he^r^nut^rⁱ^tⁱ^o^{n se}^r^vⁱ^c^e^s^,^a^s
^appropri^a^t^e^bas^e^{d on}^t^h^{e n}^e^e^d^{s of}^m^eal
^p^a^r^ticip^an^{ts. (}^p^{. 5}¹⁾

CRS-49
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^ervices^:^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^a^l^l^o^wⁿ^u^t^r^itioⁿ^p^r^o^j^e^c^t^s^t^o^N^o^provⁱ^sⁱ^oⁿ^.
^u^lt^iv^it^a^m^in-^m^inera^l^p^r^o^v^id^{e a m}^u^ltiv^itamⁱⁿ^-^mⁱⁿ^e^r^a^l^su^p^p^l^em^en^t,
^ent^s^aloⁿ^g^w^ith^{a m}^{eal, to}^p^a^r^ticip^an^{ts. (}^p^{. 5}¹⁾
^ervices^{: hom}^e^-^S^ectⁱ^oⁿ^{336 r}^e^q^uⁱ^r^e^s^t^h^e^A^ssi^st^an^t^T^h^{e b}^{ill w}^o^u^l^d^ad^d^r^e^f^e^r^eⁿ^{ce to}^fresh^f^{ood. It}^S^a^m^e^as^H^.^R^.^{5293. (p. 55)}
^ervices^Secretary^{to es}^tablis^h^t^h^{e h}^o^m^e^-^d^eliv^ered^w^o^u^l^d^also^d^e^{lete th}^{e r}^e^f^e^r^eⁿ^{ce to}⁽^w^ith^a
ⁿ^u^t^r^itioⁿ^p^r^o^g^r^a^m^w^h^ich^{is to}^p^r^o^v^id^e^at^sa^tisfa^cto^r^{y sto}^r^a^g^e^life)^.^{(p. 51)}
^leas^{t on}^e^h^o^m^e^-^d^eliv^ered^h^o^{t, cold, f}^r^ozen^,
^dri^e^{d, can}ⁿ^e^d^or^s^u^ppl^em^en^t^a^l^f^oods^(wⁱ^t^h
^{a s}^a^tis^f^actory^s^t^orag^{e lif}^{e) m}^{eal per day}^.
^nsult^a^tⁱ^oⁿ^wⁱ^t^h^nut^ritⁱ^oⁿ^S^ectⁱ^oⁿ^{337 r}^e^q^uⁱ^r^e^s^t^h^e^A^ssi^st^an^t^T^h^{e b}^{ill w}^o^u^l^d^elimⁱⁿ^{ate r}^e^f^e^r^eⁿ^{ce to}^p^a^r^ticu^l^ar^S^a^m^e^as^H^.^R^.^{5293. (p. 55)}
ⁱ^{ki/CRS-RL33660}^perts^Secretary^{to con}^s^u^{lt w}^ith^repres^en^tativ^es^org^aⁿⁱ^zation^s^an^{d in}^s^t^{ead w}^o^u^l^{d s}^p^ecify^th^at
^g/w^fr^o^m^va^rⁱ^o^u^{s na}^m^e^d^o^r^gaⁿⁱ^z^a^tⁱ^o^{ns t}^o^t^h^e^A^ssistan^{t Secr}^etar^y^{is to}^coⁿ^s^u^{lt w}^ith
^s^.or^dev^e^{lop m}ⁱⁿⁱ^m^u^m^{criteria of}^ef^fⁱ^cieⁿ^cy^ex^p^e^r^t^{s in}^th^{e f}ⁱ^eld^o^fⁿ^u^t^r^itioⁿ^scien^ce,
^le^ak^an^d^q^u^ality^f^o^r^h^o^m^e^-^d^eliv^er^ed^m^eals^di^et^etⁱ^c^s^,^m^eal^pl^anⁿⁱⁿ^g^an^{d f}^ood^se^rvⁱ^c^e
^s^e^rv^ices^{, in}^clu^dⁱⁿ^g^th^e^Am^erican^Dietetic^m^a^na^ge^m^e^nt^,^aⁿ^d^a^gⁱ^ng.⁽^p^.⁵²⁾
^://wiki^A^sso^cⁱ^a^tⁱ^o^n,^a^m^o^{ng o}^t^he^r^s^.
^h^ttp^I^t^also^r^e^q^u^ir^{es th}^{at th}^{e cr}^iterⁱ^a^t^a^k^eⁱⁿ^to^T^h^{e b}^{ill w}^o^u^l^d^d^e^{lete th}^{is r}^e^q^u^ir^em^en^t.^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^acco^uⁿ^t^th^{e ab}^ility^o^f^est^a^b^l^ish^e^d^h^o^m^e
^deliv^{ered m}^eals^prog^ram^s^{to con}^tin^u^e^th^es^e
^ser^v^{ices w}^ith^o^u^t^m^a^j^o^r^alter^a^tioⁿⁱⁿ^th^e
^s^e^rv^ices^.
^a^t^{e respo}^nsibilit^y^t^o^o^b^t^aⁱⁿ^S^e^c^tⁱ^oⁿ^{339 requ}ⁱ^r^es^{a s}^t^at^{e t}^o^s^o^lⁱ^cⁱ^t^t^h^e^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{e state to}^so^{licit th}^e^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R.^{5293, bu}^t^doesⁿ^o^t^ref^e^{r t}^o
^pertis^{e of a dietician}^advⁱ^s^e^of^a^dⁱ^e^tⁱ^cⁱ^aⁿ^{or an}ⁱⁿ^di^vⁱ^du^al^wⁱ^t^h^advⁱ^s^e^of^{a di}^etⁱ^cⁱ^aⁿ^{or ot}^h^e^{r i}ⁿ^di^vⁱ^du^al^with^equi^val^e^nt^edu^cation^an^{d train}ⁱⁿ^g^.^{(p. 56)}
^com^p^arabl^e^e^x^pertis^{e in}^th^{e plan}ⁿⁱⁿ^g^of^e^qui^val^e^nt^educatⁱ^{on and t}^r^aiⁿⁱ^{ng i}ⁿ^nut^rⁱ^tⁱ^oⁿ
ⁿ^u^t^r^itioⁿ^a^{l ser}^v^ices.^sc^ieⁿ^c^e^{, or}^an^oth^e^{r in}^divⁱ^du^{al w}^ith^com^p^arable
^ex^pertⁱ^s^{e. (p. 52)}
^a^r^y^G^u^{idelines f}^o^r^S^ectⁱ^oⁿ^{339 req}^uⁱ^r^es^t^h^at^m^eal^s^com^p^l^y^T^h^{e b}^{ill w}^o^u^l^d^s^p^e^c^if^y^th^{at th}^{e Gu}^id^elin^{es b}^e^S^a^m^e^as^H^.^R^.^{5293. (p. 53)}
^ericans^w^ith^th^{e Dietary}^Gu^idelin^es^f^o^{r A}^m^erican^s^.^th^e^mos^t^r^ecent^{. (p. 53)}
^{It als}^o^ref^e^rs^{to th}^{e daily}^reco^m^m^eⁿ^d^ed^T^h^{e b}^{ill w}^o^u^l^d^ch^an^g^e^th^{e r}^e^f^e^r^eⁿ^{ce to}^di^et^ar^y^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.

^dietary^allow^aⁿ^ces^.^referen^{ce in}^ta^kes.^{(p. 53)}

CRS-50
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
ⁿ^{tergenerational m}^e^als^Nu^tr^itioⁿ^p^r^o^j^{ects ar}^{e to}^en^c^o^u^r^a^g^e^T^h^{e b}^{ill w}^o^u^l^d^clar^if^y^t^h^{at th}^{ese ar}^r^aⁿ^g^e^m^eⁿ^t^s^R^e^f^e^rs^t^o^j^oⁱⁿ^t^prog^ram^s^bu^tⁿ^o^ref^e^ren^{ce t}^o
^a^r^r^a^nge^m^e^nt^{s w}ⁱ^t^h^sc^ho^o^l^{s a}ⁿ^d^o^t^he^r^{are to be don}^e^joⁱⁿ^tly^wⁱ^t^h^s^c^hool^s^an^{d ot}^h^e^r^s^h^{ared in}^terg^en^eration^a^{l prog}^ram^s^{. (p. 56)}
^f^{acilities to}^p^r^o^m^o^t^{e in}^ter^g^en^er^atioⁿ^a^l^f^{acilities an}^d^ar^{e to}^b^e^s^har^edⁱⁿ^ter^g^en^er^atioⁿ^a^l
^m^eal^s^prog^ram^s^.^m^eal^s^prog^ram^s^{. (p. 53)}
^creening,^Section^339(2)(J^{) requ}ⁱ^r^es^th^{at n}^u^t^rition^T^h^{e b}^{ill w}^o^u^l^d^also^r^e^q^uⁱ^r^eⁿ^u^tr^itioⁿ^S^a^m^e^as^H^.^R^.^{5293. (p. 57)}
^t^io^{n a}^{nd a}^ssessm^ent^p^r^o^j^{ects p}^r^o^v^id^{e f}^o^rⁿ^u^t^r^itioⁿ^scr^eenⁱⁿ^g^,^a^sse^ssmeⁿ^t^{. (p. 54)}
^an^d^,^w^h^er^{e ap}^p^r^o^p^r^{iate, n}^u^t^r^itioⁿ^ed^u^catioⁿ
^aⁿ^d^c^o^unse^lⁱ^ng.
^l^uenza^a^{nd o}^t^her^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^en^co^u^r^ag^e^p^r^o^f^e^s^sⁱ^oⁿ^a^l^s^w^h^o^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293, bu}^t^w^o^u^l^{d add}
ⁿ^a^ti^on^s^dⁱ^strⁱ^b^u^{te h}^o^m^e^-^d^eliv^e^r^ed^m^{eals to}^p^r^o^v^id^e^r^e^f^e^r^eⁿ^{ce to}ⁱⁿ^f^o^r^m^atioⁿ^ab^o^u^{t p}ⁿ^eu^m^oⁿⁱ^a
ⁱ^{ki/CRS-RL33660}ⁱⁿ^fo^r^m^a^tⁱ^o^{n t}^o^ho^m^e^b^o^und^seⁿⁱ^o^r^s^oⁿ^ho^w^t^o^an^{d s}^hⁱⁿ^g^l^es^v^accin^a^tion^s^{. (p. 57)}
^g/w^g^e^t^anⁱⁿ^f^l^u^eⁿ^{za v}^accin^a^tionⁱⁿ^th^{eir local}^areas^.
^s^.or^{(p. 54)}
^le^ak^val^u^a^ti^on^{of th}^{e N}^u^tri^tⁱ^oⁿ^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{e A}^ssistan^t^S^e^c^r^e^t^ar^y^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293, w}ⁱ^t^h^s^o^m^e^s^lⁱ^g^h^t^l^y
^://wiki^t^o^use^fund^s^se^t^a^sⁱ^d^e^fo^r^e^v^a^l^ua^tⁱ^o^{n t}^o^c^o^nd^uc^t^an^ev^id^en^ce-^b^a^sed^e^v^alu^a^tioⁿ^o^f^th^{e n}^u^t^r^itioⁿ^di^f^f^e^ren^t^w^o^rdiⁿ^g^.^{(p. 57)}
^h^ttp^prog^ram^.^T^hⁱ^s^w^o^u^l^{d be und}^e^r^{a con}^t^ract^wⁱ^t^h
^th^{e Food an}^{d Nu}^trition^B^o^{ard of}^th^{e In}^s^titu^{te of}
^Medicin^e^.
^T^h^e^st^ud^y^w^o^ul^dⁱⁿ^c^l^ud^e^:
^aⁿ^ev^alu^a^tⁱ^oⁿ^o^f^th^{e ef}^f^{ect o}^fⁿ^u^t^r^itioⁿ
^p^r^o^j^{ects o}ⁿ^th^{e h}^ealth^an^dⁿ^u^t^r^itioⁿ^statu^s^o^f
^p^a^r^tⁱ^cⁱ^p^aⁿ^t^s^,^p^r^e^v^eⁿ^tⁱ^oⁿ^o^f^hunge^r^aⁿ^d^fo^o^d
ⁱⁿ^secu^r^ity^{, an}^d^ab^ility^o^f^p^a^r^ticip^an^{ts to}
^r^e^m^aⁱⁿ^livⁱⁿ^gⁱⁿ^d^e^p^eⁿ^d^en^tly^;
^a^co^st-^b^en^ef^{it an}^aly^s^{is o}^fⁿ^u^t^r^itioⁿ^p^r^o^j^ects,
ⁱⁿ^clu^dⁱⁿ^g^th^{eir poten}^tia^l^t^o^af^f^{ect cos}^t^s^of
^{Medicaid; an}^d
^r^e^c^o^m^m^e^nd^a^tⁱ^o^{ns o}ⁿ^ho^w^nut^rⁱ^tⁱ^o^{n p}^r^o^j^e^c^t^s^D^o^e^sⁿ^o^t^r^e^f^e^r^t^o^vi^t^a^mⁱ^n-mⁱ^ne^r^a^l
^m^a^y^{be m}^odi^fⁱ^{ed t}^oⁱ^m^prov^{e ou}^t^c^om^es^{, and}^su^p^p^l^em^en^tatioⁿ^.

^f^o^r^im^p^r^o^vⁱⁿ^gⁿ^u^t^r^itioⁿ^a^{l q}^u^ality^o^f^m^eals^an^d
^o^t^h^e^r^p^o^t^en^{tial str}^a^tegⁱ^{es to}^im^p^r^o^v^{e th}^e
ⁿ^u^t^r^itioⁿ^a^{l statu}^s^o^f^p^a^r^ticip^an^{ts, in}^clu^dⁱⁿ^g

CRS-51
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^v^itamⁱⁿ^-^mⁱⁿ^e^r^a^{l su}^p^p^l^em^en^tatioⁿ^.
^T^h^{e I}ⁿ^stitu^{te o}^f^Medⁱ^cin^e^w^o^u^l^d^b^e^r^e^q^u^ir^ed^to^S^a^m^e^as^H^.^R^.^{5293 (p. 59)}
^es^t^a^blⁱ^s^h^{a pan}^e^l^of^ex^pert^s^wⁱ^t^hⁱⁿ^{90 day}^s^of
^th^e^bⁱ^l^l^’^s^en^actm^eⁿ^t^{. T}^h^{e pan}^e^{l w}^o^u^l^{d be}
^r^e^q^u^ir^ed^to^su^b^m^{it th}^e^r^e^p^o^r^t^to^th^{e A}^ssistan^t
^Secretary^wⁱ^t^hⁱⁿ^{24 m}^oⁿ^t^h^s^of^en^actm^eⁿ^t^{. In}
^ad^d^itioⁿ^,^t^h^{e A}^ssistan^{t Secr}^etar^y^w^o^u^l^d^b^e
^r^e^q^u^ir^ed^to^su^b^m^{it a r}^e^p^o^r^{t o}ⁿ^th^{e f}ⁱⁿ^dⁱⁿ^g^s^to
^th^{e Hou}^s^{e C}^o^m^m^{ittee on}^Edu^cation^an^{d th}^e
^W^o^rk^f^o^{rce of}^th^{e Hou}^s^{e an}^{d th}^{e Sen}^a^te
^Co^m^m^{ittee o}ⁿ^Health^{, Ed}^u^catioⁿ^,^L^a^b^o^r^an^d
ⁱ^{ki/CRS-RL33660}^Pen^sⁱ^oⁿ^s^of^t^h^{e S}^eⁿ^a^t^e^{. (pp. 54-}⁵⁶⁾
^g/w
^s^.or^pro^vⁱ^ng^indo^o^r^aⁱ^{r qua}^lit^y^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^uⁱ^r^{e th}^{e A}^ssistan^t^Secr^etar^y^S^a^m^e^as^H^.^R^.^{5293. (p. 60)}
^le^ak^h^{ere s}^e^niors^to^w^o^r^kⁱⁿ^coⁿ^s^u^ltatioⁿ^w^ith^q^u^alif^ied^ex^p^e^r^t^s^to
^provⁱ^d^{e i}ⁿ^f^o^rm^atⁱ^oⁿ^on^m^e^t^h^ods^ofⁱ^m^pr^o^vⁱⁿ^g
^://wikiⁱⁿ^{door air qu}^alityⁱⁿ^bu^ildin^g^s^w^h^{ere s}^eⁿⁱ^ors
^h^ttp^con^g^r^eg^{ate. (p. 56)}
^G^I^VE^{R SUPPORT}^PROG^RAM
ⁿⁱ^ti^on^s
^D^e^fⁱⁿ^e^s^c^hⁱ^l^d^as^anⁱⁿ^di^vⁱ^du^al^w^h^{o i}^s¹⁸^T^h^{e b}^{ill w}^o^u^l^d^d^e^fⁱⁿ^e^ch^ild^{as an}ⁱⁿ^dⁱ^vⁱ^d^u^al^T^h^{e d}^e^fⁱⁿ^itioⁿ^o^f^c^h^ild^w^o^u^l^{d be am}^en^{ded t}^o
^y^e^a^r^{s o}^r^y^o^unge^r^.^w^h^oⁱ^s¹⁸^o^r^y^o^unge^r^or^{an i}^ndi^vi^dual^wⁱ^t^h^aⁱⁿ^clu^d^{e an}^ad^u^{lt ch}^ild^w^ith^m^eⁿ^t^al^r^e^tar^d^atioⁿ
^dⁱ^sa^b^ility.^{(p. 56)}^o^r^a^r^e^lated^d^e^v^e^lo^p^m^en^{tal d}ⁱ^sab^ility^{. (}^p^.⁶⁰⁾
^{ily caregiver}^Defⁱⁿ^e^s^f^a^m^ily^careg^iv^{er as}^an^adu^lt^f^a^m^ily^T^h^{e b}^{ill w}^o^u^l^d^ad^d^to^th^{e d}^e^fⁱⁿ^itioⁿ^,^car^eg^iv^er^T^h^{e b}^{ill w}^o^u^l^d^ad^d^t^o^th^{e d}^e^fⁱⁿ^itioⁿ^,
^m^e^m^b^{er, or an}^ot^h^e^{r i}ⁿ^di^vⁱ^du^al^w^h^{o i}^s^an^of^anⁱⁿ^divⁱ^du^{al w}ⁱ^t^h^Alzh^eim^e^r’^s^dis^eas^{e or a}^careg^iv^{er of}^anⁱ^ndivⁱ^du^{al w}^ith^A^l^zh^eim^e^r’^s
ⁱⁿ^f^o^rm^a^l^provⁱ^d^{er of}ⁱⁿ^-^h^om^{e an}^d^rel^a^t^e^{d di}^s^o^{rder w}ⁱ^t^h^ne^u^r^ol^ogⁱ^cal^an^{d org}^aⁿⁱ^c^dⁱ^se^a^s^e^,^o^r^{a r}^e^lated^dⁱ^so^r^d^er^w^ith
^com^m^uⁿ^ity^{care to an}^{older in}^divⁱ^du^al.^b^r^aⁱ^{n d}^y^sfunc^tⁱ^o^n.⁽^p^.⁵⁶⁾^ne^ur^o^l^o^gⁱ^c^a^l^aⁿ^d^o^r^gaⁿⁱ^c^b^r^aⁱ^{n d}^y^sfunc^tⁱ^o^n,
^w^h^{o i}^s^{50 y}^ears^of^ag^{e or ol}^{der. (p. 60)}
^r^a^ndpa^rent^o^r^o^l^der^D^e^fⁱⁿ^e^s^g^r^an^dparen^t^{or ol}^{der i}ⁿ^di^vⁱ^du^al^T^h^{e b}^{ill w}^o^u^l^d^ch^an^g^e^th^{e ag}^{e to}⁵⁵^y^ear^{s an}^d^S^a^m^e^a^s^H^.^R^.^{5293 reg}^a^rdiⁿ^g^ag^{e of}
^dⁱ^vi^d^u^a^l^w^h^{o i}^s^{a rel}^ati^v^e^w^h^{o is}^{a relativ}^{e careg}ⁱ^v^e^r^as^a^ol^{der. (p. 56)}^gr^aⁿ^d^p^a^r^e^nt^s.
^g^r^aⁿ^d^p^a^ren^t^w^h^{o i}^s^{60 an}^{d ol}^{der (am}^oⁿ^g
^o^t^he^r^t^hⁱ^ngs)^.^I^t^also^am^en^d^s^th^{e d}^e^fⁱⁿ^itioⁿ^to^sp^ecif^y^th^{at a}

CRS-52
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^chⁱ^l^d^of^{a g}^r^an^dparen^t^{or s}^t^ep-^g^ran^dparen^t
^careg^iv^{er in}^clu^d^es^an^adu^lt^ch^{ild w}^ith^m^eⁿ^t^al
^r^e^tar^d^atioⁿ^o^r^{a r}^e^lated^d^e^v^e^lo^p^m^en^tal
^dⁱ^sab^ility^{. I}^t^alsoⁱⁿ^clu^d^{es a ch}^ild^w^h^o^is
^adopt^{ed. (p. 61)}
^e^lo^pm^ent^a^{l disa}^bilit^y^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^e^b^{ill ad}^d^s^{a d}^e^fⁱⁿ^itioⁿ^o^f^d^e^v^e^l^o^p^m^eⁿ^tal
^dⁱ^sa^b^ility^an^d^r^e^f^e^r^s^to^th^{e d}^e^fⁱⁿ^itioⁿⁱⁿ
^S^ectⁱ^oⁿ¹⁰²^o^f^t^h^{e D}^e^v^e^l^opm^en^t^a^l
^Disab^{ilities A}^ssistan^{ce an}^d^B^{ill o}^f^Rig^h^t^s^A^c^t
^of^{2000. (p. 61)}
ⁱ^{ki/CRS-RL33660}^rt^serv^{ices f}^o^r^S^ectⁱ^oⁿ^{373 i}ⁿ^cl^u^d^es^as^on^{e of}^t^h^{e s}^u^pport^T^h^{e b}^{ill w}^o^u^l^d^ad^d^r^e^f^e^r^eⁿ^{ce to}^assistⁱⁿ^g^S^a^m^e^as^H^.^R^.^{5293. (p. 61)}
^g/w^s^e^rv^ices^f^o^{r careg}ⁱ^v^e^r^s^,ⁱⁿ^dⁱ^vi^d^u^a^l^careg^iv^ers^wⁱ^t^h^heal^t^h^{, nut}^rⁱ^tⁱ^on,^and^fⁱ^nanci^a^l
^s^.or^couⁿ^s^elⁱⁿ^g^,^org^aⁿⁱ^zatⁱ^oⁿ^of^s^u^pport^litera^{cy issu}^es^{. (p. 57)}
^le^ak^s^e^rv^ices^g^r^ou^ps^{, an}^{d careg}^iv^{er train}ⁱⁿ^g^to
^careg^iv^ers^{to as}^sⁱ^s^t^themⁱⁿ^m^a^kⁱⁿ^g
^://wiki^deci^sⁱ^on^s^an^{d s}^o^l^vⁱⁿ^g^probl^em^s^rel^a^tⁱⁿ^g^t^o
^h^ttp^th^{eir careg}^ivⁱⁿ^g^roles^.
^Sectioⁿ³⁷³^stip^u^l^{ates th}^{at in}^p^r^o^v^idⁱⁿ^g^No^ch^an^g^eⁱⁿ^cu^r^r^en^{t law}^.^T^h^e^b^ill^ad^d^s^aⁿ^e^w^p^r^o^v^isioⁿ^stip^u^l^atin^g^th^at
^vⁱ^ding^ca^{re t}^o^o^l^der^ser^v^{ices, p}^r^io^r^ity^{is to}^b^e^gⁱ^v^eⁿ^to^ser^v^icesⁱⁿ^p^r^o^v^idⁱⁿ^g^ser^v^{ices f}^o^r^f^a^m^ily^car^eg^iv^er^s,
ⁱ^dua^ls^to^{older in}^divⁱ^du^als^w^ith^th^{e g}^r^eates^{t s}^o^cial^th^{e st}^a^t^{e is r}^e^q^u^ir^ed^to^gⁱ^v^e^p^r^io^r^ity^f^o^r
^an^{d econ}^o^mⁱ^{c n}^e^e^d^an^{d th}^os^{e prov}^idin^g^s^e^rv^ices^{to f}^a^m^ily^careg^iv^ers^w^h^{o prov}^ide
^{care to pers}^on^s^w^ith^m^eⁿ^t^al^{care t}^o^ol^{der i}ⁿ^di^vⁱ^du^al^s^.^{(p. 62)}
^r^e^tar^d^atioⁿ^/^d^e^v^e^lo^p^m^en^{t d}ⁱ^sab^ilities.
^oordⁱⁿ^a^ti^on^wⁱ^th^vol^uⁿ^t^eer^S^ectⁱ^oⁿ^{373(d) re}^q^uⁱ^r^es^{area ag}^en^ci^es^on^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e ar}^{ea ag}^en^{cies to}^S^a^m^e^as^H^.^R^.^{5293. (p. 62)}

^ervices^agⁱⁿ^g^t^o^coordiⁿ^a^t^e^t^h^{e careg}ⁱ^v^{er s}^u^pport^enc^o^urag^{e th}^{e u}^s^{e of}^train^e^{d v}^o^luⁿ^t^eers^to
^prog^ram^w^ith^oth^e^{r com}^m^uⁿ^ity^ag^en^cies^ex^pan^d^av^{ailable careg}^iv^{er s}^u^p^{port s}^e^rv^ices^,
^aⁿ^d^vo^l^unt^a^r^y^o^r^gaⁿⁱ^z^a^tⁱ^o^ns.^an^{d t}^o^coordiⁿ^a^t^e^{, i}^f^pos^sⁱ^bl^{e, w}ⁱ^t^h^vol^uⁿ^t^eer
^prog^ram^s⁽ⁱⁿ^c^l^u^diⁿ^g^prog^ram^s^admⁱⁿⁱ^s^t^{ered by}
^th^{e Co}^r^p^o^r^atioⁿ^f^o^r^Natioⁿ^a^{l S}^e^r^v^ice)^to
^prov^{ide train}ⁱⁿ^g^,^placem^en^{t, an}^{d s}^tipen^ds^f^o^r
^v^o^luⁿ^t^eer^{s in}^co^m^m^uⁿ^ity^ser^v^{ice settin}^g^s^.
^{(p. 57)}

CRS-53
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^{on caregiver}^T^h^{e state is r}^e^q^u^ir^ed^to^su^b^m^it^r^e^p^o^r^{ts to}^T^h^{e b}^{ill w}^o^u^l^d^ad^d^{a r}^e^q^u^ir^em^en^{t th}^{at th}^e^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293, bu}^t^wⁱ^t^h^s^lⁱ^g^h^t^l^y
^r^ogram^th^{e A}^s^sⁱ^s^t^an^{t Se}^cretary^,^as^requ^{ired by}^th^e^reports^m^u^s^t^des^c^{ribe an}^y^m^ech^an^is^m^u^s^{ed in}^di^f^f^e^ren^t^w^o^rdiⁿ^g^.^{(p. 62)}
^A^s^sⁱ^s^t^an^{t Secretary}^.^th^e^s^t^{ate to prov}^{ide f}^a^m^ily^careg^iv^ers^of^an
^{older in}^divⁱ^du^{al an}^{d relativ}^{e careg}^iv^er^s^of^a
^ch^ild^o^r^an^ad^u^{lt ch}ⁱ^l^d^w^ith^{a d}ⁱ^sab^ility^,
ⁱⁿ^f^o^rm^ation^abou^{t an}^d^acces^s^{to v}^a^riou^s
^s^e^rv^ices^s^o^th^{at careg}^iv^ers^can^{better carry}^ou^t
^th^eir^car^{e r}^e^sp^oⁿ^sib^{ilities. (}^p^{. 5}⁷⁾
ⁱ^mⁱ^tati^on^on^fed^eral^an^d^S^ectⁱ^oⁿ^374(g⁾^s^tⁱ^p^u^l^at^es^t^h^at^{a s}^t^at^{e m}^a^y^T^h^e^b^{ill w}^o^u^l^d^clar^if^y^th^{at th}^{e lim}^itatioⁿ^ap^p^lies^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^n-^f^e^dera^{l f}^{unds f}^o^{r rela}^t^iv^eⁿ^o^t^u^s^e^m^o^re^t^h^an^10%^of^f^e^deral^an^dⁿ^oⁿ^-^{to relativ}^{e careg}^iv^ers^of^ch^ildren^ag^{e 1}⁸^or
^ervices^f^e^d^e^r^a^{l f}^uⁿ^d^{s to}^s^u^p^p^o^r^t^ser^v^{ices to}^y^o^unge^r^.⁽^p^.⁵⁸⁾
ⁱ^{ki/CRS-RL33660}^g^r^an^dparen^t^s^an^{d ol}^{der i}ⁿ^di^vⁱ^du^al^s^w^h^o^are
^g/w^relativ^{e careg}^iv^ers^.
^s^.or
^le^ak^s^{of n}^a^ti^on^al^Se^ctⁱ^oⁿ^{376 requ}ⁱ^r^es^t^h^{e A}^s^sⁱ^s^t^aⁿ^t^T^h^{e b}^{ill w}^o^u^l^d^r^e^p^{eal th}^{is sectio}ⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^a^llo^w^th^{e A}^s^sⁱ^s^t^an^t^Secretary
ⁿ^if^icaⁿ^ce^Secr^etar^y^to^car^r^y^o^u^{t activ}^ities^o^fⁿ^a^tioⁿ^a^l^t^o^s^u^pport^:
^://wiki^sigⁿⁱ^fⁱ^can^ce^to^p^r^o^m^o^t^{e q}^u^ality^an^d^m^u^ltig^en^er^atioⁿ^a^{l p}^r^o^g^r^a^m^s^{, in}^clu^dⁱⁿ^g
^h^ttp^con^tⁱⁿ^u^o^u^sⁱ^m^prov^em^en^tⁱⁿ^s^u^pport^p^r^o^v^id^ed^to^f^a^m^ily^an^d^o^t^h^e^rⁱⁿ^f^o^r^m^al^s^u^pport^s^f^o^{r g}^r^andparen^t^s^an^{d ot}^h^e^{r ol}^der^r^e^l^a^tⁱ^v^e^s^r^aⁱ^sⁱ^{ng c}^hⁱ^l^d^r^e^{n (}^s^uc^{h a}^s^kⁱ^nshi^p
^car^eg^iv^er^{s. T}^h^{is p}^r^o^v^isioⁿ^w^a^s^suⁿ^s^ettedⁿ^a^vⁱ^g^a^t^o^{r prog}^ram^s^{) an}^{d t}^h^os^{e t}^h^at^s^u^s^t^aiⁿ
ⁱⁿ^F^Y^2003.^an^d^r^e^p^{licate in}ⁿ^o^v^a^tiv^{e m}^u^ltig^en^er^atioⁿ^a^l
^f^a^mⁱ^l^y^s^u^pport^prog^ram^s^t^h^atⁱⁿ^v^o^l^v^{e s}^eⁿⁱ^or
^vo^l^unt^e^e^r^s;
^p^rog^r^am^s^pro^vⁱ^dⁱ^ng^su^pport^an^d
ⁱⁿ^f^o^r^m^atioⁿ^to^f^a^m^{ilies w}^h^o^h^a^v^e^{a ch}^ild
^w^ith^{a d}ⁱ^s^a^b^ility^o^r^ch^r^oⁿⁱ^{c illn}^{ess an}^d^to
^o^t^h^e^r^f^a^m^{ilies in}ⁿ^eed^o^f^su^c^h^f^a^m^ily
^s^u^pport^prog^ram^s^;
^p^r^o^g^r^am^s^addres^sⁱⁿ^g^th^{e u}ⁿⁱ^qu^{e is}^s^u^es
^f^{aced by}^ru^{ral careg}^iv^ers^;
^p^r^o^g^r^am^s^f^o^cu^sⁱⁿ^g^on^th^{e n}^eeds^of^older
^pers^on^s^w^ith^Alzh^eim^e^r’^s^dis^eas^{e an}^d
^r^e^lated^d^e^m^eⁿ^{tia an}^d^th^eir^car^eg^iv^er^s;
^p^rog^r^am^s^s^u^pportⁱⁿ^g^c^a^r^egⁱ^v^ersⁱⁿ^t^h^{e rol}^e
^t^h^ey^pl^ayⁱⁿ^h^eal^t^h^prom^otⁱ^oⁿ^an^{d di}^s^eas^e
^prev^en^tⁱ^oⁿ^.^{(pp. 63-}⁶⁴⁾

CRS-54
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^t^m^ent^o^f^f^{unds t}^o^st^a^t^es^Se^c^tⁱ^oⁿ^373(f⁾^s^tⁱ^p^u^l^at^es^h^o^w^f^uⁿ^d^s^{are t}^o^T^h^{e bill w}^o^u^l^{d u}^{pdate th}^{e y}^ears^{to FY2007-}^S^a^m^e^as^H^.^R^.^{5293. (p. 63)}
^{be al}^l^o^t^t^e^{d t}^o^s^t^at^es^f^o^{r F}^Y^2001-^F^Y^2005.^F^Y^{2011. (p. 58)}
^{, TRAINI}^NG^{, AND DEM}^O^NSTRATIO^{N P}^R^O^J^{ECTS AND P}^R^O^G^RAM^S
^r^an^{t p}^r^ogram^s^Se^c^tⁱ^oⁿ^{411(a) aut}^h^o^rⁱ^z^e^s^t^h^e^A^ssi^st^aⁿ^t^T^h^{e b}^{ill w}^o^u^l^d^ad^d^th^e^f^o^llo^wⁱⁿ^g^g^r^an^{t p}^r^o^g^r^a^m^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293, bu}^t^w^o^u^l^{d ch}^an^g^e^t^h^e
^Secretary^{to m}^a^k^e^g^r^an^t^s^{to an}^{d en}^{ter in}^to^categ^ories^:^ref^e^ren^{ce t}^o^:
^con^t^racts^w^ith^s^t^ates^{, pu}^{blic ag}^en^cies^,^p^lanⁿⁱⁿ^g^activ^{ities to}^p^r^ep^ar^{e co}^m^m^uⁿ^ities^f^o^r^p^lanⁿⁱⁿ^g^activ^{ities to}^p^r^ep^ar^{e co}^m^m^uⁿ^ities
^p^rⁱ^v^{ate n}^oⁿ^p^r^o^f^{it ag}^en^{cies, in}^stitu^tioⁿ^s^o^f^t^h^{e ag}ⁱ^ng^of^t^h^{e popu}^l^a^tⁱ^oⁿ^,^w^hⁱ^c^hⁱⁿ^cl^u^d^e^f^o^{r t}^h^{e ag}ⁱⁿ^g^popu^l^a^tⁱ^oⁿ^,^w^hⁱ^c^h^ma^y
^hi^ghe^r^e^d^uc^a^tⁱ^o^n,ⁱⁿ^c^l^udⁱ^ng^t^rⁱ^b^a^l^e^f^f^o^rt^s^t^o^as^s^e^s^s^t^h^{e ag}ⁱⁿ^g^popu^l^a^tⁱ^oⁿ^;ⁱⁿ^cl^{ude ef}^f^o^r^t^s^t^o^as^s^e^s^s^t^h^{e agi}^ng
^o^r^gaⁿⁱ^z^a^tⁱ^o^ns,^fo^r^:^a^c^t^iv^{ities to}^co^o^r^dⁱⁿ^a^{te state an}^d^lo^cal^popul^atⁱ^oⁿ^;
^e^du^cation^an^{d train}ⁱⁿ^g^of^an^adeq^ua^t^e^ly^ag^eⁿ^cⁱ^e^sⁱⁿ^{order to m}^{eet th}^{e n}^eeds^of^older^activ^{ities to}^co^o^r^dⁱⁿ^a^te^th^{e a}^c^{tivities o}^f^sta^t^e
ⁱ^{ki/CRS-RL33660}^train^e^{d w}^o^rk^f^o^rce;ⁱⁿ^di^vⁱ^du^al^s^;^an^{d local ag}^en^cies^{; an}^d
^g/w^r^es^earch^an^{d an}^aly^s^is^;^t^raiⁿⁱⁿ^g^an^{d t}^echⁿⁱ^cal^as^sⁱ^s^t^an^{ce t}^o^s^u^pport^t^raiⁿⁱⁿ^g^an^{d t}^echⁿⁱ^cal^as^sⁱ^s^t^an^{ce t}^o^s^u^pport
^s^.or^p^erf^o^rm^anc^e^ev^alu^a^tion^of^prog^ram^s^,^s^t^ates^{, area ag}^en^cies^on^agⁱⁿ^g^,^an^{d tribal}^s^t^ates^{, area ag}^en^cies^on^agⁱⁿ^g^,^an^{d tri}^b^al
^le^ak^activ^{ities, an}^d^ser^v^ices;^org^aⁿⁱ^zation^s^receivⁱⁿ^g^{a g}^r^an^t^{under T}^itle^org^aⁿⁱ^z^a^tion^s^receivⁱⁿ^g^gr^ant^s^uⁿ^d^er^T^itle
^m^eth^o^d^s^an^d^p^r^actices^to^im^p^r^o^v^{e q}^u^ality^VI^,^en^g^a^g^eⁱⁿ^co^m^m^uⁿ^ity^p^l^anⁿⁱⁿ^g^activ^ities;^VI,ⁱⁿ^engagi^{ng i}ⁿ^c^o^m^m^uⁿⁱ^t^y^p^l^aⁿⁿⁱ^ng
^://wiki^and^ef^f^ectiv^en^es^s^of^prog^ram^s^{, s}^e^rv^ices^,^activ^{ities. (}^p^{. 6}⁴⁾
^h^ttp^an^d^activ^ities;^d^em^on^s^t^ratⁱ^oⁿ^ofⁿ^e^w^approach^es^t^o^d^ev^elopm^en^{t, im}^p^l^e^m^eⁿ^t^a^tⁱ^oⁿ^,^aⁿ^d^S^a^m^e^as^H^.^R^.^{5293. (p. 65)}
^desⁱ^gⁿ^,^delⁱ^v^{er, an}^{d coordi}ⁿ^a^t^e^prog^ram^s^as^s^e^s^s^m^en^{t of}^techⁿ^o^log^y^-^b^as^{ed s}^e^rv^ice
^an^{d s}^e^rv^ices^;^m^odel^s^an^d^bes^t^practⁱ^ces^{, t}^o^s^u^pport^t^h^{e u}^s^e
^t^echⁿⁱ^{cal as}^sⁱ^s^t^an^ce;^of^h^ealth^m^oⁿⁱ^torin^g^an^{d as}^s^e^s^s^m^en^t
^c^oordiⁿ^a^tⁱ^oⁿ^wⁱ^t^h^desⁱ^gⁿ^a^t^e^{d s}^t^at^e^techⁿ^o^logⁱ^es^{, com}^m^uⁿⁱ^cati^oⁿ^d^e^vⁱ^ces^,
^ag^en^{cies u}ⁿ^d^er^th^{e Reh}^a^b^ilitatioⁿ^A^c^{t to}^as^sⁱ^s^tiv^e^techⁿ^o^logⁱ^es^{, an}^{d oth}^e^r^techⁿ^o^logⁱ^es
^provⁱ^d^e^s^e^rvⁱ^ces^t^o^ol^{der i}ⁿ^di^vⁱ^du^al^s^w^h^o^th^{at m}^a^y^r^e^m^o^tely^coⁿⁿ^{ect f}^a^m^ily^an^d
^{are blin}^d;^prof^es^sⁱ^on^{al careg}^iv^ers^{to f}^r^{ail elderly}
^t^r^aⁱⁿⁱⁿ^g^o^f^g^r^ad^u^a^{te lev}^e^{l p}^r^o^f^essioⁿ^als^resⁱ^din^gⁱⁿ^h^o^m^e^an^{d com}^m^uⁿ^ity^-^b^as^ed
^s^p^ecializin^gⁱⁿ^th^{e m}^eⁿ^t^{al h}^ealthⁿ^eeds^of^settin^g^s^o^r^r^u^r^a^{l ar}^eas;
^ol^{der i}ⁿ^di^vⁱ^du^al^s^;^an^d^c^oⁿ^d^u^ctin^g^activ^{ities o}^fⁿ^a^tioⁿ^a^l^sigⁿⁱ^fⁱ^can^ce^No^p^r^o^v^isioⁿⁱⁿ^T^itle^I^V^.^Sim^ilar^p^r^o^v^isioⁿⁱⁿ
^aⁿ^y^o^t^h^e^r^activ^{ities th}^{at th}^{e A}^ssistan^t^t^o^prom^ot^{e qu}^alⁱ^t^y^an^{d con}^tⁱⁿ^u^o^u^s^T^{itle III u}ⁿ^d^{er “}^P^rog^r^am^s^of^nation^a^l
^Secretary^of^A^o^A^determⁱⁿ^es^w^illⁱ^m^prov^em^eⁿ^tⁱⁿ^t^h^{e s}^u^pport^provⁱ^d^{ed t}^o^sⁱ^gⁿⁱ^fⁱ^can^ce.”

^ach^iev^e^th^{e o}^b^j^ectiv^{es o}^f^th^{is sectio}ⁿ^.^f^a^m^ily^an^d^oth^e^rⁱⁿ^f^o^rm^{al careg}^iv^ers^of^older
^indⁱ^vid^u^a^l^{s thr}^o^{ugh a}^c^tivitie^{s tha}^t^inc^l^ud^e
^prog^ram^ev^al^u^a^tⁱ^oⁿ^,^t^r^aⁱⁿⁱ^ng,^t^e^c^hⁿⁱ^cal
^as^sⁱ^s^t^aⁿ^c^e^,^aⁿ^d^r^e^s^earch^,ⁱⁿ^clu^dⁱⁿ^g
ⁱⁿ^t^e^rg^en^eratⁱ^oⁿ^a^l^prog^ram^s^provⁱ^dⁱⁿ^g^s^u^pport

CRS-55
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^t^o^g^r^an^dparen^t^s^an^{d ot}^h^e^{r ol}^{der rel}^a^tⁱ^v^es
^r^aⁱ^sⁱ^{ng c}^hⁱ^l^d^r^e^{n (}^s^uc^{h a}^s^kiⁿ^s^hi^p^na^vi^ga^t^o^r
^p^r^o^g^r^a^m^s⁾^;^aⁿ^dⁱ^nvo^l^vⁱ^{ng se}ⁿⁱ^o^r^vo^l^unt^e^e^r^s
^w^h^o^p^r^o^v^id^{e su}^p^p^o^r^t^an^dⁱⁿ^f^o^r^m^atioⁿ^to
^f^a^m^{ilies w}^h^o^h^a^v^e^{a ch}^ild^w^ith^a^dⁱ^sab^ility^o^r
^ch^r^oⁿⁱ^{c illn}^{ess, o}^r^o^t^h^e^r^f^a^m^{ilies in}ⁿ^eed^o^f
^s^u^ch^f^a^mⁱ^l^y^sup^port^;^prog^ram^s^addres^sⁱⁿ^g
^uⁿⁱ^qu^{e is}^s^u^es^f^{aced by}^ru^ra^l^careg^iv^ers^;
^prog^ram^s^f^o^cu^siⁿ^g^on^t^h^{e n}^eeds^of^ol^der
ⁱⁿ^dⁱ^vⁱ^d^u^{als w}^ith^co^gⁿ^itiv^{e im}^p^a^ir^m^eⁿ^t^su^ch^as
^A^l^zh^eim^e^r’^s^dis^eas^{e an}^{d oth}^e^{r dem}^eⁿ^tias^,^an^d
^t^h^ei^{r c}^a^r^e^gⁱ^v^e^r^s;^p^r^o^g^ram^s^s^u^pportⁱⁿ^g
ⁱ^{ki/CRS-RL33660}^car^eg^iv^er^{s in}^th^{e r}^o^{le th}^ey^p^l^ayⁱⁿ^h^e^a^lth
^g/w^prom^otion^an^{d dis}^eas^{e prev}^en^tion^;^an^d
^s^.or^b^u^ildⁱⁿ^g^p^u^b^{lic aw}^ar^en^{ess o}^f^co^gⁿ^itiv^e^N^o^provⁱ^sⁱ^oⁿ^.
^le^ak^im^pairm^eⁿ^t^s^u^ch^as^A^l^zh^eim^e^r’^s^dis^eas^{e an}^d
^r^e^lated^dⁱ^so^r^d^er^{s w}^ithⁿ^e^u^r^o^l^o^g^{ical an}^d
^://wiki^org^aⁿⁱ^{c brai}ⁿ^dy^s^f^uⁿ^c^tⁱ^oⁿ^,^depres^sⁱ^on^{, an}^d
^h^ttp^m^eⁿ^t^{al dis}^o^rders^;^an^{d d}^e^v^e^lopin^g^an^d
^en^h^aⁿ^cⁱⁿ^g^m^u^ltid^iscip^lin^ar^y^sy^stem^{s f}^o^r^th^e
^deliv^ery^of^m^eⁿ^t^{al h}^ealth^s^c^reenⁱⁿ^g^an^d
^treatm^eⁿ^t^ref^e^{rral s}^e^rv^ices^{to im}^prov^{e acces}^s
^{to com}^m^uⁿ^ity^-^b^as^{ed m}^eⁿ^t^{al h}^ealth^s^e^rv^ices
^f^o^{r ol}^{der i}ⁿ^di^vⁱ^du^al^s^.^{(p. 58-}⁵⁹⁾
^u^th^ori^z^ati^oⁿ^of^S^ectⁱ^oⁿ^{411(b) au}^t^h^ori^zes^su^ch^s^u^m^s^as^T^h^{e b}^{ill w}^o^u^l^d^au^th^o^r^{ize su}^ch^su^m^s^{as m}^a^y^b^e^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.

^p^r^op^ri^ati^oⁿ^s^{for gran}^t^m^a^y^{be n}^eces^s^a^ry^f^o^{r F}^Y^{2001, an}^{d suc}^hⁿ^eces^s^a^ry^f^o^{r F}^Y^2006-^F^Y^{2011. (p. 61)}
^r^ogram^s^s^u^m^s^as^m^a^y^{be n}^eces^s^a^ry^f^o^{r s}^u^bs^equ^eⁿ^t
^fⁱ^s^{cal y}^ears^.

CRS-56
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^Se^c^tⁱ^oⁿ^{412 requ}ⁱ^r^es^t^h^e^A^ssi^st^aⁿ^t^T^h^{e b}^{ill w}^o^u^l^d^ad^d^r^e^f^e^r^eⁿ^c^e^t^o^Hⁱ^s^pani^c^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293, bu}^t^k^eeps^ref^e^ren^{ce t}^o
^el^d^{of agi}ⁿ^g^Secretary^of^th^{e A}^o^A^{to m}^a^k^e^g^r^an^ts^{to a}^servin^gⁱⁿ^stitu^tioⁿ^s^{, an}^{d dele}^t^e^ref^e^ren^{ce to}^o^t^h^e^r^e^d^u^c^a^tⁱ^onalⁱⁿ^s^titu^tioⁿ^s^th^a^t^{serve th}^e
ⁿ^u^m^b^e^r^o^f^en^titiesⁱⁿ^clu^dⁱⁿ^gⁱⁿ^stitu^tioⁿ^s^o^f^o^t^h^e^r^ed^u^catioⁿ^a^{l in}^stitu^tioⁿ^s^th^at^ser^v^{e th}^e^needs^of^mⁱ^norⁱ^t^y^s^t^udent^s^{. (p. 66)}
^hi^ghe^r^e^d^uc^a^tⁱ^o^n,^hi^st^o^rⁱ^cal^l^y^Bl^a^c^kⁿ^eeds^of^mⁱⁿ^o^rity^s^t^u^d^en^ts^{. (p. 61)}
^co^lleg^e^{s o}^r^uⁿⁱ^v^e^r^s^{ities, Hisp}^an^{ic Cen}^t^er^s
^of^Ex^cel^l^eⁿ^{ce i}ⁿ^A^pplⁱ^e^{d G}^e^ron^t^ol^og^y^,^an^d
^o^t^h^e^r^ed^u^catioⁿ^a^{l in}^stitu^tioⁿ^s^th^{at ser}^v^{e th}^e
^ne^e^d^{s o}^f^mⁱ^no^rⁱ^t^y^st^ud^eⁿ^t^s^.
^ervice^S^ectⁱ^oⁿ^{414(a) req}^uⁱ^r^es^t^h^{e A}^s^sⁱ^s^t^an^t^T^h^e^b^{ill w}^o^u^l^d^ad^d^o^p^e^r^a^tin^g^m^o^d^e^{l h}^ealth^car^e^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293. (p. 66)}
^o^nst^r^a^t^io^{n pro}^j^ect^{s in}^Secretary^,^af^{ter con}^s^u^ltation^w^ith^t^h^{e s}^t^ate^{and m}^e^nt^al^heal^t^h^s^e^r^vⁱ^ces^proj^ect^s^.^{(p. 61)}
^ag^en^cy^of^th^{e s}^t^{ate invo}^lv^{ed, to m}^a^k^e
ⁱ^{ki/CRS-RL33660}^g^r^an^ts^to^elig^ib^{le o}^r^g^aⁿⁱ^zatioⁿ^s^to^p^a^y^p^a^r^t
^g/w^{or al}^l^of^t^h^{e cos}^t^of^dev^e^l^opiⁿ^g^o^r
^s^.or^o^p^e^r^a^tin^g^m^o^d^e^{l h}^ealth^c^a^r^{e ser}^v^ice
^le^ak^proj^ect^s⁽ⁱⁿ^c^l^u^diⁿ^g^t^h^os^{e rel}^a^t^e^{d t}^o^h^o^m^e
^h^ealth^{care, adu}^{lt day}^h^ealth^{care, ou}^treach^,
^://wiki^an^d^tr^an^sp^o^r^tatioⁿ^ser^v^ices)^.
^h^ttp^r^ad^u^a^{te p}^r^ogram^s^wⁱ^th^S^ectⁱ^oⁿ^{414(b)(1)(B)(i}⁾^requⁱ^r^es^t^h^at^T^h^e^b^{ill w}^o^u^l^d^ad^dⁱⁿ^stitu^tioⁿ^s^o^f^hⁱ^g^h^e^r^Sⁱ^mⁱ^l^a^{r t}^o^H^.^R^.^{5293. (p. 66)}

^pa^bilit^y^{in m}^e^nt^a^l^hea^l^t^h^elig^ib^l^e^o^r^g^aⁿⁱ^zatioⁿ^s^su^b^m^{it g}^r^an^t^e^d^uc^a^tⁱ^o^{n ha}^vi^{ng gr}^a^d^ua^t^e^p^r^o^g^r^a^m^s^wⁱ^t^h
^application^s^con^t^ainⁱⁿ^g^s^u^chⁱⁿ^f^o^rm^ation^cap^ab^ilityⁱⁿ^m^e^nt^al^heal^t^h^.^{(p. 61)}
^an^{d as}^s^u^ran^ces^as^th^{e Secretar}^y^m^a^y
^r^e^q^uⁱ^r^eⁱⁿ^c^l^udⁱ^ng,ⁱⁿ^fo^r^m^a^tⁱ^o^{n d}^e^sc^rⁱ^bⁱ^ng
^th^e^natu^{re an}^{d ex}^ten^t^of^th^{e applican}^t’^s
^c^oordiⁿ^a^tⁱ^oⁿ^an^{d cooperat}ⁱ^oⁿ^wⁱ^t^h
ⁱⁿ^stitu^tioⁿ^s^o^f^hⁱ^g^h^e^r^ed^u^catioⁿ^th^{at h}^a^v^e
^g^r^a^d^u^a^{te p}^r^o^g^r^a^m^s^w^ith^cap^ab^ilityⁱⁿ
^p^u^b^{lic h}^ealth^{, th}^{e m}^e^dⁱ^cal^scien^ces,
^p^s^y^c^ho^l^o^gy^,^p^h^a^r^m^a^c^o^l^o^gy^,^nur^si^ng,^so^cⁱ^a^l
^w^o^r^k^{, h}^ealth^ed^u^catioⁿ^,ⁿ^u^t^r^itioⁿ^,^o^r
^g^e^ron^t^ol^og^y^,^f^o^{r t}^h^{e pu}^rpos^es^of^desⁱ^gⁿⁱⁿ^g
^an^{d dev}^e^l^opiⁿ^g^s^u^ch^proj^ect^s^.

CRS-57
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^{echnical as}^sⁱ^s^t^{ance and}^S^ectⁱ^oⁿ^{416 au}^t^h^ori^zes^t^h^{e S}^ecret^ary^t^o^{No prov}^is^ion^.^T^h^{e bill w}^o^u^l^{d re}^w^r^{ite Section}^{416 to}ⁱⁿ^clu^d^e
ⁿ^ovati^oⁿ^{to i}^m^p^r^ove^aw^{ard g}^r^an^ts^o^r^con^t^racts^{to n}^oⁿ^p^rofⁱ^t^au^th^ority^f^o^{r th}^e^A^s^sⁱ^s^t^an^{t Secretary}^{to carry}
^s^p^ortati^on^{for ol}^d^e^r^o^r^g^aⁿⁱ^zatioⁿ^s^to^im^p^r^o^v^{e tr}^an^sp^o^r^tatioⁿ^o^u^{t d}^e^m^oⁿ^s^tr^atioⁿ^p^r^o^j^{ects o}ⁿ^tr^an^sp^o^r^tatioⁿ
ⁱ^dua^ls^s^e^rvⁱ^ces^f^o^{r ol}^{der i}ⁿ^di^vⁱ^du^al^s^.^ser^v^{ices, in}^ad^d^itioⁿ^t^o^techⁿⁱ^{cal assistan}^ce
^citedⁱⁿ^cu^r^r^en^{t law}^.⁽^p^{. 6}⁶⁾
^Aⁿ^oⁿ^p^rof^it^org^aⁿⁱ^zation^receivⁱⁿ^g^{a g}^r^an^t
^{or con}^t^{ract is}^requ^{ired to u}^s^e^fun^d^s^Iⁿ^ad^d^itioⁿ^,^th^{e o}^r^g^aⁿⁱ^zatioⁿ^m^a^y^u^s^{e th}^e
^receiv^e^{d u}ⁿ^d^{er s}^u^ch^g^r^an^{t o}^r^con^t^{ract to}^fund^{s t}^o^d^e^ve^l^o^p^aⁿ^d^c^a^r^r^y^o^u^t^aⁿⁱ^nno^va^tⁱ^v^e
^prov^ide^techⁿⁱ^{cal as}^sⁱ^s^t^an^{ce to as}^sⁱ^s^t^local^tr^an^sp^o^r^tatioⁿ^d^e^m^oⁿ^s^tr^atioⁿ^p^r^o^j^e^c^t^t^o^cr^eate
^tran^s^{it prov}^iders^,^{area ag}^en^cies^on^agⁱⁿ^g^,^tr^an^sp^o^r^tatioⁿ^ser^v^{ices f}^o^r^o^l^d^e^rⁱⁿ^dⁱ^vⁱ^d^u^als.
^s^eⁿⁱ^{or c}^eⁿ^t^e^rs^an^{d l}^o^cal^s^eⁿⁱ^{or s}^u^pport^{(p. 67)}
^g^r^o^u^p^s^t^o^en^co^u^r^ag^{e an}^d^f^acilit^a^t^e
ⁱ^{ki/CRS-RL33660}^coo^r^dⁱⁿ^a^tion^of^f^e^{deral, s}^t^{ate, an}^{d local}^In^carryⁱⁿ^g^ou^t^{a dem}^ons^t^r^atⁱ^oⁿ^proj^ect^or
^g/w^tran^s^portation^s^e^rv^ices^an^{d res}^o^u^r^ces^f^o^r^prov^idin^g^techni^c^a^l^as^sⁱ^s^t^an^{ce th}^e
^s^.or^ol^{der i}ⁿ^di^vⁱ^du^al^s^.^Suc^h^t^echⁿⁱ^cal^o^r^g^aⁿⁱ^zatⁱ^oⁿ^m^a^y^car^r^y^o^u^{t activ}^{ities th}^at
^le^ak^as^sⁱ^s^t^an^{ce m}^a^yⁱⁿ^clu^d^e:ⁱⁿ^clu^d^{e (}ⁱⁿ^ad^d^itioⁿ^to^o^t^h^e^r^activ^ities^as^cited
^d^ev^elopin^gⁱⁿⁿ^o^v^a^tiv^{e approach}^es^f^o^rⁱⁿ^cu^r^r^en^{t law}⁾^d^e^v^e^lo^pⁱⁿ^gⁱⁿⁿ^o^v^a^tiv^e
^://wiki^im^provⁱⁿ^g^acces^s^by^{older in}^divⁱ^du^als^to^approach^es^f^o^{r im}^provⁱⁿ^g^acces^s^by^older
^h^ttp^s^u^pportⁱ^v^{e s}^e^rvⁱ^ces^;ⁱⁿ^dⁱ^vⁱ^d^u^{als t}^o^tr^an^sp^o^r^tatioⁿ^ser^v^ices,
^p^r^e^p^a^rⁱ^{ng a}ⁿ^d^dⁱ^sse^mⁱ^na^tⁱ^ngⁱⁿ^fo^r^m^a^tⁱ^oⁿⁱⁿ^c^l^udⁱ^ng^v^o^l^unt^e^e^r^d^rⁱ^v^e^r^p^r^o^g^r^a^m^s^,
^oⁿ^tr^an^sp^o^r^tatioⁿ^o^p^tioⁿ^s^an^d^r^e^so^u^r^ces^ec^oⁿ^o^m^ically^su^stain^a^b^l^{e tr}^an^sp^o^r^tatioⁿ
^f^o^{r ol}^{der i}ⁿ^di^vⁱ^du^al^s^an^{d org}^aⁿⁱ^zatⁱ^oⁿ^s^prog^ram^s^{, an}^{d prog}^ram^s^t^h^at^al^l^o^w^ol^der
^s^e^rvⁱⁿ^g^s^u^chⁱⁿ^di^vⁱ^du^al^s^t^h^r^o^ughⁱⁿ^dⁱ^vⁱ^d^u^{als to}^tr^an^sf^er^th^eir^au^to^m^o^b^{iles to}^a
^e^s^tab^lishⁱⁿ^g^{a to}^ll-^f^r^{ee telep}^h^oⁿ^{e n}^u^m^b^e^r^;^p^r^o^v^id^er^o^f^tr^an^sp^o^r^tatioⁿ^ser^v^{ices in}
^d^ev^el^opiⁿ^g^m^odel^s^an^{d bes}^t^practⁱ^ces^f^o^r^ex^ch^an^g^e^f^o^{r th}^{e s}^e^rv^ices^{. (p. 67)}

^co^m^p^r^e^h^eⁿ^s^iv^{e in}^teg^r^ated^tr^an^sp^o^r^tatioⁿ
^s^e^rvⁱ^ces^f^o^{r ol}^{der i}ⁿ^di^vⁱ^du^al^s^,ⁱⁿ^c^l^u^dⁱⁿ^g
^s^e^rv^ices^admⁱⁿⁱ^s^t^{ered by}^th^{e Secretary}^of
^T^r^an^s^por^t^a^tⁱ^oⁿ^,^by^provⁱ^dⁱⁿ^g^on^g^oⁱⁿ^g
^techⁿⁱ^cal^as^sⁱ^s^t^aⁿ^c^e^t^o^a^g^eⁿ^cies
^p^r^o^v^idⁱⁿ^g^ser^v^{ices u}ⁿ^d^er^T^{itle I}^I^I^an^d^b^y
^as^sⁱ^s^tⁱⁿ^gⁱⁿ^coordiⁿ^a^tⁱ^oⁿ^o^f^pu^blⁱ^c^an^d
^co^m^m^uⁿ^ity^tr^an^sp^o^r^tatioⁿ^ser^v^{ices; an}^d
^p^r^o^vi^dⁱ^{ng sp}^e^cⁱ^a^l^se^r^vⁱ^c^e^s^t^o^lⁱ^{nk se}ⁿⁱ^o^r^s
^to^tr^an^sp^o^r^tatioⁿ^ser^v^{ices n}^o^{t p}^r^o^vⁱ^d^e^d
^uⁿ^d^er^T^{itle I}^I^I^.

CRS-58
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^c^on^omⁱ^c^al^l^y^s^u^s^t^aiⁿ^a^b^l^e^N^o^provⁱ^sⁱ^oⁿ^.^N^o^provⁱ^sⁱ^oⁿ^.^Iⁿ^t^hⁱ^s^s^e^c^tⁱ^oⁿ^,^t^h^e^t^e^r^m^economⁱ^c^a^l^l^y
^s^p^ortati^on^s^u^s^t^aⁱ^nabl^{e t}^r^ans^por^t^a^tⁱ^oⁿ^m^ean^s^dem^aⁿ^d
^res^pon^sⁱ^v^e^t^r^an^s^port^a^tⁱ^oⁿ^f^o^{r ol}^der
ⁱⁿ^di^vⁱ^du^al^s^—
^t^ha^t^m^a^y^b^e^p^r^o^vⁱ^d^e^d^t^h^r^o^{ugh vo}^l^unt^e^e^r^s;
^an^d
^t^h^a^{t th}^{e p}^r^o^v^id^er^w^{ill p}^r^o^v^id^{e w}^ith^o^u^t
^receivⁱⁿ^g^f^e^{deral or oth}^e^{r pu}^{blic f}ⁱⁿ^aⁿ^c^ial
^as^sⁱ^s^t^an^{ce, af}^{ter a period of}ⁿ^o^{t m}^o^{re th}^an
^fⁱ^v^e^y^ears^of^pr^o^vⁱ^dⁱⁿ^g^th^{e s}^e^rv^ices^uⁿ^d^er
^th^{is sectio}ⁿ^.⁽^p^{. 6}⁸⁾
ⁱ^{ki/CRS-RL33660}^m^m^unit^y^pla^nning^f^o^{r t}^h^e^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^au^th^o^r^{ize th}^e^Secr^etar^y^to
^g/w^gⁱ^ng^po^pula^t^ioⁿ^e^s^t^a^b^lⁱ^s^h,^eⁱ^t^h^e^r^dⁱ^r^e^c^t^l^y^o^r^t^h^r^o^{ugh gr}^aⁿ^t^s^o^r
^s^.or^con^t^racts^,^{a n}^a^tion^a^{l tech}ⁿⁱ^{cal as}^sⁱ^s^t^an^ce
^le^ak^prog^ram^{to as}^sⁱ^s^t^s^t^ates^an^{d area ag}^en^cies^on
^agⁱ^ngⁱⁿ^planⁿⁱⁿ^g^ef^f^o^rts^{to prepare}
^://wiki^com^m^uⁿ^ities^f^o^r^th^{e ag}ⁱⁿ^g^of^th^{e popu}^lation^.
^h^ttp^{(p. 69)}
^M^O^NST^RAT^{ION PROJ}^E^C^T^S^{FOR M}^U^L^T^IG^E^N^E^RAT^IONAL^ACT^IVIT^IE^S
^o^nst^r^a^t^io^{n pro}^j^ect^{s f}^o^r^S^ectⁱ^oⁿ^{417. D}^e^m^oⁿ^s^t^r^atⁱ^oⁿ^Proj^ect^s^f^o^r^Sam^e^as^cu^r^r^eⁿ^t^law^,^w^ith^oⁿ^{e ch}^an^g^e^r^e^lated^to^T^h^{e bill w}^o^u^l^{d rew}^r^{ite Section}^{417 to in}^clu^d^e
^u^l^tⁱ^g^en^erati^on^al^acti^vi^ti^es^:^Mu^ltig^en^er^atioⁿ^a^{l A}^c^tiv^ities.^pref^eren^{ce in}^aw^ardin^g^g^r^an^ts^(s^{ee below}⁾^.^th^{e f}^o^llo^wⁱⁿ^g^:⁽^p^{. 6}⁹⁾
^{and contracts}
^T^h^{e law}^au^th^orizes^th^{e A}^s^sⁱ^s^t^an^{t Secretary}^S^ectⁱ^oⁿ^{417. D}^e^m^oⁿ^s^t^r^atⁱ^oⁿ^,^S^u^ppor^t^,^aⁿ^d
^{to aw}^{ard g}^r^an^ts^an^{d en}^{ter in}^{to con}^t^racts^Resear^ch^P^r^o^j^{ects f}^o^r^Mu^ltig^en^er^atioⁿ^a^l
^w^ith^elig^ib^{le o}^r^g^aⁿⁱ^zatioⁿ^s^to^estab^lish^A^c^tiv^{ities an}^d^Civⁱ^{c En}^g^a^g^e^m^eⁿ^t^A^c^tiv^ities.
^dem^oⁿ^s^t^r^atⁱ^oⁿ^proj^ect^s^t^o^provⁱ^d^{e ol}^der
ⁱⁿ^dⁱ^vⁱ^d^u^{als w}^ith^m^u^ltig^en^er^atioⁿ^a^l^T^h^{e A}^s^sⁱ^s^t^an^{t Secretary}^is^requ^{ired to aw}^ard
^activ^ities.^g^r^an^{ts an}^d^eⁿ^terⁱⁿ^to^coⁿ^t^r^{acts w}^ith^elig^ib^le
^o^r^gaⁿⁱ^z^a^tⁱ^o^{ns t}^o^—
^c^on^du^ct^produ^ctⁱ^vⁱ^t^y^an^{d cos}^t^-^b^en^efⁱ^t
^res^earch^{to d}^e^t^e^rmⁱⁿ^{e th}^{e ef}^f^ectiv^en^es^s^of
^e^nga^gi^{ng o}^l^d^e^rⁱⁿ^dⁱ^vi^d^u^a^l^sⁱⁿ^p^aⁱ^d^aⁿ^d
^uⁿ^p^aid^p^o^s^itioⁿ^s^w^ith^p^u^b^{lic an}^dⁿ^oⁿ^p^r^o^fⁱ^t
^o^r^gaⁿⁱ^z^a^tⁱ^o^ns;

CRS-59
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^d^ev^{elop a n}^a^tion^a^{l ag}^en^{da an}^d^blu^e^prin^{t f}^o^r
^cr^eatin^g^p^a^id^an^d^uⁿ^p^aid^p^o^s^itioⁿ^s^f^o^r^o^l^d^e^r
ⁱⁿ^di^vⁱ^du^al^s^wⁱ^t^h^pu^blⁱ^c^an^d^non^profⁱ^t
^org^aⁿⁱ^zation^s^{to in}^creas^{e th}^{e capacity}^of^th^e
^org^aⁿⁱ^zation^s^{to prov}^{ide n}^{eeded s}^e^rv^ices^to
^co^m^m^uⁿ^ities;
^carry^ou^t^dem^oⁿ^s^t^r^atⁱ^oⁿ^s^an^{d s}^u^pport
^proj^ect^s^t^o^provⁱ^d^{e ol}^{der i}ⁿ^di^vⁱ^du^al^s^wⁱ^t^h
^m^u^ltig^en^e^r^atioⁿ^a^{l an}^d^civⁱ^{c en}^g^a^g^e^m^eⁿ^t
^activ^{ities, d}^e^sigⁿ^e^d^t^o^m^e^e^t^c^r^itical
^com^m^uⁿ^ityⁿ^eeds^;^an^d
^car^r^y^o^u^{t d}^e^m^oⁿ^s^tr^atioⁿ^p^r^o^j^ects^to
ⁱ^{ki/CRS-RL33660}^co^o^r^dⁱⁿ^a^{te m}^u^ltig^en^er^atioⁿ^a^{l an}^d^civⁱ^c
^g/w^en^g^a^g^e^m^eⁿ^t^activ^{ities, an}^d^f^a^c^ilitate
^s^.or^d^e^v^e^lo^p^m^en^{t o}^f^,^an^d^p^a^r^ticip^atioⁿⁱⁿ^{, th}^ese
^le^ak^activ^{ities. (}^p^{. 7}⁰⁾
^://wiki^o^nst^r^a^t^io^{n pro}^j^ect^{s f}^o^r^Aⁿ^elig^ib^{le o}^r^g^aⁿⁱ^zatioⁿ^is^r^e^q^u^ir^ed^to^u^s^e^N^o^c^h^aⁿ^g^eⁱⁿ^c^u^r^r^eⁿ^t^l^a^w^.^T^h^e^b^ill^w^o^u^l^d^r^e^q^uⁱ^r^e^t^h^a^t^aⁿ^e^lⁱ^gⁱ^b^l^e
^h^ttp^u^l^tⁱ^g^en^erati^on^al^acti^vi^ti^es^:^f^uⁿ^d^s^m^a^de^av^{ailable u}ⁿ^d^{er a g}^r^an^t^o^r^gaⁿⁱ^z^a^tⁱ^o^{n use}^fund^{s m}^a^d^e^a^v^aⁱ^l^a^b^l^e^und^e^r
^f^f^unds^aw^{arded, or a con}^t^{ract en}^{tered in}^{to, to —}^{a g}^r^an^{t aw}^{arded, or a con}^t^ract^en^teredⁱⁿ^to,^to
^carry^ou^t^{a dem}^oⁿ^s^tration^proj^{ect th}^at^carry^ou^{t th}^{e activ}^ities^des^c^{ribed above}^,^an^d
^p^r^o^v^id^{es m}^u^ltig^en^er^atioⁿ^a^{l activ}^ities,^to^ev^alu^a^{te th}^{e activ}^{ities. (}^p^{. 7}¹⁾
ⁱⁿ^clu^dⁱⁿ^g^an^y^prof^es^sⁱ^on^{al train}ⁱⁿ^g
^ap^p^r^o^p^r^{iate to}^su^ch^activ^{ities f}^o^r^o^l^d^e^r
ⁱⁿ^di^vⁱ^du^al^s^;^an^d
^e^v^a^lu^{ate th}^{e proj}^ect.
^o^nst^r^a^t^io^{n pro}^j^ect^{s f}^o^r^In^a^w^ardin^g^g^r^an^ts^an^{d en}^terin^gⁱⁿ^to^T^h^{e b}^{ill w}^o^u^l^d^ad^d^r^e^f^e^r^eⁿ^{ce to}^ol^der^T^h^e^bⁱ^{ll w}^o^u^l^{d ch}^an^g^e^th^{e ref}^e^ren^{ce in}
^u^l^tⁱ^g^en^erati^on^al^acti^vi^ti^es^:^con^t^racts^t^o^carry^ou^{t a dem}^oⁿ^s^tration^orⁱ^ndi^vi^dual^s^wⁱ^t^h^lⁱ^mⁱ^t^e^{d Engl}ⁱ^s^{h pr}^ofⁱ^cⁱ^e^ncy.^aw^ardin^g^g^r^an^ts^an^{d en}^terin^gⁱⁿ^{to con}^t^racts^to
^s^u^pport^proj^ect^{, t}^h^{e A}^s^sⁱ^s^t^an^t^S^ecret^aryⁱ^s^{(p. 61)}^carry^ou^t^{a dem}^oⁿ^s^t^r^atⁱ^oⁿ^{or s}^u^pport^p^r^o^j^ect
^{to g}ⁱ^v^e^pref^eren^{ce to —}^{to requ}^{ire th}^{e A}^s^sⁱ^s^t^an^{t Secretary}^{to g}ⁱ^v^e
^e^li^gⁱ^b^l^e^o^r^g^aⁿⁱ^zatioⁿ^s^w^ith^a^pref^eren^{ce to —}
^dem^oⁿ^s^{trated record}^of^carryⁱⁿ^g^ou^t^e^lig^ib^{le o}^r^g^aⁿⁱ^zatioⁿ^s^w^ith^{a d}^e^m^oⁿ^s^tr^ated
^m^u^ltig^en^er^atioⁿ^a^{l activ}^{ities; an}^d^r^eco^r^d^o^f^car^r^yⁱⁿ^g^o^u^{t m}^u^ltig^en^er^atioⁿ^a^l^or
^e^lⁱ^gⁱ^b^l^e^org^aⁿⁱ^zatⁱ^oⁿ^s^proposⁱⁿ^g^proj^ect^s^{civic engagement activities}^;
^th^{at w}^{ill ser}^v^{e o}^l^d^e^rⁱⁿ^dⁱ^vⁱ^d^u^{als w}^ith^e^lⁱ^gⁱ^b^l^e^org^aⁿⁱ^z^a^tⁱ^oⁿ^s^proposⁱⁿ^g
^gr^eates^{t econ}^o^mⁱ^{c n}^{eed (w}^ith^particu^l^a^r^multigener^{ational activity s}^e^r^v^ice^proj^ect^s^;

CRS-60
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^atten^tioⁿ^to^lo^w^-ⁱⁿ^co^m^e^mⁱⁿ^o^r^ity^e^lⁱ^gⁱ^b^l^e^o^r^gaⁿⁱ^z^a^tⁱ^o^{ns p}^r^o^p^o^sⁱ^{ng c}ⁱ^vi^c
ⁱⁿ^di^vⁱ^du^al^s^an^{d ol}^d^e^{r i}ⁿ^di^vⁱ^du^al^s^resⁱ^diⁿ^g^en^g^a^g^e^m^eⁿ^t^activ^ity^s^e^rv^{ice proj}^ects^th^at
ⁱⁿ^ru^{ral areas}^).^wⁱ^l^l^ser^v^{e co}^m^m^uⁿ^{ities w}^ith^th^{e g}^r^eatest
ⁿ^{eed; an}^d
^e^lig^ib^le^o^r^g^aⁿⁱ^zatioⁿ^s^w^ith^th^{e cap}^acity^to
^d^e^ve^l^o^p^m^e^aⁿⁱ^ngful^r^o^l^e^{s a}ⁿ^d^a^ssi^gnm^eⁿ^t^s
^th^{at u}^s^{e th}^{e tim}^{e, s}^kⁱ^l^l^s^,^an^{d ex}^perien^{ce of}
^ol^{der i}ⁿ^di^vⁱ^du^al^s^t^o^s^e^rv^{e pu}^blⁱ^c^an^d
^no^np^r^o^fi^t^o^r^gaⁿⁱ^z^a^tⁱ^o^ns.⁽^p^.⁷²⁾
^It^w^o^u^l^{d add refe}^r^eⁿ^{ce t}^o^ol^derⁱ^ndi^vi^dual^s
^with^limited^En^g^lish^p^r^o^ficien^cy.^{(p. 71)}
ⁱ^{ki/CRS-RL33660}
^g/w^o^nst^r^a^t^io^{n pro}^j^ect^{s f}^o^r^T^o^{be elig}^{ible to receiv}^e^a^gr^aⁿ^{t or en}^ter^Sam^e^as^cu^rren^{t law}^.^Sam^e^as^cu^rren^{t law}^.
^s^.or^u^l^tⁱ^g^en^erati^on^al^acti^vi^ti^es^:ⁱⁿ^to^{a co}ⁿ^t^r^{act an}^o^r^g^aⁿⁱ^z^a^tioⁿ^{is r}^e^q^u^ir^ed
^le^ak^pplica^t^ioⁿ^to^su^b^m^{it an}^ap^p^licatioⁿ^t^o^th^{e A}^ssistan^t
^Secretary^.
^://wiki
^h^ttp^o^nst^r^a^t^io^{n pro}^j^ect^{s f}^o^r^u^l^tⁱ^g^en^erati^on^al^acti^vi^ti^es^:^Org^aⁿⁱ^zation^s^elig^{ible to}^receiv^e^{a g}^r^an^{t or}^en^{ter in}^{to a}^con^t^{ract are org}^aⁿⁱ^zation^s^th^at^S^a^m^e^a^s^c^u^r^r^eⁿ^t^l^a^w^.^T^h^e^b^ill^w^o^u^l^d^r^e^q^u^ir^e^t^h^a^t^o^r^g^aⁿⁱ^zatioⁿ^s^elig^{ible to receiv}^e^{a g}^r^an^{t or en}^{ter in}^{to a}
^{ible o}^r^g^aⁿ^iza^t^io^ns^em^ploy^,^or^prov^{ide opportu}ⁿ^ities^f^o^{r, older}^c^oⁿ^t^{ract m}^u^s^t^h^a^v^e^th^{e capacity}^{to con}^d^u^c^t
ⁱⁿ^dⁱ^vⁱ^d^u^{als in}^m^u^ltig^en^er^atioⁿ^a^{l activ}^ities.^sp^ecifⁱ^ed^activ^{ities. (}^p^{. 7}²⁾
^o^nst^r^a^t^io^{n pro}^j^ect^{s f}^o^r^Each^org^aⁿⁱ^zatⁱ^oⁿ^receivⁱⁿ^g^{a g}^r^an^{t or a}^Sam^e^{as cu}^rren^t^law^.^T^h^e^b^ill^w^o^u^l^d^req^u^ire^th^at^each^o^r^g^aⁿⁱ^zatioⁿ
^u^l^tⁱ^g^en^erati^on^al^acti^vi^ti^es^:^con^t^{ract to carry}^ou^{t a dem}^ons^t^r^ation^is^receivⁱⁿ^g^{a g}^r^an^{t or a con}^t^{ract e}^v^a^l^ua^te^th^e
^cal^eval^u^a^ti^on^an^d^rep^ort^r^e^q^u^ir^ed^to^ev^alu^a^{te th}^{e m}^u^ltig^en^er^atioⁿ^a^l^multigener^{ational or}^ci^{vic engagement}
^activ^{ities assisted}^uⁿ^d^er^th^{e p}^r^o^j^{ect to}^a^c^tivi^ties^as^sⁱ^s^t^{ed u}ⁿ^d^{er th}^{e proj}^{ect to}
^d^e^ter^mⁱⁿ^{e th}^e^ef^f^ectiv^en^{ess o}^f^th^e^d^e^ter^mⁱⁿ^{e th}^{e ef}^f^ectiv^en^{ess o}^f^th^{e activ}^ities
^m^u^ltig^en^er^atioⁿ^a^{l activ}^ities,^th^{e im}^p^{act o}^fⁱ^nvo^l^v^e^d^,^th^{e imp}^a^c^{t o}^f^su^ch^a^c^{tivities o}ⁿ^th^e
^su^ch^activ^ities^oⁿ^ch^ild^car^{e an}^d^y^o^u^t^h^d^a^y^com^m^uni^t^y^bei^{ng s}^e^r^{ved and t}^h^e
^car^{e p}^r^o^g^r^a^m^s^,^an^d^th^{e im}^p^{act o}^f^activ^ities^or^ganiz^a^tion^s^pr^{oviding the activities}^,^an^d
^on^ol^{der i}ⁿ^di^vⁱ^du^al^sⁱⁿ^v^o^l^v^{ed i}ⁿ^s^u^ch^t^h^eⁱ^m^p^a^c^t^o^f^s^u^c^h^a^c^tⁱ^v^ities^oⁿ^o^l^d^e^r
^proj^ect^.ⁱⁿ^di^vⁱ^du^al^sⁱⁿ^v^o^l^v^{ed. (p. 73)}
^o^nst^r^a^t^io^{n pro}^j^ect^{s f}^o^r^No^{t later}^th^an^sⁱ^x^m^oⁿ^t^h^s^af^ter^th^e^Sam^e^{as cu}^r^r^en^{t law}^.^Sⁱ^m^ilar^to^cu^r^r^en^t^l^a^w^,^e^x^c^e^p^t^a^l^s^o^r^e^q^uⁱ^r^e^s
^u^l^tⁱ^g^en^erati^on^al^acti^vi^ti^es^:^A^s^sⁱ^s^t^an^t^Secretary^receiv^e^s^th^{e ev}^alu^a^tion^th^{e r}^e^p^o^r^{t to}ⁱⁿ^clu^d^e:
^s^{report, th}^{e A}^s^sⁱ^s^t^an^{t Secretary}^is^requ^ired^t^h^eⁿ^a^m^e^s^o^r^d^e^s^c^rⁱ^p^tⁱ^v^e^title^s^o^f^t^h^e

CRS-61
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^{to prepare an}^{d s}^u^bm^{it to th}^{e Speak}^{er of}^th^e^d^e^m^oⁿ^s^tr^atioⁿ^,^s^uppor^t^,^{and r}^e^s^e^ar^ch
^Hou^s^e^of^R^e^pres^en^tativ^es^an^{d th}^e^P^r^es^iden^t^pr^oj^ect^s^f^unded^{; an}^d
^{pro t}^e^m^{pore of}^t^h^{e S}^eⁿ^a^t^e^{a repo}^r^t^t^h^atⁱⁿ^t^h^e^cas^e^of^dem^ons^t^r^atⁱ^ons^and^pr^oj^ect^s
^as^s^e^s^s^e^s^th^{e ev}^alu^a^tion^s^an^{d in}^cl^ud^e^s^{, at a}^t^o^s^uppor^t^o^l^derⁱ^ndi^vi^dual^sⁱⁿ
^miⁿⁱ^mu^{m —}^multigener^{ational and civic engagement}
^t^h^eⁿ^a^m^e^{s o}^r^d^e^s^c^rⁱ^p^tiv^{e titles o}^f^th^e^a^c^tivities,^{a des}^c^ri^ptⁱ^oⁿ^of^t^h^{e m}^e^t^h^ods^an^d
^dem^oⁿ^s^t^r^atⁱ^oⁿ^proj^ect^s^;^s^u^cces^s^of^th^{e proj}^ectsⁱⁿ^recru^itin^g^olde^r
^a^des^c^ri^ptⁱ^oⁿ^of^t^h^{e n}^a^t^u^{re an}^{d operat}ⁱ^oⁿⁱⁿ^divⁱ^du^als^as^em^ploy^ees^an^d^v^o^luⁿ^t^eers^to
^of^t^h^{e proj}^ect^s^;^p^a^r^ticip^{ate in}^th^{e p}^r^o^j^ects;
^t^he^na^m^e^{s a}ⁿ^d^a^d^d^r^e^sse^{s o}^f^o^r^gaⁿⁱ^z^a^tⁱ^o^ns^a^st^r^a^t^e^gy^fo^r^dⁱ^sse^mⁱ^na^tⁱ^{ng t}^h^e^fi^ndⁱⁿ^g^s
^th^{at con}^d^u^c^{ted th}^{e proj}^ects^;^res^u^l^tⁱ^ng^f^r^om^t^h^{e proj}^ect^s^t^o^con^d^u^c^t
^a^des^c^ription^of^th^{e m}^e^th^ods^an^{d s}^u^cces^s^produ^ctiv^ity^an^{d cos}^t^-^b^en^ef^{it res}^earch^;^an^d
ⁱ^{ki/CRS-RL33660}^of^t^h^{e proj}^ect^sⁱⁿ^recruⁱ^tⁱⁿ^g^ol^der^a^ny^p^o^lⁱ^c^y^c^h^a^nge^r^e^c^o^m^m^e^nd^a^tⁱ^o^ns
^g/wⁱⁿ^divⁱ^du^als^as^em^ploy^ees^an^{d v}^o^luⁿ^t^eers^rel^a^tⁱⁿ^g^t^o^t^h^{e proj}^ect^s^.^{(p. 74-}⁷⁵⁾
^s^.or^to^p^a^r^ticip^{ate in}^th^{e p}^r^o^j^ects;
^le^ak^a^des^c^ription^of^th^{e s}^u^cces^s^o^f^th^e
^proj^ect^sⁱⁿ^ret^aⁱⁿⁱⁿ^g^ol^{der i}ⁿ^di^vⁱ^du^al^s
^://wikiⁱⁿ^v^o^lv^{ed in}^th^{e proj}^ects^as^em^ploy^e^e^s
^h^ttp^an^{d as}^v^o^luⁿ^t^eers^;^an^d
^t^h^e^rat^e^of^t^u^rn^ov^{er of}^ol^{der i}ⁿ^di^vⁱ^du^al
^em^ploy^ees^an^{d v}^o^luⁿ^t^eersⁱⁿ^th^e^proj^ects^.
^FINIT^I^ONS
ⁱ^vi^{c en}^gagem^eⁿ^t^acti^vi^ty^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^Th^e^b^ill^w^o^u^l^d^d^e^fⁱⁿ^e^ci^vi^{c engagem}^e^nt
^actⁱ^vⁱ^t^y^t^oⁱⁿ^cl^u^d^{e an}^opport^uⁿⁱ^t^y^t^h^at^u^s^es
^th^{e tim}^{e, sk}^ills^,^aⁿ^d^ex^p^e^rⁱ^en^{ce o}^f^o^l^d^e^r
ⁱⁿ^dⁱ^vⁱ^d^u^al^{s, in}^p^a^id^o^r^uⁿ^p^aid^p^o^s^itioⁿ^s^w^ith
^{a p}^u^b^{lic o}^rⁿ^oⁿ^p^r^o^f^{it o}^r^g^aⁿⁱ^zatioⁿ^,^to^h^e^lp
^addres^s^th^{e u}ⁿ^m^et^h^u^m^an^{, edu}^cation^a^{l, h}^ealth
^{care, en}^vⁱ^ron^m^en^{tal, an}^{d pu}^blic^s^a^f^e^tyⁿ^eeds
^an^dⁿ^u^r^tu^r^e^an^d^su^stain^activ^e^p^a^r^ticip^atioⁿⁱⁿ
^co^m^m^uⁿ^ity^af^f^a^ir^{s. (}^p^{. 7}⁵⁾
^u^l^tⁱ^g^en^erati^on^al^acti^vi^ty^T^h^e^law^d^e^fⁱⁿ^e^{s m}^u^ltig^en^er^atioⁿ^a^{l activ}^ity^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^d^e^fⁱⁿ^e^m^u^l^tⁱ^g^ener^atⁱ^onal
^t^oⁱⁿ^cl^u^d^{e an}^opport^uⁿⁱ^t^y^t^o^s^e^rv^{e as}^a^a^c^tivity^t^oⁱⁿ^cl^ud^e^an^opport^uⁿⁱ^t^y^t^hat^us^es
^m^eⁿ^t^{or or adv}ⁱ^s^o^{r in}^a^ch^ild^care^prog^ram^,^the^tⁱ^m^{e, s}^k^ills^{, and exper}^{ience of older}

CRS-62
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^{a y}^o^u^t^h^d^a^y^{care prog}^ram^,^an^edu^cation^a^l^individuals^,ⁱⁿ^{paid or}^{unpaid pos}^itions^w^ith
^as^sⁱ^s^t^an^{ce prog}^ram^,^an^a^t^-ris^k^y^o^u^t^h^{a public or}^nonp^r^o^{fit or}^ganiz^a^tion^{, to s}^e^rv^e
ⁱⁿ^t^e^r^v^eⁿ^tⁱ^oⁿ^prog^ram^,^{a j}^u^veⁿⁱ^l^e^as^{a m}^eⁿ^t^{or or adv}ⁱ^s^e^{r in}^a^c^hⁱ^l^{d care}
^delⁱⁿ^qu^en^cy^t^r^e^a^t^m^eⁿ^t^prog^ram^,^{or a}^prog^ram^,^{a y}^o^u^t^h^day^car^{e prog}^ram^,^an
^f^a^mⁱ^l^y^s^u^pport^prog^ram^.^edu^cation^a^{l as}^sⁱ^s^t^an^{ce prog}^ram^,^an^at-^r^is^k
^y^o^ut^{h i}ⁿ^t^e^r^v^eⁿ^tⁱ^o^{n p}^r^o^g^r^a^m^,^a^j^uveⁿⁱ^l^e
^delⁱⁿ^qu^en^cy^t^r^eat^m^eⁿ^t^prog^ram^,^{a bef}^o^r^e^{- or}
^af^t^e^r^-^s^c^hool^pr^ogr^am^{, or a f}^a^mⁱ^l^y^s^u^pport
^prog^ram^.^{(p. 76)}
^u^{ltigenerational}^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^e^b^ill^w^o^u^l^d^d^e^fⁱⁿ^e^m^u^l^tⁱ^g^eⁿ^e^r^a^tⁱ^onal
^o^r^dina^t^o^r^coor^di^nat^or^t^o^m^ean^a^pers^on^w^h^{o bu}ⁱ^l^d^s^t^h^e
ⁱ^{ki/CRS-RL33660}^capacity^o^f^pu^blic^an^dⁿ^oⁿ^p^rofⁱ^t
^g/w^o^r^gaⁿⁱ^z^a^tⁱ^o^{ns t}^o^d^e^ve^l^o^p^m^e^aⁿⁱⁿ^g^f^ul^r^o^l^e^s
^s^.or^an^d^assigⁿ^m^en^ts,^th^{at u}^s^{e th}^{e tim}^{e, sk}^{ill, an}^d
^le^ak^ex^peri^en^{ce of}^ol^{der i}ⁿ^di^vⁱ^du^al^s^t^o^s^e^rv^e^t^h^os^e
^orgaⁿⁱ^zatⁱ^oⁿ^s^;^an^{d n}^u^r^t^u^res^produ^ctⁱ^v^e,
^://wiki^sust^aⁱ^na^b^l^e^w^o^r^kⁱ^{ng r}^e^l^a^tⁱ^o^nshi^p^s^b^e^t^w^e^eⁿ
^h^ttp^o^l^d^e^rⁱⁿ^dⁱ^vi^d^u^a^l^{s a}ⁿ^dⁱⁿ^dⁱ^vi^d^u^a^l^{s i}ⁿ^y^o^unge^r
^ge^ne^r^a^tⁱ^o^{ns (}^p^.⁷⁶⁾
^a^ti^{ve A}^m^eri^can^p^r^ogram^s^S^ecti^oⁿ^{418(a)(2)(B)(I) requ}^ires^each^T^h^{e b}^{ill w}^o^u^l^d^ad^d^r^e^f^e^r^eⁿ^{ce to}^m^e^nt^al^heal^t^h^S^a^m^e^as^H^.^R^.^{5293. (p. 77)}
^R^e^s^o^u^r^{ce C}^eⁿ^t^{er th}^at^receiv^e^s^f^uⁿ^d^s^uⁿ^d^er^s^e^rv^ices^{. (p. 62)}
^th^{is sectio}ⁿ^to^f^o^cu^{s o}ⁿ^p^r^io^r^ity^a^r^e^a^s^o^f
^c^o^nc^e^r^n,ⁱⁿ^c^l^udⁱ^{ng he}^a^l^t^h^p^r^o^b^l^e^m^s;^l^o^ng
^term^{care, in}^clu^dⁱⁿ^g^h^o^m^e^{care; elder}
^abu^s^{e; an}^{d oth}^e^r^problem^s^an^{d is}^s^u^es
^reg^a^rdin^g^{older Nativ}^{e A}^m^erican^s^.
^U^L^T^IDISCIPL^{INARY CE}^NT^E^R^S
^u^lt^idisciplina^r^y^cent^ers:^S^ectⁱ^oⁿ^{419 au}^t^h^ori^zes^t^h^e^A^s^sⁱ^s^t^an^t^T^h^{e b}^{ill w}^o^u^l^d^ad^d^r^e^f^e^r^eⁿ^{ce to}^dⁱ^v^e^rse^T^h^{e bil}^l^adds^{a n}^e^w^s^u^bs^ection^{to Section}
^{t p}^r^ogram^s^Secretary^{to m}^a^k^e^g^r^an^ts^{to pu}^blic^aⁿ^d^popul^a^tⁱ^ons^of^ol^derⁱ^ndi^vi^dual^s^r^e^sⁱ^di^{ng i}ⁿ^{419, Mu}^ltidis^ciplin^ary^Health^C^eⁿ^t^ersⁱⁿ
^priv^{ate n}^oⁿ^p^rof^{it ag}^en^ci^e^s^{, org}^aⁿⁱ^zation^s^,^ur^{ban communities}^.^{(p. 62)}^Co^m^m^uⁿ^{ities (}^s^{ee b}^e^lo^w⁾^.

^an^dⁱⁿ^stitu^tioⁿ^s^f^o^r^th^{e p}^u^r^p^o^s^{e o}^f
^estab^lishⁱⁿ^g^o^r^s^u^p^p^o^r^tin^g
^m^u^ltid^iscip^lin^ar^y^cen^ter^s^o^f^g^e^r^oⁿ^t^o^l^o^g^y^,

CRS-63
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^an^{d g}^e^ron^t^olog^y^cen^ters^o^f^s^p^e^cⁱ^al
^em^p^h^{asis (}ⁱⁿ^c^lu^dⁱⁿ^g^em^p^h^asis^oⁿⁿ^u^t^r^itioⁿ^,
^e^m^p^l^o^y^m^e^nt^,^he^a^l^t^h⁽ⁱ^nc^l^u^dⁱ^{ng m}^e^nt^a^l
^h^ealth⁾^,^dⁱ^sab^{ilities (}ⁱⁿ^c^lu^dⁱⁿ^g^sev^e^r^e
^dⁱ^s^a^b^ilities)^{, in}^co^m^e^m^aⁱⁿ^teⁿ^aⁿ^c^e^,
^couⁿ^s^elⁱⁿ^g^s^e^rvⁱ^ces^{, s}^u^pportⁱ^v^{e s}^e^rvⁱ^c^es^,
^mⁱⁿ^o^ri^t^y^popu^l^a^tⁱ^oⁿ^s^{, an}^{d ol}^{der i}ⁿ^di^vⁱ^du^al^s
^resⁱ^diⁿ^gⁱⁿ^ru^ral^areas^).
^Mu^ltid^iscip^lin^ar^y^cen^ter^s^o^f^g^e^r^oⁿ^t^o^l^o^g^y^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^{are requ}^{ired to con}^d^u^c^{t res}^earch^an^d^policy
^an^aly^s^is^an^{d f}^uⁿ^c^tion^as^{a tech}ⁿⁱ^cal
ⁱ^{ki/CRS-RL33660}^res^o^u^r^{ce f}^o^{r th}^{e A}^s^sⁱ^s^t^an^{t Secretary}^,
^g/w^policy^m^ak^ers^,^s^e^rv^{ice prov}^iders^,^an^d
^s^.or^C^oⁿ^g^r^es^s^,^an^{d to carry}^ou^{t a n}^u^m^{ber of}
^le^ak^func^tⁱ^o^{ns i}ⁿ^c^l^udⁱ^ng:
^://wiki^s^er^vⁱⁿ^g^{as a r}^e^p^o^s^ito^r^y^o^fⁱⁿ^f^o^r^m^atioⁿ^T^h^{e b}^ill^w^o^u^l^d^r^e^q^u^ir^{e th}^{at cen}^ter^s^also^p^r^o^v^id^e^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^h^ttp^aⁿ^d^kno^w^l^e^d^ge^oⁿ^a^gⁱ^ng;ⁱⁿ^f^o^r^m^atⁱ^{on about}^bes^t^pr^actⁱ^cesⁱⁿ^l^ong-t^e^r^m
^car^e^s^e^r^vⁱ^c^e^d^e^lⁱ^ver^{y, hous}ⁱ^{ng, and}
^traⁿ^s^p^o^r^ta^tioⁿ^{. (p. 62)}
^p^r^o^vⁱ^dⁱⁿ^g^coⁿ^s^u^ltatioⁿ^an^dⁱⁿ^f^o^r^m^atioⁿ^T^h^{e b}^{ill w}^o^u^l^d^d^e^lete^th^{e r}^e^f^e^r^eⁿ^{ce to}^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^t^o^p^u^b^lⁱ^c^aⁿ^d^vo^l^unt^a^r^y^o^r^gaⁿⁱ^z^a^tⁱ^o^{ns i}ⁿ^con^s^u^ltation^an^{d in}^s^t^{ead requ}^{ire ce}^nters^to
^pl^anⁿⁱⁿ^g^an^{d dev}^e^l^o^pⁱ^ng^se^r^vⁱ^c^e^s^pr^ovi^d^{e t}^echni^cal^as^sⁱ^s^t^ance^t^o^pu^blⁱ^c^an^d
^provⁱ^d^{ed u}ⁿ^d^{er ot}^h^e^r^p^r^ovⁱ^sⁱ^oⁿ^s^of^t^hⁱ^s^vo^l^unt^a^r^y^o^r^gaⁿⁱ^z^a^tⁱ^o^ns.⁽^p^.⁶²⁾
^act.
^N^o^provⁱ^sⁱ^oⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e cen}^ter^s^to^pr^ovⁱ^d^e
^t^r^aiⁿⁱ^{ng and t}^echni^cal^as^sⁱ^s^t^{ance t}^o^s^uppor^t^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.

^t^h^{e pr}^ovi^sⁱ^{on of}^com^m^uⁿⁱ^t^y^-bas^{ed m}^e^nt^al
^heal^t^h^s^e^r^vⁱ^ces^f^o^r^ol^derⁱ^ndi^vi^dual^s^.^{(p. 62)}

CRS-64
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^U^L^T^IDISCIPL^{INARY HE}^AL^T^H^SE^RVICE^{S IN COM}^M^UNIT^I^E^S
^u^lt^idisciplina^r^y^hea^l^t^h^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^ad^d^aⁿ^e^w^p^r^o^v^isioⁿ^th^at
^ervices^{in com}^m^unities^:^w^o^u^l^{d requ}^{ire th}^{e A}^s^sⁱ^s^t^an^{t S}^e^cretary^to
^{t p}^r^ogram^s^m^a^k^e^g^r^an^{ts to}^{states, o}ⁿ^a^co^m^p^etitiv^e^b^a^sis,
^f^o^r^t^h^e^dev^e^l^opm^en^t^an^{d operat}ⁱ^oⁿ^of^s^y^s^t^em^s
^f^o^{r th}^{e de}^lⁱ^v^ery^of^m^eⁿ^t^{al h}^ealth^s^c^reenⁱⁿ^g
^an^{d treatm}^eⁿ^t^s^e^rv^ices^f^o^{r older in}^divⁱ^d^u^als
^w^h^o^l^a^c^k^acces^s^{to s}^u^ch^s^e^rv^ices^an^d
^prog^ram^s^t^o^—
ⁱⁿ^c^reas^{e pu}^{blic aw}^areⁿ^e^s^s^reg^a^rdin^g^th^e
^ben^e^fⁱ^t^s^of^prev^en^tⁱ^oⁿ^an^{d t}^r^eat^m^eⁿ^t^of
ⁱ^{ki/CRS-RL33660}^m^eⁿ^t^al^di^s^o^rdersⁱⁿ^ol^{der i}ⁿ^di^vⁱ^du^al^s^;
^g/w^r^edu^ce^t^h^e^s^tig^m^a^as^s^o^{ciated w}^ith^m^eⁿ^t^al
^s^.or^di^s^o^rdersⁱⁿ^ol^{der i}ⁿ^di^vⁱ^du^al^s^an^{d ot}^h^e^r
^le^ak^barriers^{to th}^{e diag}ⁿ^o^sⁱ^s^an^{d treatm}^eⁿ^t^of
^th^{e dis}^o^rders^;^an^d
^://wiki^r^edu^ce^ag^e-^{related p}^r^e^j^u^dⁱ^c^e^aⁿ^d
^h^ttp^dⁱ^sc^rⁱ^mⁱ^na^tⁱ^o^{n r}^e^ga^r^dⁱ^{ng m}^e^nt^a^l^dⁱ^so^r^d^e^r^s
ⁱⁿ^ol^{der i}ⁿ^di^vⁱ^du^al^s^.^{(p. 79)}
^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{at to}^b^e^elig^ib^le^t^o
^receiv^e^{a g}^r^an^{t, a s}^t^{ate ag}^en^cy^s^h^{all s}^u^bm^{it an}
^application^{to th}^{e A}^s^sⁱ^s^t^an^{t Secre}^t^ary^as
^requⁱ^r^{ed. (p. 80)}
^T^h^e^b^ill^w^o^u^l^d^r^e^q^u^ir^{e th}^{at a state ag}^en^cy^th^at
^r^{eceives f}^und^{s thr}^o^{ugh a gr}^ant,^allo^ca^t^e^the
^fund^s^{to area ag}^en^cies^on^agⁱⁿ^g^{to carry}^ou^t
^m^u^ltid^iscip^lin^ar^y^h^ealth^ser^v^icesⁱⁿ^p^l^anⁿⁱⁿ^g
^an^{d s}^e^rv^{ice areas}ⁱⁿ^th^{e s}^t^a^t^{e. In}^allocatin^g
^th^{e f}^uⁿ^d^s^,^th^e^s^t^{ate ag}^en^cy^is^requ^{ired to g}ⁱ^v^e
^pri^o^rity^{to plan}ⁿⁱⁿ^g^an^{d s}^e^rv^{ice areas}ⁱⁿ^th^e
^s^t^{ate th}^{at are m}^e^dically^uⁿ^d^ers^e^r^v^{ed, an}^{d in}
^w^h^ich^th^{ere are a larg}^{e n}^u^m^b^e^r^of^older
ⁱⁿ^di^vⁱ^du^al^s^.^{(p. 80)}

CRS-65
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{at in}^car^r^yⁱⁿ^g^o^u^t
^th^{is p}^a^r^t^{, to}^m^o^r^e^ef^fⁱ^cien^tly^an^d^ef^f^ectiv^ely
^deliv^{er s}^e^rv^ices^{to older in}^divⁱ^duals^{, each}
^{area ag}^en^cy^on^agⁱⁿ^g^s^h^{all —}
^c^o^o^r^dⁱⁿ^a^{te m}^eⁿ^t^{al h}^ealth^aⁿ^d^tr^eatm^eⁿ^t
^s^e^rv^ices^w^ith^o^t^h^e^{r com}^m^uⁿ^ity^ag^en^cies^,
^aⁿ^d^wⁱ^t^h^vo^l^unt^a^r^y^o^r^gaⁿⁱ^z^a^tⁱ^o^ns^p^r^o^vⁱ^dⁱⁿ^g
^sim^ilar^o^r^r^e^lated^ser^v^{ices; an}^d
^t^o^th^{e g}^r^eates^{t ex}^ten^t^{practicable, in}^teg^r^ate
^o^u^treach^an^d^ed^u^catioⁿ^a^{l activ}^{ities w}^ith
^exⁱ^s^tⁱⁿ^g⁽^a^{s o}^f^th^{e d}^a^{te o}^f^th^{e in}^teg^r^atioⁿ⁾
^h^ealth^{care a}^{nd s}^o^{cial s}^e^rv^{ice prov}^iders
ⁱ^{ki/CRS-RL33660}^s^e^rvⁱⁿ^g^ol^{der i}ⁿ^di^vⁱ^du^al^sⁱⁿ^t^h^{e pl}^anⁿⁱⁿ^g
^g/w^an^{d s}^e^rv^{ice area in}^v^o^lv^{ed. (p. 80)}
^s^.or
^le^ak^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{at f}^uⁿ^d^{s m}^a^d^e
^av^ailable^uⁿ^d^er^th^is^{part s}^u^pplem^en^{t, an}^dⁿ^o^t
^://wiki^s^u^pplan^{t, an}^y^f^e^{deral, s}^t^{ate, an}^{d local}^fund^s
^h^ttp^ex^pen^d^{ed by}^{a s}^t^ate^o^r^uⁿ^{it of}^g^eⁿ^e^ral
^p^u^r^p^o^s^e^l^o^c^a^l^go^ve^rⁿ^m^e^nt⁽ⁱ^nc^l^u^dⁱ^{ng a}ⁿ^a^r^e^a
^ag^en^cy^oⁿ^agⁱⁿ^g⁾^to^p^r^o^v^id^{e m}^u^ltid^iscip^lin^ar^y
^h^ealth^s^e^rv^ices^{. (p. 81)}
^T^h^{e b}^{ill w}^o^u^l^d^d^e^fⁱⁿ^e^m^e^nt^al^heal^t^h
^s^c^r^eeni^{ng and t}^r^eat^m^en^t^s^e^r^vⁱ^ces^{to m}^ean
^patien^t^s^c^reenⁱⁿ^g^,^diagⁿ^o^s^{tic s}^e^rv^ices^,^care
^pl^anⁿⁱⁿ^g^an^{d ov}^e^r^si^ght^,^t^h^e^r^a^p^e^u^tⁱ^c
ⁱⁿ^terv^en^tion^s^{, an}^{d ref}^e^rrals^,^th^{at are —}
^p^rovⁱ^{ded pu}^rs^u^aⁿ^t^t^o^evⁱ^d^en^ce-^bas^e^d
ⁱⁿ^t^e^rv^en^tⁱ^oⁿ^an^{d t}^r^eat^m^eⁿ^t^prot^ocol^s^(t^{o t}^h^e
^ex^ten^t^s^u^ch^protocols^{are av}^{ailable) f}^o^r
^m^eⁿ^t^{al dis}^o^rders^prev^al^eⁿ^tⁱⁿ^older
ⁱⁿ^di^vⁱ^du^al^s^;^an^d
^c^o^o^r^dⁱⁿ^a^ted^an^dⁱⁿ^teg^r^ated^w^ith^th^e
^s^e^rv^ices^of^s^o^{cial s}^e^rv^ice,^m^eⁿ^t^{al h}^ealth^,
^a^{nd h}^ealth^{care prov}^idersⁱⁿ^an^{area in}
^{order t}^oⁱ^m^prov^{e pat}ⁱ^eⁿ^t^ou^t^c^om^e^s^;^an^d

CRS-66
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^en^su^r^e^{, to}^th^{e m}^a^xⁱ^m^u^m^ex^ten^t^f^easib^le,^th^e
^con^tⁱ^nui^{ng i}ⁿ^d^e^p^e^nd^eⁿ^c^e^of^ol^der
ⁱⁿ^divⁱ^du^als^w^h^{o are res}ⁱ^dingⁱⁿ^th^{e area.}
^{(p. 81)}
^M^UNIT^Y^INNOVAT^{IONS FOR AG}^ING^{IN PL}^ACE
^o^m^m^uⁿⁱ^{ty I}ⁿⁿ^ovati^oⁿ^s^for^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^ad^d^th^e^f^o^l^l^o^wⁱⁿ^g^T^itle^I^V
^gⁱⁿ^{g i}ⁿ^Pl^{ace: au}^th^ori^z^ati^oⁿ^prog^ram^:^Sec^.^{422 C}^o^m^m^uni^t^y^Innovatⁱ^ons
^fo^{r Ag}ⁱⁿ^gⁱⁿ^Pla^ce.
^o^m^m^uⁿⁱ^{ty I}ⁿⁿ^ovati^oⁿ^s^{for A}^gⁱⁿ^{g i}ⁿ^Pl^{ace: d}^e^fiⁿⁱ^ti^on^s
ⁱ^{ki/CRS-RL33660}^{ible ent}ⁱ^t^y^N^o^provⁱ^sⁱ^oⁿ^.^N^o^provⁱ^sⁱ^oⁿ^.^D^e^fⁱⁿ^e^s^elig^ib^{le en}^tity^as^{a n}^oⁿ^p^rof^{it h}^ealth^or
^g/w^s^o^cⁱ^{al s}^e^rv^{ice org}^aⁿⁱ^zation^,^{a com}^m^uⁿ^ity^-
^s^.or^bas^e^{d n}^oⁿ^p^rof^it^org^aⁿⁱ^zation^,^an^{area ag}^en^cy
^le^ak^on^agⁱⁿ^g^{or ot}^he^r^{local g}^o^v^e^rn^m^eⁿ^t^ag^en^cy^,
^://wiki^{a tr}^ib^{al o}^r^g^aⁿⁱ^zatioⁿ^,^o^r^an^o^t^h^e^r^en^tity^det^e^rmⁱⁿ^{ed t}^o^{be appropri}^a^t^e^t^o^carry^ou^t^a
^h^ttp^proj^{ect u}ⁿ^d^{er th}^is^{part; an}^{d th}^{at dem}^oⁿ^s^trates
^{a record of}^{, an}^{d ex}^perien^{ce in}^{, prov}^idⁱⁿ^g^or
^admⁱⁿⁱ^s^t^e^rⁱⁿ^g^g^r^ou^{p an}^{d i}ⁿ^di^vⁱ^du^al^h^eal^t^h
^an^{d s}^o^{cial s}^e^rv^ices^f^o^r^ol^{der i}ⁿ^di^vⁱ^du^al^s^;^an^d
^d^o^e^{s n}^o^{t in}^clu^d^{e an}^en^tity^p^r^o^v^idⁱⁿ^g^h^o^u^sⁱⁿ^g
^und^e^r^t^h^e^c^o^ngr^e^g^a^t^e^ho^usi^{ng se}^r^vⁱ^c^e
^p^r^o^g^r^a^m^o^r^th^{e m}^u^ltif^am^ily^ser^v^ice
^coordiⁿ^a^t^o^{r prog}^ram^.^{(p. 82)}
^N^o^provⁱ^sⁱ^oⁿ^.^N^o^provⁱ^sⁱ^oⁿ^.^D^e^fⁱⁿ^e^s^nat^ur^a^l^l^y^o^c^c^u^r^rⁱ^ng^r^e^tⁱ^r^e^m^e^nt
^rem^en^{t Com}^m^uⁿⁱ^ty^com^m^uni^t^y^as^{a r}^e^sid^eⁿ^{tial b}^u^ildⁱⁿ^g^,^a
^ho^usi^{ng c}^o^m^p^l^e^x,^aⁿ^a^r^e^a⁽ⁱⁿ^c^l^u^dⁱ^{ng a}^r^u^r^a^l
^a^r^{ea) of}^sⁱⁿ^g^l^{e f}^a^m^ily^resⁱ^den^ces^{, or}^a
ⁿ^eⁱ^g^h^borh^{ood com}^pos^{ed of}^ag^e-ⁱⁿ^t^e^g^r^at^ed
^h^o^u^sⁱⁿ^g^w^h^{ere 40% of}^th^{e h}^eads^o^f
^h^o^u^s^eh^{old are older in}^divⁱ^du^als^;^{or a critical}
^m^a^s^s^of^ol^{der i}ⁿ^di^vⁱ^du^al^s^t^h^at^exi^s^t^s^{, bas}^e^d
^oⁿ^lo^cal^f^acto^r^{s w}^h^ich^,^tak^eⁿⁱⁿ^to^{tal, allo}^w
^an^org^aⁿⁱ^zation^{to ach}^iev^e^ef^fⁱ^cien^ciesⁱⁿ^th^e

CRS-67
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^prov^is^ion^of^h^ealth^an^{d s}^o^{cial s}^e^rv^ices^to
^o^l^d^e^rⁱⁿ^dⁱ^vⁱ^d^u^{als liv}ⁱⁿ^gⁱⁿ^th^{e co}^m^m^uⁿⁱ^t^y^;
^an^d^th^at^{is n}^o^{t an}ⁱⁿ^stitu^tioⁿ^a^{l car}^e^o^r^assisted
^livⁱⁿ^g^settin^g^.⁽^p^{. 8}³⁾
^o^m^m^uⁿⁱ^{ty I}ⁿⁿ^ovati^oⁿ^s^for^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^e^th^e^A^s^sistan^t^Secr^etar^y
^gⁱⁿ^{g i}ⁿ^Pl^{ace: gran}^ts^to^m^a^k^e^g^r^an^{ts to}^eli^g^ib^{le en}^{tities to}^en^ab^le
^th^{e en}^tities^to^p^a^y^f^o^r^d^e^v^e^lo^pⁱⁿ^g^o^r^car^r^yⁱⁿ^g
^ou^{t m}^{odel ag}ⁱⁿ^gⁱⁿ^{place pr}^o^j^ects^.^T^h^e
^proj^ects^are^requ^ired^{to perm}^{it ag}ⁱⁿ^gⁱⁿ^place
^f^o^r^ol^{der i}ⁿ^di^vⁱ^du^al^s^,ⁱⁿ^c^l^u^dⁱⁿ^g^s^u^c^h
ⁱⁿ^dⁱ^vⁱ^d^u^{als w}^h^o^r^e^sid^eⁱⁿ^Natu^r^a^lly
ⁱ^{ki/CRS-RL33660}^Occu^r^rⁱⁿ^g^Retir^e^m^en^{t Co}^m^m^uⁿ^{ities, w}^h^ich
^g/w^h^e^l^p^t^o^s^u^s^t^aiⁿ^t^h^{e i}ⁿ^depen^d^en^ce^of^ol^der
^s^.orⁱⁿ^dⁱ^vⁱ^d^u^{als in}^co^m^m^uⁿ^{ities w}^h^e^r^{e th}^e
^le^akⁱⁿ^di^vⁱ^du^al^s^h^a^v^e^es^t^a^blⁱ^s^h^e^{d pers}^on^a^l^{, f}^a^mⁱ^l^y^,
^an^{d prof}^es^sⁱ^on^a^l^s^u^pportⁱ^v^{e n}^e^t^w^ork^s^{. T}^h^e
^://wiki^en^tities^{are requ}ⁱ^r^e^d^t^o^p^r^o^vⁱ^d^e
^h^ttp^com^p^reh^eⁿ^s^iv^{e an}^{d coordin}^a^{ted h}^ealth^an^d
^so^cⁱ^a^l^se^r^vⁱ^c^e^s^t^h^r^o^{ugh t}^h^e^p^r^o^j^e^c^t^s.⁽^p^.⁸³⁾
^o^m^m^uⁿⁱ^{ty I}ⁿⁿ^ovati^oⁿ^s^for^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^e^th^e^A^s^sistan^t^Secr^etar^y
^ing^{in Pla}^ce:^elig^ibilit^y^aⁿ^d^{to m}^a^k^e^g^r^an^ts^f^o^{r th}^ree-^y^{ear periods}^{. T}^o^be
^pplica^t^io^{n requirem}^ent^s^elig^{ible to receiv}^e^{a g}^r^an^{t f}^o^{r a pro}^j^{ect, an}
^en^tity^{is r}^e^q^u^ir^ed^to^su^b^m^{it an}^ap^p^licatioⁿ^to
^th^{e A}^s^sⁱ^s^t^an^{t Secretary}^.^{(p. 84)}
^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{at an}^ap^p^licatioⁿ
ⁱⁿ^clu^d^e:
^a^d^e^scrⁱ^p^tioⁿ^o^f^t^h^{e en}^tity^’^s^ex^p^e^rⁱ^en^{ce in}
^provⁱ^dⁱⁿ^g^s^e^rvⁱ^ces^t^o^ol^{der i}ⁿ^di^vⁱ^du^al^sⁱⁿ
^ag^e-ⁱⁿ^teg^r^{ated s}^e^ttin^g^s^;
^a^d^e^fⁱⁿ^itioⁿ^o^f^th^{e co}ⁿ^tig^u^o^u^s^ser^v^{ice ar}^ea
^an^{d a}^des^c^ri^ptⁱ^oⁿ^of^t^h^{e proj}^ect^bouⁿ^d^ari^e^s
ⁱⁿ^w^hⁱ^c^h^t^h^{e ol}^{der i}ⁿ^di^vⁱ^du^al^s^resⁱ^de^o^r
^car^r^y^o^u^{t activ}^{ities to}^su^stain^th^eir^w^e^ll-
^b^eⁱ^ng;

CRS-68
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^a^d^e^scrⁱ^p^tioⁿ^o^f^h^o^w^th^{e en}^tity^w^ill
^cooper^a^t^e^an^{d coordi}ⁿ^a^t^e^pl^anⁿⁱⁿ^g^an^d
^s^e^r^v^ices^w^ith^ag^en^cies^an^{d org}^aⁿⁱ^zation^s
^t^h^at^provⁱ^d^e^pu^blⁱ^c^l^y^s^u^pport^e^{d s}^e^rvⁱ^ces^f^o^r
^ol^{der i}ⁿ^di^vⁱ^du^al^s^wⁱ^t^hⁱⁿ^t^h^{e proj}^ect
^bouⁿ^d^aries^,ⁱⁿ^cl^udⁱⁿ^g^th^{e s}^t^{ate ag}^en^cy^an^d
^{area ag}^en^cies^on^ag^ing^wⁱ^th^planⁿⁱⁿ^g^an^d
^s^e^rv^{ice areas}^w^ithⁱⁿ^th^{e proj}^{ect bou}ⁿ^d^aries^;
^aⁿ^assu^r^aⁿ^{ce th}^{at th}^{e en}^tity^w^{ill seek}^to
^es^t^a^blⁱ^s^h^cooperatⁱ^v^{e re}^l^a^tⁱ^oⁿ^s^hⁱ^ps^wⁱ^t^h
ⁱⁿ^t^e^r^e^sted^lo^{cal en}^{tities, in}^clu^dⁱⁿ^g^p^r^iv^ate
^ag^en^cies^an^d^bu^sⁱⁿ^e^s^s^e^s^th^{at prov}^{ide h}^ealth
ⁱ^{ki/CRS-RL33660}^an^d^so^cⁱ^{al ser}^v^{ices, h}^o^u^sⁱⁿ^g^en^tities,
^g/w^c^o^m^m^uni^t^y^d^e^ve^l^o^p^m^eⁿ^t^o^r^gaⁿⁱ^z^a^tⁱ^o^ns,
^s^.or^p^hⁱ^l^a^nt^hr^o^pⁱ^c^o^r^gaⁿⁱ^z^a^tⁱ^o^ns,^fo^und^a^tⁱ^o^ns,
^le^ak^an^d^o^t^h^e^rⁿ^oⁿ^-^f^e^d^e^r^a^{l en}^tities;
^a^d^e^scrⁱ^p^tioⁿ^o^f^th^{e en}^tity^’^s^p^r^o^t^o^c^o^l^f^o^r
^://wiki^ref^e^rral^of^resⁱ^den^t^s^w^h^o^m^a^y^requⁱ^r^e^l^oⁿ^g^-
^h^ttp^term^{care s}^e^rv^ices^{, in}^clu^dⁱⁿ^g^coordin^a^tion
^w^ith^{local in}^f^o^rm^ation^an^{d ref}^e^{rral ag}^en^cies
^an^{d A}^D^R^C^s^w^h^{o s}^e^rv^{e as}^sⁱⁿ^g^l^{e poi}ⁿ^t^s^of
^en^tr^y^to^p^u^b^{lic ser}^v^ices;
^a^d^e^scrⁱ^p^tioⁿ^o^f^h^o^w^th^{e en}^tity^w^{ill o}^f^f^e^r
^opportuⁿ^ities^f^o^{r older in}^dⁱ^vⁱ^du^als^{to be}
ⁱⁿ^v^o^lv^{ed in}^th^{e g}^o^v^e^rn^an^{ce, ov}^ersⁱ^g^h^t^{, an}^d
^operatⁱ^oⁿ^of^t^h^{e proj}^ect^;
^aⁿ^assu^r^aⁿ^{ce th}^{at th}^{e en}^tity^w^{ill su}^b^m^{it to}
^th^{e As}^sⁱ^s^t^an^{t Secretary}^s^u^ch^ev^alu^a^tion^s
^an^{d re}^p^o^rts^as^th^{e A}^s^sⁱ^s^t^an^{t Secretary}^m^a^y
^requ^{ire; an}^d
^a^p^l^an^f^o^r^loⁿ^g^-^ter^m^su^stain^a^b^ility^o^f^th^e
^proj^ect^{. (p. 84)}
^o^m^m^uⁿⁱ^{ty I}ⁿⁿ^ovati^oⁿ^s^for^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^T^h^e^b^ill^w^o^u^l^d^r^e^q^uⁱ^r^{e an}^elig^ib^{le en}^tity^th^at
^ing^{in P}^l^a^ce:^{use o}^f^f^unds^receiv^e^s^{a g}^r^an^{t to u}^s^{e f}^uⁿ^d^s^{to prov}^{ide an}^d
^co^o^r^dⁱ^nate,^thr^o^{ugh aging in p}^l^{ace p}^r^o^j^ects,
^s^e^rv^ices^th^{at in}^clu^d^{e a com}^p^reh^e^nsⁱ^v^{e an}^d

CRS-69
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^coordin^a^{ted array}^of^com^m^uⁿ^ity^-^b^as^{ed h}^ealth
^an^{d s}^o^ci^{al s}^e^rv^ices^{, w}^h^ich^m^a^yⁱⁿ^clu^d^e
^m^eⁿ^t^{al h}^ealth^ser^v^{ices, f}^o^r^elig^ib^{le o}^l^d^e^r
ⁱⁿ^di^vⁱ^du^al^s^.^{(p. 86)}
^o^m^m^uⁿⁱ^{ty I}ⁿⁿ^ovati^oⁿ^s^for^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^e^th^e^f^o^llo^wⁱⁿ^g^ser^v^ices
^t^o^{be prov}ⁱ^d^ed:
^ervices^cas^{e m}^aⁿ^a^g^e^m^eⁿ^t^,^c^a^s^e^as^sⁱ^s^t^an^{ce, an}^d
^s^o^{cial w}^o^rk^s^e^rv^ices^;
^h^ealth^{care m}^aⁿ^a^g^e^m^eⁿ^t^an^{d h}^ealth^care
^as^sⁱ^s^t^an^{ce, in}^clu^dⁱⁿ^g^dis^eas^{e pr}^e^v^eⁿ^tⁱ^oⁿ^aⁿ^d
^h^ealth^p^r^o^m^o^tioⁿ^ser^v^ices;
ⁱ^{ki/CRS-RL33660}^e^du^cation^,^s^o^ci^a^lization^,^an^{d recreation}^a^l
^g/w^activ^ities;
^s^.or^v^o^l^unt^e^e^r^opportuⁿ^itie^s^fo^r^p^r^o^j^e^c^t
^le^ak^p^a^r^ticip^an^{ts; an}^d
^c^oordiⁿ^a^tⁱ^ng^t^h^{e s}^e^rvⁱ^ces^provⁱ^d^{ed u}ⁿ^d^er
^://wiki^T^itle^I^I^I^f^o^r^elig^ib^{le o}^l^d^e^rⁱⁿ^dⁱ^vⁱ^d^u^als
^h^ttp^s^e^rv^{ed by}^t^h^{e proj}^ect^{. (p. 87)}
^o^m^m^uⁿⁱ^{ty I}ⁿⁿ^ovati^oⁿ^s^for^{No prov}^is^ion^.^{No prov}^is^ion^.^In^carryⁱⁿ^g^ou^t^an^agⁱⁿ^gⁱⁿ^{place proj}^{ect, th}^e
^{ervice areas}^b^{ill w}^o^u^l^d^r^e^q^u^ir^{e an}^elig^ib^l^e^eⁿ^tity^{, to}^th^e
^ex^t^eⁿ^t^p^r^acticab^{le, to}^ser^v^{e co}^m^m^uⁿ^{ities o}^f
^l^o^w^-ⁱⁿ^com^eⁱⁿ^di^vⁱ^du^al^s^an^{d operat}^e^{or l}^o^cat^e
^proj^ect^s^an^{d s}^e^rvⁱ^ces^{, i}ⁿ^{or i}ⁿ^cl^os^e^proxⁱ^mⁱ^t^y
^to^{, lo}^catioⁿ^s^w^h^er^{e lar}^g^{e c}^oⁿ^cen^tr^atioⁿ^s^o^f
^{older in}^divⁱ^du^als^h^a^v^e^ag^{ed in}^{place an}^d
^resⁱ^{ded, s}^u^ch^as^Na^t^u^r^a^l^l^y^O^c^cu^rrin^g
^Retir^em^en^{t Co}^m^m^uⁿ^{ities. (}^p^{. 8}⁷⁾
^o^m^m^uⁿⁱ^{ty I}ⁿⁿ^ovati^oⁿ^s^for^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^e^b^ill^w^o^u^l^d^r^e^q^uⁱ^r^e^th^{at f}^uⁿ^d^{s m}^a^d^e
^ing^{in P}^l^a^ce:^supplem^ent^av^ailab^l^{e to}^an^e^lig^ib^{le en}^tity^uⁿ^d^er^th^is
^{nd no}^t^supplaⁿ^t^f^e^dera^l,^s^ectioⁿ^b^e^u^s^ed^to^su^p^p^l^em^en^{t, n}^o^{t su}^p^p^l^aⁿ^t^,
^a^t^{e, o}^r^o^t^{her f}^unds^a^ny^f^e^d^e^r^a^l^,^st^a^t^e^,^o^r^o^t^he^r^fund^{s o}^t^he^r^wⁱ^s^e
^av^ailab^l^{e to}^th^{e en}^tity^to^p^r^o^v^id^{e h}^ealth^an^d
^so^{cial ser}^v^{ices to}^elig^ib^{le o}^l^d^e^rⁱⁿ^dⁱ^vⁱ^d^u^als.
^{(p. 88)}

CRS-70
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^o^m^m^uⁿⁱ^{ty I}ⁿⁿ^ovati^oⁿ^s^for^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^e^th^e^A^s^sistan^t^Secr^etar^y
^{(or requ}^{ire th}^{e A}^s^sⁱ^s^t^an^{t Secretary}^{to m}^a^k^e^a
^ssist^aⁿ^c^e^g^r^an^{t o}ⁿ^{a co}^m^p^etitiv^{e b}^a^{sis to}^an^elig^ib^le
^no^np^r^o^fi^t^o^r^gaⁿⁱ^z^a^tⁱ^oⁿ⁾^t^o^p^r^o^vⁱ^d^e^t^e^c^hni^c^a^l
^as^sⁱ^s^t^an^{ce to}^recipien^ts^of^g^r^an^ts^an^{d to carry}
^ou^t^ot^h^e^{r du}^tⁱ^e^s^.^{(p. 88)}
^o^m^m^uⁿⁱ^{ty I}ⁿⁿ^ovati^oⁿ^s^for^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^o^b^e^e^lⁱ^gⁱ^b^l^e^to^receiv^e^{a g}^r^an^{t to prov}^ide
^ing^{in Pla}^ce:^elig^ibilit^y^techⁿⁱ^{cal as}^sⁱ^s^t^an^{ce, an}^org^aⁿⁱ^zation^is
^ents^{for grants}^to^requi^r^e^{d t}^o^{be a n}^oⁿ^p^rofⁱ^t^org^aⁿⁱ^zatⁱ^oⁿ
^vⁱ^{de t}^echnica^{l a}^ssist^aⁿ^ce⁽ⁱ^nc^l^u^dⁱⁿ^g^a^p^a^r^t^ne^r^s^hi^p^o^f^no^np^r^o^fi^t
^o^r^gaⁿⁱ^z^a^tⁱ^o^ns)^,^t^h^a^t^ha^s:
ⁱ^{ki/CRS-RL33660}^e^x^p^er^ien^c^e^an^d^ex^p^e^r^{tise in}^p^r^o^v^idⁱⁿ^g
^g/w^techⁿⁱ^{cal assistan}^ce^to^en^{tities ser}^vⁱⁿ^g^o^l^d^e^r
^s^.orⁱⁿ^di^vⁱ^du^al^s^;
^le^ak^e^xp^e^rⁱ^e^nc^e^e^v^a^l^ua^tⁱ^{ng a}ⁿ^d^r^e^p^o^r^tⁱ^{ng o}ⁿ
^prog^ram^s^;^an^d
^://wiki^know^l^e^dg^{e an}^{d ex}^pertⁱ^s^{e i}ⁿ^com^m^uⁿⁱ^t^y^-
^h^ttp^bas^e^{d h}^ealth^an^{d s}^o^{cial s}^e^rv^ices^{. (p. 89)}
^T^o^{be elig}^{ible to receiv}^e^{a g}^r^an^{t to}^p^r^o^vⁱ^d^e
^techⁿⁱ^cal^assistan^ce,^th^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e an}
^o^r^gaⁿⁱ^z^a^tⁱ^o^{n (}ⁱ^nc^l^u^dⁱ^{ng a}^p^a^r^t^ne^r^s^hi^p^o^f
ⁿ^oⁿ^p^r^o^f^{it o}^r^g^aⁿⁱ^zatioⁿ^s⁾^to^su^b^m^{it an}
^application^{to th}^e^A^s^sⁱ^s^t^an^{t Secretary}^,
ⁱⁿ^clu^dⁱⁿ^g^an^as^s^u^ran^{ce th}^{at th}^{e org}^aⁿⁱ^zation
^w^ill^su^b^m^{it an}^ev^alu^a^tioⁿ^{as r}^e^q^u^ir^ed^{. (}^p^{. 8}⁹⁾
^o^m^m^uⁿⁱ^{ty I}ⁿⁿ^ovati^oⁿ^s^for^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^e^th^e^A^s^sistan^t^Secr^etar^y
^t^o^a^nnua^l^l^y^p^r^e^p^a^r^e^aⁿ^d^sub^mⁱ^t^a^r^e^p^o^r^t^t^o
^s^C^oⁿ^g^r^es^s^th^{at in}^clu^d^es^:
^t^he^fi^ndⁱ^{ngs r}^e^sul^tⁱ^{ng fr}^o^m^t^h^e^e^v^a^l^u^a^tⁱ^o^ns
^of^t^h^{e m}^odel^proj^ect^s^con^d^u^c^t^e^{d u}ⁿ^d^er^t^hⁱ^s
^sectioⁿ^;
^a^d^e^s^c^ription^of^recom^m^eⁿ^d^{ed bes}^t
^practices^reg^a^rdin^g^carryⁱⁿ^g^ou^{t h}^ealth^an^d
^s^o^ci^al^s^e^rvⁱ^{ce proj}^ect^s^f^o^{r ol}^derⁱⁿ^di^vⁱ^du^al^s

CRS-71
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^agⁱⁿ^gⁱⁿ^{place; an}^d
^r^e^c^o^m^m^eⁿ^d^a^tioⁿ^s^f^o^r^legⁱ^slativ^{e o}^r
^admⁱⁿⁱ^s^t^rativ^{e action}^s^{, as}^th^{e A}^s^sⁱ^s^t^an^t
^S^ecret^ary^det^e^rmⁱⁿ^es^appropri^a^t^e^{. (p. 89)}
^{S FOR INDE}^PE^NDE^NCE^DE^M^O^NST^RAT^{ION PROJ}^E^C^T^S
ⁱ^{ces f}^o^{r Independence:}^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^ad^d^{a n}^e^w^T^itle^I^V^p^r^o^g^r^a^m^:
^th^ori^z^ati^oⁿ^S^e^c^.^{423 C}^hoi^ces^f^o^r^Iⁿ^d^e^p^eⁿ^d^eⁿ^c^e
^D^e^m^ons^t^r^atⁱ^{on Pr}^oj^ect^s^.^{(p. 90)}
ⁱ^{ces f}^o^{r Independence:}^defⁱ^nitⁱ^oⁿ^s
ⁱ^{ki/CRS-RL33660}^nsum^er^N^o^provⁱ^sⁱ^oⁿ^.^N^o^provⁱ^sⁱ^oⁿ^.^D^e^fi^ne^s^cons^um^e^r^as^an^ol^derⁱⁿ^di^vⁱ^d^u^a^l^,^a
^g/w^fa^mⁱ^ly^m^e^m^b^{er of}^s^u^chⁱⁿ^divⁱ^du^{al, an}^{d an}^y
^s^.or^o^t^he^r^p^e^r^s^oⁿ^se^e^kⁱ^{ng i}ⁿ^fo^r^m^a^tⁱ^o^{n o}^r
^le^ak^as^sⁱ^s^t^an^{ce w}^ith^res^p^{ect to lon}^g^-^term^care.
^://wiki^{(p. 90)}
^h^ttpⁱ^g^h^-^r^isk^indivⁱ^dua^l^N^o^provⁱ^sⁱ^oⁿ^.^N^o^provⁱ^sⁱ^oⁿ^.^D^e^fⁱⁿ^e^s^hi^gh-rⁱ^s^kⁱ^ndi^vi^dual^as^an^older
ⁱⁿ^dⁱ^vⁱ^d^u^{al w}^h^o^h^a^{s a f}^uⁿ^c^tioⁿ^a^{l im}^p^a^ir^m^eⁿ^t
^af^f^ectin^g^th^{e in}^dⁱ^vⁱ^d^u^al’^s^activ^{ities o}^f^d^a^ily
^livⁱⁿ^g^;^{is in}^eligⁱ^b^{le f}^o^r^th^{e Med}ⁱ^caid
^p^r^og^ram^;^an^{d m}^eets^s^u^chⁱⁿ^com^e^an^d
^f^uⁿ^c^tion^a^{l s}^t^atu^s^{criteria as}^{are determ}ⁱⁿ^{ed to}
^b^e^{appropriate by}^th^{e s}^t^{ate in}^v^o^lv^{ed an}^d
^approv^{ed by}^th^{e A}^s^sⁱ^s^t^an^{t Secretary}^.^{(p. 90)}
^u^a^lif^{ied expendit}^u^res^N^o^provⁱ^sⁱ^oⁿ^.^N^o^provⁱ^sⁱ^oⁿ^.^D^e^fⁱⁿ^e^s^q^u^a^lified^ex^p^eⁿ^dⁱ^t^u^r^e^s^a^s^r^e^port^e^d
^ex^pen^d^itu^res^of^{a s}^t^ate^uⁿ^d^er^th^is^s^ection^th^at
^h^a^v^e^been^revⁱ^ew^{ed an}^{d approv}^{ed by}^the
^A^s^sⁱ^s^t^an^{t Secretary}^.^{(p. 90)}
^N^o^provⁱ^sⁱ^oⁿ^.^N^o^provⁱ^sⁱ^oⁿ^.^D^e^fⁱⁿ^e^s^se^rvⁱ^{ce coor}^diⁿ^a^tⁱ^oⁿ^as^{a coordin}^a^ted
^approach^t^a^k^eⁿ^on^beh^a^l^f^of^hi^g^h^-^ri^s^k^ol^der
ⁱⁿ^dⁱ^vⁱ^d^u^{als to}^f^{acilitate th}^{e d}^e^v^e^lo^p^m^en^{t an}^d
^im^plem^en^tation^of^{a lon}^g^-^term^{care plan}^an^d
^t^h^{e ch}^{oice an}^{d in}^depen^d^en^{ce of}^th^e

CRS-72
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
ⁱⁿ^divⁱ^du^alsⁱⁿ^s^ecu^rin^g^lon^g^-^term^care.
^{(p. 91)}
ⁱ^{ces f}^o^{r Independence:}^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^e^th^e^A^s^sistan^t^Secr^etar^y
^ts^{to s}^t^ates^to^m^a^k^e^g^r^an^ts,^oⁿ^{a co}^m^p^etitiv^{e b}^a^{sis, to}
^s^t^ates^{to en}^{able th}^em^{to pa}^y^f^o^{r th}^{e f}^e^deral
^s^h^{are of}^th^{e cos}^t^of^m^odif^yⁱⁿ^g^th^eⁱ^{r s}^y^s^t^em^s
^o^f^l^oⁿ^g^-^t^e^rm^{care i}ⁿ^{order t}^o^prom^ot^{e a}ⁿ^d
^f^acilitate:
^t^h^e^ch^oi^{ce an}^{d con}^t^rol^of^ol^{der i}ⁿ^dⁱ^vⁱ^du^al^s
^an^d^th^eir^f^a^m^{ilies in}^se^cu^rⁱⁿ^g^loⁿ^g^-^ter^m
^care;
ⁱ^{ki/CRS-RL33660}^t^h^e^coordin^a^tio^{n an}^{d cos}^t^-^e^f^f^ectiv^en^es^s^of
^g/w^s^t^{ate s}^y^s^t^em^s^of^lon^g^-^term^care;
^s^.or^t^h^e^p^r^o^v^isioⁿ^o^f^loⁿ^g^-^ter^m^car^{e in}^h^o^m^e
^le^ak^an^{d com}^m^uⁿ^ity^-^b^as^{ed s}^e^ttin^g^s^{; an}^d
^t^h^e^ab^ility^o^fⁱⁿ^dⁱ^vⁱ^d^u^{als receiv}ⁱⁿ^g^loⁿ^g^-
^://wiki^ter^m^ca^r^e^to^r^e^m^aⁱⁿ^{as in}^d^e^p^eⁿ^d^en^{t an}^d
^h^ttp^s^e^lf^-^s^u^f^fⁱ^cien^{t as}^pos^sⁱ^{ble. (p. 91)}
ⁱ^{ces f}^o^{r Independence:}^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^Fo^r^a^s^t^ate^to^b^e^elig^ib^{le, th}^{e b}^{ill w}^o^u^l^d
^ibilit^y^r^e^q^u^ir^{e th}^{at th}^{e Go}^v^e^rⁿ^o^r^su^b^m^{it an}
^application^{to th}^{e A}^s^sⁱ^s^t^aⁿ^{t Secretary}
^con^t^ainⁱⁿ^g^{a plan}^f^o^{r im}^plem^en^tation^of^th^e
^c^o^m^p^oⁿ^en^{t str}^a^tegⁱ^{es an}^d^o^t^h^e^rⁱⁿ^f^o^r^m^atioⁿ
^an^{d as}^s^u^ra^nces^as^th^{e Secretary}^determⁱⁿ^es
^appropri^a^t^e^{. (p. 91)}
ⁱ^{ces f}^o^{r Independence:}^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^Th^e^b^ill^w^o^u^l^d^r^e^q^uⁱ^r^e^t^h^a^t^a^s^t^a^t^e^u^s^e^f^uⁿ^d^s
^f^f^unds^t^o^carry^ou^t^{a dem}^oⁿ^s^t^r^atⁱ^oⁿ^proj^ect^und^e^r
^th^{is sectio}ⁿ⁽^d^ir^ectly^o^r^b^y^coⁿ^t^r^act)^b^y
ⁱⁿ^teg^r^atin^gⁱⁿ^th^e^state’^{s sy}^stem^o^f^loⁿ^g^-^ter^m
^{care th}^{e f}^o^ll^owⁱⁿ^g^com^pon^en^{t s}^t^rategⁱ^es^:
^p^u^b^{lic ed}^u^catioⁿ^,^A^D^{RCs, h}^ealth^y^lif^esty^le
^ch^oices^{, an}^{d com}^m^uⁿ^ity^livⁱⁿ^gⁱⁿ^cen^tiv^es^.

CRS-73
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
ⁱ^{ces f}^o^{r Independence:}^N^o^provⁱ^sⁱ^oⁿ^.^N^o^provⁱ^sⁱ^oⁿ^.^P^ublⁱ^c^educ^a^tⁱ^oⁿ^:^T^h^{e s}^t^{ate w}^o^u^l^{d be}
^t^ioⁿ^r^e^q^uⁱ^r^e^d^to^coⁿ^d^u^c^{t p}^u^b^{lic ed}^u^catioⁿ
^activ^{ities th}^{at in}^clu^d^e^m^e^dⁱ^{a cam}^p^a^igⁿ^s^,
^tar^g^eted^m^a^ilin^g^s^{, an}^d^r^e^lated^activ^{ities, to}
^h^e^{lp en}^s^u^{re th}^{at con}^s^u^m^ers^{are aw}^{are of}^:
^t^h^eⁿ^{eed to plan}ⁱⁿ^adv^aⁿ^{ce fo}^r^lon^g^term
^care;
^a^v^a^ilab^l^{e p}^u^b^{lic an}^d^p^r^iv^{ate lo}ⁿ^g^-^ter^m^car^e
^o^p^tioⁿ^s^{, in}^clu^dⁱⁿ^g^p^r^iv^{ate lo}ⁿ^g^-^ter^m^car^e
ⁱⁿ^s^u^ran^{ce; an}^d
^s^ou^rces^ofⁱⁿ^f^o^rm^ation^an^d^r^e^s^o^u^r^ces
^r^e^lated^to^loⁿ^g^-^ter^m^car^{e, in}^clu^dⁱⁿ^g
ⁱ^{ki/CRS-RL33660}^A^D^R^C^s^.^{(p. 92)}
^g/w
^s^.orⁱ^{ces f}^o^{r Independence:}^N^o^provⁱ^sⁱ^oⁿ^.^N^o^provⁱ^sⁱ^oⁿ^.^ADRC^s^{: T}^h^{e s}^t^{ate is}^requ^ir^e^d^t^o^p^r^o^vⁱ^d^e^fo^r
^le^ak^com^m^uⁿ^ity^-^l^ev^el^A^D^R^C^s^{, w}^h^ich^are^requ^ired
^t^o^provⁱ^d^{e —}
^://wiki^c^om^preh^en^sⁱ^v^eⁱⁿ^f^o^rm^ati^oⁿ^on^av^ailable
^h^ttp^p^u^b^{lic an}^d^p^rⁱ^v^a^t^{e lo}ⁿ^g^-^ter^m^car^e
^prog^ram^s^{, opt}ⁱ^oⁿ^s^{, an}^{d res}^o^u^r^ces^;
^p^e^r^so^na^l^c^o^un^s^e^lⁱⁿ^g^an^{d s}^e^r^vⁱ^c^e
^c^o^o^r^dⁱ^na^tⁱ^o^{n t}^o^a^ssi^st^c^o^nsum^e^r^{s i}ⁿ
^assessin^g^th^eir^ex^istin^g^o^r^an^ticip^ated^loⁿ^g^-
^term^c^a^r^{e n}^eeds^an^{d circu}^m^s^t^an^ces^{, an}^d
^dev^e^l^opiⁿ^g^an^{d i}^m^pl^em^entⁱⁿ^g^{a pl}^an^f^o^r
^loⁿ^g^-^term^{care des}ⁱ^gⁿ^e^{d to m}^{eet th}^eir
^s^p^ecifⁱ^{c n}^eeds^an^{d circu}^m^s^t^an^ces^;
^a^coⁿ^v^eⁿⁱ^en^{t p}^oⁱⁿ^t^o^f^en^tr^y^to^th^{e r}^aⁿ^g^e^o^f
^pu^blⁱ^c^l^y^-^s^u^pport^e^{d l}^oⁿ^g^-^t^e^rm^care
^prog^ram^s^f^o^{r w}^hⁱ^c^h^anⁱⁿ^di^vⁱ^du^al^m^a^y^be
^elig^ib^{le, in}^clu^dⁱⁿ^g^Medⁱ^caid^,^an^d^to^su^ch
^o^t^h^e^r^p^u^b^{lic b}^eⁿ^e^f^{it p}^r^o^g^r^a^m^s^{as th}^{e state}
^det^e^rmⁱⁿ^es^t^o^{be appropri}^a^t^e^;
^a^si^ngl^e^p^r^o^c^e^{ss fo}^r^c^o^nsum^e^rⁱⁿ^t^a^ke^,
^assessm^en^{t, an}^d^ap^p^licatioⁿ^f^o^r^b^eⁿ^e^f^its,
ⁱⁿ^clu^dⁱⁿ^g^,^w^h^{ere appro}^p^r^{iate an}^{d f}^eas^ible,
^f^acilitatⁱⁿ^g^t^h^e^d^e^t^e^r^mⁱⁿ^atioⁿ^o^f^an

CRS-74
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
ⁱⁿ^dⁱ^vⁱ^d^u^al’^s^elig^ib^ility^uⁿ^d^er^su^ch^p^r^o^g^r^a^m^s
⁽ⁱⁿ^c^lu^dⁱⁿ^g^elig^ib^ility^f^o^r^Medⁱ^caid⁾^b^y
^col^l^a^boratⁱⁿ^g^wⁱ^t^h^t^h^{e appropri}^a^t^e
^prog^ram^m^a^tⁱ^c^of^fⁱ^ce;^an^d
^t^h^e^ab^ility^to^r^e^s^p^oⁿ^d^im^m^e^dⁱ^ately^to^a
^requ^es^{t f}^o^{r as}^sⁱ^s^t^an^{ce f}^r^om^anⁱⁿ^divⁱ^du^al^or
^anⁱⁿ^divⁱ^du^al’^s^f^a^m^ily^m^e^m^b^{er, in}^th^{e ev}^en^t
^o^f^{a cr}^{isis situ}^atioⁿ^th^{at co}^u^l^d^r^e^su^{lt in}
^p^l^acem^en^{t in}^anⁱⁿ^stitu^tioⁿ^a^{l care settin}^g^;
^an^{d t}^o^provⁱ^d^{e (or}^coordiⁿ^a^t^e^t^h^{e prov}ⁱ^sⁱ^oⁿ
^of^{), av}^{ailable s}^h^o^r^t^-^term^as^sⁱ^s^t^an^{ce to}
^t^e^m^p^o^r^a^rⁱ^l^y^p^r^e^c^l^ud^{e th}^{e n}^{eed fo}^r
ⁱ^{ki/CRS-RL33660}ⁱⁿ^stitu^tioⁿ^a^l^p^l^acem^en^{t, u}ⁿ^{til a p}^l^an^f^o^r
^g/w^h^o^m^e^an^{d com}^m^uⁿ^ity^-^b^as^{ed lon}^g^-^term^care
^s^.or^can^be^dev^e^l^{oped an}^{d i}^m^pl^em^en^t^e^{d. (p.}⁹³⁾
^le^ak
^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{at states en}^su^r^e
^://wiki^A^D^{RC staf}^f^ar^{e ap}^p^r^o^p^r^iately^tr^ain^e^d^to
^h^ttp^uⁿ^d^e^r^s^tan^d^th^{e in}^ter^actioⁿ^s^b^e^tw^een^p^r^iv^a^t^e
^lon^g^-^term^car^eⁱⁿ^s^u^r^a^nc^e⁽^e^s^p^ecially
ⁱⁿ^sur^a^nc^e^t^h^r^o^{ugh l}^o^ng-t^e^r^m^c^a^r^e^p^a^r^t^ne^r^s^hi^p
^p^o^licies)^an^d^elig^ib^ility^f^o^r^b^eⁿ^e^f^{its u}ⁿ^d^er
^Medi^cai^{d. (p. 95)}
ⁱ^{ces f}^o^{r Independence:}^N^o^provⁱ^sⁱ^oⁿ^.^N^o^provⁱ^sⁱ^oⁿ^.^{Healthy Lif}^e^s^t^y^l^e^C^hoices^:^T^h^{e s}^t^{ate w}^o^u^l^d
^th^{y L}ⁱ^fes^t^yl^{e C}^h^oi^ces^{be requ}^{ired, in}^ac^cordan^{ce w}^ith^s^t^an^dards
^es^tablis^h^e^{d by}^th^{e A}^s^sⁱ^s^t^an^{t Secreta}^r^y^,^to
^prov^{ide f}^o^{r low}^-^co^s^t^{, com}^m^uⁿ^ity^-^l^ev^el,
^ev^iden^ce-^bas^e^{d prev}^en^tion^prog^ram^s^an^d
^rel^a^t^e^{d t}^ool^s^t^o^as^sⁱ^s^t^ol^{der i}ⁿ^di^vi^d^u^al^s^an^d
^th^{eir f}^a^m^ily^careg^iv^ersⁱⁿ^learnⁱⁿ^g^abou^{t an}^d
^m^a^ki^{ng b}^e^ha^vi^o^r^a^l^c^h^a^nge^{s i}ⁿ^t^e^nd^e^d^t^o
^redu^{ce th}^{e ris}^k^ofⁱⁿ^j^u^ry^{, dis}^eas^e^,^an^d
^dⁱ^sab^ility^am^oⁿ^g^o^l^d^e^rⁱⁿ^dⁱ^vⁱ^d^u^{als. (}^p^{. 9}⁵⁾

CRS-75
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
ⁱ^{ces f}^o^{r Independence:}^N^o^provⁱ^sⁱ^oⁿ^.^N^o^provⁱ^sⁱ^oⁿ^.^C^o^m^m^uⁿⁱ^t^y^Lⁱ^vⁱⁿ^g^Iⁿ^c^eⁿ^tⁱ^v^e^s^:^T^h^e^s^t^a^t^e
^m^m^unit^y^Livⁱ^ng^Incentⁱ^v^e^s^w^o^u^l^{d be}^requⁱ^r^{ed t}^o^provⁱ^d^{e f}^uⁿ^dⁱⁿ^g^an^d
^I⁾^{assist w}^ith^th^{e p}^r^o^v^isioⁿ^o^f^h^o^m^e^an^d
^com^m^uⁿⁱ^t^y^-b^a^s^e^d^lon^g^-^term^{care to}
ⁱⁿ^divⁱ^du^als^{at h}ⁱ^g^h^ris^k^of^placem^en^{t in}
ⁱⁿ^stitu^tioⁿ^a^{l car}^{e. T}^h^{e state}ⁱ^s^r^e^q^u^ir^ed^to
^en^s^u^r^e^th^{at in}^divⁱ^du^als^{at g}^r^eates^{t ris}^k^f^o^r
^b^eco^mⁱⁿ^g^elig^ib^l^e^f^o^r^b^eⁿ^e^f^{its u}ⁿ^d^er^th^e
^{Medicaid prog}^ram^receiv^e^p^rⁱ^o^rity^f^o^{r th}^e
^h^o^m^e^aⁿ^{d com}^m^uⁿ^ity^-^b^as^{ed lon}^g^-^term^care.
^{(p. 95)}
ⁱ^{ki/CRS-RL33660}^e^d^{s a}^sse^ssm^eⁿ^t^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^T^h^e^b^ill^w^o^u^l^d^r^e^q^u^ir^{e th}^{e state to}^p^r^o^v^id^e^f^o^r
^g/w^as^s^e^s^s^m^en^ts^of^th^{e n}^eeds^aⁿ^d^pref^eren^ces^of
^s^.or^hi^gh-rⁱ^{sk i}ⁿ^dⁱ^vi^d^u^a^l^{s w}ⁱ^t^h^r^e^sp^e^c^t^t^o^l^o^ng-
^le^ak^term^{care, an}^{d b}^a^s^e^d^on^s^u^ch^as^s^e^s^s^m^en^ts^,
^dev^e^l^{op w}ⁱ^t^hⁱⁿ^di^vⁱ^du^al^s^an^{d t}^h^ei^{r f}^a^mⁱ^l^y
^://wiki^m^e^m^b^ers^,^careg^iv^ers^,^{or leg}^a^{l repres}^en^tatⁱ^v^e^s^,
^h^ttp^{a plan}^s^p^ecif^yⁱⁿ^g^th^{e ty}^pes^of^s^u^ppo^r^t^,
^prov^iders^,^bu^dg^et,^an^d^if^th^{e s}^t^{ate elects}^,^cos^t^-
^sha^rⁱ^{ng c}^o^nt^rⁱ^b^u^tⁱ^o^ns.⁽^p^.⁹⁶⁾
^unding^f^o^{r indiv}ⁱ^dua^l^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^T^h^e^b^ill^w^o^u^l^d^r^e^q^uⁱ^r^e^t^h^a^t^t^h^e^s^t^a^t^e^eⁿ^s^u^r^e
^et^s^th^{at f}^uⁿ^dⁱⁿ^g^w^{ill b}^e^allo^cated^am^oⁿ^g^,^an^d
^di^s^b^u^r^s^e^{d f}^o^{r, t}^h^{e bu}^dg^et^s^of^hⁱ^g^h^-^ri^s^k
ⁱⁿ^divⁱ^du^als^uⁿ^d^{er lon}^g^-^term^{care plan}^.
^{(p. 96)}
^e^and^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^Th^e^b^ill^w^o^u^l^d^r^e^q^uⁱ^r^e^t^h^a^t^t^h^e^s^t^a^t^e^p^r^o^vⁱ^d^e
^m^unity-bas^{ed long-term}^hⁱ^g^h^-^rⁱ^skⁱⁿ^dⁱ^vⁱ^d^u^{als w}^ith^th^{e o}^p^tioⁿ^to
^receive^h^o^m^e^an^{d com}^m^uⁿ^ity^-^b^as^{ed lon}^g^-
^ter^m^car^{e in}^{a m}^aⁿⁿ^e^r^th^a^t^p^e^r^m^{its su}^ch
ⁱⁿ^di^vⁱ^du^al^s^t^o^di^re^c^t^an^{d con}^t^rol^,ⁱⁿ
^coⁿ^j^uⁿ^c^tioⁿ^w^ith^{a ser}^v^{ice co}^o^r^dⁱⁿ^a^to^r^,^th^e
^se^l^e^c^tⁱ^o^n,^p^l^aⁿⁿⁱⁿ^g^,^bu^dg^etⁱ^ng,^aⁿ^d
^p^u^r^c^ha^si^{ng o}^f^suc^h^c^a^r^e⁽ⁱ^nc^l^u^dⁱ^{ng t}^h^e
^am^ouⁿ^t^{, du}^ratⁱ^oⁿ^,^s^c^{ope, prov}ⁱ^d^ers^,^an^d

CRS-76
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^location^of^s^u^ch^{care), to th}^{e ex}^ten^t
^d^e^ter^mⁱⁿ^ed^ap^p^r^o^p^r^{iate an}^d^f^easib^{le u}ⁿ^d^er
^th^e^l^o^ng-^term^{care plan}^{. T}^h^{e s}^e^rv^ice
^coordiⁿ^a^t^o^r^w^o^u^l^d^{be requ}ⁱ^r^{ed t}^o^as^sⁱ^s^t^hⁱ^g^h^-
^rⁱ^{sk i}ⁿ^dⁱ^vi^d^u^a^l^{s i}ⁿ^p^u^r^c^ha^si^{ng fr}^o^m^a
^q^u^alif^ied^p^r^o^v^id^er^{a r}^aⁿ^g^e^o^f^loⁿ^g^-^ter^m^ca^r^e
^ser^v^{ices o}^r^su^p^p^{lies, n}^o^{t o}^t^h^e^r^w^{ise av}^ailab^l^e
^o^r^e^ligib^le^f^o^r^p^a^y^m^eⁿ^{t thr}^o^{ugh a}ⁿ^eⁿ^tity
^carryⁱⁿ^g^ou^t^{a f}^e^d^e^ral^{or s}^t^at^{e prog}^ram^{or a}
^sⁱ^mⁱ^l^a^{r t}^hⁱ^r^{d part}^y^,^f^r^om^{a qu}^alⁱ^fⁱ^e^{d prov}ⁱ^d^er
^th^{at are deliv}^{ered in}^h^o^m^e^an^{d com}^m^uⁿ^ity^-
^bas^e^{d s}^e^t^tⁱⁿ^g^s^an^{d i}ⁿ^{a m}^aⁿⁿ^e^{r t}^h^at^bes^t
ⁱ^{ki/CRS-RL33660}^m^eetsⁱⁿ^divⁱ^du^als^’ⁿ^eeds^an^dⁱⁿ^divⁱ^du^als^’
^g/w^pref^eren^ces^{to rem}^aⁱⁿⁱⁿ^th^{e leas}^{t res}^t^rictiv^e
^s^.or^s^e^t^tⁱⁿ^g^pos^sⁱ^bl^{e. (p. 97)}
^le^ak
^h^are^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^e^f^e^deral^s^h^{are of}^th^{e cos}^t^o^f^m^o^dⁱ^fyⁱⁿ^g
^://wiki^s^y^s^t^em^s^of^lon^g^-^term^{care m}^a^yⁿ^o^{t be m}^o^re
^h^ttp^t^h^an^75%^of^cos^t^s^(cal^cu^l^a^t^e^{d on}^an^a^nnual
^basⁱ^s^as^th^{e s}^t^ate’^s^qu^alif^{ied ex}^pen^d^itu^res^f^o^r
^s^u^ch^m^odifⁱ^cation^s^f^o^{r s}^u^ch^y^{ear). (p. 97)}
^o^r^dina^tioⁿ^wⁱ^{th ADRCs}^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^T^h^e^b^ill^w^o^u^l^d^r^e^q^u^ir^e^th^{at a state en}^su^r^e^th^at
^AD^R^C^s^:
^f^u^lly^co^o^r^dⁱⁿ^a^{te th}^eir^activ^{ities w}^ith^an^y
^h^ealthⁱⁿ^su^r^aⁿ^{ce in}^f^o^r^m^atioⁿ^,^co^uⁿ^s^elin^g^,
^aⁿ^d^a^ssi^st^aⁿ^c^e⁽^r^e^c^eⁱ^vi^{ng fund}ⁱ^{ng und}^e^r
^Omⁿⁱ^bu^s^R^econ^c^iliation^A^c^{t of}¹⁹⁹⁰⁾ⁱⁿ
^th^{e s}^t^ate;
^b^{e s}^u^bj^{ect to}^s^u^ch^con^t^rols^as^th^{e A}^s^sⁱ^s^t^an^t
^Sec^r^etar^y^d^e^ter^mⁱⁿ^{es to}^b^e^ap^p^r^o^p^r^{iate to}
^en^su^r^e^th^er^{e is n}^o^coⁿ^f^{lict o}^fⁱⁿ^ter^e^st^oⁿ^an^y
^ref^e^rral^s^{, f}^o^{r i}ⁿ^f^o^rm^atⁱ^oⁿ^{or ot}^h^e^rwⁱ^s^e,
^m^a^{de by}^th^{e cen}^{ter f}^o^{r in}^divⁱ^d^u^als
^r^{eceiving ser}^v^{ices thr}^o^{ugh the center}^;^and
^p^r^o^vi^d^e^no^l^o^ng-t^e^r^m^c^a^r^e^se^r^vⁱ^c^e^s^o^r
^su^p^p^{lies, w}^ith^th^{e ex}^cep^tioⁿ^o^f^case

CRS-77
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^m^a^na^ge^m^e^nt^se^r^vⁱ^c^e^s^t^h^r^o^{ugh a}^r^e^a^a^g^eⁿ^cⁱ^e^s
^on^agⁱⁿ^g^.^{(p. 98)}
^x^cl^u^sⁱ^oⁿ^{of p}^aym^en^ts^as^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^e^b^ill^w^o^u^l^d^r^e^q^u^ir^{e th}^{at p}^a^y^m^eⁿ^t^s^m^a^d^e
^e^{for determ}^{ination of}^fo^r^a^hi^gh-rⁱ^{sk i}ⁿ^dⁱ^vi^d^u^a^l^no^t^b^eⁱⁿ^c^l^ud^e^dⁱⁿ
ⁱ^t^s^t^h^{e g}^r^os^sⁱⁿ^com^e^of^t^h^{e h}ⁱ^gh-rⁱ^s^kⁱⁿ^di^vⁱ^du^al
^f^o^{r pu}^rpos^es^of^t^h^{e In}^t^e^rn^al^R^e^v^eⁿ^u^e^C^ode^of
^{1986, or be t}^r^eat^{ed as}ⁱⁿ^com^e^{, as}^s^e^t^s^,^or
^ben^e^f^its^{, or oth}^e^rw^is^{e be tak}^eⁿⁱⁿ^{to accou}ⁿ^t^,
^f^o^{r pu}^rpos^es^of^det^e^rmⁱⁿⁱⁿ^g^t^h^{e i}ⁿ^di^vⁱ^du^al^’^s
^elig^ib^ility^f^o^r^,^th^{e am}^o^uⁿ^t^o^f^b^eⁿ^e^f^{its u}ⁿ^d^er^,
^{or t}^h^{e am}^ouⁿ^t^of^cos^t^-^s^h^a^riⁿ^g^requⁱ^r^{ed of}^t^h^e
ⁱ^{ki/CRS-RL33660}ⁱⁿ^di^vⁱ^du^al^by^an^y^ot^h^e^{r f}^e^deral^o^r^st^at^e
^g/w^prog^ram^,^ot^h^e^{r t}^h^an^t^h^e^C^L^I^prog^ram^.^{(p. 98)}
^s^.or
^le^akⁱ^{ces f}^o^{r Independence:}^N^o^provⁱ^sⁱ^oⁿ^.^N^o^provⁱ^sⁱ^oⁿ^.^T^h^e^A^ssi^st^an^t^S^ecret^ary^,^di^rect^l^y^{or by}^g^r^an^t
^sⁱ^s^t^ance^{or con}^t^{ract, is}^requ^{ired to}^prov^{ide f}^o^r
^://wiki^techⁿⁱ^{cal as}^sⁱ^s^t^an^{ce to an}^d^ov^ersⁱ^g^h^t^of^s^t^ates
^h^ttp^c^a^r^r^yⁱ^{ng o}^u^t^d^e^m^o^nst^r^a^tⁱ^o^{n p}^r^o^j^e^c^t^{s und}^e^r^th^{is sectio}ⁿ^,^f^o^r^p^u^r^p^o^s^{es o}^f^ad^mⁱⁿⁱ^str^a^tioⁿ^,
^q^u^ality^assu^r^aⁿ^{ce, an}^d^q^u^ali^t^y^im^p^r^o^v^em^en^t.
^{(p. 99)}
ⁱ^{ces f}^o^{r Independence:}^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^e^b^ill^w^o^u^l^d^r^e^q^uⁱ^r^e^t^h^a^t^th^e^A^ssistan^t
^u^a^ti^on^Secretary^,^directly^{or by}^g^r^an^{t o}^r^c^oⁿ^t^ract,
^provⁱ^d^{e f}^o^r^aⁿ^e^v^a^l^u^a^tⁱ^on^of^t^h^e
^d^e^m^oⁿ^s^tr^atioⁿ^p^r^o^j^{ects car}^rⁱ^ed^o^u^t^uⁿ^d^er^th^is
^s^ection^.^T^h^{e A}^s^sⁱ^s^t^an^{t Secretary}^is^requ^{ired to}
^su^b^m^{it to}^th^{e P}^r^esid^en^{t a r}^e^p^o^r^{t co}ⁿ^t^aⁱⁿⁱⁿ^g
^t^h^e^fi^ndⁱ^{ngs r}^e^sul^tⁱ^{ng fr}^o^m^suc^h^e^v^a^l^ua^tⁱ^oⁿ
ⁿ^o^t^later^th^an^six^m^oⁿ^t^h^s^af^ter^th^e^ter^mⁱⁿ^atioⁿ
^of^t^h^{e dem}^oⁿ^s^t^r^atⁱ^oⁿ^proj^ect^s^.^{(p. 99)}

CRS-78
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
ⁱ^{ces f}^o^{r Independence:}^S^ectⁱ^oⁿ^432(c)(2)(B)^requⁱ^r^es^t^h^{e A}^s^sⁱ^s^t^an^t^T^h^e^b^{ill w}^o^u^l^d^also^r^e^q^u^ir^{e th}^{e A}^ssistan^t^S^a^m^e^as^H^.^R^.^{5293. (p. 100)}
^nsibilit^{ies o}^f^t^h^e^Secr^etar^y^to^u^s^{e ev}^a^l^u^a^tioⁿ^s^o^f^T^{itle I}^V^Secretary^to^pr^epar^{e an anal}^ysⁱ^s^of^s^u^ch
^sⁱ^s^t^{ant Secretary}^proj^ects^to^im^prov^{e s}^e^rv^ices^deliv^{ered, or}^s^e^r^vⁱ^ces^{, pr}^oj^ect^s^,^{and pr}^ogr^am^s^,^{and how}
^t^h^{e operat}ⁱ^on^of^proj^ect^s^an^{d prog}^ram^s^eva^lu^a^tioⁿ^s^rela^{te to}^imp^r^o^vemen^tsⁱⁿ^services,
^{carried ou}^{t, u}ⁿ^d^{er th}^is^act.^pr^oj^e^c^t^s^,^{and pr}^ogr^am^s^,^{and i}ⁿ^t^h^{e AoA’s}
^s^t^r^a^t^e^gi^{c pl}^an.^{(p. 63)}
^M^M^{UNITY SERVICE EM}^P^L^O^Y^M^E^{NT F}^O^{R O}^L^{DER AM}^ERICANS
ⁱ^{tle V, Com}^m^{unity Service}^T^{itle V is en}^title^d^“^C^o^m^m^uⁿ^ity^Ser^v^ice^T^h^{e b}^{ill w}^o^u^l^d^r^e^w^r^{ite T}^{itle V an}^d^c^h^an^g^e^its^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^m^p^l^oym^en^{t for Ol}^d^e^r^Em^pl^oy^m^eⁿ^t^f^o^{r O}^l^{der A}^m^eri^can^s^.^”ⁿ^a^m^e^to^“^O^ld^er^A^m^er^ican^Co^m^m^uⁿ^ity^Ser^v^ice
^ericans^Em^ploy^m^eⁿ^t^-^B^as^{ed T}^r^ainⁱⁿ^g^A^c^{t.” (p. 64)}
ⁱ^{ki/CRS-RL33660}
^g/w^au^th^ori^zed^:^S^ectⁱ^oⁿ^{502(a)(1) au}^t^h^ori^zes^t^h^{e S}^ecret^ary^T^h^{e b}^{ill w}^o^u^l^d^au^th^o^r^{ize th}^{e Secr}^et^ar^y^to^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^s^.or^ses^of^L^a^{bor t}^o^es^t^a^blⁱ^s^h^an^ol^de^r^A^m^eri^can^com^m^uⁿⁱ^t^y^s^e^rvⁱ^{ce em}^pl^oy^m^eⁿ^t^prog^ram^,^es^tablis^h^an^{older A}^m^erican^com^m^uⁿ^ity^s^e^rv^ice^em^pl^oym^e^nt^{- bas}^{ed t}^r^aiⁿⁱ^ng^pr^ogr^am^{. It}^w^o^u^l^d
^le^ak^w^ith^th^{e f}^o^llo^wⁱⁿ^g^p^u^r^p^o^s^es:^ch^an^g^e^th^{e f}^o^llowⁱⁿ^g^pu^rpos^es^:
^://wiki^t^{o f}^o^s^t^{er an}^{d prom}^ot^{e u}^s^ef^u^l^part^-^tⁱ^m^e^t^{o f}^o^s^t^{er an}^{d prom}^ot^{e u}^s^ef^u^l^part^-^tⁱ^m^e^publⁱ^c^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^h^ttp^opportuⁿ^itiesⁱⁿ^co^m^m^uⁿ^ity^s^e^rv^ice^{and pr}ⁱ^v^at^e-s^e^c^t^or^em^pl^oym^e^nt^-bas^ed
^activ^{ities f}^o^r^uⁿ^e^m^p^l^o^y^e^d^lo^wⁱⁿ^co^m^e^t^r^aiⁿⁱ^{ng oppor}^t^uni^tⁱ^e^s^f^o^r^uⁿ^e^m^p^lo^y^e^d^lo^w^-
^pers^on^s^ag^{ed 55 or o}^l^d^e^{r an}^{d w}^h^{o h}^a^v^eⁱⁿ^com^e^elⁱ^gⁱ^b^l^eⁱⁿ^di^vⁱ^du^al^s^w^h^{o h}^a^v^e^poor
^{poor em}^pl^oy^m^eⁿ^t^pros^pect^s^;^em^pl^oy^m^eⁿ^t^pros^pect^s^.^{(p. 64)}
^No^p^r^o^v^isioⁿ^.^t^o^f^o^ster^v^{ital so}^cial^aⁿ^d^h^u^m^aⁿ^ser^v^ices^to^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^co^m^m^uⁿ^{ities b}^y^p^r^o^v^idⁱⁿ^g^w^o^r^k^ex^p^e^rⁱ^en^{ce to}
^elig^ib^{le in}^dⁱ^vⁱ^d^u^{als in}^p^u^b^l^{ic ag}^en^cies,
^c^o^m^m^uⁿ^ity^-^b^as^{ed an}^{d f}^a^ith^-^b^as^ed
^o^r^gaⁿⁱ^z^a^tⁱ^o^ns.⁽^p^.⁶⁴⁾
^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^Th^e^b^{ill w}^o^u^l^d^ad^d^t^h^e^f^o^l^l^o^wⁱⁿ^g^:^f^o^r
^pu^rpos^e^s^o^f^t^hⁱ^s^parag^r^aph^,^an
^uⁿ^d^er^em^p^l^o^y^ed^p^e^r^s^oⁿ^w^{ill b}^e^coⁿ^s^id^er^ed^an
^uⁿ^e^m^p^l^o^y^e^{d pers}^on^{. (p. 100)}

CRS-79
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^reem^ents/g^ra^{nts to}^public^S^ectⁱ^oⁿ^{502(b)(1) au}^t^h^ori^zes^t^h^e^S^ecret^ary^T^h^e^b^{ill w}^o^u^l^d^au^th^o^r^{ize th}^{e Secr}^etar^y^to^ma^ke^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^{nd priv}^a^t^{e no}^n-^pro^f^it^to^en^terⁱⁿ^to^a^g^r^eem^en^{ts w}^ith^{state an}^d^gr^ant^s^to^pu^{blic an}^{d priv}^{ate n}^oⁿ^p^rof^it^ag^en^cies
ⁱ^z^ati^oⁿ^s^/^s^tateⁿ^a^tioⁿ^a^{l p}^u^b^{lic an}^d^p^r^iv^{ate n}^oⁿ^p^r^o^fⁱ^t^an^{d org}^aⁿⁱ^zation^s^{, s}^t^{ate ag}^en^cies^{or tribal}
^cⁱ^e^s^/^tri^b^al^organⁱ^z^ati^oⁿ^s^ag^en^cies^an^{d org}^aⁿⁱ^za^tⁱ^on^s^,^s^t^{ate ag}^en^cies^o^r^g^aⁿⁱ^zatioⁿ^s^to^car^r^y^o^u^{t th}^e^p^r^o^g^r^a^m
^o^r^{a p}^o^{litical su}^b^dⁱ^vⁱ^sioⁿ^o^f^{a state, a}^requⁱ^r^em^en^t^s^bel^o^w^.^{(p. 64)}
^c^o^m^bⁱⁿ^atioⁿ^o^f^p^o^{litical su}^b^dⁱ^vⁱ^sioⁿ^{s, o}^r
^tr^ib^{al o}^r^g^aⁿⁱ^zatioⁿ^s^to^f^u^r^t^h^e^r^th^{e p}^u^r^p^o^s^es
^aⁿ^{d g}^o^als^of^th^{e prog}^ram^.^T^h^{e Secret}^a^r^y
^m^a^y^no^t^m^a^ke^p^a^y^m^eⁿ^t^s^unl^e^{ss t}^h^e
^org^aⁿⁱ^zation^/^ag^en^cy^m^eets^th^{e pro}^g^ram
^requⁱ^r^em^en^t^s^des^c^ri^{bed bel}^o^w^.
ⁱ^{ki/CRS-RL33660}^T^h^{e ag}^reem^en^ts^m^a^y^inc^l^u^d^{e pay}^m^en^{t of}^Sim^ilar^p^r^o^v^isioⁿ^,^ex^cep^{t th}^{e r}^e^f^e^r^eⁿ^{ce is to}
^g/w^cos^t^s^of^proj^ect^s^d^e^v^e^l^{oped by}^gr^ant^s^{, n}^o^{t ag}^reem^en^ts^.
^s^.or^org^aⁿⁱ^zatⁱ^oⁿ^s^an^{d ag}^en^ci^esⁱⁿ^cooperatⁱ^oⁿ
^le^ak^w^ith^th^{e Sec}^r^e^t^ar^yⁱⁿ^o^r^d^e^r^to^m^a^k^e^th^e
^prog^ram^ef^f^ectiv^{e or to s}^u^p^p^l^em^en^{t th}^e
^://wiki^prog^ram^.
^h^ttp
^R^O^G^R^A^M^R^E^QU^IR^EM^EN^TS
^sⁱ^on^{of em}^p^l^oym^en^{t for}^S^ectⁱ^oⁿ^502(b)(1)(A^{) requ}ⁱ^r^es^t^h^e^prog^ram^No^p^r^o^v^isioⁿ^.^No^ch^an^g^eⁱⁿ^cu^r^r^eⁿ^t^law^.
^{ible indiv}ⁱ^dua^ls^to^p^r^o^v^id^{e em}^p^l^o^y^m^eⁿ^t^oⁿ^ly^f^o^r^elig^ib^le
ⁱⁿ^divⁱ^du^als^,^ex^{cept f}^o^{r n}^eces^s^a^ry^techⁿⁱ^cal,
^admⁱⁿⁱ^s^t^ratⁱ^v^{e, an}^d^s^u^pervⁱ^s^ory^pers^onⁿ^e^l^.
^P^e^r^s^oⁿⁿ^e^l^sh^{all, to}^th^{e f}^u^{llest ex}^ten^t
^pos^sⁱ^bl^{e, be recr}^ui^t^e^{d f}^r^om^elⁱ^gⁱ^b^l^e
ⁱⁿ^di^vⁱ^du^al^s^.
⁰^%^o^f^ho^{urs w}^o^rk^{ed t}^o^{be in}^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^e^th^atⁿ^o^{t less th}^an⁵⁰^%^o^f^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.

^m^{unity s}^ervice^ho^ur^s^w^o^rk^{ed i}ⁿ^{a prog}^ram^y^{ear (i}ⁿ^t^h^e
^plo^y^m^ent^-^ba^{sed t}^r^aⁱ^ning^ag^g^r^eg^{ate) be in}^com^m^uni^t^y^s^e^r^vⁱ^c^e
^em^pl^oy^m^eⁿ^t^-^b^as^{ed t}^r^aiⁿⁱⁿ^g^provⁱ^d^e^d^by^a
^g^r^aⁿ^t^{ee an}^{d t}^h^at^t^h^{e prog}^ram^provⁱ^d^e
^au^th^o^r^ized^activ^itie^s^oⁿ^l^y^f^o^r^elig^ib^le
ⁱⁿ^di^vⁱ^du^al^s^.^{(p. 65)}

CRS-80
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^m^ploym^{ent in com}^m^unities^S^ectⁱ^oⁿ^502(b)⁽¹⁾⁽^B⁾⁽^I⁾^r^e^q^uⁱ^r^e^s^t^h^e^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{at th}^e^p^r^o^g^r^a^m^p^r^o^v^id^e^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^h^{ere eligible individuals}^pro^g^r^a^m^t^o^provⁱ^d^{e em}^pl^oy^m^eⁿ^t^f^o^r^a^u^t^h^o^r^ized^a^c^tivities^f^o^r^eligⁱ^b^{le in}^dⁱ^vⁱ^d^u^{als in}
ⁱ^d^{e; n}^o^l^e^s^s^th^an^50%^of^elig^ib^{le in}^dⁱ^vⁱ^d^u^{als in}^th^{e co}^m^m^uⁿⁱ^tyⁱⁿ^th^{e co}^m^m^uⁿ^ityⁱⁿ^w^h^ich^th^ey^r^e^sid^e^{, o}^rⁱⁿ
^{urs w}^o^rk^{ed t}^o^{be in}^w^h^ich^th^ey^r^e^sid^e^{, o}^rⁱⁿⁿ^ear^b^yⁿ^ear^b^y^co^m^m^uⁿ^{ities, in}^{a p}^r^o^g^r^a^m^y^ear^{, an}^d
^m^{unity s}^ervice^co^m^m^uⁿ^ities.^t^h^a^t^no^l^e^{ss t}^h^aⁿ⁵⁰^%^o^f^ho^ur^{s w}^o^r^k^e^d⁽ⁱ^{n t}^h^e
^plo^y^m^ent^-^ba^{sed t}^r^aⁱ^ning^ag^g^r^eg^{ate) s}^h^{all b}^eⁱⁿ^com^m^uⁿ^ity^s^e^rv^ice
^e^m^pl^oy^m^eⁿ^t^-^b^as^{ed t}^r^aiⁿⁱⁿ^g^provⁱ^d^{ed by}^a
^g^r^an^{tee. (p. 65)}
^plo^y^m^ent^f^o^{r indiv}ⁱ^dua^ls,^S^ectⁱ^oⁿ^{502(b)(1)(B)(i}ⁱ⁾^r^e^quⁱ^r^es^t^h^atⁱ^f^a^Sim^ilar^p^r^o^v^isioⁿ^,^ex^cep^{t r}^e^f^e^r^s^to^aut^horⁱ^z^ed^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^Indiaⁿ^{s residing}^oⁿ^T^{itle V p}^r^o^j^{ect is car}^rⁱ^ed^o^u^{t b}^y^{a tr}ⁱ^b^a^l^a^c^tivities,ⁱⁿ^c^l^u^dⁱⁿ^g^c^o^m^m^uⁿⁱ^t^y^service
^{ndian res}^ervations^o^r^gaⁿⁱ^z^a^tⁱ^o^n,^o^r^a^t^rⁱ^b^a^l^o^r^gaⁿⁱ^z^a^tⁱ^oⁿ^em^pl^oym^e^nt^-bas^{ed t}^r^aiⁿⁱ^ng^{. (p. 65).}
ⁱ^{ki/CRS-RL33660}^f^uⁿ^d^ed^b^y^{a state, it w}^{ill p}^r^o^v^id^e
^g/w^em^pl^oy^m^eⁿ^t^f^o^{r i}ⁿ^di^vⁱ^du^al^sⁱⁿ^cl^u^dⁱⁿ^g
^s^.or^In^di^an^s^w^h^{o res}ⁱ^{de on}^aⁿ^Iⁿ^dⁱ^aⁿ
^le^ak^res^e^rv^atⁱ^oⁿ^as^defⁱⁿ^e^{d i}ⁿ^Se^ctⁱ^oⁿ^2601(2)
^of^t^h^{e En}^erg^y^Polⁱ^c^y^A^c^t^of^1992.
^://wiki
^h^ttp^h^ibit^io^{n o}^f^pa^rt^icipa^t^ioⁿ^elig^{ible indiv}ⁱ^dua^ls^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^p^r^o^h^ib^it^p^a^r^ticip^atioⁿ^b^y^elig^ib^leⁱⁿ^divⁱ^du^als⁽ⁱⁿ^th^{e ag}^g^r^eg^{ate) f}^o^{r an}^av^erag^e^T^h^{e b}^{ill w}^o^u^l^d^allo^w^an^elig^ib^{le in}^dⁱ^vⁱ^d^u^{al to}^p^a^r^tⁱ^cⁱ^p^a^t^e^fo^r^up^t^o³⁶^m^o^nt^{hs (}^w^he^t^h^e^r^o^r
^{ceeding a s}^p^eci^{fied period}^{per ca}^pⁱ^{ta period th}^{at ex}^ceeds^{24 m}^oⁿ^t^h^sⁿ^o^t^con^s^ecu^tⁱ^v^{e) i}ⁿ^t^h^{e ag}^g^r^eg^at^{e. (p. 100)}
⁽^w^he^t^h^e^r^o^r^no^t^c^o^nse^c^u^tⁱ^v^e⁾^d^u^rⁱ^{ng t}^h^e
^prog^ram^y^{ear an}^{d th}^{e prev}^iou^s^p^r^og^ram^y^ears^A^g^r^an^{tee m}^a^y^ex^tend^th^{e period of}
ⁱⁿ^w^h^ich^{a g}^r^an^{tee car}^rⁱ^ed^o^u^{t T}^{itle V}^p^r^o^j^ects.^p^a^r^ticip^atioⁿ^f^o^rⁿ^o^{t m}^o^r^e^th^an²⁰^%^o^f^th^e
^{(p. 66)}^p^r^o^j^{ect p}^a^r^ticip^an^{ts. I}ⁿ^selectin^g^p^a^r^ticip^an^ts
^f^o^{r th}^{e ex}^ten^d^{ed period, th}^e^g^r^an^{tee is}^{to g}ⁱ^v^e
^pri^o^rⁱ^t^y^t^o^:^partⁱ^cⁱ^p^an^t^s^ag^{e 65 an}^{d ol}^{der or}
^f^r^ai^l^ol^{der i}ⁿ^di^vⁱ^du^al^s^an^{d i}ⁿ^di^vⁱ^du^al^s^w^h^o
^h^a^v^e^m^o^re^th^an^on^{e of}^th^{e f}^o^llowⁱⁿ^g^barriers
^t^o^em^pl^oy^m^eⁿ^t^:
^a^dⁱ^sab^ility^;
^lim^ited^En^g^lish^p^r^o^f^icien^c^y^o^r^lo^w^lⁱ^t^er^acy
^sk^ills;
^r^u^r^{al res}ⁱ^den^ce;
^r^es^iden^{ce in}^an^{area of}^hⁱ^g^h^em^ploy^m^eⁿ^t;
^h^o^m^el^e^s^sn^{ess o}^r^{a situ}^atioⁿ^th^{at p}^u^{ts th}^e

CRS-81
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^indⁱ^vid^u^a^l^a^t^rⁱ^{sk fo}^r^ho^m^e^le^ssne^{ss; a}ⁿ^d
^f^ailu^r^e^t^o^fⁱⁿ^d^em^p^l^o^y^m^eⁿ^t^af^ter^u^sⁱⁿ^g
^ser^v^{ices u}ⁿ^d^er^T^{itle I}^o^f^W^o^r^k^f^o^r^c^e
^In^v^e^s^t^m^eⁿ^t^A^c^t^(WIA^{). (p. 101)}
^A^g^r^an^{tee m}^a^y^p^e^titioⁿ^f^o^r^{a w}^a^iv^er^o^f^t^h^e
³⁶^-^m^oⁿ^t^h^lim^{it if}^th^{e g}^r^aⁿ^t^e^e^ser^v^{es a h}ⁱ^g^h
^con^cen^tration^ofⁱⁿ^divⁱ^du^als^w^h^{o are}^h^a^rd-^t^o-
^s^e^rv^{e becau}^s^e^the^y^h^a^v^e^m^o^{re th}^an^on^e
^b^a^{rrier to em}^ploy^m^eⁿ^t^{, in}^clu^dⁱⁿ^g^{a g}^r^an^t^e^e
^w^h^{o opera}^t^e^s^a^proj^{ect in}^an^{area w}^h^{ere at}
^{least 6}⁰^%^o^f^th^{e co}^uⁿ^{ties ar}^{e r}^u^r^a^{l c}^o^uⁿ^ties
ⁱ^{ki/CRS-RL33660}^(as^defⁱⁿ^e^{d by}^t^h^{e Econo}^mⁱ^{c R}^e^s^earch
^g/w^S^e^rv^{ice of}^th^{e Departm}^eⁿ^t^of^A^g^ricu^ltu^re⁾^.
^s^.or^{(p. 101)}
^le^ak
^plo^y^m^ent^{in public a}ⁿ^d^Section^502(b)(1)(C^{) requ}^ires^T^{itle V}^T^h^{e b}ⁱ^{ll w}^o^u^l^d^r^e^q^u^ir^{e T}^{itle V p}^r^o^j^{ects to}^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^://wiki^a^t^{e no}^n-^pro^f^it^p^r^o^j^{ects to}^em^p^l^o^y^elig^ib^leⁱⁿ^dⁱ^vⁱ^d^u^{als in}^provⁱ^d^{e em}^pl^oy^m^eⁿ^t^-^b^as^{ed t}^r^aiⁿⁱⁿ^gⁱⁿ^pu^blⁱ^c^l^y
^h^ttpⁱ^z^ati^oⁿ^s^/^f^or-p^rofi^t^p^u^b^licly^o^wⁿ^e^d^an^d^o^p^e^r^a^ted^f^{acilities o}^r^o^wⁿ^e^d^an^d^o^p^e^r^a^ted^f^{acilities o}^r^Sectioⁿ
ⁱ^z^ati^oⁿ^s^p^rⁱ^v^a^t^e^no^n-p^r^o^fⁱ^t^o^r^gaⁿⁱ^z^a^tⁱ^o^ns,^o^t^he^r^t^h^aⁿ^501(c)(3⁾^pri^v^at^{e n}^oⁿ^-^profⁱ^t^org^aⁿⁱ^zatⁱ^oⁿ^s^and
^p^o^litical^p^a^r^{ties ex}^em^p^t^f^r^o^m^tax^a^tioⁿⁱⁿ^p^r^oj^ect^s^s^pons^or^{ed by pr}^ofⁱ^t^m^a^kⁱⁿ^g
^uⁿ^d^e^r^S^e^c^tⁱ^oⁿ^501(c)⁽³⁾^o^f^t^h^e^I^R^S^C^o^d^e^.^or^gani^z^a^tⁱ^ons^.^I^t^w^o^u^l^d^ex^clu^d^{e p}^o^litical
^p^a^r^{ties ex}^em^p^t^f^r^o^m^tax^a^ti^oⁿ^uⁿ^d^er^Sectioⁿ
^{501(c)(3) of}^t^h^{e IR}^S^C^{ode. (p. 66)}
^{in unsubsidized}^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^uⁱ^r^{e th}^{at p}^r^o^j^ects^ar^e^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^ploym^entⁱⁿ^ten^d^ed^to^r^e^su^{lt in}^uⁿ^s^u^b^sidⁱ^zed^em^p^l^o^y^m^eⁿ^t
^af^ter^anⁱⁿ^dⁱ^vⁱ^d^u^{al co}^m^p^l^e^t^e^s^T^{itle V}
^p^a^r^ticip^atioⁿ^.⁽^p^{. 6}⁷⁾
^nt^ribut^io^{n t}^o^t^h^e^S^ectⁱ^oⁿ^502(b)(1)(D^{) requ}ⁱ^r^es^t^h^at^proj^ect^s^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{at p}^r^o^j^{ects co}ⁿ^t^rⁱ^b^u^te^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.

^m^m^unit^y^w^{ill co}ⁿ^t^rⁱ^b^u^{te to}^th^e^g^eⁿ^e^r^a^l^w^e^lf^ar^e^o^f^th^e^to^th^{e g}^eⁿ^e^r^a^{l w}^e^lf^ar^{e o}^f^th^{e co}^m^m^uⁿ^ity^{, w}^h^ich
^co^m^m^uⁿ^ity^.^m^a^yⁱⁿ^c^l^ud^e^sup^p^o^r^t^fo^r^c^hⁱ^l^d^r^e^n,^y^o^ut^{h a}ⁿ^d
^f^a^m^{ilies. (}^p^{. 6}⁷⁾

CRS-82
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^sⁱ^on^{of em}^p^l^oym^en^{t for}^S^ectⁱ^oⁿ^{502(b)(1)(E) requ}ⁱ^r^es^p^r^o^j^ect^s^t^o^No^p^r^o^v^isioⁿ^.^No^ch^an^g^eⁱⁿ^cu^r^r^eⁿ^t^law^.
^{ible indiv}ⁱ^dua^ls^provⁱ^d^e^em^pl^o^y^m^eⁿ^t^f^o^r^e^lⁱ^gⁱ^b^l^e
ⁱⁿ^di^vⁱ^du^al^s^.
ⁿ^creas^e^{in em}^ploym^ent^S^ectⁱ^oⁿ⁵⁰²^(b)(1)(F⁾^requⁱ^r^es^proj^ect^s^t^o^Simⁱ^l^a^r^p^r^o^v^isioⁿ^,^b^u^{t w}^o^r^dⁱⁿ^g^{is slig}^h^tly^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^ppo^rt^unitⁱ^es^res^u^{lt in}^anⁱⁿ^creas^{e in}^em^ploy^m^eⁿ^t^dⁱ^f^f^e^r^eⁿ^{t: it states th}^{at p}^r^o^j^{ects w}^{ill n}^o^{t r}^e^d^u^ce
^o^p^p^o^r^tuⁿ^{ities o}^v^er^th^o^s^{e o}^t^h^e^r^w^ise^th^{e n}^u^m^{ber of}^j^{ob opportu}ⁿ^ities^{or v}^acan^cies
^av^ailable.^th^{at w}^o^u^l^{d oth}^e^rw^is^{e be av}^ailab^l^{e to n}^oⁿ^-
^p^a^r^ticip^an^{ts. (}^p^{. 6}⁷⁾
^h^ibit^io^{n o}^f^Tit^l^{e V}^S^ectⁱ^oⁿ^502(b)(1)(G^{) proh}ⁱ^bⁱ^t^s^proj^ect^s^Sam^e^as^cu^rren^{t law}^,^e^x^{cept ref}^e^rs^{to an}^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^performⁱ^{ng w}^o^rk^of^f^r^om^em^pl^oyⁱⁿ^gⁱⁿ^di^vⁱ^du^al^s^t^o^perf^ormⁱⁿ^di^vⁱ^du^alⁱⁿ^em^pl^oym^e^nt^-bas^{ed t}^r^aiⁿⁱ^ng.
ⁱ^{ki/CRS-RL33660}^ers^on^w^h^{o i}^s^on^l^ayoff^w^o^r^k^th^{at is th}^{e sam}^e^{as, o}^r^su^b^s^tan^tially^{(p. 67)}
^g/w^th^{e s}^a^m^e^as^{, th}^{at of}^anⁱⁿ^divⁱ^du^{al w}^h^{o is}^on
^s^.or^l^a^y^o^ff.
^le^ak^oordⁱⁿ^a^ti^on^wⁱ^th^th^e^S^ectⁱ^oⁿ⁵⁰²^{(b)(1)(H) requ}ⁱ^r^es^proj^ect^s^t^o^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^at^p^r^o^j^ects^co^o^r^dⁱⁿ^a^te^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^://wiki^{force I}ⁿ^ves^t^m^e^nt^st^e^m^u^s^{e recru}^itm^en^t^an^d^s^e^lection^m^e^th^ods^{, an}^d^lis^tin^g^of^j^{ob v}^acan^cies^{, w}^ith^th^{e s}^t^ate^wⁱ^t^h^t^r^aⁱⁿⁱ^{ng a}ⁿ^d^o^t^he^r^se^r^vⁱ^c^e^s^und^e^r^W^I^A^,ⁱⁿ^clu^dⁱⁿ^g^th^{e on}^e-^s^t^{op deliv}^ery^s^y^s^t^em^{, to}
^h^ttp^em^ploy^m^eⁿ^t^ag^en^cy^{to as}^s^u^{re a m}^a^xⁱ^m^u^m^r^ecr^u^{it elig}^ib^{le in}^dⁱ^vⁱ^d^u^{als to}^eⁿ^s^u^r^e^th^{at th}^e
^num^b^e^r^o^f^e^lⁱ^gⁱ^b^l^eⁱⁿ^dⁱ^vi^d^u^a^l^{s ha}^ve^aⁿ^m^a^xⁱ^m^u^mⁿ^u^m^{ber of}^elⁱ^gⁱ^b^l^eⁱⁿ^di^vⁱ^du^al^s^h^a^ve
^opport^uⁿⁱ^t^y^t^o^partⁱ^cⁱ^p^at^e.^an^opport^uⁿⁱ^t^y^t^o^partⁱ^cⁱ^p^at^{e. (p. 67)}
^A^l^so^r^e^q^u^ir^es^p^r^o^j^{ects to}^p^a^r^ticip^{ate in}^th^e
^on^e-^s^t^{op del}ⁱ^v^ery^s^y^s^t^em^es^t^a^blⁱ^s^h^e^d^uⁿ^d^er
^WIA^.
ⁱ^ning^a^{nd pa}^y^m^ent^o^f^S^ectⁱ^on⁵^{02(b)(1)(I) requ}ⁱ^r^es^proj^ect^s^t^o^Sim^ilar^p^r^o^v^isioⁿ^,^ex^cep^{t tr}^aⁱⁿⁱⁿ^g^m^a^yⁱⁿ^clu^d^e^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.

^{’ ex}^pens^es^prov^{ide train}ⁱⁿ^g^,^as^m^a^y^{be n}^eces^s^a^ry^{, to}^com^m^uⁿ^ity^s^e^rv^{ice em}^ploy^m^eⁿ^t^-^b^as^{ed train}ⁱⁿ^g^,
^m^a^k^e^th^{e m}^o^{st ef}^fⁱ^cien^{t u}^s^{e o}^f^t^h^{e sk}^ills^w^o^rk^ex^perien^ce^,^on^-^t^h^e^-^j^{ob train}ⁱⁿ^g^,^an^d
^an^d^talen^t^{s o}^f^p^a^r^ticip^an^ts.^cl^as^s^r^oom^t^r^aiⁿⁱⁿ^g^.^{(p. 68)}
^A^l^so^r^e^q^uⁱ^r^es^proj^ect^s^t^o^pay^f^o^r^Delete^s^p^r^o^v^isioⁿ^f^o^r^p^a^y^m^en^{t o}^f^su^b^s^isten^c^e
^reas^on^{able ex}^peⁿ^s^es^{, in}^clu^dⁱⁿ^g^a^allo^w^aⁿ^{ce w}^h^{ile in}^tr^ainⁱⁿ^g^.
^reas^on^{able s}^u^bs^is^ten^ce^a^llow^aⁿ^{ce, of}
^peopl^{e bei}ⁿ^g^t^r^aiⁿ^e^d.

CRS-83
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^f^e^a^{nd hea}^l^t^h^y^co^nditⁱ^oⁿ^s^Se^c^tⁱ^oⁿ^{502(b)(1)(J) requ}ⁱ^r^es^proj^ect^s^t^o^Sim^ilar^p^r^o^v^isioⁿ^,^ex^cep^{t r}^e^f^e^r^s^to^saf^e^an^d^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^assu^r^e^saf^e^an^d^h^ealth^y^coⁿ^d^itioⁿ^s^o^f^w^o^r^k^.^h^e^a^l^t^h^y^c^oⁿ^d^itioⁿ^sⁱⁿ^em^p^l^o^y^m^eⁿ^t^-^b^a^s^e^d
^tr^ainⁱⁿ^g^f^{acilities o}^r^o^t^h^e^r^tr^ainⁱⁿ^g^f^acilities.
^{(p. 68)}
^{of enrollees}^S^ectⁱ^oⁿ^{502(b)(1)(J) requ}ⁱ^r^es^t^h^at^en^rol^l^ees^Sim^ilar^p^r^o^v^isioⁿ^,^ex^cep^{t th}^{at th}^{e b}^{ill elim}ⁱⁿ^ates^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^{be pai}^d^t^h^{e h}ⁱ^g^h^e^s^t^of^:^th^{e ref}^e^ren^{ce to}^publⁱ^c^o^ccu^p^a^tioⁿ^sⁱⁿⁿ^u^m^b^e^r
¹⁾^t^h^e^f^e^d^e^r^a^l^miⁿⁱ^mu^{m wa}^g^e^;^{3. (p. 68)}
^{2) th}^{e s}^t^ate^or^local^mⁱⁿⁱ^m^u^m^w^a^g^e^f^o^{r th}^e
^m^o^s^tⁿ^early^com^p^arabl^e^c^o^ve^r^e^d
^em^pl^oy^m^eⁿ^t^;^or
^{3) t}^h^e^prev^ai^lⁱⁿ^g^rat^e^s^of^pay^f^o^{r pers}^on^s
ⁱ^{ki/CRS-RL33660}^em^pl^oy^{ed i}ⁿ^sⁱ^mⁱ^l^a^{r pu}^blⁱ^c^occu^patⁱ^oⁿ^s^by
^g/w^th^{e s}^a^m^e^em^ploy^er.
^s^.or
^le^ak^{to be es}^tablis^hed^S^ectⁱ^oⁿ^502(b)(1)(K^{) requ}ⁱ^r^es^t^h^{e proj}^ect^s^Sim^ilar^p^r^o^v^isioⁿ^,^ex^cep^{t ad}^vⁱ^{ce is to}^b^e^f^r^o^m^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
ⁱ^{th advice of ex}^perienced^b^e^estab^lish^e^d^o^r^ad^mⁱⁿⁱ^ster^ed^w^ith^th^e^pers^on^s^com^p^eten^{t in}^t^h^{e f}ⁱ^{eld of}^s^e^rv^iceⁱⁿ
^://wiki^ons^advⁱ^{ce of}^pe^o^p^l^e^com^p^eten^{t in}^th^{e f}ⁱ^{eld of}^w^hⁱ^c^{h j}^{ob t}^r^aiⁿⁱ^{ng i}^s^bei^{ng pr}^ovi^d^ed.^{( p. 69)}
^h^ttp^ser^vⁱ^c^{es in}^w^h^ich^em^p^l^o^y^m^eⁿ^t^{is b}^eⁱⁿ^g^prov^{ided, an}^{d w}^h^{o are k}ⁿ^o^w^l^edg^eable
^abou^t^t^h^{e n}^eeds^of^ol^{der peopl}^e.
^en^{t for tran}^s^p^ortati^on^Sectⁱ^oⁿ^502(b)(1)(L⁾^requⁱ^r^es^proj^ect^s^t^o^T^h^e^b^{ill w}^o^u^l^d^au^th^o^r^{ize p}^a^y^m^en^{t f}^o^{r n}^ecessary^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^st^s/suppo^rt^iv^{e serv}^ices^au^th^orize^pay^m^en^t^o^fⁿ^e^ces^s^a^ry^s^u^pportⁱ^v^e^s^e^rvⁱ^ces^cos^t^s^,ⁱⁿ^c^l^udⁱⁿ^g
^tr^an^sp^o^r^tatioⁿ^co^{sts o}^f^elig^ib^leⁱⁿ^dⁱ^vⁱ^d^u^als^tr^an^sp^o^r^tatioⁿ^co^{sts o}^f^elig^ib^{le in}^dⁱ^vⁱ^d^u^als
ⁱⁿ^cu^{rred in}^em^ploy^m^eⁿ^t^.ⁱⁿ^cu^r^r^e^dⁱⁿ^t^r^aiⁿⁱ^ng.^{( p. 69)}
^l^{needs indiv}ⁱ^dua^ls^Se^ctⁱ^oⁿ^{502(b)(1)(M) requ}ⁱ^r^es^proj^e^c^t^s^t^o^N^o^c^h^aⁿ^g^eⁱⁿ^c^u^r^r^eⁿ^t^l^a^w^.^T^h^e^b^ill^w^o^u^l^d^c^h^aⁿ^g^e^t^h^e^r^e^f^e^r^eⁿ^c^e^t^o
^s^e^r^v^{e th}^{e n}^eed^{s o}^f^mⁱⁿ^o^r^ity^{, lim}^ite^d^elig^ib^{le in}^dⁱ^vⁱ^d^u^{als w}^ith^lim^ited^En^g^lish
^En^g^lish^-^sp^eakⁱⁿ^g^,^an^d^Iⁿ^dⁱ^an^elig^ib^le^profⁱ^cⁱ^eⁿ^c^y^.^{(p. 100)}

ⁱⁿ^di^vⁱ^dual^s^{, an}^{d t}^h^os^{e w}ⁱ^t^h^g^r^eat^es^t
^econ^o^mⁱ^{c n}^{eed, at}^l^eas^tⁱⁿ^proportⁱ^oⁿ^t^o
^th^{eir n}^u^m^b^e^r^sⁱⁿ^th^{e s}^t^{ate, an}^{d to con}^s^ider
^th^eir^r^a^{tes o}^f^p^o^v^er^ty^an^d^uⁿ^e^m^p^lo^y^m^en^t,
^to^th^{e ex}^ten^t^f^easib^le.

CRS-84
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^vi^ti^es^wⁱ^th^WI^A^S^ectⁱ^oⁿ^502(b)(1)⁽^Q⁾^r^e^q^uⁱ^r^e^s^p^r^o^j^e^c^t^s^t^o^Ref^e^r^s^to^coⁿ^t^en^{t o}^f^th^{e cited}^sectioⁿ^s^o^f^W^I^A^.^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^prov^{ide th}^{e Secretar}^y^th^{e des}^c^ription^of^{(p. 71)}
^an^{d i}ⁿ^f^o^rm^atⁱ^oⁿ^on^parag^r^aph^s^{(8) an}^{d (14)}
^of^S^ectⁱ^oⁿ^{112(b) of}^WIA^.
ⁱ^nis^t^rative^Section^502(b)(1)(R⁾^requ^ires^th^{at en}^tities^Sim^{ilar p}^r^o^v^is^ion^,^ex^{cept th}^{at th}^{e Secretary}^is^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^o^{r ent}ⁱ^tⁱ^es^car^r^yⁱⁿ^g^o^u^{t p}^r^o^j^{ect activ}^{ities, in}^clu^dⁱⁿ^g^to^d^e^ter^mⁱⁿ^{e th}^{e am}^o^uⁿ^t^o^f^th^{e ad}^mⁱⁿⁱ^s^t^r^a^tⁱ^v^e
^state^ag^en^{cies, lo}^{cal en}^tities,^su^b^g^r^aⁿ^t^ees,^co^{st allo}^catioⁿ^.⁽^p^.⁷¹⁾
^su^b^c^oⁿ^tracto^r^{s, a}ⁿ^d^af^f^{iliates, receiv}^e^an
^am^ouⁿ^t^of^th^{e adm}ⁱⁿⁱ^s^t^r^a^tⁱ^v^e^cos^t
^al^l^o^c^a^tioⁿ^th^{at is su}^f^fⁱ^cien^{t f}^o^r^th^e
^ad^mⁱⁿⁱ^str^a^tioⁿ^o^f^p^r^o^j^{ect activ}^ities.
ⁱ^{ki/CRS-RL33660}
^g/wⁿⁿ^ovati^v^{e w}^o^rk^m^o^d^e^s^an^d^S^ectⁱ^oⁿ^502(b)(3)^requⁱ^r^es^t^h^{e S}^ecret^ary^t^o^N^o^provⁱ^sⁱ^oⁿ^.^(S^ee^D^e^m^ons^t^r^atⁱ^{on pr}^oj^ec^t^s^,^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^s^.or^{b o}^ppo^rt^unitⁱ^es^d^e^v^e^lo^p^alterⁿ^ativ^e^s^f^o^rⁱⁿⁿ^o^v^a^tiv^{e w}^o^r^k^bel^o^w^.⁾
^le^ak^m^odes^an^{d prov}^{ide tech}ⁿⁱ^{cal as}^sⁱ^s^t^an^{ce in}
^creatin^g^j^{ob opportu}ⁿ^ities^th^ro^{ugh w}^o^r^k
^://wiki^s^h^ariⁿ^g^an^{d ot}^{her ex}^peri^m^eⁿ^t^al^m^e^t^h^ods
^h^ttp^w^ith^lab^o^r^o^r^g^aⁿⁱ^zatioⁿ^s^{, b}^u^sin^e^s^s^an^dⁱⁿ^du^s^t^ry^an^{d w}^o^rk^ers^an^{d em}^pl^oy^ers^.
^eci^p^r^oci^t^{y of as}^s^e^s^s^m^en^ts^of^S^ectⁱ^oⁿ^{502(b)(4) s}^tⁱ^p^u^l^at^es^t^h^at^an^Sim^ilar^p^r^o^v^isioⁿ^.⁽^p^{. 7}²⁾^No^ch^an^g^eⁱⁿ^cu^r^r^eⁿ^t^law^.
ⁱ^dua^{ls under Tit}^l^{e V a}ⁿ^d^a^sse^ssm^eⁿ^{t a}ⁿ^d^se^r^v^ic^e^str^a^te^gy^d^e^ve^lo^p^e^d
^f^o^rⁱⁿ^dⁱ^vⁱ^d^u^als^uⁿ^d^er^T^{itle V w}^{ill b}^e
^con^s^{idered to m}^{eet t}^h^e^a^s^s^e^s^s^m^en^t
^r^e^q^u^ir^em^en^{ts f}^o^r^q^u^alif^icatioⁿ^f^o^r^tr^ainⁱⁿ^g
^uⁿ^d^e^r^Title^I^,^S^u^b^{title B}^o^f^W^I^A^.^A^l^so^{, an}
^assessm^en^t^an^d^ser^v^{ice str}^a^teg^y^uⁿ^d^er^T^itle
^I^o^f^W^I^A^w^{ill b}^e^coⁿ^s^id^er^e^d^t^o^m^{eet th}^e
^T^{itle V}^r^e^q^u^ir^em^en^{t f}^o^r^an^assessm^en^{t an}^d
^se^r^v^ic^e^str^a^te^gy^.
^n-^f^e^dera^{l sha}^r^e^S^ectⁱ^oⁿ^{502(c)(1) au}^t^h^ori^zes^t^h^e^S^ecret^ary^N^o^c^h^an^g^eⁱⁿ^cu^rren^{t law}^(s^u^bparag^r^aph^s^are^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.

^t^o^pay^{a 90%}^f^e^deral^s^h^a^r^e^,^e^x^cept^w^h^ere^{added). (p. 72)}
^proj^ects^{are located in}^an^em^erge^ncy^or
^dis^a^s^t^{er area or in}^an^econ^o^mⁱ^cally
^depres^s^e^{d area, as}^determⁱⁿ^{ed by}^th^e

CRS-85
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^Secr^etar^yⁱⁿ^coⁿ^s^u^ltatioⁿ^w^ith^th^e
^Secretaries^of^C^o^m^m^e^rce^aⁿ^{d HHS. T}^h^e
ⁿ^oⁿ^-^f^e^{deral s}^h^{are m}^a^y^{be in}^cas^h^{or in}^-
^ki^nd^.^Iⁿ^d^e^t^e^r^mⁱⁿⁱ^{ng t}^h^e^a^m^o^unt^o^f^t^h^e
ⁿ^oⁿ^-^fe^d^e^r^a^l^s^h^a^r^e^,^t^h^e^Secretary^is
^au^th^o^r^ized^to^attr^ib^u^t^{e f}^a^ir^m^a^r^k^{et v}^a^lu^e^to
^ser^v^{ices an}^d^f^{acilities f}^r^o^mⁿ^oⁿ^-^f^e^d^e^r^a^l
^s^o^u^r^ces^.
^e^fiⁿⁱ^ti^on^{of ad}^mⁱⁿⁱ^s^t^rati^ve^Se^ctⁱ^oⁿ^{502(c)(4) st}ⁱ^p^ul^a^t^e^s^t^h^a^t^T^h^{e b}^{ill w}^o^u^l^d^ad^d^to^th^{e d}^e^fⁱⁿⁱ^tⁱ^oⁿ^o^f^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.

^t^s^a^d^mⁱⁿⁱ^st^r^a^tⁱ^v^e^c^o^s^t^{s (}^p^e^r^so^nne^l^aⁿ^d^no^n-^admⁱⁿⁱ^s^t^rativ^{e cos}^t^s^:
^pers^onⁿ^e^l^,^di^rec^t^an^{d i}ⁿ^di^rect^{) are t}^h^os^e⁽^{to accou}ⁿ^tin^g⁾^{related data proces}^sⁱⁿ^g^;
ⁱ^{ki/CRS-RL33660}^as^s^o^{ciated w}^ith^:^q^u^a^lity^assu^r^aⁿ^ce;
^g/w^accouⁿ^tin^g^,^bu^dg^etin^g^,^fⁱⁿ^aⁿ^c^{ial an}^{d cas}^h^p^repariⁿ^g^prog^ram^pl^an^s^;
^s^.or^m^a^na^ge^m^e^nt^;⁽^t^o^p^e^r^s^o^nne^l^m^a^na^g^e^m^e^nt⁾^p^e^r^s^o^nne^l
^le^ak^p^r^o^c^u^r^e^m^e^nt^aⁿ^d^p^u^r^c^ha^si^ng;^ad^mⁱⁿⁱ^str^a^tioⁿ^,^ad^mⁱⁿⁱ^str^a^tioⁿ^o^f^af^fⁱ^r^m^ativ^e
^p^r^o^p^e^r^t^y^m^a^na^ge^m^e^nt^;^action^plan^s^,^an^{d train}ⁱⁿ^g^aⁿ^d^s^t^a^f^f
^://wiki^p^e^r^so^nne^l^m^a^na^ge^m^e^nt^;^dev^e^l^opm^en^t^;
^h^ttp^p^ay^r^o^ll;^a^dmⁱⁿ^is^trativ^{e s}^a^laries^{, in}^clu^dⁱⁿ^g^{clerical an}^d
^c^o^o^r^dⁱ^na^tⁱ^o^{n a}ⁿ^d^r^e^so^l^u^tⁱ^o^{n o}^f^fi^ndⁱ^ngs^ot^h^e^{r s}^u^pport^s^t^af^f^s^a^l^a^ri^es^;
^a^rⁱ^sⁱ^{ng f}^r^om^au^di^t^s^{, rev}ⁱ^e^w^s,^p^repariⁿ^g^report^s^;
ⁱⁿ^v^e^stig^atioⁿ^s^an^dⁱⁿ^cid^eⁿ^t^r^e^p^o^r^ts;^o^th^{er activ}^{ities n}^ecessary^f^o^{r th}^{e g}^eⁿ^e^ral
^a^u^d^it;^a^d^mⁱⁿⁱ^st^r^a^tⁱ^o^{n o}^f^go^ve^rⁿ^m^e^nt^fund^{s a}ⁿ^d
^g^en^{eral leg}^a^{l s}^e^rv^ices^;^as^s^o^{ciated prog}^ram^s^{; an}^d
^d^ev^elopin^g^s^y^s^t^em^s^an^{d procedu}^r^es^c^os^ts^of^techⁿⁱ^{cal as}^sⁱ^s^t^an^{ce, prof}^es^sⁱ^on^al
^r^e^q^u^ir^ed^f^o^r^ad^mⁱⁿⁱ^str^a^tiv^{e f}^uⁿ^c^tioⁿ^s^;^o^r^gaⁿⁱ^z^a^tⁱ^o^{n m}^e^m^b^e^r^shi^p^d^u^e^s^,^r^e^m^o^va^l^o^f
^o^ve^r^sⁱ^ght^aⁿ^d^m^oⁿⁱ^t^o^rⁱ^ng;^archⁱ^t^e^c^t^ur^a^l^b^a^r^rⁱ^e^r^s,^o^p^e^r^a^tⁱ^{ng an}^d
^g^oods^an^{d s}^e^rvⁱ^ces^;^m^aⁱⁿ^taⁱⁿⁱⁿ^g^a^s^sⁱ^s^tⁱ^v^e^techⁿ^o^lo^g^y^,^an^d
^t^rav^e^{l f}^o^{r of}^fⁱ^{cial bu}^sⁱⁿ^e^s^s^;^an^d^ev^alu^a^tin^g^prog^ram^res^u^lts^a^g^ain^s^{t s}^t^ated
ⁱ^nfo^r^m^a^tio^{n sy}^ste^m^s.^obj^ectⁱ^v^es^{. (p. 74)}
^{It w}^o^u^l^{d ex}^clu^d^{e f}^r^om^trav^{el cos}^t^s^,^trav^{el cos}^t^s
^r^e^latin^g^to^p^r^o^v^idⁱⁿ^g^ser^v^{ices. (}^p^{. 7}⁶⁾

CRS-86
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^ages^S^ectⁱ^oⁿ^502(b)(6)^s^tⁱ^p^u^l^at^es^t^h^at^f^uⁿ^d^sⁿ^o^t^Fun^d^s^no^t^use^d^fo^r^a^d^mⁱⁿⁱ^st^r^a^tⁱ^o^{n a}^r^e^t^o^b^e^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^us^{ed f}^o^{r adm}ⁱⁿⁱ^s^t^ration^{are to be u}^s^{ed f}^o^r^use^d^fo^r^:
^p^r^o^g^r^a^m^m^a^{tic co}^{sts in}^clu^dⁱⁿ^g^:^p^ar^ticip^an^{t w}^a^g^e^s;
^e^nr^o^l^l^e^e^w^a^ge^s;
^m^a^ti^{c cos}^t^s^:^friⁿ^ge^f^rⁱ^nge^b^e^ne^fi^t^s^,ⁱⁿ^c^l^udⁱ^{ng p}^h^y^sⁱ^c^a^l^b^en^ef^its^requ^{ired by}^law^(s^u^c^h^as^w^o^rk^ers^{No ch}^an^g^eⁱⁿ^cu^rren^{t law}^.
ⁱ^t^s^ex^am^s^;^com^p^en^s^a^tion^{or u}ⁿ^e^m^p^loy^m^en^t
^com^p^en^s^a^tion)^,^p^h^y^sⁱ^c^a^l^e^x^am^s^,
^co^m^p^en^satioⁿ^f^o^r^f^e^d^e^r^a^{l h}^o^lⁱ^d^ay^{s if}^th^e
^em^plo^y^{er is}^clos^{ed, n}^eces^s^a^ry^sⁱ^ck^leav^{e n}^o^t
^{part of}^an^accu^m^u^{lated s}ⁱ^ck^leav^{e prog}^ram^;
^e^xc^l^u^d^e^{s c}^o^st^{s o}^f^p^e^nsi^o^{n b}^e^ne^fi^t^s^,^a^nnua^l
ⁱ^{ki/CRS-RL33660}^leav^{e, accu}^m^u^{lated s}ⁱ^ck^l^e^av^{e or bon}^u^s^es^.
^g/w^{(p. 77)}
^s^.or
^le^ak^m^a^ti^{c cos}^t^s^:^traiⁿⁱⁿ^g^eⁿ^r^ol^l^{ee t}^r^aiⁿⁱⁿ^g^,^provⁱ^d^ed^bef^o^re^or^af^t^e^r^S^a^m^e^p^r^o^v^isioⁿ^,^b^u^{t w}^o^r^dⁱⁿ^g^{is slig}^h^tly^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^placem^en^{t, on}^th^{e j}^{ob, in}^cl^a^s^s^r^oom^s^,^or^di^f^f^e^ren^t^{. (p. 77)}
^://wiki^oth^e^{r arran}^g^e^m^eⁿ^t^s^;^reas^on^{able cos}^t^s^of
^h^ttp^instr^u^c^t^o^r^s,^c^l^a^ssr^o^o^m^r^e^nta^l^,^tr^aⁱ^ning^s^u^pplies^,^m^a^t^e^rials^,^equⁱ^pm^en^{t an}^d
^tu^itioⁿ^;
^m^a^ti^{c cos}^t^s^:^s^u^pportⁱ^v^{e s}^e^rvⁱ^ces^,ⁱⁿ^c^l^u^dⁱⁿ^g^E^x^c^lu^des^h^ealth^an^{d m}^e^{dical s}^e^rv^ices^{. (p. 78)}^No^ch^an^g^eⁱⁿ^cu^rren^t^law^.
^rt^iv^{e serv}^ices^t^r^an^sp^o^r^tatioⁿ^,^h^ealth^aⁿ^d^m^e^dⁱ^c^a^l
^s^e^rvⁱ^ces^{, s}^p^eci^al^j^ob-^rel^a^t^e^d^or^pers^on^al
^couns^elⁱⁿ^g^,ⁱⁿ^ci^den^t^al^s^(w^ork^s^h^oes^,
^badg^es^{, u}ⁿⁱ^f^o^rm^s^,^ey^eg^l^a^s^s^e^s^an^{d t}^ool^s⁾
^ch^{ild an}^{d ad}^u^{lt care, tem}^porary^s^h^elter,
^an^{d f}^o^llow^-^u^p^s^e^rv^ices^.
ⁱ^t^oⁿ^f^{und f}^o^{r w}^a^g^e^{s a}ⁿ^d^S^ectⁱ^oⁿ^{502(b)(6) s}^tⁱ^p^u^l^at^es^t^h^at^no^t^l^e^s^s^T^h^{e b}^{ill ch}^an^g^e^{s th}^{e am}^o^uⁿ^t^f^o^r^w^a^g^e^{s an}^d^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.

^{of enrollees}^t^h^an^75%^of^f^e^deral^f^uⁿ^d^s^{be u}^s^{ed t}^o^p^a^y^b^eⁿ^e^f^{its to}ⁿ^o^{t m}^o^r^e^th^an⁶⁵^%^o^f^f^e^d^e^r^a^{l f}^uⁿ^d^s
^w^a^g^e^s^an^{d ben}^e^f^its^of^en^rollees^.⁽^e^x^c^lu^dⁱⁿ^g^f^uⁿ^d^{s f}^o^r^p^ilo^{t an}^d^d^e^m^oⁿ^s^tr^atioⁿ
^an^d^ev^alu^a^tioⁿ^p^r^o^j^{ects au}^th^o^r^ized^b^y^th^e^b^ill)^.
^{(p. 78)}

CRS-87
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^s^u^l^tati^on^wⁱ^th^area^S^ectⁱ^oⁿ^{502(d) requ}ⁱ^r^es^proj^ect^s^t^o^con^s^u^l^t^No^p^r^o^v^isioⁿ^.^No^ch^an^g^eⁱⁿ^cu^r^r^eⁿ^t^law^.
^cⁱ^e^s^on^agiⁿ^g^w^ith^th^{e res}^p^ectiv^{e area ag}^enc^y^on^agⁱⁿ^g^,
^an^{d to s}^u^bm^{it to th}^{e area ag}^en^cy^an^{d th}^e
^s^t^{ate ag}^en^cy^{a des}^c^ri^ption^an^{d location}^of
^t^h^e^proj^ect^{90 day}^s^bef^o^{re u}ⁿ^d^ert^a^kⁱⁿ^g^t^h^e
^proj^{ect f}^o^{r th}^{eir rev}ⁱ^ew^an^{d com}^m^eⁿ^t^.
^o^nst^r^a^t^io^{n pro}^j^ect^s^S^e^c^tⁱ^oⁿ^{502(e) requ}ⁱ^r^es^t^h^e^S^ecret^ary^t^o^T^h^e^b^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{e Secr}^etar^y^to^ca^r^r^y^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.

^con^d^u^c^{t proj}^ects^desⁱ^gⁿ^e^{d to as}^s^u^{re s}^econ^d^o^u^{t d}^e^m^oⁿ^s^tr^atioⁿ^,^p^ilo^{t an}^d^ev^alu^a^tioⁿ^p^r^o^j^ects
^c^a^r^e^e^r^t^r^aⁱⁿⁱⁿ^g^an^{d placem}^en^{t of}^t^o^dev^e^l^{op an}^{d i}^m^pl^e^m^eⁿ^t^t^echⁿⁱ^qu^es^an^d
ⁱⁿ^di^vⁱ^du^alsⁱⁿ^priv^{ate bu}^sⁱⁿ^e^s^s^con^cern^s^.^approach^es^an^d^{to dem}^oⁿ^s^{trate ef}^f^ectiv^en^es^s^of
^T^h^{e Secretary}^is^requ^{ired to en}^{ter in}^to^s^p^eci^a^lⁱ^z^e^d^m^e^t^h^odsⁱⁿ^addres^sⁱⁿ^g^t^h^e
ⁱ^{ki/CRS-RL33660}^ag^reem^en^ts^w^ith^s^t^ates^{, pu}^{blic ag}^en^cies^,^em^p^l^o^y^m^eⁿ^t^aⁿ^d^tr^ainⁱⁿ^gⁿ^eed^{s o}^f^elig^ib^le
^g/w^no^np^r^o^fi^t^p^rⁱ^v^a^t^e^o^r^gaⁿⁱ^z^a^tⁱ^o^ns^aⁿ^d^p^rⁱ^v^a^t^eⁱⁿ^di^vⁱ^du^al^s^.^{(p. 78)}
^s^.or^bu^sⁱⁿ^e^s^s^.^T^h^{e Secretary}^m^a^y^pay^f^o^{r all of}
^le^ak^th^e^cos^t^s^of^th^es^{e proj}^ects^an^{d s}^h^{all, to}^th^e^T^h^{e b}^{ill d}^o^e^sⁿ^o^t^sp^ecif^y^w^h^ich^en^{tities ar}^{e to}
^e^x^t^e^nt^fe^a^sⁱ^b^l^e^,^a^ssur^e^e^q^ui^t^a^bl^{e g}^e^og^raphi^c^receiv^e^f^uⁿ^d^s^,^h^o^w^m^u^ch^th^{e Secretary}^w^ill
^://wiki^di^s^t^ri^bu^tⁱ^oⁿ^.^p^a^y^,^o^r^th^{at th}^er^{e w}^{ill b}^e^eq^u^itab^l^{e d}ⁱ^strⁱ^b^u^tioⁿ^.
^h^ttp
^P^r^oj^ects^{are to:}^P^r^oj^ects^m^a^yⁱⁿ^clu^d^e:
ⁱ^nvo^l^v^e^dⁱ^ffe^r^e^nt^ki^nd^s^o^f^w^o^r^k^m^o^d^e^s^activ^{ities lin}^kⁱⁿ^g^b^u^sⁱⁿ^{ess an}^d^elig^ib^le
^s^u^ch^as^f^l^ex^tim^{e, j}^{ob s}^h^arin^g^,^an^{d oth}^e^rⁱⁿ^divⁱ^du^als^,ⁱⁿ^clu^dⁱⁿ^g^as^sⁱ^s^t^an^{ce to}
^a^r^r^a^nge^m^e^nt^{s r}^e^l^a^tⁱ^{ng t}^o^r^e^d^u^c^e^d^p^a^r^ticip^an^{ts tr}^an^sitioⁿⁱⁿ^g^f^r^o^m^su^b^s^id^ized
^ph^y^s^{ical ex}^ertion^;^activ^{ities to}^p^r^iv^{ate secto}^r^em^p^l^o^y^m^eⁿ^t;
^e^m^p^ha^si^z^e^p^r^o^j^e^c^t^{s i}^nvo^l^vⁱ^{ng se}^c^o^nd^d^em^oⁿ^str^a^tioⁿ^p^r^o^j^e^c^t^{s to}^attr^{act m}^o^r^e^elig^ib^le
^careers^an^{d j}^{ob p}^l^a^c^e^m^eⁿ^t^an^{d g}ⁱ^v^eⁱⁿ^dⁱ^vⁱ^d^u^{als in}^to^th^{e lab}^o^r^f^o^r^{ce; im}^p^r^o^v^{e th}^e
^coⁿ^s^id^er^atioⁿ^to^p^l^a^c^e^m^eⁿ^tⁱⁿ^g^r^o^w^th^p^r^o^v^isioⁿ^o^f^ser^v^{ices to}^elig^ib^{le in}^dⁱ^vⁱ^d^u^als
ⁱⁿ^du^s^t^ri^esⁱⁿ^j^obs^ref^l^e^c^tⁱⁿ^gⁿ^e^w^uⁿ^d^{er th}^{e on}^e-^s^t^{op deliv}^ery^s^y^s^t^em^uⁿ^d^er
^techⁿ^o^lo^gⁱ^{cal sk}^{ills; an}^d^W^I^A^;^en^h^aⁿ^ce^techⁿ^o^lo^gⁱ^{cal sk}^{ills o}^f^elig^ib^le
^r^equⁱ^re^t^h^e^coordiⁿ^a^tⁱ^oⁿ^of^proj^ect^s^wⁱ^t^hⁱⁿ^dⁱ^vⁱ^d^u^als;^an^d^p^r^o^v^id^{e in}^cen^tiv^{es to}^T^{itle V}
^T^{itle I}^o^f^W^I^A^.^g^r^an^tees^f^o^r^ex^em^plary^perf^orm^aⁿ^{ce, an}^d
ⁱⁿ^cen^tiv^{es to}^b^u^sin^e^{ss to}^p^r^o^m^o^t^{e th}^eir
^T^h^e^Secretary^is^{to carry}^ou^{t ev}^alu^a^tion^s^of^p^a^r^ticip^atioⁿⁱⁿ^T^{itle V;}
^th^{ese activ}^{ities o}ⁿ^{a r}^e^g^u^l^ar^b^a^sis.^d^em^on^s^t^ratⁱ^oⁿ^proj^ect^s^des^c^ri^{bed abov}^{e on}^l^y
^if^th^ey^ar^{e d}^e^sigⁿ^e^d^to^{assist in}^d^e^v^e^l^o^pⁱⁿ^g
^an^{d im}^plem^en^tin^g^techⁿⁱ^qu^es^{to addres}^s

CRS-88
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^em^pl^oy^m^eⁿ^t^an^{d t}^r^aiⁿⁱⁿ^gⁿ^eeds^of^elⁱ^gⁱ^b^l^e
ⁱⁿ^di^vⁱ^du^al^s^;
^t^raⁱⁿⁱⁿ^g^an^{d t}^echⁿⁱ^cal^as^sⁱ^s^t^an^{ce t}^o^s^u^pport
^T^{itle V p}^r^o^j^ects;
^d^issemⁱⁿ^a^tioⁿ^o^f^b^e^{st p}^r^{actices; an}^d
^e^v^a^lu^atioⁿ^o^f^T^{itle V activ}^ities.
^Fuⁿ^d^s^f^o^{r th}^es^{e proj}^ec^t^s^a^r^{e to com}^e^f^r^om^Fuⁿ^d^s^f^o^{r th}^es^{e proj}^ects^{are to com}^e^f^r^om
^f^uⁿ^d^s^res^e^rv^{ed u}ⁿ^d^{er S}^ectⁱ^oⁿ^506(a)(1).^res^e^rv^{ed f}^uⁿ^d^s^f^r^om^S^ectⁱ^oⁿ^{506(a)(1). (p.}⁷⁸⁾
^val^u^a^ti^on^{of T}ⁱ^tl^{e V}^S^ectⁱ^oⁿ^502(f⁾^requⁱ^r^es^t^h^{e S}^ecret^ary^t^o^Sⁱ^mⁱ^l^a^{r prov}ⁱ^sⁱ^oⁿ^abov^{e i}ⁿ^prevⁱ^o^u^s^box^at^en^d^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^vi^ti^es^car^r^y^o^u^{t ev}^alu^a^tioⁿ^s^o^f^T^{itle V activ}^itie^s^,^bu^{t does}ⁿ^o^{t s}^p^ecif^y^w^h^en^ev^alu^a^tion^s^{are to}
ⁱ^{ki/CRS-RL33660}ⁱⁿ^cl^u^dⁱⁿ^g^S^e^c^tⁱ^oⁿ^{502(e) dem}^oⁿ^s^t^r^atⁱ^oⁿ^tak^e^{place. (p. 80)}
^g/w^proj^ect^s^,^on^{a reg}^u^l^{ar bas}ⁱ^s^.
^s^.or
^le^ak^f^t^h^{e Sena}^t^e^N^o^provⁱ^sⁱ^oⁿ^.^N^o^provⁱ^sⁱ^oⁿ^.^T^h^e^bi^l^l^w^o^ul^d^a^d^d^a^p^r^o^vⁱ^sⁱ^o^{n t}^h^a^tⁱ^tⁱ^s^t^h^e
^sen^s^{e o}^f^th^{e Sen}^a^{te th}^at:
^://wiki^t^h^e^older^Am^erican^com^m^uⁿ^ity^s^e^rv^ice
^h^ttp^em^p^l^oy^m^eⁿ^t^prog^ram^w^a^s^{created w}^ith^th^eⁱⁿ^t^eⁿ^t^of^pl^aciⁿ^g^ol^{der i}ⁿ^di^vi^du^al^sⁱⁿ
^co^m^m^uⁿ^ity^ser^v^{ice p}^o^s^itioⁿ^s^to^p^r^o^v^id^{e j}^o^b
^trainⁱⁿ^g^placem^en^ts^{; an}^d
^p^l^aciⁿ^g^ol^{der i}ⁿ^di^vⁱ^du^al^sⁱⁿ^com^m^uⁿⁱ^t^y
^ser^v^{ice p}^o^s^itioⁿ^s^str^eⁿ^g^t^h^eⁿ^s^th^{e ab}^ility^o^f
ⁱⁿ^dⁱ^vⁱ^d^u^a^{ls to}^b^eco^m^e^self^-^s^u^f^fⁱ^cien^t,
^provⁱ^d^es^m^u^ch^-ⁿ^{eeded v}^o^l^uⁿ^t^{eer s}^u^pport^t^o
^o^r^gaⁿⁱ^z^a^tⁱ^o^{ns w}^hⁱ^c^{h b}^e^ne^fi^t^si^gni^fi^c^aⁿ^t^l^y
^f^r^om^inc^r^eas^{ed civ}ⁱ^{c en}^g^a^g^e^m^eⁿ^t^{, an}^d
^str^eⁿ^g^t^h^eⁿ^s^th^{e co}^m^m^uⁿ^ities^th^at^ar^{e ser}^v^ed
^by^s^u^ch^org^aⁿⁱ^zatⁱ^oⁿ^s^{. (p. 102)}
^{TE P}^L^A^N
^t^{ate Pl}^an^{: s}^u^b^mⁱ^s^sⁱ^on^,^S^ectⁱ^oⁿ^503(a)^r^e^q^uⁱ^r^es^t^h^{e G}^o^v^e^rn^{or t}^o^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e t}^h^a^t^f^o^r^{a s}^t^at^{e t}^o^be^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.

^mⁱ^ng^a^{nd co}^m^m^e^nt^s^sub^mⁱ^t^aⁿ^a^nnua^l^St^a^t^e^Seⁿⁱ^o^r^E^m^p^l^o^y^m^e^nt^{eligible to r}^ecei^v^e^{an allotment,}^th^e^chief
^Ser^v^{ices Co}^o^r^dⁱⁿ^a^ti^oⁿ^P^l^an^to^th^e^execu^{tive o}^fficer^o^f^th^e^s^t^a^t^e^m^u^{st su}^b^m^{it a}
^Secretary^.^sⁱⁿ^g^l^{e s}^t^{ate plan}^{to th}^{e Secretary}^f^o^r

CRS-89
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^consⁱ^d^er^atⁱ^{on and appr}^oval^{. (p. 80)}
^T^h^{e p}^l^an^{is to}^o^u^tlin^e^a^th^r^ee-^y^ear^str^a^teg^y^f^o^r
^th^{e statew}^id^{e p}^r^o^v^isioⁿ^o^f^tr^ainⁱⁿ^g^an^d^r^e^lated
^activ^{ities. (}^p^{. 8}⁰⁾
^T^h^{e plan}^m^u^s^t^con^t^ain^{a des}^c^ription^of^th^e^Sⁱ^m^ilar^p^r^o^v^isioⁿ^r^e^g^a^r^dⁱⁿ^g^th^{e p}^r^o^{cess t}^o
^p^r^o^{cess to}^en^su^r^e^p^a^r^ticip^atioⁿ^,^an^d^to^en^su^r^e^p^a^r^tⁱ^c^ip^atioⁿ^,^b^u^{t r}^e^f^e^r^s^to^o^b^t^ainⁱⁿ^g
ⁱⁿ^clu^d^{e th}^{e adv}ⁱ^{ce an}^{d recom}^m^e^ndation^s^advⁱ^{ce an}^{d recom}^m^eⁿ^d^atⁱ^oⁿ^s^of^uⁿ^e^m^p^loy^e^d
^o^fⁱⁿ^divⁱ^du^als^repres^en^tin^g^:^s^t^{ate an}^{d ar}^e^a^ol^derⁱⁿ^di^vⁱ^du^al^s^rat^h^{er t}^h^an^uⁿ^d^ers^e^rv^{ed ol}^der
^ag^en^cies^on^agⁱⁿ^g;^s^t^{ate an}^{d local}ⁱⁿ^di^vⁱ^du^al^s^.^{(p. 81)}
^w^o^rk^f^o^{rce i}ⁿ^v^e^s^t^m^eⁿ^t^boa^rds^;^pu^blⁱ^c^an^d
ⁱ^{ki/CRS-RL33660}^pri^v^at^{e n}^oⁿ^-^profⁱ^t^org^aⁿⁱ^zatⁱ^oⁿ^s^provⁱ^dⁱⁿ^g
^g/w^em^p^l^o^y^m^eⁿ^tⁱⁿ^clu^dⁱⁿ^g^T^{itle V p}^r^o^j^ects;
^s^.or^so^{cial ser}^v^{ice o}^r^g^aⁿⁱ^zatioⁿ^s^{; T}^itle^I^I^I
^le^ak^g^r^an^tees^{; a}^f^f^e^c^t^e^d^c^o^m^m^uⁿⁱ^tⁱ^es^,^an^d
^uⁿ^d^e^rs^erv^e^{d ol}^{der i}ⁿ^di^vⁱ^du^al^s^,^am^on^g
^://wiki^ot^h^e^rs^.
^h^ttp
^{State p}^l^an^{s su}^b^m^itted^b^y^th^{e Go}^v^e^rⁿ^o^r^R^e^f^e^rs^{to ch}^ief^ex^ecu^tiv^{e of}^fⁱ^cer.
^m^u^s^tⁱⁿ^clu^d^{e pu}^{blic com}^m^eⁿ^t^s^.
^T^h^{e p}^l^an^s^m^u^s^t^iden^tif^y^an^{d addres}^s^w^h^at^Iⁿ^ad^d^itioⁿ^to^th^{e cited}^p^r^o^v^isⁱ^oⁿ^sⁱⁿ^cu^r^r^eⁿ^t
^th^{e r}^e^latioⁿ^s^hⁱ^p^o^f^t^h^eⁿ^u^m^b^er^o^f^elig^ib^le^law^,^th^{e b}^{ill w}^o^u^l^d^ad^dⁿ^e^w^r^e^q^u^ir^em^en^t^s^th^at
ⁱⁿ^divⁱ^du^alsⁱⁿ^each^{area is}^{to th}^{e total}^th^{e plan}^addres^s^th^e^c^u^rren^{t an}^{d proj}^ected
ⁿ^u^m^b^e^r^o^f^elig^ib^{le in}^dⁱ^vⁱ^d^u^alsⁱⁿ^th^{e state;}^em^ploy^m^eⁿ^t^opportuⁿ^itiesⁱⁿ^th^{e s}^t^{ate, by}
^th^{e r}^e^lativ^{e d}ⁱ^strⁱ^b^u^ti^oⁿ^o^fⁱⁿ^dⁱ^vⁱ^d^u^als^o^ccu^p^a^tioⁿ^,^an^d^ty^p^e^{s o}^f^sk^{ills o}^f^lo^cal^elig^ib^le
^resⁱ^din^gⁱⁿ^u^r^ban^an^d^r^u^r^a^{l areas}^{; an}^{d th}^eⁱⁿ^di^vⁱ^du^al^s^;^t^h^{e l}^o^cal^{e an}^{d popu}^l^a^tⁱ^oⁿ^s^m^o^s^t
^r^e^lativ^e^dⁱ^strⁱ^b^u^tioⁿ^o^f^elig^ib^leⁱⁿ^dⁱ^vⁱ^d^u^alsⁿ^eed^ed^b^y^T^{itle V p}^r^o^j^e^c^t^{s; an}^d^p^l^an^{s f}^o^r
^w^ith^g^r^ea^t^e^s^t^econ^o^mⁱ^{c an}^{d s}^o^{cial n}^eed,^co^o^r^dⁱⁿ^a^tioⁿ^o^f^T^{itle V an}^d^W^I^A^activ^ities.
^an^d^mⁱⁿ^o^r^ity^elig^ib^{le in}^dⁱ^vⁱ^d^u^als.^{(p. 81)}
^A^d^d^s^r^e^f^e^r^eⁿ^{ce to}ⁱⁿ^dⁱ^vⁱ^d^u^als^w^h^o^h^a^v^e^lim^ited
^En^g^lish^p^r^o^f^icien^c^y^.⁽^p^{. 8}²⁾

CRS-90
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^a^t^{e P}^l^aⁿ^:^co^m^m^e^nt^{s by}^Th^e^l^a^w^r^e^q^uⁱ^r^e^s^t^h^a^t^b^e^f^o^r^e^a^propos^a^lⁱ^s^R^e^f^e^rs^{to ch}^ief^ex^ecu^tiv^{e of}^fⁱ^{cer. (p. 83)}^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^overnor/s^{tate chief}^su^b^m^itted^to^th^{e Secr}^etar^y^,^th^e^Go^v^e^rⁿ^o^r^o^f
^{ecutive officer}^t^h^e^s^t^{ate is}^{to h}^a^v^e^{a reas}^on^abl^e
^opport^uⁿⁱ^t^y^t^o^s^u^bmⁱ^t^recom^m^eⁿ^d^atⁱ^oⁿ^s^t^o
^th^{e Secretary}^reg^a^rdin^g^{a n}^u^m^{ber of}
^f^actors^.
^t^{ate Pl}^an^{: avoi}^d^aⁿ^{ce of}^T^h^{e law}^r^e^q^u^ir^{es th}^{at in}^d^e^v^e^lo^pⁱⁿ^g^p^l^an^s^Elimⁱⁿ^ates^ref^e^ren^{ce to}^co^mmuⁿ^{ity service}^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^rt^icipaⁿ^t^disrupt^ioⁿ^aⁿ^{d con}^s^iderin^g^recom^m^eⁿ^d^a^tⁱ^oⁿ^s^,^em^pl^oym^e^nt^an^d^r^e^f^e^r^s^to^p^a^r^ticip^an^{ts in}^stead^o^f
^dⁱ^s^r^u^p^tⁱ^oⁿ^s^o^f^co^m^m^uⁿ^ity^ser^v^ice^en^rollees^{. (p. 83)}
^em^ploy^m^eⁿ^t^opportuⁿ^ities^f^o^{r cu}^r^r^eⁿ^t
^en^rollees^{be av}^{oided to th}^{e m}^a^xⁱ^m^u^m
ⁱ^{ki/CRS-RL33660}^ex^t^eⁿ^t^pos^sⁱ^bl^e.
^g/w
^s^.or^Nation^a^{l g}^r^an^tees^(receivⁱⁿ^g^s^e^p^a^rate^Cha^nge^s^will^to^ma^y.^{(p. 84)}^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^le^ak^{that s}^{erve older}^g^r^an^t^s^t^o^s^e^rv^{e ol}^{der In}^di^an^s^f^r^o^m^f^uⁿ^d^s
ⁿ^s^res^e^rv^{ed u}ⁿ^d^{er Section}^{506(a)(3) w}^{ill n}^o^t
^://wiki^b^e^r^e^q^u^ir^ed^to^p^a^r^ticip^{ate in}^th^{e state}
^h^ttp^pl^anⁿⁱⁿ^g^proces^s^,^bu^t^will^{collaborate w}^ith^th^{e Secretary}^to^dev^e^lop^{a plan}^f^o^{r proj}^ects
^an^{d s}^e^rvⁱ^ces^f^o^{r ol}^{der In}^di^an^s^.
^a^t^{e P}^l^aⁿ^:^dist^ribut^io^{n o}^f^S^ectⁱ^oⁿ^{506 requi}^res^t^h^{e S}^ecret^ary^t^o^No^ch^an^g^eⁱⁿ^th^{is p}^o^r^tioⁿ^o^f^cu^r^r^en^{t law}⁽^s^ee
^ssist^aⁿ^c^e^res^e^rv^{e th}^{e f}^o^ll^o^wⁱⁿ^g^am^ouⁿ^t^s^,^bef^o^re^bel^o^w⁾^.

^allo^catin^g^f^uⁿ^d^{s to}^states:
^u^p^to¹^.⁵^%^o^f^th^{e to}^{tal ap}^p^r^o^p^r^iatioⁿ^{is to}
^b^e^r^e^s^e^rv^{ed f}^o^{r S}^ectⁱ^oⁿ⁵⁰²⁽^e⁾
^e^x^p^e^rⁱ^m^eⁿ^t^a^l^p^r^o^j^e^c^t^s^to^tr^an^sitioⁿ
^en^rolleesⁱⁿ^t^o^priv^{ate s}^{ector em}^ploy^m^eⁿ^t^;
⁰^.7⁵^%^o^f^th^{e to}^{tal ap}^p^r^o^p^r^iatioⁿ^{is to}^b^e
^res^e^rv^{ed f}^o^{r U.S}^.^t^e^rri^t^o^ri^es^;^an^d
^“^s^u^ch^s^u^m^s^as^m^a^y^{be n}^eces^s^a^ry^”^a^r^{e to}
^b^e^r^e^ser^v^ed^f^o^rⁿ^a^tioⁿ^a^{l g}^r^an^{ts to}^p^u^b^lic
^{or pri}^v^at^{e or}^g^aⁿⁱ^zatⁱ^oⁿ^s^s^e^rvⁱⁿ^g^ol^der
^In^dian^s^an^{d older P}^acifⁱ^{c Is}^lan^d^an^d
^A^s^ian^A^m^erican^s^.

CRS-91
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^Af^ter^th^{ese r}^e^ser^v^atioⁿ^s^{, th}^{e r}^e^m^aⁱⁿⁱⁿ^g^T^h^{e b}^{ill w}^o^u^l^d^ch^an^g^e^th^{e h}^o^ld^h^a^r^m^less
^f^uⁿ^d^s^{are di}^vⁱ^d^e^{d i}ⁿ^t^o^t^w^{o am}^ouⁿ^t^s^,^on^e^am^ouⁿ^t^{to th}^{e FY2006}^lev^e^{l of}^activ^ities^.
^fo^r^na^tⁱ^o^na^l^gr^aⁿ^t^o^r^gaⁿⁱ^z^a^tⁱ^o^{ns a}ⁿ^d^t^h^e^{(p. 92)}
^oth^e^{r f}^o^{r s}^t^{ate ag}^en^cy^g^r^an^ts^{, w}^ith^a
^requ^irem^en^{t th}^{at f}^uⁿ^d^s^{are dis}^t^ribu^{ted at}
^th^{eir FY2000 lev}^e^l^of^ac^tiv^ities^,^th^{at is}^,^th^e
^F^Y^{2000 h}^o^l^d^h^a^rm^l^e^s^s^am^ouⁿ^t^.
^FY²^{000 lev}^e^{l of}^activ^ities^,^f^o^{r n}^a^tion^a^l^T^h^{e b}^{ill w}^o^u^l^d^d^e^{lete th}^{e r}^e^f^e^r^eⁿ^{ce to}^Sec^tⁱ^oⁿ
^g^r^an^ts^an^{d f}^o^{r s}^t^{ate g}^r^an^ts^{, is}^defⁱⁿ^e^d^as^{514(e) an}^{d (f}^{) am}^ouⁿ^t^s^.^{(p. 98)}
^th^{e FY2000}^l^e^{vel of}^activ^ities^af^ter
^d^e^d^u^ctioⁿ^o^f^f^uⁿ^d^{s f}^o^r^f^a^ilu^r^e^to^m^eet
ⁱ^{ki/CRS-RL33660}^perf^orm^aⁿ^{ce s}^t^an^dards^as^des^c^ri^{bed i}ⁿ
^g/w^S^ectⁱ^oⁿ^{514(e) an}^{d (f}^).
^s^.or
^le^ak^L^e^v^e^{l o}^f^activ^{ities is d}^e^fⁱⁿ^e^d^{as th}^eⁿ^u^m^b^e^r^{No ch}^an^g^eⁱⁿ^cu^rren^{t law}^.
^o^f^au^th^o^r^ize^d^p^o^s^itioⁿ^s^m^u^ltip^lied^b^y^th^e
^://wiki^co^{st p}^e^r^au^th^o^r^ized^p^o^s^itioⁿ^.
^h^ttp
^E^ach^allo^tm^en^{t is d}ⁱ^strⁱ^b^u^ted^to^states
^accordin^g^{to a f}^o^rm^u^l^{a t}^h^a^t^tak^e^sⁱⁿ^to
^accouⁿ^t^{a s}^t^ate’^s^relativ^{e popu}^lation^{55 an}^d
^{older an}^{d th}^{e relativ}^{e s}^t^{ate per capita}
ⁱⁿ^com^e^{. Each}^s^t^{ate is}^{to receiv}^e^a
^mⁱⁿⁱ^m^u^m^a^m^o^unt^o^f^fund^s,^d^e^fi^ne^d^a^s^oⁿ^e^-
^h^a^lf^o^f¹^%^o^f^th^{e to}^{tal ap}^p^r^o^p^r^iatioⁿ^f^o^r^th^e
^res^p^ectiv^{e f}ⁱ^s^{cal y}^ear.
^If^f^uⁿ^d^s^f^o^{r a g}ⁱ^v^eⁿ^y^{ear are eq}^ua^l^{to, or}^Ref^e^rs^t^o^F^Y^{2006 appropri}^a^tⁱ^oⁿ^s^an^{d l}^e^v^e^l^o^f
^l^e^s^s^t^h^an^,^t^h^{e F}^Y^{2000 appropri}^a^tⁱ^oⁿ^,^s^t^at^es^activ^ities.

^{are to receiv}^e^an^am^ou^ntⁱⁿ^proportion^to
^th^{eir res}^p^ectiv^{e FY2000}^lev^e^{l of}^activ^ities^.
^If^f^uⁿ^d^s^{are m}^o^{re t}^h^an^t^h^{e F}^Y²⁰⁰⁰
^appropri^a^tⁱ^oⁿ^l^e^v^e^l^:⁽¹⁾^t^h^{e popu}^l^a^tⁱ^oⁿ^an^d
^{per capita f}^o^rm^u^l^a^f^actors^{are applied; an}^d
^{(2) s}^t^ates^{are to receiv}^e^at^leas^t^30%^of^th^e

CRS-92
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^pe^r^cen^t^a^g^eⁱⁿ^creas^{e abov}^{e t}^h^{e F}^Y²⁰⁰⁰
^lev^e^l.
^If^f^uⁿ^dⁱⁿ^gⁱⁿ^an^y^fⁱ^s^cal^y^{ear is}ⁱⁿ^s^u^f^fⁱ^cien^t^R^e^f^e^rs^{to FY2006 lev}^e^{l of}^activ^ities^.
^t^o^m^eet^F^Y^{2000 l}^e^v^e^l^s^of^a^c^tⁱ^vⁱ^t^y^{, t}^h^en
^am^ouⁿ^t^s^{are redu}^{ced proport}ⁱ^oⁿ^a^t^e^l^y^.^If
^f^uⁿ^dⁱⁿ^g^ex^ceeds^th^e^F^Y^{2000 lev}^e^{l, u}^p^to
^{$35 m}ⁱ^l^lⁱ^oⁿ^of^t^h^{e ex}^ces^sⁱ^s^t^o^be
^di^s^t^ri^bu^t^e^{d as}^f^o^l^l^o^w^s^:^75%^of^t^h^{e ex}^ces^sⁱ^s
^{to be}^p^r^ov^{ided to s}^t^{ate ag}^en^cies^{, an}^{d 25%}
^o^f^th^e^e^x^{cess is to}^b^e^p^r^o^v^id^ed^toⁿ^a^tioⁿ^a^l
^o^r^gaⁿⁱ^z^a^tⁱ^o^ns.^Aⁿ^y^fundⁱ^{ng a}^m^o^unt^o^v^e^r
ⁱ^{ki/CRS-RL33660}^{$35 m}^illion^th^{at rem}^aⁱⁿ^s^is^{to be}
^g/w^dis^t^ribu^{ted 50/50}^{to s}^t^{ate ag}^en^cies^an^d
^s^.orⁿ^a^tioⁿ^a^{l o}^r^g^aⁿⁱ^zatioⁿ^s^{, r}^e^sp^ectiv^ely^.
^le^ak
^P^E^T^I^T^I^{ON FOR AWARD OF G}^RANT^S
^://wiki
^h^ttp^od^{of gran}^{t aw}^ard^s^Sectⁱ^oⁿ^{514(a) requ}ⁱ^r^es^t^h^e^S^ecr^e^t^a^r^y^t^o^aw^ar^d^g^r^an^{ts to}^elig^ib^le^ap^p^lican^{ts f}^o^r^oⁿ^e^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{e Secr}^e^t^ar^y^to^aw^ar^d^gr^aⁿ^t^s^fo^r^t^h^r^e^e^y^e^a^r^p^e^rⁱ^o^d^s^t^h^r^o^{ugh a}^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{e Secr}^etar^y^to^aw^ar^d^g^r^aⁿ^t^s^t^o^e^lⁱ^gⁱ^b^l^e^a^p^p^lⁱ^c^aⁿ^t^s^,^t^h^r^o^ugh^a
^y^e^a^r^.^T^h^{e Secretary}^is^{to aw}^{ard g}^r^an^ts^f^o^r^co^m^p^etitiv^{e p}^r^o^cess.^co^m^p^etitiv^e^p^r^o^{cess th}^{at em}^p^h^asizes^m^eetin^g
^{a p}^e^rⁱ^{od n}^o^{t to ex}^{ceed th}^{ree y}^ears^,^af^ter^perf^orm^aⁿ^{ce m}^eas^u^r^es^{, to carry}^ou^{t p}^r^o^j^ects
^estab^lishⁱⁿ^g^r^e^g^u^latioⁿ^s^an^d^p^e^r^f^o^r^m^aⁿ^c^e^I^f^a^g^r^an^{t recipien}^{t s}^a^tis^fⁱ^es^th^{e perf}^orm^aⁿ^c^e^f^o^{r a f}^o^u^r^-^y^{ear peri}^{od. (p. 105)}
^m^eas^u^r^es^.^stan^d^a^r^d^s^estab^lish^e^d^b^y^th^{e b}^{ill (}ⁱⁿ^Sectioⁿ
^{513) du}^riⁿ^g^t^h^e^t^h^ree-^y^{ear peri}^{od f}^o^{r w}^hⁱ^c^h^an^y
^g^r^an^{t is}^m^a^{de, th}^e^S^e^cretary^m^a^y^aw^{ard g}^r^an^ts
^to^th^e^r^ecipⁱ^en^{t to}^coⁿ^tin^u^e^th^{e p}^r^o^j^{ect b}^e^y^oⁿ^d
^th^{e th}^r^ee-^y^e^a^r^p^e^rⁱ^o^d^,^b^u^{t n}^o^{t lo}ⁿ^g^e^r^th^an^tw^o
^s^u^cces^sⁱ^v^e^on^e-^y^{ear peri}^ods^{. (p. 109)}
^h^ibit^io^{n o}ⁿ^co^m^p^et^it^ioⁿ^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^e^S^ecret^ar^y^w^o^ul^d^b^e^prohⁱ^bⁱ^t^e^d^f^r^om
^{il im}^plem^ent^a^tⁱ^oⁿ^o^f^car^r^yⁱⁿ^g^o^u^{t a g}^r^an^t^co^m^p^etitioⁿ^uⁿ^{til th}^e
^t^o^{rs, o}^r^J^a^nua^ry¹^,^{later of}⁽¹⁾^t^h^{e date w}^h^en^th^{e Secretary}
ⁱ^m^p^l^em^en^{ts all r}^e^q^u^ir^ed^p^e^r^f^o^r^m^aⁿ^c^e
ⁱⁿ^di^cat^ors^,^an^{d (2) Jan}^u^a^ry^{1, 2010.}^(p.¹⁰⁵⁾
^ibilit^y^crit^eria^f^o^{r a}^w^a^r^ds^T^h^e^b^ill^w^o^u^l^d^sp^ecif^y^th^at^an^ap^p^lican^t^is^No^ch^an^g^eⁱⁿ^cu^r^r^en^{t law}^.^No^ch^an^g^eⁱⁿ^cu^r^r^eⁿ^t^law^.

CRS-93
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^elig^{ible to recei}^{ve a g}^r^an^{t in}^accordan^ce
^wⁱ^t^h^S^ectⁱ^oⁿ^{502(b)(1) an}^{d S}^u^bs^ectⁱ^oⁿ^s^(c)
^an^{d (d).}
^S^ectⁱ^oⁿ^{514(c) s}^e^t^s^t^h^{e f}^o^l^l^o^wⁱ^ng^t^h^at^Gen^e^r^a^lly^r^e^tain^{s th}^{e cr}^iterⁱ^{a w}^ith^th^ese^Gen^e^r^a^lly^r^e^tain^{s th}^{e cr}^iterⁱ^{a b}^u^{t w}^o^u^l^d^ad^d^:
^applican^ts^m^u^s^t^m^eet:^ch^an^g^e^s^:^t^h^e^applican^t’^s^perf^orm^aⁿ^{ce on}^th^e^requ^ired
^a^d^mⁱⁿ^ister^a^p^r^o^g^r^a^m^ser^vⁱⁿ^g^th^{e g}^r^eatest^C^h^aⁿ^g^e^s^ag^{e to ag}^{e 65 an}^{d older in}^fⁱ^rs^tⁱⁿ^dⁱ^ca^t^o^r^s^sp^ecifⁱ^ed^b^y^th^{e b}^{ill (}ⁱⁿ^th^{e case}
ⁿ^u^m^b^e^r^o^f^elig^ib^{le in}^dⁱ^vⁱ^d^u^{als, w}^ith^cr^iterⁱ^oⁿ^listedⁱⁿ^cu^r^r^en^{t law}^.^of^prev^iou^s^recipien^ts^{), an}^{d th}^{e applican}^t’^s
^p^a^r^ticu^l^ar^coⁿ^s^id^er^atioⁿ^to^th^o^s^{e w}^ith^th^e^A^dds^applⁱ^can^t^’^s^pri^o^{r perf}^orm^aⁿ^{ce, i}^f^an^y^,ⁱⁿ^ab^ility^to^m^eet^t^h^{e r}^e^q^u^ir^edⁱⁿ^dⁱ^cato^r^{s (}ⁱⁿ
^g^r^eates^{t eco}^nom^{ic n}^{eed, g}^r^eates^{t s}^o^cial^m^eetin^g^p^e^r^f^o^r^m^aⁿ^{ce m}^easu^r^{es u}ⁿ^d^er^T^{itle V}^th^{e cas}^{e of}ⁿ^e^w^applican^ts^);
ⁿ^{eed, poor}^e^m^pl^oy^m^eⁿ^t^hⁱ^s^t^ory^or^an^d^ot^h^e^{r f}^e^deral^{or s}^t^at^{e prog}^ram^s^.^(p.¹¹⁰⁾^t^h^e^ap^p^lican^t’^{s ab}^ility^to^ad^mⁱⁿⁱ^ster^a
^pros^pect^s^,^an^{d ov}^{er ag}^{e 60;}^prog^ram^th^at^p^r^ov^ides^com^m^uⁿ^ity^s^e^rv^ice;
ⁱ^{ki/CRS-RL33660}^a^d^mⁱⁿ^ister^{a p}^r^o^g^r^a^m^th^{at p}^r^o^v^id^es^t^h^e^ap^p^lican^t’^{s ab}^ility^to^mⁱⁿⁱ^mⁱ^ze
^g/w^em^p^l^o^y^m^eⁿ^t^f^o^r^elig^ib^{le in}^dⁱ^vⁱ^d^u^{als in}^dⁱ^sr^u^p^tioⁿⁱⁿ^s^e^r^v^{ices f}^o^r^p^a^r^ticip^an^{ts an}^d
^s^.or^co^m^m^uⁿ^{ities in}^w^h^ichⁱⁿ^dⁱ^vⁱ^d^u^als^liv^e,^o^r^em^ploy^ers^;^an^d
^le^akⁱⁿⁿ^ear^b^y^co^m^m^uⁿ^ities^,^t^h^a^t^wⁱ^l^l^a^d^d^itioⁿ^a^{l cr}^iterⁱ^{a sp}^ecifⁱ^ed^b^y^th^e
^coⁿ^t^rⁱ^b^u^{te to}^th^e^g^eⁿ^e^r^a^{l w}^e^lf^ar^{e o}^f^th^e^S^ecret^ary^.^{(p. 105)}

^://wiki^co^m^m^uⁿ^ity^;
^h^ttp^a^d^mⁱⁿ^ister^{a p}^r^o^g^r^a^m^th^{at m}^o^v^e^{s elig}^ib^le
ⁱⁿ^dⁱ^vi^d^u^a^l^{s i}ⁿ^t^o^unsu^b^sⁱ^di^zed
^em^pl^oy^m^eⁿ^t^;
^m^o^v^{e in}^dⁱ^vⁱ^d^u^{als w}^ith^m^u^ltip^{le b}^a^r^r^ier^s
^t^o^em^pl^oy^m^eⁿ^tⁱⁿ^t^o^uⁿ^s^u^b^sⁱ^di^zed
^em^pl^oy^m^eⁿ^t^;^an^d
^c^oordiⁿ^a^t^e^wⁱ^t^h^ot^h^e^{r s}^t^at^{e an}^{d l}^o^cal
^o^r^gaⁿⁱ^z^a^tⁱ^o^ns.
^T^h^{e applican}^{t m}^u^s^tⁱⁿ^clu^d^{e a plan}^f^o^{r f}ⁱ^s^cal
^m^aⁿ^a^g^e^m^eⁿ^t^an^{d m}^{eet an}^y^oth^e^{r criteria}
^th^{at th}^e^Secretary^deem^s^{appropriate in}
^o^r^d^e^r^t^o^mⁱⁿⁱ^mⁱ^z^e^dⁱ^sr^up^tⁱ^o^{n fo}^r^c^u^r^r^e^nt
^en^rollees^.

CRS-94
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^RFORM^ANCE^M^E^ASURE^S
^a^{nce m}^e^as^ures^:^S^ectⁱ^oⁿ^{513(a)(1) requ}ⁱ^r^es^t^h^e^S^ecret^ary^t^o^N^o^ch^an^g^eⁱⁿ^cu^rren^t^l^a^w^.^(p.^101,^lⁱⁿ^es^17-²⁴⁾^T^h^e^bⁱ^l^l^w^o^u^l^d^r^e^q^uⁱ^r^e^t^h^e^S^e^c^r^e^t^a^r^y^t^o
^tablis^hm^ent^e^s^t^a^b^lⁱ^s^h^p^e^r^f^o^r^m^aⁿ^{ce m}^eas^u^r^es^{, in}^e^s^t^a^b^lⁱ^s^h^an^{d i}^m^pl^em^en^t^perf^orm^a^nc^e
^coⁿ^s^u^ltatioⁿ^w^ith^g^r^an^{tees, su}^b^g^r^aⁿ^t^ees,^m^e^a^s^u^r^{es, af}^ter^coⁿ^s^u^ltatioⁿ^wⁱ^t^h^t^h^e
^h^o^s^t^ag^en^cies^{, s}^t^ates^,^o^l^{der in}^divⁱ^du^als^,^A^ssi^st^aⁿ^t^Se^c^r^e^t^a^r^y^fo^r^A^gⁱ^{ng (}^a^nd^o^t^he^r^s
^{area ag}^en^cies^an^{d oth}^e^rs^.^listedⁱⁿ^c^u^r^r^eⁿ^t^law⁾^{. T}^h^{e b}^{ill w}^o^u^l^d^also
^requ^{ire th}^{e A}^s^sⁱ^s^t^an^{t Secretary}^{to prov}^ide
^recom^m^eⁿ^d^ation^s^t^o^th^{e Secretary}^on
^e^s^t^a^b^lish^m^en^{t an}^d^im^p^l^em^en^tatioⁿ^o^f
^perf^orm^aⁿ^{ce m}^eas^u^r^es^{. (p. 103)}
ⁱ^{ki/CRS-RL33660}^a^{nce m}^e^as^ures^:^S^ectⁱ^oⁿ^{513(a)(3) an}^{d (4) requ}ⁱ^r^es^t^h^e^Sim^ilar^to^c^u^r^r^en^{t law}^,^b^u^{t sh}^o^r^ten^s^th^e^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^g/w^nnua^{l requirem}^ent^Se^c^r^e^t^a^r^y^t^o^a^nnua^l^l^y^e^s^t^a^b^lⁱ^s^{h na}^tⁱ^o^na^l^provⁱ^sⁱ^oⁿ^s^{. (p. 105, l}ⁱⁿ^es^5-¹¹⁾
^s^.or^perf^orm^aⁿ^{ce m}^eas^u^r^es^f^o^{r n}^a^tion^a^l^an^d
^le^ak^s^t^{ate ag}^en^cy^g^r^an^tees^{, reg}^a^rdles^s^of^A^dds^th^{at th}^e^m^e^as^u^r^es^m^u^s^tⁱⁿ^clu^d^{e th}^{e core}
^w^h^eth^e^{r th}^{e g}^r^an^{tee operates}^th^{e prog}^ramⁱⁿ^dicators^an^{d ex}^pected^l^e^v^e^{l of}^perf^orm^aⁿ^ce.
^://wiki^dⁱ^r^e^c^t^l^y^o^r^t^h^r^o^{ugh c}^oⁿ^t^r^a^c^t^s,^gr^aⁿ^t^s^o^r^{(p. 105, l}ⁱⁿ^es^12-¹⁴⁾
^h^ttp^ag^r^eem^en^{ts w}^ith^o^t^h^e^r^en^tities.
^Gran^{tee perf}^orm^aⁿ^{ce is}^{to be m}^eas^u^r^{ed in}^N^o^provⁱ^sⁱ^oⁿ^.
^acc^o^r^dan^{ce w}^ith^requ^irem^en^ts^of^Section
^514(e)(f^{) (requ}ⁱ^rem^eⁿ^t^s^on^com^p^etition^,
^techⁿⁱ^{cal as}^sⁱ^s^t^an^{ce, an}^{d correctiv}^{e ac}^tⁱ^oⁿ⁾^.
^a^{nce m}^e^as^ures^:^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^req^u^{ire th}^{e Secret}^a^r^y^aⁿ^d^each^N^o^provⁱ^sⁱ^oⁿ^.

^{ent on ex}^{pected levels}^g^r^an^tee^t^o^r^each^ag^reem^en^{t on}^ex^{pected lev}^e^ls
^of^perf^orm^aⁿ^{ce f}^o^{r each}^prog^ram^y^ear^f^o^{r each}
^o^f^th^{e co}^r^eⁱⁿ^dⁱ^cato^r^{s, as sp}^ecifⁱ^ed^b^y^th^{e b}^ill.
^T^h^{e ag}^reem^en^{t m}^u^s^t^tak^eⁱⁿ^{to accou}ⁿ^t
^con^tin^u^o^u^s^im^prov^em^en^{t of}^perf^orm^aⁿ^{ce, an}^d
^ad^j^u^stm^eⁿ^t^f^acto^r^{s sp}^ecifⁱ^ed^b^y^th^{e b}^ill.
^Fuⁿ^d^{s m}^a^yⁿ^o^{t b}^e^aw^ar^d^e^d^uⁿ^{til a}^g^r^eem^en^{t is}
^reach^{ed. (p. 102, lin}^es^{15, p. 103, lin}^es^1-²⁾

CRS-95
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^a^{nce m}^e^as^ures^:^Se^c^tⁱ^oⁿ^{513(a)(2) requ}ⁱ^r^e^s^t^h^a^t^T^h^{e b}^{ill w}^o^u^l^d^estab^lish^cor^eⁱⁿ^di^cat^ors^an^{d t}^h^e^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^m^p^o^s^it^ioⁿ^perf^orm^aⁿ^{ce m}^eas^u^r^es^con^s^is^{t of}ⁱⁿ^dicators^{expected levels}^of^perf^orm^aⁿ^{ce appl}ⁱ^cabl^e^t^o
^of^perf^orm^aⁿ^{ce an}^{d l}^e^v^e^l^s^of^perf^or^m^aⁿ^c^e^eachⁱⁿ^dⁱ^cato^r^an^d^ad^d^itioⁿ^a^{l in}^dⁱ^cato^r^s.
^{applicable to each}ⁱⁿ^dicator.^{(p. 102)}
^a^{nce m}^e^as^ures^:^Se^c^tⁱ^o^{n 513(b}⁾^e^s^t^a^b^lⁱ^s^he^s^re^q^uⁱ^re^d^T^h^{e b}^{ill w}^o^u^l^d^estab^lish^cor^eⁱⁿ^di^cat^ors^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
ⁱⁿ^dⁱ^cato^r^{s co}ⁿ^s^istin^g^o^f^:^c^o^nsi^s^tⁱ^{ng o}^f^:
^p^lacem^en^{t an}^{d reten}^tionⁱⁿ^uⁿ^s^u^b^sⁱ^dized^e^nt^r^yⁱⁿ^t^o^unsub^si^dⁱ^z^e^d^e^m^p^l^o^y^m^e^nt^;
^pu^blⁱ^c^{or pri}^v^at^{e em}^pl^oy^m^eⁿ^t^;^r^eten^tionⁱⁿ^uⁿ^s^u^b^sⁱ^{dized em}^ploy^m^eⁿ^t^f^o^r^sⁱ^x
ⁿ^u^m^{ber of}^pers^on^s^s^e^r^v^{ed, w}ⁱ^t^h^m^o^nt^hs;
^p^a^r^ticu^l^ar^coⁿ^s^id^er^atioⁿ^toⁱⁿ^dⁱ^vⁱ^d^u^als^e^a^rⁿⁱ^ngs;^aⁿ^d
^w^ith^th^{e g}^r^eates^{t econ}^o^mⁱ^{c an}^{d s}^o^cial^h^ou^rs⁽ⁱⁿ^th^{e ag}^g^r^eg^{ate) of}^com^m^uⁿ^ity
ⁱ^{ki/CRS-RL33660}ⁿ^{eed, poor em}^pl^oy^m^eⁿ^t^hⁱ^st^ory^or^se^r^vⁱ^c^e^e^m^p^l^o^y^m^e^nt^-b^a^s^e^d^t^r^aⁱⁿⁱ^{ng p}^u^r^s^ua^nt
^g/w^pros^pect^s^,^an^dⁱ^ndi^vⁱ^du^al^s^w^h^{o are ag}^e^{to 502(}^b⁾⁽¹^{) (th}^a^{t is}^{, in}^accordan^{ce w}^ith^th^e
^s^.or^{60 an}^{d ol}^der;^requ^irem^en^{t th}^{at at leas}^{t 50% of}^h^o^u^r^s^b^eⁱⁿ
^le^ak^c^o^m^m^uⁿ^ity^ser^v^{ices p}^r^o^v^id^ed^{; an}^d^com^m^uⁿⁱ^t^y^s^e^rvⁱ^{ce em}^pl^oy^m^eⁿ^t^{). (p. 106)}
^s^atis^f^action^of^en^rollees^{, em}^ploy^ers^,^an^d
^://wiki^h^o^s^t^ag^en^cies^w^ith^ex^perien^ces^an^d
^h^ttp^s^e^rv^ices^prov^ided.
^a^{nce m}^e^as^ures^:^{Section 513(b)(5) in}^clu^d^es^addition^a^l^T^h^e^b^{ill w}^o^u^l^d^sp^ecif^y^th^{e f}^o^llo^wⁱⁿ^g^ad^d^itioⁿ^a^l^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.

^dditⁱ^oⁿ^a^l^indica^t^o^rsⁱⁿ^di^cat^ors^as^det^e^rmⁱⁿ^{ed appropri}^a^t^e^by^t^h^eⁱⁿ^di^cat^ors^:
^Secretary^.^r^eten^tionⁱⁿ^uⁿ^s^u^b^sⁱ^{dized em}^ploy^m^eⁿ^t^f^o^r^on^e
^y^ear;
ⁿ^u^m^b^e^r^o^f^elig^ib^{le in}^dⁱ^vⁱ^d^u^{als ser}^v^ed
ⁱⁿ^clu^dⁱⁿ^g^th^eⁿ^u^m^b^er^o^f^p^a^r^ticip^atin^g
ⁱⁿ^di^vⁱ^du^al^sⁱⁿ^S^ectⁱ^oⁿ^516(2)(A⁾⁽ⁱⁱ⁾^(t^ho^s^e
^h^a^vⁱⁿ^g^priority^f^o^{r w}^o^rk^opportuⁿ^ities⁾^{; an}^d
^aⁿ^y^ot^h^e^{r i}ⁿ^di^cat^ors^det^e^rmⁱⁿ^{ed appropr}ⁱ^a^t^e
^by^th^{e Secretary}^{to ev}^alu^a^{te s}^e^rv^ices^an^d
^perf^orm^aⁿ^{ce. (p. 106)}

CRS-96
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^a^{nce m}^e^as^ures^:^S^ectⁱ^oⁿ^{513(c) requ}ⁱ^r^es^t^h^{e S}^ecret^ary^t^o^Sⁱ^mⁱ^l^a^{r prov}ⁱ^sⁱ^oⁿ^{(p. 107, l}ⁱⁿ^es^4-⁸⁾^N^o^ch^an^g^eⁱⁿ^cu^rren^t^l^a^w^.
^s^u^an^{ce of ru}^l^e^s^on^issu^e^r^u^les^oⁿ^d^e^fⁱⁿ^itioⁿ^o^fⁱⁿ^dⁱ^cato^r^s,^af^ter
^coⁿ^s^u^ltatioⁿ^w^ithⁿ^a^tioⁿ^a^{l an}^d^state
^gr^aⁿ^t^e^e^s^,^b^u^si^ne^s^s^an^{d l}^a^bo^r^,^aⁿ^d
^provⁱ^d^ers^.
^a^{nce m}^e^as^ures^:^S^ectⁱ^oⁿ^513(a)(2^{)(B) requ}ⁱ^r^es^t^h^at^t^h^e^T^h^{e b}^{ill w}^o^u^l^d^sp^ecif^y^th^at^th^e^ex^p^ected^lev^e^ls^T^h^e^b^{ill w}^o^u^l^d^ad^d^o^t^h^e^r^ad^j^u^stm^eⁿ^t^s^f^acto^r^s:
^ju^s^t^m^eⁿ^t^s^l^e^v^e^l^s^of^perf^orm^aⁿ^{ce (appl}ⁱ^cabl^e^t^o^of^p^e^r^f^o^r^m^aⁿ^{ce be adj}^u^s^t^{ed accordin}^g^{to th}^eⁿ^{ot les}^s^th^an^{60% of}^couⁿ^tie^sⁱⁿ^areas
ⁱⁿ^di^cat^ors^of^perf^orm^aⁿ^{ce) are t}^o^be^f^a^c^t^o^r^sⁱⁿ^cu^rren^{t law}^,^an^{d w}^o^u^l^{d add an}^oth^e^r^s^e^rv^{ed by}^g^r^an^tees^{are ru}^{ral, as}^defⁱⁿ^e^{d by}
^ad^j^u^sted^oⁿ^ly^w^ith^r^e^sp^{ect to}^th^{e f}^o^llo^wⁱⁿ^g^adj^u^s^t^m^eⁿ^t^f^actor:^th^{e Econ}^om^ic^R^e^s^earch^Serv^{ice of}^th^e
^f^actors^:^c^h^aⁿ^g^e^sⁱⁿ^th^{e f}^e^{deral, s}^t^ate^{or local m}ⁱⁿⁱ^m^u^m^D^e^part^m^eⁿ^t^of^A^g^ri^cu^l^t^u^re;
^h^ig^h^r^a^{tes o}^f^uⁿ^e^m^p^lo^y^m^en^{t, p}^o^v^er^ty^{, o}^r^w^a^g^e^{. (p. 103)}^t^h^e^a^r^e^a^s^s^e^rv^{ed by}^th^{e g}^r^an^{tee com}^p^ris^e^a
ⁱ^{ki/CRS-RL33660}^w^e^lf^{are recipien}^cyⁱⁿ^areas^s^e^rv^ed^by^th^e^dⁱ^f^fⁱ^cu^{lt to}^ser^v^{e ter}^r^ito^r^y^d^u^{e to}^lⁱ^m^ited
^g/w^g^r^an^tee,^relativ^e^{to th}^{e s}^t^{ate or th}^{e n}^a^tion^;^econ^o^mⁱ^es^of^s^cal^{e. (p. 103)}
^s^.or^s^igⁿⁱ^fⁱ^can^{t dow}ⁿ^t^u^rⁿ^sⁱⁿ^areas^s^e^rv^{ed by}
^le^ak^th^{e g}^r^an^{tee o}^rⁱⁿ^th^{e n}^a^tioⁿ^a^{l eco}ⁿ^o^m^y^;
^sⁱ^gⁿⁱ^fⁱ^can^tⁿ^u^m^bers^{or proport}ⁱ^oⁿ^of
^://wiki^en^rollees^wⁱ^t^h^oⁿ^{e or m}^o^{re barriers}^to
^h^ttp^em^pl^oy^m^eⁿ^t^s^e^rv^e^d^by^t^h^{e g}^r^an^t^e^e
^relativ^{e to oth}^e^r^g^r^an^teesⁱⁿ^oth^e^{r areas}^of
^th^{e s}^t^{ate or th}^{e Nation}^.
^a^{nce m}^e^as^ures^:^N^o^provⁱ^sⁱ^oⁿ^.^T^h^e^Se^c^r^e^t^a^r^y^w^o^ul^d^be^requⁱ^r^ed^anⁿ^u^a^l^l^y^t^o^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^nnua^{l publica}^t^io^{n o}^f^g^r^aⁿ^t^e^e^pu^blis^h^th^e^actu^a^{l perf}^orm^aⁿ^{ce of}^each^g^r^an^tee
^a^nce^w^ith^r^e^sp^{ect to}^th^{e lev}^e^l^s^o^f^p^e^r^f^o^r^m^aⁿ^c^e
^ach^iev^e^{d f}^o^{r each}^of^th^{e core in}^dica^t^o^r^s^,
^com^p^{ared to ex}^{pected l}^e^v^e^ls^of^perf^orm^aⁿ^ce,
ⁱⁿ^clu^dⁱⁿ^g^an^y^adj^u^s^t^m^eⁿ^t^s^;^an^{d th}^{e lev}^e^ls
^ach^iev^e^d^f^o^{r each}^o^f^th^{e ad}^d^itioⁿ^a^{l in}^dⁱ^cato^r^{s o}^f
^perf^orm^aⁿ^{ce. (p. 105, l}ⁱⁿ^{e 15)}
^a^{nce m}^e^as^ures^:^Section⁵¹³⁽^a⁾⁽²⁾⁽^C⁾^requ^ires^th^{e Secretary}^T^h^{e b}^{ill w}^o^u^l^d^ch^an^g^e^th^{e p}^e^r^c^eⁿ^tag^e^f^o^r^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.

^cem^ent^int^o^unsubsidized^{to es}^tablis^h^{a perf}^orm^aⁿ^{ce m}^eas^u^r^{e th}^at^unsub^si^dⁱ^z^e^d^e^m^p^l^o^y^m^e^nt^a^s^fo^l^l^o^w^s^:²²^%ⁱⁿ
^ploym^ent^plac^e^s^{at leas}^{t 20% of}^en^rolleesⁱⁿ^F^Y^{2007, 24%}ⁱⁿ^F^Y²⁰^{08, 26%}ⁱⁿ^F^Y^2009,
^unsub^si^dⁱ^z^e^d^e^m^p^l^o^y^me^nt⁽^a^nd^a^d^j^u^st^e^d^28%ⁱⁿ^F^Y^{2010, an}^{d 30%}ⁱⁿ^F^Y^2011.^(p.¹⁰⁴⁾
^accordin^g^{to th}^{e adj}^u^s^t^m^eⁿ^t^f^actors⁾^.

CRS-97
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^N^o^provⁱ^sⁱ^oⁿ^.^If^{a g}^r^an^{tee ach}^iev^e^{d a lev}^e^{l of}^perf^orm^aⁿ^c^e
^les^s^th^{at th}^es^{e percen}^ta^ges^f^o^{r a precedin}^g^FY
^bef^o^{re en}^actm^eⁿ^t^of^th^{e bil}^l^{, th}^{e Secretary}^is
^requ^{ired to prov}^ide^techⁿⁱ^cal^as^sⁱ^s^t^an^{ce to as}^sⁱ^s^t
^t^h^{e g}^r^an^t^{ee t}^o^achⁱ^e^v^e^t^h^{e percen}^t^a^g^e^{. (p. 104)}
^Th^e^t^e^r^m^pl^acem^entⁱⁿ^t^o^publⁱ^c^or^prⁱ^v^at^e^T^h^{e b}^{ill d}^o^e^{s n}^o^{t i}ⁿ^c^l^u^d^{e th}^{e d}^e^fⁱⁿ^itioⁿ^o^f
^uns^ubsⁱ^dⁱ^z^{ed em}^pl^oym^e^nt^m^ean^s^f^u^ll-^or^placem^en^t.
^part^-^tⁱ^m^e^pai^d^em^pl^oy^m^eⁿ^tⁱⁿ^t^h^{e pu}^blⁱ^c^or
^priv^{ate s}^{ector by}^an^en^{rollee f}^o^{r 30 day}^s
^w^ithⁱⁿ^a⁹⁰^-^d^a^y^p^e^rⁱ^o^d^w^ith^o^u^{t u}^sⁱⁿ^g^T^itle
ⁱ^{ki/CRS-RL33660}^V^,^{or an}^y^ot^h^e^{r f}^e^de^r^a^l^{or s}^t^at^{e s}^u^bsⁱ^d^y
^g/w^prog^ram^,^{or t}^h^{e equ}ⁱ^v^a^l^eⁿ^t^o^f^s^u^ch
^s^.or^em^ploy^m^eⁿ^t^as^m^eas^u^r^e^d^by^en^rollee
^le^ak^e^a^rⁿⁱ^{ngs t}^h^o^{ugh t}^h^e^use^o^f^w^a^ge^r^e^c^o^r^d^s.
^://wiki^a^{nce m}^e^as^ures^:^Th^e^t^e^r^m^r^e^t^e^ntⁱ^{on i}ⁿ^publⁱ^c^or^prⁱ^v^at^e^No^p^r^o^v^isioⁿ^.^No^ch^an^g^eⁱⁿ^cu^r^r^eⁿ^t^law^.

^h^ttp^ploym^ent^uns^ubsⁱ^dⁱ^z^{ed em}^pl^oym^e^nt^m^ean^s^f^u^ll-^or
^part^-^tⁱ^m^e^pai^d^em^pl^oy^m^eⁿ^tⁱⁿ^t^h^{e pu}^blⁱ^c^or
^priv^ate^s^ector^by^an^en^{rollee f}^o^{r s}ⁱ^x^m^oⁿ^t^h^s
^af^t^e^{r t}^h^{e s}^t^artⁱⁿ^g^day^of^unsu^b^sⁱ^di^zed
^em^p^l^o^y^m^eⁿ^t^w^ith^o^u^{t th}^{e u}^s^{e o}^f^T^{itle V}
^fun^d^s^{or an}^y^ot^h^e^{r f}^e^deral^{or s}^t^at^e
^em^pl^oy^m^eⁿ^t^s^u^bsⁱ^d^y^prog^ram^.

CRS-98
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^a^{nce m}^e^as^ures^:^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^e^b^ill^w^o^u^l^d^p^r^o^hⁱ^bⁱ^t^t^h^e^S^e^c^r^etar^y^f^r^o^m
^em^{ption w}^h^{en a grantee}^redu^cin^g^{a s}^c^{ore on}^a^p^e^rf^orm^aⁿ^{ce m}^eas^u^r^e
^tends^tim^e^{for participation}^of^:
^a^g^r^an^{tee th}^{at rece}ⁱ^v^e^s^{a w}^a^iv^{er to ex}^ten^d
^th^{e p}^e^rⁱ^o^d^o^f^tim^{e f}^o^r^en^r^o^llee^p^a^r^ticip^atioⁿ
^if^th^e^g^r^an^{tee s}^e^rv^es^{a h}ⁱ^g^h^con^cen^tration^of
^h^a^rd-^t^o-^s^e^rv^{e i}ⁿ^di^vⁱ^du^al^s^;^an^d
^a^g^r^an^{tee th}^{at ex}^ten^d^s^th^{e en}^rollee
^p^a^r^ticip^atioⁿ^p^e^rⁱ^o^d^o^f^tim^{e f}^o^r^m^o^r^e^th^an
²⁰^%^o^f^p^a^r^ticip^an^{ts f}^o^r^p^r^io^r^ity^p^a^r^ticip^an^ts
^as^s^p^ecifⁱ^{ed by}^th^{e bill. (p. 104)}
ⁱ^{ki/CRS-RL33660}^CT^IVE^ACT^{ION AND T}^E^C^HNICAL^ASSIST^ANCE^B^A^SE^{D ON PE}^RFORM^ANCE^{, AND RE}^Q^U^IRE^M^E^N^T^S^{FOR COM}^P^E^T^IT^{ION B}^A^SE^{D ON}
^g/w^RFORM^ANCE
^s^.or
^le^ak^a^ti^on^al^organⁱ^z^ati^oⁿ^s^:^S^ectⁱ^oⁿ^514(e)(¹^{) an}^{d (2) requ}ⁱ^r^es^t^h^e^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{e Secr}^etar^y^to^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.

^sⁱ^s^t^{ance and}^Secr^etar^y^to^d^e^ter^mⁱⁿ^{e if}^aⁿ^a^tioⁿ^a^l^g^r^an^tee^d^e^ter^mⁱⁿ^{e if}^{a n}^a^ti^oⁿ^a^l^g^r^an^{tee h}^a^{s m}^e^{t th}^e
^://wiki^e^{d on}^h^a^s^m^e^{t th}^{e perf}^orm^aⁿ^{ce m}^eas^u^r^es^{, w}^ithⁱⁿ^{expected levels}^of^p^e^rf^orm^aⁿ^{ce, (an}^d
^h^ttp^a^nce^{120 day}^s^af^t^e^{r t}^h^{e en}^{d of}^t^h^{e prog}^ram^y^ear.^a^d^j^u^stm^e^nts)^fo^r^the^cor^eⁱⁿ^dⁱ^cato^r^s^estab^lish^e^d^by^th^{e bill, w}^ithⁱⁿ^{120 day}^s^af^ter^th^e^en^d^of^th^e
^prog^ram^y^{ear. (p. 107)}
^If^th^{e Secretary}^determⁱⁿ^es^th^{at a g}^r^an^tee^{No ch}^an^g^eⁱⁿ^cu^rren^{t law}^.
^f^a^ils^{to m}^{eet th}^{e ex}^p^e^{cted lev}^e^ls^of
^p^e^rf^orm^aⁿ^{ce, th}^{e Secretary}^is^requ^{ired to}
^prov^{ide tech}ⁿⁱ^{cal as}^sⁱ^s^t^an^{ce a}ⁿ^{d requ}^{ire th}^e
^g^r^an^{tee to s}^u^bm^{it a cor}^r^ectiv^{e action}^plan
ⁿ^o^t^l^a^t^e^r^t^h^an^{160 day}^s^af^t^e^{r t}^h^{e en}^d^of^t^h^e
^prog^ram^y^{ear. T}^h^{e pl}^an^m^u^s^t^det^aⁱ^l^t^h^e
^s^t^eps^th^{e g}^r^an^tee^wⁱ^l^l^tak^e^{to m}^{eet th}^e
^na^tⁱ^o^na^l^p^e^r^f^o^r^m^a^nc^e^m^e^a^s^ur^e^sⁱⁿ^t^h^e^ne^xt
^prog^ram^y^ear.

CRS-99
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^a^ti^on^al^organⁱ^z^ati^oⁿ^s^:^S^ectⁱ^oⁿ^514(e)(2)⁽^C⁾^s^tⁱ^p^u^l^at^es^t^h^atⁱ^f^a^D^e^l^e^t^e^s^t^h^{e prov}ⁱ^sⁱ^oⁿ^.^S^a^m^e^as^H^.^R^.^5293.
^econ^d^{year of fai}^l^u^{re i}ⁿ^g^r^an^{tee f}^a^{ils to}^m^{eet th}^{e n}^a^tioⁿ^a^l
^{eeting perform}^a^nce^perf^orm^aⁿ^{ce m}^eas^u^r^es^f^o^{r a s}^econd
^a^nda^{rds — reduct}ⁱ^oⁿ^o^f^con^s^ecu^tiv^{e y}^{ear, th}^{e Secretary}^is^requ^ired
⁵^%^o^f^f^unds^to^coⁿ^d^u^c^{t a n}^a^tioⁿ^a^{l co}^m^p^etitioⁿ^to^aw^ar^d
^{25% of}^th^{e f}^uⁿ^d^s^aw^{arded to th}^{e g}^r^an^tee
^f^o^r^th^{e f}^o^llo^wⁱⁿ^g^y^ear⁽^mⁱⁿ^im^izin^g^to^th^e
^ex^t^eⁿ^t^pos^sⁱ^bl^{e, di}^s^r^u^p^tⁱ^o^ns^of^s^e^rvⁱ^ces^t^o
^en^rollees^).
^a^ti^on^al^organⁱ^z^ati^oⁿ^s^{: th}ⁱ^r^d^S^ectⁱ^o^{n 515(e)(2)(D}⁾^s^tⁱ^p^u^l^at^es^t^h^atⁱ^f^a^{Deletes th}^{e p}^r^o^v^isioⁿ^.
^e^a^r^o^f^f^a^{ilure in m}^eet^ing^g^r^an^{tee f}^a^{ils to}^m^{eet th}^{e n}^a^tioⁿ^a^l^S^a^m^e^as^H^.^R^.^5293.
ⁱ^{ki/CRS-RL33660}^a^{nce s}^t^andards^—^perf^o^r^m^a^nc^e^s^t^an^dards^f^o^{r a t}^hⁱ^r^d
^g/wⁱ^t^hdra^w^a^l^o^f^a^{ll f}^unds^con^s^ecu^tiv^{e y}^{ear, th}^{e Secretary}^is^requ^ired
^s^.or^to^coⁿ^d^u^c^{t a n}^a^tioⁿ^a^{l co}^m^p^etitioⁿ^to^aw^ar^d
^le^ak^t^h^{e rem}^aⁱⁿ^{der of}^f^uⁿ^d^s⁽^a^ft^{er 25%}
^dedu^ction^s^p^ecifⁱ^e^d^abov^{e) f}^o^{r u}^s^{e f}^o^{r th}^e
^://wiki^f^o^llo^wⁱⁿ^g^y^ear^.
^h^ttp
^T^h^{e g}^r^an^{tee receiv}ⁱⁿ^g^the^f^uⁿ^d^s^th^rou^g^h
^th^{e n}^a^tⁱ^oⁿ^{al co}^m^p^etitioⁿ^m^u^{st co}ⁿ^tin^u^e^to
^s^e^rv^{e th}^{e g}^e^og^r^a^p^h^{ic areas}^s^e^rv^{ed by}^th^e
^f^o^rm^{er g}^r^an^tee.
^a^ti^on^al^organⁱ^z^ati^oⁿ^s^:^Iⁿ^ad^d^itioⁿ^to^th^{e r}^e^q^u^ir^em^en^{ts ab}^o^v^e,^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^e^t^h^e^S^e^c^r^etar^y^to
^dⁱ^ti^on^al^com^p^eti^tⁱ^oⁿ^S^ectⁱ^oⁿ^514(e)(3)^requⁱ^r^es^t^h^{e S}^ecret^ary^t^o^prov^{ide tech}ⁿⁱ^{cal as}^sⁱ^s^t^an^{ce in}^s^t^ead^of^takⁱⁿ^g
^ents^w^h^{ere national}^tak^e^correctiv^{e action}^,^if^th^{e Se}^cretary^correctiv^{e action}^.
ⁱ^z^ati^oⁿ^s^h^ave^det^e^rmⁱⁿ^e^s^t^h^at^{a proj}^ect^operat^e^{d by}^a
^erform^aⁿ^{ce l}^e^vel^s^20%^orⁿ^a^tioⁿ^a^{l g}^r^an^{tee in}^a^s^t^a^t^{e h}^a^{s attain}^ed^T^h^{e b}^{ill w}^o^u^l^d^elimⁱⁿ^{ate th}^{e p}^r^o^v^isioⁿ^s
^o^{re below}^{the national}^perf^orm^aⁿ^{ce l}^e^v^e^l^s^20%^or^m^o^re^bel^o^w^t^h^e^reg^a^rdin^g^th^e^fⁱ^rs^{t, s}^econ^d^an^{d th}^{ird y}^ears^of
^a^{nce s}^t^andardsⁿ^a^tion^a^{l perf}^orm^aⁿ^{ce m}^eas^u^r^es^{, an}^{d h}^a^s^f^aⁱ^l^u^{re. (pp. 106-}¹⁰⁷⁾

^f^a^iled^to^m^{eet n}^a^tioⁿ^a^{l p}^e^r^f^o^r^m^aⁿ^c^e
^m^eas^u^r^es^(uⁿ^l^es^s^th^{ere are adj}^u^s^t^m^eⁿ^t
^f^act^ors^ci^t^e^{d abov}^e^t^h^a^t^h^a^v^e^t^o^be
^con^s^idered.)

CRS-100
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^Fⁱ^{rst y}^e^a^{r o}^f^fa^ilu^re^{: A}^f^{ter a}^proj^ect’^s^fⁱ^rs^t
^y^{ear of}^f^a^ilu^re,^t^h^e^Secretary^m^u^s^t^requ^ire
^{a correctiv}^{e action}^plan^{, an}^{d m}^a^y^tran^s^f^er
^r^e^sp^oⁿ^sib^ility^o^f^th^{e p}^r^o^j^{ect to}^o^t^h^e^r
^g^r^an^tees^{, prov}^{ide tech}ⁿⁱ^cal^as^sⁱ^s^t^an^{ce, an}^d
^t^a^ke^o^t^he^r^a^c^tⁱ^o^ns.
^{Second year}^of^f^aⁱ^l^u^r^e^{: After}^a^proj^ect’^s
^s^econ^d^y^{ear of}^f^a^ilu^{re, th}^{e correctiv}^{e action}
^p^l^an^m^a^yⁱⁿ^clu^d^{e tr}^an^sf^er^o^f^r^e^sp^oⁿ^sib^ility
^f^o^{r a portion}^{or all of}^th^e^proj^ect^to^a^s^t^ate
^{or pu}^blⁱ^c^{or pri}^v^at^{e org}^aⁿⁱ^zatⁱ^oⁿ^,^or
ⁱ^{ki/CRS-RL33660}^co^m^p^e^t^itioⁿ^f^o^r^{a p}^o^r^tioⁿ^o^r^{all o}^f^th^e
^g/w^f^uⁿ^d^s^{to carry}^ou^{t th}^{e proj}^{ect am}^o^ng^all
^s^.or^elig^ib^{le en}^{tities th}^at^m^{eet th}^{e r}^e^sp^oⁿ^sib^ility
^le^ak^tes^t^s^(ex^{cept f}^o^{r th}^e^g^r^an^tee^th^at^is^s^u^bj^ect
^{to correctiv}^{e action}⁾^.
^://wiki
^h^ttp^Th^ird^yea^{r o}^f^fa^ilu^re^{: A}^f^ter^th^{e th}^ir^d
^con^s^ecu^tiv^e^y^ear^of^f^a^ilu^{re, th}^{e Secretary}^is
^r^e^q^u^ir^ed^to^coⁿ^d^u^c^{t a co}^m^p^etitioⁿ^f^o^r
^f^uⁿ^d^s^{to carry}^ou^{t th}^{e proj}^ect^a^m^on^g^all
^elig^ib^{le en}^{tities th}^{at m}^eet^th^{e r}^e^sp^oⁿ^sib^ility
^tes^t^s^(ex^{cept f}^o^{r th}^e^g^r^an^tee^th^at^is^s^u^bj^ect
^{to correctiv}^{e action}⁾^.
^a^{nce m}^e^as^ures^:^S^ectⁱ^oⁿ^514(e)(4)^requⁱ^r^es^t^h^{e S}^ecret^ary^t^o^No^p^r^o^v^isioⁿ^.^No^ch^an^g^eⁱⁿ^cu^r^r^eⁿ^t^law^.
^t^{by the G}^overnor^revⁱ^ew^t^h^{e perf}^or^m^aⁿ^{ce of}^{a pu}^blⁱ^c^or
^pri^v^at^{e n}^oⁿ^-^profⁱ^t^ag^en^c^y^{or org}^aⁿⁱ^zatⁱ^oⁿ
^w^ithⁱⁿ^a^{state, u}^p^oⁿ^r^e^q^u^{est o}^f^th^e
^G^o^v^e^rn^{or. If}^perf^orm^aⁿ^{ce i}^sⁿ^o^t^j^u^s^tⁱ^fⁱ^e^d,
^th^{e Secretary}^is^to^tak^e^correctiv^{e action}^.
^{: technical as}^sⁱ^s^t^ance^S^ectⁱ^oⁿ^514(f⁾^requⁱ^r^es^t^h^{e S}^ecret^ary^t^o^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e t}^h^{e Secr}^etar^y^to^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.

^e^d^determⁱⁿ^{e if}^{a s}^t^{ate g}^r^an^{tee h}^a^s^m^e^{t th}^e^determⁱⁿ^e^if^{a s}^t^{ate g}^r^an^{tee h}^a^s^m^e^{t th}^e
^p^erform^aⁿ^c^e^perf^orm^aⁿ^{ce m}^eas^u^r^e^s^{, w}ⁱ^t^hⁱⁿ^{120 day}^s^{expected levels}^o^f^p^e^rf^orm^a^nc^e⁽^a^nd

CRS-101
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^af^{ter th}^{e en}^{d of}^th^{e prog}^ram^y^ear.^a^d^j^u^stm^e^nts)^fo^r^the^cor^eⁱⁿ^dⁱ^cato^r^{s estab}^lish^e^d
^by^th^{e bill, w}^ithⁱⁿ^{120 day}^s^af^ter^th^e^en^d^of^th^e
^prog^ram^y^{ear. (p. 108)}
^If^th^{e Secretary}^determⁱⁿ^e^s^th^{at a s}^t^ate^{No ch}^an^g^eⁱⁿ^cu^rren^{t law}^.^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^g^r^an^tee^f^a^ils^{to m}^{eet th}^{e ex}^{pected lev}^e^ls^of
^perf^orm^aⁿ^c^e^,^t^h^{e Secretary}^is^requ^{ired to}
^prov^{ide tech}ⁿⁱ^cal^as^sⁱ^s^t^an^{ce an}^{d to requ}^ire
^th^{e g}^r^an^{tee to s}^u^bm^{it a correctiv}^e^action
^p^l^anⁿ^o^t^l^a^t^e^{r t}^h^an^{160 day}^s^af^t^e^{r t}^h^{e en}^d
^of^t^h^{e prog}^ram^y^ear.
ⁱ^{ki/CRS-RL33660}^T^h^{e plan}^m^u^s^t^{detail th}^{e s}^t^eps^th^{e s}^t^{ate w}^ill^{No ch}^an^g^eⁱⁿ^cu^rren^{t law}^.^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^g/w^tak^e^{to m}^{eet th}^{e perf}^orm^aⁿ^{ce m}^eas^u^r^es^.
^s^.or
^le^ak
^://wiki^t^ates^{: s}^econ^d^{year of fai}^l^u^re^If^{a s}^t^{ate f}^a^ils^{to m}^{eet th}^{e n}^a^tioⁿ^a^l^D^e^l^e^t^e^s^t^h^{e prov}ⁱ^sⁱ^oⁿ^.^S^a^m^e^as^H^.^R^.^5293.
^h^ttpⁱ^oⁿ^o^f²⁵^%^o^f^f^unds^perf^orm^aⁿ^c^e^s^t^an^dards^f^o^{r a s}^econ^d
^con^s^ecu^tiv^e^y^{ear, th}^{e Secretary}^is^requ^ired
^to^h^a^v^e^th^{e state}^c^oⁿ^d^u^c^{t a co}^m^p^etitioⁿ^to
^aw^{ard 25%}^of^t^h^{e f}^uⁿ^d^s^aw^{arded t}^o^t^h^e
^st^a^t^e^fo^r^use^d^u^rⁱ^{ng t}^h^e^fo^l^l^o^wⁱ^ng^ye^a^r
⁽^mⁱⁿ^im^izin^g^to^th^{e ex}^ten^t^p^o^ssib^l^e,
^dⁱ^sr^u^p^tioⁿ^o^f^ser^v^{ices to}^en^r^o^llees)^.
^t^ates^{: th}ⁱ^r^d^{year of fai}^l^u^re^If^{a s}^t^{ate f}^a^ils^to^m^{eet th}^{e n}^a^tion^a^l^Sⁱ^mⁱ^l^a^{r prov}ⁱ^sⁱ^oⁿ^.^{(p. 109)}^N^o^provⁱ^sⁱ^oⁿ^.
ⁱ^t^hdra^w^a^l^o^f^a^{ll f}^unds^perf^orm^aⁿ^ce^s^t^an^{dards fo}^r^a^t^hⁱ^r^d
^con^s^ecu^tiv^{e y}^ear,^th^{e Secretary}^is^requ^ired
^to^h^a^v^e^th^{e state}^coⁿ^d^u^c^t^a^co^m^p^etitioⁿ^to
^aw^{ard th}^{e f}^uⁿ^d^s^allocat^e^d^{to th}^{e s}^t^{ate f}^o^r
^use^d^u^rⁱ^{ng t}^h^e^fo^l^l^o^wⁱ^{ng y}^e^a^r^.
^r^antees^s^{erving individuals}^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^ad^d^{a d}^e^fⁱⁿ^itioⁿ^o^fⁱⁿ^dⁱ^vⁱ^d^u^als
ⁱ^{th barriers}^{to em}^ploym^ent^w^ith^b^a^r^r^ier^s^to^em^p^l^o^y^m^eⁿ^{t: m}ⁱⁿ^o^r^ity^an^d
^Iⁿ^dⁱ^anⁱⁿ^dⁱ^vⁱ^d^u^a^l^{s, in}^dⁱ^vⁱ^d^u^{als w}^ith^lim^ited

CRS-102
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^En^g^lish^p^r^o^f^icien^c^y^,^an^dⁱⁿ^dⁱ^vⁱ^d^u^{als w}^ith
^g^r^eat^es^t^econ^o^mⁱ^{c n}^{eed. (p. 107)}
^In^areas^w^h^{ere a s}^u^b^s^t^aⁿ^tⁱ^a^l^popu^l^a^tⁱ^oⁿ^of
ⁱⁿ^di^vⁱ^du^al^s^wⁱ^t^h^barri^e^rs^t^o^em^pl^oy^m^eⁿ^t
^ex^is^{t, a g}^r^an^{tee th}^{at receiv}^e^d^{a n}^a^tion^a^{l g}^r^an^t
^sh^{all g}ⁱ^v^e^sp^{ecial co}ⁿ^s^id^er^atioⁿ^to^selectin^g
^o^r^gaⁿⁱ^z^a^tⁱ^o^{ns (}ⁱ^nc^l^u^dⁱ^ng^fo^r^m^e^r^r^e^cⁱ^pⁱ^eⁿ^t^s^o^f
^na^tⁱ^o^na^l^o^r^gaⁿⁱ^z^a^tⁱ^o^ns)^wⁱ^t^h^d^e^m^o^nst^r^a^t^e^d
^ex^p^e^r^{tise in}^ser^vⁱⁿ^gⁱⁿ^dⁱ^vⁱ^d^u^{als w}^ith^b^a^r^rⁱ^er^s
^t^o^em^pl^oy^m^eⁿ^t^{. (p. 107)}
ⁱ^{ki/CRS-RL33660}ⁱ^bⁱ^tⁱ^oⁿ^on^p^r^om^u^l^gati^oⁿ^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^p^r^o^hⁱ^bⁱ^t^t^h^e^S^e^c^r^e^t^a^r^y^f^r^o^m
^g/w^l^e^sⁿ^e^gati^v^el^{y affecti}ⁿ^g^p^r^o^m^ul^ga^tⁱ^{ng r}^u^l^e^s,^a^ffe^c^tⁱ^{ng gr}^aⁿ^t^e^e^sⁱⁿ
^s^.orⁱ^{nority s}^{erving grantees}^areas^w^h^e^r^e^{a s}^u^bs^t^aⁿ^tⁱ^a^l^popu^l^a^tⁱ^oⁿ^of
^le^ak^mⁱⁿ^o^r^ityⁱⁿ^dⁱ^vⁱ^d^u^{als ex}^is^t^,^th^{at w}^o^u^l^d
^sigⁿⁱ^fⁱ^can^tly^co^m^p^r^o^mⁱ^{se th}^{e ab}^ility^o^f
^://wiki^g^r^an^t^ees^t^o^s^e^rv^{e t}^h^ei^{r t}^a^rg^et^{ed popu}^l^a^tⁱ^oⁿ^s^.
^h^ttp^{(p. 108)}
^u^th^ori^z^ati^oⁿ^of^Section^{515 au}^th^orizes^$47^{5 m}^illion^f^o^r^T^h^{e b}^{ill w}^o^u^l^d^au^th^o^r^{ize su}^ch^su^m^s^{as m}^a^y^b^e^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.

^p^ria^t^io^ns^FY^{2001 an}^{d s}^u^ch^s^u^m^s^as^m^a^y^beⁿ^eces^s^a^ry^f^o^{r F}^Y^2007-^F^Y^{2011. (p. 114)}
ⁿ^eces^s^a^ry^f^o^{r F}^Y^2002-^F^Y^{2005, pl}^u^s^s^u^ch
^addition^a^{l f}^uⁿ^d^s^{to prov}^{ide f}^o^{r 70,000 part-}
^tim^{e em}^p^l^o^y^m^eⁿ^t^p^o^s^itioⁿ^s^{. (}^d^efⁱⁿ^ed^{as at}
^{least 2}⁰^h^o^u^r^{s w}^ithⁱⁿ^{a w}^o^r^k^w^eek⁾^.
^Fund^{s a}^r^e^t^o^b^e^use^d^oⁿ^a^J^u^l^y¹^-^J^une³⁰^{No ch}^an^g^eⁱⁿ^cu^rren^{t law}^.
^b^a^sis.
^T^h^{e Secretary}^is^allow^e^{d to}^ex^ten^d^th^e^{No ch}^an^g^eⁱⁿ^cu^rren^{t law}^.
^{period f}^o^{r u}^s^{e of}^f^uⁿ^d^sⁱ^f^t^h^{e Secretary}
^d^e^t^e^r^mⁱⁿ^{es th}^{at th}^{e ex}^ten^s^ioⁿ^{is n}^ecessar^y
^{to en}^s^u^{re ef}^f^ectiv^{e u}^s^{e of}^f^uⁿ^d^s^.

CRS-103
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^unds^S^e^c^tⁱ^oⁿ^{515(c) al}^l^o^w^s^t^h^{e S}^ecret^ary^t^o^T^h^{e b}^{ill w}^o^u^l^d^elimⁱⁿ^{ate u}ⁿ^e^x^p^en^d^e^d^f^uⁿ^d^{s to}^N^o^provⁱ^sⁱ^oⁿ^.
^recaptu^{re an}^y^uⁿ^e^x^p^en^ded^fun^d^s^f^o^{r a}^{be u}^s^{ed f}^o^{r i}ⁿ^cen^tⁱ^v^{e g}^r^an^t^s^{. (p. 115)}
^prog^ram^y^{ear an}^{d reoblig}^{ate f}^uⁿ^d^s^wⁱ^thⁱⁿ
^th^{e tw}^{o s}^u^c^ceedin^g^prog^ram^s^y^ears^{to be}
^u^s^ed^f^o^{r: (1) in}^cen^tiv^{e g}^r^an^ts^;⁽²⁾^techⁿⁱ^cal
^as^sⁱ^s^t^an^{ce, or (3) g}^r^an^ts^{or con}^t^racts^f^o^r
^an^y^o^t^h^e^r^p^r^o^g^r^a^m^uⁿ^d^er^th^{e T}^itle.
^FINIT^I^ONS
^m^m^unit^y^Defⁱⁿ^e^s^co^mmuⁿ^ity^service^as^s^o^cial,^Defⁱⁿ^e^s^com^m^uni^t^y^s^e^r^vⁱ^ce^em^pl^oym^e^nt^-bas^ed^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^ervice/com^m^{unity s}^ervice^he^a^lth^{, w}^e^lf^{are, an}^{d edu}^cation^a^{l s}^e^rv^ices^t^r^aiⁿⁱ^ng^as^w^o^r^k^ex^perⁱ^{ence that is}^r^e^lated^to
ⁱ^{ki/CRS-RL33660}^plo^y^m^ent^-^ba^{sed t}^r^aⁱ^ning⁽ⁱⁿ^c^lu^dⁱⁿ^g^liter^acy^tu^to^rⁱⁿ^g⁾^{, leg}^a^{l an}^d^t^h^{e s}^a^m^e^el^em^en^t^s^asⁱⁿ^cu^rren^t^l^a^w^.^{(p. 115)}
^g/w^oth^e^{r cou}ⁿ^s^elin^g^s^e^rv^ices^an^{d as}^sⁱ^s^t^an^ce,
^s^.orⁱⁿ^cludⁱⁿ^g^tax^couⁿ^s^elin^g^an^{d as}^sⁱ^s^t^an^ce
^le^ak^aⁿ^d^fi^na^ncⁱ^a^l^c^o^unse^lⁱ^ng,^aⁿ^d^lⁱ^b^r^a^r^y^,
^recreation^a^{l, an}^{d oth}^e^{r s}ⁱ^m^{ilar s}^e^rv^ices^;
^://wiki^coⁿ^s^er^v^a^tioⁿ^,^m^aⁱⁿ^ten^aⁿ^{ce, o}^r^r^e^sto^r^atioⁿ
^h^ttp^o^fⁿ^a^tu^r^a^l^r^e^s^o^u^r^c^e^s^;^co^m^m^uⁿ^ity^b^e^tter^m^en^{t o}^r^b^eau^tif^icatioⁿ^;^an^ti-^p^o^llu^tioⁿ
^aⁿ^d^eⁿ^vⁱ^r^oⁿ^m^eⁿ^{tal q}^u^ality^ef^f^o^r^t^s^;
^w^eat^h^e^rⁱ^zatioⁿ^activ^{ities; eco}ⁿ^o^mⁱ^c
^d^e^v^e^l^opm^en^t^,^an^{d s}^u^ch^ot^h^e^{r s}^e^rvⁱ^c^e^s
^essen^{tial an}^dⁿ^ecessar^y^to^th^{e co}^m^m^uⁿ^ity
^as^t^h^{e Secretary}^m^a^y^pres^{cribe by}
^r^e^gul^a^tⁱ^o^n.
^{ible indiv}ⁱ^dua^ls^Defⁱⁿ^e^{s elig}^ib^{le in}^dⁱ^vⁱ^d^u^als^a^s^th^o^s^e^ag^ed^Th^e^b^{ill w}^o^u^l^d^ex^clu^d^e^a^sⁱⁿ^c^o^m^e^T^h^{e b}^{ill w}^o^u^l^d^ex^clu^d^{e as in}^co^m^e^item^s
^{55 y}^ear^s^an^{d ol}^{der, w}^h^{o h}^a^v^e^{a l}^o^w^uⁿ^e^m^p^loy^m^en^{t com}^p^en^s^a^tion^,^Su^pplem^en^tal^ex^cl^u^d^{ed by}^H^.^R^.^{5293, as}^w^e^l^l^as^pay^m^en^t^s
ⁱⁿ^c^o^m^e^{, in}^clu^dⁱⁿ^g^th^o^s^{e w}^h^o^s^{e in}^co^m^e^is^S^ecu^ri^t^y^In^com^e^(S^S^{I) ben}^e^fⁱ^t^s^,^o^r^25%^of^m^a^{de t}^o^{or on}^beh^a^l^f^of^v^e^t^e^ran^s^{or form}^er
^not^m^o^{re t}^h^an^125%^of^t^h^{e O}^f^fⁱ^{ce of}^b^eⁿ^e^fⁱ^t^s^r^e^ceiv^e^d^uⁿ^d^er^T^{itle I}^I^o^f^th^{e So}^cial^m^e^m^b^er^s^o^f^th^{e A}^r^m^e^{d Forces}^uⁿ^d^{er law}^s
^Man^a^g^e^m^eⁿ^t^an^{d Bu}^dg^et^(O^M^B^{) pov}^ert^y^S^ecu^ri^t^y^A^c^t^.^{(p. 116)}^admⁱⁿⁱ^s^t^{ered by}^th^{e Se}^c^r^e^t^ary^of^Veteran^s
^gui^d^e^lⁱⁿ^e^s^.^A^f^f^aⁱ^r^s^.^{(p. 108)}
ⁱ^dua^{ls t}^o^ha^v^e^prio^rit^y^Pers^oⁿ^s^a^g^{ed 60 an}^{d ol}^{der are t}^o^h^a^v^e^T^h^e^b^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{at an}^yⁱⁿ^dⁱ^vⁱ^d^u^als^w^h^o^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.

^o^rk^{opportunities}^priority^f^o^{r w}^o^rk^opportuⁿ^ities^.^m^{eet on}^{e or m}^o^{re of}^th^{e f}^o^llowⁱⁿ^g^criteria^h^a^v^e
^priority^f^o^{r w}^o^rk^opportuⁿ^ities^—

CRS-104
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
ⁱ^s^{65 y}^ears^of^ag^{e or}^o^l^d^e^r;^{or h}^a^s^on^{e or m}^o^re
^of^t^h^{e f}^o^l^l^o^wⁱⁿ^g^barri^ers^t^o^em^pl^oy^m^eⁿ^t^:
^h^{as a d}ⁱ^sab^ility^;
^h^{as lim}^ited^En^g^lish^p^r^o^f^icien^c^y^o^r^lo^w
^liter^acy^sk^ills;
^r^es^idesⁱⁿ^{a ru}^{ral area;}
ⁱ^{s a}^ve^t^e^r^a^n;
^h^as^l^o^w^em^pl^oy^m^eⁿ^t^pros^pect^s^;^or
^h^{as f}^a^iled^to^fⁱⁿ^d^e^m^p^l^o^y^m^eⁿ^t^af^ter^u^sⁱⁿ^g
^ser^v^{ices u}ⁿ^d^er^T^{itle I}^o^f^th^e^W^o^r^k^f^o^r^c^e
^In^v^e^s^t^m^eⁿ^t^A^c^t^of^{1998. (p. 116)}
ⁱ^{ki/CRS-RL33660}^{n o}^f^indivⁱ^dua^{ls w}^h^o^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^Th^e^b^ill^w^o^u^l^d^ex^c^l^u^d^e^f^r^o^m^T^{itle V p}^r^o^j^ects,^S^{ee prov}ⁱ^sⁱ^oⁿ^abov^e:^“^P^r^ohi^bi^tⁱ^{on of}
^g/w^v^e^pa^rt^icipa^t^{ed in Tit}^l^{e V}^anⁱⁿ^dⁱ^vⁱ^d^u^{al w}^h^o^h^a^{s p}^a^r^tⁱ^c^ip^atedⁱⁿ^T^{itle V}^par^tⁱ^cⁱ^patⁱ^oⁿ^b^y^e^lⁱ^gⁱ^b^l^eⁱⁿ^di^vi^dual^s
^s^.or^{for a s}^p^{ecified period}^proj^ect^s^f^o^{r a peri}^od^of^{48 m}^oⁿ^t^h^s^(w^h^e^t^h^er^exceedⁱⁿ^g^a^sp^ecified^p^e^rio^d^.^”
^le^ak^con^s^ecu^tiv^{e or n}^o^{t) af}^{ter th}^{e en}^actm^eⁿ^t^of^t^h^e
^{bill. (p. 117)}
^://wiki
^h^ttp^{It w}^o^u^l^{d als}^o^ex^clu^d^{e an}ⁱⁿ^divⁱ^du^{al w}^h^{o h}^a^s
^partⁱ^cⁱ^p^a^t^e^d^f^o^{r a peri}^{od of}^{24 m}^oⁿ^t^h^sⁱⁿ^t^h^e
^ag^g^r^eg^{ate (w}^h^e^th^{er or n}^o^t^con^s^ecu^tiv^{e) af}^{ter th}^e
^d^a^te^o^f^en^actm^eⁿ^t^{, if}^th^{e in}^dⁱ^vⁱ^d^u^al^p^a^r^ticip^ated
ⁱⁿ^T^{itle V p}^r^o^j^{ects f}^o^r^m^o^r^e^th^an²⁴^m^oⁿ^t^h^sⁱⁿ
^th^e^ag^g^r^eg^{ate (w}^h^e^th^{er or n}^o^{t con}^s^ecu^tiv^{e) as}ⁱⁿ
^ef^f^{ect bef}^o^{re en}^actm^eⁿ^t^of^th^{e bill. (p. 117)}
^o^m^e^No^prov^is^ion^.^Defⁱⁿ^e^sⁱⁿ^com^e^a^sⁱⁿ^c^o^m^e^receiv^e^{d du}^rin^g^th^e^{See elig}^ib^{le in}^dⁱ^vⁱ^d^u^{als ab}^o^v^e.
^12-^m^oⁿ^t^h^peri^{od (or, at}^t^h^{e opt}ⁱ^oⁿ^of^t^h^e
^gr^aⁿ^t^e^e^,^t^h^e^si^x-m^o^nt^{h p}^e^rⁱ^o^d^t^h^a^tⁱ^s^no^t
^m^u^l^tⁱ^p^lied⁾^en^dⁱⁿ^g^oⁿ^th^{e d}^a^{te an}^elig^ib^le
ⁱⁿ^dⁱ^vⁱ^d^u^{al su}^b^m^{its an}^ap^p^licatioⁿ^to^p^a^r^ticip^ate
ⁱⁿ^t^h^e^proj^ect^carri^ed^ou^t^by^{a g}^r^an^t^{ee. (p. 118)}
^Defⁱⁿ^e^s^prog^ram^as^th^{e older A}^m^erican^Defⁱⁿ^e^s^prog^ram^as^t^h^{e older A}^m^erican^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.

^co^m^m^uⁿⁱ^t^y^s^e^rvⁱ^{ce em}^pl^oy^m^eⁿ^t^prog^ram^com^m^uⁿ^ity^s^e^rv^ice^em^pl^oym^e^nt^-bas^{ed t}^r^aiⁿⁱ^ng
^uⁿ^d^er^T^{itle V.}^prog^ram^uⁿ^d^{er T}^{itle V. (p. 118)}

CRS-105
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^rt^iv^{e serv}^ices^N^o^provⁱ^sⁱ^oⁿ^.^D^e^fⁱⁿ^e^s^s^u^pportⁱ^v^{e s}^e^rvⁱ^c^e^s^a^s^t^r^aⁿ^sp^o^r^t^a^tⁱ^oⁿ^,^{No ch}^an^g^eⁱⁿ^cu^rren^t^law^.
^ch^{ild care, depen}^d^en^{t care, h}^o^u^sⁱⁿ^g^,^an^{d n}^eeds^-
^{related pay}^m^en^ts^th^{at are n}^eces^s^a^ry^{to en}^{able an}
ⁱⁿ^dⁱ^vⁱ^d^u^{al to}^p^a^r^ticip^ateⁱⁿ^activ^{ities au}^th^o^r^ized
^uⁿ^d^{er T}^{itle V. (}^p^.¹¹⁸⁾⁽^S^{ee al}^s^o^s^uppor^tⁱ^v^e
^s^e^r^vⁱ^ces^under^Pr^ogr^am^m^a^tⁱ^c^cos^t^s^,^above.)
^plo^y^e^{d indiv}ⁱ^dua^l^N^o^provⁱ^sⁱ^oⁿ^.^D^e^fi^ne^{s une}^m^p^l^o^y^e^dⁱⁿ^dⁱ^vi^d^u^a^l^a^s^a^p^e^r^s^oⁿ^{See p}^u^r^p^o^s^e^statem^en^t^ab^o^v^{e. T}^h^{e b}^{ill w}^o^u^l^d
^wⁱ^t^h^o^u^t^{a j}^{ob an}^{d w}^h^{o w}^aⁿ^t^s^,^an^{d i}^s^av^ai^l^a^bl^e^con^s^{ider an}^uⁿ^d^erem^ploy^{ed pers}^on^{to be an}
^f^o^{r, w}^o^rk^{, i}ⁿ^cl^udⁱⁿ^g^anⁱⁿ^di^vⁱ^du^al^w^h^{o m}^a^y^uⁿ^e^m^p^l^o^y^e^{d pers}^on^.
^h^a^v^e^occas^ion^a^{l em}^ploy^m^eⁿ^t^th^{at does}ⁿ^o^t
^res^u^l^tⁱⁿ^{a con}^s^t^aⁿ^t^s^o^u^r^{ce of}ⁱⁿ^com^e^.^{(p. 119)}
ⁱ^{ki/CRS-RL33660}
^g/w^{RANTS F}^O^{R NATIVE AM}^ERICANS
^s^.or^ribut^io^{n o}^f^f^{unds a}^m^oⁿ^g^N^o^provⁱ^sⁱ^oⁿ^.^N^o^provⁱ^sⁱ^oⁿ^.^D^e^fⁱⁿ^e^s^cover^{ed ye}^a^r^as^F^Y²⁰⁰⁶^o^r^a
^le^ak^b^al^organⁱ^z^ati^oⁿ^s^s^u^bs^equ^eⁿ^t^fⁱ^s^{cal y}^ear.
^://wiki^T^h^{e b}ⁱ^{ll w}^o^u^l^d^clar^if^y^th^{at if}^{a tr}^ib^al
^h^ttp^org^aⁿⁱ^zation^receiv^e^{d a g}^r^an^{t u}ⁿ^d^{er th}^is^part
^fo^r^FY^{1991 as}^part^of^{a con}^s^ortⁱ^u^m^,^t^h^e
^A^s^sⁱ^s^t^an^t^S^e^c^r^e^t^ary^w^o^u^l^{d be requ}ⁱ^r^{ed t}^o
^con^s^{ider th}^{e tribal org}^aⁿⁱ^za^tⁱ^on^{to h}^a^v^e
^receiv^e^{d a g}^r^an^{t u}ⁿ^d^{er th}^is^{part f}^o^{r F}^Y¹⁹⁹¹
^f^o^{r pu}^rpos^es^of^t^h^e^di^s^t^ri^bu^tⁱ^oⁿ^of^f^uⁿ^d^s^.^T^h^e
^A^s^sⁱ^s^t^an^t^Secretary^w^o^u^l^{d als}^o^{be requ}^{ired to}
^ap^p^l^y^th^{e p}^r^o^v^isioⁿ^s^o^f^th^{e su}^b^s^ectioⁿ^to^th^e
^{tribal org}^aⁿⁱ^zation^f^o^{r each}^cov^e^{red y}^e^a^r^f^o^r
^w^h^ich^th^{e tr}^ib^{al o}^r^g^aⁿⁱ^zatioⁿ^su^b^mⁱ^t^{s an}
^a^p^p^licatioⁿ^f^o^r^f^uⁿ^d^{s, ev}^en^if^th^{e tr}ⁱ^b^a^l
^o^r^g^aⁿⁱ^zatioⁿ^su^b^m^{its a sep}^a^r^a^{te ap}^p^licatioⁿ
^f^r^o^m^th^{e r}^e^m^aⁱⁿⁱⁿ^g^m^e^m^b^er^{s o}^f^th^e
^con^s^ortⁱ^u^m^{or an}^applⁱ^catⁱ^oⁿ^a^s^on^{e of}^t^h^e
^r^e^m^aⁱⁿⁱⁿ^g^m^e^m^b^er^{s o}^f^th^{e co}ⁿ^s^o^r^tiu^m^.
^{(p. 109)}

CRS-106
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^ericans^caregiver^S^ectⁱ^oⁿ^{643 au}^t^h^ori^zes^t^h^{e appropri}^a^tⁱ^oⁿ^of^T^h^{e b}^{ill w}^o^u^l^d^au^th^o^r^{ize su}^ch^su^m^s^{as m}^a^y^b^e^T^h^is^{bill w}^o^u^l^{d au}^th^{orize f}^o^{r s}^u^pportiv^e
^rt^pro^g^r^a^m^suc^h^sum^s^a^s^m^a^y^b^e^ne^c^e^ssa^r^y^fo^rⁿ^eces^s^a^ry^f^o^{r s}^u^pportiv^{e s}^e^rv^ices^an^dⁿ^u^t^rition^ser^v^{ices an}^dⁿ^u^t^r^iti^oⁿ^ser^v^{ices to}^Nativ^e
^s^u^pportiv^e^s^e^rv^ices^an^{d n}^u^t^rition^s^e^rv^ices^s^e^rv^ices^{to Nativ}^{e Am}^e^r^ican^s^an^{d th}^{e Nativ}^e^A^m^erican^s^s^u^ch^s^u^m^s^as^m^a^y^{be n}^eces^s^a^ry
^t^o^N^a^tⁱ^v^{e A}^m^eri^can^s^f^o^r^F^Y^{2001, an}^{d s}^u^ch^A^m^eri^can^C^a^regⁱ^v^e^{r S}^u^pport^Program^f^o^r^f^o^{r F}^Y^{2007 an}^{d s}^u^bs^equ^eⁿ^t^fⁱ^s^cal^y^ears^;^an^d
^sum^s^a^s^m^a^y^b^e^ne^c^e^ssa^r^y^f^o^r^sub^s^e^q^ue^nt^F^Y^2007-^F^Y^{2011. (p. 119)}^f^o^{r t}^h^{e N}^a^tⁱ^v^{e A}^m^e^rⁱ^can^C^a^regⁱ^v^e^{r S}^u^pport
^fⁱ^s^c^a^l^y^e^a^r^s^.^F^o^r^g^r^an^ts^to^tr^ib^al^P^r^og^ra^m^,^{$6.5 m}^illioⁿ^f^o^{r FY2007, $7.0}
^org^aⁿⁱ^zat^ion^s^f^o^{r th}^{e Nativ}^{e A}^m^erican^m^illion^f^o^{r FY2008, $7.5 m}^illion^f^o^r
^C^a^regⁱ^v^e^{r S}^u^pport^Prog^ram^,^aut^h^ori^zes^{FY2009, $8.0 m}^illion^f^o^{r FY2010,}^an^{d $8.5}
^{$5.0 m}^illion^f^o^r^{FY2001, an}^{d s}^u^ch^s^u^m^s^as^m^illion^f^o^{r FY}^{2011. (p. 110)}
^m^a^y^b^e^ne^c^e^ssa^r^y^fo^r^sub^s^e^q^ue^nt^fi^sc^a^l
^y^ears^.
ⁱ^{ki/CRS-RL33660}^II,^A^LLO^TM^EN^{TS F}^O^R^V^U^L^N^E^R^A^B^{LE ELD}^E^R^R^I^GH^{TS P}^R^O^TEC^TIO^N^A^C^T^IV^ITIES
^g/w
^s^.or^S^ectⁱ^oⁿ^{702 au}^t^h^ori^zes^t^h^e^appropri^a^tⁱ^oⁿ^of^T^h^{e bil}^l^w^o^u^l^{d au}^th^{orize s}^u^ch^s^u^m^s^as^m^a^y^be^S^a^m^e^as^H^.^R^.^{5293. (p. 111)}
^le^ak^r^otecti^oⁿ^acti^vi^ti^es^:^s^u^ch^s^u^m^s^as^m^a^y^{be n}^eces^s^a^ry^f^o^{r th}^eⁿ^eces^s^a^ry^f^o^{r F}^Y^{2007. (p. 119)}
^m^budsm^a^{n pro}^g^r^a^m^om^bu^ds^m^aⁿ^prog^ram^f^o^{r F}^Y^{2001, an}^d
^://wiki^s^u^ch^s^u^m^s^as^m^a^y^{be n}^eces^s^a^ry^f^o^r
^h^ttp^s^u^bs^equ^eⁿ^t^fⁱ^s^{cal y}^ears^.
^erican^S^ectⁱ^oⁿ^{751 au}^t^h^ori^zes^t^h^{e appropri}^a^tⁱ^oⁿ^of^T^h^{e bill w}^o^u^l^d^ch^an^g^e^th^{e ref}^e^ren^{ce to FY2007.}^S^a^m^e^as^H^.^R^.^{5293. (p. 112)}
ⁱ^z^ati^oⁿ^p^r^ovi^sⁱ^on^s^s^u^ch^s^u^m^s^as^m^a^y^{be n}^eces^s^a^ry^f^o^r^an^{d s}^u^ch^s^u^m^s^as^m^a^y^{be n}^eces^s^a^r^y^for
^assistin^g^eⁿ^{tities an}^d^p^r^o^v^idⁱⁿ^g^g^r^an^{ts o}ⁿ^s^u^bs^equ^eⁿ^t^fⁱ^s^cal^y^ears^.^{(p. 119)}
^v^u^lⁿ^e^r^a^b^l^e^eld^e^r^rⁱ^g^h^t^{s p}^r^o^t^ectioⁿ^activ^ities
^f^o^{r F}^Y^{2001, an}^{d s}^u^ch^s^u^m^s^as^m^a^y^be
ⁿ^eces^s^a^ry^f^o^{r s}^u^bs^equ^eⁿ^t^fⁱ^s^{cal y}^ears^.
^l^{der abus}^{e, neglect, and}^S^ectⁱ^oⁿ⁷²¹^au^t^h^ori^zes^t^h^{e s}^t^at^{e ag}^en^cy^t^h^e^T^h^{e b}^{ill w}^o^u^l^d^ad^d^th^{e f}^o^llo^wⁱⁿ^g^r^e^f^e^r^eⁿ^ce:^S^a^m^e^as^H^.^R^.^{5293. (p. 111)}

^p^l^oi^tati^on^prevention^u^s^{e o}^f^allo^tm^en^{ts to}^car^r^y^o^u^{t p}^r^o^g^r^a^m^s^f^o^r^prov^idin^g^f^o^{r pu}^{blic edu}^cation^an^{d ou}^treach^to
^th^e^prev^en^tion^of^{elder abu}^s^{e, n}^e^g^l^ect,^an^d^p^r^o^m^o^t^{e f}ⁱⁿ^aⁿ^c^{ial liter}^a^c^y^an^d^p^r^ev^en^{t id}^en^tity
^ex^pl^oi^t^a^tⁱ^o^{n (}ⁱ^nc^l^u^dⁱ^{ng f}ⁱⁿ^aⁿ^cⁱ^a^l^th^ef^{t an}^d^fⁱⁿ^aⁿ^c^{ial ex}^p^l^o^itatioⁿ^o^f^o^l^d^e^r
^ex^p^l^o^itatioⁿ⁾^{, in}^clu^dⁱⁿ^g^:ⁱⁿ^di^vⁱ^du^al^s^.^{(p. 120)}
^p^rovⁱ^diⁿ^g^f^o^{r pu}^blⁱ^c^edu^catⁱ^{on an}^d
^ou^treach^{to iden}^tif^y^an^{d prev}^en^{t eld}^e^r
^abu^s^{e, n}^e^g^l^{ect, an}^{d ex}^ploitation^;
^eⁿ^s^u^rⁱⁿ^g^t^h^{e coordi}ⁿ^a^tⁱ^on^of^s^e^rvⁱ^ces
^prov^{ided by}^{area ag}^en^cies^on^agⁱⁿ^g^;

CRS-107
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^p^r^o^m^o^tin^g^th^{e d}^e^v^e^lo^p^m^en^{t o}^f
ⁱⁿ^f^o^r^m^atioⁿ^an^d^d^a^{ta sy}^stem^s;
^c^on^du^ctin^g^an^aly^s^es^of^s^t^ateⁱⁿ^f^o^rm^ation
^an^{d iden}^tif^yⁱⁿ^g^uⁿ^m^et^s^e^r^v^ices^,
^en^f^o^rcem^en^{t, or in}^terv^en^tionⁿ^eeds^;
^c^oⁿ^d^u^c^tⁱ^{ng t}^r^aⁱⁿⁱ^{ng fo}^rⁱⁿ^dⁱ^vi^d^u^a^l^{s i}ⁿ
^r^e^lev^aⁿ^t^fⁱ^eld^s^oⁿ^th^{e id}^en^tif^icatioⁿ^,
^prev^en^tion^,^an^{d treatm}^eⁿ^t^of^{elder abu}^s^e,
ⁿ^e^g^l^{ect, an}^{d ex}^ploitation^;
^p^r^o^vi^dⁱⁿ^g^techⁿⁱ^{cal as}^sⁱ^s^t^an^{ce to}
^prog^ram^s^t^h^at^provⁱ^d^{e o}^r^h^a^v^e^t^h^e
^p^o^t^en^tial^t^o^p^r^o^v^id^{e ser}^v^{ices f}^o^r^vⁱ^ctim^s
ⁱ^{ki/CRS-RL33660}^an^{d th}^{eir f}^a^m^ily^m^e^m^b^ers^;
^g/w^c^on^du^ctⁱⁿ^g^s^p^eci^al^an^{d on}^-^g^oiⁿ^g^t^r^aiⁿⁱⁿ^g
^s^.or^on^th^{e topics}^of^s^e^lf^-^d^etermⁱⁿ^a^tion^,
^le^akⁱⁿ^divⁱ^du^{al rig}^h^t^s^,^s^t^{ate an}^{d f}^e^deral
^r^e^q^u^ir^em^en^{ts co}ⁿ^cerⁿⁱⁿ^g^coⁿ^f^id^en^tiality^,
^://wiki^an^{d ot}^h^e^{r t}^opi^cs^;^an^d
^h^ttp^p^rom^o^tⁱⁿ^g^t^h^{e dev}^e^l^opm^en^t^of^an^e^l^der
^abu^s^{e, n}^e^g^l^{ect, an}^{d ex}^ploitation^s^y^s^t^em^.
^ER^J^U^STIC^E^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^ad^d^{a p}^r^o^v^isioⁿ^f^o^r^Eld^e^r
^RAM^{S: PURPOSE}^S^Ju^s^tⁱ^{ce Prog}^ram^s^{. T}^h^{e pu}^rpos^{e of}^t^hⁱ^s
^provⁱ^sⁱ^oⁿ^w^o^u^l^{d be —}
^t^{o as}^sⁱ^s^t^s^t^ates^an^{d In}^dian^tribesⁱⁿ
^d^e^v^e^lo^pⁱⁿ^g^a^c^o^m^p^r^e^h^eⁿ^s^iv^{e m}^u^lti-
^dis^c^iplin^ary^approach^{to elder j}^u^s^tice;
^t^{o prom}^{ote res}^earch^an^d^data^collection^th^at
^w^{ill f}^{ill g}^a^p^sⁱⁿ^kⁿ^o^w^l^ed^g^e^ab^o^u^{t eld}^e^r
^abu^s^{e, n}^e^g^l^ect^{, an}^{d ex}^pl^oi^t^a^tⁱ^oⁿ^t^o^s^u^pport
ⁱⁿⁿ^o^v^a^tiv^{e an}^d^ef^f^e^c^tⁱ^v^{e activ}^{ities o}^f
^servⁱ^{ce prov}ⁱ^d^ers^an^{d prog}^ram^s^t^h^at^a^r^e
^d^e^sigⁿ^e^d^to^ad^d^r^ess^issu^{es r}^e^latin^g^to^eld^e^r
^abu^s^{e, n}^e^g^l^{ect, an}^{d ex}^ploitation^.
^t^{o as}^sⁱ^s^t^s^t^ates^{, In}^dian^tribes^{, an}^d^l^o^cal
^s^e^rvⁱ^{ce prov}ⁱ^d^ersⁱⁿ^t^h^{e dev}^e^l^opm^en^t^of

CRS-108
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^sh^o^r^t-^an^d^loⁿ^g^-^ter^m^str^a^tegⁱ^{c p}^l^an^{s f}^o^r^th^e
^dev^e^l^opm^en^t^an^{d coordi}ⁿ^a^tⁱ^oⁿ^of^el^der
^j^u^s^{tice res}^earch^{, prog}^ram^s^{, s}^t^u^dⁱ^e^s^,^t^r^aⁱⁿⁱⁿ^g^,
^an^{d oth}^e^{r ef}^f^o^rts^;^an^d
^t^{o prom}^ot^{e col}^l^a^boratⁱ^v^{e ef}^f^o^rt^s^an^d
^di^mⁱⁿⁱ^s^h^ov^er^l^a^p^an^{d g}^a^psⁱⁿ^ef^f^o^rt^sⁱⁿ
^dev^e^l^opiⁿ^g^t^h^{e i}^m^port^aⁿ^t^fⁱ^el^d^of^el^der
^j^u^s^tⁱ^{ce. (p. 112)}
^FINIT^I^ONS
^De^fiⁿ^e^s^car^e^giver^as^anⁱⁿ^divⁱ^du^{al w}^h^{o h}^a^s
ⁱ^{ki/CRS-RL33660}^th^{e r}^e^sp^oⁿ^sibⁱ^lity^f^o^r^th^{e car}^{e o}^f^an^eld^e^r^,
^g/w^eith^{er v}^o^luⁿ^t^arily^{, by}^con^t^{ract, by}^{receipt of}
^s^.or^p^a^y^m^en^{t f}^o^{r care, or as}^{a res}^u^lt^o^f^t^h^e
^le^ak^operation^of^law^an^{d m}^ean^s^{a f}^a^m^ily^m^e^m^b^er
^{or ot}^h^e^{r i}ⁿ^di^vⁱ^du^al^w^h^{o prov}ⁱ^d^es^(on^b^e^hal^f
^://wiki^of^suchⁱⁿ^di^vⁱ^du^al^{or of}^{a pu}^blⁱ^c^{or pri}^v^at^e
^h^ttp^ag^en^cy^,^o^r^gaⁿⁱ^z^a^tⁱ^o^n,^o^rⁱⁿ^s^tⁱ^t^u^tⁱ^oⁿ⁾^com^p^en^s^a^{ted or u}ⁿ^c^om^pen^s^{ated care to}^aⁿ
^el^{der. (p. 113)}
^Defⁱⁿ^e^s^dir^{ect car}^e^a^s^c^a^re^by^an^em^pl^oy^ee
^{or con}^t^{ractor w}^h^{o prov}^ides^as^sⁱ^s^t^an^{ce or}
^lon^g^-^term^{care s}^e^rv^ices^{to a recipien}^t.
^{(p. 113)}
^r^Defⁱⁿ^e^s^elde^r^a^s^anⁱⁿ^di^vⁱ^du^al^w^h^{o i}^s⁶⁰
^y^ears^of^ag^{e or ol}^{der. (p. 114)}
^l^{der jus}^t^ice^Defⁱⁿ^e^s^eld^e^{r ju}^stice^as^—
^e^f^f^o^rts^{to prev}^en^{t, detect, treat, in}^terv^en^{e in}^,
^an^d^res^pon^{d to elder abu}^s^{e, n}^e^g^l^{ect, an}^d
^ex^pl^oi^t^a^tⁱ^oⁿ^an^{d t}^o^prot^ect^el^ders^wⁱ^t^h
^dimⁱⁿⁱ^s^h^{ed capacity}^w^h^{ile m}^a^xⁱ^mⁱ^zin^g^th^eir
^au^toⁿ^o^m^y^{; an}^d
^f^rom^anⁱⁿ^dⁱ^vⁱ^du^{al pers}^pectiv^{e, th}^e

CRS-109
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^r^eco^gⁿ^itioⁿ^o^f^an^eld^e^r^’^{s r}ⁱ^g^h^t^{s, in}^clu^dⁱⁿ^g
^t^h^e^rig^h^t^{to be f}^r^{ee of}^abu^s^{e, n}^e^g^l^{ect, and}
^ex^pl^oi^t^a^tⁱ^oⁿ^.^{(p. 114)}
^{ible ent}ⁱ^t^y^Defⁱⁿ^e^s^elig^ib^{le en}^tity^as^{a s}^t^{ate or}^local
^g^o^v^e^rn^m^eⁿ^t^ag^en^cy^{, In}^dian^{tribe, or an}^y
^o^t^h^e^r^p^u^b^{lic o}^r^p^r^iv^{ate en}^tity^{, th}^{at is}^en^g^a^g^e^d
ⁱⁿ^an^d^h^a^{s ex}^p^e^r^{tise in}^issu^{es r}^e^latin^g^to^eld^e^r
^j^u^s^tⁱ^{ce. (p.114)}
ⁱ^ducia^ry^Defⁱⁿ^e^s^fid^u^c^ia^ry^{as a p}^e^r^s^oⁿ^o^r^en^tity^w^ith
^th^{e leg}^a^{l r}^e^sp^oⁿ^sib^ility^:
ⁱ^{ki/CRS-RL33660}^t^o^m^a^k^e^deci^sⁱ^on^s^on^beh^a^l^f^of^an^{d f}^o^{r t}^h^e
^g/w^ben^e^fⁱ^t^of^an^ot^h^e^{r pers}^on^;
^s^.or^t^{o act}ⁱⁿ^g^{ood f}^aⁱ^t^h^an^{d w}ⁱ^t^h^f^aⁱ^rⁿ^e^s^s^;^an^d
^le^akⁱⁿ^c^lu^des^{a tru}^s^{tee, a}^gu^ardian^{, a}
^con^s^erv^a^{tor, an}^ex^ecu^{tor, an}^ag^enc^y^uⁿ^d^er
^://wiki^fⁱⁿ^aⁿ^c^{ial p}^o^w^er^o^f^atto^rⁿ^ey^o^r^h^ealth^car^e
^h^ttp^pow^{er of}^at^torn^ey^{, or a repres}^en^tativ^e^pay^{ee. (p. 115)}
^aⁿ^t^Defⁱⁿ^e^s^gr^ant^{to in}^c^l^ud^{e a con}^t^ract,
^cooperatⁱ^v^{e ag}^reem^en^t^,^{or ot}^h^e^{r m}^ech^anⁱ^s^m
^f^o^{r prov}ⁱ^dⁱⁿ^g^fⁱⁿ^aⁿ^cⁱ^a^l^as^sⁱ^s^t^an^{ce. (p. 115)}
^a^w^enforcem^ent^Defⁱⁿ^e^s^law^enfor^cement^{as th}^{e f}^u^{ll r}^aⁿ^g^e^o^f
^poten^{tial res}^pon^ders^t^o^{elder abu}^s^{e, n}^e^g^l^ect,
^an^d^ex^p^l^o^itatioⁿⁱⁿ^clu^dⁱⁿ^g^—
^p^o^{lice, sh}^er^if^f^s^{, d}^e^tec^tⁱ^v^{es, p}^u^b^{lic saf}^e^ty
^of^fⁱ^cers^,^an^{d correction}^s^pers^onⁿ^e^l;
^p^ros^ecu^t^o^rs^;
^m^{edical ex}^amⁱⁿ^ers^;
ⁱⁿ^v^e^s^tig^ators^;^an^d
^c^oron^ers^.^{(p. 115)}

CRS-110
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^o^ng-term^care^Defⁱⁿ^e^s^l^ong-t^e^r^m^car^e^as^s^u^pportⁱ^v^e^an^d
^h^ealth^s^e^rv^ices^s^p^ecifⁱ^ed^by^th^{e Secretary}^f^o^r
ⁱⁿ^divⁱ^du^als^w^h^{o n}^{eed as}^sⁱ^s^t^an^{ce be}^cau^s^e^th^e
ⁱⁿ^divⁱ^du^als^h^a^v^e^{a los}^s^of^capacity^f^o^{r s}^e^lf^-
^car^{e d}^u^{e to}^illn^{ess, d}ⁱ^sab^ility^,^o^r^v^u^lⁿ^e^r^a^b^ility^.
^{(p. 115)}
^o^s^s^{of capacity}^Defⁱⁿ^e^s^l^o^{ss o}^f^capaci^t^y^f^o^r^s^e^l^f^-^car^e^as^an
ⁱⁿ^ab^ility^to^en^g^a^g^e^ef^f^ectiv^elyⁱⁿ^activ^{ities o}^f
^d^a^ily^livⁱⁿ^g^,ⁱⁿ^clu^dⁱⁿ^g^e^a^tin^g^,^d^r^essin^g^,
^b^a^t^hⁱ^ng,^aⁿ^d^m^a^na^ge^m^e^nt^o^f^oⁿ^e^’^{s fi}ⁿ^a^ncⁱ^a^l
^af^f^aⁱ^r^s^.^(p.116)
ⁱ^{ki/CRS-RL33660}
^g/w^ng^-^t^erm^ca^{re f}^a^cilit^y^Defⁱⁿ^e^s^l^ong-t^e^r^m^c^a^r^e^f^a^cⁱ^lⁱ^t^y^as^a
^s^.or^resⁱ^den^tial^care^prov^{ider th}^{at arran}^g^e^s^f^o^{r, or}
^le^ak^di^rect^l^y^provⁱ^d^es^{, l}^oⁿ^g^-^t^e^rm^{care. (p.116)}
^://wiki^f^a^cilit^y^Defiⁿ^e^sⁿ^u^rsin^g^fa^cility^t^o^ha^ve^t^h^e^sa^m^e^m^e^aⁿⁱ^{ng gi}^ve^{n und}^e^r^suc^h^t^e^r^m^und^e^r^se^c^tⁱ^oⁿ
^h^ttp^1919(a)^of^t^h^{e S}^o^ci^al^S^ecu^ri^t^y^A^c^t⁽⁴²^U^.^S^.^C^.
^{1396r(a)). (p. 116)}
^t^{ate l}^e^gal^as^sⁱ^s^t^an^ce^Defⁱⁿ^e^s^s^t^{ate legal as}^sⁱ^s^t^{ance developer}^as^an
^e^lo^perⁱⁿ^divⁱ^du^al^w^h^os^e^s^e^rv^ices^{are prov}^{ided by}^th^e
^s^t^a^t^e^{to en}^s^u^{re th}^{e s}^t^{ate h}^a^s^s^u^f^fⁱ^cien^t
^lead^er^sh^ipⁱⁿ^secu^rⁱⁿ^g^an^d^m^aⁱⁿ^tainⁱⁿ^g^th^e
^l^e^g^a^l^ri^g^h^t^s^of^ol^{der i}ⁿ^di^vi^d^u^al^s^an^{d t}^h^e
^capacity^f^o^r^:^c^o^o^r^dⁱ^na^tⁱ^oⁿ^{; tech}ⁿⁱ^cal
^as^sⁱ^s^t^an^ce,^t^r^aiⁿⁱⁿ^g^an^{d ot}^h^e^{r s}^u^pportⁱ^v^e
^func^tⁱ^o^ns;^p^r^o^m^o^tⁱ^{ng fi}^sc^a^l^m^a^na^ge^m^e^nt
^s^e^rvⁱ^ces^;^a^s^sⁱ^s^tⁱⁿ^g^ol^{der i}ⁿ^di^vⁱ^du^al^sⁱⁿ
^und^e^r^st^aⁿ^dⁱ^{ng t}^h^eⁱ^r^rⁱ^ght^s;^aⁿ^dⁱ^m^p^r^o^vⁱ^{ng t}^h^e
^q^u^ality^an^d^q^u^an^tity^o^f^leg^a^{l ser}^v^ices
^provⁱ^d^{ed t}^o^ol^{der i}ⁿ^di^vⁱ^du^al^s^.^(p.116)

CRS-111
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^care^Defⁱⁿ^e^s^st^at^{e l}^ong-t^e^r^m^car^e^om^buds^m^aⁿ^as
^m^budsm^aⁿⁱⁿ^divⁱ^du^{al w}^ith^ex^pertis^e^an^{d ex}^perien^{ce in}
^th^{e f}ⁱ^elds^of^lon^g^-^term^{care an}^{d adv}^o^cacy^to
^h^{ead th}^{e Of}^fⁱ^{ce of}^th^{e State L}^oⁿ^g^-^T^e^rm^C^a^re
^O^m^bu^ds^m^aⁿ^.^{(p. 116)}
^AT^E^{AND T}^R^IB^AL^G^RANT^{S T}^O^ST^RE^NG^T^H^E^N^L^O^NG^-T^E^R^M^CARE^{AND PROVIDE}^ASSIST^ANCE^{FOR E}^L^D^E^R^J^U^ST^ICE^PROG^RAM^S
^t^{ate an}^d^tri^b^al^gran^ts^:^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^e^b^ill^w^o^u^l^d^a^u^t^h^o^rⁱ^z^e^t^h^e^A^s^sⁱ^s^t^aⁿ^t
^th^ori^z^ati^oⁿ^Secretary^to^aw^{ard g}^r^an^ts^{to s}^t^ates^an^{d In}^dian
^tr^ib^{es to}^en^ab^{le th}^e^s^t^a^t^{es an}^d^tr^ib^{es to}
^st^r^e^ngt^heⁿ^l^o^ng-t^e^r^m^c^a^r^e^aⁿ^d^p^r^o^vⁱ^d^e
ⁱ^{ki/CRS-RL33660}^as^sⁱ^s^t^an^{ce f}^o^{r el}^{der j}^u^s^tⁱ^ce^prog^ram^s^.^{(p. 117)}
^g/w
^s^.or^t^{ate an}^d^tri^b^al^gran^ts^:^pplica^t^io^{n f}^o^{r elig}^ibilit^y^T^h^e^b^ill^w^o^u^l^d^r^e^q^u^ir^{e a state o}^r^Iⁿ^dⁱ^an^tr^ib^e,ⁱⁿ^ord^e^{r to be elig}^{ible to receiv}^e^{a g}^r^an^{t, to}
^le^ak^s^u^bmⁱ^t^an^applⁱ^catⁱ^oⁿ^as^requⁱ^r^{ed. (p. 117)}
^://wiki^t^{ate an}^d^tri^b^al^gran^ts^{: u}^s^{e of}^T^h^{e b}^{ill w}^o^u^l^d^au^th^o^r^{ize a state}^o^r^Iⁿ^dⁱ^an
^h^ttp^trib^{e receiv}ⁱⁿ^g^{a g}^r^an^{t (u}ⁿ^d^er^th^is^su^b^title)^to
^use^t^h^e^fund^{s m}^a^d^e^a^v^aⁱ^l^a^b^l^e^t^h^r^o^{ugh t}^h^e
^g^r^an^t^t^o^a^w^ar^d^g^r^an^{ts to}^elig^ib^{le en}^{tities f}^o^r
^th^{e f}^o^llowⁱⁿ^g^activ^ities^:^{(p. 117)}
^P^r^ev^en^tion^,^detec^tⁱ^o^n,^a^s^s^e^s^s^m^en^{t, an}^d
^tr^eatm^eⁿ^t^o^f^,ⁱⁿ^ter^v^en^tioⁿⁱⁿ^{, in}^v^e^stig^atioⁿ^o^f^,
^an^{d res}^pon^s^e^t^o^{elder abu}^s^{e, n}^e^g^l^{ect, an}^d
^ex^pl^oi^t^a^tⁱ^oⁿ^;^(p.117)
^Ex^amⁱⁿ^{e v}^a^ri^ou^s^t^y^pes^of^e^l^{der s}^h^el^t^e^rs
^(ref^e^{rred to as}^“^s^a^f^{e h}^a^v^eⁿ^s^{”), an}^{d tes}^t
^va^rⁱ^o^u^{s sa}^fe^h^a^ve^{n m}^o^d^e^l^s^fo^r^e^s^t^a^b^lⁱ^s^hi^ng
^th^em^{(at h}^o^m^e^{or els}^e^w^h^{ere), th}^{at —}
^r^e^c^o^gⁿ^{ize au}^ton^o^m^y^an^{d s}^e^lf^-
^d^e^ter^mⁱⁿ^atioⁿ^,^an^d^f^u^lly^p^r^o^t^{ect th}^{e d}^u^e
^proces^s^ri^g^h^t^s^of^el^ders^;^an^d
^p^rovⁱ^{de a com}^p^reh^eⁿ^s^iv^{e, cu}^ltu^r^a^lly

CRS-112
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^sen^s^itiv^{e, an}^d^m^u^ltid^is^cⁱ^p^lⁱⁿ^a^r^y^team
^r^e^sp^oⁿ^{se to}^alleg^a^tioⁿ^s^o^f^eld^e^r^ab^u^s^e,
ⁿ^e^g^l^{ect, o}^r^e^x^p^l^oⁱ^tatioⁿ^;^p^r^o^v^id^{e a}
^d^e^dⁱ^c^a^t^e^d^,^e^l^d^e^r^-frⁱ^e^nd^l^y^se^t^tⁱ^ng;^ha^ve^t^h^e
^capacity^{to m}^{eet th}^{e n}^eeds^of^el^d^e^rs^f^o^r
^{care; an}^{d prov}^{ide v}^a^riou^s^s^e^rv^ices
ⁱⁿ^c^l^udⁱ^{ng nur}^si^{ng a}ⁿ^d^fo^r^eⁿ^sⁱ^c^e^v^a^l^ua^tⁱ^o^n,
^t^h^erapeu^tⁱ^cⁱⁿ^t^e^rv^en^tⁱ^oⁿ^,^vⁱ^ctⁱ^m^s^u^pport^an^d
^adv^o^cacy^{, an}^{d cas}^{e rev}ⁱ^ew^an^d^as^sⁱ^s^t^an^{ce to}
^m^a^k^e^th^{e elders}^s^a^f^e^{r at}^hom^{e or to f}ⁱⁿ^d
^a^p^p^r^o^p^rⁱ^a^{te placem}^en^{t in}^s^a^f^e^r
^e^nvi^r^o^nm^eⁿ^t^s^,ⁱⁿ^c^l^udⁱ^{ng she}^l^t^e^r^s^,^aⁿ^dⁱⁿ
ⁱ^{ki/CRS-RL33660}^s^o^m^e^circu^m^s^t^an^ces^lon^g^-^t^e^rm^care
^g/w^f^{acilities, o}^t^h^e^r^r^e^sid^eⁿ^{tial car}^{e f}^acilities,
^s^.or^an^{d h}^o^s^pⁱ^t^a^l^s^;^{(p. 117)}
^le^ak
^E^s^t^a^b^lⁱ^s^h^o^r^c^o^ntⁱ^nue^vo^l^unt^e^e^r^p^r^o^g^r^a^m^s^t^h^a^t
^://wiki^f^o^cu^s^on^th^{e is}^s^u^es^of^{elder abu}^s^{e, n}^e^g^l^ect,
^h^ttp^an^d^ex^p^l^o^itatioⁿ^,^o^r^to^p^r^o^v^id^{e r}^e^la^t^e^d
^s^e^rvⁱ^ces^;^{(p. 118)}
^S^u^ppor^t^m^u^ltid^iscip^lin^ar^y^eld^e^r^j^u^s^tⁱ^c^e
^activ^{ities, su}^ch^{as —}
^s^u^pportⁱⁿ^g^an^{d s}^t^u^d^yⁱⁿ^g^t^eam^approach^es
^f^o^r^b^rⁱⁿ^gⁱⁿ^g^{a co}^o^r^dⁱⁿ^a^ted^m^u^ltid^iscip^lin^ar^y
^o^rⁱⁿ^ter^d^iscip^lin^ar^y^r^e^sp^oⁿ^{se to}^eld^e^r^ab^u^s^e,
^ne^gl^e^c^t^,^aⁿ^d^e^x^p^l^oⁱ^t^a^tⁱ^o^n,ⁱⁿ^c^l^udⁱ^{ng a}
^res^pon^s^e^f^r^omⁱⁿ^di^vⁱ^du^al^sⁱⁿ^s^o^ci^al^s^e^rvⁱ^ce,
^h^ealth^car^e,^p^u^b^{lic saf}^e^ty^{, an}^d^leg^a^l
^dⁱ^scip^lin^es;
^e^s^t^ablis^hⁱⁿ^g^{a s}^t^{ate or tri}^b^{al coordin}^a^tin^g
^co^uⁿ^c^{il, w}^h^ich^sh^all^id^en^tif^y^th^{e in}^dⁱ^vⁱ^d^u^al
^s^t^ate’^s^{or In}^dian^t^rⁱ^b^e’^sⁿ^eeds^an^{d prov}^ide
^t^h^e^S^e^c^r^etar^y^w^ithⁱⁿ^f^o^r^m^atioⁿ^aⁿ^d
^r^eco^m^m^eⁿ^d^atioⁿ^s^r^e^latin^g^to^ef^f^o^r^t^{s b}^y^t^h^e
^s^t^ate^or^In^dian^{tribe to com}^b^{at elder}^abu^s^e,

CRS-113
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
ⁿ^e^g^l^{ect, an}^{d ex}^ploitation^;
^p^rovⁱ^din^g^traⁱⁿⁱⁿ^g^,^techⁿⁱ^{cal as}^sⁱ^s^t^an^{ce, an}^d
^ot^h^e^{r m}^e^t^h^ods^of^s^u^pp^ort^t^o^g^r^ou^ps
^car^r^yⁱⁿ^g^o^u^{t m}^u^ltid^iscip^lin^ar^y^ef^f^o^r^t^{s at th}^e
^s^t^{ate or In}^dian^{tribe leve}^l^(ref^{erred to in}
^s^o^m^e^s^t^ates^as^“^S^{tate W}^o^rkⁱⁿ^g^Grou^ps^”);
^b^roadenⁱⁿ^g^an^{d s}^t^u^d^yⁱⁿ^g^vari^ou^s^m^odel^s
^f^o^r^eld^e^r^f^a^tality^an^d^serⁱ^o^u^{s in}^j^u^r^y^r^e^vⁱ^ew
^team^s^,^{to m}^a^k^e^recom^m^eⁿ^d^ation^s^abou^t
^th^eir^co^m^p^o^s^itioⁿ^,^p^r^o^t^o^c^o^l^{s, f}^uⁿ^c^tioⁿ^s^,
^timⁱⁿ^g^,^r^o^{les, an}^d^r^e^sp^oⁿ^sib^iliti^e^s^{, w}^ith^a
^g^o^al^of^producⁱⁿ^g^m^odel^s^an^{d i}ⁿ^f^o^rm^atⁱ^oⁿ
ⁱ^{ki/CRS-RL33660}^th^{at w}^{ill allo}^w^f^o^r^r^e^p^licatioⁿ^b^a^sed^oⁿ^th^e
^g/wⁿ^eeds^of^oth^e^{r s}^t^ates^{, Ind}ⁱ^aⁿ^tribes^{, an}^d
^s^.or^co^m^m^uⁿ^{ities; o}^r
^le^ak^car^r^yⁱⁿ^g^o^u^{t su}^ch^o^t^h^e^rⁱⁿ^ter^d^iscip^lin^ar^y^o^r
^m^u^ltid^iscip^lin^ar^y^ef^f^o^r^t^{s as th}^{e A}^s^sistan^t
^://wiki^Secr^etar^y^d^e^ter^mⁱⁿ^{es to}^b^e^ap^p^r^o^p^r^iate;
^h^ttp^{(p. 119)}
^P^r^o^v^id^{e tr}^ainⁱⁿ^g^f^o^rⁱⁿ^dⁱ^vⁱ^d^u^{als w}^ith^r^e^s^p^ect
^{to is}^s^u^es^of^{elder ab}^us^e^,ⁿ^e^g^l^{ect, an}^d
^ex^p^l^o^itatioⁿ^,^coⁿ^s^istin^g^o^f^—
^t^r^aⁱⁿⁱⁿ^g^w^ithⁱⁿ^{a d}ⁱ^scip^lin^{e; o}^r
^c^r^o^s^s^-^t^r^aⁱⁿⁱⁿ^g^activ^{ities th}^{at p}^e^r^mⁱ^t
ⁱⁿ^dⁱ^vⁱ^d^u^{als in}^m^u^ltip^{le d}ⁱ^scip^lin^{es to}^tr^aⁱⁿ
^to^g^e^th^er^{, f}^o^sterⁱⁿ^g^co^m^m^uⁿⁱ^c^a^tioⁿ^,
^c^o^o^r^dⁱ^na^tⁱ^ng^e^f^fo^r^t^s,^aⁿ^d^eⁿ^surⁱ^ng
^col^l^a^boratⁱ^oⁿ^;^{(p. 120)}
^A^ddres^s^uⁿ^d^ers^e^rv^{ed p}^o^p^u^l^ation^s^of^elders^,
^s^u^ch^as^—
^e^ld^er^{s liv}ⁱⁿ^gⁱⁿ^r^u^r^a^{l lo}^catioⁿ^s^;
^e^l^d^ersⁱⁿ^mⁱⁿ^o^ri^t^y^popu^l^a^tⁱ^oⁿ^s^;^or
^l^ow^-ⁱⁿ^c^om^{e el}^ders^;^{(p. 120)}

CRS-114
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^P^r^o^v^id^eⁱⁿ^cen^tiv^{es f}^o^rⁱⁿ^dⁱ^vⁱ^d^u^{als to}^tr^ain^f^o^r^,
^s^eek,^an^{d m}^aⁱⁿ^t^aⁱⁿ^em^pl^oy^m^eⁿ^t^provⁱ^dⁱⁿ^g
^dⁱ^r^{ect car}^{e in}^{a lo}ⁿ^g^-^ter^m^car^{e f}^acility^{, su}^ch
^as^—
^t^o^elig^ib^{le en}^{tities to}^p^r^o^v^id^{e in}^cen^tiv^{es to}
^p^a^r^ticip^an^{ts in}^p^r^o^g^r^a^m^s^car^rⁱ^ed^o^u^{t u}ⁿ^d^er
^{part A}^of^T^{itle IV,}^an^{d s}^ection^{403(a)(5) of}
^t^h^{e S}^o^ci^al^S^ecu^ri^t^y^A^c^t^{(42 U}^.^S^.^C.^{601 et}
^s^e^{q., 60}³⁽^{a)(5)) to train}^f^o^{r an}^{d s}^eek
^em^ploy^m^eⁿ^t^prov^idin^g^dⁱ^r^{ect care in}^a
^loⁿ^g^-^ter^m^car^{e f}^acility^;
^t^o^l^oⁿ^g^-^t^e^r^m^c^a^r^e^f^a^c^iliti^e^s^t^o^c^a^r^r^y^o^u^t
ⁱ^{ki/CRS-RL33660}^p^r^o^g^r^a^m^s^thr^o^{ugh w}^h^ic^{h the}^fa^c^ilitie^{s o}^ffe^r
^g/w^t^o^em^pl^oy^ees^w^h^{o prov}ⁱ^d^{e di}^r^e^c^t^{care t}^o
^s^.or^r^e^sid^eⁿ^t^{s o}^f^{a lo}ⁿ^g^-^ter^m^car^{e f}^acility^,
^le^ak^c^o^ntⁱ^nuiⁿ^g^t^r^aⁱⁿⁱ^{ng a}ⁿ^d^va^r^yⁱ^{ng l}^e^ve^l^s^o^f
^prof^essi^oⁿ^a^l^c^e^r^tⁱ^fⁱ^c^a^tⁱ^o^n,^b^a^se^d^on
^://wiki^obs^erv^e^{d clin}^{ical ca}^{re practices}^an^{d th}^e
^h^ttp^am^on^g^of^tim^{e th}^{e em}^ploy^ees^s^p^en^d
^provⁱ^dⁱⁿ^g^di^rect^care;^an^{d prov}ⁱ^d^e,^or^m^a^k^e
^arran^g^e^m^eⁿ^t^s^wⁱ^t^h^em^pl^oy^ers^t^o^provⁱ^d^e,
^bon^u^s^es^{or oth}^e^{r in}^creas^{ed com}^p^en^s^a^tion^or
^b^eⁿ^e^f^{its to}^em^p^l^o^y^e^e^s^w^h^o^ach^iev^e
^prof^es^sⁱ^on^{al certif}^ication^uⁿ^d^{er s}^u^{ch a}
^prog^ram^;^or
^t^o^loⁿ^g^-^ter^m^car^{e f}^{acilities to}^en^ab^{le t}^h^e
^f^{acilities to}^p^r^o^vⁱ^d^{e tr}^ainⁱⁿ^g^an^d^techⁿⁱ^cal
^as^sⁱ^s^t^an^{ce to elig}^{ible em}^ploy^ees^reg^a^rdin^g
^m^a^na^gem^eⁿ^t^practⁱ^ces^u^sⁱⁿ^g^m^e^t^h^ods^t^h^at
^{are dem}^oⁿ^s^{trated to prom}^{ote reten}^tⁱ^oⁿ^of
^em^p^l^o^y^{ees o}^f^th^{e f}^acilities^,^su^ch^{as — th}^e
^es^tablis^h^m^en^{t of}^basⁱ^{c h}^u^m^an^r^e^s^o^u^r^ce
^p^o^{licies th}^{at r}^e^w^a^r^d^hⁱ^g^h^p^e^r^f^o^r^m^aⁿ^ce,
ⁱⁿ^clu^dⁱⁿ^g^p^o^{licies th}^{at p}^r^o^v^id^{e im}^p^r^o^v^ed
^w^a^g^e^s^an^{d ben}^e^fⁱ^t^s^on^t^h^{e bas}ⁱ^s^o^f^j^o^b
^r^e^vⁱ^ew^{s; o}^r^t^h^e^estab^lish^m^en^{t o}^f^o^t^h^e^r

CRS-115
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^prog^ram^s^t^h^a^t^p^r^om^ot^{e t}^h^{e prov}ⁱ^sⁱ^oⁿ^of
^hⁱ^g^h^q^u^ality^car^{e, su}^ch^a^s^{a co}ⁿ^tin^uⁱⁿ^g
^ed^u^catioⁿ^p^r^o^g^r^a^m^th^{at p}^r^o^v^id^{es ad}^d^itioⁿ^a^l
^ho^ur^{s o}^f^t^r^aⁱⁿⁱ^ng,ⁱⁿ^c^l^udⁱ^{ng o}ⁿ^-t^he^-j^o^b
^trainⁱⁿ^g^,^f^o^{r em}^ploy^ees^w^h^{o are cert}ⁱ^fⁱ^e^d
ⁿ^u^r^s^e^ai^des^;^{(p. 120)}
^En^co^u^r^ag^e^th^{e estab}^lish^m^en^{t o}^f^elig^ib^le
^partⁿ^e^rs^hⁱ^p^s^t^o^dev^e^l^{op col}^l^a^boratⁱ^v^{e an}^d
ⁱⁿⁿ^o^v^a^tiv^{e ap}^p^r^o^ach^es^to^im^p^r^o^v^{e th}^{e q}^u^ality
^of^{, in}^clu^dⁱⁿ^g^pr^ev^en^tin^g^abu^s^{e, n}^e^g^l^{ect, an}^d
^ex^pl^oi^t^a^tⁱ^oⁿⁱⁿ^{, l}^oⁿ^g^-^t^e^rm^care;^{or (p. 122)}
ⁱ^{ki/CRS-RL33660}
^g/w^Estab^lish^m^u^ltid^iscip^lin^ar^y^p^aⁿ^e^{ls to}^ad^d^r^ess
^s^.or^aⁿ^{d dev}^e^l^{op bes}^t^practⁱ^ces^con^cernⁱ^ng
^le^ak^m^e^t^h^ods^of^—
ⁱ^m^p^r^o^vⁱⁿ^g^th^{e q}^u^ality^o^f^loⁿ^g^-^ter^m^c^a^r^e;
^://wiki^an^d
^h^ttp^a^d^d^r^e^ssi^{ng a}^b^use^,ⁱⁿ^c^l^udⁱⁿ^{g r}^e^si^d^e^nt^-t^o^-^resⁱ^den^t^abu^s^{e, i}ⁿ^l^oⁿ^g^-^t^e^rm^{care. (p. 122)}
^t^{ate an}^d^tri^b^al^gran^ts^:^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{at a state o}^r^Iⁿ^dⁱ^an
^d^mⁱ^nist^ra^tⁱ^v^e^expenses^{tribe receiv}ⁱⁿ^g^{a g}^r^an^t^und^e^r^th^is^s^ectionⁿ^o^t
^u^s^e^m^o^r^e^th^an⁵^%^o^f^th^{e f}^uⁿ^d^{s to}^p^a^y^f^o^r
^admⁱⁿⁱ^s^t^ratⁱ^v^{e ex}^pen^s^es^{. (p. 123)}
^t^{ate an}^d^tri^b^al^gran^ts^:^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{at f}^uⁿ^d^{s m}^a^d^e
^ent^no^t^supplaⁿ^t^av^{ailable be u}^s^{ed to s}^u^p^p^l^em^en^{t an}^{d n}^o^t
^s^u^pplan^{t oth}^e^{r f}^e^der^a^l^,^s^t^{ate, an}^{d local}
⁽ⁱ^nc^l^u^dⁱ^{ng t}^rⁱ^b^a^l⁾^fund^{s e}^x^p^e^nd^e^d^t^o^p^r^o^vⁱ^d^e
^g^r^an^{t activ}^ities^.^{(p. 123)}
^t^{ate an}^d^tri^b^al^gran^ts^:^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{e state o}^r^Iⁿ^dⁱ^an
^a^{intenance of effort}^{tribe, in}^u^sⁱⁿ^g^th^{e proceeds}^of^{a g}^r^an^t
^receiv^e^{d u}ⁿ^d^{er th}^is^s^ectⁱ^oⁿ^,^{to m}^aⁱⁿ^tain^th^e
^ex^pen^d^itu^res^of^th^{e s}^t^ate^o^r^{tribe g}^r^an^t
^activ^ities^a^t^{a lev}^e^{l eq}^u^a^{l to}^{at least th}^{e lev}^e^l

CRS-116
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^o^f^su^ch^ex^p^eⁿ^d^itu^r^e^{s m}^aⁱⁿ^tain^ed^b^y^th^{e state}
^{or tribe f}^o^{r th}^{e f}ⁱ^s^{cal y}^{ear precedin}^g^th^e^fⁱ^s^cal
^y^ear^f^o^r^w^h^ich^th^{e g}^r^an^{t is}^receiv^e^d.^(p.¹²³⁾
^t^{ate an}^d^tri^b^al^gran^ts^:^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{e A}^s^sistan^{t Secr}^etar^y
^cco^unt^a^b^ilit^y^m^e^a^s^ures^to^d^e^v^e^lo^p^acco^uⁿ^t^ab^ility^m^easu^r^{es to}^en^su^re
^th^{e ef}^f^ectiv^en^{ess o}^f^t^h^e^activ^{ities co}ⁿ^d^u^c^ted
^usi^{ng fund}^{s m}^a^d^e^a^v^aⁱ^l^a^b^l^e^und^e^r^t^hⁱ^s
^sectioⁿ^,ⁱⁿ^clu^dⁱⁿ^g^acco^uⁿ^t^ab^ility^m^easu^r^{es to}
^en^su^r^e^th^at^th^{e g}^r^an^{t activ}^{ities b}^eⁿ^e^f^{it elig}^ib^le
^e^m^p^l^o^y^{ees an}^dⁱⁿ^cr^{ease th}^{e stab}^ility^o^f^th^e
^l^oⁿ^g^-^t^e^rm^{care w}^o^rk^f^o^{rce. (p. 123)}
ⁱ^{ki/CRS-RL33660}
^g/w^t^{ate an}^d^tri^b^al^gran^ts^:^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{e A}^s^sistan^{t Secr}^etar^y
^s^.or^u^a^tiⁿ^g^p^r^ogram^s^to^ev^alu^a^{te th}^{e activ}^{ities co}ⁿ^d^u^c^ted^u^sⁱⁿ^g
^le^ak^f^uⁿ^d^s^m^a^{de av}^{ailable u}ⁿ^d^{er t}^h^is^s^ection^an^d
^u^s^{e th}^{e res}^u^lts^of^s^u^ch^ev^alu^a^tion^to
^://wiki^d^e^ter^mⁱⁿ^{e th}^{e activ}^{ities f}^o^r^w^h^ich^f^uⁿ^d^s^m^a^d^e
^h^ttp^av^{ailable u}ⁿ^d^{er th}^is^s^ection^m^a^y^{be u}^s^ed.^{(p. 124)}
^t^{ate an}^d^tri^b^al^gran^ts^:^T^h^{e b}^{ill w}^o^u^l^d^req^u^ir^{e an}^y^en^tity^receivⁱⁿ^g
^m^p^lia^{nce w}ⁱ^t^h^a^pplica^b^le^f^uⁿ^d^{s to}^co^m^p^ly^w^ith^{all ap}^p^licab^{le law}^s^,
^w^s^reg^u^l^atⁱ^oⁿ^s^{, an}^{d g}^uⁱ^delⁱⁿ^es^{. (p. 124)}
^t^{ate an}^d^tri^b^al^gran^ts^:^T^h^{e b}^{ill w}^o^u^l^d^d^e^fⁱⁿ^e^elig^ib^{le p}^a^r^tn^ersh^ip^s^as
^{ible pa}^rt^nerships^{a m}^u^ltid^iscip^lin^ar^y^co^m^m^uⁿ^ity^p^a^r^tⁿ^e^r^s^hⁱ^p
^coⁿ^s^istin^g^o^f^elig^ib^l^e^eⁿ^{tities o}^r^ap^p^r^o^p^r^iate
ⁱⁿ^divⁱ^du^als^,^s^u^ch^as^{a partn}^e^r^s^hⁱ^{p con}^s^is^tin^g
^of^repres^en^tativ^esⁱⁿ^{a com}^m^uⁿ^ity^ofⁿ^u^r^sⁱⁿ^g
^f^acility^p^r^o^v^id^er^{s, state leg}^a^{l assistan}^ce
^dev^e^l^opers^{, adv}^o^cat^e^s^f^o^{r res}ⁱ^den^t^s^of^l^oⁿ^g^-
^ter^m^car^{e f}^{acilities, state L}^oⁿ^g^-^ter^m^Car^e
^Om^bu^ds^m^e^n,^s^u^rv^ey^ors^,^th^{e s}^t^{ate ag}^en^cy
^w^ith^r^e^sp^oⁿ^sib^ility^f^o^r^ad^u^{lt p}^r^o^t^ectiv^e
^ser^v^ices,^th^e^{state ag}^en^cy^w^ith^r^e^sp^oⁿ^sib^ility
^f^o^r^liceⁿ^sⁱⁿ^g^loⁿ^g^-^ter^m^car^{e f}^{acilities, law}

CRS-117
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^en^f^o^rcem^en^{t ag}^en^cⁱ^es^{, cou}^r^ts^{, f}^a^m^ily
^co^uⁿ^c^{ils, r}^e^sid^eⁿ^t^{s, cer}^tif^iedⁿ^u^r^{se aid}^e^s,
^r^e^gi^st^e^r^e^d^nur^se^s,^p^h^y^sⁱ^cⁱ^a^ns,^aⁿ^d^o^t^he^r
^elig^ib^{le en}^{tities an}^d^a^p^p^r^o^p^r^{iate in}^dⁱ^vⁱ^d^u^als.
^{(p. 124)}
^t^{ate an}^d^tri^b^al^gran^ts^:^T^h^{e b}^{ill w}^o^u^l^d^au^th^o^r^{ize th}^{e ap}^p^r^o^p^r^iatioⁿ^o^f
^th^ori^z^ati^oⁿ^of^s^u^c^h^s^u^m^s^as^m^a^y^{be n}^eces^s^a^ry^f^o^{r each}^o^f
^p^r^op^ri^ati^oⁿ^s^F^Y^{2005 t}^o^F^Y^{2008 t}^o^carry^o^u^t^st^at^{e an}^d
^t^rⁱ^b^a^l^gr^aⁿ^t^s^t^o^st^r^e^ngt^he^{n l}^o^ng-t^e^r^m^c^a^r^e^aⁿ^d
^prov^{ide as}^sⁱ^s^t^an^{ce f}^o^r^{elder j}^u^s^{tice prog}^ram^s^.
^{(p. 124)}
ⁱ^{ki/CRS-RL33660}
^g/w^LLECTIO^N^O^F^UNIF^O^RM^NATIO^{NAL DATA O}^N^{ELDER AB}^{USE, NEG}^{LECT, AND EXP}^L^O^I^TATIO^N
^s^.or^llect^io^{n o}^f^unif^o^rm^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^N^o^p^r^o^vⁱ^sⁱ^oⁿ^.^T^h^{e b}^{ill w}^o^u^l^d^ad^d^{a p}^r^o^vⁱ^sⁱ^oⁿ^f^o^r^t^h^e
^le^ak^a^ti^on^al^d^a^{ta: au}^th^ori^z^ati^oⁿ^c^o^l^l^e^c^tⁱ^o^{n o}^f^uni^fo^r^m^na^tⁱ^o^na^l^d^a^t^a^oⁿ^e^l^d^e^r
^://wiki^abu^s^{e, n}^e^g^l^ect^{, an}^{d ex}^pl^oi^t^a^tⁱ^oⁿ^.^{(p. 125)}
^h^ttp^llect^io^{n o}^f^unif^o^rm^T^h^{e p}^u^r^p^o^s^{e o}^f^th^{is p}^r^o^vⁱ^s^ioⁿ^o^f^th^{e b}^ill
^tⁱ^oⁿ^a^l^da^t^a^:^purpo^se^w^o^u^l^{d be to im}^prov^{e, s}^t^ream^lin^{e, an}^d
^p^r^o^m^o^t^{e u}ⁿⁱ^f^o^r^m^co^llectioⁿ^,^m^aⁱⁿ^ten^aⁿ^c^e,
^an^d^dⁱ^ssemⁱⁿ^a^tioⁿ^o^fⁿ^a^tioⁿ^a^{l d}^a^{ta r}^e^latin^g^to
^th^e^v^a^riou^s^ty^pes^of^{elder abu}^s^{e, n}^e^g^l^{ect, an}^d
^ex^pl^oi^t^a^tⁱ^oⁿ^.^{(p. 125)}
^llect^io^{n o}^f^unif^o^rm^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^uⁱ^r^e^,ⁿ^o^{t later}^th^an^oⁿ^e
^tⁱ^oⁿ^a^l^da^t^a^:^pha^{se I —}^y^{ear af}^{ter th}^{e date of}^en^actm^eⁿ^t^of^th^{e Older}
^e^vel^o^p^m^en^{t of m}^e^th^od^s^of^A^m^erican^s^A^c^{t A}^m^en^dm^en^ts^,^th^{e A}^s^sⁱ^s^t^an^t
^Se^c^r^e^t^a^r^y,^a^c^tⁱ^{ng t}^h^r^o^{ugh t}^h^e^he^a^d^o^f^t^h^e
^Of^fⁱ^{ce of}^{Elder A}^b^u^s^{e P}^r^ev^en^tion^an^d
^Ser^v^{ices, af}^ter^coⁿ^s^u^ltatioⁿ^w^ith^th^{e A}^tto^rⁿ^ey
^Gen^e^r^a^l^an^d^w^o^r^kⁱⁿ^g^w^ith^ex^p^e^r^t^{s in}^r^e^lev^aⁿ^t
^dⁱ^scip^lin^{es f}^r^o^m^th^{e B}^u^r^eau^o^f^J^u^stice
^Statistics^o^f^th^e^Of^fⁱ^{ce o}^f^J^u^{stice P}^r^o^g^r^a^m^s^o^f
^th^{e Dep}^a^r^t^m^eⁿ^t^o^f^J^u^{stice, to}^—
^d^e^v^elo^p^{a m}^e^th^o^d^f^o^r^co^llectin^gⁿ^a^tioⁿ^a^l

CRS-118
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^{data reg}^a^rdin^g^e^l^{der abu}^s^{e, n}^e^g^l^{ect, an}^d
^ex^p^l^o^itatioⁿ^;^an^d
^d^ev^elo^p^uⁿⁱ^f^o^r^mⁿ^a^tioⁿ^a^{l d}^a^{ta r}^e^p^o^r^tin^g
^f^o^r^m^{s ad}^ap^ted^to^e^ach^r^e^lev^aⁿ^t^en^tity^o^r
^dⁱ^scip^lⁱⁿ^{e (}^s^u^c^h^{as h}^ealth^{, p}^u^b^{lic saf}^e^ty^,
^s^o^{cial an}^{d pr}^o^t^e^c^tiv^{e s}^e^rv^ices^{, an}^{d law}
^en^f^o^rcem^en^t)^ref^l^ectin^g^th^{e dis}^tin^{ct m}^aⁿⁿ^e^r
ⁱⁿ^w^h^ic^h^e^a^c^h^en^tity^o^r^dⁱ^scip^lin^{e receiv}^e^s
^an^d^m^aⁱⁿ^taⁱⁿ^sⁱⁿ^f^o^r^m^atioⁿ^;^an^d^th^e
^s^e^qu^en^{ce an}^{d h}ⁱ^s^t^ory^o^f^r^e^port^s^t^o^or
ⁱⁿ^v^o^lv^em^en^{t o}^f^dⁱ^f^f^e^r^eⁿ^t^en^{tities o}^r
^dⁱ^scip^lin^{es, in}^d^e^p^eⁿ^d^en^tly^{, o}^r^th^{e seq}^u^en^ce
ⁱ^{ki/CRS-RL33660}^an^d^hⁱ^sto^r^y^o^f^r^e^p^o^r^t^{s f}^r^o^m^oⁿ^{e en}^tity^o^r
^g/w^di^s^cⁱ^p^lⁱⁿ^{e t}^o^an^ot^h^e^{r ov}^{er t}ⁱ^m^{e. (p. 125)}
^s^.or
^le^ak^llect^io^{n o}^f^unif^o^rm^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e —}
^tⁱ^oⁿ^a^l^da^t^a^:^pha^{se I —}^t^h^eⁿ^a^tioⁿ^a^{l d}^a^{ta r}^e^p^o^r^tin^g^f^o^r^m^{s to}
^://wiki^rm^{s a}^{nd pro}^t^ect^io^{n o}^fⁱⁿ^co^r^p^o^r^{ate th}^{e d}^e^fⁱⁿ^itioⁿ^s^o^f^Eld^e^r^J^u^stice
^h^ttp^rⁱ^vacy^P^r^o^g^r^a^m^s^{, f}^o^r^u^s^{e in}^d^e^ter^mⁱⁿⁱⁿ^g^w^h^eth^e^r
^an^ev^en^{t is}^{reportable; an}^d
^t^h^e^Secretary^{to en}^s^u^{re th}^{e protection}^o^f
ⁱⁿ^dⁱ^vⁱ^d^u^{al h}^ealth^p^r^iv^acy^coⁿ^s^isten^t^w^ith
^t^h^e^r^e^gul^a^tⁱ^o^{ns p}^r^o^m^ul^ga^t^e^d^und^e^r^se^c^tⁱ^oⁿ
^{264(c) of}^th^{e Health}^Iⁿ^s^u^ran^{ce P}^o^rtability
^an^{d A}^ccouⁿ^t^ability^A^c^{t of 1996, an}^{d s}^t^ate
^an^d^local^p^rⁱ^v^a^c^y^reg^u^l^ation^s^(as
^applⁱ^cabl^e^{). (p. 125)}

CRS-119
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^llect^io^{n o}^f^unif^o^rm^T^h^e^b^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{at n}^o^{t later}^th^an^oⁿ^e
^tⁱ^oⁿ^a^l^da^t^a^:^pha^{se II —}^y^ear^af^ter^th^{e d}^a^{te o}ⁿ^w^h^ich^th^{e activ}^ities
ⁱ^l^o^{t tes}^t^des^c^ri^{bed i}ⁿ^s^u^bs^ectⁱ^oⁿ^(b)(1)^{are com}^p^l^e^t^e^d,
^t^h^e^Secretary^{(or th}^{e Secretary}^’^s^desⁱ^gⁿ^e^e⁾
^sh^{all en}^su^r^e^th^{at th}^{e n}^a^tioⁿ^a^{l d}^a^{ta r}^e^p^o^r^tin^g
^f^o^rm^s^an^{d dat}^a^col^l^ectⁱ^oⁿ^m^e^t^h^ods^dev^e^l^oped
ⁱⁿ^ac^c^o^r^d^an^{ce w}^ith^s^u^ch^s^u^bs^ection^{are pilot}
^tes^t^{ed in}^sⁱ^x^s^t^ates^s^e^{lected by}^th^{e Secretary}^.
^{(p. 127)}
^llect^io^{n o}^f^unif^o^rm^T^h^{e b}^{ill w}^o^u^l^d^also^r^e^q^u^ir^{e th}^{e Secr}^e^t^ar^y^,
^tⁱ^oⁿ^a^l^da^t^a^:^pha^{se II —}^af^te^r^c^oⁿ^s^id^erⁱⁿ^g^th^{e r}^e^su^{lts o}^f^th^{e p}^ilo^t
ⁱ^{ki/CRS-RL33660}^d^j^u^st^m^e^nt^{s t}^o^f^o^r^m^aⁿ^d^testin^g^an^d^coⁿ^s^u^ltin^g^w^ith^th^{e At}^t^o^rⁿ^ey
^g/w^t^h^o^d^s^Gen^e^r^a^{l an}^d^r^e^lev^aⁿ^t^ex^p^e^r^t^s^,^to^ad^j^u^{st th}^e
^s^.orⁿ^a^tioⁿ^a^{l d}^a^{ta r}^e^p^o^r^tin^g^f^o^r^m^{s an}^d^d^a^ta
^le^ak^col^l^ectⁱ^oⁿ^m^e^t^h^ods^asⁿ^eces^s^a^ry^{. (p. 127)}
^://wiki^llect^io^{n o}^f^unif^o^rm^T^h^e^b^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{e Secr}^etar^y^,^af^ter
^h^ttp^tⁱ^oⁿ^a^l^da^t^a^:^pha^se^{III —}^ribut^io^{n o}^f^na^tⁱ^oⁿ^a^l^da^t^a^co^m^p^letioⁿ^o^f^th^{e ad}^j^u^stm^eⁿ^t^to^th^{e n}^a^tioⁿ^a^l^dat^a^reportⁱⁿ^g^f^o^rm^s^uⁿ^d^{er s}^u^bs^ectⁱ^oⁿ^(c)(2),
^s^to^su^b^m^{it th}^{e n}^a^tioⁿ^a^{l d}^a^ta^r^e^p^o^r^tin^g^f^o^r^m^s
^aloⁿ^g^w^ithⁱⁿ^str^u^ctioⁿ^s^to^—
^t^h^e^h^eads^o^f^th^{e relev}^aⁿ^t^com^pon^en^ts^of
^H^H^S^{, t}^h^e^D^e^part^m^eⁿ^t^of^Ju^s^tⁱ^{ce, an}^{d t}^h^e
^Departm^eⁿ^t^of^th^{e T}^r^eas^u^r^y^,^an^d^s^u^ch^oth^e^r
^f^e^d^e^r^a^{l en}^{tities as m}^a^y^b^e^ap^p^r^o^p^r^{iate; an}^d
^t^{he Gov}^e^rn^or’^s^of^fⁱ^{ce of}^each^s^t^ate^fo^r
^co^llectioⁿ^f^r^o^m^{all r}^e^lev^aⁿ^t^{state en}^{tities o}^f
^{data, in}^clu^dⁱⁿ^g^h^ealth^care,^s^o^{cial s}^e^rv^ices^,
^an^{d l}^a^w^en^f^o^rcem^en^t^dat^a^{. (p. 127)}
^llect^io^{n o}^f^unif^o^rm^T^h^{e b}^{ill w}^o^u^l^d^au^th^o^rⁱ^z^{e th}^{e Secr}^etar^y^to
^tⁱ^oⁿ^a^l^da^t^a^:^pha^se^{III —}^aw^ard^g^r^an^ts^{to s}^t^ates^{to im}^prov^{e data}
^,^co^llectioⁿ^activ^{ities r}^e^latin^g^to^eld^e^r^ab^u^s^e,
^th^ori^z^ati^oⁿⁿ^e^g^l^ect^{, an}^{d ex}^pl^oi^t^a^tⁱ^oⁿ^.^{(p. 128)}

CRS-120
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^llect^io^{n o}^f^unif^o^rm^T^o^{be elig}^{ible to receiv}^e^{a g}^r^aⁿ^t^,^{a s}^t^ate
^tⁱ^oⁿ^a^l^da^t^a^:^pha^se^{III —}^w^o^u^l^d^b^e^r^e^q^u^ir^ed^to^su^b^m^{it an}^ap^p^licatioⁿ^as
^,^requⁱ^r^{ed t}^o^t^h^{e S}^ecret^ary^.^{(p. 128)}
^pplica^t^ioⁿ
^llect^io^{n o}^f^unif^o^rm^Fo^r^th^{e co}^llectioⁿ^o^f^uⁿⁱ^f^o^r^mⁿ^a^tioⁿ^a^{l d}^a^ta
^tⁱ^oⁿ^a^l^da^t^a^:^pha^se^{III —}^f^o^{r a f}ⁱ^s^cal^y^e^a^r^,^each^s^t^{ate receiv}ⁱⁿ^g^{a g}^r^an^t
^,^w^o^ul^{d be requ}ⁱ^r^{ed t}^o^report^dat^a^f^o^{r t}^h^e
^ents^cal^eⁿ^{dar y}^{ear th}^{at beg}ⁱⁿ^s^du^rin^g^th^{at f}ⁱ^s^cal
^y^ear^{, u}^sⁱⁿ^g^th^{e n}^a^tioⁿ^a^l^d^a^ta^r^e^p^o^r^tin^g^f^o^r^m^s.
^{(p. 128)}
ⁱ^{ki/CRS-RL33660}^llect^io^{n o}^f^unif^o^rm^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{e Secr}^etar^y^to
^g/w^tⁱ^oⁿ^a^l^da^t^a^:^pha^se^{III —}ⁱⁿ^itially^dⁱ^strⁱ^b^u^te⁵⁰^%^o^f^su^ch^f^uⁿ^d^{s f}^o^r^th^e
^s^.or^,^fⁱ^rs^{t f}ⁱ^s^{cal y}^{ear f}^o^{r w}^h^ich^a^s^t^{ate receiv}^e^s
^le^ak^g^r^an^{t f}^uⁿ^d^s^.^T^h^{e Secretary}^w^o^u^l^{d be}^requ^ired
^to^dⁱ^strⁱ^b^u^te^th^e^r^e^m^aⁱⁿⁱⁿ^g^f^uⁿ^d^{s at th}^{e en}^d^o^f
^://wiki^th^{e calen}^{dar y}^{ear th}^{at begi}ⁿ^s^du^rin^g^th^at
^h^ttp^fⁱ^s^{cal y}^{ear, if}^t^h^{e Secretary}^determⁱⁿ^es^th^at^t^h^{e s}^t^at^{e h}^a^s^prope^r^l^y^report^e^{d dat}^a^requⁱ^r^ed
^uⁿ^d^{er th}^is^s^u^bs^ection^f^o^{r th}^{e calen}^{dar y}^ear.
^T^h^{e b}^ill^w^o^u^l^d^r^e^q^u^ir^{e th}^{e Secr}^etar^y^to
^dis^t^ribu^{te g}^r^an^{t f}^uⁿ^d^s^{to a s}^t^{ate u}ⁿ^d^{er t}^hⁱ^s
^s^ubs^ection^f^o^{r a f}ⁱ^s^{cal y}^{ear if}^th^{e Secret}^a^r^y
^determⁱⁿ^es^th^{at th}^{e s}^t^{ate p}^r^operly^reported
^d^a^{ta r}^e^q^u^ir^ed^uⁿ^d^er^th^{is su}^b^s^ectioⁿ^f^o^r^th^e
^calen^{dar y}^{ear th}^{at en}^ds^du^rin^g^th^{at f}ⁱ^s^cal
^y^{ear. (p. 128)}

CRS-121
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
^llect^io^{n o}^f^unif^o^rm^T^h^{e b}^{ill w}^o^u^l^d^req^u^ire^each^rep^o^r^{t su}^b^m^itted
^tⁱ^oⁿ^a^l^da^t^a^:^pha^se^{III —}^uⁿ^d^er^th^{is su}^b^s^ectioⁿ^to^—
^ationⁱⁿ^d^{icate th}^{e s}^t^{ate an}^{d y}^{ear in}^w^hⁱ^c^h^e^ach
^ev^en^{t occu}^{rred; an}^d
ⁱ^d^eⁿ^tif^y^th^e^t^o^{tal n}^u^m^b^e^r^o^f^ev^en^{ts th}^at
^occu^{rred in}^each^s^t^{ate du}^rin^g^th^{e y}^{ear an}^d
^th^{e ty}^{pe of}^each^ev^en^{t. (p. 129)}
^llect^io^{n o}^f^unif^o^rm^T^h^{e b}^{ill w}^o^u^l^d^r^e^q^u^ir^{e th}^{e Secr}^etar^y^,ⁿ^o^{t later}
^a^ti^on^al^d^a^{ta: rep}^ort^th^an^on^e^y^e^a^r^af^{ter th}^{e date of}^en^actm^eⁿ^t^of
^th^{e Olde}^r^A^m^erican^s^A^c^{t A}^m^en^dm^en^ts^an^d
^a^nnua^l^l^y^t^h^e^r^e^a^f^t^e^r^,^t^o^p^r^e^p^a^r^e^aⁿ^d^sub^mⁱ^t^t^o
ⁱ^{ki/CRS-RL33660}^th^{e ap}^p^r^o^p^r^iate^co^m^m^{ittees o}^f^Coⁿ^g^r^ess,
^g/wⁱⁿ^clu^dⁱⁿ^g^to^th^{e Sen}^a^te^Co^m^m^ittee^oⁿ^Health^,
^s^.or^E^d^uc^a^tⁱ^o^n,^La^b^o^r^,^aⁿ^d^P^e^nsi^o^{ns a}ⁿ^d^t^h^e
^le^ak^Sen^a^{te Special C}^o^m^m^{ittee on}^A^gⁱⁿ^g^,^a^report
^r^e^g^a^r^dⁱⁿ^g^activ^{ities co}ⁿ^d^u^c^te^d^uⁿ^d^er^th^is
^://wiki^s^ectⁱ^oⁿ^.^{(p. 130)}
^h^ttp^llect^io^{n o}^f^unif^o^rm^T^h^e^b^{ill w}^o^u^l^d^au^th^o^r^{ize th}^{e ap}^p^r^o^p^r^iatioⁿ^o^f
^a^ti^on^al^d^a^{ta: au}^th^ori^z^ati^oⁿ^s^u^ch^s^u^m^s^as^m^a^y^{be n}^eces^s^a^ry^{to carry}^ou^t
^p^r^op^ri^ati^oⁿ^s^th^e^collection^of^uⁿⁱ^f^o^rm^{data on}^elder^abu^s^e,
ⁿ^e^g^l^ect,^an^d^ex^ploitation^f^o^{r each}^of^F^Y^2007-
^F^Y^{2011. (p. 130)}
^f^co^nst^r^uctⁱ^oⁿ^No^p^r^o^v^isioⁿ^.^No^p^r^o^v^isioⁿ^.^T^h^e^b^ill^w^o^u^l^d^ad^d^th^{at n}^o^thⁱⁿ^gⁱⁿ^thⁱ^s^T^itle
^sh^{all b}^e^coⁿ^s^tr^u^e^d^toⁱⁿ^ter^f^er^e^w^ith^o^r^ab^rⁱ^d^g^e
^t^h^{e ri}^g^h^t^of^an^ol^{der i}ⁿ^di^vⁱ^du^al^t^o^practⁱ^{ce t}^h^e
ⁱⁿ^dⁱ^vi^d^u^a^l^{’s r}^e^lⁱ^gⁱ^o^{n t}^h^r^o^{ugh r}^e^lⁱ^a^nc^e^oⁿ
^pray^{er alon}^{e f}^o^{r h}^ealin^g^,ⁱⁿ^{a cas}^{e in}^w^h^ich^a
^d^ecisioⁿ^to^so^p^r^{actice th}^{e r}^e^lig^ioⁿ^—
ⁱ^s^con^t^em^poran^eou^s^ly^ex^pres^s^e^{d by}^t^h^e
^ol^{der i}ⁿ^di^vⁱ^du^al^—^ei^t^h^{er o}^r^a^l^l^y^{or i}ⁿ
^w^r^itin^g^w^ith^res^p^{ect to a s}^p^ecifⁱ^{c il}^lⁿ^e^s^s^or
ⁱⁿ^j^u^ry^th^{at th}^{e olde}^rⁱⁿ^dⁱ^vⁱ^du^{al h}^a^s^{at th}^e
^tim^{e of}^th^{e decis}ⁱ^on^{, an}^{d w}^h^en^th^{e o}^l^der

CRS-122
^PROVI^S^I^O^N^CURRE^NT^L^A^W^H^{.R. 5293, th}^{e S}^eⁿⁱ^{or I}ⁿ^d^e^p^eⁿ^d^eⁿ^c^e^S^.^{3570, Ol}^d^{er A}^m^eri^can^s^A^c^t
^A^c^{t of 2006, as}^p^a^s^s^e^d^b^y^th^{e Hou}^s^e,^Am^en^d^m^en^ts^{of 2006, as}^ord^ered
^Juⁿ^e^{21, 2006 (R}^FS⁾^repo^r^t^e^{d by}^t^h^{e Sena}^t^e^H^ELP^Co^m^mⁱ^t^t^ee,
^Juⁿ^e^{28, 2006 (I}^S⁾
ⁱⁿ^divⁱ^du^{al is}^com^p^eten^{t to m}^a^k^e^the
^decisⁱ^on^;
ⁱ^{s set f}^o^r^t^h^p^r^io^r^to^th^{e o}^ccu^r^r^en^c^e^o^f^th^e
^illn^ess^o^rⁱⁿ^j^u^r^yⁱⁿ^{a liv}ⁱⁿ^g^w^{ill, h}^ealth^car^e
^prox^y^,^or^ot^h^e^r^adv^aⁿ^{ce di}^rectⁱ^v^{e docu}^m^en^t
^th^{at is v}^a^lid^ly^e^x^ecu^ted^an^d^ap^p^lied^uⁿ^d^er
^s^t^{ate law}^;^or
^m^a^y^b^e^una^m^bⁱ^guo^usl^y^d^e^d^u^c^e^d^fr^o^m^t^h^e
^ol^{der i}ⁿ^di^vⁱ^du^al^’^s^lⁱ^f^{e h}ⁱ^s^t^ory^.^{(p. 130)}

ⁱ^{ki/CRS-RL33660}
^g/w
^s^.or
^le^ak
^://wiki
^h^ttp