Text: S.192 — 114th Congress (2015-2016)All Information (Except Text)

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Public Law No: 114-144 (04/19/2016)

 
[114th Congress Public Law 144]
[From the U.S. Government Publishing Office]



[[Page 333]]

             OLDER AMERICANS ACT REAUTHORIZATION ACT OF 2016

[[Page 130 STAT. 334]]

Public Law 114-144
114th Congress

                                 An Act


 
     To reauthorize the Older Americans Act of 1965, and for other 
             purposes. <<NOTE: Apr. 19, 2016 -  [S. 192]>> 

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled, <<NOTE: Older Americans 
Act Reauthorization Act of 2016.>> 
SECTION 1. <<NOTE: 42 USC 3001 note.>> SHORT TITLE.

    This Act may be cited as the ``Older Americans Act Reauthorization 
Act of 2016''.
SEC. 2. DEFINITIONS.

    Section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002) is 
amended--
            (1) by striking paragraph (1) and inserting the following:
            ``(1) The term `abuse' means the knowing infliction of 
        physical or psychological harm or the knowing deprivation of 
        goods or services that are necessary to meet essential needs or 
        to avoid physical or psychological harm.'';
            (2) by striking paragraph (3) and inserting the following:
            ``(3) The term `adult protective services' means such 
        services provided to adults as the Secretary may specify and 
        includes services such as--
                    ``(A) receiving reports of adult abuse, neglect, or 
                exploitation;
                    ``(B) investigating the reports described in 
                subparagraph (A);
                    ``(C) case planning, monitoring, evaluation, and 
                other casework and services; and
                    ``(D) providing, arranging for, or facilitating the 
                provision of medical, social service, economic, legal, 
                housing, law enforcement, or other protective, 
                emergency, or support services.'';
            (3) by striking paragraph (4) and inserting the following:
            ``(4) The term `Aging and Disability Resource Center' means 
        an entity, network, or consortium established by a State as part 
        of the State system of long-term care, to provide a coordinated 
        and integrated system for older individuals and individuals with 
        disabilities (as defined in section 3 of the Americans with 
        Disabilities Act of 1990 (42 U.S.C. 12102)), and the caregivers 
        of older individuals and individuals with disabilities, that 
        provides--
                    ``(A) comprehensive information on the full range of 
                available public and private long-term care programs, 
                options, service providers, and resources within a 
                community, including information on the availability of 
                integrated long-term care services, and Federal or State 
                programs

[[Page 130 STAT. 335]]

                that provide long-term care services and supports 
                through home and community-based service programs;
                    ``(B) person-centered counseling to assist 
                individuals in assessing their existing or anticipated 
                long-term care needs and goals, and developing and 
                implementing a person-centered plan for long-term care 
                that is consistent with the desires of such an 
                individual and designed to meet the individual's 
                specific needs, goals, and circumstances;
                    ``(C) access for individuals to the full range of 
                publicly-supported long-term care services and supports 
                for which the individuals may be eligible, including 
                home and community-based service options, by serving as 
                a convenient point of entry for such programs and 
                supports; and
                    ``(D) in cooperation with area agencies on aging, 
                centers for independent living described in part C of 
                title VII of the Rehabilitation Act of 1973 (29 U.S.C. 
                796f et seq.), and other community-based entities, 
                information and referrals regarding available home and 
                community-based services for individuals who are at risk 
                for residing in, or who reside in, institutional 
                settings, so that the individuals have the choice to 
                remain in or to return to the community.'';
            (4) in paragraph (14)(B), by inserting ``oral health,'' 
        after ``bone density,'';
            (5) by striking paragraph (17) and inserting the following:
            ``(17) The term `elder justice' means--
                    ``(A) from a societal perspective, efforts to--
                          ``(i) prevent, detect, treat, intervene in, 
                      and prosecute elder abuse, neglect, and 
                      exploitation; and
                          ``(ii) protect older individuals with 
                      diminished capacity while maximizing their 
                      autonomy; and
                    ``(B) from an individual perspective, the 
                recognition of an older individual's rights, including 
                the right to be free of abuse, neglect, and 
                exploitation.''; and
            (6) in paragraph (18)(A), by striking ``term `exploitation' 
        means'' and inserting ``terms `exploitation' and `financial 
        exploitation' mean''.
SEC. 3. ADMINISTRATION ON AGING.

    (a) Best Practices.--Section 201 of the Older Americans Act of 1965 
(42 U.S.C. 3011) is amended--
            (1) in subsection (d)(3)--
                    (A) in subparagraph (H), by striking ``202(a)(21)'' 
                and inserting ``202(a)(18)'';
                    (B) in subparagraph (K), by striking ``and'' at the 
                end;
                    (C) in subparagraph (L)--
                          (i) by striking ``Older Americans Act 
                      Amendments of 1992'' and inserting ``Older 
                      Americans Act Reauthorization Act of 2016''; and
                          (ii) by striking ``712(h)(4).'' and inserting 
                      ``712(h)(5); and''; and
                    (D) by adding at the end the following:
            ``(M) <<NOTE: Reports.>> collect and analyze best practices 
        related to responding to elder abuse, neglect, and exploitation 
        in long-term care facilities, and publish a report of such best 
        practices.''; and
            (2) in subsection (e)(2), in the matter preceding 
        subparagraph (A), by inserting ``, and in coordination with the 
        heads

[[Page 130 STAT. 336]]

        of State adult protective services programs and the Director of 
        the Office of Long-Term Care Ombudsman Programs'' after ``and 
        services''.

    (b) Training.--Section 202 of the Older Americans Act of 1965 (42 
U.S.C. 3012) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (5), by inserting ``health and 
                economic'' before ``needs of older individuals'';
                    (B) in paragraph (7), by inserting ``health and 
                economic'' before ``welfare'';
                    (C) in paragraph (14), by inserting ``(including the 
                Health Resources and Services Administration)'' after 
                ``other agencies'';
                    (D) in paragraph (27), by striking ``and'' at the 
                end;
                    (E) in paragraph (28), by striking the period and 
                inserting a semicolon; and
                    (F) by adding at the end the following:
            ``(29) provide information and technical assistance to 
        States, area agencies on aging, and service providers, in 
        collaboration with relevant Federal agencies, on providing 
        efficient, person-centered transportation services, including 
        across geographic boundaries;
            ``(30) identify model programs and provide information and 
        technical assistance to States, area agencies on aging, and 
        service providers (including providers operating multipurpose 
        senior centers), to support the modernization of multipurpose 
        senior centers; and
            ``(31) provide technical assistance to and share best 
        practices with States, area agencies on aging, and Aging and 
        Disability Resource Centers, on how to collaborate and 
        coordinate services with health care entities, such as 
        Federally-qualified health centers, as defined in section 
        1905(l)(2)(B) of the Social Security Act (42 U.S.C. 
        1396d(l)(2)(B)), in order to improve care coordination for 
        individuals with multiple chronic illnesses.'';
            (2) in subsection (b)--
                    (A) in paragraph (5)--
                          (i) in subparagraph (B), by striking ``and'' 
                      after the semicolon;
                          (ii) in subparagraph (C), by inserting ``and'' 
                      after the semicolon; and
                          (iii) by adding at the end the following:
                    ``(D) <<NOTE: Consultation.>> when feasible, 
                developing, in consultation with States and national 
                organizations, a consumer-friendly tool to assist older 
                individuals and their families in choosing home and 
                community-based services, with a particular focus on 
                ways for consumers to assess how providers protect the 
                health, safety, welfare, and rights, including the 
                rights provided under section 314, of older 
                individuals;'';
                    (B) in paragraph (8)--
                          (i) in subparagraph (B), by inserting ``to 
                      identify and articulate goals of care and'' after 
                      ``individuals'';
                          (ii) in subparagraph (D)--
                                    (I) by inserting ``respond to or'' 
                                before ``plan''; and
                                    (II) by striking ``future long-term 
                                care needs; and'' and inserting ``long-
                                term care needs;'';

[[Page 130 STAT. 337]]

                          (iii) in subparagraph (E), by adding ``and'' 
                      at the end; and
                          (iv) by adding at the end the following:
                    ``(F) to provide information and referrals regarding 
                available home and community-based services for 
                individuals who are at risk for residing in, or who 
                reside in, institutional settings, so that the 
                individuals have the choice to remain in or to return to 
                the community;''; and
            (3) by adding at the end the following:

    ``(g) The Assistant Secretary shall, as appropriate, ensure that 
programs authorized under this Act include appropriate training in the 
prevention of abuse, neglect, and exploitation and provision of services 
that address elder justice and the exploitation of older individuals.''.
    (c) Authorization of Appropriations.--Section 205 of the Older 
Americans Act of 1965 (42 U.S.C.3016) is amended by striking subsection 
(c).
    (d) Reports.--Section 207(a) of the Older Americans Act of 1965 (42 
U.S.C. 3018(a)) is amended--
            (1) in paragraph (2), by striking ``202(a)(19)'' and 
        inserting ``202(a)(16)''; and
            (2) in paragraph (4), by striking ``202(a)(17)'' and 
        inserting ``202(a)(14)''.

    (e) Authorization of Appropriations.--Section 216 of the Older 
Americans Act of 1965 (42 U.S.C. 3020f) is amended--
            (1) in subsection (a), by striking ``such sums'' and all 
        that follows through the period at the end, and inserting 
        ``$40,063,000 for each of the fiscal years 2017, 2018, and 
        2019.'';
            (2) by amending subsection (b) to read as follows:

    ``(b) There are authorized to be appropriated--
            ``(1) to carry out section 202(a)(21) (relating to the 
        National Eldercare Locator Service), $2,088,758 for fiscal year 
        2017, $2,132,440 for fiscal year 2018, and $2,176,121 for fiscal 
        year 2019;
            ``(2) to carry out section 215, $1,904,275 for fiscal year 
        2017, $1,944,099 for fiscal year 2018, and $1,983,922 for fiscal 
        year 2019;
            ``(3) to carry out section 202 (relating to Elder Rights 
        Support Activities under this title), $1,312,904 for fiscal year 
        2017, $1,340,361 for fiscal year 2018, and $1,367,817 for fiscal 
        year 2019; and
            ``(4) to carry out section 202(b) (relating to the Aging and 
        Disability Resource Centers), $6,271,399 for fiscal year 2017, 
        $6,402,551 for fiscal year 2018, and $6,533,703 for fiscal year 
        2019.''; and
            (3) by striking subsection (c).
SEC. 4. STATE AND COMMUNITY PROGRAMS ON AGING.

    (a) Authorization of Appropriations.--Section 303 of the Older 
Americans Act of 1965 (42 U.S.C. 3023) is amended--
            (1) in subsection (a)(1), by striking ``such sums'' and all 
        that follows through the period at the end, and inserting 
        ``$356,717,276 for fiscal year 2017, $364,456,847 for fiscal 
        year 2018, and $372,196,069 for fiscal year 2019.'';
            (2) in subsection (b)--
                    (A) in paragraph (1), by striking ``such sums'' and 
                all that follows through the period at the end, and 
                inserting

[[Page 130 STAT. 338]]

                ``$459,937,586 for fiscal year 2017, $469,916,692 for 
                fiscal year 2018, and $479,895,348 for fiscal year 
                2019.''; and
                    (B) in paragraph (2), by striking ``such sums'' and 
                all that follows through the period at the end, and 
                inserting ``$232,195,942 for fiscal year 2017, 
                $237,233,817 for fiscal year 2018, and $242,271,465 for 
                fiscal year 2019.'';
            (3) in subsection (d), by striking ``such sums'' and all 
        that follows through the period at the end, and inserting 
        ``$20,361,334 for fiscal year 2017, $20,803,107 for fiscal year 
        2018, and $21,244,860 for fiscal year 2019.'';
            (4) in subsection (e)--
                    (A) by striking ``(1)'' and all that follows through 
                ``(2)''; and
                    (B) by striking ``$166,500,000'' and all that 
                follows through the period at the end, and inserting 
                ``$154,336,482 for fiscal year 2017, $157,564,066 for 
                fiscal year 2018, and $160,791,658 for fiscal year 
                2019.''

    (b) Allotment.--Section 304 of the Older Americans Act of 1965 (42 
U.S.C. 3024) is amended--
            (1) in subsection (a)(3), by striking subparagraph (D) and 
        inserting the following:

    ``(D)(i) For each of fiscal years 2017 through 2019, no State shall 
be allotted an amount that is less than 99 percent of the amount 
allotted to such State for the previous fiscal year.
    ``(ii) For fiscal year 2020 and each subsequent fiscal year, no 
State shall be allotted an amount that is less than 100 percent of the 
amount allotted to such State for fiscal year 2019.''; and
            (2) in subsection (b), by striking ``subpart 1 of''.

    (c) Planning and Service Areas.--Section 305(b)(5)(C)(i)(III) of the 
Older Americans Act of 1965 (42 U.S.C. 3025(b)(5)(C)(i)(III)) is amended 
by striking ``planning and services areas'' and inserting ``planning and 
service areas''.
    (d) Area Plans.--Section 306 of the Older Americans Act of 1965 (42 
U.S.C. 3026) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (1), by striking ``establishment, 
                maintenance, or construction of multipurpose senior 
                centers,'' and inserting ``establishment, maintenance, 
                modernization, or construction of multipurpose senior 
                centers (including a plan to use the skills and services 
                of older individuals in paid and unpaid work, including 
                multigenerational and older individual to older 
                individual work),''; and
                    (B) in paragraph (6)--
                          (i) in subparagraph (G), by adding ``and'' at 
                      the end; and
                          (ii) by adding at the end the following:
                    ``(H) in coordination with the State agency and with 
                the State agency responsible for elder abuse prevention 
                services, increase public awareness of elder abuse, 
                neglect, and exploitation, and remove barriers to 
                education, prevention, investigation, and treatment of 
                elder abuse, neglect, and exploitation, as 
                appropriate;''; and
            (2) in subsection (b)(3)--
                    (A) in subparagraph (J), by striking ``and'' at the 
                end;
                    (B) by redesignating subparagraph (K) as 
                subparagraph (L); and

[[Page 130 STAT. 339]]

                    (C) by inserting after subparagraph (J) the 
                following:
                    ``(K) protection from elder abuse, neglect, and 
                exploitation; and''.

    (e) State Plans.--Section 307(a)(2)(A) of the Older Americans Act of 
1965 (42 U.S.C. 3027(a)(2)(A)) is amended by striking ``202(a)(29)'' and 
inserting ``202(a)(26)''.
    (f) Nutrition Services Incentive Program.--Section 311(e) of the 
Older Americans Act of 1965 (42 U.S.C. 3030a(e)) is amended by striking 
``such sums'' and all that follows through the period at the end, and 
inserting ``$164,055,664 for fiscal year 2017, $167,486,502 for fiscal 
year 2018, and $170,917,349 for fiscal year 2019.''.
    (g) Supportive Services.--Section 321 of the Older Americans Act of 
1965 (42 U.S.C. 3030d) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (1), by striking ``or referral 
                services'' and inserting ``referral, chronic condition 
                self-care management, or falls prevention services'';
                    (B) in paragraph (8), by striking ``(including'' and 
                all that follows and inserting the following: 
                ``(including mental and behavioral health screening and 
                falls prevention services screening) to detect or 
                prevent (or both) illnesses and injuries that occur most 
                frequently in older individuals;'' and
                    (C) in paragraph (15), by inserting before the 
                semicolon the following: ``, and screening for elder 
                abuse, neglect, and exploitation'';
            (2) in subsection (b)(1), by inserting ``or modernization'' 
        after ``construction'';
            (3) in subsection (c), by inserting before the period the 
        following: ``, and pursue opportunities for the development of 
        intergenerational shared site models for programs or projects, 
        consistent with the purposes of this Act''; and
            (4) by adding at the end the following:

    ``(e) <<NOTE: Definition.>> In this section, the term `adult child 
with a disability' means a child who--
            ``(1) is age 18 or older;
            ``(2) is financially dependent on an older individual who is 
        a parent of the child; and
            ``(3) has a disability.''.

    (h) Home Delivered Nutrition Services Program.--Section 336(1) of 
the Older Americans Act of 1965 (42 U.S.C. 3030f(1)) is amended by 
striking ``canned'' and all that follows through ``meals'' and inserting 
``canned, or fresh foods and, as appropriate, supplemental foods, and 
any additional meals''.
    (i) Nutrition Services.--Section 339 of the Older Americans Act of 
1965 (42 U.S.C. 3030g-21) is amended
            (1) in paragraph (1), by striking ``solicit'' and inserting 
        ``utilize''; and
            (2) in paragraph (2)--
                    (A) in subparagraph (J), by striking ``and'' at the 
                end;
                    (B) in subparagraph (K), by striking the period and 
                inserting ``, and''; and
                    (C) by adding at the end the following:

[[Page 130 STAT. 340]]

                    ``(L) where feasible, encourages the use of locally 
                grown foods in meal programs and identifies potential 
                partnerships and contracts with local producers and 
                providers of locally grown foods.''.

    (j) Evidence-Based Disease Prevention and Health Promotion Services 
Program.--Part D of title III of the Older Americans Act of 1965 (42 
U.S.C. 3030m et seq.) is amended--
            (1) in the part heading, by inserting ``Evidence-Based'' 
        before ``Disease''; and
            (2) in section 361(a), <<NOTE: 42 USC 3030m.>> by inserting 
        ``evidence-based'' after ``to provide''

    (k) Older Relative Caregivers.--
            (1) Technical amendment.--Part E of title III of the Older 
        Americans Act of 1965 (42 U.S.C. 3030s et seq.) is amended by 
        striking the subpart heading for subpart 1.
            (2) Definitions.--Section 372 of such Act (42 U.S.C. 3030s) 
        is amended--
                    (A) in subsection (a)--
                          (i) in paragraph (1), by striking ``or who is 
                      an individual with a disability''; and
                          (ii) by striking paragraph (2) and inserting 
                      the following:
            ``(2) Individual with a disability.--The term `individual 
        with a disability' means an individual with a disability, as 
        defined in section 3 of the Americans with Disabilities Act of 
        1990 (42 U.S.C. 12102), who is not less than age 18 and not more 
        than age 59.
            ``(3) Older relative caregiver.--The term `older relative 
        caregiver' means a caregiver who--
                    ``(A)(i) is age 55 or older; and
                    ``(ii) lives with, is the informal provider of in-
                home and community care to, and is the primary caregiver 
                for, a child or an individual with a disability;
                    ``(B) in the case of a caregiver for a child--
                          ``(i) is the grandparent, stepgrandparent, or 
                      other relative (other than the parent) by blood, 
                      marriage, or adoption, of the child;
                          ``(ii) is the primary caregiver of the child 
                      because the biological or adoptive parents are 
                      unable or unwilling to serve as the primary 
                      caregivers of the child; and
                          ``(iii) has a legal relationship to the child, 
                      such as legal custody, adoption, or guardianship, 
                      or is raising the child informally; and
                    ``(C) in the case of a caregiver for an individual 
                with a disability, is the parent, grandparent, or other 
                relative by blood, marriage, or adoption, of the 
                individual with a disability.''; and
                    (B) in subsection (b)--
                          (i) by striking ``subpart'' and all that 
                      follows through ``family caregivers'' and 
                      inserting ``part, for family caregivers'';
                          (ii) by striking ``; and'' and inserting a 
                      period; and
                          (iii) by striking paragraph (2).

[[Page 130 STAT. 341]]

    (l) National Family Caregiver Support Program.--Section 373 of the 
Older Americans Act of 1965 (42 U.S.C. 3030s-1) is amended--
            (1) in subsection (a)(2), by striking ``grandparents or 
        older individuals who are relative caregivers.'' and inserting 
        ``older relative caregivers.'';
            (2) in subsection (c)--
                    (A) in paragraph (1), in the matter preceding 
                subparagraph (A), by striking ``grandparents and older 
                individuals who are relative caregivers, and who'' and 
                inserting ``older relative caregivers, who''; and
                    (B) in paragraph (2)(B), by striking ``to older 
                individuals providing care to individuals with severe 
                disabilities, including children with severe 
                disabilities'' and inserting ``to older relative 
                caregivers of children with severe disabilities, or 
                individuals with disabilities who have severe 
                disabilities'';
            (3) in subsection (e)(3), by striking ``grandparents or 
        older individuals who are relative caregivers'' and inserting 
        ``older relative caregivers'';
            (4) in subsection (f)(1)(A), by striking ``for fiscal years 
        2007, 2008, 2009, 2010, and 2011'' and inserting ``for a fiscal 
        year''; and
            (5) in subsection (g)(2)(C), by striking ``grandparents and 
        older individuals who are relative caregivers of a child who is 
        not more than 18 years of age'' and inserting ``older relative 
        caregivers''.

    (m) Conforming Amendment.--Part E of title III <<NOTE: 42 USC 3030s-
3030s-2.>> is amended by striking ``this subpart'' each place it appears 
and inserting ``this part''.
SEC. 5. ACTIVITIES FOR HEALTH, INDEPENDENCE, AND LONGEVITY.

    (a) Grant Programs.--Section 411 of the Older Americans Act of 1965 
(42 U.S.C. 3032) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (12), by striking ``and'' at the 
                end;
                    (B) by redesignating paragraph (13) as paragraph 
                (14); and
                    (C) by inserting after paragraph (12) the following:
            ``(13) continuing support for program integrity initiatives 
        concerning the Medicare program under title XVIII of the Social 
        Security Act (42 U.S.C. 1395 et seq.) that train senior 
        volunteers to prevent and identify health care fraud and abuse; 
        and'';
            (2) in subsection (b), by striking ``out'' and all that 
        follows through the period at the end, and inserting the 
        following:

``out--
            ``(1) aging network support activities under this section, 
        $6,216,054 for fiscal year 2017, $6,346,048 for fiscal year 
        2018, and $6,476,043 for fiscal year 2019; and
            ``(2) elder rights support activities under this section, 
        $10,856,828 for fiscal year 2017, $11,083,873 for fiscal year 
        2018, and $11,310,919 for fiscal year 2019.''.

    (b) Native American Programs.--Section 418(b) of the Older Americans 
Act of 1965 (42 U.S.C. 3032g(b)) is amended by striking ``a national 
meeting to train'' and inserting ``national trainings for''.

[[Page 130 STAT. 342]]

    (c) Legal Assistance for Older Americans.--Section 420(c) of the 
Older Americans Act of 1965 (42 U.S.C. 3032i(c)) is amended by striking 
``national''.
    (d) Repeals.--Sections 415, 419, and 421 of the Older Americans Act 
of 1965 (42 U.S.C. 3032d, 3032h, 3032j) are repealed.
    (e) Conforming Amendment.--Section 417(a)(1)(A) of the Older 
Americans Act of 1965 (42 U.S.C. 3032f(a)(1)(A)) is amended by striking 
``grandparents and other older individuals who are relative caregivers'' 
and inserting ``older relative caregivers (as defined in section 372)''.
SEC. 6. AMENDMENTS TO COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT.

    (a) Older American Community Service Employment Program.--Section 
502 of the Community Service Senior Opportunities Act (42 U.S.C. 3056) 
is amended--
            (1) in subsection (b)(1)--
                    (A) in subparagraph (C)(ii), by striking 
                ``513(a)(2)(D)'' and inserting ``513(a)(2)(E)''; and
                    (B) in subparagraph (N)(i) by striking ``Workforce 
                Investment Act of 1998 (29 U.S.C. 2801 et seq.)'' and 
                inserting ``Workforce Innovation and Opportunity Act (29 
                U.S.C. 3101 et seq.)'';
            (2) in subsection (d)--
                    (A) by inserting ``and the local workforce 
                development board'' after ``service area''; and
                    (B) by striking ``and'' after ``State agency'' and 
                inserting ``, the local workforce development board, 
                and''; and
            (3) in subsection (e)(3), by inserting ``, with the State 
        workforce development board and local workforce development 
        board,'' after ``aging''.

    (b) Administration.--Section 503 of the Community Service Senior 
Opportunities Act (42 U.S.C. 3056a) is amended--
            (1) in subsection (a)--
                    (A) by redesignating paragraphs (6), (7), and (8) as 
                paragraphs (7), (8), and (9), respectively;
                    (B) in paragraph (3), by striking ``paragraph (7)'' 
                and inserting ``paragraph (8)'';
                    (C) in paragraph (4), by striking subparagraph (F) 
                and inserting the following:
                    ``(F) how the activities of grantees in the State 
                under this title will be coordinated with activities 
                carried out in the State under title I of the Workforce 
                Innovation and Opportunity Act (29 U.S.C. 3111 et seq.) 
                and other related programs (referred to in this 
                subparagraph as `WIOA and related activities'), and how 
                the State will reduce unnecessary duplication between 
                the activities carried out under this title and the WIOA 
                and related activities.''; and
                    (D) by inserting after paragraph (5) the following:
            ``(6) Combined state plan.--In lieu of the plan described in 
        paragraph (1), a State may develop and submit a combined State 
        plan in accordance with section 103 of the Workforce Innovation 
        and Opportunity Act (29 U.S.C. 
        3113). <<NOTE: Applicability.>> For a State that obtains 
        approval of such a combined State plan, that section 103 shall 
        apply in lieu of this subsection and a reference in any other 
        provision of this title (other than this subsection)

[[Page 130 STAT. 343]]

        to a State plan shall be considered to be a reference to that 
        combined State plan.''; and
            (2) in subsection (b)(2)(B)(i), by striking ``Workforce 
        Investment Act of 1998'' and inserting ``Workforce Innovation 
        and Opportunity Act''.

    (c) Coordination.--The heading of section 511 of the Community 
Service Senior Opportunities Act (42 U.S.C. 3056i) is amended by 
striking ``workforce investment act of 1998'' and inserting ``workforce 
innovation and opportunity act''.
    (d) Performance.--Section 513 of the Community Service Senior 
Opportunities Act (42 U.S.C. 3056k) is amended--
            (1) in subsection (a)--
                    (A) in the subsection heading, by striking ``and 
                Indicators'';
                    (B) in paragraph (1)--
                          (i) in the paragraph heading, by striking 
                      ``and indicators''; and
                          (ii) by striking ``and additional indicators 
                      of performance'' each place it appears;
                    (C) in paragraph (2)--
                          (i) in subparagraph (A)--
                                    (I) by striking ``(A)'' and all that 
                                follows through ``The'' and inserting 
                                ``(a) composition of measures.--The''; 
                                and
                                    (II) by striking clause (ii);
                          (ii) by striking subparagraph (B);
                          (iii) in subparagraph (C)--
                                    (I) by striking ``(C)'' and 
                                inserting ``(B)''; and
                                    (II) in the first sentence, by 
                                striking ``(A)(i)'' and inserting 
                                ``(A)''; and
                                    (III) by striking the second 
                                sentence; and
                          (iv) by striking subparagraphs (D) and (E) and 
                      inserting the following:
                    ``(C) Agreement on expected levels of performance.--
                          ``(i) First 2 years.--Each grantee shall reach 
                      agreement with the Secretary on levels of 
                      performance for each measure described in 
                      subparagraph (A)(i), for each of the first 2 
                      program years covered by the grant agreement. In 
                      reaching the agreement, the grantee and the 
                      Secretary shall take into account the expected 
                      levels proposed by the grantee and the factors 
                      described in subparagraph (D). The levels agreed 
                      to shall be considered to be the expected levels 
                      of performance for the grantee for such program 
                      years.
                          ``(ii) Third and fourth year.--Each grantee 
                      shall reach agreement with the Secretary, prior to 
                      the third program year covered by the grant 
                      agreement, on levels of performance for each 
                      measure described in subparagraph (A), for each of 
                      the third and fourth program years so covered. In 
                      reaching the agreement, the grantee and the 
                      Secretary shall take into account the expected 
                      levels proposed by the grantee and the factors 
                      described in subparagraph (D). The levels agreed 
                      to shall be considered to be the expected levels 
                      of performance for the grantee for such program 
                      years.

[[Page 130 STAT. 344]]

                    ``(D) Factors.--In reaching the agreements described 
                in subparagraph (B), each grantee and the Secretary 
                shall--
                          ``(i) take into account how the levels 
                      involved compare with the expected levels of 
                      performance established for other grantees;
                          ``(ii) ensure that the levels involved are 
                      adjusted, using an objective statistical model 
                      based on the model established by the Secretary in 
                      accordance with section 116(a)(3)(A)(viii)) of the 
                      Workforce Investment and Opportunity Act (29 
                      U.S.C. 3141(a)(3)(A)(viii)); and
                          ``(iii) take into account the extent to which 
                      the levels involved promote continuous improvement 
                      in performance accountability on the core measures 
                      and ensure optimal return on the investment of 
                      Federal funds.
                    ``(E) Adjustments based on economic conditions and 
                individuals served during the program year.--The 
                Secretary shall, in accordance with the objective 
                statistical model developed pursuant to subparagraph 
                (D)(ii), adjust the expected levels of performance for a 
                program year for grantees, to reflect the actual 
                economic conditions and characteristics of participants 
                in the corresponding projects during such program 
                year.''; and
                    (D) in paragraph (3), by striking ``and to report 
                information on the additional indicators of 
                performance'';
            (2) in subsection (b)--
                    (A) in paragraph (1)--
                          (i) in the matter preceding subparagraph (A), 
                      by striking ``(a)(2)(A)(i)'' and inserting 
                      ``(a)(2)(A)''; and
                          (ii) by striking subparagraphs (B) through (E) 
                      and inserting the following:
                    ``(B) the percentage of project participants who are 
                in unsubsidized employment during the second quarter 
                after exit from the project;
                    ``(C) the percentage of project participants who are 
                in unsubsidized employment during the fourth quarter 
                after exit from the project;
                    ``(D) the median earnings of project participants 
                who are in unsubsidized employment during the second 
                quarter after exit from the project;
                    ``(E) indicators of effectiveness in serving 
                employers, host agencies, and project participants; and
                    ``(F) the number of eligible individuals served, 
                including the number of participating individuals 
                described in subsection (a)(3)(B)(ii) or (b)(2) of 
                section 518.'';
                    (B) by striking paragraph (2);
                    (C) by redesignating paragraph (3) as paragraph (2); 
                and
                    (D) in paragraph (2), as so redesignated, by 
                striking ``paragraphs (1) and (2)'' and inserting 
                ``paragraph (1)'';
            (3) in subsection (c)--
                    (A) by striking ``shall--'' and all that follows 
                through ``annually evaluate'' and inserting ``shall 
                annually evaluate'';
                    (B) by striking ``(a)(2)(C)'' and inserting 
                ``(a)(2)(B)'';

[[Page 130 STAT. 345]]

                    (C) by striking ``(a)(2)(D)); and'' and inserting 
                ``(a)(2)(E)).''; and
                    (D) by striking paragraph (2);
            (4) in subsection (d)--
                    (A) in paragraph (1)--
                          (i) in subparagraph (A)--
                                    (I) by striking ``2007'' and 
                                inserting ``2016'';
                                    (II) in clause (i)--
                                            (aa) by striking 
                                        ``(a)(2)(C)'' and inserting 
                                        ``(a)(2)(B)'';
                                            (bb) by striking 
                                        ``(a)(2)(D)'' and inserting 
                                        ``(a)(2)(E)''; and
                                            (cc) by striking 
                                        ``described'' and all that 
                                        follows and inserting a period;
                                    (III) by striking clause (ii); and
                                    (IV) by striking ``2006'' and all 
                                that follows through ``(i) met'' and 
                                inserting ``2016, met''; and
                          (ii) in subparagraph (B)--
                                    (I) in clause (i), by striking 
                                ``(A)(i); or'' at the end and inserting 
                                ``(A),'';
                                    (II) by striking clause (ii);
                                    (III) by striking ``2006--'' and all 
                                that follows through ``(i) failed'' and 
                                inserting ``2016, failed''; and
                                    (IV) by striking ``and achieve the 
                                applicable percentage'';
                    (B) in paragraph (2)--
                          (i) in subparagraph (A)--
                                    (I) by striking ``(a)(2)(C)'' and 
                                inserting ``(a)(2)(B)''; and
                                    (II) by striking ``(a)(2)(D)'' and 
                                inserting ``(a)(2)(E)''; and
                          (ii) in subparagraph (B)(iii)--
                                    (I) by striking ``(beginning with 
                                program year 2007)''; and
                                    (II) by adding at the end the 
                                following:
                          ``(iv) Use of core indicators.--For purposes 
                      of assessing grantee performance under this 
                      subparagraph before program year 2017, the 
                      Secretary shall use the core indicators of 
                      performance in effect at the time of the award and 
                      the most recent corresponding expected levels of 
                      performance.'';
                    (C) in paragraph (3)--
                          (i) in subparagraph (A)--
                                    (I) by striking ``(a)(2)(C)'' and 
                                inserting ``(a)(2)(B)''; and
                                    (II) by striking ``(a)(2)(D)'' and 
                                inserting ``(a)(2)(E)''; and
                          (ii) in subparagraph (B)(iii), by striking 
                      ``(beginning with program year 2007)''; and
                    (D) by amending paragraph (4) to read as follows:
            ``(4) <<NOTE: Deadline.>> Special rule for implementation.--
        The Secretary shall implement the core measures of performance 
        described in this section not later than December 31, 2017.''; 
        and
            (5) by amending subsection (e) to read as follows:

    ``(e) <<NOTE: Effective date.>> Impact on Grant Competition.--
Effective on January 1, 2018, the Secretary may not publish a notice 
announcing a

[[Page 130 STAT. 346]]

grant competition under this title, or solicit proposals for grants, 
until the day on which the Secretary implements the core measures of 
performance.''.

    (e) Competitive Requirements.--Section 514(c)(4) of the Community 
Service Senior Opportunities Act (42 U.S.C. 3056l(c)(4)) is amended--
            (1) by striking ``and addressing additional indicators of 
        performance''; and
            (2) by striking ``and additional indicators of 
        performance''.

    (f) Authorization of Appropriations.--Section 517 of the Older 
Americans Act of 1965 (42 U.S.C. 3056o) is amended--
            (1) in subsection (a), by striking ``such sums'' and all 
        that follows through the period at the end, and inserting 
        ``$445,189,405 for fiscal year 2017, $454,499,494 for fiscal 
        year 2018, and $463,809,605 for fiscal year 2019.''; and
            (2) in subsection (b)--
                    (A) in the 1st sentence--
                          (i) by inserting ``Federal'' after ``available 
                      for''; and
                          (ii) by striking ``July'' and inserting 
                      ``April''; and
                    (B) by inserting after the 1st sentence the 
                following:

``Such amounts obligated to grantees shall be available for obligation 
and expenditure by grantees during the program year that begins on July 
1 of the calendar year immediately following the beginning of the fiscal 
year in which the amounts are appropriated and that ends on June 30 of 
the following calendar year.''.
    (g) Definitions.--Section 518(a) of the Community Service Senior 
Opportunities Act (42 U.S.C. 3056p(a)) is amended--
            (1) by redesignating paragraphs (5) through (8) as 
        paragraphs (6) through (9), respectively; and
            (2) by inserting after paragraph (4) the following:
            ``(5) <<NOTE: Definition.>> Local workforce development 
        board; state workforce development board.--The terms `local 
        workforce development board' and `State workforce development 
        board' have the meanings given the terms `local board' and 
        `State board', respectively, in section 3 of the Workforce 
        Innovation and Opportunity Act (29 U.S.C. 3102).''.
SEC. 7. GRANTS FOR NATIVE AMERICANS.

    Section 643 of the Older Americans Act of 1965 (42 U.S.C. 3057n) is 
amended--
            (1) in paragraph (1), by striking ``such sums'' and all that 
        follows through the semicolon, and inserting ``$31,934,018 for 
        fiscal year 2017, $32,601,843 for fiscal year 2018, and 
        $33,269,670 for fiscal year 2019;''; and
            (2) in paragraph (2), by striking ``such sums'' and all that 
        follows through the period at the end, and inserting 
        ``$7,718,566 for fiscal year 2017, $7,879,982 for fiscal year 
        2018, and $8,041,398 for fiscal year 2019.''.
SEC. 8. VULNERABLE ELDER RIGHTS PROTECTION ACTIVITIES.

    (a) Authorization of Appropriations.--Section 702 of the Older 
Americans Act of 1965 (42 U.S.C. 3058a) is amended--
            (1) in subsection (a), by striking ``such sums'' and all 
        that follows through the period at the end, and inserting 
        ``$16,280,630 for fiscal year 2017, $16,621,101 for fiscal year 
        2018, and $16,961,573 for fiscal year 2019.'';
            (2) by striking subsection (b) and inserting the following:

[[Page 130 STAT. 347]]

    ``(b) Other Programs.--There are authorized to be appropriated to 
carry out chapters 3 and 4, $4,891,876 for fiscal year 2017, $4,994,178 
for fiscal year 2018, and $5,096,480 for fiscal year 2019.''; and
            (3) by striking subsection (c).

    (b) Ombudsman Definitions.--Section 711(6) of the Older Americans 
Act of 1965 (42 U.S.C. 3058f(6)) is amended by striking ``older''.
    (c) Ombudsman Programs.--Section 712 of the Older Americans Act of 
1965 (42 U.S.C. 3058g) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (2), by adding at the end the 
                following: ``The Ombudsman shall be responsible for the 
                management, including the fiscal management, of the 
                Office.'';
                    (B) in paragraph (3)--
                          (i) in subparagraph (A), by striking clause 
                      (i) and inserting the following:
                          ``(i) are made by, or on behalf of, residents, 
                      including residents with limited or no 
                      decisionmaking capacity and who have no known 
                      legal representative, and if such a resident is 
                      unable to communicate consent for an Ombudsman to 
                      work on a complaint directly involving the 
                      resident, the Ombudsman shall seek evidence to 
                      indicate what outcome the resident would have 
                      communicated (and, in the absence of evidence to 
                      the contrary, shall assume that the resident 
                      wishes to have the resident's health, safety, 
                      welfare, and rights protected) and shall work to 
                      accomplish that outcome; and'';
                          (ii) in subparagraph (D), by striking 
                      ``regular and timely'' and inserting ``regular, 
                      timely, private, and unimpeded'';
                          (iii) in subparagraph (H)(iii)--
                                    (I) by inserting ``, actively 
                                encourage, and assist in'' after 
                                ``provide technical support for''; and
                                    (II) by striking ``and'' after the 
                                semicolon;
                          (iv) by redesignating subparagraph (I) as 
                      subparagraph (J); and
                          (v) by inserting after subparagraph (H) the 
                      following:
                    ``(I) when feasible, continue to carry out the 
                functions described in this section on behalf of 
                residents transitioning from a long-term care facility 
                to a home care setting; and'';
                    (C) in paragraph (5)(B)--
                          (i) in clause (vi)--
                                    (I) by inserting ``, actively 
                                encourage, and assist in'' after 
                                ``support''; and
                                    (II) by striking ``and'' after the 
                                semicolon;
                          (ii) by redesignating clause (vii) as clause 
                      (viii); and
                          (iii) by inserting after clause (vi) the 
                      following:
                          ``(vii) identify, investigate, and resolve 
                      complaints described in clause (iii) that are made 
                      by or on behalf of residents with limited or no 
                      decisionmaking capacity and who have no known 
                      legal representative, and if such a resident is 
                      unable to communicate consent for an Ombudsman to 
                      work on a complaint directly

[[Page 130 STAT. 348]]

                      involving the resident, the Ombudsman shall seek 
                      evidence to indicate what outcome the resident 
                      would have communicated (and, in the absence of 
                      evidence to the contrary, shall assume that the 
                      resident wishes to have the resident's health, 
                      safety, welfare, and rights protected) and shall 
                      work to accomplish that outcome; and'';
            (2) in subsection (b)--
                    (A) in paragraph (1)--
                          (i) in subparagraph (A), by striking 
                      ``access'' and inserting ``private and unimpeded 
                      access''; and
                          (ii) in subparagraph (B)--
                                    (I) in clause (i)--
                                            (aa) in the matter preceding 
                                        subclause (I), by striking ``the 
                                        medical and social records of 
                                        a'' and inserting ``all files, 
                                        records, and other information 
                                        concerning a''; and
                                            (bb) in subclause (II), by 
                                        striking ``to consent'' and 
                                        inserting ``to communicate 
                                        consent''; and
                                    (II) in clause (ii), in the matter 
                                before subclause (I), by striking ``the 
                                records'' and inserting ``the files, 
                                records, and information''; and
                    (B) by adding at the end the following:
            ``(3) Health oversight agency.--For purposes of section 
        264(c) of the Health Insurance Portability and Accountability 
        Act of 1996 (including regulations issued under that section) 
        (42 U.S.C. 1320d-2 note), the Ombudsman and a representative of 
        the Office shall be considered a `health oversight agency,' so 
        that release of residents' individually identifiable health 
        information to the Ombudsman or representative is not precluded 
        in cases in which the requirements of clause (i) or (ii) of 
        paragraph (1)(B), or the requirements of paragraph (1)(D), are 
        otherwise met.'';
            (3) in subsection (c)(2)(D), by striking ``202(a)(21)'' and 
        inserting ``202(a)(18)'';
            (4) in subsection (d)--
                    (A) in paragraph (1), by striking ``files'' and 
                inserting ``files, records, and other information''; and
                    (B) in paragraph (2)--
                          (i) in subparagraph (A)--
                                    (I) by striking ``files and 
                                records'' each place such term appears 
                                and inserting ``files, records, and 
                                other information''; and
                                    (II) by striking ``and'' after the 
                                semicolon;
                          (ii) in subparagraph (B)--
                                    (I) by striking ``files or records'' 
                                and inserting ``files, records, or other 
                                information''; and
                                    (II) in clause (iii), by striking 
                                the period at the end and inserting ``; 
                                and''; and
                          (iii) by adding at the end the following:
                    ``(C) notwithstanding subparagraph (B), ensure that 
                the Ombudsman may disclose information as needed in 
                order to best serve residents with limited or no 
                decisionmaking capacity who have no known legal 
                representative and are unable to communicate consent, in 
                order for the

[[Page 130 STAT. 349]]

                Ombudsman to carry out the functions and duties 
                described in paragraphs (3)(A) and (5)(B) of subsection 
                (a).''; and
            (5) by striking subsection (f) and inserting the following:

    ``(f) Conflict of Interest.--
            ``(1) Individual conflict of interest.--The State agency 
        shall--
                    ``(A) ensure that no individual, or member of the 
                immediate family of an individual, involved in the 
                designation of the Ombudsman (whether by appointment or 
                otherwise) or the designation of an entity designated 
                under subsection (a)(5), is subject to a conflict of 
                interest;
                    ``(B) ensure that no officer or employee of the 
                Office, representative of a local Ombudsman entity, or 
                member of the immediate family of the officer, employee, 
                or representative, is subject to a conflict of interest; 
                and
                    ``(C) ensure that the Ombudsman--
                          ``(i) does not have a direct involvement in 
                      the licensing or certification of a long-term care 
                      facility or of a provider of a long-term care 
                      service;
                          ``(ii) does not have an ownership or 
                      investment interest (represented by equity, debt, 
                      or other financial relationship) in a long-term 
                      care facility or a long-term care service;
                          ``(iii) is not employed by, or participating 
                      in the management of, a long-term care facility or 
                      a related organization, and has not been employed 
                      by such a facility or organization within 1 year 
                      before the date of the determination involved;
                          ``(iv) does not receive, or have the right to 
                      receive, directly or indirectly, remuneration (in 
                      cash or in kind) under a compensation arrangement 
                      with an owner or operator of a long-term care 
                      facility;
                          ``(v) does not have management responsibility 
                      for, or operate under the supervision of an 
                      individual with management responsibility for, 
                      adult protective services; and
                          ``(vi) does not serve as a guardian or in 
                      another fiduciary capacity for residents of long-
                      term care facilities in an official capacity (as 
                      opposed to serving as a guardian or fiduciary for 
                      a family member, in a personal capacity).
            ``(2) Organizational conflict of interest.--
                    ``(A) <<NOTE: Compliance.>> In general.--The State 
                agency shall comply with subparagraph (B)(i) in a case 
                in which the Office poses an organizational conflict of 
                interest, including a situation in which the Office is 
                placed in an organization that--
                          ``(i) is responsible for licensing, 
                      certifying, or surveying long-term care services 
                      in the State;
                          ``(ii) is an association (or an affiliate of 
                      such an association) of long-term care facilities, 
                      or of any other residential facilities for older 
                      individuals;
                          ``(iii) provides long-term care services, 
                      including programs carried out under a Medicaid 
                      waiver approved under section 1115 of the Social 
                      Security Act (42 U.S.C. 1315) or under subsection 
                      (b) or (c) of section 1915 of the Social Security 
                      Act (42 U.S.C. 1396n), or under a Medicaid State 
                      plan amendment

[[Page 130 STAT. 350]]

                      under subsection (i), (j), or (k) of section 1915 
                      of the Social Security Act (42 U.S.C. 1396n);
                          ``(iv) provides long-term care case 
                      management;
                          ``(v) sets rates for long-term care services;
                          ``(vi) provides adult protective services;
                          ``(vii) is responsible for eligibility 
                      determinations for the Medicaid program carried 
                      out under title XIX of the Social Security Act (42 
                      U.S.C. 1396 et seq.);
                          ``(viii) conducts preadmission screening for 
                      placements in facilities described in clause (ii); 
                      or
                          ``(ix) makes decisions regarding admission or 
                      discharge of individuals to or from such 
                      facilities.
                    ``(B) Identifying, removing, and remedying 
                organizational conflict.--
                          ``(i) In general.--The State agency may not 
                      operate the Office or carry out the program, 
                      directly, or by contract or other arrangement with 
                      any public agency or nonprofit private 
                      organization, in a case in which there is an 
                      organizational conflict of interest (within the 
                      meaning of subparagraph (A)) unless such conflict 
                      of interest has been--
                                    ``(I) identified by the State 
                                agency;
                                    ``(II) disclosed by the State agency 
                                to the Assistant Secretary in writing; 
                                and
                                    ``(III) remedied in accordance with 
                                this subparagraph.
                          ``(ii) Action by assistant secretary.--In a 
                      case in which a potential or actual organizational 
                      conflict of interest (within the meaning of 
                      subparagraph (A)) involving the Office is 
                      disclosed or reported to the Assistant Secretary 
                      by any person or entity, the Assistant Secretary 
                      shall require that the State agency, in accordance 
                      with the policies and procedures established by 
                      the State agency under subsection (a)(5)(D)(iii)--
                                    ``(I) remove the conflict; or
                                    ``(II) submit, and obtain the 
                                approval of the Assistant Secretary for, 
                                an adequate remedial plan that indicates 
                                how the Ombudsman will be unencumbered 
                                in fulfilling all of the functions 
                                specified in subsection (a)(3).''; and
            (6) in subsection (h)--
                    (A) in paragraph (3)(A)(i), by striking ``older'';
                    (B) in paragraph (4), by striking all that precedes 
                ``procedures'' and inserting the following:
            ``(4) strengthen and update'';
                    (C) by redesignating paragraphs (4) through (9) as 
                paragraphs (5) through (10), respectively;
                    (D) by inserting after paragraph (3) the following:
            ``(4) ensure that the Ombudsman or a designee participates 
        in training provided by the National Ombudsman Resource Center 
        established in section 202(a)(18);'';
                    (E) in paragraph (6)(A), as redesignated by 
                subparagraph (C) of this paragraph, by striking 
                ``paragraph (4)'' and inserting ``paragraph (5)'';
                    (F) in paragraph (7)(A), as redesignated by 
                subparagraph (C) of this paragraph, by striking 
                ``subtitle C of the'' and inserting ``subtitle C of 
                title I of the''; and

[[Page 130 STAT. 351]]

                    (G) in paragraph (10), as redesignated by 
                subparagraph (C) of this paragraph, by striking ``(6), 
                or (7)'' and inserting ``(7), or (8)''.

    (d) Ombudsman Regulations.--Section 713 of the Older Americans Act 
of 1965 (42 U.S.C. 3058h) is amended--
            (1) in paragraph (1), by striking ``paragraphs (1) and (2) 
        of section 712(f)'' and inserting ``subparagraphs (A) and (B) of 
        section 712(f)(1)''; and
            (2) in paragraph (2), by striking ``subparagraphs (A) 
        through (D) of section 712(f)(3)'' and inserting ``clauses (i) 
        through (vi) of section 712(f)(1)(C)''.

    (e) Prevention of Elder Abuse, Neglect, and Exploitation.--Section 
721 of the Older Americans Act of 1965 (42 U.S.C. 3058i) is amended--
            (1) in subsection (b)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``(including financial exploitation)'';
                    (B) by redesignating paragraphs (5) through (12) as 
                paragraphs (6) through (13), respectively;
                    (C) by inserting after paragraph (4) the following:
            ``(5) promoting the submission of data on elder abuse, 
        neglect, and exploitation for the appropriate database of the 
        Administration or another database specified by the Assistant 
        Secretary;'';
                    (D) in paragraph (10)(C), as redesignated by 
                subparagraph (B) of this paragraph--
                          (i) in clause (ii), by inserting ``, such as 
                      forensic specialists,'' after ``such personnel''; 
                      and
                          (ii) in clause (v), by inserting before the 
                      comma the following: ``, including programs and 
                      arrangements that protect against financial 
                      exploitation''; and
                    (E) in paragraph (12), as redesignated by 
                subparagraph (B) of this paragraph--
                          (i) in subparagraph (D), by striking ``and'' 
                      at the end; and
                          (ii) by adding at the end the following:
                    ``(F) supporting and studying innovative practices 
                in communities to develop partnerships across 
                disciplines for the prevention, investigation, and 
                prosecution of abuse, neglect, and exploitation; and''; 
                and
            (2) in subsection (e)(2), in the matter preceding 
        subparagraph (A)--
                    (A) by striking ``subsection (b)(9)(B)(i)'' and 
                inserting ``subsection (b)(10)(B)(i)''; and
                    (B) by striking ``subsection (b)(9)(B)(ii)'' and 
                inserting ``subsection (b)(10)(B)(ii)''.
SEC. 9. BEHAVIORAL HEALTH.

    The Older Americans Act of 1965 is amended--
            (1) in section 102 (42 U.S.C. 3002)--
                    (A) in paragraph (14)(G), by inserting ``and 
                behavioral'' after ``mental'';
                    (B) in paragraph (36), by inserting ``and 
                behavioral'' after ``mental''; and
                    (C) in paragraph (47)(B), by inserting ``and 
                behavioral'' after ``mental'';

[[Page 130 STAT. 352]]

            (2) in section 201(f)(1) (42 U.S.C. 3011(f)(1)), by 
        inserting ``and behavioral'' after ``mental'';
            (3) in section 202(a)(5) (42 U.S.C. 3012(a)(5)), by 
        inserting ``and behavioral'' after ``mental'';
            (4) in section 306(a) (42 U.S.C. 3026(a))--
                    (A) in paragraph (2)(A), by inserting ``and 
                behavioral'' after ``mental''; and
                    (B) in paragraph (6)(F), by striking ``mental health 
                services'' each place such term appears and inserting 
                ``mental and behavioral health services''; and
            (5) in section 321(a) (42 U.S.C. 3030d)--
                    (A) in paragraph (1), as amended by section 4(g), by 
                inserting ``and behavioral'' after ``mental'';
                    (B) in paragraph (14)(B), by inserting ``and 
                behavioral'' after ``mental''; and
                    (C) in paragraph (23), by inserting ``and 
                behavioral'' after ``mental''.
SEC. 10. <<NOTE: State governments. 42 USC 3001 note.>> GUIDANCE 
                      ON SERVING HOLOCAUST SURVIVORS.

    (a) <<NOTE: Applicability.>> In General.--Because the services under 
the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) are critical to 
meeting the urgent needs of Holocaust survivors to age in place with 
dignity, comfort, security, and quality of life, the Assistant Secretary 
for Aging shall issue guidance to States, that shall be applicable to 
States, area agencies on aging, and providers of services for older 
individuals, with respect to serving Holocaust survivors, including 
guidance on promising practices for conducting outreach to that 
population. <<NOTE: Consultation.>> In developing the guidance, the 
Assistant Secretary for Aging shall consult with experts and 
organizations serving Holocaust survivors, and shall take into account 
the possibility that the needs of Holocaust survivors may differ based 
on geography.

    (b) Contents.--The guidance shall include the following:
            (1) How nutrition service providers may meet the special 
        health-related or other dietary needs of participants in 
        programs under the Older Americans Act of 1965, including needs 
        based on religious, cultural, or ethnic requirements.
            (2) How transportation service providers may address the 
        urgent transportation needs of Holocaust survivors.
            (3) How State long-term care ombudsmen may address the 
        unique needs of residents of long-term care facilities for whom 
        institutional settings may produce sights, sounds, smells, 
        emotions, and routines, that can induce panic, anxiety, and 
        retraumatization as a result of experiences from the Holocaust.
            (4) How supportive services providers may consider the 
        unique needs of Holocaust survivors.
            (5) How other services provided under that Act, as 
        determined by the Assistant Secretary for Aging, may serve 
        Holocaust survivors.

[[Page 130 STAT. 353]]

    (c) <<NOTE: Deadline.>> Date of Issuance.--The guidance described in 
subsection (a) shall be issued not later than 180 days after the date of 
enactment of this Act.

    Approved April 19, 2016.

LEGISLATIVE HISTORY--S. 192:
---------------------------------------------------------------------------

CONGRESSIONAL RECORD:
                                                        Vol. 161 (2015):
                                    July 16, considered and passed 
                                        Senate.
                                                        Vol. 162 (2016):
                                    Mar. 21, considered and passed 
                                        House, amended.
                                    Apr. 7, Senate concurred in House 
                                        amendment.

                                  <all>