Sec. 102. Definitions
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Section 102 of the Older Americans Act of 1965 ( 42 U.S.C. 3002 ) is amended— by amending paragraph
(1)to read as follows: 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. ; by redesignating paragraphs
(4)through
(14)and
(15)through
(54)as paragraphs
(5)through
(15)and
(17)through (56), respectively; by inserting after paragraph
(3)the following: The term adult protective services means such services provided to adults as the Secretary may specify and includes services such as— receiving reports of adult abuse, neglect, or exploitation; investigating the reports described in subparagraph (A); case planning, monitoring, evaluation, and other case work and services; and providing, arranging for, or facilitating the provision of services, such as medical, social, economic, legal, housing, law enforcement, or other protective, emergency, or support services. ; in subparagraph (B)(i) of paragraph (12), as redesignated by paragraph
(2)of this subsection, by striking comprehensive and all that follows through psychological, and inserting comprehensive person-centered assessment of the older individual (including the physical, psychological, economic, ; in subparagraph
(C)of paragraph (15), as redesignated by paragraph
(1)of this subsection, by inserting , their family members, before and their primary ; by inserting after that paragraph
(15)the following: The term economic security means access to the assets, income, and community-based services necessary to provide for adequate and unsubsidized housing, health care, transportation, food and adequate nutrition, long-term care, and goods and services to meet other basic human needs. Such access shall be measured in a manner that shall be geographically based, and take into account an individual’s life circumstances. The term economic security and benefits counseling means a supportive service that provides, to an older individual, a comprehensive assessment of the Federal, State, and community benefits and services for which the individual qualifies, along with assistance in applying for and obtaining benefits and services. ; by amending paragraph (19), as redesignated by paragraph
(2)of this subsection, to read as follows: The term elder justice means— from a societal perspective, efforts to— prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation; and protect older individuals with diminished capacity while maximizing their autonomy; and from an individual perspective, the recognition of an older individual's rights, including the right to be free of abuse, neglect, and exploitation. ; in paragraph (20)(A), as redesignated by paragraph
(2)of this subsection, by striking The term and inserting exploitation means The terms ; exploitation and financial exploitation mean in paragraph (25), as redesignated by paragraph
(2)of this subsection, by striking at or below the poverty line. and inserting that is not more than 200 percent of the poverty line. ; by striking paragraph (26), as redesignated by paragraph
(2)of this subsection, and inserting the following: The term greatest social need means need caused by noneconomic factors— that— restrict the ability of an individual to perform normal daily tasks; or threaten the capacity of the individual to live independently; and which include— physical and mental disabilities; language barriers including limited English proficiency; cultural, social, or geographic isolation (such as residence in a rural area), including isolation caused by racial, minority, or ethnic status, or status as an LGBT individual; HIV-positive health status or Alzheimer's disease or a related disorder with neurological and organic brain dysfunction; greatest health service need, particularly a need posed by multiple chronic health conditions or a condition that places an individual at risk for falls; abuse, neglect (including self-neglect), or financial exploitation, including factors that are the basis of a referral to adult protective services; status as a veteran; and status as a Holocaust survivor. ; in paragraph (30), as redesignated by paragraph
(2)of this subsection— in subparagraph (C), by inserting , including opportunities for paid work and volunteer service in the community after available ; and in subparagraph (E)— in the matter preceding clause (i), by inserting , in a culturally and linguistically competent manner, before the entire community of older individuals ; and in clause (i), by inserting after social need the following: (with particular attention to individuals with factors listed in paragraph (26)(B)) ; in paragraph (31), as redesignated by paragraph
(2)of this subsection, by striking information and referral and inserting information and referral assistance ; in paragraph (35), as redesignated by paragraph
(2)of this subsection— by redesignating clauses
(i)and
(ii)of subparagraph
(B)as subclauses
(I)and (II), respectively, and aligning the margins of the subclauses with the margins of subclause
(I)of subparagraph (A)(i) of paragraph (34), as so redesignated; by redesignating subparagraphs
(A)and
(B)as clauses
(i)and (ii), respectively, and aligning the margins of the clauses with the margins of clause
(ii)of subparagraph
(A)of that paragraph (34); by inserting
(A)before The term ; and by adding at the end the following: The term integrated legal assistance delivery system means a collaboratively run, statewide network that is established to provide direct legal assistance, in the most efficient and impactful manner possible, targeted at older individuals with greatest economic need and older individuals with greatest social need (with particular attention to individuals with factors listed in paragraph (26)(B)), in coordination with the legal assistance developer for the State and all State, regional, and local service providers engaged in promoting or supporting elder rights. ; in paragraph (36), as redesignated by paragraph
(2)of this subsection— in subparagraph (A), by adding and at the end; in subparagraph (B), by striking ; and at the end and inserting a period; and by striking subparagraph (C); in paragraph (37), as redesignated by paragraph
(2)of this subsection, by striking sections 307(a)(12) and and inserting the activities carried out under section 307(a)(9) ; in paragraph (38), as redesignated by paragraph
(2)of this subsection, by inserting (including elder abuse and neglect screening) after educational services ; in paragraph (50)(B), as redesignated by paragraph
(2)of this subsection, by striking subparagraphs
(A)through
(G)of paragraph
(8)and inserting subparagraphs
(A)through
(I)of paragraph
(14); and by adding at the end the following: The term care coordination means a person- and family-centered, assessment-based, and interdisciplinary approach, to meet the needs and preferences of an older individual and a family caregiver while enhancing the capabilities of the older individual (including the ability to self-direct services), that integrates health care, long-term services and supports, and social services in a high-quality and cost-effective manner. The term cultural and linguistic competence means competence in a set of behaviors, attitudes, and policies that is— used by an organization or among professionals; and enables effective work in cross-cultural situations. The term family caregiver means an adult family member, or another individual, who is an informal provider of in-home and community care to an older individual or to an individual with Alzheimer's disease or a related disorder with neurological and organic brain dysfunction. The term Holocaust survivor means an individual who— lived in or fled from, between 1933 and 1945, a country under a Nazi regime, under Nazi occupation, or under the control of Nazi collaborators; was persecuted between 1933 and 1945 on the basis of race, religion, physical or mental disability, sexual orientation, political affiliation, ethnicity, or other basis; and was a member of a group that was persecuted by the Nazis. The term LGBT , used with respect to an individual, means a lesbian, gay, bisexual, or transgender individual. The term person-centered , used with respect to a service for an individual, means a service provided with an approach designed to ensure that an outcome reflects the needs, preferences, and situations of the individual. The term veteran has the meaning given the term in section 101 of title 38, United States Code. . Section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002), as redesignated by subsection (a)(2), is amended— in paragraph (39)(A), by striking as defined in paragraph
(5)and inserting as defined in paragraph
(28); in paragraph (40), by striking (as defined in paragraph (18)(B)) and inserting (as defined in paragraph (20)(B)) ; and in paragraph (48)(D), by striking (as defined in paragraph (18)(B)) and inserting (as defined in paragraph (20)(B)) .
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