Title 42 — The Public Health and Welfare

Chapter 35 — Programs for Older Americans

§ 3002. Definitions

Statutory text

For the purposes of this chapter—

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.

The term “Administration” means the Administration on Aging.

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 casework and services; and

providing, arranging for, or facilitating the provision of medical, social service, economic, legal, housing, law enforcement, or other protective, emergency, or support services.

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 12102 of this title), and the caregivers of older individuals and individuals with disabilities, that provides, in collaboration with (as appropriate) area agencies on aging, centers for independent living (as described in part C of chapter 1 of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.)), and other aging or disability entities—

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 that provide long-term care services and supports through home and community-based service programs;

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 services, supports, and care that is consistent with the desires and choices of such an individual and designed to meet the individual’s specific needs, goals, and circumstances;

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

in cooperation with area agencies on aging, centers for independent living described in part C of chapter 1 of title VII of the Rehabilitation Act of 1973, and other community-based entities, including other aging or disability 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.

The term “aging network” means the network of—

State agencies, area agencies on aging, title VI [subchapter X of this chapter] grantees, and the Administration; and

organizations that—

are providers of direct services to older individuals; or

are institutions of higher education; and

receive funding under this chapter.

The term “area agency on aging” means an area agency on aging designated under section 3025(a)(2)(A) of this title or a State agency performing the functions of an area agency on aging under section 3025(b)(5) of this title.

The term “Assistant Secretary” means the Assistant Secretary for Aging.

The term “assistive device” includes an assistive technology device.

The terms “assistive technology”, “assistive technology device”, and “assistive technology service” have the meanings given such terms in section 3002 of title 29.

The term “State assistive technology entity” means the agency, office, or other entity designated under subsection (c)(1) of section 3003 of title 29 to carry out State activities under such section.

The term “at risk for institutional placement” means, with respect to an older individual, that such individual is unable to perform at least 2 activities of daily living without substantial assistance (including verbal reminding, physical cuing, or supervision) and is determined by the State involved to be in need of placement in a long-term care facility.

The term “board and care facility” means an institution regulated by a State pursuant to section 1382e(e) of this title.

The term “case management service”—

means a service provided to an older individual, at the direction of the older individual or a family member of the individual—

by an individual who is trained or experienced in the case management skills that are required to deliver the services and coordination described in subparagraph (B); and

to assess the needs, and to arrange, coordinate, and monitor an optimum package of services to meet the needs, of the older individual; and

includes services and coordination such as—

comprehensive assessment of the older individual (including the physical, psychological, and social needs of the individual);

development and implementation of a service plan with the older individual to mobilize the formal and informal resources and services identified in the assessment to meet the needs of the older individual, including coordination of the resources and services—

with any other plans that exist for various formal services, such as hospital discharge plans; and

with the information and assistance services provided under this chapter;

coordination and monitoring of formal and informal service delivery, including coordination and monitoring to ensure that services specified in the plan are being provided;

periodic reassessment and revision of the status of the older individual with—

the older individual; or

if necessary, a primary caregiver or family member of the older individual; and

in accordance with the wishes of the older individual, advocacy on behalf of the older individual for needed services or resources.

The term “civic engagement” means an individual or collective action designed to address a public concern or an unmet human, educational, health care, environmental, or public safety need.

The term “disability” means (except when such term is used in the phrase “severe disability”, “developmental disabilities”, “physical or mental disability”, “physical and mental disabilities”, or “physical disabilities”) a disability attributable to mental or physical impairment, or a combination of mental and physical impairments, that results in substantial functional limitations in 1 or more of the following areas of major life activity: (A) self-care, (B) receptive and expressive language, (C) learning, (D) mobility, (E) self-direction, (F) capacity for independent living, (G) economic self-sufficiency, (H) cognitive functioning, and (I) emotional adjustment.

The term “disease prevention and health promotion services” means—

health risk assessments;

routine health screening, which may include hypertension, glaucoma, cholesterol, cancer, vision, hearing, diabetes, bone density, oral health, immunization status, and nutrition screening (including screening for malnutrition);

nutritional counseling and educational services for individuals and their primary caregivers;

evidence-based health promotion programs, including programs related to the prevention and mitigation of the effects of chronic disease (including osteoporosis, hypertension, obesity, diabetes, and cardiovascular disease), infectious disease, and vaccine-preventable disease, prevention of sexually transmitted diseases, as well as alcohol and substance abuse reduction, chronic pain management, smoking cessation, weight loss and control, stress management, falls prevention, physical activity, and improved nutrition;

programs regarding physical fitness, group exercise, and music therapy, art therapy, and dance-movement therapy, including programs for multigenerational participation that are provided by—

an institution of higher education;

a local educational agency, as defined in section 8801 1 of title 20; or

a community-based organization;

home injury control services, including screening of high-risk home environments and provision of educational programs on injury prevention (including fall and fracture prevention) in the home environment;

screening for the prevention of depression and screening for suicide risk, coordination of community mental and behavioral health services, provision of educational activities, and referral to psychiatric and psychological services;

screening for fall-related traumatic brain injury and other fall-related injuries, coordination of treatment, rehabilitation and related services, and referral services related to such injury or injuries;

educational programs on the availability, benefits, and appropriate use of preventive health services covered under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.);

medication management screening and education to prevent incorrect medication and adverse drug reactions;

information concerning diagnosis, prevention, treatment, and rehabilitation concerning age-related diseases and chronic disabling conditions, including osteoporosis, cardiovascular diseases, diabetes, and Alzheimer’s disease and related disorders with neurological and organic brain dysfunction;

services that are a part of responses to a public health emergency or emerging health threat;

gerontological counseling;

screening for the prevention of negative health effects associated with social isolation and coordination of supportive services and health care to address negative health effects associated with social isolation; and

counseling regarding social services and followup health services based on any of the services described in subparagraphs (A) through (N).

The term shall not include services for which payment may be made under titles XVIII and XIX of the Social Security Act (42 U.S.C. 1395 et seq., 1396 et seq.).

The term “elder abuse” means abuse of an older individual.

The term “elder abuse, neglect, and exploitation” means abuse, neglect, and exploitation, of an older individual.

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.

The terms “exploitation” and “financial exploitation” mean the fraudulent or otherwise illegal, unauthorized, or improper act or process of an individual, including a caregiver or fiduciary, that uses the resources of an older individual for monetary or personal benefit, profit, or gain, or that results in depriving an older individual of rightful access to, or use of, benefits, resources, belongings, or assets.

In subparagraph (A), the term “caregiver” means an individual who has the responsibility for the care of an older individual, either voluntarily, by contract, by receipt of payment for care, or as a result of the operation of law and means a family member or other individual who provides (on behalf of such individual or of a public or private agency, organization, or institution) compensated or uncompensated care to an older individual.

The term “family violence” has the same meaning given the term in the Family Violence Prevention and Services Act [42 U.S.C. 10401 et seq.].

The term “fiduciary”—

means a person or entity with the legal responsibility—

to make decisions on behalf of and for the benefit of another person; and

to act in good faith and with fairness; and

includes a trustee, a guardian, a conservator, an executor, an agent under a financial power of attorney or health care power of attorney, or a representative payee.

The term “focal point” means a facility established to encourage the maximum collocation and coordination of services for older individuals.

The term “frail” means, with respect to an older individual in a State, that the older individual is determined to be functionally impaired because the individual—

is unable to perform at least two activities of daily living without substantial human assistance, including verbal reminding, physical cueing, or supervision; or

at the option of the State, is unable to perform at least three such activities without such assistance; or

due to a cognitive or other mental impairment, requires substantial supervision because the individual behaves in a manner that poses a serious health or safety hazard to the individual or to another individual.

The term “greatest economic need” means the need resulting from an income level at or below the poverty line.

The term “greatest social need” means the need caused by noneconomic factors, which include—

physical and mental disabilities;

language barriers; and

cultural, social, or geographical isolation, including isolation caused by racial or ethnic status, that—

restricts the ability of an individual to perform normal daily tasks; or

threatens the capacity of the individual to live independently.

The term “Hispanic-serving institution” has the meaning given the term in section 1101a of title 20.

The term “Indian” means a person who is a member of an Indian tribe.

Except for the purposes of subchapter X of this chapter, the term “Indian tribe” means any tribe, band, nation, or other organized group or community of Indians (including any Alaska Native village or regional or village corporation as defined in or established pursuant to the Alaska Native Claims Settlement Act (Public Law 92–203; 85 Stat. 688) [43 U.S.C. 1601 et seq.]) which (A) is recognized as eligible for the special programs and services provided by the United States to Indians because of their status as Indians; or (B) is located on, or in proximity to, a Federal or State reservation or rancheria.

The term “information and assistance service” means a service for older individuals that—

provides the individuals with current information on opportunities and services available to the individuals within their communities, including information relating to assistive technology;

assesses the problems and capacities of the individuals;

links the individuals to the opportunities and services that are available;

to the maximum extent practicable, ensures that the individuals receive the services needed by the individuals, and are aware of the opportunities available to the individuals, by establishing adequate followup procedures; and

serves the entire community of older individuals, particularly—

older individuals with greatest social need;

older individuals with greatest economic need; and

older individuals at risk for institutional placement.

The term “information and referral” includes information relating to assistive technology.

The term “in-home services” includes—

services of homemakers and home health aides;

visiting and telephone reassurance;

chore maintenance;

in-home respite care for families, and adult day care as a respite service for families;

minor modification of homes that is necessary to facilitate the ability of older individuals to remain at home and that is not available under another program (other than a program carried out under this chapter);

personal care services; and

other in-home services as defined—

by the State agency in the State plan submitted in accordance with section 3027 of this title; and

by the area agency on aging in the area plan submitted in accordance with section 3026 of this title.

The term “institution of higher education” has the meaning given the term in section 1001 of title 20.

The term “integrated long-term care”—

means items and services that consist of—

with respect to long-term care—

long-term care items or services provided under a State plan for medical assistance under the Medicaid program established under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.), including nursing facility services, home and community-based services, personal care services, and case management services provided under the plan; and

any other supports, items, or services that are available under any federally funded long-term care program; and

with respect to other health care, items and services covered under—

the Medicare program established under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.);

the State plan for medical assistance under the Medicaid program; or

any other federally funded health care program; and

includes items or services described in subparagraph (A) that are provided under a public or private managed care plan or through any other service provider.

The term “legal assistance”—

means legal advice and representation provided by an attorney to older individuals with economic or social needs; and

includes—

to the extent feasible, counseling or other appropriate assistance by a paralegal or law student under the direct supervision of an attorney; and

counseling or representation by a nonlawyer where permitted by law.

The term “long-term care” means any service, care, or item (including an assistive device), including a disease prevention and health promotion service, an in-home service, and a case management service—

intended to assist individuals in coping with, and to the extent practicable compensate for, a functional impairment in carrying out activities of daily living;

furnished at home, in a community care setting (including a small community care setting as defined in subsection (g)(1), and a large community care setting as defined in subsection (h)(1), of section 1929 of the Social Security Act (42 U.S.C. 1396t)), or in a long-term care facility; and

not furnished to prevent, diagnose, treat, or cure a medical disease or condition.

The term “long-term care facility” means—

any skilled nursing facility, as defined in section 1819(a) of the Social Security Act (42 U.S.C. 1395i–3(a));

any nursing facility, as defined in section 1919(a) of the Social Security Act (42 U.S.C. 1396r(a));

a board and care facility; and

any other adult care home, including an assisted living facility, similar to a facility or institution described in subparagraphs (A) through (C).

The term “multipurpose senior center” means a community facility for the organization and provision of a broad spectrum of services, which shall include provision of health (including mental and behavioral health), social, nutritional, and educational services and the provision of facilities for recreational activities for older individuals.

The term “Native American” means—

an Indian as defined in paragraph (26); and

a Native Hawaiian, as defined in section 3057k of this title.

The term “neglect” means—

the failure of a caregiver (as defined in paragraph (18)(B)) or fiduciary to provide the goods or services that are necessary to maintain the health or safety of an older individual; or

self-neglect.

The term “nonprofit” as applied to any agency, institution, or organization means an agency, institution, or organization which is, or is owned and operated by, one or more corporations or associations no part of the net earnings of which inures, or may lawfully inure, to the benefit of any private shareholder or individual.

The term “older individual” means an individual who is 60 years of age or older.

The term “person-centered, trauma-informed”, with respect to services, means services provided through an aging program that—

use a holistic approach to providing services or care;

promote the dignity, strength, and empowerment of victims of trauma; and

incorporate evidence-based practices based on knowledge about the role of trauma in trauma victims’ lives.

The term “physical harm” means bodily injury, impairment, or disease.

The term “planning and service area” means an area designated by a State agency under section 3025(a)(1)(E) of this title, including a single planning and service area described in section 3025(b)(5)(A) of this title.

The term “poverty line” means the official poverty line (as defined by the Office of Management and Budget, and adjusted by the Secretary in accordance with section 9902(2) of this title.2

The term “representative payee” means a person who is appointed by a governmental entity to receive, on behalf of an older individual who is unable to manage funds by reason of a physical or mental incapacity, any funds owed to such individual by such entity.

The term “Secretary” means the Secretary of Health and Human Services, except that for purposes of subchapter IX such term means the Secretary of Labor.

The term “self-directed care” means an approach to providing services (including programs, benefits, supports, and technology) under this chapter intended to assist an individual with activities of daily living, in which—

such services (including the amount, duration, scope, provider, and location of such services) are planned, budgeted, and purchased under the direction and control of such individual;

such individual is provided with such information and assistance as are necessary and appropriate to enable such individual to make informed decisions about the individual’s care options;

the needs, capabilities, and preferences of such individual with respect to such services, and such individual’s ability to direct and control the individual’s receipt of such services, are assessed by the area agency on aging (or other agency designated by the area agency on aging) involved;

based on the assessment made under subparagraph (C), the area agency on aging (or other agency designated by the area agency on aging) develops together with such individual and the individual’s family, caregiver (as defined in paragraph (18)(B)), or legal representative—

a plan of services for such individual that specifies which services such individual will be responsible for directing;

a determination of the role of family members (and others whose participation is sought by such individual) in providing services under such plan; and

a budget for such services; and

the area agency on aging or State agency provides for oversight of such individual’s self-directed receipt of services, including steps to ensure the quality of services provided and the appropriate use of funds under this chapter.

The term “self-neglect” means an adult’s inability, due to physical or mental impairment or diminished capacity, to perform essential self-care tasks including—

obtaining essential food, clothing, shelter, and medical care;

obtaining goods and services necessary to maintain physical health, mental and behavioral health, or general safety; or

managing one’s own financial affairs.

The term “severe disability” means a severe, chronic disability attributable to mental or physical impairment, or a combination of mental and physical impairments, that—

is likely to continue indefinitely; and

results in substantial functional limitation in 3 or more of the major life activities specified in subparagraphs (A) through (G) of paragraph (8).3

The term “sexual assault” has the meaning given the term in section 10447 of title 34.¹

The term “State” means any of the several States, the District of Columbia, the Virgin Islands of the United States, the Commonwealth of Puerto Rico, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands.

The term “State agency” means the agency designated under section 3025(a)(1) of this title.

The term “State system of long-term care” means the Federal, State, and local programs and activities administered by a State that provide, support, or facilitate access to long-term care for individuals in such State.

The term “supportive service” means a service described in section 3030d(a) of this title.

The term “traumatic brain injury” has the meaning given such term in section 280b–1c(d) of this title.

Except for the purposes of subchapter X of this chapter, the term “tribal organization” means the recognized governing body of any Indian tribe, or any legally established organization of Indians which is controlled, sanctioned, or chartered by such governing body. In any case in which a contract is let or grant made to an organization to perform services benefiting more than one Indian tribe, the approval of each such Indian tribe shall be a prerequisite to the letting or making of such contract or grant.

Footnotes

1 See References in Text note below.
2 So in original. A closing parenthesis probably should follow “this title”.
3 So in original. Probably should refer to paragraph (13).

Legislative history

Reconstructed from this section’s Code source credit and amendment notes, resolved against the local Statutes at Large. Editorial notes are evidence, not the law that made the change.

1965
Older Americans Act of 1965
Pub. L. 89–73 title I § 102 · 79 Stat. 218
Enacted · 42 U.S.C. § 3002
Pub. L. 89–73, title I, § 102, July 14, 1965, 79 Stat. 219
Source evidence
Code source credit
Pub. L. 89–73, title I, § 102, July 14, 1965, 79 Stat. 219
Enacted provision · exact public law section
Sec. 102. definitions For the purposes of this Act— (1) The term “Secretary” means the Secretary of Health, Education, and Welfare; (2) The term “Commissioner” means the Commissioner of the Administration on Aging. (3) The term “State” includes the District of Columbia, the Virgin Islands, Puerto Rico, Guam, and American Samoa. (4) The term “nonprofit institution or organization” means an institution or organization which is owned and operated by one or more corporations or associations no part of the net earnings of which inures, or may lawfully inure, to the benefit of any private shareholder or individual.
1967
Older Americans Act Amendments of 1967
Pub. L. 90–42 § 5(a)(1) · 81 Stat. 106
Inserted · 42 U.S.C. § 3002(2)
Pub. L. 90–42, § 5(a)(1), inserted “, unless the context otherwise requires,” after “means”
Source evidence
Code amendment note
Par. (2). Pub. L. 90–42, § 5(a)(1), inserted “, unless the context otherwise requires,” after “means”.
Enacted provision · exact public law section
(1) Paragraph (2) of section 102 of the Older Americans Definitions. Act of 1965 (42 U.S.C. 3002) is amended by inserting unless the context otherwise requires,” after “means”.
1967
Older Americans Act Amendments of 1967
Pub. L. 90–42 § 5(a)(2) · 81 Stat. 106
Changed · 42 U.S.C. § 3002(4)
Pub. L. 90–42, § 5(a)(2), enlarged term nonprofit institution or organization to include nonprofit agencies
Source evidence
Code amendment note
Par. (4). Pub. L. 90–42, § 5(a)(2), enlarged term nonprofit institution or organization to include nonprofit agencies.
Enacted provision · exact public law section
(2) Paragraph (4) of such section 102 is amended by striking out “The term nonprofit institution or organization’ means an institution or organization which is owned and operated by” and inserting in lieu thereof “The term ‘nonprofit’ as applied to any agency, institution, or organization means an agency, institution, or organization which is, or is owned and operated by,”.
1969
Older Americans Act Amendments of 1969
Pub. L. 91–69 § 10(a) · 83 Stat. 108
Changed · 42 U.S.C. § 3002(3)
Pub. L. 91–69 enlarged term “State” to include the Trust Territory of the Pacific Islands
Source evidence
Code amendment note
Par. (3). Pub. L. 91–69 enlarged term “State” to include the Trust Territory of the Pacific Islands.
Enacted provision · exact public law section
(a) Section 102(3) of the Older Americans Act of 1965 79 Stat. 219. (42 U.S.C. 3002) is amended by striking “and American Samoa” and inserting in lieu thereof, “American Samoa, and the Trust Territory of the Pacific Islands”.
1975
Older Americans Amendments of 1975
Pub. L. 94–135 § 114(a) · 89 Stat. 713
Substituted · 42 U.S.C. § 3002(1)
Pub. L. 94–135, § 114(a), substituted a period for the semicolon
Source evidence
Code amendment note
Par. (1). Pub. L. 94–135, § 114(a), substituted a period for the semicolon.
Enacted provision · exact public law section
(a) Section 102(1) of the Act (42 U.S.C. 3002(1)) is amended by striking out the semicolon at the end thereof and inserting in lieu thereof a period.
1975
Older Americans Amendments of 1975
Pub. L. 94–135 § 104(b) · 89 Stat. 713
Added · 42 U.S.C. § 3002(4)(6)
Pub. L. 94–135, § 104(b), added pars. (4) to (6)
Source evidence
Code amendment note
Pars. (4) to (6). Pub. L. 94–135, § 104(b), added pars. (4) to (6).
Enacted provision · exact public law section
(b) Section 102 of the. Act (42 U.S.C. 3002) is amended by adding at the end thereof the following new paragraphs: “(4) The term ‘Indian’ means a person who is a member of an Indian tribe. “(5) The term ‘Indian tribe’ means any tribe, band, nation, or other organized group or community of Indians (including any Alaska Native village or regional or village corporation as defined in or established pursuant to the Alaska Native Claims Settlement Act (Public 43 USC 1602. Law 92–203; 85 Stat. 688)) which (A) is recognized as eligible for the special programs and services provided by the United States to Indians because of their status as Indians: or (B) is located on, or in proximity to, a Federal or State reservation or rancheria. “(6) The term ‘tribal organization’ means the recognized governing body of any Indian tribe, or any legally established organization or Indians which is controlled, sanctioned, or chartered by such governing body. In any case in which a contract is let or grant made to an organization to perform services benefiting more than one Indian tribe, the approval of each such Indian tribe shall be a prerequisite to the letting or making of such contract or grant.”.
1978
Comprehensive Older Americans Act Amendments of 1978
Pub. L. 95–478 § 503(a)(1) · 92 Stat. 1513
Inserted · 42 U.S.C. § 3002(1)
Pub. L. 95–478, § 503(a)(1), inserted “, other than for purposes of subchapter IX”
Source evidence
Code amendment note
Par. (1). Pub. L. 95–478, § 503(a)(1), inserted “, other than for purposes of subchapter IX”.
Enacted provision · exact public law section
(1) Section 102(1) is amended by inserting “, other 42 USC 3002. than for purposes of title V” before the period at the end thereof.
1978
Comprehensive Older Americans Act Amendments of 1978
Pub. L. 95–478 § 503(a)(2) · 92 Stat. 1513
1. Redesignated · 42 U.S.C. § 3002(4)(7)
  Pub. L. 95–478, § 503(a)(2), redesignated second par. (4), which was enacted by Pub. L. 94–135, § 104(b), as par. (5)
2. Redesignated · 42 U.S.C. § 3002(4)(7)
  Pub. L. 95–478, § 503(a)(2), redesignated existing pars. (5) and (6) as (6) and (7), respectively
Source evidence
Code amendment note
Pars. (4) to (7). Pub. L. 95–478, § 503(a)(2), redesignated second par. (4), which was enacted by Pub. L. 94–135, § 104(b), as par. (5) and redesignated existing pars. (5) and (6) as (6) and (7), respectively.
Enacted provision · exact public law section
(2) Section 102 is amended by redesignating paragraph (4), the second place it appears therein, as paragraph (5), and by redesignating paragraphs (5) and (6) as paragraphs (6) and (7), respectively.
1981
Older Americans Act Amendments of 1981
Pub. L. 97–115 § 2(a)(2) · 95 Stat. 1595
Substituted · 42 U.S.C. § 3002(1)
Pub. L. 97–115, § 2(a)(2), substituted “Secretary of Health and Human Services” for “Secretary of Health, Education, and Welfare”
Source evidence
Code amendment note
Par. (1). Pub. L. 97–115, § 2(a)(2), substituted “Secretary of Health and Human Services” for “Secretary of Health, Education, and Welfare”.
Enacted provision · exact public law section
(2) Section 102(1) is amended by striking out “Secretary of Health, 42 USC 3002. Education, and Welfare” and inserting in lieu thereof “Secretary of Health and Human Services”.
1981
Older Americans Act Amendments of 1981
Pub. L. 97–115 § 2(a)(3)(A) · 95 Stat. 1595
Inserted · 42 U.S.C. § 3002(3)
Pub. L. 97–115, § 2(a)(3)(A), inserted reference to the Commonwealth of the Northern Mariana Islands
Source evidence
Code amendment note
Par. (3). Pub. L. 97–115, § 2(a)(3)(A), inserted reference to the Commonwealth of the Northern Mariana Islands.
Enacted provision · exact public law section
(A) Section 102(3) is amended by inserting “the Commonwealth of the Northern Mariana Islands,” after “Samoa,”.
1981
Older Americans Act Amendments of 1981
Pub. L. 97–115 § 2(a)(3)(B) · 95 Stat. 1595
Substituted · 42 U.S.C. § 3002(6); 42 U.S.C. § 3002(7)
Pub. L. 97–115, § 2(a)(3)(B), (C), substituted “Except for the purposes of subchapter X of this chapter, the term” for “The term”
Source evidence
Code amendment note
Pars. (6), (7). Pub. L. 97–115, § 2(a)(3)(B), (C), substituted “Except for the purposes of subchapter X of this chapter, the term” for “The term”.
Enacted provision · exact public law section
(B) Section 102(6) is amended by striking out “The term” and inserting in lieu thereof “Except for the purposes of title VI of this Act, the term”.
1987
Older Americans Act Amendments of 1987
Pub. L. 100–175 § 182(a) · 101 Stat. 926
Substituted · 42 U.S.C. § 3002(1)
Pub. L. 100–175, § 182(a), substituted “except that for purposes of subchapter IX such term means the Secretary of Labor” for “other than for purposes of subchapter IX”
Source evidence
Code amendment note
Par. (1). Pub. L. 100–175, § 182(a), substituted “except that for purposes of subchapter IX such term means the Secretary of Labor” for “other than for purposes of subchapter IX”.
Enacted provision · exact public law section
(a) Section 102(1) of the Older Americans Act of 1965 (42 U.S.C. 8002(1)) is amended by striking “other than for purposes of title V” and inserting “except that for purposes of title V such term means the Secretary of Labor”.
1987
Older Americans Act Amendments of 1987
Pub. L. 100–175 § 182(b)(1)(A) · 101 Stat. 926
1. Substituted · 42 U.S.C. § 3002(3)
  Pub. L. 100–175, § 182(b)(1)(A), substituted “means any of the several States,” for “includes”
2. Substituted · 42 U.S.C. § 3002(3)
  Pub. L. 100–175, § 182(b)(1)(A), substituted “the Commonwealth of Puerto Rico” for “Puerto Rico”
Source evidence
Code amendment note
Par. (3). Pub. L. 100–175, § 182(b)(1)(A), substituted “means any of the several States,” for “includes” and “the Commonwealth of Puerto Rico” for “Puerto Rico”.
Enacted provision · exact public law section
(A) in paragraph (3)— (i) by striking “includes” and inserting “means any of the several States,”, and (ii) by striking “Puerto Rico” and inserting “the Commonwealth of Puerto Rico”, and
1987
Older Americans Act Amendments of 1987
Pub. L. 100–175 § 182(b)(1)(B) · 101 Stat. 926
Added · 42 U.S.C. § 3002(8)
Pub. L. 100–175, § 182(b)(1)(B), added par. (8) defining “Trust Territory of the Pacific Islands”
Source evidence
Code amendment note
Par. (8). Pub. L. 100–175, § 182(b)(1)(B), added par. (8) defining “Trust Territory of the Pacific Islands”.
Enacted provision · exact public law section
(B) by adding at the end the following: “(8) The term ‘Trust Territory of the Pacific Islands’ includes the Federated States of Micronesia. the Republic of the Marshall Islands, and the Republic of Palau.”.
1987
Older Americans Act Amendments of 1987
Pub. L. 100–175 § 146(a) · 101 Stat. 926
Added · 42 U.S.C. § 3002(8)
Pub. L. 100–175, § 146(a), added par. (8) defining “assistive technology”
Target inherited from the preceding amendment note.
Source evidence
Code amendment note
Pub. L. 100–175, § 146(a), added par. (8) defining “assistive technology”.
Enacted provision · exact public law section
(a) Definitions.— Section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002) is amended by adding at the end the following: “(8) The term ‘assistive technology’ means technology, engineering methodologies, or scientific principles appropriate to meet the needs of, and address the barriers confronted by, older individuals with functional limitations. “(9) The term ‘information and referral’ includes information relating to assistive technology.”.
1987
Older Americans Act Amendments of 1987
Pub. L. 100–175 § 136(a)(1) · 101 Stat. 926
Added · 42 U.S.C. § 3002(8)
Pub. L. 100–175, § 136(a)(1), added par. (8) defining “disability”
Target inherited from the preceding amendment note.
Source evidence
Code amendment note
Pub. L. 100–175, § 136(a)(1), added par. (8) defining “disability”.
Enacted provision · exact public law section
(1) Section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002) is amended by adding at the end the following: “(8) The term ‘disability’ means (except when such term is used in the phrase ‘severe disability’, ‘developmental disabilities’, ‘physical or mental disability’, ‘physical and mental disabilities’, or ‘physical disabilities’) a disability attributable to mental or physical impairment, or a combination of mental and physical impairments, that results in substantial functional limitations in 1 or more of the following areas of major life activity: (A) self-care, (B) receptive and expressive language, (C) learning, (D) mobility, (E) self-direction, (F) capacity for independent living, (G) economic selfsufficiency, (H) cognitive functioning, and (D emotional adjustment. “(9) The term ‘severe disability’ means a severe, chronic disability attributable to mental or physical impairment, or a combination of mental and physical impairments, that— “(A) is likely to continue indefinitely; and “(B) results in substantial functional limitation in 3 or more of the major life activities specified in subparagraphs (A) through (G) of paragraph (8).”.
1987
Older Americans Act Amendments of 1987
Pub. L. 100–175 § 146(a) · 101 Stat. 926
Added · 42 U.S.C. § 3002(9)
Pub. L. 100–175, § 146(a), added par. (9) defining “information and referral”
Source evidence
Code amendment note
Par. (9). Pub. L. 100–175, § 146(a), added par. (9) defining “information and referral”.
Enacted provision · exact public law section
(a) Definitions.— Section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002) is amended by adding at the end the following: “(8) The term ‘assistive technology’ means technology, engineering methodologies, or scientific principles appropriate to meet the needs of, and address the barriers confronted by, older individuals with functional limitations. “(9) The term ‘information and referral’ includes information relating to assistive technology.”.
1987
Older Americans Act Amendments of 1987
Pub. L. 100–175 § 136(a)(1) · 101 Stat. 926
Added · 42 U.S.C. § 3002(9)
Pub. L. 100–175, § 136(a)(1), added par. (9) defining “severe disability”
Target inherited from the preceding amendment note.
Source evidence
Code amendment note
Pub. L. 100–175, § 136(a)(1), added par. (9) defining “severe disability”.
Enacted provision · exact public law section
(1) Section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002) is amended by adding at the end the following: “(8) The term ‘disability’ means (except when such term is used in the phrase ‘severe disability’, ‘developmental disabilities’, ‘physical or mental disability’, ‘physical and mental disabilities’, or ‘physical disabilities’) a disability attributable to mental or physical impairment, or a combination of mental and physical impairments, that results in substantial functional limitations in 1 or more of the following areas of major life activity: (A) self-care, (B) receptive and expressive language, (C) learning, (D) mobility, (E) self-direction, (F) capacity for independent living, (G) economic selfsufficiency, (H) cognitive functioning, and (D emotional adjustment. “(9) The term ‘severe disability’ means a severe, chronic disability attributable to mental or physical impairment, or a combination of mental and physical impairments, that— “(A) is likely to continue indefinitely; and “(B) results in substantial functional limitation in 3 or more of the major life activities specified in subparagraphs (A) through (G) of paragraph (8).”.
1988
Stewart B. McKinney Homeless Assistance Amendments Act of 1988
Pub. L. 100–628 § 705(1)(A) · 102 Stat. 3224
Redesignated · 42 U.S.C. § 3002(10)
Pub. L. 100–628, § 705(1)(A), redesignated par. (8) defining “assistive technology” as (10)
Source evidence
Code amendment note
Par. (10). Pub. L. 100–628, § 705(1)(A), redesignated par. (8) defining “assistive technology” as (10).
Enacted provision · exact public law section
(A) by redesignating paragraphs (8) and (9), as added by section 146(a) of the Older Americans Act Amendments of 1987 (Public Law 100–175; 101 Stat. 950), as paragraphs (10) and (11), respectively; and
1988
Stewart B. McKinney Homeless Assistance Amendments Act of 1988
Pub. L. 100–628 § 705(1)(A) · 102 Stat. 3224
Redesignated · 42 U.S.C. § 3002(11)
Pub. L. 100–628, § 705(1)(A), redesignated par. (9) defining “information and referral” as (11)
Source evidence
Code amendment note
Par. (11). Pub. L. 100–628, § 705(1)(A), redesignated par. (9) defining “information and referral” as (11).
Enacted provision · exact public law section
(A) by redesignating paragraphs (8) and (9), as added by section 146(a) of the Older Americans Act Amendments of 1987 (Public Law 100–175; 101 Stat. 950), as paragraphs (10) and (11), respectively; and
1988
Stewart B. McKinney Homeless Assistance Amendments Act of 1988
Pub. L. 100–628 § 705(1)(B) · 102 Stat. 3224
Redesignated · 42 U.S.C. § 3002(12)
Pub. L. 100–628, § 705(1)(B), redesignated par. (8) defining “Trust Territory of the Pacific Islands” as (12)
Source evidence
Code amendment note
Par. (12). Pub. L. 100–628, § 705(1)(B), redesignated par. (8) defining “Trust Territory of the Pacific Islands” as (12).
Enacted provision · exact public law section
(B) by redesignating paragraph (8), as added by section 182(b)(1)(B) of the Older Americans Act Amendments of 1987 (Public Law 100–175; 101 Stat. 964), as paragraph (12);
1992
Older Americans Act Amendments of 1992
Pub. L. 102–375 § 904(a)(2) · 106 Stat. 1195
Substituted · 42 U.S.C. § 3002(2)
Pub. L. 102–375, § 904(a)(2), which directed amendment of par. (2) by substituting “United States Virgin Islands” for “Virgin Islands”, could not be executed because “Virgin Islands” did not appear in par. (2)
Source evidence
Code amendment note
Par. (2). Pub. L. 102–375, § 904(a)(2), which directed amendment of par. (2) by substituting “United States Virgin Islands” for “Virgin Islands”, could not be executed because “Virgin Islands” did not appear in par. (2).
Enacted provision · exact public law section
(2) in section 102(2) by striking “Virgin Islands” and inserting “United States Virgin Islands”;
1992
Older Americans Act Amendments of 1992
Pub. L. 102–375 § 102(b)(1)(A) · 106 Stat. 1195
Substituted · 42 U.S.C. § 3002(2)
Pub. L. 102–375, § 102(b)(1)(A), substituted “Administration” for “Administration on Aging”
Target inherited from the preceding amendment note.
Source evidence
Code amendment note
Pub. L. 102–375, § 102(b)(1)(A), substituted “Administration” for “Administration on Aging”.
Enacted provision · exact public law section
(A) Sections 102(2), 201(c)(1), 211, 301(b)(1), 402(a), and 411(b) of the Older Americans Act of 1965 (42 U.S.C. 3002(2), 3011(c)(1), 3020b, 3021(b)(1), 3030bb(a), and 3031(b)) are amended by striking “Administration on Aging” and inserting “Administration”.
1992
Older Americans Act Amendments of 1992
Pub. L. 102–375 § 102(a) · 106 Stat. 1195
Added · 42 U.S.C. § 3002(13)(44)
Pub. L. 102–375, § 102(a), added pars. (13) to (44)
Source evidence
Code amendment note
Pars. (13) to (44). Pub. L. 102–375, § 102(a), added pars. (13) to (44).
Enacted provision · exact public law section
(a) In General.— Section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002) is amended by adding at the end the following: “(13) The term ‘abuse’ means the willful— “(A) infliction of injury, unreasonable confinement, intimidation, or cruel punishment with resulting physical harm, pain, or mental anguish; or “(B) deprivation by a person, including a caregiver, of goods or services that are necessary to avoid physical harm, mental anguish, or mental illness. “(14) The term ‘Administration’ means the Administration on Aging. “(15) The term ‘adult child with a disability’ means a child who— “(A) is 18 years of age or older; “(B) is financially dependent on an older individual who is a parent of the child; and “(C) has a disability. “(16) The term ‘aging network’ means the network of— “(A) State agencies, area agencies on aging, title VI grantees, and the Administration; and “(B) organizations that— “(i) (I) are providers of direct services to older individuals; or “(II) are institutions of higher education; and “(ii) receive funding under this Act. “(17) The term ‘area agency on aging’ means an area agency on aging designated under section 305(a)(2)(A) or a State agency performing the functions of an area agency on aging under section 305(b)(5). “(18) The term ‘art therapy’ means the use of art and artistic processes specifically selected and administered by an art therapist, to accomplish the restoration, maintenance, or improvement of the mental, emotional, or social functioning of an older individual. “(19) The term ‘board and care facility’ means an institution regulated by a State pursuant to section 1616(e) of the Social Security Act (42 U.S.C. 1382e(e)). “(20) The term ‘caregiver’ means an individual who has the responsibility for the care of an older individual, either voluntarily, by contract, by receipt of payment for care, or as a result of the operation of law. “(21) The term ‘caretaker’ means a family member or other individual who provides (on behalf of such individual or of a public or private agency, organization, or institution) uncompensated care to an older individual who needs supportive services. “(22) The term ‘case management service’— “(A) means a service provided to an older individual, at the direction of the older individual or a family member of the individual— “(i) by an individual who is trained or experienced in the case management skills that are required to deliver the services and coordination described in subparagraph (B); and “(ii) to assess the needs, and to arrange, coordinate, and monitor an optimum package of services to meet the needs, of the older individual; and “(B) includes services and coordination such as— “(i) comprehensive assessment of the older individual (including the physical, psychological, and social needs of the individual); “(ii) development and implementation of a service plan with the older individual to mobilize the formal and informal resources and services identified in the assessment to meet the needs of the older individual, including coordination of the resources and services— “(I) with any other plans that exist for various formal services, such as hospital discharge plans; and “(II) with the information and assistance services provided under this Act; “(iii) coordination and monitoring of formal and informal service delivery, including coordination and monitoring to ensure that services specified in the plan are being provided; “(iv) periodic reassessment and revision of the status of the older individual with— “(I) the older individual; or “(II) if necessary, a primary caregiver or family member of the older individual; and “(v) in accordance with the wishes of the older individual, advocacy on behalf of the older individual for needed services or resources. “(23) The term ‘dance-movement therapy’ means the use of psychotherapeutic movement as a process facilitated by a dance-movement therapist, to further the emotional, cognitive, or physical health of an older individual. “(24) The term ‘elder abuse’ means abuse of an older individual. “(25) The term ‘elder abuse, neglect, and exploitation’ means abuse, neglect, and exploitation, of an older individual. “(26) The term ‘exploitation’ means the illegal or improper act or process of an individual, including a caregiver, using the resources of an older individual for monetary or personal benefit, profit, or gain. “(27) The term ‘focal point’ means a facility established to encourage the maximum collocation and coordination of services for older individuals. “(28) The term ‘frail’ means, with respect to an older individual in a State, that the older individual is determined to be functionally impaired because the individual— “(A) (i) is unable to perform at least two activities of daily living without substantial human assistance, including verbal reminding, physical cueing, or supervision; or “(ii) at the option of the State, is unable to perform at least three such activities without such assistance; or “(B) due to a cognitive or other mental impairment, requires substantial supervision because the individual behaves in a manner that poses a serious health or safety hazard to the individual or to another individual. “(29) The term ‘greatest economic need’ means the need resulting from an income level at or below the poverty line. “(30) The term ‘greatest social need’ means the need caused by noneconomic factors, which include— “(A) physical and mental disabilities; “(B) language barriers; and “(C) cultural, social, or geographical isolation, including isolation caused by racial or ethnic status, that— “(i) restricts the ability of an individual to perform normal daily tasks; or “(ii) threatens the capacity of the individual to live independently. “(31) The term ‘information and assistance service’ means a service for older individuals that— “(A) provides the individuals with current information on opportunities and services available to the individuals within their communities, including information relating to assistive technology; “(B) assesses the problems and capacities of the individuals; “(C) links the individuals to the opportunities and services that are available; “(D) to the maximum extent practicable, ensures that the individuals receive the services needed by the individuals, and are aware of the opportunities available to the individuals, by establishing adequate followup procedures; and “(E) serves the entire community of older individuals, particularly— “(i) older individuals with greatest social need; and “(ii) older individuals with greatest economic need. “(32) The term ‘institution of higher education’ has the meaning given the term in section 1201(a) of the Higher Education Act of 1965 (20 U.S.C. 1141(a)). “(33) The term ‘legal assistance’— “(A) means legal advice and representation provided by an attorney to older individuals with economic or social needs; and “(B) includes— “(i) to the extent feasible, counseling or other appropriate assistance by a paralegal or law student under the direct supervision of an attorney; and “(ii) counseling or representation by a nonlawyer where permitted by law. “(34) The term ‘long-term care facility’ means— “(A) any skilled nursing facility, as defined in section 1819(a) of the Social Security Act (42 U.S.C. 1395i–3(a)); “(B) any nursing facility, as defined in section 1919(a) of the Social Security Act (42 U.S.C. 1396r(a)); “(C) for purposes of sections 307(a)(12) and 712, a board and care facility; and “(D) any other adult care home similar to a facility or institution described in subparagraphs (A) through (C). “(35) The term ‘multipurpose senior center’ means a community facility for the organization and provision of a broad spectrum of services, which shall include provision of health (including mental health), social, nutritional, and educational services and the provision of facilities for recreational activities for older individuals. “(36) The term ‘music therapy’ means the use of musical or rhythmic interventions specifically selected by a music therapist to accomplish the restoration, maintenance, or improvement of social or emotional functioning, mental processing, or physical health of an older individual. “(37) The term ‘neglect’ means— “(A) the failure to provide for oneself the goods or services that are necessary to avoid physical harm, mental anguish, or mental illness; or “(B) the failure of a caregiver to provide the goods or services. “(38) The term ‘older individual’ means an individual who is 60 years of age or older. “(39) The term ‘physical harm’ means bodily injury, impairment, or disease. “(40) The term ‘planning and service area’ means an area designated by a State agency under section 305(a)(1)(E), including a single planning and service area described in section 305(b)(5)(A). “(41) The term ‘poverty line’ means the official poverty line (as defined by the Office of Management and Budget, and adjusted by the Secretary in accordance with section 673(2) of the Community Services Block Grant Act (42 U.S.C. 9902(2)). “(42) The term ‘representative payee’ means a person who is appointed by a governmental entity to receive, on behalf of an older individual who is unable to manage funds by reason of a physical or mental incapacity, any funds owed to such individual by such entity. “(43) The term ‘State agency’ means the agency designated under section 305(a)(1). “(44) The term ‘supportive service’ means a service described in section 321(a).”.
1993
Older Americans Act Technical Amendments of 1993
Pub. L. 103–171 § 3(a)(1) · 107 Stat. 1988
Amended · 42 U.S.C. § 3002(2)
Pub. L. 103–171, § 3(a)(1), amended par. (2) generally. Prior to amendment, par. (2) read as follows: “The term ‘Commissioner’ means, unless the context otherwise requires, the Commissioner of the Administration.”
Source evidence
Code amendment note
Par. (2). Pub. L. 103–171, § 3(a)(1), amended par. (2) generally. Prior to amendment, par. (2) read as follows: “The term ‘Commissioner’ means, unless the context otherwise requires, the Commissioner of the Administration.”
Enacted provision · exact public law section
(1) by amending section 102(2) to read as follows: 42 USC 3002. “(2) The term ‘Assistant Secretary’ means the Assistant Secretary for Aging.”,
1993
Older Americans Act Technical Amendments of 1993
Pub. L. 103–171 § 2(1) · 107 Stat. 1988
Substituted · 42 U.S.C. § 3002(3)
Pub. L. 103–171, § 2(1), substituted “Virgin Islands of the United States” for “Virgin Islands”
Source evidence
Code amendment note
Par. (3). Pub. L. 103–171, § 2(1), substituted “Virgin Islands of the United States” for “Virgin Islands”.
Enacted provision · exact public law section
(1) 42 USC 3002. in section 102(3) by inserting “of the United States” after “Virgin Islands”,
1998
An Act authorizing appropriations and expenditures for the administration of Indian Affairs, and for other purposes
Pub. L. 105–244 title I § 102(a)(13)(C) · 112 Stat. 1581
Substituted · 42 U.S.C. § 3002(32)
Pub. L. 105–244 substituted “section 1001” for “section 1141(a)”
Source evidence
Code amendment note
Par. (32). Pub. L. 105–244 substituted “section 1001” for “section 1141(a)”.
Enacted provision · exact public law section
(C) Older americans.— Section 102(32) of the Older Americans Act of 1965 (42 U.S.C. 3002(32)) is amended— (i) by striking “1201(a)” and inserting “101”; and (ii) by striking “(20 U.S.C. 1141(a))”.
Effective date note
Amendment by Pub. L. 105–244 effective Oct. 1, 1998, except as otherwise provided in Pub. L. 105–244, see section 3 of Pub. L. 105–244, set out as a note under section 1001 of Title 20, Education.
2000
Pub. L. 106–501 § 101(1) · 114 Stat. 2226
Substituted · 42 U.S.C. § 3002(3)
Pub. L. 106–501, § 101(1), substituted “and the Commonwealth of the Northern Mariana Islands” for “the Commonwealth of the Northern Mariana Islands, and the Trust Territory of the Pacific Islands”
Source evidence
Code amendment note
Par. (3). Pub. L. 106–501, § 101(1), substituted “and the Commonwealth of the Northern Mariana Islands” for “the Commonwealth of the Northern Mariana Islands, and the Trust Territory of the Pacific Islands”.
Enacted provision · exact public law section
(1) in paragraph (3), by striking “the Commonwealth of the Northern Mariana Islands, and the Trust Territory of the Pacific Islands.” and inserting “and the Commonwealth of the Northern Mariana Islands.”;
2000
Pub. L. 106–501 § 101(2) · 114 Stat. 2226
1. Added · 42 U.S.C. § 3002(12)
  Pub. L. 106–501, § 101(2), added par. (12)
2. Struck · 42 U.S.C. § 3002(12)
  Pub. L. 106–501, § 101(2), struck out former par. (12) which read as follows: “The term ‘Trust Territory of the Pacific Islands’ includes the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.”
Source evidence
Code amendment note
Par. (12). Pub. L. 106–501, § 101(2), added par. (12) and struck out former par. (12) which read as follows: “The term ‘Trust Territory of the Pacific Islands’ includes the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.”
Enacted provision · exact public law section
(2) by striking paragraph (12) and inserting the following: “(12) The term ‘disease prevention and health promotion services’ means— “(A) health risk assessments; “(B) routine health screening, which may include hypertension, glaucoma, cholesterol, cancer, vision, hearing, diabetes, bone density, and nutrition screening; “(C) nutritional counseling and educational services for individuals and their primary caregivers; “(D) health promotion programs, including but not limited to programs relating to prevention and reduction of effects of chronic disabling conditions (including osteoporosis and cardiovascular disease), alcohol and substance abuse reduction, smoking cessation, weight loss and control, and stress management; “(E) programs regarding physical fitness, group exercise, and music therapy, art therapy, and dance-movement therapy, including programs for multigenerational participation that are provided by— “(i) an institution of higher education; “(ii) a local educational agency, as defined in section 14101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 8801); or “(iii) a community-based organization; “(F) home injury control services, including screening of high-risk home environments and provision of educational programs on injury prevention (including fall and fracture prevention) in the home environment; “(G) screening for the prevention of depression, coordination of community mental health services, provision of educational activities, and referral to psychiatric and psychological services; “(H) educational programs on the availability, benefits, and appropriate use of preventive health services covered under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.); “(I) medication management screening and education to prevent incorrect medication and adverse drug reactions; “(J) information concerning diagnosis, prevention, treatment, and rehabilitation concerning age-related diseases and chronic disabling conditions, including osteoporosis, cardiovascular diseases, diabetes, and Alzheimer’s disease and related disorders with neurological and organic brain dysfunction; “(K) gerontological counseling; and “(L) counseling regarding social services and followup health services based on any of the services described in subparagraphs (A) through (K). The term shall not include services for which payment may be made under titles XVIII and XIX of the Social Security Act (42 U.S.C. 1395 et seq., 1396 et seq.).”;
2000
Pub. L. 106–501 § 101(3) · 114 Stat. 2226
1. Redesignated · 42 U.S.C. § 3002(18)
  Pub. L. 106–501, § 101(3), redesignated par. (19) as (18)
2. Struck · 42 U.S.C. § 3002(18)
  Pub. L. 106–501, § 101(3), struck out former par. (18) which read as follows: “The term ‘art therapy’ means the use of art and artistic processes specifically selected and administered by an art therapist, to accomplish the restoration, maintenance, or improvement of the mental, emotional, or social functioning of an older individual.”
Source evidence
Code amendment note
Par. (18). Pub. L. 106–501, § 101(3), redesignated par. (19) as (18) and struck out former par. (18) which read as follows: “The term ‘art therapy’ means the use of art and artistic processes specifically selected and administered by an art therapist, to accomplish the restoration, maintenance, or improvement of the mental, emotional, or social functioning of an older individual.”
Enacted provision · exact public law section
(3) by striking paragraph (18) and redesignating paragraphs (19), (20), (21), and (22) as paragraphs (18), (19), (20), and (21);
2000
Pub. L. 106–501 § 101(4) · 114 Stat. 2226
1. Added · 42 U.S.C. § 3002(19)
  Pub. L. 106–501, § 101(4), added par. (19)
2. Struck · 42 U.S.C. § 3002(19)
  Pub. L. 106–501, § 101(4), struck out former par. (19) which read as follows: “The term ‘caregiver’ means an individual who has the responsibility for the care of an older individual, either voluntarily, by contract, by receipt of payment for care, or as a result of the operation of law.”
Source evidence
Code amendment note
Par. (19). Pub. L. 106–501, § 101(4), added par. (19) and struck out former par. (19) which read as follows: “The term ‘caregiver’ means an individual who has the responsibility for the care of an older individual, either voluntarily, by contract, by receipt of payment for care, or as a result of the operation of law.”
Enacted provision · exact public law section
(4) by striking paragraphs (19) and (20) (as redesignated) and inserting the following: “(19) The term ‘in-home services’ includes— “(A) services of homemakers and home health aides; “(B) visiting and telephone reassurance; “(C) chore maintenance; “(D) in-home respite care for families, and adult day care as a respite service for families; “(E) minor modification of homes that is necessary to facilitate the ability of older individuals to remain at home and that is not available under another program (other than a program carried out under this Act); “(F) personal care services; and “(G) other in-home services as defined— “(i) by the State agency in the State plan submitted in accordance with section 307; and “(ii) by the area agency on aging in the area plan submitted in accordance with section 306. “(20) The term ‘Native American’ means— “(A) an Indian as defined in paragraph (5); and “(B) a Native Hawaiian, as defined in section 625.”;
2000
Pub. L. 106–501 § 101(3) · 114 Stat. 2226
Redesignated · 42 U.S.C. § 3002(19)
Pub. L. 106–501, § 101(3), redesignated par. (20) as (19). Former par. (19) redesignated (18)
Target inherited from the preceding amendment note.
Source evidence
Code amendment note
Pub. L. 106–501, § 101(3), redesignated par. (20) as (19). Former par. (19) redesignated (18).
Enacted provision · exact public law section
(3) by striking paragraph (18) and redesignating paragraphs (19), (20), (21), and (22) as paragraphs (18), (19), (20), and (21);
2000
Pub. L. 106–501 § 101(4) · 114 Stat. 2226
1. Added · 42 U.S.C. § 3002(20)
  Pub. L. 106–501, § 101(4), added par. (20)
2. Struck · 42 U.S.C. § 3002(20)
  Pub. L. 106–501, § 101(4), struck out former par. (20) which read as follows: “The term ‘caretaker’ means a family member or other individual who provides (on behalf of such individual or of a public or private agency, organization, or institution) uncompensated care to an older individual who needs supportive services.”
Source evidence
Code amendment note
Par. (20). Pub. L. 106–501, § 101(4), added par. (20) and struck out former par. (20) which read as follows: “The term ‘caretaker’ means a family member or other individual who provides (on behalf of such individual or of a public or private agency, organization, or institution) uncompensated care to an older individual who needs supportive services.”
Enacted provision · exact public law section
(4) by striking paragraphs (19) and (20) (as redesignated) and inserting the following: “(19) The term ‘in-home services’ includes— “(A) services of homemakers and home health aides; “(B) visiting and telephone reassurance; “(C) chore maintenance; “(D) in-home respite care for families, and adult day care as a respite service for families; “(E) minor modification of homes that is necessary to facilitate the ability of older individuals to remain at home and that is not available under another program (other than a program carried out under this Act); “(F) personal care services; and “(G) other in-home services as defined— “(i) by the State agency in the State plan submitted in accordance with section 307; and “(ii) by the area agency on aging in the area plan submitted in accordance with section 306. “(20) The term ‘Native American’ means— “(A) an Indian as defined in paragraph (5); and “(B) a Native Hawaiian, as defined in section 625.”;
2000
Pub. L. 106–501 § 101(3) · 114 Stat. 2226
Redesignated · 42 U.S.C. § 3002(20)
Pub. L. 106–501, § 101(3), redesignated par. (21) as (20). Former par. (20) redesignated (19)
Target inherited from the preceding amendment note.
Source evidence
Code amendment note
Pub. L. 106–501, § 101(3), redesignated par. (21) as (20). Former par. (20) redesignated (19).
Enacted provision · exact public law section
(3) by striking paragraph (18) and redesignating paragraphs (19), (20), (21), and (22) as paragraphs (18), (19), (20), and (21);
2000
Pub. L. 106–501 § 101(3) · 114 Stat. 2226
Redesignated · 42 U.S.C. § 3002(21)
Pub. L. 106–501, § 101(3), redesignated par. (22) as (21). Former par. (21) redesignated (20)
Source evidence
Code amendment note
Par. (21). Pub. L. 106–501, § 101(3), redesignated par. (22) as (21). Former par. (21) redesignated (20).
Enacted provision · exact public law section
(3) by striking paragraph (18) and redesignating paragraphs (19), (20), (21), and (22) as paragraphs (18), (19), (20), and (21);
2000
Pub. L. 106–501 § 101(5) · 114 Stat. 2226
Redesignated · 42 U.S.C. § 3002(22)
Pub. L. 106–501, § 101(5), redesignated par. (24) as (22). Former par. (22) redesignated (21)
Source evidence
Code amendment note
Par. (22). Pub. L. 106–501, § 101(5), redesignated par. (24) as (22). Former par. (22) redesignated (21).
Enacted provision · exact public law section
(5) by striking paragraph (23) and redesignating paragraphs (24) through (35) as paragraphs (22), (23), (24), (25), (26), (27), (28), (29), (30), (31), (32), and (33);
2000
Pub. L. 106–501 § 101(5) · 114 Stat. 2226
1. Redesignated · 42 U.S.C. § 3002(23)
  Pub. L. 106–501, § 101(5), redesignated par. (25) as (23)
2. Struck · 42 U.S.C. § 3002(23)
  Pub. L. 106–501, § 101(5), struck out former par. (23) which read as follows: “The term ‘dance-movement therapy’ means the use of psychotherapeutic movement as a process facilitated by a dance-movement therapist, to further the emotional, cognitive, or physical health of an older individual.”
Source evidence
Code amendment note
Par. (23). Pub. L. 106–501, § 101(5), redesignated par. (25) as (23) and struck out former par. (23) which read as follows: “The term ‘dance-movement therapy’ means the use of psychotherapeutic movement as a process facilitated by a dance-movement therapist, to further the emotional, cognitive, or physical health of an older individual.”
Enacted provision · exact public law section
(5) by striking paragraph (23) and redesignating paragraphs (24) through (35) as paragraphs (22), (23), (24), (25), (26), (27), (28), (29), (30), (31), (32), and (33);
2000
Pub. L. 106–501 § 101(5) · 114 Stat. 2226
Redesignated · 42 U.S.C. § 3002(24)(31)
Pub. L. 106–501, § 101(5), redesignated pars. (26) to (33) as (24) to (31), respectively. Former pars. (24) and (25) redesignated (22) and (23), respectively
Source evidence
Code amendment note
Pars. (24) to (31). Pub. L. 106–501, § 101(5), redesignated pars. (26) to (33) as (24) to (31), respectively. Former pars. (24) and (25) redesignated (22) and (23), respectively.
Enacted provision · exact public law section
(5) by striking paragraph (23) and redesignating paragraphs (24) through (35) as paragraphs (22), (23), (24), (25), (26), (27), (28), (29), (30), (31), (32), and (33);
2000
Pub. L. 106–501 § 101(5) · 114 Stat. 2226
Redesignated · 42 U.S.C. § 3002(32)
Pub. L. 106–501, § 101(5), redesignated par. (34) as (32). Former par. (32) redesignated (30)
Source evidence
Code amendment note
Par. (32). Pub. L. 106–501, § 101(5), redesignated par. (34) as (32). Former par. (32) redesignated (30).
Enacted provision · exact public law section
(5) by striking paragraph (23) and redesignating paragraphs (24) through (35) as paragraphs (22), (23), (24), (25), (26), (27), (28), (29), (30), (31), (32), and (33);
2000
Pub. L. 106–501 § 101(5) · 114 Stat. 2226
Redesignated · 42 U.S.C. § 3002(33)
Pub. L. 106–501, § 101(5), redesignated par. (35) as (33). Former par. (33) redesignated (31)
Source evidence
Code amendment note
Par. (33). Pub. L. 106–501, § 101(5), redesignated par. (35) as (33). Former par. (33) redesignated (31).
Enacted provision · exact public law section
(5) by striking paragraph (23) and redesignating paragraphs (24) through (35) as paragraphs (22), (23), (24), (25), (26), (27), (28), (29), (30), (31), (32), and (33);
2000
Pub. L. 106–501 § 101(6) · 114 Stat. 2226
Redesignated · 42 U.S.C. § 3002(34)
Pub. L. 106–501, § 101(6), redesignated par. (37) as (34). Former par. (34) redesignated (32)
Source evidence
Code amendment note
Par. (34). Pub. L. 106–501, § 101(6), redesignated par. (37) as (34). Former par. (34) redesignated (32).
Enacted provision · exact public law section
(6) by striking paragraph (36) and redesignating the remaining paragraphs; and
2000
Pub. L. 106–501 § 801(a) · 114 Stat. 2226
Substituted · 42 U.S.C. § 3002(34)(C)
Pub. L. 106–501, § 801(a), which directed that par. (34)(C) be amended by substituting “3027(a)(9)” for “3027(a)(12)”, could not be executed because “3027(a)(12)” did not appear in text
Source evidence
Code amendment note
Par. (34)(C). Pub. L. 106–501, § 801(a), which directed that par. (34)(C) be amended by substituting “3027(a)(9)” for “3027(a)(12)”, could not be executed because “3027(a)(12)” did not appear in text.
Enacted provision · exact public law section
(a) Title I.— Section 102(34)(C) of the Older Americans Act of 1965 (42 U.S.C. 3002(34)(C)) is amended by striking “307(a)(12)” and inserting “307(a)(9)”.
2000
Pub. L. 106–501 § 101(6) · 114 Stat. 2226
Redesignated · 42 U.S.C. § 3002(35)
Pub. L. 106–501, § 101(6), redesignated par. (38) as (35). Former par. (35) redesignated (33)
Source evidence
Code amendment note
Par. (35). Pub. L. 106–501, § 101(6), redesignated par. (38) as (35). Former par. (35) redesignated (33).
Enacted provision · exact public law section
(6) by striking paragraph (36) and redesignating the remaining paragraphs; and
2000
Pub. L. 106–501 § 101(6) · 114 Stat. 2226
1. Redesignated · 42 U.S.C. § 3002(36)
  Pub. L. 106–501, § 101(6), redesignated par. (39) as (36)
2. Struck · 42 U.S.C. § 3002(36)
  Pub. L. 106–501, § 101(6), struck out former par.(36) which read as follows: “The term ‘music therapy’ means the use of musical or rhythmic interventions specifically selected by a music therapist to accomplish the restoration, maintenance, or improvement of social or emotional functioning, mental processing, or physical health of an older individual.”
Source evidence
Code amendment note
Par. (36). Pub. L. 106–501, § 101(6), redesignated par. (39) as (36) and struck out former par.(36) which read as follows: “The term ‘music therapy’ means the use of musical or rhythmic interventions specifically selected by a music therapist to accomplish the restoration, maintenance, or improvement of social or emotional functioning, mental processing, or physical health of an older individual.”
Enacted provision · exact public law section
(6) by striking paragraph (36) and redesignating the remaining paragraphs; and
2000
Pub. L. 106–501 § 101(6) · 114 Stat. 2226
Redesignated · 42 U.S.C. § 3002(37)(41)
Pub. L. 106–501, § 101(6), redesignated pars. (40) to (44) as (37) to (41), respectively. Former pars. (37) to (39) redesignated (34) to (36), respectively
Source evidence
Code amendment note
Pars. (37) to (41). Pub. L. 106–501, § 101(6), redesignated pars. (40) to (44) as (37) to (41), respectively. Former pars. (37) to (39) redesignated (34) to (36), respectively.
Enacted provision · exact public law section
(6) by striking paragraph (36) and redesignating the remaining paragraphs; and
2000
Pub. L. 106–501 § 101(7) · 114 Stat. 2226
Redesignated · 42 U.S.C. § 3002(42); 42 U.S.C. § 3002(43)
Pub. L. 106–501, § 101(7), added pars. (42) and (43). Former pars. (42) and (43) redesignated (39) and (40), respectively
Source evidence
Code amendment note
Pars. (42), (43). Pub. L. 106–501, § 101(7), added pars. (42) and (43). Former pars. (42) and (43) redesignated (39) and (40), respectively.
Enacted provision · exact public law section
(7) by adding at the end the following: “(42) The term ‘family violence’ has the same meaning given the term in the Family Violence Prevention and Services Act (42 U.S.C. 10408). “(43) The term ‘sexual assault’ has the meaning given the term in section 2003 of the Omnibus Crime Control and Safe Streets Act of 1968 (42 U.S.C. 3796gg–2).”.
2000
Pub. L. 106–501 § 101(6) · 114 Stat. 2226
Redesignated · 42 U.S.C. § 3002(44)
Pub. L. 106–501, § 101(6), redesignated par. (44) as (41)
Source evidence
Code amendment note
Par. (44). Pub. L. 106–501, § 101(6), redesignated par. (44) as (41).
Enacted provision · exact public law section
(6) by striking paragraph (36) and redesignating the remaining paragraphs; and
2003
Keeping Children and Families Safe Act of 2003
Pub. L. 108–36 title IV § 416 · 117 Stat. 800
Struck · 42 U.S.C. § 3002(42)
Pub. L. 108–36 struck out “(42 U.S.C. 10408)” before period at end
Source evidence
Code amendment note
Par. (42). Pub. L. 108–36 struck out “(42 U.S.C. 10408)” before period at end.
Enacted provision · exact public law section
SEC. 416. CONFORMING AMENDMENT TO ANOTHER ACT. Section 102(42) of the Older Americans Act of 1965 (42 U.S.C. 3002(42)) is amended by striking “(42 U.S.C. 10408)”.
2006
Pub. L. 109–365 § 101(b) · 120 Stat. 2523
Redesignated · 42 U.S.C. § 3002
Pub. L. 109–365, § 101(b), redesignated pars. (1) to (54) as (45), (7), (50), (39), (26), (27), (54), (13), (48), (8), (29), (14), (1), (2), (3), (5), (6), (10), (30), (37), (11), (15), (16), (18), (21), (22), (23), (24), (28), (31), (33), (35), (36), (38), (40), (41), (42), (43), (44), (51), (53), (19), (49), (4), (9), (12), (17), (20), (25), (34), (46), (47), (52), and (32), respectively
Unresolved: Pub. L. 109–365 was not found in the local Statutes at Large index.
Source evidence
Code amendment note
Pub. L. 109–365, § 101(b), redesignated pars. (1) to (54) as (45), (7), (50), (39), (26), (27), (54), (13), (48), (8), (29), (14), (1), (2), (3), (5), (6), (10), (30), (37), (11), (15), (16), (18), (21), (22), (23), (24), (28), (31), (33), (35), (36), (38), (40), (41), (42), (43), (44), (51), (53), (19), (49), (4), (9), (12), (17), (20), (25), (34), (46), (47), (52), and (32), respectively.
2006
Pub. L. 109–365 § 101(a)(1) · 120 Stat. 2523
1. Added · 42 U.S.C. § 3002(10)
  Pub. L. 109–365, § 101(a)(1), added par. (10)
2. Struck · 42 U.S.C. § 3002(10)
  Pub. L. 109–365, § 101(a)(1), struck out former par. (10) which read as follows: “The term ‘assistive technology’ means technology, engineering methodologies, or scientific principles appropriate to meet the needs of, and address the barriers confronted by, older individuals with functional limitations.”
Unresolved: Pub. L. 109–365 was not found in the local Statutes at Large index.
Source evidence
Code amendment note
Par. (10). Pub. L. 109–365, § 101(a)(1), added par. (10) and struck out former par. (10) which read as follows: “The term ‘assistive technology’ means technology, engineering methodologies, or scientific principles appropriate to meet the needs of, and address the barriers confronted by, older individuals with functional limitations.”
2006
Pub. L. 109–365 § 101(a)(2) · 120 Stat. 2523
1. Added · 42 U.S.C. § 3002(12)(D)
  Pub. L. 109–365, § 101(a)(2), added subpar. (D)
2. Struck · 42 U.S.C. § 3002(12)(D)
  Pub. L. 109–365, § 101(a)(2), struck out former subpar. (D) which read as follows: “health promotion programs, including but not limited to programs relating to prevention and reduction of effects of chronic disabling conditions (including osteoporosis and cardiovascular disease), alcohol and substance abuse reduction, smoking cessation, weight loss and control, and stress management;”
Unresolved: Pub. L. 109–365 was not found in the local Statutes at Large index.
Source evidence
Code amendment note
Par. (12)(D). Pub. L. 109–365, § 101(a)(2), added subpar. (D) and struck out former subpar. (D) which read as follows: “health promotion programs, including but not limited to programs relating to prevention and reduction of effects of chronic disabling conditions (including osteoporosis and cardiovascular disease), alcohol and substance abuse reduction, smoking cessation, weight loss and control, and stress management;”.
2006
Pub. L. 109–365 § 101(a)(3) · 120 Stat. 2523
1. Added · 42 U.S.C. § 3002(24)
  Pub. L. 109–365, § 101(a)(3), added par. (24)
2. Struck · 42 U.S.C. § 3002(24)
  Pub. L. 109–365, § 101(a)(3), struck out former par. (24) which read as follows: “The term ‘exploitation’ means the illegal or improper act or process of an individual, including a caregiver, using the resources of an older individual for monetary or personal benefit, profit, or gain.”
Unresolved: Pub. L. 109–365 was not found in the local Statutes at Large index.
Source evidence
Code amendment note
Par. (24). Pub. L. 109–365, § 101(a)(3), added par. (24) and struck out former par. (24) which read as follows: “The term ‘exploitation’ means the illegal or improper act or process of an individual, including a caregiver, using the resources of an older individual for monetary or personal benefit, profit, or gain.”
2006
Pub. L. 109–365 § 101(a)(4) · 120 Stat. 2523
Added · 42 U.S.C. § 3002(29)(E)(iii)
Pub. L. 109–365, § 101(a)(4), added cl. (iii)
Unresolved: Pub. L. 109–365 was not found in the local Statutes at Large index.
Source evidence
Code amendment note
Par. (29)(E)(iii). Pub. L. 109–365, § 101(a)(4), added cl. (iii).
2006
Pub. L. 109–365 § 101(a)(5) · 120 Stat. 2523
Inserted · 42 U.S.C. § 3002(32)(D)
Pub. L. 109–365, § 101(a)(5), inserted “, including an assisted living facility,” after “home”
Unresolved: Pub. L. 109–365 was not found in the local Statutes at Large index.
Source evidence
Code amendment note
Par. (32)(D). Pub. L. 109–365, § 101(a)(5), inserted “, including an assisted living facility,” after “home”.
2006
Pub. L. 109–365 § 101(a)(6) · 120 Stat. 2523
1. Added · 42 U.S.C. § 3002(34)
  Pub. L. 109–365, § 101(a)(6), added par. (34)
2. Struck · 42 U.S.C. § 3002(34)
  Pub. L. 109–365, § 101(a)(6), struck out former par. (34) which read as follows: “The term ‘neglect’ means—
Unresolved: Pub. L. 109–365 was not found in the local Statutes at Large index.
Source evidence
Code amendment note
Par. (34). Pub. L. 109–365, § 101(a)(6), added par. (34) and struck out former par. (34) which read as follows: “The term ‘neglect’ means—
“(A) the failure to provide for oneself the goods or services that are necessary to avoid physical harm, mental anguish, or mental illness; or “(B) the failure of a caregiver to provide the goods or services.”
2006
Pub. L. 109–365 § 101(a)(7) · 120 Stat. 2523
Added · 42 U.S.C. § 3002(44)(54)
Pub. L. 109–365, § 101(a)(7), added pars. (44) to (54)
Unresolved: Pub. L. 109–365 was not found in the local Statutes at Large index.
Source evidence
Code amendment note
Pars. (44) to (54). Pub. L. 109–365, § 101(a)(7), added pars. (44) to (54).
2016
Older Americans Act Reauthorization Act of 2016
Pub. L. 114–144 § 2(1) · 130 Stat. 334
1. Added · 42 U.S.C. § 3002(1)
  Pub. L. 114–144, § 2(1), added par. (1)
2. Struck · 42 U.S.C. § 3002(1)
  Pub. L. 114–144, § 2(1), struck out former par. (1) which defined “abuse”
Source evidence
Code amendment note
Par. (1). Pub. L. 114–144, § 2(1), added par. (1) and struck out former par. (1) which defined “abuse”.
Enacted provision · exact public law section
(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.” ;
2016
Older Americans Act Reauthorization Act of 2016
Pub. L. 114–144 § 2(2) · 130 Stat. 334
1. Added · 42 U.S.C. § 3002(3)
  Pub. L. 114–144, § 2(2), added par. (3)
2. Struck · 42 U.S.C. § 3002(3)
  Pub. L. 114–144, § 2(2), struck out former par. (3) which defined “adult child with a disability”
Source evidence
Code amendment note
Par. (3). Pub. L. 114–144, § 2(2), added par. (3) and struck out former par. (3) which defined “adult child with a disability”.
Enacted provision · exact public law section
(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.” ;
2016
Older Americans Act Reauthorization Act of 2016
Pub. L. 114–144 § 2(3) · 130 Stat. 334
1. Added · 42 U.S.C. § 3002(4)
  Pub. L. 114–144, § 2(3), added par. (4)
2. Struck · 42 U.S.C. § 3002(4)
  Pub. L. 114–144, § 2(3), struck out former par. (4) which defined “Aging and Disability Resource Center”
Source evidence
Code amendment note
Par. (4). Pub. L. 114–144, § 2(3), added par. (4) and struck out former par. (4) which defined “Aging and Disability Resource Center”.
Enacted provision · exact public law section
(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 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.” ;
2016
Older Americans Act Reauthorization Act of 2016
Pub. L. 114–144 § 2(4) · 130 Stat. 334
Inserted · 42 U.S.C. § 3002(14)(B)
Pub. L. 114–144, § 2(4), inserted “oral health,” after “bone density,”
Source evidence
Code amendment note
Par. (14)(B). Pub. L. 114–144, § 2(4), inserted “oral health,” after “bone density,”.
Enacted provision · exact public law section
(4) in paragraph (14)(B), by inserting “oral health,” after “bone density,”;
2016
Older Americans Act Reauthorization Act of 2016
Pub. L. 114–144 § 9(1)(A) · 130 Stat. 334
Inserted · 42 U.S.C. § 3002(14)(G)
Pub. L. 114–144, § 9(1)(A), inserted “and behavioral” after “mental”
Source evidence
Code amendment note
Par. (14)(G). Pub. L. 114–144, § 9(1)(A), inserted “and behavioral” after “mental”.
Enacted provision · exact public law section
(A) in paragraph (14)(G), by inserting “and behavioral” after “mental”;
2016
Older Americans Act Reauthorization Act of 2016
Pub. L. 114–144 § 2(5) · 130 Stat. 334
1. Added · 42 U.S.C. § 3002(17)
  Pub. L. 114–144, § 2(5), added par. (17)
2. Struck · 42 U.S.C. § 3002(17)
  Pub. L. 114–144, § 2(5), struck out former par. (17) which defined “elder justice”
Source evidence
Code amendment note
Par. (17). Pub. L. 114–144, § 2(5), added par. (17) and struck out former par. (17) which defined “elder justice”.
Enacted provision · exact public law section
(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
2016
Older Americans Act Reauthorization Act of 2016
Pub. L. 114–144 § 2(6) · 130 Stat. 334
Substituted · 42 U.S.C. § 3002(18)(A)
Pub. L. 114–144, § 2(6), substituted “terms ‘exploitation’ and ‘financial exploitation’ mean” for “term ‘exploitation’ means”
Source evidence
Code amendment note
Par. (18)(A). Pub. L. 114–144, § 2(6), substituted “terms ‘exploitation’ and ‘financial exploitation’ mean” for “term ‘exploitation’ means”.
Enacted provision · exact public law section
(6) in paragraph (18)(A), by striking “term ‘exploitation’ means” and inserting “terms ‘exploitation’ and ‘financial exploitation’ mean”.
2016
Older Americans Act Reauthorization Act of 2016
Pub. L. 114–144 § 9(1)(B) · 130 Stat. 334
Inserted · 42 U.S.C. § 3002(36)
Pub. L. 114–144, § 9(1)(B), inserted “and behavioral” after “mental”
Source evidence
Code amendment note
Par. (36). Pub. L. 114–144, § 9(1)(B), inserted “and behavioral” after “mental”.
Enacted provision · exact public law section
(B) in paragraph (36), by inserting “and behavioral” after “mental”; and
2016
Older Americans Act Reauthorization Act of 2016
Pub. L. 114–144 § 9(1)(C) · 130 Stat. 334
Inserted · 42 U.S.C. § 3002(47)(B)
Pub. L. 114–144, § 9(1)(C), inserted “and behavioral” after “mental”
Source evidence
Code amendment note
Par. (47)(B). Pub. L. 114–144, § 9(1)(C), inserted “and behavioral” after “mental”.
Enacted provision · exact public law section
(C) in paragraph (47)(B), by inserting “and behavioral” after “mental”;
2020
Supporting Older Americans Act of 2020
Pub. L. 116–131 § 103(1) · 131 Stat. 240
Inserted · 42 U.S.C. § 3002(4)
Pub. L. 116–131, § 103(1), in introductory provisions, inserted “, in collaboration with (as appropriate) area agencies on aging, centers for independent living (as described in part C of chapter 1 of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.)), and other aging or disability entities” after “provides”
Source evidence
Code amendment note
Par. (4). Pub. L. 116–131, § 103(1), in introductory provisions, inserted “, in collaboration with (as appropriate) area agencies on aging, centers for independent living (as described in part C of chapter 1 of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.)), and other aging or disability entities” after “provides”.
Enacted provision · exact public law section
(1) in the matter preceding subparagraph (A), by inserting “, in collaboration with (as appropriate) area agencies on aging, centers for independent living (as described in part C of chapter 1 of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.)), and other aging or disability entities” after “provides”;
2020
Supporting Older Americans Act of 2020
Pub. L. 116–131 § 103(2) · 131 Stat. 240
Substituted · 42 U.S.C. § 3002(4)(B)
Pub. L. 116–131, § 103(2), substituted “plan for long-term services, supports, and care that is consistent with the desires and choices” for “plan for long-term care that is consistent with the desires”
Source evidence
Code amendment note
Par. (4)(B). Pub. L. 116–131, § 103(2), substituted “plan for long-term services, supports, and care that is consistent with the desires and choices” for “plan for long-term care that is consistent with the desires”.
Enacted provision · exact public law section
(2) in subparagraph (B)— (A) by inserting “services, supports, and” after “plan for long-term”; and (B) by inserting “and choices” after “desires”; and
2020
Supporting Older Americans Act of 2020
Pub. L. 116–131 § 103(3) · 131 Stat. 240
Substituted · 42 U.S.C. § 3002(4)(D)
Pub. L. 116–131, § 103(3), substituted “part C of chapter 1 of title VII of the Rehabilitation Act of 1973, and other community-based entities, including other aging or disability entities,” for “part C of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.), and other community-based entities,”
Source evidence
Code amendment note
Par. (4)(D). Pub. L. 116–131, § 103(3), substituted “part C of chapter 1 of title VII of the Rehabilitation Act of 1973, and other community-based entities, including other aging or disability entities,” for “part C of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.), and other community-based entities,”.
Enacted provision · exact public law section
(3) in subparagraph (D), by striking “part C of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.), and other community-based entities,” and inserting “part C of chapter 1 of title VII of the Rehabilitation Act of 1973, and other community-based entities, including other aging or disability entities,”.
2020
Supporting Older Americans Act of 2020
Pub. L. 116–131 § 104(1) · 131 Stat. 240
Added · 42 U.S.C. § 3002(8)(C)
Pub. L. 116–131, § 104(1), added subpar. (C)
Source evidence
Code amendment note
Par. (8)(C). Pub. L. 116–131, § 104(1), added subpar. (C).
Enacted provision · exact public law section
(1) in section 102(8) (42 U.S.C. 3002(8)), by adding at the end the following: “(C) The term ‘State assistive technology entity’ means the agency, office, or other entity designated under subsection (c)(1) of section 4 of the Assistive Technology Act of 1998 (29 U.S.C. 3003) to carry out State activities under such section.” ;
2020
Supporting Older Americans Act of 2020
Pub. L. 116–131 § 106(1) · 131 Stat. 240
Inserted · 42 U.S.C. § 3002(14)(B)
Pub. L. 116–131, § 106(1), inserted “(including screening for malnutrition)” after “nutrition screening”
Source evidence
Code amendment note
Par. (14)(B). Pub. L. 116–131, § 106(1), inserted “(including screening for malnutrition)” after “nutrition screening”.
Enacted provision · exact public law section
(1) in section 102(14)(B), as amended by section 105(1), by inserting “(including screening for malnutrition)” after “nutrition screening”; and
2020
Supporting Older Americans Act of 2020
Pub. L. 116–131 § 105(1) · 131 Stat. 240
Inserted · 42 U.S.C. § 3002(14)(B)
Pub. L. 116–131, § 105(1), inserted “immunization status,” after “oral health,”
Target inherited from the preceding amendment note.
Source evidence
Code amendment note
Pub. L. 116–131, § 105(1), inserted “immunization status,” after “oral health,”.
Enacted provision · exact public law section
(1) in subparagraph (B), by inserting “immunization status,” after “oral health,”; and
2020
Supporting Older Americans Act of 2020
Pub. L. 116–131 § 108 · 131 Stat. 240
Inserted · 42 U.S.C. § 3002(14)(D)
Pub. L. 116–131, § 108, inserted “chronic pain management,” after “substance abuse reduction,”
Source evidence
Code amendment note
Par. (14)(D). Pub. L. 116–131, § 108, inserted “chronic pain management,” after “substance abuse reduction,”.
Enacted provision · exact public law section
SEC. 108. ADDRESSING CHRONIC PAIN MANAGEMENT. Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as amended by section 107, is further amended by inserting “chronic pain management,” after “substance abuse reduction,”.
2020
Supporting Older Americans Act of 2020
Pub. L. 116–131 § 107 · 131 Stat. 240
Inserted · 42 U.S.C. § 3002(14)(D)
Pub. L. 116–131, § 107, inserted “prevention of sexually transmitted diseases,” after “vaccine-preventable disease,”
Target inherited from the preceding amendment note.
Source evidence
Code amendment note
Pub. L. 116–131, § 107, inserted “prevention of sexually transmitted diseases,” after “vaccine-preventable disease,”.
Enacted provision · exact public law section
SEC. 107. SEXUALLY TRANSMITTED DISEASES. Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as amended by section 105(2), is further amended by inserting “prevention of sexually transmitted diseases,” after “vaccine-preventable disease,”.
2020
Supporting Older Americans Act of 2020
Pub. L. 116–131 § 105(2) · 131 Stat. 240
Inserted · 42 U.S.C. § 3002(14)(D)
Pub. L. 116–131, § 105(2), inserted “infectious disease, and vaccine-preventable disease, as well as” after “cardiovascular disease),”
Target inherited from the preceding amendment note.
Source evidence
Code amendment note
Pub. L. 116–131, § 105(2), inserted “infectious disease, and vaccine-preventable disease, as well as” after “cardiovascular disease),”.
Enacted provision · exact public law section
(2) in subparagraph (D), by inserting “infectious disease, and vaccine-preventable disease, as well as” after “cardiovascular disease),”.
2020
Supporting Older Americans Act of 2020
Pub. L. 116–131 § 109 · 131 Stat. 240
Inserted · 42 U.S.C. § 3002(14)(G)
Pub. L. 116–131, § 109, inserted “and screening for suicide risk” after “depression”
Source evidence
Code amendment note
Par. (14)(G). Pub. L. 116–131, § 109, inserted “and screening for suicide risk” after “depression”.
Enacted provision · exact public law section
SEC. 109. SCREENING FOR SUICIDE RISK. Section 102(14)(G) (42 U.S.C. 3002(14)(G)) is amended by inserting “and screening for suicide risk” after “depression”.
2020
Supporting Older Americans Act of 2020
Pub. L. 116–131 § 110 · 131 Stat. 240
1. Added · 42 U.S.C. § 3002(14)(H)(O)
  Pub. L. 116–131, § 110, added subpars. (H), (L), and (N)
2. Redesignated · 42 U.S.C. § 3002(14)(H)(O)
  Pub. L. 116–131, § 110, redesignated former subpars. (H), (I), (J), (K), and (L) as (I), (J), (K), (M), and (O), respectively, and, in subpar. (O)
3. Substituted · 42 U.S.C. § 3002(14)(H)(O)
  Pub. L. 116–131, § 110, substituted “(A) through (N)” for “(A) through (K)”
Source evidence
Code amendment note
Par. (14)(H) to (O). Pub. L. 116–131, § 110, added subpars. (H), (L), and (N), redesignated former subpars. (H), (I), (J), (K), and (L) as (I), (J), (K), (M), and (O), respectively, and, in subpar. (O), substituted “(A) through (N)” for “(A) through (K)”.
Enacted provision · exact public law section
SEC. 110. SCREENING FOR FALL-RELATED TRAUMATIC BRAIN INJURY; ADDRESSING PUBLIC HEALTH EMERGENCIES AND EMERGING HEALTH THREATS; NEGATIVE HEALTH EFFECTS ASSOCIATED WITH SOCIAL ISOLATION. Section 102(14) (42 U.S.C. 3002(14)) is amended— (1) by redesignating subparagraphs (H) through (J), and subparagraphs (K) and (L), as subparagraphs (I) through (K), and subparagraphs (M) and (O), respectively; (2) by inserting after subparagraph (G) the following: “(H) screening for fall-related traumatic brain injury and other fall-related injuries, coordination of treatment, rehabilitation and related services, and referral services related to such injury or injuries;” ; (3) by inserting after subparagraph (K), as redesignated by paragraph (1), the following: “(L) services that are a part of responses to a public health emergency or emerging health threat;” ; and (4) in subparagraph (M), as redesignated by paragraph (1), by striking “; and” and inserting a semicolon; (5) by inserting after subparagraph (M), as redesignated by paragraph (1), the following: “(N) screening for the prevention of negative health effects associated with social isolation and coordination of supportive services and health care to address negative health effects associated with social isolation; and” ; and (6) in subparagraph (O), as redesignated, by striking “(A) through (K)” and inserting “(A) through (N)”.
2020
Supporting Older Americans Act of 2020
Pub. L. 116–131 § 111 · 131 Stat. 240
Struck · 42 U.S.C. § 3002(35)(C)
Pub. L. 116–131, § 111, struck out “for purposes of sections 3027(a)(12) and 3058g of this title,” before “a board”
Source evidence
Code amendment note
Par. (35)(C). Pub. L. 116–131, § 111, struck out “for purposes of sections 3027(a)(12) and 3058g of this title,” before “a board”.
Enacted provision · exact public law section
SEC. 111. CLARIFICATION REGARDING BOARD AND CARE FACILITIES. Section 102(35)(C) (42 U.S.C. 3002(35)(C)) is amended by striking “for purposes of sections 307(a)(12) and 712,”.
2020
Supporting Older Americans Act of 2020
Pub. L. 116–131 § 701(1) · 131 Stat. 240
Substituted · 42 U.S.C. § 3002(37)(A)
Pub. L. 116–131, § 701(1), substituted “paragraph (26)” for “paragraph (5)”
Source evidence
Code amendment note
Par. (37)(A). Pub. L. 116–131, § 701(1), substituted “paragraph (26)” for “paragraph (5)”.
Enacted provision · exact public law section
(1) in section 102(37)(A) (42 U.S.C. 3002(37)(A)), by striking “paragraph (5)” and inserting “paragraph (26)”;
2020
Supporting Older Americans Act of 2020
Pub. L. 116–131 § 112(2) · 131 Stat. 240
Redesignated · 42 U.S.C. § 3002(41)
Pub. L. 116–131, § 112(2), added par. (41). Former par. (41) redesignated (42)
Source evidence
Code amendment note
Par. (41). Pub. L. 116–131, § 112(2), added par. (41). Former par. (41) redesignated (42).
Enacted provision · exact public law section
(2) by inserting after paragraph (40) the following: “(41) The term ‘person-centered, trauma-informed’, with respect to services, means services provided through an aging program that— “(A) use a holistic approach to providing services or care; “(B) promote the dignity, strength, and empowerment of victims of trauma; and “(C) incorporate evidence-based practices based on knowledge about the role of trauma in trauma victims’ lives.” .
2020
Supporting Older Americans Act of 2020
Pub. L. 116–131 § 112(1) · 131 Stat. 240
Redesignated · 42 U.S.C. § 3002(42)(54)
Pub. L. 116–131, § 112(1), redesignated pars. (41) to (53) as (42) to (54), respectively. Former par. (54) redesignated (55), then (56)
Source evidence
Code amendment note
Pars. (42) to (54). Pub. L. 116–131, § 112(1), redesignated pars. (41) to (53) as (42) to (54), respectively. Former par. (54) redesignated (55), then (56).
Enacted provision · exact public law section
(1) by redesignating paragraphs (41) through (54) as paragraphs (42) through (55), respectively; and
2020
Supporting Older Americans Act of 2020
Pub. L. 116–131 § 113(2) · 131 Stat. 240
Added · 42 U.S.C. § 3002(55)
Pub. L. 116–131, § 113(2), added par. (55)
Source evidence
Code amendment note
Par. (55). Pub. L. 116–131, § 113(2), added par. (55).
Enacted provision · exact public law section
(2) by inserting after paragraph (54) the following: “(55) The term ‘traumatic brain injury’ has the meaning given such term in section 393B(d) of the Public Health Service Act (42 U.S.C. 280b–1c(d)).” .
2020
Supporting Older Americans Act of 2020
Pub. L. 116–131 title I · 131 Stat. 240
Redesignated · 42 U.S.C. § 3002(56)
Pub. L. 116–131, §§ 112(1), 113(1), redesignated par. (54) as (55), then (56)
Source evidence
Code amendment note
Par. (56). Pub. L. 116–131, §§ 112(1), 113(1), redesignated par. (54) as (55), then (56).
Enacted provision · exact public law
TITLE I— MODERNIZING DEFINITIONS AND PROGRAMS UNDER THE ADMINISTRATION ON AGING SEC. 101. REAUTHORIZATION. Section 216 (42 U.S.C. 3020f) is amended to read as follows: “SEC. 216. AUTHORIZATION OF APPROPRIATIONS. “(a) In General.— For purposes of carrying out this Act, there are authorized to be appropriated for administration, salaries, and expenses of the Administration $43,937,410 for fiscal year 2020, $46,573,655 for fiscal year 2021, $49,368,074 for fiscal year 2022, $52,330,158 for fiscal year 2023, and $55,469,968 for fiscal year 2024. “(b) Additional Authorizations.— There are authorized to be appropriated— “(1) to carry out section 202(a)(21) (relating to the National Eldercare Locator Service), $2,180,660 for fiscal year 2020, $2,311,500 for fiscal year 2021, $2,450,190 for fiscal year 2022, $2,597,201 for fiscal year 2023, and $2,753,033 for fiscal year 2024; “(2) to carry out section 215, $1,988,060 for fiscal year 2020, $2,107,344 for fiscal year 2021, $2,233,784 for fiscal year 2022, $2,367,811 for fiscal year 2023, and $2,509,880 for fiscal year 2024; “(3) to carry out section 202 (relating to Elder Rights Support Activities under this title), $1,371,740 for fiscal year 2020, $1,454,044 for fiscal year 2021, $1,541,287 for fiscal year 2022, $1,633,764 for fiscal year 2023, and $1,731,790 for fiscal year 2024; and “(4) to carry out section 202(b) (relating to the Aging and Disability Resource Centers), $8,687,330 for fiscal year 2020, $9,208,570 for fiscal year 2021, $9,761,084 for fiscal year 2022, $10,346,749 for fiscal year 2023, and $10,967,554 for fiscal year 2024.” . SEC. 102. PERSON-CENTERED, TRAUMA-INFORMED SERVICES. Section 101(2) (42 U.S.C. 3001(2)) is amended by inserting “(including access to person-centered, trauma-informed services as appropriate)” after “health”. SEC. 103. AGING AND DISABILITY RESOURCE CENTERS. Section 102(4) (42 U.S.C. 3002(4)) is amended— (1) in the matter preceding subparagraph (A), by inserting “, in collaboration with (as appropriate) area agencies on aging, centers for independent living (as described in part C of chapter 1 of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.)), and other aging or disability entities” after “provides”; (2) in subparagraph (B)— (A) by inserting “services, supports, and” after “plan for long-term”; and (B) by inserting “and choices” after “desires”; and (3) in subparagraph (D), by striking “part C of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.), and other community-based entities,” and inserting “part C of chapter 1 of title VII of the Rehabilitation Act of 1973, and other community-based entities, including other aging or disability entities,”. SEC. 104. ASSISTIVE TECHNOLOGY. The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is amended— (1) in section 102(8) (42 U.S.C. 3002(8)), by adding at the end the following: “(C) The term ‘State assistive technology entity’ means the agency, office, or other entity designated under subsection (c)(1) of section 4 of the Assistive Technology Act of 1998 (29 U.S.C. 3003) to carry out State activities under such section.” ; (2) in section 306 (42 U.S.C. 3026)— (A) in subsection (a)(6)— (i) in subparagraph (G), by striking “; and” and inserting a semicolon; (ii) in subparagraph (H), by striking “appropriate;” and inserting “appropriate; and”; and (iii) by adding at the end the following: “(I) to the extent feasible, coordinate with the State agency to disseminate information about the State assistive technology entity and access to assistive technology options for serving older individuals;” ; and (B) in subsection (b)(3)— (i) in subparagraph (K)— (I) by aligning the margins of the subparagraph with the margins of subparagraph (J); and (II) by striking “; and” and inserting a semicolon; (ii) by redesignating subparagraph (L) as subparagraph (M); and (iii) by inserting after subparagraph (K) the following: “(L) assistive technology devices and services; and” ; and (3) in section 411(a) (42 U.S.C. 3032(a))— (A) in paragraph (2), by inserting “, aligned with evidence-based practice,” after “applied social research”; and (B) in paragraph (10), by inserting “consistent with section 508 of the Rehabilitation Act of 1973 (29 U.S.C. 794d)” after “other technologies”. SEC. 105. VACCINATION. Section 102(14) (42 U.S.C. 3002(14)) is amended— (1) in subparagraph (B), by inserting “immunization status,” after “oral health,”; and (2) in subparagraph (D), by inserting “infectious disease, and vaccine-preventable disease, as well as” after “cardiovascular disease),”. SEC. 106. MALNUTRITION. The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is amended— (1) in section 102(14)(B), as amended by section 105(1), by inserting “(including screening for malnutrition)” after “nutrition screening”; and (2) in section 330(1), by striking “and food insecurity” and inserting “, food insecurity, and malnutrition”. SEC. 107. SEXUALLY TRANSMITTED DISEASES. Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as amended by section 105(2), is further amended by inserting “prevention of sexually transmitted diseases,” after “vaccine-preventable disease,”. SEC. 108. ADDRESSING CHRONIC PAIN MANAGEMENT. Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as amended by section 107, is further amended by inserting “chronic pain management,” after “substance abuse reduction,”. SEC. 109. SCREENING FOR SUICIDE RISK. Section 102(14)(G) (42 U.S.C. 3002(14)(G)) is amended by inserting “and screening for suicide risk” after “depression”. SEC. 110. SCREENING FOR FALL-RELATED TRAUMATIC BRAIN INJURY; ADDRESSING PUBLIC HEALTH EMERGENCIES AND EMERGING HEALTH THREATS; NEGATIVE HEALTH EFFECTS ASSOCIATED WITH SOCIAL ISOLATION. Section 102(14) (42 U.S.C. 3002(14)) is amended— (1) by redesignating subparagraphs (H) through (J), and subparagraphs (K) and (L), as subparagraphs (I) through (K), and subparagraphs (M) and (O), respectively; (2) by inserting after subparagraph (G) the following: “(H) screening for fall-related traumatic brain injury and other fall-related injuries, coordination of treatment, rehabilitation and related services, and referral services related to such injury or injuries;” ; (3) by inserting after subparagraph (K), as redesignated by paragraph (1), the following: “(L) services that are a part of responses to a public health emergency or emerging health threat;” ; and (4) in subparagraph (M), as redesignated by paragraph (1), by striking “; and” and inserting a semicolon; (5) by inserting after subparagraph (M), as redesignated by paragraph (1), the following: “(N) screening for the prevention of negative health effects associated with social isolation and coordination of supportive services and health care to address negative health effects associated with social isolation; and” ; and (6) in subparagraph (O), as redesignated, by striking “(A) through (K)” and inserting “(A) through (N)”. SEC. 111. CLARIFICATION REGARDING BOARD AND CARE FACILITIES. Section 102(35)(C) (42 U.S.C. 3002(35)(C)) is amended by striking “for purposes of sections 307(a)(12) and 712,”. SEC. 112. PERSON-CENTERED, TRAUMA-INFORMED SERVICES DEFINITION. Section 102 (42 U.S.C. 3002) is amended— (1) by redesignating paragraphs (41) through (54) as paragraphs (42) through (55), respectively; and (2) by inserting after paragraph (40) the following: “(41) The term ‘person-centered, trauma-informed’, with respect to services, means services provided through an aging program that— “(A) use a holistic approach to providing services or care; “(B) promote the dignity, strength, and empowerment of victims of trauma; and “(C) incorporate evidence-based practices based on knowledge about the role of trauma in trauma victims’ lives.” . SEC. 113. TRAUMATIC BRAIN INJURY. Section 102 (42 U.S.C. 3002), as amended by section 112, is further amended— (1) by redesignating paragraph (55) as paragraph (56); and (2) by inserting after paragraph (54) the following: “(55) The term ‘traumatic brain injury’ has the meaning given such term in section 393B(d) of the Public Health Service Act (42 U.S.C. 280b–1c(d)).” . SEC. 114. MODERNIZING THE REVIEW OF APPLICATIONS AND PROVIDING TECHNICAL ASSISTANCE FOR DISASTERS. (a) Review of Applications.— Section 202 (42 U.S.C. 3012) is amended— (1) by amending subsection (a)(4) to read as follows: “(4) administer the grants provided by this Act, but not approve an application submitted by an applicant for a grant for an activity under a provision of this Act for which such applicant previously received a grant under such provision unless the Assistant Secretary determines— “(A) the activity for which such application was submitted is being operated, or was operated, effectively to achieve its stated purpose; and “(B) such applicant has complied with the assurances provided to the Assistant Secretary with the application for such previous grant.” ; and (2) by adding at the end the following: “(h) The Assistant Secretary shall publish, on an annual basis, a list of centers and demonstration projects funded under each title of this Act. The Assistant Secretary shall ensure that this information is also directly provided to State agencies and area agencies on aging.” . (b) Addressing the Needs of Older Individuals in Disasters.— Section 202(a) (42 U.S.C. 3012(a)) is amended— (1) in paragraph (30), by striking “; and” and inserting a semicolon; (2) in paragraph (31), by striking the period at the end and inserting a semicolon; and (3) by adding at the end the following: “(32) provide technical assistance to, and share best practices with, State agencies and area agencies on aging on how to collaborate and coordinate activities and develop long-range emergency preparedness plans with local and State emergency response agencies, relief organizations, local and State governments, Federal agencies as appropriate, and any other institutions that have responsibility for disaster relief service delivery;” . SEC. 115. INCREASED FOCUS OF ASSISTANT SECRETARY ON NEGATIVE HEALTH EFFECTS ASSOCIATED WITH SOCIAL ISOLATION. Section 202(a) (42 U.S.C. 3012(a)), as amended by section 114(b), is further amended by adding at the end the following: “(33) with input from aging network stakeholders, including caregivers, develop objectives, priorities, and a long-term plan for supporting State and local efforts involving education about prevention of, detection of, and response to negative health effects associated with social isolation among older individuals, and submit a report to Congress on this effort by January 2021; and” . SEC. 116. NOTIFICATION OF AVAILABILITY OF OR UPDATES TO POLICIES, PRACTICES, AND PROCEDURES THROUGH A UNIFORM E-FORMAT. Section 202(a) (42 U.S.C. 3012(a)), as amended by sections 114(b) and 115, is further amended by adding at the end the following: “(34) provide (to the extent practicable) a standardized notification to State agencies, area agencies on aging, providers of services under this Act, and grantees or contract awardees under this Act, through an electronic format (e-mail or other electronic notification), of the availability of, or updates to, policies, practices, and procedures under this Act.” . SEC. 117. EVIDENCE-BASED PROGRAM ADAPTATION. (a) Functions of the Assistant Secretary.— Section 202 (42 U.S.C. 3012) is amended— (1) in subsection (a)(28), by inserting before the semicolon “, including information and technical assistance on delivery of such services in different settings”; and (2) in subsection (b)(9)(B), by inserting before the semicolon “, including delivery of such services in different settings”. (b) Evidence-Based Disease Prevention and Health Promotion Services.— Section 361(a) (42 U.S.C. 3030m(a)) is amended in the second sentence by inserting “provide technical assistance on the delivery of evidence-based disease prevention and health promotion services in different settings and for different populations, and” before “consult”. SEC. 118. BUSINESS ACUMEN PROVISIONS AND CLARIFICATION REGARDING OUTSIDE FUNDING FOR AREA AGENCIES ON AGING. (a) Assistance Relating To Growing and Sustaining Capacity.— Section 202(b)(9) (42 U.S.C. 3012(b)(9)) is amended— (1) in subparagraph (A), by striking “and” after the semicolon at the end; (2) in subparagraph (B), as amended by section 117(a)(2), by inserting “and” after the semicolon at the end; and (3) by adding at the end the following: “(C) activities for increasing business acumen, capacity building, organizational development, innovation, and other methods of growing and sustaining the capacity of the aging network to serve older individuals and caregivers most effectively;” . (b) Clarifying Partnerships for Area Agencies on Aging.— Section 306 (42 U.S.C. 3026) is amended by adding at the end the following: “(g) Nothing in this Act shall restrict an area agency on aging from providing services not provided or authorized by this Act, including through— “(1) contracts with health care payers; “(2) consumer private pay programs; or “(3) other arrangements with entities or individuals that increase the availability of home- and community-based services and supports.” . (c) Conforming Amendment.— Section 307(a) (42 U.S.C. 3027(a)) is amended— (1) by striking paragraph (26); and (2) by redesignating paragraphs (27) through (30) as paragraphs (26) through (29). SEC. 119. DEMONSTRATION ON DIRECT CARE WORKERS. Section 411(a) (42 U.S.C. 3032(a)) is amended— (1) by redesignating paragraphs (13) and (14) as paragraphs (14) and (15), respectively; and (2) by inserting after paragraph (12) the following: “(13) in coordination with the Secretary of Labor, the demonstration of new strategies for the recruitment, retention, or advancement of direct care workers, and the soliciting, development, and implementation of strategies— “(A) to reduce barriers to entry for a diverse and high-quality direct care workforce, including providing wages, benefits, and advancement opportunities needed to attract or retain direct care workers; and “(B) to provide education and workforce development programs for direct care workers that include supportive services and career planning;” . SEC. 120. NATIONAL RESOURCE CENTER FOR OLDER INDIVIDUALS EXPERIENCING THE LONG-TERM AND ADVERSE CONSEQUENCES OF TRAUMA. Section 411(a) (42 U.S.C. 3032(a)), as amended by section 119, is further amended— (1) by redesignating paragraphs (14) and (15) as paragraphs (15) and (16), respectively; and (2) by inserting after paragraph (13) the following: “(14) the establishment and operation of a national resource center that shall— “(A) provide training and technical assistance to agencies in the aging network delivering services to older individuals experiencing the long-term and adverse consequences of trauma; “(B) share best practices with the aging network; and “(C) make subgrants to the agencies best positioned to advance and improve the delivery of person-centered, trauma-informed services for older individuals experiencing the long-term and adverse consequences of trauma;” . SEC. 121. NATIONAL RESOURCE CENTER FOR WOMEN AND RETIREMENT. Section 215 (42 U.S.C. 3020e–1) is amended by adding at the end the following: “(k) (1) The Assistant Secretary shall, directly or by grant or contract, operate the National Resource Center for Women and Retirement (in this subsection referred to as the ‘Center’). “(2) The Center shall— “(A) provide tools, such as basic financial management, retirement planning, and other tools that promote financial literacy and help to identify and prevent exploitation (including fraud), and integrate these with information on health and long-term care; “(B) annually disseminate a summary of outreach activities provided, including work to provide user-friendly consumer information and public education materials; “(C) develop targeted outreach strategies; “(D) provide technical assistance to State agencies and to other public and nonprofit private agencies and organizations; and “(E) develop partnerships and collaborations to address program objectives.” . SEC. 122. FAMILY CAREGIVERS. (a) Administration.— Section 202 (42 U.S.C. 3012), as amended by section 114, is further amended by adding at the end the following: “(i) The Assistant Secretary shall carry out the RAISE Family Caregivers Act (42 U.S.C. 3030s note).” . (b) Sunset.— Section 6 of the RAISE Family Caregivers Act (42 U.S.C. 3030s note) is amended by striking “3 years” and inserting “4 years”. (c) Conforming Amendment.— Section 2(3) of the RAISE Family Caregivers Act (42 U.S.C. 3030s note) is amended by inserting “, acting through the Assistant Secretary for Aging” before the period at the end. SEC. 123. INTERAGENCY COORDINATION. (a) In General.— The Assistant Secretary shall, in performing the functions of the Administration on Aging under section 202(a)(5) of the Older Americans Act of 1965 (42 U.S.C. 3012(a)(5)) related to health (including mental and behavioral health) services, coordinate with the Assistant Secretary for Mental Health and Substance Use and the Director of the Centers for Disease Control and Prevention— (1) in the planning, development, implementation, and evaluation of evidence-based policies, programs, practices, and other activities pertaining to the prevention of suicide among older individuals, including the implementation of evidence-based suicide prevention programs and strategies identified by the National Center for Injury Prevention and Control at the Centers for Disease Control and Prevention and other entities, as applicable; and (2) in providing and incorporating technical assistance for the prevention of suicide among older individuals, including technical assistance related to the Suicide Prevention Technical Assistance Center established under section 520C of the Public Health Service Act (42 U.S.C. 290bb–34). (b) Program Design.— Section 202(a)(5) (42 U.S.C. 3012(a)(5)) is amended by inserting “cultural experiences, activities, and services, including in the arts,” after “education),”. SEC. 124. MODERNIZING THE INTERAGENCY COORDINATING COMMITTEE ON HEALTHY AGING AND AGE-FRIENDLY COMMUNITIES. (a) Federal Agency Consultation.— Section 203(b) (42 U.S.C. 3013(b)) is amended— (1) in paragraph (18), by striking “and” at the end; (2) in paragraph (19), by striking the period at the end and inserting “, and”; and (3) by adding at the end the following: “(20) section 393D of the Public Health Service Act (42 U.S.C. 280b–1f), relating to safety of seniors.” . (b) Modernization.— Section 203(c) (42 U.S.C. 3013(c)) is amended— (1) in paragraph (1)— (A) by striking “the Federal officials” and inserting “other Federal officials”; (B) by striking “Committee on Aging” and inserting “Committee on Healthy Aging and Age-Friendly Communities”; and (C) by inserting “and the development of a national set of recommendations, in accordance with paragraph (6), to support the ability of older individuals to age in place and access homelessness prevention services, preventive health care, promote age-friendly communities, and address the ability of older individuals to access long-term care supports, including access to caregivers and home- and community-based health services” before the period; (2) in paragraph (4), by adding at the end the following: “The Deadline. first term, after the date of enactment of the Supporting Older Americans Act of 2020, shall start not later than 1 year after such date of enactment.”; (3) in paragraph (6)— (A) in the matter preceding subparagraph (A), by striking “The Committee shall” and inserting “The recommendations described in paragraph (1) may include recommendations for”; (B) in subparagraph (A)— (i) by striking “share information with and establish an ongoing system to” and inserting “ways to”; and (ii) by striking “for older individuals and recommend improvements” and all that follows through “accessibility of such programs and services” and inserting “that impact older individuals”; (C) in subparagraph (B)— (i) by striking “identify, promote, and implement (as appropriate),”; (ii) in clause (i), by striking “and” after the semicolon; (iii) in clause (ii), by inserting “and” after the semicolon; and (iv) by adding at the end the following: “(iii) Coordination. best practices identified in coordination with the Centers for Disease Control and Prevention, the National Institute on Aging, the Centers for Medicare & Medicaid Services, the Office of Lead Hazard Control and Healthy Homes of the Department of Housing and Urban Development, and other Federal agencies, as appropriate, to reduce and prevent falls among older individuals, that incorporate evidence-based falls prevention programs and home modifications, which recommendations shall supplement and not unnecessarily duplicate activities authorized under section 393D of the Public Health Service Act (42 U.S.C. 280b–1f), relating to safety of seniors;” ; (D) in subparagraph (C)— (i) by inserting “ways to” before “collect”; (ii) by striking “older individuals and”; and (iii) by striking “the individuals to ensure” and all that follows through “information” and inserting “older individuals to ensure that such information is accessible”; (E) in subparagraph (D), by striking “work with” and all that follows through “member agencies to ensure” and inserting “ways to ensure”; (F) in subparagraph (E), by striking “seek input” and all that follows through “foundations” and inserting “seeking input from and consulting with nonprofit organizations, academic or research institutions, community-based organizations, philanthropic organizations, or other entities supporting age-friendly communities”; (G) in subparagraph (F), by striking “identify” and inserting “identifying”; and (H) by amending subparagraph (G) to read as follows: “(G) ways to improve coordination to provide housing, health care, and other supportive services to older individuals.” ; (4) in paragraph (7)(A)(i), by striking “services for older individuals” and inserting “services that impact older individuals”; and (5) by adding at the end the following: “(9) In this subsection, the term ‘age-friendly community’ means a community that— “(A) is taking measurable steps to— “(i) include adequate and accessible housing, public spaces and buildings, safe and secure paths, variable route transportation services, and programs and services designed to support health and well-being; “(ii) respect and include older individuals in social opportunities, civic participation, volunteerism, and employment; and “(iii) facilitate access to supportive services for older individuals; “(B) is not an assisted living facility or long-term care facility; and “(C) has a plan in place to meet local needs for housing, transportation, civic participation, social connectedness, and accessible public spaces.” . (c) Administration of the Act.— Section 205(a)(2) (42 U.S.C. 3016(a)(2)) is amended— (1) by redesignating subparagraph (C) as subparagraph (D); and (2) by inserting after subparagraph (B) the following: “(C) The Assistant Secretary may provide technical assistance, including through the regional offices of the Administration, to State agencies, area agencies on aging, local government agencies, or leaders in age-friendly communities (as defined, for purposes of this subparagraph, in section 203(c)(9)) regarding— “(i) dissemination of, or consideration of ways to implement, best practices and recommendations from the Interagency Coordinating Committee on Healthy Aging and Age-Friendly Communities established under section 203(c); and “(ii) methods for managing and coordinating existing programs to meet the needs of growing age-friendly communities.” . SEC. 125. PROFESSIONAL STANDARDS FOR A NUTRITION OFFICIAL UNDER THE ASSISTANT SECRETARY. Section 205(a)(2)(D)(ii) (42 U.S.C. 3016(a)(2)(D)(ii)), as redesignated by section 124(c)(1), is amended to read as follows: “(ii) be a registered dietitian or registered dietitian nutritionist.” . SEC. 126. REPORT ON SOCIAL ISOLATION. (a) Preparation of Report.— (1) In general.— The Secretary shall, in carrying out activities under section 206(a) of the Older Americans Act of 1965 (42 U.S.C. 3017(a)), prepare a report on programs authorized by such Act (42 U.S.C. 3001 et seq.), and supported or funded by the Administration on Aging, that include a focus on addressing the negative health effects associated with social isolation through targeting older individuals identified as being in greatest social need, as appropriate. (2) Impact.— Such report shall identify— (A) whether social isolation is being adequately addressed under such programs, including, to the extent practicable— (i) the prevalence of social isolation in rural areas and in urban areas; (ii) the negative public health effects associated with social isolation; and (iii) the role of preventive measures or of services, including nutrition services, in addressing the negative health effects associated with social isolation among older individuals; and (B) public awareness of and efforts to address the negative health effects associated with social isolation. (3) Types of programs.— Such report shall identify whether programs described in paragraph (1)— (A) support projects in local communities and involve diverse sectors associated with such communities to decrease the negative health effects associated with social isolation among older individuals and caregivers; (B) support outreach activities to screen older individuals for negative health effects associated with social isolation; and (C) include a focus on decreasing the negative health effects associated with social isolation. (4) Recommendations.— Such report shall, as appropriate, include recommendations for reducing the negative health effects associated with social isolation and to address any negative health effects identified under clauses (ii) and (iii) of subparagraph (A), and subparagraph (B), of paragraph (2). (b) Submission of Report.— (1) Interim status report.— Not later than 2 years after the date of enactment of this Act, the Secretary shall submit an interim report, to the committees of the Senate and of the House of Representatives with jurisdiction over the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.), and the Special Committee on Aging of the Senate, on the status of the evaluation underway to develop the final report required under this section. (2) Final report.— Not later than 5 years after the date of enactment of this Act, the Secretary shall submit a final report that meets the requirements of this section to the committees of the Senate and of the House of Representatives with jurisdiction over the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.), and the Special Committee on Aging of the Senate. SEC. 127. RESEARCH AND EVALUATION. (a) Center.— Section 201 (42 U.S.C. 3011) is amended by adding at the end the following: “(g) (1) The Assistant Secretary shall, as appropriate, coordinate the research and evaluation functions of this Act under a Research, Demonstration, and Evaluation Center for the Aging Network (in this subsection referred to as the ‘Center’), which shall be headed by a director designated by the Assistant Secretary from individuals described in paragraph (4). “(2) The purpose of the Center shall be— “(A) to coordinate, as appropriate, research, research dissemination, evaluation, demonstration projects, and related activities carried out under this Act; “(B) to provide assessment of the programs and interventions authorized under this Act; and “(C) to increase the repository of information on evidence-based programs and interventions available to the aging network, which information shall be applicable to existing programs and interventions and help in the development of new evidence-based programs and interventions. “(3) Activities of the Center shall include, as appropriate, conducting, promoting, coordinating, and providing support for— “(A) research and evaluation activities that support the objectives of this Act, including— “(i) evaluation of new and existing programs and interventions authorized by this Act; and “(ii) research on and assessment of the relationship between programs and interventions under this Act and the health outcomes, social determinants of health, quality of life, and independence of individuals served under this Act; “(B) demonstration projects that support the objectives of this Act, including activities to bring effective demonstration projects to scale with a prioritization of projects that address the needs of underserved populations, and promote partnerships among aging services, community-based organizations, and Medicare and Medicaid providers, plans, and health (including public health) systems; “(C) outreach and dissemination of research findings; and “(D) technical assistance related to the activities described in this paragraph. “(4) The director shall be an individual with substantial knowledge of and experience in aging and health policy, and research administration. “(5) Not later than October 1, 2020, and at 5-year intervals thereafter, the director shall prepare and publish in the Federal Register for public comment a draft of a 5-year plan that— “(A) outlines priorities for research, research dissemination, evaluation, demonstration projects, and related activities; “(B) explains the basis for such priorities; and “(C) describes how the plan will meet the needs of underserved populations. “(6) The director shall coordinate, as appropriate, research, research dissemination, evaluation, and demonstration projects, and related activities with appropriate agency program staff, and, as appropriate, with other Federal departments and agencies involved in research in the field of aging. “(7) Not later than December 31, 2020, and annually thereafter, the director shall prepare, and submit to the Secretary, the Committee on Health, Education, Labor, and Pensions of the Senate, the Special Committee on Aging of the Senate, and the Committee on Education and Labor of the House of Representatives, a report on the activities funded under this section and title IV. “(8) The director shall, as appropriate, consult with experts on aging research and evaluation and aging network stakeholders on the implementation of the activities described under paragraph (3) of this subsection. “(9) The director shall coordinate, as appropriate, all research and evaluation authorities under this Act.” . (b) Evaluation.— Section 206 (42 U.S.C. 3017) is amended— (1) by redesignating subsections (b) through (g) as subsections (c) through (h), respectively; and (2) by inserting after subsection (a) the following: “(b) Not later than July 1, 2020, the Secretary shall provide, directly or through grant or contract, for an evaluation of programs under this Act, which shall include, to the extent practicable, an analysis of the relationship of such programs, including demonstration projects under title IV of this Act, to health care expenditures under the Medicare program established under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) and the Medicaid program established under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.). The Secretary shall oversee analyses of data obtained in connection with program evaluation to evaluate, where feasible, the relationship of programs under this Act to health care expenditures, including under the Medicare and Medicaid programs.” . (c) Report on Health Care Expenditures.— Section 207 (42 U.S.C. 3018) is amended by adding at the end the following: “(d) The Assistant Secretary shall provide the evaluation required under section 206(b) to— “(1) the Committee on Health, Education, Labor, and Pensions of the Senate; “(2) the Committee on Appropriations of the Senate; “(3) the Special Committee on Aging of the Senate; “(4) the Committee on Education and Labor of the House of Representatives; and “(5) the Committee on Appropriations of the House of Representatives.” .

87 of 100 references resolved to an enrolled provision · 1 partial · 12 unresolved

Editorial Notes

References in Text

The Rehabilitation Act of 1973, referred to in par. (4), is Pub. L. 93–112, Sept. 26, 1973, 87 Stat. 355. Part C of title VII of the Act is classified generally to subpart 3 (§ 796f et seq.) of part A of subchapter VII of chapter 16 of Title 29, Labor. For complete classification of this Act to the Code, see Short Title note set out under section 701 of Title 29 and Tables.

The Social Security Act, referred to in pars. (14) and (32), is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Titles XVIII and XIX of the Act are classified generally to subchapters XVIII (§ 1395 et seq.) and XIX (§ 1396 et seq.), respectively, of chapter 7 of this title. For complete classification of this Act to the Code, see section 1305 of this title and Tables.

Section 8801 of title 20, referred to in par. (14)(E)(ii), was repealed by Pub. L. 107–110, title X, § 1011(5)(C), Jan. 8, 2002, 115 Stat. 1986. See section 7801 of Title 20, Education.

The Family Violence Prevention and Services Act, referred to in par. (19), is title III of Pub. L. 98–457, as added Pub. L. 111–320, title II, § 201, Dec. 20, 2010, 124 Stat. 3484, which is classified generally to chapter 110 (§ 10401 et seq.) of this title. For complete classification of this Act to the Code, see section 10401(a) of this title and Tables.

The Alaska Native Claims Settlement Act, referred to in par. (27), is Pub. L. 92–203, Dec. 18, 1971, 85 Stat. 688, which is classified generally to chapter 33 (§ 1601 et seq.) of Title 43, Public Lands. For complete classification of this Act of the Code, see Short Title note set out under section 1601 of Title 43 and Tables.

Section 10447 of title 34, referred to in par. (50), was subsequently amended and no longer defines “sexual assault”. However, it now refers to definitions in section 12291 of Title 34, Crime Control and Law Enforcement, which defines “sexual assault” in subsec. (a).

Amendments1967–2020 · 15 rounds

2020

Par. (4). Pub. L. 116–131, § 103(1), in introductory provisions, inserted “, in collaboration with (as appropriate) area agencies on aging, centers for independent living (as described in part C of chapter 1 of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.)), and other aging or disability entities” after “provides”.

Par. (4)(B). Pub. L. 116–131, § 103(2), substituted “plan for long-term services, supports, and care that is consistent with the desires and choices” for “plan for long-term care that is consistent with the desires”.

Par. (4)(D). Pub. L. 116–131, § 103(3), substituted “part C of chapter 1 of title VII of the Rehabilitation Act of 1973, and other community-based entities, including other aging or disability entities,” for “part C of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.), and other community-based entities,”.

Par. (8)(C). Pub. L. 116–131, § 104(1), added subpar. (C).

Par. (14)(B). Pub. L. 116–131, § 106(1), inserted “(including screening for malnutrition)” after “nutrition screening”.

Pub. L. 116–131, § 105(1), inserted “immunization status,” after “oral health,”.

Par. (14)(D). Pub. L. 116–131, § 108, inserted “chronic pain management,” after “substance abuse reduction,”.

Pub. L. 116–131, § 107, inserted “prevention of sexually transmitted diseases,” after “vaccine-preventable disease,”.

Pub. L. 116–131, § 105(2), inserted “infectious disease, and vaccine-preventable disease, as well as” after “cardiovascular disease),”.

Par. (14)(G). Pub. L. 116–131, § 109, inserted “and screening for suicide risk” after “depression”.

Par. (14)(H) to (O). Pub. L. 116–131, § 110, added subpars. (H), (L), and (N), redesignated former subpars. (H), (I), (J), (K), and (L) as (I), (J), (K), (M), and (O), respectively, and, in subpar. (O), substituted “(A) through (N)” for “(A) through (K)”.

Par. (35)(C). Pub. L. 116–131, § 111, struck out “for purposes of sections 3027(a)(12) and 3058g of this title,” before “a board”.

Par. (37)(A). Pub. L. 116–131, § 701(1), substituted “paragraph (26)” for “paragraph (5)”.

Par. (41). Pub. L. 116–131, § 112(2), added par. (41). Former par. (41) redesignated (42).

Pars. (42) to (54). Pub. L. 116–131, § 112(1), redesignated pars. (41) to (53) as (42) to (54), respectively. Former par. (54) redesignated (55), then (56).

Par. (55). Pub. L. 116–131, § 113(2), added par. (55).

Par. (56). Pub. L. 116–131, §§ 112(1), 113(1), redesignated par. (54) as (55), then (56).

2016

Par. (1). Pub. L. 114–144, § 2(1), added par. (1) and struck out former par. (1) which defined “abuse”.

Par. (3). Pub. L. 114–144, § 2(2), added par. (3) and struck out former par. (3) which defined “adult child with a disability”.

Par. (4). Pub. L. 114–144, § 2(3), added par. (4) and struck out former par. (4) which defined “Aging and Disability Resource Center”.

Par. (14)(B). Pub. L. 114–144, § 2(4), inserted “oral health,” after “bone density,”.

Par. (14)(G). Pub. L. 114–144, § 9(1)(A), inserted “and behavioral” after “mental”.

Par. (17). Pub. L. 114–144, § 2(5), added par. (17) and struck out former par. (17) which defined “elder justice”.

Par. (18)(A). Pub. L. 114–144, § 2(6), substituted “terms ‘exploitation’ and ‘financial exploitation’ mean” for “term ‘exploitation’ means”.

Par. (36). Pub. L. 114–144, § 9(1)(B), inserted “and behavioral” after “mental”.

Par. (47)(B). Pub. L. 114–144, § 9(1)(C), inserted “and behavioral” after “mental”.

2006

Pub. L. 109–365, § 101(b), redesignated pars. (1) to (54) as (45), (7), (50), (39), (26), (27), (54), (13), (48), (8), (29), (14), (1), (2), (3), (5), (6), (10), (30), (37), (11), (15), (16), (18), (21), (22), (23), (24), (28), (31), (33), (35), (36), (38), (40), (41), (42), (43), (44), (51), (53), (19), (49), (4), (9), (12), (17), (20), (25), (34), (46), (47), (52), and (32), respectively.

Par. (10). Pub. L. 109–365, § 101(a)(1), added par. (10) and struck out former par. (10) which read as follows: “The term ‘assistive technology’ means technology, engineering methodologies, or scientific principles appropriate to meet the needs of, and address the barriers confronted by, older individuals with functional limitations.”

Par. (12)(D). Pub. L. 109–365, § 101(a)(2), added subpar. (D) and struck out former subpar. (D) which read as follows: “health promotion programs, including but not limited to programs relating to prevention and reduction of effects of chronic disabling conditions (including osteoporosis and cardiovascular disease), alcohol and substance abuse reduction, smoking cessation, weight loss and control, and stress management;”.

Par. (24). Pub. L. 109–365, § 101(a)(3), added par. (24) and struck out former par. (24) which read as follows: “The term ‘exploitation’ means the illegal or improper act or process of an individual, including a caregiver, using the resources of an older individual for monetary or personal benefit, profit, or gain.”

Par. (29)(E)(iii). Pub. L. 109–365, § 101(a)(4), added cl. (iii).

Par. (32)(D). Pub. L. 109–365, § 101(a)(5), inserted “, including an assisted living facility,” after “home”.

Par. (34). Pub. L. 109–365, § 101(a)(6), added par. (34) and struck out former par. (34) which read as follows: “The term ‘neglect’ means—

“(A) the failure to provide for oneself the goods or services that are necessary to avoid physical harm, mental anguish, or mental illness; or

“(B) the failure of a caregiver to provide the goods or services.”

Pars. (44) to (54). Pub. L. 109–365, § 101(a)(7), added pars. (44) to (54).

2003

Par. (42). Pub. L. 108–36 struck out “(42 U.S.C. 10408)” before period at end.

2000

Par. (3). Pub. L. 106–501, § 101(1), substituted “and the Commonwealth of the Northern Mariana Islands” for “the Commonwealth of the Northern Mariana Islands, and the Trust Territory of the Pacific Islands”.

Par. (12). Pub. L. 106–501, § 101(2), added par. (12) and struck out former par. (12) which read as follows: “The term ‘Trust Territory of the Pacific Islands’ includes the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.”

Par. (18). Pub. L. 106–501, § 101(3), redesignated par. (19) as (18) and struck out former par. (18) which read as follows: “The term ‘art therapy’ means the use of art and artistic processes specifically selected and administered by an art therapist, to accomplish the restoration, maintenance, or improvement of the mental, emotional, or social functioning of an older individual.”

Par. (19). Pub. L. 106–501, § 101(4), added par. (19) and struck out former par. (19) which read as follows: “The term ‘caregiver’ means an individual who has the responsibility for the care of an older individual, either voluntarily, by contract, by receipt of payment for care, or as a result of the operation of law.”

Pub. L. 106–501, § 101(3), redesignated par. (20) as (19). Former par. (19) redesignated (18).

Par. (20). Pub. L. 106–501, § 101(4), added par. (20) and struck out former par. (20) which read as follows: “The term ‘caretaker’ means a family member or other individual who provides (on behalf of such individual or of a public or private agency, organization, or institution) uncompensated care to an older individual who needs supportive services.”

Pub. L. 106–501, § 101(3), redesignated par. (21) as (20). Former par. (20) redesignated (19).

Par. (21). Pub. L. 106–501, § 101(3), redesignated par. (22) as (21). Former par. (21) redesignated (20).

Par. (22). Pub. L. 106–501, § 101(5), redesignated par. (24) as (22). Former par. (22) redesignated (21).

Par. (23). Pub. L. 106–501, § 101(5), redesignated par. (25) as (23) and struck out former par. (23) which read as follows: “The term ‘dance-movement therapy’ means the use of psychotherapeutic movement as a process facilitated by a dance-movement therapist, to further the emotional, cognitive, or physical health of an older individual.”

Pars. (24) to (31). Pub. L. 106–501, § 101(5), redesignated pars. (26) to (33) as (24) to (31), respectively. Former pars. (24) and (25) redesignated (22) and (23), respectively.

Par. (32). Pub. L. 106–501, § 101(5), redesignated par. (34) as (32). Former par. (32) redesignated (30).

Par. (33). Pub. L. 106–501, § 101(5), redesignated par. (35) as (33). Former par. (33) redesignated (31).

Par. (34). Pub. L. 106–501, § 101(6), redesignated par. (37) as (34). Former par. (34) redesignated (32).

Par. (34)(C). Pub. L. 106–501, § 801(a), which directed that par. (34)(C) be amended by substituting “3027(a)(9)” for “3027(a)(12)”, could not be executed because “3027(a)(12)” did not appear in text.

Par. (35). Pub. L. 106–501, § 101(6), redesignated par. (38) as (35). Former par. (35) redesignated (33).

Par. (36). Pub. L. 106–501, § 101(6), redesignated par. (39) as (36) and struck out former par.(36) which read as follows: “The term ‘music therapy’ means the use of musical or rhythmic interventions specifically selected by a music therapist to accomplish the restoration, maintenance, or improvement of social or emotional functioning, mental processing, or physical health of an older individual.”

Pars. (37) to (41). Pub. L. 106–501, § 101(6), redesignated pars. (40) to (44) as (37) to (41), respectively. Former pars. (37) to (39) redesignated (34) to (36), respectively.

Pars. (42), (43). Pub. L. 106–501, § 101(7), added pars. (42) and (43). Former pars. (42) and (43) redesignated (39) and (40), respectively.

Par. (44). Pub. L. 106–501, § 101(6), redesignated par. (44) as (41).

1998

Par. (32). Pub. L. 105–244 substituted “section 1001” for “section 1141(a)”.

1993

Par. (2). Pub. L. 103–171, § 3(a)(1), amended par. (2) generally. Prior to amendment, par. (2) read as follows: “The term ‘Commissioner’ means, unless the context otherwise requires, the Commissioner of the Administration.”

Par. (3). Pub. L. 103–171, § 2(1), substituted “Virgin Islands of the United States” for “Virgin Islands”.

1992

Par. (2). Pub. L. 102–375, § 904(a)(2), which directed amendment of par. (2) by substituting “United States Virgin Islands” for “Virgin Islands”, could not be executed because “Virgin Islands” did not appear in par. (2).

Pub. L. 102–375, § 102(b)(1)(A), substituted “Administration” for “Administration on Aging”.

Pars. (13) to (44). Pub. L. 102–375, § 102(a), added pars. (13) to (44).

1988

Par. (10). Pub. L. 100–628, § 705(1)(A), redesignated par. (8) defining “assistive technology” as (10).

Par. (11). Pub. L. 100–628, § 705(1)(A), redesignated par. (9) defining “information and referral” as (11).

Par. (12). Pub. L. 100–628, § 705(1)(B), redesignated par. (8) defining “Trust Territory of the Pacific Islands” as (12).

1987

Par. (1). Pub. L. 100–175, § 182(a), substituted “except that for purposes of subchapter IX such term means the Secretary of Labor” for “other than for purposes of subchapter IX”.

Par. (3). Pub. L. 100–175, § 182(b)(1)(A), substituted “means any of the several States,” for “includes” and “the Commonwealth of Puerto Rico” for “Puerto Rico”.

Par. (8). Pub. L. 100–175, § 182(b)(1)(B), added par. (8) defining “Trust Territory of the Pacific Islands”.

Pub. L. 100–175, § 146(a), added par. (8) defining “assistive technology”.

Pub. L. 100–175, § 136(a)(1), added par. (8) defining “disability”.

Par. (9). Pub. L. 100–175, § 146(a), added par. (9) defining “information and referral”.

Pub. L. 100–175, § 136(a)(1), added par. (9) defining “severe disability”.

1981

Par. (1). Pub. L. 97–115, § 2(a)(2), substituted “Secretary of Health and Human Services” for “Secretary of Health, Education, and Welfare”.

Par. (3). Pub. L. 97–115, § 2(a)(3)(A), inserted reference to the Commonwealth of the Northern Mariana Islands.

Pars. (6), (7). Pub. L. 97–115, § 2(a)(3)(B), (C), substituted “Except for the purposes of subchapter X of this chapter, the term” for “The term”.

1978

Par. (1). Pub. L. 95–478, § 503(a)(1), inserted “, other than for purposes of subchapter IX”.

Pars. (4) to (7). Pub. L. 95–478, § 503(a)(2), redesignated second par. (4), which was enacted by Pub. L. 94–135, § 104(b), as par. (5) and redesignated existing pars. (5) and (6) as (6) and (7), respectively.

1975

Par. (1). Pub. L. 94–135, § 114(a), substituted a period for the semicolon.

Pars. (4) to (6). Pub. L. 94–135, § 104(b), added pars. (4) to (6).

1969

Par. (3). Pub. L. 91–69 enlarged term “State” to include the Trust Territory of the Pacific Islands.

1967

Par. (2). Pub. L. 90–42, § 5(a)(1), inserted “, unless the context otherwise requires,” after “means”.

Par. (4). Pub. L. 90–42, § 5(a)(2), enlarged term nonprofit institution or organization to include nonprofit agencies.

Statutory Notes and Related Subsidiaries

Effective Date of 1998 Amendment

Amendment by Pub. L. 105–244 effective Oct. 1, 1998, except as otherwise provided in Pub. L. 105–244, see section 3 of Pub. L. 105–244, set out as a note under section 1001 of Title 20, Education.

Effective Date of 1987 Amendment

Amendment by Pub. L. 100–175 effective Oct. 1, 1987, except not applicable with respect to any area plan submitted under section 3026(a) of this title or any State plan submitted under section 3027(a) of this title and approved for any fiscal year beginning before Nov. 29, 1987, see section 701(a), (b) of Pub. L. 100–175, set out as a note under section 3001 of this title.

Effective Date of 1978 Amendment

Amendment by Pub. L. 95–478 effective at close of Sept. 30, 1978, see section 504 of Pub. L. 95–478, set out as a note under section 3001 of this title.

Credits

1965–2020 · 16 acts

1965Pub. L. 89–73, title I, § 102, July 14, 1965, 79 Stat. 219
1967Pub. L. 90–42, § 5(a), July 1, 1967, 81 Stat. 107
1969Pub. L. 91–69, § 10(a), Sept. 17, 1969, 83 Stat. 114
1975Pub. L. 94–135, title I, §§ 104(b), 114(a), Nov. 28, 1975, 89 Stat. 714, 725
1978Pub. L. 95–478, title V, § 503(a), Oct. 18, 1978, 92 Stat. 1559
1981Pub. L. 97–115, § 2(a)(2), (3), Dec. 29, 1981, 95 Stat. 1595
1987Pub. L. 100–175, title I, §§ 136(a)(1), 146(a), 182(a), (b)(1), Nov. 29, 1987, 101 Stat. 942, 950, 964
1988Pub. L. 100–628, title VII, § 705(1), Nov. 7, 1988, 102 Stat. 3247
1992Pub. L. 102–375, title I, § 102(a), (b)(1)(A), title IX, § 904(a)(2), Sept. 30, 1992, 106 Stat. 1197, 1200, 1306
1993Pub. L. 103–171, §§ 2(1), 3(a)(1), Dec. 2, 1993, 107 Stat. 1988, 1989
1998Pub. L. 105–244, title I, § 102(a)(13)(C), Oct. 7, 1998, 112 Stat. 1620
2000Pub. L. 106–501, title I, § 101, title VIII, § 801(a), Nov. 13, 2000, 114 Stat. 2227, 2291
2003Pub. L. 108–36, title IV, § 416, June 25, 2003, 117 Stat. 831
2006Pub. L. 109–365, title I, § 101, Oct. 17, 2006, 120 Stat. 2523
2016Pub. L. 114–144, §§ 2, 9(1), Apr. 19, 2016, 130 Stat. 334, 351
2020Pub. L. 116–131, title I, §§ 103, 104(1), 105, 106(1), 107–113, title VII, § 701(1), Mar. 25, 2020, 134 Stat. 242–245, 271.

Show as published

(Pub. L. 89–73, title I, § 102, July 14, 1965, 79 Stat. 219; Pub. L. 90–42, § 5(a), July 1, 1967, 81 Stat. 107; Pub. L. 91–69, § 10(a), Sept. 17, 1969, 83 Stat. 114; Pub. L. 94–135, title I, §§ 104(b), 114(a), Nov. 28, 1975, 89 Stat. 714, 725; Pub. L. 95–478, title V, § 503(a), Oct. 18, 1978, 92 Stat. 1559; Pub. L. 97–115, § 2(a)(2), (3), Dec. 29, 1981, 95 Stat. 1595; Pub. L. 100–175, title I, §§ 136(a)(1), 146(a), 182(a), (b)(1), Nov. 29, 1987, 101 Stat. 942, 950, 964; Pub. L. 100–628, title VII, § 705(1), Nov. 7, 1988, 102 Stat. 3247; Pub. L. 102–375, title I, § 102(a), (b)(1)(A), title IX, § 904(a)(2), Sept. 30, 1992, 106 Stat. 1197, 1200, 1306; Pub. L. 103–171, §§ 2(1), 3(a)(1), Dec. 2, 1993, 107 Stat. 1988, 1989; Pub. L. 105–244, title I, § 102(a)(13)(C), Oct. 7, 1998, 112 Stat. 1620; Pub. L. 106–501, title I, § 101, title VIII, § 801(a), Nov. 13, 2000, 114 Stat. 2227, 2291; Pub. L. 108–36, title IV, § 416, June 25, 2003, 117 Stat. 831; Pub. L. 109–365, title I, § 101, Oct. 17, 2006, 120 Stat. 2523; Pub. L. 114–144, §§ 2, 9(1), Apr. 19, 2016, 130 Stat. 334, 351; Pub. L. 116–131, title I, §§ 103, 104(1), 105, 106(1), 107–113, title VII, § 701(1), Mar. 25, 2020, 134 Stat. 242–245, 271.)