IN-HOME SERVICES FOR FRAIL OLDER INDIVIDUALS.

SEC. 140. IN-HOME SERVICES FOR FRAIL OLDER INDIVIDUALS. (a) Authorization of Appropriations.—Section 303 of the Older Americans Act of 1965 (42 U.S.C. 3028) is amended by adding at the end the following: “(d) There are authorized to be appropriated $25,000,000 for fiscal year 1988, $26,250,000 for fiscal year 1989, $27,563,000 for fiscal year 1990, and $28,941,000 for fiscal year 1991 for the purpose of making grants under part D of this title (relating to in-home services).”. (b) Area Plans.—Section 306(a) of the Older Americans Act of 1965 (42 U.S.C. 3026(a)) is amended— (1) in paragraph (6) by striking the period at the end and inserting “; and”, and (2) by adding at the end the following: “(7) provide assurances that any amount received under part D will be expended in accordance with such part.”. (c) State Plans.—(1) Section 307(a)(10) of the Older Americans Act of 1965 (42 U.S.C. 3027(a)(10)) is amended by striking “including nutrition services,” and inserting “nutrition services, or in-home services (as defined in section 342(1))”. (2) Section 307(a) of the Older Americans Act of 1965 (42 U.S.C. 3027(a)), as amended by sections 180(c), 181(b), 132(c), 136(c)(3), and 138 is amended by adding at the end the following: “(27) The plan shall provide assurances of consultation and coordination in planning and provision of in-home services under section 341 with State and local agencies and private nonprofit organizations which administer and provide services101 STAT. 945 relating to health, social services, rehabilitation, and mental health services.”. (d) Program.—Title III of the Older Americans Act of 1965 (42 U.S.C. 3021 et seq.) is amended by adding at the end the following: “Part D—In-Home Services for Frail Older Individuals “program authorized “SEC. 341. (a) The Commissioner shall carry out a program for making grants to States under State plans approved under section 307 to provide in-home services to frail older individuals, including in-home supportive services for older individuals who are victims of Alzheimer’s disease and related disorders with neurological and organic brain dysfunction, and to the families of such victims. “(b) In carrying out the provisions of this part, each area agency shall coordinate with other community agencies and voluntary organizations providing counseling and training for family caregivers and support service personnel in management of care, functional and needs assessment services, assistance with locating, arranging for, and coordinating services, case management, and counseling prior to admission to nursing home to prevent premature institutionalization. “definitions “Sec. 342. For purposes of this part— “(1) the term in-home services’ includes— “(A) homemaker 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; and “(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 other programs, except that not more than $150 per client may be expended under this part for such modification; and “(2) the term ‘frail’ means having a physical or mental disability, including having Alzheimer’s disease or a related disorder with neurological or organic brain dysfunction, that restricts the ability of an individual to perform normal daily tasks or which threatens the capacity of an individual to live independently. “state criteria “Sec. 343. The State agency shall develop eligibility criteria for providing in-home services to frail older individuals which shall take into account— “(1) age; “(2) greatest economic need; “(3) noneconomic factors contributing to the frail condition; and “(4) noneconomic and nonhealth factors contributing to the need for such services. 101 STAT. 946 “maintenance of effort “Sec. 344. Funds made available under this part shall be in addition to, and may not be used to supplant, any funds that are or would otherwise be expended under any Federal, State, or local law by a State or unit of general purpose local government (including area agencies on aging which have in their planning and services areas existing services which primarily serve older individuals who are victims of Alzheimer’s disease and related disorders with neurological and organic brain dysfunction, and the families of such victims).”.