text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Care Coordination for Older 
  Americans Act of 2012''.
  
  SEC. 2. DECLARATION OF OBJECTIVES.
  
      Section 101(4) of the Older Americans Act of 1965 (42 U.S.C. 
  3001(4)) is amended by inserting ``care coordination and'' after 
  ``including''.
  
  SEC. 3. DEFINITIONS.
  
      Section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002) is 
  amended by adding at the end the following:
              ``(55)(A) The term `care coordination' means a person- and 
          family-centered, assessment-based, and interdisciplinary 
          approach to meet the needs and preferences of an older 
          individual and a family caregiver while enhancing the 
          capabilities of the older individual (including the ability to 
          self-direct services).
              ``(B) The term `care coordination' means coordination 
          that--
                      ``(i) integrates health care, long-term services 
                  and supports, housing, and social support services in a 
                  high-quality and cost-effective manner in which an 
                  individual's needs, preferences, and capabilities are 
                  assessed, along with the needs and preferences of a 
                  family caregiver;
                      ``(ii) includes, as a core element, the active 
                  involvement of the older individual, the family, or a 
                  representative appointed by the older individual or 
                  legally acting on the individual's behalf, community-
                  based service professionals, and health care 
                  professionals providing care to the older individual, 
                  in the design and implementation of an individualized, 
                  individual-centered service and support plan, through 
                  which the services and supports will be provided in a 
                  manner free from conflicts of interest;
                      ``(iii) integrates services and interventions that 
                  are implemented, monitored, and evaluated for 
                  effectiveness using an evidence-based process, which 
                  typically involves a designated lead care coordinator 
                  and involves feedback from the older individual;
                      ``(iv) includes activities that aim simultaneously 
                  at meeting individual and family needs and preferences, 
                  building on individual capabilities, and improving 
                  outcomes and systems of care;
                      ``(v) includes provision of some or all of the 
                  services and activities described in clauses (i) 
                  through (iv) by trained professionals employed by or 
                  under a contract with--
                              ``(I) area agencies on aging;
                              ``(II) Aging and Disability Resource 
                          Centers; or
                              ``(III) other service providers, including 
                          in-home service providers; and
                      ``(vi) is not furnished to directly diagnose, 
                  treat, or cure a medical disease or condition.''.
  
  SEC. 4. FUNCTIONS OF THE ASSISTANT SECRETARY.
  
      Section 202(a) of the Older Americans Act of 1965 (42 U.S.C. 
  3012(a)) is amended--
              (1) in paragraph (27), by striking ``and'' at the end;
              (2) in paragraph (28), by striking the period and inserting 
          ``; and''; and
              (3) by adding at the end the following:
              ``(29)(A) encourage, provide technical assistance to, and 
          share best practices with, States, area agencies on aging, 
          Aging and Disability Resource Centers, and service providers to 
          carry out outreach and coordinate activities with health care 
          entities in order to assure better care coordination for 
          individuals with multiple chronic illnesses; and
              ``(B) coordinate activities with other Federal agencies 
          that are working to improve care coordination and developing 
          new models and best practices.''.
  
  SEC. 5. ORGANIZATION.
  
      Section 305(a) of the Older Americans Act of 1965 (42 U.S.C. 
  3025(g)) is amended--
              (1) in paragraph (2), by striking ``and'' at the end;
              (2) in paragraph (3), by striking the period and inserting 
          ``; and''; and
              (3) by adding at the end the following:
              ``(4) the State agency shall promote the development and 
          implementation of a State system to address the care 
          coordination needs of older individuals with multiple chronic 
          illnesses, and shall work with acute care providers, area 
          agencies on aging, service providers, and Federal agencies to 
          ensure that the system uses best practices and is evaluated on 
          its provision of care coordination.''.
  
  SEC. 6. AREA PLANS.
  
      Section 306(a) of the Older Americans Act of 1965 (42 U.S.C. 
  3026(a)) is amended--
              (1) in paragraph (4)(B)(i)(VII) by inserting ``with 
          multiple chronic illnesses or'' after ``older individuals'';
              (2) in paragraph (6)(D), by inserting ``(including acute 
          care providers)'' after ``service providers'';
              (3) in paragraph (16), by striking ``and'' at the end;
              (4) in paragraph (17) by striking the period and inserting 
          ``; and''; and
              (5) by adding at the end the following:
              ``(18) provide assurances that the area agency on aging 
          will--
                      ``(A) identify existing (as of the date of 
                  submission of the plan) care coordination programs and 
                  systems;
                      ``(B) identify unmet community need for care 
                  coordination;
                      ``(C) facilitate the development and implementation 
                  of an area-wide system to address the care coordination 
                  needs of older individuals with multiple chronic 
                  illnesses; and
                      ``(D) work with acute care providers, service 
                  providers, and Federal and State agencies to ensure 
                  that the system uses best practices in its provision of 
                  care coordination.''.
  
  SEC. 7. STATE PLANS.
  
      Section 307(a) of the Older Americans Act of 1965 (42 U.S.C. 
  3027(a)) is amended--
              (1) in paragraph (2)(A), by inserting ``care 
          coordination,'' after ``information and assistance,'';
              (2) in paragraph (17), by striking ``and develop 
          collaborative programs, where appropriate,'' and inserting ``, 
          ensure care coordination, and (where appropriate) develop 
          collaborative programs,'';
              (3) in paragraph (18), in the matter preceding subparagraph 
          (A), by inserting ``and ensure care coordination that 
          integrates long-term care services and other care services,'' 
          before ``for older'';
              (4) in paragraph (23), by striking ``with other State 
          services'' and inserting ``with other Federal and State health 
          care programs and services''; and
              (5) by adding at the end the following:
              ``(31) The plan shall provide assurances that the area 
          agencies on aging in the State will facilitate the area-wide 
          development and implementation of an area-wide system to 
          address the care coordination needs of older individuals with 
          multiple chronic illnesses, and work with acute care providers, 
          service providers, and other Federal and State agencies to 
          ensure that the system uses best practices and is evaluated on 
          its provision of care coordination.''.
target: Care Coordination for Older Americans Act of 2012 - Amends the Older Americans Act of 1965 to make it a duty and function of the Administration on Aging (AOA) in the Department of Health and Human Services (HHS) to provide technical assistance to, and share best practices with, states, area agencies on aging, Aging and Disability Resource Centers, and service providers to carry out outreach and coordinate activities with health care entities in order to assure better care coordination for individuals with multiple chronic illnesses. Requires AOA also to coordinate activities with other federal agencies working to improve care coordination and developing new models and best practices.
  
  Requires the designated state agency to promote the development and implementation of a state system to: (1) address the care coordination needs of older individuals with multiple chronic illnesses; and (2) work with acute care providers, area agencies on aging, service providers, and federal agencies to ensure that the system uses best practices.
  
  Requires area and state plans to provide assurances that the area agencies on aging will facilitate the area-wide development and implementation of an area-wide system to address the care coordination needs of older individuals with multiple chronic illnesses.
feat_title: To amend the Older Americans Act of 1965 to define care coordination, include care coordination as a fully restorative service, and detail the care coordination functions of the Assistant Secretary, and for other purposes.