§ 3011. Establishment of Administration on Aging
(a)
Function and operation
There is established in the Office of the Secretary an Administration on Aging which shall be headed by an Assistant Secretary for Aging. Except for subchapter IX of this chapter, the Administration shall be the agency for carrying out this chapter. There shall be a direct reporting relationship between the Assistant Secretary and the Secretary. In the performance of the functions of the Assistant Secretary, the Assistant Secretary shall be directly responsible to the Secretary. The Secretary shall not approve or require any delegation of the functions of the Assistant Secretary (including the functions of the Assistant Secretary carried out through regional offices) to any other officer not directly responsible to the Assistant Secretary.
(b)
Appointment of Assistant Secretary
The Assistant Secretary shall be appointed by the President by and with the advice and consent of the Senate.
(c)
Office for American Indian, Alaskan Native, and Native Hawaiian Programs; Director
(1)
There is established in the Administration an Office for American Indian, Alaskan Native, and Native Hawaiian Programs.
(2)
The Office shall be headed by a Director of the Office for American Indian, Alaskan Native, and Native Hawaiian Aging appointed by the Assistant Secretary.
(3)
The Director of the Office for American Indian, Alaskan Native, and Native Hawaiian Aging shall—
(A)
(i)
evaluate the adequacy of outreach under subchapter III of this chapter and subchapter X of this chapter for older individuals who are Native Americans and recommend to the Assistant Secretary necessary action to improve service delivery, outreach, coordination between subchapter III and subchapter X services, and particular problems faced by older Indians and Native Hawaiians; and
(B)
serve as the effective and visible advocate in behalf of older individuals who are Native Americans within the Department of Health and Human Services and with other departments and agencies of the Federal Government regarding all Federal policies affecting such individuals, with particular attention to services provided to Native Americans by the Indian Health Service;
(C)
coordinate activities between other Federal departments and agencies to assure a continuum of improved services through memoranda of agreements or through other appropriate means of coordination;
(D)
administer and evaluate the grants provided under this chapter to Indian tribes, public agencies and nonprofit private organizations serving Native Hawaiians;
(E)
recommend to the Assistant Secretary policies and priorities with respect to the development and operation of programs and activities conducted under this chapter relating to older individuals who are Native Americans;
(F)
collect and disseminate information related to problems experienced by older Native Americans, including information (compiled with assistance from public or nonprofit private entities, including institutions of higher education, with experience in assessing the characteristics and health status of older individuals who are Native Americans) on elder abuse, in-home care, health problems, and other problems unique to Native Americans;
(G)
develop research plans, and conduct and arrange for research, in the field of American Native aging with a special emphasis on the gathering of statistics on the status of older individuals who are Native Americans;
(H)
develop and provide technical assistance and training programs to grantees under subchapter X of this chapter;
(I)
promote coordination—
(i)
between the administration of subchapter III of this chapter and the administration of subchapter X of this chapter; and
(ii)
between programs established under subchapter III of this chapter by the Assistant Secretary and programs established under subchapter X of this chapter by the Assistant Secretary;
including sharing among grantees information on programs funded, and on training and technical assistance provided, under such subchapters; and
(J)
serve as the effective and visible advocate on behalf of older individuals who are Indians, Alaskan Natives, and Native Hawaiians, in the States to promote the enhanced delivery of services and implementation of programs, under this chapter and other Federal Acts, for the benefit of such individuals.
(d)
Office of Long-Term Care Ombudsman Programs
(1)
There is established in the Administration the Office of Long-Term Care Ombudsman Programs (in this subsection referred to as the “Office”).
(2)
(A)
The Office shall be headed by a Director of the Office of Long-Term Care Ombudsman Programs (in this subsection referred to as the “Director”) who shall be appointed by the Assistant Secretary from among individuals who have expertise and background in the fields of long-term care advocacy and management. The Director shall report directly to the Assistant Secretary.
(B)
No individual shall be appointed Director if—
(3)
The Director shall—
(A)
serve as an effective and visible advocate on behalf of older individuals who reside in long-term care facilities, within the Department of Health and Human Services and with other departments, agencies, and instrumentalities of the Federal Government regarding all Federal policies affecting such individuals;
(B)
review and make recommendations to the Assistant Secretary regarding—
(C)
after consultation with State Long-Term Care Ombudsmen and the State agencies, make recommendations to the Assistant Secretary regarding—
(ii)
methods to periodically monitor and evaluate the operation of State Long-Term Care Ombudsman programs, to ensure that the programs satisfy the requirements of section
3027
(a)(9) of this title and section
3058g of this title, including provision of service to residents of board and care facilities and of similar adult care facilities;
(E)
review, and make recommendations to the Secretary and the Assistant Secretary regarding, existing and proposed Federal legislation, regulations, and policies regarding the operation of State Long-Term Care Ombudsman programs;
(F)
make recommendations to the Assistant Secretary and the Secretary regarding the policies of the Administration, and coordinate the activities of the Administration with the activities of other Federal entities, State and local entities, and nongovernmental entities, relating to State Long-Term Care Ombudsman programs;
(G)
supervise the activities carried out under the authority of the Administration that relate to State Long-Term Care Ombudsman programs;
(H)
administer the National Ombudsman Resource Center established under section
3012
(a)(21) [1] of this title and make recommendations to the Assistant Secretary regarding the operation of the National Ombudsman Resource Center;
(I)
advocate, monitor, and coordinate Federal and State activities of Long-Term Care Ombudsmen under this chapter;
(J)
submit to the Speaker of the House of Representatives and the President pro tempore of the Senate an annual report on the effectiveness of services provided under section
3027
(a)(9) of this title and section
3058g of this title;
(e)
Elder abuse prevention and services
(1)
The Assistant Secretary is authorized to designate within the Administration a person to have responsibility for elder abuse prevention and services.
(2)
It shall be the duty of the Assistant Secretary, acting through the person designated to have responsibility for elder abuse prevention and services—
(A)
to develop objectives, priorities, policy, and a long-term plan for—
(i)
facilitating the development, implementation, and continuous improvement of a coordinated, multidisciplinary elder justice system in the United States;
(ii)
providing Federal leadership to support State efforts in carrying out elder justice programs and activities relating to—
(iii)
establishing Federal guidelines and disseminating best practices for uniform data collection and reporting by States;
(iv)
working with States, the Department of Justice, and other Federal entities to annually collect, maintain, and disseminate data relating to elder abuse, neglect, and exploitation, to the extent practicable;
(v)
establishing an information clearinghouse to collect, maintain, and disseminate information concerning best practices and resources for training, technical assistance, and other activities to assist States and communities to carry out evidence-based programs to prevent and address elder abuse, neglect, and exploitation;
(vii)
providing technical assistance to States and other eligible entities that provide or fund the provision of the services described in subchapter XI;
(3)
The Secretary, acting through the Assistant Secretary, may issue such regulations as may be necessary to carry out this subsection and section
3058aa–1 of this title.
(f)
Mental health services
(1)
The Assistant Secretary may designate an officer or employee who shall be responsible for the administration of mental health services authorized under this chapter.
(2)
It shall be the duty of the Assistant Secretary, acting through the individual designated under paragraph (1), to develop objectives, priorities, and a long-term plan for supporting State and local efforts involving education about and prevention, detection, and treatment of mental disorders, including age-related dementia, depression, and Alzheimer’s disease and related neurological disorders with neurological and organic brain dysfunction.
[1] See References in Text note below.