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42 U.S.C. § 5013 — Grants and contracts for volunteer serv-
Federal law — U.S. Code and appendices · legal_authorities
Page 6276
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 5012
1 So in original. Probably should be ‘‘under’’.
stipend of allowance shall be made pursuant’’ in cl. (1),
and substituted ‘‘the minimum hourly rate specified in
this sentence’’ for ‘‘$2.20 per hour’’ in cl. (2).
Subsec. (f)(1)(C). Pub. L. 101–204, § 504(1), inserted be-
fore period at end ‘‘unless such individuals have been
referred previously for possible placement as volun-
teers under part A of this subchapter and such place-
ment did not occur’’.
Subsec. (f)(3). Pub. L. 101–204, § 504(2), inserted ‘‘take
into consideration or’’ after ‘‘may not’’, inserted ‘‘or
recruit’’ after ‘‘accept’’ in subpar. (A), and inserted at
end ‘‘The Director may not coerce any applicant for, or
recipient of, such grant or contract to engage in con-
duct described in subparagraph (A) or (B).’’
1986—Subsec. (d). Pub. L. 99–551, § 7(a)(1)(A), inserted
‘‘low-income’’ after ‘‘may provide to’’.
Subsec. (f). Pub. L. 99–551, § 7(a)(1)(B), added subsec.
(f).
1984—Subsec. (a). Pub. L. 98–288, § 14(c)(1), substituted
‘‘the Director’’ for ‘‘he’’ in two places.
Subsec. (b)(2). Pub. L. 98–288, § 14(c)(2), inserted at end
‘‘If the particular foster grandparent subject to the de-
termination under this paragraph becomes unavailable
to serve after such determination is made, the agency
or organization may select another foster grand-
parent.’’
Subsec. (d). Pub. L. 98–288, § 14(c)(3), substituted ‘‘the
Director’’ for ‘‘he’’ in two places and ‘‘$2.20’’ for ‘‘$2’’ in
two places.
Subsec. (e). Pub. L. 98–288, § 14(c)(4), in amending sub-
sec. (e) generally, substituted ‘‘poverty line defined in
section 9902(2) of this title and adjusted by the Director
in the manner described in such section’’ for ‘‘poverty
line set forth in sect
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 5013
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Page 6276
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 5012
1 So in original. Probably should be ‘‘under’’.
stipend of allowance shall be made pursuant’’ in cl. (1),
and substituted ‘‘the minimum hourly rate specified in
this sentence’’ for ‘‘$2.20 per hour’’ in cl. (2).
Subsec. (f)(1)(C). Pub. L. 101–204, § 504(1), inserted be-
fore period at end ‘‘unless such individuals have been
referred previously for possible placement as volun-
teers under part A of this subchapter and such place-
ment did not occur’’.
Subsec. (f)(3). Pub. L. 101–204, § 504(2), inserted ‘‘take
into consideration or’’ after ‘‘may not’’, inserted ‘‘or
recruit’’ after ‘‘accept’’ in subpar. (A), and inserted at
end ‘‘The Director may not coerce any applicant for, or
recipient of, such grant or contract to engage in con-
duct described in subparagraph (A) or (B).’’
1986—Subsec. (d). Pub. L. 99–551, § 7(a)(1)(A), inserted
‘‘low-income’’ after ‘‘may provide to’’.
Subsec. (f). Pub. L. 99–551, § 7(a)(1)(B), added subsec.
(f).
1984—Subsec. (a). Pub. L. 98–288, § 14(c)(1), substituted
‘‘the Director’’ for ‘‘he’’ in two places.
Subsec. (b)(2). Pub. L. 98–288, § 14(c)(2), inserted at end
‘‘If the particular foster grandparent subject to the de-
termination under this paragraph becomes unavailable
to serve after such determination is made, the agency
or organization may select another foster grand-
parent.’’
Subsec. (d). Pub. L. 98–288, § 14(c)(3), substituted ‘‘the
Director’’ for ‘‘he’’ in two places and ‘‘$2.20’’ for ‘‘$2’’ in
two places.
Subsec. (e). Pub. L. 98–288, § 14(c)(4), in amending sub-
sec. (e) generally, substituted ‘‘poverty line defined in
section 9902(2) of this title and adjusted by the Director
in the manner described in such section’’ for ‘‘poverty
line set forth in section 2971d of this title’’ and ‘‘any
person whose income is not more than 100 per centum
of such poverty line, as so adjusted and determined by
the Director after taking into consideration existing
poverty guidelines as appropriate to local situations’’
for ‘‘any person considered a poor or low-income person
under section 5061(4) of this title’’.
1981—Subsecs. (b) to (f). Pub. L. 97–35, § 608(b), struck
out subsec. (b) which related to service as senior health
aides and senior companions, and redesignated subsecs.
(c) to (f) as (b) to (e), respectively.
1978—Subsecs. (e), (f). Pub. L. 95–478 added subsecs. (e)
and (f).
1976—Subsecs. (c), (d). Pub. L. 94–293 added subsecs.
(c) and (d).
1975—Subsec. (a). Pub. L. 94–135, § 205(b)(1), sub-
stituted ‘‘individuals’’ for ‘‘volunteers’’ where appear-
ing first and third places and struck out ‘‘serve as vol-
unteers to’’ before ‘‘provide supportive person-to-per-
son services’’.
Subsec. (b). Pub. L. 94–135, § 205(b)(2), substituted ‘‘in-
dividuals’’ for ‘‘volunteers’’.
Statutory Notes and Related Subsidiaries
EFFECTIVE DATE OF 2009 AMENDMENT
Amendment by Pub. L. 111–13 effective Oct. 1, 2009,
see section 6101(a) of Pub. L. 111–13, set out as a note
under section 4950 of this title.
EFFECTIVE DATE OF 1993 AMENDMENT
Amendment by Pub. L. 103–82 effective Oct. 1, 1993,
see section 392 of Pub. L. 103–82, set out as a note under
section 4951 of this title.
EFFECTIVE DATE OF 1986 AMENDMENT
Amendment by Pub. L. 99–551 effective Oct. 1, 1986,
except as otherwise provided, see section 11 of Pub. L.
99–551, set out as an Effective Date note under section
4950 of this title.
Pub. L. 99–551, § 7(a)(2), Oct. 27, 1986, 100 Stat. 3075,
provided that: ‘‘Section 211(f)(3) of the Domestic Volun-
teer Service Act of 1973 [subsec. (f)(3) of this section],
as added by paragraph (1), shall apply with respect to
grants and contracts made under section 211(a) of such
Act before the date of the enactment of this Act [Oct.
27, 1986].’’
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.
§ 5012. Repealed. Pub. L. 103–82, title III, § 346,
Sept. 21, 1993, 107 Stat. 905
Section, Pub. L. 93–113, title II, § 212, Oct. 1, 1973, 87
Stat. 402; Pub. L. 94–135, title II, § 205(b)(3), Nov. 28, 1975,
89 Stat. 727; Pub. L. 95–478, title IV, § 402(c), Oct. 18, 1978,
92 Stat. 1557; Pub. L. 101–204, title IX, § 902(4), Dec. 7,
1989, 103 Stat. 1826, set forth conditions of grants and
contracts and defined ‘‘community action agency’’.
Statutory Notes and Related Subsidiaries
EFFECTIVE DATE OF REPEAL
Repeal effective Oct. 1, 1993, see section 392 of Pub. L.
103–82, set out as an Effective Date of 1993 Amendment
note under section 4951 of this title.
PART C—SENIOR COMPANION PROGRAM
§ 5013. Grants and contracts for volunteer serv-
ice projects
(a) Costs of project development and operation
The Director is authorized to make grants to
or contracts with public and nonprofit private
agencies and organizations to pay part or all of
the cost of development and operation of
projects (including direct payments to individ-
uals serving under this part in the same manner
as provided in section 5011(a) of this title) de-
signed for the purpose of providing opportunities
for low-income persons age 55 or older to serve
as ‘‘senior companions’’ to persons with excep-
tional needs. Senior companions may provide
services designed to help older persons requiring
long-term care, including services to persons re-
ceiving home health care, nursing care, home-
delivered meals or other nutrition services; serv-
ices designed to help persons deinstitutionalized
from mental hospitals, nursing homes, and other
institutions; and services designed to assist per-
sons having developmental disabilities and other
special needs for companionship.
(b) Application of other laws
Subsections (d), (e), and (f) of section 5011 of
this title, and such other provisions of part B as
the Director determines to be necessary, shall
apply to this part, except that for purposes of
this part any reference in such subsections and
such provisions to part B shall be deemed to be
a reference to this part.
(c) Senior companion projects to assist home-
bound elderly
(1) The Director is authorized to make grants
or contracts after 1
subsection (a) for senior
companion projects to assist homebound elderly
individuals to remain in their own homes and to
enable institutionalized elderly individuals to
return to home care settings.
(2)(A) The Director is authorized to recruit,
subject to subparagraph (B), senior companion
volunteer trainers who on the basis of experi-
ence (such as, doctors, nurses, home economists,
social workers) will be used to train senior com-
panion volunteers to participate in and monitor
Page 6277
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 5021
initial and continuing needs assessments and ap-
propriate in-home services for senior companion
volunteer recipients. The needs assessments and
in-home services shall be coordinated with and
supplement existing community based home
health and long-term care systems. The Director
may also use senior companion volunteer lead-
ers, who on the basis of experience as volun-
teers, special skills, and demonstrated leader-
ship abilities may spend time in the program (in
addition to their regular assignment) to assist
newer senior companion volunteers in per-
forming their assignments and in coordinating
activities of such volunteers.
(B) Senior companion volunteer trainers re-
cruited under subparagraph (A) of this para-
graph shall not be paid stipends.
(Pub. L. 93–113, title II, § 213, as added Pub. L.
97–35, title VI, § 608(c)(2), Aug. 13, 1981, 95 Stat.
487; amended Pub. L. 98–288, § 15, May 21, 1984, 98
Stat. 193; Pub. L. 99–551, §§ 7(b), 10(c)(1), Oct. 27,
1986, 100 Stat. 3075, 3077; Pub. L. 101–204, title IX,
§ 902(5), Dec. 7, 1989, 103 Stat. 1826; Pub. L. 103–82,
title III, § 347, Sept. 21, 1993, 107 Stat. 905; Pub. L.
111–13, title II, § 2145, Apr. 21, 2009, 123 Stat. 1589.)
Editorial Notes
AMENDMENTS
2009—Subsec. (a). Pub. L. 111–13 substituted ‘‘age 55 or
older’’ for ‘‘aged 60 or over’’.
1993—Subsec. (c)(3). Pub. L. 103–82 struck out par. (3)
which required an evaluation of, and report on, impact
of senior companion projects to assist homebound el-
derly.
1989—Subsec. (c)(1). Pub. L. 101–204 inserted ‘‘after
subsection (a)’’ after ‘‘grants or contracts’’, and ‘‘indi-
viduals’’ after ‘‘elderly’’ in two places.
1986—Pub. L. 99–551 inserted ‘‘for volunteer service
projects’’ in section catchline and amended subsec. (b)
generally. Prior to amendment, subsec. (b) read as fol-
lows: ‘‘The provisions of section 5011(d) of this title and
section 5011(e) of this title and such other provisions of
part B as the Director determines to be necessary shall
apply to the provisions of this part.’’
1984—Subsec. (c). Pub. L. 98–288 added subsec. (c).
Statutory Notes and Related Subsidiaries
EFFECTIVE DATE OF 2009 AMENDMENT
Amendment by Pub. L. 111–13 effective Oct. 1, 2009,
see section 6101(a) of Pub. L. 111–13, set out as a note
under section 4950 of this title.
EFFECTIVE DATE OF 1993 AMENDMENT
Amendment by Pub. L. 103–82 effective Oct. 1, 1993,
see section 392 of Pub. L. 103–82, set out as a note under
section 4951 of this title.
EFFECTIVE DATE OF 1986 AMENDMENT
Amendment by Pub. L. 99–551 effective Oct. 1, 1986,
except as otherwise provided, see section 11 of Pub. L.
99–551, set out as an Effective Date note under section
4950 of this title.
PART D—GENERAL PROVISIONS
§ 5021. Promotion of National Senior Service
Corps
(a)(1) In carrying out this subchapter, the Di-
rector shall consult with the Departments of
Labor and Health and Human Services, and any
other Federal agencies administering relevant
programs with a view to achieving optimal co-
ordination with such other programs, and shall
promote the coordination of projects under this
subchapter with other public or private pro-
grams or projects carried out at State and local
levels. Such Federal agencies shall cooperate
with the Director in disseminating information
about the availability of assistance under this
subchapter and in promoting the identification
and interest of low-income and other older per-
sons whose services may be utilized in projects
under this subchapter.
(2) To the maximum extent practicable, the
Director shall enter into agreements with—
(A) the Department of Health and Human
Services to—
(i) involve retired and senior volunteers,
and foster grandparents, in Head Start pro-
grams;
(ii) involve retired and senior volunteers,
and senior companions, in providing services
authorized by title III of the Older Ameri-
cans Act of 1965 [42 U.S.C. 3021 et seq.]; and
(iii) promote the recognition of such vol-
unteers who are qualified to provide in-home
services for reimbursement under title XVIII
of the Social Security Act [42 U.S.C. 1395 et
seq.] for providing such services;
(B) the Department of Education to promote
intergenerational tutoring and mentoring for
at-risk children; and
(C) the Environmental Protection Agency to
support conservation efforts.
(b)(1) In carrying out this subchapter, the Di-
rector shall encourage and facilitate the efforts
of private organizations to promote the pro-
grams established in parts A, B, and C and the
involvement of older individuals as volunteers
in such programs.
(2) The Director shall take appropriate actions
to ensure that special efforts are made to pub-
licize the programs established in parts A, B,
and C, in order to facilitate recruitment efforts,
to encourage greater participation of volunteers
of all ages and backgrounds, living in urban or
rural communities, and to emphasize the value
of volunteering to the health and well-being of
volunteers and the communities of such volun-
teers. Such actions shall include informing re-
cipients of grants and contracts under this sub-
chapter of all informational materials available
from the Director.
(3) From funds appropriated under section 5082
of this title, the Director shall expend not less
than $375,000 in each fiscal year to carry out
paragraph (2).
(Pub. L. 93–113, title II, § 221, Oct. 1, 1973, 87 Stat.
403; Pub. L. 96–143, § 18(b), Dec. 13, 1979, 93 Stat.
1083; Pub. L. 97–35, title VI, § 608(f)(2), Aug. 13,
1981, 95 Stat. 488; Pub. L. 101–204, title V, § 505,
Dec. 7, 1989, 103 Stat. 1817; Pub. L. 103–82, title
III, §§ 341(b)(2), 348, Sept. 21, 1993, 107 Stat. 904,
905; Pub. L. 111–13, title II, § 2146(a), Apr. 21, 2009,
123 Stat. 1589.)
Editorial Notes
REFERENCES IN TEXT
The Older Americans Act of 1965, referred to in sub-
sec. (a)(2)(A)(ii), is Pub. L. 89–73, July 14, 1965, 79 Stat.
Cross-references
Connections may be documented source relationships, shared citations or nearby passages. Each explains its basis; a connection alone does not establish applicability to your situation.
Federal law — U.S. Code and appendices · legal_authorities
**(a) Conditions of participation; protection of individual rights; notification of State entities; use of home health aides; medical equipment; individual’s plan of care; compliance with Federal, State, and local laws and regulations** The conditions of participation that a home health agency is required to meet under this subsection are as follows:
(1) The agency protects and promotes the rights of each individual under its care, including each of the following rights:
(A) The right to be fully informed in advance about the care and treatment to be provided by the agency, to be fully informed in advance of any changes in the care or treatment to be provided by the agency that may affect the individual’s well-being, and (except with respect to an individual adjudged incompetent) to participate in planning care and treatment or changes in care or treatment.
(B) The right to voice grievances with respect to treatment or care that is (or fails to be) furnished without discrimination or reprisal for voicing grievances.
(C) The right to confidentiality of the clinical records described in section 1395x(o)(3) of this title.
(D) The right to have one’s property treated with respect.
(E) The right to be fully informed orally and in writing (in advance of coming under the care of the agency) of—
(i) all items and services furnished by (or under arrangements with) the agency for which payment may be made under this subchapter,
(ii) the coverage available for such items and services under this subchapter, subchapter XIX, and any other Federal program of which the agency is reasonably aware,
(iii) any charges for items and services not covered under this subchapter and any charges the individual may have to pay with respect to items and services furn
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1395
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Federal law — U.S. Code and appendices · legal_authorities
Page 2893
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 1395a
(i) shared savings and competitive bidding in FFS
Medicare;
(ii) use of MA-negotiated rates to set FFS Medicare
rates; and
(iii) novel approaches to information development
and sharing that may enable markets to lower cost and
improve quality for FFS Medicare beneficiaries.
SEC. 10. Reducing Obstacles to Improved Patient Care.
Within 1 year of the date of this order, the Secretary
shall propose regulatory changes to the Medicare pro-
gram to reduce the burden on providers and eliminate
regulations that create inefficiencies or otherwise un-
dermine patient outcomes.
SEC. 11. Maximizing Freedom for Medicare Patients and
Providers. (a) Within 180 days of the date of this order,
the Secretary, in coordination with the Commissioner
of Social Security, shall revise current rules or policies
to preserve the Social Security retirement insurance
benefits of seniors who choose not to receive benefits
under Medicare Part A, and propose other administra-
tive improvements to Medicare enrollment processes
for beneficiaries.
(b) Within 1 year of the date of this order, the Sec-
retary shall identify and remove unnecessary barriers
to private contracts that allow Medicare beneficiaries
to obtain the care of their choice and facilitate the de-
velopment of market-driven prices.
SEC. 12. General Provisions. (a) Nothing in this order
shall be construed to impair or otherwise affect:
(i) the authority granted by law to an executive de-
partment or agency, or the head thereof; or
(ii) the functions of the Director of the Office of Man-
agement and Budget relating to budgetary, administra-
tive, or legislative proposals.
(b) This order shall be implemented consistent with
applicable law and subject to the
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 1395
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Congressional declaration of purpose**
(1) It is the purpose of this subchapter to encourage and assist State agencies and area agencies on aging to concentrate resources in order to develop greater capacity and foster the development and implementation of comprehensive and coordinated systems to serve older individuals by entering into new cooperative arrangements in each State with the persons described in paragraph (2), for the planning, and for the provision of, supportive services, and multipurpose senior centers, in order to—
(A) secure and maintain maximum independence and dignity in a home environment for older individuals capable of self care with appropriate supportive services;
(B) remove individual and social barriers to economic and personal independence for older individuals;
(C) provide a continuum of care for vulnerable older individuals;
(D) secure the opportunity for older individuals to receive managed in-home and community-based long-term care services; and
(E) measure impacts related to social determinants of health of older individuals.
(2) The persons referred to in paragraph (1) include—
(A) State agencies and area agencies on aging;
(B) other State agencies, including agencies that administer home and community care programs;
(C) Indian tribes, tribal organizations, and Native Hawaiian organizations;
(D) the providers, including voluntary organizations or other private sector organizations, of supportive services, nutrition services, and multipurpose senior centers;
(E) organizations representing or employing older individuals or their families; and
(F) organizations that have experience in providing training, placement, and stipends for volunteers or participants who are older individuals (such as organi
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 3021
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Federal law — U.S. Code and appendices · legal_authorities
Page 5713
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 3021
of’’ after ‘‘appropriated for’’ and substituted ‘‘2001, 2002,
2003, 2004, and 2005’’ for ‘‘1992, 1993, 1994, and 1995.’’
Subsecs. (b), (c). Pub. L. 106–501, § 205(2), added sub-
secs. (b) and (c) and struck out heading and text of
former subsec. (b). Text read as follows: ‘‘There are au-
thorized to be appropriated for salaries and expenses of
the Administration on Aging—
‘‘(1) $17,000,000 for fiscal year 1992, $20,000,000 for fis-
cal year 1993, $24,000,000 for fiscal year 1994, and
$29,000,000 for fiscal year 1995; and
‘‘(2) such additional sums as may be necessary for
each such fiscal year to enable the Assistant Sec-
retary to provide for not fewer than 300 full-time em-
ployees (or the equivalent thereof) in the Administra-
tion on Aging.’’
1993—Subsec. (b)(2). Pub. L. 103–171 substituted ‘‘As-
sistant Secretary’’ for ‘‘Commissioner’’.
§ 3020g. National Technical Assistance Center on
Grandfamilies and Kinship Families
(a) In general
In addition to amounts otherwise available,
there is appropriated to the Secretary of Health
and Human Services for fiscal year 2021, out of
any money in the Treasury not otherwise appro-
priated, $10,000,000, to remain available through
September 30, 2025, for the Secretary, acting
through the Administrator of the Administra-
tion for Community Living, to establish, di-
rectly or through grants or contracts, a Na-
tional
Technical
Assistance
Center
on
Grandfamilies and Kinship Families (in this sec-
tion referred to as the ‘‘Center’’) to provide
training, technical assistance, and resources for
government programs, nonprofit and other com-
munity-based organizations, and Indian Tribes,
Tribal organizations, and urban Indian organiza-
tions, that serve grandf
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 3021
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Foster Grandparent projects; amount** The Director is authorized to make grants to or contracts with public and nonprofit private agencies and organizations to pay part or all of the cost of development and operation of projects (including direct payments to individuals serving under this part) designed for the purpose of providing opportunities for low-income persons age 55 or over to provide supportive person-to-person services in health, education, welfare, and related settings to children having special or exceptional needs or circumstances identified as limiting their academic, social, or emotional development. Such services may include services by individuals serving as foster grandparents to children who are individuals with disabilities, who have chronic health conditions, who are receiving care in hospitals, who are residing in homes for dependent and neglected children, or who are receiving services provided by day care centers, schools, early intervention programs under part C of the Individuals with Disabilities Education Act ([20 U.S.C. 1431](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title20-section1431&num=0&edition=prelim) et seq.), Head Start agencies under the Head Start Act [[42 U.S.C. 9831](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section9831&num=0&edition=prelim) et seq.], or other programs, establishments, and institutions providing services for children having special or exceptional needs or circumstances identified as limiting their academic, social, or emotional development. Individual foster grandparents may provide person-to-person services to one or more children, depending on the needs of the project and local site. The Director may approve assistance in excess of 90 per centum of the costs
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 5013
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