This bill reauthorizes and enhances funding for critical programs designed to prevent, investigate, and prosecute elder abuse, neglect, and exploitation. It updates existing provisions related to nursing home worker training, adult protective services, and long-term care ombudsman programs, ensuring continued support for these vital services and introducing new initiatives to address emerging needs in elder justice. Specifically, the bill reauthorizes and amends the Nursing Home Worker Training Grants program, appropriating $410 million annually from fiscal years 2027 through 2030. These grants will be distributed to states and Indian tribes based on their elderly and disabled populations, funding wage subsidies, tuition assistance, childcare, and transportation for eligible individuals working in various care settings. States must report annually on expenditures and program effectiveness, with the Secretary of Health and Human Services providing quadrennial reports to Congress. For Adult Protective Services (APS) , the bill reauthorizes significant appropriations, including $10 million for general functions, $500 million for state entitlement grants, and $80 million for other grants, all annually from FY2027-2030. It expands APS grant eligibility to include Indian tribes and tribal organizations, reserving 2% of funds for them. The Long-Term Care Ombudsman Program also sees reauthorized funding, with specific appropriations for FY2027-2030. The legislation establishes new incentives for developing and sustaining structural competency in health and human services, including a program of grants to states totaling $125 million annually from FY2027-2030. These grants support medical-legal partnerships , which link health, human, and legal services for older adults and individuals with disabilities, addressing social determinants of health and facilitating legal assistance through various settings and legal hotlines. Medical-legal partnerships are explicitly recognized as authorized adult protective services activities. Furthermore, the bill allocates $63 million annually from FY2027-2030 for grants and training to address social isolation among older adults and adults with disabilities, supporting outreach, community-based interventions, and connections to social and clinical supports. Finally, the Secretary of Health and Human Services is mandated to submit biennial assessment reports to Congress, evaluating the effectiveness of elder justice programs and recommending policy changes, with $10 million annually appropriated for this purpose, emphasizing independent research and evaluation.