; (5) in paragraph (4) (as redesignated by paragraph (3) of this section), by inserting (and, in the case of demonstration programs described in paragraph (2)(E), the highest court of a State) after a State ; and (6) in paragraph (5) (as so redesignated), by inserting (or, in the case of demonstration programs described in paragraph (2)(E), the highest court of a State) after State each place it appears. 502. GAO reports (a) Elder justice recommendations Not later than 18 months after the date of enactment of this Act, the Comptroller General of the United States shall review existing Federal programs and initiatives in the Federal criminal justice system relevant to elder justice and shall submit to Congress— (1) a report on such programs and initiatives; and (2) any recommendations the Comptroller General determines are appropriate to improve elder justice in the United States. (b) Report on elder abuse and international criminal enterprises Not later than 18 months after the date of enactment of this Act, the Comptroller General of the United States shall submit to Congress a report on— (1) the extent to which older adults of the United States are being exploited in global drug trafficking schemes and other international criminal enterprises; (2) the extent to which the exploitation of older adults of the United States by international criminal enterprises has resulted in the incarceration of these citizens of the United States in foreign court systems, including a description of the total number of such cases pending in foreign court systems; and (3) whether, and to what extent, the Federal Government has intervened with foreign officials on behalf of citizens of the United States who are elder abuse victims in international criminal enterprises, including a description, to the extent such data is available, of— (A) the total annual number of elder abuse cases pending in the United States and foreign court systems