; (E) ensures there is cultural competency to address the unique needs of a diverse older adult population with respect to elder abuse; and (F) balances an elder’s right to self-determination with society’s responsibility to protect elders. (10) The future well-being of millions of older adults may be challenged by elder abuse and a coordinated and comprehensive Federal response is needed. Elder abuse prevention is a sound investment that can produce savings to the Medicare and Medicaid programs in the future. (11) A victim of elder abuse is never the same after being victimized. 3. Reauthorization of the Elder Justice Act of 2009 (a) Amendments to the Social Security Act (1) Each of the following provisions of the Social Security Act is amended by striking 2014 and inserting 2021 : (A) Section 2024(2) ( 42 U.S.C. 1397k–3(2) ). (B) Section 2042(a)(2) ( 42 U.S.C. 1397m–1(a)(2) ). (C) Section 2042(b)(5) ( 42 U.S.C. 1397m–1(b)(5) ). (D) Section 2042(c)(5) ( 42 U.S.C. 1397m–1(c)(5) ). (E) Section 2043(b)(2) ( 42 U.S.C. 1397m–2(b)(2) ). (2) Each of the following provisions of the Social Security Act is amended by striking and 2014 and inserting through 2021 : (A) Section 2031(f)(3) ( 42 U.S.C. 1397l(f)(3) ). (B) Section 2041(d)(3) ( 42 U.S.C. 1397m(d)(3) ). (C) Section 2043(a)(2)(C) ( 42 U.S.C. 1397m–2(a)(2)(C) ). (3) Section 2045 of the Social Security Act ( 42 U.S.C. 1397m–4 ) is amended by striking October 1, 2014 and inserting 2 years after the completion of grants made to States under section 2042 . (b) Amendments to the Patient Protection and Affordable Care Act Section 6703(b) of the Patient Protection and Affordable Care Act (42 U.S.C. 1395i–3a(b)) is amended in each of paragraphs (1)(C) and (2)(C), by striking 2014 and inserting 2021 .