; and (2) enact legislation requiring entities that provide health care services or long-term care to elders in the State to check the State elder abuse registry before hiring individuals for such services to ensure that such individuals have not been found by a State agency to have committed elder abuse. 4. National elder Abuse Registry Beginning, not less than two years after the date of the enactment of this Act, the Attorney General shall establish and maintain a national database of content from State elder abuse registries that substantially conforms to the guidelines established pursuant to section 2. 5. Definitions In this Act: (1) The term abuse means the knowing infliction of physical or psychological harm or the knowing deprivation of goods or services that are necessary to meet essential needs or to avoid physical or psychological harm. (2) The term caregiver means an individual who has the responsibility for the care of an elder, either voluntarily, by contract, by receipt of payment for care, or as a result of the operation of law, and means a family member or other individual who provides (on behalf of such individual or of a public or private agency, organization, or institution) compensated or uncompensated care to an elder who needs supportive services in any setting. (3) The term elder means an individual aged 65 years or older. (4) The term elder abuse means the abuse, neglect, mistreatment, or exploitation of an elder. (5) The term exploitation means the fraudulent or otherwise illegal, unauthorized, or improper act or process of an individual, including a caregiver or fiduciary, that uses the resources of an elder for monetary or personal benefit, profit, or gain, or that results in depriving an elder of rightful access to, or use of, benefits, resources, belongings, or assets. (6) The term fiduciary — (A) means a person or entity with the legal responsibility— (i) to make decisions on behalf of and for the benefit of another person; and (ii) to act in good faith and with fairness