This edition integrates the wide-ranging changes made by the Patient Protection and Affordable Care Act (health reform legislation), as well as other recent developments. It includes the following topics: the Elder Justice Act responding to elder abuse and neglect; criminal background checks of workers who work with older patients; major Medicare changes, such as cost-free annual  wellness visits and personalized prevention assessments, end-of-life planning, tax increases on both earned and investment income, increased premiums on higher-income enrollees in Part D, and gradual filling of the Part D "donut hole"; Medicaid spousal impoverishment protection changes; and more.