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The Fifth Edition includes the following topics: the new Elder Justice Act responding to elder abuse and neglect; criminal background checks of workers who work with older patients; major Medicare changes, including: 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, gradual filling of the Part D "doughnut hole"; Medicaid spousal impoverishment protection changes; revamped Medigap plan options effective July 2010; new long-term care insurance program operated by the Federal government, and more.