I 

116TH CONGRESS 

1ST SESSION H. R. 5323 

To amend the Older Americans Act of 1965 to expand supportive services 

for Native American aging programs, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

DECEMBER 5, 2019 

Mr. O’HALLERAN (for himself, Ms. DAVIDS of Kansas, Ms. HAALAND, and 

Mr. LUJA ́N) introduced the following bill; which was referred to the Committee on Education and Labor 

A BILL 

To amend the Older Americans Act of 1965 to expand supportive services for Native American aging programs, 

and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Tribal Elder Care Im5 provement Act of 2019’’. 

6 SEC. 2. EXPANDING SUPPORTIVE SERVICES FOR NATIVE 

7 AMERICAN AGING PROGRAMS. 

8 Title VI of the Older Americans Act of 1965 (42 

9 U.S.C. 3057 et seq.) is amended— 

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1 (1) by redesignating part D as part E, and 

2 (2) by inserting after part C the following: 

3 ‘‘PART D—SUPPORTIVE SERVICES FOR HEALTHY 

4 AGING AND INDEPENDENCE 

5 ‘‘SEC. 636. PROGRAM. 

6 ‘‘(a) IN GENERAL.—The Assistant Secretary shall 

7 carry out a competitive demonstration program for mak8 ing grants to tribal or Native Hawaiian organizations with 

9 applications approved under parts A and B, to pay for 

10 the Federal share of carrying out programs, to enable the 

11 organizations to build their capacity to provide a wider 

12 range of in-home and community supportive services to 

13 enable older individuals to maintain their health and inde14 pendence and to avoid long-term care facility placement. 

15 ‘‘(b) SUPPORTIVE SERVICES.— 

16 ‘‘(1) IN GENERAL.—Subject to paragraph (2), 

17 supportive services described in subsection (a) may 

18 include any of the activities listed under section 

19 321(a). 

20 ‘‘(2) PRIORITY.—The Assistant Secretary, in 

21 awarding grants under this section, shall give pri22 ority to tribal organizations that will use the grant 

23 funds for supportive services described in subsection 

24 (a) that are for in-home assistance, transportation, 

25 information and referral, case management, health 

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1 and wellness programs, legal services, family care2 giver support services, and other services that di3 rectly support the independence of the older individ4 uals served. 

5 ‘‘(c) RULE OF CONSTRUCTION.—Nothing in this sec6 tion shall be construed or interpreted to prohibit the provi7 sion of supportive services under part A or B.’’. 

8 SEC. 3. ENHANCING TRAINING CAPACITY TO SUPPORT NA9 TIVE AMERICAN AGING PROGRAMS. 

10 Title II of the Older Americans Act of 1965 (42 

11 U.S.C. 3011 et seq.) is amended— 

12 (1) in section 201(c)(3)(H) by striking the 

13 semicolon and inserting ‘‘to ensure adequate capac14 ity to deliver the services under such title, which 

15 technical assistance and professional development 

16 programs may include program management, data 

17 development and use, basic business skills, grant de18 velopment, program and service innovations, and 

19 staff training and certification;’’; and 

20 (2) in section 216(b)— 

21 (A) in paragraph (3) by striking ‘‘; and’’ 

22 and inserting ‘‘;’’, 

23 (B) in paragraph (4) by striking the period 

24 and inserting ‘‘; and’’, and 

25 (C) by adding at the end the following: 

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1 ‘‘(5) to carry out section 201(c)(3)(H) (relating 

2 to training and technical assistance for programs 

3 under title VI), $500,000 for fiscal year 2021.’’. 

4 SEC. 4. EXPANDING SUPPORTIVE SERVICES FOR NATIVE 

5 AMERICAN AGING PROGRAMS. 

6 Section 643 of the Older Americans Act of 1965 (42 

7 U.S.C. 3057n) is amended to read as follows: 

8 ‘‘SEC. 643. AUTHORIZATION OF APPROPRIATIONS. 

9 ‘‘There are authorized to be appropriated to carry out 

10 this title— 

11 ‘‘(1) for parts A and B, $38,524,324 for fiscal 

12 year 2020, $40,835,783 for fiscal year 2021, 

13 $43,285,930 for fiscal year 2022, $45,883,086 for 

14 fiscal year 2023, and $48,636,071 for fiscal year 

15 2024; and 

16 ‘‘(2) for part C subject to section 644, 

17 $10,785,575 for fiscal year 2020, $11,432,710 for 

18 fiscal year 2021, $12,118,672 for fiscal year 2022, 

19 $12,845,792 for fiscal year 2023, and $13,616,540 

20 for fiscal year 2024.’’. 

21 SEC. 5. FUNDING SET ASIDE. 

22 Title VI of the Older Americans Act of 1965 (42 

23 U.S.C. 3057–3057n) is amended by adding at the end the 

24 following: 

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1 ‘‘SEC. 644. FUNDING SET ASIDE. 

2 ‘‘Of the funds appropriated under section 643(1) for 

3 a fiscal year, not more than 5 percent shall be made avail4 able to carry out part D for such fiscal year if for such 

5 fiscal year— 

6 ‘‘(1) the funds appropriated for parts A and B 

7 are greater than the funds appropriated for such 

8 parts for fiscal year 2019; and 

9 ‘‘(2) the Assistant Secretary makes available 

10 for parts A and B not less than the amount of re11 sources made available for fiscal year 2019.’’. 

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