118TH CONGRESS 

2D SESSION S. 4776 

AN ACT 

To amend the Older Americans Act of 1965 to authorize 

appropriations for fiscal years 2025 through 2029, 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, 
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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Older Americans Act 

3 Reauthorization Act of 2024’’. 

4 SEC. 2. TABLE OF CONTENTS. 

5 The table of contents for this Act is as follows: 

Sec. 1. Short title. 

Sec. 2. Table of contents. 

Sec. 3. References. 

Sec. 4. Definitions. 

TITLE I—STRENGTHENING THE AGING NETWORK TO MEET THE 

NEEDS OF OLDER INDIVIDUALS 

Sec. 101. Declaration of objectives. 

Sec. 102. Addressing mental health and substance use disorders and cognitive 

impairments of older individuals. 

Sec. 103. List of national resource centers. 

Sec. 104. Awareness of relevant Federal programs. 

Sec. 105. Evaluations and surveys. 

Sec. 106. Contracting. 

Sec. 107. Guidance on reallocation of funding between area agencies on aging. 

Sec. 108. Right to first refusal. 

Sec. 109. Area agency on aging capabilities. 

Sec. 110. Supporting older individuals with disabilities through improved coordination. 

Sec. 111. Business acumen, fiscal training, and technical assistance. 

Sec. 112. Enhancing access to assistive technology. 

Sec. 113. White House Conference on Aging. 

Sec. 114. Technical amendments. 

TITLE II—IMPROVING HEALTH OUTCOMES AND ENCOURAGING 

INDEPENDENCE FOR OLDER INDIVIDUALS 

Sec. 201. Disease prevention and health promotion services. 

Sec. 202. Improving health outcomes. 

Sec. 203. Technical assistance on evidence-based programs. 

Sec. 204. Enhancing multipurpose senior centers. 

Sec. 205. Addressing home modifications. 

Sec. 206. National resource center for engaging older adults. 

Sec. 207. Multigenerational and civic engagement activities. 

Sec. 208. Report relating to health outcomes for older individuals living with 

or near family members. 

Sec. 209. Improving broadband coordination and reducing social isolation. 

TITLE III—ENHANCING INNOVATION AND FLEXIBILITY IN 

NUTRITION SERVICES 

Sec. 301. Medically tailored meals. 

Sec. 302. Grab-and-go meals. 

Sec. 303. GAO study on Nutrition Services Incentive Program. 

Sec. 304. Innovations in nutrition programs and services. 
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TITLE IV—SUPPORTING FAMILY CAREGIVERS 

Sec. 401. Improving the National Family Caregiver Support Program. 

Sec. 402. Emphasizing respite care. 

Sec. 403. Clarifying supportive services. 

Sec. 404. Direct care workforce resource center. 

Sec. 405. Supporting Grandparents Raising Grandchildren Act. 

Sec. 406. RAISE Family Caregivers Act. 

TITLE V—COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT 

Sec. 501. Improving the Community Service Employment Program. 

Sec. 502. GAO report on alignment within the Community Service Employment 

Program. 

TITLE VI—IMPROVING SERVICES FOR NATIVE ELDERS 

Sec. 601. Older Americans Tribal Advisory Committee. 

Sec. 602. Supportive services; set aside. 

Sec. 603. GAO report on Tribal services. 

Sec. 604. Technical amendments. 

TITLE VII—STRENGTHENING THE LONG-TERM CARE 

OMBUDSMAN PROGRAMS AND ELDER ABUSE PREVENTION 

Sec. 701. Director of the Office of Long-Term Care Ombudsman Programs. 

Sec. 702. Legal assistance training resources relating to elder abuse prevention. 

Sec. 703. Improving training of volunteers under the State Long-Term Care 

Ombudsman Program. 

Sec. 704. Reporting on State Long-Term Care Ombudsman Programs. 

Sec. 705. Study on State Long-Term Care Ombudsman Programs. 

TITLE VIII—AUTHORIZATIONS OF APPROPRIATIONS 

Sec. 801. Administration on Aging. 

Sec. 802. Grants for State and community programs on aging. 

Sec. 803. Activities for health, independence, and longevity. 

Sec. 804. Community Service Senior Opportunities Act. 

Sec. 805. Grants for Native Americans. 

Sec. 806. Allotments for elder rights protection activities. 

1 SEC. 3. REFERENCES. 

2 Except as otherwise expressly provided in this Act, 

3 wherever in this Act an amendment or repeal is expressed 

4 in terms of an amendment to, or a repeal of, a section 

5 or other provision, the reference shall be considered to be 

6 made to that section or other provision of the Older Amer7 icans Act of 1965 (42 U.S.C. 3001 et seq.). 
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1 SEC. 4. DEFINITIONS. 

2 In this Act, the terms ‘‘area agency on aging’’, ‘‘As3 sistant Secretary’’, ‘‘older individual’’, and ‘‘Secretary’’ 

4 have the meanings given such terms in section 102 of the 

5 Older Americans Act of 1965 (42 U.S.C. 3002). 

6 TITLE I—STRENGTHENING THE 

7 AGING NETWORK TO MEET 

8 THE NEEDS OF OLDER INDI9 VIDUALS 

10 SEC. 101. DECLARATION OF OBJECTIVES. 

11 Section 101 (42 U.S.C. 3001) is amended— 

12 (1) in the matter preceding paragraph (1), by 

13 striking ‘‘of the following objectives:’’ and inserting 

14 ‘‘of the objectives of—’’; 

15 (2) in each of paragraphs (1) through (10), by 

16 amending the first word so that it begins with a low17 ercase letter; 

18 (3) in each of paragraphs (1) through (8), by 

19 striking the period at the end and inserting a semi20 colon; 

21 (4) in each of paragraphs (9) and (10), by 

22 striking the period at the end and inserting ‘‘; and’’; 

23 (5) in paragraph (2), by inserting ‘‘to improve 

24 health outcomes and reduce health care expendi25 tures’’ after ‘‘economic status’’; 
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1 (6) by redesignating paragraphs (1) through 

2 (10) as subparagraphs (A) through (J), respectively, 

3 and adjusting the margins accordingly; 

4 (7) in the matter preceding subparagraph (A) 

5 (as so redesignated), by striking ‘‘our democratic so6 ciety, the older people’’ and inserting the following: 

7 ‘‘our democratic society— 

8 ‘‘(1) the older people’’; and 

9 (8) by adding at the end the following: 

10 ‘‘(2) the families of older individuals and com11 munity-based organizations, including faith-based or12 ganizations, also play a vital role in supporting and 

13 honoring older individuals and their happiness, dig14 nity, and independence.’’. 

15 SEC. 102. ADDRESSING MENTAL HEALTH AND SUBSTANCE 

16 USE DISORDERS AND COGNITIVE IMPAIR17 MENTS OF OLDER INDIVIDUALS. 

18 Section 201(f) (42 U.S.C. 3011(f)) is amended to 

19 read as follows: 

20 ‘‘(f)(1) The Assistant Secretary may designate an of21 ficer or employee who shall be responsible for the adminis22 tration of services for mental health and substance use 

23 disorders and cognitive impairments authorized under this 

24 Act and serve as an effective and visible advocate for the 

25 related needs of older individuals within the Department 
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1 of Health and Human Services, including by ensuring that 

2 relevant information disseminated and research conducted 

3 or supported by the Department takes into consideration 

4 such services. 

5 ‘‘(2) It shall be the duty of the Assistant Secretary, 

6 acting through the individual designated under paragraph 

7 (1), and in consultation with the heads of relevant agen8 cies within the Department of Health and Human Serv9 ices, including the Substance Abuse and Mental Health 

10 Services Administration, to develop objectives, priorities, 

11 and a long-term plan for supporting State and local efforts 

12 under this Act involving education about, and prevention, 

13 detection, and treatment of, mental health and substance 

14 use disorders and cognitive impairments, including age-re15 lated dementia, depression, and Alzheimer’s disease and 

16 related neurological disorders with neurological and or17 ganic brain dysfunction. 

18 ‘‘(3) Not later than 2 years after the date of enact19 ment of the Older Americans Act Reauthorization Act of 

20 2024, the Assistant Secretary shall report to the Com21 mittee on Health, Education, Labor, and Pensions of the 

22 Senate, the Special Committee on Aging of the Senate, 

23 and the Committee on Education and the Workforce of 

24 the House of Representatives on the activities of the offi25 cer or employee designated under paragraph (1) in car-
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1 rying out the requirements under this subsection, includ2 ing any activities to identify and reduce duplication and 

3 gaps across the Department in such information dissemi4 nated and research conducted or supported by the Depart5 ment.’’. 

6 SEC. 103. LIST OF NATIONAL RESOURCE CENTERS. 

7 Section 202 (42 U.S.C. 3012) is amended— 

8 (1) in subsection (d)(4), by striking ‘‘Resource 

9 Center on Elder Abuse’’ and inserting ‘‘Center’’; and 

10 (2) by striking subsection (h) and inserting the 

11 following: 

12 ‘‘(h)(1) The Assistant Secretary shall publish online 

13 in a publicly accessible format, on an annual basis, a list 

14 of national resource centers and demonstration projects 

15 authorized under, or administratively established through 

16 funds provided under, this Act. 

17 ‘‘(2) The Assistant Secretary shall ensure that the 

18 list published pursuant to paragraph (1)— 

19 ‘‘(A) includes— 

20 ‘‘(i) a description of each such center and 

21 demonstration project, including the projected 

22 goals and activities of each such center and 

23 demonstration project; 

24 ‘‘(ii) a citation to the statutory authoriza25 tion of each such center and demonstration 
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1 project, or a citation to the statutory authority 

2 that the Assistant Secretary relies upon to ad3 ministratively establish each such center and 

4 demonstration project; 

5 ‘‘(iii) the award amount for each such cen6 ter and demonstration project; and 

7 ‘‘(iv) a summary of any evaluations re8 quired under this Act for each such center, in9 cluding a description of any measures of effec10 tiveness; and 

11 ‘‘(B) is directly provided to State agencies, area 

12 agencies on aging, and the Committee on Health, 

13 Education, Labor, and Pensions and the Special 

14 Committee on Aging of the Senate and the Com15 mittee on Education and the Workforce of the 

16 House of Representatives.’’. 

17 SEC. 104. AWARENESS OF RELEVANT FEDERAL PROGRAMS. 

18 Title II (42 U.S.C. 3011 et seq.) is amended by in19 serting after section 203A (42 U.S.C. 3013a) the fol20 lowing: 

21 ‘‘SEC. 203B. AWARENESS OF RELEVANT FEDERAL PRO22 GRAMS. 

23 ‘‘In carrying out section 203(a)(1), the Assistant Sec24 retary shall coordinate with the heads of relevant Federal 

25 departments and agencies to ensure that the aging net-
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1 work and individuals served under this Act are aware of, 

2 and, subject to applicable eligibility criteria, have access 

3 to, Federal programs that may advance the objectives of 

4 this Act, including programs described in section 203(b) 

5 and other programs to meet housing, health care, and 

6 other supportive service needs to help such individuals age 

7 in place.’’. 

8 SEC. 105. EVALUATIONS AND SURVEYS. 

9 Section 206 (42 U.S.C. 3017) is amended— 

10 (1) by striking subsection (d) and inserting the 

11 following: 

12 ‘‘(d)(1) In carrying out evaluations under this sec13 tion, the Secretary shall— 

14 ‘‘(A) award grants to, or enter into contracts 

15 with, public or nonprofit private organizations or 

16 academic or research institutions to survey State 

17 agencies, area agencies on aging, and other program 

18 and project participants about the strengths and 

19 weaknesses of the programs and projects; and 

20 ‘‘(B) conduct, where appropriate, evaluations 

21 that compare the effectiveness of related programs 

22 in achieving common objectives. 

23 ‘‘(2) The surveys and evaluations under paragraph 

24 (1) shall include information on programs, services, use 

25 and sources of funding (including any transfer of funding 
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1 between area agencies on aging), identified unmet need 

2 for services and related indicators, and any other chal3 lenges faced by State agencies and area agencies on aging 

4 in carrying out the activities of this Act. 

5 ‘‘(3) The Secretary shall, in carrying out the evalua6 tions under paragraph (1), consult with organizations con7 cerned with older individuals, including organizations that 

8 represent minority individuals, older individuals residing 

9 in rural areas, and older individuals with disabilities.’’; 

10 and 

11 (2) in subsection (g), by striking ‘‘him’’ and in12 serting ‘‘the Secretary’’. 

13 SEC. 106. CONTRACTING. 

14 (a) IN GENERAL.—Section 212 (42 U.S.C. 3020c) is 

15 amended— 

16 (1) in the section heading, by striking ‘‘AND

17 GRANT AUTHORITY’’; 

18 (2) by striking subsection (a) and inserting the 

19 following: 

20 ‘‘(a) IN GENERAL.—Subject to subsection (b), this 

21 Act shall not be construed to prevent a recipient of a grant 

22 or a contract under this Act (other than title V) from en23 tering into a contract, commercial relationship, or other 

24 business arrangement (referred to in this section as an 

25 ‘agreement’) with a profitmaking organization for the re-
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1 cipient to provide services to individuals or entities not 

2 otherwise receiving services under this Act, provided 

3 that— 

4 ‘‘(1) in the case funds provided under this Act 

5 are used in developing or carrying out the agree6 ment— 

7 ‘‘(A) such agreement guarantees that the 

8 cost is reimbursed to the recipient; 

9 ‘‘(B) if such agreement provides for the 

10 provision of 1 or more services, of the type pro11 vided under this Act by or on behalf of such re12 cipient, to an individual or entity seeking to re13 ceive such services— 

14 ‘‘(i) the individuals and entities may 

15 only purchase such services at their fair 

16 market rate; 

17 ‘‘(ii) all costs incurred by the recipient 

18 in providing such services (and not other19 wise reimbursed under subparagraph (A)), 

20 are reimbursed to such recipient; and 

21 ‘‘(iii) except in the case of an agree22 ment with a health plan or health care pro23 vider, the recipient reports the rates for 

24 providing such services under such agree25 ment in accordance with subsection (c) and 
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1 the rates are consistent with the prevailing 

2 market rate for provision of such services 

3 in the relevant geographic area as deter4 mined by the State agency or area agency 

5 on aging (as applicable); and 

6 ‘‘(C) any amount of payment to the recipi7 ent under the agreement that exceeds reim8 bursement under this subsection of the recipi9 ent’s costs is used to provide, or support the 

10 provision of, services under this Act; and 

11 ‘‘(2) subject to subsection (e), in the case no 

12 funds provided under this Act are used in developing 

13 or carrying out the agreement— 

14 ‘‘(A) not later than 45 days after the 

15 agreement first goes into effect, and annually 

16 thereafter until the termination of such agree17 ment, the recipient of a grant or contract under 

18 this Act shall, in writing— 

19 ‘‘(i) notify the State agency of— 

20 ‘‘(I) the existence of the agree21 ment; and 

22 ‘‘(II) the services provided and 

23 populations served under the agree24 ment; and 
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1 ‘‘(ii) provide assurances to the State 

2 agency that— 

3 ‘‘(I) nothing in the agreement— 

4 ‘‘(aa) undermines— 

5 ‘‘(AA) the duties of the 

6 recipient under this Act; or 

7 ‘‘(BB) the provision of 

8 services in accordance with 

9 this Act; or 

10 ‘‘(bb) violates any other 

11 terms and conditions of an award 

12 received by the recipient under 

13 this Act; and 

14 ‘‘(II) any potential real or per15 ceived conflict of interest with respect 

16 to the agreement has been prevented, 

17 mitigated, or otherwise addressed, in18 cluding providing a description of any 

19 such conflicts of interest and a de20 scription of the actions taken to miti21 gate such conflicts of interest; and 

22 ‘‘(B) not later than 45 days after the pop23 ulation or services under the agreement sub24 stantially change due to an amendment to the 

25 agreement, the recipient shall, in writing— 
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1 ‘‘(i) notify the State agency of such 

2 change; and 

3 ‘‘(ii) provide the assurances described 

4 in subparagraph (A)(ii) with respect to 

5 such change.’’; 

6 (3) by striking subsection (b) and inserting the 

7 following: 

8 ‘‘(b) ENSURING APPROPRIATE USE OF FUNDS.—An 

9 agreement— 

10 ‘‘(1) described in subsection (a)(1) may not— 

11 ‘‘(A) be made without the prior approval of 

12 the State agency (or, in the case of a grantee 

13 under title VI, without the prior recommenda14 tion of the Director of the Office for American 

15 Indian, Alaska Native, and Native Hawaiian 

16 Programs and the prior approval of the Assist17 ant Secretary), after timely submission of all 

18 relevant documents related to the agreement in19 cluding information on all costs incurred; or 

20 ‘‘(B) directly or indirectly provide for, or 

21 have the effect of, paying, reimbursing, sub22 sidizing, or otherwise compensating an indi23 vidual or entity in an amount that exceeds the 

24 fair market value of the services subject to such 

25 agreement; and 
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1 ‘‘(2) described in subsection (a) may not— 

2 ‘‘(A) result in the displacement of services 

3 otherwise available to an older individual with 

4 greatest social need, an older individual with 

5 greatest economic need, or an older individual 

6 who is at risk for institutional placement; or 

7 ‘‘(B) in any other way compromise, under8 mine, or be inconsistent with the objective of 

9 serving the needs of older individuals, as deter10 mined by the Assistant Secretary.’’; 

11 (4) by striking subsection (c) and inserting the 

12 following: 

13 ‘‘(c) MONITORING AND REPORTING.—To ensure that 

14 any agreement described in subsection (a)(1) complies 

15 with the requirements of this section and other applicable 

16 provisions of this Act, the Assistant Secretary shall de17 velop and implement uniform monitoring procedures and 

18 reporting requirements consistent with the provisions of 

19 subparagraphs (A) through (E) of section 306(a)(13) in 

20 consultation with the State agencies and area agencies on 

21 aging. The Assistant Secretary shall conduct a review on 

22 the impact of such agreements on the provision of services 

23 under this Act, including the number of agreements per 

24 State, summaries of such agreements, and the impact of 

25 such agreements on access to services consistent with the 
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1 goals of this Act. The Assistant Secretary shall annually 

2 prepare and submit to the Committee on Health, Edu3 cation, Labor, and Pensions of the Senate, the Special 

4 Committee on Aging of the Senate, and the Committee 

5 on Education and the Workforce of the House of Rep6 resentatives the findings of such review.’’; and 

7 (5) by striking subsection (e) and inserting the 

8 following: 

9 ‘‘(e) REQUESTING ADDITIONAL INFORMATION FOR

10 CERTAIN NON-OAA AGREEMENTS.— 

11 ‘‘(1) IN GENERAL.—In the case of an agree12 ment described in subsection (a)(2), if the State 

13 agency has a reasonable belief that an agreement 

14 may violate the assurances provided under sub15 section (a)(2)(A)(ii), the State agency may request 

16 additional information from the recipient of funds 

17 under this Act that is a party to such agreement, 

18 which may include a request for a copy of such 

19 agreement. Such recipient shall make a good faith 

20 effort to address such request for additional infor21 mation, except that such recipient shall not provide 

22 agreements or other data that are restricted under 

23 the terms of a non-disclosure agreement signed by 

24 such recipient. If such recipient declines to provide 

25 a copy of an agreement to a State agency, such re-
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1 cipient shall provide a justification to the State 

2 agency within 30 days of receiving such request. 

3 ‘‘(2) CONFIDENTIALITY.—A State agency shall 

4 keep confidential, as required by applicable Federal 

5 and State law, all information received under this 

6 subsection that is— 

7 ‘‘(A) a trade secret; 

8 ‘‘(B) commercial or financial information; 

9 and 

10 ‘‘(C) information obtained from an indi11 vidual that is privileged and confidential. 

12 ‘‘(f) DEFINITIONS.—In this section: 

13 ‘‘(1) COST.—The term ‘cost’ means an expense, 

14 including an administrative expense, incurred by a 

15 recipient in developing or carrying out an agreement 

16 described in subsection (a), whether the recipient 

17 contributed funds, staff time, or other plant, equip18 ment, or services to meet the expense. 

19 ‘‘(2) RECIPIENT.—The term ‘recipient’ means 

20 an area agency on aging in a State with multiple 

21 planning and service areas.’’. 

22 (b) AREA PLANS.—Section 306 (42 U.S.C. 3026) is 

23 amended— 

24 (1) in subsection (a)(13)— 
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1 (A) in subparagraph (B)(i), by striking 

2 ‘‘any service to older individuals’’ and inserting 

3 ‘‘any service under this Act to older individuals 

4 or caregivers’’; and 

5 (B) in subparagraph (E), by inserting ‘‘or 

6 caregivers under this Act’’ after ‘‘older individ7 uals’’; and 

8 (2) in subsection (g), by inserting ‘‘, except as 

9 provided under section 212(a)(2),’’ after ‘‘Nothing 

10 in this Act’’. 

11 SEC. 107. GUIDANCE ON REALLOCATION OF FUNDING BE12 TWEEN AREA AGENCIES ON AGING. 

13 (a) IN GENERAL.—Not later than 1 year after the 

14 date of enactment of this Act, the Assistant Secretary 

15 shall disseminate one-time guidance to State agencies (as 

16 defined in section 102 of the Older Americans Act of 1965 

17 (42 U.S.C. 3002)) and area agencies on aging on cir18 cumstances under which funds appropriated pursuant to 

19 part B and subparts 1 and 2 of part C of title III of the 

20 Older Americans Act (42 U.S.C. 3030d et seq., 42 U.S.C. 

21 3030e et seq., 42 U.S.C. 3030f et seq.) may be appro22 priate to reallocate between area agencies on aging within 

23 a single State, with the approval of the State agency and 

24 the concurrence of any involved area agencies on aging, 

25 within a budget year. 
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1 (b) CONSIDERATIONS.—In disseminating the guid2 ance under subsection (a), the Assistant Secretary may 

3 consider circumstances that affect the expenditure of the 

4 funds described in such subsection. 

5 SEC. 108. RIGHT TO FIRST REFUSAL. 

6 Section 305(b)(5)(B) (42 U.S.C. 3025(b)(5)(B)) is 

7 amended to read as follows: 

8 ‘‘(B) Whenever a State agency designates a new area 

9 agency on aging after the date of enactment of the Older 

10 Americans Act Reauthorization Act of 2024, the State 

11 agency shall give the right to first refusal to a unit of 

12 general purpose local government if— 

13 ‘‘(i) such unit can meet the requirements of 

14 subsection (c); 

15 ‘‘(ii)(I) such unit has demonstrated experience 

16 administering services for older individuals; or 

17 ‘‘(II) the State agency determines that there is 

18 not another entity eligible under subsection (c)(1) 

19 within the planning and service area with such dem20 onstrated experience; and 

21 ‘‘(iii) the boundaries of such unit and the 

22 boundaries of the planning and service area are rea23 sonably contiguous.’’. 
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1 SEC. 109. AREA AGENCY ON AGING CAPABILITIES. 

2 (a) ORGANIZATION.—Section 305(c) (42 U.S.C. 

3 3025(c)) is amended— 

4 (1) by redesignating paragraphs (1) through 

5 (5) as subparagraphs (A) through (E), respectively, 

6 and moving such subparagraphs 2 ems to the right; 

7 (2) by striking ‘‘shall be’’ and inserting the fol8 lowing: ‘‘shall— 

9 ‘‘(1) be—’’; 

10 (3) in subparagraph (E), as so redesignated— 

11 (A) by striking ‘‘(b)(5)’’ and inserting 

12 ‘‘(b)(5)(A)’’; and 

13 (B) by inserting ‘‘and’’ after the semicolon; 

14 and 

15 (4) by striking ‘‘and shall provide assurance, 

16 determined adequate by the State agency, that the 

17 area agency on aging will have the ability to develop 

18 an area plan and to carry out, directly or through 

19 contractual or other arrangements, a program in ac20 cordance with the plan within the planning and serv21 ice area.’’ and inserting the following: 

22 ‘‘(2) provide assurance, determined adequate by 

23 the State agency, that the area agency on aging will 

24 have the ability, and maintain the capabilities nec25 essary, to develop an area plan as required under 

26 section 306(a), and carry out, directly or through 
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1 contractual or other arrangements, and oversee ac2 tivities in accordance with— 

3 ‘‘(A) the plan within the planning and 

4 service area; 

5 ‘‘(B) any other relevant requirements of 

6 this Act; 

7 ‘‘(C) other applicable Federal and State 

8 laws; and 

9 ‘‘(D) other terms and conditions of awards 

10 received under this Act.’’. 

11 (b) PLANS.—Section 306(f)(1) (42 U.S.C. 

12 3026(f)(1)) is amended— 

13 (1) by inserting ‘‘the assurances required under 

14 section 305(c)(2),’’ after ‘‘of this section,’’; and 

15 (2) by striking the period at the end and insert16 ing ‘‘, and if the State agency determines, in the dis17 cretion of the State agency, that an area agency on 

18 aging failed in 2 successive years to comply with the 

19 requirements under this title, then the State agency 

20 may require the area agency on aging to submit a 

21 plan for a 1-year period that meets such require22 ments, for subsequent years until the State agency 

23 determines that the area agency on aging is in com24 pliance with such requirements.’’. 
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1 SEC. 110. SUPPORTING OLDER INDIVIDUALS WITH DISABIL2 ITIES THROUGH IMPROVED COORDINATION. 

3 (a) AREA PLANS.—Section 306(a)(5) (42 U.S.C. 

4 3026(a)(5)) is amended by striking ‘‘with agencies that 

5 develop or provide services for individuals with disabil6 ities’’ and inserting ‘‘with entities that develop or provide 

7 services for individuals with disabilities, which may include 

8 centers for independent living, relevant service providers, 

9 and other community-based organizations, as appro10 priate’’. 

11 (b) SUPPORTING OLDER INDIVIDUALS WITH DIS12 ABILITIES THROUGH IMPROVED COORDINATION.— 

13 (1) IN GENERAL.—The Administrator of the 

14 Administration for Community Living of the Depart15 ment of Health and Human Services (referred to in 

16 this section as the ‘‘Administrator’’) shall identify— 

17 (A) opportunities to improve coordination 

18 between the aging and disability networks, 

19 which may include the formation of partner20 ships to serve individuals eligible for programs 

21 under the Older Americans Act of 1965 (42 

22 U.S.C. 3001 et seq.); 

23 (B) lessons learned from disability net24 works, including centers for independent living, 

25 State developmental disabilities councils, univer26 sity centers for excellence in developmental dis-
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1 abilities education, research, and service, and 

2 State protection and advocacy agencies that 

3 could improve operations and service delivery 

4 within the aging network; and 

5 (C) any technical assistance needs related 

6 to subparagraphs (A) and (B). 

7 (2) GUIDANCE.—Not later than 2 years after 

8 the date of enactment of this Act, the Administrator 

9 shall issue guidance to State agencies and area 

10 agencies on aging on strategies to leverage disability 

11 networks, including centers for independent living, 

12 State developmental disabilities councils, university 

13 centers for excellence in developmental disabilities, 

14 education, research, and service, and State protec15 tion and advocacy agencies, as appropriate, to 

16 strengthen the provision of services under the Older 

17 Americans Act of 1965 (42 U.S.C. 3001 et seq.). 

18 (3) TECHNICAL ASSISTANCE.—The Adminis19 trator shall coordinate across the Administration for 

20 Community Living to address any technical assist21 ance needs identified under paragraph (1)(C) in a 

22 manner that does not unnecessarily duplicate other 

23 technical assistance activities carried out prior to the 

24 date of enactment of this Act. 
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1 (c) DEFINITIONS.—Section 102 (42 U.S.C. 3002) is 

2 amended— 

3 (1) in paragraph (4), by striking ‘‘(as defined 

4 in section 3 of the Americans with Disabilities Act 

5 of 1990 (42 U.S.C. 12102))’’; 

6 (2) in paragraph (13), by striking ‘‘The term’’ 

7 and all that follows through ‘‘adjustment.’’ and in8 serting ‘‘The term ‘disability’ has the meaning given 

9 such term in section 3 of the Americans with Dis10 abilities Act of 1990 (42 U.S.C. 12102).’’; and 

11 (3) in paragraph (49)(B), by striking ‘‘of the 

12 major life activities specified in subparagraphs (A) 

13 through (G) of paragraph (8)’’ and inserting ‘‘major 

14 life activities specified in section 3(2) of the Ameri15 cans with Disabilities Act of 1990 (42 U.S.C. 

16 12102(2)).’’. 

17 SEC. 111. BUSINESS ACUMEN, FISCAL TRAINING, AND TECH18 NICAL ASSISTANCE. 

19 Section 307(a) (42 U.S.C. 3027(a)) is amended by 

20 adding at the end the following: 

21 ‘‘(31) The plan shall provide assurances that 

22 the State agency, to the extent feasible and when 

23 applicable and appropriate, provides technical assist24 ance for area agencies on aging related to the devel25 opment of business acumen, sound fiscal practices, 
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1 capacity building, organizational development, inno2 vation, and other methods of growing and sustaining 

3 the capacity of the aging network to carry out activi4 ties funded under this Act to serve older individuals 

5 and caregivers most effectively.’’. 

6 SEC. 112. ENHANCING ACCESS TO ASSISTIVE TECHNOLOGY. 

7 Section 307(a) (42 U.S.C. 3027(a)), as amended by 

8 section 111 of this Act, is further amended by adding at 

9 the end the following: 

10 ‘‘(32) The plan shall provide assurances that 

11 the State will coordinate services, to the extent fea12 sible, with lead agencies designated to carry out 

13 State assistive technology programs under the As14 sistive Technology Act of 1998 (29 U.S.C. 3001 et 

15 seq.) and with area agencies on aging to assist eligi16 ble older individuals, including older individuals with 

17 disabilities, in accessing and acquiring assistive tech18 nology.’’. 

19 SEC. 113. WHITE HOUSE CONFERENCE ON AGING. 

20 Title II of the Older Americans Act Amendments of 

21 1987 (42 U.S.C. 3001 note; Public Law 100–175) is 

22 amended by striking title II and inserting the following: 
26 

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1 ‘‘TITLE II—WHITE HOUSE 

2 CONFERENCE ON AGING 

3 ‘‘SEC. 201. AUTHORIZATION OF THE CONFERENCE. 

4 ‘‘(a) AUTHORITY TO CALL CONFERENCE.—Not ear5 lier than January 21, 2025 and not later than December 

6 31, 2025, the President shall convene the White House 

7 Conference on Aging in order to fulfill the purpose set 

8 forth in subsection (c) and to make fundamental policy 

9 recommendations regarding programs that are important 

10 to older individuals and to the families and communities 

11 of such individuals. 

12 ‘‘(b) PLANNING AND DIRECTION.—The Conference 

13 described in subsection (a) shall be planned and conducted 

14 under the direction of the Secretary, in cooperation with 

15 the Assistant Secretary for Aging, the Director of the Na16 tional Institute on Aging, the Administrator of the Centers 

17 for Medicare and Medicaid Services, the Social Security 

18 Administrator, and the heads of such other Federal agen19 cies serving older individuals as are appropriate. Planning 

20 and conducting the Conference includes the assignment of 

21 personnel. 

22 ‘‘(c) PURPOSE.—The purpose of the Conference de23 scribed in subsection (a) shall be to gather individuals rep24 resenting the spectrum of thought and experience in the 

25 field of aging to— 
27 

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1 ‘‘(1) evaluate the manner in which the objec2 tives of the Older Americans Act of 1965 (42 U.S.C. 

3 3001 et seq.) can be met by using the resources and 

4 talents of older individuals, of families and commu5 nities of such individuals, and of individuals from 

6 the public and private sectors; 

7 ‘‘(2) evaluate the manner in which Federal poli8 cies, programs, and activities meet and respond to 

9 the needs of older individuals, including an examina10 tion of innovative and fiscally responsible strategies 

11 relating to retirement security, caregiving, nutrition 

12 and supportive services, health care, elder justice, 

13 and long-term services and supports; 

14 ‘‘(3) be informed by the work and recommenda15 tions of the Interagency Coordinating Committee on 

16 Healthy Aging and Age-Friendly Communities, 

17 evaluate the recommendations of the Committee, 

18 and, as appropriate, suggest implementation strate19 gies for such recommendations; and 

20 ‘‘(4) develop recommendations to guide the 

21 President, Congress, and Federal agencies in im22 proving Federal programs that serve older individ23 uals, which may relate to the prevention and mitiga24 tion of disease, injury, abuse, social isolation, loneli-
28 

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1 ness, and economic insecurity, including food insecu2 rity, and promotion of healthy aging in place. 

3 ‘‘(d) CONFERENCE PARTICIPANTS AND DELE4 GATES.— 

5 ‘‘(1) PARTICIPANTS.—In order to carry out the 

6 purposes of this section, the Conference shall bring 

7 together— 

8 ‘‘(A) representatives of Federal, State, 

9 Tribal, and local governments; 

10 ‘‘(B) professionals and volunteers who are 

11 working in the field of aging; and 

12 ‘‘(C) representatives of the general public, 

13 particularly older individuals. 

14 ‘‘(2) SELECTION OF DELEGATES.—The dele15 gates shall be selected without regard to political af16 filiation or past partisan activity and shall, to the 

17 best of the appointing authority’s ability, be rep18 resentative of the spectrum of thought in the field 

19 of aging. Delegates shall include older individuals, 

20 individuals who are professionals in the field of 

21 aging, individuals who are community leaders, mi22 nority individuals, individuals from rural areas, low23 income individuals, and representatives of Federal, 

24 State, Tribal, and local governments. 
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1 ‘‘SEC. 202. CONFERENCE ADMINISTRATION. 

2 ‘‘(a) ADMINISTRATION.—In administering this sec3 tion, the Secretary shall— 

4 ‘‘(1) consult with relevant State, Tribal, and 

5 local officials, stakeholders, and subject matter ex6 perts in planning the Conference; 

7 ‘‘(2) request the cooperation and assistance of 

8 the heads of such other Federal departments and 

9 agencies, including such officials of the Interagency 

10 Coordinating Committee on Healthy Aging and Age11 Friendly Communities, as may be appropriate in the 

12 carrying out of this section; 

13 ‘‘(3) make available for public comment a pro14 posed agenda for the Conference, which will reflect 

15 to the greatest extent possible the major issues fac16 ing older individuals, consistent with the provisions 

17 of section 201(c); 

18 ‘‘(4) prepare and make available such back19 ground materials for the use of delegates to the Con20 ference as the Secretary deems necessary; and 

21 ‘‘(5) engage such additional personnel as may 

22 be necessary to carry out the provisions of this sec23 tion without regard to provisions of title 5, United 

24 States Code, governing appointments in the competi25 tive service, and without regard to chapter 51 and 
30 

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1 subchapter III of chapter 53 of such title, relating 

2 to classification and General Schedule pay rates. 

3 ‘‘(b) DUTIES.—The Secretary shall, in carrying out 

4 the Secretary’s responsibilities and functions under this 

5 section, and as part of the White House Conference on 

6 Aging, ensure that— 

7 ‘‘(1) the agenda prepared under subsection 

8 (a)(3) for the Conference is published in the Federal 

9 Register not later than 30 days after such agenda 

10 is approved by the Secretary; 

11 ‘‘(2) the personnel engaged under subsection 

12 (a)(5) shall be fairly balanced in terms of points of 

13 views represented and shall be appointed without re14 gard to political affiliation or previous partisan ac15 tivities; 

16 ‘‘(3) the recommendations of the Conference 

17 are not inappropriately influenced by any appointing 

18 authority or by any special interest, but will instead 

19 be the result of the independent judgment of the 

20 Conference; and 

21 ‘‘(4) current and adequate statistical data, in22 cluding decennial census data, and other information 

23 on the well-being of older individuals in the United 

24 States, are readily available, in advance of the Con25 ference, to the delegates of the Conference, together 
31 

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1 with such information as may be necessary to evalu2 ate Federal programs and policies relating to aging. 

3 In carrying out this subparagraph, the Secretary is 

4 authorized to make grants to, and enter into cooper5 ative agreements with, public agencies and nonprofit 

6 private organizations. 

7 ‘‘(c) GIFTS.—The Secretary may accept, on behalf of 

8 the United States, gifts (in cash or in kind, including vol9 untary and uncompensated services) that shall be available 

10 to carry out this title. Gifts of cash shall be available in 

11 addition to amounts appropriated to carry out this title. 

12 Gifts may be earmarked by the donor for a specific pur13 pose. 

14 ‘‘(d) RECORDS.—The Secretary shall maintain 

15 records regarding— 

16 ‘‘(1) the sources, amounts, and uses of gifts ac17 cepted under subsection (c); and 

18 ‘‘(2) the identity of each person receiving assist19 ance to carry out this title, and the amount of such 

20 assistance received by each such person. 

21 ‘‘SEC. 203. REPORT OF THE CONFERENCE. 

22 ‘‘(a) PRELIMINARY REPORT.—Not later than 100 

23 days after the date on which the Conference adjourns, the 

24 Secretary shall publish and deliver to the States a prelimi25 nary report on the Conference. Comments on the prelimi-
32 

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1 nary report of the Conference shall be accepted by the Sec2 retary. 

3 ‘‘(b) FINAL REPORT.—Not later than 180 days after 

4 the date on which the Conference adjourns, the Secretary 

5 shall publish and transmit to the President and to Con6 gress recommendations resulting from the Conference and 

7 suggestions for any administrative action and legislation 

8 necessary to implement the recommendations contained 

9 within the report. 

10 ‘‘SEC. 204. DEFINITIONS. 

11 ‘‘In this title: 

12 ‘‘(1) CONFERENCE.—The term ‘Conference’ 

13 means the White House Conference on Aging. 

14 ‘‘(2) SECRETARY.—The term ‘Secretary’ means 

15 the Secretary of Health and Human Services. 

16 ‘‘(3) STATE.—The term ‘State’ means any of 

17 the several States, the District of Columbia, the 

18 Commonwealth of Puerto Rico, Guam, American 

19 Samoa, the Virgin Islands of the United States, the 

20 Trust Territory of the Pacific Islands, or the Com21 monwealth of the Northern Mariana Islands.’’. 

22 SEC. 114. TECHNICAL AMENDMENTS. 

23 The Older Americans Act of 1965 (42 U.S.C. 3001 

24 et seq.) is amended— 
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1 (1) in section 201(d)(3)(J) (42 U.S.C. 

2 3011(d)(3)(J)), by striking ‘‘Speaker of the House 

3 of Representatives and the President pro tempore of 

4 the Senate’’ and inserting ‘‘Committee on Health, 

5 Education, Labor, and Pensions of the Senate and 

6 the Committee on Education and the Workforce of 

7 the House of Representatives’’; 

8 (2) in section 202(b)(8)(E) (42 U.S.C. 

9 3012(b)(8)(E)), by striking ‘‘preventative health 

10 benefits under the provisions of, and amendments 

11 made by, the Medicare Prescription Drug, Improve12 ment, and Modernization Act of 2003’’ and inserting 

13 ‘‘preventive health benefits under such program’’; 

14 (3) in section 203(c)(7) (42 U.S.C. 

15 3013(c)(7))— 

16 (A) in the matter preceding subparagraph 

17 (A), by striking ‘‘the Committee on Education 

18 and Labor of the House of Representatives’’ 

19 and inserting ‘‘the Committee on Education 

20 and the Workforce of the House of Representa21 tives’’; and 

22 (B) in subparagraph (C), by striking 

23 ‘‘chairman’’ and inserting ‘‘chairperson’’; 
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1 (4) in section 339 (42 U.S.C. 3030g–21), by 

2 striking ‘‘this chapter’’ each place it appears and in3 serting ‘‘this part’’; and 

4 (5) in section 432(b)(1) (42 U.S.C. 

5 3033a(b)(1)), by striking ‘‘Speaker of the House of 

6 Representatives and the President pro tempore of 

7 the Senate’’ and inserting ‘‘Committee on Health, 

8 Education, Labor, and Pensions of the Senate and 

9 the Committee on Education and the Workforce of 

10 the House of Representatives’’. 

11 TITLE II—IMPROVING HEALTH 

12 OUTCOMES AND ENCOUR13 AGING INDEPENDENCE FOR 

14 OLDER INDIVIDUALS 

15 SEC. 201. DISEASE PREVENTION AND HEALTH PROMOTION 

16 SERVICES. 

17 Section 102(14) (42 U.S.C. 3002(14)) is amended— 

18 (1) in subparagraph (B), by inserting ‘‘heart 

19 rate, respiratory function,’’ after ‘‘hearing,’’; 

20 (2) in subparagraph (K), by inserting ‘‘pro21 viding’’ before ‘‘information’’; 

22 (3) by redesignating subparagraphs (L), (M), 

23 (N), and (O), as subparagraphs (M), (N), (O), and 

24 (P), respectively; 
35 

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1 (4) by inserting after subparagraph (K) the fol2 lowing: 

3 ‘‘(L) providing information concerning 

4 testing, diagnosis, and treatment of infectious 

5 diseases, taking into consideration infectious 

6 diseases for which older individuals are at in7 creased risk of infection or serious health out8 comes;’’; and 

9 (5) in subparagraph (P), as so redesignated, by 

10 striking ‘‘subparagraphs (A) through (N)’’ and in11 serting ‘‘subparagraphs (A) through (O)’’. 

12 SEC. 202. IMPROVING HEALTH OUTCOMES. 

13 (a) RESEARCH AND EVALUATION ACTIVITIES.—Sec14 tion 201 (42 U.S.C. 3011) is amended— 

15 (1) in subsection (c)(3)(B), by striking ‘‘in be16 half’’ and inserting ‘‘on behalf’’; and 

17 (2) in subsection (g)— 

18 (A) in paragraph (3)(A)(ii), by inserting 

19 ‘‘reduction of health care expenditures,’’ after 

20 ‘‘quality of life,’’; and 

21 (B) in paragraph (7), by inserting ‘‘and 

22 recommendations relating to further research, 

23 evaluation, and demonstration projects con24 ducted under this section’’ after ‘‘title IV’’. 
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1 (b) FALLS PREVENTION PROGRAMS.—Section 

2 411(a)(15) (42 U.S.C. 3032(a)(15)) is amended to read 

3 as follows: 

4 ‘‘(15) bringing to scale and sustaining evidence5 based falls prevention programs to reduce the num6 ber of falls, fear of falling, and fall-related injuries 

7 affecting older individuals, including older individ8 uals with disabilities, which shall— 

9 ‘‘(A) provide training and technical assist10 ance to the aging network; and 

11 ‘‘(B) share best practices with the aging 

12 network, including the Aging and Disability Re13 source Centers;’’. 

14 (c) INTERAGENCY COORDINATING COMMITTEE ON

15 HEALTHY AGING AND AGE-FRIENDLY COMMUNITIES.— 

16 Section 203(c) (42 U.S.C. 3013(c)) is amended— 

17 (1) in paragraph (6)(B)— 

18 (A) in clause (ii), by striking ‘‘and’’ after 

19 the semicolon; 

20 (B) in clause (iii), by inserting ‘‘and’’ after 

21 the semicolon; and 

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

23 ‘‘(iv) strategies to address social isolation, 

24 including by promoting strong and stable con-
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1 nections across different generations in a family 

2 and in the community;’’; and 

3 (2) in paragraph (7), as amended by section 

4 114(3)— 

5 (A) in subparagraph (B), by striking 

6 ‘‘and’’ at the end; 

7 (B) by redesignating subparagraph (C) as 

8 subparagraph (D); and 

9 (C) by inserting after subparagraph (B) 

10 the following: 

11 ‘‘(C) contains an assessment of the effec12 tiveness of relevant Federal efforts and pro13 grams, including implementation of best prac14 tices described in paragraph (6)(B); and’’. 

15 SEC. 203. TECHNICAL ASSISTANCE ON EVIDENCE-BASED 

16 PROGRAMS. 

17 (a) TECHNICAL ASSISTANCE.—The Assistant Sec18 retary, at the request of a State agency (as defined in sec19 tion 102 of the Older Americans Act of 1965 (42 U.S.C. 

20 3002)) or area agencies on aging, may provide technical 

21 assistance on the requirements of evidence-based pro22 grams under the Older Americans Act of 1965 (42 U.S.C. 

23 3001 et seq.). 

24 (b) CONSIDERATION.—The Assistant Secretary may 

25 consider whether there are evidence-informed practices, 
38 

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1 based on the best available science, that may improve 

2 health outcomes. 

3 SEC. 204. ENHANCING MULTIPURPOSE SENIOR CENTERS. 

4 (a) IN GENERAL.—Section 202(a)(30) (42 U.S.C. 

5 3012(a)(30)) is amended by inserting ‘‘, access to services 

6 provided at multipurpose senior centers, and (where ap7 propriate) the establishment and maintenance of multi8 purpose senior centers’’ before the semicolon at the end. 

9 (b) AREA AGENCY ON AGING PLANS.—Section 

10 306(a)(2)(A) (42 U.S.C. 3026(a)(2)(A)) is amended by in11 serting ‘‘, including those services provided at multipur12 pose senior centers, where appropriate’’ before the semi13 colon at the end. 

14 (c) STATE PLANS.—Section 307(a)(2)(A) (42 U.S.C. 

15 3027(a)(2)(A)) is amended by inserting ‘‘and, to the ex16 tent feasible, make such evaluation public’’ before the 

17 semicolon at the end. 

18 SEC. 205. ADDRESSING HOME MODIFICATIONS. 

19 (a) INDOOR AIR QUALITY.—Section 361(c) (42 

20 U.S.C. 3030m(c)) is amended by striking ‘‘buildings’’ and 

21 all that follows and inserting ‘‘buildings and residences 

22 where older individuals congregate or live’’. 

23 (b) WEATHERIZATION.—Section 321(a)(4) (42 

24 U.S.C. 3030d(a)(4)) is amended by striking subparagraph 

25 (A) and inserting ‘‘(A) to assist older individuals in ob-
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1 taining and maintaining adequate housing, including resi2 dential repair and renovation projects, and (if assistance 

3 for weatherization projects does not unnecessarily dupli4 cate other Federal assistance available) weatherization 

5 projects, designed to enable older individuals to maintain 

6 their homes in conformity with minimum housing and (as 

7 applicable and appropriate) other relevant standards, in 

8 order to support such older individuals in aging in place 

9 and maintaining their health;’’. 

10 SEC. 206. NATIONAL RESOURCE CENTER FOR ENGAGING 

11 OLDER ADULTS. 

12 Section 411(a)(18) (42 U.S.C. 3032(a)(18)) is 

13 amended by inserting ‘‘, such as providing appropriate 

14 training, resources, and best practices to the aging net15 work’’ after ‘‘older individuals’’. 

16 SEC. 207. MULTIGENERATIONAL AND CIVIC ENGAGEMENT 

17 ACTIVITIES. 

18 Section 417 (42 U.S.C. 3032f) is amended— 

19 (1) in subsection (a)— 

20 (A) in the matter preceding paragraph (1), 

21 by striking ‘‘projects,’’ and all that follows 

22 through ‘‘to—’’ and inserting the following: 

23 ‘‘projects to serve individuals in younger gen24 erations and older individuals by developing, 
40 

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1 carrying out, and promoting participation in 

2 multigenerational activities to—’’; 

3 (B) in paragraph (2), by adding ‘‘and’’ at 

4 the end; 

5 (C) in paragraph (3), by striking ‘‘opportu6 nities for older individuals to become mentors 

7 to individuals in younger generations; and’’ and 

8 inserting ‘‘opportunities— 

9 ‘‘(A) for older individuals to become men10 tors to individuals in younger generations; and 

11 ‘‘(B) at facilities that serve older individ12 uals or individuals in younger generations, at 

13 which multigenerational activities might 

14 occur.’’; and 

15 (D) by striking paragraph (4); 

16 (2) in subsection (c)(2), by striking ‘‘(4)’’ and 

17 inserting ‘‘(3)’’; 

18 (3) in subsection (d)— 

19 (A) by striking paragraph (1); and 

20 (B) by redesignating paragraphs (2) 

21 through (5) as paragraphs (1) through (4), re22 spectively; 

23 (4) in subsection (g)— 

24 (A) in paragraph (1), in the matter pre25 ceding subparagraph (A), by striking ‘‘of enact-
41 

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1 ment of the Supporting Older Americans Act of 

2 2020,’’ and inserting ‘‘on which the first grant 

3 is awarded under this section following the date 

4 of enactment of the Older Americans Act Reau5 thorization Act of 2024,’’; and 

6 (B) in paragraph (2), in the matter pre7 ceding subparagraph (A), by striking ‘‘the 

8 Speaker of the House of Representatives and 

9 the President pro tempore of the Senate’’ and 

10 inserting ‘‘the Committee on Health, Edu11 cation, Labor, and Pensions of the Senate and 

12 the Committee on Education and the Workforce 

13 of the House of Representatives’’; and 

14 (5) in subsection (h)(1), by striking ‘‘or a fam15 ily support program.’’ and inserting ‘‘or a family 

16 support program, or a program at a multipurpose 

17 senior center, long-term care facility, or any other 

18 residential facility for older individuals.’’. 

19 SEC. 208. REPORT RELATING TO HEALTH OUTCOMES FOR 

20 OLDER INDIVIDUALS LIVING WITH OR NEAR 

21 FAMILY MEMBERS. 

22 (a) IN GENERAL.—The Secretary shall prepare a re23 port that assesses— 

24 (1) the health outcomes for older individuals 

25 who live with, on the same property as, or otherwise 
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1 in the community in close geographic proximity, rel2 ative to the area, to family members; and 

3 (2) the degree to which programs under the 

4 Older Americans Act of 1965 (42 U.S.C. 3001 et 

5 seq.) promote living in the settings described in 

6 paragraph (1), as appropriate. 

7 (b) INCLUSION.—The report described under sub8 section (a) shall include— 

9 (1) an assessment of physical and mental health 

10 outcomes of older individuals who live in the settings 

11 described in subsection (a)(1) in comparison to phys12 ical and mental health outcomes of older individuals 

13 who do not live in such settings; 

14 (2) an assessment of the extent to which living 

15 in such settings mitigates social isolation and loneli16 ness in older adults; and 

17 (3) a description of the different types of such 

18 settings and whether, and to what extent, findings 

19 under paragraphs (1) and (2) vary across such dif20 ferent types. 

21 (c) SUBMISSION.—Not later than 2 years after the 

22 date of enactment of this Act, the Secretary shall submit 

23 to the Committee on Health, Education, Labor, and Pen24 sions and the Special Committee on Aging of the Senate 

25 and the Committee on Education and the Workforce of 
43 

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1 the House of Representatives the report required by sub2 section (a). 

3 SEC. 209. IMPROVING BROADBAND COORDINATION AND 

4 REDUCING SOCIAL ISOLATION. 

5 (a) IN GENERAL.—The Assistant Secretary shall, as 

6 appropriate, coordinate with the Assistant Secretary of 

7 Commerce for Communications and Information of the 

8 National Telecommunications and Information Adminis9 tration to ensure that the aging network (as defined in 

10 section 102 of the Older Americans Act of 1965 (42 

11 U.S.C. 3002)) and other relevant stakeholders are aware 

12 of, and, subject to applicable eligibility criteria, have ac13 cess to, Federal programs relating to digital literacy and 

14 the adoption of broadband that may support healthy aging 

15 and aging in place for older individuals. 

16 (b) REPORT.—Not later than 90 days after the date 

17 of enactment of this Act, the Assistant Secretary shall pre18 pare, and submit to the Committee on Health, Education, 

19 Labor, and Pensions, the Special Committee on Aging, 

20 and the Committee on Commerce, Science, and Transpor21 tation of the Senate and the Committee on Education and 

22 the Workforce of the House of Representatives, a report 

23 regarding any coordination efforts carried out pursuant to 

24 subsection (a). 
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1 TITLE III—ENHANCING INNOVA2 TION AND FLEXIBILITY IN NU3 TRITION SERVICES 

4 SEC. 301. MEDICALLY TAILORED MEALS. 

5 (a) DEFINITIONS.—Section 102(14) (42 U.S.C. 

6 3002(14)) is amended— 

7 (1) in subparagraph (C), by inserting ‘‘, which 

8 may include counseling related to the provision of 

9 medically tailored meals,’’ after ‘‘counseling’’; and 

10 (2) in subparagraph (D), by inserting ‘‘(includ11 ing from medically tailored meals)’’ after ‘‘improved 

12 nutrition’’. 

13 (b) ADMINISTRATION OF NUTRITION SERVICES.— 

14 Section 205(a)(2)(A) (42 U.S.C. 3016(a)(2)(A)) is 

15 amended— 

16 (1) in clause (vi), by inserting ‘‘, including 

17 through the use of innovative approaches’’ after 

18 ‘‘systems’’; and 

19 (2) in clause (viii), by inserting ‘‘and innovative 

20 interventions’’ after ‘‘including strategies’’. 

21 (c) NUTRITION EDUCATION.—Section 214(2)(C) (42 

22 U.S.C. 3020e(2)(C)) is amended by inserting ‘‘, including 

23 interventions,’’ after ‘‘other activities’’. 

24 (d) NUTRITION SERVICES PURPOSES.—Section 

25 330(3) (42 U.S.C. 3030d–21(3)) is amended by inserting 
45 

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1 ‘‘, tailored to their individual medical and nutritional 

2 needs to the extent feasible,’’ after ‘‘services’’. 

3 SEC. 302. GRAB-AND-GO MEALS. 

4 Section 308(b)(4) (42 U.S.C. 3028(b)(4)) is amended 

5 by adding at the end the following: 

6 ‘‘(E) A State may elect in its plan under section 307 

7 to allow use of not more than 25 percent of the funds 

8 received by such State under subpart 1 of part C, cal9 culated after any transfers under subparagraphs (A) and 

10 (B) are completed, to make meals available at congregate 

11 meal sites or other community locations for consumption 

12 by older individuals outside such sites and locations, such 

13 as carry-out or similar meals. A State electing to allow 

14 use of funds under the preceding sentence shall— 

15 ‘‘(i) ensure that such allowable use com16 plements the delivery of services through the con17 gregate meals program under section 331; and 

18 ‘‘(ii) notify the Assistant Secretary of such elec19 tion, including a description of the amount and per20 centage of funds received by such State under sub21 part 1 of part C to be used for such purposes.’’. 

22 SEC. 303. GAO STUDY ON NUTRITION SERVICES INCENTIVE 

23 PROGRAM. 

24 (a) IN GENERAL.—The Comptroller General of the 

25 United States shall conduct a study to evaluate the Nutri-
46 

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1 tion Services Incentive Program under section 311 (42 

2 U.S.C. 3030a) (referred to in this section as the ‘‘Pro3 gram’’). 

4 (b) INCLUSIONS.—The study under this section— 

5 (1) shall— 

6 (A) include an assessment of how States 

7 and Tribal organizations use funding provided 

8 under the Program, including the degree to 

9 which States and Tribal organizations use such 

10 funding to procure food products from local or 

11 regional producers for meals supported under 

12 the Program; and 

13 (B) identify any challenges or barriers to 

14 increasing the use of local and regional pro15 ducers under the Program; and 

16 (2) may make recommendations related to im17 proving the effectiveness of the Program, including 

18 with respect to the use of local and regional pro19 ducers. 

20 (c) REPORT TO CONGRESS.—Not later than 18 

21 months after the date of enactment of this Act, the Comp22 troller General of the United States shall submit to the 

23 Committee on Health, Education, Labor, and Pensions 

24 and the Special Committee on Aging of the Senate and 

25 the Committee on Education and the Workforce of the 
47 

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1 House of Representatives a report on the results of the 

2 study under this section. 

3 SEC. 304. INNOVATIONS IN NUTRITION PROGRAMS AND 

4 SERVICES. 

5 Subpart 3 of part C of title III (42 U.S.C. 3030g– 

6 21 et seq.) is amended by adding at the end the following: 

7 ‘‘SEC. 340. INNOVATIONS IN NUTRITION PROGRAMS AND 

8 SERVICES. 

9 ‘‘(a) DEMONSTRATION TO REDUCE HUNGER, FOOD

10 INSECURITY, AND MALNUTRITION.— 

11 ‘‘(1) IN GENERAL.—From funds available 

12 under paragraph (5), the Assistant Secretary shall 

13 make grants, on a competitive basis, to eligible enti14 ties, to achieve the purposes of section 330(1) by de15 veloping, testing, implementing, and evaluating inno16 vative local or regional approaches to improve the 

17 quality, effectiveness, efficiency, and outcomes of nu18 trition projects and services described in sections 

19 311, 331, and 336. 

20 ‘‘(2) ELIGIBILITY.—In order to be eligible for a 

21 grant under paragraph (1), an entity shall— 

22 ‘‘(A) be— 

23 ‘‘(i) a State agency, an area agency 

24 on aging, an Indian Tribe, a Tribal organi25 zation, or another public or nonprofit pri-
48 

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1 vate entity, including a nutrition service 

2 provider, a multipurpose senior center, a 

3 health care entity, or an institution of 

4 higher education; or 

5 ‘‘(ii) a partnership between any enti6 ties described in clause (i); and 

7 ‘‘(B) submit an application at such time 

8 and in such manner as the Assistant Secretary 

9 may require, including— 

10 ‘‘(i) a description of an innovative ap11 proach referred to in paragraph (1) that 

12 the entity proposes to implement under the 

13 grant; 

14 ‘‘(ii) a plan for evaluating the effec15 tiveness, including cost-effectiveness, of the 

16 innovative approach proposed; and 

17 ‘‘(iii) a plan for the publication of the 

18 results of such evaluation. 

19 ‘‘(3) PRIORITY.—In selecting eligible entities 

20 for grants under this subsection, the Assistant Sec21 retary shall give priority to eligible entities proposing 

22 to carry out a grant in 1 or more rural areas. 

23 ‘‘(4) REPORT.—Not later than 1 year after the 

24 date of enactment of the Older Americans Act Reau25 thorization Act of 2024, and annually thereafter, the 
49 

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1 Assistant Secretary shall submit a report to the 

2 Committee on Health, Education, Labor, and Pen3 sions and the Special Committee on Aging of the 

4 Senate and the Committee on Education and the 

5 Workforce of the House of Representatives describ6 ing any activities carried out under paragraph (1), 

7 an assessment of the outcomes of such activities 

8 using rigorous methodologies, and recommendations 

9 for inclusion of any successful innovative approaches 

10 within nutrition programs established under this 

11 Act. 

12 ‘‘(5) RESERVATION.—From the total of the 

13 amounts made available for a fiscal year under para14 graphs (1) and (2) of section 303(b) and in section 

15 311(e), the Assistant Secretary shall reserve an 

16 amount equal to not more than 1 percent to carry 

17 out activities described in paragraph (1) of this sub18 section. 

19 ‘‘(b) INNOVATIVE APPROACHES TO REDUCE HUN20 GER, FOOD INSECURITY, AND MALNUTRITION.— 

21 ‘‘(1) IN GENERAL.—Subject to paragraph (6), 

22 in carrying out nutrition projects established under 

23 this Act, a State agency or title VI grantee may im24 plement innovative approaches, including any appli25 cable approaches implemented previously by the As-
50 

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1 sistant Secretary or pursuant to subsection (a), that 

2 are demonstrated to be effective, to achieve the pur3 poses described in section 330(1) by improving— 

4 ‘‘(A) the quality, composition, preparation, 

5 modality, delivery, or location of meals provided 

6 to older individuals under this Act; or 

7 ‘‘(B) the efficiency and effectiveness of dis8 tributing, delivering, or otherwise making meals 

9 available to older individuals under this Act. 

10 ‘‘(2) WAIVER.—At the request of a State agen11 cy implementing an approach under paragraph (1), 

12 the Assistant Secretary may waive any requirements 

13 of subpart 1 or 2 with respect to such State agency 

14 if such requirements impede the ability of such State 

15 agency to successfully implement such an approach. 

16 ‘‘(3) FLEXIBILITY.—The Secretary shall pro17 vide maximum flexibility to a title VI grantee imple18 menting an approach under paragraph (1) in the 

19 same manner as the Secretary provides maximum 

20 flexibility in accordance with section 614(c)(3). 

21 ‘‘(4) SUNSET.—The authority to carry out ac22 tivities described in paragraph (1) shall expire on 

23 October 1, 2029. 

24 ‘‘(5) REPORT.—Not later than September 30, 

25 2028, the Assistant Secretary shall submit a report 
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1 to the Committee on Health, Education, Labor, and 

2 Pensions and the Special Committee on Aging of the 

3 Senate and the Committee on Education and the 

4 Workforce of the House of Representatives describ5 ing any activities carried out by State agencies or 

6 title VI grantees under paragraph (1), an assess7 ment of the outcomes of such activities using rig8 orous methodologies, and recommendations for inclu9 sion of any successful innovative approaches within 

10 nutrition programs established under this Act. 

11 ‘‘(6) USE OF ALLOTMENT.—If the amount ap12 propriated to carry out section 311 for a fiscal year 

13 exceeds the amount appropriated to carry out sec14 tion 311 for the prior fiscal year or fiscal year 2024, 

15 whichever is greater, a State agency and title VI 

16 grantee in receipt of an allotment under section 

17 311(b) may elect to use the difference between the 

18 allotment received for the fiscal year and the allot19 ment received for the prior fiscal year or fiscal year 

20 2024, whichever is greater, for activities described in 

21 paragraph (1). 

22 ‘‘(7) RULE OF CONSTRUCTION.—Nothing in 

23 this subsection shall be construed as limiting or pro24 hibiting the requirements described in section 339 
52 

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1 from applying to nutrition projects utilizing an inno2 vative approach under this subsection.’’. 

3 TITLE IV—SUPPORTING FAMILY 

4 CAREGIVERS 

5 SEC. 401. IMPROVING THE NATIONAL FAMILY CAREGIVER 

6 SUPPORT PROGRAM. 

7 (a) STATE REQUIREMENTS FOR STATE AND COMMU8 NITY PROGRAMS ON AGING GRANTS.—Section 

9 305(a)(3)(E) (42 U.S.C. 3025(a)(3)(E)) is amended— 

10 (1) in clause (i), by striking ‘‘and’’ at the end; 

11 (2) in clause (ii), by striking the period at the 

12 end and inserting ‘‘; and’’; and 

13 (3) by adding at the end the following: 

14 ‘‘(iii) available supports for family 

15 caregivers and older relative caregivers (as 

16 defined in section 372(a)).’’. 

17 (b) AREA PLAN REQUIREMENTS.—Section 

18 306(a)(7)(D) (42 U.S.C. 3026(a)(7)(D)) is amended— 

19 (1) in clause (i), by striking ‘‘and’’ at the end; 

20 (2) in clause (ii), by adding ‘‘and’’ after the 

21 semicolon; and 

22 (3) by adding at the end the following: 

23 ‘‘(iii) available supports for family 

24 caregivers and older relative caregivers (as 

25 defined in section 372(a));’’. 
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1 (c) DEFINITIONS RELATING TO THE NATIONAL FAM2 ILY CAREGIVER SUPPORT PROGRAM.— 

3 (1) IN GENERAL.—Section 372(a) (42 U.S.C. 

4 3030s(a)) is amended— 

5 (A) in paragraph (1)— 

6 (i) in the first sentence, by striking 

7 ‘‘The term’’ and inserting the following: 

8 ‘‘(A) IN GENERAL.—The term’’; and 

9 (ii) in subparagraph (A) (as so des10 ignated), in the second sentence— 

11 (I) by striking the period at the 

12 end and inserting ‘‘; and’’; 

13 (II) by striking ‘‘Such assess14 ment shall be administered through’’ 

15 and inserting the following: 

16 ‘‘(B) ADMINISTRATION OF ASSESS17 MENTS.—A caregiver assessment under sub18 paragraph (A) shall— 

19 ‘‘(i) be administered through’’; and 

20 (III) by adding at the end the 

21 following: 

22 ‘‘(ii) take into account— 

23 ‘‘(I) linguistic and cultural dif24 ferences; 
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1 ‘‘(II) the ease for the caregiver to 

2 access information, supports, or serv3 ices, and the timeliness of access to 

4 such information, supports, or serv5 ices; 

6 ‘‘(III) barriers to accessing infor7 mation, supports, or services; 

8 ‘‘(IV) the availability of informa9 tion, supports, or services in accessible 

10 formats; and 

11 ‘‘(V) the quality of information, 

12 supports, or services received, and the 

13 degree to which it is helpful to the 

14 caregiver.’’; 

15 (B) by striking paragraph (2) and insert16 ing the following: 

17 ‘‘(2) CHILD OR YOUTH.—The term ‘child or 

18 youth’ means an individual who is not more than— 

19 ‘‘(A) 18 years of age; or 

20 ‘‘(B) 22 years of age, in the case of an in21 dividual who is enrolled in any form of school22 ing (including on a part-time basis), includ23 ing— 

24 ‘‘(i) in high school or secondary school 

25 (as such terms are defined in section 8101 
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1 of the Elementary and Secondary Edu2 cation Act of 1965 (20 U.S.C. 7801)); or 

3 ‘‘(ii) in an institution of higher edu4 cation (as defined in section 102 of the 

5 Higher Education Act of 1965 (20 U.S.C. 

6 1002)).’’; and 

7 (C) in paragraph (4)(B)— 

8 (i) in clause (i), by inserting ‘‘adult’’ 

9 after ‘‘or other’’; and 

10 (ii) by amending clause (iii) to read as 

11 follows: 

12 ‘‘(iii)(I) has a legal relationship to the 

13 child or youth, such as legal custody, adop14 tion, or guardianship, or is raising the 

15 child or youth informally; and 

16 ‘‘(II) in the case of a child or youth 

17 described in paragraph (2)(B) who is 18 

18 years of age or older, had established such 

19 a legal relationship, or began raising such 

20 child or youth informally, prior to the child 

21 or youth reaching the age of 18; and’’. 

22 (2) CONFORMING AMENDMENTS.—Part E of 

23 title III (42 U.S.C. 3030s et seq.) is amended— 

24 (A) by inserting ‘‘or youth’’ after ‘‘child’’ 

25 each place it appears (other than in sections 
56 

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1 372(a)(2) (as amended by paragraph (1)(B)) 

2 and 372(a)(4)(B)(iii) (as amended by para3 graph (1)(C)(ii))); and 

4 (B) in section 373(c)(2)(B) (42 U.S.C. 

5 3030s–1(c)(2)(B)), by inserting ‘‘or youth’’ 

6 after ‘‘children’’. 

7 (d) PROGRAM AUTHORIZED.—Section 373 (42 

8 U.S.C. 3030s–1) is amended— 

9 (1) in subsection (b)(3)— 

10 (A) by inserting ‘‘which may include trau11 ma-informed services, peer supports,’’ after ‘‘in12 dividual counseling,’’; and 

13 (B) by inserting ‘‘elder abuse prevention,’’ 

14 after ‘‘nutrition,’’; 

15 (2) in subsection (c)— 

16 (A) in the subsection heading, by striking 

17 ‘‘PRIORITY’’ and inserting ‘‘PRIORITY; CONSID18 ERATION’’; and 

19 (B) by adding at the end the following: 

20 ‘‘(3) CONSIDERATION.—In providing services 

21 under this part, the State shall consider— 

22 ‘‘(A) that older relative caregivers caring 

23 for multiple children or youth may need greater 

24 resources and supports; and 
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1 ‘‘(B) the circumstances and unique needs 

2 of different types of caregivers, including the 

3 needs of children or youth and their older rel4 ative caregivers whose families have been af5 fected by substance use disorder, including 

6 opioid use disorder.’’; 

7 (3) in subsection (e)— 

8 (A) in the matter preceding paragraph (1), 

9 by striking ‘‘Not later than’’ and all that fol10 lows through ‘‘the Assistant Secretary shall’’ 

11 and inserting ‘‘The Assistant Secretary shall, 

12 on a regular basis’’; 

13 (B) in paragraph (1)— 

14 (i) in subparagraph (B), by striking 

15 ‘‘and’’ at the end; 

16 (ii) by redesignating subparagraph 

17 (C) as subparagraph (D); and 

18 (iii) by inserting after subparagraph 

19 (B) the following: 

20 ‘‘(C) the use of caregiver assessments; 

21 and’’; and 

22 (C) in paragraph (2), by striking ‘‘make 

23 available’’ and inserting ‘‘prepare, publish, and 

24 disseminate’’; 

25 (4) in subsection (i)— 
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1 (A) in paragraph (1), by inserting ‘‘, which 

2 may include the improvement of the quality and 

3 consistency of caregiver assessments and access 

4 to other information, supports, or services’’ 

5 after ‘‘section 631’’; and 

6 (B) in paragraph (2), by inserting ‘‘(in7 cluding outcome measures)’’ after ‘‘program 

8 evaluation’’; and 

9 (5) in subsection (j)— 

10 (A) in the matter preceding paragraph (1), 

11 by striking ‘‘Not later than’’ and all that fol12 lows through ‘‘shall provide technical assist13 ance’’ and inserting ‘‘Beginning not later than 

14 1 year after the date of enactment of the Older 

15 Americans Act Reauthorization Act of 2024, 

16 the Assistant Secretary, in consultation with 

17 stakeholders with appropriate expertise and, as 

18 appropriate, informed by the most recent strat19 egy developed under the RAISE Family Care20 givers Act (42 U.S.C. 3030s note) and the most 

21 recent report developed under the Supporting 

22 Grandparents Raising Grandchildren Act (Pub23 lic Law 115–196; 132 Stat. 1511), shall pro24 vide ongoing technical assistance’’; 
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1 (B) in paragraph (2), by striking ‘‘and’’ at 

2 the end; 

3 (C) by redesignating paragraph (3) as 

4 paragraph (4); and 

5 (D) by inserting after paragraph (2) the 

6 following: 

7 ‘‘(3) the quality and consistency of caregiver as8 sessments used across States; and’’. 

9 SEC. 402. EMPHASIZING RESPITE CARE. 

10 Section 321(a)(19) (42 U.S.C. 3030d(a)(19)) is 

11 amended to read as follows: 

12 ‘‘(19) services, which may include respite care 

13 through various models, designed to support family 

14 members and other persons providing voluntary care 

15 to older individuals that need long-term care serv16 ices, which may include older individuals with cog17 nitive impairments such as Alzheimer’s disease and 

18 related disorders with neurological and organic brain 

19 dysfunction;’’. 

20 SEC. 403. CLARIFYING SUPPORTIVE SERVICES. 

21 Section 321(a)(18) (42 U.S.C. 3030d(a)(18)) is 

22 amended by striking ‘‘mentally impaired older individuals’’ 

23 and inserting ‘‘older individuals with cognitive, physical, 

24 or mental impairments’’. 
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1 SEC. 404. DIRECT CARE WORKFORCE RESOURCE CENTER. 

2 Section 411(a)(13) (42 U.S.C. 3032(a)(13)) is 

3 amended— 

4 (1) in subparagraph (B), by adding ‘‘and’’ at 

5 the end; 

6 (2) by redesignating subparagraphs (A) and 

7 (B) as clauses (i) and (ii), respectively, and adjust8 ing the margins accordingly; 

9 (3) in the matter preceding clause (i) (as so re10 designated)— 

11 (A) by inserting ‘‘and, as appropriate, the 

12 heads of other relevant Federal departments 

13 and agencies’’ after ‘‘Labor’’; and 

14 (B) by striking ‘‘workers, and the solic15 iting,’’ and inserting the following: ‘‘workers, 

16 including— 

17 ‘‘(A) the soliciting,’’; and 

18 (4) by adding at the end the following: 

19 ‘‘(B) the establishment and operation of a 

20 national resource center that supports the 

21 growth and professionalization of the direct 

22 care workforce necessary to meet the needs of 

23 older individuals and individuals with disabil24 ities, and, in a manner that does not unneces25 sarily duplicate the activities of other resource 

26 centers supported by the Assistant Secretary, 
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1 that addresses training and other educational 

2 needs of family caregivers, which activities of 

3 the center may include— 

4 ‘‘(i) the provision of training and 

5 technical assistance, including through the 

6 development and dissemination of edu7 cational materials, to States, long-term 

8 services and supports providers, direct care 

9 workers, and family caregivers; and 

10 ‘‘(ii) promoting existing, and sup11 porting the demonstration of new, strate12 gies for the recruitment, retention, career 

13 development, or advancement of direct care 

14 workers to reduce barriers to entry for a 

15 diverse and high-quality direct care work16 force, including providing wages, benefits, 

17 and advancement opportunities needed to 

18 attract or retain direct care workers;’’. 

19 SEC. 405. SUPPORTING GRANDPARENTS RAISING GRAND20 CHILDREN ACT. 

21 (a) FINDINGS.—The Supporting Grandparents Rais22 ing Grandchildren Act (Public Law 115–196; 132 Stat. 

23 1511) is amended by striking section 2. 

24 (b) DEFINITIONS.—The Supporting Grandparents 

25 Raising Grandchildren Act is amended by redesignating 
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1 section 4 as section 2 and moving the section so as to 

2 follow section 1. 

3 (c) ADVISORY COUNCIL.—Section 3 of the Sup4 porting Grandparents Raising Grandchildren Act is 

5 amended— 

6 (1) in subsection (b)— 

7 (A) in paragraph (1)— 

8 (i) by redesignating subparagraphs 

9 (G) through (I) as subparagraphs (H) 

10 through (J); 

11 (ii) by inserting after subparagraph 

12 (F) the following: 

13 ‘‘(G) The Assistant Secretary for Health.’’; 

14 (iii) in subparagraph (I), as so redes15 ignated, by striking ‘‘of children’’; and 

16 (iv) in subparagraph (J), as so redes17 ignated, by striking ‘‘relatives’’ and insert18 ing ‘‘relative caregivers’’; and 

19 (B) by adding at the end the following: 

20 ‘‘(3) LIMITATION ON NON-FEDERAL MEM21 BERS.—Not more than 10 members of the Advisory 

22 Council may be individuals who are not Federal offi23 cers or employees.’’; 

24 (2) in subsection (c)— 

25 (A) in paragraph (1)— 
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1 (i) in subparagraph (A)— 

2 (I) in the matter preceding clause 

3 (i), by striking ‘‘relatives’’ and insert4 ing ‘‘relative caregivers’’; and 

5 (II) in clause (i)— 

6 (aa) by striking ‘‘the 

7 health,’’ and inserting ‘‘the near8 and long-term health, including 

9 mental health,’’; and 

10 (bb) by striking ‘‘care; and’’ 

11 and inserting ‘‘care, including 

12 any needs related to the cir13 cumstances that caused such 

14 children to be raised by a grand15 parent or older relative caregiver; 

16 and’’; and 

17 (ii) in subparagraph (B)— 

18 (I) by striking ‘‘(B)’’ and all that 

19 follows through ‘‘In’’ and inserting 

20 the following: 

21 ‘‘(B) CONSIDERATIONS.—In’’; and 

22 (II) by striking ‘‘needs of those 

23 affected by the opioid crisis’’ and in24 serting ‘‘needs and challenges of indi25 viduals affected by substance use dis-
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1 order, including opioid use disorder, 

2 or, as applicable and appropriate, 

3 needs and challenges of individuals re4 lated to other circumstances, which 

5 may include public health emer6 gencies’’; 

7 (B) in paragraph (2)— 

8 (i) in subparagraph (A), in the matter 

9 preceding clause (i), by striking ‘‘enact10 ment of this Act’’ and inserting ‘‘enact11 ment of the Older Americans Act Reau12 thorization Act of 2024’’; and 

13 (ii) in subparagraph (B)— 

14 (I) in clause (i)— 

15 (aa) by striking ‘‘relatives’’ 

16 and inserting ‘‘relative care17 givers’’; and 

18 (bb) by striking ‘‘needs of 

19 children’’ and all that follows 

20 through ‘‘epidemic;’’ and insert21 ing ‘‘needs of children and their 

22 older relative caregivers who have 

23 been affected by substance use 

24 disorder, including opioid use dis25 order;’’; 
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1 (II) in clause (ii), by striking the 

2 ‘‘and’’ at the end; 

3 (III) by redesignating clause (iii) 

4 as clause (iv); and 

5 (IV) by inserting after clause (ii) 

6 the following: 

7 ‘‘(iii) a description of any activities of 

8 the Department of Health and Human 

9 Services to evaluate the effectiveness of 

10 supportive services in addressing the needs 

11 of children and their older relative care12 givers, including those who have been af13 fected by substance use disorder, including 

14 opioid use disorder, and any related find15 ings; and’’; 

16 (C) in paragraph (3)— 

17 (i) in the matter preceding subpara18 graph (A)— 

19 (I) by striking ‘‘(3)’’ and all that 

20 follows through ‘‘Not’’ and inserting 

21 the following: 

22 ‘‘(3) FOLLOW-UP REPORTS.—Not’’; 

23 (II) by striking ‘‘2 years’’ and in24 serting ‘‘180 days’’; and 
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1 (III) by inserting after ‘‘sub2 mitted,’’ the following: ‘‘and every 2 

3 years thereafter until the Advisory 

4 Council terminates under subsection 

5 (f),’’; and 

6 (D) in paragraph (4) by striking ‘‘rel7 atives’’ each place it appears and inserting ‘‘rel8 ative caregivers’’; 

9 (3) in subsection (d), by striking ‘‘the Federal 

10 Advisory Committee Act (5 U.S.C. App.).’’ and in11 serting ‘‘chapter 10 of title 5, United States Code.’’; 

12 and 

13 (4) in subsection (f), by striking ‘‘terminate’’ 

14 and all that follows through ‘‘Act.’’ and inserting 

15 ‘‘terminate on September 30, 2029.’’. 

16 SEC. 406. RAISE FAMILY CAREGIVERS ACT. 

17 (a) STRATEGY.—Section 3 of the RAISE Family 

18 Caregivers Act (42 U.S.C. 3030s note) is amended— 

19 (1) in subsection (c)— 

20 (A) in the matter preceding paragraph (1), 

21 by inserting ‘‘(or the Secretary’s designee)’’ 

22 after ‘‘The Secretary’’; and 

23 (B) in paragraph (1), by inserting ‘‘and 

24 made publicly available by the Secretary,’’ after 

25 ‘‘caregiver programs,’’; and 
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1 (2) in subsection (d)(2), by inserting ‘‘in’’ after 

2 ‘‘caregiver programs’’. 

3 (b) COUNCIL.—Section 4(e) of that Act (42 U.S.C. 

4 3030s note) is amended by striking ‘‘The Federal Advi5 sory Committee Act (5 U.S.C. App.)’’ and inserting 

6 ‘‘Chapter 10 of title 5, United States Code,’’. 

7 (c) SUNSET EXTENSION.—Section 6 of that Act (42 

8 U.S.C. 3030s note) is amended by striking ‘‘terminate’’ 

9 and all that follows through ‘‘Act.’’ and inserting ‘‘termi10 nate on September 30, 2029.’’. 

11 TITLE V—COMMUNITY SERVICE 

12 SENIOR OPPORTUNITIES ACT 

13 SEC. 501. IMPROVING THE COMMUNITY SERVICE EMPLOY14 MENT PROGRAM. 

15 (a) PROGRAM.—Section 502(b)(1) (42 U.S.C. 

16 3056(b)(1)) is amended— 

17 (1) in subparagraph (C)(ii), by striking ‘‘section 

18 513(a)(2)(E)’’ and inserting ‘‘section 513(a)(2)(F)’’; 

19 and 

20 (2) in subparagraph (E), by inserting ‘‘older in21 dividuals,’’ after ‘‘youth,’’. 

22 (b) PERFORMANCE.—Section 513 (42 U.S.C. 3056k) 

23 is amended— 

24 (1) in subsection (a)(2)— 
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1 (A) in subparagraph (D)(iii), by inserting 

2 ‘‘, including toward the long-term performance 

3 goals determined by the Department of Labor 

4 under the Government Performance and Re5 sults Act of 1993 (Public Law 103–62; 107 

6 Stat. 285) and the amendments made by such 

7 Act,’’ after ‘‘core measures’’; 

8 (B) by redesignating subparagraph (E) as 

9 subparagraph (F); and 

10 (C) by inserting after subparagraph (D) 

11 the following: 

12 ‘‘(E) BIENNIAL REPORT.—Not later than 

13 2 years after the date of enactment of the Older 

14 Americans Act Reauthorization Act of 2024, 

15 and every 2 years thereafter during the period 

16 of the program described in section 502(a)(1), 

17 the Secretary shall prepare, make publicly avail18 able, and submit to the Committee on Health, 

19 Education, Labor, and Pensions and the Spe20 cial Committee on Aging of the Senate and the 

21 Committee on Education and the Workforce of 

22 the House of Representatives a report regard23 ing the methodology used to arrive at the ex24 pected levels of performance described in sub25 paragraph (B) for each grantee, including the 
69 

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1 particular statistical model used and other fac2 tors taken into account, as described in sub3 paragraph (D).’’; 

4 (2) in subsection (b)(1)(C), by striking ‘‘fourth 

5 quarter after exit from the project’’ and inserting 

6 ‘‘second quarter after exit from the project and re7 main in unsubsidized employment during the fourth 

8 quarter after exit from the project’’; 

9 (3) in subsection (c) and paragraphs (1)(A), 

10 (2)(A), and (3)(A) of subsection (d), by striking 

11 ‘‘subsection (a)(2)(E)’’ and inserting ‘‘subsection 

12 (a)(2)(F)’’; and 

13 (4) in subsection (d)— 

14 (A) in paragraph (2)(B)(iii), by adding at 

15 the end the following: ‘‘For grants awarded on 

16 or after the date that is 2 years after the date 

17 of enactment of the Older Americans Act Reau18 thorization Act of 2024, any grantee who has 

19 failed to meet the expected levels of perform20 ance for the 2 consecutive years prior to the 

21 subsequent grant competition under section 514 

22 shall not be allowed to compete in the subse23 quent grant competition under section 514 fol24 lowing the second consecutive year of failure 

25 but may compete in the next such grant com-
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1 petition after that subsequent competition.’’; 

2 and 

3 (B) in paragraph (3)(B)(iii), by adding at 

4 the end the following: ‘‘For grants awarded on 

5 or after the date that is 2 years after the date 

6 of enactment of the Older Americans Act Reau7 thorization Act of 2024, if the Secretary deter8 mines that the State fails to meet the expected 

9 levels of performance described in subparagraph 

10 (A) for 2 consecutive program years, the Sec11 retary shall provide for the conduct by the 

12 State of a competition to award the funds allot13 ted to the State under section 506(e) for the 

14 first full program year following the Secretary’s 

15 determination.’’. 

16 (c) DEFINITIONS AND RULE.— 

17 (1) DEFINITIONS.—Section 518(a)(1)(A) (42 

18 U.S.C. 3056p(a)(1)(A)) is amended to read as fol19 lows: 

20 ‘‘(A) social, health, welfare, and edu21 cational services (including literacy tutoring and 

22 services provided by the aging network), legal 

23 and other counseling services and assistance 

24 (including tax counseling and assistance and fi-
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1 nancial counseling), and library, recreational, 

2 and other similar services;’’. 

3 (2) RULE.—Section 518(b)(2)(F) (42 U.S.C. 

4 3056p(b)(2)(F)) is amended to read as follows: 

5 ‘‘(F) has failed to find employment after receiv6 ing any combination of training services or the fol7 lowing career services provided under title I of the 

8 Workforce Innovation and Opportunity Act (29 

9 U.S.C. 3111 et seq.)— 

10 ‘‘(i) initial or comprehensive skills assess11 ment; 

12 ‘‘(ii) labor exchange services; 

13 ‘‘(iii) provision of workforce and labor mar14 ket information or job search assistance; 

15 ‘‘(iv) development of an individual employ16 ment plan; 

17 ‘‘(v) group or individual counseling; 

18 ‘‘(vi) career planning; 

19 ‘‘(vii) internship, work experience, work20 force preparation activities, or prevocational 

21 services; 

22 ‘‘(viii) English language acquisition and in23 tegrated education and training; or 

24 ‘‘(ix) followup services;’’. 
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1 SEC. 502. GAO REPORT ON ALIGNMENT WITHIN THE COM2 MUNITY SERVICE EMPLOYMENT PROGRAM. 

3 (a) REVIEW.—Not later than 18 months after the 

4 date of enactment of this Act, the Comptroller General 

5 of the United States shall complete a review in which the 

6 Comptroller General— 

7 (1) evaluates— 

8 (A) the distinct differences and similarities 

9 between the older American community service 

10 employment program as authorized under title 

11 V of the Older Americans Act of 1965 (42 

12 U.S.C. 3056 et seq.) and the programs carried 

13 out under title I of the Workforce Innovation 

14 and Opportunity Act (29 U.S.C. 3111 et seq.); 

15 and 

16 (B) how the programs described in sub17 paragraph (A) serve older individuals in seeking 

18 and obtaining community service employment; 

19 (2) analyzes the expected levels of performance 

20 described in section 513(a) of the Older Americans 

21 Act of 1965 (42 U.S.C. 3056k(a)), the efficacy and 

22 impacts of the indicators of performance described 

23 in section 513(b) of the Older Americans Act of 

24 1965 (42 U.S.C. 3056k(b)), and corrective measures 

25 described in section 513(d) of the Older Americans 

26 Act of 1965 (42 U.S.C. 3056k(d)) for the older 
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1 American community service employment program, 

2 compared with the expected levels of performance, 

3 efficacy and impacts of the indicators of perform4 ance, and corrective measures described in section 

5 116 of the Workforce Innovation and Opportunity 

6 Act (29 U.S.C. 3141) for programs authorized 

7 under title I of such Act, including the efficacy of 

8 the indicators of performance described in section 

9 513(b) of the Older Americans Act of 1965 (42 

10 U.S.C. 3056k(b)) for individuals described in sub11 section (a)(3)(B)(ii) or subsection (b) of section 518 

12 of the Older Americans Act of 1965 (42 U.S.C. 

13 3056p); 

14 (3) develops recommendations for any alter15 native measures that may better measure the effi16 cacy of the older American community service em17 ployment program as authorized under title V of the 

18 Older Americans Act of 1965 (42 U.S.C. 3056 et 

19 seq.) for individuals described in subsection 

20 (a)(3)(B)(ii) or subsection (b) of section 518 of the 

21 Older Americans Act of 1965 (42 U.S.C. 3056p) to 

22 achieve the objectives described in section 101 of the 

23 Older Americans Act of 1965 (42 U.S.C. 3001); and 

24 (4) evaluates how the Department of Labor co25 ordinates delivery of services with State and national 
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1 grantees under title V of the Older Americans Act 

2 of 1965 (42 U.S.C. 3056 et seq.) and with States 

3 and local workforce development areas under title I 

4 of the Workforce Innovation and Opportunity Act 

5 (29 U.S.C. 3111 et seq.) to serve older individuals. 

6 (b) REPORT TO CONGRESS.—Not later than 180 days 

7 after the review required under this section is completed, 

8 the Comptroller General shall submit to the Committee 

9 on Health, Education, Labor, and Pensions and the Spe10 cial Committee on Aging of the Senate and the Committee 

11 on Education and the Workforce of the House of Rep12 resentatives a report on the results of such review. 

13 TITLE VI—IMPROVING SERVICES 

14 FOR NATIVE ELDERS 

15 SEC. 601. OLDER AMERICANS TRIBAL ADVISORY COM16 MITTEE. 

17 Section 201(c) (42 U.S.C. 3011(c)) is amended by 

18 adding at the end the following: 

19 ‘‘(4)(A) In addition to other methods of govern20 ment-to-government consultation between the Ad21 ministration and Indian Tribes and conferring with 

22 organizations representing Native Hawaiians, the 

23 Assistant Secretary shall establish an advisory com24 mittee, to be known as the ‘Older Americans Tribal 

25 Advisory Committee’ (referred to in this paragraph 
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1 as the ‘Committee’) to provide advice and guidance 

2 to the Assistant Secretary on matters relating to the 

3 needs of older individuals who are Native Americans 

4 and implementation of related programs and activi5 ties under this Act. 

6 ‘‘(B) The Committee shall be composed of 11 

7 voting, non-Federal members, including— 

8 ‘‘(i) geographically diverse individuals with 

9 expertise on the range of issues affecting Indian 

10 Tribes, organizations representing Native Ha11 waiians, and older individuals who are Native 

12 Americans; 

13 ‘‘(ii) not less than 1 member who is an 

14 Alaska Native; and 

15 ‘‘(iii) not less than 1 member who is a Na16 tive Hawaiian. 

17 ‘‘(C) The Committee shall include non-voting, 

18 ex officio representatives of relevant Federal depart19 ments and agencies, including— 

20 ‘‘(i) the Administration; 

21 ‘‘(ii) the Indian Health Service; 

22 ‘‘(iii) the Centers for Medicare & Medicaid 

23 Services; 

24 ‘‘(iv) the Department of the Interior; 

25 ‘‘(v) the Department of Labor; and 
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1 ‘‘(vi) any other agency or office with sub2 ject matter expertise that the Assistant Sec3 retary determines appropriate. 

4 ‘‘(D) The Committee shall meet in person not 

5 less frequently than twice each year. 

6 ‘‘(E) The Committee shall coordinate, as appro7 priate, with the Secretary’s Tribal Advisory Com8 mittee of the Department of Health and Human 

9 Services. 

10 ‘‘(F)(i) Not less frequently than once each year, 

11 the Committee shall submit to the Assistant Sec12 retary and make publicly available a report that de13 scribes— 

14 ‘‘(I) the activities of the Committee during 

15 the previous year; and 

16 ‘‘(II) recommendations for administrative 

17 action, including the identification of any statu18 tory barriers to carrying out such recommenda19 tions, for the following year. 

20 ‘‘(ii) Not later than 60 days after the date on 

21 which the Assistant Secretary receives a report 

22 under clause (i), the Assistant Secretary shall sub23 mit to the Committee a written response to such re24 port. 
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1 ‘‘(G) Chapter 10 of title 5, United States Code, shall 

2 not apply to the Committee. 

3 ‘‘(H) In establishing, developing procedures for, and 

4 operating the Committee, the Assistant Secretary shall— 

5 ‘‘(i) consult with Indian Tribes and confer with 

6 organizations representing Native Hawaiians; and 

7 ‘‘(ii) take into consideration best practices of 

8 other Tribal advisory committees operated by the 

9 Department of Health and Human Services before 

10 the date of enactment of the Older Americans Act 

11 Reauthorization Act of 2024.’’. 

12 SEC. 602. SUPPORTIVE SERVICES; SET ASIDE. 

13 (a) SUPPORTIVE SERVICES.—Section 636 (42 U.S.C. 

14 3057k–21) is amended— 

15 (1) in subsection (a), by striking ‘‘may’’ and in16 serting ‘‘shall, as practicable,’’; and 

17 (2) in subsection (b)(2), by striking ‘‘in-home 

18 assistance’’ and inserting ‘‘in-home services’’. 

19 (b) FUNDING SET ASIDE.—Section 644 (42 U.S.C. 

20 3057o) is amended— 

21 (1) by striking ‘‘Of’’ and inserting the fol22 lowing: 

23 ‘‘(a) IN GENERAL.—Of’’; and 

24 (2) by adding at the end the following: 
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1 ‘‘(b) REPORT.—Not later than 1 year after the date 

2 of enactment of the Older Americans Act Reauthorization 

3 Act of 2024, the Assistant Secretary shall submit to the 

4 Committee on Health, Education, Labor, and Pensions of 

5 the Senate and the Committee on Education and the 

6 Workforce of the House of Representatives, a report on 

7 the use of funds under part D. Such report shall include— 

8 ‘‘(1) the total amount of funds made available 

9 under subsection (a) to carry out part D for each 

10 fiscal year; 

11 ‘‘(2) a list of award recipients under part D; 

12 and 

13 ‘‘(3) a summary of supportive services for 

14 healthy aging and independence provided under part 

15 D.’’. 

16 SEC. 603. GAO REPORT ON TRIBAL SERVICES. 

17 Not later than 18 months after the date of enactment 

18 of this Act, the Comptroller General of the United States 

19 shall submit to Congress a report that— 

20 (1) evaluates and identifies barriers to Indian 

21 Tribes (as defined in section 4 of the Indian Self22 Determination and Education Assistance Act (25 

23 U.S.C. 5304)) and organizations serving Native Ha24 waiians accessing programs under title VI of the 

25 Older Americans Act of 1965 (42 U.S.C. 3057 et 
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1 seq.), and coordination of such programs under such 

2 title VI with programs funded under titles III and 

3 IV of such Act (42 U.S.C. 3021 et seq., 42 U.S.C. 

4 3031 et seq.), including by— 

5 (A) estimating the number of Native 

6 Americans unserved by programs under such 

7 title VI; 

8 (B) identifying States and area agencies 

9 on aging making grants to Indian Tribes under 

10 such title III; and 

11 (C) providing estimates of funding nec12 essary to support programs under such title VI 

13 for all Tribal organizations (as defined in sec14 tion 4 of the Indian Self-Determination and 

15 Education Assistance Act (25 U.S.C. 5304)) 

16 and organizations serving Native Hawaiians 

17 that are not eligible under such title VI (as in 

18 effect on the date of enactment of this Act); 

19 and 

20 (2) details how grantees under title V of the 

21 Older Americans Act of 1965 (42 U.S.C. 3056 et 

22 seq.) are serving older individuals who are Native 

23 Americans with funds received under such title V, 

24 including by evaluating how the Secretary of Labor 

25 coordinates with State and national grantees under 
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1 such title V to serve older individuals who are Native 

2 Americans. 

3 SEC. 604. TECHNICAL AMENDMENTS. 

4 The Older Americans Act of 1965 (42 U.S.C. 3001 

5 et seq.) is amended— 

6 (1) in section 102 (42 U.S.C. 3002)— 

7 (A) in paragraph (27), by striking ‘‘the 

8 term ‘Indian tribe’ means any tribe’’ and insert9 ing ‘‘the term ‘Indian Tribe’ means any Tribe’’; 

10 and 

11 (B) in paragraph (56), by striking ‘‘the 

12 term ‘tribal organization’ means’’ and inserting 

13 ‘‘the term ‘Tribal organization’ means’’; 

14 (2) in section 418(a)(2)(6) (42 U.S.C. 

15 3032g(a)(2)(6)), by striking ‘‘Speaker of the House 

16 of Representatives and the President pro tempore of 

17 the Senate’’ and inserting ‘‘Committee on Health, 

18 Education, Labor, and Pensions of the Senate and 

19 the Committee on Education and the Workforce of 

20 the House of Representatives’’; 

21 (3) in section 612(c) (42 U.S.C. 3057c(c))— 

22 (A) by striking ‘‘terms ‘Indian tribe’ and 

23 ‘tribal organization’ have’’ and inserting ‘‘terms 

24 ‘Indian Tribe’ and ‘Tribal organization’ have’’; 

25 and 
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1 (B) by striking ‘‘(25 U.S.C. 450b)’’ and 

2 inserting ‘‘(25 U.S.C. 5304)’’; and 

3 (4) by striking ‘‘tribe’’, ‘‘tribes’’, and ‘‘tribal’’ 

4 each place such terms appear and inserting ‘‘Tribe’’, 

5 ‘‘Tribes’’, and ‘‘Tribal’’, respectively. 

6 TITLE VII—STRENGTHENING 

7 THE LONG-TERM CARE OM8 BUDSMAN PROGRAMS AND 

9 ELDER ABUSE PREVENTION 

10 SEC. 701. DIRECTOR OF THE OFFICE OF LONG-TERM CARE 

11 OMBUDSMAN PROGRAMS. 

12 Section 201(d)(2)(A) (42 U.S.C. 3011(d)(2)(A)) is 

13 amended, in the second sentence, by inserting ‘‘serve on 

14 a full-time basis and’’ after ‘‘shall’’. 

15 SEC. 702. LEGAL ASSISTANCE TRAINING RESOURCES RE16 LATING TO ELDER ABUSE PREVENTION. 

17 Section 201(e)(2)(A) (42 U.S.C. 3011(e)(2)(A)) is 

18 amended by striking clause (v) and inserting the following: 

19 ‘‘(v) establishing an information clear20 inghouse to collect, maintain, and dissemi21 nate information concerning best practices 

22 and resources for training, technical assist23 ance, and other activities, which may in24 clude training resources for paralegals or 

25 law students who are under the direct su-
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1 pervision of an attorney, to assist State 

2 Long-Term Care Ombudsman programs, 

3 adult protective services programs, and 

4 other legal services relating to defense of 

5 guardianship, promotion of self-determina6 tion, and the matters described in clause 

7 (ii)(I), and to assist States and commu8 nities to carry out evidence-based programs 

9 to prevent and address elder abuse, ne10 glect, and exploitation;’’. 

11 SEC. 703. IMPROVING TRAINING OF VOLUNTEERS UNDER 

12 THE STATE LONG-TERM CARE OMBUDSMAN 

13 PROGRAM. 

14 Section 712 (42 U.S.C. 3058g) is amended— 

15 (1) in subsection (h)(5)— 

16 (A) in the matter preceding subparagraph 

17 (A)— 

18 (i) by striking ‘‘the representatives’’ 

19 and inserting ‘‘each type of representa20 tive’’; and 

21 (ii) by inserting ‘‘types of’’ before 

22 ‘‘unpaid volunteers’’; 

23 (B) in subparagraph (A), by inserting ‘‘for 

24 each such type of representative’’ before the 

25 semicolon at the end; 
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1 (C) in subparagraph (B)(iii), by striking 

2 ‘‘and’’ at the end; 

3 (D) in subparagraph (C), by adding ‘‘and’’ 

4 at the end; and 

5 (E) by adding at the end the following: 

6 ‘‘(D) with respect to representatives of the 

7 Office who are unpaid volunteers, take into con8 sideration the degree to which each such type of 

9 unpaid volunteer performs activities requiring 

10 specialized training, with a goal of reducing un11 necessary training requirements for prospective 

12 unpaid volunteers;’’; and 

13 (2) by adding at the end the following: 

14 ‘‘(k) TRAINING REQUIREMENTS FOR UNPAID VOL15 UNTEERS.— 

16 ‘‘(1) IN GENERAL.—In providing the model 

17 standards described in subsection (h)(5), the Direc18 tor of the Office of Long-Term Care Ombudsman 

19 Programs shall review and, as necessary, update 

20 such model standards on a regular basis to tailor 

21 such model standards to the individualized training 

22 needs of each type of representative of the Office, in23 cluding each type of unpaid volunteer. 

24 ‘‘(2) CONSIDERATIONS.—In carrying out para25 graph (1), the Director of the Office of Long-Term 
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1 Care Ombudsman Programs shall take into consider2 ation the degree to which each type of representative 

3 of the Office performs activities that require special4 ized training, with a goal of reducing unnecessary 

5 training requirements for unpaid volunteers.’’. 

6 SEC. 704. REPORTING ON STATE LONG-TERM CARE OM7 BUDSMAN PROGRAMS. 

8 Chapter 2 of subtitle A of title VII (42 U.S.C. 3058f 

9 et seq.) is amended by adding at the end the following: 

10 ‘‘SEC. 714. REPORTS TO CONGRESS. 

11 ‘‘Each year, the Assistant Secretary shall submit to 

12 the Committee on Health, Education, Labor, and Pen13 sions and the Special Committee on Aging of the Senate 

14 and the Committee on Education and the Workforce of 

15 the House of Representatives, and make publicly available, 

16 a report that— 

17 ‘‘(1) aggregates all reports submitted under sec18 tion 712(h) for such year; and 

19 ‘‘(2) provides a summary of the findings of 

20 such reports.’’. 

21 SEC. 705. STUDY ON STATE LONG-TERM CARE OMBUDSMAN 

22 PROGRAMS. 

23 (a) IN GENERAL.—The Assistant Secretary shall 

24 seek to enter into a contract with the National Academies 

25 of Sciences, Engineering, and Medicine (referred to in this 
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1 section as the ‘‘National Academies’’) to conduct a study 

2 on the State Long-Term Care Ombudsman programs car3 ried out under the Older Americans Act of 1965 (42 

4 U.S.C. 3001 et seq.), including an assessment of the effec5 tiveness of such programs and any related challenges and 

6 recommendations. The study shall include an assessment 

7 of the current (as of the date on which the contract is 

8 entered into) recommended staff-to-bed ratio for such pro9 grams, as appropriate. 

10 (b) REPORT.—Not later than 18 months after the 

11 date on which a contract is entered into under subsection 

12 (a), the National Academies shall publicly issue a report 

13 on the findings of the study under this section. 

14 TITLE VIII—AUTHORIZATIONS 

15 OF APPROPRIATIONS 

16 SEC. 801. ADMINISTRATION ON AGING. 

17 Section 216 (42 U.S.C. 3020f) is amended— 

18 (1) in subsection (a), by striking 

19 ‘‘$43,937,410’’ and all that follows through ‘‘fiscal 

20 year 2024’’ and inserting ‘‘$55,469,968 for fiscal 

21 year 2025, $58,034,197 for fiscal year 2026, 

22 $60,716,964 for fiscal year 2027, $63,523,747 for 

23 fiscal year 2028, and $66,460,281 for fiscal year 

24 2029’’; and 

25 (2) in subsection (b)— 
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1 (A) in paragraph (1), by striking 

2 ‘‘$2,180,660’’ and all that follows through ‘‘fis3 cal year 2024’’ and inserting ‘‘$2,753,033 for 

4 fiscal year 2025, $2,880,298 for fiscal year 

5 2026, $3,013,447 for fiscal year 2027, 

6 $3,152,751 for fiscal year 2028, and 

7 $3,298,494 for fiscal year 2029’’; 

8 (B) in paragraph (2), by striking 

9 ‘‘$1,988,060’’ and all that follows through ‘‘fis10 cal year 2024’’ and inserting ‘‘$2,509,880 for 

11 fiscal year 2025, $2,625,905 for fiscal year 

12 2026, $2,747,294 for fiscal year 2027, 

13 $2,874,294 for fiscal year 2028, and 

14 $3,007,165 for fiscal year 2029’’; 

15 (C) in paragraph (3), by striking 

16 ‘‘$1,371,740’’ and all that follows through ‘‘fis17 cal year 2024’’ and inserting ‘‘$1,731,790 for 

18 fiscal year 2025, $1,811,846 for fiscal year 

19 2026, $1,895,603 for fiscal year 2027, 

20 $1,983,232 for fiscal year 2028, and 

21 $2,074,911 for fiscal year 2029’’; and 

22 (D) in paragraph (4), by striking 

23 ‘‘$8,687,330’’ and all that follows through ‘‘fis24 cal year 2024’’ and inserting ‘‘$10,967,554 for 

25 fiscal year 2025, $11,474,555 for fiscal year 
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1 2026, $12,004,993 for fiscal year 2027, 

2 $12,559,952 for fiscal year 2028, and 

3 $13,140,565 for fiscal year 2029’’. 

4 SEC. 802. GRANTS FOR STATE AND COMMUNITY PROGRAMS 

5 ON AGING. 

6 (a) IN GENERAL.—Section 303 (42 U.S.C. 3023) is 

7 amended— 

8 (1) in subsection (a)(1), by striking 

9 ‘‘$412,029,180’’ and all that follows through ‘‘fiscal 

10 year 2024’’ and inserting ‘‘$520,177,347 for fiscal 

11 year 2025, $544,223,762 for fiscal year 2026, 

12 $569,381,780 for fiscal year 2027, $595,702,785 for 

13 fiscal year 2028, and $623,240,541 for fiscal year 

14 2029’’; 

15 (2) in subsection (b)— 

16 (A) in paragraph (1), by striking 

17 ‘‘$530,015,940’’ and all that follows through 

18 ‘‘fiscal year 2024’’ and inserting ‘‘$669,132,913 

19 for fiscal year 2025, $700,065,148 for fiscal 

20 year 2026, $732,427,298 for fiscal year 2027, 

21 $766,285,465 for fiscal year 2028, and 

22 $801,708,804 for fiscal year 2029’’; and 

23 (B) in paragraph (2), by striking 

24 ‘‘$268,935,940’’ and all that follows through 

25 ‘‘fiscal year 2024’’ and inserting ‘‘$339,525,428 
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1 for fiscal year 2025, $355,220,786 for fiscal 

2 year 2026, $371,641,698 for fiscal year 2027, 

3 $388,821,705 for fiscal year 2028, and 

4 $406,795,899 for fiscal year 2029’’; 

5 (3) in subsection (d), by striking 

6 ‘‘$26,587,360’’ and all that follows through ‘‘fiscal 

7 year 2024’’ and inserting ‘‘$33,565,929 for fiscal 

8 year 2025, $35,117,593 for fiscal year 2026, 

9 $36,740,986 for fiscal year 2027, $38,439,424 for 

10 fiscal year 2028, and $40,216,376 for fiscal year 

11 2029’’; and 

12 (4) in subsection (e), by striking 

13 ‘‘$193,869,020’’ and all that follows through ‘‘fiscal 

14 year 2024’’ and inserting ‘‘$244,755,171 for fiscal 

15 year 2025, $256,069,552 for fiscal year 2026, 

16 $267,906,966 for fiscal year 2027, $280,291,593 for 

17 fiscal year 2028, and $293,248,728 for fiscal year 

18 2029’’. 

19 (b) NUTRITION SERVICES INCENTIVE PROGRAM.— 

20 Section 311(e) (42 U.S.C. 3030a(e)) is amended by strik21 ing ‘‘$171,273,830’’ and all that follows through ‘‘fiscal 

22 year 2024’’ and inserting ‘‘$216,229,264 for fiscal year 

23 2025, $226,224,968 for fiscal year 2026, $236,682,747 

24 for fiscal year 2027, $247,623,961 for fiscal year 2028, 

25 and $259,070,958 for fiscal year 2029’’. 
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1 SEC. 803. ACTIVITIES FOR HEALTH, INDEPENDENCE, AND 

2 LONGEVITY. 

3 Section 411(b) (42 U.S.C. 3032(b)) is amended— 

4 (1) in paragraph (1), by striking 

5 ‘‘$14,514,550’’ and all that follows through ‘‘fiscal 

6 year 2024’’ and inserting ‘‘$18,324,285 for fiscal 

7 year 2025, $19,171,368 for fiscal year 2026, 

8 $20,057,609 for fiscal year 2027, $20,984,819 for 

9 fiscal year 2028, and $21,954,892 for fiscal year 

10 2029’’; and 

11 (2) in paragraph (2), by striking 

12 ‘‘$15,613,440’’ and all that follows through ‘‘fiscal 

13 year 2024’’ and inserting ‘‘$19,711,608 for fiscal 

14 year 2025, $20,622,823 for fiscal year 2026, 

15 $21,576,161 for fiscal year 2027, $22,573,570 for 

16 fiscal year 2028, and $23,617,086 for fiscal year 

17 2029’’. 

18 SEC. 804. COMMUNITY SERVICE SENIOR OPPORTUNITIES 

19 ACT. 

20 Section 517(a) (42 U.S.C. 3056o(a)) is amended by 

21 striking ‘‘$428,000,000’’ and all that follows through ‘‘fis22 cal year 2024’’ and inserting ‘‘$540,340,139 for fiscal 

23 year 2025, $565,318,627 for fiscal year 2026, 

24 $591,451,804 for fiscal year 2027, $618,793,048 for fis25 cal year 2028, and $647,398,205 for fiscal year 2029’’. 
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1 SEC. 805. GRANTS FOR NATIVE AMERICANS. 

2 Section 643 (42 U.S.C. 3057n) is amended— 

3 (1) in paragraph (1), by striking 

4 ‘‘$37,102,560’’ and all that follows through ‘‘fiscal 

5 year 2024’’ and inserting ‘‘$47,028,435 for fiscal 

6 year 2025, $49,202,434 for fiscal year 2026, 

7 $51,476,932 for fiscal year 2027, $53,856,574 for 

8 fiscal year 2028, and $56,346,220 for fiscal year 

9 2029’’; and 

10 (2) in paragraph (2), by striking 

11 ‘‘$10,759,920’’ and all that follows through ‘‘fiscal 

12 year 2024’’ and inserting ‘‘$13,584,151 for fiscal 

13 year 2025, $14,212,110 for fiscal year 2026, 

14 $14,869,098 for fiscal year 2027, $15,556,457 for 

15 fiscal year 2028, and $16,275,591 for fiscal year 

16 2029’’. 

17 SEC. 806. ALLOTMENTS FOR ELDER RIGHTS PROTECTION 

18 ACTIVITIES. 

19 Section 702 (42 U.S.C. 3058a) is amended— 

20 (1) in subsection (a), by striking 

21 ‘‘$18,066,950’’ and all that follows through ‘‘fiscal 

22 year 2024’’ and inserting ‘‘$22,809,108 for fiscal 

23 year 2025, $23,863,512 for fiscal year 2026, 

24 $24,966,659 for fiscal year 2027, $26,120,801 for 

25 fiscal year 2028, and $27,328,297 for fiscal year 

26 2029’’; and 
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1 (2) in subsection (b), by striking ‘‘$5,107,110’’ 

2 and all that follows through ‘‘fiscal year 2024’’ and 

3 inserting ‘‘$6,447,609 for fiscal year 2025, 

4 $6,745,665 for fiscal year 2026, $7,057,499 for fis5 cal year 2027, $7,383,748 for fiscal year 2028, and 

6 $7,725,079 for fiscal year 2029’’. 

Passed the Senate December 10, 2024. 

Attest: 

Secretary. 
118TH CONGRESS 

2D SESSION S. 4776 

AN ACT 

To amend the Older Americans Act of 1965 to authrough 2029, and for other purposes. thorize appropriations for fiscal years 2025