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[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 4776 Engrossed in Senate (ES)]

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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.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Older Americans Act Reauthorization 
Act of 2024''.

SEC. 2. TABLE OF CONTENTS.

    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.
                 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.

SEC. 3. REFERENCES.

    Except as otherwise expressly provided in this Act, wherever in 
this Act an amendment or repeal is expressed in terms of an amendment 
to, or a repeal of, a section or other provision, the reference shall 
be considered to be made to that section or other provision of the 
Older Americans Act of 1965 (42 U.S.C. 3001 et seq.).

SEC. 4. DEFINITIONS.

    In this Act, the terms ``area agency on aging'', ``Assistant 
Secretary'', ``older individual'', and ``Secretary'' have the meanings 
given such terms in section 102 of the Older Americans Act of 1965 (42 
U.S.C. 3002).

  TITLE I--STRENGTHENING THE AGING NETWORK TO MEET THE NEEDS OF OLDER 
                              INDIVIDUALS

SEC. 101. DECLARATION OF OBJECTIVES.

    Section 101 (42 U.S.C. 3001) is amended--
            (1) in the matter preceding paragraph (1), by striking ``of 
        the following objectives:'' and inserting ``of the objectives 
        of--'';
            (2) in each of paragraphs (1) through (10), by amending the 
        first word so that it begins with a lowercase letter;
            (3) in each of paragraphs (1) through (8), by striking the 
        period at the end and inserting a semicolon;
            (4) in each of paragraphs (9) and (10), by striking the 
        period at the end and inserting ``; and'';
            (5) in paragraph (2), by inserting ``to improve health 
        outcomes and reduce health care expenditures'' after ``economic 
        status'';
            (6) by redesignating paragraphs (1) through (10) as 
        subparagraphs (A) through (J), respectively, and adjusting the 
        margins accordingly;
            (7) in the matter preceding subparagraph (A) (as so 
        redesignated), by striking ``our democratic society, the older 
        people'' and inserting the following: ``our democratic 
        society--
            ``(1) the older people''; and
            (8) by adding at the end the following:
            ``(2) the families of older individuals and community-based 
        organizations, including faith-based organizations, also play a 
        vital role in supporting and honoring older individuals and 
        their happiness, dignity, and independence.''.

SEC. 102. ADDRESSING MENTAL HEALTH AND SUBSTANCE USE DISORDERS AND 
              COGNITIVE IMPAIRMENTS OF OLDER INDIVIDUALS.

    Section 201(f) (42 U.S.C. 3011(f)) is amended to read as follows:
    ``(f)(1) The Assistant Secretary may designate an officer or 
employee who shall be responsible for the administration of services 
for mental health and substance use disorders and cognitive impairments 
authorized under this Act and serve as an effective and visible 
advocate for the related needs of older individuals within the 
Department of Health and Human Services, including by ensuring that 
relevant information disseminated and research conducted or supported 
by the Department takes into consideration such services.
    ``(2) It shall be the duty of the Assistant Secretary, acting 
through the individual designated under paragraph (1), and in 
consultation with the heads of relevant agencies within the Department 
of Health and Human Services, including the Substance Abuse and Mental 
Health Services Administration, to develop objectives, priorities, and 
a long-term plan for supporting State and local efforts under this Act 
involving education about, and prevention, detection, and treatment of, 
mental health and substance use disorders and cognitive impairments, 
including age-related dementia, depression, and Alzheimer's disease and 
related neurological disorders with neurological and organic brain 
dysfunction.
    ``(3) Not later than 2 years after the date of enactment of the 
Older Americans Act Reauthorization Act of 2024, the Assistant 
Secretary shall report to the Committee on Health, Education, Labor, 
and Pensions of the Senate, the Special Committee on Aging of the 
Senate, and the Committee on Education and the Workforce of the House 
of Representatives on the activities of the officer or employee 
designated under paragraph (1) in carrying out the requirements under 
this subsection, including any activities to identify and reduce 
duplication and gaps across the Department in such information 
disseminated and research conducted or supported by the Department.''.

SEC. 103. LIST OF NATIONAL RESOURCE CENTERS.

    Section 202 (42 U.S.C. 3012) is amended--
            (1) in subsection (d)(4), by striking ``Resource Center on 
        Elder Abuse'' and inserting ``Center''; and
            (2) by striking subsection (h) and inserting the following:
    ``(h)(1) The Assistant Secretary shall publish online in a publicly 
accessible format, on an annual basis, a list of national resource 
centers and demonstration projects authorized under, or 
administratively established through funds provided under, this Act.
    ``(2) The Assistant Secretary shall ensure that the list published 
pursuant to paragraph (1)--
            ``(A) includes--
                    ``(i) a description of each such center and 
                demonstration project, including the projected goals 
                and activities of each such center and demonstration 
                project;
                    ``(ii) a citation to the statutory authorization of 
                each such center and demonstration project, or a 
                citation to the statutory authority that the Assistant 
                Secretary relies upon to administratively establish 
                each such center and demonstration project;
                    ``(iii) the award amount for each such center and 
                demonstration project; and
                    ``(iv) a summary of any evaluations required under 
                this Act for each such center, including a description 
                of any measures of effectiveness; and
            ``(B) is directly provided to State agencies, area agencies 
        on aging, and the Committee on Health, Education, Labor, and 
        Pensions and the Special Committee on Aging of the Senate and 
        the Committee on Education and the Workforce of the House of 
        Representatives.''.

SEC. 104. AWARENESS OF RELEVANT FEDERAL PROGRAMS.

    Title II (42 U.S.C. 3011 et seq.) is amended by inserting after 
section 203A (42 U.S.C. 3013a) the following:

``SEC. 203B. AWARENESS OF RELEVANT FEDERAL PROGRAMS.

    ``In carrying out section 203(a)(1), the Assistant Secretary shall 
coordinate with the heads of relevant Federal departments and agencies 
to ensure that the aging network and individuals served under this Act 
are aware of, and, subject to applicable eligibility criteria, have 
access to, Federal programs that may advance the objectives of this 
Act, including programs described in section 203(b) and other programs 
to meet housing, health care, and other supportive service needs to 
help such individuals age in place.''.

SEC. 105. EVALUATIONS AND SURVEYS.

    Section 206 (42 U.S.C. 3017) is amended--
            (1) by striking subsection (d) and inserting the following:
    ``(d)(1) In carrying out evaluations under this section, the 
Secretary shall--
            ``(A) award grants to, or enter into contracts with, public 
        or nonprofit private organizations or academic or research 
        institutions to survey State agencies, area agencies on aging, 
        and other program and project participants about the strengths 
        and weaknesses of the programs and projects; and
            ``(B) conduct, where appropriate, evaluations that compare 
        the effectiveness of related programs in achieving common 
        objectives.
    ``(2) The surveys and evaluations under paragraph (1) shall include 
information on programs, services, use and sources of funding 
(including any transfer of funding between area agencies on aging), 
identified unmet need for services and related indicators, and any 
other challenges faced by State agencies and area agencies on aging in 
carrying out the activities of this Act.
    ``(3) The Secretary shall, in carrying out the evaluations under 
paragraph (1), consult with organizations concerned with older 
individuals, including organizations that represent minority 
individuals, older individuals residing in rural areas, and older 
individuals with disabilities.''; and
            (2) in subsection (g), by striking ``him'' and inserting 
        ``the Secretary''.

SEC. 106. CONTRACTING.

    (a) In General.--Section 212 (42 U.S.C. 3020c) is amended--
            (1) in the section heading, by striking ``and grant 
        authority'';
            (2) by striking subsection (a) and inserting the following:
    ``(a) In General.--Subject to subsection (b), this Act shall not be 
construed to prevent a recipient of a grant or a contract under this 
Act (other than title V) from entering into a contract, commercial 
relationship, or other business arrangement (referred to in this 
section as an `agreement') with a profitmaking organization for the 
recipient to provide services to individuals or entities not otherwise 
receiving services under this Act, provided that--
            ``(1) in the case funds provided under this Act are used in 
        developing or carrying out the agreement--
                    ``(A) such agreement guarantees that the cost is 
                reimbursed to the recipient;
                    ``(B) if such agreement provides for the provision 
                of 1 or more services, of the type provided under this 
                Act by or on behalf of such recipient, to an individual 
                or entity seeking to receive such services--
                            ``(i) the individuals and entities may only 
                        purchase such services at their fair market 
                        rate;
                            ``(ii) all costs incurred by the recipient 
                        in providing such services (and not otherwise 
                        reimbursed under subparagraph (A)), are 
                        reimbursed to such recipient; and
                            ``(iii) except in the case of an agreement 
                        with a health plan or health care provider, the 
                        recipient reports the rates for providing such 
                        services under such agreement in accordance 
                        with subsection (c) and the rates are 
                        consistent with the prevailing market rate for 
                        provision of such services in the relevant 
                        geographic area as determined by the State 
                        agency or area agency on aging (as applicable); 
                        and
                    ``(C) any amount of payment to the recipient under 
                the agreement that exceeds reimbursement under this 
                subsection of the recipient's costs is used to provide, 
                or support the provision of, services under this Act; 
                and
            ``(2) subject to subsection (e), in the case no funds 
        provided under this Act are used in developing or carrying out 
        the agreement--
                    ``(A) not later than 45 days after the agreement 
                first goes into effect, and annually thereafter until 
                the termination of such agreement, the recipient of a 
                grant or contract under this Act shall, in writing--
                            ``(i) notify the State agency of--
                                    ``(I) the existence of the 
                                agreement; and
                                    ``(II) the services provided and 
                                populations served under the agreement; 
                                and
                            ``(ii) provide assurances to the State 
                        agency that--
                                    ``(I) nothing in the agreement--
                                            ``(aa) undermines--

                                                    ``(AA) the duties 
                                                of the recipient under 
                                                this Act; or

                                                    ``(BB) the 
                                                provision of services 
                                                in accordance with this 
                                                Act; or

                                            ``(bb) violates any other 
                                        terms and conditions of an 
                                        award received by the recipient 
                                        under this Act; and
                                    ``(II) any potential real or 
                                perceived conflict of interest with 
                                respect to the agreement has been 
                                prevented, mitigated, or otherwise 
                                addressed, including providing a 
                                description of any such conflicts of 
                                interest and a description of the 
                                actions taken to mitigate such 
                                conflicts of interest; and
                    ``(B) not later than 45 days after the population 
                or services under the agreement substantially change 
                due to an amendment to the agreement, the recipient 
                shall, in writing--
                            ``(i) notify the State agency of such 
                        change; and
                            ``(ii) provide the assurances described in 
                        subparagraph (A)(ii) with respect to such 
                        change.'';
            (3) by striking subsection (b) and inserting the following:
    ``(b) Ensuring Appropriate Use of Funds.--An agreement--
            ``(1) described in subsection (a)(1) may not--
                    ``(A) be made without the prior approval of the 
                State agency (or, in the case of a grantee under title 
                VI, without the prior recommendation of the Director of 
                the Office for American Indian, Alaska Native, and 
                Native Hawaiian Programs and the prior approval of the 
                Assistant Secretary), after timely submission of all 
                relevant documents related to the agreement including 
                information on all costs incurred; or
                    ``(B) directly or indirectly provide for, or have 
                the effect of, paying, reimbursing, subsidizing, or 
                otherwise compensating an individual or entity in an 
                amount that exceeds the fair market value of the 
                services subject to such agreement; and
            ``(2) described in subsection (a) may not--
                    ``(A) result in the displacement of services 
                otherwise available to an older individual with 
                greatest social need, an older individual with greatest 
                economic need, or an older individual who is at risk 
                for institutional placement; or
                    ``(B) in any other way compromise, undermine, or be 
                inconsistent with the objective of serving the needs of 
                older individuals, as determined by the Assistant 
                Secretary.'';
            (4) by striking subsection (c) and inserting the following:
    ``(c) Monitoring and Reporting.--To ensure that any agreement 
described in subsection (a)(1) complies with the requirements of this 
section and other applicable provisions of this Act, the Assistant 
Secretary shall develop and implement uniform monitoring procedures and 
reporting requirements consistent with the provisions of subparagraphs 
(A) through (E) of section 306(a)(13) in consultation with the State 
agencies and area agencies on aging. The Assistant Secretary shall 
conduct a review on the impact of such agreements on the provision of 
services under this Act, including the number of agreements per State, 
summaries of such agreements, and the impact of such agreements on 
access to services consistent with the goals of this Act. The Assistant 
Secretary shall annually prepare and submit to the Committee on Health, 
Education, Labor, and Pensions of the Senate, the Special Committee on 
Aging of the Senate, and the Committee on Education and the Workforce 
of the House of Representatives the findings of such review.''; and
            (5) by striking subsection (e) and inserting the following:
    ``(e) Requesting Additional Information for Certain Non-OAA 
Agreements.--
            ``(1) In general.--In the case of an agreement described in 
        subsection (a)(2), if the State agency has a reasonable belief 
        that an agreement may violate the assurances provided under 
        subsection (a)(2)(A)(ii), the State agency may request 
        additional information from the recipient of funds under this 
        Act that is a party to such agreement, which may include a 
        request for a copy of such agreement. Such recipient shall make 
        a good faith effort to address such request for additional 
        information, except that such recipient shall not provide 
        agreements or other data that are restricted under the terms of 
        a non-disclosure agreement signed by such recipient. If such 
        recipient declines to provide a copy of an agreement to a State 
        agency, such recipient shall provide a justification to the 
        State agency within 30 days of receiving such request.
            ``(2) Confidentiality.--A State agency shall keep 
        confidential, as required by applicable Federal and State law, 
        all information received under this subsection that is--
                    ``(A) a trade secret;
                    ``(B) commercial or financial information; and
                    ``(C) information obtained from an individual that 
                is privileged and confidential.
    ``(f) Definitions.--In this section:
            ``(1) Cost.--The term `cost' means an expense, including an 
        administrative expense, incurred by a recipient in developing 
        or carrying out an agreement described in subsection (a), 
        whether the recipient contributed funds, staff time, or other 
        plant, equipment, or services to meet the expense.
            ``(2) Recipient.--The term `recipient' means an area agency 
        on aging in a State with multiple planning and service 
        areas.''.
    (b) Area Plans.--Section 306 (42 U.S.C. 3026) is amended--
            (1) in subsection (a)(13)--
                    (A) in subparagraph (B)(i), by striking ``any 
                service to older individuals'' and inserting ``any 
                service under this Act to older individuals or 
                caregivers''; and
                    (B) in subparagraph (E), by inserting ``or 
                caregivers under this Act'' after ``older 
                individuals''; and
            (2) in subsection (g), by inserting ``, except as provided 
        under section 212(a)(2),'' after ``Nothing in this Act''.

SEC. 107. GUIDANCE ON REALLOCATION OF FUNDING BETWEEN AREA AGENCIES ON 
              AGING.

    (a) In General.--Not later than 1 year after the date of enactment 
of this Act, the Assistant Secretary shall disseminate one-time 
guidance to State agencies (as defined in section 102 of the Older 
Americans Act of 1965 (42 U.S.C. 3002)) and area agencies on aging on 
circumstances under which funds appropriated pursuant to part B and 
subparts 1 and 2 of part C of title III of the Older Americans Act (42 
U.S.C. 3030d et seq., 42 U.S.C. 3030e et seq., 42 U.S.C. 3030f et seq.) 
may be appropriate to reallocate between area agencies on aging within 
a single State, with the approval of the State agency and the 
concurrence of any involved area agencies on aging, within a budget 
year.
    (b) Considerations.--In disseminating the guidance under subsection 
(a), the Assistant Secretary may consider circumstances that affect the 
expenditure of the funds described in such subsection.

SEC. 108. RIGHT TO FIRST REFUSAL.

    Section 305(b)(5)(B) (42 U.S.C. 3025(b)(5)(B)) is amended to read 
as follows:
    ``(B) Whenever a State agency designates a new area agency on aging 
after the date of enactment of the Older Americans Act Reauthorization 
Act of 2024, the State agency shall give the right to first refusal to 
a unit of general purpose local government if--
            ``(i) such unit can meet the requirements of subsection 
        (c);
            ``(ii)(I) such unit has demonstrated experience 
        administering services for older individuals; or
            ``(II) the State agency determines that there is not 
        another entity eligible under subsection (c)(1) within the 
        planning and service area with such demonstrated experience; 
        and
            ``(iii) the boundaries of such unit and the boundaries of 
        the planning and service area are reasonably contiguous.''.

SEC. 109. AREA AGENCY ON AGING CAPABILITIES.

    (a) Organization.--Section 305(c) (42 U.S.C. 3025(c)) is amended--
            (1) by redesignating paragraphs (1) through (5) as 
        subparagraphs (A) through (E), respectively, and moving such 
        subparagraphs 2 ems to the right;
            (2) by striking ``shall be'' and inserting the following: 
        ``shall--
            ``(1) be--'';
            (3) in subparagraph (E), as so redesignated--
                    (A) by striking ``(b)(5)'' and inserting 
                ``(b)(5)(A)''; and
                    (B) by inserting ``and'' after the semicolon; and
            (4) by striking ``and shall provide assurance, determined 
        adequate by the State agency, that the area agency on aging 
        will have the ability to develop an area plan and to carry out, 
        directly or through contractual or other arrangements, a 
        program in accordance with the plan within the planning and 
        service area.'' and inserting the following:
            ``(2) provide assurance, determined adequate by the State 
        agency, that the area agency on aging will have the ability, 
        and maintain the capabilities necessary, to develop an area 
        plan as required under section 306(a), and carry out, directly 
        or through contractual or other arrangements, and oversee 
        activities in accordance with--
                    ``(A) the plan within the planning and service 
                area;
                    ``(B) any other relevant requirements of this Act;
                    ``(C) other applicable Federal and State laws; and
                    ``(D) other terms and conditions of awards received 
                under this Act.''.
    (b) Plans.--Section 306(f)(1) (42 U.S.C. 3026(f)(1)) is amended--
            (1) by inserting ``the assurances required under section 
        305(c)(2),'' after ``of this section,''; and
            (2) by striking the period at the end and inserting ``, and 
        if the State agency determines, in the discretion of the State 
        agency, that an area agency on aging failed in 2 successive 
        years to comply with the requirements under this title, then 
        the State agency may require the area agency on aging to submit 
        a plan for a 1-year period that meets such requirements, for 
        subsequent years until the State agency determines that the 
        area agency on aging is in compliance with such 
        requirements.''.

SEC. 110. SUPPORTING OLDER INDIVIDUALS WITH DISABILITIES THROUGH 
              IMPROVED COORDINATION.

    (a) Area Plans.--Section 306(a)(5) (42 U.S.C. 3026(a)(5)) is 
amended by striking ``with agencies that develop or provide services 
for individuals with disabilities'' and inserting ``with entities that 
develop or provide services for individuals with disabilities, which 
may include centers for independent living, relevant service providers, 
and other community-based organizations, as appropriate''.
    (b) Supporting Older Individuals With Disabilities Through Improved 
Coordination.--
            (1) In general.--The Administrator of the Administration 
        for Community Living of the Department of Health and Human 
        Services (referred to in this section as the ``Administrator'') 
        shall identify--
                    (A) opportunities to improve coordination between 
                the aging and disability networks, which may include 
                the formation of partnerships to serve individuals 
                eligible for programs under the Older Americans Act of 
                1965 (42 U.S.C. 3001 et seq.);
                    (B) lessons learned from disability networks, 
                including centers for independent living, State 
                developmental disabilities councils, university centers 
                for excellence in developmental disabilities education, 
                research, and service, and State protection and 
                advocacy agencies that could improve operations and 
                service delivery within the aging network; and
                    (C) any technical assistance needs related to 
                subparagraphs (A) and (B).
            (2) Guidance.--Not later than 2 years after the date of 
        enactment of this Act, the Administrator shall issue guidance 
        to State agencies and area agencies on aging on strategies to 
        leverage disability networks, including centers for independent 
        living, State developmental disabilities councils, university 
        centers for excellence in developmental disabilities, 
        education, research, and service, and State protection and 
        advocacy agencies, as appropriate, to strengthen the provision 
        of services under the Older Americans Act of 1965 (42 U.S.C. 
        3001 et seq.).
            (3) Technical assistance.--The Administrator shall 
        coordinate across the Administration for Community Living to 
        address any technical assistance needs identified under 
        paragraph (1)(C) in a manner that does not unnecessarily 
        duplicate other technical assistance activities carried out 
        prior to the date of enactment of this Act.
    (c) Definitions.--Section 102 (42 U.S.C. 3002) is amended--
            (1) in paragraph (4), by striking ``(as defined in section 
        3 of the Americans with Disabilities Act of 1990 (42 U.S.C. 
        12102))'';
            (2) in paragraph (13), by striking ``The term'' and all 
        that follows through ``adjustment.'' and inserting ``The term 
        `disability' has the meaning given such term in section 3 of 
        the Americans with Disabilities Act of 1990 (42 U.S.C. 
        12102).''; and
            (3) in paragraph (49)(B), by striking ``of the major life 
        activities specified in subparagraphs (A) through (G) of 
        paragraph (8)'' and inserting ``major life activities specified 
        in section 3(2) of the Americans with Disabilities Act of 1990 
        (42 U.S.C. 12102(2)).''.

SEC. 111. BUSINESS ACUMEN, FISCAL TRAINING, AND TECHNICAL ASSISTANCE.

    Section 307(a) (42 U.S.C. 3027(a)) is amended by adding at the end 
the following:
            ``(31) The plan shall provide assurances that the State 
        agency, to the extent feasible and when applicable and 
        appropriate, provides technical assistance for area agencies on 
        aging related to the development of business acumen, sound 
        fiscal practices, capacity building, organizational 
        development, innovation, and other methods of growing and 
        sustaining the capacity of the aging network to carry out 
        activities funded under this Act to serve older individuals and 
        caregivers most effectively.''.

SEC. 112. ENHANCING ACCESS TO ASSISTIVE TECHNOLOGY.

    Section 307(a) (42 U.S.C. 3027(a)), as amended by section 111 of 
this Act, is further amended by adding at the end the following:
            ``(32) The plan shall provide assurances that the State 
        will coordinate services, to the extent feasible, with lead 
        agencies designated to carry out State assistive technology 
        programs under the Assistive Technology Act of 1998 (29 U.S.C. 
        3001 et seq.) and with area agencies on aging to assist 
        eligible older individuals, including older individuals with 
        disabilities, in accessing and acquiring assistive 
        technology.''.

SEC. 113. WHITE HOUSE CONFERENCE ON AGING.

    Title II of the Older Americans Act Amendments of 1987 (42 U.S.C. 
3001 note; Public Law 100-175) is amended by striking title II and 
inserting the following:

              ``TITLE II--WHITE HOUSE CONFERENCE ON AGING

``SEC. 201. AUTHORIZATION OF THE CONFERENCE.

    ``(a) Authority To Call Conference.--Not earlier than January 21, 
2025 and not later than December 31, 2025, the President shall convene 
the White House Conference on Aging in order to fulfill the purpose set 
forth in subsection (c) and to make fundamental policy recommendations 
regarding programs that are important to older individuals and to the 
families and communities of such individuals.
    ``(b) Planning and Direction.--The Conference described in 
subsection (a) shall be planned and conducted under the direction of 
the Secretary, in cooperation with the Assistant Secretary for Aging, 
the Director of the National Institute on Aging, the Administrator of 
the Centers for Medicare and Medicaid Services, the Social Security 
Administrator, and the heads of such other Federal agencies serving 
older individuals as are appropriate. Planning and conducting the 
Conference includes the assignment of personnel.
    ``(c) Purpose.--The purpose of the Conference described in 
subsection (a) shall be to gather individuals representing the spectrum 
of thought and experience in the field of aging to--
            ``(1) evaluate the manner in which the objectives of the 
        Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) can be met 
        by using the resources and talents of older individuals, of 
        families and communities of such individuals, and of 
        individuals from the public and private sectors;
            ``(2) evaluate the manner in which Federal policies, 
        programs, and activities meet and respond to the needs of older 
        individuals, including an examination of innovative and 
        fiscally responsible strategies relating to retirement 
        security, caregiving, nutrition and supportive services, health 
        care, elder justice, and long-term services and supports;
            ``(3) be informed by the work and recommendations of the 
        Interagency Coordinating Committee on Healthy Aging and Age-
        Friendly Communities, evaluate the recommendations of the 
        Committee, and, as appropriate, suggest implementation 
        strategies for such recommendations; and
            ``(4) develop recommendations to guide the President, 
        Congress, and Federal agencies in improving Federal programs 
        that serve older individuals, which may relate to the 
        prevention and mitigation of disease, injury, abuse, social 
        isolation, loneliness, and economic insecurity, including food 
        insecurity, and promotion of healthy aging in place.
    ``(d) Conference Participants and Delegates.--
            ``(1) Participants.--In order to carry out the purposes of 
        this section, the Conference shall bring together--
                    ``(A) representatives of Federal, State, Tribal, 
                and local governments;
                    ``(B) professionals and volunteers who are working 
                in the field of aging; and
                    ``(C) representatives of the general public, 
                particularly older individuals.
            ``(2) Selection of delegates.--The delegates shall be 
        selected without regard to political affiliation or past 
        partisan activity and shall, to the best of the appointing 
        authority's ability, be representative of the spectrum of 
        thought in the field of aging. Delegates shall include older 
        individuals, individuals who are professionals in the field of 
        aging, individuals who are community leaders, minority 
        individuals, individuals from rural areas, low-income 
        individuals, and representatives of Federal, State, Tribal, and 
        local governments.

``SEC. 202. CONFERENCE ADMINISTRATION.

    ``(a) Administration.--In administering this section, the Secretary 
shall--
            ``(1) consult with relevant State, Tribal, and local 
        officials, stakeholders, and subject matter experts in planning 
        the Conference;
            ``(2) request the cooperation and assistance of the heads 
        of such other Federal departments and agencies, including such 
        officials of the Interagency Coordinating Committee on Healthy 
        Aging and Age-Friendly Communities, as may be appropriate in 
        the carrying out of this section;
            ``(3) make available for public comment a proposed agenda 
        for the Conference, which will reflect to the greatest extent 
        possible the major issues facing older individuals, consistent 
        with the provisions of section 201(c);
            ``(4) prepare and make available such background materials 
        for the use of delegates to the Conference as the Secretary 
        deems necessary; and
            ``(5) engage such additional personnel as may be necessary 
        to carry out the provisions of this section without regard to 
        provisions of title 5, United States Code, governing 
        appointments in the competitive service, and without regard to 
        chapter 51 and subchapter III of chapter 53 of such title, 
        relating to classification and General Schedule pay rates.
    ``(b) Duties.--The Secretary shall, in carrying out the Secretary's 
responsibilities and functions under this section, and as part of the 
White House Conference on Aging, ensure that--
            ``(1) the agenda prepared under subsection (a)(3) for the 
        Conference is published in the Federal Register not later than 
        30 days after such agenda is approved by the Secretary;
            ``(2) the personnel engaged under subsection (a)(5) shall 
        be fairly balanced in terms of points of views represented and 
        shall be appointed without regard to political affiliation or 
        previous partisan activities;
            ``(3) the recommendations of the Conference are not 
        inappropriately influenced by any appointing authority or by 
        any special interest, but will instead be the result of the 
        independent judgment of the Conference; and
            ``(4) current and adequate statistical data, including 
        decennial census data, and other information on the well-being 
        of older individuals in the United States, are readily 
        available, in advance of the Conference, to the delegates of 
        the Conference, together with such information as may be 
        necessary to evaluate Federal programs and policies relating to 
        aging. In carrying out this subparagraph, the Secretary is 
        authorized to make grants to, and enter into cooperative 
        agreements with, public agencies and nonprofit private 
        organizations.
    ``(c) Gifts.--The Secretary may accept, on behalf of the United 
States, gifts (in cash or in kind, including voluntary and 
uncompensated services) that shall be available to carry out this 
title. Gifts of cash shall be available in addition to amounts 
appropriated to carry out this title. Gifts may be earmarked by the 
donor for a specific purpose.
    ``(d) Records.--The Secretary shall maintain records regarding--
            ``(1) the sources, amounts, and uses of gifts accepted 
        under subsection (c); and
            ``(2) the identity of each person receiving assistance to 
        carry out this title, and the amount of such assistance 
        received by each such person.

``SEC. 203. REPORT OF THE CONFERENCE.

    ``(a) Preliminary Report.--Not later than 100 days after the date 
on which the Conference adjourns, the Secretary shall publish and 
deliver to the States a preliminary report on the Conference. Comments 
on the preliminary report of the Conference shall be accepted by the 
Secretary.
    ``(b) Final Report.--Not later than 180 days after the date on 
which the Conference adjourns, the Secretary shall publish and transmit 
to the President and to Congress recommendations resulting from the 
Conference and suggestions for any administrative action and 
legislation necessary to implement the recommendations contained within 
the report.

``SEC. 204. DEFINITIONS.

    ``In this title:
            ``(1) Conference.--The term `Conference' means the White 
        House Conference on Aging.
            ``(2) Secretary.--The term `Secretary' means the Secretary 
        of Health and Human Services.
            ``(3) State.--The term `State' means any of the several 
        States, the District of Columbia, the Commonwealth of Puerto 
        Rico, Guam, American Samoa, the Virgin Islands of the United 
        States, the Trust Territory of the Pacific Islands, or the 
        Commonwealth of the Northern Mariana Islands.''.

SEC. 114. TECHNICAL AMENDMENTS.

    The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is 
amended--
            (1) in section 201(d)(3)(J) (42 U.S.C. 3011(d)(3)(J)), by 
        striking ``Speaker of the House of Representatives and the 
        President pro tempore of the Senate'' and inserting ``Committee 
        on Health, Education, Labor, and Pensions of the Senate and the 
        Committee on Education and the Workforce of the House of 
        Representatives'';
            (2) in section 202(b)(8)(E) (42 U.S.C. 3012(b)(8)(E)), by 
        striking ``preventative health benefits under the provisions 
        of, and amendments made by, the Medicare Prescription Drug, 
        Improvement, and Modernization Act of 2003'' and inserting 
        ``preventive health benefits under such program'';
            (3) in section 203(c)(7) (42 U.S.C. 3013(c)(7))--
                    (A) in the matter preceding subparagraph (A), by 
                striking ``the Committee on Education and Labor of the 
                House of Representatives'' and inserting ``the 
                Committee on Education and the Workforce of the House 
                of Representatives''; and
                    (B) in subparagraph (C), by striking ``chairman'' 
                and inserting ``chairperson'';
            (4) in section 339 (42 U.S.C. 3030g-21), by striking ``this 
        chapter'' each place it appears and inserting ``this part''; 
        and
            (5) in section 432(b)(1) (42 U.S.C. 3033a(b)(1)), by 
        striking ``Speaker of the House of Representatives and the 
        President pro tempore of the Senate'' and inserting ``Committee 
        on Health, Education, Labor, and Pensions of the Senate and the 
        Committee on Education and the Workforce of the House of 
        Representatives''.

 TITLE II--IMPROVING HEALTH OUTCOMES AND ENCOURAGING INDEPENDENCE FOR 
                           OLDER INDIVIDUALS

SEC. 201. DISEASE PREVENTION AND HEALTH PROMOTION SERVICES.

    Section 102(14) (42 U.S.C. 3002(14)) is amended--
            (1) in subparagraph (B), by inserting ``heart rate, 
        respiratory function,'' after ``hearing,'';
            (2) in subparagraph (K), by inserting ``providing'' before 
        ``information'';
            (3) by redesignating subparagraphs (L), (M), (N), and (O), 
        as subparagraphs (M), (N), (O), and (P), respectively;
            (4) by inserting after subparagraph (K) the following:
                    ``(L) providing information concerning testing, 
                diagnosis, and treatment of infectious diseases, taking 
                into consideration infectious diseases for which older 
                individuals are at increased risk of infection or 
                serious health outcomes;''; and
            (5) in subparagraph (P), as so redesignated, by striking 
        ``subparagraphs (A) through (N)'' and inserting ``subparagraphs 
        (A) through (O)''.

SEC. 202. IMPROVING HEALTH OUTCOMES.

    (a) Research and Evaluation Activities.--Section 201 (42 U.S.C. 
3011) is amended--
            (1) in subsection (c)(3)(B), by striking ``in behalf'' and 
        inserting ``on behalf''; and
            (2) in subsection (g)--
                    (A) in paragraph (3)(A)(ii), by inserting 
                ``reduction of health care expenditures,'' after 
                ``quality of life,''; and
                    (B) in paragraph (7), by inserting ``and 
                recommendations relating to further research, 
                evaluation, and demonstration projects conducted under 
                this section'' after ``title IV''.
    (b) Falls Prevention Programs.--Section 411(a)(15) (42 U.S.C. 
3032(a)(15)) is amended to read as follows:
            ``(15) bringing to scale and sustaining evidence-based 
        falls prevention programs to reduce the number of falls, fear 
        of falling, and fall-related injuries affecting older 
        individuals, including older individuals with disabilities, 
        which shall--
                    ``(A) provide training and technical assistance to 
                the aging network; and
                    ``(B) share best practices with the aging network, 
                including the Aging and Disability Resource Centers;''.
    (c) Interagency Coordinating Committee on Healthy Aging and Age-
Friendly Communities.--Section 203(c) (42 U.S.C. 3013(c)) is amended--
            (1) in paragraph (6)(B)--
                    (A) in clause (ii), by striking ``and'' after the 
                semicolon;
                    (B) in clause (iii), by inserting ``and'' after the 
                semicolon; and
                    (C) by adding at the end the following:
                    ``(iv) strategies to address social isolation, 
                including by promoting strong and stable connections 
                across different generations in a family and in the 
                community;''; and
            (2) in paragraph (7), as amended by section 114(3)--
                    (A) in subparagraph (B), by striking ``and'' at the 
                end;
                    (B) by redesignating subparagraph (C) as 
                subparagraph (D); and
                    (C) by inserting after subparagraph (B) the 
                following:
                    ``(C) contains an assessment of the effectiveness 
                of relevant Federal efforts and programs, including 
                implementation of best practices described in paragraph 
                (6)(B); and''.

SEC. 203. TECHNICAL ASSISTANCE ON EVIDENCE-BASED PROGRAMS.

    (a) Technical Assistance.--The Assistant Secretary, at the request 
of a State agency (as defined in section 102 of the Older Americans Act 
of 1965 (42 U.S.C. 3002)) or area agencies on aging, may provide 
technical assistance on the requirements of evidence-based programs 
under the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.).
    (b) Consideration.--The Assistant Secretary may consider whether 
there are evidence-informed practices, based on the best available 
science, that may improve health outcomes.

SEC. 204. ENHANCING MULTIPURPOSE SENIOR CENTERS.

    (a) In General.--Section 202(a)(30) (42 U.S.C. 3012(a)(30)) is 
amended by inserting ``, access to services provided at multipurpose 
senior centers, and (where appropriate) the establishment and 
maintenance of multipurpose senior centers'' before the semicolon at 
the end.
    (b) Area Agency on Aging Plans.--Section 306(a)(2)(A) (42 U.S.C. 
3026(a)(2)(A)) is amended by inserting ``, including those services 
provided at multipurpose senior centers, where appropriate'' before the 
semicolon at the end.
    (c) State Plans.--Section 307(a)(2)(A) (42 U.S.C. 3027(a)(2)(A)) is 
amended by inserting ``and, to the extent feasible, make such 
evaluation public'' before the semicolon at the end.

SEC. 205. ADDRESSING HOME MODIFICATIONS.

    (a) Indoor Air Quality.--Section 361(c) (42 U.S.C. 3030m(c)) is 
amended by striking ``buildings'' and all that follows and inserting 
``buildings and residences where older individuals congregate or 
live''.
    (b) Weatherization.--Section 321(a)(4) (42 U.S.C. 3030d(a)(4)) is 
amended by striking subparagraph (A) and inserting ``(A) to assist 
older individuals in obtaining and maintaining adequate housing, 
including residential repair and renovation projects, and (if 
assistance for weatherization projects does not unnecessarily duplicate 
other Federal assistance available) weatherization projects, designed 
to enable older individuals to maintain their homes in conformity with 
minimum housing and (as applicable and appropriate) other relevant 
standards, in order to support such older individuals in aging in place 
and maintaining their health;''.

SEC. 206. NATIONAL RESOURCE CENTER FOR ENGAGING OLDER ADULTS.

    Section 411(a)(18) (42 U.S.C. 3032(a)(18)) is amended by inserting 
``, such as providing appropriate training, resources, and best 
practices to the aging network'' after ``older individuals''.

SEC. 207. MULTIGENERATIONAL AND CIVIC ENGAGEMENT ACTIVITIES.

    Section 417 (42 U.S.C. 3032f) is amended--
            (1) in subsection (a)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``projects,'' and all that follows through 
                ``to--'' and inserting the following: ``projects to 
                serve individuals in younger generations and older 
                individuals by developing, carrying out, and promoting 
                participation in multigenerational activities to--'';
                    (B) in paragraph (2), by adding ``and'' at the end;
                    (C) in paragraph (3), by striking ``opportunities 
                for older individuals to become mentors to individuals 
                in younger generations; and'' and inserting 
                ``opportunities--
                    ``(A) for older individuals to become mentors to 
                individuals in younger generations; and
                    ``(B) at facilities that serve older individuals or 
                individuals in younger generations, at which 
                multigenerational activities might occur.''; and
                    (D) by striking paragraph (4);
            (2) in subsection (c)(2), by striking ``(4)'' and inserting 
        ``(3)'';
            (3) in subsection (d)--
                    (A) by striking paragraph (1); and
                    (B) by redesignating paragraphs (2) through (5) as 
                paragraphs (1) through (4), respectively;
            (4) in subsection (g)--
                    (A) in paragraph (1), in the matter preceding 
                subparagraph (A), by striking ``of enactment of the 
                Supporting Older Americans Act of 2020,'' and inserting 
                ``on which the first grant is awarded under this 
                section following the date of enactment of the Older 
                Americans Act Reauthorization Act of 2024,''; and
                    (B) in paragraph (2), in the matter preceding 
                subparagraph (A), by striking ``the Speaker of the 
                House of Representatives and the President pro tempore 
                of the Senate'' and inserting ``the Committee on 
                Health, Education, Labor, and Pensions of the Senate 
                and the Committee on Education and the Workforce of the 
                House of Representatives''; and
            (5) in subsection (h)(1), by striking ``or a family support 
        program.'' and inserting ``or a family support program, or a 
        program at a multipurpose senior center, long-term care 
        facility, or any other residential facility for older 
        individuals.''.

SEC. 208. REPORT RELATING TO HEALTH OUTCOMES FOR OLDER INDIVIDUALS 
              LIVING WITH OR NEAR FAMILY MEMBERS.

    (a) In General.--The Secretary shall prepare a report that 
assesses--
            (1) the health outcomes for older individuals who live 
        with, on the same property as, or otherwise in the community in 
        close geographic proximity, relative to the area, to family 
        members; and
            (2) the degree to which programs under the Older Americans 
        Act of 1965 (42 U.S.C. 3001 et seq.) promote living in the 
        settings described in paragraph (1), as appropriate.
    (b) Inclusion.--The report described under subsection (a) shall 
include--
            (1) an assessment of physical and mental health outcomes of 
        older individuals who live in the settings described in 
        subsection (a)(1) in comparison to physical and mental health 
        outcomes of older individuals who do not live in such settings;
            (2) an assessment of the extent to which living in such 
        settings mitigates social isolation and loneliness in older 
        adults; and
            (3) a description of the different types of such settings 
        and whether, and to what extent, findings under paragraphs (1) 
        and (2) vary across such different types.
    (c) Submission.--Not later than 2 years after the date of enactment 
of this Act, the Secretary shall submit to the Committee on Health, 
Education, Labor, and Pensions and the Special Committee on Aging of 
the Senate and the Committee on Education and the Workforce of the 
House of Representatives the report required by subsection (a).

SEC. 209. IMPROVING BROADBAND COORDINATION AND REDUCING SOCIAL 
              ISOLATION.

    (a) In General.--The Assistant Secretary shall, as appropriate, 
coordinate with the Assistant Secretary of Commerce for Communications 
and Information of the National Telecommunications and Information 
Administration to ensure that the aging network (as defined in section 
102 of the Older Americans Act of 1965 (42 U.S.C. 3002)) and other 
relevant stakeholders are aware of, and, subject to applicable 
eligibility criteria, have access to, Federal programs relating to 
digital literacy and the adoption of broadband that may support healthy 
aging and aging in place for older individuals.
    (b) Report.--Not later than 90 days after the date of enactment of 
this Act, the Assistant Secretary shall prepare, and submit to the 
Committee on Health, Education, Labor, and Pensions, the Special 
Committee on Aging, and the Committee on Commerce, Science, and 
Transportation of the Senate and the Committee on Education and the 
Workforce of the House of Representatives, a report regarding any 
coordination efforts carried out pursuant to subsection (a).

 TITLE III--ENHANCING INNOVATION AND FLEXIBILITY IN NUTRITION SERVICES

SEC. 301. MEDICALLY TAILORED MEALS.

    (a) Definitions.--Section 102(14) (42 U.S.C. 3002(14)) is amended--
            (1) in subparagraph (C), by inserting ``, which may include 
        counseling related to the provision of medically tailored 
        meals,'' after ``counseling''; and
            (2) in subparagraph (D), by inserting ``(including from 
        medically tailored meals)'' after ``improved nutrition''.
    (b) Administration of Nutrition Services.--Section 205(a)(2)(A) (42 
U.S.C. 3016(a)(2)(A)) is amended--
            (1) in clause (vi), by inserting ``, including through the 
        use of innovative approaches'' after ``systems''; and
            (2) in clause (viii), by inserting ``and innovative 
        interventions'' after ``including strategies''.
    (c) Nutrition Education.--Section 214(2)(C) (42 U.S.C. 3020e(2)(C)) 
is amended by inserting ``, including interventions,'' after ``other 
activities''.
    (d) Nutrition Services Purposes.--Section 330(3) (42 U.S.C. 3030d-
21(3)) is amended by inserting ``, tailored to their individual medical 
and nutritional needs to the extent feasible,'' after ``services''.

SEC. 302. GRAB-AND-GO MEALS.

    Section 308(b)(4) (42 U.S.C. 3028(b)(4)) is amended by adding at 
the end the following:
    ``(E) A State may elect in its plan under section 307 to allow use 
of not more than 25 percent of the funds received by such State under 
subpart 1 of part C, calculated after any transfers under subparagraphs 
(A) and (B) are completed, to make meals available at congregate meal 
sites or other community locations for consumption by older individuals 
outside such sites and locations, such as carry-out or similar meals. A 
State electing to allow use of funds under the preceding sentence 
shall--
            ``(i) ensure that such allowable use complements the 
        delivery of services through the congregate meals program under 
        section 331; and
            ``(ii) notify the Assistant Secretary of such election, 
        including a description of the amount and percentage of funds 
        received by such State under subpart 1 of part C to be used for 
        such purposes.''.

SEC. 303. GAO STUDY ON NUTRITION SERVICES INCENTIVE PROGRAM.

    (a) In General.--The Comptroller General of the United States shall 
conduct a study to evaluate the Nutrition Services Incentive Program 
under section 311 (42 U.S.C. 3030a) (referred to in this section as the 
``Program'').
    (b) Inclusions.--The study under this section--
            (1) shall--
                    (A) include an assessment of how States and Tribal 
                organizations use funding provided under the Program, 
                including the degree to which States and Tribal 
                organizations use such funding to procure food products 
                from local or regional producers for meals supported 
                under the Program; and
                    (B) identify any challenges or barriers to 
                increasing the use of local and regional producers 
                under the Program; and
            (2) may make recommendations related to improving the 
        effectiveness of the Program, including with respect to the use 
        of local and regional producers.
    (c) Report to Congress.--Not later than 18 months after the date of 
enactment of this Act, the Comptroller General of the United States 
shall submit to the Committee on Health, Education, Labor, and Pensions 
and the Special Committee on Aging of the Senate and the Committee on 
Education and the Workforce of the House of Representatives a report on 
the results of the study under this section.

SEC. 304. INNOVATIONS IN NUTRITION PROGRAMS AND SERVICES.

    Subpart 3 of part C of title III (42 U.S.C. 3030g-21 et seq.) is 
amended by adding at the end the following:

``SEC. 340. INNOVATIONS IN NUTRITION PROGRAMS AND SERVICES.

    ``(a) Demonstration to Reduce Hunger, Food Insecurity, and 
Malnutrition.--
            ``(1) In general.--From funds available under paragraph 
        (5), the Assistant Secretary shall make grants, on a 
        competitive basis, to eligible entities, to achieve the 
        purposes of section 330(1) by developing, testing, 
        implementing, and evaluating innovative local or regional 
        approaches to improve the quality, effectiveness, efficiency, 
        and outcomes of nutrition projects and services described in 
        sections 311, 331, and 336.
            ``(2) Eligibility.--In order to be eligible for a grant 
        under paragraph (1), an entity shall--
                    ``(A) be--
                            ``(i) a State agency, an area agency on 
                        aging, an Indian Tribe, a Tribal organization, 
                        or another public or nonprofit private entity, 
                        including a nutrition service provider, a 
                        multipurpose senior center, a health care 
                        entity, or an institution of higher education; 
                        or
                            ``(ii) a partnership between any entities 
                        described in clause (i); and
                    ``(B) submit an application at such time and in 
                such manner as the Assistant Secretary may require, 
                including--
                            ``(i) a description of an innovative 
                        approach referred to in paragraph (1) that the 
                        entity proposes to implement under the grant;
                            ``(ii) a plan for evaluating the 
                        effectiveness, including cost-effectiveness, of 
                        the innovative approach proposed; and
                            ``(iii) a plan for the publication of the 
                        results of such evaluation.
            ``(3) Priority.--In selecting eligible entities for grants 
        under this subsection, the Assistant Secretary shall give 
        priority to eligible entities proposing to carry out a grant in 
        1 or more rural areas.
            ``(4) Report.--Not later than 1 year after the date of 
        enactment of the Older Americans Act Reauthorization Act of 
        2024, and annually thereafter, the Assistant Secretary shall 
        submit a report to the Committee on Health, Education, Labor, 
        and Pensions and the Special Committee on Aging of the Senate 
        and the Committee on Education and the Workforce of the House 
        of Representatives describing any activities carried out under 
        paragraph (1), an assessment of the outcomes of such activities 
        using rigorous methodologies, and recommendations for inclusion 
        of any successful innovative approaches within nutrition 
        programs established under this Act.
            ``(5) Reservation.--From the total of the amounts made 
        available for a fiscal year under paragraphs (1) and (2) of 
        section 303(b) and in section 311(e), the Assistant Secretary 
        shall reserve an amount equal to not more than 1 percent to 
        carry out activities described in paragraph (1) of this 
        subsection.
    ``(b) Innovative Approaches to Reduce Hunger, Food Insecurity, and 
Malnutrition.--
            ``(1) In general.--Subject to paragraph (6), in carrying 
        out nutrition projects established under this Act, a State 
        agency or title VI grantee may implement innovative approaches, 
        including any applicable approaches implemented previously by 
        the Assistant Secretary or pursuant to subsection (a), that are 
        demonstrated to be effective, to achieve the purposes described 
        in section 330(1) by improving--
                    ``(A) the quality, composition, preparation, 
                modality, delivery, or location of meals provided to 
                older individuals under this Act; or
                    ``(B) the efficiency and effectiveness of 
                distributing, delivering, or otherwise making meals 
                available to older individuals under this Act.
            ``(2) Waiver.--At the request of a State agency 
        implementing an approach under paragraph (1), the Assistant 
        Secretary may waive any requirements of subpart 1 or 2 with 
        respect to such State agency if such requirements impede the 
        ability of such State agency to successfully implement such an 
        approach.
            ``(3) Flexibility.--The Secretary shall provide maximum 
        flexibility to a title VI grantee implementing an approach 
        under paragraph (1) in the same manner as the Secretary 
        provides maximum flexibility in accordance with section 
        614(c)(3).
            ``(4) Sunset.--The authority to carry out activities 
        described in paragraph (1) shall expire on October 1, 2029.
            ``(5) Report.--Not later than September 30, 2028, the 
        Assistant Secretary shall submit a report to the Committee on 
        Health, Education, Labor, and Pensions and the Special 
        Committee on Aging of the Senate and the Committee on Education 
        and the Workforce of the House of Representatives describing 
        any activities carried out by State agencies or title VI 
        grantees under paragraph (1), an assessment of the outcomes of 
        such activities using rigorous methodologies, and 
        recommendations for inclusion of any successful innovative 
        approaches within nutrition programs established under this 
        Act.
            ``(6) Use of allotment.--If the amount appropriated to 
        carry out section 311 for a fiscal year exceeds the amount 
        appropriated to carry out section 311 for the prior fiscal year 
        or fiscal year 2024, whichever is greater, a State agency and 
        title VI grantee in receipt of an allotment under section 
        311(b) may elect to use the difference between the allotment 
        received for the fiscal year and the allotment received for the 
        prior fiscal year or fiscal year 2024, whichever is greater, 
        for activities described in paragraph (1).
            ``(7) Rule of construction.--Nothing in this subsection 
        shall be construed as limiting or prohibiting the requirements 
        described in section 339 from applying to nutrition projects 
        utilizing an innovative approach under this subsection.''.

                 TITLE IV--SUPPORTING FAMILY CAREGIVERS

SEC. 401. IMPROVING THE NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM.

    (a) State Requirements for State and Community Programs on Aging 
Grants.--Section 305(a)(3)(E) (42 U.S.C. 3025(a)(3)(E)) is amended--
            (1) in clause (i), by striking ``and'' at the end;
            (2) in clause (ii), by striking the period at the end and 
        inserting ``; and''; and
            (3) by adding at the end the following:
                            ``(iii) available supports for family 
                        caregivers and older relative caregivers (as 
                        defined in section 372(a)).''.
    (b) Area Plan Requirements.--Section 306(a)(7)(D) (42 U.S.C. 
3026(a)(7)(D)) is amended--
            (1) in clause (i), by striking ``and'' at the end;
            (2) in clause (ii), by adding ``and'' after the semicolon; 
        and
            (3) by adding at the end the following:
                            ``(iii) available supports for family 
                        caregivers and older relative caregivers (as 
                        defined in section 372(a));''.
    (c) Definitions Relating to the National Family Caregiver Support 
Program.--
            (1) In general.--Section 372(a) (42 U.S.C. 3030s(a)) is 
        amended--
                    (A) in paragraph (1)--
                            (i) in the first sentence, by striking 
                        ``The term'' and inserting the following:
                    ``(A) In general.--The term''; and
                            (ii) in subparagraph (A) (as so 
                        designated), in the second sentence--
                                    (I) by striking the period at the 
                                end and inserting ``; and'';
                                    (II) by striking ``Such assessment 
                                shall be administered through'' and 
                                inserting the following:
                    ``(B) Administration of assessments.--A caregiver 
                assessment under subparagraph (A) shall--
                            ``(i) be administered through''; and
                                    (III) by adding at the end the 
                                following:
                            ``(ii) take into account--
                                    ``(I) linguistic and cultural 
                                differences;
                                    ``(II) the ease for the caregiver 
                                to access information, supports, or 
                                services, and the timeliness of access 
                                to such information, supports, or 
                                services;
                                    ``(III) barriers to accessing 
                                information, supports, or services;
                                    ``(IV) the availability of 
                                information, supports, or services in 
                                accessible formats; and
                                    ``(V) the quality of information, 
                                supports, or services received, and the 
                                degree to which it is helpful to the 
                                caregiver.'';
                    (B) by striking paragraph (2) and inserting the 
                following:
            ``(2) Child or youth.--The term `child or youth' means an 
        individual who is not more than--
                    ``(A) 18 years of age; or
                    ``(B) 22 years of age, in the case of an individual 
                who is enrolled in any form of schooling (including on 
                a part-time basis), including--
                            ``(i) in high school or secondary school 
                        (as such terms are defined in section 8101 of 
                        the Elementary and Secondary Education Act of 
                        1965 (20 U.S.C. 7801)); or
                            ``(ii) in an institution of higher 
                        education (as defined in section 102 of the 
                        Higher Education Act of 1965 (20 U.S.C. 
                        1002)).''; and
                    (C) in paragraph (4)(B)--
                            (i) in clause (i), by inserting ``adult'' 
                        after ``or other''; and
                            (ii) by amending clause (iii) to read as 
                        follows:
                            ``(iii)(I) has a legal relationship to the 
                        child or youth, such as legal custody, 
                        adoption, or guardianship, or is raising the 
                        child or youth informally; and
                            ``(II) in the case of a child or youth 
                        described in paragraph (2)(B) who is 18 years 
                        of age or older, had established such a legal 
                        relationship, or began raising such child or 
                        youth informally, prior to the child or youth 
                        reaching the age of 18; and''.
            (2) Conforming amendments.--Part E of title III (42 U.S.C. 
        3030s et seq.) is amended--
                    (A) by inserting ``or youth'' after ``child'' each 
                place it appears (other than in sections 372(a)(2) (as 
                amended by paragraph (1)(B)) and 372(a)(4)(B)(iii) (as 
                amended by paragraph (1)(C)(ii))); and
                    (B) in section 373(c)(2)(B) (42 U.S.C. 3030s-
                1(c)(2)(B)), by inserting ``or youth'' after 
                ``children''.
    (d) Program Authorized.--Section 373 (42 U.S.C. 3030s-1) is 
amended--
            (1) in subsection (b)(3)--
                    (A) by inserting ``which may include trauma-
                informed services, peer supports,'' after ``individual 
                counseling,''; and
                    (B) by inserting ``elder abuse prevention,'' after 
                ``nutrition,'';
            (2) in subsection (c)--
                    (A) in the subsection heading, by striking 
                ``Priority'' and inserting ``Priority; Consideration''; 
                and
                    (B) by adding at the end the following:
            ``(3) Consideration.--In providing services under this 
        part, the State shall consider--
                    ``(A) that older relative caregivers caring for 
                multiple children or youth may need greater resources 
                and supports; and
                    ``(B) the circumstances and unique needs of 
                different types of caregivers, including the needs of 
                children or youth and their older relative caregivers 
                whose families have been affected by substance use 
                disorder, including opioid use disorder.'';
            (3) in subsection (e)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``Not later than'' and all that follows 
                through ``the Assistant Secretary shall'' and inserting 
                ``The Assistant Secretary shall, on a regular basis'';
                    (B) in paragraph (1)--
                            (i) in subparagraph (B), by striking 
                        ``and'' at the end;
                            (ii) by redesignating subparagraph (C) as 
                        subparagraph (D); and
                            (iii) by inserting after subparagraph (B) 
                        the following:
                    ``(C) the use of caregiver assessments; and''; and
                    (C) in paragraph (2), by striking ``make 
                available'' and inserting ``prepare, publish, and 
                disseminate'';
            (4) in subsection (i)--
                    (A) in paragraph (1), by inserting ``, which may 
                include the improvement of the quality and consistency 
                of caregiver assessments and access to other 
                information, supports, or services'' after ``section 
                631''; and
                    (B) in paragraph (2), by inserting ``(including 
                outcome measures)'' after ``program evaluation''; and
            (5) in subsection (j)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``Not later than'' and all that follows 
                through ``shall provide technical assistance'' and 
                inserting ``Beginning not later than 1 year after the 
                date of enactment of the Older Americans Act 
                Reauthorization Act of 2024, the Assistant Secretary, 
                in consultation with stakeholders with appropriate 
                expertise and, as appropriate, informed by the most 
                recent strategy developed under the RAISE Family 
                Caregivers Act (42 U.S.C. 3030s note) and the most 
                recent report developed under the Supporting 
                Grandparents Raising Grandchildren Act (Public Law 115-
                196; 132 Stat. 1511), shall provide ongoing technical 
                assistance'';
                    (B) in paragraph (2), by striking ``and'' at the 
                end;
                    (C) by redesignating paragraph (3) as paragraph 
                (4); and
                    (D) by inserting after paragraph (2) the following:
            ``(3) the quality and consistency of caregiver assessments 
        used across States; and''.

SEC. 402. EMPHASIZING RESPITE CARE.

    Section 321(a)(19) (42 U.S.C. 3030d(a)(19)) is amended to read as 
follows:
            ``(19) services, which may include respite care through 
        various models, designed to support family members and other 
        persons providing voluntary care to older individuals that need 
        long-term care services, which may include older individuals 
        with cognitive impairments such as Alzheimer's disease and 
        related disorders with neurological and organic brain 
        dysfunction;''.

SEC. 403. CLARIFYING SUPPORTIVE SERVICES.

    Section 321(a)(18) (42 U.S.C. 3030d(a)(18)) is amended by striking 
``mentally impaired older individuals'' and inserting ``older 
individuals with cognitive, physical, or mental impairments''.

SEC. 404. DIRECT CARE WORKFORCE RESOURCE CENTER.

    Section 411(a)(13) (42 U.S.C. 3032(a)(13)) is amended--
            (1) in subparagraph (B), by adding ``and'' at the end;
            (2) by redesignating subparagraphs (A) and (B) as clauses 
        (i) and (ii), respectively, and adjusting the margins 
        accordingly;
            (3) in the matter preceding clause (i) (as so 
        redesignated)--
                    (A) by inserting ``and, as appropriate, the heads 
                of other relevant Federal departments and agencies'' 
                after ``Labor''; and
                    (B) by striking ``workers, and the soliciting,'' 
                and inserting the following: ``workers, including--
                    ``(A) the soliciting,''; and
            (4) by adding at the end the following:
                    ``(B) the establishment and operation of a national 
                resource center that supports the growth and 
                professionalization of the direct care workforce 
                necessary to meet the needs of older individuals and 
                individuals with disabilities, and, in a manner that 
                does not unnecessarily duplicate the activities of 
                other resource centers supported by the Assistant 
                Secretary, that addresses training and other 
                educational needs of family caregivers, which 
                activities of the center may include--
                            ``(i) the provision of training and 
                        technical assistance, including through the 
                        development and dissemination of educational 
                        materials, to States, long-term services and 
                        supports providers, direct care workers, and 
                        family caregivers; and
                            ``(ii) promoting existing, and supporting 
                        the demonstration of new, strategies for the 
                        recruitment, retention, career development, or 
                        advancement of direct care workers to reduce 
                        barriers to entry for a diverse and high-
                        quality direct care workforce, including 
                        providing wages, benefits, and advancement 
                        opportunities needed to attract or retain 
                        direct care workers;''.

SEC. 405. SUPPORTING GRANDPARENTS RAISING GRANDCHILDREN ACT.

    (a) Findings.--The Supporting Grandparents Raising Grandchildren 
Act (Public Law 115-196; 132 Stat. 1511) is amended by striking section 
2.
    (b) Definitions.--The Supporting Grandparents Raising Grandchildren 
Act is amended by redesignating section 4 as section 2 and moving the 
section so as to follow section 1.
    (c) Advisory Council.--Section 3 of the Supporting Grandparents 
Raising Grandchildren Act is amended--
            (1) in subsection (b)--
                    (A) in paragraph (1)--
                            (i) by redesignating subparagraphs (G) 
                        through (I) as subparagraphs (H) through (J);
                            (ii) by inserting after subparagraph (F) 
                        the following:
                    ``(G) The Assistant Secretary for Health.'';
                            (iii) in subparagraph (I), as so 
                        redesignated, by striking ``of children''; and
                            (iv) in subparagraph (J), as so 
                        redesignated, by striking ``relatives'' and 
                        inserting ``relative caregivers''; and
                    (B) by adding at the end the following:
            ``(3) Limitation on non-federal members.--Not more than 10 
        members of the Advisory Council may be individuals who are not 
        Federal officers or employees.'';
            (2) in subsection (c)--
                    (A) in paragraph (1)--
                            (i) in subparagraph (A)--
                                    (I) in the matter preceding clause 
                                (i), by striking ``relatives'' and 
                                inserting ``relative caregivers''; and
                                    (II) in clause (i)--
                                            (aa) by striking ``the 
                                        health,'' and inserting ``the 
                                        near- and long-term health, 
                                        including mental health,''; and
                                            (bb) by striking ``care; 
                                        and'' and inserting ``care, 
                                        including any needs related to 
                                        the circumstances that caused 
                                        such children to be raised by a 
                                        grandparent or older relative 
                                        caregiver; and''; and
                            (ii) in subparagraph (B)--
                                    (I) by striking ``(B)'' and all 
                                that follows through ``In'' and 
                                inserting the following:
                    ``(B) Considerations.--In''; and
                                    (II) by striking ``needs of those 
                                affected by the opioid crisis'' and 
                                inserting ``needs and challenges of 
                                individuals affected by substance use 
                                disorder, including opioid use 
                                disorder, or, as applicable and 
                                appropriate, needs and challenges of 
                                individuals related to other 
                                circumstances, which may include public 
                                health emergencies'';
                    (B) in paragraph (2)--
                            (i) in subparagraph (A), in the matter 
                        preceding clause (i), by striking ``enactment 
                        of this Act'' and inserting ``enactment of the 
                        Older Americans Act Reauthorization Act of 
                        2024''; and
                            (ii) in subparagraph (B)--
                                    (I) in clause (i)--
                                            (aa) by striking 
                                        ``relatives'' and inserting 
                                        ``relative caregivers''; and
                                            (bb) by striking ``needs of 
                                        children'' and all that follows 
                                        through ``epidemic;'' and 
                                        inserting ``needs of children 
                                        and their older relative 
                                        caregivers who have been 
                                        affected by substance use 
                                        disorder, including opioid use 
                                        disorder;'';
                                    (II) in clause (ii), by striking 
                                the ``and'' at the end;
                                    (III) by redesignating clause (iii) 
                                as clause (iv); and
                                    (IV) by inserting after clause (ii) 
                                the following:
                            ``(iii) a description of any activities of 
                        the Department of Health and Human Services to 
                        evaluate the effectiveness of supportive 
                        services in addressing the needs of children 
                        and their older relative caregivers, including 
                        those who have been affected by substance use 
                        disorder, including opioid use disorder, and 
                        any related findings; and'';
                    (C) in paragraph (3)--
                            (i) in the matter preceding subparagraph 
                        (A)--
                                    (I) by striking ``(3)'' and all 
                                that follows through ``Not'' and 
                                inserting the following:
            ``(3) Follow-up reports.--Not'';
                                    (II) by striking ``2 years'' and 
                                inserting ``180 days''; and
                                    (III) by inserting after 
                                ``submitted,'' the following: ``and 
                                every 2 years thereafter until the 
                                Advisory Council terminates under 
                                subsection (f),''; and
                    (D) in paragraph (4) by striking ``relatives'' each 
                place it appears and inserting ``relative caregivers'';
            (3) in subsection (d), by striking ``the Federal Advisory 
        Committee Act (5 U.S.C. App.).'' and inserting ``chapter 10 of 
        title 5, United States Code.''; and
            (4) in subsection (f), by striking ``terminate'' and all 
        that follows through ``Act.'' and inserting ``terminate on 
        September 30, 2029.''.

SEC. 406. RAISE FAMILY CAREGIVERS ACT.

    (a) Strategy.--Section 3 of the RAISE Family Caregivers Act (42 
U.S.C. 3030s note) is amended--
            (1) in subsection (c)--
                    (A) in the matter preceding paragraph (1), by 
                inserting ``(or the Secretary's designee)'' after ``The 
                Secretary''; and
                    (B) in paragraph (1), by inserting ``and made 
                publicly available by the Secretary,'' after 
                ``caregiver programs,''; and
            (2) in subsection (d)(2), by inserting ``in'' after 
        ``caregiver programs''.
    (b) Council.--Section 4(e) of that Act (42 U.S.C. 3030s note) is 
amended by striking ``The Federal Advisory Committee Act (5 U.S.C. 
App.)'' and inserting ``Chapter 10 of title 5, United States Code,''.
    (c) Sunset Extension.--Section 6 of that Act (42 U.S.C. 3030s note) 
is amended by striking ``terminate'' and all that follows through 
``Act.'' and inserting ``terminate on September 30, 2029.''.

          TITLE V--COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT

SEC. 501. IMPROVING THE COMMUNITY SERVICE EMPLOYMENT PROGRAM.

    (a) Program.--Section 502(b)(1) (42 U.S.C. 3056(b)(1)) is amended--
            (1) in subparagraph (C)(ii), by striking ``section 
        513(a)(2)(E)'' and inserting ``section 513(a)(2)(F)''; and
            (2) in subparagraph (E), by inserting ``older 
        individuals,'' after ``youth,''.
    (b) Performance.--Section 513 (42 U.S.C. 3056k) is amended--
            (1) in subsection (a)(2)--
                    (A) in subparagraph (D)(iii), by inserting ``, 
                including toward the long-term performance goals 
                determined by the Department of Labor under the 
                Government Performance and Results Act of 1993 (Public 
                Law 103-62; 107 Stat. 285) and the amendments made by 
                such Act,'' after ``core measures'';
                    (B) by redesignating subparagraph (E) as 
                subparagraph (F); and
                    (C) by inserting after subparagraph (D) the 
                following:
                    ``(E) Biennial report.--Not later than 2 years 
                after the date of enactment of the Older Americans Act 
                Reauthorization Act of 2024, and every 2 years 
                thereafter during the period of the program described 
                in section 502(a)(1), the Secretary shall prepare, make 
                publicly available, and submit to the Committee on 
                Health, Education, Labor, and Pensions and the Special 
                Committee on Aging of the Senate and the Committee on 
                Education and the Workforce of the House of 
                Representatives a report regarding the methodology used 
                to arrive at the expected levels of performance 
                described in subparagraph (B) for each grantee, 
                including the particular statistical model used and 
                other factors taken into account, as described in 
                subparagraph (D).'';
            (2) in subsection (b)(1)(C), by striking ``fourth quarter 
        after exit from the project'' and inserting ``second quarter 
        after exit from the project and remain in unsubsidized 
        employment during the fourth quarter after exit from the 
        project'';
            (3) in subsection (c) and paragraphs (1)(A), (2)(A), and 
        (3)(A) of subsection (d), by striking ``subsection (a)(2)(E)'' 
        and inserting ``subsection (a)(2)(F)''; and
            (4) in subsection (d)--
                    (A) in paragraph (2)(B)(iii), by adding at the end 
                the following: ``For grants awarded on or after the 
                date that is 2 years after the date of enactment of the 
                Older Americans Act Reauthorization Act of 2024, any 
                grantee who has failed to meet the expected levels of 
                performance for the 2 consecutive years prior to the 
                subsequent grant competition under section 514 shall 
                not be allowed to compete in the subsequent grant 
                competition under section 514 following the second 
                consecutive year of failure but may compete in the next 
                such grant competition after that subsequent 
                competition.''; and
                    (B) in paragraph (3)(B)(iii), by adding at the end 
                the following: ``For grants awarded on or after the 
                date that is 2 years after the date of enactment of the 
                Older Americans Act Reauthorization Act of 2024, if the 
                Secretary determines that the State fails to meet the 
                expected levels of performance described in 
                subparagraph (A) for 2 consecutive program years, the 
                Secretary shall provide for the conduct by the State of 
                a competition to award the funds allotted to the State 
                under section 506(e) for the first full program year 
                following the Secretary's determination.''.
    (c) Definitions and Rule.--
            (1) Definitions.--Section 518(a)(1)(A) (42 U.S.C. 
        3056p(a)(1)(A)) is amended to read as follows:
                    ``(A) social, health, welfare, and educational 
                services (including literacy tutoring and services 
                provided by the aging network), legal and other 
                counseling services and assistance (including tax 
                counseling and assistance and financial counseling), 
                and library, recreational, and other similar 
                services;''.
            (2) Rule.--Section 518(b)(2)(F) (42 U.S.C. 3056p(b)(2)(F)) 
        is amended to read as follows:
            ``(F) has failed to find employment after receiving any 
        combination of training services or the following career 
        services provided under title I of the Workforce Innovation and 
        Opportunity Act (29 U.S.C. 3111 et seq.)--
                    ``(i) initial or comprehensive skills assessment;
                    ``(ii) labor exchange services;
                    ``(iii) provision of workforce and labor market 
                information or job search assistance;
                    ``(iv) development of an individual employment 
                plan;
                    ``(v) group or individual counseling;
                    ``(vi) career planning;
                    ``(vii) internship, work experience, workforce 
                preparation activities, or prevocational services;
                    ``(viii) English language acquisition and 
                integrated education and training; or
                    ``(ix) followup services;''.

SEC. 502. GAO REPORT ON ALIGNMENT WITHIN THE COMMUNITY SERVICE 
              EMPLOYMENT PROGRAM.

    (a) Review.--Not later than 18 months after the date of enactment 
of this Act, the Comptroller General of the United States shall 
complete a review in which the Comptroller General--
            (1) evaluates--
                    (A) the distinct differences and similarities 
                between the older American community service employment 
                program as authorized under title V of the Older 
                Americans Act of 1965 (42 U.S.C. 3056 et seq.) and the 
                programs carried out under title I of the Workforce 
                Innovation and Opportunity Act (29 U.S.C. 3111 et 
                seq.); and
                    (B) how the programs described in subparagraph (A) 
                serve older individuals in seeking and obtaining 
                community service employment;
            (2) analyzes the expected levels of performance described 
        in section 513(a) of the Older Americans Act of 1965 (42 U.S.C. 
        3056k(a)), the efficacy and impacts of the indicators of 
        performance described in section 513(b) of the Older Americans 
        Act of 1965 (42 U.S.C. 3056k(b)), and corrective measures 
        described in section 513(d) of the Older Americans Act of 1965 
        (42 U.S.C. 3056k(d)) for the older American community service 
        employment program, compared with the expected levels of 
        performance, efficacy and impacts of the indicators of 
        performance, and corrective measures described in section 116 
        of the Workforce Innovation and Opportunity Act (29 U.S.C. 
        3141) for programs authorized under title I of such Act, 
        including the efficacy of the indicators of performance 
        described in section 513(b) of the Older Americans Act of 1965 
        (42 U.S.C. 3056k(b)) for individuals described in subsection 
        (a)(3)(B)(ii) or subsection (b) of section 518 of the Older 
        Americans Act of 1965 (42 U.S.C. 3056p);
            (3) develops recommendations for any alternative measures 
        that may better measure the efficacy of the older American 
        community service employment program as authorized under title 
        V of the Older Americans Act of 1965 (42 U.S.C. 3056 et seq.) 
        for individuals described in subsection (a)(3)(B)(ii) or 
        subsection (b) of section 518 of the Older Americans Act of 
        1965 (42 U.S.C. 3056p) to achieve the objectives described in 
        section 101 of the Older Americans Act of 1965 (42 U.S.C. 
        3001); and
            (4) evaluates how the Department of Labor coordinates 
        delivery of services with State and national grantees under 
        title V of the Older Americans Act of 1965 (42 U.S.C. 3056 et 
        seq.) and with States and local workforce development areas 
        under title I of the Workforce Innovation and Opportunity Act 
        (29 U.S.C. 3111 et seq.) to serve older individuals.
    (b) Report to Congress.--Not later than 180 days after the review 
required under this section is completed, the Comptroller General shall 
submit to the Committee on Health, Education, Labor, and Pensions and 
the Special Committee on Aging of the Senate and the Committee on 
Education and the Workforce of the House of Representatives a report on 
the results of such review.

             TITLE VI--IMPROVING SERVICES FOR NATIVE ELDERS

SEC. 601. OLDER AMERICANS TRIBAL ADVISORY COMMITTEE.

    Section 201(c) (42 U.S.C. 3011(c)) is amended by adding at the end 
the following:
            ``(4)(A) In addition to other methods of government-to-
        government consultation between the Administration and Indian 
        Tribes and conferring with organizations representing Native 
        Hawaiians, the Assistant Secretary shall establish an advisory 
        committee, to be known as the `Older Americans Tribal Advisory 
        Committee' (referred to in this paragraph as the `Committee') 
        to provide advice and guidance to the Assistant Secretary on 
        matters relating to the needs of older individuals who are 
        Native Americans and implementation of related programs and 
        activities under this Act.
            ``(B) The Committee shall be composed of 11 voting, non-
        Federal members, including--
                    ``(i) geographically diverse individuals with 
                expertise on the range of issues affecting Indian 
                Tribes, organizations representing Native Hawaiians, 
                and older individuals who are Native Americans;
                    ``(ii) not less than 1 member who is an Alaska 
                Native; and
                    ``(iii) not less than 1 member who is a Native 
                Hawaiian.
            ``(C) The Committee shall include non-voting, ex officio 
        representatives of relevant Federal departments and agencies, 
        including--
                    ``(i) the Administration;
                    ``(ii) the Indian Health Service;
                    ``(iii) the Centers for Medicare & Medicaid 
                Services;
                    ``(iv) the Department of the Interior;
                    ``(v) the Department of Labor; and
                    ``(vi) any other agency or office with subject 
                matter expertise that the Assistant Secretary 
                determines appropriate.
            ``(D) The Committee shall meet in person not less 
        frequently than twice each year.
            ``(E) The Committee shall coordinate, as appropriate, with 
        the Secretary's Tribal Advisory Committee of the Department of 
        Health and Human Services.
            ``(F)(i) Not less frequently than once each year, the 
        Committee shall submit to the Assistant Secretary and make 
        publicly available a report that describes--
                    ``(I) the activities of the Committee during the 
                previous year; and
                    ``(II) recommendations for administrative action, 
                including the identification of any statutory barriers 
                to carrying out such recommendations, for the following 
                year.
            ``(ii) Not later than 60 days after the date on which the 
        Assistant Secretary receives a report under clause (i), the 
        Assistant Secretary shall submit to the Committee a written 
        response to such report.
    ``(G) Chapter 10 of title 5, United States Code, shall not apply to 
the Committee.
    ``(H) In establishing, developing procedures for, and operating the 
Committee, the Assistant Secretary shall--
            ``(i) consult with Indian Tribes and confer with 
        organizations representing Native Hawaiians; and
            ``(ii) take into consideration best practices of other 
        Tribal advisory committees operated by the Department of Health 
        and Human Services before the date of enactment of the Older 
        Americans Act Reauthorization Act of 2024.''.

SEC. 602. SUPPORTIVE SERVICES; SET ASIDE.

    (a) Supportive Services.--Section 636 (42 U.S.C. 3057k-21) is 
amended--
            (1) in subsection (a), by striking ``may'' and inserting 
        ``shall, as practicable,''; and
            (2) in subsection (b)(2), by striking ``in-home 
        assistance'' and inserting ``in-home services''.
    (b) Funding Set Aside.--Section 644 (42 U.S.C. 3057o) is amended--
            (1) by striking ``Of'' and inserting the following:
    ``(a) In General.--Of''; and
            (2) by adding at the end the following:
    ``(b) Report.--Not later than 1 year after the date of enactment of 
the Older Americans Act Reauthorization Act of 2024, the Assistant 
Secretary shall submit to the Committee on Health, Education, Labor, 
and Pensions of the Senate and the Committee on Education and the 
Workforce of the House of Representatives, a report on the use of funds 
under part D. Such report shall include--
            ``(1) the total amount of funds made available under 
        subsection (a) to carry out part D for each fiscal year;
            ``(2) a list of award recipients under part D; and
            ``(3) a summary of supportive services for healthy aging 
        and independence provided under part D.''.

SEC. 603. GAO REPORT ON TRIBAL SERVICES.

    Not later than 18 months after the date of enactment of this Act, 
the Comptroller General of the United States shall submit to Congress a 
report that--
            (1) evaluates and identifies barriers to Indian Tribes (as 
        defined in section 4 of the Indian Self-Determination and 
        Education Assistance Act (25 U.S.C. 5304)) and organizations 
        serving Native Hawaiians accessing programs under title VI of 
        the Older Americans Act of 1965 (42 U.S.C. 3057 et seq.), and 
        coordination of such programs under such title VI with programs 
        funded under titles III and IV of such Act (42 U.S.C. 3021 et 
        seq., 42 U.S.C. 3031 et seq.), including by--
                    (A) estimating the number of Native Americans 
                unserved by programs under such title VI;
                    (B) identifying States and area agencies on aging 
                making grants to Indian Tribes under such title III; 
                and
                    (C) providing estimates of funding necessary to 
                support programs under such title VI for all Tribal 
                organizations (as defined in section 4 of the Indian 
                Self-Determination and Education Assistance Act (25 
                U.S.C. 5304)) and organizations serving Native 
                Hawaiians that are not eligible under such title VI (as 
                in effect on the date of enactment of this Act); and
            (2) details how grantees under title V of the Older 
        Americans Act of 1965 (42 U.S.C. 3056 et seq.) are serving 
        older individuals who are Native Americans with funds received 
        under such title V, including by evaluating how the Secretary 
        of Labor coordinates with State and national grantees under 
        such title V to serve older individuals who are Native 
        Americans.

SEC. 604. TECHNICAL AMENDMENTS.

    The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is 
amended--
            (1) in section 102 (42 U.S.C. 3002)--
                    (A) in paragraph (27), by striking ``the term 
                `Indian tribe' means any tribe'' and inserting ``the 
                term `Indian Tribe' means any Tribe''; and
                    (B) in paragraph (56), by striking ``the term 
                `tribal organization' means'' and inserting ``the term 
                `Tribal organization' means'';
            (2) in section 418(a)(2)(6) (42 U.S.C. 3032g(a)(2)(6)), by 
        striking ``Speaker of the House of Representatives and the 
        President pro tempore of the Senate'' and inserting ``Committee 
        on Health, Education, Labor, and Pensions of the Senate and the 
        Committee on Education and the Workforce of the House of 
        Representatives'';
            (3) in section 612(c) (42 U.S.C. 3057c(c))--
                    (A) by striking ``terms `Indian tribe' and `tribal 
                organization' have'' and inserting ``terms `Indian 
                Tribe' and `Tribal organization' have''; and
                    (B) by striking ``(25 U.S.C. 450b)'' and inserting 
                ``(25 U.S.C. 5304)''; and
            (4) by striking ``tribe'', ``tribes'', and ``tribal'' each 
        place such terms appear and inserting ``Tribe'', ``Tribes'', 
        and ``Tribal'', respectively.

  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.

    Section 201(d)(2)(A) (42 U.S.C. 3011(d)(2)(A)) is amended, in the 
second sentence, by inserting ``serve on a full-time basis and'' after 
``shall''.

SEC. 702. LEGAL ASSISTANCE TRAINING RESOURCES RELATING TO ELDER ABUSE 
              PREVENTION.

    Section 201(e)(2)(A) (42 U.S.C. 3011(e)(2)(A)) is amended by 
striking clause (v) and inserting the following:
                            ``(v) establishing an information 
                        clearinghouse to collect, maintain, and 
                        disseminate information concerning best 
                        practices and resources for training, technical 
                        assistance, and other activities, which may 
                        include training resources for paralegals or 
                        law students who are under the direct 
                        supervision of an attorney, to assist State 
                        Long-Term Care Ombudsman programs, adult 
                        protective services programs, and other legal 
                        services relating to defense of guardianship, 
                        promotion of self-determination, and the 
                        matters described in clause (ii)(I), and to 
                        assist States and communities to carry out 
                        evidence-based programs to prevent and address 
                        elder abuse, neglect, and exploitation;''.

SEC. 703. IMPROVING TRAINING OF VOLUNTEERS UNDER THE STATE LONG-TERM 
              CARE OMBUDSMAN PROGRAM.

    Section 712 (42 U.S.C. 3058g) is amended--
            (1) in subsection (h)(5)--
                    (A) in the matter preceding subparagraph (A)--
                            (i) by striking ``the representatives'' and 
                        inserting ``each type of representative''; and
                            (ii) by inserting ``types of'' before 
                        ``unpaid volunteers'';
                    (B) in subparagraph (A), by inserting ``for each 
                such type of representative'' before the semicolon at 
                the end;
                    (C) in subparagraph (B)(iii), by striking ``and'' 
                at the end;
                    (D) in subparagraph (C), by adding ``and'' at the 
                end; and
                    (E) by adding at the end the following:
                    ``(D) with respect to representatives of the Office 
                who are unpaid volunteers, take into consideration the 
                degree to which each such type of unpaid volunteer 
                performs activities requiring specialized training, 
                with a goal of reducing unnecessary training 
                requirements for prospective unpaid volunteers;''; and
            (2) by adding at the end the following:
    ``(k) Training Requirements for Unpaid Volunteers.--
            ``(1) In general.--In providing the model standards 
        described in subsection (h)(5), the Director of the Office of 
        Long-Term Care Ombudsman Programs shall review and, as 
        necessary, update such model standards on a regular basis to 
        tailor such model standards to the individualized training 
        needs of each type of representative of the Office, including 
        each type of unpaid volunteer.
            ``(2) Considerations.--In carrying out paragraph (1), the 
        Director of the Office of Long-Term Care Ombudsman Programs 
        shall take into consideration the degree to which each type of 
        representative of the Office performs activities that require 
        specialized training, with a goal of reducing unnecessary 
        training requirements for unpaid volunteers.''.

SEC. 704. REPORTING ON STATE LONG-TERM CARE OMBUDSMAN PROGRAMS.

    Chapter 2 of subtitle A of title VII (42 U.S.C. 3058f et seq.) is 
amended by adding at the end the following:

``SEC. 714. REPORTS TO CONGRESS.

    ``Each year, the Assistant Secretary shall submit to the Committee 
on Health, Education, Labor, and Pensions and the Special Committee on 
Aging of the Senate and the Committee on Education and the Workforce of 
the House of Representatives, and make publicly available, a report 
that--
            ``(1) aggregates all reports submitted under section 712(h) 
        for such year; and
            ``(2) provides a summary of the findings of such 
        reports.''.

SEC. 705. STUDY ON STATE LONG-TERM CARE OMBUDSMAN PROGRAMS.

    (a) In General.--The Assistant Secretary shall seek to enter into a 
contract with the National Academies of Sciences, Engineering, and 
Medicine (referred to in this section as the ``National Academies'') to 
conduct a study on the State Long-Term Care Ombudsman programs carried 
out under the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.), 
including an assessment of the effectiveness of such programs and any 
related challenges and recommendations. The study shall include an 
assessment of the current (as of the date on which the contract is 
entered into) recommended staff-to-bed ratio for such programs, as 
appropriate.
    (b) Report.--Not later than 18 months after the date on which a 
contract is entered into under subsection (a), the National Academies 
shall publicly issue a report on the findings of the study under this 
section.

              TITLE VIII--AUTHORIZATIONS OF APPROPRIATIONS

SEC. 801. ADMINISTRATION ON AGING.

    Section 216 (42 U.S.C. 3020f) is amended--
            (1) in subsection (a), by striking ``$43,937,410'' and all 
        that follows through ``fiscal year 2024'' and inserting 
        ``$55,469,968 for fiscal year 2025, $58,034,197 for fiscal year 
        2026, $60,716,964 for fiscal year 2027, $63,523,747 for fiscal 
        year 2028, and $66,460,281 for fiscal year 2029''; and
            (2) in subsection (b)--
                    (A) in paragraph (1), by striking ``$2,180,660'' 
                and all that follows through ``fiscal year 2024'' and 
                inserting ``$2,753,033 for fiscal year 2025, $2,880,298 
                for fiscal year 2026, $3,013,447 for fiscal year 2027, 
                $3,152,751 for fiscal year 2028, and $3,298,494 for 
                fiscal year 2029'';
                    (B) in paragraph (2), by striking ``$1,988,060'' 
                and all that follows through ``fiscal year 2024'' and 
                inserting ``$2,509,880 for fiscal year 2025, $2,625,905 
                for fiscal year 2026, $2,747,294 for fiscal year 2027, 
                $2,874,294 for fiscal year 2028, and $3,007,165 for 
                fiscal year 2029'';
                    (C) in paragraph (3), by striking ``$1,371,740'' 
                and all that follows through ``fiscal year 2024'' and 
                inserting ``$1,731,790 for fiscal year 2025, $1,811,846 
                for fiscal year 2026, $1,895,603 for fiscal year 2027, 
                $1,983,232 for fiscal year 2028, and $2,074,911 for 
                fiscal year 2029''; and
                    (D) in paragraph (4), by striking ``$8,687,330'' 
                and all that follows through ``fiscal year 2024'' and 
                inserting ``$10,967,554 for fiscal year 2025, 
                $11,474,555 for fiscal year 2026, $12,004,993 for 
                fiscal year 2027, $12,559,952 for fiscal year 2028, and 
                $13,140,565 for fiscal year 2029''.

SEC. 802. GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING.

    (a) In General.--Section 303 (42 U.S.C. 3023) is amended--
            (1) in subsection (a)(1), by striking ``$412,029,180'' and 
        all that follows through ``fiscal year 2024'' and inserting 
        ``$520,177,347 for fiscal year 2025, $544,223,762 for fiscal 
        year 2026, $569,381,780 for fiscal year 2027, $595,702,785 for 
        fiscal year 2028, and $623,240,541 for fiscal year 2029'';
            (2) in subsection (b)--
                    (A) in paragraph (1), by striking ``$530,015,940'' 
                and all that follows through ``fiscal year 2024'' and 
                inserting ``$669,132,913 for fiscal year 2025, 
                $700,065,148 for fiscal year 2026, $732,427,298 for 
                fiscal year 2027, $766,285,465 for fiscal year 2028, 
                and $801,708,804 for fiscal year 2029''; and
                    (B) in paragraph (2), by striking ``$268,935,940'' 
                and all that follows through ``fiscal year 2024'' and 
                inserting ``$339,525,428 for fiscal year 2025, 
                $355,220,786 for fiscal year 2026, $371,641,698 for 
                fiscal year 2027, $388,821,705 for fiscal year 2028, 
                and $406,795,899 for fiscal year 2029'';
            (3) in subsection (d), by striking ``$26,587,360'' and all 
        that follows through ``fiscal year 2024'' and inserting 
        ``$33,565,929 for fiscal year 2025, $35,117,593 for fiscal year 
        2026, $36,740,986 for fiscal year 2027, $38,439,424 for fiscal 
        year 2028, and $40,216,376 for fiscal year 2029''; and
            (4) in subsection (e), by striking ``$193,869,020'' and all 
        that follows through ``fiscal year 2024'' and inserting 
        ``$244,755,171 for fiscal year 2025, $256,069,552 for fiscal 
        year 2026, $267,906,966 for fiscal year 2027, $280,291,593 for 
        fiscal year 2028, and $293,248,728 for fiscal year 2029''.
    (b) Nutrition Services Incentive Program.--Section 311(e) (42 
U.S.C. 3030a(e)) is amended by striking ``$171,273,830'' and all that 
follows through ``fiscal year 2024'' and inserting ``$216,229,264 for 
fiscal year 2025, $226,224,968 for fiscal year 2026, $236,682,747 for 
fiscal year 2027, $247,623,961 for fiscal year 2028, and $259,070,958 
for fiscal year 2029''.

SEC. 803. ACTIVITIES FOR HEALTH, INDEPENDENCE, AND LONGEVITY.

    Section 411(b) (42 U.S.C. 3032(b)) is amended--
            (1) in paragraph (1), by striking ``$14,514,550'' and all 
        that follows through ``fiscal year 2024'' and inserting 
        ``$18,324,285 for fiscal year 2025, $19,171,368 for fiscal year 
        2026, $20,057,609 for fiscal year 2027, $20,984,819 for fiscal 
        year 2028, and $21,954,892 for fiscal year 2029''; and
            (2) in paragraph (2), by striking ``$15,613,440'' and all 
        that follows through ``fiscal year 2024'' and inserting 
        ``$19,711,608 for fiscal year 2025, $20,622,823 for fiscal year 
        2026, $21,576,161 for fiscal year 2027, $22,573,570 for fiscal 
        year 2028, and $23,617,086 for fiscal year 2029''.

SEC. 804. COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT.

    Section 517(a) (42 U.S.C. 3056o(a)) is amended by striking 
``$428,000,000'' and all that follows through ``fiscal year 2024'' and 
inserting ``$540,340,139 for fiscal year 2025, $565,318,627 for fiscal 
year 2026, $591,451,804 for fiscal year 2027, $618,793,048 for fiscal 
year 2028, and $647,398,205 for fiscal year 2029''.

SEC. 805. GRANTS FOR NATIVE AMERICANS.

    Section 643 (42 U.S.C. 3057n) is amended--
            (1) in paragraph (1), by striking ``$37,102,560'' and all 
        that follows through ``fiscal year 2024'' and inserting 
        ``$47,028,435 for fiscal year 2025, $49,202,434 for fiscal year 
        2026, $51,476,932 for fiscal year 2027, $53,856,574 for fiscal 
        year 2028, and $56,346,220 for fiscal year 2029''; and
            (2) in paragraph (2), by striking ``$10,759,920'' and all 
        that follows through ``fiscal year 2024'' and inserting 
        ``$13,584,151 for fiscal year 2025, $14,212,110 for fiscal year 
        2026, $14,869,098 for fiscal year 2027, $15,556,457 for fiscal 
        year 2028, and $16,275,591 for fiscal year 2029''.

SEC. 806. ALLOTMENTS FOR ELDER RIGHTS PROTECTION ACTIVITIES.

    Section 702 (42 U.S.C. 3058a) is amended--
            (1) in subsection (a), by striking ``$18,066,950'' and all 
        that follows through ``fiscal year 2024'' and inserting 
        ``$22,809,108 for fiscal year 2025, $23,863,512 for fiscal year 
        2026, $24,966,659 for fiscal year 2027, $26,120,801 for fiscal 
        year 2028, and $27,328,297 for fiscal year 2029''; and
            (2) in subsection (b), by striking ``$5,107,110'' and all 
        that follows through ``fiscal year 2024'' and inserting 
        ``$6,447,609 for fiscal year 2025, $6,745,665 for fiscal year 
        2026, $7,057,499 for fiscal year 2027, $7,383,748 for fiscal 
        year 2028, and $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 authorize appropriations 
      for fiscal years 2025 through 2029, and for other purposes.
```