II 

Calendar No. 505 

118TH CONGRESS 

2D SESSION S. 4776 

To amend the Older Americans Act of 1965 to authorize appropriations 

for fiscal years 2025 through 2029, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

JULY 25, 2024 

Mr. SANDERS (for himself, Mr. CASSIDY, Mr. CASEY, Ms. COLLINS, Mr. 

KAINE, Mr. MULLIN, and Mr. MARKEY) introduced the following bill; 

which was read twice and referred to the Committee on Health, Education, Labor, and Pensions 

SEPTEMBER 12, 2024 

Reported by Mr. SANDERS, with an amendment 

[Strike out all after the enacting clause and insert the part printed in italic] 

A BILL 

To amend the Older Americans Act of 1965 to authorize 

appropriations for fiscal years 2025 through 2029, and 

for other purposes. 

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

3 SECTION 1. SHORT TITLE. 

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

5 Reauthorization Act of 2024’’. 


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1 SEC. 2. TABLE OF CONTENTS. 

2 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 and grant authority. 

Sec. 107. Guidance on transfers 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. 

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. Evidence-informed practices. 

Sec. 204. Enhancing multipurpose senior centers. 

Sec. 205. Addressing home modifications. 

Sec. 206. Multigenerational and civic engagement activities. 

Sec. 207. GAO study and report on access to housing for older individuals. 

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. Nutrition service providers. 

Sec. 303. Grab-and-go meals. 

Sec. 304. Nutrition Services Incentive Program innovation. 

Sec. 305. GAO study on Nutrition Services Incentive Program. 

Sec. 306. 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. 


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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. 

TITLE VII—STRENGTHENING THE LONG-TERM CARE 

OMBUDSMAN PROGRAMS AND ELDER ABUSE PREVENTION 

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

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

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

Ombudsman Program. 

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

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

TITLE VIII—AUTHORIZATIONS OF APPROPRIATIONS 

Sec. 801. Administration on Aging. 

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

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

Sec. 804. Community Service Senior Opportunities Act. 

Sec. 805. Grants for Native Americans. 

Sec. 806. Allotments for elder rights protection activities. 

1 SEC. 3. REFERENCES. 

2 Except as otherwise expressly provided in this Act, 

3 wherever in this Act an amendment or repeal is expressed 

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

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

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

8 SEC. 4. DEFINITIONS. 

9 In this Act, the terms ‘‘area agency on aging’’, ‘‘As10 sistant Secretary’’, ‘‘older individual’’, and ‘‘Secretary’’ 


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

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

3 TITLE I—STRENGTHENING THE 

4 AGING NETWORK TO MEET 

5 THE NEEDS OF OLDER INDI6 VIDUALS 

7 SEC. 101. DECLARATION OF OBJECTIVES. 

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

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

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

11 ‘‘of the objectives of—’’; 

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

13 amending the first word so that it begins with a low14 ercase letter; 

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

16 striking the period at the end and inserting a semi17 colon; 

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

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

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

21 health outcomes and reduce health care expendi22 tures’’ after ‘‘economic status’’; 

23 (6) by redesignating paragraphs (1) through 

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

25 and adjusting the margins accordingly; 


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

2 (as so redesignated), by striking ‘‘our democratic so3 ciety, the older people’’ and inserting the following: 

4 ‘‘our democratic society— 

5 ‘‘(1) the older people’’; and 

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

7 ‘‘(2) the families of older individuals and com8 munity-based organizations, including faith-based or9 ganizations, also play a vital role in supporting and 

10 honoring older individuals and their happiness, dig11 nity, and independence.’’. 

12 SEC. 102. ADDRESSING MENTAL HEALTH AND SUBSTANCE 

13 USE DISORDERS AND COGNITIVE IMPAIR14 MENTS OF OLDER INDIVIDUALS. 

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

16 read as follows: 

17 ‘‘(f)(1) The Assistant Secretary may designate an of18 ficer or employee who shall be responsible for the adminis19 tration of services for mental health and substance use 

20 disorders and cognitive impairments authorized under this 

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

22 related needs of older individuals within the Department 

23 of Health and Human Services, including by ensuring that 

24 relevant information disseminated and research conducted 


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1 or supported by the Department takes into consideration 

2 such services. 

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

4 acting through the individual designated under paragraph 

5 (1), and in consultation with the heads of relevant agen6 cies within the Department of Health and Human Serv7 ices, including the Substance Abuse and Mental Health 

8 Services Administration, to develop objectives, priorities, 

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

10 under this Act involving education about and prevention, 

11 detection, and treatment of mental health and substance 

12 use disorders and cognitive impairment, including age-re13 lated dementia, depression, and Alzheimer’s disease and 

14 related neurological disorders with neurological and or15 ganic brain dysfunction. 

16 ‘‘(3) Not later than 2 years after the date of enact17 ment of the Older Americans Act Reauthorization Act of 

18 2024, the Assistant Secretary shall report to the Com19 mittee on Health, Education, Labor, and Pensions of the 

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

21 and the Committee on Education and the Workforce of 

22 the House of Representatives on the activities of the offi23 cer or employee designated under paragraph (1) in car24 rying out the requirements under this subsection, includ25 ing any activities to identify and reduce duplication and 


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1 gaps across the Department in such information dissemi2 nated and research conducted or supported by the Depart3 ment.’’. 

4 SEC. 103. LIST OF NATIONAL RESOURCE CENTERS. 

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

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

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

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

9 following: 

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

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

12 of national resource centers and demonstration projects 

13 authorized, or administratively established through funds 

14 provided under, this Act. 

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

16 list published pursuant to paragraph (1)— 

17 ‘‘(A) includes— 

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

19 demonstration project, including the projected 

20 goals and activities of each such center and 

21 demonstration project; 

22 ‘‘(ii) a citation to the statutory authoriza23 tion of each such center and demonstration 

24 project, or a citation to the statutory authority 

25 that the Assistant Secretary relied upon to adVerDate Sep 11 2014 01:12 Sep 13, 2024 Jkt 049200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6401 E:\BILLS\S4776.RS S4776

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1 ministratively establish each such center and 

2 demonstration project; 

3 ‘‘(iii) the award amount for each such cen4 ter and demonstration project; and 

5 ‘‘(iv) a summary of any evaluations re6 quired under this Act for each such center, in7 cluding a description of any measures of effec8 tiveness; and 

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

10 agencies on aging, and the Committee on Health, 

11 Education, Labor, and Pensions and the Special 

12 Committee on Aging of the Senate and the Com13 mittee on Education and the Workforce of the 

14 House of Representatives.’’. 

15 SEC. 104. AWARENESS OF RELEVANT FEDERAL PROGRAMS. 

16 Title II (42 U.S.C. 3011 et seq.) is amended by in17 serting after section 203A (42 U.S.C. 3013a) the fol18 lowing: 

19 ‘‘SEC. 203B. AWARENESS OF RELEVANT FEDERAL PRO20 GRAMS. 

21 ‘‘In carrying out section 203(a)(1), the Assistant Sec22 retary shall coordinate with the heads of relevant Federal 

23 departments and agencies to ensure that the aging net24 work and individuals served under this Act are aware of, 

25 and, subject to applicable eligibility criteria, have access 


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1 to, Federal programs that may advance the objectives of 

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

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

4 other supportive service needs to help such individuals age 

5 in place.’’. 

6 SEC. 105. EVALUATIONS AND SURVEYS. 

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

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

9 following: 

10 ‘‘(d)(1) In carrying out evaluations under this sec11 tion, the Secretary shall— 

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

13 with, public or nonprofit private organizations or 

14 academic or research institutions to survey State 

15 agencies, area agencies on aging, and other program 

16 and project participants about the strengths and 

17 weaknesses of the programs and projects; and 

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

19 that compare the effectiveness of related programs 

20 in achieving common objectives. 

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

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

23 and sources of funding (including any transfer of funding 

24 between area agencies on aging), identified unmet need 

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1 lenges faced by State agencies and area agencies on aging 

2 in carrying out the activities of this Act. 

3 ‘‘(3) The Secretary shall, in carrying out the evalua4 tions under paragraph (1), consult with organizations con5 cerned with older individuals, including organizations that 

6 represent minority individuals, older individuals residing 

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

8 and 

9 (2) in subsection (g), by striking ‘‘him’’ and in10 serting ‘‘the Secretary’’. 

11 SEC. 106. CONTRACTING AND GRANT AUTHORITY. 

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

13 amended— 

14 (1) by striking subsection (a) and inserting the 

15 following: 

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

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

18 or a contract under this Act (other than title V) from en19 tering into an agreement with a profitmaking organization 

20 for the recipient to provide services to individuals or enti21 ties not otherwise receiving services under this Act, pro22 vided that— 

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

24 are used in developing or carrying out the agree25 ment— 


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1 ‘‘(A) such agreement guarantees that the 

2 cost is reimbursed to the recipient; 

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

4 provision of 1 or more services, of the type pro5 vided under this Act by or on behalf of such re6 cipient, to an individual or entity seeking to re7 ceive such services— 

8 ‘‘(i) the individuals and entities may 

9 only purchase such services at their fair 

10 market rate; 

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

12 in providing such services (and not other13 wise reimbursed under subparagraph (A)), 

14 are reimbursed to such recipient; and 

15 ‘‘(iii) except in the case of an agree16 ment with a health plan or health care pro17 vider, the recipient reports the rates for 

18 providing such services under such agree19 ment in accordance with subsection (c) and 

20 the rates are consistent with the prevailing 

21 market rate for provision of such services 

22 in the relevant geographic area as deter23 mined by the State agency or area agency 

24 on aging (as applicable); and 


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1 ‘‘(C) any amount of payment to the recipi2 ent under the agreement that exceeds reim3 bursement under this subsection of the recipi4 ent’s costs is used to provide, or support the 

5 provision of, services under this Act; and 

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

7 funds provided under this Act are used in developing 

8 or carrying out the agreement— 

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

10 agreement first goes into effect, and annually 

11 thereafter until the termination of such agree12 ment, the recipient of a grant or contract under 

13 this Act shall, in writing— 

14 ‘‘(i) notify the State agency of— 

15 ‘‘(I) the existence of the agree16 ment; and 

17 ‘‘(II) the services provided and 

18 populations served under the agree19 ment; and 

20 ‘‘(ii) provide assurances to the State 

21 agency that— 

22 ‘‘(I) nothing in the agreement— 

23 ‘‘(aa) undermines— 

24 ‘‘(AA) the duties of the 

25 recipient under this Act; or 


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1 ‘‘(BB) the provision of 

2 services in accordance with 

3 this Act; or 

4 ‘‘(bb) violates any other 

5 terms and conditions of an award 

6 received by the recipient under 

7 this Act; and 

8 ‘‘(II) any potential real or per9 ceived conflict of interest with respect 

10 to the agreement has been prevented, 

11 mitigated, or otherwise addressed, in12 cluding providing a description of any 

13 such conflicts of interest and a de14 scription of the actions taken to miti15 gate such conflicts of interest; and 

16 ‘‘(B) not later than 45 days after the pop17 ulation or services under the agreement sub18 stantially change due to an amendment to the 

19 agreement, the recipient shall, in writing— 

20 ‘‘(i) notify the State agency of such 

21 change; and 

22 ‘‘(ii) provide the assurances described 

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

24 such change.’’; 


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1 (2) by striking subsection (b) and inserting the 

2 following: 

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

4 agreement— 

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

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

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

8 under title VI, without the prior recommenda9 tion of the Director of the Office for American 

10 Indian, Alaska Native, and Native Hawaiian 

11 Aging and the prior approval of the Assistant 

12 Secretary), after timely submission of all rel13 evant documents related to the agreement in14 cluding information on all costs incurred; or 

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

16 have the effect of, paying, reimbursing, sub17 sidizing, or otherwise compensating an indi18 vidual or entity in an amount that exceeds the 

19 fair market value of the services subject to such 

20 agreement; and 

21 ‘‘(2) described in subsection (a) may not— 

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

23 otherwise available to an older individual with 

24 greatest social need, an older individual with 


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1 greatest economic need, or an older individual 

2 who is at risk for institutional placement; or 

3 ‘‘(B) in any other way compromise, under4 mine, or be inconsistent with the objective of 

5 serving the needs of older individuals, as deter6 mined by the Assistant Secretary.’’; 

7 (3) in subsection (c), by striking ‘‘subsection 

8 (a)’’ and inserting ‘‘subsection (a)(1)’’; 

9 (4) by redesignating subsection (e) as sub10 section (f); and 

11 (5) by inserting after subsection (d) the fol12 lowing: 

13 ‘‘(e) REQUESTING ADDITIONAL INFORMATION FOR

14 CERTAIN NON-OAA AGREEMENTS.— 

15 ‘‘(1) IN GENERAL.—In the case of an agree16 ment described in subsection (a)(2), if the State 

17 agency has a reasonable belief that an agreement 

18 may violate the assurances provided under sub19 section (a)(2)(A)(ii), the State agency may request 

20 additional information from the recipient of funds 

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

22 which may include a request for a copy of such 

23 agreement. Such recipient shall make a good faith 

24 effort to address such request for additional infor25 mation, except that such recipient shall not provide 


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1 agreements or other data that are restricted under 

2 the terms of a non-disclosure agreement signed by 

3 such recipient. If such recipient declines to provide 

4 a copy of an agreement to a State agency, such re5 cipient shall provide a justification to the State 

6 agency within 30 days of receiving such request. 

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

8 keep confidential, as required by applicable Federal 

9 and State law, all information received under this 

10 subsection that is— 

11 ‘‘(A) a trade secret; 

12 ‘‘(B) commercial or financial information; 

13 and 

14 ‘‘(C) information obtained from an indi15 vidual that is privileged and confidential.’’. 

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

17 amended— 

18 (1) in subsection (a)(13)— 

19 (A) in subparagraph (B)(i), by striking 

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

21 ‘‘any service under this Act to older individuals 

22 or caregivers’’; and 

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

24 caregivers under this Act’’ after ‘‘older individ25 uals’’; and 


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

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

3 in this Act’’. 

4 SEC. 107. GUIDANCE ON TRANSFERS OF FUNDING BE5 TWEEN AREA AGENCIES ON AGING. 

6 Not later than 1 year after the date of enactment 

7 of this Act, the Assistant Secretary shall disseminate guid8 ance to State agencies (as defined in section 102 of the 

9 Older Americans Act of 1965 (42 U.S.C. 3002)) and area 

10 agencies on aging on circumstances under which funds ap11 propriated pursuant to part B and subparts 1 and 2 of 

12 part C of title III of the Older Americans Act (42 U.S.C. 

13 3030d et seq., 42 U.S.C. 3030e et seq., 42 U.S.C. 3030f 

14 et seq.) may be appropriate to transfer between area agen15 cies on aging, with the approval of the State agency and 

16 the concurrence of any involved area agencies on aging, 

17 within a budget year. 

18 SEC. 108. RIGHT TO FIRST REFUSAL. 

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

20 amended to read as follows: 

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

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

23 Americans Act Reauthorization Act of 2024, the State 

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

25 general purpose local government if— 


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

2 subsection (c); 

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

4 administering services for older individuals; or 

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

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

7 within the planning and service area with such dem8 onstrated experience; and 

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

10 boundaries of the planning and service area are rea11 sonably contiguous.’’. 

12 SEC. 109. AREA AGENCY ON AGING CAPABILITIES. 

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

14 3025(c)) is amended— 

15 (1) by redesignating paragraphs (1) through 

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

17 and moving such subparagraphs 2 ems to the right; 

18 (2) by striking ‘‘shall be’’ and inserting the fol19 lowing: ‘‘shall— 

20 ‘‘(1) be—’’; 

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

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

23 ‘‘(b)(5)(A)’’; and 

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

25 and 


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

2 determined adequate by the State agency, that the 

3 area agency on aging will have the ability to develop 

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

5 contractual or other arrangements, a program in ac6 cordance with the plan within the planning and serv7 ice area.’’ and inserting the following: 

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

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

10 have the ability, and maintain the capabilities nec11 essary, to develop an area plan as required under 

12 section 306(a), and carry out, directly or through 

13 contractual or other arrangements, and oversee ac14 tivities in accordance with— 

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

16 service area; 

17 ‘‘(B) any other relevant requirements of 

18 this Act; 

19 ‘‘(C) other applicable Federal and State 

20 laws; and 

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

22 received under this Act.’’. 

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

24 3026(f)(1)) is amended— 


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

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

3 (2) by striking the period at the end and insert4 ing ‘‘, and if the State agency determines, in the dis5 cretion of the State agency, that an area agency on 

6 aging failed in 2 successive years to comply with the 

7 requirements under this title, then the State agency 

8 may require the area agency on aging to submit a 

9 plan for a 1-year period that meets such require10 ments, for subsequent years until the State agency 

11 determines that the area agency on aging is in com12 pliance with such requirements.’’. 

13 SEC. 110. SUPPORTING OLDER INDIVIDUALS WITH DISABIL14 ITIES THROUGH IMPROVED COORDINATION. 

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

16 3026(a)(5)) is amended by striking ‘‘with agencies that 

17 develop or provide services for individuals with disabil18 ities’’ and inserting ‘‘with entities that develop or provide 

19 services for individuals with disabilities, which may include 

20 centers for independent living, relevant service providers, 

21 and other community-based organizations, as appro22 priate’’. 

23 (b) SUPPORTING OLDER INDIVIDUALS WITH DIS24 ABILITIES THROUGH IMPROVED COORDINATION.— 


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

2 Administration for Community Living of the Depart3 ment of Health and Human Services (referred to in 

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

5 (A) opportunities to improve coordination 

6 between the aging and disability networks, 

7 which may include the formation of partner8 ships to serve individuals eligible for programs 

9 under the Older Americans Act of 1965 (42 

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

11 (B) lessons learned from disability net12 works, including centers for independent living, 

13 State developmental disabilities councils, univer14 sity centers on excellence in developmental dis15 abilities, and State protection and advocacy 

16 agencies that could improve operations and 

17 service delivery within the aging network; and 

18 (C) any technical assistance needs related 

19 to subparagraphs (A) and (B). 

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

21 the date of enactment of this Act, the Administrator 

22 shall issue guidance to State agencies and area 

23 agencies on aging on strategies to leverage disability 

24 networks, including centers for independent living, 

25 State developmental disabilities councils, university 


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1 centers on excellence in developmental disabilities, 

2 and State protection and advocacy agencies, as ap3 propriate, to strengthen the provision of services 

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

5 3001 et seq.). 

6 (3) TECHNICAL ASSISTANCE.—The Adminis7 trator shall coordinate across the Administration for 

8 Community Living to address any technical assist9 ance needs identified under paragraph (1)(C) in a 

10 manner that does not unnecessarily duplicate other 

11 technical assistance activities carried out prior to the 

12 date of enactment of this Act. 

13 SEC. 111. BUSINESS ACUMEN, FISCAL TRAINING, AND TECH14 NICAL ASSISTANCE. 

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

16 adding at the end the following: 

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

18 the State agency may provide technical assistance, 

19 as needed, for area agencies on aging related to the 

20 development of business acumen, sound fiscal prac21 tices, capacity building, organizational development, 

22 innovation, and other methods of growing and sus23 taining the capacity of the aging network to carry 

24 out activities funded under this Act to serve older 

25 individuals and caregivers most effectively.’’. 


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1 SEC. 112. ENHANCING ACCESS TO ASSISTIVE TECHNOLOGY. 

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

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

4 the end the following: 

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

6 the State will coordinate services, to the extent fea7 sible, with lead agencies designated to carry out 

8 State assistive technology programs under the As9 sistive Technology Act of 1998 (29 U.S.C. 3001 et 

10 seq.) and with area agencies on aging to assist eligi11 ble older individuals, including older individuals with 

12 disabilities, in accessing and acquiring assistive tech13 nology.’’. 

14 SEC. 113. WHITE HOUSE CONFERENCE ON AGING. 

15 Title II of the Older Americans Act Amendments of 

16 1987 (42 U.S.C. 3001 note; Public Law 100–175) is 

17 amended by striking title II and inserting the following: 

18 ‘‘TITLE II—WHITE HOUSE 

19 CONFERENCE ON AGING 

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

21 ‘‘(a) AUTHORITY TO CALL CONFERENCE.—Not ear22 lier than January 21, 2025 and not later than December 

23 31, 2025, the President shall convene the White House 

24 Conference on Aging in order to fulfill the purpose set 

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

26 recommendations regarding programs that are important 


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1 to older individuals and to the families and communities 

2 of such individuals. 

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

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

5 under the direction of the Secretary, in cooperation with 

6 the Assistant Secretary for Aging, the Director of the Na7 tional Institute on Aging, the Administrator of the Centers 

8 for Medicare and Medicaid Services, the Social Security 

9 Administrator, and the heads of such other Federal agen10 cies serving older individuals as are appropriate. Planning 

11 and conducting the Conference includes the assignment of 

12 personnel. 

13 ‘‘(c) PURPOSE.—The purpose of the Conference de14 scribed in subsection (a) shall be to gather individuals rep15 resenting the spectrum of thought and experience in the 

16 field of aging to— 

17 ‘‘(1) evaluate the manner in which the objec18 tives of the Older Americans Act of 1965 (42 U.S.C. 

19 3001 et seq.) can be met by using the resources and 

20 talents of older individuals, of families and commu21 nities of such individuals, and of individuals from 

22 the public and private sectors; 

23 ‘‘(2) evaluate the manner in which Federal poli24 cies, programs, and activities meet and respond to 

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1 tion of innovative and fiscally responsible strategies 

2 relating to retirement security, caregiving, nutrition 

3 and supportive services, health care, elder justice, 

4 and long term services and supports; 

5 ‘‘(3) review the work and recommendations of 

6 the Interagency Coordinating Committee on Healthy 

7 Aging and Age-Friendly Communities, and evaluate 

8 the recommendations of the Committee, which may 

9 include implementation strategies for such rec10 ommendations; 

11 ‘‘(4) develop recommendations to guide the 

12 President, Congress, and Federal agencies in im13 proving Federal programs that serve older individ14 uals, which may relate to the prevention and mitiga15 tion of disease, injury, abuse, social isolation, loneli16 ness, and economic insecurity, including food insecu17 rity, and promotion of healthy aging in place. 

18 ‘‘(d) CONFERENCE PARTICIPANTS AND DELE19 GATES.— 

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

21 purposes of this section, the Conference shall bring 

22 together— 

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

24 Tribal, and local governments; 


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1 ‘‘(B) professionals and volunteers who are 

2 working in the field of aging; and 

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

4 particularly older individuals. 

5 ‘‘(2) SELECTION OF DELEGATES.—The dele6 gates shall be selected without regard to political af7 filiation or past partisan activity and shall, to the 

8 best of the appointing authority’s ability, be rep9 resentative of the spectrum of thought in the field 

10 of aging. Delegates shall include older individuals, 

11 individuals who are professionals in the field of 

12 aging, individuals who are community leaders, mi13 nority individuals, individuals from rural areas, low14 income individuals, and representatives of Federal, 

15 State, and local governments. 

16 ‘‘SEC. 202. CONFERENCE ADMINISTRATION. 

17 ‘‘(a) ADMINISTRATION.—In administering this sec18 tion, the Secretary shall— 

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

20 local officials, stakeholders, and subject matter ex21 perts in planning the Conference; 

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

23 the heads of such other Federal departments and 

24 agencies, including such officials of the Interagency 

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1 Friendly Communities, as may be appropriate in the 

2 carrying out of this section; 

3 ‘‘(3) make available for public comment a pro4 posed agenda for the Conference, which will reflect 

5 to the greatest extent possible the major issues fac6 ing older individuals consistent with the provisions 

7 of subsection (a); 

8 ‘‘(4) prepare and make available such back9 ground materials for the use of delegates to the Con10 ference as the Secretary deems necessary; and 

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

12 be necessary to carry out the provisions of this sec13 tion without regard to provisions of title 5, United 

14 States Code, governing appointments in the competi15 tive service, and without regard to chapter 51 and 

16 subchapter III of chapter 53 of such title, relating 

17 to classification and General Schedule pay rates. 

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

19 the Secretary’s responsibilities and functions under this 

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

21 Aging, ensure that— 

22 ‘‘(1) the agenda prepared under subsection 

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

24 Register not later than 30 days after such agenda 

25 is approved by the Secretary; 


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1 ‘‘(2) the personnel engaged under subsection 

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

3 views represented and shall be appointed without re4 gard to political affiliation or previous partisan ac5 tivities; 

6 ‘‘(3) the recommendations of the Conference 

7 are not inappropriately influenced by any appointing 

8 authority or by any special interest, but will instead 

9 be the result of the independent judgment of the 

10 Conference; and 

11 ‘‘(4) current and adequate statistical data, in12 cluding decennial census data, and other information 

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

14 States are readily available, in advance of the Con15 ference, to the delegates of the Conference, together 

16 with such information as may be necessary to evalu17 ate Federal programs and policies relating to aging. 

18 In carrying out this subparagraph, the Secretary is 

19 authorized to make grants to, and enter into cooper20 ative agreements with, public agencies and nonprofit 

21 private organizations. 

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

23 the United States, gifts (in cash or in kind, including vol24 untary and uncompensated services), that shall be avail25 able to carry out this title. Gifts of cash shall be available 


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1 in addition to amounts appropriated to carry out this title. 

2 Gifts may be earmarked by the donor for a specific pur3 pose. 

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

5 records regarding— 

6 ‘‘(1) the sources, amounts, and uses of gifts ac7 cepted under subsection (c); and 

8 ‘‘(2) the identity of each person receiving assist9 ance to carry out this title, and the amount of such 

10 assistance received by each such person. 

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

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

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

14 Secretary shall publish and deliver to the States a prelimi15 nary report on the Conference. Comments on the prelimi16 nary report of the Conference shall be accepted by the Sec17 retary. 

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

19 the date on which the Conference adjourns, the Secretary 

20 shall publish and transmit to the President and to Con21 gress recommendations resulting from the Conference and 

22 suggestions for any administrative action and legislation 

23 necessary to implement the recommendations contained 

24 within the report. 


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1 ‘‘SEC. 204. DEFINITIONS. 

2 ‘‘In this title: 

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

4 means the White House Conference on Aging. 

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

6 the Secretary of Health and Human Services. 

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

8 the several States, the District of Columbia, the 

9 Commonwealth of Puerto Rico, Guam, American 

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

11 Trust Territory of the Pacific Islands, or the Com12 monwealth of the Northern Mariana Islands.’’. 

13 TITLE II—IMPROVING HEALTH 

14 OUTCOMES AND ENCOUR15 AGING INDEPENDENCE FOR 

16 OLDER INDIVIDUALS 

17 SEC. 201. DISEASE PREVENTION AND HEALTH PROMOTION 

18 SERVICES. 

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

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

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

22 (2) in subparagraph (K), by inserting ‘‘pro23 viding’’ before ‘‘information’’; 

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

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

26 (P), respectively; 


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

3 ‘‘(L) providing information concerning 

4 testing, diagnosis, and treatment of infectious 

5 diseases, taking into consideration infectious 

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

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

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

12 SEC. 202. IMPROVING HEALTH OUTCOMES. 

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

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

17 (2) in subsection (g)— 

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

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

20 ‘‘quality of life,’’; and 

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

22 recommendations relating to further research, 

23 evaluation, and demonstration projects con24 ducted under this section’’ after ‘‘title IV’’. 


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1 (b) FALLS PREVENTION PROGRAMS.—Section 

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

3 as follows: 

4 ‘‘(15) bringing to scale and sustaining evidence5 based or evidence-informed falls prevention pro6 grams to reduce the number of falls, fear of falling, 

7 and fall-related injuries affecting older individuals, 

8 including older individuals with disabilities, which 

9 programs shall— 

10 ‘‘(A) provide training and technical assist11 ance to the aging network; and 

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

13 network, including the Aging and Disability Re14 source Centers;’’. 

15 (c) INTERAGENCY COORDINATING COMMITTEE ON

16 HEALTHY AGING AND AGE-FRIENDLY COMMUNITIES.— 

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

18 (1) in paragraph (6)(B)— 

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

20 the semicolon; 

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

22 the semicolon; and 

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

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

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1 nections across different generations in a family 

2 and in the community;’’; and 

3 (2) in paragraph (7)— 

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

5 ‘‘and’’ at the end; 

6 (B) by redesignating subparagraph (C) as 

7 subparagraph (D); and 

8 (C) by inserting after subparagraph (B) 

9 the following: 

10 ‘‘(C) contains an assessment of the effec11 tiveness of relevant Federal efforts and pro12 grams, including implementation of best prac13 tices described in paragraph (6)(B); and’’. 

14 SEC. 203. EVIDENCE-INFORMED PRACTICES. 

15 (a) DISEASE PREVENTION AND HEALTH PROMOTION

16 SERVICES.—Section 361(a) (42 U.S.C. 3030m(a)) is 

17 amended— 

18 (1) by striking ‘‘(a)’’ and inserting ‘‘(a)(1)’’; 

19 (2) in the first sentence, by inserting after 

20 ‘‘promotion services’’ the following: ‘‘, or, as applica21 ble and appropriate, evidence-informed practices that 

22 are likely to improve health outcomes,’’; and 

23 (3) by striking the second sentence and insert24 ing the following: 


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1 ‘‘(2) In carrying out such program, the Assistant Sec2 retary shall— 

3 ‘‘(A) provide technical assistance on the delivery 

4 of evidence-based disease prevention and health pro5 motion services, and, as applicable and appropriate, 

6 such evidence-informed practices, in different set7 tings and for different populations; 

8 ‘‘(B) develop, make publicly available, and up9 date on a regular basis a list of such evidence-in10 formed practices; and 

11 ‘‘(C) consult with the Directors of the Centers 

12 for Disease Control and Prevention and the National 

13 Institute on Aging.’’. 

14 (b) FUNCTIONS OF ASSISTANT SECRETARY.—Section 

15 202 (42 U.S.C. 3012) is amended— 

16 (1) in subsection (a)(28), by inserting after 

17 ‘‘promotion services’’ the following: ‘‘, or, as applica18 ble and appropriate, evidence-informed practices that 

19 are likely to improve health outcomes’’; and 

20 (2) in subsection (b)(9)(B), by inserting after 

21 ‘‘services programs’’ the following: ‘‘, or, as applica22 ble and appropriate, evidence-informed practices that 

23 are likely to improve health outcomes’’. 

24 (c) FALLS PREVENTION AND CHRONIC DISEASE

25 SELF-MANAGEMENT EDUCATION.—Section 411(a) (42 


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1 U.S.C. 3032(a)) is amended, in paragraphs (15) and (16), 

2 by inserting ‘‘or evidence-informed’’ after ‘‘evidence3 based’’. 

4 SEC. 204. ENHANCING MULTIPURPOSE SENIOR CENTERS. 

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

6 3012(a)(30)) is amended— 

7 (1) by inserting ‘‘establishment, maintenance, 

8 and’’ after ‘‘to support the’’; and 

9 (2) by inserting ‘‘and access to services pro10 vided at multipurpose senior centers’’ before the 

11 semicolon at the end. 

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

13 306(a)(2)(A) (42 U.S.C. 3026(a)(2)(A)) is amended by in14 serting ‘‘, including those services provided at multipur15 pose senior centers, where appropriate’’ before the semi16 colon at the end. 

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

18 3027(a)(2)(A)) is amended by inserting ‘‘and, to the ex19 tent feasible, make such evaluation public’’ before the 

20 semicolon at the end. 

21 SEC. 205. ADDRESSING HOME MODIFICATIONS. 

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

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

24 all that follows and inserting ‘‘buildings and residences 

25 where older individuals congregate or live’’. 


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

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

3 (A) and inserting ‘‘(A) to assist older individuals to obtain 

4 adequate housing, including residential repair and renova5 tion projects, and (if assistance for weatherization projects 

6 does not unnecessarily duplicate other Federal assistance 

7 available) weatherization projects, designed to enable older 

8 individuals to maintain their homes in conformity with 

9 minimum housing and other relevant standards, in order 

10 to support such older individuals in aging in place and 

11 maintaining their health;’’. 

12 SEC. 206. MULTIGENERATIONAL AND CIVIC ENGAGEMENT 

13 ACTIVITIES. 

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

15 (1) in subsection (a)— 

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

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

18 inserting the following: ‘‘projects to serve indi19 viduals in younger generations and older indi20 viduals by developing, carrying out, and pro21 moting participation in multigenerational activi22 ties, which projects may include—’’; 

23 (B) in paragraph (1), in the matter pre24 ceding subparagraph (A), by striking ‘‘provide’’ 

25 and inserting ‘‘providing’’; 


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1 (C) in paragraph (2)— 

2 (i) by striking ‘‘coordinate’’ and in3 serting ‘‘coordinating’’; and 

4 (ii) by adding ‘‘and’’ at the end; 

5 (D) by striking paragraphs (3) and (4) 

6 and inserting the following: 

7 ‘‘(3) promoting volunteerism, including by pro8 viding opportunities— 

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

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

13 which multigenerational activities might 

14 occur.’’; 

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

16 inserting ‘‘(3)’’; 

17 (3) in subsection (d)— 

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

19 (B) by redesignating paragraphs (2) 

20 through (5) as paragraphs (1) through (4); and 

21 (4) in subsection (h)(1), by striking ‘‘or a fam22 ily support program.’’ and inserting ‘‘or a family 

23 support program, or a program at a multipurpose 

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

25 residential facility for older individuals.’’. 


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1 SEC. 207. GAO STUDY AND REPORT ON ACCESS TO HOUS2 ING FOR OLDER INDIVIDUALS. 

3 Not later than 2 years after the date of enactment 

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

5 shall conduct, and submit to Congress a report describing 

6 the results of, a study that analyzes housing programs and 

7 services for older individuals under the Older Americans 

8 Act of 1965 (42 U.S.C. 3001 et seq.), including— 

9 (1) an analysis of the Interagency Coordinating 

10 Committee on Healthy Aging and Age-Friendly 

11 Communities that— 

12 (A) assesses any metrics used by the Com13 mittee to evaluate the success of the Commit14 tee’s activities and related Federal programs; 

15 (B) evaluates interagency coordination of 

16 Federal housing programs for older individuals; 

17 and 

18 (C) assesses the availability of affordable 

19 housing for older individuals as the result of 

20 interagency coordination; 

21 (2) an analysis of any overlap between, and 

22 gaps in, housing programs and services that assist 

23 older individuals in obtaining accessible and afford24 able housing that achieves the objectives of the 

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

26 seq.), including programs under the Administration 


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1 for Community Living, the Department of Housing 

2 and Urban Development, and other Federal pro3 grams, as applicable, and the availability, accessi4 bility, and demand for such services; 

5 (3) an analysis of the availability of affordable 

6 housing for such older individuals, to the extent such 

7 information is available and taking into consider8 ation incomes and geographic and demographic 

9 trends; and 

10 (4) any recommendations to improve the sup11 ply, accessibility, and affordability of housing for 

12 older individuals and coordination of services pro13 vided under the Older Americans Act of 1965 (42 

14 U.S.C. 3001 et seq.) and other related Federal pro15 grams, as applicable. 

16 SEC. 208. REPORT RELATING TO HEALTH OUTCOMES FOR 

17 OLDER INDIVIDUALS LIVING WITH OR NEAR 

18 FAMILY MEMBERS. 

19 (a) IN GENERAL.—The Secretary shall prepare a re20 port that assesses— 

21 (1) the health outcomes for older individuals 

22 who live with, on the same property as, or otherwise 

23 in the community in close geographic proximity, rel24 ative to the area, to family members; and 


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1 (2) the degree to which programs under the 

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

3 seq.) promote living in the settings described in 

4 paragraph (1), as appropriate. 

5 (b) INCLUSION.—The report described under sub6 section (a) shall include— 

7 (1) an assessment of physical and mental health 

8 outcomes of older individuals who live in the settings 

9 described in subsection (a)(1) in comparison to phys10 ical and mental health outcomes of older individuals 

11 who do not live in such settings; 

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

13 in such settings mitigates social isolation and loneli14 ness in older adults; and 

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

16 settings and whether, and to what extent, findings 

17 under paragraphs (1) and (2) vary across such dif18 ferent types. 

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

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

21 to the Committee on Health, Education, Labor, and Pen22 sions and the Special Committee on Aging of the Senate 

23 and the Committee on Education and Workforce of the 

24 House of Representatives the report required by sub25 section (a). 


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1 SEC. 209. IMPROVING BROADBAND COORDINATION AND 

2 REDUCING SOCIAL ISOLATION. 

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

4 appropriate, coordinate with the Assistant Secretary of 

5 Commerce for Communications and Information of the 

6 National Telecommunications and Information Adminis7 tration to ensure that the aging network (as defined in 

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

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

10 of, and, subject to applicable eligibility criteria, have ac11 cess to, Federal programs relating to digital literacy and 

12 the adoption of broadband that may support aging in place 

13 for older individuals. 

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

15 of enactment of this Act, the Assistant Secretary shall pre16 pare, and submit to the Committee on Health, Education, 

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

18 and the Committee on Commerce, Science, and Transpor19 tation of the Senate and the Committee on Education and 

20 the Workforce of the House of Representatives, a report 

21 regarding any coordination efforts carried out pursuant to 

22 subsection (a). 


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1 TITLE III—ENHANCING INNOVA2 TION AND FLEXIBILITY IN NU3 TRITION SERVICES 

4 SEC. 301. MEDICALLY TAILORED MEALS. 

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

6 3002(14)) is amended— 

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

8 may include counseling related to the provision of 

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

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

12 nutrition’’. 

13 (b) ADMINISTRATION OF NUTRITION SERVICES.— 

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

15 amended— 

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

17 through the use of innovative approaches’’ after 

18 ‘‘systems’’; and 

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

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

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

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

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

24 (d) NUTRITION SERVICES PURPOSES.—Section 

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


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1 ‘‘, tailored to their individual medical and nutritional 

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

3 SEC. 302. NUTRITION SERVICE PROVIDERS. 

4 Section 339 (42 U.S.C. 3030g–21)— 

5 (1) in paragraph (1), by striking ‘‘and’’ at the 

6 end; 

7 (2) in paragraph (2), by striking the period and 

8 inserting ‘‘; and’’; and 

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

10 ‘‘(3) where feasible, when selecting local nutri11 tion providers, give consideration to the capabilities 

12 of community-based organizations if such organiza13 tions meet the requirements of subpart 1 or 2 and 

14 can provide nutrition services in the designated 

15 area.’’. 

16 SEC. 303. GRAB-AND-GO MEALS. 

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

18 by adding at the end the following: 

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

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

21 received by such State under subpart 1 of part C, cal22 culated after any transfers under subparagraphs (A) and 

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

24 meal sites or other community locations for consumption 

25 by older individuals outside such congregate meal sites. 


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1 A State electing to allow use of funds under the preceding 

2 sentence shall— 

3 ‘‘(i) ensure that such allowable use supplements 

4 but does not supplant the delivery of services 

5 through the congregate meals program under section 

6 331; and 

7 ‘‘(ii) notify the Assistant Secretary of such elec8 tion, including a description of the amount and per9 centage of funds received by such State under sub10 part 1 of part C to be used for such purposes.’’. 

11 SEC. 304. NUTRITION SERVICES INCENTIVE PROGRAM IN12 NOVATION. 

13 Section 311 (42 U.S.C. 3030a) is amended— 

14 (1) in subsection (b)(1), by striking ‘‘subsection 

15 (e)’’ and inserting ‘‘subsection (f)(1)’’; 

16 (2) by redesignating subsections (e) and (f) as 

17 subsections (f) and (g), respectively; 

18 (3) by inserting after subsection (d) the fol19 lowing: 

20 ‘‘(e)(1) Subject to subsection (f)(2), a State agency 

21 or title VI grantee may implement innovative approaches, 

22 including any approaches demonstrated to be effective 

23 through an award under section 340, to achieve the pur24 poses described in section 330(1) by improving— 


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1 ‘‘(A) the quality, composition, preparation, mo2 dality, delivery, or location of meals provided to 

3 older individuals under this Act; or 

4 ‘‘(B) the efficiency and effectiveness of distrib5 uting, delivering, or otherwise making meals avail6 able to older individuals under this Act. 

7 ‘‘(2) In implementing approaches under paragraph 

8 (1), a State agency or title VI grantee may, with the ap9 proval of the Assistant Secretary, waive any requirements 

10 of subparts 1 or 2 of part C or section 339 if the State 

11 agency or title VI grantee determines that such require12 ments impede the ability of such State agency or title VI 

13 grantee to successfully implement such approach. The As14 sistant Secretary shall approve a request for a waiver 

15 under the preceding sentence unless the Assistant Sec16 retary determines that such waiver is not consistent with 

17 the objectives of this Act or the purposes described in sec18 tion 330(1). 

19 ‘‘(3) The authority to carry out activities described 

20 in paragraph (1) shall expire on October 1, 2029. 

21 ‘‘(4) Not later than September 30, 2028, the Assist22 ant Secretary shall submit a report to the Committee on 

23 Health, Education, Labor, and Pensions and the Special 

24 Committee on Aging of the Senate and the Committee on 

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1 tives describing any activities carried out by State agencies 

2 or title VI grantees under paragraph (1), an assessment 

3 of the outcomes of such activities, and recommendations 

4 for scaling implementation of any successful innovative ap5 proaches within programs established under this section 

6 or subparts 1 and 2 of part C.’’; and 

7 (4) in subsection (f), as so redesignated— 

8 (A) by striking ‘‘There are’’ and inserting 

9 ‘‘(1) There are’’; and 

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

11 ‘‘(2) If the amount appropriated to carry out this sec12 tion for a fiscal year exceeds the amount appropriated to 

13 carry out this section for fiscal year 2024, a State agency 

14 and title VI grantee in receipt of an allotment under sub15 section (b) may elect to use the difference between the 

16 allotment received for the fiscal year and the allotment 

17 received for fiscal year 2024 for activities described in sub18 section (e).’’. 

19 SEC. 305. GAO STUDY ON NUTRITION SERVICES INCENTIVE 

20 PROGRAM. 

21 (a) IN GENERAL.—Not later than 18 months after 

22 the date of enactment of this Act, the Comptroller General 

23 of the United States shall conduct a study to evaluate the 

24 Nutrition Services Incentive Program under section 311 


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1 (42 U.S.C. 3030a) (referred to in this section as the ‘‘Pro2 gram’’). 

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

4 (1) shall— 

5 (A) include an assessment of how States 

6 and Tribal organizations use funding provided 

7 under the Program, including the degree to 

8 which States and Tribal organizations use such 

9 funding to procure food products from local or 

10 regional producers for meals supported under 

11 the Program; and 

12 (B) identify any challenges or barriers to 

13 increasing the use of local and regional pro14 ducers under the Program; and 

15 (2) may make recommendations related to im16 proving the effectiveness of the Program, including 

17 with respect to the use of local and regional pro18 ducers. 

19 SEC. 306. INNOVATIONS IN NUTRITION PROGRAMS AND 

20 SERVICES. 

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

22 21 et seq.) is amended by adding at the end the following: 


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

2 SERVICES. 

3 ‘‘(a) IN GENERAL.—From funds available under sub4 section (d), the Assistant Secretary shall make grants, on 

5 a competitive basis, to eligible entities, to achieve the pur6 poses of section 330(1) by developing, implementing, and 

7 evaluating innovative local or regional approaches to im8 prove the quality, effectiveness, efficiency, and outcomes 

9 of nutrition programs and services described in sections 

10 311, 331, and 336. 

11 ‘‘(b) ELIGIBILITY.—In order to be eligible for a grant 

12 under subsection (a), an entity shall— 

13 ‘‘(1) be— 

14 ‘‘(A) a State agency, an area agency on 

15 aging, an Indian tribe, a tribal organization, a 

16 nutrition service provider, a multipurpose senior 

17 center, a health care entity, an institution of 

18 higher education, or an other public or non19 profit private entity; or 

20 ‘‘(B) a partnership between any entities 

21 described in subparagraph (A); and 

22 ‘‘(2) submit an application at such time and in 

23 such manner as the Assistant Secretary may require, 

24 including— 


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1 ‘‘(A) a description of an innovative ap2 proach referred to in subsection (a) that the en3 tity proposes to implement under the grant; 

4 ‘‘(B) a plan for evaluating the effective5 ness, including cost-effectiveness, of the innova6 tive approach proposed; and 

7 ‘‘(C) as appropriate, plans for the publica8 tion of the results of such evaluation. 

9 ‘‘(c) REPORT.—Not later than 1 year after the date 

10 of enactment of the Older Americans Act Reauthorization 

11 Act of 2024 and annually thereafter, the Assistant Sec12 retary shall submit a report to the Committee on Health, 

13 Education, Labor, and Pensions and the Special Com14 mittee on Aging of the Senate and the Committee on Edu15 cation and the Workforce of the House of Representatives 

16 describing any activities carried out under subsection (a), 

17 an assessment of the outcomes of such activities, and rec18 ommendations for scaling implementation of any success19 ful innovative approaches implemented under this section, 

20 through programs established under section 311, 331, or 

21 336. 

22 ‘‘(d) RESERVATION.—From the total of the amounts 

23 made available for a fiscal year under paragraphs (1) and 

24 (2) of section 303(b) and in section 311(e), the Assistant 

25 Secretary shall reserve an amount equal to not more than 


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1 1 percent, to carry out activities described in subsection 

2 (a).’’. 

3 TITLE IV—SUPPORTING FAMILY 

4 CAREGIVERS 

5 SEC. 401. IMPROVING THE NATIONAL FAMILY CAREGIVER 

6 SUPPORT PROGRAM. 

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

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

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

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

12 end and inserting ‘‘; and’’; and 

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

14 ‘‘(iii) available supports for family 

15 caregivers and older relative caregivers (as 

16 defined in section 372(a)).’’. 

17 (b) AREA PLAN REQUIREMENTS.—Section 

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

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

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

21 semicolon; and 

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

23 ‘‘(iii) available supports for family 

24 caregivers and older relative caregivers (as 

25 defined in section 372(a));’’. 


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1 (c) DEFINITIONS RELATING TO THE NATIONAL FAM2 ILY CAREGIVER SUPPORT PROGRAM.— 

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

4 3030s(a)) is amended— 

5 (A) in paragraph (1)— 

6 (i) in the first sentence, by striking 

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

8 ‘‘(A) IN GENERAL.—The term’’; and 

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

11 (I) by striking the period at the 

12 end and inserting ‘‘; and’’; and 

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

15 and inserting the following: 

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

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

20 (III) by adding at the end the 

21 following: 

22 ‘‘(ii) take into account— 

23 ‘‘(I) linguistic and cultural dif24 ferences; 


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1 ‘‘(II) the ease for the caregiver to 

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

4 such information, supports, or serv5 ices; 

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

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

10 formats; and 

11 ‘‘(V) the quality of information, 

12 supports, or services received, and the 

13 degree to which it is helpful to the 

14 caregiver.’’; 

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

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

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

19 ‘‘(A) 18 years of age; or 

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

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

25 (as such terms are defined in section 8101 


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1 of the Elementary and Secondary Edu2 cation Act of 1965 (20 U.S.C. 7801)); or 

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

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

6 1002)).’’; and 

7 (C) in paragraph (4)(B)(i), by inserting 

8 ‘‘adult’’ after ‘‘or other’’. 

9 (2) CONFORMING AMENDMENTS.—Part E of 

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

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

12 each place it appears (other than in section 

13 372(a)(2) (as amended by paragraph (1)(B)); 

14 and 

15 (B) by inserting ‘‘or youth’’ after ‘‘chil16 dren’’ each place it appears (other than in sec17 tion 373(c)(3)(A) (as amended by subsection 

18 (d)(2)(B)). 

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

20 U.S.C. 3030s–1) is amended— 

21 (1) in subsection (b)(3)— 

22 (A) by inserting ‘‘which may include trau23 ma-informed services, peer supports,’’ after ‘‘in24 dividual counseling,’’; and 


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

2 after ‘‘nutrition,’’; 

3 (2) in subsection (c)— 

4 (A) in the subsection heading, by striking 

5 ‘‘PRIORITY’’ and inserting ‘‘PRIORITY; CONSID6 ERATION’’; and 

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

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

9 under this part, the State shall consider— 

10 ‘‘(A) that older relative caregivers caring 

11 for multiple children or youth may need greater 

12 resources and supports; and 

13 ‘‘(B) the circumstances and unique needs 

14 of different types of caregivers, including the 

15 needs of children and their older relative care16 givers whose families have been affected by sub17 stance use disorder, including opioid use dis18 order.’’; 

19 (3) in subsection (e)— 

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

21 by striking ‘‘Not later than’’ and all that fol22 lows through ‘‘the Assistant Secretary shall’’ 

23 and inserting ‘‘The Assistant Secretary shall, 

24 on a regular basis’’; 

25 (B) in paragraph (1)— 


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1 (i) in subparagraph (B)— 

2 (I) by inserting ‘‘or evidence-in3 formed’’ after ‘‘evidence based’’; and 

4 (II) by striking ‘‘and’’ at the end; 

5 (ii) by redesignating subparagraph 

6 (C) as subparagraph (D); and 

7 (iii) by inserting after subparagraph 

8 (B) the following: 

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

10 and’’; and 

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

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

13 disseminate’’; 

14 (4) in subsection (i)— 

15 (A) in paragraph (1), by inserting ‘‘, which 

16 may include the improvement of the quality and 

17 consistency of caregiver assessments and access 

18 to other information, supports, or services’’ 

19 after ‘‘section 631’’; and 

20 (B) in paragraph (2), by inserting ‘‘(in21 cluding outcome measures)’’ after ‘‘program 

22 evaluation’’; and 

23 (5) in subsection (j)— 

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

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1 lows through ‘‘shall provide technical assist2 ance’’ and inserting ‘‘Beginning not later than 

3 1 year after the date of enactment of the Older 

4 Americans Act Reauthorization Act of 2024, 

5 the Assistant Secretary, in consultation with 

6 stakeholders with appropriate expertise and, as 

7 appropriate, informed by the most recent strat8 egy developed under the RAISE Family Care9 givers Act (42 U.S.C. 3030s note) and the most 

10 recent report developed under the Supporting 

11 Grandparents Raising Grandchildren Act (Pub12 lic Law 115–196; 132 Stat. 1511), shall pro13 vide ongoing technical assistance’’; 

14 (B) in paragraph (2), by striking ‘‘and’’ at 

15 the end; 

16 (C) by redesignating paragraph (3) as 

17 paragraph (4); and 

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

19 following: 

20 ‘‘(3) the quality and consistency of caregiver as21 sessments used across States; and’’. 

22 SEC. 402. EMPHASIZING RESPITE CARE. 

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

24 amended to read as follows: 


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

2 through various models, designed to support family 

3 members and other persons providing voluntary care 

4 to older individuals that need long-term care serv5 ices, which may include older individuals with cog6 nitive impairments such as Alzheimer’s disease and 

7 related disorders with neurological and organic brain 

8 dysfunction;’’. 

9 SEC. 403. CLARIFYING SUPPORTIVE SERVICES. 

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

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

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

13 or mental impairments’’. 

14 SEC. 404. DIRECT CARE WORKFORCE RESOURCE CENTER. 

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

16 amended— 

17 (1) by striking subparagraph (B); 

18 (2) by striking ‘‘(13)’’ and all that follows 

19 through ‘‘(A) to’’ and inserting the following: 

20 ‘‘(13) in coordination with the Secretary of 

21 Labor and, as appropriate, the heads of other rel22 evant Federal departments and agencies, the estab23 lishment and operation of a national resource center 

24 that supports the growth and professionalization of 

25 the direct care workforce necessary to meet the 


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1 needs of older individuals and individuals with dis2 abilities, and, in a manner that does not unneces3 sarily duplicate the activities of other resource cen4 ters supported by the Assistant Secretary, that ad5 dresses training and other educational needs of fam6 ily caregivers, which activities of the center may in7 clude— 

8 ‘‘(A) the provision of training and tech9 nical assistance, including through the develop10 ment and dissemination of educational mate11 rials, to direct care workers and family care12 givers; and 

13 ‘‘(B) supporting the demonstration of new, 

14 and promoting existing, strategies for the re15 cruitment, retention, career development, or ad16 vancement of direct care workers to’’; and 

17 (3) in subparagraph (B), as so designated in 

18 paragraph (2), by striking ‘‘; and’’ at the end and 

19 inserting a semicolon. 

20 SEC. 405. SUPPORTING GRANDPARENTS RAISING GRAND21 CHILDREN ACT. 

22 (a) FINDINGS.—The Supporting Grandparents Rais23 ing Grandchildren Act (Public Law 115–196; 132 Stat. 

24 1511) is amended by striking section 2. 


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1 (b) DEFINITIONS.—The Supporting Grandparents 

2 Raising Grandchildren Act is amended by redesignating 

3 section 4 as section 2 and moving the section so as to 

4 follow section 1. 

5 (c) ADVISORY COUNCIL.—Section 3 of the Sup6 porting Grandparents Raising Grandchildren Act is 

7 amended— 

8 (1) in subsection (b)— 

9 (A) in paragraph (1)— 

10 (i) by redesignating subparagraphs 

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

12 through (J); 

13 (ii) by inserting after subparagraph 

14 (F) the following: 

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

16 (iii) in subparagraph (I), as so redes17 ignated, by striking ‘‘of children’’; and 

18 (iv) in subparagraph (J), as so redes19 ignated, by striking ‘‘relatives’’ and insert20 ing ‘‘relative caregivers’’; and 

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

22 ‘‘(3) LIMITATION ON NON-FEDERAL MEM23 BERS.—Not more than 10 members of the Advisory 

24 Council may be individuals who are not Federal offi25 cers or employees.’’; 


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1 (2) in subsection (c)— 

2 (A) in paragraph (1)— 

3 (i) in subparagraph (A)— 

4 (I) in the matter preceding clause 

5 (i), by striking ‘‘relatives’’ and insert6 ing ‘‘relative caregivers’’; and 

7 (II) in clause (i)— 

8 (aa) by striking ‘‘the 

9 health,’’ and inserting ‘‘the near10 and long-term health, including 

11 mental health,’’; and 

12 (bb) by striking ‘‘care; and’’ 

13 and inserting ‘‘care, including 

14 any needs related to the cir15 cumstances that caused such 

16 children to be raised by a grand17 parent or older relative caregiver; 

18 and’’; and 

19 (ii) in subparagraph (B)— 

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

21 follows through ‘‘In’’ and inserting 

22 the following: 

23 ‘‘(B) CONSIDERATIONS.—In’’; and 

24 (II) by striking ‘‘needs of those 

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1 serting ‘‘needs and challenges of indi2 viduals affected by substance use dis3 order, including opioid use disorder, 

4 or, as applicable and appropriate, 

5 needs and challenges of individuals re6 lated to other circumstances, which 

7 may include public health emer8 gencies.’’; 

9 (B) in paragraph (2)— 

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

11 preceding clause (i), by striking ‘‘enact12 ment of this Act’’ and inserting ‘‘enact13 ment of the Older Americans Act Reau14 thorization Act of 2024’’; and 

15 (ii) in subparagraph (B)— 

16 (I) in clause (i)— 

17 (aa) by striking ‘‘relatives’’ 

18 and inserting ‘‘relative care19 givers’’; and 

20 (bb) by striking ‘‘needs of 

21 children’’ and all that follows and 

22 inserting ‘‘needs of children and 

23 their older relative caregivers who 

24 have been affected by substance 


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1 use disorder, including opioid use 

2 disorder;’’; 

3 (II) in clause (ii), by striking the 

4 ‘‘and’’ at the end; 

5 (III) by redesignating clause (iii) 

6 as clause (iv); and 

7 (IV) by inserting after clause (ii) 

8 the following: 

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

10 the Department of Health and Human 

11 Services to evaluate the effectiveness of 

12 supportive services in addressing the needs 

13 of children and their older relative care14 givers, including those who have been af15 fected by substance use disorder, including 

16 opioid use disorder, and any related find17 ings; and’’; 

18 (C) in paragraph (3)— 

19 (i) in the matter preceding subpara20 graph (A)— 

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

22 follows through ‘‘Not’’ and inserting 

23 the following: 

24 ‘‘(3) FOLLOW-UP REPORTS.—Not’’; 


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1 (II) by striking ‘‘2 years’’ and in2 serting ‘‘180 days’’; and 

3 (III) by inserting after ‘‘sub4 mitted,’’ the following: ‘‘and every 2 

5 years thereafter until the Advisory 

6 Council terminates under subsection 

7 (f),’’; and 

8 (D) in paragraph (4) by striking ‘‘rel9 atives’’ each place it appears and inserting ‘‘rel10 ative caregivers’’; 

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

12 Advisory Committee Act (5 U.S.C. App.).’’ and in13 serting ‘‘chapter 10 of title 5, United States Code.’’; 

14 and 

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

16 and all that follows and inserting ‘‘terminate on Sep17 tember 30, 2029.’’. 

18 SEC. 406. RAISE FAMILY CAREGIVERS ACT. 

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

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

21 (1) in subsection (c)— 

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

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

24 after ‘‘The Secretary’’; and 


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

2 made publicly available by the Secretary,’’ after 

3 ‘‘caregiver programs,’’; and 

4 (2) in subsection (d)(2), by inserting ‘‘in’’ after 

5 ‘‘caregiver programs’’. 

6 (b) COUNCIL.—Section 5(e) of that Act (42 U.S.C. 

7 3030s note) is amended by striking ‘‘The Federal Advi8 sory Committee Act (5 U.S.C. App.)’’ and inserting 

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

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

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

12 and all that follows and inserting ‘‘terminate on Sep13 tember 30, 2029.’’. 

14 TITLE V—COMMUNITY SERVICE 

15 SENIOR OPPORTUNITIES ACT 

16 SEC. 501. IMPROVING THE COMMUNITY SERVICE EMPLOY17 MENT PROGRAM. 

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

19 3056(b)(1) is amended— 

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

21 513(a)(2)(E)’’ and inserting ‘‘section 513(a)(2)(F)’’; 

22 and 

23 (2) in subparagraph (E), by inserting ‘‘older in24 dividuals,’’ after ‘‘youth,’’. 


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

2 is amended— 

3 (1) in subsection (a)(2)— 

4 (A) by redesignating subparagraph (E) as 

5 subparagraph (F); and 

6 (B) by inserting after subparagraph (D) 

7 the following: 

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

9 2 years after the date of enactment of the Older 

10 Americans Act Reauthorization Act of 2024, 

11 and every 2 years thereafter during the period 

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

13 the Secretary shall prepare and submit to the 

14 Committee on Health, Education, Labor, and 

15 Pensions and the Special Committee on Aging 

16 of the Senate and the Committee on Education 

17 and the Workforce of the House of Representa18 tives a report regarding the methodology used 

19 to arrive at the expected levels of performance 

20 described in subparagraph (B) for each grantee, 

21 including the particular statistical model used 

22 and other factors taken into account, as de23 scribed in subparagraph (D).’’; 

24 (2) in subsection (c) and paragraphs (1)(A), 

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1 section (a)(2)(E)’’ and inserting ‘‘subsection 

2 (a)(2)(F)’’; and 

3 (3) in subsection (d)— 

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

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

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

7 of enactment of the Older Americans Act Reau8 thorization Act of 2024, any grantee who has 

9 failed to meet the expected levels of perform10 ance for the 2 consecutive years prior to the 

11 subsequent grant competition under section 514 

12 shall not be allowed to compete in the subse13 quent grant competition under section 514 fol14 lowing the second consecutive year of failure 

15 but may compete in the next such grant com16 petition after that subsequent competition.’’; 

17 and 

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

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

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

21 of enactment of the Older Americans Act Reau22 thorization Act of 2024, if the Secretary deter23 mines that the State fails to meet the expected 

24 levels of performance described in subparagraph 

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1 retary shall provide for the conduct by the 

2 State of a competition to award the funds allot3 ted to the State under section 506(e) for the 

4 first full program year following the Secretary’s 

5 determination.’’. 

6 (c) DEFINITIONS.—Section 518(a)(1)(A) (42 U.S.C. 

7 3056p(a)(1)(A)) is amended to read as follows: 

8 ‘‘(A) social, health, welfare, and edu9 cational services (including literacy tutoring and 

10 services provided by the aging network), legal 

11 and other counseling services and assistance 

12 (including tax counseling and assistance and fi13 nancial counseling), and library, recreational, 

14 and other similar services;’’. 

15 SEC. 502. GAO REPORT ON ALIGNMENT WITHIN THE COM16 MUNITY SERVICE EMPLOYMENT PROGRAM. 

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

18 date of enactment of this Act, the Comptroller General 

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

20 Comptroller General— 

21 (1) evaluates— 

22 (A) the distinct differences and similarities 

23 between the older American community service 

24 employment program as authorized under title 

25 V of the Older Americans Act of 1965 (42 


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

2 out under title I of the Workforce Innovation 

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

4 and 

5 (B) how the programs described in sub6 paragraph (A) serve older individuals in seeking 

7 and obtaining community service employment; 

8 (2) analyzes the efficacy and impacts of the in9 dicators of performance described in section 513(b) 

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

11 3056k(b) and corrective measures described in sec12 tion 513(d) of the Older Americans Act of 1965 (42 

13 U.S.C. 3056k(d)) for the older American community 

14 service employment program, compared with the ef15 ficacy and impacts of the indicators of performance 

16 and corrective measures described in section 116 of 

17 the Workforce Innovation and Opportunity Act (29 

18 U.S.C. 3141) for programs authorized under title I 

19 of such Act; and 

20 (3) evaluates how the Department of Labor co21 ordinates delivery of services with State and national 

22 grantees under title V of the Older Americans Act 

23 of 1965 and States and local workforce development 

24 areas under title I of the Workforce Innovation Op25 portunity Act to serve older individuals. 


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

2 after the date of enactment of this Act, the Comptroller 

3 General shall submit to the Committee on Health, Edu4 cation, Labor, and Pensions and the Special Committee 

5 on Aging of the Senate and the Committee on Education 

6 and the Workforce of the House of Representatives a re7 port on the results of such review. 

8 TITLE VI—IMPROVING SERVICES 

9 FOR NATIVE ELDERS 

10 SEC. 601. OLDER AMERICANS TRIBAL ADVISORY COM11 MITTEE. 

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

13 adding at the end the following: 

14 ‘‘(4)(A) In addition to other methods of govern15 ment-to-government consultation between the Ad16 ministration and Indian tribes and conferring with 

17 organizations representing Native Hawaiians, the 

18 Assistant Secretary shall establish an advisory com19 mittee, to be known as the ‘Older Americans Tribal 

20 Advisory Committee’ (referred to in this paragraph 

21 as the ‘Committee’) to provide advice and guidance 

22 to the Assistant Secretary on matters relating to the 

23 needs of older individuals who are Native Americans 

24 and implementation of related programs and activi25 ties under this Act. 


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

2 voting, non-Federal members, including— 

3 ‘‘(i) geographically diverse individuals with 

4 expertise on the range of issues affecting Indian 

5 tribes, organizations representing Native Ha6 waiians, and older individuals who are Native 

7 Americans; 

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

9 Alaska Native; and 

10 ‘‘(iii) not less than 1 member who is a Na11 tive Hawaiian. 

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

13 ex officio representatives of relevant Federal depart14 ments and agencies, including— 

15 ‘‘(i) the Administration; 

16 ‘‘(ii) the Indian Health Service; 

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

18 Services; 

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

20 ‘‘(v) the Department of Labor; and 

21 ‘‘(vi) any other agency or office with sub22 ject matter expertise that the Assistant Sec23 retary determines appropriate. 

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

25 less frequently than twice each year. 


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1 ‘‘(E) The Committee shall coordinate, as appro2 priate, with the Secretary’s Tribal Advisory Com3 mittee of the Department of Health and Human 

4 Services. 

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

6 the Committee shall submit to the Assistant Sec7 retary and make publicly available a report that de8 scribes— 

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

10 the previous year; and 

11 ‘‘(II) recommendations for administrative 

12 action, including the identification of any statu13 tory barriers to carrying out such recommenda14 tions, for the following year. 

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

16 which the Assistant Secretary receives a report 

17 under clause (i), the Assistant Secretary shall sub18 mit to the Committee a written response to such re19 port. 

20 ‘‘(G) Chapter 10 of title 5, United States Code, shall 

21 not apply to the Committee. 

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

23 operating the Committee, the Assistant Secretary shall— 

24 ‘‘(i) consult with Indian tribes and confer with 

25 organizations representing Native Hawaiians; and 


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

2 other tribal advisory committees operated by the De3 partment of Health and Human Services before the 

4 date of enactment of the Older Americans Act Reau5 thorization Act of 2024.’’. 

6 SEC. 602. SUPPORTIVE SERVICES; SET ASIDE. 

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

8 3057k–21) is amended— 

9 (1) in subsection (a), by striking ‘‘may’’ and in10 serting ‘‘shall, as practicable,’’; and 

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

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

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

14 3057o) is amended— 

15 (1) by striking ‘‘Of’’ and inserting ‘‘(a) IN

16 GENERAL.—Of’’; and 

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

18 ‘‘(b) REPORT.—Not later than 1 year after the date 

19 of enactment of the Older Americans Act Reauthorization 

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

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

22 the Senate and the Committee on Education and the 

23 Workforce of the House of Representatives, a report on 

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


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

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

3 fiscal year; 

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

5 and 

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

7 healthy aging and independence provided under part 

8 D.’’. 

9 SEC. 603. GAO REPORT ON TRIBAL SERVICES. 

10 Not later than 18 months after the date of enactment 

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

12 shall submit to Congress a report that— 

13 (1) evaluates and identifies barriers to Indian 

14 Tribes (as defined in section 4 of the Indian Self15 Determination and Education Assistance Act (25 

16 U.S.C. 5304)) and organizations serving Native Ha17 waiians accessing programs under title VI of the 

18 Older Americans Act of 1965 (42 U.S.C. 3057 et 

19 seq.), and coordination of such programs under such 

20 title VI with programs funded under titles III and 

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

22 3031 et seq.), including by— 

23 (A) estimating the number of Native 

24 Americans unserved by programs under such 

25 title VI; 


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1 (B) identifying States making grants to 

2 Indian Tribes under such title III; and 

3 (C) providing estimates of funding nec4 essary to support programs under such title VI 

5 for all Tribal organizations (as defined in sec6 tion 4 of the Indian Self-Determination and 

7 Education Assistance Act) and organizations 

8 serving Native Hawaiians that are not eligible 

9 under such title VI (as in effect on the date of 

10 enactment of this Act); and 

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

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

13 seq.) are serving older individuals who are Native 

14 Americans with funds received under such title V, 

15 including by evaluating how the Secretary of Labor 

16 coordinates with State and national grantees under 

17 such title V to serve older individuals who are Native 

18 Americans. 


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1 TITLE VII—STRENGTHENING 

2 THE LONG-TERM CARE OM3 BUDSMAN PROGRAMS AND 

4 ELDER ABUSE PREVENTION 

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

6 OMBUDSMAN PROGRAMS. 

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

8 amended in the second sentence by inserting ‘‘serve on a 

9 full-time basis and’’ after ‘‘shall’’. 

10 SEC. 702. LEGAL ASSISTANCE TRAINING RESOURCES RE11 LATING TO ELDER ABUSE PREVENTION. 

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

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

14 ‘‘(v) establishing an information clear15 inghouse to collect, maintain, and dissemi16 nate information concerning best practices 

17 and resources for training, technical assist18 ance, and other activities, which may in19 clude training resources for paralegals or 

20 law students who are under the direct su21 pervision of an attorney, to assist Long22 Term Care Ombudsman programs, adult 

23 protective services programs, and other 

24 legal services relating to defense of guard25 ianship and the matters described in clause 


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1 (ii)(I), to assist States and communities to 

2 carry out evidence-based programs to pre3 vent and address elder abuse, neglect, and 

4 exploitation;’’. 

5 SEC. 703. IMPROVING TRAINING OF VOLUNTEERS UNDER 

6 THE STATE LONG-TERM CARE OMBUDSMAN 

7 PROGRAM. 

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

9 (1) in subsection (h)(5)— 

10 (A) in the matter preceding subparagraph 

11 (A)— 

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

13 and inserting ‘‘each type of representa14 tive’’; and 

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

16 ‘‘unpaid volunteers’’; 

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

18 each such type of representative’’ before the 

19 semicolon at the end; 

20 (C) in subparagraph (B)(iii), by striking 

21 ‘‘and’’ at the end; 

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

23 at the end; and 

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


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

2 Office who are unpaid volunteers, take into con3 sideration the degree to which each such type of 

4 unpaid volunteer performs activities requiring 

5 specialized training, with a goal of reducing un6 necessary training requirements for prospective 

7 unpaid volunteers;’’; and 

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

9 ‘‘(k) TRAINING REQUIREMENTS FOR UNPAID VOL10 UNTEERS.— 

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

12 standards described in subsection (h)(5), the Direc13 tor of the Office of Long-Term Care Ombudsman 

14 Programs shall review and, as necessary, update 

15 such model standards on a regular basis to tailor 

16 such model standards to the individualized training 

17 needs of each type of representative of the Office, in18 cluding each type of unpaid volunteer. 

19 ‘‘(2) CONSIDERATIONS.—In carrying out para20 graph (1), the Director of the Office of Long-Term 

21 Care Ombudsman Programs shall take into consider22 ation the degree to which each type of representative 

23 of the Office performs activities that require special24 ized training, with a goal of reducing unnecessary 

25 training requirements for unpaid volunteers.’’. 


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1 SEC. 704. REPORTING ON STATE LONG-TERM CARE OM2 BUDSMAN PROGRAMS. 

3 Chapter 2 of subtitle A of title VII (42 U.S.C. 3058f 

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

5 ‘‘SEC. 714. REPORTS TO CONGRESS. 

6 ‘‘Each year, the Assistant Secretary shall submit, to 

7 the Committee on Health, Education, Labor, and Pen8 sions and the Special Committee on Aging of the Senate 

9 and the Committee on Education and the Workforce of 

10 the House of Representatives, and make publicly available, 

11 a report that— 

12 ‘‘(1) aggregates all reports submitted under sec13 tion 712(h) for such year; and 

14 ‘‘(2) provides a summary of the findings of 

15 such reports.’’. 

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

17 PROGRAMS. 

18 (a) IN GENERAL.—The Assistant Secretary shall 

19 seek to enter into a contract with the National Academies 

20 of Sciences, Engineering, and Medicine (referred to in this 

21 section as the ‘‘National Academies’’) to conduct a study 

22 on the State Long-Term Care Ombudsman programs car23 ried out under the Older Americans Act of 1965 (42 

24 U.S.C. 3001 et seq.), including an assessment of the effec25 tiveness of such programs and any related challenges, and 

26 recommendations. The study shall include an assessment 


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1 of the current (as of the date on which the contract is 

2 entered into) recommended staff-to-bed ratio for such pro3 grams, as appropriate. 

4 (b) REPORT.—Not later than 18 months after the 

5 date on which a contract is entered into under subsection 

6 (a), the National Academies shall publicly issue a report 

7 on the findings of such study. 

8 TITLE VIII—AUTHORIZATIONS 

9 OF APPROPRIATIONS 

10 SEC. 801. ADMINISTRATION ON AGING. 

11 Section 216 (42 U.S.C. 3020f) is amended— 

12 (1) in subsection (a), by striking 

13 ‘‘$43,937,410’’ and all that follows through ‘‘fiscal 

14 year 2024’’ and inserting‘‘$55,469,968 for fiscal 

15 year 2025, $58,034,197 for fiscal year 2026, 

16 $60,716,964 for fiscal year 2027, $63,523,747 for 

17 fiscal year 2028, and $66,460,281 for fiscal year 

18 2029’’; and 

19 (2) in subsection (b)— 

20 (A) in paragraph (1), by striking 

21 ‘‘$2,180,660’’ and all that follows through ‘‘fis22 cal year 2024’’ and inserting ‘‘$2,753,033 for 

23 fiscal year 2025, $2,880,298 for fiscal year 

24 2026, $3,013,447 for fiscal year 2027, 


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1 $3,152,751 for fiscal year 2028, and 

2 $3,298,494 for fiscal year 2029’’; 

3 (B) in paragraph (2), by striking 

4 ‘‘$1,988,060’’ and all that follows through ‘‘fis5 cal year 2024’’ and inserting ‘‘$2,509,880 for 

6 fiscal year 2025, $2,625,905 for fiscal year 

7 2026, $2,747,294 for fiscal year 2027, 

8 $2,874,294 for fiscal year 2028, and 

9 $3,007,165 for fiscal year 2029’’; 

10 (C) in paragraph (3), by striking 

11 ‘‘$1,371,740’’ and all that follows through ‘‘fis12 cal year 2024’’ and inserting ‘‘$1,731,790 for 

13 fiscal year 2025, $1,811,846 for fiscal year 

14 2026, $1,895,603 for fiscal year 2027, 

15 $1,983,232 for fiscal year 2028, and 

16 $2,074,911 for fiscal year 2029’’; and 

17 (D) in paragraph (4), by striking 

18 ‘‘$8,687,330’’ and all that follows through ‘‘fis19 cal year 2024’’ and inserting ‘‘$10,967,554 for 

20 fiscal year 2025, $11,474,555 for fiscal year 

21 2026, $12,004,993 for fiscal year 2027, 

22 $12,559,952 for fiscal year 2028, and 

23 $13,140,565 for fiscal year 2029’’. 


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1 SEC. 802. GRANTS FOR STATE AND COMMUNITY PROGRAMS 

2 ON AGING. 

3 (a) IN GENERAL.—Section 303 (42 U.S.C. 3023) is 

4 amended— 

5 (1) in subsection (a)(1), by striking 

6 ‘‘$412,029,180’’ and all that follows through ‘‘fiscal 

7 year 2024’’ and inserting ‘‘$520,177,347 for fiscal 

8 year 2025, $544,223,762 for fiscal year 2026, 

9 $569,381,780 for fiscal year 2027, $595,702,785 for 

10 fiscal year 2028, and $623,240,541 for fiscal year 

11 2029’’; 

12 (2) in subsection (b)— 

13 (A) in paragraph (1), by striking 

14 ‘‘$530,015,940’’ and all that follows through 

15 ‘‘fiscal year 2024’’ and inserting ‘‘$669,132,913 

16 for fiscal year 2025, $700,065,148 for fiscal 

17 year 2026, $732,427,298 for fiscal year 2027, 

18 $766,285,465 for fiscal year 2028, and 

19 $801,708,804 for fiscal year 2029’’; and 

20 (B) in paragraph (2), by striking 

21 ‘‘$268,935,940’’ and all that follows through 

22 ‘‘fiscal year 2024’’ and inserting ‘‘$339,525,428 

23 for fiscal year 2025, $355,220,786 for fiscal 

24 year 2026, $371,641,698 for fiscal year 2027, 

25 $388,821,705 for fiscal year 2028, and 

26 $406,795,899 for fiscal year 2029’’; 


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1 (3) in subsection (d), by striking 

2 ‘‘$26,587,360’’ and all that follows through ‘‘fiscal 

3 year 2024’’ and inserting ‘‘$33,565,929 for fiscal 

4 year 2025, $35,117,593 for fiscal year 2026, 

5 $36,740,986 for fiscal year 2027, $38,439,424 for 

6 fiscal year 2028, and $40,216,376 for fiscal year 

7 2029’’; and 

8 (4) in subsection (e), by striking 

9 ‘‘$193,869,020’’ and all that follows through ‘‘fiscal 

10 year 2024’’ and inserting ‘‘$244,755,171 for fiscal 

11 year 2025, $256,069,552 for fiscal year 2026, 

12 $267,906,966 for fiscal year 2027, $280,291,593 for 

13 fiscal year 2028, and $293,248,728 for fiscal year 

14 2029’’. 

15 (b) NUTRITION SERVICES INCENTIVE PROGRAM.— 

16 Section 311 (42 U.S.C. 3030a), as amended by section 

17 304 of this Act, is amended in subsection (f), by striking 

18 ‘‘$171,273,830’’ and all that follows through ‘‘fiscal year 

19 2024’’ and inserting ‘‘$216,229,264 for fiscal year 2025, 

20 $226,224,968 for fiscal year 2026, $236,682,747 for fis21 cal year 2027, $247,623,961 for fiscal year 2028, and 

22 $259,070,958 for fiscal year 2029’’. 

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

24 LONGEVITY. 

25 Section 411(b) (42 U.S.C. 3032(b)) is amended— 


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1 (1) in paragraph (1), by striking 

2 ‘‘$14,514,550’’ and all that follows through ‘‘fiscal 

3 year 2024’’ and inserting ‘‘$18,324,285 for fiscal 

4 year 2025, $19,171,368 for fiscal year 2026, 

5 $20,057,609 for fiscal year 2027, $20,984,819 for 

6 fiscal year 2028, and $21,954,892 for fiscal year 

7 2029’’; and 

8 (2) in paragraph (2), by striking 

9 ‘‘$15,613,440’’ and all that follows through ‘‘fiscal 

10 year 2024’’ and inserting ‘‘$19,711,608 for fiscal 

11 year 2025, $20,622,823 for fiscal year 2026, 

12 $21,576,161 for fiscal year 2027, $22,573,570 for 

13 fiscal year 2028, and $23,617,086 for fiscal year 

14 2029’’. 

15 SEC. 804. COMMUNITY SERVICE SENIOR OPPORTUNITIES 

16 ACT. 

17 Section 517(a) (42 U.S.C. 3056o(a)) is amended by 

18 striking ‘‘$428,000,000’’ and all that follows through ‘‘fis19 cal year 2024’’ and inserting ‘‘$540,340,193 for fiscal 

20 year 2025, $565,318,627 for fiscal year 2026, 

21 $591,451,804 for fiscal year 2027, $618,793,048 for fis22 cal year 2028, and $647,398,205 for fiscal year 2029’’. 

23 SEC. 805. GRANTS FOR NATIVE AMERICANS. 

24 Section 643 (42 U.S.C. 3057n) is amended— 


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1 (1) in paragraph (1), by striking 

2 ‘‘$37,102,560’’ and all that follows through ‘‘fiscal 

3 year 2024’’ and inserting ‘‘$47,028,435 for fiscal 

4 year 2025, $49,202,434 for fiscal year 2026, 

5 $51,476,932 for fiscal year 2027, $53,856,574 for 

6 fiscal year 2028, and $56,346,220 for fiscal year 

7 2029’’; and 

8 (2) in paragraph (2), by striking 

9 ‘‘$10,759,920’’ and all that follows through ‘‘fiscal 

10 year 2024’’ and inserting ‘‘$13,584,151 for fiscal 

11 year 2025, $14,212,110 for fiscal year 2026, 

12 $14,869,098 for fiscal year 2027, $15,556,457 for 

13 fiscal year 2028, and $16,275,591 for fiscal year 

14 2029’’. 

15 SEC. 806. ALLOTMENTS FOR ELDER RIGHTS PROTECTION 

16 ACTIVITIES. 

17 Section 702 (42 U.S.C. 3058a) is amended— 

18 (1) in subsection (a), by striking 

19 ‘‘$18,066,950’’ and all that follows through ‘‘fiscal 

20 year 2024’’ and inserting ‘‘$22,809,108 for fiscal 

21 year 2025, $23,863,512 for fiscal year 2026, 

22 $24,966,659 for fiscal year 2027, $26,120,801 for 

23 fiscal year 2028, and $27,328,297 for fiscal year 

24 2029’’; and 


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1 (2) in subsection (b), by striking ‘‘$5,107,110’’ 

2 and all that follows through ‘‘fiscal year 2024’’ and 

3 inserting ‘‘$6,447,609 for fiscal year 2025, 

4 $6,745,665 for fiscal year 2026, $7,057,499 for fis5 cal year 2027, $7,383,748 for fiscal year 2028, and 

6 $7,725,079 for fiscal year 2029’’. 

7 SECTION 1. SHORT TITLE. 

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

9 Reauthorization Act of 2024’’. 

10 SEC. 2. TABLE OF CONTENTS. 

11 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 transfers 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. 

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. Evidence-informed practices. 

Sec. 204. Enhancing multipurpose senior centers. 

Sec. 205. Addressing home modifications. 


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

Sec. 207. Multigenerational and civic engagement activities. 

Sec. 208. GAO study and report on access to housing for older individuals. 

Sec. 209. Report relating to health outcomes for older individuals living with or 

near family members. 

Sec. 210. Improving broadband coordination and reducing social isolation. 

TITLE III—ENHANCING INNOVATION AND FLEXIBILITY IN 

NUTRITION SERVICES 

Sec. 301. Medically tailored meals. 

Sec. 302. Nutrition service providers. 

Sec. 303. Grab-and-go meals. 

Sec. 304. Nutrition Services Incentive Program innovation. 

Sec. 305. GAO study on Nutrition Services Incentive Program. 

Sec. 306. 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. 


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1 SEC. 3. REFERENCES. 

2 Except as otherwise expressly provided in this Act, 

3 wherever in this Act an amendment or repeal is expressed 

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

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

6 to that section or other provision of the Older Americans 

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

8 SEC. 4. DEFINITIONS. 

9 In this Act, the terms ‘‘area agency on aging’’, ‘‘Assist10 ant Secretary’’, ‘‘older individual’’, and ‘‘Secretary’’ have 

11 the meanings given such terms in section 102 of the Older 

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

13 TITLE I—STRENGTHENING THE 

14 AGING NETWORK TO MEET 

15 THE NEEDS OF OLDER INDI16 VIDUALS 

17 SEC. 101. DECLARATION OF OBJECTIVES. 

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

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

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

21 ‘‘of the objectives of—’’; 

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

23 amending the first word so that it begins with a low24 ercase letter; 


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

2 striking the period at the end and inserting a semi3 colon; 

4 (4) in each of paragraphs (9) and (10), by strik5 ing the period at the end and inserting ‘‘; and’’; 

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

7 health outcomes and reduce health care expenditures’’ 

8 after ‘‘economic status’’; 

9 (6) by redesignating paragraphs (1) through (10) 

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

11 adjusting the margins accordingly; 

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

13 (as so redesignated), by striking ‘‘our democratic soci14 ety, the older people’’ and inserting the following: 

15 ‘‘our democratic society— 

16 ‘‘(1) the older people’’; and 

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

18 ‘‘(2) the families of older individuals and com19 munity-based organizations, including faith-based or20 ganizations, also play a vital role in supporting and 

21 honoring older individuals and their happiness, dig22 nity, and independence.’’. 


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1 SEC. 102. ADDRESSING MENTAL HEALTH AND SUBSTANCE 

2 USE DISORDERS AND COGNITIVE IMPAIR3 MENTS OF OLDER INDIVIDUALS. 

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

5 as follows: 

6 ‘‘(f)(1) The Assistant Secretary may designate an offi7 cer or employee who shall be responsible for the administra8 tion of services for mental health and substance use dis9 orders and cognitive impairments authorized under this Act 

10 and serve as an effective and visible advocate for the related 

11 needs of older individuals within the Department of Health 

12 and Human Services, including by ensuring that relevant 

13 information disseminated and research conducted or sup14 ported by the Department takes into consideration such 

15 services. 

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

17 acting through the individual designated under paragraph 

18 (1), and in consultation with the heads of relevant agencies 

19 within the Department of Health and Human Services, in20 cluding the Substance Abuse and Mental Health Services 

21 Administration, to develop objectives, priorities, and a long22 term plan for supporting State and local efforts under this 

23 Act involving education about, and prevention, detection, 

24 and treatment of, mental health and substance use disorders 

25 and cognitive impairments, including age-related dementia, 


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1 depression, and Alzheimer’s disease and related neurological 

2 disorders with neurological and organic brain dysfunction. 

3 ‘‘(3) Not later than 2 years after the date of enactment 

4 of the Older Americans Act Reauthorization Act of 2024, 

5 the Assistant Secretary shall report to the Committee on 

6 Health, Education, Labor, and Pensions of the Senate, the 

7 Special Committee on Aging of the Senate, and the Com8 mittee on Education and the Workforce of the House of Rep9 resentatives on the activities of the officer or employee des10 ignated under paragraph (1) in carrying out the require11 ments under this subsection, including any activities to 

12 identify and reduce duplication and gaps across the De13 partment in such information disseminated and research 

14 conducted or supported by the Department.’’. 

15 SEC. 103. LIST OF NATIONAL RESOURCE CENTERS. 

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

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

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

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

20 following: 

21 ‘‘(h)(1) The Assistant Secretary shall publish online in 

22 a publicly accessible format, on an annual basis, a list of 

23 national resource centers and demonstration projects au24 thorized under, or administratively established through 

25 funds provided under, this Act. 


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1 ‘‘(2) The Assistant Secretary shall ensure that the list 

2 published pursuant to paragraph (1)— 

3 ‘‘(A) includes— 

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

5 demonstration project, including the projected 

6 goals and activities of each such center and dem7 onstration project; 

8 ‘‘(ii) a citation to the statutory authoriza9 tion of each such center and demonstration 

10 project, or a citation to the statutory authority 

11 that the Assistant Secretary relies upon to ad12 ministratively establish each such center and 

13 demonstration project; 

14 ‘‘(iii) the award amount for each such cen15 ter and demonstration project; and 

16 ‘‘(iv) a summary of any evaluations re17 quired under this Act for each such center, in18 cluding a description of any measures of effec19 tiveness; and 

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

21 agencies on aging, and the Committee on Health, 

22 Education, Labor, and Pensions and the Special 

23 Committee on Aging of the Senate and the Committee 

24 on Education and the Workforce of the House of Rep25 resentatives.’’. 


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1 SEC. 104. AWARENESS OF RELEVANT FEDERAL PROGRAMS. 

2 Title II (42 U.S.C. 3011 et seq.) is amended by insert3 ing after section 203A (42 U.S.C. 3013a) the following: 

4 ‘‘SEC. 203B. AWARENESS OF RELEVANT FEDERAL PRO5 GRAMS. 

6 ‘‘In carrying out section 203(a)(1), the Assistant Sec7 retary shall coordinate with the heads of relevant Federal 

8 departments and agencies to ensure that the aging network 

9 and individuals served under this Act are aware of, and, 

10 subject to applicable eligibility criteria, have access to, Fed11 eral programs that may advance the objectives of this Act, 

12 including programs described in section 203(b) and other 

13 programs to meet housing, health care, and other supportive 

14 service needs to help such individuals age in place.’’. 

15 SEC. 105. EVALUATIONS AND SURVEYS. 

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

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

18 following: 

19 ‘‘(d)(1) In carrying out evaluations under this section, 

20 the Secretary shall— 

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

22 with, public or nonprofit private organizations or 

23 academic or research institutions to survey State 

24 agencies, area agencies on aging, and other program 

25 and project participants about the strengths and 

26 weaknesses of the programs and projects; and 


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

2 that compare the effectiveness of related programs in 

3 achieving common objectives. 

4 ‘‘(2) The surveys and evaluations under paragraph (1) 

5 shall include information on programs, services, use and 

6 sources of funding (including any transfer of funding be7 tween area agencies on aging), identified unmet need for 

8 services and related indicators, and any other challenges 

9 faced by State agencies and area agencies on aging in car10 rying out the activities of this Act. 

11 ‘‘(3) The Secretary shall, in carrying out the evalua12 tions under paragraph (1), consult with organizations con13 cerned with older individuals, including organizations that 

14 represent minority individuals, older individuals residing 

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

16 and 

17 (2) in subsection (g), by striking ‘‘him’’ and in18 serting ‘‘the Secretary’’. 

19 SEC. 106. CONTRACTING. 

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

21 amended— 

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

23 GRANT AUTHORITY’’; 

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

25 following: 


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

2 shall not be construed to prevent a recipient of a grant or 

3 a contract under this Act (other than title V) from entering 

4 into a contract, commercial relationship, or other business 

5 arrangement (referred to in this section as an ‘agreement’) 

6 with a profitmaking organization for the recipient to pro7 vide services to individuals or entities not otherwise receiv8 ing services under this Act, provided that— 

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

10 are used in developing or carrying out the agree11 ment— 

12 ‘‘(A) such agreement guarantees that the 

13 cost is reimbursed to the recipient; 

14 ‘‘(B) if such agreement provides for the pro15 vision of 1 or more services, of the type provided 

16 under this Act by or on behalf of such recipient, 

17 to an individual or entity seeking to receive such 

18 services— 

19 ‘‘(i) the individuals and entities may 

20 only purchase such services at their fair 

21 market rate; 

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

23 in providing such services (and not other24 wise reimbursed under subparagraph (A)), 

25 are reimbursed to such recipient; and 


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1 ‘‘(iii) except in the case of an agree2 ment with a health plan or health care pro3 vider, the recipient reports the rates for pro4 viding such services under such agreement 

5 in accordance with subsection (c) and the 

6 rates are consistent with the prevailing 

7 market rate for provision of such services in 

8 the relevant geographic area as determined 

9 by the State agency or area agency on 

10 aging (as applicable); and 

11 ‘‘(C) any amount of payment to the recipi12 ent under the agreement that exceeds reimburse13 ment under this subsection of the recipient’s costs 

14 is used to provide, or support the provision of, 

15 services under this Act; and 

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

17 funds provided under this Act are used in developing 

18 or carrying out the agreement— 

19 ‘‘(A) not later than 45 days after the agree20 ment first goes into effect, and annually there21 after until the termination of such agreement, 

22 the recipient of a grant or contract under this 

23 Act shall, in writing— 

24 ‘‘(i) notify the State agency of— 


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1 ‘‘(I) the existence of the agree2 ment; and 

3 ‘‘(II) the services provided and 

4 populations served under the agree5 ment; and 

6 ‘‘(ii) provide assurances to the State 

7 agency that— 

8 ‘‘(I) nothing in the agreement— 

9 ‘‘(aa) undermines— 

10 ‘‘(AA) the duties of the 

11 recipient under this Act; or 

12 ‘‘(BB) the provision of 

13 services in accordance with 

14 this Act; or 

15 ‘‘(bb) violates any other 

16 terms and conditions of an award 

17 received by the recipient under 

18 this Act; and 

19 ‘‘(II) any potential real or per20 ceived conflict of interest with respect 

21 to the agreement has been prevented, 

22 mitigated, or otherwise addressed, in23 cluding providing a description of any 

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1 tion of the actions taken to mitigate 

2 such conflicts of interest; and 

3 ‘‘(B) not later than 45 days after the popu4 lation or services under the agreement substan5 tially change due to an amendment to the agree6 ment, the recipient shall, in writing— 

7 ‘‘(i) notify the State agency of such 

8 change; and 

9 ‘‘(ii) provide the assurances described 

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

11 such change.’’; 

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

13 following: 

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

15 agreement— 

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

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

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

19 under title VI, without the prior recommenda20 tion of the Director of the Office for American 

21 Indian, Alaska Native, and Native Hawaiian 

22 Programs and the prior approval of the Assist23 ant Secretary), after timely submission of all rel24 evant documents related to the agreement includ25 ing information on all costs incurred; or 


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

2 have the effect of, paying, reimbursing, sub3 sidizing, or otherwise compensating an indi4 vidual or entity in an amount that exceeds the 

5 fair market value of the services subject to such 

6 agreement; and 

7 ‘‘(2) described in subsection (a) may not— 

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

9 otherwise available to an older individual with 

10 greatest social need, an older individual with 

11 greatest economic need, or an older individual 

12 who is at risk for institutional placement; or 

13 ‘‘(B) in any other way compromise, under14 mine, or be inconsistent with the objective of 

15 serving the needs of older individuals, as deter16 mined by the Assistant Secretary.’’; 

17 (4) in subsection (c), by striking ‘‘subsection (a)’’ 

18 and inserting ‘‘subsection (a)(1)’’; and 

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

20 following: 

21 ‘‘(e) REQUESTING ADDITIONAL INFORMATION FOR

22 CERTAIN NON-OAA AGREEMENTS.— 

23 ‘‘(1) IN GENERAL.—In the case of an agreement 

24 described in subsection (a)(2), if the State agency has 

25 a reasonable belief that an agreement may violate the 


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1 assurances provided under subsection (a)(2)(A)(ii), 

2 the State agency may request additional information 

3 from the recipient of funds under this Act that is a 

4 party to such agreement, which may include a request 

5 for a copy of such agreement. Such recipient shall 

6 make a good faith effort to address such request for 

7 additional information, except that such recipient 

8 shall not provide agreements or other data that are 

9 restricted under the terms of a non-disclosure agree10 ment signed by such recipient. If such recipient de11 clines to provide a copy of an agreement to a State 

12 agency, such recipient shall provide a justification to 

13 the State agency within 30 days of receiving such re14 quest. 

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

16 keep confidential, as required by applicable Federal 

17 and State law, all information received under this 

18 subsection that is— 

19 ‘‘(A) a trade secret; 

20 ‘‘(B) commercial or financial information; 

21 and 

22 ‘‘(C) information obtained from an indi23 vidual that is privileged and confidential. 

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


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

2 including an administrative expense, incurred by a 

3 recipient in developing or carrying out an agreement 

4 described in subsection (a), whether the recipient con5 tributed funds, staff time, or other plant, equipment, 

6 or services to meet the expense. 

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

8 area agency on aging in a State with multiple plan9 ning and service areas.’’. 

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

11 amended— 

12 (1) in subsection (a)(13)— 

13 (A) in subparagraph (B)(i), by striking 

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

15 ‘‘any service under this Act to older individuals 

16 or caregivers’’; and 

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

18 caregivers under this Act’’ after ‘‘older individ19 uals’’; and 

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

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

22 this Act’’. 


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1 SEC. 107. GUIDANCE ON TRANSFERS OF FUNDING BETWEEN 

2 AREA AGENCIES ON AGING. 

3 Not later than 1 year after the date of enactment of 

4 this Act, the Assistant Secretary shall disseminate guidance 

5 to State agencies (as defined in section 102 of the Older 

6 Americans Act of 1965 (42 U.S.C. 3002)) and area agencies 

7 on aging on circumstances under which funds appropriated 

8 pursuant to part B and subparts 1 and 2 of part C of title 

9 III of the Older Americans Act (42 U.S.C. 3030d et seq., 

10 42 U.S.C. 3030e et seq., 42 U.S.C. 3030f et seq.) may be 

11 appropriate to transfer between area agencies on aging, 

12 with the approval of the State agency and the concurrence 

13 of any involved area agencies on aging, within a budget 

14 year. 

15 SEC. 108. RIGHT TO FIRST REFUSAL. 

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

17 amended to read as follows: 

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

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

20 Americans Act Reauthorization Act of 2024, the State agen21 cy shall give the right to first refusal to a unit of general 

22 purpose local government if— 

23 ‘‘(i) such unit can meet the requirements of sub24 section (c); 

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

26 administering services for older individuals; or 


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

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

3 within the planning and service area with such dem4 onstrated experience; and 

5 ‘‘(iii) the boundaries of such unit and the bound6 aries of the planning and service area are reasonably 

7 contiguous.’’. 

8 SEC. 109. AREA AGENCY ON AGING CAPABILITIES. 

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

10 3025(c)) is amended— 

11 (1) by redesignating paragraphs (1) through (5) 

12 as subparagraphs (A) through (E), respectively, and 

13 moving such subparagraphs 2 ems to the right; 

14 (2) by striking ‘‘shall be’’ and inserting the fol15 lowing: ‘‘shall— 

16 ‘‘(1) be—’’; 

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

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

19 ‘‘(b)(5)(A)’’; and 

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

21 and 

22 (4) by striking ‘‘and shall provide assurance, de23 termined adequate by the State agency, that the area 

24 agency on aging will have the ability to develop an 

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1 tractual or other arrangements, a program in accord2 ance with the plan within the planning and service 

3 area.’’ and inserting the following: 

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

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

6 have the ability, and maintain the capabilities nec7 essary, to develop an area plan as required under sec8 tion 306(a), and carry out, directly or through con9 tractual or other arrangements, and oversee activities 

10 in accordance with— 

11 ‘‘(A) the plan within the planning and serv12 ice area; 

13 ‘‘(B) any other relevant requirements of this 

14 Act; 

15 ‘‘(C) other applicable Federal and State 

16 laws; and 

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

18 received under this Act.’’. 

19 (b) PLANS.—Section 306(f)(1) (42 U.S.C. 3026(f)(1)) 

20 is amended— 

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

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

23 (2) by striking the period at the end and insert24 ing ‘‘, and if the State agency determines, in the dis25 cretion of the State agency, that an area agency on 


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1 aging failed in 2 successive years to comply with the 

2 requirements under this title, then the State agency 

3 may require the area agency on aging to submit a 

4 plan for a 1-year period that meets such require5 ments, for subsequent years until the State agency de6 termines that the area agency on aging is in compli7 ance with such requirements.’’. 

8 SEC. 110. SUPPORTING OLDER INDIVIDUALS WITH DISABIL9 ITIES THROUGH IMPROVED COORDINATION. 

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

11 3026(a)(5)) is amended by striking ‘‘with agencies that de12 velop or provide services for individuals with disabilities’’ 

13 and inserting ‘‘with entities that develop or provide services 

14 for individuals with disabilities, which may include centers 

15 for independent living, relevant service providers, and other 

16 community-based organizations, as appropriate’’. 

17 (b) SUPPORTING OLDER INDIVIDUALS WITH DISABIL18 ITIES THROUGH IMPROVED COORDINATION.— 

19 (1) IN GENERAL.—The Administrator of the Ad20 ministration for Community Living of the Depart21 ment of Health and Human Services (referred to in 

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

23 (A) opportunities to improve coordination 

24 between the aging and disability networks, which 

25 may include the formation of partnerships to 


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1 serve individuals eligible for programs under the 

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

3 seq.); 

4 (B) lessons learned from disability net5 works, including centers for independent living, 

6 State developmental disabilities councils, univer7 sity centers for excellence in developmental dis8 abilities education, research, and service, and 

9 State protection and advocacy agencies that 

10 could improve operations and service delivery 

11 within the aging network; and 

12 (C) any technical assistance needs related to 

13 subparagraphs (A) and (B). 

14 (2) GUIDANCE.—Not later than 2 years after the 

15 date of enactment of this Act, the Administrator shall 

16 issue guidance to State agencies and area agencies on 

17 aging on strategies to leverage disability networks, in18 cluding centers for independent living, State develop19 mental disabilities councils, university centers for ex20 cellence in developmental disabilities, education, re21 search, and service, and State protection and advo22 cacy agencies, as appropriate, to strengthen the provi23 sion of services under the Older Americans Act of 

24 1965 (42 U.S.C. 3001 et seq.). 


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1 (3) TECHNICAL ASSISTANCE.—The Adminis2 trator shall coordinate across the Administration for 

3 Community Living to address any technical assist4 ance needs identified under paragraph (1)(C) in a 

5 manner that does not unnecessarily duplicate other 

6 technical assistance activities carried out prior to the 

7 date of enactment of this Act. 

8 SEC. 111. BUSINESS ACUMEN, FISCAL TRAINING, AND TECH9 NICAL ASSISTANCE. 

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

11 adding at the end the following: 

12 ‘‘(31) The plan shall provide assurances that the 

13 State agency may provide technical assistance, as 

14 needed, for area agencies on aging related to the de15 velopment of business acumen, sound fiscal practices, 

16 capacity building, organizational development, inno17 vation, and other methods of growing and sustaining 

18 the capacity of the aging network to carry out activi19 ties funded under this Act to serve older individuals 

20 and caregivers most effectively.’’. 

21 SEC. 112. ENHANCING ACCESS TO ASSISTIVE TECHNOLOGY. 

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

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

24 the end the following: 


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1 ‘‘(32) The plan shall provide assurances that the 

2 State will coordinate services, to the extent feasible, 

3 with lead agencies designated to carry out State as4 sistive technology programs under the Assistive Tech5 nology Act of 1998 (29 U.S.C. 3001 et seq.) and with 

6 area agencies on aging to assist eligible older individ7 uals, including older individuals with disabilities, in 

8 accessing and acquiring assistive technology.’’. 

9 SEC. 113. WHITE HOUSE CONFERENCE ON AGING. 

10 Title II of the Older Americans Act Amendments of 

11 1987 (42 U.S.C. 3001 note; Public Law 100–175) is amend12 ed by striking title II and inserting the following: 

13 ‘‘TITLE II—WHITE HOUSE 

14 CONFERENCE ON AGING 

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

16 ‘‘(a) AUTHORITY TO CALL CONFERENCE.—Not earlier 

17 than January 21, 2025 and not later than December 31, 

18 2025, the President shall convene the White House Con19 ference on Aging in order to fulfill the purpose set forth 

20 in subsection (c) and to make fundamental policy rec21 ommendations regarding programs that are important to 

22 older individuals and to the families and communities of 

23 such individuals. 

24 ‘‘(b) PLANNING AND DIRECTION.—The Conference de25 scribed in subsection (a) shall be planned and conducted 


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1 under the direction of the Secretary, in cooperation with 

2 the Assistant Secretary for Aging, the Director of the Na3 tional Institute on Aging, the Administrator of the Centers 

4 for Medicare and Medicaid Services, the Social Security 

5 Administrator, and the heads of such other Federal agencies 

6 serving older individuals as are appropriate. Planning and 

7 conducting the Conference includes the assignment of per8 sonnel. 

9 ‘‘(c) PURPOSE.—The purpose of the Conference de10 scribed in subsection (a) shall be to gather individuals rep11 resenting the spectrum of thought and experience in the field 

12 of aging to— 

13 ‘‘(1) evaluate the manner in which the objectives 

14 of the Older Americans Act of 1965 (42 U.S.C. 3001 

15 et seq.) can be met by using the resources and talents 

16 of older individuals, of families and communities of 

17 such individuals, and of individuals from the public 

18 and private sectors; 

19 ‘‘(2) evaluate the manner in which Federal poli20 cies, programs, and activities meet and respond to the 

21 needs of older individuals, including an examination 

22 of innovative and fiscally responsible strategies relat23 ing to retirement security, caregiving, nutrition and 

24 supportive services, health care, elder justice, and 

25 long-term services and supports; 


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1 ‘‘(3) review the work and recommendations of the 

2 Interagency Coordinating Committee on Healthy 

3 Aging and Age-Friendly Communities, and evaluate 

4 the recommendations of the Committee, which may 

5 include implementation strategies for such rec6 ommendations; 

7 ‘‘(4) develop recommendations to guide the Presi8 dent, Congress, and Federal agencies in improving 

9 Federal programs that serve older individuals, which 

10 may relate to the prevention and mitigation of dis11 ease, injury, abuse, social isolation, loneliness, and 

12 economic insecurity, including food insecurity, and 

13 promotion of healthy aging in place. 

14 ‘‘(d) CONFERENCE PARTICIPANTS AND DELEGATES.— 

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

16 purposes of this section, the Conference shall bring to17 gether— 

18 ‘‘(A) representatives of Federal, State, Trib19 al, and local governments; 

20 ‘‘(B) professionals and volunteers who are 

21 working in the field of aging; and 

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

23 particularly older individuals. 

24 ‘‘(2) SELECTION OF DELEGATES.—The delegates 

25 shall be selected without regard to political affiliation 


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1 or past partisan activity and shall, to the best of the 

2 appointing authority’s ability, be representative of the 

3 spectrum of thought in the field of aging. Delegates 

4 shall include older individuals, individuals who are 

5 professionals in the field of aging, individuals who 

6 are community leaders, minority individuals, indi7 viduals from rural areas, low-income individuals, 

8 and representatives of Federal, State, Tribal, and 

9 local governments. 

10 ‘‘SEC. 202. CONFERENCE ADMINISTRATION. 

11 ‘‘(a) ADMINISTRATION.—In administering this section, 

12 the Secretary shall— 

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

14 local officials, stakeholders, and subject matter experts 

15 in planning the Conference; 

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

17 heads of such other Federal departments and agencies, 

18 including such officials of the Interagency Coordi19 nating Committee on Healthy Aging and Age-Friend20 ly Communities, as may be appropriate in the car21 rying out of this section; 

22 ‘‘(3) make available for public comment a pro23 posed agenda for the Conference, which will reflect to 

24 the greatest extent possible the major issues facing 


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1 older individuals, consistent with the provisions of 

2 section 201(c); 

3 ‘‘(4) prepare and make available such back4 ground materials for the use of delegates to the Con5 ference as the Secretary deems necessary; and 

6 ‘‘(5) engage such additional personnel as may be 

7 necessary to carry out the provisions of this section 

8 without regard to provisions of title 5, United States 

9 Code, governing appointments in the competitive serv10 ice, and without regard to chapter 51 and subchapter 

11 III of chapter 53 of such title, relating to classifica12 tion and General Schedule pay rates. 

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

14 the Secretary’s responsibilities and functions under this sec15 tion, and as part of the White House Conference on Aging, 

16 ensure that— 

17 ‘‘(1) the agenda prepared under subsection (a)(3) 

18 for the Conference is published in the Federal Register 

19 not later than 30 days after such agenda is approved 

20 by the Secretary; 

21 ‘‘(2) the personnel engaged under subsection 

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

23 views represented and shall be appointed without re24 gard to political affiliation or previous partisan ac25 tivities; 


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1 ‘‘(3) the recommendations of the Conference are 

2 not inappropriately influenced by any appointing 

3 authority or by any special interest, but will instead 

4 be the result of the independent judgment of the Con5 ference; and 

6 ‘‘(4) current and adequate statistical data, in7 cluding decennial census data, and other information 

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

9 States, are readily available, in advance of the Con10 ference, to the delegates of the Conference, together 

11 with such information as may be necessary to evalu12 ate Federal programs and policies relating to aging. 

13 In carrying out this subparagraph, the Secretary is 

14 authorized to make grants to, and enter into coopera15 tive agreements with, public agencies and nonprofit 

16 private organizations. 

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

18 the United States, gifts (in cash or in kind, including vol19 untary and uncompensated services) that shall be available 

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

21 addition to amounts appropriated to carry out this title. 

22 Gifts may be earmarked by the donor for a specific purpose. 

23 ‘‘(d) RECORDS.—The Secretary shall maintain records 

24 regarding— 


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1 ‘‘(1) the sources, amounts, and uses of gifts ac2 cepted under subsection (c); and 

3 ‘‘(2) the identity of each person receiving assist4 ance to carry out this title, and the amount of such 

5 assistance received by each such person. 

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

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

8 after the date on which the Conference adjourns, the Sec9 retary shall publish and deliver to the States a preliminary 

10 report on the Conference. Comments on the preliminary re11 port of the Conference shall be accepted by the Secretary. 

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

13 the date on which the Conference adjourns, the Secretary 

14 shall publish and transmit to the President and to Congress 

15 recommendations resulting from the Conference and sugges16 tions for any administrative action and legislation nec17 essary to implement the recommendations contained within 

18 the report. 

19 ‘‘SEC. 204. DEFINITIONS. 

20 ‘‘In this title: 

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

22 means the White House Conference on Aging. 

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

24 the Secretary of Health and Human Services. 


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

2 several States, the District of Columbia, the Common3 wealth of Puerto Rico, Guam, American Samoa, the 

4 Virgin Islands of the United States, the Trust Terri5 tory of the Pacific Islands, or the Commonwealth of 

6 the Northern Mariana Islands.’’. 

7 TITLE II—IMPROVING HEALTH 

8 OUTCOMES AND ENCOUR9 AGING INDEPENDENCE FOR 

10 OLDER INDIVIDUALS 

11 SEC. 201. DISEASE PREVENTION AND HEALTH PROMOTION 

12 SERVICES. 

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

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

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

16 (2) in subparagraph (K), by inserting ‘‘pro17 viding’’ before ‘‘information’’; 

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

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

20 (P), respectively; 

21 (4) by inserting after subparagraph (K) the fol22 lowing: 

23 ‘‘(L) providing information concerning test24 ing, diagnosis, and treatment of infectious dis25 eases, taking into consideration infectious disVerDate Sep 11 2014 01:12 Sep 13, 2024 Jkt 049200 PO 00000 Frm 00114 Fmt 6652 Sfmt 6203 E:\BILLS\S4776.RS S4776

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1 eases for which older individuals are at increased 

2 risk of infection or serious health outcomes;’’; 

3 and 

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

5 striking ‘‘subparagraphs (A) through (N)’’ and insert6 ing ‘‘subparagraphs (A) through (O)’’. 

7 SEC. 202. IMPROVING HEALTH OUTCOMES. 

8 (a) RESEARCH AND EVALUATION ACTIVITIES.—Sec9 tion 201 (42 U.S.C. 3011) is amended— 

10 (1) in subsection (c)(3)(B), by striking ‘‘in be11 half’’ and inserting ‘‘on behalf’’; and 

12 (2) in subsection (g)— 

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

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

15 ‘‘quality of life,’’; and 

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

17 recommendations relating to further research, 

18 evaluation, and demonstration projects con19 ducted under this section’’ after ‘‘title IV’’. 

20 (b) FALLS PREVENTION PROGRAMS.—Section 

21 411(a)(15) (42 U.S.C. 3032(a)(15)) is amended to read as 

22 follows: 

23 ‘‘(15) bringing to scale and sustaining evidence24 based or evidence-informed falls prevention programs 

25 to reduce the number of falls, fear of falling, and fallVerDate Sep 11 2014 01:12 Sep 13, 2024 Jkt 049200 PO 00000 Frm 00115 Fmt 6652 Sfmt 6203 E:\BILLS\S4776.RS S4776

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1 related injuries affecting older individuals, including 

2 older individuals with disabilities, which shall— 

3 ‘‘(A) provide training and technical assist4 ance to the aging network; and 

5 ‘‘(B) share best practices with the aging net6 work, including the Aging and Disability Re7 source Centers;’’. 

8 (c) INTERAGENCY COORDINATING COMMITTEE ON

9 HEALTHY AGING AND AGE-FRIENDLY COMMUNITIES.—Sec10 tion 203(c) (42 U.S.C. 3013(c)) is amended— 

11 (1) in paragraph (6)(B)— 

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

13 the semicolon; 

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

15 the semicolon; and 

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

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

18 including by promoting strong and stable con19 nections across different generations in a family 

20 and in the community;’’; and 

21 (2) in paragraph (7)— 

22 (A) in subparagraph (B), by striking ‘‘and’’ 

23 at the end; 

24 (B) by redesignating subparagraph (C) as 

25 subparagraph (D); and 


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1 (C) by inserting after subparagraph (B) the 

2 following: 

3 ‘‘(C) contains an assessment of the effective4 ness of relevant Federal efforts and programs, in5 cluding implementation of best practices de6 scribed in paragraph (6)(B); and’’. 

7 SEC. 203. EVIDENCE-INFORMED PRACTICES. 

8 (a) DISEASE PREVENTION AND HEALTH PROMOTION

9 SERVICES.—Section 361(a) (42 U.S.C. 3030m(a)) is 

10 amended— 

11 (1) by striking ‘‘(a)’’ and inserting ‘‘(a)(1)’’; 

12 (2) in the first sentence, by inserting after ‘‘pro13 motion services’’ the following: ‘‘, or, as applicable 

14 and appropriate, evidence-informed practices that are 

15 likely to improve health outcomes,’’; and 

16 (3) by striking the second sentence and inserting 

17 the following: 

18 ‘‘(2) In carrying out such program, the Assistant Sec19 retary shall— 

20 ‘‘(A) provide technical assistance on the delivery 

21 of evidence-based disease prevention and health pro22 motion services, and, as applicable and appropriate, 

23 such evidence-informed practices, in different settings 

24 and for different populations; 


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1 ‘‘(B) develop, make publicly available, and up2 date on a regular basis a list of such evidence-in3 formed practices; and 

4 ‘‘(C) consult with the Directors of the Centers for 

5 Disease Control and Prevention and the National In6 stitute on Aging.’’. 

7 (b) FUNCTIONS OF ASSISTANT SECRETARY.—Section 

8 202 (42 U.S.C. 3012) is amended— 

9 (1) in subsection (a)(28), by inserting after ‘‘pro10 motion services’’ the following: ‘‘, or, as applicable 

11 and appropriate, evidence-informed practices that are 

12 likely to improve health outcomes’’; and 

13 (2) in subsection (b)(9)(B), by inserting after 

14 ‘‘services programs’’ the following: ‘‘, or, as applicable 

15 and appropriate, evidence-informed practices that are 

16 likely to improve health outcomes’’. 

17 (c) CHRONIC DISEASE SELF-MANAGEMENT EDU18 CATION.—Section 411(a)(16) (42 U.S.C. 3032(a)(16)) is 

19 amended by inserting ‘‘or evidence-informed’’ after ‘‘evi20 dence-based’’. 

21 SEC. 204. ENHANCING MULTIPURPOSE SENIOR CENTERS. 

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

23 3012(a)(30)) is amended— 

24 (1) by inserting ‘‘establishment, maintenance, 

25 and’’ after ‘‘to support the’’; and 


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1 (2) by inserting ‘‘and access to services provided 

2 at multipurpose senior centers’’ before the semicolon 

3 at the end. 

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

5 306(a)(2)(A) (42 U.S.C. 3026(a)(2)(A)) is amended by in6 serting ‘‘, including those services provided at multipurpose 

7 senior centers, where appropriate’’ before the semicolon at 

8 the end. 

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

10 3027(a)(2)(A)) is amended by inserting ‘‘and, to the extent 

11 feasible, make such evaluation public’’ before the semicolon 

12 at the end. 

13 SEC. 205. ADDRESSING HOME MODIFICATIONS. 

14 (a) INDOOR AIR QUALITY.—Section 361(c) (42 U.S.C. 

15 3030m(c)) is amended by striking ‘‘buildings’’ and all that 

16 follows and inserting ‘‘buildings and residences where older 

17 individuals congregate or live’’. 

18 (b) WEATHERIZATION.—Section 321(a)(4) (42 U.S.C. 

19 3030d(a)(4)) is amended by striking subparagraph (A) and 

20 inserting ‘‘(A) to assist older individuals to obtain adequate 

21 housing, including residential repair and renovation 

22 projects, and (if assistance for weatherization projects does 

23 not unnecessarily duplicate other Federal assistance avail24 able) weatherization projects, designed to enable older indi25 viduals to maintain their homes in conformity with minVerDate Sep 11 2014 01:12 Sep 13, 2024 Jkt 049200 PO 00000 Frm 00119 Fmt 6652 Sfmt 6203 E:\BILLS\S4776.RS S4776

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1 imum housing and other relevant standards, in order to 

2 support such older individuals in aging in place and main3 taining their health;’’. 

4 SEC. 206. NATIONAL RESOURCE CENTER FOR ENGAGING 

5 OLDER ADULTS. 

6 Section 411(a)(18) (42 U.S.C. 3032(a)(18)) is amend7 ed by inserting ‘‘, such as providing appropriate training, 

8 resources, and best practices to the aging network’’ after 

9 ‘‘older individuals’’. 

10 SEC. 207. MULTIGENERATIONAL AND CIVIC ENGAGEMENT 

11 ACTIVITIES. 

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

13 (1) in subsection (a)— 

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

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

16 inserting the following: ‘‘projects to serve indi17 viduals in younger generations and older indi18 viduals by developing, carrying out, and pro19 moting participation in multigenerational ac20 tivities, which projects may include—’’; 

21 (B) in paragraph (1), in the matter pre22 ceding subparagraph (A), by striking ‘‘provide’’ 

23 and inserting ‘‘providing’’; 

24 (C) in paragraph (2)— 


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1 (i) by striking ‘‘coordinate’’ and in2 serting ‘‘coordinating’’; and 

3 (ii) by adding ‘‘and’’ at the end; 

4 (D) by striking paragraphs (3) and (4) and 

5 inserting the following: 

6 ‘‘(3) promoting volunteerism, including by pro7 viding opportunities— 

8 ‘‘(A) for older individuals to become men9 tors to individuals in younger generations; and 

10 ‘‘(B) at facilities that serve older individ11 uals or individuals in younger generations, at 

12 which multigenerational activities might occur.’’; 

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

14 inserting ‘‘(3)’’; 

15 (3) in subsection (d)— 

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

17 (B) by redesignating paragraphs (2) 

18 through (5) as paragraphs (1) through (4); and 

19 (4) in subsection (h)(1), by striking ‘‘or a family 

20 support program.’’ and inserting ‘‘or a family sup21 port program, or a program at a multipurpose senior 

22 center, long-term care facility, or any other residen23 tial facility for older individuals.’’. 


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1 SEC. 208. GAO STUDY AND REPORT ON ACCESS TO HOUS2 ING FOR OLDER INDIVIDUALS. 

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

4 United States shall conduct a study that analyzes housing 

5 programs and services for older individuals under the Older 

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

7 (b) INCLUSIONS.—The study under this section shall 

8 include— 

9 (1) an analysis of the Interagency Coordinating 

10 Committee on Healthy Aging and Age-Friendly Com11 munities that— 

12 (A) assesses any metrics used by the Com13 mittee to evaluate the success of the Committee’s 

14 activities and related Federal programs; 

15 (B) evaluates interagency coordination of 

16 Federal housing programs for older individuals; 

17 and 

18 (C) assesses the availability of affordable 

19 housing for older individuals as the result of 

20 interagency coordination; 

21 (2) an analysis of any overlap between, and gaps 

22 in, housing programs and services that assist older 

23 individuals in obtaining accessible and affordable 

24 housing that achieves the objectives of the Older Amer25 icans Act of 1965 (42 U.S.C. 3001 et seq.), including 

26 programs under the Administration for Community 


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1 Living, the Department of Housing and Urban Devel2 opment, and other Federal programs, as applicable, 

3 and the availability, accessibility, and demand for 

4 such services; 

5 (3) an analysis of the availability of affordable 

6 housing for such older individuals, to the extent such 

7 information is available and taking into consider8 ation incomes and geographic and demographic 

9 trends; and 

10 (4) any recommendations to improve the supply, 

11 accessibility, and affordability of housing for older in12 dividuals and coordination of services provided under 

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

14 seq.) and other related Federal programs, as applica15 ble. 

16 (c) REPORT TO CONGRESS.—Not later than 2 years 

17 after the date of enactment of this Act, the Comptroller Gen18 eral of the United States shall submit to the Committee on 

19 Health, Education, Labor, and Pensions and the Special 

20 Committee on Aging of the Senate and the Committee on 

21 Education and the Workforce of the House of Representa22 tives a report on the results of the study under this section. 


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1 SEC. 209. REPORT RELATING TO HEALTH OUTCOMES FOR 

2 OLDER INDIVIDUALS LIVING WITH OR NEAR 

3 FAMILY MEMBERS. 

4 (a) IN GENERAL.—The Secretary shall prepare a re5 port that assesses— 

6 (1) the health outcomes for older individuals who 

7 live with, on the same property as, or otherwise in the 

8 community in close geographic proximity, relative to 

9 the area, to family members; and 

10 (2) the degree to which programs under the Older 

11 Americans Act of 1965 (42 U.S.C. 3001 et seq.) pro12 mote living in the settings described in paragraph 

13 (1), as appropriate. 

14 (b) INCLUSION.—The report described under subsection 

15 (a) shall include— 

16 (1) an assessment of physical and mental health 

17 outcomes of older individuals who live in the settings 

18 described in subsection (a)(1) in comparison to phys19 ical and mental health outcomes of older individuals 

20 who do not live in such settings; 

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

22 in such settings mitigates social isolation and loneli23 ness in older adults; and 

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

25 settings and whether, and to what extent, findings 


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1 under paragraphs (1) and (2) vary across such dif2 ferent types. 

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

4 of enactment of this Act, the Secretary shall submit to the 

5 Committee on Health, Education, Labor, and Pensions and 

6 the Special Committee on Aging of the Senate and the Com7 mittee on Education and the Workforce of the House of Rep8 resentatives the report required by subsection (a). 

9 SEC. 210. IMPROVING BROADBAND COORDINATION AND RE10 DUCING SOCIAL ISOLATION. 

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

12 appropriate, coordinate with the Assistant Secretary of 

13 Commerce for Communications and Information of the Na14 tional Telecommunications and Information Administra15 tion to ensure that the aging network (as defined in section 

16 102 of the Older Americans Act of 1965 (42 U.S.C. 3002)) 

17 and other relevant stakeholders are aware of, and, subject 

18 to applicable eligibility criteria, have access to, Federal pro19 grams relating to digital literacy and the adoption of 

20 broadband that may support aging in place for older indi21 viduals. 

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

23 of enactment of this Act, the Assistant Secretary shall pre24 pare, and submit to the Committee on Health, Education, 

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


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1 the Committee on Commerce, Science, and Transportation 

2 of the Senate and the Committee on Education and the 

3 Workforce of the House of Representatives, a report regard4 ing any coordination efforts carried out pursuant to sub5 section (a). 

6 TITLE III—ENHANCING INNOVA7 TION AND FLEXIBILITY IN NU8 TRITION SERVICES 

9 SEC. 301. MEDICALLY TAILORED MEALS. 

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

11 3002(14)) is amended— 

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

13 may include counseling related to the provision of 

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

15 (2) in subparagraph (D), by inserting ‘‘(includ16 ing from medically tailored meals)’’ after ‘‘improved 

17 nutrition’’. 

18 (b) ADMINISTRATION OF NUTRITION SERVICES.—Sec19 tion 205(a)(2)(A) (42 U.S.C. 3016(a)(2)(A)) is amended— 

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

21 through the use of innovative approaches’’ after ‘‘sys22 tems’’; and 

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

24 interventions’’ after ‘‘including strategies’’. 


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

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

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

4 (d) NUTRITION SERVICES PURPOSES.—Section 330(3) 

5 (42 U.S.C. 3030d–21(3)) is amended by inserting ‘‘, tai6 lored to their individual medical and nutritional needs to 

7 the extent feasible,’’ after ‘‘services’’. 

8 SEC. 302. NUTRITION SERVICE PROVIDERS. 

9 Section 339 (42 U.S.C. 3030g–21) is amended— 

10 (1) in paragraph (1), by striking ‘‘and’’ at the 

11 end; 

12 (2) in paragraph (2)(L), by striking the period 

13 at the end and inserting ‘‘; and’’; and 

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

15 ‘‘(3) where feasible, when selecting local nutri16 tion providers, give consideration to the capabilities 

17 of community-based organizations if such organiza18 tions meet the requirements of subpart 1 or 2 and can 

19 provide nutrition services in the designated area.’’. 

20 SEC. 303. GRAB-AND-GO MEALS. 

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

22 by adding at the end the following: 

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

24 to allow use of not more than 25 percent of the funds re25 ceived by such State under subpart 1 of part C, calculated 


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1 after any transfers under subparagraphs (A) and (B) are 

2 completed, to make meals available at congregate meal sites 

3 or other community locations for consumption by older in4 dividuals outside such sites and locations, such as carry5 out or similar meals. A State electing to allow use of funds 

6 under the preceding sentence shall— 

7 ‘‘(i) ensure that such allowable use complements 

8 the delivery of services through the congregate meals 

9 program under section 331; and 

10 ‘‘(ii) notify the Assistant Secretary of such elec11 tion, including a description of the amount and per12 centage of funds received by such State under subpart 

13 1 of part C to be used for such purposes.’’. 

14 SEC. 304. NUTRITION SERVICES INCENTIVE PROGRAM IN15 NOVATION. 

16 Section 311 (42 U.S.C. 3030a) is amended— 

17 (1) in subsection (b)(1), by striking ‘‘subsection 

18 (e)’’ and inserting ‘‘subsection (f)(1)’’; 

19 (2) by redesignating subsections (e) and (f) as 

20 subsections (f) and (g), respectively; 

21 (3) by inserting after subsection (d) the fol22 lowing: 

23 ‘‘(e)(1) Subject to subsection (f)(2), a State agency or 

24 title VI grantee may, through grants to, or contracts with, 

25 recipients (as determined eligible by the State agency or 


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1 title VI grantee), implement innovative approaches, includ2 ing any approaches demonstrated to be effective through an 

3 award under section 340, to achieve the purposes described 

4 in section 330(1) by improving— 

5 ‘‘(A) the quality, composition, preparation, mo6 dality, delivery, or location of meals provided to older 

7 individuals under this Act; or 

8 ‘‘(B) the efficiency and effectiveness of distrib9 uting, delivering, or otherwise making meals available 

10 to older individuals under this Act. 

11 ‘‘(2) In implementing approaches under paragraph 

12 (1), a State agency or title VI grantee may, with the ap13 proval of the Assistant Secretary, waive any requirements 

14 of subparts 1 or 2 of part C or section 339 if the State 

15 agency or title VI grantee determines that such require16 ments impede the ability of such State agency or title VI 

17 grantee to successfully implement such approach. The As18 sistant Secretary shall approve a request for a waiver under 

19 the preceding sentence unless the Assistant Secretary deter20 mines that such waiver is not consistent with the objectives 

21 of this Act or the purposes described in section 330(1). 

22 ‘‘(3) The authority to carry out activities described in 

23 paragraph (1) shall expire on October 1, 2029. 

24 ‘‘(4) Not later than September 30, 2028, the Assistant 

25 Secretary shall submit a report to the Committee on Health, 


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1 Education, Labor, and Pensions and the Special Committee 

2 on Aging of the Senate and the Committee on Education 

3 and the Workforce of the House of Representatives describ4 ing any activities carried out by State agencies or title VI 

5 grantees under paragraph (1), an assessment of the out6 comes of such activities, and recommendations for scaling 

7 implementation of any successful innovative approaches 

8 within programs established under this section or subparts 

9 1 and 2 of part C.’’; and 

10 (4) in subsection (f), as so redesignated— 

11 (A) by striking ‘‘There are’’ and inserting 

12 ‘‘(1) There are’’; and 

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

14 ‘‘(2) If the amount appropriated to carry out this sec15 tion for a fiscal year exceeds the amount appropriated to 

16 carry out this section for the prior fiscal year or fiscal year 

17 2024, whichever is greater, a State agency and title VI 

18 grantee in receipt of an allotment under subsection (b) may 

19 elect to use the difference between the allotment received for 

20 the fiscal year and the allotment received for the prior fiscal 

21 year or fiscal year 2024, whichever is greater, for activities 

22 described in subsection (e).’’. 


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1 SEC. 305. GAO STUDY ON NUTRITION SERVICES INCENTIVE 

2 PROGRAM. 

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

4 United States shall conduct a study to evaluate the Nutri5 tion Services Incentive Program under section 311 (42 

6 U.S.C. 3030a) (referred to in this section as the ‘‘Pro7 gram’’). 

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

9 (1) shall— 

10 (A) include an assessment of how States 

11 and Tribal organizations use funding provided 

12 under the Program, including the degree to 

13 which States and Tribal organizations use such 

14 funding to procure food products from local or 

15 regional producers for meals supported under the 

16 Program; and 

17 (B) identify any challenges or barriers to 

18 increasing the use of local and regional pro19 ducers under the Program; and 

20 (2) may make recommendations related to im21 proving the effectiveness of the Program, including 

22 with respect to the use of local and regional pro23 ducers. 

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

25 after the date of enactment of this Act, the Comptroller Gen26 eral of the United States shall submit to the Committee on 


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1 Health, Education, Labor, and Pensions and the Special 

2 Committee on Aging of the Senate and the Committee on 

3 Education and the Workforce of the House of Representa4 tives a report on the results of the study under this section. 

5 SEC. 306. INNOVATIONS IN NUTRITION PROGRAMS AND 

6 SERVICES. 

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

8 21 et seq.) is amended by adding at the end the following: 

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

10 SERVICES. 

11 ‘‘(a) IN GENERAL.—From funds available under sub12 section (d), the Assistant Secretary shall make grants, on 

13 a competitive basis, to eligible entities, to achieve the pur14 poses of section 330(1) by developing, implementing, and 

15 evaluating innovative local or regional approaches to im16 prove the quality, effectiveness, efficiency, and outcomes of 

17 nutrition programs and services described in sections 311, 

18 331, and 336. 

19 ‘‘(b) ELIGIBILITY.—In order to be eligible for a grant 

20 under subsection (a), an entity shall— 

21 ‘‘(1) be— 

22 ‘‘(A) a State agency, an area agency on 

23 aging, an Indian Tribe, a Tribal organization, 

24 a nutrition service provider, a multipurpose sen25 ior center, a health care entity, an institution of 


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1 higher education, or another public or nonprofit 

2 private entity; or 

3 ‘‘(B) a partnership between any entities de4 scribed in subparagraph (A); and 

5 ‘‘(2) submit an application at such time and in 

6 such manner as the Assistant Secretary may require, 

7 including— 

8 ‘‘(A) a description of an innovative ap9 proach referred to in subsection (a) that the enti10 ty proposes to implement under the grant; 

11 ‘‘(B) a plan for evaluating the effectiveness, 

12 including cost-effectiveness, of the innovative ap13 proach proposed; and 

14 ‘‘(C) as appropriate, plans for the publica15 tion of the results of such evaluation. 

16 ‘‘(c) REPORT.—Not later than 1 year after the date 

17 of enactment of the Older Americans Act Reauthorization 

18 Act of 2024, and annually thereafter, the Assistant Sec19 retary shall submit a report to the Committee on Health, 

20 Education, Labor, and Pensions and the Special Committee 

21 on Aging of the Senate and the Committee on Education 

22 and the Workforce of the House of Representatives describ23 ing any activities carried out under subsection (a), an as24 sessment of the outcomes of such activities, and rec25 ommendations for scaling implementation of any successful 


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1 innovative approaches implemented under this section, 

2 through programs established under section 311, 331, or 

3 336. 

4 ‘‘(d) RESERVATION.—From the total of the amounts 

5 made available for a fiscal year under paragraphs (1) and 

6 (2) of section 303(b) and in section 311(f), the Assistant 

7 Secretary shall reserve an amount equal to not more than 

8 1 percent to carry out activities described in subsection 

9 (a).’’. 

10 TITLE IV—SUPPORTING FAMILY 

11 CAREGIVERS 

12 SEC. 401. IMPROVING THE NATIONAL FAMILY CAREGIVER 

13 SUPPORT PROGRAM. 

14 (a) STATE REQUIREMENTS FOR STATE AND COMMU15 NITY PROGRAMS ON AGING GRANTS.—Section 305(a)(3)(E) 

16 (42 U.S.C. 3025(a)(3)(E)) is amended— 

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

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

19 end and inserting ‘‘; and’’; and 

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

21 ‘‘(iii) available supports for family 

22 caregivers and older relative caregivers (as 

23 defined in section 372(a)).’’. 

24 (b) AREA PLAN REQUIREMENTS.—Section 

25 306(a)(7)(D) (42 U.S.C. 3026(a)(7)(D)) is amended— 


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

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

3 semicolon; and 

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

5 ‘‘(iii) available supports for family 

6 caregivers and older relative caregivers (as 

7 defined in section 372(a));’’. 

8 (c) DEFINITIONS RELATING TO THE NATIONAL FAMILY

9 CAREGIVER SUPPORT PROGRAM.— 

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

11 3030s(a)) is amended— 

12 (A) in paragraph (1)— 

13 (i) in the first sentence, by striking 

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

15 ‘‘(A) IN GENERAL.—The term’’; and 

16 (ii) in subparagraph (A) (as so des17 ignated), in the second sentence— 

18 (I) by striking the period at the 

19 end and inserting ‘‘; and’’; and 

20 (II) by striking ‘‘Such assessment 

21 shall be administered through’’ and in22 serting the following: 

23 ‘‘(B) ADMINISTRATION OF ASSESSMENTS.— 

24 A caregiver assessment under subparagraph (A) 

25 shall— 


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

2 (III) by adding at the end the fol3 lowing: 

4 ‘‘(ii) take into account— 

5 ‘‘(I) linguistic and cultural dif6 ferences; 

7 ‘‘(II) the ease for the caregiver to 

8 access information, supports, or serv9 ices, and the timeliness of access to 

10 such information, supports, or services; 

11 ‘‘(III) barriers to accessing infor12 mation, supports, or services; 

13 ‘‘(IV) the availability of informa14 tion, supports, or services in accessible 

15 formats; and 

16 ‘‘(V) the quality of information, 

17 supports, or services received, and the 

18 degree to which it is helpful to the 

19 caregiver.’’; 

20 (B) by striking paragraph (2) and inserting 

21 the following: 

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

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

24 ‘‘(A) 18 years of age; or 


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1 ‘‘(B) 22 years of age, in the case of an indi2 vidual who is enrolled in any form of schooling 

3 (including on a part-time basis), including— 

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

5 (as such terms are defined in section 8101 

6 of the Elementary and Secondary Edu7 cation Act of 1965 (20 U.S.C. 7801)); or 

8 ‘‘(ii) in an institution of higher edu9 cation (as defined in section 102 of the 

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

11 1002)).’’; and 

12 (C) in paragraph (4)(B)(i), by inserting 

13 ‘‘adult’’ after ‘‘or other’’. 

14 (2) CONFORMING AMENDMENTS.—Part E of title 

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

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

17 each place it appears (other than in section 

18 372(a)(2) (as amended by paragraph (1)(B)); 

19 and 

20 (B) by inserting ‘‘or youth’’ after ‘‘children’’ 

21 each place it appears (other than in section 

22 373(c)(3)(A) (as amended by subsection 

23 (d)(2)(B)). 

24 (d) PROGRAM AUTHORIZED.—Section 373 (42 U.S.C. 

25 3030s–1) is amended— 


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1 (1) in subsection (b)(3)— 

2 (A) by inserting ‘‘which may include trau3 ma-informed services, peer supports,’’ after ‘‘in4 dividual counseling,’’; and 

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

6 after ‘‘nutrition,’’; 

7 (2) in subsection (c)— 

8 (A) in the subsection heading, by striking 

9 ‘‘PRIORITY’’ and inserting ‘‘PRIORITY; CONSID10 ERATION’’; and 

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

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

13 under this part, the State shall consider— 

14 ‘‘(A) that older relative caregivers caring for 

15 multiple children or youth may need greater re16 sources and supports; and 

17 ‘‘(B) the circumstances and unique needs of 

18 different types of caregivers, including the needs 

19 of children and their older relative caregivers 

20 whose families have been affected by substance 

21 use disorder, including opioid use disorder.’’; 

22 (3) in subsection (e)— 

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

24 by striking ‘‘Not later than’’ and all that follows 

25 through ‘‘the Assistant Secretary shall’’ and inVerDate Sep 11 2014 01:12 Sep 13, 2024 Jkt 049200 PO 00000 Frm 00138 Fmt 6652 Sfmt 6203 E:\BILLS\S4776.RS S4776

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1 serting ‘‘The Assistant Secretary shall, on a reg2 ular basis’’; 

3 (B) in paragraph (1)— 

4 (i) in subparagraph (B)— 

5 (I) by inserting ‘‘or evidence-in6 formed’’ after ‘‘evidence-based’’; and 

7 (II) by striking ‘‘and’’ at the end; 

8 (ii) by redesignating subparagraph (C) 

9 as subparagraph (D); and 

10 (iii) by inserting after subparagraph 

11 (B) the following: 

12 ‘‘(C) the use of caregiver assessments; and’’; 

13 and 

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

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

16 disseminate’’; 

17 (4) in subsection (i)— 

18 (A) in paragraph (1), by inserting ‘‘, which 

19 may include the improvement of the quality and 

20 consistency of caregiver assessments and access to 

21 other information, supports, or services’’ after 

22 ‘‘section 631’’; and 

23 (B) in paragraph (2), by inserting ‘‘(in24 cluding outcome measures)’’ after ‘‘program eval25 uation’’; and 


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1 (5) in subsection (j)— 

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

3 by striking ‘‘Not later than’’ and all that follows 

4 through ‘‘shall provide technical assistance’’ and 

5 inserting ‘‘Beginning not later than 1 year after 

6 the date of enactment of the Older Americans Act 

7 Reauthorization Act of 2024, the Assistant Sec8 retary, in consultation with stakeholders with 

9 appropriate expertise and, as appropriate, in10 formed by the most recent strategy developed 

11 under the RAISE Family Caregivers Act (42 

12 U.S.C. 3030s note) and the most recent report 

13 developed under the Supporting Grandparents 

14 Raising Grandchildren Act (Public Law 115– 

15 196; 132 Stat. 1511), shall provide ongoing tech16 nical assistance’’; 

17 (B) in paragraph (2), by striking ‘‘and’’ at 

18 the end; 

19 (C) by redesignating paragraph (3) as 

20 paragraph (4); and 

21 (D) by inserting after paragraph (2) the fol22 lowing: 

23 ‘‘(3) the quality and consistency of caregiver as24 sessments used across States; and’’. 


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1 SEC. 402. EMPHASIZING RESPITE CARE. 

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

3 amended to read as follows: 

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

5 through various models, designed to support family 

6 members and other persons providing voluntary care 

7 to older individuals that need long-term care services, 

8 which may include older individuals with cognitive 

9 impairments such as Alzheimer’s disease and related 

10 disorders with neurological and organic brain dys11 function;’’. 

12 SEC. 403. CLARIFYING SUPPORTIVE SERVICES. 

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

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

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

16 or mental impairments’’. 

17 SEC. 404. DIRECT CARE WORKFORCE RESOURCE CENTER. 

18 Section 411(a)(13) (42 U.S.C. 3032(a)(13)) is amend19 ed— 

20 (1) by striking subparagraph (B); 

21 (2) by striking ‘‘(13)’’ and all that follows 

22 through ‘‘(A) to’’ and inserting the following: 

23 ‘‘(13) in coordination with the Secretary of 

24 Labor and, as appropriate, the heads of other relevant 

25 Federal departments and agencies, the establishment 

26 and operation of a national resource center that supVerDate Sep 11 2014 01:12 Sep 13, 2024 Jkt 049200 PO 00000 Frm 00141 Fmt 6652 Sfmt 6203 E:\BILLS\S4776.RS S4776

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1 ports the growth and professionalization of the direct 

2 care workforce necessary to meet the needs of older in3 dividuals and individuals with disabilities, and, in a 

4 manner that does not unnecessarily duplicate the ac5 tivities of other resource centers supported by the As6 sistant Secretary, that addresses training and other 

7 educational needs of family caregivers, which activi8 ties of the center may include— 

9 ‘‘(A) the provision of training and technical 

10 assistance, including through the development 

11 and dissemination of educational materials, to 

12 direct care workers and family caregivers; and 

13 ‘‘(B) supporting the demonstration of new, 

14 and promoting existing, strategies for the re15 cruitment, retention, career development, or ad16 vancement of direct care workers to’’; and 

17 (3) in subparagraph (B), as so designated in 

18 paragraph (2), by striking ‘‘; and’’ at the end and in19 serting a semicolon. 

20 SEC. 405. SUPPORTING GRANDPARENTS RAISING GRAND21 CHILDREN ACT. 

22 (a) FINDINGS.—The Supporting Grandparents Rais23 ing Grandchildren Act (Public Law 115–196; 132 Stat. 

24 1511) is amended by striking section 2. 


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1 (b) DEFINITIONS.—The Supporting Grandparents 

2 Raising Grandchildren Act is amended by redesignating 

3 section 4 as section 2 and moving the section so as to follow 

4 section 1. 

5 (c) ADVISORY COUNCIL.—Section 3 of the Supporting 

6 Grandparents Raising Grandchildren Act is amended— 

7 (1) in subsection (b)— 

8 (A) in paragraph (1)— 

9 (i) by redesignating subparagraphs (G) 

10 through (I) as subparagraphs (H) through 

11 (J); 

12 (ii) by inserting after subparagraph 

13 (F) the following: 

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

15 (iii) in subparagraph (I), as so redes16 ignated, by striking ‘‘of children’’; and 

17 (iv) in subparagraph (J), as so redes18 ignated, by striking ‘‘relatives’’ and insert19 ing ‘‘relative caregivers’’; and 

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

21 ‘‘(3) LIMITATION ON NON-FEDERAL MEMBERS.— 

22 Not more than 10 members of the Advisory Council 

23 may be individuals who are not Federal officers or 

24 employees.’’; 

25 (2) in subsection (c)— 


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1 (A) in paragraph (1)— 

2 (i) in subparagraph (A)— 

3 (I) in the matter preceding clause 

4 (i), by striking ‘‘relatives’’ and insert5 ing ‘‘relative caregivers’’; and 

6 (II) in clause (i)— 

7 (aa) by striking ‘‘the health,’’ 

8 and inserting ‘‘the near- and 

9 long-term health, including men10 tal health,’’; and 

11 (bb) by striking ‘‘care; and’’ 

12 and inserting ‘‘care, including 

13 any needs related to the cir14 cumstances that caused such chil15 dren to be raised by a grand16 parent or older relative caregiver; 

17 and’’; and 

18 (ii) in subparagraph (B)— 

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

20 follows through ‘‘In’’ and inserting the 

21 following: 

22 ‘‘(B) CONSIDERATIONS.—In’’; and 

23 (II) by striking ‘‘needs of those af24 fected by the opioid crisis’’ and insert25 ing ‘‘needs and challenges of individVerDate Sep 11 2014 01:12 Sep 13, 2024 Jkt 049200 PO 00000 Frm 00144 Fmt 6652 Sfmt 6203 E:\BILLS\S4776.RS S4776

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1 uals affected by substance use disorder, 

2 including opioid use disorder, or, as 

3 applicable and appropriate, needs and 

4 challenges of individuals related to 

5 other circumstances, which may in6 clude public health emergencies’’; 

7 (B) in paragraph (2)— 

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

9 preceding clause (i), by striking ‘‘enactment 

10 of this Act’’ and inserting ‘‘enactment of the 

11 Older Americans Act Reauthorization Act of 

12 2024’’; and 

13 (ii) in subparagraph (B)— 

14 (I) in clause (i)— 

15 (aa) by striking ‘‘relatives’’ 

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

18 (bb) by striking ‘‘needs of 

19 children’’ and all that follows 

20 through ‘‘epidemic;’’ and inserting 

21 ‘‘needs of children and their older 

22 relative caregivers who have been 

23 affected by substance use disorder, 

24 including opioid use disorder;’’; 


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1 (II) in clause (ii), by striking the 

2 ‘‘and’’ at the end; 

3 (III) by redesignating clause (iii) 

4 as clause (iv); and 

5 (IV) by inserting after clause (ii) 

6 the following: 

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

8 the Department of Health and Human 

9 Services to evaluate the effectiveness of sup10 portive services in addressing the needs of 

11 children and their older relative caregivers, 

12 including those who have been affected by 

13 substance use disorder, including opioid use 

14 disorder, and any related findings; and’’; 

15 (C) in paragraph (3)— 

16 (i) in the matter preceding subpara17 graph (A)— 

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

19 follows through ‘‘Not’’ and inserting 

20 the following: 

21 ‘‘(3) FOLLOW-UP REPORTS.—Not’’; 

22 (II) by striking ‘‘2 years’’ and in23 serting ‘‘180 days’’; and 

24 (III) by inserting after ‘‘sub25 mitted,’’ the following: ‘‘and every 2 


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1 years thereafter until the Advisory 

2 Council terminates under subsection 

3 (f),’’; and 

4 (D) in paragraph (4) by striking ‘‘rel5 atives’’ each place it appears and inserting ‘‘rel6 ative caregivers’’; 

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

8 Advisory Committee Act (5 U.S.C. App.).’’ and in9 serting ‘‘chapter 10 of title 5, United States Code.’’; 

10 and 

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

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

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

14 SEC. 406. RAISE FAMILY CAREGIVERS ACT. 

15 (a) STRATEGY.—Section 3 of the RAISE Family Care16 givers Act (42 U.S.C. 3030s note) is amended— 

17 (1) in subsection (c)— 

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

19 by inserting ‘‘(or the Secretary’s designee)’’ after 

20 ‘‘The Secretary’’; and 

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

22 made publicly available by the Secretary,’’ after 

23 ‘‘caregiver programs,’’; and 

24 (2) in subsection (d)(2), by inserting ‘‘in’’ after 

25 ‘‘caregiver programs’’. 


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

2 3030s note) is amended by striking ‘‘The Federal Advisory 

3 Committee Act (5 U.S.C. App.)’’ and inserting ‘‘Chapter 

4 10 of title 5, United States Code,’’. 

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

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

7 all that follows through ‘‘Act.’’ and inserting ‘‘terminate on 

8 September 30, 2029.’’. 

9 TITLE V—COMMUNITY SERVICE 

10 SENIOR OPPORTUNITIES ACT 

11 SEC. 501. IMPROVING THE COMMUNITY SERVICE EMPLOY12 MENT PROGRAM. 

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

14 3056(b)(1) is amended— 

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

16 513(a)(2)(E)’’ and inserting ‘‘section 513(a)(2)(F)’’; 

17 and 

18 (2) in subparagraph (E), by inserting ‘‘older in19 dividuals,’’ after ‘‘youth,’’. 

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

21 amended— 

22 (1) in subsection (a)(2)— 

23 (A) by redesignating subparagraph (E) as 

24 subparagraph (F); and 


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1 (B) by inserting after subparagraph (D) the 

2 following: 

3 ‘‘(E) BIENNIAL REPORT.—Not later than 2 

4 years after the date of enactment of the Older 

5 Americans Act Reauthorization Act of 2024, and 

6 every 2 years thereafter during the period of the 

7 program described in section 502(a)(1), the Sec8 retary shall prepare and submit to the Com9 mittee on Health, Education, Labor, and Pen10 sions and the Special Committee on Aging of the 

11 Senate and the Committee on Education and the 

12 Workforce of the House of Representatives a re13 port regarding the methodology used to arrive at 

14 the expected levels of performance described in 

15 subparagraph (B) for each grantee, including the 

16 particular statistical model used and other fac17 tors taken into account, as described in subpara18 graph (D).’’; 

19 (2) in subsection (c) and paragraphs (1)(A), 

20 (2)(A), and (3)(A) of subsection (d), by striking ‘‘sub21 section (a)(2)(E)’’ and inserting ‘‘subsection 

22 (a)(2)(F)’’; and 

23 (3) in subsection (d)— 

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

25 the end the following: ‘‘For grants awarded on or 


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1 after the date that is 2 years after the date of en2 actment of the Older Americans Act Reauthor3 ization Act of 2024, any grantee who has failed 

4 to meet the expected levels of performance for the 

5 2 consecutive years prior to the subsequent grant 

6 competition under section 514 shall not be al7 lowed to compete in the subsequent grant com8 petition under section 514 following the second 

9 consecutive year of failure but may compete in 

10 the next such grant competition after that subse11 quent competition.’’; and 

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

13 the end the following: ‘‘For grants awarded on or 

14 after the date that is 2 years after the date of en15 actment of the Older Americans Act Reauthor16 ization Act of 2024, if the Secretary determines 

17 that the State fails to meet the expected levels of 

18 performance described in subparagraph (A) for 2 

19 consecutive program years, the Secretary shall 

20 provide for the conduct by the State of a com21 petition to award the funds allotted to the State 

22 under section 506(e) for the first full program 

23 year following the Secretary’s determination.’’. 

24 (c) DEFINITIONS.—Section 518(a)(1)(A) (42 U.S.C. 

25 3056p(a)(1)(A)) is amended to read as follows: 


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1 ‘‘(A) social, health, welfare, and educational 

2 services (including literacy tutoring and services 

3 provided by the aging network), legal and other 

4 counseling services and assistance (including tax 

5 counseling and assistance and financial coun6 seling), and library, recreational, and other 

7 similar services;’’. 

8 SEC. 502. GAO REPORT ON ALIGNMENT WITHIN THE COM9 MUNITY SERVICE EMPLOYMENT PROGRAM. 

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

11 of enactment of this Act, the Comptroller General of the 

12 United States shall complete a review in which the Comp13 troller General— 

14 (1) evaluates— 

15 (A) the distinct differences and similarities 

16 between the older American community service 

17 employment program as authorized under title V 

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

19 3056 et seq.) and the programs carried out under 

20 title I of the Workforce Innovation and Oppor21 tunity Act (29 U.S.C. 3111 et seq.); and 

22 (B) how the programs described in subpara23 graph (A) serve older individuals in seeking and 

24 obtaining community service employment; 


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1 (2) analyzes the efficacy and impacts of the indi2 cators of performance described in section 513(b) of 

3 the Older Americans Act of 1965 (42 U.S.C. 3056k(b) 

4 and corrective measures described in section 513(d) of 

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

6 3056k(d)) for the older American community service 

7 employment program, compared with the efficacy and 

8 impacts of the indicators of performance and correc9 tive measures described in section 116 of the Work10 force Innovation and Opportunity Act (29 U.S.C. 

11 3141) for programs authorized under title I of such 

12 Act; and 

13 (3) evaluates how the Department of Labor co14 ordinates delivery of services with State and national 

15 grantees under title V of the Older Americans Act of 

16 1965 and with States and local workforce develop17 ment areas under title I of the Workforce Innovation 

18 and Opportunity Act to serve older individuals. 

19 (b) REPORT TO CONGRESS.—Not later than 18 months 

20 after the date of enactment of this Act, the Comptroller Gen21 eral shall submit to the Committee on Health, Education, 

22 Labor, and Pensions and the Special Committee on Aging 

23 of the Senate and the Committee on Education and the 

24 Workforce of the House of Representatives a report on the 

25 results of the review under this section. 


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1 TITLE VI—IMPROVING SERVICES 

2 FOR NATIVE ELDERS 

3 SEC. 601. OLDER AMERICANS TRIBAL ADVISORY COM4 MITTEE. 

5 Section 201(c) (42 U.S.C. 3011(c)) is amended by add6 ing at the end the following: 

7 ‘‘(4)(A) In addition to other methods of govern8 ment-to-government consultation between the Admin9 istration and Indian Tribes and conferring with or10 ganizations representing Native Hawaiians, the As11 sistant Secretary shall establish an advisory com12 mittee, to be known as the ‘Older Americans Tribal 

13 Advisory Committee’ (referred to in this paragraph as 

14 the ‘Committee’) to provide advice and guidance to 

15 the Assistant Secretary on matters relating to the 

16 needs of older individuals who are Native Americans 

17 and implementation of related programs and activi18 ties under this Act. 

19 ‘‘(B) The Committee shall be composed of 11 vot20 ing, non-Federal members, including— 

21 ‘‘(i) geographically diverse individuals with 

22 expertise on the range of issues affecting Indian 

23 Tribes, organizations representing Native Ha24 waiians, and older individuals who are Native 

25 Americans; 


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

2 Alaska Native; and 

3 ‘‘(iii) not less than 1 member who is a Na4 tive Hawaiian. 

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

6 officio representatives of relevant Federal departments 

7 and agencies, including— 

8 ‘‘(i) the Administration; 

9 ‘‘(ii) the Indian Health Service; 

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

11 Services; 

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

13 ‘‘(v) the Department of Labor; and 

14 ‘‘(vi) any other agency or office with subject 

15 matter expertise that the Assistant Secretary de16 termines appropriate. 

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

18 less frequently than twice each year. 

19 ‘‘(E) The Committee shall coordinate, as appro20 priate, with the Secretary’s Tribal Advisory Com21 mittee of the Department of Health and Human Serv22 ices. 

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

24 the Committee shall submit to the Assistant Secretary 

25 and make publicly available a report that describes— 


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

2 the previous year; and 

3 ‘‘(II) recommendations for administrative 

4 action, including the identification of any statu5 tory barriers to carrying out such recommenda6 tions, for the following year. 

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

8 which the Assistant Secretary receives a report under 

9 clause (i), the Assistant Secretary shall submit to the 

10 Committee a written response to such report. 

11 ‘‘(G) Chapter 10 of title 5, United States Code, shall 

12 not apply to the Committee. 

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

14 operating the Committee, the Assistant Secretary shall— 

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

16 organizations representing Native Hawaiians; and 

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

18 other Tribal advisory committees operated by the De19 partment of Health and Human Services before the 

20 date of enactment of the Older Americans Act Reau21 thorization Act of 2024.’’. 

22 SEC. 602. SUPPORTIVE SERVICES; SET ASIDE. 

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

24 3057k–21) is amended— 


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1 (1) in subsection (a), by striking ‘‘may’’ and in2 serting ‘‘shall, as practicable,’’; and 

3 (2) in subsection (b)(2), by striking ‘‘in-home as4 sistance’’ and inserting ‘‘in-home services’’. 

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

6 3057o) is amended— 

7 (1) by striking ‘‘Of’’ and inserting the following: 

8 ‘‘(a) IN GENERAL.—Of’’; and 

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

10 ‘‘(b) REPORT.—Not later than 1 year after the date 

11 of enactment of the Older Americans Act Reauthorization 

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

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

14 the Senate and the Committee on Education and the Work15 force of the House of Representatives, a report on the use 

16 of funds under part D. Such report shall include— 

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

18 under subsection (a) to carry out part D for each fis19 cal year; 

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

21 and 

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

23 healthy aging and independence provided under part 

24 D.’’. 


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1 SEC. 603. GAO REPORT ON TRIBAL SERVICES. 

2 Not later than 18 months after the date of enactment 

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

4 shall submit to Congress a report that— 

5 (1) evaluates and identifies barriers to Indian 

6 Tribes (as defined in section 4 of the Indian Self-De7 termination and Education Assistance Act (25 U.S.C. 

8 5304)) and organizations serving Native Hawaiians 

9 accessing programs under title VI of the Older Ameri10 cans Act of 1965 (42 U.S.C. 3057 et seq.), and coordi11 nation of such programs under such title VI with pro12 grams funded under titles III and IV of such Act (42 

13 U.S.C. 3021 et seq., 42 U.S.C. 3031 et seq.), including 

14 by— 

15 (A) estimating the number of Native Ameri16 cans unserved by programs under such title VI; 

17 (B) identifying States and area agencies on 

18 aging making grants to Indian Tribes under 

19 such title III; and 

20 (C) providing estimates of funding nec21 essary to support programs under such title VI 

22 for all Tribal organizations (as defined in sec23 tion 4 of the Indian Self-Determination and 

24 Education Assistance Act (25 U.S.C. 5304)) and 

25 organizations serving Native Hawaiians that are 


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1 not eligible under such title VI (as in effect on 

2 the date of enactment of this Act); and 

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

4 Older Americans Act of 1965 (42 U.S.C. 3056 et seq.) 

5 are serving older individuals who are Native Ameri6 cans with funds received under such title V, including 

7 by evaluating how the Secretary of Labor coordinates 

8 with State and national grantees under such title V 

9 to serve older individuals who are Native Americans. 

10 SEC. 604. TECHNICAL AMENDMENTS. 

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

12 seq.) is amended— 

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

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

15 term ‘Indian tribe’ means any tribe’’ and insert16 ing ‘‘the term ‘Indian Tribe’ means any Tribe’’; 

17 and 

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

19 term ‘tribal organization’ means’’ and inserting 

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

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

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

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

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

25 and 


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1 (B) by striking ‘‘(25 U.S.C. 450b)’’ and in2 serting ‘‘(25 U.S.C. 5304)’’; and 

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

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

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

6 TITLE VII—STRENGTHENING 

7 THE LONG-TERM CARE OM8 BUDSMAN PROGRAMS AND 

9 ELDER ABUSE PREVENTION 

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

11 OMBUDSMAN PROGRAMS. 

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

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

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

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

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

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

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

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

25 law students who are under the direct suVerDate Sep 11 2014 01:12 Sep 13, 2024 Jkt 049200 PO 00000 Frm 00159 Fmt 6652 Sfmt 6203 E:\BILLS\S4776.RS S4776

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1 pervision of an attorney, to assist State 

2 Long-Term Care Ombudsman programs, 

3 adult protective services programs, and 

4 other legal services relating to defense of 

5 guardianship and the matters described in 

6 clause (ii)(I), and to assist States and com7 munities to carry out evidence-based pro8 grams to prevent and address elder abuse, 

9 neglect, and exploitation;’’. 

10 SEC. 703. IMPROVING TRAINING OF VOLUNTEERS UNDER 

11 THE STATE LONG-TERM CARE OMBUDSMAN 

12 PROGRAM. 

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

14 (1) in subsection (h)(5)— 

15 (A) in the matter preceding subparagraph 

16 (A)— 

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

18 and inserting ‘‘each type of representative’’; 

19 and 

20 (ii) by inserting ‘‘types of’’ before ‘‘un21 paid volunteers’’; 

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

23 each such type of representative’’ before the semi24 colon at the end; 


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1 (C) in subparagraph (B)(iii), by striking 

2 ‘‘and’’ at the end; 

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

4 at the end; and 

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

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

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

9 unpaid volunteer performs activities requiring 

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

12 unpaid volunteers;’’; and 

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

14 ‘‘(k) TRAINING REQUIREMENTS FOR UNPAID VOLUN15 TEERS.— 

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

17 standards described in subsection (h)(5), the Director 

18 of the Office of Long-Term Care Ombudsman Pro19 grams shall review and, as necessary, update such 

20 model standards on a regular basis to tailor such 

21 model standards to the individualized training needs 

22 of each type of representative of the Office, including 

23 each type of unpaid volunteer. 

24 ‘‘(2) CONSIDERATIONS.—In carrying out para25 graph (1), the Director of the Office of Long-Term 


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1 Care Ombudsman Programs shall take into consider2 ation the degree to which each type of representative 

3 of the Office performs activities that require special4 ized training, with a goal of reducing unnecessary 

5 training requirements for unpaid volunteers.’’. 

6 SEC. 704. REPORTING ON STATE LONG-TERM CARE OM7 BUDSMAN PROGRAMS. 

8 Chapter 2 of subtitle A of title VII (42 U.S.C. 3058f 

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

10 ‘‘SEC. 714. REPORTS TO CONGRESS. 

11 ‘‘Each year, the Assistant Secretary shall submit to the 

12 Committee on Health, Education, Labor, and Pensions and 

13 the Special Committee on Aging of the Senate and the Com14 mittee on Education and the Workforce of the House of Rep15 resentatives, and make publicly available, a report that— 

16 ‘‘(1) aggregates all reports submitted under sec17 tion 712(h) for such year; and 

18 ‘‘(2) provides a summary of the findings of such 

19 reports.’’. 

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

21 PROGRAMS. 

22 (a) IN GENERAL.—The Assistant Secretary shall seek 

23 to enter into a contract with the National Academies of 

24 Sciences, Engineering, and Medicine (referred to in this sec25 tion as the ‘‘National Academies’’) to conduct a study on 


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1 the State Long-Term Care Ombudsman programs carried 

2 out under the Older Americans Act of 1965 (42 U.S.C. 3001 

3 et seq.), including an assessment of the effectiveness of such 

4 programs and any related challenges and recommendations. 

5 The study shall include an assessment of the current (as 

6 of the date on which the contract is entered into) rec7 ommended staff-to-bed ratio for such programs, as appro8 priate. 

9 (b) REPORT.—Not later than 18 months after the date 

10 on which a contract is entered into under subsection (a), 

11 the National Academies shall publicly issue a report on the 

12 findings of the study under this section. 

13 TITLE VIII—AUTHORIZATIONS 

14 OF APPROPRIATIONS 

15 SEC. 801. ADMINISTRATION ON AGING. 

16 Section 216 (42 U.S.C. 3020f) is amended— 

17 (1) in subsection (a), by striking ‘‘$43,937,410’’ 

18 and all that follows through ‘‘fiscal year 2024’’ and 

19 inserting ‘‘$55,469,968 for fiscal year 2025, 

20 $58,034,197 for fiscal year 2026, $60,716,964 for fis21 cal year 2027, $63,523,747 for fiscal year 2028, and 

22 $66,460,281 for fiscal year 2029’’; and 

23 (2) in subsection (b)— 

24 (A) in paragraph (1), by striking 

25 ‘‘$2,180,660’’ and all that follows through ‘‘fiscal 


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1 year 2024’’ and inserting ‘‘$2,753,033 for fiscal 

2 year 2025, $2,880,298 for fiscal year 2026, 

3 $3,013,447 for fiscal year 2027, $3,152,751 for 

4 fiscal year 2028, and $3,298,494 for fiscal year 

5 2029’’; 

6 (B) in paragraph (2), by striking 

7 ‘‘$1,988,060’’ and all that follows through ‘‘fiscal 

8 year 2024’’ and inserting ‘‘$2,509,880 for fiscal 

9 year 2025, $2,625,905 for fiscal year 2026, 

10 $2,747,294 for fiscal year 2027, $2,874,294 for 

11 fiscal year 2028, and $3,007,165 for fiscal year 

12 2029’’; 

13 (C) in paragraph (3), by striking 

14 ‘‘$1,371,740’’ and all that follows through ‘‘fiscal 

15 year 2024’’ and inserting ‘‘$1,731,790 for fiscal 

16 year 2025, $1,811,846 for fiscal year 2026, 

17 $1,895,603 for fiscal year 2027, $1,983,232 for 

18 fiscal year 2028, and $2,074,911 for fiscal year 

19 2029’’; and 

20 (D) in paragraph (4), by striking 

21 ‘‘$8,687,330’’ and all that follows through ‘‘fiscal 

22 year 2024’’ and inserting ‘‘$10,967,554 for fiscal 

23 year 2025, $11,474,555 for fiscal year 2026, 

24 $12,004,993 for fiscal year 2027, $12,559,952 for 


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1 fiscal year 2028, and $13,140,565 for fiscal year 

2 2029’’. 

3 SEC. 802. GRANTS FOR STATE AND COMMUNITY PROGRAMS 

4 ON AGING. 

5 (a) IN GENERAL.—Section 303 (42 U.S.C. 3023) is 

6 amended— 

7 (1) in subsection (a)(1), by striking 

8 ‘‘$412,029,180’’ and all that follows through ‘‘fiscal 

9 year 2024’’ and inserting ‘‘$520,177,347 for fiscal 

10 year 2025, $544,223,762 for fiscal year 2026, 

11 $569,381,780 for fiscal year 2027, $595,702,785 for 

12 fiscal year 2028, and $623,240,541 for fiscal year 

13 2029’’; 

14 (2) in subsection (b)— 

15 (A) in paragraph (1), by striking 

16 ‘‘$530,015,940’’ and all that follows through ‘‘fis17 cal year 2024’’ and inserting ‘‘$669,132,913 for 

18 fiscal year 2025, $700,065,148 for fiscal year 

19 2026, $732,427,298 for fiscal year 2027, 

20 $766,285,465 for fiscal year 2028, and 

21 $801,708,804 for fiscal year 2029’’; and 

22 (B) in paragraph (2), by striking 

23 ‘‘$268,935,940’’ and all that follows through ‘‘fis24 cal year 2024’’ and inserting ‘‘$339,525,428 for 

25 fiscal year 2025, $355,220,786 for fiscal year 


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1 2026, $371,641,698 for fiscal year 2027, 

2 $388,821,705 for fiscal year 2028, and 

3 $406,795,899 for fiscal year 2029’’; 

4 (3) in subsection (d), by striking ‘‘$26,587,360’’ 

5 and all that follows through ‘‘fiscal year 2024’’ and 

6 inserting ‘‘$33,565,929 for fiscal year 2025, 

7 $35,117,593 for fiscal year 2026, $36,740,986 for fis8 cal year 2027, $38,439,424 for fiscal year 2028, and 

9 $40,216,376 for fiscal year 2029’’; and 

10 (4) in subsection (e), by striking ‘‘$193,869,020’’ 

11 and all that follows through ‘‘fiscal year 2024’’ and 

12 inserting ‘‘$244,755,171 for fiscal year 2025, 

13 $256,069,552 for fiscal year 2026, $267,906,966 for 

14 fiscal year 2027, $280,291,593 for fiscal year 2028, 

15 and $293,248,728 for fiscal year 2029’’. 

16 (b) NUTRITION SERVICES INCENTIVE PROGRAM.—Sec17 tion 311 (42 U.S.C. 3030a), as amended by section 304 of 

18 this Act, is amended in subsection (f), by striking 

19 ‘‘$171,273,830’’ and all that follows through ‘‘fiscal year 

20 2024’’ and inserting ‘‘$216,229,264 for fiscal year 2025, 

21 $226,224,968 for fiscal year 2026, $236,682,747 for fiscal 

22 year 2027, $247,623,961 for fiscal year 2028, and 

23 $259,070,958 for fiscal year 2029’’. 


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

2 LONGEVITY. 

3 Section 411(b) (42 U.S.C. 3032(b)) is amended— 

4 (1) in paragraph (1), by striking ‘‘$14,514,550’’ 

5 and all that follows through ‘‘fiscal year 2024’’ and 

6 inserting ‘‘$18,324,285 for fiscal year 2025, 

7 $19,171,368 for fiscal year 2026, $20,057,609 for fis8 cal year 2027, $20,984,819 for fiscal year 2028, and 

9 $21,954,892 for fiscal year 2029’’; and 

10 (2) in paragraph (2), by striking ‘‘$15,613,440’’ 

11 and all that follows through ‘‘fiscal year 2024’’ and 

12 inserting ‘‘$19,711,608 for fiscal year 2025, 

13 $20,622,823 for fiscal year 2026, $21,576,161 for fis14 cal year 2027, $22,573,570 for fiscal year 2028, and 

15 $23,617,086 for fiscal year 2029’’. 

16 SEC. 804. COMMUNITY SERVICE SENIOR OPPORTUNITIES 

17 ACT. 

18 Section 517(a) (42 U.S.C. 3056o(a)) is amended by 

19 striking ‘‘$428,000,000’’ and all that follows through ‘‘fiscal 

20 year 2024’’ and inserting ‘‘$540,340,193 for fiscal year 

21 2025, $565,318,627 for fiscal year 2026, $591,451,804 for 

22 fiscal year 2027, $618,793,048 for fiscal year 2028, and 

23 $647,398,205 for fiscal year 2029’’. 

24 SEC. 805. GRANTS FOR NATIVE AMERICANS. 

25 Section 643 (42 U.S.C. 3057n) is amended— 


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1 (1) in paragraph (1), by striking ‘‘$37,102,560’’ 

2 and all that follows through ‘‘fiscal year 2024’’ and 

3 inserting ‘‘$47,028,435 for fiscal year 2025, 

4 $49,202,434 for fiscal year 2026, $51,476,932 for fis5 cal year 2027, $53,856,574 for fiscal year 2028, and 

6 $56,346,220 for fiscal year 2029’’; and 

7 (2) in paragraph (2), by striking ‘‘$10,759,920’’ 

8 and all that follows through ‘‘fiscal year 2024’’ and 

9 inserting ‘‘$13,584,151 for fiscal year 2025, 

10 $14,212,110 for fiscal year 2026, $14,869,098 for fis11 cal year 2027, $15,556,457 for fiscal year 2028, and 

12 $16,275,591 for fiscal year 2029’’. 

13 SEC. 806. ALLOTMENTS FOR ELDER RIGHTS PROTECTION 

14 ACTIVITIES. 

15 Section 702 (42 U.S.C. 3058a) is amended— 

16 (1) in subsection (a), by striking ‘‘$18,066,950’’ 

17 and all that follows through ‘‘fiscal year 2024’’ and 

18 inserting ‘‘$22,809,108 for fiscal year 2025, 

19 $23,863,512 for fiscal year 2026, $24,966,659 for fis20 cal year 2027, $26,120,801 for fiscal year 2028, and 

21 $27,328,297 for fiscal year 2029’’; and 

22 (2) in subsection (b), by striking ‘‘$5,107,110’’ 

23 and all that follows through ‘‘fiscal year 2024’’ and 

24 inserting ‘‘$6,447,609 for fiscal year 2025, $6,745,665 

25 for fiscal year 2026, $7,057,499 for fiscal year 2027, 


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1 $7,383,748 for fiscal year 2028, and $7,725,079 for 

2 fiscal year 2029’’. 


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Calendar No. 505 

118TH CONGRESS 

2D SESSION S. 4776 

A BILL 

To amend the Older Americans Act of 1965 to authrough 2029, and for other purposes. thorize appropriations for fiscal years 2025 

SEPTEMBER 12, 2024 

Reported with an amendment 


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