II 

118TH CONGRESS 

2D SESSION S. 4729 

To amend the Older Americans Act of 1965 to establish a pilot program 

for family caregivers for individuals with Alzheimer’s disease or a related 

disorder with neurological and organic brain dysfunction. 

IN THE SENATE OF THE UNITED STATES 

JULY 23, 2024 

Mr. MARKEY introduced the following bill; which was read twice and referred 

to the Committee on Health, Education, Labor, and Pensions 

A BILL 

To amend the Older Americans Act of 1965 to establish 

a pilot program for family caregivers for individuals with 

Alzheimer’s disease or a related disorder with neurological and organic brain dysfunction. 

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 ‘‘Convenient Care for 

5 Caregivers Act’’. 


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1 SEC. 2. PILOT PROGRAM FOR FAMILY CAREGIVERS FOR IN2 DIVIDUALS WITH ALZHEIMER’S DISEASE OR A 

3 RELATED DISORDER WITH NEUROLOGICAL 

4 AND ORGANIC BRAIN DYSFUNCTION. 

5 Title IV of the Older Americans Act of 1965 is 

6 amended by inserting after section 414 (42 U.S.C. 3032c) 

7 the following: 

8 ‘‘SEC. 415. PILOT PROGRAM FOR FAMILY CAREGIVERS FOR 

9 INDIVIDUALS WITH ALZHEIMER’S DISEASE 

10 OR A RELATED DISORDER WITH NEURO11 LOGICAL AND ORGANIC BRAIN DYSFUNC12 TION. 

13 ‘‘(a) DEFINITIONS.—In this section: 

14 ‘‘(1) FAMILY CAREGIVER FOR AN INDIVIDUAL

15 WITH ALZHEIMER’S DISEASE OR A RELATED DIS16 ORDER WITH NEUROLOGICAL AND ORGANIC BRAIN

17 DYSFUNCTION.—The term ‘family caregiver for an 

18 individual with Alzheimer’s disease or a related dis19 order with neurological and organic brain dysfunc20 tion’— 

21 ‘‘(A) means an adult family member, or 

22 another individual, who is an informal provider 

23 of in-home and community care to an individual 

24 of any age who is an individual with Alz25 heimer’s disease or a related disorder with neu26 rological and organic brain dysfunction; and 


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1 ‘‘(B) does not include an individual, pro2 viding care to an individual with Alzheimer’s 

3 disease or a related disorder with neurological 

4 and organic brain dysfunction, whose primary 

5 relationship with the indivdual is based on a fi6 nancial or professional agreement. 

7 ‘‘(2) QUALIFIED ENTITY.—The term ‘qualified 

8 entity’ means— 

9 ‘‘(A) an area agency on aging; 

10 ‘‘(B) a multipurpose senior center; 

11 ‘‘(C) an institution of higher education; or 

12 ‘‘(D) a tribal organization. 

13 ‘‘(b) PILOT PROGRAM.— 

14 ‘‘(1) IN GENERAL.—The Assistant Secretary, in 

15 consultation with the Secretary of Housing and 

16 Urban Development and the Assistant Secretary of 

17 Commerce for Economic Development, shall estab18 lish and carry out a pilot program to assist family 

19 caregivers for individuals with Alzheimer’s disease or 

20 a related disorder with neurological and organic 

21 brain dysfunction to access health care services and 

22 other supports in order to improve the health out23 comes of the family caregivers and the individuals. 

24 ‘‘(2) PROJECTS.— 


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1 ‘‘(A) IN GENERAL.—In carrying out the 

2 program, the Assistant Secretary shall make 

3 grants to qualified entities meeting the require4 ments under subsection (c) to carry out projects 

5 that assist family caregivers for individuals with 

6 Alzheimer’s disease or a related disorder with 

7 neurological and organic brain dysfunction in 

8 addressing the health care needs of such care9 givers and individuals by offering evidence-in10 formed, or evidence-based, health care services 

11 and other supports to such caregivers and indi12 viduals at the same time and the same location. 

13 ‘‘(B) ACCESSIBILITY.—Each qualified enti14 ty receiving a grant under this section shall 

15 carry out a project described in subparagraph 

16 (A) in an easily accessible space and in accord17 ance with applicable requirements under the 

18 Americans with Disabilities Act of 1990 (42 

19 U.S.C. 12101 et seq.). 

20 ‘‘(c) APPLICATION.—To be eligible to receive a grant 

21 under this section, a qualified entity shall submit an appli22 cation at such time and in such manner as the Assistant 

23 Secretary may require, including— 

24 ‘‘(1) information on how the entity located an 

25 appropriate space described in subsection (b)(2)(B) 


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1 to carry out a project, including any consideration of 

2 a converted retail mall or other accessible space with 

3 proximity to public transportation and ample park4 ing, and any collaboration with a State or local eco5 nomic development organization to identify that ap6 propriate space; 

7 ‘‘(2) an assurance that the entity— 

8 ‘‘(A) will cooperate with efforts in which 

9 the Administrator of the Centers for Medicare 

10 & Medicaid Services will submit data to the As11 sistant Secretary on the payment indicators de12 scribed in subsection (e)(1); and 

13 ‘‘(B) will submit data to the Assistant Sec14 retary on the health indicators described in sub15 section (e)(2); and 

16 ‘‘(3) a description of how the entity will share 

17 information on family caregivers of individuals with 

18 Alzheimer’s disease or a related disorder with neuro19 logical and organic brain dysfunction, and such indi20 viduals, among providers in the project. 

21 ‘‘(d) USE OF FUNDS.—A qualified entity that re22 ceives a grant under this section may use the grant funds 

23 to provide— 

24 ‘‘(1) cognitive health screenings; 


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1 ‘‘(2) family consultations and other care con2 sultations; 

3 ‘‘(3) education; 

4 ‘‘(4) family caregiver support groups; 

5 ‘‘(5) conversation groups for individuals with 

6 Alzheimer’s disease or a related disorder with neuro7 logical and organic brain dysfunction; 

8 ‘‘(6) specialized bereavement services; 

9 ‘‘(7) ongoing support by phone or person-to10 person conferencing; 

11 ‘‘(8) insurance support; and 

12 ‘‘(9) social and cultural activities. 

13 ‘‘(e) OUTCOME DATA.—A qualified entity that re14 ceives a grant under this section for a project shall— 

15 ‘‘(1) on the date of the enrollment of the family 

16 caregiver of an individual with Alzheimer’s disease 

17 or a related disorder with neurological and organic 

18 brain dysfunction, and such individual, in the 

19 project, notify the Administrator of the Centers for 

20 Medicare & Medicaid Services of the enrollment and 

21 request that the Administrator send to the Assistant 

22 Secretary— 

23 ‘‘(A) an estimated amount on an indicator 

24 consisting of the payments made by the Cen25 ters, through programs under the jurisdiction of 


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1 the Centers, on behalf of the caregiver and indi2 vidual during the last full fiscal year preceding 

3 the enrollment; and 

4 ‘‘(B) not later than 60 days after each fis5 cal year for which the caregiver and individual 

6 are enrolled in the project, a calculated amount 

7 on that payment indicator for that fiscal year; 

8 ‘‘(2)(A) submit to the Assistant Secretary, after 

9 the first appointments of the family caregiver of an 

10 individual with Alzheimer’s disease or a related dis11 order with neurological and organic brain dysfunc12 tion, and the individual, with the project, initial data 

13 on health indicators of the caregiver and individual 

14 consisting of— 

15 ‘‘(i) cholesterol levels; 

16 ‘‘(ii) body mass index; 

17 ‘‘(iii) weight; 

18 ‘‘(iv) glucose levels; 

19 ‘‘(v) self-reported data, including data on 

20 emotional stress, physical strain, loneliness, and 

21 feelings of isolation; and 

22 ‘‘(vi) such other health indicators as the 

23 Assistant Secretary may establish; and 

24 ‘‘(B) submit to the Assistant Secretary, not 

25 later than 60 days after each fiscal year for which 


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1 the caregiver and individual are so enrolled, subse2 quent data on the health indicators. 

3 ‘‘(f) REPORT.—Not later than 120 days after each 

4 such fiscal year, the Assistant Secretary shall prepare and 

5 submit to the Committee on Health, Education, Labor, 

6 and Pensions of the Senate, the Special Committee on 

7 Aging of the Senate, the Committee on Education and the 

8 Workforce of the House of Representatives, the Com9 mittee on Energy and Commerce of the House of Rep10 resentatives, and the Administrator of the Centers for 

11 Medicare & Medicaid Services, a report containing infor12 mation on the outcome data collected under subsection (e), 

13 including the differences between the estimated and cal14 culated amounts on the payment indicators reported under 

15 subsection (e)(1) and the differences between the initial 

16 and subsequent data on the health indicators reported 

17 under subsection (e)(2). 

18 ‘‘(g) ADMINISTRATION.—The Assistant Secretary 

19 shall work with the Administrator of the Centers for Medi20 care & Medicaid Services to develop the indicator de21 scribed in subsection (e)(1), and means of collecting data 

22 on that indicator.’’. 

Æ 


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