I 

118TH CONGRESS 

1ST SESSION H. R. 6835 

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

for multigenerational activities for long-term care facilities. 

IN THE HOUSE OF REPRESENTATIVES 

DECEMBER 14, 2023 

Ms. STRICKLAND (for herself, Mr. STEIL, and Ms. KUSTER) introduced the 

following bill; which was referred to the Committee on Education and the 

Workforce 

A BILL 

To amend the Older Americans Act of 1965 to establish 

a grant program for multigenerational activities for longterm care facilities. 

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 ‘‘Care Across Genera5 tions Act’’. 


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1 SEC. 2. COMPETITIVE GRANT PROGRAM FOR THE FUNDING 

2 OF MULTIGENERATIONAL PROGRAMS IN 

3 LONG-TERM CARE FACILITIES. 

4 Part A of title IV of the Older Americans Act of 1965 

5 (42 U.S.C. 3032 et seq.) is amended by adding at the end 

6 the following: 

7 ‘‘SEC. 423. COMPETITIVE GRANT PROGRAM FOR THE FUND8 ING OF MULTIGENERATIONAL PROGRAMS IN 

9 LONG-TERM CARE FACILITIES. 

10 ‘‘(a) ESTABLISHMENT OF GRANT PROGRAM.—The 

11 Assistant Secretary shall award grants, on a competitive 

12 basis, to eligible entities to— 

13 ‘‘(1) operate a qualified child care facility with14 in the long-term care facility or contract with a 

15 qualified child care facility; 

16 ‘‘(2) coordinate multigenerational activities be17 tween the integrated qualified child care facility and 

18 long-term care facility; and 

19 ‘‘(3) build a new, or expand an existing, long20 term care facility operated by the eligible entity for 

21 any of the purposes described in paragraph (1) or 

22 (2). 

23 ‘‘(b) APPLICATION.—An entity seeking a grant under 

24 this section shall submit an application to the Assistant 

25 Secretary at such time, in such manner, and accompanied 

26 by such information as the Assistant Secretary may reaVerDate Sep 11 2014 00:35 Jan 09, 2024 Jkt 049200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H6835.IH H6835

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1 sonably require; and in accordance the requirements speci2 fied in subsection (g). 

3 ‘‘(c) EVALUATION AND REPORT.— 

4 ‘‘(1) EVALUATION.—Each eligible entity receiv5 ing a grant under this section shall evaluate— 

6 ‘‘(A) the effectiveness of the entity in oper7 ating a qualified child care facility within an 

8 long-term care facility as required under sub9 section (a)(1); 

10 ‘‘(B) the effectiveness of the 

11 multigenerational activities coordinated under 

12 subsection (a)(2); and 

13 ‘‘(C) the impact on older individuals and 

14 children of the 14 co-location and 

15 multigenerational activities carried out by the 

16 entity. 

17 ‘‘(2) REPORT.—Each eligible entity receiving a 

18 grant under this section shall, not later than 6 

19 months after the expiration of the period for which 

20 the grant is in effect, submit a report to the Assist21 ant Secretary containing the evaluation under para22 graph (1). 

23 ‘‘(d) REPORT TO CONGRESS.—Not later than 6 

24 months after the Assistant Secretary receives all reports 

25 required under subsection (c)(2), the Assistant Secretary 


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1 shall prepare and submit to the Committee on Education 

2 and Labor of the House of Representatives and the Com3 mittee on Health, Education, Labor, and Pensions of the 

4 Senate a report that assesses the evaluations contained in 

5 the reports required under subsection (c)(2). The report 

6 required of the Assistant Secretary under this subsection 

7 shall include, at a minimum— 

8 ‘‘(1) the names and addresses of all eligible en9 tities that received grants under this section; 

10 ‘‘(2) a description of the methods such eligible 

11 entities used in operating qualified child care facili12 ties within long-term care facilities as required 

13 under subsection (a)(1); 

14 ‘‘(3) a description of the methods such eligible 

15 entities used in coordinating multigenerational ac16 tivities required under subsection (a)(2); 

17 ‘‘(4) a strategy for disseminating the findings 

18 resulting from the projects carried out through 

19 grants under this section; and 

20 ‘‘(5) any policy change recommendations relat21 ing to operating qualified child care facilities within 

22 long-term care facilities. 

23 ‘‘(e) DEFINITIONS.—As used in this section: 

24 ‘‘(1) ELIGIBLE ENTITY.—The term ‘eligible en25 tity’ means an organization operating an long-term 


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1 care facility that submits an application meeting the 

2 requirements under subsection (b). 

3 ‘‘(2) LONG-TERM CARE FACILITY.—The term 

4 ‘long-term care facility’ means— 

5 ‘‘(A) any skilled nursing facility, as defined 

6 in section 1819(a) of the Social Security Act 

7 (42 U.S.C. 1395i–3(a)); 

8 ‘‘(B) any nursing facility, as defined in 

9 section 1919(a) of the Social Security Act (42 

10 U.S.C. 1396r(a)); 

11 ‘‘(C) a board and care facility; and 

12 ‘‘(D) any other adult care home, including 

13 an assisted living facility, similar to a facility or 

14 institution described in subparagraphs (A) 

15 through (C). 

16 ‘‘(3) MULTIGENERATIONAL ACTIVITY.—The 

17 term ‘multigenerational activity’ shall have the 

18 meaning given such term in section 417(h)(1). 

19 ‘‘(4) QUALIFIED CHILD CARE FACILITY.—The 

20 term ‘qualified child care facility’ means a facility— 

21 ‘‘(A) the principal use of which is to pro22 vide child care assistance; and 

23 ‘‘(B) that meets the requirements of all ap24 plicable laws and regulations of the State or 

25 local government in which the facility is located, 


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1 including with respect to the licensing of the fa2 cility as a child care facility. 

3 ‘‘(f) GRANT PERIODS.—Each grant awarded under 

4 subsection (a) shall be for a period of not less than 36 

5 months. 

6 ‘‘(g) ADDITIONAL REQUIREMENTS.—An application 

7 submitted by an eligible entity pursuant to subsection (b) 

8 shall include a certification that, for purposes of infection 

9 control and prevention, such entity— 

10 ‘‘(1) conducts a screening process for all visi11 tors of such entity; and 

12 ‘‘(2) is in compliance with all applicable state 

13 and local sanitation and infection control require14 ments.’’. 

Æ 


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