I 

116TH CONGRESS 

1ST SESSION H. R. 4334 

To amend the Older Americans Act of 1965 to authorize appropriations 

for fiscal years 2020 through 2024, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

SEPTEMBER 16, 2019 

Ms. BONAMICI (for herself, Ms. STEFANIK, Mrs. LEE of Nevada, Mr. COMER, 

Ms. WILD, and Mr. JOHNSON of South Dakota) introduced the following 

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

A BILL 

To amend the Older Americans Act of 1965 to authorize 

appropriations for fiscal years 2020 through 2024, 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; TABLE OF CONTENTS. 

4 (a) SHORT TITLE.—This Act may be cited as the 

5 ‘‘Dignity in Aging Act of 2019’’. 

6 (b) TABLE OF CONTENTS.—The table of contents of 

7 this Act is the following: 

Sec. 1. Short title; table of contents. 

TITLE I—ENSURING COLLABORATION AND PROMOTING 

INDEPENDENCE FOR OLDER INDIVIDUALS 


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Sec. 101. Person-centered, trauma-informed care. 

Sec. 102. Vaccination. 

Sec. 103. Functions of Assistant Secretary. 

Sec. 104. Professional standards for nutrition official under the Assistant Secretary. 

Sec. 105. Interagency Coordinating Committee on Age-Friendly Communities. 

Sec. 106. Technical assistance on age-friendly communities. 

Sec. 107. Malnutrition. 

Sec. 108. Coordination with resource centers. 

Sec. 109. Arts education. 

Sec. 110. Social determinants of health. 

Sec. 111. Federal coordination of supports and services for living independently 

and safely at home. 

Sec. 112. Falls prevention and chronic disease self-management education. 

Sec. 113. Extension of RAISE Family Caregivers Act. 

Sec. 114. Support for socially isolated older Americans. 

Sec. 115. Increased focus of Assistant Secretary on social isolation. 

Sec. 116. Advisory council on social isolation. 

Sec. 117. Supportive services and senior centers. 

Sec. 118. Demonstration projects. 

Sec. 119. Younger onset Alzheimer’s Disease. 

Sec. 120. Priority for the senior community service employment program. 

Sec. 121. Direct care workforce. 

TITLE II—EMPOWERING THE AGING NETWORK TO MEET THE 

NEEDS OF OLDER INDIVIDUALS 

Sec. 201. National Family Caregiver Support Program cap. 

Sec. 202. Minimum funding level for State administrative expenses. 

Sec. 203. Culturally appropriate, medically tailored meals. 

Sec. 204. Business acumen provisions and clarification regarding outside funding for area agencies on aging. 

Sec. 205. Other practices. 

Sec. 206. Caregiver assessments. 

Sec. 207. Research and evaluation. 

Sec. 208. Grant program for multigenerational collaboration. 

TITLE III—STRENGTHENING PROTECTIONS FOR OLDER 

INDIVIDUALS 

Sec. 301. State Long-Term Care Ombudsman Program minimum funding and 

maintenance of effort. 

Sec. 302. State long-term care volunteer ombudsman representatives. 

Sec. 303. Clarification regarding board and care facilities. 

TITLE IV—MEETING THE NEEDS OF OLDER NATIVE AMERICANS 

Sec. 401. Expanding supportive services for Native American aging programs. 

Sec. 402. Enhancing capacity to support Native American aging programs. 

TITLE V—MISCELLANEOUS 

Sec. 501. Assistive technology. 

Sec. 502. Technical corrections. 

Sec. 503. Authorization of appropriations; uses of funds. 

Sec. 504. Effective date. 


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1 TITLE I—ENSURING COLLABO2 RATION AND PROMOTING 

3 INDEPENDENCE FOR OLDER 

4 INDIVIDUALS 

5 SEC. 101. PERSON-CENTERED, TRAUMA-INFORMED CARE. 

6 Section 101(2) of the Older Americans Act of 1965 

7 (42 U.S.C. 3001(2)) is amended by inserting ‘‘(including 

8 access to person-centered, trauma-informed care)’’ after 

9 ‘‘health’’. 

10 SEC. 102. VACCINATION. 

11 Section 102(14) of the Older Americans Act of 1965 

12 (42 U.S.C. 3002(14)) is amended — 

13 (1) in subparagraph (B) by inserting ‘‘immuni14 zation status,’’ after ‘‘oral health,’’, and 

15 (2) in subparagraph (D) by inserting ‘‘infec16 tious disease, and vaccine preventable disease,’’ after 

17 ‘‘disease),’’. 

18 SEC. 103. FUNCTIONS OF ASSISTANT SECRETARY. 

19 Section 202 of the Older Americans Act of 1965 (42 

20 U.S.C. 3012) is amended— 

21 (1) by amending subsection (a)(4) to read as 

22 follows: 

23 ‘‘(4) administer the grants provided by this Act 

24 but not approve an application submitted by an ap25 plicant for a grant for a program for which such apVerDate Sep 11 2014 22:22 Sep 16, 2019 Jkt 089200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H4334.IH H4334

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1 plicant previously received a grant unless the Assist2 ant Secretary determines— 

3 ‘‘(A) the program for which such applica4 tion was submitted is operating effectively to 

5 achieve its stated purpose, and 

6 ‘‘(B) such applicant— 

7 ‘‘(i) complied with the assurances pro8 vided to the Assistant Secretary with the 

9 application for such previous grant; and 

10 ‘‘(ii) will comply with the assurances 

11 provided with the current submitted appli12 cation.’’, and 

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

14 ‘‘(h) The Assistant Secretary shall publish, on an an15 nual basis, a list of centers and demonstration projects 

16 funded under each title of the Act. The Assistant Sec17 retary shall ensure that this information is also directly 

18 provided to States and area agencies on aging.’’. 

19 SEC. 104. PROFESSIONAL STANDARDS FOR NUTRITION OF20 FICIAL UNDER THE ASSISTANT SECRETARY. 

21 Section 205(a)(2)(C)(ii) of the Older Americans Act 

22 of 1965 (42 U.S.C. 3016(a)(2)(C)(ii) is amended to read 

23 as follows: 

24 ‘‘(ii) be a registered dietitian or reg25 istered dietician nutritionist.’’. 


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1 SEC. 105. INTERAGENCY COORDINATING COMMITTEE ON 

2 AGE-FRIENDLY COMMUNITIES. 

3 Section 203 of the Older Americans Act of 1965 (42 

4 U.S.C. 3013) is amended— 

5 (1) in subsection (b)— 

6 (A) in paragraph (18) by striking ‘‘and’’ at 

7 the end, 

8 (B) in subparagraph (19) by striking the 

9 period at the end, and inserting ‘‘; and’’, and 

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

11 ‘‘(20) section 393D of the Public Health Serv12 ice Act (42 U.S.C. 280b–1f), relating to safety of 

13 seniors.’’, and 

14 (2) in subsection (c)— 

15 (A) in paragraph (1)— 

16 (i) by striking ‘‘Aging’’ and inserting 

17 ‘‘Age-Friendly Communities’’, and 

18 (ii) by inserting ‘‘to support the abil19 ity of older individuals to age in place and 

20 access preventive health care, promote age21 friendly communities, and address the abil22 ity of older individuals to access long-term 

23 care supports, including access to care24 givers and home- and community-based 

25 services’’ before the period at the end, 


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1 (B) in paragraph (4) by inserting ‘‘, except 

2 that the 1st term of a member appointed to the 

3 Interagency Coordinating Committee on Age4 Friendly Communities shall begin not later 

5 than 1 year after the date of the enactment of 

6 the Dignity in Aging Act of 2019’’ before the 

7 period at the end, 

8 (C) in paragraph (5) by striking ‘‘once 

9 each year’’ and inserting ‘‘semiannually’’, 

10 (D) in paragraph (6)— 

11 (i) in subparagraph (A)— 

12 (I) in clause (iii) by striking 

13 ‘‘and’’ at the end, 

14 (II) in clause (iv) by adding 

15 ‘‘and’’ at the end, and 

16 (III) by adding at the end the 

17 following: 

18 ‘‘(v) identifying best practices for con19 necting older individuals to services for which 

20 they may be eligible;’’, and 

21 (ii) by amending subparagraph (B)(ii) 

22 to read as follows: 

23 ‘‘(ii) innovations in technology applications 

24 (including assistance technology devices and as25 sistance technology services) that— 


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1 ‘‘(I) promote safe and accessible inde2 pendent living environments; and 

3 ‘‘(II) give older individuals access to 

4 information on available services or help in 

5 providing services to older individuals;’’, 

6 (E) in subparagraph (E) by striking ‘‘non7 governmental experts and organizations, includ8 ing public health interest and research groups 

9 and foundations’’ and inserting ‘‘nongovern10 mental organizations, academic or research in11 stitutions, community-based organizations, and 

12 philanthropic organizations’’, 

13 (F) by redesignating subparagraphs (E), 

14 (F), and (F) as subparagraphs (F), (G), and 

15 (H), respectively, 

16 (G) by inserting after subparagraph (D) 

17 the following: 

18 ‘‘(E) work with the Centers for Disease Con19 trol, the National Institute on Aging, and the Hous20 ing and Urban Development Office of Lead Hazard 

21 Control and Healthy Homes, and other Federal 

22 agencies as appropriate, to develop recommenda23 tions, in accordance with paragraph (1), to reduce 

24 falls among older individuals that incorporate eviVerDate Sep 11 2014 00:11 Sep 17, 2019 Jkt 089200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\H4334.IH H4334

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1 dence-based falls prevention programs and home 

2 modifications to reduce and prevent falls;’’, and 

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

4 ‘‘(9) In this subsection, the term ‘age-friendly com5 munity’ means a community that— 

6 ‘‘(A) is taking steps— 

7 ‘‘(i) to include accessible housing, acces8 sible spaces and buildings, safe and secure 

9 paths, variable route transportation services, 

10 and programs and services designed to maintain 

11 health and well-being; 

12 ‘‘(ii) to respect and include older individ13 uals in social opportunities, civic participation, 

14 volunteerism, and employment; and 

15 ‘‘(iii) to facilitate access to supportive serv16 ices for older individuals; and 

17 ‘‘(B) has a plan in place to meet local needs for 

18 housing, transportation, civic participation, social 

19 connectedness, and accessible spaces.’’. 

20 SEC. 106. TECHNICAL ASSISTANCE ON AGE-FRIENDLY COM21 MUNITIES. 

22 Section 205(a)(2) of the Older Americans Act of 

23 1965 (42 U.S.C. 3016(a)(2)) is amended— 

24 (1) by redesignating subparagraph (C) as sub25 paragraph (D), and 


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1 (2) by inserting after subparagraph (B) the fol2 lowing: 

3 ‘‘(C) The Assistant Secretary may provide 

4 technical assistance, including through the re5 gional offices of the Administration, to State 

6 agencies, area agencies on aging, local govern7 ment agencies, or leaders in age-friendly com8 munities (as defined in section 203(c)(9)) re9 garding— 

10 ‘‘(i) dissemination of, or consideration 

11 of ways to implement, best practices and 

12 recommendations from the Interagency Co13 ordinating Committee on Age-Friendly 

14 Communities established under section 

15 203(c); and 

16 ‘‘(ii) methods for managing and co17 ordinating existing programs to meet the 

18 needs of growing age-friendly commu19 nities.’’. 

20 SEC. 107. MALNUTRITION. 

21 The Older Americans Act of 1965 (42 U.S.C. 2011 

22 et seq.) is amended— 

23 (1) in section 102(14)(B) by inserting ‘‘(includ24 ing screening for malnutrition)’’ before the semi25 colon at the end, and 


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1 (2) in section 330(1) by striking ‘‘and food in2 security’’ and inserting ‘‘, food insecurity, and mal3 nutrition’’. 

4 SEC. 108. COORDINATION WITH RESOURCE CENTERS. 

5 (a) AREA PLANS.—Section 306(a) of the Older 

6 Americans Act of 1965 (42 U.S.C. 3026(a)) is amended— 

7 (1) in paragraph (16) by striking ‘‘and’’ at the 

8 end, 

9 (2) in paragraph (17) by striking the period at 

10 the end, and 

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

12 ‘‘(18) provide assurances that the area agency 

13 on aging will collect data to determine the services 

14 that are needed by older individuals whose needs are 

15 the focus of all centers funded under title IV and the 

16 effectiveness of such activities in assisting these indi17 viduals. Each agency plan shall provide assurances 

18 that the area agency on aging will use outreach ef19 forts that will identify individuals eligible for assist20 ance under this Act, with special emphasis on those 

21 individuals whose needs are the focus of all centers 

22 funded under title IV.’’. 

23 (b) STATE PLANS.—Section 307(a) of the Older 

24 Americans Act of 1965 (42 U.S.C. 3027) by adding at 

25 the end the following: 


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

2 the State will collect data to determine the services 

3 that are needed by older individuals whose needs are 

4 the focus of all centers funded under title IV and the 

5 effectiveness of such activities in assisting these indi6 viduals. Each State plan shall provide assurances 

7 that the State unit on aging will use outreach efforts 

8 that will identify individuals eligible for assistance 

9 under this Act, with special emphasis on those indi10 viduals whose needs are the focus of all centers 

11 funded under title IV’’. 

12 SEC. 109. ARTS EDUCATION. 

13 (a) PROGRAM DESIGN.—Section 202(a)(5) of the 

14 Older Americans Act of 1965 (42 U.S.C. 3012(a)(5)) is 

15 amended by inserting ‘‘cultural experiences, activities and 

16 services, including the arts,’’ after ‘‘education),’’. 

17 (b) SUPPORTIVE SERVICES.—Section 321(a)(7) of 

18 the Older Americans Act of 1965 (42 U.S.C. 3030d(a)(7)) 

19 is amended by inserting ‘‘cultural experiences (including 

20 the arts),’’ after ‘‘art therapy,’’. 

21 SEC. 110. SOCIAL DETERMINANTS OF HEALTH. 

22 Section 301(a)(1) of the Older Americans Act of 

23 1965 (42 U.S.C. 3021(a)(1)) is amended— 

24 (1) in subparagraph (C) by striking ‘‘and’’ at 

25 the end, 


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1 (2) in subparagraph (D) by striking the period 

2 at the end and inserting ‘‘; and’’, and 

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

4 ‘‘(E) address the social determinants of 

5 health of older individuals.’’. 

6 SEC. 111. FEDERAL COORDINATION OF SUPPORTS AND 

7 SERVICES FOR LIVING INDEPENDENTLY AND 

8 SAFELY AT HOME. 

9 Title II of the Older Americans Act of 1965 (42 

10 U.S.C. 3011–3020) is amended by inserting after section 

11 203A the following: 

12 ‘‘SEC. 203B. FEDERAL COORDINATION OF SUPPORTS AND 

13 SERVICES FOR LIVING INDEPENDENTLY AND 

14 SAFELY AT HOME. 

15 ‘‘(a) INITIATIVE.—The Assistant Secretary shall 

16 carry out an initiative under this section to identify and 

17 disseminate information about Federal resources to pro18 mote falls prevention, home assessments, and home modi19 fications, which may include in-home assistive technology, 

20 to enable older individuals to live independently and safely 

21 in a home environment. 

22 ‘‘(b) COORDINATION OF FEDERAL EFFORTS.—In 

23 carrying out the initiative under this section, the Assistant 

24 Secretary shall coordinate, through memoranda of under25 standing, agreements, or other appropriate means of coVerDate Sep 11 2014 22:22 Sep 16, 2019 Jkt 089200 PO 00000 Frm 00012 Fmt 6652 Sfmt 6201 E:\BILLS\H4334.IH H4334

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1 ordination, with all Federal efforts and Federal programs 

2 in effect on the effective date of this section that support 

3 evidence-based falls prevention, home assessments, and 

4 home modifications, which may include in-home assistive 

5 technology, for older individuals, including older individ6 uals with disabilities. 

7 ‘‘(c) REPORTS.—Not later than 1 year after effective 

8 date of this section, and triennially thereafter as needed, 

9 the Assistant Secretary shall publish a report that in10 cludes— 

11 ‘‘(1) an inventory of the then current Federal 

12 programs that support evidence-based falls preven13 tion, home assessments, and home modifications, 

14 which may include in-home assistive technology, for 

15 older individuals; 

16 ‘‘(2) for the fiscal year of the report, statistical 

17 data on the number of older individuals served by 

18 each Federal program described in paragraph (1), 

19 including a demographic analysis and the approxi20 mate amount of Federal funding invested in each 

21 such program; and 

22 ‘‘(3) an evaluation of the impact of Federal pro23 grams that support falls prevention and home modi24 fications, which may include in-home assistive techVerDate Sep 11 2014 22:22 Sep 16, 2019 Jkt 089200 PO 00000 Frm 00013 Fmt 6652 Sfmt 6201 E:\BILLS\H4334.IH H4334

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1 nology, on health status and health outcomes in pop2 ulations supported by such efforts and programs.’’. 

3 SEC. 112. FALLS PREVENTION AND CHRONIC DISEASE 

4 SELF-MANAGEMENT EDUCATION. 

5 Section 411(a) of the Older Americans Act of 1965 

6 (42 U.S.C. 3032(a)) is amended— 

7 (1) by redesignating paragraphs (13) and (14) 

8 as paragraphs (15) and (16), respectively, and 

9 (2) by inserting after paragraph (12) the fol10 lowing: 

11 ‘‘(13) bringing to scale and sustaining evidence12 based falls prevention programs that will reduce the 

13 number of falls, fear of falling, and fall-related inju14 ries in older individuals and individuals with disabil15 ities; 

16 ‘‘(14) bringing to scale and sustaining evidence17 based chronic disease self-management programs 

18 that empower older individuals and older individuals 

19 with disabilities to better manage their chronic con20 ditions;’’. 

21 SEC. 113. EXTENSION OF RAISE FAMILY CAREGIVERS ACT. 

22 Section 6 of the RAISE Family Caregivers Act (Pub23 lic Law 115–119; 132 Stat. 27) is amended by striking 

24 ‘‘3’’ and inserting ‘‘4’’. 


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1 SEC. 114. SUPPORT FOR SOCIALLY ISOLATED OLDER AMER2 ICANS. 

3 Section 102(14) of the Older Americans Act of 1965 

4 (42 U.S.C. 3002(14)) is amended— 

5 (1) in subparagraph (K) by striking ‘‘; and’’, 

6 (2) by redesignating subparagraph (L) as sub7 paragraph (M), and 

8 (3) by inserting after subparagraph (K) the fol9 lowing: 

10 ‘‘(L) screening for the prevention of social 

11 isolation and coordination of supportive services 

12 and health care to address social isolation and 

13 loneliness; and’’. 

14 SEC. 115. INCREASED FOCUS OF ASSISTANT SECRETARY ON 

15 SOCIAL ISOLATION. 

16 Section 202(a) of the Older Americans Act of 1965 

17 (42 U.S.C. 3012(a)) is amended— 

18 (1) in paragraph (30) by striking ‘‘; and’’ and 

19 inserting a semicolon, 

20 (2) in paragraph (31) by striking the period 

21 and inserting ‘‘; and’’, and 

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

23 ‘‘(32) develop objectives, priorities, and a long24 term plan for supporting State and local efforts in25 volving education about, prevention of, detection of, 


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1 and response to social isolation among older individ2 uals.’’. 

3 SEC. 116. ADVISORY COUNCIL ON SOCIAL ISOLATION. 

4 Section 202 of the Older Americans Act of 1965 (42 

5 U.S.C. 3012) is amended by adding at the end the fol6 lowing: 

7 ‘‘(h)(1) The Assistant Secretary shall convene an ad8 visory council on social isolation with aging network stake9 holders and select members in a manner that ensures geo10 graphic diversity of the members— 

11 ‘‘(A) to review and evaluate efforts to address 

12 social isolation and loneliness among older individ13 uals; and 

14 ‘‘(B) to identify challenges, solutions, and best 

15 practices related to such efforts. 

16 ‘‘(2) The advisory council convened under paragraph 

17 (1) shall— 

18 ‘‘(A) ensure consideration of consumer-directed 

19 care models; and 

20 ‘‘(B) submit a report to Congress on its find21 ings. 

22 ‘‘(3) The Federal Advisory Committee Act (5 U.S.C. 

23 App.) shall not apply with respect to the advisory council 

24 convened under paragraph (1).’’. 


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1 SEC. 117. SUPPORTIVE SERVICES AND SENIOR CENTERS. 

2 Section 321(a) of the Older Americans Act of 1965 

3 (42 U.S.C. 3030d(a)) is amended— 

4 (1) in paragraph (8) by striking ‘‘behavioral 

5 health screening’’ and inserting ‘‘behavioral health 

6 screening, screening for social isolation and loneli7 ness,’’, 

8 (2) in paragraph (24) by striking ‘‘and’’ at the 

9 end, 

10 (3) by redesignating paragraph (25) as para11 graph (26), and 

12 (4) by inserting after paragraph (24) the fol13 lowing: 

14 ‘‘(25) services that promote or support social 

15 connectiveness and reduce social isolation; and’’. 

16 SEC. 118. DEMONSTRATION PROJECTS. 

17 (a) DEMONSTRATIONS.—Section 411(a) of the Older 

18 Americans Act of 1965 (42 U.S.C. 3032(a)), as amended 

19 by section 112, is amended— 

20 (1) in paragraph (15) by striking ‘‘and’’ at the 

21 end, 

22 (2) by redesignating paragraph (16) as para23 graph (17), and 

24 (3) by inserting after paragraph (15) the fol25 lowing: 


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1 ‘‘(16) projects that address social isolation and 

2 loneliness among older adults; and’’. 

3 (b) REPEAL.—Section 416 of the Older Americans 

4 Act of 1965 (42 U.S.C. 3032e) is repealed. 

5 SEC. 119. YOUNGER ONSET ALZHEIMER’S DISEASE. 

6 (a) DEFINITION OF ‘‘FAMILY CAREGIVER’’.—Section 

7 302(3) of the Older Americans Act of 1965 (42 U.S.C. 

8 3022(3)) is amended by inserting ‘‘of any age’’ after ‘‘an 

9 individual’’ the 2d place it appears. 

10 (b) DEFINITION OF ‘‘RESIDENT’’.—Section 711(6) of 

11 the Older Americans Act of 1965 (42 U.S.C. 3058(6)) is 

12 amended by inserting ‘‘of any age’’ after ‘‘individual’’. 

13 SEC. 120. PRIORITY FOR THE SENIOR COMMUNITY SERVICE 

14 EMPLOYMENT PROGRAM. 

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

16 et seq.) is amended— 

17 (1) in section 503(a)(4)(C)— 

18 (A) in clause (iii) by striking ‘‘and’’ at the 

19 end, 

20 (B) in clause (iv) by adding ‘‘and’’ at the 

21 end, and 

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

23 ‘‘(v) eligible individuals who have been 

24 incarcerated or are under supervision folVerDate Sep 11 2014 22:22 Sep 16, 2019 Jkt 089200 PO 00000 Frm 00018 Fmt 6652 Sfmt 6201 E:\BILLS\H4334.IH H4334

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1 lowing the release from prison or jail with2 in the last 5 years.’’, 

3 (2) in 514(e)(1) by inserting ‘‘older individuals 

4 who have been incarcerated or are under supervision 

5 following the release from prison or jail’’ after 

6 ‘‘need,’’, and 

7 (3) in section 518— 

8 (A) in subsection (a)(3)(B)(ii)— 

9 (i) in clause (IV) by striking ‘‘or’’ at 

10 the end, 

11 (ii) in clause (V) by striking the pe12 riod at the end and inserting ‘‘; or’’, and 

13 (iii) by adding at the end the fol14 lowing: 

15 ‘‘(VI) have been incarcerated or are 

16 under supervision following the release 

17 from prison or jail within the last 5 

18 years.’’, and 

19 (B) in subsection (b)(2)— 

20 (i) in subparagraph (F) by striking 

21 ‘‘or’’ at the end, 

22 (ii) in subparagraph (G) by striking 

23 the period at the end and inserting ‘‘; or’’, 

24 and 


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1 (iii) by adding at the end the fol2 lowing: 

3 ‘‘(H) has been incarcerated or is under su4 pervision following the release from prison or 

5 jail within the last 5 years.’’. 

6 SEC. 121. DIRECT CARE WORKFORCE. 

7 (a) DEMONSTRATIONS.—Section 411(a) of the Older 

8 Americans Act of 1965 (42 U.S.C. 3032(a)), as amended 

9 by sections 112 and 118, is amended— 

10 (1) by redesignating paragraph (16) and (17) 

11 as paragraphs (17) and (18), respectively, and 

12 (2) by inserting after paragraph (15) the fol13 lowing: 

14 ‘‘(16) in coordination with the Secretary of 

15 Labor, the demonstration of new strategies for the 

16 recruitment, retention, or advancement of direct care 

17 workers, and to solicit, develop and implement strat18 egies— 

19 ‘‘(A) to reduce barriers to entry for a di20 verse and high-quality direct care workforce, in21 cluding providing wages, benefits, and advance22 ment opportunities needed to attract and retain 

23 direct care workers; 

24 ‘‘(B) to provide supportive services and ca25 reer planning for direct care workers; and 


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1 ‘‘(C) to support the advancement of direct 

2 care workers through education and workforce 

3 development programs that include necessary 

4 credential or licensing preparation, paid on-the5 job training or work-based learning, and appro6 priate safety training.’’. 

7 (b) OLDER AMERICAN COMMUNITY SERVICE EM8 PLOYMENT PROGRAM.—Section 502(e)(2)(B) of the Older 

9 Americans Act of 1965 (42 U.S.C. 3056(e)(2)(B)) is 

10 amended— 

11 (1) in clause (iii) by striking ‘‘and’’ at the end, 

12 (2) in clause (iv) by adding ‘‘and’’ at the end, 

13 and 

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

15 ‘‘(v) attract, retain, and advance the 

16 direct care workforce, in consultation with 

17 the Assistant Secretary, providing for 

18 wages and benefits needed to reduce bar19 riers for entry for a diverse and high-qual20 ity direct care workforce, supportive serv21 ices and career planning, and paid on-the22 job training or work-based learning, with 

23 appropriate safety training;’’. 


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1 TITLE II—EMPOWERING THE 

2 AGING NETWORK TO MEET 

3 THE NEEDS OF OLDER INDI4 VIDUALS 

5 SEC. 201. NATIONAL FAMILY CAREGIVER SUPPORT PRO6 GRAM CAP. 

7 (a) FEDERAL SHARE.—Section 373(g)(2) of the 

8 Older Americans Act of 1965 (42 U.S.C. 3030s–1(g)(2)) 

9 is amended by striking subparagraph (C). 

10 (b) MONITORING THE IMPACT OF THE ELIMINATION

11 OF THE CAP ON FUNDS FOR OLDER RELATIVE CARE12 GIVERS.— 

13 (1) REPORT.—Not later than 18 months after 

14 the date of the enactment of this Act, and annually 

15 thereafter, the Assistant Secretary shall submit to 

16 the Committee on Education and Labor of the 

17 House of Representatives and the Committee on 

18 Health, Education, Labor, and Pensions of the Sen19 ate a report on the impact of the amendment made 

20 by subsection (a) to eliminate the limitation on 

21 funds that States may allocate to provide support 

22 services to older relative caregivers in the National 

23 Family Caregiver Support Program established 

24 under part E of title III of the Older Americans Act 


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1 of 1965 (42 U.S.C. 3030s–3030s–2). Each such re2 port shall also be made available to the public. 

3 (2) CONTENTS.—For purposes of reports re4 quired by paragraph (1), each State that receives an 

5 allotment under such National Family Caregiver 

6 Support Program for fiscal year 2020 or a subse7 quent fiscal year shall report to the Assistant Sec8 retary for the fiscal year involved the amount of 

9 funds of the total Federal and non-Federal share al10 lotment used by the State to provide support serv11 ices for caregiver support for older relative care12 givers and family caregivers. 

13 SEC. 202. MINIMUM FUNDING LEVEL FOR STATE ADMINIS14 TRATIVE EXPENSES. 

15 Section 308(b)(2)(A) of the Older Americans Act of 

16 1965 (42 U.S.C. 30299(b)(2)(B)) is amended by striking 

17 ‘‘$500,000’’ and inserting ‘‘$750,000’’. 

18 SEC. 203. CULTURALLY APPROPRIATE, MEDICALLY TAI19 LORED MEALS. 

20 Section 339(2)(A) of the Older Americans Act of 

21 1965 (42 U.S.C. 3939h(2)(A)) is amended by inserting 

22 ‘‘, including cultural considerations and preferences and 

23 medically tailored meals’’ before the comma at the end. 


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1 SEC. 204. BUSINESS ACUMEN PROVISIONS AND CLARIFICA2 TION REGARDING OUTSIDE FUNDING FOR 

3 AREA AGENCIES ON AGING. 

4 (a) ASSISTANCE RELATING TO GROWING AND SUS5 TAINING CAPACITY.—Section 202(b)(9) of the Older 

6 Americans Act of 1965 (42 U.S.C. 3012(b)(9)) is amend7 ed— 

8 (1) in subparagraph (A) by striking ‘‘and’’ after 

9 the semicolon at the end, 

10 (2) in subparagraph (B) by inserting ‘‘and’’ 

11 after the semicolon at the end, and 

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

13 ‘‘(C) business acumen, capacity building, 

14 organizational development, innovation, and 

15 other methods of growing and sustaining the 

16 capacity of the aging network to serve older in17 dividuals and caregivers most effectively;’’. 

18 (b) CLARIFYING PARTNERSHIPS FOR AREA AGEN19 CIES ON AGING.—Section 306 of the Older Americans Act 

20 of 1965 (42 U.S.C. 3026) is amended by adding at the 

21 end the following: 

22 ‘‘(g) Nothing in this Act shall restrict an area agency 

23 on aging from providing services not provided or author24 ized by this Act, including through— 

25 ‘‘(1) contracts with health care payers; 

26 ‘‘(2) consumer private pay programs; or 


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1 ‘‘(3) other arrangements with entities or indi2 viduals that increase the availability of home and 

3 community-based services and supports in the plan4 ning and service area supported by the area agency 

5 on aging.’’. 

6 SEC. 205. OTHER PRACTICES. 

7 Section 315 of the Older Americans Act of 1965 (42 

8 U.S.C. 3030c–2) is amended by adding at the end the fol9 lowing: 

10 ‘‘(e) RESPONSE TO AREA AGENCIES ON AGING.— 

11 Upon request from an area agency on aging, the state 

12 shall make available any policies or guidance pertaining 

13 to policies under this section.’’. 

14 SEC. 206. CAREGIVER ASSESSMENTS. 

15 (a) DEFINITION OF CAREGIVER ASSESSMENT.—Sec16 tion 372(a) of the Older Americans Act of 1965 (42 

17 U.S.C. 3030s(a)) is amended by adding at the end the 

18 following: 

19 ‘‘(4) CAREGIVER ASSESSMENT.—The term 

20 ‘caregiver assessment’ means a systematic process of 

21 gathering information about the situation of a care22 giver who voluntarily participates in such process to 

23 identify the caregiver’s specific needs, barriers, and 

24 existing supports as identified by the caregiver 

25 that— 


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1 ‘‘(A) provides the opportunity for the rec2 ognized caregiver to participate in such process; 

3 ‘‘(B) requires direct contact with the care4 giver and is used to appropriately target and 

5 tailor support services to the caregiver’s unique 

6 needs; and 

7 ‘‘(C) includes reassessment of such specific 

8 needs, barriers, and existing supports, including 

9 to accommodate a significant change in the 

10 caregiving situation, which shall occur on a vol11 untary basis with the consent of the caregiver.’’. 

12 (b) USE OF CAREGIVER ASSESSMENTS.—Section 

13 373(b) of the Older Americans Act of 1965 (42 U.S.C. 

14 3030s–1(b)) is amended by inserting ‘‘may be informed 

15 through the use of caregiver assessments and’’ after 

16 ‘‘with,’’. 

17 (c) TECHNICAL ASSISTANCE FOR CAREGIVER AS18 SESSMENTS.—Section 373 of the Older Americans Act of 

19 1965 (42 U.S.C. 3030s–1) is amended by adding at the 

20 end the following: 

21 ‘‘(h) TECHNICAL ASSISTANCE FOR CAREGIVER AS22 SESSMENTS.—Not later than 1 year after the effective 

23 date of this subsection, the Assistant Secretary, in con24 sultation with caregivers, older individuals, individuals 

25 with a disability who receive care from an older relative 


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1 caregiver, the aging network, and other experts and stake2 holders, shall provide technical assistance to promote and 

3 implement the use of caregiver assessments. Such tech4 nical assistance shall include sharing available tools and 

5 templates, comprehensive assessment protocols, and best 

6 practices concerning— 

7 ‘‘(1) conducting caregiver assessments and re8 assessments; 

9 ‘‘(2) implementing such assessments that are 

10 consistent across a planning and service area; and 

11 ‘‘(3) implementing caregiver support service 

12 plans, including referrals to and coordination of ac13 tivities with relevant State and local services.’’. 

14 (d) REPORTING ON CAREGIVER ASSESSMENT.—Sec15 tion 373(e) of the Older Americans Act of 1965 (42 

16 U.S.C. 3030s–1(e)) is amended— 

17 (1) in paragraph (3) by inserting ‘‘, including 

18 caregiver assessments used in the State,’’ after 

19 ‘‘mechanisms’’, and 

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

21 ‘‘(4) REPORT ON CAREGIVER ASSESSMENTS.— 

22 ‘‘(A) IN GENERAL.—Not later than 3 years 

23 after the effective date of this paragraph, the 

24 Assistant Secretary shall issue a report on the 

25 use of caregiver assessments by area agencies 


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1 on aging, entities contracting with such agen2 cies, and tribal organizations. Such report shall 

3 include— 

4 ‘‘(i) an analysis of the current use of 

5 caregiver assessments, including a reposi6 tory of caregiver assessment tools or tem7 plates and comprehensive assessment pro8 tocols; 

9 ‘‘(ii) using objective data, an analysis 

10 of the impact of caregiver assessments 

11 on— 

12 ‘‘(I) family caregivers and older 

13 relative caregivers; and 

14 ‘‘(II) the individuals to whom the 

15 caregivers described in subclause (I) 

16 provide care; 

17 ‘‘(iii) an analysis of the impact of 

18 using caregiver assessments on the aging 

19 network; 

20 ‘‘(iv) an analysis of how caregiver as21 sessments are being used to identify the 

22 specific needs, barriers, and existing sup23 ports of family caregivers and older rel24 ative caregivers; 


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1 ‘‘(v) recommendations for using care2 giver assessments, including in rural or un3 derserved areas; and 

4 ‘‘(vi) feedback from State agencies 

5 and area agencies on aging, particularly in 

6 rural or underserved areas, on the imple7 mentation of caregiver assessments. 

8 ‘‘(B) SUBMISSION.—Not later than 6 

9 months after the issuance of the report under 

10 paragraph (1), the Assistant Secretary shall 

11 submit the report to the Committee on Edu12 cation and Labor of the House of Representa13 tives, the Committee on Health, Education, 

14 Labor, and Pensions of the Senate, and the 

15 Special Committee on Aging of the Senate.’’. 

16 SEC. 207. RESEARCH AND EVALUATION. 

17 Section 201 of the Older Americans Act of 1965 (42 

18 U.S.C. 3011) is amended by adding at the end the fol19 lowing: 

20 ‘‘(g)(1) The Assistant Secretary shall coordinate the 

21 research and evaluation functions of this Act under a Na22 tional Research, Demonstration, and Evaluation Center 

23 for the Aging Network (in this subsection referred to as 

24 the ‘Center’), which shall be headed by a director desVerDate Sep 11 2014 22:22 Sep 16, 2019 Jkt 089200 PO 00000 Frm 00029 Fmt 6652 Sfmt 6201 E:\BILLS\H4334.IH H4334

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1 ignated by the Assistant Secretary from individuals de2 scribed in paragraph (4). 

3 ‘‘(2) The purpose of the Center shall be— 

4 ‘‘(A) to coordinate research, research dissemi5 nation, evaluation, demonstration projects, and re6 lated activities carried out under this Act; 

7 ‘‘(B) to provide assessment of the programs au8 thorized under this Act; and 

9 ‘‘(C) to increase the repository of information 

10 on evidence-based programs and interventions avail11 able to the aging network. Such information shall be 

12 applicable to existing programs and help in the de13 velopment of new evidence-based programs and 

14 interventions. 

15 ‘‘(3) Activities of the Center shall include— 

16 ‘‘(A) conducting, promoting, coordinating, and 

17 providing support for— 

18 ‘‘(i) research and evaluation activities that 

19 support the objectives of this Act, including— 

20 ‘‘(I) evaluation of new and existing 

21 programs and interventions authorized by 

22 this Act; and 

23 ‘‘(II) research on and assessment of 

24 the impacts that programs and interven25 tions under this Act have on the health 


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1 outcomes, social determinants of health, 

2 quality of life, and independence of individ3 uals served under this Act; 

4 ‘‘(ii) demonstration projects that support 

5 the objectives of the Act and activities to bring 

6 effective demonstration projects to scale with a 

7 prioritization of projects that address the needs 

8 of underserved populations; 

9 ‘‘(iii) outreach and dissemination of re10 search findings; and 

11 ‘‘(iv) technical assistance related to the ac12 tivities described in this subparagraph. 

13 ‘‘(4) The director shall be an individual with substan14 tial knowledge of and experience in aging and health pol15 icy, and research administration. 

16 ‘‘(5) Not later than October 1, 2020, and at 5-year 

17 intervals thereafter, the director shall prepare and publish 

18 in the Federal Register for public comment a draft of a 

19 5-year plan that— 

20 ‘‘(A) outlines priorities for research, research 

21 dissemination, evaluation, and related activities; 

22 ‘‘(B) explains the basis for such priorities; and 

23 ‘‘(C) describes how the plan will meet the needs 

24 of underserved populations. 


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1 ‘‘(6) The director shall, as appropriate, coordinate 

2 with other Federal departments and agencies involved in 

3 research in the field of aging. 

4 ‘‘(7) Not later than December 31, 2020, and annually 

5 thereafter, the director shall prepare, and submit to the 

6 Secretary, the Committee on Health, Education, Labor, 

7 and Pensions of the Senate, the Special Committee on 

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

9 Labor of the House of Representatives, a report on the 

10 activities funded under this section and title IV. 

11 ‘‘(8) The director shall, as appropriate, consult with 

12 experts on aging research and evaluation and aging net13 work stakeholders on the implementation of the activities 

14 described under paragraph (3) of this subsection. 

15 ‘‘(9) The director shall coordinate all research and 

16 evaluation authorities under this Act.’’. 

17 SEC. 208. GRANT PROGRAM FOR MULTIGENERATIONAL 

18 COLLABORATION. 

19 Section 417 of the Older Americans Act of 1965 (42 

20 U.S.C. 3032f) is amended— 

21 (1) by amending subsection (a) to read as fol22 lows: 

23 ‘‘(a) GRANTS AND CONTRACTS.—The Assistant Sec24 retary shall award grants to, and enter into contracts 

25 with, eligible organizations to carry out projects— 


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1 ‘‘(1) to provide opportunities for older individ2 uals to participate in multigenerational activities and 

3 civic engagement activities that contribute to the 

4 health and wellness of older individuals and individ5 uals in younger generations by developing— 

6 ‘‘(A) meaningful roles for participants; 

7 ‘‘(B) reciprocity in relationship building; 

8 ‘‘(C) reduced social isolation and improved 

9 participant social connectedness; 

10 ‘‘(D) improved economic well-being for 

11 older individuals; 

12 ‘‘(E) increased lifelong learning; or 

13 ‘‘(F) support for family caregivers by— 

14 ‘‘(i) providing support for older rel15 ative caregivers (as defined in section 372) 

16 raising children (such as kinship navigator 

17 programs); or 

18 ‘‘(ii) involving volunteers who are 

19 older individuals who provide support and 

20 information to families who have a child 

21 with a disability or chronic illness, or other 

22 families in need of such family support; 

23 ‘‘(2) to coordinate multigenerational activities 

24 and civic engagement activities, including 


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1 multigenerational nutrition and meal service pro2 grams; 

3 ‘‘(3) to promote volunteerism, including becom4 ing a mentor to young people; and 

5 ‘‘(4) to facilitate development of and participa6 tion in multigenerational activities and civic engage7 ment activities.’’, 

8 (2) by amending subsection (b) to read as fol9 lows: 

10 ‘‘(b) USE OF FUNDS.— 

11 ‘‘(1) IN GENERAL.—An eligible organization 

12 shall use funds made available under a grant award13 ed, or a contract entered into, under this section to 

14 carry out a project described in subsection (a). 

15 ‘‘(2) PROVISION OF PROJECTS THROUGH

16 GRANTEES.—In making grants under this section, 

17 the Assistant Secretary shall ensure that awards are 

18 made for the activities and projects described in 

19 each of paragraphs (1) and (2) of subsection (a).’’; 

20 (3) in subsection (c)— 

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

22 by inserting ‘‘that serves individuals in younger 

23 generations and older individuals’’ after ‘‘to 

24 carry out a project’’; 


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

2 to carry out, or intent to partner with local or3 ganizations or multiservice organizations to 

4 carry out,’’ after ‘‘record of carrying out’’, 

5 (C) in paragraph (3) by striking ‘‘; and’’ 

6 and inserting a semicolon, 

7 (D) in paragraph (4) by striking the period 

8 at the end and inserting ‘‘; and’’, and 

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

10 ‘‘(5) eligible organizations proposing 

11 multigenerational activity projects that utilize shared 

12 site programs, such as collocated child care and 

13 long-term care facilities.’’, 

14 (4) by amending subsection (e) to read as fol15 lows: 

16 ‘‘(e) ELIGIBLE ORGANIZATIONS.—Organizations eli17 gible to receive a grant or enter into a contract under sub18 section (a) shall— 

19 ‘‘(1) be a State, an area agency on aging, or an 

20 organization that provides opportunities for older in21 dividuals to participate in activities described in such 

22 subsection; and 

23 ‘‘(2) have the capacity to conduct the coordina24 tion, promotion, and facilitation described in such 


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1 subsection through the use of multigenerational co2 ordinators.’’, 

3 (5) by striking subsection (g), 

4 (6) in subsection (h)(2)(B)(i) by striking ‘‘indi5 viduals from the generations with older individuals’’ 

6 and inserting ‘‘older individuals’’, 

7 (7) by redesignating subsections (b) through (f) 

8 as subsections (c) through (g), respectively, and 

9 (8) by inserting after subsection (a) the fol10 lowing: 

11 ‘‘(b) GRANT PERIOD.—Each grant awarded or con12 tract made under subsection (a) shall be to carry out 

13 projects for a period of not less than 36 months.’’; 

14 TITLE III—STRENGTHENING 

15 PROTECTIONS FOR OLDER IN16 DIVIDUALS 

17 SEC. 301. STATE LONG-TERM CARE OMBUDSMAN PROGRAM 

18 MINIMUM FUNDING AND MAINTENANCE OF 

19 EFFORT. 

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

21 et seq.) is amended— 

22 (1) in section 306(a)(9)— 

23 (A) by inserting ‘‘together with any other 

24 funds’’ after ‘‘Act’’, and 


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1 (B) by striking ‘‘2000’’ and inserting 

2 ‘‘2019’’, and 

3 (2) in section 307(a)(9)— 

4 (A) by striking ‘‘an amount’’ and inserting 

5 ‘‘the total amount’’, 

6 (B) by striking ‘‘2000’’ and inserting 

7 ‘‘2019’’ each place it appears, and 

8 (C) by inserting ‘‘from all sources includ9 ing’’ after ‘‘received’’ each place it appears. 

10 SEC. 302. STATE LONG-TERM CARE VOLUNTEER OMBUDS11 MAN REPRESENTATIVES. 

12 Section 712(a)(5) of the Older Americans Act of 

13 1965 (42 U.S.C. 3058g(a)(5)) is amended— 

14 (1) by redesignating subparagraph (D) as sub15 paragraph (E), and 

16 (2) by inserting after subparagraph (C) the fol17 lowing: 

18 ‘‘(D) VOLUNTEER OMBUDSMAN REP19 RESENTATIVES.—An individual designated as a 

20 volunteer ombudsman representative may re21 ceive financial support and recognition from the 

22 Office of the State Long-Term Care Ombuds23 man Program for expenses incurred during 

24 service.’’. 


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1 SEC. 303. CLARIFICATION REGARDING BOARD AND CARE 

2 FACILITIES. 

3 Section 102(35)(C) of the Older Americans Act of 

4 1965 (42 U.S.C. 3002(35)(C)) is amended by striking 

5 ‘‘for purposes of sections 307(a)(12) and 712,’’. 

6 TITLE IV—MEETING THE NEEDS 

7 OF OLDER NATIVE AMERICANS 

8 SEC. 401. EXPANDING SUPPORTIVE SERVICES FOR NATIVE 

9 AMERICAN AGING PROGRAMS. 

10 Title VI of the Older Americans Act of 1965 (42 

11 U.S.C. 3057 et seq.) is amended— 

12 (1) in part D— 

13 (A) by amending section 643 to read as 

14 follows: 

15 ‘‘SEC. 643. AUTHORIZATION OF APPROPRIATIONS. 

16 ‘‘There are authorized to be appropriated to carry out 

17 this title— 

18 ‘‘(1) for parts A and B, $36,689,832 for fiscal 

19 year 2020, $38,891,222 for fiscal year 2021, 

20 $41,224,695 for fiscal year 2022, $43,698,177 for 

21 fiscal year 2023, and $46,320,067 for fiscal year 

22 2024; and 

23 ‘‘(2) for part C subject to section 644, 

24 $11,324,854 for fiscal year 2020, $12,004,345 for 

25 fiscal year 2021, $12,724,606 for fiscal year 2022, 


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1 $13,488,082 for fiscal year 2023, and $14,297,367 

2 for fiscal year 2024.’’, and 

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

4 ‘‘SEC. 644. FUNDING SET ASIDE. 

5 ‘‘Of the funds appropriated under section 643(2) for 

6 a fiscal year, 5 percent shall be made available to carry 

7 out part D for such fiscal year.’’, 

8 (2) by redesignating part D as part E, and 

9 (3) by inserting after part C the following: 

10 ‘‘PART D—SUPPORTIVE SERVICES FOR HEALTHY 

11 AGING AND INDEPENDENCE 

12 ‘‘SEC. 636. PROGRAM. 

13 ‘‘(a) IN GENERAL.—The Assistant Secretary shall 

14 carry out a demonstration program for making grants to 

15 tribal organizations or Native Hawaiians with applications 

16 approved under parts A and B, to pay for the Federal 

17 share of carrying out tribal programs, to enable the tribal 

18 organizations to provide a wider range of in-home and 

19 community supportive services to enable older individuals 

20 to maintain their health and independence and to avoid 

21 long-term care facility placement. 

22 ‘‘(b) SUPPORTIVE SERVICES.— 

23 ‘‘(1) IN GENERAL.—Subject to paragraph (2), 

24 supportive services described in subsection (a) may 


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1 include any of the activities described in section 

2 321(a). 

3 ‘‘(2) PRIORITY.—The Assistant Secretary, in 

4 making grants under this section, shall give priority 

5 to tribal organizations that will use the grant funds 

6 for supportive services described in subsection (a) 

7 that are for in-home assistance, transportation, in8 formation and referral, case management, health 

9 and wellness programs, legal services, family care10 giver support services, and other services that di11 rectly support the independence of the older individ12 uals served.’’. 

13 SEC. 402. ENHANCING CAPACITY TO SUPPORT NATIVE 

14 AMERICAN AGING PROGRAMS. 

15 Title II of the Older Americans Act of 1965 (42 

16 U.S.C. 3011 et seq.) is amended— 

17 (1) in section 201(c)(3)(H) by inserting ‘‘to en18 sure adequate capacity to deliver the services under 

19 such title, which technical assistance programs may 

20 include program management, data development and 

21 use, basic business skills, grant development, pro22 gram and service innovations, and staff professional 

23 development and certification;’’ before the semicolon 

24 at the end, and 

25 (2) section 216 is amended to read as follows: 


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1 ‘‘SEC. 216. AUTHORIZATION OF APPROPRIATIONS. 

2 ‘‘(a) IN GENERAL.—For purposes of carrying out 

3 this Act, there are authorized to be appropriated for ad4 ministration, salaries, and expenses of the Administration 

5 $44,041,171 for fiscal year 2020, $46,684,701 for fiscal 

6 year 2021, $49,485,783 for fiscal year 2022, $52,454,930 

7 for fiscal year 2023, and $55,602,226 for fiscal year 2024. 

8 ‘‘(b) AUTHORIZATION OF APPROPRIATIONS FOR PRO9 GRAMS.—There are authorized to be appropriated— 

10 ‘‘(1) to carry out section 201(g), $20,000,000 

11 for each of the fiscal years 2020 through 2024; 

12 ‘‘(2) to carry out section 202(a)(21) (relating to 

13 the National Eldercare Locator Service), $2,186,227 

14 for fiscal year 2020, $2,317,401 for fiscal year 

15 2021, $2,456,445 for fiscal year 2022, $2,603,832 

16 for fiscal year 2023, and $2,760,062 for fiscal year 

17 2024; 

18 ‘‘(3) to carry out section 215, $1,992,460 for 

19 fiscal year 2020, $2,112,008 for fiscal year 2021, 

20 $2,238,728 for fiscal year 2022, $2,373,052 for fis21 cal year 2023, and $2,515,435 for fiscal year 2024; 

22 ‘‘(4) to carry out section 202 (relating to Elder 

23 Rights Support Activities under this title), 

24 $1,375,011 for fiscal year 2020, $1,457,511 for fis25 cal year 2021, $1,544,962 for fiscal year 2022, 


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1 $1,637,660 for fiscal year 2023, and $1,735,919 for 

2 fiscal year 2024; 

3 ‘‘(5) to carry out section 202(b) (relating to the 

4 Aging and Disability Resource Centers), $8,708,043 

5 for fiscal year 2020, $9,230,526 for fiscal year 

6 2021, $9,784,357 for fiscal year 2022, $10,371,419 

7 for fiscal year 2023, and $10,993,704 for fiscal year 

8 2024; and 

9 ‘‘(6) to carry out section 201(c)(3)(H) (relating 

10 to professional development and technical assistance 

11 for programs under title VI), $500,000 for fiscal 

12 year 2020.’’. 

13 TITLE V—MISCELLANEOUS 

14 SEC. 501. ASSISTIVE TECHNOLOGY. 

15 Section 102(8)(B) of the Older Americans Act of 

16 1965 (42 U.S.C. 2011 et seq.) is amended by striking 

17 ‘‘1998’’ and inserting ‘‘2004’’. 

18 SEC. 502. TECHNICAL CORRECTIONS. 

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

20 et seq.) is amended— 

21 (1) in section 101(37)(A) by striking ‘‘para22 graph (5)’’ and inserting ‘‘paragraph (26)’’, 

23 (2) in section 202(a)(23) by striking ‘‘sections 

24 307(a)(18) and 731(b)(2)’’ and inserting ‘‘sections 

25 307(a)(13) and 731’’, 


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1 (3) in section 202(e)(1)(A) by moving the left 

2 margin of clause (i) 2 ems to the left, 

3 (4) in sections 203(c)(7), 207(b)(2)(B), and 

4 215(i) by striking ‘‘Committee on Education and the 

5 Workforce’’ and inserting ‘‘Committee on Education 

6 and Labor’’, 

7 (5) in section 207(b)(3)(A) by striking ‘‘Admin8 istrator of the Health Care Finance Administration’’ 

9 and inserting ‘‘Administrator of the Centers for 

10 Medicare and Medicaid Services’’, 

11 (6) in section 304(a)(3)(C) by striking ‘‘term’’ 

12 and all that follows through ‘‘does’’, and inserting 

13 ‘‘term ‘State’ does’’, 

14 (7) in section 306(a)— 

15 (A) by inserting ‘‘the number of older indi16 viduals at risk for institutional placement resid17 ing in such area,’’ after ‘‘areas) residing in such 

18 area,’’ the last place it appears, and 

19 (B) in paragraph (2) by striking ‘‘who are 

20 victims of’’ and inserting ‘‘with’’, 

21 (8) in section 339 by striking ‘‘Institute of 

22 Medicine of the National Academy of Sciences’’ and 

23 inserting ‘‘National Academies of Sciences, Engi24 neering, and Medicine’’, 

25 (9) in section 611 by striking ‘‘(a)’’, and 


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1 (10) in section 614(c)(4) by striking ‘‘(12)’’ 

2 and inserting ‘‘(11)’’. 

3 SEC. 503. AUTHORIZATION OF APPROPRIATIONS; USES OF 

4 FUNDS. 

5 (a) AUTHORIZATION OF APPROPRIATIONS; USES OF

6 FUNDS.—Section 303 of the Older Americans Act of 1965 

7 (42 U.S.C. 3023) is amended to read as follows: 

8 ‘‘SEC. 303. AUTHORIZATION OF APPROPRIATIONS; USES OF 

9 FUNDS. 

10 ‘‘(a)(1) There are authorized to be appropriated to 

11 carry out part B (relating to supportive services) 

12 $413,011,586 for fiscal year 2020, $437,792,281 for fis13 cal year 2021, $464,059,818 for fiscal year 2022, 

14 $491,903,407 for fiscal year 2023, and $521,417,612 for 

15 fiscal year 2024. 

16 ‘‘(2) Funds appropriated under paragraph (1) shall 

17 be available to carry out section 712. 

18 ‘‘(b)(1) There are authorized to be appropriated to 

19 carry out subpart 1 of part C (relating to congregate nu20 trition services) $531,279,663 for fiscal year 2020, 

21 $563,156,443 for fiscal year 2021, $596,945,830 for fis22 cal year 2022, $632,762,580 for fiscal year 2023, and 

23 $670,728,334 for fiscal year 2024. 

24 ‘‘(2) There are authorized to be appropriated to carry 

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1 tion services) $269,577,167 for fiscal year 2020, 

2 $285,751,797 for fiscal year 2021, $302,896,905 for fis3 cal year 2022, $321,070,719 for fiscal year 2023, and 

4 $340,334,963 for fiscal year 2024. 

5 ‘‘(c) Grants made under part B, and subparts 1 and 

6 2 of part C, of this title may be used for paying part of 

7 the cost of— 

8 ‘‘(1) the administration of area plans by area 

9 agencies on aging designated under section 

10 305(a)(2)(A), including the preparation of area 

11 plans on aging consistent with section 306 and the 

12 evaluation of activities carried out under such plans; 

13 and 

14 ‘‘(2) the development of comprehensive and co15 ordinated systems for supportive services, congregate 

16 and home delivered nutrition services under subparts 

17 1 and 2 of part C, the development and operation 

18 of multipurpose senior centers, and the delivery of 

19 legal assistance. 

20 ‘‘(d) There are authorized to be appropriated to carry 

21 out part D (relating to disease prevention and health pro22 motion services) $26,650,753 for fiscal year 2020, 

23 $28,249,798 for fiscal year 2021, $29,944,786 for fiscal 

24 year 2022, $31,741,473 for fiscal year 2023, and 

25 $33,645,961 for fiscal year 2024. 


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1 ‘‘(e) There are authorized to be appropriated to carry 

2 out part E (relating to family caregiver support) 

3 $194,331,264 for fiscal year 2020, $205,991,140 for fis4 cal year 2021, $218,350,609 for fiscal year 2022, 

5 $231,451,645 for fiscal year 2023, and $245,338,744 for 

6 fiscal year 2024.’’. 

7 (b) Section 304(a)(3)(D) of the Older Americans Act 

8 of 1965 (42 U.S.C. 3024(a)(3)(D)) is amended— 

9 (1) in clause (i) by striking ‘‘2017 through 

10 2019’’ and inserting ‘‘2020 through 2024’’, and 

11 (2) in clause (ii) by striking ‘‘2020’’ and insert12 ing ‘‘2025’’. 

13 (c) Section 311(e) of the Older Americans Act of 

14 1965 (42 U.S.C. 3030a(e)) is amended to read as follows: 

15 ‘‘(e) There are authorized to be appropriated to carry 

16 out this section (other than subsection (c)(1)) 

17 $171,682,200 for fiscal year 2020, $181,983,132 for fis18 cal year 2021, $192,902,120 for fiscal year 2022, 

19 $204,476,247 for fiscal year 2023, and $216,744,822 for 

20 fiscal year 2024.’’. 

21 (d) Section 411(b) of the Older Americans Act of 

22 1965 (42 U.S.C. 3032(b)) is amended to read as follows: 

23 ‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—There 

24 are authorized to be appropriated to carry out— 


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1 ‘‘(1) aging network support activities under this 

2 section, $14,549,157 for fiscal year 2020, 

3 $15,422,107 for fiscal year 2021, $16,347,433 for 

4 fiscal year 2022, $17,328,279 for fiscal year 2023, 

5 and $18,367,976 for fiscal year 2024; and 

6 ‘‘(2) elder rights support activities under this 

7 section, $15,650,667 for fiscal year 2020, 

8 $16,589,707 for fiscal year 2021, $17,585,090 for 

9 fiscal year 2022, $18,640,195 for fiscal year 2023, 

10 and $19,758,607 for fiscal year 2024.’’. 

11 (e) Section 517(a) of the Older Americans Act of 

12 1965 (42 U.S.C. 3056o(a)) is amended to read as follows: 

13 ‘‘(a) IN GENERAL.—There are authorized to be ap14 propriated to carry out this title $429,020,486 for fiscal 

15 year 2020, $454,761,715 for fiscal year 2021, 

16 $482,047,418 for fiscal year 2022, $510,970,263 for fis17 cal year 2023, and $541,628,478 for fiscal year 2024.’’. 

18 (f) Section 702 of the Older Americans Act of 1965 

19 (42 U.S.C. 3058a) is amended to read as follows: 

20 ‘‘SEC. 702. AUTHORIZATION OF APPROPRIATIONS. 

21 ‘‘(a) OMBUDSMAN PROGRAM.—There are authorized 

22 to be appropriated to carry out chapter 2, $18,110,027 

23 for fiscal year 2020, $19,196,629 for fiscal year 2021, 

24 $20,348,427 for fiscal year 2022, $21,569,332 for fiscal 

25 year 2023, and $22,863,492 for fiscal year 2024. 


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1 ‘‘(b) OTHER PROGRAMS.—There are authorized to be 

2 appropriated to carry out chapters 3 and 4, $5,119,287 

3 for fiscal year 2020, $5,426,444 for fiscal year 2021, 

4 $5,752,031 for fiscal year 2022, $6,097,153 for fiscal year 

5 2023, and $6,462,982 for fiscal year 2024.’’. 

6 SEC. 504. EFFECTIVE DATE. 

7 This Act shall take effect on October 1, 2019. 

Æ 


kjohnson on DSK79L0C42 with BILLS