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[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4334 Enrolled Bill (ENR)]

        H.R.4334

                     One Hundred Sixteenth Congress

                                 of the

                        United States of America

                          AT THE SECOND SESSION

           Begun and held at the City of Washington on Friday,
            the third day of January, two thousand and twenty

                                 An Act

 
To amend the Older Americans Act of 1965 to authorize appropriations for 
         fiscal years 2020 through 2024, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
    This Act may be cited as the ``Supporting Older Americans Act of 
2020''.
SEC. 2. TABLE OF CONTENTS.
    The table of contents of this Act is as follows:

Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. References.
Sec. 4. Definitions.

 TITLE I--MODERNIZING DEFINITIONS AND PROGRAMS UNDER THE ADMINISTRATION 
                                ON AGING

Sec. 101. Reauthorization.
Sec. 102. Person-centered, trauma-informed services.
Sec. 103. Aging and Disability Resource Centers.
Sec. 104. Assistive technology.
Sec. 105. Vaccination.
Sec. 106. Malnutrition.
Sec. 107. Sexually transmitted diseases.
Sec. 108. Addressing chronic pain management.
Sec. 109. Screening for suicide risk.
Sec. 110. Screening for fall-related traumatic brain injury; addressing 
          public health emergencies and emerging health threats; 
          negative health effects associated with social isolation.
Sec. 111. Clarification regarding board and care facilities.
Sec. 112. Person-centered, trauma-informed services definition.
Sec. 113. Traumatic brain injury.
Sec. 114. Modernizing the review of applications and providing technical 
          assistance for disasters.
Sec. 115. Increased focus of Assistant Secretary on negative health 
          effects associated with social isolation.
Sec. 116. Notification of availability of or updates to policies, 
          practices, and procedures through a uniform e-format.
Sec. 117. Evidence-based program adaptation.
Sec. 118. Business acumen provisions and clarification regarding outside 
          funding for area agencies on aging.
Sec. 119. Demonstration on direct care workers.
Sec. 120. National resource center for older individuals experiencing 
          the long-term and adverse consequences of trauma.
Sec. 121. National Resource Center for Women and Retirement.
Sec. 122. Family caregivers.
Sec. 123. Interagency coordination.
Sec. 124. Modernizing the Interagency Coordinating Committee on Healthy 
          Aging and Age-Friendly Communities.
Sec. 125. Professional standards for a nutrition official under the 
          Assistant Secretary.
Sec. 126. Report on social isolation.
Sec. 127. Research and evaluation.

  TITLE II--IMPROVING GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING

Sec. 201. Social determinants of health.
Sec. 202. Younger onset Alzheimer's disease.
Sec. 203. Reauthorization.
Sec. 204. Hold harmless formula.
Sec. 205. Outreach efforts.
Sec. 206. State Long-Term Care Ombudsman program minimum funding and 
          maintenance of effort.
Sec. 207. Coordination with resource centers.
Sec. 208. Senior legal hotlines.
Sec. 209. Increase in limit on use of allotted funds for State 
          administrative costs.
Sec. 210. Improvements to nutrition programs.
Sec. 211. Review of reports.
Sec. 212. Other practices.
Sec. 213. Screening for negative health effects associated with social 
          isolation and traumatic brain injury.
Sec. 214. Supportive services and senior centers.
Sec. 215. Culturally appropriate, medically tailored meals.
Sec. 216. Nutrition services study.
Sec. 217. National Family Caregiver Support program.
Sec. 218. National Family Caregiver Support program cap.

    TITLE III--MODERNIZING ACTIVITIES FOR HEALTH, INDEPENDENCE, AND 
                                LONGEVITY

Sec. 301. Reauthorization.
Sec. 302. Public awareness of traumatic brain injury.
Sec. 303. Falls prevention and chronic disease self-management 
          education.
Sec. 304. Demonstration to address negative health impacts associated 
          with social isolation.
Sec. 305. Technical assistance and innovation to improve transportation 
          for older individuals.
Sec. 306. Grant program for multigenerational collaboration.

          TITLE IV--SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM

Sec. 401. Priority for the senior community service employment program.
Sec. 402. Authorization of appropriations.

             TITLE V--ENHANCING GRANTS FOR NATIVE AMERICANS

Sec. 501. Reauthorization.

TITLE VI--MODERNIZING ALLOTMENTS FOR VULNERABLE ELDER RIGHTS PROTECTION 
                      ACTIVITIES AND OTHER PROGRAMS

Sec. 601. Reauthorization; vulnerable elder rights protection 
          activities.
Sec. 602. Volunteer State long-term care ombudsman representatives.
Sec. 603. Prevention of elder abuse, neglect, and exploitation.
Sec. 604. Principles for person-directed services and supports during 
          serious illness.
Sec. 605. Extension of the Supporting Grandparents Raising Grandchildren 
          Act.
Sec. 606. Best practices for home and community-based ombudsmen.
Sec. 607. Senior home modification assistance initiative.

                        TITLE VII--MISCELLANEOUS

Sec. 701. Technical corrections.
SEC. 3. REFERENCES.
    Except as otherwise expressly provided in this Act, wherever in 
this Act an amendment or repeal is expressed in terms of an amendment 
to, or a repeal of, a section or other provision, the reference shall 
be considered to be made to that section or other provision of the 
Older Americans Act of 1965 (42 U.S.C. 3001 et seq.).
SEC. 4. DEFINITIONS.
    In this Act, the terms ``area agency on aging'', ``Assistant 
Secretary'', ``greatest social need'', ``older individual'', and 
``Secretary'' have the meanings given such terms in section 102 of the 
Older Americans Act of 1965 (42 U.S.C. 3002).

TITLE I--MODERNIZING DEFINITIONS AND PROGRAMS UNDER THE ADMINISTRATION 
                                ON AGING

    SEC. 101. REAUTHORIZATION.
    Section 216 (42 U.S.C. 3020f) is amended to read as follows:
    ``SEC. 216. AUTHORIZATION OF APPROPRIATIONS.
    ``(a) In General.--For purposes of carrying out this Act, there are 
authorized to be appropriated for administration, salaries, and 
expenses of the Administration $43,937,410 for fiscal year 2020, 
$46,573,655 for fiscal year 2021, $49,368,074 for fiscal year 2022, 
$52,330,158 for fiscal year 2023, and $55,469,968 for fiscal year 2024.
    ``(b) Additional Authorizations.--There are authorized to be 
appropriated--
        ``(1) to carry out section 202(a)(21) (relating to the National 
    Eldercare Locator Service), $2,180,660 for fiscal year 2020, 
    $2,311,500 for fiscal year 2021, $2,450,190 for fiscal year 2022, 
    $2,597,201 for fiscal year 2023, and $2,753,033 for fiscal year 
    2024;
        ``(2) to carry out section 215, $1,988,060 for fiscal year 
    2020, $2,107,344 for fiscal year 2021, $2,233,784 for fiscal year 
    2022, $2,367,811 for fiscal year 2023, and $2,509,880 for fiscal 
    year 2024;
        ``(3) to carry out section 202 (relating to Elder Rights 
    Support Activities under this title), $1,371,740 for fiscal year 
    2020, $1,454,044 for fiscal year 2021, $1,541,287 for fiscal year 
    2022, $1,633,764 for fiscal year 2023, and $1,731,790 for fiscal 
    year 2024; and
        ``(4) to carry out section 202(b) (relating to the Aging and 
    Disability Resource Centers), $8,687,330 for fiscal year 2020, 
    $9,208,570 for fiscal year 2021, $9,761,084 for fiscal year 2022, 
    $10,346,749 for fiscal year 2023, and $10,967,554 for fiscal year 
    2024.''.
    SEC. 102. PERSON-CENTERED, TRAUMA-INFORMED SERVICES.
    Section 101(2) (42 U.S.C. 3001(2)) is amended by inserting 
``(including access to person-centered, trauma-informed services as 
appropriate)'' after ``health''.
    SEC. 103. AGING AND DISABILITY RESOURCE CENTERS.
    Section 102(4) (42 U.S.C. 3002(4)) is amended--
        (1) in the matter preceding subparagraph (A), by inserting ``, 
    in collaboration with (as appropriate) area agencies on aging, 
    centers for independent living (as described in part C of chapter 1 
    of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 796f et 
    seq.)), and other aging or disability entities'' after 
    ``provides'';
        (2) in subparagraph (B)--
            (A) by inserting ``services, supports, and'' after ``plan 
        for long-term''; and
            (B) by inserting ``and choices'' after ``desires''; and
        (3) in subparagraph (D), by striking ``part C of title VII of 
    the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.), and other 
    community-based entities,'' and inserting ``part C of chapter 1 of 
    title VII of the Rehabilitation Act of 1973, and other community-
    based entities, including other aging or disability entities,''.
    SEC. 104. ASSISTIVE TECHNOLOGY.
    The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is 
amended--
        (1) in section 102(8) (42 U.S.C. 3002(8)), by adding at the end 
    the following:
    ``(C) The term `State assistive technology entity' means the 
agency, office, or other entity designated under subsection (c)(1) of 
section 4 of the Assistive Technology Act of 1998 (29 U.S.C. 3003) to 
carry out State activities under such section.'';
        (2) in section 306 (42 U.S.C. 3026)--
            (A) in subsection (a)(6)--
                (i) in subparagraph (G), by striking ``; and'' and 
            inserting a semicolon;
                (ii) in subparagraph (H), by striking ``appropriate;'' 
            and inserting ``appropriate; and''; and
                (iii) by adding at the end the following:
        ``(I) to the extent feasible, coordinate with the State agency 
    to disseminate information about the State assistive technology 
    entity and access to assistive technology options for serving older 
    individuals;''; and
            (B) in subsection (b)(3)--
                (i) in subparagraph (K)--

                    (I) by aligning the margins of the subparagraph 
                with the margins of subparagraph (J); and
                    (II) by striking ``; and'' and inserting a 
                semicolon;

                (ii) by redesignating subparagraph (L) as subparagraph 
            (M); and
                (iii) by inserting after subparagraph (K) the 
            following:
        ``(L) assistive technology devices and services; and''; and
        (3) in section 411(a) (42 U.S.C. 3032(a))--
            (A) in paragraph (2), by inserting ``, aligned with 
        evidence-based practice,'' after ``applied social research''; 
        and
            (B) in paragraph (10), by inserting ``consistent with 
        section 508 of the Rehabilitation Act of 1973 (29 U.S.C. 
        794d)'' after ``other technologies''.
    SEC. 105. VACCINATION.
    Section 102(14) (42 U.S.C. 3002(14)) is amended--
        (1) in subparagraph (B), by inserting ``immunization status,'' 
    after ``oral health,''; and
        (2) in subparagraph (D), by inserting ``infectious disease, and 
    vaccine-preventable disease, as well as'' after ``cardiovascular 
    disease),''.
    SEC. 106. MALNUTRITION.
    The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is 
amended--
        (1) in section 102(14)(B), as amended by section 105(1), by 
    inserting ``(including screening for malnutrition)'' after 
    ``nutrition screening''; and
        (2) in section 330(1), by striking ``and food insecurity'' and 
    inserting ``, food insecurity, and malnutrition''.
    SEC. 107. SEXUALLY TRANSMITTED DISEASES.
    Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as amended by section 
105(2), is further amended by inserting ``prevention of sexually 
transmitted diseases,'' after ``vaccine-preventable disease,''.
    SEC. 108. ADDRESSING CHRONIC PAIN MANAGEMENT.
    Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as amended by section 
107, is further amended by inserting ``chronic pain management,'' after 
``substance abuse reduction,''.
    SEC. 109. SCREENING FOR SUICIDE RISK.
    Section 102(14)(G) (42 U.S.C. 3002(14)(G)) is amended by inserting 
``and screening for suicide risk'' after ``depression''.
    SEC. 110. SCREENING FOR FALL-RELATED TRAUMATIC BRAIN INJURY; 
      ADDRESSING PUBLIC HEALTH EMERGENCIES AND EMERGING HEALTH THREATS; 
      NEGATIVE HEALTH EFFECTS ASSOCIATED WITH SOCIAL ISOLATION.
    Section 102(14) (42 U.S.C. 3002(14)) is amended--
        (1) by redesignating subparagraphs (H) through (J), and 
    subparagraphs (K) and (L), as subparagraphs (I) through (K), and 
    subparagraphs (M) and (O), respectively;
        (2) by inserting after subparagraph (G) the following:
            ``(H) screening for fall-related traumatic brain injury and 
        other fall-related injuries, coordination of treatment, 
        rehabilitation and related services, and referral services 
        related to such injury or injuries;'';
        (3) by inserting after subparagraph (K), as redesignated by 
    paragraph (1), the following:
            ``(L) services that are a part of responses to a public 
        health emergency or emerging health threat;''; and
        (4) in subparagraph (M), as redesignated by paragraph (1), by 
    striking ``; and'' and inserting a semicolon;
        (5) by inserting after subparagraph (M), as redesignated by 
    paragraph (1), the following:
            ``(N) screening for the prevention of negative health 
        effects associated with social isolation and coordination of 
        supportive services and health care to address negative health 
        effects associated with social isolation; and''; and
        (6) in subparagraph (O), as redesignated, by striking ``(A) 
    through (K)'' and inserting ``(A) through (N)''.
    SEC. 111. CLARIFICATION REGARDING BOARD AND CARE FACILITIES.
    Section 102(35)(C) (42 U.S.C. 3002(35)(C)) is amended by striking 
``for purposes of sections 307(a)(12) and 712,''.
    SEC. 112. PERSON-CENTERED, TRAUMA-INFORMED SERVICES DEFINITION.
    Section 102 (42 U.S.C. 3002) is amended--
        (1) by redesignating paragraphs (41) through (54) as paragraphs 
    (42) through (55), respectively; and
        (2) by inserting after paragraph (40) the following:
        ``(41) The term `person-centered, trauma-informed', with 
    respect to services, means services provided through an aging 
    program that--
            ``(A) use a holistic approach to providing services or 
        care;
            ``(B) promote the dignity, strength, and empowerment of 
        victims of trauma; and
            ``(C) incorporate evidence-based practices based on 
        knowledge about the role of trauma in trauma victims' lives.''.
    SEC. 113. TRAUMATIC BRAIN INJURY.
    Section 102 (42 U.S.C. 3002), as amended by section 112, is further 
amended--
        (1) by redesignating paragraph (55) as paragraph (56); and
        (2) by inserting after paragraph (54) the following:
        ``(55) The term `traumatic brain injury' has the meaning given 
    such term in section 393B(d) of the Public Health Service Act (42 
    U.S.C. 280b-1c(d)).''.
    SEC. 114. MODERNIZING THE REVIEW OF APPLICATIONS AND PROVIDING 
      TECHNICAL ASSISTANCE FOR DISASTERS.
    (a) Review of Applications.--Section 202 (42 U.S.C. 3012) is 
amended--
        (1) by amending subsection (a)(4) to read as follows:
        ``(4) administer the grants provided by this Act, but not 
    approve an application submitted by an applicant for a grant for an 
    activity under a provision of this Act for which such applicant 
    previously received a grant under such provision unless the 
    Assistant Secretary determines--
            ``(A) the activity for which such application was submitted 
        is being operated, or was operated, effectively to achieve its 
        stated purpose; and
            ``(B) such applicant has complied with the assurances 
        provided to the Assistant Secretary with the application for 
        such previous grant.''; and
        (2) by adding at the end the following:
    ``(h) The Assistant Secretary shall publish, on an annual basis, a 
list of centers and demonstration projects funded under each title of 
this Act. The Assistant Secretary shall ensure that this information is 
also directly provided to State agencies and area agencies on aging.''.
    (b) Addressing the Needs of Older Individuals in Disasters.--
Section 202(a) (42 U.S.C. 3012(a)) is amended--
        (1) in paragraph (30), by striking ``; and'' and inserting a 
    semicolon;
        (2) in paragraph (31), by striking the period at the end and 
    inserting a semicolon; and
        (3) by adding at the end the following:
        ``(32) provide technical assistance to, and share best 
    practices with, State agencies and area agencies on aging on how to 
    collaborate and coordinate activities and develop long-range 
    emergency preparedness plans with local and State emergency 
    response agencies, relief organizations, local and State 
    governments, Federal agencies as appropriate, and any other 
    institutions that have responsibility for disaster relief service 
    delivery;''.
    SEC. 115. INCREASED FOCUS OF ASSISTANT SECRETARY ON NEGATIVE HEALTH 
      EFFECTS ASSOCIATED WITH SOCIAL ISOLATION.
    Section 202(a) (42 U.S.C. 3012(a)), as amended by section 114(b), 
is further amended by adding at the end the following:
        ``(33) with input from aging network stakeholders, including 
    caregivers, develop objectives, priorities, and a long-term plan 
    for supporting State and local efforts involving education about 
    prevention of, detection of, and response to negative health 
    effects associated with social isolation among older individuals, 
    and submit a report to Congress on this effort by January 2021; 
    and''.
    SEC. 116. NOTIFICATION OF AVAILABILITY OF OR UPDATES TO POLICIES, 
      PRACTICES, AND PROCEDURES THROUGH A UNIFORM E-FORMAT.
    Section 202(a) (42 U.S.C. 3012(a)), as amended by sections 114(b) 
and 115, is further amended by adding at the end the following:
        ``(34) provide (to the extent practicable) a standardized 
    notification to State agencies, area agencies on aging, providers 
    of services under this Act, and grantees or contract awardees under 
    this Act, through an electronic format (e-mail or other electronic 
    notification), of the availability of, or updates to, policies, 
    practices, and procedures under this Act.''.
    SEC. 117. EVIDENCE-BASED PROGRAM ADAPTATION.
    (a) Functions of the Assistant Secretary.--Section 202 (42 U.S.C. 
3012) is amended--
        (1) in subsection (a)(28), by inserting before the semicolon 
    ``, including information and technical assistance on delivery of 
    such services in different settings''; and
        (2) in subsection (b)(9)(B), by inserting before the semicolon 
    ``, including delivery of such services in different settings''.
    (b) Evidence-Based Disease Prevention and Health Promotion 
Services.--Section 361(a) (42 U.S.C. 3030m(a)) is amended in the second 
sentence by inserting ``provide technical assistance on the delivery of 
evidence-based disease prevention and health promotion services in 
different settings and for different populations, and'' before 
``consult''.
    SEC. 118. BUSINESS ACUMEN PROVISIONS AND CLARIFICATION REGARDING 
      OUTSIDE FUNDING FOR AREA AGENCIES ON AGING.
    (a) Assistance Relating To Growing and Sustaining Capacity.--
Section 202(b)(9) (42 U.S.C. 3012(b)(9)) is amended--
        (1) in subparagraph (A), by striking ``and'' after the 
    semicolon at the end;
        (2) in subparagraph (B), as amended by section 117(a)(2), by 
    inserting ``and'' after the semicolon at the end; and
        (3) by adding at the end the following:
            ``(C) activities for increasing business acumen, capacity 
        building, organizational development, innovation, and other 
        methods of growing and sustaining the capacity of the aging 
        network to serve older individuals and caregivers most 
        effectively;''.
    (b) Clarifying Partnerships for Area Agencies on Aging.--Section 
306 (42 U.S.C. 3026) is amended by adding at the end the following:
    ``(g) Nothing in this Act shall restrict an area agency on aging 
from providing services not provided or authorized by this Act, 
including through--
        ``(1) contracts with health care payers;
        ``(2) consumer private pay programs; or
        ``(3) other arrangements with entities or individuals that 
    increase the availability of home- and community-based services and 
    supports.''.
    (c) Conforming Amendment.--Section 307(a) (42 U.S.C. 3027(a)) is 
amended--
        (1) by striking paragraph (26); and
        (2) by redesignating paragraphs (27) through (30) as paragraphs 
    (26) through (29).
    SEC. 119. DEMONSTRATION ON DIRECT CARE WORKERS.
    Section 411(a) (42 U.S.C. 3032(a)) is amended--
        (1) by redesignating paragraphs (13) and (14) as paragraphs 
    (14) and (15), respectively; and
        (2) by inserting after paragraph (12) the following:
        ``(13) in coordination with the Secretary of Labor, the 
    demonstration of new strategies for the recruitment, retention, or 
    advancement of direct care workers, and the soliciting, 
    development, and implementation of strategies--
            ``(A) to reduce barriers to entry for a diverse and high-
        quality direct care workforce, including providing wages, 
        benefits, and advancement opportunities needed to attract or 
        retain direct care workers; and
            ``(B) to provide education and workforce development 
        programs for direct care workers that include supportive 
        services and career planning;''.
    SEC. 120. NATIONAL RESOURCE CENTER FOR OLDER INDIVIDUALS 
      EXPERIENCING THE LONG-TERM AND ADVERSE CONSEQUENCES OF TRAUMA.
    Section 411(a) (42 U.S.C. 3032(a)), as amended by section 119, is 
further amended--
        (1) by redesignating paragraphs (14) and (15) as paragraphs 
    (15) and (16), respectively; and
        (2) by inserting after paragraph (13) the following:
        ``(14) the establishment and operation of a national resource 
    center that shall--
            ``(A) provide training and technical assistance to agencies 
        in the aging network delivering services to older individuals 
        experiencing the long-term and adverse consequences of trauma;
            ``(B) share best practices with the aging network; and
            ``(C) make subgrants to the agencies best positioned to 
        advance and improve the delivery of person-centered, trauma-
        informed services for older individuals experiencing the long-
        term and adverse consequences of trauma;''.
    SEC. 121. NATIONAL RESOURCE CENTER FOR WOMEN AND RETIREMENT.
    Section 215 (42 U.S.C. 3020e-1) is amended by adding at the end the 
following:
    ``(k)(1) The Assistant Secretary shall, directly or by grant or 
contract, operate the National Resource Center for Women and Retirement 
(in this subsection referred to as the `Center').
    ``(2) The Center shall--
        ``(A) provide tools, such as basic financial management, 
    retirement planning, and other tools that promote financial 
    literacy and help to identify and prevent exploitation (including 
    fraud), and integrate these with information on health and long-
    term care;
        ``(B) annually disseminate a summary of outreach activities 
    provided, including work to provide user-friendly consumer 
    information and public education materials;
        ``(C) develop targeted outreach strategies;
        ``(D) provide technical assistance to State agencies and to 
    other public and nonprofit private agencies and organizations; and
        ``(E) develop partnerships and collaborations to address 
    program objectives.''.
    SEC. 122. FAMILY CAREGIVERS.
    (a) Administration.--Section 202 (42 U.S.C. 3012), as amended by 
section 114, is further amended by adding at the end the following:
    ``(i) The Assistant Secretary shall carry out the RAISE Family 
Caregivers Act (42 U.S.C. 3030s note).''.
    (b) Sunset.--Section 6 of the RAISE Family Caregivers Act (42 
U.S.C. 3030s note) is amended by striking ``3 years'' and inserting ``4 
years''.
    (c) Conforming Amendment.--Section 2(3) of the RAISE Family 
Caregivers Act (42 U.S.C. 3030s note) is amended by inserting ``, 
acting through the Assistant Secretary for Aging'' before the period at 
the end.
    SEC. 123. INTERAGENCY COORDINATION.
    (a) In General.--The Assistant Secretary shall, in performing the 
functions of the Administration on Aging under section 202(a)(5) of the 
Older Americans Act of 1965 (42 U.S.C. 3012(a)(5)) related to health 
(including mental and behavioral health) services, coordinate with the 
Assistant Secretary for Mental Health and Substance Use and the 
Director of the Centers for Disease Control and Prevention--
        (1) in the planning, development, implementation, and 
    evaluation of evidence-based policies, programs, practices, and 
    other activities pertaining to the prevention of suicide among 
    older individuals, including the implementation of evidence-based 
    suicide prevention programs and strategies identified by the 
    National Center for Injury Prevention and Control at the Centers 
    for Disease Control and Prevention and other entities, as 
    applicable; and
        (2) in providing and incorporating technical assistance for the 
    prevention of suicide among older individuals, including technical 
    assistance related to the Suicide Prevention Technical Assistance 
    Center established under section 520C of the Public Health Service 
    Act (42 U.S.C. 290bb-34).
    (b) Program Design.--Section 202(a)(5) (42 U.S.C. 3012(a)(5)) is 
amended by inserting ``cultural experiences, activities, and services, 
including in the arts,'' after ``education),''.
    SEC. 124. MODERNIZING THE INTERAGENCY COORDINATING COMMITTEE ON 
      HEALTHY AGING AND AGE-FRIENDLY COMMUNITIES.
    (a) Federal Agency Consultation.--Section 203(b) (42 U.S.C. 
3013(b)) is amended--
        (1) in paragraph (18), by striking ``and'' at the end;
        (2) in paragraph (19), by striking the period at the end and 
    inserting ``, and''; and
        (3) by adding at the end the following:
        ``(20) section 393D of the Public Health Service Act (42 U.S.C. 
    280b-1f), relating to safety of seniors.''.
    (b) Modernization.--Section 203(c) (42 U.S.C. 3013(c)) is amended--
        (1) in paragraph (1)--
            (A) by striking ``the Federal officials'' and inserting 
        ``other Federal officials'';
            (B) by striking ``Committee on Aging'' and inserting 
        ``Committee on Healthy Aging and Age-Friendly Communities''; 
        and
            (C) by inserting ``and the development of a national set of 
        recommendations, in accordance with paragraph (6), to support 
        the ability of older individuals to age in place and access 
        homelessness prevention services, preventive health care, 
        promote age-friendly communities, and address the ability of 
        older individuals to access long-term care supports, including 
        access to caregivers and home- and community-based health 
        services'' before the period;
        (2) in paragraph (4), by adding at the end the following: ``The 
    first term, after the date of enactment of the Supporting Older 
    Americans Act of 2020, shall start not later than 1 year after such 
    date of enactment.'';
        (3) in paragraph (6)--
            (A) in the matter preceding subparagraph (A), by striking 
        ``The Committee shall'' and inserting ``The recommendations 
        described in paragraph (1) may include recommendations for'';
            (B) in subparagraph (A)--
                (i) by striking ``share information with and establish 
            an ongoing system to'' and inserting ``ways to''; and
                (ii) by striking ``for older individuals and recommend 
            improvements'' and all that follows through ``accessibility 
            of such programs and services'' and inserting ``that impact 
            older individuals'';
            (C) in subparagraph (B)--
                (i) by striking ``identify, promote, and implement (as 
            appropriate),'';
                (ii) in clause (i), by striking ``and'' after the 
            semicolon;
                (iii) in clause (ii), by inserting ``and'' after the 
            semicolon; and
                (iv) by adding at the end the following:
            ``(iii) best practices identified in coordination with the 
        Centers for Disease Control and Prevention, the National 
        Institute on Aging, the Centers for Medicare & Medicaid 
        Services, the Office of Lead Hazard Control and Healthy Homes 
        of the Department of Housing and Urban Development, and other 
        Federal agencies, as appropriate, to reduce and prevent falls 
        among older individuals, that incorporate evidence-based falls 
        prevention programs and home modifications, which 
        recommendations shall supplement and not unnecessarily 
        duplicate activities authorized under section 393D of the 
        Public Health Service Act (42 U.S.C. 280b-1f), relating to 
        safety of seniors;'';
            (D) in subparagraph (C)--
                (i) by inserting ``ways to'' before ``collect'';
                (ii) by striking ``older individuals and''; and
                (iii) by striking ``the individuals to ensure'' and all 
            that follows through ``information'' and inserting ``older 
            individuals to ensure that such information is 
            accessible'';
            (E) in subparagraph (D), by striking ``work with'' and all 
        that follows through ``member agencies to ensure'' and 
        inserting ``ways to ensure'';
            (F) in subparagraph (E), by striking ``seek input'' and all 
        that follows through ``foundations'' and inserting ``seeking 
        input from and consulting with nonprofit organizations, 
        academic or research institutions, community-based 
        organizations, philanthropic organizations, or other entities 
        supporting age-friendly communities'';
            (G) in subparagraph (F), by striking ``identify'' and 
        inserting ``identifying''; and
            (H) by amending subparagraph (G) to read as follows:
        ``(G) ways to improve coordination to provide housing, health 
    care, and other supportive services to older individuals.'';
        (4) in paragraph (7)(A)(i), by striking ``services for older 
    individuals'' and inserting ``services that impact older 
    individuals''; and
        (5) by adding at the end the following:
    ``(9) In this subsection, the term `age-friendly community' means a 
community that--
        ``(A) is taking measurable steps to--
            ``(i) include adequate and accessible housing, public 
        spaces and buildings, safe and secure paths, variable route 
        transportation services, and programs and services designed to 
        support health and well-being;
            ``(ii) respect and include older individuals in social 
        opportunities, civic participation, volunteerism, and 
        employment; and
            ``(iii) facilitate access to supportive services for older 
        individuals;
        ``(B) is not an assisted living facility or long-term care 
    facility; and
        ``(C) has a plan in place to meet local needs for housing, 
    transportation, civic participation, social connectedness, and 
    accessible public spaces.''.
    (c) Administration of the Act.--Section 205(a)(2) (42 U.S.C. 
3016(a)(2)) is amended--
        (1) by redesignating subparagraph (C) as subparagraph (D); and
        (2) by inserting after subparagraph (B) the following:
    ``(C) The Assistant Secretary may provide technical assistance, 
including through the regional offices of the Administration, to State 
agencies, area agencies on aging, local government agencies, or leaders 
in age-friendly communities (as defined, for purposes of this 
subparagraph, in section 203(c)(9)) regarding--
        ``(i) dissemination of, or consideration of ways to implement, 
    best practices and recommendations from the Interagency 
    Coordinating Committee on Healthy Aging and Age-Friendly 
    Communities established under section 203(c); and
        ``(ii) methods for managing and coordinating existing programs 
    to meet the needs of growing age-friendly communities.''.
    SEC. 125. PROFESSIONAL STANDARDS FOR A NUTRITION OFFICIAL UNDER THE 
      ASSISTANT SECRETARY.
    Section 205(a)(2)(D)(ii) (42 U.S.C. 3016(a)(2)(D)(ii)), as 
redesignated by section 124(c)(1), is amended to read as follows:
        ``(ii) be a registered dietitian or registered dietitian 
    nutritionist.''.
    SEC. 126. REPORT ON SOCIAL ISOLATION.
    (a) Preparation of Report.--
        (1) In general.--The Secretary shall, in carrying out 
    activities under section 206(a) of the Older Americans Act of 1965 
    (42 U.S.C. 3017(a)), prepare a report on programs authorized by 
    such Act (42 U.S.C. 3001 et seq.), and supported or funded by the 
    Administration on Aging, that include a focus on addressing the 
    negative health effects associated with social isolation through 
    targeting older individuals identified as being in greatest social 
    need, as appropriate.
        (2) Impact.--Such report shall identify--
            (A) whether social isolation is being adequately addressed 
        under such programs, including, to the extent practicable--
                (i) the prevalence of social isolation in rural areas 
            and in urban areas;
                (ii) the negative public health effects associated with 
            social isolation; and
                (iii) the role of preventive measures or of services, 
            including nutrition services, in addressing the negative 
            health effects associated with social isolation among older 
            individuals; and
            (B) public awareness of and efforts to address the negative 
        health effects associated with social isolation.
        (3) Types of programs.--Such report shall identify whether 
    programs described in paragraph (1)--
            (A) support projects in local communities and involve 
        diverse sectors associated with such communities to decrease 
        the negative health effects associated with social isolation 
        among older individuals and caregivers;
            (B) support outreach activities to screen older individuals 
        for negative health effects associated with social isolation; 
        and
            (C) include a focus on decreasing the negative health 
        effects associated with social isolation.
        (4) Recommendations.--Such report shall, as appropriate, 
    include recommendations for reducing the negative health effects 
    associated with social isolation and to address any negative health 
    effects identified under clauses (ii) and (iii) of subparagraph 
    (A), and subparagraph (B), of paragraph (2).
    (b) Submission of Report.--
        (1) Interim status report.--Not later than 2 years after the 
    date of enactment of this Act, the Secretary shall submit an 
    interim report, to the committees of the Senate and of the House of 
    Representatives with jurisdiction over the Older Americans Act of 
    1965 (42 U.S.C. 3001 et seq.), and the Special Committee on Aging 
    of the Senate, on the status of the evaluation underway to develop 
    the final report required under this section.
        (2) Final report.--Not later than 5 years after the date of 
    enactment of this Act, the Secretary shall submit a final report 
    that meets the requirements of this section to the committees of 
    the Senate and of the House of Representatives with jurisdiction 
    over the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.), and 
    the Special Committee on Aging of the Senate.
    SEC. 127. RESEARCH AND EVALUATION.
    (a) Center.--Section 201 (42 U.S.C. 3011) is amended by adding at 
the end the following:
    ``(g)(1) The Assistant Secretary shall, as appropriate, coordinate 
the research and evaluation functions of this Act under a Research, 
Demonstration, and Evaluation Center for the Aging Network (in this 
subsection referred to as the `Center'), which shall be headed by a 
director designated by the Assistant Secretary from individuals 
described in paragraph (4).
    ``(2) The purpose of the Center shall be--
        ``(A) to coordinate, as appropriate, research, research 
    dissemination, evaluation, demonstration projects, and related 
    activities carried out under this Act;
        ``(B) to provide assessment of the programs and interventions 
    authorized under this Act; and
        ``(C) to increase the repository of information on evidence-
    based programs and interventions available to the aging network, 
    which information shall be applicable to existing programs and 
    interventions and help in the development of new evidence-based 
    programs and interventions.
    ``(3) Activities of the Center shall include, as appropriate, 
conducting, promoting, coordinating, and providing support for--
        ``(A) research and evaluation activities that support the 
    objectives of this Act, including--
            ``(i) evaluation of new and existing programs and 
        interventions authorized by this Act; and
            ``(ii) research on and assessment of the relationship 
        between programs and interventions under this Act and the 
        health outcomes, social determinants of health, quality of 
        life, and independence of individuals served under this Act;
        ``(B) demonstration projects that support the objectives of 
    this Act, including activities to bring effective demonstration 
    projects to scale with a prioritization of projects that address 
    the needs of underserved populations, and promote partnerships 
    among aging services, community-based organizations, and Medicare 
    and Medicaid providers, plans, and health (including public health) 
    systems;
        ``(C) outreach and dissemination of research findings; and
        ``(D) technical assistance related to the activities described 
    in this paragraph.
    ``(4) The director shall be an individual with substantial 
knowledge of and experience in aging and health policy, and research 
administration.
    ``(5) Not later than October 1, 2020, and at 5-year intervals 
thereafter, the director shall prepare and publish in the Federal 
Register for public comment a draft of a 5-year plan that--
        ``(A) outlines priorities for research, research dissemination, 
    evaluation, demonstration projects, and related activities;
        ``(B) explains the basis for such priorities; and
        ``(C) describes how the plan will meet the needs of underserved 
    populations.
    ``(6) The director shall coordinate, as appropriate, research, 
research dissemination, evaluation, and demonstration projects, and 
related activities with appropriate agency program staff, and, as 
appropriate, with other Federal departments and agencies involved in 
research in the field of aging.
    ``(7) Not later than December 31, 2020, and annually thereafter, 
the director shall prepare, and submit to the Secretary, the Committee 
on Health, Education, Labor, and Pensions of the Senate, the Special 
Committee on Aging of the Senate, and the Committee on Education and 
Labor of the House of Representatives, a report on the activities 
funded under this section and title IV.
    ``(8) The director shall, as appropriate, consult with experts on 
aging research and evaluation and aging network stakeholders on the 
implementation of the activities described under paragraph (3) of this 
subsection.
    ``(9) The director shall coordinate, as appropriate, all research 
and evaluation authorities under this Act.''.
    (b) Evaluation.--Section 206 (42 U.S.C. 3017) is amended--
        (1) by redesignating subsections (b) through (g) as subsections 
    (c) through (h), respectively; and
        (2) by inserting after subsection (a) the following:
    ``(b) Not later than July 1, 2020, the Secretary shall provide, 
directly or through grant or contract, for an evaluation of programs 
under this Act, which shall include, to the extent practicable, an 
analysis of the relationship of such programs, including demonstration 
projects under title IV of this Act, to health care expenditures under 
the Medicare program established under title XVIII of the Social 
Security Act (42 U.S.C. 1395 et seq.) and the Medicaid program 
established under title XIX of the Social Security Act (42 U.S.C. 1396 
et seq.). The Secretary shall oversee analyses of data obtained in 
connection with program evaluation to evaluate, where feasible, the 
relationship of programs under this Act to health care expenditures, 
including under the Medicare and Medicaid programs.''.
    (c) Report on Health Care Expenditures.--Section 207 (42 U.S.C. 
3018) is amended by adding at the end the following:
    ``(d) The Assistant Secretary shall provide the evaluation required 
under section 206(b) to--
        ``(1) the Committee on Health, Education, Labor, and Pensions 
    of the Senate;
        ``(2) the Committee on Appropriations of the Senate;
        ``(3) the Special Committee on Aging of the Senate;
        ``(4) the Committee on Education and Labor of the House of 
    Representatives; and
        ``(5) the Committee on Appropriations of the House of 
    Representatives.''.

  TITLE II--IMPROVING GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING

    SEC. 201. SOCIAL DETERMINANTS OF HEALTH.
    Section 301(a)(1) (42 U.S.C. 3021(a)(1)) is amended--
        (1) in subparagraph (C), by striking ``and'' at the end;
        (2) in subparagraph (D), by striking the period at the end and 
    inserting ``; and''; and
        (3) by adding at the end the following:
            ``(E) measure impacts related to social determinants of 
        health of older individuals.''.
    SEC. 202. YOUNGER ONSET ALZHEIMER'S DISEASE.
    The Act (42 U.S.C. 3001 et seq.) is amended--
        (1) in section 302(3) (42 U.S.C. 3022(3)), by inserting ``of 
    any age'' after ``an individual''; and
        (2) in section 711(6) (42 U.S.C. 3058f(6)), by inserting ``of 
    any age'' after ``individual''.
    SEC. 203. REAUTHORIZATION.
    (a) Grants for State and Community Programs on Aging.--Subsections 
(a) through (e) of section 303 (42 U.S.C. 3023) are amended to read as 
follows:
    ``(a)(1) There are authorized to be appropriated to carry out part 
B (relating to supportive services) $412,029,180 for fiscal year 2020, 
$436,750,931 for fiscal year 2021, $462,955,987 for fiscal year 2022, 
$490,733,346 for fiscal year 2023, and $520,177,347 for fiscal year 
2024.
    ``(2) Funds appropriated under paragraph (1) shall be available to 
carry out section 712.
    ``(b)(1) There are authorized to be appropriated to carry out 
subpart 1 of part C (relating to congregate nutrition services) 
$530,015,940 for fiscal year 2020, $561,816,896 for fiscal year 2021, 
$595,525,910 for fiscal year 2022, $631,257,465 for fiscal year 2023, 
and $669,132,913 for fiscal year 2024.
    ``(2) There are authorized to be appropriated to carry out subpart 
2 of part C (relating to home delivered nutrition services) 
$268,935,940 for fiscal year 2020, $285,072,096 for fiscal year 2021, 
$302,176,422 for fiscal year 2022, $320,307,008 for fiscal year 2023, 
and $339,525,428 for fiscal year 2024.
    ``(c) Grants made under part B, and subparts 1 and 2 of part C, of 
this title may be used for paying part of the cost of--
        ``(1) the administration of area plans by area agencies on 
    aging designated under section 305(a)(2)(A), including the 
    preparation of area plans on aging consistent with section 306 and 
    the evaluation of activities carried out under such plans; and
        ``(2) the development of comprehensive and coordinated systems 
    for supportive services, and congregate and home delivered 
    nutrition services under subparts 1 and 2 of part C, the 
    development and operation of multipurpose senior centers, and the 
    delivery of legal assistance.
    ``(d) There are authorized to be appropriated to carry out part D 
(relating to disease prevention and health promotion services) 
$26,587,360 for fiscal year 2020, $28,182,602 for fiscal year 2021, 
$29,873,558 for fiscal year 2022, $31,665,971 for fiscal year 2023, and 
$33,565,929 for fiscal year 2024.
    ``(e) There are authorized to be appropriated to carry out part E 
(relating to family caregiver support) $193,869,020 for fiscal year 
2020, $205,501,161 for fiscal year 2021, $217,831,231 for fiscal year 
2022, $230,901,105 for fiscal year 2023, and $244,755,171 for fiscal 
year 2024.''.
    (b) Nutrition Services Incentive Program.--Section 311(e) (42 
U.S.C. 3030a(e)) is amended to read as follows:
    ``(e) There are authorized to be appropriated to carry out this 
section (other than subsection (c)(1)) $171,273,830 for fiscal year 
2020, $181,550,260 for fiscal year 2021, $192,443,275 for fiscal year 
2022, $203,989,872 for fiscal year 2023, and $216,229,264 for fiscal 
year 2024.''.
    SEC. 204. HOLD HARMLESS FORMULA.
    (a) In General.--Section 304(a)(3)(D) (42 U.S.C. 3024(a)(3)(D)) is 
amended to read as follows:
            ``(D)(i) In this subparagraph and paragraph (5)--
                ``(I) the term `allot' means allot under this 
            subsection from a sum appropriated under section 303(a) or 
            303(b)(1), as the case may be; and
                ``(II) the term `covered fiscal year' means any of 
            fiscal years 2020 through 2029.
            ``(ii) If the sum appropriated under section 303(a) or 
        303(b)(1) for a particular covered fiscal year is less than or 
        equal to the sum appropriated under section 303(a) or 
        303(b)(1), respectively, for fiscal year 2019, amounts shall be 
        allotted to States from the sum appropriated for the particular 
        year in accordance with paragraphs (1) and (2), and 
        subparagraphs (A) through (C) as applicable, but no State shall 
        be allotted an amount that is less than--
                ``(I) for fiscal year 2020, 99.75 percent of the 
            State's allotment from the corresponding sum appropriated 
            for fiscal year 2019;
                ``(II) for fiscal year 2021, 99.50 percent of that 
            allotment;
                ``(III) for fiscal year 2022, 99.25 percent of that 
            allotment;
                ``(IV) for fiscal year 2023, 99.00 percent of that 
            allotment;
                ``(V) for fiscal year 2024, 98.75 percent of that 
            allotment;
                ``(VI) for fiscal year 2025, 98.50 percent of that 
            allotment;
                ``(VII) for fiscal year 2026, 98.25 percent of that 
            allotment;
                ``(VIII) for fiscal year 2027, 98.00 percent of that 
            allotment;
                ``(IX) for fiscal year 2028, 97.75 percent of that 
            allotment; and
                ``(X) for fiscal year 2029, 97.50 percent of that 
            allotment.
            ``(iii) If the sum appropriated under section 303(a) or 
        303(b)(1) for a particular covered fiscal year is greater than 
        the sum appropriated under section 303(a) or 303(b)(1), 
        respectively, for fiscal year 2019, the allotments to States 
        from the sum appropriated for the particular year shall be 
        calculated as follows:
                ``(I) From the portion equal to the corresponding sum 
            appropriated for fiscal year 2019, amounts shall be 
            allotted in accordance with paragraphs (1) and (2), and 
            subparagraphs (A) through (C) as applicable, but no State 
            shall be allotted an amount that is less than the 
            percentage specified in clause (ii), for that particular 
            year, of the State's allotment from the corresponding sum 
            appropriated for fiscal year 2019.
                ``(II) From the remainder, amounts shall be allotted in 
            accordance with paragraph (1), subparagraphs (A) through 
            (C) as applicable, and paragraph (2) to the extent needed 
            to meet the requirements of those subparagraphs.''.
    (b) Repeal.--Section 304(a)(3)(D) (42 U.S.C. 3024(a)(3)(D)) is 
repealed, effective October 1, 2029.
    (c) Conforming Amendment.--Section 304(a)(5) (42 U.S.C. 3024(a)(5)) 
is amended by striking ``of the prior year'' and inserting ``as 
required by paragraph (3)''.
    SEC. 205. OUTREACH EFFORTS.
    Section 306(a)(4)(B) (42 U.S.C. 3026(a)(4)(B)) is amended--
        (1) in clause (i)(VII), by inserting ``, specifically including 
    survivors of the Holocaust'' after ``placement''; and
        (2) in clause (ii), by striking ``(VI)'' and inserting 
    ``(VII)''.
    SEC. 206. STATE LONG-TERM CARE OMBUDSMAN PROGRAM MINIMUM FUNDING 
      AND MAINTENANCE OF EFFORT.
    The Act (42 U.S.C. 3001 et seq.) is amended--
        (1) by amending section 306(a)(9) (42 U.S.C. 3026(a)(9)) to 
    read as follows:
        ``(9) provide assurances that--
            ``(A) the area agency on aging, in carrying out the State 
        Long-Term Care Ombudsman program under section 307(a)(9), will 
        expend not less than the total amount of funds appropriated 
        under this Act and expended by the agency in fiscal year 2019 
        in carrying out such a program under this title; and
            ``(B) funds made available to the area agency on aging 
        pursuant to section 712 shall be used to supplement and not 
        supplant other Federal, State, and local funds expended to 
        support activities described in section 712;''; and
        (2) by amending section 307(a)(9) (42 U.S.C. 3027(a)(9)) to 
    read as follows:
        ``(9) The plan shall provide assurances that--
            ``(A) the State agency will carry out, through the Office 
        of the State Long-Term Care Ombudsman, a State Long-Term Care 
        Ombudsman program in accordance with section 712 and this 
        title, and will expend for such purpose an amount that is not 
        less than the amount expended by the State agency with funds 
        received under this title for fiscal year 2019, and an amount 
        that is not less than the amount expended by the State agency 
        with funds received under title VII for fiscal year 2019; and
            ``(B) funds made available to the State agency pursuant to 
        section 712 shall be used to supplement and not supplant other 
        Federal, State, and local funds expended to support activities 
        described in section 712.''.
    SEC. 207. COORDINATION WITH RESOURCE CENTERS.
    (a) Area Plans.--Section 306(a) (42 U.S.C. 3026(a)) is amended--
        (1) in paragraph (16), by striking ``and'' at the end;
        (2) in paragraph (17), by striking the period at the end and 
    inserting a semicolon; and
        (3) by adding at the end the following:
        ``(18) provide assurances that the area agency on aging will 
    collect data to determine--
            ``(A) the services that are needed by older individuals 
        whose needs were the focus of all centers funded under title IV 
        in fiscal year 2019; and
            ``(B) the effectiveness of the programs, policies, and 
        services provided by such area agency on aging in assisting 
        such individuals; and
        ``(19) provide assurances that the area agency on aging will 
    use outreach efforts that will identify individuals eligible for 
    assistance under this Act, with special emphasis on those 
    individuals whose needs were the focus of all centers funded under 
    title IV in fiscal year 2019.''.
    (b) State Plans.--Section 307(a) (42 U.S.C. 3027(a)), as amended by 
section 118(c), is further amended by adding at the end the following:
        ``(30) The plan shall contain an assurance that the State shall 
    prepare and submit to the Assistant Secretary annual reports that 
    describe--
            ``(A) data collected to determine the services that are 
        needed by older individuals whose needs were the focus of all 
        centers funded under title IV in fiscal year 2019;
            ``(B) data collected to determine the effectiveness of the 
        programs, policies, and services provided by area agencies on 
        aging in assisting such individuals; and
            ``(C) outreach efforts and other activities carried out to 
        satisfy the assurances described in paragraphs (18) and (19) of 
        section 306(a).''.
    SEC. 208. SENIOR LEGAL HOTLINES.
    Not later than 4 years after the date of enactment of this Act, the 
Assistant Secretary shall prepare and submit to Congress a report 
containing--
        (1) information on which States or localities operate senior 
    legal hotlines;
        (2) information on how such hotlines operated by States or 
    localities are funded;
        (3) information on the usefulness of senior legal hotlines in 
    the coordination and provision of legal assistance; and
        (4) recommendations on additional actions that should be taken 
    related to senior legal hotlines.
    SEC. 209. INCREASE IN LIMIT ON USE OF ALLOTTED FUNDS FOR STATE 
      ADMINISTRATIVE COSTS.
    Section 308 (42 U.S.C. 3028) is amended--
        (1) in subsection (a), in paragraphs (1) and (2), by striking 
    ``subsection (b)(1)'' and inserting ``subsection (b)''; and
        (2) in subsection (b)--
            (A) in each of paragraphs (1) and (2)--
                (i) in subparagraph (A)--

                    (I) by striking ``clause (ii)'' and inserting 
                ``subparagraph (B)''; and
                    (II) by striking ``greater of'' and all that 
                follows through ``or'' and inserting the following: 
                ``greater of--

                ``(i) 5 percent of the total amount of the allotments 
            made to a State under sections 304(a)(1) and 373(f); or
                ``(ii)''; and
                (ii) in subparagraph (B), by striking ``such 
            allotment'' and inserting ``such total amount''; and
            (B) in paragraph (2)(A), by striking ``$500,000'' and 
        inserting ``$750,000''.
    SEC. 210. IMPROVEMENTS TO NUTRITION PROGRAMS.
    Section 308(b)(4) (42 U.S.C. 3028(b)(4)) is amended by adding at 
the end the following:
    ``(D) The State, in consultation with area agencies on aging, shall 
ensure the process used by the State in transferring funds under this 
paragraph (including requirements relating to the authority and timing 
of such transfers) is simplified and clarified to reduce administrative 
barriers and direct limited resources to the greatest nutrition service 
needs at the community level. Such process shall be modified to attempt 
to lessen the administrative barriers of such transfers, and help 
direct limited resources to where they are needed the most as the unmet 
need for nutrition services grows.''.
    SEC. 211. REVIEW OF REPORTS.
    Section 308(b) (42 U.S.C. 3028(b)) is amended by adding at the end 
the following:
    ``(8) The Assistant Secretary shall review the reports submitted 
under section 307(a)(30) and include aggregate data in the report 
required by section 207(a), including data on--
        ``(A) the effectiveness of the programs, policies, and services 
    provided by area agencies on aging in assisting older individuals 
    whose needs were the focus of all centers funded under title IV in 
    fiscal year 2019; and
        ``(B) outreach efforts and other activities carried out to 
    satisfy the assurances described in paragraphs (18) and (19) of 
    section 306(a), to identify such older individuals and their 
    service needs.''.
    SEC. 212. OTHER PRACTICES.
    Section 315 (42 U.S.C. 3030c-2) is amended by adding at the end the 
following:
    ``(e) Response to Area Agencies on Aging.--
        ``(1) In general.--Upon request from an area agency on aging, 
    the State shall make available any policies or guidance pertaining 
    to policies established under this section.
        ``(2) Rule of construction.--Nothing in paragraph (1) shall 
    require a State to develop policies or guidance pertaining to 
    policies established under this section.''.
    SEC. 213. SCREENING FOR NEGATIVE HEALTH EFFECTS ASSOCIATED WITH 
      SOCIAL ISOLATION AND TRAUMATIC BRAIN INJURY.
    Section 321(a)(8) (42 U.S.C. 3030d(a)(8)) is amended--
        (1) by striking ``screening and'' and inserting ``screening, 
    screening for negative health effects associated with social 
    isolation,''; and
        (2) by inserting ``, and traumatic brain injury screening'' 
    after ``falls prevention services screening''.
    SEC. 214. SUPPORTIVE SERVICES AND SENIOR CENTERS.
    (a) In General.--Section 321(a) (42 U.S.C. 3030d(a)) is amended--
        (1) in paragraph (24), by striking ``and'' at the end;
        (2) by redesignating paragraph (25) as paragraph (26); and
        (3) by inserting after paragraph (24) the following:
        ``(25) services that promote or support social connectedness 
    and reduce negative health effects associated with social 
    isolation; and''.
    (b) Supportive Services.--Section 321(a)(7) (42 U.S.C. 3030d(a)(7)) 
is amended by inserting ``cultural experiences (including the arts),'' 
after ``art therapy,''.
    SEC. 215. CULTURALLY APPROPRIATE, MEDICALLY TAILORED MEALS.
    Section 339(2)(A)(iii) (42 U.S.C. 3030g-21(2)(A)(iii)) is amended 
by inserting ``, including meals adjusted for cultural considerations 
and preferences and medically tailored meals'' before the comma at the 
end.
    SEC. 216. NUTRITION SERVICES STUDY.
    Subpart 3 of part C of title III (42 U.S.C. 3030g-21 et seq.) is 
amended by adding at the end the following:
``SEC. 339B. NUTRITION SERVICES IMPACT STUDY.
    ``(a) Study.--
        ``(1) In general.--The Assistant Secretary shall perform a 
    study to assess how to measure and evaluate the discrepancy between 
    available services and the demand for such services in the home 
    delivered nutrition services program and the congregate nutrition 
    services program under this part, which shall include assessing 
    various methods (such as those that States use) to measure and 
    evaluate the discrepancy (such as measurement through the length of 
    waitlists).
        ``(2) Contents.--In performing the study, the Assistant 
    Secretary shall--
            ``(A) consider means of obtaining information in rural and 
        underserved communities; and
            ``(B) consider using existing tools (existing as of the 
        date the Assistant Secretary begins the study) such as the 
        tools developed through the Performance Outcome Measurement 
        Project.
        ``(3) Analysis.--The Assistant Secretary shall analyze and 
    determine which methods are the least burdensome and most effective 
    for measuring and evaluating the discrepancy described in paragraph 
    (1).
    ``(b) Recommendations.--
        ``(1) Preparation.--Not later than 3 years after the date of 
    enactment of the Supporting Older Americans Act of 2020, the 
    Assistant Secretary shall prepare recommendations--
            ``(A) on how to measure and evaluate, with the least burden 
        and the most effectiveness, the discrepancy described in 
        subsection (a)(1) (such as measurement through the length of 
        waitlists); and
            ``(B) about whether studies similar to the study described 
        in subsection (a) should be carried out for programs carried 
        out under this Act, other than this part.
        ``(2) Issuance.--The Assistant Secretary shall issue the 
    recommendations, and make the recommendations available as a 
    notification pursuant to section 202(a)(34) and to the committees 
    of the Senate and of the House of Representatives with jurisdiction 
    over this Act, and the Special Committee on Aging of the Senate.''.
    SEC. 217. NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM.
    (a) Definitions for National Family Caregiver Support Program.--
Section 372(a) (42 U.S.C. 3030s(a)) is amended--
        (1) by redesignating paragraphs (1) through (3) as paragraphs 
    (2) through (4), respectively; and
        (2) by inserting before paragraph (2), as so redesignated, the 
    following:
        ``(1) Caregiver assessment.--The term `caregiver assessment' 
    means a defined process of gathering information to identify the 
    specific needs, barriers to carrying out caregiving 
    responsibilities, and existing supports of a family caregiver or 
    older relative caregiver, as identified by the caregiver involved, 
    to appropriately target recommendations for support services 
    described in section 373(b). Such assessment shall be administered 
    through direct contact with the caregiver, which may include 
    contact through a home visit, the Internet, telephone or 
    teleconference, or in-person interaction.''.
    (b) General Authority.--Section 373 (42 U.S.C. 3030s-1) is 
amended--
        (1) in subsection (b), in the matter preceding paragraph (1), 
    by inserting ``which may be informed through the use of caregiver 
    assessments,'' after ``provided,'';
        (2) in subsection (e)(3), in the first sentence, by inserting 
    ``, including caregiver assessments used in the State,'' after 
    ``mechanisms'';
        (3) by redesignating subsections (e) through (g) as subsections 
    (f) through (h), respectively;
        (4) by inserting after subsection (d) the following:
    ``(e) Best Practices.--Not later than 1 year after the date of 
enactment of the Supporting Older Americans Act of 2020 and every 5 
years thereafter, the Assistant Secretary shall--
        ``(1) identify best practices relating to the programs carried 
    out under this section and section 631, regarding--
            ``(A) the use of procedures and tools to monitor and 
        evaluate the performance of the programs carried out under such 
        sections;
            ``(B) the use of evidence-based caregiver support services; 
        and
            ``(C) any other issue determined relevant by the Assistant 
        Secretary; and
        ``(2) make available, including on the website of the 
    Administration and pursuant to section 202(a)(34), best practices 
    described in paragraph (1), to carry out the programs under this 
    section and section 631.''; and
        (5) by adding at the end the following:
    ``(i) Activities of National Significance.--The Assistant Secretary 
may award funds authorized under this section to States, public 
agencies, private nonprofit agencies, institutions of higher education, 
and organizations, including tribal organizations, for conducting 
activities of national significance that--
        ``(1) promote quality and continuous improvement in the support 
    provided to family caregivers and older relative caregivers through 
    programs carried out under this section and section 631; and
        ``(2) include, with respect to such programs, program 
    evaluation, training, technical assistance, and research.
    ``(j) Technical Assistance for Caregiver Assessments.--Not later 
than 1 year after the date of enactment of the Supporting Older 
Americans Act of 2020, the Assistant Secretary, in consultation with 
stakeholders with appropriate expertise and, as appropriate, informed 
by the strategy developed under the RAISE Family Caregivers Act (42 
U.S.C. 3030s note), shall provide technical assistance to promote and 
implement the use of caregiver assessments. Such technical assistance 
may include sharing available tools or templates, comprehensive 
assessment protocols, and best practices concerning--
        ``(1) conducting caregiver assessments (including 
    reassessments) as needed;
        ``(2) implementing such assessments that are consistent across 
    a planning and service area, as appropriate; and
        ``(3) implementing caregiver support service plans, including 
    conducting referrals to and coordination of activities with 
    relevant State services.''.
    (c) Report on Caregiver Assessments.--
        (1) In general.--Not later than 3 years after the date of 
    enactment of this Act, the Assistant Secretary shall issue a report 
    on the use of caregiver assessments by area agencies on aging, 
    entities contracting with such agencies, and tribal organizations. 
    Such report shall include--
            (A) an analysis of the current use of caregiver 
        assessments, as of the date of the report;
            (B) an analysis of the potential impact of caregiver 
        assessments on--
                (i) family caregivers and older relative caregivers; 
            and
                (ii) the older individuals to whom the caregivers 
            described in clause (i) provide care;
            (C) an analysis of the potential impact of using caregiver 
        assessments on the aging network;
            (D) an analysis of how caregiver assessments are being used 
        to identify the specific needs, barriers to carrying out 
        caregiving responsibilities, and existing supports of family 
        caregivers and older relative caregivers, with particular 
        consideration to supporting--
                (i) a caregiver specified in this subparagraph who is 
            caring for individuals with disabilities, or, if 
            appropriate, with a serious illness; and
                (ii) caregivers with disabilities;
            (E) recommendations for furthering the use of caregiver 
        assessments, as appropriate, including in rural or underserved 
        areas; and
            (F) recommendations for assisting State agencies and area 
        agencies on aging, particularly in rural or underserved areas, 
        in implementing the use of caregiver assessments.
        (2) Submission.--Not later than 6 months after the issuance of 
    the report specified in paragraph (1), the Assistant Secretary 
    shall submit the report to the committees of the Senate and the 
    House of Representatives with jurisdiction over this Act, and the 
    Special Committee on Aging of the Senate.
        (3) Definitions.--In this subsection--
            (A) the terms ``caregiver assessment'' and ``older relative 
        caregiver'' have the meanings given such terms in section 
        372(a) of the Older Americans Act of 1965 (42 U.S.C. 3030s(a));
            (B) the term ``family caregiver'' has the meaning given the 
        term in section 302 of such Act (42 U.S.C. 3022); and
            (C) the terms ``State agency'' and ``tribal organization'' 
        have the meanings given the terms in section 102 of such Act 
        (42 U.S.C. 3002).
    (d) Conforming Amendment.--Section 631(b) of such Act (42 U.S.C. 
3057k-11(b)) is amended by striking ``(c), (d), and (e)'' and inserting 
``(c), (d), and (f)''.
    SEC. 218. NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM CAP.
    (a) Federal Share.--Subsection (h)(2), as redesignated by section 
217(b)(3) of this Act, of section 373 (42 U.S.C. 3030s-1) is amended by 
striking subparagraph (C).
    (b) Monitoring the Impact of the Elimination of the Cap on Funds 
for Older Relative Caregivers.--
        (1) Report.--Not later than 18 months after the date of 
    enactment of this Act, and annually thereafter, the Assistant 
    Secretary shall submit to the Committee on Health, Education, 
    Labor, and Pensions of the Senate and the Committee on Education 
    and Labor of the House of Representatives a report on the impact of 
    the amendment made by subsection (a) to eliminate the limitation on 
    funds that States may allocate to provide support services to older 
    relative caregivers in the National Family Caregiver Support 
    Program established under part E of title III of the Older 
    Americans Act of 1965 (42 U.S.C. 3030s et seq.). Each such report 
    shall also be made available to the public.
        (2) Contents.--For purposes of reports required by paragraph 
    (1), each State that receives an allotment under such National 
    Family Caregiver Support Program for fiscal year 2020 or a 
    subsequent fiscal year shall report to the Assistant Secretary for 
    the fiscal year involved the amount of funds of the total Federal 
    and non-Federal shares described in section 373(h)(2) of the Older 
    Americans Act of 1965 (42 U.S.C. 3030s-1(h)(2)) used by the State 
    to provide support services for older relative caregivers and the 
    amount of such funds so used for family caregivers.

    TITLE III--MODERNIZING ACTIVITIES FOR HEALTH, INDEPENDENCE, AND 
                               LONGEVITY

    SEC. 301. REAUTHORIZATION.
    Section 411(b) (42 U.S.C. 3032(b)) is amended to read as follows:
    ``(b) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out--
        ``(1) aging network support activities under this section, 
    $14,514,550 for fiscal year 2020, $15,385,423 for fiscal year 2021, 
    $16,308,548 for fiscal year 2022, $17,287,061 for fiscal year 2023, 
    and $18,324,285 for fiscal year 2024; and
        ``(2) elder rights support activities under this section, 
    $15,613,440 for fiscal year 2020, $16,550,246 for fiscal year 2021, 
    $17,543,261 for fiscal year 2022, $18,595,857 for fiscal year 2023, 
    and $19,711,608 for fiscal year 2024.''.
    SEC. 302. PUBLIC AWARENESS OF TRAUMATIC BRAIN INJURY.
    Section 411(a)(12) (42 U.S.C. 3032(a)(12)) is amended--
        (1) by striking ``impairments'' and inserting ``impairments,''; 
    and
        (2) by striking ``, and mental disorders'' and inserting ``, 
    mental disorders, and traumatic brain injury''.
    SEC. 303. FALLS PREVENTION AND CHRONIC DISEASE SELF-MANAGEMENT 
      EDUCATION.
    Section 411(a) (42 U.S.C. 3032(a)), as amended by sections 119 and 
120, is further amended--
        (1) by redesignating paragraphs (15) and (16) as paragraphs 
    (17) and (18), respectively; and
        (2) by inserting after paragraph (14) the following:
        ``(15) bringing to scale and sustaining evidence-based falls 
    prevention programs that will reduce the number of falls, fear of 
    falling, and fall-related injuries in older individuals, including 
    older individuals with disabilities;
        ``(16) bringing to scale and sustaining evidence-based chronic 
    disease self-management programs that empower older individuals, 
    including older individuals with disabilities, to better manage 
    their chronic conditions;''.
    SEC. 304. DEMONSTRATION TO ADDRESS NEGATIVE HEALTH IMPACTS 
      ASSOCIATED WITH SOCIAL ISOLATION.
    Section 411(a) (42 U.S.C. 3032(a)), as amended by sections 119, 
120, and 303, is further amended--
        (1) in paragraph (17), by striking ``; and'' and inserting a 
    semicolon;
        (2) by redesignating paragraph (18) as paragraph (19); and
        (3) by inserting after paragraph (17), the following:
        ``(18) projects that address negative health effects associated 
    with social isolation among older individuals; and''.
    SEC. 305. TECHNICAL ASSISTANCE AND INNOVATION TO IMPROVE 
      TRANSPORTATION FOR OLDER INDIVIDUALS.
    Section 416(b)(2) (42 U.S.C. 3032e(b)(2)) is amended--
        (1) in subparagraph (B), by inserting before the semicolon ``, 
    call center, website or Internet-based portal, mobile application, 
    or other technological tools'';
        (2) in subparagraph (C), by striking ``; and'' and inserting a 
    semicolon;
        (3) by redesignating subparagraph (D) as subparagraph (G); and
        (4) by inserting after subparagraph (C) the following:
            ``(D)(i) improving the aggregation, availability, and 
        accessibility of information on options for transportation 
        services for older individuals, including information on public 
        transit, on-demand transportation services, volunteer-based 
        transportation services, and other private transportation 
        providers; and
            ``(ii) providing older individuals with the ability to 
        schedule trips both in advance and on demand, as appropriate;
            ``(E) identifying opportunities to share resources and 
        reduce costs of transportation services for older individuals;
            ``(F) coordinating individualized trip planning responses 
        to requests from older individuals for transportation services; 
        and''.
    SEC. 306. GRANT PROGRAM FOR MULTIGENERATIONAL COLLABORATION.
    Section 417 (42 U.S.C. 3032f) is amended--
        (1) by amending subsection (a) to read as follows:
    ``(a) Grants and Contracts.--The Assistant Secretary shall award 
grants to and enter into contracts with eligible organizations to carry 
out projects, serving individuals in younger generations and older 
individuals, to--
        ``(1) provide opportunities for older individuals to 
    participate in multigenerational activities and civic engagement 
    activities that contribute to the health and wellness of older 
    individuals and individuals in younger generations by promoting--
            ``(A) meaningful roles for participants;
            ``(B) reciprocity in relationship building;
            ``(C) reduced social isolation and improved participant 
        social connectedness;
            ``(D) improved economic well-being for older individuals;
            ``(E) increased lifelong learning; or
            ``(F) support for caregivers of families by--
                ``(i) providing support for older relative caregivers 
            (as defined in section 372(a)) raising children (such as 
            support for kinship navigator programs); or
                ``(ii) involving volunteers who are older individuals 
            who provide support and information to families who have a 
            child with a disability or chronic illness, or other 
            families in need of such family support;
        ``(2) coordinate multigenerational activities and civic 
    engagement activities, including multigenerational nutrition and 
    meal service programs;
        ``(3) promote volunteerism, including by providing 
    opportunities for older individuals to become a mentor to 
    individuals in younger generations; and
        ``(4) facilitate development of, and participation in, 
    multigenerational activities and civic engagement activities.'';
        (2) by striking subsection (g);
        (3) by redesignating subsections (b) through (f) as subsections 
    (c) through (g), respectively;
        (4) by inserting after subsection (a) the following:
    ``(b) Grant and Contract Periods.--Each grant awarded and contract 
entered into under subsection (a) shall be for a period of not less 
than 36 months.'';
        (5) by amending subsection (c), as so redesignated, to read as 
    follows:
    ``(c) Use of Funds.--
        ``(1) In general.--An eligible organization shall use funds 
    made available under a grant awarded, or a contract entered into, 
    under this section to carry out a project described in subsection 
    (a).
        ``(2) Provision of projects through grantees.--In awarding 
    grants and entering into contracts under this section, the 
    Assistant Secretary shall ensure that such grants and contracts are 
    for the projects that satisfy each requirement under paragraphs (1) 
    through (4) of subsection (a).'';
        (6) in subsection (d), as so redesignated--
            (A) in paragraph (1), by inserting ``, intent to carry out, 
        or intent to partner with local organizations or multiservice 
        organizations to carry out,'' after ``record of carrying out'';
            (B) in paragraph (3), by striking ``; and'' and inserting a 
        semicolon;
            (C) in paragraph (4), by striking the period and inserting 
        ``; and''; and
            (D) by adding at the end the following:
        ``(5) eligible organizations proposing multigenerational 
    activity projects that utilize shared site programs, such as 
    collocated child care and long-term care facilities.'';
        (7) by amending subsections (f) and (g), as so redesignated, to 
    read as follows:
    ``(f) Eligible Organizations.--Organizations eligible to receive a 
grant or enter into a contract under subsection (a) shall--
        ``(1) be a State, an area agency on aging, or an organization 
    that provides opportunities for older individuals to participate in 
    activities described in such subsection; and
        ``(2) have the capacity to conduct the coordination, promotion, 
    and facilitation described in such subsection through the use of 
    multigenerational coordinators.
    ``(g) Evaluation.--
        ``(1) In general.--Not later than 3 years after the date of 
    enactment of the Supporting Older Americans Act of 2020, the 
    Assistant Secretary shall, through data submitted by organizations 
    carrying out projects through grants or contracts under this 
    section, evaluate the activities supported through such grants and 
    contracts to determine--
            ``(A) the effectiveness of such activities;
            ``(B) the impact of such activities on the community being 
        served and the organization providing the activities; and
            ``(C) the impact of such activities on older individuals 
        participating in such projects.
        ``(2) Report to congress.--Not later than 6 months after the 
    Assistant Secretary completes the evaluation under paragraph (1), 
    the Assistant Secretary shall prepare and submit to the Speaker of 
    the House of Representatives and the President pro tempore of the 
    Senate a report that assesses such evaluation and contains, at a 
    minimum--
            ``(A) the names or descriptive titles of the projects 
        funded under subsection (a);
            ``(B) a description of the nature and operation of such 
        projects;
            ``(C) the names and addresses of organizations that 
        conducted such projects;
            ``(D) a description of the methods and success of such 
        projects in recruiting older individuals as employees and as 
        volunteers to participate in the projects;
            ``(E) a description of the success of the projects in 
        retaining older individuals participating in such projects as 
        employees and as volunteers;
            ``(F) the rate of turnover of older individuals who are 
        employees or volunteers in such projects;
            ``(G) a strategy for disseminating the findings resulting 
        from such projects; and
            ``(H) any policy change recommendations relating to such 
        projects.''; and
        (8) in subsection (h)(2)(B)(i), by striking ``individuals from 
    the generations with older individuals'' and inserting ``older 
    individuals''.

         TITLE IV--SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM

    SEC. 401. PRIORITY FOR THE SENIOR COMMUNITY SERVICE EMPLOYMENT 
      PROGRAM.
    (a) Priority.--The Act (42 U.S.C. 3001 et seq.) is amended--
        (1) in section 503(a)(4)(C) (42 U.S.C. 3056a(a)(4)(C))--
            (A) in clause (iii), by striking ``and'' at the end;
            (B) in clause (iv), by adding ``and'' at the end; and
            (C) by adding at the end the following:
                ``(v) eligible individuals who have been incarcerated 
            within the last 5 years or are under supervision following 
            release from prison or jail within the last 5 years;'';
        (2) in section 514(e)(1) (42 U.S.C. 3056l(e)(1)), by inserting 
    ``eligible individuals who have been incarcerated or are under 
    supervision following release from prison or jail,'' after 
    ``need,''; and
        (3) in section 518 (42 U.S.C. 3056p)--
            (A) in subsection (a)(3)(B)(ii)--
                (i) in subclause (IV), by striking ``or'' at the end;
                (ii) in subclause (V), by striking the period at the 
            end and inserting ``; or''; and
                (iii) by adding at the end the following:

                    ``(VI) have been incarcerated within the last 5 
                years or are under supervision following release from 
                prison or jail within the last 5 years.''; and

            (B) in subsection (b)(2)--
                (i) in subparagraph (F), by striking ``or'' at the end;
                (ii) in subparagraph (G), by striking the period at the 
            end and inserting ``; or''; and
                (iii) by adding at the end the following:
            ``(H) has been incarcerated within the last 5 years or is 
        under supervision following release from prison or jail within 
        the last 5 years.''.
    (b) Transition Period.--This section shall take effect 1 year after 
the date of enactment of this Act.
    SEC. 402. AUTHORIZATION OF APPROPRIATIONS.
    Section 517(a) (42 U.S.C. 3056o(a)) is amended to read as follows:
    ``(a) In General.--There are authorized to be appropriated to carry 
out this title $428,000,000 for fiscal year 2020, $453,680,000 for 
fiscal year 2021, $480,900,800 for fiscal year 2022, $509,754,848 for 
fiscal year 2023, and $540,340,139 for fiscal year 2024.''.

             TITLE V--ENHANCING GRANTS FOR NATIVE AMERICANS

    SEC. 501. REAUTHORIZATION.
    Title VI (42 U.S.C. 3057 et seq.) is amended--
        (1) in part D (42 U.S.C. 3057l et seq.)--
            (A) by amending section 643 (42 U.S.C. 3057n) to read as 
        follows:
    ``SEC. 643. AUTHORIZATION OF APPROPRIATIONS.
    ``There are authorized to be appropriated to carry out this title--
        ``(1) for parts A and B, $37,102,560 for fiscal year 2020, 
    $39,298,714 for fiscal year 2021, $41,626,636 for fiscal year 2022, 
    $44,094,235 for fiscal year 2023, and $46,709,889 for fiscal year 
    2024; and
        ``(2) for part C, $10,759,920 for fiscal year 2020, $11,405,515 
    for fiscal year 2021, $12,089,846 for fiscal year 2022, $12,815,237 
    for fiscal year 2023, and $13,584,151 for fiscal year 2024.''; and
            (B) by adding at the end the following:
    ``SEC. 644. FUNDING SET ASIDE.
    ``Of the funds appropriated under section 643(1) for a fiscal year, 
not more than 5 percent shall be made available to carry out part D for 
such fiscal year, provided that for such fiscal year--
        ``(1) the funds appropriated for parts A and B are greater than 
    the funds appropriated for fiscal year 2019; and
        ``(2) the Assistant Secretary makes available for parts A and B 
    no less than the amount of resources made available for fiscal year 
    2019.'';
        (2) by redesignating part D, as so amended, as part E; and
        (3) by inserting after part C the following:

    ``PART D--SUPPORTIVE SERVICES FOR HEALTHY AGING AND INDEPENDENCE

    ``SEC. 636. PROGRAM.
    ``(a) In General.--The Assistant Secretary may carry out a 
competitive demonstration program for making grants to tribal 
organizations or organizations serving Native Hawaiians with 
applications approved under parts A and B, to pay for the Federal share 
of carrying out programs, to enable the organizations described in this 
subsection to build their capacity to provide a wider range of in-home 
and community supportive services to enable older individuals to 
maintain their health and independence and to avoid long-term care 
facility placement.
    ``(b) Supportive Services.--
        ``(1) In general.--Subject to paragraph (2), supportive 
    services described in subsection (a) may include any of the 
    activities described in section 321(a).
        ``(2) Priority.--The Assistant Secretary, in making grants 
    under this section, shall give priority to organizations that will 
    use the grant funds for supportive services described in subsection 
    (a) that are for in-home assistance, transportation, information 
    and referral, case management, health and wellness programs, legal 
    services, family caregiver support services, and other services 
    that directly support the independence of the older individuals 
    served.
        ``(3) Rule of construction.--Nothing in this section shall be 
    construed or interpreted to prohibit the provision of supportive 
    services under part A or B.''.

TITLE VI--MODERNIZING ALLOTMENTS FOR VULNERABLE ELDER RIGHTS PROTECTION 
                     ACTIVITIES AND OTHER PROGRAMS

    SEC. 601. REAUTHORIZATION; VULNERABLE ELDER RIGHTS PROTECTION 
      ACTIVITIES.
    Section 702 (42 U.S.C. 3058a) is amended by striking subsections 
(a) and (b) and inserting the following:
    ``(a) Ombudsman Program.--There are authorized to be appropriated 
to carry out chapter 2, $18,066,950 for fiscal year 2020, $19,150,967 
for fiscal year 2021, $20,300,025 for fiscal year 2022, $21,518,027 for 
fiscal year 2023, and $22,809,108 for fiscal year 2024.
    ``(b) Other Programs.--There are authorized to be appropriated to 
carry out chapters 3 and 4, $5,107,110 for fiscal year 2020, $5,413,537 
for fiscal year 2021, $5,738,349 for fiscal year 2022, $6,082,650 for 
fiscal year 2023, and $6,447,609 for fiscal year 2024.''.
    SEC. 602. VOLUNTEER STATE LONG-TERM CARE OMBUDSMAN REPRESENTATIVES.
    Section 712(a)(5) (42 U.S.C. 3058g(a)(5)) is amended by adding at 
the end the following:
            ``(E) Rule of construction for volunteer ombudsman 
        representatives.--Nothing in this paragraph shall be construed 
        as prohibiting the program from providing and financially 
        supporting recognition for an individual designated under 
        subparagraph (A) as a volunteer to represent the Ombudsman 
        program, or from reimbursing or otherwise providing financial 
        support to such an individual for any costs, such as 
        transportation costs, incurred by the individual in serving as 
        such volunteer.''.
    SEC. 603. PREVENTION OF ELDER ABUSE, NEGLECT, AND EXPLOITATION.
    Section 721(b)(12) (42 U.S.C. 3058i(b)(12)) is amended--
        (1) in subparagraph (C), by inserting ``community outreach and 
    education,'' after ``technical assistance,''; and
        (2) in subparagraph (F)--
            (A) by striking ``studying'' and inserting 
        ``implementing''; and
            (B) by inserting ``, programs, and materials'' after 
        ``practices''.
    SEC. 604. PRINCIPLES FOR PERSON-DIRECTED SERVICES AND SUPPORTS 
      DURING SERIOUS ILLNESS.
    (a) Definitions.--
        (1) Administrator.--The term ``Administrator'' means the 
    Administrator of the Administration for Community Living.
        (2) Covered agency.--The term ``covered agency'' means--
            (A) a State agency or area agency on aging; and
            (B) a Federal agency other than the Department of Health 
        and Human Services, and a unit of that Department other than 
        the Administration on Aging, that the Assistant Secretary 
        determines performs functions for which the principles are 
        relevant, and the Centers for Medicare & Medicaid Services.
        (3) Principles.--The term ``principles'' means the Principles 
    for Person-directed Services and Supports during Serious Illness, 
    issued by the Administration for Community Living on September 1, 
    2017, or an updated set of such Principles.
        (4) State agency.--The term ``State agency'' has the meaning 
    given the term in section 102 of the Older Americans Act of 1965 
    (42 U.S.C. 3002).
    (b) Dissemination.--The Administrator shall disseminate the 
principles to appropriate stakeholders within the aging network, as 
determined by the Assistant Secretary, and to covered agencies. The 
covered agencies may use the principles in setting priorities for 
service delivery and care plans in programs carried out by the 
agencies.
    (c) Feedback.--The Administrator shall solicit, on an ongoing 
basis, feedback on the principles from covered agencies, experts in the 
fields of aging and dementia, and stakeholders who provide or receive 
disability services.
    (d) Report.--Not less often than once, but not more often than 
annually, during the 3 years after the date of enactment of this Act, 
the Administrator shall prepare and submit to Congress a report 
describing the feedback received under subsection (c) and indicating if 
any changes or updates are needed to the principles.
    SEC. 605. EXTENSION OF THE SUPPORTING GRANDPARENTS RAISING 
      GRANDCHILDREN ACT.
    Section 3(f) of the Supporting Grandparents Raising Grandchildren 
Act (Public Law 115-196) is amended by striking ``3'' and inserting 
``4''.
    SEC. 606. BEST PRACTICES FOR HOME AND COMMUNITY-BASED OMBUDSMEN.
    Not later than 3 years after the date of enactment of this Act, the 
Assistant Secretary shall issue a report updating the best practices 
for home and community-based ombudsmen that were included in the report 
entitled ``Best Practices for Home and Community-Based Ombudsmen'', 
issued by the National Direct Service Workforce Resource Center of the 
Centers for Medicare & Medicaid Services and prepared by the Research 
and Training Center at the University of Minnesota and The Lewin Group 
(January 2013).
    SEC. 607. SENIOR HOME MODIFICATION ASSISTANCE INITIATIVE.
    Not later than 2 years after the date of enactment of this Act, the 
Comptroller General of the United States shall conduct a study and 
issue a report that includes--
        (1) an inventory of Federal programs, administered by the 
    Department of Health and Human Services, the Department of Housing 
    and Urban Development, or any other Federal agency or department 
    determined appropriate by the Comptroller General, that support 
    evidence-based falls prevention, home assessments, and home 
    modifications for older individuals and individuals with 
    disabilities;
        (2) statistical data, for recent fiscal years, on the number of 
    older individuals and individuals with disabilities served by each 
    Federal program described in paragraph (1) and the approximate 
    amount of Federal funding invested in each such program;
        (3) a demographic analysis of individuals served by each such 
    program for recent fiscal years;
        (4) an analysis of duplication and gaps in populations 
    supported by the Federal programs described in paragraph (1);
        (5) what is known about the impact of the Federal programs 
    described in paragraph (1) on health status and health outcomes in 
    populations supported by such programs;
        (6) a review of Federal efforts to coordinate Federal programs 
    existing prior to the date of enactment of this Act that support 
    evidence-based falls prevention, home assessments, and home 
    modifications for older individuals and individuals with 
    disabilities and any considerations for improving coordination, 
    which may include an indication of the Federal agency or department 
    that is best suited to coordinate such Federal programs; and
        (7) information on the extent to which consumer-friendly 
    resources, such as a brochure, are available through the National 
    Eldercare Locator Service established under section 202(a)(21) of 
    the Older Americans Act of 1965 (42 U.S.C. 3012(a)(21)), are 
    accessible to all area agencies on aging, and contain information 
    on evidence-based falls prevention, home assessments, and home 
    modifications for older individuals attempting to live 
    independently and safely in their homes and for the caregivers of 
    such individuals.

                        TITLE VII--MISCELLANEOUS

    SEC. 701. TECHNICAL CORRECTIONS.
    The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is 
amended--
        (1) in section 102(37)(A) (42 U.S.C. 3002(37)(A)), by striking 
    ``paragraph (5)'' and inserting ``paragraph (26)'';
        (2) in section 202(a)(23) (42 U.S.C. 3012(a)(23)), by striking 
    ``sections 307(a)(18) and 731(b)(2)'' and inserting ``sections 
    307(a)(13) and 731'';
        (3) in section 202(e)(1)(A) (42 U.S.C. 3012(e)(1)(A)), by 
    moving the left margin of clause (i) 2 ems to the left;
        (4) in sections 203(c)(7) (42 U.S.C. 3013(c)(7)), 207(b)(2)(B) 
    (42 U.S.C. 3018(b)(2)(B)), and 215(i) (42 U.S.C. 3020e-1(i)), by 
    striking ``Committee on Education and the Workforce'' each place it 
    appears and inserting ``Committee on Education and Labor'';
        (5) in section 207(b)(3)(A) (42 U.S.C. 3018(b)(3)(A)), by 
    striking ``Administrator of the Health Care Finance 
    Administration'' and inserting ``Administrator of the Centers for 
    Medicare & Medicaid Services'';
        (6) in section 304(a)(3)(C) (42 U.S.C. 3024(a)(3)(C)), by 
    striking ``term'' and all that follows through ``does'' and 
    inserting ``term `State' does'';
        (7) in section 304(d)(1)(B), by striking ``(excluding'' and all 
    that follows through ``303(a)(3))'';
        (8) in section 306(a) (42 U.S.C. 3026(a))--
            (A) in paragraph (1), by inserting ``the number of older 
        individuals at risk for institutional placement residing in 
        such area,'' before ``and the number of older individuals who 
        are Indians''; and
            (B) in paragraph (2)(B), by striking ``who are victims of'' 
        and inserting ``with'';
        (9) in section 339(2)(A)(ii)(I) (42 U.S.C. 3030g-
    21(2)(A)(ii)(I)), by striking ``Institute of Medicine of the 
    National Academy of Sciences'' and inserting ``National Academies 
    of Sciences, Engineering, and Medicine'';
        (10) in section 611 (42 U.S.C. 3057b), by striking ``(a)'';
        (11) in section 614(c)(4) (42 U.S.C. 3057e(c)(4)), by striking 
    ``(a)(12)'' and inserting ``(a)(11)''; and
        (12) in section 721(i) (42 U.S.C. 3058i(i), by striking 
    ``section 206(g)'' and inserting ``section 206(h)''.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.
```