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[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4334 Engrossed Amendment Senate (EAS)]

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                  In the Senate of the United States,

                                                         March 3, 2020.
    Resolved, That the bill from the House of Representatives (H.R. 
4334) entitled ``An Act to amend the Older Americans Act of 1965 to 
authorize appropriations for fiscal years 2020 through 2024, and for 
other purposes.'', do pass with the following

                               AMENDMENT:

            Strike all after the enacting clause and insert the 
      following:

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)''.

            Attest:

                                                             Secretary.
116th CONGRESS

  2d Session

                               H.R. 4334

_______________________________________________________________________

                               AMENDMENT
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