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: 

1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Supporting Older Amer3 icans Act of 2020’’. 

4 SEC. 2. TABLE OF CONTENTS. 

5 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. 
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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 longterm 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. 
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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. 

1 SEC. 3. REFERENCES. 

2 Except as otherwise expressly provided in this Act, 

3 wherever in this Act an amendment or repeal is expressed 

4 in terms of an amendment to, or a repeal of, a section or 

5 other provision, the reference shall be considered to be made 

6 to that section or other provision of the Older Americans 

7 Act of 1965 (42 U.S.C. 3001 et seq.). 
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1 SEC. 4. DEFINITIONS. 

2 In this Act, the terms ‘‘area agency on aging’’, ‘‘Assist3 ant Secretary’’, ‘‘greatest social need’’, ‘‘older individual’’, 

4 and ‘‘Secretary’’ have the meanings given such terms in sec5 tion 102 of the Older Americans Act of 1965 (42 U.S.C. 

6 3002). 

7 TITLE I—MODERNIZING DEFINI8 TIONS AND PROGRAMS 

9 UNDER THE ADMINISTRATION 

10 ON AGING 

11 SEC. 101. REAUTHORIZATION. 

12 Section 216 (42 U.S.C. 3020f) is amended to read as 

13 follows: 

14 ‘‘SEC. 216. AUTHORIZATION OF APPROPRIATIONS. 

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

16 Act, there are authorized to be appropriated for administra17 tion, salaries, and expenses of the Administration 

18 $43,937,410 for fiscal year 2020, $46,573,655 for fiscal year 

19 2021, $49,368,074 for fiscal year 2022, $52,330,158 for fis20 cal year 2023, and $55,469,968 for fiscal year 2024. 

21 ‘‘(b) ADDITIONAL AUTHORIZATIONS.—There are au22 thorized to be appropriated— 

23 ‘‘(1) to carry out section 202(a)(21) (relating to 

24 the National Eldercare Locator Service), $2,180,660 

25 for fiscal year 2020, $2,311,500 for fiscal year 2021, 
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1 $2,450,190 for fiscal year 2022, $2,597,201 for fiscal 

2 year 2023, and $2,753,033 for fiscal year 2024; 

3 ‘‘(2) to carry out section 215, $1,988,060 for fis4 cal year 2020, $2,107,344 for fiscal year 2021, 

5 $2,233,784 for fiscal year 2022, $2,367,811 for fiscal 

6 year 2023, and $2,509,880 for fiscal year 2024; 

7 ‘‘(3) to carry out section 202 (relating to Elder 

8 Rights Support Activities under this title), $1,371,740 

9 for fiscal year 2020, $1,454,044 for fiscal year 2021, 

10 $1,541,287 for fiscal year 2022, $1,633,764 for fiscal 

11 year 2023, and $1,731,790 for fiscal year 2024; and 

12 ‘‘(4) to carry out section 202(b) (relating to the 

13 Aging and Disability Resource Centers), $8,687,330 

14 for fiscal year 2020, $9,208,570 for fiscal year 2021, 

15 $9,761,084 for fiscal year 2022, $10,346,749 for fiscal 

16 year 2023, and $10,967,554 for fiscal year 2024.’’. 

17 SEC. 102. PERSON-CENTERED, TRAUMA-INFORMED SERV18 ICES. 

19 Section 101(2) (42 U.S.C. 3001(2)) is amended by in20 serting ‘‘(including access to person-centered, trauma-in21 formed services as appropriate)’’ after ‘‘health’’. 

22 SEC. 103. AGING AND DISABILITY RESOURCE CENTERS. 

23 Section 102(4) (42 U.S.C. 3002(4)) is amended— 

24 (1) in the matter preceding subparagraph (A), 

25 by inserting ‘‘, in collaboration with (as appropriate) 
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1 area agencies on aging, centers for independent living 

2 (as described in part C of chapter 1 of title VII of the 

3 Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.)), 

4 and other aging or disability entities’’ after ‘‘pro5 vides’’; 

6 (2) in subparagraph (B)— 

7 (A) by inserting ‘‘services, supports, and’’ 

8 after ‘‘plan for long-term’’; and 

9 (B) by inserting ‘‘and choices’’ after ‘‘de10 sires’’; and 

11 (3) in subparagraph (D), by striking ‘‘part C of 

12 title VII of the Rehabilitation Act of 1973 (29 U.S.C. 

13 796f et seq.), and other community-based entities,’’ 

14 and inserting ‘‘part C of chapter 1 of title VII of the 

15 Rehabilitation Act of 1973, and other community16 based entities, including other aging or disability en17 tities,’’. 

18 SEC. 104. ASSISTIVE TECHNOLOGY. 

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

20 seq.) is amended— 

21 (1) in section 102(8) (42 U.S.C. 3002(8)), by 

22 adding at the end the following: 

23 ‘‘(C) The term ‘State assistive technology entity’ means 

24 the agency, office, or other entity designated under sub25 section (c)(1) of section 4 of the Assistive Technology Act 
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1 of 1998 (29 U.S.C. 3003) to carry out State activities under 

2 such section.’’; 

3 (2) in section 306 (42 U.S.C. 3026)— 

4 (A) in subsection (a)(6)— 

5 (i) in subparagraph (G), by striking ‘‘; 

6 and’’ and inserting a semicolon; 

7 (ii) in subparagraph (H), by striking 

8 ‘‘appropriate;’’ and inserting ‘‘appropriate; 

9 and’’; and 

10 (iii) by adding at the end the fol11 lowing: 

12 ‘‘(I) to the extent feasible, coordinate with the 

13 State agency to disseminate information about the 

14 State assistive technology entity and access to assist15 ive technology options for serving older individuals;’’; 

16 and 

17 (B) in subsection (b)(3)— 

18 (i) in subparagraph (K)— 

19 (I) by aligning the margins of the 

20 subparagraph with the margins of sub21 paragraph (J); and 

22 (II) by striking ‘‘; and’’ and in23 serting a semicolon; 

24 (ii) by redesignating subparagraph (L) 

25 as subparagraph (M); and 
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1 (iii) by inserting after subparagraph 

2 (K) the following: 

3 ‘‘(L) assistive technology devices and services; 

4 and’’; and 

5 (3) in section 411(a) (42 U.S.C. 3032(a))— 

6 (A) in paragraph (2), by inserting ‘‘, 

7 aligned with evidence-based practice,’’ after ‘‘ap8 plied social research’’; and 

9 (B) in paragraph (10), by inserting ‘‘con10 sistent with section 508 of the Rehabilitation Act 

11 of 1973 (29 U.S.C. 794d)’’ after ‘‘other tech12 nologies’’. 

13 SEC. 105. VACCINATION. 

14 Section 102(14) (42 U.S.C. 3002(14)) is amended— 

15 (1) in subparagraph (B), by inserting ‘‘immuni16 zation status,’’ after ‘‘oral health,’’; and 

17 (2) in subparagraph (D), by inserting ‘‘infec18 tious disease, and vaccine-preventable disease, as well 

19 as’’ after ‘‘cardiovascular disease),’’. 

20 SEC. 106. MALNUTRITION. 

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

22 seq.) is amended— 

23 (1) in section 102(14)(B), as amended by section 

24 105(1), by inserting ‘‘(including screening for mal25 nutrition)’’ after ‘‘nutrition screening’’; and 
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1 (2) in section 330(1), by striking ‘‘and food inse2 curity’’ and inserting ‘‘, food insecurity, and mal3 nutrition’’. 

4 SEC. 107. SEXUALLY TRANSMITTED DISEASES. 

5 Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as 

6 amended by section 105(2), is further amended by inserting 

7 ‘‘prevention of sexually transmitted diseases,’’ after ‘‘vac8 cine-preventable disease,’’. 

9 SEC. 108. ADDRESSING CHRONIC PAIN MANAGEMENT. 

10 Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as 

11 amended by section 107, is further amended by inserting 

12 ‘‘chronic pain management,’’ after ‘‘substance abuse reduc13 tion,’’. 

14 SEC. 109. SCREENING FOR SUICIDE RISK. 

15 Section 102(14)(G) (42 U.S.C. 3002(14)(G)) is amend16 ed by inserting ‘‘and screening for suicide risk’’ after ‘‘de17 pression’’. 

18 SEC. 110. SCREENING FOR FALL-RELATED TRAUMATIC 

19 BRAIN INJURY; ADDRESSING PUBLIC HEALTH 

20 EMERGENCIES AND EMERGING HEALTH 

21 THREATS; NEGATIVE HEALTH EFFECTS ASSO22 CIATED WITH SOCIAL ISOLATION. 

23 Section 102(14) (42 U.S.C. 3002(14)) is amended— 

24 (1) by redesignating subparagraphs (H) through 

25 (J), and subparagraphs (K) and (L), as subpara-
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1 graphs (I) through (K), and subparagraphs (M) and 

2 (O), respectively; 

3 (2) by inserting after subparagraph (G) the fol4 lowing: 

5 ‘‘(H) screening for fall-related traumatic 

6 brain injury and other fall-related injuries, co7 ordination of treatment, rehabilitation and re8 lated services, and referral services related to 

9 such injury or injuries;’’; 

10 (3) by inserting after subparagraph (K), as re11 designated by paragraph (1), the following: 

12 ‘‘(L) services that are a part of responses to 

13 a public health emergency or emerging health 

14 threat;’’; and 

15 (4) in subparagraph (M), as redesignated by 

16 paragraph (1), by striking ‘‘; and’’ and inserting a 

17 semicolon; 

18 (5) by inserting after subparagraph (M), as re19 designated by paragraph (1), the following: 

20 ‘‘(N) screening for the prevention of nega21 tive health effects associated with social isolation 

22 and coordination of supportive services and 

23 health care to address negative health effects as24 sociated with social isolation; and’’; and 
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1 (6) in subparagraph (O), as redesignated, by 

2 striking ‘‘(A) through (K)’’ and inserting ‘‘(A) 

3 through (N)’’. 

4 SEC. 111. CLARIFICATION REGARDING BOARD AND CARE 

5 FACILITIES. 

6 Section 102(35)(C) (42 U.S.C. 3002(35)(C)) is amend7 ed by striking ‘‘for purposes of sections 307(a)(12) and 

8 712,’’. 

9 SEC. 112. PERSON-CENTERED, TRAUMA-INFORMED SERV10 ICES DEFINITION. 

11 Section 102 (42 U.S.C. 3002) is amended— 

12 (1) by redesignating paragraphs (41) through 

13 (54) as paragraphs (42) through (55), respectively; 

14 and 

15 (2) by inserting after paragraph (40) the fol16 lowing: 

17 ‘‘(41) The term ‘person-centered, trauma-in18 formed’, with respect to services, means services pro19 vided through an aging program that— 

20 ‘‘(A) use a holistic approach to providing 

21 services or care; 

22 ‘‘(B) promote the dignity, strength, and em23 powerment of victims of trauma; and 
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1 ‘‘(C) incorporate evidence-based practices 

2 based on knowledge about the role of trauma in 

3 trauma victims’ lives.’’. 

4 SEC. 113. TRAUMATIC BRAIN INJURY. 

5 Section 102 (42 U.S.C. 3002), as amended by section 

6 112, is further amended— 

7 (1) by redesignating paragraph (55) as para8 graph (56); and 

9 (2) by inserting after paragraph (54) the fol10 lowing: 

11 ‘‘(55) The term ‘traumatic brain injury’ has the 

12 meaning given such term in section 393B(d) of the 

13 Public Health Service Act (42 U.S.C. 280b–1c(d)).’’. 

14 SEC. 114. MODERNIZING THE REVIEW OF APPLICATIONS 

15 AND PROVIDING TECHNICAL ASSISTANCE 

16 FOR DISASTERS. 

17 (a) REVIEW OF APPLICATIONS.—Section 202 (42 

18 U.S.C. 3012) is amended— 

19 (1) by amending subsection (a)(4) to read as fol20 lows: 

21 ‘‘(4) administer the grants provided by this Act, 

22 but not approve an application submitted by an ap23 plicant for a grant for an activity under a provision 

24 of this Act for which such applicant previously re-
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1 ceived a grant under such provision unless the Assist2 ant Secretary determines— 

3 ‘‘(A) the activity for which such application 

4 was submitted is being operated, or was oper5 ated, effectively to achieve its stated purpose; and 

6 ‘‘(B) such applicant has complied with the 

7 assurances provided to the Assistant Secretary 

8 with the application for such previous grant.’’; 

9 and 

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

11 ‘‘(h) The Assistant Secretary shall publish, on an an12 nual basis, a list of centers and demonstration projects 

13 funded under each title of this Act. The Assistant Secretary 

14 shall ensure that this information is also directly provided 

15 to State agencies and area agencies on aging.’’. 

16 (b) ADDRESSING THE NEEDS OF OLDER INDIVIDUALS

17 IN DISASTERS.—Section 202(a) (42 U.S.C. 3012(a)) is 

18 amended— 

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

20 inserting a semicolon; 

21 (2) in paragraph (31), by striking the period at 

22 the end and inserting a semicolon; and 

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

24 ‘‘(32) provide technical assistance to, and share 

25 best practices with, State agencies and area agencies 
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1 on aging on how to collaborate and coordinate activi2 ties and develop long-range emergency preparedness 

3 plans with local and State emergency response agen4 cies, relief organizations, local and State governments, 

5 Federal agencies as appropriate, and any other insti6 tutions that have responsibility for disaster relief 

7 service delivery;’’. 

8 SEC. 115. INCREASED FOCUS OF ASSISTANT SECRETARY ON 

9 NEGATIVE HEALTH EFFECTS ASSOCIATED 

10 WITH SOCIAL ISOLATION. 

11 Section 202(a) (42 U.S.C. 3012(a)), as amended by 

12 section 114(b), is further amended by adding at the end 

13 the following: 

14 ‘‘(33) with input from aging network stake15 holders, including caregivers, develop objectives, prior16 ities, and a long-term plan for supporting State and 

17 local efforts involving education about prevention of, 

18 detection of, and response to negative health effects as19 sociated with social isolation among older individ20 uals, and submit a report to Congress on this effort 

21 by January 2021; and’’. 
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1 SEC. 116. NOTIFICATION OF AVAILABILITY OF OR UPDATES 

2 TO POLICIES, PRACTICES, AND PROCEDURES 

3 THROUGH A UNIFORM E-FORMAT. 

4 Section 202(a) (42 U.S.C. 3012(a)), as amended by 

5 sections 114(b) and 115, is further amended by adding at 

6 the end the following: 

7 ‘‘(34) provide (to the extent practicable) a stand8 ardized notification to State agencies, area agencies 

9 on aging, providers of services under this Act, and 

10 grantees or contract awardees under this Act, through 

11 an electronic format (e-mail or other electronic notifi12 cation), of the availability of, or updates to, policies, 

13 practices, and procedures under this Act.’’. 

14 SEC. 117. EVIDENCE-BASED PROGRAM ADAPTATION. 

15 (a) FUNCTIONS OF THE ASSISTANT SECRETARY.—Sec16 tion 202 (42 U.S.C. 3012) is amended— 

17 (1) in subsection (a)(28), by inserting before the 

18 semicolon ‘‘, including information and technical as19 sistance on delivery of such services in different set20 tings’’; and 

21 (2) in subsection (b)(9)(B), by inserting before 

22 the semicolon ‘‘, including delivery of such services in 

23 different settings’’. 

24 (b) EVIDENCE-BASED DISEASE PREVENTION AND

25 HEALTH PROMOTION SERVICES.—Section 361(a) (42 

26 U.S.C. 3030m(a)) is amended in the second sentence by in-
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1 serting ‘‘provide technical assistance on the delivery of evi2 dence-based disease prevention and health promotion serv3 ices in different settings and for different populations, and’’ 

4 before ‘‘consult’’. 

5 SEC. 118. BUSINESS ACUMEN PROVISIONS AND CLARIFICA6 TION REGARDING OUTSIDE FUNDING FOR 

7 AREA AGENCIES ON AGING. 

8 (a) ASSISTANCE RELATING TO GROWING AND SUS9 TAINING CAPACITY.—Section 202(b)(9) (42 U.S.C. 

10 3012(b)(9)) is amended— 

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

12 the semicolon at the end; 

13 (2) in subparagraph (B), as amended by section 

14 117(a)(2), by inserting ‘‘and’’ after the semicolon at 

15 the end; and 

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

17 ‘‘(C) activities for increasing business acu18 men, capacity building, organizational develop19 ment, innovation, and other methods of growing 

20 and sustaining the capacity of the aging network 

21 to serve older individuals and caregivers most ef22 fectively;’’. 

23 (b) CLARIFYING PARTNERSHIPS FOR AREA AGENCIES

24 ON AGING.—Section 306 (42 U.S.C. 3026) is amended by 

25 adding at the end the following: 
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1 ‘‘(g) Nothing in this Act shall restrict an area agency 

2 on aging from providing services not provided or authorized 

3 by this Act, including through— 

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

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

6 ‘‘(3) other arrangements with entities or individ7 uals that increase the availability of home- and com8 munity-based services and supports.’’. 

9 (c) CONFORMING AMENDMENT.—Section 307(a) (42 

10 U.S.C. 3027(a)) is amended— 

11 (1) by striking paragraph (26); and 

12 (2) by redesignating paragraphs (27) through 

13 (30) as paragraphs (26) through (29). 

14 SEC. 119. DEMONSTRATION ON DIRECT CARE WORKERS. 

15 Section 411(a) (42 U.S.C. 3032(a)) is amended— 

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

17 as paragraphs (14) and (15), respectively; and 

18 (2) by inserting after paragraph (12) the fol19 lowing: 

20 ‘‘(13) in coordination with the Secretary of 

21 Labor, the demonstration of new strategies for the re22 cruitment, retention, or advancement of direct care 

23 workers, and the soliciting, development, and imple24 mentation of strategies— 
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1 ‘‘(A) to reduce barriers to entry for a di2 verse and high-quality direct care workforce, in3 cluding providing wages, benefits, and advance4 ment opportunities needed to attract or retain 

5 direct care workers; and 

6 ‘‘(B) to provide education and workforce de7 velopment programs for direct care workers that 

8 include supportive services and career plan9 ning;’’. 

10 SEC. 120. NATIONAL RESOURCE CENTER FOR OLDER INDI11 VIDUALS EXPERIENCING THE LONG-TERM 

12 AND ADVERSE CONSEQUENCES OF TRAUMA. 

13 Section 411(a) (42 U.S.C. 3032(a)), as amended by 

14 section 119, is further amended— 

15 (1) by redesignating paragraphs (14) and (15) 

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

17 (2) by inserting after paragraph (13) the fol18 lowing: 

19 ‘‘(14) the establishment and operation of a na20 tional resource center that shall— 

21 ‘‘(A) provide training and technical assist22 ance to agencies in the aging network delivering 

23 services to older individuals experiencing the 

24 long-term and adverse consequences of trauma; 
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1 ‘‘(B) share best practices with the aging net2 work; and 

3 ‘‘(C) make subgrants to the agencies best po4 sitioned to advance and improve the delivery of 

5 person-centered, trauma-informed services for 

6 older individuals experiencing the long-term and 

7 adverse consequences of trauma;’’. 

8 SEC. 121. NATIONAL RESOURCE CENTER FOR WOMEN AND 

9 RETIREMENT. 

10 Section 215 (42 U.S.C. 3020e–1) is amended by add11 ing at the end the following: 

12 ‘‘(k)(1) The Assistant Secretary shall, directly or by 

13 grant or contract, operate the National Resource Center for 

14 Women and Retirement (in this subsection referred to as 

15 the ‘Center’). 

16 ‘‘(2) The Center shall— 

17 ‘‘(A) provide tools, such as basic financial man18 agement, retirement planning, and other tools that 

19 promote financial literacy and help to identify and 

20 prevent exploitation (including fraud), and integrate 

21 these with information on health and long-term care; 

22 ‘‘(B) annually disseminate a summary of out23 reach activities provided, including work to provide 

24 user-friendly consumer information and public edu25 cation materials; 
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1 ‘‘(C) develop targeted outreach strategies; 

2 ‘‘(D) provide technical assistance to State agen3 cies and to other public and nonprofit private agen4 cies and organizations; and 

5 ‘‘(E) develop partnerships and collaborations to 

6 address program objectives.’’. 

7 SEC. 122. FAMILY CAREGIVERS. 

8 (a) ADMINISTRATION.—Section 202 (42 U.S.C. 3012), 

9 as amended by section 114, is further amended by adding 

10 at the end the following: 

11 ‘‘(i) The Assistant Secretary shall carry out the 

12 RAISE Family Caregivers Act (42 U.S.C. 3030s note).’’. 

13 (b) SUNSET.—Section 6 of the RAISE Family Care14 givers Act (42 U.S.C. 3030s note) is amended by striking 

15 ‘‘3 years’’ and inserting ‘‘4 years’’. 

16 (c) CONFORMING AMENDMENT.—Section 2(3) of the 

17 RAISE Family Caregivers Act (42 U.S.C. 3030s note) is 

18 amended by inserting ‘‘, acting through the Assistant Sec19 retary for Aging’’ before the period at the end. 

20 SEC. 123. INTERAGENCY COORDINATION. 

21 (a) IN GENERAL.—The Assistant Secretary shall, in 

22 performing the functions of the Administration on Aging 

23 under section 202(a)(5) of the Older Americans Act of 1965 

24 (42 U.S.C. 3012(a)(5)) related to health (including mental 

25 and behavioral health) services, coordinate with the Assist-
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1 ant Secretary for Mental Health and Substance Use and 

2 the Director of the Centers for Disease Control and Preven3 tion— 

4 (1) in the planning, development, implementa5 tion, and evaluation of evidence-based policies, pro6 grams, practices, and other activities pertaining to 

7 the prevention of suicide among older individuals, in8 cluding the implementation of evidence-based suicide 

9 prevention programs and strategies identified by the 

10 National Center for Injury Prevention and Control at 

11 the Centers for Disease Control and Prevention and 

12 other entities, as applicable; and 

13 (2) in providing and incorporating technical as14 sistance for the prevention of suicide among older in15 dividuals, including technical assistance related to the 

16 Suicide Prevention Technical Assistance Center estab17 lished under section 520C of the Public Health Serv18 ice Act (42 U.S.C. 290bb–34). 

19 (b) PROGRAM DESIGN.—Section 202(a)(5) (42 U.S.C. 

20 3012(a)(5)) is amended by inserting ‘‘cultural experiences, 

21 activities, and services, including in the arts,’’ after ‘‘edu22 cation),’’. 
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1 SEC. 124. MODERNIZING THE INTERAGENCY COORDI2 NATING COMMITTEE ON HEALTHY AGING 

3 AND AGE-FRIENDLY COMMUNITIES. 

4 (a) FEDERAL AGENCY CONSULTATION.—Section 

5 203(b) (42 U.S.C. 3013(b)) is amended— 

6 (1) in paragraph (18), by striking ‘‘and’’ at the 

7 end; 

8 (2) in paragraph (19), by striking the period at 

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

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

11 ‘‘(20) section 393D of the Public Health Service 

12 Act (42 U.S.C. 280b–1f), relating to safety of sen13 iors.’’. 

14 (b) MODERNIZATION.—Section 203(c) (42 U.S.C. 

15 3013(c)) is amended— 

16 (1) in paragraph (1)— 

17 (A) by striking ‘‘the Federal officials’’ and 

18 inserting ‘‘other Federal officials’’; 

19 (B) by striking ‘‘Committee on Aging’’ and 

20 inserting ‘‘Committee on Healthy Aging and 

21 Age-Friendly Communities’’; and 

22 (C) by inserting ‘‘and the development of a 

23 national set of recommendations, in accordance 

24 with paragraph (6), to support the ability of 

25 older individuals to age in place and access 

26 homelessness prevention services, preventive 
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1 health care, promote age-friendly communities, 

2 and address the ability of older individuals to 

3 access long-term care supports, including access 

4 to caregivers and home- and community-based 

5 health services’’ before the period; 

6 (2) in paragraph (4), by adding at the end the 

7 following: ‘‘The first term, after the date of enactment 

8 of the Supporting Older Americans Act of 2020, shall 

9 start not later than 1 year after such date of enact10 ment.’’; 

11 (3) in paragraph (6)— 

12 (A) in the matter preceding subparagraph 

13 (A), by striking ‘‘The Committee shall’’ and in14 serting ‘‘The recommendations described in para15 graph (1) may include recommendations for’’; 

16 (B) in subparagraph (A)— 

17 (i) by striking ‘‘share information with 

18 and establish an ongoing system to’’ and in19 serting ‘‘ways to’’; and 

20 (ii) by striking ‘‘for older individuals 

21 and recommend improvements’’ and all that 

22 follows through ‘‘accessibility of such pro23 grams and services’’ and inserting ‘‘that 

24 impact older individuals’’; 

25 (C) in subparagraph (B)— 
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1 (i) by striking ‘‘identify, promote, and 

2 implement (as appropriate),’’; 

3 (ii) in clause (i), by striking ‘‘and’’ 

4 after the semicolon; 

5 (iii) in clause (ii), by inserting ‘‘and’’ 

6 after the semicolon; and 

7 (iv) by adding at the end the following: 

8 ‘‘(iii) best practices identified in coordina9 tion with the Centers for Disease Control and 

10 Prevention, the National Institute on Aging, the 

11 Centers for Medicare & Medicaid Services, the 

12 Office of Lead Hazard Control and Healthy 

13 Homes of the Department of Housing and Urban 

14 Development, and other Federal agencies, as ap15 propriate, to reduce and prevent falls among 

16 older individuals, that incorporate evidence17 based falls prevention programs and home modi18 fications, which recommendations shall supple19 ment and not unnecessarily duplicate activities 

20 authorized under section 393D of the Public 

21 Health Service Act (42 U.S.C. 280b–1f), relating 

22 to safety of seniors;’’; 

23 (D) in subparagraph (C)— 

24 (i) by inserting ‘‘ways to’’ before ‘‘col25 lect’’; 
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1 (ii) by striking ‘‘older individuals 

2 and’’; and 

3 (iii) by striking ‘‘the individuals to en4 sure’’ and all that follows through ‘‘infor5 mation’’ and inserting ‘‘older individuals to 

6 ensure that such information is accessible’’; 

7 (E) in subparagraph (D), by striking ‘‘work 

8 with’’ and all that follows through ‘‘member 

9 agencies to ensure’’ and inserting ‘‘ways to en10 sure’’; 

11 (F) in subparagraph (E), by striking ‘‘seek 

12 input’’ and all that follows through ‘‘founda13 tions’’ and inserting ‘‘seeking input from and 

14 consulting with nonprofit organizations, aca15 demic or research institutions, community-based 

16 organizations, philanthropic organizations, or 

17 other entities supporting age-friendly commu18 nities’’; 

19 (G) in subparagraph (F), by striking ‘‘iden20 tify’’ and inserting ‘‘identifying’’; and 

21 (H) by amending subparagraph (G) to read 

22 as follows: 

23 ‘‘(G) ways to improve coordination to provide 

24 housing, health care, and other supportive services to 

25 older individuals.’’; 
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1 (4) in paragraph (7)(A)(i), by striking ‘‘services 

2 for older individuals’’ and inserting ‘‘services that 

3 impact older individuals’’; and 

4 (5) by adding at the end the following: 

5 ‘‘(9) In this subsection, the term ‘age-friendly commu6 nity’ means a community that— 

7 ‘‘(A) is taking measurable steps to— 

8 ‘‘(i) include adequate and accessible hous9 ing, public spaces and buildings, safe and secure 

10 paths, variable route transportation services, and 

11 programs and services designed to support health 

12 and well-being; 

13 ‘‘(ii) respect and include older individuals 

14 in social opportunities, civic participation, vol15 unteerism, and employment; and 

16 ‘‘(iii) facilitate access to supportive services 

17 for older individuals; 

18 ‘‘(B) is not an assisted living facility or long19 term care facility; and 

20 ‘‘(C) has a plan in place to meet local needs for 

21 housing, transportation, civic participation, social 

22 connectedness, and accessible public spaces.’’. 

23 (c) ADMINISTRATION OF THE ACT.—Section 205(a)(2) 

24 (42 U.S.C. 3016(a)(2)) is amended— 
27 

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1 (1) by redesignating subparagraph (C) as sub2 paragraph (D); and 

3 (2) by inserting after subparagraph (B) the fol4 lowing: 

5 ‘‘(C) The Assistant Secretary may provide technical 

6 assistance, including through the regional offices of the Ad7 ministration, to State agencies, area agencies on aging, 

8 local government agencies, or leaders in age-friendly com9 munities (as defined, for purposes of this subparagraph, in 

10 section 203(c)(9)) regarding— 

11 ‘‘(i) dissemination of, or consideration of ways 

12 to implement, best practices and recommendations 

13 from the Interagency Coordinating Committee on 

14 Healthy Aging and Age-Friendly Communities estab15 lished under section 203(c); and 

16 ‘‘(ii) methods for managing and coordinating ex17 isting programs to meet the needs of growing age18 friendly communities.’’. 

19 SEC. 125. PROFESSIONAL STANDARDS FOR A NUTRITION 

20 OFFICIAL UNDER THE ASSISTANT SEC21 RETARY. 

22 Section 205(a)(2)(D)(ii) (42 U.S.C. 

23 3016(a)(2)(D)(ii)), as redesignated by section 124(c)(1), is 

24 amended to read as follows: 
28 

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1 ‘‘(ii) be a registered dietitian or registered dieti2 tian nutritionist.’’. 

3 SEC. 126. REPORT ON SOCIAL ISOLATION. 

4 (a) PREPARATION OF REPORT.— 

5 (1) IN GENERAL.—The Secretary shall, in car6 rying out activities under section 206(a) of the Older 

7 Americans Act of 1965 (42 U.S.C. 3017(a)), prepare 

8 a report on programs authorized by such Act (42 

9 U.S.C. 3001 et seq.), and supported or funded by the 

10 Administration on Aging, that include a focus on ad11 dressing the negative health effects associated with so12 cial isolation through targeting older individuals 

13 identified as being in greatest social need, as appro14 priate. 

15 (2) IMPACT.—Such report shall identify— 

16 (A) whether social isolation is being ade17 quately addressed under such programs, includ18 ing, to the extent practicable— 

19 (i) the prevalence of social isolation in 

20 rural areas and in urban areas; 

21 (ii) the negative public health effects 

22 associated with social isolation; and 

23 (iii) the role of preventive measures or 

24 of services, including nutrition services, in 

25 addressing the negative health effects associ-
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1 ated with social isolation among older indi2 viduals; and 

3 (B) public awareness of and efforts to ad4 dress the negative health effects associated with 

5 social isolation. 

6 (3) TYPES OF PROGRAMS.—Such report shall 

7 identify whether programs described in paragraph 

8 (1)— 

9 (A) support projects in local communities 

10 and involve diverse sectors associated with such 

11 communities to decrease the negative health ef12 fects associated with social isolation among older 

13 individuals and caregivers; 

14 (B) support outreach activities to screen 

15 older individuals for negative health effects asso16 ciated with social isolation; and 

17 (C) include a focus on decreasing the nega18 tive health effects associated with social isolation. 

19 (4) RECOMMENDATIONS.—Such report shall, as 

20 appropriate, include recommendations for reducing 

21 the negative health effects associated with social isola22 tion and to address any negative health effects identi23 fied under clauses (ii) and (iii) of subparagraph (A), 

24 and subparagraph (B), of paragraph (2). 

25 (b) SUBMISSION OF REPORT.— 
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1 (1) INTERIM STATUS REPORT.—Not later than 2 

2 years after the date of enactment of this Act, the Sec3 retary shall submit an interim report, to the commit4 tees of the Senate and of the House of Representatives 

5 with jurisdiction over the Older Americans Act of 

6 1965 (42 U.S.C. 3001 et seq.), and the Special Com7 mittee on Aging of the Senate, on the status of the 

8 evaluation underway to develop the final report re9 quired under this section. 

10 (2) FINAL REPORT.—Not later than 5 years after 

11 the date of enactment of this Act, the Secretary shall 

12 submit a final report that meets the requirements of 

13 this section to the committees of the Senate and of the 

14 House of Representatives with jurisdiction over the 

15 Older Americans Act of 1965 (42 U.S.C. 3001 et seq.), 

16 and the Special Committee on Aging of the Senate. 

17 SEC. 127. RESEARCH AND EVALUATION. 

18 (a) CENTER.—Section 201 (42 U.S.C. 3011) is amend19 ed by adding at the end the following: 

20 ‘‘(g)(1) The Assistant Secretary shall, as appropriate, 

21 coordinate the research and evaluation functions of this Act 

22 under a Research, Demonstration, and Evaluation Center 

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

24 ‘Center’), which shall be headed by a director designated 
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1 by the Assistant Secretary from individuals described in 

2 paragraph (4). 

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

4 ‘‘(A) to coordinate, as appropriate, research, re5 search dissemination, evaluation, demonstration 

6 projects, and related activities carried out under this 

7 Act; 

8 ‘‘(B) to provide assessment of the programs and 

9 interventions authorized under this Act; and 

10 ‘‘(C) to increase the repository of information on 

11 evidence-based programs and interventions available 

12 to the aging network, which information shall be ap13 plicable to existing programs and interventions and 

14 help in the development of new evidence-based pro15 grams and interventions. 

16 ‘‘(3) Activities of the Center shall include, as appro17 priate, conducting, promoting, coordinating, and providing 

18 support for— 

19 ‘‘(A) research and evaluation activities that sup20 port the objectives of this Act, including— 

21 ‘‘(i) evaluation of new and existing pro22 grams and interventions authorized by this Act; 

23 and 

24 ‘‘(ii) research on and assessment of the rela25 tionship between programs and interventions 
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1 under this Act and the health outcomes, social 

2 determinants of health, quality of life, and inde3 pendence of individuals served under this Act; 

4 ‘‘(B) demonstration projects that support the ob5 jectives of this Act, including activities to bring effec6 tive demonstration projects to scale with a 

7 prioritization of projects that address the needs of un8 derserved populations, and promote partnerships 

9 among aging services, community-based organiza10 tions, and Medicare and Medicaid providers, plans, 

11 and health (including public health) systems; 

12 ‘‘(C) outreach and dissemination of research 

13 findings; and 

14 ‘‘(D) technical assistance related to the activities 

15 described in this paragraph. 

16 ‘‘(4) The director shall be an individual with substan17 tial knowledge of and experience in aging and health policy, 

18 and research administration. 

19 ‘‘(5) Not later than October 1, 2020, and at 5-year in20 tervals thereafter, the director shall prepare and publish in 

21 the Federal Register for public comment a draft of a 5-year 

22 plan that— 

23 ‘‘(A) outlines priorities for research, research dis24 semination, evaluation, demonstration projects, and 

25 related activities; 
33 

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

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

3 of underserved populations. 

4 ‘‘(6) The director shall coordinate, as appropriate, re5 search, research dissemination, evaluation, and demonstra6 tion projects, and related activities with appropriate agency 

7 program staff, and, as appropriate, with other Federal de8 partments and agencies involved in research in the field of 

9 aging. 

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

11 thereafter, the director shall prepare, and submit to the Sec12 retary, the Committee on Health, Education, Labor, and 

13 Pensions of the Senate, the Special Committee on Aging of 

14 the Senate, and the Committee on Education and Labor 

15 of the House of Representatives, a report on the activities 

16 funded under this section and title IV. 

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

18 experts on aging research and evaluation and aging net19 work stakeholders on the implementation of the activities 

20 described under paragraph (3) of this subsection. 

21 ‘‘(9) The director shall coordinate, as appropriate, all 

22 research and evaluation authorities under this Act.’’. 

23 (b) EVALUATION.—Section 206 (42 U.S.C. 3017) is 

24 amended— 
34 

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1 (1) by redesignating subsections (b) through (g) 

2 as subsections (c) through (h), respectively; and 

3 (2) by inserting after subsection (a) the fol4 lowing: 

5 ‘‘(b) Not later than July 1, 2020, the Secretary shall 

6 provide, directly or through grant or contract, for an eval7 uation of programs under this Act, which shall include, to 

8 the extent practicable, an analysis of the relationship of 

9 such programs, including demonstration projects under title 

10 IV of this Act, to health care expenditures under the Medi11 care program established under title XVIII of the Social Se12 curity Act (42 U.S.C. 1395 et seq.) and the Medicaid pro13 gram established under title XIX of the Social Security Act 

14 (42 U.S.C. 1396 et seq.). The Secretary shall oversee anal15 yses of data obtained in connection with program evalua16 tion to evaluate, where feasible, the relationship of programs 

17 under this Act to health care expenditures, including under 

18 the Medicare and Medicaid programs.’’. 

19 (c) REPORT ON HEALTH CARE EXPENDITURES.—Sec20 tion 207 (42 U.S.C. 3018) is amended by adding at the 

21 end the following: 

22 ‘‘(d) The Assistant Secretary shall provide the evalua23 tion required under section 206(b) to— 

24 ‘‘(1) the Committee on Health, Education, 

25 Labor, and Pensions of the Senate; 
35 

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1 ‘‘(2) the Committee on Appropriations of the 

2 Senate; 

3 ‘‘(3) the Special Committee on Aging of the Sen4 ate; 

5 ‘‘(4) the Committee on Education and Labor of 

6 the House of Representatives; and 

7 ‘‘(5) the Committee on Appropriations of the 

8 House of Representatives.’’. 

9 TITLE II—IMPROVING GRANTS 

10 FOR STATE AND COMMUNITY 

11 PROGRAMS ON AGING 

12 SEC. 201. SOCIAL DETERMINANTS OF HEALTH. 

13 Section 301(a)(1) (42 U.S.C. 3021(a)(1)) is amend14 ed— 

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

16 the end; 

17 (2) in subparagraph (D), by striking the period 

18 at the end and inserting ‘‘; and’’; and 

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

20 ‘‘(E) measure impacts related to social de21 terminants of health of older individuals.’’. 

22 SEC. 202. YOUNGER ONSET ALZHEIMER’S DISEASE. 

23 The Act (42 U.S.C. 3001 et seq.) is amended— 

24 (1) in section 302(3) (42 U.S.C. 3022(3)), by in25 serting ‘‘of any age’’ after ‘‘an individual’’; and 
36 

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1 (2) in section 711(6) (42 U.S.C. 3058f(6)), by 

2 inserting ‘‘of any age’’ after ‘‘individual’’. 

3 SEC. 203. REAUTHORIZATION. 

4 (a) GRANTS FOR STATE AND COMMUNITY PROGRAMS

5 ON AGING.—Subsections (a) through (e) of section 303 (42 

6 U.S.C. 3023) are amended to read as follows: 

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

8 carry out part B (relating to supportive services) 

9 $412,029,180 for fiscal year 2020, $436,750,931 for fiscal 

10 year 2021, $462,955,987 for fiscal year 2022, $490,733,346 

11 for fiscal year 2023, and $520,177,347 for fiscal year 2024. 

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

13 be available to carry out section 712. 

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

15 carry out subpart 1 of part C (relating to congregate nutri16 tion services) $530,015,940 for fiscal year 2020, 

17 $561,816,896 for fiscal year 2021, $595,525,910 for fiscal 

18 year 2022, $631,257,465 for fiscal year 2023, and 

19 $669,132,913 for fiscal year 2024. 

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

21 out subpart 2 of part C (relating to home delivered nutri22 tion services) $268,935,940 for fiscal year 2020, 

23 $285,072,096 for fiscal year 2021, $302,176,422 for fiscal 

24 year 2022, $320,307,008 for fiscal year 2023, and 

25 $339,525,428 for fiscal year 2024. 
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1 ‘‘(c) Grants made under part B, and subparts 1 and 

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

3 the cost of— 

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

5 agencies on aging designated under section 

6 305(a)(2)(A), including the preparation of area plans 

7 on aging consistent with section 306 and the evalua8 tion of activities carried out under such plans; and 

9 ‘‘(2) the development of comprehensive and co10 ordinated systems for supportive services, and con11 gregate and home delivered nutrition services under 

12 subparts 1 and 2 of part C, the development and op13 eration of multipurpose senior centers, and the deliv14 ery of legal assistance. 

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

16 out part D (relating to disease prevention and health pro17 motion services) $26,587,360 for fiscal year 2020, 

18 $28,182,602 for fiscal year 2021, $29,873,558 for fiscal year 

19 2022, $31,665,971 for fiscal year 2023, and $33,565,929 for 

20 fiscal year 2024. 

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

22 out part E (relating to family caregiver support) 

23 $193,869,020 for fiscal year 2020, $205,501,161 for fiscal 

24 year 2021, $217,831,231 for fiscal year 2022, $230,901,105 
38 

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1 for fiscal year 2023, and $244,755,171 for fiscal year 

2 2024.’’. 

3 (b) NUTRITION SERVICES INCENTIVE PROGRAM.—Sec4 tion 311(e) (42 U.S.C. 3030a(e)) is amended to read as fol5 lows: 

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

7 out this section (other than subsection (c)(1)) $171,273,830 

8 for fiscal year 2020, $181,550,260 for fiscal year 2021, 

9 $192,443,275 for fiscal year 2022, $203,989,872 for fiscal 

10 year 2023, and $216,229,264 for fiscal year 2024.’’. 

11 SEC. 204. HOLD HARMLESS FORMULA. 

12 (a) IN GENERAL.—Section 304(a)(3)(D) (42 U.S.C. 

13 3024(a)(3)(D)) is amended to read as follows: 

14 ‘‘(D)(i) In this subparagraph and para15 graph (5)— 

16 ‘‘(I) the term ‘allot’ means allot under 

17 this subsection from a sum appropriated 

18 under section 303(a) or 303(b)(1), as the 

19 case may be; and 

20 ‘‘(II) the term ‘covered fiscal year’ 

21 means any of fiscal years 2020 through 

22 2029. 

23 ‘‘(ii) If the sum appropriated under section 

24 303(a) or 303(b)(1) for a particular covered fis25 cal year is less than or equal to the sum appro-
39 

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1 priated under section 303(a) or 303(b)(1), re2 spectively, for fiscal year 2019, amounts shall be 

3 allotted to States from the sum appropriated for 

4 the particular year in accordance with para5 graphs (1) and (2), and subparagraphs (A) 

6 through (C) as applicable, but no State shall be 

7 allotted an amount that is less than— 

8 ‘‘(I) for fiscal year 2020, 99.75 percent 

9 of the State’s allotment from the cor10 responding sum appropriated for fiscal year 

11 2019; 

12 ‘‘(II) for fiscal year 2021, 99.50 per13 cent of that allotment; 

14 ‘‘(III) for fiscal year 2022, 99.25 per15 cent of that allotment; 

16 ‘‘(IV) for fiscal year 2023, 99.00 per17 cent of that allotment; 

18 ‘‘(V) for fiscal year 2024, 98.75 percent 

19 of that allotment; 

20 ‘‘(VI) for fiscal year 2025, 98.50 per21 cent of that allotment; 

22 ‘‘(VII) for fiscal year 2026, 98.25 per23 cent of that allotment; 

24 ‘‘(VIII) for fiscal year 2027, 98.00 per25 cent of that allotment; 
40 

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1 ‘‘(IX) for fiscal year 2028, 97.75 per2 cent of that allotment; and 

3 ‘‘(X) for fiscal year 2029, 97.50 percent 

4 of that allotment. 

5 ‘‘(iii) If the sum appropriated under section 

6 303(a) or 303(b)(1) for a particular covered fis7 cal year is greater than the sum appropriated 

8 under section 303(a) or 303(b)(1), respectively, 

9 for fiscal year 2019, the allotments to States 

10 from the sum appropriated for the particular 

11 year shall be calculated as follows: 

12 ‘‘(I) From the portion equal to the cor13 responding sum appropriated for fiscal year 

14 2019, amounts shall be allotted in accord15 ance with paragraphs (1) and (2), and sub16 paragraphs (A) through (C) as applicable, 

17 but no State shall be allotted an amount 

18 that is less than the percentage specified in 

19 clause (ii), for that particular year, of the 

20 State’s allotment from the corresponding 

21 sum appropriated for fiscal year 2019. 

22 ‘‘(II) From the remainder, amounts 

23 shall be allotted in accordance with para24 graph (1), subparagraphs (A) through (C) 

25 as applicable, and paragraph (2) to the ex-
41 

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1 tent needed to meet the requirements of 

2 those subparagraphs.’’. 

3 (b) REPEAL.—Section 304(a)(3)(D) (42 U.S.C. 

4 3024(a)(3)(D)) is repealed, effective October 1, 2029. 

5 (c) CONFORMING AMENDMENT.—Section 304(a)(5) (42 

6 U.S.C. 3024(a)(5)) is amended by striking ‘‘of the prior 

7 year’’ and inserting ‘‘as required by paragraph (3)’’. 

8 SEC. 205. OUTREACH EFFORTS. 

9 Section 306(a)(4)(B) (42 U.S.C. 3026(a)(4)(B)) is 

10 amended— 

11 (1) in clause (i)(VII), by inserting ‘‘, specifically 

12 including survivors of the Holocaust’’ after ‘‘place13 ment’’; and 

14 (2) in clause (ii), by striking ‘‘(VI)’’ and insert15 ing ‘‘(VII)’’. 

16 SEC. 206. STATE LONG-TERM CARE OMBUDSMAN PROGRAM 

17 MINIMUM FUNDING AND MAINTENANCE OF 

18 EFFORT. 

19 The Act (42 U.S.C. 3001 et seq.) is amended— 

20 (1) by amending section 306(a)(9) (42 U.S.C. 

21 3026(a)(9)) to read as follows: 

22 ‘‘(9) provide assurances that— 

23 ‘‘(A) the area agency on aging, in carrying 

24 out the State Long-Term Care Ombudsman pro25 gram under section 307(a)(9), will expend not 
42 

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1 less than the total amount of funds appropriated 

2 under this Act and expended by the agency in 

3 fiscal year 2019 in carrying out such a program 

4 under this title; and 

5 ‘‘(B) funds made available to the area agen6 cy on aging pursuant to section 712 shall be 

7 used to supplement and not supplant other Fed8 eral, State, and local funds expended to support 

9 activities described in section 712;’’; and 

10 (2) by amending section 307(a)(9) (42 U.S.C. 

11 3027(a)(9)) to read as follows: 

12 ‘‘(9) The plan shall provide assurances that— 

13 ‘‘(A) the State agency will carry out, 

14 through the Office of the State Long-Term Care 

15 Ombudsman, a State Long-Term Care Ombuds16 man program in accordance with section 712 

17 and this title, and will expend for such purpose 

18 an amount that is not less than the amount ex19 pended by the State agency with funds received 

20 under this title for fiscal year 2019, and an 

21 amount that is not less than the amount ex22 pended by the State agency with funds received 

23 under title VII for fiscal year 2019; and 

24 ‘‘(B) funds made available to the State 

25 agency pursuant to section 712 shall be used to 
43 

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1 supplement and not supplant other Federal, 

2 State, and local funds expended to support ac3 tivities described in section 712.’’. 

4 SEC. 207. COORDINATION WITH RESOURCE CENTERS. 

5 (a) AREA PLANS.—Section 306(a) (42 U.S.C. 3026(a)) 

6 is amended— 

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

8 end; 

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

10 the end and inserting a semicolon; and 

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

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

13 aging will collect data to determine— 

14 ‘‘(A) the services that are needed by older 

15 individuals whose needs were the focus of all cen16 ters funded under title IV in fiscal year 2019; 

17 and 

18 ‘‘(B) the effectiveness of the programs, poli19 cies, and services provided by such area agency 

20 on aging in assisting such individuals; and 

21 ‘‘(19) provide assurances that the area agency on 

22 aging will use outreach efforts that will identify indi23 viduals eligible for assistance under this Act, with 

24 special emphasis on those individuals whose needs 
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1 were the focus of all centers funded under title IV in 

2 fiscal year 2019.’’. 

3 (b) STATE PLANS.—Section 307(a) (42 U.S.C. 

4 3027(a)), as amended by section 118(c), is further amended 

5 by adding at the end the following: 

6 ‘‘(30) The plan shall contain an assurance that 

7 the State shall prepare and submit to the Assistant 

8 Secretary annual reports that describe— 

9 ‘‘(A) data collected to determine the services 

10 that are needed by older individuals whose needs 

11 were the focus of all centers funded under title IV 

12 in fiscal year 2019; 

13 ‘‘(B) data collected to determine the effec14 tiveness of the programs, policies, and services 

15 provided by area agencies on aging in assisting 

16 such individuals; and 

17 ‘‘(C) outreach efforts and other activities 

18 carried out to satisfy the assurances described in 

19 paragraphs (18) and (19) of section 306(a).’’. 

20 SEC. 208. SENIOR LEGAL HOTLINES. 

21 Not later than 4 years after the date of enactment of 

22 this Act, the Assistant Secretary shall prepare and submit 

23 to Congress a report containing— 

24 (1) information on which States or localities op25 erate senior legal hotlines; 
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1 (2) information on how such hotlines operated by 

2 States or localities are funded; 

3 (3) information on the usefulness of senior legal 

4 hotlines in the coordination and provision of legal as5 sistance; and 

6 (4) recommendations on additional actions that 

7 should be taken related to senior legal hotlines. 

8 SEC. 209. INCREASE IN LIMIT ON USE OF ALLOTTED FUNDS 

9 FOR STATE ADMINISTRATIVE COSTS. 

10 Section 308 (42 U.S.C. 3028) is amended— 

11 (1) in subsection (a), in paragraphs (1) and (2), 

12 by striking ‘‘subsection (b)(1)’’ and inserting ‘‘sub13 section (b)’’; and 

14 (2) in subsection (b)— 

15 (A) in each of paragraphs (1) and (2)— 

16 (i) in subparagraph (A)— 

17 (I) by striking ‘‘clause (ii)’’ and 

18 inserting ‘‘subparagraph (B)’’; and 

19 (II) by striking ‘‘greater of’’ and 

20 all that follows through ‘‘or’’ and in21 serting the following: ‘‘greater of— 

22 ‘‘(i) 5 percent of the total amount of 

23 the allotments made to a State under sec24 tions 304(a)(1) and 373(f); or 

25 ‘‘(ii)’’; and 
46 

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1 (ii) in subparagraph (B), by striking 

2 ‘‘such allotment’’ and inserting ‘‘such total 

3 amount’’; and 

4 (B) in paragraph (2)(A), by striking 

5 ‘‘$500,000’’ and inserting ‘‘$750,000’’. 

6 SEC. 210. IMPROVEMENTS TO NUTRITION PROGRAMS. 

7 Section 308(b)(4) (42 U.S.C. 3028(b)(4)) is amended 

8 by adding at the end the following: 

9 ‘‘(D) The State, in consultation with area agencies on 

10 aging, shall ensure the process used by the State in transfer11 ring funds under this paragraph (including requirements 

12 relating to the authority and timing of such transfers) is 

13 simplified and clarified to reduce administrative barriers 

14 and direct limited resources to the greatest nutrition service 

15 needs at the community level. Such process shall be modified 

16 to attempt to lessen the administrative barriers of such 

17 transfers, and help direct limited resources to where they 

18 are needed the most as the unmet need for nutrition services 

19 grows.’’. 

20 SEC. 211. REVIEW OF REPORTS. 

21 Section 308(b) (42 U.S.C. 3028(b)) is amended by add22 ing at the end the following: 

23 ‘‘(8) The Assistant Secretary shall review the reports 

24 submitted under section 307(a)(30) and include aggregate 
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1 data in the report required by section 207(a), including 

2 data on— 

3 ‘‘(A) the effectiveness of the programs, policies, 

4 and services provided by area agencies on aging in 

5 assisting older individuals whose needs were the focus 

6 of all centers funded under title IV in fiscal year 

7 2019; and 

8 ‘‘(B) outreach efforts and other activities carried 

9 out to satisfy the assurances described in paragraphs 

10 (18) and (19) of section 306(a), to identify such older 

11 individuals and their service needs.’’. 

12 SEC. 212. OTHER PRACTICES. 

13 Section 315 (42 U.S.C. 3030c–2) is amended by add14 ing at the end the following: 

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

16 ‘‘(1) IN GENERAL.—Upon request from an area 

17 agency on aging, the State shall make available any 

18 policies or guidance pertaining to policies established 

19 under this section. 

20 ‘‘(2) RULE OF CONSTRUCTION.—Nothing in 

21 paragraph (1) shall require a State to develop policies 

22 or guidance pertaining to policies established under 

23 this section.’’. 
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1 SEC. 213. SCREENING FOR NEGATIVE HEALTH EFFECTS AS2 SOCIATED WITH SOCIAL ISOLATION AND 

3 TRAUMATIC BRAIN INJURY. 

4 Section 321(a)(8) (42 U.S.C. 3030d(a)(8)) is amend5 ed— 

6 (1) by striking ‘‘screening and’’ and inserting 

7 ‘‘screening, screening for negative health effects associ8 ated with social isolation,’’; and 

9 (2) by inserting ‘‘, and traumatic brain injury 

10 screening’’ after ‘‘falls prevention services screening’’. 

11 SEC. 214. SUPPORTIVE SERVICES AND SENIOR CENTERS. 

12 (a) IN GENERAL.—Section 321(a) (42 U.S.C. 

13 3030d(a)) is amended— 

14 (1) in paragraph (24), by striking ‘‘and’’ at the 

15 end; 

16 (2) by redesignating paragraph (25) as para17 graph (26); and 

18 (3) by inserting after paragraph (24) the fol19 lowing: 

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

21 connectedness and reduce negative health effects asso22 ciated with social isolation; and’’. 

23 (b) SUPPORTIVE SERVICES.—Section 321(a)(7) (42 

24 U.S.C. 3030d(a)(7)) is amended by inserting ‘‘cultural ex25 periences (including the arts),’’ after ‘‘art therapy,’’. 
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1 SEC. 215. CULTURALLY APPROPRIATE, MEDICALLY TAI2 LORED MEALS. 

3 Section 339(2)(A)(iii) (42 U.S.C. 3030g–21(2)(A)(iii)) 

4 is amended by inserting ‘‘, including meals adjusted for cul5 tural considerations and preferences and medically tailored 

6 meals’’ before the comma at the end. 

7 SEC. 216. NUTRITION SERVICES STUDY. 

8 Subpart 3 of part C of title III (42 U.S.C. 3030g– 

9 21 et seq.) is amended by adding at the end the following: 

10 ‘‘SEC. 339B. NUTRITION SERVICES IMPACT STUDY. 

11 ‘‘(a) STUDY.— 

12 ‘‘(1) IN GENERAL.—The Assistant Secretary 

13 shall perform a study to assess how to measure and 

14 evaluate the discrepancy between available services 

15 and the demand for such services in the home deliv16 ered nutrition services program and the congregate 

17 nutrition services program under this part, which 

18 shall include assessing various methods (such as those 

19 that States use) to measure and evaluate the discrep20 ancy (such as measurement through the length of 

21 waitlists). 

22 ‘‘(2) CONTENTS.—In performing the study, the 

23 Assistant Secretary shall— 

24 ‘‘(A) consider means of obtaining informa25 tion in rural and underserved communities; and 
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1 ‘‘(B) consider using existing tools (existing 

2 as of the date the Assistant Secretary begins the 

3 study) such as the tools developed through the 

4 Performance Outcome Measurement Project. 

5 ‘‘(3) ANALYSIS.—The Assistant Secretary shall 

6 analyze and determine which methods are the least 

7 burdensome and most effective for measuring and 

8 evaluating the discrepancy described in paragraph 

9 (1). 

10 ‘‘(b) RECOMMENDATIONS.— 

11 ‘‘(1) PREPARATION.—Not later than 3 years 

12 after the date of enactment of the Supporting Older 

13 Americans Act of 2020, the Assistant Secretary shall 

14 prepare recommendations— 

15 ‘‘(A) on how to measure and evaluate, with 

16 the least burden and the most effectiveness, the 

17 discrepancy described in subsection (a)(1) (such 

18 as measurement through the length of waitlists); 

19 and 

20 ‘‘(B) about whether studies similar to the 

21 study described in subsection (a) should be car22 ried out for programs carried out under this Act, 

23 other than this part. 

24 ‘‘(2) ISSUANCE.—The Assistant Secretary shall 

25 issue the recommendations, and make the rec-
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1 ommendations available as a notification pursuant to 

2 section 202(a)(34) and to the committees of the Senate 

3 and of the House of Representatives with jurisdiction 

4 over this Act, and the Special Committee on Aging of 

5 the Senate.’’. 

6 SEC. 217. NATIONAL FAMILY CAREGIVER SUPPORT PRO7 GRAM. 

8 (a) DEFINITIONS FOR NATIONAL FAMILY CAREGIVER

9 SUPPORT PROGRAM.—Section 372(a) (42 U.S.C. 3030s(a)) 

10 is amended— 

11 (1) by redesignating paragraphs (1) through (3) 

12 as paragraphs (2) through (4), respectively; and 

13 (2) by inserting before paragraph (2), as so re14 designated, the following: 

15 ‘‘(1) CAREGIVER ASSESSMENT.—The term ‘care16 giver assessment’ means a defined process of gathering 

17 information to identify the specific needs, barriers to 

18 carrying out caregiving responsibilities, and existing 

19 supports of a family caregiver or older relative care20 giver, as identified by the caregiver involved, to ap21 propriately target recommendations for support serv22 ices described in section 373(b). Such assessment shall 

23 be administered through direct contact with the care24 giver, which may include contact through a home 
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1 visit, the Internet, telephone or teleconference, or in2 person interaction.’’. 

3 (b) GENERAL AUTHORITY.—Section 373 (42 U.S.C. 

4 3030s–1) is amended— 

5 (1) in subsection (b), in the matter preceding 

6 paragraph (1), by inserting ‘‘which may be informed 

7 through the use of caregiver assessments,’’ after ‘‘pro8 vided,’’; 

9 (2) in subsection (e)(3), in the first sentence, by 

10 inserting ‘‘, including caregiver assessments used in 

11 the State,’’ after ‘‘mechanisms’’; 

12 (3) by redesignating subsections (e) through (g) 

13 as subsections (f) through (h), respectively; 

14 (4) by inserting after subsection (d) the fol15 lowing: 

16 ‘‘(e) BEST PRACTICES.—Not later than 1 year after 

17 the date of enactment of the Supporting Older Americans 

18 Act of 2020 and every 5 years thereafter, the Assistant Sec19 retary shall— 

20 ‘‘(1) identify best practices relating to the pro21 grams carried out under this section and section 631, 

22 regarding— 

23 ‘‘(A) the use of procedures and tools to mon24 itor and evaluate the performance of the pro25 grams carried out under such sections; 
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1 ‘‘(B) the use of evidence-based caregiver sup2 port services; and 

3 ‘‘(C) any other issue determined relevant by 

4 the Assistant Secretary; and 

5 ‘‘(2) make available, including on the website of 

6 the Administration and pursuant to section 

7 202(a)(34), best practices described in paragraph (1), 

8 to carry out the programs under this section and sec9 tion 631.’’; and 

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

11 ‘‘(i) ACTIVITIES OF NATIONAL SIGNIFICANCE.—The 

12 Assistant Secretary may award funds authorized under this 

13 section to States, public agencies, private nonprofit agen14 cies, institutions of higher education, and organizations, in15 cluding tribal organizations, for conducting activities of na16 tional significance that— 

17 ‘‘(1) promote quality and continuous improve18 ment in the support provided to family caregivers 

19 and older relative caregivers through programs car20 ried out under this section and section 631; and 

21 ‘‘(2) include, with respect to such programs, pro22 gram evaluation, training, technical assistance, and 

23 research. 

24 ‘‘(j) TECHNICAL ASSISTANCE FOR CAREGIVER ASSESS25 MENTS.—Not later than 1 year after the date of enactment 
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1 of the Supporting Older Americans Act of 2020, the Assist2 ant Secretary, in consultation with stakeholders with ap3 propriate expertise and, as appropriate, informed by the 

4 strategy developed under the RAISE Family Caregivers Act 

5 (42 U.S.C. 3030s note), shall provide technical assistance 

6 to promote and implement the use of caregiver assessments. 

7 Such technical assistance may include sharing available 

8 tools or templates, comprehensive assessment protocols, and 

9 best practices concerning— 

10 ‘‘(1) conducting caregiver assessments (including 

11 reassessments) as needed; 

12 ‘‘(2) implementing such assessments that are 

13 consistent across a planning and service area, as ap14 propriate; and 

15 ‘‘(3) implementing caregiver support service 

16 plans, including conducting referrals to and coordina17 tion of activities with relevant State services.’’. 

18 (c) REPORT ON CAREGIVER ASSESSMENTS.— 

19 (1) IN GENERAL.—Not later than 3 years after 

20 the date of enactment of this Act, the Assistant Sec21 retary shall issue a report on the use of caregiver as22 sessments by area agencies on aging, entities con23 tracting with such agencies, and tribal organizations. 

24 Such report shall include— 
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1 (A) an analysis of the current use of care2 giver assessments, as of the date of the report; 

3 (B) an analysis of the potential impact of 

4 caregiver assessments on— 

5 (i) family caregivers and older relative 

6 caregivers; and 

7 (ii) the older individuals to whom the 

8 caregivers described in clause (i) provide 

9 care; 

10 (C) an analysis of the potential impact of 

11 using caregiver assessments on the aging net12 work; 

13 (D) an analysis of how caregiver assess14 ments are being used to identify the specific 

15 needs, barriers to carrying out caregiving re16 sponsibilities, and existing supports of family 

17 caregivers and older relative caregivers, with 

18 particular consideration to supporting— 

19 (i) a caregiver specified in this sub20 paragraph who is caring for individuals 

21 with disabilities, or, if appropriate, with a 

22 serious illness; and 

23 (ii) caregivers with disabilities; 
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1 (E) recommendations for furthering the use 

2 of caregiver assessments, as appropriate, includ3 ing in rural or underserved areas; and 

4 (F) recommendations for assisting State 

5 agencies and area agencies on aging, particu6 larly in rural or underserved areas, in imple7 menting the use of caregiver assessments. 

8 (2) SUBMISSION.—Not later than 6 months after 

9 the issuance of the report specified in paragraph (1), 

10 the Assistant Secretary shall submit the report to the 

11 committees of the Senate and the House of Represent12 atives with jurisdiction over this Act, and the Special 

13 Committee on Aging of the Senate. 

14 (3) DEFINITIONS.—In this subsection— 

15 (A) the terms ‘‘caregiver assessment’’ and 

16 ‘‘older relative caregiver’’ have the meanings 

17 given such terms in section 372(a) of the Older 

18 Americans Act of 1965 (42 U.S.C. 3030s(a)); 

19 (B) the term ‘‘family caregiver’’ has the 

20 meaning given the term in section 302 of such 

21 Act (42 U.S.C. 3022); and 

22 (C) the terms ‘‘State agency’’ and ‘‘tribal 

23 organization’’ have the meanings given the terms 

24 in section 102 of such Act (42 U.S.C. 3002). 
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1 (d) CONFORMING AMENDMENT.—Section 631(b) of 

2 such Act (42 U.S.C. 3057k–11(b)) is amended by striking 

3 ‘‘(c), (d), and (e)’’ and inserting ‘‘(c), (d), and (f)’’. 

4 SEC. 218. NATIONAL FAMILY CAREGIVER SUPPORT PRO5 GRAM CAP. 

6 (a) FEDERAL SHARE.—Subsection (h)(2), as redesig7 nated by section 217(b)(3) of this Act, of section 373 (42 

8 U.S.C. 3030s–1) is amended by striking subparagraph (C). 

9 (b) MONITORING THE IMPACT OF THE ELIMINATION OF

10 THE CAP ON FUNDS FOR OLDER RELATIVE CAREGIVERS.— 

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

12 date of enactment of this Act, and annually there13 after, the Assistant Secretary shall submit to the 

14 Committee on Health, Education, Labor, and Pen15 sions of the Senate and the Committee on Education 

16 and Labor of the House of Representatives a report 

17 on the impact of the amendment made by subsection 

18 (a) to eliminate the limitation on funds that States 

19 may allocate to provide support services to older rel20 ative caregivers in the National Family Caregiver 

21 Support Program established under part E of title III 

22 of the Older Americans Act of 1965 (42 U.S.C. 3030s 

23 et seq.). Each such report shall also be made available 

24 to the public. 
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1 (2) CONTENTS.—For purposes of reports required 

2 by paragraph (1), each State that receives an allot3 ment under such National Family Caregiver Support 

4 Program for fiscal year 2020 or a subsequent fiscal 

5 year shall report to the Assistant Secretary for the fis6 cal year involved the amount of funds of the total 

7 Federal and non-Federal shares described in section 

8 373(h)(2) of the Older Americans Act of 1965 (42 

9 U.S.C. 3030s–1(h)(2)) used by the State to provide 

10 support services for older relative caregivers and the 

11 amount of such funds so used for family caregivers. 

12 TITLE III—MODERNIZING AC13 TIVITIES FOR HEALTH, INDE14 PENDENCE, AND LONGEVITY 

15 SEC. 301. REAUTHORIZATION. 

16 Section 411(b) (42 U.S.C. 3032(b)) is amended to read 

17 as follows: 

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

19 are authorized to be appropriated to carry out— 

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

21 section, $14,514,550 for fiscal year 2020, $15,385,423 

22 for fiscal year 2021, $16,308,548 for fiscal year 2022, 

23 $17,287,061 for fiscal year 2023, and $18,324,285 for 

24 fiscal year 2024; and 
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1 ‘‘(2) elder rights support activities under this 

2 section, $15,613,440 for fiscal year 2020, $16,550,246 

3 for fiscal year 2021, $17,543,261 for fiscal year 2022, 

4 $18,595,857 for fiscal year 2023, and $19,711,608 for 

5 fiscal year 2024.’’. 

6 SEC. 302. PUBLIC AWARENESS OF TRAUMATIC BRAIN IN7 JURY. 

8 Section 411(a)(12) (42 U.S.C. 3032(a)(12)) is amend9 ed— 

10 (1) by striking ‘‘impairments’’ and inserting 

11 ‘‘impairments,’’; and 

12 (2) by striking ‘‘, and mental disorders’’ and in13 serting ‘‘, mental disorders, and traumatic brain in14 jury’’. 

15 SEC. 303. FALLS PREVENTION AND CHRONIC DISEASE SELF16 MANAGEMENT EDUCATION. 

17 Section 411(a) (42 U.S.C. 3032(a)), as amended by 

18 sections 119 and 120, is further amended— 

19 (1) by redesignating paragraphs (15) and (16) 

20 as paragraphs (17) and (18), respectively; and 

21 (2) by inserting after paragraph (14) the fol22 lowing: 

23 ‘‘(15) bringing to scale and sustaining evidence24 based falls prevention programs that will reduce the 

25 number of falls, fear of falling, and fall-related inju-
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1 ries in older individuals, including older individuals 

2 with disabilities; 

3 ‘‘(16) bringing to scale and sustaining evidence4 based chronic disease self-management programs that 

5 empower older individuals, including older individ6 uals with disabilities, to better manage their chronic 

7 conditions;’’. 

8 SEC. 304. DEMONSTRATION TO ADDRESS NEGATIVE 

9 HEALTH IMPACTS ASSOCIATED WITH SOCIAL 

10 ISOLATION. 

11 Section 411(a)(42 U.S.C. 3032(a)), as amended by sec12 tions 119, 120, and 303, is further amended— 

13 (1) in paragraph (17), by striking ‘‘; and’’ and 

14 inserting a semicolon; 

15 (2) by redesignating paragraph (18) as para16 graph (19); and 

17 (3) by inserting after paragraph (17), the fol18 lowing: 

19 ‘‘(18) projects that address negative health effects 

20 associated with social isolation among older individ21 uals; and’’. 
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1 SEC. 305. TECHNICAL ASSISTANCE AND INNOVATION TO IM2 PROVE TRANSPORTATION FOR OLDER INDI3 VIDUALS. 

4 Section 416(b)(2) (42 U.S.C. 3032e(b)(2)) is amend5 ed— 

6 (1) in subparagraph (B), by inserting before the 

7 semicolon ‘‘, call center, website or Internet-based por8 tal, mobile application, or other technological tools’’; 

9 (2) in subparagraph (C), by striking ‘‘; and’’ 

10 and inserting a semicolon; 

11 (3) by redesignating subparagraph (D) as sub12 paragraph (G); and 

13 (4) by inserting after subparagraph (C) the fol14 lowing: 

15 ‘‘(D)(i) improving the aggregation, avail16 ability, and accessibility of information on op17 tions for transportation services for older indi18 viduals, including information on public transit, 

19 on-demand transportation services, volunteer20 based transportation services, and other private 

21 transportation providers; and 

22 ‘‘(ii) providing older individuals with the 

23 ability to schedule trips both in advance and on 

24 demand, as appropriate; 
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1 ‘‘(E) identifying opportunities to share re2 sources and reduce costs of transportation serv3 ices for older individuals; 

4 ‘‘(F) coordinating individualized trip plan5 ning responses to requests from older individuals 

6 for transportation services; and’’. 

7 SEC. 306. GRANT PROGRAM FOR MULTIGENERATIONAL 

8 COLLABORATION. 

9 Section 417 (42 U.S.C. 3032f) is amended— 

10 (1) by amending subsection (a) to read as fol11 lows: 

12 ‘‘(a) GRANTS AND CONTRACTS.—The Assistant Sec13 retary shall award grants to and enter into contracts with 

14 eligible organizations to carry out projects, serving individ15 uals in younger generations and older individuals, to— 

16 ‘‘(1) provide opportunities for older individuals 

17 to participate in multigenerational activities and 

18 civic engagement activities that contribute to the 

19 health and wellness of older individuals and individ20 uals in younger generations by promoting— 

21 ‘‘(A) meaningful roles for participants; 

22 ‘‘(B) reciprocity in relationship building; 

23 ‘‘(C) reduced social isolation and improved 

24 participant social connectedness; 
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1 ‘‘(D) improved economic well-being for older 

2 individuals; 

3 ‘‘(E) increased lifelong learning; or 

4 ‘‘(F) support for caregivers of families by— 

5 ‘‘(i) providing support for older rel6 ative caregivers (as defined in section 

7 372(a)) raising children (such as support 

8 for kinship navigator programs); or 

9 ‘‘(ii) involving volunteers who are 

10 older individuals who provide support and 

11 information to families who have a child 

12 with a disability or chronic illness, or other 

13 families in need of such family support; 

14 ‘‘(2) coordinate multigenerational activities and 

15 civic engagement activities, including 

16 multigenerational nutrition and meal service pro17 grams; 

18 ‘‘(3) promote volunteerism, including by pro19 viding opportunities for older individuals to become 

20 a mentor to individuals in younger generations; and 

21 ‘‘(4) facilitate development of, and participation 

22 in, multigenerational activities and civic engagement 

23 activities.’’; 

24 (2) by striking subsection (g); 
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1 (3) by redesignating subsections (b) through (f) 

2 as subsections (c) through (g), respectively; 

3 (4) by inserting after subsection (a) the fol4 lowing: 

5 ‘‘(b) GRANT AND CONTRACT PERIODS.—Each grant 

6 awarded and contract entered into under subsection (a) 

7 shall be for a period of not less than 36 months.’’; 

8 (5) by amending subsection (c), as so redesig9 nated, to read as follows: 

10 ‘‘(c) USE OF FUNDS.— 

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

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

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

15 ‘‘(2) PROVISION OF PROJECTS THROUGH GRANT16 EES.—In awarding grants and entering into con17 tracts under this section, the Assistant Secretary shall 

18 ensure that such grants and contracts are for the 

19 projects that satisfy each requirement under para20 graphs (1) through (4) of subsection (a).’’; 

21 (6) in subsection (d), as so redesignated— 

22 (A) in paragraph (1), by inserting ‘‘, intent 

23 to carry out, or intent to partner with local or24 ganizations or multiservice organizations to 

25 carry out,’’ after ‘‘record of carrying out’’; 
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1 (B) in paragraph (3), by striking ‘‘; and’’ 

2 and inserting a semicolon; 

3 (C) in paragraph (4), by striking the period 

4 and inserting ‘‘; and’’; and 

5 (D) by adding at the end the following: 

6 ‘‘(5) eligible organizations proposing 

7 multigenerational activity projects that utilize shared 

8 site programs, such as collocated child care and long9 term care facilities.’’; 

10 (7) by amending subsections (f) and (g), as so re11 designated, to read as follows: 

12 ‘‘(f) ELIGIBLE ORGANIZATIONS.—Organizations eligi13 ble to receive a grant or enter into a contract under sub14 section (a) shall— 

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

16 organization that provides opportunities for older in17 dividuals to participate in activities described in such 

18 subsection; and 

19 ‘‘(2) have the capacity to conduct the coordina20 tion, promotion, and facilitation described in such 

21 subsection through the use of multigenerational coor22 dinators. 

23 ‘‘(g) EVALUATION.— 

24 ‘‘(1) IN GENERAL.—Not later than 3 years after 

25 the date of enactment of the Supporting Older Ameri-
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1 cans Act of 2020, the Assistant Secretary shall, 

2 through data submitted by organizations carrying out 

3 projects through grants or contracts under this sec4 tion, evaluate the activities supported through such 

5 grants and contracts to determine— 

6 ‘‘(A) the effectiveness of such activities; 

7 ‘‘(B) the impact of such activities on the 

8 community being served and the organization 

9 providing the activities; and 

10 ‘‘(C) the impact of such activities on older 

11 individuals participating in such projects. 

12 ‘‘(2) REPORT TO CONGRESS.—Not later than 6 

13 months after the Assistant Secretary completes the 

14 evaluation under paragraph (1), the Assistant Sec15 retary shall prepare and submit to the Speaker of the 

16 House of Representatives and the President pro tem17 pore of the Senate a report that assesses such evalua18 tion and contains, at a minimum— 

19 ‘‘(A) the names or descriptive titles of the 

20 projects funded under subsection (a); 

21 ‘‘(B) a description of the nature and oper22 ation of such projects; 

23 ‘‘(C) the names and addresses of organiza24 tions that conducted such projects; 
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1 ‘‘(D) a description of the methods and suc2 cess of such projects in recruiting older individ3 uals as employees and as volunteers to partici4 pate in the projects; 

5 ‘‘(E) a description of the success of the 

6 projects in retaining older individuals partici7 pating in such projects as employees and as vol8 unteers; 

9 ‘‘(F) the rate of turnover of older individ10 uals who are employees or volunteers in such 

11 projects; 

12 ‘‘(G) a strategy for disseminating the find13 ings resulting from such projects; and 

14 ‘‘(H) any policy change recommendations 

15 relating to such projects.’’; and 

16 (8) in subsection (h)(2)(B)(i), by striking ‘‘indi17 viduals from the generations with older individuals’’ 

18 and inserting ‘‘older individuals’’. 

19 TITLE IV—SENIOR COMMUNITY 

20 SERVICE EMPLOYMENT PRO21 GRAM 

22 SEC. 401. PRIORITY FOR THE SENIOR COMMUNITY SERVICE 

23 EMPLOYMENT PROGRAM. 

24 (a) PRIORITY.—The Act (42 U.S.C. 3001 et seq.) is 

25 amended— 
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1 (1) in section 503(a)(4)(C) (42 U.S.C. 

2 3056a(a)(4)(C))— 

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

4 end; 

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

6 end; and 

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

8 ‘‘(v) eligible individuals who have been 

9 incarcerated within the last 5 years or are 

10 under supervision following release from 

11 prison or jail within the last 5 years;’’; 

12 (2) in section 514(e)(1) (42 U.S.C. 3056l(e)(1)), 

13 by inserting ‘‘eligible individuals who have been in14 carcerated or are under supervision following release 

15 from prison or jail,’’ after ‘‘need,’’; and 

16 (3) in section 518 (42 U.S.C. 3056p)— 

17 (A) in subsection (a)(3)(B)(ii)— 

18 (i) in subclause (IV), by striking ‘‘or’’ 

19 at the end; 

20 (ii) in subclause (V), by striking the 

21 period at the end and inserting ‘‘; or’’; and 

22 (iii) by adding at the end the fol23 lowing: 

24 ‘‘(VI) have been incarcerated 

25 within the last 5 years or are under 
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1 supervision following release from pris2 on or jail within the last 5 years.’’; 

3 and 

4 (B) in subsection (b)(2)— 

5 (i) in subparagraph (F), by striking 

6 ‘‘or’’ at the end; 

7 (ii) in subparagraph (G), by striking 

8 the period at the end and inserting ‘‘; or’’; 

9 and 

10 (iii) by adding at the end the fol11 lowing: 

12 ‘‘(H) has been incarcerated within the last 

13 5 years or is under supervision following release 

14 from prison or jail within the last 5 years.’’. 

15 (b) TRANSITION PERIOD.—This section shall take effect 

16 1 year after the date of enactment of this Act. 

17 SEC. 402. AUTHORIZATION OF APPROPRIATIONS. 

18 Section 517(a) (42 U.S.C. 3056o(a)) is amended to 

19 read as follows: 

20 ‘‘(a) IN GENERAL.—There are authorized to be appro21 priated to carry out this title $428,000,000 for fiscal year 

22 2020, $453,680,000 for fiscal year 2021, $480,900,800 for 

23 fiscal year 2022, $509,754,848 for fiscal year 2023, and 

24 $540,340,139 for fiscal year 2024.’’. 
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1 TITLE V—ENHANCING GRANTS 

2 FOR NATIVE AMERICANS 

3 SEC. 501. REAUTHORIZATION. 

4 Title VI (42 U.S.C. 3057 et seq.) is amended— 

5 (1) in part D (42 U.S.C. 3057l et seq.)— 

6 (A) by amending section 643 (42 U.S.C. 

7 3057n) to read as follows: 

8 ‘‘SEC. 643. AUTHORIZATION OF APPROPRIATIONS. 

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

10 this title— 

11 ‘‘(1) for parts A and B, $37,102,560 for fiscal 

12 year 2020, $39,298,714 for fiscal year 2021, 

13 $41,626,636 for fiscal year 2022, $44,094,235 for fis14 cal year 2023, and $46,709,889 for fiscal year 2024; 

15 and 

16 ‘‘(2) for part C, $10,759,920 for fiscal year 2020, 

17 $11,405,515 for fiscal year 2021, $12,089,846 for fis18 cal year 2022, $12,815,237 for fiscal year 2023, and 

19 $13,584,151 for fiscal year 2024.’’; and 

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

21 ‘‘SEC. 644. FUNDING SET ASIDE. 

22 ‘‘Of the funds appropriated under section 643(1) for 

23 a fiscal year, not more than 5 percent shall be made avail24 able to carry out part D for such fiscal year, provided that 

25 for such fiscal year— 
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1 ‘‘(1) the funds appropriated for parts A and B 

2 are greater than the funds appropriated for fiscal 

3 year 2019; and 

4 ‘‘(2) the Assistant Secretary makes available for 

5 parts A and B no less than the amount of resources 

6 made available for fiscal year 2019.’’; 

7 (2) by redesignating part D, as so amended, as 

8 part E; and 

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

10 ‘‘PART D—SUPPORTIVE SERVICES FOR HEALTHY 

11 AGING AND INDEPENDENCE 

12 ‘‘SEC. 636. PROGRAM. 

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

14 carry out a competitive demonstration program for making 

15 grants to tribal organizations or organizations serving Na16 tive Hawaiians with applications approved under parts A 

17 and B, to pay for the Federal share of carrying out pro18 grams, to enable the organizations described in this sub19 section to build their capacity to provide a wider range of 

20 in-home and community supportive services to enable older 

21 individuals to maintain their health and independence and 

22 to avoid long-term care facility placement. 

23 ‘‘(b) SUPPORTIVE SERVICES.— 

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

25 supportive services described in subsection (a) may 
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1 include any of the activities described in section 

2 321(a). 

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

4 making grants under this section, shall give priority 

5 to organizations that will use the grant funds for sup6 portive services described in subsection (a) that are 

7 for in-home assistance, transportation, information 

8 and referral, case management, health and wellness 

9 programs, legal services, family caregiver support 

10 services, and other services that directly support the 

11 independence of the older individuals served. 

12 ‘‘(3) RULE OF CONSTRUCTION.—Nothing in this 

13 section shall be construed or interpreted to prohibit 

14 the provision of supportive services under part A or 

15 B.’’. 

16 TITLE VI—MODERNIZING ALLOT17 MENTS FOR VULNERABLE 

18 ELDER RIGHTS PROTECTION 

19 ACTIVITIES AND OTHER PRO20 GRAMS 

21 SEC. 601. REAUTHORIZATION; VULNERABLE ELDER RIGHTS 

22 PROTECTION ACTIVITIES. 

23 Section 702 (42 U.S.C. 3058a) is amended by striking 

24 subsections (a) and (b) and inserting the following: 
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1 ‘‘(a) OMBUDSMAN PROGRAM.—There are authorized to 

2 be appropriated to carry out chapter 2, $18,066,950 for fis3 cal year 2020, $19,150,967 for fiscal year 2021, 

4 $20,300,025 for fiscal year 2022, $21,518,027 for fiscal year 

5 2023, and $22,809,108 for fiscal year 2024. 

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

7 appropriated to carry out chapters 3 and 4, $5,107,110 for 

8 fiscal year 2020, $5,413,537 for fiscal year 2021, $5,738,349 

9 for fiscal year 2022, $6,082,650 for fiscal year 2023, and 

10 $6,447,609 for fiscal year 2024.’’. 

11 SEC. 602. VOLUNTEER STATE LONG-TERM CARE OMBUDS12 MAN REPRESENTATIVES. 

13 Section 712(a)(5) (42 U.S.C. 3058g(a)(5)) is amended 

14 by adding at the end the following: 

15 ‘‘(E) RULE OF CONSTRUCTION FOR VOLUN16 TEER OMBUDSMAN REPRESENTATIVES.—Nothing 

17 in this paragraph shall be construed as prohib18 iting the program from providing and finan19 cially supporting recognition for an individual 

20 designated under subparagraph (A) as a volun21 teer to represent the Ombudsman program, or 

22 from reimbursing or otherwise providing finan23 cial support to such an individual for any costs, 

24 such as transportation costs, incurred by the in25 dividual in serving as such volunteer.’’. 
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1 SEC. 603. PREVENTION OF ELDER ABUSE, NEGLECT, AND 

2 EXPLOITATION. 

3 Section 721(b)(12) (42 U.S.C. 3058i(b)(12)) is amend4 ed— 

5 (1) in subparagraph (C), by inserting ‘‘commu6 nity outreach and education,’’ after ‘‘technical assist7 ance,’’; and 

8 (2) in subparagraph (F)— 

9 (A) by striking ‘‘studying’’ and inserting 

10 ‘‘implementing’’; and 

11 (B) by inserting ‘‘, programs, and mate12 rials’’ after ‘‘practices’’. 

13 SEC. 604. PRINCIPLES FOR PERSON-DIRECTED SERVICES 

14 AND SUPPORTS DURING SERIOUS ILLNESS. 

15 (a) DEFINITIONS.— 

16 (1) ADMINISTRATOR.—The term ‘‘Adminis17 trator’’ means the Administrator of the Administra18 tion for Community Living. 

19 (2) COVERED AGENCY.—The term ‘‘covered agen20 cy’’ means— 

21 (A) a State agency or area agency on aging; 

22 and 

23 (B) a Federal agency other than the De24 partment of Health and Human Services, and a 

25 unit of that Department other than the Adminis26 tration on Aging, that the Assistant Secretary 
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1 determines performs functions for which the 

2 principles are relevant, and the Centers for 

3 Medicare & Medicaid Services. 

4 (3) PRINCIPLES.—The term ‘‘principles’’ means 

5 the Principles for Person-directed Services and Sup6 ports during Serious Illness, issued by the Adminis7 tration for Community Living on September 1, 2017, 

8 or an updated set of such Principles. 

9 (4) STATE AGENCY.—The term ‘‘State agency’’ 

10 has the meaning given the term in section 102 of the 

11 Older Americans Act of 1965 (42 U.S.C. 3002). 

12 (b) DISSEMINATION.—The Administrator shall dis13 seminate the principles to appropriate stakeholders within 

14 the aging network, as determined by the Assistant Sec15 retary, and to covered agencies. The covered agencies may 

16 use the principles in setting priorities for service delivery 

17 and care plans in programs carried out by the agencies. 

18 (c) FEEDBACK.—The Administrator shall solicit, on 

19 an ongoing basis, feedback on the principles from covered 

20 agencies, experts in the fields of aging and dementia, and 

21 stakeholders who provide or receive disability services. 

22 (d) REPORT.—Not less often than once, but not more 

23 often than annually, during the 3 years after the date of 

24 enactment of this Act, the Administrator shall prepare and 

25 submit to Congress a report describing the feedback received 
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1 under subsection (c) and indicating if any changes or up2 dates are needed to the principles. 

3 SEC. 605. EXTENSION OF THE SUPPORTING GRAND4 PARENTS RAISING GRANDCHILDREN ACT. 

5 Section 3(f) of the Supporting Grandparents Raising 

6 Grandchildren Act (Public Law 115–196) is amended by 

7 striking ‘‘3’’ and inserting ‘‘4’’. 

8 SEC. 606. BEST PRACTICES FOR HOME AND COMMUNITY9 BASED OMBUDSMEN. 

10 Not later than 3 years after the date of enactment of 

11 this Act, the Assistant Secretary shall issue a report updat12 ing the best practices for home and community-based om13 budsmen that were included in the report entitled ‘‘Best 

14 Practices for Home and Community-Based Ombudsmen’’, 

15 issued by the National Direct Service Workforce Resource 

16 Center of the Centers for Medicare & Medicaid Services and 

17 prepared by the Research and Training Center at the Uni18 versity of Minnesota and The Lewin Group (January 

19 2013). 

20 SEC. 607. SENIOR HOME MODIFICATION ASSISTANCE INI21 TIATIVE. 

22 Not later than 2 years after the date of enactment of 

23 this Act, the Comptroller General of the United States shall 

24 conduct a study and issue a report that includes— 
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1 (1) an inventory of Federal programs, adminis2 tered by the Department of Health and Human Serv3 ices, the Department of Housing and Urban Develop4 ment, or any other Federal agency or department de5 termined appropriate by the Comptroller General, 

6 that support evidence-based falls prevention, home as7 sessments, and home modifications for older individ8 uals and individuals with disabilities; 

9 (2) statistical data, for recent fiscal years, on the 

10 number of older individuals and individuals with dis11 abilities served by each Federal program described in 

12 paragraph (1) and the approximate amount of Fed13 eral funding invested in each such program; 

14 (3) a demographic analysis of individuals served 

15 by each such program for recent fiscal years; 

16 (4) an analysis of duplication and gaps in popu17 lations supported by the Federal programs described 

18 in paragraph (1); 

19 (5) what is known about the impact of the Fed20 eral programs described in paragraph (1) on health 

21 status and health outcomes in populations supported 

22 by such programs; 

23 (6) a review of Federal efforts to coordinate Fed24 eral programs existing prior to the date of enactment 

25 of this Act that support evidence-based falls preven-
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1 tion, home assessments, and home modifications for 

2 older individuals and individuals with disabilities 

3 and any considerations for improving coordination, 

4 which may include an indication of the Federal agen5 cy or department that is best suited to coordinate 

6 such Federal programs; and 

7 (7) information on the extent to which consumer8 friendly resources, such as a brochure, are available 

9 through the National Eldercare Locator Service estab10 lished under section 202(a)(21) of the Older Ameri11 cans Act of 1965 (42 U.S.C. 3012(a)(21)), are acces12 sible to all area agencies on aging, and contain infor13 mation on evidence-based falls prevention, home as14 sessments, and home modifications for older individ15 uals attempting to live independently and safely in 

16 their homes and for the caregivers of such individuals. 

17 TITLE VII—MISCELLANEOUS 

18 SEC. 701. TECHNICAL CORRECTIONS. 

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

20 seq.) is amended— 

21 (1) in section 102(37)(A) (42 U.S.C. 

22 3002(37)(A)), by striking ‘‘paragraph (5)’’ and in23 serting ‘‘paragraph (26)’’; 

24 (2) in section 202(a)(23) (42 U.S.C. 

25 3012(a)(23)), by striking ‘‘sections 307(a)(18) and 
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1 731(b)(2)’’ and inserting ‘‘sections 307(a)(13) and 

2 731’’; 

3 (3) in section 202(e)(1)(A) (42 U.S.C. 

4 3012(e)(1)(A)), by moving the left margin of clause 

5 (i) 2 ems to the left; 

6 (4) in sections 203(c)(7) (42 U.S.C. 3013(c)(7)), 

7 207(b)(2)(B) (42 U.S.C. 3018(b)(2)(B)), and 215(i) 

8 (42 U.S.C. 3020e–1(i)), by striking ‘‘Committee on 

9 Education and the Workforce’’ each place it appears 

10 and inserting ‘‘Committee on Education and Labor’’; 

11 (5) in section 207(b)(3)(A) (42 U.S.C. 

12 3018(b)(3)(A)), by striking ‘‘Administrator of the 

13 Health Care Finance Administration’’ and inserting 

14 ‘‘Administrator of the Centers for Medicare & Med15 icaid Services’’; 

16 (6) in section 304(a)(3)(C) (42 U.S.C. 

17 3024(a)(3)(C)), by striking ‘‘term’’ and all that fol18 lows through ‘‘does’’ and inserting ‘‘term ‘State’ 

19 does’’; 

20 (7) in section 304(d)(1)(B), by striking ‘‘(exclud21 ing’’ and all that follows through ‘‘303(a)(3))’’; 

22 (8) in section 306(a) (42 U.S.C. 3026(a))— 

23 (A) in paragraph (1), by inserting ‘‘the 

24 number of older individuals at risk for institu25 tional placement residing in such area,’’ before 
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1 ‘‘and the number of older individuals who are 

2 Indians’’; and 

3 (B) in paragraph (2)(B), by striking ‘‘who 

4 are victims of’’ and inserting ‘‘with’’; 

5 (9) in section 339(2)(A)(ii)(I) (42 U.S.C. 3030g– 

6 21(2)(A)(ii)(I)), by striking ‘‘Institute of Medicine of 

7 the National Academy of Sciences’’ and inserting 

8 ‘‘National Academies of Sciences, Engineering, and 

9 Medicine’’; 

10 (10) in section 611 (42 U.S.C. 3057b), by strik11 ing ‘‘(a)’’; 

12 (11) in section 614(c)(4) (42 U.S.C. 3057e(c)(4)), 

13 by striking ‘‘(a)(12)’’ and inserting ‘‘(a)(11)’’; and 

14 (12) in section 721(i) (42 U.S.C. 3058i(i), by 

15 striking ‘‘section 206(g)’’ and inserting ‘‘section 

16 206(h)’’. 

Attest: 

Secretary. 

116TH CONGRESS 

2D SESSION H.R. 4334 

AMENDMENT