II 

Calendar No. 280 

116TH CONGRESS 

1ST SESSION H. R. 4334 

IN THE SENATE OF THE UNITED STATES 

OCTOBER 29, 2019 

Received; read the first time 

OCTOBER 30, 2019 

Read the second time and placed on the calendar 

AN ACT 

To amend the Older Americans Act of 1965 to authorize 

appropriations for fiscal years 2020 through 2024, and 

for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 

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

5 ‘‘Dignity in Aging Act of 2019’’. 

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

7 this Act is the following: 

Sec. 1. Short title; table of contents. 

TITLE I—ENSURING COLLABORATION AND PROMOTING 

INDEPENDENCE FOR OLDER INDIVIDUALS 


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

Sec. 102. Vaccination. 

Sec. 103. Functions of Assistant Secretary. 

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

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

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

Sec. 107. Malnutrition. 

Sec. 108. Coordination with resource centers. 

Sec. 109. Arts education. 

Sec. 110. Social determinants of health. 

Sec. 111. Falls prevention and chronic disease self-management education. 

Sec. 112. Extension of RAISE Family Caregivers Act. 

Sec. 113. Support for socially-isolated older Americans. 

Sec. 114. Increased focus of Assistant Secretary on health effects associated 

with social isolation. 

Sec. 115. Advisory council on health effects associated with social isolation. 

Sec. 116. Supportive services and senior centers. 

Sec. 117. Demonstration projects. 

Sec. 118. Younger onset Alzheimer’s Disease. 

Sec. 119. Priority for the senior community service employment program. 

Sec. 120. Direct care workforce. 

Sec. 121. National resource center for older individuals experiencing the longterm and adverse consequences of trauma. 

Sec. 122. National Resource Center for Women and Retirement. 

Sec. 123. Definition. 

Sec. 124. Review of reports. 

Sec. 125. Area plans. 

Sec. 126. Addressing chronic pain management. 

Sec. 127. Extension of the Supporting Grandparents Raising Grandchildren 

Act. 

Sec. 128. Screening for suicide risk. 

Sec. 129. Traumatic brain injury. 

Sec. 130. Addressing public health emergencies and emerging health threats. 

Sec. 131. Prevention of sexually transmitted diseases. 

Sec. 132. Aging and Disability Resource Center. 

TITLE II—EMPOWERING THE AGING NETWORK TO MEET THE 

NEEDS OF OLDER INDIVIDUALS 

Sec. 201. National family caregiver support program cap. 

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

Sec. 203. Culturally-appropriate, medically-tailored meals. 

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

Sec. 205. Other practices. 

Sec. 206. Caregiver assessments. 

Sec. 207. Research and evaluation. 

Sec. 208. Grant program for multigenerational collaboration. 

TITLE III—STRENGTHENING PROTECTIONS FOR OLDER 

INDIVIDUALS 

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

maintenance of effort. 

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


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Sec. 303. Clarification regarding board and care facilities. 

Sec. 304. Report on legal hotlines. 

Sec. 305. Community outreach. 

Sec. 306. Principles for person-directed services and supports during serious illness. 

TITLE IV—MEETING THE NEEDS OF OLDER NATIVE AMERICANS 

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

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

TITLE V—MISCELLANEOUS 

Sec. 501. Technical corrections. 

Sec. 502. Authorization of appropriations; uses of funds. 

Sec. 503. Hold harmless formula. 

1 TITLE I—ENSURING COLLABO2 RATION AND PROMOTING 

3 INDEPENDENCE FOR OLDER 

4 INDIVIDUALS 

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

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

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

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

9 ‘‘health’’. 

10 SEC. 102. VACCINATION. 

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

12 (42 U.S.C. 3002(14)) is amended— 

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

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

17 ‘‘disease),’’. 


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1 SEC. 103. FUNCTIONS OF ASSISTANT SECRETARY. 

2 (a) REVIEW OF APPLICATIONS.—Section 202 of the 

3 Older Americans Act of 1965 (42 U.S.C. 3012) is amend4 ed— 

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

6 follows: 

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

8 but not approve an application submitted by an ap9 plicant for a grant for a program for which such ap10 plicant previously received a grant unless the Assist11 ant Secretary determines— 

12 ‘‘(A) the program for which such applica13 tion was submitted is operating effectively to 

14 achieve its stated purpose; and 

15 ‘‘(B) such applicant complied with the as16 surances provided to the Assistant Secretary 

17 with the application for such previous grant; 

18 and’’; and 

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

20 ‘‘(h) The Assistant Secretary shall publish, on an an21 nual basis, a list of centers and demonstration projects 

22 funded under each title of the Act. The Assistant Sec23 retary shall ensure that this information is also directly 

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


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1 (b) ADDRESSING THE NEEDS OF OLDER INDIVID2 UALS IN DISASTERS.—Section 202(a) of the Older Ameri3 cans Act of 1965 (42 U.S.C. 3012(a)) is amended— 

4 (1) in paragraph (30) by striking ‘‘and’’ at the 

5 end; 

6 (2) in paragraph (31) by striking the period at 

7 the end and inserting ‘‘; and’’; and 

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

9 ‘‘(32) provide technical assistance to and share 

10 best practices with States and area agencies on 

11 aging on how to collaborate and coordinate activities 

12 and develop long-range emergency preparedness 

13 plans with local and State emergency response agen14 cies, relief organizations, local and State govern15 ments, federal agencies as appropriate, and any 

16 other institutions that have responsibility for dis17 aster relief service delivery.’’. 

18 SEC. 104. PROFESSIONAL STANDARDS FOR NUTRITION OF19 FICIAL UNDER ASSISTANT SECRETARY. 

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

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

22 as follows: 

23 ‘‘(ii) be a registered dietitian or registered dieti24 tian nutritionist.’’. 


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1 SEC. 105. INTERAGENCY COORDINATING COMMITTEE ON 

2 AGE-FRIENDLY COMMUNITIES. 

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

4 U.S.C. 3013) is amended— 

5 (1) in subsection (b)— 

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

7 the end; 

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

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

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

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

13 seniors.’’; and 

14 (2) in subsection (c)— 

15 (A) in paragraph (1)— 

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

17 ‘‘Age-Friendly Communities’’; and 

18 (ii) by inserting ‘‘to support the abil19 ity of older individuals to age in place, in20 cluding through the provision of homeless21 ness prevention services, support the abil22 ity of older individuals to access preventive 

23 health care, promote age-friendly commu24 nities, and address the ability of older indi25 viduals to access long-term care supports, 

26 including access to caregivers and homeVerDate Sep 11 2014 00:07 Oct 31, 2019 Jkt 099200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\H4334.PCS H4334

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1 and community-based services’’ before the 

2 period at the end; 

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

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

5 Interagency Coordinating Committee on Age6 Friendly Communities shall begin not later 

7 than 1 year after the effective date of this ex8 ception’’ before the period at the end; 

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

10 each year’’ and inserting ‘‘semiannually’’; 

11 (D) in paragraph (6)— 

12 (i) in subparagraph (A)— 

13 (I) in clause (iii) by striking 

14 ‘‘and’’ at the end; 

15 (II) in clause (iv) by adding 

16 ‘‘and’’ at the end; and 

17 (III) by adding at the end the 

18 following: 

19 ‘‘(v) identifying best practices for con20 necting older individuals to services for which 

21 they may be eligible;’’; 

22 (ii) in subparagraph (B)— 

23 (I) by inserting ‘‘transportation,’’ 

24 after ‘‘housing,’’ the 1st place it ap25 pears; 


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1 (II) in clause (i) by striking 

2 ‘‘and’’ at the end; 

3 (III) by amending clause (ii) to 

4 read as follows: 

5 ‘‘(ii) innovations in technology applications 

6 (including assistive technology devices and as7 sistive technology services) that— 

8 ‘‘(I) promote safe and accessible inde9 pendent living environments; and 

10 ‘‘(II) give older individuals access to 

11 information on available services or help in 

12 providing services to older individuals, in13 cluding information on transportation serv14 ices such as public transit, on-demand 

15 transportation services, volunteer-based 

16 transportation services, and other private 

17 transportation services; and’’; and 

18 (IV) by adding at the end the fol19 lowing: 

20 ‘‘(iii) transportation models that reduce 

21 costs of transportation for older individuals and 

22 provide the ability to schedule trips in advance 

23 and on demand, as appropriate;’’; 

24 (iii) in subparagraph (E)— 


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1 (I) by striking ‘‘nongovernmental 

2 experts and organizations, including 

3 public health interest and research 

4 groups and foundations’’ and insert5 ing ‘‘nongovernmental organizations, 

6 academic or research institutions, 

7 community-based organizations, and 

8 philanthropic organizations’’; and 

9 (II) by striking ‘‘(F)’’ and insert10 ing ‘‘(G)’’; 

11 (iv) by redesignating subparagraphs 

12 (E), (F), and (G) as subparagraphs (F), 

13 (G), and (H), respectively; 

14 (v) by inserting after subparagraph 

15 (D) the following: 

16 ‘‘(E) work with the Centers for Disease Control 

17 and Prevention, the National Institute on Aging, 

18 Centers for Medicare and Medicaid Services, the 

19 Housing and Urban Development Office of Lead 

20 Hazard Control and Healthy Homes, and other Fed21 eral agencies as appropriate, to develop rec22 ommendations, in accordance with paragraph (1), to 

23 reduce falls among older individuals that incorporate 

24 evidence-based falls prevention programs and home 

25 modifications to reduce and prevent falls;’’; and 


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

3 ‘‘(9) In this subsection, the term ‘age-friendly com4 munity’ means a community that— 

5 ‘‘(A) is taking steps— 

6 ‘‘(i) to include accessible housing, acces7 sible spaces and buildings, safe and secure 

8 paths, variable route transportation services, 

9 and programs and services designed to maintain 

10 health and well-being; 

11 ‘‘(ii) to respect and include older individ12 uals in social opportunities, civic participation, 

13 volunteerism, and employment; and 

14 ‘‘(iii) to facilitate access to supportive serv15 ices for older individuals; and 

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

17 housing, transportation, civic participation, social 

18 connectedness, and accessible spaces.’’; and 

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

20 ‘‘(d) Not later than 2 years after the effective date 

21 of this subsection, the Comptroller General of the United 

22 States shall conduct a study and issue a report that in23 cludes— 

24 ‘‘(1) an inventory of Federal programs, admin25 istered by the Department of Health and Human 


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1 Services, the Department of Housing and Urban De2 velopment, or any other Federal agency determined 

3 appropriate by the Comptroller General, that sup4 port home assessments and home modifications for 

5 older individuals and individuals with disabilities, 

6 ‘‘(2) statistical data, for recent fiscal years, on 

7 the number of older individuals and individuals with 

8 disabilities served by each Federal program de9 scribed in paragraph (1) and the approximate 

10 amount of Federal funding invested in each such 

11 program, 

12 ‘‘(3) a demographic analysis of individuals 

13 served by each such program for recent fiscal years, 

14 ‘‘(4) an analysis of duplication and gaps in pop15 ulations supported by the Federal programs de16 scribed in paragraph (1), 

17 ‘‘(5) what is known about the impact of the 

18 Federal programs described in paragraph (1) on 

19 health status and health outcomes in populations 

20 supported by such programs, 

21 ‘‘(6) a review of Federal efforts to coordinate 

22 Federal programs existing prior to the effective date 

23 of this subsection that support home assessments 

24 and home modifications for older individuals and in25 dividuals with disabilities and any considerations for 


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1 improving coordination, which may include an indi2 cation of the Federal agency or department that is 

3 best suited to coordinate such Federal efforts, and 

4 ‘‘(7) information on the extent to which con5 sumer-friendly resources, such as a brochure, are 

6 available through the National Eldercare Locator 

7 Service established under section 202(a)(21), are ac8 cessible to all area agencies on aging, and contain 

9 information on home assessments and home modi10 fications for older individuals attempting to live 

11 independently and safely in their homes and for the 

12 caregivers of such individuals.’’. 

13 SEC. 106. TECHNICAL ASSISTANCE ON AGE-FRIENDLY COM14 MUNITIES. 

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

16 1965 (42 U.S.C. 3016(a)(2)) is amended— 

17 (1) by redesignating subparagraph (C) as sub18 paragraph (D); and 

19 (2) by inserting after subparagraph (B) the fol20 lowing: 

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

22 assistance, including through the regional offices of the 

23 Administration, to State agencies, area agencies on aging, 

24 local government agencies, or leaders in age-friendly com25 munities (as defined in section 203(c)(9)) regarding— 


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1 ‘‘(i) support for public and private entities in 

2 building partnerships to promote such age-friendly 

3 communities; 

4 ‘‘(ii) dissemination of, or consideration of ways 

5 to implement, best practices and recommendations 

6 from the Interagency Coordinating Committee on 

7 Age-Friendly Communities established under section 

8 203(c); and 

9 ‘‘(iii) methods for managing and coordinating 

10 existing programs to meet the needs of growing age11 friendly communities.’’. 

12 SEC. 107. MALNUTRITION. 

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

14 et seq.) is amended— 

15 (1) in section 102(14)(B) by inserting ‘‘(includ16 ing screening for malnutrition)’’ before the semi17 colon at the end; and 

18 (2) in section 330(1) by striking ‘‘and food in19 security’’ and inserting ‘‘, food insecurity, and mal20 nutrition’’. 

21 SEC. 108. COORDINATION WITH RESOURCE CENTERS. 

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

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

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

25 end; 


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

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

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

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

5 on aging will collect data to determine— 

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

7 individuals whose needs were the focus of all 

8 centers funded under title IV in fiscal year 

9 2019; and 

10 ‘‘(B) the effectiveness of the programs, 

11 policies, and services provided by such area 

12 agency on aging in assisting such individuals; 

13 and 

14 ‘‘(19) provide assurances that the area agency 

15 on aging will use outreach efforts that will identify 

16 older individuals eligible for assistance under this 

17 Act, with special emphasis on those older individuals 

18 whose needs were the focus of all centers funded 

19 under title IV in fiscal year 2019.’’. 

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

21 Americans Act of 1965 (42 U.S.C. 3027) is amended by 

22 adding at the end the following: 

23 ‘‘(31) The plan shall contain an assurance that 

24 the State shall prepare and submit to the Assistant 

25 Secretary annual reports that describe— 


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1 ‘‘(A) data collected to determine the serv2 ices that are needed by older individuals whose 

3 needs were the focus of all centers funded 

4 under title IV in fiscal year 2019; 

5 ‘‘(B) data collected to determine the effec6 tiveness of the programs, policies, and services 

7 provided by area agencies on aging in assisting 

8 such individuals; and 

9 ‘‘(C) outreach efforts and other activities 

10 carried out to satisfy the assurances described 

11 in paragraphs (18) and (19) of section 

12 306(a).’’. 

13 SEC. 109. ARTS EDUCATION. 

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

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

16 amended by inserting ‘‘cultural experiences, activities and 

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

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

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

20 is amended by inserting ‘‘cultural experiences (including 

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

22 SEC. 110. SOCIAL DETERMINANTS OF HEALTH. 

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

24 1965 (42 U.S.C. 3021(a)(1)) is amended— 


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

2 the end; 

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

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

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

6 ‘‘(E) address the social determinants of health 

7 of older individuals.’’. 

8 SEC. 111. FALLS PREVENTION AND CHRONIC DISEASE 

9 SELF-MANAGEMENT EDUCATION. 

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

11 (42 U.S.C. 3032(a)) is amended— 

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

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

14 (2) by inserting after paragraph (12) the fol15 lowing: 

16 ‘‘(13) bringing to scale and sustaining evidence17 based falls prevention programs that will reduce the 

18 number of falls, fear of falling, and fall-related inju19 ries in older individuals and older individuals with 

20 disabilities; 

21 ‘‘(14) bringing to scale and sustaining evidence22 based chronic disease self-management programs 

23 that empower older individuals and older individuals 

24 with disabilities to better manage their chronic con25 ditions;’’. 


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1 SEC. 112. EXTENSION OF RAISE FAMILY CAREGIVERS ACT. 

2 Section 6 of the RAISE Family Caregivers Act (Pub3 lic Law 115–119; 132 Stat. 27) is amended by striking 

4 ‘‘3’’ and inserting ‘‘4’’. 

5 SEC. 113. SUPPORT FOR SOCIALLY-ISOLATED OLDER AMER6 ICANS. 

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

8 (42 U.S.C. 3002(14)) is amended— 

9 (1) in subparagraph (K) by striking ‘‘and’’ at 

10 the end; 

11 (2) in subparagraph (L) by striking ‘‘(K)’’ and 

12 inserting ‘‘(L)’’; 

13 (3) by redesignating subparagraph (L) as sub14 paragraph (M); and 

15 (4) by inserting after subparagraph (K) the fol16 lowing: 

17 ‘‘(L) screening for the prevention of nega18 tive health effects associated with social isola19 tion and coordination of supportive services and 

20 health care to address negative health effects 

21 associated with social isolation; and’’. 


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1 SEC. 114. INCREASED FOCUS OF ASSISTANT SECRETARY ON 

2 HEALTH EFFECTS ASSOCIATED WITH SOCIAL 

3 ISOLATION. 

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

5 (42 U.S.C. 3012(a)), as amended by section 103, is 

6 amended— 

7 (1) in paragraph (31) by striking ‘‘; and’’ and 

8 inserting a semicolon; 

9 (2) in paragraph (32) by striking the period at 

10 the end and inserting ‘‘; and’’; and 

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

12 ‘‘(33) develop objectives, priorities, and a long13 term plan for supporting State and local efforts in14 volving education about, prevention of, detection of, 

15 and response to negative health effects associated 

16 with social isolation among older individuals.’’. 

17 SEC. 115. ADVISORY COUNCIL ON HEALTH EFFECTS ASSO18 CIATED WITH SOCIAL ISOLATION. 

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

20 U.S.C. 3012), as amended by section 103, is amended by 

21 adding at the end the following: 

22 ‘‘(i)(1) The Assistant Secretary shall convene an ad23 visory council on negative health effects associated with 

24 social isolation with aging network stakeholders, including 

25 caregivers, and select members in a manner that ensures 

26 geographic diversity of the members— 


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

2 negative health effects associated with social isola3 tion among older individuals; and 

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

5 practices related to such efforts. 

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

7 (1) shall— 

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

9 care models; and 

10 ‘‘(B) submit a report to Congress on its find11 ings. 

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

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

14 convened under paragraph (1).’’. 

15 SEC. 116. SUPPORTIVE SERVICES AND SENIOR CENTERS. 

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

17 (42 U.S.C. 3030d(a)) is amended— 

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

19 end; 

20 (2) by redesignating paragraph (25) as para21 graph (26); and 

22 (3) by inserting after paragraph (24) the fol23 lowing: 


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

2 connectedness and reduce negative health effects as3 sociated with social isolation; and’’. 

4 SEC. 117. DEMONSTRATION PROJECTS. 

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

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

7 by section 111, is amended— 

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

9 end; 

10 (2) by redesignating paragraph (16) as para11 graph (17); and 

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

14 ‘‘(16) projects that address negative health ef15 fects associated with social isolation among older 

16 adults; and’’. 

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

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

19 SEC. 118. YOUNGER ONSET ALZHEIMER’S DISEASE. 

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

21 302(3) of the Older Americans Act of 1965 (42 U.S.C. 

22 3022(3)) is amended by inserting ‘‘of any age’’ after ‘‘an 

23 individual’’. 


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

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

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

4 SEC. 119. PRIORITY FOR THE SENIOR COMMUNITY SERVICE 

5 EMPLOYMENT PROGRAM. 

6 (a) PRIORITY.—The Older Americans Act of 1965 

7 (42 U.S.C. 3001 et seq.) is amended— 

8 (1) in section 503(a)(4)(C)— 

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

10 end; 

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

12 end; and 

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

14 ‘‘(v) eligible individuals who have been 

15 incarcerated within the last 5 years or are 

16 under supervision following the release 

17 from prison or jail within the last 5 

18 years;’’; 

19 (2) in section 514(e)(1) by inserting ‘‘older in20 dividuals who have been incarcerated or are under 

21 supervision following the release from prison or jail,’’ 

22 after ‘‘need,’’; and 

23 (3) in section 518— 

24 (A) in subsection (a)(3)(B)(ii)— 


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

2 the end; 

3 (ii) in clause (V) by striking the pe4 riod at the end and inserting ‘‘; or’’; and 

5 (iii) by adding at the end the fol6 lowing: 

7 ‘‘(VI) have been incarcerated within 

8 the last 5 years or are under supervision 

9 following the release from prison or jail 

10 within the last 5 years.’’; and 

11 (B) in subsection (b)(2)— 

12 (i) in subparagraph (F) by striking 

13 ‘‘or’’ at the end; 

14 (ii) in subparagraph (G) by striking 

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

16 and 

17 (iii) by adding at the end the fol18 lowing: 

19 ‘‘(H) has been incarcerated or is under super20 vision following the release from prison or jail within 

21 the last 5 years.’’. 

22 (b) TRANSITION PERIOD.—This section shall take ef23 fect 1 year after the date of the enactment of this Act. 


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1 SEC. 120. DIRECT CARE WORKFORCE. 

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

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

4 by sections 111 and 117, is amended— 

5 (1) by redesignating paragraphs (16) and (17) 

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

7 (2) by inserting after paragraph (15) the fol8 lowing: 

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

10 Labor, the demonstration of new strategies for the 

11 recruitment, retention, or advancement of direct care 

12 workers, and to solicit, develop, and implement 

13 strategies— 

14 ‘‘(A) to reduce barriers to entry for a di15 verse and high-quality direct care workforce, in16 cluding providing wages, benefits, and advance17 ment opportunities needed to attract or retain 

18 direct care workers; 

19 ‘‘(B) to provide supportive services and ca20 reer planning for direct care workers; and 

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

22 care workers through education and workforce 

23 development programs that include necessary 

24 credential or licensing preparation, paid on-the25 job training or work-based learning, and appro26 priate safety training;’’. 


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1 (b) OLDER AMERICAN COMMUNITY SERVICE EM2 PLOYMENT PROGRAM.—Section 502(e)(2)(B) of the Older 

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

4 amended— 

5 (1) in clause (iii) by striking ‘‘and’’ at the end; 

6 (2) in clause (iv) by adding ‘‘and’’ at the end; 

7 and 

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

9 ‘‘(v) attract, retain, or advance the di10 rect care workforce, in consultation with 

11 the Assistant Secretary, providing for 

12 wages and benefits needed to reduce bar13 riers to entry for a diverse and high-qual14 ity direct care workforce, supportive serv15 ices and career planning, and paid on-the16 job training or work-based learning, with 

17 appropriate safety training;’’. 

18 SEC. 121. NATIONAL RESOURCE CENTER FOR OLDER INDI19 VIDUALS EXPERIENCING THE LONG-TERM 

20 AND ADVERSE CONSEQUENCES OF TRAUMA. 

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

22 (42 U.S.C. 3032(a), as amended by sections 111, 117, and 

23 120, is amended— 

24 (1) in paragraph (17) by striking ‘‘and’’ at the 

25 end; 


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1 (2) in paragraph (18) by striking the period at 

2 the end; and 

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

4 ‘‘(19) the establishment and operation of a na5 tional resource center that shall— 

6 ‘‘(A) provide training and technical assist7 ance to agencies in the aging network delivering 

8 services to older individuals experiencing the 

9 long-term and adverse consequences of trauma; 

10 ‘‘(B) share best practices with the aging 

11 network; and 

12 ‘‘(C) make subgrants to the agencies best 

13 positioned to advance and improve the delivery 

14 of person-centered, trauma-informed services 

15 for older individuals experiencing the long-term 

16 and adverse consequences of trauma.’’. 

17 SEC. 122. NATIONAL RESOURCE CENTER FOR WOMEN AND 

18 RETIREMENT. 

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

20 U.S.C. 3012), as amended by sections 103 and 115, is 

21 amended by adding at the end the following: 

22 ‘‘(j)(1) The Assistant Secretary shall, directly or by 

23 grant or contract, operate the National Resource Center 

24 for Women and Retirement (in this subsection referred to 

25 as the ‘Center’). 


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1 ‘‘(2) The Center shall— 

2 ‘‘(A) provide basic financial management, re3 tirement planning, and other educational tools that 

4 promote financial wellness and help to identify and 

5 prevent fraud and elder exploitation, and integrate 

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

7 ‘‘(B) annually disseminate a summary of out8 reach provided, including work to provide user9 friendly consumer information and public education 

10 materials; 

11 ‘‘(C) develop targeted outreach strategies; 

12 ‘‘(D) provide technical assistance to State agen13 cies and to other public and nonprofit private agen14 cies and organizations; and 

15 ‘‘(E) develop partnerships and collaborations to 

16 address program objectives.’’. 

17 SEC. 123. DEFINITION. 

18 Section 102 of the Older Americans Act of 1965 (42 

19 U.S.C. 3002) is amended— 

20 (1) by redesignating paragraphs (41) through 

21 (54) as paragraphs (42) through (55); and 

22 (2) by inserting after paragraph (40) the fol23 lowing: 


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1 ‘‘(41) The term ‘person-centered, trauma-in2 formed’ when used with respect to services means 

3 services provided through an aging program that— 

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

5 services; 

6 ‘‘(B) promote the dignity, strength and 

7 empowerment of victims of trauma; and 

8 ‘‘(C) incorporate research-based practices 

9 based on knowledge about the role of trauma in 

10 trauma victims’ lives.’’. 

11 SEC. 124. REVIEW OF REPORTS. 

12 Section 308(b) of the Older Americans Act of 1965 

13 (42 U.S.C. 3028(b)) is amended by inserting at the end 

14 the following: 

15 ‘‘(8) The Assistant Secretary shall review the 

16 reports submitted under section 307(a)(31) and in17 clude aggregate data in the report required by sec18 tion 207(a), including data on— 

19 ‘‘(A) the effectiveness of the programs, 

20 policies, and services provided by area agencies 

21 on aging in assisting individuals whose needs 

22 were the focus of all centers funded under title 

23 IV in fiscal year 2019; and 

24 ‘‘(B) outreach efforts and other activities 

25 carried out to satisfy the assurances described 


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1 in paragraphs (18) and (19) of section 306(a), 

2 to identify such older individuals and their serv3 ice needs.’’. 

4 SEC. 125. AREA PLANS. 

5 Section 306(a)(4) of the Older Americans Act of 

6 1965 (42 U.S.C. 3026(a)(4)) is amended in subparagraph 

7 (B)(i)(VII) by inserting ‘‘, specifically including survivors 

8 of the Holocaust’’ after ‘‘placement’’. 

9 SEC. 126. ADDRESSING CHRONIC PAIN MANAGEMENT. 

10 Section 102(14)(D) of the Older Americans Act of 

11 1965 (42 U.S.C. 3002(14)) is amended by inserting 

12 ‘‘chronic pain management,’’ after ‘‘substance abuse re13 duction,’’. 

14 SEC. 127. EXTENSION OF THE SUPPORTING GRAND15 PARENTS RAISING GRANDCHILDREN ACT. 

16 Section 3(f) of the Supporting Grandparents Raising 

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

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

19 SEC. 128. SCREENING FOR SUICIDE RISK. 

20 Section 102(14)(G) of the Older Americans Act of 

21 1965 (42 U.S.C. 3002(14)(G)) is amended by inserting 

22 ‘‘and screening for suicide risk’’ after ‘‘depression’’. 


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1 SEC. 129. TRAUMATIC BRAIN INJURY. 

2 (a) Section 102 of the Older Americans Act of 1965 

3 (42 U.S.C. 3002), as amended by section 113, is amend4 ed— 

5 (1) in paragraph (14)— 

6 (A) in paragraph (M) by striking ‘‘(L)’’ 

7 and inserting ‘‘(M)’’; 

8 (B) by redesignating subparagraphs (H) 

9 through (M) as subparagraphs (I) through (N), 

10 respectively; and 

11 (C) by inserting after subparagraph (G) 

12 the following: 

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

14 brain injury; coordination of treatment, reha15 bilitation, and related services; and referral 

16 services;’’; and 

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

18 ‘‘(56) The term ‘traumatic brain injury’ has the 

19 meaning given to it in section 339B(d) of the Public 

20 Health Service Act.’’. 

21 (b) Section 321(a)(8) of the Older Americans Act of 

22 1965 (42 U.S.C.3030d(a)(8)) is amended— 

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

24 ‘‘screening, screening for negative health effects as25 sociated with social isolation,’’; and 


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

2 ‘‘screening, and traumatic brain injury screening)’’. 

3 (c) Section 411(a)(12) of the Older Americans Act 

4 of 1965 (42 U.S.C. 3032(a)(12)) is amended— 

5 (1) by inserting ‘‘dementia,’’ after ‘‘dysfunc6 tion,’’; 

7 (2) by striking ‘‘and’’ the 2d place it appears; 

8 and 

9 (3) by inserting ‘‘and traumatic brain injury’’ 

10 before the semicolon at the end. 

11 SEC. 130. ADDRESSING PUBLIC HEALTH EMERGENCIES 

12 AND EMERGING HEALTH THREATS. 

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

14 (42 U.S.C. 3002(14)), as amended by sections 113 and 

15 129, is amended— 

16 (1) in subparagraph (M) by striking ‘‘and’’ at 

17 the end; 

18 (2) in subparagraph (N) by striking ‘‘(M)’’ and 

19 inserting ‘‘(N)’’; 

20 (3) by redesignating subparagraphs (K), (L), 

21 (M), and (N) as subparagraphs (L), (M), (N), and 

22 (O) respectively; and 

23 (4) by inserting after subparagraph (J) the fol24 lowing: 


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1 ‘‘(K) responses to public health emer2 gencies and emerging health threats;’’. 

3 SEC. 131. PREVENTION OF SEXUALLY TRANSMITTED DIS4 EASES. 

5 Section 102(14)(D) of the Older Americans Act of 

6 1965 (42 U.S.C. 3002(14)(D)), as amended by section 

7 102, is amended by inserting ‘‘prevention of sexually 

8 transmitted disease,’’ after ‘‘disease)’’. 

9 SEC. 132. AGING AND DISABILITY RESOURCE CENTER. 

10 Section 102(4) of the Older Americans Act of 1965 

11 (42 U.S.C. 3002(4)) is amended— 

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

13 by inserting ‘‘, in collaboration with (as appropriate) 

14 area agencies on aging, centers for independent liv15 ing (as described in part C of title VII of the Reha16 bilitation Act of 1973 (29 U.S.C. 796f et seq.)), and 

17 other aging or disability entities’’ after ‘‘provides’’; 

18 (2) in subparagraph (B)— 

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

20 after ‘‘plan for long-term’’; and 

21 (B) by inserting ‘‘and choices’’ after ‘‘de22 sires’’; and 

23 (3) in subparagraph (D) by striking ‘‘(29 

24 U.S.C. 796f et seq.), and other community-based enVerDate Sep 11 2014 00:07 Oct 31, 2019 Jkt 099200 PO 00000 Frm 00031 Fmt 6652 Sfmt 6201 E:\BILLS\H4334.PCS H4334

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1 tities,’’ and inserting ‘‘, and other community-based 

2 entities, including other aging or disability entities’’. 

3 TITLE II—EMPOWERING THE 

4 AGING NETWORK TO MEET 

5 THE NEEDS OF OLDER INDI6 VIDUALS 

7 SEC. 201. NATIONAL FAMILY CAREGIVER SUPPORT PRO8 GRAM CAP. 

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

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

11 is amended by striking subparagraph (C). 

12 (b) MONITORING THE IMPACT OF THE ELIMINATION

13 OF THE CAP ON FUNDS FOR OLDER RELATIVE CARE14 GIVERS.— 

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

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

17 thereafter, the Assistant Secretary shall submit to 

18 the Committee on Education and Labor of the 

19 House of Representatives and the Committee on 

20 Health, Education, Labor, and Pensions of the Sen21 ate a report on the impact of the amendment made 

22 by subsection (a) to eliminate the limitation on 

23 funds that States may allocate to provide support 

24 services to older relative caregivers in the National 

25 Family Caregiver Support Program established 


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

2 of 1965 (42 U.S.C. 3030s—3030s–2). Each such re3 port shall also be made available to the public. 

4 (2) CONTENTS.—For purposes of reports re5 quired by paragraph (1), each State that receives an 

6 allotment under such National Family Caregiver 

7 Support Program for fiscal year 2020 or a subse8 quent fiscal year shall report to the Assistant Sec9 retary for the fiscal year involved the amount of 

10 funds of the total Federal and non-Federal share al11 lotment used by the State to provide support serv12 ices for caregiver support for older relative care13 givers and family caregivers. 

14 SEC. 202. MINIMUM FUNDING LEVEL FOR STATE ADMINIS15 TRATIVE EXPENSES. 

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

17 1965 (42 U.S.C. 3028(b)(2)(B)) is amended by striking 

18 ‘‘$500,000’’ and inserting ‘‘$750,000’’. 

19 SEC. 203. CULTURALLY-APPROPRIATE, MEDICALLY-TAI20 LORED MEALS. 

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

22 1965 (42 U.S.C. 3939h(2)(A)) is amended by inserting 

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1 quirements) and medically tailored meals’’ before the 

2 comma at the end. 

3 SEC. 204. BUSINESS ACUMEN PROVISIONS AND CLARIFICA4 TION REGARDING OUTSIDE FUNDING FOR 

5 AREA AGENCIES ON AGING. 

6 (a) ASSISTANCE RELATING TO GROWING AND SUS7 TAINING CAPACITY.—Section 202(b)(9) of the Older 

8 Americans Act of 1965 (42 U.S.C. 3012(b)(9)) is amend9 ed— 

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

11 the semicolon at the end; 

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

13 after the semicolon at the end; and 

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

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

16 organizational development, innovation, and 

17 other methods of growing and sustaining the 

18 capacity of the aging network to serve older in19 dividuals and caregivers most effectively;’’. 

20 (b) CLARIFYING PARTNERSHIPS FOR AREA AGEN21 CIES ON AGING.—Section 306 of the Older Americans Act 

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

23 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 author3 ized 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 indi7 viduals that increase the availability of home and 

8 community-based services and supports in the plan9 ning and service area supported by the area agency 

10 on aging.’’. 

11 SEC. 205. OTHER PRACTICES. 

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

13 U.S.C. 3030c-2) is amended by adding at the end the fol14 lowing: 

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

16 Upon request from an area agency on aging, the State 

17 shall make available any policies or guidance pertaining 

18 to policies under this section.’’. 

19 SEC. 206. CAREGIVER ASSESSMENTS. 

20 (a) DEFINITION OF CAREGIVER ASSESSMENT.—Sec21 tion 372(a) of the Older Americans Act of 1965 (42 

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

23 following: 

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

25 ‘caregiver assessment’ means a systematic process of 


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1 gathering information about the situation of a care2 giver who voluntarily participates in such process, 

3 which may include contact through a home visit, the 

4 Internet, telephone or teleconference, or in-person 

5 interaction, to identify the caregiver’s specific needs, 

6 barriers, and existing supports as identified by the 

7 caregiver that— 

8 ‘‘(A) provides the opportunity for the rec9 ognized caregiver to participate in such process; 

10 ‘‘(B) requires direct contact with the care11 giver and is used to appropriately target and 

12 tailor support services to the caregiver’s unique 

13 needs; and 

14 ‘‘(C) includes reassessment of such specific 

15 needs, barriers, and existing supports, including 

16 to accommodate a significant change in the 

17 caregiving situation, which shall occur on a vol18 untary basis with the consent of the caregiver.’’. 

19 (b) USE OF CAREGIVER ASSESSMENTS.—Section 

20 373(b) of the Older Americans Act of 1965 (42 U.S.C. 

21 3030s–1(b)) is amended by inserting ‘‘may be informed 

22 through the use of caregiver assessments and’’ after 

23 ‘‘with,’’. 

24 (c) TECHNICAL ASSISTANCE FOR CAREGIVER AS25 SESSMENTS.—Section 373 of the Older Americans Act of 


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

2 end the following: 

3 ‘‘(h) TECHNICAL ASSISTANCE FOR CAREGIVER AS4 SESSMENTS.—Not later than 1 year after the effective 

5 date of this subsection, the Assistant Secretary, in con6 sultation with caregivers, older individuals, individuals 

7 with a disability who receive care from an older relative 

8 caregiver, the aging network, and other experts and stake9 holders, shall provide technical assistance to promote and 

10 implement the use of caregiver assessments. Such tech11 nical assistance shall include sharing available tools and 

12 templates, comprehensive assessment protocols, and best 

13 practices concerning— 

14 ‘‘(1) conducting caregiver assessments and re15 assessments; 

16 ‘‘(2) implementing such assessments that are 

17 consistent across a planning and service area; and 

18 ‘‘(3) implementing caregiver support service 

19 plans, including referrals to and coordination of ac20 tivities with relevant State and local services.’’. 

21 (d) REPORTING ON CAREGIVER ASSESSMENT.—Sec22 tion 373(e) of the Older Americans Act of 1965 (42 

23 U.S.C. 3030s–1(e)) is amended— 


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

2 caregiver assessments used in the State,’’ after 

3 ‘‘mechanisms’’ the 1st place it appears; and 

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

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

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

7 after the effective date of this paragraph, the 

8 Assistant Secretary shall issue a report on the 

9 use of caregiver assessments by area agencies 

10 on aging, entities contracting with such agen11 cies, and organizations. Such report shall in12 clude— 

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

14 caregiver assessments, including a reposi15 tory of caregiver assessment tools or tem16 plates and comprehensive assessment pro17 tocols; 

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

19 of the impact of caregiver assessments 

20 on— 

21 ‘‘(I) family caregivers and older 

22 relative caregivers; and 

23 ‘‘(II) the individuals to whom the 

24 caregivers described in subclause (I) 

25 provide care; 


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

2 using caregiver assessments on the aging 

3 network; 

4 ‘‘(iv) an analysis of how caregiver as5 sessments are being used to identify the 

6 specific needs, barriers, and existing sup7 ports of family caregivers and older rel8 ative caregivers; 

9 ‘‘(v) recommendations for using care10 giver assessments, including in rural or un11 derserved areas; and 

12 ‘‘(vi) feedback from State agencies 

13 and area agencies on aging, particularly in 

14 rural or underserved areas, on the imple15 mentation of caregiver assessments. 

16 ‘‘(B) SUBMISSION.—Not later than 6 

17 months after the issuance of the report under 

18 subparagraph (A), the Assistant Secretary shall 

19 submit the report to the Committee on Edu20 cation and Labor of the House of Representa21 tives, the Committee on Health, Education, 

22 Labor, and Pensions of the Senate, and the 

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


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1 SEC. 207. RESEARCH AND EVALUATION. 

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

3 U.S.C. 3011) is amended by adding at the end the fol4 lowing: 

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

6 research and evaluation functions of this Act under a Na7 tional Research, Demonstration, and Evaluation Center 

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

9 the ‘Center’), which shall be headed by a director des10 ignated by the Assistant Secretary from individuals de11 scribed in paragraph (4). 

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

13 ‘‘(A) to coordinate research, research dissemi14 nation, evaluation, demonstration projects, and re15 lated activities carried out under this Act; 

16 ‘‘(B) to provide assessment of the programs au17 thorized under this Act; and 

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

19 on evidence-based programs and interventions avail20 able to the aging network. Such information shall be 

21 applicable to existing programs and help in the de22 velopment of new evidence-based programs and 

23 interventions. 

24 ‘‘(3) Activities of the Center shall include conducting, 

25 promoting, coordinating, and providing support for— 


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1 ‘‘(A) research and evaluation activities that 

2 support the objectives of this Act, including— 

3 ‘‘(i) evaluation of new and existing pro4 grams and interventions authorized by this Act; 

5 and 

6 ‘‘(ii) research on and assessment of the re7 lationship between programs and interventions 

8 under this Act and the health outcomes, social 

9 determinants of health, quality of life, health 

10 care savings (including to the Medicare pro11 gram under title XVIII of the Social Security 

12 Act and the Medicaid program under title XIX 

13 of such Act as practicable), and independence 

14 of individuals served under this Act; 

15 ‘‘(B) demonstration projects that support the 

16 objectives of the Act and activities to bring effective 

17 demonstration projects to scale with a prioritization 

18 of projects that address the needs of underserved 

19 populations; 

20 ‘‘(C) outreach and dissemination of research 

21 findings; and 

22 ‘‘(D) technical assistance related to the activi23 ties described in this subparagraph. 


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1 ‘‘(4) The director shall be an individual with substan2 tial knowledge of and experience in aging and health pol3 icy, and research administration. 

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

5 intervals thereafter, the director shall prepare and publish 

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

7 5-year plan that— 

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

9 dissemination, evaluation, and related activities; 

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

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

12 of underserved populations. 

13 ‘‘(6) The director shall coordinate research, research 

14 dissemination, evaluation, and demonstration projects, 

15 and related activities with appropriate agency program 

16 staff, and, as appropriate, coordinate with other Federal 

17 departments and agencies involved in research in the field 

18 of aging. 

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

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

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

22 and Pensions of the Senate, the Special Committee on 

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

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

25 activities funded under this section and title IV. 


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

2 experts on aging research and evaluation and aging net3 work stakeholders on the implementation of the activities 

4 described under paragraph (3) of this subsection. 

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

6 evaluation authorities under this Act.’’. 

7 SEC. 208. GRANT PROGRAM FOR MULTIGENERATIONAL 

8 COLLABORATION. 

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

10 U.S.C. 3032f) is amended— 

11 (1) by amending subsection (a) to read as fol12 lows: 

13 ‘‘(a) GRANTS AND CONTRACTS.—The Assistant Sec14 retary shall award grants to, and enter into contracts 

15 with, eligible organizations to carry out projects— 

16 ‘‘(1) to provide opportunities for older individ17 uals 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 developing— 

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 

2 older individuals; 

3 ‘‘(E) increased lifelong learning; or 

4 ‘‘(F) support for older relative caregivers 

5 by— 

6 ‘‘(i) providing support for older rel7 ative caregivers (as defined in section 372) 

8 raising children (such as kinship navigator 

9 programs); or 

10 ‘‘(ii) involving volunteers who are 

11 older individuals who provide support and 

12 information to families who have a child 

13 with a disability or chronic illness, or other 

14 families in need of such family support; 

15 ‘‘(2) to coordinate multigenerational activities 

16 and civic engagement activities, including 

17 multigenerational nutrition and meal service pro18 grams; 

19 ‘‘(3) to promote volunteerism, including becom20 ing a mentor to young people; and 

21 ‘‘(4) to facilitate development of and participa22 tion in multigenerational activities and civic engage23 ment activities.’’; 

24 (2) by amending subsection (b) to read as fol25 lows: 


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1 ‘‘(b) USE OF FUNDS.— 

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

3 shall use funds made available under a grant award4 ed, or a contract entered into, under this section to 

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

6 ‘‘(2) PROVISION OF PROJECTS THROUGH

7 GRANTEES.—In making grants under this section, 

8 the Assistant Secretary shall ensure that awards are 

9 made for the activities and projects described in 

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

11 (3) in subsection (c)— 

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

13 by inserting ‘‘that serves individuals in younger 

14 generations and older individuals’’ after ‘‘to 

15 carry out a project’’; 

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

17 to carry out, or intent to partner with local or18 ganizations or multiservice organizations to 

19 carry out,’’ after ‘‘record of carrying out’’; 

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

21 and inserting a semicolon; 

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

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

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


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1 ‘‘(5) eligible organizations proposing 

2 multigenerational activity projects that utilize shared 

3 site programs, such as collocated child care and 

4 long-term care facilities.’’; 

5 (4) by amending subsection (e) to read as fol6 lows: 

7 ‘‘(e) ELIGIBLE ORGANIZATIONS.—Organizations eli8 gible to receive a grant or enter into a contract under sub9 section (a) shall— 

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

11 organization that provides opportunities for older in12 dividuals to participate in activities described in such 

13 subsection; and 

14 ‘‘(2) have the capacity to conduct the coordina15 tion, promotion, and facilitation described in such 

16 subsection through the use of multigenerational co17 ordinators.’’; 

18 (5) by striking subsection (g); 

19 (6) in subsection (h)(2)(B)(i) by striking ‘‘indi20 viduals from the generations with older individuals’’ 

21 and inserting ‘‘older individuals’’; 

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

23 as subsections (c) through (g), respectively; and 

24 (8) by inserting after subsection (a) the fol25 lowing: 


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1 ‘‘(b) GRANT PERIOD.—Each grant awarded or con2 tract made under subsection (a) shall be to carry out 

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

4 TITLE III—STRENGTHENING 

5 PROTECTIONS FOR OLDER IN6 DIVIDUALS 

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

8 MINIMUM FUNDING AND MAINTENANCE OF 

9 EFFORT. 

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

11 et seq.) is amended— 

12 (1) by amending section 306(a)(9) to read as 

13 follows: 

14 ‘‘(9) provide assurances that— 

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

16 out the State Long-Term Care Ombudsman 

17 program under section 307(a)(9), will expend 

18 not less than the total amount of funds appro19 priated under this Act and expended by the 

20 agency in fiscal year 2019 in carrying out such 

21 a program under this title; and 

22 ‘‘(B) funds made available to area agencies 

23 on aging pursuant to section 712 shall be used 

24 to supplement and not supplant other Federal, 


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1 State, and local funds expended to support ac2 tivities described in section 712.’’; and 

3 (2) by amending section 307(a)(9) to read as 

4 follows: 

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

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

7 through the Office of the State Long-Term 

8 Care Ombudsman, a State Long-Term Care 

9 Ombudsman program in accordance with sec10 tion 712 and this title, and will expend for such 

11 purpose an amount that is not less than an 

12 amount expended by the State agency with 

13 funds received under this title for fiscal year 

14 2019, and an amount that is not less than the 

15 amount expended by the State agency with 

16 funds received under title VII for fiscal year 

17 2019; and 

18 ‘‘(B) funds made available to state agen19 cies pursuant to section 712 shall be used to 

20 supplement and not supplant other Federal, 

21 State, and local funds expended to support ac22 tivities described in section 712.’’. 


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1 SEC. 302. STATE LONG-TERM CARE VOLUNTEER OMBUDS2 MAN REPRESENTATIVES. 

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

4 1965 (42 U.S.C. 3058g(a)(5)) is amended— 

5 (1) by redesignating subparagraph (D) as sub6 paragraph (E); and 

7 (2) by inserting after subparagraph (C) the fol8 lowing: 

9 ‘‘(D) VOLUNTEER OMBUDSMAN REP10 RESENTATIVES.—An individual designated as a 

11 volunteer ombudsman representative may re12 ceive financial support and recognition from the 

13 Office of the State Long-Term Care Ombuds14 man Program for expenses incurred during 

15 service.’’. 

16 SEC. 303. CLARIFICATION REGARDING BOARD AND CARE 

17 FACILITIES. 

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

19 1965 (42 U.S.C. 3002(35)(C)) is amended by striking 

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

21 SEC. 304. REPORT ON LEGAL HOTLINES. 

22 Not later than 3 years after the date of the enact23 ment of this Act, the Assistant Secretary on Aging shall 

24 prepare and submit to the Congress a report containing— 

25 (1) information on which States or localities op26 erate senior legal hotlines; 


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1 (2) information on how such hotlines operated 

2 by States or localities are funded; 

3 (3) information on the usefulness of senior legal 

4 hotlines in the coordination and provision of legal 

5 assistance; and 

6 (4) recommendations on additional actions that 

7 should be taken related to senior legal hotlines. 

8 SEC. 305. COMMUNITY OUTREACH. 

9 Section 721(b)(12) of the Older Americans Act of 

10 1965 (42 U.S.C. 3058i(b)(12)) is amended— 

11 (1) in subparagraph (C) by inserting ‘‘commu12 nity outreach and education,’’ after ‘‘technical as13 sistance’’; and 

14 (2) in subparagraph (F)— 

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

16 ‘‘implementing’’; and 

17 (B) by inserting ‘‘, programs, and mate18 rials’’ after ‘‘practices’’. 

19 SEC. 306. PRINCIPLES FOR PERSON-DIRECTED SERVICES 

20 AND SUPPORTS DURING SERIOUS ILLNESS. 

21 (a) DEFINITIONS.— 

22 (1) ADMINISTRATOR.—The term ‘‘Adminis23 trator’’ means the Administrator of the Administra24 tion for Community Living. 


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1 (2) AREA AGENCY ON AGING; ASSISTANT SEC2 RETARY; STATE AGENCY.—The terms ‘‘area agency 

3 on aging’’, ‘‘Assistant Secretary’’, and ‘‘State agen4 cy’’ have the meanings given the terms in section 

5 102 of the Older Americans Act of 1965 (42 U.S.C. 

6 3002). 

7 (3) COVERED AGENCY.—The term ‘‘covered 

8 agency’’ means— 

9 (A) a State agency or area agency on 

10 aging; and 

11 (B) a Federal agency other than the De12 partment of Health and Human Services, and 

13 a unit of that Department other than the Ad14 ministration on Aging, that the Assistant Sec15 retary determines performs functions for which 

16 the principles are relevant, and the Centers for 

17 Medicare & Medicaid Services. 

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

19 the Principles for Person-directed Services and Sup20 ports during Serious Illness, issued by the Adminis21 tration on September 1, 2017, or an updated set of 

22 such Principles. 

23 (b) DISSEMINATION.—The Administrator shall dis24 seminate the principles to appropriate stakeholders within 

25 the aging network, as determined by the Assistant SecVerDate Sep 11 2014 00:07 Oct 31, 2019 Jkt 099200 PO 00000 Frm 00051 Fmt 6652 Sfmt 6201 E:\BILLS\H4334.PCS H4334

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1 retary, and to covered agencies. The covered agencies may 

2 use the principles in setting priorities for service delivery 

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

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

5 an ongoing basis, feedback on the principles from covered 

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

7 stakeholders who provide or receive disability services. 

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

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

10 the enactment of this Act, the Administrator shall prepare 

11 and submit to Congress a report describing the feedback 

12 received under subsection (c) and indicating if any 

13 changes or updates are needed to the principles. 

14 TITLE IV—MEETING THE NEEDS 

15 OF OLDER NATIVE AMERICANS 

16 SEC. 401. EXPANDING SUPPORTIVE SERVICES FOR NATIVE 

17 AMERICAN AGING PROGRAMS. 

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

19 U.S.C. 3057 et seq.) is amended— 

20 (1) in part D— 

21 (A) by amending section 643 to read as 

22 follows: 

23 ‘‘SEC. 643. AUTHORIZATION OF APPROPRIATIONS. 

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

25 this title— 


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1 ‘‘(1) for parts A and B, $38,524,324 for fiscal 

2 year 2020, $40,835,783 for fiscal year 2021, 

3 $43,285,930 for fiscal year 2022, $45,883,086 for 

4 fiscal year 2023, and $48,636,071 for fiscal year 

5 2024; and 

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

7 $10,785,575 for fiscal year 2020, $11,432,710 for 

8 fiscal year 2021, $12,118,672 for fiscal year 2022, 

9 $12,845,792 for fiscal year 2023, and $13,616,540 

10 for fiscal year 2024.’’; and 

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

12 ‘‘SEC. 644. FUNDING SET ASIDE. 

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

14 a fiscal year, not more than 5 percent shall be made avail15 able to carry out part D for such fiscal year if for such 

16 fiscal year— 

17 ‘‘(1) the funds appropriated for parts A and B 

18 are greater than the funds appropriated for such 

19 parts for fiscal year 2019; and 

20 ‘‘(2) the Assistant Secretary makes available 

21 for parts A and B not less than the amount of re22 sources made available for fiscal year 2019.’’; 

23 (2) by redesignating part D as part E; and 

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


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1 ‘‘PART D—SUPPORTIVE SERVICES FOR HEALTHY 

2 AGING AND INDEPENDENCE 

3 ‘‘SEC. 636. PROGRAM. 

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

5 carry out a competitive demonstration program for mak6 ing grants to tribal or Native Hawaiian organizations with 

7 applications approved under parts A and B, to pay for 

8 the Federal share of carrying out programs, to enable the 

9 organizations to build their capacity to provide a wider 

10 range of in-home and community supportive services to 

11 enable older individuals to maintain their health and inde12 pendence and to avoid long-term care facility placement. 

13 ‘‘(b) SUPPORTIVE SERVICES.— 

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

15 supportive services described in subsection (a) may 

16 include any of the activities described in section 

17 321(a). 

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

19 making grants under this section, shall give priority 

20 to organizations that will use the grant funds for 

21 supportive services described in subsection (a) that 

22 are for in-home assistance, transportation, informa23 tion and referral, case management, health and 

24 wellness programs, legal services, family caregiver 

25 support services, and other services that directly 


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1 support the independence of the older individuals 

2 served. 

3 ‘‘(c) RULE OF CONSTRUCTION.—Nothing in this sec4 tion shall be construed or interpreted to prohibit the provi5 sion of supportive services under part A or B.’’. 

6 SEC. 402. ENHANCING CAPACITY TO SUPPORT NATIVE 

7 AMERICAN AGING PROGRAMS. 

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

9 U.S.C. 3011 et seq.) is amended— 

10 (1) in section 201(c)(3)(H) by inserting ‘‘to en11 sure adequate capacity to deliver the services under 

12 such title, which technical assistance programs may 

13 include program management, data development and 

14 use, basic business skills, grant development, pro15 gram and service innovations, and staff professional 

16 development and certification’’ before the semicolon 

17 at the end; and 

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

19 ‘‘SEC. 216. AUTHORIZATION OF APPROPRIATIONS. 

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

21 this Act, there are authorized to be appropriated for ad22 ministration, salaries, and expenses of the Administration 

23 $44,042,171 for fiscal year 2020, $46,684,701 for fiscal 

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

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


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1 ‘‘(b) AUTHORIZATION OF APPROPRIATIONS FOR PRO2 GRAMS.—There are authorized to be appropriated— 

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

4 for each of the fiscal years 2020 through 2024; 

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

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

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

8 2021, $2,456,445 for fiscal year 2022, $2,603,832 

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

10 2024; 

11 ‘‘(3) to carry out sections 215 and 202(j), 

12 $1,992,460 for fiscal year 2020, $2,112,008 for fis13 cal year 2021, $2,238,728 for fiscal year 2022, 

14 $2,373,052 for fiscal year 2023, and $2,515,435 for 

15 fiscal year 2024; 

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

17 Rights Support Activities under this title), 

18 $1,375,011 for fiscal year 2020, $1,457,511 for fis19 cal year 2021, $1,544,962 for fiscal year 2022, 

20 $1,637,660 for fiscal year 2023, and $1,735,919 for 

21 fiscal year 2024; 

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

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

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

25 2021, $9,784,357 for fiscal year 2022, $10,371,419 


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

2 2024; and 

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

4 to professional development and technical assistance 

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

6 year 2021.’’. 

7 TITLE V—MISCELLANEOUS 

8 SEC. 501. TECHNICAL CORRECTIONS. 

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

10 et seq.) is amended— 

11 (1) in section 102(37)(A) by striking ‘‘para12 graph (5)’’ and inserting ‘‘paragraph (26)’’; 

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

14 307(a)(18) and 731(b)(2)’’ and inserting ‘‘sections 

15 307(a)(13) and 731’’; 

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

17 margin of clause (i) 2 ems to the left; 

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

19 215(i) by striking ‘‘Committee on Education and the 

20 Workforce’’ and inserting ‘‘Committee on Education 

21 and Labor’’; 

22 (5) in section 207(b)(3)(A) by striking ‘‘Admin23 istrator of the Health Care Finance Administration’’ 

24 and inserting ‘‘Administrator of the Centers for 

25 Medicare and Medicaid Services’’; 


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

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

3 ‘‘term ‘State’ does’’; 

4 (7) in section 304(d)(1)(B) by striking ‘‘(ex5 cluding’’ and all that follows through ‘‘303(a)(3))’’; 

6 (8) in section 306(a)— 

7 (A) by inserting ‘‘the number of older indi8 viduals at risk for institutional placement resid9 ing in such area,’’ after ‘‘areas) residing in such 

10 area,’’ the last place it appears; and 

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

12 victims of’’ and inserting ‘‘with’’; 

13 (9) in section 339 by striking ‘‘Institute of 

14 Medicine of the National Academy of Sciences’’ and 

15 inserting ‘‘National Academies of Sciences, Engi16 neering, and Medicine’’; 

17 (10) in section 611 by striking ‘‘(a)’’; and 

18 (11) in section 614(c)(4) by striking ‘‘(a)(12)’’ 

19 and inserting ‘‘(a)(11)’’. 

20 SEC. 502. AUTHORIZATION OF APPROPRIATIONS; USES OF 

21 FUNDS. 

22 (a) AUTHORIZATION OF APPROPRIATIONS; USES OF

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

24 (42 U.S.C. 3023) is amended to read as follows: 


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

2 FUNDS. 

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

4 carry out part B (relating to supportive services) 

5 $413,011,586 for fiscal year 2020, $437,792,281 for fis6 cal year 2021, $464,059,818 for fiscal year 2022, 

7 $491,903,407 for fiscal year 2023, and $521,417,612 for 

8 fiscal year 2024. 

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

10 be available to carry out section 712. 

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

12 carry out subpart 1 of part C (relating to congregate nu13 trition services) $531,279,663 for fiscal year 2020, 

14 $563,156,443 for fiscal year 2021, $596,945,830 for fis15 cal year 2022, $632,762,580 for fiscal year 2023, and 

16 $670,728,334 for fiscal year 2024. 

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

18 out subpart 2 of part C (relating to home delivered nutri19 tion services) $269,577,167 for fiscal year 2020, 

20 $285,751,797 for fiscal year 2021, $302,896,905 for fis21 cal year 2022, $321,070,719 for fiscal year 2023, and 

22 $340,334,963 for fiscal year 2024. 

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

24 2 of part C, of this title may be used for paying part of 

25 the cost of— 


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

2 agencies on aging designated under section 

3 305(a)(2)(A), including the preparation of area 

4 plans on aging consistent with section 306 and the 

5 evaluation of activities carried out under such plans; 

6 and 

7 ‘‘(2) the development of comprehensive and co8 ordinated systems for supportive services, congregate 

9 and home delivered nutrition services under subparts 

10 1 and 2 of part C, the development and operation 

11 of multipurpose senior centers, and the delivery of 

12 legal assistance. 

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

14 out part D (relating to disease prevention and health pro15 motion services) $26,650,753 for fiscal year 2020, 

16 $28,249,798 for fiscal year 2021, $29,944,786 for fiscal 

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

18 $33,645,961 for fiscal year 2024. 

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

20 out part E (relating to family caregiver support) 

21 $194,331,264 for fiscal year 2020, $205,991,140 for fis22 cal year 2021, $218,350,609 for fiscal year 2022, 

23 $231,451,645 for fiscal year 2023, and $245,338,744 for 

24 fiscal year 2024.’’. 


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1 (b) Section 311(e) of the Older Americans Act of 

2 1965 (42 U.S.C. 3030a(e)) is amended to read as follows: 

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

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

5 $171,682,200 for fiscal year 2020, $181,983,132 for fis6 cal year 2021, $192,902,120 for fiscal year 2022, 

7 $204,476,247 for fiscal year 2023, and $216,744,822 for 

8 fiscal year 2024.’’. 

9 (c) Section 411(b) of the Older Americans Act of 

10 1965 (42 U.S.C. 3032(b)) is amended to read as follows: 

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

12 are authorized to be appropriated to carry out— 

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

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

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

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

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

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

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

20 $16,589,707 for fiscal year 2021, $17,585,090 for 

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

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

23 (d) Section 517(a) of the Older Americans Act of 

24 1965 (42 U.S.C. 3056o(a)) is amended to read as follows: 


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1 ‘‘(a) IN GENERAL.—There are authorized to be ap2 propriated to carry out this title $429,020,486 for fiscal 

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

4 $482,047,418 for fiscal year 2022, $510,970,263 for fis5 cal year 2023, and $541,628,478 for fiscal year 2024.’’. 

6 (e) Section 702 of the Older Americans Act of 1965 

7 (42 U.S.C.3058a) is amended to read as follows: 

8 ‘‘SEC. 702. AUTHORIZATION OF APPROPRIATIONS. 

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

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

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

12 $20,348,427 for fiscal year 2022, $21,569,332 for fiscal 

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

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

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

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

17 $5,752,031 for fiscal year 2022, $6,097,153 for fiscal year 

18 2023, and $6,462,982 for fiscal year 2024.’’. 

19 SEC. 503. HOLD HARMLESS FORMULA. 

20 (a) IN GENERAL.—Section 304(a)(3)(D) of the Older 

21 Americans Act of 1965 (42 U.S.C. 3024(a)(3)(D)) is 

22 amended to read as follows: 

23 ‘‘(D)(i) In this subparagraph and para24 graph (5): 


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1 ‘‘(I) The term ‘allot’ means allot 

2 under this subsection from a sum ap3 propriated under section 303(a) or 

4 303(b)(1), as the case may be. 

5 ‘‘(II) The term ‘covered fiscal 

6 year’ means any of fiscal years 2020 

7 through 2029. 

8 ‘‘(ii) If the sum appropriated under 

9 section 303(a) or 303(b)(1) for a par10 ticular fiscal year is less than or equal to 

11 the sum appropriated under section 303(a) 

12 or 303(b)(1), respectively, for fiscal year 

13 2019, amounts shall be allotted to States 

14 from the sum appropriated for the par15 ticular year in accordance with paragraphs 

16 (1) and (2), and subparagraphs (A) 

17 through (C) as applicable, but no State 

18 shall be allotted an amount that is less 

19 than— 

20 ‘‘(I) for fiscal year 2020, 99.75 

21 percent of the corresponding sum ap22 propriated for fiscal year 2019; 

23 ‘‘(II) for fiscal year 2021, 99.50 

24 percent of that sum; 


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1 ‘‘(III) for fiscal year 2022, 99.25 

2 percent of that sum; 

3 ‘‘(IV) for fiscal year 2023, 99.00 

4 percent of that sum; 

5 ‘‘(V) for fiscal year 2024, 98.75 

6 percent of that sum; 

7 ‘‘(VI) for fiscal year 2025, 98.50 

8 percent of that sum; 

9 ‘‘(VII) for fiscal year 2026, 

10 98.25 percent of that sum; 

11 ‘‘(VIII) for fiscal year 2027, 

12 98.00 percent of that sum; 

13 ‘‘(IX) for fiscal year 2028, 97.75 

14 percent of that sum; and 

15 ‘‘(X) for fiscal year 2029, 97.50 

16 percent of that sum. 

17 ‘‘(iii) If the sum appropriated under 

18 section 303(a) or 303(b)(1) for a par19 ticular covered fiscal year is greater than 

20 the sum appropriated under section 303(a) 

21 or 303(b)(1), respectively, for fiscal year 

22 2019, the allotments to States from the 

23 sum appropriated for the particular year 

24 shall be calculated as follows: 


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1 ‘‘(I) From the portion equal to 

2 the corresponding sum appropriated 

3 for fiscal year 2019, amounts shall be 

4 allotted in accordance with para5 graphs (1) and (2), and subpara6 graphs (A) through (C) as applicable, 

7 but no State shall be allotted an 

8 amount that is less than the percent9 age specified in clause (ii), for that 

10 particular year, of the corresponding 

11 sum appropriated for fiscal year 2019. 

12 ‘‘(II) From the remainder, 

13 amounts shall be allotted in accord14 ance with paragraph (1), subpara15 graphs (A) through (C) as applicable, 

16 and paragraph (2) to the extent need17 ed to meet the requirements of those 

18 subparagraphs. 


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1 (b) REPEAL.—Section 304(a)(3)(D) of the Older 

2 Americans Act of 1965 (42 U.S.C. 3024(a)(3)(D)) is re3 pealed effective October 1, 2029. 

Passed the House of Representatives October 28, 

2019. 

Attest: CHERYL L. JOHNSON, 

Clerk. 


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Calendar No. 280 

116TH CONGRESS 

1ST SESSION H. R. 4334 

AN ACT 

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

OCTOBER 30, 2019 

Read the second time and placed on the calendar 


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