veloping and carrying out such agreement, such 
agreement guarantees that the cost is reimbursed to 
the recipient; 
‘‘(2) if such agreement provides for the provi-
sion of 1 or more services, of the type provided 
under this Act by or on behalf of such recipient, to 
an individual or entity seeking to receive such serv-
ices—
‘‘(A) the individuals and entities may only 
purchase such services at their fair market rate; 
‘‘(B) all costs incurred by the recipient in 
providing such services (and not otherwise reim-
bursed under paragraph (1)), are reimbursed to 
such recipient; and 
‘‘(C) the recipient reports the rates for 
providing such services under such agreement 
in accordance with subsection (c) and the rates 
are consistent with the prevailing market rate 
for provision of such services in the relevant ge-
ographic area as determined by the State agen-
cy or area agency on aging (as applicable); and 
‘‘(3) any amount of payment to the recipient 
under the agreement that exceeds reimbursement 
under this subsection of the recipient’s costs is used
to provide, or support the provision of, services 
under this Act. 
‘‘(b) ENSURING APPROPRIATE USE OF FUNDS.—An 
agreement described in subsection (a) may not—
‘‘(1) be made without the prior approval of the 
State agency (or, in the case of a grantee under title 
VI, without the prior recommendation of the Direc-
tor of the Office for American Indian, Alaska Na-
tive, and Native Hawaiian Aging and the prior ap-
proval of the Assistant Secretary), after timely sub-
mission of all relevant documents related to the 
agreement including information on all costs in-
curred; 
‘‘(2) directly or indirectly provide for, or have 
the effect of, paying, reimbursing, subsidizing, or 
otherwise compensating an individual or entity in an 
amount that exceeds the fair market value of the 
services subject to such agreement; 
‘‘(3) result in the displacement of services oth-
erwise available to an older individual with greatest 
social need, an older individual with greatest eco-
nomic need, or an older individual who is at risk for 
institutional placement; or 
‘‘(4) in any other way compromise, undermine, 
or be inconsistent with the objective of serving the
needs of older individuals, as determined by the As-
sistant Secretary. 
‘‘(c) MONITORING AND REPORTING.—To ensure that 
any agreement described in subsection (a) complies with 
the requirements of this section and other applicable pro-
visions of this Act, the Assistant Secretary shall develop 
and implement uniform monitoring procedures and report-
ing requirements consistent with the provisions of sub-
paragraphs (A) through (E) of section 306(a)(13) in con-
sultation with the State agencies and area agencies on 
aging. The Assistant Secretary shall annually prepare and 
submit to the chairpersons and ranking members of the 
appropriate committees of Congress a report analyzing all 
such agreements, and the costs incurred and services pro-
vided under the agreements. This report shall contain in-
formation on the number of the agreements per State, 
summaries of all the agreements, and information on the 
type of organizations participating in the agreements, 
types of services provided under the agreements, and the 
net proceeds from, and documentation of funds spent and 
reimbursed, under the agreements. 
‘‘(d) TIMELY
REIMBURSEMENT.—All reimburse-
ments made under this section shall be made in a timely 
manner, according to standards specified by the Assistant 
Secretary.
‘‘(e) COST.—In this section, the term ‘cost’ means an 
expense, including an administrative expense, incurred by 
a recipient in developing or carrying out an agreement de-
scribed in subsection (a), whether the recipient contrib-
uted funds, staff time, or other plant, equipment, or serv-
ices to meet the expense.’’. 
SEC. 208. NUTRITION EDUCATION. 
Section 214 of the Older Americans Act of 1965 (42 
U.S.C. 3020e) is amended to read as follows: 
‘‘SEC. 214. NUTRITION EDUCATION. 
‘‘The Assistant Secretary, in consultation with the 
Secretary of Agriculture, shall conduct outreach and pro-
vide technical assistance to agencies and organizations 
that serve older individuals to assist such agencies and or-
ganizations to carry out integrated health promotion and 
disease prevention programs that—
‘‘(1) are designed for older individuals; and 
‘‘(2) include—
‘‘(A) nutrition education; 
‘‘(B) physical activity; and 
‘‘(C) other activities to modify behavior 
and to improve health literacy, including pro-
viding information on optimal nutrient intake, 
through nutrition education and nutrition as-
sessment and counseling, in accordance with 
section 339(2)(J).’’. 
SEC. 209. PENSION COUNSELING AND INFORMATION PRO-
GRAMS. 
Section 215 of the Older Americans Act of 1965 (42 
U.S.C. 3020e–1) is amended—
(1) in subsection (e)(1)(J), by striking ‘‘and low 
income retirees’’ and inserting ‘‘, low-income retir-
ees, and older individuals with limited English pro-
ficiency’’; 
(2) in subsection (f), by striking paragraph (2) 
and inserting the following: 
‘‘(2) The ability of the entity to perform effec-
tive outreach to affected populations, particularly 
populations with limited English proficiency and 
other populations that are identified as in need of 
special outreach.’’; and 
(3) in subsection (h)(2), by inserting ‘‘(includ-
ing individuals with limited English proficiency)’’ 
after ‘‘individuals’’. 
SEC. 210. AUTHORIZATION OF APPROPRIATIONS. 
Section 216 of the Older Americans Act of 1965 (42 
U.S.C. 3020f) is amended—
(1) in subsection (a), by striking ‘‘2001, 2002, 
2003, 2004, and 2005’’ and inserting ‘‘2007, 2008, 
2009, 2010, and 2011.’’; and 
(2) in subsections (b) and (c), by striking 
‘‘year’’ and all that follows through ‘‘years’’, and in-
serting ‘‘years 2007, 2008, 2009, 2010, and 2011’’. 
TITLE III—GRANTS FOR STATE 
AND COMMUNITY PROGRAMS 
ON AGING 
SEC. 301. PURPOSE; ADMINISTRATION. 
Section 301(a)(2) of the Older Americans Act of 
1965 (42 U.S.C. 3021(a)(2)) is amended—
(1) in subparagraph (D), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (E), by striking the period 
at the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(F) organizations that have experience in pro-
viding training, placement, and stipends for volun-
teers or participants who are older individuals (such 
as organizations carrying out Federal service pro-
grams administered by the Corporation for National 
and Community Service), in community service set-
tings.’’.
SEC. 302. DEFINITIONS. 
Section 302 of the Older Americans Act of 1965 (42 
U.S.C. 3022) is amended—
(1) by adding at the end the following: 
‘‘(4) The term ‘family caregiver’ means an 
adult family member, or another individual, who is 
an informal provider of in-home and community care 
to an older individual or to an individual with Alz-
heimer’s disease or a related disorder with neuro-
logical and organic brain dysfunction.’’; 
(2) by redesignating paragraphs (2), (3), and 
(4) as paragraphs (4), (2), and (3), respectively; and 
(3) by moving paragraph (4), as so redesig-
nated, to the end of the section. 
SEC. 303. AUTHORIZATION OF APPROPRIATIONS; USES OF 
FUNDS. 
Section 303 of the Older Americans Act of 1965 (42 
U.S.C. 3023) is amended—
(1) in subsections (a)(1), (b), and (d), by strik-
ing ‘‘year 2001’’ and all that follows through 
‘‘years’’ each place it appears, and inserting ‘‘years 
2007, 2008, 2009, 2010, and 2011’’; and 
(2) in subsection (e)—
(A) 
in 
paragraph 
(1) 
by 
striking 
‘‘$125,000,000’’ and all that follows and insert-
ing ‘‘$160,000,000 for fiscal year 2007.’’;
(B) in paragraph (2), by striking ‘‘such 
sums’’ and all that follows and inserting 
‘‘$166,500,000 
for 
fiscal 
year 
2008, 
$173,000,000 
for 
fiscal 
year 
2009, 
$180,000,000 
for 
fiscal 
year 
2010, 
and 
$187,000,000 for fiscal year 2011.’’; and 
(C) in paragraph (3)—
(i) by striking ‘‘(2)—’’ and all that 
follows through ‘‘1 percent’’ and inserting 
‘‘(2), not more than 1 percent’’; 
(ii) by striking ‘‘shall’’ and inserting 
‘‘may’’; and 
(iii) by striking ‘‘section 376’’ and in-
serting ‘‘section 411(a)(11)’’. 
SEC. 304. ALLOTMENTS. 
Section 304(a)(3)(D) of the Older Americans Act of 
1965 (42 U.S.C. 3024(a)(3)(D)) is amended to read as 
follows: 
‘‘(D)(i) No State shall be allotted less than the total 
amount allotted to the State for fiscal year 2006. 
‘‘(ii) No State shall receive a percentage increase in 
an allotment, above the State’s fiscal year 2006 allotment, 
that is less than—
‘‘(I) for fiscal year 2007, 20 percent of the per-
centage increase above the fiscal year 2006 allot-
ments for all of the States; 
‘‘(II) for fiscal year 2008, 15 percent of the 
percentage increase above the fiscal year 2006 allot-
ments for all of the States; 
‘‘(III) for fiscal year 2009, 10 percent of the 
percentage increase above the fiscal year 2006 allot-
ments for all of the States; and 
‘‘(IV) For fiscal year 2010, 5 percent of the 
percentage increase above the fiscal year 2006 allot-
ments for all of the States.’’. 
SEC. 305. ORGANIZATION. 
Section 305(a) of the Older Americans Act of 1965 
(42 U.S.C. 3025(a)) is amended—
(1) in paragraph (1)(E)—
(A) by striking ‘‘(with particular attention 
to low-income minority individuals and older in-
dividuals residing in rural areas)’’ each place it 
appears and inserting ‘‘(with particular atten-
tion to low-income older individuals, including 
low-income minority older individuals, older in-
dividuals with limited English proficiency, and 
older individuals residing in rural areas)’’; and 
(B) by striking ‘‘and’’ at the end;
(2) in paragraph (2)—
(A) in subparagraph (E), by striking ‘‘, 
with particular attention to low-income minority 
individuals and older individuals residing in 
rural areas’’ and inserting ‘‘(with particular at-
tention to low-income older individuals, includ-
ing low-income minority older individuals, older 
individuals with limited English proficiency, and 
older individuals residing in rural areas)’’; and 
(B) in subparagraph (G), by striking the 
period and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(3) the State agency shall, consistent with this 
section, promote the development and implementa-
tion of a State system of long-term care that is a 
comprehensive, coordinated system that enables 
older individuals to receive long-term care in home 
and community-based settings, in a manner respon-
sive to the needs and preferences of the older indi-
viduals and their family caregivers, by—
‘‘(A) collaborating, coordinating, and con-
sulting with other agencies in such State re-
sponsible for formulating, implementing, and 
administering programs, benefits, and services 
related to providing long-term care;
‘‘(B) participating in any State govern-
ment activities concerning long-term care, in-
cluding reviewing and commenting on any State 
rules, regulations, and policies related to long-
term care; 
‘‘(C) conducting analyses and making rec-
ommendations with respect to strategies for 
modifying the State system of long-term care to 
better—
‘‘(i) respond to the needs and pref-
erences of older individuals and family 
caregivers; 
‘‘(ii) facilitate the provision, by service 
providers, of long-term care in home and 
community-based settings; and 
‘‘(iii) target services to individuals at 
risk for institutional placement, to permit 
such individuals to remain in home and 
community-based settings; 
‘‘(D) implementing (through area agencies 
on aging, service providers, and such other enti-
ties as the State determines to be appropriate) 
evidence-based programs to assist older individ-
uals and their family caregivers in learning 
about and making behavioral changes intended
to reduce the risk of injury, disease, and dis-
ability among older individuals; and 
‘‘(E) providing for the availability and dis-
tribution (through public education campaigns, 
Aging and Disability Resource Centers, area 
agencies on aging, and other appropriate 
means) of information relating to—
‘‘(i) the need to plan in advance for 
long-term care; and 
‘‘(ii) the full range of available public 
and private long-term care (including inte-
grated long-term care) programs, options, 
service providers, and resources.’’. 
SEC. 306. AREA PLANS. 
Section 306 of the Older Americans Act of 1965 (42 
U.S.C. 3026) is amended—
(1) in subsection (a)—
(A) in paragraph (1)—
(i) by striking ‘‘(with particular atten-
tion to low-income minority individuals and 
older individuals residing in rural areas)’’ 
and inserting ‘‘(with particular attention to 
low-income older individuals, including low-
income minority older individuals, older in-
dividuals with limited English proficiency,
and older individuals residing in rural 
areas)’’; 
(ii) by striking ‘‘(with particular at-
tention to low-income minority individ-
uals)’’ and inserting ‘‘(with particular at-
tention to low-income older individuals, in-
cluding low-income minority older individ-
uals, older individuals with limited English 
proficiency, and older individuals residing 
in rural areas)’’; and 
(iii) by inserting ‘‘the number of older 
individuals at risk for institutional place-
ment residing in such area,’’ after ‘‘indi-
viduals) residing in such area,’’; 
(B) in paragraph (2)(A)—
(i) by inserting after ‘‘transpor-
tation,’’ the following: ‘‘health services (in-
cluding mental health services),’’; and 
(ii) by inserting after ‘‘information 
and assistance’’ the following: ‘‘(which may 
include information and assistance to con-
sumers on availability of services under 
part B and how to receive benefits under 
and participate in publicly supported pro-
grams for which the consumer may be eli-
gible)’’; 
(C) in paragraph (4)—
(i) in subparagraph (A)—
(I) by amending clause (i) to 
read as follows: 
‘‘(i)(I) provide assurances that the area agency 
on aging will—
‘‘(aa) set specific objectives, consistent 
with State policy, for providing services to older 
individuals with greatest economic need, older 
individuals with greatest social need, and older 
individuals at risk for institutional placement; 
‘‘(bb) include specific objectives for pro-
viding services to low-income minority older in-
dividuals, older individuals with limited English 
proficiency, and older individuals residing in 
rural areas; and 
‘‘(II) include proposed methods to achieve the 
objectives described in items (aa) and (bb) of sub-
clause (I);’’; and 
(II) in clause (ii), by inserting ‘‘, 
older individuals with limited English 
proficiency,’’ after ‘‘low-income minor-
ity individuals’’ each place it appears; 
and 
(ii) in subparagraph (B)—
(I) by moving the left margin of 
each of subparagraph (B), clauses (i) 
and (ii), and subclauses (I) through 
(VI) of clause (i), 2 ems to the left; 
and 
(II) in clause (i)—
(aa) in subclause (V), by 
striking ‘‘with limited English-
speaking ability; and’’ and insert-
ing ‘‘with limited English pro-
ficiency;’’; 
(bb) in subclause (VI), by 
striking ‘‘or related’’ and insert-
ing ‘‘and related’’; and 
(cc) by adding at the end 
the following: 
‘‘(VII) older individuals at risk for in-
stitutional placement; and’’; 
(D) in paragraph (5), by inserting ‘‘and in-
dividuals at risk for institutional placement’’ 
after ‘‘severe disabilities’’; 
(E) in paragraph (6)—