In the Senate of the United States, 
March 3, 2020. 
Resolved, That the bill from the House of Representa-
tives (H.R. 4334) entitled ‘‘An Act to amend the Older 
Americans Act of 1965 to authorize appropriations for fiscal 
years 2020 through 2024, and for other purposes.’’, do pass 
with the following 
AMENDMENT: 
Strike all after the enacting clause and insert the 
following: 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Supporting Older Amer-
icans Act of 2020’’. 
SEC. 2. TABLE OF CONTENTS. 
The table of contents of this Act is as follows: 
Sec. 1. Short title. 
Sec. 2. Table of contents. 
Sec. 3. References. 
Sec. 4. Definitions. 
TITLE I—MODERNIZING DEFINITIONS AND PROGRAMS UNDER THE 
ADMINISTRATION ON AGING 
Sec. 101. Reauthorization. 
Sec. 102. Person-centered, trauma-informed services.
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Sec. 103. Aging and Disability Resource Centers. 
Sec. 104. Assistive technology. 
Sec. 105. Vaccination. 
Sec. 106. Malnutrition. 
Sec. 107. Sexually transmitted diseases. 
Sec. 108. Addressing chronic pain management. 
Sec. 109. Screening for suicide risk. 
Sec. 110. Screening for fall-related traumatic brain injury; addressing public 
health emergencies and emerging health threats; negative health 
effects associated with social isolation. 
Sec. 111. Clarification regarding board and care facilities. 
Sec. 112. Person-centered, trauma-informed services definition. 
Sec. 113. Traumatic brain injury. 
Sec. 114. Modernizing the review of applications and providing technical assist-
ance for disasters. 
Sec. 115. Increased focus of Assistant Secretary on negative health effects associ-
ated with social isolation. 
Sec. 116. Notification of availability of or updates to policies, practices, and pro-
cedures through a uniform e-format. 
Sec. 117. Evidence-based program adaptation. 
Sec. 118. Business acumen provisions and clarification regarding outside funding 
for area agencies on aging. 
Sec. 119. Demonstration on direct care workers. 
Sec. 120. National resource center for older individuals experiencing the long- 
term and adverse consequences of trauma. 
Sec. 121. National Resource Center for Women and Retirement. 
Sec. 122. Family caregivers. 
Sec. 123. Interagency coordination. 
Sec. 124. Modernizing the Interagency Coordinating Committee on Healthy 
Aging and Age-Friendly Communities. 
Sec. 125. Professional standards for a nutrition official under the Assistant Sec-
retary. 
Sec. 126. Report on social isolation. 
Sec. 127. Research and evaluation. 
TITLE II—IMPROVING GRANTS FOR STATE AND COMMUNITY 
PROGRAMS ON AGING 
Sec. 201. Social determinants of health. 
Sec. 202. Younger onset Alzheimer’s disease. 
Sec. 203. Reauthorization. 
Sec. 204. Hold harmless formula. 
Sec. 205. Outreach efforts. 
Sec. 206. State Long-Term Care Ombudsman program minimum funding and 
maintenance of effort. 
Sec. 207. Coordination with resource centers. 
Sec. 208. Senior legal hotlines. 
Sec. 209. Increase in limit on use of allotted funds for State administrative costs. 
Sec. 210. Improvements to nutrition programs. 
Sec. 211. Review of reports. 
Sec. 212. Other practices. 
Sec. 213. Screening for negative health effects associated with social isolation and 
traumatic brain injury. 
Sec. 214. Supportive services and senior centers. 
Sec. 215. Culturally appropriate, medically tailored meals.
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Sec. 216. Nutrition services study. 
Sec. 217. National Family Caregiver Support program. 
Sec. 218. National Family Caregiver Support program cap. 
TITLE III—MODERNIZING ACTIVITIES FOR HEALTH, 
INDEPENDENCE, AND LONGEVITY 
Sec. 301. Reauthorization. 
Sec. 302. Public awareness of traumatic brain injury. 
Sec. 303. Falls prevention and chronic disease self-management education. 
Sec. 304. Demonstration to address negative health impacts associated with social 
isolation. 
Sec. 305. Technical assistance and innovation to improve transportation for older 
individuals. 
Sec. 306. Grant program for multigenerational collaboration. 
TITLE IV—SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM 
Sec. 401. Priority for the senior community service employment program. 
Sec. 402. Authorization of appropriations. 
TITLE V—ENHANCING GRANTS FOR NATIVE AMERICANS 
Sec. 501. Reauthorization. 
TITLE VI—MODERNIZING ALLOTMENTS FOR VULNERABLE ELDER 
RIGHTS PROTECTION ACTIVITIES AND OTHER PROGRAMS 
Sec. 601. Reauthorization; vulnerable elder rights protection activities. 
Sec. 602. Volunteer State long-term care ombudsman representatives. 
Sec. 603. Prevention of elder abuse, neglect, and exploitation. 
Sec. 604. Principles for person-directed services and supports during serious ill-
ness. 
Sec. 605. Extension of the Supporting Grandparents Raising Grandchildren Act. 
Sec. 606. Best practices for home and community-based ombudsmen. 
Sec. 607. Senior home modification assistance initiative. 
TITLE VII—MISCELLANEOUS 
Sec. 701. Technical corrections. 
SEC. 3. REFERENCES. 
Except as otherwise expressly provided in this Act, 
wherever in this Act an amendment or repeal is expressed 
in terms of an amendment to, or a repeal of, a section or 
other provision, the reference shall be considered to be made 
to that section or other provision of the Older Americans 
Act of 1965 (42 U.S.C. 3001 et seq.).
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SEC. 4. DEFINITIONS. 
In this Act, the terms ‘‘area agency on aging’’, ‘‘Assist-
ant Secretary’’, ‘‘greatest social need’’, ‘‘older individual’’, 
and ‘‘Secretary’’ have the meanings given such terms in sec-
tion 102 of the Older Americans Act of 1965 (42 U.S.C. 
3002). 
TITLE I—MODERNIZING DEFINI-
TIONS 
AND 
PROGRAMS 
UNDER THE ADMINISTRATION 
ON AGING 
SEC. 101. REAUTHORIZATION. 
Section 216 (42 U.S.C. 3020f) is amended to read as 
follows: 
‘‘SEC. 216. AUTHORIZATION OF APPROPRIATIONS. 
‘‘(a) IN GENERAL.—For purposes of carrying out this 
Act, there are authorized to be appropriated for administra-
tion, salaries, and expenses of the Administration 
$43,937,410 for fiscal year 2020, $46,573,655 for fiscal year 
2021, $49,368,074 for fiscal year 2022, $52,330,158 for fis-
cal year 2023, and $55,469,968 for fiscal year 2024. 
‘‘(b) ADDITIONAL AUTHORIZATIONS.—There are au-
thorized to be appropriated— 
‘‘(1) to carry out section 202(a)(21) (relating to 
the National Eldercare Locator Service), $2,180,660 
for fiscal year 2020, $2,311,500 for fiscal year 2021,
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of 1998 (29 U.S.C. 3003) to carry out State activities under 
such section.’’; 
(2) in section 306 (42 U.S.C. 3026)— 
(A) in subsection (a)(6)— 
(i) in subparagraph (G), by striking ‘‘; 
and’’ and inserting a semicolon; 
(ii) in subparagraph (H), by striking 
‘‘appropriate;’’ and inserting ‘‘appropriate; 
and’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(I) to the extent feasible, coordinate with the 
State agency to disseminate information about the 
State assistive technology entity and access to assist-
ive technology options for serving older individuals;’’; 
and 
(B) in subsection (b)(3)— 
(i) in subparagraph (K)— 
(I) by aligning the margins of the 
subparagraph with the margins of sub-
paragraph (J); and 
(II) by striking ‘‘; and’’ and in-
serting a semicolon; 
(ii) by redesignating subparagraph (L) 
as subparagraph (M); and
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(iii) by inserting after subparagraph 
(K) the following: 
‘‘(L) assistive technology devices and services; 
and’’; and 
(3) in section 411(a) (42 U.S.C. 3032(a))— 
(A) in paragraph (2), by inserting ‘‘, 
aligned with evidence-based practice,’’ after ‘‘ap-
plied social research’’; and 
(B) in paragraph (10), by inserting ‘‘con-
sistent with section 508 of the Rehabilitation Act 
of 1973 (29 U.S.C. 794d)’’ after ‘‘other tech-
nologies’’. 
SEC. 105. VACCINATION. 
Section 102(14) (42 U.S.C. 3002(14)) is amended— 
(1) in subparagraph (B), by inserting ‘‘immuni-
zation status,’’ after ‘‘oral health,’’; and 
(2) in subparagraph (D), by inserting ‘‘infec-
tious disease, and vaccine-preventable disease, as well 
as’’ after ‘‘cardiovascular disease),’’. 
SEC. 106. MALNUTRITION. 
The Older Americans Act of 1965 (42 U.S.C. 3001 et 
seq.) is amended— 
(1) in section 102(14)(B), as amended by section 
105(1), by inserting ‘‘(including screening for mal-
nutrition)’’ after ‘‘nutrition screening’’; and
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(2) in section 330(1), by striking ‘‘and food inse-
curity’’ and inserting ‘‘, food insecurity, and mal-
nutrition’’. 
SEC. 107. SEXUALLY TRANSMITTED DISEASES. 
Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as 
amended by section 105(2), is further amended by inserting 
‘‘prevention of sexually transmitted diseases,’’ after ‘‘vac-
cine-preventable disease,’’. 
SEC. 108. ADDRESSING CHRONIC PAIN MANAGEMENT. 
Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as 
amended by section 107, is further amended by inserting 
‘‘chronic pain management,’’ after ‘‘substance abuse reduc-
tion,’’. 
SEC. 109. SCREENING FOR SUICIDE RISK. 
Section 102(14)(G) (42 U.S.C. 3002(14)(G)) is amend-
ed by inserting ‘‘and screening for suicide risk’’ after ‘‘de-
pression’’. 
SEC. 110. SCREENING FOR FALL-RELATED TRAUMATIC 
BRAIN INJURY; ADDRESSING PUBLIC HEALTH 
EMERGENCIES 
AND 
EMERGING 
HEALTH 
THREATS; NEGATIVE HEALTH EFFECTS ASSO-
CIATED WITH SOCIAL ISOLATION. 
Section 102(14) (42 U.S.C. 3002(14)) is amended— 
(1) by redesignating subparagraphs (H) through 
(J), and subparagraphs (K) and (L), as subpara-
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graphs (I) through (K), and subparagraphs (M) and 
(O), respectively; 
(2) by inserting after subparagraph (G) the fol-
lowing: 
‘‘(H) screening for fall-related traumatic 
brain injury and other fall-related injuries, co-
ordination of treatment, rehabilitation and re-
lated services, and referral services related to 
such injury or injuries;’’; 
(3) by inserting after subparagraph (K), as re-
designated by paragraph (1), the following: 
‘‘(L) services that are a part of responses to 
a public health emergency or emerging health 
threat;’’; and 
(4) in subparagraph (M), as redesignated by 
paragraph (1), by striking ‘‘; and’’ and inserting a 
semicolon; 
(5) by inserting after subparagraph (M), as re-
designated by paragraph (1), the following: 
‘‘(N) screening for the prevention of nega-
tive health effects associated with social isolation 
and coordination of supportive services and 
health care to address negative health effects as-
sociated with social isolation; and’’; and
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(6) in subparagraph (O), as redesignated, by 
striking ‘‘(A) through (K)’’ and inserting ‘‘(A) 
through (N)’’. 
SEC. 111. CLARIFICATION REGARDING BOARD AND CARE 
FACILITIES. 
Section 102(35)(C) (42 U.S.C. 3002(35)(C)) is amend-
ed by striking ‘‘for purposes of sections 307(a)(12) and 
712,’’. 
SEC. 112. PERSON-CENTERED, TRAUMA-INFORMED SERV-
ICES DEFINITION. 
Section 102 (42 U.S.C. 3002) is amended— 
(1) by redesignating paragraphs (41) through 
(54) as paragraphs (42) through (55), respectively; 
and 
(2) by inserting after paragraph (40) the fol-
lowing: 
‘‘(41) The term ‘person-centered, trauma-in-
formed’, with respect to services, means services pro-
vided through an aging program that— 
‘‘(A) use a holistic approach to providing 
services or care; 
‘‘(B) promote the dignity, strength, and em-
powerment of victims of trauma; and
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‘‘(C) incorporate evidence-based practices 
based on knowledge about the role of trauma in 
trauma victims’ lives.’’. 
SEC. 113. TRAUMATIC BRAIN INJURY. 
Section 102 (42 U.S.C. 3002), as amended by section 
112, is further amended— 
(1) by redesignating paragraph (55) as para-
graph (56); and 
(2) by inserting after paragraph (54) the fol-
lowing: 
‘‘(55) The term ‘traumatic brain injury’ has the 
meaning given such term in section 393B(d) of the 
Public Health Service Act (42 U.S.C. 280b–1c(d)).’’. 
SEC. 114. MODERNIZING THE REVIEW OF APPLICATIONS 
AND 
PROVIDING 
TECHNICAL 
ASSISTANCE 
FOR DISASTERS. 
(a) REVIEW
OF APPLICATIONS.—Section 202 (42 
U.S.C. 3012) is amended— 
(1) by amending subsection (a)(4) to read as fol-
lows: 
‘‘(4) administer the grants provided by this Act, 
but not approve an application submitted by an ap-
plicant for a grant for an activity under a provision 
of this Act for which such applicant previously re-
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ceived a grant under such provision unless the Assist-
ant Secretary determines— 
‘‘(A) the activity for which such application 
was submitted is being operated, or was oper-
ated, effectively to achieve its stated purpose; and 
‘‘(B) such applicant has complied with the 
assurances provided to the Assistant Secretary 
with the application for such previous grant.’’; 
and 
(2) by adding at the end the following: 
‘‘(h) The Assistant Secretary shall publish, on an an-
nual basis, a list of centers and demonstration projects 
funded under each title of this Act. The Assistant Secretary 
shall ensure that this information is also directly provided 
to State agencies and area agencies on aging.’’. 
(b) ADDRESSING THE NEEDS OF OLDER INDIVIDUALS 
IN DISASTERS.—Section 202(a) (42 U.S.C. 3012(a)) is 
amended— 
(1) in paragraph (30), by striking ‘‘; and’’ and 
inserting a semicolon; 
(2) in paragraph (31), by striking the period at 
the end and inserting a semicolon; and 
(3) by adding at the end the following: 
‘‘(32) provide technical assistance to, and share 
best practices with, State agencies and area agencies
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on aging on how to collaborate and coordinate activi-
ties and develop long-range emergency preparedness 
plans with local and State emergency response agen-
cies, relief organizations, local and State governments, 
Federal agencies as appropriate, and any other insti-
tutions that have responsibility for disaster relief 
service delivery;’’. 
SEC. 115. INCREASED FOCUS OF ASSISTANT SECRETARY ON 
NEGATIVE 
HEALTH 
EFFECTS 
ASSOCIATED 
WITH SOCIAL ISOLATION. 
Section 202(a) (42 U.S.C. 3012(a)), as amended by 
section 114(b), is further amended by adding at the end 
the following: 
‘‘(33) with input from aging network stake-
holders, including caregivers, develop objectives, prior-
ities, and a long-term plan for supporting State and 
local efforts involving education about prevention of, 
detection of, and response to negative health effects as-
sociated with social isolation among older individ-
uals, and submit a report to Congress on this effort 
by January 2021; and’’.
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SEC. 116. NOTIFICATION OF AVAILABILITY OF OR UPDATES 
TO POLICIES, PRACTICES, AND PROCEDURES 
THROUGH A UNIFORM E-FORMAT. 
Section 202(a) (42 U.S.C. 3012(a)), as amended by 
sections 114(b) and 115, is further amended by adding at 
the end the following: 
‘‘(34) provide (to the extent practicable) a stand-
ardized notification to State agencies, area agencies 
on aging, providers of services under this Act, and 
grantees or contract awardees under this Act, through 
an electronic format (e-mail or other electronic notifi-
cation), of the availability of, or updates to, policies, 
practices, and procedures under this Act.’’. 
SEC. 117. EVIDENCE-BASED PROGRAM ADAPTATION. 
(a) FUNCTIONS OF THE ASSISTANT SECRETARY.—Sec-
tion 202 (42 U.S.C. 3012) is amended— 
(1) in subsection (a)(28), by inserting before the 
semicolon ‘‘, including information and technical as-
sistance on delivery of such services in different set-
tings’’; and 
(2) in subsection (b)(9)(B), by inserting before 
the semicolon ‘‘, including delivery of such services in 
different settings’’. 
(b) EVIDENCE-BASED
DISEASE
PREVENTION
AND 
HEALTH
PROMOTION
SERVICES.—Section 361(a) (42 
U.S.C. 3030m(a)) is amended in the second sentence by in-
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serting ‘‘provide technical assistance on the delivery of evi-
dence-based disease prevention and health promotion serv-
ices in different settings and for different populations, and’’ 
before ‘‘consult’’. 
SEC. 118. BUSINESS ACUMEN PROVISIONS AND CLARIFICA-
TION REGARDING OUTSIDE FUNDING FOR 
AREA AGENCIES ON AGING. 
(a) ASSISTANCE RELATING TO GROWING AND SUS-
TAINING
CAPACITY.—Section 
202(b)(9) 
(42 
U.S.C. 
3012(b)(9)) is amended— 
(1) in subparagraph (A), by striking ‘‘and’’ after 
the semicolon at the end; 
(2) in subparagraph (B), as amended by section 
117(a)(2), by inserting ‘‘and’’ after the semicolon at 
the end; and 
(3) by adding at the end the following: 
‘‘(C) activities for increasing business acu-
men, capacity building, organizational develop-
ment, innovation, and other methods of growing 
and sustaining the capacity of the aging network 
to serve older individuals and caregivers most ef-
fectively;’’. 
(b) CLARIFYING PARTNERSHIPS FOR AREA AGENCIES 
ON AGING.—Section 306 (42 U.S.C. 3026) is amended by 
adding at the end the following:
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‘‘(g) Nothing in this Act shall restrict an area agency 
on aging from providing services not provided or authorized 
by this Act, including through— 
‘‘(1) contracts with health care payers; 
‘‘(2) consumer private pay programs; or 
‘‘(3) other arrangements with entities or individ-
uals that increase the availability of home- and com-
munity-based services and supports.’’. 
(c) CONFORMING AMENDMENT.—Section 307(a) (42 
U.S.C. 3027(a)) is amended— 
(1) by striking paragraph (26); and 
(2) by redesignating paragraphs (27) through 
(30) as paragraphs (26) through (29). 
SEC. 119. DEMONSTRATION ON DIRECT CARE WORKERS. 
Section 411(a) (42 U.S.C. 3032(a)) is amended— 
(1) by redesignating paragraphs (13) and (14) 
as paragraphs (14) and (15), respectively; and 
(2) by inserting after paragraph (12) the fol-
lowing: 
‘‘(13) in coordination with the Secretary of 
Labor, the demonstration of new strategies for the re-
cruitment, retention, or advancement of direct care 
workers, and the soliciting, development, and imple-
mentation of strategies—
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‘‘(A) to reduce barriers to entry for a di-
verse and high-quality direct care workforce, in-
cluding providing wages, benefits, and advance-
ment opportunities needed to attract or retain 
direct care workers; and 
‘‘(B) to provide education and workforce de-
velopment programs for direct care workers that 
include supportive services and career plan-
ning;’’. 
SEC. 120. NATIONAL RESOURCE CENTER FOR OLDER INDI-
VIDUALS 
EXPERIENCING 
THE 
LONG-TERM 
AND ADVERSE CONSEQUENCES OF TRAUMA. 
Section 411(a) (42 U.S.C. 3032(a)), as amended by 
section 119, is further amended— 
(1) by redesignating paragraphs (14) and (15) 
as paragraphs (15) and (16), respectively; and 
(2) by inserting after paragraph (13) the fol-
lowing: 
‘‘(14) the establishment and operation of a na-
tional resource center that shall— 
‘‘(A) provide training and technical assist-
ance to agencies in the aging network delivering 
services to older individuals experiencing the 
long-term and adverse consequences of trauma;
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‘‘(B) share best practices with the aging net-
work; and 
‘‘(C) make subgrants to the agencies best po-
sitioned to advance and improve the delivery of 
person-centered, trauma-informed services for 
older individuals experiencing the long-term and 
adverse consequences of trauma;’’. 
SEC. 121. NATIONAL RESOURCE CENTER FOR WOMEN AND 
RETIREMENT. 
Section 215 (42 U.S.C. 3020e–1) is amended by add-
ing at the end the following: 
‘‘(k)(1) The Assistant Secretary shall, directly or by 
grant or contract, operate the National Resource Center for 
Women and Retirement (in this subsection referred to as 
the ‘Center’). 
‘‘(2) The Center shall— 
‘‘(A) provide tools, such as basic financial man-
agement, retirement planning, and other tools that 
promote financial literacy and help to identify and 
prevent exploitation (including fraud), and integrate 
these with information on health and long-term care; 
‘‘(B) annually disseminate a summary of out-
reach activities provided, including work to provide 
user-friendly consumer information and public edu-
cation materials;
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‘‘(C) develop targeted outreach strategies; 
‘‘(D) provide technical assistance to State agen-
cies and to other public and nonprofit private agen-
cies and organizations; and 
‘‘(E) develop partnerships and collaborations to 
address program objectives.’’. 
SEC. 122. FAMILY CAREGIVERS. 
(a) ADMINISTRATION.—Section 202 (42 U.S.C. 3012), 
as amended by section 114, is further amended by adding 
at the end the following: 
‘‘(i) The Assistant Secretary shall carry out the 
RAISE Family Caregivers Act (42 U.S.C. 3030s note).’’. 
(b) SUNSET.—Section 6 of the RAISE Family Care-
givers Act (42 U.S.C. 3030s note) is amended by striking 
‘‘3 years’’ and inserting ‘‘4 years’’. 
(c) CONFORMING AMENDMENT.—Section 2(3) of the 
RAISE Family Caregivers Act (42 U.S.C. 3030s note) is 
amended by inserting ‘‘, acting through the Assistant Sec-
retary for Aging’’ before the period at the end. 
SEC. 123. INTERAGENCY COORDINATION. 
(a) IN GENERAL.—The Assistant Secretary shall, in 
performing the functions of the Administration on Aging 
under section 202(a)(5) of the Older Americans Act of 1965 
(42 U.S.C. 3012(a)(5)) related to health (including mental 
and behavioral health) services, coordinate with the Assist-
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ant Secretary for Mental Health and Substance Use and 
the Director of the Centers for Disease Control and Preven-
tion— 
(1) in the planning, development, implementa-
tion, and evaluation of evidence-based policies, pro-
grams, practices, and other activities pertaining to 
the prevention of suicide among older individuals, in-
cluding the implementation of evidence-based suicide 
prevention programs and strategies identified by the 
National Center for Injury Prevention and Control at 
the Centers for Disease Control and Prevention and 
other entities, as applicable; and 
(2) in providing and incorporating technical as-
sistance for the prevention of suicide among older in-
dividuals, including technical assistance related to the 
Suicide Prevention Technical Assistance Center estab-
lished under section 520C of the Public Health Serv-
ice Act (42 U.S.C. 290bb–34). 
(b) PROGRAM DESIGN.—Section 202(a)(5) (42 U.S.C. 
3012(a)(5)) is amended by inserting ‘‘cultural experiences, 
activities, and services, including in the arts,’’ after ‘‘edu-
cation),’’.
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SEC. 
124. 
MODERNIZING 
THE 
INTERAGENCY 
COORDI-
NATING COMMITTEE ON HEALTHY AGING 
AND AGE-FRIENDLY COMMUNITIES. 
(a) 
FEDERAL
AGENCY
CONSULTATION.—Section 
203(b) (42 U.S.C. 3013(b)) is amended— 
(1) in paragraph (18), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (19), by striking the period at 
the end and inserting ‘‘, and’’; and 
(3) by adding at the end the following: 
‘‘(20) section 393D of the Public Health Service 
Act (42 U.S.C. 280b–1f), relating to safety of sen-
iors.’’. 
(b) MODERNIZATION.—Section 203(c) (42 U.S.C. 
3013(c)) is amended— 
(1) in paragraph (1)— 
(A) by striking ‘‘the Federal officials’’ and 
inserting ‘‘other Federal officials’’; 
(B) by striking ‘‘Committee on Aging’’ and 
inserting ‘‘Committee on Healthy Aging and 
Age-Friendly Communities’’; and 
(C) by inserting ‘‘and the development of a 
national set of recommendations, in accordance 
with paragraph (6), to support the ability of 
older individuals to age in place and access 
homelessness 
prevention 
services, 
preventive
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health care, promote age-friendly communities, 
and address the ability of older individuals to 
access long-term care supports, including access 
to caregivers and home- and community-based 
health services’’ before the period; 
(2) in paragraph (4), by adding at the end the 
following: ‘‘The first term, after the date of enactment 
of the Supporting Older Americans Act of 2020, shall 
start not later than 1 year after such date of enact-
ment.’’; 
(3) in paragraph (6)— 
(A) in the matter preceding subparagraph 
(A), by striking ‘‘The Committee shall’’ and in-
serting ‘‘The recommendations described in para-
graph (1) may include recommendations for’’; 
(B) in subparagraph (A)— 
(i) by striking ‘‘share information with 
and establish an ongoing system to’’ and in-
serting ‘‘ways to’’; and 
(ii) by striking ‘‘for older individuals 
and recommend improvements’’ and all that 
follows through ‘‘accessibility of such pro-
grams and services’’ and inserting ‘‘that 
impact older individuals’’; 
(C) in subparagraph (B)—
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(i) by striking ‘‘identify, promote, and 
implement (as appropriate),’’; 
(ii) in clause (i), by striking ‘‘and’’ 
after the semicolon; 
(iii) in clause (ii), by inserting ‘‘and’’ 
after the semicolon; and 
(iv) by adding at the end the following: 
‘‘(iii) best practices identified in coordina-
tion with the Centers for Disease Control and 
Prevention, the National Institute on Aging, the 
Centers for Medicare & Medicaid Services, the 
Office of Lead Hazard Control and Healthy 
Homes of the Department of Housing and Urban 
Development, and other Federal agencies, as ap-
propriate, to reduce and prevent falls among 
older individuals, that incorporate evidence- 
based falls prevention programs and home modi-
fications, which recommendations shall supple-
ment and not unnecessarily duplicate activities 
authorized under section 393D of the Public 
Health Service Act (42 U.S.C. 280b–1f), relating 
to safety of seniors;’’; 
(D) in subparagraph (C)— 
(i) by inserting ‘‘ways to’’ before ‘‘col-
lect’’;
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(ii) by striking ‘‘older individuals 
and’’; and 
(iii) by striking ‘‘the individuals to en-
sure’’ and all that follows through ‘‘infor-
mation’’ and inserting ‘‘older individuals to 
ensure that such information is accessible’’; 
(E) in subparagraph (D), by striking ‘‘work 
with’’ and all that follows through ‘‘member 
agencies to ensure’’ and inserting ‘‘ways to en-
sure’’; 
(F) in subparagraph (E), by striking ‘‘seek 
input’’ and all that follows through ‘‘founda-
tions’’ and inserting ‘‘seeking input from and 
consulting with nonprofit organizations, aca-
demic or research institutions, community-based 
organizations, philanthropic organizations, or 
other entities supporting age-friendly commu-
nities’’; 
(G) in subparagraph (F), by striking ‘‘iden-
tify’’ and inserting ‘‘identifying’’; and 
(H) by amending subparagraph (G) to read 
as follows: 
‘‘(G) ways to improve coordination to provide 
housing, health care, and other supportive services to 
older individuals.’’;
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(4) in paragraph (7)(A)(i), by striking ‘‘services 
for older individuals’’ and inserting ‘‘services that 
impact older individuals’’; and 
(5) by adding at the end the following: 
‘‘(9) In this subsection, the term ‘age-friendly commu-
nity’ means a community that— 
‘‘(A) is taking measurable steps to— 
‘‘(i) include adequate and accessible hous-
ing, public spaces and buildings, safe and secure 
paths, variable route transportation services, and 
programs and services designed to support health 
and well-being; 
‘‘(ii) respect and include older individuals 
in social opportunities, civic participation, vol-
unteerism, and employment; and 
‘‘(iii) facilitate access to supportive services 
for older individuals; 
‘‘(B) is not an assisted living facility or long- 
term care facility; and 
‘‘(C) has a plan in place to meet local needs for 
housing, transportation, civic participation, social 
connectedness, and accessible public spaces.’’. 
(c) ADMINISTRATION OF THE ACT.—Section 205(a)(2) 
(42 U.S.C. 3016(a)(2)) is amended—
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(1) by redesignating subparagraph (C) as sub-
paragraph (D); and 
(2) by inserting after subparagraph (B) the fol-
lowing: 
‘‘(C) The Assistant Secretary may provide technical 
assistance, including through the regional offices of the Ad-
ministration, to State agencies, area agencies on aging, 
local government agencies, or leaders in age-friendly com-
munities (as defined, for purposes of this subparagraph, in 
section 203(c)(9)) regarding— 
‘‘(i) dissemination of, or consideration of ways 
to implement, best practices and recommendations 
from the Interagency Coordinating Committee on 
Healthy Aging and Age-Friendly Communities estab-
lished under section 203(c); and 
‘‘(ii) methods for managing and coordinating ex-
isting programs to meet the needs of growing age- 
friendly communities.’’. 
SEC. 125. PROFESSIONAL STANDARDS FOR A NUTRITION 
OFFICIAL 
UNDER 
THE 
ASSISTANT 
SEC-
RETARY. 
Section 
205(a)(2)(D)(ii) 
(42 
U.S.C. 
3016(a)(2)(D)(ii)), as redesignated by section 124(c)(1), is 
amended to read as follows:
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‘‘(ii) be a registered dietitian or registered dieti-
tian nutritionist.’’. 
SEC. 126. REPORT ON SOCIAL ISOLATION. 
(a) PREPARATION OF REPORT.— 
(1) IN GENERAL.—The Secretary shall, in car-
rying out activities under section 206(a) of the Older 
Americans Act of 1965 (42 U.S.C. 3017(a)), prepare 
a report on programs authorized by such Act (42 
U.S.C. 3001 et seq.), and supported or funded by the 
Administration on Aging, that include a focus on ad-
dressing the negative health effects associated with so-
cial isolation through targeting older individuals 
identified as being in greatest social need, as appro-
priate. 
(2) IMPACT.—Such report shall identify— 
(A) whether social isolation is being ade-
quately addressed under such programs, includ-
ing, to the extent practicable— 
(i) the prevalence of social isolation in 
rural areas and in urban areas; 
(ii) the negative public health effects 
associated with social isolation; and 
(iii) the role of preventive measures or 
of services, including nutrition services, in 
addressing the negative health effects associ-
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ated with social isolation among older indi-
viduals; and 
(B) public awareness of and efforts to ad-
dress the negative health effects associated with 
social isolation. 
(3) TYPES
OF
PROGRAMS.—Such report shall 
identify whether programs described in paragraph 
(1)— 
(A) support projects in local communities 
and involve diverse sectors associated with such 
communities to decrease the negative health ef-
fects associated with social isolation among older 
individuals and caregivers; 
(B) support outreach activities to screen 
older individuals for negative health effects asso-
ciated with social isolation; and 
(C) include a focus on decreasing the nega-
tive health effects associated with social isolation. 
(4) RECOMMENDATIONS.—Such report shall, as 
appropriate, include recommendations for reducing 
the negative health effects associated with social isola-
tion and to address any negative health effects identi-
fied under clauses (ii) and (iii) of subparagraph (A), 
and subparagraph (B), of paragraph (2). 
(b) SUBMISSION OF REPORT.—
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(1) INTERIM STATUS REPORT.—Not later than 2 
years after the date of enactment of this Act, the Sec-
retary shall submit an interim report, to the commit-
tees of the Senate and of the House of Representatives 
with jurisdiction over the Older Americans Act of 
1965 (42 U.S.C. 3001 et seq.), and the Special Com-
mittee on Aging of the Senate, on the status of the 
evaluation underway to develop the final report re-
quired under this section. 
(2) FINAL REPORT.—Not later than 5 years after 
the date of enactment of this Act, the Secretary shall 
submit a final report that meets the requirements of 
this section to the committees of the Senate and of the 
House of Representatives with jurisdiction over the 
Older Americans Act of 1965 (42 U.S.C. 3001 et seq.), 
and the Special Committee on Aging of the Senate. 
SEC. 127. RESEARCH AND EVALUATION. 
(a) CENTER.—Section 201 (42 U.S.C. 3011) is amend-
ed by adding at the end the following: 
‘‘(g)(1) The Assistant Secretary shall, as appropriate, 
coordinate the research and evaluation functions of this Act 
under a Research, Demonstration, and Evaluation Center 
for the Aging Network (in this subsection referred to as the 
‘Center’), which shall be headed by a director designated
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under this Act and the health outcomes, social 
determinants of health, quality of life, and inde-
pendence of individuals served under this Act; 
‘‘(B) demonstration projects that support the ob-
jectives of this Act, including activities to bring effec-
tive 
demonstration 
projects 
to 
scale 
with 
a 
prioritization of projects that address the needs of un-
derserved populations, and promote partnerships 
among aging services, community-based organiza-
tions, and Medicare and Medicaid providers, plans, 
and health (including public health) systems; 
‘‘(C) outreach and dissemination of research 
findings; and 
‘‘(D) technical assistance related to the activities 
described in this paragraph. 
‘‘(4) The director shall be an individual with substan-
tial knowledge of and experience in aging and health policy, 
and research administration. 
‘‘(5) Not later than October 1, 2020, and at 5-year in-
tervals thereafter, the director shall prepare and publish in 
the Federal Register for public comment a draft of a 5-year 
plan that— 
‘‘(A) outlines priorities for research, research dis-
semination, evaluation, demonstration projects, and 
related activities;
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‘‘(B) explains the basis for such priorities; and 
‘‘(C) describes how the plan will meet the needs 
of underserved populations. 
‘‘(6) The director shall coordinate, as appropriate, re-
search, research dissemination, evaluation, and demonstra-
tion projects, and related activities with appropriate agency 
program staff, and, as appropriate, with other Federal de-
partments and agencies involved in research in the field of 
aging. 
‘‘(7) Not later than December 31, 2020, and annually 
thereafter, the director shall prepare, and submit to the Sec-
retary, the Committee on Health, Education, Labor, and 
Pensions of the Senate, the Special Committee on Aging of 
the Senate, and the Committee on Education and Labor 
of the House of Representatives, a report on the activities 
funded under this section and title IV. 
‘‘(8) The director shall, as appropriate, consult with 
experts on aging research and evaluation and aging net-
work stakeholders on the implementation of the activities 
described under paragraph (3) of this subsection. 
‘‘(9) The director shall coordinate, as appropriate, all 
research and evaluation authorities under this Act.’’. 
(b) EVALUATION.—Section 206 (42 U.S.C. 3017) is 
amended—
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(1) by redesignating subsections (b) through (g) 
as subsections (c) through (h), respectively; and 
(2) by inserting after subsection (a) the fol-
lowing: 
‘‘(b) Not later than July 1, 2020, the Secretary shall 
provide, directly or through grant or contract, for an eval-
uation of programs under this Act, which shall include, to 
the extent practicable, an analysis of the relationship of 
such programs, including demonstration projects under title 
IV of this Act, to health care expenditures under the Medi-
care program established under title XVIII of the Social Se-
curity Act (42 U.S.C. 1395 et seq.) and the Medicaid pro-
gram established under title XIX of the Social Security Act 
(42 U.S.C. 1396 et seq.). The Secretary shall oversee anal-
yses of data obtained in connection with program evalua-
tion to evaluate, where feasible, the relationship of programs 
under this Act to health care expenditures, including under 
the Medicare and Medicaid programs.’’. 
(c) REPORT ON HEALTH CARE EXPENDITURES.—Sec-
tion 207 (42 U.S.C. 3018) is amended by adding at the 
end the following: 
‘‘(d) The Assistant Secretary shall provide the evalua-
tion required under section 206(b) to— 
‘‘(1) the Committee on Health, Education, 
Labor, and Pensions of the Senate;
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‘‘(2) the Committee on Appropriations of the 
Senate; 
‘‘(3) the Special Committee on Aging of the Sen-
ate; 
‘‘(4) the Committee on Education and Labor of 
the House of Representatives; and 
‘‘(5) the Committee on Appropriations of the 
House of Representatives.’’. 
TITLE 
II—IMPROVING 
GRANTS 
FOR STATE AND COMMUNITY 
PROGRAMS ON AGING 
SEC. 201. SOCIAL DETERMINANTS OF HEALTH. 
Section 301(a)(1) (42 U.S.C. 3021(a)(1)) is amend-
ed— 
(1) in subparagraph (C), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (D), by striking the period 
at the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(E) measure impacts related to social de-
terminants of health of older individuals.’’. 
SEC. 202. YOUNGER ONSET ALZHEIMER’S DISEASE. 
The Act (42 U.S.C. 3001 et seq.) is amended— 
(1) in section 302(3) (42 U.S.C. 3022(3)), by in-
serting ‘‘of any age’’ after ‘‘an individual’’; and
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(2) in section 711(6) (42 U.S.C. 3058f(6)), by 
inserting ‘‘of any age’’ after ‘‘individual’’. 
SEC. 203. REAUTHORIZATION. 
(a) GRANTS FOR STATE AND COMMUNITY PROGRAMS 
ON AGING.—Subsections (a) through (e) of section 303 (42 
U.S.C. 3023) are amended to read as follows: 
‘‘(a)(1) There are authorized to be appropriated to 
carry out part B (relating to supportive services) 
$412,029,180 for fiscal year 2020, $436,750,931 for fiscal 
year 2021, $462,955,987 for fiscal year 2022, $490,733,346 
for fiscal year 2023, and $520,177,347 for fiscal year 2024. 
‘‘(2) Funds appropriated under paragraph (1) shall 
be available to carry out section 712. 
‘‘(b)(1) There are authorized to be appropriated to 
carry out subpart 1 of part C (relating to congregate nutri-
tion 
services) 
$530,015,940 
for 
fiscal 
year 
2020, 
$561,816,896 for fiscal year 2021, $595,525,910 for fiscal 
year 2022, $631,257,465 for fiscal year 2023, and 
$669,132,913 for fiscal year 2024. 
‘‘(2) There are authorized to be appropriated to carry 
out subpart 2 of part C (relating to home delivered nutri-
tion 
services) 
$268,935,940 
for 
fiscal 
year 
2020, 
$285,072,096 for fiscal year 2021, $302,176,422 for fiscal 
year 2022, $320,307,008 for fiscal year 2023, and 
$339,525,428 for fiscal year 2024.
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‘‘(c) Grants made under part B, and subparts 1 and 
2 of part C, of this title may be used for paying part of 
the cost of— 
‘‘(1) the administration of area plans by area 
agencies 
on 
aging 
designated 
under 
section 
305(a)(2)(A), including the preparation of area plans 
on aging consistent with section 306 and the evalua-
tion of activities carried out under such plans; and 
‘‘(2) the development of comprehensive and co-
ordinated systems for supportive services, and con-
gregate and home delivered nutrition services under 
subparts 1 and 2 of part C, the development and op-
eration of multipurpose senior centers, and the deliv-
ery of legal assistance. 
‘‘(d) There are authorized to be appropriated to carry 
out part D (relating to disease prevention and health pro-
motion services) $26,587,360 for fiscal year 2020, 
$28,182,602 for fiscal year 2021, $29,873,558 for fiscal year 
2022, $31,665,971 for fiscal year 2023, and $33,565,929 for 
fiscal year 2024. 
‘‘(e) There are authorized to be appropriated to carry 
out part E (relating to family caregiver support) 
$193,869,020 for fiscal year 2020, $205,501,161 for fiscal 
year 2021, $217,831,231 for fiscal year 2022, $230,901,105
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for fiscal year 2023, and $244,755,171 for fiscal year 
2024.’’. 
(b) NUTRITION SERVICES INCENTIVE PROGRAM.—Sec-
tion 311(e) (42 U.S.C. 3030a(e)) is amended to read as fol-
lows: 
‘‘(e) There are authorized to be appropriated to carry 
out this section (other than subsection (c)(1)) $171,273,830 
for fiscal year 2020, $181,550,260 for fiscal year 2021, 
$192,443,275 for fiscal year 2022, $203,989,872 for fiscal 
year 2023, and $216,229,264 for fiscal year 2024.’’. 
SEC. 204. HOLD HARMLESS FORMULA. 
(a) IN GENERAL.—Section 304(a)(3)(D) (42 U.S.C. 
3024(a)(3)(D)) is amended to read as follows: 
‘‘(D)(i) In this subparagraph and para-
graph (5)— 
‘‘(I) the term ‘allot’ means allot under 
this subsection from a sum appropriated 
under section 303(a) or 303(b)(1), as the 
case may be; and 
‘‘(II) the term ‘covered fiscal year’ 
means any of fiscal years 2020 through 
2029. 
‘‘(ii) If the sum appropriated under section 
303(a) or 303(b)(1) for a particular covered fis-
cal year is less than or equal to the sum appro-