‘‘(16) projects that address social isolation and 
loneliness among older adults; and’’. 
(b) REPEAL.—Section 416 of the Older Americans 
Act of 1965 (42 U.S.C. 3032e) is repealed. 
SEC. 119. YOUNGER ONSET ALZHEIMER’S DISEASE. 
(a) DEFINITION OF ‘‘FAMILY CAREGIVER’’.—Section 
302(3) of the Older Americans Act of 1965 (42 U.S.C. 
3022(3)) is amended by inserting ‘‘of any age’’ after ‘‘an 
individual’’ the 2d place it appears. 
(b) DEFINITION OF ‘‘RESIDENT’’.—Section 711(6) of 
the Older Americans Act of 1965 (42 U.S.C. 3058(6)) is 
amended by inserting ‘‘of any age’’ after ‘‘individual’’. 
SEC. 120. PRIORITY FOR THE SENIOR COMMUNITY SERVICE 
EMPLOYMENT PROGRAM. 
The Older Americans Act of 1965 (42 U.S.C. 3001 
et seq.) is amended— 
(1) in section 503(a)(4)(C)— 
(A) in clause (iii) by striking ‘‘and’’ at the 
end, 
(B) in clause (iv) by adding ‘‘and’’ at the 
end, and 
(C) by adding at the end the following: 
‘‘(v) eligible individuals who have been 
incarcerated or are under supervision fol-
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lowing the release from prison or jail with-
in the last 5 years.’’, 
(2) in 514(e)(1) by inserting ‘‘older individuals 
who have been incarcerated or are under supervision 
following the release from prison or jail’’ after 
‘‘need,’’, and 
(3) in section 518— 
(A) in subsection (a)(3)(B)(ii)— 
(i) in clause (IV) by striking ‘‘or’’ at 
the end, 
(ii) in clause (V) by striking the pe-
riod at the end and inserting ‘‘; or’’, and 
(iii) by adding at the end the fol-
lowing: 
‘‘(VI) have been incarcerated or are 
under supervision following the release 
from prison or jail within the last 5 
years.’’, and 
(B) in subsection (b)(2)— 
(i) in subparagraph (F) by striking 
‘‘or’’ at the end, 
(ii) in subparagraph (G) by striking 
the period at the end and inserting ‘‘; or’’, 
and 
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(iii) by adding at the end the fol-
lowing: 
‘‘(H) has been incarcerated or is under su-
pervision following the release from prison or 
jail within the last 5 years.’’. 
SEC. 121. DIRECT CARE WORKFORCE. 
(a) DEMONSTRATIONS.—Section 411(a) of the Older 
Americans Act of 1965 (42 U.S.C. 3032(a)), as amended 
by sections 112 and 118, is amended— 
(1) by redesignating paragraph (16) and (17) 
as paragraphs (17) and (18), respectively, and 
(2) by inserting after paragraph (15) the fol-
lowing: 
‘‘(16) in coordination with the Secretary of 
Labor, the demonstration of new strategies for the 
recruitment, retention, or advancement of direct care 
workers, and to solicit, develop and implement strat-
egies— 
‘‘(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 and retain 
direct care workers; 
‘‘(B) to provide supportive services and ca-
reer planning for direct care workers; and 
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‘‘(C) to support the advancement of direct 
care workers through education and workforce 
development programs that include necessary 
credential or licensing preparation, paid on-the- 
job training or work-based learning, and appro-
priate safety training.’’. 
(b) OLDER AMERICAN COMMUNITY SERVICE EM-
PLOYMENT PROGRAM.—Section 502(e)(2)(B) of the Older 
Americans Act of 1965 (42 U.S.C. 3056(e)(2)(B)) is 
amended— 
(1) in clause (iii) by striking ‘‘and’’ at the end, 
(2) in clause (iv) by adding ‘‘and’’ at the end, 
and 
(3) by adding at the end the following: 
‘‘(v) attract, retain, and advance the 
direct care workforce, in consultation with 
the Assistant Secretary, providing for 
wages and benefits needed to reduce bar-
riers for entry for a diverse and high-qual-
ity direct care workforce, supportive serv-
ices and career planning, and paid on-the- 
job training or work-based learning, with 
appropriate safety training;’’. 
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TITLE 
II—EMPOWERING 
THE 
AGING NETWORK TO MEET 
THE NEEDS OF OLDER INDI-
VIDUALS 
SEC. 201. NATIONAL FAMILY CAREGIVER SUPPORT PRO-
GRAM CAP. 
(a) FEDERAL SHARE.—Section 373(g)(2) of the 
Older Americans Act of 1965 (42 U.S.C. 3030s–1(g)(2)) 
is amended by striking subparagraph (C). 
(b) MONITORING THE IMPACT OF THE ELIMINATION 
OF THE CAP ON FUNDS FOR OLDER RELATIVE CARE-
GIVERS.— 
(1) REPORT.—Not later than 18 months after 
the date of the enactment of this Act, and annually 
thereafter, the Assistant Secretary shall submit to 
the Committee on Education and Labor of the 
House of Representatives and the Committee on 
Health, Education, Labor, and Pensions of the Sen-
ate a report on the impact of the amendment made 
by subsection (a) to eliminate the limitation on 
funds that States may allocate to provide support 
services to older relative caregivers in the National 
Family Caregiver Support Program established 
under part E of title III of the Older Americans Act 
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of 1965 (42 U.S.C. 3030s–3030s–2). Each such re-
port shall also be made available to the public. 
(2) CONTENTS.—For purposes of reports re-
quired by paragraph (1), each State that receives an 
allotment under such National Family Caregiver 
Support Program for fiscal year 2020 or a subse-
quent fiscal year shall report to the Assistant Sec-
retary for the fiscal year involved the amount of 
funds of the total Federal and non-Federal share al-
lotment used by the State to provide support serv-
ices for caregiver support for older relative care-
givers and family caregivers. 
SEC. 202. MINIMUM FUNDING LEVEL FOR STATE ADMINIS-
TRATIVE EXPENSES. 
Section 308(b)(2)(A) of the Older Americans Act of 
1965 (42 U.S.C. 30299(b)(2)(B)) is amended by striking 
‘‘$500,000’’ and inserting ‘‘$750,000’’. 
SEC. 203. CULTURALLY APPROPRIATE, MEDICALLY TAI-
LORED MEALS. 
Section 339(2)(A) of the Older Americans Act of 
1965 (42 U.S.C. 3939h(2)(A)) is amended by inserting 
‘‘, including cultural considerations and preferences and 
medically tailored meals’’ before the comma at the end. 
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SEC. 204. 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) of the Older 
Americans Act of 1965 (42 U.S.C. 3012(b)(9)) is amend-
ed— 
(1) in subparagraph (A) by striking ‘‘and’’ after 
the semicolon at the end, 
(2) in subparagraph (B) by inserting ‘‘and’’ 
after the semicolon at the end, and 
(3) by adding at the end the following: 
‘‘(C) business acumen, capacity building, 
organizational development, innovation, and 
other methods of growing and sustaining the 
capacity of the aging network to serve older in-
dividuals and caregivers most effectively;’’. 
(b) CLARIFYING PARTNERSHIPS FOR AREA AGEN-
CIES ON AGING.—Section 306 of the Older Americans Act 
of 1965 (42 U.S.C. 3026) is amended by adding at the 
end the following: 
‘‘(g) Nothing in this Act shall restrict an area agency 
on aging from providing services not provided or author-
ized by this Act, including through— 
‘‘(1) contracts with health care payers; 
‘‘(2) consumer private pay programs; or 
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‘‘(3) other arrangements with entities or indi-
viduals that increase the availability of home and 
community-based services and supports in the plan-
ning and service area supported by the area agency 
on aging.’’. 
SEC. 205. OTHER PRACTICES. 
Section 315 of the Older Americans Act of 1965 (42 
U.S.C. 3030c–2) is amended by adding at the end the fol-
lowing: 
‘‘(e) RESPONSE TO AREA AGENCIES ON AGING.— 
Upon request from an area agency on aging, the state 
shall make available any policies or guidance pertaining 
to policies under this section.’’. 
SEC. 206. CAREGIVER ASSESSMENTS. 
(a) DEFINITION OF CAREGIVER ASSESSMENT.—Sec-
tion 372(a) of the Older Americans Act of 1965 (42 
U.S.C. 3030s(a)) is amended by adding at the end the 
following: 
‘‘(4) 
CAREGIVER
ASSESSMENT.—The 
term 
‘caregiver assessment’ means a systematic process of 
gathering information about the situation of a care-
giver who voluntarily participates in such process to 
identify the caregiver’s specific needs, barriers, and 
existing supports as identified by the caregiver 
that— 
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‘‘(A) provides the opportunity for the rec-
ognized caregiver to participate in such process; 
‘‘(B) requires direct contact with the care-
giver and is used to appropriately target and 
tailor support services to the caregiver’s unique 
needs; and 
‘‘(C) includes reassessment of such specific 
needs, barriers, and existing supports, including 
to accommodate a significant change in the 
caregiving situation, which shall occur on a vol-
untary basis with the consent of the caregiver.’’. 
(b) USE
OF CAREGIVER ASSESSMENTS.—Section 
373(b) of the Older Americans Act of 1965 (42 U.S.C. 
3030s–1(b)) is amended by inserting ‘‘may be informed 
through the use of caregiver assessments and’’ after 
‘‘with,’’. 
(c) TECHNICAL ASSISTANCE
FOR CAREGIVER AS-
SESSMENTS.—Section 373 of the Older Americans Act of 
1965 (42 U.S.C. 3030s–1) is amended by adding at the 
end the following: 
‘‘(h) TECHNICAL ASSISTANCE FOR CAREGIVER AS-
SESSMENTS.—Not later than 1 year after the effective 
date of this subsection, the Assistant Secretary, in con-
sultation with caregivers, older individuals, individuals 
with a disability who receive care from an older relative 
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caregiver, the aging network, and other experts and stake-
holders, shall provide technical assistance to promote and 
implement the use of caregiver assessments. Such tech-
nical assistance shall include sharing available tools and 
templates, comprehensive assessment protocols, and best 
practices concerning— 
‘‘(1) conducting caregiver assessments and re-
assessments; 
‘‘(2) implementing such assessments that are 
consistent across a planning and service area; and 
‘‘(3) implementing caregiver support service 
plans, including referrals to and coordination of ac-
tivities with relevant State and local services.’’. 
(d) REPORTING ON CAREGIVER ASSESSMENT.—Sec-
tion 373(e) of the Older Americans Act of 1965 (42 
U.S.C. 3030s–1(e)) is amended— 
(1) in paragraph (3) by inserting ‘‘, including 
caregiver assessments used in the State,’’ after 
‘‘mechanisms’’, and 
(2) by adding at the end the following: 
‘‘(4) REPORT ON CAREGIVER ASSESSMENTS.— 
‘‘(A) IN GENERAL.—Not later than 3 years 
after the effective date of this paragraph, the 
Assistant Secretary shall issue a report on the 
use of caregiver assessments by area agencies 
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‘‘(v) recommendations for using care-
giver assessments, including in rural or un-
derserved areas; and 
‘‘(vi) feedback from State agencies 
and area agencies on aging, particularly in 
rural or underserved areas, on the imple-
mentation of caregiver assessments. 
‘‘(B) SUBMISSION.—Not later than 6 
months after the issuance of the report under 
paragraph (1), the Assistant Secretary shall 
submit the report to the Committee on Edu-
cation and Labor of the House of Representa-
tives, the Committee on Health, Education, 
Labor, and Pensions of the Senate, and the 
Special Committee on Aging of the Senate.’’. 
SEC. 207. RESEARCH AND EVALUATION. 
Section 201 of the Older Americans Act of 1965 (42 
U.S.C. 3011) is amended by adding at the end the fol-
lowing: 
‘‘(g)(1) The Assistant Secretary shall coordinate the 
research and evaluation functions of this Act under a Na-
tional Research, Demonstration, and Evaluation Center 
for the Aging Network (in this subsection referred to as 
the ‘Center’), which shall be headed by a director des-
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ignated by the Assistant Secretary from individuals de-
scribed in paragraph (4). 
‘‘(2) The purpose of the Center shall be— 
‘‘(A) to coordinate research, research dissemi-
nation, evaluation, demonstration projects, and re-
lated activities carried out under this Act; 
‘‘(B) to provide assessment of the programs au-
thorized under this Act; and 
‘‘(C) to increase the repository of information 
on evidence-based programs and interventions avail-
able to the aging network. Such information shall be 
applicable to existing programs and help in the de-
velopment of new evidence-based programs and 
interventions. 
‘‘(3) Activities of the Center shall include— 
‘‘(A) conducting, promoting, coordinating, and 
providing support for— 
‘‘(i) research and evaluation activities that 
support the objectives of this Act, including— 
‘‘(I) evaluation of new and existing 
programs and interventions authorized by 
this Act; and 
‘‘(II) research on and assessment of 
the impacts that programs and interven-
tions under this Act have on the health 
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outcomes, social determinants of health, 
quality of life, and independence of individ-
uals served under this Act; 
‘‘(ii) demonstration projects that support 
the objectives of the Act and activities to bring 
effective demonstration projects to scale with a 
prioritization of projects that address the needs 
of underserved populations; 
‘‘(iii) outreach and dissemination of re-
search findings; and 
‘‘(iv) technical assistance related to the ac-
tivities described in this subparagraph. 
‘‘(4) The director shall be an individual with substan-
tial knowledge of and experience in aging and health pol-
icy, and research administration. 
‘‘(5) Not later than October 1, 2020, and at 5-year 
intervals thereafter, the director shall prepare and publish 
in the Federal Register for public comment a draft of a 
5-year plan that— 
‘‘(A) outlines priorities for research, research 
dissemination, evaluation, and related activities; 
‘‘(B) explains the basis for such priorities; and 
‘‘(C) describes how the plan will meet the needs 
of underserved populations. 
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‘‘(6) The director shall, as appropriate, coordinate 
with other Federal departments and agencies involved in 
research in the field of aging. 
‘‘(7) Not later than December 31, 2020, and annually 
thereafter, the director shall prepare, and submit to the 
Secretary, the Committee on Health, Education, Labor, 
and Pensions of the Senate, the Special Committee on 
Aging of the Senate, and the Committee on Education and 
Labor of the House of Representatives, a report on the 
activities funded under this section and title IV. 
‘‘(8) The director shall, as appropriate, consult with 
experts on aging research and evaluation and aging net-
work stakeholders on the implementation of the activities 
described under paragraph (3) of this subsection. 
‘‘(9) The director shall coordinate all research and 
evaluation authorities under this Act.’’. 
SEC. 208. GRANT PROGRAM FOR MULTIGENERATIONAL 
COLLABORATION. 
Section 417 of the Older Americans Act of 1965 (42 
U.S.C. 3032f) is amended— 
(1) by amending subsection (a) to read as fol-
lows: 
‘‘(a) GRANTS AND CONTRACTS.—The Assistant Sec-
retary shall award grants to, and enter into contracts 
with, eligible organizations to carry out projects— 
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‘‘(1) to provide opportunities for older individ-
uals to participate in multigenerational activities and 
civic engagement activities that contribute to the 
health and wellness of older individuals and individ-
uals in younger generations by developing— 
‘‘(A) meaningful roles for participants; 
‘‘(B) reciprocity in relationship building; 
‘‘(C) reduced social isolation and improved 
participant social connectedness; 
‘‘(D) improved economic well-being for 
older individuals; 
‘‘(E) increased lifelong learning; or 
‘‘(F) support for family caregivers by— 
‘‘(i) providing support for older rel-
ative caregivers (as defined in section 372) 
raising children (such as kinship navigator 
programs); or 
‘‘(ii) involving volunteers who are 
older individuals who provide support and 
information to families who have a child 
with a disability or chronic illness, or other 
families in need of such family support; 
‘‘(2) to coordinate multigenerational activities 
and 
civic 
engagement 
activities, 
including 
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multigenerational nutrition and meal service pro-
grams; 
‘‘(3) to promote volunteerism, including becom-
ing a mentor to young people; and 
‘‘(4) to facilitate development of and participa-
tion in multigenerational activities and civic engage-
ment activities.’’, 
(2) by amending subsection (b) to read as fol-
lows: 
‘‘(b) USE OF FUNDS.— 
‘‘(1) IN
GENERAL.—An eligible organization 
shall use funds made available under a grant award-
ed, or a contract entered into, under this section to 
carry out a project described in subsection (a). 
‘‘(2) 
PROVISION
OF
PROJECTS
THROUGH 
GRANTEES.—In making grants under this section, 
the Assistant Secretary shall ensure that awards are 
made for the activities and projects described in 
each of paragraphs (1) and (2) of subsection (a).’’; 
(3) in subsection (c)— 
(A) in the matter preceding paragraph (1), 
by inserting ‘‘that serves individuals in younger 
generations and older individuals’’ after ‘‘to 
carry out a project’’; 
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(B) in paragraph (1) by inserting ‘‘, intent 
to carry out, or intent to partner with local or-
ganizations or multiservice organizations to 
carry out,’’ after ‘‘record of carrying out’’, 
(C) in paragraph (3) by striking ‘‘; and’’ 
and inserting a semicolon, 
(D) in paragraph (4) by striking the period 
at the end and inserting ‘‘; and’’, and 
(E) by adding at the end the following: 
‘‘(5) 
eligible 
organizations 
proposing 
multigenerational activity projects that utilize shared 
site programs, such as collocated child care and 
long-term care facilities.’’, 
(4) by amending subsection (e) to read as fol-
lows: 
‘‘(e) ELIGIBLE ORGANIZATIONS.—Organizations eli-
gible to receive a grant or enter into a contract under sub-
section (a) shall— 
‘‘(1) be a State, an area agency on aging, or an 
organization that provides opportunities for older in-
dividuals to participate in activities described in such 
subsection; and 
‘‘(2) have the capacity to conduct the coordina-
tion, promotion, and facilitation described in such 
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subsection through the use of multigenerational co-
ordinators.’’, 
(5) by striking subsection (g), 
(6) in subsection (h)(2)(B)(i) by striking ‘‘indi-
viduals from the generations with older individuals’’ 
and inserting ‘‘older individuals’’, 
(7) by redesignating subsections (b) through (f) 
as subsections (c) through (g), respectively, and 
(8) by inserting after subsection (a) the fol-
lowing: 
‘‘(b) GRANT PERIOD.—Each grant awarded or con-
tract made under subsection (a) shall be to carry out 
projects for a period of not less than 36 months.’’; 
TITLE 
III—STRENGTHENING 
PROTECTIONS FOR OLDER IN-
DIVIDUALS 
SEC. 301. STATE LONG-TERM CARE OMBUDSMAN PROGRAM 
MINIMUM FUNDING AND MAINTENANCE OF 
EFFORT. 
The Older Americans Act of 1965 (42 U.S.C. 3001 
et seq.) is amended— 
(1) in section 306(a)(9)— 
(A) by inserting ‘‘together with any other 
funds’’ after ‘‘Act’’, and 
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(B) by striking ‘‘2000’’ and inserting 
‘‘2019’’, and 
(2) in section 307(a)(9)— 
(A) by striking ‘‘an amount’’ and inserting 
‘‘the total amount’’, 
(B) by striking ‘‘2000’’ and inserting 
‘‘2019’’ each place it appears, and 
(C) by inserting ‘‘from all sources includ-
ing’’ after ‘‘received’’ each place it appears. 
SEC. 302. STATE LONG-TERM CARE VOLUNTEER OMBUDS-
MAN REPRESENTATIVES. 
Section 712(a)(5) of the Older Americans Act of 
1965 (42 U.S.C. 3058g(a)(5)) is amended— 
(1) by redesignating subparagraph (D) as sub-
paragraph (E), and 
(2) by inserting after subparagraph (C) the fol-
lowing: 
‘‘(D) 
VOLUNTEER
OMBUDSMAN
REP-
RESENTATIVES.—An individual designated as a 
volunteer ombudsman representative may re-
ceive financial support and recognition from the 
Office of the State Long-Term Care Ombuds-
man Program for expenses incurred during 
service.’’. 
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SEC. 303. CLARIFICATION REGARDING BOARD AND CARE 
FACILITIES. 
Section 102(35)(C) of the Older Americans Act of 
1965 (42 U.S.C. 3002(35)(C)) is amended by striking 
‘‘for purposes of sections 307(a)(12) and 712,’’. 
TITLE IV—MEETING THE NEEDS 
OF OLDER NATIVE AMERICANS 
SEC. 401. EXPANDING SUPPORTIVE SERVICES FOR NATIVE 
AMERICAN AGING PROGRAMS. 
Title VI of the Older Americans Act of 1965 (42 
U.S.C. 3057 et seq.) is amended— 
(1) in part D— 
(A) by amending section 643 to read as 
follows: 
‘‘SEC. 643. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There are authorized to be appropriated to carry out 
this title— 
‘‘(1) for parts A and B, $36,689,832 for fiscal 
year 2020, $38,891,222 for fiscal year 2021, 
$41,224,695 for fiscal year 2022, $43,698,177 for 
fiscal year 2023, and $46,320,067 for fiscal year 
2024; and 
‘‘(2) for part C subject to section 644, 
$11,324,854 for fiscal year 2020, $12,004,345 for 
fiscal year 2021, $12,724,606 for fiscal year 2022, 
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$13,488,082 for fiscal year 2023, and $14,297,367 
for fiscal year 2024.’’, and 
(B) by adding at the end the following: 
‘‘SEC. 644. FUNDING SET ASIDE. 
‘‘Of the funds appropriated under section 643(2) for 
a fiscal year, 5 percent shall be made available to carry 
out part D for such fiscal year.’’, 
(2) by redesignating part D as part E, and 
(3) by inserting after part C the following: 
‘‘PART D—SUPPORTIVE SERVICES FOR HEALTHY 
AGING AND INDEPENDENCE 
‘‘SEC. 636. PROGRAM. 
‘‘(a) IN GENERAL.—The Assistant Secretary shall 
carry out a demonstration program for making grants to 
tribal organizations or Native Hawaiians with applications 
approved under parts A and B, to pay for the Federal 
share of carrying out tribal programs, to enable the tribal 
organizations to provide a wider range of in-home and 
community supportive services to enable older individuals 
to maintain their health and independence and to avoid 
long-term care facility placement. 
‘‘(b) SUPPORTIVE SERVICES.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
supportive services described in subsection (a) may 
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‘‘(1) aging network support activities under this 
section, 
$14,549,157 
for 
fiscal 
year 
2020, 
$15,422,107 for fiscal year 2021, $16,347,433 for 
fiscal year 2022, $17,328,279 for fiscal year 2023, 
and $18,367,976 for fiscal year 2024; and 
‘‘(2) elder rights support activities under this 
section, 
$15,650,667 
for 
fiscal 
year 
2020, 
$16,589,707 for fiscal year 2021, $17,585,090 for 
fiscal year 2022, $18,640,195 for fiscal year 2023, 
and $19,758,607 for fiscal year 2024.’’. 
(e) Section 517(a) of the Older Americans Act of 
1965 (42 U.S.C. 3056o(a)) is amended to read as follows: 
‘‘(a) IN GENERAL.—There are authorized to be ap-
propriated to carry out this title $429,020,486 for fiscal 
year 
2020, 
$454,761,715 
for 
fiscal 
year 
2021, 
$482,047,418 for fiscal year 2022, $510,970,263 for fis-
cal year 2023, and $541,628,478 for fiscal year 2024.’’. 
(f) Section 702 of the Older Americans Act of 1965 
(42 U.S.C. 3058a) is amended to read as follows: 
‘‘SEC. 702. AUTHORIZATION OF APPROPRIATIONS. 
‘‘(a) OMBUDSMAN PROGRAM.—There are authorized 
to be appropriated to carry out chapter 2, $18,110,027 
for fiscal year 2020, $19,196,629 for fiscal year 2021, 
$20,348,427 for fiscal year 2022, $21,569,332 for fiscal 
year 2023, and $22,863,492 for fiscal year 2024. 
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