‘‘(H) education; 
‘‘(I) civic engagement; 
‘‘(J) emergency preparedness; and 
‘‘(K) any other service as determined by such 
agency.’’. 
SEC. 307. STATE PLANS. 
Section 307(a) of the Older Americans Act of 1965 
(42 U.S.C. 3027(a)) is amended—
(1) in paragraph (2)(C), by striking ‘‘section 
306(b)’’ and inserting ‘‘section 306(c)’’; 
(2) in paragraph (4), by striking ‘‘, with par-
ticular attention to low-income minority individuals 
and older individuals residing in rural areas’’ and in-
serting ‘‘(with particular attention to low-income mi-
nority older individuals, older individuals with lim-
ited English proficiency, and older individuals resid-
ing in rural areas)’’; 
(3) by striking paragraph (15); 
(4) by redesignating paragraph (14) as para-
graph (15); 
(5) by inserting after paragraph (13) the fol-
lowing: 
‘‘(14) The plan shall, with respect to the fiscal 
year preceding the fiscal year for which such plan is 
prepared—
‘‘(A) identify the number of low-income 
minority older individuals in the State, includ-
ing the number of low-income minority older in-
dividuals with limited English proficiency; and 
‘‘(B) describe the methods used to satisfy 
the service needs of the low-income minority 
older individuals described in subparagraph (A), 
including the plan to meet the needs of low-in-
come minority older individuals with limited 
English proficiency.’’; 
(6) in paragraph (16)(A)—
(A) in clauses (ii) and (iii), by striking 
‘‘(with particular attention to low-income mi-
nority individuals and older individuals residing 
in rural areas)’’ each place it appears and in-
serting ‘‘(with particular attention to low-in-
come older individuals, including low-income 
minority older individuals, older individuals 
with limited English proficiency, and older indi-
viduals residing in rural areas)’’; and 
(B) in clause (vi), by striking ‘‘or related’’ 
and inserting ‘‘and related’’; and 
(7) by adding at the end the following: 
‘‘(27) The plan shall provide assurances that 
area agencies on aging will provide, to the extent
feasible, for the furnishing of services under this 
Act, consistent with self-directed care. 
‘‘(28)(A) The plan shall include, at the election 
of the State, an assessment of how prepared the 
State is, under the State’s statewide service delivery 
model, for any anticipated change in the number of 
older individuals during the 10-year period following 
the fiscal year for which the plan is submitted. 
‘‘(B) Such assessment may include—
‘‘(i) the projected change in the number of 
older individuals in the State; 
‘‘(ii) an analysis of how such change may 
affect such individuals, including individuals 
with low incomes, individuals with greatest eco-
nomic need, minority older individuals, older in-
dividuals residing in rural areas, and older indi-
viduals with limited English proficiency; 
‘‘(iii) an analysis of how the programs, 
policies, and services provided by the State can 
be improved, including coordinating with area 
agencies on aging, and how resource levels can 
be adjusted to meet the needs of the changing 
population of older individuals in the State; and 
‘‘(iv) an analysis of how the change in the 
number of individuals age 85 and older in the
State is expected to affect the need for sup-
portive services. 
‘‘(29) The plan shall include information detail-
ing how the State will coordinate activities, and de-
velop long-range emergency preparedness plans, with 
area agencies on aging, local emergency response 
agencies, relief organizations, local governments, 
State agencies responsible for emergency prepared-
ness, and any other institutions that have responsi-
bility for disaster relief service delivery. 
‘‘(30) The plan shall include information de-
scribing the involvement of the head of the State 
agency in the development, revision, and implemen-
tation of emergency preparedness plans, including 
the State Public Health Emergency Preparedness 
and Response Plan.’’. 
SEC. 308. PAYMENTS. 
Section 309(b)(2) of the Older Americans Act of 
1965 (42 U.S.C. 3029(b)(2)) is amended by striking ‘‘the 
non-Federal share required prior to fiscal year 1981’’ and 
inserting ‘‘10 percent of the cost of the services specified 
in such section 304(d)(1)(D)’’. 
SEC. 309. NUTRITION SERVICES INCENTIVE PROGRAM. 
Section 311 of the Older Americans Act of 1965 (42 
U.S.C. 3030a) is amended—
(1) in subsection (b), by adding at the end the 
following: 
‘‘(3) State agencies that elect to make grants and 
enter into contracts for purposes of this section shall 
promptly and equitably disburse amounts received under 
this subsection to the recipients of the grants and con-
tracts.’’; 
(2) in subsection (c)—
(A) in paragraph (1), by inserting ‘‘(in-
cluding bonus commodities)’’ after ‘‘commod-
ities’’; 
(B) in paragraph (2), by inserting ‘‘(in-
cluding bonus commodities)’’ after ‘‘commod-
ities’’; 
(C) in paragraph (3), by inserting ‘‘(in-
cluding bonus commodities)’’ after ‘‘products’’; 
and 
(D) by adding at the end the following: 
‘‘(4) Among the commodities provided under this sub-
section, the Secretary of Agriculture shall give special em-
phasis to foods of high nutritional value to support the 
health of older individuals. The Secretary of Agriculture, 
in consultation with the Assistant Secretary, is authorized 
to prescribe the terms and conditions respecting the provi-
sion of commodities under this subsection.’’;
(3) in subsection (d), to read as follows: 
‘‘(d)(1) Amounts provided under subsection (b) shall 
be available only for the purchase, by State agencies, re-
cipients of grants and contracts from the State agencies 
(as applicable), and title VI grantees, of United States ag-
ricultural commodities and other foods for their respective 
nutrition projects, subject to paragraph (2). 
‘‘(2) An entity specified in paragraph (1) may, at the 
option of such entity, use part or all of the amounts re-
ceived by the entity under subsection (b) to pay a school 
food authority (within the meaning of the Richard B. Rus-
sell National School Lunch Act (42 U.S.C. 1751 et seq.) 
to obtain United States agricultural commodities for such 
entity’s nutrition projects, in accordance with an agree-
ment between the entity and the school food authority, 
under which such payments—
‘‘(A) shall cover the cost of such commodities; 
and 
‘‘(B) may cover related expenses incurred by 
the school food authority, including the cost of 
transporting, distributing, processing, storing, and 
handling such commodities.’’; 
(4) in subsection (e), by striking ‘‘2001’’ and 
inserting ‘‘2007’’; and 
(5) in subsection (f)—
(A) in the matter preceding paragraph (1), 
by striking ‘‘the Secretary of Agriculture and 
the Secretary of Health and Human Services’’ 
and inserting ‘‘the Assistant Secretary and the 
Secretary of Agriculture’’; and 
(B) by striking paragraphs (1) and (2) and 
inserting the following: 
‘‘(1) school food authorities participating in 
programs authorized under the Richard B. Russell 
National School Lunch Act within the geographic 
area served by each such State agency, area agency 
on aging, and provider; and 
‘‘(2) the foods available to such State agencies, 
area agencies on aging, and providers under sub-
section (c).’’. 
SEC. 310. CONSUMER CONTRIBUTIONS. 
Section 315 of the Older Americans Act of 1965 (42 
U.S.C. 3030c–2) is amended—
(1) in subsection (b)—
(A) in paragraph (1)—
(i) by striking ‘‘provided that’’ and in-
serting ‘‘if’’; and 
(ii) by adding at the end the fol-
lowing: ‘‘Such contributions shall be en-
couraged for individuals whose self-de-
clared income is at or above 185 percent of 
the poverty line, at contribution levels 
based on the actual cost of services.’’; and 
(B) in paragraph (4)(E), by inserting ‘‘and 
to supplement (not supplant) funds received 
under this Act’’ after ‘‘given’’; 
(2) in subsection (c)(2), by striking ‘‘(with par-
ticular attention 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 individuals with limited 
English proficiency, and older individuals residing in 
rural areas)’’; and 
(3) in subsection (d), by striking ‘‘with par-
ticular attention to low-income and minority older 
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 individuals with lim-
ited English proficiency, and older individuals resid-
ing in rural areas)’’. 
SEC. 311. SUPPORTIVE SERVICES AND SENIOR CENTERS. 
Section 321(a) of the Older Americans Act of 1965 
(42 U.S.C. 3030d(a)) is amended—
(1) in paragraph (8), by inserting ‘‘(including 
mental health screening)’’ after ‘‘screening’’; 
(2) in paragraph (11), by striking ‘‘services’’ 
and inserting ‘‘provision of services and assistive de-
vices (including provision of assistive technology 
services and assistive technology devices)’’; 
(3) in paragraph (14)(B) by inserting ‘‘(includ-
ing mental health)’’ after ‘‘health’’; 
(4) in paragraph (21)—
(A) by striking ‘‘school-age children’’ and 
inserting ‘‘students’’; and 
(B) by inserting ‘‘services for older individ-
uals with limited English proficiency and’’ after 
‘‘including’’; 
(5) in paragraph (22) by striking the period at 
the end and inserting a semicolon; 
(6) by redesignating paragraph (23) as para-
graph (25); and 
(7) by inserting after paragraph (22) the fol-
lowing: 
‘‘(23) services designed to support States, area 
agencies on aging, and local service providers in car-
rying out and coordinating activities for older indi-
viduals with respect to mental health services, in-
cluding outreach for, education concerning, and
screening for such services, and referral to such 
services for treatment; 
‘‘(24) activities to promote and disseminate in-
formation about life-long learning programs, includ-
ing opportunities for distance learning; and’’. 
SEC. 312. NUTRITION SERVICE. 
After the part heading of part C of title III of the 
Older Americans Act of 1965 (42 U.S.C. 3030e et seq.), 
insert the following: 
‘‘SEC. 330. PURPOSES. 
‘‘The purposes of this part are—
‘‘(1) to reduce hunger and food insecurity; 
‘‘(2) to promote socialization of older individ-
uals; and 
‘‘(3) to promote the health and well-being of 
older individuals by assisting such individuals to 
gain access to nutrition and other disease prevention 
and health promotion services to delay the onset of 
adverse health conditions resulting from poor nutri-
tional health or sedentary behavior.’’. 
SEC. 313. CONGREGATE NUTRITION PROGRAM. 
Section 331 of the Older Americans Act of 1965 (42 
U.S.C. 3030e) is amended—
(1) by striking ‘‘projects—’’ and inserting 
‘‘projects that—’’;
(2) in paragraph (1), by striking ‘‘which,’’; 
(3) in paragraph (2), by striking ‘‘which’’; and 
(4) by striking paragraph (3), and inserting the 
following: 
‘‘(3) provide nutrition education, nutrition 
counseling, and other nutrition services, as appro-
priate, based on the needs of meal participants.’’. 
SEC. 314. HOME DELIVERED NUTRITION SERVICES. 
Section 336 of the Older Americans Act of 1965 (42 
U.S.C. 3030f) is amended to read as follows: 
‘‘SEC. 336. PROGRAM AUTHORIZED. 
‘‘The Assistant Secretary shall establish and carry 
out a program to make grants to States under State plans 
approved under section 307 for the establishment and op-
eration of nutrition projects for older individuals that pro-
vide—
‘‘(1) on 5 or more days a week (except in a 
rural area where such frequency is not feasible (as 
defined by the Assistant Secretary by rule) and a 
lesser frequency is approved by the State agency) at 
least 1 home delivered meal per day, which may con-
sist of hot, cold, frozen, dried, canned, fresh, or sup-
plemental foods and any additional meals that the 
recipient of a grant or contract under this subpart 
elects to provide; and
‘‘(2) nutrition education, nutrition counseling, 
and other nutrition services, as appropriate, based 
on the needs of meal recipients.’’. 
SEC. 315. CRITERIA. 
Section 337 of the Older Americans Act of 1965 (42 
U.S.C. 3030g) is amended to read as follows: 
‘‘SEC. 337. CRITERIA. 
‘‘The Assistant Secretary, in consultation with recog-
nized experts in the fields of nutrition science, dietetics, 
meal planning and food service management, and aging, 
shall develop minimum criteria of efficiency and quality 
for the furnishing of home delivered meal services for 
projects described in section 336.’’. 
SEC. 316. NUTRITION. 
Section 339 of the Older Americans Act of 1965 (42 
U.S.C. 3030g–21) is amended—
(1) in paragraph (1), to read as follows: 
‘‘(1) solicit the expertise of a dietitian or other 
individual with equivalent education and training in 
nutrition science, or if such an individual is not 
available, an individual with comparable expertise in 
the planning of nutritional services, and’’; and 
(2) in paragraph (2)—
(A) in subparagraph (A)—
(i) in clause (i), to read as follows:
‘‘(i) comply with the most recent Die-
tary Guidelines for Americans, published 
by the Secretary and the Secretary of Ag-
riculture, and’’; and 
(ii) in clause (ii)(I), by striking ‘‘daily 
recommended dietary allowances as’’ and 
inserting ‘‘dietary reference intakes’’; 
(B) in subparagraph (D), by inserting 
‘‘joint’’ after ‘‘encourages’’; 
(C) in subparagraph (G), to read as fol-
lows: 
‘‘(G) ensures that meal providers solicit 
the advice and expertise of—
‘‘(i) a dietitian or other individual de-
scribed in paragraph (1), 
‘‘(ii) meal participants, and 
‘‘(iii) other individuals knowledgeable 
with regard to the needs of older individ-
uals,’’; 
(D) in subparagraph (H), by striking ‘‘and 
accompany’’; 
(E) in subparagraph (I), by striking ‘‘and’’ 
at the end; and 
(F) by striking subparagraph (J) and in-
serting the following:
‘‘(J) provides for nutrition screening and 
nutrition education, and nutrition assessment 
and counseling if appropriate, and 
‘‘(K) encourages individuals who distribute 
nutrition services under subpart 2 to provide, to 
homebound older individuals, available medical 
information approved by health care profes-
sionals, such as informational brochures and in-
formation on how to get vaccines, including vac-
cines for influenza, pneumonia, and shingles, in 
the individuals’ communities.’’. 
SEC. 317. STUDY OF NUTRITION PROJECTS. 
(a) STUDY.—
(1) IN GENERAL.—The Assistant Secretary for 
Aging shall use funds allocated in section 206(g) of 
the Older Americans Act of 1965 (42 U.S.C. 
3017(g)) to enter into a contract with the Food and 
Nutrition Board of the Institute of Medicine of the 
National Academy of Sciences, for the purpose of es-
tablishing an independent panel of experts that will 
conduct an evidence-based study of the nutrition 
projects authorized by such Act. 
(2) STUDY.—Such study shall, to the extent 
data are available, include—
(A) an evaluation of the effect of the nutri-
tion projects authorized by such Act on—
(i) improvement of the health status, 
including nutritional status, of participants 
in the projects; 
(ii) prevention of hunger and food in-
security of the participants; and 
(iii) continuation of the ability of the 
participants to live independently; 
(B) a cost-benefit analysis of nutrition 
projects authorized by such Act, including the 
potential to affect costs of the Medicaid pro-
gram under title XIX of the Social Security Act 
(42 U.S.C. 1396 et seq.); and 
(C) an analysis of how and recommenda-
tions for how nutrition projects authorized by 
such Act may be modified to improve the out-
comes described in subparagraph (A), including 
recommendations for improving the nutritional 
quality of the meals provided through the 
projects and undertaking other potential strate-
gies to improve the nutritional status of the 
participants. 
(b) REPORTS.—
(1) REPORT TO THE ASSISTANT SECRETARY.—
The panel described in subsection (a)(1) shall sub-
mit to the Assistant Secretary a report containing 
the results of the evidence-based study described in 
subsection (a), including any recommendations de-
scribed in subsection (a)(2)(C). 
(2) REPORT
TO
CONGRESS.—The Assistant 
Secretary shall submit a report containing the re-
sults described in paragraph (1) to the Committee 
on Education and the Workforce of the House of 
Representatives and the Committee on Health, Edu-
cation, Labor, and Pensions of the Senate. 
SEC. 318. SENSE OF CONGRESS RECOGNIZING THE CON-
TRIBUTION OF NUTRITION TO THE HEALTH 
OF OLDER ADULTS. 
(a) FINDINGS.—Congress finds that—
(1) good nutrition is vital to good health, and 
a diet based on the Dietary Guidelines for Ameri-
cans may reduce the risk of chronic diseases such as 
cardiovascular 
disease, 
osteoporosis, 
diabetes, 
macular degeneration, and cancer; 
(2) the American Dietetic Association and the 
American Academy of Family Physicians have esti-
mated that the percentage of older adults who are 
malnourished is estimated at 20 to 60 percent for