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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)— 
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(i) in subparagraph (C)— 
(I) in clause (i), by striking 
‘‘and’’ at the end; 
(II) in clause (ii), by adding 
‘‘and’’ at the end; and 
(III) by inserting after clause (ii) 
the following: 
‘‘(iii) make use of trained volunteers in 
providing direct services delivered to older indi-
viduals and individuals with disabilities needing 
such services and, if possible, work in coordina-
tion with organizations that have experience in 
providing training, placement, and stipends for 
volunteers or participants (such as organiza-
tions carrying out Federal service programs ad-
ministered by the Corporation for National and 
Community Service), in community service set-
tings;’’; 
(ii) in subparagraph (D)— 
(I) by inserting ‘‘family care-
givers of such individuals,’’ after 
‘‘Act,’’; and 
(II) by inserting ‘‘service pro-
viders, representatives of the business 
community,’’ after ‘‘individuals,’’; and 
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(iii) by amending subparagraph (F) to 
read as follows: 
‘‘(F) in coordination with the State agency 
and with the State agency responsible for men-
tal health services, increase public awareness of 
mental health disorders, remove barriers to di-
agnosis and treatment, and coordinate mental 
health 
services 
(including 
mental 
health 
screenings) provided with funds expended by 
the area agency on aging with mental health 
services provided by community health centers 
and by other public agencies and nonprofit pri-
vate organizations;’’; 
(F) in paragraph (7), to read as follows: 
‘‘(7) provide that the area agency on aging 
shall, consistent with this section, facilitate the area- 
wide development and implementation of a com-
prehensive, coordinated system for providing long- 
term care in home and community-based settings, in 
a manner responsive to the needs and preferences of 
older individuals and their family caregivers, by— 
‘‘(A) collaborating, coordinating activities, 
and consulting with other local public and pri-
vate agencies and organizations responsible for 
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administering programs, benefits, and services 
related to providing long-term care; 
‘‘(B) conducting analyses and making rec-
ommendations with respect to strategies for 
modifying the local 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 older individ-
uals at risk for institutional placement, to 
permit such individuals to remain in home 
and community-based settings; 
‘‘(C) implementing, through the agency or 
service providers, evidence-based programs to 
assist older individuals and their family care-
givers in learning about and making behavioral 
changes intended to reduce the risk of injury, 
disease, and disability among older individuals; 
and 
‘‘(D) providing for the availability and dis-
tribution (through public education campaigns, 
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Aging and Disability Resource Centers, the 
area agency on aging itself, and other appro-
priate 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;’’; 
(G) by striking paragraph (14) and the 2 
paragraphs (15); 
(H) by redesignating paragraph (16) as 
paragraph (14); and 
(I) by adding at the end the following: 
‘‘(15) provide assurances that funds received 
under this title will be used— 
‘‘(A) to provide benefits and services to 
older individuals, giving priority to older indi-
viduals identified in paragraph (4)(A)(i); and 
‘‘(B) in compliance with the assurances 
specified in paragraph (13) and the limitations 
specified in section 212; 
‘‘(16) provide, to the extent feasible, for the 
furnishing of services under this Act, consistent with 
self-directed care; and 
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‘‘(17) include information detailing how the 
area agency on aging will coordinate activities, and 
develop long-range emergency preparedness plans, 
with local and State emergency response agencies, 
relief organizations, local and State governments, 
and any other institutions that have responsibility 
for disaster relief service delivery.’’; 
(2) by redesignating subsections (b), (c), (d), 
and (e) as subsections (c), (d), (e), and (f); and 
(3) by inserting after subsection (a) the fol-
lowing: 
‘‘(b)(1) An area agency on aging may include in the 
area plan an assessment of how prepared the area agency 
on aging and service providers in the planning and service 
area are 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. 
‘‘(2) Such assessment may include— 
‘‘(A) the projected change in the number of 
older individuals in the planning and service area; 
‘‘(B) an analysis of how such change may affect 
such individuals, including individuals with low in-
comes, individuals with greatest economic need, mi-
nority older individuals, older individuals residing in 
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rural areas, and older individuals with limited 
English proficiency; 
‘‘(C) an analysis of how the programs, policies, 
and services provided by such area agency can be 
improved, and how resource levels can be adjusted to 
meet the needs of the changing population of older 
individuals in the planning and service area; and 
‘‘(D) an analysis of how the change in the num-
ber of individuals age 85 and older in the planning 
and service area is expected to affect the need for 
supportive services. 
‘‘(3) An area agency on aging, in cooperation with 
government officials, State agencies, tribal organizations, 
or local entities, may make recommendations to govern-
ment officials in the planning and service area and the 
State, on actions determined by the area agency to build 
the capacity in the planning and service area to meet the 
needs of older individuals for— 
‘‘(A) health and human services; 
‘‘(B) land use; 
‘‘(C) housing; 
‘‘(D) transportation; 
‘‘(E) public safety; 
‘‘(F) workforce and economic development; 
‘‘(G) recreation; 
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‘‘(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— 
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‘‘(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 
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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 
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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— 
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(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.’’; 
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(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)— 
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(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-
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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— 
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(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 
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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—’’; 
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(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 
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‘‘(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: 
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‘‘(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: 
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‘‘(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— 
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(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.— 
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(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 
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those who are in home care and at 40 to 85 percent 
for those who are in nursing homes; 
(3) the Institute of Medicine of the National 
Academy of Sciences has estimated that approxi-
mately 40 percent of community-residing persons 
age 65 and older have inadequate nutrient intakes; 
(4) older adults are susceptible to nutrient defi-
ciencies for a number of reasons, including a re-
duced capacity to absorb and utilize nutrients, dif-
ficulty chewing, and loss of appetite; 
(5) while diet is the preferred source of nutri-
tion, evidence suggests that the use of a single daily 
multivitamin-mineral supplement may be an effective 
way to address nutritional gaps that exist among the 
elderly population, especially the poor; and 
(6) the Dietary Guidelines for Americans state 
that multivitamin-mineral supplements may be use-
ful when they fill a specific identified nutrient gap 
that cannot be or is not otherwise being met by the 
individual’s intake of food. 
(b) SENSE OF CONGRESS.—It is the sense of Con-
gress that— 
(1) meal programs funded by the Older Ameri-
cans Act of 1965 contribute to the nutritional health 
of older adults; 
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(2) when the nutritional needs of older adults 
are not fully met by diet, use of a single, daily multi-
vitamin-mineral supplement may help prevent nutri-
tion deficiencies common in many older adults; 
(3) use of a single, daily multivitamin-mineral 
supplement can be a safe and inexpensive strategy 
to help ensure the nutritional health of older adults; 
and 
(4) nutrition service providers under the Older 
Americans Act of 1965 should consider whether in-
dividuals participating in congregate and home-deliv-
ered meal programs would benefit from a single, 
daily multivitamin-mineral supplement that is in 
compliance with all applicable government quality 
standards and provides at least 2⁄3 of the essential 
vitamins and minerals at 100 percent of the daily 
value levels as determined by the Commissioner of 
Food and Drugs. 
SEC. 319. IMPROVING INDOOR AIR QUALITY IN BUILDINGS 
WHERE OLDER INDIVIDUALS CONGREGATE. 
Section 361 of the Older Americans Act of 1965 (42 
U.S.C. 3030m) is amended by adding at the end the fol-
lowing: 
‘‘(c) The Assistant Secretary shall work in consulta-
tion with qualified experts to provide information on meth-
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ods of improving indoor air quality in buildings where 
older individuals congregate.’’. 
SEC. 320. CAREGIVER SUPPORT PROGRAM DEFINITIONS. 
Section 372 of the National Family Caregiver Sup-
port Act (42 U.S.C. 3030s) is amended— 
(1) in paragraph (1), by inserting ‘‘or who is an 
individual with a disability’’ after ‘‘age’’; 
(2) in paragraph (3)— 
(A) by striking ‘‘a child by blood or mar-
riage’’ and inserting ‘‘a child by blood, mar-
riage, or adoption’’; and 
(B) by striking ‘‘60’’ and inserting ‘‘55’’; 
(3) by inserting before ‘‘In this subpart’’ the 
following: ‘‘(a) IN GENERAL.—’’; 
(4) by striking paragraph (2); 
(5) by redesignating paragraph (3) as para-
graph (2); 
(6) by adding at the end the following: 
‘‘(b) RULE.—In providing services under this sub-
part— 
‘‘(1) for family caregivers who provide care for 
individuals with Alzheimer’s disease and related dis-
orders with neurological and organic brain dysfunc-
tion, the State involved shall give priority to care-
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givers who provide care for older individuals with 
such disease or disorder; and 
‘‘(2) for grandparents or older individuals who 
are relative caregivers, the State involved shall give 
priority to caregivers who provide care for children 
with severe disabilities.’’. 
SEC. 321. CAREGIVER SUPPORT PROGRAM. 
Section 373 of the National Family Caregiver Sup-
port Act (42 U.S.C. 3030s–1) is amended— 
(1) in subsection (b)(3), by striking ‘‘caregivers 
to assist’’ and all that follows through the end and 
inserting the following: ‘‘assist the caregivers in the 
areas of health, nutrition, and financial literacy, and 
in making decisions and solving problems relating to 
their caregiving roles;’’; 
(2) in subsection (c)— 
(A) in paragraph (1)(B), by striking ‘‘sub-
paragraph (A)(i) or (B) of section 102(28)’’ 
and inserting ‘‘subparagraph (A)(i) or (B) of 
section 102(22)’’; and 
(B) by striking paragraph (2) and insert-
ing the following: 
‘‘(2) PRIORITY.—In providing services under 
this subpart, the State, in addition to giving the pri-
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ority described in section 372(b), shall give pri-
ority— 
‘‘(A) to caregivers who are older individ-
uals with greatest social need, and older indi-
viduals with greatest economic need (with par-
ticular attention to low-income older individ-
uals); and 
‘‘(B) to older individuals providing care to 
individuals with severe disabilities, including 
children with severe disabilities.’’; 
(3) in subsection (d), to read as follows: 
‘‘(d) USE OF VOLUNTEERS.—In carrying out this 
subpart, each area agency on aging shall make use of 
trained volunteers to expand the provision of the available 
services described in subsection (b) and, if possible, work 
in coordination with organizations that have experience in 
providing training, placement, and stipends for volunteers 
or participants (such as organizations carrying out Fed-
eral service programs administered by the Corporation for 
National and Community Service), in community service 
settings.’’; 
(4) in subsection (e)(3), by adding at the end 
the following: ‘‘The reports shall describe any mech-
anisms used in the State to provide to persons who 
are family caregivers, or grandparents or older indi-
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viduals who are relative caregivers, information 
about and access to various services so that the per-
sons can better carry out their care responsibil-
ities.’’; 
(5) in subsection (f)(1), by striking ‘‘2001 
through 2005’’ and inserting ‘‘2007, 2008, 2009, 
2010, and 2011’’; and 
(6) in subsection (g)(2)(C), by inserting ‘‘of a 
child who is not more than 18 years of age’’ before 
the period at the end. 
SEC. 322. NATIONAL INNOVATION. 
Subpart 2 of part E of title III of the Older Ameri-
cans Act of 1965 (42 U.S.C. 3030s–11 et seq.) is repealed. 
TITLE 
IV—ACTIVITIES 
FOR 
HEALTH, 
INDEPENDENCE, 
AND LONGEVITY 
SEC. 401. TITLE. 
The Older Americans Act of 1965 is amended by in-
serting before section 401 (42 U.S.C. 3031) the following: 
‘‘TITLE 
IV—ACTIVITIES 
FOR 
HEALTH, 
INDEPENDENCE, 
AND LONGEVITY’’. 
SEC. 402. GRANT PROGRAMS. 
Section 411 of the Older Americans Act of 1965 (42 
U.S.C. 3032) is amended— 
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