I
105TH CONGRESS
1ST SESSION
H. R. 1671
To amend the Older Americans Act of 1965 to provide for Federal-State
performance partnerships, to consolidate all nutrition programs under
the Act in the Department of Health and Human Services, to extend
authorizations of appropriations for programs under the Act through
fiscal year 2000, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
MAY 20, 1997
Mr. MARTINEZ (for himself, Mr. GREEN, Mr. KENNEDY of Massachusetts, and
Mr. FILNER) introduced the following bill; which was referred to the
Committee on Education and the Workforce
A BILL
To amend the Older Americans Act of 1965 to provide
for Federal-State performance partnerships, to consoli-
date all nutrition programs under the Act in the Depart-
ment of Health and Human Services, to extend author-
izations of appropriations for programs under the Act
through fiscal year 2000, and for other purposes.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE; REFERENCES IN ACT; TABLE OF
CONTENTS.
(a) SHORT TITLE.—This Act may be cited as the
‘‘Older Americans Act Amendments of 1997’’.
(b) REFERENCE.—Except as otherwise expressly pro-
vided in this Act, whenever in this Act an amendment or
repeal is expressed in terms of an amendment to, or repeal
of, a section or other provision, the reference shall be con-
sidered to be made to a section or other provision of the
Older Americans Act of 1965 (42 U.S.C. 3001 et seq.).
(c) TABLE OF CONTENTS.—The table of contents of
this Act is as follows:
Sec. 1. Short title; references in Act; table of contents.
TITLE I—PERFORMANCE PARTNERSHIPS
Sec. 101. Responsibilities of Assistant Secretary.
Sec. 102. Funding of incentive awards.
Sec. 103. Responsibilities of States.
Sec. 104. Area plans: reorganization, streamlining, and incorporation of per-
formance partnerships.
Sec. 105. State plans: reorganization, streamlining, and incorporation of per-
formance partnerships.
Sec. 106. State administrative costs related to performance partnerships.
Sec. 107. Effective date.
TITLE II—OTHER AMENDMENTS TO THE OLDER AMERICANS ACT
OF 1965
Subtitle A—Administration on Aging
Sec. 201. Office functions.
Sec. 202. National Eldercare Locator Service and other functions of Assistant
Secretary.
Sec. 203. Authorization of appropriations for Federal Council on the Aging.
Sec. 204. Administration and evaluation.
Sec. 205. Reports.
Sec. 206. Nutrition education.
Sec. 207. Authorization of appropriations for Administration on Aging.
Subtitle B—State and Community Programs on Aging
Sec. 211. Clarification concerning services to individuals who are not older indi-
viduals.
Sec. 212. Authorization of appropriations.
Sec. 213. Allotment.
Sec. 214. Organization.
Sec. 215. Area plans.
Sec. 216. State option for cost-sharing.
Sec. 217. State plans.
Sec. 218. Transfer of funds between programs.
Sec. 219. Availability of disaster relief funds to organizations.
Sec. 220. Nutrition services incentive program.
Sec. 221. Waivers of certain requirements for State programs.
Sec. 222. Consolidation of authorities for supportive services and senior centers.
Sec. 223. Consolidation of authorities for nutrition services.
Sec. 224. Repeal of superseded authorities.
Subtitle C—Research, Development, and Demonstrations
Sec. 231. Revision of title IV.
Subtitle D—Community Service Employment for Older Americans
Sec. 241. Phased reduction of Federal share.
Sec. 242. Authorization of appropriations.
Subtitle E—Grants for Native Americans
Sec. 251. Technical and conforming amendments.
Sec. 252. Authorization of appropriations.
Subtitle F—Vulnerable Elder Rights Protection
Sec. 261. Authorization of appropriations.
Sec. 262. Technical and conforming amendments.
Sec. 263. Assistance program for insurance and public benefits.
Sec. 264. Native American program.
Sec. 265. General provisions.
Subtitle G—Technical Amendments
Sec. 271. Definitions.
Sec. 272. Technical and conforming amendments to other Acts.
Sec. 273. Overall technical amendments.
Subtitle H—Effective Date
Sec. 281. Effective date.
TITLE III—WHITE HOUSE CONFERENCE ON AGING
Sec. 301. Definitions.
Sec. 302. White House Conference authorized.
Sec. 303. Conference administration.
Sec. 304. Policy Committee; related committees.
Sec. 305. Report of the Conference.
Sec. 306. Authorization of appropriations.
Sec. 307. Conforming amendment.
TITLE I—PERFORMANCE
PARTNERSHIPS
SEC. 101. RESPONSIBILITIES OF ASSISTANT SECRETARY.
(a) DEFINITIONS.—Section 102 (42 U.S.C. 3002) is
amended by adding at the end the following new
paragraph:
‘‘(45)(A) The term ‘performance indicator’
means a quantifiable characteristic used as a
measurement.
‘‘(B) The term ‘performance target’ means a
numerical value that a State seeks to achieve within
a specified period of time.’’.
(b) FUNCTIONS OF ASSISTANT SECRETARY.—Section
202(a)(3) (42 U.S.C. 3012(a)(3)) is amended by inserting
before the semicolon ‘‘, and negotiate and enter into per-
formance partnership agreements with the States under
sections 305A and 704A’’.
(c) PERFORMANCE
PARTNERSHIPS.—Title II is
amended by inserting after section 202 (42 U.S.C. 3012)
the following new section:
‘‘SEC. 202A. PERFORMANCE PARTNERSHIPS.
‘‘(a) IN GENERAL.—The Assistant Secretary shall
negotiate and enter into performance partnership agree-
ments under sections 305A and 704A with States in ac-
cordance with this section.
‘‘(b) PERFORMANCE OBJECTIVES AND MEASURES.—
‘‘(1) SPECIFICATION OF OBJECTIVES.—The As-
sistant Secretary, in consultation (as appropriate)
with States, local governments, tribal organizations,
governing bodies for Native Hawaiians, and other
entities, shall specify by September 30, 1998 (and
from time to time revise, as the Assistant Secretary
determines to be necessary), with respect to the
goals specified in sections 305A and 704A—
‘‘(A) a list of performance partnership ob-
jectives, from which the States shall derive ob-
jectives specified in the agreements, to accom-
plish the goal of each such section; and
‘‘(B) for each such section, a core set of
such specified objectives (referred to individ-
ually in this section as a ‘core objective’) that
address needs of older individuals that are
needs of national significance.
‘‘(2) ELEMENTS
RELATED
TO
PERFORMANCE
PARTNERSHIP OBJECTIVES.—For each performance
partnership objective specified under paragraph (1),
the Assistant Secretary shall specify—
‘‘(A) a performance indicator;
‘‘(B) the specific population addressed by
the objective;
‘‘(C) a quantifiable performance target;
and
‘‘(D) a date by which the target is to be
achieved.
‘‘(3) GENERAL PRINCIPLES FOR SPECIFICATION
OF OBJECTIVES.—In specifying such a performance
partnership objective, the Assistant Secretary shall
be guided, to the extent the Assistant Secretary de-
termines appropriate, by the following principles:
‘‘(A) RELATED
TO
GOALS; IMPORTANT;
UNDERSTANDABLE.—The objective should be
closely related to the goal of section 305A or
704A, as appropriate, and be viewed as impor-
tant by and understandable to State policy-
makers and the general public.
‘‘(B) RELATIONSHIP
TO
AGREEMENT.—
Based on consultation with State agencies, the
Assistant Secretary should expect that the As-
sistant Secretary will enter into a performance
partnership agreement that specifies actions
that will have an impact on the objective.
‘‘(C) MEASURABLE PROGRESS.—Based on
consultation with State agencies, the Assistant
Secretary should expect that the parties to the
agreement will be able to make measurable
progress in achieving the objective over the pe-
riod of the grant to be made to carry out the
agreement.
‘‘(D) RESULTS-ORIENTED.—The objective
should be results-oriented. Collectively, the ob-
jectives specified under paragraph (1) should
include a suitable mix of outcome, process, and
capacity measures. If such an objective includes
a process or capacity measure, the objective
should be demonstrably linked to the achieve-
ment 
of 
a 
specified 
outcome 
for 
older
individuals.
‘‘(4) DATA.—The Assistant Secretary shall
specify data to be collected and submitted to the As-
sistant Secretary by a State agency entering into
such an agreement, to measure the extent to which
the objectives specified in the agreement achieve the
performance targets for the objectives. The data
shall, to the extent practicable, be comparable for all
States, meet reasonable statistical standards for
quality, and be available in a timely fashion, at ap-
propriate intervals, and at reasonable cost, and, with
respect to core objectives, shall include as appro-
priate the data specified in section 202(a)(19), col-
lected in accordance with the uniform procedures es-
tablished pursuant to section 202(a)(29).
‘‘(c) 
STATE
PERFORMANCE
PARTNERSHIP
PROPOSAL.—
‘‘(1) IN GENERAL.—A State agency shall in-
clude, in the State plan submitted under section
307, a proposal for a performance partnership
agreement that shall contain—
‘‘(A) a list of 1 or more objectives (derived
from the performance partnership objectives
specified under subsection (b) or selected under
paragraph (2)) toward which the State will
work;
‘‘(B) for each objective specified under
subparagraph (A)—
‘‘(i) a performance indicator;
‘‘(ii) the specific population addressed
by the objective;
‘‘(iii) a quantifiable performance tar-
get; and
‘‘(iv) a date by which the target is to
be achieved, which shall be not later than
the end of the period of the partnership
agreement (referred to in this section as
the ‘partnership period’) (which shall be
coterminous with the period covered by the
State plan under section 307);
‘‘(C) a rationale for the selection of the ob-
jectives, including a rationale for the perform-
ance targets and dates described in clauses (iii)
and (iv) of subparagraph (B);
‘‘(D) a statement of the strategies of the
agency for achieving the objectives over the
course of the partnership period;
‘‘(E) a statement of the estimated amount
to be expended to carry out each such strategy;
and
‘‘(F) an assurance that the State agency
will report to the Assistant Secretary, not later
than 60 days after the end of each fiscal year,
on progress in the State toward achieving—
‘‘(i) core objectives (regardless of
whether the State is working toward such
objectives); and
‘‘(ii) the specific objectives toward
which the State is working under the per-
formance partnership agreement.
‘‘(2) 
SELECTION
OF
ADDITIONAL
OBJEC-
TIVES.—In selecting objectives for the proposal de-
scribed in paragraph (1), a State agency may select
an objective that is not a performance partnership
objective specified under subsection (b)(1)(A) if the
State agency demonstrates to the Assistant Sec-
retary that—
‘‘(A) the objective selected relates to a sig-
nificant concern of older individuals in the
State that would not otherwise be addressed ap-
propriately; and
‘‘(B) a suitable performance indicator ex-
ists to measure progress toward the objective.
‘‘(3) ELEMENTS OF STATE PROPOSALS RELAT-
ING
TO
SPECIAL
POPULATIONS.—Each State pro-
posal described in paragraph (1) that is submitted
with respect to activities carried out under title III
or VII shall include, as appropriate, objectives—
‘‘(A) designed, in consultation with a tribal
organization or a governing body for Native
Hawaiians (or a representative of such an orga-
nization or such a body) to address the needs
of older American Indians, older Alaskan Na-
tives, and older Native Hawaiians, as appro-
priate, within the State and to ensure that an
appropriate and equitable share of State fund-
ing under such title is used to meet such needs;
and
‘‘(B) designed to give priority to activities
addressing the needs of vulnerable older individ-
uals in the State.
‘‘(d) NEGOTIATIONS AND ADJUSTMENT.—
‘‘(1) INITIAL
NEGOTIATIONS.—The Assistant
Secretary shall enter into negotiations with a State
agency regarding the proposal for a performance
partnership agreement submitted by the State in ac-
cordance with subsection (c)(1). In the negotiations
concerning the agreement, the Assistant Secretary
shall—
‘‘(A) consider the extent to which the pro-
posed objectives, performance targets, dates,
and strategies described in the proposal are
likely to address appropriately the most signifi-
cant needs of older individuals (as measured by
applicable performance indicators) within the
State, including the needs of vulnerable popu-
lations; and
‘‘(B) give particular consideration to the
effectiveness of the activities described in the
proposal in addressing progress toward achiev-
ing the core objectives.
‘‘(2) ADJUSTMENT.—The Assistant Secretary
and the State agency may at any time in the course
of the partnership period renegotiate, and revise by
mutual agreement, the elements of the partnership
agreement in light of new information or changed
circumstances (including information or changes
identified during assessments or on-site reviews con-
ducted under subsection (e)).
‘‘(e) ANNUAL ASSESSMENTS; PERIODIC ON-SITE
REVIEWS.—
‘‘(1) ASSESSMENTS.—
‘‘(A) IN
GENERAL.—The Assistant Sec-
retary shall annually conduct an assessment
with respect to the performance partnerships
carrying out activities under title III or VII, on
the basis of the reports submitted by State
agencies under subsection (c)(1)(F), in order to
determine—
‘‘(i) the progress achieved collectively
by the partnerships toward each of the
core objectives; and
‘‘(ii) in consultation with each State,
the progress in the State toward achieving
each objective in the performance partner-
ship agreement relating to activities car-
ried out under such title.
‘‘(B) AVAILABILITY.—The Assistant Sec-
retary shall make the assessments publicly
available.
‘‘(2) PERIODIC
ON-SITE
REVIEWS.—Not less
often than once every 5 years, the Assistant Sec-
retary shall conduct an on-site review of the adher-
ence of each State to the performance partnership
agreement of the State entered into under section
305A or 704A, as appropriate.
‘‘(f) 
INCENTIVE
AWARDS
FOR
EFFECTIVE
PERFORMANCE.—
‘‘(1) IN
GENERAL.—From amounts reserved
under section 304(a)(5), the Assistant Secretary
may make an incentive award to any State that the
Assistant Secretary determines, on the basis of as-
sessments or on-site reviews conducted under sub-
section (e) or of other investigation, has performed
effectively under a performance partnership agree-
ment entered into under section 305A or 704A and
to have made significant progress toward achieving
the core objectives.
‘‘(2) USE
OF
FUNDS.—An incentive award
made to a State under paragraph (1) shall be avail-
able only for use in furnishing additional services
under the performance partnership agreement of the
State entered into under such section.’’.
SEC. 102. FUNDING OF INCENTIVE AWARDS.
(a) IN
GENERAL.—Section 304(a) (42 U.S.C.
3024(a)) is amended—
(1) in paragraph (1)—
(A) in the matter preceding subparagraph
(A), by striking ‘‘, from the sums appropriated’’
and inserting ‘‘, from the amounts remaining
(after the Assistant Secretary makes such res-
ervation as the Assistant Secretary determines
to be appropriate under paragraph (5)) of the
sums appropriated’’; and
(B) in each of subparagraphs (A), (B), and
(C), by striking ‘‘sum appropriated’’ and insert-
ing ‘‘remaining amounts’’; and
(2) by adding at the end the following:
‘‘(5) From each of the sums appropriated under sec-
tion 303 for each fiscal year, the Assistant Secretary may
reserve not more than 10 percent to make incentive
awards to States in accordance with section 202A(f).’’.
(b) TECHNICAL
AMENDMENT.—Section 304 (42
U.S.C. 3024) is amended by striking subsection (e).
SEC. 103. RESPONSIBILITIES OF STATES.
(a) BASIC STATE GRANTS PROGRAM.—Title III is
amended by inserting after section 305 (42 U.S.C. 3025)
the following new section:
‘‘SEC. 305A. PERFORMANCE PARTNERSHIPS.
‘‘(a) GOALS.—The goal of this section is for the
States and the Federal Government, working together in
a partnership, to accomplish the purpose specified in sec-
tion 301(a).
‘‘(b) PERFORMANCE PARTNERSHIP AS ELEMENT OF
STATE PLAN.—In order to be eligible to receive a grant
from the allotment of a State under this title, except as
provided in the second sentence of section 309(a), the
State agency shall propose to, negotiate with, and enter
into with, the Assistant Secretary a performance partner-
ship agreement in accordance with this section and section
202A, and shall include the proposal for such agreement
as part of the State plan submitted under section 307.
‘‘(c) ADVISORY COUNCIL.—The State agency shall
establish an Advisory Council that—
‘‘(1) shall have members including representa-
tives of—
‘‘(A) other State agencies administering
programs serving older individuals;
‘‘(B) private entities providing services
under the State plan; and
‘‘(C) older individuals (with appropriate ef-
forts to include minority older individuals); and
‘‘(2) shall have responsibilities that shall
include—
‘‘(A) reviewing and commenting on the
proposal of the State for a performance part-
nership agreement to be negotiated and entered
into under this section (which comments shall
be submitted with the State plan submitted
under section 307) during the development of
the proposal; and
‘‘(B) evaluating and reporting on the per-
formance of the State under the final perform-
ance partnership agreement negotiated and en-
tered into with the Assistant Secretary under
this section.’’.
(b) VULNERABLE ELDER RIGHTS PROTECTION PRO-
GRAM.—Title VII is amended by inserting after section
704 (42 U.S.C. 3058c) the following new section:
‘‘SEC. 704A. PERFORMANCE PARTNERSHIPS.
‘‘(a) GOALS.—The goal of this section is for the
States and the Federal Government, working together in
a partnership, to protect the rights of vulnerable older in-
dividuals and to prevent elder abuse, neglect, and
exploitation.
‘‘(b) STATE PERFORMANCE PARTNERSHIP AS ELE-
MENT OF STATE PLAN.—In order to be eligible to receive
a grant from the allotment of a State under this title, the
State agency shall propose to, negotiate with, and enter
into with, the Assistant Secretary a performance partner-
ship agreement in accordance with this section and section
202A, and shall include the proposal for such agreement
as part of the State plan submitted under section 307.
‘‘(c) ADVISORY COUNCIL.—The responsibilities of the
advisory council established by the State pursuant to sec-
tion 305A(c) shall include—
‘‘(1) reviewing and commenting on the proposal
of the State for a performance partnership agree-
ment to be negotiated and entered into under this
section (which comments shall be submitted with the
State plan submitted under section 307) during the
development of the proposal; and
‘‘(2) evaluating and reporting on the perform-
ance of the State under the final performance part-
nership agreement negotiated and entered into with
the Assistant Secretary under this section.’’.
SEC. 104. AREA PLANS: REORGANIZATION, STREAMLINING,
AND 
INCORPORATION 
OF 
PERFORMANCE
PARTNERSHIPS.
(a) AREA PLAN REQUIREMENTS.—Section 306(a)
(42 U.S.C. 3026(a)) is amended—
(1) in the third sentence, in the matter preced-
ing paragraph (1), by striking ‘‘Each such plan
shall—’’ and inserting ‘‘Each such plan shall comply
with the following requirements:’’;
(2) by striking paragraph (1) and inserting the
following:
‘‘(1) The plan shall provide for furnishing,
through a comprehensive and coordinated system,
services that—
‘‘(A) are services for which a need has
been determined pursuant to paragraph (3);
‘‘(B) are designed to meet the performance
objectives specified under paragraph (4); and
‘‘(C) include—
‘‘(i) supportive services (including at
least the services specified in paragraph
(2));
‘‘(ii) nutrition services; and
‘‘(iii) where appropriate, the establish-
ment, maintenance, or construction of mul-
tipurpose senior centers.’’;
(3) in paragraph (2)—
(A) in the matter preceding subparagraph
(A)—
(i) by inserting ‘‘The plan shall’’ after
‘‘(2)’’; and
(ii) by striking ‘‘section 307(a)(22)’’
and inserting ‘‘section 307(a)(2)(C)’’; and
(B) in the matter following subparagraph
(C)—
(i) by striking ‘‘and specify annually
in such plan, as submitted or as amend-
ed,’’ and inserting ‘‘and an assurance that
the area agency on aging will report annu-
ally to the State agency’’; and
(ii) by striking the semicolon at the
end and inserting a period;
(4) by striking paragraphs (3) (relating to des-
ignation of focal points for service delivery in each
community) and (4) (relating to information and as-
sistance services);
(5) by inserting after paragraph (2) the follow-
ing new paragraphs:
‘‘(3) The plan shall provide for determining the
extent of need for the services specified in subpara-
graphs (B) and (C) of paragraph (1), and the serv-
ices specified in paragraph (2), in the area taking
into consideration, among other things—
‘‘(A) the numbers of older individuals re-
siding in such area—
‘‘(i) who have low incomes;
‘‘(ii) who have the greatest economic
need (with particular attention to individ-
uals who are members of historically dis-
advantaged groups);
‘‘(iii) who have the greatest social
need (with particular attention to individ-
uals who are members of historically dis-
advantaged groups); or
‘‘(iv) who are older American Indians,
older Alaskan Natives, or older Native Ha-
waiians; and
‘‘(B) the effectiveness of the use of re-
sources (including efforts of volunteers and vol-
untary organizations) in meeting such need.
‘‘(4) The plan shall—
‘‘(A) identify, for purposes of the perform-
ance partnerships required under sections 305A
and 704A—
‘‘(i) area objectives, which shall be
identified on the basis of the determina-
tions made under paragraph (3) and shall
include objectives required under para-
graph (5); and
‘‘(ii) for each area objective—
‘‘(I) a performance indicator;
‘‘(II) the specific population ad-
dressed by the objective;
‘‘(III) a quantifiable performance
target; and
‘‘(IV) a date by which the target
is to be achieved; and
‘‘(B) be amended as necessary to incor-
porate, as appropriate, the objectives specified
in the performance partnership agreements ne-
gotiated and entered into by the State agency
under sections 305A and 704A.’’;
(6) in paragraph (5)—
(A) in subparagraph (A)—
(i) in clause (i)—
(I) by inserting ‘‘The plan shall’’
after ‘‘(i)’’; and
(II) by striking the semicolon
and inserting a period;
(ii) in clause (ii)—
(I) by inserting ‘‘The plan shall’’
after ‘‘(ii)’’; and
(II) in subclause (III), by strik-
ing ‘‘; and’’ and inserting a period;
and
(iii) in clause (iii)—
(I) by inserting ‘‘The plan shall,’’
after ‘‘(iii)’’;
(II) in subclause (I), by striking
the semicolon and inserting ‘‘; and’’;
(III) by striking subclause (II);
(IV) by redesignating subclause
(III) as subclause (II); and
(V) in subclause (II) (as redesig-
nated in subclause (IV)), by striking
the semicolon and inserting a period;
(B) in subparagraph (B)—
(i) by inserting ‘‘The plan shall’’ after
‘‘(B)’’;
(ii) in clause (i), by indenting the sub-
clauses and aligning the margins of the
subclauses with the margins of subclause
(I) of paragraph (6)(E)(ii);
(iii) by indenting the clauses and
aligning the margins of the clauses with
the margins of subparagraph (A) of para-
graph (6);
(iv) by indenting subparagraph (B)
and aligning the margins of the subpara-
graph with the margins of subparagraph
(C); and
(v) in clause (ii), by striking ‘‘; and’’
and inserting a period; and
(C) in subparagraph (C)—
(i) by inserting ‘‘The plan shall’’ after
‘‘(C)’’; and
(ii) by striking the semicolon and in-
serting a period;
(7) in paragraph (6)—
(A) by inserting ‘‘The plan shall’’ after
‘‘(6)’’;
(B) by striking subparagraphs (A) (relat-
ing to evaluations and public hearings) and (B)
(relating to technical assistance to providers);
(C)(i) by redesignating subparagraph (D)
as subparagraph (A); and
(ii) moving such subparagraph (A) so that
such subparagraph precedes subparagraph (C);
(D)(i) by redesignating subparagraph (F)
as subparagraph (B);
(ii) by moving such subparagraph (B) so
that such subparagraph precedes subparagraph
(C); and
(iii) by striking the semicolon at the end of
such subparagraph (B) and inserting ‘‘; and’’;
(E) by striking the semicolon at the end of
subparagraph (C) and inserting a period; and
(F) by striking subparagraphs (E) (relat-
ing to arrangements with specified organiza-
tions), (G) (relating to methods for determining
priority services), (H) (relating to coordination
among programs), (J) (relating to identification
of protective services providers), (L) (relating to
coordination of services for victims of Alz-
heimer’s disease), (M) (relating to coordination
of mental health services), (O) (relating to in-
formation on higher education), (Q) (relating to
coordination with housing providers), (R) (relat-
ing to telephone listings of area agencies on
aging), and (S) (relating to coordination of
transportation services);
(8) by striking paragraphs (7) through (10)
(relating to assurances that funds will be spent for
the purposes awarded);
(9)(A) by striking subparagraphs (I) and (K) of
paragraph (6) (relating to community-based long-
term care services); and
(B) by inserting after paragraph (6) the follow-
ing new paragraph:
‘‘(7) The plan shall provide that the area agen-
cy on aging will facilitate the coordination of com-
munity-based, long-term care services designed to
enable older individuals to remain in their homes, by
means including—
‘‘(A) developing case management services
as a component of the long-term care services,
consistent with the requirements of paragraph
(8);
‘‘(B) involving long-term care providers in
the coordination of such services; and
‘‘(C) increasing community awareness of,
and involvement in addressing, the needs of
residents of long-term care facilities.’’;
(10)(A) by redesignating paragraph (20) as
paragraph (8);
(B) by moving such paragraph (8) so that such
paragraph follows paragraph (7) (as inserted in
paragraph (9)); and
(C) in such paragraph (8), by inserting ‘‘The
plan shall’’ after ‘‘(8)’’;
(11)(A) by redesignating paragraph (11) as
paragraph (9); and
(B) in such paragraph (9)—
(i) by inserting ‘‘The plan shall’’ after
‘‘(9)’’;
(ii) by striking ‘‘section 307(a)(12)’’ and
inserting ‘‘section 307(a)(9)’’; and
(iii) by striking the semicolon at the end
and inserting a period;
(12)(A) by redesignating paragraph (6)(P) as
paragraph (10);
(B) by moving such paragraph (10) so that
such paragraph follows paragraph (9) (as redesig-
nated in paragraph (11));
(C) by indenting such paragraph (10) and
aligning the margins of such paragraph with the
margins of such paragraph (9); and
(D) in such paragraph (10)—
(i) by inserting ‘‘The plan shall’’ after
‘‘(10)’’; and
(ii) by striking the semicolon and inserting
a period;
(13)(A) by striking paragraphs (6)(N), (18),
and (19) (relating to services for older American In-
dians, older Alaskan Natives, and older Native Ha-
waiians); and
(B) by inserting after such paragraph (10) the
following paragraph:
‘‘(11) The plan shall provide the following as-
surances concerning services to individuals who are
older American Indians, older Alaskan Natives, or
older Native Hawaiians:
‘‘(A) If there is a significant population of
older American Indians, older Alaskan Natives,
or older Native Hawaiians in the area, the area
agency on aging will pursue activities, including
outreach, to increase the access of such individ-
uals to programs and benefits under this title.
‘‘(B) The area agency on aging will, to the
maximum extent practicable, coordinate the
services the agency provides under this title
with services provided under title VI.’’;
(14) by striking paragraphs (12) (relating to an
area option concerning a volunteer services coordina-
tor) and (13) through (16) (relating to description
of and assurances concerning activities of an area
agency on aging); and
(15)(A) by redesignating paragraph (17) as
paragraph (12); and
(B) in such paragraph (12)—
(i) by inserting ‘‘The plan shall’’ after
‘‘(12)’’;
(ii) by striking ‘‘section 307(a)(13)(G)’’
and inserting ‘‘section 307(a)(10)(D)’’; and
(iii) by striking the semicolon and inserting
a period.
(b) STATE WAIVERS.—Section 306(b) (42 U.S.C.
3026(b)) is amended—
(1) by striking paragraph (2) (relating to proce-
dural requirements for State agency waivers to area
agencies on aging); and
(2) by striking ‘‘(1)’’ after ‘‘(b)’’.
SEC. 105. STATE PLANS: REORGANIZATION, STREAMLINING,
AND 
INCORPORATION 
OF 
PERFORMANCE
PARTNERSHIPS.
(a) IN
GENERAL.—Section 307(a) (42 U.S.C.
3027(a)) is amended—
(1) by striking paragraph (1) and inserting the
following:
‘‘(1) The plan shall—
‘‘(A) provide that each area agency on
aging designated under section 305(a)(2)(A)
will—
‘‘(i) develop and submit to the State
agency for approval, in accordance with a
uniform format developed by the State
agency, an area plan that meets the re-
quirements of section 306, including the
requirement of section 306(a)(4) that the
plan identify area objectives for purposes
of the performance partnerships required
under sections 305A and 704A; and
‘‘(ii) amend such area plan as nec-
essary to incorporate, as appropriate, ob-
jectives specified in the performance part-
nership agreements negotiated and entered
into by the State agency under such sec-
tions 305A and 704A;
‘‘(B) be based on such area plans; and
‘‘(C) include the proposed performance
partnership agreements to be negotiated and
entered into with the Assistant Secretary under
such sections 305A and 704A (in accordance
with section 202A).’’;
(2)(A) by striking paragraphs (3)(A) (relating
to evaluation of need for services), (9) (relating to
information and assistance services), and (22) (relat-
ing to funding shares for priority services); and
(B) by amending paragraph (2) to read as
follows:
‘‘(2) The plan shall provide that the State agen-
cy will—
‘‘(A) evaluate, using uniform procedures
specified in section 202(a)(29), the need for
supportive services (including legal assistance,
information and assistance, and transportation
services), nutrition services, and multipurpose
senior centers, within the State;
‘‘(B) determine the extent to which public
or private programs and resources (including
volunteers and programs and services of vol-
untary organizations) meet such need; and
‘‘(C) specify minimum percentages, of the
funds received by each area agency on aging to
carry out activities under part B, to be ex-
pended by such area agency on aging to provide
each of the categories of services specified in
section 306(a)(2) (unless the State agency
waives the expenditure requirement specified in
this subparagraph for a category under section
306(b)).’’;
(3)(A) by striking paragraphs (3)(B) (relating
to maintaining rural funding), (29) (relating to rural
services), (33) (relating to intrastate distribution of
funds), and (37) (relating to the costs of rural serv-
ices); and
(B) by inserting after paragraph (2) the follow-
ing new paragraph:
‘‘(3) The plan shall—
‘‘(A) include (and may not be approved un-
less the Assistant Secretary approves) the state-
ment and demonstration required by para-
graphs (2) and (4) of section 305(d) (relating
to intrastate distribution of funds); and
‘‘(B) with respect to services for older indi-
viduals residing in rural areas—
‘‘(i) provide assurances that the State
agency will expend for such services for
each fiscal year, under this title and titles
V and VII, not less than 105 percent of
the amount expended for such services by
the State for fiscal year 1978 under this
Act;
‘‘(ii) include information identifying,
for each fiscal year for which the plan ap-
plies, the projected costs of providing such
services (including the cost of providing ac-
cess to such services) in the State under
this Act; and
‘‘(iii) describe the methods used to
meet the needs for such services in the
State in the fiscal year preceding the first
year for which such plan applies.’’;
(4) by striking paragraph (4) (relating to meth-
ods of administration and personnel standards);
(5)(A) by striking paragraph (8) (relating to
evaluations and hearings); and
(B) by inserting after paragraph (3) the follow-
ing paragraph:
‘‘(4) The plan shall provide that the State agen-
cy will conduct periodic evaluations of, and public
hearings on, activities and projects carried out under
the State plan.’’;
(6)(A) by striking paragraph (43) (relating to
grievance procedures); and
(B) by amending paragraph (5) (relating to a
hearing for area agencies on aging and providers) to
read as follows:
‘‘(5) The plan shall provide that the State agen-
cy will—
‘‘(A) afford an opportunity for a hearing
on request, in accordance with published proce-
dures, to any area agency on aging submitting
a plan under this title and to any provider of
(or applicant seeking to provide) services under
such a plan; and
‘‘(B) issue guidelines applicable to griev-
ance 
procedures 
required 
by 
section
306(a)(10).’’;
(7) in paragraph (7), by striking subparagraph
(C) 
(relating 
to 
contractual 
and 
commercial
relationships);
(8)(A) by redesignating paragraph (10) as
paragraph (8); and
(B) in such paragraph (8), by striking ‘‘(as de-
fined in section 342)’’;
(9) by striking paragraph (11) (relating to a
hiring preference for older individuals and individ-
uals trained in the field of aging);
(10)(A) by redesignating paragraph (12) as
paragraph (9);
(B) in such paragraph (9), by adding before the
period ‘‘, and will expend to carry out such program
not less than the total amount so expended by the
State agency for fiscal year 1991 under this Act’’;
and
(C) by striking paragraph (21) (relating to
maintenance of effort for the long-term care om-
budsman program);
(11)(A) by redesignating paragraph (13) as
paragraph (10); and
(B) in such paragraph (10)—
(i) by striking subparagraphs (B) (relating
to primary consideration to congregate meals),
(D) (relating to accessibility of congregate meal
site), (E) (relating to outreach), (H) (relating
to continued use of providers of home-delivered
meals), and (M) (relating to nonfinancial eligi-
bility criteria); and
(ii)(I) in subparagraph (K), by inserting
‘‘and’’ after the semicolon;
(II) in subparagraph (L), by striking
‘‘; and’’ and inserting a period; and
(III) by redesignating subparagraphs (C),
(F), (G), and (I) through (L) as subparagraphs
(B) through (H), respectively;
(12) by striking paragraph (14) (relating to re-
strictions on use of funds for acquisition, alteration,
renovation, or construction of facilities);
(13)(A) by redesignating paragraph (15) as
paragraph (11);
(B) in such paragraph (11)—
(i) in subparagraph (D), by striking ‘‘and’’
after the semicolon; and
(ii) in subparagraph (E), by striking the
period and inserting ‘‘; and’’; and
(C)(i) in paragraph (18), by striking all that
precedes ‘‘assign personnel’’ and inserting ‘‘(18) the
State will’’;
(ii) by redesignating such paragraph (18) as
subparagraph (F);
(iii) by moving such subparagraph (F) so that
the subparagraph follows subparagraph (E) of para-
graph (11) (as redesignated in subparagraph (A));
and
(iv) by indenting such subparagraph (F) and
aligning the margins of such subparagraph with the
margins of subparagraph (E) of such paragraph
(11);
(14) by redesignating paragraph (16) as para-
graph (12);
(15) by striking paragraph (17) (relating to in-
service personnel training);
(16) by striking paragraph (19) (relating to as-
surances that area agencies on aging may give
grants or contracts to providers of education and
training services);
(17) by redesignating paragraphs (20), (23),
(24), and (25) as paragraphs (13), (14), (15), and
(16), respectively;
(18)(A) by redesignating paragraph (26) as
paragraph (17); and
(B) in such paragraph (17)—
(i) by redesignating subparagraphs (A)
through (C) as clauses (i) through (iii), respec-
tively; and
(ii) in the matter preceding clause (i) (as
redesignated in clause (i))—
(I) by inserting ‘‘(A)’’ after ‘‘(17)’’;
and
(II) by striking ‘‘section 306(a)(6)(I)’’
and inserting ‘‘section 306(a)(7)’’;
(19)(A) by redesignating paragraph (44) as
subparagraph (B); and
(B) by moving such subparagraph (B) so that
such subparagraph follows subparagraph (A) of
paragraph (17) (as designated in paragraph (18));
(20) by striking paragraph (27) (relating to as-
surances concerning part D in-home services);
(21) by striking paragraph (28) (relating to as-
surances 
concerning 
part 
E 
special 
needs
assistance);
(22) by redesignating paragraph (30) as para-
graph (18);
(23) by striking paragraph (31) (relating to a
State volunteer services coordinator);
(24) by redesignating paragraph (32) as para-
graph (19);
(25)(A) by redesignating paragraph (34) as
paragraph (20); and
(B) in such paragraph (20), by inserting ‘‘(A)’’
after ‘‘(20)’’;
(26)(A) in paragraph (35)—
(i) in subparagraph (A), by striking ‘‘older
individuals who are Native Americans’’ and in-
serting ‘‘older American Indians, older Alaskan
Natives, and older Native Hawaiians’’; and
(ii) by redesignating subparagraphs (A)
and (B) as clauses (i) and (ii), respectively; and
(B) by redesignating paragraph (35) as sub-
paragraph (B) of such paragraph (20);
(27)(A) by redesignating paragraph (36) as
paragraph (21); and
(B) in such paragraph (21), by striking
‘‘306(a)(20)’’ and inserting ‘‘306(a)(8)’’; and
(28) by striking paragraphs (38) (relating to
use of funds), (39) (relating to a restriction on pref-
erences), (40) (relating to the part G program for
in-home caretakers), (41) (relating to efforts to co-
ordinate services and provide multigenerational ac-
tivities), and (42) (relating to coordination of trans-
portation services).
(b) TECHNICAL AMENDMENT.—Section 307(f) (42
U.S.C. 3027(f)) is amended—
(1) in paragraph (1), by striking ‘‘(1)’’; and
(2) by striking paragraph (2).
SEC. 106. STATE ADMINISTRATIVE COSTS RELATED TO
PERFORMANCE PARTNERSHIPS.
Section 308 (42 U.S.C. 3028) is amended by adding
at the end the following new subsection:
‘‘(d) In addition to amounts otherwise available under
this section, each State may use such additional amounts
from the allotment to the State under section 304 (not
to exceed 2 percent of such allotment) as the Assistant
Secretary may permit, for costs relating to the administra-
tion of activities carried out through performance partner-
ships under this title and title VII, including the costs of
developing and negotiating performance partnership
agreements and of administering, monitoring, evaluating,
and reporting on activities carried out through such part-
nerships.’’.
SEC. 107. EFFECTIVE DATE.
(a) IN GENERAL.—The amendments made by this
title shall take effect on the date of enactment of this Act.
(b) APPLICATION.—The amendments made by this
title shall apply with respect to a State on the effective
date of the first State plan submitted under section 307
of the Older Americans Act of 1965 (42 U.S.C. 3027) that
takes effect 1 year or later after the date of enactment
of this Act.
TITLE II—OTHER AMENDMENTS
TO THE OLDER AMERICANS
ACT OF 1965
Subtitle A—Administration on
Aging
SEC. 201. OFFICE FUNCTIONS.
(a) OFFICE FOR AMERICAN INDIAN, ALASKAN NA-
TIVE, 
AND
NATIVE
HAWAIIAN
PROGRAMS.—Section
201(c)(3) (42 U.S.C. 3011(c)(3)) is amended—
(1) in subparagraphs (A)(i), (B), (E), and (G),
by striking ‘‘older individuals who are Native Ameri-
cans’’ and inserting ‘‘older American Indians, older
Alaskan Natives, and older Native Hawaiians’’;
(2) in subparagraph (A), by inserting ‘‘older’’
before ‘‘Native Hawaiians;’’;
(3) in subparagraph (B), by striking ‘‘to Native
Americans’’ and inserting ‘‘to American Indians,
Alaskan Natives, and Native Hawaiians’’;
(4) in subparagraph (F)—
(A) by striking ‘‘older Native Americans’’
and inserting ‘‘older American Indians, older
Alaskan Natives, or older Native Hawaiians’’;
(B) by striking ‘‘older individuals who are
Native Americans’’ and inserting ‘‘older Amer-
ican Indians, older Alaskan Natives, or older
Native Hawaiians’’; and
(C) by striking ‘‘to Native Americans’’ and
inserting ‘‘to American Indians, Alaskan Na-
tives, or Native Hawaiians’’; and
(5) in subparagraph (J), by striking ‘‘older in-
dividuals who are Indians, Alaskan Natives, and Na-
tive Hawaiians’’ and inserting ‘‘older American Indi-
ans, older Alaskan Natives, and older Native
Hawaiians’’.
(b) OFFICE OF LONG-TERM CARE OMBUDSMAN PRO-
GRAMS.—Subparagraphs (C)(ii) and (J) of section
201(d)(3) are amended by striking ‘‘307(a)(12)’’ and in-
serting ‘‘307(a)(9)’’.
SEC. 202. NATIONAL ELDERCARE LOCATOR SERVICE AND
OTHER 
FUNCTIONS 
OF 
ASSISTANT 
SEC-
RETARY.
(a) IN GENERAL.—Section 202(a)(24) (42 U.S.C.
3012(a)(24)) is amended to read as follows:
‘‘(24) develop and operate, either directly or
through contracts, grants, or cooperative agree-
ments, a National Eldercare Locator Service, provid-
ing nationwide toll-free information and assistance
services to identify community resources for older in-
dividuals;’’.
(b) TECHNICAL AMENDMENTS.—
(1) Section 202(a)(26) (42 U.S.C. 3012(a)(26))
is amended by striking ‘‘307(a)(18)’’ and inserting
‘‘307(a)(11)(F)’’.
(2) Section 202(c) (42 U.S.C. 3012(c)) is
amended—
(A) in paragraph (1), by striking ‘‘(1)’’;
and
(B) by striking paragraph (2).
(3) 
Section 
202(e)(1)(A) 
(42 
U.S.C.
3012(e)(1)(A)) is amended—
(A) in clause (iv), by striking ‘‘, and the
information provided by the Resource Centers
on Native American Elders under section
429E’’; and
(B) in clause (vi), by striking the semi-
colon and inserting a period.
SEC. 203. AUTHORIZATION OF APPROPRIATIONS FOR FED-
ERAL COUNCIL ON THE AGING.
Section 204(g) (42 U.S.C. 3015(g)) is amended by
striking all that follows ‘‘to carry out this section’’ and
inserting ‘‘$226,000 for fiscal year 1998 and such sums
as may be necessary for each of fiscal years 1999 and
2000.’’.
SEC. 204. ADMINISTRATION AND EVALUATION.
(a) ADMINISTRATION.—Section 205(a)(2)(A) (42
U.S.C. 3016(a)(2)(A)) is amended by striking ‘‘subparts
1, 2, and 3’’ and inserting ‘‘subparts 1 and 2’’.
(b) 
EVALUATION.—Section 
206(g) 
(42 
U.S.C.
3017(g)) is amended—
(1) in paragraph (1)—
(A) in subparagraph (L), by striking
‘‘311(a)’’ and inserting ‘‘311’’; and
(B) in subparagraphs (N) and (P), by
striking ‘‘331’’ and inserting ‘‘331(a)’’; and
(2) in paragraph (2), by striking ‘‘subparts 1,
2, and 3’’ and inserting ‘‘subparts 1 and 2’’.
SEC. 205. REPORTS.
Section 207 (42 U.S.C. 3018) is amended—
(1) in subsection (a)—
(A) by striking paragraph (3); and
(B) by redesignating paragraphs (4) and
(5) as paragraphs (3) and (4), respectively; and
(2) in subsection (b)(3)(A), by striking ‘‘Fi-
nance’’ and inserting ‘‘Financing’’.
SEC. 206. NUTRITION EDUCATION.
Section 214 (42 U.S.C. 3020e) is amended by strik-
ing ‘‘307(a)(13)(J)’’ and inserting ‘‘307(a)(10)(F)’’.
SEC. 207. AUTHORIZATION OF APPROPRIATIONS FOR AD-
MINISTRATION ON AGING.
Section 215 (42 U.S.C. 3020f) is amended to read
as follows:
‘‘SEC. 215. AUTHORIZATION OF APPROPRIATIONS.
‘‘(a) IN GENERAL.—There are authorized to be ap-
propriated, for carrying out the responsibilities of the Ad-
ministration under this Act, $18,149,000 for fiscal year
1998 and such sums as may be necessary for each of fiscal
years 1999 and 2000.
‘‘(b) NATIONAL ELDERCARE LOCATOR SERVICE.—
Not more than $1,000,000 of the amount made available
under subsection (a) for each fiscal year shall be available
for the operation of the National Eldercare Locator Serv-
ice under section 202(a)(24).’’.
Subtitle B—State and Community
Programs on Aging
SEC. 211. CLARIFICATION CONCERNING SERVICES TO INDI-
VIDUALS WHO ARE NOT OLDER INDIVIDUALS.
(a) TECHNICAL AMENDMENTS.—
(1) Section 301(b) (42 U.S.C. 3021(b)) is
amended—
(A) in paragraph (1), by striking ‘‘(1)’’;
and
(B) by striking paragraph (2).
(2) Section 301(c) (42 U.S.C. 3021(c)) is
amended by striking ‘‘307(a)(12)’’ and inserting
‘‘307(a)(9)’’.
(b) SERVICES
TO INDIVIDUALS WHO ARE NOT
OLDER INDIVIDUALS.—Section 301 (42 U.S.C. 3021) is
amended by adding at the end the following new sub-
section:
‘‘(d)(1) Federal funds paid to States under this title,
and cash and in-kind contributions required by section
304(d)(2) as the non-Federal share of expenditures made
under this title, shall be used only for activities and serv-
ices to benefit older individuals and other individuals as
specifically provided in this title.
‘‘(2) Neither paragraph (1) nor any other provision
of this title shall be construed to prohibit State agencies
or area agencies on aging from engaging in activities or
providing services to benefit individuals not described in
paragraph (1) using cash or in-kind contributions that are
not Federal funds described in paragraph (1) and are not
cash or in-kind contributions required by section 304(d).’’.
SEC. 212. AUTHORIZATION OF APPROPRIATIONS.
(a) SUPPORTIVE SERVICES AND SENIOR CENTERS.—
Section 303(a)(1) (42 U.S.C. 3023(a)(1)) is amended by
striking all that precedes ‘‘for the purpose’’ and inserting
‘‘(1) 
There 
are 
authorized 
to 
be 
appropriated
$306,711,000 for fiscal year 1998 and such sums as may
be necessary for each of fiscal years 1999 and 2000,’’.
(b) CONGREGATE NUTRITION SERVICES.—Section
303(b)(1) (42 U.S.C. 3023(b)(1)) is amended by striking
all that precedes ‘‘for the purpose’’ and inserting ‘‘(1)
There are authorized to be appropriated $375,809,000 for
fiscal year 1998 and such sums as may be necessary for
each of fiscal years 1999 and 2000,’’.
(c) HOME-DELIVERED NUTRITION SERVICES.—Sec-
tion 303(b)(2) (42 U.S.C. 3023(b)(2)) is amended by
striking all that precedes ‘‘for the purpose’’ and inserting
‘‘(2) There are authorized to be appropriated $94,065,000
for fiscal year 1998 and such sums as may be necessary
for each of fiscal years 1999 and 2000,’’.
(d) ELIMINATION
OF
AUTHORIZATION
FOR
RE-
PEALED PROGRAMS.—Section 303 (42 U.S.C. 3023) is
amended—
(1) in subsection (b), by striking paragraph (3);
and
(2) by striking subsections (c) through (g).
SEC. 213. ALLOTMENT.
(a) ELIMINATION
OF MINIMUM ALLOTMENT
FOR
SUPPORTIVE
ACTIVITIES
FOR
CARETAKERS.—Section
304(a) (42 U.S.C. 3024(a)) (as amended in section
102(a)(2)) is further amended—
(1) by striking paragraph (3); and
(2) by redesignating paragraphs (4) and (5) as
paragraphs (3) and (4), respectively.
(b) TECHNICAL AMENDMENT.—Section 304(d)(1)(B)
(42 U.S.C. 3024(d)(1)(B)) is amended by striking
‘‘307(a)(12)’’ and inserting ‘‘307(a)(9)’’.
SEC. 214. ORGANIZATION.
Section 305 (42 U.S.C. 3025) is amended—
(1) in subsection (a)—
(A) in paragraph (1)—
(i) in the matter preceding subpara-
graph (A), by striking ‘‘, in accordance
with regulations of the Assistant Sec-
retary,’’; and
(ii) in subparagraph (E)—
(I) by striking ‘‘, in accordance
with guidelines issued by the Assist-
ant Secretary,’’; and
(II) by striking ‘‘older individuals
who are Indians’’ and inserting ‘‘older
Indians’’; and
(B) in paragraph (2)—
(i) in subparagraph (C), by striking
‘‘in accordance with guidelines issued by
the Assistant Secretary,’’;
(ii) by redesignating subparagraphs
(E) through (G) as subparagraphs (F)
through (H), respectively;
(iii) by inserting after subparagraph
(D) the following:
‘‘(E) include, in the publication for review
and comment required by subparagraph (C)—
‘‘(i) a descriptive statement of the as-
sumptions and goals relating to the fund-
ing formula, and the application of the
definitions of greatest economic need and
greatest social need;
‘‘(ii) a numerical statement of the
funding formula to be used;
‘‘(iii) a listing of the population, eco-
nomic, and social data to be used for each
planning and service area in the State; and
‘‘(iv) a demonstration of the allocation
of funds, pursuant to the funding formula,
to each planning and service area in the
State;’’; and
(iv) in subparagraph (G) (as redesig-
nated in clause (iii))—
(I) by striking ‘‘provide assur-
ances that the State agency will’’; and
(II) by striking ‘‘307(a)(24)’’ and
inserting ‘‘307(a)(15)’’;
(2) in subsection (b)—
(A) in paragraph (2), by striking ‘‘in car-
rying out the requirement’’ and all that follows
through ‘‘subsection (a)(1), and’’ and inserting
‘‘, in carrying out subsection (a)(1),’’; and
(B) in paragraph (5)—
(i) in subparagraph (B), by striking
‘‘after the date’’ and all that follows
through ‘‘of 1984’’; and
(ii) in subparagraph (C)(i)(III), by
striking ‘‘services’’ and inserting ‘‘service’’;
and
(3) by striking subsection (d).
SEC. 215. AREA PLANS.
(a) ELIGIBILITY
OF OLDER AMERICAN INDIANS,
OLDER ALASKAN NATIVES, AND OLDER NATIVE HAWAI-
IANS
FOR SERVICES UNDER AREA PLANS.—Subpara-
graph (B) of section 306(a)(11) (42 U.S.C. 3026(a)(11))
(as amended in section 104(a)(13)) is further amended by
inserting before the period the following: ‘‘, and will, not-
withstanding any provision of this Act restricting eligi-
bility for services to individuals aged 60 or older, make
services under the area plan available, to the same extent
as such services are available to older individuals within
the service area, to older American Indians, older Alaskan
Natives, and older Native Hawaiians’’.
(b) COORDINATION OF SERVICES FOR INDIVIDUALS
WITH
DISABILITIES
UNDER
AREA
PLANS.—Section
306(a) (42 U.S.C. 3026(a)) (as amended in section
104(a)) is further amended by adding at the end the fol-
lowing new paragraph:
‘‘(13) The plan shall provide assurances that
the area agency on aging will coordinate planning,
identification, assessment of needs, and services, for
older individuals with disabilities, with particular at-
tention given to older individuals with severe disabil-
ities, with the activities of agencies that develop or
provide services for individuals with disabilities.’’.
SEC. 216. STATE OPTION FOR COST-SHARING.
(a) AREA PLAN REQUIREMENT.—Section 306(a) (42
U.S.C. 3026(a)) (as amended in section 215(b)) is further
amended by adding at the end the following new
paragraph:
‘‘(14) The plan shall provide an assurance that
any requirement for cost-sharing by recipients of
services under the plan will be consistent with the
provisions of the State plan described in section
307(a)(22).’’.
(b) STATE PLAN REQUIREMENT.—Section 307(a)
(42 U.S.C. 3027(a)) (as amended in section 105) is fur-
ther amended by adding at the end the following new
paragraph:
‘‘(22) If the State elects to require cost-sharing
by recipients of services under the State plan (or to
require or permit area agencies on aging in the
State to require cost-sharing by recipients of services
under area plans), the plan shall—
‘‘(A) provide that no cost-sharing shall be
required for—
‘‘(i) information and assistance, out-
reach, or case management services;
‘‘(ii) ombudsman or other protective
services; or
‘‘(iii) congregate or home-delivered
nutrition services; and
‘‘(B)(i) exempt from the cost-sharing re-
quirements individuals with incomes below a
low-income threshold set by the State; and
‘‘(ii) set cost-sharing rates for individuals
with incomes above such threshold on a sliding-
fee scale based on income.’’.
SEC. 217. STATE PLANS.
(a) STATE OPTION CONCERNING CONSUMER-DI-
RECTED SERVICES.—Section 307(a) (42 U.S.C. 3027(a))
(as amended in section 216(b)) is further amended by
adding at the end the following new paragraph:
‘‘(23) The plan shall specify—
‘‘(A) whether the State elects to permit
area agencies on aging—
‘‘(i) to provide services under this title
or title VII to older individuals through di-
rect contracts with the individuals deliver-
ing such services; or
‘‘(ii) to provide vouchers or cash to
older individuals to permit such older indi-
viduals to contract with individuals or enti-
ties for the delivery of such services; and
‘‘(B) if the State elects to permit area
agencies on aging to provide services under this
title or title VII through an arrangement de-
scribed in subparagraph (A)—
‘‘(i) which supportive services or nu-
trition services may be provided through
such an arrangement;
‘‘(ii) the qualifications and other re-
quirements that shall be met by individuals
and entities providing services under such
an arrangement;
‘‘(iii) the conditions (if any) under
which services may be provided to an older
individual by a family member under such
an arrangement; and
‘‘(iv) if the arrangement is an ar-
rangement 
specified 
in 
subparagraph
(A)(ii), the requirements (if any) for set-
ting payment rates or amounts for services
provided through such an arrangement.’’.
(b) CONFORMING AMENDMENT.—Section 307(b) (42
U.S.C. 3027(b)) is amended—
(1) in paragraph (1), by striking ‘‘(1)’’; and
(2) by striking paragraph (2) (relating to a
waiver of maintenance of effort for rural areas).
SEC. 218. TRANSFER OF FUNDS BETWEEN PROGRAMS.
Section 308(b) (42 U.S.C. 3028(b)) is amended—
(1) in paragraphs (1)(A) and (2)(A), by strik-
ing ‘‘clause (ii)’’ and inserting ‘‘subparagraph (B)’’;
(2) in paragraph (4)—
(A) by striking ‘‘(A)’’ after ‘‘(4)’’;
(B) by striking ‘‘and except as provided in
subparagraph (B)’’;
(C) by striking ‘‘307(a)(13)’’ and inserting
‘‘307(a)(10)’’; and
(D) by striking subparagraph (B) (relating
to the discretion of the Assistant Secretary to
permit a State to transfer additional amounts
between congregate and home-delivered nutri-
tion service programs);
(3) by striking paragraph (5) (relating to the
authority of a State to transfer funds between nutri-
tion service and other programs), and inserting the
following:
‘‘(5) Of the funds received by a State for a fiscal year
from funds appropriated under subsection (a)(1), or under
paragraphs (1) and (2) of subsection (b), of section 303,
the State may elect to transfer not more than 20 percent
between programs carried out under part B and programs
carried out under part C, for use as the State considers
appropriate.’’; and
(4) in paragraphs (6) and (7)—
(A) by striking ‘‘(4)(A)’’ each place it ap-
pears and inserting ‘‘(4)’’; and
(B) by striking ‘‘(5)(A)’’ each place it ap-
pears and inserting ‘‘(5)’’.
SEC. 219. AVAILABILITY OF DISASTER RELIEF FUNDS TO
ORGANIZATIONS.
Section 310 (42 U.S.C. 3030) is amended—
(1) in subsection (a)(1)—
(A) by inserting ‘‘(or to any organization
receiving a grant under title VI)’’ after ‘‘any
State’’; and
(B) by inserting ‘‘(or for funds used by the
organization)’’ before ‘‘for the delivery of sup-
portive services’’;
(2) in subsection (a)(2), by inserting ‘‘and orga-
nizations’’ after ‘‘States’’;
(3) in subsection (a)(3), by inserting ‘‘or orga-
nization’’ after ‘‘State’’ each place it appears; and
(4) in subsections (b)(1) and (c), by inserting
‘‘and organizations’’ after ‘‘States’’ each place it
appears.
SEC. 220. NUTRITION SERVICES INCENTIVE PROGRAM.
Section 311 (42 U.S.C. 3030a) is amended to read
as follows:
‘‘SEC. 311. NUTRITION SERVICES INCENTIVE PROGRAM.
‘‘(a) PURPOSE.—The purpose of the program carried
out under this section is to provide incentives to encourage
and reward effective performance by States and organiza-
tions in the efficient delivery of nutritious meals to older
individuals.
‘‘(b) ASSISTANCE.—The Secretary of Agriculture
shall provide assistance under this section—
‘‘(1) to States, to enable the States to provide
meals under plans approved under this title; and
‘‘(2) to organizations, to enable the organiza-
tions to provide meals under applications approved
under title VI.
‘‘(c) STATES.—
‘‘(ii) particular circumstances in the State oth-
erwise justify the waiver.
‘‘(b) REQUIREMENTS SUBJECT TO WAIVER.—The re-
quirements of this title that may be waived under this sec-
tion are—
‘‘(1) any provisions of sections 305, 306, and
307 requiring statewide uniformity of programs
under this title (to the extent necessary to permit a
demonstration, in a limited area of a State, of an in-
novative approach to assist older individuals);
‘‘(2) any area plan requirement under section
306(a);
‘‘(3) any State plan requirement under section
307(a);
‘‘(4) any restriction, under paragraph (4) or (5)
of section 308(b), on the amount that may be trans-
ferred between programs carried out under part B
and programs carried out under part C, or between
programs carried out under subpart 1, and pro-
grams carried out under subpart 2, of part C; and
‘‘(5) all or any part of the reduction in allot-
ment required under section 309(c) with respect to
a State that reduces expenditures under the State
plan of the State (but only to the extent that the
non-Federal share of expenditures under this title is
not reduced below any minimum specified in section
304(d) or any other provision of this title).’’.
SEC. 222. CONSOLIDATION OF AUTHORITIES FOR SUP-
PORTIVE SERVICES AND SENIOR CENTERS.
(a) COMMUNITY-BASED CARE AND SERVICES.—Sec-
tion 321(a)(5) (42 U.S.C. 3030d(a)(5)) is amended by
striking ‘‘including’’ and all that follows and inserting
‘‘including—
‘‘(A) client assessment, case management
services, and development and coordination of
community services;
‘‘(B) in-home services for frail older indi-
viduals (including supportive services for indi-
viduals with Alzheimer’s disease or related dis-
orders and with neurological or organic brain
dysfunction) and for the families of such frail
older individuals;
‘‘(C) supportive activities to meet the spe-
cial needs of caregivers, including caretakers
who provide in-home services to frail older indi-
viduals; and
‘‘(D) in-home services and other commu-
nity services, including home health, home-
maker, shopping, escort, reader, and letter writ-
ing services, to assist older individuals to live
independently in a home environment;’’.
(b) DISEASE
PREVENTION
AND
HEALTH
PRO-
MOTION.—Section 321(a)(8) (42 U.S.C. 3030d(a)(8)) is
amended by inserting ‘‘disease prevention and health pro-
motion services and provision of information regarding
such services, including’’ after ‘‘(8)’’.
(c) TECHNICAL AMENDMENT.—Section 321(a)(15)
(42 U.S.C. 3030d(a)(15)) is amended by striking
‘‘307(a)(16)’’ and inserting ‘‘307(c)(12)’’.
(d) GENERAL AUTHORITY.—Section 321(a)(22) (42
U.S.C. 3030d(a)(22)) is amended by inserting ‘‘necessary
for the general welfare of older individuals’’ after ‘‘any
other services’’.
SEC. 223. CONSOLIDATION OF AUTHORITIES FOR NUTRI-
TION SERVICES.
(a) SCHOOL-BASED MEALS AS CONGREGATE NUTRI-
TION SERVICES.—
(1) IN
GENERAL.—Section 331 (42 U.S.C.
3030e) is amended by striking all that precedes ‘‘As-
sistant Secretary’’ and inserting the following:
‘‘SEC. 331. PROGRAM AUTHORIZED.
‘‘(a) IN GENERAL.—The’’.
(2) 
SCHOOL-BASED
MEALS
AND
MULTI-
GENERATIONAL PROGRAMS.—
‘‘(6) Projects to demonstrate effective home and
community rehabilitative, health and mental health
promotion, and disease prevention activities for older
individuals who are at risk of losing their ability to
live independently.
‘‘(7) Projects to develop innovative approaches
to consumer protection for older individuals in home
or community settings, addressing consumer rights
and protections relating to—
‘‘(A) automobile, health, life, and other in-
surance policies;
‘‘(B) mortgages and leases (and similar
property and housing rights); and
‘‘(C) personal loans and other financial
transactions.
‘‘Subtitle C—Centers
‘‘SEC. 431. PURPOSE.
‘‘The purpose of this subtitle is to improve the quality
of services available to older individuals through multi-
function, multidisciplinary centers and other multifaceted
activities, which may be used as resources for planners,
administrators, policymakers, and providers in fields
related to aging.
‘‘(C) other groups, as appropriate.
‘‘Subtitle D—Information Dissemi-
nation and Related Activities
‘‘SEC. 441. PURPOSE.
‘‘(a) IN GENERAL.—The purpose of this subtitle is
to improve the quality, efficiency, availability, and acces-
sibility of services for older individuals through support
of information dissemination and utilization activities
that—
‘‘(1) collect, preserve, and disseminate, publish,
or otherwise make available, relevant materials con-
cerning matters such as research and demonstration
findings, and training and technical assistance
materials;
‘‘(2) synthesize, publish, and disseminate infor-
mation concerning completed projects carried out
under this title that are of demonstrated value, in-
cluding information relating to—
‘‘(A) technical assistance and training in
the implementation and adaptation of methods
used in such projects; and
‘‘(B) the development of additional mate-
rials that increase the awareness and accept-
ance of the results of such projects;
(b) TECHNICAL
AMENDMENT.—Section 611 (42
U.S.C. 3057b) is amended by striking ‘‘(a)’’.
(c) CONFORMING AMENDMENT.—Section 614(a) (42
U.S.C. 3057e(a)) is amended—
(1) by striking paragraph (9); and
(2) by redesignating paragraphs (10) through
(12) as paragraphs (9) through (11), respectively.
SEC. 252. AUTHORIZATION OF APPROPRIATIONS.
Section 633(a) (42 U.S.C. 3057n(a)) is amended by
striking all that precedes ‘‘to carry out this title’’ and in-
serting ‘‘(a) There are authorized to be appropriated
$18,402,000 for fiscal year 1998, and such sums as may
be necessary for each of fiscal years 1999 and 2000,’’.
Subtitle F—Vulnerable Elder
Rights Protection
SEC. 261. AUTHORIZATION OF APPROPRIATIONS.
(a) OMBUDSMAN PROGRAM.—Section 702(a) (42
U.S.C. 3058a(a)) is amended by striking all that follows
‘‘chapter 2,’’ and inserting ‘‘$4,449,000 for fiscal year
1998, and such sums as may be necessary for each of fis-
cal years 1999 and 2000.’’.
(b) PREVENTION OF ELDER ABUSE, NEGLECT, AND
EXPLOITATION.—Section 702(b) (42 U.S.C. 3058a(b)) is
amended by striking all that follows ‘‘chapter 3,’’ and in-
serting ‘‘$6,232,000 for fiscal year 1998, and such sums