I 
118TH CONGRESS 
1ST SESSION H. R. 2692 
To amend title XX of the Social Security Act to provide grants and training 
to support area agencies on aging or other community-based organiza-
tions to address social isolation among vulnerable older adults and adults 
with disabilities. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 18, 2023 
Ms. SA´NCHEZ introduced the following bill; which was referred to the 
Committee on Ways and Means 
A BILL 
To amend title XX of the Social Security Act to provide 
grants and training to support area agencies on aging 
or other community-based organizations to address social 
isolation among vulnerable older adults and adults with 
disabilities. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Addressing Social Iso-
lation and Loneliness in Older Adults Act of 2023’’ or the 
‘‘Addressing SILO Act of 2023’’. 
VerDate Sep 11 2014 
05:13 Apr 25, 2023
Jkt 039200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H2692.IH
H2692
kjohnson on DSK79L0C42PROD with BILLS
SEC. 2. INCENTIVES FOR DEVELOPING AND SUSTAINING 
STRUCTURAL COMPETENCY IN PROVIDING 
HEALTH AND HUMAN SERVICES. 
Part II of subtitle B of title XX of the Social Security 
Act (42 U.S.C. 1397m–1397m-5) is amended by adding 
at the end the following: 
‘‘SEC. 2047. INCENTIVES FOR DEVELOPING AND SUS-
TAINING STRUCTURAL COMPETENCY IN PRO-
VIDING HEALTH AND HUMAN SERVICES. 
‘‘(a) GRANTS
AND TRAINING TO SUPPORT AREA 
AGENCIES ON AGING OR OTHER COMMUNITY-BASED OR-
GANIZATIONS TO ADDRESS SOCIAL ISOLATION AMONG 
VULNERABLE OLDER ADULTS AND ADULTS WITH DIS-
ABILITIES.— 
‘‘(1) GRANTS.—The Secretary shall make 
grants to eligible area agencies on aging or other 
community-based organizations for the purpose of— 
‘‘(A) conducting outreach to individuals at 
risk for, or already experiencing, social isolation 
or loneliness, through established screening 
tools or other methods identified by the Sec-
retary; 
‘‘(B) developing community-based interven-
tions for the purposes of mitigating loneliness 
or social isolation (including evidence-based pro-
grams, as defined by the Secretary, developed 
VerDate Sep 11 2014 
05:13 Apr 25, 2023
Jkt 039200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H2692.IH
H2692
kjohnson on DSK79L0C42PROD with BILLS
with multi-stakeholder input for the purposes of 
promoting social connection, mitigating social 
isolation or loneliness, or preventing social iso-
lation or loneliness) among at-risk individuals; 
‘‘(C) connecting at-risk individuals with 
community social and clinical supports; and 
‘‘(D) evaluating the effect of programs de-
veloped and implemented under subparagraphs 
(B) and (C). 
‘‘(2) TRAINING.—The Secretary shall establish 
programs to provide and improve training for area 
agencies on aging or community-based organizations 
with respect to addressing and preventing social iso-
lation and loneliness among older adults and adults 
with disabilities. 
‘‘(3) EVALUATION.—Not later than 3 years 
after the date of the enactment of this section and 
every 3 years thereafter, the Secretary shall submit 
to the Congress a written report which assesses the 
extent to which the programs established under this 
subsection address social isolation and loneliness 
among older adults and people with disabilities. 
‘‘(4) APPROPRIATION.—Out of any money in 
the Treasury not otherwise appropriated, there are 
appropriated to the Secretary $62,500,000 for each 
VerDate Sep 11 2014 
05:13 Apr 25, 2023
Jkt 039200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H2692.IH
H2692
kjohnson on DSK79L0C42PROD with BILLS
of fiscal years 2024 through 2027 to carry out this 
subsection. 
‘‘(5) COORDINATION.—The Secretary shall co-
ordinate with resource centers, grant programs, or 
other funding mechanisms established under section 
411(a)(18) of the Older Americans Act (42 U.S.C. 
3032(a)(18)), section 417(a)(1) of such Act (42 
U.S.C. 3032F(a)(1)), or other programs as deter-
mined by the Secretary. 
‘‘(b) DEFINITIONS.—In this section: 
‘‘(1) AREA AGENCY ON AGING.—The term ‘area 
agency on aging’ means an area agency on aging 
designated under section 305 of the Older Ameri-
cans Act of 1965. 
‘‘(2) SOCIAL ISOLATION.—The term ‘social iso-
lation’ means objectively being alone, or having few 
relationships or infrequent social contact. 
‘‘(3) 
LONELINESS.—The 
term 
‘loneliness’ 
means subjectively feeling alone, or the discrepancy 
between one’s desired level of social connection and 
one’s actual level of social connection. 
‘‘(4) SOCIAL
CONNECTION.—The term ‘social 
connection’ means the variety of ways one can con-
nect to others socially, through physical, behavioral, 
social-cognitive, and emotional channels. 
VerDate Sep 11 2014 
05:13 Apr 25, 2023
Jkt 039200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H2692.IH
H2692
kjohnson on DSK79L0C42PROD with BILLS
‘‘(5) COMMUNITY-BASED ORGANIZATION.—The 
term ‘community-based organization’ includes, ex-
cept as otherwise provided by the Secretary, a non-
profit community-based organization, a consortium 
of nonprofit community-based organizations, a na-
tional nonprofit organization acting as an inter-
mediary for a community-based organization, or a 
community-based organization that has a fiscal 
sponsor that allows the organization to function as 
an organization described in section 501(c)(3) of the 
Internal Revenue Code of 1986 and exempt from 
taxation under section 501(a) of such Code.’’. 
Æ 
VerDate Sep 11 2014 
05:13 Apr 25, 2023
Jkt 039200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6301
E:\BILLS\H2692.IH
H2692
kjohnson on DSK79L0C42PROD with BILLS