SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Dignity in Aging Act of 2019’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is the following: 
Sec. 1. Short title; table of contents. 
TITLE I—ENSURING COLLABORATION AND PROMOTING 
INDEPENDENCE FOR OLDER INDIVIDUALS 
Sec. 101. Person-centered, trauma-informed care. 
Sec. 102. Vaccination. 
Sec. 103. Functions of Assistant Secretary. 
Sec. 104. Professional standards for nutrition official under Assistant Sec-
retary. 
Sec. 105. Interagency Coordinating Committee on Age-Friendly Communities. 
Sec. 106. Technical assistance on age-friendly communities. 
Sec. 107. Malnutrition. 
Sec. 108. Coordination with resource centers. 
Sec. 109. Arts education. 
Sec. 110. Social determinants of health. 
Sec. 111. Falls prevention and chronic disease self-management education. 
Sec. 112. Extension of RAISE Family Caregivers Act. 
Sec. 113. Support for socially-isolated older Americans. 
Sec. 114. Increased focus of Assistant Secretary on health effects associated 
with social isolation. 
Sec. 115. Advisory council on health effects associated with social isolation. 
Sec. 116. Supportive services and senior centers. 
Sec. 117. Demonstration projects. 
Sec. 118. Younger onset Alzheimer’s Disease. 
Sec. 119. Priority for the senior community service employment program. 
Sec. 120. Direct care workforce. 
Sec. 121. National resource center for older individuals experiencing the long- 
term and adverse consequences of trauma. 
Sec. 122. National Resource Center for Women and Retirement. 
Sec. 123. Definition. 
Sec. 124. Review of reports. 
Sec. 125. Area plans. 
Sec. 126. Addressing chronic pain management. 
Sec. 127. Extension of the Supporting Grandparents Raising Grandchildren 
Act. 
Sec. 128. Screening for suicide risk. 
Sec. 129. Traumatic brain injury. 
Sec. 130. Addressing public health emergencies and emerging health threats. 
Sec. 131. Prevention of sexually transmitted diseases. 
Sec. 132. Aging and Disability Resource Center. 
TITLE II—EMPOWERING THE AGING NETWORK TO MEET THE 
NEEDS OF OLDER INDIVIDUALS
Sec. 201. National family caregiver support program cap. 
Sec. 202. Minimum funding level for State administrative expenses. 
Sec. 203. Culturally-appropriate, medically-tailored meals. 
Sec. 204. Business acumen provisions and clarification regarding outside fund-
ing for area agencies on aging. 
Sec. 205. Other practices. 
Sec. 206. Caregiver assessments. 
Sec. 207. Research and evaluation. 
Sec. 208. Grant program for multigenerational collaboration. 
TITLE III—STRENGTHENING PROTECTIONS FOR OLDER 
INDIVIDUALS 
Sec. 301. State Long-Term Care Ombudsman Program minimum funding and 
maintenance of effort. 
Sec. 302. State long-term care volunteer ombudsman representatives. 
Sec. 303. Clarification regarding board and care facilities. 
Sec. 304. Report on legal hotlines. 
Sec. 305. Community outreach. 
Sec. 306. Principles for person-directed services and supports during serious ill-
ness. 
TITLE IV—MEETING THE NEEDS OF OLDER NATIVE AMERICANS 
Sec. 401. Expanding supportive services for Native American aging programs. 
Sec. 402. Enhancing capacity to support Native American aging programs. 
TITLE V—MISCELLANEOUS 
Sec. 501. Technical corrections. 
Sec. 502. Authorization of appropriations; uses of funds. 
Sec. 503. Hold harmless formula. 
TITLE I—ENSURING COLLABO-
RATION 
AND 
PROMOTING 
INDEPENDENCE FOR OLDER 
INDIVIDUALS 
SEC. 101. PERSON-CENTERED, TRAUMA-INFORMED CARE. 
Section 101(2) of the Older Americans Act of 1965 
(42 U.S.C. 3001(2)) is amended by inserting ‘‘(including 
access to person-centered, trauma-informed care)’’ after 
‘‘health’’.
SEC. 102. VACCINATION. 
Section 102(14) of the Older Americans Act of 1965 
(42 U.S.C. 3002(14)) is amended— 
(1) in subparagraph (B) by inserting ‘‘immuni-
zation status,’’ after ‘‘oral health,’’; and 
(2) in subparagraph (D) by inserting ‘‘infec-
tious disease, and vaccine preventable disease,’’ after 
‘‘disease),’’. 
SEC. 103. FUNCTIONS OF ASSISTANT SECRETARY. 
(a) REVIEW OF APPLICATIONS.— Section 202 of the 
Older Americans Act of 1965 (42 U.S.C. 3012) is amend-
ed— 
(1) by amending subsection (a)(4) to read as 
follows: 
‘‘(4) administer the grants provided by this Act 
but not approve an application submitted by an ap-
plicant for a grant for a program for which such ap-
plicant previously received a grant unless the Assist-
ant Secretary determines— 
‘‘(A) the program for which such applica-
tion was submitted is operating effectively to 
achieve its stated purpose; and 
‘‘(B) such applicant complied with the as-
surances provided to the Assistant Secretary 
with the application for such previous grant; 
and’’; and
(2) by adding at the end the following: 
‘‘(h) The Assistant Secretary shall publish, on an an-
nual basis, a list of centers and demonstration projects 
funded under each title of the Act. The Assistant Sec-
retary shall ensure that this information is also directly 
provided to States and area agencies on aging.’’. 
(b) ADDRESSING THE NEEDS OF OLDER INDIVID-
UALS IN DISASTERS.—Section 202(a) of the Older Ameri-
cans Act of 1965 (42 U.S.C. 3012(a)) is amended— 
(1) in paragraph (30) by striking ‘‘and’’ at the 
end; 
(2) in paragraph (31) by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(32) provide technical assistance to and share 
best practices with States and area agencies on 
aging on how to collaborate and coordinate activities 
and develop long-range emergency preparedness 
plans with local and State emergency response agen-
cies, relief organizations, local and State govern-
ments, federal agencies as appropriate, and any 
other institutions that have responsibility for dis-
aster relief service delivery.’’.
SEC. 104. PROFESSIONAL STANDARDS FOR NUTRITION OF-
FICIAL UNDER ASSISTANT SECRETARY. 
Section 205(a)(2)(C)(ii) of the Older Americans Act 
of 1965 (42 U.S.C. 3016(a)(2)(C)(ii) is amended to read 
as follows: 
‘‘(ii) be a registered dietitian or registered dieti-
tian nutritionist.’’. 
SEC. 105. INTERAGENCY COORDINATING COMMITTEE ON 
AGE-FRIENDLY COMMUNITIES. 
Section 203 of the Older Americans Act of 1965 (42 
U.S.C. 3013) is amended— 
(1) in subsection (b)— 
(A) in paragraph (18) by striking ‘‘and’’ at 
the end; 
(B) in subparagraph (19) by striking the 
period at the end, and inserting ‘‘, and’’; and 
(C) by adding at the end the following: 
‘‘(20) section 393D of the Public Health Serv-
ice Act (42 U.S.C. 280b–1f), relating to safety of 
seniors.’’; and 
(2) in subsection (c)— 
(A) in paragraph (1)— 
(i) by striking ‘‘Aging’’ and inserting 
‘‘Age-Friendly Communities’’; and 
(ii) by inserting ‘‘to support the abil-
ity of older individuals to age in place, in-
cluding through the provision of homeless-
ness prevention services, support the abil-
ity of older individuals to access preventive 
health care, promote age-friendly commu-
nities, and address the ability of older indi-
viduals to access long-term care supports, 
including access to caregivers and home- 
and community-based services’’ before the 
period at the end; 
(B) in paragraph (4) by inserting ‘‘, except 
that the 1st term of a member appointed to the 
Interagency Coordinating Committee on Age- 
Friendly Communities shall begin not later 
than 1 year after the effective date of this ex-
ception’’ before the period at the end; 
(C) in paragraph (5) by striking ‘‘once 
each year’’ and inserting ‘‘semiannually’’; 
(D) in paragraph (6)— 
(i) in subparagraph (A)— 
(I) in clause (iii) by striking 
‘‘and’’ at the end; 
(II) in clause (iv) by adding 
‘‘and’’ at the end; and 
(III) by adding at the end the 
following: