velop, enhance, and integrate platforms, such as 
legal assistance hotlines, that help to facilitate 
the identification of older adults and adults 
with disabilities who could benefit from linkages 
to available legal services such as those de-
scribed in subparagraph (A). 
‘‘(2) STATE REPORTS.—Each State to which a 
grant is made under this subsection shall submit to 
the Secretary biannual reports on the activities car-
ried out by the State pursuant to this subsection, 
which shall include assessments of the effectiveness 
of the activities with respect to— 
‘‘(A) the number of unique individuals 
identified through the mechanism outlined in 
paragraph (1)(B) who are referred to services 
described in paragraph (1)(A), and the average 
time period associated with resolving issues; 
‘‘(B) the success rate for referrals to com-
munity-based resources; and 
‘‘(C) other factors determined relevant by 
the Secretary. 
‘‘(3) REPORT
TO
THE
CONGRESS.—Every 4 
years, the Secretary shall submit to the Congress a 
written report on the activities conducted under this 
subsection. 
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‘‘(4) APPROPRIATION.—Out of any money in 
the Treasury not otherwise appropriated, there are 
appropriated to the Secretary $125,000,000 for each 
of fiscal years 2024 through 2027 to carry out this 
subsection. 
‘‘(5) SUPPLEMENT
NOT
SUPPLANT.—Support 
provided to area agencies on aging, State units on 
aging, eligible entities, or other community-based or-
ganizations pursuant to this subsection shall be used 
to supplement and not supplant any other Federal, 
State, or local funds expended to provide the same 
or comparable services described in this subsection. 
‘‘(b) GRANTS
AND TRAINING TO SUPPORT AREA 
AGENCIES ON AGING OR OTHER COMMUNITY-BASED OR-
GANIZATIONS TO ADDRESS SOCIAL ISOLATION AMONG 
OLDER ADULTS AND ADULTS WITH DISABILITIES.— 
‘‘(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; 
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‘‘(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 
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.— 
‘‘(A) IN
GENERAL.—The Secretary shall 
establish programs to provide and improve 
training for area agencies on aging or commu-
nity-based organizations with respect to ad-
dressing and preventing social isolation and 
loneliness among older adults and adults with 
disabilities. 
‘‘(B) PRIORITIZATION
AUTHORITY.—For 
purposes of connecting at-risk individuals with 
existing community social and clinical supports, 
the Secretary may, in carrying out subpara-
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graph (A), prioritize models that incorporate 
training and service delivery in coordination 
with medical-legal partnerships. 
‘‘(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 adults 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 
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. 
‘‘(c) DEFINITIONS.—In this section: 
‘‘(1) AREA AGENCY ON AGING.—The term ‘area 
agency on aging’ means an area agency on aging 
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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. 
‘‘(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.’’. 
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(2) 
CLARIFICATION
THAT
MEDICAL-LEGAL 
PARTNERSHIPS
ARE
AUTHORIZED
ADULT
PROTEC-
TIVE SERVICES ACTIVITIES.—Section 2011 of such 
Act (42 U.S.C. 1397j) is amended— 
(A) in paragraph (2)(D), by inserting ‘‘, 
including through a medical-legal partnership’’ 
before the period; and 
(B) by redesignating paragraphs (16) 
through (22) as paragraphs (17) through (23), 
respectively, and inserting after paragraph (15) 
the following: 
‘‘(16) 
MEDICAL-LEGAL
PARTNERSHIP.—The 
term ‘medical-legal partnership’ means an arrange-
ment in a health care or human services setting 
which integrates lawyers and social workers to ad-
dress the needs of an individual patient related to 
social determinants of health, and to help clinicians, 
case managers, and social workers address struc-
tural problems at the root of many health inequities, 
including a multidisciplinary team integrated into 
such a setting to address the needs and establish 
and maintain structural competence within clini-
cians, case managers, and social workers to best ad-
dress structural problems at the root of many health 
inequities.’’. 
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(e) TECHNICAL AMENDMENT.—Section 2011(12)(A) 
of the Social Security Act (42 U.S.C. 1397j(12)(A)) is 
amended by striking ‘‘450b’’ and inserting ‘‘5304’’. 
SEC. 3. ASSESSMENT REPORTS. 
(a) IN GENERAL.—Not later than 2 years after the 
date of enactment of this Act, and not less frequently than 
once every 2 years thereafter, the Secretary of Health and 
Human Services shall submit a report to the Committee 
on Ways and Means of the House of Representatives and 
the Committee on Finance and the Special Committee on 
Aging of the Senate on the programs, coordinating bodies, 
registries, and activities established or authorized under 
subtitle B of title XX of the Social Security Act (42 
U.S.C. 1397l et seq.) or section 6703(b) of the Patient 
Protection and Affordable Care Act (42 U.S.C. 1395i– 
3a(b)). Each such report shall assess the extent to which 
such programs, coordinating bodies, registries, and activi-
ties have improved access to, and the quality of, resources 
available to older adults, adults with disabilities, and their 
caregivers to ultimately prevent, detect, and treat abuse, 
neglect, and exploitation, and shall include, as appro-
priate, recommendations to Congress on funding levels 
and policy changes to help these programs, coordinating 
bodies, registries, and activities better prevent, detect, and 
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treat abuse, neglect, and exploitation of older adults and 
adults with disabilities. 
(b) APPROPRIATION.—Out of any money in the 
Treasury not otherwise appropriated, there are appro-
priated to the Secretary of Health and Human Services 
$5,000,000 for each of fiscal years 2024 through 2027 
to carry out this section. 
Æ 
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