IB 
Union Calendar No. 206 
116TH CONGRESS 
1ST SESSION H. R. 4334 
[Report No. 116–258] 
To amend the Older Americans Act of 1965 to authorize appropriations 
for fiscal years 2020 through 2024, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 16, 2019 
Ms. BONAMICI (for herself, Ms. STEFANIK, Mrs. LEE of Nevada, Mr. COMER, 
Ms. WILD, and Mr. JOHNSON of South Dakota) introduced the following 
bill; which was referred to the Committee on Education and Labor 
OCTOBER 28, 2019 
Additional sponsors: Mr. SABLAN, Mr. GUTHRIE, Ms. STEVENS, Mr. THOMP-
SON of Pennsylvania, Mr. COURTNEY, Mr. ALLEN, Mr. TRONE, Mr. WAT-
KINS, Mrs. HAYES, Mr. DEFAZIO, Mr. FITZPATRICK, Mr. WRIGHT, Mr. 
DAVID P. ROE of Tennessee, Mr. WALBERG, Mr. SMUCKER, Mr. 
MEUSER, Mr. MORELLE, Mr. KELLER, Mr. DAVID SCOTT of Georgia, 
and Ms. NORTON 
OCTOBER 28, 2019 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on September 16, 2019] 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6652
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
A BILL 
To amend the Older Americans Act of 1965 to authorize 
appropriations for fiscal years 2020 through 2024, and 
for other purposes. 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6652
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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 the 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. Federal coordination of supports and services for living independently 
and safely at home. 
Sec. 112. Falls prevention and chronic disease self-management education. 
Sec. 113. Extension of RAISE Family Caregivers Act. 
Sec. 114. Support for socially-isolated older Americans. 
Sec. 115. Increased focus of Assistant Secretary on social isolation. 
Sec. 116. Advisory council on social isolation. 
Sec. 117. Supportive services and senior centers. 
Sec. 118. Demonstration projects. 
Sec. 119. Younger onset Alzheimer’s Disease. 
Sec. 120. Priority for the senior community service employment program. 
Sec. 121. Direct care workforce. 
Sec. 122. National resource center for older individuals experiencing the long- 
term and adverse consequences of trauma. 
Sec. 123. National Resource Center for Women and Retirement. 
Sec. 124. Definition. 
Sec. 125. Review of reports. 
Sec. 126. Area plans. 
Sec. 127. Addressing chronic pain management. 
Sec. 128. Extension of the Supporting Grandparents Raising Grandchildren Act. 
Sec. 129. Screening for suicide risk. 
Sec. 130. Traumatic brain injury. 
Sec. 131. Addressing public health emergencies and emerging health threats. 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6213
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
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 funding 
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. 
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. Effective date. 
TITLE I—ENSURING COLLABORA-
TION AND PROMOTING INDE-
PENDENCE FOR OLDER INDI-
VIDUALS 
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— 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6203
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
(1) in subparagraph (B) by inserting ‘‘immuni-
zation status,’’ after ‘‘oral health,’’, and 
(2) in subparagraph (D) by inserting ‘‘infectious 
disease, and vaccine preventable disease,’’ after ‘‘dis-
ease),’’. 
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 fol-
lows: 
‘‘(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— 
‘‘(i) complied with the assurances pro-
vided to the Assistant Secretary with the 
application for such previous grant; and 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6203
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
‘‘(ii) will comply with the assurances 
provided with the current submitted appli-
cation;’’, 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 Secretary 
shall ensure that this information is also directly provided 
to States and area agencies on aging.’’. 
(b) ADDRESSING THE NEEDS OF OLDER INDIVIDUALS 
IN DISASTERS.—Section 202(a) of the Older Americans 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 following at the end the fol-
lowing: 
‘‘(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 agencies, re-
lief organizations, local and State governments, fed-
eral agencies as appropriate, and any other institu-
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6203
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
tions that have responsibility for disaster relief service 
delivery.’’. 
SEC. 104. PROFESSIONAL STANDARDS FOR NUTRITION OF-
FICIAL UNDER THE 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 Service 
Act (42 U.S.C. 280b–1f), relating to safety of sen-
iors.’’, and 
(2) in subsection (c)— 
(A) in paragraph (1)— 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6203
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
(i) by striking ‘‘Aging’’ and inserting 
‘‘Age-Friendly Communities’’, and 
(ii) by inserting ‘‘to support the ability 
of older individuals to age in place, includ-
ing through the provision of homelessness 
prevention services, support the ability of 
older individuals to access preventive health 
care, promote age-friendly communities, 
and address the ability of older individuals 
to access long-term care supports, including 
access to caregivers and home- and commu-
nity-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 date of the enactment of the ef-
fective date of this exception’’ 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)— 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6203
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
(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 fol-
lowing: 
‘‘(v) identifying best practices for con-
necting older individuals to services for which 
they may be eligible;’’, 
(ii) by amending subparagraph (B)(ii) 
to read as follows: 
‘‘(ii) innovations in technology applications 
(including assistance technology devices and as-
sistance technology services) that— 
‘‘(I) promote safe and accessible inde-
pendent living environments; and 
‘‘(II) give older individuals access to 
information on available services or help in 
providing services to older individuals;’’, 
(iii) in subparagraph (E)— 
(I) by striking ‘‘nongovernmental 
experts and organizations, including 
public health interest and research 
groups and foundations’’ and inserting 
‘‘nongovernmental organizations, aca-
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6203
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
demic or research institutions, commu-
nity-based organizations, and philan-
thropic organizations’’, and 
(II) by striking ‘‘(F)’’ and insert-
ing ‘‘(G)’’, 
(iv) by redesignating subparagraphs 
(E), (F), and (G) as subparagraphs (F), 
(G), and (H), respectively, 
(v) by inserting after subparagraph 
(D) the following: 
‘‘(E) work with the Centers for Disease Control 
and Prevention, the National Institute on Aging, Cen-
ters for Medicare and Medicaid Services, the Housing 
and Urban Development Office of Lead Hazard Con-
trol and Healthy Homes, and other Federal agencies 
as appropriate, to develop recommendations, in ac-
cordance with paragraph (1), to reduce falls among 
older individuals that incorporate evidence-based falls 
prevention programs and home modifications to re-
duce and prevent falls;’’, and 
(vi) by adding at the end the following: 
‘‘(9) In this subsection, the term ‘age-friendly commu-
nity’ means a community that-— 
‘‘(A) is taking steps— 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6203
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
‘‘(i) to include accessible housing, accessible 
spaces and buildings, safe and secure paths, 
variable route transportation services, and pro-
grams and services designed to maintain health 
and well-being; 
‘‘(ii) to respect and include older individ-
uals in social opportunities, civic participation, 
volunteerism, and employment; and 
‘‘(iii) to facilitate access to supportive serv-
ices for older individuals; and 
‘‘(B) has a plan in place to meet local needs for 
housing, transportation, civic participation, social 
connectedness, and accessible spaces.’’. 
SEC. 106. TECHNICAL ASSISTANCE ON AGE-FRIENDLY COM-
MUNITIES. 
Section 205(a)(2) of the Older Americans Act of 1965 
(42 U.S.C. 3016(a)(2)) is amended— 
(1) by redesignating subparagraph (C) as sub-
paragraph (D), and 
(2) by inserting after subparagraph (B) the fol-
lowing: 
‘‘(C) The Assistant Secretary may provide technical 
assistance, including through the regional offices of the Ad-
ministration, to State agencies, area agencies on aging, 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00011
Fmt 6652
Sfmt 6203
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
local government agencies, or leaders in age-friendly com-
munities (as defined in section 203(c)(9)) regarding— 
‘‘(i) dissemination of, or consideration of ways 
to implement, best practices and recommendations 
from the Interagency Coordinating Committee on 
Age-Friendly Communities established under section 
203(c); and 
‘‘(ii) methods for managing and coordinating ex-
isting programs to meet the needs of growing age- 
friendly communities.’’. 
SEC. 107. MALNUTRITION. 
The Older Americans Act of 1965 (42 U.S.C. 2011 et 
seq.) is amended— 
(1) in section 102(14)(B) by inserting ‘‘(includ-
ing screening for malnutrition)’’ before the semicolon 
at the end, and 
(2) in section 330(1) by striking ‘‘and food inse-
curity’’ and inserting ‘‘, food insecurity, and mal-
nutrition’’. 
SEC. 108. COORDINATION WITH RESOURCE CENTERS. 
(a) AREA PLANS.—Section 306(a) of the Older Ameri-
cans Act of 1965 (42 U.S.C. 3026(a)) is amended— 
(1) in paragraph (16) by striking ‘‘and’’ at the 
end, 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00012
Fmt 6652
Sfmt 6203
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
(2) in paragraph (17) by striking the period at 
the end and inserting ‘‘; and’’, and 
(3) by adding at the end the following: 
‘‘(18) provide assurances that the area agency on 
aging will collect data to determine the services that 
are needed by older individuals whose needs are the 
focus of all centers funded under title IV and the effec-
tiveness of the programs, policies, and services pro-
vided by such area agency on aging in assisting these 
individuals. Each agency plan shall provide assur-
ances that the area agency on aging will use outreach 
efforts that will identify individuals eligible for assist-
ance under this Act, with special emphasis on those 
individuals whose needs are the focus of all centers es-
tablished under title IV. This requirement applies to 
all centers funded on the day before the effective date 
of this paragraph.’’. 
(b) STATE PLANS.—Section 307(a) of the Older Ameri-
cans Act of 1965 (42 U.S.C. 3027) is amended by adding 
at the end the following: 
‘‘(31) The State shall prepare and submit to the 
Assistant Secretary annual reports on the data col-
lected to determine the services that are needed by 
older individuals whose needs are the focus of all cen-
ters funded under title IV and the effectiveness of the 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00013
Fmt 6652
Sfmt 6203
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
programs, policies, and services provided by area 
agencies on aging in assisting these individuals. The 
reports shall describe any outreach efforts and other 
activities described in section 306(a)(18). This re-
quirement applies to all centers funded on the day be-
fore the date of the enactment of the effective date of 
this paragraph.’’. 
SEC. 109. ARTS EDUCATION. 
(a) PROGRAM DESIGN.—Section 202(a)(5) of the Older 
Americans Act of 1965 (42 U.S.C. 3012(a)(5)) is amended 
by inserting ‘‘cultural experiences, activities and services, 
including the arts,’’ after ‘‘education),’’. 
(b) SUPPORTIVE SERVICES.—Section 321(a)(7) of the 
Older Americans Act of 1965 (42 U.S.C. 3030d(a)(7)) is 
amended by inserting ‘‘cultural experiences (including the 
arts),’’ after ‘‘art therapy,’’. 
SEC. 110. SOCIAL DETERMINANTS OF HEALTH. 
Section 301(a)(1) of the Older Americans Act of 1965 
(42 U.S.C. 3021(a)(1)) is amended— 
(1) in subparagraph (C) by striking ‘‘and’’ at 
the end, 
(2) in subparagraph (D) by striking the period 
at the end and inserting ‘‘; and’’, and 
(3) by adding at the end the following: 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00014
Fmt 6652
Sfmt 6203
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
‘‘(E) address the social determinants of health of 
older individuals.’’. 
SEC. 111. FEDERAL COORDINATION OF SUPPORTS AND 
SERVICES FOR LIVING INDEPENDENTLY AND 
SAFELY AT HOME. 
Title II of the Older Americans Act of 1965 (42 U.S.C. 
3011–3020) is amended by inserting after section 203A the 
following: 
‘‘SEC. 203B. FEDERAL COORDINATION OF SUPPORTS AND 
SERVICES FOR LIVING INDEPENDENTLY AND 
SAFELY AT HOME. 
‘‘(a) INITIATIVE.—The Assistant Secretary shall carry 
out an initiative under this section to identify and dissemi-
nate information about Federal resources to promote falls 
prevention, home assessments, and home modifications, 
which may include in-home assistive technology, to enable 
older individuals to live independently and safely in a home 
environment. 
‘‘(b) COORDINATION OF FEDERAL EFFORTS.—In car-
rying out the initiative under this section, the Assistant 
Secretary shall coordinate, through memoranda of under-
standing, agreements, or other appropriate means of coordi-
nation, with all Federal efforts and Federal programs in 
effect on the effective date of this section that support evi-
dence-based falls prevention, home assessments, and home 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00015
Fmt 6652
Sfmt 6203
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
modifications, which may include in-home assistive tech-
nology, for older individuals, including older individuals 
with disabilities. 
‘‘(c) REPORTS.—Not later than 1 year after the effec-
tive date of this section, and triennially thereafter as need-
ed, the Assistant Secretary shall publish a report that in-
cludes— 
‘‘(1) an inventory of the then current Federal 
programs that support evidence-based falls preven-
tion, home assessments, and home modifications, 
which may include in-home assistive technology, for 
older individuals and older individuals with disabil-
ities; 
‘‘(2) for the fiscal year of the report, statistical 
data on the number of older individuals and older in-
dividuals with disabilities served by each Federal pro-
gram described in paragraph (1), including a demo-
graphic analysis and the approximate amount of 
Federal funding invested in each such program; 
‘‘(3) an evaluation of the impact of Federal pro-
grams that support falls prevention and home modi-
fications, which may include in-home assistive tech-
nology, on health status and health outcomes in popu-
lations supported by such efforts and programs; and 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00016
Fmt 6652
Sfmt 6203
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
‘‘(4) information on the extent to which con-
sumer-friendly resources, such as a brochure— 
‘‘(A) are available through the National 
Eldercare Locator Service established under sec-
tion 202(a)(21); 
‘‘(B) are accessible to all area agencies on 
aging; and 
‘‘(C) contain information on home assess-
ments and home modifications for older individ-
uals attempting to live independently and safely 
in their homes and for the caregivers of such in-
dividuals.’’. 
SEC. 112. FALLS PREVENTION AND CHRONIC DISEASE SELF- 
MANAGEMENT EDUCATION. 
Section 411(a) of the Older Americans Act of 1965 (42 
U.S.C. 3032(a)) is amended— 
(1) by redesignating paragraphs (13) and (14) 
as paragraphs (15) and (16), respectively, and 
(2) by inserting after paragraph (12) the fol-
lowing: 
‘‘(13) bringing to scale and sustaining evidence- 
based falls prevention programs that will reduce the 
number of falls, fear of falling, and fall-related inju-
ries in older individuals and older individuals with 
disabilities; 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00017
Fmt 6652
Sfmt 6203
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
‘‘(14) bringing to scale and sustaining evidence- 
based chronic disease self-management programs that 
empower older individuals and older individuals with 
disabilities to better manage their chronic condi-
tions;’’. 
SEC. 113. EXTENSION OF RAISE FAMILY CAREGIVERS ACT. 
Section 6 of the RAISE Family Caregivers Act (Public 
Law 115–119; 132 Stat. 27) is amended by striking ‘‘3’’ 
and inserting ‘‘4’’. 
SEC. 114. SUPPORT FOR SOCIALLY-ISOLATED OLDER AMER-
ICANS. 
Section 102(14) of the Older Americans Act of 1965 
(42 U.S.C. 3002(14)) is amended— 
(1) in subparagraph (K) by striking ‘‘and’’ at 
the end, 
(2) in subparagraph (L) by striking ‘‘(K)’’ and 
inserting ‘‘(L)’’, 
(3) by redesignating subparagraph (L) as sub-
paragraph (M), and 
(4) by inserting after subparagraph (K) the fol-
lowing: 
‘‘(L) screening for the prevention of social 
isolation and coordination of supportive services 
and health care to address social isolation and 
loneliness; and’’. 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00018
Fmt 6652
Sfmt 6203
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
SEC. 115. INCREASED FOCUS OF ASSISTANT SECRETARY ON 
SOCIAL ISOLATION. 
Section 202(a) of the Older Americans Act of 1965 (42 
U.S.C. 3012(a)), as amended by section 103, is amended— 
(1) in paragraph (31) by striking ‘‘; and’’ and 
inserting a semicolon, 
(2) in paragraph (32) by striking the period at 
the end and inserting ‘‘; and’’, and 
(3) by adding at the end the following: 
‘‘(33) develop objectives, priorities, and a long- 
term plan for supporting State and local efforts in-
volving education about, prevention of, detection of, 
and response to social isolation among older individ-
uals.’’. 
SEC. 116. ADVISORY COUNCIL ON SOCIAL ISOLATION. 
Section 202 of the Older Americans Act of 1965 (42 
U.S.C. 3012), as amended by section 103, is amended by 
adding at the end the following: 
‘‘(i)(1) The Assistant Secretary shall convene an advi-
sory council on social isolation with aging network stake-
holders, including caregivers, and select members in a man-
ner that ensures geographic diversity of the members— 
‘‘(A) to review and evaluate efforts to address so-
cial isolation and loneliness among older individuals; 
and 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00019
Fmt 6652
Sfmt 6203
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
‘‘(B) to identify challenges, solutions, and best 
practices related to such efforts. 
‘‘(2) The advisory council convened under paragraph 
(1) shall— 
‘‘(A) ensure consideration of consumer-directed 
care models; and 
‘‘(B) submit a report to Congress on its findings. 
‘‘(3) The Federal Advisory Committee Act (5 U.S.C. 
App.) shall not apply with respect to the advisory council 
convened under paragraph (1).’’. 
SEC. 117. SUPPORTIVE SERVICES AND SENIOR CENTERS. 
Section 321(a) of the Older Americans Act of 1965 (42 
U.S.C. 3030d(a)) is amended— 
(1) in paragraph (24) by striking ‘‘and’’ at the 
end, 
(2) by redesignating paragraph (25) as para-
graph (26), and 
(3) by inserting after paragraph (24) the fol-
lowing: 
‘‘(25) services that promote or support social 
connectedness and reduce social isolation; and’’. 
SEC. 118. DEMONSTRATION PROJECTS. 
(a) DEMONSTRATIONS.—Section 411(a) of the Older 
Americans Act of 1965 (42 U.S.C. 3032(a)), as amended 
by section 112, is amended— 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00020
Fmt 6652
Sfmt 6203
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
(1) in paragraph (15) by striking ‘‘and’’ at the 
end, 
(2) by redesignating paragraph (16) as para-
graph (17), and 
(3) by inserting after paragraph (15) the fol-
lowing: 
‘‘(16) projects that address social isolation and 
loneliness among older adults; and’’. 
(b) REPEAL.—Section 416 of the Older Americans Act 
of 1965 (42 U.S.C. 3032e) is repealed. 
SEC. 119. YOUNGER ONSET ALZHEIMER’S DISEASE. 
(a) DEFINITION OF ‘‘FAMILY CAREGIVER’’.—Section 
302(3) of the Older Americans Act of 1965 (42 U.S.C. 
3022(3)) is amended by inserting ‘‘of any age’’ after ‘‘an 
individual’’. 
(b) DEFINITION OF ‘‘RESIDENT’’.—Section 711(6) of 
the Older Americans Act of 1965 (42 U.S.C. 3058(6)) is 
amended by inserting ‘‘of any age’’ after ‘‘individual’’. 
SEC. 120. PRIORITY FOR THE SENIOR COMMUNITY SERVICE 
EMPLOYMENT PROGRAM. 
The Older Americans Act of 1965 (42 U.S.C. 3001 et 
seq.) is amended— 
(1) in section 503(a)(4)(C)— 
(A) in clause (iii) by striking ‘‘and’’ at the 
end, 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00021
Fmt 6652
Sfmt 6203
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS
(B) in clause (iv) by adding ‘‘and’’ at the 
end, and 
(C) by adding at the end the following: 
‘‘(v) eligible individuals who have been 
incarcerated or are under supervision fol-
lowing the release from prison or jail with-
in the last 5 years;’’, 
(2) in section 514(e)(1) by inserting ‘‘older indi-
viduals who have been incarcerated or are under su-
pervision following the release from prison or jail,’’ 
after ‘‘need,’’, and 
(3) in section 518— 
(A) in subsection (a)(3)(B)(ii)— 
(i) in clause (IV) by striking ‘‘or’’ at 
the end, 
(ii) in clause (V) by striking the period 
at the end and inserting ‘‘; or’’, and 
(iii) by adding at the end the fol-
lowing: 
‘‘(VI) have been incarcerated or are 
under supervision following the release from 
prison or jail within the last 5 years.’’, and 
(B) in subsection (b)(2)— 
(i) in subparagraph (F) by striking 
‘‘or’’ at the end, 
VerDate Sep 11 2014 
22:20 Oct 28, 2019
Jkt 099200
PO 00000
Frm 00022
Fmt 6652
Sfmt 6203
E:\BILLS\H4334.RH
H4334
kjohnson on DSK79L0C42 with BILLS