those who are in home care and at 40 to 85 percent 
for those who are in nursing homes; 
(3) the Institute of Medicine of the National 
Academy of Sciences has estimated that approxi-
mately 40 percent of community-residing persons 
age 65 and older have inadequate nutrient intakes; 
(4) older adults are susceptible to nutrient defi-
ciencies for a number of reasons, including a re-
duced capacity to absorb and utilize nutrients, dif-
ficulty chewing, and loss of appetite; 
(5) while diet is the preferred source of nutri-
tion, evidence suggests that the use of a single daily 
multivitamin-mineral supplement may be an effective 
way to address nutritional gaps that exist among the 
elderly population, especially the poor; and 
(6) the Dietary Guidelines for Americans state 
that multivitamin-mineral supplements may be use-
ful when they fill a specific identified nutrient gap 
that cannot be or is not otherwise being met by the 
individual’s intake of food. 
(b) SENSE OF CONGRESS.—It is the sense of Con-
gress that—
(1) meal programs funded by the Older Ameri-
cans Act of 1965 contribute to the nutritional health 
of older adults;
(2) when the nutritional needs of older adults 
are not fully met by diet, use of a single, daily multi-
vitamin-mineral supplement may help prevent nutri-
tion deficiencies common in many older adults; 
(3) use of a single, daily multivitamin-mineral 
supplement can be a safe and inexpensive strategy 
to help ensure the nutritional health of older adults; 
and 
(4) nutrition service providers under the Older 
Americans Act of 1965 should consider whether in-
dividuals participating in congregate and home-deliv-
ered meal programs would benefit from a single, 
daily multivitamin-mineral supplement that is in 
compliance with all applicable government quality 
standards and provides at least 2⁄3 of the essential 
vitamins and minerals at 100 percent of the daily 
value levels as determined by the Commissioner of 
Food and Drugs. 
SEC. 319. IMPROVING INDOOR AIR QUALITY IN BUILDINGS 
WHERE OLDER INDIVIDUALS CONGREGATE. 
Section 361 of the Older Americans Act of 1965 (42 
U.S.C. 3030m) is amended by adding at the end the fol-
lowing: 
‘‘(c) The Assistant Secretary shall work in consulta-
tion with qualified experts to provide information on meth-
ods of improving indoor air quality in buildings where 
older individuals congregate.’’. 
SEC. 320. CAREGIVER SUPPORT PROGRAM DEFINITIONS. 
Section 372 of the National Family Caregiver Sup-
port Act (42 U.S.C. 3030s) is amended—
(1) in paragraph (1), by inserting ‘‘or who is an 
individual with a disability’’ after ‘‘age’’; 
(2) in paragraph (3)—
(A) by striking ‘‘a child by blood or mar-
riage’’ and inserting ‘‘a child by blood, mar-
riage, or adoption’’; and 
(B) by striking ‘‘60’’ and inserting ‘‘55’’; 
(3) by inserting before ‘‘In this subpart’’ the 
following: ‘‘(a) IN GENERAL.—’’; 
(4) by striking paragraph (2); 
(5) by redesignating paragraph (3) as para-
graph (2); 
(6) by adding at the end the following: 
‘‘(b) RULE.—In providing services under this sub-
part—
‘‘(1) for family caregivers who provide care for 
individuals with Alzheimer’s disease and related dis-
orders with neurological and organic brain dysfunc-
tion, the State involved shall give priority to care-
givers who provide care for older individuals with 
such disease or disorder; and 
‘‘(2) for grandparents or older individuals who 
are relative caregivers, the State involved shall give 
priority to caregivers who provide care for children 
with severe disabilities.’’. 
SEC. 321. CAREGIVER SUPPORT PROGRAM. 
Section 373 of the National Family Caregiver Sup-
port Act (42 U.S.C. 3030s–1) is amended—
(1) in subsection (b)(3), by striking ‘‘caregivers 
to assist’’ and all that follows through the end and 
inserting the following: ‘‘assist the caregivers in the 
areas of health, nutrition, and financial literacy, and 
in making decisions and solving problems relating to 
their caregiving roles;’’; 
(2) in subsection (c)—
(A) in paragraph (1)(B), by striking ‘‘sub-
paragraph (A)(i) or (B) of section 102(28)’’ 
and inserting ‘‘subparagraph (A)(i) or (B) of 
section 102(22)’’; and 
(B) by striking paragraph (2) and insert-
ing the following: 
‘‘(2) PRIORITY.—In providing services under 
this subpart, the State, in addition to giving the pri-
ority described in section 372(b), shall give pri-
ority—
‘‘(A) to caregivers who are older individ-
uals with greatest social need, and older indi-
viduals with greatest economic need (with par-
ticular attention to low-income older individ-
uals); and 
‘‘(B) to older individuals providing care to 
individuals with severe disabilities, including 
children with severe disabilities.’’; 
(3) in subsection (d), to read as follows: 
‘‘(d) USE OF VOLUNTEERS.—In carrying out this 
subpart, each area agency on aging shall make use of 
trained volunteers to expand the provision of the available 
services described in subsection (b) and, if possible, work 
in coordination with organizations that have experience in 
providing training, placement, and stipends for volunteers 
or participants (such as organizations carrying out Fed-
eral service programs administered by the Corporation for 
National and Community Service), in community service 
settings.’’; 
(4) in subsection (e)(3), by adding at the end 
the following: ‘‘The reports shall describe any mech-
anisms used in the State to provide to persons who 
are family caregivers, or grandparents or older indi-
viduals who are relative caregivers, information 
about and access to various services so that the per-
sons can better carry out their care responsibil-
ities.’’; 
(5) in subsection (f)(1), by striking ‘‘2001 
through 2005’’ and inserting ‘‘2007, 2008, 2009, 
2010, and 2011’’; and 
(6) in subsection (g)(2)(C), by inserting ‘‘of a 
child who is not more than 18 years of age’’ before 
the period at the end. 
SEC. 322. NATIONAL INNOVATION. 
Subpart 2 of part E of title III of the Older Ameri-
cans Act of 1965 (42 U.S.C. 3030s–11 et seq.) is repealed. 
TITLE 
IV—ACTIVITIES 
FOR 
HEALTH, 
INDEPENDENCE, 
AND LONGEVITY 
SEC. 401. TITLE. 
The Older Americans Act of 1965 is amended by in-
serting before section 401 (42 U.S.C. 3031) the following: 
‘‘TITLE 
IV—ACTIVITIES 
FOR 
HEALTH, 
INDEPENDENCE, 
AND LONGEVITY’’. 
SEC. 402. GRANT PROGRAMS. 
Section 411 of the Older Americans Act of 1965 (42 
U.S.C. 3032) is amended—
(1) in subsection (a)—
(A) in paragraph (8), by striking ‘‘and’’ at 
the end; 
(B) by redesignating paragraph (9) as 
paragraph (13); and 
(C) by inserting after paragraph (8) the 
following: 
‘‘(9) planning activities to prepare communities 
for the aging of the population, which activities may 
include—
‘‘(A) efforts to assess the aging population; 
‘‘(B) activities to coordinate the activities 
of State and local agencies in order to meet the 
needs of older individuals; and 
‘‘(C) training and technical assistance to 
support States, area agencies on aging, and or-
ganizations receiving grants under title VI, in 
engaging in community planning activities; 
‘‘(10) the development, implementation, and as-
sessment of technology-based service models and 
best practices, to support the use of health moni-
toring and assessment technologies, communication 
devices, assistive technologies, and other technologies 
that may remotely connect family and professional
caregivers to frail older individuals residing in home 
and community-based settings or rural areas; 
‘‘(11) conducting activities of national signifi-
cance to promote quality and continuous improve-
ment in the support provided to family and other in-
formal caregivers of older individuals through activi-
ties that include program evaluation, training, tech-
nical assistance, and research, including—
‘‘(A) programs addressing unique issues 
faced by rural caregivers; 
‘‘(B) programs focusing on the needs of 
older individuals with cognitive impairment 
such as Alzheimer’s disease and related dis-
orders with neurological and organic brain dys-
function, and their caregivers; and 
‘‘(C) programs supporting caregivers in the 
role they play in providing disease prevention 
and health promotion services; 
‘‘(12) building public awareness of cognitive im-
pairments such as Alzheimer’s disease and related 
disorders with neurological and organic brain dys-
function, depression, and mental disorders; and’’; 
and
(2) in subsection (b), by striking ‘‘year’’ and all 
that follows through ‘‘years’’ and inserting ‘‘years 
2007, 2008, 2009, 2010, and 2011’’. 
SEC. 403. CAREER PREPARATION FOR THE FIELD OF 
AGING. 
Section 412(a) of the Older Americans Act of 1965 
(42 U.S.C. 3032a(a)) is amended to read as follows: 
‘‘(a) GRANTS.—The Assistant Secretary shall make 
grants to institutions of higher education, including his-
torically Black colleges or universities, Hispanic-serving 
institutions, and Hispanic Centers of Excellence in Ap-
plied Gerontology, to provide education and training that 
prepares students for careers in the field of aging.’’. 
SEC. 
404. 
HEALTH 
CARE 
SERVICE 
DEMONSTRATION 
PROJECTS IN RURAL AREAS. 
Section 414 of the Older Americans Act of 1965 (42 
U.S.C. 3032c) is amended—
(1) in subsection (a), by inserting ‘‘mental 
health services,’’ after ‘‘care,’’; and 
(2) in subsection (b)(1)(B)(i), by inserting 
‘‘mental health,’’ after ‘‘health,’’.
SEC. 405. TECHNICAL ASSISTANCE AND INNOVATION TO IM-
PROVE TRANSPORTATION FOR OLDER INDI-
VIDUALS. 
Section 416 of the Older Americans Act of 1965 (42 
U.S.C. 3032e) is amended to read as follows: 
‘‘SEC. 416. TECHNICAL ASSISTANCE AND INNOVATION TO 
IMPROVE TRANSPORTATION FOR OLDER IN-
DIVIDUALS. 
‘‘(a) IN GENERAL.—The Secretary may award grants 
or contracts to nonprofit organizations to improve trans-
portation services for older individuals. 
‘‘(b) USE OF FUNDS.—
‘‘(1) IN
GENERAL.—A nonprofit organization 
receiving a grant or contract under subsection (a) 
shall use the funds received through such grant or 
contract to carry out a demonstration project, or to 
provide technical assistance to assist local transit 
providers, area agencies on aging, senior centers, 
and local senior support groups, to encourage and 
facilitate coordination of Federal, State, and local 
transportation services and resources for older indi-
viduals. The organization may use the funds to de-
velop and carry out an innovative transportation 
demonstration project to create transportation serv-
ices for older individuals.
‘‘(2) SPECIFIC ACTIVITIES.—In carrying out a 
demonstration project or providing technical assist-
ance under paragraph (1) the organization may 
carry out activities that include—
‘‘(A) developing innovative approaches for 
improving access by older individuals to trans-
portation services, including volunteer driver 
programs, economically sustainable transpor-
tation programs, and programs that allow older 
individuals to transfer their automobiles to a 
provider of transportation services in exchange 
for the services; 
‘‘(B) preparing information on transpor-
tation options and resources for older individ-
uals and organizations serving such individuals, 
and disseminating the information by estab-
lishing and operating a toll-free telephone num-
ber; 
‘‘(C) developing models and best practices 
for providing comprehensive integrated trans-
portation services for older individuals, includ-
ing services administered by the Secretary of 
Transportation, by providing ongoing technical 
assistance to agencies providing services under
title III and by assisting in coordination of pub-
lic and community transportation services; and 
‘‘(D) providing special services to link 
older individuals to transportation services not 
provided under title III. 
‘‘(c) 
ECONOMICALLY
SUSTAINABLE
TRANSPOR-
TATION.—In this section, the term ‘economically sustain-
able transportation’ means demand responsive transpor-
tation for older individuals—
‘‘(1) that may be provided through volunteers; 
and 
‘‘(2) that the provider will provide without re-
ceiving Federal or other public financial assistance, 
after a period of not more than 5 years of providing 
the services under this section.’’. 
SEC. 406. DEMONSTRATION, SUPPORT, AND RESEARCH 
PROJECTS FOR MULTIGENERATIONAL AC-
TIVITIES AND CIVIC ENGAGEMENT ACTIVI-
TIES. 
Section 417 of the Older Americans Act of 1965 (42 
U.S.C. 3032f) is amended to read as follows:
‘‘SEC. 417. DEMONSTRATION, SUPPORT, AND RESEARCH 
PROJECTS FOR MULTIGENERATIONAL AND 
CIVIC ENGAGEMENT ACTIVITIES. 
‘‘(a) GRANTS AND CONTRACTS.—The Assistant Sec-
retary shall award grants and enter into contracts with 
eligible organizations to carry out projects to—
‘‘(1) provide opportunities for older individuals 
to participate in multigenerational activities and 
civic engagement activities designed to meet critical 
community needs, and use the full range of time, 
skills, and experience of older individuals, including 
demonstration and support projects that—
‘‘(A) provide support for grandparents and 
other older individuals who are relative care-
givers raising children (such as kinship navi-
gator programs); or 
‘‘(B) involve volunteers who are older indi-
viduals who provide support and information to 
families who have a child with a disability or 
chronic illness, or other families in need of such 
family support; and 
‘‘(2) coordinate multigenerational activities and 
civic engagement activities, promote volunteerism, 
and facilitate development of and participation in 
multigenerational activities and civic engagement ac-
tivities.
‘‘(b) USE OF FUNDS.—An eligible organization shall 
use funds made available under a grant awarded, or a con-
tract entered into, under this section to—
‘‘(1) carry out a project described in subsection 
(a); and 
‘‘(2) evaluate the project in accordance with 
subsection (f). 
‘‘(c) PREFERENCE.—In awarding grants and enter-
ing into contracts to carry out a project described in sub-
section (a), the Assistant Secretary shall give preference 
to—
‘‘(1) eligible organizations with a demonstrated 
record of carrying out multigenerational activities or 
civic engagement activities; 
‘‘(2) 
eligible 
organizations 
proposing 
multigenerational activity projects that will serve 
older individuals and communities with the greatest 
need (with particular attention to low-income minor-
ity individuals, older individuals with limited English 
proficiency, older individuals residing in rural areas, 
and low-income minority communities); 
‘‘(3) eligible organizations proposing civic en-
gagement projects that will serve communities with 
the greatest need; and
‘‘(4) eligible organizations with the capacity to 
develop meaningful roles and assignments that use 
the time, skills, and experience of older individuals 
to serve public and nonprofit organizations. 
‘‘(d) APPLICATION.—To be eligible to receive a grant 
or enter into a contract under subsection (a), an organiza-
tion shall submit an application to the Assistant Secretary 
at such time, in such manner, and accompanied by such 
information as the Assistant Secretary may reasonably re-
quire. 
‘‘(e) ELIGIBLE ORGANIZATIONS.—Organizations eli-
gible to receive a grant or enter into a contract under sub-
section (a)—
‘‘(1) to carry out activities described in sub-
section (a)(1), shall be organizations that provide 
opportunities for older individuals to participate in 
activities described in subsection (a)(1); and 
‘‘(2) to carry out activities described in sub-
section (a)(2), shall be organizations with the capac-
ity to conduct the coordination, promotion, and fa-
cilitation described in subsection (a)(2), through the 
use of multigenerational coordinators. 
‘‘(f) LOCAL EVALUATION AND REPORT.—
‘‘(1) EVALUATION.—Each organization receiv-
ing a grant or a contract under subsection (a) to
carry out a project described in subsection (a) shall 
evaluate the multigenerational activities or civic en-
gagement activities carried out under the project to 
determine—
‘‘(A) the effectiveness of the activities in-
volved; 
‘‘(B) the impact of such activities on the 
community being served and the organization 
providing the activities; and 
‘‘(C) the impact of such activities on older 
individuals involved in such project. 
‘‘(2) REPORT.—The organization shall submit a 
report to the Assistant Secretary containing the 
evaluation not later than 6 months after the expira-
tion of the period for which the grant or contract is 
in effect. 
‘‘(g) REPORT
TO CONGRESS.—Not later than 6 
months after the Assistant Secretary receives the reports 
described in subsection (f)(2), the Assistant Secretary 
shall prepare and submit to the Speaker of the House of 
Representatives and the President pro tempore of the Sen-
ate a report that assesses the evaluations and includes, 
at a minimum—
‘‘(1) the names or descriptive titles of the 
projects funded under subsection (a);
‘‘(2) a description of the nature and operation 
of the projects; 
‘‘(3) the names and addresses of organizations 
that conducted the projects; 
‘‘(4) in the case of projects carried out under 
subsection (a)(1), a description of the methods and 
success of the projects in recruiting older individuals 
as employees and as volunteers to participate in the 
projects; 
‘‘(5) in the case of projects carried out under 
subsection (a)(1), a description of the success of the 
projects in retaining older individuals participating 
in the projects as employees and as volunteers; 
‘‘(6) in the case of projects carried out under 
subsection (a)(1), the rate of turnover of older indi-
vidual employees and volunteers in the projects; 
‘‘(7) a strategy for disseminating the findings 
resulting from the projects described in paragraph 
(1); and 
‘‘(8) any policy change recommendations relat-
ing to the projects. 
‘‘(h) DEFINITIONS.—As used in this section: 
‘‘(1) 
MULTIGENERATIONAL
ACTIVITY.—The 
term ‘multigenerational activity’ means an activity 
that provides an opportunity for interaction between
2 or more individuals of different generations, in-
cluding activities connecting older individuals and 
youth in a child care program, a youth day care pro-
gram, an educational assistance program, an at-risk 
youth intervention program, a juvenile delinquency 
treatment program, a before- or after-school pro-
gram, a library program, or a family support pro-
gram. 
‘‘(2) MULTIGENERATIONAL
COORDINATOR.—
The term ‘multigenerational coordinator’ means a 
person who—
‘‘(A) builds the capacity of public and non-
profit organizations to develop meaningful roles 
and assignments, that use the time, skill, and 
experience of older individuals to serve those or-
ganizations; and 
‘‘(B) 
nurtures 
productive, 
sustainable 
working relationships between—
‘‘(i) individuals from the generations 
with older individuals; and 
‘‘(ii) individuals in younger genera-
tions.’’.
SEC. 407. NATIVE AMERICAN PROGRAMS. 
Section 418(a)(2)(B)(i) of the Older Americans Act 
of 1965 (42 U.S.C. 3032g(a)(2)(B)(i)) is amended by in-
serting ‘‘(including mental health)’’ after ‘‘health’’. 
SEC. 408. MULTIDISCIPLINARY CENTERS AND MULTIDISCI-
PLINARY SYSTEMS. 
Section 419 of the Older Americans Act of 1965 (42 
U.S.C. 3032h) is amended—
(1) by striking the title and inserting the fol-
lowing: 
‘‘SEC. 419. MULTIDISCIPLINARY CENTERS AND MULTIDISCI-
PLINARY SYSTEMS.’’; 
(2)(A) in subsection (b)(2), by redesignating 
subparagraphs (A) through (G) as clauses (i) 
through (vii), respectively; 
(B) in subsection (c)(2), by redesignating sub-
paragraphs (A) through (D) as clauses (i) through 
(iv), respectively; and 
(C) by aligning the margins of the clauses de-
scribed in subparagraphs (A) and (B) with the mar-
gins of clause (iv) of section 418(a)(2)(A) of such 
Act; 
(3)(A) in subsection (b), by redesignating para-
graphs (1) and (2) as subparagraphs (A) and (B), 
respectively;
(B) in subsection (c), by redesignating para-
graphs (1) and (2) as subparagraphs (A) and (B), 
respectively; and 
(C) by aligning the margins of the subpara-
graphs described in subparagraphs (A) and (B) with 
the margins of subparagraph (D) of section 
420(a)(1) of such Act; 
(4) in subsection (a), by striking ‘‘(a)’’ and all 
that follows through ‘‘The’’ and inserting the fol-
lowing: 
‘‘(a) MULTIDISCIPLINARY CENTERS.—
‘‘(1) PROGRAM AUTHORIZED.—The’’; 
(5) in subsection (b)—
(A) by striking the following: 
‘‘(b) USE OF FUNDS.—’’ and inserting the following: 
‘‘(2) USE OF FUNDS.—’’; and 
(B) by striking ‘‘subsection (a)’’ each place 
it appears and inserting ‘‘paragraph (1)’’; 
(6) in subsection (c)—
(A) by striking the following: 
‘‘(c) DATA.—’’ and inserting the following: 
‘‘(3) DATA.—’’; 
(B) by striking ‘‘subsection (a)’’ and in-
serting ‘‘paragraph (1)’’;
(C) by striking ‘‘such subsection’’ and in-
serting ‘‘such paragraph’’; 
(D) by striking ‘‘paragraph (1)’’ and in-
serting ‘‘subparagraph (A)’’; and 
(E) by striking ‘‘this section’’ and insert-
ing ‘‘this subsection’’; 
(7) in subsection (a) (as so redesignated)—
(A) in paragraph (1), by inserting ‘‘diverse 
populations of older individuals residing in 
urban communities,’’ after ‘‘minority popu-
lations,’’; 
(B) in paragraph (2)(B)—
(C)(i) in clause (v), by inserting ‘‘, includ-
ing information about best practices in long-
term care service delivery, housing, and trans-
portation’’ before the semicolon at the end; 
(ii) in clause (vi)—
(I) by striking ‘‘consultation and’’; 
(II) by inserting ‘‘and other technical 
assistance’’ after ‘‘information’’; and 
(III) by striking ‘‘and’’ at the end; 
(iii) in clause (vii), by striking the period 
at the end and inserting ‘‘; and’’; and 
(iv) by adding at the end the following:
‘‘(viii) provide training and technical 
assistance to support the provision of com-
munity-based mental health services for 
older individuals.’’; and 
(8) by adding at the end the following: 
‘‘(b) MULTIDISCIPLINARY
HEALTH
SERVICES
IN 
COMMUNITIES.—
‘‘(1) PROGRAM
AUTHORIZED.—The Assistant 
Secretary shall make grants to States, on a competi-
tive basis, for the development and operation of—
‘‘(A) systems for the delivery of mental 
health screening and treatment services for 
older individuals who lack access to such serv-
ices; and 
‘‘(B) programs to—
‘‘(i) increase public awareness regard-
ing the benefits of prevention and treat-
ment of mental disorders in older individ-
uals; 
‘‘(ii) reduce the stigma associated 
with mental disorders in older individuals 
and other barriers to the diagnosis and 
treatment of the disorders; and
‘‘(iii) reduce age-related prejudice and 
discrimination regarding mental disorders 
in older individuals. 
‘‘(2) APPLICATION.—To be eligible to receive a 
grant under this subsection for a State, a State 
agency shall submit an application to the Assistant 
Secretary at such time, in such manner, and con-
taining such information as the Assistant Secretary 
may require. 
‘‘(3) STATE ALLOCATION AND PRIORITIES.—A 
State agency that receives funds through a grant 
made under this subsection shall allocate the funds 
to area agencies on aging to carry out this sub-
section in planning and service areas in the State. 
In allocating the funds, the State agency shall give 
priority to planning and service areas in the State—
‘‘(A) that are medically underserved; and 
‘‘(B) in which there are large numbers of 
older individuals. 
‘‘(4) AREA COORDINATION OF SERVICES WITH 
OTHER
PROVIDERS.—In carrying out this sub-
section, to more efficiently and effectively deliver 
services to older individuals, each area agency on 
aging shall—
‘‘(A) coordinate services described in sub-
paragraphs (A) and (B) of paragraph (1) with 
such services or similar or related services of 
other community agencies, and voluntary orga-
nizations; and 
‘‘(B) to the greatest extent practicable, in-
tegrate outreach and educational activities with 
such activities of existing (as of the date of the 
integration) social service and health care (in-
cluding mental health) providers serving older 
individuals in the planning and service area in-
volved. 
‘‘(5) 
RELATIONSHIP
TO
OTHER
FUNDING 
SOURCES.—Funds made available under this sub-
section shall supplement, and not supplant, any Fed-
eral, State, and local funds expended by a State or 
unit of general purpose local government (including 
an area agency on aging) to provide the services de-
scribed in subparagraphs (A) and (B) of paragraph 
(1). 
‘‘(6) DEFINITION.—In this subsection, the term 
‘mental health screening and treatment services’ 
means patient screening, diagnostic services, care 
planning and oversight, therapeutic interventions, 
and referrals, that are—
‘‘(A) provided pursuant to evidence-based 
intervention and treatment protocols (to the ex-
tent such protocols are available) for mental 
disorders prevalent in older individuals; and 
‘‘(B) coordinated and integrated with the 
services of social service and health care (in-
cluding mental health) providers in an area in 
order to—
‘‘(i) improve patient outcomes; and 
‘‘(ii) ensure, to the maximum extent 
feasible, the continuing independence of 
older individuals who are residing in the 
area.’’. 
SEC. 409. COMMUNITY INNOVATIONS FOR AGING IN PLACE. 
Part A of title IV of the Older Americans Act of 1965 
(42 U.S.C. 3031 et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 422. COMMUNITY INNOVATIONS FOR AGING IN 
PLACE. 
‘‘(a) DEFINITIONS.—In this section: 
‘‘(1) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’—
‘‘(A) means a nonprofit health or social 
service organization, a community-based non-
profit organization, an area agency on aging or
100
other local government agency, a tribal organi-
zation, or another entity that—
‘‘(i) the Assistant Secretary deter-
mines to be appropriate to carry out a 
project under this part; and 
‘‘(ii) demonstrates a record of, and ex-
perience in, providing or administering 
group and individual health and social 
services for older individuals; and 
‘‘(B) does not include an entity providing 
housing under the congregate housing services 
program carried out under section 802 of the 
Cranston-Gonzalez National Affordable Hous-
ing Act (42 U.S.C. 8011) or the multifamily 
service coordinator program carried out under 
section 202(g) of the Housing Act of 1959 (12 
U.S.C. 1701q(g)). 
‘‘(2) NATURALLY
OCCURRING
RETIREMENT 
COMMUNITY.—The term ‘Naturally Occurring Re-
tirement Community’ means a community with a 
concentrated population of older individuals, which 
may include a residential building, a housing com-
plex, an area (including a rural area) of single fam-
ily residences, or a neighborhood composed of age-
integrated housing—
101
‘‘(A) where—
‘‘(i) 40 percent of the heads of house-
holds are older individuals; or 
‘‘(ii) a critical mass of older individ-
uals exists, based on local factors that, 
taken in total, allow an organization to 
achieve efficiencies in the provision of 
health and social services to older individ-
uals living in the community; and 
‘‘(B) that is not an institutional care or as-
sisted living setting. 
‘‘(b) GRANTS.—
‘‘(1) IN
GENERAL.—The Assistant Secretary 
shall make grants, on a competitive basis, to eligible 
entities to develop and carry out model aging in 
place projects. The projects shall promote aging in 
place for older individuals (including such individ-
uals who reside in Naturally Occurring Retirement 
Communities), in order to sustain the independence 
of older individuals. A recipient of a grant under 
this subsection shall identify innovative strategies for 
providing, and linking older individuals to programs 
and services that provide, comprehensive and coordi-
nated health and social services to sustain the qual-
102
ity of life of older individuals and support aging in 
place. 
‘‘(2) GRANT
PERIODS.—The Assistant Sec-
retary shall make the grants for periods of 3 years. 
‘‘(c) APPLICATIONS.—
‘‘(1) IN GENERAL.—To be eligible to receive a 
grant under subsection (b) for a project, an entity 
shall submit an application to the Assistant Sec-
retary at such time, in such manner, and containing 
such information as the Assistant Secretary may re-
quire. 
‘‘(2) CONTENTS.—The application shall in-
clude—
‘‘(A) a detailed description of the entity’s 
experience in providing services to older individ-
uals in age-integrated settings; 
‘‘(B) a definition of the contiguous service 
area and a description of the project area in 
which the older individuals reside or carry out 
activities to sustain their well-being; 
‘‘(C) the results of a needs assessment that 
identifies—
‘‘(i) existing (as of the date of the as-
sessment) community-based health and so-
103
cial services available to individuals resid-
ing in the project area; 
‘‘(ii) the strengths and gaps of such 
existing services in the project area; 
‘‘(iii) the needs of older individuals 
who reside in the project area; and 
‘‘(iv) services not being delivered that 
would promote aging in place and con-
tribute to the well-being of older individ-
uals residing in the project area; 
‘‘(D) a plan for the development and im-
plementation of an innovative model for service 
coordination and delivery within the project 
area; 
‘‘(E) a description of how the plan de-
scribed in subparagraph (D) will enhance exist-
ing services described in subparagraph (C)(i) 
and support the goal of this section to promote 
aging in place; 
‘‘(F) a description of proposed actions by 
the entity to prevent the duplication of services 
funded under a provision of this Act, other than 
this section, and a description of how the entity 
will cooperate, and coordinate planning and 
services (including any formal agreements),
104
with agencies and organizations that provide 
publicly supported services for older individuals 
in the project area, including the State agency 
and area agencies on aging with planning and 
service areas in the project area; 
‘‘(G) an assurance that the entity will seek 
to establish cooperative relationships with inter-
ested local entities, including private agencies 
and businesses that provide health and social 
services, housing entities, community develop-
ment organizations, philanthropic organizations, 
foundations, and other non-Federal entities; 
‘‘(H) a description of the entity’s protocol 
for referral of residents who may require long-
term care services, including coordination with 
local agencies, including area agencies on aging 
and Aging and Disability Resource Centers that 
serve as single points of entry to public services; 
‘‘(I) a description of how the entity will 
offer opportunities for older individuals to be 
involved in the governance, oversight, and oper-
ation of the project; 
‘‘(J) an assurance that the entity will sub-
mit to the Assistant Secretary such evaluations
105
and reports as the Assistant Secretary may re-
quire; and 
‘‘(K) a plan for long-term sustainability of 
the project. 
‘‘(d) USE OF FUNDS.—
‘‘(1) IN GENERAL.—An eligible entity that re-
ceives a grant under subsection (b) shall use the 
funds made available through the grant to—
‘‘(A) ensure access by older individuals in 
the project area to community-based health and 
social services consisting of—
‘‘(i) case management, case assist-
ance, and social work services; 
‘‘(ii) health care management and 
health care assistance, including disease 
prevention and health promotion services; 
‘‘(iii) education, socialization, and rec-
reational activities; and 
‘‘(iv) 
volunteer 
opportunities 
for 
project participants; 
‘‘(B) conduct outreach to older individuals 
within the project area; and 
‘‘(C) develop and implement innovative, 
comprehensive, and cost-effective approaches 
for the delivery and coordination of community-
106
based health and social services, including those 
identified in subparagraph (A)(iv), which may 
include mental health services, for eligible older 
individuals. 
‘‘(2) COORDINATION.—An eligible entity receiv-
ing a grant under subsection (b) for a project shall 
coordinate activities with organizations providing 
services funded under title III to support such serv-
ices for or facilitate the delivery of such services to 
eligible older individuals served by the project. 
‘‘(3) PREFERENCE.—In carrying out an aging 
in place project, an eligible entity shall, to the extent 
practicable, serve a community of low-income indi-
viduals and operate or locate the project and services 
in or in close proximity to a location where a large 
concentration of older individuals has aged in place 
and resided, such as a Naturally Occurring Retire-
ment Community. 
‘‘(4) SUPPLEMENT
NOT
SUPPLANT.—Funds 
made available to an eligible entity under subsection 
(b) shall be used to supplement, not supplant, any 
Federal, State, or other funds otherwise available to 
the entity to provide health and social services to eli-
gible older individuals.
107
‘‘(e) COMPETITIVE GRANTS FOR TECHNICAL ASSIST-
ANCE.—
‘‘(1) GRANTS.—The Assistant Secretary shall 
(or shall make a grant, on a competitive basis, to an 
eligible nonprofit organization, to enable the organi-
zation to)—
‘‘(A) provide technical assistance to recipi-
ents of grants under subsection (b); and 
‘‘(B) carry out other duties, as determined 
by the Assistant Secretary. 
‘‘(2) ELIGIBLE ORGANIZATION.—To be eligible 
to receive a grant under this subsection, an organi-
zation shall be a nonprofit organization (including a 
partnership of nonprofit organizations), that—
‘‘(A) has experience and expertise in pro-
viding technical assistance to a range of entities 
serving older individuals and experience evalu-
ating and reporting on programs; and 
‘‘(B) has demonstrated knowledge of and 
expertise in community-based health and social 
services. 
‘‘(3) APPLICATION.—To be eligible to receive a 
grant under this subsection, an organization (includ-
ing a partnership of nonprofit organizations) shall 
submit an application to the Assistant Secretary at
108
such time, in such manner, and containing such in-
formation as the Assistant Secretary may require, 
including an assurance that the organization will 
submit to the Assistant Secretary such evaluations 
and reports as the Assistant Secretary may require. 
‘‘(f) REPORT.—The Assistant Secretary shall annu-
ally prepare and submit a report to Congress that shall 
include—
‘‘(1) the findings resulting from the evaluations 
of the model projects conducted under this section; 
‘‘(2) a description of recommended best prac-
tices regarding carrying out health and social service 
projects for older individuals aging in place; and 
‘‘(3) recommendations for legislative or admin-
istrative action, as the Assistant Secretary deter-
mines appropriate.’’. 
SEC. 410. RESPONSIBILITIES OF ASSISTANT SECRETARY. 
Section 432(c)(2)(B) of the Older Americans Act of 
1965 (42 U.S.C. 3033a(c)(2)(B)) is amended by inserting 
‘‘, including preparing an analysis of such services, 
projects, and programs, and of how the evaluation relates 
to improvements in such services, projects, and programs 
and in the strategic plan of the Administration’’ before 
the period at the end.
109
TITLE 
V—OLDER 
AMERICAN 
COMMUNITY 
SERVICE 
EM-
PLOYMENT PROGRAM 
SEC. 501. COMMUNITY SERVICE SENIOR OPPORTUNITIES 
ACT. 
Title V of the Older Americans Act of 1965 (42 
U.S.C. 3056 et seq.) is amended to read as follows: 
‘‘TITLE V—COMMUNITY SERVICE 
SENIOR OPPORTUNITIES ACT 
‘‘SEC. 501. SHORT TITLE. 
‘‘This title may be cited as the ‘Community Service 
Senior Opportunities Act’. 
‘‘SEC. 502. OLDER AMERICAN COMMUNITY SERVICE EM-
PLOYMENT PROGRAM. 
‘‘(a) IN GENERAL.—
‘‘(1) ESTABLISHMENT OF PROGRAM.—To foster 
individual economic self-sufficiency and promote use-
ful opportunities in community service activities 
(which shall include community service employment) 
for unemployed low-income persons who are age 55 
or older, particularly persons who have poor employ-
ment prospects, and to increase the number of per-
sons who may enjoy the benefits of unsubsidized em-
ployment in both the public and private sectors, the 
Secretary of Labor (referred to in this title as the
110
‘Secretary’) may establish an older American com-
munity service employment program. 
‘‘(2) USE
OF
APPROPRIATED
AMOUNTS.—
Amounts appropriated to carry out this title shall be 
used only to carry out the provisions contained in 
this title. 
‘‘(b) GRANT AUTHORITY.—
‘‘(1) PROJECTS.—To carry out this title, the 
Secretary may make grants to public and nonprofit 
private agencies and organizations, agencies of a 
State, and tribal organizations to carry out the pro-
gram established under subsection (a). Such grants 
may provide for the payment of costs, as provided in 
subsection (c), of projects developed by such organi-
zations and agencies in cooperation with the Sec-
retary in order to make such program effective or to 
supplement such program. The Secretary shall make 
the grants from allotments made under section 506, 
and in accordance with section 514. No payment 
shall be made by the Secretary toward the cost of 
any project established or administered by such an 
organization or agency unless the Secretary deter-
mines that such project—
‘‘(A) will provide community service em-
ployment only for eligible individuals except for
111
necessary technical, administrative, and super-
visory personnel, and such personnel will, to the 
fullest extent possible, be recruited from among 
eligible individuals; 
‘‘(B)(i) will provide community service em-
ployment and other authorized activities for eli-
gible individuals in the community in which 
such individuals reside, or in nearby commu-
nities; or 
‘‘(ii) if such project is carried out by a 
tribal organization that receives a grant under 
this subsection or receives assistance from a 
State that receives a grant under this sub-
section, will provide community service employ-
ment and other authorized activities for such 
individuals, including those who are Indians re-
siding on an Indian reservation, as defined in 
section 2601 of the Energy Policy Act of 1992 
(25 U.S.C. 3501); 
‘‘(C) will comply with an average participa-
tion cap for eligible individuals (in the aggre-
gate) of—
‘‘(i) 27 months; or 
‘‘(ii) pursuant to the request of a 
grantee, an extended period of participa-
112
tion established by the Secretary for a spe-
cific project area for such grantee, up to a 
period of not more than 36 months, if the 
Secretary determines that extenuating cir-
cumstances exist relating to the factors 
identified in section 513(a)(2)(D) that jus-
tify such an extended period for the pro-
gram year involved; 
‘‘(D) will employ eligible individuals in 
service related to publicly owned and operated 
facilities and projects, or projects sponsored by 
nonprofit organizations (excluding political par-
ties exempt from taxation under section 
501(c)(3) of the Internal Revenue Code of 
1986), but excluding projects involving the con-
struction, operation, or maintenance of any fa-
cility used or to be used as a place for sectarian 
religious instruction or worship; 
‘‘(E) will contribute to the general welfare 
of the community, which may include support 
for children, youth, and families; 
‘‘(F) will provide community service em-
ployment and other authorized activities for eli-
gible individuals;
113
‘‘(G)(i) will not reduce the number of em-
ployment opportunities or vacancies that would 
otherwise be available to individuals not partici-
pating in the program; 
‘‘(ii) will not displace currently employed 
workers (including partial displacement, such as 
a reduction in the hours of nonovertime work, 
wages, or employment benefits); 
‘‘(iii) will not impair existing contracts or 
result in the substitution of Federal funds for 
other funds in connection with work that would 
otherwise be performed; and 
‘‘(iv) will not employ or continue to employ 
any eligible individual to perform the same 
work or substantially the same work as that 
performed by any other individual who is on 
layoff; 
‘‘(H) will coordinate activities with training 
and other services provided under title I of the 
Workforce Investment Act of 1998 (29 U.S.C. 
2801 et seq.), including utilizing the one-stop 
delivery system of the local workforce invest-
ment areas involved to recruit eligible individ-
uals to ensure that the maximum number of eli-
114
gible individuals will have an opportunity to 
participate in the project; 
‘‘(I) will include such training (such as 
work experience, on-the-job training, and class-
room training) as may be necessary to make the 
most effective use of the skills and talents of 
those individuals who are participating, and will 
provide for the payment of the reasonable ex-
penses of individuals being trained, including a 
reasonable subsistence allowance equivalent to 
the wage described in subparagraph (J); 
‘‘(J) will ensure that safe and healthy em-
ployment conditions will be provided, and will 
ensure that participants employed in commu-
nity service and other jobs assisted under this 
title will be paid wages that shall not be lower 
than whichever is the highest of—
‘‘(i) the minimum wage that would be 
applicable to such a participant under the 
Fair Labor Standards Act of 1938 (29 
U.S.C. 201 et seq.), if section 6(a)(1) of 
such Act (29 U.S.C. 206(a)(1)) applied to 
the participant and if the participant were 
not exempt under section 13 of such Act 
(29 U.S.C. 213);
115
‘‘(ii) the State or local minimum wage 
for the most nearly comparable covered 
employment; or 
‘‘(iii) the prevailing rates of pay for 
individuals employed in similar public oc-
cupations by the same employer; 
‘‘(K) will be established or administered 
with the advice of persons competent in the 
field of service in which community service em-
ployment or other authorized activities are 
being provided, and of persons who are knowl-
edgeable about the needs of older individuals; 
‘‘(L) will authorize payment for necessary 
supportive services costs (including transpor-
tation costs) of eligible individuals that may be 
incurred in training in any project funded 
under this title, in accordance with rules issued 
by the Secretary; 
‘‘(M) will ensure that, to the extent fea-
sible, such project will serve the needs of minor-
ity and Indian eligible individuals, eligible indi-
viduals with limited English proficiency, and eli-
gible individuals with greatest economic need, 
at least in proportion to their numbers in the
116
area served and take into consideration their 
rates of poverty and unemployment; 
‘‘(N)(i) will prepare an assessment of the 
participants’ skills and talents and their needs 
for services, except to the extent such project 
has, for the participant involved, recently pre-
pared an assessment of such skills and talents, 
and such needs, pursuant to another employ-
ment or training program (such as a program 
under the Workforce Investment Act of 1998 
(29 U.S.C. 2801 et seq.), the Carl D. Perkins 
Career and Technical Education Act of 2006 
(20 U.S.C. 2301 et seq.), or part A of title IV 
of the Social Security Act (42 U.S.C. 601 et 
seq.)) and will prepare a related service strat-
egy; 
‘‘(ii) will provide training and employment 
counseling to eligible individuals based on strat-
egies that identify appropriate employment ob-
jectives and the need for supportive services, 
developed as a result of the assessment and 
service strategy provided for in clause (i), and 
provide other appropriate information regarding 
such project; and
117
‘‘(iii) will provide counseling to partici-
pants on their progress in meeting such objec-
tives and satisfying their need for supportive 
services; 
‘‘(O) will provide appropriate services for 
participants, or refer the participants to appro-
priate services, through the one-stop delivery 
system of the local workforce investment areas 
involved as established under section 134(c) of 
the Workforce Investment Act of 1998 (29 
U.S.C. 2864(c)), and will be involved in the 
planning and operations of such system pursu-
ant to a memorandum of understanding with 
the local workforce investment board in accord-
ance with section 121(c) of such Act (29 U.S.C. 
2841(c)); 
‘‘(P) will post in such project workplace a 
notice, and will make available to each person 
associated with such project a written expla-
nation—
‘‘(i) clarifying the law with respect to 
political activities allowable and unallow-
able under chapter 15 of title 5, United 
States Code, applicable to the project and
118
to each category of individuals associated 
with such project; and 
‘‘(ii) containing the address and tele-
phone number of the Inspector General of 
the Department of Labor, to whom ques-
tions regarding the application of such 
chapter may be addressed; 
‘‘(Q) will provide to the Secretary the de-
scription and information described in—
‘‘(i) paragraph (8), relating to coordi-
nation with other Federal programs, of 
section 112(b) of the Workforce Invest-
ment Act of 1998 (29 U.S.C. 2822(b)); 
and 
‘‘(ii) paragraph (14), relating to im-
plementation of one-stop delivery systems, 
of section 112(b) of the Workforce Invest-
ment Act of 1998; and 
‘‘(R) will ensure that entities that carry 
out activities under the project (including State 
agencies, local entities, subgrantees, and sub-
contractors) and affiliates of such entities re-
ceive an amount of the administrative cost allo-
cation determined by the Secretary, in consulta-
tion with grantees, to be sufficient.
119
‘‘(2) REGULATIONS.—The Secretary may estab-
lish, issue, and amend such regulations as may be 
necessary to effectively carry out this title. 
‘‘(3) ASSESSMENT AND SERVICE STRATEGIES.—
‘‘(A) PREPARED
UNDER
THIS
ACT.—An 
assessment and service strategy required by 
paragraph (1)(N) to be prepared for an eligible 
individual shall satisfy any condition for an as-
sessment and service strategy or individual em-
ployment plan for an adult participant under 
subtitle B of title I of the Workforce Invest-
ment Act of 1998 (29 U.S.C. 2811 et seq.), in 
order to determine whether such eligible indi-
vidual also qualifies for intensive or training 
services described in section 134(d) of such Act 
(29 U.S.C. 2864(d)). 
‘‘(B) PREPARED UNDER WORKFORCE IN-
VESTMENT ACT OF 1998.—An assessment and 
service strategy or individual employment plan 
prepared under subtitle B of title I of the 
Workforce Investment Act of 1998 (29 U.S.C. 
2811 et seq.) for an eligible individual may be 
used to comply with the requirement specified 
in subparagraph (A). 
‘‘(c) FEDERAL SHARE AND USE OF FUNDS.—
120
‘‘(1) FEDERAL
SHARE.—The Secretary may 
pay a Federal share not to exceed 90 percent of the 
cost of any project for which a grant is made under 
subsection (b), except that the Secretary may pay all 
of such cost if such project is—
‘‘(A) an emergency or disaster project; or 
‘‘(B) a project located in an economically 
depressed area, as determined by the Secretary 
in consultation with the Secretary of Commerce 
and the Secretary of Health and Human Serv-
ices. 
‘‘(2) NON-FEDERAL SHARE.—The non-Federal 
share shall be in cash or in kind. In determining the 
amount of the non-Federal share, the Secretary may 
attribute fair market value to services and facilities 
contributed from non-Federal sources. 
‘‘(3) USE
OF
FUNDS
FOR
ADMINISTRATIVE 
COSTS.—Of the grant amount to be paid under this 
subsection by the Secretary for a project, not to ex-
ceed 13.5 percent shall be available for any fiscal 
year to pay the administrative costs of such project, 
except that—
‘‘(A) the Secretary may increase the 
amount available to pay the administrative 
costs to an amount not to exceed 15 percent of
121
the grant amount if the Secretary determines, 
based on information submitted by the grantee 
under subsection (b), that such increase is nec-
essary to carry out such project; and 
‘‘(B) if the grantee under subsection (b) 
demonstrates to the Secretary that—
‘‘(i) major administrative cost in-
creases are being incurred in necessary 
program components, including liability in-
surance, payments for workers’ compensa-
tion, costs associated with achieving unsub-
sidized placement goals, and costs associ-
ated with other operation requirements im-
posed by the Secretary; 
‘‘(ii) the number of community service 
employment positions in the project or the 
number of minority eligible individuals par-
ticipating in the project will decline if the 
amount available to pay the administrative 
costs is not increased; or 
‘‘(iii) the size of the project is so small 
that the amount of administrative costs in-
curred to carry out the project necessarily 
exceeds 13.5 percent of the grant amount;
122
the Secretary shall increase the amount avail-
able for such fiscal year to pay the administra-
tive costs to an amount not to exceed 15 per-
cent of the grant amount. 
‘‘(4) ADMINISTRATIVE COSTS.—For purposes of 
this title, administrative costs are the costs, both 
personnel-related and nonpersonnel-related and both 
direct and indirect, associated with the following: 
‘‘(A) The costs of performing general ad-
ministrative functions and of providing for the 
coordination of functions, such as the costs of—
‘‘(i) accounting, budgeting, and finan-
cial and cash management; 
‘‘(ii) procurement and purchasing; 
‘‘(iii) property management; 
‘‘(iv) personnel management; 
‘‘(v) payroll functions; 
‘‘(vi) coordinating the resolution of 
findings arising from audits, reviews, in-
vestigations, and incident reports; 
‘‘(vii) audits; 
‘‘(viii) general legal services; 
‘‘(ix) developing systems and proce-
dures, including information systems, re-
quired for administrative functions;
123
‘‘(x) preparing administrative reports; 
and 
‘‘(xi) other activities necessary for the 
general 
administration 
of 
government 
funds and associated programs. 
‘‘(B) The costs of performing oversight 
and monitoring responsibilities related to ad-
ministrative functions. 
‘‘(C) The costs of goods and services re-
quired for administrative functions of the 
project involved, including goods and services 
such as rental or purchase of equipment, utili-
ties, office supplies, postage, and rental and 
maintenance of office space. 
‘‘(D) The travel costs incurred for official 
business in carrying out administrative activi-
ties or overall management. 
‘‘(E) The costs of information systems re-
lated to administrative functions (such as per-
sonnel, procurement, purchasing, property man-
agement, accounting, and payroll systems), in-
cluding the purchase, systems development, and 
operating costs of such systems. 
‘‘(F) The costs of technical assistance, pro-
fessional organization membership dues, and