I 
118TH CONGRESS 
1ST SESSION H. R. 6835 
To amend the Older Americans Act of 1965 to establish a grant program 
for multigenerational activities for long-term care facilities. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 14, 2023 
Ms. STRICKLAND (for herself, Mr. STEIL, and Ms. KUSTER) introduced the 
following bill; which was referred to the Committee on Education and the 
Workforce 
A BILL 
To amend the Older Americans Act of 1965 to establish 
a grant program for multigenerational activities for long- 
term care facilities. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Care Across Genera-
tions Act’’. 
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SEC. 2. COMPETITIVE GRANT PROGRAM FOR THE FUNDING 
OF 
MULTIGENERATIONAL 
PROGRAMS 
IN 
LONG-TERM CARE FACILITIES. 
Part A of title IV of the Older Americans Act of 1965 
(42 U.S.C. 3032 et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 423. COMPETITIVE GRANT PROGRAM FOR THE FUND-
ING OF MULTIGENERATIONAL PROGRAMS IN 
LONG-TERM CARE FACILITIES. 
‘‘(a) ESTABLISHMENT OF GRANT PROGRAM.—The 
Assistant Secretary shall award grants, on a competitive 
basis, to eligible entities to— 
‘‘(1) operate a qualified child care facility with-
in the long-term care facility or contract with a 
qualified child care facility; 
‘‘(2) coordinate multigenerational activities be-
tween the integrated qualified child care facility and 
long-term care facility; and 
‘‘(3) build a new, or expand an existing, long- 
term care facility operated by the eligible entity for 
any of the purposes described in paragraph (1) or 
(2). 
‘‘(b) APPLICATION.—An entity seeking a grant under 
this section shall submit an application to the Assistant 
Secretary at such time, in such manner, and accompanied 
by such information as the Assistant Secretary may rea-
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sonably require; and in accordance the requirements speci-
fied in subsection (g). 
‘‘(c) EVALUATION AND REPORT.— 
‘‘(1) EVALUATION.—Each eligible entity receiv-
ing a grant under this section shall evaluate— 
‘‘(A) the effectiveness of the entity in oper-
ating a qualified child care facility within an 
long-term care facility as required under sub-
section (a)(1); 
‘‘(B) 
the 
effectiveness 
of 
the 
multigenerational activities coordinated under 
subsection (a)(2); and 
‘‘(C) the impact on older individuals and 
children 
of 
the 
co-location 
and 
multigenerational activities carried out by the 
entity. 
‘‘(2) REPORT.—Each eligible entity receiving a 
grant under this section shall, not later than 6 
months after the expiration of the period for which 
the grant is in effect, submit a report to the Assist-
ant Secretary containing the evaluation under para-
graph (1). 
‘‘(d) REPORT
TO CONGRESS.—Not later than 6 
months after the Assistant Secretary receives all reports 
required under subsection (c)(2), the Assistant Secretary 
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shall prepare and submit to the Committee on Education 
and Labor of the House of Representatives and the Com-
mittee on Health, Education, Labor, and Pensions of the 
Senate a report that assesses the evaluations contained in 
the reports required under subsection (c)(2). The report 
required of the Assistant Secretary under this subsection 
shall include, at a minimum— 
‘‘(1) the names and addresses of all eligible en-
tities that received grants under this section; 
‘‘(2) a description of the methods such eligible 
entities used in operating qualified child care facili-
ties within long-term care facilities as required 
under subsection (a)(1); 
‘‘(3) a description of the methods such eligible 
entities used in coordinating multigenerational ac-
tivities required under subsection (a)(2); 
‘‘(4) a strategy for disseminating the findings 
resulting from the projects carried out through 
grants under this section; and 
‘‘(5) any policy change recommendations relat-
ing to operating qualified child care facilities within 
long-term care facilities. 
‘‘(e) DEFINITIONS.—As used in this section: 
‘‘(1) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’ means an organization operating an long-term 
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care facility that submits an application meeting the 
requirements under subsection (b). 
‘‘(2) LONG-TERM
CARE
FACILITY.—The term 
‘long-term care facility’ means— 
‘‘(A) any skilled nursing facility, as defined 
in section 1819(a) of the Social Security Act 
(42 U.S.C. 1395i–3(a)); 
‘‘(B) any nursing facility, as defined in 
section 1919(a) of the Social Security Act (42 
U.S.C. 1396r(a)); 
‘‘(C) a board and care facility; and 
‘‘(D) any other adult care home, including 
an assisted living facility, similar to a facility or 
institution described in subparagraphs (A) 
through (C). 
‘‘(3) 
MULTIGENERATIONAL
ACTIVITY.—The 
term ‘multigenerational activity’ shall have the 
meaning given such term in section 417(h)(1). 
‘‘(4) QUALIFIED CHILD CARE FACILITY.—The 
term ‘qualified child care facility’ means a facility— 
‘‘(A) the principal use of which is to pro-
vide child care assistance; and 
‘‘(B) that meets the requirements of all ap-
plicable laws and regulations of the State or 
local government in which the facility is located, 
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including with respect to the licensing of the fa-
cility as a child care facility. 
‘‘(f) GRANT PERIODS.—Each grant awarded under 
subsection (a) shall be for a period of not less than 36 
months. 
‘‘(g) ADDITIONAL REQUIREMENTS.—An application 
submitted by an eligible entity pursuant to subsection (b) 
shall include a certification that, for purposes of infection 
control and prevention, such entity— 
‘‘(1) conducts a screening process for all visi-
tors of such entity; and 
‘‘(2) is in compliance with all applicable state 
and local sanitation and infection control require-
ments.’’. 
Æ 
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