I 
116TH CONGRESS 
1ST SESSION H. R. 5323 
To amend the Older Americans Act of 1965 to expand supportive services 
for Native American aging programs, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 5, 2019 
Mr. O’HALLERAN (for himself, Ms. DAVIDS of Kansas, Ms. HAALAND, and 
Mr. LUJA´N) introduced the following bill; which was referred to the Com-
mittee on Education and Labor 
A BILL 
To amend the Older Americans Act of 1965 to expand sup-
portive services for Native American aging programs, 
and for other purposes. 
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 ‘‘Tribal Elder Care Im-
provement Act of 2019’’. 
SEC. 2. EXPANDING SUPPORTIVE SERVICES FOR NATIVE 
AMERICAN AGING PROGRAMS. 
Title VI of the Older Americans Act of 1965 (42 
U.S.C. 3057 et seq.) is amended— 
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(1) by redesignating part D as part E, and 
(2) by inserting after part C the following: 
‘‘PART D—SUPPORTIVE SERVICES FOR HEALTHY 
AGING AND INDEPENDENCE 
‘‘SEC. 636. PROGRAM. 
‘‘(a) IN GENERAL.—The Assistant Secretary shall 
carry out a competitive demonstration program for mak-
ing grants to tribal or Native Hawaiian organizations with 
applications approved under parts A and B, to pay for 
the Federal share of carrying out programs, to enable the 
organizations to build their capacity to provide a wider 
range of in-home and community supportive services to 
enable older individuals to maintain their health and inde-
pendence and to avoid long-term care facility placement. 
‘‘(b) SUPPORTIVE SERVICES.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
supportive services described in subsection (a) may 
include any of the activities listed under section 
321(a). 
‘‘(2) PRIORITY.—The Assistant Secretary, in 
awarding grants under this section, shall give pri-
ority to tribal organizations that will use the grant 
funds for supportive services described in subsection 
(a) that are for in-home assistance, transportation, 
information and referral, case management, health 
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and wellness programs, legal services, family care-
giver support services, and other services that di-
rectly support the independence of the older individ-
uals served. 
‘‘(c) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed or interpreted to prohibit the provi-
sion of supportive services under part A or B.’’. 
SEC. 3. ENHANCING TRAINING CAPACITY TO SUPPORT NA-
TIVE AMERICAN AGING PROGRAMS. 
Title II of the Older Americans Act of 1965 (42 
U.S.C. 3011 et seq.) is amended— 
(1) in section 201(c)(3)(H) by striking the 
semicolon and inserting ‘‘to ensure adequate capac-
ity to deliver the services under such title, which 
technical assistance and professional development 
programs may include program management, data 
development and use, basic business skills, grant de-
velopment, program and service innovations, and 
staff training and certification;’’; and 
(2) in section 216(b)— 
(A) in paragraph (3) by striking ‘‘; and’’ 
and inserting ‘‘;’’, 
(B) in paragraph (4) by striking the period 
and inserting ‘‘; and’’, and 
(C) by adding at the end the following: 
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‘‘(5) to carry out section 201(c)(3)(H) (relating 
to training and technical assistance for programs 
under title VI), $500,000 for fiscal year 2021.’’. 
SEC. 4. EXPANDING SUPPORTIVE SERVICES FOR NATIVE 
AMERICAN AGING PROGRAMS. 
Section 643 of the Older Americans Act of 1965 (42 
U.S.C. 3057n) is amended to read as follows: 
‘‘SEC. 643. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There are authorized to be appropriated to carry out 
this title— 
‘‘(1) for parts A and B, $38,524,324 for fiscal 
year 2020, $40,835,783 for fiscal year 2021, 
$43,285,930 for fiscal year 2022, $45,883,086 for 
fiscal year 2023, and $48,636,071 for fiscal year 
2024; and 
‘‘(2) for part C subject to section 644, 
$10,785,575 for fiscal year 2020, $11,432,710 for 
fiscal year 2021, $12,118,672 for fiscal year 2022, 
$12,845,792 for fiscal year 2023, and $13,616,540 
for fiscal year 2024.’’. 
SEC. 5. FUNDING SET ASIDE. 
Title VI of the Older Americans Act of 1965 (42 
U.S.C. 3057–3057n) is amended by adding at the end the 
following: 
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