(ii) in subparagraph (G) by striking 
the period at the end and inserting ‘‘; or’’, 
(iii) by adding at the end the fol-
lowing: 
‘‘(H) has been incarcerated or is under super-
vision following the release from prison or jail within 
the last 5 years.’’. 
SEC. 121. DIRECT CARE WORKFORCE. 
(a) DEMONSTRATIONS.—Section 411(a) of the Older 
Americans Act of 1965 (42 U.S.C. 3032(a)), as amended 
by sections 112 and 118, is amended— 
(1) by redesignating paragraphs (16) and (17) 
as paragraphs (17) and (18), respectively, and 
(2) by inserting after paragraph (15) the fol-
lowing: 
‘‘(16) in coordination with the Secretary of 
Labor, the demonstration of new strategies for the re-
cruitment, retention, or advancement of direct care 
workers, and to solicit, develop, and implement strate-
gies— 
‘‘(A) to reduce barriers to entry for a di-
verse and high-quality direct care workforce, in-
cluding providing wages, benefits, and advance-
ment opportunities needed to attract and retain 
direct care workers; 
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‘‘(B) to provide supportive services and ca-
reer planning for direct care workers; and 
‘‘(C) to support the advancement of direct 
care workers through education and workforce 
development programs that include necessary 
credential or licensing preparation, paid on-the- 
job training or work-based learning, and appro-
priate safety training;’’. 
(b) OLDER AMERICAN COMMUNITY SERVICE EMPLOY-
MENT PROGRAM.—Section 502(e)(2)(B) of the Older Ameri-
cans Act of 1965 (42 U.S.C. 3056(e)(2)(B)) is amended— 
(1) in clause (iii) by striking ‘‘and’’ at the end, 
(2) in clause (iv) by adding ‘‘and’’ at the end, 
and 
(3) by adding at the end the following: 
‘‘(v) attract, retain, and advance the 
direct care workforce, in consultation with 
the Assistant Secretary, providing for wages 
and benefits needed to reduce barriers to 
entry for a diverse and high-quality direct 
care workforce, supportive services and ca-
reer planning, and paid on-the-job training 
or work-based learning, with appropriate 
safety training;’’. 
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SEC. 122. NATIONAL RESOURCE CENTER FOR OLDER INDI-
VIDUALS 
EXPERIENCING 
THE 
LONG-TERM 
AND ADVERSE CONSEQUENCES OF TRAUMA. 
Section 411(a) of the Older Americans Act of 1965 (42 
U.S.C. 3032(a)), as amended by sections 112, 118, and 121, 
is amended— 
(1) by redesignating paragraphs (17) and (18) 
as paragraphs (18) and (19), respectively, and 
(2) by inserting after paragraph (16) the fol-
lowing: 
‘‘(17) the implementation of a national resource 
center that shall— 
‘‘(A) provide training and technical assist-
ance to agencies in the aging network delivering 
services to older individuals experiencing the 
long-term and adverse consequences of trauma; 
‘‘(B) share best practices with the aging net-
work; and 
‘‘(C) make subgrants to the agencies best po-
sitioned to advance and improve the delivery of 
person-centered, trauma-informed services for 
older individuals experiencing the long-term and 
adverse consequences of trauma;’’. 
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SEC. 123. NATIONAL RESOURCE CENTER FOR WOMEN AND 
RETIREMENT. 
Section 202 of the Older Americans Act of 1965 (42 
U.S.C. 3012), as amended by sections 103 and 116, is 
amended by adding at the end the following: 
‘‘(j)(1) The Assistant Secretary shall, directly or by 
grant or contract, operate the National Resource Center for 
Women and Retirement (in this subsection referred to as 
the ‘Center’). 
‘‘(2) The Center shall— 
‘‘(A) provide basic financial management, retire-
ment planning, and other educational tools that pro-
mote financial wellness and help to identify and pre-
vent fraud and elder exploitation, and integrate these 
with information on health and long-term care; 
‘‘(B) annually disseminate a summary of out-
reach provided, including work to provide user-friend-
ly consumer information and public education mate-
rials; 
‘‘(C) develop targeted outreach strategies; 
‘‘(D) provide technical assistance to State agen-
cies and to other public and nonprofit private agen-
cies and organizations; and 
‘‘(E) develop partnerships and collaborations to 
address program objectives.’’. 
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SEC. 124. DEFINITION. 
Section 102 of the Older Americans Act of 1965 (42 
U.S.C. 3002) is amended— 
(1) by redesignating paragraphs (41) through 
(54) as paragraphs (42) through (55), and 
(2) by inserting after paragraph (40) the fol-
lowing: 
‘‘(41) The term ‘person-centered, trauma-in-
formed’ when used with respect to services means 
services provided through an aging program that— 
‘‘(A) use a holistic approach to providing 
services; 
‘‘(B) promote the dignity, strength and em-
powerment of victims of trauma; and 
‘‘(C) incorporate research-based practices 
based on knowledge about the role of trauma in 
trauma victims’ lives.’’. 
SEC. 125. REVIEW OF REPORTS. 
Sec. 308(b) of the Older Americans Act of 1965 (42 
U.S.C. 3028(b)) is amended by inserting at the end the fol-
lowing: 
‘‘(8) The Assistant Secretary shall review the reports 
submitted under section 307(a)(31), and include in the re-
port required by section 207(a), aggregated data, including 
the effectiveness and outreach efforts included in 307(a)(31), 
on services that are needed by older individuals whose needs 
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are the focus of all centers funded under title IV. This re-
quirement applies to all centers funded on the day before 
the date of the effective date of this paragraph.’’. 
SEC. 126. AREA PLANS. 
Section 306(a)(4) of the Older Americans Act of 1965 
(42 U.S.C. 3026(a)(4)) is amended in subparagraph 
(B)(i)(VII) by inserting ‘‘, specifically including survivors 
of the Holocaust’’ after ‘‘placement’’. 
SEC. 127. ADDRESSING CHRONIC PAIN MANAGEMENT. 
Section 102(14)(D) of the Older Americans Act of 1965 
(42 U.S.C. 3002(14)) is amended by inserting ‘‘chronic 
pain management,’’ after ‘‘substance abuse reduction,’’. 
SEC. 
128. 
EXTENSION 
OF 
THE 
SUPPORTING 
GRAND-
PARENTS RAISING GRANDCHILDREN ACT. 
Section 3(f) of the Supporting Grandparents Raising 
Grandchildren Act (Public Law 115-196) is amended by 
striking ‘‘3’’ and inserting ‘‘4’’. 
SEC. 129. SCREENING FOR SUICIDE RISK. 
Section 102(14)(G) of the Older Americans Act of 1965 
(42 U.S.C. 3002(14)(G)) is amended by inserting ‘‘and 
screening for suicide risk’’ after ‘‘depression’’. 
SEC. 130. TRAUMATIC BRAIN INJURY. 
(a) DEFINITIONS.—Section 102 of the Older Ameri-
cans Act of 1965 (42 U.S.C. 3002), as amended by section 
114, is amended— 
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(1) in paragraph (14)— 
(A) in paragraph (M) by striking ‘‘(L)’’ 
and inserting ‘‘(M)’’, 
(B) by redesignating subparagraphs (H) 
through (M) as subparagraphs (I) through (N), 
respectively, 
(C) by inserting after subparagraph (G) the 
following: 
‘‘(H) screening for fall-related traumatic 
brain injury, coordination of treatment, rehabili-
tation and related services, and referral serv-
ices;’’, and 
(2) by adding at the end the following: 
‘‘(56) The term ‘traumatic brain injury’ has the 
meaning given to it in section 339B(d) of the Public 
Health Service Act.’’. 
(b) HEALTH SCREENING.—Section 321(a)(8) of the 
Older Americans Act of 1965 (42 U.S.C.3030d(a)(8)) is 
amended to read as follows: 
‘‘(8) services designed to provide health screening 
(including mental and behavioral health screening, 
screening for social isolation and loneliness, falls pre-
vention services screening and traumatic brain injury 
screening) to detect or prevent (or both) illnesses and 
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injuries that occur most frequently in older individ-
uals;’’. 
(c) ACTIVITIES FOR HEALTH.—Section 411(a)(12) of 
the Older Americans Act of 1965 (42 U.S.C. 3032(a)(12)) 
is amended to read as follows: 
‘‘(12) building public awareness of cognitive im-
pairments such as Alzheimer’s disease and related 
disorders with neurological and organic brain dys-
function, depression, mental health disorders, and 
traumatic brain injury;’’. 
SEC. 131. ADDRESSING PUBLIC HEALTH EMERGENCIES AND 
EMERGING HEALTH THREATS. 
Section 102(14) of the Older Americans Act of 1965 
(42 U.S.C. 3002(14)), as amended by sections 114 and 130, 
is amended— 
(1) in subparagraph (M) by striking ‘‘and’’ at 
the end, 
(2) in subparagraph (N) by striking ‘‘(M)’’ and 
inserting ‘‘(N)’’, 
(3) by redesignating subparagraphs (K), (L), 
(M), and (N) as subparagraphs (L), (M), (N), and 
(O) respectively, and 
(4) by inserting after subparagraph (J) the fol-
lowing: 
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‘‘(K) responses to public health emergencies 
and emerging health threats;’’. 
TITLE 
II—EMPOWERING 
THE 
AGING NETWORK TO MEET 
THE NEEDS OF OLDER INDI-
VIDUALS 
SEC. 201. NATIONAL FAMILY CAREGIVER SUPPORT PRO-
GRAM CAP. 
(a) FEDERAL SHARE.—Section 373(g)(2) of the Older 
Americans Act of 1965 (42 U.S.C. 3030s–1(g)(2)) is amend-
ed by striking subparagraph (C). 
(b) MONITORING THE IMPACT OF THE ELIMINATION OF 
THE CAP ON FUNDS FOR OLDER RELATIVE CAREGIVERS.— 
(1) REPORT.—Not later than 18 months after the 
date of the enactment of this Act, and annually there-
after, the Assistant Secretary shall submit to the 
Committee on Education and Labor of the House of 
Representatives and the Committee on Health, Edu-
cation, Labor, and Pensions of the Senate a report on 
the impact of the amendment made by subsection (a) 
to eliminate the limitation on funds that States may 
allocate to provide support services to older relative 
caregivers in the National Family Caregiver Support 
Program established under part E of title III of the 
Older Americans Act of 1965 (42 U.S.C. 3030s– 
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3030s–2). Each such report shall also be made avail-
able to the public. 
(2) CONTENTS.—For purposes of reports required 
by paragraph (1), each State that receives an allot-
ment under such National Family Caregiver Support 
Program for fiscal year 2020 or a subsequent fiscal 
year shall report to the Assistant Secretary for the fis-
cal year involved the amount of funds of the total 
Federal and non-Federal share allotment used by the 
State to provide support services for caregiver support 
for older relative caregivers and family caregivers. 
SEC. 202. MINIMUM FUNDING LEVEL FOR STATE ADMINIS-
TRATIVE EXPENSES. 
Section 308(b)(2)(A) of the Older Americans Act of 
1965 (42 U.S.C. 3028(b)(2)(B)) is amended by striking 
‘‘$500,000’’ and inserting ‘‘$750,000’’. 
SEC. 
203. 
CULTURALLY-APPROPRIATE, 
MEDICALLY-TAI-
LORED MEALS. 
Section 339(2)(A) of the Older Americans Act of 1965 
(42 U.S.C. 3939h(2)(A)) is amended by inserting ‘‘, includ-
ing cultural considerations and preferences (including 
needs based on religious, cultural, or ethnic requirements) 
and medically tailored meals’’ before the comma at the end. 
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SEC. 204. BUSINESS ACUMEN PROVISIONS AND CLARIFICA-
TION REGARDING OUTSIDE FUNDING FOR 
AREA AGENCIES ON AGING. 
(a) ASSISTANCE RELATING TO GROWING AND SUS-
TAINING CAPACITY.—Section 202(b)(9) of the Older Ameri-
cans Act of 1965 (42 U.S.C. 3012(b)(9)) is amended— 
(1) in subparagraph (A) by striking ‘‘and’’ after 
the semicolon at the end, 
(2) in subparagraph (B) by inserting ‘‘and’’ 
after the semicolon at the end, and 
(3) by adding at the end the following: 
‘‘(C) business acumen, capacity building, 
organizational development, innovation, and 
other methods of growing and sustaining the ca-
pacity of the aging network to serve older indi-
viduals and caregivers most effectively;’’. 
(b) CLARIFYING PARTNERSHIPS FOR AREA AGENCIES 
ON AGING.—Section 306 of the Older Americans Act of 1965 
(42 U.S.C. 3026) is amended by adding at the end the fol-
lowing: 
‘‘(g) Nothing in this Act shall restrict an area agency 
on aging from providing services not provided or authorized 
by this Act, including through— 
‘‘(1) contracts with health care payers; 
‘‘(2) consumer private pay programs; or 
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‘‘(3) other arrangements with entities or individ-
uals that increase the availability of home and com-
munity-based services and supports in the planning 
and service area supported by the area agency on 
aging.’’. 
SEC. 205. OTHER PRACTICES. 
Section 315 of the Older Americans Act of 1965 (42 
U.S.C. 3030c-2) is amended by adding at the end the fol-
lowing: 
‘‘(e) RESPONSE TO AREA AGENCIES ON AGING.—Upon 
request from an area agency on aging, the State shall make 
available any policies or guidance pertaining to policies 
under this section.’’. 
SEC. 206. CAREGIVER ASSESSMENTS. 
(a) DEFINITION OF CAREGIVER ASSESSMENT.—Sec-
tion 372(a) of the Older Americans Act of 1965 (42 U.S.C. 
3030s(a)) is amended by adding at the end the following: 
‘‘(4) CAREGIVER ASSESSMENT.—The term ‘care-
giver assessment’ means a systematic process of gath-
ering information about the situation of a caregiver 
who voluntarily participates in such process to iden-
tify the caregiver’s specific needs, barriers, and exist-
ing supports as identified by the caregiver that— 
‘‘(A) provides the opportunity for the recog-
nized caregiver to participate in such process; 
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‘‘(B) requires direct contact with the care-
giver and is used to appropriately target and 
tailor support services to the caregiver’s unique 
needs; and 
‘‘(C) includes reassessment of such specific 
needs, barriers, and existing supports, including 
to accommodate a significant change in the 
caregiving situation, which shall occur on a vol-
untary basis with the consent of the caregiver.’’. 
(b) USE
OF
CAREGIVER
ASSESSMENTS.—Section 
373(b) of the Older Americans Act of 1965 (42 U.S.C. 
3030s–1(b)) is amended by inserting ‘‘may be informed 
through the use of caregiver assessments and’’ after ‘‘with,’’. 
(c) TECHNICAL ASSISTANCE FOR CAREGIVER ASSESS-
MENTS.—Section 373 of the Older Americans Act of 1965 
(42 U.S.C. 3030s–1) is amended by adding at the end the 
following: 
‘‘(h) TECHNICAL ASSISTANCE
FOR CAREGIVER AS-
SESSMENTS.—Not later than 1 year after the effective date 
of this subsection, the Assistant Secretary, in consultation 
with caregivers, older individuals, individuals with a dis-
ability who receive care from an older relative caregiver, 
the aging network, and other experts and stakeholders, shall 
provide technical assistance to promote and implement the 
use of caregiver assessments. Such technical assistance shall 
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include sharing available tools and templates, comprehen-
sive assessment protocols, and best practices concerning— 
‘‘(1) conducting caregiver assessments and reas-
sessments; 
‘‘(2) implementing such assessments that are 
consistent across a planning and service area; and 
‘‘(3) implementing caregiver support service 
plans, including referrals to and coordination of ac-
tivities with relevant State and local services.’’. 
(d) REPORTING ON CAREGIVER ASSESSMENT.—Sec-
tion 373(e) of the Older Americans Act of 1965 (42 U.S.C. 
3030s–1(e)) is amended— 
(1) in paragraph (3) by inserting ‘‘, including 
caregiver assessments used in the State,’’ after ‘‘mech-
anisms’’ the 1st place it appears, and 
(2) by adding at the end the following: 
‘‘(4) REPORT ON CAREGIVER ASSESSMENTS.— 
‘‘(A) IN GENERAL.—Not later than 3 years 
after the effective date of this paragraph, the As-
sistant Secretary shall issue a report on the use 
of caregiver assessments by area agencies on 
aging, entities contracting with such agencies, 
and organizations. Such report shall include— 
‘‘(i) an analysis of the current use of 
caregiver assessments, including a reposi-
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tory of caregiver assessment tools or tem-
plates and comprehensive assessment proto-
cols; 
‘‘(ii) using objective data, an analysis 
of the impact of caregiver assessments on— 
‘‘(I) family caregivers and older 
relative caregivers; and 
‘‘(II) the individuals to whom the 
caregivers described in subclause (I) 
provide care; 
‘‘(iii) an analysis of the impact of 
using caregiver assessments on the aging 
network; 
‘‘(iv) an analysis of how caregiver as-
sessments are being used to identify the spe-
cific needs, barriers, and existing supports 
of family caregivers and older relative care-
givers; 
‘‘(v) recommendations for using care-
giver assessments, including in rural or un-
derserved areas; and 
‘‘(vi) feedback from State agencies and 
area agencies on aging, particularly in 
rural or underserved areas, on the imple-
mentation of caregiver assessments. 
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‘‘(B) 
SUBMISSION.—Not 
later 
than 
months after the issuance of the report under 
subparagraph (A), the Assistant Secretary shall 
submit the report to the Committee on Education 
and Labor of the House of Representatives, the 
Committee on Health, Education, Labor, and 
Pensions of the Senate, and the Special Com-
mittee on Aging of the Senate.’’. 
SEC. 207. RESEARCH AND EVALUATION. 
Section 201 of the Older Americans Act of 1965 (42 
U.S.C. 3011) is amended by adding at the end the following: 
‘‘(g)(1) The Assistant Secretary shall coordinate the re-
search and evaluation functions of this Act under a Na-
tional Research, Demonstration, and Evaluation Center for 
the Aging Network (in this subsection referred to as the 
‘Center’), which shall be headed by a director designated 
by the Assistant Secretary from individuals described in 
paragraph (4). 
‘‘(2) The purpose of the Center shall be— 
‘‘(A) to coordinate research, research dissemina-
tion, evaluation, demonstration projects, and related 
activities carried out under this Act; 
‘‘(B) to provide assessment of the programs au-
thorized under this Act; and 
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‘‘(C) to increase the repository of information on 
evidence-based programs and interventions available 
to the aging network. Such information shall be ap-
plicable to existing programs and help in the develop-
ment of new evidence-based programs and interven-
tions. 
‘‘(3) Activities of the Center shall include conducting, 
promoting, coordinating, and providing support for— 
‘‘(A) research and evaluation activities that sup-
port the objectives of this Act, including— 
‘‘(i) evaluation of new and existing pro-
grams and interventions authorized by this Act; 
and 
‘‘(ii) research on and assessment of the im-
pacts that programs and interventions under 
this Act have on the health outcomes, social de-
terminants of health, quality of life, and inde-
pendence of individuals served under this Act; 
‘‘(B) demonstration projects that support the ob-
jectives of the Act and activities to bring effective 
demonstration projects to scale with a prioritization 
of projects that address the needs of underserved popu-
lations; 
‘‘(C) outreach and dissemination of research 
findings; and 
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‘‘(D) technical assistance related to the activities 
described in this subparagraph. 
‘‘(4) The director shall be an individual with substan-
tial knowledge of and experience in aging and health policy, 
and research administration. 
‘‘(5) Not later than October 1, 2020, and at 5-year in-
tervals thereafter, the director shall prepare and publish in 
the Federal Register for public comment a draft of a 5-year 
plan that— 
‘‘(A) outlines priorities for research, research dis-
semination, evaluation, and related activities; 
‘‘(B) explains the basis for such priorities; and 
‘‘(C) describes how the plan will meet the needs 
of underserved populations. 
‘‘(6) The director shall, as appropriate, coordinate 
with other Federal departments and agencies involved in 
research in the field of aging. 
‘‘(7) Not later than December 31, 2020, and annually 
thereafter, the director shall prepare, and submit to the Sec-
retary, the Committee on Health, Education, Labor, and 
Pensions of the Senate, the Special Committee on Aging of 
the Senate, and the Committee on Education and Labor 
of the House of Representatives, a report on the activities 
funded under this section and title IV. 
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‘‘(8) The director shall, as appropriate, consult with 
experts on aging research and evaluation and aging net-
work stakeholders on the implementation of the activities 
described under paragraph (3) of this subsection. 
‘‘(9) The director shall coordinate all research and 
evaluation authorities under this Act.’’. 
SEC. 208. GRANT PROGRAM FOR MULTIGENERATIONAL 
COLLABORATION. 
Section 417 of the Older Americans Act of 1965 (42 
U.S.C. 3032f) is amended— 
(1) by amending subsection (a) to read as fol-
lows: 
‘‘(a) GRANTS AND CONTRACTS.—The Assistant Sec-
retary shall award grants to, and enter into contracts with, 
eligible organizations to carry out projects— 
‘‘(1) to provide opportunities for older individ-
uals to participate in multigenerational activities 
and civic engagement activities that contribute to the 
health and wellness of older individuals and individ-
uals in younger generations by developing— 
‘‘(A) meaningful roles for participants; 
‘‘(B) reciprocity in relationship building; 
‘‘(C) reduced social isolation and improved 
participant social connectedness; 
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‘‘(D) improved economic well-being for older 
individuals; 
‘‘(E) increased lifelong learning; or 
‘‘(F) support for family caregivers by— 
‘‘(i) providing support for older rel-
ative caregivers (as defined in section 372) 
raising children (such as kinship navigator 
programs); or 
‘‘(ii) involving volunteers who are 
older individuals 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; 
‘‘(2) to coordinate multigenerational activities 
and 
civic 
engagement 
activities, 
including 
multigenerational nutrition and meal service pro-
grams; 
‘‘(3) to promote volunteerism, including becom-
ing a mentor to young people; and 
‘‘(4) to facilitate development of and participa-
tion in multigenerational activities and civic engage-
ment activities.’’, 
(2) by amending subsection (b) to read as fol-
lows: 
‘‘(b) USE OF FUNDS.— 
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‘‘(1) IN
GENERAL.—An eligible organization 
shall use funds made available under a grant award-
ed, or a contract entered into, under this section to 
carry out a project described in subsection (a). 
‘‘(2) PROVISION OF PROJECTS THROUGH GRANT-
EES.—In making grants under this section, the As-
sistant Secretary shall ensure that awards are made 
for the activities and projects described in each of 
paragraphs (1) and (2) of subsection (a).’’; 
(3) in subsection (c)— 
(A) in the matter preceding paragraph (1), 
by inserting ‘‘that serves individuals in younger 
generations and older individuals’’ after ‘‘to 
carry out a project’’; 
(B) in paragraph (1) by inserting ‘‘, intent 
to carry out, or intent to partner with local or-
ganizations or multiservice organizations to 
carry out,’’ after ‘‘record of carrying out’’, 
(C) in paragraph (3) by striking ‘‘; and’’ 
and inserting a semicolon, 
(D) in paragraph (4) by striking the period 
at the end and inserting ‘‘; and’’, and 
(E) by adding at the end the following: 
‘‘(5) 
eligible 
organizations 
proposing 
multigenerational activity projects that utilize shared 
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site programs, such as collocated child care and long- 
term care facilities.’’, 
(4) by amending subsection (e) to read as fol-
lows: 
‘‘(e) ELIGIBLE ORGANIZATIONS.—Organizations eligi-
ble to receive a grant or enter into a contract under sub-
section (a) shall— 
‘‘(1) be a State, an area agency on aging, or an 
organization that provides opportunities for older in-
dividuals to participate in activities described in such 
subsection; and 
‘‘(2) have the capacity to conduct the coordina-
tion, promotion, and facilitation described in such 
subsection through the use of multigenerational coor-
dinators.’’, 
(5) by striking subsection (g), 
(6) in subsection (h)(2)(B)(i) by striking ‘‘indi-
viduals from the generations with older individuals’’ 
and inserting ‘‘older individuals’’, 
(7) by redesignating subsections (b) through (f) 
as subsections (c) through (g), respectively, and 
(8) by inserting after subsection (a) the fol-
lowing: 
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‘‘(b) GRANT PERIOD.—Each grant awarded or con-
tract made under subsection (a) shall be to carry out 
projects for a period of not less than 36 months.’’. 
TITLE 
III—STRENGTHENING 
PROTECTIONS FOR OLDER IN-
DIVIDUALS 
SEC. 301. STATE LONG-TERM CARE OMBUDSMAN PROGRAM 
MINIMUM FUNDING AND MAINTENANCE OF 
EFFORT. 
The Older Americans Act of 1965 (42 U.S.C. 3001 et 
seq.) is amended— 
(1) in section 306(a)(9)— 
(A) by inserting ‘‘together with any other 
funds’’ after ‘‘Act’’, and 
(B) by striking ‘‘2000’’ and inserting 
‘‘2019’’, and 
(2) in section 307(a)(9)— 
(A) by striking ‘‘an amount’’ the 1st place 
it appears and inserting ‘‘the total amount’’, 
(B) by striking ‘‘2000’’ and inserting 
‘‘2019’’ each place it appears, and 
(C) by inserting ‘‘from all sources includ-
ing’’ after ‘‘received’’ each place it appears. 
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SEC. 302. STATE LONG-TERM CARE VOLUNTEER OMBUDS-
MAN REPRESENTATIVES. 
Section 712(a)(5) of the Older Americans Act of 1965 
(42 U.S.C. 3058g(a)(5)) is amended— 
(1) by redesignating subparagraph (D) as sub-
paragraph (E), and 
(2) by inserting after subparagraph (C) the fol-
lowing: 
‘‘(D) VOLUNTEER OMBUDSMAN REPRESENT-
ATIVES.—An individual designated as a volun-
teer ombudsman representative may receive fi-
nancial support and recognition from the Office 
of the State Long-Term Care Ombudsman Pro-
gram for expenses incurred during service.’’. 
SEC. 303. CLARIFICATION REGARDING BOARD AND CARE 
FACILITIES. 
Section 102(35)(C) of the Older Americans Act of 1965 
(42 U.S.C. 3002(35)(C)) is amended by striking ‘‘for pur-
poses of sections 307(a)(12) and 712,’’. 
TITLE IV—MEETING THE NEEDS 
OF OLDER NATIVE AMERICANS 
SEC. 401. 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— 
(1) in part D— 
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(A) by amending section 643 to read as fol-
lows: 
‘‘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 fis-
cal 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 fis-
cal year 2021, $12,118,672 for fiscal year 2022, 
$12,845,792 for fiscal year 2023, and $13,616,540 for 
fiscal year 2024.’’, and 
(B) by adding at the end the following: 
‘‘SEC. 644. FUNDING SET ASIDE. 
‘‘Of the funds appropriated under section 643(1) for 
a fiscal year, 5 percent shall be made available to carry 
out part D for such fiscal year.’’, 
(2) by redesignating part D as part E, and 
(3) by inserting after part C the following: 
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‘‘PART D—SUPPORTIVE SERVICES FOR HEALTHY 
AGING AND INDEPENDENCE 
‘‘SEC. 636. PROGRAM. 
‘‘(a) IN GENERAL.—The Assistant Secretary shall 
carry out a demonstration program for making 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 
provide a wider range of in-home and community sup-
portive services to enable older individuals to maintain 
their health and independence 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 described in section 
321(a). 
‘‘(2) PRIORITY.—The Assistant Secretary, in 
making grants under this section, shall give priority 
to organizations that will use the grant funds for sup-
portive services described in subsection (a) that are 
for in-home assistance, transportation, information 
and referral, case management, health and wellness 
programs, legal services, family caregiver support 
services, and other services that directly support the 
independence of the older individuals served.’’. 
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SEC. 402. ENHANCING CAPACITY TO SUPPORT NATIVE 
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 inserting ‘‘to en-
sure adequate capacity to deliver the services under 
such title, which technical assistance programs may 
include program management, data development and 
use, basic business skills, grant development, program 
and service innovations, and staff professional devel-
opment and certification’’ before the semicolon at the 
end, and 
(2) section 216 is amended to read as follows: 
‘‘SEC. 216. AUTHORIZATION OF APPROPRIATIONS. 
‘‘(a) IN GENERAL.—For purposes of carrying out this 
Act, there are authorized to be appropriated for administra-
tion, salaries, and expenses of the Administration 
$44,042,171 for fiscal year 2020, $46,684,701 for fiscal year 
2021, $49,485,783 for fiscal year 2022, $52,454,930 for fis-
cal year 2023, and $55,602,226 for fiscal year 2024. 
‘‘(b) AUTHORIZATION OF APPROPRIATIONS FOR PRO-
GRAMS.—There are authorized to be appropriated— 
‘‘(1) to carry out section 201(g), $20,000,000 for 
each of the fiscal years 2020 through 2024; 
‘‘(2) to carry out section 202(a)(21) (relating to 
the National Eldercare Locator Service), $2,186,227 
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for fiscal year 2020, $2,317,401 for fiscal year 2021, 
$2,456,445 for fiscal year 2022, $2,603,832 for fiscal 
year 2023, and $2,760,062 for fiscal year 2024; 
‘‘(3) to carry out section 215, $1,992,460 for fis-
cal year 2020, $2,112,008 for fiscal year 2021, 
$2,238,728 for fiscal year 2022, $2,373,052 for fiscal 
year 2023, and $2,515,435 for fiscal year 2024; 
‘‘(4) to carry out section 202 (relating to Elder 
Rights Support Activities under this title), $1,375,011 
for fiscal year 2020, $1,457,511 for fiscal year 2021, 
$1,544,962 for fiscal year 2022, $1,637,660 for fiscal 
year 2023, and $1,735,919 for fiscal year 2024; 
‘‘(5) to carry out section 202(b) (relating to the 
Aging and Disability Resource Centers), $8,708,043 
for fiscal year 2020, $9,230,526 for fiscal year 2021, 
$9,784,357 for fiscal year 2022, $10,371,419 for fiscal 
year 2023, and $10,993,704 for fiscal year 2024; and 
‘‘(6) to carry out section 201(c)(3)(H) (relating 
to professional development and technical assistance 
for programs under title VI), $500,000 for fiscal year 
2020.’’. 
TITLE V—MISCELLANEOUS 
SEC. 501. TECHNICAL CORRECTIONS. 
The Older Americans Act of 1965 (42 U.S.C. 3001 et 
seq.) is amended— 
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(1) in section 102(37)(A) by striking ‘‘paragraph 
(5)’’ and inserting ‘‘paragraph (26)’’, 
(2) in section 202(a)(23) by striking ‘‘sections 
307(a)(18) and 731(b)(2)’’ and inserting ‘‘sections 
307(a)(13) and 731’’, 
(3) in section 202(e)(1)(A) by moving the left 
margin of clause (i) 2 ems to the left, 
(4) in sections 203(c)(7), 207(b)(2)(B), and 
215(i) by striking ‘‘Committee on Education and the 
Workforce’’ and inserting ‘‘Committee on Education 
and Labor’’, 
(5) in section 207(b)(3)(A) by striking ‘‘Admin-
istrator of the Health Care Finance Administration’’ 
and inserting ‘‘Administrator of the Centers for Medi-
care and Medicaid Services’’, 
(6) in section 304(a)(3)(C) by striking ‘‘term’’ 
and all that follows through ‘‘does’’, and inserting 
‘‘term ‘State’ does’’, 
(7) in section 306(a)— 
(A) by inserting ‘‘the number of older indi-
viduals at risk for institutional placement resid-
ing in such area,’’ after ‘‘areas) residing in such 
area,’’ the last place it appears, and 
(B) in paragraph (2) by striking ‘‘who are 
victims of’’ and inserting ‘‘with’’, 
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(8) in section 339 by striking ‘‘Institute of Medi-
cine of the National Academy of Sciences’’ and insert-
ing ‘‘National Academies of Sciences, Engineering, 
and Medicine’’, 
(9) in section 611 by striking ‘‘(a)’’, and 
(10) in section 614(c)(4) by striking ‘‘(a)(12)’’ 
and inserting ‘‘(a)(11)’’. 
SEC. 502. AUTHORIZATION OF APPROPRIATIONS; USES OF 
FUNDS. 
(a) AUTHORIZATION OF APPROPRIATIONS; USES OF 
FUNDS.—Section 303 of the Older Americans Act of 1965 
(42 U.S.C. 3023) is amended to read as follows: 
‘‘SEC. 303. AUTHORIZATION OF APPROPRIATIONS; USES OF 
FUNDS. 
‘‘(a)(1) There are authorized to be appropriated to 
carry out part B (relating to supportive services) 
$413,011,586 for fiscal year 2020, $437,792,281 for fiscal 
year 2021, $464,059,818 for fiscal year 2022, $491,903,407 
for fiscal year 2023, and $521,417,612 for fiscal year 2024. 
‘‘(2) Funds appropriated under paragraph (1) shall 
be available to carry out section 712. 
‘‘(b)(1) There are authorized to be appropriated to 
carry out subpart 1 of part C (relating to congregate nutri-
tion 
services) 
$531,279,663 
for 
fiscal 
year 
2020, 
$563,156,443 for fiscal year 2021, $596,945,830 for fiscal 
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year 2022, $632,762,580 for fiscal year 2023, and 
$670,728,334 for fiscal year 2024. 
‘‘(2) There are authorized to be appropriated to carry 
out subpart 2 of part C (relating to home delivered nutri-
tion 
services) 
$269,577,167 
for 
fiscal 
year 
2020, 
$285,751,797 for fiscal year 2021, $302,896,905 for fiscal 
year 2022, $321,070,719 for fiscal year 2023, and 
$340,334,963 for fiscal year 2024. 
‘‘(c) Grants made under part B, and subparts 1 and 
2 of part C, of this title may be used for paying part of 
the cost of— 
‘‘(1) the administration of area plans by area 
agencies 
on 
aging 
designated 
under 
section 
305(a)(2)(A), including the preparation of area plans 
on aging consistent with section 306 and the evalua-
tion of activities carried out under such plans; and 
‘‘(2) the development of comprehensive and co-
ordinated systems for supportive services, congregate 
and home delivered nutrition services under subparts 
1 and 2 of part C, the development and operation of 
multipurpose senior centers, and the delivery of legal 
assistance. 
‘‘(d) There are authorized to be appropriated to carry 
out part D (relating to disease prevention and health pro-
motion services) $26,650,753 for fiscal year 2020, 
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$28,249,798 for fiscal year 2021, $29,944,786 for fiscal year 
2022, $31,741,473 for fiscal year 2023, and $33,645,961 for 
fiscal year 2024. 
‘‘(e) There are authorized to be appropriated to carry 
out part E (relating to family caregiver support) 
$194,331,264 for fiscal year 2020, $205,991,140 for fiscal 
year 2021, $218,350,609 for fiscal year 2022, $231,451,645 
for fiscal year 2023, and $245,338,744 for fiscal year 
2024.’’. 
(b) Section 304(a)(3)(D) of the Older Americans Act 
of 1965 (42 U.S.C. 3024(a)(3)(D)) is amended— 
(1) in clause (i) by striking ‘‘2017 through 
2019’’ and inserting ‘‘2020 through 2024’’, and 
(2) in clause (ii) by striking ‘‘2020’’ and insert-
ing ‘‘2025’’. 
(c) Section 311(e) of the Older Americans Act of 1965 
(42 U.S.C. 3030a(e)) is amended to read as follows: 
‘‘(e) There are authorized to be appropriated to carry 
out this section (other than subsection (c)(1)) $171,682,200 
for fiscal year 2020, $181,983,132 for fiscal year 2021, 
$192,902,120 for fiscal year 2022, $204,476,247 for fiscal 
year 2023, and $216,744,822 for fiscal year 2024.’’. 
(d) Section 411(b) of the Older Americans Act of 1965 
(42 U.S.C. 3032(b)) is amended to read as follows: 
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‘‘(b) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out— 
‘‘(1) aging network support activities under this 
section, $14,549,157 for fiscal year 2020, $15,422,107 
for fiscal year 2021, $16,347,433 for fiscal year 2022, 
$17,328,279 for fiscal year 2023, and $18,367,976 for 
fiscal year 2024; and 
‘‘(2) elder rights support activities under this 
section, $15,650,667 for fiscal year 2020, $16,589,707 
for fiscal year 2021, $17,585,090 for fiscal year 2022, 
$18,640,195 for fiscal year 2023, and $19,758,607 for 
fiscal year 2024.’’. 
(e) Section 517(a) of the Older Americans Act of 1965 
(42 U.S.C. 3056o(a)) is amended to read as follows: 
‘‘(a) IN GENERAL.—There are authorized to be appro-
priated to carry out this title $429,020,486 for fiscal year 
2020, $454,761,715 for fiscal year 2021, $482,047,418 for 
fiscal year 2022, $510,970,263 for fiscal year 2023, and 
$541,628,478 for fiscal year 2024.’’. 
(f) Section 702 of the Older Americans Act of 1965 
(42 U.S.C.3058a) is amended to read as follows: 
‘‘SEC. 702. AUTHORIZATION OF APPROPRIATIONS. 
‘‘(a) OMBUDSMAN PROGRAM.—There are authorized to 
be appropriated to carry out chapter 2, $18,110,027 for fis-
cal year 2020, $19,196,629 for fiscal year 2021, 
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$20,348,427 for fiscal year 2022, $21,569,332 for fiscal year 
2023, and $22,863,492 for fiscal year 2024. 
‘‘(b) OTHER PROGRAMS.—There are authorized to be 
appropriated to carry out chapters 3 and 4, $5,119,287 for 
fiscal year 2020, $5,426,444 for fiscal year 2021, $5,752,031 
for fiscal year 2022, $6,097,153 for fiscal year 2023, and 
$6,462,982 for fiscal year 2024.’’. 
SEC. 503. EFFECTIVE DATE. 
This Act shall take effect on October 1, 2019. 
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Union Calendar No. 206 
116TH CONGRESS 
1ST SESSION 
H. R. 4334 
[Report No. 116–258] 
A BILL 
To amend the Older Americans Act of 1965 to au-
thorize appropriations for fiscal years 2020 
through 2024, and for other purposes. 
OCTOBER 28, 2019 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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