SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘Older Americans Act
Amendments of 2000’’.
SEC. 2. TABLE OF CONTENTS.
The table of contents of this Act is as follows:
Sec. 1. Short title.
Sec. 2. Table of contents.
TITLE I—AMENDMENT TO TITLE I OF THE OLDER AMERICANS
ACT OF 1965
Sec. 101. Definitions.
TITLE II—AMENDMENTS TO TITLE II OF THE OLDER AMERI-
CANS ACT OF 1965 AND THE OLDER AMERICANS ACT AMEND-
MENTS OF 1987
Subtitle A—Amendments to Title II of the Older Americans Act of 1965
Sec. 201. Functions of assistant secretary.
Sec. 202. Federal agency consultation.
Sec. 203. Evaluation.
Sec. 204. Reports.
Sec. 205.
authorization of appropriations.
Subtitle B—Amendments to the Older Americans Act Amendments of 1987
Sec. 211. White house conference.
TITLE III—AMENDMENTS TO TITLE III OF THE OLDER
AMERICANS ACT OF 1965
Sec. 301. Purpose.
Sec. 302. Authorization of appropriations.
Sec. 303. Allotment; Federal share.
Sec. 304. Organization.
Sec. 305. Area plans.
Sec. 306. State plans.
Sec. 307. Planning, coordination, evaluation, and administration of State plans.
Sec. 308. Availability of disaster relief funds to tribal organizations.
Sec. 309. Nutrition services incentive program.
Sec. 310. Consumer contributions and waivers.
Sec. 311. Supportive services and senior centers.
Sec. 312. Nutrition services.
Sec. 313. Nutrition requirements.
Sec. 314. In-home services and additional assistance.
Sec. 315. Definition.
Sec. 316. National family caregiver support program.
TITLE IV—TRAINING, RESEARCH, AND DISCRETIONARY
PROJECTS AND PROGRAMS
Sec. 401. Projects and programs
TITLE V—AMENDMENT TO TITLE V OF THE OLDER AMERICANS
ACT OF 1965
Sec. 501. Amendment to title v of the older americans act of 1965.
TITLE VI—AMENDMENTS TO TITLE VI OF THE OLDER
AMERICANS ACT OF 1965
Sec. 601. Eligibility.
Sec. 602. Applications.
Sec. 603. Authorization of appropriations.
Sec. 604. General provisions.
TITLE VII—AMENDMENTS TO TITLE VII OF THE OLDER
AMERICANS ACT OF 1965
Sec. 701. Authorization of appropriations.
Sec. 702. Allotment.
Sec. 703. Additional State plan requirements.
Sec. 704. State long-term care ombudsman program.
Sec. 705. Prevention of elder abuse, neglect, and exploitation.
Sec. 706. Assistance programs.
Sec. 707. Native american programs.
TITLE VIII—TECHNICAL AND CONFORMING AMENDMENTS
Sec. 801. Technical and conforming amendments.
TITLE I—AMENDMENT TO TITLE
I OF THE OLDER AMERICANS
ACT OF 1965
SEC. 101. DEFINITIONS.
Section 102 of the Older Americans Act of 1965 (42
U.S.C. 3002) is amended—
(1) in paragraph (3), by striking ‘‘the Common-
wealth of the Northern Mariana Islands, and the
Trust Territory of the Pacific Islands.’’ and insert-
ing ‘‘and the Commonwealth of the Northern Mar-
iana Islands.’’;
(2) by striking paragraph (12) and inserting
the following:
‘‘(12) The term ‘disease prevention and health
promotion services’ means—
‘‘(A) health risk assessments;
‘‘(B) routine health screening, which may
include hypertension, glaucoma, cholesterol,
cancer, vision, hearing, diabetes, bone density,
and nutrition screening;
‘‘(C) nutritional counseling and educational
services for individuals and their primary care-
givers;
‘‘(D) health promotion programs, including
but not limited to programs relating to preven-
tion and reduction of effects of chronic dis-
abling conditions (including osteoporosis and
cardiovascular disease), alcohol and substance
abuse reduction, smoking cessation, weight loss
and control, and stress management;
‘‘(E) programs regarding physical fitness,
group exercise, and music therapy, art therapy,
and dance-movement therapy, including pro-
grams for multigenerational participation that
are provided by—
‘‘(i) an institution of higher education;
‘‘(ii) a local educational agency, as de-
fined in section 14101 of the Elementary
and Secondary Education Act of 1965 (20
U.S.C. 8801); or
‘‘(iii) a community-based organization;
‘‘(F) home injury control services, includ-
ing screening of high-risk home environments
and provision of educational programs on injury
prevention (including fall and fracture preven-
tion) in the home environment;
‘‘(G) screening for the prevention of de-
pression, coordination of community mental
health services, provision of educational activi-
ties, and referral to psychiatric and psycho-
logical services;
‘‘(H) educational programs on the avail-
ability, benefits, and appropriate use of preven-
tive health services covered under title XVIII of
the Social Security Act (42 U.S.C. 1395 et
seq.);
‘‘(I) medication management screening and
education to prevent incorrect medication and
adverse drug reactions;
‘‘(J) information concerning diagnosis, pre-
vention, treatment, and rehabilitation con-
cerning age-related diseases and chronic dis-
abling conditions, including osteoporosis, cardio-
vascular diseases, diabetes, and Alzheimer’s dis-
ease and related disorders with neurological and
organic brain dysfunction;
‘‘(K) gerontological counseling; and
‘‘(L) counseling regarding social services
and followup health services based on any of
the services described in subparagraphs (A)
through (K).
The term shall not include services for which pay-
ment may be made under titles XVIII and XIX of
the Social Security Act (42 U.S.C. 1395 et seq.,
1396 et seq.).’’;
(3) by striking paragraph (18) and redesig-
nating paragraphs (19), (20), (21), and (22) as
paragraphs (18), (19), (20), and (21);
(4) by striking paragraphs (19) and (20) (as
redesignated) and inserting the following:
‘‘(19) The term ‘in-home services’ includes—
‘‘(A) services of homemakers and home
health aides;
‘‘(B) visiting and telephone reassurance;
‘‘(C) chore maintenance;
‘‘(D) in-home respite care for families, and
adult day care as a respite service for families;
‘‘(E) minor modification of homes that is
necessary to facilitate the ability of older indi-
viduals to remain at home and that is not avail-
able under another program (other than a pro-
gram carried out under this Act);
‘‘(F) personal care services; and
‘‘(G) other in-home services as defined—
‘‘(i) by the State agency in the State
plan submitted in accordance with section
307; and
‘‘(ii) by the area agency on aging in
the area plan submitted in accordance with
section 306.
‘‘(20) The term ‘Native American’ means—
‘‘(A) an Indian as defined in paragraph
(5); and
‘‘(B) a Native Hawaiian, as defined in sec-
tion 625.’’;
(5) by striking paragraph (23) and redesig-
nating paragraphs (24) through (35) as paragraphs
(22), (23), (24), (25), (26), (27), (28), (29), (30),
(31), (32), and (33);
(6) by striking paragraph (36) and redesig-
nating the remaining paragraphs; and
(7) by adding at the end the following:
‘‘(42) The term ‘family violence’ has the same
meaning given the term in the Family Violence Pre-
vention and Services Act (42 U.S.C. 10408).
‘‘(43) The term ‘sexual assault’ has the mean-
ing given the term in section 2003 of the Omnibus
Crime Control and Safe Streets Act of 1968 (42
U.S.C. 3796gg–2).’’.
TITLE 
II—AMENDMENTS 
TO
TITLE 
II 
OF 
THE 
OLDER
AMERICANS ACT OF 1965 AND
THE OLDER AMERICANS ACT
AMENDMENTS OF 1987
Subtitle A—Amendments to Title II
of the Older Americans Act of 1965
SEC. 201. FUNCTIONS OF ASSISTANT SECRETARY.
Section 202 of the Older Americans Act of 1965 (42
U.S.C. 3012) is amended—
(1) in subsection (a)—
(A) by striking paragraph (9) and redesig-
nating paragraphs (10), (11), and (12) as para-
graphs (9), (10), and (11) respectively;
(B) by striking parargraphs (13) and (14)
and redesignating the remaining paragraphs;
(C) in paragraph (15) (as redesignated),
by inserting ‘‘and older individuals residing in
rural areas’’ after ‘‘low-income minority individ-
uals’’;
(D) in paragraph (18)(B) (as redesig-
nated), by striking ‘‘1990’’ and inserting
‘‘2000’’;
(E) by striking paragraph (19) (as redesig-
nated) and inserting the following:
‘‘(19) conduct strict monitoring of State compli-
ance with the requirements in effect, under this Act
to prohibit conflicts of interest and to maintain the
integrity and public purpose of services provided and
service providers, under this Act in all contractual
and commercial relationships;’’;
(F) by striking paragraph (21) (as redesig-
nated) and inserting the following:
‘‘(21) establish information and assistance serv-
ices as priority services for older individuals, and de-
velop and operate, either directly or through con-
tracts, grants, or cooperative agreements, a National
Eldercare Locator Service, providing information
and assistance services through a nationwide toll-
free number to identify community resources for
older individuals;’’;
(G) by striking paragraph (24) (as redesig-
nated) and inserting the following:
‘‘(24) establish and carry out pension coun-
seling and information programs described in section
215;’’; and
(H) by striking paragraph (27) and redes-
ignating the remaining paragraphs;
(I) by adding a new paragraph (27):
‘‘(27) improve the delivery of services to older
individuals living in rural areas through—
‘‘(A) synthesizing results of research on
how best to meet the service needs of older indi-
viduals in rural areas;
‘‘(B) developing a resource guide on best
practices for States, area agencies on aging,
and service providers;
‘‘(C) providing training and technical as-
sistance to States to implement these best prac-
tices of service delivery; and
‘‘(D) submitting a report on the States’ ex-
periences in implementing these best practices
and the effect these innovations are having on
improving service delivery in rural areas to the
relevant committees not later than 36 months
after enactment.’’;
(2) in subsection (d)(4), by striking ‘‘1990’’
and inserting ‘‘2000’’; and
(3) by adding at the end the following:
‘‘(f)(1) The Assistant Secretary, in accordance with
the process described in paragraph (2), and in collabora-
tion with a representative group of State agencies, tribal
organizations, area agencies on aging, and providers of
services involved in the performance outcome measures
shall develop and publish by December 31, 2001, a set
of performance outcome measures for planning, managing,
and evaluating activities performed and services provided
under this Act. To the maximum extent possible, the As-
sistant Secretary shall use data currently collected (as of
the date of development of the measures) by State agen-
cies, area agencies on aging, and service providers through
the National Aging Program Information System and
other applicable sources of information in developing such
measures.
‘‘(2) The process for developing the performance out-
come measures described in paragraph (1) shall include—
‘‘(A) a review of such measures currently in use
by State agencies and area agencies on aging (as of
the date of the review);
‘‘(B) development of a proposed set of such
measures that provides information about the major
activities performed and services provided under this
Act;
‘‘(C) pilot testing of the proposed set of such
measures, including an identification of resource, in-
frastructure, and data collection issues at the State
and local levels; and
‘‘(D) evaluation of the pilot test and rec-
ommendations for modification of the proposed set
of such measures.’’.
SEC. 202. FEDERAL AGENCY CONSULTATION.
Title II of the Older Americans Act of 1965 (42
U.S.C. 3011 et seq.) is amended—
(1) in section 203(a)(3)(A), by inserting ‘‘and
older individuals residing in rural areas’’ after ‘‘low-
income minority older individuals’’;
(2) by striking section 204 and inserting the
following:
‘‘SEC. 204. GIFTS AND DONATIONS.
‘‘(a) GIFTS AND DONATIONS.—The Assistant Sec-
retary may accept, use, and dispose of, on behalf of the
United States, gifts or donations (in cash or in kind, in-
cluding voluntary and uncompensated services or prop-
erty), which shall be available until expended for the pur-
poses specified in subsection (b). Gifts of cash and pro-
ceeds of the sale of property shall be available in addition
to amounts appropriated to carry out this Act.
‘‘(b) USE OF GIFTS AND DONATIONS.—Gifts and do-
nations accepted pursuant to subsection (a) may be used
either directly, or for grants to or contracts with public
or nonprofit private entities, for the following activities:
‘‘(1) The design and implementation of dem-
onstrations of innovative ideas and best practices in
programs and services for older individuals.
‘‘(2) The planning and conduct of conferences
for the purpose of exchanging information, among
concerned individuals and public and private entities
and organizations, relating to programs and services
provided under this Act and other programs and
services for older individuals.
‘‘(3) The development, publication, and dissemi-
nation of informational materials (in print, visual,
electronic, or other media) relating to the programs
and services provided under this Act and other mat-
ters of concern to older individuals.
‘‘(c) ETHICS GUIDELINES.—The Assistant Secretary
shall establish written guidelines setting forth the criteria
to be used in determining whether a gift or donation
should be declined under this section because the accept-
ance of the gift or donation would—
‘‘(1) reflect unfavorably upon the ability of the
Administration, the Department of Health and
Human Services, or any employee of the Administra-
tion or Department, to carry out responsibilities or
official duties under this Act in a fair and objective
manner; or
‘‘(2) compromise the integrity or the appear-
ance of integrity of programs or services provided
under this Act or of any official involved in those
programs or services.’’;
(3) in section 205, by striking subsections (c)
and (d) and redesignating subsection (e) as sub-
section (c);
(4) by redesignating section 215 as section 216;
and
(5) by inserting after section 214 the following:
‘‘SEC. 215. PENSION COUNSELING AND INFORMATION PRO-
GRAMS.
‘‘(a) DEFINITIONS.—In this section:
‘‘(1) PENSION AND OTHER RETIREMENT BENE-
FITS.—The term ‘pension and other retirement ben-
efits’ means private, civil service, and other public
pensions and retirement benefits, including benefits
provided under—
‘‘(A) the Social Security program under
title II of the Social Security Act (42 U.S.C.
401 et seq.);
‘‘(1) a plan to establish a pension counseling
and information program that—
‘‘(A) establishes or continues a State or
area pension counseling and information pro-
gram;
‘‘(B) serves a specific geographic area;
‘‘(C) provides counseling (including direct
counseling and assistance to individuals who
need information regarding pension and other
retirement benefits) and information that may
assist individuals in obtaining, or establishing
rights to, and filing claims or complaints re-
garding, pension and other retirement benefits;
‘‘(D) provides information on sources of
pension and other retirement benefits;
‘‘(E) establishes a system to make refer-
rals for legal services and other advocacy pro-
grams;
‘‘(F) establishes a system of referral to
Federal, State, and local departments or agen-
cies related to pension and other retirement
benefits;
‘‘(G) provides a sufficient number of staff
positions (including volunteer positions) to en-
sure information, counseling, referral, and as-
sistance regarding pension and other retirement
benefits;
‘‘(H) provides training programs for staff
members, including volunteer staff members, of
pension and other retirement benefits programs;
‘‘(I) makes recommendations to the Ad-
ministration, the Department of Labor and
other Federal, State and local agencies con-
cerning issues for older individuals related to
pension and other retirement benefits; and
‘‘(J) establishes or continues an outreach
program to provide information, counseling, re-
ferral and assistance regarding pension and
other retirement benefits, with particular em-
phasis on outreach to women, minorities, older
individuals residing in rural areas and low in-
come retirees; and
‘‘(2) an assurance that staff members (includ-
ing volunteer staff members) have no conflict of in-
terest in providing the services described in the plan
described in paragraph (1).
‘‘(f) CRITERIA.—The Assistant Secretary shall con-
sider the following criteria in awarding grants under this
section:
‘‘(1) Evidence of a commitment by the entity to
carry out a proposed pension counseling and infor-
mation program.
‘‘(2) The ability of the entity to perform effec-
tive outreach to affected populations, particularly
populations that are identified in need of special out-
reach.
‘‘(3) Reliable information that the population to
be served by the entity has a demonstrable need for
the services proposed to be provided under the pro-
gram.
‘‘(4) The ability of the entity to provide services
under the program on a statewide or regional basis.
‘‘(g) TRAINING AND TECHNICAL ASSISTANCE PRO-
GRAM.—
‘‘(1) IN
GENERAL.—The Assistant Sec-
retary shall award grants to eligible entities to
establish training and technical assistance pro-
grams that shall provide information and tech-
nical assistance to the staffs of entities oper-
ating pension counseling and information pro-
grams described in subsection (b), and general
assistance to such entities, including assistance
in the design of program evaluation tools.
‘‘(2) ELIGIBLE
ENTITIES.—Entities that
are eligible to receive a grant under this sub-
section include nonprofit private organizations
with a record of providing national information,
referral, and advocacy in matters related to
pension and other retirement benefits.
‘‘(3) APPLICATION.—To be eligible to re-
ceive a grant under this subsection, an entity
shall submit an application to the Assistant
Secretary at such time, in such manner, and
containing such information as the Assistant
Secretary may require.
‘‘(h) 
PENSION
ASSISTANCE
HOTLINE
AND
INTRAGENCY COORDINATION.—
‘‘(1) HOTLINE.—The Assistant Secretary shall
enter into agreements with other Federal agencies to
establish and administer a national telephone hotline
that shall provide information regarding pension and
other retirement benefits, and rights related to such
benefits.
‘‘(2) CONTENT.—Such hotline described in
paragraph (1) shall provide information for individ-
uals seeking outreach, information, counseling, refer-
ral, and assistance regarding pension and other re-
tirement benefits, and rights related to such bene-
fits.
‘‘(3) AGREEMENTS.—The Assistant Secretary
may enter into agreements with the Secretary of
Labor and the heads of other Federal agencies that
regulate the provision of pension and other retire-
ment benefits in order to carry out this subsection.
‘‘(i) REPORT
TO CONGRESS.—Not later than 30
months after the date of the enactment of this section,
the Assistant Secretary shall submit to the Committee on
Education and the Workforce of the House of Representa-
tives and the Committee on Health, Education, Labor and
Pensions of the Senate a report that—
‘‘(1) summarizes the distribution of funds au-
thorized for grants under this section and the ex-
penditure of such funds;
‘‘(2) summarizes the scope and content of train-
ing and assistance provided under a program carried
out under this section and the degree to which the
training and assistance can be replicated;
‘‘(3) outlines the problems that individuals par-
ticipating in programs funded under this section en-
countered concerning rights related to pension and
other retirement benefits; and
‘‘(4) makes recommendations regarding the
manner in which services provided in programs
funded under this section can be incorporated into
the ongoing programs of State agencies, area agen-
cies on aging, multipurpose senior centers and other
similar entities.
‘‘(j) ADMINISTRATIVE EXPENSES.—Of the funds ap-
propriated under section 216 to carry out this section for
a fiscal year, not more than $100,000 may be used by
the Administration for administrative expenses.’’.
SEC. 203. EVALUATION.
Section 206 of the Older Americans Act of 1965 (42
U.S.C. 3017) is amended—
(1) in subsection (a), by inserting ‘‘and older
individuals residing in rural areas’’ after ‘‘low-in-
come minority individuals’’ each place it appears;
(2) in subsection (c), by inserting ‘‘, older indi-
viduals residing in rural areas’’ after ‘‘minority indi-
viduals’’;
(3) by striking subsection (g); and
(4) by redesignating subsection (h) as sub-
section (g).
SEC. 204. REPORTS.
Section 207 of the Older Americans Act of 1965 (42
U.S.C. 3018) is amended—