H. R. 6197—19
(B) in subparagraph (G), by striking the period and 
inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(3) the State agency shall, consistent with this section, 
promote the development and implementation of a State system 
of long-term care that is a comprehensive, coordinated system 
that enables older individuals to receive long-term care in home 
and community-based settings, in a manner responsive to the 
needs and preferences of the older individuals and their family 
caregivers, by—
‘‘(A) collaborating, coordinating, and consulting with 
other agencies in such State responsible for formulating, 
implementing, and administering programs, benefits, and 
services related to providing long-term care; 
‘‘(B) participating in any State government activities 
concerning long-term care, including reviewing and com-
menting on any State rules, regulations, and policies 
related to long-term care; 
‘‘(C) conducting analyses and making recommendations 
with respect to strategies for modifying the State system 
of long-term care to better—
‘‘(i) respond to the needs and preferences of older 
individuals and family caregivers; 
‘‘(ii) facilitate the provision, by service providers, 
of long-term care in home and community-based set-
tings; and 
‘‘(iii) target services to individuals at risk for 
institutional placement, to permit such individuals to 
remain in home and community-based settings; 
‘‘(D) implementing (through area agencies on aging, 
service providers, and such other entities as the State 
determines to be appropriate) evidence-based programs to 
assist older individuals and their family caregivers in 
learning about and making behavioral changes intended 
to reduce the risk of injury, disease, and disability among 
older individuals; and 
‘‘(E) providing for the availability and distribution 
(through public education campaigns, Aging and Disability 
Resource Centers, area agencies on aging, and other appro-
priate means) of information relating to—
‘‘(i) the need to plan in advance for long-term care; 
and 
‘‘(ii) the full range of available public and private 
long-term care (including integrated long-term care) 
programs, options, service providers, and resources.’’. 
SEC. 306. AREA PLANS. 
Section 306 of the Older Americans Act of 1965 (42 U.S.C. 
3026) is amended—
(1) in subsection (a)—
(A) in paragraph (1)—
(i) by striking ‘‘(with particular attention to low-
income minority individuals and older individuals 
residing in rural areas)’’ and inserting ‘‘(with particular 
attention to low-income older individuals, including
H. R. 6197—20
low-income minority older individuals, older individ-
uals with limited English proficiency, and older individ-
uals residing in rural areas)’’; 
(ii) by striking ‘‘(with particular attention to low-
income minority individuals)’’ and inserting ‘‘(with par-
ticular attention to low-income older individuals, 
including low-income minority older individuals, older 
individuals with limited English proficiency, and older 
individuals residing in rural areas)’’; and 
(iii) by inserting ‘‘the number of older individuals 
at risk for institutional placement residing in such 
area,’’ after ‘‘individuals) residing in such area,’’; 
(B) in paragraph (2)(A)—
(i) by inserting after ‘‘transportation,’’ the fol-
lowing: ‘‘health services (including mental health serv-
ices),’’; and 
(ii) by inserting after ‘‘information and assistance’’ 
the following: ‘‘(which may include information and 
assistance to consumers on availability of services 
under part B and how to receive benefits under and 
participate in publicly supported programs for which 
the consumer may be eligible)’’; 
(C) in paragraph (4)—
(i) in subparagraph (A)—
(I) by amending clause (i) to read as follows: 
‘‘(i)(I) provide assurances that the area agency on aging 
will—
‘‘(aa) set specific objectives, consistent with State 
policy, for providing services to older individuals with 
greatest economic need, older individuals with greatest 
social need, and older individuals at risk for institutional 
placement; 
‘‘(bb) include specific objectives for providing services 
to low-income minority older individuals, older individuals 
with limited English proficiency, and older individuals 
residing in rural areas; and 
‘‘(II) include proposed methods to achieve the objectives 
described in items (aa) and (bb) of subclause (I);’’; and 
(II) in clause (ii), by inserting ‘‘, older individ-
uals with limited English proficiency,’’ after ‘‘low-
income minority individuals’’ each place it appears; 
and 
(ii) in subparagraph (B)—
(I) by moving the left margin of each of 
subparagraph (B), clauses (i) and (ii), and sub-
clauses (I) through (VI) of clause (i), 2 ems to 
the left; and 
(II) in clause (i)—
(aa) in subclause (V), by striking ‘‘with 
limited English-speaking ability; and’’ and 
inserting ‘‘with limited English proficiency;’’; 
(bb) in subclause (VI), by striking ‘‘or 
related’’ and inserting ‘‘and related’’; and 
(cc) by adding at the end the following: 
‘‘(VII) older individuals at risk for institutional 
placement; and’’;
H. R. 6197—21
(D) in paragraph (5), by inserting ‘‘and individuals 
at risk for institutional placement’’ after ‘‘severe disabil-
ities’’; 
(E) in paragraph (6)—
(i) in subparagraph (C)—
(I) in clause (i), by striking ‘‘and’’ at the end; 
(II) in clause (ii), by adding ‘‘and’’ at the end; 
and 
(III) by inserting after clause (ii) the following: 
‘‘(iii) make use of trained volunteers in providing direct 
services delivered to older individuals and individuals with 
disabilities needing such services and, if possible, work 
in coordination with organizations that have experience 
in providing training, placement, and stipends for volun-
teers or participants (such as organizations carrying out 
Federal service programs administered by the Corporation 
for National and Community Service), in community service 
settings;’’; 
(ii) in subparagraph (D)—
(I) by inserting ‘‘family caregivers of such 
individuals,’’ after ‘‘Act,’’; and 
(II) by inserting ‘‘service providers, representa-
tives of the business community,’’ after ‘‘individ-
uals,’’; and 
(iii) by amending subparagraph (F) to read as fol-
lows: 
‘‘(F) in coordination with the State agency and with 
the State agency responsible for mental health services, 
increase public awareness of mental health disorders, 
remove barriers to diagnosis and treatment, and coordinate 
mental health services (including mental health screenings) 
provided with funds expended by the area agency on aging 
with mental health services provided by community health 
centers and by other public agencies and nonprofit private 
organizations;’’; 
(F) in paragraph (7), to read as follows: 
‘‘(7) provide that the area agency on aging shall, consistent 
with this section, facilitate the area-wide development and 
implementation of a comprehensive, coordinated system for pro-
viding long-term care in home and community-based settings, 
in a manner responsive to the needs and preferences of older 
individuals and their family caregivers, by—
‘‘(A) collaborating, coordinating activities, and con-
sulting with other local public and private agencies and 
organizations responsible for administering programs, 
benefits, and services related to providing long-term care; 
‘‘(B) conducting analyses and making recommendations 
with respect to strategies for modifying the local system 
of long-term care to better—
‘‘(i) respond to the needs and preferences of older 
individuals and family caregivers; 
‘‘(ii) facilitate the provision, by service providers, 
of long-term care in home and community-based set-
tings; and 
‘‘(iii) target services to older individuals at risk 
for institutional placement, to permit such individuals 
to remain in home and community-based settings;
H. R. 6197—22
‘‘(C) implementing, through the agency or service pro-
viders, evidence-based programs to assist older individuals 
and their family caregivers in learning about and making 
behavioral changes intended to reduce the risk of injury, 
disease, and disability among older individuals; and 
‘‘(D) providing for the availability and distribution 
(through public education campaigns, Aging and Disability 
Resource Centers, the area agency on aging itself, and 
other appropriate means) of information relating to—
‘‘(i) the need to plan in advance for long-term care; 
and 
‘‘(ii) the full range of available public and private 
long-term care (including integrated long-term care) 
programs, options, service providers, and resources;’’; 
(G) by striking paragraph (14) and the 2 paragraphs 
(15); 
(H) by redesignating paragraph (16) as paragraph (14); 
and 
(I) by adding at the end the following: 
‘‘(15) provide assurances that funds received under this 
title will be used—
‘‘(A) to provide benefits and services to older individ-
uals, giving priority to older individuals identified in para-
graph (4)(A)(i); and 
‘‘(B) in compliance with the assurances specified in 
paragraph (13) and the limitations specified in section 212; 
‘‘(16) provide, to the extent feasible, for the furnishing 
of services under this Act, consistent with self-directed care; 
and 
‘‘(17) include information detailing how the area agency 
on aging will coordinate activities, and develop long-range emer-
gency preparedness plans, with local and State emergency 
response agencies, relief organizations, local and State govern-
ments, and any other institutions that have responsibility for 
disaster relief service delivery.’’; 
(2) by redesignating subsections (b), (c), (d), and (e) as 
subsections (c), (d), (e), and (f); and 
(3) by inserting after subsection (a) the following: 
‘‘(b)(1) An area agency on aging may include in the area plan 
an assessment of how prepared the area agency on aging and 
service providers in the planning and service area are for any 
anticipated change in the number of older individuals during the 
10-year period following the fiscal year for which the plan is sub-
mitted. 
‘‘(2) Such assessment may include—
‘‘(A) the projected change in the number of older individuals 
in the planning and service area; 
‘‘(B) an analysis of how such change may affect such 
individuals, including individuals with low incomes, individuals 
with greatest economic need, minority older individuals, older 
individuals residing in rural areas, and older individuals with 
limited English proficiency; 
‘‘(C) an analysis of how the programs, policies, and services 
provided by such area agency can be improved, and how 
resource levels can be adjusted to meet the needs of the 
changing population of older individuals in the planning and 
service area; and
H. R. 6197—23
‘‘(D) an analysis of how the change in the number of individ-
uals age 85 and older in the planning and service area is 
expected to affect the need for supportive services. 
‘‘(3) An area agency on aging, in cooperation with government 
officials, State agencies, tribal organizations, or local entities, may 
make recommendations to government officials in the planning 
and service area and the State, on actions determined by the 
area agency to build the capacity in the planning and service 
area to meet the needs of older individuals for—
‘‘(A) health and human services; 
‘‘(B) land use; 
‘‘(C) housing; 
‘‘(D) transportation; 
‘‘(E) public safety; 
‘‘(F) workforce and economic development; 
‘‘(G) recreation; 
‘‘(H) education; 
‘‘(I) civic engagement; 
‘‘(J) emergency preparedness; and 
‘‘(K) any other service as determined by such agency.’’. 
SEC. 307. STATE PLANS. 
Section 307(a) of the Older Americans Act of 1965 (42 U.S.C. 
3027(a)) is amended—
(1) in paragraph (2)(C), by striking ‘‘section 306(b)’’ and 
inserting ‘‘section 306(c)’’; 
(2) in paragraph (4), by striking ‘‘, with particular attention 
to low-income minority individuals and older individuals 
residing in rural areas’’ and inserting ‘‘(with particular atten-
tion to low-income minority older individuals, older individuals 
with limited English proficiency, and older individuals residing 
in rural areas)’’; 
(3) by striking paragraph (15); 
(4) by redesignating paragraph (14) as paragraph (15); 
(5) by inserting after paragraph (13) the following: 
‘‘(14) The plan shall, with respect to the fiscal year pre-
ceding the fiscal year for which such plan is prepared—
‘‘(A) identify the number of low-income minority older 
individuals in the State, including the number of low-
income minority older individuals with limited English pro-
ficiency; and 
‘‘(B) describe the methods used to satisfy the service 
needs of the low-income minority older individuals 
described in subparagraph (A), including the plan to meet 
the needs of low-income minority older individuals with 
limited English proficiency.’’; 
(6) in paragraph (16)(A)—
(A) in clauses (ii) and (iii), by striking ‘‘(with particular 
attention to low-income minority individuals and older 
individuals residing in rural areas)’’ each place it appears 
and inserting ‘‘(with particular attention to low-income 
older individuals, including low-income minority older 
individuals, older individuals with limited English pro-
ficiency, and older individuals residing in rural areas)’’; 
and 
(B) in clause (vi), by striking ‘‘or related’’ and inserting 
‘‘and related’’; and
H. R. 6197—24
(7) by adding at the end the following: 
‘‘(27) The plan shall provide assurances that area agencies 
on aging will provide, to the extent feasible, for the furnishing 
of services under this Act, consistent with self-directed care. 
‘‘(28)(A) The plan shall include, at the election of the State, 
an assessment of how prepared the State is, under the State’s 
statewide service delivery model, for any anticipated change 
in the number of older individuals during the 10-year period 
following the fiscal year for which the plan is submitted. 
‘‘(B) Such assessment may include—
‘‘(i) the projected change in the number of older individ-
uals in the State; 
‘‘(ii) an analysis of how such change may affect such 
individuals, including individuals with low incomes, 
individuals with greatest economic need, minority older 
individuals, older individuals residing in rural areas, and 
older individuals with limited English proficiency; 
‘‘(iii) an analysis of how the programs, policies, and 
services provided by the State can be improved, including 
coordinating with area agencies on aging, and how resource 
levels can be adjusted to meet the needs of the changing 
population of older individuals in the State; and 
‘‘(iv) an analysis of how the change in the number 
of individuals age 85 and older in the State is expected 
to affect the need for supportive services. 
‘‘(29) The plan shall include information detailing how the 
State will coordinate activities, and develop long-range emer-
gency preparedness plans, with area agencies on aging, local 
emergency response agencies, relief organizations, local govern-
ments, State agencies responsible for emergency preparedness, 
and any other institutions that have responsibility for disaster 
relief service delivery. 
‘‘(30) The plan shall include information describing the 
involvement of the head of the State agency in the development, 
revision, and implementation of emergency preparedness plans, 
including the State Public Health Emergency Preparedness 
and Response Plan.’’. 
SEC. 308. PAYMENTS. 
Section 309(b)(2) of the Older Americans Act of 1965 (42 U.S.C. 
3029(b)(2)) is amended by striking ‘‘the non-Federal share required 
prior to fiscal year 1981’’ and inserting ‘‘10 percent of the cost 
of the services specified in such section 304(d)(1)(D)’’. 
SEC. 309. NUTRITION SERVICES INCENTIVE PROGRAM. 
Section 311 of the Older Americans Act of 1965 (42 U.S.C. 
3030a) is amended—
(1) in subsection (b), by adding at the end the following: 
‘‘(3) State agencies that elect to make grants and enter into 
contracts for purposes of this section shall promptly and equitably 
disburse amounts received under this subsection to the recipients 
of the grants and contracts.’’; 
(2) in subsection (c)—
(A) in paragraph (1), by inserting ‘‘(including bonus 
commodities)’’ after ‘‘commodities’’; 
(B) in paragraph (2), by inserting ‘‘(including bonus 
commodities)’’ after ‘‘commodities’’;
H. R. 6197—25
(C) in paragraph (3), by inserting ‘‘(including bonus 
commodities)’’ after ‘‘products’’; and 
(D) by adding at the end the following: 
‘‘(4) Among the commodities provided under this subsection, 
the Secretary of Agriculture shall give special emphasis to foods 
of high nutritional value to support the health of older individuals. 
The Secretary of Agriculture, in consultation with the Assistant 
Secretary, is authorized to prescribe the terms and conditions 
respecting the provision of commodities under this subsection.’’; 
(3) in subsection (d), to read as follows: 
‘‘(d)(1) Amounts provided under subsection (b) shall be available 
only for the purchase, by State agencies, recipients of grants and 
contracts from the State agencies (as applicable), and title VI 
grantees, of United States agricultural commodities and other foods 
for their respective nutrition projects, subject to paragraph (2). 
‘‘(2) An entity specified in paragraph (1) may, at the option 
of such entity, use part or all of the amounts received by the 
entity under subsection (b) to pay a school food authority (within 
the meaning of the Richard B. Russell National School Lunch 
Act (42 U.S.C. 1751 et seq.)) to obtain United States agricultural 
commodities for such entity’s nutrition projects, in accordance with 
an agreement between the entity and the school food authority, 
under which such payments—
‘‘(A) shall cover the cost of such commodities; and 
‘‘(B) may cover related expenses incurred by the school 
food authority, including the cost of transporting, distributing, 
processing, storing, and handling such commodities.’’; 
(4) in subsection (e), by striking ‘‘2001’’ and inserting 
‘‘2007’’; and 
(5) in subsection (f)—
(A) in the matter preceding paragraph (1), by striking 
‘‘the Secretary of Agriculture and the Secretary of Health 
and Human Services’’ and inserting ‘‘the Assistant Sec-
retary and the Secretary of Agriculture’’; and 
(B) by striking paragraphs (1) and (2) and inserting 
the following: 
‘‘(1) school food authorities participating in programs 
authorized under the Richard B. Russell National School Lunch 
Act within the geographic area served by each such State 
agency, area agency on aging, and provider; and 
‘‘(2) the foods available to such State agencies, area agen-
cies on aging, and providers under subsection (c).’’. 
SEC. 310. CONSUMER CONTRIBUTIONS. 
Section 315 of the Older Americans Act of 1965 (42 U.S.C. 
3030c–2) is amended—
(1) in subsection (b)—
(A) in paragraph (1)—
(i) by striking ‘‘provided that’’ and inserting ‘‘if’’; 
and 
(ii) by adding at the end the following: ‘‘Such con-
tributions shall be encouraged for individuals whose 
self-declared income is at or above 185 percent of the 
poverty line, at contribution levels based on the actual 
cost of services.’’; and
H. R. 6197—26
(B) in paragraph (4)(E), by inserting ‘‘and to supple-
ment (not supplant) funds received under this Act’’ after 
‘‘given’’; 
(2) in subsection (c)(2), by striking ‘‘(with particular atten-
tion to low-income minority individuals and older individuals 
residing in rural areas)’’ and inserting ‘‘(with particular atten-
tion to low-income older individuals, including low-income 
minority older individuals, older individuals with limited 
English proficiency, and older individuals residing in rural 
areas)’’; and 
(3) in subsection (d), by striking ‘‘with particular attention 
to low-income and minority older individuals and older individ-
uals residing in rural areas’’ and inserting ‘‘(with particular 
attention to low-income older individuals, including low-income 
minority older individuals, older individuals with limited 
English proficiency, and older individuals residing in rural 
areas)’’. 
SEC. 311. SUPPORTIVE SERVICES AND SENIOR CENTERS. 
Section 321(a) of the Older Americans Act of 1965 (42 U.S.C. 
3030d(a)) is amended—
(1) in paragraph (8), by inserting ‘‘(including mental health 
screening)’’ after ‘‘screening’’; 
(2) in paragraph (11), by striking ‘‘services’’ and inserting 
‘‘provision of services and assistive devices (including provision 
of assistive technology services and assistive technology 
devices)’’; 
(3) in paragraph (14)(B) by inserting ‘‘(including mental 
health)’’ after ‘‘health’’; 
(4) in paragraph (21)—
(A) by striking ‘‘school-age children’’ and inserting ‘‘stu-
dents’’; and 
(B) by inserting ‘‘services for older individuals with 
limited English proficiency and’’ after ‘‘including’’; 
(5) in paragraph (22) by striking the period at the end 
and inserting a semicolon; 
(6) by redesignating paragraph (23) as paragraph (25); 
and 
(7) by inserting after paragraph (22) the following: 
‘‘(23) services designed to support States, area agencies 
on aging, and local service providers in carrying out and coordi-
nating activities for older individuals with respect to mental 
health services, including outreach for, education concerning, 
and screening for such services, and referral to such services 
for treatment; 
‘‘(24) activities to promote and disseminate information 
about life-long learning programs, including opportunities for 
distance learning; and’’. 
SEC. 312. NUTRITION SERVICE. 
After the part heading of part C of title III of the Older 
Americans Act of 1965 (42 U.S.C. 3030e et seq.), insert the following: 
‘‘SEC. 330. PURPOSES. 
‘‘The purposes of this part are—
‘‘(1) to reduce hunger and food insecurity; 
‘‘(2) to promote socialization of older individuals; and
H. R. 6197—27
‘‘(3) to promote the health and well-being of older individ-
uals by assisting such individuals to gain access to nutrition 
and other disease prevention and health promotion services 
to delay the onset of adverse health conditions resulting from 
poor nutritional health or sedentary behavior.’’. 
SEC. 313. CONGREGATE NUTRITION PROGRAM. 
Section 331 of the Older Americans Act of 1965 (42 U.S.C. 
3030e) is amended—
(1) by striking ‘‘projects—’’ and inserting ‘‘projects
that—’’; 
(2) in paragraph (1), by striking ‘‘which,’’; 
(3) in paragraph (2), by striking ‘‘which’’; and 
(4) by striking paragraph (3), and inserting the following: 
‘‘(3) provide nutrition education, nutrition counseling, and 
other nutrition services, as appropriate, based on the needs 
of meal participants.’’. 
SEC. 314. HOME DELIVERED NUTRITION SERVICES. 
Section 336 of the Older Americans Act of 1965 (42 U.S.C. 
3030f) is amended to read as follows: 
‘‘SEC. 336. PROGRAM AUTHORIZED. 
‘‘The Assistant Secretary shall establish and carry out a pro-
gram to make grants to States under State plans approved under 
section 307 for the establishment and operation of nutrition projects 
for older individuals that provide—
‘‘(1) on 5 or more days a week (except in a rural area 
where such frequency is not feasible (as defined by the Assistant 
Secretary by rule) and a lesser frequency is approved by the 
State agency) at least 1 home delivered meal per day, which 
may consist of hot, cold, frozen, dried, canned, fresh, or supple-
mental foods and any additional meals that the recipient of 
a grant or contract under this subpart elects to provide; and 
‘‘(2) nutrition education, nutrition counseling, and other 
nutrition services, as appropriate, based on the needs of meal 
recipients.’’. 
SEC. 315. CRITERIA. 
Section 337 of the Older Americans Act of 1965 (42 U.S.C. 
3030g) is amended to read as follows: 
‘‘SEC. 337. CRITERIA. 
‘‘The Assistant Secretary, in consultation with recognized 
experts in the fields of nutrition science, dietetics, meal planning 
and food service management, and aging, shall develop minimum 
criteria of efficiency and quality for the furnishing of home delivered 
meal services for projects described in section 336.’’. 
SEC. 316. NUTRITION. 
Section 339 of the Older Americans Act of 1965 (42 U.S.C. 
3030g–21) is amended—
(1) in paragraph (1), to read as follows: 
‘‘(1) solicit the expertise of a dietitian or other individual 
with equivalent education and training in nutrition science, 
or if such an individual is not available, an individual with 
comparable expertise in the planning of nutritional services, 
and’’; and 
(2) in paragraph (2)—
H. R. 6197—28
(A) in subparagraph (A)—
(i) in clause (i), to read as follows: 
‘‘(i) comply with the most recent Dietary Guidelines 
for Americans, published by the Secretary and the 
Secretary of Agriculture, and’’; and 
(ii) in clause (ii)(I), by striking ‘‘daily recommended 
dietary allowances as’’ and inserting ‘‘dietary reference 
intakes’’; 
(B) in subparagraph (D), by inserting ‘‘joint’’ after 
‘‘encourages’’; 
(C) in subparagraph (G), to read as follows: 
‘‘(G) ensures that meal providers solicit the advice and 
expertise of—
‘‘(i) a dietitian or other individual described in 
paragraph (1), 
‘‘(ii) meal participants, and 
‘‘(iii) other individuals knowledgeable with regard 
to the needs of older individuals,’’; 
(D) in subparagraph (H), by striking ‘‘and accompany’’; 
(E) in subparagraph (I), by striking ‘‘and’’ at the end; 
and 
(F) by striking subparagraph (J) and inserting the 
following: 
‘‘(J) provides for nutrition screening and nutrition edu-
cation, and nutrition assessment and counseling if appro-
priate, and 
‘‘(K) encourages individuals who distribute nutrition 
services under subpart 2 to provide, to homebound older 
individuals, available medical information approved by 
health care professionals, such as informational brochures 
and information on how to get vaccines, including vaccines 
for influenza, pneumonia, and shingles, in the individuals’ 
communities.’’. 
SEC. 317. STUDY OF NUTRITION PROJECTS. 
(a) STUDY.—
(1) IN GENERAL.—The Assistant Secretary for Aging shall 
use funds allocated in section 206(g) of the Older Americans 
Act of 1965 (42 U.S.C. 3017(g)) to enter into a contract with 
the Food and Nutrition Board of the Institute of Medicine 
of the National Academy of Sciences, for the purpose of estab-
lishing an independent panel of experts that will conduct an 
evidence-based study of the nutrition projects authorized by 
such Act. 
(2) STUDY.—Such study shall, to the extent data are avail-
able, include—
(A) an evaluation of the effect of the nutrition projects 
authorized by such Act on—
(i) improvement of the health status, including 
nutritional status, of participants in the projects; 
(ii) prevention of hunger and food insecurity of 
the participants; and 
(iii) continuation of the ability of the participants 
to live independently; 
(B) a cost-benefit analysis of nutrition projects author-
ized by such Act, including the potential to affect costs
H. R. 6197—29
of the Medicaid program under title XIX of the Social 
Security Act (42 U.S.C. 1396 et seq.); and 
(C) an analysis of how and recommendations for how 
nutrition projects authorized by such Act may be modified 
to improve the outcomes described in subparagraph (A), 
including recommendations for improving the nutritional 
quality of the meals provided through the projects and 
undertaking other potential strategies to improve the nutri-
tional status of the participants. 
(b) REPORTS.—
(1) REPORT
TO
THE
ASSISTANT
SECRETARY.—The panel 
described in subsection (a)(1) shall submit to the Assistant 
Secretary a report containing the results of the evidence-based 
study described in subsection (a), including any recommenda-
tions described in subsection (a)(2)(C). 
(2) REPORT TO CONGRESS.—The Assistant Secretary shall 
submit a report containing the results described in paragraph 
(1) to the Committee on Education and the Workforce of the 
House of Representatives and the Committee on Health, Edu-
cation, Labor, and Pensions of the Senate. 
SEC. 318. SENSE OF CONGRESS RECOGNIZING THE CONTRIBUTION 
OF NUTRITION TO THE HEALTH OF OLDER ADULTS. 
(a) FINDINGS.—Congress finds that—
(1) good nutrition is vital to good health, and a diet based 
on the Dietary Guidelines for Americans may reduce the risk 
of chronic diseases such as cardiovascular disease, osteoporosis, 
diabetes, macular degeneration, and cancer; 
(2) the American Dietetic Association and the American 
Academy of Family Physicians have estimated that the percent-
age of older adults who are malnourished is estimated at 20 
to 60 percent for 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 approximately 40 percent of 
community-residing persons age 65 and older have inadequate 
nutrient intakes; 
(4) older adults are susceptible to nutrient deficiencies for 
a number of reasons, including a reduced capacity to absorb 
and utilize nutrients, difficulty chewing, and loss of appetite; 
(5) while diet is the preferred source of nutrition, 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 multi-
vitamin-mineral supplements may be useful when they fill a 
specific identified nutrient gap that cannot be or is not other-
wise being met by the individual’s intake of food. 
(b) SENSE OF CONGRESS.—It is the sense of Congress that—
(1) meal programs funded by the Older Americans 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 multivitamin-mineral 
supplement may help prevent nutrition deficiencies common 
in many older adults;
H. R. 6197—30
(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 individuals participating 
in congregate and home-delivered 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 following: 
‘‘(c) The Assistant Secretary shall work in consultation with 
qualified experts to provide information on methods of improving 
indoor air quality in buildings where older individuals congregate.’’. 
SEC. 320. CAREGIVER SUPPORT PROGRAM DEFINITIONS. 
Section 372 of the National Family Caregiver Support 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 marriage’’ and 
inserting ‘‘a child by blood, marriage, 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 paragraph (2); 
(6) by adding at the end the following: 
‘‘(b) RULE.—In providing services under this subpart—
‘‘(1) for family caregivers who provide care for individuals 
with Alzheimer’s disease and related disorders with neuro-
logical and organic brain dysfunction, the State involved shall 
give priority to caregivers 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 Support 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 ‘‘subparagraph 
(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 inserting the fol-
lowing:
H. R. 6197—31
‘‘(2) PRIORITY.—In providing services under this subpart, 
the State, in addition to giving the priority described in section 
372(b), shall give priority—
‘‘(A) to caregivers who are older individuals with 
greatest social need, and older individuals with greatest 
economic need (with particular attention to low-income 
older individuals); 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 sub-
section (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 
Federal 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 mechanisms used in the State 
to provide to persons who are family caregivers, or grandparents 
or older individuals who are relative caregivers, information 
about and access to various services so that the persons can 
better carry out their care responsibilities.’’; 
(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 Americans 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 inserting 
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:
H. R. 6197—32
‘‘(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 individ-
uals; and 
‘‘(C) training and technical assistance to support 
States, area agencies on aging, and organizations receiving 
grants under title VI, in engaging in community planning 
activities; 
‘‘(10) the development, implementation, and assessment 
of technology-based service models and best practices, to sup-
port the use of health monitoring and assessment technologies, 
communication devices, assistive technologies, and other tech-
nologies 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 significance to pro-
mote quality and continuous improvement in the support pro-
vided to family and other informal caregivers of older individ-
uals through activities that include program evaluation, 
training, technical assistance, and research, including—
‘‘(A) programs addressing unique issues faced by rural 
caregivers; 
‘‘(B) programs focusing on the needs of older individ-
uals with cognitive impairment such as Alzheimer’s disease 
and related disorders with neurological and organic brain 
dysfunction, 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 impairments 
such as Alzheimer’s disease and related disorders with neuro-
logical and organic brain dysfunction, 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 historically Black colleges 
or universities, Hispanic-serving institutions, and Hispanic Centers 
of Excellence in Applied 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,’’.
H. R. 6197—33
SEC. 405. TECHNICAL ASSISTANCE AND INNOVATION TO IMPROVE 
TRANSPORTATION FOR OLDER INDIVIDUALS. 
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 INDIVIDUALS. 
‘‘(a) IN GENERAL.—The Secretary may award grants or contracts 
to nonprofit organizations to improve transportation 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 dem-
onstration 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 individuals. The organization may use 
the funds to develop and carry out an innovative transportation 
demonstration project to create transportation services for older 
individuals. 
‘‘(2) SPECIFIC ACTIVITIES.—In carrying out a demonstration 
project or providing technical assistance under paragraph (1) 
the organization may carry out activities that include—
‘‘(A) developing innovative approaches for improving 
access by older individuals to transportation services, 
including volunteer driver programs, economically sustain-
able transportation 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 transportation options 
and resources for older individuals and organizations 
serving such individuals, and disseminating the informa-
tion by establishing and operating a toll-free telephone 
number; 
‘‘(C) developing models and best practices for providing 
comprehensive integrated transportation services for older 
individuals, including services administered by the Sec-
retary of Transportation, by providing ongoing technical 
assistance to agencies providing services under title III 
and by assisting in coordination of public and community 
transportation services; and 
‘‘(D) providing special services to link older individuals 
to transportation services not provided under title III. 
‘‘(c) ECONOMICALLY SUSTAINABLE TRANSPORTATION.—In this 
section, the term ‘economically sustainable transportation’ means 
demand responsive transportation for older individuals—
‘‘(1) that may be provided through volunteers; and 
‘‘(2) that the provider will provide without receiving Federal 
or other public financial assistance, after a period of not more 
than 5 years of providing the services under this section.’’.
H. R. 6197—34
SEC. 406. DEMONSTRATION, SUPPORT, AND RESEARCH PROJECTS FOR 
MULTIGENERATIONAL ACTIVITIES AND CIVIC ENGAGE-
MENT ACTIVITIES. 
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 Secretary shall 
award grants and enter into contracts with eligible organizations 
to carry out projects to—
‘‘(1) provide opportunities for older individuals to partici-
pate in multigenerational activities and civic engagement activi-
ties 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 caregivers raising children 
(such as kinship navigator programs); or 
‘‘(B) involve 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; and 
‘‘(2) coordinate multigenerational activities and civic 
engagement activities, promote volunteerism, and facilitate 
development of and participation in multigenerational activities 
and civic engagement activities. 
‘‘(b) USE OF FUNDS.—An eligible organization shall use funds 
made available under a grant awarded, or a contract 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 entering into con-
tracts to carry out a project described in subsection (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 commu-
nities with the greatest need (with particular attention to low-
income minority individuals, older individuals with limited 
English proficiency, older individuals residing in rural areas, 
and low-income minority communities); 
‘‘(3) eligible organizations proposing civic engagement 
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 organization shall submit 
an application to the Assistant Secretary at such time, in such
H. R. 6197—35
manner, and accompanied by such information as the Assistant 
Secretary may reasonably require. 
‘‘(e) ELIGIBLE ORGANIZATIONS.—Organizations eligible to receive 
a grant or enter into a contract under subsection (a)—
‘‘(1) to carry out activities described in subsection (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 subsection (a)(2), 
shall be organizations with the capacity to conduct the coordina-
tion, promotion, and facilitation described in subsection (a)(2), 
through the use of multigenerational coordinators. 
‘‘(f) LOCAL EVALUATION AND REPORT.—
‘‘(1) EVALUATION.—Each organization receiving a grant or 
a contract under subsection (a) to carry out a project described 
in subsection (a) shall evaluate the multigenerational activities 
or civic engagement activities carried out under the project 
to determine—
‘‘(A) the effectiveness of the activities involved; 
‘‘(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 expiration 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 Senate 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 con-
ducted 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 individual 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 relating to the 
projects. 
‘‘(h) DEFINITIONS.—As used in this section:
H. R. 6197—36
‘‘(1) 
MULTIGENERATIONAL
ACTIVITY.—The 
term 
‘multigenerational activity’ means an activity that provides an 
opportunity for interaction between 2 or more individuals of 
different generations, including activities connecting older 
individuals and youth in a child care program, a youth day 
care program, an educational assistance program, an at-risk 
youth intervention program, a juvenile delinquency treatment 
program, a before- or after-school program, a library program, 
or a family support program. 
‘‘(2) 
MULTIGENERATIONAL
COORDINATOR.—The 
term 
‘multigenerational coordinator’ means a person who—
‘‘(A) builds the capacity of public and nonprofit 
organizations to develop meaningful roles and assignments, 
that use the time, skill, and experience of older individuals 
to serve those organizations; and 
‘‘(B) nurtures productive, sustainable working relation-
ships between—
‘‘(i) individuals from the generations with older 
individuals; and 
‘‘(ii) individuals in younger generations.’’. 
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 inserting ‘‘(including mental 
health)’’ after ‘‘health’’. 
SEC. 408. MULTIDISCIPLINARY CENTERS AND MULTIDISCIPLINARY 
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 following: 
‘‘SEC. 419. MULTIDISCIPLINARY CENTERS AND MULTIDISCIPLINARY 
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 subparagraphs 
(A) through (D) as clauses (i) through (iv), respectively; and 
(C) by aligning the margins of the clauses described in 
subparagraphs (A) and (B) with the margins of clause (iv) 
of section 418(a)(2)(A) of such Act; 
(3)(A) in subsection (b), by redesignating paragraphs (1) 
and (2) as subparagraphs (A) and (B), respectively; 
(B) in subsection (c), by redesignating paragraphs (1) and 
(2) as subparagraphs (A) and (B), respectively; and 
(C) by aligning the margins of the subparagraphs 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 following: 
‘‘(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)’’;
H. R. 6197—37
(6) in subsection (c)—
(A) by striking the following: 
‘‘(c) DATA.—’’ and inserting the following: 
‘‘(3) DATA.—’’; 
(B) by striking ‘‘subsection (a)’’ and inserting ‘‘para-
graph (1)’’; 
(C) by striking ‘‘such subsection’’ and inserting ‘‘such 
paragraph’’; 
(D) by striking ‘‘paragraph (1)’’ and inserting ‘‘subpara-
graph (A)’’; and 
(E) by striking ‘‘this section’’ and inserting ‘‘this sub-
section’’; 
(7) in subsection (a) (as so redesignated)—
(A) in paragraph (1), by inserting ‘‘diverse populations 
of older individuals residing in urban communities,’’ after 
‘‘minority populations,’’; 
(B) in paragraph (2)(B)—
(C)(i) in clause (v), by inserting ‘‘, including information 
about best practices in long-term care service delivery, 
housing, and transportation’’ 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 community-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 competitive basis, for the develop-
ment and operation of—
‘‘(A) systems for the delivery of mental health screening 
and treatment services for older individuals who lack access 
to such services; and 
‘‘(B) programs to—
‘‘(i) increase public awareness regarding the bene-
fits of prevention and treatment of mental disorders 
in older individuals; 
‘‘(ii) reduce the stigma associated with mental dis-
orders in older individuals and other barriers to the 
diagnosis and treatment of the disorders; and 
‘‘(iii) reduce age-related prejudice and discrimina-
tion 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 containing such information as the Assistant Sec-
retary 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
H. R. 6197—38
out this subsection 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 individ-
uals. 
‘‘(4) AREA COORDINATION OF SERVICES WITH OTHER PRO-
VIDERS.—In carrying out this subsection, to more efficiently 
and effectively deliver services to older individuals, each area 
agency on aging shall—
‘‘(A) coordinate services described in subparagraphs 
(A) and (B) of paragraph (1) with such services or similar 
or related services of other community agencies, and vol-
untary organizations; and 
‘‘(B) to the greatest extent practicable, integrate out-
reach and educational activities with such activities of 
existing (as of the date of the integration) social service 
and health care (including mental health) providers serving 
older individuals in the planning and service area involved. 
‘‘(5) RELATIONSHIP
TO
OTHER
FUNDING
SOURCES.—Funds 
made available under this subsection shall supplement, and 
not supplant, any Federal, 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 
described 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 extent such protocols are 
available) for mental disorders prevalent in older individ-
uals; and 
‘‘(B) coordinated and integrated with the services of 
social service and health care (including 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 entity’—
‘‘(A) means a nonprofit health or social service 
organization, a community-based nonprofit organization, 
an area agency on aging or other local government agency, 
a tribal organization, or another entity that—
‘‘(i) the Assistant Secretary determines to be appro-
priate to carry out a project under this part; and 
‘‘(ii) demonstrates a record of, and experience in, 
providing or administering group and individual health 
and social services for older individuals; and
H. R. 6197—39
‘‘(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 
Housing 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 Retirement Community’ means a 
community with a concentrated population of older individuals, 
which may include a residential building, a housing complex, 
an area (including a rural area) of single family residences, 
or a neighborhood composed of age-integrated housing—
‘‘(A) where—
‘‘(i) 40 percent of the heads of households are older 
individuals; or 
‘‘(ii) a critical mass of older individuals 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 individuals living 
in the community; and 
‘‘(B) that is not an institutional care or assisted 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 
individuals 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, comprehen-
sive and coordinated health and social services to sustain the 
quality of life of older individuals and support aging in place. 
‘‘(2) GRANT PERIODS.—The Assistant Secretary 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 Secretary at such time, in such manner, and 
containing such information as the Assistant Secretary may 
require. 
‘‘(2) CONTENTS.—The application shall include—
‘‘(A) a detailed description of the entity’s experience 
in providing services to older individuals in age-integrated 
settings; 
‘‘(B) a definition of the contiguous service area and 
a description of the project area in which the older individ-
uals 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 assessment) 
community-based health and social services available 
to individuals residing in the project area; 
‘‘(ii) the strengths and gaps of such existing serv-
ices in the project area;
H. R. 6197—40
‘‘(iii) the needs of older individuals who reside 
in the project area; and 
‘‘(iv) services not being delivered that would pro-
mote aging in place and contribute to the well-being 
of older individuals residing in the project area; 
‘‘(D) a plan for the development and implementation 
of an innovative model for service coordination and delivery 
within the project area; 
‘‘(E) a description of how the plan described in subpara-
graph (D) will enhance existing 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 provi-
sion 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), with agen-
cies and organizations that provide publicly supported serv-
ices 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 interested local entities, 
including private agencies and businesses that provide 
health and social services, housing entities, community 
development 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 Cen-
ters that serve as single points of entry to public services; 
‘‘(I) a description of how the entity will offer opportuni-
ties for older individuals to be involved in the governance, 
oversight, and operation of the project; 
‘‘(J) an assurance that the entity will submit to the 
Assistant Secretary such evaluations and reports as the 
Assistant Secretary may require; and 
‘‘(K) a plan for long-term sustainability of the project. 
‘‘(d) USE OF FUNDS.—
‘‘(1) IN GENERAL.—An eligible entity that receives 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 con-
sisting of—
‘‘(i) case management, case assistance, and social 
work services; 
‘‘(ii) health care management and health care 
assistance, including disease prevention and health 
promotion services; 
‘‘(iii) education, socialization, and recreational 
activities; and 
‘‘(iv) volunteer opportunities for project partici-
pants; 
‘‘(B) conduct outreach to older individuals within the 
project area; and
H. R. 6197—41
‘‘(C) develop and implement innovative, comprehensive, 
and cost-effective approaches for the delivery and coordina-
tion of community-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 receiving a grant 
under subsection (b) for a project shall coordinate activities 
with organizations providing services funded under title III 
to support such services 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 individuals 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 Retirement 
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 eligible older individuals. 
‘‘(e) COMPETITIVE GRANTS FOR TECHNICAL ASSISTANCE.—
‘‘(1) GRANTS.—The Assistant Secretary shall (or shall make 
a grant, on a competitive basis, to an eligible nonprofit organiza-
tion, to enable the organization to)—
‘‘(A) provide technical assistance to recipients 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 organization shall be a nonprofit 
organization (including a partnership of nonprofit organiza-
tions), that—
‘‘(A) has experience and expertise in providing technical 
assistance to a range of entities serving older individuals 
and experience evaluating 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 (including a partnership of 
nonprofit organizations) 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, 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 annually 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 practices regarding 
carrying out health and social service projects for older individ-
uals aging in place; and 
‘‘(3) recommendations for legislative or administrative 
action, as the Assistant Secretary determines appropriate.’’.
H. R. 6197—42
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 pre-
paring 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 Administra-
tion’’ before the period at the end. 
TITLE V—OLDER AMERICAN COMMU-
NITY SERVICE EMPLOYMENT PRO-
GRAM 
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 EMPLOYMENT 
PROGRAM. 
‘‘(a) IN GENERAL.—
‘‘(1) ESTABLISHMENT OF PROGRAM.—To foster individual eco-
nomic self-sufficiency and promote useful 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 persons who 
may enjoy the benefits of unsubsidized employment in both 
the public and private sectors, the Secretary of Labor (referred 
to in this title as the ‘Secretary’) may establish an older Amer-
ican community service employment program. 
‘‘(2) USE
OF
APPROPRIATED
AMOUNTS.—Amounts appro-
priated 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 program established under subsection (a). 
Such grants may provide for the payment of costs, as provided 
in subsection (c), of projects developed by such organizations 
and agencies in cooperation with the Secretary 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 determines that such project—
H. R. 6197—43
‘‘(A) will provide community service employment only 
for eligible individuals except for necessary technical, 
administrative, and supervisory personnel, and such per-
sonnel will, to the fullest extent possible, be recruited from 
among eligible individuals; 
‘‘(B)(i) will provide community service employment and 
other authorized activities for eligible individuals in the 
community in which such individuals reside, or in nearby 
communities; or 
‘‘(ii) if such project is carried out by a tribal organiza-
tion that receives a grant under this subsection or receives 
assistance from a State that receives a grant under this 
subsection, will provide community service employment and 
other authorized activities for such individuals, including 
those who are Indians residing 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 participation cap 
for eligible individuals (in the aggregate) of—
‘‘(i) 27 months; or 
‘‘(ii) pursuant to the request of a grantee, an 
extended period of participation established by the Sec-
retary for a specific project area for such grantee, up 
to a period of not more than 36 months, if the Secretary 
determines 
that 
extenuating 
circumstances 
exist 
relating to the factors identified in section 513(a)(2)(D) 
that justify such an extended period for the program 
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 parties exempt from taxation under section 
501(c)(3) of the Internal Revenue Code of 1986), but 
excluding projects involving the construction, operation, or 
maintenance of any facility 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 employment and 
other authorized activities for eligible individuals; 
‘‘(G)(i) will not reduce the number of employment 
opportunities or vacancies that would otherwise be avail-
able to individuals not participating 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 bene-
fits); 
‘‘(iii) will not impair existing contracts or result in 
the substitution of Federal funds for other funds in connec-
tion 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
H. R. 6197—44
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 individuals to ensure 
that the maximum number of eligible individuals will have 
an opportunity to participate in the project; 
‘‘(I) will include such training (such as work experience, 
on-the-job training, and classroom training) as may be nec-
essary 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 expenses of 
individuals being trained, including a reasonable subsist-
ence allowance equivalent to the wage described in 
subparagraph (J); 
‘‘(J) will ensure that safe and healthy employment 
conditions will be provided, and will ensure that partici-
pants employed in community 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 partici-
pant and if the participant were not exempt under 
section 13 of such Act (29 U.S.C. 213); 
‘‘(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 occupations by the same 
employer; 
‘‘(K) will be established or administered with the advice 
of persons competent in the field of service in which commu-
nity service employment or other authorized activities are 
being provided, and of persons who are knowledgeable 
about the needs of older individuals; 
‘‘(L) will authorize payment for necessary supportive 
services costs (including transportation 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 feasible, such 
project will serve the needs of minority and Indian eligible 
individuals, eligible individuals with limited English pro-
ficiency, and eligible individuals with greatest economic 
need, at least in proportion to their numbers in the 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 prepared an assessment of such skills and talents, 
and such needs, pursuant to another employment 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 strategy;
H. R. 6197—45
‘‘(ii) will provide training and employment counseling 
to eligible individuals based on strategies that identify 
appropriate employment objectives and the need for sup-
portive 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 
‘‘(iii) will provide counseling to participants on their 
progress in meeting such objectives and satisfying their 
need for supportive services; 
‘‘(O) will provide appropriate services for participants, 
or refer the participants to appropriate services, through 
the one-stop delivery system of the local workforce invest-
ment 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 oper-
ations of such system pursuant to a memorandum of under-
standing with the local workforce investment board in 
accordance 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 explanation—
‘‘(i) clarifying the law with respect to political 
activities allowable and unallowable under chapter 15 
of title 5, United States Code, applicable to the project 
and to each category of individuals associated with 
such project; and 
‘‘(ii) containing the address and telephone number 
of the Inspector General of the Department of Labor, 
to whom questions regarding the application of such 
chapter may be addressed; 
‘‘(Q) will provide to the Secretary the description and 
information described in—
‘‘(i) paragraph (8), relating to coordination with 
other Federal programs, of section 112(b) of the 
Workforce Investment Act of 1998 (29 U.S.C. 2822(b)); 
and 
‘‘(ii) paragraph (14), relating to implementation 
of one-stop delivery systems, of section 112(b) of the 
Workforce Investment Act of 1998; and 
‘‘(R) will ensure that entities that carry out activities 
under the project (including State agencies, local entities, 
subgrantees, and subcontractors) and affiliates of such enti-
ties receive an amount of the administrative cost allocation 
determined by the Secretary, in consultation with grantees, 
to be sufficient. 
‘‘(2) REGULATIONS.—The Secretary may establish, 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 pre-
pared for an eligible individual shall satisfy any condition 
for an assessment and service strategy or individual 
employment plan for an adult participant under subtitle 
B of title I of the Workforce Investment Act of 1998 (29 
U.S.C. 2811 et seq.), in order to determine whether such
H. R. 6197—46
eligible individual 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 INVESTMENT 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.—
‘‘(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 Services. 
‘‘(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 exceed 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 the grant amount if the Secretary determines, 
based on information submitted by the grantee under sub-
section (b), that such increase is necessary to carry out 
such project; and 
‘‘(B) if the grantee under subsection (b) demonstrates 
to the Secretary that—
‘‘(i) major administrative cost increases are being 
incurred in necessary program components, including 
liability insurance, payments for workers’ compensa-
tion, costs associated with achieving unsubsidized 
placement goals, and costs associated with other oper-
ation requirements imposed by the Secretary; 
‘‘(ii) the number of community service employment 
positions in the project or the number of minority 
eligible individuals participating in the project will 
decline if the amount available to pay the administra-
tive costs is not increased; or 
‘‘(iii) the size of the project is so small that the 
amount of administrative costs incurred to carry out 
the project necessarily exceeds 13.5 percent of the grant 
amount; 
the Secretary shall increase the amount available for such 
fiscal year to pay the administrative costs to an amount 
not to exceed 15 percent of the grant amount. 
‘‘(4) ADMINISTRATIVE
COSTS.—For purposes of this title, 
administrative costs are the costs, both personnel-related and
H. R. 6197—47
nonpersonnel-related and both direct and indirect, associated 
with the following: 
‘‘(A) The costs of performing general administrative 
functions and of providing for the coordination of functions, 
such as the costs of—
‘‘(i) accounting, budgeting, and financial 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, investigations, and incident 
reports; 
‘‘(vii) audits; 
‘‘(viii) general legal services; 
‘‘(ix) developing systems and procedures, including 
information systems, required for administrative func-
tions; 
‘‘(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 administrative functions. 
‘‘(C) The costs of goods and services required for 
administrative functions of the project involved, including 
goods and services such as rental or purchase of equipment, 
utilities, office supplies, postage, and rental and mainte-
nance of office space. 
‘‘(D) The travel costs incurred for official business in 
carrying out administrative activities or overall manage-
ment. 
‘‘(E) The costs of information systems related to 
administrative functions (such as personnel, procurement, 
purchasing, property management, accounting, and payroll 
systems), including the purchase, systems development, 
and operating costs of such systems. 
‘‘(F) The costs of technical assistance, professional 
organization membership dues, and evaluating results 
obtained by the project involved against stated objectives. 
‘‘(5) NON-FEDERAL SHARE OF ADMINISTRATIVE COSTS.—To 
the extent practicable, an entity that carries out a project 
under this title shall provide for the payment of the expenses 
described in paragraph (4) from non-Federal sources. 
‘‘(6) USE OF FUNDS FOR WAGES AND BENEFITS AND PRO-
GRAMMATIC ACTIVITY COSTS.—
‘‘(A) IN
GENERAL.—Amounts made available for a 
project under this title that are not used to pay for the 
administrative costs shall be used to pay for the costs 
of programmatic activities, including the costs of—
‘‘(i) participant wages, such benefits as are 
required by law (such as workers’ compensation or 
unemployment compensation), the costs of physical 
examinations, compensation for scheduled work hours 
during which an employer’s business is closed for a 
Federal holiday, and necessary sick leave that is not
H. R. 6197—48
part of an accumulated sick leave program, except 
that no amounts provided under this title may be 
used to pay the cost of pension benefits, annual leave, 
accumulated sick leave, or bonuses; 
‘‘(ii) participant training (including the payment 
of reasonable costs of instructors, classroom rental, 
training supplies, materials, equipment, and tuition), 
which may be provided prior to or subsequent to place-
ment and which may be provided on the job, in a 
classroom setting, or pursuant to other appropriate 
arrangements; 
‘‘(iii) job placement assistance, including job 
development and job search assistance; 
‘‘(iv) participant supportive services to enable a 
participant to successfully participate in a project 
under this title, which may include the payment of 
reasonable costs of transportation, health and medical 
services, special job-related or personal counseling, 
incidentals (such as work shoes, badges, uniforms, eye-
glasses, and tools), child and adult care, temporary 
shelter, and follow-up services; and 
‘‘(v) outreach, recruitment and selection, intake, 
orientation, and assessments. 
‘‘(B) USE OF FUNDS FOR WAGES AND BENEFITS.—From 
the funds made available through a grant made under 
subsection (b), a grantee under this title—
‘‘(i) except as provided in clause (ii), shall use 
not less than 75 percent of the grant funds to pay 
the wages, benefits, and other costs described in 
subparagraph (A)(i) for eligible individuals who are 
employed under projects carried out under this title; 
or 
‘‘(ii) that obtains approval for a request described 
in subparagraph (C) may use not less than 65 percent 
of the grant funds to pay the wages, benefits, and 
other costs described in subparagraph (A)(i). 
‘‘(C) REQUEST
TO
USE
ADDITIONAL
FUNDS
FOR
PRO-
GRAMMATIC ACTIVITY COSTS.—
‘‘(i) IN GENERAL.—A grantee may submit to the 
Secretary a request for approval—
‘‘(I) to use not less than 65 percent of the 
grant funds to pay the wages, benefits, and other 
costs described in subparagraph (A)(i); 
‘‘(II) to use the percentage of grant funds 
described in paragraph (3) to pay for administra-
tive costs, as specified in that paragraph; 
‘‘(III) to use not more than 10 percent of the 
grant funds for individual participants to provide 
activities described in clauses (ii) and (iv) of 
subparagraph (A), in which case the grantee shall 
provide (from the funds described in this sub-
clause) the subsistence allowance described in sub-
section (b)(1)(I) for those individual participants 
who are receiving training described in that sub-
section from the funds described in this subclause, 
but may not use the funds described in this sub-
clause to pay for any administrative costs; and
H. R. 6197—49
‘‘(IV) to use the remaining grant funds to pro-
vide activities described in clauses (ii) through (v) 
of subparagraph (A). 
‘‘(ii) CONTENTS.—In submitting the request the 
grantee shall include in the request—
‘‘(I) a description of the activities for which 
the grantee will spend the grant funds described 
in subclauses (III) and (IV) of clause (i), consistent 
with those subclauses; 
‘‘(II) an explanation documenting how the 
provision of such activities will improve the 
effectiveness of the project, including an expla-
nation concerning whether any displacement of 
eligible individuals or elimination of positions for 
such individuals will occur, information on the 
number of such individuals to be displaced and 
of such positions to be eliminated, and an expla-
nation concerning how the activities will improve 
employment outcomes for individuals served, based 
on the assessment conducted under subsection 
(b)(1)(N); and 
‘‘(III) a proposed budget and work plan for 
the activities, including a detailed description of 
the funds to be spent on the activities described 
in subclauses (III) and (IV) of clause (i). 
‘‘(iii) SUBMISSION.—The grantee shall submit a 
request described in clause (i) not later than 90 days 
before the proposed date of implementation contained 
in the request. Not later than 30 days before the pro-
posed date of implementation, the Secretary shall 
approve, approve as modified, or reject the request, 
on the basis of the information included in the request 
as described in clause (ii). 
‘‘(D) REPORT.—Each grantee under subsection (b) shall 
annually prepare and submit to the Secretary a report 
documenting the grantee’s use of funds for activities 
described in clauses (i) through (v) of subparagraph (A). 
‘‘(d) PROJECT DESCRIPTION.—Whenever a grantee conducts a 
project within a planning and service area in a State, such grantee 
shall conduct such project in consultation with the area agency 
on aging of the planning and service area and shall submit to 
the State agency and the area agency on aging a description of 
such project to be conducted in the State, including the location 
of the project, 90 days prior to undertaking the project, for review 
and public comment according to guidelines the Secretary shall 
issue to assure efficient and effective coordination of projects under 
this title. 
‘‘(e) PILOT, DEMONSTRATION, AND EVALUATION PROJECTS.—
‘‘(1) IN GENERAL.—The Secretary, in addition to exercising 
any other authority contained in this title, shall use funds 
reserved under section 506(a)(1) to carry out demonstration 
projects, pilot projects, and evaluation projects, for the purpose 
of developing and implementing techniques and approaches, 
and demonstrating the effectiveness of the techniques and 
approaches, in addressing the employment and training needs 
of eligible individuals. The Secretary shall enter into such 
agreements with States, public agencies, nonprofit private