(1) the funds are used for adult protective serv-
ices (as defined in section 2011(2) of the Social Se-
curity Act (42 U.S.C. 1397j(2)); 
(2) the funds are used subject to the limitations 
in section 2005 of the Social Security Act (42 
U.S.C. 1397d); and 
(3) the funds are used to supplement, not sup-
plant, State general revenue funds for adult protec-
tive services. 
(c) FUNDING FOR INDIAN TRIBES AND TRIBAL OR-
GANIZATIONS.— 
(1) GRANTS.— 
(A) IN GENERAL.—Within 90 days after 
the date of the enactment of this Act, the Sec-
retary of Health and Human Services shall 
make grants to Indian Tribes and Tribal orga-
nizations (as defined in section 677(e)(1) of the 
Community Services Block Grant Act (42 
U.S.C. 9911(e)(1))). 
(B) AMOUNT OF GRANT.—The amount of 
the grant for an Indian Tribe or Tribal organi-
zation shall bear the same ratio to the amount 
appropriated by paragraph (3) as the total 
amount of grants awarded to the Indian Tribe 
or Tribal organization under the Low-Income 
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Home Energy Assistance Act of 1981 and the 
Community Service Block Grant for fiscal year 
2020 bears to the total amount of grants 
awarded to all Indian Tribes and Tribal organi-
zations under such Act and such Grant for the 
fiscal year. 
(2) RULES
GOVERNING
USE
OF
FUNDS.—An 
entity to which a grant is made under paragraph (1) 
shall obligate the funds not later than September 
30, 2021, and the funds shall be expended by grant-
ees and subgrantees not later than December 31, 
2021, and used in accordance with subsection (b) of 
this section (except that paragraph (3) of such sub-
section shall be applied by substituting ‘‘general rev-
enue funds of the Indian Tribe or Tribal organiza-
tion’’ for ‘‘State general revenue funds’’). 
(3) REPORTS.— 
(A) PRE-EXPENDITURE REPORT AND IN-
TENDED USE PLAN.—Not later than 90 days 
after an Indian Tribe or Tribal organization re-
ceives funds made available by this subsection, 
the Indian Tribe or Tribal organization shall 
submit to the Secretary of Health and Human 
Services a pre-expenditure report on the in-
tended use of such funds including information 
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on the types of activities to be supported and 
the categories or characteristics of individuals 
to be served. The Indian Tribe or Tribal organi-
zation shall subsequently revise the pre-expendi-
ture report as necessary to reflect substantial 
changes in the activities to be supported or the 
categories or characteristics of individuals to be 
served. 
(B) POST-EXPENDITURE
REPORT.—Not 
later than January 1, 2022, each Indian Tribe 
or Tribal organization that receives funds made 
available under this section shall submit to the 
Secretary of Health and Human Services a re-
port on the activities supported by such funds. 
Such report shall be in such form and contain 
such information (including the information de-
scribed in section 2006(c) of the Social Security 
Act (42 U.S.C. 1397e(c))) as the Tribe or orga-
nization finds necessary to provide an accurate 
description of such activities, to secure a com-
plete record of the purposes for which funds 
were spent, and to determine the extent to 
which funds were spent in a manner consistent 
with the report required by subparagraph (A). 
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(4) APPROPRIATION.—Out of any money in the 
Treasury of the United States not otherwise appro-
priated, there are appropriated $10,000,000 for 
making grants to Indian Tribes and Tribal organiza-
tions under this subsection. 
SEC. 4. ASSESSMENT REPORTS. 
(a) IN GENERAL.—Not later than 2 years after the 
date of enactment of this Act, and not less frequently than 
once every 2 years thereafter, the Secretary of Health and 
Human Services shall submit a report to the Committee 
on Ways and Means of the House of Representatives and 
the Committee on Finance of the Senate on the programs, 
coordinating bodies, registries, and activities established 
or authorized under subtitle B of title XX of the Social 
Security Act (42 U.S.C. 1397l et seq.) or section 6703(b) 
of the Patient Protection and Affordable Care Act (42 
U.S.C. 1395i–3a(b)). Each such report shall assess the ex-
tent to which such programs, coordinating bodies, reg-
istries, and activities have improved access to, and the 
quality of, resources available to aging Americans and 
their caregivers to ultimately prevent, detect, and treat 
abuse, neglect, and exploitation, and shall include, as ap-
propriate, recommendations to Congress on funding levels 
and policy changes to help these programs, coordinating 
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bodies, registries, and activities better prevent, detect, and 
treat abuse, neglect, and exploitation of aging Americans. 
(b) AUTHORIZATION.—For each of fiscal years 2021 
through 2024, out of any money in the Treasury of the 
United States not otherwise appropriated, there are au-
thorized to be appropriated to the Secretary of Health and 
Human Services $5,000,000 to carry out this section. 
Æ 
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