HR 5293 RFS 
(i) by amending clause (i) to read as 
follows: 
‘‘(i) comply with the most recent Die-
tary Guidelines for Americans, published 
by the Secretary and the Secretary of Ag-
riculture, and’’, and 
(ii) in clause (ii) by striking ‘‘daily 
recommended dietary allowances as’’ and 
inserting ‘‘dietary reference intakes’’, 
(B) in subparagraph (D)— 
(i) by inserting ‘‘joint’’ after ‘‘encour-
ages’’, and 
(ii) by inserting ‘‘shared’’ after ‘‘pro-
mote’’, 
(C) by amending subparagraph (G) to read 
as follows: 
‘‘(G) ensures that local meal providers so-
licit the advice and expertise of— 
‘‘(i) a dietitian or, if a dietitian is not 
available, an individual with comparable 
expertise in the planning of nutrition and 
food services, 
‘‘(ii) meal participants, and 
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‘‘(iii) other individuals knowledgeable 
with regard to the needs of older individ-
uals,’’, 
(D) in subparagraph (H) by striking ‘‘and 
accompany’’, 
(E) by amending subparagraph (J) to read 
as follows: 
‘‘(J) provides for nutrition screening and 
nutrition education, and nutrition assessment 
and counseling if appropriate, and’’, and 
(F) by adding at the end the following: 
‘‘(K) encourages professionals who dis-
tribute nutrition assistance under subpart 2 to 
provide information to homebound seniors on 
how to get an influenza vaccination in their 
local areas.’’. 
SEC. 27. EVALUATION OF NUTRITION PROJECTS. 
(a) STUDY.—The Assistant Secretary for Aging shall 
use funds allocated in section 206(g) of the Older Ameri-
cans Act of 1965 to enter into a contract with the Food 
and Nutrition Board of the Institute of Medicine, for the 
purpose of establishing an independent panel of experts 
that will conduct an evidence-based evaluation of the nu-
trition projects authorized in such Act. Such study shall, 
to the extent data are available, include— 
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(1) an evaluation of the effect of nutrition 
projects authorized by such Act on— 
(A) health status of participants, including 
nutritional status, 
(B) prevention of participant hunger and 
food insecurity, and 
(C) ability of participants to remain living 
independently, 
(2) a cost-benefit analysis of nutrition projects 
authorized by such Act, including the potential to af-
fect costs of Federal programs under title XIX of 
the Social Security Act, and 
(3) recommendations for how nutrition projects 
authorized by such Act may be modified to improve 
the outcomes described in paragraph (1), including 
recommendations for improving the nutritional qual-
ity of meals and other potential strategies to im-
prove the nutritional status of participants, includ-
ing vitamin-mineral supplementation. 
(b) TIMING.—The Institute of Medicine shall estab-
lish an independent panel of experts not later than 90 days 
after the date of the enactment of this Act. The panel shall 
submit to the Assistant Secretary the report described in 
subsection (a) not later than 24 months after the date of 
the enactment of this Act. The Assistant Secretary shall 
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submit a report on the findings of the evidence-based 
study described in such subsection 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. 
SEC. 28. IMPROVING INDOOR AIR QUALITY IN BUILDINGS 
WHERE SENIORS CONGREGATE. 
Section 361 of the Older Americans Act of 1965 (42 
U.S.C. 3030m) is amended by adding at the end the fol-
lowing: 
‘‘(c) The Assistant Secretary shall work in consulta-
tion with qualified experts to provide information on meth-
ods of improving indoor air quality in buildings where sen-
iors congregate.’’. 
SEC. 29. CAREGIVER SUPPORT PROGRAM DEFINITIONS. 
Section 372 of the National Family Caregiver Sup-
port 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 (2) by inserting ‘‘or an indi-
vidual with Alzheimer’s disease or a related disorder 
with neurological and organic brain dysfunction’’ be-
fore the period at the end, and 
(3) in paragraph (3) by striking ‘‘60’’ and in-
serting ‘‘55’’. 
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SEC. 30. CAREGIVER SUPPORT PROGRAM. 
Section 373 of the National Family Caregiver Sup-
port 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 ad-
dressing caregiver issues related to the areas of 
health, nutrition, and financial literacy, and in mak-
ing decisions and solving problems relating to their 
caregiving roles;’’, 
(2) by amending subsection (d) to read as fol-
lows: 
‘‘(d) USE OF VOLUNTEERS.—In carrying out this 
subpart, each area agency on aging shall encourage the 
use of trained volunteers to expand the available services 
described in subsection (b) and shall, if possible, coordi-
nate with volunteer programs (including programs admin-
istered by the Corporation for National Service) designed 
to provide training, placement, and stipends for volunteers 
in community service settings.’’, 
(3) in subsection (e)(3) by adding at the end 
the following: ‘‘The reports shall describe any mech-
anisms used in the State to provide family caregivers 
of an older individual and relative caregivers of a 
child or an adult child with a disability, information 
about and access to various services so that care-
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givers can better carry out their care responsibil-
ities.’’, 
(4) in subsection (f)(1) by striking ‘‘2001 
through 2005’’ and inserting ‘‘2007, 2008, 2009, 
2010, and 2011’’, and 
(5) 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. 31. ACTIVITIES OF NATIONAL SIGNIFICANCE. 
Section 376 of the National Family Caregiver Sup-
port Act (42 U.S.C. 3030s–12) is repealed. 
SEC. 32. TITLE IV 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: 
‘‘(9) planning activities to prepare communities 
for the aging of the population, which include— 
‘‘(A) efforts to assess the aging population; 
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‘‘(B) activities to coordinate State and 
local agencies in order to meet the needs of 
older individuals; and 
‘‘(C) training and technical assistance to 
support States, area agencies on aging, and 
tribal organizations receiving a grant under title 
VI, engage in community planning activities; 
and 
‘‘(10) the development, implementation, and as-
sessment of technology-based service models and 
best practices, to support the use of health moni-
toring and assessment technologies, communication 
devices, assistive technologies, and other technologies 
that may remotely connect family and professional 
caregivers to frail elderly residing in home- and com-
munity-based settings or rural areas; 
‘‘(11) conducting activities of national signifi-
cance to promote quality and continuous improve-
ment in the support provided to family and other in-
formal caregivers of older individuals through activi-
ties that include program evaluation, training, tech-
nical assistance, and research, including— 
‘‘(A) intergenerational programs— 
‘‘(i) providing support to grand-
parents and other older relatives raising 
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