529 
‘‘(b) PLANNING AND DIRECTION.—The Conference 
described in subsection (a) shall be planned and conducted 
under the direction of the Secretary, in cooperation with 
the Assistant Secretary for Aging, the Director of the Na-
tional Institute on Aging, the Administrator of the Centers 
for Medicare and Medicaid Services, the Social Security 
Administrator, and the heads of such other Federal agen-
cies serving older individuals as are appropriate. Planning 
and conducting the Conference includes the assignment of 
personnel. 
‘‘(c) PURPOSE.—The purpose of the Conference de-
scribed in subsection (a) shall be to gather individuals rep-
resenting the spectrum of thought and experience in the 
field of aging to— 
‘‘(1) evaluate the manner in which the objec-
tives of the Older Americans Act of 1965 (42 U.S.C. 
3001 et seq.) can be met by using the resources and 
talents of older individuals, of families and commu-
nities of such individuals, and of individuals from 
the public and private sectors; 
‘‘(2) evaluate the manner in which Federal poli-
cies, programs, and activities meet and respond to 
the needs of older individuals, including an examina-
tion of innovative and fiscally responsible strategies 
relating to retirement security, caregiving, nutrition 
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and supportive services, health care, elder justice, 
and long-term services and supports; 
‘‘(3) be informed by the work and recommenda-
tions of the Interagency Coordinating Committee on 
Healthy Aging and Age-Friendly Communities, 
evaluate the recommendations of the Committee, 
and, as appropriate, suggest implementation strate-
gies for such recommendations; and 
‘‘(4) develop recommendations to guide the 
President, Congress, and Federal agencies in im-
proving Federal programs that serve older individ-
uals, which may relate to the prevention and mitiga-
tion of disease, injury, abuse, social isolation, loneli-
ness, and economic insecurity, including food insecu-
rity, and promotion of healthy aging in place. 
‘‘(d) CONFERENCE
PARTICIPANTS
AND
DELE-
GATES.— 
‘‘(1) PARTICIPANTS.—In order to carry out the 
purposes of this section, the Conference shall bring 
together— 
‘‘(A) representatives of Federal, State, 
Tribal, and local governments; 
‘‘(B) professionals and volunteers who are 
working in the field of aging; and 
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‘‘(C) representatives of the general public, 
particularly older individuals. 
‘‘(2) SELECTION
OF
DELEGATES.—The dele-
gates shall be selected without regard to political af-
filiation or past partisan activity and shall, to the 
best of the appointing authority’s ability, be rep-
resentative of the spectrum of thought in the field 
of aging. Delegates shall include older individuals, 
individuals who are professionals in the field of 
aging, individuals who are community leaders, mi-
nority individuals, individuals from rural areas, low- 
income individuals, and representatives of Federal, 
State, Tribal, and local governments. 
‘‘SEC. 202. CONFERENCE ADMINISTRATION. 
‘‘(a) ADMINISTRATION.—In administering this sec-
tion, the Secretary shall— 
‘‘(1) consult with relevant State, Tribal, and 
local officials, stakeholders, and subject matter ex-
perts in planning the Conference; 
‘‘(2) request the cooperation and assistance of 
the heads of such other Federal departments and 
agencies, including such officials of the Interagency 
Coordinating Committee on Healthy Aging and Age- 
Friendly Communities, as may be appropriate in the 
carrying out of this section; 
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532 
‘‘(3) make available for public comment a pro-
posed agenda for the Conference, which will reflect 
to the greatest extent possible the major issues fac-
ing older individuals, consistent with the provisions 
of section 201(c); 
‘‘(4) prepare and make available such back-
ground materials for the use of delegates to the Con-
ference as the Secretary deems necessary; and 
‘‘(5) engage such additional personnel as may 
be necessary to carry out the provisions of this sec-
tion without regard to provisions of title 5, United 
States Code, governing appointments in the competi-
tive service, and without regard to chapter 51 and 
subchapter III of chapter 53 of such title, relating 
to classification and General Schedule pay rates. 
‘‘(b) DUTIES.—The Secretary shall, in carrying out 
the Secretary’s responsibilities and functions under this 
section, and as part of the White House Conference on 
Aging, ensure that— 
‘‘(1) the agenda prepared under subsection 
(a)(3) for the Conference is published in the Federal 
Register not later than 30 days after such agenda 
is approved by the Secretary; 
‘‘(2) the personnel engaged under subsection 
(a)(5) shall be fairly balanced in terms of points of 
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views represented and shall be appointed without re-
gard to political affiliation or previous partisan ac-
tivities; 
‘‘(3) the recommendations of the Conference 
are not inappropriately influenced by any appointing 
authority or by any special interest, but will instead 
be the result of the independent judgment of the 
Conference; and 
‘‘(4) current and adequate statistical data, in-
cluding decennial census data, and other information 
on the well-being of older individuals in the United 
States, are readily available, in advance of the Con-
ference, to the delegates of the Conference, together 
with such information as may be necessary to evalu-
ate Federal programs and policies relating to aging. 
In carrying out this subparagraph, the Secretary is 
authorized to make grants to, and enter into cooper-
ative agreements with, public agencies and nonprofit 
private organizations. 
‘‘(c) GIFTS.—The Secretary may accept, on behalf of 
the United States, gifts (in cash or in kind, including vol-
untary and uncompensated services) that shall be available 
to carry out this title. Gifts of cash shall be available in 
addition to amounts appropriated to carry out this title. 
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Gifts may be earmarked by the donor for a specific pur-
pose. 
‘‘(d) RECORDS.—The Secretary shall maintain 
records regarding— 
‘‘(1) the sources, amounts, and uses of gifts ac-
cepted under subsection (c); and 
‘‘(2) the identity of each person receiving assist-
ance to carry out this title, and the amount of such 
assistance received by each such person. 
‘‘SEC. 203. REPORT OF THE CONFERENCE. 
‘‘(a) PRELIMINARY REPORT.—Not later than 100 
days after the date on which the Conference adjourns, the 
Secretary shall publish and deliver to the States a prelimi-
nary report on the Conference. Comments on the prelimi-
nary report of the Conference shall be accepted by the Sec-
retary. 
‘‘(b) FINAL REPORT.—Not later than 180 days after 
the date on which the Conference adjourns, the Secretary 
shall publish and transmit to the President and to Con-
gress recommendations resulting from the Conference and 
suggestions for any administrative action and legislation 
necessary to implement the recommendations contained 
within the report. 
‘‘SEC. 204. DEFINITIONS. 
‘‘In this title: 
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‘‘(1) CONFERENCE.—The term ‘Conference’ 
means the White House Conference on Aging. 
‘‘(2) SECRETARY.—The term ‘Secretary’ means 
the Secretary of Health and Human Services. 
‘‘(3) STATE.—The term ‘State’ means any of 
the several States, the District of Columbia, the 
Commonwealth of Puerto Rico, Guam, American 
Samoa, the Virgin Islands of the United States, the 
Trust Territory of the Pacific Islands, or the Com-
monwealth of the Northern Mariana Islands.’’. 
SEC. 114. TECHNICAL AMENDMENTS. 
The Older Americans Act of 1965 (42 U.S.C. 3001 
et seq.) is amended— 
(1) 
in 
section 
201(d)(3)(J) 
(42 
U.S.C. 
3011(d)(3)(J)), by striking ‘‘Speaker of the House 
of Representatives and the President pro tempore of 
the Senate’’ and inserting ‘‘Committee on Health, 
Education, Labor, and Pensions of the Senate and 
the Committee on Education and the Workforce of 
the House of Representatives’’; 
(2) 
in 
section 
202(b)(8)(E) 
(42 
U.S.C. 
3012(b)(8)(E)), by striking ‘‘preventative health 
benefits under the provisions of, and amendments 
made by, the Medicare Prescription Drug, Improve-
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536 
ment, and Modernization Act of 2003’’ and inserting 
‘‘preventive health benefits under such program’’; 
(3) 
in 
section 
203(c)(7) 
(42 
U.S.C. 
3013(c)(7))— 
(A) in the matter preceding subparagraph 
(A), by striking ‘‘the Committee on Education 
and Labor of the House of Representatives’’ 
and inserting ‘‘the Committee on Education 
and the Workforce of the House of Representa-
tives’’; and 
(B) in subparagraph (C), by striking 
‘‘chairman’’ and inserting ‘‘chairperson’’; 
(4) in section 339 (42 U.S.C. 3030g–21), by 
striking ‘‘this chapter’’ each place it appears and in-
serting ‘‘this part’’; and 
(5) 
in 
section 
432(b)(1) 
(42 
U.S.C. 
3033a(b)(1)), by striking ‘‘Speaker of the House of 
Representatives and the President pro tempore of 
the Senate’’ and inserting ‘‘Committee on Health, 
Education, Labor, and Pensions of the Senate and 
the Committee on Education and the Workforce of 
the House of Representatives’’. 
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537 
TITLE II—IMPROVING HEALTH 
OUTCOMES 
AND 
ENCOUR-
AGING INDEPENDENCE FOR 
OLDER INDIVIDUALS 
SEC. 201. DISEASE PREVENTION AND HEALTH PROMOTION 
SERVICES. 
Section 102(14) (42 U.S.C. 3002(14)) is amended— 
(1) in subparagraph (B), by inserting ‘‘heart 
rate, respiratory function,’’ after ‘‘hearing,’’; 
(2) in subparagraph (K), by inserting ‘‘pro-
viding’’ before ‘‘information’’; 
(3) by redesignating subparagraphs (L), (M), 
(N), and (O), as subparagraphs (M), (N), (O), and 
(P), respectively; 
(4) by inserting after subparagraph (K) the fol-
lowing: 
‘‘(L) providing information concerning 
testing, diagnosis, and treatment of infectious 
diseases, taking into consideration infectious 
diseases for which older individuals are at in-
creased risk of infection or serious health out-
comes;’’; and 
(5) in subparagraph (P), as so redesignated, by 
striking ‘‘subparagraphs (A) through (N)’’ and in-
serting ‘‘subparagraphs (A) through (O)’’. 
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538 
SEC. 202. IMPROVING HEALTH OUTCOMES. 
(a) RESEARCH AND EVALUATION ACTIVITIES.—Sec-
tion 201 (42 U.S.C. 3011) is amended— 
(1) in subsection (c)(3)(B), by striking ‘‘in be-
half’’ and inserting ‘‘on behalf’’; and 
(2) in subsection (g)— 
(A) in paragraph (3)(A)(ii), by inserting 
‘‘reduction of health care expenditures,’’ after 
‘‘quality of life,’’; and 
(B) in paragraph (7), by inserting ‘‘and 
recommendations relating to further research, 
evaluation, and demonstration projects con-
ducted under this section’’ after ‘‘title IV’’. 
(b) 
FALLS
PREVENTION
PROGRAMS.—Section 
411(a)(15) (42 U.S.C. 3032(a)(15)) is amended to read 
as follows: 
‘‘(15) bringing to scale and sustaining evidence- 
based falls prevention programs to reduce the num-
ber of falls, fear of falling, and fall-related injuries 
affecting older individuals, including older individ-
uals with disabilities, which shall— 
‘‘(A) provide training and technical assist-
ance to the aging network; and 
‘‘(B) share best practices with the aging 
network, including the Aging and Disability Re-
source Centers;’’. 
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(c) INTERAGENCY COORDINATING COMMITTEE
ON 
HEALTHY AGING AND AGE-FRIENDLY COMMUNITIES.— 
Section 203(c) (42 U.S.C. 3013(c)) is amended— 
(1) in paragraph (6)(B)— 
(A) in clause (ii), by striking ‘‘and’’ after 
the semicolon; 
(B) in clause (iii), by inserting ‘‘and’’ after 
the semicolon; and 
(C) by adding at the end the following: 
‘‘(iv) strategies to address social isolation, 
including by promoting strong and stable con-
nections across different generations in a family 
and in the community;’’; and 
(2) in paragraph (7), as amended by section 
114(3) of this division— 
(A) in subparagraph (B), by striking 
‘‘and’’ at the end; 
(B) by redesignating subparagraph (C) as 
subparagraph (D); and 
(C) by inserting after subparagraph (B) 
the following: 
‘‘(C) contains an assessment of the effec-
tiveness of relevant Federal efforts and pro-
grams, including implementation of best prac-
tices described in paragraph (6)(B); and’’. 
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SEC. 203. TECHNICAL ASSISTANCE ON EVIDENCE-BASED 
PROGRAMS. 
(a) TECHNICAL ASSISTANCE.—The Assistant Sec-
retary, at the request of a State agency (as defined in sec-
tion 102 of the Older Americans Act of 1965 (42 U.S.C. 
3002)) or area agencies on aging, may provide technical 
assistance on the requirements of evidence-based pro-
grams under the Older Americans Act of 1965 (42 U.S.C. 
3001 et seq.). 
(b) CONSIDERATION.—The Assistant Secretary may 
consider whether there are evidence-informed practices, 
based on the best available science, that may improve 
health outcomes. 
SEC. 204. ENHANCING MULTIPURPOSE SENIOR CENTERS. 
(a) IN GENERAL.—Section 202(a)(30) (42 U.S.C. 
3012(a)(30)) is amended by inserting ‘‘, access to services 
provided at multipurpose senior centers, and (where ap-
propriate) the establishment and maintenance of multi-
purpose senior centers’’ before the semicolon at the end. 
(b) AREA
AGENCY
ON
AGING
PLANS.—Section 
306(a)(2)(A) (42 U.S.C. 3026(a)(2)(A)) is amended by in-
serting ‘‘, including those services provided at multipur-
pose senior centers, where appropriate’’ before the semi-
colon at the end. 
(c) STATE PLANS.—Section 307(a)(2)(A) (42 U.S.C. 
3027(a)(2)(A)) is amended by inserting ‘‘and, to the ex-
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tent feasible, make such evaluation public’’ before the 
semicolon at the end. 
SEC. 205. ADDRESSING HOME MODIFICATIONS. 
(a) INDOOR
AIR
QUALITY.—Section 361(c) (42 
U.S.C. 3030m(c)) is amended by striking ‘‘buildings’’ and 
all that follows and inserting ‘‘buildings and residences 
where older individuals congregate or live’’. 
(b) 
WEATHERIZATION.—Section 
321(a)(4) 
(42 
U.S.C. 3030d(a)(4)) is amended by striking subparagraph 
(A) and inserting ‘‘(A) to assist older individuals in ob-
taining and maintaining adequate housing, including resi-
dential repair and renovation projects, and (if assistance 
for weatherization projects does not unnecessarily dupli-
cate other Federal assistance available) weatherization 
projects, designed to enable older individuals to maintain 
their homes in conformity with minimum housing and (as 
applicable and appropriate) other relevant standards, in 
order to support such older individuals in aging in place 
and maintaining their health;’’. 
SEC. 206. NATIONAL RESOURCE CENTER FOR ENGAGING 
OLDER ADULTS. 
Section 411(a)(18) (42 U.S.C. 3032(a)(18)) is 
amended by inserting ‘‘, such as providing appropriate 
training, resources, and best practices to the aging net-
work’’ after ‘‘older individuals’’. 
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542 
SEC. 207. MULTIGENERATIONAL AND CIVIC ENGAGEMENT 
ACTIVITIES. 
Section 417 (42 U.S.C. 3032f) is amended— 
(1) in subsection (a)— 
(A) in the matter preceding paragraph (1), 
by striking ‘‘projects,’’ and all that follows 
through ‘‘to—’’ and inserting the following: 
‘‘projects to serve individuals in younger gen-
erations and older individuals by developing, 
carrying out, and promoting participation in 
multigenerational activities to—’’; 
(B) in paragraph (2), by adding ‘‘and’’ at 
the end; 
(C) in paragraph (3), by striking ‘‘opportu-
nities for older individuals to become a mentor 
to individuals in younger generations; and’’ and 
inserting ‘‘opportunities— 
‘‘(A) for older individuals to become men-
tors to individuals in younger generations; and 
‘‘(B) at facilities that serve older individ-
uals or individuals in younger generations, at 
which 
multigenerational 
activities 
might 
occur.’’; and 
(D) by striking paragraph (4); 
(2) in subsection (c)(2), by striking ‘‘(4)’’ and 
inserting ‘‘(3)’’; 
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(3) in subsection (d)— 
(A) by striking paragraph (1); and 
(B) 
by 
redesignating 
paragraphs 
(2) 
through (5) as paragraphs (1) through (4), re-
spectively; 
(4) in subsection (g)— 
(A) in paragraph (1), in the matter pre-
ceding subparagraph (A), by striking ‘‘of enact-
ment of the Supporting Older Americans Act of 
2020,’’ and inserting ‘‘on which the first grant 
is awarded under this section following the date 
of enactment of the Older Americans Act Reau-
thorization Act of 2024,’’; and 
(B) in paragraph (2), in the matter pre-
ceding subparagraph (A), by striking ‘‘the 
Speaker of the House of Representatives and 
the President pro tempore of the Senate’’ and 
inserting ‘‘the Committee on Health, Edu-
cation, Labor, and Pensions of the Senate and 
the Committee on Education and the Workforce 
of the House of Representatives’’; and 
(5) in subsection (h)(1), by striking ‘‘or a fam-
ily support program.’’ and inserting ‘‘or a family 
support program, or a program at a multipurpose 
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544 
senior center, long-term care facility, or any other 
residential facility for older individuals.’’. 
SEC. 208. REPORT RELATING TO HEALTH OUTCOMES FOR 
OLDER INDIVIDUALS LIVING WITH OR NEAR 
FAMILY MEMBERS. 
(a) IN GENERAL.—The Secretary shall prepare a re-
port that assesses— 
(1) the health outcomes for older individuals 
who live with, on the same property as, or otherwise 
in the community in close geographic proximity, rel-
ative to the area, to family members; and 
(2) the degree to which programs under the 
Older Americans Act of 1965 (42 U.S.C. 3001 et 
seq.) promote living in the settings described in 
paragraph (1), as appropriate. 
(b) INCLUSION.—The report described under sub-
section (a) shall include— 
(1) an assessment of physical and mental health 
outcomes of older individuals who live in the settings 
described in subsection (a)(1) in comparison to phys-
ical and mental health outcomes of older individuals 
who do not live in such settings; 
(2) an assessment of the extent to which living 
in such settings mitigates social isolation and loneli-
ness in older adults; and 
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545 
(3) a description of the different types of such 
settings and whether, and to what extent, findings 
under paragraphs (1) and (2) vary across such dif-
ferent types. 
(c) SUBMISSION.—Not later than 2 years after the 
date of enactment of this Act, the Secretary shall submit 
to the Committee on Health, Education, Labor, and Pen-
sions and the Special Committee on Aging of the Senate 
and the Committee on Education and the Workforce of 
the House of Representatives the report required by sub-
section (a). 
SEC. 209. IMPROVING BROADBAND COORDINATION AND 
REDUCING SOCIAL ISOLATION. 
(a) IN GENERAL.—The Assistant Secretary shall, as 
appropriate, coordinate with the Assistant Secretary of 
Commerce for Communications and Information of the 
National Telecommunications and Information Adminis-
tration to ensure that the aging network (as defined in 
section 102 of the Older Americans Act of 1965 (42 
U.S.C. 3002)) and other relevant stakeholders are aware 
of, and, subject to applicable eligibility criteria, have ac-
cess to, Federal programs relating to digital literacy and 
the adoption of broadband that may support healthy aging 
and aging in place for older individuals. 
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546 
(b) REPORT.—Not later than 90 days after the date 
of enactment of this Act, the Assistant Secretary shall pre-
pare, and submit to the Committee on Health, Education, 
Labor, and Pensions, the Special Committee on Aging, 
and the Committee on Commerce, Science, and Transpor-
tation of the Senate and the Committee on Education and 
the Workforce of the House of Representatives, a report 
regarding any coordination efforts carried out pursuant to 
subsection (a). 
TITLE III—ENHANCING INNOVA-
TION AND FLEXIBILITY IN NU-
TRITION SERVICES 
SEC. 301. MEDICALLY TAILORED MEALS. 
(a) DEFINITIONS.—Section 102(14) (42 U.S.C. 
3002(14)) is amended— 
(1) in subparagraph (C), by inserting ‘‘, which 
may include counseling related to the provision of 
medically tailored meals,’’ after ‘‘counseling’’; and 
(2) in subparagraph (D), by inserting ‘‘(includ-
ing from medically tailored meals)’’ after ‘‘improved 
nutrition’’. 
(b) ADMINISTRATION OF NUTRITION SERVICES.— 
Section 205(a)(2)(A) (42 U.S.C. 3016(a)(2)(A)) is 
amended— 
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(1) in clause (vi), by inserting ‘‘, including 
through the use of innovative approaches’’ after 
‘‘systems’’; and 
(2) in clause (viii), by inserting ‘‘and innovative 
interventions’’ after ‘‘including strategies’’. 
(c) NUTRITION EDUCATION.—Section 214(2)(C) (42 
U.S.C. 3020e(2)(C)) is amended by inserting ‘‘, including 
interventions,’’ after ‘‘other activities’’. 
(d) 
NUTRITION
SERVICES
PURPOSES.—Section 
330(3) (42 U.S.C. 3030d–21(3)) is amended by inserting 
‘‘, tailored to their individual medical and nutritional 
needs to the extent feasible,’’ after ‘‘services’’. 
SEC. 302. GRAB-AND-GO MEALS. 
Section 308(b)(4) (42 U.S.C. 3028(b)(4)) is amended 
by adding at the end the following: 
‘‘(E) A State may elect in its plan under section 307 
to allow use of not more than 25 percent of the funds 
received by such State under subpart 1 of part C, cal-
culated after any transfers under subparagraphs (A) and 
(B) are completed, to make meals available at congregate 
meal sites or other community locations for consumption 
by older individuals outside such sites and locations, such 
as carry-out or similar meals. A State electing to allow 
use of funds under the preceding sentence shall— 
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‘‘(i) ensure that such allowable use com-
plements the delivery of services through the con-
gregate meals program under section 331; and 
‘‘(ii) notify the Assistant Secretary of such elec-
tion, including a description of the amount and per-
centage of funds received by such State under sub-
part 1 of part C to be used for such purposes.’’. 
SEC. 303. GAO STUDY ON NUTRITION SERVICES INCENTIVE 
PROGRAM. 
(a) IN GENERAL.—The Comptroller General of the 
United States shall conduct a study to evaluate the Nutri-
tion Services Incentive Program under section 311 (42 
U.S.C. 3030a) (referred to in this section as the ‘‘Pro-
gram’’). 
(b) INCLUSIONS.—The study under this section— 
(1) shall— 
(A) include an assessment of how States 
and Tribal organizations use funding provided 
under the Program, including the degree to 
which States and Tribal organizations use such 
funding to procure food products from local or 
regional producers for meals supported under 
the Program; and 
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(B) identify any challenges or barriers to 
increasing the use of local and regional pro-
ducers under the Program; and 
(2) may make recommendations related to im-
proving the effectiveness of the Program, including 
with respect to the use of local and regional pro-
ducers. 
(c) REPORT
TO CONGRESS.—Not later than 18 
months after the date of enactment of this Act, the Comp-
troller General of the United States shall submit to the 
Committee on Health, Education, Labor, and Pensions 
and the Special Committee on Aging of the Senate and 
the Committee on Education and the Workforce of the 
House of Representatives a report on the results of the 
study under this section. 
SEC. 304. INNOVATIONS IN NUTRITION PROGRAMS AND 
SERVICES. 
Subpart 3 of part C of title III (42 U.S.C. 3030g– 
21 et seq.) is amended by adding at the end the following: 
‘‘SEC. 340. INNOVATIONS IN NUTRITION PROGRAMS AND 
SERVICES. 
‘‘(a) DEMONSTRATION TO REDUCE HUNGER, FOOD 
INSECURITY, AND MALNUTRITION.— 
‘‘(1) IN
GENERAL.—From funds available 
under paragraph (5), the Assistant Secretary shall 
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make grants, on a competitive basis, to eligible enti-
ties, to achieve the purposes of section 330(1) by de-
veloping, testing, implementing, and evaluating inno-
vative local or regional approaches to improve the 
quality, effectiveness, efficiency, and outcomes of nu-
trition projects and services described in sections 
311, 331, and 336. 
‘‘(2) ELIGIBILITY.—In order to be eligible for a 
grant under paragraph (1), an entity shall— 
‘‘(A) be— 
‘‘(i) a State agency, an area agency 
on aging, an Indian Tribe, a Tribal organi-
zation, or another public or nonprofit pri-
vate entity, including a nutrition service 
provider, a multipurpose senior center, a 
health care entity, or an institution of 
higher education; or 
‘‘(ii) a partnership between any enti-
ties described in clause (i); and 
‘‘(B) submit an application at such time 
and in such manner as the Assistant Secretary 
may require, including— 
‘‘(i) a description of an innovative ap-
proach referred to in paragraph (1) that 
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the entity proposes to implement under the 
grant; 
‘‘(ii) a plan for evaluating the effec-
tiveness, including cost-effectiveness, of the 
innovative approach proposed; and 
‘‘(iii) a plan for the publication of the 
results of such evaluation. 
‘‘(3) PRIORITY.—In selecting eligible entities 
for grants under this subsection, the Assistant Sec-
retary shall give priority to eligible entities proposing 
to carry out a grant in 1 or more rural areas. 
‘‘(4) REPORT.—Not later than 1 year after the 
date of enactment of the Older Americans Act Reau-
thorization Act of 2024, and annually thereafter, the 
Assistant Secretary shall submit a report to the 
Committee on Health, Education, Labor, and Pen-
sions and the Special Committee on Aging of the 
Senate and the Committee on Education and the 
Workforce of the House of Representatives describ-
ing any activities carried out under paragraph (1), 
an assessment of the outcomes of such activities 
using rigorous methodologies, and recommendations 
for inclusion of any successful innovative approaches 
within nutrition programs established under this 
Act. 
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‘‘(5) RESERVATION.—From the total of the 
amounts made available for a fiscal year under para-
graphs (1) and (2) of section 303(b) and in section 
311(e), the Assistant Secretary shall reserve an 
amount equal to not more than 1 percent to carry 
out activities described in paragraph (1) of this sub-
section. 
‘‘(b) INNOVATIVE APPROACHES TO REDUCE HUN-
GER, FOOD INSECURITY, AND MALNUTRITION.— 
‘‘(1) IN GENERAL.—Subject to paragraph (6), 
in carrying out nutrition projects established under 
this Act, a State agency or title VI grantee may im-
plement innovative approaches, including any appli-
cable approaches implemented previously by the As-
sistant Secretary or pursuant to subsection (a), that 
are demonstrated to be effective, to achieve the pur-
poses described in section 330(1) by improving— 
‘‘(A) the quality, composition, preparation, 
modality, delivery, or location of meals provided 
to older individuals under this Act; or 
‘‘(B) the efficiency and effectiveness of dis-
tributing, delivering, or otherwise making meals 
available to older individuals under this Act. 
‘‘(2) WAIVER.—At the request of a State agen-
cy implementing an approach under paragraph (1), 
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the Assistant Secretary may waive any requirements 
of subpart 1 or 2 with respect to such State agency 
if such requirements impede the ability of such State 
agency to successfully implement such an approach. 
‘‘(3) FLEXIBILITY.—The Secretary shall pro-
vide maximum flexibility to a title VI grantee imple-
menting an approach under paragraph (1) in the 
same manner as the Secretary provides maximum 
flexibility in accordance with section 614(c)(3). 
‘‘(4) SUNSET.—The authority to carry out ac-
tivities described in paragraph (1) shall expire on 
October 1, 2029. 
‘‘(5) REPORT.—Not later than September 30, 
2028, the Assistant Secretary shall submit a report 
to the Committee on Health, Education, Labor, and 
Pensions and the Special Committee on Aging of the 
Senate and the Committee on Education and the 
Workforce of the House of Representatives describ-
ing any activities carried out by State agencies or 
title VI grantees under paragraph (1), an assess-
ment of the outcomes of such activities using rig-
orous methodologies, and recommendations for inclu-
sion of any successful innovative approaches within 
nutrition programs established under this Act. 
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‘‘(6) USE OF ALLOTMENT.—If the amount ap-
propriated to carry out section 311 for a fiscal year 
exceeds the amount appropriated to carry out sec-
tion 311 for the prior fiscal year or fiscal year 2024, 
whichever is greater, a State agency and title VI 
grantee in receipt of an allotment under section 
311(b) may elect to use the difference between the 
allotment received for the fiscal year and the allot-
ment received for the prior fiscal year or fiscal year 
2024, whichever is greater, for activities described in 
paragraph (1). 
‘‘(7) RULE
OF
CONSTRUCTION.—Nothing in 
this subsection shall be construed as limiting or pro-
hibiting the requirements described in section 339 
from applying to nutrition projects utilizing an inno-
vative approach under this subsection.’’. 
TITLE IV—SUPPORTING FAMILY 
CAREGIVERS 
SEC. 401. IMPROVING THE NATIONAL FAMILY CAREGIVER 
SUPPORT PROGRAM. 
(a) STATE REQUIREMENTS FOR STATE AND COMMU-
NITY
PROGRAMS
ON
AGING
GRANTS.—Section 
305(a)(3)(E) (42 U.S.C. 3025(a)(3)(E)) is amended— 
(1) in clause (i), by striking ‘‘and’’ at the end; 
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(2) in clause (ii), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(iii) available supports for family 
caregivers and older relative caregivers (as 
defined in section 372(a)).’’. 
(b) 
AREA
PLAN
REQUIREMENTS.—Section 
306(a)(7)(D) (42 U.S.C. 3026(a)(7)(D)) is amended— 
(1) in clause (i), by striking ‘‘and’’ at the end; 
(2) in clause (ii), by adding ‘‘and’’ after the 
semicolon; and 
(3) by adding at the end the following: 
‘‘(iii) available supports for family 
caregivers and older relative caregivers (as 
defined in section 372(a));’’. 
(c) DEFINITIONS RELATING TO THE NATIONAL FAM-
ILY CAREGIVER SUPPORT PROGRAM.— 
(1) IN GENERAL.—Section 372(a) (42 U.S.C. 
3030s(a)) is amended— 
(A) in paragraph (1)— 
(i) in the first sentence, by striking 
‘‘The term’’ and inserting the following: 
‘‘(A) IN GENERAL.—The term’’; and 
(ii) in subparagraph (A) (as so des-
ignated), in the second sentence— 
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(I) by striking the period at the 
end and inserting ‘‘; and’’; 
(II) by striking ‘‘Such assess-
ment shall be administered through’’ 
and inserting the following: 
‘‘(B) 
ADMINISTRATION
OF
ASSESS-
MENTS.—A caregiver assessment under sub-
paragraph (A) shall— 
‘‘(i) be administered through’’; and 
(III) by adding at the end the 
following: 
‘‘(ii) take into account— 
‘‘(I) linguistic and cultural dif-
ferences; 
‘‘(II) the ease for the caregiver to 
access information, supports, or serv-
ices, and the timeliness of access to 
such information, supports, or serv-
ices; 
‘‘(III) barriers to accessing infor-
mation, supports, or services; 
‘‘(IV) the availability of informa-
tion, supports, or services in accessible 
formats; and 
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‘‘(V) the quality of information, 
supports, or services received, and the 
degree to which it is helpful to the 
caregiver.’’; 
(B) by striking paragraph (2) and insert-
ing the following: 
‘‘(2) CHILD
OR
YOUTH.—The term ‘child or 
youth’ means an individual who is not more than— 
‘‘(A) 18 years of age; or 
‘‘(B) 22 years of age, in the case of an in-
dividual who is enrolled in any form of school-
ing (including on a part-time basis), includ-
ing— 
‘‘(i) in high school or secondary school 
(as such terms are defined in section 8101 
of the Elementary and Secondary Edu-
cation Act of 1965 (20 U.S.C. 7801)); or 
‘‘(ii) in an institution of higher edu-
cation (as defined in section 102 of the 
Higher Education Act of 1965 (20 U.S.C. 
1002)).’’; and 
(C) in paragraph (4)(B)— 
(i) in clause (i), by inserting ‘‘adult’’ 
after ‘‘or other’’; and 
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(ii) by amending clause (iii) to read as 
follows: 
‘‘(iii)(I) has a legal relationship to the 
child or youth, such as legal custody, adop-
tion, or guardianship, or is raising the 
child or youth informally; and 
‘‘(II) in the case of a child or youth 
described in paragraph (2)(B) who is 18 
years of age or older, had established such 
a legal relationship, or began raising such 
child or youth informally, prior to the child 
or youth reaching the age of 18; and’’. 
(2) CONFORMING
AMENDMENTS.—Part E of 
title III (42 U.S.C. 3030s et seq.) is amended— 
(A) by inserting ‘‘or youth’’ after ‘‘child’’ 
each place it appears (other than in sections 
372(a)(2) (as amended by paragraph (1)(B)) 
and 372(a)(4)(B)(iii) (as amended by para-
graph (1)(C)(ii))); and 
(B) in section 373(c)(2)(B) (42 U.S.C. 
3030s–1(c)(2)(B)), by inserting ‘‘or youth’’ 
after ‘‘children’’. 
(d) PROGRAM
AUTHORIZED.—Section 373 (42 
U.S.C. 3030s–1) is amended— 
(1) in subsection (b)(3)— 
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(A) by inserting ‘‘which may include trau-
ma-informed services, peer supports,’’ after ‘‘in-
dividual counseling,’’; and 
(B) by inserting ‘‘elder abuse prevention,’’ 
after ‘‘nutrition,’’; 
(2) in subsection (c)— 
(A) in the subsection heading, by striking 
‘‘PRIORITY’’ and inserting ‘‘PRIORITY; CONSID-
ERATION’’; and 
(B) by adding at the end the following: 
‘‘(3) CONSIDERATION.—In providing services 
under this part, the State shall consider— 
‘‘(A) that older relative caregivers caring 
for multiple children or youth may need greater 
resources and supports; and 
‘‘(B) the circumstances and unique needs 
of different types of caregivers, including the 
needs of children or youth and their older rel-
ative caregivers whose families have been af-
fected by substance use disorder, including 
opioid use disorder.’’; 
(3) in subsection (e)— 
(A) in the matter preceding paragraph (1), 
by striking ‘‘Not later than’’ and all that fol-
lows through ‘‘the Assistant Secretary shall’’ 
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560 
and inserting ‘‘The Assistant Secretary shall, 
on a regular basis’’; 
(B) in paragraph (1)— 
(i) in subparagraph (B), by striking 
‘‘and’’ at the end; 
(ii) by redesignating subparagraph 
(C) as subparagraph (D); and 
(iii) by inserting after subparagraph 
(B) the following: 
‘‘(C) the use of caregiver assessments; 
and’’; and 
(C) in paragraph (2), by striking ‘‘make 
available’’ and inserting ‘‘prepare, publish, and 
disseminate’’; 
(4) in subsection (i)— 
(A) in paragraph (1), by inserting ‘‘, which 
may include the improvement of the quality and 
consistency of caregiver assessments and access 
to other information, supports, or services’’ 
after ‘‘section 631’’; and 
(B) in paragraph (2), by inserting ‘‘(in-
cluding outcome measures)’’ after ‘‘program 
evaluation’’; and 
(5) in subsection (j)— 
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(A) in the matter preceding paragraph (1), 
by striking ‘‘Not later than’’ and all that fol-
lows through ‘‘shall provide technical assist-
ance’’ and inserting ‘‘Beginning not later than 
1 year after the date of enactment of the Older 
Americans Act Reauthorization Act of 2024, 
the Assistant Secretary, in consultation with 
stakeholders with appropriate expertise and, as 
appropriate, informed by the most recent strat-
egy developed under the RAISE Family Care-
givers Act (42 U.S.C. 3030s note) and the most 
recent report developed under the Supporting 
Grandparents Raising Grandchildren Act (Pub-
lic Law 115–196; 132 Stat. 1511), shall pro-
vide ongoing technical assistance’’; 
(B) in paragraph (2), by striking ‘‘and’’ at 
the end; 
(C) by redesignating paragraph (3) as 
paragraph (4); and 
(D) by inserting after paragraph (2) the 
following: 
‘‘(3) the quality and consistency of caregiver as-
sessments used across States; and’’. 
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562 
SEC. 402. EMPHASIZING RESPITE CARE. 
Section 321(a)(19) (42 U.S.C. 3030d(a)(19)) is 
amended to read as follows: 
‘‘(19) services, which may include respite care 
through various models, designed to support family 
members and other persons providing voluntary care 
to older individuals that need long-term care serv-
ices, which may include older individuals with cog-
nitive impairments such as Alzheimer’s disease and 
related disorders with neurological and organic brain 
dysfunction;’’. 
SEC. 403. CLARIFYING SUPPORTIVE SERVICES. 
Section 321(a)(18) (42 U.S.C. 3030d(a)(18)) is 
amended by striking ‘‘mentally impaired older individuals’’ 
and inserting ‘‘older individuals with cognitive, physical, 
or mental impairments’’. 
SEC. 404. DIRECT CARE WORKFORCE RESOURCE CENTER. 
Section 411(a)(13) (42 U.S.C. 3032(a)(13)) is 
amended— 
(1) in subparagraph (B), by adding ‘‘and’’ at 
the end; 
(2) by redesignating subparagraphs (A) and 
(B) as clauses (i) and (ii), respectively, and adjust-
ing the margins accordingly; 
(3) in the matter preceding clause (i) (as so re-
designated)— 
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(A) by inserting ‘‘and, as appropriate, the 
heads of other relevant Federal departments 
and agencies’’ after ‘‘Labor’’; and 
(B) by striking ‘‘workers, and the solic-
iting,’’ and inserting the following: ‘‘workers, 
including— 
‘‘(A) the soliciting,’’; and 
(4) by adding at the end the following: 
‘‘(B) the establishment and operation of a 
national resource center that supports the 
growth and professionalization of the direct 
care workforce necessary to meet the needs of 
older individuals and individuals with disabil-
ities, and, in a manner that does not unneces-
sarily duplicate the activities of other resource 
centers supported by the Assistant Secretary, 
that addresses training and other educational 
needs of family caregivers, which activities of 
the center may include— 
‘‘(i) the provision of training and 
technical assistance, including through the 
development and dissemination of edu-
cational materials, to States, long-term 
services and supports providers, direct care 
workers, and family caregivers; and 
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564 
‘‘(ii) promoting existing, and sup-
porting the demonstration of new, strate-
gies for the recruitment, retention, career 
development, or advancement of direct care 
workers to reduce barriers to entry for a 
diverse and high-quality direct care work-
force, including providing wages, benefits, 
and advancement opportunities needed to 
attract or retain direct care workers;’’. 
SEC. 405. SUPPORTING GRANDPARENTS RAISING GRAND-
CHILDREN ACT. 
(a) FINDINGS.—The Supporting Grandparents Rais-
ing Grandchildren Act (Public Law 115–196; 132 Stat. 
1511) is amended by striking section 2. 
(b) DEFINITIONS.—The Supporting Grandparents 
Raising Grandchildren Act is amended by redesignating 
section 4 as section 2 and moving the section so as to 
follow section 1. 
(c) ADVISORY COUNCIL.—Section 3 of the Sup-
porting Grandparents Raising Grandchildren Act is 
amended— 
(1) in subsection (b)— 
(A) in paragraph (1)— 
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(i) by redesignating subparagraphs 
(G) through (I) as subparagraphs (H) 
through (J); 
(ii) by inserting after subparagraph 
(F) the following: 
‘‘(G) The Assistant Secretary for Health.’’; 
(iii) in subparagraph (I), as so redes-
ignated, by striking ‘‘of children’’; and 
(iv) in subparagraph (J), as so redes-
ignated, by striking ‘‘relatives’’ and insert-
ing ‘‘relative caregivers’’; and 
(B) by adding at the end the following: 
‘‘(3) LIMITATION
ON
NON-FEDERAL
MEM-
BERS.—Not more than 10 members of the Advisory 
Council may be individuals who are not Federal offi-
cers or employees.’’; 
(2) in subsection (c)— 
(A) in paragraph (1)— 
(i) in subparagraph (A)— 
(I) in the matter preceding clause 
(i), by striking ‘‘relatives’’ and insert-
ing ‘‘relative caregivers’’; and 
(II) in clause (i)— 
(aa) 
by 
striking 
‘‘the 
health,’’ and inserting ‘‘the near- 
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and long-term health, including 
mental health,’’; and 
(bb) by striking ‘‘care; and’’ 
and inserting ‘‘care, including 
any needs related to the cir-
cumstances that caused such 
children to be raised by a grand-
parent or older relative caregiver; 
and’’; and 
(ii) in subparagraph (B)— 
(I) by striking ‘‘(B)’’ and all that 
follows through ‘‘In’’ and inserting 
the following: 
‘‘(B) CONSIDERATIONS.—In’’; and 
(II) by striking ‘‘needs of those 
affected by the opioid crisis’’ and in-
serting ‘‘needs and challenges of indi-
viduals affected by substance use dis-
order, including opioid use disorder, 
or, as applicable and appropriate, 
needs and challenges of individuals re-
lated to other circumstances, which 
may include public health emer-
gencies’’; 
(B) in paragraph (2)— 
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(i) in subparagraph (A), in the matter 
preceding clause (i), by striking ‘‘enact-
ment of this Act’’ and inserting ‘‘enact-
ment of the Older Americans Act Reau-
thorization Act of 2024’’; and 
(ii) in subparagraph (B)— 
(I) in clause (i)— 
(aa) by striking ‘‘relatives’’ 
and 
inserting 
‘‘relative 
care-
givers’’; and 
(bb) by striking ‘‘needs of 
children’’ and all that follows 
through ‘‘epidemic;’’ and insert-
ing ‘‘needs of children and their 
older relative caregivers who have 
been affected by substance use 
disorder, including opioid use dis-
order;’’; 
(II) in clause (ii), by striking the 
‘‘and’’ at the end; 
(III) by redesignating clause (iii) 
as clause (iv); and 
(IV) by inserting after clause (ii) 
the following: 
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‘‘(iii) a description of any activities of 
the Department of Health and Human 
Services to evaluate the effectiveness of 
supportive services in addressing the needs 
of children and their older relative care-
givers, including those who have been af-
fected by substance use disorder, including 
opioid use disorder, and any related find-
ings; and’’; 
(C) in paragraph (3)— 
(i) in the matter preceding subpara-
graph (A)— 
(I) by striking ‘‘(3)’’ and all that 
follows through ‘‘Not’’ and inserting 
the following: 
‘‘(3) FOLLOW-UP REPORTS.—Not’’; 
(II) by striking ‘‘2 years’’ and in-
serting ‘‘180 days’’; and 
(III) by inserting after ‘‘sub-
mitted,’’ the following: ‘‘and every 2 
years thereafter until the Advisory 
Council terminates under subsection 
(f),’’; and 
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(D) in paragraph (4) by striking ‘‘rel-
atives’’ each place it appears and inserting ‘‘rel-
ative caregivers’’; 
(3) in subsection (d), by striking ‘‘the Federal 
Advisory Committee Act (5 U.S.C. App.).’’ and in-
serting ‘‘chapter 10 of title 5, United States Code.’’; 
and 
(4) in subsection (f), by striking ‘‘terminate’’ 
and all that follows through ‘‘Act.’’ and inserting 
‘‘terminate on September 30, 2029.’’. 
SEC. 406. RAISE FAMILY CAREGIVERS ACT. 
(a) STRATEGY.—Section 3 of the RAISE Family 
Caregivers Act (42 U.S.C. 3030s note) is amended— 
(1) in subsection (c)— 
(A) in the matter preceding paragraph (1), 
by inserting ‘‘(or the Secretary’s designee)’’ 
after ‘‘The Secretary’’; and 
(B) in paragraph (1), by inserting ‘‘and 
made publicly available by the Secretary,’’ after 
‘‘caregiver programs,’’; and 
(2) in subsection (d)(2), by inserting ‘‘in’’ after 
‘‘caregiver programs’’. 
(b) COUNCIL.—Section 4(e) of that Act (42 U.S.C. 
3030s note) is amended by striking ‘‘The Federal Advi-
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sory Committee Act (5 U.S.C. App.)’’ and inserting 
‘‘Chapter 10 of title 5, United States Code,’’. 
(c) SUNSET EXTENSION.—Section 6 of that Act (42 
U.S.C. 3030s note) is amended by striking ‘‘terminate’’ 
and all that follows through ‘‘Act.’’ and inserting ‘‘termi-
nate on September 30, 2029.’’. 
TITLE V—COMMUNITY SERVICE 
SENIOR OPPORTUNITIES ACT 
SEC. 501. IMPROVING THE COMMUNITY SERVICE EMPLOY-
MENT PROGRAM. 
(a) 
PROGRAM.—Section 
502(b)(1) 
(42 
U.S.C. 
3056(b)(1)) is amended— 
(1) in subparagraph (C)(ii), by striking ‘‘section 
513(a)(2)(E)’’ and inserting ‘‘section 513(a)(2)(F)’’; 
and 
(2) in subparagraph (E), by inserting ‘‘older in-
dividuals,’’ after ‘‘youth,’’. 
(b) PERFORMANCE.—Section 513 (42 U.S.C. 3056k) 
is amended— 
(1) in subsection (a)(2)— 
(A) in subparagraph (D)(iii), by inserting 
‘‘, including toward the long-term performance 
goals determined by the Department of Labor 
under the Government Performance and Re-
sults Act of 1993 (Public Law 103–62; 107 
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Stat. 285) and the amendments made by such 
Act,’’ after ‘‘core measures’’; 
(B) by redesignating subparagraph (E) as 
subparagraph (F); and 
(C) by inserting after subparagraph (D) 
the following: 
‘‘(E) BIENNIAL REPORT.—Not later than 
2 years after the date of enactment of the Older 
Americans Act Reauthorization Act of 2024, 
and every 2 years thereafter during the period 
of the program described in section 502(a)(1), 
the Secretary shall prepare, make publicly avail-
able, and submit to the Committee on Health, 
Education, Labor, and Pensions and the Spe-
cial Committee on Aging of the Senate and the 
Committee on Education and the Workforce of 
the House of Representatives a report regard-
ing the methodology used to arrive at the ex-
pected levels of performance described in sub-
paragraph (B) for each grantee, including the 
particular statistical model used and other fac-
tors taken into account, as described in sub-
paragraph (D).’’; 
(2) in subsection (b)(1)(C), by striking ‘‘fourth 
quarter after exit from the project’’ and inserting 
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‘‘second quarter after exit from the project and re-
main in unsubsidized employment during the fourth 
quarter after exit from the project’’; 
(3) in subsection (c) and paragraphs (1)(A), 
(2)(A), and (3)(A) of subsection (d), by striking 
‘‘subsection (a)(2)(E)’’ and inserting ‘‘subsection 
(a)(2)(F)’’; and 
(4) in subsection (d)— 
(A) in paragraph (2)(B)(iii), by adding at 
the end the following: ‘‘For grants awarded on 
or after the date that is 2 years after the date 
of enactment of the Older Americans Act Reau-
thorization Act of 2024, any grantee who has 
failed to meet the expected levels of perform-
ance for the 2 consecutive years prior to the 
subsequent grant competition under section 514 
shall not be allowed to compete in the subse-
quent grant competition under section 514 fol-
lowing the second consecutive year of failure 
but may compete in the next such grant com-
petition after that subsequent competition.’’; 
and 
(B) in paragraph (3)(B)(iii), by adding at 
the end the following: ‘‘For grants awarded on 
or after the date that is 2 years after the date 
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of enactment of the Older Americans Act Reau-
thorization Act of 2024, if the Secretary deter-
mines that the State fails to meet the expected 
levels of performance described in subparagraph 
(A) for 2 consecutive program years, the Sec-
retary shall provide for the conduct by the 
State of a competition to award the funds allot-
ted to the State under section 506(e) for the 
first full program year following the Secretary’s 
determination.’’. 
(c) DEFINITIONS AND RULE.— 
(1) DEFINITIONS.—Section 518(a)(1)(A) (42 
U.S.C. 3056p(a)(1)(A)) is amended to read as fol-
lows: 
‘‘(A) social, health, welfare, and edu-
cational services (including literacy tutoring and 
services provided by the aging network), legal 
and other counseling services and assistance 
(including tax counseling and assistance and fi-
nancial counseling), and library, recreational, 
and other similar services;’’. 
(2) RULE.—Section 518(b)(2)(F) (42 U.S.C. 
3056p(b)(2)(F)) is amended to read as follows: 
‘‘(F) has failed to find employment after receiv-
ing any combination of training services or the fol-
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lowing career services provided under title I of the 
Workforce Innovation and Opportunity Act (29 
U.S.C. 3111 et seq.)— 
‘‘(i) initial or comprehensive skills assess-
ment; 
‘‘(ii) labor exchange services; 
‘‘(iii) provision of workforce and labor mar-
ket information or job search assistance; 
‘‘(iv) development of an individual employ-
ment plan; 
‘‘(v) group or individual counseling; 
‘‘(vi) career planning; 
‘‘(vii) internship, work experience, work-
force preparation activities, or prevocational 
services; 
‘‘(viii) English language acquisition and in-
tegrated education and training; or 
‘‘(ix) followup services;’’. 
SEC. 502. GAO REPORT ON ALIGNMENT WITHIN THE COM-
MUNITY SERVICE EMPLOYMENT PROGRAM. 
(a) REVIEW.—Not later than 18 months after the 
date of enactment of this Act, the Comptroller General 
of the United States shall complete a review in which the 
Comptroller General— 
(1) evaluates— 
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(A) the distinct differences and similarities 
between the older American community service 
employment program as authorized under title 
V of the Older Americans Act of 1965 (42 
U.S.C. 3056 et seq.) and the programs carried 
out under title I of the Workforce Innovation 
and Opportunity Act (29 U.S.C. 3111 et seq.); 
and 
(B) how the programs described in sub-
paragraph (A) serve older individuals in seeking 
and obtaining community service employment; 
(2) analyzes the expected levels of performance 
described in section 513(a) of the Older Americans 
Act of 1965 (42 U.S.C. 3056k(a)), the efficacy and 
impacts of the indicators of performance described 
in section 513(b) of the Older Americans Act of 
1965 (42 U.S.C. 3056k(b)), and corrective measures 
described in section 513(d) of the Older Americans 
Act of 1965 (42 U.S.C. 3056k(d)) for the older 
American community service employment program, 
compared with the expected levels of performance, 
efficacy and impacts of the indicators of perform-
ance, and corrective measures described in section 
116 of the Workforce Innovation and Opportunity 
Act (29 U.S.C. 3141) for programs authorized 
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576 
under title I of such Act, including the efficacy of 
the indicators of performance described in section 
513(b) of the Older Americans Act of 1965 (42 
U.S.C. 3056k(b)) for individuals described in sub-
section (a)(3)(B)(ii) or subsection (b) of section 518 
of the Older Americans Act of 1965 (42 U.S.C. 
3056p); 
(3) develops recommendations for any alter-
native measures that may better measure the effi-
cacy of the older American community service em-
ployment program as authorized under title V of the 
Older Americans Act of 1965 (42 U.S.C. 3056 et 
seq.) 
for 
individuals 
described 
in 
subsection 
(a)(3)(B)(ii) or subsection (b) of section 518 of the 
Older Americans Act of 1965 (42 U.S.C. 3056p) to 
achieve the objectives described in section 101 of the 
Older Americans Act of 1965 (42 U.S.C. 3001); and 
(4) evaluates how the Department of Labor co-
ordinates delivery of services with State and national 
grantees under title V of the Older Americans Act 
of 1965 (42 U.S.C. 3056 et seq.) and with States 
and local workforce development areas under title I 
of the Workforce Innovation and Opportunity Act 
(29 U.S.C. 3111 et seq.) to serve older individuals. 
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(b) REPORT TO CONGRESS.—Not later than 180 days 
after the review required under this section is completed, 
the Comptroller General shall submit to the Committee 
on Health, Education, Labor, and Pensions and the Spe-
cial Committee on Aging of the Senate and the Committee 
on Education and the Workforce of the House of Rep-
resentatives a report on the results of such review. 
TITLE VI—IMPROVING SERVICES 
FOR NATIVE ELDERS 
SEC. 601. OLDER AMERICANS TRIBAL ADVISORY COM-
MITTEE. 
Section 201(c) (42 U.S.C. 3011(c)) is amended by 
adding at the end the following: 
‘‘(4)(A) In addition to other methods of govern-
ment-to-government consultation between the Ad-
ministration and Indian Tribes and conferring with 
organizations representing Native Hawaiians, the 
Assistant Secretary shall establish an advisory com-
mittee, to be known as the ‘Older Americans Tribal 
Advisory Committee’ (referred to in this paragraph 
as the ‘Committee’) to provide advice and guidance 
to the Assistant Secretary on matters relating to the 
needs of older individuals who are Native Americans 
and implementation of related programs and activi-
ties under this Act. 
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‘‘(B) The Committee shall be composed of 11 
voting, non-Federal members, including— 
‘‘(i) geographically diverse individuals with 
expertise on the range of issues affecting Indian 
Tribes, organizations representing Native Ha-
waiians, and older individuals who are Native 
Americans; 
‘‘(ii) not less than 1 member who is an 
Alaska Native; and 
‘‘(iii) not less than 1 member who is a Na-
tive Hawaiian. 
‘‘(C) The Committee shall include non-voting, 
ex officio representatives of relevant Federal depart-
ments and agencies, including— 
‘‘(i) the Administration; 
‘‘(ii) the Indian Health Service; 
‘‘(iii) the Centers for Medicare & Medicaid 
Services; 
‘‘(iv) the Department of the Interior; 
‘‘(v) the Department of Labor; and 
‘‘(vi) any other agency or office with sub-
ject matter expertise that the Assistant Sec-
retary determines appropriate. 
‘‘(D) The Committee shall meet in person not 
less frequently than twice each year. 
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‘‘(E) The Committee shall coordinate, as appro-
priate, with the Secretary’s Tribal Advisory Com-
mittee of the Department of Health and Human 
Services. 
‘‘(F)(i) Not less frequently than once each year, 
the Committee shall submit to the Assistant Sec-
retary and make publicly available a report that de-
scribes— 
‘‘(I) the activities of the Committee during 
the previous year; and 
‘‘(II) recommendations for administrative 
action, including the identification of any statu-
tory barriers to carrying out such recommenda-
tions, for the following year. 
‘‘(ii) Not later than 60 days after the date on 
which the Assistant Secretary receives a report 
under clause (i), the Assistant Secretary shall sub-
mit to the Committee a written response to such re-
port. 
‘‘(G) Chapter 10 of title 5, United States Code, shall 
not apply to the Committee. 
‘‘(H) In establishing, developing procedures for, and 
operating the Committee, the Assistant Secretary shall— 
‘‘(i) consult with Indian Tribes and confer with 
organizations representing Native Hawaiians; and 
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‘‘(ii) take into consideration best practices of 
other Tribal advisory committees operated by the 
Department of Health and Human Services before 
the date of enactment of the Older Americans Act 
Reauthorization Act of 2024.’’. 
SEC. 602. SUPPORTIVE SERVICES; SET ASIDE. 
(a) SUPPORTIVE SERVICES.—Section 636 (42 U.S.C. 
3057k–21) is amended— 
(1) in subsection (a), by striking ‘‘may’’ and in-
serting ‘‘shall, as practicable,’’; and 
(2) in subsection (b)(2), by striking ‘‘in-home 
assistance’’ and inserting ‘‘in-home services’’. 
(b) FUNDING SET ASIDE.—Section 644 (42 U.S.C. 
3057o) is amended— 
(1) by striking ‘‘Of’’ and inserting the fol-
lowing: 
‘‘(a) IN GENERAL.—Of’’; and 
(2) by adding at the end the following: 
‘‘(b) REPORT.—Not later than 1 year after the date 
of enactment of the Older Americans Act Reauthorization 
Act of 2024, the Assistant Secretary shall submit to the 
Committee on Health, Education, Labor, and Pensions of 
the Senate and the Committee on Education and the 
Workforce of the House of Representatives, a report on 
the use of funds under part D. Such report shall include— 
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‘‘(1) the total amount of funds made available 
under subsection (a) to carry out part D for each 
fiscal year; 
‘‘(2) a list of award recipients under part D; 
and 
‘‘(3) a summary of supportive services for 
healthy aging and independence provided under part 
D.’’. 
SEC. 603. GAO REPORT ON TRIBAL SERVICES. 
Not later than 18 months after the date of enactment 
of this Act, the Comptroller General of the United States 
shall submit to Congress a report that— 
(1) evaluates and identifies barriers to Indian 
Tribes (as defined in section 4 of the Indian Self- 
Determination and Education Assistance Act (25 
U.S.C. 5304)) and organizations serving Native Ha-
waiians accessing programs under title VI of the 
Older Americans Act of 1965 (42 U.S.C. 3057 et 
seq.), and coordination of such programs under such 
title VI with programs funded under titles III and 
IV of such Act (42 U.S.C. 3021 et seq., 42 U.S.C. 
3031 et seq.), including by— 
(A) estimating the number of Native 
Americans unserved by programs under such 
title VI; 
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(B) identifying States and area agencies 
on aging making grants to Indian Tribes under 
such title III; and 
(C) providing estimates of funding nec-
essary to support programs under such title VI 
for all Tribal organizations (as defined in sec-
tion 4 of the Indian Self-Determination and 
Education Assistance Act (25 U.S.C. 5304)) 
and organizations serving Native Hawaiians 
that are not eligible under such title VI (as in 
effect on the date of enactment of this Act); 
and 
(2) details how grantees under title V of the 
Older Americans Act of 1965 (42 U.S.C. 3056 et 
seq.) are serving older individuals who are Native 
Americans with funds received under such title V, 
including by evaluating how the Secretary of Labor 
coordinates with State and national grantees under 
such title V to serve older individuals who are Native 
Americans. 
SEC. 604. TECHNICAL AMENDMENTS. 
The Older Americans Act of 1965 (42 U.S.C. 3001 
et seq.) is amended— 
(1) in section 102 (42 U.S.C. 3002)— 
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(A) in paragraph (27), by striking ‘‘the 
term ‘Indian tribe’ means any tribe’’ and insert-
ing ‘‘the term ‘Indian Tribe’ means any Tribe’’; 
and 
(B) in paragraph (56), by striking ‘‘the 
term ‘tribal organization’ means’’ and inserting 
‘‘the term ‘Tribal organization’ means’’; 
(2) 
in 
section 
418(a)(2)(6) 
(42 
U.S.C. 
3032g(a)(2)(6)), by striking ‘‘Speaker of the House 
of Representatives and the President pro tempore of 
the Senate’’ and inserting ‘‘Committee on Health, 
Education, Labor, and Pensions of the Senate and 
the Committee on Education and the Workforce of 
the House of Representatives’’; 
(3) in section 612(c) (42 U.S.C. 3057c(c))— 
(A) by striking ‘‘terms ‘Indian tribe’ and 
‘tribal organization’ have’’ and inserting ‘‘terms 
‘Indian Tribe’ and ‘Tribal organization’ have’’; 
and 
(B) by striking ‘‘(25 U.S.C. 450b)’’ and 
inserting ‘‘(25 U.S.C. 5304)’’; and 
(4) by striking ‘‘tribe’’, ‘‘tribes’’, and ‘‘tribal’’ 
each place such terms appear and inserting ‘‘Tribe’’, 
‘‘Tribes’’, and ‘‘Tribal’’, respectively. 
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TITLE 
VII—STRENGTHENING 
THE LONG-TERM CARE OM-
BUDSMAN 
PROGRAMS 
AND 
ELDER ABUSE PREVENTION 
SEC. 701. DIRECTOR OF THE OFFICE OF LONG-TERM CARE 
OMBUDSMAN PROGRAMS. 
Section 201(d)(2)(A) (42 U.S.C. 3011(d)(2)(A)) is 
amended, in the second sentence, by inserting ‘‘serve on 
a full-time basis and’’ after ‘‘shall’’. 
SEC. 702. LEGAL ASSISTANCE TRAINING RESOURCES RE-
LATING TO ELDER ABUSE PREVENTION. 
Section 201(e)(2)(A) (42 U.S.C. 3011(e)(2)(A)) is 
amended by striking clause (v) and inserting the following: 
‘‘(v) establishing an information clear-
inghouse to collect, maintain, and dissemi-
nate information concerning best practices 
and resources for training, technical assist-
ance, and other activities, which may in-
clude training resources for paralegals or 
law students who are under the direct su-
pervision of an attorney, to assist State 
Long-Term Care Ombudsman programs, 
adult protective services programs, and 
other legal services relating to defense of 
guardianship, promotion of self-determina-
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585 
tion, and the matters described in clause 
(ii)(I), and to assist States and commu-
nities to carry out evidence-based programs 
to prevent and address elder abuse, ne-
glect, and exploitation;’’. 
SEC. 703. IMPROVING TRAINING OF VOLUNTEERS UNDER 
THE STATE LONG-TERM CARE OMBUDSMAN 
PROGRAM. 
Section 712 (42 U.S.C. 3058g) is amended— 
(1) in subsection (h)(5)— 
(A) in the matter preceding subparagraph 
(A)— 
(i) by striking ‘‘the representatives’’ 
and inserting ‘‘each type of representa-
tive’’; and 
(ii) by inserting ‘‘types of’’ before 
‘‘unpaid volunteers’’; 
(B) in subparagraph (A), by inserting ‘‘for 
each such type of representative’’ before the 
semicolon at the end; 
(C) in subparagraph (B)(iii), by striking 
‘‘and’’ at the end; 
(D) in subparagraph (C), by adding ‘‘and’’ 
at the end; and 
(E) by adding at the end the following: 
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‘‘(D) with respect to representatives of the 
Office who are unpaid volunteers, take into con-
sideration the degree to which each such type of 
unpaid volunteer performs activities requiring 
specialized training, with a goal of reducing un-
necessary training requirements for prospective 
unpaid volunteers;’’; and 
(2) by adding at the end the following: 
‘‘(k) TRAINING REQUIREMENTS FOR UNPAID VOL-
UNTEERS.— 
‘‘(1) IN
GENERAL.—In providing the model 
standards described in subsection (h)(5), the Direc-
tor of the Office of Long-Term Care Ombudsman 
Programs shall review and, as necessary, update 
such model standards on a regular basis to tailor 
such model standards to the individualized training 
needs of each type of representative of the Office, in-
cluding each type of unpaid volunteer. 
‘‘(2) CONSIDERATIONS.—In carrying out para-
graph (1), the Director of the Office of Long-Term 
Care Ombudsman Programs shall take into consider-
ation the degree to which each type of representative 
of the Office performs activities that require special-
ized training, with a goal of reducing unnecessary 
training requirements for unpaid volunteers.’’. 
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SEC. 704. REPORTING ON STATE LONG-TERM CARE OM-
BUDSMAN PROGRAMS. 
Chapter 2 of subtitle A of title VII (42 U.S.C. 3058f 
et seq.) is amended by adding at the end the following: 
‘‘SEC. 714. REPORTS TO CONGRESS. 
‘‘Each year, the Assistant Secretary shall submit to 
the Committee on Health, Education, Labor, and Pen-
sions and the Special Committee on Aging of the Senate 
and the Committee on Education and the Workforce of 
the House of Representatives, and make publicly available, 
a report that— 
‘‘(1) aggregates all reports submitted under sec-
tion 712(h) for such year; and 
‘‘(2) provides a summary of the findings of 
such reports.’’. 
SEC. 705. STUDY ON STATE LONG-TERM CARE OMBUDSMAN 
PROGRAMS. 
(a) IN GENERAL.—The Assistant Secretary shall 
seek to enter into a contract with the National Academies 
of Sciences, Engineering, and Medicine (referred to in this 
section as the ‘‘National Academies’’) to conduct a study 
on the State Long-Term Care Ombudsman programs car-
ried out under the Older Americans Act of 1965 (42 
U.S.C. 3001 et seq.), including an assessment of the effec-
tiveness of such programs and any related challenges and 
recommendations. The study shall include an assessment 
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of the current (as of the date on which the contract is 
entered into) recommended staff-to-bed ratio for such pro-
grams, as appropriate. 
(b) REPORT.—Not later than 18 months after the 
date on which a contract is entered into under subsection 
(a), the National Academies shall publicly issue a report 
on the findings of the study under this section. 
TITLE VIII—AUTHORIZATIONS 
OF APPROPRIATIONS 
SEC. 801. ADMINISTRATION ON AGING. 
Section 216 (42 U.S.C. 3020f) is amended— 
(1) 
in 
subsection 
(a), 
by 
striking 
‘‘$43,937,410’’ and all that follows through ‘‘fiscal 
year 2024’’ and inserting ‘‘$55,469,968 for fiscal 
year 2025, $55,469,968 for fiscal year 2026, 
$55,469,968 for fiscal year 2027, $55,469,968 for 
fiscal year 2028, and $55,469,968 for fiscal year 
2029’’; and 
(2) in subsection (b)— 
(A) 
in 
paragraph 
(1), 
by 
striking 
‘‘$2,180,660’’ and all that follows through ‘‘fis-
cal year 2024’’ and inserting ‘‘$2,753,033 for 
fiscal year 2025, $2,753,033 for fiscal year 
2026, 
$2,753,033 
for 
fiscal 
year 
2027, 
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$2,753,033 
for 
fiscal 
year 
2028, 
and 
$2,753,033 for fiscal year 2029’’; 
(B) 
in 
paragraph 
(2), 
by 
striking 
‘‘$1,988,060’’ and all that follows through ‘‘fis-
cal year 2024’’ and inserting ‘‘$2,509,880 for 
fiscal year 2025, $2,509,880 for fiscal year 
2026, 
$2,509,880 
for 
fiscal 
year 
2027, 
$2,509,880 
for 
fiscal 
year 
2028, 
and 
$2,509,880 for fiscal year 2029’’; 
(C) 
in 
paragraph 
(3), 
by 
striking 
‘‘$1,371,740’’ and all that follows through ‘‘fis-
cal year 2024’’ and inserting ‘‘$1,731,790 for 
fiscal year 2025, $1,731,790 for fiscal year 
2026, 
$1,731,790 
for 
fiscal 
year 
2027, 
$1,731,790 
for 
fiscal 
year 
2028, 
and 
$1,731,790 for fiscal year 2029’’; and 
(D) 
in 
paragraph 
(4), 
by 
striking 
‘‘$8,687,330’’ and all that follows through ‘‘fis-
cal year 2024’’ and inserting ‘‘$10,967,554 for 
fiscal year 2025, $10,967,554 for fiscal year 
2026, $10,967,554 for fiscal year 2027, 
$10,967,554 
for 
fiscal 
year 
2028, 
and 
$10,967,554 for fiscal year 2029’’. 
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590 
SEC. 802. GRANTS FOR STATE AND COMMUNITY PROGRAMS 
ON AGING. 
(a) IN GENERAL.—Section 303 (42 U.S.C. 3023) is 
amended— 
(1) 
in 
subsection 
(a)(1), 
by 
striking 
‘‘$412,029,180’’ and all that follows through ‘‘fiscal 
year 2024’’ and inserting ‘‘$520,177,347 for fiscal 
year 2025, $520,177,347 for fiscal year 2026, 
$520,177,347 for fiscal year 2027, $520,177,347 for 
fiscal year 2028, and $520,177,347 for fiscal year 
2029’’; 
(2) in subsection (b)— 
(A) 
in 
paragraph 
(1), 
by 
striking 
‘‘$530,015,940’’ and all that follows through 
‘‘fiscal year 2024’’ and inserting ‘‘$669,132,913 
for fiscal year 2025, $669,132,913 for fiscal 
year 2026, $669,132,913 for fiscal year 2027, 
$669,132,913 
for 
fiscal 
year 
2028, 
and 
$669,132,913 for fiscal year 2029’’; and 
(B) 
in 
paragraph 
(2), 
by 
striking 
‘‘$268,935,940’’ and all that follows through 
‘‘fiscal year 2024’’ and inserting ‘‘$381,342,000 
for fiscal year 2025, $381,342,000 for fiscal 
year 2026, $381,342,000 for fiscal year 2027, 
$381,342,000 
for 
fiscal 
year 
2028, 
and 
$381,342,000 for fiscal year 2029’’; 
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591 
(3) 
in 
subsection 
(d), 
by 
striking 
‘‘$26,587,360’’ and all that follows through ‘‘fiscal 
year 2024’’ and inserting ‘‘$33,565,929 for fiscal 
year 2025, $33,565,929 for fiscal year 2026, 
$33,565,929 for fiscal year 2027, $33,565,929 for 
fiscal year 2028, and $33,565,929 for fiscal year 
2029’’; and 
(4) 
in 
subsection 
(e), 
by 
striking 
‘‘$193,869,020’’ and all that follows through ‘‘fiscal 
year 2024’’ and inserting ‘‘$244,755,171 for fiscal 
year 2025, $244,755,171 for fiscal year 2026, 
$244,755,171 for fiscal year 2027, $244,755,171 for 
fiscal year 2028, and $244,755,171 for fiscal year 
2029’’. 
(b) NUTRITION SERVICES INCENTIVE PROGRAM.— 
Section 311(e) (42 U.S.C. 3030a(e)) is amended by strik-
ing ‘‘$171,273,830’’ and all that follows through ‘‘fiscal 
year 2024’’ and inserting ‘‘$216,229,264 for fiscal year 
2025, $216,229,264 for fiscal year 2026, $216,229,264 
for fiscal year 2027, $216,229,264 for fiscal year 2028, 
and $216,229,264 for fiscal year 2029’’. 
SEC. 803. ACTIVITIES FOR HEALTH, INDEPENDENCE, AND 
LONGEVITY. 
Section 411(b) (42 U.S.C. 3032(b)) is amended— 
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592 
(1) 
in 
paragraph 
(1), 
by 
striking 
‘‘$14,514,550’’ and all that follows through ‘‘fiscal 
year 2024’’ and inserting ‘‘$26,564,974 for fiscal 
year 2025, $26,564,974 for fiscal year 2026, 
$26,564,974 for fiscal year 2027, $26,564,974 for 
fiscal year 2028, and $26,564,974 for fiscal year 
2029’’; and 
(2) 
in 
paragraph 
(2), 
by 
striking 
‘‘$15,613,440’’ and all that follows through ‘‘fiscal 
year 2024’’ and inserting ‘‘$19,711,608 for fiscal 
year 2025, $19,711,608 for fiscal year 2026, 
$19,711,608 for fiscal year 2027, $19,711,608 for 
fiscal year 2028, and $19,711,608 for fiscal year 
2029’’. 
SEC. 804. COMMUNITY SERVICE SENIOR OPPORTUNITIES 
ACT. 
Section 517(a) (42 U.S.C. 3056o(a)) is amended by 
striking ‘‘$428,000,000’’ and all that follows through ‘‘fis-
cal year 2024’’ and inserting ‘‘$540,340,139 for fiscal 
year 
2025, 
$540,340,139 
for 
fiscal 
year 
2026, 
$540,340,139 for fiscal year 2027, $540,340,139 for fis-
cal year 2028, and $540,340,139 for fiscal year 2029’’. 
SEC. 805. GRANTS FOR NATIVE AMERICANS. 
Section 643 (42 U.S.C. 3057n) is amended— 
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(1) 
in 
paragraph 
(1), 
by 
striking 
‘‘$37,102,560’’ and all that follows through ‘‘fiscal 
year 2024’’ and inserting ‘‘$47,028,435 for fiscal 
year 2025, $47,028,435 for fiscal year 2026, 
$47,028,435 for fiscal year 2027, $47,028,435 for 
fiscal year 2028, and $47,028,435 for fiscal year 
2029’’; and 
(2) 
in 
paragraph 
(2), 
by 
striking 
‘‘$10,759,920’’ and all that follows through ‘‘fiscal 
year 2024’’ and inserting ‘‘$13,584,151 for fiscal 
year 2025, $13,584,151 for fiscal year 2026, 
$13,584,151 for fiscal year 2027, $13,584,151 for 
fiscal year 2028, and $13,584,151 for fiscal year 
2029’’. 
SEC. 806. ALLOTMENTS FOR ELDER RIGHTS PROTECTION 
ACTIVITIES. 
Section 702 (42 U.S.C. 3058a) is amended— 
(1) 
in 
subsection 
(a), 
by 
striking 
‘‘$18,066,950’’ and all that follows through ‘‘fiscal 
year 2024’’ and inserting ‘‘$22,809,108 for fiscal 
year 2025, $22,809,108 for fiscal year 2026, 
$22,809,108 for fiscal year 2027, $22,809,108 for 
fiscal year 2028, and $22,809,108 for fiscal year 
2029’’; and 
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594 
(2) in subsection (b), by striking ‘‘$5,107,110’’ 
and all that follows through ‘‘fiscal year 2024’’ and 
inserting 
‘‘$6,447,609 
for 
fiscal 
year 
2025, 
$6,447,609 for fiscal year 2026, $6,447,609 for fis-
cal year 2027, $6,447,609 for fiscal year 2028, and 
$6,447,609 for fiscal year 2029’’. 
Æ 
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