H. R. 4334 
One Hundred Sixteenth Congress 
of the 
United States of America 
AT THE SECOND SESSION 
Begun and held at the City of Washington on Friday, 
the third day of January, two thousand and twenty 
An Act 
To amend the Older Americans Act of 1965 to authorize appropriations for fiscal 
years 2020 through 2024, and for other purposes. 
Be it enacted by the Senate and House of Representatives of 
the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Supporting Older Americans 
Act of 2020’’. 
SEC. 2. TABLE OF CONTENTS. 
The table of contents of this Act is as follows: 
Sec. 1. Short title. 
Sec. 2. Table of contents. 
Sec. 3. References. 
Sec. 4. Definitions. 
TITLE I—MODERNIZING DEFINITIONS AND PROGRAMS UNDER THE 
ADMINISTRATION ON AGING 
Sec. 101. Reauthorization. 
Sec. 102. Person-centered, trauma-informed services. 
Sec. 103. Aging and Disability Resource Centers. 
Sec. 104. Assistive technology. 
Sec. 105. Vaccination. 
Sec. 106. Malnutrition. 
Sec. 107. Sexually transmitted diseases. 
Sec. 108. Addressing chronic pain management. 
Sec. 109. Screening for suicide risk. 
Sec. 110. Screening for fall-related traumatic brain injury; addressing public health 
emergencies and emerging health threats; negative health effects associ-
ated with social isolation. 
Sec. 111. Clarification regarding board and care facilities. 
Sec. 112. Person-centered, trauma-informed services definition. 
Sec. 113. Traumatic brain injury. 
Sec. 114. Modernizing the review of applications and providing technical assistance 
for disasters. 
Sec. 115. Increased focus of Assistant Secretary on negative health effects associ-
ated with social isolation. 
Sec. 116. Notification of availability of or updates to policies, practices, and proce-
dures through a uniform e-format. 
Sec. 117. Evidence-based program adaptation. 
Sec. 118. Business acumen provisions and clarification regarding outside funding 
for area agencies on aging. 
Sec. 119. Demonstration on direct care workers. 
Sec. 120. National resource center for older individuals experiencing the long-term 
and adverse consequences of trauma. 
Sec. 121. National Resource Center for Women and Retirement. 
Sec. 122. Family caregivers. 
Sec. 123. Interagency coordination. 
Sec. 124. Modernizing the Interagency Coordinating Committee on Healthy Aging 
and Age-Friendly Communities. 
Sec. 125. Professional standards for a nutrition official under the Assistant Sec-
retary.
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Sec. 126. Report on social isolation. 
Sec. 127. Research and evaluation. 
TITLE II—IMPROVING GRANTS FOR STATE AND COMMUNITY PROGRAMS 
ON AGING 
Sec. 201. Social determinants of health. 
Sec. 202. Younger onset Alzheimer’s disease. 
Sec. 203. Reauthorization. 
Sec. 204. Hold harmless formula. 
Sec. 205. Outreach efforts. 
Sec. 206. State Long-Term Care Ombudsman program minimum funding and 
maintenance of effort. 
Sec. 207. Coordination with resource centers. 
Sec. 208. Senior legal hotlines. 
Sec. 209. Increase in limit on use of allotted funds for State administrative costs. 
Sec. 210. Improvements to nutrition programs. 
Sec. 211. Review of reports. 
Sec. 212. Other practices. 
Sec. 213. Screening for negative health effects associated with social isolation and 
traumatic brain injury. 
Sec. 214. Supportive services and senior centers. 
Sec. 215. Culturally appropriate, medically tailored meals. 
Sec. 216. Nutrition services study. 
Sec. 217. National Family Caregiver Support program. 
Sec. 218. National Family Caregiver Support program cap. 
TITLE III—MODERNIZING ACTIVITIES FOR HEALTH, INDEPENDENCE, AND 
LONGEVITY 
Sec. 301. Reauthorization. 
Sec. 302. Public awareness of traumatic brain injury. 
Sec. 303. Falls prevention and chronic disease self-management education. 
Sec. 304. Demonstration to address negative health impacts associated with social 
isolation. 
Sec. 305. Technical assistance and innovation to improve transportation for older 
individuals. 
Sec. 306. Grant program for multigenerational collaboration. 
TITLE IV—SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM 
Sec. 401. Priority for the senior community service employment program. 
Sec. 402. Authorization of appropriations. 
TITLE V—ENHANCING GRANTS FOR NATIVE AMERICANS 
Sec. 501. Reauthorization. 
TITLE VI—MODERNIZING ALLOTMENTS FOR VULNERABLE ELDER RIGHTS 
PROTECTION ACTIVITIES AND OTHER PROGRAMS 
Sec. 601. Reauthorization; vulnerable elder rights protection activities. 
Sec. 602. Volunteer State long-term care ombudsman representatives. 
Sec. 603. Prevention of elder abuse, neglect, and exploitation. 
Sec. 604. Principles for person-directed services and supports during serious illness. 
Sec. 605. Extension of the Supporting Grandparents Raising Grandchildren Act. 
Sec. 606. Best practices for home and community-based ombudsmen. 
Sec. 607. Senior home modification assistance initiative. 
TITLE VII—MISCELLANEOUS 
Sec. 701. Technical corrections. 
SEC. 3. REFERENCES. 
Except as otherwise expressly provided in this Act, wherever 
in this Act an amendment or repeal is expressed in terms of 
an amendment to, or a repeal of, a section or other provision, 
the reference shall be considered to be made to that section or 
other provision of the Older Americans Act of 1965 (42 U.S.C. 
3001 et seq.). 
SEC. 4. DEFINITIONS. 
In this Act, the terms ‘‘area agency on aging’’, ‘‘Assistant Sec-
retary’’, ‘‘greatest social need’’, ‘‘older individual’’, and ‘‘Secretary’’
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have the meanings given such terms in section 102 of the Older 
Americans Act of 1965 (42 U.S.C. 3002). 
TITLE I—MODERNIZING DEFINITIONS 
AND PROGRAMS UNDER THE ADMIN-
ISTRATION ON AGING 
SEC. 101. REAUTHORIZATION. 
Section 216 (42 U.S.C. 3020f) is amended to read as follows: 
‘‘SEC. 216. AUTHORIZATION OF APPROPRIATIONS. 
‘‘(a) IN GENERAL.—For purposes of carrying out this Act, there 
are authorized to be appropriated for administration, salaries, and 
expenses of the Administration $43,937,410 for fiscal year 2020, 
$46,573,655 for fiscal year 2021, $49,368,074 for fiscal year 2022, 
$52,330,158 for fiscal year 2023, and $55,469,968 for fiscal year 
2024. 
‘‘(b) ADDITIONAL AUTHORIZATIONS.—There are authorized to be 
appropriated— 
‘‘(1) to carry out section 202(a)(21) (relating to the National 
Eldercare Locator Service), $2,180,660 for fiscal year 2020, 
$2,311,500 for fiscal year 2021, $2,450,190 for fiscal year 2022, 
$2,597,201 for fiscal year 2023, and $2,753,033 for fiscal year 
2024; 
‘‘(2) to carry out section 215, $1,988,060 for fiscal year 
2020, $2,107,344 for fiscal year 2021, $2,233,784 for fiscal year 
2022, $2,367,811 for fiscal year 2023, and $2,509,880 for fiscal 
year 2024; 
‘‘(3) to carry out section 202 (relating to Elder Rights Sup-
port Activities under this title), $1,371,740 for fiscal year 2020, 
$1,454,044 for fiscal year 2021, $1,541,287 for fiscal year 2022, 
$1,633,764 for fiscal year 2023, and $1,731,790 for fiscal year 
2024; and 
‘‘(4) to carry out section 202(b) (relating to the Aging and 
Disability Resource Centers), $8,687,330 for fiscal year 2020, 
$9,208,570 for fiscal year 2021, $9,761,084 for fiscal year 2022, 
$10,346,749 for fiscal year 2023, and $10,967,554 for fiscal 
year 2024.’’. 
SEC. 102. PERSON-CENTERED, TRAUMA-INFORMED SERVICES. 
Section 101(2) (42 U.S.C. 3001(2)) is amended by inserting 
‘‘(including access to person-centered, trauma-informed services as 
appropriate)’’ after ‘‘health’’. 
SEC. 103. AGING AND DISABILITY RESOURCE CENTERS. 
Section 102(4) (42 U.S.C. 3002(4)) is amended— 
(1) in the matter preceding subparagraph (A), by inserting 
‘‘, in collaboration with (as appropriate) area agencies on aging, 
centers for independent living (as described in part C of chapter 
1 of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 
796f et seq.)), and other aging or disability entities’’ after ‘‘pro-
vides’’; 
(2) in subparagraph (B)— 
(A) by inserting ‘‘services, supports, and’’ after ‘‘plan 
for long-term’’; and 
(B) by inserting ‘‘and choices’’ after ‘‘desires’’; and
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(3) in subparagraph (D), by striking ‘‘part C of title VII 
of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.), 
and other community-based entities,’’ and inserting ‘‘part C 
of chapter 1 of title VII of the Rehabilitation Act of 1973, 
and other community-based entities, including other aging or 
disability entities,’’. 
SEC. 104. ASSISTIVE TECHNOLOGY. 
The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) 
is amended— 
(1) in section 102(8) (42 U.S.C. 3002(8)), by adding at 
the end the following: 
‘‘(C) The term ‘State assistive technology entity’ means the 
agency, office, or other entity designated under subsection (c)(1) 
of section 4 of the Assistive Technology Act of 1998 (29 U.S.C. 
3003) to carry out State activities under such section.’’; 
(2) in section 306 (42 U.S.C. 3026)— 
(A) in subsection (a)(6)— 
(i) in subparagraph (G), by striking ‘‘; and’’ and 
inserting a semicolon; 
(ii) in subparagraph (H), by striking ‘‘appropriate;’’ 
and inserting ‘‘appropriate; and’’; and 
(iii) by adding at the end the following: 
‘‘(I) to the extent feasible, coordinate with the State agency 
to disseminate information about the State assistive technology 
entity and access to assistive technology options for serving 
older individuals;’’; and 
(B) in subsection (b)(3)— 
(i) in subparagraph (K)— 
(I) by aligning the margins of the subpara-
graph with the margins of subparagraph (J); and 
(II) by striking ‘‘; and’’ and inserting a semi-
colon; 
(ii) by redesignating subparagraph (L) as subpara-
graph (M); and 
(iii) by inserting after subparagraph (K) the fol-
lowing: 
‘‘(L) assistive technology devices and services; and’’; and 
(3) in section 411(a) (42 U.S.C. 3032(a))— 
(A) in paragraph (2), by inserting ‘‘, aligned with evi-
dence-based practice,’’ after ‘‘applied social research’’; and 
(B) in paragraph (10), by inserting ‘‘consistent with 
section 508 of the Rehabilitation Act of 1973 (29 U.S.C. 
794d)’’ after ‘‘other technologies’’. 
SEC. 105. VACCINATION. 
Section 102(14) (42 U.S.C. 3002(14)) is amended— 
(1) in subparagraph (B), by inserting ‘‘immunization 
status,’’ after ‘‘oral health,’’; and 
(2) in subparagraph (D), by inserting ‘‘infectious disease, 
and vaccine-preventable disease, as well as’’ after ‘‘cardio-
vascular disease),’’. 
SEC. 106. MALNUTRITION. 
The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) 
is amended—
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(1) in section 102(14)(B), as amended by section 105(1), 
by inserting ‘‘(including screening for malnutrition)’’ after 
‘‘nutrition screening’’; and 
(2) in section 330(1), by striking ‘‘and food insecurity’’ and 
inserting ‘‘, food insecurity, and malnutrition’’. 
SEC. 107. SEXUALLY TRANSMITTED DISEASES. 
Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as amended by sec-
tion 105(2), is further amended by inserting ‘‘prevention of sexually 
transmitted diseases,’’ after ‘‘vaccine-preventable disease,’’. 
SEC. 108. ADDRESSING CHRONIC PAIN MANAGEMENT. 
Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as amended by sec-
tion 107, is further amended by inserting ‘‘chronic pain manage-
ment,’’ after ‘‘substance abuse reduction,’’. 
SEC. 109. SCREENING FOR SUICIDE RISK. 
Section 102(14)(G) (42 U.S.C. 3002(14)(G)) is amended by 
inserting ‘‘and screening for suicide risk’’ after ‘‘depression’’. 
SEC. 110. SCREENING FOR FALL-RELATED TRAUMATIC BRAIN INJURY; 
ADDRESSING 
PUBLIC 
HEALTH 
EMERGENCIES 
AND 
EMERGING 
HEALTH 
THREATS; 
NEGATIVE 
HEALTH 
EFFECTS ASSOCIATED WITH SOCIAL ISOLATION. 
Section 102(14) (42 U.S.C. 3002(14)) is amended— 
(1) by redesignating subparagraphs (H) through (J), and 
subparagraphs (K) and (L), as subparagraphs (I) through (K), 
and subparagraphs (M) and (O), respectively; 
(2) by inserting after subparagraph (G) the following: 
‘‘(H) screening for fall-related traumatic brain injury 
and other fall-related injuries, coordination of treatment, 
rehabilitation and related services, and referral services 
related to such injury or injuries;’’; 
(3) by inserting after subparagraph (K), as redesignated 
by paragraph (1), the following: 
‘‘(L) services that are a part of responses to a public 
health emergency or emerging health threat;’’; and 
(4) in subparagraph (M), as redesignated by paragraph 
(1), by striking ‘‘; and’’ and inserting a semicolon; 
(5) by inserting after subparagraph (M), as redesignated 
by paragraph (1), the following: 
‘‘(N) screening for the prevention of negative health 
effects associated with social isolation and coordination 
of supportive services and health care to address negative 
health effects associated with social isolation; and’’; and 
(6) in subparagraph (O), as redesignated, by striking ‘‘(A) 
through (K)’’ and inserting ‘‘(A) through (N)’’. 
SEC. 111. CLARIFICATION REGARDING BOARD AND CARE FACILITIES. 
Section 102(35)(C) (42 U.S.C. 3002(35)(C)) is amended by 
striking ‘‘for purposes of sections 307(a)(12) and 712,’’. 
SEC. 112. PERSON-CENTERED, TRAUMA-INFORMED SERVICES DEFINI-
TION. 
Section 102 (42 U.S.C. 3002) is amended— 
(1) by redesignating paragraphs (41) through (54) as para-
graphs (42) through (55), respectively; and 
(2) by inserting after paragraph (40) the following:
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‘‘(41) The term ‘person-centered, trauma-informed’, with 
respect to services, means services provided through an aging 
program that— 
‘‘(A) use a holistic approach to providing services or 
care; 
‘‘(B) promote the dignity, strength, and empowerment 
of victims of trauma; and 
‘‘(C) incorporate evidence-based practices based on 
knowledge about the role of trauma in trauma victims’ 
lives.’’. 
SEC. 113. TRAUMATIC BRAIN INJURY. 
Section 102 (42 U.S.C. 3002), as amended by section 112, is 
further amended— 
(1) by redesignating paragraph (55) as paragraph (56); 
and 
(2) by inserting after paragraph (54) the following: 
‘‘(55) The term ‘traumatic brain injury’ has the meaning 
given such term in section 393B(d) of the Public Health Service 
Act (42 U.S.C. 280b–1c(d)).’’. 
SEC. 114. MODERNIZING THE REVIEW OF APPLICATIONS AND PRO-
VIDING TECHNICAL ASSISTANCE FOR DISASTERS. 
(a) REVIEW OF APPLICATIONS.—Section 202 (42 U.S.C. 3012) 
is amended— 
(1) by amending subsection (a)(4) to read as follows: 
‘‘(4) administer the grants provided by this Act, but not 
approve an application submitted by an applicant for a grant 
for an activity under a provision of this Act for which such 
applicant previously received a grant under such provision 
unless the Assistant Secretary determines— 
‘‘(A) the activity for which such application was sub-
mitted is being operated, or was operated, effectively to 
achieve its stated purpose; and 
‘‘(B) such applicant has complied with the assurances 
provided to the Assistant Secretary with the application 
for such previous grant.’’; and 
(2) by adding at the end the following: 
‘‘(h) The Assistant Secretary shall publish, on an annual basis, 
a list of centers and demonstration projects funded under each 
title of this Act. The Assistant Secretary shall ensure that this 
information is also directly provided to State agencies and area 
agencies on aging.’’. 
(b) ADDRESSING THE NEEDS OF OLDER INDIVIDUALS IN DISAS-
TERS.—Section 202(a) (42 U.S.C. 3012(a)) is amended— 
(1) in paragraph (30), by striking ‘‘; and’’ and inserting 
a semicolon; 
(2) in paragraph (31), by striking the period at the end 
and inserting a semicolon; and 
(3) by adding at the end the following: 
‘‘(32) provide technical assistance to, and share best prac-
tices with, State agencies and area agencies on aging on how 
to collaborate and coordinate activities and develop long-range 
emergency preparedness plans with local and State emergency 
response agencies, relief organizations, local and State govern-
ments, Federal agencies as appropriate, and any other institu-
tions that have responsibility for disaster relief service 
delivery;’’.
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SEC. 115. INCREASED FOCUS OF ASSISTANT SECRETARY ON NEGATIVE 
HEALTH EFFECTS ASSOCIATED WITH SOCIAL ISOLATION. 
Section 202(a) (42 U.S.C. 3012(a)), as amended by section 
114(b), is further amended by adding at the end the following: 
‘‘(33) with input from aging network stakeholders, including 
caregivers, develop objectives, priorities, and a long-term plan 
for supporting State and local efforts involving education about 
prevention of, detection of, and response to negative health 
effects associated with social isolation among older individuals, 
and submit a report to Congress on this effort by January 
2021; and’’. 
SEC. 116. NOTIFICATION OF AVAILABILITY OF OR UPDATES TO POLI-
CIES, PRACTICES, AND PROCEDURES THROUGH A UNI-
FORM E-FORMAT. 
Section 202(a) (42 U.S.C. 3012(a)), as amended by sections 
114(b) and 115, is further amended by adding at the end the 
following: 
‘‘(34) provide (to the extent practicable) a standardized 
notification to State agencies, area agencies on aging, providers 
of services under this Act, and grantees or contract awardees 
under this Act, through an electronic format (e-mail or other 
electronic notification), of the availability of, or updates to, 
policies, practices, and procedures under this Act.’’. 
SEC. 117. EVIDENCE-BASED PROGRAM ADAPTATION. 
(a) FUNCTIONS OF THE ASSISTANT SECRETARY.—Section 202 (42 
U.S.C. 3012) is amended— 
(1) in subsection (a)(28), by inserting before the semicolon 
‘‘, including information and technical assistance on delivery 
of such services in different settings’’; and 
(2) in subsection (b)(9)(B), by inserting before the semicolon 
‘‘, including delivery of such services in different settings’’. 
(b) EVIDENCE-BASED DISEASE PREVENTION AND HEALTH PRO-
MOTION SERVICES.—Section 361(a) (42 U.S.C. 3030m(a)) is amended 
in the second sentence by inserting ‘‘provide technical assistance 
on the delivery of evidence-based disease prevention and health 
promotion services in different settings and for different popu-
lations, and’’ before ‘‘consult’’. 
SEC. 118. BUSINESS ACUMEN PROVISIONS AND CLARIFICATION 
REGARDING OUTSIDE FUNDING FOR AREA AGENCIES ON 
AGING. 
(a) ASSISTANCE
RELATING
TO
GROWING
AND
SUSTAINING 
CAPACITY.—Section 202(b)(9) (42 U.S.C. 3012(b)(9)) is amended— 
(1) in subparagraph (A), by striking ‘‘and’’ after the semi-
colon at the end; 
(2) in subparagraph (B), as amended by section 117(a)(2), 
by inserting ‘‘and’’ after the semicolon at the end; and 
(3) by adding at the end the following: 
‘‘(C) activities for increasing business acumen, capacity 
building, organizational development, innovation, and other 
methods of growing and sustaining the capacity of the 
aging network to serve older individuals and caregivers 
most effectively;’’. 
(b) CLARIFYING PARTNERSHIPS FOR AREA AGENCIES ON AGING.— 
Section 306 (42 U.S.C. 3026) is amended by adding at the end 
the following:
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‘‘(g) Nothing in this Act shall restrict an area agency on aging 
from providing services not provided or authorized by this Act, 
including through— 
‘‘(1) contracts with health care payers; 
‘‘(2) consumer private pay programs; or 
‘‘(3) other arrangements with entities or individuals that 
increase the availability of home- and community-based services 
and supports.’’. 
(c) CONFORMING
AMENDMENT.—Section 307(a) (42 U.S.C. 
3027(a)) is amended— 
(1) by striking paragraph (26); and 
(2) by redesignating paragraphs (27) through (30) as para-
graphs (26) through (29). 
SEC. 119. DEMONSTRATION ON DIRECT CARE WORKERS. 
Section 411(a) (42 U.S.C. 3032(a)) is amended— 
(1) by redesignating paragraphs (13) and (14) as paragraphs 
(14) and (15), respectively; and 
(2) by inserting after paragraph (12) the following: 
‘‘(13) in coordination with the Secretary of Labor, the dem-
onstration of new strategies for the recruitment, retention, 
or advancement of direct care workers, and the soliciting, 
development, and implementation of strategies— 
‘‘(A) to reduce barriers to entry for a diverse and high- 
quality direct care workforce, including providing wages, 
benefits, and advancement opportunities needed to attract 
or retain direct care workers; and 
‘‘(B) to provide education and workforce development 
programs for direct care workers that include supportive 
services and career planning;’’. 
SEC. 120. NATIONAL RESOURCE CENTER FOR OLDER INDIVIDUALS 
EXPERIENCING THE LONG-TERM AND ADVERSE CON-
SEQUENCES OF TRAUMA. 
Section 411(a) (42 U.S.C. 3032(a)), as amended by section 119, 
is further amended— 
(1) by redesignating paragraphs (14) and (15) as paragraphs 
(15) and (16), respectively; and 
(2) by inserting after paragraph (13) the following: 
‘‘(14) the establishment and operation of a national resource 
center that shall— 
‘‘(A) provide training and technical assistance to agen-
cies in the aging network delivering services to older 
individuals experiencing the long-term and adverse con-
sequences of trauma; 
‘‘(B) share best practices with the aging network; and 
‘‘(C) make subgrants to the agencies best positioned 
to advance and improve the delivery of person-centered, 
trauma-informed services for older individuals experiencing 
the long-term and adverse consequences of trauma;’’. 
SEC. 121. NATIONAL RESOURCE CENTER FOR WOMEN AND RETIRE-
MENT. 
Section 215 (42 U.S.C. 3020e–1) is amended by adding at the 
end the following: 
‘‘(k)(1) The Assistant Secretary shall, directly or by grant or 
contract, operate the National Resource Center for Women and 
Retirement (in this subsection referred to as the ‘Center’).
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‘‘(2) The Center shall— 
‘‘(A) provide tools, such as basic financial management, 
retirement planning, and other tools that promote financial 
literacy and help to identify and prevent exploitation (including 
fraud), and integrate these with information on health and 
long-term care; 
‘‘(B) annually disseminate a summary of outreach activities 
provided, including work to provide user-friendly consumer 
information and public education materials; 
‘‘(C) develop targeted outreach strategies; 
‘‘(D) provide technical assistance to State agencies and 
to other public and nonprofit private agencies and organiza-
tions; and 
‘‘(E) develop partnerships and collaborations to address 
program objectives.’’. 
SEC. 122. FAMILY CAREGIVERS. 
(a) ADMINISTRATION.—Section 202 (42 U.S.C. 3012), as amended 
by section 114, is further amended by adding at the end the fol-
lowing: 
‘‘(i) The Assistant Secretary shall carry out the RAISE Family 
Caregivers Act (42 U.S.C. 3030s note).’’. 
(b) SUNSET.—Section 6 of the RAISE Family Caregivers Act 
(42 U.S.C. 3030s note) is amended by striking ‘‘3 years’’ and 
inserting ‘‘4 years’’. 
(c) CONFORMING AMENDMENT.—Section 2(3) of the RAISE 
Family Caregivers Act (42 U.S.C. 3030s note) is amended by 
inserting ‘‘, acting through the Assistant Secretary for Aging’’ before 
the period at the end. 
SEC. 123. INTERAGENCY COORDINATION. 
(a) IN GENERAL.—The Assistant Secretary shall, in performing 
the functions of the Administration on Aging under section 202(a)(5) 
of the Older Americans Act of 1965 (42 U.S.C. 3012(a)(5)) related 
to health (including mental and behavioral health) services, coordi-
nate with the Assistant Secretary for Mental Health and Substance 
Use and the Director of the Centers for Disease Control and Preven-
tion— 
(1) in the planning, development, implementation, and 
evaluation of evidence-based policies, programs, practices, and 
other activities pertaining to the prevention of suicide among 
older individuals, including the implementation of evidence- 
based suicide prevention programs and strategies identified 
by the National Center for Injury Prevention and Control at 
the Centers for Disease Control and Prevention and other enti-
ties, as applicable; and 
(2) in providing and incorporating technical assistance for 
the prevention of suicide among older individuals, including 
technical assistance related to the Suicide Prevention Technical 
Assistance Center established under section 520C of the Public 
Health Service Act (42 U.S.C. 290bb–34). 
(b) PROGRAM DESIGN.—Section 202(a)(5) (42 U.S.C. 3012(a)(5)) 
is amended by inserting ‘‘cultural experiences, activities, and serv-
ices, including in the arts,’’ after ‘‘education),’’.
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SEC. 124. MODERNIZING THE INTERAGENCY COORDINATING COM-
MITTEE ON HEALTHY AGING AND AGE-FRIENDLY COMMU-
NITIES. 
(a) FEDERAL AGENCY CONSULTATION.—Section 203(b) (42 U.S.C. 
3013(b)) is amended— 
(1) in paragraph (18), by striking ‘‘and’’ at the end; 
(2) in paragraph (19), by striking the period at the end 
and inserting ‘‘, and’’; and 
(3) by adding at the end the following: 
‘‘(20) section 393D of the Public Health Service Act (42 
U.S.C. 280b–1f), relating to safety of seniors.’’. 
(b) MODERNIZATION.—Section 203(c) (42 U.S.C. 3013(c)) is 
amended— 
(1) in paragraph (1)— 
(A) by striking ‘‘the Federal officials’’ and inserting 
‘‘other Federal officials’’; 
(B) by striking ‘‘Committee on Aging’’ and inserting 
‘‘Committee on Healthy Aging and Age-Friendly Commu-
nities’’; and 
(C) by inserting ‘‘and the development of a national 
set of recommendations, in accordance with paragraph (6), 
to support the ability of older individuals to age in place 
and access homelessness prevention services, preventive 
health care, promote age-friendly communities, and address 
the ability of older individuals to access long-term care 
supports, including access to caregivers and home- and 
community-based health services’’ before the period; 
(2) in paragraph (4), by adding at the end the following: 
‘‘The first term, after the date of enactment of the Supporting 
Older Americans Act of 2020, shall start not later than 1 
year after such date of enactment.’’; 
(3) in paragraph (6)— 
(A) in the matter preceding subparagraph (A), by 
striking ‘‘The Committee shall’’ and inserting ‘‘The rec-
ommendations described in paragraph (1) may include rec-
ommendations for’’; 
(B) in subparagraph (A)— 
(i) by striking ‘‘share information with and estab-
lish an ongoing system to’’ and inserting ‘‘ways to’’; 
and 
(ii) by striking ‘‘for older individuals and rec-
ommend improvements’’ and all that follows through 
‘‘accessibility of such programs and services’’ and 
inserting ‘‘that impact older individuals’’; 
(C) in subparagraph (B)— 
(i) by striking ‘‘identify, promote, and implement 
(as appropriate),’’; 
(ii) in clause (i), by striking ‘‘and’’ after the semi-
colon; 
(iii) in clause (ii), by inserting ‘‘and’’ after the 
semicolon; and 
(iv) by adding at the end the following: 
‘‘(iii) best practices identified in coordination with the 
Centers for Disease Control and Prevention, the National 
Institute on Aging, the Centers for Medicare & Medicaid 
Services, the Office of Lead Hazard Control and Healthy
H. R. 4334—11 
Homes of the Department of Housing and Urban Develop-
ment, and other Federal agencies, as appropriate, to reduce 
and prevent falls among older individuals, that incorporate 
evidence-based falls prevention programs and home modi-
fications, which recommendations shall supplement and 
not unnecessarily duplicate activities authorized under sec-
tion 393D of the Public Health Service Act (42 U.S.C. 
280b–1f), relating to safety of seniors;’’; 
(D) in subparagraph (C)— 
(i) by inserting ‘‘ways to’’ before ‘‘collect’’; 
(ii) by striking ‘‘older individuals and’’; and 
(iii) by striking ‘‘the individuals to ensure’’ and 
all that follows through ‘‘information’’ and inserting 
‘‘older individuals to ensure that such information is 
accessible’’; 
(E) in subparagraph (D), by striking ‘‘work with’’ and 
all that follows through ‘‘member agencies to ensure’’ and 
inserting ‘‘ways to ensure’’; 
(F) in subparagraph (E), by striking ‘‘seek input’’ and 
all that follows through ‘‘foundations’’ and inserting 
‘‘seeking input from and consulting with nonprofit organiza-
tions, academic or research institutions, community-based 
organizations, philanthropic organizations, or other entities 
supporting age-friendly communities’’; 
(G) in subparagraph (F), by striking ‘‘identify’’ and 
inserting ‘‘identifying’’; and 
(H) by amending subparagraph (G) to read as follows: 
‘‘(G) ways to improve coordination to provide housing, 
health care, and other supportive services to older individuals.’’; 
(4) in paragraph (7)(A)(i), by striking ‘‘services for older 
individuals’’ and inserting ‘‘services that impact older individ-
uals’’; and 
(5) by adding at the end the following: 
‘‘(9) In this subsection, the term ‘age-friendly community’ means 
a community that— 
‘‘(A) is taking measurable steps to— 
‘‘(i) include adequate and accessible housing, public 
spaces and buildings, safe and secure paths, variable route 
transportation 
services, 
and 
programs 
and 
services 
designed to support health and well-being; 
‘‘(ii) respect and include older individuals in social 
opportunities, 
civic 
participation, 
volunteerism, 
and 
employment; and 
‘‘(iii) facilitate access to supportive services for older 
individuals; 
‘‘(B) is not an assisted living facility or long-term care 
facility; and 
‘‘(C) has a plan in place to meet local needs for housing, 
transportation, civic participation, social connectedness, and 
accessible public spaces.’’. 
(c) ADMINISTRATION OF THE ACT.—Section 205(a)(2) (42 U.S.C. 
3016(a)(2)) is amended— 
(1) by redesignating subparagraph (C) as subparagraph 
(D); and 
(2) by inserting after subparagraph (B) the following: 
‘‘(C) The Assistant Secretary may provide technical assistance, 
including through the regional offices of the Administration, to
H. R. 4334—12 
State agencies, area agencies on aging, local government agencies, 
or leaders in age-friendly communities (as defined, for purposes 
of this subparagraph, in section 203(c)(9)) regarding— 
‘‘(i) dissemination of, or consideration of ways to implement, 
best practices and recommendations from the Interagency 
Coordinating Committee on Healthy Aging and Age-Friendly 
Communities established under section 203(c); and 
‘‘(ii) methods for managing and coordinating existing pro-
grams to meet the needs of growing age-friendly communities.’’. 
SEC. 125. PROFESSIONAL STANDARDS FOR A NUTRITION OFFICIAL 
UNDER THE ASSISTANT SECRETARY. 
Section 205(a)(2)(D)(ii) (42 U.S.C. 3016(a)(2)(D)(ii)), as redesig-
nated by section 124(c)(1), is amended to read as follows: 
‘‘(ii) be a registered dietitian or registered dietitian nutri-
tionist.’’. 
SEC. 126. REPORT ON SOCIAL ISOLATION. 
(a) PREPARATION OF REPORT.— 
(1) IN
GENERAL.—The Secretary shall, in carrying out 
activities under section 206(a) of the Older Americans Act of 
1965 (42 U.S.C. 3017(a)), prepare a report on programs author-
ized by such Act (42 U.S.C. 3001 et seq.), and supported or 
funded by the Administration on Aging, that include a focus 
on addressing the negative health effects associated with social 
isolation through targeting older individuals identified as being 
in greatest social need, as appropriate. 
(2) IMPACT.—Such report shall identify— 
(A) whether social isolation is being adequately 
addressed under such programs, including, to the extent 
practicable— 
(i) the prevalence of social isolation in rural areas 
and in urban areas; 
(ii) the negative public health effects associated 
with social isolation; and 
(iii) the role of preventive measures or of services, 
including nutrition services, in addressing the negative 
health effects associated with social isolation among 
older individuals; and 
(B) public awareness of and efforts to address the 
negative health effects associated with social isolation. 
(3) TYPES
OF
PROGRAMS.—Such report shall identify 
whether programs described in paragraph (1)— 
(A) support projects in local communities and involve 
diverse sectors associated with such communities to 
decrease the negative health effects associated with social 
isolation among older individuals and caregivers; 
(B) support outreach activities to screen older individ-
uals for negative health effects associated with social isola-
tion; and 
(C) include a focus on decreasing the negative health 
effects associated with social isolation. 
(4) RECOMMENDATIONS.—Such report shall, as appropriate, 
include recommendations for reducing the negative health 
effects associated with social isolation and to address any nega-
tive health effects identified under clauses (ii) and (iii) of 
subparagraph (A), and subparagraph (B), of paragraph (2). 
(b) SUBMISSION OF REPORT.—
H. R. 4334—13 
(1) INTERIM STATUS REPORT.—Not later than 2 years after 
the date of enactment of this Act, the Secretary shall submit 
an interim report, to the committees of the Senate and of 
the House of Representatives with jurisdiction over the Older 
Americans Act of 1965 (42 U.S.C. 3001 et seq.), and the Special 
Committee on Aging of the Senate, on the status of the evalua-
tion underway to develop the final report required under this 
section. 
(2) FINAL REPORT.—Not later than 5 years after the date 
of enactment of this Act, the Secretary shall submit a final 
report that meets the requirements of this section to the 
committees of the Senate and of the House of Representatives 
with jurisdiction over the Older Americans Act of 1965 (42 
U.S.C. 3001 et seq.), and the Special Committee on Aging 
of the Senate. 
SEC. 127. RESEARCH AND EVALUATION. 
(a) CENTER.—Section 201 (42 U.S.C. 3011) is amended by 
adding at the end the following: 
‘‘(g)(1) The Assistant Secretary shall, as appropriate, coordinate 
the research and evaluation functions of this Act under a Research, 
Demonstration, and Evaluation Center for the Aging Network (in 
this subsection referred to as the ‘Center’), which shall be headed 
by a director designated by the Assistant Secretary from individuals 
described in paragraph (4). 
‘‘(2) The purpose of the Center shall be— 
‘‘(A) to coordinate, as appropriate, research, research 
dissemination, evaluation, demonstration projects, and related 
activities carried out under this Act; 
‘‘(B) to provide assessment of the programs and interven-
tions authorized under this Act; and 
‘‘(C) to increase the repository of information on evidence- 
based programs and interventions available to the aging net-
work, which information shall be applicable to existing pro-
grams and interventions and help in the development of new 
evidence-based programs and interventions. 
‘‘(3) Activities of the Center shall include, as appropriate, con-
ducting, promoting, coordinating, and providing support for— 
‘‘(A) research and evaluation activities that support the 
objectives of this Act, including— 
‘‘(i) evaluation of new and existing programs and inter-
ventions authorized by this Act; and 
‘‘(ii) research on and assessment of the relationship 
between programs and interventions under this Act and 
the health outcomes, social determinants of health, quality 
of life, and independence of individuals served under this 
Act; 
‘‘(B) demonstration projects that support the objectives of 
this Act, including activities to bring effective demonstration 
projects to scale with a prioritization of projects that address 
the needs of underserved populations, and promote partner-
ships among aging services, community-based organizations, 
and Medicare and Medicaid providers, plans, and health 
(including public health) systems; 
‘‘(C) outreach and dissemination of research findings; and 
‘‘(D) technical assistance related to the activities described 
in this paragraph.
H. R. 4334—14 
‘‘(4) The director shall be an individual with substantial knowl-
edge of and experience in aging and health policy, and research 
administration. 
‘‘(5) Not later than October 1, 2020, and at 5-year intervals 
thereafter, the director shall prepare and publish in the Federal 
Register for public comment a draft of a 5-year plan that— 
‘‘(A) outlines priorities for research, research dissemination, 
evaluation, demonstration projects, and related activities; 
‘‘(B) explains the basis for such priorities; and 
‘‘(C) describes how the plan will meet the needs of under-
served populations. 
‘‘(6) The director shall coordinate, as appropriate, research, 
research dissemination, evaluation, and demonstration projects, and 
related activities with appropriate agency program staff, and, as 
appropriate, with other Federal departments and agencies involved 
in research in the field of aging. 
‘‘(7) Not later than December 31, 2020, and annually thereafter, 
the director shall prepare, and submit to the Secretary, the Com-
mittee on Health, Education, Labor, and Pensions of the Senate, 
the Special Committee on Aging of the Senate, and the Committee 
on Education and Labor of the House of Representatives, a report 
on the activities funded under this section and title IV. 
‘‘(8) The director shall, as appropriate, consult with experts 
on aging research and evaluation and aging network stakeholders 
on the implementation of the activities described under paragraph 
(3) of this subsection. 
‘‘(9) The director shall coordinate, as appropriate, all research 
and evaluation authorities under this Act.’’. 
(b) EVALUATION.—Section 206 (42 U.S.C. 3017) is amended— 
(1) by redesignating subsections (b) through (g) as sub-
sections (c) through (h), respectively; and 
(2) by inserting after subsection (a) the following: 
‘‘(b) Not later than July 1, 2020, the Secretary shall provide, 
directly or through grant or contract, for an evaluation of programs 
under this Act, which shall include, to the extent practicable, an 
analysis of the relationship of such programs, including demonstra-
tion projects under title IV of this Act, to health care expenditures 
under the Medicare program established under title XVIII of the 
Social Security Act (42 U.S.C. 1395 et seq.) and the Medicaid 
program established under title XIX of the Social Security Act 
(42 U.S.C. 1396 et seq.). The Secretary shall oversee analyses 
of data obtained in connection with program evaluation to evaluate, 
where feasible, the relationship of programs under this Act to 
health care expenditures, including under the Medicare and Med-
icaid programs.’’. 
(c) REPORT ON HEALTH CARE EXPENDITURES.—Section 207 (42 
U.S.C. 3018) is amended by adding at the end the following: 
‘‘(d) The Assistant Secretary shall provide the evaluation 
required under section 206(b) to— 
‘‘(1) the Committee on Health, Education, Labor, and Pen-
sions of the Senate; 
‘‘(2) the Committee on Appropriations of the Senate; 
‘‘(3) the Special Committee on Aging of the Senate; 
‘‘(4) the Committee on Education and Labor of the House 
of Representatives; and 
‘‘(5) the Committee on Appropriations of the House of Rep-
resentatives.’’.
H. R. 4334—15 
TITLE 
II—IMPROVING 
GRANTS 
FOR 
STATE AND COMMUNITY PROGRAMS 
ON AGING 
SEC. 201. SOCIAL DETERMINANTS OF HEALTH. 
Section 301(a)(1) (42 U.S.C. 3021(a)(1)) is amended— 
(1) in subparagraph (C), by striking ‘‘and’’ at the end; 
(2) in subparagraph (D), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(E) measure impacts related to social determinants 
of health of older individuals.’’. 
SEC. 202. YOUNGER ONSET ALZHEIMER’S DISEASE. 
The Act (42 U.S.C. 3001 et seq.) is amended— 
(1) in section 302(3) (42 U.S.C. 3022(3)), by inserting ‘‘of 
any age’’ after ‘‘an individual’’; and 
(2) in section 711(6) (42 U.S.C. 3058f(6)), by inserting ‘‘of 
any age’’ after ‘‘individual’’. 
SEC. 203. REAUTHORIZATION. 
(a) GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING.— 
Subsections (a) through (e) of section 303 (42 U.S.C. 3023) are 
amended to read as follows: 
‘‘(a)(1) There are authorized to be appropriated to carry out 
part B (relating to supportive services) $412,029,180 for fiscal year 
2020, $436,750,931 for fiscal year 2021, $462,955,987 for fiscal 
year 2022, $490,733,346 for fiscal year 2023, and $520,177,347 
for fiscal year 2024. 
‘‘(2) Funds appropriated under paragraph (1) shall be available 
to carry out section 712. 
‘‘(b)(1) There are authorized to be appropriated to carry out 
subpart 1 of part C (relating to congregate nutrition services) 
$530,015,940 for fiscal year 2020, $561,816,896 for fiscal year 2021, 
$595,525,910 for fiscal year 2022, $631,257,465 for fiscal year 2023, 
and $669,132,913 for fiscal year 2024. 
‘‘(2) There are authorized to be appropriated to carry out sub-
part 2 of part C (relating to home delivered nutrition services) 
$268,935,940 for fiscal year 2020, $285,072,096 for fiscal year 2021, 
$302,176,422 for fiscal year 2022, $320,307,008 for fiscal year 2023, 
and $339,525,428 for fiscal year 2024. 
‘‘(c) Grants made under part B, and subparts 1 and 2 of part 
C, of this title may be used for paying part of the cost of— 
‘‘(1) the administration of area plans by area agencies 
on aging designated under section 305(a)(2)(A), including the 
preparation of area plans on aging consistent with section 
306 and the evaluation of activities carried out under such 
plans; and 
‘‘(2) the development of comprehensive and coordinated 
systems for supportive services, and congregate and home deliv-
ered nutrition services under subparts 1 and 2 of part C, 
the development and operation of multipurpose senior centers, 
and the delivery of legal assistance. 
‘‘(d) There are authorized to be appropriated to carry out part 
D (relating to disease prevention and health promotion services)
H. R. 4334—16 
$26,587,360 for fiscal year 2020, $28,182,602 for fiscal year 2021, 
$29,873,558 for fiscal year 2022, $31,665,971 for fiscal year 2023, 
and $33,565,929 for fiscal year 2024. 
‘‘(e) There are authorized to be appropriated to carry out part 
E (relating to family caregiver support) $193,869,020 for fiscal 
year 2020, $205,501,161 for fiscal year 2021, $217,831,231 for fiscal 
year 2022, $230,901,105 for fiscal year 2023, and $244,755,171 
for fiscal year 2024.’’. 
(b) NUTRITION SERVICES INCENTIVE PROGRAM.—Section 311(e) 
(42 U.S.C. 3030a(e)) is amended to read as follows: 
‘‘(e) There are authorized to be appropriated to carry out this 
section (other than subsection (c)(1)) $171,273,830 for fiscal year 
2020, $181,550,260 for fiscal year 2021, $192,443,275 for fiscal 
year 2022, $203,989,872 for fiscal year 2023, and $216,229,264 
for fiscal year 2024.’’. 
SEC. 204. HOLD HARMLESS FORMULA. 
(a) IN GENERAL.—Section 304(a)(3)(D) (42 U.S.C. 3024(a)(3)(D)) 
is amended to read as follows: 
‘‘(D)(i) In this subparagraph and paragraph (5)— 
‘‘(I) the term ‘allot’ means allot under this sub-
section from a sum appropriated under section 303(a) 
or 303(b)(1), as the case may be; and 
‘‘(II) the term ‘covered fiscal year’ means any of 
fiscal years 2020 through 2029. 
‘‘(ii) If the sum appropriated under section 303(a) or 
303(b)(1) for a particular covered fiscal year is less than 
or equal to the sum appropriated under section 303(a) 
or 303(b)(1), respectively, for fiscal year 2019, amounts 
shall be allotted to States from the sum appropriated for 
the particular year in accordance with paragraphs (1) and 
(2), and subparagraphs (A) through (C) as applicable, but 
no State shall be allotted an amount that is less than— 
‘‘(I) for fiscal year 2020, 99.75 percent of the State’s 
allotment from the corresponding sum appropriated 
for fiscal year 2019; 
‘‘(II) for fiscal year 2021, 99.50 percent of that 
allotment; 
‘‘(III) for fiscal year 2022, 99.25 percent of that 
allotment; 
‘‘(IV) for fiscal year 2023, 99.00 percent of that 
allotment; 
‘‘(V) for fiscal year 2024, 98.75 percent of that 
allotment; 
‘‘(VI) for fiscal year 2025, 98.50 percent of that 
allotment; 
‘‘(VII) for fiscal year 2026, 98.25 percent of that 
allotment; 
‘‘(VIII) for fiscal year 2027, 98.00 percent of that 
allotment; 
‘‘(IX) for fiscal year 2028, 97.75 percent of that 
allotment; and 
‘‘(X) for fiscal year 2029, 97.50 percent of that 
allotment. 
‘‘(iii) If the sum appropriated under section 303(a) or 
303(b)(1) for a particular covered fiscal year is greater 
than the sum appropriated under section 303(a) or
H. R. 4334—17 
303(b)(1), respectively, for fiscal year 2019, the allotments 
to States from the sum appropriated for the particular 
year shall be calculated as follows: 
‘‘(I) From the portion equal to the corresponding 
sum appropriated for fiscal year 2019, amounts shall 
be allotted in accordance with paragraphs (1) and (2), 
and subparagraphs (A) through (C) as applicable, but 
no State shall be allotted an amount that is less than 
the percentage specified in clause (ii), for that par-
ticular year, of the State’s allotment from the cor-
responding sum appropriated for fiscal year 2019. 
‘‘(II) From the remainder, amounts shall be allotted 
in accordance with paragraph (1), subparagraphs (A) 
through (C) as applicable, and paragraph (2) to the 
extent needed to meet the requirements of those sub-
paragraphs.’’. 
(b) REPEAL.—Section 304(a)(3)(D) (42 U.S.C. 3024(a)(3)(D)) is 
repealed, effective October 1, 2029. 
(c) CONFORMING AMENDMENT.—Section 304(a)(5) (42 U.S.C. 
3024(a)(5)) is amended by striking ‘‘of the prior year’’ and inserting 
‘‘as required by paragraph (3)’’. 
SEC. 205. OUTREACH EFFORTS. 
Section 306(a)(4)(B) (42 U.S.C. 3026(a)(4)(B)) is amended— 
(1) in clause (i)(VII), by inserting ‘‘, specifically including 
survivors of the Holocaust’’ after ‘‘placement’’; and 
(2) in clause (ii), by striking ‘‘(VI)’’ and inserting ‘‘(VII)’’. 
SEC. 206. STATE LONG-TERM CARE OMBUDSMAN PROGRAM MINIMUM 
FUNDING AND MAINTENANCE OF EFFORT. 
The Act (42 U.S.C. 3001 et seq.) is amended— 
(1) by amending section 306(a)(9) (42 U.S.C. 3026(a)(9)) 
to read as follows: 
‘‘(9) provide assurances that— 
‘‘(A) the area agency on aging, in carrying out the 
State Long-Term Care Ombudsman program under section 
307(a)(9), will expend not less than the total amount of 
funds appropriated under this Act and expended by the 
agency in fiscal year 2019 in carrying out such a program 
under this title; and 
‘‘(B) funds made available to the area agency on aging 
pursuant to section 712 shall be used to supplement and 
not supplant other Federal, State, and local funds expended 
to support activities described in section 712;’’; and 
(2) by amending section 307(a)(9) (42 U.S.C. 3027(a)(9)) 
to read as follows: 
‘‘(9) The plan shall provide assurances that— 
‘‘(A) the State agency will carry out, through the Office 
of the State Long-Term Care Ombudsman, a State Long- 
Term Care Ombudsman program in accordance with sec-
tion 712 and this title, and will expend for such purpose 
an amount that is not less than the amount expended 
by the State agency with funds received under this title 
for fiscal year 2019, and an amount that is not less than 
the amount expended by the State agency with funds 
received under title VII for fiscal year 2019; and 
‘‘(B) funds made available to the State agency pursuant 
to section 712 shall be used to supplement and not supplant
H. R. 4334—18 
other Federal, State, and local funds expended to support 
activities described in section 712.’’. 
SEC. 207. COORDINATION WITH RESOURCE CENTERS. 
(a) AREA
PLANS.—Section 306(a) (42 U.S.C. 3026(a)) is 
amended— 
(1) in paragraph (16), by striking ‘‘and’’ at the end; 
(2) in paragraph (17), by striking the period at the end 
and inserting a semicolon; and 
(3) by adding at the end the following: 
‘‘(18) provide assurances that the area agency on aging 
will collect data to determine— 
‘‘(A) the services that are needed by older individuals 
whose needs were the focus of all centers funded under 
title IV in fiscal year 2019; and 
‘‘(B) the effectiveness of the programs, policies, and 
services provided by such area agency on aging in assisting 
such individuals; and 
‘‘(19) provide assurances that the area agency on aging 
will use outreach efforts that will identify individuals eligible 
for assistance under this Act, with special emphasis on those 
individuals whose needs were the focus of all centers funded 
under title IV in fiscal year 2019.’’. 
(b) STATE
PLANS.—Section 307(a) (42 U.S.C. 3027(a)), as 
amended by section 118(c), is further amended by adding at the 
end the following: 
‘‘(30) The plan shall contain an assurance that the State 
shall prepare and submit to the Assistant Secretary annual 
reports that describe— 
‘‘(A) data collected to determine the services that are 
needed by older individuals whose needs were the focus 
of all centers funded under title IV in fiscal year 2019; 
‘‘(B) data collected to determine the effectiveness of 
the programs, policies, and services provided by area agen-
cies on aging in assisting such individuals; and 
‘‘(C) outreach efforts and other activities carried out 
to satisfy the assurances described in paragraphs (18) and 
(19) of section 306(a).’’. 
SEC. 208. SENIOR LEGAL HOTLINES. 
Not later than 4 years after the date of enactment of this 
Act, the Assistant Secretary shall prepare and submit to Congress 
a report containing— 
(1) information on which States or localities operate senior 
legal hotlines; 
(2) information on how such hotlines operated by States 
or localities are funded; 
(3) information on the usefulness of senior legal hotlines 
in the coordination and provision of legal assistance; and 
(4) recommendations on additional actions that should be 
taken related to senior legal hotlines. 
SEC. 209. INCREASE IN LIMIT ON USE OF ALLOTTED FUNDS FOR STATE 
ADMINISTRATIVE COSTS. 
Section 308 (42 U.S.C. 3028) is amended— 
(1) in subsection (a), in paragraphs (1) and (2), by striking 
‘‘subsection (b)(1)’’ and inserting ‘‘subsection (b)’’; and 
(2) in subsection (b)—
H. R. 4334—19 
(A) in each of paragraphs (1) and (2)— 
(i) in subparagraph (A)— 
(I) by striking ‘‘clause (ii)’’ and inserting 
‘‘subparagraph (B)’’; and 
(II) by striking ‘‘greater of’’ and all that follows 
through ‘‘or’’ and inserting the following: ‘‘greater 
of— 
‘‘(i) 5 percent of the total amount of the allotments 
made to a State under sections 304(a)(1) and 373(f); 
or 
‘‘(ii)’’; and 
(ii) in subparagraph (B), by striking ‘‘such allot-
ment’’ and inserting ‘‘such total amount’’; and 
(B) in paragraph (2)(A), by striking ‘‘$500,000’’ and 
inserting ‘‘$750,000’’. 
SEC. 210. IMPROVEMENTS TO NUTRITION PROGRAMS. 
Section 308(b)(4) (42 U.S.C. 3028(b)(4)) is amended by adding 
at the end the following: 
‘‘(D) The State, in consultation with area agencies on aging, 
shall ensure the process used by the State in transferring funds 
under this paragraph (including requirements relating to the 
authority and timing of such transfers) is simplified and clarified 
to reduce administrative barriers and direct limited resources to 
the greatest nutrition service needs at the community level. Such 
process shall be modified to attempt to lessen the administrative 
barriers of such transfers, and help direct limited resources to 
where they are needed the most as the unmet need for nutrition 
services grows.’’. 
SEC. 211. REVIEW OF REPORTS. 
Section 308(b) (42 U.S.C. 3028(b)) is amended by adding at 
the end the following: 
‘‘(8) The Assistant Secretary shall review the reports submitted 
under section 307(a)(30) and include aggregate data in the report 
required by section 207(a), including data on— 
‘‘(A) the effectiveness of the programs, policies, and services 
provided by area agencies on aging in assisting older individuals 
whose needs were the focus of all centers funded under title 
IV in fiscal year 2019; and 
‘‘(B) outreach efforts and other activities carried out to 
satisfy the assurances described in paragraphs (18) and (19) 
of section 306(a), to identify such older individuals and their 
service needs.’’. 
SEC. 212. OTHER PRACTICES. 
Section 315 (42 U.S.C. 3030c–2) is amended by adding at the 
end the following: 
‘‘(e) RESPONSE TO AREA AGENCIES ON AGING.— 
‘‘(1) IN GENERAL.—Upon request from an area agency on 
aging, the State shall make available any policies or guidance 
pertaining to policies established under this section. 
‘‘(2) RULE OF CONSTRUCTION.—Nothing in paragraph (1) 
shall require a State to develop policies or guidance pertaining 
to policies established under this section.’’.
H. R. 4334—20 
SEC. 213. SCREENING FOR NEGATIVE HEALTH EFFECTS ASSOCIATED 
WITH SOCIAL ISOLATION AND TRAUMATIC BRAIN INJURY. 
Section 321(a)(8) (42 U.S.C. 3030d(a)(8)) is amended— 
(1) by striking ‘‘screening and’’ and inserting ‘‘screening, 
screening for negative health effects associated with social isola-
tion,’’; and 
(2) by inserting ‘‘, and traumatic brain injury screening’’ 
after ‘‘falls prevention services screening’’. 
SEC. 214. SUPPORTIVE SERVICES AND SENIOR CENTERS. 
(a) IN
GENERAL.—Section 321(a) (42 U.S.C. 3030d(a)) is 
amended— 
(1) in paragraph (24), by striking ‘‘and’’ at the end; 
(2) by redesignating paragraph (25) as paragraph (26); 
and 
(3) by inserting after paragraph (24) the following: 
‘‘(25) services that promote or support social connectedness 
and reduce negative health effects associated with social isola-
tion; and’’. 
(b) 
SUPPORTIVE
SERVICES.—Section 
321(a)(7) 
(42 
U.S.C. 
3030d(a)(7)) 
is 
amended 
by 
inserting 
‘‘cultural 
experiences 
(including the arts),’’ after ‘‘art therapy,’’. 
SEC. 215. CULTURALLY APPROPRIATE, MEDICALLY TAILORED MEALS. 
Section 339(2)(A)(iii) (42 U.S.C. 3030g–21(2)(A)(iii)) is amended 
by inserting ‘‘, including meals adjusted for cultural considerations 
and preferences and medically tailored meals’’ before the comma 
at the end. 
SEC. 216. NUTRITION SERVICES STUDY. 
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. 339B. NUTRITION SERVICES IMPACT STUDY. 
‘‘(a) STUDY.— 
‘‘(1) IN GENERAL.—The Assistant Secretary shall perform 
a study to assess how to measure and evaluate the discrepancy 
between available services and the demand for such services 
in the home delivered nutrition services program and the con-
gregate nutrition services program under this part, which shall 
include assessing various methods (such as those that States 
use) to measure and evaluate the discrepancy (such as measure-
ment through the length of waitlists). 
‘‘(2) CONTENTS.—In performing the study, the Assistant 
Secretary shall— 
‘‘(A) consider means of obtaining information in rural 
and underserved communities; and 
‘‘(B) consider using existing tools (existing as of the 
date the Assistant Secretary begins the study) such as 
the tools developed through the Performance Outcome 
Measurement Project. 
‘‘(3) ANALYSIS.—The Assistant Secretary shall analyze and 
determine which methods are the least burdensome and most 
effective for measuring and evaluating the discrepancy 
described in paragraph (1). 
‘‘(b) RECOMMENDATIONS.—
H. R. 4334—21 
‘‘(1) PREPARATION.—Not later than 3 years after the date 
of enactment of the Supporting Older Americans Act of 2020, 
the Assistant Secretary shall prepare recommendations— 
‘‘(A) on how to measure and evaluate, with the least 
burden and the most effectiveness, the discrepancy 
described in subsection (a)(1) (such as measurement 
through the length of waitlists); and 
‘‘(B) about whether studies similar to the study 
described in subsection (a) should be carried out for pro-
grams carried out under this Act, other than this part. 
‘‘(2) ISSUANCE.—The Assistant Secretary shall issue the 
recommendations, and make the recommendations available 
as a notification pursuant to section 202(a)(34) and to the 
committees of the Senate and of the House of Representatives 
with jurisdiction over this Act, and the Special Committee 
on Aging of the Senate.’’. 
SEC. 217. NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM. 
(a) DEFINITIONS FOR NATIONAL FAMILY CAREGIVER SUPPORT 
PROGRAM.—Section 372(a) (42 U.S.C. 3030s(a)) is amended— 
(1) by redesignating paragraphs (1) through (3) as para-
graphs (2) through (4), respectively; and 
(2) by inserting before paragraph (2), as so redesignated, 
the following: 
‘‘(1) CAREGIVER ASSESSMENT.—The term ‘caregiver assess-
ment’ means a defined process of gathering information to 
identify the specific needs, barriers to carrying out caregiving 
responsibilities, and existing supports of a family caregiver 
or older relative caregiver, as identified by the caregiver 
involved, to appropriately target recommendations for support 
services described in section 373(b). Such assessment shall 
be administered through direct contact with the caregiver, 
which may include contact through a home visit, the Internet, 
telephone or teleconference, or in-person interaction.’’. 
(b) GENERAL AUTHORITY.—Section 373 (42 U.S.C. 3030s–1) is 
amended— 
(1) in subsection (b), in the matter preceding paragraph 
(1), by inserting ‘‘which may be informed through the use 
of caregiver assessments,’’ after ‘‘provided,’’; 
(2) in subsection (e)(3), in the first sentence, by inserting 
‘‘, including caregiver assessments used in the State,’’ after 
‘‘mechanisms’’; 
(3) by redesignating subsections (e) through (g) as sub-
sections (f) through (h), respectively; 
(4) by inserting after subsection (d) the following: 
‘‘(e) BEST PRACTICES.—Not later than 1 year after the date 
of enactment of the Supporting Older Americans Act of 2020 and 
every 5 years thereafter, the Assistant Secretary shall— 
‘‘(1) identify best practices relating to the programs carried 
out under this section and section 631, regarding— 
‘‘(A) the use of procedures and tools to monitor and 
evaluate the performance of the programs carried out under 
such sections; 
‘‘(B) the use of evidence-based caregiver support serv-
ices; and 
‘‘(C) any other issue determined relevant by the Assist-
ant Secretary; and
H. R. 4334—22 
‘‘(2) make available, including on the website of the 
Administration and pursuant to section 202(a)(34), best prac-
tices described in paragraph (1), to carry out the programs 
under this section and section 631.’’; and 
(5) by adding at the end the following: 
‘‘(i) ACTIVITIES OF NATIONAL SIGNIFICANCE.—The Assistant Sec-
retary may award funds authorized under this section to States, 
public agencies, private nonprofit agencies, institutions of higher 
education, and organizations, including tribal organizations, for con-
ducting activities of national significance that— 
‘‘(1) promote quality and continuous improvement in the 
support provided to family caregivers and older relative care-
givers through programs carried out under this section and 
section 631; and 
‘‘(2) include, with respect to such programs, program 
evaluation, training, technical assistance, and research. 
‘‘(j) TECHNICAL ASSISTANCE FOR CAREGIVER ASSESSMENTS.—Not 
later than 1 year after the date of enactment of the Supporting 
Older Americans Act of 2020, the Assistant Secretary, in consulta-
tion with stakeholders with appropriate expertise and, as appro-
priate, informed by the strategy developed under the RAISE Family 
Caregivers Act (42 U.S.C. 3030s note), shall provide technical assist-
ance to promote and implement the use of caregiver assessments. 
Such technical assistance may include sharing available tools or 
templates, comprehensive assessment protocols, and best practices 
concerning— 
‘‘(1) conducting caregiver assessments (including reassess-
ments) as needed; 
‘‘(2) implementing such assessments that are consistent 
across a planning and service area, as appropriate; and 
‘‘(3) 
implementing 
caregiver 
support 
service 
plans, 
including conducting referrals to and coordination of activities 
with relevant State services.’’. 
(c) REPORT ON CAREGIVER ASSESSMENTS.— 
(1) IN GENERAL.—Not later than 3 years after the date 
of enactment of this Act, the Assistant Secretary shall issue 
a report on the use of caregiver assessments by area agencies 
on aging, entities contracting with such agencies, and tribal 
organizations. Such report shall include— 
(A) an analysis of the current use of caregiver assess-
ments, as of the date of the report; 
(B) an analysis of the potential impact of caregiver 
assessments on— 
(i) family caregivers and older relative caregivers; 
and 
(ii) the older individuals to whom the caregivers 
described in clause (i) provide care; 
(C) an analysis of the potential impact of using care-
giver assessments on the aging network; 
(D) an analysis of how caregiver assessments are being 
used to identify the specific needs, barriers to carrying 
out caregiving responsibilities, and existing supports of 
family caregivers and older relative caregivers, with par-
ticular consideration to supporting— 
(i) a caregiver specified in this subparagraph who 
is caring for individuals with disabilities, or, if appro-
priate, with a serious illness; and
H. R. 4334—23 
(ii) caregivers with disabilities; 
(E) recommendations for furthering the use of caregiver 
assessments, as appropriate, including in rural or under-
served areas; and 
(F) recommendations for assisting State agencies and 
area agencies on aging, particularly in rural or underserved 
areas, in implementing the use of caregiver assessments. 
(2) SUBMISSION.—Not later than 6 months after the 
issuance of the report specified in paragraph (1), the Assistant 
Secretary shall submit the report to the committees of the 
Senate and the House of Representatives with jurisdiction over 
this Act, and the Special Committee on Aging of the Senate. 
(3) DEFINITIONS.—In this subsection— 
(A) the terms ‘‘caregiver assessment’’ and ‘‘older rel-
ative caregiver’’ have the meanings given such terms in 
section 372(a) of the Older Americans Act of 1965 (42 
U.S.C. 3030s(a)); 
(B) the term ‘‘family caregiver’’ has the meaning given 
the term in section 302 of such Act (42 U.S.C. 3022); 
and 
(C) the terms ‘‘State agency’’ and ‘‘tribal organization’’ 
have the meanings given the terms in section 102 of such 
Act (42 U.S.C. 3002). 
(d) CONFORMING AMENDMENT.—Section 631(b) of such Act (42 
U.S.C. 3057k–11(b)) is amended by striking ‘‘(c), (d), and (e)’’ and 
inserting ‘‘(c), (d), and (f)’’. 
SEC. 218. NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM CAP. 
(a) FEDERAL SHARE.—Subsection (h)(2), as redesignated by sec-
tion 217(b)(3) of this Act, of section 373 (42 U.S.C. 3030s–1) is 
amended by striking subparagraph (C). 
(b) MONITORING THE IMPACT OF THE ELIMINATION OF THE CAP 
ON FUNDS FOR OLDER RELATIVE CAREGIVERS.— 
(1) REPORT.—Not later than 18 months after the date of 
enactment of this Act, and annually thereafter, the Assistant 
Secretary shall submit to the Committee on Health, Education, 
Labor, and Pensions of the Senate and the Committee on Edu-
cation and Labor of the House of Representatives a report 
on the impact of the amendment made by subsection (a) to 
eliminate the limitation on funds that States may allocate 
to provide support services to older relative caregivers in the 
National Family Caregiver Support Program established under 
part E of title III of the Older Americans Act of 1965 (42 
U.S.C. 3030s et seq.). Each such report shall also be made 
available to the public. 
(2) CONTENTS.—For purposes of reports required by para-
graph (1), each State that receives an allotment under such 
National Family Caregiver Support Program for fiscal year 
2020 or a subsequent fiscal year shall report to the Assistant 
Secretary for the fiscal year involved the amount of funds 
of the total Federal and non-Federal shares described in section 
373(h)(2) of the Older Americans Act of 1965 (42 U.S.C. 3030s– 
1(h)(2)) used by the State to provide support services for older 
relative caregivers and the amount of such funds so used for 
family caregivers.
H. R. 4334—24 
TITLE 
III—MODERNIZING 
ACTIVITIES 
FOR HEALTH, INDEPENDENCE, AND 
LONGEVITY 
SEC. 301. REAUTHORIZATION. 
Section 411(b) (42 U.S.C. 3032(b)) is amended to read as follows: 
‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—There are authorized 
to be appropriated to carry out— 
‘‘(1) aging network support activities under this section, 
$14,514,550 for fiscal year 2020, $15,385,423 for fiscal year 
2021, $16,308,548 for fiscal year 2022, $17,287,061 for fiscal 
year 2023, and $18,324,285 for fiscal year 2024; and 
‘‘(2) elder rights support activities under this section, 
$15,613,440 for fiscal year 2020, $16,550,246 for fiscal year 
2021, $17,543,261 for fiscal year 2022, $18,595,857 for fiscal 
year 2023, and $19,711,608 for fiscal year 2024.’’. 
SEC. 302. PUBLIC AWARENESS OF TRAUMATIC BRAIN INJURY. 
Section 411(a)(12) (42 U.S.C. 3032(a)(12)) is amended— 
(1) by striking ‘‘impairments’’ and inserting ‘‘impairments,’’; 
and 
(2) by striking ‘‘, and mental disorders’’ and inserting ‘‘, 
mental disorders, and traumatic brain injury’’. 
SEC. 303. FALLS PREVENTION AND CHRONIC DISEASE SELF-MANAGE-
MENT EDUCATION. 
Section 411(a) (42 U.S.C. 3032(a)), as amended by sections 
119 and 120, is further amended— 
(1) by redesignating paragraphs (15) and (16) as paragraphs 
(17) and (18), respectively; and 
(2) by inserting after paragraph (14) the following: 
‘‘(15) bringing to scale and sustaining evidence-based falls 
prevention programs that will reduce the number of falls, fear 
of falling, and fall-related injuries in older individuals, including 
older individuals with disabilities; 
‘‘(16) bringing to scale and sustaining evidence-based 
chronic disease self-management programs that empower older 
individuals, including older individuals with disabilities, to 
better manage their chronic conditions;’’. 
SEC. 304. DEMONSTRATION TO ADDRESS NEGATIVE HEALTH IMPACTS 
ASSOCIATED WITH SOCIAL ISOLATION. 
Section 411(a) (42 U.S.C. 3032(a)), as amended by sections 
119, 120, and 303, is further amended— 
(1) in paragraph (17), by striking ‘‘; and’’ and inserting 
a semicolon; 
(2) by redesignating paragraph (18) as paragraph (19); 
and 
(3) by inserting after paragraph (17), the following: 
‘‘(18) projects that address negative health effects associ-
ated with social isolation among older individuals; and’’. 
SEC. 305. TECHNICAL ASSISTANCE AND INNOVATION TO IMPROVE 
TRANSPORTATION FOR OLDER INDIVIDUALS. 
Section 416(b)(2) (42 U.S.C. 3032e(b)(2)) is amended—
H. R. 4334—25 
(1) in subparagraph (B), by inserting before the semicolon 
‘‘, call center, website or Internet-based portal, mobile applica-
tion, or other technological tools’’; 
(2) in subparagraph (C), by striking ‘‘; and’’ and inserting 
a semicolon; 
(3) by redesignating subparagraph (D) as subparagraph 
(G); and 
(4) by inserting after subparagraph (C) the following: 
‘‘(D)(i) improving the aggregation, availability, and 
accessibility of information on options for transportation 
services for older individuals, including information on 
public transit, on-demand transportation services, volun-
teer-based transportation services, and other private 
transportation providers; and 
‘‘(ii) providing older individuals with the ability to 
schedule trips both in advance and on demand, as appro-
priate; 
‘‘(E) identifying opportunities to share resources and 
reduce costs of transportation services for older individuals; 
‘‘(F) 
coordinating 
individualized 
trip 
planning 
responses to requests from older individuals for transpor-
tation services; and’’. 
SEC. 306. GRANT PROGRAM FOR MULTIGENERATIONAL COLLABORA-
TION. 
Section 417 (42 U.S.C. 3032f) is amended— 
(1) by amending subsection (a) to read as follows: 
‘‘(a) GRANTS AND CONTRACTS.—The Assistant Secretary shall 
award grants to and enter into contracts with eligible organizations 
to carry out projects, serving individuals in younger generations 
and older individuals, to— 
‘‘(1) provide opportunities for older individuals to partici-
pate in multigenerational activities and civic engagement activi-
ties that contribute to the health and wellness of older individ-
uals and individuals in younger generations by promoting— 
‘‘(A) meaningful roles for participants; 
‘‘(B) reciprocity in relationship building; 
‘‘(C) reduced social isolation and improved participant 
social connectedness; 
‘‘(D) improved economic well-being for older individ-
uals; 
‘‘(E) increased lifelong learning; or 
‘‘(F) support for caregivers of families by— 
‘‘(i) providing support for older relative caregivers 
(as defined in section 372(a)) raising children (such 
as support for kinship navigator programs); or 
‘‘(ii) involving 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; 
‘‘(2) coordinate multigenerational activities and civic 
engagement activities, including multigenerational nutrition 
and meal service programs; 
‘‘(3) 
promote 
volunteerism, 
including 
by 
providing 
opportunities for older individuals to become a mentor to 
individuals in younger generations; and