H. R. 6197—10
term support, including selecting, budgeting for, and pur-
chasing home and community-based long-term care and 
supportive services; 
‘‘(5) provide for the Administration to play a lead role 
with respect to issues concerning home and community-based 
long-term care, including—
‘‘(A) directing (as the Secretary or the President deter-
mines to be appropriate) or otherwise participating in 
departmental and interdepartmental activities concerning 
long-term care; 
‘‘(B) reviewing and commenting on departmental rules, 
regulations, and policies related to providing long-term 
care; and 
‘‘(C) making recommendations to the Secretary with 
respect to home and community-based long-term care, 
including recommendations based on findings made 
through projects conducted under paragraph (2); 
‘‘(6) promote, in coordination with other appropriate Fed-
eral agencies—
‘‘(A) enhanced awareness by the public of the impor-
tance of planning in advance for long-term care; and 
‘‘(B) the availability of information and resources to 
assist in such planning; 
‘‘(7) ensure access to, and the dissemination of, information 
about all long-term care options and service providers, including 
the availability of integrated long-term care; 
‘‘(8) implement in all States Aging and Disability Resource 
Centers—
‘‘(A) to serve as visible and trusted sources of informa-
tion on the full range of long-term care options, including 
both institutional and home and community-based care, 
which are available in the community; 
‘‘(B) to provide personalized and consumer-friendly 
assistance to empower individuals to make informed 
decisions about their care options; 
‘‘(C) to provide coordinated and streamlined access to 
all publicly supported long-term care options so that con-
sumers can obtain the care they need through a single 
intake, assessment, and eligibility determination process; 
‘‘(D) to help individuals to plan ahead for their future 
long-term care needs; and 
‘‘(E) to assist (in coordination with the entities carrying 
out the health insurance information, counseling, and 
assistance program (receiving funding under section 4360 
of the Omnibus Budget Reconciliation Act of 1990 (42 
U.S.C. 1395b–4)) in the States) beneficiaries, and prospec-
tive beneficiaries, under the Medicare program established 
under title XVIII of the Social Security Act (42 U.S.C. 
1395 et seq.) in understanding and accessing prescription 
drug and preventative health benefits under the provisions 
of, and amendments made by, the Medicare Prescription 
Drug, Improvement, and Modernization Act of 2003; 
‘‘(9) establish, either directly or through grants or contracts, 
national technical assistance programs to assist State agencies, 
area agencies on aging, and community-based service providers 
funded under this Act in implementing—
H. R. 6197—11
‘‘(A) home and community-based long-term care sys-
tems, including evidence-based programs; and 
‘‘(B) evidence-based disease prevention and health pro-
motion services programs; 
‘‘(10) develop, in collaboration with the Administrator of 
the Centers for Medicare & Medicaid Services, performance 
standards and measures for use by States to determine the 
extent to which their State systems of long-term care fulfill 
the objectives described in this subsection; and 
‘‘(11) conduct such other activities as the Assistant Sec-
retary determines to be appropriate. 
‘‘(c) The Assistant Secretary, in consultation with the Chief 
Executive Officer of the Corporation for National and Community 
Service, shall—
‘‘(1) encourage and permit volunteer groups (including 
organizations carrying out national service programs and 
including organizations of youth in secondary or postsecondary 
school) that are active in supportive services and civic engage-
ment to participate and be involved individually or through 
representative groups in supportive service and civic engage-
ment programs or activities to the maximum extent feasible; 
‘‘(2) develop a comprehensive strategy for utilizing older 
individuals to address critical local needs of national concern, 
including the engagement of older individuals in the activities 
of public and nonprofit organizations such as community-based 
organizations, including faith-based organizations; and 
‘‘(3) encourage other community capacity-building initia-
tives involving older individuals, with particular attention to 
initiatives that demonstrate effectiveness and cost savings in 
meeting critical needs.’’; and 
(3) in subsection (e)(1)(A), by striking the semicolon at 
the end and inserting a period. 
SEC. 203. FEDERAL AGENCY CONSULTATION. 
Section 203 of the Older Americans Act of 1965 (42 U.S.C. 
3013) is amended—
(1) in subsection (a)(3)(A)—
(A) by striking ‘‘(with particular attention to low-
income minority older individuals and older individuals 
residing in rural areas)’’ and inserting ‘‘(with particular 
attention to low-income older individuals, including low-
income minority older individuals, older individuals with 
limited English proficiency, and older individuals residing 
in rural areas)’’; and 
(B) by striking ‘‘section 507’’ and inserting ‘‘section 
518’’; 
(2) in subsection (b)—
(A) in paragraph (17), by striking ‘‘and’’ at the end; 
(B) in paragraph (18), by striking the period and 
inserting ‘‘, and’’; and 
(C) by adding at the end the following: 
‘‘(19) sections 4 and 5 of the Assistive Technology Act 
of 1998 (29 U.S.C. 3003, 3004).’’; and 
(3) by adding at the end the following: 
‘‘(c)(1) The Secretary, in collaboration with the Federal officials 
specified in paragraph (2), shall establish an Interagency Coordi-
nating Committee on Aging (referred to in this subsection as the
H. R. 6197—12
‘Committee’) focusing on the coordination of agencies with respect 
to aging issues. 
‘‘(2) The officials referred to in paragraph (1) shall include 
the Secretary of Labor and the Secretary of Housing and Urban 
Development, and may include, at the direction of the President, 
the Attorney General, the Secretary of Transportation, the Secretary 
of the Treasury, the Secretary of Agriculture, the Secretary of 
Homeland Security, the Commissioner of Social Security, and such 
other Federal officials as the President may direct. An official 
described in this paragraph may appoint a designee to carry out 
the official’s duties under paragraph (1). 
‘‘(3) The Secretary of Health and Human Services shall serve 
as the first chairperson of the Committee, for 1 term, and the 
Secretary of Housing and Urban Development shall serve as the 
chairperson for the following term. After that following term, the 
Committee shall select a chairperson from among the members 
of the Committee, and any member may serve as the chairperson. 
No member may serve as the chairperson for more than 1 consecu-
tive term. 
‘‘(4) For purposes of this subsection, a term shall be a period 
of 2 calendar years. 
‘‘(5) The Committee shall meet not less often than once each 
year. 
‘‘(6) The Committee shall—
‘‘(A) share information with and establish an ongoing 
system to improve coordination among Federal agencies with 
responsibility for programs and services for older individuals 
and recommend improvements to such system with an emphasis 
on—
‘‘(i) improving access to programs and services for older 
individuals; 
‘‘(ii) maximizing the impact of federally funded pro-
grams and services for older individuals by increasing the 
efficiency, effectiveness, and delivery of such programs and 
services; 
‘‘(iii) planning and preparing for the impact of demo-
graphic changes on programs and services for older individ-
uals; and 
‘‘(iv) reducing or eliminating areas of overlap and 
duplication by Federal agencies in the provision and acces-
sibility of such programs and services; 
‘‘(B) identify, promote, and implement (as appropriate), best 
practices and evidence-based program and service models to 
assist older individuals in meeting their housing, health care, 
and other supportive service needs, including—
‘‘(i) consumer-directed care models for home and 
community-based care and supportive services that link 
housing, health care, and other supportive services and 
that facilitate aging in place, enabling older individuals 
to remain in their homes and communities as the individ-
uals age; and 
‘‘(ii) innovations in technology applications (including 
assistive technology devices and assistive technology serv-
ices) that give older individuals access to information on 
available services or that help in providing services to 
older individuals;
H. R. 6197—13
‘‘(C) collect and disseminate information about older 
individuals and the programs and services available to the 
individuals to ensure that the individuals can access com-
prehensive information; 
‘‘(D) work with the Federal Interagency Forum on Aging-
Related Statistics, the Bureau of the Census, and member 
agencies to ensure the continued collection of data relating 
to the housing, health care, and other supportive service needs 
of older individuals and to support efforts to identify and 
address unmet data needs; 
‘‘(E) actively seek input from and consult with nongovern-
mental experts and organizations, including public health 
interest and research groups and foundations about the activi-
ties described in subparagraphs (A) through (F); 
‘‘(F) identify any barriers and impediments, including bar-
riers and impediments in statutory and regulatory law, to the 
access and use by older individuals of federally funded programs 
and services; and 
‘‘(G) work with States to better provide housing, health 
care, and other supportive services to older individuals by—
‘‘(i) holding meetings with State agencies; 
‘‘(ii) providing ongoing technical assistance to States 
about better meeting the needs of older individuals; and 
‘‘(iii) working with States to designate liaisons, from 
the State agencies, to the Committee. 
‘‘(7) Not later than 90 days following the end of each term, 
the Committee shall prepare and submit to the Committee on 
Financial Services of the House of Representatives, the Committee 
on Education and the Workforce of the House of Representatives, 
the Committee on Energy and Commerce of the House of Represent-
atives, the Committee on Ways and Means of the House of Rep-
resentatives, the Committee on Banking, Housing, and Urban 
Affairs of the Senate, the Committee on Health, Education, Labor, 
and Pensions of the Senate, and the Special Committee on Aging 
of the Senate, a report that—
‘‘(A) describes the activities and accomplishments of the 
Committee in—
‘‘(i) enhancing the overall coordination of federally 
funded programs and services for older individuals; and 
‘‘(ii) meeting the requirements of paragraph (6); 
‘‘(B) incorporates an analysis from the head of each agency 
that is a member of the interagency coordinating committee 
established under paragraph (1) that describes the barriers 
and impediments, including barriers and impediments in statu-
tory and regulatory law (as the chairperson of the Committee 
determines to be appropriate), to the access and use by older 
individuals of programs and services administered by such 
agency; and 
‘‘(C) makes such recommendations as the chairman deter-
mines to be appropriate for actions to meet the needs described 
in paragraph (6) and for coordinating programs and services 
designed to meet those needs. 
‘‘(8) On the request of the Committee, any Federal Government 
employee may be detailed to the Committee without reimbursement, 
and such detail shall be without interruption or loss of civil service 
status or privilege.’’.
H. R. 6197—14
SEC. 204. ADMINISTRATION. 
Section 205 of the Older Americans Act of 1965 (42 U.S.C. 
3016) is amended—
(1) in subsection (a)—
(A) in paragraph (1)—
(i) in subparagraph (C), by adding ‘‘and’’ at the 
end; 
(ii) in subparagraph (D), by striking ‘‘; and’’ and 
inserting a period; and 
(iii) by striking subparagraph (E); and 
(B) in paragraph (2)—
(i) in subparagraph (A)—
(I) by amending clause (i) to read as follows: 
‘‘(i) designing, implementing, and evaluating evidence-
based programs to support improved nutrition and regular 
physical activity for older individuals;’’; 
(II) by amending clause (iii) to read as follows: 
‘‘(iii) conducting outreach and disseminating evidence-based 
information to nutrition service providers about the benefits 
of healthful diets and regular physical activity, including 
information about the most current Dietary Guidelines for 
Americans published under section 301 of the National Nutri-
tion Monitoring and Related Research Act of 1990 (7 U.S.C. 
5341), the Food Guidance System of the Department of Agri-
culture, and advances in nutrition science;’’; 
(III) in clause (vii), by striking ‘‘and’’ at the 
end; and 
(IV) by striking clause (viii) and inserting the 
following: 
‘‘(viii) disseminating guidance that describes strategies for 
improving the nutritional quality of meals provided under title 
III, including strategies for increasing the consumption of whole 
grains, lowfat dairy products, fruits, and vegetables; 
‘‘(ix) developing and disseminating guidelines for con-
ducting nutrient analyses of meals provided under subparts 
1 and 2 of part C of title III, including guidelines for averaging 
key nutrients over an appropriate period of time; and 
‘‘(x) providing technical assistance to the regional offices 
of the Administration with respect to each duty described in 
clauses (i) through (ix).’’; and 
(ii) by amending subparagraph (C)(i) to read as 
follows: 
‘‘(i) have expertise in nutrition, energy balance, and meal 
planning; and’’. 
SEC. 205. EVALUATION. 
The first sentence of section 206(g) of the Older Americans 
Act of 1965 (42 U.S.C. 3017(g)) is amended to read as follows: 
‘‘From the total amount appropriated for each fiscal year to carry 
out title III, the Secretary may use such sums as may be necessary, 
but not to exceed 1⁄2 of 1 percent of such amount, for purposes 
of conducting evaluations under this section, either directly or 
through grants or contracts.’’. 
SEC. 206. REPORTS. 
Section 207(b)(2) of the Older Americans Act of 1965 (42 U.S.C. 
3018(b)(2)) is amended—
H. R. 6197—15
(1) in subparagraph (B), by striking ‘‘Labor’’ and inserting 
‘‘the Workforce’’; and 
(2) in subparagraph (C), by striking ‘‘Labor and Human 
Resources’’ and inserting ‘‘Health, Education, Labor, and Pen-
sions’’. 
SEC. 207. CONTRACTING AND GRANT AUTHORITY; PRIVATE PAY RELA-
TIONSHIPS; APPROPRIATE USE OF FUNDS. 
Section 212 of the Older Americans Act of 1965 (42 U.S.C. 
3020c) is amended to read as follows: 
‘‘SEC. 212. CONTRACTING AND GRANT AUTHORITY; PRIVATE PAY RELA-
TIONSHIPS; APPROPRIATE USE OF FUNDS. 
‘‘(a) IN GENERAL.—Subject to subsection (b), this Act shall not 
be construed to prevent a recipient of a grant or a contract under 
this Act (other than title V) from entering into an agreement 
with a profitmaking organization for the recipient to provide serv-
ices to individuals or entities not otherwise receiving services under 
this Act, provided that—
‘‘(1) if funds provided under this Act to such recipient 
are initially used by the recipient to pay part or all of a 
cost incurred by the recipient in developing and carrying out 
such agreement, such agreement guarantees that the cost is 
reimbursed to the recipient; 
‘‘(2) if such agreement provides for the provision of 1 or 
more services, of the type provided under this Act by or on 
behalf of such recipient, to an individual or entity seeking 
to receive such services—
‘‘(A) the individuals and entities may only purchase 
such services at their fair market rate; 
‘‘(B) all costs incurred by the recipient in providing 
such services (and not otherwise reimbursed under para-
graph (1)), are reimbursed to such recipient; and 
‘‘(C) the recipient reports the rates for providing such 
services under such agreement in accordance with sub-
section (c) and the rates are consistent with the prevailing 
market rate for provision of such services in the relevant 
geographic area as determined by the State agency or 
area agency on aging (as applicable); and 
‘‘(3) any amount of payment to the recipient under the 
agreement that exceeds reimbursement under this subsection 
of the recipient’s costs is used to provide, or support the provi-
sion of, services under this Act. 
‘‘(b) ENSURING APPROPRIATE USE OF FUNDS.—An agreement 
described in subsection (a) may not—
‘‘(1) be made without the prior approval of the State agency 
(or, in the case of a grantee under title VI, without the prior 
recommendation of the Director of the Office for American 
Indian, Alaska Native, and Native Hawaiian Aging and the 
prior approval of the Assistant Secretary), after timely submis-
sion of all relevant documents related to the agreement 
including information on all costs incurred; 
‘‘(2) directly or indirectly provide for, or have the effect 
of, paying, reimbursing, subsidizing, or otherwise compensating 
an individual or entity in an amount that exceeds the fair 
market value of the services subject to such agreement; 
‘‘(3) result in the displacement of services otherwise avail-
able to an older individual with greatest social need, an older
H. R. 6197—16
individual with greatest economic need, or an older individual 
who is at risk for institutional placement; or 
‘‘(4) in any other way compromise, undermine, or be incon-
sistent with the objective of serving the needs of older individ-
uals, as determined by the Assistant Secretary. 
‘‘(c) MONITORING AND REPORTING.—To ensure that any agree-
ment described in subsection (a) complies with the requirements 
of this section and other applicable provisions of this Act, the 
Assistant Secretary shall develop and implement uniform moni-
toring procedures and reporting requirements consistent with the 
provisions of subparagraphs (A) through (E) of section 306(a)(13) 
in consultation with the State agencies and area agencies on aging. 
The Assistant Secretary shall annually prepare and submit to the 
chairpersons and ranking members of the appropriate committees 
of Congress a report analyzing all such agreements, and the costs 
incurred and services provided under the agreements. This report 
shall contain information on the number of the agreements per 
State, summaries of all the agreements, and information on the 
type of organizations participating in the agreements, types of serv-
ices provided under the agreements, and the net proceeds from, 
and documentation of funds spent and reimbursed, under the agree-
ments. 
‘‘(d) TIMELY REIMBURSEMENT.—All reimbursements made under 
this section shall be made in a timely manner, according to stand-
ards specified by the Assistant Secretary. 
‘‘(e) COST.—In this section, the term ‘cost’ means an expense, 
including an administrative expense, incurred by a recipient in 
developing or carrying out an agreement described in subsection 
(a), whether the recipient contributed funds, staff time, or other 
plant, equipment, or services to meet the expense.’’. 
SEC. 208. NUTRITION EDUCATION. 
Section 214 of the Older Americans Act of 1965 (42 U.S.C. 
3020e) is amended to read as follows: 
‘‘SEC. 214. NUTRITION EDUCATION. 
‘‘The Assistant Secretary, in consultation with the Secretary 
of Agriculture, shall conduct outreach and provide technical assist-
ance to agencies and organizations that serve older individuals 
to assist such agencies and organizations to carry out integrated 
health promotion and disease prevention programs that—
‘‘(1) are designed for older individuals; and 
‘‘(2) include—
‘‘(A) nutrition education; 
‘‘(B) physical activity; and 
‘‘(C) other activities to modify behavior and to improve 
health literacy, including providing information on optimal 
nutrient intake, through nutrition education and nutrition 
assessment and counseling, in accordance with section 
339(2)(J).’’. 
SEC. 209. PENSION COUNSELING AND INFORMATION PROGRAMS. 
Section 215 of the Older Americans Act of 1965 (42 U.S.C. 
3020e–1) is amended—
(1) in subsection (e)(1)(J), by striking ‘‘and low income 
retirees’’ and inserting ‘‘, low-income retirees, and older individ-
uals with limited English proficiency’’;
H. R. 6197—17
(2) in subsection (f), by striking paragraph (2) and inserting 
the following: 
‘‘(2) The ability of the entity to perform effective outreach 
to affected populations, particularly populations with limited 
English proficiency and other populations that are identified 
as in need of special outreach.’’; and 
(3) in subsection (h)(2), by inserting ‘‘(including individuals 
with limited English proficiency)’’ after ‘‘individuals’’. 
SEC. 210. AUTHORIZATION OF APPROPRIATIONS. 
Section 216 of the Older Americans Act of 1965 (42 U.S.C. 
3020f) is amended—
(1) in subsection (a), by striking ‘‘2001, 2002, 2003, 2004, 
and 2005’’ and inserting ‘‘2007, 2008, 2009, 2010, and 2011.’’; 
and 
(2) in subsections (b) and (c), by striking ‘‘year’’ and all 
that follows through ‘‘years’’, and inserting ‘‘years 2007, 2008, 
2009, 2010, and 2011’’. 
TITLE III—GRANTS FOR STATE AND 
COMMUNITY PROGRAMS ON AGING 
SEC. 301. PURPOSE; ADMINISTRATION. 
Section 301(a)(2) of the Older Americans Act of 1965 (42 U.S.C. 
3021(a)(2)) is amended—
(1) in subparagraph (D), by striking ‘‘and’’ at the end; 
(2) in subparagraph (E), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(F) organizations that have experience in providing 
training, placement, and stipends for volunteers or participants 
who are older individuals (such as organizations carrying out 
Federal service programs administered by the Corporation for 
National and Community Service), in community service set-
tings.’’. 
SEC. 302. DEFINITIONS. 
Section 302 of the Older Americans Act of 1965 (42 U.S.C. 
3022) is amended—
(1) by adding at the end the following: 
‘‘(4) The term ‘family caregiver’ means an adult family 
member, or another individual, who is an informal provider 
of in-home and community care to an older individual or to 
an individual with Alzheimer’s disease or a related disorder 
with neurological and organic brain dysfunction.’’; 
(2) by redesignating paragraphs (2), (3), and (4) as para-
graphs (4), (2), and (3), respectively; and 
(3) by moving paragraph (4), as so redesignated, to the 
end of the section. 
SEC. 303. AUTHORIZATION OF APPROPRIATIONS; USES OF FUNDS. 
Section 303 of the Older Americans Act of 1965 (42 U.S.C. 
3023) is amended—
(1) in subsections (a)(1), (b), and (d), by striking ‘‘year 
2001’’ and all that follows through ‘‘years’’ each place it appears, 
and inserting ‘‘years 2007, 2008, 2009, 2010, and 2011’’; and
H. R. 6197—18
(2) in subsection (e)—
(A) in paragraph (1) by striking ‘‘$125,000,000’’ and 
all that follows and inserting ‘‘$160,000,000 for fiscal year 
2007.’’; 
(B) in paragraph (2), by striking ‘‘such sums’’ and 
all that follows and inserting ‘‘$166,500,000 for fiscal year 
2008, $173,000,000 for fiscal year 2009, $180,000,000 for 
fiscal year 2010, and $187,000,000 for fiscal year 2011.’’; 
and 
(C) in paragraph (3)—
(i) by striking ‘‘(2)—’’ and all that follows through 
‘‘1 percent’’ and inserting ‘‘(2), not more than 1 per-
cent’’; 
(ii) by striking ‘‘shall’’ and inserting ‘‘may’’; and 
(iii) by striking ‘‘section 376’’ and inserting ‘‘section 
411(a)(11)’’. 
SEC. 304. ALLOTMENTS. 
Section 304(a)(3)(D) of the Older Americans Act of 1965 (42 
U.S.C. 3024(a)(3)(D)) is amended to read as follows: 
‘‘(D)(i) No State shall be allotted less than the total amount 
allotted to the State for fiscal year 2006. 
‘‘(ii) No State shall receive a percentage increase in an allot-
ment, above the State’s fiscal year 2006 allotment, that is less 
than—
‘‘(I) for fiscal year 2007, 20 percent of the percentage 
increase above the fiscal year 2006 allotments for all of the 
States; 
‘‘(II) for fiscal year 2008, 15 percent of the percentage 
increase above the fiscal year 2006 allotments for all of the 
States; 
‘‘(III) for fiscal year 2009, 10 percent of the percentage 
increase above the fiscal year 2006 allotments for all of the 
States; and 
‘‘(IV) For fiscal year 2010, 5 percent of the percentage 
increase above the fiscal year 2006 allotments for all of the 
States.’’. 
SEC. 305. ORGANIZATION. 
Section 305(a) of the Older Americans Act of 1965 (42 U.S.C. 
3025(a)) is amended—
(1) in paragraph (1)(E)—
(A) by striking ‘‘(with particular attention to low-
income minority individuals and older individuals residing 
in rural areas)’’ each place it appears and inserting ‘‘(with 
particular attention to low-income older individuals, 
including low-income minority older individuals, older 
individuals with limited English proficiency, and older 
individuals residing in rural areas)’’; and 
(B) by striking ‘‘and’’ at the end; 
(2) in paragraph (2)—
(A) in subparagraph (E), by striking ‘‘, with particular 
attention to low-income minority individuals and older 
individuals residing in rural areas’’ and inserting ‘‘(with 
particular attention to low-income older individuals, 
including low-income minority older individuals, older 
individuals with limited English proficiency, and older 
individuals residing in rural areas)’’; and