Title: Tribal Elder Care Improvement Act of 2019
Policy area: Native Americans

Summary:
Tribal Elder Care Improvement Act of 2019
This bill directs the Department of Health and Human Services to award grants to tribal organizations for providing supportive services (e.g., transportation, case management, and health and wellness programs) to older American Indians, Alaska Natives, and Native Hawaiians.
The bill also reauthorizes through FY2024 grants for the delivery of supportive services, including nutrition services, to older American Indians, Alaska Natives, and Native Hawaiians.
Additionally, the bill specifies that the technical assistance and training programs provided to such grantees may include program management, data development and use, grant development, and staff training and certification.

[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5323 Introduced in House (IH)]

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116th CONGRESS
  1st Session
                                H. R. 5323

To amend the Older Americans Act of 1965 to expand supportive services 
      for Native American aging programs, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            December 5, 2019

Mr. O'Halleran (for himself, Ms. Davids of Kansas, Ms. Haaland, and Mr. 
    Lujan) introduced the following bill; which was referred to the 
                    Committee on Education and Labor

_______________________________________________________________________

                                 A BILL


 
To amend the Older Americans Act of 1965 to expand supportive services 
      for Native American aging programs, 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 ``Tribal Elder Care Improvement Act of 
2019''.

SEC. 2. EXPANDING SUPPORTIVE SERVICES FOR NATIVE AMERICAN AGING 
              PROGRAMS.

    Title VI of the Older Americans Act of 1965 (42 U.S.C. 3057 et 
seq.) is amended--
            (1) by redesignating part D as part E, and
            (2) by inserting after part C the following:

    ``PART D--SUPPORTIVE SERVICES FOR HEALTHY AGING AND INDEPENDENCE

``SEC. 636. PROGRAM.

    ``(a) In General.--The Assistant Secretary shall carry out a 
competitive demonstration program for making grants to tribal or Native 
Hawaiian organizations with applications approved under parts A and B, 
to pay for the Federal share of carrying out programs, to enable the 
organizations to build their capacity to provide a wider range of in-
home and community supportive services to enable older individuals to 
maintain their health and independence and to avoid long-term care 
facility placement.
    ``(b) Supportive Services.--
            ``(1) In general.--Subject to paragraph (2), supportive 
        services described in subsection (a) may include any of the 
        activities listed under section 321(a).
            ``(2) Priority.--The Assistant Secretary, in awarding 
        grants under this section, shall give priority to tribal 
        organizations that will use the grant funds for supportive 
        services described in subsection (a) that are for in-home 
        assistance, transportation, information and referral, case 
        management, health and wellness programs, legal services, 
        family caregiver support services, and other services that 
        directly support the independence of the older individuals 
        served.
    ``(c) Rule of Construction.--Nothing in this section shall be 
construed or interpreted to prohibit the provision of supportive 
services under part A or B.''.

SEC. 3. ENHANCING TRAINING CAPACITY TO SUPPORT NATIVE AMERICAN AGING 
              PROGRAMS.

    Title II of the Older Americans Act of 1965 (42 U.S.C. 3011 et 
seq.) is amended--
            (1) in section 201(c)(3)(H) by striking the semicolon and 
        inserting ``to ensure adequate capacity to deliver the services 
        under such title, which technical assistance and professional 
        development programs may include program management, data 
        development and use, basic business skills, grant development, 
        program and service innovations, and staff training and 
        certification;''; and
            (2) in section 216(b)--
                    (A) in paragraph (3) by striking ``; and'' and 
                inserting ``;'',
                    (B) in paragraph (4) by striking the period and 
                inserting ``; and'', and
                    (C) by adding at the end the following:
            ``(5) to carry out section 201(c)(3)(H) (relating to 
        training and technical assistance for programs under title VI), 
        $500,000 for fiscal year 2021.''.

SEC. 4. EXPANDING SUPPORTIVE SERVICES FOR NATIVE AMERICAN AGING 
              PROGRAMS.

    Section 643 of the Older Americans Act of 1965 (42 U.S.C. 3057n) is 
amended to read as follows:

``SEC. 643. AUTHORIZATION OF APPROPRIATIONS.

    ``There are authorized to be appropriated to carry out this title--
            ``(1) for parts A and B, $38,524,324 for fiscal year 2020, 
        $40,835,783 for fiscal year 2021, $43,285,930 for fiscal year 
        2022, $45,883,086 for fiscal year 2023, and $48,636,071 for 
        fiscal year 2024; and
            ``(2) for part C subject to section 644, $10,785,575 for 
        fiscal year 2020, $11,432,710 for fiscal year 2021, $12,118,672 
        for fiscal year 2022, $12,845,792 for fiscal year 2023, and 
        $13,616,540 for fiscal year 2024.''.

SEC. 5. FUNDING SET ASIDE.

    Title VI of the Older Americans Act of 1965 (42 U.S.C. 3057-3057n) 
is amended by adding at the end the following:

``SEC. 644. FUNDING SET ASIDE.

    ``Of the funds appropriated under section 643(1) for a fiscal year, 
not more than 5 percent shall be made available to carry out part D for 
such fiscal year if for such fiscal year--
            ``(1) the funds appropriated for parts A and B are greater 
        than the funds appropriated for such parts for fiscal year 
        2019; and
            ``(2) the Assistant Secretary makes available for parts A 
        and B not less than the amount of resources made available for 
        fiscal year 2019.''.
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