II 118th CONGRESS 2d Session S. 4574 IN THE SENATE OF THE UNITED STATES June 18, 2024 Mr. Braun (for himself and Mr. Peters ) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions A BILL To amend the Older Americans Act of 1965 to allow States, tribal organizations, and organizations serving Native Hawaiians flexibility to use certain funds for innovative nutrition services, and for other purposes.

1. Short title This Act may be cited as the Innovative Nutrition for Seniors Act . 2. Innovative nutrition flexibility (a) In general Part C of title III of the Older Americans Act of 1965 ( 42 U.S.C. 3030d–21 et seq. ) is amended— (1) by redesignating subpart 3 as subpart 4; and (2) by inserting after subpart 2 the following: 3 Innovative nutrition flexibility 338. Innovative nutrition flexibility (a) In general Notwithstanding any other provision in this Act, a State with a State plan approved under section 307 may use not more than 5 percent of the amounts received by the State that are attributable to funds appropriated under paragraph (1) of section 303(b) for the establishment and operation of innovative nutrition services that— (1) improve the reach of the nutrition services provided under subparts 1 and 2; and (2) address food insecurity among older individuals or improve the health and well-being outcomes for older individuals. (b) Services Services under this section may include— (1) providing carry-out meals, grab-and-go meals, mobile food units, or medically-tailored meals; (2) providing medical nutrition therapy in consultation with a dietitian or other qualified individual described in section 339(1) for the prevention, management, or treatment of a disease; or (3) carrying out any other nutrition activities approved by the State agency. (c) Nutrition requirements In the case of any services supported under this section that provide meals to older individuals, such meals shall comply with the requirements for nutrition projects under section 339. . (b) Administration (1) In general Section 205(a)(2)(A) of the Older Americans Act of 1965 ( 42 U.S.C. 3016(a)(2)(A) ) is amended— (A) in the matter preceding clause (i), by striking subparts 1 and 2 of part C of title III and inserting subparts 1, 2, and 3 of part C of title III ; and (B) in clause (ix), by striking subparts 1 and 2 of part C of title III and inserting subparts 1, 2, and 3 of part C of title III . (2) Reporting Section 308(b)(7)(C) of the Older Americans Act of 1965 ( 42 U.S.C. 3028(b)(7)(C) ) is amended— (A) in clause (i), by striking ; and and inserting a semicolon; and (B) by adding at the end the following: (iii) subpart 3 of part C; and . (c) Native Americans Title VI of the Older Americans Act of 1965 ( 42 U.S.C. 3057 et seq. ) is amended— (1) by resdesignating part E ( 42 U.S.C. 3057l et seq. ) as part F; and (2) by inserting after part D ( 42 U.S.C. 3057k–21 et seq. ) the following: E Innovative Nutrition Flexibility for Native Americans 638. Innovative nutrition flexibility for Native Americans (a) In general Notwithstanding any other provision in this Act, a tribal organization receiving a grant under part A, or a public or private nonprofit private organization receiving a grant under part B, may use not more than 2 percent of the amount awarded to the organization through such grant to establish and operate, or contract with a service provider to establish and operate, innovative nutrition services that— (1) improve the reach of— (A) in the case of a grant to such a tribal organization, the nutrition services provided under part A; and (B) in the case of a grant to such a nonprofit organization, the nutrition services provided under part B; and (2) address food insecurity among, or improve the health and well-being outcomes, for— (A) in the case of a grant to such a tribal organization, older individuals who are Indians; and (B) in the case of a grant to such a nonprofit organization, older individuals who are Native Hawaiians. (b) Services Services under this section may include— (1) providing carry-out meals, grab-and-go meals, mobile food units, or medically-tailored meals; (2) providing medical nutrition therapy in consultation with a qualified dietitian or other individual described in section 339(1) for the prevention, management, or treatment of a disease; or (3) carrying out any other nutrition activities approved by the applicable tribal organization or nonprofit organization receiving the grant. (c) Nutrition requirements In the case of any services supported under this section that provide meals, such meals shall comply with the requirements for nutrition projects under section 339. .